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Home My WebLink AboutPermit Building 2010-8-26 WWN.ci.springfield.or.us , .:" CITY OF SPRINGFIELD BuildingLResidehtial Permit PERMIT NO: COM2010-01021 IVR Number: 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us PROJECT STATUS: Issued ISSUED: 8/26/10 APPLIED: 7/30/10 EXPIRES: 2/21/2011 . VALUE: .$168.000.00 SITE ADDRESS: 530 48TH ST S SPRINGFIELD <"eel :?i': :f'.l' '.'. SCOPE: SFD ASSESOR'S PARCEL NO: 1702324406600 .'; :}W,: ,.,.;;l~;,: WORK INVOLVED: NEW \' ~),L\ . -.:tyPE OF STRUCTURE: RES ;"" PROJECT DESCRIPTION: OWNER: ADDRESS: Single family residence. Same as 511 S 48th COM2010-00203 Phone Number: Contractor Type Contractor Name CONTRACTOR INFORMATION ~ .:. . lic Type Lic No Lic Exp Phone BUILDING'INFORMA'T!ON ~ # of Units: Construction Type Occupancy Type Occupancy Comments o . . 'C' i""~n j.,~, # ot" Stori~s: Height of Structure: ~~ u Type of Heat: Water Type: Range Type: Forced Air Electric Electric Electric' Lot Siz.e: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq FI Basement: Sq Ft Garage: Sq Ft Carport: Sq FI Other: Occupancy Load: 4921 1408 403 # of Bedrooms: 3 Hazmat:.', .' Sprinkled Building: No Fire Alarms: , ,,~'f'{}~' 24 /(>J.{'- '" Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: No Electricr{i':Sp'ecfiJi:ij Code Edition: ".'''..1. " Springfield Fire Code Edition: r'.:.'..' '-.I Ore non law requl'res you to Path 2A Certified perform, " 'C d". - ~ Mechamcal SpecIally ode E Itlon. .1,_ ,d ))ted by the Oregon Utility M .. 110 I tCd' ,., .,'l,cr umClpa eve opmen 0 e:. " ,,'t' C 1t'r Tl10se rules are set forth , 'C d Ed" ",)lI,1(,a 1011 el e, Plumbing SpecIally 0 e Itl,O,'); OAR 952.M\1.001 0 through OAR 952-001- Resldent.al SpecIally Code Ed't:?r~80, You2(hlJ,By obtain copies of the rules by Structural SpecIally Code Ed't,on:calling the center, (Note: the telephone Site Information numb~ r for the Oregon Utility Notification I Center is 1-800.332-2344). Energy Path: Ves No No No L.U,,;'; ., ..t""",., , \ :~. W~"i-::'r '" ., "",~t:',h Ii : ': t.t,. .,', <. " ~,'~;T'~ ,~ . n:.J.;./ :' "; ;[ .- ~" ::" NOTICE: RK THIS PERMlT SHJl.ll EXPIRE IF THil~~OT AUTHORIZED UNDER THIS PERMI COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. . '~'t:i,' ". ,~, t . ". Springfield Building Permit C'I" ). '. tnyra}~f~'~f<~;~' !~'09:38AM :Hr?f~ . Page 1 of 4 . .' s~~~:=~~ ~itW ~OREGON www.ci.springfield.or.us -:>C~'! yfi .{'"t' !"': .:t~.t~~~~ ~1~~lctl11 ~ ',}j,!.l,'J' . 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: COM2010-01021 permitcenter@ci.springfield.or.us IVR Number: ISSUED: 8/26/10";,, APPLIED'; 7/30/10\,;;' ,....,_. ...oF' PROJECT STATUS: Issued "EXPIRES: 2/21/2011 , VALUE: $168,000.00 .i'i'... SITE ADDRESS: 530 48TH ST S SPRINGFIELD ASSES OR'S PARCEL NO: 1702324406600 PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: SCOPE: SFD WORK INVOLVED: NEW TYPE OF STRUCTURE: RES Single family residence - Same as 511 S 48th COM2010-00203 DEVELOPMENT INFORMATION ~ :', REQUIRED PARKING 18 8 5,48 19,48 o ,""~' . Overlay'O'iSt:' '"1 ; ,'" ',"}\;' # Street TieesReqd:: 2 Paved~l:?ri~e ~eq~,:;:i. ; - Yes -\' ',~'l{,~ .' 