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Home My WebLink AboutPermit Building 2011-5-16 S~~~NG.~EL~ ~(~ ~OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00670 IVR Number: 811175490634 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenler@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 05/16/2011 ISSUED: APPLIED: 05/16/2011 04/25/2011 EXPIRES: VALUE: 11/11/2011 $151,537.80 SITE ADDRESS: 585 S 48TH ST, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051104000 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family residence. SAME AS Sll-245 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 # of Units: Occupancy Type Construction Type Occupancy"Type Construction Type # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Lie Type CCB CCB CCB eCB 39237 03/25/2012 541-672-9510 BUILDING INFORM~TIO_~- , "'~':I~~~~re~ '~;';h';O~~~~~~~i~~Y # of Stories: 1Natificalion Center. I!4STzl,fUles are seJ~ath Height of Structure: 1b1pAR 852001-001~ ~L~~sr. OAR 95 ":.w~- Ou90, You may abti:llll GurJrcs'1Wlhe rUI'o";:r'UY Type of Heat: For'(;d\nW<;pi1fe centerS'1.I'It'l~~ff!I!<>i9lephane Water Type: Ga~umber for the OrSli"'llB.l~~lIiet\t9tiflcatlan Range Type: Electric Center is 1s~qq-ij~ifi,~44). 403, Hazmat: No Sq Ft Carport: Sq Ft Other: Occupancy Load: -- CONTRACTOR INFORMATION Contractor Name GARNER ELECTRIC CO HAYDEN HOMES LLC STUTZMAN SERVICES INC PACIFIC AIR COMFORT INC R-3 Type VB U Type VB ~ Lie No Lie Exp Phone 121159 03/14/2012 503-648"4552 172526 10/11/2012 541-923-6607 31747 05f12/2012 541-928-8942 24 Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development c:OtIe;lce" " < ,,"'. . HE WORI Plumbing Specialty Code T~!Il'1~:'ERM1T SHAll EXPIRE IF T T Residential Specialty Cod\!\'Gd!li!'9RIZED lJ!iQl[s:::R THIS PERMIT \S NO Structural Specialty Code Edition:ENCED OR IS ABANDONED FOR lJVl\'llVI ANY 180 DAY PERIOD. 3 No No Path 2A Certified performance-tested duct system Site Information Engineered Fill: Yes Fill Volume: Flood Hazard Area: No Land Hazard Area: No Retaining Wall: No Soils Report Required: No Springfield Building Permit 5/16/2011 10:45:11AM I Page 1 of 6 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00670 IVR Number: 811175490634 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 $151,537.80 SITE ADDRESS: 585 S 48TH ST, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051104000 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: 18 10 14.83 15 5 Single family residence - SAME AS 511-245 DEVELOPMENT INFORMATION I Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: 4 Yes REQUIRED PARKING Total: 2 Handicapped: Compact: 33.5 18.7 PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: DownspoutfDrains: Valuation Description I Description U Utility, misc. R-3 1 & 2 family Tvpe of Construction VB VB Unit Amount Unit Tv De 403.00 Sq Ft 1,408.00 Sq Ft Unit Cost 37.72 96.83 Value 15,201.16 136,336.64 151,537.80 Springfield Building Permit S/16f2011 10:4S:11AM Page 2 of6 5P R.IN. .G.FIE:iI" ~ -~,~ . '.".' 'OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00670 IVR Number: 811175490634 www.d,springfield.OLUS 225 Fifth SI 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 04/25/2011 EXPIRES: VALUE: 11/11/2011 $151,537.80 SITE ADDRESS: 585 S 48TH ST, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051104000 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New 'TYPE OF STRUCTURE: Residential Single family residence - SAME AS 511.245 FEES PAID Amount Paid Date Paid $250.00 04/25/2011 ~~--_..._~-- $561.79 05/16/2011 $817.40 05/16/2011 $497.07 05/16/2011 . $1,811.51 05/16/2011 $3,161.28 05/16/2011 $1,542.96 05/16/2011 $101,97 05/16/2011 $1,333.57 05/16/2011 $22.63 05/16/2011 510,00 05/16/2011 $357,39 05/16/2011 $211.00 05/16/2011 $91.75 05/16/2011 $920.39 05/16/2011 $38.00 05/16/2011 $3.409.00 05/16/2011 $374,00 05/16/2011 $17.00 05/16/2011 $17.00 05/16/2011 $13.00 05/16/2011 .._",."_._~,~--~_.~"_._..~_.,.,-' $9,00 05/16/2011 $36,00 05/16/2011 $28,00 05/16/2011 $79.00 05/16/2011 ____w_,__ Residence wirin9 ~:020.Y9_ft.c~r~~ ______.__.___$1340~__~, 05/16/2011 ~~ch~<!.ded 500 sq ft. or port.i.o.".______,____.~~~~__.._,_..?5/16/2011 $63,00 05/16/2011 - -------'-~- $208.85 05/16/2011 $96.22 05/16/2011 $-30.00 05/16/2011 $88,00 05/16/2011 $9.18 05/16/2011 $88.00 05/16/2011 $135.62 05/16/2011 $16,553.58 DescriDtion Same as Plan Review Submittal -_."--_"""~'"-'"_"__"""-~._,,,,,- ~DC: ~~rsemen!,gos~~:m Drainage sac: "~prov,,~~~nt C_~~~,'::ww~~~w~rainage ~DC~eimburse~~Transportatjon sac ~_ac: Improvement - Transportation sac sac: Reimbursement Cost - Local Wastewater sac: Improvement Cost - Local Wastewater sac: Reimbursement Cost. MWMC Regional WastewatE SaC:..lmprovement ~<:st - MWMC ~~Slional Wastewate~ ~ SDC: Compliance Cost - MWMC Regional Wastewater SI SDC: Administrative Fee. MWMC Regional Wastewater: SDC: Total Sewer Administration Fee ~~n~~g - Major Review - City Residential Fire (.05 Per Sq Foot) ~tructural Bu~~~ng Permit Fee WM ~ddress Assignment, each new or change yvillamalane fees.:.~~gle famiiy detache:.d One or Two ~ami~y Dwelling with .!wo Bath Furnace - up!o 100,000 BTU Air conditioner Range h:,od/other kitchen equipment _ Flue vent for water heater or gas fireplace _ Single-duct exhaust (bathrooms, toilet compartments, utili Gas Piping up to 4 outlets w Firs~ Appl!~~ce:~::_.____ Temp servi~.es 200 amps o"~~~._'___'_"W""'__ ~tate of Oregon Surcharge (12% of applicable fees) Technology ~e (5% of permit total) Multiple Permit Discount (Max 2) Curb CuUDrivew~st Cut Admin fee (10% of applicable fees) Sidewalk up though 90 Feet sac: Total Tra.nsportation Admi~istration Fee Total Amount Paid Springfield Building Permit ~ Reciot # 2011000786 2011000952 2011000952 2011000952 2011000952 2011000952 2011000952 2011000952 2011000952 2011000952 2011000952 2011000952 2011000952 '--- 2011000952 2011000952 2011000952 2011000952 2011000952 2011000952 2011000952 2011000952 --.......-....-..---....-............,-....