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Home My WebLink AboutPermit Building 2010-10-15 ~S:~~NGFIElD (~ ~~ ;;1( ~ .. v:,.. OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00195 IVR Number: 811107017300 WNW.ci.springfield.or.us PROJECT STATUS: Issued STATUS DATE: 10/15/2010 ISSUED: 10/15/2010 APPLIED: 9/1/10 225 Fifth 51 Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us EXPIRES: 4/13/2011 VALUE: $179,000.00 SITE ADDRESS: 4843 Glacier DR, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802051110200 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Sin"gle family residence Phone Number: OWNER: ADDRESS: JHD3 LLC 2464 SW GLACIER PL REDMOND OR 97756 CONTRACTOR INFORMATION ~ Contractor Type Contractor Name STUTZMAN SERVICES INC PACIFIC AIR COMFORT INC HAYDEN ENTERPRISES INC TOP NOTCH ELECTRIC INC Lie Type CCB CCB CCB ELECTRICAL Lie No 31747 39237 92208 C220 Lie Exp Phone 05/12/2012 541-928-8942 03/25/2012 541-672-9510 07/29/2011 541-923-6607 07/01/2011 541-317-1998 BUILDING INFORMATION ~ # of Units: # of Bedrooms: 3 # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Forced Air Gas Electric Electric o 1 18.5 Sprinkled Building: Fire Alarms: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specially Code Edition: Municipal J Development Code: Plumbing Specially Code Edition: Residential Specially Code Edition: Structural Specially Code Edition: Energy Path: Path 2A Certified performance-tested duct system Site Information Engineered Fill: Fill Volume: Flood Hazard Area: No Land Hazard Area: No Retaining Wall: No Soils Report Required:. Springfield Building Permit 10/15f201 11;48:31AM Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: 4574 1041 552 21 2008 ~ Page 1 of6 S~.RU..IG.....FIE~ ~'\- .;~ :">. OREGOH www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00195 IVR Number: 811107017300 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us PROJECT STATUS: Issued STATUS DATE: 10/15/2010 ISSUED: 10/15/2010 APPLIED: 9/1/10 EXPIRES: 4/13/2011 VALUE: $179.000.00 SITE ADDRESS: 4843 Glacier DR, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802051110200 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Single family residence DEVELOPMENT INFORMATION ~ Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: 17 5 5.33 22.24 o Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING 2 Ves 42 Total: 2 Handicapped: Compact: 18.5 PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion Tvoe of Construction Unit Amount Unit Tvoe Unit Cost Value Springfield Building Permit 10/151201 11:48:31AM Page 2 016 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00195 IVR Number: 811107017300 SPRINGFIEL~ .~ ,~ !i,.", .. ..:. OREGON www.cLspringfield.or.us 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us PROJECT STATUS: Issued STATUS DATE: 10/15/2010 ISSUED: 10/15/2010 APPLIED: 9/1/10 EXPIRES: 4/13/2011 VALUE: $179,000.00 SITE ADDRESS: 4843 Glacier DR, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802051110200 PROJECT DESCRIPTION: Single family residence Description Sidewalk up though 90 Feet Curb CuUDriveway 1 st Cut Multiple Permit Discount (Max 2) SDC: Reimbursement Cost - Storm Drainage SDC: Improvement Cost - Storm Drainage SDC: Reimbursement Cost - Local Wastewater SDC: Improvement Cost - Local Wastewater SDC: Reimbursement - Transportation SDC SDC: Improvement - Transportation SDC SDC: Reimbursement Cost - MWMC Regional WastewalE SDC: Improvement Cost - MWMC Regional Wastewater ~ SDC: Administrative Fee - MWMC Regional Wastewater: SDC: Total Sewer Administration Fee SDC: Total Transportation Administration Fee SDC: Compliance Cost - MWMC Regional Wastewater SI Planning - Minor Review Admin fee (10% of applicable fees) Temp services 200 amps or less Each added 500 sq. ft. or portion Residence wiring 1,000 sq. ft. or less Residential Fire (.05 Per Sq Foot) Structural Building Permit Fee Address Assignment, each new or change Willamalane fees - Single family detached One or Two Family Dwelling with Two Bath Furnace - up to 100,000 BTU Range hood/other kitchen equipment Single-duct exhaust (bathrooms, toilet compartments, utili Heat pump First Appliance Fee State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of penmit total) Same as Plan Review Submittal - Commercial Total Amount Paid Springfield Building Permit SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential 'FEES PAID Amount Paid $88.00 $88.00 $-30.00 $333.62 $804.96 $1,937.76 $1,043.04 $356.96 $1,383.63 $101.97 $1,333.57 $10.00 $257.58 $108.83 $22.63 $119.00 $8.07 $63.00 $50.00 $134.00 $80.70 $1,030.28 $38.00 $3,468.00 $374.00 $17.00 $13.00 $36.00 $17.00 $79.00 $217.59 $99.86 $250.00 $13,935.05 Date Paid 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 09/01/2010 Receiot # 374615 374615 374615 374615 374615 374615 374615 374615 374615 374615 374615 374615 374615 374615 374615 374615 374615 374615 374615 374615 374615 374615 374615 374615 374615 374615 374615 374615 374615 374615 374615 374615 299394 10/15/201 11:48:31AM Page 3 016 SPRIN....G. FIEL~ - "~c. ~ ",):1:1" OREGON WNW.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00195 IVR Number: 811107017300 225 Fifth SI Springfreld,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@cLspringfield.or.us PROJECT STATUS: Issued STATUS DATE: 10/15/2010 ISSUED: 10/15/2010 APPLIED: 9/1/10 EXPIRES: 4/13/2011 VALUE: $179,000.00 SITE ADDRESS: 4843 Glacier DR, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802051110200 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Single family residence Deoartment Application Acceptance Comments: Planning Review 09/13/2010 09/13/2010 10/04/2010 Approved Deyette Kelly Comments: Front elevations are site specific and contain required design elements. Inspectors will field check that actual elevations match submitted designs as shown on the approved set of plans. Minimum setbacks. inspector to verify placement at time of footing inspection (see letter attached). Planning Review 09/13/2010 09/13/2010 09/27/2010 Add'l info required Deyette Kelly Comments: Received a revised plot plan by email from Tim Dreiling but it is still not accurate. Spoke to Karen Scrabeck (in Design) and she emailed me a revised set of floor, foundation and roof plans depicting accurately the covered porch and