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Home My WebLink AboutPermit Building 2011-3-4 S!..}.I.IN.G.~IE~ ~~~~ ",.~~"~" &""OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00260 IVR Number: 811184739313 www.cLspringfield.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: 03/04/2011 02/17/2011 Issued 03/04/2011 ISSUED: APPLIED: EXPIRES: VALUE: 08/31/2011 $121,621.47 SITE ADDRESS: 4880 HOLLY ST, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051111500 SCOPE: Single Family Residence , WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family residence - SAME AS SPR2011-00143 4898 Holly St PROJECT DESCRIPTION: Phone Number: , OWNER: . ADDRESS: JHD3 LLC 2464 SW GLACIER PL REDMOND OR 97756 Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Fl Basement: -.....- "'~I: OSa.Fi G~rage: . "'''"!don- raw roq . . " 'idc~J1{dWqg~: Wes Y?U to :entE$q 1t~ll\j1f<.l1 0, egOI21J(I/ity I. <.I01-0BHJJ/i1ancY'lO~~~re settorth '. . .'maYobtallic .~"~,...R952-001_ Electrical Specialty Code Edition: . ,ne cEiWRll: (N op!es at the rUles b I '.' "u~r to th . ate' t"e ' I Y Springfield Fire Code Edition: r e Oregon Ut"I:' t8 Gphone Center j 1 . Ity NOlin (' Mechanical Specialty Code Edition: '" s -800-332-2344). ca Ion MUnicipal I Development Code: . .' " " Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Contractor Type Electrical Contractor General Contractor Plumbing Contractor Mechanical Contractor Contractor Name CONTRACTOR INFORMATION ~ Lie Type CCB TOP NOTCH ELECTRIC INC HAYDEN HOMES LLC CCB CCB CCB BUILDING INFORMATION ~ # of Stories: STUTZMAN SERVICES INC PACIFIC AIR COMFORT INC # of Units: 1 17.25 Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Forced Air Gas Gas Electric # of Bedrooms: 2 Sprinkled Building: No Fire Alarms: Energy Path: Path 2A Certified performance-tested duct system Lic No 172366 172526 31747 39237 Lic Exp Phone 09129/2012 541-317-1998 10/11/2012 541-923-6607 05/12/2012 541-928-8942 03/25/2012 541-672-9510 lot Size: 1593 2008 2008 Site Information Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: NnhcE; ,-. . THIS PEP.A "-"::S"'" AUn:ORiz~~ ~I~~ll EXPIRE IF THE WORK' COMMENCED OR ER THIS PERMIT IS NOT,;' ANY 180 DAYp IS ABANDONED FOR .:.. \ ER/OD. ," Springfield Building Permit 314/2011 10:46:1 OAM Page 1 of 6 www.ci.springfieJd.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00260 IVR Number: 811184739313 225 Fifth 5t Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 03/04/2011 ISSUED: APPLIED: 03/04/2011 02/17/2011 EXPIRES: VALUE: 08/31/2011 .$121,621.47 SITE ADDRESS: 4880 HOllY ST, SPRINGFIELD, OR 97477 ASSES OR'S PARCEL NO: 1802051111500 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New' TYPE OF STRUCTURE: Residential Single family residence - SAME AS SPR2011-00143 4898 Holly St Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: 10 5.66 5 27.57 o DEVELOPMENT INFORMATION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: 2 REQUIRED PARKING Total: 2 Handicapped: Compact: Yes 34.4 17.25 PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descrietion R-3 1 & 2 family U Utility, misc. Tvee of Construction VB VB Unit Amount Unit Tvee 1,041.00 Sq Ft 552.00 5q Ft Unit Cost 96.83 37.72 Value 100,800.03 20,821.44 121,621.47 Springfield Building Permit 3/4/2011 10:46:10AM Page 2 of6 S~.