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Home My WebLink AboutPermit Building 2010-10-25 SP:I(~. FIE~ .::\~ ~. "'''''''c':;"\' 0 REG ON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00358 IVR Number: 811104470593 www.ci.springfield.or.us 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: STATUS DATE: Issued 10/25/2010 ISSUED: APPLIED: 10/25/2010 09/22/2010 EXPIRES: t VALUE: 04/23/2011 $231,454.00 SITE ADDRESS: 4179 GLACIER VIEW DR, DPLX#, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1802052204000 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: Duplex New Residential PROJECT DESCRIPTION: New Duplex ~ 4179/4181 Glacier View - original permit c9-1184 expired Phone Number: OWNER: ADDRESS: MARGOLIS FAMILY LIMITED PARTNERSHIP PO BOX 5442 EUGENE OR 97405 CONTRACTOR INFORMATION Contractor Type Plumbing Contractor Contractor Name MASTER PLUMBING SERVICE LARRY KENT COOPER SUNSET ELECTRIC INC DEAN'S ELECTRIC INC Mechanical Contractor Lic Type PLUMBING CCB C~B ELECTRICAL BUILDING INFORMATION , I Lie No Lie Exp Phone 10-91PB 07/01/2011 541-459-0110 109780 11/06/2011 541-302-5852 158859 02/27/2012 541-741-3885 20-319C 07/01/2011 541-935-5303 # of Units: 2 # of Stories: 2 Lot Size: 4500 Height of Structure: 24 Sq Ft 1 st Floor: 1136 Type of Heat: Forced Air Electric Sq Ft 2nd Floor: 1072 Water Type: Electric Sq Ft Basement: Range Type: Electric Sq Ft Garage: 468 Hazmat: No Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code': Plumbing Specialty Code Edition: Residential Sp~cialty Code Edition: Structural Specialty Code Edition: ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Site Informati~h~tification l~mter. Those rules are set forth '" ~" OO~ o~1-001 0 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: 4 No Path 5 - High efficiency ceilings & windows/lighting No Engineered Fill: Fill Volume: Flood "",zardrA.ea: Jljurr .r.- Land Hazard AI.a: No Retaini.tIJ't\raqfRMIT SHM,t EXPIRE IF THE WORK Soils R~i;bi-ilRe'q.~!!~.lHJNCtt~1 THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. ' No Springfield Building Permit 10/25/201 9:11:Q3AM 2008 Page 1 014 SPRINGFIELD ~4"_' '~!i~i:?' .,~~ .' "-"~"0~\OU.EGON www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00358 IVR Number: 811104470593 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726~3769 Fax: 541-726-3676 permilcenter@ci.springfield.or.us Issued 10/25/2010 ISSUED: APPLIED: EXPIRES: VALUE: 04/23/2011 $231,454.00 1 0/25/2010 09/22/2010 SITE ADDRESS: 4179 GLACIER VIEW DR, DPLX#, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1802052204000 PROJECT DESCRIPTION: Fronlyard Setback: 20 Interior Setback: 6 Sideyard Setback: 6.9 Rearyard Setback: 25 Solar Setback: 0 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: Duplex New Residential New Duplex - 4179/4181 Glacier View - original permit c9-1184 expired DEVELOPMENT INFORMATION' Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: Yes 35.5 REQUIRED