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Home My WebLink AboutPermit Building 2003-8-20 \ ~. CITY OF SPRINGFIIELD . Building/Combination Permit PERMIT NO:COM2003-00647 ISSUED: 08/20/2003 APPLIED: 07/22/2003 EXPIRES: 02/20/2004 VALUE: $ 169,604.20 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone ' 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 696 Aspen St ASSESSOR'S PARCEL NO.: 1703342300300 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: SFR Owner: RUHOFF CHAD Address: 3993 MIRROR POND WAY EUGENE OR 97408 I CONTRACTOR INFORMATION. Contractor Type General Electrical Mechanical , Plumbing Contractor License Expiration Date Phone RUHOFF HOMEBUlLDERS INC 130797 07/13/2004 541-334-6550 BINNS ELECTRIC CO 73762 06/06/2005 541-687-1362 ROLFS 741-0002 EUGENE PLUMBING CO 44012 01/09/2004 541-484-7440 " '-.., VN I BUILDING INFORMATION. ~t WORK . N {d~ries: II t~P\Rt \f \S~Mize: I CfJ.~ i~lt~lr~M~~~H 1\-\\5 p\i8\ 1 O~ Ft 1st Floor: ~~~~f\~'Wt~N~9.l:c~t1\\~_ED r Sq Ft 2nd Floor: i\Watert.~~D OR \5 Electric Sq Ft Basement: C~~~~?t \Y8lfN PER\OD. Electric Sq Ft Garage/Carport ~ii"r1y Path: Path 1 Sq Ft Other: Impervious Surface Area: 1,313 # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 3 528 1,600 SETBACKS REQUIRED PARKING Overlay Dist: Total: 2 # Street Trees.Rqd: Handicapped: Paved Drive Rqd: :X~~es \}OU tc,ompact: % of Lot Covera~~bregon laW rll~~~~on Utmw {>..1iE~~~\~dopte~ b\}_::'~IIArS are se~ to~ I PUBLIC ~ijf~~YJ!m:NTSl1 ~ ~h~~Ugn OA~ ~~~~Os- \ ] Po 9~:i'-VV': . . nie~ot tne ne AC M tin OA a\/ obtaIn SRielY k ~~pspno S b k 5' a 0 '(au m ] ~~ote. \8 . '~ation et ac . Yes 009'1i a tne center'~n 't'll~P'Q}lNm}\iIiiS: To Storm Sewer NO OCCUPANCY UNTIL ALLce\l}R%~~QN8 ijF€iQA _-'1fl(t~.Mffi MET, INCLUDING DRIVEWAY PAVING. As perIDJd~pJ;!ft\~~Jf,~2 '-O~~0168, requires storm drainage to be hard piped to private storm line that outlalis to City public storm line in Aspen Street. No sheet flow allowed as per Springfield Development Code. Intrusion of footings, eaves or any other portion of the proposed structure into easement areas is prohibited. I DEVELOPMENT INFORMATION. Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 46.00 10.00 60.00 10.00 15.00 Street Improvements: Storm Sewer Available: Special Instruction: Notes: Paee 1 of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00647 ISSUED: 08/20/2003 APPLIED: 07/22/2003 EXPIRES: 02/20/2004 VALUE: $ 169,604.20 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Dwellines Garae:e Garaee Tvpe of Construction V Wood Frame Garae:e Garaee $ Per Sq Ft or multiplier $90.60 $23.80 $23.80 Square Footage or Bid Amount 1,313.00 528.00 1,600.00 Value Date Calculated Description Total Value of Project $118,957.80 $12,566.40 $38,080.00 $169,604.20 07/24/2003 07/24/2003 07/24/2003 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $409.92 7/22/03 1200200000000001801 -Mechanical Issuance Fee- $10.00 8/20/03 1200200000000001991 + 10% Administrative Fee $135.82 8/20/03 1200200000000001991 + 7% State Surcharge $95.07 8/20/03 1200200000000001991 2 Baths One or Two Family $254.00 8/20/03 1200200000000001991 Add, Alter, Extend Circ Ea Add $9.00 8/20/03 1200200000000001991 Addressing Assignment $8.00 8/20/03 