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Home My WebLink AboutPermit Building 2008-6-4 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: COM2008-00775 ISSUED: 06/0412008 APPLIED: 06/03/2008 EXPIRES: 12/0412008 VALUE: $ 95,200.00 SITE ADDRESS: 5782 PUMICE PL ASSESSOR'S PARCEL NO.: 1802033209000 SPRINGFIETYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: Single family residence SAME AS COM2008-00574 5773 Pumice Owner: HA YDEN ENTERPRISES Address: 2622 SW GLACIER PL #110 REDMOND OR 97756 Contractor Type General Phone Number: 541-228-6935 I CONTRACTOR INFORMATION. Contractor HAYDEN ENTERPRISES Phone 541-228-1081 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Tvpe of Construction 1 R-3 U VB 13.90 5.90 5.00 39.90 8.50 License 92208 Expiration Date 07/29/2009 I BUILDING INFORMATION I 2 # of Stories: 1 Lot Size: T,.ijf.ltff8tpf~te~~l'fq~w requiret8yOnl.t,O Sq Ft 1st Floor: AT l1'r.8feQf~fed byFt<t~0~~:UtlhtySq Ft 2nd Floor: fOIl~~f&ff&tl?rer. Those rules arE.O'&t fort~q Ft Basement: ~06A~O\11POO1 0 through OAR 952-001Sq Ft Garage/Carport ~090 lffiE'ft!tltain copies of U\itliUies b~q Ft Other: cali~\'mI-~Jmjhli(tgote: the t~ho~e Occupant Load: 'I:'L J'l' lI,' ::::;'J'" 'ltilit\~lcatlOn I DE~O~ii"iftRl~A'fIeN4~ 280 832 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: 2 Handicapped: Compact: 1 Yes 24.20 I PUBLIC IMPROVEME~TS I Sidewalk Type: NOT'CE~ Downs~~~WORK THIS PERMIT S~~~~ ~~S PERM\T IS NOT AUTHORIZED UOR IS ABANDONED FOR COMMENC~~ nn ~~IJ ~ I r[~\- I Valuation DescriPtimJ $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!e 1 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00775 ISSUED: 06/04/2008 APPLIED: 06/0312008 EXPIRES: 12/04/2008 VALUE: $ 95,200.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Dwellinl!s Garal!e v Wood Frame Garal!e $105.00 $28.00 832.00 280.00 $87,360.00 $7,840.00 $95,200.00 06/0312008 06/03/2008 Total Value of Project ~ Fee Description Amount Paid Date Paid Receipt Number -Mech Iss 2+ Appliances- $40.00 6/4/08 1200800000000000592 + 10% Administrative Fee $108.73 6/4/08 1200800000000000592 + 12% State Surcharge $123.80 6/4/08 1200800000000000592 + 5% Technology Fee $70.33 6/4/08 1200800000000000592 1 Bath One & Two Family $160.00 6/4/08 1200800000000000592 Addressing Assignment $35.00 6/4/08 1200800000000000592 Appliance Vent $7.00 6/4/08 1200800000000000592 Building Permit $605.68 6/4/08 1200800000000000592 Curbcut Permit $85.00 6/4/08 1200800000000000592 Dryer Vent $7.00 6/4/08 1200800000000000592 Exhaust Hoods $10.00 6/4/08 1200800000000000592 Fire SF Fee - Residential $55.60 6/4/08 1200800000000000592 Furnace - up to 100,000 btu $14.00 6/4/08 1200800000000000592 Gas Outlets 1-4 $5.00 6/4/08 1200800000000000592 Plan Review Major - Planning $205.00 6/4/08 1200800000000000592 