HomeMy WebLinkAboutPermit Building 2010-9-30
le.
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00289
IVR Number: 811166576905
www.ci.springfield.or.us
PROJECT STATUS: Issued
ISSUED: 9/30/10
APPLIED: 9/13/10
EXPIRES: 3/29/2011
VALUE: $175,000.00
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
perm itcenter@ci.springfield.or.us
SITE ADDRESS: 539 48th S
ASSESOR'S PARCEL NO:
Springfield
1702324407200
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
New single family dwelling - SAME AS 511 S. 48th St. - Lot 22 Westwinds
Phone Number:
OWNER:
ADDRESS:
HAYDEN ENTERPRISES INC
26225'1'{ GLACIER PL STE 110
REDMOND OR 97756
CONTRACTOR INFORMATION ~
Contractor Type
Contractor Name
STUTZMAN SERVICES INC
TOP NOTCH ELECTRIC INC
PACIFIC AIR COMFORT INC
TOP NOTCH ELECTRIC INC
HAYDEN ENTERPRISES INC
Lie Type
PLUMBING
CCB
CCB
CCB
CCB
Electrical, Contractor
Lic No
PB701
172366
39237
172366
92208
Lie Exp Phone
07/01/2011 541-928-8942
09/29/2012 541-317-1998
03/25/2012 541.672~9510
09/29/2012 541-317-1998
07/29/2011 541-923-6607
BUILDING INFORMATION I
ATTENTION: Oregon law 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
mtmber feEtM. Oregon Utility Notification
, Center is 1-800-332-2344).
# of Units:
Occupancy Type
Construction Type
Occupancy Type
Construction Type
1
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
R-3
Type VB
U
Type VB
Forced Air Gas
Electric
Electric
# of Bedrooms:
Sprinkled Building:
Hazmat:
3
Fire Alanns:
Electrical Specialty Code Edition:
_ . Springfield Fire Code Edition:
Path 2A Certified perform~Mechanical Specialty Code Edition:
Municipal I Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
Energy Path:
Site Information
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
Yes
No
No
Springfield Building Permit
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:
1408
24
.",,,..',,
,. '.;"" "1r1c \NORK
ffOvBfl;~~MI1 Sri,,'\-\' FI-?~~i~MI1 IS NOT
~ ~~\-IORIlcl) \}\'\~~; ~~~NOONtl) 'fOR, .
~~~~i~~~~ ~ER\OO.
Page 1016
SC.~RI..NG FIE~
~il!...~..
,.: 't;b
",'\,..' OREGON
www.ci.sprjngf~eld.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00289
IVR Number: 811166576905
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
pe rmitcenler@ci.springfield.or.us
PROJECT STATUS: Issued
ISSUED: 9/30/10
APPLIED: 9/13/10
EXPIRES: 3/29/2011
VALUE: $175,000.00,
SITE ADDRESS: 539 48th S
ASSESOR'S PARCEL NO:
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
15
13
54,79
12,1
o
Springfield
1702324407200
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
New single family dwelling - SAME AS 511 S. 48th SI. - Lot 22 Westwinds
DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure to
north property line:
3
Yes
17.3
Total: 2
Handicapped:
Compact:
18,5
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Descrjotion
Springfield Building Permit
PUBLIC IMPROVEMENTS
I
Sidewalk Type:
DownspoutJDrains:
Valuation Description
I
Tvpe of Construction
Value
Unit Amount Unit Tvpe
Unit Cost
9/30/201? 1 :20:46PM
Page 2 of6
www.cLspringfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00289
IVR Number: 811166576905
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: 9/30/10
APPLIED: 9/13/10
EXPIRES: 3/29/2011
VALUE: $175,000.00
SITE ADDRESS: 539 48th S
ASSES OR'S PARCEL NO:
Springfield
1702324407200
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
New single family dwelling - SAME AS 511 S. 48th SI. - Lot 22 Westwinds
~^'0,;",;""::~''':;;::~91F ' ."'-'~'~$-'- :,:.c~ ' . ~~-!:t:'~'f.;-:J?,'i0'0r>%i>~:"t4:i.'~'~F--E~E" .~;-' ,- ....,:,.;<ti.!;"'..':z:a~;+:7<,f', .--S;~> . ' ,,-.,r;..,...- ,",' 1'7",,",:'7~':''."~~-:
!:t"'<:r;.:'?'~~]
.;;' ;'-4;'--- "~~ ...'-<'-,^,," ,.J:"....,T.~'. ~i;!;2fL.:."t,'--":.~'4+\(qg,'gk.:.L...._$...P~JJ!.....;.:.. ~ "":'irF'W~~ijp;,""",,#;!,,~~;--r~,,...~.., ',,' ,""'.... ~.""""",.,.,,,,),~,+,,"'",",..
