HomeMy WebLinkAboutPermit Building 2011-1-20
www.ci.springlield.or.us
PROJECT STATUS:
STATUS DATE:
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00087
IVR Number: 811151867116
Issued
0112012011
ISSUED:
APPLIED:
0112012011
0111912011
225 Fifth St
Springfleld,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitc::enter@ci,springfield.or.us
EXPIRES:
VALUE:
0711912011
$171,940.00
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
Single family residence - SAME AS COM2010-01027 4142 Stellar
SITE ADDRESS: 4108 STELLAR WAY, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1802061419100
PROJECT DESCRIPTION:
Phone Number:
OWNER:
ADDRESS:
BRUCE WIECHERT CUSTOM HOMES INC
3073 SKYVIEW LN
EUGENE OR 97405
Contractor Type
General Contractor
Electrical Contractor
Mechanical Contractor
Plumbing Contractor
CONTRACTOR INFORMATION
Contractor Name
BRUCE WIECHERT CUSTOM HOMES INC
L & E ELECTRIC INC
COMFORT FLOW HEATING CO
STEVEN R JOHNSON
Lie Type
CCB
CCB
CCB
CCB
# of Units:
Occupancy Type
Construction Type
Occupancy Type
Construction Type
# of Bedrooms:
Sprinkled Building:
Fire Alarms;
Energy Path:
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other:
Occupancy Load:
Electrical Specialty Code Edition: 2008
Springfield Fire Code Edition:
BUILDING INFORMATION
R-3
Type VB
U
Type VB
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
Gas
Gas
No
I
Lic No Lic Exp Phone
101717 09/16/2012 541-686-9458
105475 03/30/2012 541-933-2598
460 06/27/2011 541-726-0100
65065 03/12/2012 541-342-3765
,
7147
1600
451
o
2008
2008
1
22
Forced Air Gas
3
No
No
Path 1A Gas-fired
furnace.with min.
AFUE of 90%
Mechanical Specialty Code Edition:
Municipal I Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Str!Jctural Specialty Code Edition:
Site Information
Engineered Fill: No .
Fill volumeATTENT10N: Oregon law requires youto
Flood Haz{lr(jQliIll>IUleS adf;mted by the Oregon UtflhIyh
L d H '''''''''''Il!'\On Centor. Those rules are set ort
an az",uU\,,, NO hOAR 952-001-
RetainingiWlil~R 952-001,Q91 0 throug
Soils Repefl9a.qlJ'Jil9lI\1'lay Fl~tain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Springfield Building Permit
~
NOTICE: ..' ~:"i'';;\~i;:ii;;;",':~''
THIS PERMIT SHALL EXPIRE IF THE WORK .:.
AUTHORIZED UNDER THIS PERMIT IS NOT i':
COMMENCED OR IS ABANDONED FOR ,;;,.;;.'
ANY 180 DAY PERIOD. ., . -" .,~..\
.. .' Page 1 of6
1f20/2011 9:50:21AM
www.c;.springfield.or.us
PROJECT STATUS:
STATUS DATE:
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811.SPR2011-00087
IVR Number: 811151867116
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci.springfield.or.us
Issued
ISSUED:
APPLIED:
EXPIRES:
VALUE:
07/19/2011
$171,940.00
01/20/2011
01/20/2011
01/19/2011
SITE ADDRESS: 4108 STELLAR WAY, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1802061419100
PROJECT DESCRIPTION:
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
Single family residence - SAME AS COM2010-01027 4142 Stellar
Frontyard Setback: 18
Interior Setback: 10
Sideyard Setback: 25
Rearyard Setback: 18
Solar Setback: 7.5
DEVELOPMENT INFORMA TION ~
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure
to north property line:
. REQUIRED PARKING
Tptal: 2
Handicapped:
Compact:
4
Yes
27.98
22
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Descriction
Bid
Springfield Building Permit
PUBLIC IMPROVEMENTS
I
Sidewalk Type:
Downspout/Drains:
I
Valuation Description
Tvoe of Construction
NA
Unit Cost
1.00
Unit Amount Unit Tvoe
171,940.00 Bid
Value
171,940.00
171,940.00
1/20/2011 9:50:21AM
Page 2 of6
www.ci.springfield.or.us
"
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00087
IVR Number: 811151867116
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
perm itcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
01/20/2011
ISSUED:
APPLIED:
01/20/2011
01/19/2011
EXPIRES:
VALUE:
07/19/2011
$171,940.00
SITE ADDRESS: 4108 STELLAR WAY, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1802061419100
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
Single family residence - SAME AS COM2010.01027 4142 Stellar
PROJECT DESCRIPTION:
FEES PAID
~
Descriotion Amount Paid Date Paid Recio! #
Same as Plan Review Submittal $250.00 01/19/2011 2011000116
One or Two Family Dwelling with Two Bath $374.00 01/20/2011 2011000130
Furnace - up to 100,000 BTU $17.00 01/20/2011 2011000130
Range hood/other kitchen equipment $13.00 01/20/2011 2011000130
Flue vent for water heater or gas fireplace _ _ ______$9.~0 01/20/2011 2011000130
~ingle-d~-"haust (bathrooms, toilet compartments,.utili. ____~~:OO 01/20/2011 2011000130
Heat pump $17.00 01/20/2011 2011000130
~I~st ApP!~~~ Fee ~_-=====::-~___..--==-=-= $7900-=----==_~/.2i;20!T_:::-~=_. 2-011001!.2..3?