extended garage. She will have Tim bring me a new plot plan. Structural Review 09/13/2010 09/13/2010 10/11/2010 Approved Chris Carpenter Comments: Received 09/01/2010 Due Date 09/01/2010 Plan Review Com Dieted Result 09/13/2010 Application Accepted Reviewer David Bowlsby Planning Review 09/13/2010 09/13/2010 09/20/2010 Add'; info required Deyette Kelly Comments: Does not meet cluster design critera as garage extends past covered front porch and the rest of the facade. Tim w/Hayden will talk it over with the designer and get back to me. Initial Review 09/13/2010 09/13/2010 09/13/2010 Approved David Bowlsby Comments: Public Works Review 10/04/2010 10/06/2010 10105/2010 Approved Kaye Wilson Comments: Storm Water to Tap Permit Issuance 10/11/2010 10/11/2010 10/15/2010 Issued Lisa Hopper Comments: Inspection 10/15/2010 In Process Lisa Hopper Comments: Inspection in process Springfield Building Permit 10/15/201 11:48:31AM Page 4 016 5~RING.FIE~ .~~ )W a.'; ~U OREGON www.ci.springfield.or.us CITY OF SPRiNGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00195 IVR Number: 811107017300 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us PROJECT STATUS: Issued STATUS DATE: 10/15/2010 ISSUED: 10/15/2010 APPLIED: 9/1/10 EXPIRES: 4/13/2011 VALUE: $179.000.00 SITE ADDRESS:, 4843 Glacier DR, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802051110200 SCOPE: Sin91e Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Single family residence INSPECTIONS REQUIRED ~ Inspections 1020 Zoning/setbacks 1090 Street Trees 1118 Footing Drain 1120 Foundation Foundation: After forms are erected but prior to concrete placement. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 1160 UFER Ground 1220 Underfloor framing 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1370 Masonry Veneer 1410 Underfloor insulation 1420 Insulation Vapor Barrier 1430 Insulation Wall Wall Insulation: Prior to cover. 1440 Insulation Ceiling 1520 Interior Shearwall 1530 Exterior Shearwall 1540 Gypsum Board/LathlDrywall Ceiling Insulation: Prior to cover. Shear Wall Nailing: Before covering sheathing with finish materials. 1999 Final Building Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum board, interior and exterior are in place, but prior to plastering. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor 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. 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. 2200 Underfloor Mechanical 2210 Underfloor Gas 2260 Gas Service 2300 Rough Mechanical 2995 Final Gas 2999 Final Mechanical 3130 Footing/Foundation Drains 3170 Underfloor Plumbing Underfloor Plumbing: Prior to insulation or decking. Springfield Building Permit 10/15/201 11:48:31AM Page 5 of6 SP~~~.G~EL~ ~ ~OREGON www.ci.springfield.or.U9 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00195 IVR Number: 811107017300 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us PROJECT STATUS: Issued STATUS DATE: 10/15/2010 ISSUED: 10/15/2010 APPLIED: 911/10 EXPIRES: 4/13/2011 VALUE: $179,000.00 SITE ADDRESS: 4843 Glacier DR, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802051110200 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Single family residence 3200 Sanitary Sewer 3315 Water Line Sanitary Sewer Line: Prior to filling trench and including required testing. 