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Home My WebLink AboutPermit Building 2010-12-27 SP.R...INGF.I.E. ~ _7/ ..,- ".C"'.'.",..~ . }':fi~+". OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00841 IVR Number: 811190293911 www.cLspringfield.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: APPLIED: Issued 12/27/2010 12/27/2010 12107/2010 EXPIRES: VALUE: 06/05/2011 $151,538.00 SITE ADDRESS: 4867 GLACIER DR, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051109900 PROJECT DESCRIPTION: New SFD. Same As 4851 Glacier - 510-659 Phone Number: OWNER: ADDRESS: JHD3 LLC 2464 SW GLACIER PL REDMOND OR 97756 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential CONTRACTOR INFORMATION ~ Lie No Lie 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 Lie Type CCB CCB CCB ELECTRICAL BUILDING INFORMATION ~ 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 Cod~ Edition: Contractor Type Plumbing Contractor Mechanical Contractor Contractor Name STUTZMAN SERVICES INC PACIFIC AIR COMFORT INC HAYDEN ENTERPRISES INC TOP NOTCH ELECTRIC INC Electrical # of Units: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Occupancy Type Construction Type Occupancy Typ.e Construction Type R-3 Type VB U Type VB # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: 3 No Path 2A Certified performance-tested duct system 1 16.58 Forced Air Gas Gas Electric lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: 4574 1408 Sq Ft Basement: ATTENTSq!Ft Gil,agO'1law rC4b:iires youto foil ow nfsq'FtiCarport:by the Oreg,on Utility Notificatic~ Gc~toL Those rul8s are set forth , Sq Ft Other: 24'AR 952001 in OAR 9SOJ-iJ01-UU1D through u -- 0090. YouOR?l1f'tl'8~'\~?tdjpies of the rules by cailing the center. (Note: the telephone number for the Oregon Utility NotificatIOn Center is 1-800-332-2344). 2008 ' Site Information Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Repor:': Required: Springfield Building Permit 12/27/201 9:18:06AM M'hICE" THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ,NY 180 DAY PERIOD. Page 1 of 6 CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.or.us Building I Residential Permit PERMIT NO: 811-SPR2010-00841 IVR Number: 811190293911 permitcenter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 12/27/2010 ISSUED: APPLIED: 12/27/2010 12/07/2010 EXPIRES: VALUE: 06/05/2011 $151,538.00 SITE ADDRESS: 4867 GLACIER DR, SPRINGFIELD. OR 97477 ASSESOR'S PARCEL NO: 1802051109900 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: 14 5 5.18 25.62 o New SFD - Same As 4851 Glacier - S10-659 DEVELOPMENT INFORMATION I Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: 2 REQUIRED PARKING Total: 2 Handicapped: Compact: PROJECT DESCRIPTION: Yes % of Lot Coverage: Highest point on structure to north property line: 39.5 18.5 PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion R-3 1 & 2 family U Utility, misc. Tvpe of Construction VB VB Unit Amount Unit Tvoe 1,408.00 Sq Ft 403.00 Sq Ft 'Unit Cost 96.83 37.72 Value 136,336.64 15,201.16 151,537.80 Springfield Building Permit 12)27)201 9:18:06AM Page 2 of6 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00841 IVR Number: 811190293911 