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Home My WebLink AboutPermit Building 2007-3-14 CITY OF SPRINGFIELD- Building/Combination Permit PERMIT NO: COM2007-00009 ISSUED: 03/14/2007 APPLIED: 01102/2007 EXPIRES: 09/14/2007 VALUE: $ 502,316.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6065 Fernhill Lp ASSESSOR'S PARCEL NO.: 1702343406300 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence - lot 55, Mountain Gate Subdivision Owner: ANSLOW & DEGENEAUL T INC Address: 1953 GARDEN A VENUE EUGENE OR 97403 I CONTRACTOR INFORMA TION ~ Contractor Type General Electrical Mechanical Plumbing Contractor ANSLOW & DEGENEAULT INC GOOD CONNECTIONS MARS HALLS INC ABSOLUTE PLUMBING SERVICES INC License 49169 160508 25790 67664 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 # of Stories: 2 Height of Structure: 32.00 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Electric Energy Path: Path 1 Sprinkled Building: n/a VB 4 I DEVELOPMENT INFORMATION I Residential Phone Number: 541-484-0070 Expiration Date 10/16/2008 07/0112008 12/23/2009 07/1112007 Phone 541-484-0070 541-434-6491 541-747-7445 541-345-3055 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 17,860 2,980 1,350 1,052 558 REQUIRED PARKING Frontyard Setback: 10.00 Overlay Dist: Hillside Total: 2 Side 1 Setback: 11.00 # Street Trees Rqd: 0 Handicapped: Side 2 Setback: 8.00 Paved Drive Rqd: Compact: Rearyard Setback: 21.00 % of Lot Coverage: 31.10 Solar Setbacks: 19.30 Subdivision Not Accepted . I PUBLIC IMPROVEMENX~"EN--" '. ''''"' _, r '.. ' . 11~I\LUre~Oll/aW I SqUires you t StrflOTltI~'ements. Fullv Improved fo!'?w ~UI~9~'Jy:ft9PMSuy the Oregon UftP~7Side 5' Storf!.~~efYER~~I~W1tLL EXPIRE IF THE \J{Ofl1(s. .. .~otjflcatI0ij)bwmil:o:ut17~Ill!iy~:ules arifg;~t(nmSewer SpeAtft m~ft ~Bnu N 0 E R~?s<t9~~'Mrf~lW~fhvlslOn mfrastrucn.f.~M\ijt2iPMd(b~'OO1?mrOU9h OAR 952-00 0090. You may obtarn cOQies of th NoGOM~OODPJftJflri\lMOOGNtg jjJJijecommendation to the BUiJ!!iiIJgtY~\f\~oJmhfdP.~N\syJ;IJ~i~~e~:'~t~}!.rfWn~1 ANY 1~l{)lAVq9~JilttMJ.not be given until the subdivision is accePte!!lJUt<dffl6io~iQt~tQ(mO&'.s.JnitM~~Jgnated laterals.JLP C. . 4 .gu.n Wity Notif~catlon enter!s u-dOO-332,'23tA). Pa2e 1 of 7 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00009 ISSUED: 03/14/2007 APPLIED: 01/02/2007 EXPIRES: 09/14/2007 VALUE: $ 502,316.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I A.C. - Residen Deck/Balconv Dwellin2S Gara2e AC - Residential Deck V Wood Frame Gara2e $ Per Sq Ft or multiplier $4.00 $19.00 $103.00 $27.00 Square Footage or Bid Amount 4,330.00 558.00 4,330.00 1,052.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $17,320.00 $10,602.00 $445,990.00 $28,404.00 $502,316.00 01/02/2007 03/1412007 01/0212007 01/0212007 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $1,195.77 1/2/07 1200700000000000002 -Mechanical Issuance Fee- $10.00 3/14/07 1200700000000000272 + 10% Administrative Fee $287.38 3/14/07 1200700000000000272 + 5% Technology Fee $140.13 3/14/07 1200700000000000272 + 8% State Surcharge $208.37 3/14/07 1200700000000000272 3 Baths One & Two Family $306.00 3/14/07 1200700000000000272 Addressing Assignment $31.00 3/14/07 1200700000000000272 Building Permit $1,839.65 3/14/07 1200700000000000272 Dryer Vent $6.00 3/14/07 1200700000000000272 Exhaust Hoods $9.00 3/14/07 1200700000000000272 Fire SF Fee - Residential $269.10 3/14/07 1200700000000000272 Fixture $70.00 3/14/07 1200700000000000272 Furnace - up to 100,000 btu $12.00 3/14/07 1200700000000000272 Gas Fireplace $15.00 3/14/07 1200700000000000272 Gas Outlets 1-4 $4.00 3/14/07 1200700000000000272 Mountaingate Impervious Area $3,039.34 3/14/07 1200700000000000272 Mountaingate Impervious Area $3,039.34 3/14/07 1200700000000000272 Plan Review Major - Planning $198.00 3/14/07 1200700000000000272 Plan Review Residential $115.20 3/14/07 1200700000000000272 Residence Wiring 1000 Sq Ft $106.00 3/14/07 1200700000000000272 Residence Wiring Ea Addtl 500 $171.00 3/14/07 1200700000000000272 Sanitary Sewer - Improvement $930.16 3/14/07 1200700000000000272 Sanitary Sewer - Reimbursement $1,223.25 3/14/07 1200700000000000272 SDC MWMC Administration $10.00 3/14/07 1200700000000000272 SDC MWMC Improvement $1,923.04 3/14/07 1200700000000000272 SDC MWMC Reimbursement $183.22 3/14/07 1200700000000000272 SDC Sanitary/Storm Admin $335.48 3/14/07 1200700000000000272 SDC Transpo Admin $132.56 3/14/07 1200700000000000272 SDC Transpo Improvement $1,672.64 3/14/07 1200700000000000272 SDC Transpo Reimbursement $379.16 3/14/07 1200700000000000272 Storm Sewer Each Addtll00' $42.00 3/14/07 1200700000000000272 Vent Fan $24.00 3/14/07 1200700000000000272 Willamalane Single Family $2,303.00 3/14/07 1200700000000000272 Pa2e 2 of7 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amount Paid $20,230.79 Initial Review Plannin2: Review 01/09/2007 01/09/2007 Public Works Review 01/09/2007 I Plan Reviews I 01/09/2007 03/09/2007 01/12/2007 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00009 ISSUED: 03/1412007 APPLIED: 01/02/2007 EXPIRES: 09/14/2007 VALUE: $ 502,316.00 APP SKG APP T AJ Kitchen improvements (sink, stove, range hood and fridge) are deleted per em ail from Gordon Anslow 3/02/07. Owner will apply for an ADD later. In the meantime, no kitchen is allowed and this is not considered a second dwelling unit. The lot is very close to capacity for coverage. It's unlikely any additional coverage would be allowed. Waiting in order PW rcvd for rvw.JLP *** WE JLP Pa2:e 3 of 7 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Public Works Review 02/01/2007 03/14/2007 CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-00009 ISSUED: 03/14/2007 APPLIED: 01102/2007 EXPIRES: 09/14/2007 VALUE: $ 502,316.00 APP JLP Pal!e 4 of 7 Rcvd phone call from James @ Ang&Deg. Tld him they are #19 in 41cases waiting for rvw & date PW rcvd was 1/12/07JLP *** *** Cld 484-0070 @ 3:50pm, project manager not in office. Lft msg wIRachaeI. Need to supply all necessary geo-tech & other reports for pervious pavers to show how run off will be collected. I faxed requirement sheet & memo on max 500sq/ft impervious credit to Rachael, so project manager would have when he returns. PW will hold until rcv call, due to potential for design changes.JLP2/12/2007 *** Rcvd voicemail today 2/14/07 from Gordon. I c1d him back @ 484-0070 10:45am. Per Rachael at same, he not available. I 1ft msg I was returning his call & I can be reached after Ipm today.JLP 2/14/07 *** Rcvd voicemail from Gordon, I c1d back he not in 2/15/07JLP. *** Rcvd voicemail.Icld Gordon back @ 1:15pm 2/16/07-- X sd will not be changing sq/ft on drive, but will get all necessary documents for pervioU! paving/Storm H20 requirements. Tld X I will process & forward to Tara. When XX completes planning rvw, XX will return, and PW will hold until rcv necessary documents & approval of same before PW approvaI.JLP2/16/07 *** For this parcel in Mt Gate, it is the recommendation to the