HomeMy WebLinkAboutPermit Building 2010-11-2
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00489
IVR Number: 811142590797
www.ci.springfield.or.us
PROJECT STAnis:
STATUS DATE:
,ISSUED:
\
APPLIED:
11/02/2010
10/11/2010
Issued
11/02/2010
225 FifthSt
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541'726-3676
pennitcenter@ci.springfield.or.us
EXPIRES:
VALUE:
05/01/2011
$205,547,55
SITE ADDRESS: 5744 Peridot WAY, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1802041401211
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
New Single Family Dwelling
Phone Number: 541-767-8138
OWNER:
ADDRESS:
Notdurft Shaun
529 Monroe 008
Eugene OR 97402
CONTRACTOR INFORMATION ~
\
Contractor Type
Contractor Name
OWNER
SMART TEMP HEATING & AIR CONDITIONING INC
RS PLUMBING CONTRACTOR INC
Lie Type
OWN ER
CCB
PLUMBING
Mechanical Contractor
Plumbing Contractor
Lie No
0000000
186614
20~288PB
Lie Exp
08/12f2025
05/06/2011
07/01/2011
541-255-5292
503~461-4714
Phone
BUILDING INFORMATION ~
Electrical Specialty Code Edition:
Springfield Fire Code Edition:
Mechanical Specialty Code Edition:
Municipal I Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition: 2006 f\ \a\'l leC\uileS '/O~ti;~'/
Structural Specialty Code Edition:'EN110N: OlegOd b,/ the OlegOf\ et 10lth
p., I \ adopte les ale s ~
10110\'1 ru\eSc f\te{. 1\~Ose 1\ OP<R 952-00 -
. ~:,,:.....~tIOll e ~,...,H"dnrou9 ",._ tll\AS bV
Site Information ';~- OP<R 9fO~ I-~;;taif\ Copi~~h~ t~l~p\1Of\e
009U.. \V~:e ~ef\\e{.. (Not~\i\it':l NotilicatlOf\
call1f\9 1 1\\18 OlegOf\ 332-2344).
f\umbel 0 tel is 1-800-
cef\
# of Units:
1
25.3
Forced Air Gas
# of Stories:
Height of Structure:
Type'of Heat:
Water Type:
Range Type:
Hazmat:
Gas
Gas
No
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
3
No
No
Path 1 A Gas-fired
furnace with min.
AFUE of 90%
Engineered Fill:
Fill Volume:
Frood Hazard Area: No
land Hazard Area: No
Retaini~~~!I~E: NO. E IF THE WORK
Soils Report.Reg"'r""," SH~d_l EXPIR ERMIT IS NOT
I HI::> rcnl,n1 THIS P
. AUTHORIZED UNDE! ABANDONED FOR
COMMENCED OR Iv
ANY 180 DAY PERIOD
Springfield Building Permit
No
11/212010 2:18:01PM.
lot Size:
Sq Ft 1 st floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Fl Carport:
Sq Ft Other:
Occupancy load:
7793
1601
506
320
Page 1 of6
S~~~N. .~~
~~
~~EGON
www.cLspringfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00489
IVR Number: 811142590797
225 Fifth Sf
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenler@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
11/02/2010
ISSUED:
APPLIED:
11/02/2010
10/11/2010
EXPIRES:
VALUE:
05/01/2011
$205,547.55
SITE ADDRESS: 5744 Peridot WAY, Springfield, OR 97477
ASSES OR'S PARCEL NO: 1802041401211
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTfON:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
27
9.75
5
12.5
25.75
New Single Family Dwelling
DEVELOPMENT INFORMATION I
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure
to north property line:
Yes
,REQUIRED PARKING
Total: 2
Handicapped:
Compact:
29.5
25.3
.PUBLlC IMPROVEMENTS
I
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructqn:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valuation Description
~
Description
R-3 1 & 2 family
U Utility, misc.
Tvpe of Construction
VB
VB
Unit Amount Unit Tvpe
1,801.00 Sq Ft
826.00 Sq Ft
Unit Cost
96.83
37.72
Value
174,390.83
31,156.72
205,547.55
Springfield Building Permit
11/2/2010 2:1B:01PM
Page2of6
SP..fIN.G FIEL~ '
~.'--'
.'. . r$f1.