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pe rmitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 12/27/2010 ISSUED: APPLIED: 12/27/2010 12/07/2010 EXPIRES: VALUE: 06/05/2011 $151,538.00 SITE ADDRESS: 4867 GLACIER DR, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051109900 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New SFD: Same As 4851 Glacier - 510-659 FEES PAID ~ Description Amount Paid Date Paid Recipt # ~Ianni"-g - Major Review - City $211.00 12/27/2010 ___~_ 2010001148 Admin fee (10% of applicable fees) $9.18 12/27/2010 2010001148 Gas Piping up to 4 outlets $7.00 12/27/2010 2010001148 Flue vent for water heater or gas fireplace $9.00 12/27/2010 2010001148 Residential Fire (.05 Per Sq Foot) $91.75 12/27/2010 2010001148 Structural Building Permit Fee $920.39 12/27/2010 2010001148 One or Two Family Dwelling with Two Bath $374.00. 12/27/2010 2010001148 Fur~yp to 100,000 BTU $17.00 12/27/2010 2010001148 Vent for appliance other than furnace $9.00 12/27/2010 2010001148 R~~g~'h~~di~~r kitZher;-equ;p';;~';;--~------' -------------$1300--------- --- 12/2712016---- -- . -2010001148- s;;;gT.;~;~b;;;hrooms:toilet-c;;,;;pa;;;;:;;;;;-s, utili -------$3600-----~--12/27/2010-- -. -- ---"201-0601-1-48 Heat pump --------------------------$1Too.-------12/2712010--- -- . 201000i1'48 First Appliance Fee .$79-00---.-------,2727/2010----- -- ---201 000i-148 Residence wiring 1,00o;q~ft(;;:T;,-S;- $134.00 12/27/2010 ---2016001148 Each added 500 sq. ft. or portion $50.00 12/27/2010 2010001148 Temp services 200 amps or less $63.00 12/27/2010 2010001148 Sidewalk up though gO Feet $88.00 12/27/2010 2010001148 Curb CuVDriveway 1st Cut $88.00 12/27/2010 2010001148 Multiple.!'.ermit Discount (M~~~) $-30.00 12/27/2010 2010001148 ~eimbursement Cost - Storm Drainage. $415.55 12/27/2010 2010001148 .sDC;:~rTlprov_'''11..nt..c::.?~!___~!''_'rn_l?raina.g..____.______$!545~ __...1~/_2~/_201 0.____ ______201 ~?O~ 2.':.8_ SDC: Reimbursement Cost - Local Wastewater $2,761.72 12/27/2010 2010001148 SDC Improve,;;e;:;t-C~;;- ~L~~-;'IW~;;'r-------- - $1,39282 121'27t2010-----'- ---.----------zD10001148 si5C:'ReT;;~;~~~nt - Tra~;p~atjon SDC ._-- $426.92 -'12/2712010-----'--2010001148- SDC: Improvement _ T~rtatjon SDC ,~--- --$1~,597"62 12/2m610 _________u -Z61OCio114S- SDC: Reimburse;;:nent Cost - MWMC Regional WastewalE $101.97 -----12i27i:2.oio------.-.2010001148 SDC: Improvement Cost - MWMC Regional Wastewater ~ $1,333.57 12/27/2010 2010001148 SDC: Compliance Cost - MWMC Regional Wastewater 51 $22.63 12/27/2010 2010001148 SDC: Administrative Fee - MWMC Regional Wastewater: $10.00 12/27/2010 2010001148 SDC: Total Sewer Administration Fee $319.42 12/27/2010 2010001148 SDC: Total Transportation Administration Fee $121.45 12/27/2010 2010001148 Technology fee (5% of permit total) $93.72 12/27/2010 2010001148 ~!e. of Oregon Surch~rge (12% of __applicable fees) $207.41 12/27/2010 2010001148 Address Assignment, each new or change $38.00 12/27/2010 2010001148 WTil"malane fees - Single family d;;j,;ci;d'----- -- -'$1,216:3-"-- ---12T27i2Oi'O~---------201 0001148 Willamalane fees - Single family detached $2,251:66---------;zlvi2D1o---.