HomeMy WebLinkAboutPermit Building 2010-2-24
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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: COM2010-00209
ISSUED: 02/2412010
APPLIED: 02/16/2010
EXPIRES: 12/11/2010
VALUE: $ 302,693.00
SITE ADDRESS: 2593 16TH ST
ASSESSOR'S PARCEL NO.: 1703243103400
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: New Single Family Dwelling - Lot 9 Legacy Estates
Owner: PAT GREENWELL
Address: 3434 WATERMARK CT
SPRINGFIELD OR 97477
I CON'fRAeTORINFORMATlON ~
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Contractor Type
General
Electrical
Mechanical
Plumhing
License
132267
147618
., """:"",,,,,460
189341
I BUILDING INFORMATION ~
Contractor :,'" _. . .., .
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CRESCENT HOMES INC '
STEVE HAUCK
COMFORT FLOW HEATING
BILLY GLEN
I # of Stories: I ~~~ to I
~~ON: Orlll,J~~Wfr~U'gin;,~i11ty .31.00
fel rules adO~.!:l.YrI'ilt'" are &'Ul'if1Ilh'\Ir Gas
Mot' Ion cent8iWttl,9 : OAR 952-001- Gas
InOAR952..oo1~lIM1P'9 . ot\tlerule8bf Gas
OQ9O.4VournaYod',g l. 'etelephOne
calling the ce i PeeJ~ltV<t4UlficatlOft No
eon .
INFORMATION
# 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:
Overlay Dist:
#);tre~t !rees Rqd:,
./,"P6Ve(jEDrive'Rqd: ":"
'UIW:;!t'ilo "".,,~P.":ii.f1~ I".,;;', '
. % of Lot Coverage:
14.00
10.00
12.00
41.50
0.00
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I PUBLIC IMPROVEMENTS ,
Street Improvements:
Storm Sewer Availahle:
Spedallnstruction:
Fully Improved
Yes
No structure or overhang in PUE allowed.
Notes: Storm water to curb via weep hole
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Paee I of5
Residential
Phone Number: 541-344-7115
Expiration Date
11/2812010
04/301201 ]
06127120] ]
01/21/20]2
Phone
541-344-2010
54]-221-2665
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
7,876
],]44
],506
884
338
REQUIRED PARKING
2
Yes
25.70
Total:
Handicapped:
Compact:
2
Sidewalk Type:
Downspouts/Drains:
Curbside 7'
Curb and Gutter
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1\-1\S ?ER~~ \It-mE?> 1\\IS ~~"En fOR <,.-.
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Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
GaraeelMisc
SFIDuplex
U VB Utilitv
R-3 VB 1&2 Familv
Fee Description
Plan Review Residential
SDC MWMC Administration
SDC MWMC Compliance Charge
SDC MWMC Improvement
SDC MWMC Reimbursement
Overwidth Application Fee
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
3 Batbs One & Two Family
Addressing Assignment
Appliance Vent
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Fireplace (Listed)
Gas Outlets 1-4
Plan Review Major - Planning
Plan Review Residential
PW Disc - 2nd Permit
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer - Improvement
Sanitary Sewer - 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
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I Valuation Description I
$ Per Sq Ft
or multiplier
$37.72
$96.83
, ~ .}
Square Footage
or Bid Amount
1,222.00
2,650.00
, ! Total Value of Project
~
Amount Paid
$836.35
$10.00
$22.63 <:
$ I 333 57+~'" :""lIj<.(', ,
, '. .....,.~ '.t;..~- "(~"t ;,'
$101.97 };j ~ 'L') 1,'\,
$45.00, '
$293.76';" "
$140.25
$79.00
$402.00
$38.00
$9.00
$1,534.96
$88.00
$9.00
$13.00
$193.60, ':
$20,00 .
.".,' .
