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Home My WebLink AboutPermit Building 2011-4-22 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00655 IVR Number: 811142044032 Issued 04/22/2011 ISSUED: APPLIED: 04/22/2011 04/21/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci,springfield.or.us EXPIRES: VALUE: 10/19/2011 $217,331.83 SCOPE: Single Family Residence WORK INVOLVEO: New TYPE OF STRUCTURE: Residential Single family residence - SAME AS SPR2011-003991157 S 41st St SITE AOORESS: 6095 Graystone LOOP, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1702343303400 PROJECT DESCRIPTION: Phone Number: OWNER: ADDRESS: BRUCE WIECHERT CUSTOM HOMES INC 3073 SKYVIEW LN EUGENE OR 97405 Contractor Type Electrical 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 R-3 Type VB U Type VB # of Stories: 1 Height of Structure: 26.5 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Gas Hazmat: No I Lic No Lie Exp Phone 101717 09/16/2012 541-686-9458 105475 03/3012012 541-933-2598 460 06/27/2011 541~726-0100 65065 03/12/2012 541-342-3765 ~ Lot Size: 10129 Sq Ft 1 st Floor: 2001 Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: 625 ATSq;FCCarp'6rt?regon law requires you to fOils'ii'Fiotti'efldopted 1:'0' the Oregon Utility Notification Cellter Those rules are set forth , in o~~g8~5\'i\-?3~:, 0 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344), 2008 Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit 3 No. No Path 1 A Gas-fired furnace with min. AFUE of 90% 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: Site Information No No No No No 4/22/2011 2:42:57PM . }n::E: ,-'ilS PERMIT SHALL EXPIRE IF THE WORK "~THORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Page 1 of6 S~11~.N. ?E~ ~~ ~OREGOrl www.ci.springfield.or.Us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00655 IVR Number: 811142044032 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 04/22/2011 04/22/2011 04/21/2011 EXPIRES: VALUE: 10/19/2011 $217,331.83 ISSUED: APPLIED: SITE ADDRESS: 6095 Graystone lOOP, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1702343303400 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family residence - SAME AS SPR2011.00399 1157 S 41st St Frontyard Setback: 18 Interior Setback: 20 Sideyard Setback: 20 Rearyard Setback: 35 Solar Setback: 0 DEVELOPMENT INFORMATION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: Hillside 3 Yes 35.2 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, misc. Springfield Building Permit 27 PUBLIC IMPROVEMENTS ~ Yes Yes Valuation Description , Tvoe of Construction VB VB Unit Amount Unit Tvoe 2,001.00 Sq Ft 625.00 Sq Ft 4/22/2011 2:42:57PM Sidewalk Type: Downspout/Drains: Unit Cost 9683 37.72 Value 193,756.83 23,575.00 217,331.83 Page 2 of 6 CITY OF SPRINGFIELD 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541~726~3769 Fax: 541-726-3676 www.ci.springfield.or.us Building I Residential Permit PERMIT NO: 811-SPR2011-00655 IVR Number: 811142044032 pe rmitce nter@ci.springfield"or.us PROJECT STATUS: STATUS DATE: Issued 04/22/2011 ISSUED: APPLIED: 04/22/2011 04/21/2011 EXPIRES: VALUE: 1 0/19/2011 $217,331.83 SITE ADDRESS: 6095 Graystone LOOP, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1702343303400 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family ,esidence - SAME AS SPR2011-003991157 S 41st St FEES PAID ~ Date Paid Recio! # 04/22/2011 2011000784 04/22/2011 2011000784 04/22/2011 2011000784 04/22/2011 2011000784 04/22/2011 2011000784 04/22/2011 2011000784 04/22/2011 2011000784 ----._--, 04/22/2011 2011000784 --.