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Home My WebLink AboutPermit Building 2011-4-8 ~SP~INGFIELD -, " .~ n",'J' ,I,:!.p.: -r~( OREGON www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00312 IVR Number: 811136106140 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pe nnilce nter@cLspringfield,or,us EXPIRES: VALUE: 10/05/2011 $221,470.68 Issued 04/08/2011 04/08/2011 02/25/2011 ISSUED: APPLIED: SITE ADDRESS: 2197 37TH ST, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1702301201500 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New Single Family Dwelling Lot 20 River Hts Phone Number: OWNER: ADDRESS: BREEDEN BROS INC 366 E 40TH AVE EUGENE OR 97405 Contractor Type 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: Lot Size: Sq Ft 1 st Floor: 2064 Sq Ft 2nd F160r: Sq Ft Basement: Sq Ft Garage: 573 Sq Ft Carport: Sq Ft Other: 326 Occupancy Load: Electrical Specialty Code Edition: 2008 Springfield Fire Code Edition: t\:J"g> "nil to mF~mON: orego~ ~~~~: Oi~gon Utility follow rules adopte ThOse rules are set fOor;h Notification Center. ou hOAR 952-0 - in OAR 952-001-001 0 th:oPi~S of the rules by 0090. you may obtain Note: the te\epho~e calling the center. (on Utility NotificatIOn number for the or1~~00_332-2344). Center IS CONTRACTOR INFORMATION Contractor Name THORNTON ELECTRIC INC ABSOLUTE PLUMBING INC BREEDEN BROS INC lic Type. ELECTRICAL PLUMBING CCB BUILDING INFORMATION ~ Type VB 2064 sJ. # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: 1 23.25 Forced Air Gas R-3 573 sJ. Electric Electric U Type VB 3 No Mechanical Specialty Code Edition: Municipal J Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Path 2A Certified performance~tested duct system Site Information Engineered Fill: Fill Volume: Flood Hau.rd. AI real-. NIl lI.t. ORK Land Haz".'~,f\:ea: HAll EXPIRE IF THE W Retaining ~~":. ,~~~~IT S PERMIT IS NOT Soils ReportJRequired::D UNDER THIS NED FOR COMMENCED OR IS ABANDO ANY 180 DAY PERIOD. Springfield Building Permit 4f8/2011 10:17:14AM ~ Lic No lie Exp Phone 20.206C 07/01/2011 541-686-1628 20-226PB 07/01/2011 541-345-3055 27 12/04/2012 541-686-9431 2008 2006 Page 1016 S~~~N.~EL~ IL~~ ~.OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00312 IVR Number: 811136106140 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 04/08/2011 ISSUED: APPLIED: 04/08/2011 02/25/2011 EXPIRES: VALUE: 10/05/2011 $221,470.68 SITE ADDRESS: 2197 37TH ST, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1702301201500 PROJECT DESCRIPTION: Frontyard Setback: 19 Interior Setback: 11.1 Sideyard Setback: 14.3 Rearyard Setback: 57 Solar Setback: 0 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential New Single Family Dwelling Lot 20 River Hts DEVELOPMENT INFORMATION ~ 9verlay Oist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: Hillside 6 Yes REQUIRED PARKING Total: 2 Handicapped: Compact: Street Improvements: Storm Sewer: Storm Sewer Available: Special !nstructon: Subdivision Accepted: Notes: Descriotion U Utility, misc. R.3 1 & 2 family Springfield