PARKING Total: 4 Handicapped: Compact: 24.5 Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Description R-3 1 & 2 family U Utility, misc. Springfield Building Permit PUBUCIMPROVEMENTS ~ Sidewalk Type: DownspoutJDrains: ~ Valuation Description Type of Construction VB VB Unit Amount Unit Type 2,208.00 Sq Ft 468.00 Sq Ft Unit Cost 96.83 37.72 Value 213,800.64 17,652.96 231,453.60 10125/201 9:11:03AM Page 2 of 4 SPRINGFIELD-~ ~A!4 ~~~ h~~::t~ ~;"~'3~^',.. OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00358 IVR Number: 811104470593 225 Fifth St Springfield,OR 97477 Phone: 541 ~ 726~3753 Inspection Phone: 541~726~3769 Fax: 541-726-3676 www.cLspringfield.OLUS permitce nter@cl,springfield.or.us PROJECT STATUS: STATUS DATE: Issued 10/25/2010 ISSUED: APPLIED: 10/25/2010 09/22/2010 EXPIRES: VALUE: 04/23/2011 $231,454.00 SITE ADDRESS: 4179 GLACIER VIEW DR, DPLX#, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1802052204000 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: Duplex New Residential PROJECT DESCRIPTION: New Duplex - 4179/4181 Glacier View - original permit c9-1184 expired FEES PAID I DescriDtion Amount Paid Date Paid ReceiDt # SDC:Heimt:ursement Cost - Storm Drainage __~__~_$369~15 10/25/2010 374685 SDC: Total Transportation Administration Fee _.!~6~52 ~__ 10/25/2010 374685 SDC: Total Sewer Administration Fee $405.25 10/25/2010 374685 SDC: Administrative Fee - MWMC Regional Wastewater: $10~00 10/25/2010 374685 ~?C; Compliance Cost - M':'Yf:'1C Reg}.'2.n3'!~astewater SI $45~26 10/25/2010 374685 ~i:JC: Improvement Cost - MWMC Reg~c:n~ Wastewater ~ $2,667~14 10/25/2010 374685 "DC: Rei~t:u..r~ement C,,"-t~__~':'Yf:'1.c;~Regio_nal Wastewa,t' $203~94 10/25/2010 374685 SDC: Improvement Cost - Storm Drainage__~ $890~67 10/25/2010 374685 SDC: Reimbursement Cost - Local Wastewater $3,229~60 10/25/2010 374685 SDC: Improvement Cost - Local Wastewater $1,452.47 10/25/2010 374685 SDC: Improvement Cost - Local Wastewater $285~93 10/25/2010 374685 SDC: Reimbursement - Transportation SDC $713.92 10/25/2010 374685 "DC: Improvement - Transportation SDC $2,767~26 10/25/2010 374685 Admin fee (10% of applicable fees) $13~38 10/25/2010 374685 Planning - Major Review $211~00 10/25/2010 374685 Structural Building Permit Fee $1,245~99 '10/25/2010 374685 Address Assignment, each new or change $76~00 10/25/2010 374685 :-Vi~a..rnalane: fee-"-.~ Singie.!amily attached ____...!!-'076~____10/25/2010 __ 374685_~__~ ~~." or Two Family D__welli~!L,:"i!I':r:",o Bath___________ $748~00 _________..1'O/25/2~.22._______________~~~685____ Range hood/other kitchen equ~ipment. $26~00' ..~25/2~_.____._.