'r,',,",]" .' % of L:o,~;C.C?verage:j 36.7 Highest point oil'structure to north property Ihie: 18,5 Handicapped: Compact: Total: 2 Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Descriotion PUBLIC IMPROVEMENTS ~ Sidewalk Type: Downspout/Drains: . t', ~" :" , . i,';,~)./' ,":. ( I;' ~~;i':' , !, ,';",:~'''~~'' ." Valuation Description I Tyee of Construction Unit Amount Unit Tyee ..;:~js' " .. ,?: )\1',' ~ R:tJ~:r(j:' Unit Cost Value F .' :"~:-,- . n,'i\!~: ,;,::Il:J' ),j'~~'" ~Sc~'~~ ,;--;,~;'7~,~."t-=;~:~-<1'f~;yr~~i4~1~~~~fi~PAIi)~~\-:~~'~ ~'~A~~~un;-Paid Receiot # 46562 46562 .., ;',";,.;; ,pf "~ie' ,'~j'~=:~~~:':- .~~~~~~;~',:,:;,~;~,:7} Descriotion Plan Review Same As Same as Plan Review Submittal - Commercial Total Amount Paid Date Paid 07/30/2010 08/22/2010 $250.00 $250.00 $500.00 ~ ;,'~ .1:' '~J;; - '-, ; ,;~:;~-" \ "'0' ,:.~ ,1",~:~:kxrZC~~;~J;0&-';:'~'~'~-=::::;:~!;~2.fJ~~~~>- ,::~,~)~~i~t;:-\.r~}~~~.';=:'l-:\1r ~~~;: ;;)t:,~i~~~" -,~ -":,,- .'f- J(,.:', ': - .,~13 DeDartment Permit Issuance Planning Review Application Acceptance Initial Review Planning Review Public Works Review Structural Review Springfield Building Permit Received 08/26/2010 08/09/2010 07/30/2010 08/01/2010 08/10/2010 08/17/2010 08/18/2010 Due Date 08/18/2010 08/09/2010 08/09/2010 08/09/2010 08/09/2010 08/16/2010 08/09/2010 Result Issued' Add'l info required .App!ic~~i~~ Ac~epted 08/09/2?:~.91\. . ~pp~o~ed;,.'!' 08/09/2010 Approved l"'."'''~'''', . - ,:- 08109/201 ~ Approved 08/09/2010 Approved Front elevation is site specific Storm water to tap Comolete 08/18/2010 08/09/2010 Reviewer Nancy Machado Deyette Kelly David Bowlsby Chris Carp~nter Deyette Kelly Kaye Wilson Chris Carpenter Comments Plot plan is incomplete. Reql 8/26/2010 9:09:38AM Page 2 of 4 www.cLspringfield.or.us ", CITY OF SPRINGFIELD ..} D;:;;' Building fR~sid~ntial Permit -;,~'&rl '~";;E4:;;" -. PERMIT NO: 'COM2t)1'O-01 021 , 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci,springfield.or.us IVR Number: PROJECT STATUS: Issued ISSUED: 8/26/10 APPLIED: 7/30/10 EXPIRES: 2/21/2011 VALUE: $168,000.00 PROJECT DESCRIPTION: ; SCOPE: SFD WORK INVOLVED: NEW TYPE,OF S1RUCTURE: RES Single family residence ,,~~~e aS5i\~S'48th COM2010-00203 ".,.':"\", - ".. .". I INSPECTIONS REQUIRED ~ SITE ADDRESS: 530 48TH ST S SPRINGFIELD ASSESOR'S PARCEL NO: 1702324406600 Inspections 9505 Sidewalk - Curbside 9504 Curbeut - Standard 9015 LDAP Erosion/Grading Inspection 1110 Footing 1120 Foundation " " , . ''';'., , '" 'f. Fh,31<::if.>n, :-, 1160 UFER Ground .t;;~~~\1:~1 \~':.~'-;~i\. .;, i'/i.i.;',,:,.t;.; ";")"f' '.;,<\,J( 1170 Post & Beam 1220 Underfloor framing 1260 Framing 1370 Masonry Veneer. 1410 Underfloor insulation 1420 Insulation Vapor Barrier 1430 Insulation Wall "'.'