HomeMy WebLinkAboutPermit Building 2010-10-19
5PI.lIN..G.FIEL~
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.-
, Iti<r
.~<,- OREGON
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: COM2010-00530
IVR Number: 811000053714
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci.springfiefd.or.us
PROJECT STATUS: Issued
STATUS DATE: 10/19/2010
ISSUED: 10/19/2010
APPLIED: 4/29/10
EXPIRES: 4/17/2011
VALUE: $176,743.50
PROJECT DESCRIPTION:
SCOPE: SFD
WORK INVOLVED: NEW
TYPE OF STRUCTURE: RES
Single family residence. SAME AS COM2009-01469
SITE ADDRESS: 1197 41ST ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1802064111200
OWNER:
ADDRESS:
BRUCE WIECHERT CUSTOM HOMES INC
3073 SKYVIEW LN
EUGENE OR 97405
Phone Number: 541-606-5050
Contractor Type
General Contractor
Contractor Name
BRUCE WIECHERT CUSTOM HOMES INC
l & E ELECTRIC INC
COMFORT FLOW HEATING CO
STEVEN R JOHNSON
CONTRACTOR INFORMATION
Electrical
Mechanical Contractor
Plumbing Contractor
Lic Type
CCB
ELECTRICAL
CCB
CCB
BUILDING INFORMATION ~
# of Units:
Occupancy Type
Construction Type
Occupancy Type
# of Bedrooms:
3
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
1
17.00
FG
G
G
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other:
Occupancy Load:
6111
1650
1
R3 Residential
Type VB
U Utility & Miscelllaneous
Structures
Type VB
450
Construction Type
Sprinkled Building:
Fire Alarms:
Energy Path:
001A
Electrical Specialty Code Edition:
Springfield Fire Code Edition:
Mechanical Specialty Code Edition:
Municipal I Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
Site Information
,
Springfield Building Permit
10/19/201 8:02:22AM
Page 1 of4
www.ci.springfleld.or.us
CITY OF SPRiNGFIELD
Building I Residential Permit
PERMIT NO: COM2010-00530
IVR Number: 811000053714
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenler@ci.springfield.or.us
PROJECT STATUS: Issued
STATUS DATE: 10/19/2010
ISSUED: 10/19/2010
APPLIED: 4/29/10
EXPIRES: 4/17/2011
VALUE: $176,743.50
SITE ADDRESS: 1197 41ST ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1802064111200
SCOPE: SFD
WORK INVOLVED: NEW
TYPE OF STRUCTURE: RES
Single family residence - SAME AS COM2009-01469
PROJECT DESCRIPTION:
DEVELOPMENT INFORMATION ~
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
18.00
10.00
10.00
15.79
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure to
north property line:
REQUIRED PARKING
4
Yes
34.30
Total: 2
Handicapped:
Compact:
0.00
PUBLIC IMPROVEMENTS ~
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Stormwater to curb and gutter
FI
CG
Sidewalk Type: C5
Yes'
DownspouUDrains:
Valuation Description ~
Descrietion
R-3 1 & 2 family
U Utility, misc.
Tvee of Construction
VB
VB
Unit Amount Unit Tvoe
1,650.00 Sq Ft
450.00 Sq Ft
Unit Cost
96.83
37.72
Value
159,769.50
16,974.00
176,743.50
Springfield Building Permit
10/19/201 8:02:22AM
Page 2 of 4
SrRINGFIE.~
Iii?
