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Home My WebLink AboutPermit Building 2010-8-31 www.cLspringfield.or.us PROJECT STATUS: Issued .' CITY OF SPRINGFIELD Building I;Resi.d~ntial Permit ',' 'i', ~ t, '-0. ;':. PERMIT NO:..COM201Q-01054 IVR Number: ISSUED: 8/31/10 APPLIED: 8/5/10 225 Fifth St Springfield,OR 97477 Phone: 541.726.3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield,or.us EXPIRES: 2/26/2011 VALUE: $171,000.00 SITE ADDRESS: 545 48TH PL S SPRINGFIELD ASSESOR'S PARCEL NO: 1802051104800 SCOPE: SFD WORK INVOLVED: NEW TYPE OF STRUCTURE: RES PROJECT DESCRIPTION: OWNER: ADDRESS: Single family residence - SAME AS COM2010-00203 511 S 48th Phone Number: Contractor Type CONTRACTOR INFORMATION ~ Contractor Name STUTZMAN SERVICES INC PACIFIC AIR COMFORT INC HAYDEN ENTERPRISES INC TOPNOTCHElECTRICINC .:r\t':':~J!;.b!1l),J'~' Lie Type ccs ccs ccs .. CCB Lie No 31747 39237 92208 172366 Lie Exp Phone 05/1212012 541-928-8942 03f25f2012 541-672-9510 07/29/2011 541-923-6607 09/29/2010 541-317-1998 # of Units: 0 Construction Type Occupancy Type Occupancy Comments # of Bedrooms: 3 Sprinkled Building: No Fire Alarms: Energy Path: Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit BUILP!l'IGINF,9.RMATION ~ u ~.~ ' ' # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Forced Air Gas Electric Electnc No.... "'J 1 18.5 '..,"" '1' ~U , ~ , , ' No EIe:ctr~,~a(SpeciaitY;C~de Edition: . . Springfield Fire Code Edition: Path 2A Certified perform~echani~al Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Site Information Yes .t<,.'.r?I;\~i~:.I.\ '~ ,. ' No No No Yes '.'.7=--=r.;':::-~-'::::"~,:. DLnitl -'. :,H:I~..r ;. , ATTENTION:"0~gowliiw requires you to follow rules adopted by the Oregon Utility Notification Center, Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344), 8/31/2010 3:08:36PM' ,~..j ',;" ~, '. '.c>;: ,n,: i ~ C,t, :1 . . ." .I.'. ~ .', Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: 4995 1408 403 24 2008 ~ NOTICE: '. "''''Ii'.-. . THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT :' COMMENCED OR IS ABANDONED FOR.... . '.. ANY 180 DAY PERIOD. Page 1 of8 .....l CITY OF'SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfleld.or.us ..:",-,,1:' , Buildingf Residential Permit PERMIT NO: COM201 0-01 054 permitcenter@Cl.Springfield.or.us IVR Number: PROJECT STATUS: Issued ISSUED: 8131110 ,,"',.. APPLlEp: 81~f10 '. ~,"_ ,'I' ,._".', ....1_,.i EXPIRES: 2/26/2011 VALUE: $171,000.00 "~":,:,~;:' -:: ..1:.' SITE ADDRESS: 545 48TH Pl S SPRINGFIELD ASSESOR'S PARCEL NO: 1802051104800 "" SCOPE: SFD \:." ',',,,,,,,, . WORK INVOLVED: NEW TYPE OF STRUCTURE: RES PROJECT DESCRIPTION: Single family residence - SAME AS COM2010-00203 511 S 48th DEVELOPMENT INFORMATION ~ Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: 14 5 5 35.66 o Overlay Dist: Hillside # Street Trees Reqd: 2 Paved Drive Reqd: Yes % of Lot Coverage: 36.2" Highest point onstruct~re. '0' :~. ~.~ 1 : north property ~iie;',."',' . .;P,'.18.58 REQUIRED PARKING Total: 2 Handicapped: Compact: ': ....