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HomeMy WebLinkAboutPermit Building 2010-11-24 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00764 IVR Number: 811104603783 www.cLspringfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 11/24/2010 11/22/2010 Issued 11/24/2010 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilc~nter@ci.springfield.or, us EXPIRES: VALUE: OS/23/2011 $219,210.47 SITE ADDRESS: 1147 40TH Pl, Springfield, DR 97477 ASSESDR'S PARCEL NO: 1802064113400 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New single family dwelling- Lot 63 Filbert Meadows Phone Number: OWNER: ADDRESS: BRUCE WIECHERT CUSTOM HOMES INC 3073 SKYVIEW lN EUGENE OR 97405 CONTRACTOR INFORMATION ATTENTION: Oreqon law requires you to 101101' rules adopted by the uregon Utility : :.::::Jation Center, Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-382-2344). Contractor Type Contractor Name BRUCE WIECHERT CUSTOM HOMES INC L & E ELECTRIC INC COMFORT FLOW HEATING CO STEVEN R JOHNSON Lie Type CCB CCB CCB CCB BUilDING INFORMATION # of Units: # of Stories: 1 Height of Structure: 27 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Gas Hazmat: No # of Bedrooms: Sprinkled Buiiding: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: 3 No No Path 1A Gas~fired furnace with min. AFUE of 90% Site Information Engineered Fill: Fill Volume: Flood Hazard Area: No No , . , Land Hazard Area: I No, E. . ., Retaining Wall: NO\16" l EXPIRE IF THE WORK Soils Report RequiredJHI~N:?ERM\T SHAl THIS PERMIT IS NOT AUTHORIZED UNDER COMMENCED OR IS ABANDONED FOR . ANY 180 DAY PERIOD. ' Springfield Building Permit 11/24/201 8:28:08AM lot Size: 6726 Sq Ft 1 st Floor: 2013 Sq Ft2nd Floor: Sq Ft Basement: Sq Ft Garage: 644 Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: 2008 Page 1 of 6 S~i"~:..IE~ ... ..' lJIi'tilitIi' ff~- :":",,,, OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Perin it PERMIT NO: 811-SPR2010-00764 IVR Number: 811104603783 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 11/24/2010 ISSUED: APPLIED: 11/24/2010 11/22/2010 EXPIRES: VALUE: OS/23/2011 $219,210.47 SITE ADDRESS: 1147 40TH Pl, Springfield, OR 97477 ASSES OR'S PARCEL NO: 1802064113400 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: 18 5.5 5 22 26.25 New single family dwelling- Lot 63 Filbert Meadows DEVELOPMENT INFORMATION I Overlay Dist: # StreetTrees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: 2 . PROJECT DESCRIPTION: 39.5 REQUIRED PARKING Total: 2 Handicapped: Compact: Yes 26.5 PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Yes Downspout/Drains: Yes Valuation Description ~ Descriotion U Utility, misc. R-3 1 & 2 family Type of Construction VB VB Unit Amount Unit Type 644.00 Sq Ft 2,013.00 Sq Ft Unit Cost 37.72 96.83 Value 24,291.68 194,918.79 219,210.47' Springfield Building Permit 11/24/201 .8:28:08AM Page 2 016 SfRIN ~.IELD'. ~:L;_. .., ~:~~'~ . ~t; :...;\, OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00764 IVR Number: 811104603783 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 11/24/2010 ISSUED: APPLIED: 11/24/2010 11/22/2010 EXPIRES: VALUE: OS/23/2011 $219,210.47 SITE ADDRESS: 114740TH Pl, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802064113400 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New single family dwelling- Lot 63 Filbert Meadows FEES PAID , Descriotion Amount Paid Date Paid Receipt # Curb Cut/Driveway 1st Cut $88.00 _____~1/24/2010 __..