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Home My WebLink AboutPermit Building 2010-12-30 CITY OF SPRINGFIELD SPR,IN,G, FIE"L~ tll-- ' li:"r @;1 ),~J,,,.:.^ OREGON Building I Residential Permit PERMIT NO: COM2009-00381 IVR Number: 811000051728 www.Ci.spfingfield.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: STATUS DATE: Issued 12/30/2010 ISSUED: APPLIED: 12/30/2010 03/23/2009 EXPIRES: VALUE: 06/18/2011 $212,346,00 SITE ADDRESS: 752 28TH ST 754, Springfield ASSESOR'S PARCEL NO: 1703361111300 SCOPE: DUP WORK INVOLVED: NEW TYPE OF STRUCTURE: RES Duplex - DO NOT FINAL UNTil DPA has been paid - SEE CASE 811-SPR2010-00295 FOR PERMIT EXTENSION. 'PROJECT DESCRIPTION: Phone Number: OWNER: ADDRESS: DUKES & DUKES CONSTRUCTION PO BOX 71095 EUGENE OR 97401-0182 CONTRACTOR INFORMATION Contractor Type Plumbing Contractor Mechanical Contractor Electrical General Contractor Contractor Name DENNIS SCOTT EGGERS PACIFIC AIR CONTROL INC EASTSIDE ELECTRIC INC DUKES & DUKES CONSTRUCTION CO Lie Type CCB CCB ELECTRICAL CCB ~ Lie No Lie Exp Phone 142776 05/05/2012 541-459-0110 164092 04/18/2011 206~682-6393 20-405C 07fOl/2011 541-741-1499 65060 03/16/2011 541-747~3130 BUilDING INFORMATION ~ # of Units: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: 2 25,00 FE E E o Construction Type Occupancy Type Occupancy Comments U # of Bedrooms: 4 Sprinkled Building: Fire Alarms: Energy Path: 004A Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal! Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: , Sq Ft Other: Occupancy Load: 790 1126 392 o ,~ . ATTENTION: Oregon law ~_ _ ' Site Information f II ' -! p_l~ Engineered Fill: 0 .owrules adopted by the Oregon Utility Fill Volume: .Noliflcatlon Center, Those rules are set forth Flood Hazard AI..PAR 952-001-0010 through OAR 952-001- land Hazard ArP.P.90.. You may obtain copies of the rules by Retaining Wall: calling the center, (Note: the telephone Soils Report ReqOit.filtper for the Oregon Utility Notification Center is 1-800-332-2344), Springfield Building Permit 12/30/201 2:59:S1PM ., '.':" '.~i'~;~.;..:.,..t...' NOTICE: E lFTHE WORK . THIS PERMIT SHAll ETXH~~ PERMIT \S NOT :~. AUTHORIZED UNDER ," , COMMENCED OR IS ABANDONED FOR ',' ANY 180 DAY PERIOD. -- Page 1 of 7 SPR.IN.G. FIE.~.LD ..... '~~l_ ~~;. (if:b ., ;.OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit , PERMIT NO: COM2009-00381 IVR Number: 811000051728 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 In'spection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@cLspringfield,or.us PROJECT STATUS: STATUS DATE: Issued 12/30/2010 ISSUED: APPLIED: 12/30/2010 03/23/2009 EXPIRES: VALUE: 06/18/2011 $212,346.00 SITE ADDRESS: . 752 28TH ST 754, Springfield ASSESOR'S PARCEL NO: 1703361111300 PROJECT DESCRIPTION: SCOPE: DUP WORK INVOLVED: NEW TYPE OF STRUCTURE: RES Duplex - DO NOT FINAL UNTIL DPA has been paid - SEE CASE 811-SPR2010-00295 FOR PERMIT EXTENSION. Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: 800 28.00 DEVELOPMENT INFORMATION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: 3 REQUIRED PARKING Total: 4 Handicapped: Compact: Yes 26.70 21.00 PUBLIC IMPROVEMENTS ~ Street Improvements: Sto~m Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Roof drains will becpiped to proposed private 10-inch storm system. Surface runoff will be directed to proposed private bio-filtration swale via valley gutters. FI SS Yes Sidewalk Type: C5 Downspout/Drains: Valuation Description ~ Descrietion Tvee of Construction Unit Amount Unit Tvee Unit Cost Value Springfield Building Permit 12f30!201 2:59:51PM Page 2 of 7 www.cLspringfield.or.US CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: COM2009-00381 IVR Number: 811000051728 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us PROJ'ECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 12/30/2010 03/23/2009 EXPIRES: VALUE: 06/18/2011 $212,346.00 12/30/2010 SITE ADDRESS: 752 28TH ST 754, Springfield ASSES OR'S PARCEL NO: 1703361111300 PROJECT DESCRIPTION: SCOPE: DUP WORK INVOLVED: NEW TYPE OF STRUCTURE: RES Duplex. DO NOT FINAL UNTIL DPA has been paid. SEE CASE 811.SPR2010.00295 FOR PERMIT EXTENSION. FEES PAID ~ Descriotion Amount Paid Date Paid Reciot # SDC MWMC Administration $10.00 08/25/2009 1200900000000000982 SDC MWMC Reimbursement $195.80 08/25/2009 1200900000000000982 :mc MWMC Improver'2.~r'.!___ $2,018.34 08/25/2009 1200900000000000982 :;~~t~r~~" .$3816 02/22/2010 1201?00000000000158 ~;;~~~':-'f:!irinjl.1..0..o~~_'L':~_~___.~________.!2.~___0~3.2/~~.____---E.c:.1~o::!?00000158 Residence Wiring Ea Ad?t1500 . . . .. $50.00 . 02/22/2010 1201000000000000158 + -5"/~T~0nol~gy. ~~:: --.. . ~===~=-"':.::'::__--=-~==~_-_'::":$15~._===,-=02i22/3?10 =-~===== =-,1.20,1.<20000?000000158 ~ Techno~gy Fee _, $122.08 .__'____.,2/30/2010.________ 2~0~?11~4 Vent Fan $72.00 12/30/2010 2010001184 _____ _~~_~*,___. ~'___'"_"W Plan Review Residential $759.63 12/30/2010 2010001184 ~-"~.. Willamalane Attached (duplex) $6,200.00 12/30/2010 2010001184 + 12% State Surcharge -$267~~ 12/30/2010 2010001184' Storm Drainage Impervious Area $1,322.82 12/30/2010 2010001184 !!Omp Power 200 amps or less $63.00 12/30/2010 2010001184. Plan Review Major - Planning $211.00 12/30/2010 2_~1..o002184 SDC Sanitary/Storm Admin $269.30 12/30/2010 2010001184 ~anita_ry Se~~1..'!'Frovement $1,135.98 12/30/2010 ___._2010001184 Sanitary Sewer - Reimbursement $1,493.92 12/30/2010 2010001184 SDE Tr-.nspo R.;imburs;;m-';;'j - --- -.-- ----- -'$403.08-' ---, 2/30/2010'-----. - 2010001184 SDC'Transpo Improv;,;,;;nt'----- -- . - '---$1;777:96"""-'- 12/30/2610------------2010601 i'84' SDCTransportatio~ Ad'[;;jo-- -..-. ,.,_~_~ 48.59 =~. -12i301201o-- - -==== 201!;J001 i:B..i. Addressing Assignment $76.00 12/30/2010 2010001184 Dryer Vent $18.00 '~"-T2i:l0/201 0 - .-------;.'0100'01184' Exhaust Hoods $26.00 12/30/2010 201006118'4 3 Baths One & Two Family $804.00 12/30/2010 2010001184 Fire SF Fee - Residential $115.40 12/30/2010 2010001184 Building Permit $1,168.66 12/30/2010 2010001184 1;!Applia!'ce --------$7'Mo-------...12/30/201 0 -------201'0001184 Total Amount Paid ,. $19,130.30 Springfield Building Permit 12/30/201 2:59:51PM Page3of7 ....;--. .;. SPRI~G.~ FIEl..~ ~A.. "';~~ .,~ . -- OREGON ?