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Home My WebLink AboutPermit Building 2009-5-15 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRIN~J<lJ<,LD Building/Combination Permit PERMIT NO: COM2009-00536 ISSUED: 05/15/2009 APPLIED: 04/22/2009 EXPIRES: 11/15/2009 VALUE: $ 231,453.60 Springlield TYPE OF WORK: Duplex SITE ADDRESS: 4185 GLACIER VIEW DR 4187 ASSESSOR'S PARCEL NQ.: 1802052203900 Residential TYPE OF USE: New PROJECT DESCRIPTION: New Duplexl Building Permit #COM2009-00536 Owner: Address: Phone Number: 541-686-2525 MARGOLIS FAMILY LIMITED PARTNERSHIP 3338 ZACHERY LANE EUGENE OR 97405 ATTr-I\ITIf"lt\/. r'\~___ . follow rllloC! "'r1",,':",,::..~"I_'''''':' H;;':!llllt::::i you to NotiflrCONl'RACTOR INFORM\\;rION(llty in OAK 952-001-0010 throu -h.O -n~Q~c; 'urth Contractor 0090. You may obtain cop. legs ofticenstP01- Expiration Date ,.. rn~J.1o/es by LARRY KENT <SbOp.ERle center. (Note: the 10~/~0 11106/20\1 DEANS ELECTRrCber for the Oregon Utility ,h'iJ5fl9naOtne 0612012010 G ... . I~Ulll lJ Ion SUNSET HEATING & A'lR'IN@ 1-800-332-234'11706 08/18/2010 DENNIS SCOTT EGGERS . 142776 05/0512010 Contractor Type General Electrical Mechanical Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Avail.ble; Special InstruCtion: . Phone 541-302-5852 541-935-5303 541-988-3181 541-459-0110 I. BUILDING INFORMATION' 2 -# of Stories: 2 R-3 Height of Structure 24.50 U Type of Heat: Wall Heat vBNOTlCE: Water Type; Electric . THIS PERm!lf"a'l-iAJ!~1: Electric- 4~UTHOR/z'::~emrrf~ ,~X~IRE IF THE WORK ~O~~,~,NE~,~~B~~s lluJ~~r~~~~I~~~~OT IV I.DE'VEL"(l)IrnlHNlVINFORMATlO~ Lot Size: 4,500 Sq Ft 1st Floor: 1,136 Sq Ft 2nd floor: 1,072 Sq Ft Basement: Sq Ft Garage/Carport 468 Sq Ft Other; Occupant Load: REQUIRED PARKING 20.00 6.00 7.00 25.00 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 0/0 of Lot Coverage: 1. Yes 39.00 Total: Halldicapped: Compact: 4 I PUBLIC IMPROVEMENTS I Fully Improved Yes . Sidewalk Type: Downspouts/Drains: Curbside 5' Curb and Gutter Notes: Route storm water to curb and gutter. Paee I of 4 _~.F15.!l~q_!fI,~,J?; ,1)W_,II!ili.,il: '\ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Estimate U VB Utility R-3 VB 1&2 Familv Estimate Garage/Misc SF/Duplex Fee Description Plan Review Resideniial + 12% State Surcharge + 5% Technology Fee 1st Appliance .2 Baths One or Two Family Addressing Assignment Building Permit Curbcut - 2nd Curbcut Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Perm Serv/Fdr 200 amps or less Plan Review Major - Planning Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin .SDC Tran Reimburs-Residential SDC Trans Improvement-Resident SDC Transportation Admin Sidewalk Permit Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan Willamalane Attached (duplex) Total Amount Paid CITY 01< ."lrKll'l\JFIELD Building/Combination Permit PERMIT NO: COM2009-00536 ISSUED: 05/15/2009 APPLIED: 04/22/2009 EXPIRES: 11/15/2009 VALUE: $231,453.60 I Valuation Oescrbtion I . ~ $ Per Sq Ft or multiplier $1.00 $37.72 $96.83 Square F~otage or Bid Amount 200,000.00 468.00 2,208.00 Value Date Calculated $200,000.00 $17,652.96 $213,800.64 $431,453.60 04/22/2009 05/07/2009 05107/2009 Total Value of Project Fr'\~ P1)'U Amount Paid $725.24 $313.08 $147.55 $79.00 $674.00 $76.00 $1,245.99 $-45.00 $88.00 $18.00 $13.00 . $133.80 $162.00 $211.00 $268.00 $50.00 $715.24 $940.62 $10.00 $2,018.34 $195.80 $190.90 .