')~'GO'"
www.ci.springfield.or.us
CITY OF SPRINGFIELD
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
Building I Residential Permit
PERMIT NO: COM2010-00530
IVR Number: 811000053714
permitcenter@ci.springfield.or.us
PROJECT STATUS: Issued
STATUS DATE: 10/19/2010
ISSUED: 10/19/2010
APPLIED: 4/29/10
EXPIRES: 4/17/2011
VALUE: $176.743.50
SCOPE: SFD
WORK INVOLVED: NEW
TYPE OF STRUCTURE: RES
Single family residence - SAME AS COM2009-01469
SITE ADDRESS: 1197 41ST ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1802064111200
PROJECT DESCRIPTION:
Descriotion
Plan Review Same As
Building Permit
SDC MWMC Reimbursement
Residence Wiring Ea Addtl 500
2 Baths One or Two Family
Fireplace (Listed)
Vent Fan
Appliance Vent
Exhaust Hoods
Gas Outlets 1-4
Willamalane Single Family
+ 12% State Surcharge
PW Disc - 2nd Permit
SDC Transportation Admin
Curbcut Permit
SDC Storm - Reimbursement
SDC Storm - Improvement
Credit- SDC Storm Improv
Credit- SDC Storm Reimb
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Sanitary Sewer - Improvement
SDC MWMC Improvement
SDC MWMC Administration
Plan Review Major - Planning
+ 5% Technology Fee
Fire SF Fee - Residential
Residence Wiring 1000 Sq Ft
1 st Appliance
Dryer Vent
Addressing Assignment
~DC MWMC Compliance Charge
Sidewalk Permit
SDC Transpo Reimbursement
SDC Transpo Improvement
Temp Power 200 amps or less
Springfield Building Permit
Total Amount Paid
Amount Paid
$250.00
$1,022.14
$101.97
$75.00
$337.00
$20.00
$27.00
$9.00
$13.00
$7.00
$2,656.00
$215.42
$-30.00
$91.47
$66.00
$126.95
$696.31
$-696.31
$-126.95
$666.64
$104.12
$507.07
$1,333.57
$10.00
$211.00
$107.61
$105.00
$134.00
$79.00
$9.00
$36.00
$22.63
$66.00
$211.21
$931.65
$63.00
$9,706.70
ReceiDt #
13838
374635
374635
374635.
374635
374635
374635
374635
374635
374635
374635
374635
374635
374635
374635
374635
374635
374635
374635
374635
374635
374635
374635
374635
374635
374635
374635
374635
374635
374635
374635
374635
374635
374635
374635
374635
Date Pa id
04/29/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/19/201 8:02:22AM
Page 3 of 4
SP.RING FIE~
.~
. ~ &';-
. .. ..11\ ,,' OREGON
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: COM2010-00530
IVR Number: 811000053714
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
STATUS DATE: 10/19/2010
ISSUED: 10/19/2010
APPLIED: 4129110
EXPIRES: 4/17/2011
VALUE: $176.743.50
F)';
';l.
,; ~11" ;-.:
SCOPE: SFD
WORK INVOLVED: NEW
TYPE OF STRUCTURE: RES
Single family residence. SAME AS COM2009.01469
, . " . --+,;;:. r,,'p', R ,~~~
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SITE ADDRESS: 1197 41ST ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1802064111200
PROJECT DESCRIPTION:
Deoartment
Structural Review
Received
08/09/2010
Due Date
08/09/2010
Com Dieted
08/09/2010
Result
Over the Counter
Reviewer
Chris Carpenter
Comments: Over the counter permit
Public Works Review 08/09/2010 08/09/2010 08/09/2010 Over the Counter
Comments: Over the counter permit
Planning Review 08/09/2010 08/09/2010 08/09/2010 Over the Counter
Comments: Over the counter permit
Initial Review 08/09/2010 08/09/2010 08/09/2010 Over the Counter
Comments: Over the counter permit
Permit Issuance 08/09/2010 08/09/2010 10/19/2010 Issued
Comments:
Structural Review 05/05/2010 APP
Comments: As noted on plans
Public Works Review 05/10/2010 APP
Chris Carpenter
Chris Carpenter
Chris Carpenter
Lisa Hopper
Comments: Stormwater to curb and gutter. Driveway approach variance A.
Planning Review 05/1112010 APP
Comments: Required street trees as shown on street tree plan attached to permit: species as shown. 2" caliper, leave name tag on
until approved.
Initial Review
Comments:
Application Acceptance
Comments: see workflow history
05/04/2010
APP
08/09/2010 08/09/2010
Over the Counter
Chris Carpenter
INSPECTIONS REQUIRED ~
Inspections
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 withoul permission of the Community Services Division, Building. Safety. I further
certify thai 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 fronl of Ihe properly, and the approved set of plans will remain on the site at all times during
construction.
Owner or Contractor Signature
Date
Springfield Building Permit
10/19/201 8:02:22AM
Page 4 of 4
CITY OF SPRINGFIELD
Building I Permit
PERMIT NO:
IVR Number:
www.ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
225 Fifth 51
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci,springfield.or.us
EXPIRES:
VALUE:
SITE ADDRESS:
ASSESOR'S PARCEL NO:
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
PROJECT DESCRIPTION:
Phone Number: 541-606-5050
OWNER:
ADDRESS:
BRUCE WIECHERT CUSTOM HOMES INC
3073 SKYVIEW LN
EUGENE OR 97405
CONTRACTOR INFORMATION
Contractor Type
General Contractor
Electrical
Mechanical Contractor
Plumbing Contractor
Contractor Name
BRUCE WIECHERT CUSTOM HOMES INC
L & E ELECTRIC INC
STEVEN R JOHNSON
Lic Type
CCB
ELECTRICAL
CCB
CCB
BUILDING INFORMATION I.
