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Home My WebLink AboutPermit 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=~ ~~. ~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 . , , 5PL~N. .~IE:i ~..~ ~... :bf . ~,"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 $250.00 . ...;) -' ,''"'' .1., . i. , r~athi,~.~' r -..:oj-,,..," ,~ ., ,;';5" ..--..-- -. . -', . ',...- "'--,".._~ .,._....-~.... - ,~:,,\: f'- ~ _.,J. 'P ~',,[l.~;,,: ~,e ~~['-;.' ~', '1..Y~,.: ;:i,:'". . . ' ' SP!',N ~FIEL~ ~Jj=- ,~" ~ i~l~' ~',' ,OREGON CITY OF SPRINGFIELD 225. Fiflh 51 Springfield,OR 97477 541-726-3753 TRANSACTION RECEIPT 811-SPR2010-00196 563 S 48th ST permitcenler@ci.springfield.or,us www.ci.springfield.or.us RECEIPT NO: 2010000474 RECORD NO: 811-SPR2010-00196 t"D" E" S'C R IP"IOi"'N"P:,,,,{ic '"?''',$.~ "~'".. ",,,;: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 -I ,;'. J