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Home My WebLink AboutPermit Building 2010-10-29 v; . , SP~I..N.GFIE~- ~il"'4_" 'e!s",_' ~ ",<;1.-);,; l~ ~;(.,:,,~~ .. OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00453 IVR Number: 811184830682 WWW.ci.springfield.or.us 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspeclion Phone: 541-726-3769 Fax: 541-726-3676 Issued permitcenter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: 10/29/2010 ISSUED: APPLIED: 10/29/2010 10/06/2010 EXPIRES: VALUE: 04/27/2011 $168,000.00 SITE ADDRESS: 4808 HOLLY ST, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051110600 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE:. Residential PROJECT DESCRIPTION: New SFD SAME AS 521 5 48th PI Phone Number: OWNER: ADDRESS: JHD3 LLC 2464 SW GLACIER PL REDMOND OR 97756 CONTRACTOR INFORMATION NOTICE: HE WORK THIS PERMIT SHAll ETXH~~~~~~\T IS NOT . AUTHORIZED UNDER OR' COMMENCED OR IS ABANDONED F ANY' 180 DAY PERIOD, Contractor Type Contractor Name STUTZMAN SERVICES INC PACIFIC AIR COMFORT INC # of Units: Lie Type cce cce cce ELECTRICAL BUILDING INFORMATION ~ # of Stories: 1 Height of Structure: 18.3 Type of Heat: Forced Air Gas Water Type: Electric Range Type: Electric Hazmat: General Contractor HAYDEN ENTERPRISES INC TOP NOTCH ELECTRIC INC # of Bedrooms: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal! Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: 3 Sprinkled Building: Fire Alarms: Energy Path: Palh 2A Certified performance-tested duct system ATTENTION: Oregon la 'Ie . ""0 iiile, "formation " "follow rules adopted by.: ~ .-:-- "" "'" Engineered Fill: N 'f' t" C ter Those rules are set forth " otl Ica Ion en " . Fill Volume: 'n OAR ,2-001-0010 through OAR 95?-001- Flood Hazard AreJ0090. ySWo may obtain copies of the rules by Land Hazard Area: II" 'fJ!, center. (Note: the telephone R ta"" W II ca In[l,lne , N t'f' t' e mmg a: b "? r the Oregon Utility 0 I Ica Ion Soils Report Requir~dl:m ere~nter is 1-800-332-2344)" Springfield Building Permit 10129/201 10:29:15AM ~ Lic No Lie Exp Phone 31747 05/12/2012 541-928-8942 39237 03!25f2012 541-672-9510 92208 07/29/2011 541-923-6607 C220 07/01/2011 541-317-1998 Lot Size: 6866 Sq Ft 1st Floor: 1290 Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: 465 Sq Ft Carport: Sq Ft Other: 68 Occupancy Load: 2008 , .,' .~/.1' ... Page 1 of 4 . ' www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00453 IVR Number: 811184830682 155 ued 10/29/2010 ISSUED: APPLIED: perrnitcenter@ci.springlield.or.us 10/29/2010 10/06/2010 EXPIRES: . VALUE: 04/27/2011 $168,000.00 SITE ADDRESS: 4808 HOLLY ST, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051110600 PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: 13 14 10.75 30.21 o New SFD SAME AS 521 S 48th PI DEVELOPMENT INFORMATION I Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential 5 REQUIRED PARKING Total: 2 Handicapped: Compact: Yes 25.7 18.3 Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Description Springfield BUilding Permit I PUBLIC IMPROVEMENTS Sidewalk Type: Downspout/Drains: I Valuation Description Tvpe of Construction Value 10/29/201 10:29:15AM Unit Amount Unit Tvoe Unit Cost Page 2 of4 " . . S,P",R,..IN".G.F IE,~ .'