The URL can be used to link to this page

Home My WebLink AboutPermit Building 2011-6-13 SP~ING..FIEL.~. . . ~)h__. 'ii'~'::' \~ "''<'\;';:~'''' 'OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00820 IVR Number: 811185105261 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspeclion Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci,springfield.or.us PROJECT STATUS: STATUS DATE: Issued 06/13/2011 ISSUED: APPLIED: 06/13/2011 05/16/2011 EXPIRES: VALUE: 12/09/2011 $151,537.80 SITE ADDRESS: 4892 HOllY ST, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051111600 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential New single family dwelling LOT 97 Westwinds SAME AS 4873 Glacier Phone Number: OWNER: ADDRESS: JHD3 LLC 2464 SW GLACIER PL REDMOND OR 97756 Contractor Type Electrical Contractor General Contractor Plumbing Contractor Mechanical Contractor # of Units: Construction Type Occupancy Comments Occupancy Type Occupancy Comments Occupancy Type Construction Type # of Bedrooms: Sprinkled BuiJding: Fire Alarms: Energy Path: CONTRACTOR INFORMATION ~ Lic Type GGB Contractor Name GARNER ELECTRIC CO HAYDEN HOMES LLC STUTZMAN SERVICES INC PACIFIC AIR COMFORT INC GGB GGB CGB BUILDING INFORMATION ~ Lic No 121159 172526 31747 39237 Lic Exp Phone 03/14/2012 503-648-4552 10/11/2012 541-923-6607 05/12/2012 541-928-8942 03/25/2012 541-672-9510 Type VB 1408 s.l. # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Gas Electric No Lot Size: Sq Ft 1st Floor: 1835 Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: SqFt Other: 0 Occupancy Load: 2008 1 18.58 Forced Air Gas R-3 4035.1. U Type VB 3 No No Path 2B All ducts and air handler within building thermal envelope Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code:. Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Site Information Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: AUTHORIZED UNDER THIS PERMIT IS NOT Soils Report Require'dOMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit ~WTlCE: ,'" THIS PERMIT SHALL EXPIRE IF THE WORK 6J13/2011 10:39:08AM ~ ATTENTION: Oregon law requires you to folfow 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 1-800-33liag.Htlj. www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00820 IVR Number: 811185105261 Issued 06/13/2011 06/13/2011 05/16/2011 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: 12/09/2011 $151,537,80 ISSUED: APPLIED: SITE ADDRESS: 4892 HOllY ST, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051111600 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential New single family dwelling lOT 97 Westwinds SAME AS 4873 Glacier Frontyard Setback: 14 In~erior Setback: 5 Sideyard Setback: 5.53 Rearyard Setback: 25.3 Solar Setback: DEVELOPMENT INFORMATION' Overlay Dis!: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: Yes 18.5 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 Tvoe of Construction VB VB Unit Amount Unit Tvoe 1,408.00 Sq Ft 403.00 Sq Ft 6/13/2011 10:39:0BAM Sidewalk Type: Downspout/Drains: , Unit Cost 96.83 37.72 Value 136,336.64 15,201.16 151,537.80 Page 2 of 6 SPR.~~.N .~. FIE. L..~ ~'. " - .~ ~,.i.~ OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00820 IVR Number: 811185105261 www.cLspringfield.