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Home My WebLink AboutPermit Building 2010-12-30 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00919 IVR Number: 811198368422 ~.ci.springfield.or,us PROJECT STATUS: STATUS DATE: Issued 12/30/2010 ISSUED: APPLIED: 12/30/2010 12/17/2010 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us EXPIRES: VALUE: 06/28/2011 $140,036,42 SITE ADDRESS: 4816 HOLLY ST, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051110700 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New single family dwelling Lot 89 Westwinds Same As Lot 7 and 81 Phone Number: OWNER: ADDRESS:' HAYDEN HOMES LLC 2464 SW GLACIER PL STE 110 REDMOND OR 97756 CONTRACTOR INFORMATION Lie Type CCB CCB CCB ELECTRICAL BUILDING INFORMATION I # of Units: # of Stories: Lot Size: . 5596 Height of Structure: 18.34 Sq Ft 1st Floor: 1290 occcupancy TYTPe TR-3 VB Type of Heat: Forced'A, ir Gas Sq Ft 2nd FIOOr:THE WORK onstructoon ype ype "u' u", 'I cVPIRf'IF ATTENTION: Oregon law reW~ie..~Ty~~\t,o Gas% PERMIT SHJlSq.Ft Basement:Ij\\T IS NOT follow rules adopted by the 'R'~~~.?lW4\lity ElectncrlORIZED UN['s(IHit~R.f.~NKEI D F~(H Notification Center. Those ruIH~iM~t?0110Ith /w I R ,~ ." ^MI10 vtl In OAR 952-001-0010 through ur\n ~52-001. COMMENCED 0 ~q ~ Carport: 0090. You may obtain copies of the rules by I,<NY 180 DAY PEts41F-t.Other: 40 calling the center. (Note: the tele~hone Occupancy Load: number for the Oregon UtiliEiJi!t7I~Yrs~~c~alty Code Edition: Center is .1-800-332-gt~~Jiield Fire Code Edition: Contractor Type Plumbing Contractor Mechanical Contractor Contractor Name STUTZMAN SERVICES INC PACIFIC AIR COMFORT INC HAYDEN ENTERPRISES INC TOP NOTCH ELECTRIC INC General Contractor Electrical # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: 3 Path 2A Certified performance-tested duct system I Lic No Lic Exp Phone 31747 05/12/2012 541-928-8942 39237 03/25/2012 541-672-9510 92208 07/29/2011 541.923-6607 C220 07/01/2011 541-317-1998 2008 Site Information I Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit 12/30/201 2:50:19PM Page 1 of6 -se~It.jG..FIE.L ~ R~- "..<:< ,~ ." ... \.m~ OREGON www.d.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00919 IVR Number: 811198368422 225 Fifth SI 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 12/30/2010 ISSUED: APPLIED: 12/30/2010 12/17/2010 EXPIRES: VALUE: 06/28/2011 $140,036.42 SITE ADDRESS: 4816 HOLLY ST, SPRINGFIELD, OR 97477 . ASSESOR'S PARCEL NO: 1802051110700 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: 18 5 8.45 30.94 o New single family dwelling Lot 89 Westwinds Same As Lot 7 and 81 DEVELOPMENT INFORMATION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: 2 REQUIRED PARKING Total: 2 Handicapped: Compact: Yes 30.2 Highest point on structure to north property line: 18.5 PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: For this parcel in Westwind Estates, it is the recommendation to the Building Division, by the City Engineer: "that no connections shall be made to sanitary or storm H20 systems, until the subdivision is accepted by City Council". Fully Improved Storm Sewer No Sidewalk Type: Curbside 5' Downspout/Drains: No Stormwater to curb and gutter Valuation Description , Descriotion R-3 1 & 2 family U Utility, misc. Tvee of Construction VB VB Unit Amount Unit Tvee 1,290.00 Sq Ft 401.00 Sq Ft Unit Cost 96.83 37.72 Value 124,910.70 15,125.72 140,036.42 Springfield Building Permit 12/30/201 2:50:19PM Page 2 of6 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00919 IVR Number: 811198368422 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: 155 ued 12/30/2010 ISSUED: APPLIED: 12/30/2010 12/17/2010 EXPIRES: VALUE: 06/28/2011 $140,036.42 SITE ADDRESS: 4816 HOllY ST, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051110700 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New single family dwelling Lot 89 Westwinds Same As Lot 7 and 81 FEES PAID ~ Amount Paid Date Paid Reciot # $250.00 12/17/2010 2010001078 $3,468.00 12/30/2010 2010001186 $374.00 12/30/2010 2010001186 $17.00 12/30/2010 2010001186 $13.00 12/30/2010 2010001186 $9.00 12/30/2010 2010001186 --..----- -----~~-- ~~ngle-duct exha~st (bath~~':.~s:_toi':t5?.~pa_~ents: u~ili_ ____...E6,1!9...______ ..__.!~/~~/~10 __ _ 20!00~1.1.'l~ First Appliance Fee $79.00. 12/30/201~__ __ ____.__",,2.010,,0.02.186 Reside".ce wiring 1,000 sq ft. or less ,_____...!!~:::9.!l._______~/30/2010 '__ 20100~8_~ Each added 500 sq. ft. or portion $50.00 ____--.23.0.0:'2010 2010001186 Temp services 200 amps or less $63.00 12/30/2010 2010001186 Sidewalk up though 90 Feet $88.00 12/30/2010 2010001186 Curb CuVDriveway 1 st Cut $88.00 12/30/2010 2010001186 Multiple Permit Discount (Max 2) $-30.00 12/30/2010 2010001186 9as Piping up to 4 outlets $7.00 12/30/2010 2010001186 SDC: Reimbursement Cost - Storm Drainage $398.52 12/30/2010 2010001186 SDC.:.'!:"l'~v."ment Cost - Storm Drainage $723.62 12/30/2010 2010001186 SDC: Reimbursement Cost - local Wastewater $2,549.28 12/30/2010 2010001186 ---,.,.._--_._---_.,'--~."-~-- ------- S"O~.:~mp~"v."".'~".t <:;os~ : .l"c~ ..':Y.".s.t.".w.~t~_______ _ _,.$_12~5c6.~_,,_____ _ 12/30/2010 2010001186 SDC Reim.t:~r:ement - T~a".s.E?..rt~ion sac.. ___,,_.!-:2.~~~__,,___E2:30i2010-___:__=:_:._ _ ~ ~oi5_oo1 11!,6 SDC: Improvement - Transportation SDC $1.597.62 12/30/2010 2010001186 SDC Reimbursement Cost: MVllM.i:: Regio;aIW-;;s;ewa;;----$10;:-97--.-------".l:v,,~CJZ2~!~~=:::._~=~=_ - 20'10001186. SDC: Improvement Cost - MWMC Regional Wastewater ~ $1,333.57 12/30/201.0 2010001186 SDC: Compliance Cost - MWMC Regional Wastewater SI $22.63 12/30/2010 2010001186 ".