~, , " PUBlic IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: ,1'.. ,_,,:.~~f-l.: " ..1.."". . ~_.:,;~t;:,L~._:_.,.. ,~ ,~t-:;~,,: ."'"".'i.<,'k il Valuation Description ~ Descriotion Tvoe of Construction Unit Amount Unit Tvoe 'Unit Cost Value -I,: ,. .;; '."J'.ty , :-~lh;:... l.;. , ',-~. ,: . Springfield Building Permit . 8/31/2010 3:08:36PM Page 2 016 www.ci.springfield.or.us ~. CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: COM2010-01054 iVR Number:", 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 S;~~H,;~ t~,~" ~OREGON permitcenter@ci.springfield.or.us .v" PROJECT STATUS: Issued ISSUE'D:'S/31/10 APPLIED: S/5/10 EXPIRES: 2/26/2011 VALUE: $171,000.00 SITE ADDRESS: 545 48TH PL S SPRINGFIELD ASSESOR'S PARCEL NO: 1802051104800 SCOPE: SFD WORK INVOLVED: NEW TYPE OF STRUCTURE: RES PROJECT DESCRIPTION: Single family residence - SAME ~S ,COM2010-00203 511 S 48th r'~~7LT:?r""'~~~"'>TL~::J#;;;~t.""J<J!Stv,0t~'~!'~~F."-EE".'S-'~nA"~ID~~..,~f'..!i.. ~7.r~zRTi~"';V~~:tR?;a~I;2:,,;,",:::Jry1;Si::"0vJ:;;:).'~ ~~";", i~<-' ~':,-,," ",.'.,,'~-' !ri::5d""~''''''''' "4'"~"--;!.bdr;;;':l.~~ "'...... .... ',,~.,....._._._.^Ir: ~ '.w:::--:.::._-$:.:<;,.'6=-'-""~:';"'~'''''.~nX.~~.'''''''''-'''"';,,,,dY;"'".,;,-,"? "'Af'}::__ .........,.;1 Descriotion .' ;Amount Paid Date Paid Receiot # Plan Review Same As ."",,.,. , $2'50,00 08/05/2010 9166 Same as Plan Review submittal Residential $250.00 08/22/2010 9166 SDC: Improvement Cost - MWMC Regional Wastewater ~ $1,333.57 08/31/2010 299383 SDC: Reimbursement Cost - Storm Drainage $217.67 08/31/2010 299383 SDC: Improvement Cost - Storm Drainage $782.44 08/31/2010 299383 ~DC: R.:;imbursement - Transportation SDC $286,81 08/31/2010 299383 SDC: Improvement - Transportation SDC $1,169.81 08/31/2010 299383 SOC: Reimbursement Cosl- Locai Wastewater $1,325.76 08/31/2010 299383 SOC: Improvement Cost - Local Wastewater $792.89 08/31/2010 299383 SOC: Reimbursement Cost - MWMC Regional WastewatE '. $'101:97'T 08/31/2010 299383 SOC: Compliance Cost - MWMC Regional Wastewater SI 'J./ "..:l..B2.c63, 08/31/2010 299383 SOC: Administrative Fee - MWMC Regional Wastewater.l-:-- '0_' $10,00 . 08/31/2010 299383 SOC: Total Sewer Administration Fee 'I " ~ $205.98 08/31/2010 299383 SOC: Total Transportation Administration Fee $96.20 08/31/2010 299383 Planning - Major Review $211.00 08/31/2010 299383 Residential Fir" (.05 Per Sq Foot) $91,75 08/31/2010 299383 Admin fee (10% of applicable fees) $9,18 08/31/2010 299383 TemE~ervices.200 amps or less $63.00 08/31/2010 299383 Each added 500 sq, ft. or portion $50.00 08/31/2010 299383 Residence wiring 1,000 sq. ft. or less ,j,',' "'_1:134.00 '~___,_,.98/31/2010 299383 Structural Building Perrnjt Fee ~,';S~E.~;ili1;M?:7~02;' :: ' 08/31/2010 _~,_ 299383 Address Assignment, each new or change '/"<.