---.--.---- - $27.00 04/22/2011 2011000784 ~---'--"'-~----'-'-"._-- -------.---.---..,--.-.,.- $79.00 04/22/2011 2011000784 $134.00 04/22/2011 2011000784 $100.00 04/22/2011 2011000784 .--. ~._- $63.00 04/22/2011 2011000784 $131.30 04/22/2011 2011000784 $88.00 04/22/2011 2011000784 $-30.00 04/22/2011 2011000784 $7.00 04/22/2011 2011000784 $13.13 04/22/2011 2011000784 $825.07 04/22/2011 2011000784 ------- -- $1,200.47 04/22/2011 2011000784 ,----- $497.07 04/22/2011 2011000784 -..."-<.-.-..,,,..,-- _._.",-~- ._._---_.._'..,."'.__.._.,.,~..._-+-"- --' .--.- --.--..-. - ---- $1,811.51 04/22/2011 2011000784 $1,993.91 04/22/201 ,------.-2011000784 -_.._~,. $1,694.25 04/22/2011 2011000784 $1,800.12 04/22/2011 2011000784 $101.97 04/22/2011 2011000784 $1,333.57 04/22/2011 2011000784 $22.63 04/22/2011 2011000784 $10.00 04/22/2011 2011000784 $110.65 04/22/2011 2011000784 $243.48 04/22/2011 2011000784 $211.00 04/22/2011 2011000784 $1.189.01 04/22/2011 2011000784 -.-------".-.,'" _.,,_.,----~-- - .... .- - --- -. _. $250.00 04/22/2011 2011000784 w_~_m__._ .__ ._~_."'.. $88.00 04/22/2011 2011000784 $15,027.67 $132.68 $431.85 $38.00 $374.00 $17.00 $17.00 $13.00 $9.00 Description SDC: Total Transportation Administration Fee SDC: Total Sewer Administration Fee Address Assignment, each new or change One or Two Family Dwelling with Two Bath Furnace - up to 100,000 BTU Air conditioner - . ~<:nge hood/other kitchen equipment Flue ~~~ter heater or ~~~.!!!!place ~i.n9_1~-d~~~~~al:l_s~Ll:~~~ms, t()~! compartments, utili First Appliance Fee Residence wiring 1,000 sq. ft. or less Each added 500 sq. ft. or portion Temp services 200 amps or less Residential Fire (.05 Per Sq Foot) Curb Cut/Driveway 1 st Cut Multiple Permit Discount (Max 2) Gas Piping up to 4 outlets Admin fee (10% of applicable fees) SDC: Reimbursem",ent Cost - Storm Drainage SDC: Improvem~~~~~t - Storm Drainage S_D.C: ~7~~~ufs_~.~~nt - T~~:p.?.:!~tion SDC SDC: Improvement - Transportation SDC SDC: Reimbursement Cost - Local Wastewa~;"'-~---;---'- SDC: Reimbursement Cost - Local Wastewater SDC: Improvement Cost - Local Wastewater SDC: Reim~ursement Cost. MWMC Regional WastewatE SDC: Improvement Cost - MWMC Regional Wastewater ~ SDC: Compliance Cost - MWMC Regional Wastewater SI SDC: Administrative Fee - MWMC Regional Wastewater: Technology fee (5% of permit total) State of 2;egon Surcharge (12% of applicable fees) Planning. Major Review - Ci~y Structural Buildi~g Permit Fee____....