\;"'-;;-" 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax 541-726-3676 CITY OF SPRINGFIELD Building I,Residential Permit www.ci.springfield.or.us PERMIT NO: COM2009-00381 IVR Number: 811000051728 permitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: 155 ued 12/30/2010 ISSUED: APPLIED: 12/30/2010 03/23/2009 EXPIRES: VALUE: 06/18/2011 $212,346,00 SITE ADDRESS: 752 28TH ST 754, Springfield ASSESOR'S PARCEL NO: 1703361111300 PROJECT DESCRIPTION: SCOPE: DUP WORK INVOLVED: NEW TYPE OF STRUCTURE: RES Duplex - DO NOT FINAL UNTIL DPA has been paid - SEE CASE 811-SPR2010-00295 FOR PERMIT EXTENSION. Plan Review I DeDartment Initial Review Received Due Date 08/11/2010 08/11/2010 ComDleted 03/23/2009 Result Approved Reviewer Lisa Hopper Public Works Review 03/27/2009 APP TSS Comments: , Roof drains will be piped to proposed private 1 O~inch storm system. Surface runoff will be directed to proposed private Structural Review Comments: As noted on plans and conditoins letter -I ...... ' . ,Y';?', " '""',,. '''',. '~. .' ,,~. ..,,,- .. . .PlannirigRe.view . ,,: ,iAw;~',+",.,,,, .,...'" "",- ~..- :", '.,. ";.J ;'0. ,c .~'" 04/01/2.0. 09.~ ,..., ':l(APP,~ ,:t.~~.("~U':~'.4.~~,' ,":. ._ .DDKj:-,",~ '; ~:;1,;h","'- ., " ~ i- '. 7...,...",.-.'"-..'.....)}"."t...'-... .' .. :--\...",..:.....,..._:.,.'...:-."t.-~-'.k'i.,.<..~"',=-~,.'.e"-""~4:..:T."'--~.....,'.'" "'--,' " ~~..'. .-. .1'.' .c~~,;,e~t.~:p~oi"cn.o~.,e'co.n'~.tr.~ic.ted a','.hown O. n'final~..ite-Pl.a,~~.:for.:p.. R,C<2.605~0.-.00. 7.2;:\.0.'. C.C. UP..f... NCYWILL~PJ)E"G,I.V. E..N. ;.U.W...I,~:. I,," ' .:, ' .' THE S!TEiMPi;!O~~.::;1Et:JTS,ARE INANp II'!SP.!'CTED~Y ,fLANNING,,;;,.Call [)ey,tteKelly (g)744-~ 156 f?r final '.Ite. . ~~ ~_~.~:~.",~lm~P~.EtI9Dii):le_a.~E1g~y~e._1~"hQ!!@ notll:?_Eh.~~..:,::"':.,2~_..L'_L.:.~t, ; -~~~ ~~__ -.A"!-..-~_~",,,,:- ~..:.:."..-~.",_ Planning Review 08/11/2010 08/11/2010 04/01/2009 Approved Deyette Kelly Comments: Project to be constructed as shown on final site plans for DRC2005-00072. OCCUPANCY WILL NOT BE GIVEN UNTIL THE SITE IMPROVEMENTS ARE IN AND INSPECTED BY PLANNING, Call Deyette Kelly@ 744.4156 for final '.ite 48 hours notice. ,""] ~ '., ,! ___,..-.,._..._ ,..__1..- Permit Issuance Deferred Payment David 08/11/2010 08/11/2010 08/25/2009 Print Permit 02/22/2010 OK DJB Comments: issue electrical only fR~b1ic wbFkFFifiew, ,;;;~;;:: :0s/1i/2~f6~ 08/1112010 ';031~7/20)Q'\:' ,:AP'proved3;;:"'~WTOdd Singietori' . ,~;,f;~':~; :-:.~':"--; t. COmmer!S, :R.o;;-f.d~a!n~~ill..be;pi~e{to.'pripot~d'f}~~~~-l,~~j~-cp~sii;;i:,~jsi~_e:;.~.u1iq~fr,~Q9ff;;~U': ~~vdire'~J~~,Jo~eio'ro.'~ispr.ivate.... " ....., .'~, " ';'_~ ~; ,-.:.' . bJo:filtratll~!JJlwale,vla valley.gutters; - """;0^,~~!.,;;:.Lf'\'--:J..iF ';-.' :.~ ,., :\,..... ,'" .' ,.,-.~ >';-/~.4t::.;::~2";l:'- ..._~,:-...:........:.~"'.:.~~.) Application Acceptance 08/11/2010 08/11/2010 Application Accepted S Shamberger Permit Issuance~;-:i'*t:};>;__08l-11/20fo~~.})8I;1j/20-10 ',.' oshf/20,1 ()i;: :~Defe"rred1R~rymenf:~~:::<"~,:,- SiShamoerge'f" , . ";/":: ~ "'",,' :' '.,::k:~::J:;;"" "",.,,:,q,;>',:',::,} i~' ,,! ",'2:.: - ~. ....'i/~.:,-<<r;:$'"' "C!t-,;;;:- :.' _ ,';;""",!::;; ';''; y' ;:::<'{I:'''':' :',":!i.,J;;;;.:,{' :". -':.' _, ' ..' .,;'r '.' ...~ ;'0<-....\,. '":.:~ /" .,Comments: "': AII;inspections;-rexcept:F-inals;ocan:be'conducted .~C of..Oicannot be ,issueduntil'all.ins"peCtions are 'co'mplete:anddeferred~' -.;, ,,' " '.." ;,' -~"'l'''',;plymeht:T~;r~s~iy,~Jf:i\:;'\:, .l~.,_:' ,_tt:'!