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Home My WebLink AboutPermit Building 2010-11-23 CITY OF SPRINGFIELD Building I Residential Permit' PERMIT NO: 811-SPR2010-00659 IVR Number: 811138959536 www.cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 11/23/2010 ISSUED: APPLIED: 11/23/2010 11/04/2010 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perrnitcenler@ci.springfield.or.us EXPIRES: VALUE: OS/22/2011 $172,000.00 SITE ADDRESS: 4851 GLACIER DR, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051110100 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family residence. SAME AS SPR2010-00195 4843 Glacier PROJECT DESCRIPTION: Phone Number: OWNER: ADDRESS: JHD3 LLC 2464 SW GLACIER PL REDMOND OR 97756 CONTRACTOR INFORMATION I lic Type eeB eeB ceB eeB BUILDING INFORMATION ~ 1 18.5 Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: Electrical Specially Code Edition: ATTENTIOI~: 0: :,~'['~ bw rEdUires youto . .. . . , I d' !f:d by the Oregon Ulility Springfield Fir. Code Ed,IIon: . follow ru es a op t f th . . . . Notification Center. Those rules are se or Mechanical Specialty Code Ed'!lon:. 52-001-0010 through OAR 952-001- . . ; . III OAR 9 . f th I by MUnicipal I Development COdf' 0090. You may obtain copies 0 e ru es Plumbing Specialty Code Edition: calling the center. (Note: the tele~hone Residential Specialty Code Edition: numt'2008Jr the Oregon U3t2i1it2Y314"40,liflcalion Center IS 1-800-3' . Structural Specialty Code Edit,ion: Contractor Type Electrical Contractor Plumbing Contractor Mechanical Contractor General Contractor Contractor Name TOP NOTCH ELECTRIC INC STUTZMAN SERVICES INC PACIFIC AIR COMFORT INC HAYDEN ENTERPRISES INC # of Units: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Occupancy Type Construction Type Occupancy Type R3 Residential Type VB U Utility & Miscelllaneous Structures Type VB Construction Type # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: 3 Path 2A Certified performance-tested duct system Forced Air Gas Gas Electric lie No 172366 31747 39237 92208 lie Exp Phone 09/29/2012 541-317-1998 05/12/2012 541-928-8942 03f25f2012 541-672-9510 07/29/2011 541-923-6607 Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: 4574 1041 552 21 Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit 11f23f201 9:16:09AM NOTICE: E WORK THIS PERMIT SHALL EXPIRE IF ~~T IS NOT AUTHORIZED UNDER THIS PER COMMENCED OR IS ABANDO~ED FOR . ANY 180 DAY PERIOD. Page 1 of 6 www.ci.springfleld.OLUS CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00659 IVR Number: 811138959536 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pennitcenter@ci.springfield,or.us PROJECT STATUS: STATUS DATE: Iss ued 11/23/2010 ISSUED: APPLIED: 11/23/2010 11/04/2010 EXPIRES: VALUE: OS/22/2011 $172,000.00 SITE ADDRESS: 4851 GLACIER DR. SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051110100 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family residence - SAME AS SPR2010-00195 4843 Glacier Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: . Solar Setback: 18 5 507 22.04 o DEVELOPMENT INFORMATION I Overlay Dist: . # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Yes 39.5 REQUIRED PARKING. Total: 2 Handicapped: Compact: Highest point on structure to north property line: 18.5 PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion R-3 1 & 2 family U Utility, misc. Tvoe of Construction VB VB Unit Amount Unit Tvee 1,041.00 SqFt 573.00 Sq Ft Unit Cost 96.83 37.72 Value 100,800.03 21,613.56 122,413.59 Springfield Building Permit 11f23f201 9:16:09AM Page 2of6 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-5PR2010-00659 IVR Number: 811138959536 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 11/23/2010 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: APPLIED: 11/23/2010 11/04/2010 OS/22/2011 $172,000.00 EXPIRES: VALUE: SITE ADDRESS: 4851 GLACIER DR, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051110100 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family residence - SAME AS SPR2010-00195 4843 Glacier PROJECT DESCRIPTION: FEES PAID I Description Planning - Major Review - City ;t\d;;;i~ fee (10% of applic~l; fee~l-' ~:...rvices 200 amps or less Each added 500 sq. ft. or portion Residence wiring 1,000 sq. ft. or_~~ss Sidewalk up though 90 Feet Curb CuVDriveway 1 sf Cut Multiple Permit Discount (Max 2) SDC: Reimbursement Cost - Storm Drainage SDC: Improvement Cost - Storm Drainage sac: Reimbursement Cost - Local Wastewater SDC: Improvement Cost - Local Wastewater ~DC: Reimbursement - Transportation SDC SDC: Improvement - Transportation SDC SDC: Reimbursement Cost - MWMC Regional WastewatE , sac: Improvement Cost - MWMC Regional Wastewater ~ SDC: Compliance Cost - MWMC Regional Wastewater 51 SDC: Administr<:!ive Fee - MWMC Regional Wastewater ~ SDC: Total Sewer Administration Fee SDC: Total Transportation Administrat!o~_~_ee Residential Fire (.05 Per Sq Foot) Structural Building Permit Fee Structural Plan Review Fee Residential Address Assignmen.!,~ew or chang~__ Willamalane fees - Single family detached ~r Two Family Dwelling with Two Bath Furnace - up to 100,000 BTU Rang~~oo~/other kitchen equipment Single-duct exhaust (bathrooms, toill:t compartments, utili. Heat pump First Appliance Fee State of Oregon Surcharge (12% of applicable fees) Technology fee (:;% of permit total) Vent for appliance other than furnace State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) Same as Plan Review Submittal -.. ..- Total Amount Paid Springfield Building Permit Amount Paid $211.00 $8.07 $63.00 $50.00 $134.00 $88.00 $88.00 $-30.00 $479.59 $870.84 $2,549.28 $1,285.68 $426.92 $1,597.62 $101.97 $1,333.57 $22.63 $10.00 $312.06 $121.84 $80.70 $1,001.79 $651.16 $38.00 $3,468.00 $374.00 $17.00 $13.00 $36.00 $17.00 $79.00 $214.17 $98.44 $9.00 $1.08 $0.45 $250.00 $16,072.86 Date Pa id 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 .--..-..- 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/04/2010 Receiot # 374961 -_.."._.._.._.-._-_.~"~- 374961 .....-.-- --.. - ,..-- 374961 ._-~-- 374961 374961 374961 374961 374961 374961 374961 374961 374961 374961 374961 374961 374961 374961 374961 374961 374961 374961 374961 374961 374961 374961 374961 "...-- 374961 374961 374961 374961 374961 _.._-- 374961 374961 374961 374961 374961 374808 11/23/201 9:16:09AM Page 3 of 6 SP~~N~. ~E~ L~~ ~OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00659 IVR Number: 811138959536 www.ci.springfield.or.U5 225 Fifth S\ Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfiefd,or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 11/23/2010 11/04/2010 Issued 11/23/2010 EXPIRES: VALUE: OS/22/2011 $172,000.00 SITE ADDRESS: 4851 GLACIER DR, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051110100 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family residence - SAME AS SPR2010-00195 4843 Glacier PROJECT DESCRIPTION: Plan Review ~ Deoartment Application Acceptance Received Due Date Comoleted 11/04/2010 11/04/2010 11/05/2010 Result Application Accepted Reviewer David Bowlsby ~' !