HomeMy WebLinkAboutPermit Building 2011-6-15
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00910
IVR Number: 811164772806
i
SPRI,NG FIE~.
..t<l~", .
t..... ,,'~L
, .~,-
.,'# .,,",--
,:.,~- h^,,~. OREGON
www.ci.springfield.OLUS
PROJECT STATUS:
STATUS DATE:
Issued
06/15/2011
ISSUED:
APPLIED:
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permilcenter@ci,sprlngfield.or.us
06/15/2011
12/16/2010
EXPIRES:
VALUE:
12/11/2011
$156,459.34
SITE ADDRESS: 1008 S 41ST ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1802061420700
PROJECT DESCRIPTION:
OWNER:
ADDRESS:
Single family residence -
SAME AS 510-00909 4155 Stellar
BRUCE WIECHERT CUSTOM HOMES INC
3073 SKYVIEW IN
EUGENE OR 97405
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
Phone Number:
CONTRACTOR INFORMATION
Contractor Type
General Contractor
Electrical
Mechanical Contractor
Contractor Name
BRUCE WlECHERT CUSTOM HOMES INC
STEVES PLUMBING
L & E ELECTRIC INC
COMFORT FLOW HEAliNG CO
Lie Type
CCB
PLUMBING
ELECTRICAL
CCB
BUilDING INFORMATION'
1 Lot Size:
20.5 Sq Ft 1st Floor:
Forced Air Gas Sq Ft 2nd Floor:
Electric Sq Ft Basement:
Electri"ATTENTION: rn\!gbfj~!:iWe(equire~Vou to
follow rules ad~l~~\PR~ Oregon Utility
Notification Cen&l.FTbtlW:rules arelSet forth
in OAR 952-001-\lJWI~Gy1r;:6alilAR 952-001-
, . .D.090. You may obtain copies of the rules by
Electrical Specialty Code Edltl'lllilling the center. (Note: the telephonel
Springfield Fire Code Edlllon:number for the Oregon Utility Notification -
Mechanical Specialty Code Edition: Center is 1-800'-332-2344). /
Municipal! Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
# of Units:
# of Stories:
Occupancy Type
Construction Type
Occupancy Type
Construction Type
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
R-3
Type VB
U
Type VB
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
3
Path 1 A Gas-fired
furnace with min.
AFUE of 90%
5411
1430
2008
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining YVall:
Soils Report Required:
Site Information ~ . _ . _ _ ~
l\l1J I 'VI-.
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTI-'GF:I7.m UNDER THIS PERMIT IS NOT
CO: ..!v;Ei~CED OR IS ABANDONED FOR
AIN 180 DAY PERIOD.
Springfield Building Permit
6/15/2011 9:05:48AM Page 1 of 6
SPRINGFIEL.~
.
-~
^.mm'" OREGON
www.cLsprlngfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00910
IVR Number: 811164772806
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
06/15/2011
ISSUED:
APPLIED:
06/15/2011
12/16/2010
EXPIRES:
VALUE:
12/11/2011
$156,459.34
SITE ADDRESS: 1008 S 41ST ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1802061420700
PROJECT DESCRIPTION:
Frontyard Setback: 18
Interior Setback: 9
Sideyard Setback: 5
Rearyard Setback: 16
Solar Setback: 1.25
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
Single family residence.
SAME AS S10-00909 4155 Stellar
DEVELOPMENT INFORMATION ~
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure
to north property line:
2
Yes
35.2
20.5
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Descriotion
R-3 1 & 2 family
U Utility, misc.
Springfield Building Permit
PUBLIC IMPROVEMENTS
~
Valuation Description
Tvee of Construction
VB
VB
Unit Amount Unit Tvoe
1,430.00 Sq Ft
477.00 Sq Ft
6/15/2011 9:05:48AM
Sidewalk Type:
Downspout/Drains:
~
U nit Cost
96.83
37.72
Value
138,466.90
17,992.44
156,459.34
Page 2 of 6
.
