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Home My WebLink AboutPermit Building 2011-5-16 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00669 IVR Number: 811174776415 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 05/16/2011 ISSUED: APPLIED: 05/16/2011 04/25/2011 SITE ADDRESS: 4860 GLACIER DR, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051105600 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: 11/11/2011 $121,621.00 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family residence - SAME AS S11-00260 PROJECT DESCRIPTION: Phone Number: OWNER: ADDRESS: HAYDEN HOMES llC 2464 SW GLACIER Pl STE 110 REDMOND OR 97756 Contractor Type Electrical Contractor General Contractor Plumbing Contractor Mechanical Contractor Contractor Name GARNER ELECTRIC CO HAYDEN HOMES LLC STUTZMAN SERVICES INC PACIFIC AIR COMFORT INC 'CONTRACTOR INFORMATION I Lic Type CCB CCB CCB CCB lie No 121159 172526 31747 39237 Lie Exp Phone 03/14/2012 503-648-4552 10/11!2012 541-923-6507 05/12/2012 541-928-8942 03/25/2012 541-672-9510 o # of Stories: 1 ATTENTION' 0 Height of Structure: 18 R-3follow . reg'" '^ T ^'"'lIR rUles ado' t i' e,o.l ~1ii Forced Air Gas ~"""" >fCatlo C P e tv I', reS You t UIn OAR 952n enter. ~~r"'yP€lregOn Uti{'~s T9/iI€J9.B You ~001-0010IfflP8~rtX~6:are setfo~ lectric Calling th ay Obtaittt>oroa~: OAR 952-00 n e cent tJles of th . umber for the ~r. (Note: the tie rUles by Center is ;:agoon Utility N~t~fhone 0-3.~9.9~ ICatISf} Eleetrr....Sil}\cially de Edition: Springfield Fire Cod~ Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: No Path 2A Certified performance~tested ..m~~:m J1U'I\lL.. ~ THIS PERMIT SHAll ""!r:)[ n: -rlJ~ \~!'f~ion Engineered Fill: AUTHORIZED UNDER THIS PERMIT IS NOT Fill Volume: COM n., ANDONED FOR Flood Hazard Area: I\NoNCED OR IS AB\ . Land Hazard Area: ANY HW DAY PERIOD. ' Retaining Wall: No Soils Report Required: No # of Units: Occupancy Type Construction Type Occupancy Type Construction Type # of Bedrooms: 2 Sprinkled Building: Fire Alarms: No Energy Path: Springfield Building Permit BUilDING INFORMATION ~ '. ~~, ~>:>~'''',:'''~,.,.r~;.~.' 5/16/2011 10:52:43AM Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: , Sq Ft Carport: Sq Ft Other: Occupancy Load: 5569 1041 552 21 2008 ~ Page 1 of6 S~~N.~...FIEl~ . ~~ . ~ORfGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00669 IVR Number: 811174776415 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 05/16/2011 04/25/2011 EXPIRES: VALUE: 11/11/2011 $121,621.00 ISSUED: APPLIED: SITE ADDRESS: 4860 GLACIER DR, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051105600 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family residence - SAME AS 511-00260 Frontyard Setback: 10 Interior Setback: 5.4 Sideyard Setback: 5 Rearyard Setback: 47 Solar Setback: DEVELOPMENT INFORMATION , Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: Hillside REQUIRED PARKING Total: 2 Handicapped: Compact: Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Description .. Bid Springfield BuildIng Permit Yes 17.3 PUBLIC IMPROVEMENTS ~ Valuation Description Tvpe of Construction NA Unit