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Home My WebLink AboutPermit Building 2008-10-17 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2008-01504 ISSUED: 10/17/2008 APPLIED: 10/03/2008 EXPIRES: 04/17/2009 VALUE: $ 14,784.00 Springfield TYPE OF WORK: Garage SITE ADDRESS: 421 S 47TH ST ASSESSOR'S PARCEL NO.: 1702324306900 TYPE OF USE: New Residential PROJECT DESCRIPTION: Garage PhOne Number: 541-988-4949 Owner: MILLER TRENT L & LAURA L Address: 42] S 47THST .....' '..-~I'''''n''I' '.....rpr:~" !-:w ~0r,t"iq;:; ',.':::'u to , SPRINGFIELD OR 97478' lL\ii "~:'. .", -' . -., "en' ,"ii'" -'_ 't. ,,, I"H~:~(':, :':",.00; ;d r' i .;J~ '~),~:~/ '. .,~r .~. I. 't ~'l",'-rl ("'''''''I~':.r ",.1'...,:':;0 r'....ii(~.., ('l:1:l ~;;a ....,,,, \JOti h.,,'" ,<"C, 'w ' . .. - - - -. in'OAi1!.,COl)/TRACTORINFORMAT-ION'1 0090. You may oota\fllA.!~.H\:';" \..n'~': . -,~ - -, ~~ Contractor cal!',ng tl1e center. (Note: the tdrJi2.jW~e . Uti t NOll],,"""VII TUFF SHED m,<:nber for the Oregon ! ! Y lU5914 , . "ro,M 1')01) t"J'J 11,i , Contractor Type . .' General # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2.Setback: Rearyard Sethack: Solar Setbacks: Expiration Date OS/27/2009 Phone 5303-753-8833 . .....\Vr., ..... . -- - . BinLDING INFORMATION I # of Stories: U Height of Structure Type of Heat: VB Water Type: . Range Type: Energy Path: "!t!TICE: Sprinkled Bn\'Wjn~ THE W(JR<K ___.,~~'HII i=YPKtrr _~ ~ I~~~ IrilE-ViLOJ?MBNTrlNFOifMRB6Af '~Ol~MENCED OR 15 AI:J\[~JU,\~~ ! 90.00~y 1 BO DI\Py'tlit'dflBist: . 13.~O . # Street Trees Rqd: Paved Drive Rqd: 127.80 % of Lot Coverage: 0.00 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport 528 Sq Ft Other: Occupant Load: Yes 10.13 REQUIRED PARKING . Total: 2 Handicapped: Compact: I PUBLIC IMPROVEMENTS I Sidewalk Type: Street Improvements: Storm Sewer Available: Special Instrnction: Owner will do a rain garden for storm drainage Downspouts/Drains: Notes: Soil is #34, Courtney gravelly silty clay loam diversion of runoff away from building. I Valuation Descriotion , $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Description Type of Construction Page 1 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2008-01504 ISSUED: 10/17/2008 APPLIED: 10/03/2008 EXPIRES: 04/17/2009 VALUE: $ 14,784.00 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Garage Garage $28.00 528.00 $14,784.00 $14,784.00. 10/03/2008 Total Value of Project ~ 'fpp~, P~i'LI Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $108.67 10/3/08 1200800000000001037 + 10% Administrative Fee $24.56 10/17/08 32008000000UOOO0707 + 12% State Surcharge $26.30 10/17/08 3200800000000000707 + 5% Technology Fee $16.91 10/17/08 3200800000000000707 Fire SF Fee - Residential $26.40 10/17/08 3200800000000000707 Garage/Carport $167.18 10/17/08 3200800000000000707 Plan Review Minor - Planning $119.00 10/17/08 3200800000000000707 SDC Sanitary/Storm Admin $11.13 10/17/08 3200800000000000707 Storm Drainage I mpervious Area $222.61 10/17/08 3200800000000000707 Storm Sewer - 1st 50 Feet $52.00 10/17/08 3200800000000000707 Total Amount Paid $774.76 Public Works Review Plan Reviews I 10/03/2008 10/06/2008 APP CJC Approved as noted on plans 10/03/2008 10/10/2008 APP LKW Stormwater to rain garden. 