Building Permit 31.3 24 PUBLIC IMPROVEMENTS ~ Valuation Description Tvpe of Construction VB VB Unit Amount Unit Tvpe 573.00 Sq Ft 2,064.00 Sq Ft 4/8/2011 10:17:14AM Sidewalk Type: Downspout/Drains: ~ Unit Cost 37.72 96.83 Value 21,613.56 199,857.12 221,470.68 Page 2 of 6 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00312 IVR Number: 811136106140 www.ci.springfield.OLU5 PROJECT STATUS: STATUS DATE: Issued 04/08/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us ISSUED: APPLIED: 04/08/2011 02/25/2011 10/05/2011 $221,470.68 SITE ADDRESS: 2197 37TH ST, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1702301201500 EXPIRES: VALUE: . SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New Single Family Dwelling Lot 20 River His FEES PAID ~ Description Structural Plan Review Fee Residential --- !3esidence .~~~~~,9?"~.9_~~.or less Residential Fire (.05 P~Sq Foot) Each added 500 sq. ft. or portion !,ddress Assignment, each new or change Willamalane fees w Single famlJy detached .single-duct exhaust (bathrooms, toilet compartments, utili Temp services 200 amps or Jess ~I~~_~~_iew Ad~~~e:~t - Residential Structural Building Pe~mit Fee SDC: Improvement ~ost - Storm Drainage Admin fee (10% of applicable fees) Gas Piping up to 4 outlets Planning ~ Major Review - City ~DC: Total Transportation Administration Fee Sidewalk up t~~ugh 90 Feet ~~TE Cutl~rive~~y..2. sf Cut _ Multiple Permit Discount (Max 2) SD-C:Reimb~'~~~~-~~r2iC-?~t-=-stc;-;.-~- Drainage SDC: Reimbursement Cost. Local Wastewater SDC: Reimbursement Cost - Local Wastewater SDC: Improvement Cost - Local Wastewater SDC: Total Sewer Administration Fee SDC: Reimbursement - Transportation SDC ~DC: ,~Ero;:ement - Transportation SDC SDC: Reimbursement Cost - MWMC Regional WastewatE .?DC: Improvement Cost - MWMC Regional Wastewater ~ ~_~C: Cor:npliance Cost - MWMC Regional Wastewater 81 ~!?-.c.~.~5!mi~~~~_~.=f-=~~~~C Regional Wastewater ~ Technology fee (5% of per~~~~~~I) State of Oregon Surcharge (12% of app~icable fees) P1ar: Review Adjustment - Residential Tectl.~~logy fee i5:/?,~Eermit total) State of Oregon Surcharge (12% of applicable fees) Range hood/other kitchen equipment One or Two Family Dwelling with Two Bath ~,i"rst ApE~,~~"~"~e__~~~_____"",,_,",",__,,," ~"~,,_ Springfield Building Permit Amount Paid Date Paid Reciot # $756.98 02/25/2011 2011000362 _..".._..."-~ $134.00 04/08/2011 2011000684 $148.25 04/08/2011 2011000684 $100.00 04/08/2011 2011000684 $38.00 04/08/2011 2011000684 $3.409.00 04/08/2011 2011000684 $18.00' 04/08/2011 2011000684 $63.00 04/08/2011 2011000684 $26.46 04/08/2011 2011000684 _._.,,~,------ $1,205.29 04/08/2011 2011000684 $1.261.92 04/08/2011 2011000684 $14.83 04/08/2011 2011000684 -,-,---,._,_..,-----~-_. $7.00 04/08/2011 2011000684 $211.00 04/08/2011 2011000684 -.-.--. $132.85 04/08/2011 2011000684 ----- $88.00 04/08/2011 2011000684 $88.00 04/08/2011 2011000684 -.----.'"-- ----- $,30.00 04/08/2011 2011000684 $867.31 04/08/i01i'---------~11 000684 $1,251.09 04/08/2011 2011000684 $2,305.35 04/08/2011 2011000684 --"-.