The URL can be used to link to this page

Home My WebLink AboutPermit Building 2010-8-31 .. . '":",!.', ~>u,( '.;' :~,Li:,:~~\ "',~: ,'~ www.ci..springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: COM201 0-01 045 IVR Number: PROJECT STATUS: Issued ISSUED: 8/31/10 APPLIED: 8/4/10 EXPIRES: 2/26/2011 VALUE: $244,381.00 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield,or.us SITE ADDRESS: 577 48TH PL S SPRINGFIELD ASSESOR'S PARCEL NO: 1802051105100 SCOPE: SFD WORK INVOLVED: NEW TYPE OF STRUCTURE: RES PROJECT DESCRIPTION: OWNER: ADDRESS: Single family residence - SAME AS COM2010-01044 553 S 48th Phone Number: CONTRACTOR INFORMATION ~ Contractor Type Contractor Name .,,:}~:r PACIFIC AIR COMFORT INC STUTZMAN SERVICES INC )J.....'. HAYDEN ENTERPRISES INC TOP NOTCH ELECTRIC INC "1>";;" ,'~~'.;i~.., ~~'. ' . "~ " \'" Lie Type CCB CCB CCB CCB ,'" . "~i~> i i ~'. Lie No 39237 31747 92208 172366 Lie Exp Phone 03/25/2012 541-672-9510 05/12/2012 541-928-8942- 07/29f2011 541-923-6607 09f29/2010 541~317-1998 BUILDING INFORMATION ~ # of Units: Construction Type Occupancy Type Occupancy Comments # of Bedrooms: 4 # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: o 2 u Forced Air Gas h, ,.Eh~~tric Electric Sprinkled Building: Fire Alarms: Electrical Specialty Code Edition: . . Springfield Fire Code Edition: Path 2A CertifIed perform~Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residenti"al"S;p~~'ialty C'bdeiEdition: ., ~ .,."<,, .'w'" "'.}~ - , - Structur}:tl Specialty Code Edition: : '''~~.. S'ite'iMo"rmation Energy Path: Engineered Fill: Yes Fill Volume: Flood Hazard Area: No Land Hazard Area: ATTEN'1lION: Oregon law requires youto Retaining Wall: follow rl!i~s adopted by the Oregon Utility Soils Report Requm<tificatYlWl Center. Those rules are set forth . OAR 952-001-0010 through OAR 952-001- ~090. You may obtain copies of the rules by calling the center. (Note: tbe telephone " number for the Oregon Utility Notification, Center is 1-800-332-2~441. - "., 'J" Springfield Building Permit 8/31/2010 3:27:33PM Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occu pa ncy Load: 1408 1000 420 2006 ~ ..-:~.~~;:'/;';:.""\ NOTICE: RE IF THE WORK . THIS PERMIT SHAll ~~~ PERMlT IS NOT :,'i AUTHORIZED UNDER BANDONED FOR,.,-'- COMMENCED OR IS A _ ,-,' ',' ANY 180 DAY PERIOD. ' . ' Page 1 of6 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: CpM2010-01045 iwk Nl.triltM: 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541.726.3676 S~~IHG F.'.E. L.~., '. -'~:' :gf..\.