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Home My WebLink AboutPermit Building 2011-4-12 SP~~N~~ ~~ ~OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-5PR2011-00575 IVR-Number: 811129022597 225 Fifth 5t 5pringfield,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 04/12/2011 ISSUED: APPLIED: 04/12/2011 04/11/2011 EXPIRES: VALUE: 10/09/2011 $176,034.18 SITE ADDRESS: 1180 S 40TH PL, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802064115300 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family residence - SAME AS COM2010-00529 Phone Number: OWNER: ADDRESS: BRUCE WIECHERT CUSTOM HOMES INC 3073 SKYVIEW LN EUGENE OR 97405 Contractor Type General Contractor Electrical Contractor Mechanical Contractor Plumbing Contractor CONTRACTOR INFORMATION Contractor Name BRUCE WIECHERT CUSTOM HOMES INC L & E ELECTRIC INC COMFORT FLOW HEATING CO STEVEN R JOHNSON Lie Type CCB CCB CCB CCB # of Units: Occupancy Type Construction Type Occupancy Type Construction Type # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: BUILDING INFORMATION .1 1 23 Forced Air Gas # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: R-3 Type VB U Type VB Gas Gas No 3 No No Path 1A Gas-fired furnace with min. AFUE of 90% Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development ~ode:' Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: 7768 1638 462 o 2008 ATTENTION: Oregon law requires follow rules adopted by th 0 you to Hf;M"_._. e reqon Utili in C R 952~OO; :0'01 0 t~se ruhes are set forth ~ . roug OAR 952-001- ~u'. au may obtam copies of the rul callmg the center. (Note: the tete hoense by number for the Oregon Utility Notification Center IS 1-800-332-2344). Site Information Engineered Fill: '-N6il!i:T SHALL EXPIRE IF THE WORK Fill Volume: ,.,:, i~IZED UNDER THIS PERMIT IS NOT Flood Hazard Area: ..,:,I!'Ib;CED OR IS ABANDONED FOR Land Hazard Area: I-\I~Y HN.PDAY PERIOD. Retaonlng Wall: No Soils Report Required: No Springfield Building Permit 4/12/2011 1 :09:36PM :,f '" Page 1 of 6 SP~IN.GFIEL?ij .~ ',,~ ,~ , OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00575 IVR Number: 811129022597 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 04/12/2011 ISSUED: APPLIED: 04/12/2011 04/11/2011 EXPIRES: VALUE: 10/09/2011 $176,034.18 SITE ADDRESS: 1180 S 40TH PL, Springfield, OR 97477 ASSES OR'S PARCEL NO: 1802064115300 PROJECT DESCRIPTION: Frontyard Setback: 18 Interior Setback: 5 Sideyard Setback: 8 Rearyard Setback: 55 Solar Setback: 16 SCOPE: Single Family Residence WORK INVOLVED: New lYPE OF STRUCTURE: Residential Single family residence - SAME AS COM2010.00529 DEVELOPMENT INFORMA TION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of.Lot Coverage: Highest point on structure to north property line: 2 Yes 28,3 28 REQUIRED PARKING Total: 2 Handicapped: Compact: Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Descriotion R-3 1 & 2 family U Utility, mise, Springfield Building Permit PUBLIC IMPROVEMENTS ~ Valuation Description Tyee of Construction VB VB Unit Amount Unit Tvee 1,638,00 Sq Ft 462,00 Sq Ft 4/1212011 1 :09:36PM Sidewalk Type: Downspout/Drains: ~ Unit Cost 96.83 37.72 Value 158,607.54 17,426,64 176,034.18 Page 2 016 5P~~~~~ ~~ ~OREGON ww.N .ci ,springfield. or. us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00575 IVR Number: 811129022597 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: 