-----.---2010001148- ._~~__~__.__.~._~,______~"" ,_____'._+.w_._____.~__~_~.____ .-+___ .___..... ___+_ . ._ Same as Plan Review Submittal $250.00 12/07/2010 2010000988 Springfield Building Permit 12/27/201 9:18:06AM Page 30f6 .. - ,. SPR...INGFIE.L~ .i? :? ,~ . ..<": . OREGON WWW.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00841 IVR Number: 811190293911 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 12/27/2010 ISSUED: APPLIED: 12/27/2010 12/07/2010 EXPIRES: VALUE: 06/05/2011 $151,538.00 SITE ADDRESS: 4867 GLACIER DR, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051109900 SCOPE: Single Family Res.idence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New SFD. Same As 4851 Glacier - S10-659 Total Amount Paid $15,501.66 Plan Review ~ Deoartment Initial Review Received Due Date 12/10/2010 12/10/2010 Comoleted 12/10/2010 Result Approved Reviewe r David Bowlsby i;~~~~__-=""" ;,-');',-",,;, . !.-.,;"~~2^';"",,,_.:.........-.. ' . . .:' . ';" ""n""--_\4~;.k---.-;.,-~.__~,__...' '-_~,_, .~___-"".__._J Planning Review 12/10/2010 12/10/2010 12/15/2010 Approved Deyette Kelly Comments: Front elevations are site specific and contain REQUIRED design elements. Inspectors will field check that actual elevations match submitted designs as shown on the approved set of plans. Meets minimum setbacks. Inspector to verify placement at time of footing inspection. '. eyblic",W9rl{s;R'~vieVJ77~';1t~,.,.~, 12/1 DI2Ofb,i::l,~rfD7~19:12~OJ D,:~, \j:/' Approved,~~" :}"d~~:li:~1>:[,": "K~Y~XVils6hK~' .J ~'",,,,' ,~. '~~', ","~,,:"'.,," "".::.'~," ",-,,,, K"'i;""'~,':' .,',',' F.>.", ',",~ ~"0-r'e'/f,'..d"'-"",' "",~, '/~., '. "";,,,-,,'" ",'1, ,;;", ,'7" ',;f. ':..". ''',,<''''., ~";,,' ;"Comments: St6rinwaterto'"tap,,- tP",' ',"~ .,.:=-., ~.,,~ ,<.r, "'; ;..~,'", "~"", ,'- ::~'''-0't.' /. '''',_~,' "",""f.F',~~",,,'1"""'-' ,~,),"-l,""" '," "",,~. ' ""'.ff' ~'::",~l-m_5:"""''''''* ~ ~ Structural Review 12/10/2010 12/10/2010 12/17/2010 Waiting Internal Kip Kaufman Comments: Public Works -'7t._,,:-->~ '-"~-.~ '1 . ' , , . .., ~ . }; -' ), : " ,: .~,., ,~ Springfield Building Permit 12/27/201 9:18:06AM Page 4 016 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00841 IVR Number: 811190293911 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 12/27/2010 ISSUED: APPLIED: 12/27/2010 12/07/2010 EXPIRES: VALUE: 06/05/2011 $151,538.00 SITE ADDRESS: 4867 GLACIER DR, SPRINGFIELD, OR 97477 AssEsOR's PARCEL NO: 1802051109900 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New sFD - Same As 4851 Glacier - 510-659 INSPECTIONS REQUIRED ~ Inspections 1020 Zoning/setbacks 1090 Street Trees 1110 Footing 1118 Footing Drain 1120 Foundation 1160 UFER Ground Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 1220 Underlloor 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 1440 Insulation Ceiling 1520 Interior Shearwall Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Shear Wall Nailing: Before covering sheathing with finish materials. 