~ 0~ ~"'OREGON permitcenter@ci.springfield.or.us PROJECT STATUS: Issued ISSUEtf'8/31/fO APPLfED: 8/4/10 EXPIRES: 2/26/2011 VALUE: $244,381.00 SITE ADDRESS: 577 48TH PL 5 SPRINGFIELD ASSESOR'S PARCEL NO: 1802051105100 SCOPE: SFD WORK INVOLVED: NEW TYPE OF STRUCTURE: RES PROJECT DESCRIPTION: Single family residence - SAME AS COM2010-01044 553 5 48th DEVELOPMENT INFORMATION ~ Frontyard Setback: 18 Interior Setback: 5 Sideyard Setback: 5 Rearyard Setback: 30 Solar Setback: 0 Overlay Dist: # StreetTrees Reqd:" 2 Paved O~ive Reqd: Yes % of LotCoverage: 36.3 Highest point on structure to north property line: 27 REQUIRED PARKING Total: 2 Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Availabl.e: Speciallnstructon: Subdivision Accepted: Notes: . :;\(/i~ .,j; "li' ..:, . h>' r': ';'.~:',',_,I.,',",','"',',."",)",',',_,',, ~':-: ::::,;;1'.~;,~ ' ,', Sidewalk Type: l,FrD'::'!' i~{~,rri Downspout/Drains: ,.,.. .'~. . Valuation Description ~ Descriotion Tvpe of Construction Unit Amount Unit Tvee Unit Cost Value ,.,.. ~~. , J 'i/,l: ;. ,~ ' ~'I?t"; ,,;-' Springfield Building Permit 8/31/2010 3:27:33PM Page 2 of 6 , , ,,' 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 ;.t ~ ~_" '., CITY OF SPRINGF'IELD www.ci.springfield.or.us Building I Residential Permit PERMIT NO: COM2010-01045 IVR Number: permilcenter@ci.springfield.or.U5 PROJECT STATUS: Issued ISSUED: 8/31/10 APPLIED: 8/4/10 EXPIRES: 2/26/2011 VALUE: $244,381.00 SITE ADDRESS: 577 48TH PL S SPRINGFIELD ASSESOR'S PARCEL NO: 1802051105100 '"'''''''' SCOPE: SFD " ':,,". WORK INVOLVED: NEW 1'1' ("-' TYPE OF STRUCTURE: RES ., . , ":1 PROJECT DESCRIPTION: Single family residence -'SAME AS COM2010-01044 553 S 48th r,'~~:::~=:; '.-'?~"\~~~;-;\:~rvw~:'7>;::f~'Ar[EiiF~Q'~~~~:~7'~5T\T~"'";it"~__,"'f~ -_.--?_--'9?>f:"i~'i:d/;it Description Amount Paid Date Paid Receiot # Plan Review Same As $250,00 08/05/2010 46565 SDC: Total Transportat~o_n Administration Fee $105.43 08/31/2010 299387 SDC: Reimbursement ~ost - Storm Drainage $323.48 08/31/2010 299387 SDC: Administrative Fee - MWMC Regional Wastewater: $10,00 08/31/2010 299387 SDC: Compliance Cost - MWMC Regional Wastewater SI $22.63 08/31/2010 299387 SDC: Total Sewer Administration Fee . $315..13, 08/31/2010 299387 SDC: Improvement Cost - Storm Drainage $780:34 08/31/2010 299387 SDC: Reimbursement - Transportation SDC $356.96 ' 08/31/2010 299387 SDC: Improvement - Transportation SDC $1,383.63 08/31/2010 299387 SDC: Reimbursement Cost - Local Wastewater $2.664.42 08/31/2010 299387 SDC: Improvement Cost - Local Wastewater $1.434.18 08/31/2010 299387 SDC: Reimbursement Cost - MWMC Regional WastewatE $101.97 08/31/2010 299387 SDC: Improvement Cost - MWMC Regional Wastewater ~ $1,333.57 08/31/2010 299387 Planning - Major Review $211,00 08/31/2010 299387 Residential Fire (.05 Per,Sq Foot) $146.40 08/31/2010 299387 Admin fee (10% of applicable fees) $14,64 08/31/2010 299387 Gas Piping up to 4 outlets , ..I ':,$7,00 08/31/2010 299387 Structural Building Permit Fee ..i.... "$1,.141,94 08/31/2010 299387 Address Assignment, each new or change . . --c$38.00 08/31/2010 299387 Same as Plan Review submittal Residential :':. $250.00 08/31/2010 46565 Willamalane fees - Single family