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Home My WebLink AboutPermit Building 2011-6-15 .. SP. R.,IN .G ~L D ~;l".~ f1k~' '-':1""ft<'~, !YX"~"" .. m -', ""' OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00775 IVR Number: 811113171638 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541.726.3753 inspection Phone: 541.726.3769 Fax: 541.726.3676 permftcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 06/15/2011 ISSUED: APPLIED: 06/15/2011 05/09/2011 EXPIRES: VALUE: 12/11/2011 $167,982.57 SITE ADDRESS: 4815 Holly ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1802051111900 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Single family residence Phone Number: OWNER: ADDRESS: HAYDEN HOMES LLC 2464 SW GLACIER PL STE 110 REDMOND OR 97756 '0'" ,,,oulres you~~. TENT~N: ur~\jV" .-- the oregon UlI" J ~ dopted by set lorth 10\ OW I ~.es ~nter. lhose rutes are 952-001- !'lotiliC:~~~_~01-00~ ~ throui~~ ~ft~e rules by 10 0" '{ou may obtaIn coP. the telephone OO~~liing the center'e (~~~ti\ity NotilicatlOn number lor the.or1_~OO_332-2344). center IS Contractor Type Electrical Contractor General Contractor Plumbing Contractor Mechanical Contractor' CONTRACTOR INFORMATION I Lie Type CCB Contractor Name GARNER ELECTRIC CO HAYDEN HOMES LLC STUTZMAN SERVICES INC PACIFIC AIR COMFORT INC CCB CCB CCB BUILDING INFORMA nON ~ 1 19,42 # or Units: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Gas Electric Type VB 1579 s.f. Construction Type Occupancy Comments Occupancy Type Occupancy Comments Occupancy Type U 1\-1E \NORK construct~rDT9~?t.: Type VA. \.. E'l-I'IRE If i \S \'-101 'l S I'ERM\1 Slif\\.. R 1\-11S I'ER~~'c,l~'\i:1 Specialty Code Edition: I\J'\\-IORI2E\) \l\'-l\)'C. p..\)p..N\)O\'-ls~rihgfield Fire Code Edition: p..~MMENCt\) OR I~D. Mechanical Specialty Code Edition: # of BedrooMs~'1 "\ 80 3Jp..'1I'ER\ Municipal I Development Code: Sprinkled BJil~ing: No Plumbing Specialty Code Edition: Fire Alarms: Residential Specialty Code Edition: Energy Path: Path 2B AIi ducts Structural Specialty Cod~ Edition: and air hal)dler within building thermal envelope Forced Air Gas R-3 400 s.l. Site Infonnation Engineered fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit 6/15/2011 10:10:41AM 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 Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq ft Other: Occupancy Load: 7298 1579 400 140 2008 Page 1 of6 SPRINGFIElD ~,~ ~OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00775 IVR Number: 811113171638 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.or.us permitcenler@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 06/15/2011 ISSUED: APPLIED: 06/15/2011 05/09/2011 EXPIRES: VALUE: 12/11/2011 $167,982.57 SITE ADDRESS: 481S Holly ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1802051111900 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: 12 5 6.7 34.44 3 Single family residence DEVELOPMENT INFORMATION i Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: Yes. REQUIRED PARKING Total: 2 Handicapped: Compact: 36.4 19.5 PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: STORM WA TER TO CURB AND GUTTER Fully Improved Curb and Gutter Yes Sidewalk Type: Curbside 5' Downspout/Drains: No Valuation Description ~ Descriotion R-3 1 & 2 family U UtiJJty, misc. Tvee of Construction VB VB Unit Amount Unit Tvoe 1,579.00 Sq Ft 400.00 Sq Ft Unit Cost 96.83 37.72 Value 152,894.57 15,088.00 167,982.57 Springfield Building Permit 6/15/2011 10:10:41AM Page 2 ot6 SPRING... FIE. ~ E.i.