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Home My WebLink AboutPermit Building 2008-11-25 CITY OF ~rl(JNGFIELD. Building/Combination Permit PERMIT NO:'COM2008-01708 ISSUED: 11/2512008 APPLIED: 11/25/2008 EXPIRES: 05125/2009 VALUE: $ 228,032.00 ,_eJil!!~!<I~!i!!;!i,~iP~ " i Status Issued 225 Fifth Street, Springfield, OR 541-726,3753 Phone 541-726,3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1151 S 41ST PL ASSESSOR'S PARCEL NO.: 1802064108900 Springlield TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single Family Residence, Same as 1262 S 40th Place, Lot 18, Filbert Meadows ..... " '-."" . '. "t-l, ,-., ..,.,., IT'''') ":''T'~ '."'" {:) I DEVELOPM~NT IN(ORMATlON<h;;~:_.. '".,,;' ,"";i";':'''' Notificaticn Center. Ti,., 5',. ~I,.:' ,1~!HJ,ml},~l? PARKING O I D' in OA8 952-00HJOlO iiHOU,;;; Olf'o't'acl..',OOI, 2 ver ay ISt:onqn y . ..' , , # Street Trees RQd: ou may obtam C;i'ples ot tHlloilicappJ\d: P d D. R c.1l1ll1g the center IUnte' the t91Mh~ot' aye rive Ra: - . Yes '.. t'QlJlpae: % of Lot Cover~~~per for the, Or39m Utility Notification Center'ls l-oUO-332-2344). .. -'I NO I IlJ!::'MIT S\1A.LL EXPIRE \1' -lbJ~LI:i~MPROVEMENTS I Street ImW~%~~~.'rS:D UNDER T~1S 1~!\~'cnQ f.U \ IIU"'~~_ A.Bk\~t>V' O\'eU' , Storm Se'0~,%~N1il\l\6tep OR IS D Yes . ' Special InA%'\"~'O'D DAY PE.RIO . , Owner: Address: BRUCE WIECHERT CUSTOM HOMES INC 3073 SKYVIEW LN EUGENE OR 97405 ,I CONTRACTOR INFORMATION, I COl)tractor Type General Electrical Mechanical Plumbing Contractor BRUCE WIECHERT CUSTOM HOMES INC L & E ELECTRIC INC COMFORT FLOW STEVEN R JOHNSON License 101717 105475 460 65065 . BUILDING INFORMATION' # of Vnits: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: 1 Height of Structure Type of Heat: Forced Air Gas Water Type: Gas Range Type: Gas Energy Path: Sprinkled Building: n/a 1 R-3 U VB 3 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 14,00 5,00 7.48 25.00 3.74 Residential Expiration Date 09/16/2010 03/30/2010 06/27/2009 03/1212010 Phone 54 I -686,9458 54 I ,933-2653 54 I -726-0 I 00 541-342,3765 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Fi Other: Occupant Load: 6,614 2,000 644 Sidewalk Type: Curbside 7' Curb and Gutter DownspoutslDrains': Notes: Storm water to cnrb via weep hole Pa!!e I of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Description , Tvpe of Construction V Wood Frame Garaee Dwellines Garaee Fee Description -Mech Iss 2+ Appliances- + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee 2 Baths One or Two Family Addressing Assignment Air Handling Unit Up to 10,000 Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Fireplace (Listed) Furnace - up to 100,000 btu Gas Outlets 1-4 Plan Review Major - Planning Plan Review Same As . Residence Wiring 1000 Sq Ft Residence Wiring Ea AddU 500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Improvement SDC Transpo Reimbursement SDC Transportation Admin Sidewalk Permit Temp Power 200 amps or less Vent Fan Willamalane Single Family,. Total Amount Paid CITY OF SPRINGFIELD I Building/Combination Permit PERMIT NO: COM2008-01708 ISSUED: 11/2512008 APPLIED: 11/25/2008 EXPIRES: 05/25/2009 VALUE: $ 228,032.00 I Valuation Description I $ Per Sq Ft or multiplier $105.00 $28,00 Square Footage or Bid Amount 2,000.00 644,00 Value Date Calculated $210,000,00 $18,032,00 $228,032.00 11/25/2008 11/25/2008 Total Value of Project !