The URL can be used to link to this page

Home My WebLink AboutPermit Building 2010-12-17 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: CITY OF SPRINGFIELD 225 Fifth St 'Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 Building I Residential Permit PERMIT NO: 811-SPR2010-00908 IVR Number: 811129382535 permilcenter@ci,springfield.or.us 155 ued 12/17/2010 ISSUED: APPLIED: 06/15/2011 $161,087.40 12/17/2010 12/16/2010 EXPIRES: VALUE: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential New SFD - SAMEAS 4120 Stellar - Lot 98 Filbert Meadows SITE ADDRESS: 1042 S 41ST ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802061420600 PROJECT DESCRIPTION: Phone Number: OWNER: ADDRESS: BRUCE WIECHERT CUSTOM HOMES INC 3073 SKYVIEW LN EUGENE OR 97405 Contractor Type # of Units: Occupancy Type Construction Type Occupancy Type Construction Type # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: CONTRACTOR INFORMATION ~ Contractor Name lic Type Lic No BRUCE WIECHERT CUSTOM HOMES INC eca 101717 L & E ELECTRIC INC cca 105475 COMFORT FLOW HEATIfj..,GiSq:~rTlrH"'. ,.... eca 460 STEVEN R JOHNSON frl". .oj :.. 'r-~ '~":;:I~,IdU.f I. laVcCBquires vOI/fA6S I!' , , (BiiILDINGINjiO~MA:flq~,:'~ ~9(~1 Utility -.." ~~"-uu I-UUlO 111 - set forth O#'Of'Sio[i~S,:,lay oblc' 1,rough OAR 952-001-<>t Size: " J/" "In capleS of the 1 HeigHt:Of,StrUC.lU,~'!:r. (1%le th ru es b~q Ft 1st Floor: f.!'Jmbr., 'n. 'I ' e telephone ' Type of'Heat: 1e Oregcf,orcediAir Gasf, Sq Ft 2nd Floor: Center' 1 . ~." 'y NOli lcation Water Type: IS -803.132-2344). Sq Ft Basement: Range Type: Gas Sq Ft Garage: Hazmat: No Sq Ft Carport: Sq Ft Other: Occupancy Load: Lie Exp 09/1612012 Phone 541-686-9458 541-933-2598 541-726-0100 541-342-3765 03/30/2012 06/27/2011 03/12/2012 5427 1500 R-3 Type VB U Type VB 420 o 3 No No Path 1A Gas-fired furnace with min. AFUE of 90% Electrical Specialty Code Edition: - ~ TSRringfield Fire Code Edition: .1 r I : F' , IS' I C d Ed" , Mechanlca pecla ty 0 e rtlon: 'dlS PFr~~.~IT. e1_1l\11 r-\J"...... _ ,_ IJT Munr~lpal/-Development~~d~' THE WORK \ HnRj7t:n l!f\lrr~ ~!I.'" - .. Cf M Plumbing SpecialtY C.ode Elfi\'iQilT IS NOT ,) MF~!CP)"~ Ie 'n-.",r.""_ AI"Y 1Resldentlal'speclaltyJC,Ou~l!i.d!!!QI1r-OR 2008 , H() f)4V r>CDI,nn _, Structural/SpecialtY. Code Edition:. Site Information I Engineered Fill: No Fill Volume: Flood Hazard Area: No Land Hazard Area: No Retaining Wall: "\ No Soils Report Required: No Springfield Building Permit 12/17/201 10:57:30AM Page 1 016 SPi I.~G~.L..~ ~..$.~g( ,/?if; "'':''4~A;'"-''''''' '"'~""~~OitEGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00908 IVR Number: 811129382535 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 12/17/20'10 ISSUED: APPLIED: 12/17/2010 12/16/2010 EXPIRES: VALUE: 06/15/2011 $161,087.40 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential New SFD - SAMEAS 4120 Stellar - Lot 98 Filbert Meadows SITE ADDRESS: 1042 S 41ST ST, Springfield, OR 97477 . ASSESOR'S PARCEL NO: 1802061420600 Fronlyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: 18 5 5 22.07 o DEVELOPMENT INFORMATION I Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: 2 35.3 REQUIRED PARKING Total: 2 Handicapped: Compact: Yes 17 PUBLIC IMPROVEMENTS I Street Impr~:)Vements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description I Descriotion R-3 1 & 2 family U Utility, misc. Tvpe of Construction VB VB Unit Amount Unit Tvpe 1,500.00 Sq Ft 420.00 Sq Ft Unit Cost 96.83 37.72 Value 145,245.00 15,842.40 161,087.40 Springfield Building Permit 12/17/201 10:57:30AM Page 2 of6 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00908 IVR Number: 811129382535 SP.