! I" ',,"";:". "!c' .'1. .." 1440 Insulation Ceiling 1520 Interior Shearwall :~,:~~i~;~:; ..1:;' ~_ :)~.I~:' '-in;!." 1': ,,,, 1530 Exterior Shearwall 1540 Gypsum Board/Lath/Drywall 1999 Final Building 2200 Underfloor Mechanical 2300 Rough Mechanical 2999 Final Mechanical ~.~".-~-- .._---~._, - '1" ~1;f ~~'f'~~"~'t,~~ ,.1 , ..-..... ....',.. ".l^ I" '~ ' 3130 Footing/Foundation Drains 3170 Underfloor Plumbing 3315 Water Line ;$~~~,; 3400 Storm Sewer 3500 Rough Plumbing 3999 Final Plumbing ...;.., Springfield Building ~ermit '"8/26/2010. 9:09:38AM }. Page 3 of 4 c" ! I . ':-" ....I 'l'l.;-- '" S..~RI.N. G..F IE~.D , .' , : H!;;1 ' , ". . .., 'F'" ,,,,..'OREGON . :,:~C:~ . ." .':"- 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 CITY,'OFSPRINGFIELD <, . www.ci.springfield.or.us Building I Residential Permit PERMIT NO: COM2010-01021 IVR Number: permitcenter@ci.springfield,or,us PROJECT STATUS; Issued ISSUED:;8/26/10.' . APPIJED: 7/3(jt10 ".-.- --,~. '.EXPIRES: 2/21/2011 VALUE: $168,000.00. '.......~..--- ""~,.....,,.. ... ',~"- SITE ADDRESS: 530 48TH ST S SPRINGFIELD ASSESOR'S PARCEL NO: 1702324406600 SCOPE: SFD WORK INVOLVED: NEW TYPE OF STRUCTURE: RES PROJECT DESCRIPTION: Single family residence - Same as 511 S 48th COM2010-00203 4000 Temporary Power Service 4225 Service or Feeder 4500 Rough Electrical 4999 Final Electrical ,. , < . - ..._......... 1110 Footing 1118 Footing Drain ", r,,",. ....,,. ,.,,~. ,. ,'1 ' 1120 Foundation 1160 UFER Ground 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 S.tElte or, 9r~gon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure withoutpermisklonibhtiJ;community Services' Division, Building Safety. I further certify that only contractors and employees who are in c'Ornpllance"wJiWORS'701.005 will be used on this project. I further agree to ensure that all required inspections are requested at th~properjfrne;:that each address is readable from the street, that the permit card is located at the front of the property, and the ~ppjoved set'of plans will remain on the site at all times during construction. ~4 ~ ? :,..;G'- /0 Owner or Contractor Signature Date ....~ ..._'_ ',J ,",..;< :....',; ';;I~Bb~' 'D?\,{lCG'l~~"l ",. r0~~~~' itIt:~f~:'~~1 "~!' i.'wo,'pi'Of' ~r:~ir~t'J:':' . ., '~1?P!. ' " Springfield Building Permit 8/26/2010 9:09:38AM Page 4 of 4 Electrical Permit Application t 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689 ';'r;;i?'X'":.~"',,:':~'...';::~>;.':i;:,:",';;j.~_:~'j;>';"~-i>:;~~~~,~~",~<_, c;em;[)E~f!i.RTMENJ~8SE10Nli.'Y:~!:ii ,;,;"-,,,-_~ :'.-< :', .-. ":';-:i:;".;."~'~;":.'f.:~ti\}KL~~1E~i.i:\"~'WfI(';;: (0.-. ~ t 0- ~ I ez. \ Permit no. Dale: 7 . .3 6 -/ 0 This permit is issued under OAR 918-309-0000. Permits are nontransferahle. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ~~j[~);t~~G:<;>,$4~RN:M($~'ilif~RFf~&>M~~ll'jf~ Zoning approval verified? DYes D No ~"'''''4tl.i~0~tE'G'@-'y;.'''0B~jG'eNS;:f,RI!J'emj0r;j1il~",,g1tiIW~~' h"L_,",_._..