HomeMy WebLinkAboutPermit Building 2011-5-16
~\
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00758
IVR Number: 811157142078
www.ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
ISSUED:
APPLIED:
05/16/2011
05/05/2011
05/16/2011
SITE ADDRESS: 4832 HOllY ST, SPRINGFIELD, OR 97477
ASSESOR'S PARCEL NO: 1802051110900
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
perm itcenter@ci,springfield.or.us
EXPIRES:
VALUE:
11/11/2011
$151,538.00
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
OWNER: 'I,'JHD3 llC
ADDRESS: ,2464 SW GLACIER PL
f ' REDMOND OR 97756
Single family residence -SAME AS Sll-00245 4873 Glacier
Phone Number:
L
Contractor Ty'pe
Electrical Contractor
-::'"1_:1 '
CONTRACTOR INFORMATION
'oi' Contractor Name
GARNER,ELECTRIC co
Lie Type
CCB
CCB
CCB
CCB
General Contractor HAYDEN'HOMES LLC
p',mb'7lIl"P\'!'1'ffiON: Oregon l!WilJreqWr_\l\l~~~ .
Mech'f/jlNMnrm'e'S adoptea o~AbfilliOlOllit\!M,JJ/WI~c
Notification en .
in OAR 952-001-0010 through OAR 95 001- BUILDING INFORMATION
# ilO"ils- You, may obtpin copies of the rulel Y St ' , 1
o ;alli'ng ttie center. (Note: the telepho~eo Orles, ,
" ".,.'the G1'~gon Utility NotlflcatltJWght of Structure. 18,5
Oeel/JljlnoyEry"" ,., 44) T f H FdA' G
construction(j\ilJ<\erisT~32-23. ype 0 eat: orce Ir as
Occupancy Type U Water Type: Gas
Construction Type Type VB Range Type: Electric
Hazmat: No
Electrical Specialty Code Edition:
. ,., Springfield Fire Code Edition: 1
NOTICE: . "'-!, ,~c,,~:'~i~/!1:li~~~chanical Specialty Code Ed~ion:
# of B:Mh'3rh's'!J!lM!T ~HA~U~PI~~ IF TH~~.tl~M.11 Development Code;
sprinIifJ~fi3'tfrdlA~~f1 iN"J!1~" nm~ f'l~"Mlr 1fJu~'tIg Specialty Code Edition:
Fire Af~fIIl~fI1~iIJ~~tJ @~ Is A~A~MI<J~f} ~~~idential Specialty Code Edition:
Energ911~tf:@@ fjM tp~~1~ertified . Structural Specialty Code Edition:
performance-tested
duct system
Lot Size:
SqFt 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Fl Garage:
SqH Carport:
Sq Fl Other:
Occupancy Load:
4625
1408
403
24
2005
Site Infonnation
~
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area: No
Retaining Wall: No
Soils Report Required: No
Springfield Building Permit
5/16/2011 10:39:40AM
Page 1 of 6
SPRINGFIELD
Ei,'~
'1#15: r/ii
. ;C,;;A" OREGON
CITY OF SPRINGFIELD
225 Fifth St
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-SPR2011-00758
IVR Number: 811157142078
permitcenter@ci.springfield.OLUS
PROJECT STATUS:
STATUS DATE:
Issued
05/16/2011
ISSUED:
APPLIED:
05/16/2011
05/05/2011
EXPIRES:
VALUE:
11/11/2011
$151,538.00
SITE ADDRESS: 4832 HOllY ST, SPRINGFIELD, OR 97477
ASSES OR'S PARCEL NO: 1802051110900
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Fronlyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
14
5
5,5
25,3
16,25
Single family residence -SAME AS 811.00245 4873 Glacier
DEVELOPMENT INFORMATION ~
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of lot Coverage:
Highest point on structure
to north property line:
Yes
39,6
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
18,5
PUBLIC IMPROVEMENTS
~
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valuation Description
~
Descriotion
Bid
Tvpe of Construction
NA
Unit Amount Unit Tvpe
151,538,00 Bid
Unit Cost
1,00
Value
151,538,00
151,538,00
Springfield Building Permit
5/16/2011 10:39:40AM
Page 2 of6
5t~laN::-..~..IE~.O
.f;(~ ·