04/12/2011 04/11/2011 EXPIRES: VALUE: 10/09/2011 $176,034.18 04/12/2011 SITE ADDRESS: 1180 S 40TH PL, Springfield, OR 97477 ASSES OR'S PARCEL NO: 1802064115300 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family residence - SAME AS COM2010-00529 PROJECT DESCRIPTION: FEES PAID ~ Descriotion Amount Paid Date Paid Recio! # Address Assignment, each new or change $38.00 0.4/12/20.11 20.110.0.0.70.0. Same as Plan Review Submittal $250.00 0.4/12/20.11 20.110.0.0.70.0. Willamalane fees - Single family detached $3.409.00 0.4/12/20.11 20.110.0.0.70.0. One or Two Family Dwelling with Two Bath $374.00 0.4/12/20.11 20.110.0.0700. F~-'P.~1..~,~DD BTU $17.0.0. 0.4/12/20.11 20.110.0.0.70.0. Air conditioner $17.00. 0.4/12/20.11 20.110.0.0.70.0. --.._.--- --,..- - _._-- Range hood/other kitchen equipment $13.0.0. 0.4/12/20.11 20.110.0.0.70.0. Flue vent for water heater or gas fireplace $9.0.0. 0.4/12/20.11 20.110.0.0.70.0. Sin~le-duct exha~st (bathrooms,toilet compartments, utili $36.0.0 0.4/12/20.11 20.110.0.0.70.0. First Appliance Fee $79.0.0. 0.4/12/20.11 20.110.0.0.70.0. Residence wiring 1,0.0.0. sq. ft. or less $134.0.0. 0.4/12/20.11 20.110.0.0.70.0. Each added 50.0. sq. ft. or portion $75.0.0 0.4/12/20.11 20.110.0.0.70.0. Planning - Major Review - UGB $286.0.0. 0.4/12/20.11 20.110.0.0.70.0. Gas Piping up to 4 outlets $7.0.0 0.4/12/20.11 20.110.0.0.70.0. Structural Building Permit Fee $1,0.22.14 0.4/12/20.11 20.110.0.0.70.0. Multiple Permit Discount (Max 2) $-30.00 0.4/12/20.11 20.110.0.0.70.0. Curb CuUDriveway 1 st Cut $88.00. 0.4/12/20.11 20.110.0.0.70.0. Sid~w~ <:e thou9.h _!J.D.,,!'eet $88.0.0. 0.4/12/20.11 20.110.0.0.70.0. SDC: Total Sewer Administration Fee $403.41 0.4/12/20.11 20.110.0.0.70.0. --~..- --,~ .-.- -. .._._-- -,- .__._._------~-- ---- -~ SDC: Reimbursement Cost - Storm Drainage $761.45 0.4/12/20.11 ~D11 DD-,!!_C)g SDC: ~,:,provem~n.tS.9.s!..:_Storm Drainage $1,10.7.89 0.4/12/20.11. __. . _ ~~1~~~7~(). SDC: Reimbursement - Transportation SDC $497.0.7 0.4/12/20.11 20.110.0.0.70.0. SDC: Improvement - Transportation SDC $657.54 0.4/12/20.11 20.110.0.0.70.0. SDC: Improvement - Transportation SDC $1,153.97 0.4/12/20.11 20.110.0.0.70.0. SDC: Reimbursement Cost - Local Wastewater $3,424.72 0.4/12/20.11 20.110.0.0.70.0. SDC: Improvement Cost - Local Wastewater $1,671.54 0.4/12/20.11 20.110.0.0.70.0. SDC: Reimbursement Cost - MWMC Regional WastewatE $10.1.97 0.4/12/20.11 20.110.0.0.70.0. SDC: Improvement Cost. MWMC Regional Wastewater ~ $1,333.57 0.4/12/20.11 20.110.0.0.70.0. SDC: Compliance Cost - MWMC Regional Wastewater SI $22.63 0.4/12/20.11 20.110.0.0.70.0. ~~<?: Administrativ." Fee - r..:~C Regional Waste:v~':':.~_~1 0..0.0. 0.4/12/20.11.. _..h . 20.11 ~DD7DD. SDC: Total Transportation ~~!nistration Fee $133.70 0.4/12/2..022.___ __~1..1_DDD7DD SD~ _c.~edit I~-,?~.!.C-,,~ ~t~ Drainage _ _____Y~~2~_____ D4/12j2D11 ... . _ _. _._ _~~1.2~D07DD SDC Credit Reimbursement Cost - Storm Drainage $-761.45 0.4/12/20.11 20.110.0.0.70.0. Technology fee (5% of permit total) $100.61 ---o4i12i201-1--- . -.- 2011-000700 State of Oregon Surcharge (12% of applicable fees) $213.98 0.4/12/20.11 20.110.0.0.70.0. Admin fee (10.% of applicable fees) $10.50 0.4/12/20.11 20.110.0.0.70.0. Residential Fire (.0.5 Per Sq Foot) $10.5.0.0 0.4/12/20.11 20.110.0.0.70.0. Springfield Building Permit 4/12/2011 1:09:36PM Page3of6 SPR.JN..G FIE. L;;) .