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Home My WebLink AboutPermit Building 2011-3-4 .. www.cLspringfield.or.us PROJECT STATUS: STATUS DATE: CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00245 IVR Number: 811131019765 Issued 03/04/2011 ISSUED: APPLIED: 03/04/2011 02/16/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us EXPIRES: VALUE: 08/31/2011 $151,538,00 SITE ADDRESS: 4873 'GLACIER DR, SPRINGFIELD, OR 97477 ASSES OR'S PARCEL NO: 1802051109800 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential New Single Family Dwelling SAME AS 510-841/4867 Glacier Phone Number: OWNER: ADDRESS: JHD3 llC 2464 SW GLACIER Pl REDMOND OR 97756 Contractor Type General Contractor Mechanical Contractor Electrical Contractor Plumbing Contractor # of Units: Construction Type Occupancy Comments Occupancy Type Occupancy Comments Occupancy Type Construction Type # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: CONTRACTOR INFORMATION Contractor Name HAYDEN HOMES lLC PACIFIC AIR COMFORT INC TOP NOTCH ELECTRIC INC K & B PUMP SERVICE Lie Type GGB GGB ELECTRICAL PLUMBING BUilDING INFORMATION' ~ Lie No Lie Exp Phone 172526 10/11/2012 541-923-6607 39237 03/25/2012 541-672-9510 C220 07/0112011 541-317-1998 PB701 07/01/2011 541-928-8942 lot Size: Sq Ft 1 st Floor: Sq Ft2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 24 ._, 'N' oeeqpal1ClW'R't/uires you to 206"t,lpted by the Oregon Utility :' "r. Those rules are set forth u :")1-(")10 through OAR 952-001- , ,<:8,/ ~:.b!ain copies of the rules by t' 0 <..~,. j,.. (~lote: the telephone : 20681:I'ego:1 Utility Notification Gb'lle,. IS 1-800-332-2344) 2008 . 1408 403 Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit Type VB 1408 s.t. # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: 1 18.58 F crced Air Gas R-3 403 s.t. Gas Electric No U Type VB 3 No No Path 2A Certified performanceMtested duct system Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal J Development Code: l1uloI... . Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Site Information ~ "OTlCE: (HIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. No No No No 3/4/2011 10:41:22AM Page 1 of6 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00245 IVR Number: 811131019765 SrRING. FIE.L~ . ~;011~_.. .~.. ...... ""'-~Jl' J'1;,;~__ OREGON www.cLspringfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 03/04/2011 ISSUED: APPLIED: . 03/04/2011 02/16/2011 EXPIRES: VALUE: 08/31/2011 $151,538.00 SITE ADDRESS: 4873 GLACIER DR, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051109800 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential New Single Family Dwelling SAME AS 510-841/4867 Glacier PROJECT DESCRIPTION: . Fronlyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: DEVELOPMENT INFORMATION . ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure _ to north proper:tY line: 14 5 5.19 25.97' o 2 REQUIRED PARKING Total: 2 Handicapped: Compact: Yes 39.5 18.5 ~ PUBLIC IMPROVEMENTS Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: ~ Valuation Description Descriotion R-3 1 & 2 family U Utllity I misc. Tvoe of Construction VB VB Springfield Building Permit 3/4/2011 10:41:22AM Unit Amount Unit Tvoe 1,408.00 Sq Ft 403.00 Sq Ft Unit Cost 96.83 37.72 Value 136,336.64 15,201.16 151,537.80 Page 2 of6 Sr1!l.R..I\N.G..:IE.~~... ' ~.'" "'~ ";^....~v- :~OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00245 IVR Number: 811131019765 www.ci.springfield.or.us 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 03/04/2011 ISSUED: APPLIED: 03/04/2011 02/16/2011 EXPIRES: VALUE: 08/31/2011 $151,538.00 SITE ADDRESS: 4873 GLACIER DR, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051109800 SCOPE: Single. Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential New Single Family Dwelling SAME AS S10-841/4867 Glacier PROJECT DESCRIPTION: I FEES PAID Descriotion Structural Plan Review Fee Residential --- --~"'~.__. SDC: Total_Transportation Administr~~on Fee Furnace - up to 100,000 BTU -'3ange hood/other kitchen equipment Flue vent f?r water heater or gas fireplace Single-duct exhaust (bathrooms, toilet compartments, utili First Appliance Fee Residence wiring 1,000 sq. ft. or less Each added .5.0.0 sq. ft. or portion Temp services 200 amps or less Residential Fire (.05 Per Sq Foot) Sidewalk up thou9h 90 Feet Curb Cut/Driveway 1 st Cut Multiple Permit Discount (Max 2) Gas Pipin9 up to 4 outlets Admin fee (10% of applicable fees) SDC: Reimbursement Co~t w Storm Drainage SDC: Improvement Cost - Storm Drainage SDC: Reimbursement w Transportation SDC SDC: I~provement ~ Transportation SDC SDC: Reimbursement Cost w Local Wastewater .,_..^".._-_.,,-- SDC: Improvement Cost w Local Wastewater SD~: Reimbursement Cost- MWMC Regional WastewatE SDC: Improvement Cost- MWMC Regional Wastewater ~ SDC: Compliance Cost - MWMC Regional Wastewater 51 SDC: Administrative Fee - MWMC Regional Wastewater: SDC: Total Sewer Administration Fee State of Oregon Surcharge (12% of applicable fees) Technol09Y fee (5% .cfyermit total) Willa.malane fees - SinE!fe family d"etached Address Assignment, each new or change Structural Building Permit Fee One or Two Family Owelli,ng ~,,\!.h Two Ba~h Planning - Major Review - City Total Amount Paid Springfield Building Permit Amount Paid Date Paid $598.25 02/16/2011 $138.63 03/04/2011 -----,.,..-.--.. $17.00 03/04/2011 ---~--~ $13.00 03/04/2011 $9.00 03/04/2011 $27.00 03/04/2011 $79.00 03/04/2011 $134.00 03/04/2011 $50.00 03/04/2011 ".~...,--~---_.._--- $63.00 03/04/2011 .$91.75 03/04/2011 $88.00 03/04/2011 $88.00 03/04/2011 $-30.00 03/04/2011 $7.00 03/04/2011 $9.18 03/04/2011 $357.62 03/04/2011 $520.62 03/04/2011 $497.07 03104/2011 $1,811.51 03/04/2011 $2,766.12 03/04/2011 $1,350.09 03/04/2011 $101.97 03/04/2011 $1."333.57 03/04/2011 $22.63 03/04/2011 $10.00 03/04/2011 $299.94 03/04/2011 $203.21 03/04/2011 $93.87 03/04/2011 $3.409.00 03/04/2011 $36.00 03/04/2011 $920.39 03/04/2011 $374.00 03/04/2011 $211.00 03/04/2011 $15,703.62 3/4/2011 10:41:22AM Reciot # 2011000297 -'.._.~'~_."