~n"_..~,jh ,gi~e.'.'.V.-i~W.,;':;;:?~~;~1.}f?5/2~1~..;;;~1:1~,5. (2JllO~~J.,1I?,8/3,91_~:::._r~p~;q~~q;t.~-~\....;;~~:"~.'.' Ptf re,Jt.el~~.,I!r:riff"...;r~';i.;':~'. :;-.~;.:;. :.'~.I :;,CommentS:-,"l:ronFelevationsare'site,specific,and,contain,REQUIREDjdeslgn'elements.'Jlflspectors'WIIJ;fielC1~check~that'actual"[' .'~ "~ ":;r.+ ,:.,\ -. _" - :-. ~';=~ ,,,<,.,.-.- ,7"' ~...~ .,"','.,. '''''.'''''."'. .."'~"""'.. """, ''''',. ",. ". '" ....' '..... "'.. .',,': ',:' ..~' .... ..'" .'i<,. .. ~. " .. ."~. '..': ".," '... . ,.. ',of"." ....... ".' ..': "'. 'f" ""," . ", .' ' ,,~'"> . ;-':~l'elev,.Hion~imatchs-uhmitted,de-signs~as,sh6wri on,the aRRroved'set..of.pl~~.' t-~~;;:..',' i %'~" ;(;. "".4.1:. .L &:'-. \~:' -f ,. ., . <_ .- Initial Review 11/05/2010 11/05/2010 11/05/2010 Approved David Bowlsby l~y~_~~!~g'~R~,~e,,~'_'..: "C:t';'; 1;;>j,~1l05/20f9~'~ ~'~1~1,/~5/2~_1:~::.:, ,~'1/9~~91_~';;~~: P:~~'!'in~o T~~Uj,r-e~~, ~.__ q,~~~tJ~:K~"y;";:~~~ .~~-.~~~:--:l r~' comm~n't~: _~' PI.aDi~~~t9~'~h2~l~g. eX!@~S:8,9tCQ{niS~ing,frOm p'~afl~set.' '_G~s!omer'YviJt: provide r~,quir~id~,?~~E~:~___~~. '~___'_":'" _ :--,~,,~';;:.;~.:.:.~21 Planning Review 11/05/2010 11/05/2010 11/12/2010 Approved Deyette Ketty Comments: Revised elevations received. Front elevations are site specific and contain REQUIRED design elements. Inspectors witt field check that actual elevations match submitted designs as shown on the approved set of plans. Meets minimum setbacks. inspection. See letter attached. Public Works Review 11/05/2010 11/05/2010 11/15/2010 Comments: Received on 11-12-2010. Storm water to tap Approved Kaye Wilson Springfield Building Permit 11123/201 9:16:09AM Page 4 of 6 S.P\lI.NGF.IE~. ~- i~"~ : .. .~'K OREGON www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00659 IVR Number: 811138959536 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 ISSUED: APPLIED: 11/23/2010 11/04/2010 EXPIRES: VALUE: OS/22/2011 $172,000.00 11/23/2010 SITE ADDRESS: 4851 GLACIER DR, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051110100 PROJECT DESCRIPTION: SCOPE: Single. Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family residence - SAME AS SPR201 0-00195 4843 Glacier INSPECTIONS REQUIRED I Inspections 1020 Zoning/setbacks 1090 Street Trees 1110 Footing 1118 Footing Drain 1120 Foundation Footing: After trenches are excavated. 1160 UFER Ground 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. 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. 1440 Insulation Ceiling 1520 Interior Shearwall Ceiling Insulation: Prior to. cover. Shear Wall Nailing: Before covering sheathing with finish materials. 1530 Exterior Shearwall 1540 Gypsum Board/Lath/Drywall 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 inspections 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: After 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 1999 Final Building 2200 Underlloor Mechanical 2210 Underlloor Gas 2260 Gas Service 2300 Rough Mechanical 2995 Final Gas Final Gas: When all gas work is complete. 