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Home My WebLink AboutPermit Building 2011-4-20 www.ci.springfie\d.or.us PROJECT STATUS: STATUS DATE: CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00494 IVR Number: 811106613565 Issued 04/20/2011 ISSUED: APPLIED: 04/20/2011 03/25/2011 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 EXPIRES: VALUE: 10/17/2011 $112,323.00 SITE ADDRESS: 4859 A ST, Springfield. OR 97477 ASSESOR'S PARCEL NO: 1702324101600 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family residence - SAME AS S1 0-00321 Phone Number: OWNER: ADDRESS: SPRINGFIELD/EUGENE HABITAT FOR HUMANITY 1210 OAK PATCH RD EUGENE OR 97402 Contractor Type General Contractor Mechanical Contractor Plumbing Contractor Electrical Contractor # of Units: Construction Type Occupancy Type Occupancy Comments # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: CONTRACTOR INFORMATION Lie Type OWNER OWNER Contractor Name OWNER OWNER SPECIAL TV PLUMBING CO BEAM ELECTRIC LLC CCB CCB BUILDING INFORMATION I ~ Lie No Lic Exp 0000000 08/12f2025 0000000 08/12f2025 102974 11f21f2011 192844 01/20f2013 Phone 541-686-4191 541-968-1962 Type VB R-3 No garage # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: No lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: 2262 590 570 160 2 24.6 Wall Heat 2 No No Path 4A Zonal heat with 75% permanent fixtures fitted with CFL lights Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: . Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: 2008 Engineered Fill: No Fill Volume: OTICrF.rood Hazard Area: PIRE \~HE WORK HIS PE.~~n\l,'fI~aia\A'reliX E~IIT IS NOT UTHO~f,t~ell1Jl\'i',-aUR TH.\~ P ~~ FOR , M,:>oils-Roeport Req-uire~,OOtNeO . ;OM "Nl.t un 'v - .-'- I.NY 1 SO DAY PERIOD. Springfield Building Permit l . yOUlu Site Information On la'/'lleQU\le~n Dtmty p;rn=:NiION'. ~~\led bY tM ~~eire set 10ltn 10110'/'1 rules ~ntel. i\1ose l\e OI\R 95'2-00" Notilicatlon C 0,_00'Ot\110U9 sol tM rules bY in OAR 95'2-0 obtain COpl~ e telep\1O~e 0090. '(ou may ntel. lNote, .1\1 Notilicatlon callin9 t~~l ~~e Ole90n_~~~:h44). numbel tel is ,_800 Cen 4f20f2011 11 :53:43AM Page 1 of 6 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00494 IVR Number: 811106613565 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 04/20/2011 ISSUED: APPLIED: 04/20/2011 03f25f2011 EXPIRES: VALUE: 10/17/2011 $112,323.00 SITE ADDRESS: 4859 A ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1702324101600 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family residence - SAME AS S10-00321 Frontyard Setback: Interior Setback: 4 Sideyard Setback: Rearyard Setback: 33.9 Solar Setback: 0 DEVELOPMENT INFORMA TION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: Yes 25 Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Descriotion Bid Springfield Building Permit PUBLIC IMPROVEMENTS ~ Sidewalk Type: Downspout/Drains: Valuation Description ~ Tvoe of Construction NA Unit Amount Unit Tvoe 112,323.00 Bid Unit Cost 1.00 Value 112,323.00 112,323.00 4/20/2011 11 :53:43AM Page 2 of6 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00494 IVR Number: 811106613565 225 Fifth St 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: Issued 04/20/2011 ISSUED: APPLIED: 04/20/2011 03/25/2011 EXPIRES: VALUE: 10/17/2011 $112,323.00 SITE ADDRESS: 4859 A ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1702324101600 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family residence - SAME AS S10-00321 FEES PAID I Descriotion Same as Plan Review Submittal SDC: Total !ransportation Administration Fee SDC: Reimbursement Co~t - MWMC Regional WastewatE SDC: Improvement Cost - ~WMC Regional Wastewater ~ SDC: Compliance Cost - MWMc; Regional Wastewater Sl SDC: Administrative ~ee - MWMC Regional Wa~tewater: SDC: Total Sewer Administration Fee ~C: Reimbursement Cost - S!orm Drainage_. S~C: Improvemen!