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Home My WebLink AboutPermit Building 2009-8-5 m;!R.NCliF1I~~, -f"'c ........ ., Status Issued CITY OF ::-'nur~vl'lELD Building/Combination Permit PERMIT NO: COM2009-01123 ISSUED: 08/05/2009 APPLIED: 08/04/2009 EXPIRES: 02/05/2010 VALUE: $ 231,133.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 4111 STELLAR WAY ASSESSOR'S PARCEL NO.: 1802064110700 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: NEW SINGLE FAMILY DWELLING Owner: Address: BRUCE WIECHERT CUSTOM HOMES INC 81ua8 3073 SKYVIEW LN I ,r,.-rr,Jlc'j-\ S\ J 0 JaqUJIiU EUGENE OR 97405r, r'" ';, '. ;,:~.", l,o?a'~~,,7~ ~J15UI\\B:J__ ...., 'i::.1-.' .'_'.~\" '13wnu^ vuv.... '")',t. .....;.~ ',r .._."I."nO/\ U\ A~ ~1,eON~R'ACTOR.INFORMA:n0NV,JON _ ~()()-c.3:; rJQv'~J aSOl\ L 'Jallle~ UV~'I- ;';0;\0, . Contractor l\)Jopas:~~~~\ aUl Aq paldoP',~~~ns~ll\;( Expiration Date BRUCE WIECHER;r.[CUSTOM,HOMESIINCJ 1017d:J 09/16/2010 L & E ELECTRIC~NC" saJ\IlUO' ...-, 105475 03/30/2010 COMFORT FLOW HEATING CO. .460 06/27/2011 STEVEN R JOHNSON 65065 03/12/2010 Phone 541,686-9458 541-933-2653 541-726-0100 541-342-3765 Contractor Type General Electrical Mechanical Plumbing . BUILDING INFORMATION I 4 # of Stories: Lot Size: Height of Structure 23.00 Sq Ft 1st Floor: . OTIC'f~pe of Heat: Forte~,,"\~\9ijiORVSq Ft 2nd Floor: N WaterTTtype:LL EXPIR... I I.Gas NO"ilq Ft Basement: THIS p~Iji~~g~T~H~iR THIS PERM ~~~r, Sq Ft Garage/Carport AUTH('E~{~'yrt~,t~:IS ABANOONEO U Sq Ft Other: COM\\SprinI<.led-Buildiug: No' Occupant Load: . ,~n n ,y Pf-KIUU. 8,105 2,444 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Typ~: # of Bedrooms: 1 R3 V VB 400 I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 13.00 15.00 11.00 21.00 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 5 Yes 35.00 REQUIRED PARKING Total: 2 , Handicapped: Compact: I ~UBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Fully Improved Yes Storm water to curb via weephole Sidewalk Type: DownspoutslDrains: Curbside 7' Curb and Gutter Notes: Paee I of 4 ~?y <5' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tyne of Construction GaraeefMisc SFIDunlex U VB Utility R-3 VB 1&2 Familv Fee Descrintion Plan Review Residential + 12% State Surcharge + 5% Technology Fee 1st Appliance 2 Baths One or Two Family' Addressing Assignment Appliance Vent Building Permit Credit - Trans Improv SDC Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Gas Outlets 1-4 Overwidth Application Fee Plan Review Major - Planning PW Disc - 2nd Permit 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 Single Family Total Amount Paid I Valuation Descrintion I $ Per Sq Ft or multiplier $37.72 $96.83 Square Footage or Bid Amount 421.00 2,223.00 Total Value of Prpject v~~~, .