~" .,,~ itfb :i((..:S- OR E GON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00453 IVR Number: 811184830682 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 Issued permilce nter@ci.springfield.or,us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 10/29/2010 10/06/2010 10/29/2010 SITE ADDRESS: 4808 HOllY ST, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051110600 EXPIRES: VALUE: 04/27/2011 $168,000.00 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New SFD SAME AS 521 S 48th PI FEES PAID ~ Description Sidewalk up though 90 Feet Curb CuVOriveway 1 st Cut SDC: Reimbursement Cost - Storm Drainage sac: Improvement Cost - Storm Drainage sac: Reimbursement Cost ~ Local Wastewater Technology fee (5% of permit total) SDC: Improvement Cost. Local Wastewater SDC: Reimbursement - Transportation sac SOC: Improvement - Transportation SOC SDC: Reimbursement Cost - MWMC Regional WastewatE SDC: Improvement Cost - MWMC Regional Wastewater ~ SOC: Compliance Cost - MWMC Regional Wastewater SI SDC: Administrative Fee - MWMC Regional Wastewater: SDC: Total Sewer Administration Fee SDC: Total Transportation Administration Fee Planning - Major Review ~dmin fee (10% of applicable fees) Technology fee (5% of permit tota9_ Resid~ntial Fire (.05 Per Sq Foot) Structural Building Permit Fee Ad~ress Assignment, each new or, change Wilfamalane fees - Single family detach.7d One or T~o Family Dwelling with Two Bath _ Furnace - uJ to 100,000 BTU Range hood/other kitchen equipment Single-duct exhaust (bathrooms, toilet compartments, utili Heat pump First Appliance Fee Gas Piping up to 4 outl:!~ Residence w~rj~g 1 ,000 sq._~ or less ~ach adde9 50_~ sq. ft. o~t::'~~on Temp services 200 amps or less State of Oregon Surcharge (12% of applicable fees) Same as Plan Review Submittal Amount Paid $88.00 $88.00 $419.58 $761.85 $2.549.28 $90.68 $1,285.68 $426.92 $1.597,62 $101.97 $1.333.57 $22.63 $10.00 $303.12 $122.34 $211.00 $9.12 $8.80 $91.15 $985.51 $38.00 $3,468.00 $374.00 $17.00 $13.00 $36.00 $17.00 $79.00 $7.00 $134.00 $50.00 ----.-----,- $63.00 $213.06 $250.00 $15,265.88 Date Paid 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/06/2010 ReceiDt # 374741 374741 374741 374741 374741 374741 374741 374741 374741 374741 374741 374741 374741 374741 374741 374741 374741 374741 374741 374741 374741 374741 374741 374741 374741 374741 374741 374741 374741 374741 374741 -.----- 374741 .._~.._'---,_.'_.~ 374741 374519 Total Amount Paid Springfield Building Permit 10/29/201 10:29:15AM Page 3 of 4 SPRING. fIE~L 0..