---..- $1,735.83 04/08/2011 2011000684 $371.08 04/08/2011 2011000684 $497.07 04/08/2011 2011000684 $1.811.51 04/08/2011 2011000684 $101.97 04/08/2011 2011000684 $1,333.57 04/08/2011 2011000684 $22.63 04/08/2011 2011000684 $10.00 04/08/2011 2011000684 --- $110.19 04/08/2011 2011000684 $242.37 04/08/2011 2011000684 $40.70 04/08/2011 2011000684 $2.04 04/08/2011 2011000684 ".~.._.__u.,_._._..,"_____.____. .~.'___~,_ $4.88 04/08/2011 2011000684 $13.00 04/08/2011 2011000684 $374.00 04/08/2011 2011000684 $79.00 04/08/2011 2011000684 4/8/2011 10:17:14AM /' Page3of6 SP~.1~N~:E~.~ - L~~ ~OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00312 IVR Number: 811136106140 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci,springfield.or.us PROJECT STATUS: STATUS DATE: 155 ued 04/08/2011 ISSUED: APPLIED: 04/08/2011 02/25/2011 EXPIRES: VALUE: 10/05/2011 $221,470.68 SITE ADDRESS: 2197 37TH ST, SPRINGFIELD, OR 97477 ASSES OR'S PARCEL NO: 1702301201500 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: .New Single Family Dwelling Lot 20 River His Total Amount Paid $18,846.17 Plan Review Department Application Acceptance Received Due Date Completed 02/25/2011 02/25/2011 02/28/2011 Result Application Accepted I Reviewer David Bowlsby Structural Review 02/28/2011 02/28/2011 03/02/2011 Add'llnfo Required Kip Comments: Provide: 1) Truss Engineering, 2) Signed Electrical Permit Application, 3) Geo. Tech. Engineer's Soils Report. 4) Special ,.,--1~~~9tion Form. _"'" ._ '.,,""'m'.' ...._ .'d.~~~ "."."..,...,.,.,_ .. ~~ iStructural, f}~yiev.:t; ,7';""".",02/28/,0.1,1. ,02j2,~/?011 ,;,i03/15/20,11,: l,nformatlon'9nly t- ,".-" Kip Kaufman,~ K* ,. ,"'. . .' '.' .. ,,",* '....' . _. ." ," ...,.,.., .."', ~,.. '''- .:""" ':" . ..r"J ",':.-' ,c{ ",' ' r:,::..o~~~nt$:" ~ddres~j-..~ar~~IS~~!Igedjb~;,O,~~eY3!1~1) 1~~j~~'"~t:\::,::~":;,~~~ 1" "t"'l.:I_<" ,~*'~.* " Structural Review 02/28/2011 02/28/2011 03/15/2011 Add'llnfo Required Comments: Waiting for 1) Engineer's Geo. Tech. Soils Report and 2) Special Inspection Form. ~~~licWotks',~e~j~~, . ~~1:.i..~,',,~'~~~2~/2W~9J:1';;:~3k2~~2e-t.1 ': :~~!!3.lJ/?~j ;~;~~~~~r~':;'."~~~'~~;:'f~.:~K~i~ W1~~~,~, " ~"'Corriments: ,~eceived'6n:3:2W'2911/storm.W?t~P!9;t~P:~-"I!i~1fk.0;~~ .. > ..- '.. ."::;!",~,i;:z;~,i;,.-"j;" ~~ --:.~_..:..,;.' ~,.",....",...,'- ',..,.'. ". '.'. ,.~"q0-""t... ,. -"".. <:~.:::....,. .- . -....... -,..-. _",m.."", Structural Review 02/28/2011 02/28/2011 04/04/2011 Information Only Kip Kaufman Comments: Phone conversation with Geo. Tech. Engineer: 1500 psf Soil Bearing Pressure, No special inspection required for site prep. And placement. WI: planning P,._J~mll[ng.Review"""";?x":'~:~~!':~_;. 03/,3.0/.2. Q,1,;~_.~.:~,.,~})2{2,8/201,lJk,"';0,::,.~,jO__f3/,.2,.,0_1...1~,,~;:-:,A.,J)."pro,v~d~~~c^", '~~::'~:~~ ~;r.~ra'4qh~~"<"' ~_"~,~' ",-~' .~,,:- '. ~.. ~" ""^]' '_ ...~...,..~....,i:r.~..'- ""/--j .......?.."'!'., ,,' .,t,.-'i..."t....;,.'.;.c... ''-~''-::':''.'- *"-......,'0,h,;);j~__....,';...3 ::;,."'"'...."..)'.,.t..'1' ."..,,;...