~--,.._-- SDC: Administrative Fee - MWMC Regional Wastewater: $10,00 12/30/2010 2010001186 SDC: Total Sewer Administration Fee $299.98 12/30/2010 2010001186 SDC:2otal Trans~ortation Administration Fee .____.,s122.51 12/30/2010 2010001186 State of Oregon Surcharge (12% of applicable fees) $198.91 12/30/2010 2010001186 Technology fee (5% of permit total) $92.08 12/30/2010 2010001186 Address Assignment, each new or change $38.00 12/30/2010---- 2010001186 Structural Building Permit Fee $875.62..-.---12/30/2010"----2010001186- ReSide"niiaiFi;8TQ5Pe";Sq..F~~-$ii6"55------12i30i2oiQ'"-"--.._- 2010001186 Admin fee (10% of applicable feeS)- $8.66 12/3012010------. 20'10001186'" 'Pi~nning - Major Review - City _.,_w~___w ------~-~-..$211.00 ----1"2/30/2010 --- -201-0001186 --.-.---- ------ $15,029.12 Descriotion Same as Plan Review Submittal \Mllamalane fees - Single family detached 2.~:..or Two Family Dwelling with Two Bath Furnace - up to 100,000 BTU ~an~L: hoo~/9t~er ~itch.:.'2.:.q~_~~n.!-..____.____ ~~~t.!~~ater.~_~:.r _~! Q.~s_~irepla~__._.____ Total Amount Paid Springfield Building Permit 12/30/201 2:50:19PM Page3of6 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00919 IVR Number: 811198368422 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permi1center@ci,springfield.or.us PROJECT STATUS: STATUS DATE: Issued 12/30/2010 ISSUED: APPLIED: 12/30/2010 12/17/2010 EXPIRES: VALUE: 06/28/2011 $140,036.42 SITE ADDRESS: 4816 HOLLY sT, SPRINGFIELD, OR 97477 AssEsOR's PARCEL NO: 1802051110700 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New single family dwelling lot 89 Westwinds Same As Lot 7 and 81 Plan Review ~ Department Application Acceptance Received Due Date Completed 12/17/2010 12/17/2010 12/22/2010 Result Application Accepted Reviewer David Bowlsby Planning Review 12/22/2010 12f22/2010 12/23/2010 Approved Deyette Kelly Comments: Front elevations are site specific and contain REQUIRED design elements, Inspectors will field check that actual elevations ~atch submitted designs as shown on the approved set of plans, tr~~{:~m~~' _:,t]{-;\.?'2,2:~:-:O~~;I:il~~i~~221\?~~:~Ir~~~~~~1~fi~~i'g~~:.;~th:~~'2;-;~': _~-t~ t;~~:;?!,__ ;-:;./ Structural Review 12/22/2010 12/22/2010 12/28/2010 Approved Kip Kaufman IPubllc Works'Revlew, ,,~:. ~ - /- ~12/22/2010:= 12/22/20101 12/28/201'(i7.~;', Approved'~\'?;~.{j~ '-~::";'T?ad;,SingletonIY':,~::,,$f" ~,~, .i, ,-,~ L'.~ I Comments~7. APPllc~tIO~ rece'l~ed 12/2~/2C;10~ : i: ?r ~ ":~:~,,,::,,~ .,' . '1~"<,' 7'__~~:<~~- '~.,;p~: ~.,",,:;;:'= ~/, , ~ ' ",~:;~~_f "':"~':~~,,:':~~,;;~2~;:~~,< J !~_,:, -"F;rt~js~:i:lin we:t~jndEst~t~:i;i~;h~r~c~~~~~~on iOJ~~BUild;,n~;ci~I~;f~:;Y;he'~~i~~n'ei;~th~;'~~': - .~ /;>' -1 I' ';. co~nections'shaif be made)o;'sanitaryctr storm,H20 syste'ms, until the' ~u'bdjvisjon is accepte'db'y:Cit'/co~ui1~i1'~:;.-'-':. ~ 'I L~~~3_~]' . ~~;illw.it~~~~:'9J~ ~n~_~~!;;r;:~~'~)~~t:':': "~;.