-- ., i$J; .." \. OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00575 IVR Number: 811129022597 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitce nter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 04/12/2011 ISSUED: APPLIED: 04/12/2011 04/11/2011 EXPIRES: VALUE: 10/09/2011 $176,034,18 SITE ADDRESS: 1180 S 40TH PL, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802064115300 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Single family residence. SAME AS COM2010-00529 Overwidth / Second Driveway $45.00 04/12/2011 Total Amount Paid $15,797.35 2011000700 Plan Review ~ Deoartment Received Due Date Comoleted Result Planning Review 04/11/2011 04/11/2011 04/11/2011 Approved Comments: Plant street trees as shown on the street tree plan attached to the permit: name on tag until aRproved. Struclural Review . f 04/11/2011. 04/11/2011' .04/11/2011 co~ments;'Pending, ove'rwidth driVeWay'pw a"ppvl ,"': .., '. .... '"",,'''' .. ;'," - , .. ,.; 't. .. " ... ~ "" "X Initial Review 04/11/2011 04/11/2011 0411112011 Reviewer Tara Jones species as shown, 2" caliper, leave species Appn;>ved _ ,- J,;':"';' ", it:., I,' Approved ~p-pi!cation A~~eptanc.~ , ',.:c." ,'~ " \*.. .' . ., ,04/11/201;t 04/11/20J1 :0411;1/~2t1' " , :,:" ,".""-~~~"- ~{ Ap.prrcation Ac~epted . ..$>.......'~ ,. -.;. ".ti': "". , ,';,.{ ~ '- , Public Works Review 04/11/2011 04/11/2011 04/12/2011 Approved Comments: Storm water to curbl Overwidth driveway approved per Michael Liebler on 4-11-2011 lpermitlssuance':~.- .' <. ;04/12/201-1c.~'04/12J2011:,,, 04/12/2011?-, Iss,~~d it.,', ;}:,~,~.;' I , . i ..-, '., .,.... :, :' ",,"t <:.~ \ .:..li>_,___...:....._..:....__.. Springfield Building Permit 4f12/2011 1 :09:36PM Ch~isCarp~.nY~r ."j" ~ ~ Chris Carpenter Chris Carpenter, ,. '.', Kaye Wilson . Nancy Machado :~. ,.~' ",- . -1~ 'I '1 ,;.... - Page 4 of6 SPRIN..G.FIE~ ~- :",' ,~ ,,' .' \. OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00575 IVR Number: 811129022597 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: Issued 04/12/2011 ISSUED: APPLIED: 04/12/2011 04/11/2011 EXPIRES: VALUE: 10/09/2011 $176,034.18 SITE ADDRESS: 1180 S 40TH Pl, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802064115300 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family residence - SAME AS COM2010-00529 INSPECTIONS REQUIRED ~ Inspections 1020 Zonin9/setbacks 1090 Street Trees 1110 Footin9 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 fod 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 Insulalion Wall 1440 Insulation Ceiling 1520 Interior Shearwall 1530 Exlerior Shearwall 1540 Gypsum Board/lathlDrywall WaJllnsulation: Prior to cover. 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. 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. 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 4/12/2011 1:09:36PM Page 5 of 6 ~~willamalane t~ Park and Recreation District Job..No. :;/ (+-S;-*7 ~- PARK AND RECREATION SYSTEM DEVELOPMENT CHARGE WORKSHEET January 1-December 31, 2011 NAME: B~ c \~ ADDRESS; 7:.:>'1-:3 ~ Uw CITY: t::o"Vt Cf PHONE: ?iJ ~ S-aSV STATE:.::9n...ZIP: q~ Y<:9 S~ LOCATION OF PROPOSED BUILDING SITE: Street Address:--1l Fo S; . 