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Home My WebLink AboutPermit Building 2008-10-6 Status Issued, CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-01490 ISSUED: 10/06/2008 APPLIED: 10/01/2008 EXPIRES: 04/06/2009 VALUE: $ 131,740,00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2010 S 57TH PL ASSESSOR'S PARCEL NO.: 1802033300700 J1El;!,.TION: Orepon law reqnlt"I?:E\(l)P.~E: PROJECT DESCRIPTION: New Single 1I~ll~ MrrgMi!!g)~JtlJl9i1yage Oregon Utility , Same as 5 IlU!llI&'n<€9%f9l\&\QBII1)leS are set forth ' oti'fi~,," . _. ^ d_'__..,~h "~I'I Q'i~-001. HA YDEN HOMES LLC ~o~;t'\ ;o":;;;~~;~~~~~;Pi~S of th,e r~les by 2464 SW GLACIER PL aliin the center. (Note: the te ~~ one REDMOND OR' 97756 C b g f r the Oregon Utility Notlltcalion num er 0.. ,_ < ~M ,>,>"_,,Q44\ Springfield TYPE.OF WORK:Single Family Residence New Residential Owner: Address: VWII~""" .- " I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor License HA YDEN ENTERPRISES 92208 TOP NOTCH ELECTRIC INC 172366 PACIFIC AIR COMFORT INC 39237 PLUMBING PLUS IN€,"':~ .90482 'I'B~~bDING)IN~O~Alt"ib~'f{IS~~~ ..;;:';-,Gr\!LtU UI~UCr\ llllJ / ~I 'U"i:;jj~!~t~t9r~~: IS ABANDONED FO~ Lot Size: :" y" ftIeiJA~q!iemW!re .17,00 Sq Ft 1st Floor: Ad 1 Type of Heat: Forced Air Gas Sq Ft 2nd Floor: Water Type: . Gas Sq Ft Basement: Range Type: Electric Sq Ft Garage/Carport Energy Path: Sq Ft Other: . Sprinkled Building: No Occupant Load: Expiration Date 07/29/2009 09/29/2010 03/25i2010 05/10/2009 Phone 541-228-1081 541-317-1998 541-672-9510 541-926-3 I 90 # of Units: Primary Occupancy Group: Secondary Occupancy Group: 'Primary Construction Type Secondary Construction Type: # of Bedrooms: I R-3 U VB 5,400 1,148 400 3 I DEVELOPMENT INFORMAT~ON I REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 14.00 6.00 24.00 0.00 Overlay Dist: # S'treet Trees Rqd: Paved Drive Rqd: % .of Lot Coverage: 2 Yes 31.62 Total: Handicapped: Compact: 2 I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Fullv Improved Yes Storm water to curb via weep hole ,.Sidewalk Type: "DownspoutsfDrains: Curbside 7' Curb and Gutter Notes: Paee I of 4 _ Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction V Wood Frame Garage Dwellings Garage Fee Description . -Mech Iss 2+ Appliances- + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee 2 Baths One or Two Family Addressing Assignment Appliance Vent Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Furnace - up to 100,000 btu Gas Outlets 1-4 Plan Review Major - Planning Plan Review Residential Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin . SDC Transpo Reimbursement SDC Transportation Admin Sidewalk Permit Storm Drainage Impervious Area Storm Sewer Each AddtllOO' Temp Power 200 amps or less Vent Fan Willamalane Single Family Total Amount Paid CITY OF ~rKll~GFIELD Building/Combination Permit PERMIT NO: COM2008-01490 ISSUED: 10/06/2008 APPLIED: 10/0112008 EXPIRES: 04/0612009 VALUE: $ 131,740.00 I, VaJuation Descrintion I $ Per Sq Ft or' multiplier $105,00 , $28.00 Square Footage or