~i;'.',; . - ~~ ;o,~;~t~,"~:~,.' '''_. .;,.. "~ .... .~, . ,~.'. <'" ..,~, , ~__~_ ~i,~ -:~':~ Permit Issuance 12/28/2010 12/28/2010 12/30/2010 Issued Kathryn Reeder Springfield Building Permit 12/30/201 2:50:19PM Page4of6 : SP~L:;:~~ . ~.'" OREGON. www.ci.springfieJd.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00919 IVR Number: 811198368422 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753. Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitce nter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 12/30/2010 12/17/2010 EXPIRES: VALUE: 06/28/2011 $140,036.42 12/30/2010 SITE ADDRESS: 4816 HOllY ST, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051110700 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential New single family dwelling lot 89 Weslwinds Same As lot 7 and 81 INSPECTIONS REQUIRED ~ Inspections 1020 Zoning/setbacks 1090 Street Trees 1110 Footing 1118 Footing Drain 1120 Foundation Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. 1160 UFER Ground 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 Underlloor 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 NaJling: 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. 1999 Final Building 2200 Underfloor Mechanical 2210 Underlloor Gas 2260 Gas Service 2300 Rough Mechanical 2995 Final Gas 2999 Final Mechanical Springfield Building Permit 12f30f201 2:50:19PM Page 5 of6 . SPR..I.N...G...FIE.L..~ -~h~.. . ',,':' ,~. . ~"S-,' OREGON www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00919 IVR Number: 811198368422 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 12/30/2010 ISSUED: APPLIED: 12/30/2010 12/17/2010 EXPIRES: VALUE: 06/28/2011 $140,036.42 SITE ADDRESS: 4816 HOllY ST, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051110700 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New single family dwelling Lot 89 Westwinds Same As Lot 7 and 81 3130 Footing/Foundation Drains 3170 Underlloor Plumbing 3200 Sanitary Sewer Underfloor Plumbing: Prior to insulation or decking. Sanitary Sewer Line: Prior to filling trench and including required testing. 3315 Water Line 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 4500 Rougn Electrical Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. 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 aU 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 front of the property, and the approved set of plans will remain on the site at all times during rof" % 11600 Owner or Contractor Signature Date Springfield Building Permit 12/30/201 2:50:19PM Page 6 of 6 Electrical Permit Application . I . 225 Fifth Streett Springfield, OR 97477. PH(541)726-3753. F "''((541)726-3689 i;N;:tR~f'~Rlra~~]t~~t{~~"~~~ll~ Pennit no.: ~/ tJ - '7/ 9 Date: 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. w-',$;.