HomeMy WebLinkAboutPermit Building 2010-10-29
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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
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: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
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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
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\
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
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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
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Check
30382
HAYDEN ENTERPRISES INC
$15,015.88
$15,015.88