HomeMy WebLinkAboutPermit Building 2010-10-4
.
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00196
IVR Number: 811191569194
www.ci.springfield.or.us
225 Fifth St
Springtield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541.726.3769
Fax: 541-726-3676
permitcenler@ci.springfield,or.us
PROJECT STATUS: Issued
ISSUED: 10/4/10
APPLIED: 9/1/10
EXPIRES: 4/2/2011
VALUE: $142,000.00
SITE ADDRESS: 563 48th S
ASSESOR'S PARCEL NO:
Springfield
1802051104200
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Single family residence - SAME AS 551 S 48th St
Phone Number:
OWNER:
ADDRESS:
HAYDEN HOMES LLC
2464 SW GLACIER PL STE 110
REDMOND OR 97756
CONTRACTOR INFORMATION ~
Contractor Type
Contractor Name
STUTZMAN SERVICES lNC
PACIFIC AIR COMFORT INC
HAYDEN ENTERPRISES INC
TOP NOTCH ELECTRIC INC
Lie Type
CCB
CCB
CCB
ELECTRICAL
lie No
31747
39237
92208
C220
Lie Exp Phone
05/12/2012 541-928-8942
03/25/2012 541-672-9510
07/29/2011 541-923-6607
07/01/2011 541-317-1998
BUILDING INFORMATION ~
# of Units:
# pf Stories:
I Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
No
o
1
17
Forced Air Gas
Electric
Electric
# of Bedrooms:
2
Sprinkled Building: No
Fire Alarms:
No Electrical Specialty Code Edition:'
_ . Springfield Fire Code Edition:
Path 2A Certified performcMechanical Specialty Code Edition:
Municipal I Deve~opment Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
Energy Path:
Site Infonnation
Engineered Fill:
Fill Volume:
Flood Hazard Area: No
Land Hazard Area: ATTENrij,ON: Oregon law requires you to
Retaining Wall: ' follow rll!l!s adopted by the Oregon Utility
Soils Report ReqJl&l!ificati4l\1 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 cen1er. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Lot Size:
Sq Ft 15t Floor:
Sq F12nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other:
Occupancy Load:
4800
1041
552
21
~
"'.. ''; :,"~'"~:~,:;.X,.,t;~;~';:;.J;M',
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK ','
AUTHORIZED UNDER THIS PERMIT IS NOT:
COMMENCED OR IS ABANDONED FOR";;,,,'
ANY 180 DAY PERIOD. ., .," ,.
Springfield Building Permit
10/4/2010 3:12:44PM
Page 1 of6
sp~~~G=~
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~OREGON
wwW.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00196
IVR Number: 811191569194
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenler@cLspringfield.or.us
PROJECT STATUS: Issued
ISSUED: 10/4/10
APPLIED: 9/1/10
EXPIRES: 4/2/2011
VALUE: $142.000.00
SITE ADDRESS: 563 48th S
ASSESOR'S PARCEL NO:
PROJECT DESCRIPTION:
Frontyard Setback: 10
Interior Setback: 5
Sideyard Setback: 15
Rearyard Setback: 18
Solar Setback: 0
Springfield
1802051104200
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
Single family residence - SAME AS 551 S 48th St
DEVELOPMENT INFORMA TION ~
REQUIRED PARKING
Overlay Dist:
# Street Trees Reqd: 2
Paved Drive Reqd: Yes
% of lot Coverage: 31.6
Highest point on structure to
north property line: 17.25
Total: 2
Handicapped:
Compact:
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Description
Springfield Building Permit
PUBLIC IMPROVEMENTS
~
Sidewalk Type:
Downspout/Drains:
~
Valuation Description
Tvpe of Construction
Unit Amount Unit Tvpe
Unit Cost
Value
10/4/2010 3:12:44PM
Page 2 af6
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00196
IVR Number: 811191569194
www.ci.springfield.or.us
PROJECT STATUS: Issued
ISSUED: 10/4/10
APPLIED: 9/1/10
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726.3769
Fax: 541-726-3676
permilcenter@ci.springfield.or.us
EXPIRES: 4/2/2011