S~~~~'.~=~
~.~~
~..., "'~ OREGON
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00910
IVR Number: 811164772806
225 Fifth SI
Springfield,OR 97477
Phone: 541.726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
pe rmitcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
06/15/2011
ISSUED:
APPLIED:
06/15/2011
12/16/2010
EXPIRES:
VALUE:
12/11/2011
$156,459.34
SITE ADDRESS: 1008 S 41ST ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1802061420700
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Single family residence ~
SAME AS 510.00909 4155 Stellar
FEES PAID
~
Description Amount Paid Date Paid ReciD! #
Same as Plan Review Submittal $250.00 12/16/2010 2010001063
One or Two Family Dwelling with Two Bath $374.00 06/15/2011 2011001623
Planninil.: Major Review. City $211:~o...._.___. 06/15/2011 2011001623
Furnace - up 10 100,000 BTU $17.00 06115/2011 2011001623
~~nile hood/other kitchen equipment $13.00 06/15/2011 2011001623
~1tJ.e_~."nt for waterheater or gas fireplace $9.00 06115/2011 2011001623
~!.'sl Appli~~~.!.e!... $79.00 06/15/2011 2011001623
Re~J:J'On_c~_'."iri~ 1,000 sq. ft. or I~~_..__ $134.00 06~~/2011~__~~1.~~:623
Each added 500 sq. ft. or portion $50.00 06/15/2011 2011001623
Sidewal~up !hough 90 Feet $88.00 06/15/2011 2011001623
Curb CuVDriveway 1 st Cut $88.00 06/15/2011 2011001623
Multiple Permit Discount (Max 2) $-30.00 06/15/2011 2011001623
SDC: Tolal Sewer Administration Fee $313.72 06/15/2011 2011001623
SDC: Total Transportation Administration Fee $121.75 06/15/2011 2011001623
SDC: Reimbursement Cost - Local Wastewater $2,443.06 06/15/2011 2011001623
--_._~.~_.._.,~-- -- ---
SDC: Improvement C,:st - Local Wastewater $973.84 06/15/2011 2011001623
SDC: Improvement Cost. Local Wastewater $258.27 06/1512011 2011001623
SDC: Re~rTlbursement. Transportation SDC _ $426.92 06/15/2011 .. 2011001623
SDC: Improveme~~:..:::~nsportalion SDC ..____!1 ,597.62 06/15/2011 2011001623
SDC: Reimbursement Cost - MWMC Regional Wastewate $101.97 06/15/2011 2011001623
SDC: Impr~nt c;~i~ MWMC Regional Wastewater ~ $1,333.57 ..-------06TI5i2~-..- 2011001623
SOc::'C;;;;;Plianc;'-C;;st - MWMC Regional Wastewater SI $22.63 ._... __ 06/15/201 ~______"-'261iOoi623
SDC: Administrative Fee - MWMC Regional Wastewater: $10.00 06/15/2011 2011001623
Single-duct exhaust (bathrooms, toilet compartments, utili $27.00 06/15/2011 2011001623
Gas Piping up to 4 outlets $7.00 06/15/2011 2011001623
State of Ore~on Surcharge (12% of applicable fees) $205.65 06/15/2011 2011001623
:!:echnology fee (5% of permit total) $94.89 06/15/2011 2011001623
Willamalane fees - Single family detached $3.468.00 06/15/2011 2011001623
Address Assignm,:nt, each new or change $38.00 06/15/2011 2011001623
?~ruct:,!.a.I_~uilding Per.mit Fee $940.74 06i15i2011-'' 2011001623
Admin fee (10% of applicable fees) $9.54 ---""06i15ti011'---- 2011001623
~iide~ti,;j~~Q)5 .pe~q~o"otC~- -===-=~__ _~-. --=-= _!9.5'~ _~~-._- 06/1512011 -. -- -.--2011001623-
Temp services 200 amps or less $63.00 ...____O'6115120~1 ~ ~-=-_j.of~~~23
Total Amount Paid $13,835.52
Springfield Building Permit
6/15/2011 9:05:48AM
Page 3 of6
..
~SP~~NGFIELD '
;"tii
. . . ;;'+i'ORfGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR201 0-0091 0
IVR Number: 811164772806
www.ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
155 ued
06/15/2011
ISSUED:
APPLIED:
06/15/2011
12/16/2010
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
pe rmitcenter@C:i.springfield,or,us
EXPIRES:
VALUE:
12/11/2011
$156,459.34
SITE ADDRESS: 1008 S 41ST ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1802061420700
SCOPE: Single Family Residence
WORK INVOLVED: New
lYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Single family residence ~
SAME AS S10-00909 4155 Stellar
Plan Review
~
Department Received Due Date Completed Result Reviewer
Planning Review 12/2312010 12123/2010 12/2312010 Approved Deyette Kelly
Comments: Required street trees as shown on street tree plan attached to permit species as shown. 2" caliper. leave name tag on
Structural Review
12123/2010 12/2312010 12123/2010
Waiting Internal
Kip Kaufman
Public Works Review 12/2312010 12/23/2010 12/2912010
Comments: Storm water to curb via weep hole.
