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Home My WebLink AboutPermit Building 2002-2-28 .' , e- . I Job# 02-00178-01 I CITY OF SPRINGFIELD, OREGON 1 225 Fifth Street Springfield, OR 97477 location Of Proposed Site: 3322 Assessors Map#: 17021934 lot: 93 Block: Owner: Greg larkin Po Box 2041 Address: Scope Of Work: Single Family Residence RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 4 ~ /)'.9E>'~ ~-;:Q Bl"1t \).~. Job Number: 02-00178-01 Office: 726-3759 NOr/C/. Inspection Line: 726-3769 tl1ls. fj . Falcon4lYTI1tl,RMtr SH. CtJMAf, fit/to IJN 'ALL EXPIRTax lot #: 05900 IlNJI' '" G_CW.:. ?lR THI.~ ~~6dl~~iR>>iA~bleside C3 Jllr (/li~tY.tI~IittJNfE{17/8,~ City/State/Zip: co~9D,s, OR New Value: $175,269 Applicant to submit plans w/ same-as comments for review, S"mp. ,,~ ~:'l7n F"lr.on Drivp.. Contractor Type Contractor Registration # Expiration Date General Contr River Valley Builders Inc 134566 04/15/2003 PO Box 2041, Corvallis, OR 97339rr€/lJ1 fOlio IU/V., . Electrical Contr G & E Electric Inc NOtific W:U/e&~&68egOrIiClIi\I 09/15/2003 Po Box 1686. Albany. OR 97/34JJAA atlOn CentOPted by th reqtl/res 009 95:2-" er. Ih e OJ-tl YO\( to Mechanical Contr Midway Plumbing Jnc O. You v146l}Dl0 OserUleur/'i5I2reJJfr 2428 Three Lakes Rd SE, Alb'iiiWi'W1h may Obtain thrOUgh O~ are Set f~ty 97321 nU"'berf~ eCenter r..COPieSOft A95:2_00 rth rther;, '\.vote. he "',.i_ ). Plumbing Contr Midway Plumbing Inc Cent 'Hlllj'go . the tt9J7/201'JlHfi)tJy 2428 Three Lakes Rd SE, Albany, OR ens l'800~UtilitYNot~f.hO?e 97321 32-:2344t ICatlon Office Use Quad Area: # Of Units: Constr. Type: Water Heater: 3RNC 1 (VN) Wood Frame Gas land Use: Zoning Code: Bedrooms: Range: Single Family Dwelling LDR 3 Gas # Of Buildings: 1 Occupancy Group: Dwelling Heat Source: Forced Air Gas Sq. Footage: 2237 Phone 541-726-0330 541-967-8627 541-928-7927 541-928-7927 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 working day, Required Inspections I Building l -Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation ir -After trenches are excavated, -After forms are erected but prior to concrete placement. -Prior to floor insulation or decking, -Prior to decking, - Prior to cover. -Before covering sheathing with finish materials, Verify Ground Rod Footing Foundation Post and Beam Floor Insulation Ceiling Insulation Shear Wall Nailing Street Improvement: Curb Cut?0 San Sewer Depth (Ft): Storm Sewer Available? Special Req.: Security Required: Bond Begin DateTime: DO/DO/DODO 00:00 AM Special Instructions: Other Utilities: v Framing Wall Insulation Drywall Final Building Temporary Power Verify Ground Rod Rough Electrical Electrical Service Final Electrical Underfloor Plumbing Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Final Plumbing Underfloor Mechanical Rough Gas Rough Mechanical Gas Service Final Gas Final Mechanical SW-Curbside CC-Standard Project Supervisor: . . Page 2 of 4 Job# 02-00178-01 I Required Inspections Building - Prior to cover. -Prior to Cover -Prior to taping. -When all