. x<!!z' OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00758
IVR Number: 811157142078
www.ci.springfield.or.us
225 Fifth St
Springfield,OR 97477
Phone. 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci.springfield.or.us
Issued
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
05/16/2011
05/16/2011
05/05/2011
EXPIRES:
VALUE:
11/11/2011
$151,538.00
SITE ADDRESS: 4832 HOLLY ST, SPRINGFIELD, OR 97477
ASSESOR'S PARCEL NO: 1802051110900
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residenlial
Single family residence -SAME AS S11-00245 4873 Glacier
PROJECT DESCRIPTION:
FEES PAID
~
Descriotion
Same as Plan Review Submittal
- _.,~-~~--
SDC: Reimbursement Cost - Local Wastewater
SD2?: Improye~ent Cost - Loc~ Wastewat:~_
SDC: Reimbursement Cost - MWMC Regional Wastewate
SDC: Improv8':T1ent Cost - MWMC Regional Wastewater ~
SDC: Compliance Cost - MWMC Regional Wastewater 81
sac: Administrative Fee - MWMC Regional~Wastewater :
SDC: Total Sewer Administration Fee
?DC: Total.!ransportati~ Administration Fee
Sidewalk up though 90 Feet
~urb Cut/Driveway 1 st Cut
Multiple Permit Discount (Max 2)
Planning - Major Review - City
!3~sidential.~re (.05 Per:'.'lFoot)
Structural Building Per~it Fee
Address Assignment, each new or change
WillamaJane fees - Single f~mily detached
One or Two Family Dwelling with Two Bath
Furnace - up to 100,000 BTU
~ange hood/other kitchen equipment
~lue vent!~~~~~~_~~~,(?~~~~~r.:pJace .____.
Single-duct_:~~.~~st (bathroo';ls, toilet 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
Gas Piping up to 4 outlets
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
SDC: Improvemen~*:. Tr~nsportation SDC
SDC: Reimbursement - Transportation SDC
sac: Improvement Cost - Storm Drainage
Admin fee (10% of applicable fees)
SDC: Reimbursement Cost - Storm Drainage
Total Amount Paid
Springfield Building Permit
Amount Paid
$250.00
'*"'-"'~'-'-'------~-
$3,161.28
"'--,~",--~'---'.~_..
$1,542.96
$101.97
$1,333.57
$22.63
$10.00
$356.26
$135.67
~_"'~_0____.'_~'
$88.00
$88.00
$-30.00
$211.00
$91.75
$920.39
$38.00
$3,409.00
$374.00
$17.00
$13.00
$9.00
$36.00
$79.00
$134.00
$50.00
$63.00
$7.00
$204.29
$94.32
$1,811.51
$497.07
$804.62
$9.18
$553.01
$16,486.48
5/16/2011 10:39:40AM
Date Pa id
05/05/2011
05/16/2011
05/16/2011
05/16/2011
05/16/2011
05/16/2011
05/16/2011
05/16/2011
05/16/2011
05/16/2011
05/16/2011
05/16/2011
05/16/2011
05/16/2011
05/16/2011
05/16/2011
05/16/2011
05/16/2011
05/16/2011
05/16/2011
05/16/2011
05/16/2011
05/16/2011
05/16/2011
05/16/2011
05/16/2011
05/16/2011
05/16/2011
05/16/2011
05/16/2011
05/16/2011
05/16/2011
05/16/2011
05/16/2011
Reciot #
2011000882
2011000951
.,____ ~._._,._ _0'_~__
2011000951
--~...._--
2011000951
2011000951
2011000951
2011000951
2011000951
2011000951
---
2011000951
2011000951
'---~-"'--~---
2011000951
2011000951
2011000951
2011000951
2011000951
2011000951
2011000951
2011000951
2011000951
2011000951
2011000951
2011000951
2011000951
2011000951
2011000951
2011000951
2011000951
2011000951
2011000951
2011000951
2011000951
2011000951
-,----,--
2011000951
Page30f6
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00758
IVR Number: 811157142078
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
05/16/2011
ISSUED:
APPLIED:
05/16/2011
05/05/2011
EXPIRES:
VALUE:
. 11/11/2011
$151,538.00