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 PROJECT STATUS: STATUS DATE: 155 ued 06/13/2011 ISSUED: APPLIED: 06/13/2011 05/16/2011 EXPIRES: VALUE: 12/09/2011 $151,537.80 SITE ADDRESS: 4692 HOLLY ST, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1602051111600 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential New single family dwelling LOT 97 Westwinds SAME AS 4673 Glacier PROJECT DESCRIPTION: I FEES PAID Amount Paid $250.00 $557.17 $610.67 $497.07 $1.611.51 $3,161.26 $1,542.96 $101.97 $1,333.57 $22.63 $10.00 $356.79 $17.00 $27.00 $28.00 $17.00 $79.00 $91.75 $134.00 $50.00 $374.00 $13.00 $9.00 $920.39 $38.00 $3,409.00 $0.75 $17.50 -~._-- --_._. --------- ~!a_l2.n.i~g: Major ~v!:..~: ~j.tx___ _ ______.__~1~~_ State of OreiJon ~u:c~",g~(l?'/' 5'.f a!,plic~bl-" ~e-,,~). __. _ _$~1!.~21_ Tec~nology fee (5% of permit tot~) $92.62 Multiple Permit Discount (Max 2) $-30.00 Curb Cut/Driveway 1 st Cut $66.00 Admin fee (10% of applic~'ble fe~s) '-$~B'--- Sidewalk up though 90 Feet $86.00 SDC: Total Transportation Administration Fee $135.65 Total Amount Paid $16,475.67 Descriotion Same as Plan Review Submittal SDC: Reimbursement Cost ~ Storm Drainage SDC: Improvement Cost - Storm Drainage sac: Relrt:'lbursement - Transportation SDC SDC: Improvement - Transportation SDC SDC: Reimbursement Cost - Local Wastewater SDC: I~provement C~ Local Wastewater SDC: Reimbursement Cost - MWMC Regional Wastewat, SDC: Improvement Cost - M~C Regional Wastewater ~ SDC: Compliance Cost - MWMC Regional Wastewater SI SDC: Administrative Fee. MWMC Regional Wastewater: SDC: Total Sewer Administration Fee Furnace - up to 100,000 BTU Single-duct exhaust (bathrooms, toilet compartments, utili Gas Pipin_g up to 4 outlets Water heater --.-- -_._------ Y.ir,:;!.~~pEance Fee Residential Fire (.05 Per Sq Foot) Resider:ce wiring 1,000 sq. ft. or less Each added_500 sq. ft. or portion One or ~'!:.o.familY-E~~.I~~_g with Tw_~~~th Range hood/other kitchen equipment Flue vent for water heater or gas fireplace Structural Building Permit Fee Address Assignment, each new or change Willamalane fees - Single family detached First copy E_ach~9ditio-"al co~_ Springfield Building Permit Date Paid 05/16/2011 -.---.- 06/13/2011 06/13/2011 06/13/2011 06/13/2011 06/13/2011 06/13/2011 06/13/2011 06/13/2011 06/13/2011 06/13/2011 06/13/2011 06/13/2011 06/13/2011 06/13/2011 06/13/2011 --- 06/13/2011 06/13/2011 06/13/2011 06/13/2011 06/13/2011 06/13/2011 06/13/2011 06/13/2011 06/13/2011 06/13/2011 06/13/2011 06/13/2011 .----- 06/13/2011 --.,. --- --.---... 06/13/2011 -----.---.- 06/13/2011 06/13/2011 06/13/2011 06/13/2011 06/13/2011 06/13/2011 6/13/2011 10:39:08AM ReciDt # 2011000955 2011001578 ------ 2011001578 --. ---- 2011001578 2011001578 2011001578 2011001578 2011001578 2011001578 2011001578 2011001578 2011001578 2011001578 2011001578 2011001578 2011001578 2011001576 2011001578 2011001576 2011001578 2011001576 2011001578 2011001578 2011001578 2011001578 -- 2011001578 2011001578 2011001578 2011001578 ,,- ._-------_. - 2011001578 .---...... -- 2011001578 2011001578 2011001578 +--- 2011001578 2011001578 2011001578 Page 30f6 sP.rlN:::L.