~::~~2:::]tJ;p ",~': i.", ~~',:: . :'i'~; :,,~,t"f<..::j::::.:P'1;:A::<:f~I~,,~~ ';,,>Y'M':'-_;!k?~:; ~,',' . ,,' .'. Inspection Comments: Inspection in process 11/05/2010 In Process Guy Dixon Springfield Building Permit 12/30/201 2:59:51PM Page 4 of 7 www.ci.springfield.or.us . CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: COM2009-00381 IVR Number: 811000051728 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: STATUS DATE: Issued 12/30/2010 ISSUED: APPLIED: 12/30/2010 03/23/2009 EXPIRES: VALUE: 06/18/2011 $212,346.00 SCOPE: DUP WORK INVOLVED: NEW TYPE OF STRUCTURE: RES PROJECT DESCRIPTION: Duplex. DO NOT FINAL UNTIL DPA has been paid. SEE CASE 811-SPR2010-00295 FOR PERMIT EXTENSION. ~~~;~~;:r;n~e~~~~~;-:~";w:@;~~~~;~~(~~,~,f,:~~~:;:~:~~~si~:r?~~fi~~r~~~i[J~j[i~2~-.~ :'_. Inspection 11/05/2010 In Process Robert Castile Comments: Inspection in process SITE ADDRESS: 752 28TH ST 754, Springfield ASSESOR'S PARCEL NO: 1703361111300 .. '] Inspection Comments: Inspection in process In Process Guy Dixon 12/20/2010 " Springfield Building Permit 12/30/201 2:59:51PM Page5of7 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: COM2009-00381 IVR Number: 811000051728 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@cLspringfield,or.us PROJECT STATUS: STATUS DATE: Issued 1213012010 ISSUED: APPLIED: 12/30/2010 03/23/2009 EXPIRES:. VALUE: 06/18/2011 $212,346.00 SITE ADDRESS: 752 28TH ST 754, Springfield ASSESOR'S PARCEL NO: 1703361111300 SCOPE: OUP WORK INVOLVED: NEW TYPE OF STRUCTURE: RES Duplex. DO NOT FINAL UNTIL DPA has been paid - SEE CASE 811-SPR2010-00295 FOR PERMIT EXTENSION. I INSPECTIONS REQUIRED I PROJECT DESCRIPTION: Inspections 1170 Post & Beam Post and Beam: Prior to floor insulation or decking. 1410 Underfloor insulation 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. 1430 Insulation Wall 1120 Foundation Foundation: After forms are erected but prior to concrete placement. Footing: After trenches are excavated. 1110 Footing. 4120 UFER Ground 4220 Electrical - Service 2200 Underfloor Mechanical Underfloor Mechanical. Prior to insulation or decking and including required testing. 4500 Rough Electrical 3200 Sanitary Sewer 2300 Rough Mechanical Rough Electric: Prior to Cover Sanitary Sewer Line: Prior to filling trench and including required testing. Rough Mechanical: Prior to Cover 3500 Rough Plumbing 3170 Underlloor Plumbing 1110 Footing 3400 Storm Sewer Rough Plumbing: Prior to cover and including required testing. Underfloor Plumbing: Prior to insulation or decking. Footing: After trenches are excavated. Storm Sewer Line: Prior to filling trench. 1170 Post & Beam Post and Beam: Prior to floor insulation or decking. Post and Beam: Prior to floor insulation or decking. 1170 Post & Beam 1410 Underfloor insulation 3200 Sanitary Sewer 4220 Electrical ~ Service Sanitary Sewer Line: Prior to filling trench and including required testing, 4220 Electrical. Service 1996 Final Inspection - Planning 2999 Final Mechanical Final Mechanical: When all mechanical work is complete. Final Plumbing: When all plumbing work is complete. Final Electric: When all electrical work is complete. 3999 Final Plumbing 4999 Final Electrical Springfield Building Permit 12/30/201 2:59:51PM Page 6 of 7 . . . s,p;. ~,NG~?ij.D . ~.