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Home My WebLink AboutPermit Building 2011-2-11 SP..R......I.HG...FIE~. - . .'T ,.,~,i{i:iJltI "' ," ORE:GON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00143 IVR Number: 811164626229 www.ci.springfield.or.us 225 Fifth SI 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 02/11/2011 ISSUED: APPLIED: 02/11/2011 01/31/2011 EXPIRES: VALUE: 08/10/2011 $121,621.47 SITE ADDRESS: 4898 Holly ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1802051111700 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family residence. SAME AS SPR11.00135 PROJECT DESCRIPTION: Phone Number: OWNER: ADDRESS: JHD3 LLC 2464 SW GLACIER PL REDMOND OR 97756 CONTRACTOR INFORMATION # of Units: # of Stories: 1 Lot Size: Height of Structure: 17.25 Sq Ft 1 st Floor: Construction Type Type VB Type of Heat: Forced Air Gas Sq Ft 2nd Floor: Occupancy 1041 s.t. Comments Water Type: Gas Sq Ft Basement: Occupancy Type R.3 Range Type: Gas Sq Ft Garage: Occupancy 552 s.t. Hazmat: Sq Ft Carport: Comments Sq Ft Other: Occupancy Type U Construction Type Type VB Occupancy Load: Contractor Type Contractor Name TOP NOTCH ELECTRIC INC STUTZMAN SERVICES INC PACIFIC AIR COMFORT INC HAYDEN ENTERPRISES INC Lic Type CCB CCB CCB CCB BUILDING INFORMATION _ I General Contractor # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: ~esidential Specialty Code Edition: Structural Specialty Code Edition: 2 No Path 2A Certified performance-tested duct system 1041 552 24 2008 Site Information I Engineered FAlITENTION: Oregon law requires you to Fill Volume:follow rules adopted by the Oregon Utility Flood HazaNiJilifeaation Center. Those rules are set forth Land Hazarirl.Ge\f:l952.001-001O through OAR 952.001- . Retaining vOOeo. You may obtain copies of the rules by Soils Report Rl!l\lingd:he center. (Note: the telephone number for the Oregon Utility Notification Center is 1.800.332.2344). <. '....,,'~ ~~.?: ',.t. NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK _ AUTHORIZED UNDER THIS PERMIT \S NOT COMMENCED OR IS ABANDONED FOR ;;: ANY 180 DAY PERIOD. . Springfield Building Permit 2/11/2011 1:59:17PM Page 1 of6 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00143 IVR Number: 811164626229 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 01/31/2011 EXPIRES: VALUE: 08/10/2011 $121,621.47 SITE ADDRESS: 4898 Holly ST, Springfield, OR 97478 ASSES OR'S PARCEL NO: 1802051111700 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single tamily residence. SAME AS SPR11-00135 Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: 13 5 5.76 31.18 13.1 DEVELOPMENT INFORMATION I Overlay Oist: # Street Trees Reqd: ':'aved Drive Reqd: % of lot Coverage: Highest point on structure to north property line: 2 33.24 REQUIRED PARKING Total: 2 Handicapped: Compact: Yes 17.25 PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: DownspoutfDrains: Valuation Description I Description R-3 1 & 2 family U UtiIlty, misc. Tvpe of Construction VB VB Unit Amount Unit Tvpe 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 1:59:17PM Page 2 016 SPRINGFIELD ~>~4 '-., . \4(r~ \~ .