~46~__ Single-duct exhaust (bathrooms, toilet compartments, utili $54,00 10/25/2010 374685 First Applian"." Fee___ $79.00 10/25/2010 374685 Residential Fire (.05 Per Sq Foot) $133.80 10/25/2010 374685 First Appliance Fee $79.00 10/25/2010 374685 Sidewalk up Ihough 90 Feet $88.00 10/25/2010 374685 Curb CuUDriveway 1st Cut $88.00 10/25/2010 374685 Multiple Permit Discount (Max.2) ~-30,00 _______ 10/25/2010 374685 Residence wiring 1,000 sq. ft. "r less $134.00 10/25/2010 374685 ~ach a;J.ded 500 sq. ft. or portion $100.00 10/25/2010 374685 Temp services 200 amps or less $63.00 10/25/2010 374685 State of Oregon Surcharge (12%';{';;pplicable fees)----------s303.48 '10/25/2010 ---~----"--:i74685---- Techn'Oiogyfee(S'%'Of permit to-t~i)~------'- - $137.55 --{Qi25t20W------ 374685-- S;;m-e--'-;P;;;;;- Review Submittal -- ------------S250.00 09/2212010-- ----.- .-.. ---'374375--- _"_<'_"T,,"WU>_ ___ Total Amount Paid $24,143,31 Springfield Building Permit 10/25/201 9:11:03AM Page 3of4 www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00358 IVR Number: 811104470593 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: STATUS DATE: Issued 10/25/2010 ISSUED: APPLIED: 1 0/25/2010 09/22/2010 EXPIRES: VALUE: 04/23/2011 $231,454,00 SITE ADDRESS: 4179 GLACIER VIEW DR, DPlX#, Springfield, OR 97478 ASSES OR'S PARCEL NO: 1802052204000 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: Duplex New Residential PROJECT DESCRIPTION: New Duplex - 4179/4181 Glacier View. original permit c9-1184 expired Plan Review ~ Deoartment Initial Review Received Due Date Comoleted 09/22/2010 09/22/2010 09/29/2010 Result Approved Reviewer David Bowlsby Approved Structural Review 09/29/2010 09/29/2010 10/22/2010 Chris Carpenter Public Works Review 10/04/2010 10/05/2010 10/07/2010 Approved Kaye Wilson Comments: received 10-1-20101 storm water to curb and gutter ~ej'~i!~SSu,~Dcei~ ~',":, ~:'1tf ~~rt~.1 O!22~2,O,t9~2 Oj~/~2.91 0 -, T~J~,~);IS:~,U~d :~i~~'~\;,*{'~.;~,',,;.NI:irrcy~~acttad'0'0. ,'f : '!o.,: L:'" ,.,' '<::<; -, ~': 1 :,'(':f1'{i,;:.:t .~ .i', ,'~, '}'r':"~'" \ ,,' ,~.~,., "-""~::"~:.:~~': ~(';::;::~;t~~l~;J~t ~' j .~. ~:(;::;;; ,i?%~:{~,-4:~t\. ~~ ""_'/;.iJ:~~ .' ", iF 'I .' \'. '..\ ,., I .'., ',', ~~ INSPECTIONS REQUIRED I Inspections 4000 Temporary Power Service 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 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. ~ ~,d.M,' ~J _ >> ' ~ J,'S', 10 (0 Owner or Contractor Signature Date Springfield Building Permit 10/25/201 9:11:03AM Page 4 of 4 Electrical Permit Application ..,,'~4\" '. ~ '; :~ ":";-~J!.,, .... {l. "~~'-<; 1.. <0" '" ~'" + .., ""} ~ ~ , (?;ITY"OF'SPRll8GEIEl1D'::;OREGON'O" " _ ",,~l;; --1:';'I~ii1'1-':'...,:-.J.~'V' '.,', ;..:0:::- -.;i'-.g;J.-,'W',..};~.'~. ~,,~ 1" . . ~~"~ 225 Fifth Street. Springfield, OR 97477+PH(541)726-3753+FAX(541)726-3689 DEPARTMENT USE ONLY Pennit no,: o -])3 D This permit is issued under OAR 918-309-0000. Permits are nontransferahle. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL Zoning approval verified? 0 Yes 0 No CATEGORY OF CONSTRUCTION 0Residential D Government D Commercial JOB SITE INFORMATION AND LOCATION 1'7 { r1?1 6'1Z- VC ~vJ City: State: t>rt-- ZIP: <J 7'1 ? / 102. ~ - Taxlot.: ()'!<XO DESCRIPTION OF WORK f'lc:z,..J lA.t: Name: PROPERTY OWNER O?.