COMFORT FLOW HEATING CO
# of Units:
# of Stories:
Height of Structure:
1
17.00
FG
G
G
Type of Heaf:
Water Type:
Range Type:
# of Bedrooms:
Hazmat:
3
Sprinkled Building:
..~
1
Fire Alarms: Electrical Specialty Code Edition:
E p th Springfield Fire Code Edition:
nergy a : 001A Mechanical Specialty Code Edition:
\ w requireS 'IOU t~lII!unicipal f Development Code:
ATTENTION: Orego; bathe Oregon Utlh'p;lumbing Specialty Code Edition:
follOW rules adopte Th.fse rules are Set!OR!Sidential Specialty Code Edition:
Notification Center. through OAR 952-0%tllJctural Specialty Code Edition:
. OAR 952-001-0010 ^ . ,os oj the rules b'j
~nan You may obtam,,~~;~:' the telephOne .
. calling the ~;'''o;:e~~n Utility NOtll,vu"DEVELOPMENTINFORMATION 1
number for e 1_800-332-2344)-.
Center IS
Frontyard Setback: 18.00 Overlay Dist:
Interior Setback: 10.00 # Street Trees Reqd: 4
Sideyard Setback: 10.00 Paved Drive Reqd: Yes
Rearyard Setback: 15.79 % of Lot Coverage: 34.30
Solar Setback: Highest.point on structure to
north property line: 0.00
Springfield Building Permit
10/18/201 1:41:Q1PM
,
Lie No Lie Exp Phone
101717 09/16/2012 541-686-9458
20-383C 07/01/2011 541-933-2598
460 06/27/2011 541-726-0100
65065 03/12/2lA12 541-342-3765
lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq FI Other:
Occupancy Load:
6111
1650
450
[vDnCE:
THIS PERMIT SHALL EXPIRE IF THE WORK
f.UTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Page 1 of 4
.,
www.cLsprlngfield.or.us
PROJECT STATUS:
STATUS DATE:
CITY OF SPRINGFIELD
Building I Permit
PERMIT NO:
IVR Number:
ISSUED:
APPLIED:
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@cLspringfield.or.us
EXPIRES:
VALUE:
SITE ADDRESS:
ASSESOR'S PARCEL NO:
PROJECT DESCRIPTION:
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Stormwater to curb and gutter
FI
CG
Yes
Springfield Building Permit
PUBLIC IMPROVEMENTS ~
10/18/201 1:41:01PM
Sidewalk Type: C5
Downspout/Drains:
Page 2 of 4
CITY OF SPRINGFIELD
Building I Permit
PERMIT NO:
IVR Number:
www.ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenler@cLspringfield.or.us
EXPIRES:
VALUE:
SITE ADDRESS:
ASSESOR'S PARCEL NO:
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
PROJECT DESCRIPTION:
t:t':~.-~~;s:;::~.._:.;~.~"';, -:.....-:"'L:,:,:;, ~t~;~':::::~\j~.~.,,~t.:;;,.::ft;:;::~.FI;_~~.:N~J9~~;;~~~~:,.;.-~T-,~'?;~-~:::,':;;:~Y:::.,,~.~~~;'-~~-<::~3
DescriDtion
Plan Review Same As
--'--
Building Permit
SDC MWMC Reimbursement
Residence Wirin9 Ea Addtl 500
2 Baths One or Two Family
Fireplace (Listed)
Vent Fan
. Appliance Vent
Exhaust Hoods
Gas Outlets 1-4
Willamalane Single Family
+ 12% State Surcha~ge
PW Disc - 2nd Permit
SDC Transportation Admin
Curbcut Permit
SDC Storm - Reimbursement
SDC Storm - Improvement
Credit- SDC Storm Improv
Credit- SDC Storm Reimb
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Sanitart?ewer - Improvement
SDC MWMC Improvement
SDC MWMC Administration
Plan Review Major - Planning
+ 5% Technology Fee
Fire SF Fee - Residential
Residence Wiring 1000 Sq Ft
1 st Appliance
Dryer Vent
Addressing Assignment
SDC MWMC Compliance Charge
Sidewalk Permit
SDC Transpo Reimbursement
SDC Transpo Improvement
Temp Power 200 amps or Jess