Plan Review Same As $220.00 6/4/08 1200800000000000592 Residence Wiring 1000 Sq Ft $117.00 6/4/08 1200800000000000592 Residence Wiring Ea Addtl 500 $21.00 6/4/08 1200800000000000592 Sanitary Sewer - Improvement $326.46 6/4/08 1200800000000000592 Sanitary Sewer - Reimbursement $429.33 6/4/08 1200800000000000592 SDC MWMC Administration $10.00 6/4/08 1200800000000000592 SDC MWMC Improvement $990.39 6/4/08 1200800000000000592 SDC MWMC Reimbursement $95.35 6/4/08 1200800000000000592 SDC Sanitary/Storm Admin $96.38 6/4/08 1200800000000000592 SDC Transpo Improvement $862.25 6/4/08 1200800000000000592 SDC Transpo Reimbursement $195.48 6/4/08 1200800000000000592 SDC Transportation Admin $77.27 6/4/08 1200800000000000592 Sidewalk Permit $85.00 6/4/08 1200800000000000592 Storm Drainage Impervious Area $563.67 6/4/08 1200800000000000592 Temp Power 200 amps or less $55.00 6/4/08 1200800000000000592 Vent Fan $14.00 6/4/08 1200800000000000592 Water Line - Each AddtI'100' $16.00 6/4/08 1200800000000000592 Willamalane Single Family $2,513.00 6/4/08 1200800000000000592 Total Amount Paid $8,219.72 I Plan Reviews I Planninl! Review Public Works Review Structural Review 06/03/2008 06/03/2008 06/03/2008 06/03/2008 06/03/2008 06/03/2008 APP APP APP Pal!e 2 of 4 TAJ LKW DLM Storm to curb & gutter Approved as noted on the plans. Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00775 ISSUED: 06/0412008 APPLIED: 06/03/2008 EXPIRES: 12/04/2008 VALUE: $ 95,200.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. l....FeouiredJ nSDectio~ 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. 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. Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. 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. Pal!:e 3 of 4 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2008-00775 ISSUED: 06/04/2008 APPLIED: 06/03/2008 EXPIRES: 12/04/2008 VALUE: $ 95,200.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Curbcut - Standard: After forms are erected but prior to placement of concrete. 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. ---z:-:~ ~ __ Owner or Contractors Sign~re f9-~-ogr Date Pa2e 4 of 4 SPRINGFIELD r--L"~~) 11 ~ 4"',,,,,- 11 ~ ;::-,(~A~~~i;.~,:~ ~~~~ l'.:;:;>,,'~ ~~'.I!f f:~}I~~~:~~~~i~~.. YAy; '~i , AI I' ZON '\ L^ V INITlALS (\ (Y) _ DATE UJ I L( l)'e1 SOURCr: '0'1 ~<'J~0 225 HI' HI STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAJX (541)726-3689 ELECTRICAL PERMIT APPLICATION CIty Job Number COV'Vl z.~ bK - C> C> 77 S" Electrical Contractor -r;,p)J?J/vt, E'/ec 200 Amps or less ATTnITI'o~ Or8o:Jn law reqUIreS you ,to 201 Amps to 400 Amps '/ .....