$134.00 01/20/2011 2011000130
... .-..-..,,---- --~ --.-.- ----+~.._.._.. _....~,,_..__.--_.....__...__.. -. --
$75.00 01/20/2011 2011000130
$6300 .--61i26i2iiiT----- '"201100'0130
$3,293.00 01/20/2011 2011000130
'''''$617.40--- 01/20/2011 2011000130"
$989.85 01/20/2011 2011000130
$497.07 01/20/2011 2011000130
$1,811.51 01/20/2011 2011000130
$101.97 01/20/2011 2011000130
$1,333.57 01/20/2011 2011000130
~.."."--"._.-~
$22.63 01/20/2011 2011000130
...----.-----".---..--.--
SDC: Administrative Fee - MWMC Regional Wastewater: $10.00 01/20/2011 . 2011000130
SDC: ToTalS;;-~~;Admi~isir;ji;;-n--Fe; - ----- - -$2949-1.....-------01/20/201"1 -..- ----2:011 000130
-..-.-....,...-.....-. ""~.....~.._.~."... ._".-,,-------- -_.- ."_._..._.._..~......_..,,' +'-'."--"---'.'-' ,,---- -- .-.
~ Tot~I.I~n!J.'':'rt.a!i.~~d..mir1istrationF:.e_~.. $138.94 01/20/2011 2011000130
Sidewalk up th,:,ujJh 90 Feet $8iioc)---.------ci1l2o/2011 ---._- --2:011000130'
~_urb CutlDnlleway _1 st Cut -'$BB:OiJ------- 01/20/2011 '-2611000130
Multiple Permit Discount (Max 2) $-30.00 '0172072011 "--''201i00ii13iJ
- .-
Gas Piping up to 4 outlets $7.00 01/20/2011 2011000130
State of Oregon Surcharge (1}% of applicable fees) $219.09 01/20/2011 _____:z.0.2..~~
Technology fee (5% of permit total) $100.49 01/20/2011 2011000130
Willamalane fees - Single family detached .._____. $3,409.00 01/20/2011 2011000130
Address Assignment. each new or change $38.00 01/20/2011 2011000130
Structural Building Permit Fee $1,001.79 01/20/2011 2011000130
Residential Fire (05 Per Sq ~~~L--=_~=-~=-~~==__ --=_ $10255 --=-=~120f~22 = =.-~=~ =-2011~~"fi2
Admin fee (10% of applicable fees) $10.26 01/20/2011 2011000130
Plan-;;;-r1g:-M~j-;'~'R';;;;-;':'-:-'ci;y - ..-..-. -. .-.....-- -"-'.--'-$211.00' .---------0'-/20/2011. ----- 201'1000130
- -'-'1-- TolalAmountPaid $15,423.03 .-.-..---..-qoo---- - . ..--
I
I
~e::.I"~..:.~.9_~~_i!ing 1.:..~OO sg~.~r les~~_.