_~~~ocal Wastewat:!: Residenlial Fire (.05 Per Sq Foot) Admin lee (10% of applicable fees) First Appliance Fee Single-duct exhaust (bathrooms, toilet compartments, ~Ii Structural Building Permit Fee Address Assignment, each new or change Willamalane fees - Single family detached 9ne or Two Family Dwelling with Two Bath Each added 500 sq. ft. or portion Residence wiring 1,000 sq. ft. or les~ Planning - Major Reviev: - City Technology fee (5% olyermit total) .___.__._ ~!~~e of Oregon Surcha~e (12~% of applicable fee.~l State of Oregon Surcharge 1.~2% of applicable fees) sac: Reimbursement Cost - Local Wastewater ~DC: Improvement - Transportation SDC sac: Reimbursement - Transportation sac SDC: Improvement Cost :~~~~ Drainage Total Amount Paid Amount Paid Date Paid Reciot # $250.00 03/25/2011 2011000557 $145.49 04/20/2011 2011000761 $101.97 04/20/2011 2011000761 $1.333.57 04/20/2011 2011000761 ---- $22.63 04/20/2011 2011000761 $10.00 04/20/2011 2011000761 $209.79 04/20/2011 2011000761 - _._-- $318.03 04/20/2011 2011000761 ,--"~._--~_.__. ---~'--~- $835.77 04/20/2011 2011000761 .~-~---------,--_......,-~""- ---- --~-"---,.,,,...,. _..----- $66.00 04/20/2011 2011000761 $6.60 04/20/2011 2011000761 $79.00 04/20/2011 2011000761 $27.00 04/20/2011 2011000761 $761.66 04/20/2011 2011000761 $38.00 04/20/2011 2011000761 $3.409.00 04/20/2011 2011000761 --,-.."'--...---- $374.00 04/20/2011 2011000761 --'-~- $25.00 04/20/2011 2011000761 $134.00 04/20/2011 . 2011000761 -"'-~---- $211.00 04/20/2011 . 2011000761 $7193 04/20/2011 2011000761 $15808 '-o4'i2oi20i1 201Toilo761 $10.00 04/20/2011 2011000761 $1,712.36 04/20/2011 2011000761 $1,811.51 04/20/2011 2011000761 $497.07 04/20/2011 2011000761 $462.73 04/20/2011 2011000761 $13,082.19 Springfield Building Permit 4/20/2011 11:53:43AM Page 3 af6 . S;:~NG:.E.L~ ~ ~OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00494 IVR Number: 811106613565 www.cLspringfield.or.us 225 Fifth 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 04/20/2011 ISSUED: APPLIED: 04/20/2011 03/25/2011 EXPIRES: VALUE: 10/17/2011 $112,323.00 SITE ADDRESS: 4859 A ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1702324101600 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential S;ngle family residence - SAME AS Sl 0-00321 PROJECT DESCRIPTION: Plan Review , DeDartment Application Acceptance Received Due Date 03/25/2011 03/25/2011 Completed 03/29/2011 Result Application Accepted Reviewer David Bowlsby Public Works ,Review 03/29/2011 03/29/2011 03/31/2011 Approved Comments: Sanitary and Storm drainage to approved private systems Structuralf:feview___ ~:04~04J~9,11, .\:; vy,~i~ng Inte.rn~3I' "'~.::' ","",. ~,: ~y, ,.," '- -,~::i'.jl:;_\,:-: :":~"r'.tf'~:,~~: :,') Todd Singieton ,"", Planning Review 03/29/2011 03/29/2011 0411412011 Approved Tara Jones Comments: This permit meets cluster subdivision standards for lot coverage and setbacks. The front facade must have the design elements outlined on the elevation page (2 of 10). The 3' walkway is required from the parking area to the house. Street tree is to be located in the front yard. \ rrr~ff~r~,!I\~e~l~~~~ '. ~-~~~',.,;;:~~~J:~~3q\~ w>.~,0;l?~~2g~1 :~:;'~:!}~~:~J:':,>~~~':~~,f.~~ L<:g,"~;e!,lts.:~ . As _not,ecl:PIli~l~n~ "',;~. '";!'*:!