Bid Amount 1,148,00 400.00 Value Date Calculated $120,540.00 $11,200,00 $131,740.00 10/0112008 10/0112008 Total Value of Project fp\n~ Amount Paid $42.00 $143,93 $163.43 $87.45 $289,00 $37,00 $8.00 $761.93 $88,00 $8.00 $11.00 $77.40 $15,00 $6.00 $211.00 $495,25 $121.00 $44.00 $483.84 $636.30 $10.00 $1,009.17 $97;90 $143.97 $201.54 $15,51 $88,00 $750,77 $17,00 $57.00 $24.00 $2,513.00 $8,657.39 Date Paid Receipt Number 10/6/08 10/6/08 10/6/08 10/6/08 10/6/08 10/6/08 10/6/08 10/6/08 10/6/08 10/6/08 10/6/08 10/6/08 10/6/08 10/6/08 10/6/08 10/6/08 10/6/08 10/6/08 10/6/08 10/6/08 10/6/08 10/6/08 10/6/08 10/6/08 , 10/6/08 , 10/6/08 10/6/08 10/6/08 10/6/08 10/6/08 10/6108 10/6/08 I 2200800000000001481 2200800000000001481 2200800000000001481 2200800000000001481 2200800000000001481 2200800000000001481 2200800000000001481 2200800000000001481 2200800000000001481 2200800000000001481 2200800000000001481 2200800000000001481 2200800000000001481 2200800000000001481 2200800000000001481 2200800000000001481 2200800000000001481 2200800000000001481 2200800000000001481 2200800000000001481 2200800000000001481 2200800000000001481 2200800000000001481 2200800000000001481 2200800000000001481 2200800000000001481 2200800000000001481 2200800000000001481 2200800000000001481 2200800000000001481 2200800000000001481 2200800000000001481 Page 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2o.o.8-o.149o. ISSUED: 10./0.6/20.0.8 APPLIED: 10./0.1120.0.8 EXPIRES: 0.4/0.6/20.0.9 VALUE: $ 131,740..0.0. 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 54I-726~3769 Inspection Line . I Plan Reviews I Public Works Review 10/01/2008 Plan nine Review 10/01/2008 10/01/2008 APP DDK Structural Review 1 % 112008 10/01/2008 APP CJC Access restricted to 1 driveway per lot. Follow street tree plan. Approved as noted on plans To Request an inspection call the 24 hour recording at 726-3769, All inspections requested before 7:0.0. a,m. will be made the same working day, inspections requested after 7:0.0. a.m. will be made the following work day, I IIp'\llLrf1~ I/r?p..t~ Erosion/Grading Inspection:. Prior to ground disturbance and after erosion measures are installed. Curbcut - Standard: After forms are erected but prior to placement of concrete. Sidewalk -,Curbside: After forms are erected but pl~iorlo placement of concrete, Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection., ' Footing: After trenches are. exca>:ated, Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking, Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover, and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping, Hold Downs Installed: Special Inspection performed prior to placement o'f concrete. Provide report to City , Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete, , . Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or plac.ement of concrete. Rough Plumbing: Prior to cover and including required testing, Water Line: Prior to filling trench and ilicluding required testing, Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Paee 3 of 4 CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2008-01490 ISSUED: 10/06/2008 APPLIED: 10/0112008' EXPIRES: 04/06/2009 VALUE: $ 131,740.