~~l' , d lfr>rtJiv the Oregon Utility Address ~~;~~~~l~~;1 :k,r' ,J :\;~t::;c r..;-!:e: :m~setforth401 Amps to 600 Amps () in OA? ~::!2-oo1-301 0 l,\rough OAR 952-001-601 Amps to 1000 A:mps ---City _tJ ~() VJ1UJl-m;oQldt~~~tes byOven OOmilllpsNohs calling the center. (Note: th~P one Reconnect Only number for the Oregon Utility NotIfIcatIon r.onter ~ 11...00(1-23-2-2344). 1:!W,"l~' Supervisor LIcense Numb'e't' '7- U:T '7 ) c. :~,t:.~~.t~L_,,'{L ,,~-'!"frll.""'!'T1';~,r 1",51"'... ~.{!l""''!' '\:~-mE~"('(~:tr'''''''J7.1<7'r~'''''<f\! ! ~I'" ~.~'P 'f--, "Un!. f'I' l' !' ,'t'j . "I, 'r ~.,. ~1i- l~ ...~..:., ~I<:, ~"I.,i '1.:..1" '''t 1,1'-O)oA'" l,rrp? y" I ./'1< ". " ~.'" J~ "',' I ,~ if ~, 1 ~i\r,'''''''''''''\T07V'{,' ~iTl\TlY1l t ., c ''J!I(JN'',<<: F'" ~ 1"l""LY~--!-;_, ~f::',~~~ J : !~,'''Wq~:~( '. A " (.~t ,\ll ,1 ( ',;, ~t..,,,~~.~.,h"l~r .1h,,'rttl~l~h'::'Jt~:~llj~~\,(l'..(IIt.".5'~jl}~~ti\li.-,....,~..L>'<..1~ L.". I _ ,~, ~ ,d'1. ,1 57 g- Z flA.""^-'-Lc LEGAL DESCRIPTION IB02 D332. 070CC JOB DESCRIPTION II-e>v..':.~ I rcwtP Permits are non-transferabl( and expire If work IS not started within 180 days of issuance or If work IS _ _ _ _SllspendelifOl:-180-days-------- -- -- __H ExprratIOn Date :;le-t; 1 Constr. Contr. Number /7;2 ~ ~ c" Exprratlon Date !}.fJt) 'i Date '1:' -~~~{"l,~ ',- ,1 (,I,';" !<~<f 'h~"-:'~' ''J....~IJ'f1,IJ,'l.:l11 ~(l';-'''t('.l\~.::(I[ 1~';.>'J \'~tS" ~~l~ ','l1,'! 1';,'.I(t,-..:;:;' C"" ~I\~f-""l I, , I l.~ 3. 1,'COMPMTE.FEE'SC.FtEDULlliBRLOW",.\~/'~-<;:.:;~}~'t '<'.'--' I j ,~~. etA _' ..,,~ "~",,l, ,Ill}" ~"I" ~~I.t. I" :J,u~ "1_ ,,(t,{I.!\.lrl.:j'..~'..:'..(.:;Jl\t,.'... ~..'~ "~AJ,l,,,,~~(l. _:.-I~\' -- < -' ,1 - I ~,~~~~${ffl~:ll:{\~A:~!~- A. ",~Ne:WR'esia' .I~l'~ ~ '11 \ 1~li'~,( ~ .I': '-1..',Pj ~;<, 'il:h' \;;(1 rffi~l~;;w./l~'r.rM?W"j"t,.,I"l'!'J~.r~:t~~(:;:,TP'~ '~1)';1.11: Irrr~' ~"r~"'I'i?f:l fl{ 1(<{P-l""1' '",' (,~" tl~,-S'ln- "le;o't''M\iiti~Fii mjI ~I' -, ef~(iWeJlhi" '4 uklit~' ::: ~ ~, .!t!..1~1', ~lo.i:~<-"~.l:..I~~,\d'A "f"~ll~'b~'~''.L,n,:~,,XltP..,~\'.I~I..~'I~~ ~ l"~I;f' ,~. Service Included 1000 sq, ft or less Each addItIOnal 500 sq ft or portion thereof I I $11700 117 Zl $ 21 00 Each Manufact'd Home or Modular Dwellmg ServIce or Feeder _ $55.00 ...... .., "l'lt r," ......,......'1 "I~' ""'. .,..tr~"'r""llr ';<..l"H..."It""'-;:l....t'I~A..... lI-''''Jr-!F''''\!b'~'''''''''':nrt.!;11::''''''''''''''' ...)'4....1,! r: "'0$('''' B \'S' ')Jf~:I,J'1jol1"'JI,',tf.:\!'1 i,~"'J:~!t~l'h 11,:I!~l'I'I\j\ A ,:iil~'~~~rl.l f~,lbli~~,.;W ;,1,.t,l""1'.{I',.\',H',1 i'\l~lJI,'(\~' '. ~~~~lZ~IL~"r,l< )', 't\ \ '~ll'. ( . t~ '~r.vk'es\of,)"""eeQ h.. i1'tiOlW1f\.fle"ariblis"oi'Relocritioh'::10J-1~ ~ ~rj.J~ ~~ll ';";?_li\~"'''':~~1, ~~ld~l!J6Xb lh<t~~l~t'IIb.:..~ 11-'..Jt't,~~J.~~,tiJl~ ~~L;:;;i'.\ ,~~Jl...\th~~ ~~:lIE ~1 t hJ~' ~'~~lkG'~r~'II~ $ 70 00 $ 83 00 $13 8 00 $180.00 n_$413~00- ---- $ 55 00 ..., ~~p';,r~~\rl: '~"l' l~ ~~~ ~1)lt '1 tll;jt&' 'I " ,.J;}lr,.