Amount Paid
$250.00
-,._-
$1,022.14
$101.97
$75.00
$337.00
$20.00
$27.00
$9.00
$13.00
. $7.00
$2,858.00
$215.42
$-30.00
$91.47
$88.00
$126.95
$896.31
$-896.31
$.126.95
$666.84
$104.12
$507.07
$1,333.57
$10.00
$211.00
$107.61
$105.00
$134.00
$79.00
$9.00
$38.00
$22.63
$88.00
$211.21
$931.65
$63.00
$9,706.70
Date Pa id
04/29/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
_~_....-22:'18/201 0
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
10/18/2010
ReceiDt #
13838
374635
374635
374635
374635
374635
374635
374635
374635
374635
374635
374635
374635
374635
374635
374635
374635
374635
374635
374635
374635
374635
374635
374635
374635
0_~_
374635
374635
374635
374635
374635
374635
374635
374635
374635
374635
374635
Total Amount Paid
Springfield Building Permit
10/181201 1:41:01PM
Page 3 of 4
SP~~N~... FI~~.D
~(~
'0!0':'~ 'OREGON
CITY OF SPRINGFIELD
Building I Permit
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
www.cLspringfield.or.us
PERMIT NO:
IVR Number:
pe rmitce nter@ci.springfield,or,us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
EXPIRES:
VALUE:
SITE ADDRESS:
ASSESOR'S PARCEL NO:
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
PROJECT DESCRIPTION:
r~~.,~:,,~~,r..','.-:';:l: "'"~;G:~~;-~~'::,~~Z~':~[~:,~~t:~:1"i:pY~:B~~i'~.w~~;'~'Z.;':::.~:7';7'E: nri:~::~il:~={4.;:::':_""'f
,.
. .
~~iZ~_:
-c-,.",;:]
DeDartment Received Due Date ComDleted Result
Public Works Review 08/09/2010 08/09/2010 08/09/2010 Over the Counter
Comments: Over the counter permit
Planning Review 08/09/2010 08/09/2010 08/09/2010 Over the Counter
Comments:. Over the counter permit
Initial Review 08/09/2010 08/09/2010 08/09/2010 Over the Counter
Reviewer
Chris Carpenter
Chris Carpenter
Chris Carpenter
Comments: Over the counter permit
Structural Review 08/09/2010 08/09/2010' 08/09/2010 Over the 'Counter Chris Carpenter
Comments: Over the counter permit
Structural Review 05/05/2010 APP
Comments: As noted on plans
Public Works Review 05/10/2010 APP
Comments: Stormwater to curb and gutter. Driveway approach variance A.
Planning Review 05/11/2010 APP
Comments: Required street trees as shown on street tree plan attached to permit; species as shown. 2" caliper, leave name tag on
until approved.
Initial Review
Comments:
Application Acceptance
Comments: see workflow history
05/04/2010
APP
08/09/2010 08/09/2010
Over the Counter
Chris Carpenter
INSPECTIONS REQUIRED I
Inspections
By signature, I state and agree, that I have carefuffy 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 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 approve of plans will remain on the site at all times during
cons tion.
fa!rg 110
~ /
Da
Springfield Building Permit
10/18/201 1:41:01PM
Page 4 of 4
Electrical Permit Application
CITY OF SPRINGFIELD, OREGON
225 Fifth Street. Springfield, OR 97477+PH(541)726-3753HAX(541)726-3689
'. ,- .,~.,.' . ,. , ., ,,' ''':'" -. " ., -" .) ~ ' "':
DEP.A~TMENt USE ONLY..
Permit no.((O - CO <;'" S a
,;'.
Date: /0'( r~ /U
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 days.
. -t:OCAVGOVERNMENT AP.RRO\lA~;'"
Zoning approval verified? D Ves D No
, ,.CATEGORY,tOFCONST!WCTION',;'?