~:...'-..;;t.' --,.. '-', :.-:;;". :.:;'..... . ,. ,......:c.-.':!,'Jt1" -1<' [~f~mT.~:~~': :~~A~ et~ght;9~~i~ti~!Uf~~'q0Ldl~g:7~y~I~.~6i:'t9,:He~..~~e~t~~e~~;1~~j}~d:~~9~k~h~~!~,:_,~p~~~,. oQjhe.p~t .~.I~~:'_~I!'6ft~e~,~.~, ~~ mf. ~:~2 w,"z".I?~II~_In.g/Yl~~~ sJ!} Yt!t.h!~;>"!~~:,1~P.~.ct~~~e.!';. ..<' "/;iJ',~l;;;.0~,:~;::'';;'\R~:$~~'f\0--'' "ji, t.:,...;'Y:~.> 1: . ,_'.0 ;:.~'t'i"~ ,; '-- ,.:,; ?'" ;~/:. I f~~~~~,'~~:~~~~~~S~]f~flEi~~~~~1I! ~ t~ . ," ~~(~"w *T~JS lot .has no ~I~nlflcant vege~a;Io~~~n~,t a~? {he,refore Ih~,~e9~lr~m~nt !o'r.an'lndl~JaU~1 Wildfire ~e~n~~ Plan ha~ beef,} . \1 '.'" "' I' waived by the~Deputy FIre Marshall Landscaping shalt,fol1ow the Fire f;;'rotectlon ReqUirements outlined In the Rlver~' '..... . '.. _~-:2ljelghJsJ-l1lrSldeQ.eyeJoPf!leciiQlan~f!{aDO the WiLdllce)~.Eli~~seElajl_nl!JgLeg!::!!@:;;nle_nts In EXhibltJtofttle~Cw&Bs'w '"" _,;..~-=":..:~ "~- 1 Structural Review 02/28/2011 02/28/2011. 04/06/2011 Approved . Kip Kaufman ~:----;-j . . .... -;"1 '..,>' H''-- ., -..---,-' Kip Kaufman 'l"^" "1""'. 'I '& Springfield Building Permit 4/8f2011 10:17:14AM Page 4 of6 SP~I:.;~. ~I~l~. ". .7~ <<p\?:;"8\. 0 R E GON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR.2011-00312 IVR Number: 811136106140 225 Fifth 51 Springfield,OR 97477 Phone: 541.726.3753 Inspection Phone: 541.726-3769 Fax: 541-726-3676 pe rmitcenter@ci.springfield,or.us PROJECT STATUS: STATUS DATE: 155 ued ISSUED: APPLIED: 04/08/2011 02/25/2011 EXPIRES: VALUE: 10/05/2011 $221,470.68 04/08/2011 SITE ADDRESS: 2197 37TH ST, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1702301201500 SCOPE: Single FamilY,Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New Single Family Dwelling Lot 20 River Hts 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 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 Underfloor Gas 2260 Gas Service 2300 Rough Mechanical 2995 Final Gas 2999 Final Mechanical 3130 Footing/Foundation Drains Springfield Building Permit 4/8f2011 10:17:14AM Page 5 of6 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00312 IVR Number: 811136106140 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 04/08/2011 ISSUED: . APPLIED: 04/08/2011 02/25/2011 EXPIRES: VALUE: 10/05/2011 $221,470.68 SITE ADDRESS: 2197 37TH ST. SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1702301201500 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential . PROJECT DESCRIPTION: New Single Family Dwelling Lot 20 River Hts 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 3.~ O~ner or Cont actor Signature / 4/BI1( Date , Springfield Building Permit 4/8/2011 10:17:14AM Page 6 of6 225 Fifth Street. Springfield, OR 97477+ PH(541)726-J75J' FAX(541)726-J689 DEPARTMENT USE ONLY Sj>tz.~O((-O C sf l- Pennit no.: Date: 3-/0-/( ~\C\ l '~\~ 6t' 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. 