Building Division, by the City Engineer: "thaI final occupancy should not be given until the subdivision is accepted by City Council". Storm & Sanitary to designated laterals. Impervious area cales include 500 sq/ft deduction for pervious pavers as layed out by building & PW division guidelines ( see Jim Donavan for clarification ). Passing file on to Tara to expedite process. Tara will return to PW when she is has completed Planning Rvw. PW can not "approve" until Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural Review 0110912007 0111112007 10 LLH Structural Review 01111/2007 0111812007 APP LLH CITY OF SPRINGFIELD C Building/Combination Permit PERMIT NO: COM2007-00009 ISSUED: 03/14/2007 APPLIED: 01/0212007 EXPIRES: 09/14/2007 VALUE: $ 502,316.00 we receive & approve pervious paving& storm H20 plan.JLP 2/22/07 *** 10---Rcvd file back from Tara, I forwarded to Eric for pervious paver/design review.JLP *** Rcvd pervious paver docs back from Eric W. --Denied--. Before I made cntct w/A&D, rcvd call from Jeff of A&D @ 2:05pm 3/13/07. I explained submittal was denied by Eric & what is required to correct. Waiting for A&D to submit correct information & pass PW review prior to release.JLP 3/13/07 *** Tlkd w/Dana @ counter, he to bring in remaining info for pervious system to meet criteria req by Eric. Will approve pending that info is complete.JLP 3/12/07 *** Rcvd info from Tara, ADU is being deleted, reduced DFU by one kitchen sink, made changes to SDC fees, worksheet, and file. Passing on to Don for completion of permit packet & issuance today (per Don) in PM. JLP 3/14/07 Plans sent to Building Department for review under contract with the City of Springfield. Plans reviewed by the Building Department, Dave Mortier, under contract with the City of Springfield, 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. ~eQuiredJnsnections I Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. 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. Pa!!e 5 of 7 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2007-00009 ISSUED: 03/14/2007 APPLIED: 01/02/2007 EXPIRES: 09/14/2007 VALUE: $ 502,316.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Final Building: After all required inspections have been requested and approved and the building is complete. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. Underfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work 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. 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: When all gas work is complete. 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. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Pa2e 6 of7 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: COM2007-00009 ISSUED: 03/14/2007 APPLIED: 01/02/2007 EXPIRES: 09/14/2007 VALUE: $ 502,316.00 By signature, I state and agree, that I have carefully 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 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. ow~ractors Sigoature Paee 7 of 7 .:J;; flo 7 ( Date CITY OF S~NGFIELD SYSTEMS DEVELOPMENli"l'fORKSHEET JOURNAL OR JOB NUMBER: C0M2007-00009 NAME OR COMPANY: Anslow & Degeneault LOCATION: 6065 Fernhill Lp TAX LOT NUMBER: Lot 55 ofMt Gate Phase 2 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS 2 BUILDING SIZE (SF: 4760 LOT SIZE (SF): 1. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM IMPERVIOUS S.F. x I COST PER S.F. CHARGE 9056.00 I $0.336 = I $3,039.34 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. x I COST PER S.F. x I DISCOUNT RATE I I 0.00 I $0.336 I 50% = I ITEM 1 TOTAL - STORM DRAINAGE SDC 1 $3,039.34 DISCOUNT $0.00 17730 $3,039.34 2. SANITARY SEWER - CITY A REIMBURSEMENT COST: I NUMBER OF DFU's I x I 47 B. IMPROVEMENT COST: I NUMBER OF DFU's x I 47 COST PER DFU $26.03 $19.79 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $2,153.40 1= ,I CHARGE I I $468.04 335.48 1079 $132.56 1078 TOTAL SDC CHARGES =, $9,828.84 3. TRANSPORTATION A REIMBURSEMENT COST: I ADT TRIP RATE I x I 9.57 I B. IMPROVEMENT COST: I ADT TRIP RATE I x I 9.57 I I NUMBER OF UNITS I x I 2 I COST PER TRIP $19.81 x I NEW TRIP FACTORI I 1.00 1 COST PER TRIP $87.39 $2,051.80 x INEW TRIP FACTORI I 1.00 I = , I NUMBER OF UNITS I x 1 2 I ITEM 3 TOTAL - TRANSPORTATION SDC =1 4, SANITARY SEWER - MWMC A REIMBURSEMENT COST: INUMBER OF FEU's x COST PER FEU I 2 $91.61 B. IMPROVEMENT COST: INUMBER OF FEU's I x ICOST PER FEU '2 $961.52 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =, SUBTOTAL (ADD ITEMS 1,2,3, & 4) = 1 5. ADMINISTRATIVE FEE: I SUBTOTAL x I ADM. FEE RATE I $9,360.80 I 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: $2,116.26 $9,360.80 Jeff Prociw 3/14/2007 PREPARED BY DATE $1,223.25 $930.16 $379.16 $1,672.64 = $183.22 = $1,923.04 $0.00 $10.00 !;/} ~ o o u ~ ~ E--< !;/} C3 ~ 1070 -, 1091 1092 1093 1094 11054 I 11055 i: 1054 I I (056 ! DRAINAGE FIXTURE UNIT ...(DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY TIIE NET AuUIIIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 2 0 3 = 6 DRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 ILAUNDRY TUB 3 0 2 = 6 ICLOTHESW ASHER / MOP SINK 1 0 3 = 3 ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 I MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 - 0 I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 2 0 3 = 6 I SHOWER, SINGLE STALL 3 0 2 = 6 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 I SINK: COMMERCIAL BAR 0 0 2 = 0 I SINK: WASH BASIN/DOUBLE LAVATORY 2 0 2 = 4 ISINK: SINGLE LA V ATORY/RESIDENTIAL BAR 1 0 1 = 1 URINAL, STALL / WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 TOILET, PRlV ATE INSTALLATION 4 0 3 = 12 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 47 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwellin~,_~~~~s) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 ~ i I CREDIT RATE/$l,OOO ASSESSED VALUE $5.29 $5.29 $5.19 $5.12 $4,98 $4,80 $4.63 $4.40 $4.07 $3.67 $3.22 $2.73 $2.25 $1.80 $1.59 $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.05 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGillLE FOR ANNEX. CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0.00 x $5.29 = I CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0.00 x $5.29 TOTAL MWMC CREDIT = 2 2 1979 $0.00 o $0.00 ZON LV2- INITIALS ~fV\ DATE :~" 14-0-' SOURCE {YI ~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX; (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number W/IYI WiD -=I- - OO<fJO 1 1. LOCATION OF INSTALLATION: b00 \' n/J1~r11 ?t;ofJ I LEGAL DESCRIPTION: t 7-0 2 '!, L/1L/ O(e,) 00 JOB DESCRIPTION: ~ i ILL; ~ (Zu 14'1 J Iw IZu J r.t./l U ~ v ! Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. CONTRACTOR INSTALLATION ONLY 2. Electrical Contractor ~Oi'> f1.