D Residential D Government D Commercial
~f~~~!~;:';J_0I3ESITE:;INFORIlliATIONrANJj!41l0CATION~,ii"i.i':i;
. Job site address: /l q 7 .~. iff ,.. .. '
City: 5 +- \ cL ZIP: q 7'/7 g
. ;,.:~,:~ '-'x .(~
Reference:
'1' OERTY, 0 filER'
Name: C,'/"IIU Wi eJ-.e.A CvS.ft>",
Address: 307 :s '3)t. ) F-J
City: .( u v-<-- ZIP: "17'/0 ')
Phone:SVI-bab Of 51? Fax: GV/-'SYf ~3b 7.-
E-mail: w.ec-h~~1-kotK5eCo~C-...st.IV~t-
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. OAR
479.540(1) and 479.560(1),
Signature:
Business name:
Address:
City; S
Phone:,~I -5Z1 - 4r'1 (S
E-mail:
CCB license no.: OS" 4 7S-
Signing supervisor's license no.:
Print name of signing supervisor:
Signature of signing supervisor:
BCD license no.: ::s
'-117 'i-s;'
f:;'C O""o"vo-
I
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3C-
w~,
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~~~
~~
440.2584-J (9/08/COM)
}.:~T.:;F:I::~J;)~;~~i!,~h;WWg,2:. <?'~ I5E-E'~;~S'CHE.O_l.Jte':~::,q;~:t.Vijli~~1(;~~~N~~~'s)~~;i~t~,~~;~
NU~beroiinspecti~~~P~ritb:( rtl9ij. ',',Cost :; Total'
ea;'" . cost. i,
Residential, per unit, service included:
1,000 sq, ft. or less (4) I $134.00 $
Each additional 500 sq. ft. or portion .:5 $ 25.00 $
thereof
Limited energy (2) $ 32.00 $
Each manufactured home or modular $ 63.00 $
dwelling service or feeder (2) 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, alteration, relocation
200 amps or less (2) $ 63.00 $
201 to 400 amps (2) $ 87,00 $
40 I to 600 amps (2) $126.00 $
Over 600 amps or 1,000 volts, see services or feeders section above
Branch circuits: new, alteration, extension per panel
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 ~ot included
Each pump or irrigation circle (2) $ 63.00 $
Each sign or outline lighting (2) $ 63.00 $
Signal circuit or a limited-energy panel, $ 63.00 $
alteration, or extension (2) .
Each additional inspection: (I) $58.00 $
'ji~~~;:Kif.~~~~~0;~t;J;J,1tj~,'!-:t,i\Ap,eLfcANT!S:;:US_E~;j,:_;~;;~:~;.i::~:t., ;;:~~0~::_ ;'Y:-',
..; .'
(A) Enter subtotal of above fees
(Minimum Permit Fee $58.00) $
(B) Enter 12% surcharge (.12 x [A]) $
(C) Technology Fee (5% of [A]) $
TOTAL rees and surcharges (A through C): $
. R-~wiUamalane
t~ Park and Recreation District
Job. No.' l!/iJ- >30
SYSTEM DEVELOPMENT CHARGE WORKSHEET
January 1-June 30, 2010
NAME:. B((J4c-€: WIECttt1LrC(.(J~ ~'! PHONE: S-tt /b3tD ~'ir%
. ADDRESS:'30'7J SI4'VI/:w t..N CITY er,lt,EN.t:.
LOCATION OF PROPOSED BUILDING SITE:
II "t"7 5 'if'" ~r.
. aXLo;Num~er:~OD
STATELl/<.- ZIP: '!?'IoS
Plat Name:
. .
1. DEVELOPMENT TYPE (Check appropriate dwelling(s): Dwelling type definitio~s are on the
back.)
A. Sinole-Family Detached
NO. OF UNITS
I
X $2,858 per unit =
$ ~ s;-~
B. Sinole~Family Attached
NO. OF UNITS
X $3,100 per unit =
$
C. Multi-Familv Apartment
NO. OF UNITS
X $2,641' per unit =
$
D. Sinale Room Occupancy
.-..__~_.._---..._-NQ.-QE.UN lIS
X $.1.3.zLR?r unit = . ____$
E. Accessory Dwellina Unit
NO. OF UNITS
WILLAMALANESDC
X $1,550 per unit ':'
$
$ 2~~
2. SDC CREDIT (I! applicable) SDC payer must furnish proof of .
WiIl.am"lane.Credit approvaL)
$ 0
--.:.:.: ..:.::.;.. _':~::_.~_c.:;;:-_,::..;:=".;.~-~..::.:..:;;:;~~.:..=.=:-===:_--.:-_:::-.::~.~:=-=:--.-::::::_~.:::...-:::.::..==-:..::::~-=---...::_~.:.::.:.:;-=:.---==-..=:-~'::_~==:::-~_~=-=-.
