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Home My WebLink AboutPermit Building 2010-9-9 :.;...rl. I,: 1;.').'.......:. CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: COM2010-00997 www.ci.springfield.or.us ~ ~I . '4 . 'IVR NiTriltl'er: "--....- >\..,-- PROJECT STATUS: Issued ISSUED: 9/9/10 ','" APPLIED: 7/27/10 EXPIRES: 3/7/2011 VALUE: $185,827.58 225 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: 2284 Clear Vue Ln Springfield ASSESOR'S PARCEL NO: 1703271205500 SCOPE: SFD WORK INVOLVED: NEW TYPE OF STRUCTURE: RES PROJECT DESCRIPTION: Single famly residence Phone Number: 541-746-2235 OWNER: ADDRESS: Phil Shelley 1021 W. N St SPRINGFIELD OR 97477 : ~ "..' Contractor Type Contractor Name C()NTRACTOR INFORMATION ~ Lie Type Lic No Phone Lie Exp BUILDING INFORMA nON ~ # of Units: 0 Construction Type Type VB Occupancy Comments Occupancy Type U Occupancy Type R-3 Construction Type Type VB # of Bedrooms: 3 Sprinkled Building: No Fire Alarms: No Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specially Code Edition: Residential Specially'Code Edition: 2008 S_tr~~!~.~~~-Spe~.i~!tY~Code Edition: 0"_.___"""" . "--. .. r}r~ ~:.,. Site Information ~ # of Stories: 1 Heigh~9..~~t~!-:I~t~re:, - 'I" Type'ofJHea'~:'I~.~;yrnr' Forced'Air Gas I j... Il.,."..., Wate~_!ype: ,::..-.~" Gas Rang~,hType: '; , Gas Hazmat: Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required:' ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Thos,e rules are set forth In OAR 952-001-001O_ttl!,6u,9~ 9A~ 9p2;001- 0090. You may obtai,n_;~pil3SlOf.ttie rules by calling the center. (Note: the'telephone number for the Oregon"Utillty NotifIcation Center is 1-8DO-332-2344), Springfield Building Permit 9~~/2010 9:12:35AM .,'_f 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: 1492 230 506 ;:~,.~;,?,.~-..:,..:'" NOTICE: E lFTHE WORK < THIS PERMlTD SUHNAD~~ ~~~ PERMIT IS NOT ~;: AUTHORIZE ED FOR ." ;(: COMMENCED OR IS ABANDON,.V"'" ANY 180 DAY PERIOD." .'.- , , , ~~ Page 1 af6 <..Y...!. 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541.726-3676 CITY OF SPRINGFIELD . www.ci.springfield.or.us BuildiI'l9L,,-R,esiden:tial Permit .,.", ~:,;;;r':~:,: ,. PERMIT NO: COM2010-00997 IVR Number: permitcenter@ci.springfield.or.us PROJECT STATUS: Issued ISSUED: 9/9/10 APPLIED: 7/27/10 EXPIRES: 3/7/2011 VALUE: $185,827.58 ...', SITE ADDRESS: 2284 Clear Vue Ln Springfield ",:: ASSESOR'S PARCEL NO: 1703271205500 "i,i}1" "')I( SCOPE: SFD '\i.!h::C, ; WORK INVOLVED: NEW , 'lYPE OF STRUCTURE: RES PROJECT DESCRIPTION: ..;j,"(":'I. Single famly residence ';' ., DEVELOPMENT INFORMATION I Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: 20.00 8.00 17.00 20.00 REQUIRED PARKING Overlay Dist: # StreetTrees Reqd: 2 Paved Drive Reqd: Yes % of Lot Coverage:,' 30.00 Highest point on_structur~ to ('. I' north property line: ,"" '16:25 : ,;. .'_ ~ 1 '. (. pUBlic IMPROVEMENTS ~ ,f Total: 2 Handicapped: Compact: Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: l'~'-' JI '.',r-,., i.t':Ji~' ,t'J:,.f;,'j , , ::;'~:;' - -f.'d' ~~ '~r.5" , . Valuation Description ~ Descrietion R-3 1 & 2 family U Utility, misc. Tvoe of Construction VB VB Unit Amount Unit Tvee 1,722,00 SqFt 506.00 Sq Ft Unit Cost 96,83 37,72 Value 166,741.26 . 