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Plumbing: When all plumbing work is complete. , Undertloor Mechanical, Prior to insulation or decking and including req~ired testing. Undertloor Gas: After line is installed and required testing and capped ifnot attached to an, appliance, Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing, Presure test done at this point. . Rough Mechanical: Prior to Cover Final Gas: Wheu all gas work is complet~. Final Mechanical: When all mechanical work is complete, ,~ Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed aPl1lication and do hereby certify that all information hereon is true and correct, and I further certify that any aud all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregou pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Comniunity Services Division, Building Safety. I further certify that ouly contractors and employees who are iu compliance with ORS 701.005 will be used on this project. " I further agree'to eusurethat all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is'located at the front of the property, and the approved set of plans will remain on the site at all times during construction. ' .- ~/ )A~ - -V Owner or Contractors Signature ocf-r;-cS Date Pa2e 4 of 4 1/1 " " CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS I. STORM DRAINAGE COM2008-01490 Hay.den Homes 2010 S:57th '1802033300700 Single Family Residence . I BUILDING SIZE (SF" 1708 DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F,' x 1 COST PER S,F. ,I CHARGE 'I I 2104,50 1 $0,357 '1 = I $750.77 ' , RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I" I I' 0,00 I I $0.357 I I 50% 1 ~ ITEM I TOTAL-STORM DRAINAGE SDC 2. SANITARY SEWER - CITY A REIMBURSEMENT COST: I NUMBER OF DFUs I x I 23 I COST PERDFU $27,67 $750.77 $1,120.]4 LOT SIZE (SF): DISCOUNT $0,00 5227 1 I'" p.1 1'0 o U 0: 'p.1 f-< '" ~ o ~ . $750.77 1]070 I: i' I' I 1109] 1 NUMBER OF UNITS I x I I I 1 I COST PER TRIP 21.06 x INEW TRlP FACTORI 1 1.00 I B. IMPROVEMENT COST: I NUMBER OF DFU's I x COST PER DFU ,n 1 DI~4 ITEM 2 TOTAL - CITY SANITARY SEWER SDC ~ , 3. TRANSPORTATION A. REIMBURSEMENT COST: I ,ADTTRIPRATE 1 x I .9.57 B. IMPROVEMENT COST: I ADTTRIP RATE I x I 9.57 I ~, $636.30 $483.84 I 1092 I ~ $201.54 " 1093 I I NUMBER OF UNITS I x 1 I I I I ~ I COST PER TRIP $92.89 $201.54 x INEW TRlP FACTORI I 1.00' I ITEM 3 TOTAL - TRANSPORTATION SDC 4, SANITARY SEWER - MWM(: A. REIMBURSEMENT COST: INUMBER OF FEU's I x I I I ICOST PER FEU 1 $97.90 B. IMPROVEMENT COST: INUMBER OF FEU's I I I I x ICOST PER FEU I $1,009,17 ' MWMC CREDIT IF APPLICABLE (SEE REVEi\SE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC SUBTOTAL (ADD ITEMS ],2,3, & 4) 5 AI1MINISTRATIVE FEE: I SUBTOTAL x 1 ADM. FEE RATE 1 $3.189.52 I 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Kaye Wilson PREPARED BY 10/1/2008 DATE ~ I $1,117.07 , - .. ~I $3,]89.52 I~ . CHARGE I $159.48 TOTAL SDC CHARGES $0.00 I ]094 I' J = $97.90 1054 ' " = $1,009.] 