__. 37497~_ ~taITransporta_~!,dmi~~~!2!~__._ $124.10 11/24/2010 ._...,,1."49.7.5_.__ SDC: Total Sewer Administration Fee $274.24 11/24/2010 374975 SDC: Administrative Fee - MWMC"Regional Wastew~te~:'-$-;O:OO-----i1724i2OiiJ ----- 374975 SDC: Compliance Cost - MWMC Regional Wastewater SI $22.63 11/24/2010 374975 Sidewalk up though 90 Feet $88.00 11/24/2010 374975 Multiple Permit Discount (Max 2) $-30.00 11/24/2010 374975 SDC: Reimbursement Cost - local Wastewater $2,974.16 11/24/2010 374975 SDC: Improvement Cost - Local Wastewater $1,499.96 11/24/2010 374975 SDC: Reimbursement - Transportation SDC $426.92 11/24/2010 374975 ~!?~lmproveme~~.:.:rransJ'ortation SDC $49.50 11/24/2010 374975 SDC: Improvement - Transportation SDC $1,548.12 11/24/2010 374975 SDc:.: Reimbursement Cost - MWMC Regional WastewaIE $101.97 11/24/2010 374975 SDC: Improvement Cost - MWMC Regional Wastewater ~ $1,333.57 11/24/2010 374975 Each added 500 sq. ft. or portion $100.00 11/24/2010 _._._374~7.~..____ Temp services 200 amps or les~ $63.00 11/24/2010 374975 Residence wiring 1,000 sq. ft. or less $134.00 11/24/201 0 374975 State of Oregon Surcharge (12% of applicable fees) $35.64 11/24/201 0 374975 Technology fee (5% of permit total) $22.15 11/24/2010 374975 Willamalane fees - Single family detached $3,468.00 11/24/2010 374975 Address Assignment, each new or change $38.00 11/24/2010 374975 Furnace - up to 100,000 BTU $17.00 11/24/2010 374975 Rang"..hood/other kitchen equipme~~__ $13.00 11/24/2010 374975 Flue vent for water h~ater or gas fireplace $9.00 11/24/2010 374975 Single-duct exhaust (bathrooms, toilet compartments, utili $36.00 11/24/2010 374975 Gas Pipin9 up to 4 outlets $7.00 11/24/2010 374975 First Appliance Fee $79.00 11/24/2010 374975 Heat pump $17.00 11/24/2010 374975 State of Ore90n ~~rcha~ge (12% of applicable fees) $21.36 11/24/2010 . 374975 Technol09Y fee (5% of permit total) $10.80 11/24/2010 374975 Planning - Major Review - City $211.00 11/24/2010 374975 Admin fee (10% of applicable fees) $13.29 11/24/2010 374975 Residential Fire ~.05 Per Sq Foot) $132.85 11/24/2010 374975 One or Two Family Dwelling with Two Bath $374.00 11/24/2010 374975 State of Oregon Surcharge (12% of applicable fees) $44.88 11/24/2010 374975 Technology fee (5% of permit total) $18.70 11/24/2010 374975 Same as Plan Review Submittal $250.00 11/24/2010 374975 Structural Building Permit Fee $1,197.15 11/24/2010 374975 State of Oregon Surcharge (12% of applicable fe.':o;l_____._~I:'-~66~ __. 