19,086.32 185,827.58 "";;,,, " "1,.. .,...."'.-. . PliiH~}." "~':-~':'~.\~f~'~" ! ~~ ",::~.f,~;";~., , :~ Springfield Building Permit - "l'. '" ....;.)". I', ..... ,,'~; r.. '- 1-":>9/9/2010 :,"9:12;35AM Page 2 of6 "';''"\;. ....:...1 'Y< {~. f'-' " , ,,1. CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO:COM2010-00997 IVR Number: S~A~N~l~ ~. ~OREGON WWN.ci.springfield.or.us ~il~ .," 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726.3769 Fax: 541-726-3676 permilcenter@ci ,springf~eld. or. us PROJECT STATUS: Issued ISSUED: 9/9/10 APPLIED: 7/27/10 EXPIRES: 3/7/2011 VALUE: $185,827.58 .1"1. ,~." ., SITE ADDRESS: 2284 Clear Vue Ln Springfield:;":., ASSESOR'S PARCEL NO: 1703271205500 PROJECT DESCRIPTION: Single famly residence 1 "..' ie' SCOPE: SFD WORK INVOLVED: NEW TYPE OF STRUCTURE: RES ~~:'~,~:<'L ~;-~'FZ:Z:::fi;C<?#"'f:~, '~~.!Y:i:#~.;.' ,P.~~'; :;.:"..:,;: ';:"'~E~l;i[~~ii;>;;"~:,:<~~q*:~"'t~~;', ~t.;,'_ ./i: ~ Descriotion Plan Review Residential + 12% State Surcharge + 5% Technology Fee Temp Power 200 amps or less Curb Cut/Driveway 1 st Cut Planning - Major_ Review Sidewalk up thou9h 90 Feet SDC: Reimbursement Cost - Storm Drainage SDC: Improvement Cost - Storm Drainage SDC: Reimbursement. Transportation SDC SDC: Improvement. Transportation SDC SDC: Reimbursement Cost ~ Local Wastewater SDC: Total Transportation Administration Fee SDC: Improvement Cost - Local Wastewater SDC: Reimbursement Cost. MWMC Re9ional Wastewat' ,.:.:; . SDC: Improvement Cost - MWMC Regional Wastewater'~'~'"j-;.'; SDC: Compliance Cost. MWMC Re9ional Wastewate7~r-. . SDC: Administrative Fee - MWMC Regional Wastewater: SDC: Total Sewer Administration Fee Multipl~~ermit Discount (Max 2) Gas Piping up to 4 outlets Each added 500 sq. ft. or portion Residence wiring 1,000 sq. ft. or less Willamalane fees - Single family detached Address Assignment, each new or change Structural Building Permit Fee Heat pump Single~duct exhaust (bathrooms, toilet compartments, utili'\.- Flue vent for water heater or gas fireplace Range hood/other kitchen equipment One or Two Family Dwelling with Two Bath Residential Fire (.05 Per Sq Foot) First Appliance Fee Admin fee (10% of applicable fees) _ State of Or~.9~n Surcharge (12% of applicable fees) Technol09Y fee (5% of permit total) Total Amount Paid . \.. r';-- ~:{~<:. i i~" ",;;r ,\, ~. Amount Paid $592.96 $7.56 , ," .: "$3.15 "'_'~ ..,__$63:00 $88.00 $211.00 $88.00 $332.39 $1,194.84 $286.81 $1,169.81 $1,381.00 .$93.43 , $825,93 , $10\.97. "-~ '. ~,. " -~... $1,333'57 $22.63 $10.00 $239.52 $.30.00 $7.00 $75.00 $134.00 $3,4~8.00 , $~~OO __.' .$.1,g8877 '$17.00 $27.00 $9.00 $13.00 $374.00 $111.40 $79.00 $11.14 $2222J $98~9 .$]F5il~s. '.