~N.~._.FIE~.D . ~,~ .~ ". ~'~~. "'",'XJC "-,~~,, \'!' fi~.Jf.~;, . OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00260 IVR Number: 811184739313 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 03/04/2011 ISSUED: APPLIED: 03/04/2011 02/17/2011 EXPIRES: VALUE: 08/31/2011 $121,621.47 SITE ADDRESS: 4880 HOLLY ST, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051111500 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family residence - SAME AS SPR2011-00143 4898 Holly St FEES PAID ~ Amount Paid Date Paid Recio! # $250.00 02/17/2011 2011000309 $38.00 03/04/2011 2011000398 $79829 03/04/2011 2011000398 $238.00 03/04/2011 2011000398 $17.00 03/04/2011 2011000398 $13.00 03/04/2011 2011000398 $9.00 03/04/2011 2011000398 $27.00 03/04/2011 2011000398 $79.00 03/04/2011 2011000398 ---- ..--.-.-.".-.-,....-"..-.-.. $134.00 03/04/2011 2011000398 $50.00 03/04/2011 2011000398 $63.00 03/04/2011 2011000398 $211.00 03/04/2011 2011000398 $88.00 03/04/2011 2011000398 $88.00 03/04/2011 2011000398 $.30.00 03/04/2011 2011000398 $7.00 03/04/2011 2011000398 $8.07 03/04/2011 2011000398 ~",._--*-_.,-,----_.- $480.71 03/04/2011 2011000398 ~._.,._.._--~-~-- $699.42 03/04/2011 2011000398 $497.07 03/04/2011 2011000398 -.._-~. $1.811.51 03/04/2011 2011000398 -~-- $2.239.24 03/04/2011 2011000398 $1,092.93 03/04/2011 2011000398 $101.97 03/04/2011 2011000398 $1,333.57 03/04/2011 2011000398 $22.63 03/04/2011 2011000398 $10.00 03/04/2011 2011000398 $274.18 03/04/2011 2011000398 $172.23 03/04/2011 2011000398 '-','--- $80.96 03/04/2011 2011000398 $80.70 03/04/2011 2011000398 ,~-~._------- $140.27 03/04/2011 2011000398 ---------_.._-_...~----- ..-~ -~--,.._- $3,409.00 03/04/2011 2011000398 "-----,.--- $14,534.75 Descriotion Same as Plan Review Submittal Addr~ss Assignment, each new or change Structural Building Permit Fee One or Two Family Dwe!ling with One Bath Furnace - up to 100,000 BTU ~ange _ hood/ot~~.~~~~_nH:qu!pment ~Iue v:.nt for w..!~~:ater or gas fireplace _, Single-duct exhaust (~c:.t~hrooms, toilet compartments, utili ~~!..Applianc~~_,___*_.., Residence wiring 1,000 sq. ft. or less Each added 500 sq. ft. or portion Temp services 200 amps or less Planning - Major Review - City Sidewalk up though.90 Feet Curb CuUDriveway 1 st Cut Multiple Permit Disco':rlll~ax 2) . Gas Piping up to 4 outlets Adm..i'2feej10% of applicable fees) ~~~~mbur~:.ment Cost - Storm Drainag~ ~~lovement Cost - ~torm Draina!!e SDC: Reimbursemen.~,:!E~_~,~E?.:!