--I S --- 7/2-i-A,. S I L Phone: E-mail: This installation is being made on residential or fann 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: CONTRACTOR INSTALLATION Business name: ELtCTKIC Address: PD. EDl< 25'25:> City: EO! /;. IV ~ State:O~ ZIP: Phone: 5'4 I 52D ~'GOw9 Fax: E-mail: CCB license no,: t'j qS-T]q Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: ~ , ~ ~~..<~ \~' f:/ ~~ ~~ 440-2584-J (9/08/COM) FEE SCHEDULE Number of inspections per item () Qty. Cost Total ea. cost Residential, per unit, service included: 1,000 sq. I\, or less (4) I $134.00 $(fI-I Each additional 500 sq, I\, or portion 'f $ 25,00 $(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 $ 20 I 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 $ Teinporary services or feeders: installation, alteration, relocation ' 200 amps or less (2) ) $ 63.00 $iLJ, 201 to 400 amps (2) $ 87.00 $ 401 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 ofa 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 $ 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) $58.00 $ ., . . . APPLICANT USE . .. (A) Enter subtotal of above fees $ ')97 (Minimum Permit Fee $58.00) (B) Enter 12% surcharge (,12 x [A]) $ :~)"~ (C) Technology Fee (5% of [A]) $ !lJ U TOTAL fees and surcharges (A through C): $ 3'f7:d- Structural Permit Application DEPARTMENT USE ONLY ::',", ,\;;' ",',CIJY 'QF Sft~IN.9fJf;Li;5;:O~EQP~;;; .".,j ;'" ;.. ';:r. /;i 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. . .,<",i:LOCAi:.'\39yi:~Nr..1~Nf;c'~8PRQVAi:.;;,;';':';i1~i(;;"ii;;) This project has final land~use approval. Signature: Date: This project has DEQ approvaL Signature: Date: Zoning approval verified: 0 Yes 0 No Property is within flood plain: 0 Yes 0 No ~J.\JJ,~:';);::!i:;;i.~iGATEi:>QiiY:i;d~lc,6NSJ'~u(;if()N~;;i;i~t:':A;i:S;i;i 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689 Jj.. State:O~W ZIP: ~ -:'1-. ") Fax: 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 om licensing requirements u~. CZ5 Sign here: Business name: Address: Print name: Signature: ',' ,',. -'<;iSUB-C0NTRAC:rORINFORMATICH'l:\~"-";'; :;:"''''-::-:''''',,",: ~)\",,>~.:-:"";(,~ Name Electrical Plumbing Mechanical CCB License Number Phone Number Permit no,: 510 - '3 S'~ 10 Date: ":,n:(:FEE 'sbii:buLE"':<.' ,/':....'" i/,',;,_~ fi ~:~Y~J~~~ti9fi7i.Qt o~r~Ii~.#9#~{;,~;(';iX:/,~:;:~':i;\ ;,'~, '~i. :i,;::;{ti0;;.~;:;; ~ '.': J; j:J-) ,:; c.;::" ,;, (a) Job description: l-l o-J ~ I> r..J:-x. Occupancy rL- lA. Construction type: \liS Square feet: Cost per square foot: Other infonnation: '2-D tv f>,; L.