~ Amount Paid $809.89 $240.72 $120.40 $79.00 $337.00 $38.00 $9.00 $1,245.99 $-1,534.37 $88.00 $9.00 $13.00 $142.20 $7.00 $45.00 $211.00 $-30.00 $134.00 $100.00 $617.30 $811.81 $10.00 $1,146.50 $101.97 $106.42 $211.21 $931.65 $85.10 $88.00 $1,534.37 ' $63.00 $9.00 $2,858.00 $10,639.16 Date Paid 8/4/09 8/5/09 8/5/09 8/5/09 8/5/09 8/5/09 8/5/09 8/5/09 8/5/09 8/5/09 8/5/09 8/5/09 8/5109 8/5/09 8/5/09 8/5109 8/5/09 8/5/09 8/5/09 8/5/09 8/5/09 8/5/09 8/5/09 8/5/09 8/5/09 8/5/09 8/5/09 8/5/09 8/5/09 8/5/09 8/5/09 8/5/09 8/5/09 Pa2e 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01123 ISSUED: 08/0512009 APPLIED: 08/0412009 EXPIRES: 0'2/0512010 VALUE: $,231,133.00 Value Date Calculated $15,880.12 $215,253.09 $231,133.21 08/04/2009 08/04/2009 Receipt Number 2200900000000000871 2200900000000000876 2200900000000000876 2200900000000000876 2200900000000000876 2200900000000000876 2200900000000000876 2200900000000000876 220q900000000000876 2200900000000000876 2200900000000000876 2200900000000000876 2200900000000000876 2200900000000000876 2200900000000000876 2200900000000000876 2200900000000000876 2200900000000000876 2200900000000000876 2200900000000000876 2200900000000000876 2200900000000000876 2200900000000000876 2200900000000000876 2200900000000000876 2200900000000000876 2200900000000000876 2200900000000000876 2200900000000000876 2200900000000000876 2200900000000000876 2200900000000000876 2200900000000000876 -..~~~!I1l9:!1:'~f ;i ~ ". ," !! .', , ....r......, '''''"'. ..................." CITY OF SPRINGFIELD Building/Combin::ation Permit PERMIT NO: COM2009-01123 ISSUED: 08/05/2009 APPLIED: 08/04/2009 EXPIRES: 02/0512010 VALUE: $:231,133.00 . Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Plan Reviews I Plannine Review 08/04/2009 08104/2009 APP DDK Required street trees as shown on 'street tr~e plan attached to permit: species as shown. 2" caliper, leave ,name tag on until approved. Storm water to curb via weep hole/r T...nspo~tatiori Ok for oyerwidth driveway RP AS NOTED ON PLANS Public Works Review 08/04/2009 08/04/2009 APP LKW Structural Review 08/04/2009 08/0412009 APP CJC 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. I, Rpollirp"Unsnections I Curbcut - Standard: After forms are erected but prior to placement of concrete. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavateil. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to lioor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with fiuish 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. Masonry: Final Building: After all reqnired inspections have been requested and approved and the building is complete. Underlioor Plumbing: Prior to insulation or decking. Underlioor 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. Paee 3 of 4 LIll' OF SPRINul'1ELD Status Issued Building/Cc:'mbination Permit PERMIT NO: COM2009-01123 ISSUED: 08/05/2009 APPLIED: 08/04/2009 EXPIRES: 02/05/2010 VALUE: $231,133.00 225 Fifth Street, Springfield, OR 541"726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line 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 conuected to a minimum of one applia~ce 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. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. 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 th'e 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, Bnilding Safety. 1 fnrther certify that only contractors and employees who are in compliance with ORS 701.005 wil! be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each a~dress 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 ,;mm'"i];i/ . d~/ 0 r Owner or Contractors Signature Date { Page 4 of 4 ZON ~ INITIALS \M DATE For, . \n.q.'\ SOURCE ~~ - 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-J753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLlCA TION CJ9- //.23 City Job Number :"",,~~-~~::. ~ -'" -'~.-" -'. ..__.-:-..c, "."'. .._ .........y ~ ..u.1oil_--_~ .C'" ..... ~.~ .'- ,f . _,' 1. r'fLOCAT[('jj\(6FjNstAir''4.Ti6N;,i''~',.''i:! '""U''''-"'>)0'' tJ.' ,,,;<;'w. ;':">-;-"""" '-~~ ..,....-.,,-.,'" 'k,...,--"",\,'~ -, .:......"'_.-,'~t . .- 4/1/ ' ~kJf~ '-tJ.~~- ,-- LE\~[~\ \0\00 ~9ESC~~~lq, f\ c+\~ per~ non-transferable~xPire if work is not started within 180 days of issuance or if work is Suspended for 180 days. i.C,{;;Z2~"'i-r*..\~<;::~,;xl-';:I;:.J~;;,'P;;~;~'"'J,-:::::0~"",::;~~~;;,,-;,~ : ,CONIRAl.-'TOn'INSTAhLATIONONI;Yi.! 2. t..';~:,!~'::.i;:';:;7.(,~,<3('-('J' ",-":~'..;. "~..:;-;::-~~'2!.'~"-.;:~~:~:~'~"-' ,.;;;".-..- ~ Electrical Contractor L +- ~ 'Address q 2. -S S :, Acye S :J"..ef City '5,.., (! \~ Phone S (J > '119 <1 Supervisor License Number L{ /7 'i - s,- 3r/--ro I z/i 0 / I! , Constr, Contr. Number I b S- Y 7 5- 3)10 Expiration Date Expiration Date Signature of Supervising Electrician PcQQ~D~ Owners Name ~,( vCeWi~c.ke,+ (",:;101" lIo"'tS lyJ Phone b"6 b- 9 I.{ s-r, Address ~ '" 7 :5 SIC.". ,;n-.l , City t: U J c.I--e- 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 1'1.0,\0 ~.:J SPRINGFIELD ~- Y/!/tJ7 , ; 3.. ;-' ~caMPLifiE"FEESCHEDiJEitBELOW1,~f:!~~~~;;i;~'-l"'15:i!.~ ~~ :"-";li.""';'.;'."~ ',--':"';", ""--,"",,,,'l);,-;:;.d::;;r.~~'T,~'~~."', !,. "_.,i :~~..:; "':-. "~~";:.""_',",~~.:"'. ',!.: '::,._,'~_.' :.'t."..: Date ~~'~:-"':?;:;-:;'<"W-:.V ~""'~~,";1,'::;tr~11;,::r J;:"~(;'~:;'l:;::;tv~' gt-~i'<'j" .(;.'1-"7.::": ~'l?~'if'~:,;;!",!-~lff-:;l A. ~ :...~1.". .~~s.i4e;ri!iill~7.,y~:i~.~!~;..9_!<~~ii~\tj7 ~~~~~Y~Hf~;?~~~I~.~t~ ~_i~;~~l2! 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 I 4 $ I)i1lO" 'eA ,rP ~\Q).cP $57,00 i7;5~;,~i~-~~?1~;-,~~~~~~~'i~;;h'~>;'$iI' .v:~"":..i:.~ ""<,; ..o-1;--':;j;;.~::::.-:;-:1I_7~;;;~1 B. kSCliVlccs:or J'.eeders -""".'lnstallatlOn;.. A Iterflhons: 01" "Relocation =' ~:;'~I l;:.