. '.'~;OREGON
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-SPR2010-00489
IVR Number: 811142590797
www.ci.springfield.or.us
pennilcenter@ci.springfleld,or.us
PROJECT STATUS:
STATUS DATE:
155 ued
11/02/2010
ISSUED:
APPLIED:
EXPIRES:
VALUE:
05/01/2011
$205,547.55
SITE ADDRESS: 5744 PeridotWAY, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1802041401211
PROJECT DESCRIPTION:
New Single Family Dwelling
Descriotion
Structural Plan Review Fee Residential
-- -
SOC: Administrative Fee - MWMC Regional Wastewater "
SOC: Total Transportation Administration Fee
SOC: Total Sewer Administration Fee
SDC: Compliance Cost - MWMC Regional Wastewater SI
SDC: Improvement Cost - MWMC Regional Wastewater ~
SOC: Reimbursement Cost - MV\Ifv1C Regional Wastewatf
SDC: Improvement - Transportation SDC
SOC: Reimbursement - Transportation SOC
?DC: Improvement Cost - Local Wastewater
SOC: Reimbursement Cost - Local Wastewater
S9C: Improvemel")t Cost - Storm Drainage
SDC: Reimbursement Cost - Storm Drainage
Structural Building Permit Fee
Water heater
First Appliance Fee
Single-duct exhaust (bathrooms, toilet compartments, utili
Range hood/other kitchen equipment
Furnace - up to 100,000 BTU
9ne or Two Family Dwelling with Two Bath
Willamalane fees - Single family detached
Willamalane fees - Single family detached
AddressAssignm~~~~~ch new or change
Residential Fire (.05 Per Sq Foot)
~~ fee (10% of applicable fees)
~l"anning - Major Revi~_<
Plan Review Adjustment - Resi~entia~__~
Gas Piping up to 4 outlets
Technology fee (5% of permit total)
State of Oregon Surcharge (12% of applicable fees)
Temp services 200 amps or less
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
Total Amount Paid
Springfield Building Permit
11/02/2010
10/11/2010
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
FEES PAID
~
Amount Paid
$278.94
$10.00
$120.78
$332.68
$22.63
$1.333.57
$101.97
$1,597.62
$426.92
$1.232.11
$2,443.06
-'-,--"-,,
$1.226.09
$675.24
$1.115.75
$17.00
$79.00
$36.00
$13.00
$17.00
$374.00
$3,325.58
$142.42
$38.00
$131.35
$13.14
$211.00
--"'~---
$446.30
$7.00
$121.10
$252.61
$63.00
$7.56
$3.15.
$16,215,57
Date Paid
10/11/2010
11/02/2010
11/02/2010
11/02/2010
11/02/2010
11/02/2010
11/02/2010
11/02/2010
11/02/2010
11/02/2010
11/02/2010
11/02/2010
11/02/2010
11/02/2010
11/02/2010
11/02/2010
11/02/2010
11/02/2010
11/02/2010
11/02/2010
11/02/2010
11/02/2010
11/02/2010
11/02/2010
11/02/2010
11/02/2010
11/02/2010
11/02/2010
11/02/2010
11/02/2010
11/02/2010
11/02/2010
11/02/2010
11f212010 2:18:01PM
Receipt #
374563
374774
374774
374774
374774
374774
374774
374774
374774
374774
374774
374774
374774
374774
374774
374774
374774
374774
374774
374774
374774
374774
374774
374774
374774
374774
374774
374774
374774
374774
374774
374774
374774
Page 3 of6
S[..~...:~. ~,_"F,IELfij
~,,,~.,.