VALUE: $142,000.00
SITE ADDRESS: 563 48th S
ASSESOR'S PARCEL NO:
Springfield
1802051104200
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Single family residence - SAME AS 551 S 48th St
~l
"~
tl:-,?{t~~~~~~_:::~,"tt~,},~-~~':...' ,:;,~:::~f~~~;.';,~/r,~"
DescriDtion
SDC: Reimbursement Cost v Storm Drainage
SDC: Improvement Cost - Storm Drainage
SDC: Reimbursement Cost - Local Wastewater
_~DC: Improvement Cost - Local Wastewater
sac: Total Sewer Administration Fee
SDC: Improvement - Transportation SDC
SDC: Reimbursement Cost - MVVTv1C Regional WastewatE
SDC: Improvement Cost - MWMC Region~1 Wastewater ~
SDC: Compliance Cost - MWMC Regional Wastewater SI
SDC: Administrative Fee - MWMC Regional Wastewater:
SDC: Total Transportation Administration Fee
SDC: Reimbursement - Transportation SDC
Technology fee (5% of permit total)
.':,Ianning - Major R,eview
~~ fee (10% of applicable fees)
Residential Fire (.05 Per Sq Foot)
Temp services 200 amps or less
Technology fee (5% of permit total)
Struct~ral Building Permit Fee
~ddress Assignment, each new or change
Willamalane fees - Single family detached
One or Two Family Dwelling with One Bath
Range hood/ot~er kitchen equipment
~ingl~-duct exhaust (bathrooms, toilet compartments, utili
First Appliance Fee
Residence wiring 1,000 sq. ft. or less,
.Each added 500 sq ft. or portion
Technology fee (5% of permit total)
State of Oregon Surchar,g:~.2%~~ppl~cab~e fees)
Curb CuUDriveway 1 st Cut
Sidewalk up though 90 Feet
Multiple Permit Discount (Max 2)
Same as Plan Review Submittal - Commercial
Total Amount Paid
.^_J:-::;:;':[E~~~3~Aip~;'~11~~::;:;:;~;;~t=\;::;~:~1.~~':~ _ '. ~~l;,: -~~~', -- -c~ :",,:;~_:_<+~,:
Amount Paid Date Paid ReceiDt #
$31760 10/04/2010 374484
$766.31 10/04/2010 374484
._-------,--------~~~--~~.~._- ---~------,------~---,,---
$1,372.58 10/04/2010 374484
~-_.
$738.82 10/04/2010 374484
$207.29 10/04/2010 374484
$1,383.63 10/04/2010 374484
$101.97 10/04/2010 374484
$1,333.57 10/04/2010 374484
$22.63 10/04/2010 374484
$10.00 10/04/2010 374484
$112.91 10/04/2010 374484
$356.96 .10/04/2010 374484
$730 10/04/2010 374484
$211.00 10/04/2010 374484
$8.07 10/04/2010 374484
$80.70 10/04/2010 374484
$63.00 10/04/2010 374484
$-7.30 10/04/2010 374484
$879.69 10/04/2010 374484
$38.00 10/04/2010 374484
--,---~-
$3,468.00 10/04/2010 374484
-~~-~~
$236.00 10/04/2010 374484
$13.00 10/04/2010 374484
$27.00 10/04/2010 374484
$79.00 10/04/2010 374484
$134.00 10/04/2010 374484
$50.00 10/04/2010 374484
$76.08 10/04/2010 374484
,-",----------
$178.04 10/04/2010 374484
$88.00 10/04/2010 374484
$88.00 10/04/2010 374484
$-30.00 10/04/2010 374484
$250.00 09/01/2010 299393
$12,663,85
Springfield Building Permit
10/4/2010 3:12:44PM
Page 3 of6
S~A~;. ~=...L~.O'
a~~
?,,~~, OREGON
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00196
IVR Number: 811191569194
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permilcenter@cLspringfield.or.us
PROJECT STATUS: Issued
ISSUED: 10/4/10
APPLIED: 9/1/10
EXPIRES: 4/2/2011
VALUE: $142,000.00
SITE ADDRESS: 563 48th S
ASSESOR'S PARCEL NO:
PROJECT DESCRIPTION:
Deoartment
Structural Review
Permi11ssuance
Planning Review
Application Acceptance
Initial Review
Structural Review
Public Works Review
Springfield Building Permit
Springfield
1802051104200
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
Single family residence - SAME AS 551 S 48th St
Received
09/29/2010
10/0412010
09/15/2010
09/13/2010
09/13/2010
09/2912010
09/22/2010
Due Date
09/13/2010
09/29/2010
09/13/2010
09/01/2010
09/13/2010