-- 2011000397 2011000397 2011000397 2011000397 2011000397 2011000397 2011000397 2011000397 2011000397 2011000397 2011000397 2011000397 2011000397 2011000397 2011000397 2011000397 2011000397 2011000397 2011000397 2011000397 ._---------~- 2011000397 2011000397 2011000397 2011000397 2011000397 2011000397 2011000397 2011000397 2011000397 2011000397 2011000397 2011000397 ..-.",,,.,- 2011000397 Page 3 016 ..< CITY OF SPRINGFIELD Building I Residential Permit P,ERMIT NO: 811-SPR2011-00245 IVR Number: 811131019765 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 03/04/2011 02/16/2011 Issued 03/04/2011 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci.springfield,or.us EXPIRES: VALUE: 08/31/2011 $151,538,00 SITE ADDRESS: 4873 GLACIER DR, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051109800 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential New Single Family Dwelling SAME AS S10-841/4867 Glacier PROJECT DESCRIPTION: Plan Review ~ Deoartment Application Acceptance Received Due Date Comoleted 02/16/2011 02/16/2011 02/16/2011 Result Application Accepted Reviewer Chris Carpenter Planning Review 02/23/2011 02/23/2011 02/24/2011 Approved Deyette Kelly Comments: Front elevations are site specific and contain REQUIRED design elements. Inspectors will field check that actual " Public Works Review 02/23/2011 02/23/2011 02/25/2011 Comments: Received on 2-25-20111 Stormwater to tap Approved 03/01/2011 03/01/2011 03/04/2011 Issued Permillssuance " Springfield Building Permit 3/4/2011 10:41:22AM, '".;,.- Kaye Wilson Chris Carpenter Page 4 of6 www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00245 IVR Number: 811131019765 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: 03/04/2011 02/16/2011 EXPIRES: VALUE: 08/31/2011 $151,538.00 03/04/2011 SITE ADDRESS: 4873 GLACIER DR, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051109800 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential New Single Family Dwelling SAME AS 510-841/4867 Glacier INSPECTIONS REQUIRED I Inspections 1020 Zoning/setbacks 1 090 Street Trees 1110 Footing 111.8 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 Insulallon Wall Wall Insulation: Prior to cover. 1440 Insulation Ceiling 1520 Interior Shearwall 1530 Exterior Shearwall 1540 Gypsum Board/Lath/Drywall 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. Underiloor 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 conn~cted 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. 2200 UnderfJoor Mechanical 2210 Underfloo'r Gas 2260 Gas Service 2300 Rough Mechanical 2995 Final Gas 2999 Final Mechanical 3130 Footing/Foundation Drains Springfield Building Permit 3f4/2011 10:41:22AM Page5of6 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00245 IVR Number: 811131019765 225 Filth SI 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 03/04/2011 ISSUED: APPLIED: 03/04/2011 02116/2011 EXPIRES: VALUE: 08/31/2011 $151,538.00 SITE ADDRESS: 4873 GLACIER DR, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051109800 