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Home My WebLink AboutPermit Building 2010-8-11 . , 5~:~N~=~ ~~ ~'()REGON CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.or.us Building I Residential Permit PERMIT NO: COM2010-01015 IVR Number: permitcenter@ci.springfield.or.us PROJECT STATUS: Issued ISSUED: 8/11/10 APPLIED: 7/29/10 EXPIRES: 2/6/2011 VALUE: $163.024.00 SITE ADDRESS: 1005 41ST ST S Springfield ASSESOR'S PARCEL NO: 1802061418200 SCOPE: SFD WORK INVOLVED: NEW TYPE OF STRUCTURE: RES PROJECT DESCRIPTION: Single family residence - Same as COM2010-002561033 S 41st OWNER: ADDRESS: Bruce Wiechert Custom Homes 3073 Skyview Ln Eugene OR 97405 Phone Number: 541-686-9458 Contractor Type Electrical Contractor General Contractor Plumbing Contractor General Contractor Mechanical Contractor Contractor Name L & E ELECTRIC INC CONTRACTOR INFORMATION I Lie Type cce BRUCE WIECHERT CUSTOM HOMES INC STEVEN R JOHNSON BRUCE WIECHERT CUSTOM HOMES INC COMFORT FLOW HEATING CO cce cce cce cce Lie No 105475 101717 65065 101717 460 Lic Exp Phone 03/30/2012 541-933-2598 09/16/2010 541-686-9458 03/1212012 541-342-3765 09/1S/2012 541-686-9458 06/27/2011 541-726-0100 BUILDING INFORMATION , Fire Alarms: Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: Ele:tricat Sp~cialty COd~ ~di~on:';;~'iI0N; nr~q(li1 LqW rAquires you to . Spnngfield Fire Code Edition: .:;. . ~ d.(~ ':'O'l"~O !)\l th,~ OrogOl1 Ut',II'ty Path 1 A Gas-fired furnace . . . . ..... "]" t: Mechamcal SpeCialty Code ~dltion: ,~r r .enh;' -j-110Se rules are set forth Municipal I Development Code: . ,il ,,;,,-00; -u01 I] t,-,rcugr, OAR 952-001- Plu~bin~ Specia~ty fode Editi.o.n:, Ye.) rmy 01"3in copi3s of the rules by ReSIdential SpeCIalty Code EdItion: J :hg C8r'tS:. (~J(;t6: the telephone Structural Specialty Code Edition:Jer Jar lflb LJregon Utility Notification ,::.,'Iter is 1-800-332-2344). Site Information Type VB # of Stories: Height of Structure: 5231 1500 # of Units: 0 Construction Type Occupancy Comments Occupancy Type Occupancy Type Construction Type U R-3 Type VB Type of Heat: Water Type: Range Type: 420 # of Bedrooms: Hazmat: Sprinkled Building: Energy Path: Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit 8/11/2010 10:16:07AM NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK ;2 AUTHORIZED UNDER THIS PERMIT IS NOT" COMMENCED OR IS ABANDONED FQ,1ge 1016 , ANY 180 DAY PERIOD, . ' SeRINGFIE.?ij.... . ~4! A,,"~ . ' ~~.. ~'6REGOH CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 ww.N .a.springfield. or .us Building I Residential Permit PERMIT NO: COM2010-01015 permitcenter@ci.springfield.or.us IVR Number: PROJECT STATUS: Issued ISSUED: 8/11/10 APPLIED: 7/29/10 EXPIRES: 2/6/2011 VALUE: $163.024.00 SITE ADDRESS: 1005 41ST ST S Springfield ASSESOR'S PARCEL NO: 1802061418200 SCOPE: SFD WORK INVOLVED: NEW TYPE OF STRUCTURE: RES PROJECT DESCRIPTION: Single family