^ ,,,,c.i0"\' OReGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00143 IVR Number: 811164626229 www.cLspringfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: Issued 02/11/2011 02/11/2011 01/31/2011 225 Fifth St Sprlngfield,OR 97477 Phane: 541-726-3753 Inspectian Phane: 541-726-3769 Fax: 541-726-3676 permitcenter@ci,springfield.or.us EXPIRES: VALUE: 08/10/2011 $121,621.47 SITE ADDRESS: 4898 Hally ST, Springfield, OR 97478 ASSES OR'S PARCEL NO: 1802051111700 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family residence - SAME AS SPR11-00135 PROJECT DESCRIPTION: FEES PAID I Descriotion Amount Paid Date Paid Same as Plan Review Submittal $250.00 01/31/2011 SOC: Impravement Cast - Lacal Wastewater $1.092.93 02/11/2011 SOC: Reimbursement Cast - Lacal Wastewater $2,239.24 02/11/2011 -_. SDC: Imprav~ment :..Transpartatian SDC $1,811.51 02/11/2011 SD~: Reimbursem,ent. Transportation SDC $497.07 02/11/2011 SDC: Improvement Cost - Storm Drainage $709.17 02/11/2011 SDC: Reimbursement Cost - Storm Drainage $487.41 02/11/2011 Curb CuUDriveway 1 st Cut $88.00 02/11/2011 Sid~walk up thau~h gO Feet $88.00 02/11/2011 SDC: Total Transportation Administration Fee $140.21 02/11/2011 SDC: Total Sewer Administration Fee $275.06 02/11/2011 Technology fee (5% of permit tatal) $7.30 02/11/2011 Admin fee (10% of applicable fees) $8.09 02/11/2011 Gas Piping up to 4 outlets $7.00 02/11/2011 Residential Fire (.05 Per Sq Foot) $80.85 02/11/2011 Willamalane fees - Single family detached $3,409.00 02/11/2011 Address Assignment, each new or change $38.00 02/11/2011 ~ructural Buildi~iL!,ef111it Fee $798.29 02/11/2011 Plannin_~aLor..Revi"':'..:.c:;ity _____ $211.00 02/11/2011 Temp services 200 amps or less $63.00 02/11/2011 Each added 500 sq. ~ portion .~._ .____~~?_.______,~11/2011 Residence wiring 1 ,000 sq. ft. or less $134.00 02/11/2011 First Appliance Fee $79.00 02/11/2011 Single-duct exhaust (bathrooms, toilet compartments, utili $9.00 02/11/2011 Flue vent for water heater or gas fireplace $9.00 02/11/2011 Range hood/other kitchen equipment $13.00 02/11/2011 One or Two Family Dwelling with One Bath $238.00 02/11/2011 State of Oregon Surcharge (12% of applicable fees) $168.03 02/11/2011 Technal<:~y fee (5% of permit total) $71.91 02/11/2011 SDC: Reimbursement Cost - MWMC Regional WastewalE $101.97 02/11/2011 ~C: Im~ement C.ost - MWMC .Regional Wastewater ~ $1,333.57 02/11/2011 SDC: Compliance Cost - MWMC Re~~onal Wastewater SI $22.63 . 02/11/2011 ~ultiple Perm~~ Discount (Max 2) ._....___.________~COO ____,_ 02/11/2011 SDC: Administrative Fee - MWMC Regional Wastewater ~ $10.00 02/11/2011 Tatal Amount Paid $14,511.24 Springfield Building Permit 2/11/2011 1:59:17PM ReciD! # 2011000188 2011000275 2011000275 2011000275 2011000275 2011000275 2011000275 2011000275 2011000275 2011000275 2011000275 2011000275 2011000275 2011000275 2011000275 2011000275 2011000275 2011000275 .._._.....~.- 2011000275 2011000275 2011000275 2011000275 2011000275 2011000275 2011000275 2011000275 2011000275 2011000275 2011000275 2011000275 2011000275 2011000275 2011000275 -,.._--~--_._- 2011000275 Page 3 016 5.P~.~NG.=-~--- Biill~A . ~: ~ . '~OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00143 IVR Number: 811164626229 www.ci.springfield.or.us 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: APPLIED: 02/11/2011 01/31/2011 Issued 02/11/2011 EXPIRES: VALUE: 08/10/2011 $121,621.47 SITE ADDRESS: 4898 Holly ST, Springfield, OR 97478 ASSES OR'S PARCEL NO: 1802051111700 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family residence - SAME AS SPR11-00135 PROJECT DESCRIPTION: Plan Review ~ DeDartment Application