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential New Single Family Dwelling SAME AS S10-841/4867 Glacier 3170 Underfloor 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 Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete" 4000 Temporary Power Service 4225 Service or Feeder 4500 Rough Electrical Rough Electric: Prior to Cover 4999 Final Electrical Final Electric: When all electrical work is complete. By signature, I state and agree, thC!t I hav.e 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 ~ork 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 a1 a\l1imes during con*3on# s- '(- ( ( Owner or Contractor Signature Date Springfield Building Permit 3/4/2011 10:41:22AM Page 6 of6 Electrical Permit Application 225 Fiflh Slreet. Springfield, OR 97477. PI-I(S4l)726-375Jt FAX(S4 1)726-3689 SPRlr.'C'FIE':LD ocr r'PTMENTLJSE'ONL'y--1 I I ~! r~-- I , 1 I Penlllt no 5(1- 2'-( J I I Dale 7-11 U II ( I I This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started wlthin180 (hlys of issuance or irwork is suspended for 180 days. I LOCAL GOVERNMENT ApPROVAL ,- I Zoning approval verified? DYes D No CATEGORY OF '.CONSTRUCTION .'. 5Residential I 0 Govemment I 0 Commercial JOB SITE INFQRMA:rION?'ANOi.llibCA'rlbN:.;:;V. .lob site address: l18-=t'3 r,;.....~C"R- ~ I ~~~er~~:I'-O;~\~~c::), ;tate OR- Taxl~:P~~~~ I,... DESC IPTIO.N OF WORK: -'. - . . <..""'i m l 0 . n t(\( ~ R "0 [") \ n:j. N - \, O"^ 0 ) ~ fill ~ Js;/i7 pm I"l R .y OWNER',. Name: f.J.l'<'tbC-N ;'kH'^,C;S Address: 7'/ld ";,w (~'-'~\~ I'L :#- 110 City: (>~Mc00\; State: OIL. ZIP: 9''I)-s''(L) Phone: '''II ':'134. '5,S-LQ Fax: - . E.mail: Z,k-""\>Q.\C(<--::>os-l@ 4A{(\c.70-H0Mc6 .4:..'<-'- This installation is being made on residential or farm property owned by me or a member of my lmmediate family. This properr)' is not intended for sale, exchange, lease, or rent. OAR 479540(1) and 4~(1). Signature: 7 . . CONTRACT.OR INSTALLATION . Business name: "14tt1 ~\l) t t"'h r:-J,., 7",ir "r .JIC,. Address :2l)51 79 ~\.leu e:J-: City RiO ",\ suire: /)/l. zIP:u9770 l I PhoneSf(-?t7J qQI Fax: E-mail: CCB license no.:/12 ::Ii." I BCD license no.: c.-e2D Signing supervisor's license no.: Ll... r-...'" Print name of signing supervisor: if .1.. S4f.:,,~7 "'~ ~ Signature of signing supervisJ;' I ~'" A ~. .IJ.~ 41_. .,J 'C.\ro\ j~ 'HO-2584-J (9/0S/COM) FEE SCHEDULE' .,', Number of inspections per item () Qty. Cost ea. Total cost Residential, per unit, service included: 1,000 sq It. 01 less (4) Each additio1l31 500 sq. fl. or portion thereof ( $134.00 $ L':' II ?- $ 25.00 $ ~JY $ 32.00 $ $ 63.00 $ Limited encrgy,'(2) Each mRllufaclured home or modular dwelling service or feeder (2) Services or f('relns: insra/{otiol1, allt?