<pp< Pli.IU Amount Paid $42.00 $190.00 $212,14 $107.74 $289.00 $37.00 $10.00 $1,120.83 $88.00 , $8.00 $11.00 $132.20 $18,00 $15.00 $6,00 $211.00 $227,00 $121.00 $88.00 $546.95 $719.29 $10,00 $1,009.17 $97.90 $93.32 $888.98 $201.54 $80.37 $88.00 $57.00 $24.00 $2,513,00 $9,263.43 Date Paid Receipt Number 11/25/08 11/25/08 11/25/08 1,1/25/08 11/25/08 11/25/08 11/25/08 ] 1/25/08 11/25/08 11 /2 5/08 11/25/08 11/25/08 11/25/08 11/25/08 11/25/08 11/25/08 11/25/08 11/25/08 11/25/08 11/25/08 11/25/08 11/25/08 11/25/08 11/25/08 11/25/08 11/25/08 11/25/08 ] 1/25/08 11/25/08 11/25/08 11/25/08 11/25/08 2200800000000001680 2200800000000001680 2200800000000001680 2200800000000001680 220080000000000]680 2200800000000001680 2200800000000001680 220080000000000]680 220080000000000]680 2200800000000001680 2200800000000001680 2200800000000001680 2200800000000001680 2200800000000001680 220080000000000]680 2200800000000001680 2200800000000001680 2200800000000001680 2200800000000001680 2200800000000001680 220080000000000]680 2200800000000001680 2200800000000001680 2200800000000001680 2200800000000001680 2200800000000001680 2200800000000001680 2200800000000001680 2200800000000001680 2200800000000001680 2200800000000001680 2200800000000001680 Paee 2 of 4 Status Iss u ed . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01708 ISSUED: 11/25/2008 APPLIED: 11/25/2008 EXPIRES: OS/25/2009 VALUE: $ 228,032.00 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726:3769Inspection Line Initial Review Plannine: Review 11/25/2008 11/25/2008 Plan Reviews I 11/25/2008 APP 11/25/2008 APP LLH DDK Required street trees as shown on street tree plan attached to permit: Species as shown. 2' Caliper, leave name tag on until approved. Storm water to curb via weep hole Public Works Review Structural Review 11/25/2008 11/25/2008 11/25/2008 APP 11/25/2008 APP LKW CJC 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. IRpm~ Ufer Electrical Ground: Install ground rod at fo'oting and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Foundatio!': 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 tinish 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. Final Building: After all required inspections have been requested and approved and the building is complete. Underground Plumbing: Prior to tilling the trench and including required testing. Underfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to tilling trench and including required testing. Sanitary Sewer Line: Prior to tilling trench and including required testing, Storm Sewer Line: Prior to tilling trench. Final Plumbing: When all plumbing work is complete. Underl100r Mechanical. Prior to insulation or decking and including required testing. Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance, Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Paee 3 of 4 CITY OF SPRINGFIELD Building/Combination Permit Status Iss u ed PERMIT NO: COM2008-01708 ISSUED: I II25/2008 APPLIED: ' 11/25/2008 . EXPIRES: OS/25/2009 VALUE: $ 228,032.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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: When all gas work is complete, , Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Rongh Electric: Prior to Cover Electric Service: Approval required prior to utility companY,energizing service, Final Electric: When all electrical work is complete. By signatnre, I state and agree, that I have carefully 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 ofthe 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 structure without permission of the Community Services Division, Building Safety. I further 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 ihe front of the property, and the approved set of plans will remain on the site at all "tilt;." .!) Iz ;/0 J Owner or Con ractors Signature le"'" Paee 4 of 4 .~-- "';." ,i ,. CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: Com2008,01708 NAME OR COMPANY: Bruce Wiechert LOCATION: 1151 S. 41st Place TAX LOT NUMBER: '1802064108900 DEVELOPMENT TYPE: Single Family Residence NEW DWELLING UNITS I BUILDING SIZE (SF: 2644 LOT SIZE (SF): 6534 DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S,F, x I COST PER S,F, CHARGE I I 0.00 I $0.357 I = I $0,00 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% ~ I ITEM I TOTAL, STORM DRAINAGE SDC '$0.00 2. SANITARY SEWER, CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I .26 I 1. ~T()RMnRArNA(tF, , DISCOUNT $0,00 $0.00 COST PER DFU $27,67 B. IMPROVEMENT COST:, I NUMBER OF DFU's I x I 26 I I COST PER DFU I $21.04 ITEM 2 TOTAL" CITY SANITARY SEWER SDC = , 3, TRANSPORTATION ,A. REIMBURSEMENT COST: I ADTTRIPRATE I x I 9.57 I I NUMBER OF UNITS I x I I I I I B. IMPROVEMENT COST: I ADT TRJP RATE I x I 9,57 1 I NUMBER OF UNITS I x I I I I ITEM 3 TOTAL - TRANSPORTATION SDC = I 4 SANIT AR Y SEWER, MWMC . A, REIMBURSEMENT COST: INUMBER OF FEU's I x , I I B. IMPROVEMENT COST: INUMBER OF FEU's I x I I I ICOST PER FEU , I $97,90 ICOST PER-FEU I $1,009,17 . I I MWMC CREDIT IF APPLICABLE (SEE REVERSE) , MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL,MWMC SANITARY SEWERSDC = , SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ I " ADMINISTRATIVE FEE: I SUBTOTAL x I ADM, FEE RATE I~ I $3.473,84 1 5% I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Kaye Wilson PREPARED BY 11/25/2008 DATE $719.29 $546,95 $1,266,25 COST PER TRIP 21.06 x !NEW TRIP FACTORI I 1.00 $201.54 COST PER TRJP $92,89 $1,090,52 I x INEW TRJP FACTORI J I 1.00 I I $888,98 = $97.90 = $1,009.17 I 1055 $0.00 111054 $10.00 11056 $1,117.07 I , $3,473.84 II CHARGE I $173,69 I 93.32 11079 $80,37 1078 " TOTAL SDC CHARGES =, $3,647.53 ...