~ L~~ ~OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00820 IVR Number: 811185105261 www.ci.springfield.or.us 225 Fifth St 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 06/13/2011 ISSUED: APPLIED: 06/13/2011 05/16/2011 EXPIRES: VALUE: 12/09/2011 $151,537.80 SITE ADDRESS: 4892 HOllY ST, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051111600 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential New single family dwelling lOT 97 Westwinds SAME AS 4873 Glacier PROJECT DESCRIPTION: Plan Review I DeDartment Initial Review Received Due Date 05/19/2011 05/19/2011 Comoleted 05/19/2011 Result Approved !Application.Accep)ance: I. ,,', ", "'" Public Works Review 05/19/2011 05/19/2011 OS/24/2011 Comments: Storm water 10 tap Istructural Review' . ,05/19/2011' 05/19/2011 OS/24/2011 ~ Waiting Inten1~1 . Comments: PLanning >----.-.---, ---- Planning Review 05/19/2011 05/19/2011 06/02/2011 Approved Comments: . Review was delayed because pre-approved plans were not used. "3' walkway is required. "Front elevations are site specific and contain required design elements. match submitted designs as shown on the approved set of plans. .Survey required based on minimum side setbacks. Istruciural Review - . ,05/19/2011 05/19/2011 06/08/2011' 'Approved", ':': Inspection 06/13/2011 " ,'0~/16/2011 ", '05/16/20) h.05/j9/201 1 >., ',:l'pplicalion"Ai;';~Pte":a, . -;~.: . ""'. )- Approved Reviewer David Bowlsby ~~~i'1i Bowlsby, ~~ Kaye Wilson Kip Kaufman I __ ___ _J Tara Jones Inspectors will field check that actual elevations In Process Comments: Inspection in process Permit Issuance ;.06/08/2.0" ',.06/08/2011,. .2,15/!,3/2211., . .Lss;~~d ' ,",. :;~:- t. . "'C""''''''''.'-' ""-'T' '- ~ ,...., Springfield Building Permit 6/13/2011 10:39:08AM "Kip Kaufman ' Robert Castile ,Kip'Kaufman,,, ' ..-,,,,,, -'"... Page 4 of6 5P.:1H G,=~~ ~l " * . ... .;.: ~... OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-5PR2011-00820 IVR Number: 811185105261 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 ISSUED: APPLIED: 06/13/2011 05/16/2011 EXPIRES: VALUE: 12/09/2011 $151,537.80 06/13/2011 SITE ADDRESS: 4892 HOLLY ST, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051111600 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential New single family dwelling LOT 97 Westwinds SAME AS 4873 Glacier PROJECT DESCRIPTION: INSPECTIONS REQUIRED I Inspections 1090 Street Trees 1150 Slab/Flatwork Slab: To be made after all ins lab building service equipment, conduit piping and other equipment items are in place but prior to concrete. 1220 Under/loor 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 1450 Insulation Duct Ceiling Insulation: Prior to cover. 1510 UFER 1520 Interior Shearwall 1530 Exterior Shearwall Shear Wall Nailing: Before covering sheathing with finish materials. 1540 Gypsum Board/LathlDrywall 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. Roof Sheathing Final Building: After all required inspections have been requested and approved and the building is complete. 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 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. 1630 Roof Sheathing 1999 Final Building 2020 Underground Gas 2260 Gas Service 2300 Rough Mechanical 2310 Rough Gas 2995 Final Gas 2999 Final Mechanical 3130 Footing/Foundation Drains 3170 Under/loor Plumbing , Underfloor Plumbing: Prior to insulation or decking. 