\1 Springfield Building Permit ,_r,- 9/9/2010 9:12:35AM r:r'''S''\'r--' Date Paid 07/27/2010 08/04/2010 08/04/2010 08/04/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 ---> 09/09/2010 09/09/2010 ReceiDt # 55904 65196 65196 65196 374260 374260 374260 374260 374260 374260 374260 374260 374260 374260 374260 374260 374260 374260 374260 374260 374260 374260 374260 374260 374260 374260 374260 374260 374260 374260 374260 374260 374260 374260 374260 374260 Page 3 of6 Sr:I.N~~.:i ~'ORE'GON www.cLspringfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 CITY OF SPRINGFIELD Building I Res!dential Permit . "';"",d" PERMIT NO: COM20fd~60997 . ',_ .1', ,~:t ,: IVR'Numb"er: permitcenter@ci.springfield.or.us PROJECT STATUS: Issued ISSUED: 9/9/10 APPLIED: 7/27/10 EXPIRES: 3/7/2011 VALUE: $185,827.58 SITE ADDRESS: 2284 Clear Vue Ln Springfield ASSESOR'S PARCEL NO: 1703271205500 SCOPE: SFD WORK INVOLVED: NEW TYPE OF STRUCTURE: RES PROJECT DESCRIPTION: DeDartment Planning Review Print Permit Public Works Review Initial Review Public Works Review Planning Review Structural Review Inspection Application Acceptance Permit Issuance Permit Issuance Springfield Building Permit Single famly residence Received 08/02/2010 08/04/2010 08/04/2010 07/28/2010 08/04/2010 08/09/2010 08/09/2010 08/10/2010 07/27/2010 09/09/2010 08/20/2010 Due Date 08/09/2010 08/09/2010 08/09/2010 08/09/2010 08/09/2010 08/09/2010 08/09/2010 Comolete Result .1 '.' t. APP- , OK APP Approved Approved Approved Approved In Process . , , . " Appli~ation Accepted OBI09/Z.o10q ,.~,s:~ued"lr' t'I." 08/09/201\[J' "iSsu~~" , u"_ ..J... JVt~, ',,'0':1":" 08/09/2010 08/09/2010 08/09/2010 ' 08/09/2010 il; ;! ,~_'l1P.!.\j.'!' '!' ..Ii ~:'I,,";~' ;." '::':(I,1c.~;. ':;>~;l:.e{~", ;~::; ';:~:1;!;':, .' ..~... ~, 9/9f2010 9:12:35AM ";~'. " .".: ,.'/ i,.(I.... !,II Reviewer Comments Issue temp power only to ger Storm water to curb via weep Chris Carpenter Kaye Wilson Deyene Kelly Chris Carpenter Lisa Hopper David Bowlsby David Bowlsby Robert Castile Inspection in process Page40f6 .. 5;:~~...~L~ ~ti! ~OREGON CITY OF SPRINGFIELD ,'. ,'" ' 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.or.us Building'tResidential Permit PERMIT NO: COM2010-00997 permitcenter@ci.springfield.or.us IVR Number: PROJECT STATUS: Issued ISSUED: 9/9/10 APPLIED: 7/27/10 EXPIRES: 3/7/2011 VALUE: $185,827.58 ';:./1,'. .. SITE ADDRESS: 2284 Clear Vue In Springlield'::",ik , . ASSESOR'S PARCEL NO: 1703271205500 -,j"')', SCOPE: SFD '~~:. WORK INVOLVED: NEW , T'YPE OF STRUCTURE: RES !'..'::' PROJECT DESCRIPTION: Single famly residence INSPECTIONS REQUIRED t Inspections 4000 Temporary Power Service 1090 Street Trees 1110 Footing 1118 Footing Drain 1120 Foundation , ,f :' i..: {,~~ , :' " I' ~,;:.tV/".F'. ,~i ,1' 1150 Slab/Flatwork 1160 UFER Ground 1170 Post & Beam 1260 Framing 1410 Underiloor insulation 1420 Insulation Vapor Barrier 1430 Insulation Wall 'i1r_",r , ": "'.l'~ I,';... ;\i' /(~. '~'r" '.>' U ' " I 1440 Insulation Ceiling 1520 Interior Shearwall 1530 Exterior Shearwall 1540 Gypsum Board/Lath/Drywall 1999 Final Buildin9 2200 Underfloor Mechanical ,!:;If' 2210 Underfloor Gas 2260 Gas Service '.... ~c ~ 2300 Rough Mechanical 2310 Rough Gas 2995 Final Gas .~:~~!LL5~'. 2999 Final Mechanical 3130 Footing/Foundation Drains 3170 Underfloor Plumbing 3200 Sanitary Sewer \;:.;~;-,. .,;:~~t.;'~r-. -~.79-f9f201 o-,i:9: 12:35AM Page 5 016 Springfield Building Permit ~./~! .:.::......;:,;l~.o~'j. ..'" <~!..\., ". - . --.'~"fjr:;; ',' ;I~' f,,). I", www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit, PERMIT NO: COM2010-00997 IVR Number: ',' 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 Sr.