- -r- 1[0 10 18 lor: ,I '" ,f-< I~ 11070 1091 1092 I I I I 1093 11094 I " 1054 ~ DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIY ALENT = DRAINAGE F~RE UNITS [, (NOTE: FOR REMODELS, CALCULATE ONt Y TIlE NET ADDITIONAL FIXTIJRES) NO, OF FIXTURES DRAINAGE I UNIT FIXTURE FIXTIJRE TYPE 'NEW OLD EQUIVALENT UNITS IBATHTUB 2 0 I 3 = 6 IDRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL/ SOLIDS / ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 I LAUNDRY TUB 0 0 2 = 0 ICLOTHESWASHER / MOP SINK 1 0 3 = 3 ICLOTIfESWASHER,3 OR MORE lEA) 0 0 6 = 0 I IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I ,RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0 I RECEPTOR FOR COM, SINK / DISHWASHER / ETC. 1 0 3 = 3 I SHOWER. SINGLE STALL 1 0 2 = ,2 I I SHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0 I I SINK: COMMERCIALIRESIDENTIAL KITCHEN 1 0 3 = 3 I I SINK: COMMERCIAL BAR 0 0 2 = 0 I I SINK: WASH BASIN/DOUBLE LAVATORY 1 I 0 2 = 2 I ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 I 0 1 = 1 I IURlNAL. STALL/WALL .0 I 0 5 = 0 I TOILET. PUBLIC INSTALLATION 0 L 0 6 = 0 I ITOILET. PRIVATE INSTALLATION 2 I 0 3 = 6 I MISCELLANEOUS DFU TYPE NUMBER OF EDU'S I 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 26 I .*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single familv dwellinl!: unit (20 DFlJs) Set at 167 gallons ~r day I MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2 I BEFORE 1979 (Enter I for Yes, 2 for No) I 1979 IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT? 2 I 1980 (Enter I for Yes, 2 for No) I .1981 . I BASE YEAR . 2006 I 1982 I 1983 CREDIT FOR LAND (IF APPLICABLE) I 1984 VALUE / 1000' CREDIT RATE I 1985 $0,00 x $0.00 ~ ,I $0,00 I 1986 I 1987 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) I 1988 VALUE / 1000 CREDIT RATE I ., 1989 $0,00 x $0,00 0 I I 1990 II I . 1991 I -1992 TOT~L MWMC CREDIT = $0,00 I I J993 I ,I ]994 I 1995 I 1996 I 1997 I 1998 I 1999 I 2000 I 2001 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET .JOURNAL OR JOB NUMBER: Com2008,Ol708 NAME OR COMPANY: Bruce Wiechert LOCATION: 1151 S,41stPlace TAX LOT NUMBER: 1802064108900 DEVELOPMENT TYPE: Single Family Residence NEW DWELLING UNITS I BUILDING SIZE (SF' 2644 LOT SIZE (SF): L STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F, x I COST PER SF I I CHARGE I 3737,50 . I $0,357 I . = $1,333,34 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS 1 IMPERVIOUSS,F, I x I COST PER S,F, I x I DISCOUNTRATE I, I I 0,00 I I $0.357 I I 50% ,~ I ITEM 1 TOTAL, STORM DRAINAGESDC I $1,333.34' . I DISCOUNT $0.00 6534 $1,333,34 r- I if] 10 18 I~ I~ f-< 'I ~ , 0 gj 11070 I . ' 2, SANITARY SEWER ,CITY A. REIMBURSEMENT COST: I NUMBER OFDFU's I x I 26 I COST PER DFU , $27,67 B. IMPROVEMENT COST: . I NUMBE~6,OF DFU's I' x .I' COST PER DFU , I .