$403.08 $1,777.96 $159.71 $88.00 $951.09 $63.00 $36.00 $6,200.00 $17,909.40 Date Paid Receipt Number 4/22/09 5/15/09 5/15/09 5/15109. 5/15/09 5/15/09 5/15/09 5/15/09 5/15/09 5/15/09 5/15/09 5/15/09 5/15/09 5/15/09 5/15/09 5/15/09 5/15/09 5/15/09 5/15/09 5/15/09 5/15/09 5/15/09 5/15/09 5/15/09 5/15/09 5/15/09 5/15/09 5/15/09 5/15/09 5/15/09 2200900000000000415 2200900000000000531 2200900000000000531 2200900000000000531 2200900000000000531 220090000000000053] 2200900000000000531 2200900000000000531 2200900000000000531 2200900000000000531 2200900000000000531 2200900000000000531 2200900000000000531 2200900000000000531 2200900000000000531 2200900000000000531 2200900000000000531 2200900000000000531 2200900000000000531 . 2200900000000000531 2200900000000000531 2200900000000000531 2200900000000000531 2200900000000000531 2200900000000000531 2200900000000000531 2200900000000000531 2200900000000000531 2200900000000000531 2200900000000000531 Page 2 of 4 CITY OF SPKmlJl1lELD Building/Combination Permit PERMIT NO: COM2009-00536 ISSU.ED: 05/15/2009 APPLIED: 04/22/2009 EXPIRES: 11/15/2009 VALVE: $ 231,453,60 " 'I ,I <I :1 ., To Request an inspectibn call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m, will be made the s~me working day, inspections requested after 7:00 a,m, will.be made the following work day. . j \ .1 I I Status Issued II 225 Fifth Street, Springfield, OR , 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line II :'[ Plan Reviews I , Initial Review 04/23/2009 04/24/2009 APP LLH Public Works Review 04/24/2009 04/27/2009 APP BJG Structural Review 04/27/2009.. 04/27/2009 10 .KLK Plaonine Review 04/24/2009 04/28/2009 APP DDK .. Structural Review 04/28/2009 04/28/2009 10 KLK Structural Review 05/05/2009 05/05/2009 IO KLK Structural Review 05/07/2009 05/07/2009 APP KLK Stol'mwater to curb and gutter. Starting Plan Review 1st plan review completed. Met with Larry to. address corrections: 1. Truss Detail AGI is missing, 2. Wbat Type of II 7/8" T Jl's, 3. Wall Bracing at garage interior and IBP's required, 4. Fire Wall Assembly and Party Wall Diagram are incongruous~ continuity of fire wall is not maintained,S. Provide listings for 2-hour fire~resistance rated membra~e penetrations. Started review with corrections from contractor. I R '..;r~<l In<.w~t;"n< . I ./~I.- Sidewalk - curbsid.l After forms .re erected but prior to placement of concrete. ,I Curbcut - Standard: After forms are erected but prior to placement of concrete. Eros"ion/Grading Injlpection: Prior to ground'disturbanc~ and after erosion measures are i~stalled. ., Page 3 of 4 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-00536 ISSUED: 05/15/2009 APPLIED: 04/22/2009 EXPIRES: 11/15/2009 . VALVE: $231,453.60 ;1 225 Fifth Street, Springfield, OR 541-726-3753 Phone .. 