~l~fi(![11i~&~'G:@:\{!;REJMENif>f~i,ig)'{9M~ilt111'~~1t~i~ Zoning approval verified? 0 Yes 0 No ti<<~iAft~~~'~~mg~~:Q~){~~~~~W~&tl$XtH~Jli~]lit~rri~l~!t~~~~[~ 0:Residential 0 Government 0 Commercial ~1~~.t[~:[~!ffiJO~jNI~]iEJYj~\'(ilQ:1'rl$1ilmli![~Q'~1;rmN~~};#~[ Job site address: f(6110 I u.. Y <;. ".- City: ZIP: '17'f7'8' ~tir~l~"'Jff.ft~![~~~~R0RIi.'Rlb)1;:~@wt~rE,'BV~~1;~~f!,~~{&:;;j,tti;t1:.1i~N~1 4-."'~i':~~~~l'~,'iI"_~~~,l~H.-"_"~"'"",,,,_,,;:>,.,,.., "".r...,,,,,,,-.:;r..:,,~.~-,,,,i1'",,!:if,,,,,,,,$.~~"''''-'''''''4>~O,~:,,;;.,;r,'j,,. Name: l-L, d.CV\ Address: if L City:, ne "oIrvncvt c-1 State: il Q ~Zw,' ')775'G, .'Ii''''' lll""_' EXPI)r 11= I .r vUn.l\. Phone:,5:L!IJ-:2?8:"lG<J2'OF,LL 1F~:P:.r-,;Nf- ,;$7;? E-m~AitT.~~~l2elli'~~ ' ,tW~~, ~r--" .u:.r.. Thit~~~J}~li.Q~is~b{ing lliade~o'-N1~~iaenti'ai or farm property ownS~I~~'r1{(\orJ~I?~II?9~rC:ciJj~y immediate family. This property IS not mtendea for sale, exchange, lease, or rent. OAR 479.540(1) anf 47~(I). I Signature: (- it' . ;\,1~'l'lj)'~~~G0Nmffi&'eill0R:'~INSffiA'~&'A"iH0N.~~\\~,r;,~i.<1\li _~~j~~~~,~<.'I't~'~<',~'_~~m .._.;.....,_.""''"".h,~'',>~._.r;;_,,,'',_,,~.. _~,t"=".._,,...~,,;,:t,~1";g;;~~~"'_,~"",..JJ_. Business name: ---r;; tc I pC (ove c+- State: oR. Address: City: Phone3Ij-311-/9'i'i; ZIP: E-mail: CCB license no.: ) Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: 440-2584-J (9/08/COM) Residential, per unit, service include'd: 1,0o.O~q..!\...o.rJ,"s (:I) $134.00 Each.a~tdf~on~(:59~1q:ft.Cm. p~rtloRqu res y 0"[ tn th,reoL.,,'~':-;.," Opted l:iy the On '9on UfliJRoO -..-~" .........'H01. IIIU::ierures ~ l!,iniited:'~ne!gyL(3)1! ~nn1 n tho." .,..h r., ~er>~ ~$__O~2~OO E~~h{~a?{(iJ~~tUre~d ~brnJ~:qr(mod,0g~~'1 t" vv ~~~u ,. ~ dwelhng.E.ery~fe:..oSt~~S9~r J1).lt~, the t' ,~:~t ~E~,~6~,OO SflWTlnp,r ~""'''d'h", ~~. 'II" ..,.. .'--:-.~r-""""" ervlces or.-Iee, ers,: lnsta_ atlOn,tal!}n;ZHgnfrl!Lqmf~on . 200 amps or'les'sC(2j' /-ouU-;J;J;C-234 i). $ 81.00 $ $ $ $ $ $ $ $ $ $ 20 I to 400 amps (2) 401 to 600 amps (2) 60 i to 1,000 amps (2) Over 1,000 amps or volts (2) Reconnect only (2) $ 95.00 $158.00 $205.00 $469.00 $ 63.00 Temporary services or feeders: installation, alteration, relocation 200 amps or less (2) 20 I to 400 amps (2) 40 I to 600 amps (2) $ 63.00 $ $ 87.00 $ $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 of a service or feeder fee: Each branch circuit $ b. Fee for branch circuits without purchase ofa service or feeder fee: First branch circuit (2) Each additional branch circuit $ 55.00 $ $ 6.00 $ Miscellaneous fees: sendee or feeder not included Each pump or irrigation circle (2) $ 63.00 $ Each sign or outline lighting (2) $ 63.00 $ Signal circuit or a limited~energy panel, $ 63.00 $ . , alteration, or extension (2) Each additional inspection: (1) $58.00 $ e. "'m"".:~li.I'i@..'