$7.00 u
$211.00
$161.37
$-30.00
$134.00
$150.00
$683.44
$898.79{YH~ '~(':l ~I\l.., ,
Il..~'~ ",'0,. 'fiij'" 1;' .~
$186.95%:, T:'." '
$2Iq~,
$931.6,~," ,
$78.94 "
$88.00
$1,124.60
$63.00
$27.00
$2,858.00
Date Paid
, '
2/16/10
2/25/10
f/25/10
~. 2/25/1 0
2/25/10
5/27/10
6/22/10
6/22/10
6/22/10
6/22/1 0
6/22/10
6/22/10
6/22/10
"6/22/10
6/22/10
6/22/10
6/22/10
6/22/10
6/22/10
6/22/10
6/22/10
6/22/10
6/22/10
6/22/10
6/22/10
, 6/22/10
" . 6/22/1 0
6/22/10
6/22/10
6/22/10
6/22/10
6/22/10
6/22/10
6/22/10
6/22/10
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Paee 2 of 5
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00209
ISSUED: 02/2412010
APPLIED: 02/1612010
EXPIRES: 12/11/2010
VALUE: $ 302,693.00
Value
Date Calculated
$46,093.84
$256,599.50
$302,693.34
02/18/2010
02/18/2010
Receipt Number
2201000000000000142
2201000000000000174
2201000000000000174
2201000000000000174
2201000000000000174
2201000000000000592
1201000000000000743
1201000000000000743
1201000000000000743
1201000000000000743
1201000000000000743
1201000000000000743
1201000000000000743
1201000000000000743
1201000000000000743
1201000000000000743
1201000000000000743
1201000000000000743
1201000000000000743
1201000000000000743
1201000000000000743
1201000000000000743
1201000000000000743
1201000000000000743
1201000000000000743
1201000000000000743
1201000000000000743
1201000000000000743
1201000000000000743
1201000000000000743
1201000000000000743
1201000000000000743
1201000000000000743
1201000000000000743
1201000000000000743
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00209
ISSUED: 02/24/2010
APPLIED: 02/16/2010
EXPIRES: 12/11/2010
VALUE: $ 302,693.00
"
Status
Issued
",';, '
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Total Amonnt Paid $12,955.04 . . ~ i.I", '
.i'i""rt
I -.Plan Reviews I
Initial Review 02118/2010 0211 8/20 I 0 APP LLH
Plan nine: Review 02118/2010 02/23/20 I 0 APP DDK
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Structural Review
,
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02118/2010 02/23/2010 APP CJC
Public Works Review
02123/20 I 0
02/24/2010
APP LKW
Electrical permit application
submitted with plans.
Solar exemption - pre-existing tree
and shading wall of unheated space.
See letter in attached documents.
06/08/10: per GregF, plant the two
street trees in the front yard rather
than the parkway strip. The
parkway strip is emcumbered by the
street light and driveway width.
Tara
As noted on plans
Storm water to curb via weephole.
No Structure or foundation allowed
in P.U.E.
To Request an inspection call the 24 hour r;~~~rdipg.l!t 7t6-3769. All inspections requested before 7:00
a.m. will be made the same working day, ilj'$pect!!;iifs-re<jl1ested after 7:00 a.m. will bemade the following
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'}'i-. '
l....PeonirerUnsnections I
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.
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
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Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place bnl, prior to concrete.
Erosion/Grading Inspection: Prior to gronn~i.<!!S\~r\,~n~~ a~d after erosion measures are installed.
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Cnrbcut - Standard: After forms are erect~<!W~t R~i<i~::t<;-placement of concrete.
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Sidewalk - Curbside: After fnrms are erect~dbnt prior to placement of concrete.
r;._ Paee 3 of 5
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,i. CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2010-00209
ISSUED: 02/24/2010
APPLIED: 02/16/2010
EXPIRES: 12/1lI2010
VALUE: $ 302,693.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Foundation: After forms are erected bu't 'prior to concrete placement,
Post and Beam: Prior to tloor 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.
Masonry:
Final Building: After all required inspections have been requested and approved and the building is complete.
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Perimeter Foundation Drains: After gravel and filter cloth is installed bulprior to backfill.
Undertloor Plumbing: Prior to insulation or decking.
Undertloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench and inclu~ing required.testing.
Sanitary Sewer Line: Prior to filling tren'ch and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Undertloor Mechanical. Prior to insulation or decking and including required testing.
Underslab Mechanical. Prior to insulation or decking and including required testing.
Underl100r Cas: After line is installed and required, te.sting and capped ifnot attached to an appliance.
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Rough Cas: After line is installed and reqtiired:testing'and ciipped ifnot attached to an appliance.
Cas Service: After line is installed and Iinhl~s:beeri 'connected to a minimum of one appliance including'required
testing, Presure test done at this point. "
Rough Mechanical: Prior to Cover
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Pa2e 4 of5
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00209
ISSUED: 02/24/2010
APPLIED: 02/16/2010
EXPIRES: 12/11/2010
VALUE: $ 302,693.00
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 propertime, that each address is readable from the
street, that the permit is located at the front of.the property,'and the approved set of plans will remain on the site at all
times during con i n
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Page 5 Jf 5
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Date
...
Structural Permit Application
_.
225 Fifth Street. Springfield, OR 97477 tPH(54 1)726-3753 . FAX(541)726-3689
D~~ARTMENTUSE ON~Y..