- Energy Path: ~w D alteration (b) Foundation-only permit? Total valuation: o addition DYes DNa (a) Permit fee (use valuation table): (b) Investigative fee (equal to [2a]): (c) Reinspection ($ per hour): (number of,hours x fee per hour) (d) Enter 12% surcharge (.12 x [2a+2b+2c]): (e) Subtotal of fees above (2a through 2d): $ $ $ $ os (a) Plan review (65% x permit fee [2a]): (b) Fire and life safety (40% x permit fee [2a]): (e) Subtotal of fees above (3a and 3b): "4;Mis:ceilii~eo."srf~e~';;;'P0F,',:<"I"" (a) Seismic fee, 1 % (.01 x pennit fee [2a]): $ TOTAL fees and surcharges {2e+3e+4a): S , \j:m\S 1:1 acinI: N\'QS.te( p \ U,frJJI nj , StJJ\SQ\ ~ fi~ ~ AI ( 2~ willamalane t-w Park and Recreation District Job. No. SID - .1'5 F SYSTEM DEVELOPMENT CHARGE WORKSHEET July 1-December 31,2010 "NAME:~"l/~ ~I',-y 7.l4tsr " PHONE: bit ;;;!$"2r ADDRESS: 16J:,y S'I'IZ CITY [?At; STATEU7qIP: 9't'roj LOCATION OF PROPOSED BUILDING SITE: Street Address: tf/?9 If ~/t:.7L vc..J Plat Name: Tax Lot Number: / fi2- tfr22- ~C'l)() , "1. DEVELOPMENT TYPE (Check appropriate dwelling(s).' Dwelling type definttions are on the back.) Sf&~~....~..FI~~ .s:,~ ,~~.';''''''' OREGON www.ci.spri~gfjeld.or.us TRANSACTION RECEIPT 811-SPR2010-00358 4179 GLACIER VIEW DR DPLX CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726-3753 perrnitce nter@ci"springfield.or.us IlECEIPT NO: 2010000649 IlECORD NO: 811-SPR2010-00358 DATE: 10/25/2010 ~DESCRlflTIO~:!3:,;;.;t~;;;.;.:'_; ;'ii~'!'{;-'0!~'" ~~:::::;.~)j,; ,; ;;AC~C.oU'Nl':CQ[jE: ',' --,_,'~- '4IVfO.Cit-I:T:i[)UE'~';; _..':';1 SDC: Reimbursement Cost - Storm Drainag_e 441-00000-448029 $369.15 SDC: Total Transportation Administration Fee 719-00000-426604 $226.52 SDC: Total Sewer Administration Fee 719-00000-426604 $405.25 SDC: Administrative Fee - MWMC Regional Wastewater ~gc___._~11-0?~_0-426604 $10.00 SDC: Compliance Cost - M~MC Reg!?-,,~Wastewater SDC 444-00000-426607 _.~~ SDC: Improvement Cost - MWMC Regional Wastewater SDC 445:00000-446025 $2.667.14 SDC Reimburseme".tCost - MWM~Reg~onal Wa~ater ~1?c:......__.~4~_:lJgOO~-446024 $203.94 SDC: Improvement Cost - Storm Drainage .._...___ 440.00000-448028 $890.67 SDC: Reimbursement Cost - Local Wastewater 442-00000-448024 $3,229.60 ~~",-Improv~_c;ost -.!:s.;.aJ_ Wastewater ...__.. 443.00000-448025___..~1 ,452.<\!_. SD<:;.!mprovement Cost - Local W~tewater _.. 44..~:00000-448025 ..!~ SDC: Reimbursement - Transportation SDC 446-00000-448026 __~~ .sDC: Improvement - Transportation SDC 447-00000-448027 ___.J'2,767 ~~ Admin fee (10% of applicable fees) 224-00000.426605 $13.38 ):Ianning. Major Review .. 100-00000-425002 $211.00 Structural Buildin9 Permit Fee 224-00000-425602 $1,245.99 Address Assignment, each new or cha".!1':...... 224-00000-425602 $76.00 VVillamalane fees - .~!!~Ie family attached 821-00000-215023 _~__. $7,076.00 9.".e or Two..F,~,,-,i!y Dwelli".g with Two Bath 224-09.00~:425603 $748.00 ~a.ng_~?d/oth:'':..k.itchen eq~pment .._ ___...........__..l2~:lJOOOO-42560~......_.__...._ $26.00 ~i"-gle-~uct e.:<haust (bathrooms. toilet compartments, utility rooms) 224.00000-425604 $54.00 _ _. __""__,, _____".___.____.._........,..__.__'_'_M_.__",,_m.'___.._______~~__~__,_.._~_._ First Appliance Fee 224.00000-425604 $79.00 _ __L__ ~"",_,,__,_~_ '''''__~_~'_~____ _,___ ,_,_."