\11ii,ljYi',\1i,Ill'~g8'O~"['''''A'''1\I''';;\I';\\'S''i''''''Qi!'''.'';!1''''fr%"".. '''l'''*. ..~. :;;;;.'" ~;~~~7/!f{~~l$~~'.~!&.r.;:E'~~,A.."" H::~jjP,,",-~~8~.(.~t~mf;{~.{f..#.-J*~~~ (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) $ (B) Enter t2% surcharge (.12 x [A]) $ (C) Technology Fee (5% of [A]) $ TOTAL fees and surcharges (A through C): $ .-~~ \. r 1I ( -F' erll1i tAp p'ilL'il riG;l LIEr-:i\!":~'Tj\'IC!\iT USE '~I'JI ~o '" "',', c.~" - - ~_~~~~-~~~~~~~ic~_~-~~':~r~~~ 1~j~'tI~ ".~~I;i,~~<lhcr~~}~~~~1.~.~.."..~ ~"'.-_f':.,'"?~~-=7":.>;~~-x,__~~""'~_~_,~,",T"-lf~tl~ =1~ FifJ-l ST(~~i ~ SL'ri":;;-(I~id OK '-:)'-';:! . P\-U5-~ !}i?S.::'~~ . F~_\C\-.;i)::6-~,::'SS' ' .~y. f'"",., n" 5)10 '-;1; DOle 12.-1..-\0 This pumit is issued under OAR 0\8-:.\60-0030. Permits npire if work is nCH sLHiecl \ydhin ] SO d;ws of issu;"lnce (ir if work is suspended for] SO d3\'S. LOCAL GOVERNMENT APPROVAL I I 1 Date" This projecl h3s fin3i lanG-uSE approval Slgncl\ure: This project has DEQ r:ppro\'31. I Signature: Zo,.;ng. 3ppr0\,'iJl verified: ProperTY !S "':;:~';;L 'need plain: Dale:: 01'-:0 DYes O\'cs ,---". U :"0 I I l2J Residenl\sl CATEGORY,OF.CONSTRUCTiON o Government DCOrTdlli::iC;31 JOB, SITE iNF08r;'ATION AND U:lCATIOfJ : Job siie address t(@feR S..- I Ciry: ~~I-j~uJi.is:: cf . Subdivision':-'W8~NIY=> Relerence / !SO?" b oS / I \ ZIP: <~?7'77? LOlno, BS 10700 ,"it? ~~ PROPERTY OWNER Name: ~ Address: c" (0 hICi(";"/( 1,1l?!ty~,..i?cd'Aonol i State 0 Q I ZIP177')c" I ,._" ov_. 1_ l'IB!I-9ii,.;:!"9-!llrr;:l;.*1("'6)~ ".....11......- I I .~ . '-, H~jll Ullnl_L. 1\1 t' I' iIEC;f)l"'bE~~ ,v-~" , 8.t:..ch- .-This. Tr;s'laJiaiJor'i'.I'~belng\rnadtIQn l'e'sil '~' ~. ~i~-)r farm properry owned by UWll\/ltl\II.t-l\ I ... II...: .LI.-U\f'. IH~f\' (). ,- me or 3 member-or n1y Immedl3te"TBml ,CI'n s exempt from hcenslng U~~Ji?e?nrnrS'I~nd~rg;}}S)701,O I O. ' Sign here: ~, ~ CONTRACTOR';INSTLA TION,- /-Io/'-"1? <-- .-/<1r'--- r Business name: )/ /-/1' A- 1/ 5~ Rc (Yloncl- Address: Stale: uK_ Fax J-II - ?-i' CitY: \ Phone' ';lll - 'i E-mail: CCB license no: 0 Prinl nam"G'atC- ~h:-l()p...\(:_~~ Signature: 2~ % r SU BCOIJTRAb"OR INFbi~li1ATlO'N'" -".';J f'bme een LiC~rlst Numb~r I Phone f',;urnber Eleclrical 17 J" C/o I Plumbing 31 7'{7 I Mech,lnic::1l YiJ "" / I ~' FEE SCHEDULE 1. V::ll.il.3tioil inform~1ioIl (a) lob descriplion: )JelAJ S-F"0 Occupancy r2- Constrllclic,1' r-ype: SqU<lre feet' 12.'1D tfD ZJ Cost per square COOl' Other ir,for-mation: Type oiHe3!: -,,0, E.nergy P2th: ,)P'I IYI new 0 alteration (b) Foundation-only permit? Total valuation: o 3ddition DYes 01'0 (a) Permit ree (use v~l~itib'nCi'abl.~)j11 /~l" (b) investi,g'ative fee (c'q'uaflft'%Jf' bV-th~ c:~~!res iVSlU to (c) ReinsB~ection ($ . :c JRffrM10A~!~~se rUle' c r l.}tility (numoer cfhours x f~,e; p'erJlio'..!rJ)lrou h S are S :itfo th ~. , 'h.' a nil n,.. r . --'...,;/ r-....r. - .., 00 0 (d) Enteq!f% surcharge:(.