~ r"4'fik0j:~_ 0 REG 0 N www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: COM2009-00381 IVR Number: 811000051728 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: STATUS DATE: 155 ued 1213012010 ISSUED: APPLIED: 12/30/2010 03/23/2009 EXPIRES: VALUE: 06/18/2011 $212,346.00 SITE ADDRESS: 752 28TH ST 754, Springfield ASSESOR'S PARCEL NO: 1703361111300 PROJECT DESCRIPTION: SCOPE: DUP WORK INVOLVED: NEW TYPE OF STRUCTURE: RES Duplex. DO NOT FINAL UNTIL DPA has been paid. SEE CASE 811-SPR2010-00295 FOR PERMIT EXTENSION. 4999 Final Electrical Final Electric: When all electrical work is complete. Final Electric: When all electrical work is complete. 4999 Final Electrical By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information here'on 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 th.e 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. '>"-> A~ ~Owner or Contra /f'Signature - ~ --;;.% ~ ;'~-~~/U Date ') Springfield Building Permit 12/30/201 2:59:51PM Page7of7 This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 ~ ~_daysofissnance~odCwork is suspended for)80 days... .' .. .. . ~ifBlll:f[Q.!:>~i!lG~(:jYE:RNM';N:t:~AeiaR(:j:vk:l!!.ili:'Im~ Zoning approval verified? 0 Yes 0 No l\li.~~c:k:mE~QRY(Qlii:i:€;QJ:ls]tRi!jCjj;IQN~~. Residential D Government D Commercial i!i:~_jQI31S[tJ;EiiNEQlr""'jf;i0NfANDllifQG~mlQN~ Job.siteaddress: 7SZ. 7SL-( Z lit.€... ~ City: Sl' Pb State: oiL ZIP: 77'177 Reference: '70 SS b II Taxlot.: I (SOO g,1lW1li:QESQRl~TiQi\jI'QFJLV\lQ.RK!IlIIlii1II"i:i:)l.l." . ~ ~-tA- W r tLe- OIA 'f L.e---;c~ ElectricalPermit Application crfY: OF SPRINGFIELD' OREGON;" " ". ., '/'"' .'. . j'--~ (.~~_ ",,:,,'.c " ,-~, .,( -."'i.4'* " . 225 F;ftb Street.Spri~gfi"d, OR 97477+PH(541)726-3753+FAX(541)726-3689 Name: 'Dt\-Vl ~ Address: "pc> rS,Q City: Eu.-C-e:Ne!: 97l/0( 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: .JE._CQN;lfR;~;Q1tQRl!INSiJ"~II~i[jQN_'i"lIilf. Business name: E" S7 <:; J () E ELf C--rfll ( Address: ?, 10. rJ Bose A 6" f u,. N 6 City: 5 P r;: tD State: 0 ZIP: q 7 V 7 ---- " Phone: 5 / - 7 y: / -/ VCfC; Fax: - 7 Jb - <f'1(,O E-mail: R}::../(~1'<S7510f (1 Y(lJlfJO JOin CCB license no,: J /77"2 (J BCD license no.:.;1.0 -lfOTc. ~7)7s O(j.(fc Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: 440.2584-) (9/08/COM) ell': '~jW#lL?iIim'l*~\lm~~~iM\~.,~:, , DERJf; TMENm:~t1SEtON~Y;:" i " W1;iO/;jffi,,~~~0.tfut,"':hc05rl"'&Ji;ID~*;; .." .?i@ CO/NI Zc> 0 1- Co"3-&' Permit no.: Date: Z- Residential, per unit, service included: 1,000 sq. ft. or less (4) Each additional 500 sq. ft. or portion thereof . 2 $134.00 Z $ 25.00 $2~ $50 Limited energy (2) Each manufactured home or modular dwelling service or feeder (2) $ 32.00 $ $ 63.00 $ Services or feeders: installation, alteration, relocation 200 amps or less (2) $ 81.00 $ 201 to 400 amps (2) $ 95.00 $ 40 I to 600 amps (2) $158.00 $ 601 to 1,000 amps (2) $205.00 $ Over 1,000 amps or volts (2) $469.00 $ Reconnect only (2) $ 63.00 $ Temporary services or feeders: installation, alteration, relocation 200 amps or less (2) 201 to 400 amps (2) 401 to 600 amps (2) $ 63,00 $ $ 87.00 $ $126.00 $ Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: new, (Ilteration, extension per panel a. Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) . Each additional branch circuit $ 55.00 $ $ 6.00 $ Miscellaneous fees: service or feeder not included Each pump or irrigation circle (2) Each sign or outline lighting (2) Signal circuit or a limited-energy panel, alteration, or extension (2) .Each additionaUnspection: (I) $58,00 $ ~eeUibJf;N:=l!lSEt~='~.~' '1.... ..,!Il\!'[; .,!%%10_~j;L,. . ~~ (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) $ 63.00 $ 63.00 $ $ $ 63.00 $ (B) Enter 12% surcharge (.12 x [A]) (e) Technology Fee (5% of [A]) TOTAL fees aod soreharges (A through C): $ 3/'3 . O/f. $ 3~ . $ /5"qc $"3720(, , Job. No. -ill! - 2;61 SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2009 -NAME:~\(\. ~-~9iJ .. 'P'.'PHc5NE:.q~~"~(:)&r-' . ADD~ESS:~Dn \b\o.rc{roTY~STATEQtzIP:Cl14r8 LOCATION OF PROPOSED BUILDING SITE: . Street Address:] ffl- ~ """\ ~~ ~B~ ~-r- Plat Name:' . Tax Lot Number: JJ03 -olo l \ \ \ 3fX). 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the back.) . A.SinQle-Family Detached NO. OF UNITS X $2,858 per unit = $ B. SinQle-Family Attached NO. OF UNITS c9.. X $3,100 per unit = $ 109 tx::>.oO C. Multi-Family Apartment NO. OF UNITS X $2,641 per unit = $ D. SinQle Room Occupancy .' NO. OF UNITS X $1,321 per unit = $ E.' Accessory DwellinQ Unit NO. OF UNITS X $1 ,550 per unit ,;, $ WILLAMALANE SDC $ (09 ro. c.D i? 2. SDC CREDIT (If applicable) SDC payer must furnish proof of Willamalane Credit approval.) $ 3. TOTAL WILLAMALANE NET SDC ASSESSED '(if SDC reduced for Credit) $ lo'lm.W - . '. .. ~ f!f) I W\ t) Date 5 .___.",'$>-''';;;'''~"~''''''''-'''~' '&' 'k;1!;'fUf__9'~-" t!'<~"'" .""""'-" ~..~., ~''fj-,\~/hJI ~"""'" = y' ,'r. ..,," 4i' ~ "'" 0'> -~"i.*, ~~"'""'i_~ >>"''''' "b-.!l . _ :,<' ;F@Im;~K)KSER[t:\f@'F ,ll'iID ,'QR!EG(j)'NI'::;'id,' :'. - ..1IC"..4c*' i ~&:'_~W . d, ';;H''''"'''~ifrt'Iv(;;:!0""" c ,,_ ~'Iil. ,,-4iIlJ_~" "" _,"," 11.~:' ~~'* .',",,':If )1"""''''' 'Xlf"i 1.- _;:<'0~J~__ '"' ~-'- ~ .~. """"",~"" ~ 225 FIITH STREET. SPRINGFIELD, OR 97477 . PH,(541)726,3753 . FAX, (541)726,3689 ELECTRICAL PEp.j}fIT AJ;rUCATION City Job Number ~ - :.::::tl! 1. FWGAiioN:OEmv~r':4TiON:"="'.~!~J 3. \esrL~~~-==rn,",~~0" ZON INITIALS DATE SOURCE Date LEGAL DESCRIPTION: -D03'?iQ \ \ \ \"3D 0 JOB DESCRIPTIONUttt- \! . Penn its ~-t;"nsferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Expiration Date / Constr. Contr..Number / ExpiratioriDate S. / fS .. El .. l~at\lfe 0 upervlsmg ectncl / OwnersName W.U~ \J{~Q.O ~ddress .i9bn ~O\Cl...f\fi..D.--) city~L one~ OWNER INSTALLATION The insmUation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 ~~ ?,;V ~ ~~ ~ A. Service Included 1000 sq. ft. orless Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $121.00 $ 22.00 $57.00 B. 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolls Reconnect Only $ 73.00 $ 86.00 $143.00 $186.00 $426.00 $ 57.00 C. {P5.cV New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 50.00 $ 5.00 E. Pump or irrigation $ 57.00 Sign/Outline Lighting $ 57.00 Limited Energy/Residential $ 29.00 Limited Energy/Commercial. $ 52.00 Minimum Electric Permit Inspection Fee is $52.00 + cP 4. 