required inspections have been approved and the building is complete, I Electrical I -Approval required prior to SUB energizing pole, -Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation ir - Prior to cover. -Must be approved to obtain permanent power. -When all electrical work is complete. I Plumbing -Prior to insulation or decking, - Prior to cover. -Prior to filling trench, -Prior to filling trench. -Prior to filling trench, -When all plumbing work is complete. I Mechanical -Prior to insulation or decking, -After line is installed and capped if not attached to an appliance, - Prior to cover. -After line is installed and line has been connected 10 a minimum of one appliance. Pressure les -When all gas work is complete, -When all mechanical work is complete. I Public Works I -After forms are erected but prior to placement of concrete -After forms are erected but prior to placement of concrete Fully Improved Improvement Agr.?D 6 4 D Sidewalk Type: Additional ROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: Curbside - 5' D 8 To Curb and Gutter 6 DO/DO/DODO 00:00 AM Types Of Warning Devices Reqd. . , . Zoning: LOR FloodPlain? 0 Wetlands? 0 Journal numbers 1: 2002-02-0043 2: Comments:Sam Gollah - Planner I Job# 02-00178-01 I Overlay District: # of Street Trees: 2 . 3: Additional Requirements: Required Attachments: Source Locn: Material: Planner: Urban Growth Boundary?D Glenwood Area? 0 Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Zone X White Construction Types:(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? 0 ,Area (Sq. Feet) I Main: 2237 Accessory:428 Fee Residential Plan Check Total Plan Check Building Permit State Surcharge For Building Permit 8% Building Administrative Fee Total Building Minimum Electrical Permit Fee Temporary: 200 Amps or Less State Surcharge - Electrical 8% Admin Fee - Electrical Total Electrical Minimum Plumbing Permit Fee Three Bathrooms State Surcharge - Plumbing 8% Administrative Fee - Plumbing Total Plumbing Hood and Exhaust One to Four Outlets Minimum Mechanical Permit 8% Administrative Fee - Mechanical Less than 100,000 BTU Vent Fan to One Duct Gas Fireplace Dryer Vent Page 3 of 4 Land Use: Single Family Dwelling Pave Driveway? 0 Flood Plain FEMA: Panel 1153 of 2975 Private Garage/Carp/Stor # Of Stories: 2 Height (feet): 28 Current Units: Proposed Units:l ' Census Code: New SF - detached Total:2665 Paid On Receipt# Plan Check 02/15/2002 8058 Building 02/28/2002 8174 02/28/2002 8174 02/28/2002 8174 Electrical 02/15/2002 8058 02/15/2002 8058 02/15/2002 8058 02/15/2002 8058 Plumbing 02/28/2002 8174 02/28/2002 8174 02/28/2002 8174 02/28/2002 8174 Mechanical 02/28/2002 8174 02/28/2002 8174 02/28/2002 8174 02/28/2002 8174 02/28/2002 8174 02/28/2002 8174 02/28/2002 8174 02/28/2002 8174 Value/Quantity Fee Amount 175,269 $528.22 $528.22 H5,269 $812,65 $56,89 $65,01 $934.55 $.00 $50,00 $3.50 $4,00 $57.50 $,00 $306,00 $21.42 $24,48 $351.90 1 3 1 1 $9,00 $4,00 $,00 $4.64 $12,00 $18,00 $9,00 $6.00 . . Fee Mechanical Issuance