~~ion SDC SDC: Improvement ~ Transportation SDC SDC: Reimbursement Cost - Local Wastewater SDC: Improvement Cost - Local Wastewater SDC: Reimbursement Cost ~ MWMC Regional WastewatE SDC: Improvement Cost ~ MWMC Regional Wastewater ~ SDC: Compliance Cost - MWMC Regional Wastewater SI SDC: Administrative Fee. MWMC Regional Wastewater: SDC: Total Sewer Administration Fee State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) Residential Fire (.05 ~~.."ot) SDC: Total Tran~po~~tion Admin!stration Fee Willamalane fees - Single family detached Total Amount Paid Springfield Building Pennit 3/4/2011 10:46:10AM Page 3 of6 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00260 IVR Number: 811184739313 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: 155 ued ISSUED: APPLIED: 03/04/2011 02/17/2011 EXPIRES: VALUE: 08/31/2011 $121,621.47 03/04/2011 SITE ADDRESS: 4880 HOllY ST, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051111500 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family residence - SAME AS SPR2011-00143 4898 Holly St PROJECT DESCRIPTION: Plan Review I Deoartment Initial Review Received 02/23/2011 Due Date ComDleted 02/23/2011 02/23/2011 Result Approved Reviewer David Bowlsby Structural Review 02/23/2011 02/23/2011 02/24/2011 Waiting Internal Kip Kaufman lfJ<ln~ni~g:R~~!.e~7},~:.~:/t:. _~~~~^~_s~Q2??12 "02!~?I?O-1;1~.5F9?12?l?OJ:1~'~-;~R~r?V.~2:\~~/:'.;f?::~.1~:tge~~~'K.ellY~-~<"',"~;' " ~~rim(~~n~:;:~/~r~n~-~~2i~Q~:~1i~iI~~SH~>_ .:,~~~LS~~t~~ir):figLJI~~,~;&~ii9~;~I:~~Qt~R!~~~'ct~t,~MI!{je!d'c,h~~~':t~t~;ll!aJ<:-:,~ ... [.' "s;"';;:;.L-#i'elevatlons;match submItted ae_sJgns,asshown'ollithe'approved2.~pJans..)',".'t-;; ~ ~)i;~.' '\;.0.';:;;; 004': ."~."" ., Public Works Review 02/23/2011 02/23/2011 02/28/2011 Approved Kaye Wilson Comments: received on 2-26-20111 Storm water to tap '. ~ ' ~...~-,:: - ~~t:~:;' ',,'1' Permit Issuance 03/01/2011 03/01/2011 03/04/2011 Issued Chris Carpenter Springfield Building Permit 3/4/2011 10:46:10AM Page 4 of6 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00260 IVR Number: 811184739313 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 02/17/2011 EXPIRES: VALUE: 08/31/2011 $121,621.47 03/04/2011 SITE ADDRESS: 4880 HOllY ST, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051111500 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family residence - SAME AS SPR2011-00143 4898 Holly 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 Underfloor insulation 1420 lnsulation 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/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 is complete. Underflo.or 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 SeNice'. 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 2~OO Rough Mechanical 2995 Final Gas 2999 Fina! Mechanical 3130 Footing/Foundation Drains Springfield Building Permit 3/4/2011 10:46:10AM Page 5 of6 Sj::~.~G~.le~ ~...,,,U' ..,. 0:;>1' ;;. ... "OREGON www.cLsprlngfield.or.us CITY OF SPRINGFIELD . Building I Residential Permit PERMIT NO: 811-SPR2011-00260 IVR Number: 811184739313 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: I STATUS DATE: 155 ued 03/04/2011 ISSUED: APPLIED: 03/04/2011 02/17/2011 EXPIRES: VALUE: 08/31/2011 $121,621.47 l SITE ADDRESS: 4880 HOLLY ST, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051111500 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Sin91e family residence - SAME AS SPR2011-00143 4898 Holly St 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 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 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 pertormed 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 r~main on the site at all times during canst! ~ "3_ 1.