\ _ :-jt$~8.90 08/31/2010 299383 YJillamalane fees - -Single family d",tached - ':-~"$3';468;00 08/31/2010 299383 One or Two Famiiy Owelling with Two Bath $374.00 08/31/2010 299383 Range hood/other kitchen equipment $13,00 08/31/2010 299383 Single-duct exhaust (bathrooms, toilet compartments, utili $36.00 08/31/2010 299383 First Appliance Fee $79.00 08/31/2010 299383 Gas Piping up to 4 outlets $7,00 08/31/2010 299383 Multiple Permit Oiscount (Max 2) $.30,00 08/31/2010 299383 Curb CuUOriveway 1st Cut $88.00 08/31/2010 299383 Sidewalk up though 90 Feet $~8,00 08/31/2010 299383 State of Oregon Surcharge (12% of applicable fees) , $195,96', 08/31/2010 299383 Technology ree (5';, of permit total) $90:$5 08/31/2010 299383 Total Amount Pa.id,., q,,, $12,729,49 ';.,!. Springfield Building Permit 8/31/2010 3:08:36PM Page 30f6 www.cLspringfield.or.us PROJECT STATUS: Issued 225 Fifth St Springfield,OR 97477 Phone: 541.726.3753 Inspection Phone: 541.726-3769 Fax: 541-726-3676 CITY OF,SPRINGFIELD '>:{;~' .'j ., -~. <,.:, ._~ " . Building t'ReSidential Permit ..:.h:_ ..I"~L~,_:' PERMIT No:cdM20~J()~01054 IVR Number: permitcenler@ci.springfield.or.us ISSUED: 8/31/10 APPLIED: 8/5110 EXPIRES: 2/26/2011 VALUE: $171,000.00 SCOPE: SFD WORK INVOLVED: NEW TYPE OF STRUCTURE: RES 1(,., PROJECT DESCRIPTION: Single family residence. .ljAME AS Cci!ll2010.00203 511 S 48th ~~(?~',Z~-,.~:.~~~~Z,~~~~~:~{;~;iT~~~~:ili:':~r:gJifu1}~j;~~:~:';'fj~'~:~J:l:f'~~l-""'.'"'~~~..~r~'~:" '~,'?J::;tf~'Ifl . SITE ADDRESS: 545 48TH PL S SPRINGFIELD ASSESOR'S PARCEL NO: 1802051104800 DeDartment Structural Review Application Acceptance Initial Review Planning Review Planning Review Permit Issuance Public Works Review Springfield Building Permit Received 08/26/2010 08/16/2010 08/16/2010 08/16/2010 08/1712010 0813112010 08/1712010 Due Date 08116/2010 08116/2010 08116/2010 08/16/2010 0811612010 08/26/2010 08/16/2010 Comolete Result 08/16/2010 Approved Application Accepted 08/16/2010 Approved 08/16/2010 Approved 08/1612010 Approved 08/26/2010.. Issued 08/16/2010: Approved ';':;"~ :;',:~.'".~~'~fi:': 'i' I l:-{l <r~lnp.) 1. ~ /, .~.,~ d::.,. 1 . . C~\:.'[.j CO:; Reviewer Chris Carpenter David Bowlsby David Bowlsby Deyette Kelly Deyette Kelly David Bowlsby Kaye Wilson Comments As noted on plans Protect trees to be preserved Protect trees to be preserved received on 8-16-2010/Storn "f .,,',l'.t ,~~ ", \....: ) I ; :ii:,~:f' ';d ..i\ ~'~'~..:, .{;... ,,, 'r....'I; ..Sf31/201D 3:08:36PM Page4of6 ~ '"."'" . ~ ; 'i: . .d .... '1 www.ci.springfield.or.us ." ,;' l,J.;, CITY Of:SPRINGFIELD Building I Residential Permit PERMIT NO: COM2010-01054 IVR Number: 225 Fifth SI Springfield, OR 97477 Phone: 541-726-3753 Inspeclion Phone: 541.726-3769 Fax: 541-726.3676 S~.~ING...FIE.~D - - ~ " ~. ,~ h""OREGON permitcenler@ci.springfield.or.us PROJECT STATUS: Issued ISSUED,: 8/31/10 APPLIED: 8;5/10 i 1'.!'~' ..;.".': J., EXPIRES: 2/26/2011 VALUE: $171,000.00 ,; . SITE ADDRESS: 545 48TH Pl S SPRINGFIELD ASSESOR'S PARCEL NO: 1802051104800 .~ . . .