~$I';..J1;j't\':ff.~.:::::t..~7 ;.u..:;,:;c irc.,::.s.~~,"..:;,,~r.i;<~'ffi.".'iL' ':. ""'....l.i;;.": :"1- . (',,".~;;;! '::.. ~ ~':::,;;. 't-.2 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 73.00 $ 86,00 $143,00 $186.00 $426.00 $ 57,00 '''-'I~!f.\";:::--..._;:'''N''-q",:r'__,-,'';:;,,r..:C';;''~'''';' '"~'" c. f.T.~.~lThl{ry~~~-:vges,o~~P~e~et~ ,if"'" "',:' ,.t.,. .~. do' Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps jQ~ ,cO ~ $5~ $ 79,00 $114,00 Over 600 Amps or 1000 Volts see "B;' above. F' ,:r<<'l--"W;-"'''~-l"''''_.. ',- .'. '.--_...',.~. '." iR;. ' D Il"'B.~..'.ll':I~*;;.,.,l;.~'~'-t'''--ii...";j;.,,\;iL'''~7~'';<I'r~:,,. ;f~~,,,,, '", . ,'~ "!~~.~Y;~,~L~.t~.l :K>.,.i.iL-~ ~:~l.o:.~:':-' ":~ ; :tf..',!_~. ? ~'l;\iL-' :Ji<:-:;" ',~~~'i;,; .. > '. ". . ._~1' 1 New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Pennit $ 50,00 $ 5,00 E. :, ~M ~~S:~.~~~~~'~tj~€~i~~~~~~i~~~1(f~i~~~~ct15~~~c:i!.J ~~S~~II~!I.o~ :.; Pump or irrigation $ 57,00 Sign/Outline Lighting $ 57.00 Limited EnergyfResidential $ 29,00 Limited Energy/Commercial $ 52.00 Minimum Electric Permit Inspection Fee is $52.00 + Surcharges ':5iJlll~1tii;eg,I1!AB.*Vrfr!'~;,:~;ff< ~(:: ',:, )1 Qt'}. VO :: ~t~~;~~~~.~:e"pp _ '5~ lo"\ 1~'86- <c~t\IAq Shared Drive(T:)IBuilding FormslElectrical Permit Application 7-08.doc 5% Technology Fee TOTAL /lbg S LfOi-k ('\ Structural Permit Application__ 225 Fifth Street. Springfield, OR 97477. PH(54 1)726-3753 . FAX(541)726-3689 Permit no'(J C(- / /;l..3 Date Il/W IJ'1 This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days ofissGari~e or if work is suspended for 180 days. 1f,;;6E~ART'MEN'T~US'Eroij~,v.;-w :D:c'~.~, ,,",-,.~~.-_""t:>7,K,',c,;";.~"'f_,,,'f;,;,~}~'.:..=:t'''-'1'ii!L.~.-d~;1 1~''Il~j~~,r.;lOCAL'liiG0VERNMEfii''A€i'R0VAll,!j\7'''''3'?~''!ft'lli il!),",_~&~li"iL ~,,__'.__'_"_b_.. ",_,._,.."_Ji~_,,~_.__,_,,,,__\l'ilI\C,'i!!i:':l"l:_ I This project has final land-use approval, . 1''''-'','m'''''''''!!icl~'''I~'~' -",''''''--'-'''' '--,.~'''' .~- ,. -, '~ii""-- 'I :"'\l:""ci,,",,,,.l>~! '" " '" _yF,EE'~SCHEDUlfE~", ,." . ;""''''~.i' Signature: . Date: ",~,~.:&~>"""i~' ,~4; ~",_",~,_~,_,,~,,_,,_~,_.,,_,"jW<l,,~, "'...._ ""~',, . ~,~_~.~ lil..rtrv;""";'.l':I'..;ry.!;v-.,'~.nl?'S."};u~,>;I~;l.!t!)j"~''''~;j'-~-~f'lt~;'};t~Ni~~tJ'ff;l~J:..12~~~\I.."~':;.1 'I :;;:::ct has DEQ approval. Date: ' 1\,:~~:;;u~~:~~n~:~;.r.m'!!IQIl,~r~'!':('''*"I''ii!'.J1;l:'m1ii';!I~W'I\''M.~1lI>",~ I Zoning approval verified: 0 Yes 0 No I Occupancy 1 Property is within flood plain: 0 Yes 0 No 1 I, Construction type, 1~~~~:g-A1igGQ'RY:n'.<:?~~Qfj~j[~pc.'tI(fN~~l~~'l?;Ji;:;!,Gi!)1 I Square feet: i~;Ai;~ij:r~JTJit~~~~_i~;Hr~N~Qtr~~~il~iji;~~ : ~:::;:f:::t~::~t: 1 Job site address: ,Lf If I S k-) I 'V W ""'" ' I Type orHeat: 1 City:5o'~,,, '\ C : <-1.1 1 State: oiL I ZIP: q 7 Y 77 1 I Energy Path: 1 Subdivision: F: J h~ ,-\: (l'I(h!.