residence - Same as COM2010-002561033 S 41st I DEVELOPMENT INFORMATION , Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: 18.00 10.00 5.00 21.00 Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING 3 Yes 36.70 Total: 2 Handicapped: Compact: 0.00 r , PUBLIC IMPROVEMENTS Street Improvements: Stann Sewer: Stann Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: FI CG Yes Sidewalk Type: C7 Downspout/Drains: Valuation Description , Descriotion TVDe of Construction Unit Amount Unit Tvee !JnitCost Value' Springfield Building Permit 8/1112010 10:16:07AM Page 2 af6 . ' ~.r.}RI.N.G. F.IE. L~.D....' ,. , ;'~~~! -~ .'". ~~ ~~c:iREGOH CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: COM2010-01015 IVR Number: WNW. d. springfield .Of. us PROJECT STATUS: Issued ISSUED: 8/11/10 APPLIED: 7/29/10 EXPIRES: 2/6/2011 VALUE: $163,024.00 SITE ADDRESS: 1005 41ST ST S Springfield ASSESOR'S PARCEL NO: 1802061418200 SCOPE: SFD WORK INVOLVED: NEW TYPE OF STRUCTURE: RES PROJECT DESCRIPTION: Single family residence - Same as COM2010-002561033 S 41st DescriDtion Plan Review Same As SDC Transportation Admin SDC Tran Reimburs-Residential Plan Review Major - Planning SDC MWMC Administration. SDC MWMC Reimbursement SDC Trans Improvement-Resident PW Disc - 2nd Permit SDC Sanitary/Storm Admin Credit- SDC Storm Reimb Credit- SDC Storm Improv Sanitary Sewer - Improvement SDC Storm - Improvement SDC Storm - Reimbursement SDC MWMC Improvement Sanitary Sewer - Reimbursement SDC MWMC Compliance Charge Sidewalk Permit Curbcut Permit Admin fee (10% of applicable tees) Residential Fire (.05 Per Sq Foot) Gas Piping up to 4 outlets Temp services 200 amps or less Each added 500 sq. fl. or portion. Residence wiring 1.000 sq. fl. or less First Appliance Fee Heat pump Single-duct exhaust (bathrooms, toilet compartments, utili Flue vent for water heater or gas fireplace Range hood/other kitchen equipment One or Two Family Dwelling with Two Bath Willamalane tees - Single family detached Willamalane tees - Single family detached Address Assignment, each new or change Structural Building Permit Fee Technoiogy fee (5% of permit total) State of Oregon Surcharge (12% of applicable fees) Total Amount Paid Springfield Building Permit Amount Paid $250.00 $95.15 $286.81 $211.00 $10.00 $101.97 $1,169.81 $-30.00 $217.82 $-283.87 $-1,020.40 $759.86 $1,020.40 $283.87 $1,333.57 $1,270.52 $22.63 $88.00 $88.00 $9.60 $96.00 $7.00 $63.00 $50.00 $134.00 $79.00 $17.00 $27.00 $9.00 $13.00 $374.00 $2.996.26 $471.74 $38.00 $969.23 $89.01 $209.07 $11,527.05 Date Paid 07/29/2010 08/11/2010 08/1112010 08/1112010 08/1112010 08/11/2010 08/11/2010 08/11/2010 08/11/2010 08/1112010 08/1112010 08/1112010 08/11/2010 08/11/2010 08/11/2010 08/11/2010 08/11/2010 08/1112010 08/11/2010 08/11/2010 08/11/2010 08/11/2010 08/1112010 08/11/2010 08/11/2010 08/11/2010 08/11/2010 08/11/2010 08/11/2010 08/1112010 08/11/2010 08/11/2010 08/11/2010 08/11/2010 08/11/2010 08/1112010 08/11/2010 8111/2010 10:16:07AM 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us ReceiDt! 