'it) tI1.. P L Plat Name: HLB'=..7l...r i)lA [")us. Tax Lot Number: / y.D 2- 06:> Lf ( ~ 5700 1. DEVELOPMENT TYPE (Refer to development type definitions on the reverse.) A. Single-Family Detached NO. OF UNITS 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;409 per unit = $ f '1cJ "7 X $3,404 per unit = $ X $2,800 per unit = $ X $1,400 per unit = $ X $1,705 per unit = $- 2. SDC CREDIT (If applicable. SDC payer must furnish proof of credit approval.) ($ ;6 $ 3lfo 7 3. TOTAL PARK AND RECREATION SDC ASSESSED ~. 1 / (I / /1 Date of building permit submittal Da~of ~~pe~iRs~1e 1 i ; I .1 I I SPRIN.GF I E,~ D, .- .Jii",~ ,y:~ OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00575 IVR Number: 811129022597 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@cl,springfield.or.us PROJECT STATUS: STATUS DATE: Issued 04/12/2011 ISSUED: APPLIED: 04/12/2011 04/11/2011 EXPIRES: VALUE: 10/09/2011 $176,034.18 SITE ADDRESS: 1180 S 40TH PL, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802064115300 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family residence - SAME AS COM2010-00529 ,3170 Underlloor Plumbing 3200 Sanitary Sewer 3315 Water Line Underfloor Plumbing: Prior to insulation or decking. Sanitary Sewer Line: Prior to fiJJing trench and including required testing. 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 4999 Final Electrical Rough Electric: Prior to Cover Final Electric: When alf 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 aU 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 ro{lr w~ yj~;;/ , / Date Owner or Contractor Signature Springfield Building Permit 4/12/2011 1:09:36PM Page 6 of6 ~ ~A-Mt::-~ //7Lf ~. Lfr)'fI-, PL ,,-" 10 - ooS-z..'1 Structural Permit AppJicatioD_ L.. i"i::~ 225 Fifth SlIl:et + Springfield, OR 97477 + PH(541)726-3753 + FAX(S41)726-3689 ~~ _ CITY OF SPRINGFIELD, OREGON , ...."".. ',-.", '.'''',,,,'.''-.\- DEf>A~TMEN!lISEdNl-i <;f~fL iJ:J If: ;; 0 57 S- Penmt no.: Date: 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. ....(,. :::)~,~::i Y71 - -- ~ City: Co,) ere.. Phone: -w ~ Of '-I 5 Y E-mail: w; e(..k..~ \-.., I~S €2 CCB license no.: (0 I 7 ( 7 Print name: W,,; \evv Cu~b",",. L.V' Statc:O {t. ZIP: ci7~" I Fax: ;:,'1 - 33& z co.", "'-54 ~ ~c.~ Name Electrical t....-e Plumbing 5!c."", Meebanieul C F H 5tl ~1'i6 :> YZ-3'b, 7Z6--0100 Construction type: Square feet: Cost per square foot: Other infonnation: Type oCHeat: Energy Path: ew 0 alteration (b) Foundation-only pennil? Total valuation: 1W '2. Bulidl~~r~ci,t;;;,,;j~\,i!;'i ",' (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+211+2c]): (e) Subtutalurree. above (2a tbrough 2d): ;ji'pt~'<<- .. " (a) Plan review (65% x permit fee [2a]): (b) Fire and life safety (40% x pennit fee [2aJ): (c) Subtutalurree. abuve (3a and 3b): 4.1\fI~~e,Ii~'Il'eiI#st"Ii$,:;! ; ~ L (a) Seismic fee, 1% (.01 x pennit fee [2a]): TOTAL fec. and ,urcharge. (20+30+4a): s s Z--5c> s s s s 1/ '7<2 225 Filth Street. Springfield, OR 97477. PH(541)726-375lt FAX(541)726-3689 .' ,',;> ..",' , ." DEPARTMENT USE ONLY sffLzCJt( -00 5.7:;- Pennit no.: Electrical Permit Application CITY OF SPRINGFIELD, OREGON Date: This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 da~s of issuance or if work is suspended for 180 days. ,. LOCAL (30VERNMENl' 'APPRO" AG. ..... '.'. '. '.( ,.'. '. ',::'::?+"''i~;~!:'?'':''I'EE':SCHEOUt:E!/:' '. Zoning approval verified? DYes DNo . Cost Total' .N~~~er'.o.f ins~ectio'~~ p~~ .ite.~.,(). Qty. .'.,,: ..CATEGORYOF '.CONSTRUCTION'>' ea., . cost' .... Residential, per unit, service included: ~~.