- 2011000952 2011000952 2011000952 2011000952 2011000952 2011000952 ".__...-,---~--- 2011000952 ---,.__."-~_. 2011000952 m._____ 2011000952 2011000952 2011000952 2011000952 2011000952 2011000952 5f16/2011 10:45:11AM Page 3 of6 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00670 IVR Number: 811175490634 www.ci:springfield.or.us PROJECT STATUS: STATUS DATE: Issued 05/16/2011 ISSUED: APPLIED: 05/16/2011 04/25/2011 225 Fifth St Springfleld,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfield.or.us EXPIRES: VALUE: 11/11/2011 $151,537.80 SITE ADDRESS: 5855 48TH ST, SPRINGFIELD, OR 97477 ASSESOR.S PARCEL NO: 1802051104000 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Single family residence. SAME AS 511-245 Plan Review ~, Deoartment Application Acceptance Comoleted 04/28/2011 Received Due Date 04/25/2011 04/25/2011 Result Application Accepted Reviewer David Bowlsby Public Works Review 04/28/2011 04/28/2011 05/03/2011 Approved Kaye Wilson Comments: Storm water to tap /received on 5-3-2011 r~J,~.~:n,}2:~1~~vie~', ,'~~~ ' ~:Y::;;,~~'~.O,~/~{}!2~_~.~::,,:~ ~~Q41~]2})~~':~ ;~~l~q~9]\(i~.APf)~qv"e( :7:;;~c::~' ~~:~.::~;~j{, !ara :J~~e5' _' ,:; ,,:~ ~'~-'.,t ,..~,Comme~ts:' **4 street trees are-.requiE~d;,_t4~IOf\g,:each;.str_eetfront,~g(;!,';b-utoutsjde'marked:vjslpn,:C;leara~ce,tnangle" ':,:,;-~\ "~, ' :. 'L' . ~7~ ;"'-P":~<?;',- ;;:f,/2~n, t, al}~j~~e_~t~i,"~e, ~~~.v~tif',fi~,s"aff~e'speCifican,d;fO,Qta,Jf)r(~~~ired.;?~Si~n~eie, rrients:;<j~spec~o~~-,~ip;field,\c:h~fk,tha;,:".' .'_..;,,:;i,actl).aL.el~J~JI.()JJ.~.l!taJcl!L~~9mttt~lligeslg[ls.J'!~_sl!O!YJlJ~DJtLe3!PPL9--Y_~ct.S~~.t ofjpLa_lJS:;;.;;i....~ .' ~"., . ~,:.".;'.If, ': J Structural Review 0412812011 04/2812011 05112/2011 Approved Chris Carpenter 'I , ,'I , I ~ . ',"Ii' ", .-' Springfield Building Permit 5/16/2011 10:45:11AM Page4of6 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00670 IVR Number: 811175490634 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 $151,537.80 SITE ADDRESS: 5855 48TH'ST, SPRINGFIELD, o.R 97477 ASSESo.R'S PARCEL NO.: 1802051104000 SCOPE: Single Family Residence Wo.RK INVo.LVED: New TYPE o.F STRUCTURE: Residential PRo.JECT DESCRIPTlo.N: Single family residence. SAME AS 511-245 INSPECTlo.NS 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 Underiloor 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 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. Underiloor Mechanical. Prior to insulation or decking and including required testing. 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 Mechan)cal 2260 Gas Service 2300 Rough Mechanical 2995 Final Gas 2999 Final Mechanical 3130 Footing/Foundation Drains 3170 Underlloor Plumbing Underfloor Plumbing: Prior to insulation or decking. Springfield Building Permit 5/16/2011 1Q:45:11AM Page 5 of6 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00670 IVR Number: 811175490634 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 04/25/2011 EXPIRES: VALUE: 11/11/2011 $151,537.80 SITE ADDRESS: 585 S 48TH ST, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051104000 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Single family residence - SAME AS S11-245 3200 Sanitary Sewer 3315 Water Line 3400 Storm Sewer Sanitary Sewer Line: Prior to filling trench and including required testing. 