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Home My WebLink AboutPermit Building 2011-2-11 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-5PR2011-00135 IVR Number: 811101029242 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 02/11/2011 01/27/2011 Issued 02/11/2011 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone 541-726-3769 Fax: 541-726-3676 permitcenter@ci,springfield.or,us EXPIRES: VALUE: 08/10/2011 $121,621.47 SITE ADDRESS: 4824 HOllY sT, SPRINGFIELD, OR 97477 ASSES OR'S PARCEL NO: 1802051110800 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family residence - SAME AS 551 s. 48th st PROJECT DESCRIPTION: Phone Number: OWNER: ADDRESS: JHD3 llC 2464 SW GLACIER Pl REDMOND OR 97756 CONTRACTOR INFORMATION ~ NOTICE' THIS PERMIT SHALL EXPIRE IF THE WORK ,\UTHORIZED UNDER THIS PERMIT IS NOT ;OMMENCED OR IS ABANDONED FOR 2111/2011 150:41p'~ 180 DAY PERIOD. Contractor Type Contractor Name TOP NOTCH ELECTRIC INC STUTZMAN SERVICES INC PACIFIC AIR COMFORT INC HAYDEN ENTERPRISES INC Lie Type GGB GGB GGB GGB BUilDING INFORMATION ~ General Contractor # of Units: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: 1 17.25 Fireplace - Gas Construction Type Occupancy Comments Occupancy Type Occupancy Comments Occupancy Type Construction Type Type VB 1041 s.f. Gas Gas R-3 552s.f. U Type VB EI.ectrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Path 2A Certified Structural Specialty Code Edition: TE- .-rf.......... r..~.~I~^I~dlC\~J rO{lUI; t.., " 'JL \v AT - pe ormance~ es e ','" . . l?;\it I II dud:systempt:i'-' Ie) 1,-,6 c-r~JOI1 ", Y o ow - - _'. .. .1_~ "",'n C't':'lt fnrth N tificatlon LJBIllt:!. I I IV""""" " _"'-I. . 0 952-001-0010 throug 1 OAR 952-s.t.. information Engineered FillbO~~H You may obtain copies 01 me rUI~" IJ Fill Volume: calling the center. (Note: the tel~~hone Flood Hazard A"i'l-i1mber lor the Oregon Utility Notlllcatlon land Hazard Area: Center is 1-800-332-2344). Retaining Wall: Soils Report Required: # of Bedrooms: 2 Sprinkled Building: Fire Alarms: Energy Path: No Springfield Building Permit Lic No 172366 31747 39237 92208 lic Exp Phone 09f29f2012 541-317-1998 05/12f2012 541-928-8942 03/25/2012 541~672-9510 07/29/2011 541~923-6607 Lot Size: sq Ft 1st Floor: 1041' sq Fl2nd Floor: sq FI Basement: sq FI Garage: 552 sq Ft Carport: sq Ft Other: 24 Occupancy Load: 2008 Page 1 of6 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00135 IVR Number: 811101029242 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 02/11/2011 ISSUED: APPLIED: 02/11/2011 01/27/2011 EXPIRES: VALUE: 08/10/2011 $121,621.47 SITE ADDRESS: 4824 HOLLY ST, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051110800 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family residence - SAME AS 551 S. 48th' St Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: 13 5 5.76 31.18 13.1 DEVELOPMENT INFORMATION I Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north properlY line: 2 REQUIRED PARKING Total: 2 Handicapped: Compact: Yes 33.24 17.25 PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description I Description R-3 1 & 2 family U Utility, misc. Tvoe of Construction VB VB Unit Amount Unit Tvoe 1,041.00 Sq Ft 552.00 Sq Ft Unit Cost 96.83 37.72 Value 100,800.03 20,821.44 121,621.47 Springfield Building Permit 2/11/2011 1:50:41PM Page 2 of6 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00135 IVR Number: 811101029242 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 02/11/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@cLspringfield.or.us ISSUED: APPLIED: 02/11/2011 01/27/2011 EXPIRES: VALUE: 08/10/2011 $121,621.47 SITE ADDRESS: 4824 HOllY ST, SPRINGFIELD, OR 97477 ASSES OR'S PARCEL NO: 1802051110800 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family residence - SAME AS 551 S. 48th St PROJECT DESCRIPTION: FEES PAID ~ Descriotion Same as Plan Review Submittal SDC: Improvement Cost - Local Wastewater SDC: Reimbursement Cost - Local Wastewater SDC: Improvement - Transportation SDC SDC: Reimbursement - Transportation SDC sac: Improvement Cost - Storm Drainage sac: Reimbur~~ment Cost - Storm Drainage Side~~ though 90 Feet ._ SDC: Total Transportation AdmL~istration Fee _~"" Multiple Permit Discount (Max 2) SDC: Total Sewer Administration Fee ~DC: Reimbursement Cost ~ MWMC Regional WastewatE SDC: Improvement Cost - MWMC Regional Wastewater ~ SDC: Compliance Cost - MWMC Regional Wastewater Sl Curb Cut/Driveway 1 st Cut SDC: Administrative Fee ~ MWMC Regional Wastewater ~ First Appliance Fee Resi~ence wiring 1,000 sq. ft. or less Ea9h added 500 sq..ft. or portion Temp services 200 amps or less Residential Fire (.05 Per Sq Foot) Gas Piping up to 4 outlets Admin fee (10% of applicable fees) Single-duct exhaust (bathrooms, toilet compartments, utili Flue vent for water heater or gas fireplace ,Range hood/other kitchen equipment One or Two Family Dwelling with One Bath Technology fee (5% of permit total) Technology fee (5% of permit total) Planning ~ Major Review - City Address Assignment, each new or change Willamalane fees - Single family detached Str~.~~~~dinf)~er~it Fee _ State .~f Oregon Sur.sharge (12% of applicable fees) Total Amount Paid Springfield Building Permit Amount Paid Date Paid 01/27/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/,11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 Reciot # 2011000174 2011000274 2011000274 2011000274 2011000274 2011000274 2011000274 2011000274 2011000274 ""..,--~- 2011000274 2011000274 2011000274 2011000274 2011000274 2011000274 2011000274 2011000274 2011000274 2011000274 2011000274 2011000274. 2011000274 2011000274 2011000274 2011000274 2011000274 2011000274 2011000274 2011000274 2011000274 2011000274 2011000274 2011000274 ,._-,~~-,.,..*~._,- 2011000274 $250.00 $1,092.93 $2,239.24 $1,811.51 $497.07 $759.92 $522.29 $88.00 $139.91 ---~"-_.