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Home My WebLink AboutPermit Building 2010-12-27 SP~ltG:.I~?6iI .~ " "'~'OREGON www.ci.springfield.or.U5 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00840 IVR Number: 811166693752 225 Fifth 51 Springfield,OR 97477 Phone: 541-726-3753 Inspeelion Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 12/27/2010 ISSUED: APPLIED: 12/27/2010 12/07/2010 EXPIRES: VALUE: 06/25/2011 $140,000.00 SITE ADDRESS: 572 S 48TH ST, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051103800 PROJECT DESCRIPTION: OWNER: ADDRESS: OWNER: ADDRESS: Contractor Type Plumbing Contractor Mechanical Contractor General Contractor Electrical SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single fa!TIi1y residence. same as spr2010-00661 Phone Number: Phone Number: Lie No Lie Exp Phone 31747 05/12/2012 541-928-8942 39237 03/25/2012 541-672-9510 92208 07f29/2011 541-923-6607 C220 07fD1I2011 541-317-1998 HAYDEN ENTERPRISES INC 2622 SW GLACIER Pl STE 110 REDMOND OR 97756 HAYDEN HOMES llC I w requires you to ^TTENTION' Oregon a . . 2464 SW GLACIER Pl STE.,10 I" dopted by the Oregon Utility REDMOND OR 97756 f,~~~;~o~~,,~~:nter. Those rules are set forth i~-c 'AR 9fCON-lRA'C't.OR'iNFO." AtioN""o- /1(;);011 U IIGl.Y .....,....... I - Contraeto"'Nal))e _ .. ~ ~^nt", (Nnte: the H'icIT.ypele STUTZMAN SERVICE~'INC"- ; -" AOon Utility 1\CGBICallon PACIFIC AIR C MFOR '~C"~tAr is 1-800-332-23 .' . HAYDEN ENTERPRISES INC eGB TOP NOTCH ELECTRIC INC ELECTRICAL # of Units:. Occupancy Type Construction Type Occupancy Type Construction Type # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Springfield Building Permit o BUilDING INFORMATION I # of Stories: Height of Structure: Type of Heat: Forced Air Gas Water Type: Gas Range Typ~: Electric Hazmat: . No R-3 Type VB U Type VB 3 No Electrical Specialty Code Edition: NOTlrs'j;,ingfield Fire Code Edition: THIS PMPJ~JliS.i'S\Jehfl~PdliWe IfdJi~,\', WORK AUTHCM'J~icij),JVfb1~J'Io~Iil~~tl(;~~e~~IT IS NOT CO"M~""cn nQ Ie: ~P~~I[)()~I"n FOR IVI P-lumbing~:pecfarty'C6t1e Edition: ANY 11R~s'i'd~'l(t~I'sj,I.QQlty Code Edition: Structural Specialty Code Edition: No Palh 2A Certified performance-tested duct system 12/27/201 9:37:50AM Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq FI Carport: Sq Ft Other: Occupancy Load: 4149 1290 401 40 2008 Page 1 of6 SP~ING. FIE.. ~.D. .. 1,1_,~",' (t!!b ~~ OREGON , CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00840 IVR Number: 811166693752 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 155 ued 12/27/2010 12/27/2010 12/07/2010 225 Fifth SI Springfield,OR 97477 Phone: 541-7~6-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci,springfield,or.us EXPIRES: VALUE: 06/25/2011 $140,000.00 SITE ADDRESS: 572 S 48TH ST, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051103800 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Single family residence - same as 5pr2010~00661 Site Information Engineered Fill: No Fill Volume: Flood Hazard Area: .No Land Hazard Area: No Retaining Wall: No Soils Report Required: No ~ Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: DEVELOPMENT INFORMATION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: 14 5 5 14.97 o 2 Yes 40.29 Highest point on structure to north property line: 18.5 ~ PUBLIC IMPROVEMENTS Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Valuation Description Descrietion Bid Tvee of Construction NA Unit ~mount Unit Tvoe 140,000.00 Bid Springfield Building Permit 12/27/201 9:37:50AM REQUIRED PARKING Total: 2 Handicapped: Compact: Sidewalk Type: Downspout/Drains: ~ Unit Cost 1.00 Value 140,000.00 140,000.00 Page 2 of6 ^:.v..... S~~...~..N G..;"E.L.~ ~pr~~ '1E,0 .~~.JI' i~v.;".. . OREGON . " 225 Fifth St Springfield,OR 97477 Phone: 541-726.3753 Inspection Phone: 541.726.3769 Fax: 541-726-3676 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00840 IVR Number: 811166693752 permitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 12/27/2010 ISSUED: APPLIED: 12/27/2010 12/07/2010 EXPIRES: VALUE: 06/25/2011 $140,000.00 SITE ADDRESS: 572 S 48TH ST, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051103800 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family residence. same as spr2010.00661 FEES PAID ~ Descriotion Amount Paid Date Paid Reciot # Structural Building Permit Fee $871.55 12/27/2010 2010001153 Add';;;A;;ig;;;;;;,:;t,;;ach new or c'h-;'~g;;' .-h._.__. - -$38-:06 "'---'-~-12i27i2(i1o-' - .-'-" -201000115"3 Willamalane fees. Si;;9iafa,;:;;jydai:;;,hed--.------- $~468.06---"- 12/27/2010- - -. ---- 2610001'1'53 Ci;:'-;'or Two ~milyDwelling ';Uh Two Bath - $374.Q'()""--'---'12/27i2~-- --. - - 201'0001153 F~rn;ce~:',;pi;;iO~BTli,~.:.====_ $17:00------1272712010--- --"--,.i9~00011-5~, Range hood/other kitchen equipment $13.00 12/27/2010 _, 2010001153 Flue vent for water heater or gas fireplace $9.00 12/27/2010 2010001153 Single-duct exhaust (bathrooms, toilet compartments, utili $27.00 12/27/2010 2010001153 First Appliance Fee $79.00 12/27/2010 .....?010001153 Gas Piping up to 4 outlets $7.00 12/27/2010 2010001153 Residence wiring 1,000 sq. ft. or less $134.00 12/27/2010 2010001153 Each added 500 sq. ft. or portion $50.00 12/27/2010 2010001153 Temp services 200 amps or less $63.00 12/27/2010 2010001153 ~<J.':"i~fee l1 0% a! applicable fees) $8.66 12/27/201.0._ _____. 2010001 ~53 Residential Fire (.05 Per Sq Foot) $86.55 12/27/~CJ.10______~O'1~~1.2.5~ State of Oregon Surcharge (12% of applicable fees) $197.35 12/27120.10....,______ ~1Do.o.j~53 Technology fee (5% of permit total) $84.13 12/2712010 201000115~ Sidewalk up though 90 Feet $88.00 12/27/2010 2010001153 SDC: Total Tran'sportation Administration Fee $122.53 12/27/2010 2010001153 Curb Cut/Driveway 1st Cut $88.00 12/27/2010 2010001153 Multiple Permit Discount (Max.2L_ $-30.00 12/27/2010 2010001153 SDC: Reimbursement Cost - Storm Drainage $397.04 12/27/2010 2010001153 SDC: Improvement Cost - Storm Drainage $720.93 12/27/2010 2010001153 SDC: Reimbursement Cost - Local Wastewater $2,549.28 12/27/2010 2010001153' SDC: Improvement Cost - Local Wastewater $1,285.68 12127/2010 2010001153 SDC: Reimbursement - Transportation SDC $426.92 12/27/2010 2010001153 SDC: Improvement - Transportation SDC $1,597.62 12127/2010 2010001153 SDc:R;;;;;;t,u'rsement Cost - MWMC Regional Wastewat~----$i01.