Pe~it no
Date: :z- 20 I tJ
This permit is issued under OAR 918-460-0030, Permits expire if work is not started within 180 days of issuance or if work is
suspended for 180 days.
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This project has final land-use approvaL
Signature: Date:
This project has DEQ approvaL
Signature: Date:
Zoning approval verified: 0 Yes 0 No
Property is within flood plain: 0 Yes 0 No
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18l. Residential 0 Government D Commercial
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Job site address: l.9"l? 1L..7I1 Si.
City: ?P,",JI-.1b~!JU,..-O
Subdivision:L-E(:.".::..:-' . E:.-ST;
Reference:
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Name:
Phone.
E-mail: r (1- '"
This ins! Batia is being made on residential or farm property owned by
me or a member afmy immediate family, and is exempt from licensing
requirements unMr 0 S 701.01
Sign here:
90NTRACIOR:J~1rrAI:.LA'J]9N'._.; ..
Business name: C~C-eN">+-
Address: 2. 2. 0 0. Ie:.
City: ...-t. ~ State:
Phone: -$'11., "H - \ '\1'2.. Fax:
E-mail: CI-f<lwc.@..C<II4.sc.....+-kc......s
CCB license no.: l ~ 2.2<G I
efL ZIP: q, ~ce-
-S~{ - !''l't-04.o'''l.
.c,....-,
Print name:
C- Cv-0c..SS.4t.(.~
Signature:
S\~i!i~~'W;~iZcff;itSl.J1~'c:(;)NT:R.i>,CI6R.}.I.NFcO~MA'1'IQf.I~~~~1j;~i
Name CCD License Number Phone Number
Electrical Sk.c- itku<.- "- 1>'- "2.l.L- 2- " (,,,;-'
Plumbing G-\.." t>"" ~~t- ~'Z -1J22-
Mechanical c."~;,,..+-- (Z-\o"'"' j'1t- 72- ltr-CJtOO
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(a) Job description: Ale vJ
Occupancy
Construction type.
Square feet: d- '7 S- iJ
.Cost per square foot:
,Other information:
Type of Heat:
Energy Path: C (3 ,-
new 0 alteration
(b) Foundation-only permit?
Total valuation:
iI1;
tc-
D addition
DYes
DNa
C>Do
$
(a) Permit fee (use valuation table):
(b) Investigative fee (equal to [2a]):
(c) Reinspection ($ per hour):
(number of hours x fee per hour)
(d) Enter 12% surcharge (,12 x (2a+ 2b+ 2c J):
(e) Subtotal of fees above (2a through 2d):
$
$
$
$
(a) Plan review (65% x permit fee [2a]):
(b) Fire and life safety (40% x permit fee [2a]):
(c) Subtotal of fees above (3. and 3b):
$
(a) Seismic fee, 1 % (.01 x permit fee [2a]): $
TOTAL fees and surcharges (2e+3c+4a): $
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225 Fmh Street. Springfield, OR 97477+PH(541)726-3753+FAX(541)726-3689
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}~~-~,DEI? ARTMENJiUSE'0Nt>Y:^ -if';
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Date: cA. \\. \()
This permit is issued uuder OAR 918-309-0000. Permits are nontransferable..Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days.
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Zoning approval verified? DYes D No
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o Residential 0 Government 0 Commercial
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Job site address:
E-mail:
This installation is being made on residential or farm property
owned by me or a member of my immediate family. This
property is not intended for sale, exchange, lease, or rent. OAR
479.540(1) and 479.560(1).
Signature:
1"~~~'it;jlP'QNmR:6;'GmpRitlIN$iI1J:l:I!I2'~iJ]IQN~~)1il;';?f4
Business name: STEvE f/ft():j(..
Address: ,Q. lSolC "1-'136/
City: &u
Phone: -5" I - ~ ,- GI'~
E-mail: S S !-I-lkJdl...
CCB license no.: 1'i~&J8
State: Qrz.. ZIP: '1'1'10/
Fax: -5'11 - 14)-/ oS!'
@, C<M01sT. !VET
BCD license no.: 20- 'f'l'? c
Signing supervisor's license no.:
Print name of signing supervisor:
Signature of signing supervisor:
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440-2584-J (9/08/COM)
Residential, per unit, service included:
1,000 sq. ft. or less (4)
Each additional 500 sq. ft. or portion
thereof \J?