10/03/2008 10/14/2UU8 APP DDK Approval for garage only. For informational purposes only there is a wetland on the property directly to the east. Structnral Review Planning Review To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. L...f.eollirpdJnsnections I Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all required inspections have been requested and approved and the building is complete. Storm Sewer Line: "Prior to filling trench. Page 2 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-01504 ISSUED: 10/17/2008 APPLIED: 10/03/2008 EXPIRES: 04/17/2009 VALUE: $ 14,784.00 By signature, I state and agree, that I have ~arefuIly examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining 10 the work described herein, and that NO OCCUPANCY will be made of any structure withont permission of the Commnnity Services Division, Building Safety. I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that 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. 0?!!.~'o,:!1;! /l;J; Page 3 of3 Date I n 11'1 ((')'( I ( , !ciTY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMEN1'TYPE: NEW DWELLING UNITS COm2008-0] 504 Trent & Laura Miller 421 S. 47th Street 170232430690U Single Family Residence o BUILDING SIZE (SF: 528 LOT SIZE (SF): Ii DIRECT RUNOFF TO CITY 'STORM SYSTEM I IMPERVIOUS S.F. 'Ix I COST PER S.F. CHARGE I 624.00 !i I $0.357 I ~ I $222.61 1 RUNOFF ROUTED TO DRviYVELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS 1 IMPERVIOUS S.F. 1 ii x I COST PER S.F. 1 x I DISCOUNT RATE I I 1 0.00 I 'I 1 $0.357 I I 50% I ~ 1 I, ITEM 1 TOTAL - STORM p,RAINAGE SDC I I STORM DRAINAGE DISCOUNT $000 $222.61 21780 $222.6t rf) ~ q o u ~ ~ f-< rf) .~ .0 ~. 1070 2. SANITARY SEWER - rIT,Y I: A. REIMBURSEMENT COST: 1 NUMBER OF DFU's I Ii, x 1 0 I B. IMPROVEMENT COST: ". I NUMBER OF DFU's 1 ;i x I 0 1 COST PER DFU $27.67 .COST PER DFU $2L04 ITEM 2 TOTAL - CITY SANITARY SEWER SDC " " =1 $0.00 Ii Ii A. REIMBURSEMENT cosT: , 1 ADT TRIP RATE 1 Ilx 1 9.57 . I' II B. IMPROVEMENT COST: :: 1 ADT TRIP RATE I II x I NUMBER OF UNITS I. I 9.57 Ii I 0 I Ii ITEM 3 TOTAL - TRANSPORT A nON SDC I" , 4 SANITARY SEWER - MWMr ;Ii A. REIMBURSEMENT COST: INUMBEKOFFEU's I jx 1 0 I ' 3.TRANSPORTAT]ON I NUMBER OF UNITS I I 0 I x 1 COST PER TRIP x INEW TRIP FACTOR I I 2L06 I 1.00 x I COST PER TRIP x INEW TRIP FACTOR I $92.89 1 1.00 I = I $0.00 , $O.OU , $0.00 $0;00 $0.00 1109] 1092 11093 I 11094 ICOST PER FEU I $97.90 B. ]MPROVEMENT COST: INUMBER OF FEU's 1 'x ICOSTPER FEU I 0 1 $1,009.]7 MWMC CREDIT IF APPLlC^,BLE (SEE REVERSE) MWMC ADMINISTRATlVE:FEE ITEM 4 TOTAL - MWMC ~ANITARY SEWER SDC = , ': SUBTOTAL (ADD ITEMS 1\ 2, 3, & 4) = , , $0.00 $222.61 5. ADMIN]STRATIVE FEE: " -,; I SUBTOTAL .1 i:x I ADM. FEE RATE 1= 1 $222.61 1 I 5% I TOTAL SANITARY ADMINISTRATION FEE: . " TOTAL TRANSPORTATION,ADMINISTRAT]ON FEE: CHARGE . $I1.l3 Kaye Wilson 10/1 0/2008 TOTAL SDC CHARGES ( PREPARED BY DATE. 3'-1 = $0.00 1054 $0.00 $0.00' 1055 = $0.00 I ] 1.l3 ._1__$0.00 =, $233.74 1054 II 11056 I 11079 110:8 DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE F]X~rURE UNITS ~--I (NOTE: FOR REMODEl,S, CALCULATE ONLY TilE NET'ADDITIONAL FIXTURES) i NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS IBATHTUB 0 0 3 0 I DRINKING FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN . 0 0 3 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETe. 0 0 3 = 0 I INTERCEPTORS FOR SAND/ AUTO WASH / ETC. 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 ICLOTHESWASHER / MOP SINK 0 0 3 = 0 ICLOTHESWASHER - 3 OR MORE (lOA) 0 0 6 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRIG / WATER STATION i ETC. 0 0 1 = 0 IRECEpTOR FOR COM. SINK / DISHWASHER / ETe. 0 0 3 = 0 I SHOWER SINGLE STALL 0 O. 2 = 0 ISHOWER. GANG (NUMBER OF HEADS) 0 0 2 = O. IS1NK: COMMERClAURESIDENTIAL KITCHEN 0 0 3 = 0 I SINK: COMMERCIAL BAR 0 0 2 = 0 I SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 = 0 URINAL, STALL! WALL 0 0 5 = O. ITOILET. PUBLIC INSTALLATION 0 0 6 = 0 ITOILET. PRIVATE INSTALLATION 0 0 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 0 "'EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at ]67 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE . YEAR ANNEXED BEFORE 1979 I 1979 I 1980 I 1981 I 1982 I 1983 I 1984 I 1985 I 1986 I 1987 I 1988 ", I ]989 I 1990 I 1991 I 1992 I 1993 I 1994 I 1995 I: 1996 1997 I 1998 I 1999 I 2000 ,I 2001 IS LAND ELGlBLE 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 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE! 1000 CREDIT RATE $0.00 x $5.29 ~ , $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE/1000 CREDIT RATE .00 x ~~ 0 TOTAL,MWMC CREDIT = $0;00 225 Fifth Street SpringfieIcl, Oregon 97477- 541-'726-3759 Phone Job/Journal Number COM2008-0 1504 COM2008-0 1504 COM2008-0 1504 COM2008-0 1504 COM2008-0 1504 COM2008-0 1504 COM2008-0 1504 COM2008-01504 COM2008-0 1504 Payments; Type of Payment Check cRcceintl City of Springfield Offieial Reeeipt Development Services Department Public Works Department I' RECEIPT #: .3200800000000000707 , Description . Fire SF: Fee - Residential Garage/Carport Storm Drainage Impervious Area SDC Sanitary/Storm Admin I Plan Review Minor - Planning Storm Sewer - 1 st 50 Feet + 5% ~echnology Fee + 12%iState Surcharge + lO%l(\dministrative Fee 'I. II " Paid By ,: LAURA MILLER Ii ,I "'i Date: 10/17/2008" Item Total: Check Number Authorization Received By Batch Number Number How Received cjc 5338 In Person Payment Total: Page 1 of 1 2:33:35PM Amount Due 26.40 167.18 222.61 11.I3 119.00 52.00 16.91 26.30 24.56 $666.U9 Amount Paid $666.09 $666.09 . I 0/17/2008 L6{ . --- \} , 'I "'..... '-J \ \ - 2- (p <r.{') '("<'-('-'" Status Issued 225 Fifth Street, Springfield, OR 541-726,3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRI~lJl'1J'.Lu' Building/Combination Permit PERMIT NO: COM2008-01504 ISSUED: 10/17/2008 APPLIED: 10/03/2008 EXPIRES: OS/26/2009 VALUE: $ 14,784.00 SITE ADDRESS: 421 S 47TH ST ASSESSOR'S PARCEL NO,: 1702324306900 Springfield TYPE OF WORK: Garage PROJECT DESCRIPTION: Garage Owner: MILLER TRENT L & LAURA L ,Address: 421 S 47TH ST SPRINGFIELD OR 97478 TYPE OF USE: New Residential Phone