\i7- 12/27/2010 "..-- 2010001153 ~DC: Improvement Cost - MWMC Regional Wastewater ~ .-$i~:l33-:-57--..:__=__==___12/27/201 0 2cii'oo01i5'3 SDC: Comp~ance Cost - MWMC Regio.n..1 Wastewater SI $22.63 12/27/2010 201000115~ SDC: Administrative Fee - MWMC Regional Wastewater: $10.00 12/27/2010 2010001153 SDC: Total Sewer Administration Fee $299.75 12/27/2010 2010001153 Tec.l;nology fee (5% of f).rmit total) $7.30 . 12/27/2010 . 2010001153 Planning. Major Review - City $211.00 -- --;212712010'--.------,- 2010001153 Same as Plan Review Submittal $250.00 12/07/2010 2010000989 Total Amount Paid $15,009.46 Springfield Building Permit 12/27/201 9:37:50AM Page 3 of 6 5P~IN G...FIE~ .:-.. . ,k ~I!J; "~ OREGON CITY OF SPRINGFIELD Building {'Residential Permit PERMIT NO: 811-SPR2010-00840 IVR Number: 811166693752 www.ci.springfield.or.us 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: 06/25/2011 $140,000.00 SITE ADDRESS: 572 S 48TH ST, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051103800 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Single family residence - same as spr2010.00661 Plan Review I Planning Review 12/10/2010 12/10/2010 12/14/2010 Add'l info required Deyette Kelly Comments: Plot plan does not show required 3' walkway or extended porch. Left a message for Eric 12/14. On hold until revised plot plan received. rP,lan,ning:~e'iiew-'"-:~,, ,,}1j2/1072010>12/1,O/2010; ~,f2/15/2010"~" ';:ppt6ved --;,~",'_', ,< ,'.DeyetteKelly"7.'~,:'/>', :d'.. ..,.....:. "_ ", ,', ....^..:'."'...:,..._.,:.." ,..,...-:'...,.y'''''..;..:t,.'"",....J... .....- '. ~._.<'..,>'-~ "'~"'L','/~,"",,'~'f-:";_~ ,,'C,,_.... ,'.' i: >Co~,m_ent~:. ::~F~qnt_'~~~~ti\9Q~:,aref.~ite'_,sp~cjfi~.and 'coQt~in RE9YI~~Q,:~esign, .elem_~~ts;, If.1s~~c.to~s:wiHfj_eld~~_ec~;,tryat a~tual . ~:,". "I.: ", ' el~va~ions'l1)a!~hsu9~!te9desjgns ?~ sbowl'} ~rht~e,~~pprqv.ed >s~t 9f_pl~ns")nspec+tor wi~1 vex!fypl.a,fem~ntat tIme of, ~ ~::::i ,'" r-,).:,footingiinsReCtion~~~.':"'~..:..l,:::~~.:.lL' ':t~';-~ :':, ," ,J . ;. .". /'. -:' ~~c-,B-~-_<....~;_-:.",;"~"~'~:~,",__:_~" "" ','___ . _. Structural Review 12/10/2010 12/10/2010 12/20/2010 Approved Chris Carpenter Comments: As noted on plans [p,U~,UG.~O~_K~, ReVie\y':j/.;~:~',^\1J2110!~QtO ~';t:ik2/16!~qjP"~ .~ 12/2012'61O=--~-ITr~ve~:" .; ~~~~~~~e~ls:, .,~tormwa"t~rioJ~pJ:~~~~iy~~t0.1J:)~~f~2p~0 -, "- .. -'!~::'. "~"1",. ~, Permit Issuance 12/20/2010 12/20/2010 12/27/2010 Issued DeDartment Initial Review Received 12/10/2010 Comoleted 12/10/2010 Result Approved Due Date 12/10/2010 Reviewer David Bowlsby ;'h:-', . ~ :~~.-,- :-"""1 " ' ,~: ___:-~',:.i ..' ,~-N"""-Kaye WliSo;;;".