23256 224415 224415 224415 224415 224415 224415 224415 224415 224415 224415 224415 224415 . 224415 224415 224415 224415 224415 224415 224415 224415 224415 224415 224415 224415 224415 224415 224415 224415 224415 224415 224415 224415 224415 224415 .224415 224415 Page 3 of6 . . WNW.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: COM2010-01015 IVR Number: 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 S.,~.R.IN.~FIELi....... .. C>:!A,,0a.- .. . ~~ ~~E~OH permitcenter@ci.springfield.or.us PROJECT STATUS: Issued ISSUED: 8/11/10 APPLIED: 7129110 EXPIRES: 2/6/2011 VALUE: $163,024.00 SITE ADDRESS: 1005 41ST ST S Springfield ASSESOR'S PARCEL NO: 1802061418200 SCOPE:SFD WORK INVOLVED: NEW TYPE OF STRUCTURE: RES PROJECT DESCRIPTION: Single family residence - Same as COM2010-00256 1033 S 41st DeDartment Received Due Date Comolete B!!!!!! Reviewer Comments Planning Review 08/05/2010 APP Required street trees as sh()\; Public Works Review 08/06/2010 APP Storm water to curb and apro Initial Review 08/01/2010 08109/2010 08109/2010 Approved Chris Carpenter See workflow history Structural Review 08/10/2010 08/09/2010 08/09/2010 Review Chris Carpenter Structural Review 08/10/2010 08/09/2010 08/09/2010 Approved Chris Carpenter Application Acceptance 07/29/2010 08/09/2010 Application Accepted David BowIsby Permit Issuance 08/11/2010 08/10/2010 08/10/2010 Issued Chris Carpenter Springfield Building Permit 8/11/2010 10:16:07AM Page 4 of 6 . , S~RI.NG. F.IE.~.!'.. .. "~ ... .~EGOH www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: COM2010-01015 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pe.. ""._. .._."@ci.springfield.or.us IVR Number: PROJECT STATUS: Issued ISSUED: 8/11/10 APPLIED: 7/29/10 EXPIRES: 2/6/2011 VALUE: $163.024,00 SITE ADDRESS: 1005 41ST ST S Springfield ASSESOR'S PARCEL NO: 1802061418200 SCOPE: SFD WORK INVOLVED: NEW TYPE OF STRUCTURE: RES PROJECT DESCRIPTION: Single family residence - Same as COM2010-o02561033 S 41st Page 5 of6 WNW.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: COM2010-01015 IVR Number: . 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 S!'~IN...G..:....I... EL.~ ........ ,I4L- . ~ if/IJ. ~.OREGOH t"..", ........., ,,""f@ci,spnngfield.or.us PROJECT STATUS: Issued ISSUED: 8/11/10 APPLIED: 7/29/10 EXPIRES: 2/6/2011 VALUE: $163,024.00 SITE ADDRESS: 1005 41ST ST S Springfield ASSESOR'S PARCEL NO: 1802061418200 SCOPE: SFD WORK INVOLVED: NEW TYPE OF STRUCTURE: RES PROJECT DESCRIPTION: Single family residence - Same as COM2010-002561033 S 41st 3999 Final Plumbing 4000 Temporary Power Service 4225 Service or Feeder 4500 Rough Electtical 4999 Final Electtical 1050 Excavation 9015 LDAP Erosion/Grading Inspection 9504 Curbcut - Standard 9505 Sidewalk - Curbside 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 thai any and all wort< performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the wort< described herein, and that NO OCCUPANCY will be made of any structure withoul permission of Ihe Community Services Division, Building 'Safety. I furfher 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 .