3400 Storm Sewer 3411 Perimeter Rain Drains Stonn Sewer Line: Prior to filling trench. 3500 Rough Plumbing 3999 Final plumbing 4000 Temporary Power Service 4225 Service or Feeder Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. 4500 Rough Electrical 4999 Final Electrical Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 3130 Footing/Foundation Drains 1120 Foundation Foundation: After fonns are erected but prior to concrete placement. By signature, I state and agree, that I have carefully examined the. completed application and do hereby certify that all infonnation 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 or 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 the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractor Signatu~e Date Springfield Building Permit 10/15/201 11;48:31AM Page 6 of 6 . n~ willamalane . t\; Park and Recreation District Job. No. S:/{J - /9~ SYSTEM DEVELOPMENT CHARGE WORKSHEET July 1-December 31,2010 NAME: /-fA Yt?E,;V PHONE:2zF &7 J S- ADDRES~'ILW SiAl 7~G..e~ITY ~t>Pftv'p STATE:~IP: q1J7~ LOCATION OF PROPOSED BUILDING SITE: Street Address: 71?~3 "- t; .?fiClt::71 Plat Name$).9 r* \G\.~~ Tax Lot Number: \ <AJzos \ \ \ D2.C6 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the back.) A. Sinale-Family Detached NO. OF UNITS r X $3,468 per unit = r $ '3Y{P~ B. Sinale-Family Attached NO. OF UNITS X $3,538 per unit = $ C. Multi-Family Apartmerit NO. OF UNITS X $2,906 per unit = $ D. Sinale Room OccupancY NO. OF UNITS X $1,453 per unit = .$ E. Accessorv Dwellina Unit NO. OF UNITS X $1,734 per unit = $ $ WILLAMALANE SDC 2. SDC CREDIT (If applicable) SDC payer must furnish proof of Willamalane Credn approval.) $ rfr 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credn) $' 7'(C,~ /'~. L----'\J '--------.~ 9 I /5 I ;' cJ Date \$. \CS.\() f \k\ 5 Development Services Department City of Springfield SAME ItS ~II S'ttl~""S+ DEPARTMENT USE ONL'Y I .. $\~~~~)O .o-e , 9 S I I Date ?-./-/(::) This permit is issued under OAR 91S-ct60-0030. Permi[s expire if work is not started within) SO days of issuance or if work is suspended for 1 SO days. Stl'll( \, Permit Application 2~) Fifth SlTeel. Springfield, OR 9i477. PH(541)726-37S3 t FA...'<(5~1)726-36S9 I LOCAL GOVERNMEN'f .APPROVAL ,-.~ '.. - . This project has final land-use approval. 1 Signalure: Dale: This project has DEQ approval.. Signolure: Date: Zoning approval verifIed: DYes DNa ProperTY is ',':i:hiil fleed plain: DYes DNo I '.L;ATEGU~Y;OF. C.ONSjRUCTI0N . o Residential 0 Government JOB. SITE. i" City: --., 0dd. Subdivision':-' Wt:St- v.;mrl6 Reference: ISo'ZOS/( PR0PERTY'OWNER o Comm\:,,:;3.! LOGATIOfl ZIP 97<f7'if. n o z.t>O Name: Address: City: KC Phone: ~L ,. - 'J ~ /~. ")5" State: 0 Q r Fax: E-mail: This installation is being made on residential or farm property owned by me 0'1 2. member of my immediate family, and is exempt from licensing requirements under ORS 701.0 J O. Sign hire,_ ~ /2t'~~ . CONTRAC!:9R,U:-iSlLA'f1i:>N fb, Business name: Addro:ss: '/a.