-~--:-,~ -:~'--'-"-~--.--1 ., '. "~" . I . ", ." . . , .. ~ >. .' . - , , , Kip Kaufman Springfield Building Permit 12/27/201 9:37:50AM Page 4 of6 SP~I.N GFIEL?ij. ~...h..-' ....~.. @!! +'~y, .OREGON www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00840 IVR Number: 811166693752 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pe rmitcenler@ci.springfield,or,us PROJECT STATUS: STATUS DATE: Issued 12/27/2010 ISSUED: APPLIED: 12/27/2010 12/07/2010 EXPIRES: VALUE: 06/25/2011 $140,000.00 SITE ADDRESS: 572 S 48TH ST, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051103800 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Single family residence - same as spr201 O~00661 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 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 Intenor Shearwall Ceiling Insulation: Prior to cover. Shear Wall Nailing: 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 notaHached to an appliance. Gas Service: After line is inst!3l1ed 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 Underfloor Gas 2260 Gas Service 2300 Rough Mechanical 2995 Final Gas 2999 Final Mechanical 3130 Footing/Foundation Drains Springfield Building Permit 12/27/201 9:37:50AM Page 5 of6 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00840 IVR Number: 811166693752 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 ISSUED: APPLIED: 12/27/2010 12/07/2010 EXPIRES: VALUE: 06/25/2011 $140,000.00 12/27/2010 SITE ADDRESS: 572 S 48TH ST, SPRINGFIELD, OR 97477 ASSES OR'S PARCEL NO: 1802051103800 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Single family residence. same as spr2010-00661 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 Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. 4500 Rough Electrical 4999 Final Electrical Rough Elec.tric: 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. t7? /(-(-:f-\'V Owner or Contractor Signature Date Springfield Building Permit 12/27/201 9:37:50AM Page 6 of6 >A\M~ " S L( 8' $\.( G-L..t('I~,- 5(o.~b( DE:~'/',f";:~T~/!r::.!\!'j USE Ci'-il_ Perllld .~\PiJliCtltiOll , ~~~~~~~~~~~~5Z~:~~~~lrtl L~~\L~~~!-'tf~~),};~~~~'<!~~~ --------- 5/b - 0 C:\-8tt 6-- Ptnr'ii i-IL:" ''it ru( =1:' FifJ"l Slicel t Spr:;1~\ltid.OR.9f-.;-:i I PH()~!17?6.:?)3 t F,,:,~\<(~,'l\!2t--:,,,SS "<="'0 ~y: i Dele I "L-q -/0 This permi! is issued unuer OAR 918-:.160-0030. Permits e:\'pirc if\\'ol'f.,: 15 rlll( slJrled \\iihin ] SO Oi1:'5 of iSSU,lllce or if work is suspended for 1 SO dJvs. LOCAL GOVERNMENT APPROV,\L I I !OalE" '! This proicli h3S 11f131 lanG-use approval. l Sign31ur-e: \ This project h35 DEQ ~ppro\'31. ; Slgnalure: . \ ZOl,ing 3ppie,\'31 verified I F-;ro'ptrry ~s "" i:~~::. nc,cd plain: " ' Dale-: 01'0 DYes DYes ~" U !"lO I, " ' " CATEGORY OF"CONSTRUCTiON : 0 Residtlll\81 0 COiT,rr,~ici3\ L6cATION .. JOB Job siie address' !Ii 1~, .:' r I ~-2.2L0~\ i r IC1 . I Subdivision: t,lJes'f-l>.?lI'"t::6 Reference i.. 0;>11 PROPERTY OWNER Name: jf~\dr?1"i f..!ovY\P I Address dyG ..r'W hit!. '---( Cit),: Rc-c' .