1200200000000001991 Building Permit $793.15 8/20/03 1200200000000001991 Dryer Vent $6.00 8/20/03 1200200000000001991 Exhaust Hoods $9.00 8/20/03 1200200000000001991 Furnace - up to 100,000 btu $12.00 8/20/03 1200200000000001991 Minimum/Adjustment Mechanical $6.00 8/20/03 1200200000000001991 Perm Serv/Fdr 200 amps or less $63.00 8/20/03 1200200000000001991 Plan Review - Planning $59.00 8/20/03 1200200000000001991 Plan Review Residential $105.63 8/20/03 1200200000000001991 Residence Wiring 1000 Sq Ft $106.00 8/20/03 1200200000000001991 Residence Wiring Ea Addtl 500 $38.00 8/20/03 1200200000000001991 Sanitary Sewer - Improvement $326.99 8/20/03 1200200000000001991 Sanitary Sewer - Reimbursement $430.16 8/20/03 1200200000000001991 SDC MWMC Administration $10.00 8/20/03 1200200000000001991 SDC MWMC Improvement $34.83 8/20/03 1200200000000001991 SDC MWMC Reimbursement $332.86 8/20/03 1200200000000001991 SDC Sanitary/Storm Admin $162.85 8/20/03 1200200000000001991 SDC Transpo Admin $48.79 8/20/03' 1200200000000001991 SDC Transpo Improvement $727.42 8/20/03 1200200000000001991 SDC. Transpo Reimbursement $164.89 8/20/03 1200200000000001991 Storm Drainage Impervious Area $2,209.51 8/20/03 1200200000000001991 Temp Power 200 amps or less $50.00 8/20/03 1200200000000001991 Vent Fan $12.00 8/20/03 1200200000000001991 Willamalane Single Family $1,000.00 8/20/03 1200200000000001991 Total Amount Paid $7,629.89 Paee 2 of 4 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00647 ISSUED: 08/20/2003 APPLIED: 07/22/2003 EXPIRES: 02/20/2004 VALUE: $ 169,604.20 ....-.$IIIL.;~f.!~t4~~'~~9f .~ '.e'~"'> ~ 1 ~ ,1.- . '''',. -~- --''7;-'''''.. 'I -, -,,~. ......... . <.' -- .,- _.=~> Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review Planninl! Review Public Works Review I Plan Reviews I 07/24/2003 APP 08/13/2003 APP 07/31/2003 APP LLH TAJ VRJ 07/23/2003 07/24/2003 07/24/2003 Public Works Review 08/11/2003 08/11/2003 APP VRJ Structural Review 07/2412003 08/14/2003 APP TCM NO OCCUPANCY UNTIL ALL CONDITIONS OF PARTITION ARE MET, INCLUDING DRIVEWAY PAVING (see Don Branch or Kitti Gale). Sanitary and Storm sewer not shown on site plan. As per Land Use Decision #2002-06-0168, requires storm drainage to be hard piped to private storm line that outfalls to City public storm line in Aspen Street. No sheet flow allowed as per Springfield Development Code. Sanitary sewer to Aspen Street. If applicant has NOT applied for an encroachment permit, please do so prior to any work in ROW or PUE. SDC impervious surface includes paving for 8 feet for driveway and all other pavement. Curbcut permit included on bp for 672 Aspen Street. Intrusion of footings, eaves, or any ohter portion of the proposed structure into easement areas in prohibited. SDC's revised for a 20 ft, not 24 ft driveway. Applicant SDC's changed for a 4 ft driveway for partition shared access. To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. 1 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 2 Footing: After trenches are excavated. 3 Foundation: After forms are erected but prior to concrete placement. 4 Post and Beam: Prior to floor insulation or decking. 5 Floor Insulation: Prior to decking. 6 Shear Wall Nailing: Before covering sheathing with finish materials. 