State Surcharge - Mechanical Total Mechanical New Sidewalk New Curbcut Total Public Works Residential - Single Family - Storm Residential Improvement MWMC MWMC Administrative Fee SDC Administrative Fee Property Annexed 1997 Residential Sanitary MWMC Residential - Improvement Residential - Reimbursement Sanitary Sewer SDC Reimbursement Sanitary Sewer SDC Improvement Total System Development S,F, Residence - Willamalane Total Willamalane SDC Planning Plan Review Total Planning Address Assignment Total Permits wlo Srchg Grand Total Plan Check Type Checked By Initial Review-Res Lisa Hopper Bob Kettwig Liz Miller Engineering-Res Planning-Res Structural-Res Don Moore Date Completed 02/21/2002 02/27/2002 02/21/2002 02/27/2002 Comment Needs to pick up LDAP 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 701,055 will be used on this project. I further agree to ensure that all required i ions are requested at the proper time. that each address is readable f the street, that e per it ard is located at the front of the property, and the approved se; ...; ~; remai h sit a Imes during construction. r -?' ---2 <;; " () r9-- ~ 225 FIFTH STREET SPRINGFIELD. OR 97477 (541) 726-3753 FAX (541) 726-3689 www.ci.springfield.or.us March 1, 2002 Greg Larkin PO Box 2041 Corvallis, Oregon 97339 Enclosed is a new original and a copy of the building pennit for the construction of the single family residence for 3322 Falcon Drive. Springfield. Oregon. During the plan review process, we neglected to properly include all required inspections to complete the project. Please sign the new original and return it to us in the enclosed pre-stamped envelope. I am enclosing a copy of the pennit for you to keep for your records. Thank you, and if you have any questions, please feel free to phone me at 726-3790. Si~cerely, Lisa Hopper Building Safety Supervisor cc: Don Moore Encl CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET 1 JOURNAL OR JOB NUMBER: 02-00178-01 NAME OR COMPANY: GREG LARKIN LOCATION: 3322 FALCON TAX LOT NUMBER: 17-02-19-34 TL: 5900 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS: I BUILDING SIZE: . . 2716 SF LOT SIZE: I, STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.P. 1,1 COST PER S.P. I 2531.00 I $0.273 = 1 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S,F, I xl COST PER S,F, 1 xl DISCOUNT RATE 0.00 $0,273 50% I ITEM 1 TOTAL - STORM DRAINAGE SDC 2, SANITARY SEWER - CITY A, REIMBURSEMENT COST: I NUMBER OF DFU's 1.1 COST PER DFU 1 27 $21.37 B. IMPROVEMENT COST: 1 NUMBER OF DFU's 1.1 COST PER DFU . I 27 $16,24 J I ITEM 2 TOTAL - CITY SANITARY SEWER SDC 1, TRANSPORTATION A, REIMBURSEMENT COST: 1 ADT TRIP RATE I xlNUMBER OF UNITS I xl COST PER TRIP I xl NEW TRIP FACTOR I 1 9,57 I $16.21 1.00 =1 B, IMPROVEMENT COST: I ADTTRIPRATE IxlNUMBEROFUNITSlxl I 9.57 I I ITEM 3 TOTAL - TRANSPORTATION SDC 4, SANITARY SEWER - MWM( A. REIMBURSEMENT COST: 1 NUMBER OF FEU's I 'I COST PER FEU I I $332.86 B. IMPROVEMENT COST: I NUMBER OF FEU's I x I COST PER FEU I I $34.83 MWMC