- $-30.00 $279.65 $101.97 $1,333.57 $22.63 $88.00 $10.00 $79.00 $134.00 $50.00 $63.00 $80.85 --_. $7.00 $8.09 $9.00 $9.00 $13.00 $238.00 $71.91 $7.30 $211.00 $38.00 $3,409.00 $798.29 $168.Q3 $14,601,16 2/11/2011 1 :50:41 PM Page 3 of6 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00135 IVR Number: 811101029242 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 02/11/2011 ISSUED: APPLIED: 02/11/2011 01/27/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@cLspringfield.or.us EXPIRES: VALUE: 08/10/2011 $121,621,47 SITE ADDRESS: 4824 HOllY ST, SPRINGFIELD, OR 97477 ASSES OR'S PARCEL NO: 1802051110800 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family residence - SAME AS 551 S. 48th St PROJECT DESCRIPTION: Plan Review I DeDartment Application Acceptance ComDleted 02/01/2011 Result Application Accepted Received Due Date 0112712011 0112712011 Reviewer Kip Kaufman Structural Review 02/01/2011 02/01/2011 02/02/2011 Comments: Planning and PUblic Works Waiting Internal Public Works Review 02/01/2011 02/01/2011 02/08/2011 Approved Comments: Storm water to storm sewer. Kip Kaufman Ben Gibson Permit Issuance 02/09/2011 02/09/2011 02/11/2011 Issued Springfield Building Permit 2/11/2011 1:50:41PM David Bowlsby Page 4 of6 www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00135 IVR Number: 811101029242 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 02/11/2011 ISSUED: APPLIED: 02/11/2011 01/27/2011 EXPIRES: VALUE: 08/10/2011 $121,621.47 SITE ADDRESS: 4824 HOLLY ST, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051110800 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family residence - SAME AS 551 S. 48th St 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 Underlloor insulation 1420 Insulation Vapor Barrier 1430 Insulation Wall Wall Insulation: Prior to cover. 1440 Insulation Ceiling 1520 Interior Shearwall 1530 Exterior Shearwall 1540 Gypsum Board/LathlDrywall Ceiling Insulation: Prior to cover. Shear Wall Nailing: Before covering sheathing with finish materials. 1999 Final Building 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. 2200 Underfloor Mechanical 2210 Underlloor Gas 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. 2260 Gas Service 2300 Rough Mechanical 2995 Final Gas 2999 Final Mechanical 3130 Footing/Foundation Drains Springfield Building Permit 2/11f2011 1:50:41PM Page 5 of 6 5~:11N...G..=~ ~~ "~"--' OREGON www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00135 IVR Number: 811101029242 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 02/11/2011 ISSUED: APPLIED: 02/11/2011 01/27/2011 EXPIRES: VALUE: 08/10/2011 $121,621.47 SITE ADDRESS: 4824 HOllY ST, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051110800 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family residence - SAME AS 551 S. 48th St 3170 Underfloor Plumbing 3200 Sanitary Sewer 3315 Water Line 3400 Storm Sewer Underfloor Plumbing: Prior to insulation or decking. Sanitary Sewer Line: Prior to filling trench and including required testing. 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 conS;7n# c-/I-'\ Owner or Contractor Signature Date Springfield Building Permit 2/11/2011 1:50:41PM Page 6 016 This permit is issued under OAR 918-309-0000. Permits are nontransferahle. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 1"~~~tl[~~aigf@,@Mf!.R~Mi:1iIT;1,;g~R.~~M~~~~~~~~); Zoning approval verified? 0 Yes 0 No ~__I~~'€~TIr~:G:GJ&Y::<<t~);g4~~"1T$lElRJ~~ftlJ;r~1~~jtJ~1~~ [[Residential D Government D Commercial .\1l\l!;~'!lfj:1~.1ilif:I~E~)~E~BJ;1A'f>lQJf~4'l'!wlii'!q:Q'6\if;I~N.~t~1i$~ Job site address: Ie 2.l( /4;u. 'f s. 1. City: ," '0( ZIP: '17'fn' Subdi~ision. ct tOlov-J ' Lot no.: 6'1 ~Wi:~~~~~..m$:~f{r!?X[tl~&ti{~G:.F:,iw~(;l~f;{JKil~~W~~~~~!f:;~ 225 Fifth Street. Springfield, OR 97477 tPH(541)726-3753+FAX(541)726-3689 ~",:e.","liE~~!",!!!,,~". "%tC61>Be iiR:jlN:kc€iVii8j'ga"""c""li?'"-'f';-""W';:','~"'<'i jt;.,~~~~u;')(~oo"j;.4"""~ffl-J~~:A',i'S,.:..;...;;....,:..a;t",,,,,_',.J..;,__-~ r:v,,'1~lf@:'~%~5'J;&!~:~~f5;;I~~t;tB;" Name: \-L, JCV\ Address: L(, c.. City: R ,,01 ~cv"'<'( Phone: 5L//- .2ig- G') ~ 5 . E-mail:Ir1h!JJ\)lUC~ 1\\~1fJWC)e1\.l-\H)~. M. 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) ~ 4J}!O(1). Signature: t' ._~~G:6?'j\jjf~~1tQ.Rl!:It'J$ili~~lr~@:fi!~f~~;~fii\': Business name: 0 ~c I pC (ove (+- State: oR. ZIP: 'iPS-Go. Address: ZIP: City: & Phone:S1I/-3i1 - 191'? E-mail: CCB license no.: '/ Signing supervisor's license no.: Print name of signing supervisor. Signature of signing supervisor. . I U 0 ATTENTION: Oregon law reqUires. . . rules adopted by the Oregon Utility ~~~~i~ation Center. ThhOSe rUhle~t~e ;~~_fg~~ . OAR 952-001-0010 t roug IOn090 You may obtain copies of the rules by . (Note' the telephone ,C'\. ~ .; nc:~i~~r \~~ f~~~~~gon Uiility Notification ~~ Center is 1_800-332-2344). \ ,Dr..\ . .~ 440-2584-J (9/08/COM) SPRINGFIELD ~~ i~'5~~~ . ut."'~~ ~;f~R.~f'~Rf:~,~~,]i~:tt~~~~I~~t Permit no:5P JZ201/ - (JOI Date: d/ I ( II ('Jt 1,000 sq. ft. or less (4) $134.00 Each additional 500 sq. ft. or portion $ 25.00 $ 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 $ $ $ $ $ CReMAA;{iI~{(2:r~'R\OD. $ 63.00 $ ^ ~\V \ ,,\1 '\...If \1 . ,Temporary services or feeders: installation, alteration, relocation 201 to 400 amps (2) _$_~r'OO I'f9!'!~:~29 amps (2) .., rVD\R~ \n :\E~':~~5~.00 ;~q!;t~)h006.'JnJ;'s,(?)';:~ ~~\S 1't.1'\1\I \ \_~ ,'$205.00 l\Q,ver\C60'O~lJitp'J~Jl.-yqris' \?1I\\'WONt ) r v "$469.00 200 amps or less (2) 201 to 400 amps (2) 40 I to 600 amps (2) i $ 63.00 $ (,2.,0 $ 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 of a service or feeder fee: First branch circuit (2) Each additional branch circuit $ 55.00 $ $ 6.00 $ Miscellaneous fees: service or feeder not included Each pump or irrigation circle (2) Each sign or outline lighting (2) Signal circuit or a limited-energy panel, alteration, or extension (2) $ 63.00 $ 63.00 $ $ $ 63.00 $ Each additional inspection: (1) $58.00 $ '~1'i!I1ll~iIfJ!iI;;&Mlr"'1'fci'irl;;;;;tN'''ffi''i'l''S''E'' T<,*"_' "",.",,,,"=,.,,.,,,,. <:~~~~J?,l"il'l5$.