1:"mm",,,-,,,i. OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00489
IVR Number: 811142590797
www.ci.springfield.or.us
225 Fifth St
Springfield,OR 97477
Phone. 541-726-3753
Inspection Phone: 541-726-3769
Fax: 5~ 1-726-3676
Issued
perm itcenler@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
ISSUE'o:
APPLIED:
11/02/2010
10/11/2010
11/02/2010
EXPIRES:
VALUE:
05/01/2011
$205,547.55
SITE ADDRESS: 5744 Peridot WAY, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1802041401211
SCOPE: Single,Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
New Single Family Dwelling
Plan Review
~ '
Deoartment
AppJJcalion Acceptance
Received Due Date Comoleted
10/11/2010 10/11/2010 10/13/2010
Result
Application Accepted
. Reviewer
David Bowlsby
~nitlal Revl~w ':~~--~t \t,;%oif iJOf1372010-=J9!1372010'."~1q/J15/201(f',,*#,ilnforllJ.atll?nhQhly': '~:x, 'Lisa Hopper"_ _!-
""_,~.' _ .',,~0"1'i',"A~W""~" ,}.~"'_ - tc^'" '~,,",'$~' '" _~ ~>~""_~....,,,,",,~ *<, '01i&f"0'7'~ \;M,'"", ,01.,.
~1q~m!!1e~!~~\( \TN~w plafl~,c~y~mjltteg ',~Yl~l!~. @_~~slgnsforIIY!n~;_~q~rn_~~_Pla~_~'t)aY~1.b~~r~y~r.~_~?" 9.nglnal,p!Sl~S4~~yrO~cl~J;:"
Initial Review 10/13/2010 10/13/2010 10/15/2010 Approved Lisa Hopper
~WuGtural-Review-
Planning Review 10/13/2010 10/13/2010 10/14/2010 Add'l info required Deyelte Kelly
Comments: ihe plot plan is indicating a side setback of 6'2" on the northwest side (at the garage corner) however, there is a 7' public
utility easement along that property line. The plot plan will need to be revised to show the structure complet'ely out of the
pue.
Plani1i!lg'R~yi.~w.
Initial Review
10/13/2010 10/13/2010 10/13/2010
Approved
Strust.uralR.;yiew, ,\ 0Rfs',';s'".' . ,10j,13/201Q,;(10113/20io",.,10i29/2Ql0
, 'c;';;ih'ehtS:;+,.#:Need':ng{ne~-ti~~,f;~ ,lbo676#-tfu~~';f~a-aiOn-p-oint:l~~"~~-,; f
"'-'~'.""_'..:',^"~'_ ... .,..., "--"''''-'~5'0-0>''--'--;,,^..,",.'o~ '
Public Works Review 10/18/2010 10/20/2010 10/29/2010 Approved
Comments: Storm water to swale with outflow to be diffused prior to wetlands.
....._, . '_. _... m . ..... ".,..r-",,'.._I.~_..,
.:-: '(\d9:ldnfo;Be.auft~~;:_-7~,? '~___C;;f~sj~~,~_arp~'lt~r~
,-",^,,"~~.~--~ _' .-.~~ . ::,":",_:,:~~", ,:#~'-f'~l;I-:-.-" h
.' ..
',1.,0
,~L"" :~
Kaye Wilson
~
Springfield Building Permit
11f2/2010 2:18:01PM
Page 4 of 6
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building' Residential Permit
PERMIT NO: 811-SPR2010-00489
IVR Number: 811142590797
.
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
SP:~~~. FIEL~
~~
~OREGON
pe rmitcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
11/02/2010
ISSUED:
APPLIED:
11/02/2010
10/11/2010
EXPIRES:
VALUE:
05/01/2011
$205,547.55 .
SITE ADDRESS: 5744 Peridol WAY, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1802041401211
SCOPE: Single'Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Reside,nlial
PROJECT DESCRIPTION:
New Single Family Dwelling
INSPECTIONS REQUIRED ~
Inspections
1020 Zoning/setbacks
1090 StreetTrees
1110 Footing
1118 Footing Drain
Footing: A~er trenches are excavated.
1120 Foundation
Foundation: After forms are erected but prior to concrete placement.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in
conjunction with footing and/or foundation inspection.
1160 UFER Ground
1220 Underfloor framing
1260 Framing
Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
1370 Masonry Veneer
1410 Underfloor insulation
1420 Insulation Vapor Barrier
1430 Insulation Wall
. Wall Insulation: Prior to cover.
Ceiling lnsulation:~ Prior to cover.
Shear Wall Nailing: Before covering sheathing with finish materials.
1440 Insulation Ceiling
'1520 Interior Shearwall
1530 Exterior Shearwall
1540 Gypsum Board/LathlDrywall
Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum
board, interior and exterior are in place, but prior to plastering.