-l~;x [~~,;~~+2(1)'Of thA ... ;J; 01 ~ (e) Subtotnl of fees noov-e (2Jl;Lh~~~gi{i7)~ te/eOh! Y (a) Plan review (65% x p~~)fr -5/' (b) Fire and life safety (40% x permit fee (20.1): (c) Subia!>!l of fees 3bove (33 and 3b): i2..'5O ~ $ , (, (3) Seismic fee, 1% (.01 x permit fee [2a)): TOTAL fees ;\nd SUI-charges (2e+3t+4a): ~ , . . 2~ willamalafle t\aj . Park and Recreation District Job. No. 0\~.C\\q . SYSTEM DEVELOPMENT CHARGE WORKSHEET '. July1-December 31, 2010 NAML~ ~'.' ..... .PHONE:..Q...~.lcA.5~.. ADDRESS:2."\\A ~0 CITY ~TATE:I:8:.ZIP: q-rT5b . 'LOCATIONOFPROP~~GSITE::'" .. . Stre~tAdd~SS: '\-B\\D \\\)\~~S\- . Plat NalT!e\o.O n-\-v.3 \.f\d. .' .' Tax Lot Number: \ ~(Y)h~ \ \ .' \t51()0 1. DEVELOPMENT TYPE (Check appropriate'dweiling(s). Dwelling type definitions are' on the back.) . . . . .' " A. Sinale-Family Detached' , NO. OF UNITS \ X $3,468 per unit = $ A410B .CD . . B: Sinale-Family Attached . NO. OF UNITS X $3,538 per unit;= " $ C. Multi-Family Apartment NO., OF UNITS , X $2,906 per unit == $ D. Sinale Room Occupancy . NO. OF UNITS )(-$1,453 per unit=:: $ E. AccessorY Dwelfina Unit. ..~. ., NO. OE UNITS . .,wILLAMALANE.SDC , X $1,734 per unit = $ ;. DO $ 34lo~.. . if , $ .. 2. SDC CREDIT (If applicable) SDC payer must furnish proof of Willamalane Credtt approvaL) 3. . TOTAL WILLAMALANE NET SDC ASSESSED . (if SDC reduced for Credtt). , , '. ' . . \~bQ)\)\~~' D~velopm7nt Services ep . ent . City of Spnngfield .' . . . $ .3~~.CO '. ~Qi1~DJO Date 5 www.cLspringfield.or.us TRANSACTION RECEIPT 811-SPR2010-00919 4816 HOllY ST CITY OF SPRINGFIELD 225 Fifth $t $pringfield,OR 97477 541.726-3753 permitcenter@cLspringfield.or.us RECEIPT NO: 2010001186 RECORD NO: 811-SPR2010-00919 DATE: 12/30./20.10. I.QgSQRIPTION:' ..JtJ ;"0 '~,"' '';;-::;;:t:'''' _ ~'_" "C~liJ1<:'L.;'~.A:C.Q.Qi.JN'r_C~QRC: . . .;' :~I\ltt:!u-"jfR.u.~};- /.::'; .1 Planning - Major Review - City 10.0.-0.0.0.0.0.-4250.0.2 $211.0.0. Admin fee (10.% of applicable fees) 224-0.0.0.0.0.-42660.5 $8.66 Residential Fire (.0.5 Per Sq Foot) 10.0.-0.0.0.0.0.-4240.0.5 $86.55 ~tructur~Building.2:~it Fee 224-0.0.0.0.0.-42560.2 $875.62 ~ddress A~s~g,:,ment, each new or chang~~~___ __ 224-o.o.o.o.o.-~56o.2 ___________~8.o.o. Willamalane fees - Single family detached 821-0.0.0.0.0.-2150.23 $3,468.0.0. ",-_.~--_.__._._--"_.._-~---"- ------..------,.-----.--.---.---.-- One", Two F"n:'ilY..9welli~g with2~1?~____._.____.~_._E4.:.D2~'!.o.:4~6o.3 _____ ___ _ $374.0.0. Furnace - u~ to 10.0.,0.0.0. BTU 224-0.0.0.0.0.-42560.4 ____~:7~o.O Range hOOd/oth_er kitchen e9.':'.ipment 224-0.0.0.0.0.-42560.4 _________:_!!3.o.~_ ~~t for '::Cater heater or gas fireplace 224-0.0.0.0.0.-42560.4 $9.0.0. Sing!.e-duct exhaust (bathrooms, toilet compartments, utility rooms) 224-0.0.0.0.0.