~,.......J:L~. ...i!ll._..~. ..__.,__.._...........ItiiYilii)..~..,"-~ 0: Residential I 0 Government I 0 Commercial ~jfJ:<;>l;}ll'$!ill.i;~(j'..jiiJ[5,BJ':iI~illi~. .~,ijj;j';{@.!1't~illt~t:1J&\~ Job site address: 1"30 ~.1 L{f-f~ <i, City: 'Y.-,.,,,.(',:, iot I State: 0\2 I ZIP: '17'f715' Subdi~ision\l' \AJ1:~f- W(;..JS Lot no.: 3 ~'-~~.Q!;~:QRtRm!Q].iQflw&>:~~1t""~. "'~~~. l-bo"". I.~'- /-z;"nvJ..:::>.:-~ / / ~v ~"." . '., "e'R'0RERmYJ,!0WNERY",iif ~. __, "N,."...~..", =~,_=,",""^.~."..:"~~,_,,_,,,,~'R';~<. '., ,'''~'' Name: l-L"deV\ }.(cvv-.-e ~ . Address: :J'ICC-( $c-J (!,("'c-',r I State: il Q I ZIP:'j'77s-G, I Fax:S2'(1-7'11- ,;J577 City: R ",01 V"lCV< vi Phone: SLi!-2!.if-IP'))5" 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: ~~~f"!fct(;)NmR(tf@ill0R'11;ifijsm1i:l!ifA';i!10fij~~~~'\'J\1,~,~i~' 1i!f~~~~~L._""~~,~lL__~...."."<<o"(..,..,,_,,,J?1!.~,.,.___,,,_. ,-,.t,.' """"..;..~~.=_~>'_~;,jcr, Business name: 7;n \\ b~(h F I eC Address: ,,)O~ /'<1' (OV<?<1 C-\- City: 15:: _A I State: oR. I ZIP: Phone:SlII-3i1-I9'1Q I Fax: E-mail: CCB license no.: '/Y 3GC I BCD license no.: ( .22r1. Signing supervisor's license no.: LJ {) 5"4.5 Print name of signing supervisor: Vet" I <:L.. ) r l-/~ Signature of signing supervisor: f 1. n (/ S~jJ 0 ~. v 440-2584-J (9108ICOM) .'~. ~\) ~ E "':'""EDiJlif Residential, per unit, service include'd: 1,000 sq. ft. or less (4) Each additional 500 sq. ft. or portion thereof $134.00 $ $ 25.00 $ $ 32.00 $ $ 63.00 $ Limited energy (2) Each manufactured home or modular dwelling service or feeder (2) Services or feeders: installation, alteration, relocation 200 amps or less (2) $ 61.00 $ 201 to 400 amps (2) $ 95.00 $ 40 I to 600 amps (2) $158.00 $ 60 I to 1,000 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 $ $ 67.00 $ $126.00 $ Over 600 amps or 1,000 volts, see services or feeders section above 201 to 400 amps (2) 401 to 600 amps (2) Branch circuits: new, alteration, extension per panel a. Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit I $ 6.00 $ b. Fee for branch circuits without purchase of a 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) $ 63.00 $ Each sign or outline lighting (2) $ 63.00 $ Signal circuit Or a limited-energy panel, $ 63.00 $ , alteration, or extension (2) Each additinnal inspection: (1) $56.00 $ ~J\_". <. "'ii. ~"'o5~'I"r.;,"cN'~"'i'(S"E~1i!-'1'!i."",jm""'"'" ~,1i~~~:;2--: ',~ ,,~:1:';r;;~~1;"p:~~,,_~m~~..,c~~~'~~'tt~..G~'':-,-~ (A) Enter subtotal of above fees (Minimum Permit Fee SS8.00) $ (B) Enter 12% surcharge (.12 x [A]) $ (C) Technology Fee (5% of[A]) $ TOTAL rees and surcharges (A thrnugh C): $ SPsME AS 5/1 S 4~t... S+-o lIC-c,,-.>zo:$ StnH 215 FifLh Street. Springfield, OR 97477 . PH(541)726-3753 . FA.....'\(541)726-3689 SPRINGFIELD DEPARTMENT USE ONLY Cc"'^ z..O {O . 