7 Framing Inspection: Prior to cover and after all rough in inspections have been approved. Pal!e 3 of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00647 ISSUED: 08/20/2003 APPLIED: 07/22/2003 EXPIRES: 02/20/2004 VALUE: $ 169,604.20 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 8 Wall Insulation: Prior to cover. 9 Ceiling Insulation: Prior to cover. 10 Drywall: Prior to taping. 11 Final Building: After all required inspections have been requested and approved and the building is complete. 12 Undertloor Plumbing: Prior to insulation or decking. 13 Undertloor Drain: Prior to cover or placement of concrete. 14 Rough Plumbing: Prior to cover and including required testing. 15 .Water Line: Prior to filling trench and including required testing. 16 Sanitary Sewer Line: Prior to filling trench and including required testing. 17 Storm Sewer Line: Prior to filling trench. 18 Final Plumbing: When all plumbing work is complete. 19 Undertloor Mechanical. Prior to insulation or decking and including required testing. 20 Rough Mechanical: Prior to Cover 21 Final Mechanical: When all mechanical work is complete. 22 Rough Electric: Prior to Cover 23 Electric Service: Approval required prior to utility company energizing service. 24 Final Electric: When all electrical work is complete. 25 Temporary Electric: Approval required prior to Utility Company energizing pole. 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 re~dable 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. -~ --.' -- ~ .') fS/;2-0/cD-~ <' Owner or Contractors Signature Date Pa2e 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00647 COM2003-00647 COM2003-00647 COM2003-00647 COM2003-00647 COM2003-00647 COM2003-00647 COM2003-00647 COM2003-00647 COM2003-00647 COM2003-00647 COM2003-00647 COM2003-00647 COM2003-00647 COM2003-00647 COM2003-00647 COM2003-0064 7 COM2003-00647 COM2003-00647 COM2003-00647 COM2003-00647 COM2003-00647 COM2003-00647 COM2003-00647 COM2003-00647 COM2003-00647 COM2003-00647 COM2003-00647 COM2003-00647 Payments: Type of Payment Check Receipt #: 1200200000000001991 Description Addressing Assignment Willamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Perm ServlFdr 200 amps or less Plan Review Residential Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Transpo Admin Storm Drainage Impervious Area SDC Sanitary/Storm Admin Plan Review - Planning Building Permit 2 Baths One or Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent -Mechanical Issuance Fee- Minimum! Adjustment Mechanical Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By RUHOFF HOMEBUILDERS Received By djb Check Number Batch Number Authorization Number City of Springfield Official Receipt Development Services Department ' Public Works Department 'Date: 08/20/2003 2:28:31PM .- Amount Paid 8.00 1,000.00 106.00 38.00 50.00 63.00 105.63 430.16 326.99 164.89 727.42 332.86 34.83 10.00 48.79 2,209.51 162.85 59.00 793.15 254.00 12.00 12.00 9.00 6.00 10.00 6.00 9.00 95.07 135.82 $7,219.97 Item Total: How Received In Person Payment Total: Amount Paid $7,219.97 $7,219.97 .. CITY OF SPRINGFIELD SYSTEMS DEVELOPMEt1f""ORKSHEET I JOURNAL OR JOB NUMBER: Com2003-00647 NAME OR COMPANY: Chad Ruhoff LOCATION: 696 Aspen TAX LOT NUMBER: 17033423 tl 300 DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE NEW DWELLING UNITS 1 BUILDING SIZE (SF: 3454 LOT SIZE (SF): o r:/) f.I.1 Q o U ~ f.I.1 r-< r.I':J ...... c:> ga 1. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM 1 IMPERVIOUS S.F. x I COST PER S.F. CHARGE I 1 7619.00 I $0.290 = $2,209.51 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS 1 IMPERVIOUS S.F" x 1 COST PER S.F. x 1 DISCOUNT RATE I DISCOUNT I 0.00 I $0.290 I 50% $0.00 ITEM 1 TOTAL - STORM DRAINAGE SDC I $2,209.51 I 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: NUMBER OF DFU's x COST PER DFU 19 $22.64 B. IMPROVEMENT COST: NUMBER OF DFU's x 19 $2,209.51 11070 $430.16 1091 COST PER DFU $17.21 $326.99 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I 3. TRANSPORTATION A. REIMBURSEMENT COST: 1 ADT TRIP RATE x I NUMBER OF UNITS x I 9.57 , 1 B. IMPROVEMENT COST: I ADT TRIP RATE x NUMBER10F UNITS I x 1 9.57 ITEM 3 TOTAL - TRANSPORTATION SDC = I $757.15 COST PER TRIP $17.23 I x NEW TRIP FACTORI , 1.00 $164.89 1093 COST PER TRIP $76.01 $892.31 x INEW TRIP FACTOR , 1.00 $727.42 1094 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's x COST PER FEU I 1 $332.86 = I $332.86 1054 B. IMPROVEMENT COST: NUMBER OF FEU's x COST PER FEU 1 $34.83 = $34.83 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054 MWMC ADMINISTRATIVE FEE $10.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SD< = , $377.69 SUBTOTAL (ADD ITEMS 1, 2, 3, & 4) = , $4,236.66 5. ADMINISTRATIVE FEE: SUBTOTAL x I ADM. FEE RATE .1 CHARGE $4,236.66 I 5% , $211.83 TOTAL SANITARY ADMINISTRATION FEE: 162.85 1079 I TOTAL TRANSPORTATION ADMINISTRATION FEE: $48.98 1078 I Virginia Jurasevich 8/11/2003 TOTAL SDC CHARGES =, $4,448.49 PREPARED BY DATE . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUN ALENT = DRAlNAGE FIXTURE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIV ALENT UNITS BATHTUB 1 0 3 = 3 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 ICLOTHESW ASHER / MOP SINK . .. 1 0 3 = 3 ICLOTHESWASHER- 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0 IRECEPTOR FOR COM. SINK / DISHWASHER I ETC. 0 0 3 = 0 SHOWER, SINGLE STALL 1 0 2 = 2 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 SINK: COMMERCIAL BAR 0 0 .,2 = 0 SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 SINK: SINGLE LA V ATORYIRESIDENTIAL BAR 2 0 1 = 2 URINAL, STALL / WALL ':, .0 0 5 = 0 ITOILET, PUBLIC INSTALLATION .'0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 2 0 '" 3 = ... 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S ., 20 - 0 . . ".... TOTAL DRAINAGE FIXTURE UNITS . 19' .. *EDU (Equivalent Dwelling Unil) is a discharge equivalenllo a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION T ABLR:'BASED ON COUNTY ASSESSED V ALirE 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 CREDIT RA TE/$1 ,000 ASSESSED VALUE $4.92 $4.92 $4.83 $4.77 $4.64 $4.47 $4.30 $4.09 $3.78 $3.41 $2.98 $2.52 . $2.06 $1.64 $1.45 $1.31 $1.13 $0.97 $0.82 $0.63 $0.41 $0.22 $0.04 IS LAND ELGlBLE FOR ANNEXATION CREDIT? (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR o o 1979 CREDIT FOR LAND (IF' APPLICABLE) VALUE / 1000 '. CREDIT RATE $0.00 x $4.92 = I.: $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0.00 