3500 Rough Plumbing 3999 Final Plumbing Storm Sewer Line: Prior to filling trench. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. 4000 Temporary Power Service 4225 Service or Feeder 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 ~tructure 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. f % 5-ILo-'\ Owner or Contractor Signature Date Springfield Building Permit 5/16/2011 10:45:11AM Page 6 of6 .>. ~~- ~ Structural Permit Application - 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753 . FAX(54 1)726-3689 DEPARTMENT,USEONLY' piit~CJ676. Date: 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, , ,~,:,~l_; ;"~))';{(O_~'A(.;~~Qy]-r~~M~Ntrrp~gR~9S1 ~~f~10jiti~,f';pk;11~'~~;~}.~ This project has finalland,-use approval. Signature: This project has DEQ approvaL Signature: Zoning approval verifled: Property is within flood plain: 0 ~~~~n~lli~lcAT~:g_Q~Y~'9-~[~q~$IRUCf[1.~"N~~~g~il~i~f0ffii;\-~~t~%!! ~Residential 0 Government D Commercial ~1<\fi,;i~,;.;,;::i913"'LSI:r[:t TN~QRMAtIQN:fAN~,lf~Q:aAiT6Nt;;,)~;rilF!~: Job site address: <;;BS- ,S 46 City: S~QJ..-.:l(... ~ State: g)Q.... ZIP: 7lf~ Subdivision: 6J c:::"::>Tv-> ,"" 'OS Lot no.: "1 Reference: /802. OSl o"iOOO : PROPERTY gWNEFL ' , Name: -1"\^j()~ r--- Address: 2. <-(<.Ii Sw (.., L...u0L t>L City: ~~(VU>,.,,(\ State: [) Phone:91/~ S-..Qo Fax: E-mail: ~'~9Q..,C\C:>c,J I-f-;c.I(OC-.J 1'<0 .~ 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 under ~~OI.OlO. Sign here: f 9 ( . Date: Date: /f0 ZIP qT~ CONTRAC'i:OR INSTAI:.LA'f19Nc,..,;" , Business name: Address: ~ City: Phone: E-mail: CCB license no.: Print name: State: Fax: ZIP: Signature: - 71- :"~': 'J;>i::;,::;r,"Sl!B-C0NTRAt:rORINFORMA;fIQN~"?~l:'~tll'iI~~j'~;~ Name CCB License Number Phone Number Electrical Plumbing Mechanical :"::};?":;"'7X:;n_FEE SCHEpiJC('i;.', '!i:::Y.~tti~'ii9'~jrifotdn~i~p'n:;~:L~~~IJ~\{~}'~~1:.iid'::t,~%;i (a) Job description: IV CU Occupancy 5 ~ i) Construction type: 5 ~ Square reet: I Lf of!, Cost per square foot: l.e ~ Other information: ";:""', ~i~f.:1~?r~d f: \;,'f:f~~.~.t~ii Type of Heat: D addition DYes e t1'., (0 A- Energy Path: o alteration (b) Foundation-only permit? (a) Pem,it ree (use valuation table): (b) Investigative fee (equal to [2.]): (c) Reinspection ($ per hour): (number of hours x fee per hour) (a) Plan review (65% x permit ree [2a]): (b) Fire and life safety (40% x permit fee [2a]): (c) Subtotal of fees above (3a and 3b): $ 't'.". .1:1>.: (a) Seismic fee, 1 % (.01 x permit fee [2a]): $ TOTAL fees and surcharges (2e+3c+4a): $ rt r! ~_-:.-=-=-----;:.-~--=---'-=:;- ---------~. - - ..