_,,,_,.',_0._.~..__.___ '__"ili' Residential Fire (.05 Per Sq Foot) 100-00000-424005 ____~.13~~.ll. First Appliance Fee 224.00000-425604 $79.00 Sidewalk up though 90 Feet 201-00000.428060 ..____...--!8800 .curb CuUDriveway 1st Cut 201-0000~-428060 __.._ $88~ Multiple Permit Discount (Max 2) 201-00000-428060 $-30.00 Residence wiring 1,000 sq. It or less 224-00000-426102 $134.00 Each added 500 sq. ft. or portion 224-00000.426102 $100.00 Temp services 200 amps or less 224-00000-426102 $63.00 _.,,_ _._".~ _"......._._....0~_____,,___....._.__._.____"._._~__ State of Oregon ~urcha.:g"-.r..:2% of ~p'plicable fees) 821:00000-215004 $303.48 TechnologYf.e.:...(5% of permit total) . 100-00000-425605 $137.55 TOTAL DUE: $23,893.31 ~.0eAY.JYIENn'{PE ~"d,':::?AYOR:2'CASHIER:NMACH~9:.i:"(G.QIII!IVIE~fi>1~"'" . :';;2"."~ ";,;.~IVIQ!!!:I.J.JiAIQ~ liZ:3 Credit Card larry cooper construction $9,500.00 Check 9525 MARGOLIS FAMILY LIMITED PARTNERSHIP $14,393.31 $23,893.31 www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00358 4179 GLACIER VIEW DR DPLX CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 permitcenter@ci.springfield.or.us RECEIPT NO: 2010000378 IbESCRIPTIOW' . Same as Plan Review Submittal RECORD NO: 811-SPR2010-00358 DATE: 09/22/2010 :;"0":,"F!10;/!'\: >i ";;;A^~~C_O_Ut.jL~ODE' 1 00-00000-425602 TOTAL DUE: AMOUNT'DUE $250.00 $250.00 AMOUNT PAID I PAYMENT.TYPE . PAYOR CASHIER: 'CCAREfNTER , . COMME~J.$': I Check 9487 MARGOLIS FAMILY LIMITED PARTNERSHIP $250.00 $250.00 . . . OWNER: OWNER PHONE: ADDRESS: MAP # TAX LOT DATE SEC, TOWN APR 09 SCALE: 1 20'-0" -q -u 0 m o�5= c..nmm o �nr' Do r > O -q ">Z' Zm )m0(nZ ® oxz�ca c nmAD;rr, D>m"I r m -i0o ooZ s m—IzS Om.o¢ �t InDmm �3 T,U�m Doom r <, MWommx m zm non< .moo D'^ o o- 0 m � = • {on` pOm-1 CD m Ic J z m Z; v. w 4 0 W LANDMARK DESIGNS, 33127 SAGINAW RD. EAST COTTAGE GROVE, OR 97424 (541) 767-0660 L.D.I. PROJECT # °SUBDIVISION 505-12P3 GLACIER VIEW FOR: BARBARA COOPER APPLICANT PHONE: RANGE [LOT 3 PLOT PLAN SUBMITTAL FORM TO BE FIELD VERIFIED BY OTHERS GLACIER VIEW DR :f=` S89°54'39"E 9, ADDRESS: CITY COUNTY TATE SHEET — SPRINGFIEL LANE OR I of 1 i fD -<;: Fm O o- n 0 O C=) rn z T O CD ,� d m Sorg G rnn m 00320c 0 { (:D0 —! CD CD .� i—+ VA O CD CD � -m 57 c� Cn m r- 9, ADDRESS: CITY COUNTY TATE SHEET — SPRINGFIEL LANE OR I of 1 zp ""� `► Z i K o(D2D -<;: Fm Z m a o -4 C=) rn z T ,� d m Sorg G rnn m 00320c 0 { (:D0 —! w17F >2-Z9 n C -m 57 c� Cn m r- ru m �b� 0m � .... ••.• UQ,b H CD ...... • 9,0 0 m .Q Q �o W •. ••• CSD �•• = 45.00' a Z3 co�° n 0 -� m • • ;m Cn '� CD r� e• • �► • • nCD�/� V1 :•••.. •• �DCD CD/�O�.a �"i .. .. • 54 �, l Tv O � CD - - • • • CD 000000• •• ••' see t -r 00 *Soso 0 • • *000 0000 zp ""� `► Z i K o(D2D -<;: Fm Z m a o -4 C=) rn z T ,� d m Sorg G rnn m 00320c 0 { (:D0 —! w17F >2-Z9 n C -m 57 c� Cn m r- ru m �b� 0m � m -1 m LT 9,0 0 m .Q Q �o W 0 n?� ® m m �m ;may » -< Z'c = 45.00' a Z3 co�° n 0 -� m c< ;m Cn '� cs..0 Q z �► pq