~;~I~lte; IN~~R~;;7;~~~NO~',~~C~;~;N~:~:;~ 1,000 sq, ft. or less (4) J $134.00 $PY Job site address: JJ fa So Lf 0 ~1- (lL Each additional 500 sq. ft. or portion 3 $ 25.00 $ 7S thereof City: <HI '^'i +. c; ( d I State: .>-L TZIP: 7 7Cf7% Limited energy (2) $ 32.00 $ Reference: /8ozobCf I I Taxlo!.: IS 3 O\:::. Each manufactured home or modular $ 63.00 $ ". , DESCRIPTION OF WORK', ."; ",'.t::.. dwelling service or feeder (2) lJ / ,L(: ffuCASt2: . Services or feeders: installation. alteration, relocation 200 amps or less (2) $ 81.00 $ PROPERTY. OWNER . 201 to 400 amps (2) $ 95.00 $ . Name: c,.,vu Wi ...J-.C-.A CJ:.+o", . 40 I to 600 amps (2) $158.00 $ Address: 307 S s)ta.,v,Gl.) )f>J 601 to \,000 amps (2) $205.00 $ City: (u4 v-<-- I State: OK- I ZIP: "1710) Over 1,000 amps or volts (2) $469.00 $ Phone:S~/':ba6 "f 'IS lr I Fax: ~~/-'3Yf ~3b 'Z- Reconnect only (2) $ 63.00 $ E-mail: w; ~c.-h"~~ 1-<)~5 f) COikt,...St, IV<-r Temporary services or feeders: installation, alteration, relocation This installation is being made on residential or fann property 200 amps or less (2) It $ 63.00 $.~I owned by me or a member of my immediate family. This 201 to 400 amps (2) $ 87.00 $ property is not intended for sale, exchange, lease, or rent. OAR 401 to 600 amps (2) 479.540(1) and 479.560(1). $126.00 $ Signature: Over 600 amps or 1,000 volts, see services or feeders section above .' CONTRACTOR INSTALLATION . Branch circuits: new, alteration, extension per panel Business name: I-*-e FJ.t:c, h: c..- . a. Fee for branch circuits with purchase ofa service or feeder fee: Address: q Z g 33 -:50r-es Ac.re..5 Each branch circuit I $ 6.00 $ City: S 9f \~ I State: 0 I't.. I ZIP:'17'f7o b. Fee for branch circuits without purchase of a service or feeder fee: Phone:>'11 -5<1 - 41'i~ I Fax: c)l..fr LI.:r:l -?.5l'i1 First branch circuit (2) $ 55,00 $ E-mail: Each additional branch circuit $ 6.00 $ CCB license no.: I O~ 4 7S- I BCD license no.: '':;;;93 G.- Miscellaneous fees: service or fteder ~ot included Signing supervisor's license no.: '-II 7 '1-S' Each pump or irrigation circle (2) $ 63.00 $ Print name of signing supervisor: /;:'C Oe ","00.lG-"" Each sign or outline lighting (2) $ 63.00 $ Signature of signing supervisor: (..,' ('~ f)~() \H"/~ Signal circuit or a limited-energy panel, $ 63.00 $ alteration, or extension (2) . Each additional inspection: (I) $58.00 $ ~'0\ ",'",""''''',,,',,'''''''''''''',.' ' .. Cc '.,0" ...,..". ':'.';'.>:-::',.' ",,,',,..',,.,,,.,..,',,,,'",,,''' APP I ANT-USE""" " " ;,'r:...._-".~;'~:"""_";_,"-"';,'...,~,'':'' '_~., __ :., _. .... ......: .. . .'>:~~'. .... (A) Enter subtotal of above fees ?-p"I ~~~f) (Minimum Permit Fee $58.00) $ (B) Enter 12% surcharge (.12 x [A]) $ 2C;UcJ ~ (C) Technology Pee (5% of [A]) $ /0 l( .J- TOTAL fees and surcharges (A through C): $?<Iy 47 ..r ~f '1 1 b> 7Sb ,... ~/) . 440-2584.J (9/08/COM) f-,:J l~"w' ...r e/l~~l"~ lO -s:L '7 CITY OF SPRINGFIELD 225 Fifth 8t Springfield,OR 97477 541-726-3753 TRANSACTION RECEIPT 611-SPR2011-00575 1160 S 40TH PL www.ci.springfield.or.us permitcen1er@ci.springfield,or.us DATE: 04/12/2011 ,AIVIOUNT;OUE ,";~:,; ;1 38,00 10,50 --~--- 17,00 88,00 75,00 79.00 9,00 17,00 7,00 -30,00 374,00 45,00 286,00 -~._-,-- 13.00 134,00 105,00 -1,107,89 -761.45 10,00 22,63 1,811,51 1,671,54 ~,~3357 1,107,89 ___ 497,07 _,__~42-:!3-__ _ _ 101,97 761.45 403.41 13370 250,00 ---- 88,00 36,00 213,98 1,022,14 100,61 3,40900 ___ 15,797.35 ;JAMC?UNT PAID ',' , . ,: ,,-' :. ':d 9,500,00 RECEIPT NO: 2011000700 RECORD NO: 811-SPR2011-00575 fDESCRIP.,TIQN'; -,-;W,i" ,,,,,':,:::t;;q-;:"",,, ,;+;:-iJ;_I-'~'''' ,L;':", :"t' AcC6uN;r~CQDE':,:__?