~( SCOPE: SFD WORK INVOLVED: NEW TYPE OF STRUCTURE: RES PROJECT DESCRIPTION: Single family residence - SAME AS COM2010.00203 511 S 481h INSPECTIONS REQUIRED ~ Inspections 1090 StreetT rees 1110 Footin9 1120 Foundation .:, ; 1160 UFER Ground c~b" ~ ", ,~jJ . 1220 Underfloor framing 1260 Framing 1370 Masonry Veneer 1410 Underfloor insulation 1420 Insulation Vapor Barrier :\. 1430 Insulation Wall ,..fCD' D/6/tD ; ,-,r .~ft. ,:";',,1, 1440 Insulation Ceiling 1520 Interior Shearwall ~ " , 1530 Exterior Shearwall 1540 Gypsum Board/LathlDrywall 1999 Final Building 2200 Underfloor Mechanical 2210 Underfloor Gas 2260 Gas Service 2300 Rough Mechanical 2310 Rough Gas 2995 Final Gas ; !:": C". ," 'f!' 2999 Final Mechanical 3130 Footing/Foundation Drains 3170 Underfloor Plumbing 3200 Sanitary Sewer ~-~;r"I' ~:\'. ?:?-,'I: : 3315 Water Line I " """ ~,:,~:",~':.-.:. 3400 Storm Sewer ".,. Springfield Buifding Permit 8/3112010 3:08:38PM Page 5 of 6 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: COM201 0,01 054 , '. NR Number:'; . ._. ." l \___, ,', 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitce nter@ci.springfield.or.us PROJECT STATUS: Issued ISSUED: 8/31/10 APPLIED: 8/5/10 EXPIRES: 2/26/2011 VALUE: $171,000.00 SITE ADDRESS: 545 48TH PL S SPRINGFIELD ASSESOR'S PARCEL NO: 1802051104800 SCOPE: SFD WORK INVOLVED: NEW TYPE OF STRUCTURE: RES ,;... PROJECT DESCRIPTION: Single family residence,:_S1\!'/IE.'A.S'~9M2Q19-002,03 511 S 48th 3500 Rough Plumbing 3999 Final Plumbing 4000 Temporary Power Service 4225 Service or Feeder ',>.'.,..,1, ".,h "",,, ..,c':--'.. ..,. 4500 Rough Electrical 4999 Final Electrical By signature, I state and agree, that I have carefully examined the com'pleted application and do hereby certify that all information hereon is true and correct, and I further certify that any and allwork performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State or:b'r~gori'pertainjng to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the:Coni'munity Services Division, Building Safety. I further certify that only contractors and employees who are L':l ~.~~~ii~nce wit~'9.~S '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 atthe front of the property, and the ap'proved set of plans will remain on the site at all times during construction, - -? ~AM~~ e-- t Owner or Contractor Signature 3-~/- /t.'J . Date .:~~~?~~i~~~:~:~tY" j. ,J'" ii, .1 ~,: '\,..,' , ~ \ ,~".';'~ . .. ,. '.. ~~ " , "'1',1 "r::r:-" , :,.1(' Springfield Building Permit 8/31/2010 3:D8:36PM Page 6 of6 22S Fifth Streett Springfield, OR 97477 tPH(S41)726w3753t FAX(541)726w3689 SPRINGFIELD ~~;;~:w ~'l;.:A;~~;:'~1~;'~'~:;~~;~~ .'tr;:"'~~.,,>~ 1h6.Afiliq; ~{:~~~~,~, ~, "~j~'1 '/' ,.,.., <-,'.-, ,'. ~. ,,". , ,,':. ' ,,',,'1.DEP ARTMEN;r: USE ..0 NL:Y':j,,, ,;, ~';'l'.' .' '." ': ".' <;,:"~(!-,:;,,'.~:,'.s.,,~~\,,,,"~f, Electrical Permit Application Permit no.:C Date:. ;-'2.-3-Lf1 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. Address: ZIP: __......... ,.')'""""W"""<1,'"....~.,_...~.-. ~1k .~~1{SP.Hf;.O"U..U!Ef~~~{1n:. '~~":i~mt4;;t~rN&tf~ ~'{~!