detached $3.468.00 08/31/2010 299387 One or Two Family Dwellin9 with Three Bath $43900 08/31/2010 299387 Range hood/other kitchen equipment $13.00 08/31/2010 299387 Flue vent for water heater or gas fireplace $9.00 08/31/2010 299387 Single-duct exhaust (bathrooms, toilet compartments, utili $36.00 08/31/2010 299387 First Appliance Fee $79.00 08/31/2010 299387 Residence wiring 1,000 sq, ft, or less $134.00 08/31/2010 299387 Each added 500 sq. ft. or portion $100,00, 08/31/2010 299387 Temp services 200 amps or less $63.00 . 08/31/2010 299387 Sidewalk up though 90 Feet $88,00 08/31/2010 299387 Curb CuUDriveway 1st Cut $88.00 08/31/2010 299387 Multiple Permit Discount (Ma.x 2) $-30.00 08/31/2010 299387 State of Oregon Surcharge (12% of applicable fees) $242.63 08/31/2010 299387 TeChnology fee (5% of permit total) $110.30 08/31/2010 299387 Plan Review Adjustment - Residential $-250.00 08/31/2010 299387 Total Amount Paid $15,480.65 Springfield Building Permit .,J "'t"<;,.,;-, .' _.,'! W?1/~O'1~:..~,.~:27:33PM Page 3 of6 '. '.;., .... www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: COM2010-01045 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: 8/31/10 . : ' h' -" APPLIED: 8/4110 :j.; EXPIRES: 2/26/2011 VALUE: $244,381.00 SITE ADDRESS: 577 48TH PL S SPRINGFIELD ASSESOR'S PARCEL NO: 1802051105100 SCOPE: SFD WORK INVOLVED: NEW TYPE OF STRUCTURE: RES PROJECT DESCRIPTION: Single family residence - SAME AS COM2010-01044 553 S 48th f~'i,~-;:~":{;" ., J~2~~~::;fc:;'" ,y'~~i;t,T;\q:::;:;,;::~;~:~<~,'~'p.'1~6iR;~j;"W;~r;~~i,~;~,;';~~::'f:t~-'i'"<~~~1t;=i?if:;tF~~7~>:~;~~:~. A 'L f"':::::J ,~, "- ,- -.'. ' -,'..... '" -' DeDartment Received Due Date ComDlete Result Reviewer Permit Issuance 08/31/2010 08/25/2010 08/25/2010, Issued David Bowlsby .1' " Application Acceptance 08/16/2010 08/16/2010 il" Application Accepted David Bowlsby ..,", Ap'proved Initial Review 08/16/2010 08/16/2010 08/16/2010 . David Bowlsby ", Planning Review 08/16/2010 06/16/2010 08/16/2910.. Add'l'fnf.o required Deyette Kelly Public Works Review 08/20/2010 08/16/2010 08/16/2010 Approved Kaye Wilson Structural Review 08/25/2010 08/16/2010 08/16/2010 Approved Chris Carpenter Planning Review 08/18/2010 08/16/2010 08/16/2010 Approved Deyette Kelly Comments Spoke to Tim D. with Hayden Received on 8-18-20101 Star As noted on plans Front elevation is site specific ,:\ ,I' , ~, ' .,.,,,.,,- . ;-- ,. ",.'; ,1. '.'Ii,}r',. 1....; :';W~I.;. ::-:r:\,' ':1-" I Springfield Building Permit 8/31/2010 3:27:33PM Page 4 of 6 S~~~...N. G._FJ.fL~" '. Il;~'<' ,-yililJ. "5+"j:.