11/24/2010 374975 Springfield Building Permit 11/24/201 8:28:0BAM Page3of6 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00764 IVR Number: 811104603783 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 11/24/2010 ISSUED: APPLIED: 11/24/2010 11/22/2010 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us EXPIRES: VALUE: OS/23/2011 $219,210.47 SCOPE: Single Family Residence WORK INVOLVEO: New TYPE OF STRUCTURE: Residential PROJECT OESCRIPTION: New single family dwelling- Lot63 Filbert Meadows Technology fee (5% of permit total) $59.86 Total Amount Paid $15,027.51 SITE AOORESS: 1147 40TH PL, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802064113400 11/24/2010 374975 Plan Review ~ Department Application Acceptance Received Due Date 11/22/2010 11/22/2010 Completed 11/22/2010 Result Application Accepted Reviewer Chris Carpenter l._'.\::i.'._ Planning Review Approved Deyette Kelly Comments: Required street trees as shown on street tree plan attached to permit: species 85 shown. 2" caliper -leave name tag on until approved. Meets minimum setbacks -- inspector 10 verify_placement at time of footing jnspe:,~~ ~_'__' p", '",', ''''''~:~''''''''',,'~'','' , ....~....,',',',,','," '.' ,- ,.,.~~ IP.U:~]j? ~ork~J~~~l~1.",: ..\~,>,:,~.g 'J,,[::1~~~i-. ~,:.;,~.):v..,.22~.z01. O,11J~~2~?.o:1p,~'~, ~~~~8p{~yed j.' ~ -' Tod~ '~~~gJz~~Qjif~~>,::< ,;,: ~~.. -~~ ' i~omJ!1~nls: . E~pr,e.s~"l3eYI~V'ft}9~r!"Q~:2~JEi~~I.-b a~<!:~~~e,r:"'-', ~:,--. ,'~:';-. :;':: ,., '.'-; l . ,.("-;::}'7, ':y ._~o,;' :' Permit Issuance 11/22/2010 11/22/2010 11/24/2010 Issued David Bowlsby isqgstut~1 He~.i.~w-:-,'~.."'<i:,,, ,~ ':2'92~,Ff1'f22l2,019,;~;1'1f~2L?,Q1,q'~~ "':dAP~Wkj~9'fFL<':'(;~'.:Ck', l w~~~~~.~'1~;'~.. 'A~~b3ted~':C):h:"PI?n(,.~,.t~~;:"\'~:$~ ::~ ,,~\:~:'~~_, ,,'~,~~:,~~~' ,:''': ,rit';1, ;'":':.~E~, ~.[: "~-. " :;;~. I . Springfield Building Permit 11f24f201 8:28:08AM Chris Cafpenter~j", ,-' ...,..,.,..,..........,.,"'.'''0-: ,i . ~""~ .....', 't;' ~'.;"," /" '"' ,,:;'-f-,.. Page40f6 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00764 IVR Number: 811104603783 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 11/24/2010 11/22/2010 EXPIRES: VALUE: OS/23/2011 $219,210.47 11/24/2010 SITE ADDRESS: 1147 40TH PL, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802064113400 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New single family dwelling. Lot 63 Filbert Meadows INSPECTIONS REQUIRED I Inspections 1020 Zoning/setbacks lOgO StreetTrees 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. UfE;lr 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 WaWNailing: 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 Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. 1 ggg 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 11f24f201 8:28:08AM PageSof6 www.ci.sprlflgfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00764 IVR Number: 811104603783 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfieJd.or.us PROJECT STATUS: STATUS DATE: Issued 11/24/2010 ISSUED: APPLIED: 11/24/2010 11/22/2010 EXPIRES: VALUE: OS/23/2011 $219,210.47 SITE ADDRESS: 1147 40TH PL, Springfield, OR 97477. ASSESOR'S PARCEL NO: 1802064113400 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: 3170 Underfloor Plumbing 3200 Sanitary Sewer 3315 Water Line . New single family dwelling- Lot 63 Filbert Meadows Underfloor Plumbing: Prior to insulation or decking. Sanitary Sewer Line: Prior to filling trench and including required testing. 