.C'-:',' '
Amount Paid Date Paid
._._l~J7 09/30/2010
$340.73 09/30/2010
$822.10 09/30/2010
$108.74 09/30/2010
$258.88 09/30/2010
$10.00 09/30/2010
$22.63 09/30/2010
$1.333.57 09/30/2010
$1.383.63 09/30/2010
$356.96 09/30/2010
$1,043.04 09/30/2010
$1,937.76 09/30/2010
$-30.00 09/30/2010
$88.00 09/30/2010
$88.00 09/30/2010
$211.00 09/30/2010
$63.00 09/30/2010
$50.00 09/30/2010
$134.00 09/30/2010
$79.00 09/30/2010
$17.00 0913012010
-~-,-'------
$36.00 09/30/2010
$13.00 09/30/2010
$17.00 09/30/2010
$374.00 09/30/2010
$250.00 09/30/2010
$3.468.00 09/30/2010
$38.00 09/30/2010
$9' .60 0913012010
$1,014.00 09/30/2010
$7.30 09/30/2010
$7.00 09/30/2010
$9.16 09/30/2010
.$216.48 09/30/2010
. $92.10 09/30/2010
$14,053.65
Receiot #
374446
374446
374446
374446
374446
374446
374446
374446
374446
374446
374446
M,___
374446
374446
374446
374446
374446
374446
374446
374446
374446
374446
374446
374446
374446
374446
374446
374446
374446
374446
374446
374446
374446
374446
374446
--~---"--
374446
Descriotion
SDC: Reimbursement Cost - MWMC Regional Wastewah
SDC: Reimbursement Cost - Storm Drainage
SDC: Improvement Cost - Storm Drainage
SDC: Total Transportation Administration_Fee
SDC: Total Sewer Administration Fee
~i?~~ Administrative Fee'- MWMC Regional Wastewater:
SDC: Compliance Cost -MWMC Regional Wastewater SI
SDC: Improvement C?st ~.MWMC Regional Wastewater ~
SDC: Improvement - Transportation SDC
SDC: Reimbursement - Transportation SDC
SDC: Improvement Cost.- Local Wastewater
SDC: Reimbursement Cost - Local Wastewater
Multiple Permit Discount (Max 2)
Sidewalk up though 90 Feet
Curb CuVDriveway 1 st Cut
Planning - Major Review
Temp services 200 amps or less
Each added 500 sq. ft. or portion
Residence wiring 1,000 sq. ft. or less
First Appliance Fee
!:'.eat pu!"p ~__.