Amount Unit Tvpe 121,621.00 Bid 5/16/2011 10:52:43AM Sidewalk Type: Downs pout/Ora ins: ~ Unit Cost 1.00 Value 121,621.00 121,621.00 Page 2 of 6 SP:~NG..:-.IE~ ~R~'~ \;!Vf~, 'dREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00669 IVR Number: 811174776415 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 05/16/2011 ISSUED: APPLIED: 05/16/2011 04/25/2011 EXPIRES: VALUE: 11/11/2011 $121,621.00 SITE ADDRESS: 4860 GLACIER DR, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051105600 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family residence - SAME AS 511-00260 FEES PAID ~ Descriotion Amount Paid Date Paid Recio. # Same as Plan Review Submittal $250.00 04/25/2011 2011000787 SDCc Impro~ment Co~~MWMC Regional Wastewater ~ $1,333.57 05/16/2011 2011000954 SOl:: Compliance Cost - MWWiC Regional Wastewater SI $22.63 05l1.6!201 :..___.___. _ 2011000954 SDC:!I~inistrati~ Fe"..: MWM<::.~e.gional Waste~__ $10.00 __ 05/~6/20.:.:...____....________ 20110~0954 SDC Total Sewer Administration Fee $276.64 05/16/2011 2011000954 ._ _,...,~..~_ w .' _ Technolog~Iee (5% of permit total) $80.96 05/16/2011 2011000954 State 01 Oregon Surcharge (12% of applicable fees) $172.23 05/16/2011 2011000954 Structural Building Permit Fee $798.29 05/16/2011 2011000954 !:ddr"s~:"'ssignment, each new or change $38.00 o5/16/2o1.'1...__._____.______ 2011000954 Willamalane fees - Single family detached $3.409.00 05/16/2011 2011000954 SDC: Reimbursement - Transportation SDC $497.07 05/16/2011 2011000954 Fumace - up to 100,000 BTU $17.00 05/16/2011 2011000954 Range hood/other kitchen equipment $13.00 05/16/2011 2011000954 ~!':':..';'~~.!?.r:~ heater or gas fireplace $9.00 05/16/2011 2011000954 ~ingle-dLJ:!.""':'~':'.S! jb~!hrooms, toilet compartmen!~ utili $27.00 05/16/2011 2011000954 j=irst ,~J:~liance yee ___, __. ____________ _______:79.0~__ 05/16/2011 ___...20110~~~ Ga~Piping-,:,!, to 4 outlets, __ __.__~700__,____ __~/2~011. _ ...__, . __.__,___~1 :..OO~~~ Residence wiring 1,000 sq. ft. or less $134.00 05/16/2011 2011000954 Each added 500 sq. ft. or portion $50.00 05/16/2011 2011000954 Temp services 200 amps or less $63.00 05/16/2011 2011000954 Admin fee (10% 01 applicable fees) $8.07 __ 05/16/2011____.______ 2011000954 Residential Fire (05 Per Sq Foot) $80.70 05/16/2011 2011000954 SDC: Total !ransportation Administration Fee $140.11 05/16/2011 ____ 2011000954 Planning - Major Review - City $211.00 05/16/2011 2011000954 Sidewalk up though 90 Feet $88.00 05/16/2011 2011000954 Curb CuVDriveway 1 st Cut $88.00 05/16/2011 2011000954 MultiP!.e Permit Discount (Max 2) $,30.00 05/16/2011 2011000954 SDC~ei,:,:,bu~e_men~ Co~~ Drainag~__ ______$499.~___ 05iH3/2011 2011000954' ~[)~ Imp~?vem-"nt Cost - Storm Drainage ,__,_~~5____.__~~2.0!.1_____ 2011000954 SDC: Reimbursement Cost - MWMC Re9ional Wastewatl $101.97 05/1.6/2011 2011000954 SDC: Improvement Cost. Local Wastewater ~1 ,092.93 05/16/2011 2011000954 SDC: Reimbursement Cost -- Local Wastewater $2,239.24 05/16/2011 2011000954 ?DC: IfllIJ.'