Each added 500 sq. ft. or portion
Temp services 200 amps or less
SDC: Reimbursement Cost - Local Wastewater
SDC: Improvement Cost ~ Local Wastewater
SDC: Improvement Cost - Local Wastewater
SDC: Reimbursement - Transportation sac
SDC: Improvement - Transportation SDC
SDC: Reimbursement Cost - MWMC Regional WastewatE
SDC: Improvement Cost .~.~W~.~_ Re9ion~ Was~ater ~__
SDC: C:omgJjan~~ ~ost - MVYMC ~:,gional Waste.~.~~~__""__
Springfield Building Permit
1/20/2011 9:50:21AM
Page 3 af6
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00087
IVR Number: 811151867116
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
01/20/2011
ISSUED:
APPLIED:
01/20/2011
01/19/2011
EXPIRES:
VALUE:
07/19/2011
$171,940.00
SITE ADDRESS: 4108 STELLAR WAY, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1802061419100
PROJECT DESCRIPTION:
SCOPE: 'Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
Single family residence - SAME AS COM2010-01027 4142 Stellar
Plan Review
~
Deoartment
Initial Review
Received Due Date
01/19/2011 01/19/2011
Comoleted
01/19/2011
Result
Approved
Reviewer
Chris Carpenter
Public Works Review
01/19/2011
Approved
Kaye Wilson
01/19/2011 01/19/2011
Comments: Storm water to curb
Approved
Structural Review 01/19/2011 0111912011 01/19/2011
Comments: See attached letter
Chris Carpenter
Springfield Building Permit
1/20/2011 9:50:21AM
Page 4 of6
SPRINGFIElD <
~<'<
p~ ~
:<J";~'OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00087
IVR Number: 811151867116
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
www.ci.springfield.or.us
permitcenler@ci.springfield,or.us
PROJECT STATUS:
STATUS DATE:
Issued
01/20/2011
ISSUED:
APPLIED:
01/20/2011
01/19/2011
EXPIRES:
VALUE:
07/19/2011
$171,940.00
PROJECT DESCRIPTION:
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
Single family residence - SAME AS COM2010-01027 4142 Stellar
SITE ADDRESS: 4108 STELLAR WAY, Springfield, OR 97477
ASSES OR'S PARCEL NO: 1802061419100
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 aU 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 ShealWall
1540 Gypsum Board/LathlDrywall
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 iscomplete.
Underfloor'Mechanical. Prior to insulation or decking and including required testing.
1999 Final Building
2200 Underfloor Mechanical
2210 Underlloor Gas
2260 Gas Service
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.
2300 Rough Mechanical
2995 Finai Gas
2999 Final Mechanical
Final Mechanical: When all mechanical work is complete.
3130 Footing/Foundation Drains
Springfield Building Permit
1/20/2011 9:50:21AM
Page5of6
www.cLspringfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00087
IVR Number: 811151867116
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:
01/20/2011
01/19/2011
EXPIRES:
VALUE:
07/19/2011
$171,940.00
01/20/2011
PROJECT DESCRIPTION:
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
Single family residence - SAME AS COM2010-01027 4142 Stellar
SITE ADDRESS: 4108 STELLAR WAY, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1802061419100
3170 Underfloor Plumbing
Underfloor Plumbing: Prior to insulation or decking.
Sanitary Sewer Line: Prior to filling trench and including required testing.
3200 Sanitary Sewer
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 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
constrC1t w~
---
/-2,0 ....} I
Owner or Contractor Signature
Date
Springfield Building Permit
1/20/2011 9:50:21AM
Page 6 of6
(/0-01027
y{\.{~ S~L;{l..
._~.......
L1. . .
~..:
CITY OF SPRINGFIELD, OREGON
Structural Permit ApplicatioD_
225 Fifth Street. Springfield, OR 97477. PH(541)726.3753. FAX(541)726-3689
DEPARTMENT'USEoiliii" i
. '", ,,'- ~ "" ,.;. ".' ,.;:. ""'\\'''''';'''::'-';'. ". '.'.', ';:)~:~'>.~.
~~~(-OOO 87
Date:
This permit is issued under OAR 918-460-0030. Permits expire iC work is not started within 180 days of issuance or if work is
suspended Cor 180 days.
t;'lt8iiil#!~ '..
(a) lob description:
Occupancy
Construction type:
..'
Square feet:
Co,t per square foot:
Other inCannation:
Type or Heat:
Energy Patb: ,
ew D alleration D addition
(b) FoundadonoOnly pennit? DYes.....B1<lO
Total valuation:
,'. 2. BuiJdi~ilfe~t;~,'Ai"'m'!' i .