541-726-3676 Fax 1 541-726-3769 Inspection Liae II II By signature, I state und ag~ee, that I have carefully examined the completed application and do hereby certify that all information.hereon is true ~nd correct, and I further certify that any and all work performed shalJ'be done in accordance with the Ordinances of the City '~f Springtield 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 S.fety. I further certify that only c6ntractors and employees who are in compliance with ORS 701.005 will be used on this project. . I further agree to ensure th~t all requir~d 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 '''"'"ri:b=::- ;ye"~ ~ I~, :klOj Owner or Contractors Signature Date :i II r :1 .1 Page 4 of4 I Willamalane Park 8i Recreation District Job. No. ~q-~3LQ II '. . . II . SYSTEM DEVELOPMENT CH.ARGE WORKSHEET FOR 2009 NAME:-llD~~O\tS ~(\t'{\\ \\1 PHONE: gC1L -5PJ5'2- ADDRE~r:..3338 ~ pJ'9 STAT~ZIP: th1-d;5 LOCATION OF PROPOSED BUILDING SITE: II'. . . .~ StreetAdClress:4\~~ 't'"\\~< ~LQ.lJ"'J Dr-. Plat Na~f:.ftfu~i-er\JlliU. Tax Lot Number: \<1<0"2(>52.7- 0?A@ 1. DEVE!OPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the back:) !I . A.Sinale-Familv Detached . II NO. .OF UNITS II 8. Sinale-Familv Attached Ib OF UNITS 2- X $2,858 per unit = $ X $3,100 per unit = $l.Q'2.CO . c:cJ C. Multi-Familv Aoartment . w NO. OF UNITS X $2,641 per unit = $ II D. Sinale Room bccuoancv II NO. OF UNITS. X $1,321 per unit = $. .:1 .' E Ahcessarv Dwellina Unit II NO. OF UNITS X $1,550 per unit ,,; :.1 . WILLkMALANE SDC ii. 11 2: SDC CREDIT (If applicable) SDC payer must furnish proof of II .., . Willamalane Credit approvaL) . II 3. TOTAL WILLAMALANE NET SDC ASSESSED ~ . . (if SDC: reduced for Credit) - .lli1 J ~ ;f}({ f\!\, fJ Development ~ervi;\ O\p'artment Date . City of Springfield. . . ,. II . : . .'1 $ $ I oQ.CO . c:tJ $ j;Y . . aJ $ (0 'l.{'f) / / 5 . Ii II ~. . CITY OF SPRINGFIELD, OREGON ~ . .' ~~ ZON INTIlALS DATE SOURCE " 225 FIFTII STREET. SPRlNGFIELD,OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 u.. . ELECTRICAL PERMIT APPLICATION (lQ,~~ ,. 1 . ~~Glt, ','ffIO.NQ.EfiNs~aN!jl,lilllJ!~,i , "~.":'.~."'''''",_cl."''"'':!''''''''.'..''''''''''''t'-''''''.'.'.'..'' '. \~~.Ie L\\~ =\ \~llJff LEGAL DESCRIPTION:il . \~')"" f)~~ JOB DESCRIPTION; II ' ~. I- . '*r l Qill I II '. ' . Permits ar non-transferable and eXJIIreQwork IS not started witbin 180 d~ys of issuance or if work is Suspended for 180 days.:1 City f,,~ eweJ . I II Supervisor License NumJ.;. s g \ 9 <; c. ,~It~i1i~f\ili&~[~~~I~t~~~~~::; Expiration Date I 0 IV 1 / '10\ 6 InstaUation, Alteration or Relocation 1['11 Q 0. . F-", 7 Q 200 Amps or less Constr. Contr. Number \ -\ '., I 201 Amps to 400 Amps I' II'!~ '1 () ~ 2. () \ ^ 40 I Amps to 600 Amps Expiration Date l"\ Ii 1-.. lJ Over 600 Amps or 1000 'Sign. \lfilre of SUlbrviS_in_g E.,;,.,[If.-ian_ " D'ane Circw't _ New Alteration or Extension Per Panel $ 50.00 Owners Nam9,'De ~.1~10l1'1I' tUSo.r;; c\I\ " t (J ~.:'_~=~mI,de;.::.,'t.,::"M,"'I.:~".", '''"'_'*"P~"":, ::,::""'''''''. .'''.''''',''''''"'.' .", . ~ A V0......\ E. ~'"i$A:'eltant!o; Se,:vltelfffile~" ot;1IDcj\il1w)lEEa1ti1lnStaUatillli' :=~ss {AJq ~Phone 2fl2, ~~=;~;~"'''''A''"''".;~'''''''-'.