-C' r State: OK_ ZIP:'177S-4 Fax: j{1 -:>it':25 Ci"J: Rc Phone.5'tl - E-mail: CeB license no.: 0 Print name: Signature: .. : "SU Ei-cor{r'R:f<ctiS:R INFQRr;,AT!Qif" ":':. "...., , ,;: ,. Name ccn Lice!lse Number Phone Number Electrical J7J-"u' Plumbing 3171{7 rVlechanical YJ,;!37 Sf';::,,,,c,FlELO · ... f!1'y, . FEE SCHEDULE 1... V;) hi.iltioh-i~ forma tio'n (a) Job description: ~;'^ Occupancy I Conslruction rype" Square feet: II{; Cost per square foot: Other information: (0 Type of He31: Energy Path: ~!\ [Xl new 0 alteration (b) Foundation-only permit? Total valuation: ;~;Bu U ~ .iii'gfe"s,. (a) Permit fee (use valuation table): (b) Investigative fee (equal to (2a]): (c) Reinspection ($ per hour): (number cfhours x fe~ per hour) ; o addition $ S (d) Enter 12% surcharge (.12 x [2n+2b+2c}): (e) Subtotal of fees above (2a through 2d): :i~t~~J:~~~.~~Vi~:wag~s.&h~:;~H~:~~~N-~k~:>gtt{;~${:?~;~~W:.: (a) Plan review (65% x permit fee [2a]): (b) Fire and life safety (40% x pernlit fee [2a]): (c) Subtotal of fees :.lbove (3a an-d 3b): ;:':4;/'lYt l~"c'f.l i ~:n :~~d.ii~(:r ~:~~ i: ~.:::~ ,::~::?~~,'';:\:;':!~::';;;:: :'-~: - . (a) Seismic fee, 1% (.01 x permit fee f2a1): $ $ TOTAL fees :.llld surcharges (2e+3c+4:.l): $ Electrical Permit Application 9 D ' e · 225 Fifth Streett Springfield, OR 97477 .PH(541)726~3753. FAX(541)726M3689 SPR1NCiF1ELC ~.:!'~'1! 1 A:!. ,A.~, "*~7!t.:~~! C. .....~~"~~,.,.~ -,~ '''''", ~~~ij!&;F::'-' .''"~.. . :~~~.;~ i';~.:""",'.~, "" .,,,~ I'.n~;,~.;'{,.'li.la.~'"':~ ~ ~~ ~f:" " .. ~,'" ..:,~~,.-tJ','~.,".~.~:: iif,;';, pErAR;rM.p'!:Ti,I"I.~,~i9r:-!PYJi,\{~~) . . . ,~.,,,. ,,,_.-,,:,_ ...,~.r,,_,~,\,~~ qt6 $. CS. \U Date:. This permit is issued under OAR 918-309-0000. Permits arc nontransferable. Permits expire ifworl, is not started within 180 days of issuance or if work is suspended for 180 days. q1fa~i~~~i~G:o"tit&[(r0,~E:f{N_M-f;Ni1W~:e8~Q9A~~L~~i~~:~~.~~t Zoning approval verified? 0 Yes 0 No \~:m;'t.~1l!jji;;1~G~mEO-0F,l.Y~~PF.:j!T!;:0N$if:i~tJQmI0N~j!!'.f:;N~i~)~ o Residential 0 Government 0 Commercial ~r;~tiI;WlJOB'~SIif:E~!JNI5.<:i81ii1f,\<:JjIQfIi,\}I\N[)}JlQ(':'AtI0N)isY;; ie' Job site address: <ti<-f3 6!Q,C,'cr D,.- City: Slate: ate ZIP: '1747f' Subdivision: w,,6r w~S Lot no.: f3 ~Jlliff~?l~~~~1~~~~~OE_$~GR~Bmf~f~~'Gc~~WG~t55f~~0~\~f~~,~J,r;i:tn,~;, 'fJ@."'I"'."'~:];U1,i 11.!lC".~"i~'iiRq0- 'nE' R""""'0 W" 'N"E'R"""'"'''''''''''' '''iI''',. v: '>i' ~,&;nm&t#!':~~M.'.~,:;~,,@~t&l.ll'''I~r;;:, '_ _' s. _: ,_,IJtl~I~.,.' _"" _..'._ ,',;::,,~m";(I~':~':t!~l~~,;:;:\.",~:,: if,~':',l:~'l \ Name: Address: ZIP: 17?fl. City: Rl"d ,.,t. Phone: E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.560(1). Signature: u11~lr~&~~l~1~~ONm~~ill~:B~I"N$ftJgt!~~tr;IQ.NI&4.Ji;~l~i~!1~~t,~~{;i,;~\ Business name: Address: City: Phone: E-mail:, CCB license no.: ZIP: Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: \~~&\ ~ ~~~l ~B1~ Q~ (Sf- ~~ ~ol~W- ~ ~ t4\. ~\\. \~C\e;l W 440-2584,) (9/08/COM) I{\."~."'P.-"'-"-t'r.n~'" .' EEWSCHEDOli!E" ":%"":\!1'l""'l&;l.f;lli ':!];}ll.~ik"':'!~~~~"::ri:'; ,....<"'-.~".~,_. '" .-':';..~ ~,',~lfii:~! l_~,' .- 1if'.~i;,tH~,~'W!