(_ f r Owner or Contractor Signature Date Springfield Building Permit 3/4/2011 10:46:10AM Page 6 of6 .r , Struc~ur~l Permit Application -"--;- 4t. ,....."tl:., cJ-' :< <;:~':'?' ~ ~ .,~~;~~..JP;,:,.'",'~",:.:t ~..._.) .~,';';;:J .1-., ;:;;,t"'.,~" (JnX'Of SI3~INGF:lI2LD~~REGON;\ ~j;;;,,~...- "':_~<,".':"',, DEPARTMENT USE ONLY 5PlL'ZOI( - ex:. z (} Permit no.: This permit is issued under OAR 918-460-0030, Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 5:/t:;VIe A:s-.:1Fs-~ L - L f-3 1;0CA!, GOYERNM!'Ni: APPI'{0VAllc~:,';, '.'.:i./',i;;. 4-'il19 Ifr;t....l...-(< This project has final land-use approval. ' Signature: Date: This project has DEQ approvaL Signature: Zoning approval verified: ~Yes 0 No Property is within flood plain: 0 Yes No j;\i(j;!~0';;~}l\i(c;AtEG()l,iy,;jQFi,~,C,ON~JRi.iGml.Q_N~;&:i;;{u'~b&~%,i,' esidential t' 0 Government 0 Commercial i:)',i';,:,..,:,"UQB.SI!E' ,fNiKPRMATIQN!;'ANRvI1QcAficiNhfM:\T'i";,\\ Job site address: 'fEEO I4I.l.. City: ~,~ Subdivision: tJ"",,, v' i~ Reference: / 0 z.o r ( I '., PROPERTY OWNER ~ I'4:>LL S"'- 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAx(54 1)726-3689 Date: Name: ZIP.q~ rn.. State: Fax: City: 0 Phone:9I1-S.15le -5nlo E-mail: 'ikN l-\<.~ MyOC)'l-I{.OI'-..,,;.(. 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- 7Z.:. ...... . CONTRAqOR iNSTAllLApONc. . Business name: ~ytle'1V -(.~ I..(..L.. Address: Zl.f(.,'-( SU (. t..1~ fl.. S€ lIe) City: ~etl"""O^ t. State: oIL ZIP: 77 ~ Phone: 51.( ~':)"7r" Fax: E-mail: CCB license no.: p-'-S 20;> Print name: Fe,e. ~~\L\<.~N Signature: - 4 ... :ZH!::;:?'ii'2:;0;:'SQE!'C0Nt;Mc;;j[9R!NF.bRI\IIAl'IQN~~reJ~1jF~,Ht:-thfi1{: Name CCB License Number Phone Number Electrical I€>~ oJO 'rt..~ Plumbing S'ru.~~~ Mechanical ~~ll'-\<- MIL . --~-' ." \, Date: z-{ 7 - { ,'\:!;:"FEE:S~HEDiJLE;";:'. . ';i;.;:;~Y~1~~_~j'9Aip~to:r~'~#9fi':~~iD}ff,!~:,~~~t~}2:~~.J:;_JL{:~i;~;"!~~1f.,:'~:;~-i (a) Job description: S,~ Occupancy ~3:~ Construction type: fi 56 -'il;.', (f,~j,i.":A;~~,. " Square feet: Cost per square foot: 'O'1~ Other information: Type of Heat: {; Energy Path: C new D altera ion D addition DYes (KlNo (b) Foundation-only permit? Total valuation: ;:~}'~B,~U4~hlfee~_i,;f,~t,;i;~~~}fl::*;t~;j:)Jt:;!;,-';)ht~N.}/:;;.(;.!;'" ..' (a) Pennit fee (use valuation table): $ (b) Investigative fee (equal to [2a]): (c) Reinspection ($ per hour): (number of hours x fee per hour) (d) Enter 12% surcharge (.12 x [2a+2b+2c]): (e) Subtotal of fees above (2a through 2d): 11~_~;f~i~~~~~.i.~~f~~$~~~~~2~'~~~~~~l~~~'\ $ $ $ $ (a) Plan review (65% x permit fee [2a]): (b) Fire and life safety (40% x permit fee [2a]): (c) Subtotal of fees above (3a and 3h): (a) Seismicfee, 1 % (.01 x permitfee [2a]): $ TOTAL fees and surcharges (2e+3c+4a): $ ~'\S>~Q (\\'v 0/:. ~-~ ~ ~ Jb-!V;Sr Electrical Permit Application 225 Fifth Streelt SpringfH~ld. OR 97477. PI-I(5~ 1)/26-3753. FAX{S41 )726-3689 SPRlrJGFIEL.D ----- DEPARTM~~USEONLY-~l 'S1It.lOU-OC:> Z bO Pennlt no.: r-n I tlJ! Dale Z-/7-1! 