F~~wl,:~:,.~:2:3~~1::,:!:2(33~~~.. '12~:~1};::>~ ,~t~~~:~:~~~~~~,~,> '
Permit Issuance 12/29/2010 12/29/2010 06/15/2011 Issued
Approved
Springfield Building Permit
6f15f2011 9:05:48AM
'..A-
Kaye Wilson
"KiP''iS~-Grrm;;;
~." ....'+~ ~.'
,..
',1
1
,.,'%F.~. '.,
.;:;:f~'>
"j;';"'
- ".~. "'I
Chris Carpenter
Page 4 of6
.
SP~IIN:~~
~OR'GON
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR201 0-0091 0
IVR Number: 811164772806
225 Fifth St
Springfield. OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenler@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
06/15/2011
ISSUED:
APPLIED:
06/15/2011
12/16/2010
EXPIRES:
VALUE:
12/11/2011
$156,459.34
SITE ADDRESS: 10085 41ST ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1802061420700
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Single family residence -
SAME AS 510-00909 4155 Stellar
INSPECTIONS REQUIRED ~
Inspections
1020 Zoning/setbacks
1090 Street Trees
1110 Fooling
Footing: After trenches are excavated.
1118 Footing Drain
1120 Foundation
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.
1160 UFER Ground
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
1440 Insulation Ceiling
1520 Interior Shearwall
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Shear Wall Nailing: Before covering sheathing with finish materials.
1530 Exterior Shearwall
1540 Gypsum Board/Lath/Drywall
Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum
board, interior and exterior are in place, but prior to plastering.
Final Building: After all required inspections have been requested and approved and
the building is complete.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Underfloor Gas: After line is installed and required testing and capped if not attached
to an appliance.
Gas Service: After line is installed and line has been connected to a minimum of one
appliance including required testing. Presure test done at this point.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
1999 Final Building
2200 Underfloor Mechanical
2210 Underlloor Gas
2260 Gas Service
2300 Rough Mechanical
2995 Final Gas
2999 Final Mechanical
Springfield Building Permit
611512011 9:05:48AM
Page 5 016
.
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-5PR201 0-0091 0
IVR Number: 811164772806
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
06/15/2011
ISSUED:
APPLIED:
06/15/2011
12/16/2010
EXPIRES:
VALUE:
12/11/2011
$156,459.34
SITE ADDRESS: 10085 41ST ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1802061420700
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Single family residence-
SAME AS 510-00909 4155 Stellar
3130 Footing/Foundation Drains
3170 Underfloor Plumbing
Underfloof Plumbing: Prior to insulation or decking.
Sanitary Sewer Line: Prior to filling trench and including required testing.
3200 Sanitary Sewer
3315 Water Line
3400 Storm Sewer
Storm Sewer Line: Prior to filling trench.
3411 Perimeter Rain Drains
3500 Rough Plumbing
3999 Final Plumbing
4000 Temporary Power Service
4225 Service or Feeder
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
4500 Rough Electrical
4999 Final Electrical
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, I state and agree, that 1 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 al1 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 plan will remain on the site at all times during
construction.
(~
w~
Owner or Contractor Signature
Springfield Building Permit
6/15/2011 9:05:48AM
Page 6 of 6
. CITY OF SPRINGFIELD. OREGON ;
Structural Permit ApplicatioD__
~~~
225 Fifth Street. Springfield, OR 97477. PH(541)726-3753' FAX(541)726-3689
4/)'}
S10. 10'
r;i~~,'
~.'
<<s
5k-11c,.r
. . '.,", ,"-,", ..'.1._'
DEf'.l\BfMENj;US~o~k i
".,- .' "'~"'~ -.-,' ...";....h.;.'_,.,. ", ... "--':_,..~,'._.
510 ~ 00 9/()
Penmt no.:
Date: /0
This permit is issued nnder OAR 918-460-0030. Permits expire if work is not started within 180 days of i suance or if work is
suspended ror 180 days.