~jmJi~t~:~t. i?J2fitil;1:~i::!:j~~it;-;:,;~'r(~ Osf,t;~I~ta~ :h~M,~~~~-~:f,~~k~~r~lk~~~ff}~~~~~~~g: ,&t~~ ,.....~~""~' 'u.." ;1.:':i~. ~'t . 'co~t1h':: Residential, per unit, service included: 1,000 sq. ft. or less (4) $134.00 .$ Each additional 500 sq. ft. or portion $ 25.00 $ thereof Limited energy (2) $ 32.00 $ Each manufactured home or modular $ $ dwelling service or feeder (2) 63.00 Services or feeders: installation, alteration, relocation 200 amps or less (2) $ 81.00 $ 20 I to 400 amps (2) $ 95.00 $ 40 I to 600 amps (2) $158.00 $ 60 I to 1,000 amps (2) $205.00 $ Over 1.000 amps or volts (2) $469.00 $ Reconnect only (2) $ 63.00 $ Temporary services or fceders: installation, alteration, relocation 200 amps or less (2) $ 63.00 $ 201 to 400 amps (2) $ 87.00 $ 40 I to 600 amps (2) $126.00 $ Over 600 amps or 1,000 volts, sce services or feeders section above Branch circuits: new, alteration, extension per panel a. Fee for branch circuits with 'purchase of a service or feeder fee: Each branch circuit $ 6.00 $ b, Fec for branch circuits without purchase of a scrvice or feeder fee: First branch ci~cuit (2) $ 55.00 $ Each additional branch circuit $ 6.00 $ Miscellaneous fees: service or feeder not included Each pump or irrigation circle (2) $ 63.00 $ Each sign or outline lighting (2) $ 63.00 $ Signal circuit or a limited-energy panel, $ 63.00 $ alteration, or extension (2) Each additional inspection: (I) $58.00 $ 1!~1~'i.mtrYf~i~~%iY~:~[~_H1;~'~if4~J,~t$.E;~lJjlrarniM~-Wa~f~ (A) Enter subtotal of above fees (Minimum Permit Fcc $58.00) $ (8) Enter 12% surcharge (.12 x [A]) $ (C) Technology Fee (5% of [A]) $ TOTAL fees and surcharges (A through C): $ / S~\~.N~.F.IELD.".."""'K' iti.- <j,' :'t"i~"'j ~tl':'OREGON www.cLspringfield.o.r.us TRANSACTION RECEIPT 811-SPR2010-00195 4843 Glacier DR CITY OF SPRINGFIELD 225 Fifth 5t Springfield,OR 97477 541-726-3753 permi1center@ci.springfield.or.us . RECEIPT NO: 2010000203 RECORD NO: 811-SPR201O-00195 DATE: 09/0112010 'n; 'S'C" '1"'-i'IO'N"~'" ~""-"",",".' ""i<l"'" "'A""","'!]!I'"n~'i'''''(''''' -'-' &E .. R 8il; ,~ "'1, .. ;~:.i:;';th.:;,..t;~~"" f.:'<ti,,!;0~~,jda:>'Wi'F~:~;i,~,>"'r "q:Sitil1~,,"":::~, ~ __ Same as Plan Review Submitlal - Commercial 100-00000-425602 OTAL DUE: ~...~..,>=,...-.~:x., -~':;o.C!~c.. -- .- -';~A~c.;~.:,\" ~---"r~!~"''''''$l ~ ~,,-,'''.1'!2: d ~.i~~t:;,'AMO. U N""'D. UE'>..:t, .- -,,,,"j; ~.!l.~')' LJ. ..""~,,,=. __,_,,,' .. ...._. _~"., .___^..".......;. "..",.. ,_>t... ,-' $250.00 $250.00 lCPPAYMENT ~PE .' '#nAvOR' ~~CASHIER DBOwtSBY:*'1'-~C "M" E-N"''''T'S",.:~'tj;'ttq\:.:''''''.im:;r%;'~~"'.~~2.t~;r ;'';.:.''!lA'''''MO--.-''Ur-N--T~:-P"A'"'I'D~:'~''':':;' '4f~'<:'i~'t'.,,:,\..ti1:"' l :;;~ -:'. - ~':~::;~';'-'~,~:7",:'~1_'';'~',~~ -"-1~<..::"-',' . ~--~- :-'~'-~.:;~::-' ~F~-". _ , ...~".. 5",';<=,1 r~, ,,:,.. . ir= ,,->> _ 'I'. wO::..' <",-;ii-/>'_ ,J.;t;j ,--. Credit Card 092535 HAYDEN ENTERPRISES INC . $250.00 $250.00 . . ~\(RS(-\if +~s{J1Z- ;'c0M.OOCW' +1 . C;. ~jcw' . ~).lO " to'LY _~=.'.~,~.Cl!~_.",.-.:\+ -0- .. ..''i::''}:X~:; ':(l\~'~*:'}\V'l' l~ i :. .' ',;,,- ..~ . , ... ',1.' ....;;;;.-&..~ ~"""". ',"'- t, :;)~,;j'!~~:y~"'~.. ."