=~r'~~' ~_o,~_.~ ~'".._~~m;;f~~~'.""-~"' / Owner or Contractor Signature Date Springfield Building J:lermit 8/11/2010 10:16:07AM Page 6 of 6 Electrical Permit Application CITY OF SPRINGFIELD, OREGON 225 Fifth Street. Springfield, OR 97477+ PH(54I)726-3753+ FAX(541)726-3689 I:' DEP.~RTMENT USE ONLY I Permitno.ClO-O'O/~ ~ I Date: This permit is issued under 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. r" ,. 'lbCAL:GO\JERNMENT'APPROVAL!','-:,'':P; ':"'1 I Zoning approval verified? 0 Yes 0 No I':. :." ..., '.:CATE GO RY'."O',,"CON STRUCTIONt;:'....:.. ".' I ....... ......, ".,'-..' ,"". ':" . I 0 Residential I 0 Government J 0 Commercial I . Ill.ji?;irr;\t1.oB;;;SITE;:INFbRMATION!':AN[j1~t:.O:CATcIOIll:,~iWi)'rnl I Job site address: I 0 0 '> S Lf IS/' I I City: 5'o.c~>_ I State: 6> r-- I ZIP: I I.Reference: \ wYtdP\A,. I Taxlot:\~UV I I.' '. DESCRipTION OF.WORK.... ..... ,.....,.. ...._~ -. '. . _ _ ...,' , . _ ,'" J.~-.:"; ,'j , ~.J'-'.~'L~ ,;. " :. , ~Mlo. \~~a.J. \)OC-/ \C\W --r\) \' - I I PROPERTY .oWNER I . I Name: C,nlu Wi t'J-.e.A CvS.+o", I Address: 307 :s sIt ~ v,~w },..,) I City: <:: uti eJ--<-- ' I State: 0 It. 1 ZIP: "I 71 0 .,- I Phone:SVI-bzb Of 'IS '&' I Fax: ~~/-3Yf .?3b -z.. I E-mail: W;~c-h..~l-\-.<l~5f}1:o...0.-.>+.lV<-\" 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 GAR 479.540(1) and 479.560(1). ~':'~-".~';~',~tn~:';':::1':~~:rl1j~~;;.~~-~ FEE?~SCHE[j_Otl:~f.W~~,~~rr~~b\~~?:~~W~~~fl .N~m~er~iinspecti~?Sp~rit~'?.( )iNt;.I;~~! '. il'. 1~;,:I I I $134.00 $/"S'( I '2- $ 25.00 $ g] I I I I I I I I I I Temporary services or feeders: installation, alteration, relocation I 1 I I I I I I I I I I I I I I I Residential, per unit, service included: 1,000 sq. ft. or less (4) Each additional 500 sq. ft. or portion thereof J $ $ $ $ $ $ $ $ $05 $ $ Signature: Over 600 amps or 1,000 volts, see services or feeders section above I ;.CONTRACTOR INSTALLATION:/ I Branch circuits: new, alleralion, eXlensionperpanel I Business nam~: k..t- e ef ~c.-+V~ c.... I I a. Fee for branch circuits with purchase ofa service or feeder fee: [ Address: q Z 8 33 -:50v-es Ac.-re-5 I I Each branch circuit I I $ 6.00 I $ I City: Sff \~ 1 State: 0 n. I ZIP:'l7'f)'Z I I b.Feetorbninchcircuitswithoutpurchaseofaserviceorfeederfee: I Phone,~'f' -5l1 _ 4/ 'i ~ I Fax: ':54\-<:j-3 3 _ cs-qAI I First branch circuit (2) . . I $ 55.00 $ I E-mail: l. I Each add.lIOnal branch ctrcutt $ 6.00 $ 11 CCB license no.: I OS' 4 7S- I BCD license no.: :s 53 c- I I Miscellaneous fees: service or feeder nol included I Signing supervisor's license no.: '-11 7 '1- s- I I Each pump or irrigation circle (2) $ 63.00 $ I Print name of signing supervisor: ~Q 0,,- "Ov.J~... I I Each sign or outline lighting (2) $ 63.00 $ I Signature of signing supervisor: r.