Final Building: After all required insp.ections have been requested and approved and
the building is complete.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Underfloor Gas: After line is installed and required testing and capped if not attached
to an appliance.
Gas Service: Afte.r line is installed and line has been connected to a minimum of one
appliance including required testing. Presure test done at this point.
Rough Mechanical: Prior to Cover
Final Gas: When 'all gas work is complete.
Final Mechanical: When all mechanical work is complete.
1999 Final Building
2200 Underfloor Mechanical
2210 Underlloor Gas
2260 Gas Service
2300 Rough Mechanical
2995 Final Gas
2999 Final Mechanical
3130 Footing/Foundation Drains
Springfield Building Permit
11/2/2010 2:18:01PM
Page 5 of 6
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00489
IVR Number: 811142590797
,
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
5~~~N~:EL~
~'ffik""
f;?;!k,}"JI5)I1
'''Q.. ..,
c""". OREGON
permitcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
11/02/2010
ISSUED:
APPLIED:
11/02/2010
10/11/2010
EXPIRES:
VALUE:
05/01/2011
$205,547.55
SITE ADDRESS: 5744 Peridot WAY, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1802041401211
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
3170 Underfloor Plumbing
3200 Sanitary Sewer
3315 Water line
3400 Storm Sewer
New Single Family Dwelling
Underfloor Plumbing: Prior to insulation or decking.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
3411 Perimeter Rain Drains
3500 Rough Plumbing
3999 Final Plumbing
4000 Temporary Power Service
4225 Service or Feeder
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
4500 Rough Electrical
4999 Final Electrical
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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 accdrdance with the
Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and thaI 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 time's during
constructi
Aiv
2
,
,
2CJIU
Date
Springfield Building Permit
11f2/2010 2:1B:01PM
Page6of6
225 Fifth Street. Springfield, OR 97477.PH(54t)726-J753.FAX(54I)726-3689
~
'r
DEfARTMENT USE ONLY
sPIl..:ZOCO - 0 (::) f.{Ei
Penmt no.:
Date: /(- L - ({)
This permit is issued uuder OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180
days of issuance or if work is suspeuded for 180 days.
LOCAL GOVERNMENT APPROVAL
Zoning approval verified? D Ves D No
CATEGORY OF CONSTRUCTION
~esidential 0 Government 0 Commercial
JOB SITE INFORMATION AND LOCATION
Job site address: '57 L \ 6 [.1,4
ZIP:r
City:
s=t>~
02 D4 ( Taxlot.:
DESCRIPTION OF WORK
-re-wt. f DuEV\..
Reference:
Name:
City:
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 9. 0(1).
Signature:
ZIP: 71?:i?S
Fax:7i7576'- ;rC>6;;<-
-,,~
Signing supervisor's license no.:
Print name of signing supervisor:
Signature of signing supervisor:
0V.~
'0~
440-2584-) (9/08/COM)
FEE SCHEDULE
Number ofinspections per item (':) Qty. Cost Total
, ea. cost
Residential, per unit, service incll;lded:
1,000 sq. ft. orless (4) ,
. $134.00 $
Each additional 500 sq. ft. or portion $ 25.00 $
iliereof '
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 $
Ovcr 1,000 amps or volts (2) $469.00 $
Reconnect only (2) $ 63.00 $
Temporary services or feeders: i~.ta//ation, alteration, relocation
200 amps or less (2) . I $ 63.00 $ /..... '"f...
201 to 400 amps (2) . $ 87.00 $
401 to 600 amps (2) . $126.00 $
Over 600 amps or 1,000 volts, see ~ervices or fceders section above
Branch circuits: new, alteration, e:xtension per panel
a. Fee for branch circuits with purchase of a service or feeder fee:
Each branch circuit $ 6.00 $
b. Fec 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 fteder 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 $ b1
(Minimum Permit Fee $58.00)
(B) Eoter 12% surcharge (.12 x [A]) $ 7!" "
(C) Technology Fec (5% of[AD $ "]IF
TOTAL rees and surcharges (A through C): $ 7<?'
. DEPARTMENT USE ONLY
81-1 - ~f'a. 2-8
Pennit no.: 4-8cr
Date: :\..0-- 1-1. - ~
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.
1IIP'.