SITE ADDRESS: 4832 HOllY ST, SPRINGFIELD, OR 97477
ASSESOR'S PARCEL NO: 1802051110900
PROJECT DESCRIPTION:
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
Single family residence -SAME AS 511.00245 4873 Glacier
PIa n Review
I
DeDartment
Initial Review
Received Due Date
05/09/2011 05/09/2011
ComDleted
05/09/2011
Result
Approved
Reviewer
David Bowlsby
Public Works Review
05/09/2011 05/09/2011
05/11/2011
Approved
Kaye Wilson
Comments: Stormwater to tap/ received on 5-10-2011
fPia~hf~g,'~.evie~~~ ~::;"':~:,::,~:' j;~"._'9_9(OW?qi'r;~ ,95!?$"2'011>~"'05!11/?01~1~~-,"',,'A.~pr9V_~d'-:~~~::~,p!.:.:~faia'.~:?~rf~~r?~-~,:-~~"\:~~,r;'j~ . :..,:~
'L co';m'e~I~:.: The/!.oOI~e'e;ati~n iS7i\e-,p:;~'9H ;;'lL",bi!~8~rr~d:deSI9n;el~iTIenIS:.I;",P~6!~:Will~eld phec~m~'f~ciu~1 : "". . '.' : ..... ,I
-....:. ~,-",~.~J~YJ:l~Jgn~.rn~J9:ti~!:!'Qml~_@fl..;c!~.~.lg[!~..E1li.2tiown Q.IJ.JJ:l5;l~~PRX~Q:,~~J,91:plaD.s,~~~}.,-~~;.,;";~,~".__~:: l-..;'.,.,..:".._.... _...~ _~-,-__,..~~.","L,~_..:_.J
Structural Review 05/09/2011 05/09/2011 05/12/2011 Approved Chris Carpenter
Springfield Building Permit
5/16/2011 10:39:40AM
Page 4 of 6
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00758
IVR Number: 811157142078
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@cLspringfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
05/16/2011
ISSUED:
APPLIED:
05/16/2011
05/05/2011
EXPIRES:
VALUE:
11/11/2011
$151,538,00
SITE ADDRESS: 4832 HOllY ST, SPRINGFIELD, OR 97477
ASSESOR'S PARCEL NO: 1802051110900
PROJECT DESCRIPTION:
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
Single family residence -SAME AS Sll-00245 4873 Glacier
INSPECTIONS REQUIRED I
Inspections
1020 Zoning/setbacks
1090 Street Trees
1110 Footing
1120 Foundation
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
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 Shearwall
Ceiling Insulation: Prior to cover.
Shear Wall Nailing: Before covering sheathing with finish materials.
1530 Exterior Shearwall
1999 Final Building
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.
2200 Underfloor Mechanical
2260 Gas Service
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 Mechanical: When all mechanical work is complete,
2300 Rough Mechanical
2999 Final Mechanical
3130 Footing/Foundation Drains
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.
3500 Rough Plumbing
3999 Final Plumbing
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Sprlngfield Building Permit
5/16/2011 10:39:40AM
Page 5 of6
9PRINGFII;;u;J ~
'.pEPARTMENTUSE OrilLV
. S '1-2.01(-0075;
Permit no.:
Structural Permit Application
-
225 Fifth Street. Springfield. OR 97477. PH(54 1)726-3753 . FAX(541)726-3689
Date: S; ~-s; - ( I
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:;:110.C:A~ "'G'Q:2E@N1~NXg'MF:'8"QV~il.'ri~h'i:::li0ij'lt&~'ll
This project has final land-use approval.
Signature: Date:
This project has DEQ approval.
Signature: Date:
Zoning approval verified:
Property is within flood plain: 0
!~~~~~it~h~Z9'~1:,~_9.~i~Y;[Q.E~~;~9~~,~IR'Qpttl.9c~1.~~t~;i~~>f2s&}:2ej
IResidential 0 Government 0 Commercial
~;tilii,~:;jjQB~sl*E\.iN)f9RiViAtjQN.'1!ANP~'~()9,lI6Nf~;~'~\'i'!~i";;.
Job site address:4'~'3L l-let.....
City: p ,.l(..., f \
Subdivision: eu~'T"1) t ~5:>
Reference 't$O ZO 5'/1 /0 ~OO
.' P'ROPER'T' y' O' W' 'N'E' R',.': .