~.e_nt - Transportation SDC ____________$_1.:~~_1~__________ 05/16/2011 2011000954 One or Two Family Dwelling with One Bath $238.00 05/16/2011 2011000954 Total Amount Paid $14,582.99 Springfield Building Permit 5/16/2011 10:S2:43AM Page 3 of6 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00669 IVR Number: 811174776415 ' www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 05/16/2011 04/25/2011 Issued 05/1612011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilce nter@ci,springfield.or.us EXPIRES: VALUE: 11/11/2011 $121,621.00 SITE ADDRESS: 4860 GLACIER DR, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051105600 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family residence - SAME AS S11-00260 PROJECT DESCRIPTION: Plan Review ~ DeDartment Application Acceptance Received Due Date 04/25/2011 04/25/2011 Result Application Accepted ComDleted 04/28/2011 Structural Review 04/28/2011 04/28/2011 Waiting Internal 05/02/2011 Reviewer David Bowlsby Chris Carpenter Planning Review 04/28/2011 04/28/2011 05/06/2011 Approved Tara Jones Comments: HBuilding envelop must be staked prior to construction activities. uPlace orange construction fencing across lot as shown on the plot plan to protect hillside trees, "Follow the Hillside Homesite handout attached to plans. "Elevations are site specific and contain required design elements. Inspectors will field check that actual elevations Permit Issuance 05/09/2011 05/09/2011 05/16/2011 Issued Springfield Building Permit 5/1612011 10:52:43AM Chris Carpenter Page 4 of 6 SP.~ING. FIE~ pAil 7'~ '<tiIi ,",' OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00669 IVR Number: 811174776415 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 05/16/2011 ISSUED: APPLIED: 05/16/2011 04/25/2011 EXPIRES: VALUE: 11/11/2011 $121,621.00 SITE ADDRESS: 4860 GLACIER DR, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051105600 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family residence - SAME AS S11-00260 INSPECTIONS REQUIRED ~ Inspections 1020 Zoning/setbacks 1090 StreetT rees 1110 Footing 1118 Footing Drain 1120 Foundation Footing: After trenches are excavated, Foundation: After forms are erected but prior to concrete placement. 1160 UFER Ground Ufer Electrical Ground: Install ground fod 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/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 conne.cted 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 Underfloor Gas 2260 Gas Service 2300 Rough Mechanical 2995 Final Gas 2999 Final Mechanical 3130 Footing/Foundation Drains 3170 Underfloor Plumbing Underfloor Plumbing: Prior to insulation or decking. Springfield Building Permit 5/16/2011 10:52:43AM Page 5 of6 WINW ,ci, springfield.or.us . CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00669 IVR Number: 811174776415 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perrnilcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 05/16/2011 04/25/2011 EXPIRES: VALUE: 11/11/2011 $121,621.00 05/16/2011 SITE ADDRESS: 4860 GLACIER DR, SPRINGFIELD, OR 97477 ASSES OR'S PARCEL NO: 1802051105600 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family residence - SAME AS S11-00260 3200 Sanitary Sewer 3315 Water Line 3400 Storm Sewer Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Une: 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 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 cons;:n#- 5/ J(r (( Owner or Contractor Signature Date Springfield Building Permit 5/16/2011 10:52:43AM Page 6 of 6 1.