-l.oncA Stale: OQ 970/79: o ZIP'1'77cG F1-,one: )'-fl - ~ - r-;'c; '\:> I 1 Fax: [-mail" This :IIISl31lation is being made On residential or farm property owned by me or 3 member orrny immediate family, and is exempt from licensing require~enls_ under ?Rj)Ol.O 1 O. Sign here: f Z . CONTRAqOR lN~1k LATION' Bu,mcss namee p Addr~ss: ;1J((:1?-( 5~ I Ci rye Rc r?cmc-I, Phone' 5'11 " E-mail: CCB license. no . 0 /./0, /,;/~rC r State', dK_ Print nam/'; Signalure: SU B,CONTR';:CI.qR i NFO:i~~'AT@N'" N,Jme Phone Nurnber E:lectric::d Plumbing Mech2nic21 J I , FEE SCHEDULE 1. VJlujiion injormation , I I I I i I (8) Job desc,ipliorl: Occupancy J:A.... t C(ln;-.\ltlcliGi: :;!~,::, Square leel: eC'SI rer square fOCl!: Cihti info,mation: Type ,.:of HI'3!: -..0, < Energy P:Hh: ,JPl Cil new 0 aheration (b) Foundation-only permit? Tot:!1 v,llufltion: 2B~ud!~grees o addition DYes DNo (b) in\;tstigative fe-.f; (equal to pa)): (c) ReinspeCllon ($ per hour): (number cfhours x fee per her!.!!') (d) Enter 12% surcharge (. \2 x [2,172b+2c1): (e) Subtot:ll of fees above (2a lhrough 2d): (3) Plan review (65% x permit fee [2a)): (b) Fiit and life safely (40% x permit fee [2a]): :}; (c) Subla!.,l of fees ::ibove (3:1 and 3b): $ .'qa;~" {a) Seismic fee, 1 % (.0 1 :< permit fee [2a]): 5; TOTAL fees ::ilHI surchuges (2e+3(:+4~): $ ."."" Electrical Permit Application 225 Fifth Street. Springfield, OR 97477+PH(541)726-375HFAX(541)726-3689 '1i~~'";"~,<~,.j, 'P;<I""'"'l<'~">..':"~~':::-~~,jJl::!l"'~~'>:m'!~J~~<<' ,\~kM;DE~ARTMEN'f~l'JSE,0NilY;: ,I, ~:):,,;fc ".[ ",' 'Jl-;~"'~;""'''1i",,,,~,<,,''''''\''",r'''',''''~''';.,,,,,,',:'.:<:' ~ .. .. ""'...._ ....."...~."'L..,.,.... '"',""'..,"";,; .(~"1;'~ Pennit no.:(./1> - ~ This permit is issued under OAR 918-309-0000, Permits arc nontransferable, Permits expire if worl\ is not started within 180 days of issuance or if work is suspended for 180 days. ~~~f~Ji~1~~~~~{~EROeE-Rmj(1iQwNER~~f:~ft2i~~1~li~f.~'h\~\:~'~~ Name: t:.""'" 1~C1 Address:;?'Jtp y Sv" 4- to ~ e")-- City: E;1:>..-....() State:O"""Y'-- ZIP: "'If? Phone: Fax: E-mail:G~Nb~!e-,)~8l ~Y('i~ -~,....t:";. 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 479.5~). Signature: . 7 ( . t~~~'%'!lrL~.~~h\'liiG0NIiI!RA'G;o;-0'R-"INSmA:i;'!I'A'mI0N~~,,~~~ii~N,,~.'(,,~;"'! ""..._"_,,,,,"'''lO!''~.ffi'',,- A ' ".'" .JI:. _ .';IJ .'. _... L::L::."., .,...n .i\Cl\~.".!l,~.. ,_~. ."''''_'' Business name: r /f/dT c.. ,. '$'11 07'..-v ~ r ~ ZIP: City: Phon E-mail:. CCB license no.: Signing supervisor's license no.: , ~rint name of signing supervisor: \nature of signing supervisor: \ \j;}V~~ \~~ ..~~ 18/COM) j ~J!;'it~~:;.~1i~~~~!fI.F"I;Ejf.~~"'r::[j_(!jI!!E:!~~~~~;i;-~![f}~: ~~_i::f;~;tlif~~I17t#.h!5*f~J~!~~1n-%!'?i}r.ij~~gl 'Q~.~ !7;\feost'H~ fitOial~_~: ~ _ urn c_r;tO .~mspec IOns'p'er-'Jtem.I(~\); j~,. .: ty;, i-'t"' .<o--o_} /-: - .""h_. - - ' ~ (,:.'!3jt'/;~t:'...,,;,.{';f:./ii.t'I!:~~~g;;:i~;!"tI1(;;j'ri.II"ii:.~\hb~ :.''''''.:,...'l.( ~~a:j~~ it:.).~9.