~~~fe-duct exhaust (bathr~orr::s, toilet c~!l1partments, utili
Range hood/other kitchen equipr:!1ent
Furnace - up to 100,000 BTU
~0_,~
One or Two Family Dwelling with Two Bath
Same as Plan Review Submittal
Willamalane fees - Single family detached
Address Assignment, each new or change
Residential Fire (.05 Per Sq Foot)
Structural Building Permit Fee
Technology fee (5% of permit total)
Gas Piping up to 4 outlets
Admin fee (10% of applicable fees)
State of Oregon Surcharge (]2'10 ~~PJ?licab!e fees)
Technology fee (5% of permit total)
Total Amount Paid
Springfield Building Permit
9/30/2010 1:20:46PM
Page 3 of 6
www.cLspringfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00289
IVR Number: 811166576905
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726.3769
Fax: 541-726-3676
permitcenter@cLspringfield.or.us
PROJECT STATUS: Issued
ISSUED: 9/30/10
APPLIED: 9/13/10
EXPIRES: 3/29/2011
VALUE: $175,000.00
SITE ADDRESS: 539 48th S
ASSES OR'S PARCEL NO:
Springfield
1702324407200
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
New single family dwelling. SAME AS 511 S. 48th SI. - Lot 22 Westwinds
'+',;"
.%'l
"e '''''',
~P:'~~:c~,,';~<+;/ .~l~;';''Z'~:~~~:~;~~'~.~;;,::-~,:~::;fuit0f~a1J~ffit~[~~~:5:c,~"=~0iL4I';~;f';;~-;:'::>;;!':~~~~~~.
Deoartment Received Due Date Comolete Result Reviewer
Planning Review 09/21/2010 09/13/2010 09/13/2010 Approved Oeyette Kelly
Public Works Review 09/21/2010 09/13/2010 09/13/2010 Approved Kaye Wilson
Permit Issuance 09/30/2010 09/22/2010 09/22/2010 Issued Chris Carpenter
Application,Acceptance 09/13/2010 09/13/2010 09/13/2010 Application Accepted Chris Carpenter
Initial Review 09/13/2010 09/13/2010 09/13/2010 Approved Chris Carpenter
Structural Review 09/22/2010 09/13/2010 09/13/2010 Approved Chris Carpenter
Comments
Front elevations are site spec
Storm water to streeUSubdivi
Items listed below (if any) anI
Springfield Building Permit
9f30/2010 1 :20:46PM
Page4of6
www.ci.springfield.or.us.
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00289
IVR Number: 811166576905
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@cLspringfield.or.us
PROJECT STATUS: Issued
ISSUED: 9/30/10
APPLIED: 9/13/10
EXPIRES: 3/29/2011
VALUE: $175,000.00
SITE ADDRESS: 539 48th S
ASSESOR'S PARCEL NO:
Springfield
1702324407200
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
New single family dwelling - SAME AS 511 S. 48th SI. - lot 22 Westwinds
Page 50f6
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00289
IVR Number: 811166576905
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: 9/30/10
APPLIED: 9/13/10
EXPIRES: 3/29/2011
VALUE: $175,000.00
SITE ADDRESS: 539 48th 5
ASSESOR'S PARCEL NO:
Springfield
1702324407200
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
New single family dwelling - SAME AS 511 S. 48th 51. - lot 22 Westwinds
3500 Rough Plumbing
3999 Final Plumbing
4000 Temporary Power Service
4225 Service or Feeder
4500 Rough Electrical
4999 Final Electrical
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 or Oregon per:taining 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.
c;- 30 -/0.
Date
Springfield Building Permit
9/30/2010 1:20:46PM
Page6of6
Stru\
225 Fiflh Stree.!. Springfield, OR 97477. PH(5<-\ 1)726-3753. F:\.-,"'\(541)726-J689
~~ ~>
;// ~ q'6~V1 SI-
DEPI\RTMENT USE ONLY
SP;'<'Nc,F'ELO
..~y,
Permll lloJ/t:7-.zJ'?
i
I Dale '//!.J!/tP
This perm it is issued under OAR 918-.:.t60-0030. Permits expire if work is not started \yithin 180 days of issuance or if work is
suspended for 1 SO days.
LOCAL GQYERNMEth APPROVAL
This project has final land-use approval.
Signature'
This project has DEQ approval.,
Signature"
ZOiiing approval verified: 0 Yes
PropertY is v,'ithi" fleod plain: 0 Yes
I
Dale:
Dale"
DNa
~"
U ['10
'CATEGbf'Y OF,'.CONSTRUCTION .
(2J Residential
o Govemment
o Commerci31
. JOB SITE IN!cORM'ATIONAND L6c,'\1'IOI:I
Reference:
PROPERTY OWNER'
Name:
Address:
City: KC
Phone: ~rr - ~ ~ ,--:.,e: '\s-
f-:!Ci"( .