(a) Pennit fee (use valuation table):
(b) Investigative fee (equal to [2a)):
(c) Reinspection ($ per hour):' $
(number of hours x fee per hour)
Date:
Date:
Dyes
DNo
""'"
Subdivision: ;
Reference: OL I Taxlot: /
\~\t;a;ii'>I::i;:%'!i'i!iPRQP'~RTI;;Q" N~ijii.
Narne:(1( i<.tJ: c.J....t Cv',kl... ~",.~ :tNc.
Address:3o'73 5(, .;~W l-N
Ciiy: f' "', e.u.- State" I'- ZIP:'PY 05'
Phone: -hU.- 9'/~K Fax: -)fr. ~i3b?
E-mail:W;(c.he.\' \-.O~S c CO;"i~S1. vvc.t'
This installation is being made on residential or farm property owned by
me or a member of my immediate family, and is exempt from licensing
requirements under ORS 701.010.
Sign here:
;~ 1~,j1w~r -#;.QNifBAC.TO:.<"N$tM~f!Q~';'~;il;\;l:;.'e~v,"~;
Businessnarne: ~,<vi.c lJ,~"",,,~ C"~b..... 1>o,\oQ1. :t)vc....
Address: '3 073 ~ k: 1/' C."J 1-.".,.
City: f:" e....... State:O <L ZIP: '1 7) D I
Phone: -6J ~ c1 '7 5 i' Fax::;:''/ - 3 3b 2-
E-mail: W; ei-h,',\, "'-., '''~ S €2 c.o>'" '"'-54 ~ v-Jc.t
CCB license no.:
5ll'lI'jf,
J. YZ-3'l b'-
7 lb--o)oe)
(d) Enter 12% surcharge (.12 x [2a+2b+2cj):
(e) Subtotal oCree. above (2a tbrough 2d):
"j..:.'pl.iliJi:- ~.... .;
. ... .m>!. _ .. 1
(a) Plan review (65% x pennit fee [2a)):
(b) Fire and life safety (40% x pennit fee [2a]):
(c) Subtotal offee. above (3a and 3b):
. 4. Mlsc"lJ~~eil!is1'ee;;,i ......
(a) Sei,mic fee, 1% (.01 x pennit ree [2a)):
TOTAL ree, and ,urcborge, (2"'3c+40): $
)./
Electrical Permit Application
CITY OF SPRINGFIELD, OREGON
225 Fifth Street. Springfield. OR 97477tPH(S4I)726-J7S3tFAX(541)726-3689
" . DEPARTMENt USE ON':' y
SPIL'Zoll.00087
Pennit no.:
Date: }- ( '-11
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.
LOC::ALC;;OVERNMENtAPP~OVAI.> .'
Zoning approval verified? 0 Yes 0 No .
.' . CATEGORY OF .CONSTRUCtION;;
D Residential D Government D Commercial
~i!~;'J,OaYSITI;:; INF()~MATION7AN[j!'LOCAtlolil';ib!~";;
Job site address: I D'-6 Ste 110-,;
'>' ~ .;, .
City:
Reference:
P~OPERTY OWNER
Name: ()n/u W \ t'J...e..A CvS,+o",
Address: 307 3 sit 1/oJ
City: (. u e..l-<--
Phone:S~1 -b8b Of ~ '&' Fax: GVPsY
E-mail: (,.I; ~c..l.e_l-I-()t>-C.s € ~c."'St . ~ "-\-
This installation is being made on residential or fann 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:
. CONTRACTOR INSTALLATION
Business name: I- .~ e f -ec;~'V; c.-
Address: Z g 3 3 -:5o~s Ac.>(e5
City: S f \~ State: 0 )'t. ZIP: 17 'f '7"g
Phone:s't/ -5tl - 4r '1lS 1ff L. r5
E-mail:
CCB license no.: OS' 4 75"' BCD license no.: '/33 C-
Signing supervisor's license no.: '-1/ 7 'f - $'"
Print name of signing supervisor: /; C 0,,- "0",)">-
Signature of signing supervisor:~'() v-e/
440-2584-J (9108/COM)
,....,..:(':/i.' FEE,SCHE[jUI:;E:;<' '?:';;~:;:i"~:';';": '::.;,;::q;.~,;.tU~'\'::,:
Number or inspections perit..~O. 9ty. Cost Total
08:, . cost
Residential, per unit, service included:
1,000 sq. ft. or less (4) l $134.00 $ 131,
Each additional 500 sq. ft. or portion l $ 25.00 $ 7'5'
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 $
. 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) { $ 63.00 $ c..3
201 to 400 amps (2) $ 87.00 $
401 to 600 amps (2) "
$126.00 $
Over ~OO' 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 I $ 6.00 I $
b. Fee for branch circuits without purchase of a service or feeder fee:
First branch circuit (2) $ 55.00 $
Each additional branch circuit $ 6.00 $
Miscellaneous fees: service or feeder ~ot included
Each pump or irrigation circle (2) $ 63.00 $
Each sign or outline lighting (2) $ 63.00 $
Signal circuit or a limited-energy panel, $ 63.00 $
alteration, or extension (2)
Each additional inspection: (1) $58.00 $
..,......"",...,.''"......'''",...... .,'" ....... ......:...:..r::::;'-,'..:..