~\J'> I Lot no,: 1 I 0 0 ' new alteratIOn 1 Reference: I Taxlot: I" 1''!i!''''l>t1..",,,,,,,,;...,,,,,,,c.~~,".r''4'""''--'''-''''''''-- .."_..,...."'h."~....,-~..,-'l""".."'.,' '..."'1 I (b) Foundation-only permit? FfLt~~~.:tl;~~r:,''''j~.:t i ..~,f?RORERTY'~OWNER~j;~f:}~,~"ff~~~A:;,t:'(';~{f:r,: .',?;~ jI, 'k*<J,"'~ tJ;.,..".:...hd.j-"__ :'C"",.!_.__,._~,._.:...",y:",__.__,",u,__ """_"...~.,,.l~_~, _~",L '. '"' ..__.._"t I Total valuation: I $ I Name, b {lIl(, t..J" cl,..t Cvskl" IIoMo.> :LNL- I I'" 'c. '."M"""'5'j"'~"""''''''<''~'''''''','-'''':i'i'''''''''<if"~:' ,"'~.T""~"'""''''~'I 1 1 "2.BUlldmg,:fees,,';;.(,~t!''''~i5-~~'';.i.f''>' ..'i,'~i:A:;:.!:4~J'.;:J.l~,,,_-.' ~:N., i~~'~IW Address: 30 '73 5 t...., \I 'C w L. N " " ""....,~ "___'__'''~''~''.h~,,''''d..'..q!";'':J>. ;".,-.. ,S,'~ ',' ~,'''-', ".',.,.,:;.>;,1"", ..... --;,;~.;, ,h,,~>,:'c."~ I ' ,.. I I '" 7 -, I I (a) Permit fee (use valuation table): $ 1 City" v'IC"''' Statey r'- ZIP" 1DJ I J b b '" 'I 'I ~.., 7 1 I (b) Investigative fee (equal to [2a]): $ 1 Phone: - l - 9'1)0 Fax: -,y - :>06"" " I (e) RemspectlOn ($ per hour):' I 1 E-mail:W;eche-J1' ho~s QCO""~St. .v<:t- I (number of hours x fee per hour) $ , This installation is bein? made. on resi~ential o~ farm property ~wne~ by (d) Enter 12% surchar e (.12 x [2a+2b+2c)); $ 1 me or a member afmy Immediate famIly, and IS exempt from lIcensmg g requirements under ORS 701.010, (e) Snbtotal offees above (2a through 2d): $ 1 c1"r-,..,~,,,,,.w."'"~''''''''''_f!la'\l~lIiIJ''''',J:'f{,,,''i''_.il!',H!;;;:''''''' I [1?iRt~_I1.1l:~Y.~~!YJft;,~U;:~Rtl&n~~'tl;:m~~~'G~r4~,,~L]i~~r~~\~'~ 1 (a) Plan review (65% x permit fee [2.]): $W1'f:l- I 1 (b) Fire and life safety (40% x permit fee [2a]): $ 1 1 (e) Subtotal offees above (3a and 3b): $ I 1,~~;j_Mi~~T~'!i~Qt;sIfe.~~l;:R~f~l;~k~:i~:W;jJ~;~{~.\~~~y.i~t4!1~l!I'~fI~~@1~1}!'1 I (a) Seismicfee, 1% (.01 x permit fee [2a]): $ 1 I TOTAL fees andsureharges (2e+3e+4a): $ I o addition D'Yes DNo Sign here: 1~"f.\~1fF.;t:frcONTRACTOR~iNsTAI1i2ATibN~IIJ1~1>~,g~iI;"it'l11 ~5ff~I$~~~;;',,.,.."_^_.._ "~,_.,_....,,,,~.._..,,"~l. ._..._,_>~__ _, .._~ '" __..., ._~~L.%i.~\1i,,-.'>f!>'ll~,~:'ffi~...JI I Business name: 'b'<Vl.< W;e"h,.' CoO;"....., 1>o1""L' :J:11I<- 1 I Address: '3 07 3 <; Ii ~ v' C vJ 1--...... I I City, (: o~ e.H- I State,o.(l 1 ZIP: q 7)" r 1 Phone: -M b c/ '1 S Y Fax: -3'1'1 - 'YH 2.. 1 E-mail: W; ,,61..,>,\ "'-''''''~ @ CO"" ct..54 ~ v-..k\ I CCB license no,: 1011 (7 Printn~e:'S) ~......~.:JC Wt':)'tc-J"v I Signature: W W ___________-- 1<_"~a"":!;SUB't(')NItRAcftORrINF.ORMAfioN'"""'~<i!E';:iFt{':0;;1 ~i~",..,_.._."._.,...._L.".,~".."~.""