~~L,ti!2' Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps qver 600 Amps or 1000 V oIts see "B" above D 'I'. 1.."!.\{\,ql'\I:\~'I'h~Il,t11~\ l!;'t'\ 11lW!~J\~.1' Pl11d l~H","t ,',',~ l' . ! j I ';, I,. ~~~ll t,~\ \1~~~L:\"':'l :1~~lll1f>ll'l'l 't~ : I! ',~r t" './ 't ~k' 11 ' ~ :, ~,'~L.J ,\~".j"_,,J~',W1f,l~ ~~1111~t"J~j ~lli1~~~Jld~.'~l~ '1t..:;i: \~ l~\: '::1 I $ 55 00 $ 76 00 $11 0 00 55"" New Alteration or ExtenSIOn Per Panel One Crrcuit $ 48.00 Each AddItional Crrcwt or WIth Owners N ~e j ~ L Rl C ~rJs Service or Feeder Penmt $ 4 00 " ~11O~~ /+ "'\-!~l"'lali!~Jr~:\'I'lr"""I~I"::' ,'" "'''' "I' ,",,' " , "..v () '-- '", if;rr "l.- "\,i,"~':\,' "',:'0 ,1,'1 h"" J", " Address ('J t l' _ E' ~ \f ,.H ~1~i"Th'JJ'!d,,~~~"\:t:tl \:'f\;~>l~~,~~~~u:J!.~!ill~ City \!>~ 1\1\S p~~ ~~SJj:~ci1f~P or rrriga1lon $ 55 00 AU1\1uR\I OR \5 AaM~DO i SIgn/Outline Lighting $ 55 00 _~~R INSTALL~~E~~j>E~_\~~~__ u _ LImited Energy/Resldentml $ 28 00 The installatIOn is belI/~~(i\~m property I own whIch LlIDlfe-a-Energy/Commercl-aC-' - -- -- -- ----- -$50 00 - IS not intended for sale, lease or rent Mimmum Electric Permit Inspection Fee is $50.00 + Surcharges Owners Signature' 4.I~J . /'7 .5 _ 12% State Surcharge ZJI t.. 10% Adrrunistrative Fee / , ~o 5% Technology Fee 1 ~J Inspection Request: 726-3769 TOTAL 2-4 S- ~ ShaTed Dnve(T )/BUlldmg FormslElectrlcal Permit ApplIcatIon 1-08 doc DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS (NOTE FOR REMODELS, CALCULATE ONL Y THE NET ADDITIONAL FIXTURES) NO OF FIXTURES DRAlNAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 1 0 3 = 3 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAlN 0 0 3 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 = 0 LAUNDRY TUB 0 0 2 = 0 CLOTHESW ASHER / MOP SINK 1 0 3 = 3 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRIG / WATER STATION / ETC 0 0 1 = 0 RECEPTOR FOR COM SINK / DISHWASHER / ETC 1 0 3 3 SHOWER, SINGLE STALL 0 0 2 = 0 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 SINK COMMERCIAL BAR 0 0 2 = 0 SINK WASH BASIN/DOUBLE LA V ATORY 0 0 2 = 0 ISINK SINGLE LA V ATORYIRESIDENTIAL BAR 1 0 1 = 1 IURINAL, STALL / WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 1 0 3 = 3 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 16 *EDU (EQUIvalent Dwelling Umt) IS a dIscharge eqUIvalent to a smgle famIly dwelling urut (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 ]990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$I,OOO ASSESSED VALUE $529 $529 $519 $512 $498 $480 $463 $440 $407 $367 $322 $273 $225 $180 $1 59 $145 $125 $109 $092 $072 $048 $028 $009 $005 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter] for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX CREDIT? (Enter ] for Yes, 2 for No) BASE YEAR 2 2 2005 CREDIT FOR LAND (IF