~...I;:..=.l"~ L~~ ~OREGON www.ci.springfield.or.us 225 Fifth SI 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 12/17/2010 ISSUED: APPLIED: 12/17/2010 12/16/2010 EXPIRES: VALUE: 06/15/2011 $161,087.40 SITE ADDRESS: 1042 S 41ST ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802061420600 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential New SFD - SAMEAS 4120 Stellar. lot 98 Filbert Meadows PROJECT DESCRIPTION: ~ DescriDtion Residential Fire (.05 Per Sq Foot) Structural Building Permit Fee Admin fee (10% of applicable fees) Add~ess A~signment, e~ch new o~_change ","lIamalane fees - Single family detached Same as Plan Review Submittal One or Two Family D~elling with Two Bath_ Furnace - up to 100,000 BTU Range hood/other kitchen equipment Flue ventfor water heater or gas fireplace Sing\e-duct e~haust (b~throomS, toilet compartments, utlli Heat pump First Appliance Fee _ Residence wiring 1,000 sq. ft. or less Each added 500 sq. ft. or portion Temp services 200 amps or less Planning - Major Review ~ City Sidewalk up though 90 Feet Curb Cut/Driveway 1 st Cut Multiple Permit Discount (Max 2) Gas Piping up to 4 outlets SDC: Reimbursement Cost - Storm Drai~age .SDC: Improvement Cost - Storm Drainage ~ SDC: Reimbursement Cost - Local Wastewater SDC: Reimbursement Cost - Local Wastewater SDC: Improvement Cost. Local Wastewater SDC: Reimbursement - Transportation SDC SDC: Improvement - Transportation SDC SDC: Reimbursement Cost - M~g_'3egional Wastewate SDC: lmpro~ement Cost - M'tJMC Regional Wastewater ~ SDC: Compliance Cost - !'1WMC Regional Wastewate! SI SDC: Administrative Fee - MWMC Regional Wastewater ~ SDC: Total Sewer Administration Fee SDC: Total Transportation Administration Fee State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) Total Amount Paid Springfield Building Permit FEES PAID Amount Paid $96.00 $961.09 $9.60 $38.00 $3.468.00 $250.00 $374.00 $17.00 $13.00 $9.00 $36.00 $17.00 $79.00 ~___0___~_~_" $13400 $50.00 $63.00 $211.00 $88 00 $88.00 $-30.00 $7.00 $496.03 $900.68 $2,124.60 $318.46 $1,232.11 $426.92 $1,597.62 $101.97 $1,333.57 $22.63 $1000 $306.06 $122.17 $211.21 $97.20 $15,279.92 12/17/201 10:57:30AM Date Paid Receiot # 12/17/2010 375167 12/17/2010 375167 12/17/2010 375167 12/1712010 375167 12/17/2010 375167 12/17/2010 375167 12/17/2010 375167 -_..."'.._------~_.~-- 12/17/2010 375167 ~._--,_.----.-.. --~~_._._- 12/17/2010 375167 -_...._--~. -'---'-- 12/17/2010 375167 ---~..'--- 12/17/2010 375167 12/17/2010 375167 12/17/2010 375167 12/17/2010 375167 12/17/2010 375167 12/17/2010 375167 12/17/2010 375167 12/17/2010 375167 --' 12/17/2010 375167 12/17/2Q10 375167 -"---~-_.~-_._'-'--"""'''-'-''-''"-''---'--'- 12/17/2010 375167 --~-~- 12/17/2010 375167 12/17/2010 375167 12/17/2010 375167 12/17/2010 375167 12/17/2010 375167 12/17/2010 375167 12/17/2010 375167 12/17/2010 375167 12/17/2010 375167 12/17/2010 375167 12/17/2010 375167 12/17/2010 375167 12/17/2010 375167 12/17/2010 375167 12/17/2010 375167 Page3of6 SP~N......;::;L~ ~.~ ~OREGON www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00908 IVR Number: 811129382535 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@cLspringfield.or.us PROJECT STATUS: STATUS DATE: 155 ued 12/17/2010 ISSUED: APPLIED: 12/17/2010 12/16/2010 EXPIRES: VALUE: 06/15/2011 $161,087.40 SITE ADDRESS: 1042 S 41ST ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802061420600 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential New SFD . SAMEAS 4120 Stellar. Lot 98 Filbert Meadows Plan Review I Deoartment Received Due Date ComDleted Result Reviewer Planning Review 12/16/2010 12/16/2010 12/16/2016 Approved Deyette Kelly Comments: Required street trees as shown on street tree plan attached to permit: species as shown. 