- .. -~ ~'1/Ii1 . ',0:. OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00453 IVR Number: 811184830682 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 10/29/2010 ISSUED: APPLIED: 10/29/2010 10/06/2010 EXPIRES: VALUE: 04/27/2011 $168,000.00 SITE ADDRESS: 4808 HOLLY ST, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051110600 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New SFD SAME AS 521 S 48th PI Plan Review I Deoartment Application Acceptance Received Due Date Completed 10/06/2010 10/06/2010 10/12/2010 Result Application Accepted Reviewer David Bowlsby Planning Review 10/12/2010 10/12/2010 10/15/2010 Approved Deyette Kelly Comments: Elevations are site specific and contain required design elements. Inspectors will field check that actual elevations match submitted designs as shown on the approved set of plans. l~iti~1 ~evl~\\'(~~I:tQ(1~(2Q}P~~:';"1 0!1.~?8),P,:;,1_ 0/1 ~/201 ?.:' "': ',,, ;0i,;;zc"'x ~L '_....', '~-1;-~: ,;f:f;:'"'~i"'.>" ',{ ~ "', ,""" __ " ,-s"'"",__, - '.. . ,f ,'~'~pprov~di: ;-->~:~ ," .'_~':r-:. D,avld Bowlsby' __ n __ ,,';", __,.~:,:=~.(~~,'.;:p't~,: i<,' " ~\':-<_'~;:; i -- ,', '~r -- -,., -- , '~ ,~ . , -~ ~~:,-' ..-, Planning Review 10/12/2010 10/12/2010 10/13/2010 Add'l info required Deyette Kelly Comments: Plans indicate a 4' garage extension which would make the garage flush with the extended porch. The garage may not be the leading facade. Sent an email to Tim and Karen w/Hayden Homes that we will need revised plan sheets and a revised plot plan. PuBlic WorkS!R;;~;;;-~-r;C""'16115/2010{": 10/19/2010' 10/20/2010">"," Approved',~, :F. "<'Todd;Singleton "" -:, C'om me~'~~':_'-j~e~~i~ed:r 9/18/201 O,_5:~'i:~.' ._:.';~~,~:i:; ','~ :,.'.' .-'~ :'.-~'1>' ',:~::n~:i~; ~ ,2"'" 'p, " v. ~- "-;~~;_"~D/_ ,-- ',.'" -, ~ ~-- ",,,,<,:: _:.t+'f%-,-._-:J-'.-"':'''(:.:-,~~,~:~-..f ::1("', 'f';'~::Z'"'~' ':........ ,< "" d '""-",, >c = Eor'thlS parcel In Wes"tW1nd Ei'iates, It IS the re~o;n~~ndatlon to me 'Building DIVISion, by the CI~4E~gllleeF "that n,/ ,~" __ ~ .- '+" -- '" . ~ ~ ~ .... 1 ~ ~ ''''-- , % connections ?h}lll be made to sarlltaryor ,storm H~O syste~s, until the SU~~dIVISIOl:1I~ ~ccepted by CItY Council";;, K '. ~~'. tW:_~ vH'Stcirm::~::;to.s~r~~~fu8gt~~'f> :',:~:~~~~~~_?4 ,~: '}~1?t '"'l--~. ":v;~_:.;v~::;~:~~>. ~ "~t.!V__ -r Permit Issuance 10/25/2010 10/25/2010 10/29/2010 Issued David Bowlsby " ".0 -"i'" ""v'_' v'~:;:l , ". '~-.:~: -l;Jf , .;>' .""" i:",,, . ~ . ,., ., ,:it INSPECTIONS REQUIRED I 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 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. .-~~~ Owner or Contractor Signature /O--cJ9-;/t:? Date Springfield Building Permit 10/29/201 10:29:15AM Page 4 of4 Electrical Permit Application 225 F;[th Strect.Spr;ngfield, OR 97477 .PH(541)726-3753+ FAX(54 1)726-3689 ;PRINGFIELD ~'.!~:E\'!!'~~ ~r~~~a:(t;l?~~{~~ ;;'~r."~1t-o;..")c ~.'