APPLICABLE) VALUE /1000 CREDIT RATE $0 00 x $0 00 = I $000 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $000 x $000 o TOTAL MWMC CREDIT = $000 / CITY OF SPRINGFIELD SYSTE~,S DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER. C0M2008-00775 I NAME OR COMPANY Hayden Homes I LOCATION 5782 Pumice I TAX LOT NUMBER - --1802033209000' --- -------- - 1'--- DEVELOPMENT TYPE Smgle Family Residence I NEW DWELLING UNITS 1 BUILDING SfZE (SF: 1112 LOT SIZE (SF) 1 STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S F x COST PER S F CHARGE I 1629 00 $0.346 = I $563 67 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTEDITO CITY STANDARDS I IMPERVIOUS SF x COST PER S F x I DISC0UNT RATE DISCOUNT I 0 00 $0 346 I I 50% $0 00 I ITEM 1 TOTAL - STORM DRAINAGE SDC '$563.67 2 SANITARY SEWER - CITY A REIMBURSEMENT COST NUMBER OF DFU's x 16 COST PER DFU $26 83 B IMPROVEMENT COST NUMBER OF DFU's x 16 COST PER DFU $20 40 ITEM 2 TOTAL - CITY SANITARY SEWER SDC =1 $755.80 3 TRANSPORTATION A REIMBURSEMENT COST ADTTRIPRATE I x 957 I I NUMBER OF UNITS I x I I 1 I I B IMPROVEMENT COST I ADT TRIP RATE I x NUMBER OF UNITS x I I 957 1 I ITEM 3 TOTAL-TRANSPORTATION SDC = I 4 SANITARY SEWER - MWMC A REIMBURSEMENT COST NUMBER OF FEU's x COST PER FEU 1 $9535 B IMPROVEMENT COST NUMBER OF FEU's x COST PER FEU 1 $990 39 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL- MWMC SANITARY SEWER SDC = I COST PER TRIP 12043 I COST PER TRIP $90 10 $1,057.73 I x I NEW TRIP FACTOR I 100 x INEW TRIP FACTOR I 100 4590 $563.67 $429.33 $326.46 $195.48 $862.25 r/) ~ ~ o u ~ ~ t-< r/) ...... Cl ~ 1070 1091 1092 11_093 1094 = $95.35 1054 = $990.39 1055 $0.00 1054 $10.00 1056 $ ,095.74 I $3,472.94 I CHARGE $] 73 65 9638 1079 $77 27 1078 TOTAL SDC CHARGES $3,646.59 SUBTOTAL (ADD ITEMS 1, 2, 3, & 4) = J ;'; ADMINISTRATIVE FEE I SUBTOTAL x I ADM FEE RATE I $3,472 94 I 5% TOTAL SANITARY ADMINISTRATION FEE TOTAL TRANSPORTATION ADMINISTRATION FEE Kaye Wilson 6/3/2008 PREPARED BY DATE Job. No. f..~ 2-6C>9-. . s.e 77~ SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2008 NAME: /f;ry ~/7v.ZZif,'/U 1~6S PHONE: 2? e - ~ 7' 3' S- ADDRESS: ~ SW tltAcl6tCITY ~t!?JAu.)J STATE:<<ZIP:? 77St&, rL.. LOCATION OF PROPOSED BUILDING SITE: /L/~/ec /L , Street Address: 'f;'7fJ2- Plat Name: JA!AI~ m~D""'f Tax Lot Number: /~2.t'S_,.L ~1~" 0 1. DEVELOPMENT TYPE (Check appropnate dwelling(s). Dwelling type definitions are on the back. ) A. Sinale-Familv Detached NO. OF UNITS / X $2,513 per unit = $ 2.';;/:L B. Sinale-Familv Attached NO. OF UNITS . X $2,726 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS X $2,323 per unit = $ D. Sinale Room Occuoancv NO. OF UNITS X $1,162 per unit = $ E. Accessorv Dwellina Unit NO. OF UNITS ( X $1,257 per unit = $ $ WILLAMALANE SDC 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) $ 2~/J b I V, OJ? Date - - ---;-----... '.