12% State Surcharge 10% Administrative Fee 5% Technology Fee TOTAL Shared Drive(T)/Building FonnsIElectrical Permit Application 7-08.doc 225 Fifth Street Spr~figficl'il, Oregon 97477 541-726-3759 Phone "!'iftiI"'WM>~ .,'.,".., .....' fr&:,., .. ~_"'W _ ..,...... ." -".- - - . - - " f>;) ,,:- -"'.- -" " ,,,,,.,;" .~" ,-,- ~ .", "--~"' --~ .. City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1200600000000001703 12:15:07PM Date: 11/30/2006 Job/Journal Number COM2006-0 1525 Payments: Type of Payment Check cReceintl Description Plan Review Residential Paid By DUKES AND DUKES Item Total: Check Number Authorization Received By Batch Number Number How Received djb 14321 In Person Payment Total: Amount Due 578.92 $578.92 . Amount Paid $578.92 $578.92 , \ \ Page 1 of 1 11/30/2006 RECEIPT #: WlLGr.,'N.~F~..EU>.... ".ii. . :. ..... .. . ' . ;, ~ .... I' I 1200900000000000982 , City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Date: 08/25/2009 1: 11 :57PM Job/Journal Number COM2009-00381 COM2009-00381 COM2009-0038\ Description SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration Amount Due 195.80 2,018.34 10.00 $2,224.14 Payments: Type of Payment Check Item Total: Check Number Authorization Paid By Rec~ived By Batch Number Number How Received DUKES AND DUKES CONSTR DJB 16274 In Person Payment Total: Amount Paid $2,224.14 $2,224.14 cReceint 1 Page 1 of 1 8/25/2009 www.ci.springfiefd.or.us TRANSACTION RECEIPT COM2009-00381 752 28TH ST 754 CITY OF SPRINGFIELD 225 Fifth SI Springfield,OR 97477 541-726-3753 permitcenter@cLspringfield.or.us RECEIPT NO: 2010001184 RECORD NO: COM2009-0038I DATE: 12/30/2010 [Q:ESCRjR;fiO~~~~~~'(\~i~~JS(:::c;:QO]rriC:oJrE~~~AM9]:r:i;fii:iD:~tlS~lr\m;i!Wl!;3 BuildingPermit. . 224-00000-425602 $1,168.66 _..___ .._.. _.________~___ ____ '""._~._.__.____._._n_......_.__._,___._._._.._.,...____._,.__.____.__._..__.__.__...~__._.__ ..__... ,_._.__.____.. Fire SF Fee - Residential 100-00000-424005 $115.40 ...-.. '~'-""------''''-''''''''''------''' ..--...--..--........ _.._-._._~--._._~.- --'-"-'''' .--...-.......-..-. .---....---..---....--...-......-..... ......--...,. .... --_,"".'''''-..- 3 Baths One & Two Family 224-00000-425603 $804.00 ~._._,,---~--_._._-_._._-~_._--------_.....~.,_.~--...^....- ''''. _..._--_._-_._"._._~.._-_.~......~~. -.'.-"--- '"',,'--.-.- .1 st.A~~.I.i~.n-'?~___~_._____,__._ ._______._. ______.. _ .._._.~.~:?f!.O.~?.-'\:2.5.~?~.. ______.... .._.____._._$!..9.:E_~. Exhaust Hoods 224-00000-425604 $26.00 .. --.--... - ... _...~._.__......-..__.~......_-_.._....._....._.... -.__...~... .... ---, . -..... ..._'.-' ......----.. ~._.._--"-_..._. .. . . ...-.. ,_.. ~.." " -"-'~"~--'" - _... . Dry,!rVent _.___._._____________ .__m. _..... 2~~<l.0<l.0_0.:".~5.6.<l.~_._.__._..m_ _ $1~00 Addressing_Assignm_en~_._. 224:0~000:425.602 $76.00 Sgc:.:':r"'n~~o.rtati9.~.!\<!'!!i"-_____._.. _._.. _______.. ___ ~ ___. ._.__ __.!_1~:~?_000-4:2.~~0~____._ $14859 S~C.Tra_nsp_o I.,,!pr~v"-n:'e~.t... .....m.. .. .____h._..._........ _.. .~~!:?~09.?~4.8~~?_...___ .__.__. . $1,m96 SDC Transpo Reimbursement 446-00000-448026 $403.08 ____. ,.. ~_ ,_~ _~._r ..... ~M__'_ 00_...._'"_.h~._._..~_..."._._..~.,,~~.._. ~_.~._._..______.____..__..__.._..._~~_u._. _';~"'<<", .__ __. ....__,.._.. Sanitary Sewer - Reimbursement 442-00000-448024 $1.493.92 ____^.,.........