2" caliper, leave name tag on 12/16/2010 Permit Issuance Public Works Review 12/16/2010 Approved Comments: Storm water to weep hole, Plan was not to scale, called Derrick 10 confirm driveway size. App'lication.^Accep1anc::e.. +~;:"\{',f, ";,=::;"':-.~^i,."^' , ,"', Springfield BUilding Permit 12/17/201 10:57:30AM Page4of6 www.cLspringfield.or.uS CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00908 IVR Number: 811129382535 225 Fifth St 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 12/17/2010 ISSUED: APPLIED: 12/17/2010 12/16/2010 EXPIRES: VALUE: 06/15/2011 $161,087.40 SITE ADDRESS: 1042 S 41ST ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802061420600 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential New SFD. SAMEAS 4120 Stellar -Lot 98 Filbert Meadows INSPECTIONS REQUIRED ~ 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 andlor 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 Ceiling Insulation: Pr"lor to cover. 1520 Interior Shearwall Shear Wall Nailing: Before covering sheathing with finish materials. 1530 Exterior Shearwall 1540 Gypsum BoardlLathlDrywall 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. 1999 Final Building 2200 Underfloor Mechanical 2210 Underlloor Gas 2260 Gas Service 2300 Rough Mechanical 2995 Final Gas 2999 Final Mechanical 3130 Footing/Foundation prains Springfield Building Permit 12/17/201 10:57:30AM Page 50t6 SP,:IN"G""",".FIE.~,D ' " ~'~''''''''" ',.~ '~~~OREGON www.cLspringfield.OLU$ CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 81'1-SPR2010-00908 IVR Number: 811129382535 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci,springfield.or.U5 PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 12/17/2010 12/1612010 EXPIRES: VALUE: 06/15/2011 $161,087,40 12/17/2010 SITE ADDRESS: 1042 S 41ST ST, Springfield, OR 97417 ASSESOR'S PARCEL NO: 1802061420600 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential New SFD - SAMEAS 4120 Stellar - Lot 98 Filbert Meadows 3170 Underlloor Plumbing 3200 Sanitary Sewer 3315 Waler Line 3400 Storm Sewer Underfloor Plumbing: Prior to insulation or decking. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Se\,'Ver 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 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 stru.cture 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 times during construction. W~ tz~7 //0 I ' Date Owner or Contractor Signature Springfield Building Permit 12/17/201 10:57:30AM Page 6 of6 Electrical Permit Application CITY OF SPRINGFIELD, OREGON 225 Fifth Street. Springfield, OR 974770PH(541)726-J753HAX(541)726-J689 SPRINO"'I!LD ~.~ D' . '1,. ",;,~~l\'!Il~, 5i~~'~~?;; ~ ~f~Vi~ \!J,;~~"" ...., .,~ .. . PEPARTMENT USE ONLY -. Pennit no.: 5/D~9og:- Date: /2!/t-/IO 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~OVERNMENTAPPROVAI.> Zoning approval verified? DYes D No .CATEGORY:()FCONSTRUCTION':> >. Job site address: City: sm () Reference: f'J /::;--v..J PROPERTY. OWNER Name: e,.(\/u W \ l'c.he.A CvS.-!-o... Address:507S S)t }/<J City: {u eJ-<-- ZIP: ,,/7'10') Phone:S~/ -bat:, Of ~ '&' Fax: GV!-'3Yf 33b L- E-mail: I.tJ.U..h..~~I-<l~5f]ColkC....st.Nc:.r 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: ". C.oNTAACTOR INSTALLATION' Business name: I- *"" e f ~c.:+v; c... Address: Z g 3 3 -:Sores Ac.