\\,,~.,. "';::'00>' OREGON CITY OF ,SPRINGFIELD ","'" \"0 . Building l. ~esideritial Permit 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.cj.springfield.or.us "., .' ',!, PERMIT NO: COM201 0-01 045 IVR Number: permitcenter@ci.springfield,or.us PROJECT STATUS: Issued ISSUED: 8/31/10 APPLIED: 8/4/10 EXPIRES: 2/26/2011 VALUE: $244,381.00 PROJECT DESCRIPTION: SCOPE: SFD WORK INVOLVED: NEW TYP~ OF STRUCTURE: RES Single family residence - SAME AS COM201 0-01 044 553 S 48th SITE ADDRESS: 577 48TH PL S SPRINGFIELD ASSES OR'S PARCEL NO: 1802051105100 INSPECTIONS REQUIRED ~ Inspections 1020 Zoning/setbacks 1040 Fencing 1060 Driveway Approach 1065 Sidewalk 1090 StreetT rees 1110 Footing 1120 Foundation ,lb. , . .~.~ s ~\../:!:." .:. .~> "'1 ,.,"" 1150 Slab/Flatwork 1160 UFER Ground 1170 Post & Beam 1190 Retaining Wall 1260 Framing 1370 Masonry Veneer 1410 Underfloor insulation , 1420 Insulation Vapor Barrier 1430 Insulation Wall '-hi t,' 1440 Insulation Ceiling 1520 Interior Shearwall 1530 Exterior Shearwall 1540 Gypsum Board/Lath/Drywall 1999 Final Building 2200 Underfloor Mechanical 2210 Underfloor Gas 2260 Gas Service 2300 Rough Mechanical 2310 Rough Gas 2995 Final Gas .- '~i .:r,.I. ," f;'~ ,'. . '~'~', . ~.\ Springfield Building Permit "8f31f2010 3:2?:33PM , Page 5 of6 ~". .' i' www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: COM201 0-01 045 IVR Number: 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 SPRING.FI,E:iJD, . ~'11-' , ,,,,,", ",~Jll. . '.'." , OREGON pe rmitcenter@ci.springfield.or.us PROJECT STATUS: Issued '-, ISSUED:'8/3~/1_0 ......." ")~"-' '""". APPLIED': 8/4/10 ' EXPIRES: 2/26/2011 VALUE: $244,381.00 SITE ADDRESS: 577 48TH Pl S SPRINGFIELD' ASSESOR'S PARCEL NO: 1802051105100 SCOPE: SFD WORK INVOLVED: NEW TYPE OF STRUCTURE: RES PROJECT DESCRIPTION: Single family residence - SAME AS COM201 0-01 044 553 S 48th .2999 Final Mechanical 3130 Footing/Foundation Drains 3170 Underfloor Plumbing 3200 Sanitary Sewer 3315 Water Line > " ..,':: "...,':' 3400 Storm Sewer 3500 Rough Plumbing 3999 Final Plumbing 4000 Temporary Power Service 4225 Service or Feeder 4500 Rough Electrical 4999 Final Electrical ,,:U:", :'e' t,J '-"',.~. ~ . ",-,,',.. ; ~, .1 ~ ,.' By signature, J 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 or 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 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 times during construction. ~~-:-?- Owner or Contractor Signature , -r-O' ~/-/C Date .. ~...,. 'j . Springfield Building Permil 8/31/2010 3:27:33PM Page 6 of 6 Electrical Permit Application 225 Fifth StreettSpdllgfield, OR 97477+PH(541)726-3753t FAX(541)726-J689 i:!+~:::;',:;;i;~ -",':\,"'":1','<<f3- ~..,b"'-" ;lWi1J~ill{2:~. ~,,''"4"111 ",t'. -,' f ',:, .,,.!'.'~"'~~'-~-,U<..'i'~";"'!::l-"'_.-' ',\:.,,:. DEP ARTM EN'[.;USE;ON[,Y":~;.i_,, ;. ~,", I. ". '.' ... . '. . c.,'" . ,]..; ':;::b~;.L-:':<=", ~.:.,',.. .~,~-'" -.,,;-,. ~ .,~ Penni! no,: ejg - WfS' Date: - 2---3 ~ W 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 ifworl< is suspended for 180 days. W~'W;;'W~"i~'J.?i%1}:<:l!'0;'~\<A-'ifJ~G"'-~0"-V''''-E--- -R"N"--M"-'E" 'Nr-:T~'^lnh-R'--'0';'--V-'-:A"i~~'~~,~11ij'~~g-~~,~ ~~.a:~~'ii,,~;t<1..,;.t _..'J.,.,. L:.