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 lOCAL GOVERNMENT APPROVAL FEE SCHEDUL.E . . ". " \ lon ing approval veri fied? DYes o No Number of inspections per item () Qty. Cost Tot31 CA TEGORYOF:CONSTRUCTION ea. cost ~Residential I 0 Government I 0 Commercial Resiuential, per unit. service included: \ $ ll.l,,~ rP .'.;..' JOBSITE.'INFORMArloN:ANb"iIo.c'ATION..' .' , 1,000 sq. ft. or less (4) $134.00 . Job site address: tlE3f?o HoLLY ~'. Each addiliol1al 500 sq. fl. or portion !L $ 25.00 $ ~C 0 thereof . City: :>\"V_t'-"h<,\~L() I State: DIL I ZIP 'l,'j'1'2 Limited energy (2) $ 32.00 $ Reference \~ O~["Y"\ \ \ I Taxlol-" WOO:: Each manufactured home or modular $ $ DESCRIPTION OE. WORK dwelling service or feeder (2) 63.00 r~~ . Q) l A 'PAW \1\, '{JlP \\v\- \!l Services or fCNlers: installation, a/reralion, relocation d,"", CD.........~ ,.00 In~- L>l,-, 200 amps or less (2) $ 81.00 $ PRC5t'ERTY OWN ER ' 20 I to '100 amps (2) $ 95.00 $ Name: f.\''''Y~'"N M.o"".o"" '101 to 600 amps (2) $158.00 $ Address: I"iu.c( Sw (~...J"t_q~ i'L ;t. liD 60 I to 1,000 amps (2) $205.00 $ City: Q.c<v.",co..J t> I State: (/ \L. I ZIP: ct'f}';-lo Over] ,000 amps or volts (2) $469.00 $ Phone: S'tl {;et.~ 51':;&> I Fax: - - Reconnect only (2) $ 63.00 I E-mail: t ,~""" \>Q-lC('-Y1')""@ HA1()c'N-HoM<..~ .<..C'<-' Temporary services or feeders: installation, alleration, relocation ctJ This installation is being made on residential or farm property 200 amps or less (2) \ $ 63.00 $ \o'~ , owned by me or a member of my immediate family. This 20110 400 amps (2) $ 87.00 $ property is not intended for sale, exchange, lease, or rent. OAR 401 to 600 amps (2) 479540(1) and 4,~?f(l). $126.00 $ Signature: 7 . Over 600 amps or 1,000 volts, see services or feeders section above . CONTRACTOR INSTALLATiON Branch circuits: new, altera/ion. extension per panel Business name: 1;;.0 A(bT....h t:"J n7t.1ir T .LIe.. a_ Fee for DfO.[)ch'circuits with purchase of a service or feeder fee; Address ..2bSl79 ~\.Jeu (1-J-: Each branch circuit $ 6.00 $ City: 0""..1 I Stak A/l. I ZIP 9770 l b. Fce for branch circuits without pUTchase of a service or feeder fee: Phon~1 IfJQ2 I Fax, - - First branch circuit (2) $ 55.00 $ E-mail: Each additional branch circuit $ 6.00 $ CCB license no,/1Z ::I'" I BCD license no., L'22D Miscellaneous fees: service orfeeder !10( included Signing supervisor's license no.: A . ~ A...!;. E<lCfl pump or irrigation circle (2) $ 63.00 $ Print name of signing supervisor:~of1 t.J ;t~I_1.1 ,.. Each sign or outline lighting (2) $ 63.00 $ . Signature of signing superviso~ f. "-J I. k .q ~'.~..~ Signal circuit or (\ limited-energy panel: $ 63.00 $ alteration: or extension (2) <:;.> Each additional inspection: (I) $58.00 $ ,>"..,.;,:" .. ...A~pL.ICA'r'H . USE'>, . i'ii'.. , ~~ , IA) Enter subtotal of above fees $J,41.( rj) (Minimum Permit Fee SS8.0D) ~.