$21.04 ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3, TRANSPORTATION A, REIMBURSEMENT COST: 1 . ADT TRIP RATE I x I 9.57 I B. IMPROVEMENT COST: I ADTTRlP RATE I x I 9.57 1 I NUMBER OF UNITS I x I I I' I I I NUMBER OF UNITS 1 I I I ITEM 3 TOTAL, TRANSPORTATION SDC ~ , $1,266,25 COST PER TRIP 21.06 x I' I ~I COST PER TRIP $92,89. $1,090.52 4, SANITARY SEWER, MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x 1 I 1 ICOSTPER FEU I $97,90 B. IMPROVEMENT COST: "NUMBEROE FEU's , I I I x ICOST PER FEU I $1,009,17 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRA TlVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5, ADMINISTRATIVE FEE: I SUBTOTAL x 'I ADM,FEERATE I~ $4,807. I 8 I 5% I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: = , ~ , $1,117,07 I $4,807.18 I CHARGE $240.36 ~, $719.29 $546.95 TOTAL SDC CHARGES x INEW TRIP FACTORI I 1.00 I x INEW TRIP F ACTORI I 1.00 1 ,. $201.54 $888.98 11091 I, 11092 I i 1093 , . 11094 I I = $97.90 = $1,009.17 $0,00 $10.00 , 169,33 .L $71.03 ~, $5,047,54 Kaye Wilson 11/25/2008 PREPARED BY DATE 1054 I 11055 1054 J1056 l I 1079 11078 , DRAINAGE FIXTURE UNIT'(DFU) CALCULATION TABLE r;ruMBER OF NEW FIXTURES x UNIT EQl!IV ALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO, OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQU[V ALENT UN[TS rBATHTUB 2 0 3 = I" 6 IDRlNKlNG FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC, 0 0 3 = 0 IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 '0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 ICLOTHESWASHER / MOP SINK 1 0 I 3 = 3 ICLOTHESWASHER,3 OR MORE (EAl I " 0 0 I 6 = 0 I MOBlLE HOME PARK TRAP (1 PER TRAlLER) 0 0 I 12 = 0 I RECEPTOR FOR REFRJG / WATER STAT[ON / ETC. 0 0 1 = 0 IRECEPTOR FOR COM, SINK / DISHWASHER / ETC, 1 0 i 3 = 3 !SHOWER. SINGLE STALL 1 0 I 2 = 2 SHOWER. GANG'<),V~!lER OF HEADS) 0 0 I 2 = 0 SINK: COMMERCIALlRESIDENTIAL KITCHEN 1 0 I 3 = 3 SINK: COMMERCIAL BAR 0 0 2 = 0 . I SINK: WASH BASIN/DOUBLE LAVATORY 1 0 i 2 = 2 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 I 1.. - 1 . URINAL, STALL / WALL I 0 Ii 0 I 5 = 0 TOILET, PUBLIC INSTALLATION I 0 II 0 I 6. = 0 TOILET, PRJV ATE INST ALLA TlON I 2 1\ 0 I 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS L 26 ~U (EQuivalent Dwellin,g Unit) is a dischar,ge equivalent to a single family dwelling unit (20 DFU's) 5eht 167 gallons per day ~I YEAR ANNEXED r--- I I I I ! '; ,MWMC CREDIT CALCULATION TABLE: BASED,ON COUNTY ASSESSED VALUE . -CREDITRATE/$I:ooiJlr ,-: I, . ASSESSED V AL~ [S LAND ELGlBLE FOR ANNEXATION CREDIT? - 5' . . (Ente~[forYcs,2torNo) [; [S IMPROVEMENT ELGlBLE FOR ANNEX, CREDIT? . I (Enter I for Yes, 2 for, No) , IBASE YEAR , I I I I I I I I I I I I BEFORE 1979 1979 1980 \981 1982 1983 t984 1985 1986 1987 1988 1989 1990 1991 1992 . 1993 1994 1995 1996 1997 1998 1999 2000 2001 20.0.6 CREDIT FOR LAND (IF APPLICABLE) VALUE/IODD CREDlTRATE $0..0.0. x $0.,0.0. ~ , $0.,0.0. CREDIT FOR IMPROVEMENT (IF AFTER ANNEXA T[ON) VALUE/IODD CREDIT RATE $0,00 x $0,00 . 0. TOTAL MWMCCREDIT $0.,0.0. = l I I I I I I I I ~ 2 II I I I I 2 125 nFI1I STREET . SPRINGFIELD, OR!I7417 . PH:(s41)7l6-3753 .. FAX: (S41)721>-J1il19 . ELECTRICAL PERMIT APPJJl(ATION City Job Number ~~.. \\ Ur") , 2~ Amps or less $ 70.00 201 Amps to 400 Amps $ 83.00 401 Amps to 600 Amps S138.oo 601 Amps tolOcio Amos 0 n lr'" 'M";r$J8fuQPtn Over 1000AUEsWJ~'.Ja:: dOrpetgeod' I~~'ih; ore$41iltoO',ity f~rUIEis " ~, Reconn~ofii(c r on Center. ThMP rilles ,$tSs!OOortn C. installatiollluWeea&i1t8ialUlOf8tihJ.ltility Notllicatlon ~') Center is 1-800-332r2344L....::-' 54 IT 2ooAmpsor1ess I $~ 1\. Constr. Coutr. Number I 0 S- LJ 7 S- 201 Amps to 400 Amps $ 76.00 3)10 401 Amps to 600 Amps S110.00 , ' Over 600 Amps or 1000 Volts see "B" above. st:' ofS~ingElectrician D.,~~ (\ 0 . ~ . 