~F' ~n~_,J!i;X9",...,...1,~~":,..,,,;:.,~~~~~j~ (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) (B) Enter 12% surcharge (.12 x [A]) (e) Technology Fee (5% of [A]) TOTAL fees and surcharges (A through C): $~-'5.AS 551 s. f.../r{.f'- S;'- ~~, I r t\\ F'errrlit Applicution C)EP.\.f':~Tr\,'!f~<:l US!:: !~':i'~L''i "~ ' :~~ Fitch Sual' SQr:n~(,.:ld OR.S,.:;:]' P'';()~1)7:'6.}?~:. F...l,_$:,,'i,~'],~,:;,,:~:" :~),J; : SPiLfcq -CO /:5 S- i \-',:-r;l\ii nc..: \ 03\"1'27-1/ This permit is issued under OAR 918-:..\60-0030. Permils e\plre if \l'or\..: is not SLlr-led \\'iihin 1:30 d:'lYS of issu:lnce or if'\'ork is suspended ior ] SO d3YS. LOCAL GOVERNMENT APPROVAL I I !Dale: Tllis projeci has 1\nal land-Lise approval Sign3lure: This project h35 DEQ l:ppro'/al. , Sig.nature: Ze.,,\ng appiuva\ verified: 0 Yes Pwptrry is ,::;;~~:;-, need plain: O' {eo; Date: FEE SCHEDULE I. V;lhj.;~ltion inform3'tion', .' (3) J,~\b description: Occupancy 12"5 / cA 1 I ((!f)::.lrtlCllot' ,"n,~' I vCS , ~. - . ...,.. - . ! S~uare feet" I COSt per square IUO\" Gihel ir,formalion: Type of He3(: /~'" DNa ~" U !'iO \,.CATEGORYOFCONSTRUC;TlQN . \ [2J Residtnlial 0 Government 0 CO"dTI~IC;3] JOB SITE ANDL'OCATION: S, J$b <:ile address: CiI)'. ~;;-r-,~J0L.d. Su bd i v ision'-t..J~'l-W 1....Hll.'S. Rekrence/gbZ:OS( ( OR I ZlP: '771'7')'. e,<t 0800 Energy P2(!1: r9.f-\ [2J nelV 0 alteration (b) Foundation-only permit? Tot:!' vtllufition: \ __.____--.J P.ROPERTY OWNER" o a.ddition DYes -G-n-o Name: Address: ,'--( City: ^ i,-C State, 0 Q I ZIP177cG (3) f'emlil fee (use valuMion table): (b) Jllvtstigalive fee (eqUal to [2a)): (c) Reinspection ($ per hour): (number c:fhours x fe~ per no'...!!) , \ PhQne: '1..// - ~ - /u "1...:; Fax - I 1 Ecnaill:H.eN~~\~ 1(..~1l~ (if) )j-t\-'(oc'l'l-~ ,cckv-I i This i'lsl311ation is being made on residential Or farm properr)' llwned by me or 3 member of my immediate fami]y,.(\nd is exempt from licensing requirements under ORS 701.010. - ;Yt. (d) Enter 12% surcharge (.\2 x [13+2b+2c]): (e) Sublotnl of fees ;:lbove (2n through Zd): CONTRAt;J:9R Business name' 1/ It' ^ Address: "I 5 w City Rc& Monol . Phone, YOIl . . & E-mail: CCB license no.: ;IN$T- .LATION, /-10,"</ s (3) Plan review (65% x permit fee (2a)): (b) Fire and life safety (40% x permit fee (2a)): (c) Subtotal of fees 3bove (3" "oct 3b): $ $ Sign here: $ '(arC (' Slale: GK. Fax;:7-11 -7..J1 (3) Seismic fee, 1% (.01 x permit fee [2(1)' TOTAL fees 3n(\ surch:.lrges (Ze+3c-H;)): (.1: ~().u SU B,cbl~tR!i(:I()R 1 NF'ORfi1ATJpN".'. -.1 Name CCB Lice~1se NlHTlb'O'T phDn<- Number Plu mbing OJ " 3/7'17 YI:;37 fJectric::lj Mechilnioll 21, willamalane. t\;j Park and Recreation District Job. No. ~\ \ .. \~~ PARK AND RECREATION SYSTEM DEVELOPMENT CH~RGE WORKSHEET January 1-December 31, 2011 NAME: _\t\\::)3 PHONED:tt.?DD loqg5 ADDRESS:2A\.cA 5W GlLlwx:. CI1Y: ~~~ STATEOQ..