1530 Exterior Shearwal1 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 3130 Footing/Foundation Drains Springfield Building Permit 12/27/201 9:18:06AM Page 5 of 6 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00841 IVR Number: 811190293911 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 12/27/2010 12/07/2010 EXPIRES: VALUE: 06/05/2011 $151,538.00 12/27/2010 SITE ADDRESS: 4867 GLACIER DR, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051109900 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New SFD - Same As 4851 Glacier - S1 0-659 3170 Underlloor Plumbing 3200 Sanitary Sewer 3315 Water Line Underfloor Plumbing: Prior to insulation or decking. Sanitary Sewer Line: Prior to filling trench and including required testing. 3400 Storm Sewer Storm Sewer Line: Prior to filling trench. 3411 Perimeter Rain Drains 3500 Rough Plumbing 3999 Final Plumbing 4000 Temporary Power Service 4225 Service or Feeder Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. 4500 Rough Electrical 4999 Final Electrical Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to 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. 7~ /( -7.?- -IQ Owner or Contractor Signature Date Springfield Building Permit 12/27/201 9:18:06AM Page 6 of6 SAME AS_ "t<6 S ( G-L-At:J6-'<L $)t>-&"S"; '::',-i.\ t\( FIe l'nll~t A pp 1 icel I \011 ~ ~ ~1~ -~~r:~~~~~~~~~]i~~~~~ r , *-~~_~..~~.~bt".[4?~~~~il1Q~W~~~;'ft:~~ :::::~ Fif-ch SUcci . S,-~ri, g'-Icid. OR. 9~:;'! . ~'HI::''' !)~':.:<,~: . f.~">:(:'~I)~?&-:'::'SS C.'['~/\!~:TI',"lf!;tT L'SE: C:'JL ",..co." --~.'- -!AJr "iT'" "'5/0- (fL{ ) : DOic / 2/ r; 1;1) 1 SO d:;vs of iSSU:lIlC~ or i( \\'or~ l( This permit is issued under OAP. 91S-:!60-li030. Fermils expire ifworh:is not 5(~Ulecl \\"iihin suspelloeli fOI 1:30 dt:lvs LOCAL GOVERNMENT APPROVAL I I I03le: I IOa\e: 01\]0 i This proieci h3.s fln3i 13nG-liSe approval 1 Sign31ur"e- \ This projecl h3S OEQ ;:;ppro\'al. ; Signa!\..Ire: \ ZOlling 3ppie,val verified' I \ Proptrry !~, '.\ :;;-;;;, need plain" Dyes DYes ", , U :'~Q I,CA TEr:;O.RY OFCONS.TRpCTIQN. i [ZJ Residential 0 Government 0 (O",iTiCLC;;o! JOB. SITE INFORM;,TIONAND LOCATiON.. Job "i,e addresc: PR.. I I ZlP: 97y'7'?: City: ~~(.,,~(("Icf OR Su bd i v IS ion.JWc::">l-o.Jl~ '.> i LOl no.: ~O : Relerenc~ /862.051) I T3.xIOI 0 9900 PROPERTY OWNER Name: /./"'>p= fk,WlP , Address: rY';(OL( <.lJ r:,!Q(,'r-( , City: () . \'(c>c.{.;,;oncA Slate: 0 Q fin;: I ZIP1; 7<;(" I I I I Phone:)L! I - ~ - r:,c: "'l.S- I.-mail: This jnsll'i1lation is being made on residentiai or farm property owned by me or 3. member of my immediate family, cmd is exempt from licensine. requiremenls under ORS 0\.010_ ~ Sign here: - '{; CONTRAqOR Business name: // ",f 1'1'- Address. )1 ,q 5~ City Rc yY!onv{- Phone 5'11 .INSTA'LATION .' " -' -, . ." ;Ju. '"V ~ I j ""- larc f Slate uK. Fax.:J-1I-1-J/ E-maiL CCB license no.. o ~ d G~Il@)k;y~ Print name: ~ Signalurc S U BcoNTRACi.6R; I NFOR i;1AII'cM I I I ,r\,lDrne I CCB Lic~~1St N\.~rnbo:r. Phone Number -I Elect; icnl 17]\(/0 I \ 1 Plumbing 317'17 I Meth:lnicnl 30;;2 31 1 FEE SCHEDULE 1. VJlu.o'tion inform3tion. . (3) Job descriplion: Occupancy Squ3ri: feel Con~Ir1lc{iOi: c:.'pc. =B~ COSt per square rOOl. Gihe, ir,ioLmation: Type ofHt::Jl: ="'> Eoergy P:;(\1: .:JA CZI new 0 alteration o addition o Yes ~o (b) Foundation-only permil') Tot~d v[]lu::ltiow (b) Investigative fee (equal to pa)): (c) Reinspection ($ per hour): (number cfhours x fee:- per ho,-"r) > (d) Enter 12% surcharge (. \ 2 x [2?