CREDIT IF APPLICABLE (SEE REVERSE) SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT MWMC ADMINISTRATIVE FEE I ITEM 4 TOTAL - MWMCSANITARY SEWER SDC I SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5, ADMINISTRATIVE FEE: SUBTOTAL 1,1 ADM.FEERATE $2,880.82 5% COST PER TRIP 'xl NEW TRIP FACTOR I $68.94 ---1 1.00 1=1 =1 II =1 TOTAL SDC CHARGES =1 ~T~ SDC COORDINATOR 2/26/2002 DATE 5663 tI:J ~ 18 I~ tI:J >-< o ~ SF $690,96 =1 =1 $0.00 I I $690.96 L 11070 /' =1 1091 / $576.99 =1 $438.48 =L$1.015.47 /' I 1092' I-I $155.13 1093 /' / $659.76 $814.89 I --.l.1 1094 =1 $332,86 =1 =1 =1 =1 =1 =1 $34,83 I ($18.19) I $349.50 I $10.00 1 $359.50 I $2.880.821 1055"/ 1056 $144.04 I 1073 $3,024.86 II . . DRAINAGE FIXTURE UNIT (DFU) CALCULA TION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO, OF FIXTURES DRAINAGE ( #NEW # OLD ) UNIT FIXTURE FIXTURE TYPE x EQUIVALENT = UNITS BATHTUB ( I 0 ) x 3 = 3 DRINKING FOUNTAIN ( 0 0 ) x 1 = 0 FLOOR DRAIN ( 0 0 ) x 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. ( 0 0 ) x 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. ( 0 0 ) x 6 = 0 LAUNDRY TUB ( 0 0 ) x 2 = 0 CLOTHESW ASHER / MOP SINK ( 2 0 ) x 3 = 6 CLOTHESW ASHER - 3 OR MORE (EA) ( 0 0 ) x 6 = 0 MOBILE HOME PARK TRAP (1 PER TRAILER) ( 0 0 ) x 12 = 0 RECEPTOR FOR REFRlG / WATER STATION / ETC. ( 0 0 ) x 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. ( 0 0 ) x 3 = 0 SHOWER, SINGLE STALL ( I 0 ) x 2 = 2 SHOWER, GANG (NUMBER OF HEADS) ( 0 0 ) x 2 = 0 SINK: COMMERCIAURESIDENTIAL KITCHEN ( I 0 ) x 3 = 3 SINK: COMMERCIAL BAR ( 0 0 ) x 2 = 0 SINK: DOMESTIC BAR ( 0 0 ) x 1 = 0 WASH BASIN ( 0 0 ) x 2 = 0 LAVATORY ( 4 0 ) x 1 = 4 URINAL, STALL / WALL ( 0 0 ) x 5 = 0 TOILET, PUBLIC INSTALLATION ( 0 0 ) x 6 = 0 TOILET, PRN ATE INSTALLATION ( 3 0 ) x 3 = 9 MISCELLANEOUS DFU TYPE NUMBER OF EOD's' ( 0 0 ) x 20 = 0 TOTAL DRAINAGE FIXTURE UNITS =1 27 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFfER ANNEXATION DATE. CALCULATE CREDIT SEP ARA TEL Y YEAR CREDIT RATE PER $ I ,000 II YEAR CREDIT RATE PER $1,000 ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE 1979 OR oc.~.....r:. $4.92 1990 $2,06 1980 $4,83 1991 $1.64 1981 $4,77 1992 $1.45 1982 $4,64 1993 $1.31 1983 $4,47 1994 $1.13 1984 $4,30 1995 $0,97 1985 $4,09 1996 $0,82 1986 $3,78 1997 $0,63 1987 $3.41 1998 $0.41 1988 $2,98 1999 $0,22 1989 $2.52 2000 $0,04 VALUE/looo CREDIT RATE 28.872 x $0.63 =L $18.19 I 0,000 x $0.63 =1 $0.00 I TOTAL MWMC CREDIT =,L $18.19 J CREDIT FOR LAND (IF APPLICABLE) CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) .. . I Job# 02-00178-01 I . Page 1 of4 TRANSit: 01-0C08114 DATE:FEB 28 2002 AMT RECD:2 $ 6L91.01 CHANGE: , CASHIER: 061 ~ CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 02-00178-01 225 Fifth Street Springfield. OR 97477 Owner: Greg Larkin ','ro" D' S(\; \.% ~~~:I ~l,S Address: Po Box 2041 /Stat Zi . Scope Of Work: Single Family Resi ce ~ ew \r Applicant to submit plans ~~-as comm~~View. S"mA "" ~~7n F"'r.nn OrivA, Contractor Type Contractor ~ e,gistration # Expi tio n Date General Contr River Valley Builders I 134566. " :'1115/2003. . '" ..