-ZIP:~ LOCATION OF PROPOSED BUILDING SITE: o' fu . t street Address: ~ll~ ee Plat Name: \U' . Lot Number: \ <tD'LO'b \ \ \0&0 1. DEVELOPM ENT 1YPE (Refer to development type definitions on the reverse.) A. Single-Familv Detached NO. OF UNITS \ X $3,409 per unit = $ ~t}\ .cJ B. Single-Family Attached NO. OF UNITS X $3,404 per unit = $ C. Multi-Family Apartment X $2,800 per unit = $ NO. OF UNITS D. Single Room Occupancy X $1,400 per unit = $ NO.OF.UNITS E. ACcessory Dwelling Uilit NO. OF UNITS X $1,705 per unit = $ 2; SDC CREDIT (If applicable. SDC payer must furnish proof of credit approval.) ($ ) $ .. a.A (}\ pJ - 3. 'TOTAL PARK AND RECREATION SDC ASSESSED cR I ~-&oll Date of building permit submittal ~ 1-1L c9Dl { Date of building permit issuance TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-00135 4824 HOllY ST permilcenter@ci.springfield.ocus RECEIPT NO: 2011000274 RECORD NO: 811-SPR2011-00135 DATE: 02/11/2011 [DESCRI~tlbN~j&">.f;:-2tE2:"'" P\' '''F:,:::c.:''R,4;'," :~>--.; :,:: '.';ACCO.IJNEC.ODE., \1:; "';"""AMOUNif..Dl.fE:.;C:C::::::;I Address Assignment, each new or change 224-00000-425602 .__..__,____.2~~_____. Admin fee (10% of applicable fees) 224-00000-426605 8.09 Curb CuUDriveway 1 st Cut 201-00000-428060 88.00 Each added 500 sq. ft. or portion 224-00000-426102 50.00 First Appliance Fee 224-00000-425604 79.00 Flue vent for water heater or gas fireplace 224-00000-425604 9.00 Gas Piping up to 4 outlets 224-00000-425604 7.00 Multiple Permit Discount (Max 2) 201-00000-428060 -30.00 One or Two Family Dwelling with One Bath 224-00000-425603 238.00 ~~1anning -}:"ajor Review - City 100-00000-425002 211.00 __Range hood/other kitchen equipment 224-00000-425604 13.00 __..~.e~idence wiring 1,000 sq. ft. or less --3..24-00000-426102 __~ ~~:9.9___ _ Residential Fire (.05 Per Sq Foot) 100-00000-424005 ,_ _~_~0.85.____ SDC: Administrative Fee - MWMC Regional Wastewater SDC 611-00000-426604 ._-----.:O.O~._ SDC: Compliance Cost - MWMC Regional Wastewater SDC 444-00000-426607 22.63 SDC: Improvement - Transportation SDC 447-00000-448027 1,811.51 SDC: Improvement Cost - Local Wastewater 443-00000-448025 1,092.93 SDC: Improvement Cost - MWMC Regional Wastewater SDC 445-00000-448025 1,333.57 SDC: Improvement Cost - Storm Drainage 440-00000-448028 759.92 SDC: Reimbursement - Transportation SDC 446-00000-448026 _._.__~~.~_~ __.__S~C~im--"ur~e!,,~n.!..~~a.!~~~_~_ __ 442-00000-448024 ______3,3.392..-:.._____ __ __~DC;. Reimb.':'~eme.n.t_Co.~t:_M..'lVMC Region~!~,,-s~ewater ~~~~4-0_0.Q2Q:~480~___ ________ _____201.9_7__.__ __ SDC: Reimbursement Cost -. Storm Drainage 441-00000-448029._ _._ _ _. _ _ 52~_____ __ SDC: Total Sewer Administration Fee 719-00000-426604 279.65 - --.--.------ SDC: Total Transportation Administration Fee 719-00000-426604 139.91 Sidewalk up though 90 Feet 201-00000-428060 88.00 ----- Single-duct exhaust (bathrooms, tOil"t compartments, utility roor 224-00000-425604 9.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 168.03 Structural Building Permit Fee 224-00000-425602 798.29 ._ Technology fee (5% of permit total) 100-00000-425605 79.21 ------2<:mp services 200 amps or less 224:00~0-4261D3..__~3.00___ _.__~i~_ma.~_~ fe-,,~ ~_S.!.n..