x $4.92 =; , o TOTAL MWMC CREDIT = $0.00 ;,.. '\ CITY OF ~INGFIELD SYSTEMS DEVELOPMElfl'WORKSHEET JOURNAL OR JOB NUMBER: Com2003-00647 NAME OR COMPANY: Chad Ruhoff LOCATION: 696 Aspen TAX LOT NUMBER: 17033423 tl300 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS I BUILDING SIZE (SF: 3454 LOT SIZE (SF): I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM IMPERVIOUS S.F. x COST PER S.F. CHARGE 8231.00 $0.290 = $2,386.99 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. x COST PER S.F. x DISCOUNT RATE DISCOUNT I 0.00 $0.290 50% $0.00 ITEM 1 TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: NUMBER OF DFU's I x I 19 B. IMPROVEMENT COST: NUMBER OF DFU's x 19 $2,386.99 COST PER DFU $22.64 .~. "'~ , '. COST PER DFU $17.21 ITEM 2 TOTAL - CITY SANITARY SEWER sd~ = I 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADTTRIP RATE . x I 9.57 .... $75l"$ ';?j' 'iA. ;~ II'" if/' NUMBER OF UN!TS x I COST PER t1pFiii . $17.23 ',::%:~ .. x NEW'TRIP FACTOR 1.00 B. IMPROVEMENT COST: I ADT,fRIP RATE I t 9.57 ~', ITEM 31l0TAL - TRANSPORTATION SDC .~ 4. SANITP...RY SEWER - MWMC ~ A. REIMBJJRSEMENT COST: NUMBijR OF FEU's x ICOST PER FEU 1:, I '$332.86 , B. IMPROVEMENT COST: INUMBER (!)f FEU's , x NUMBEROF illl'JTS = I COST PER. TRIP $76.0I'l-') $~,9:2~31 x NEW TRIP FACTOR 1.00 Ii, ~> t." ~\"" I "'. x COST PER FEU $34.83 .f;~ '~"" MWMC CREDIT IF APf~CABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SD< = I SUBTOTAL (A9D ITEMS 1, 2,3, & 4) = , 5. ADMINIS1lRATIVE FEE: I SUBTOTAL x I ADM. FEE RATE I $4,414.14 I 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: CHARGE $220.71 $377.69 $4,414.14 Virginia Jurasevich 7/30/2003 TOTAL SDC CHARGES PREPARED BY DATE o $2,386.99 $430.16 $326.99 $164.89 $727.42 = $332.86 = $34.83 $0.00 $10.00 r/J ~ Cl o U ~ ~ E-< r/J ...... Cl ~ 1070 1091 1092 1093 1094 1054 1055 1054 1056 J 171.92 11079 I".... $48.79 11078 I == , $~,634.85 I '.. -I ... . .. '. . *EDU (Equivalent Dwelling Unil) is a discharge equivalent to a single family dwelling unil (20 DFU's) sel al167 gallons per day '~ 1 ..MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR . CREDIT RA TE/$I ,000 .. ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 0 .", BEFORE 1979 $4.92 (Enter 1 for Yes, 2 for No) 1979 $4.92 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 0 1980 $4.83 (Enter 1 for Yes, 2 for No) 1981 $4.77 BASE YEAR 1979 1982 $4.64 1983 $4.47 CREDIT FOR LAND (IF APPLICABLE) 1984 $4.30 VALUE / 1000 CREDIT RATE 1985 $4.09 $0.00 x $4,92 = , $0.00 1986 $3.78 1987 $3.41 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) 1988 $2.98 VALUE /1000 CREDIT RATE 1989 $2.52 $0.00 x $4.92 = I 0 1990 $2.06 1991 $1.64 1992 $1.45 TOTAL MWMC CREDIT = $0.00 1993 $1.31 1994 $1.13 1995 $0.97 1996 $0.82 1997 $0.63 1998 $0.41 1999 $0.22 2000 $0.04 ..... . ~\(;>.~ ~o ,0' <<>14 ~""e V 6 .~ .~e 225 FIFTH STREET. SPRINGFIELD, OR 97477 · PH:(541)726-3753 . FAX: (541)726-3689 v'O~\e <<>~ ELECTRICALI'ERMIT APPLICATION . if ~~~e\>.';:>" · City Job Number l \ rw' n """3. nt'\I~"1 Date ~ ~,o:<<> (;>.0 lIDWU U~J ~& 1. o LE\1D3~13 mm JOB DESCRIPTION . , ~n'fm I an~w:~~1ltS not started within 180 day f issuance or if work is Suspended for 180 days. 2. Electrical Contractor '1) t 1) AJ S ~L Ecr-r<. f c:.... Address WA-LL-', S -*' L [O&cSU ~ :2-10 City (peg {-(~bL- Phone Supervisor License Number 3 0 c.J. I - ~ l%i/~oo4 Constr. Contr. Number 7 3 7 (;;, 2-- ExpirntionDate ~ 0f- 4'}oo5 ~ Signature of Supervising Electrician ClaL / k~ Owners Name ~~ UtmfoJiVietS Address ?AQ.