Structural Permit Application
.PR'NG~=t~~
. . . . .'....... ~ :"'," !, '. ~ ~ j . ",'. '" -;,. f . -,
,:.' .;:' CIT;Y.OF,S.P.R)~qfIE~_q;9REGON ,.;:',....,:. :. '.
225 Fifth Street. Springfield, OR 97471. PH(541)726-3753. FAX(541)726-3689
l;:o.CAL. GOY:E~t<Jr>ilENtAP~~QVAL,..;
This project has finaJ land-use approval.
Signature: Date:
This project has DEQ approval..
Signature: Date:
Zoning approval verified: DYes
Property is within flood plain:
, "':"'."C
f",:,':<'t,-.;"'-,~>;
-"",-,_.'.,.
'C",:-,...,
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70
Sign here:
Address:
City:
Phone:
E-mail:
State: a
Fax:
Print name:
i
/
If
Signature:
,
,'.~i,:":{'<'__ ;'-,;., :'2~'.StH3
.C[gR.!NFo.RMAT:IQN,~{[i3'i;L';;i~;,;~;;,:, :
CCB License Number Phone Number
Name
Electrical
Plumbing
Mechanical
=
"FEE SCHEDULE
L Valiiilti6jJi~form3't-ioii::;,;:;::>,\)\.,.,' .......
(a) Job description: '-'1
Occupancy
Construction type:
Square feet: .
Cost per square foot:
Other information:
, . ~ ,'.,
.'..
I" ;'
Type of Heat:
Energy Path:
ew D alteration
(b) Foundation-only permit?
Total valuation:
);Bhj)(ii;'gfe~s. ,':.:;'.'ih~;;!i,;<i,;::' "
(a) Permit fee (use valuation table):
(b) Investigative fee (equal to [2a]):
(c) Relnspection ($ per hour):
(number, of hours x fe~ per hour)
D addition
DYes
$
$
$
(d) Enter 12% surcharge (.12 x [2a+2b+2c]): S
(e) Subtotal of fees above (2a through 2d): $
(a) Plan review (65% x permit fee [2a]):
(b) Fire and life safety (40% x permit ree [2a]):
(c) Subtotal offees above (3a and 3b):
}i...MI~"blia~Wii~}t'~H/,;;';\'!:",,:":;:"".", .
(a) Seismic fee, 1% (.01 x permit fee [2a]):
s
s
$
TOTAL fees and surcharges (2e+3c+4a): S
~d:/t..!--rfc-L c- ~
c.L._f fC(--(' e Vf<fl(/J) Fo''-CV'A.I
a:;fJv ' f"'tZ:.( \
A': ["J:?
l' (AX
· \S .1
2~wiUamalane
t~ Park and Recreation District
Job. No.SIO - t(~c,
SYSTEM DEVELOPMENT CHARGE WORKSHEET
July 1-December 31, 2010
NAME: }/d"(l)/A12. fr
ADDRESS: ~2? ,.,,~
CITY €"iA ~
PHONE: ?~?- K"I fd'"
STATE:P>-t-ZIP: '?Yc) 2....
LOCATION OF PROPOSED BUILDING SITE:
Street Address: 51 o/'f fl:.7t. (POT (.Ny
TaxLotNumber:/~,z.. tJ't'lt! tJl:2/1
. Plat Name:
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the
back.)