-,.-- . Structural Permit Application - 225 Fifth Street. Springfield. OR 97477. PH(541)726-3753. FAX(541)726-3689 DEPARTMENT USE ONLY ptlkn~O bb '7 Date: 'f-Z 5 -(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. . )~.i4QCA!-;_ >~:Q~X~BNJ~g~TjJ~8ii~:9S(~~.t~;':tt{~f~1f*i~i{#~ This project has final land~use approval. Signature: Date: This project has DEQ approval.. Signature: Date: Zoning approval verified: 0 Yes 0 No Property is within flood plain: DYes D No ~~Z-,;!liE;;tiI~~AtEt;9:~Xf;QE~c:.OJ.j~iI~qc:IfI.Qlf9i~i'1!J;~t;Y,~t'i!;;iii' Residential 0 Government 0 Commercial '''~.;-G,{:;,,';!iQI3;_SI~E'..IN~0RMATf9N.!!'ANQrCQ:!::AifION~;X';~~~i;~'j; Job site address: I.{ ltD C'-'U\!.tL->L 0L- City: gptz.t~ ''LtI @a... Subdivision: tJl='t-u> ,"-> I\S Reference: /8 C> 1- 0 :::.11 :..I?ROPE_RTY 'QWN-E~' .'.:. :' Name: OL~ 0""'",,-::, Address: .2<(4H S~ (""'-"<-1<:1>- lIL '10 City: ecc.c--OouJI> State: Oe.... - ZIP: q~r:,lo Phone:9-fI-::i!1.6 S1-~1P Fax: E-mail: b~ "-\Ll<-'~ I/-A-Yr:w"N -l-lo~ .(dV-... This installation is being made on residential or farm property owned by me or a member afmy immediate family, and is exempt from licensing requirements nder 2r~.OIO. . Sign here: -- 7 ( '. CONTRACTOR.INSl'AlcLA'T1C>N; . .. __ <r. .. ....._ _ Business name: .:. Address: City: Phone: E-mail: CCB license no.: It- 1..52-LQ ~ State: Fax: ZIP: Print name: Signature: ~~~~~f~~~,;~1;~;~~~'sM~\c:~N~]RAG:t6R:JN~,qJ~M~tiQ.N'~Yf#~2,,~4)~1~~~J Name CCB License Number Phone Number Electrical C:, ~~ Plumbing Mechanical .p "'-L (: \ L- A cL- - '~:~~ ~~~~~~:f.~:1.FEE ~-s'(;;~'~p~T,:~~-~"!j;~-:' ,~;. ~~,!\~Tli ~',:'Y~':i;' . N' . ':;:!:~..K~'t&'~~tl~K)~fo~r~~~H~i)~I!,~~1ti:~~~~~&\?}~X~&f~,:J~;,tf:;ffl:;:-';Z~:;;;;'f '~~/_,~>;:~)I:,~;T;;. (a) Job description: tl--)t:lJJ Occupancy <; ~t:> Construction type: => B Squarefeet: 10 L( , Cost per square foot: tJL ~ Other information: . Type of Heat: c.,."''''' Z" \';~ Energy Path: ew D alteration D addition DYes (b) Foundation-only permit? Total valuation: ~l:~::~~~H~Jrig;;J~~Si~~i;';~~~~i\~;f1I~:;~f~~~~~,fi~':iiF<~~,i;)J~;i"-'I/~-: :f;,_~'\_~~ .".;.; (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 (2a through 2d): ~}~;1;~)~!n~e~a~:Wirt~~~\~lrti~J~i~Jl~~~\;t ' $ $ $ (a) Plan review (65% x permit fee [20]): (b) Fire and life safety (40% x permit fee [2a]): (c) Subtotal offees above (3a and 3b): ?-:4-~;/M!~~~:~H#Ji~Q)!~ft~}~;~rrr;- -:~, ~;, (a) Seismic fee, 1% (.01 x permit fee [2a]): TOTAL fees and surchar.ges pe+3c+4a): i'--.r;"", $ $/If'1 \ ,. s'""" ,,'*.... ...,J _ DEPARTMENT USE ONLY SPRINGFIeLD ~I Pennit no.: :; {./ - ftfp 9 I This. permit is issued under OAR 918-309-0000. Permits are nontr:Jnsferable. Permits expire if work is not started within 180 ~_days o~}ssuance or ifworli .lS suspended for ]80 days. Print name of signing supervi Signature of signing supe is .".., ~- FEE SCHEDULE ..... ...