____ Same as Plan Review Submittal -"'------ .i?idewalk up though 90feet Amount Paid Total Amount Paid Springfield Building Permit 4/22/2011 2:42:57PM Page 3 of6 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00655 IVR Number: 811142044032 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 04/22/2011 04/22/2011 04/21/2011 ISSUED: APPLIED: 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us EXPIRES: VALUE: 10/19/2011 $217,331.83 SITE ADDRESS: 6095 Graystone lOOP, Sprin9field, OR 97477 ASSESOR'S PARCEL NO: 1702343303400 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family residence - SAME AS SPR2011-003991157 5 41st St PROJECT DESCRIPTION: Plan Review , DeDartment Application Acceptance Received 04/21/2011 Due Date 04/21/2011 ComDleted 04/21/2011 Result Application Accepted Public Works Review 04/21/2011 Approved 04/21/2011 04/21/2011 Reviewer David Bowlsby Kaye Wilson Comments: Storm to designated lateral IP~~~nlng~~evlew :- .. ~. ~>' 9~/~172tQ1 \ =_~~~J~!?011\~ 9-1J?~2f11 ':!' ~P'E~V~~d~.,' '?f: ~ :- ~T?Ca J"oneS7, " - ::~~%-~~~7."'~~~~:J b C~m~;nts: - This s~.e IS a.t maxlmurTl ~oyer~ge, no. ne~'TP&rV10!:ls~ s~r:face (p~~ement'~r ~t1Jlcture) ca~n be allo~ed ~ Th,: IS bas~9 on, ~ "' '" j -..; ~3,5715sfoftotallmRerviouswhlch~eguals352%coverage ~ ,+ru,""fr,,_+,"rc,'>,,~, ", ;:"1 ' ., 't "...,. ''- . '________ Permit Issuance 04/22/2011 04/22/2011 04/22/2011 Issued Chris Carpenter Springfield Building Permit 4/22/2011 2:42:57PM Page4of6 www.cl.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00655 IVR Number: 811142044032 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perm itcen1er@ci.springfield,or,us PROJECT STATUS: STATUS DATE: Issued 04/22/2011 ISSUED: APPLIED: 04/22/2011 04/21/2011 EXPIRES: VALUE: 10/19/2011 $217,331.83 SITE ADDRESS: 6095 Graystone LOOP, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1702343303400 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family residence - SAME AS SPR2011.00399 1157 S 41 st 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 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 Insulation Wall Wall Insulation: Prior to cover. 1440 Insulation Ceiling 1520 Interior ShearwaJl 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 Underlloor Gas 2260 Gas Service 2300 Rough Mechanical 2995 Final Gas 2999 Final Mechanical 3130 Footing/Foundation Drains Springfield Building Permit 4/22/2011 2:42:57PM Page 5 016 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00655 IVR Number: 811142044032 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pennilce nter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 04/22/2011 ISSUED: APPLIED: 04/22/2011 04/21/2011 EXPIRES: VALUE: 10/19/2011 $217,331.83 SITE ADDRESS: 6095 Gray.tone lOOP, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1702343303400 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family residence - SAME AS SPR2011-003991157 S 41st St PROJECT DESCRIPTION: 3170 Underlloor Plumbing 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 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 Servi~es 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 reach address is readable from the street, that the permit card is located at the front of the pro rty, and the ap set of plans will remain on the site at all times during construction. Springfield Building Permit 4/22/2011 2:42:57PM Page 6 af6 SCU'Y\ i- ccS Structural Permit ApplicatioD_ 1/5"7 225 Fifth Stleel. Springfield, OR 97477. PH(541)726-3753. FAX(54I)726-3689 It - 0 0 39 cy 5. 1..// J-l-- <;.f ~~~ . - '-'-"',-"- --,","-. ',,-'" ,- DEPARTMEN'J( LjSEON~. ." ,-',' .'