~IN "GFIE,.L~ .. ~:ll1_""",- ~..~ fieri, "OREGON permitcenter@ci.springfield.or.us " ,.,."-';~~,.,- . L EXPIRES: 3/7/2011 VALUE: $185,827.58 PROJECT STATUS: Issued ISSUED: 9/9/10 APPLIED: 7/27/10'- ,- SITE ADDRESS: 2284 Clear Vue In Springfield- ASSESOR'S PARCEL NO: 1703271205500 SCOPE: SFD WORK INVOLVED: NEW TYPE OF STRUCTURE: RES PROJECT DESCRIPTION: Single famly residence 3315 Water Line 3400 Storm Sewer 3500 Rough Plumbing 3999 Final Plumbing 4225 Service or Feeder ..' -",.,,.. ";.::1., /'~''': " ':~:-'--. iI.. .,.:_~ ~.~ T ' 4500 Rough Electrical 4999 Final Electrical 1925 Consultation Building 1110 Footing By signature, I state and agree, that I have caretully examined the completed app'lication and do hereby certify that all information hereon is true and correct, and I further certify tnat a~y arid,.~II.y.'?rk p~rformed 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 pernii~iion of theJ:.ommunity SeNices 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 constr ion. .r-er- / <tJ Date .,___,__.,."-",-.'..0.""",",,,-. .:,.._ '1;;1 ",l""'l,'". I ',::' .~,il \. :", }''- ::::!,.~ '. .I~ ..:,::;'~!I,Pl..~I'i '('Ji:.'l,;.~('}.tt': I, \ ii" '''::1': ~:" ~ Springfield Building Permit 9/912010 9:12:35AM Page 6 of6 I ~m~@lP1JlWD)g@~ I r~ ~~IALS 225 FIFTlI STREET. SPRINGFIELD, OR 97477 . PlI,(54I)726-3753 . FAX, (541)726-3689 - ~ ~ '-.j ~~~CE ELECTRICAL PERMIT APPLICATION City Job Number c.o~ ~c) I c) - 0- 0 ij 7'7 Date 7- Z 7 -10 1. l LOCATION OF INSTALLATION: 3. I COMPLETE FEE SCHEDULE BELOW Z Z yt(-a~1l.. VCAe- LEGAL DESCRIPTION: I ?D 3 2.71 2- 0 S S-o C JOB DESCRIPTION: ~lA':.l? l./'1Lt!" I Ie",,' f? Permits are non-transferable and expire if work is Dot started within 180 days of issuance or if work is Suspended for 180 days. 2. I CONTRACTORINSTALLATIONONLY I Electrical Contractor Source Electtlc Inc. 541.520.6466 CCB#160918 3465 Star:k St. Eugene, OR 97404 Phone $<// ~ 5'';J{J ,(8 t..( fR~ Address City Supervisor License Number '3,;1..'6' 5' S tel, J 2.() ," Expiration Date Constr. Contr. Number Q.C - 5.;;lQ c.. Expiration Date 7/'/dlO/' Ct.13 \~I'r Signature of Supervising Electrician 9iJ~- i J~ Owners Name f:>,,-d $'W~ Address /DZ( tJ " sF City s:r-F~ Phone 7ft. ZZ:t r- OVVNERINSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 A. New Residential - Single Or Multi-Family per dwelliug unit. Service Included , fJIf 1000 sq. ft. or less ~ I!.l/ Each additional 500 sq. ft. or ""3 L) portion thereof ~O Each Manufacf d Home or rf Modular Dwelling Service or $57.00 Feeder B. I Sen:ices or Feeders -Installatio~, Alterations or Relocation: ./ 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only $ 73.00 $ 86.00 $143.00 $186.00 $426.00 $ 57.00 c. I Te.mporary Services or Feeders Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps ~o $ 79.00 $114.00 Over 600 Amps or 1000 Volts see "B" above. D. I Branch Circuits New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 50.00 $ 5.00 E. Miscellaneous (Service/feeder not included) -Each Installation Pump or irrigation $ 57.00 Sign/Outline Lighting $ 57.00 Limited Energy/Residential $ 29.00 Limited Energy/Commercial $ 52.00 Miuimum Electric