Acceptance Comoleted 02/01/2011 Result Application Accepted Received 01/31/2011 Due Date 01/31/2011 Reviewer Kip Kaufman Structural Review Comments: Planning and Public Works Kip Kaufman Planning Review 02/01/2011 02/01/2011 02/04/2011 Approved Deyette Kelly Comments: Elevations are site specific and contain REQUIRED design elements, Inspectors will field check Irat actual elevations match of Permit Issuance Issued 02/09/2011 02/09/2011 02/11/201.1 Springfield Building Permit 2f11f2011 1 :59: 17PM David Bowlsby Page4of6 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00143 IVR Number: 811164626229 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 02/11/2011 ISSUED: APPLIED: 02/11/2011 01/31/2011 EXPIRES: VALUE: 08/10/2011 $121,621.47 SITE ADDRESS: 4898 Holly ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1802051111700 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family residence. SAME AS SPR11-00135 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 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 Wall Insulation: Prior to cover. 1440 Insulation Ceiling 1520 Interior 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 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 2/11/2011 1 :59:17PM Page 50f6 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00143 IVR Number: 811164626229 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 01/31/2011 EXPIRES: VALUE: 08/10/2011 $121,621.47 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family residence - SAME AS SPR11-00135 SITE ADDRESS: 4898 Holly ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1802051111700 3170 Underlloor Plumbing 3200 Sanitary Sewer 3315 Water Line 3400 Storm Sewer Underfloor Plumbing: Prior to insulation or decking. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. 3411 Perimeter Rain Drains 3500 Rough Plumbing 3999 Final Plumbing 4000 Temporary Power Service 4225 Service or Feeder Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. 4500 Rough Electrical 4999 Final Electrical Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during constrUCt # '{ -1{- I ( Owner or Contractor Signature Date Springfield Building Permit 2/11/2011 1:59:17PM Page 6 of6 t~;l:"{R~PA~.~~~E,.~~~~II~~[cii~ Permitno$I/-00 /qs Electrical Permit Application I t i~~.~.~J~L:>~ ~~~'" ~" 225 Fifth Street + Springfield, OR 97477 +PH(541)726-3753+FAX(541)726-3689 Date' This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ~~i[Q.l:e;Mi~@MJ;R~~1~n~~N-m~~2}~IQ~&ilK.~~,;~;;i%~~?J!}~ Zonmg approval verified? 0 Yes 0 No ~~r~j,1~li@~]J~J~]~)J30tYit~~g1!~~$.mB:11!~liK~:~~~1r~l~~~~~ I2lResidential D Government D Commercial ~~~B,~a~ITIffi;EJiI(f{~~j[M~lj!:9'N;~~i'li1JiigQ~5'llITiNf,.i~?L~l"~ Job site address: if '1'6 u.-y ST. 1,000 sq. ft. or less (4) Each ~dditional 500 sq. ft. or portion thereof $134.00 $ 25.00 $ 50 City: ZIP: "j 7'-fn . . Subdi~ision. '" &tov-J ' - Lot no.: 95 ~.1t~g~~~:~L::.~~gr.!t?J]1~",~~~~~~J~1~iW)~~~t~1!;~~ir~i Limited energy (2) Each manufactured home or modular dwelling s~rvice or feeder (2) . $ 32.00 $ $ 63.00 $ Services or feeders: installation, alteration, relocation ~oo amps Or less (2) $ 81.00 $ 20 I to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158.00 $ 60 I to 1,000 amps (2) .. $205.00 $ $ $ ~~~!t!~Ri~!ij,~:e:[0'Il'@~'~f~E1*~~I~f~J1W~W~~ji~t.~~ Name: l-l., J<V\ Address: Lj, C- City: Q ",01 VVlCV> <>1 Phone: SL//-22~- G,C)')5. E-mail=2'~p~Lt;~ Oc-N- (\Q.