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Home My WebLink AboutPermit 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 I'. . ,".,. . '. ..' .,," . ,'r, '.... ",. ~' -'" -, '''''''''''''I''''''''''WNj''11Fh.'lillllm.'1'1l#I+iilll!V\l'''''' H',""" "-~.""'"'"'''''''''~T'''""j''''.'.'jj'F(''jV'''''.'''''"'j'f'''''j"",..n .Ch'''' '''T''''p',.jiijij''').......j'.. .::>1 )BESCRIP'mI0N :kn!h;:ii:;:j,!~Lii+:y pt>, :>;'iii,;;~j1jjrj,\.1Hi;!110;,q;1;;:'F::;::'1,'if . I..oj;; it. ,'. r~;,)jl!xJlljm\l~~c:1U Nrf.l'CQDj::.),:q illj.~'N:i':Ijliih ;,;l'iH;(MOLJNTi o'u E ,i/:,!J{!jUlkbl;0.i, '. 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