Permit Inspection Fee is $52.00 + Surcharges 4.ISUBTOTALOFABOVE-l 209- 12'J1> State Surcharge 7 ","OK' lQ~f,~\dlll;II;...tfati.", fIX. 5% Technology Fee / 0 'f S- TOTAL ZLf'f.u.. Shared Drive(T:)lBuilding FormslElectrical Permit Application 7-08.doc Structural Permit Application I ~@l'~~ 225 Fifth Street + Springfield, OR 97477. PH(54t)726-3753. FAX(541)726-3689 I~ DEPARTMENT USE ONLY COlM1:Oic),oO 917 Pennit no.: Date: 7--z. 7./0 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 GOVERNMENT APPROVAL This project has final hind-use approval. Signature: Dale: This project has DEQ approval. Signature: Date: Zoning approval verified: DYes 0 No Property is within flood plain: 0 Yes 0 No CATEGORY OF CONSTRUCTION D Govemment o Commercial City: Phone: E-mail: This installation is being made on residential or fann property owned by me or a member afmy immediate family, and is exempt from licensing requircment~ under ORS 701.010. ZIP: Sign here: ,~ ..-o::'~--' Prinl name: Signature: Name Electrical Plumbing Mechanical FEE SCHEDULE 1. Valuation information (a) Job description: Occupancy :5' , '-''7 J e r;........, '/r., Construction type: A./<"t>4 r,/(" ,.( ~ Square feet: /7(')/. Cost per square foot: Oilier infimnation: Type of Heat: ~A..S' Energy Path: Dnew D alteration D addition (b) Foundation-only pennit? DYes I3<fN n ~ Total valuation: $/)() 2. Building fees (a) Pennit lee (use valuation table): $ (b) Investigative fee (equal to [2a]): $ (c) Reinspection ($ per hour): $ (number of hours x fee per hour) (d) Enter l2% surcharge (.12 x f2a+2b+2cJ): $ (e) Subtotal of fees above (23 through 2d): $ 3. Plan review fees - (a) Plan review (65% x permit fee [2a]): $ ,) 7'-. (b) Fire and lite safety (40% x pennit fce [2aD: $ (c) Subtotal of fees above (3a and 3b): $ 4. Miscellaneous fees (a) Seismic fee, ]% (.01 x pennil fee [2a]): $ TOTAL fees and surcharges (2e+3C+4a): $ 'Ib - R-~ willamalane t\# Park and Recreation District Job. No. (il;c)- <717 , NAME: S:Ht,j r....... /' I ADDRESS: I CJ;2 / t./. ;V. SYSTEM DEVELOPMENT CHARGE WORKSHEET July 1-December 31,2010 PHONE: 1)7'~-22jS;- STATEl:f.<-ZIP: 7';r77 CITY Sr'.h-.P LOCATION OF PROPOSED BUILDING SITE: Street Address: :2.2 J'v ~ t/L/c--' Plat Name: Tax Lot Number: 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the back.) A. SinQle-Family Detached NO. OF UNITS / X $.3,468 per unit = $ . :]Y4,F 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. Accessorv DwellinQ Unit NO. OF UNITS X $1 ,734 per unit = $ WILLAMALANE SDC $ 2. SDC CREDIT (If applicable) SDC payer must furnish proof of 6) Willamalane Credit approval.) $' 3. TOTAL WILLAMALANE NET SDC ASSESSED Jrr../ (if SDC reduced for Credit) $ ~ 7-. 27 i.) . I I Development Services' Department . Date g .\'0 ~Q City of Springfield . 5 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ", City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000840 Date: 07/27/2010 2:33:0\PM Job/Journal Number COM20 I 0-00997 LDP20] 0-00085 LDP2010-00085 Payments: Type of Payment Check cRcceintl Description Plan Review Residential LDAP Short Fonn + 5% Technology Fee Paid By SHELLEY REAL ESTATE AND BUILDERS ]NC 'i r' Amount Due 592,96 450,00 22,50 $\ ,065.46 ..., "i,' Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid djb $],065,46 2580 ]n Person Payment Total: $\ ,065.46 '::/;' ".