(o/ion, relocation 200 amps or less (2) $ 81.00 $ 201 10400 amps (2) I $ 95.00 $ 401 to 600 amps (2) I $158.00 $ 601 to 1,000 amps (2) $205.00 $ Over J ,ODD amps or valls (2) $469.00 $ Reconnecl only (2) $ 63.00 $ Temporary services or feeders: insta!lQ!ian, alreralion, relocation_ 200 amps or less (2) i $ 63.00 $Tn ,,") '\II 20t 10400 amps (2) 401 to 600 amps (2) Over 600 amps or 1,000 volts, $ 87.00 $ $126.00 $ see services or feeders section above Branch circuits: new, alteration, exlelJsion per panel 3. Fee for branch circuits with purch8se of a service or feeder fee: Each branch circuil I $ 6.00 $ b. Fee for branch circuits without purchase ofa service or feeder fee: First branch circuil (2) Each additional branch circuit $ 55.00 $ $ 6.00 $ Miscellaneous fees: service orfeeder 110t included Each pump or irrigation circle (2) Each sign or outline lighting (2) Signal circuit or a lirnited~encrgy panel, alteration. or e:\ltnsion (2) E3Ch additional inspection: (I) $ 63.00 $ $ 63.00 $ $ 63.00 $ ..,:' :C'.", '.: : . APPLICANT USE' .. $58.00 $ ,.'::.'.....c .. ~41P '~ ~~~t (A) Enter SUblGia) of above fees (J\.1inimulll Permit Fee SS8.00) (B) Enter] 2% surcharge (.12 x (A 1) (C) Technology Fee (5% of [AD TOTAL fees and surcharges (A through C): $ Structural Permit Application "DE~ARTMEt.JruSEONLY j . ',-.- SPRINGFIELD ~':'~ , ~A'""J " ~~~ Permit no.: S II 2L( -;- 225 Fifth Street< Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689 ~ . "5 ~ t\'".> ~(L "Z-Ol 0 - 008'1 ( Date' 2- u / This permit is issued under OAR 918-~fM'3'ri. p0~1~ic~ is not started within 180 da~s oCissua ce or iCwork is suspended Cor 180 days. tf;"'" ....,," 'fJit_; -'"", ")'...~""'" ~~' ,,~~'~'il '~i~Jli:~~~-'.~-!....~?;r;-J ff",~~~l,~~~'~ ,"''';; M~ ;' 0,'.;;;,,(&IJ;Y_ QF,.lSJ'lI~'!}.I9FgJQj3E>~~EQO~~~F~~~~1:,":~'i'" Il'~tp.~"" ~.;~<;F ;:'}c\~t!~qcqA~) q'QY~t~NM.~N.Jf~I;l,;e.~'~-c:)Sl~!1.~:;;~~ttiti;;i~~~~~~~*~<~ This project has final land-use approval. Signature: Date: This project has DEQ approval.. Signature: Date: Zoning approval verified: 0 Yes 0 No Property is within flood plain: 0 Yes 0 No ",.",,"..,,:,'.;:X"";lv""'cf~..'r" .~,..:>,.,." : .,., ," 0.' ~.''''''''''''''C'',,'C'~-~'_'':'_'''__'''''_''''_'._,'f'<''''''Y'''''''';''''':-~ "",;" '. "'sr. >::'''' j jfflj;iit~",,1\\r~1C:.e.r.E;!.>9BY&QF,g,C.QNl>JlRlJ_qrIQNiii.{tl~;;;]I~hlW~iJ, ~~r::!;~;;~"S';[E!..iN~0~~:~i5~~ANDj;EO~A~5~;;'~~1f;~f{~;i _.._....lIr""'...'_~....,,..,,'__,.',.._;.'.___.-'.._,..,'~ '_'_"" _'___ . ',,"..',. _.",...,..____._,.....""..____.._.._...;1:<:1:..".._", Job site address: l{p,-=t3 G,("~I<="L ~L City: ~fe.1 ,.l(~f\ I1'"t.CI State: <9C2- I ZIP: /fT4)-l:) Subdivision: I.JL~TloOl"'O:; I Lot no.: ':7"1 Reference: / 80 20 '5[/ I Taxlot: 09100 ,. " PROPERTY c)WNE~' .-,' , . . .. i'. I.f.,..yr,~ JIQ""""" , Name: Address: 'L'/&4. Sw C..,'-~ ~L .sI.UlV* IlO City: (2.c>c;:,"""''-I\::) State: ()L I ZIP:<f,."Klo . Phone: Silf S5L< -<>T<;;L;. Fax: - - E-mail: L.ttt.,Jl-'It:>lZ-KU,O.J dP 1W(1)c'N-IIoMeS, ClOt'\. 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: [. ~ . . CONTRACIC)RA~SlAt,LA'r@N'., \.: , \ . ',; ..:i ,. Business name: H-f\ 'fClG''':' I~~ Address: Z'-IloL( ~w (... <A<.-l~ i:>L '>tu'r"t #Il~ City: ~"tI~ State: OL I ZlP:'hTslo Phone: s<ll - <."Q:., .S~ Fax: - - E-mail: [~I'.ll:>""(..t.!>~ e tfA'IOc--":' ~ HOM-c::. . U) "'- CCB license no.: I1"L5Z& Print name: t.