6/13/2011 10:39:08AM Page 50f6 Springfield Building Permit . , . S!'~IN..G... F IE:ii IN ,'. i!Jb f''!:\ OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00820 IVR Number: 811185105261 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 06/13/2011 ISSUED: . APPLIED: 06/13/2011 05/16/2011 EXPIRES: VALUE: 12/09/2011 $151,537.80 SITE ADDRESS: 4892 HOllY ST, SPRINGFIELD, OR 97477 ASSESOR'S PARCEL NO: 1802051111600 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential New single family dwelling lOT 97 Westwinds SAME AS 4873 Glacier 3200 Sanitary Sewer Sanitary Sewer Line: Prior to filling trench and including required testing. 3202 Tracing Wire 3315 Water Line 3301 Water Meter Set 3400 Storm Sewer 3500 Rough Plumbing 3999 Final Plumbing 4120 UFER Ground Storm Sewer Line: Prior to filling trench. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all prumbing work is complete. 4225 Service or Feeder 4500 Rough Electrical Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 4999 Final Electrical 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 con/ion ~ &-15 _/( Owner or Contractor Signature Dale Springfield Building Permit 6/13/2011 10:39:08AM Page 6 ot6 Structural Permit Application - 225 Fifth Street. Springfield, OR 97477. PH(541)726~3753 . FAX (54 1)726-3689 DEPARTMENT USE ONLY ~PFlINGF'tn.D ., '. ~;'-:, Pennit no. SI I ~ 'l-.J-O Date: I( This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 da)'s of,ssuance or if work is suspended for 180 da)'s. . l;OCAL G9VERNrViENf:AP.~R~YAti:.' This project has final land-use approval. Signature: Date: This project has DEQ approval. Signature: Date: Zoning approval verified: Property is within flood plain: DYes 0 .~~i~:t:';':o .,' ~;,~:'GA rE ~9fiX:iqJ:jU::.0~~-~~R"O~G-~'i.q>~~t>J;-~-,~,.;,.&~~jkii. ~/ esidential 0 Government D Commercial ...., :JS;lB,SITE; [Ni;o~MAij-I0:N~NRr~Q'QAtT9N(;,i::!:~t;;'\Y'\ Job site address: ~ ",-y S,.... City: S\'~_IN(':::ioZLC. CL Subdivision:V..)CS't""(.:~I.;,..,) ~~ Reference: / ZOS l I PROPERTY OWNER. 'H Name: ~O,r-...J 14-o,,,,-i::!"::. Address: Z L/& ii <; l.) C. L.1\e.. ",'1- City: ~"'IC>f'^-.O'-..):"-' State: D ZIP:Cf7-'K1c Phone 5"'i.f/-5-::,u.' -5T~'(D Fax:"n{ - "O'{- If'j?,L., E-mail: CItG.........,':I"-\<.:..~ r;;, I-l4:YfJ~ - "'-C"b.(Q 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 ~s 701.010. Sign here: [. "/'(- Business name: Address: City: Phone: State: Fax: ZIP: E-mail: CCB license no.: l':f 2SLi..o Print name: ~LI..'- J..(..e-:~r. ~..i..Li;...:- ;...i Signature: /' ~ ..' '~;;SlJEl'COtt;T;RA:c::t()R"f:lFORM~f[QN!f:;~i:~f;3G!;(;:<g!~~; Name CCB License Number Phone Number Electrical Plumbing Mechllnical . FEE SCHEDULE '~1>y'a~4~tto~'i.nform~H()6'-\ '., (a) Job description: SP.D Occupancy 12Ll- ~ Construction type: 5 t~ Square feet: 1'(0 Cost per square foot: U ~ Other information: Type' of Heat: (:..., Energy Path: '2 ~ new D alteration ~ No Total valuation: $ {7~~;fi.~.U~.ihg~tee~;'j;~.<#;':~';:~:~'~;At\~~~Xi:k?~;\t';!'.:;.::,.;/.,:. :!', (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): $ $ $ $ $ 0~'?;:~,!-~ll1re~f~W~'f~~t~iE~1~~~~~;{{ik?