--72b+2c]): le) Subtotal of fees 3bove (2a through ld):' $ uc) (8) Plan review (55% x permit fee (~~,AJ' (b) Fire and life safety (40% x permit fee [2a]): (c) Sublot>!1 offe:e:s 3bove (3~ ;;nd 3b): $ c (a) Seismic fee, \ oJ" (.01 x permit fee [2a1): $ TOT~\L fees :lnd surcharges (2e+3c+'13): .$ .,., Electrical Permit Application 225 Fifth StrecttSprillgfield, OR 97477 tl}H(541)726-3753t FAX(541)726-368? \ <'bf:fl).:ft>'(\ 0 ~C\ cD ;~PR.'NGF1ELD t'-~~>n!{.1l r~~t;;,~\t;!~~~~~ ".".,.0".". ~ .." ,o.)~;;\~ll:i~~'ll:. ~JI ""l DEP ARTM ~NT US'E.ONLY;',,', ;, " ' '. -,' ";:..';Hj..:~,,,,,::-.I.-',:o';:;-.~;.'''~'.,,,~:~ Permit no.:S', 0 -'3''-; I Date:. J).. 7 I D This permit is issued under OAR 918-309-0000. Permits arc nontransferable. Permits expire if wal'l< is not started within 180 days of issuance or if worl< is suspended for 180 days. . ~~~1.f:''<<1?~~}:~~O.Q'A:I1%~~0\ZEJ{~(M-~_Nr~1~~J~1~~ov~(hl~~11tt~tift,~~",%,[~; Zoning approval verified? 0 Yes 0 No .t~~~l11~~f~tG~:m_~-~~QR~~~Q~~~[g;:Q"N.$mRlJ CmICrN.wt.?&~t~'1~~;t\!fi:g:%2 o Residential 0 Government 0 Commercial ~Ni&Yt'Jif()B't!S:I;rE~INF,.ijSriilAmIQN;P~ND;\i!00Atl(;iNJ((N~ibr~:\ Job site address: 'Ii 'C.e't- C-tL.AGt~ D~ City: <)~~P\ U'LO' o<L ZIP: Subdivision: Wdll.llf-Sb~ Lot no.: 80 r~~1%~~n~~~~e~~~~v-PE:~~C,Ri~ml'O.N-~J:r~~t.v~(0J~lS0i:~l~~~~~~~~~~~~:,\~~~ l~~1;~~~~~J~~i~]P,_ROJ:~~F{11ii't~~Q,W,N-~Rt{i~rdl~1~~1g;iNi!~}i~r~t~i Name: O{:/1'J ~ Address: V{~t{ $' t.J C. City: MP~D Phone~f&"SlP - 5T1"t, E-mail: ~ c..~c>~ This installation is being made on residential or farm property owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or rent OAR 479.540(1) and 479.560(1). Signature: ~~1~~~~~c):fNm~Gm.ot~~fN~)1#~l!J,i.mIQ-~~,1l~J~~g~~:~:'M~6iW Business name: Address: City: Phone: E-mail:, CCB license no.: ZIP: Signing supervisor's license no.: Print name of signing supervisOl:; Sjgnature of signing supervisa'r: 'G\e& ~~: ,,,,'J./ \\J~ ~~U~~ ~~OV~ ~61q ~'J%Ct ~. ~~O~ .' ~ . ~\ ~\\ V\C\6 440-2584-1 (9/08/COM) ~fi';5L;~i~~7,~1~Yi!}WJWjif~~-gqr$J~CHI. i;-p.t!f~E~ifi~I~i~t~~~~~~Ji{~~f11,~ ~'.~:";~~~}:q:l?~r\::~Hb,tL~;r~.g;~~~1~(;i1f4"~~:fi;,~:l~~:ul ;~;';}~';;1 ~';;\f<Bos'f'::'ill ~t"'r~I~;~ ~~riu,W.p.,~r4g,f'..IT~.~pecho}l~R.eIlL~tE..rir(!j'L5~\~~ ,Q!y~ ~\~l~r^"'.j;!}~t?t. f#!",p'__a _.:,",1 l..,..,<'",.\"l "",l.,...,..b.r-.,,_,;(<r::'!4;j~,P;.,,_ i,,-,~,g,l;"A<~i~'io'...1;"Il!Z' '.,"'"',,.!:j.; '!:~....-J.,...!-:_f!..:,:;tl,~ ;\~co_s t)f1 Residential, per unit, service included: 1,000 sq. ft. or less (4) I $134.00 $~d' .. Each additional 500 sq. ft. or portion ~ $ 25.00 $'::J) Dl thereof Limited energy (2) $ 32.00 $ Each manufactured home or modular $ 63.00 $ dwelling service or feeder (2) Services or feeders: installation, alteration, relocation 200 amps or less (2) $ 81.00 $ 201 to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158.00 $ 601 to 1.000 amps (2) $205.00 $ Over 1,000 amps or volts (2) . . $469.00 $ Reconnect only (2) $ 63.00 $ Temporary services or feeders: installation, alteration, relocation 200 amps or less (2) \ $ 63.00 $Jo'~ . 