_~ ;_"",~,' ,t ,,:}.ti:'~~,:~fJT, 2;:" _::,,1. Permit Issuance 04/18/2011 04/18/2011 04/20/2011 Issued Nancy Machado Springfield Building Permit 4/20f2011 11 :53:43AM Page 4 of6 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00494 IVR Number: 811106613565 225 Fifth St . Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pennitce nter@ci.springfield,or,us PROJECT STATUS: STATUS DATE: 155 ued 04/20/2011 ISSUED: APPLIED: 04/20/2011 03/25/2011 EXPIRES: VALUE: 10/17/2011 $112,323_00 SITE ADDRESS: 4859 A ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1702324101600 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single 'amily residence - SAME AS 510-00321 PROJECT DESCRIPTION: INSPECTIONS REQUIRED ~ Inspections 1020 Zoning/setbacks 1110 Footing 1118 Footing Drain 1120 Foundation F . \ ootlng: 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. 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/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. Underfloor Mechanical. Prior to insulation or decking and including required testing. Rough Mechanical: Prior to Cover Final Mechanical: When all rnecha!1ic~1 work is complete. 1999 Final Building 2200 Underfloor Mechanical 2300 Rough Mechanical 2999 Final Mechanical 3130 Footing/Foundation Drains 3170 UnderfloorPlumbing 3200 Sanitary Sewer 3315 Water Line Underfloor Plumbing: Prior to insulation or decking. Sanitary Sewer Line: Prior to filling trench and including required testing. 3400 Storm Sewer Storm Sewer Line: Prior to filling trench. 3411 Perimeter Rain Drains 3500 Rough Plumbing Rough Plumbing: Prior to cover and including required testing. Springfield Building Permit 4/20/2011 11:53:43AM Page5of8 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00494 IVR Number: 811106613565 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 04/20/2011 ISSUED: APPLIED: 04/20/2011 03/25/2011 EXPIRES: VALUE: 10/17/2011 $112,323,00 SITE ADDRESS: 4859 A ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1702324101600 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family residence - SAME AS S10-00321 3999 Final Plumbing 4000 Temporary Power Service 4225 Service or Feeder 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 construction. 4-20-)) Date Springfield Building Permit 4/20/2011 11 :53:43AM Page6of6 al Permit Application sAMe- It> Y gS"3 It s.t SJO~OOJt..f SPRINGFIELD DEPARTMENT USE ONLY pf!:RnP:>" ~ 0 0 Y 9 Y :: - CiTY OF SPRINGFIEW,:<()REGON:: _' .:.' '. c. ,,'- :>.:" . 225 Fifth Street. Spcingfield, OR 97477. PH(54 1)726-3753 . FAX(54 1)726-3689 Date: "3 ~ z s- - (/ 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. C , ..' .,' ;~9CAl.~QYE8NM~Nl:"Ap.e8>t:5YAtlj2;i'1:';8\i;iilJb';i This project has final land-use approval. Signature: This project has DEQ approval. Signature: Zoning approval verified: 0 Yes 0 No Property is within flood plain: 0 Yes 0 No ~;'~~;k~~f,~;{~.~~~~~~~l9AI~i:?,~;iBy':{E9_Fi.G:9N_~~R_-~,G.It19.ij~~<~f:\'1;g(~l"i;:g.Wj}'i':; Residential 0 Government 0 Commercial ...JJpS"SrTEi iNflj~MAtIQN;V;AN.RiiIQcA:t:i9t>l~;!~':f~':;;')';; Job site address: 4- C(."" ST. City: $P/l.'A!&l' I (:H.D State: oR.. Subdivision: HE-/EI2.. E:STAT. Reference: '7 D 7- ..., Z Taxlot: '" PROPERTY OW!'lER Name: ~ E flflel'n or F,,~ LJH~N'T''1' Address: 12/0 OA"- PATI:.H ci. City: E j) 6Etv fE State: t2f2... ZIP: q 74() Phone: 4 - 7'1-) /707 Fax:S4/-741- (,743 E-mail: Tt>y,,-rA'7<.oOO'i €3J'lJNO_ This installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010. Date: Date: ZIP: CJ7478 q 01 -00 Sign here: Business name: b C-,.,./ J..I Address: City: Phone: E-mail: CCB license no.: Print name: L State: Fax: ZIP: Signature: ~i!:t;!:';h'sLlB'c.0NJ:8A(;;i:()R'jNI70r{MA'I\lqt>l1,~~~;ii~~'iJ~t,;m;; Name CCB License Number Phone Number Electrical .5"4-I-QbB. 1"1(;, 2- 086- -+19 Plumbing Mechanical - '" (,,,,\~'U',iFEE:S!;HEI:i[jLl('-'( -. SltJ~ Construction type: WOO ~ Square feet: /40 rp Cost per square foot: Other information: Type of Heat: 15 LUT(21 C Energy Path: P12.Esc.)2.ll6eD ew 0 alteration 0 addition (b) Foundation-only permit? 