-,:.:...>,.;..:::.:....:::.. Number of inspections per item ( ) Qty. Cost . Total ea. cost Rcsidcntinl, per unit, scn'ice included: 1.000 sq. ft. or' 10" (4). , $~"l . $134.00 .. Each additional 500 sq. .- fl. or portion V $ 25.00 $ sD thereof Limited energy (2) $ 32.00 $ Each manufactured home or modular $ 63.00 $ dwelling service or Feeder (2) Services or feeders: installalion. alteratiQn, relocatioll 200 amps or less (2) $ 81.00 $ 20110400 amps (2) $ 95.00 $ 40110600 amps (2) $158.00 $ 60 I to 1,000 amps (2) $205.00 $ Over 1,000 nmps or volts (2) $469.00 $ Reconnect only (2) $ 63.00 $ Temporary services or (eeders: ins/allatioll, alteration, relocation 200 amps or less (2) / $ 63.00 s/A1 201 to 400 amps (2) $ 87.00 $ 40110 600 amps (2) $126.00 $ Over 600 amps Dr 1,000 valls, see services or feeders section nbove_ Brunch circuits: "ell', allerorion, extension per panel ,cf'1!lcUllir bnmch circuits with purchase or [l service or feeder fee: ihfiCh circuit . $ 6.00 $ ~ ~ ~efi1"pranch circuits without purchase of n service or feeder fee: flEii'SlliT3\lch circuit (2) $ 55.00 $ I ~PtE6~Wadditional branch circuit $ 6.00 S Q. ,.1:: __+, .............. 4 Miscellaneous fees: seMI;ce or feeder 110/ included Each pump Dr irrigation circle (2) S 63.00 $ Each sign or outline lighting (2) $ 63.00 $ Signal circuil Dr a limited-energy panel, $ 63.00 $ alteration, or e,..:Iension (2) Each odditional inspection: (I) $58.00 $ .. ~.:.: :''''':.~::'.: . APPLlCANTUSE".':. :.", , . ". :."', ' (A) E~nt~r.sublotal of above fees $ z.t(l/ jMinif.'w'''lI,r.!!l1!' Fee $58.00) .1 , ~ ~+i-o !~r;tmrge (.12 x [A]) $ '2-1 ~ S J~c~"!li<i'1;l' Fee (5% of [A]) $ l~ ',.. '''''TOT AL fees nnd surcharges (A through C): $~- nC.t =------'"-.= LOCAL GOVERNMENT APPROVAL Zoning approv~1 verified? 0 Yes 0 No .CATEGORVOFCONSTRUCTION ~Resid~nti~J~ - 0 Gove';;ment~. 0 Commercial' JOB SITE INFORI'IIA1tIOl'rANDt.OcAtION . Job site'address:.lfl uO ctt-l'\-'-le'tL C>CL.. LD"r 3 City: )\'ll-I""~,r\",""LD State: Qa.. ZIP: q"l-'-( +{l Reference: Taxlot.: DESCRIPTION Of WORK \SJY\\ D~ NOTICE: THIS PERMlT SHJI,ll EXP\ AUTHORIZED UNDER TH\ COMMENCED OR IS Jl,BJI,N ANY 180 DAY PERIOD. ,.10.2;84.) (9/0II1COM) . 2?:, willamalane t-w Park and Recreation District Job..No. -5// -G~Y PARK AND RECREATION SYSTEM DEVELOPMENT CHARGE WORKSHEET January I-December 31, 2011 NAME: HIf<(PF1v- PHONE: .>S-t. - j? )~ STA:rE: ~ZIP: 9?'J(z . ADD~ISS:)''f~<( $'w' (jtA-t:-(~ CITY: J2fi>~~) -,-~--~-.---,;-----~--~--_......~......~_.~-~._--_._-~~.~~.- ~-_._.- ~-~-~_._._~-~ .----- - -- - - -~- ----'.- - ~ --~. --- ------- LOCATION OF PROPOSED BUILDING SITE: ... . St~~etAddress: o/%~cf 4-~~. J~r~ ..~ Plat Name:Wt!J1M/V'~5 Tax Lot Number: ~.2. tJ57f tf rz,OO . 1. DEVELOPM ENT TYPE (Refer to development type definitions on the reverse.) A. Single-Family Detached NO. OF UNITS / X $3,409 per unit = $ :Jifo? B. Single-Family Attached NO. OF UNITS X $3,404 per unit = $ . c. . Multi-Family Apartment NO. OF UNITS X $2,800 per unit = $ .0. Single Room Occupancy NO. OF UNITS X $1,400 per unit = $ E. . Accessory Dwelling Unit HO.m.UNITS -- ."