--:7 I ~ f<--, Develo-pment Services Department CitY of Springfield 5 225 Fifth Street . . Springfield, Oregon 97477 541~726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00775 COM2008-00775 COM2008-00775 COM2008-00775 COM2008-0077 5 COM2008-00775 COM2008-00775 COM2008-00775 COM2008-00775 COM2008-00775 COM2008-00775 COM2008-00775 COM2008-00775 COM2008-00775 COM2008-00775 COM2008-00775 COM2008-00775 COM2008-00775 COM2008-00775 COM2008-00775 COM2008-00775 CO M2008-0077 5 COM2008-00775 COM2008-00775 COM2008-00775 COM2008-00775 COM2008-00775 COM2008-00775 COM2008-00775 COM2008-00775 COM2008-00775 COM2008-00775 COM2008-00775 Payments: Type of Payment CredltCard cRecemtl RECEIPT #: 1200800000000000592 Date: 06/0412008 DeSCriptIOn Plan ReVIew Same As Bmldmg PermIt Addressmg ASSIgnment Wlllamalane Smgle FamIly 1 Bath One & Two FamIly Water Lme - Each Addtl100' Furnace - up to 100,000 btu Vent Fan Apphance Vent Exhaust Hoods Dryer Vent Gas Outlets 1-4 ~Mech Iss 2+ Apphances~ ResIdence Wlflng 1000 Sq Ft ResIdence Wlflng Ea Addtl 500 Temp Power 200 amps or less FIre SF Fee - ResIdential SIdewalk PermIt Curbcut PermIt Storm Dramage ImpervIOus Area Sallltary Sewer - ReImbursement Samtary Sewer - Improvement SDC Transpo ReImbursement SDC Transpo Improvement SDC MWMC ReImbursement SDC MWMC Improvement SDC MWMC AdmmlstratlOn SDC Sallltary/Storm Admm SDC TransportatIOn Admm Plan ReVIew Major - Plannmg + 5% Technology Fee + 12% State Surcharge + 10% AdmmlstratlVe Fee Paid By HA YDEN HOMES Item Total: Check Number AuthOrizatIOn Received By Batch Number Number How ReceIved DJB 011965 In Person Payment Total: Page 1 of 1 1l:09:35AM Amount Due 220 00 605.68 3500 2,513.00 160 00 1600 1400 1400 700 1000 700 500 4000 117 00 21.00 5500 5560 8500 8500 563 67 429 33 326 46 195 48 862 25 9535 990 39 10.00 9638 77 27 205 00 7033 123 80 108 73 $8,219.72 Amount Paid $8,21972 $8,219.72 6/4/2008 '1, 08/08/2008 08 18 5033901275 GALE CONTRACTOR SVCS PAGE 05/05 g!,!! ._le89 .1.1ASCO ~ P 0 Bo. 7281 Salem, OR 97303.0054 CC 8 'on" 3382 Hayden Enterpnse~. Inc. 2464 SW GlacIer Place SUite I 10 Redmond, OR 97756 RE: c..--=6 - r7f7 <;; 5782 PumIce Place SprIngfield, OR Lot 229 To Whom It Muy Conccrn Tim Icltcr )< to venfy that Gale ('onlractor <;Cl vlce~ )mldlled R,2~qft of Cet1amTeed unfdced R ,OX19 hall IIl~ulat,(ln ,c<-urcd wIlh Iwmc and plumhmg t~ properly llI,ulatcd ", contr,\cted at the uddre" referen<.ed above ~~ ~Rll<h Procluctton Manager Gale ContractOl ServIces 503- ,90-1200 -- '---_"' p~t L~ 5''l" ;.- C '! --Qf) ~ InsuISate.~~ Fiber Glass Blowing Insulation ~f \..,"..""