~~*~1~0r~~t;.e;\Z~~~1},~:t~JJ~ (a) Plan review (65% x permit fee [2a]):S1 $ (b) Fire and life safety (40% x permit fee [2a]): $ (c) Subtotal of fees above (3a and 3b): $ i~j:.M .i_'(c~f!.a:h~i).u~s" r~~~_~:'J; i~~V'~f~,.2:~~' (a) Seismic fee, 1% (.01 x permit fee [2a]): $ TOTAL fees and surcharges (2c+3c+4a): $ ro . Electrical Permit Application "G I B 225 Fifth Str~t:t.Springncld, OR 97477. PH(541)7:!G-3153t FA..X(541)T' -- ------- -DEPARTMENT USE ONLY SPRINGFIELD _ ~I Pemlit no.: Date: 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. - LOCAL, GOVERNMENT APPROVAL. Zoning approv"al verified? 0 Yes . 0 No . CATEGORY Of; CONSTRUCTION .'. iZi-Residential. D Government D Commercial . .... .JOB'SITE' INFORIViAJloN'ANQ.'{;-OCATION'" ". Job site address" 'fe.9'l... Y C;,... Cily: :)\'l!-\~~"\"'-D State: ()!L ZIP: q....{~~ Reference: crs 0 Toxlot.: \ DESCRIPTION OF WORK J -lX-'O Z. - C>A~ 'i,1=-() /fD ZlP: c/Tr-..-lo Signature of signing supervis : N: Oregon 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 .1'11 number for the. Oregon Utility Notification I (\~'V...J Center IS 1-800-332-2344). \Y..t' IJ \O~S- '.'0.2;8'.) (9/0KICOM) FEE SCHEDULE:..... ...,~.;-::,,': .. '., Number of inspe~tions per item () Qty. Cost Total ea. cost Rcsidcntinl, per unit, service included: 1,000 sq. ft. or less (4) J! $1>4.00 $73-. l/- Each ndditional 500 sq. ft. or portion ;) $ 25.00 $60 thereof I. Limited energy (2) $ 32.00 $ Each manufactured home or modular $ 63.00 $ dwelling service or Feeder (2) Services or fceders: ins/aflation. alteration. relocation 200 amps or less (2) $ 81.00 $ 201 to 400 amps (2) $ 95.00 $ 401'0600 amps (2) $158.00 $ 601 to 1,000 amps (2) $205.00 $ Over 1,000 omps or valls (2) $469.00 $ Reconnect only (2) $ 53.00 $ TemporDry services or feeders: ins/aflalion. al/eration, re/oealion 200 amps or less (2) $ 63.00 $ 20 I to 400 amps (2) $ 87.00 $ - 401 tn 600 amps (2) $126.00 $ Over 600 amps orl,OOO volts, see services or feeders section above . Brnnch circuits: m!lI', alfermion, extension per panel a. fee for bnmch circuits with purchase of II service or feeder fee: Ench branch circuit I $ 5.00 I $ b. Fee.ror~bran~ circuilS with?u~ur-clH1Se Wn~ er fee: >\J I __ l.-I1t'tr F!r"~\ '.b}~oc:h Qi~Ah\ (! ,n"~~ . ,e; PER ~\j 55'.0'0' ..~cn T\.1\ ~ ( LT' 'r.,:~ II. ~.!:Wg 1\....,- DON ~u$nl'.!jb EacH additionalb... nc !J:W<;l!!It>p.p,N $ . ('\"",.l\1l1l1lr-1\1h.st:~ ~~~~G Mlscellnneou_s fe.... :1I.s:.~~ 4er !lot included E ~,\\!y, \ ?rtr:':!..n . I ., S 63.00 $ nc 'pump or lIgation elrc e (_) Eneh sign or oUlline lighting (2) $ 53.00 $ Signnl circuil or D limited-energy pEIne!, $ 63.00 $ alterBlion. or extension (2) E.nl:h ndditionnl inspection: (I) $58.00 $ .'..' :'2:.' ,.,\"" :-:.. AppLIcANT .USE.... .. . ...~ .' (A) Enter subtOlal of above fees $ /f!V (Minimum Permit Fee $58.00) (8) Enter 12% surehDrge (.12 x lAD $ 1'? ~ (C) Technology Fee (5% of [A]) $ 1-:2. _ 0 TOTAL fees nnd surcharges (A througb C): $ C)-/ C'. ~ ov -J, ;:r 2~willamalane ,~ Park and Recreation District JOb.No.Sll- g~ PARK AND RECREATION SYSTEM DEVELOPMENT CHARGE WORKSHEET , January 1-December 31,2011 NAME:jtk1 b0J (-K;M~:> ADDRESS~IY)n-~@9r-< -CITY: teP/hOtJy _ b~~~fl2- LOCATION OF PROPOSED BUILDING SITE: ~i:reei:Address:4012.