~_ _..., i L.~. .__... _-,-JI!!.~t\.r;;;._r.i: \_. .' ,.'_ ~_"r~~,~,~','\.O!.:~~~l';"'\j." Zoning approval verified? 0 Yes 0 No 1\r'~~'1i\lJ~-:G~1riE::GJ;[8,\i';1'K<;)JiN!{(;)j\j$m8-JJPmj0ril?Jl!r~!K'~\?:i,~l~~!{; 0 Residential 0 Government 0 Commercial m, ""';"1<11"--,---""'-,', ',-,',-," ,T'...---. -.,. ," P"-,''',',',-'' .-.-".,." --', ',"-, ' ",.p'",--...,--.,.. '''~''\il!MaOE3i;:$ljUEml N~€)8-IYIJ,1.iJ')@'N,..~AN D,ljL!()(!):A.']ION"""Y'bi".1 577 5 l-ft.... t)/-- State: 0-((., Subdivision: we +w~..,d5 Lot no,:.2G> ~ll~~~lr~t1~!ij~tIa~Qf:_$~R1B{ij[~r5f[~~~wl;5J~K~~~~~11~~1%;\l~~~ 7C City: Phone: 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: ~~t~t~~J~~NmR~Gm.(Q,B~~i:N:&ffi~f@~t.\\tIQNK~j~~';'#fi@~~~ii*~,,:~~~ Business name: Address: City: Phone: E-mail:, CCB license no.: ZIP: Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: ~\() \X~ ' k "ie~ ~c1l rw:r- 2D<3-,c\,Co\Je- cr ~D~ M\.~\1. \qqB 440-2584-J (9/08/COM) ;~;;f~:~~~~~~~11%~Ni~~J;.:~~g{$:C:H~tt[f_~E~m'~~~~ff~wt~{~lli~ :r~t'~Ji~}~~;,~~,~~!f~71'f~~W;t*~~~;;n~;~;fjn!i;(t'f""t1:.!}1~i :;~~~;!t ?~m'{i;ost~~)r ;~ti)'talf;Jf 8;N!;W1 ~.~~i9.Xj~n~pect.!l?n_s Rt;f;;~J.~~j(::.')fi~n!2!Y{ ~:t!~:"~"'~4~~ ~t""- t1';~ !4t~~...,r"'l' ,.,\ ~ '.;'""",~'i!:~tJ-",~~.i/....\'j;.il'l'!;l,;!1,.;. t,I"r~'lf..~,\i.~":>;,';i;.,, '" "'H~''6. (!;""k.~~! ,':';.~., ~,.f.<l~" cl;'.<: Residential, per unit, service included: 1,000 sq. ft. or less (4) $134.00 $ Each additional 500 sq. ft. or portion $ 25.00 $ thereof Limited energy (2) $ 32.00 $ Each manufactured home or modular $ 63.00 $ dwelling service or feeder (2) Services or feeders: instaIfation, alteration, relocation 200 amps or less (2) $ 81.00 $ 201 to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158.00 $ 601 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 $ 201 to 400 amps (2) $ 81.00 $ 401 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 I $ 6.00 $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) $ 55.00 $ Each additional branch circuit $ 6.00 $ Miscellaneous fees: service or feeder not included Each pump or irriga~ion 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 additional inspection: (I) $58.00 $ i1fW~l~lm~ll*fi:~j~Z{~@:R~:QiG;~f~.mi~_!lt$~N~~~1t}{~t*t~~~ti3)~~f~~[; (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) $ (B) Enter 12% surcharge (.12 x [AD $ (C) Technology Fee (5% of(AD $ I TOTAL fees and surcharges (A through C): $ Stnll ~KS SO;"} :> 46-1'" it 4 .p "A I' . c.,l)o/O I.( ermlt pp ICHtlOIl 215 Fifth Street + Springfteld, OR 97477 + PH(54 1)726-3753 + FAX(541)726-3689 SPRINGFI!Ol-O .c" ~. Date: This permit is issued under OAR 918-460-0030. Permits expire ifworl.;: is not started within 180 days of issuance or irwork is suspended for J SO clays. LOCAL GQYE~tJM!