~~:~~"WtE ' tiU~'i{::'~:;.l{,;~i~l ;'~::~'1,1 ~~!~<Eosf~13 ~'tolai@: 1.;.Number 0 "111 ns. er:'ltem!" ')-;di'_ ,t .C' :,,:.,,"'..,~'..,,"-!Vf.' '~~~-;""'''-' .,~;:.!, ~~,~:~;t~.;;!;:;i~:'~, .:~;: !.\'jBt':;i:;,~~l!(..E>-m\~':,.ri,;;f;...ji;J;'.$f~~f:!;f] J:R:il-~;: f.~~:l~~.~~:t~ ;tti.~9.~,t~~:~ Residential, per unit, service included: 1,000 sq. ft. or less (4) \ $134.00 d~ . Each additional 500 sq. ft. or portion 2-- $ 25.00 $ JY.) thereof Limited energy (2) $ 32.00 $ Each manufactured home or modular $ 63.00 $ dwelling service or feeder (2) Sej.vices or fceders: installation, alteralion, relocation 200 amps or less (2) $ 61.00 $ 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 .A IdJ 200 amps or less (2) J $ 63.00 $ Cd::: . 201 to 400 amps (2) $ 87.00 $ 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 ofa service or feeder fee: Each branch circuit $ 6.00 $ b. Fee for bmnch circuits without purchase of a service or feeder fee: First branch circuit (2) $ 55.00 $ Each additional branch circuit $ 6.00 $ Miscell_aneous fees: service or feeder not inciuded Each pump or ilTigation circle (2) . $ 63.00 $ Each sign or outline lighting (2) $ 63.00 $ Signal circuit or a Iimitedwcnergy panel, $ 63.00 $ alteration, or extension (2) Each additional inspection: (I) $58.00 $ ~~~.,,~~,.$~;JA;l"l1F"'.~'~:~: ..T'M.\_._~./'..".,....,'-j..-,.~.'" ""-'~'i'" 'J'';'''tif1tlMti~ :~. ~,~.,-.~ ~'(NW~;~f'-f.~~~ $;ll~~t4~;&~~HeJ~J ~!.\Nm#:.l!J _S.Etj~\~l~h '.:k,:.JSfN'9k~~1lli{1~ lJ (A). Enter subtotal.of above fees $L4.1 Q (Minimum Permit Fcc $58.00) . I. (B) Enter 12% surcharge (.12 x [AD $ I ~'.II. ~ (C) T,chuology Fee (5% of [AD $ .2>[: TOTAL fces and surcharges (A through C): $ IInf'l ( Cl b"VV. tfJ dJ ~'7fr.i\;~Jjiil!'Q.q~@[G~GgE@M.Etil;f~!~R~R.OV~~i:i:diLii1:f~~~\jf#,' Zoning approval verified? 0 Yes 0 No ~~~i[€~~:].E;J~J.~.R~JtG.It!ffCS~rN~mg~~jItfQN~'ffat~4:gf~~~.~~~ o Residential 0 Government 0 Commercial l~~~.J1tfO$'!!$[jPE'!lINf..Qgl\l1~iI]IQ:~NANQ1\LfQi:;;~f)9r'lTig;l%;ff!" Job site address: City: 5 Subdivision: ~ w Lot no.: ~LI'Gf~i!if~ll!!iJ~J~~[)ES:GRIJ?mfQr\I[0F,~W08K~l\l'~~};,J;~~fi:~'!;ii\~%li ~~\~M~~iJ4J~~~.~:.8~:~:~.8tt~trO~w.~.t;R:k:;;~~i~1~:f:#~~1~~;"*-\r0~~~ Name: E-mail: This installation is being made on residential or farm property owned by me or a member of my immediale family. This property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.560(1). . Signature: ~~\f~;.~,fi~~Atfl;~J~J~m~~mGt8~i~INsm~.~VkZ\mfO:~1~:l\;~M,:&f~~:~W;~ Business name: City: Phone: E-mail:, CCB license no.: Signing supervisor's license no,: Print name of signing supervisor: Signahlre of signing supervisor: 440-2584-J (9/08/COM) Sf>rM'2 AS sa S L/6 d-n C.~Z03 ~f-. Strll( Permit Application - 215 Fifth Slreel . Springfield, OR 97477 . PH (54 1 )726-3753 + FA.X(54 \ )726-3689 DEPARTMENT USE ONLY COi-<<Az,otD - 0 10 S"I.