~i~~~i'i''''-''''''.' . I. OWNER INSTALLATION Limited Energy/Residential$ 29.00 The installation is being Jade on property I own which Limited Energy/Commercial $ 52.00 , . is not intended for sale, leFe or rent.. Minimum Electric Permit Inspection Fee is $52.00 + Sllrcharges . . ,I 4.IfJRm~~,()BlA~R6miii, : Owners SIgnature. II . . ." "':;""f!;;;!1e1,.ii"i."';';T<:ifii'i" ,';' 'I""'" 'P',,"'~!<<- -:wi' ,. I 12% State Surcharge in I\.d.. .it ~." . W 0 10% Administrative Fee \..U)Lt....t ~ L 5% Technology Fee s ecb~~~ " ~^ ,. TOTAL, . ~ ~n<<\.t"l\eW ~ {.CJ(IY\.V\l)"er' ShafdDrive(T:)lBuildingForms/ElectricalPennitApplication7.{)S.dOC vI',\, ~~-Ltl . . City Job Number 2.' \:~~~gfl:'lll~~.!!"!r~~~~~ Electrical Contractor ,;;.po, '1\1)<; 7'.1 e (, R;C '\,...<-- Address p, 0, t J~ - II 1.C;gr Phone(SL{\\ ~ 9o-~6bq Date s. lffi!:OMfi&"i:;;;-:itim~S€TihnUllil;mEID--;"<'ln"'~'1~~J. l~--~--"-'<. ,""."-",.,..,.".",,, ."".c'._~'_'.N,~'lI1l,[~T,~,_",.~__.P;'. , A 1""~~~m~m~ffiles~'!~i\;rtMij.i~rj~~T~~Ujff~~I~. 1""x_,""~"l'i,_,,",<r."'"~'"'($iIi!,,~,*,,~,~.ill~.,t_-.,,,"_',,,,,,,,~",",,,~Jip"~'''MCi'~''!,g"",,,~_-:... ,'1lli . Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof jm1lo $~O z.t08 SD )l A. Each Manufact'd Home or Modular Dwelling Sez:vice or Feeder $57.00 ~'~,'ii\n1!>}f","".G:0";C~;:&",.kW.'<iW",.ntll, fu"llI.lWI'"#.!;::~,',~,~mh'>j\\s:!'J14 jiit:j1'~Mi'!1"'i%'i!'i/Wji;,"""",'1F.:"""'_"".' ""ih\'~'!:!'!.'E1.''''<\!L,',;Ml~iBiJ(%0f'i!$.'~, !'#&.):!1' "1'" . B.:S~~leesi\)~'F~(Ir,*:~ilstliUati1iii"~~fati!IUs?ol\{Rel1\catiom~". " .u",*"b~;~"";;;;P"d:;:;~,,,o;.>;",""Mm""""iM'7R"~i'C0"",,\\;,;;t~J;1.)t,,.f&#.!7!$*,,.~~\<{'''"'' ?:1' "} i' , .r',:)J,,,) 200 Amps or less A ~ ~lffl... fJ.J 201 Amps to 400 Amps $ 86.00 401 Amps to 600 Amps $143.00 60 I Amps to 1000 Amps $186.00 Over 1000 AmpsNolts $426.00 Reconnect Only $ 57.00 $~ $ 79.00 $114.00 lo~~ JOURNAL OR JOB NUMBE~: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS I. STORM DRAINAGE CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET -., -......-- -- COM2009-00536 MARGOLIS FAMILY 4185 GLACIER VIEW DR 4187 1802052203900 Single Family Residence 2 BUILDING SIZE (SF 2154 LOT SIZE (SF): .. DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. Ilx I COST PER S.F. I I CHARGE l 2666.00 il I $0.357 I = $951.09 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I i'x I COST PER S.F. I x I DISCOUNT RATE I I DISCOUNT I 0.00 I il I $0.357 I I 50% I ~ I $0.00 II ITEM 1 TOTAL - STORM ,?RAINAGE SDC I $951.09 I 2. SANITARY SEWER - CITY ~~ A. REIMBURSEMENT COST: I NUMBER OF DFU's I ix I 34 1:1 :1 x B. IMPROVEMENT COST: I NUMBER OF DFU's I I 34 I COST PER DFU $27.67 COST PER DFU $21.04 I ',I ITEM 2 TOTAL - CITY SANITARY SEWER SDC " $1,655.86 ~ , 3 TRANSPORTATION 'I A. REIMBURSEMENT COST: t ADT TRIP RATE I ;Ix I 9.57 I:f B. IMPROVEMENT COST: it I ADTTRIPRATE I .x ., I 9.57 I 'I I NUMBER OF UNITS I x I I 2 I I COST PER TRIP x INEW TRIP FACTORI 21.06 I 1.00 . I I NUMBER OF UNITS I x I I 2 I I = , COST PER TRIP x I NEW TRIP F ACTOR I $92.89 I 1.00 I $2,181.04 , 4356 $951.09 r/) W Cl o U ~ W I-< r/) 