\ (B) Enter 12% surcharge (.12 x [AD $~ ~- (( ~ I ~' (C) Technology Fee (5% offAl) i\ '.~ ,. $M ~7 "\ TOTAL fee~ and surcharges (A through C): C)/UV ,\ ~ 11:10-2584-.1 (9/08/COM) D ~~ willamalafle t~ Park and Recreation District Job. No. ~\A -Q _\0) PARK AND RECREATION SYSTEM DEVELOPMENT CHARGE WORKSHEET _ January 1-December 31, 2011 NAME: ,.\\)\\2> L\.C., .' PHONE: ~l- SSkr5l5~ ADDRES~4\d\- ~l ) C;'O. 0. 0 t:TY: \<.m~TATE:12!f.ZIP: C\\\ ~ LOCATION OF PROPOSED BUILDING SITE: . . (\ .' .... '. StreetAddress: ~~ ~~=:st; Plat Name: t,. Ue..<-.,-\-t.l "'il\~ L t Number: \m~\\ \\~ :2. SDC CREDIT (If applicable: SDC payer must furnish proof of credit approval.) 3. TOTAL PARK AND RECREATION SDC ASSESSED ($ g ch $~4{f\. ~dD1l Date of building permit submittal S 1~~O\l Date of building permit issuance www.ci.springfield.or.us TRANSACTION RECEIPT 811-5PR2011-00260 4880 HOllY 5T CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 permilcenter@ci,springfield.or.us f' 'PArM~~:ED'RE ,'" :;',1:\I'AYOR"("'CAsHiE'RcccAReitNTER. Check HAYDEN HOMES LLC 34519 RECEIPT NO: 20.110.0.0.398 RECORD NO: 811-SPR2011-00260 DATE: 0.3/0.4/20.11 lDESCRf~t[ON';:;;:::1;;1!!'';fJ0'ifib~'"'''';;d~''' .<?;;;:'., ~;~~jj4'e:.l,'i:'E.Td3;;ACC0lJNtiLc.6DE;". " ;"'/~cl";~;" 'AM6l.iN:ribl.iE~c;f7; ;;1 Address Assignment, each new or change 224-0.0.0.0.0.-42560.2 38.0.0. Admin fee (10.% of applicable fees) 224-0.0.0.0.0.-42660.5 8.Q7 Curb CuVDriveway 1 st Cut 20.1-0.0.0.0.0.-4280.60. 88.0.0. Each added 50.0. sq. ft. or portion 224-0.0.0.0.0.-42610.2 50..0.0. First Appliance Fee_. 224-QQQQ~-4256Q4 79.0.0. ,Flue vent for water hec:~~~r gas fireplace __~_224-00000-425604 ____._2~E-__~ ____,. _~~~: up to .!.QQ,DQQ _~.!:I 224-DQQQQ-4256Q4__._____...:209~.__ _Gas Piping up to 4 outlets ___224-0.0.0.0._0.-42560.4 .__?:9~__ ~ltiple Permit Discount (Max 2) 2Q1-QQQQQ-~28Q6Q ..._~o.c'!2.......____ One or Two Family Dwelling with One Bath 224-0.0.0.0.0.-42560.3 238.0.0. Planning - Major Review - City 10.0.-0.0.0.0.0.-4250.0.2 211.0.0. Range hood/other kitchen equipment 224-0.0.0.0.0.-42560.4 13.0.0. Residence wiring 1,0.0.0. sq. ft. or less 224-0.0.0.0.0.-42610.2 134.0.0. Residential Fire (.0.5 Per Sq Foot) 10.0.-0.0.0.0.0.-4240.0.5 80..70. SDC: Administrative Fee - MWMC Regional Wastew_~ter SDC 611-0.0.0.0.0.-42660.4 10.0.0. SDC: Co,,"pliance Cost - MWMC Region,,!.Wastewater SDC 444-0.0.0.0.0.-42660.7 22.63 sac: Improvement - Trans"-'?rtation sac 447-0.0.0.0.0.-4480.27 1 ,8~ 1.51 _~..c:;: Improvement Cost - Local Was~ewater 443-0.0.0.0.0.-4480.25 ._..~]~____._ __3aCC!.rnprov~~ Cost - MWMC Regional Wastewater SDC 445-0.0.0.0.0.-4480.25 1,333.57 sac: Improvement Cost - Storm Drainage 44Q-_o.0.9EQ-~.48Q28 _____,_ 699.4~__ _ ___ sac: Reimbursement - Transportation SDC _~~~6-QQQ_QO-448Q26 497.0.7 sac: Reimbursement COS~: Loc_~'!Vastewater 442-0.0.0.0.0.-4':.80.24_..___.._____... 2,239.24 sac: Reimbursement Cost - MWMC Regional Wastewater SDC 444-0.0.0.0.0.-4480.24 10.1.97 sac: Reimbursement Cost - Storm Drainage 441-0.0.0.0.0.-4480.29 480..71 SDC: Total Sewer Administration Fee 719-0.0.0.0.0.