~' ;~.",,'-' \ Utl.I.... PO Box 2041, Corvallis. 97339 ..,.,r.~:..::::,:::'!''-'\'- \\'I030,e90. ,pl. ..'. G & E Electric Inc p..':'~:~~\;~'~544681~~se (u\e~~~~~~03 , - . ,-d' center. 'Jg\"\vt"\ 'c."v' Po Box 1686. Albany. OR 97321..",,*)(\ u\\'O\~,\o, o' It,e (\.1.-- . . . ~'.:,'a"""~'g...t')~G\)'\,J '" . ,-op\BS \.. ~....\'"\:1\.\a Mechanical Contr Midway Plumbing Inc " Op-.R :)~ .4687J$lI(\ ~ te' \\"\'7/25/2002iO" II r '-',')lJ ma, - {(".o' N",..'"""'. 2428 Three Lakes Rd SE, Alb~OY,.O!"< \\,,13 cente.~.:O(\ \.)t\li\!-.' .':). 97321 ca\llng, ,\"'eO.v," ~ ""c',"""" $e(~O\ 1.\ ':,~ 1.-F'~'.1""'>"'- Midway Plumbing Inc "lJ{\I Ct4687" 7/25/2002 2428 Three Lakes Rd SE. Albany. OR 97321 Location Of Proposed Site: 3322 Assessors Map#: 17021934 Lot: 93 Block: 541-726-0330 Electrical Contr 541-967-8627 541-928-7927 Plumbing Contr 541-928-7927 Verify Ground Rod Footing Foundation Post and Beam Floor Insulation Ceiling Insulation Shear Wall Nailing Office Use Quad Area: 3RNC Land Use: Single Family Dwelling # Of Buildings: 1 # Of Units: 1 Zoning Code: LDR 'f," OccuWn~~ms: Dwelling Constr. Type: (VN) Wood Frame Bedrooms: 3 \\,\01'\C . ITS\'I~u.r)W~'ilt-s~~~~\ll.sr:6?ced Air Gas Water Heater: Gas Range: G"'l-\\SPEfI\Ii\ II"OEfI'Sq\~'o'taae;.Of?237 ..."".,.",nl~ ~!",...::n l'" ~l1ur""- \S~'d""~v'" To request an inspection call the 24 hour recording at 726-31gJj...~lW~'i!l$peaiOO re~uested before 7:00 a,m, will be made the same working day, inspections requeste&aijer81:89'i~!!tr.l?IliJ De made the following working day, ,.N'( ~ U Required Inspections I Buildin!! I -Install ground rod at footing. and call for inspection in conjuction with footing and/or foundation i -After trenches are excavated, -After forms are erected but prior to concrete placement -Prior to fioor insulation or decking. - Prior to decking, - Prior to cover. - Before covering sheathing with finish materials. . . . Framing Wall Insulation Drywall Final Building I Job# 02-00178-01 I Required Inspections Buildin!! . Page 2 of4 - Prior to cover. - Prior to Cover - Prior to taping. - When all required inspections have been approved and the building is complete. I Public Works I - After forms are erected but prior to placement of concrete - After forms are erected but prior to placement of concrete Street Improvement: Fully Improved Curb Cut?0 Improvement Agr.?D San Sewer Depth (Ft): 6 4 Storm Sewer Available? D Special Req.: Security Required: Bond Begin DateTime: DO/DO/DODO 00:00 AM Special Instructions: Other Utilities: Project Supervisor: Planner: Urban Growth Boundary?D Glenwood Area? D Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Zone X White Construction Types:(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? D [Area (Sq. r,.I) _ Main: 2237 Accessorya28 SW-Curbside CC-Standard Zoning: LDR FloodPlain? D Wetlands? D Journal numbers 1: 2002-02-0043 2: Comments:Sam Gollah - Planner Fee Residential Plan Check Total Plan Check Sidewalk Type: Additional ROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: Curbside - 5' D 8 To Curb and Gutter 6 DO/DO/DODO 00:00 AM Types Of Warning Devices Reqd. Overlay District: # of Street Trees: 2 Land Use: Single Family Dwelling Pave Driveway? 