.',.'\~". -. "'", -,. "'- "',,t,-,'.. pfnfl;/:!O (S J Date: This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days 0 suspended for 180 days. CITY OF SPRINGFIELD, OREGON Date: Date: DYes DNa Subdivision: : (&.,,!..!JV'> Reference: 0 Z 3 4 J. Taxlot: i~i:,2;,{,:i;!f:r!iji;.PRQP.~RTIQ." ....Wt.. Name: 13 ( c<.t.J:, (.~..tCllr>Kl'" ~"".s ::t:NC- Addr"s:~O/1 5 I: .ic:w /-.N City: r: <J( (ru.- Statej) '" ZIP:') 71 0"- Phone: -h~- ~'i)F Fax: -)t'l- ~3bl- E-mail:W;,,,J....,;- \-.0""'-5 c CD'''C~S1. N.or 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. . !>o,wl ~ Iv L- Lv"- State:o<L ZIP: '1 7~" I Fax: :j'/ -:336 z @ co.", ct..s4 ~ v-ic. t Name Electrical/.." If' Plumbing 5!c..... i Mechanical (F H HI 'II 'H> > '(l-3"Jb> 7 lb"Oiae) lA Construction type: V TJ: Square feet: /6 ~ s tfl./ 0 Cost per square foot: Other information: Type or Heat: En.rgy Patb: new D alteration (b) Foundation-only permit? D addition DYes Total valuation: 2. :iluiidii!gf~~!f,'-{i/~"iJ!t'!' .... (a) Permit fee (use valuation table): (b) Investigative fee (equ.1 to [2.]): (c) Reinspection ($ per hour):. (number of hours x fee per hour) (d) Enter 12% surcharge (.12 x [2a+2b+2c]): (e) Subtntal orre.. abnv. (2alhruugb 2d): i'31'pI8W: . .:1 (a) Plan review (65% x permit fee [2a]): (b) Fire and life safety (40% x permit fee [2aJ): (c) Subtutal urr.e. above (3a and 3b): . 4. l\11~ce,l1a'il~ilMtee(" .. '.. . (a) Seismicfee. 1% (.01 x permit fee [2a]): S TOTAL r... and .ureharges (20+30+4a): S l I ~,... If V H- e /ip'lS Y!.tO I '79, 1i)). 5'5- uS /4--3 r-T fI/l I / ~ I '-1 (,/1.5 FA V3 <::. ~ Electrical Permit Application CITY OF SPRINGFIELD, OREGON 225 Fifth Street. Springfield, OR 97477tPH(541)726-3753tFAX(541)726-3689 r;::: ;;;J ,"'~-~,. ~~'<e ""....."- ,_. .""~,-~ ",;,;.",",' ~':N ,&!.. '.,,,...'';''It ~~~4.'" ',<.J_t ,. ". "., ., ',- , . . DEPNHMENT 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 is suspended for 180 days. ,,"LOCALGOVERf'.lMEf'.lTAPPROVAL:f',' .. Zoning approval verified? 0 Ves 0 No '.,CATEGORYOFCONSTRUC'TION',- ...... o Residential I 0 Government I 0 Commercial tt~;if,\T;'tOB~Srr!:: INFORMAJIONiAf'.l[j1,'LOCATION':':,>/;', Job site address: hoqs-' ; ("-'4S+olAV City: State: I ZIP: Reference: I Taxlol.: '. , . "DESCRIPTION OF WORK'." .. ....I,., t\1~ltJ PROPERTY OWNER... . . .' Name: ()'{\JU Wi tc-hi.A CJ;.-!-o.. . Address: 307 ~ s)t,", V,,,-I.J ) /iJ City: .( <>4 v-<-- I State: 01\.. I ZIP: "f 7'/0 ') Phone:SV/~bllb Of '15 i I Fax: ~YJ-'3Yf ~3b 'Z- E-mail:(.V.~c..~~--I-k<l~5 e CoMC-Ast ./Vc.r 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 renl. OAR 479.540(1) and 479,560(1), Signature: . CONTRACrOR INSTALLATION Business name: I- ~ e E;/~c-+V;c.- Address: q Z 3 ':': 3 -:50v..es AC(e..5 City: S (If \~ I State: 0 Tt. I ZIP: CJ 7 'f 73 Phone:$'fl -Sll - 'If '7 1\ I Fax: t:)i.ff Lj:f.i- -:. ~ E-mail: CCB license no.: I Of;; 4 7';) BCD license no,: '3'03.c... Signing supervisor's license no,: '-i I 7 'f - s-' Print name of signing supervisor: ~ Q 0,,- "Ov.Je...... Signature of signing supervisor: c,' ("'~ fJ~O \J-ei\ IV--.. \,\J~ ~ ~^\\\ ~ 440-2584-J (9/08/COM) p. '--'"",. '. FEE , SCHEDULE:C". ""''''>'''' NUll1her .