0 New A1teratiolll6"flm~iqn Per Panel ~_' O'l~' lA-~ One Circuit ' CE.. $48.00 - Each AdditioI1lD.ldJltdilf~ ServiceorFeed.!J~ HALL EXPlllE,jJiirHE WnRI< DJ<;.-IQM i+o;-~ I' ('(In' - lZED UNGcl'l I HI::> PERM- .,~ ~"'''"''''',;.-'''i:-'., "^".~""''-'':.'''..'''''1''''''., I~.'~r" 'h'~-.t"'_"""~"'" ,.~-,-_.,,_. ... 1."'....'" ,-, -, "rJ!:f~~:"" ..W;,,'-'. . , . ;, '~"=GI . ,'_. 115 I 5 LJ t st- tV I !1frffft~r:OMOO ~~~\ . ro ...-. ~..~._~ not started within 180 days of issuauce or if work is ' Suspended for 180 days. , ~~1i.."._~rn:~~""1mr-"'"~';I/I 2. ,~~Jt;'~~ Electrica1 Contractor L +/;; , Address 9 2 ~ s's "'J 0 k.c S Ac,,~ 5, Ci1y~+'\~ Phone 57./- L/17 Zl supervisor License Number 4 J 7 'i ~ S /D/ol/oq. Expiration Date E..,.:'''::on Date Owners Name ~vv~ LJ; (~"",.j.. Address "},,, -, L, S k:..., IIi e. u.) I city r"J c.-,-<- Phone ~o(,4 V)"8 OWNER INSTALLATION The installation is being made on t"'~t'...j I own which is uot intended for sale, lease or rent Owners Sigoalure: .~ IDspedion Request: 726-37691\ ... ~ ~\~ ~ <b~O\ __~~--J~~ A. .. ."' '. r~ ~-!!!!!!y}J!e'~~ \'UJf> \ () I Of} sH7:Oo ~\. s)K.60 tIb ,a:; Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manulilct'd Home or Modular Dwelling Service or Feeder _.,,~. B . . - ,,""'..>>'.....~ ~." ,",. ,',' ..." ,," ;<1'." , . . .." -'''iII II ..... ",1111 <..- . ~ . -..... . - -",cy!:';(M. 1/;'0''''"",,.''- \ ~ S55.00 Pump or irrigation $ 55.00 Sign/Outline Lighting S 55.00 Limited EnergylResidential $ 28.00 Limited Energy/Commercial $ 50.00 MInimum E1eetric Permit Inspection Fee is $SO.OO + Snrcharges 4.~~~ 9__IQln9D 12% Stale Surcharge . ~ \ -: L{ , J- 10"10 Administrative Fee =?'J. lo.l /2() 5% Technology Fee b; . 'Plr;- TOTAL SbaRxlllrive(T:)lBuilding FonnsIEIcotriaII Permit ~1~~~ Willamalane Park & Recreation' District Job. No. ~ \1r::Jn SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2008 NAME: "P111tfLl0\e,~nort- ~1J PHONE:_ \Q~\o-q4ffi ADDRESS~:m ~ ~'lt~ WqfJ\e.sTATJttIP: CfH.{p LOCATION OF PROPOSED BUILDIN~~~' . Street Address: ' \ \ D \ s.. \\ \J \ Plat Name: ~ \ u.rr- ~x Lot Numb~r: \ ~ (JU)\t1c \ ffiCf.W 1. DEVELOPMENT TYPE (Check appropriate dwelling(s), Dwelling type definitions are on the back,) A. Sinale-Familv Detached NO. OF UNITS ( X $2,513 per unit = B. Sinale-Familv Attached NO. OF UNITS X $2,726 per unit = C. Multi-Familv Acartment NO.OF,UNITS , X $2,323 per unit = D. Sinale Room Occucancv , NO. OF UNITS X $1,162 per unit = E. Accessorv Dwellina Unit NO. OF UNITS X $1,257 per unit = WILLAMALANE SDC 2. SDC CREDIT (If applicable) SDC payer ~ust fumish proof of Willamalane Credit approval.) , 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) , ~:~~~ City of Springfield Date. i~~\S ,cO $' $ $' $ . CX) $~tJ(3. ' $ 't/ $ 8Dt3.ex) I I 5