{,[.tI,€;C/7o/IJS Cu;:;cWc- Address ~/O 0) 4-L( J s 'tF/!. City E U G ~ ,u(;-' Phone _# ;; L{-{, 'fi/ Supervisor License Number ~5 () f / ,-% Expiration Date / () - 1- 0 7 Constr. Contr. Number I t, () S-D g-" Expiration Date 7 - ( - 0 7 Signature of Supervising Electrician tt'aL/L~ City ~ ~ ~ "'- Inspection Request: 726-3769 Date 8-14-07 3. COJ.l.IPLETE FEE SCHEDULE BELOW' A. New Residential- Single or, Multi-Famil~per dwelling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder I q $106.00 /{)("OD $19.00 L"9-(,OO $50.00 B. Services or Feeders -Installation, Alterations or Relocation: 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over, 1000 AmpsNolts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 \1...... .', .. :-t.,.,-M""lh'+(-',IOr-J,,/- C. Temporary S'CrviCes ()r--,Feelli!rs~ ." . - ',. follow rulef" adop~sc,. .: "f~ . ti ~pdar. T:1Clse rules ciS 5e: iC ,11 Installation, MllitafiOnC01 KelO~at~on'l he A'O O'-2.n""1- , . O/\R 952-001-00 10 mrou% 1-'\1"\ ,,;'; -, '-'" 200 Amps or Ims b" or. -oo.ie ,~.~Qe p ilRS bv nOQn You may 0 ..1, I v~I'" . 20ki\:mps to 4t1limtlps h t (Note' 't.h-Q.e.Oenhone , calling t e cen er. ,"(lie v. .', " 401 Amps to 600IDnps f t'he f"IrMM IltiUO~~QSllf,callon , nl.lmuer or ~-"" y Over 600 Amps or 1 000~MM~$'W.~2 2344). D'1;.I}r:.l!fl~h Citcuits New Alteration or Extension Per Panel One Circuit Each,Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 E. s::l\1i~ceIlaIleh.if(Servi~e/feeder not included) -Each Installation '::'".' ..: ;,IS rtHM1l' SHP.LLEXPIFlE IF THE WORK Pu~p,()r,',irriga{i~~:ZEQ UNDER THIS PE~lll,$lrol$)NOT Sign/Ou~Jln.~Ligl1tigiC OR IS ABANDOi~Eg5fl(9lR LimitedJ]ahergYb&e$}~utiiill:RIOD. $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. SqB.TOTAL OF ABOVE, 8% State Surcharge 10% Administrative Fee 5% Technology Fee '2 'R- ,80 1.2.lh 2. '1-. "1-0 I =L~~ $ '1 I/O, 7-1 TOTAL Shared Dnve(T:)/Building Fonns/Electrical Pennit Application 8-06,doc 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone C' of Springfield Official Receipt L _ . elopment Services Department Public Works Department Job/Journal Number COM2007 -00009 COM2007-00009 COM2007-00009 COM2007 -00009 COM2007-00009 COM2007 -00009 COM2007-00009 COM2007-00009 COM2007 -00009 COM2007-00009 COM2007-00009 COM2007-00009 CO M2007 -00009 CO M2007 -00009 COM2007-00009 COM2007-00009 COM2007-00009 COM2007-00009 COM2007-00009 COM2007-00009 COM2007 -00009 COM2007-00009 COM2007 -00009 COM2007-00009 COM2007-00009 COM2007-00009 COM2007-00009 COM2007-00009 COM2007 -00009 COM2007-00009 COM2007-00009 COM2007 -00009 Payments: Type of Payment CreditCard Check cReceintl RECEIPT #: 1200700000000000272 Date: 03/14/2007 Description Addressing Assignment WiJlamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 3 Baths One & Two Family Fixture Storm Sewer Each Addtl 100' Furnace - up to 100,000 btu Vent Fan Dryer Vent Gas Outlets 1-4 Gas Fireplace -Mechanical Issuance Fee- Mountaingate Impervious Area Exhaust Hoods Plan Review Major - Planning Mountaingate Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transpo Admin Plan Review Residential Building Permit Fire SF Fee - Residential + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By LEWIS DEGENEAUL T ANSLOW & DEGENEAUL T Item Total: Check Number Authorization Received By Batch Number Number How Received Ikw Ikw 26336 085935 In Person In Person Payment Total: Page 1 of2 11:42:11AM Amount Due 31.00 2,303.00 106.00 171.00 306.00 70.00 42.00 12.00 24.00 6.00 4.00 15.00 10.00 3,039.34 9.00 198.00 3,039.34 1,223.25 930.16 379.16 1,672.64 183.22 1,923.04 10.00 335.48 132.56 115.20 1,839.65 269.10 140.13 208.37 287.38 $19,035.02 Amount Paid $8,000.00 $11,035.02 $19,035.02 3/14/2007