3400 Storm Sewer Storm Sewer Line: Prior to filling trench. 3411 Perimeter Rain Drains 3500 Rough Plumbing 3999 Final Plumbing Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. 4000 Temporary Power Service 4225 Service or Feeder 4500 Rough Electrical Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 4999 Final Electrical 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 t~at 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 fr t of the property, and the approved set of plans will remain on the site at all times during nstructi ./ il/Z'i/(CJ I / Date . Springfield BUilding Permit 11/24/201 8:28:08AM Page 6 of 6 Structural Permit ApplicatioD_ CITY OF SPRINGFIELD, OREGON! r:i~....... '., ;,~-~ ,.... lU~ If4J' .. DE~MfMEN'i'i.'SEONl. , .' . _.,,-,.-.' . ,....'..'l".......~..,.... ,,>. ',-.,",,:; '!> '. Pennitno,: ::;iD- 7&/( Date: II 22- /U 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 ror 180 days. 225 Fifth Sueet. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-l689 Date: Date: EtYes DNo GNtr Sign here: :1 ~~1;1: ";,~QN:fBA9it!"N$,tAi;!:ArIQ!lfiT;.;;:t~;(!~:")L(i;,;">} Business name: ~,<vu: ~ it"t....~ C,,~ b.-. !>ovW2, ]:)v<- Address: '3 07 3 .:; It vi <:".J '-'^ City: <L" C..... Slate:O<l. ZIP:q7~C>1 Phone: -6.1 b of '-/ 5 ? Fax: -3'1 - 33b l E-maiJ: w; e,- \-'" t \-.0 IN.> S @ GO'''' u-.5-l ~ v-Jc.J CCB license no,: Name Electrical t-.. r:: Plumbing 51t:..e; Mechanical CF H 5tl '11 'i6 >Yl-3'lb, 7 z.6-0}o() l'Jt:-vJ ~FD Construction Square reel: Cost per square root: Other information: Type or Heat: c::..'-F I"- Energy Path: ( A- ~ hi ew D alteration D addition (b) Foundation-only permit? DYes D No Total valuation: '~ '<9<:9-C' . 2. Bu;jdjilgfe~t;;,;t:4~';,!'l;"" " , (a) Permit fee (use valuation table): (b) Investigative fee (equal to [2a]): (c) Reinspection ($ per hour):. (number of hours x fee per hour) (/1 L( $ $ $ $ (d) Enter 12% surcharge (.12 x [20+21>+2c]): $ (e) Subtotal orree. above (2a through 2d): $ 11':J~:Pta'q~;~, < ]f{ ". n: ,~;~~~) ;~;-~'i;~~'t::,~t~'i,~\~ti:;i'~{r~r4_/Mj"~;~:;~ti~;~:" (a) Plan review (65% x permit ree [2a]): $ (b) Fire and life safety (40% x permit ree [2a)): S (e) Subtotal orree. above (3a and 3b): $ . 4. Mfsce.Ii~!fecJ#.ree;;< '.; (a) Seismic ree, 1% (.01 x permit ree [20]): $ TOTAL rees and .urcharges (2ti-3c+4a): $ ,r Electrical Permit Application I CITY OF SPRINGFIELD, OREGON I 225 Fifth Street. Springfield, OR 97477. PH(541)726-J753t FAX(54t)726-3689 SPRINOI"1I!LD ~~ !~~~~ ~"!"4' ~'~'"" m~~~, .., ''-".~ tiE~ARTMENT USE ONL. Y' Pennitno.: <;/0 -?H Date: I J 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. LOCAL.~OVERNMENl' APPROVAL) ....'