Limited energy (2)
Each manufactured home or modular
dwelling service or feeder (2)
$134.00
$ 25.00
$ 32.00 $
$ 63.00 $
Services or feeders: installation, alteration, relocation
200 amps or less (2) $ 81.00 $
20 I to 400 amps (2) $ 95.00 $
40 \ to 600 amps (2) $158.00 $
60 I to \,000 amps (2) $205.00 $
Over 1,000 amps or volts (2) $469.00 $
Reconnect only (2) $ 63.00 $
Temporary services or feeders: installation, alteration, relocation
200 amps or less (2) $ 63.00 $
201 to 400 amps (2) $ 87.00 $
40 I to 600 amps (2) $126.00 $
Over 600 amps or 1,000 volts, see services or feeders section above
Branch circuits: new, alteration, .extension per. panel
a. Fee for branch circuits with purchase of a service or feeder fee:
Each branch circuit
$
b. Fee for branch circuits without purchase ofa service or feeder fee:
First branch circuit (2)
Each additional branch circuit
$ 55.00 $
$ 6.00 $
Miscellaneous fees: service or feeder not included
Each pump or irrigation circle (2)
Each sign or outline lighting (2)
$ 63.00 $
$ 63.00 $
Signal circuit or a limited-energy panel,
alteration, or extension (2)
Each additional inspection; (1) $58.00 $
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$ 63.00
$
(A) Enter subtotal of above fees
(Minimnm Permit Fee $58.00)
(B) Enter 12% surcharge (.12 x [AD
(C) Technology Fee (5% of [AD
TOTAL fees aud surcharges (A through C):
$
$
$
21J.willamalane
t'W Park and Recreation District
Job. No. ~ \n . Q..cq
SYSTEM DEVELOPMENT CHARGE WORKSHEET
January 1-June 30,2010 .
NAME: ~GX- Gs e.o.f\\l~ PHONE:::M .l\\~
ADDRESS:'y\'3'\ \.M...Q( STATE(Jl..ZIP:([K-7!3
LOCATION OF PROPOSED BUILDING SITE:
Street Address:J~ 3 \\9""'" sn-~
Plat Name:~ Tax Lot Number: 14 D '5 ~"\'.e>\ C>~
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the
back.)
A. Sinqle-Family Detached
\
X $2,858 per unit =
$ r;l/f:~&aJ
NO. OF UNITS
B. Sinale-Family Attached
NO. OF UNITS
X $3,100 per unit =
$
C. Multi-Family Apartment'
NO. OF UNITS
X $2,641 per unit =
$
D. Sinqle Room Occupancy
NO. OF UNITS
X $1 ,321 per unit =
$
E. Accessory Dwellinq Unit
NO. OF UNITS
X $1,550 per unit =
$
$ 2fn:iD
$ Y
$ ~(1J
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 f 2(", IIF
Date
le {I}.'2, I / ()
Development Services D
City of Springfield
5
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fIlL...
22? ~ifth.Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
Date: 06/22/2010
1:28:59PM
120100Q000000000743
Job/Journal Number
COM2010-00209
COM2010-00209
COM2010-00209
COM20 I 0-00209
COM20 I 0-00209
COM20 1 0-00209
COM20 1 0-00209
COM20 1 0-00209
COM2010-00209
COM20 I 0-00209
COM20 I 0-00209
COM2010-00209
COM2010-00209
COM20 I 0-00209
COM20 I 0-00209
COM2010-00209
COM2010-00209
COM20 I 0-00209
COM20 I 0-00209
COM20 I 0-00209
COM2010-00209
COM20 I 0-00209
COM2010-00209
COM2010-00209
COM20 I 0-00209
COM20 I 0-00209
COM20 I 0-00209
COM20 I 0-00209
COM20 I 0-00209
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Description
Plan Review Residential
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Building Permit
3 Baths One & Two Family
1st Appliance
Vent Fan
Appliance Vent
Exhaust Hoods
Dryer Ven!
Gas Outlets 1-4
Fireplace (Listed)
Fire SF Fee - Residential
Plan Review Major - Planning
Curbcut Permit
Sidewalk Permit
PW Disc - 2nd Permit
Sanitary Sewer - Reimbursemenf'h-j
Sanitary Sewer - Improvement ...,
SDC Tran Reimburs-Residential
SDC Trans Improvement-Resident
SDC Sanitary/Storm Admin
SDC Transportation Admin
Stann Drainage Impervious Area
+ 12% State Surcharge
+ 5% Technology Fee
Amount Due
161.37
38.00
2,858.00
134.00
150.00
63.00
1,534.96
402.00
79.00
27.00
9.00
13.00
9.00
7.00
20.00
193.60
211.00
88.00
88.00
(30.00)
898.79
683.44
211.21
931.65
186.95
78.94
1,124.60
293.76
140.25
$10,605.52
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Item Total:
Payments:
Type of Payment
Check
cReceintl
Paid By
CLIENTS TRUST ACCT-
GREENWELL.