::.:;--=--:::::-__.__ ;:-;;;...,;;;': -=-::-_~____--=-=.=::..~.,__.:...._~_...::.__~_.~. "__ _ _::::'_~:~ _____
3. . TOTAL WiLLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit) $ ";)-Yst
0't-z:.-.
Development Services Department
.City of Springfield
..p ,.' '0
. IV I , {i
Date.' .... W.
. '.' \~. \~\D ~ .
5
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000429
Date: 04/29/2010
10:53:25AM
Job/Journal Number
COM20 1 0-00530
Payments:
Type of Payment
CreditCard
cReceintl
Description
Plan Review Same As
raid By
BWCH
Check Number
Received By . Batch Number
DJB
"'i:~;.
'";"t?'"
,.~. ",,..,
.>i-~~T. ~".
~\;..~L ',~~)~, "
'," ,
;.~
.i
'i'
'~}i~l!.i.
I.,~
"1 \,;..
,t.".",.;,.
Page 1 of 1
Item Total:
Authorization
Number How Received
Amount Due
250.,00
$250.00
Amount Paid
05538D In Person
Payment Total:
$250.00
$250.00
4/29120 I 0
www.ci.springfield.or.us
TRANSACTION RECEIPT
COM2010-00530
1197 41 ST ST
CITY OF SPRINGFIELD
225 Fifth St
Springfield, OR 97477
541~726-3753
permitcenler@ci.springfield.or.us
RECEIPT NO: 2010000603
IDESCRIPfioN';;",4H;;Hi:' ""
Building Permit
SDC MWMC Reimbursement
Residence Wiring Ea Addtl 500
2 Baths One or Two Family
Fireplace (Listed)
Vent Fan
Appliance Vent
Exhaust Hoods
Outlets 1-4
Willamalane Single Family
+ 12% State Surcharge
PW
SDC Transportation Admin
Curbcut Permit
SDC Storm - Reimbursement
SDC Storm - Improvement
Credit- SDC Storm
Credit-, SDC Storm Reimb
Sanitary Sewer - .Reimbursement
SDC Sanitary/Storm Admin
Sanitary Sewer - Improvement
SDC MWMC Improvement
SDC MWMC Administration
Plan Review Major - Planning
+ 5% Technology Fee
Fire SF Fee - Residential
Residence Wiring 1000 Sq Ft
1 st Appliance
Dryer Vent
Addressing Assignment
SDC MWMC Compliance Charge
Sidewalk Permit
SDC Transpo Reimbursement
SDC Transpo Improvement
Temp Power 200 amps or less
RECORD NO: COM201O-00530 DATE: 10/18/2010
T'i!:~i:14!;I!'I:!HIi;~';H4!!:dll' " ':'Ac.:c_Qj:1i"'r'!~QQgi:Hi:I:I!' 'jl,i!!H!1 J!i"::AI'IIOtJNT!iDl;tEI '~.I
224-00000-425602 $1.022.14
444-00000-448024 $101.97
224-00000-426102 $75.00
224-00000-425603 $337.00
224-00000-425604 $20.00
224-00000-425604 $27.00
224-00000-425604 $g.OO
224-00000-425604 $13.00
224-00000-425604 $7.00
821-00000-215023 $2.858.00
821-00000-215004 $215.42
201-00000-428060 $-30.00
719-00000-426604 $91.47
201-00000-428060 $88.00
441-00000-448029 $126.95
440-00000-448028 $896.31
440-62243-650117 $-896.31
441-00000-448029 $-126.95
442-00000-448024 $666.84
719-00000-426604 $104.12
443-00000-448025 $507.07
445-00000-448025 $1.333.57
611-00000-426604 $10.00
100-00000-425002 $211.00
100-00000-425605 $107.61
100-00000-424005 $105.00
224-00000-426102 $134 00
224-00000-425604 $79.00
224-00000-425604 $9.00
224-00000-425602 $38.00
444-00000-426607 $22.63
201-00000-428060 $88.00
446-00000-448026 $211.21
447-00000-448027 $931.65
224-00000-426102 $63.00
TOTAL DUE: $9,456.70
; Co'I\IIM-ENT~1l :', :.,};j;:mTl;iillWi;mHfttw'~nlW!~l:1: .!iin)fiVIbUNTPAII)".jl;>:;;:r.J::,;,::"'
1
PAYMENTTYPif . " PAYOR.' "CASHIER DBOWl:SBY
Credit Card
03524d
BRUCE WIECHERT CUSTOM
HOMES INC
$9,456.70
$9,456.70