A. Sinqle-Familv Detached
NO. OF UNITS I X $3,468 per unit = $ ~~~I"
B. Sinqle-Familv Attached
NO. OF UNITS X $3,538 per unit = $
C. Multi-Familv Apartment
NO. OF UNITS X $2,906 per unit = $
D. Sinqle Room Occupancy
NO. OF UNITS X $1,453 per unit = $
E. Accessory Dwellinq 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.) $
3. TOTAL WILLAMALANE NET SDC ASSESSED $' '3l(~f'
(~ SDC reduced for Credit)
~
Development Services Department
City of Springfield
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www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR2010-00489
5744 Peridot WAY
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
541-726-3753
permitcenter@cLsprlngfield.or.us
RECEIPT NO: 2010000730 RECORD NO: 811-SPR201O-00489 DATE: 11/02/2010
~eE'SCRIPTION:',:;;'~Ji,:!,n\i!:i:;;:< ";.:J;~'js;':;i::.. ..!;" . ':Y:Hi:Jr;!~Wl~lHm!mmi:;:;'".:l ,:;:j:h;;iHH~C.i~~o_0_~JjCQQJ; ; "ii,,";" ;~<,~:~;:.!~!jA'MoUN1;lio'UE:.:;,:k
SOC: Administrative Fee - MWMC Regional Wastewater SOC 611-00000-426604 $10.00
SOC: Total Transportation Administration Fee 719-00000-426604 $120.78
SOC: Total Sewer Administration Fee 719-00000-426604 $332.68
SOC: Compliance Cost - MWMC Regional Wastewater SOC 444-00000-426607 $22.63
SOC: Improvement Cost - MWMC Regional Wastewater SOC 445-00000-448025 $1,333.57
SOC: Reimbursement Cost - MWMC Regional Wastewater SOC 444-00000-448024 $101.97
SOC: Improvement - Transportation SOC . 447-00000-448027 $1,597.62
SOC: Reimbursement - Transportation SOC 446-00000-448026 $426.92
SOC: Improvement Cost - Local Wastewater 443-00000-448025 $1,232.11
SOC: Reimbursement Cost - Local Wastewater 442-00000-448024 $2,443.06
SOC: Improvement Cost - Storm Drainage 440-00000-448028 $1,226.09 .
SOC: Reimbursement Cost - Storm Drainage 441-00000-448029 $675.24
Structural Permit Fee 224-00000-425602 $1,115.75
Water heater 224-00000-425604 $17.00
First Appliance Fee' 224-00000-425604 $79.00
Single-duct exhaust (bathrooms, toilet compartments, utility rooms) 224-00000-425604 $36.00
Range hood/other kitchen equipment 224-00000-425604 $13.00
Furnace - up to 100,000 BTU 224-00000-425604 $17.00
One or Two Family Dwelling with Two Bath 224-00000-425603 $374.00
Willamalane fees - Single family detached 821-00000-215023 $3,325.58
Willamalane fees - Single family detached 821-00000-215023 $142.42
Address Assignment, each new or change 224-00000-425602 $38.00
Residential Fire (.05 Per Sq Foot) 100-00000-424005 $131.35
Admin fee (10% of applicable fees) 224-00000-426605 $13.14
Planning - Major Review 100-00000-425002 $211.00
Plan Review Adjustment - Residential 224-00000-425602 $446.30
Gas Piping up to 4 outlets 224-00000-425604 $7.00
Technology fee (5% of perno it total) 100-00000-425605 $121.10
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $252.61
Temp services 200 amps or less 224-00000-426102 $63.00
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $7.56
Technology fee (5% of permit total) 100-00000-425605 $3.15
TOTAL DUE: $15,936.63
I. PAYMENTT.YPE(' pAvOR': liiicAsHIER:NM'ilcHi'lO.o 'COMMENTifi: "';;' :,'::Ei:i:i~EiiH F1'hiANlOI.lNTpAID.
Check
SHAUN NOTOURFT R.
$14,500.00
Check
2210
SHAUN R. NOTOURFT
$1,436.63
$15,936.63
www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR2010-00489
5744 Peridot WAY
CITY OF SPRINGFIELD
225 Fifth 51
Springfield,OR 97477
541.726-3753
permitcenter@ci.springfield.or.us
RECEIPT NO: 2010000539
RECORD NO: 811-SPR2010-00489
DATE: 10/11/2010
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DESCRlPJ:[QJ~~llf-~~.:L.l" :~_~_," ,k,,? o",i,cCllllll~-, '- "'" """,;,'C,,",AC.G,0,UNJc.C.Q[~.E~:"4'l'-!)'M9.U_III:tR.U_~ '.v . ',.. '" 7:!
Structural Plan Review Fee Residential $278,94
TOTAL DUE: $278.94
L.RA YM!,.~t:tYPE~dJlPA Y0R";;""CASHIER: ~KAUFMAN' F"C~QrylM_ENTS.,!b..';:~;'Jd". -~~ 'Li.~' i_A~rii.Q1It-Ill-PAID! .-~~ ".:J
Check
198
Shaun Notdurft
Plan Review Fee
$278.94
$278.94
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