The URL can be used to link to this page

Home My WebLink AboutPermit 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",:-,..., 'J"-' "'i" I:,:.-.,,_:~~-:Jr.'.> 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 '/{)-rll i/r Date .. . . \\.i. \OW 5 SPj~:~.FIEL~ ~~ ~OREGON 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 ( "....., ..... ..... .... ..".,. ......... ='S ~,JSt''''ii "".10....,-' c . -;. ':;;;.iT"'5i:'.':;:'.i!t.,- .,,' :iC-\i.;""'''''?c. >,. ".' ." _. 'Q.i;; ""-:;;"iAJJ\1r: -''L- '.,,: .J'''''...':........ ......,,' '."y,'" ...."'1. .,. c.,....,.., "....... :.... ....:' ..- >',,,,;;2;r:'.';;;' .. ""'. ,. ':; '~,"'f..' ~._'"' .:;. "--,, " -< -.... ~"'".:, 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 ~