0 3: Additional Requirements: Required Attachments: Source Locn: Material: Flood Plain FEMA: Panel 1153 of 2975 Private Garage/Carp/Stor # Of Stories: 2 Height (feet): 28 Current Units: Proposed Units:1 Census Code: New SF - detached Total:2665 Paid On Receipt# Plan Check 02/15/2002 8058 Value/Quantity Fee Amount 175,269 $528,22 $528.22 . Job# 02-00178-01 . Page 3 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Buildin!! I Building Permit 02/28/2002 8174 175.269 $812.65 State Surcharge For Building Permit 02/28/2002 8174 $56,89 8% Building Administrative Fee 02/28/2002 8174 $65,01 Total Building $934.55 Electrical Minimum Electrical Permit Fee 02/15/2002 8058 $,00 Temporary: 200 Amps or Less 02/15/2002 8058 1 $50,00 State Surcharge - Electrical 02/15/2002 8058 $3.50 8% Admin Fee - Electrical 02/15/2002 8058 $4.00 Total Electrical $57.50 Plumbing Minimum Plumbing Permit Fee 02/28/2002 8174 $.00 Three Bathrooms 02/28/2002 8174 1 $306,00 State Surcharge - Plumbing 02/28/2002 8174 $21.42 8% Administrative Fee - Plumbing 02/28/2002 8174 $24.48 Total Plumbing $351.90 Mechanical Hood and Exhaust 02/28/2002 8174 1 $9,00 One to Four Outlets 02/28/2002 8174 1 $4.00 Minimum Mechanical Permit 02/28/2002 8174 $.00 8% Administrative Fee - Mechanical 02/28/2002 8174 $4.64 Less than 100.000 BTU 02/28/2002 8174 1 $12,00 Vent Fan to One Duct 02/28/2002 8174 3 $18,00 Gas Fireplace 02/28/2002 8174 1 $9.00 Dryer Vent 02/28/2002 8174 1 $6.00 Mechanical Issuance 02/28/2002 8174 $10,00 State Surcharge - Mechanical 02/28/2002 8174 $4,06 Total Mechanical $76.70 Public Works New Sidewalk 02/28/2002 8174 55 $75,00 New Curbcut 02/28/2002 8174 1 $75,00 Total Public Works $150.00 System Development Residential - Single Family - Storm 02/28/2002 8174 2.531 $690,96 Residential Improvement MWMC 02/28/2002 8174 1 $34.83 MWMC Administrative Fee 02/28/2002 8174 1 $10.00 SDC Administrative Fee 02/28/2002 8174 $144.04 Property Annexed 1997 02/28/2002 8174 29 $-18,19 Residential Sanitary MWMC 02/28/2002 8174 1 $332,86 Residential - Improvement 02/28/2002 8174 1 $659,76 Residential - Reimbursement 02/28/2002 8174 1 $155.13 Sanitary Sewer SDC Reimbursement 02/28/2002 8174 27 $576,99 Sanitary Sewer SDC Improvement 02/28/2002 8174 27 $438.48 Total System Development $3.024.86 Willamalane SDe S.F. Residence - Willamalane 02/28/2002 8174 1 $1.000.00 Total WillamaJane SDe $1,000.00 . . . . . Job# 02-00178-01 Page 4 of4 Fee Paid On Receipt# Value/Quantity Fee Amount Planning Planning Plan Review 02/28/2002 8174 1 $50,00 Total Planning $50.00 Permits w/o Srchg Address Assignment 02/28/2002 8174 1 $8,00 Total Permits w/o Srchg $8.00 Grand Total $6.181.73 Plan Check Type Checked By Date Completed Comment Initial Review-Res Lisa Hopper 02/21/2002 Engineering-Res Bob Kettwig 02/27/2002 Planning-Res Liz Miller 02/21/2002 Needs to pick up LDAP Structural-Res Don Moore 02/27/2002 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 701,055 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 fr e street, that the permit card is located at the front of the property. and the ~~t 0 ~e site at all times during construction. ? _ 2<3'.