State. aQ
i' Fax:
ncA
,
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 1,icensing
requirements under ORS 701.010.
Sign here:
LAl'lQN
I
Address:'J 1-/ 5~,
CitY' RL<<I"7c>nc1'
Phone.5'/! -
E-mail:
CCB license no :
'/4rC r
State' oR_
Print name'
Signature:
. '.q , ....CSUB_C;ONjRbtT('jRINF.(j.r<.~;i..ti'QN,'.. .....;:-...::..,.,..::.;
Name CCB License Number Phone Number
Electric::!l J7]1 (f,
Plumbing 3/7'17
IVlechnnical 3''1 J. 37
FEE SCHEDULE'
l...Va\u.~-tIPh"-inTormatio-~'- :
. ..
la) Job description. YSc./ rFP
Occupancy ~ ~
Constructiol'. type'
Square feet:
Cost per square foot:
Other information:
Type of Heat:
Energy P2th: r9-A
[Xl new 0 alteration
(b) Foundation-only permit?
Total v<'lluation:
D addition
DYes
DNa
(a) Pemli! fee (use valuation table)'
(b) Investigative fee (equal to [2a)):
(c) Reinspection ($ per hour):
1 (number of hours x feE: per hour)
(d) Enter 12% surcharge (, \2 x [23+2b+2c}):
(e) Subtotal of fees above (23 t~rough 2d):
$
S
s
$
(a) Plan review (65% x permit fee [2a)):
Ib) Fire and life safety (40% x permit fee [2a]):
(c) Subtotal of fees above (33 3n'd 3b):
(a) Seismic fee, \% COl x permit f~e [2a))'
I
TOTAL fees nod surchuges (2e+3c+4n): .$
Electrical Permit Application
225 F;j"h Stre"+Springfiel~, OR 97477 +PH(541)726-3753 + FAX(541)726-3689
:~PRINGFIELD ,::o:u:{''F(n
.'~ '~_-J .,-, ~_ ~9~t'" ~.;
,.1 "'. "",....~ .'""~, '''.-.,..,-::,,"
(,\ ....,'..." - '.i;~}Y.,"~' '.,'".~'. . 'f.
*2t1tWt.i~~,' . . ~:'~~l:Pt(~
18t~~~~~;l\~':;':. ~JI -'ll
. .. '_ .' ..- ~\.',..~ "'n,"" .".". _'
ii.DEPARTMEN,gUSE:ONL.Y,-'f;,'
I," . - '.' '(;'''< ".I):""i-;~.~'l:-::';:,'""::i,','i;"-.~.;~~:.-~~~
Permit noSICJ-,2(f9
Date: '1'.7
This permit is issued under OAR 9]8-309-0000. Permits arc nontransferable. Permits expire if work is not started within 180
days of issuance or if work is suspended for ]80 days.
W'iif)lf"~'JiJj:fl'IIO"C. AE...;WG-0Y-ERN-MEN--"'';Wi\:rioRO:'-Y' 'A",\I'''<ii*;>;i,*,),~
H.~. .,.;1S:W{l;~~,.J:',. _. _ '..'. "f!t. ...j... ___"n'_ _ "__ ._-=.J..1I).:~;,",_I7.G. <n..' "'~ I.:..~(,-~'!~.i:>~,~;\,~l't\':'::.}i'l
Zoning approval verified? 0 Yes 0 No
f4r~~~t~;r~rc~'m.~-qO,'f{_YbtQ_~~9'~QN-$mBt;J:0JJnO'r~~-WtffeJiKQ~~{~;1~\~&~
o Residential 0 Government 0 Commercial
~:lJiti'&rlfQ13~$lirl:~ltiJ.5,OgMMIQN11AN (j}i!Qi'5'Al\I.(;$N~I~f";~1~!
Job site address: 53., ~ L
City: ,',).. State: iI(Z ZIP'. "'")'Of.