.. Zoning approval verified? es 0 No ., ."CATEGORYOi'CONSTRUCTIOfoj,. ~ntial 0 Government 0 Commercial (!;'~:H;;iJ.OBi:SITE: INFORNiAl'IOfojfANtil,tO.CATioN~:ii;'D"" Job site address: I LJ 7 5' LJoi-'-- ? I City: Reference: ZIP: ry!J'L I Taxlot.:!3'<(ClO . DESCRIPTION OF WORK' l t::' j)W L PROPERTY OWNER' Name: e,nJU W \ tc-h.e.A Cv<;ft,l'- Address: 3073 sIc ) fJ City: (: u u-v Phone:S'If -bt>(, Of 51i' Fax: >~/-'3Y' 367- E-mail:W;~c..he~l-k<l~5 e Co"'c.Asf ,IV<-\- 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). CCB license no.: O!; 4 7'> BCD license no.: '3 3.:::.. Signing supervisor's license no.: '1/ 7 '1- S"' Print name of signing supervisor: t;' C 0" "'o"tl~... Signature of signing supervisor:~() \feI ~ ~\~ 440-2584.J (9/08/COM) " ,"i ,.:..;.?:>\.~,.,:,:.,.::., FE:E:."SCHEDUtE:::'.;, '\"'i""':" . . ,. .. ,Numb.er" ~.f.i;.spectio~s p~r ite.~_() QtY. Cost Total " . ". ea" ' cost Residential, per unit, service included: 1,000 sq, ft, or less (4) I $134.00 $,~ll Each additional 500 sq. ft. or portion L, $ 25.00 $ IDo thereof Limited energy (2) . $ 32.00 $ Each manufactured home or modular $ 63.00 $ dwelling service or feeder (2) Services or feeders: instal/ation. alteration, relocation 200 amps or less (2) $ 81.00 $ . 20 I to 400 amps (2) $ 95.00 $ 40 I to 600 amps (2) $158.00 $ 60 I to 1,000 amps (2) $205.00 $ Over 1,000 amps or volts (2) $469.00 $ Reconnect only (2) $ 63.00 $ Temporary services or feeders: installation. alteration, relocation 200 amps or less (2) I $ 63.00 $611 20 I to 400 amps (2) $ 87.00 $ 401to,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 $ 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 ~ot 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 $ :X,'jix,':i;M;:1j:;'{:"-Ap~UtANf,".tJSE' ..,:"<:',' " .. .' (A) Enter subtotal of above fees $ ).--91 (Minimum Permit Fe. $58.00) , (B) Enter 12% surcharge (.12 x [A]) $ zr " (C) Technology Fee (5% of [A]) $ ltr~ TOTAL fees and surcharges (A through C): $ '<''(7'' n~ willamalane . ~ Park and Recreation District Job. No. Sf [J - ?t ij SYSTEM DEVELOPMENT CHARGE WORKSHEET July 1-December 31,2010 NAME:..&~ cJ,e:c.i-lt~.. ~TDrvl f-b~H6NE: ~0~ 7'1sg ADDRESS:$d').?SqVJ~ tITYf:(A~. STATEbt ZIP:"1'?1i'.r- LOCATION OF PROPOSED BUILDING SITE: Street Address: /Ie-I'! f 41b~ .. ~ . Plat Name: 1;( p.. ;I1.t)~t/J T~x Lot Nuinber/.r02 tfGl.lj /Jl(ac). 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 = $ '3'1foZ B. Sinale:Familv Attached. NO. OF UNITS X $3,538 per unit = $ C. Multi-FamilvAoartmerit NO. OF UNITS' - X $2,906 per unit = $ . . D. Sinale R~omOccupancv . NO. OF UNITS X $1 ,453 per unit = $ E. Accessory Dwellina Unit . NO:.OFUNITS WIL~MALANE SDe . . . X $1,734 perlmit = $ $ . 2. SDC CREDIT (If applicable) SDC payer must furnish proof of Willamalane Credit approval.) 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) De~el~pment ~sDep~. City of Springfield. . $ ~ $ :lWJ ~ 7<f, Ie::> Date . 5 SP~~N~... FIEL~ ~:'~ JE:S~ OitEGON www.ci.springfield.or.U5 TRANSACTION RECEIPT 811-SPR2010-00764 1147 40TH PL CITY OF SPRINGFIELD 225 Fifth $t Springfield,OR 97477 541-726-3753 permitcenter@ci.springfield.OLUS RECEIPT NO, 2010000911 RECORD NO, 811-SPR2010-00764 DAn:, 11/24/2010 [OESCRIPTIONJt:.';"2:" '.;:" . .,' 'ri:< > ".