(e-5 City: S f Ie. State: 0 rt. ZIP: '17 'f 77$ Phone:S'/! -5l1 - 41 '11\ '-If..c.' - 25 E-maiI: 3L. CCB license no.: O~ 4 7~ BCD license no.: Signing supervisor's license no.: '-1/ 7 '/- S- Print name of signing supervisor: t:' () Oe "o"r.l~-- Signature of signing supervisor:~'() v-e .~~ y~ 440-2584-) (9/08/COM) "....'..,>>.,,; ,',"-r',.. FEE,SCHE.bUl.E/'..: :".':,_'c:.,,:~~'; , ;; ",~,;,~l~t~W,:~i,~;>: '"". <;, ~'i :. . ...... --. ,.1" Cost Total .Number of inspections per item ( ). , Qty, : ea. .' - cost ...., , .', ',' ....... ". ":' .: ,--' Residential, per unit, service included: 1,000 sq. ft, or less (4) I $134,00 $/3Y Each additional 500 sq, ft, or portion z... $ 25.00 $)0 thereof Limited energy (2) $ 32.00 $ Each manufactured home or modular $ 63.00 $ dwelling service or feeder (2) Services or feeders: installation. alteration. relocarion 200 amps or less (2) $ 81.00 $ 20 I to 400 amps (2) $ 95,00 $ 401 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) } $ 63,00 $(iJ] 201 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. Fee for branch circuits with purchase ofa service or feeder fee: Each branch circuit I $ 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 ~o/ 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 $ ~i~i]::.',:;~';+:;{Y:~:;~%!~:,;:;:A;:~;;~..j:~ :ApPLlCANtiJSE\; "\(:,;'.,,;.' (A) Enter subtotal of above fees 2'-17 (Minimum Permit Fee $58.00) $ (B) Enter 12% surcharge (,12 x [A]) $ 27 "'-':L (e) Technology Fee (5% of [A]) $ (2 ~ TOTAL rees and snrcharges (A through C): $ ~ "tL . .~ 0 lY\0 41 ze, Sk./ IAv ~::L I I~~":;J 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(54 1)726-3689 i1r~~ DE~ARfMENTljSEONL' i .. ,...,.,.......,.,..._':',.';1\0':...:.<".,..,.. ":''''."''1:',-#"" Pennit nO'5>0- '70 d 07 . EE,'S'C' H'- E"'DU"L'E',;,>.!,,,,..,< ., .;;1' . (iT",.,,;,::, . ~- !ie,~ _. '""'" ." ..~r,"";"\.\;"t:t:j~. ~~.. -'_:':~~;~_::', jfiJ:a-~~;t;~;m'.\Jl:t:;~r!tHf_ p ~ '. ;~:i~i))tX?!~ (a) lob description: (iW J f- I:;> Occupancy /'2-/1/\ Construction type: Ii is Square feet: i :~ 00 42-0 Cost per square foot: Other infonnation: Type or Heat: (;1 rIA- Energy Path: \"r lB"new 0 alteration (b) Foundation-only pennit? Total valuation: ,. 2. Buihjiligfe~~;2:t~0_\!!~'!' .... (a) Pennit fee (use valuation table): (b) Investigative fee (equal to [2a]): (c) Reinspection ($ per hour):' (number of hours x fee per hour) (d) Enter 12% surcharge (.12 x [2a+2b+2c]): 5 IS" T'3 (e) Subtotal ofree. above (20 through 2d): 5 11':1ff~t~lq::""'. . ~-' .~ .!*J~f0\~<~;ff:,'~'~:~~-~ttii~W~.tr~~;f~*~Ni?i:!E)'<':" o addition DYes DNo Date: Date: DYes DNo 5 Sign bere: : ' ~l ~ 1!j~~ -;;cQ.lItf.v:iiTQ~n.. ':.~~iiAti9~ii,\!Y~~;;;s:'.M''{:?:i; Businessnarne: ~'<VLc ~i~"l,...~ C"~b...., I>o~" ]:)vo:- Address: '3 07 3 S It vi (. >Ai LV'- City: ~" e,.... State:O<L ZIP: q 7~" l Phone: -wit cf'-J 5 y Fax: -3'1 - 33 b z E-mail: W; ",-h"'f \.-..0 IN'S @ CO'IA ct-.5-l ~ '-;e,t CCB license no.: Print name; (a) Plan review (65% x pennit fee [20]): (b) Fire and life safety (40% x pennit fee [2a]): (e) Subtotal offee. above (30 and 3b): 4.~jsc~q~'ll:eiIiist~ri.:" ...... (a) Seismic fee, 1% (.01 x pennit fee [2a]): TOTAL ree. and surcharge. (20+30+48): 5250 5 5 -1'15 '.0 5 5'( 3'7''''~ <<.t 5tl '11 'i 6 :; YZ-3, h,> 726-0/00 ~~ willamalane . tw Park and Recreation District . Job. No.S/D- 9.oLf' SYSTEM DEVELOPMENT CHARGE WORKSHEET July 1-December 31,2010 , .. NAME:>>~ cJ,e:C.t-ltKT: UuTOWlt*l~HONE: r:;Y~- 7't,Sg ADDRESS:!6";2? ~y VIW trrvbVt<t. . STATEJJt ZIP:1'?1tJ..r LOCATION OF PROPOSED BUILDING SITE: Street Address: / !JCI2 So '7/ CC .J r Plat Name: fil-!