2999 Final Mechanical Final Mechanical: When all mechanic~1 work is complete. 3130 Footing/Foundation Drains Springfield Building Permit 11/23/201 9:16:09AM Page 5 of 6 SP~~;G.=L~ .~~~ r::"f'iI" OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00659 IVR Number: 811138959536 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilce nter@cLspringfield,or,us PROJECT STATUS: STATUS DATE: Issued 11/23/2010 ISSUED: APPLIED: 11/23/2010 11/04/2010 EXPIRES: VALUE: OS/22/2011 $172,000.00 SITE ADDRESS: 4851 GLACIER DR, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051110100 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family residence - SAME AS SPR2010-00195 4843 Glacier 3170 Underlloor Plumbing 3200 Sanitary Sewer 3315 Water Line Underfloor Plumbing: Prior to insulation or decking. Sanitary Sewer Line: Prior to filling trench and including requir~d testing. 3400 Storm Sewer 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 t~sting.' 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 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 ensur~ 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. .:-- ~~r //-...2"3- /11 Owner or Contractor Signature Date Springfield Building Permit 11/23/201 9:16:09AM Page 6 of6 LJ~rJ\~ ~, _A>, ~5f -,;v> :;to-1ft" ~.- Lf~'13' Q4.cief. _ SP"''''Gr' ~L c> OEP,t\RTMENT USE o Nl_',;' 1~~~IO-O~ b Sf , I i Date II-l.{-r C> This permit is issued under OAR 918-:.\60-0030. Permits expire if work is not stJrted within 180 days of Issu3nce or ifworh: is suspended for 180 days. Strlll 22) Fifth Sue.:::! . Sp.ingCield, OR 97417 . PH(5-c: \ )72t<~')3 t F.-\..\\~4 1)126-36S9 I LOCAL Gc)YERNMENj I This projeCl has flnallalld-use approval Signature" This project has OEQ 3pproval.. Signature: ZOlling appruva\ verified: 0 Yes ProperTY \5 '''''':;-;;11 Deed plaID. 0 Yes APPROVAL, I I I Dale: ID31t' 01'0 ~" LJ !'J0 ',CATt:<:;()~Y >OtCONSTRUCTION' [j Residential o Government o COiT,m~lc;3\ JOB SITE INfORMATIQNANb' l(:JCATION est GI-.ct' D. CiI)': ,r oi, Subdivision: ' W ~y W,'.....(.s ReJ'erence: C> S ( I ' PROPERTY OWNER Name: Address: I ZiP177-G .\.-( . State: 0 Q Fax: City: Kt Phone:,q 1- ') ~</F;'~S- E.-mail: This il,stallatJon is being made on residential or farm properr)' owned by me or a member of my immediate family, and is exempt from licensing requirements under OR'S 701.0 I D. Sign here: LAnON: Address: CiI)': Phone: 5'11 . E-mail: CCB \\cense no.: '(<i(e ( State: OK_ Fax:JiI-fOj, o Print name: Signature: " sLiB~CQNtRAt:tOR iNFORMAtioN' ~ .. " " :' , , ".. .... .....,-.......,....<...".,..- - -....... ,_.... Name CCB Lice!lse Number Phone Number EJeclric:a1 J7]1 r;f, Plumbing 3/7'17 I'vlech::lnic::d 3'1.;;.37 J ')' ~ " .e,y' FEE SCHEDULE 1. V'a'hi.~.ti"orl"inform3tio'~";' (a) Job descriplion: ~/'~ Occupancy Square feet. COSl per square fOOl: Other information: Type or Heal: Energy P2th: (JA [13 new 0 alteration 0 addition (b) Foundation-ani)' permit' 0 Yes .-r::rNo Total valuation: (a) Permit fee (use valuation table): (b) Investigative fee (equal to12o)): (c) Reinspection ($ per hour): \ (number cfhours x fe~ per ho!...!r) $ $ I ,~ I $ (d) Enter 12% surcharge (.12x [23.