_..""c",.",~.,,,,...",......:....,_ ,'." .8&8..h~'}~,.fJL"'_"'"h,*", I Name CCB License Number Phone Number I I Eleetricall-4-e- 105'17,< 5LI 'il~& I Plumbing5tc.vd PI"~I:;"3 b50('~ -; ~l-3-'&, 1 I Meehanieal CFH I 4bv 7lb-OjOO I .:.. Willamalane' Park & Recreation Oistrict Job. No. ;71- /~.2-r SYSTEM DEVelOPMENT CHARGE WORKSHEET FOR 2009 , NAME:~CE W~ PHONE: , ' ADDF~Es's:'Jd'?7$(i;tii~ CITY -~;;STATEa;LZlp.:"'7?~B~ LOCATION OF PROPOSED BUILDING SITE: Street Address: ~/(/ ~ ev'V Plat Name: JI:;Irtt Tax Lot Number: , 1. DEVELOPME'NT TYPE (Check appropriate dwelling(s), Dwelling type definitions ,are on the back,) , $ , 2 rs-r . B. Sinale-Famllv Attached NO. OF UNITS X $3,100 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS X $2,641 per unit = $ D. Sin ale Room Occuoancv ,NO: OF UNITS X,$1,321 per unit =' $ E. Accessorv Dwellino Unit NO. OF UNITS X $1,550 per unit =' '$ WILLAMALANE SDC ' $ 2. SDC CREDIT (If'applicable) SDC payer must furnish proof of Willamalane Credit approval.) $ 3. TOTALWILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) $ , d:ft:- '. ,T / t..r /"'1 Date , Development Services Department City of:Springfield 5 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-01123 COM2009-01123 COM2009-01123 COM2009-0 1123 COM2009-0 1123 COM2009-01123 COM2009-01123 COM2009-01123 COM2009-01 ]23 COM2009-01123 COM2009-01123 COM2009-0\ \23 COM2009-01123 COM2009-01123 COM2009:01123 COM2009-01123 COM2009-0] 123 COM2009-01123 COM2009-01 ]23 COM2009-01123 COM2009-01123 COM2009-0] 123 COM2009-01123 COM2009-01123 COM2009-01123 COM2009-0 1123 COM2009-01123 COM2009-01123 COM2009-01123 COM2009-01123 COM2009-01123 COM2009_0l123 Payments: Type of Payment CreditCard Check cReceintl RECEIPT #: 2200900000000000876 Description PW Disc - 2nd Permit Overwidth Application Fee Sidewalk Permit Curbcut Permit Storm Drainage Impervious Area Credit - Trans Improv SDC Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Tran Reimburs-Residential SDC Trans Improvement-Resident SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transportation Admin Plan Review Major - Planning Building Permit Addressing Assignment Willamalane Single Family 2 Baths One or Two Family 1 st Appliance Vent Fan Appliance Vent Exhaust Hoods Dryer Vent Gas Outlets 1-4 Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Fire SF Fee- Residential + 5% Technology Fee + 12% State Surcharge Paid By BRUCE W]ECHERT BRUCE WIECHERT CUSTOM HOMES City of Springfield Official Receipt Development Services Department Public Works Department Date: 08/05/2009 8:48:31AM Amount Due (30,00) 45,00 88,00 88,00 1,534.37 (1,534.37) 811.81 617,30. 211.21 931.65 101.97, 1,146,50 10,00 106A2 85,10 211.00. ] ,245,99 38,00 2,858,00 337,00 79,00 9,00 9,00. ]3,00 9,00. 7,00 134,00 100.00 63,00 142,20 120AO 240,72 $9,~29.2T. Item Total: . Check Number Authorization' Received By Batch Number Number How Received CJC CJC Page I of2 18742 Amount Paid 04562C In Person In Person $9,500,00 $329,27 Payment Total: $9,~29.27 8/5/2009