-. - _........-.~. - <-_. p X $1,705 Per unit=. $ 2. SDC CREDIT (If applicable. SDC payer must furnish proafof credit approval.) ($ $ ? J<{tJ ? 3. TOTAL PARK AND RECREATION SDC ASSESSED ~ -,,,-'. .-/ chidn 'f / 2) / /" Date of building permit submittal U I 1& / II Date of building permit issuance SP~~N.:- FIE~~ ~,...""'" 0"" \~ . ",,;"\ OR EGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2011-00669 4860 GLACIER DR CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726~3753 permitcenler@ci.springfield,or,us LE"!-YMi:NT TYPE'," Check 36844 RECEIPT NO: 2011000954 RECORD NO: 811-SPR2011-00669 DATE: 05/16/2011 lbESCRlttION:..>~ ,c- . ,,;'0~,:c:~:':"-,_€;,:,:i;_.:,c'';ACCOUNT~c:ODE- }y' iliiAMQUNT>b1iE~, ie-i, :'.:.c;J Address Assignment, each new or change 224-00000-425602 38.00 Admin fee (10% of applicable fees) 224-00000-426605 8.07 Curb Cut/Driveway 1st Cut 201-00000-428060 88.00 Each add<:.d 500 sq. ft. or portion 224-00000-426102 50.00 ....._-".~~t Appliance Fee ._ ..324-00000-425604 79.00 __..._.F'.u."v~~t f9rwater heater or gas fireplace_ ___.______ _ 224-00000-42,5.604 9.00 __,_~~~n~c:':.:.~p'.!S19_9cOOO BTU ..___.._._________.__~_224:'!.000E-425604 ______._____!!'-~___ ___ __ . _c;~s.!"p.~njLLJP..!~~~~___._~__________________2~_::'!.000?-~3.5.6E3_ _ _____ _______...2:!l.ll.. . _ __ .._ Multiple Permit Discount (Max 2) ____._,_____ 201-00000-428060 -30.00 One or Two Family Dwelling with One Bath 224-00000-425603 238.00 Planning,: Major Review - City 100-00000-425002 ,~~1.00 _.__ Range hood/other kitchen equipment 224-00000-425604 13.00 Residence wiring 1,000 sq. ft. or less 224-00000-426102 134.00 Residential Fire (.05 Per Sq Foot) 100-00000-424005 80.70 SDC: Administrative Fee - MWMC Regional Wastewater SDC 611-00000-426604 10.00 SDC: Compliance Cost - MWMC Regional Waste_,::,ater SDC 444-00000-426607 22.63 SDC: Improvement - Transportation SDC 447-00000-448027 1 ,811:~__~ _ ___~D.c: ~mp'r_o_~~n! C~s!..:: Loca! Wastew~ter 443-00000-448025 ____!:~_~.___ _ __._SDC;:_lmp'ro~~fI1~nt~9~I\1.vvMC Re~ional Wastewater SDC 445-00000-448025 ___.__ _!}3357 ___ __ _,_ _.~!JC: ln1pro~ement Cost - Storm Drainage 440-00000-448028 __________726.65._______._ SOC: Reimbursement - Transportation SDC 446-00000-448026 ___ 497.07 ___ _...!3_~C Reimbursement.C~st..:.L~c"IWastew_"!e!__ 442-00000-448024 .________ 2,239.24 SDC: Reimbursement Cost - MWMC Regional Wastewater SDC 444-00000-448024 101.97 SOC: Reimbursement Cost - Storm Drainage 441-00000-448029 499.42 SDC: Total Sewer Administration Fee 719-00000-426604 276.64 SDC: Total Transportation Administration Fee 719-00000-426604 140.11 Sidewalk up though gO Feet 201-00000-428060 88.00 Single-duct.exhaust (bathrooms, toilet.c?mpartments, utility roor 224-00000-425604 27.00 ___~a.!."--"!2r~_g_".~~-"rcharge (12% of applicable fees) 821-00020-~15004 17~.23 _"_~ ___~~0U!-"! ~"!~!'2.9..J:e.':.m.it Fe"-___... _ 224-00000-425~02 _...__ 2?!!:.2~ _ __.__ ___~c~n_~ogy.!.ee (5% of permit total) 100-00000-425605 ,_~0.9,6__ ______ Temp services 200 amps or less 224-00000-426102 63.00 'Mllamalane fees - Single family detached 821-00000-215023 ...3,,40_9.