-"f\"'('" ~ti~l'iillfi~~, ~" ~"':~ %;~tii~ .8E:f~RJ'M~~~,~tQ~~~?Eg~F;~~~~; Pemlit no. 510 -00 t.{ SJ 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. ~~~l;~~~~q~b:Q~WIG~,\,>E-g.tIM.'EtiJJf:it18J?JfF{O;\{~_ih~t~i\j~~tt~~\1{~t~ Zoning approval ve;'ified? DYes D No ~~~f~t~~~~..;1i.f;:G:~t{~A;t(:>'_~I~QS5:N$)i1BJ'5tjni,E)'N.~liW$mlW~~~~:;[:!t(~'D o Residential 0 Government 0 Commercial ~r~i\~W:Of:l'g$lmE~J.til$.CE1IiiM*T\I~t:Jfk'AND'gI!EiO',A;tI01'.t~f;P;t,J1;,! Job site address: W".og' JbII. City: 5; ~ J. Subdivision: k.,...." ,', Lot no.: j' 7 "I .' ',~li{:\ffliDr:}{c;;RIBmj0(\li[OEJ.;W'lO~K'i'i-07b'Q(:SiiW;1!g ! Ie" (. wl're ~ """ :J fl~~I~jl{\~~~~>>%JllFIR~~g~F{~~~ffJ.W~'E-Rn\~~~:,~~l~F:~;;}~;:)v.~~t;~ Name: ZIP:?;>: Fax:J<t-/ -741-~2_ City: Phone: E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.560(1). Signature: ~~~$&~~V5~'~G:(f:jNm~~Jf@J~~_lfij$JnA'lfr~!?:mIQf:Jmi~fr~lI~~1~i~:f~~F.f~}J Business name: ~ Address: ;2on9 LO City: ~npf ZIP:97701 Phone: E-mail:. CCB license no.: Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: ~.Q ~ .' ~ 440-2584-J (9108/COM) ;n'1a;~~~~~~~~/{fg;}L~~El:E~rs'dH'E'DlIi~-e]kiJ~~.~i.;~:~~1i~~''a~~~1 "<;"!~_-:'X")'., '~~~~, 'f('..:Md., UL_d~._~_..-,_..... ""_"'._ "; .~;l~,R.m;~~jr:' "Utf1-Al' i~ - ~ ~t'~t~\;.'i~f.:':!:'ik'7f~,g~i~,,'15"i;!;~':~>!:1:t~.;f.j':.lrn'~\,0ri''i,i':~1('Th '"~'~~, ,71'i-:- -".~,,,,.'m 1.;1'''''' ..~~I :~N\"":'if ~,'-'t,,,,,;"I~!:;~,,t"""~"'~~'~~:>:;;,""'i'.'<-'~,( ,~:.~ ~'J~'" t, ;<;',,@ost-~ i ',otal~ "!. ,urn eroi,O nnspechonsjp'er.~ltern~ 'i); 1'1t:.; ,ty.~ ,;.:".~,.",..~;, .!' .o;,,~,. I '~;~~~_"f;~)~':.\.i;.':;,;;.'k~S';'~~~n"';l,{!~':f~i\i""'iil>";I;;'};,',~;#;1; '>;,,~'~\i"; 1~;;'~'h;i~1t11. ~co_~J.~:.~ Residential, per unit, service included: 1,000 sq. ft. or less (4) I $134.00 $)7,'1 Each additional 500 sq. ft. or portion "l. $ 25.00 $ fO 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 $ 40 I to 600 amps (2) $158.00 $ 601 to 1,000 amps (2) $205.00 $ Over 1,000 amps or volts (2) $469.00 $ Reconnecl only (2) $ 63.00 $ Temporary services or feeders: installation, alteration, relocation 200 amps or less (2) , $ 63.00 $~'3 201 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 I $ 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 $ 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 $ i?1r;')}1~.g,),:i~>>1iWi~~~WRi:fj]ri;jY'<<Nfi;;'lliSEl~~!)'lii~;;iil~Iill'!f1[~'i ....w"','...'-'~,.....,,, ~. .,. ,_~_.""'_~___"...~,,.'._~I_r1';,..~___ _~..,t'~'~.._''''.t1. < .~.>_,.li;" (A) Enter subtotal of above fees Z~( (Minimum Permit Fee $58.00) $ (B) Enter 12% surcharge (.12 x [A]) $27!!X (C) T~chnology Fee (5% of [A]) $ I')..;J~ TOTAL fees and surcharges (A through C); $2~~ !:l 5/"1" (3 AS S-~ I 5 ~n PL . StnH Permit :J~ Fiflh Str~ci. Spr;n~f,eld, OR. 97..\/1 t PH(S;.! 1)121:0753. F..\..'