".,' '\,.,'. " -.,. -"
Name: 'if;J1;;1V t ,.....:s,
Address: 2Ll(P'1 b~ ~L.."'(('"
City: ICe<) ",,~iJ ()
Phone:glt -~ Sn-(o
E-mail: ~t>~l<,>,,~@ MV')cN-~<:>""""'-'WM.
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.
~ign here: ~.-}/( ~
.CONTRACTCl~ .It:i~l'Al.l,l\'n9N;.":,,;
ZIP:11-'f~
ZIP: q::n~
Business name:
Address;
City:
Phone:
E-mail:
CCB license no.:
Print name:
State:
Fax:
ZIP:
Signature:
~f.'>:,;(J\~:/i;;}j)i!tl$jjEH:;QNil:RA(;rr:QRjI~li'()BMATIQr'li!W~~~~!%~G\j:if
Name .CCB License Number Phone Number
Electrica I
Plumbing
Mechanical
......
~J:,.-. '~-; (:':"~ ::",:.c' ~~\#\~:~f.:l;,~;-.F~EJ~'St H~pUCW:'i';f,~~'. 1.:' ~~\~~,":;t~:;." ,.,"....'."i,
.;t:S$~_a),~~Ji,O!fT~f6rlr~~tto:~'t.{~!t\~~j&jWfi~:1t*~,>M~~~~:?~t~;/r~'1i:!t~,,~~;~ii.;U;~:
(a) Job description: <;.f. \0
Occupancy Q.~-l.A.
Construction type: ~~(V l\ \
Square feet: NaB
Cost per square foot: {p. S-
ather information:
Type of Heat: Crl'h ~/A
Energy Path: 21'::.
~w 0 alteration 0 addition
(b) Foundation-only permit? 0 Yes aNa
Total valuation: $ 1.1 S'.Ii"
~'~}:;JJ~~i1ijihg~f.?~~xi~i~~4~t~r~~~~!~t!0~~'v~\~';';!(~;;'\'~J}~:;J::: .~;~J:'t/;"-~~"~I~':
(a) Permit fee (use valuation table): $ I
(b) Investigative fee (equal to [2a]): $
(e) Reinspection ($ per hour): $
(number of hours x fee per hour)
(d) Enter 12% surcharge (.12 x [2a+2b+2e]): $ /IO'e
(e) Subtotal of fees above (2a through 2d): $
'S'~"~''''~1'~','~~..~:','''','~1{:~:''~'~F't'4i%4~~~';,' . ,":".i"'#~fri"'."~-'~:[~~,
~~~I.P;~~.~lfey.i_~w.;fe~sJ~~:~,',t'JfCt;i,,:v;x.t~:~~~;~~~, ' .~ir~)J~1~f']t~iC\t1j;:i
(a) Plan review (65%x permit fee [2a]): /l' $ :?~'-'
(b) Fire and life safety (40% x permit fee [2a]): $
(e) Subtotal of fees above (3a and 3b): $
::{~~~,~~~^~~if~!i~~i.f~1f~~~f1~!:~~.\~~).M~:~;:;iW':~t:h:'ii:~;j~~:~(;Lf?; ~~ ~.,,'
(a) Seismic fee. 1% (01 x permit fee [2.]): $
TOTAL fees and surcharges (2e+3e+4a): $ J:r 2".
J.
~ :"'=Elect~ical-Permit- Applica tion
1 I I
. 225 Fifth Streett Springfield, OR 97477. PH{S41}7:!6-3153. FA...X{54 1)7"
,. DEPARTMENT USE ONLY
Pernl!t no.: Sf ( - ~ d
SPRINGFIEl.D
~I
Date: s- r~//
~. This permit is issued under OAR 918-309-0000. Permits are nontransfcrnble. Permits expire if work is not started within 180-
?ays of.issuance or if work is suspended for 180 days.
LOCAL GOVERNMENT APPROVAL
Zoning approval verified? 0 Yes 0 No
CATEGORYbFCONSl'RUCTlON .. .
I3ResidentiaJ '.. D Government' D Commercial
. . JOB'SITE' INFORMATION' 'Alilp.tOCATION'" .
:3t I-b_L.'( ':> T,
(;Ja...