- II \"'-. -:--\ J,. I I Signal circuit or a limited-energy panel. $ 63.00 $ ~o'-:J--\.__ ~Q..."-J alteratIon, or extensIon (2) I Each additional inspection: (I) I $58.00 $ 1ffi.}l:J:!N:f'f;.~;~'t.~ '[jj~f..-fj?ARPLICP.f.Jt!:~Ds'E%:~.~:.~~::.;~:~f~;f:f;;~~~:.. !,.: \;~~ Af"\.\<V /b::7V 'S>~.N f(;~~ ~~ 440.2584-) (9/08/COM) Limited energy (2) Each manufactured home or modular dwelling service or feeder (2) $ 32.00 $ 63.00 Services or feeders: installation, alteration. relocation 200 amps or less (2) $ 81.00 $ 95.00 $158.00 $205.00 $469.00 $ 63.00 201 to 400 amps (2) 401 to 600 amps (2) 60 I to 1.000 amps (2) Over 1,000 amps or volts (2) Reconnect only (2) 200 amps or less (2) r $ 63.00 201 to 400 amps (2) 401 to 600 amps (2) $ 87.00 $126.00 (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) .1 (B) Enter 12% surcharge (.12 x [A]) I (C) Technology Fee (5% of [A]) I TOTAL fees and surcharges (A through C): $ )'1") $ :J'!".:I $ /2- 1"! $ ).J'D ":1 '!> t41N\~ A-~ . Structural Permit Application__ Ci ry OF SPRIN(iFIELD. OREGON 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689 1031 5."1/1'1" C/O.ZSb I Di:P~~tMENf;Q~~pRI.!" Co-'~Ol..:l.OI 01-;- Pennil no.: ......~D f ..!!. . . ~... I Dale: 7-21-/0 This permit is issued under OAR 918-460-0030. Permits expire iCwork is not started within 180 days orissuanee or jCwork is suspended Cor 180 days. V.\l!~1tiil'.. .~j0'ff6ij~"fG:~'''Elf.i\f-iif''AP.PROVAIi.~''\:1;!i?/,:.''f~~,':j .t~~'t<l .;:ii.. -.-."~..9,y.___N.._E;fL,,, ____'.. ...M'."..'....___. ':::e~ct hasflnalland-use approval. I Date: ", 1~\:i,!?\i~;~t~i!?J-~EeS(:HEDjjlE~"ii\:f~~~if&t;<(10tl,\. I ::Ze~ct has DEQ approval. I Date: I :~~)~:~~:.~~:~!~~!:t\''':;1::~I~~~:~ii~;; I Zoning approval verified: 0 Yes 0 No I I Occupancy " 1( V\ I ,:~~;r;,r~~s~. ~th. i.~~.,O_O.~d.. p'1~:~..,c:J:~~..,..g..N..O......... " '. . ,,.j /. Construction type: V rr 1 .i~i1(;;'d~~rqAtl;~QR~.Of,i.QQN~J~OC:rIPN:':'i,::::':':. ,'i! I Square feet: j ~i=,m~s;:s" :...:'i--?"~~~~':''d:~'i"'N''''i~OE:JA~;~:~l~,),.:;.)" I Cost per square foot: I .'ii!;'_~?"'LI~.N.P .MATI,!,IA.!;V,..C.L ..." ...." I Otherinfonnation: I Job site address: I 00') S '-/1 S.j-- I I Type of Heat: ~.4 r ~ I I I' I L I ZIP: a '7Y 7" , r-r~ LX' :::. City:-=:;9 <" \ ",\1- : "- U State: 0 t 7' ,I Energy Path: ! ,A I I Subdivision:F': I h,< ,-t (Y\u,!.OIJ'> I Lot no.: I I Reference: !aDz 06(1.{ I Taxlot: I B'zc>O I Ja"'ii'Cw 0 alteration 0 addition j Il~::~;~i~;~i::~~;!i:~~~~~~~~~:~ :tN~ I ~~t:~~:~::'t:::nly.pennlt? 0 Yes ~o I $ (b S v4 V I Addresdo7~ Sl:..~icw I-N IZ.Buildli!iife~~1:;::;I:!