-42560.4 _____._. ___!2~~~ !:~st Appliance Fee 224-0.0.0.0.0.-42560.4 $79.0.0. Residence wiring 1,0.0.0. sq. ft. or less 224-0.0.0.0.0.-426102 $134.0.0. Each addeq 5Q.o.~g. ft. or ~~n 224-0.0.0.0.0.-42610.2 $50.0.0. Temp se,,:ices 20.0. amps or less 224-0.0.0.0.0.-42610.2 $63.0.0. ~i<!~!,,,~k.up~h.<>,,gh 90. Feet_..__.____. ___}o.1-o.o.o.o.o.-428o.6o..______$8~~ Eurb.c:utID~vew_"y2.~tGut_,________.__.______ __ _ ~.!-.?2~o.o.-428o.6o. __ . ~88o.o. Multiple Permit Discount (Max 2) 20.1-0.0.0.0.0.-4280.60. $-30..0.0. ..---...-.-----... --_._- +----...-.,--- ....----------------.., ..*.._._-_.. Qas Pi~~g up to 4 outlets 224-o.o.o.~-4256o.4 __,____ ' _ ,__$!o.o., SDC: Reimbursement Cost - Storm Drainage 441-o.o.o.o.o.-44~~,________ _,_ .-13~s.:.5_~. SDC: Improvement Cost - Storm Drainage _~o.-o.o.o.~_o.-448o.2~________$72~.62_ SDC: Reimbursement Cost - local Wastewater 442-0.0.0.0.0.-4480.24 $2,549.28 SDC: Improvement Cost - Local Wastewater 443-0.0.0.0.0.--4480.25 $1,285.68 SDC: Reimbursement - Transportation SDC 446-0.0.0.0.0.-4480.26 $426.92 SDC: Improve"!ent - Transportation SDC 447-0.0.0.0.0.-4480.27 $1,597.62 ~DC Reim~ur~~,,-~~st - MWMC Regional Wastew~~__~~4-o.o.o.o.o.-448o.24 $10.1.97 SDC: Imp~ement Ci:lst - MWMC Regional Wastewater SDC ..445-0.0.0.0.0.-4480.25 $1,33357 - --~ . ~.._--.,-_...._----~------------ SDC: Compliance Cost - MWMC Regional Wastewater SDC 444-0.0.0.0.0.-42660.7 $22.63 ------_.. -------.---------.-_..-- - ------.------- -_.- ._-~--_.-.._--- --.--.-.-- -. ....-... SDC Ad!"i':',i~"'~_:".l'.~IJVMC_!'eg!?~aL\I'I.a~ater 3.DC 61 :-o.CJ?o.O~~6604_ . __ _ _____ ___ $10.0.0. SDC: Total Sewer Administration Fee 719-0.0.00.0.-42660.4 $299.98 __________._...,__ ..."..____ M__._.________...__~.__ __"_'_"__ .__ _ ..._ sbc: Total Tran~~ort.?tjon Administration Fee 719-00000-426604 _._____.._~_~_~.~~.~.~ State of Oregon Surcharge (12% of applicable fees) 821-0.0.0.0.0.-2150.0.4 ...!2~~c~1.. .Technology fee (5% of permit total) 10.0.-0.0.0.0.0.-42560.5 $92.0.8 TOTAL DUE: $14,779,12 1\ A'A'tMENT TYB~&""~,~AYOR"o :';CZ@~R:KREEDER~~}cCG..QMMJ;N:tS ~2\ ':'J'iL~iliL~~;;;.;,j,AM6UNT;f'8.1p~;-+ :? 4-1 Check 3520.2 HAYDEN HOMES LLC $14,779,12 $14,779,12 S~1:1N:-..F.IE.~.D , &. ,'. ';ill '~ie' ." \.'SiU ~~;~ OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00919 4816 HOllY ST CITY OF SPRINGFIELD 225 Fifth 5t Springfield,OR 97477 541-726-3753 permitcenler@ci.springfield.or.us RECEIPT NO: 2010001078 RECORD NO: 81 I-SPR2010-00919 DATE: 12/17/2010 [g!;~~qB(pjLoW'5S-;,"'-!.; co '.;"t,-~~ :.!:~"'? 4', - ~'-'-,A:C.C9,UNJ",CQDEU",P ~__ AI)I10_U_NLQlJE~ . ..~ '--~_:.J Same as Plan Review Submittal 224-00000-425602 $250.00 TOTAL DUE: $250.00 I ")~AYMENtJYRE-:;_';E'AY0R::~;c-<\s8IE-R;.cCA!fpE,tTER_. '(O~IIIlME.NJ.s'-F"": -. V"AMOUNT-PAIJ:r.. .- .~ Credit Card HAYDEN HOMES LLC $250.00 023119 $250.00