-- ,Job sile address:
Reference:
Signing supervisor's license no.:
Print name of signing supervisor:
Signature of signing superviso ,
'.10.2;&4.J (91011ICOM)
~v~,~o
~'~~r
~~
. .' FEE SCHEDULE ....,. ...,',:':".:,:, :....>.,. . .-
Number of inspections per item () Qty. Cost Total .
ea, , cost
Residcntinl, per unit, service included: - ---.- - .
'$I1Y- ~~ .-."<'
1,000 sq. fi, or less (4) -- $134.00
- . .
Each additional 500 sq. ft. or ponion $ 25.00 $<;e)
thereof ---
Limited energy (2) $ 32.00 $
Eoch manufoclured home or modular $ 63.00 Yl3
dwelling service or feeder (2)
Services or feeders: insrallalion. alteration. rel~catiol1
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 $
Reconnecl only (2) $ 63.00 $
Temporary services or fceders: installation, alteralicm, re.localion
200 amps or less (2) I $ 63.00 $L'J
20t to 400 amps (2) $ 81.00 S
--
40110600 amps (2) .. .
$126.00 $
Over 600 ompsor 1,000 volts, see services or feeders section nbove-
Branch circuits: new, alleralion, extension per panel
a. Fee for branch circuits with purchase of n service or feeder fee:
Each branch circuit $ 6,00 $
b. Fee for branch circuits without purchase of n service or feeder fee:
First branch circuit (2) $ 55,00 $
Each additional branch circuit $ 6.00 $
Miscellnneous fees: seMlice or feeder not included
Ench pump Dr irrigalion circle (2) $ 63.00 $
Each sign or outline lighting (2) $ 63.00 S
Signal circuit or a IimiLed-encrgy panel, $ 63,00 $
nlteratian, or extension (2)
Each ndditionnl inspection: (1) $58.00 $
.\.' y's",. ",,;.:;. APPUCANTUSE .:,', ,. ....;.,....:
(A) Emcr subtotal of above fees $:Z"7
(Minimum Permit Fee $58.00)
(B) Enter 12% surcharge (.12 x [AD $ 2" '--'"
-
(e) Technology Fee (5% of [AD $ 1"2~
TOTAL fees nnd surcharges (A through C): S ? }t~!.
b?,willamalane'
t"W Park and Recreation District.
Job. No. .
S71 - '7~
PARK AND RECREATION SYSTEM DEVELOPMENT CHARGE WORKSHEET
. January 1-December 31, 2011
NAME: /fA'tl>EN /kJ",,~.s.'
ADDRESS:2'f"f- .5t.u ~ L6'\'(.Ie'YL
CI1Y: /<c:bl'l1oNO
PHONE: SJb - 5'?~
STATE:~ ZIP: 9'1?rc
LOCATION OF PROPOSED BUILDING SITE:
Street Addr~ss: i../t"32-1/&.L..'f
Plat Name: K5rrw/~D S Tax Lot Number: /'g"d'L 0'57 / . I ~ T ~O
1. DEVELOPM ENT 1YPE (Refer to development type definitions on the reverse.)
A. Single"Family Detached
NO. OF UNITS
I
X $3,409 per unit =
$ 3Lf69
B. Single-Family Attached
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 $1,400 p\!r unit =
$
E. Accessory Dwelling Unit
NO..OF.UNJTS
)($.1,19?p_erun.i! ':.. . . __~.
, 2: SDC CREDIT (If applicable. SDC payer must furnish proof of .
credit approval.)
3. TOTAL PARK AND RECREATION SDC ASSESSED
($ cr
$ 3"b1
~
City of Springfield
S/.L.J II .