'EOCAl:~O\lERNMENTA~P~O\lAG';,+'" '. Zoning approval verified? DYes D No c",,' ..,i.CATEGORY;()f=.CONSTRUCTION'/ i ,01(esidential I 0 Government I 0 Commercial ~"l:~:lfti1J0I3;~SITE:'.INFORMA1;IONj'AfII[j&110.CA'tION~!ii\i':!;(: Job site address: ~_h -U~G PCW City: S?f'D rState:o(L ZIP: Cf?C(7; Reference: 170Z. '30 , z.. I Taxlot,'" "'f~G;) DESCRIPTION OF WORK -"n\,..,:,,: T He-c..'; J-I~r:: t....IIiI""c , PROPERTY OWNER Name: -sre-~~ 'Eres 7IAL Address: '3 bb IF LfO+t.. Av€" City: l-:i..l.~t!" I State: OlL I ZIP: 97C(OS" Phone: - - .' I Fax: - - E-mail: This installation is being made on residential or fann property owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.560(1). Signature: CONTRACtOR INSTAllATION Business name: --;f,Z.j::)/?;}-ii; N Elt Address: VcO m'>C" c.--oUz/ City: E-u r /h' / T State1O~ ZIP:9'/<',I&~ Phone: V' -9S-:'.-CO';/71 Fax: - -GbnWs-) E-mail: ..:.C.Cl:U '" +AorMl.-/-0.JQ, c: ltJ,z'";/ . ('(!:)t. '\ CCB license no.~/.?? 3, 'J 9 I BCD license no.: Signing supervisor's license no.: ~ (!:/ /7 S Print name of signing supervisor: "'"KQC):'<-{ '/ha-J-if.J S. f" . dlj...l \.l, /IV' Ignalure 0 slgnmg supervIsor: 71 ATTENTION: Oregon la~e: u t: follow rules adopted by the-jfr~g Utility Notification Center. Those rUI~es are set forth in OAR 952-001-00~0 hr~g~pAR 95 -001- 0090. You may ob\ai 1~of;' e ' les by calling the cente JJ.e;' t~ P d,\ohone number for the or~e~~""'[, IV~ !:JNLll\:atJon Center is 1- 0 -3~~4). 1:;/' ~ J-. 440-258,,4-J (9/08/80M) ~~;'.~""""):?:t~!r.);:':'%~~~~?;~~t~Ij,E-I;).~::SCH EJjCJlJEf.\~l,~~!~'it;Jt:?d;~;f}~~~~~3?"%;;~ .N~~:~~r' ~r,:i~.S_p~~t~?'~~ p~.~;~,~~~' ( ) .':/'. Qty. \ ,~~~~. Residential, per unit, service included: Total cost 1,000 sq. ft. or less (4) r $134.00 $ /~L' Each additional 500 sq. ft. or portion :q $ 25.00 $ /()O thereof Limited energy (2) $ 32.00 $ Each manufactured home or modular $ 63.00 $ dwelling service or feede"r (2) Services or feeders: installation, alteration, relocation 200 amps or less (2) $ 81.00 $ 201 to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158.00 $ 60 I to 1,000 amps (2) $205.00 $ Over 1,000 amps or volts (2) $469.00 $ Reconnect only (2) $ 63.00 $ Temporary services or feeders: installation, alteration, relocation 200 amps or less (2) I $ 63.00 $b1 201 to 400 amps (2) 401 to 600 amps (2) $ 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 I $ 6.00 T $ 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 ~o~ included Each pump or irrigation circle (2) Ea.ch sign or outline lighting (2) ~lIal circuit or a ljmited~energy panel, _ alteration, or extension (2) Each additional inspection: (1) $58.00 $ ':~~:~;~}1~~~}:\0~i:::$~i~~~#{~~ARP:l1icANTiJ,:u_S.-EV~~~b:'-:,':,::t:j~;-~8}Wi~I'd:;}:_:'~~.:~~ $ 63.00 $ 63.00 $ $ $ 63.00 $ . (A) Enter subtotal of above fees' (Minimum Permit'Fee $58.00) $ ;Z ~7 $35'b" $JL{8f $3H7 !f1 ;;Q1 :f~J.Enter 12% surcbarge (.12 x [AD, .. THIS :(?~~~~~:~n~:~.Ece~~~~~~ -rUE wnpv AUT' ,(~OTAL 'eesrand surcharge",'AI;i:- ,,-u~h':.c,~): f: _'~~.:=~I rl:\:_I~~ ~:,r..... ~ ,_K'\H'I'tI-'l~U6~11q-) COMMENCED OR IS ABANDONED FOR. ANY 180 DAY PERIOD. 2~willamalane t'\j Park and Recreation District Job. No. 51 (- 31:2- PARK AND RECREATION SYSTEM DEVELOPMENT CHARGE WORKSHEET January l-December 31, 2011 PHONE:M\. t&Cft51 NAME:~~~l" ~/ ADDRESS: 7~ C YtJfl.