0 ( 0 Z-\ Pemlil no.: ~,',.... Date 7- SO -I D 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, LOCAL, GQYE~NM.ENTAPPROVAL '. \ This projecl has-fmslland-use approval: Signature: This project has DEQ approval. Signature: Zoning approval verified: Property is ',',';thin fleod plain" I Date: Date: DNa DNa DYes DYes :,,/,:CATEi30RY.OF,:, C.ONSTRUGnON . _>_ .........1...__. . ." .. __ ~ Residential o Government o Comme:rci31 City ,--, (.i..c.k Subdiv(sion': .~ W I -, Reference: 70t 3 24 PROPERTY OWNER 00 Name: Address: City: Phone: . State: 0 Q r Fax: E-mail: . I This installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.0] O. Sign here: LATlO.'N,-. , .' ',' . CONTRAqOR )~_ST Business name: 1-10, '(arc r State: OK_ Address: City: ~ Phone: 5'11 E-mail: CCB license no.: Print name: Signature: ;:,:" ' ".-: ' \>siJ$,t.ofi;IiI'<A(;Jt5R"lfif6,f:i~:AtIQfi;';,"':;" '.~'. ";"..:.- Name CCB License Number Phone Number" Electrical 17 J?,(,i, Plumbing 3/ 7<f7 Mechnnical 3'1.;;2 37 ~ FEE SCHEDULE ' 1...yallla-'ti'6i1-'Irifo'rma-tio:~'_. ' . " (a) Job description: Occupancy Construction type: Square feet: Cost per square foot: Other information: t 006 Type of Heat: Energy P2th: r;t."\ IXI new 0 alteration (b) Foundation-only permit? Total valuation: o addition DYes ....EI1'Io 000 (" (a) Permit fee (use valuation table): (b) Investigative fee (equal to [2a]): (c) Reinspection ($ per hour): (number cfhours x fe~ per hour) (d) Enter 12% surcharge (.]2 x [2a+2b+2c}): (e) Subtotal of fees above (2a through 2d): $ $ $ $ $ (3) Plan review (65% x permit fee [2a]): (b) Fire and life safety (40% x permit fee [2.]): (c) Subtotal of fees above (3a an-d 3b): (a) Seismic fee, 1% (.OJ x permit fee [2a1)' TOTAL fees and surcharges (2e+3c+4a): $ $ '. R-~ willamalane t~ Park and Recreation District . Job. No. QAt> - \D'2..\ SYSTEM DEVELOPMENT CHARGE WORKSHEET . . July 1-December 31, 2010 NAME: \J\~d Qj\ .~ PHONE: ADDRESS: {). 4'04 . & \(l1<Jro(' eo~d2J~zIP: Cfil;Slo LpCATIONOF PROPOSED BUILDING SITE: Street Address: ?\ ?{) b. 4t)-+n [)t- PlatName: ......\0 tl\?O \I ~ Tax Lot Number:.tJoj_OL_t\L\ oto~ 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the back.) . A. Sinqle-Familv Detached NO. OF UNITS \ X $3,468 per unit = $ ~4~b~ B. Sinqle-Familv Attached NO. OF UNITS X $3,538 per unit = $ C. Multi-Familv Apartment NO. OF UNITS X $2,906 per unit = $ D. Sinale Room Occupancy NO. OF UNITS X $1 ,453 per unit = $ . E. Accessory Dwellina Unit NO. OF UNITS X $1,734 per unit = $ 3. ;TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credtt) ~. I (w $ 'b4-108,LX:) (zf $ 54bS:D B ,~1D1D Date $ WILLAMALANE SDC 2. SDC CREDIT (If applicable) SDC payer must furnish proof of WillamalaneCredtt approvaL) Development Services Depa City of Springfield 5 S.~RIN... G.. F..IE ._L..~....... .. iW- .;~. OREGON www.ci.springfield.of.us TRANSACTION RECEIPT COM2010-01021 530 S 48TH ST CITY OF SPRINGFIELD 225 Fifth 5t Springfield,OR 974n 541-726-3753 permitcenter@ci.springfield.or.us RECEIPT NO: 2010000162 RECORD NO: COM20IO-0102! DATE: 08/27/2010 !DESCRip;fII::iN~ili;fi~fi'i@1fi~~~~V!