~ .LOI'" 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.~1). Signature: f- 7r' "~:~'II!.i[~~JTI.~~,iE.Q~Lt'J~m.~~\l~llf(tD.Jil~~~~i~~iJ~$' re' lec (ov<? Ct State: dR ZIP: ')775'0, Branch circuits: new, alteration, extension per panel a. Fee for branch circuits with purchase ofa service or feeder fee: Address: Each branch circuit $ City: & Phone::x Ii -311 - fCt'i? E-mail: b. Fee for branch circuits without purchase. of a service or feeder fee: ZIP: First branch circuit (2) $ 55.00 $ Each additional branch circuit $ 6.00 $ Miscellaneous f~es: 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) CCB license no.: 'I Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: Each additional inspection: (1) $58.00 $ i '~'l'1~1;'W"_~l'~''lli''''S'ffi~''I'B'^i1iifi'i'Wi'S''E'''i{'''.'''' 'r,fu"",,",?JW~ i~~1ilt~~~m,~;b~~~..r.;;uS~(~~A!~~~;g". ,':,~~k{~Ji;:;itw;~i~~.$;i'K' (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) (B) Eater 12% surcharge (.12 x [A]) (C) Technology Fee (5% of [AD TOTAL fees and snrcharges (A through C): NOTICE: XC~l~~~MIT SHALL EXPIRE IF THE WORK GOMMEN ED UNDER THIS PERMIT IS NOT ANY 180 DGED OR IS ABANDONED FOR~ AY PERIOD. \ ~.'\ }1X:~ 440-2584-1 (9/08/COM) S;T-W'-e).s' v-, ~d , "I ,.; <.-\3 c:.{{ J3t .-\1J~' l("lIUll _~~_. j -'\'i l\\ Yt:'rlli\l :"IF. .,' ,'-.:-' f I' - 1;1\l~~l!~~l1!r~lill.lfill .~1 ...?~d.~i('~'.6o;i.lJ.. ,:.",,;,:'-' . :~~?;f",s.~I,rc,:l ~.,',f;'-,S;i-:~.j (,R.'~;-';~ .p;--',;:,~\!""., ': ...~_\\,-'\~ .,:~'- D3" 1- "3/ - / ( This p,;-'rinii isis5IJed under l),c\R ol3-:.!60-0030. Permils e:\pire ;r...,,'C'l'h i~ nc;[ SI.;rl2d \\"iihin JSCi d:,ys($i55u:"JnCe (,r il\\'t)["\.: is suspended fCI( 1 S(\ d],,::. LOCAl. GOVERNMENT APPROVAL I I 103": i This proicci h3S flil3i LillC:'use approval I ' \ S;gn,HLJfc' \ Th;s proje':l h3S DEQ c:ppro'.'31. \ SignJlure: ZC"Ling .sPf"c'\'01 vc[.ij"lcd' Ollie ONo DYes F'rc'pur\' I:' '.''-~;~'~;;, :1,:;('.d plain 0 YES ,----;" U ~',o i' , \ 0 Res,d.~nliJI C,A TEGciRyO~CONS.TRUCTlON' o Government DCOil,ri",t:,C;;3\ LOCATlor,'., JOB, SITE i~iFORrv;!\TION AND n~aB "-,." 5-, ),)b si,c "ddre-ss' 7'0' f+$....-.-r "1 liP' '"77'77'?, . 9fT , C:>~ (ii\'. 'S:~"'A(Lc.id. Subdiv{~,ion':~.....w\~l>S Relerence 80 t.. 0 $\ \ Stale' OR \ Lot no TaxloL PROPERTY OWNER Name. /-/6-\ ~ .- ,A,ddress: ;;J.4Gtj .~lJ AICt(,'((. ! ,", ;".' I I S'>1e 0'0 ~.~"-('tQnCI I. '"'- , I' I r:-:IC';-Ie: ~i.!1 - ~"'R - /-;'L:; '\) i FtC-:: i E.madt~l2-\t",,,,oN€il HI\:'(~L"'<\l-l4o""""'" Co.... I Tn;s illSl3.llation is being made on rtsidential or farm properly owned by me or 3 member of my immediate family, and is exempt from licen~.ing requiremenl~ under ORSg_OIO Sign here- f. "7'(1 I , I ZIP'j7/')G i I I I I I Ciry' CONTRACTOR :INSTLATION:" /Jo; '/~rr { Slale uK_ Fax; 3,11 - ?-il Phone' E-rnail' Ce8 license. I-I(].: c.. or; P,in' name, fa.,,- - t~\\rl-\c."-,,,\)A1 Sign'iJIUre:f A. I , I i r-j~rrH: I Utcliiol I, Plu mbing lYIech:Jnit:Jl SUB,COI~TRAttOR IN~bRI,1ATI'0N" ' i cc~ '~i'tt~,~~N~!~~e'r'r phone Numbn I 17]\(,10 I I 3171{7 I IYI2n I FEE SCHEDULE ]. VJluJtion informJtion i l I (3) Je,b ,jt5oiplion: (ll(Upancy (")1 ~.ir\l( ii(.~ ".'