Subdivision: we e.vl~..s Lot no.: f2-2-
~Jll~ttft~1;4!ii2~~1f..j]PE:.$J{RIB~f().";f~0~g~WJ~~~':J:~~(~~i,:~~:{~;W~~1.~
~j~;~&i\lyt:~r~tt}\~g~r:!~~t;H~(Qe~B~}~~.WN't;~Jk[~@t[~:~]L\&I~,~~N#~~~{
Name:
Address: .
sv-.
Fax:
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, orren!. OAR
479.540(1) and 479.560(1).
Signature:
~~~~~~~~l*tq:0~m~CjnO:B'~I:t;J$ill:<<~Ifft.'ml~N~~J%~~;,[~I.~tM~t~~J{1..i
Business name: /A
Address:
City:
Phone:
E-mail:.
CCB license no.:
ZIP:
BCD license no.:
Signing supervisor's license no.:
Print name of signing supervisor:
Signature of signing supervisor:
~ ~ }J~~
~.~ ~51q ~\J~ G:"
\O~~~W b~tl.L (1,--..
~-\!. Y}..\ . Z;\",\, \Cl,o...'v
440-2584-J (9/08/COM)
~;~_gg;{~:\'.:8g[jjIJ~gl~fr~,*~:Wt:r;jfr~1il(~H~
[N:~~(~i:~~9.'_""J1~ _ rl~4~~W~f~m~({)~r\gll~'f~ :{~~~~f~J, ~'t2talfr~
'.'i:,..,lt..{~."...\,;,.;..,..'I~.:i.-:;v.fl~;~~l~;!!~~"~""':';''':~'''' ~~'ddllh:X~-.:. ~i.t~&!l~i~ ~~~.co_s .~.ill~~
Residential, per unit, service included:
1,000 sq. ft. or less (4) I $134.00 $/ :7'/
Each additional 500 sq. ft. or portion' ~ $ 25.00 $,Sb
thereof
Limited energy (2) $ 32.00 $
Each manufactured home or modular $ $
dwelling service or feeder (2) 63.00
Services or feeders: installation, 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, altffration, relocation
200 amps or less (2) I $ 63.00 r?3
261 to 400 amps (2) $ 87.00 $
401 to 600 amps (2) $126.00 $
Over 600 amps ~r 1,000 volts, see services or fceders section above
Branch circuits: new, alteration, extension per panel
u. 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 $
Miscellflneous fees: service or feeder not included
Each pump or irrigation circle (2) $ 63.00 $ .
Each sign or outline lighting (2) $ 63.00 $
Signa! circuit or a limited-energy panel, $ 63.00 $
alteration, or extension (2)
Each additional inspection: (1) $58.00 $
'~'l:.'r~J.."')"3'~4~'ijiJ~ti\':Wi~~'DjC\~.""'~"~;';'''i''''''''''iS""""-'ji'l'~~l{;\'ffd~~~ 1l<o't';"-~'''''.''"'
, """.~"\i!,,,"'C~"'k' 'RF.W!16!ANT:' l!lSE'"' \ llIl" ,.~ ''Ii''''
~ ...;;,~):,i,it;,,~B\1-!i>I;(,;;.,~.l)('f,,_ .~~ .",-..~_:J,... .'.._'~_L.;..';;:j'. ~__ ...1i"ih" ..lrh.-..:t.1tfPo1. '",,1~~';, 1lit
(A) Enter subtotal of above fees :441,ll-
(Minimum Permit Fee $58.00)
(B) Enter 12% surcharge (.12 x [A]) ~~
(e) Technology Fcc (5% of [A])
TOTAL fees alld sllreharges (A through C): 'JL!(,
V '-'Ll'
2~willamalane
t-w Park and Recreation District
Job. No.
5/0-2'87
SYSTEM DEVELOPMENT CHARGE WORKSHEET
July 1-December 31,2010'
NAME: /fA yi)t:-,;v
PHONE: 2Z~ u,'7 '.J S-
'. ADDRESs/'1c:W SW 7~~te.ctITY ~t>/l1/l/p STATE:LAZIP: Q17.n:-
LOCATION OF PROPOSED BUILDING SITE:
Street Address: S59 s: ?/~ ?L
PlatName:~-\u,~ Tax Lot Number: ~612ciJ
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type aefinitions are on the
back.) . .'