6 gj I 1070 l $940.62 1 1091 I $715.24 I 1092 I $403.08 $1,777.96 I 1093 I I 1094 I i: ITEM 3 TOTAL - TRANSPORT A nON SDC :1 MWMC CREDIT IF APPLlC1BLE (SEE REVERSE) . ! MWMC ADMINISTRATIVE FEE .1 ITEM 4 TOTAL - MWMC S~N1TARY SEWER SDC ~, :, . SUBTOTAL (ADD ITEMS 112,3, & 4) ~ , 5 ADMINISTRATIVE FEE: ISUBTOTAL x 1 ADM.FEERATE I~ I $7.01213 I 5% I TOTAL SANITARY.ADMINISTRATION FEE: I TOTAL TRANSPORTATION 'ADMINISTRATION FEE: -if 4. SANITARY SEWER - MWMC Ii A. REIMBURSEMENT COST: INUMBER OF FEU's I ilx I 2 I B. IMPROVEMENT COST: .INUMBER OF FEU's I I 2 I Ben Gibson PREPARED BY ICOST PER FEU I $97.90 'x il " ICOST PER FEU I $1.,009.17 = $]95.80 $2,224.t4 $7,012.13 -. -----.- - -- --- ..- --. CHARGE $350.61 4/27/2009 TOTAL SDC CHARGES = $2,0] 8.34 $0.00 $10.00 DATE 190.90 $159.71 = I $7,362.74 1054 1055 1054 I 1056 I I 11079 11078 DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUTV ALENT = DRAINAGE FIXTIJRE UNI1~S (NOTE: FOR REMODELS. CALCULATE ONLY TIlE NET ADDITIONAL FIXTIJRES) NO. OF FIXTURES DRAJNAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUlV ALENT UNITS I BATHTUB 2 0 3 ~ 6 DRINKING FOUNTAIN 0 0 1 ~ 0 FLOOR DRAIN 0 0 3 ~ 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 ~ 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 ~ 0 ILAUNDRY TIJB 0 0 2 ~ 0 ICLOTHESW ASHER / MOP SINK 2 0 3 ~ 6 CLOTHES WASHER - 3 OR MORE (EA) 0 0 6 ~ 0 MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 ~ 0 ~ ' RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 ~ 0 IRECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 ~ 0 ISHOWER. SINGLE STALL 0 0 '2 ~ 0 ISHOWER. GANG (NUMBER OF lmADS) 0 0 2 ~ 0 ISINK: COMMERClALtRESIDENTIAL KITCHEN 2 0 3 ~ 6 I SINK: COMMERCIAL BAR 0 0 2 ~ 0 I SINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0 ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 4 0 1 = 4 IURlNAL, STALL / WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOn~ET, PRIVATE INSTALLATION 4 0 3 = 12 MISCELLANEOUS DW TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 34 _*EDU (Equivalent Dwelling Unit) is a dischar~ equivalent to a single family dwelling unit (20 OFlJs) set at 167 gallons per day J . MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE r YEAR ANNEXED I BEFORE 1979 I 1979 I 1980 I 1981 I 1982 1983 I 1984 I 1985 I 1986 I -1987 I 1988 I 1989 I 1990 I 1991 I 1992 I ]993 I 1994 I 1995 I 1996 II 1997 1998 ]999 II 2000 2001 CREDIT RA TE/$I ,000 ASSESSED VALUE $5: IS LAND ELGlBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR 2 2 1979 II CREDIT FOR LAND (IF APPLICABLE) VALUE /1000 CREDIT RATE $0.00 x $5.29 ~ I $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE/IOOO CREDIT RATE wm x.~ 0 TOTAL MWMC CREDIT = $0.00 22;; Fifth"Street Springfield, Oregon 97477 541-726"3759 Phone Job/Journal Number COM2009-00536 COM2009-00536 COM2009-00536 COM2009-00536 COM2009-00536 COM2009-00536 COM2009-00536 COM2009-00536 COM2009-00536 COM2009-00536 COM2009-00536 COM2009-00536 COM2009-00536 COM2009-00536 COM2009-00536 COM2009-00536 COM2009-00536 COM2009-00536 COM2009-00536 COM2009-00536 COM2009-00536 COM2009-00536 COM2009-00536 COM2009-00536 COM2009-00536 COM2009-00536 COM2009-00536 COM2009-00536 COM2009-00536 Payments: Type of Payment Check cReceintl "'!"'