7 ]055 $0.00 ]054 $]0.00 1.056 I - I I 143,97 11079 $15.51 '11078 I' =, $3,349.00 , I "J ~. -\ DRAINAGE FI~TURE UNIT (DILU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUrv ALENT = DRAINAGE FIXTIJRE UNITS II (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO, OF FIXTURES DRAINAGE , UNIT FIXTURE FIXTURE TYPE NEW OLD EQUN ALENT UNITS fBATHTUB 2 0 3 = 6 I DRINKING FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 0 IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 I INTERCEPTORS FOR SAND / AUTO WASH / ETe. 0 0 6 = 0 I LAUNDRY TUB 0 0 2 = 0 ICLOTHESW ASHER / MOP SINK 1 0 3 = 3 ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE I'IOME PARK TRAP (J PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REFRlG/ WATER STATION iETC. 0 0 1 = 0 IRECEPTOR FOR COM. SINK / DISHWASHER / ETe. 1 0 I 3 = 3 I SHOWER SINGLE STALL 0 0 I 2 = 0 I SHOWER GANG (NUMBER OF HEADS) 0 0 I 2 = O. I SINK: COMMERCIAuRESIDENTIALKITCHEN 1 0 I 3 = 3 ISINK: COMMERCIAL BAR 0 0 i 2 = 0, ISINK: WASH BASIN/DOUBLE LAVATORY 0 0 I 2 = '0 I SINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 I 1 = 2 I URINAL, STALL I WALL 0 0 I 5 = 0 ~TOILET. PUBLIC INSTALLATION 0 0 I 6 = 0 TOILET. PRIVATE INSTALLATION 2 0 I 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 23 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE f YEAR ANNEXED BEFORE 1979 ! 1979 ! 1980 'I 1981 I 1982 I 1983 I 1984 I 1985 1986 [ 1987 I 19_88 . I 1989 [ 1990 I 1991 I 1992 I 1993 I 1994 I 1995 I 1996 I 1997 1998 1999 2000 2001 If--~'~AND ELGIBLE F~R ANNEXATION CREDIT? (Enter I for Yes, 2 for No) , IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter 1 fOT Yes, 2 for No) BASE YEAR 2005 2 2 CREDIT FOR LAND (IF APPLICABLE) VALUE/1000 CREDIT RATE $0.00 x $0,00 ~ , $0,00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE/1000 CREDIT RATE $0.00 x $0.00 ~ , 0 = $0.00 TOTAL MWMC CREDIT ., , , CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS SF x I COST PER SF CHARGE i 2]04,50 I $0.357 I ~ I $750.77 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS ,I IMPERVIOUS SFI x I COST PER S,F, ,I x I DISCOUNT RATE I 'I 1 0.00 I' $0.357 I I 50% I ~ ITEM I TOTAL - STORM DRAINAGE SDC '$750.77 2 SANITARY SEWER - CITY JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS , I. STORM DRAINAGE A. REIMBURSEMENT COST: I NUMBER OF DFU's I x 1_ _. 23 I B. IMPROVEMENT COST: 1 NUMBER OF DFU's I x 1 23 I COM2008-0 1490 Hay'den Homes , 2010 S, 57th 1802033300700 Single Family Residence I BUILDING SIZE (SF COST PER DFU I, $27.67 ' I COST PER DFU $21.04 ITEM 2 TOTAL - CITY SANITARY SEWERSDC ~ I 3, TRANSPORTATION A REIMBURSEMENT COST: I ADTTRIP RATE 1 ' x I 9,57 1 B. IMPROVEMENT COST: 1 ADT TRIP RATE I I 9,57 I I NUMBER OF UN]TS I x 1 I I I I x 1 NUMBER OF UNITS I x I 1 I 1 1 ~ I - . ITEM 3 TOTAL - TRANSPORT A nON SDC 1708 lf1 u.l CI o u ~ u.l I-< lf1 (3 ~ LOT SIZE (SF): 5227 DISCOUNT $0,00 $750.77 1070 $636.30 1091 $483;84 1092 $1,120.14 I. I COST PER TR]P 21.06 I x, INEW TRIP FACTORI I 1.00 I I .'