09/13/2010
09/13/2010
ComDlete
09/13/2010
09/29/2010
09/13/2010
09/01/2010
09/13/2010
09/13/2010
09/13/2010
Result
Review
Issued
Approved
Application Accepted
Approved
Approved
Approved
10/412010 3:12:44PM
Reviewer
Chris Carpenter
David Bowlsby
Deyette Kelly
David Bowlsby
David Bowlsby
Chris Carpenter
Kaye Wilson
Comments
Front Elevations are site spel
Received 9-15-2010 Storm 'Iv
Page 4 of 6
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00196
IVR Number: 811191569194
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
s!'~.~..~.~.~~.~
.~.!fI
~"', .>;'~ OREGON
, permitcenter@ci.springfield.or,us
PROJECT STATUS: Issued
ISSUED: 10/4/10
APPLIED: 9/1/10
EXPIRES: 4/2/2011
VALUE: $142,000.00
SITE ADDRESS: 563 48th S
ASSESOR'S PARCEL NO:
Springfield
1802051104200
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Single family residence. SAME AS 551 S 48th St
INSPECTIONS REQUIRED I
Inspections
1020 Zoning/setbacks
1090 Street Trees
1110 Footing
1120 Foundation
1160 UFER Ground
1220 Underfloor framing
1260 Framing
1370 Masonry Veneer
1410 Underfloor insulation
1420 Insulation Vapor Barrier
1430 Insulation Wall
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
2995 Final Gas
2999 Final Mechanical
3130 Footing/Foundation Drains
3170 Underfloor Plumbing
3200 Sanitary Sewer
3315 Water Line
3400 Storm Sewer
Springfield Building Permit
10/4/2010 3:12:44PM
Page 5of6
. , ,
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~,"S"'OREGON
www.cLspringfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00196
IVR Number: 811191569194
225 Fifth St
Springfield,OR 97477
Phone: 541-716-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permilcenter@ci.springfield.or.us
PROJECT STATUS: Issued
ISSUED: 10/4/10
APPLIED: 9/1/10
EXPIRES: 4/2/2011
VALUE: $142,000.00
SITE ADDRESS: 563 48th S
ASSESOR'S PARCEL NO:
Springfield
1802051104200
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Single family residence - SAME AS 551 S 48th SI
3500 Rough Plumbing
3999 Final Plumbing
4000 Temporary Power Service
4225 Service or Feeder
4500 Rough Electrical
4999 Final Electrical
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the
Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO
OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further
certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I fLlrther agree
to ensure that all required inspections are requested at the proper time, that each address is readable from the stree',:, that the
permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during
construction.
--
,
/C'-?/- /0
. <
Owner or Contractor Signature
Date
Springfield Building Permit
10f4/2010 3:12:44PM
Page 6 016
225 Fifth Street+Springfield, OR 97477 +PH(541)726-3753+ FAX(541)726-3689
SPRINGFIELD :::'~.ir'4!;l;
i~~~i::~;;~~
8E~ARJ~~Nft~w.m~i~~5~R~~
Permit no.: <31 0 - / "10,
Electrical Permit Application
Date:
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 <lays.
City:
Phone:
E-mail:.
CCB license no.:
ZIP:
~~~~& 1!%1N~t~0Wt~~~W&tfjf[h~~~~g~1;~fi$~Hg.Q.LJ~~~k~~~~~:~~~{1ji.it~
l(rN'tR\lg~~;~lb)r~jt}.';J~-r~~~~J;,tt4~g~~i1~~~{;:.~~iF~wl~~~~ W~@OS~~~l ~if,ot_a'Oi
1:\' ,urn eq,Q ':mspectlonsJPeliatcm!(~),:g1::f\" ty~\ ":&""".''l!'''''''~ :~' ",....,~).;~l'
ftI;~{j:~; li_~1:~!'.;:~~iF,,~::,~;.;~'i'j;;e;::0.{~:mI!!:?\l;.r."5'~~""'~~'':'1~;;' ~~,~:;l'ii{ ~;,,>..\,,;{;: 1,n;~@!G-~ :i v".: CO_~Jlj?,~
al Residential, per unit, service included:
.!i:;f:~~'l 1,000 sq. ft. or less (4) I $134.00 $ (J4
Each additional 500 sq. ft.. or portion t2- $ 25.00 $ [0
thereof .