~":' S,-:(j"re fefl COSl pel sqUi:re 11)(11 (Jlhcllr,f0irnaliol1 Type LlfHe3!: !:-v, ", EIHrg,)' p~~~: .;2i~i [YJ ntw 0 aller<Hlon (b) Foundation-only permit? Tot:Jl vtllufltion: IB~iliJ)bgt';es ' (3) Permit fe~ (use V2\U<1lion lable): (b) 11,....'esiigati'Jt fee: (("o.u511o [2a1): (c) ReinspeClion ($ Der hour)' (nLlmber 8fhm.:rs:< fe~ 'per hc'..!rY o 3.ddilion DYes DNa s (d) Enter 12':';0 surcharge (\2 x [2;,,-c-2b-;-2c]): (e) Subtotal of rees above (2<1 through 2d)' I I (a) Plan review (65% x permit fee [2a)): (bJ Fire and life saftty (40% x permil fee [2a))' (e) Subiot~il of fees 8bove (3a Clod 3b): I (3) Seismic fet, \%(.01:< permit fee 1231)' TOTAL fets 8nd surch:Jrgcs (2e-;-3("+<l~). $ '~ I t?~willamalane t-w Park and Recreation District Job. No. ~\\~ \~9J PARK AND RECREATION SYSTEM DEVELOPMENT CHARGE WORKSHEET . January 1-December 31, 2011 . ... PHONE: ,~ t . 2.~ld18ro :~TE:.Di.ZIP: (\,1. \. ~lo LOCATION OF PROPOSED BUILDING SITE: Street Address: ~~C\.B \\0\\ \.l bX:; Plat Name: \k) t;) J'b 0(j\.~ Tax ~ Number: _I ~rY2./')'5 \ \ n 1cO 1. DEVELOPMENT TYPE (Refer to development type definitions on the reverse.) A. Single-Familv Detached cO NO.OF.UNITS \ X $3,409 per unit = $ ~4D1. . B. Single-Familv Attached NO. OF UNITS X $3,404 per unit = $ c. ~llulti-Familv ,h.oartment NO. OF UNITS . X $2,800 per unit = $ D. Single Room Occuoancv NO. OF UNITS X $1,400 per unit = $ E. Accessory Dwelling Unit NO. OF UNITS X $1,705 per unit = $ 2. SDC CREDIT (If applicable. SDC payer must furnish proof of credit approval.) ($ ) $ 9J.cDq~ 3. TOTAL PARK AND RECREATION SDC ASSESSED ~.;~ ~h~{)~ . City of Sp 'ngfield . . \)().i)\~ \?)Gt)\~( City of Springfield . '. . .... ~ ~--!-J ~()t I Date of building permit submittal J / lL Ailll Date of building permit issuance SP.RIN.G.F..I.E~.O . . '-.~ . ;'';\OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 51 . Springfield, OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-00143 4898 Hollv ST perm itcenler@ci.springfield.or.us RECEIPT NO: 2011000275 RECORD NO: 811-SPR2011-00143 DATE: 02/11/2011 r[)ES.tRIP_TION!L~~D~?~~' '.3":tt~~ i 25:;~:'\.%~~Jl'J;;;: ?;:;:~0;AtC0.UN"t..CODE,";' h -'0' " ";.' ~ :AMdlJNnidEi~, ''';:2) Address Assignment, each new or change 224.0~OOO.42..?~02 .__-28.00 . Admin fee (10% of applicable fees) 224.00000.4266~~____.__ 8.'!.9__._ Curb Cut/Driveway 1st 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 Planning - Major Review - City 100-00000-425002 211.00 Range hood/other kitch~n equipment 224-00000-425604 13.00 Residence wiring 1,000 sqcft,-o.r less 224-00000-426102 134.00 _.F3.esid;ntial Fire (.~.!:.".':. Sq Foot) _____WO-00000-424005 80.85 SDC: Administrative Fee - MWMC Regional Wastewater SDC 611-00000-426604 10.00 SOC: Compliance Cost - MWMC Regional Wastewater SOC 444-00000-426607 22.63 SOC. Improvement - Transportation SOC 447-00000-448027 1,811.51 SOC. Improvement Cost - Local Wastewater 443-00000-448025 1,092.93 SOC. Improvement Cost - MWMC Regional Wastewater SOC 445-00000-448025 1,333.57 SOC: Improvement Cost - Storm Drainage 440-00000-448028 709.17 SOC: Reimbursement - Transportation SOC 446-00000-448026 497.07 SOC: Reimbursement Cost - Local Wastewater 442-00000-448024 2,239.24 .,. SOC;:,Reiml:lu~s'Cl11ent Cost - MWMC Regional Wastewater SOC 444-00000-448024 .,_.___..___~~7 SOC: Reimbursement Cost. Storm Drainage 441.00000-448029 487.41 SOC: Total Sewer Administration Fee 719.00000.426604 275.06 __.?OC:_Total Transportation Admini~tration Fee 719.00000-426604 140.21 Sidewalk up though 90 Feet 201-00000-428060 88.00 Single-duct exhaust (bathrooms, loilet compartments, ulility roar 224-00000-425604 9.