~ 1 NEW TRIP I' ACTORI 1 . '1.00 I 1094 $201.54 1093 COST PER TRIP $92.89 $1,090.52 $888.98 4, SANITARY SEWER - MWMr A REIMBURSEMENT COST: INUMBER ~F FEU's I x B. IMPROVEMENT COST: INUMBER ~F FEU's : 1 COST PER FEU I $97,90 x ICOST PER FEU 1 $1,009.17 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMIN]STRA TlVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC ~ , SUBTOTAL (ADD ITEMS 1,2, 3, & 4) ~ , 5 ADMIN]STRA T1VE FEE: I SUBTOTAL x 1 ADM. FEE RATE I~ I $4,078.50 I, 5% I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMlN]STRATION FEE: Kaye Wilson PREPARED BY 10/1/2008 DATE , $97.90 1054, $1,117.07 ~ $1,009.17 1055 $0.00 1054 $10.00 1056 ____I I $4,078.50 CHARGE $203.93 128.83 11079 $75,]0 11078 TOTAL SDC CHARGES = I $4,282.43 , DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAfNAGE FIXTURE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO, OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS 1 BATHTUB 2 0 3 = 6 IDRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 . - 0 I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 I INTERCEPTORS FOR SAND / AUTO WASH / ETC. ' 0 0 6 = 0 !LAUNDRY TUB 0 0 ,2 = 0 ICLOTHESW ASHER / MOP SINK 1 0 3 = 3 IClOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBIlE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 fRECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0 RECEPTOR FOR COM, SINK / DISHWASHER / ETC. 1 0 3 = 3 1 SHOWER, SINGLE STALL 0 0 2 = 0 1 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 1 SINK: COMMERCIALiRESIDENllAL KITCHEN 1 0 3 = 3 1 SINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 1 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 = 2 IURINAL. STALL / WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 23 _*EDU (Equivalent Dwellin,g Unit) is a discharge equivalent to a single family dWellinJ.!: unit (20 OFD's) set at 167 gallons per day MWMCCREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE I YEAR ANNEXED 1 BEFORE] 979 1979 1980 1981 1982 1983 ]984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 I 2001 IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2 (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 2 (Enter I for Yes, 2 for No) BASE YEAR 2005 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0.00 x $0.00 ~I $0,00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE /. 1000 CREDIT RATE $0.00 x $0.00 ~ I 0 TOTAL MWMCCREDIT = $0.00 'I I I I I I .1 I 1 I 1 1 , 2~ Willamalane t"\ij Park & Recreation Oistrict , Job. No. !:F- FIC;O SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2008 NAME:AvnE)V !f:!iyI,..-C . PHONE: "2.:z- r ~73.r , ADDRESS:)'1 r, q qlf':/-Ut:al-CITY 12D>/lwr/i) STATE:~IP: CVJ'750 LOCATION OF PROPOSED BUILDING SITE: . Street Address: ;20 I () .5 57f1-h Plat Name: Tax Lot Number: /fo:J.- 0']73 00100 1; .DEVELOPMENT TYPE (Check appropriate d;""elling'(s). Dwelling type definitions are on the . back,) , ' . . A. Sinale-Familv Detached NO. OF UNITS J X $2,513 per unit = .