~:' i~~7; ';ACC.QU.NLC.oDE~. ;~..y ..'~MO_UNLDl.!E_= ~..".:J SDC: Improvement - Transportation SDC 447-00000-448027 $1,548.12 SDC: Reimbursement Cost - MWMC Regional Wastewater SDC 444-00000-448024 $101.97 SDC: Improvement Cost - MWMC Regional Wastewater SDC 445-00000-448025 $1,333.57 Each added 500 sq. ft. or portion 224-00000-426102 $100.00 Temp services 200 amps or less 224-00000-426102 $63.00 Residen.~~~'2g 1,000 sq. ft. or less_. 224-00000-426102 $134.00 Sta!,!of Oreg.o,n,Surcharge (12% 0..~Eplicable fees). 821-00000-215004 ___....!~56.4,. Technology fee (5% of permit total) 100-00000-425605 $22.15 Willamalane fees - Single family detached 821-00000-215023 .___..__._"..____:&.3,468.~ Address Assignment, each new or change 224-00000-425602 $3800_ Fur~~p to 100,000 BTU 224-00000-425604 .____...!17.OO_ Range ho~d/other kitchen equipment 224-00000-425604 $13.00, Flue vent for water heater or gas fireplace 224-00000-425604 $9.00 Single-duct exhaust (bathrooms, toilet compartments, utility rooms) 224-00000-425604~_ $36.00. Gas Piping up to 4 outlets \ 224-00000-425604 $7.00 First Appliance Fee 224-00000-425604 $79.00 Heat f'ump "224-00000-425604 $17.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $21.36 Technolog'y fee (5% of permit total) 1 00-00000-425605 ____~ 'plan~ing - Major Review - City 100-00000-425002 $211:.?c:. !l9min feej10% of applicable fees) 224-00000-426605 .__~~~~_ Residential Fire (.05 Per Sq Foot) 100-00000-424005 $132.85 _._--- One or Two Family Dwelling with Two Bath 224-00000-425603 $374.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $44.88 Techn~5'9.Y fee (5% of permit total) 100-00000-425605 $18.70 Same as Plan Review Submittal 224-00000-425602 $250.00 Structural Buildin9. Permit Fee' 224-00000-425602 $1,197.15 _State of Oregon Surchar9..':J12% of af'plicable fees) 821-00000-21500~_______._ $143.66 !echnology fee (5% ofpermit!o!a!L....__ 100-00000-425605 $59~_ CUr!J.c::_ut/[)riveway 1 st Cut 201-00000-428060 $88.00 SDC: Total Transportation Administration Fee. '''7-1g:(j0000:426604' $124.10' SDC: Total Sewer Administration Fee 719-00000-426604 $274.24- SDC: ~dministrative Fee - MWMC Regional Wastewater SDC 611-00000-42660~ $10.00 SDC: ComEliance Cost: MWMC Regional Wastewater SDC 444-00000-426607 $22.63 Side~k up th<c<cgh 90 Feet 201-00000'428060 .__.__$~OO.. Multiple Permit Discount (Max 2) 201-00000-428060 $-30.00 SDC: Reimbursement Cost - Local Wastewater 442-00000-448024 $2,974.16 SDC: Improvement Cost - Local Wastewater 443-00000-448025 $1,499.96 SDC: Reimbursement - Transportation SDC 446-00000-448026 $426.92 SDC: Improvement - Transportation SDC 447-00000-448027 $49,50 TOTAL DUE: $15,027.51 [: PAVI'IIENTTVPE:"::'(PAVOR" i,CASHIER;'DBOWLSBr"COMIVIENTS:~.':;(':;:-'- . "":',11.1'110' ..'U' 'N'..T:PA 10.., ':. ",' , . 'F' __.'_'~"M,__"""_____~~_,_,~.",,_."_,M",, '"..... ..,,-....o-'........._--"'-~,..."'........_,...._...._..._...._;..".........4..__~~~_ ~"..__~-._.....^..........