..., "",'"'' h :.. ,^""", APPLICANT' USE' ..' '. .. .
'''',:'_oc:'.'.U:,\.'' ,~},;,,,~,;;,,'1"::' ,'."~'" .."': .:. . ._' ..' .:.' .. ... :"';~.,_. . .,n,
(A) Enter subtotal of above fees ;;I'(L -
(Minimum Permit Fee $58.00) $
(B) Enter 12% surcharge (.12 x [AD $ 3 2 "-'
(C) Technology Fee (5% of [AD $ I-"~
,
TOTAL fees and surcharges (A through C): (s(i.7.
2~'willamalane
t'W Park and Recreation District
C(I-K*7
Job. No.. ,> .
PARK AND RECREATION SYSTEM DEVELOPMENT CHARGE WORKSHEET
January 1-December 31, 2011
NAME: :gr2M...c....~ w ( ~,~\
ADDRESS::Sa?:? ~~vleV CITY:
C \--\.
5v-..~
PHONE: LJ~ - 9 1 r cr
STATE~ ZIP: g 7 L/O"f
LOCATION OF PROPOSED BUILDING SITE:
. Street Address: If ( n 'iT ,STt:L-.L ~ w'1
PlatName:h( ,~t::'>t T Mb~~ TaxLotNumber:/~D) Ofi>ff( I'll l)C)
1, DEVELOPM ENT TYPE (Refer to development type definitions on the reverse.)
A. Single-Family Detached
NO. OF UNITS
I
(
X $3,409 per unit =
$ 7'70';
B. Single-Family Attached
NO. OF UNITS
C. Multi-Family Apartment
NO. OF UNITS
D. . Single Room Occupancy
NO. OF UNITS
E. Accessory Dwelling Unit
NO. OF UNITS
X $3,404 per unit =
$
X $2,800 per unit =
$
X $1,400 per unit =
$
X $1,705 per unit =
$
2. SDC CREDIT (If applicable. SDC payer must furnish proof of
credit approval.)
($ /Y
$ '5'(oC;
3. TOTAL PARK AND RECREATION SDC ASSESSED
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Date of building permit submittal
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Date of building permit issuance
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
541-726-3753
www.cLspringfield.or.us
811-SPR2011-00087
4108 STELLAR WAY
permitcenter@cLspringfield.or.us
RECEIPT NO: 2011000130
RECORD NO: 811-SPR2011-00087
DATE: 01/20/2011
[bESC-Rfp..TION'S:~'... .',;~<}~~j~L;J1!.ui;E~~:"j::i;:l~~~~i,:'j~ji5~}ACcdDNT~C,6DEXil~~~b2~~~'~,'1'~:AMOUNJ;buE':,~..5i,2~~i'~J
Address Assignment, each "';w or change '__...'_.____23~:~0,0~1l.-~2~602~_,.__._____..h.____. ~Bcll.~__ ____._
~dmin fee (10% of applicable fees) _~_E~000~Q:426~'O~. 10.26
Curb CuVDriveway 1st Cut 201-00000-428060 88.00
Each added 500 sq. ft. or portion 224-000~0-426~_ 75.00
First Appliance Fee 2~4-00000-425604 79.00_~
_Flue vent for water heater or gas fireplace ____ 224-00000-425604 9.00
Furnace - up to 100,000 BTU _.________ 224-00000-425604 17.00
Gas Piping up to 4 outlets._______23.~:O'O'O~D-425604 ____.!!!.IJ
Heat pump .__.__....E.~::2.9DOO-~_5604 ___:7..:00...