- - ===ElectricatPermit Applica tion 't I J 225 Fifth. StreettSpringrield,OR 97477+ PH(S4I}n6-3153t FA..X(541)T' - - DEPARTMENT USE ONLY SPRINGF1EL.C. ~I pernlitno.:St ( -ft,7D ~2)(l1 Date: ~-~This permit isissued.under OAR 918-309-0000. Permits are nontraasfcmbl.. Permits expire if work is not started within 180 _ _ d~ys _<:>.f issu~nce or if work is suspended for] 80 days. -l.OCAI:'GOVERNMENT APPROV At Zoning approval verified?'" 0 Yes 0 No ...CATEGORYOFCONSl'RUCTlON .'. _~~__ -iiZi.Resideritiar----:-o Government 0 Commercial . .... JOBSITEINFORMAl'ION'ANO't-OCAtioN" .... Job sile address: :516 S- ~ If'''- L6 '1 Cil)': :>\'l1-I"""~\~"LCl ZIP: q't'-(+~ Reference: Taxlo\.: DESCRIPTION OF WORK 110 ZlP: Crtr-,-I.o Signing supervisor's license no.: Print name of signing supe ' Signature of signing sup v' NTION' Oregon law req'Jlres Y('U IU ATTE I . dopted by the O,egol, Utll,ty follow ru es a . Tt se rules are S8( forth Nog~~~~~_~~t~~1 0 ;1~rou9h OAH ~)520G 1- m Y a obtain cOpies 0\ tile rul2s by 0090. ou m Y t (Note'-'he tels,)hol.9 calling tjh9 ctheen geoon Ul,:itV Notlhcation ""m""'c:~'", " ,.iOO"""")~~ 4-10-2584-J (9/08/COM) J \Y - , FEE SCHEDULE " .'. i'..:....,..; ,"':.C"'.; Number ~r inspections per item ( ) Qty. Cost Total ea. cost Residcntinl, per unit, service included: 1,000 sq. ft. or less (4) / $134.00 ~~V Eoch ndditional 500 sq. f1. or portion ~ $ 25.00 $ SZ) thereo[ Limited energy (2) $ 32.00 $ Each manufactured home or modular $ 63.00 $ dwelling scn'icc or feeder (2) Sen'ices or feeders: installation. alteratiolT, relocation 200 amps or less (2) $ 61.00 $ 20110400 amps (2) $ 95.00 $ 401 to 600 amps (2) $156.00 $ 601101,000 amps (2) $205.00 $ Over 1,000 amps or VollS (2) $469.00 $ Reconnecl only (2) $ 63.00 $ Temporary services or feeders: instaJ/alioll. alteratio1l, relocation 200 amps or less (2) / $ '63.00 ~5 20110400 amps (2) $ B7.00 $ 4oll0 600 amps (2) $126.00 $ Over 600 amps or 1,000 volls, see services or [eeders section above Brooch circuits: new, alierorion. extension per panel a.. Fee for branch circuits with purchase of 11 service or feeder fee: Each branch circuil I $ 6.00 $ b. Fee for branch circuits wilhout purchase ofa service or feeder fee: First branch circuit (2) $ 55.00 $ Each addilional branch circuit $ 6.00 $ Miscel1nneous fees: sen1ice or feeder not included Each pump or irrigation circle (2) $ 63.00 $ Each sign or oUlline lighting (2) $ 63.00 $ . Sigriu\:circuil om IimiLed~encrgYl!'anel. 1 E V 1f$F'S3 00 $ J 11.l!ltg~LjC?~.w~'e~,~~,s!Q..nj1)X~\r\ II- I ,I"' ~,......,.: l~~fl,\}~~/d~tt9rial,\tn}iicrctibh-U(.i )rt_~ ~)\ I...~"; :'l '$5B.OO $ (,i.r, ;\','~;:iY;i'[)QPI"APpbi0ANt;:i:iSE!' ~. .' '..- ;....';:1 ',1_"",,-,,- ','.' --'. " ....:. " ( ) E- - "0 ~r.'-""n t".A, GnlC.!j~I.;1. IQtal,ofaliavc fees $2-'1? (Minimum Permil Fee S58.00) (B) En'" 12% surcharge (.12 x [AD $:Jtj{i>"" (C) Technology Fee (5% of [A)) $ 112 Jl'f> TOTAL fees nnd surcharges (A througb C): $2i~.' 7' .! Al C A 2?,willamalane t'W Park and Recreation District Job. No. -J/I-~70 PARK AND RECREATION SYSTEM DEVELOPMENT CHARGE WORKSHEET January l-December 31, 2011 NAME:.