- () :;2., Signature Date 225 FIFfH STREET Th!' , ELEcrA PERIvUT APPLICATION SPRINGFIELD OREGON !j,7,1\;lig oWing pro/eel as submitted has the tol/owing INSPECTION REQUEST: ~a6.a~9d does not require speeifitii~.n~o'&~umber 0 2. _ 00 I 7 8' - 0/ OFFICE: 726-3759 Zoning l..."\)/'2.. ,.0 Ie ,&-{ - 1'2;)'0 COMPLJ::TcrccSCHEDULEBELOW I. LOCATION OF INST AL~A"l1UN ' , '6'3"2- 2- "f~ l (! 0 ~hor~ Signature N.w ~dential-Single or Multi-Family per dwelling unit. Service Included: ~~ f1 i LEGAL DESCRIPTION 1707.. 1'1'51{ Permits are non-transferable and expire if work is not starttd within 180 days of issuance or if work is suspended for 180 days. 1000 sq.fl or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Strvice or Feeder Items Cost Sum ~$106.00 /O(p,OO \. 0:>'700 JOB DESCR.lPTION " () ^(J.fA) Jp,dArtMlV"""" !L $19,00 7ft:;.OO $ 50.00 J 2. CON1RACTORINSTALLATIONONLY B. ServicesorFeeders . - Installation. Alterations or Electrical Contractor G 4 E f \ e c. 1T l c. ,-I /'1 C. Relocation: Address PO 'Box 1090 City-A \ b(,) ~1.!:L Phone 5Lf /. q fly 7, gh 2 7 Supervisor License Number ,:)q FJ() S Constr ContI, Number 10 / I ( 2003 , , 5I.JLf0 {1 q 115 /2003 200 amps or less 0,>\0 $ 63.00 201 amps to 400 amps ~\\0~ ~ \)\\\~~"'(\$ 75.00 = 401 amps to 600 lI!T'Jl~\0~\0~0 00.0\ ~(\'$125,OO_ 601 amps tO~10Q91iUii~0 ~0~ ~\~ ~'1:it"\0'" ~63,OO _ OverlOO~.' ~0\\):~O~ _\\): ,~375.00_ RecoqneC'~ "\'(\0" o'>~" 0\'''' t(\v'~~,OO ::0~~ ,>\0~~0~\0\~' \~'S-\ o~\0~~e\0~~~\C:;(). - t>- ,',\ ~N . C 0'~' ~o C. T~." ~.(\1 or ~ .~~ ~.&.'1' I .-" :talWR~':D~ o;:_I<),~'~'.'2.~ ~,\).. ~ ~'~'. ~,,~~ ,- O~ -to'> ev0 O\e...'i:J~'v \<2M\Qm;"~t~~'(\e. ,,'0 . \Y'J:~'W' l ,MI~ \~ 2ullltn~ ~_ups OveI(llt)l'to 0 amps Over 600 amps or 1000 volts see liB" above $50,00 $69,00 $100.00 Expiration Date Expiration Date Signature of Supervising Electrician i~)rA' Q~ ' (F ) t1 \ L l 0' D. Branch Circuits own:r:Naine - _ ~ '" New Alteration or Extension Per Panel ~~ L;&(LlLr/V Address Qc ~Cl~ ~0'-<_' CitvG=_JA-!I;c" Phone '7Z-b - 0.3"36 OWNER INSTALLATION One Circuit $43. 00 Each Additional Circuit or with Service or Feeder Permit $ 3.00 ~b< 'B The installation is being made on property I own which is not intended for sale, lease or rent. E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigatiou Sign/Outline Lighting Limited Euergy/Res Limited Energy/Comm $50.00 $50,00 $25.00 $45,00 , Owners Signature: l:90:::J3IHS\:l:J : 39N\JH::J 0~'60Z $ Z:0::J3::J 1W~ ZOOZ Zl: ::Jd\J: 31\J0 ~098000-l:0:#SN\J::J1 Minimum Eleclric Permil Inspection Fee is $45.00 + Surcharges TOTAL (82.00 (d., 7~ -LV., "1 ;:)OQ30 5. SUBTOTAL OF ABOVE 7% State Surcharge 8% Administrative Fee