A. Sinqle-Familv Detached'
NO. OF UNITS
f X $3,468 per uriit =.
I
$ J Y {p~
B. Sinqle-Familv Attached
NO. OF UNITS
X $3.538 per unit =
$
C. Multi-Familv Apartmerit
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
Willamalane Credit approval.)
$
J'
3. TOTALWILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
~
$ 7(.(t,~
9 I /.5 I /6 .
Date
Development Services Department
City of Springfield
5
S~RI.NGF.IE ~
t.aT
.~
. , "'O:EGOH
WNW. ci. springfield.or. US
TRANSACTION RECEIPT
811-S P R20 1 0-00289
539 S 48th PL
CITY OF SPRINGFIELD
225 Fifth St
Springfield, OR 97477
541~726-3753
permilcenter@cLspringfield.or.us
RECEIPT NO: 2010000438
RECORD NO: 811-SPR20 10-00289
DATE: 09/30/2010
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SDC: Reimbursement Cost - MWMC Regional Wastewater SDC 444-00000-448024 $101.97
SDC: Reimbursement Cost - Storm Drainage 441-00000-448029 $340.73
. SDC: Improvement Cost - Storm Drainage 440-00000-448028 $822.10
SDC: Total Transportation Administration Fee 719-00000-426604 $108.74
SDC: Total Sewer Administration Fee 719-00000-426604 $258.88
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: Improvement Cost - MWMC Regional Wastewater SDC 445-00000-448025 $1,333.57
SDC: Improvement - Transportation SDC 447-00000-448027 $1,383.63
SDC: Reimbursement - Tra~sportation SDC 446-00000-448026 $356.96
SDC: Improvement Cost - Local Wastewater 443-00000-448025 $1,043.04
SDC: Reimbursement Cost - Local Wastewater 442-00000-448024 $1,937.76
Mu~ip~e Permit Discount (Max 2) 201-00000-428060 $-30.00
Sidewalk up though 90 Feet 201-00000-428060 $88.00
Curb CuVDriveway 1 st Cut 201-00000-428060 $88.00
Planning - Major Review 100-00000-425002 $211.00
Temp services 200 amps or less 224-00000-426102 $63.00
Each added 500 sq. ft. or portion 224-00000-426102 $50.00
Residence wiring 1,000 sq. ft. or less 224-00000-426102 $134.00
First Appliance Fee 224-00000-425604 $79.00
Heat pump 224-00000-425604 $17.00
Single-duct exhaust (bathrooms, toilet compartments, utility rooms) 224-00000-425604 $36.00
Range hood/other kitchen equipment 224-00000-425604 $13.00
Furnace - up to 100,000 BTU 224-00000-425604 $17.00
One or Two Family Dwelling with Two Bath 224-00000-425603 $374.00
Same as Plan Review Submittal 100-00000-425602 $250.00
yvillamalane fees' Single family detached 821-00000-215023 $3,468.00
Address Assignment, each new or change 224-00000-425602 $38.00
Residential Fire (.05 Per Sq Foot) 100-00000-424005 $91.60
Structural Building Permit Fee 224-00000~25602 $1,014:00
Technology fee (5% of permit total) 100-00000-425605 $7.30
Gas Piping up to 4 outlets 224-00000-425604 $7.00
Admin fee (10% of applicable fees) 224-00000-426605 $9.16
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $216.48
Technology fee (5% of permit total) 100-00000-425605 $92.10
TOTAL DUE: $14,053.65
" 'PAYMENiitypEili1h:lm:'!:PAYORl"cciiisHl~Il1?'&<;ARPENTER';;:CQivIlVIEN[.51<%1'1:-1:1:;1111,1111111[''':- ',::I'I:AMOl.iNt!PAiD'::::~" ". .. ,]
Check
29230
HAYDEN ENTERPRISES INC
$14,053.65
$14,053.65