."",,,~ert~~~~:~~~~:~~:~,,,,..,,~. TO OBTAIN A THfRMAllRESISTANCE OF BAGS PER 1DOOSQ FTI100M'OFNETAAEA CONTENTS QFBAG SHOULD NOT COVEA MORfTHAN SHOULD NOTBE lESS THAN ~- \. ,~ "" 1~'jll\11Il!JIII\ljl~ ' SHOULD NOT BE LESS THAN R R-60 R-49 R-44 R-38 R-30 R-19 R-13 R-11 , " Number of Bags 31 4 252 224 191 149 93 62 53 sq It 319 397 446 525 671 1074 161 7 1905 (' , on 2200 1850 1675 1450 11 75 775 525 450 on 2200 1850 1675 -\ 1450 , , 11 75 ---..' 775 525 450 -., \ v ,- ThIs IS to certIfy that CertaInTeed InsulSafe.SP fiber Glass Insulatton has been Installed to the manufacturer's recommendatIOns and will . i I achIeve an R-Value* of!? 3_~sIng _ bags of InsulatIOn to cover _ square feet of area at a mlllllnUm Installed thIckness of IIf-1-rfKhes Street Addres~ _ V',,o /1fp /?O MO f Slg"nc(1 (hl.Sldr1e"rj Clt\ St<lte ZIp ?-.7~-02 Dale C JJl F Company Slate LICense Number (II reqUired) ell) State, Lip InsulSafe SP I'> noncombu<;uble noncorro<;I\L md morgJ.n1c .1. product dC'>lgned for tod.1} 5 SJkt\ stand Irds and to morro.... "Loerg) rLqLllremenl<; Keep tlus certlflc HL with your other \ tlu,ble r'rers If you nLr '>t.1I thl'> propt.ny tIns cendlL ,te should be pa'>'>Ld on to thL purLlla,>u *ThL higher thL R-VdluL lhe grc HLr the lll,>ulltlng power Ask )our '>teller for the hu '>heet on R Value,> CertainTeed 1:-1 Quahtymad,a.ta,n Sat,,!a{t,onguoTanlttd Clrl11l11ecd llllpOrJ\lOn . PO Box 86Cl . 750 1: ~""Ldu,[ord ROld . V111"} rorgc PA 19482 . \\"'\\\\ Ll'IIIInICcd tom Ii 5"'7 y 2 CJ8 S ( C>)/j-;t/ Ct!),., ~ 6> a- -8() l n Insur ~~~ Fiber Glass Blowing Insulation Certificate of Insulation ~ l.!!ill:Jllt:Ulllllt:ll!jl;~I~ j) H'J'':'UU'llIIl'IIIJJIl'J::I.f.:UI::( Il'IIII'mJIIU'II~1D11lIDIYE1~;II"~'~I:t.....~ 1I'llh'Il\'JIII\'1100iYID11:11"~'~I::t.""'1 TO OBTAIN A THEAMAl RESISTANCE OF BAGSPER11100SQ fTnoo M' OF NET AREA CONTENTS OF BAG SHOULO NOT COVER MORE THAN SHOULD NOT BE LESS THAN SHOULD NOT BE LESS THAN R Numbe, of Bags , sq It In In R-60 31 4 31 9 2200 2200 R-49 25 2 39 7 18 50 18 50 R-44 22 4 44 6 16 75 16 75 R-38 "~iJ II 191 525 ,. II 1450 1450 '-i R-30 14 9 67 1 11 75 11 75 R-19 I 93 1074 J I 775 775 ~ R-13 62 1617 I 525 525 R-11 j, 53 1905. I 450 450 __L ThIs IS to cernfy th)Certall1Teed InsulSafe"SP Ftber Glass Insl'lauon has been Installed to the manufacturer's recommendatIons and WIll \, , achlLvc an R- Value* of E3f1 USll1g _ bags of ll1SUlatlOn to co~;;-=-- square feet of area at a mInunum ll1stalled thIckness of&.EnJ;~s !~~5 6' 1/ 15 Street Addlcss City State ZIp _\/,'(C'nL /{a.V10(' Signed (lnstal(c;) 6 t11 E Camp'1llY <; -!<'-()(/ Dale StatL License Number (11 n.C]Ulrcd) ell\' Slale, Zip ln~ulS 1ft. SP \" lloIlLomhu<;[tblc noncOI W<'IVC "mcl inorganic A product ck<;lgnullor tod lYS s"lfel} '>tand"lrds and tomono\\ <; energ) rLqulrLlllLnts KLLP this cUllhntL wuh your other, aluable pipers If you e'Lr sell till" proput' thIs ceruflc.Hc ..hould be passed on to the purchaser *The hIgher the R ValllL the greatcl the Itl~ulatmg pO\\er Ask ,our ..L1ler for thL fact ..1H.el on R-Vallles CertainTeed 1:-1 Q"<<"t!l..