\.; ," , " ., : j . ~', . -,::1; ), ''''''~'''~' ';! .;~'!~I' ,'-" Page I of I 7/27/2010 ,'.' . . ~ ~ . . . SP..~~H:"FIE~.~ . ~.cA'" },:,~ ,;i;~, OREGON CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726-3753 TRANSACTION RECEIPT COM2010-00997 2284'Ci;kaFVue''Ln' . www.cLspringfield.or.us permilcenter@ci.springfield.or.us DATE: 09/09/2010 '. ~M().UJlJ DlJ.g<,J $88.00 $211.00 $88.00 $332.39 $1,194.84 $28681 $1,169.81 $1,381.00 $93.43 $825.93 $101.97 $1,333.57 $22.63 $10.00 $239.52 $-30.00 $7.00 $75.00 $134.00 $3,468.00 $38.00 $1,058.77 $17.00 $27.00 $9.00 $13.00 $374.00 $111.40 $79.00 $11.14 -"-"'."'-'- $222.21 $98.89 $13,092.31 'AMoUNT PAID !.~ ~] RECEIPT NO: 2010000274 RECORD NbYiCOM20']'o':i)'o<j'97 LIig,sCRIPTloN;5"" "'iF-:?'TS, Yfi"'ifr:"0~ :"'e' ;_,,~iij;'2;;""' '.'9,"';<'" ih ,:,:,-,C:C.6_UN:r;;'C.QOE."';%';~ Curb Cut/Driveway 1 st Cut 201-00000-428060 Planning - Major Review 100-00000-425002 Sidewalk up thou9h 90 Feet 201-00000-428060 SDC: Reimbursement Cost - Storm Drainage 441-00000-448029 SDC: Improvement Cost - Storm Drainage 440-00000-448028 SDC: Reimbursement - Transportation SDC 446-00000.448026 !,DC: Improvement - Transportation SDC 447-00000-448027 SDC: Reimbursement Cost - Local Wastewater 442-00000-448024 SDC: Total Transportation Administration Fee ' ~.,:.':' 719-00000-426604 SDC: Improvement Cost - Local Wastewater 443-00000-448025 SDC:. Reimbursement Cost - MWMC Regional Wastewater SDC 444-00000-448024 SDC: Improvement Cost - MWMC Regional Wastewater SDC 445-00000-448025 SDC: Compliance Cost - MWMC Regional Wastewater SDC 444-00000-426607 SDC: Administrative Fee - MWMC Regional Wastewater SDC 611-00000-426604 SDC: Total Sewer Administration Fee 719-00000-426604 Multiple Permit Discount (Max 2) ".:;~ . _. ..' 291-00000-428060 Gas Piping up to 4 outlets 'r'."'';" :.:[,- .'/ '.' 224-00000-425604. \:::;~ -\M+l' . , Each added 500 sq. ft. or portion .",.",.., .,.....~,.. ,- 224-00000-426102 /fJ,\",}.,- . ,I ,I ,(. f ~ Residence wiring 1,000 sq. ft. or less .,:.; ,: 224-00000-426102 Willamalane fees. Single family detached 821-00000-215023 Address Assignment, each new or change 224-00000-425602 Struclitral Building Permit Fee 224-00000-425602 Heat pump 224-00000-425604 Sin9le-duct exhaust (bathrooms. toilet compartments, utility rooms) 224-00000-425604 Flue vent for water heater or gas fireplace 224-00000-425604 Range hood/other kitchen equipment 224-00000-425604 One or Two Family Dwelling with Two Bath . 224-00000-425603 Residential Fire (.05 Per Sq Foot) .100-00000-424005 First Appliance Fee 224-00000-425604 Admin fee (10% of applicable fees) 224-00000-426605 _..~~~.~- ---_.._"--------~,,~--^,--^-'-^--~- State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 Technolo~y fee (5% of permit total) 1()0-0~000-425605 TOTAL DUE: I' :PAYMEN-r:j';YP.~':;",~P~YQR~~;~;CASHII'R:.DBOWLSBY: . 'c:;QI'tIMENIl)'Y ; "":;'; Check 3734 t. . REGAL HOMES BY SHELLEY.,. ,_ . ,. $.;'~-\{ ',' r ~ !'S"J:~ ;1: '];.::. "'~""'l<r""-o ~ ",o'.:.r.o:. ::J:,~ir}:~ .:~t} r- $13,092.31 .. '. ',. ;;:":<. "J." $13,092.31