201 to 400 amps (2) $ 87.00 $ 401 to 600 amps (2) $126.00 $ Over 600 amps or 1,000 volts, see services or fceders 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 $ 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 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 $ ~~~~~ii!nF~~~~~~~RRTIj~~'~jf~j!ts~~~~l;~m~1M~~~tliflW~~ (A) Enter subtotal of above fees $~41~ ~ (Minimum Permit Fee $58.00) ~ (B) Enter 12% surcharge (.12 x lAD $ .({.J (C) Technology Fee (5% of [AD $ ,f)~.1.). B TOTAL fees and surcharges (A through C): ~ 11'1t?1 , , .",-.,/ f" 0.'7' c/) ~ 2~ willamalane . . t\i Park and Recreation District Job. No. ~\\)-PA\ SYSTEM DEVELOPMENT CHARGE WORKSHEET July.1-December 31, 2010 t'!,A,ME: ~\\~~ \1..0.... . . PHONE:5L\ \ ~~~ (oC\~ .. ADD~ESS: ?~l\\cA S~ .. tITY~STATE~IP: Q\l5.P' . L~CATIONOF PROPOSE~~~E: . o. .. . .. ..SlreefAdd~~~tl( .... . Plat~ame\}. .. . ..' 0... o. T~LotNu~ber: \'b0'2.Cfj. \ ~~[)CJ 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the back.) . . A. SinQIe-Family Detached 0 NO.OFUNITS \ X $3,468 per unit = .. $ ~\o~,cP B~ SinQle-Family Attached o NO. OF UNITS X $3,538 per unit = $ C. Multi-Family Apartment . NO. OF UNIl:S D. . SinQle Room Occ~pancv X $2,906 per unit = . .. . -. . $ . . NO. OF UNITS X $1 ,453 per unit = .$ E. AccessorvDwellinq Unit . .. NO.OFUNITS . WIl:'LAMALANE SDC X $1,734 per unit';' $ $ '::A\t:f?;; C? $.0 $~~. ~jJj~()\D Date 2. SDC CREDIT (lfapplicable)SDC payer must furnish proof of . WillarnalaneCredtt approval.) . 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credtt) 5 www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00841 4867 GLACIER DR CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 permitcenter@ci.springfield.or.us RECEII'T NO: 2010001148 RECORD NO: 81 I-SPR20 I 0-0084 I DATE: 12/27/2010 tbES.s;.RJR:tIQNJ,~t'1t'';:'lbjit&~,!i,F:'\',j."". :,*~f'.;:".~'"J.';;,;.tgi;~c_Qu}4:t'::C:OQ~.~J~",,, t~ArIIO_UN,LDJ,IE;J..;:..;;;:<::"::: 'J Planning - Major Review - City_ 100-00000-425002 $211.00 Admin fee (10% of applicable fees) 224-00000-426605 $9.18 Gas Piping up to 4 outlets 224-00000-425604 $7.00 Flue vent for water heater or gas fireplace 224-00000-425604 $9.00 Resldentia) Fire C05 Per Sq Foot) 1 00-00000-424005 ,.____.~~~~ Strue;.!ural Buildin9. Pern:>i.!.~ee 224.00000-425602 $920.39 .~~w.2. C~ily Dw"l~ng_ wit!:'.!.~ Bath. __ ___.__.._____ _ __._ 224:~0_000-425~~~______....__,.___ __.._. _$~ -:?O_ Furnace - up to 100,000 BTU 224-00000-425604 $17.00 ---'-....--.---"-----.--.- --'-~ ----------,---.-----_._,-_._.._~-- ~~~.fo!~ppliance other tha~-'nace 224-00000-425604 __.____.__. ___29:0.9_ ~-"g_"-l:ood/other ki!chen equipment 224-00000-425604 .___~.OO Si~g!,,--duct exh~ust (bathrooms, toilet compartments, utili!~.n:!.~) 224-00000-425604 $3~ Heat pump 224-00000:425604 $17.00 First Appliance Fee 224-00000-425604 $79.00 Residence wiring 1,000 sq. ft. or less 224-00000-426102 $134.00' Each added 500 sq. ft. or.!?_,,-,!!on 224-00000-426102 $50.00 Temf'..Services 20.0 amps or less ..._____... 224-00000--:26102 $63.00 Sidewalk up though 90 Feet 201-00000-428060 $88.00 ..- -----_.