->,-;'~-" , Address Assignment, each new or change 224-00000-425602 Admin fee (10% of applicable fees) 224-00000-426605 Air conditioner 224-00000-425604 201-00000-428060 224-00000-426102 224-00000-425604 224-00000-425604 224-00000-425604 224-00000-425604 201-00000-428060 224-00000-425603 201-00000-428060 100-00000-425002 224-00000-425604 224-00000-426102 100-00000-424005 440-62243-650117 441-62243-650117 611-00000-426604 444-00000-426607 447-00000-448027 443-00000-448025 ---,-------,._.- 445-00000-448025 440-00000-448028 446-00000-448026 442-00000-448024 444-00000-448024 441-00000-448029 719-00000-426604 719-00000-426604 224-00000-425602 201-00000-428060 224-00000-425604 821-00000-215004 224-00000-425602 100-00000-425605 821-00000-215023 TOTAL DUE: Curb CuUDriveway 1 st Cut Each added 500 sq, ft, or portion First Appliance Fee _~~~ vent for water heater or gas fireplace ~~rnace - up to 100,000 BTU Gas Piping up to 4 outlets' Multi~le Permit Discount (Max 2) --2~e or Two Family Dwelling with Two Bath Overwidth I Second Driveway Planning - Major Review - UGB _._,~_Rang:_~c:.od/other kitchen equipment ~e:~~dence wiring 1~90 sq. ft. or less Residential Fire (,05 P_er Sq Foot) __~_SDC Credit: Improvement Cost - Storm Drainage SDC Credit: Re~mbursement Cost - Storm DrainageM ___~~~ministrative Fee - MWMC Regional Wastewater SDC SDC: Con:pliance Cost - MWMC Regional Wastewater SDC SDC: Improvement - Transportation SDC _M_-2D~: ImE~~~~t - Local Wastewater SDC: Improvernent Cost - MWMC Regional Wastewater SDC SDC: Improvement Cost - Storm Drainage SDC: Reimbursement - Transportation SDC SDC: Reimbursement Cost - Local Wastewater - - --------~ - - --. --------- SDC: Reimbursem':~.":-~MyvMC Regional Wastewater SOC. SDC: Reimbursement Cost - Storm Drainage SOC: Total Sewer Administration Fee SDC: Total Transportation Administration Fee Same as Plan Review Submittal Sidewalk up though 90 Feet Single-duct exhaust (bathrooms, toilet compartments, utility roor State of Oregon Surcharge (12% of applicable fees) Structural Building Permit Fee Technology fee (5% of permit total) _~~alane fee:~~ Si~gle family detached LJ'):YnnE.NL1:YE<Et~EftQrL~HIER'.NMACHADO ';: Credit Card BRUCE WIECHERT CUSTOM HOMES INC i '-fa;:' t:..G..OJ~iJ_NtEliTS, -~,:_-~);'''; '~"''1. v ,~~ Check 20465 BRUCE WIECHERT CUSTOM HOMES INC 6,297.35 TOTAL PAID: 15,797<35 S~~~N~L~ ~,~"tJ!.ti ,~?s'n' . "*'~". OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us 811.SPR2011.00575 1180 S 40TH PL permitcenler@ci.springfield,or.us RECEIPT NO: 2011000723 RECORD NO: 811-SPR2011-00575 DATE: 04/14/2011 U:)ESCRI&i:IOW;;2,222';?;f,"~~:<''22w$~;;;:::r~'' .?~"';?0~;i;H;;':;AC'C_OUN:r~C:OO-E: - '0jYv':$',;:;AMOUNtOUE',TF ,:- "I State of Oregon Surcharge (12~.9f applicable fees) 821-00000-215004 7,56 Technology fee (5% of permit total) 100-00000-425605 3,15 Temp services 200 amps or less 224-00000-426102 63.00 TOTAL DUE: 73.71 ltB.~YM'EtiTTIeE~~":::~~~YO.R{:;;;rC~SHIE[{:'D~'OWLSBY.:~ti7J:'~;;;::S;.QJyj.r~t~l(t$~:,{~r0i',0::J- '1~~.: ,~.A~OUNT.~D-.- -t, },,;f~, -;..~ Credit Card bwch add temp power to existing 73.71 01587d electrical permit TOTAL PAID: 73.71