~nrii Residential, per unit, service included: 1,000 sq. ft. or less (4) i $134.00 $/,3"I Each additional 500 sq. ft. or portion 2- $ 25.00 $SZ) thereof Limited energy (2) $ 32.00 $ Each manufactured home or modular $ $ dwelling service or feeder (2) 63.00 Services or feeders: installation, alteration, relocation 200 amps or less (2) $ 81.00 $ 20 I 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) J $ 63.00 $C:,7 201 to 400 amps (2) $ 87.00 $ 40 I to 600 amR' (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 ofa service or feeder fee: First branch circuit (2) $ 55.00 $ Each additional branch circuit $ 6.00 $ Miscellaneous fees: service or feed~r 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: (I) $58.00 $ ~~~~~1Ik~-i~j~r)x:~ffl]i~~N[~~8sErtt~~~t~_~~i!f&~m (A) Enter subtotal of above fees $21.(? (Minimum Permit Fee $58.00) (B) Enter 12% surcharge (.12 x [A]) $J'T~ (C) Technology Fec (5% of [A]) $ /2 t! TOTAL fees and surcharges (A through C): ~ 2"6 willamalane t~ Park and Recreation District Job. No. .5/6 - Ho SYSTEM DEVELOPMENT CHARGE WORKSHEET July1-December 31,2010 NAME: }/AYj)~-/y PHONE: '2Z~ Co7JS- ADDRESs,;.?V/W SiAl 7~<=-,e.ctITY ~/)Pttv'P STATE:~IP: '117~ LOCATION OF PROPOSED BUILDING SITE: Street Address: )'?j2.S. ~3"~ 5'. Plat Name:f~l/'JE7r;.J1","J" Tax Lot Number: /fOZttJt"IIt?l((d:JGI 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the back.) A. SinQle-Familv Detached NO. OF UNITS f X $3,468 per unit = , $ J 'f (P5 B. SinQle-Familv Attached NO. OF UNITS X $3,538 per unit = $ C. Multi-Familv Apartment NO. OF UNITS X $2,906 per unit = $ D. SinQle Room Occupancy NO. OF UNITS X $1,453 per unit = .$ E. Accessorv DwellinQ Unit NO. OF UNITS X $1,734 per unit = $ $ WILLAMALANE SDC 2. SDC CREDIT (If applicable) SDC payer must furnish proof of Willamalane Credit approva!.) $ J' 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC duced for Credit) \. $ 7L(C,~ Develo nt Servi es Dep City of Springfield ~&:1$lO Date . 5 SP.~~N.G..._F.I.EL.~. . ~'lI., 2'0"..,. .MI.. ~,"~:'.. ~\.~ .. ~t.'... ~'OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00840 572 S 48TH ST CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726-3753 ~ perrnilcenter@ci,springfield.or.us RECEIPT NO: 2010001153 RECORD NO: 81 I-SPR2010-00840 DATE: 12/27/2010 tfOESCRIP;J;ION-'_"z'I.::..,:":' '3.3',"''':' ",.1,., ,,',,'."!-,./, ,J, 'A'CC'O U' N'T'.C"O'O E'/:;'" ,f'''--'>A.M.O.U'.N. .T,O'.U' _E" "h.o'".,,, I ._ ___,~_ .",._....'"'w.....__~~~,._.~._"""'_~~,_:.-,~..._~_ .. .._.__,_~~-~', + ~ " .. ,_ ,'. _.... C".;..M._ c _ ... ,__ ......__..n ... e:..:.:..:..J ~trucluca!.~':'i:din~:'!mit ~___ ___ ~3~~.OOO_~0:425602 ,_~~7.2.5S. Address Assignment, each new or change 224-00000-425602 $36.00 _._- ----_._-~-_.__._---_.