Number: 541-988-4949 I CONTRACTOR INFORMATION I Contractor Type General Electrical Contractor TUFF SHED INC BURRELL BROS ENTERPRISES INC BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: U # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Patb: Sprinkled Building: VB License 105914 136446 Expiration Date OS/27/2009 08/20/2009 Phone 5303-753,8833 541-747-2724 No Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Olher: Occupant Load: 528 , 21,780 I DEVELOPMENT INFORM~T10N I REQuiR'@'PARKlNG Total: 2 Handicapped: AlTEN1[wN: Ore~equ'res you,t,o folio...... Pu'!!S adopted by the Oregon Ulthty Notification Center. Those rules are set forth ;11 ":,\R sse 891. 9910UU?"9h nAI:t o<<;~-o.D.1:..... 0090. You may obtain copies of the rules by .--'llF 0 I.~ center. (Note: the telephone ~J.~ChoPffi'ii Oregon Utility Notification Downs~Jliids!l00-332-2344). Frontyard Setback: 90.00 Overlay Dist: Side I Setback: 13.00 # Street Trees Rqd: Side 2 Setback: Paved Drive Rqd: Rearyard Setback: 127.80 % of Lot Coverage: Solar Setbac~hT\(:'~,; O'OOlhZ f '{'t:.'e '."~DIl . THIS PERMIT SHALL tM's P' BOOtI~OOt1ROVEMENTS I AI1TI-j,QRIZED UNDER THI Jli. 'i. Street ImpnC~~~~NCED OR IS ABANDONED FOR , ' Storm Sewer Awill'~lrDAY PERIOD. Speciallnstrli'Jt~bn: Owner will do a rain garden for sto'rm drainage Notes: Soil is #34;'C'ourtney gravelly silty clay loam diversion of runoff away from building. Paee I of3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01504 ISSUED: 10/17/2008 APPLIED: 10/03/2008 EXPIRES: OS/26/2009 VALUE: $ 14,784.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726,3676 Fax 541-726-3769 Inspection Line Iyaluation Descriution I Description Garage Type of Constrnction Garage $ Per Sq Ft or multiplier $28,00 Square Footage or Bid Amount 528.00 Value Date Calculated Total Value of Project $14,784,00 $14,784.00 10/03/2008 n Fees P~idJ Fee Description Plan Review Residential + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Fire SF Fee - Residential GaragelCarport Plan Review Minor - Planning SDC SanitarylStorm Admin Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet + 10% Administrative,Fee + 12% State Surcharge + 5% Tcchnology Fee Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less Amonnt Paid Date Paid Receipt Number $108,67 $24,56 $26.30 $16.91 $26.40 $167.18 $119.00 $11.13 $222.61 $52.00 $11.30 $13.56 $5:65 $40,00 $73.00 10/3/08 10/17/08 10/17108 10/17/08 10/17/08 10/17/08 10/17/08 10/17/08 10/17/08 10/17/08 Jl/26/08 Jl/26/08 11126/08 11/26108 11/26/08 1200800000000001037 3200800000000000707 3200800000000000707 3200800000000000707 3200800000000000707 3200800000000000707 3200800000000000707 3200800000000000707 3200800000000000707 3200800000000000707 2200800000000001684 2200800000000001684 2200800000000001684 2200800000000001684 2200800000000001684 Total Amount Paid' $918,27 I Plan Reviews I Structural Review 10/03/2008 10/06/2008 APP CJC Approved as noted on plaus Public Works Review 10/03/2008 10/10/2008 APP LKW Stormwater to rain garden. Plan nine; Review 10/03/2008 10/14/2008 APP DDK Approval for garage only, For informational purposes only tbere is a