~c... I-I-G-...'l.t-lc.IU:. o.J Signature: !- 7c! 1[~::&~~~~"~~!~1~~~SU~',:G(:)N:mRAGIt.OR:jl,N.-~Q_RMAtl,Q~~i(t~r~~%;i\~(~i; Name CCO License Number Phone Number Electrical nL~lRlI Plumbing ~1T't~ Mechanical :1<1 n"l- ;'~~:""'::':;;":>~:;:':-fc;',~?L?~\>":,,~_;(~>:;~t~}':j.FEE ~'s-~'ti~,ppL~rp":?:'~:';=',~~'W:il ~".T).:" > " iI,~, 'i!'7:;~y~.t~~i(~rr{i~f~rm'~:Hq~::;f~~~~:&l~~JM;f~~~~[~l~~i~J\ii,tf~r:~~~f;~': (a) Job description: FP Occupancy "'- Construction type: J 63 Square feet: I 'i 0 7 Cost per square foot: Other information: Type of Heat: foeS Energy Path: 2'"u new 0 alteration (b) Foundation-only permit? o addition DYes ONo Total valuation: (a) Permit Cee (use valuation table): (b) Investigative fee (~qual to [2a]): (c) Reinspection ($ per hour): (number of hours x fee per hour) (d) Enter 12% surcharge (.12 x [2a+2b+2c]): (e) Suhtotal of fees above (2a through 2d): $ $ $ (a) Seismic fee, 1 % (.01 x permit fee [2a]): $ TOTAL fees and surcharges (2e+3c+4a): S \ 'V '>G '--' {} I've/::) ~~ "" 1 ~ ~'I \~~ \X1 ~ <0. "'2~'willamalane t'\j Park and Recreation District Job. No. ?:, \\ ..~t\~ PARK AND RECREATION SYSTEM DEVELOPMENT CHARGE WORKSHEET January 1-December 31, 2011 NAME: ~\\~ 'b L~ ADDRE,ss:A~\9'tsw ~: , PHONE:~\ -5Dk? 6l~ ~Q~ATE:ot.zIP: LtTl~ Plat Name:' Tax Lot Number: 1" DEVELOPM ENT TYPE (Refer to development type definitions on the reverse.) A. Single-Family Detached \ X $3,409 per unit = 'cJ -~. NO. OF UNITS $ B. Single-Family Attached NO. OF UNITS X $3,404 per unit = $ C. Multi-Family Apartment NO. OF UNITS X $2,800 per unit = $ D. Single Room Occupancy NO. OF UNITS X $1,400 per unit = $ E. Accessorv Dwelling Unit NO. OF UNITS, X $1,705 per unit = $ ($ !1>> , $ ~~ffi .CX/ 2. SDC CREDIT (If applicable. SDC payer must furnish proof of credit approval.) 3. TOTAL PARK AND RECREATION SDC ASSESSED ~fu {lQ( 1 Date of building permit submittal '~'/L~' Date of building permit issuance TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-00245 4873 GLACIER DR permitcenler@ci.springfield,or,us RECEIPT NO: 2011000397 RECORD NO: 811-SPR2011-00245 DATE: 03/04/2011 [OESCRIBlION#7"':j" .' ....;,?~.f1.'='-"'. ;;;;:.'2. ..;;;:;t""j;;',f-;t"AC~COUNLCODEsiF~;:;;;b: ;::- .'. AMOUNJ:lJUE;f'F:.":.J Address Assignment, each new or change 224-00000-425602 38.00 Admin fee (10% of applicable fees) 224-00000-426605 9.18 Curb Cut/Driveway 1st Cut 201-00000-428060 88.00 Each added 500 sq. ft. or portion. 224-00000-426102 50.00 _First Al'!'liance Fee 224-00000-425604 79.00 _~~en.!.!.~r water heater or gas fire~l~e 224-000CJ.CJ.-425604 ..____.__~9......._ __F.urnace..:..ue.~o 100,~00 EJ.'T'!:I______.... 224-00000-425604,___.__ _____1.7.00 ....._ Gas Piping up to 4 outlets. 224-00000-425604 '__"___ __.....l~~_.__._ Multiple Permit Discount (Max 2) ."..________.201-00000-428060 ____._:30:1!.2.___. One or Two Family Dwelling with Two Bath ._..,..___ 224-00000-425603 374.00....