~,,-m!ILdetac!:~d 821-00000-315023 3,409.00 TOTAL DUE: 14,351.16 ~'>f>AYMENT,'rYf>E:;c"~;"-f>AYOR~.';ti:A'sHiE-R:'D86w'LsBY+"~;""; .'COMMENTS'-"':;-."'" .,. --, 'fAMOUNTPAID. ' ;. ~'~..~.'" ,. ,- .._..._..._..._,._.._.,'_ _ .,." __ _ ~,~=,~'_. .,..'. > ._,'_, ,..'L..._______._.________,,'>-_-?-.>"-_.c.&:-""-..._.. .........._.........__ ....M _.~..~.,,"A ,,~~_A ,J.".._ ,.."'....."'-... ____.... _ ....._.. ..-.....__ .4_ _ _ _+_, Check HAYDEN ENTERPRISES INC 14,351.16 33827 TOTAL PAID: 14,351,16 TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 81 Springfield,OR 97477 541~726-3753 www.cLspringfield.or.us 811-SPR2011-00135 4824 HOllY ST permilce nter@ci.springfield.or.us RECEIPT NO: 2011000174 IDES<::RII~;tION ../:~,c.;;L",,; 'liv'; ,."",,' *',~ Same as Plan Review Submittal RECORD NO: 811-SPR2011-00135 .",+!.'i; ',;,1,', ',' .' '" AccbuNLCODE' i:,t,;:; 224-00000-425602 TOTAL DUE: DATE: 01/27/2011 .g"";;+~i'MbuN;t:'DJjEl~~~e;'- ;,~,:~ 250,00 250.00 L~Ji\ij'Ny.;:ty1[E1?'::"::"::~AYOR..' 'i:'-SHIER:DBOWLS'BY~"~:':, -: COMMEN}S",',>; ',-,I' Credit Card HAYDEN ENTERPRISES INC 037257 _'_ "~to ':"AMPQN;tJ~J,\ID.:d':',;h;;~~:;:~T_.i 250.00 TOTAL PAID: 250,00 - sv moo. 88 CALGARY 7290 S.F. / / /,moo D WY \ / �\ v / N SCALE: 1" = 20' HAYDEN HOMES 2464 SW GLACIER PLACE, SUITE 110 REDMOND, OR 97756 (541) 923-6607 LOT \ \\ 5,0. 4,855 S.F. 89 AVERY 7041 S.F. C, 4,625 S.F. y / LOT 90 BUILDING SETBACKS FRONT (HOUSE) 10' (FROM PL) FRONT (GARAGE) 18' (FROM PL) CORNER 10' (FROM PL) SIDE 5' (FROM PL) REAR 10' (FROM PL) LOT 89 ADDRESS: 4824 HOLLY ST. WESTWINDS SUBDIVISION SPRINGFIELD, OREGON ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone . number for the Oregon Utility Notification Center is 1-800-3322344), VIN � r o �w�Y110 M 81MMSHt yaw mmic" nb �U. 3wm 11M IN93d SIFil DATE RECEIVED L -2-7-1-1 JOB No.slt — LSS i'ONE _ 0CC: UPANCY GP..OuP O'NIT S _ __ 0CCUPAPJC`� LOA® TOF.IES—�-__ TYPE CONSTRUCTION LEGAL DESCRIPTION L�ee— ADDRESS_ THC {:r o I. OR BY MINIMUM SETBACKS - INTERIOR LOTS All measurements are from Proner-ty Lines -Front yard to House 10 feet -Front yard to Garage 18 feet -Side yard to House or Garage 5 feet -Rear yard to House or Garage 10 feet P.U.E. MAY CHANGE SETBACKS STREET TREES ARE QUAKED- Please refer to attached Development o de Section regarding the placement and types of allowable trees. Work shall be installed in accordance with the approved construction documents and any changes made during construction that are not in code compliance with the approved construction documents shall be resubmitted for approval as an amended set of construction documents. OSSC 106.4/011SC 106.4 ® CZ--rY A-09 3TATO po c-4fAve nr is These plumbing plans are NOT reviewed prior to permit issuance. Plumbing work shall comply with current codes and will be field intyiRoted fW 04f7lPlianee. These electrical plans are NOT reviewed prior to permit issuance. Electrical work shall comply with current codes and will be field inspected for compliance. RE.IEWED FOR CODE COMPLIANCE