=~-r.APPROVAL This project has final land-use approvaL Signature: This project has DEQ approval.. Signature" Zoning approval verified: 0 Yes 0 No ProperTY is \\'ithin fleod plain: 0 Yes 0 No ;.' ..f'C;AIE:G08X.()~.CONSTRJdl()N.. I I Dale: Dale: Q?J Residential ""'":.U08 o Government D CommCici31 INf,oRM;'n;lpN{rANQ)LoDATloN "" Name: Address: fa .,,( . State 0 Q ~ City Kf I Phof1e:~!,.-~~/-:.,L':~5' Fax: 1 E-mail: . This irlstallation is being made on resideritial or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010. Sign here: "LAfI()N Business name: City: Phone 5"11 - E-mail: CCB license no.: Print name: o Signature: ." '" .... ";?SUB.c:qf!jJ"{'(<CJ9g. iNF()'*riiAfIQI'l!'. "'i;'~'."J\'; Name CCB License Number Phone Number Electrical J77)u, Plumbing 3/ 71{7 Mechanical 3'1;J. 37 FEE SCHEDuLE .,-.- ..-',;.... ...... '-';.' l:.Valu.liti.oh"il)fO'nn~iti.qH .... (a) Job description: Occupancy .,.... Construction type: Square feet: Cost per square foot: '1- qtJO 1_ 'C. Other information: Type of Ht'at: Energy P3th: ,:)p [Xl new 0 alteration (b) Foundation-only permit? Total valuation: o addition DYes DNa (a) Permit fee (use valuation table): (b) Investigative fee (equal to (2a]): (e) Reinspeciion ($ per hOur): I (number of hours x fe~ per hour) (d) Enter 12% surcharge (.12 x f2a+2b+2c]): (e) Subtotal of fees above (2a through 2d): $ S s $ (3) Seismic fee, 1% (.01 x permit fee f2a1): $ TOTAL fees and surcnarges (2e+3c+4a): $ . n~ willamalane ''W Park and Recreation District Job. No. t!/c) -/tJ9S- SYSTEM DEVELOPMENT CHARGE WORKSHEET July 1-December 31,2010 NAME: /-fA YVt:/V PHONE: 2.?F (01'3 S- ADDRESs;/YlW SIAl fV?-<o-,e-~ITY Rt>If1M:;' STATE:L1/-2ZIP: 117~ LOCATION OF PROPOSED BUILDING SITE: Street Address: ~1,) s: 9 ~ Plat Name:U 1 oh\t I~U) N) Tax Lot Number: 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the back.) A. Sinqle-Family Detached' NO. OF UNITS f X $3,468 per unit = I $ J 'i {p~ B. Sinqle-Family Attached NO. OF UNITS X $3,538 per unit = $ C. Multi-Family Apartment. NO. OF UNITS X $2,906 per unit'= $ D. Sinqle Room Occupancy NO. OF UNITS X $1,453 per unit, = $ E. Accessory Dwellinq Unit NO. OF UNITS X $1,734 per unit = $ WILLAMALANE SDC $ 2. SDC CREDIT (If applicable) SDC payer must furnish proof of Willarnalane Credtt approval.) $ J' 3: TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credtt) $ 7L(t,~ 0- I (I I /0 ' Date "0L-- Development Services Department City of Springfield 5 SJ:~.IN~.FIELD < ~:!!\_. -.'~'" OREGON .:' ~ - :., ,~:, CITY OF SPRINGFIELD 225 Fifth Sf Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us TRANSACTION RECEIPT COM201 0-01 045 577 S 48TH PL permilcenter@ci.springfield.or.us RECEIPT NO: 2010000197 RECORD NO: COM20 I 0-0 I 045 DATE: 08/31/2010 t[)ESC!'I!~TJ9N~42!:I.~'!'c'i"F"'Vf.~I~t.._--:1':f~:,i:<"~i:~~.