~ mtrrDr'lbNf- City <;'-~P(\PA' Phone 23\-.\ffi) -UJJ, . OWNER INSTALLATION Expiration Date The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 3. Service I J.C E : 1000 sq. fU~~gJ:RMIT SHALL EXPIRE IF T~f?~nl( Eac~ addA.kJJcl1/~I~<f[Jt.[jJ~DER THIS PERMl portion tl@@MMENCED OR IS A-G+ '_ - :tTlkPotiOT util'JUUNtD FOR Each MaAN~ctM9iMVoPERIOD Modular Dwelling Service or ' Feeder $50.00 B. 200 Amps orIess \ $ 63.00 103.oe> 201 Amps to 400 Amps $ 75.00 401 Amps to 600 Amps $125.00 601 Amps to. 100QAmps $163.00 Over lOeftJT1&i~~Nb1l~.ulegul, ;ctV\i (G4Uirt$'35'1~.l@(i)u Reconn{QII~VMJUleS adopted by me Uregl$l1W<llOity Notification Center. Those rules are set forth c. copies ot the ru es y Installa~J imlJRRiGif3teItdMat9irlhe tel ephone 200 ArRp~'7}rq~JJorthe. Oregon Utility No~f~tpn 201 Amps to 40b'xgtel IS 1-800-jj~-~J44~ 69.00 401 Amps to 600 Amps $100.00 Over 600 Amps or 1 000 Volts see "B" above. D. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 -" 5> f E. Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. 72- 7% State Surcharge 10% Administrative Fee YOl1 72-(.'} <gL-{ Z '-, TOTAL Shared Drive(T:)/Building FormslElectrical Permit Application I-D3.doc 3. 1>"'- ,1>" o'0''I..,V ~.~e; eV' ",'" c}1> , ;-; 0' -1 · 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3~e'" ~ " · ELECTRICAL PERMIT APPLICATION(~0~~0 00 . ~ City Job Number ~?,Q03 .ti1:Al Date ,0..1>-- '1.-0"'" "Yi Supervisor License Number .3 D cf / ~ IOrio / / ~OO t/ Constr. Contr. Number I 3 7 6 2-. ~/() 6/ /). tJo ~C,(~ f Over 600 Amps or 1000 Volts see "B" above. Signature of Supervising Electrician D. l& J / /7' N Molt ~!te~ation or Exten,ion Per Panel a-G ,~) /~ THlg!h~Jffi~o~~~JiKf~aHHF T11t VVUtiK$ 43.00 (\ 1,h._tC \ \_~J'IA k. . \~~U~n~tUrw~&-JihlIS PERMIT IS NOT$ 3.00 Owners Name K..'v 1 \Uf\ '\'!Jl.lUU. ~)l ~O Address ~ \'\\ UJ"t> r ~Of'l'\. A illY City ~ Phone _~.l.!'s=:ll 1. \.QC\Lo ~ LEGAL DESCRIPTION - \ \103B~13 tD~cD JOB DESCRIPTION \BW ~ ~on- ,ferable ant\~~~ not started within 80 days of issuance or if work is Suspended for 180 days. 2. Electrical Contractor D lit) AJ..5 EL&T/Z'1e:- Address ;2. I 0 U/ .4~-L/5 -4 L. City E t/ (;. t:EPJ~ Phone 6 ff7-/362- Expiration Date Expiration Date OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 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 \ $106.00 \Dto to ~ $ 19.00 ':J~.d) $50.00 R rrt:.N I iUl\l.uregui,.~v\! iI::lLjU\ e::. Y . 2M~W POI~adopted by the Oregon LlitlillltJo 20 o1iflli'~ft'O^~-~. Those rules are sE!t 1~.!()8 4m ~Fr~2Q~~m1 0 through OAR 95fr29.6o 6~e;PVb\Jl~~in copies of the r~r~~~ Overd~O~~Ve1Mer. (Note: tne te'e.~npn~.Qo ReCfl~~r the Oregon Utility l\ju\l[j~1\?bb . 1-800-332-'2344). c. Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 50.00 $ 69.00 $100.00 ~.oJ \ Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. yqL\ ~ \3.~ \C\ .~Q 2'2lo~ 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building FormslElectrical Permit Application l-03.doc