()O TOTAL DUE: 14,332.99 ;~e.,,!-YOR'CASHIER:CCARPENTER':;":':' :;-'COMME.NTS"!''''S'.>' ...... !B," )\,MOUN.T P.AIO ... HAYDEN HOMES LLC 14,332.99 I TOTAL PAID: 14,332.99 St~ING.~FI.E. L~ ~"\"- ':S~ .@b .. .;'it\ OREGON www.cLspringfield.or.us TRANSACTION RECEIPT 811-SPR2011-00669 4860 GLACIER DR CITY OF SPRINGFIELD 225 Fifth 5t Springfield,OR 97477 541~726-3753 permitcenter@ci.springfield.or.us RECEIPT NO: 2011000787 RECORD NO: 811.SPR2011.00669 DATE: 04/25/2011 lDESCRIP..TIOt'b\"",-ri~:t~';~",Ei:ciL2:i.ACCOUIIIT~CO[)E ,.. oF' - . "c''..'AMO.UNJ.DUC' ~J Same as Plan Review Submittal 224.00000.425602 250.00 . _"_.. _...__ _._._ _ ._ _"~____"m._._w____'_',_'_'_'__ __,~_. _____ TOTAL DUE: 250.00 L:~i'-YME:NLIY~E--"':::...d~~~(OR.':CA~HIER 6BOWl.iBy.lr'h'!;;-'?:.C_OIYIJ1!t~lJ::'S'~\.d';"::':~, . 'AMOUNTft~I?':'':-:.t::.,.. ~".......J Credit Card HAYDEN HOMES LLC 250.00 087408 TOTAL PAID: 250.00 n..-.--- - N SCALE: 1" = 20' e e .. STREET TREES ARE % CES RED. Please refer to 9tta.ch@d Development Code Section regarding the placement .: and:tvDes of allowable trees. ,142 S.F ��•� ��:�� .:..:. S%Rntloa�er -bx HAYDEN HOMES 2464 SW GLACIER PLACE, SUITE 110 REDMOND, OR 97756 (541) 923-6607 5,51: LOT 31 ADDRESS: 4860 GLACIER DR. WESTWINDS SUBDIVISION SPRINGFIELD, OREGON M SPRINGFIELD CLUSTER DEVELOPMENT REQUIREMENTS: - 6/Z ROOF PITCH - 12 INCH OVERHANGS 2 DIFFERENT MATERIALS, i ncL-xU�� - 15% WINDOW GLAZING �f - COVERED PORCH W/POSTS - GARAGE 4 FT. BEHIND COVERED PORCH - OFF SETS IN BUILDING FACE & ROOF ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001- 0010 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). DATE RECEIVED JOB NO. 5II-0066, / TONE L11. ,(L OCCUPANCY GROUP EA UNITIS) O_CCUP� gNCY LOAD STORIES TYPE CONST .R j 3 LEGAL DESC�R/IPTION/O�ZdC> St 1 ADDRESS '1 �6� C7"LA-C1cc Isk THE CONTENTS HERE ON HAVE BEEN REVIEWED, WITH ALTERATIONS INDICATED ON COLORED PENCIL. CHANGES OR ALTERATIONS MADE TO THE APPROVED DRAWINGS OR PROJECT AFTER THE DATE BELOW SHALL BE APPROVED BY THE BUILDING OFFICIAL. CITY OF " .411!,;l ®, ®AEGON r APPROVED IJv� � DATE A4 -14 - BUILDING SETBACKS FRONT (HOUSE) 10' (FROM PL) FRONT (GARAGE) 18' (FROM PL) CORNER 10' (FROM PL) SIDE 5' (FROM PL) REAR 10' (FROM PL) LOT 31 ADDRESS: 4860 GLACIER DR. WESTWINDS SUBDIVISION SPRINGFIELD, OREGON M SPRINGFIELD CLUSTER DEVELOPMENT REQUIREMENTS: - 6/Z ROOF PITCH - 12 INCH OVERHANGS 2 DIFFERENT MATERIALS, i ncL-xU�� - 15% WINDOW GLAZING �f - COVERED PORCH W/POSTS - GARAGE 4 FT. BEHIND COVERED PORCH - OFF SETS IN BUILDING FACE & ROOF ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001- 0010 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). DATE RECEIVED JOB NO. 5II-0066, / TONE L11. ,(L OCCUPANCY GROUP EA UNITIS) O_CCUP� gNCY LOAD STORIES TYPE CONST .R j 3 LEGAL DESC�R/IPTION/O�ZdC> St 1 ADDRESS '1 �6� C7"LA-C1cc Isk THE CONTENTS HERE ON HAVE BEEN REVIEWED, WITH ALTERATIONS INDICATED ON COLORED PENCIL. CHANGES OR ALTERATIONS MADE TO THE APPROVED DRAWINGS OR PROJECT AFTER THE DATE BELOW SHALL BE APPROVED BY THE BUILDING OFFICIAL. CITY OF " .411!,;l ®, ®AEGON r APPROVED IJv� � DATE