__...."__.~__..._~___.__.._.........__......_......___..____. _..~___.._.__...._'''__._..___________.~_._n._._~."..._.~.0<_._., "'_"_'___' _.. ._.M_.<_._..._ ~anit~.'Y..-"e~.- Improvem~__...______..._..________._.._ _.._~4~~~(~O_00-4~~0~~.__..__ _____.____..$_1, 13_5.98 SDC Sanitary/Storm Admin 719-00000-426604 $269.30 _...__._---_._-_..._~-----~.__._..__._-_.~.__.._._.- "~...~_._-_.._._.,,---_.._-~~-_...._~..._...._._-,....__."'-"-'''''''-",'~'''--' ~-_..-- _.. Plan Review Major - Planning 100-00000-425002 $211.00 _._.__.__~_____.__._~_._.___..___,,,.__._..____....._.~_..._._".._.-"__._~_.____.__..' ,_~._._,.............w,_.~.__._...,_. _.,.~ :.?_"&_:r..e-,~.~~!?gYXee. ,__ .___.....__._.._._ _________.._.!~0:O'9???~~2.~~?~.__... . _... ....__~~ 2~,~8 Ve"^t Fa_n. ... ._.._..._ _..p' __ ___.......... _._.. _ __2~4~09_~.?O':~.5.6?4_..__.. . _ ." . ~!200 Plan Review Residential 224-00000-425602 $759.63 . .u_" ~ .. _'_n'.. __ ".u... ~U,,-,!!~.I~!,e Att~ched(duplex).. .. ___ ..___._ 8~1:.0?O?_0:31.5_~~~____.._ ........ $6.'2~0.0~. :,:_1 ~.O(o.~~!".~,.~~rg~__ ..___.__.:....._ ........ ______ ....__._..._.~2.~:O'~???:~5_~?~,__..._ __ _.__.. . ... '.'h.~.2~!.~8.. ~oc.n:'..O'ca~"^~.~e_I~-"r::!ou~_Ar-"~.___.___._..._ .___. ....__.___~~?_:??0.?~~~~~O'3~_._._._. ..... .... _.. ~},3~28.2 I-':':'2E.!:."-w.~:_~C!.O_a_'!!~s..9.r.~ss._________....__._._______ _.. ..__2~~~?Oo..O-4~~.~ ~~..__ ._.. $63.00 TOTAL DUE: $16,534.10 !I1R~YMENT;J;fiY:egf_.BAy,OB1f~cAsH1EB.;[9B6WiYs~~G~MiI1i~NI$1\\7iM\.B~~~M9.:~LN_1lR~J~~$~ Check ab mcguire trust $16,534.10 .'.' ,,-:- .:, -:'~~ " ...., .,. '.. ." ..... .~ '-~""'C . /y 'Ti7 r 'ONTENTJ FIE'.., W �t �.�4`Y-ifi, %l' � •, , H A A?m7N,1S ! ruin c") i. t r rtC:` c. a f b /i .' h� dr, 7 ?� WfllN Pt;C, t AFTER "FHI. h, iF..�?i�l� estrA�6 �s� saF��"€il�YE Thi bu1LDiNG OFFICIAL-. CITY 05 cp'' `NG OREGON APPROVED DAT MINIMUM SETBACKS - INTERIOR LOTS All measurements are from Property Lines -Front yard to House 10 feet -Front yard to Garage 18 feet -Side yard to House or Garage 5 feet -Rear yard to House or Garage 10 feet P.U.E. MAY CHANGE SETBACKS Project to be constructed ass own on a'= final site plans for DRC2005-00072.' OCCUPANCY WILLNOT BE GIVEN UNTIL THE SITE EMPROVEMENTS ARE IN AND INSPECTED BY PLANNING. Call Deyette Kelly @ X 744-4156 for final site inspection. Please give 48 hours notice. -•r1 ILL �yte•..'.Lr�- 0 0 0 a H x 0 0 H z z cri _O W w �• s7P:'T3�' FR'E"GL'1�4T - 1� to E ANC.,. C 1J NIlr- J /y 'Ti7 r 'ONTENTJ FIE'.., W �t �.�4`Y-ifi, %l' � •, , H A A?m7N,1S ! ruin c") i. t r rtC:` c. a f b /i .' h� dr, 7 ?� WfllN Pt;C, t AFTER "FHI. h, iF..�?i�l� estrA�6 �s� saF��"€il�YE Thi bu1LDiNG OFFICIAL-. CITY 05 cp'' `NG OREGON APPROVED DAT MINIMUM SETBACKS - INTERIOR LOTS All measurements are from Property Lines -Front yard to House 10 feet -Front yard to Garage 18 feet -Side yard to House or Garage 5 feet -Rear yard to House or Garage 10 feet P.U.E. MAY CHANGE SETBACKS Project to be constructed ass own on a'= final site plans for DRC2005-00072.' OCCUPANCY WILLNOT BE GIVEN UNTIL THE SITE EMPROVEMENTS ARE IN AND INSPECTED BY PLANNING. Call Deyette Kelly @ X 744-4156 for final site inspection. Please give 48 hours notice. -•r1 ILL �yte•..'.Lr�- 0 0 0 a H x 0 0 H