Date of building permit submittal
.~c
..City of Springfield
rs-/ /({? ;/1
Date of bUilding permit issuance
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth 51
Springfield,OR 97477
541-726-3753
www.cLspringfield.or.us
811-SPR2011-00758
4832 HOllY ST
pe rmitce nter@ci.springfield,or,us
RECEIPT NO: 2011000951 RECORD NO: 811-SPR2011-00758 DATE: 05/16/2011
tOESCRIFiTION<" -_i',i'J;+",~--,~;,:< ,<,*~,;",;,'~~'i';I;~ !,j,t"",~j;;CCOI:INThCobE:' "";" ..: ''':4;'AMOUN,TJb,UE ,: I
Address Assignment, each new or change 224-00000A25602 38,00
Admin fee (10% of applicable fees) 224<00000A26605 9,16
~.r:!?,,<::uUDriveway 1st Cut 201,00000<426060 88.00
Each added 500 sq. ft. or portion 224<00000-426102 50.00
_. First Appliance Fee 224-00000<425604 79.00
Flue vent for water heater or gas firep~c:' 224-00000<425604 gOO
Furnace < up<!o 100,000 BTU 224-00000A25604 17.00
Gas Piping up to 4 outlets 224<00000A25604 7.00
Multiele Permit Discount (Max 2) 201<00000-426060 <30.00
One.or Two Family Dwelling with Two Bath 224-00000<425603 374E~~
Planning < Major Review - City 100-00000<425002 211.00
Range hood/other kitchen equipment 224<00000A25604 13.00
Residence wiring 1,000 sq, ft. or less 224-00000<426102 134.00
__ Resi'!.:n<t!a~!r~~.Sq Foot) 100<000pOA24005 9175
_S"DC: Administrativ!, Fee < Mv:'MC Regional Wastewater SDC 611<00000-426604 ______ 10,00
SDC: Compliance Cost < ~YJMC Regional Wastewater SDC 444<00000-426607 22,63
SDC: Improvement: Transportation SDC 447-00000A46027 1,611.5:___
SDC: Improv,:~ent Cost - Local Wastewater 443<00000A46025 1,542.96
SDC;.lmprovement Cost - MWMC Regional Wastewater SDC 445<00000-446025 1,333.57
SDC: Improvement Cost - Storm Drainage 440-00000-446026 604.62
SDC: Reimbursement < Transportation SDC 446<00000A46026 497.07
SDC: Reimbursement Cost < Local Wastewater <__ 442<'!9_OQP::4~~?~i_<__, 3,161.28
SDC: Reimbursement Cost < MWMC Regional Wastewater SDC 444<00000A46024 101.97
SDC..:.Reimbursement Cost < Storm Drainage 441-00000-446029 553.01
SDC: Total Sewer Administration Fee 719<00000<426604 356.26
-------- ~._, _.._-~'" _..~-~~~"
SDC:.:r~ta!2sanspo~Administr!!ion Fee __ 719-00000<426604 135.67 <~__'
Sidewalk up though 90 Feet 201<00000<426060 66.00
~
Single-duct exhaust (ba!hrooms, toilet compartments, utility roor 224<00000A25604 36.00
.,,~tate of Oregon Surcharge (12% of applicable fees) 821<00000<215004 204.29
Fee 224<00000<425602 920.39
Technology fee (5% of permit total) 100<00000A25605 94.32
Temp services 200 amps or less 224<00000<426102 63.00
Willamalane fees < Single family detached 821<00000<215023 3,409.00
TOTAL DUE: 16,236.48
L'1eAy.IIIIEN!.:rXgE;;S:;:::;;;~p":'y'O~CAjH(ER'CCARkgNT~~~;t1: ,'c:..i5J!11.MEN~"- ..:;.' ;;,'y,.~ ."<~1e:MQl.Jt'lTP)\ID:t':'S.....c:....:~!
Check HAYDEN HOMES LLC Check also covers s11<670 16,236,48
36662
TOTAL PAID:
16,236.48
S:;~N::EL~
~
~ORfGON
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth 51
Springfield, OR 97477
541-726.3753
www.ci.springfield.or.us
811-SPR2011-00758
4832 HOllY ST
permitcenter@cLspringfield.or.us
RECEIPT NO: 2011000882 RECORD NO: 611.5PR2011-00756 DATE: 05/05/2011
tDEstRI"-tION.;,,,,_~~,:,:',\'" ,,,-,,~,t)t,i9:" ',",~C i -'ii,,: :'~,lACCOUNT_CODE~ y,'--'''':-'';'''.JAMQUNT:DUE2:':..:.:-:-':_:
Same as Plan Review Submittal 224-00000-425602 250,00
TOTAL DUE: 250,00
GBt\_"'M~ElT'!,,!IJ,~?;-Po:'";FiA'YOB;".E?CASHjER:,bBowi:SBV'if"0""~.COMM~r'jISW~:'?,'Y"'''':-'_ ";:!XMOUN:I: PAID. - ,";,: i9J
Credit Card HAYDEN HOMES LLC 250,00
031712
TOTAL PAID:
250,00