( Pemlit no.: SPF"NC.F'~LO ~, Date . S .o( C This perm it 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 GQVERNMiONTAPRROVAL This project has fwalland-use approval. Signature: This project has DEQ approval.. Signature: I Date: Date: ZOlling. apprvval verified: 0 Yes 0 No Property IS within need plain: 0 Yes 0 No . . .,'CATEGJiN'OF;.CONS;fRlJdION . ',-.,"-' .--,..-........."..'.-.....;,.,-..-- ..,....-.'- -..-".-., lR1 Residential ,'JOB D Government o Commerci31 '.;, Reference: Name: .\.-I. State: 00. Fax: E-mail: 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 701.010. Sign here: LAl'lgN: City: Phone: 5'11 - E-mail: CCB license no.: 0 Print name: Signature .. ......:.:. ....SU~,CbN;j;R:1\(;'f6J;: INFc:i@AT(QN(';.';.)'{ '-'<-.;:,. N, me CCB License Number Phone Nu mber Electrical I 77l6fo Plumbing 3/ 7'17 Mechanical 3'1:1- 37 FEE SCHEDULE . 1;. y alu :a-ti,o~l""iDJ o"rm a tio.n~. (a) Job description: Occupancy Constructior. type: Square feet: ttI 0 g J- (;d 6eu. e. Cost per square foot: Other information: Type of Heat: Energy Path: r. !Xl new 0 alteration (b) Foundation-only permit? Total YHluation: o addition DYes DNa 6<>0 (a) Pem1it fee (use valuation table): (b) Investigative fee (equal to (2a)): (e) Reinspection ($ per hour): (number of hours x fe~ per hour) (d) Enter 120/0 surcharge (. J2 x (2a+2b+2c1): (e) Subtot~1 of fees above (2a through 2d): $ s $ $ $ (a) Plan review (65% x permit fee [2aD: (b) Fire and life Safety (40% x permit fee {2aD: (c) Subtotal of fees above (3a an.d 3b): $ TOTAL fees and surcharges (2e+3c+4a): $ 2"6 willamalane tlJ Park and Recreation District .JOb. No: {JJ!J -/cJ)l{ SYSTEM DEVELOPMENT ~HARGE WORKSHEET July 1-December 31,2010 NAME: ffA Yt?E fr . PHONE: 2Zb&'i ':J S- . ADDRESs.;>Vt:WSW 7~<=-~.cCITY Rt>~AlP STATE:t1AZIP: 117J"Z LOCATION OF PROPOSEDBUILDING SITE: Street Address: s-zir S.. t(yA PlaiName'~l\t tJ)l f\ct . ., \ (" / (, ).-,W~ \ \ ~(1-./"'rl) .. Tax-Lot Number: 11').../. 1-2>, ILJ .,,~ 1; DEVELOPMENT TYPE (Check appropriaie dw~lIing(s). Dwelling type definitions are on the pack.) . A. SinQle-Familv Detached NO. OF UNITS .., t X $3,468 per unit = . , $ '3.'i fp~ B. . SinQle-Familv Attached. NO. OF UNITS X $3,538 per unit = $ C. MulticFamilv Apartment. NO. OF UNITS X $2,906 per unit = $ D. SinQle Room OccupancY NO. OF UNITS X $1,453 per unit = $ .E. Accessorv DwellinQ Unit NO: OF UNITS X $1,734 perunit= $ $ . WILLAMALANE SDC 2. SDC CREDIT (If applicable) SDC payer must furnish proof of Willamalane Credit approval.) $ J' 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) $ 7Lft,~ cJ, ~ I /d Date c&" ~. Development Services Department City of Springfield 5 225 Fifth Street Springfield, Or~gOli 97477 541-726~3759 Phone 8f!..~.~!N tQ..Fl.~.m.o ...ii....~......'.........,.......... Wir" . .. .... .. . .. - . , c~~.___._. .... " '...... .- ,._...w_=,.",..,..,.~_..,.' ~ -. City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000876 Date: 08/05/2010 9:35:35AM Job/Journal Number COM201O-01054 Payments: Type of Payment CreditCard cRcceintl Description Plan Review Same As Paid By HA YDEN HOMES Item Total: Check Number Authorization Received By Batch Number Number How Received djb 035657 In Person Payment Total: Amount Due 250.00 $250.00 Amount Paid $250.00 $250.00 wno~ :H)S/ho:"ji: \':/.