-42660.4 274.18 SDC: Total Transportation Administration Fee .__~?19-QQQQQ-4266Q4 140..27 __~~~.~.!1' though 90. Feet 20.1-0.0.0.0.0.-4280.60. ___.!l~c2.l!.-_ ~..?ingle-du~~~t..~athrooms, toilet compartments, utility roor 224-0.0.0.0.0.-42560.4 _______ 27.0.0. State of 0':''.90n Surcharge (12% of applic~~~esL_~___~.!-QQQQQ-215QQ4 172.23 Structural Building Permit Fee .____.. ....~_.. 224-0.0.0.0.0.-42560.2........___ _~a.._2~._._ __. __ _.:echnology fee (5% ~f permit total) 10.0.-0.0.0.0.0.-42560.5 __c_._...,~?96__._._ Temp services 20.0. amps orle~~_ 224-0.0.0.0.0.-42610.2 63.0.0. Willamalane fees - Single family detached 821-0.0.0.0.0..2150.23' ,3,40.9.0.0. TOTAL DUE: 14,284.75 -'W;4jtr?i:cOMMENiS~ii'~;y;4;'~;~'J;;1':&':Jj,:'~~" ;~~J';lAMOU~Te.A~p ,.' 14,284.75 ";?~;:,~ -t TOTAL PAID: 14,284.75 SP~:~G..~~ ~ ~~EGOH TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726-3753 www.cLsprfngfield.or.us 811-SPR2011-00260 4880 HOllY ST permitcenter@cLspringfield.OLUS - ~ -if'" .';-\:;':.-. >~. P,.CCO.LiN~Tic.obE, ,2, 224-00000-425602 TOTAL DUE: COM!'!1E!iT.S-':~ . . . ;;. DATE: 02/1712011 .Fp,.MOUNJ~DUE 250.00 250.00 AMOUNT PAID.. I 250.00 RECEIPT NO: 2011000309 lDESCRI~TION','<<, .. ".-- :'. Same as Plan Review Submittal RECORD NO: 811-SPR2011-00260 U~....iI'llE1'!:LJ:YfE~~~y.oR . CASHIER: OBOWLSBY Credit Card hayden homes 042527 TOTAL PAID: 250.00 f / / 4,5.74 S.F. 4,617 S.F. LOT 95 4,61I-,S.F. 4, 96 / AVERY 041 S.F. C / w� \ o01 SD 4,617 S.F. LOT 97 Sawa�� BUILDING SETBACKS FRONT (HOUSE) 10' (FROM PL) N FRONT (GARAGE) 18' (FROM PL) CORNER 10' (FROM PL) SIDE 5' (FROM PL) REAR 10' (FROM PL) SCALE: 1" = 20' HAYDEN HOMES LOT 96 2464 SW GLACIER PLACE, SUITE 110 REDMOND, OR 97756 ADDRESS: 4880 HOLLY ST (541) 923-6607 `VY'ES T WINDS SUBDIVISION SPRINGFIELD, OREGON 9— STREETV TREES ARE REQUIRED. Please refer to attached Development Code Section regarding the placement and types of allowable trees. MINIMUM SETBACKS - INTERIOR LOTS VV All measurements are from ProyeEft 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 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/ORSC 106.4 Z /7// Joa rv_o.!se, ZOiI— C� 0 Z 4 STORIES i :/_ LEGAL DESCRIPTION' 026S 7/ i .:.. 7FNI S k. RE ON II ;`.' P.F N R!_ : WITH iEF:'.',DNS 4'�.,� TO T1:E f;F'Fr. t'zi: a3: '.. i}na VR : 7 A"r T1 F i HE [)ATE BELOW 61 -TALL B-_ r i � k0JE-D BY r FiL.aUILMiNG OFFICIAL. CITY OF SPRINGFIELD, OREGON T'heae plumbing piens Ire NROVEi3 /_� ,� BY DATE � • L ! L - - _ reviewed pdc-)r to permit Issuance. Plumbing work shall comply with REVIEWED FOR current codes and will be field inspected for compliance. CODE COMPLIANCE These electrical plans are NOTIENTI®N: Oregon law requires you to follow reviewed prior to permit issuance. rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952 -001 - Electrical work shall comply with 0010 through OAR 952-001-0090. You may obtain • • • ' current cedes and will be field copies of the rules by calling the center (Note: tho • •' ts_e phone number for the Gragon Utility �.o'11i aU01'9 ...... inspected for compliance. .-enter is 1-800-- -P34 • ••rrrr