Check Number Authorization
Received By B~tch Number Number How Received
Amount Paid
djb
In Person
$10,605.52
2129
Payment Total:
$10,605.52
. .
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Page I of 1
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6/22/20 I 0
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
~_:
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000142
Date: 02/16/2010
11: II :43AM
Job/Journal Number
COM20 1 0-00209
Description
Plan Review Residential
t ~'
Amount Due
836.35
$836.35
Payments:
Type of Payment
Check
Paid By
PAT GREENWELL
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
cjc
1029
In Person
Payment Total:
$836.35
$836.35
, :1 '1',
"-;,(
cReceintl
Page I of I
2116/20 I 0
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APPLICATION TO DEFER FEES AND CHARGES
AND CONSENT TO ASSESS LIEN
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The owners of the property shown below hereby apply to the City of Springfield to pay the fees and charges of$/D&D'5" ,g
deferred until final building occupancy is requested. Such fees and charges include System Development Charges assessed on the
property for the City and Willamalane Park & Recreation District. In the event that the real property on which the fees have been'
deferred pursuant to Ordinances 6233 and 6234 is sold or conveyed, the fees or charges deferred shall become immediately due
and payable to the City of Springfield. Sale or conveyance includes either actually selling, conveying or assigning any or all of the
property or any or all of the owner's interest in the property. The owners hereby apply for and consent to the voluntary imposition
of a lien for $ /000!;, 5'2... . upon the following described land in the City of Springfield, Lane County, Oregon:
MAP A1'ID TAX LOT
l'?cJS '2'13 i O::?'fOQ
SITE ADDRESS ;2')-"/3 N -r"-
CITY, STATE, ZIP 5(re l M;. HE1-D
SEE ATTACHED LEGAL PROPERTY DESCRIPTION
BILLING NAME Pit, /). ~ t2..c-~IV",J(:::'u_
BILLING ADDRESS 343'-1 vtI....Q7eJ'\'1"'-l=-.... GT.
CITY <) r" iZ-\ '" C, f' \ E..L_C>
STATE 0<2-- 'ZIP Q'7'-\'11
FEES AND CHARGES DEFERRED
RECORDING FEES
$ 10M -:,~ 5:2-
$(/1
TOTAL LIEN
$ 10&0'0,. <;2
In addition to the fees and charges indicated above, we agree to pay the fees associated with recording the lien and removal of the
lien at Lane County Deeds and Records.
Weare all of the legal owners of the described land or all of the contract purchasers of record of the described land to which these
fees and charges are applicable. We waive any and all irregularities or defects, jurisdictional, or otherwise, in any proceedings to
impose, calculate and collect these fees and charges, and in the imposition and collection of the lien consented to in this
application. We promise to pay these fees and charges when final building occupancy is requested or at such time the real property
is sold or conveyed. The charges may be paid in full at any time without penalty. We understand that if there is a subsequent
failure to pay the fees and charges the City shall have the right to enforce payment of the amount due in any manaer provided by
the general law of the State of Oregon, or by the Springfield Municipal Code, including but not limited to foreclosure of the land.
We acknowledge that the City has an interest in the property to collect these fees and charges, including System Development
Charges, and that the City has the authority to lien the property to collect those fees and charges. In the event of any proceeding to
enforce collection or to foredose, the entire unpaid balance and any fees shall be considered delinquent and due. We also agree to
pay the city's cost of collection or foreclosure ~n~a~Y',~ttom~ ~~es necessary for such COlleCtion. or f~reclosure.
~1bj2..rs::~iU:::L-L- f.fZ1iA:~~ '2-2..~-1e:. 54i-)'>+4.-7115
Print Name of Owner Signature of Owner Date Phone #
Print Name of Owner
Signature of Owner
Date
Phone #
Print Name or Owner
Signature of Owner
Date
Phone #
Print Name of Owner
Signature of Owner
Date
Ph,one #
STATE OF OREGON )
) ss.
County of Lane )
en was executed before me this 2'\.9 -t-V\ day of R: b(\Al\.X\~ Z,DI
OffiCiAl SEAL
IlATHRYlI E REEDER
NOTARY PUBLIC-OREGON
COMMISSION NO. 443126
lit COMMISSION EXPIRES OCT 4. 2013
v:\common\accnting\assessmt\Deferred fees contractdoc