f Limited energy (2) $ 32.00 $
Each manufactured home or modular $ 63.00 $
3F:~~1~) dwelling service or feeder (2)
yj Services or feeders: installation, alteration, re'/oeotion
200 amps or less (2) $ 61.00 $
"t~~:\~;~~t~ 201 to 400 amps (2) $ 95.00 $
401 to 600 amps (2) $158.00 $
601 to I ,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 $ '~3
201 to 400 amps (2) $ 67.00 $
R
401 to 600 amps (2) $126.00 $
Over 600 amps or 1,000 volts, see services or feeders section above
Wfj$~;::~' Branch circuits: new, alteration, extension per pane!
a. Fee for branch circuits with purchase ofa service or feeder fee:
Each branch circuit $ 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 irrigation circle (2) $ 63.00 $
(w Each sign or outline lighting (2) $ 63.00 $
Signal circuit or a limited-energy panel, $ 63.00 $
-alteration, or extension (2)
^ . Each additional inspection: (1) $56.00 $
,'1j\ ".~,>,,~,. "."~f:'>''fl\tl:''"'"m<:''l~..t.i~,~, ~\-""'~""" --"i""" ;~""i"'."""'"''''/'''''''''r~l'l~''it''' "''Pf;;.lJ'-.-'"''
~'t;~,~;Wii':~1:~;k~lJf:.;&i~;V~~gRI$J.~~~NiF~;J.tS.Ei~~1~i~;~fu.:&;i1ij1t~~~
(A) Enter subtotal of above fees
~ (Minimum Pcrmit Fcc $58.00) $ 2'17
(B) Enter 12% surcharge (.12 x [An $ 27".;'L
(e) Technology Fee (5% of [An $ 11. ?5
TOT AL fccs and surcharges (A through C): $ '2-~ ~~
f~~4~r}if~~~[}1fiJK.OP'P';~~~;~G~~t~i;~F{~rM:g.~!T~?~Jt~,.f{Q~:A~~~~~~t1~
Zoning approval verified? 0 Yes 0 No
~~~~~'!t~~~r~~~]_I;-crQBM!GJ1~fQQf'I~mj{lJ~m!O}~;tBY$~]'~1
o Residential 0 Government 0 Commerci
i2'titc;i~il~IJ(jB'l!SIif:E~.IJ}if..Q8MA;tl!'5N}rl\tiJ():gL!Ol'i'Al)I(jl\lJr~}
Job site address: 5 f +^
City: 5 r I State: ~ ZIP: "f7'l?
Subdivision: W,,~ -LN' Lot no.: 1/
~~;~if:~1ll'~~t~tmtJ~S.'Gf{lJ?illj'ot~lf!EiE.~W])~~K~\l~?{~~~~~~L~~
no.<< w,'tt..
ik~~1?lwf7~~~kW~~J~t~l~R_~Q"F,{~_B:lR(,~KG,WN~_Bj_#;~gt4H:it~~~~f~~~~
Name:
Address:
City:
Phone:
E-mail:
This installation is being made on residential or farm property
owned by me or a member of my immediate family. This
property is not intended for sale, exchange, lease, or rent. OA
479.540(1) and 479.560(1).
ZIP:'f~
Signature:
~i&'%lTti!EN:%~iC::QNjTj8'i.\~t:0.&~lriI$millII~J;lil1IO:Njf~."j;.1:ij;[}~Y,ii
Business name: .... tie" (.I."", (
Address:
~X~1
iO/
Signature of signing supervisor:
t \C1\l~ [\
~OB1C\ ~~
~~ lO\l---
EA\ . ~\1. V:~av
Signing supervisor's license no.:
Print name of signing supervisor:
440-2584-J (9108/COM)
5p1Y"1t::' As
Stru\
~25 FifLh Sueel t Springfield, OR 97477 t PH(541)726<~753 t FA...X(541)726-3689
5S1 S ~"~
5P"'''G'''EL""
DEP/\RTMENT USE ONLY
>iRZmO-OO I 'b
r'emlll no.:
!
i
~j!
Dote c:;- /0'/0
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issu3nce or if work is
suspended for] 80 days.