Multiple Pe~~i!E!".s'?:'!'.t (Max 2) 201:00000-428069-... -.3000
__.~~amiILI2:::-."~linQ with .::.":?..Ela.!h..___ .._____ 22~~~:~~~~.. ___.________.3~~_.
__..!:!.a.nnin~ajor Review - City __.__1 00-9DOOO-42~002 _ .._..___.... .21.].;,9~____
_____Ran~e hood/o~he~~~hen equipment ._~4-00000-425604 .________ 13.00
Residence wiring 1,000 sq. ft. or less 224-00000-426102 134.00
Residential Fire (.05 Per Sq Foot) 100-00000-424005 102.55
SDC: Administrative Fee - MWMC Regional Wastewater SDC 611-00000-426604 1000
SDC: Compliance Cost - MWMC Regional Wastewater SDC 444-00000-426607 22.63
SDC: Improvement - Transportation SDC 447-00000-448027 1,811.51
SDC: Impro~ement Cost - Local Wastewater 443-00000.4481)25 1,607.25
SDC: Improvement Cost - MWMC Regional Wastewater SD..c___445-0.o000-4480~_ 1,333.57
_.~~~!mbursement - Transportation SDC 446-00000-448026 ____.49707
SDC: Reimbursement Cost - Local Wast:,:"ater 442-00000-448024 ____ ___3:293.~_ .____
SDC: Reimbursement Cost - MWMC Regional Wastewater SDC 444-00000-448024 _______.!_I):;~~___..
SDC: Total Sewer Administration Fee 719-00000-426604 294.91
SDC: Total Transportation Administration Fee 719-00000-426604 ______...138~~_..
~gewalk up though 90 Feet 201-00000-428060 .. 88.00.._____
Single-duct exhaust (bathrooms, toilet compartments, utility roar 224-00000-425604 36.00
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 219.09
Structural Building Permit Fee 224-00000~425602 1,001.79
Technology fee (5% of permit total) 100-00000-425605 100.49
Temp services 200 amps or iess 224-00000-426102 63.00
~~'-'-~
Willamalane fees - Single family delached 821-00000-215023 3,409.00
TOTAL DUE: 15,173.03
[0FiAY.M'E'NT:~tRp~E'~~,t'~1LAy'6R~~~;C~S,HrER~:KWILS6N,"!'> ::F ';.,GQMME;[tS.~1;~"t":;:4l04~~,",tlAI\IIOUNT,LeAn~;!?:':"'0S,:;t+::':1'"f4j!:\ J
Check bwch $5,673.03
20280
Credit Card
Bruce Wiechert
$9,500.00
TOTAL PAID:
$15,173.03
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~OREGON
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth $t
Springfield,OR 97477
541-726-3753
www.ci.springfield.or.u$
811-SPR2011-00087
4108 STELLAR WA Y
permitcenler@ci.springfield.or.us
RECEIPT NO: 2011000116 RECORD NO: 811.SPR2011.00087 DATE: 01/19/2011
t't5'l:S,CRi~TION~~:_'t;'~~-:'i~'';Y-} ,'.' ~ 'P~1<?p.{{4~,:~,fj;;;,;1~::t~l~fili~~i,';".'~\:"--~ACC-0UNt~CJjbE:r1~j::~~!::r~(~_AMcillNJ~,DX.JE:Y\;:~~~~. :;,1
Same as Plan Review Submittal 224.00000.425602 250.00
TOTAL DUE: 250.00
Jpp' A' 'y' "M"E'N"T"T"'y' 'P"E' '\'''''PA''y' "'O,R'1L;7F7CAS'HIER' ii8(iwLSBy~=i?"~;CO"', M' M'EN" T"S""';"f"" 'n;" ';',';-~~;Tt' ".A'M' OdU.N'T,P'A"D .".S'r<". ::i'..'- :ii
-_..,,~~~ ,. -, ,""':~0%'~'.... ...._ .... , ".~JiL~_~,.~.."-'~"-'''''''.;' '___....;.-.- -,.".. _ _, .._ --,
Credit Card BRUCE WIECHERT CUSTOM
HOMES INC
$250.00
05557c
TOTAL PAID:
$250.00