$ 2<;""1'3 B. Sinale-Familv Attached NO. ,OF UNITS X $2,726 per uriit = $ . C. Mufti-Familv Aoartment NO. OF UNITS x $2,323 per unit = I $ D. Sinale Room Occuoancv ,NO. OF UNITS X $1,162 per unit = I '. $ E. Accessorv Dwellina Unit NO. OF UNITS X $1,257 per unit = $ $A!6(~.d) $~<< 'WILLAMALANE SDC 2. SDC CREDIT (If applicable) SDC payer must furnish proof of Willamalane CJ:editapproval.) 3. TOTAL WILLAMALANE NET SDC ASSESSED, (if SDC reduced for Credit) . . $ :? 'iT3 ~,<. (>~",-v'~ Development'Services Department CitY of Springfield !d I ( I tJ~ , Date ' f'\~ .: ~ lD (to \l).J 5 ZON INlTIALS DATE SOURCE Pump or irrigation $,55.00 Sign/Outline Lighting $ 55.00 OWNERINSTALbkTION Limited EnergylResidential- $'28,00- "The installation is being made on propertY Town .which .-: Lirnlted bnergy/Co=eTClal , ~ 50.00 is not intended for sale, l~ase or rent. Minimum Electric Permit Inspection Fee is $50.00 + Surcharges . ~f;!~;~il$!;f~m>2l!r!.1!~~r~~ITmfJj~~'jj~~~ ~m;,:!~;i;iIJ":'"Jli[ll~[l'I~",;~d~irl',-','c", Owners 'SI.gnature,... 4. ~t~(1R.IDl1f~,m~H~~~~(l)H\t;~~~~!\~"~~tt1~~li~~~~~i):l~~ 7' , ' tTk\~~JM.~~~M1~f~ilir~~!illi?j~~Jffi@l1tlli-~lf.ri~l&1~~ln'.tl~:<<'!iJ~i~~t\Ulli1&:~~ii'l' _/_L - 12% State Surcharge ~'f , 10% Administrative Fee 2.~ 5% Technology Fee / / ' /'0 zsi, Cff 215 FIFTH STREET. SPRlNGFIELD, OR 97477 . PH,(541)726-3753 . FA)l, ELECTRICAL PERMIT APPLICATION City Job Number 5- )4 ~ 0 1. ilt~i!i~lwJi~!t~I;~Jl11!.i ?-oIO S 5'7ffl LEGAL DESCRIPTION: / S~ 2 (1'J:5 .37 f!)O 70 {} JOB DESCRIPTION: S,,FdCf, w/ tfMAaC- Per~its are non-transferable and expire if work is not started within 180 days of issuance or if work is _ . J. ---c- -' _SuspendedSOl:.180_da)'s___ - -,--- . -- '5~~i,'~,~'B!i}Iil'~jifi[~~'*~,'f~.,'U::m~~;~1I~i\:,'::;'V~~:~,'i~-~,~~w~~ofl 2 ~W~~14~~~m.,;~~~.~gi~t~~~&},~~~Hf,;,,~~q{~,~~;;~,,~)~~~;~~ . r:,',",,,,:s';~_., -_ .,-- / - ,""~_~,lIO't!l$.l/.'__.",~......_~,~ Electrical Contractor, -r;,,;:dJJ~ ,['"/ec ,. Address ;}.off!,? ~....:,{,+ Iu ..Done 5o/1~3rrT9"'Ji5 LIly (j I n~r Expiration Date Lfoyi; s b2fftJ '7 Supervisor License Number Constr. Contr, Number !7 2 -:,(# {" :Am '1 Expiration Date Signal Te of S,"perv,jsing ,Electrician ciJ~~ OwnersN';;'e' 2-ttr~?V h;~/fCf Address 2~ 'i J?J 15 I.A-c/ (~_, , City .4]'6JP/(Jlt' J) Phone 22fE, -~7 :!,j Inspection Request: 726-3769 Date'lo,ll/OX 3. ~!~m.J;ill~;ij!'Jtt.!~~illi:1I~i~lllltll A. ~1}il1!l1ril!mil~~1111~u~I~1J111~f4~1~I~llli' Service Included 1000 sq. ,ft. orless . Each additional 500 sq. ft, or portion thereof Each Manufact'd Horne or . Modular Dwelling Service or __Le.e.deL.- I iu /2/ $+t'f:t)0 2..-- '2-'L #' $ >!H)O $55.00 " -B~ i,~~~lw~'fjfu~~(N!fIf:~~fi~'~~~~i?1~1~$;1FlIi.~~~~~r~;t~,~~'mf~"~~~~Ji(ji~W,;~~y~",ti~i1tf"t.w:i~l ,; ~0Si.e:l;fl,n+_es';.qJ7~_"feede.lt~p~dnsJ:l,:{fiD)ll',~t&1terambll$Wr~eJg1:tff,-lion,".;p, . ~'ii>::lf&~1;;'t~~;:'t1\i,,,,;J~"W,~L@M.~Jk~'0"",i\.'i'I;%T':~tf0':"t"~'";\~1~~"~'~{{f~~1~$r#d~\;,;!