(inspections perite,!, () Qtj. ~t ~~W Residential, per unit, service included: 1,000 sq. ft, or less (4) Each additional 500 sq. ft. or portion thereof Limited energy (2) Each manufactured home or modular dwelling service aT feeder (2) , i $f7l( $ {~() $ $ $134.00 '-I $ 25,00 $ 32.00 $ 63.00 Services or feeders: installation, alteration, relocation 200 amps or less (2) $ 81.00 $ . 20 I to 400 amps (2) $ 95,00 $ 401 to 600 amps (2) $158.00 $ 601 to 1,000 amps (2) $205.00 $ Over 1,000 amps or volts (2) $469.00 $ R;:o """ (2) $ 63,00 $ .,/" /' ~empo~vices or feeders: installation. alteration, relocation o amps or less (2) / $ 63,00 $ {, "i: 201 to 400 amps (2) $ 87.00 $ 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 se.rvice or feeder fee: Each branch circuit $ 6.00 $ b. Fee for bnmch 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 ,:/0/ included Each pump or irrigation circle (2) Each sign or outline lighting (2) Signal circuit or a Iimited.energy panel, alteration, or extension (2) . Each additional inspection: (\) ;';/':,.!;'i';;\!i:~'~IJ",'.;;;",; AppLIcANT"'U' 's E\' .' "'~" .",'... ""'..,'" ,,', ',.-- ,,".'.. '. -' ''',. . ...., . ,'." $ 63.00 $ $ 63.00 $ $ 63,00 $ $58.00 $ ':"'.',e:;;, $ }C(/ $ .g"wr $ IV,ot . $ J({,.I'/'1I'1 (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) (8) Enter 12% surcharge (.12 x [AD (C) Technology Fee (5% of [AD TOTAL fees and surcharges (A througb q: 21, willamalane. tlJ Park.and Recreation District . Job..No. 5 11- ~ 55>- PARK AND RECREATION SYSTEM DEVELOPMENT CHARGE WORKSHEET . January 1-December 31, 2011 NAME: l? j,JC 1+ . . ADDRESS: Sb'7:3 S/<:,(V(t::W . CITY: s-tA.. PHONE: ~oc, s;l) s-o . ___.___~_u ~. _ _ ___ _-__~~__~___ .STATE:O,L ZIP: '1') '-to") . LOCATION OF PROPOSED BUILDING SIl:E: ~. --~ '.. - <' ~-.". .~.'~ . """ . - .~Street .A:ddress:Uo'7 !)" . ,~...,t;T& #JC Plat Name:A-to/t&~ Tax Lot Number: 1?0'2: '4r~ i1 ']'f~u 1. DEVELOPM ENT TYPE (Refer to development type definitions on the reverse.) A Single-Family Detached NO. OF UNITS f B. Single-Family Attached . X $3,409 per unit = $ "$ '(Dl . .NO. OF UNITS X $3,404.per unit = $ c. Multi-Family Apartment NO. OF UNITS X $2,800 per unit = $ D. Single Room Occupancy . . ~--NO. OF-UNITS-.. -. .. X $1,400perunit =.. ---$.- ." E. Accessory Dwelling Unit ..- - - - ..- ..~_ _ '~_'___'__'_"_____'''''''---''___A___ - .- ._- -,--- X $1,705 per unit = . $ . . - - '~~-~-:--''''''''''~'''-_.~--''-~--~''''''''''--''-''-----'----.--''- --------'--- - ----- -- NO. OF UNITS 2. SDCCREDIT (If applicable. SDC payer must furnish proof of. .0 credit aPP'!ovaJ.) . ($ to " 3. TOTAL PARK AND RECREATIONSDC ASSESSED $'3 'U ( ~. t{/ZI//( Date of building permit submittal City of Springfield .~. City of Springfield "'-I / Z. -z.- / 1/ Date of building permit issuance S~l:~:=:.E. L~ ~. ~-OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2011-00655 6095 Gravstone LOOP CITY OF SPRINGFIELD 225 Fifth St Springfield, OR 97477 541-726-3753 permitcenler@ci.springfield.or.us RECEIPT NO: 2011000784 IOESCRIf1.TiON'::::;;";74:,,> :;t;:' :9' .,. ,:';;Hrc"rc0;" Address Assignment, each new or change Admin fee (10% of applicable fees) Air conditioner Curb CuUDriveway 1 st Cut Each added 500 sq. ft. or portion First Appliance Fee Flue vent for water heater or gas fireplace Furnace - up to 100,000 BTU ___ Gas f~e!