LOCAL GOVERNMENTAPPROVAL
...-. - . -"',
This project has flnallal1d-use approval.
Signature:
\ This project has DEQ approval.
Signature:
I
Dale:
Date:
ZOlling approval verified: 0 Yes 0 No
Proper!)! is '",,'ithi:l fleod plain: DYes 0 No
OFiCONSJRUC:f10N.....
o Commercial'
o Govemment
JOB. SITE IN~bRM'ATlb'NAN[)L6cATf6N.\
Reference:
ZIP 97'f7?-
If
1.(200
Name:
Address:
.\......{ .
State: 00.
Fax:
City:
,.
l<..C-
Phoile: Y-!/ -~ ~ /c: ~~
E-mail:
This installation is being made on residential or farm property owned by
me or 3. member afmy immediate family, and is exempt from licensing
requirements under ORS 70 \.010.
Sign here:
. LATION.'
;-10,
Address:
./4rC r
State: OKe
City:
Phone: 5'/1 -
E-mail.
CCB license no.:
Print name:
Signature:
! -iSU.~_CON;i:R~C:t(jRfNWQRMAi'(QN('.i :.-f":,,-,::,:;,,,:.
" Name CCB License Number Phone Number
Electric,",l J 7J,,&/n
Plumbing 3/ 7'i7
Mechanical 3'1J. 37
FEE SCHEDULE'
i :.V n lii.a.tiop-'iI) farm a tiO.I;
(a) Job descriplion: t-"
Occupancy ~ ) &A
Construclion r;,'pe: Va
Square feet loti f 'If 0
Cost per square foot.
Other information-
Type ofHe3t:
.. '
Energy P:Hh: ()./J
[XI new D alteration
(b) Foundation-only permit?
Total valuation:
!f!BlitiiljtiliNe,s.
(a) Permit fee (use valuation table):
(b) Investigative fee (equal to f2a)):
(c) Reinspection ($ per hour):
(number cfhours x fee per hour)
D addition
DYes ,Q-No
$
s
Cd) Enter 12% surcharge (.]2 x [2a+2b+2c]):
(e) Subtotal of fees above (2a through 2d):
C"
(a) Plan review (65% x permit fee [2a)):
(h) Fire and life safety (40% x permit fee [2aD:
(c) Subtotal of fees 3bove (33 and 3b):
4.JMJ.scellaneous fees r," ..
(a) Seismic fee, 1% (.01 x permit fee [2a)):
$
TOTAL fees and surcharges (2e+3c+4a): $
www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR2Q10-00196
'.:."_':-' . : 1,: ,~: \....'
563 ,,s48thST ..'
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
541-726-3753
permitcenler@ci,springfield.or.us
RECEIPT NO: 2010000202
RECORD NO::SI I-SPR20IO-00196
DATE: 09/01/2010
!O"-ES' 'c' R I"TIO'N-~" ., "'."",";~P-'i'" , . "'l!?0?i"," - 'f<~"uiX''''+;.. '''F'A''C' C'O'''U'''N''T'.'C'O'OE' ,;''';:#ll'-V"d'A' M'O'U' NT 0 U' E"'" ;,,,,,,.,,,::;--~..
~_li;.:;: _ -- _ -~''l:''';r", ;'. ,,;.~~v_'~ 0'C;0i'i;ii""-. Ww ! 1:.., ~;;\j-"F'M;""*W:;", '!'-.~'i>w,S;,.;;.k";;. .:_ .._ ._, ~ U._ _. __ '~'f';::;'''',0-';..::_~_~_. :' ,'\;;l,~;:""'Y"'Y"f
_ _- J
Same as Plan Review Submittal- Commercial 100-00000-425602 $250.00
TOTAL OUE: $250.00
tE.PAYIIIIENf:T;YPE~S;:;':iPAY;OR'!f4;;;C(\SHI~6BOVvC~.BX~;\:;GQMM_~NTS~:2f-~L ;'>,-,;-r";-''-5-1;l;;.1:'0'.' 'AMOUNfOF'AIO", : --, .{![;. lz,J
Credit Card
068892
HAYDEN ENTERPRISES INC
$250.00
$250.00
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CITY OF SPRINGFIELD
225. Fiflh 51
Springfield,OR 97477
541-726-3753
TRANSACTION RECEIPT
811-SPR2010-00196
563 S 48th ST
permitcenler@ci.springfield.or,us
www.ci.springfield.or.us
RECEIPT NO: 2010000474 RECORD NO: 811-SPR2010-00196
t"D" E" S'C R IP"IOi"'N"P:,,,,{ic '"?''',$.~ "~'".. ",,,;:c ,,".,'": :-'," ~'-'-' ":""';lA"C'CO'U" - .;-..