<<d~ rtr/<<.n SQfl5f~clllm gurulttd" Ct-rt'lIllTt'LJ CorponllOn PO Bo'\ R60 . 750 E S\\eJesrord R01d . VllIC} Forge PA 19482 . ww,~ crrtallltced com , , -' \ - ,..... , Jo..\. ~ ,;-~..;.. ',L.~ ~ ~"'-eo YOUR HOME IS INSULATEO WITH INSUlSAFr SP, THE NONCOMBUSTIBLE FIBER GLASS INSUlATION , ( , InsulSafe SP unproves energy efftClency and reduces energy consumpnon ThIs producI helps conserve nOl1lenewable energy sources, reduces dependence on foreIgn 011 and reduces greenhouse gas emlSSlons InsulSafe SP IS manufactured wIlh no formaldenvde and IS GREEi~GUARD' Cerufted , . for supenor Indoor air quah~' ThIs means that InsulSafe SP IS tesled by a thud pany to conhnn that enUSSlOns of formaldehyde, volatIle OIgamc compounds (VOCs), respIrable paludes and other pollutants are below estabhshed slandalds . r' , , rr ~" , G 9 " & GETTING COMFORTABLE WITH CERTAINTEEO , For over 100 vears, CertamTeed has been the recogmzed , ~\\ performance brand among bU\lchng plOfes"onals, as J well as a leadIng lesearcher nod-producer 01 hber glass msulallOn WIth a WIde scloCllon of InsulatIon plOduets to fit your home from the basement up to the attIc, c you can fmd comlort In knOWIng all YOlll 1l1sulallOn S needs WIll be mel , '" e e ~l ~,.~ ~ (~) , V' ----... , Ill:1lIiI ~~MA , ASK ABOUT OUR OTHER CERTAINTEEO PRODUCTS ANO SYSTEMS EXTERIOR ROOFING SIDING WINDOWS. FENCE RAILING TRIM DECKING FOUNDATIONS PIPE INTERIOR INSULATION WALLS CEILINGS CCtlalnTeed CorpOlaLLon PO Box 860 Valley Forge, PA 19482 proresSIOI1.tl 800~233-8990 ConsuIllu 800~ 782-8777 ",,,wcertalntecd com CertainTeed 1:-1 Q 3024 312@01l07CcnamludCorporalLUn Prmlcd In U SA . Q ~~ "~ o c c .0 c~ f' ;l, " ~-? -'! 1= '- _--Y_ ",;..r::: f .../ .: I ~ ~'" ....,~# l.....c o,..-::.~..,-f r'__ :'..~"'~ J..,,-f-F. 't.' ("o.~ ,r-J ' J:...- ~ ......"' 't..o".. > (" ~ ..):,;. ~ ~ : ~,~ : ,~~ I... "-l~' __ -c... ~ ~ "'i'f;.f~~~~:..~ ~~~~ of ...': r ::.~~~, (:.. ,..~:::Jv' j~'"fi~. ~(-';:;"".r eo ("r .. " " ... r ~.::.A ~.....-;- .c-",'"'\ ~'?: _~ "t' ~~J r-~'~'1::~~t_.......~ ~ l..".~\!:~.r",,\..> '1-:.... X~, ~r... ..~ ~r"">;"~-'-' ~~ ( C" --1", ,,-,~h-..L:"~~-""c "'" ~:o._ r......, ).., ';: "" /'y.,"":Ir,-..~:'" ~ .....~ f..v<- ~~ J --..-' ",...i (j' ..... ~"'i;' l .... <"'- ~... ....-, ' ~... ~ n .... ~ ;; ~ ( r r ,,}-.., -:; "c.l..",;!.1 '. ... .;')-'. J~ :_~ ~,~::- "".C"'""" .. '-. .' .:0,;::: '" ""', J- .I ~ ..- .....J ,." . -""" )- }<;'\ ~) r ~ ::. .' ~ -' ~., c, 1,.. ,~ ~'t:' # .~~~"('lt r;;;.r Y:'f(.."~ ;"'<....~ ..., ~ /', ,....-'::.... ... ~ f~ ~? : '-;;' ~ ,- "'- , ,>- ~~ ~ ,. > v..... , r_ ,I ~: .... '. . '-.J ' , , ? ,,- ~ o CertainTeed II Qu~hly made certmn Sallsf~rlUJ71 guaranteed '" ~