-... CITY:-E:1A~ STATE~ ZIP: '1'')40S;- LOCATION OF PROPOSED BUILDING SITE: Street Address~ t~ S')fJ... Plat Name: " QX t\e i.~umber: ('/0.2 1cJ ('"'2... 61 S-CJO 1. DEVELOPMENT TYPE (Refer to development type definitions on the reverse.) A. Single-Family Detached NO. OF UNITS { X $3,409 per unit = $ ?Lf () I B. Single-Family Attached NO. OF UNITS C. Multi-Family Apartment NO. OF UNITS D. Single Room Occupancy NO. OF UNITS E. Accessory Dwelling Unit NO. OF UNITS X $3,404 per unit = $ X $2,800 per unit = $ X $1,400 per unit = $ X $1,705 per unit = $ ($ it $ 7C(c) '7 2. SDC CREDIT (If applicable. SDC payer must furnish proof of credit approval.) 3. TOTAL PARK AND RECREATION SDC ASSESSED ,~ City of Springfield '3 / --.d.J If Date of building permit submittal ~ City of Springfield t-f /L U Date of building permit issuance '-:>",: Thi~ermit is issued under OAR 9t8~460-0030. Permits expire if work is not started within 180 days ofisSI ance or if work is ()( ~ \ +f\ snspended for 180 days_ . lOCAL GOVERNMENT APPROVAL This project ha'i finalland-usc 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 CATEGORY OF CONSTRUCTION Structural Permit Application 225 Fifth Street. Springfield, OR 97477. PH(54 I )726-3753. FAX(54 1)726-3689 Residential o Government o Commercial JOB-SITE INFORMATION AND lOCATION Job site add City: Reference: f:5J.-586' Name: -;. '2~ City: ZIP: cJ74<E" Phone:? E-mail: This installation is being made on residential or farm properLy owned by me Or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010. ~ Sign here: -- CONTRACTOR INSTAllATION Business name: tIl Address: ~ City: State; ZIP: , Phone: Fax; I E~maiJ: Print,name: =m N (.'IA Signature: . SUB-CON RACTOR INFORMATION. Name Electrical Plumbing Mechanital ceB License Number Phone Number DEPARTMENT USE ONLY FEE SCHEDULE Construction type: Sqnare fect: l '17 Cost per square foot: Other information: Type of Ueal: Gi A S F* Ellerg)'Path: ~new 0 alteration (b) Foundation~on!y permit? Total valuation: o addition DYes . ,.. 2. Building rees (a) Pennit fee (use valuation table): (b) Investigative fee (equal ~o [2aD: (c) Reinspection ($ per hour): (number of hours x lee per hour) (d)Entcr 12% surcharge (, 12x [2a+2b+2c]): (e) Subtotal of fees above (2.a throngl) 2d): 3. Plan review fees (a) Plan review (65% x pennilfee.[2a)): (b) Fire and life safety (40% x permit fee paD: (e) Subtotal of fees above (3a nod,3b): 4. Miscellaneous fees (a) <Seismic fee, 1% (.01 x pcnnit fee [2a]): $ $ $ $ $ TOTAL fees and surcharges (2c+3c+4a): S lot zo /\ ~--r' &- \C\ \ 11'ft'iLN1011 fliSOL"li' \10t~\1. 0\ ~OQ SPRIN~ ~IE~ .0 ~.h. . '1( '/Ii%!;; :;(,":,~",~.1 "'0.".".. OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELO 225 Fifth 8t Springfield, OR 97477 541.726-3753 www.ci.springfield.or.us 811-SPR2011-00312 2197 37TH ST permitcenter@ci.springfield.or.us RECEIPT NO: 2011000684 RECORD NO: 811-5PR2011-00312 DATE: 04/08/2011 [DE.SCRIP..TfoNi>~ '_'~':~';i'''''i;'f~;~-';;_, ',;--:;r-> '<5Yr::'::'ACCOLIN'tCOOE.''''""",-,. .