Date:
Date:
DYes DNo
Sign bere:
; ~~) '1, ~~'QgN:tBA~f,,: 'N$:fAA~tiQ!tifii\i'i;!;gg':J(.i;, ;!},
Business name: ~.,u(c k"~G~""{ Cu<;b..... I>o"..a.~ l'lv'-
Address: '3 07 3 ~ Il v; <:.",; 1-""
City: 0(" e..... State:o<l ZIP: q 7~D l
Pbone: -WI> cl'-/S? Fax: :0'1 - 33 b 2-
E-mail: w; <""I.,..t \.-."I"~S @ co.'" u..,-l ~-rJ"t
CCB license no.:
-~t\~;5\i~fui.';:::" :'::::'.
Phone Number
~ll '111&
> Yl-3'l b,
7z.b-%()
Construction type:
Square feet:
Cost per square foot:
Olber infonnation:
Type or Heat:
Energy Path:
new D alteration D addition
(b) Foundation-on1y pennit? D.Yes
Total valuation: .L..56
'. 2. Build~~r(f~~~/:.:,:)>~~:>~~f{('~~: ....:..','. :; ~;:'~iE~lh~;:l'::;:~~fft~'~.: '.
(a) Permit fee (use valuation table); S '(0'7 '(
(b) Investigative fee (equal to [2a]): S
(c) Reinspection ($ per hour):'
(number ofhnurs x fee per bour) S
(d) Enter 12% surcharge (.12 x [2a+2b+2e]): $ Z, "L-
(e) Subtotal or rees above (2a througb 2d): $
,1'31i'lil6" .':. ;'
" '.~ .~M ..JJ
(a) Plan review (65% x pennit fee [2a]);
(b) Fire and life safety (40% x pennit fee [2.]):
(e) Subtotal orrees above (3a and 3b):
4'l\1I~c~qlijl:e~lIs;fc:e$;{,.. ., . '. '!~~"
(a) Seismic fee. 1% (.01 x permit fee [2a]): S
TOTAL rees and surcharges (2e+3c+4a): S 17'1
Electrical Permit Application
I 0
CITY OF SPRINGFIELD, OREGON :
I 0
225 Fifth Street. Springfield, OR 97477tPH(S4I)726-3753tFAX(541)726-3689
. DE~~R+MENT U5.E ONLy' .
Pennitno.:JIO - It)
Date: /2 I & / II
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days.
.... .....EOCAVC;;OVERlIIMElIIT.APi>ROVAI(:"i\j;::
Zoning approval verified? 0 Yes 0 No .
./,CATEGORY/OFCONSJRUCTIOW;;; .
Residential 0 Government 0 Commercial
!f.j:!5~HJOBF.SITEi'INF()RMA:tIOllli:AN.D~!(()CATIO/ll"'~0{";;
5 'i/5l-'
City. 9.-.
.j
PROPER . OWNER. .
Name: e,.{"\/u Wi ec-he-A CJ;,+o....
Address: 307 5 s)e }JoJ
City: <- u v-<- ZIP: "! 7'10"-
Phone:SW -bsb Of 5'8' Fax: Gv/-'SYf 36"Z-
E-mail: VJ;.t.c.-\..e~1-\-.O~.5eCoikC...St.1V <-T
This installation is being made on residential or farm property
owned by me or a member of my immediate family. This
property is not intended for sale, exchange, lease, or rent. OAR
479.540(1) and 479.560(1).
Signature:
. :CONTRACT,OR INSTALLATION.
Business name: k +- e f '(;c3.,,; c....
Address: Z g :5:3 -:50.,...eS Ac.-re-S
City: 5 f Ie State: 0 )t. ZIP: q 7 If '7 ~
Phone:$'1/ -5tl - 4r 'i ~ L.f{ L. .
E-mail:
CCB license no.: I O~ 4 7S-
Signing supervisor's license no,:
Print name of signing supervisor:
Signature of signing supervisor:
BCD license no.: 393 L-
'1/7"/-S"
c-{) Oe.N)oJ.l~....
440-2584-J (9108/COM)
. .-.,
:~',<~"".t;~/:~~~,~~~;~.,~:~i~k~.i:~:~qr':;i.:~ F EE ~i SC H E,O.lJ t E:,1:;0~I+~~; ~ft,~l~{~~:~:~:~~li~~;+i ?~;r
. -'. .'~ . . '". ......' ....,. . Cost' Total
NuniberoOnspec.tiorij p~rit~~:().,oi Qij. .:.