--'~.. -.. ... . Credit Card 02527c BRUCE WIECHERT CUSTOM HOMES INC $9,500.00 RECEIPT NO: 2010000911 DATE: 1112412010 RECORD NO: 811 -SPR20 I 0-00764 447-00000-448027 $1,546.12 444-00000-448024 $101.97 445-00000-448025 $1,333.57 224-00000-426102 $1 00.00 224-00000-426102 $63.00 224-00000-426102 $134.00 821-00000-215004 $35.64 100-00000-425605 $22.15 .--..-...--.-.....-..--",. 821-00000-215023 $3,468.00 224-00000-425602 $38.00 224-00000-425604 $17.00 224-00000-425604 $13.00 224-00000-425604 $9.00 224-00000-425604 $36.00 224-00000-425604 $7.00 224-00000-425604 $79.00 "~-- 224-00000-425604 $17.00 _._._--_..~ -.----.--.,,- 821-00000-215004 .$21.36 --,,-----------.--"--.-.-.'.'.--.-. 100-00000-425605 $10.80 ~--,,-~~--,,'. 100-00000-425002 $211.00 224-00000-426605.__. $13.29 100-00000-424005 '- --. $132.85 224-00000-425603 $374.00 621-00000-215004 $44.68 100-00000-425605 $18.70 224-00000-425602 $250.00 224-00000-425602 $1,197.15 621-00000-215004 $143.66 --- 100-00000-425605 $59.86 W"~____~_'_'_' 201-00000-428060 $66.00 719-00000-426604 $124.10 "...-.,_..,._...__.__.~_.- 719-00000-426604 $274.24 611-00000-426604 $10.00 444-00000-426607 $22.63 201-00000-428060 $88.00 201-00000-428060 $-30.00 442-00000-448024 $2,974.16 443-00000-448025 $1,499.96 446-00000-448026 $426.92 -- 447-00000-448027 $49.50 ..w___ TOTAL DUE: $15,027.51 b;f'~,(M~~.LfJPE: . E~'(OR ,fcAsHIERDBb0i~SBY~C_OMM.Er(r.S..:..:_.:.i:..;~:..:j_... AMQJ!.~TP~lL~~ SDC: Improvement - Transportation SDC SDC: Reimbursement Cost - MWMC Reaional Wastewater SDC ~bc: ~mp.':o-"em~ll.t Cost - MWMC Regional Wastewater SDC Each added 500 sq. ft or portion .Temp services 200 amps or less Residen~ wiring 1,000 sq. ft. or less State of Ore~on Surcharge (12% of ~pplicable fees) .!~~~nology f~~"L?_ol.? of permit !~!,~~,L. ___'___"w__ Willamalane fees - Single family detached Address Assig_nment, each new or change Furnace - up to 100,000 BTU Ran~e hood/other kitchen equipment Flue vent for water heater or gas fireplace 2in~leRduct exhaust (bathrooms, toilet compartments, utility rooms) Gas Piping up to 4 outlets first A~e.!ianc,: Fee .Heat pum~ State oi..12.,,,.gon Surc~--"rjJ.:j12% of a@'licablefees)_____ Technology fee (5% of permit total) Planning - Major Review - City Admin fee (10% of applicable fees) Residential Fire (.05 Per Sq Foot) One or Tw_o Family Dwelling with Two Bath State of Oregon Surcharge (12% of applicable fees) Technolo!:!y fee (5% of permit total) Same as Plan Review Submittal Structural Buildj~~. Permit Fee State of OreQon Surcharge (12% of aeplicable fees) ~ch~~~^Qy~~5% of permit t()ta!t Cu~!:> Cut/Driveway 1 st Cut . sDg~_T.~~:;lJJransportation Administratio~ Fee SDC: Total Sewer Administration Fee ~gg: Administrative Fee R MWMC Regional Wastewater SDC SDC: Compliance Cost - MWMC Regional Wastewater SDC Sidewalk up though gO Feet Multiple Permit Discount (Max 2L sac: Reimbursement Cost - Local Wastewater sac: Improvement Cost - Local~Wastewater SDC: Reimbursement - Transportation SDC SDC: Improvement - Transportation SDC Check BRUCE WIECHERT CUSTOM HOMES INC $5,527.51 $15,027.51