~!!F'..I.......D..'jl..'.....'. ~.::'....A'...~.... '. _-T......._ City of Springfield Official Receipt . Development Services Department Public Works Department I RECEIPT #:.2200900000000000531 Date: 05/15/2009 Description Addressing Assignment Willamalane Attached (duplex) Fire SF Fee - Residential Stann Drainage Impervious Area .Sanitar'ySewer, Reimbursement Sanitary Sewer - Improvement SDC Tran Reimburs-Residential SDC Trans Improvement-Resident SDC MWMC Reimbursement SDC.MWMC Improvement SDC MWMC Admillistration SDC Sanitary/Storm Admin SDC Transportation Admin SidewillkPermit Curbcut Permit Curbc~t - 2nd Curbcut. Plan Review Major - Planning Building Permit " 2 Bath,s One or Two Family 1 st Appliance Vent Fan Exhaust Hoods I Dryer yent Residence Wiring 1000 Sq Ft " Temp power 200 amps or less Residence Wiring Ea Addtl 500 Perm Serv/Fdr 200 amps or less + 5% Technology Fee . + 12% State Surcharge Paid By MARGOLIS FAM LMTD PART I Item Total: Check Number Authorization Received By Batch Number. Number How,Received cjc 8872 In Person Payment Total: Page 1 of 1 12:02:2IPM A~ount Due ' 76.00 6,200.00 133.80 951.09 940.62 715.24 403.08 1,777.96 195.80. 2,018.34 10.00 190.90 159.71 88.00 88.00 (45.00) 211.00 1,245.99 674.00 79.00 36.00 13.00 18.00 268.00 63.00 50.00 162.00 147.55 313.08 $17,1~4.16 Amount Paid $17,184.16 $17,184.16 5/1 5/2009 j:U.1 140.85'.Jr.. 2+ .....~ .~. .." 'II __.:m&.o-_.,. ~ ~ ~ :R..DRIVE ~J' LF --' ~ ~~~ ._. --....- L"''-. --~- \,II,., "..VI.tJ"T .....<.,# "~I L-=~ 1'\~1""i';2" ..... . ... - r;; 1'\0 00 i 4'0 PROP WW ... .." -- . --- ~... .. ~~'.:('4~'r'"'''' B I V~, ':':,. -." B" 'WW ' ~~'~~~~I~~~. l! ; . ~ 148 r/.-@).. ' STA 1+96.24 14.18 LT ~ .-........-.. "+"'I~ ' ="> <== ' -;- I I . 12.S . " '!' ~.... l -.. ... ....L..., = --fTIIlI- I I l~ ..n .oI.foo,..;....Li.,..;. ~.... - -= ..... l.t. .n. .. -. J...J __ .,-,- .--............ t, -........)If., _ _ _ ~ _ ~1.. If /' _ _ \'"---" lJ' S:R- j _~l LF 3~ ' -@D <!!!7- LOT 3 LOT 2 S\",'C\.^-'\.. LN tA I t.. i:- \0 Cu \C--~ ct G ~.l LOT 1 PLAN - GLACIER DRIVE N ~", ...,... .Q~I\,\u.,.... ............. .............. ........... h ....- .......... .......... ........ ............ ........ ................ ...........,...... ..,.....,....... '..f...'..'..,..... .....................,..,..,...!2 .,rn................. .................... ................ ...... ....., .......... ........ ....... I : : . I T ga: . . . t . . . . . . . . . i . . . . . . . . . I' . . . . . . . . I . . . . . . . . . 1 . . . . . . . . ~~ ..,.. .. . . . . i . . . . . . . . . I . . . I . . : :..- ........ SCALE: 1. "" 20' .2+0S1O .D' ~.t 2+nn ._ _ ,__ __ _ - ..: ~"'''''''''Qa~93 IF --": '" . QaQ) ~o Lf - - - -- - - Y f. ... --. a" '..{'wi - II -Yj ./ r', ~..). ...... I '..'. D ., , 1'''U , - ~~~~Lb\ai~t~.!t-~~t!:-:)~~ or ,. 18, , j~ltlrsfr~~~"r'1"'"r~~m- I. I-! -- . . ~ I i -- a~~ 279 ~ 11 .^ ~ f . l:o ~5~ ~A ,+~~ ,:. t-r. 297 ~ - - 137 If.6o2) / t lOT 1 rA 2+35~~' "'T.~50 21.6" L T 297 '\SANrnt\t.~_' 19'( ~~.. ~ LOT 3