#ItYDE'",v tkJ#l~S ADDRESS:2'f''1''.$t.u. ~~e.u... CITY: ~c:bl'lWD PHONE: SJ~r'S?~ STATE:~ ZIP: 9'1?rc LOCATION OF PROPOSED BUILDING SITE: Sireet Address: . 53> s: tt7rlt Plat Name: ~w;"'l> > Tax Lot Number: . /;;0 2 1>)"11 .JY/!:.;O 1. . DEVELOPMENT TYPE (Refer to development type definitions on the reverse.) A. Single-Family Detached NO. OF.UNITS I B. Single-Family Attached' NO. OF UNITS C. Multi-Family Apartment NO. OF UNITS D. Single Room Occupancy . NO. OF UNITS E. . Accessory Dwelling Unit .. -~-~------- ____.J\IO..'OF UNITS X $3,409 per unit" $ 3<-(69 X $3,404 per unit = $ X $2,800 per unit = $ X $1,400 per unit = $ X5t7_Q~p~.r:JJ.l]it ",..~_,_$_ 2. SDCCREDIT (If applicable. SDC payer must furnish proof of credit approval.) ($ tT $ 3"to1 3. TOTAL PARK AND RECREATION SDC ASSESSED ~. 't I 25 I I I I Date of building permit submittal 0: //6 I 601/ Date Of lfuilC;ling permit issuance S:P~~:::~~ .li~ .~'^,.;,~ OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield, OR 97477 541-726-3753 www.ci.sprjngfield.or.us 811-SPR2011-00670 585 S 48TH ST perm itcenler@ci.springfield.or.us g ""-'. '"'.' ""-':,.;'C:^,::";"""."'i'_'-::~"'.Fr:":c...:.:''',',:",;',,":','1<- .^'. ,;.",,-,d . ,,-~.' ',.', ....f L PA '!.I'iLENLirYR!;Jt:,;'1:-';~"'YOR>,: CASHIER'CCARPENTER~. f. .' Check HAYDEN HOMES LLC 36862 RECEIPT NO: 2011000952 RECORD NO: 811-SPR2011-00670 DATE: 05/16/2011 hbESCRI~TION:1'0'; ,",~_::tY!t~:0;,"e:-;~' - ':',C;YC::,1b'<, ';'~' ''''~/!.CCOUN:eCODE -,: ":"1'L,_, /!.IVIQUNT1buE: 't_ -"'~,,:':;I Address Assignment, each new or change 224-00000-425602 38.00 Admin fee (10% o.t.applicable fees) 224-00000-426605 9,18 Air conditioner 224-00000-425604 17,00 Curb Cut/Driveway 1st Cut 201-00000-428060 88.00 Each added 500 sq, ft, or portion 224-00000-42610?..._~,~_....,... _____~,OO ___. First Appliance Fee 224-00000-425604~__~. 79,~[)__, Flue vent for water heater or gas fireplace 224-00000-425604 9,00 Furnace - up to 100,000 BTU 224-00000-425604 17,00 Gas Piping up to 4 outlets 224-00000-425604 28,00 -.--!::1ultip~ermit Discount (Max 2) 201-00000-428060 -30,00 One or Two Family Dwelling with Two Bath 224-00000-425603 374,00 Planning - Major Revl.ew - City 100-00000-425002 211,00 Range hoodfother kitchen equipment 224-00000-425604 13,00 Residence wiring 1,000 sq, ft, or les~_ 224-00000-426102 134,00 Residential Fire (.05 Per Sq Foot) _,._~~__ 100-00000-424005,,~__ 91,75 SDC: Administrative Fe~,.::..~WMC Regional Wastewater SDC 611-00000-426604 10,00 _~D.s::~ Co.!"pliance Cost - MWMC Regional Wastewater SDC 444-00000-426607 2263 _,,8.!2.C: Improvement- Trans~?rtation SOC 447-00000-448027 1,811,51 SOC: Improvement Cost - Local Wastewater 443-00000-448025 1,542,96 __,_SOC:.'rnProvement Cost - MWMC Regional Wastewater SDC 445-00000-448025 1,33357 SOC: Improveme~t Cost - Storm Drainage 440-00000-448028 817.40 ~c::..R"imbu:sement - Transportation SOC 446-00000-448026 497,07 SOC: Reimbursement Cost - Local Wastewater 442-00000-448024 3,161.28 SOC: Reimbursement Cost - MWMC Regional Wastewater SOC 444-00000-448024 101,97 SOC: Reimbursement Cost -Storm Drainage 441-00000-448029 56179 SOC: Total Sewer Administration Fee 719-00000-426604 357,39 SOC: Total Transportation Administration Fee 719-00000-426604 13562 ___..s.!""'