~.,- ~"-~ Tax Lot Number: ~02 tJti>lf' :2i)~ 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the back.) . . A. Sinqle-Family Detached . NO. OF UNITS l X $3,468 per unit= $ . ~ &ffr/l 8. Sinqle-Family Attached NO. OF UNITS X $3,538 per unit = $ C. Multi-Family Apartmerit . 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 WILLAMALANE SDC . X $1,734 per unit = $ $. 2. SDC CREDIT (If applicable) SDC payer must furnish proof of Willamalane Credit approval.) $ ;J 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) $ JV6/" /2-I.L2J /0 Date .~ Development Services Department City of Springfield 5 www.d.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00908 1042 S 41ST ST CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 permitcenler@ci.springfield.or.us RECEIPT NO: 2010001079 RECORD NO: 81 I-SPR2010-00908 DATE: 12/17/2010 , rbESCRIP'f1c5N\i:~-" , ;''fd;;", -,:_,:::J,;c:l':';~':: ~i?-::;::~;~~i;:CJi.U~J.LC9_Qg;:i::iF~i';:'.~r;:1:l)J[j\i:tt:i.Q,1';"%2';< -;j Residential Fire (.05 Per Sq Foot) 100-00000-424005 $96.00 Structural Building Permit Fee 224-00000-425602 $961.09 Admin fee (] 0% of aE!'~le fees) 224-00000-426605 $9.60 Address Assi~nment, each new or change 224-00000-425602 $38.00 Willamalane fees - Single family detached._~21-00000-215023 ,_~__",___,___.!:l.,~68c9.~ Same as Plan Review Submittal 224-00000-425602 $250.00 -" -.. 9_~e_ or Two_l'a..mily Dwellin9 with Two Bath 224-00000-425603 $374.00 Furnace - up to 100,000 BTU 224-00000-425604 $17.00 Range hood/other kitchen equipment 224-00000-425604 $13.00 Flue vent for water heater or gas fireplace 224-00000-425604 $g.OO Single-duct exhaust (bathrooms, toilet compartments, utility rooms) 224-00000-425604 $36.00 H<:at pump 224-00000-425604 $17.00 First Appliance Fee 224-00000-425604 $79.00 Res}dence wiri.rcg.2,QOO ~q. ft. or less 224-00000-426102 $134.00 Ea,9h added 500 Sq. ft. or portion 224-00000-426102 $50.00 Temp services 200 amps or less 224-00000-426102 $63.00 Planning - Major Review - City 100-00000-425002 $211.00 Sidewalk up though 90 Feet 201-00000-428060 $88.00 Curb Cut/Driveway 1st Cut 201-00000-428060 $88.00 Multiple Permit Discount (Max 2) 201-00000-428060 $-30.00 Gas Pipin~ up to 4 outlets 224-00000-425604 $7.00 SDC: Reimbursement Cost - Storm Drainage 441-00000-448029 $496.03 SOC: Improvement Cost - Storm Drainage 440-00000-448028 $900.68 SDC: Reimbursement Cost - Local Wastewater 442-00000-448024 $2,124.60 SOC: Reimbursement Cost - Local Wastewater 442-00000-448024 $318.46 !2DC: Improvement Cost: Local Wastewater 443-00000-448025 ____'__~~~32._1.!.. SDC: Reimbursement - Transportation SOC . 446-00000-44802~._. $426.92 SDC.:.!.':':'provement - Tr,ansportation SOC _ 447-00000-448027 $1,597.62 SDC: Reimbursement Cost - MWMC Regional Wastewater SOC 444-00000-448024 $101.97 SOC: !!nyrovement Cost - MWMC Regional Wastewater SOC 445-00000-448025 _...!1.:.~~'~!_ SOC: Compliance Cost - MWMC Re9ional Wastewater SOC 444-00000-426607 $22.63 SOC: Administrative Fee - MWMC Regional Wastewater SOC 611-00000-426604 $10.00 SOC: Total Sewer Administration Fee 719-00000-426604 $306.06 SDC: Total Transporta~on Administration Fee 719-00000-426604 $122.17 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $211.21 TechnologY fee (5% of permit~otal) 100-00000-425605 $97.20 TOTAL DUE: $15,279_92 ,PAYOR_,c_:CASHIER CCARRENTER._COMMENTS;';".;:.': :-- :i~;.': ii', :A;MOUNTPAI'D --....------,~-,._"~"...~,,._,~ ~"_.."'.,,..,,- -"--,,- V PAYMENTT;YRE , . - '. ------" Credit Card BRUCE WIECHERT CUSTOM HOMES INC BRUCE WIECHERT CUST9M HOMES INC Ref # 05518C $9,500.00 Check 20198 $5,779,92 $15,279,92