+2b+2c}): (e) Subtot.al of fees above (23 through 2d) $ b (a) Seismic fee, 1% (.01 x permit fee r2a1): TOTAL fees and surcharges (2e+3c+4a): $ Electrical Permit Application 225 Fifth S',,"+Springfield, OR 97477 +PH(541)726-3753+ FAX(541)726-3689 SPRINGFIELD ~~l~!Ql ;~iilA:~~~~'~R;~~~~~ f,':tj;~.\'J<,l.;:t ~.('~ ri;~t~f~ilw.fu-.;,. ~" "~~~'j :;-".~' ._':' -',.' ',: -" ""'~'~:'~';::~"".! ..,.'''' '.,.. ~ . -~ ,;t,,;. DEP,ARTMEN;r;jtfsE,ON,"y'l;;,;, ,.:'"E",;. ".: . ;Ir: . ~,.. "'.:'< ':;J;-,~:;;-j.~~:L"-~?'_V";;"~1~'J/~':r~~\J .s t~/\,).OO $7- Pennit no.: Date: /1- ~ -t 0 This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ~f';t;'".i'tfJf*,~"'rO"C.:'^'iiWlG-0-'-V"-E'R--N- -M'E"N' ',r,&I"'cinR"O: 'V':'-',;1;j;"i~'~it,r1"";"" If:;'',\.kW,,,,w,V;r:,}(;',m~.__,__.~L;'J.::',. ..._'...1. _,_.... .__. \JI_~~~.~,~ ,'__... i ,~a;.-,2~'.":I:.lit~I;;:-}...V.~~1-1 Zoning approval verified? 0 Yes 0 No \'~~ZifJ~\~~i!i~~l~BAmEG'O"RM;\11t!iF.:{KC0NSt!RllCmib"N;1~~Wi,~~?~F~:fM~!i~?S! )I_'.,'~~!!~.li,,_..\-)f' J.___ _ .'.. ".._"n_.....'__',,' ,ij.~_.__ ,,/0. .._.....____' .. ,__'.__.___.._" -1._ -.. ....__n,~,.~.~,.. ...'>'.1 ,.~ . ,.." o Residential 0 Government 0 Commercial ~~~l,!m~rfcf~:\ls.IjI:~~I~F.,E5BMAiJjIQt:i:~AND}.\II0ii)Ai;I0.N!r#!;;~i};1 PI- Ciry: 1'1' State: 0 (I. Subdivision: we w Lot no.: ~? fJl~~~~~~~~J~-NpE.$~CRrBmlq~'~.Of~W~OJ~}~;~?~~ffr.:WJl~8.J~{:K;~~W;~ ~,~1~~1~{it~~}W~ijJ&~j~RJ;{~:e~.R_~~J'jVV~l;R~t~0~~~~t{~'~~:&i~<~J;~;l~~~:~;~~ Name: It.. ik ,s Address: .)l(~'I 5w G. '''IN!r. City: ~"""",(. State: (J)P. ZIP: 'l'1'~ 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: ~1t'{~m~~!ri1''i~,G:ct5,NmR~G;1t~BY~f~'~mt.fEf!.43t;tQN!~~*~~g;~~~:{ii~~~:.,~.~i~ Business name: '7; Address: .208 7"l City: Phone: E-mail:, CCB license no.: Signing supervisor's license no,: Print name of signing supervisor: Signature of signing supervisor: ef-. ZIP: '177". (. ~k~'J \\'~ .~~ ,2584-) (9/08/COM) / 8')rrj~\~'li:~tf1t'i!l~~g~%:$Q8:E[J..Q.~J:!."YtfL~]frt:lil "'.v','" '" ..~-, -"'f;.' ,...~" - ." ,-, ..... '..'- , ' " - -.-- !t',,~ ".~~h"":'<"'UJ""\',r:~." .t~\~.rt&'m,.lrc'L'"~~t'1.'l{'W.>;,I!'1~1 : i,'i~~~ "~'1)'!: 1';;.."'--.....',,-...,. i~Nu.inb~.r~of,:iii~'p~hions ~e"'rfit~~h'~(i\j'~;h~; '~'fY':' ;X~~ ~;t'T...Q!!1~~ "''''~...~');.-"..,,,.,-~jiit'.~. ~"~1!ll",,.iJ.. P..",-'b'~":1'l"'" "::"; " . 'l!:' \' "~fj ~Icost .... .."~~ ....,... ..,',."...~" .."'~."_ "",' ",."a\"-,\.1.';'lI&i.~il-!;,';",,,7.' '.,~",)~ . 1:;1 .':l..~:-j' ..,,;,,__,,i:!~:.:.; Residential, pcr unit, service included: 1,000 sq. ft. or less (4) $134.00 $ Each additional 500 sq. ft. or portion $ 25.00 $ thereof Limited energy (2) $ 32.00 $ Each manufactured home or modular $ $ dwelling service or feeder (2) 63.00 Services or fceders: 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 $ Over 1,000 amps or volts (2) $469.00 $ Reconnect oniy (2) $ 63.00 $ Temporary services or feeders: installation, alteration, relocation 200 amps or less (2) $ 63.00 $ 20i 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. Fcc for branch circuits with purchase ofa service or feeder fee: Each branch circuit T $ 6.00 $ 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 no! 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 additiolwl inspection: (1) - $58.00 $ ~P<\1~W~tf~fjY~W'~RRnfe~'NmffiDs'"E!~~i~M:~t~~~'~'~$C~~ .....,,,'.1_.. . ._,~> . ,,,...1: . .~. ~ ."I_A_, ~.,_..,-.