~~~.Jhough 90Feet 201-00000-428060 8800 .___ _~~~~~duct exhaust (bathrooms tOilet compartmen~, utility ro~__3?4-00000~425604 36.00 State of Oregon Surcharge (12o/~,~Lapplicable fees) 821-00000-215004 208,85 Structural Building Permit Fee 224-00000-425602 920,39 Technology fee (5% of permit to_~2. 100-00000-425605 9622 Temp services 200 amps or less 224-00000-426102 63,00 Willamalane fees - Single family detached 821-00000-215023 3,409,00 TOTAL DUE: 16,303,58 'COIVIMENTS~fif~'v1;;,;"';,~("'; "~,;'"r'lIl!lC>UN.TipllIDIZili.*,,, t.;, . Check also covers S11-758 16,303.58 TOTAL PAID: 16,303,58 s~~~~::~~ L~ RiOREGON www.cLspringfjeld.or.us TRANSACTION RECEIPT 811-SPR2011-00670 585 48TH ST CITY OF SPRINGFIELD 225 Fifth St Springfield, OR 97477 541-726-3753 permitcenter@ci.springfield.or.U5 RECEIPT NO: 2011000786 tOEsCRllmOt(cccc:""Y" cCc c Same as Plan Review Submittal RECORD NO: 811-SPR2011-00670 ~'a. "~~:'\~~'f)#f":,,+ ',,>5'",:;.,~,~, ~..~. "Ac,c,6l.iN:f~e.c5bE~">.:W :;>~'~\"~Aj.,. 224-00000-425602 TOTAL DUE: ';"':;;>'/72Q,:.. ;, DATE: 04/25/2011 ArilOUNT"OUE- 'c 250cOO 250.00 iAMOUNT PAID m.... 'W 250.00 ".l ~AYMtNTTYpEi'-'- ekY6R'CASHiER:DB6w"SB~.9MMEffi[S+;+'; Credit Card HAYDEN HOMES LLC 087408 .0&0~';;i - ,'i;,~ . J TOTAL PAID: 250.00 3 t4# -K ii N SCALE: 1" = 20' iwe HAYDEN HOMES 2464 SW GLACIER PLACE, SUITE 110 REDMOND, OR 97756 (541) 923-6607 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 9 ADDRESS: 585 S. 48TH WESTWINDS SUBDIVISION SPRINGFIELD, OREGON MINIMUM SETBACKS — CORNER LOTS All measurements are from Pr iperty Lines -Front yard to House 10 feet -Front yard to Garage 18 feet -Street Side yard to House/Garage 10 feet -Rear yard to House or Garage 10 feet -Interior Side yard to House or Garage 5 feet P.U.E. MAY CHANGE SETBACKS 'l� � STREET TREES ARE REQUIRED. Please refer to attached Development Code Section regarding the placement and stypes of allowable trees. ✓isloN�G 64 srgeg5r- NOT 77is4P, r4 'R� rod SPRINGFIELD CLUSTER DEVELOPMENT REQUIREMENTS: - 6/2 ROOF PITCH - 12 INCH OVERHANGS - 2 DIFFERENT MATERIALS - 15% WINDOW GLAZING - OPTIONAL FRONT COVERED PORCH STANDARD W/ POSTS - RECESSED FRONT ENTRY - GARAGE 4 FT. BEHIND COVERED PORCH - OFF SETS IN BUILDING FACE & ROOF AITENTlON. Ore rules adopted by the pew requires you to follow Center. Those rotes are set fUtility 0010 throw NOt cation copies of the Wes 952-001_ rt0 f You R 952-001_ tele 0090. phone number for thecalling p tithe center may obtain Center is 1-800-332- Son Utili (Note; the 2344), ty Notification #-- or-,�,r VA ATE RECEIVED Z S /t JOB r.!O. SP(LZO1 o 670 ONE D NITIS, - l STORIES !LEGAL LJESCRIPTIO j go ZO Sl y L! ODCU