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 168.03 Structur.."1 Building Permit Fee 224-00000-425602 798.29 Technology fee (5% of permit total) 100-00000-425605 79.21 ___ Temp services 200 amps or less 224-00000-426102 63.00 Willamalane fees - Single family detached 821-00000-215023 3,409.00 TOTAL DUE: 14,261.24 t',-.~ CgMMi;'NJ:.st:;..:,',:. 1'''. ' .'v',~' ,';; ,)>.MOUNT.pAID,,:,ijf!'!iiT 7.': I 14,261.24 L-~~i~_~.~i~iifi~~- ,",~_"'_C~_' B:~ YOR.:i'';"CA"SHlEkroBot;V'LSBV( , Check HAYDEN ENTERPRISES INC 33827 TOTAL PAID: 14,261.24 S:;~~N_~.FIE~ ~~', ~OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 8t Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-00143 4898 Hollv ST permilcenter@ci.springfield.or.us RECEIPT NO: 2011000188 RECORD NO: 811-SPR2011-00143 DATE: 01/31/2011 IDESCRlfii'loN~::\.':" _;~:~'~Z.-,.'$,~;,':,;1';',::S-,:";,~'F,.~;,-:;Ac-C6Uf.l'['CODE:.> .', "o,.?t2fc.:;::"l;,,:AMOUNT DUE:":LL:,' 2..j Same as Plan Review Submitlal 224-00000-425602 250.00 __~". ___..__,._.._..____.W'..._~."'q._.,.~ . "_ _._ TOTAL DUE: 250,00 ~~e~YM~~NtfOCe.~:,-"., " .e~_iO.R~~sHIER':<DBOWlSBy~~' ,;~?i,J~~9-<>.:MMJ;NI$~~:::~, ~}M~., ~G;,. ,;z'.~MOUNT F?AI.9~~";L4-?;' < 4~ J>~~J Credit Card HAYDEN ENTERPRISES INC 250.00 027509 TOTAL PAID: 250.00 gsr 4,617 S.F LOT 97 N SCALE: 1" =20' HAYDEN HOMES 2464 SW GLACIER PLACE, SUITr 110 REDMOND, OR 97756 (541) 923-6607 / \ HUN / 15 4,879S.1 u 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 98 ADDRESS: 4898 HOLLY ST. WESTWINDS SUBDIVISION SPRINGFIELD, OREGON DATE RECEIVED 1 -31 -LL JOE3 No. .S11 1 1 3 ZONE OCCUPANCY GROU� 'I UNITS OCCUPANCY LOAD STORIES TYPE CONSTRUCTION LEGAL DESCRIPTION ISBZ&SL L 1L 73aB - - ADDRESS .. � 060.E OWNER kun hg 1A THE CONTENTS HERE ON HAVE BEEN REVIEWED, WITH ALTERATIONS INDICATED ON COLORED PENCIL. CHANGES OR ALTERATIONS MADE TO THE APPROVED DRA\'•1INGS OR PROJECT AFTER THE DATE BELOW SHALL BE '.PPROVED BY THE BUILDING OFFICIAL. CITY OF SPRINGFIELD, OFREGON �• J Y.�s-'-l.L APPROVED Gv MINIMUM SETBACKS - CORNER LOTS All measurements are from Property Lines -Front yard to House 10 feet -Front yard to Garage 18 feet -Street Side yard to House or Garage 10 feet -Interior Side yard to House or Garage 5 feet -Rear yard to House or Garage 10 feet P.U.E. MAY CHANGE SETBACKS Q' STREET TREES ARE REQUIRED. Please refer to attached Development Code Section regarding the placement and types of allowable trees. Z a l ems, PM I (uJ ago( 26i vw) S. y-gj_A . �k NOTICE: THIS PERMIT SHAD. EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. 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 .800-332 2344). cxtY +Nv st'h-TE 4a&Mr � !Ir-TT�(fi�ti�NTs �YArJ- Work shall be installed in accordance with the approved construction documents and any changes made during construction that are not in codecompliance with the approved construction documents shall,b.e resubmitted for -approval as an.amended set of construction documents. OSSC 106.4/DRSC 106.4 These plumbing pians are NOT reviewed prior to permit issuance. Plumbing work shallxomply.\aatb current cottes.and ►ill be fietd, • • inspected.fgr.*9aM f0de. •••..` These electrical plans ire NOT: reviewed ptiaeiO perigtf.iSsuarl� ` Electrical wor}c s�-lall comply with current codpq A**rJd wiLbe field *---- inspected fol:`oomplic+cc. :0000: 6*99 EVIEWED:FOR 0060 CODE COMPLIANCE