__,"'__'f:.'~__~.. __..>:1 .~ ..; ''<__'_1:. . ",~;!. ... .:,\~13l.1;;,<'d: (A) Enter subtotal of above fees $ (Minimum Permit Fee SS8.00) (B) Enter 12% surcharge (.12 x [AD $ (C) Technology Fcc (5% of [AD $ TOTAL fees and surcharges (A through C): $ www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00659 4851 GLACIER DR CITY OF SPRINGfiELD 225 Fifth Sl Springfield,OR 97477 541~726-3753 '. permitce nter@ci.springfield.or.us RECEII'T NO: 20 I 0000898 RECORD NO: 811-SPR2010-00659 DATE: 11/23/2010 'I -~, , rDESC:RII'TJ()N'" <.'''' 0,,,,,,. _,p"<-' '" .0. . Planning - Major Review - City Admin fee (10% of applicable fees) Temp services 200 amps or less Each added 500 s'L~.r:portion Residence ~iringJ ,000 sq. ft. or less Sidewalk up though 90 Feet Curb Cut/Driveway 1 st Cut Multiple Permit Discount (Max 2) sac: Reimbursement Cost - Storm Drainag_~" SDC: Improvement Cost - Storm Drainage SDC: Reimbursement Cost - Local Wastewater SDC: Improvement Cost - Local Wastewater S~S:: Reimburseme:~:,T..~~~portation SDC sac: Improvement - Transportation SDC SDC: Reimbursement Cost - MWMC Regional Wastewater SDC ---~------~ \. . ~_.- ~I?C: In:f~L~tS.2_st - MWMC Regional Wastewater_SDC__ SDC: Compliance Cost - MWMC Regional Wastewater SDC SDC: Administrative Fee - MWMC Regional Wastewater SDC SDC: Total Sewer Administration Fee SDC: Total Transportation Administration Fee Residential Fire (.05 Per Sq Foot) Structural Building Permi! Fee Structural Plan Review Fee Residential Add!es~~ssignment, .each new_o~~~':!!2ge Willamalane fees - Single family detac~ed One or Two Family Dwelling with Two Bath .furnace - up to 100,000 BTU Range hood/other kitchen equipment Single-duct exhaust Jbathrooms, toilet compartments, utility rooms) Heat pu~____,,_. First Appliance Fee State of Oregon Surcharge (12% of aeplicable fees) Technology fee (5% of permit total) Vent for appliance other than furnace State of Oregon Surcharg~(12% of aeplicable fees) Technology fee (5% of permit total) , "'- -f.' ,'. ft,:c_c:_b_u~J.!.C9[)E;~- ';>:1-; '.,AMO.!!~l~[)l.I:E' 100-00000-425002 $211.00 224-00000-426605 $8.07 224-00000-426102 $63.00 224-00000-426102 $50.00 ----~.---~,~.,,-- 224-00000-426102 $134.00 "~-.--_..... _._,-~. 201-00000-428060 $88.00 201-00000-428060 $88.00 201-00000-428060 $-30.00 441-00000-448029 $479.59 440-00000-448028 $870.84 442-00000-448024 $2,549.28 443-00000-~480~_ $1,285.68 446-00000-4~8026......_...__..__: $426.92 447-00000-448027 $1,597.62 444-00000-448ii2.;-.----........-$101m' 445.00000.448025 $1,333.57 ----~ 444-00000-426607 $22.63 611-00000-426604 $10.00 719-00000-426604 $312.06 719-00000-426604 $121.84 100-00000-424005 $80.70 ...~4-00000-425602 $1,001.79 224-00000-425602 $651.16 224-00000-425602 $38.00 .. -~ 821-00000-215023 $3,468.00 . 224-00000-425603 $374.00 224-00000-425604 $i7OO 224-00000-425604 $13.00 _.._--,_.._----_.__......_.._..._._'_...~"..._...,,_.._--- 224-00000-425604 $36.00 224-00000-425604 --_.,- $17.00 ..__.__.,--~. -"......_..."~...._-_.- 224-00000-425604 $79.00 821-00000-215004 $214.17 100-00000-425605 $98.44- 224-00000-425604 $9.00 821-00000-215004 $1.08 __...2?0-~0000-425605 $045 TOTAL DUE: $15,822.86 J C6SHIER, C~6RP~Nr'ER' ,C_Q.MMI;.~,ISi~'-o., -: AMOUNT PAID. \; <pAYMENT.Ty;PE;~!:.:__P.A.Y(jR . H ..1 Check 31147 HAYDEN ENTERPRISES INC $15,822.86 $15,822.86