- fjou'1 .. S(: PHONE~1t)5:sb - s-1S6 STATE:a:... ZIP:~ 1~?--}-Q Plat Name: Tax Lot Number: 189'7-- &5 J-. i tl.-6ro . 1. DEVELOPMENT TYPE (Refer to development type definitions on the reverse.) A. Single-Family Detached NO. OF UNITS~X $3,409 per unit = $ 31- if! { B. Single-Family Attached NO. OF UNITS C. Multi-Family Apartment NO. OF UNITS D. Single Room Occupancy NO. OF UNITS E. Accessorv Dwelling Unit NO. OF UNITS X $3,404 per unit = $ X $2,800 per unit = $ X $1,400 per unit = $ X $1,705 per unit = $ 2. SDC CREDIT (If applicable. SDC payer must furnish proof of credit approval.) ($ g $ :3 1-8-1 3. TOTAL PARK AND RECREATION SDC ASSESSED ~2:-- . . City 6f Springfield ~~~t~ City of Spri gfield . oIL if Date of building permit submittal lo I \~YI 'LD\ \ Date of building permit issuance SP~.R..:.~G~EL~ ~':-;~ . ,.'\ OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2011-00820 4892 HOllY ST CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 pe rmitcenler@ci.springfield.or.us LPAYMENTTYPE, Check 37796 RECEIPT NO: 2011001578 RECORD NO: 811-SPR2011-00820 DATE: 06/13/2011 lDESCRlf~JION__~~._. _ _~AC.C.OUNLCODE _AMOUNT.DUE __Ad~ress Assignment, each new or change 224-00000-425602 38.00 _.__ __ Admin fee (10% of applicable fees) 224-00000-426605 9.18 Curb Cut/Driveway 1st Cut 201-00000-428060 88.00 Each added 500 sq. ft. or portion 224-00000-426102 50.00 Each additional copy 224-00000-425602 17.50 First Appliance Fee 224-00000-425604 79.00 .._.fir~t coPY 224-00000-425602 0.75 . FII!e,-::e~!f~r water .!'eater or gas fir"place _..___.____._ __2~~~0000-425604 .___._~OO __ ~_u.rn~ce-up to 1..0~0~0 BTU __. _ _.___ . ____._ 22~-00000-4~560~____ 17.00 _G_as Pipin~ up to 4 outle!s .___ 224-00000-~256Q.~ .__. _ _____ _.. ._ _ _ ~~OO_ __ _Multiple Permit Discount (Max 2) 201-00000-428060 ..__. __ -30.00 One or Two Family Dwelling with Two Bath 224-00000-425603 37~.22__._ . Planning - Major Review - City 100-00000-425002 211.00 _~~nge 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 91.75 SDC: Administrative Fee - MWMC Regional Wastewater SDC 611-00000-426604 10.00 __~DC:' Compliance Cost - MWMC Regional Wastewater SDC 444-00000-426607 22.63 SD~~er-"v"ment - Transportation SDC 447-00000-448027 1 ,811.51 SDC Improvel'T1"nt~('s~:_L~cal Wa~te~~ter_ __ .______ ~43-0~C!.~~4.4802~_ _ __.__ _'_ ____~,54296 . _ _ Sp~: Imerove~entc;_ost_- _MVII~C:!:eg~n_a!..~!st",,:~ter ~1?~_~45-0000~4~!l025 1 ,333~ _ . SDC: 1~l?ro~-"ment Cost..: ~o!,!, D!ainage _ _. ..__ _. ~~:0000~44a~?~ _ _ 810.67 SDC: Reimbursement - Transportation SDC 446-00000-448026 497.07 SDC: Reimbursement Cost - Local Wastewater 442-00000-448024 3,161.28 SDC: Reimbursement Cost - MWMC Regional Wastewater SDC 444-00000-448024 101.97 SDC: Reimbursement Cost - Storm Drainage 441-00000-448029 557.17 SDC: Total Sewer Administration Fee 719-00000-426604 356.79 SDC: Total Transportation Administration Fee 719-00000-426604 135.65 ~de."'alk up though 90 Fee:! 201-00000-428060 88.00 Si!:~le-duct exhaust (lJathrooms, toil,,-t.com~rtment~,.~tility roor 224-00000-425604 27.00 __~~a_t,,~. Ore~~~urch!rge (12% of applicable fees) 821-00000-215004 '__ __ _____~~.22 _ __ _?!ructural Build~9.?e:!mit!:",,--. _ _. _____ .. __ __ _~24.