~,~'~'7i';"y,-~,,~ 200 Amps or less 201 ,Amps to 400 Amps 401 Amps'to 600 Amps 60l Arnps'to'IOOOAmps""" 0ver,I00o-ATIipSI Y OllS Reconnect Only $70.00 $ 83.00 $138.00 $180;00 '$41O.vu $ 55.00 iI: .M'fii1I'.f'!I"'''''~!!e''''':1lli:1rimR",~m;1''''';;;lmi':fi~o.''''''''\fflI''''~'ffl;!~i;'P''-'&;!~;'''~~"",-- ="'S;~'ffii"""""":l; Cfi';-->B'tfi!,~NW;~j;\rS~?T.,j~~i!"l~'~{;~"EJ~~'l;:~~a~~~lli~~ihl:~&~~Jt'~~~\~ii]P,Wf~~~~lyjtl~f.ti\1r:~1:K]~ .diI~.,~~'1.Jm;~fJ;{~~1~fit1-~~.MHg~ili~~~~~ilt!~:ltw~~~~~Jij~~~i:J;~~i~~L~fr~~EI~ Installa~ioD, Alterati1?ll or R~location' $7 200Amps o~ less l $ S5il0 201 Amps to 400 Amps $ 76.00 40] Amps to 600 Amps $Il 0,00 'Over 600 Amps or 1000 Volts see "Bn above. _ ' ',D~ rlI1~IDj1It~11{~ill?~.~~i~~li.I'IT~4~~1~lil'1' 57 New Alteration or Extension Per Panel One Circuit Each Additiona] Circuit or with Service or Feeder Permit. $ 48.00 $ 4.00 f"'!~"U'!i%mlm~;"",i;]m,';r;r!iil,~fill'fjil'R~mo,r.:-:i;ffi"""='=""'""",,mrrni""~"~:rn'~!i('''!''Ill~' , ' ~. E~~;~~~%~~~~~~~!'<')~i~~'rni~ii:~&!~;t(:~11j~~M~i~\MI'f"~1"~d"'S;1*t'i!.\."1X~iillf;"~,,,""k-""l""J'l.\-"s~~"~If.;"~'",.)i.~~ljjr.t""''!,1'~r.i1:Q!,,,,'c,,,,,it:0:':r(f~~}: . 'j' ,'IS!;e ;>llep-",S;,De"",ce, ce cr.'n'O, "Glil( '';UI L 'a',}i!""'Uu""1' ~t:_J.i::1@1~W.f.lli1ill~~jf;!b,i~lflC~J1~.\l;,11':lliilQrw';:;'~~"~"'I,"\I'L"~' .fif.Sq",~;r;':iotl~,w*",~~ TOTAL cShm:ed Drive(T)lBuilding FonnsfElectJicaJ Permit Applicat,i'on 1-0&.[ 225 Fifth Street . Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-0 1490 COM2008-0 1490 COM2008-0 1490 COM2008-01490 COM2008-0 1490 COM2008cO 1490 COM2008-0 1490 COM2008cO 1490 COM2008-0 1490 COM2008-01490 COM2008-01490 COM2008-01490 COM2008-0 1490 COM2008-01490 COM2008-01490 COM2008-0 1490 COM2008-0 1490 COM2008-0 1490 COM2008-0 1490 COM2008-0 1490, COM2008-0 1490 COM2008,0 1490 COM2008-0 1490 COM2008,0 1490 COM2008-0 1490 COM2008-01490 COM2008-0 1490 COM2008-0 1490 COM2008-0 1490 COM2008-0 1490 COM2008-0 1490 COM2008-0 1490 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 2200800000000001481 Description Gas Outlets 1-4 -Mech Iss 2+ Appliances- Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Fire SF Fee - Residential Plan Review Residential , Building Penn it Sidewalk Permit Curbcut Pennit Stann Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Stonn Admin SDC Transportation Admin + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Plan Review Major - Planning Addressing Assignment Willamalane Single Family 2 Baths One or Two Family Stonn'Sewer Each AddtJ 100' Furnace - up to 100,000 btu Vent Fan Appliance Vent, Exhaust Hoods Dryer Vent City of Springfield Official Receipt Development Services Department Public Works Department Date: 10/06/2008 Item Total: Check Number Authorization Received By Batch Number Number How Received Paid By TIM DREILING cjc Page' 1 of I 006948 In Person Payment Total: . 9:47:49AM Amount Due 6,00 42,00 12100 44.00, 57.00, 77.40 495.25 761.93 88,00 88,00 750,77 636,30 483,84 201.54 97,90 1,009,17 10,00 143.97, 15,51 87.45 163.43 143,93 , 211.00 37.00' 2,513,00 289,00 17,00 15.00 24.00 8,00 11.00 8.00 $8,657,39 Amount Paid $8,657.39 $8,657.39 10/6/2008