__ Planning - Major Review - City 100:00000-425..002 211.00 Range hood/other kitchen equipment 224-00000-425604 13.00 Residence wiring 1,000 sq. ft. or less 224-00000-426102 134.00 Residential Fire (.05 Per Sq Foot) 100-00000-424005 91.75 SDC: Administrative Fee - MWMC Regional Wastewater SDC 611-00000-426604 10.00 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 4~~.:?_0000-4~~2.2~____...___ 1 ,350.09 SDC: Improvement Cost - MWMC Regional Wastewater SDC__~~.:.0_0000-4480?5 _'__"__ ._~~~!______. SDC: Improvement Cost. Storm Drainage .__.,_.~~-0~CJ.~0-4480~8 ,..__~Oc62 ,__ .- SDC: Reimbursement - Transportation SDC 446-00000-448026 497.07 SDC: ~ei..m_~urse:ment Cost - Local Wastewater 442-00000-448024 ..__._ 2,?6~13..._._ SDC: Reimbursement c::~, - MWMC Regional Wastewater SDC 444.00000-448024 101.97 SDC: Reimbursement Cost - Storm Drainage 441-00000-448029 357.82 SDC: Total Sewer Administration Fee 719-00000-426604 299.94 SDC: Total Transportation Administration Fee 719-00000-426604 138.63 Sidewalk up though 90 Feet 201-00000-428060 88.00 Single-duct exhaust (bathrooms, toilet compartm~nts, ~tility roor 224-00000-4256.04 27.00 ~ate of Oregon Sur~r,'O':ge (12% of applicable fees) 821-0001!0-?:I.500.4.__. ?CJ.32'!.____ Structural Buildin9 Permit Fee 224-00000-425602 ".." 920c~____... TechnologL~ee (5% of permit total) 100-00000-425605 93.87 Temp services 200 amps or less 224-00000-426102 63.00 Willamalane fees - Sin91e family detached 821-00000-215023 3,409.00 TOTAL DUE: 15,105.37 [~'PAYMEt'olT;tY;PE:L:~:.::JP.AY~S'-'IER:Cc'ARPENiER\'~:;:J."'*{COMMENj~1;t:;i ..ii~:;7i"~.;.i;"';~:AM,.O_l!NJJ'AID :,,;:~/ . . .j Check HAYDEN HOMES LLC 15,105.37 34519 TOTAL PAID: 15,105.37 9"' STREET TREES ARE REQUIRED. Please refer to attached Development Code Section regarding the placement and types of allowable trees. These plumbing plans are NOT reviewed prior to permit issuance. Plumbing work shall comply with current codes and will be field inspe&,ed for compliance. These electrical plans are NOT reviewed prior to permit issuance. Electrical work shall comply with current codes and will be field inspected for compliance. THE CONTENTS HERE ON i- XIE BEEN REVIEWED, VMT€-' ALTERATIONS INDICATED ON COLORED PENCIL. C'H,ANIGEF OR ALTERATIONS MADE TO THE APPROVED DRAWINGS OR PROJ',ECT AFTER THE BATE B-ZLOyW SMALL BE APPROVED BY THE BUILDING OFFICIAL. CITY OF SPRI.NGFIELD, GRE: a -ON APF—RPvTo Br� a� ®AT 3-1 ' �kZTA<�.�_ CP Toto SS !w N4,rAiF_I:RXN&, Gyzr Arr�'a�-t-�J�t�7vTs/F�r�tkr s'�'Lc T2s to MINIMUM SETBACKS - INTERIOR LOTS All measurements are from Property 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 DMY 80 GEWOOD 1408 S. F. 79 //y EDGEWOOD 1408 S.F. \ \ 4,574 S. 0d'> \ \ N SCALE: 1" = 20' HAYDEN HOMES 2464 SW GLACIER PLACE, SUITE 110 REDMOND, OR 97756 (541) 923-6607 / / 4574 S.F. \ �DViIY� � c 00, / O / 78 HUNTRIDGE 1511 S.F. s °O o� BUILDING SETBACKS FRONT (HOUSE) 10' (FROM PL) FRONT (GARAGE) 18' IFROM PL) CORNER• • 10' '(PROM M: • . SIDE 5 FROM P�)•' • REAR 10 49ROM Pr)':' LOT 7b:..: .. 0 • •• ADDRESS: 4873 =1: L FR D. -J• � • • • • • WESTWINDS SUFD'l;i'S-ION' SPRINGFIELD, OREGON :...