~ ,. ~.,;'" ';OO{)' ;~(,~~~ [;~~'Ii i.' .....,;."... ;..'" Page 1 of 1 8/5/20 I 0 S.j~~:;.IEL~ ~~ ~OREGON "...,: "';; www.ci.springfield.or.us \:~ "), . TRANSACTION RECEIPT COM201 0-01 054 545 S 48TH PL CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726-3753 permitcenter@ci.springfield.or.us RECEIPT NO: 2010000193 RECORD NO: COM2010-0J054 DATE: 08/31/2010 rDESC~rPTJ9N~'~'+~ +r;~ ,ks<f.<~~~\:ii:*,4:<'ii;"'~~~s\~'1.~~~*~~~~~~_!:::c:GJi~;f~cJ)QE~1?:':':;i>'~~MQU~T:Q.Q~Sst&:~;Z;~?:R3;~"~ SDC: IlTlprovement Cost - MWMC Regional Wastewater.SDC 445-00000-448025 $1,333.57 SDC: Reimbursement Cost - Storm Drainage . 441-00000-448029 $217.67 SDC: Improvement Cost - Storm Drainage . . 440-00000-448028 $782.44 SDC: Reimbursement - Transportation SDC 446-00000-448026 $286.81 SDC: Improvement - Transportation SDC 4~7-00000-448027 $1,169.81 SDC: Reimbursement Cost - Local Wastewater 442-00000-448024 $1,325.76 SDC: Impro>cer:nent Cost - Local Wastewa!er 44_3-00000-448025_._.._~792.89_ SDC: Reimbursement Cost - MWMC Re~ional Wastewater SDC 444-00000-448024 $101.97 SDC: Compliance Cost - MWMC Regional Wastewater SDC 444-00000-426607 $22.63 SDC: Administrative Fee - MWMC Re~ional Wastewater SDC 611-00000-426604 $10.00 SDC: Total Sewer Administration Fee ..' .'. 719-00000-426604 $205.98 SDC: Total Transportation Administration Fee ,.:',~~~" .':;~'~1:;"71_9:00000-426604 $96.20 - ....;,..;,.,...; Planning - Major Review ',4'---C' .;.. '100-00000-425g02 $211.00 Residential Fire (.05 Per Sq Foot) \J:Y' 100-00000-424005 $91.75 Admin fee (10% of applicable fees) 224-00000-426605 $9.18 :!"mp services 200 amps or less 224-00000-426102 $63.00 ~ch added 500 sq. ft. or portion 224-00000-426102 $50.00 Residence wiring 1,000 sq. ft. or less 224-00000-426102 $134.00 ,stru.ctural Building Permit Fee 224-00000-425602 $877 .02 Address Assignment, each new or change 224-,90000-425602 $38.00 Willamalane lees - Single family detached .! 821-00000-215023 $3,468.00 One or Two Family Dwellin9 with Two Bath '224-00000-425603 $374.00 Range hood/other kitchen equipment "224-00000-425604 $13.00 Single-duct exhaust (bathrooms, toilet cOlTlpartmei1ts,.utiiit~' rooms) :' 224-00000-425604 $36.00 First Appliance!.:.ee 224-00000-425604 $79.00 Gas Piping up to 4 outlets 224-00000-425604 $7.00 Multiple Permit Discount (Max 2) 201-00000-428060 $-30.00 Curb CuUDriveway 1st C--"t_ 201-00000-428060 $88.00 Sidewal"-.up though 90 Feet 291-00000-428060 $88,00 State of Oregon Surchar~e (12% of applicable fees) .____~~99EE9~21~_004 $19~96_ Technology fee (5% of permit total) 100-00000-425605 $90.85 . 'c:U;:,'_ -~:.k :(,::- ,; h TOTAL DUE: $12,229.49 ~P'AYMENI"T-'tPE'-.t~pAY6R'fkt7'cAsHIE~Yf@v;'u~~:[Q~IY!~N[[S.5l!4Yt5~i:fi~ -,': t:"'-" 'It:?jAM6uNTsRAlb;-~'1,:'Y-' :'. ;"<IC,'} Check 28308 HAYDEN ENTERPRISES $12,236.79 $12,236.79 '.". 't.: . '~fj. ~