\()41):26-30S9 DEP/\F=(Trv'if:NT USE ONL\"' """""",,:;,,::, ~11 i Permi, 110s1 0- t-j 5.3 i D31e 10 /1# / I 0 ~ . I t l~O d~Y5 of ISS\J;)llce or if,1'ork is This permil is issued under OAR 9IS-~160-0030. Per-mits expire ifworl-.: is not st3rted IYithin suspended for] SO days. LOCAL GOVERNMENT APPROVAL I I I Dale' \ Dale: DNa ~" U !')Q \ lZJ Residenlial :CA 1t:<:;URYOF: .CON STR U CTION. DCOITifl, rci3.1 o Govemment JOB SITE INEORMATION:ANDLoCATION Job o;;lie address: or /!PI I... . OR ZlP: '7717?r- i Lal no.: '67- Taxlol IObOC> PROPERTY OWNER Name" //c....~dt"'A /.!.ClVY\~ ~ , Address: d iJ,< ,"W i,/t:; ,.-( ~. Q I City: \<z'Cc{ifri.Ono{ State: 0- Phone:~!I -.l4<, - ,-;.,.-:; '\5"" Fax: Reference: ZIP17X& E.-mail' This installation is being made on residential or farm property owned by me or 3. member of my immediate family, cmd is exempt from licensing requirements under ORS 701.0 \ 0 Sign here ~tA~:'~~LA'nON p 1-10, Address: ,..).1-. . q 5 e-V (a(c~ ( Ciry: RL yY7cJnC/I, Slale: oK.. Phone: r;../l - E-mail: CCB license no.: , o Print name' Signature: .. ", S.U B ..CO NJPJ>;CIORI NFQR~'!'\tiqN"'" '. .. ['o' ;.;1 Nrlme CCB Lice!1se N~mber I Phone Number Electrical 17 fJ:b I Plumbing 31 m I J'vIech>Jnicnl 30:;.37 I I ..~ FEE SCHEOULE i L V31.u.~-tloil- il)formiltio:n.. , . I (<I) Job descriplion: I Occupancy I COri<:::lrllClior' "..np. I - ' .,' r' ~. ..,,~ Square feet: 1;1..'10 +-~~~ I Cost per square foot: Other informatIOn. Type of Heat: ~..~ .,Ih' " Eflf'rg) L.... ~h [1J new 0 alteration 0 addition (b) Foundation-only permit? DYes Total valuation: ONo III ,dOO. I I I s ~! , $ $ 50 $ (a) Pemlil fee (use valuation {3b1e). (b) Invesrigative fee (eqUal to [2a]): (c) R.einspeclion ($ Der hour): 1 (number cfhours x fe~ per hO\..!f') (d) Enter J2% surcharge (.12x [2:::.+2b+2c]). (e) Subtotal of fees above (2a through 2d): (a) Seismic fee, 1% (.OJ x permit fee [2a1). TOTAL fees and slJrchuges (Ze+3r+'-Ia): $ 2~ willamalane tlaj Park and Recreation District Job. No. SIt) -l.(S'-::? SYSTEM DEVELOPMENT CHARGE WORKSHEET July 1-December 31,2010 NAME: !lA Yi'E IV" PHONE: 22-F &7'3 S- ADDRESs.?yc:W SiAl 7~c:....e<<tITY RI>p,tVp STATE:dAzIP: q1J7~ LOCATION OF PROPOSED BUILDING SITE: Street Address: 060 F ~ LC l..( .f '( Plat Name: ~TV' "'" P s. Tax Lot Number: /682 c> 'OIl ,/CJ ~b~ 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on .the back.) A. Sinale-Familv Detached NO. OF UNITS t X $3,468 per unit = I $ J '( tp~ B. Sinale-Family Attached NO. OF UNITS X $3,538 per unit = CI: ... C. Multi-Family Apartment NO. OF UNITS X $2,906 per unit = $ D. Sinale Room Occupancy NO. OF UNITS. X $1,453 per unit = $ E. Accessorv Dwellina Unit NO. OF UNITS X $1,734 per unit = $ $ WILLAMALANE SDC 2. SDC CREDIT (If applicable) SDC payer must furnish proof of Willamalane Credit approval.) $ J' 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) $ 7'( ~? ~ Development Services Department City of Springfield (0. c;, . I Date '0. /-, - - \1J .~~ .\\) \i\ . .5 . ' ~SP~~_N~=lD '~,' "~,> .. . ....'