~-- ----------,-_..._--_...._-_._--~--_.._--~-_. -- Willamalane fees - Single family det~ched ______._~~1:9~~CJ.J)-2~~3___________ _$~,~660~. One or Two FamilLOwelling with Two Bath 224-00000-425603 $374.00 Furnace - up to 100,~00 BTU__ 224-00000-425604 $17.00 Range hood/other kitchen equipment 224-00000-425604 $13.00 Flue vent for water heater or gas fireplace _:1.2~.:.9_~q92:~~~604 $9.00 Single-duct exhaust (bathrooms, toilet compartments, utility rooms) 224-00900-425604 $27.00 First Appliance Fee 224-00000-425604 $79.00 ~~_~,Piping up to 4 outlets 224-00000-425604. $7.00 .B~sidence_ wirin9.1.qilO s9. ft. or less 224-00CJ.J)0-4~~102 $134.00 _Eac~~d~50Q.s"9.!.L9r.:Eortion __~ _____._ __~24-00200-42~.:..0_2 $50CJ.J)_ Temp services 200 amps Dr less 224-00000-426102 $63.00 _w"^"_._.~___. "_..w~_____.___" ____.,._.r._~._---.--___..~ ._...____...,,__. Admin fee (10~/~_01-"EEI!9able fees) ___224-0.00.00-426605 ___$~.:2,6", Residential Fire (.05 Per Sq Foot) 100-00.0.0.0-424005 $66.55 ~ate of Oregon Surcharge (12% of applicable fees) 621-00000-215004 $197.35 Technology fee (5% of permit total) 100-00000-425605 $6413 Sidewalk up though 90 Feet 201-00000-426060 $86.00 SDC: Total Transportation Administration Fee 719-00000-426604 $122.53 Curb Cut/Drivew~y.l~t Cut 201-00000-426060 $86.00 Mul!~ple Perm!!.Discount (Max 2) 201-00000-428060 $-30.00 SDC: Reimbursement Cost.: Storm Drainage 441-00000-446029 . $397.04 SOC: Improvem~"-t...Sost - Storm Drainage 440-00000-446026 _$729.~2. SOC: Reimbursement Cost - Local Wastewater 442-000.0.0-446024 $2,549.26 ---,-- SOC: Improvement Cost_:~.ocal Wastewater._,_443:02000-446025_ _____ ,__....Y_1,2~.:'.66_ SDC: Reimbursement - Transportation SOC 446-0o.Oo.O-4~~,026 $426.92 SOC: Improve'!'ent - Transportation SDC 447-0.0000-448027 $1,597.62 SOC: Reimbursement Cost - MWMC Regional Wastewater SOC 4~4-0_0~CJ.J):44.a02:: _._.___~~.97. SDC: Improvement Cost - MWMC Regional Wastewater SOC; 445-00000-446025 $1,333.57 SDC: Complian,ce_c.ost,:MWMC Regi~r:>,,-I Wastewater SOC 444-00000-426607 $22.63 SDC: Administrative Fee.- MWMC Regional Wastewater SDC 611-00000-426604 $10.00 SOC: Total Sewer Administration Fee 719-0000.0-426604 $299.75 Technolo9Y fee (5% of permit total) 100.-000.0.0-425605 ".__,~___,__,__ $7.30 Planning - Major Review - Ci!y 1 00-00000-425002 _~______. _ $211.00 TOTAL OUE: $14,759.46 t-- pAYMENT Ty.:p.E;:.' -p A~()R'z~'CASHIERK@.':~AN-a"'j::_6I111MEN;(S~;';;;-'; . "".' _,;, ~'::; iA.IIIIPJJ}F.:fAJ[):..__;"-:__. ::: Check 32313 Hayden 32313 $14,759.46 $14,759.46 S!:~~~.FIE~ Dt~ ~m OREGON www,cLspringfield.or,U5 TRANSACTION RECEIPT 811-SPR2010-00840 57P.- S 48TH p!jL 'S"- CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726-3753 permilcenter@ci.springfield.or,us RECEIPT NO: 20 I 0000989 RECORD NO: 8 I I -SPR20 I 0-00840 DATE: 12/07/2010 Li2gSCRIPTIQNC:.-'" ~,,"5~~r"-:;":h4f. ~t:.:.421y.:-;;. '.' ".::;J,:,,,,:.:.J.'::-_ ,6.CS:.QUN:f2.c..OOE: _,c-:'.,.._ i-.:jfM9:0.Nf~QLl.i:--' _".' -_ Same as Plan Review Submittal 224-00000-425602 $250.00 TOTAL DUE: $250.00 kF?AYMENTTYPE:', '-PAYOR-:,,':C~SHIE~::DB~JfMMltcl.J.s'.:7"::_'::::.:,~~"-. . '5. . ;-AMOUNTI:8ID :i::. "1 ~,~ ',I Credit Card 074773 hayden homes lot 7 $250.00 $250.00 \ \ \ , \