- ._-_._-._----------- ..._-~--,---_._- ~':'~_ Cut!Dr~e,^,ay_ ~s!.C!!!. _._.______._____ __._______=O~~~~~~~__. _._.__ ____:.. $8890 ~':'Itipl"_.P.ermit D!~"~unt (~~x2L___ ._____.____.____ __~c:.1-09.'l.C10-4~Cl.~?. .,.. __ ____. ____. $::J.00c:. ~_DC Re~':'cs"_ment Cost :~t~r':".2_'_a_"'~_g!. ___ ____ _..,__.___.~41-O0~00-~::.80~9 _.. _ __... $415.55 SDC: Improvement Cost - Storm ~-,_aina~e __ ___._.____<< ~4~-00Cl.~.:~S.~28__.__.. _____ ... _. . .._$.75~~4 SDC: Reimbursement Cost - local Wastewater 442-00000.448024 $2,761.72 '~____M~._.___ ~____,_.._~._ ,?DC: Improvement Cost - Local Wastewater 443-00000-448025 $1,392.82 SDC: Reimbursement.. Transportation SDC 446-00000-448026 $426.92 SDC:..!..n:provement - Transportation SDC 447-00000-448027 $1,597.62.. SDC: Reimbursement Cost - MWMC Regional Wastewater SDC 444-00000-448024 . $101.97 .---.. --." - --~._._---_.- ~9,~"2Pro-:.e.':'2.ent Cost: MWMC Re~!onal Wastewater SDC_ 445-00000-446025 $1,33357 ~~_q~~plia!!.ce C~M..C. Reg.!:>~I.Was~e"::~':!:.~.__.__444-09.?00-426_60!_____ _.___~22.6_::" sD~~~9r:ninjst!ati~~~~~~- MWMCE*:~!9~~~ste:~a~r SDC ____.~6~-~O~OO-426604 _._m___~'_. ___'_m_'__. !1_~.?_O_ SDC: Total Sewer Administration Fee 719-00000-426604 $319.42 -- --~ _.-~----_..----- -----,~----"--"-------~,- --<-.. ----- - --_. --- . -...-.-. -~. -'''-' SDC:..:r?~a1.!,:~POrt~.!'.~~.A.dmi'2!stratio-"-.Fee ..__........2:'.9:~0_c:.DO~26~9':...._. ___ _______ _ ". $121.45 !!s!ln~lo_gx_~-"-J5% of e"-cn:!.~t totaL______...____ .__.___...!.90-09.Cl.0.9:~256~_______~.72__ State of Oreg~n Surcharge (12% of applicable fees) 821-00000~2..5Cl.9.-:..... !.207 ~~.:.. Address As~gnment, each new or change 224-00000-425602 $3800 .._._-- ~.'-...."- yvillamalane fees - Single family detached 821-00000-215023 $1,216.34 Willamalane fees - Single family detached 821-00000-215023 $2,251.66 TOTAL DUE: $15,251.66 I~ip A YME..NTTy!'>g-:; 7 'pAVORr.a,t CASHIER.KKAU'MAN"~c6MMENTStJ-t\_'-' 1:; ",-.:~ ;t~ '.,";TijYAiVlou NT.,P A'ID,~;,;;;'~r-:<Ji -:',~'ft "... ." _ ~____ ~.--","-~'''''*",-'..,_....",.-6.,:tt.:........_______ _.._..........___..~#.........""'. .J..tr........~=::"~il_;r~..-.0-___~.___~,.,_.-.-.,..J...=_.._.......,..;;..,,,.....~.""'"':u .:~.J . Check Hayden $13,000.00 32313 Credit Card Hayden $2,849.91 082244 $15,849.91 5[:~~N~:L~. ~... ~OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00841 4867 GLACIER DR CITY OF SPRINGFIELD 225 Fifth 81 Springfield,OR 97477 541-726-3753 permitcenter@cj,springfield.or.us RECEII'T NO: 2010000988 RECORD NO: 811,SPR2010.00841 DATE: 12/07/2010 [D. E...S.. GRII'.TI,O,N, ,"':.; "..1~.i0 ~".' ,.,,;.. ",1 Z"." '" ::" '. . f.ii"~~<".'i ",iA' "C'O'... '\:)"N' 'T" ,C" ODE ;;;'>..~.:' ~,,'AMO\:)Nt DU E ",. ',;;, .' .1, _. ....__.,..,,_..,,_~ __ ...... , _.__. ,.." "-'~"'~;.. ~~..._"._ ....' ". _.. ,'''. ".. ~-"~ .. .. ._.... "_,, ...,._,.~....."..,....,.,.k"_~;;,,,,-,-,-______-~ Same as Plan Review Submittal 224-00000-425602 $250.00 -.------ . TOTAL DUE: $250,00 !;:t'PA)"MENT;r:;),,~E,;;;tz.BA)"bR- <dC;C6S~IER;DBOYVLSB?:':_'Cj:lM.M:~:t:lli;~'.:z' - ~::d ~ ',-,,;', .AMOUNT PAID. .;'." . ----.J Credit Card 074773 hayden homes lot 80 $250.00 $250.00