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Home My WebLink AboutPermit 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