~_g up to 4 ou~ets .~tiple.!'ermit Dis"-o..ull,t,jMax 2) One or Two Family D~elling with Two Bath Planning - Major Review - City Rang.: hood/other kitchen equipment Residence wiring 1,000 sq. ft. or less Residential Fire (.05 Per Sq Foot) SDC: Administrative Fee - MWMC Regional Wastewater SDC SDC: Compliance Cost - MWMC Regional Wastewater SDC ~C: Improvement - Transportation SDC sac: Improvement Cost - Local Wastewater SDC: Improvement Cost - MWMC Regional Wastewater sac SDC: Improvement Cost - Storm Drainage .~_ SDC~~:!~burse..!l1ent w Transr:.I?~~~!1?.n SDC __,._~,,__.__.._."_ SDC: Reimbursement Cost - Local Wastewater SDC: Reimbursement Cost - MWMC Regional Wastewater SDC SDC: Reimbursement Cost - Storm Drainage SDC: Total Sewer Administration Fee SDC: Total Transportation Administration Fee Same as Plan Review Submittal RECORD NO: 811-SPR2011-00655 DATE: 04/22/2011 ..''iij'''*l,;t;, '\';AC.COUNT2COOE, _'.' .'AilnOUNT1I)UE' ..,' "~J 224-00000-425602 38.00 224-00000-426605 13.13 224-00000-425604 17.00 201-00000-428060 88.00 224-00000-426102 100.00 224-00000-425604 79.00 224-00000-425604 9.00 224-00000-425604 17.00 ------ 224-00000-425604 7.00 __"."._ 0~_'~'_,_",__~,_",____ 201-00000-428060 -30.00 224-00000-425603 374.00 100-00000-425002 211.00 224-00000-425604 13.00 224-00000-426102 134.00 100-00000-424005 131.30 611-00000-426604 10.00 444-00000-426607 22.63 447-00000-448027 1,811.51 443-00000-448025 1,800.12 445-00000-448025 1,333.57 ._._.__w___.__ 440-00000-448028 1,200.4 7 446-00000-448026 497.07 ----,-,~.,---,- -,-_...-------- 442-00000-448024 3,688.16 444-00000-448024 101.97 ---,------ 441-00000-448029 825.07 ------- 719-00000-426604 431.85 719-00000-426604 132.68 224-00000-425602 250.00 201-00000-428060 88.00 224-00000-425604 27.00 821-00000-215004 243.48 224-00000-425602 1,189.01 100-00000-425605 110.65 224-00000-426102 63.00 TOTAL DUE: 15,027.67 ~',.'i_._, -,.. - . 'AMc:J~T,P~':~L_",,"J 9,500.00 _~~ewa~p though 90 Feet _.__.. Single-duct exhaust (bathrooms, toilet compartments, utility roor State of Oregon Surcharge (12% of applicable fees) __~~uctural Building Permit Fee Technology fee (5% of permit total) ._~~mp ~e!~.~~~s 200 amps or less I.::.RAX.MEt-lJ~t:YRE:;", ;. .' P A 'LQR '::CASHiER'CCARi>E~TER; ;,~__,-:"(;QMM@I.S Credit Card BRUCE WIECHERT CUSTOM 03563d HOMES INC Check 20498 BRUCE WIECHERT CUSTOM HOMES INC 5,527.67 TOTAL PAID: 15,027.67 o�o 0 0 o a��i�o �a m� c_� w¢, z cr �>cor,=oo?ozM o o00 o�►�-o c�cy,� a� a) Co co cll a CES 0 z U o o QcaccLO :01 �oa� zL�c�'�n W � v� - t- o=<o E E- _- p 0)o = " Z c o I U � g r� O vl 19 a k N Q fU 0 x 0 ULO � d J 0 a� o, Ln a)� a� v� o0 0 t.o =1d'U WOC1MWLoU a �• Iii . n�i e� .. wzna L mw p,a 3jo • . 0 • Z r N W 8 x 6,0 O o lt c� � N w � � (nZ ?µ�) 4 ) i �WIi b Z�:,WI� {' F�f aQw� m �iL U co LijvocD z LIJ C,D d H- h-p�� g � j C3= O CL co U r� O vl 19 a k N Q fU 0 x 0 ULO � d J 0 a� o, Ln a)� a� v� o0 0 t.o =1d'U WOC1MWLoU a �• Iii . n�i e� .. wzna L mw p,a 3jo • . 0 • Z -J< W 8 x 6,0 o lt �ww� �9� ( C (nZ ?µ�) 4 ) i �WIi b Z�:,WI� {' F�f aQw� m W4 0 S.1