~"'i'-y"::ir:gc_c:'0uNTLc:QPE~~~:.;::.,u,.;;,vArvI"tu~1ijiu~:':,,. ,',' ~,,::I SDC: Total Transportation Administration Fee 719-00000-426604 $10543 SDC: Reimbursement Cost - Storm Drainage 441-00000-448029 $32348 SDC: Administrative Fee - MWMC Regional Wastewater SDC 611'00000-426604 $10.00 SDC: Compliance Cost - MWMC Regional Wastewater SDC , 444-00000-426607 $22.63 SDC: Total Sewer Administration Fee 719-00000-426604 $315.13 SDC: Improvement Cost - Storm Drainage 440-00000-448028 $780.34 SDC: Reimbursement - Transportati~,:, SDC 446-0000CJ.:44!!9~~ $35696 ~n1J"ovement:_Tr_~nsportation SDC 447-00000-448027 $1,383.63 SDC: Reimbursement Cost - Local Wastewater 442-00000-448024 $2,664.42 SDC: Improvement Cost - Local Wastewater 443-00000-448025 $1,434.18 SDC: Reimbursement Cost - MWMC Regional Wastewater SDC 444-00000-448024 $101.97 SDC: I,!,p"rovement Cost - MWMC Regional II\lastewater..SDC. .... , 445-00000-448025 $1,333.57 Planning - Major Review , -, . 100-00000-425002 $211.00 Residential Fire (.05 Per Sq Foot) il,cC:':"'L.J.L' .: 100-00000-424005 $14640 . ".- ,'.. -,"' Admin fee (10% of applicable fees) 224-00000-426605 $14.64 ;;hl' Gas Piping up to 4 outlets 224-00000-425604 $7.00 Structural Building Permit Fee 224-00000-425602 $1,141.94 Address Assignment, each new or change 224-00000-425602 $38.00 Willamalane fees - Single family detached 821-00000-215023 $3,468.00 One or Two Family Dwelling with Three Bath 224-00000-425603 $439.00 Range hoodlother kitchen eq~ipment 224-00000-425604 $13.00 Flue vent for water heater or gas fireplace 224-00000-425604 $9.00 Sir:>gle-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. ft. or less 224-00000-426102 $134.00 Each added 500 sq. ft. or portion 224-00000-426102 $100.00 Temp services 200 amps or less 224-00000-426102 $63.00 Sidewalk up though 90 Feet 201-00000-428060 $88.00 Curb CuUDriveway 1 st Cut 201-00000-428060 $88.00 !;1'!'!iPle P~.mit Discount (Max~) 201:,0.9000:.43.~0~._~__ ____~. $-3000 State of Oregon Surch~g~J12% of applicable fees) 821-000()O-215004 $242.63 :!:.echnology fee (5% of permit total) , ',:,] 100-00000-425605 $110.30 Plan Review Adjustment - Residential c' 224-00000-425602 $-250.00 .. .......: ;L-. TOTAL DUE: $14,980.65 LJP,;t..YM_I:_NT'llYI~~"L-.PAY6R: --;; 'cI;SHiER:6B6v'1C~~y;;;:;~rc(:[N1M:~r'li$~Y;\C'!,;ij;;( . :';"5.~;~~~M6jJ_Nl'!PAID ~', .'. ~ " Check 28308 HAYDEN ENTERPRISES INC $14,980.65 $14,980.65 .~ "'. \.'. 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000872 Date: 08/05/2010 9:31 :OOAM Job/Journal Number COM201O-01045 Payments: Type of Payment CreditCard cReceintl Description Plan Review Same As Paid By HAYDEN HOMES :. . ""~"., j . Check Number Batch Number Received By djb ., d.; . , ., ~. 1.~.. , ','.: , ..:.....: : "'J .d; '\>.: " t..~ ~i~ . ..........,''''- , Page 1 of 1 I '.:' ~' { Item Total: Authorization 'Number How Received Amount Due 250.00 $250.00 Amount Paid 056784 In Person Payment Total: $250.00 $250.00 8/5/20 I 0