-00000-425602 920.39 _~ec_hnology fee (5% of permit total) 100-00000-425605 .____~.62_. __. Water heater 224-00000-425604 17.00 Willamalane fees - Single family detached 821-00000-215023 . 3,409.00 TOTAL DUE: 16.225,67 AMOUNT PAID 16.225.67 -"PAYOR ,. CASHIER: KKAUFMAN Hayden Homes .- .- - COMMENTS ck#37796 TOTAL PAID: 16.225.67 /J SP~I.N...G. FIE ~.., ~\.- ..\;r~(~ .m \"1. OREGON . TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 5t Springfield,OR 97477 541-726.3753 www.ci.springfield.or.us 811-SPR2011-00820 4892 HOllY ST permitcenter@ci,springfield.or.us RECEIPT NO: 2011000955 UjESCRI~TIQN;" :,,' ",' Same as Plan Review Submittal -""';"Ji", RECORD NO: 811-5PR2011-00820 "'.co: ';:,':. .. . if' 'AC'CQLJNLCODE r - ,.,'" 224-00000-425602 TOTAL DUE: DATE: 05/16/2011 I:::J~A:'-I'I!!,NLTIP-!:,f;,.. '-'P-AYQR. . CASHIER: CCARPENTER . Credit Card Eric Hendrickson 044974 '-, '<;QMMENTS~" AMQUNLD.UE 250.00 250.00 "AMOUNT PAID Wm~ .. .. 250.00 TOTAL PAID: 250.00 STREET TREES ARE REQUIRED. Please refer to attached Development Code Section regarding the placement and types of allowable trees. N SCALE: 1" = 20' / �, X74 S.F. / 4,617\S,F. 97 \> 1 FDG E1X/OOD / / 1408 S.F. / 5, / 10/ / / oo, Co i / / / A / 1C J DWY `\ �D WY HAYDEN HOMES 2464 SW GLACIER PLACE, SUITE 110 REDMOND, OR 97756 (541) 923-6607 MINIMUM SETBACKS - INTERIOR LOTS All measurements are from ProRerty Lines -Front yard to House 10 feet -Front yard to Garage 18 feet -Side yard to House or Garage 5 feet -Rear yard to House or Garage 10 feet P.U.E. MAY CEIANGE SETBACKS LOT 97 ADDRESS: 4892 HOLLY ST WESTWINDS SUBDIVISION SPRINGFIELD, OREGON Fy-cr ger, rc,_�,rA SPRINGFIELD CLUSTER DEVELOPMENT REQUIREMENTS: - 6/2 ROOF PITCH - 12 INCH OVERHANGS _rU_C__ - 2 DIFFERENT MATERIALS - 15% WINDOW GLAZING - L FRONT COVERED PORCH STANDARD W/POSTS - RECESSED FRONT ENTRY - GARAGE 4 FT. BEHIND COVERED PORCH - OFF SETS IN BUILDING FACE ar ROOF reviewed prior to permit issuance Plumbing work shall comply with current codes and will be field inspected for compliance. These electrical plans are NOT reviewed prior to permit issuance. Electrical work shall comply with current codes and will be field inspected for compliance. P I ACHV�P CyTr r-o�hs r gk-IrA-cctA1ri -rs- (2) ex-r`i ®-rR.uss ATTENTION: O�rgpoon law requires you ion" follow rules adopt -,d by tVCgegon Utility Notification Ceptgr. ,T,�hose rubs a -re set forth. in OAR 952 -OOT -0010 through OAR 952®qQ% 0090. You may obtain copies of the rules 14y,. calling the cerater., (Note: the telephgQe... number for the,Oregon U0NAotifica4i@?r . Center;,, 1 .&00-332-2344). MV9TICE. THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT C0til, �VdFEI`[6E OR IS:AB1��E�:eFd� ,�kfs ,'`:P Y 130 DAY PERIOD. TIE CONTENTS HERE ON NAvE BEEN REVII.WED, WITH ALTERATIONS II_4rOIC:1TEB ON COLORSD P'ENCiL. CHANGES pFR JMCT AFTER THE DATE BELOW SHALL BE APPROVED E;!' p�.0.1ECT AFT_ THE BUILDING OFFICIAL - CITY OF SPRINGIF]ELD, OREGON 4 Work shall be installed in accordance with the approved construction documents and any changes made during construction; that are not in code compliance with the approved construction documents shall be resubmitted for approval as an amended set of construction documents. oSSC 106.4/ORSC 106.4