t!:!S..___ 'Ii .'. ~"';z''@ ,r,,"A~:'-'~"'"-';'i '"" >'S ?5,~".'~", ,"'''' ~'~''''''Gr":",.__~___:",,,,_'_~T.LG_OJ~,~
DATE: 1 0/04/201 0
t0S,~!): ~rZ;+;~~~\.A:M6uNt.[fUE~'>~;~_~_'_
~~'_"__'__~_..-k
$317.60
$766.31
$1,372.58
"'--
$738.82
$207.29
$1,383.63
$10'1.97
-,--".,--~---,'--,~
$1,333.57
$22.63
$10.00
$112.91
$356.96
$7.30
$211.00
$8.07
$80.70
$63.00
$-7.30
$879.69
224-00000-425602 $38.00
'_W'_'__"'~"_'_"""""""_'__
821-00000-215023 $3,468.00
224-00000-425603 $238.00
224-00000-425604 $13.00'
224-00000-425604 $27.00
224-00000-425604 $79.00
224-00000-4261 02 $134.00
___"m'_____',~,~
224-00000-426102 $50.00
~",-~"--
100-00000-425605 $76.08
821-00000-215004 $178.04
201-00000-428060 $88.00
201-00000-428060 $88.00
201-00000-428060 $-30.00
TOTAL DUE: $12,413.85
i1tPAYMENT:;rY'PE:-#;j$C;;~iPAYORi/'c"AsHIER:;D~SBY-,,:[. CbMr[E~JS;;;;; ';:;d-", '~ir,,: 'il'~SAMbUNTPI\IDli< ;,{:,;;
SDC:
SOC:
SOC:
441-00000-448029
440-00000-448028
442-00000-448024
--
443-00000-448025
....---~~-"
719-00000-426604
447-00000-448027-
444-00000-448024
445-00000-448025
444-00000-426607
611-00000-426604
719-00000-426604
446-00000-448026
100-00000-425605
100-00000-425002
224-00000-426605
100-00000-424005
224-00000-426102
100-00000-425605
Reimbursement Cost - Storm Drainage
Improvement Cost - Storm Drainage
Reimbursement Cost - Local Wastewater
SDC:.!!:!2erovement Cost - Local W~?te~ater
SDC: Total Sewer Administration Fee
SOC: Improvement - Transportati9.n SOC
~[)C:..Reimbursement Cost - MWMC Regional Wast~~a!er SOC
SOC: Improvement Cost - MWMC Regional Wastewater SOC
sac: Compliance Cost - MWMC Regional Wastewater sac
SOC: Administrative Fee - MWMC Regional Wastewater SOC
sac: Total Tra.nsport?tj~n Administration Fee
SDC: Reimbursem~D~'::,_"!"!!lnsportation SDC
Techno~~"y fee (5:0 of permit total)
Planning - Major Review
!"jmin fee (10% of aEplicable fees)
.Residential Fire LQ5 Per Sq Foot)
Temp service~~?~9 amps or less
Technolog1.fee (5% of permit totalL,"
Structural BuildinQ Permit Fee
Address Assignment, each new or~chanSle
Willamalane fees - Sjn~~e family detached
One or Two Family Dwelling with One Bath
RanQ~ hood/other kitchen equipment
Single-duct exhaust (bathrooms, toilet compartments, utility roomsL~
First Appliance. Fee
Residence wiring 1 ,000 s3~ ft. or less
~h added 500 sq. ft .?-r portion
Tec~n~l~gy' fee (5%.!?!.p-,rm~!otal)
State of Oregon S~!char~~J~?% of~~2plicable feews)
cu~~_g_~t1Driveway 1st C~_.~~__~""__,,_._
~dewalk up tho,,9h 90 Feet
Multiple Permit Discount (Max 2)
Check
29451
HA YOEN HOMES LLC
$12,413.85
$12,413.85
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