~.A': AIVIOUNTjjl.JE,4Y ,__ Address Assignment, each new or change 224.00000.425602 38.00 Admin fee (10% of applicable fees) 224-00000-426605 14.83 Curb CutlDI,iveway 1st Cut 201-00000-428060 88,00 __~ach added 500 sq. ft or portion _,--------.. 224-00000-426102 100.00 First Appliance Fee ___._____23,4-00000-425604 79.00 Gas Piping up to 4 outlets 224-00000-425604_,_.__,_.--------T~_.._ Multiple Permit Discount (Max 2) 201-00000-426060 -30.00 One or Two Family Dwelling with Two Bath 224-00000.425603 374.00 Plan Review Adjustment - Residential 224-00000.425602 67.16 Planning - Major Review - City 100-00000-425002 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 148.25 SDC: Administrative Fee - MWMC Regional Wastewat~:_SDC 611-00000-426604 10.00 ~SDC: <?,ompiianceCost - MWMC Regional Wastewater SDC 444-00000-426607 ]2.63.___ _.sEC: Improvement - Transportation SDC 447-00000-448027 __ .....2:_~2.!:.!52.________ _~DC':.!.':.'Frovement Cost - Local Wastewater _,_____.__ 443-0000~448025 1 ,7~5.8]____. SDC: Improvement Cost - MWMC Regional Wastewater SDC 445-00000-448025 1,333.57 SDC: Improvement Cost - Storm Drainage 440-00000-448028 1,261.92 SDC: Reimbursement. Transportation SDC 446-00000-448026 497.07 SDC: Reimbursement Cost - Local Wastewater 442-00000-448024 3,556.44 SDC: Reimbu!sement Cost - MWMC Re9ional Wastewate..' SDC_~~-0~00-~48024 101.97 SDC: Reimbursement Cost - Storm Drainage 441-00000-448029 867.31 SDC: Total Sewer Administration Fee 719-00000-426604 371.08 SDC: Total Tr;~nsportation Administration Fee 719-00000-426604 132.85 Sidewalk up though 90 Feet 201-00000-428060 ___..,._______88.00 Single-duct exha~t (bathrooms, toilet compartments, utility roor 224-00000-425604 ____..____..,' 18.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 247.25 Structural Buildin9 Permit Fee ' 224-00000-425602 1,205.29 _--2"chnology lee (5:!,o of permit total) 100.00000-425605 112.23 Temp services 200 amps or less 224-00000-426102 63.00 -------'0'ill.a,:,,,I,,,,.e lee2..: Sinllle family detached _________.821-00000-215023 3,409.00 ____ TOTAL DUE: 18,089.19 ~AYIVlENt-"fY.P,E.~i;;tt'-e~iQR3AsHiER; NMA~CHA'D6~i;e;' T~r.;:J!"iL.9J!MMt~f~',~-ir;i:.~i{;;i--,~:~:!1;%i.:/AMOll~I pAID, Credit Card JOHN J. THOMPSON 9,500.00 I \ " "'+,J '1 .l ....J Check 2704 RENEE L. THOMPSON 8,589.19 TOTAL PAID: 18,089.19 TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-00312 3651 VITUS LN pennilcenter@ci,springfield.or.us RECEIPT NO: 2011000362 RECORD NO: 811-SPR2011-00312 DATE: 02/25/2011 LOEseRI BffoNo.J!; J0;;"..'....,:', ~;.; ::'f""., ': p ;7'~f!,q~ ":;+.,;~.q":</?CCbI1Nt"COOE;":i:;~c;t,, ;"-:";'7' 'AMOUrlitDU E: " 1, j Structural Plan Review Fee Residential 224-00000-425602 756.98 TOTAL DUE: 756.98 /,",k~":;>~:;;;.'c-..,l>t;-.~ ,-' . ;.AMOUNt,pAltf._0~j+ ,\ .):" ;:: ~1 ~. ~ ",.", '" '" .. -. ' ..~."-<,~"'..~._._~~"'-'-- . LJ~~~,YM!;Jifm~';;~-)~RP.iQJ~i:~~;~ASHiE'R~"CCARPEN~C.QN.C~~~IStJl.tl-: Credit Card John Thompson 01541b 756.98 TOTAL PAID: 756.98 z . ( ,