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. .
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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