~'#TI';'j;"""x~T~~j;:ACj;.QUijii:..coo~.V!Xili;TXV!.xx;~~AMj:)J~NIlQI.tE~- . ... .;;...1(....1 SDC: Reimbursement - Transportation SDC 446-00000-448026 $286.81 SDC: Total Transportation Administration Fee 719-00000-426604 $106.06 Sidewalk up though 90 Feet 201-00000-428060 $88.00 Curb Cut/Driveway 1st Cut 201-00000-428060 $88.00 Multiple Permit Discount (Max 2) 201-00000-428060 $-30.00 Planning - Major Review 100-00000-425002 $211.00 SDC: Reimbursement Cost- Storm Drainage 441-00000-448029 $211.03 SDC: Improvement Cost - Storm Drainage 440-00000-448028 $758.58 SDC: Improvement - Transportation SDC 447-00000-448027 $1,169.81 SDC: Reimbursement Cost - Local Wastewater 442-00000-448024 $939.08 SDC: Improvement Cost - Local Wastewater 443-00000-448025 $561.63 SDC: Reimbursement Cost - MWMC Regional Wastewater SDC 444-00000-448024 $101.97 SDC: Improvement Cost - MWMC Regional Wastewater SDC 445-00000-448025 $1,333.57 SDC: Compliance Cost - MWMC Regional Wastewater SDC 444-00000-426607 $22.63 SDC: Administrative Fee - MWMC Regional Wastewater SDC 611-00000-426604 $10.00 SDC: Total Sewer Administration Fee 719-00000-426604 $169.70 State of Oregon SUrcharge (12% of applicable fees) 821-00000-215004 $17.52 Technology fee (5% of permit total) 100-00000-425605 $7.30 Residential Fire (.05 Per Sq Foot) 100-00000-424005 $91.75 Structural Building Permit Fee 224-00000-425802 $985.51 Admin fee (10% of applicable fees) 224-00000-426605 $9.18 Temp services 200 amps or less 224-00000-426102 $63.00 Address Assignment, each new or change 224-00000-425602 $38.00 Willamalane fees - Single family detached 821-0000~-215023 $3,468.00 One or Two Family Dwelling with Two Bath 224-00000-425603 $374.00 Range hood/other kitchen equipment 224-00000-425604 $13.00 Single-duct exhaust (bathrooms, toilet compartments, utility rooms) 224-00000-425604 $36.00 First Appliance Fee 224-00000-425604 $79.00 Residence wiring 1,000 sq. fl. or less 224-00000-426102 $134.00 Each added 500 224-00000-426102 $50.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $208.14 Technology fee (5% of permit total) 100-00000-425605' $88.63 Plan Review Adjustment - Residential 224-00000-425602 $-250.00 Plan Review Adjustment - Residential 224-00000-425602 $-250.00 TOTAL DUE: $11,190.90 rJtTI/!AYM~PE;xj2.r€AY;ORf~ili;V!~-g"tlIE~~1.tlO~egRJ;:~r!C0Mlwte~!tsj;-~J:;"" .'j.1;;~~':r:j.AMOUN!trI1Alb"::: ,. .. :j Check 28132 HAYDEN ENTERPRISES $11,690.90 $11,690.90 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000902 Date: 07/30/2010 9:04:03AM Job/Journal Number COM2010-01021 Payments: Type of Payment CreditCard cReceinll Description Plan Review Same As Paid By HAYDEN HOMES Amount Due 250.00 $250.00 Item Total: Check Number Authorization Received By Batch Number . Number How Received djb Amount Paid 091320 In Person Payment Total: $250.00 $250.00 I" ,. ; t ,1 ., 'i~'r; ;~,~J ". ,- .,,:\:t'i\' .; B:'" d.ib 'I." '."i,'d::i"":t'\~' ,';("l'i.:..!i;.,' drh Page I of 1 7/30/2010