~~:t,J!r':!.. ,/t"I"'ft: j;'5.q'-;:;:'~}:'ll::')l' I I (a) Pennit fee (use valuation table): . I $~' :Z.:l.1 I City:tv{le,,-<- I Statel)'" I ZIP:"!7to<) -;yo I Phone: ~ -hU- 9'-i~K I Fax: -,fr- ~'-3bl- I (b) Investigative fee (equal to [2a]): I $ I I (c) Reinspcction ($ per hour): . I I E-mail: W iec-he",. \o..o~5 aCD'~'~S;, VVc.f" (number of hours x fee per hour) $ . This installation is being made on residential or farm property owned by I (d) Enter 12% surcharge (.12 x [2a+2~2c]): i $ / !~. 1/ me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010. I (e) Subtotal offees above (2a through 2d): I $ I'T3:,'Plaii~~mlr"",~.ilI~'W."~.::Hi::':;i;~';~~);~I,W,~'i:(''N;';:iJ.:i~': Sign here: . ","".!"~""!'9Il'1l"~'~'" """"';'-"_ ~""'c^""""''''''''h'' ~!;~~~~~.r.;;!'f'~~"ii i E:::;;E::!~".i !: 250 i I Address: '3 07 3 .; \::~";~..v /..."" J "4.1\flsceJjiilleo'u,i~ii$5;i.."'.:. "'---",7.?e'P."l:;~"l'~9!','! I City: (:"<e...... IState:o<t. IZIP,q7~ol' .... ...... ..... . :>H.,. .~,,""TO-,';'... I Phone: "-6J& Ct'75? I Fax: ;>;'1'1- 7j3b Z I I (a)Seismicfee,I%(.0Ixpennitfee[2a]): 1$ I E-maiJ:Wie,:J"..t \-..OI~S @ cc.",u..54~,...J",t . TOTAL fees and surcharge. (2e+3c+4a): I $//"50/ I I CCB license no.: f 0 I J ( 7 I Printn~e:1\) ..".,,1" W"~\ovv I Signature: (.vi W _________. ~~:li,$.P.lI.~~~~~~:~~~~tM~~~J~;~~:~,:: . /Eleetrita1t-..tf I 105'17.< I Sll'1I'i6 J Plumbing5!c.....i PU".~I,:,< I?-'O{,5' I> ~l-3'lb~ i I Meeban"'al CFH I " "h V 17 lb--olor) 2~ willamalane t\J Park and Recreation District Job. No. /!/tJ-/()/S SYSTEM DEVELOPMENT CHARGE WORKSHEET July 1-December 31,2010 NAME:..&.I.ALE cJ'Ec::.+-lt~T U1.tTDrVI. H!lmqHONE:~~- 9tt-Sg ADDRESS:.56?7 SeJI VIEAJ tITYbC.A~. STATEb!- ZIP:<f'?1t1.r LOCATION OF PROPOSED BUILDING SITE: Street Address:! O[) S- S. Co/ /.r .5T. Plat Name: Tax Lot Number: 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the back.) A. Sinale-Familv Detached NO. OF UNITS l X $3,468 per unit = $ "J 't &,Z B. Sinale-Familv Attached NO. OF UNITS X $3,538 per unit = $ C. Multi-Familv ADartmerit NO. OF UNITS X $2,906 per unit = $ D. Sinale Room OccuDancv NO. OF UNITS X $1 ,453 per unit = $ E. Accessorv Dwellina Unit NO~ OFUNITS X $1 ,734 per unit = $ $ WILLAMALANE SDc 2. SDc CREDIT (If applicable) SDC payer must furnish proof of Willamalane Credft approval.) $ Iff 3. TOTAL WILLAMALANE NET SDC ASSESSED. (if SDC reduced for Credft) $ :l'lfJ .~ Development Services Department City of Springfield p- 1 /d 1 / lJ Date 5 S.~.R.IN.GF..I. E ~,D... '.' . ,~~.