!fii " , ~d;1:\, OREGON TRANSACTION RECEIPT 811-SPR2010-00453 4808 HOllY ST CITY OF SPRINGFIELD 225 Frtth 51 Springfield, OR 97477 541"726-3753 www.ci.springfield.or.us permitcenler@ci.springfield.or.us RECEIPT NO: 2010000700 RECORD NO: 811-SPR2010-00453 DATE: 10/29/2010 U:iESl,;:BlpTION,. ' ~," ~ """i- 4; ;ip,c';';:'" .'*-6 J!-d'"'" :t'i~"!Ac.99_0t<lf2QQPEF~'-0~i;'''~MQ.Lifj:tQ\'! 10:'.;; /'" j Sidewalk up thou9h 90 Feet 201-00000-428060 $88,00 Curb CuUDriveway 1st Cut 201-00000-428060 $88,00 SDC: Reimbursement Cost,- Storm Drainage 441-00000-448029 $419,58 ~.!'!'p.'ovement Cost - Storm Drainage 440-00000-448028 $761,85 ~: ReirTlbursemen~Cost- Local Wastewater 442-00000-448024 $2,549,28 Technoio~'y fee (5% of_permit total) 100-00000-425605 __,_,__________~O,68 SDG.c Improvement Cost - Local VY~st"",ater ,_____,_~_,__~?.:~0~O'O'-44~2,~~__ h' _ ~1.:~5~8 SDC: Reimbursement - Transportation SDC 446-00000-448026 $426,92 SDC: Improvement: Transportation SDC 447-00000-448027 $1,597,62 ~eimbursement..Cost - MWMC Re9ional Wastewater SDC 444-00000-448024 $101,97 ,:>DC: Improvement Cost - MWMC Re~ional Wastewater SDC 445-00000-448025 $1,333,57 SDC: Compliance Cost- MWMC Regional Wastewater SDC 444-00000-426607 $22,63 !?IJC: Administrative Fee - MWMC Regional Was~,,-water SDC 611-00000-426604 $10,00 SDC: Total Sewer Administration Fee 719-00000-426604 $303,12 SDC: Total Transportation Administration Fee 719-00000-426604 $122,34 Plannin9 - Major Review 100-00000-425002 $211,00 Admin fe"J10% of ape.'ica_ble fees) 224-00000-426605 ___h__h_,~.:E' !echnology fee (5% of permit total) 100-00000-425605 $8,80 Residential Fire (,05 Per Sq Foot) 100-00000-424005 $91,15 Structural Building p,,,rmit Fee 224-00000-425602 $985,51 Address Ass2gnment, each new or change 224-00000-425602 $38,00 Willamalane fees - Sin91e family detached 821-00000-215023 $3,468,00 ~T_,:,_o Family Dwelling with Two Bath 224-00000-425603 $374,00 Furnace -, up to 100,000 BTU 224-00000-425604 $17,00 Range hood/other kitchen equipment 224-00000-425604 $13,00 Single-duct exhaust (bathrooms, toilet compartments,_~tility ro~_s) 224-00000-425604 $36,00 Heat pump 224-00000-425604 $17,00 ~._- First Appliance Fee 224-00000-425604 $79,00 Gas Piping up to 4 outlets 224-00000-425604 $7,00 5.~~dence wjring 1,000~, ft 0, Jess 224-00000-426102 ___,_""_,,,,_. ~.1_3~dOo. Each added 500 sq, ft, or portion 224-00000-426102 $50,00 Temp, services 200 amps or less 224-00000-426102 $63,00 State of Ore90n Surcharge (12% of applicable fees) 821-00000-215004 $213,06 TOTAL DUE: $15,015.88 t::PAYMIO:Nt:t\YPE>;;,j,"MYOR:!,~C-ASH1ER"bBOWLSBY, /' ."'COMMEN'TSl,,"" iP"F_";''::'ft,, 'R"" I.-A MO'U'NT,.'P'A' 'ID'~";;;" ',; -.I "'_',,-_,_ ~" ,._.. .. ':~ ',. ".~ .... .. < A ~~____..~,_., -'.'" .... .,,__~...."0. _~.__ _, _..,_......~ r.....'.0-.-."'...._". ~ Check 30382 HAYDEN ENTERPRISES INC $15,015.88 $15,015.88