wetland on the property directly to the east. , To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m; will be made the following work day. ' Page 2 of 3 CITY OF SPRINGFIELD. Building/Combination Permit Status Issued PERMIT NO: COM2008-01504 ISSUED: 10/17/2008 APPLIED: 10/03/2008 EXPIRES: OS/2612009 VALUE: $ 14,784.00 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Reouired Insnections I Footing: After trenches are excavated, Foundation: After forms are erected but prior to coucrete placement. Shear Wall Nailiug: Before covering sheathing with tiuish materials. Framing Inspection: Prior to cover aud after all rough in inspections have been approved. Final Building: After all required inspections have. been requeste~ and approved and the building is complete. Storm Sewer Line: Prior to tilling trench, Rough Electric: Prior to Cover Final Electric: When all electrical work is complete, By signature, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all information hereon is trne and correct, and I fnrther certify that any and all work performed shall be done in, accordance with the Ordinances of the City' of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and , . that NO OCCUPANCY will be made of any strncture withont permission of the Commnnity Services Division, Bnilding Safety, I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on this project. I further agree to ensnre that all reqnired inspections are reqnested 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. Owner or Contractors Signature Date Pa2e 3 of3 City of Springfield Electrical Anthorization To Begin Work E-mailedTo:burrellbros@integraonline.com Receipt # RC54276'i 11/26/20082:34:50 PM ".C"j.~~.~""=~"C.,C"'. f ' '". ~. - . . K -h-,-,,_,-_,;-,-.:c -. Check on status of permit By Phone: (54])726,3753 or Email: permitcenter@ci.springlield.or.us -;;-~~L~;;tf~-:~~~t~ti~~~Qv~' ~q1~f<\z~:~~:~.l~:~ir~.' .in~; .~~] IlK] New construction 0 Addition/alteration/replacement I " -~:~-;~.~::;~ftJ~1-;~;~1~~Qv~Y~OI7;99~~TR~~_t!cf~;;.;';.:~,j:f~~-i / IIKJ ] or 2 family dwelling 0 Multi-family 0 Commercial I Industrial 1:1713-L:~,;t~~~~f~~~lti~~,,~iM':I~Ksiti~IIQ~J~~P;~9~!I_9.~_~?~~tt~;!~\i~~,~1 IJob no.: I Job address: 42] S 47TH ST I ICity/StaterLlP: SPRINGFIELD, OR 97478-6631 1 I SuiteJbldg.lapt.no.: I j Project name: Cross street/directions to job site: I Subdivision: ITax map/parcel no.: 1702324306900 ILOI no.: new shop wiring and panel ":";~i~;'~'; 1 Name: Trent Miller I Phone: (541) 9SB.4949 IEmail: I Fa" lEI. lie. no.: 20-442C I CCB lie. no.: 136446 Business Name: BURRELL BROS ENTERPRISES INC I Coni act: Joshua Burrell IAdd'"'' PO B<fl!fJ,TIl;t; ., . ,. ( Ir Tli'" \lII'IOII' I . ,'rUlC_Dl:l>MU,,..,.,J.u.l..I"ArIR - ~""..., C.ty/StateIZ1P: ",,"""K\lJI.U"OJK ",...",,,,,t" _ ~~m1IT Ie ~10T [Phon" (541)747MJ.