'" ", - , -' ,. ..; .. ','. ,'. ~.. ':. ." -. ' ..; - , ... .' ..0 'ea,', cost
Residential, per unit, service included:
1,000 sq. ft. or less (4) J $134.00 $ /3</
Each additional 500 sq. ft. or portion ::2- $ 25.00 $ .::,"'D
thereof
Limited energy (2) $ 32.00 $
Each manufactured home or modular $ 63.00 $
dwelling service or feeder (2)
Services or feeders: installation, alteration, relocation
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 $
Reconnect only (2) $ 63.00 $
Temporary services or feeders: il}Stallation, alteration, relocation
200 amps or less (2) i/e ft:711J~ , $ 63.00 $~5
201 to 400 amps (2)'\, W $ 87.00 $
401 to 600 amps (2) ;r $126.00 $
Over 600 amps or 1 ,OO~ volt~ see services or feeders section above
Branch circuits: new, alteration, extension per panel
a. Fee for branch circuits with purchase of a service or feeder fee:
Each branch circuit I $ 6.00 $
b. Fee for branch circuits without purchase of a service or feeder fee:
First branch circuit (2) $ 55.00 $
Each additional branch circuit $ 6.00 $
Miscellaneous fees: service or feeder ~ot included
Each pump or irrigation circle (2) $ 63.00 $
Each sign or outline lighting (2) $ 63.00 $
Signal circuit or a limited-energy panel, $ 63.00 $
alteration, or extension (2) .
Each additional inspection: (I) $58.00 $
iM:~Hit1~Y~j~:lf~tc:'~~Lf~j&-;;j(:ARPinCANt(;US-Eh~..t~~~::~'::F'~~~i;i~: ('. ;r..
..'...... '.
(A) Enter subtotal of above fees Z L/'7
(Minimum Permit Fee $58.00) $
(B) Enter 12% surcharge (.12 x [A]) $ ')./1 'C'
(C) Technology Fee (5% of [A]) $ I?J!..-
TOTAL fees and surcharges (A through C): $ ~
2~ willamalaflJe
,tlJ Park and Recreation District
Job. No.
~/d- 9/0,
.- ".-
.. ~AME:.El\It!E, Wlec.HE:RT ~TDrVl({o;mQHONE: ?St:,;" 7'1SK
'ADDRE~s:!6'"):i~r V/E:N CJD'~f.AC(,._.~_-;.i:i.A.IEM-~ZI2:9~S::
LOCATIC)NOF PROPOSED BUILDING SITE:
I'". " - - .
StreetAddres~:'OO ~ ~', t.j/!>r ;{'r ,
, " ,'Plat Name; r7t is\,~rT\\fo-:'l.-\.;:)cJ...J J Tax Lot Number: /xtJ'2 ~6~1 2.O?tJO
SYSTEM DEVELOPMENT CHARGE WORKSHEET
'July 1~December 31,2010
, , L DEVELOPMENT TYPE (Check appropriate d';';elling(s), Dwelling iypedefinitions are on the
',back,) " '
A Sino Ie-Family Detached
NO.OF UNITS [
X $3,468 peruilit=
, ,
$ 'J 'i ft/g
B. Siriole-FamilvAttached'
NO, OF UNITS
X $3,538 per unit =
$
C. Multi-Family Apartment
,.' ,NO. PFUNITS
X $2,906perunit =
$
p~SincileRoom Occup'ancy ,
"
, NO. OF UNITS
", . -,
X$1,453pe'ruhit", .i Ji
, E:.AccessOrvDv,;ellinQ Unit
.N9"OFUNITS ",
, WILLANI'~L,A.NE SDC
2'.: SDC CREDIT (If applicable) SDC payer must fumi~h proOf of
. ,WillamalaneCredit approvaL) ,
',., 3; . TOTALWILLAMALANE NET SDC ASSESSED .
(if SDC reduced for Credit)
,"'.',
X$1,734 per unit = "$ ,
$
$~
$ :1YlJ
'~
Development ServicEls Department
City ,of Springfield, .
o I /9/ / /
Date
5
.
ST~, ~~
.~;~~
~'-~~,^ OREGON
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth 51
Springfield,OR 97477
541-726~3753
www.ci.springfield.or.us
811-SPR2010-00910
1008 S 41ST ST
permitcenter@ci.springfield.or.U5
LI1~ji'.jg~IT'!'I;E/. <.