- . ~$' , .. ;OREGOH TRANSACTION RECEIPT WrNW.ci.springfield.or. us RECEIPT NO: 2010000038 RECORD NO: C0M2010-01015 DATE: 08/1112010 Plan Review Same As SDC Transportation Admin SDC Tran Reimburs-Residential Plan Review Major - Planning SDC MWMC Administration SDC MWMC Reimbursement SDC Trans Improvement-Resident PW Disc - 2nd Pennit SDC Sanitary/Stann Admin Credit- SDC Stann Reimb Credit- SDC Stann Improv Sanitary Sewer - Improvement SDC Stann - Improvement SDC Stann - Reimbursement SDC MWMC Improvement Sanitary Sewer - Reimbursement SDC MWMC Compliance Charge Sidewalk Pennit Curbcut Pennit Admin fee (10% of applicable fees) Residential Fire (.05 Per Sq Foot) Gas Piping up to 4 outlets Temp services 200 amps or less Each added 500 sq. ft. or portion Residence wiring 1,000 sq. ft. or less First Appliance Fee Heat pump Single-duct exhaust (bathrooms, toilet compartments, utility rooms) Flue vent for water heater or gas fireplace Range hood/other kitchen equipment One or Two Family Dwelling with Two Bath Willamalane fees - Single family detached Willamalane fees - Single family detached Address Assignment, each new or change Structural Building Pennit Fee Technology fee (5% of penn it total) State of Oregon Surcharge (12% of applicable fees) 719-00000-426604 446-00000-448026 100-00000-425002 611-00000-426604 .444-00000-448024 447-00000-448027 201-00000-428060 719-00000-426604 441-00000-448029 440-62243-650117 443-00000-448025 440-00000-448028 441-O0000-448029 445-00000-448025 442-00000-448024 444-00000-426607 201-00000-428060 201-00000-428060 224-00000-426605 100-00000-424005 224-00000-425604 224-00000-426102 224-00000-426102 224-00000-426102 224-00000-425604 224-00000-425604 224-00000-425604 224-00000-425604 224-00000-425604 224-00000-425603 821-00000-215023 821-00000-215023 224-00000-425602 224-00000-425602 100-00000-425605 821-00000-215004 TOTAL DUE: ~J:!AYMENT'mv.pE'2;:pAYaR.#."',C~6lilERtCCA~~EN~'''''COMMEN'FI;f,'-.?fe',U . "',:"i. . .:u:,.':~:;;;. Credit Card bruce wiechert 00512d Check 19836 BRUCE WIECHERT CUSTOM HOMES INC CITY OF SPRINGFIELD 225 Fifth 5t Springfield, OR 97477 541.726-3753 permitcenter@ci.springfield.or.us $250.00 $95.15 $286.81 $21100 $10.00 $101.97 $1.169.81 $-30.00 $217.82 $-283.87 $-1.020.40 $759.86 $1,020.40 $283.87 $1.333.57 $1,270.52 $22.63 $88.00 $88.00 $9.60 $96.00 $7.00 $63.00 $50.00 $13400 $79.00 $1700 $27 00 $g.OO $1300 $374.00 $2,996.26 $471.74 $38.00 $969.23 $89.01 $209.07 $11,527.05 AMOUN"t'PAlo,'u'!JT.. --';tij $9,500.00 $1,777.05 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2010-01015 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Description Plan Review Same As Paid By BWCH "..,R...~",!."",....%.[,F.'.;'.!.:~"..'''.''.!.''''4'"''! ".'.. L1. , Kq, I City of Springfield Official Receipt Development Services Department Public Works Department l'-"";.i;'. ~:'c "",.' , . "", Date: 07/29/2010 120109~900000000845 ,\".. Item Total: t.:hcck Number Authorization Received By Batch Number Number How Received .~HHn ,:..:.~.,;;;... ,,-./.,' ".1~:?- ~?~?!?T .;....~..... .., , ' Page I of 1 djb 03568d In Person Payment Total: '. ,M"-, ~- ! ~," ..........":' ~(-:, '...... " : ";h},rJ: . '-.~._>. ., 't;.ro . ,- ,'^ P, '''~ :~!"r_ ...... }j . ,"":....t. 11:37:I7AM Amount Due 250.00 $250.00 Amount Paid $250.00 $250.00 7/29/2010