>THORIZI:U UNUt~ .ltjIH4hhWD~I_:'<'~ -, [EmaH: bUITollb,OOM:ME.N~mUK l:l "~ I Met,o Ii<, no.: ANY 180 DAy I'I:KIU/bty Ii<, no,; !Snpenising electrician's lie. no.: 4721 S I Supenising electrician's nllme: JOSHUA J BURRELL Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed within one business day, with instructions on how to schedule your inspection. NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. The local building department may determine that an Authorization To Begin Work is null and void if It does not meet applicable,land use laws and local ordinances. Ij ,:~E~:;;)i " ~F~E S~"(~D~bfi~:., I Description l Qty. I I<:a. Tolal 1,~~~dh~:.!i:;'~:~~~:1:~!~~.~t_i'-~~.~*~:'~G~:i,[~?it}~~lt:~'f3~~." 11,000 sq. fi. or less I Ea. addl 500 sq. ft. or pollion I-Limited energy, residential (with above SQ. fJ:.) I-Limited energy, multifamily residential (with above Sq. ft.) I-Limited energy, commercia-I (with above SQ. ft.) I - Stand-ulone limited energy, reSIdential I - Stand-alone limited energy. multi-family I ~ Stand-alone limited energy, commercial l~tit~~~.9R:{~~~lf~i9.~,t#,i1Iti,2.~:al!ffliiiOlJ;i!"DI.C?~{:~fu.~'aiio~::,~' 1200 amps or less $73.00 $73.00 I 120] amps to 400 amps I. 40 I amps to 599 amps rE~trbJ~\I~Y:J~!f.i(~Scg~;t;cedf~~':iiIA{~II!lI.i.~r~~'r~to~,:~(E:"1:.~::_:~ A~'q!OR~~oca~l.on~' .-';i~...- ,. .,1: <~ ':. ."::":Fi~'::~ '!"~::-; '>-':'0;~;' " 200 amps or less 20 I amps to 400 amps 401 amps to 599 amps I ,c Ij~ij'i(c.h~~~\ r{~~ri~~:;.~ I<: ~ti.~i~cb~ d?!l; :<?~' cxt~,nsj~'D!'; P~F'~~~el.t" ': ._: ?1 " I.A. Fee for branch circuits with I S I $5.00 $40.00 service or feeder fee, each . bmnch circuit. I I B. Fee for bmnch circuits ~ I '~;thouts'cv;=u..lll:Tm.. 0 egon 'a\l1r:6~:~YOu,t,o host bmnch6t'fcli/i::N IIUN. 'J-by-1 n Ulllity I I each addl \fQlllIlw,rllAleS_ aO:1I-',"" _ Ullles ,ar~tsetforth I 1~'isClil€'#Uj\!lg~~bt"~;~'.l~01];~h~:U6tl'(jI\:f1I~~?'l)())' .1 Sccv;cc n:lOn ~ lJtp.ln coJl>ies of tM r~le~ Ul ! Each man . u a~ tar (Noi 3: tne lei =,..,. iV'.J,,", dwell;ng, scrCal1!fil!i1' _,01',,1 _' ,.. -'tilitv "II' 'ilicaUOn I I P,mp 0' ;";Cl\ill1l!el: lor Ine ~~', i:.,??:'l44 !. I Sign or outline ]ighting\itJUU:1I I. . l Signal circuit(s) or limited- I energy panel, alteration, or extension. I~ ,~t~_g.l:RIC.~(PE~~I_t F."[~S--~tt;l~;~',~ ri:;~' .1 I Subtotal $113.00 I State Surcharge (12% of permit fee) $13.56 I City Of Springfield fees" $16.95 I T01;\I. PERMIT FEE $143,51 .. City Of Springfield fees: 10% Administrati?n Fee; 5% Technology Fee i I COM: ~nl),'+ 01 SN--I I RCPH- ;:)riOOE) - 1 ViH , I DATE PROCESSED: \ I IILtI Cb This Authorization To Begin Work must be posted at the jbtr~Bc~gD1Pf.tceJ ~y a ~ermit k' k'..l.LY/ ..p;'"~~C!.~ ELD_~, ..'...~"'J\j., .'..."... ~l Ii ..' ,,'A~ ; .. ~""~" . - .' ~1- ~ ,_c_~' __ ,'" -~'_'> ..... City of Springfield Official Receipt DevelopmcntServices Department Public Works Department 225 Fifth Street Springrleld, Oregon 97477 541-726.3759 Phone Job/Journal Number COM2008,O 1504 COM2008-0 1504 COM2008,O 1504 COM2008,O 1504 COM2008,O 1504 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: 2:51:15PM 2200800000000001684 Date: 11/26/2008 Description Perm Serv/Fdr 200 amps or less, Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Amount Due 73,00 40,00 5,65 13.56 11.30 $143.51 Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid $143.51 KR ONLINE BURRELL Online BROS Payment Total: $143.51 Page I of I 11/26/2008