Credit Card
00520D
RECEIPT NO: 2011001623 RECORD NO: 811-SPR2010-0091 0 DATE: 06/15/2011
[DESCRIe.TION~,'<,;.:~.";i;i'~, ._.",--~-;y-; c' . ':',,;t;~f"'ff..." ;',-~:, "',:AC.cOUNJ2l:;ODE';,:" ;"-,P,~ J'ff""AMciuNTiDUE:'"
Address Assignment, each new or change 224.00000-425602 38.00
Admin fee (10% of applicable fees) 224.00000-426605 9.54
Curb Cut/Driveway 1st Cut 201.00000-428060 88.00
Each added 500 sq. ft. or portion 224-00000-426102 50.00
____...!:'irs~""ppli~~e___ .". "__ 224-00000-425604 79.00
. ..!'Iue ven~for !,:ater~e~te..'~! ga,s_fi!.eplace _____ "_ 224.00000-425604 ~_____.
Furnace. up to 100,000 BTU 224.00000-425604 .__._____ 17.00 _,___
Gas Piping up to 4 outlets 224-00000-425604 7.00
Multiple Permit Discount (Max 2) 201-00000-42~260 -30c22__
One or Two Family Dwelling with Two Bath 224-00000-425603 37400
Planning - Major Review - City 100-00000-425002. 211.00
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 95.35
___SDC: A~~inistrative Fee - MWMC Regional Wastewater SDC 611-00000-426604 10.00
___SI2.C~?-,~~~,!.ce Cost - MWMC R,:~"-,,a~~~.!"0pC 444-00000-426607 22.63
Sl?C: 1rT1~o~m,:nt; Transport.atio~~___ 447-00000-448027 1,597.62
_' SDC: Imp~.'!2!".!.E.ost - ~~.stewate..'. 443-00000-44~25 _._.2.c232.11 ____
._SD<?.:.lmprovement Cost - ~WMC Regional Wastewater SDC 445-00000-448025 1,333.57
SDC: ReirTlbursement - Transportation SDC 446-00000-448026 426.92
SDC: Reimbursement Cost - Local Wastewater 442-00000-448024 2,443.06
__SDC: Reimbursement Cost - MWMC R"gional Wastewater SDC 444-00000-448024 101.97
SDC: Total Sewer Administration Fee 719-00000-426604 313.72
SDC: Total Transportation Administration Fee 719-00000-426604 121.75
~.!dewalk up though 90 Feet 201-00000-428060 88.00
Single-duct exhaust (~athrooms, toilet c?mpartments, utility roar 224-00000-425604 27.00
__ ~':..9f~!12!2.~~rch:,~g~~ of applic~e.f!e;.sL__. 821-00000-215004 205.65
_ Structur~I.~uildin_g_P"!rT1~________ _______._.?2~.?.2.1J!l_2:42560~_,,___.______ ._24.~_ ___
___ Tec_hnol".9Y ree (5% of permit total) 100-00200-425605 .",,_______. 94.8~__.
Temp services 200 amJ'.s,or less _. 224-IJ!lO..oO-426102 ____________63.00
Willamalane fees - Single family detached 821-00000-215023 3,468.00 _,_
TOTAL DUE: 13,585.52
PAYO'R">'CASHiER"CCARP'ENTER'; . <"'C"O"M'M'E"N'''S ;~;'.> ..;-~:";0"";.,;"f " AMOUNTopAID'
..;.. .....4. .';';~.~.,,^,-,,e""~'''.''~..''.e,,_-,-I,' "i'. , "_w~.,-?X.L:0t,,~ '~j ~" ., .,',,, ,~"
BRUCE WIECHERT CUSTOM 9,500.00
HOMES INC
.1
Check
20654
BRUCE WIECHERT CUSTOM
HOMES INC
4,085.52
TOTAL PAID:
13,585.52
SPi:~..;:;~
~~
~OREGON
www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR2010-00910
1008 41ST ST
CITY OF SPRINGFIELD
225 Fifth 8t
Springfield,OR 97477
541-726~3753
permitcenter@ci.springfield.or.us
RECEIPT NO: 2010001063
RECORD NO: 8 I I -SPR20 I 0-009 I 0
DATE: 12/16/2010
![)ESCRII'n10N:. :d: -;,~,,' :~, ,;:,., "'<'2i:~(' -4.~<, ;Y". 'f:~.6:C:C.Ql!N:f:C9[)E~:_- ".., .~M9JJt-jJ:P_U_1: ..~
Same as Plan Review Submittal 224-00000-425602 $250.00
TOTAL DUE: $250.00
[,PAYMENT TYPE4-'.,PAY0R~;';CASf"ER:'6B6WLSBy'E,::!Q.QM.M:I:EifsJi:.""7-:.' -, ,k::AMOUNT PAID,' , "j
Credit Card
00526c
bwch
$250.00
$250.00