0 Yes Total valuation: ~l7,; ,:~,l:I.ti(j'~~"g",!~~~ij:;~~fi{,i,~,:~?:!j,d(:l,;)1;i)j,iJ~~~.:;1~,i#}; (a) Permit fee (use valuation table): (b) Investigative fee (equal to [2a]): (c) Reinspection ($ per hour): (number of hours x fee per hour) (d) Enter 12% surcharge (.12 x [2a+2b+2c]): (e) Subtotal of fees above (2. through 2d): {t~~i~~,tr~'yi~w1-f~~~~,[~t#~fJ~4!~~-~:E~~~f~~,~~J '. $ $ $ (a) Plan review (65% x permit fee [2a]): (b) Fire and life safety (40% x permit fee [2a]): (c) Subtot.1 offees .bove (3. and 3b): ;;'4.;~"i!~:~~i!~g~o,us;(~~~:i;;i{i.j )"/ (a) Seismicfee, 1% (.01 x permit fee [2a]): $ TOTAL fees and surcharges (2e+3c+4a): S 13~A~ eLEcr/41 <.. 6PUIAL-T1 PvVHg"".J{. Electrical Permit Application . I 225 Fifth Streett Springfield, OR 97477 t PH(541)726-375H FAX(541)726-3689 DEPARTMENT USE ONLY Date: This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work i5 suspended for 180 days. 'LOCAL GOVERNMENT APPROVAL".'.'""',' Zoning approval verified? DYes D No . :CATEGORYOFCONSTRUCTIONi:. . Residential Reference: Name: Address: This installation is being made on residential or farm property owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or rent OAR 479540(1) and 479,560(1). Signature: CONTRACTOR INSTALLATION. Business name: --:? c:. ~L ~C71t.1 G Address: 70""" "7 ,,_<- . ...,: -Ii 3 i City: CI2I?5 (J eLL Phone: S1'r-'7('.- .- ~ 6.2- State: O<L ZIP: '17'1.1-6 Fax: Q /-JI;.iTI"Vt.a(I.- . COi"1 E-mail: 1..)1-1c...4o..l- S CCB license no.: 112- 'e 'ftJ . BCD license no.: Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: N ~\~ b(~ ~~ 440-2584-J (9!08/COM) ., ~','.:'!ii....;!i;::'!rii).';';'Y: I;EE':'SCH EDU tE".::t:.::;<iwr:;f:i'&~:"~;F.Y .N,umber ,;finspections per i.t~,,!,' (.) c.,. Qty. Cost Total ,:,' ...... "". . - . -. ." ; - . .'~ ." ~-'.-'ea.-: . cost ~esidential, per unit, service included: 1,000 sq, ft. or less (4) I $134.00 $ nCf Each additional 500 sq. ft. or portion \ $ 25,00 $Zr thereof Limited energy (2) $ 32,00 $ Each manufactured home or modular $ 63.00 $ dwelling service or feeder (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) $15B,OO $ 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: instal/ation, alteration. relocation 200 amps or less (2) $ 63.00 $ 20 I to'400 amps (2) $ B7.00 $ 401 to 600 amps (2) $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 oranch circuit $ 6,00 $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) $ 55.00 $ Each additional branch circuit $ 6.00 $ Miscellaneous fees: service or feeder not included Each pump 'or irrigation circle (2) $ 63,00 $ Each sign or outline lighting (2) $ 63.00 $ Signal circuit or a limited-energy panel, $ 63,00 $ alteration, or extension (2) Each additional inspection: (1) $5B,OO $ }'~:i~):/~b1:&;~1t~';i:,{~ CIT;~itc'AR(>.I.!iCAN"'IUSEi;,.:: "f :"'k: (A) Enter subtotal of above fees /S~ (Minimum Permit Fee $58.00) $ (B) Enter 12% surcharge (.12 x [AD $ r .,-.-,- (C) Technology Fee (5% of [A]) $ 7 ,r- TOTAL fees and surcharges (A through C): $/~O :s 2~willam.al~oe , tlirj Park and Recreation Dlstnct ' Job. No. '{II - 49L( PARK AND RECREATION SYSTEM DEVELOPMENT CHARGE WORKSHEET January i-December 31, 2011 NAME: IfA'3IT"", ft,e.-lW.oN\A-r-JIJ'f ADDRESS: 1210 "Ate::- ?,...,-u.t- CITY: ElA.t; PHONE: '7Q /~ /7,j') STATE:67Z- ZIP: C/1l/.::?.2- LOCATION OF PROPOSED BUILDING SITE: Stre;t Add'ress: -if 6-5""9-,4 Jr. Plat Name:~~lL 0, S;JJ:t...i) Tax Lot Number: /7tJ2- 3.Z" / 01(,00 1. DEVELOPM ENT TYPE (Refer to development type definitions on the reverse,) X $3,409 per unit = $ ')'107 X $3,404 per unit = $ X $2,800 per unit = $ x $1,400 per unit = $ X$1,70S per unit = $ 2. SDC CREDIT (If applicable. SDC payer must furnish proof of credit approval.) ($ ,~ $ 3'$10/ 3. TOTAL PARK AND RECREATION SDC ASSESSED (j 3 I 2r I :U>I/ Date of building permit submittal 4' 12sLJ 20 ( / Date of building permit issuance' s~~~~::~~ L~ ~OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield,QR 97477 541-726.3753 www.ci.springfield.or.us 811-SPR2011-00494 4859 A ST permilcenter@ci.springfield.or.us RECEIPT NO: 2011000761 RECORD NO: 811-SPR2011-00494 DATE: 04/20/2011 tbESCRIe.tION ~ . . .i;-.,,,,.".. 1iJp7;:7[:' ";<:':'1.', 'r",,',-_:" '\:'?'CCQU'N:tCODEL:;l:.':<;w.J;[ , AMouN'(DUE _h ,- .I Address Assignment, each new or change 224-00000-425602 38,00 Admin fee (10% of applicable fees) 224-00000-426605 6.60 ._3.~.hadde~.520 sq. ft. or portion 224-00000-426102 25.00 __ii.'st App!'a~~~~e:...__.___ 224-00000-425604 79.00 __()r1E>.or_Two ~~m!lx Dwelling with Two Balh ___,___-3.24-0000o-~25603 ______, 374.00 Planning -; Major Review - City 100-00000-425002 _______,. 211.00 Residence wiring 1,000 sq. ft. or less 224-00000-426102 134,00 Residential Fire (.05 Per Sq Foot) 100-00000-424005 66.00 SDC: Administrative Fee - MWMC Regional Wasfewater 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 1,81.1.51 SDC: Improvement Cosl- local Wastewater 443-00000-448025 835.77 ____S.~C-'--'--"2f"ovell1ent Cost - MWMC. Regional Wastewater SDC 445-00000-448025 1,,~.~.5,~..__ _ __..sDC: Imer~me,:,t Cost ~.orainage 440-00000-448028 462,73____ __~I?~: Re~~rsement - Transportation SDC _.___,__-:.4?:~?Q00~6___ 49707 SDC: Reimbursement Cost - local Wastewater 442-00000-448024 1,712,36 SDC: Reim~,~_':.ement Cost - MWMC Regional Wastewater SDC 444-00000-448024 101,97 SDC: Reimbursement Cost - Storm Drainage 441-00000-448029 318,03 SDC: Total Sewer Administration Fee 719-00000-426604 209,79 SDC: Total Transportation Administration Fee 719-00000-426604 145.49 Single-duct exhaust (bathrooms, toilet compartments, utility roar 224-00000-425604 27.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 168.08 Structura.!..Building Permit Fee 224-00000-425602 761.66 __ Tech'29!<:>.gy fee (5% of permit total) 100-00000-425605 71.93 _~~II~.:n2'lane fees - Single family detached 821-00000-215023 3,409,00 ____ TOTAL DUE: 12,832.19 L~.iS~XMI;NJ~rYeg'>;E',:!i;;J~E~x.oti~'~jEIER:iNMAcHA6B;:i;Z,v:~0t+:;. ~~~C_9~Mj~~~1f~~i!,t~'~:!J':~ .",," ~_---; t, -~.~ ~!c~-,AJV'QUMT-_~AIDt',7. ~~;,J'~...:"~'j Check SPRINGFIELD/EUGENE HABITAT 12,822.19 FOR HUMANITY Cash Roddy Toyota 10.00 TOTAL PAID: 12,832.19 SPRI.NGFIE~ iI~' ~. ,",,_L .f:', ~ ':'~, OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 FifthS! Springfield, OR 97477 541-726.3753 www.ci.springfield.or.us 811-SPR2011-00494 4859 A ST permitcenter@ci.springfield,or.us RECEIPT NO: 2011000557 [DES'CRIP..TIOW"' "'y/j,,T-^,.:, " -1.4%" Same as Plan Review Submittal RECORD NO: 811-SPR2011-00494 DATE: 03/25/2011 >. S\#\#~~;~~"'> r Ac.c;_(ii.JNI.:.c.OD'E~~(i. '_ -',--~":'""<t+. " 224.00000-425602 TOTAL DUE: "" ~ AMOUNT_D.uI~- 250.00 250.00 AMOUNTPAID 250.00 J Le.~YME:NT"TIP'Ei.~P.&()B '; CASHIER: DSOWLSBY ~:~;:C9-""MENis;c..:.:.. Check SPRINGFIELD/EUGENE HABITAT 3266 FOR HUMANITY ! TOTAL PAID: 250.00