~ .. .th ~'. ."" ~"""', ," OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00775 IVR Number: 811113171638 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pe rmitcenter@cLspringfield,or.us PROJECT STATUS: STATUS DATE: Issued 06/15/2011 ISSUED: APPLIED: 06/15f2011 05/09/2011 EXPIRES: VALUE: 12f11f2011 $167,982.57 SITE ADDRESS: 4815 Holly ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1802051111900 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Single family residence FEES PAID ~ Description Amount Paid Date Paid Recio! # Structural Plan Review Fee Residential $468.62 05/09/2011 2011000902 SDC: Compliance Cost. MWMC Regional Wastewater S~ $22.63 06/15/2011 2011001626 Curb CuVDriveway 1st Cut $88.00 06/1512011 2011001626 SDC: Reimbursement Cost, MWMC Regional WastewatE $101.97 06/1512011 2011001626 SDC: Improvement Cost, Local Wastewater $1,542.96 06/1512011 2011001626 SDC: Reimbursement Cost, Local Wastewater $3,161.28 06/1512011 2011001626 SDC: Improvement, Transportation SDC $1,811.51 06/15/2011 2011001626 SDC: Total Sewer Administration Fee $365.17 06/15/2011 2011001626 SDC: Improvement Cost. Storm Drainage $905.45 06/15/2011 2011001626 -,-" ." - .... - __..,;1 __,.______.,__~~_._____ ____ _~ ~_____~__.'. __ ______._..,_..__ SDC: Reimbursement Cost. Storm Drainage $622.31 06/15/2011 2011001626 ~"ultiple pe,rmlt o;;-;';u'nt(Max 2)-~--- . . -----s:3o:OcJ-~o6i15i2~-- 2011001626 SDC: Administrative Fee - MWMC Regional Wastewater : !~__. 06/15/2011 2011001626 SDC: Total Transportation Administration Fee $135.27 06/15/2011 2011001626 SDC: Reimbursement - Transportation SI?~_ $497.07 06/15/2011 2011001626 Sidewalk up though 90 Feet $88.00 06115/2011 2011001626 SDC: Improvement Cost. MWMC Regional Wastewater 1 $1,333.57 06/1512011 2011001626 Flue vent for water heater or gas fireplace $9.00 06/1512011 2011001626 Each added 500 sq. ft. or portion $75.00 06115/2011 2011001626 State of Oregon Surcharge (12% of appiicable fees) $238.26 0611512011 2011001626 Technology fee (5% of permit total) $108.47 06115/2011 2011001626 St'lJ~tur~:.~~diti<:na.'-'-e.view per hour R.e.~i~.. $58.00 06/15/2011 2011001626 Planning - M.al~,rR.e.v~.w, C~L__.__. $211.00 06/1512011 2011001626 ~~."I1~it!<:n~~ copy . $8.50 06/15/2011 _...,2011001626 First copy $0.75 06/15/2011 2011001626 Vent for appliance other than furnace $9.00 06/15/2011 2011001626 ~umace . up to 100,000_BTU $17.00 06115/2011 2011001626 Gas Piping up to 4 outlets $28.00 06/15/2011 2011001626 First Appliance Fee $79.00 06115/2011 2011001626 Single-duct exhaust (bathrooms, toilet compartments, utili $27.00 06/15/2011 2011001626 Range hoodlother kitchen equipment $13.00 06115/2011 2011001626 Residence wiring 1,000 sq. ft. or less $134.00 06115/2011 2011001626 Structural Plan Review Fee Residential $171.96 06115/2011 2011001626 Plan Review Adjustment. Residential $171.96 06115/2011 2011001626 ResidentiaIFlre'(OS'Pe; Sq F;,;;t) .---- - .--.--------$i-05-:-9S.----o"6lisi2Oi1---..-i011001626 Addr';-Ss Assig;;;;;;;;:-;acl,-;;e~ or change $3a:;;o- 06115/2011 2011001626 o.;~-;'7 i;;':;;Fa;;:;!iy [i;;;mng.;Ii,,T;O''Baih-----$3UOij-.---06i15'i2011- _.. --- 201iOiii626 T~ml'..se_rvices_200 ame~_o:l,:ss _.__ . _.__.__ .. _ _ _ _$~~~__.-----06i15/2iJ11=_~.:-.::_::_-_. 2011001626 Springfield Building Permit 6/15/2011 10:10:41AM Page 3 of6 SPRINGFIElD. .{<~ .' 8'2>" OREGON '- 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00775 IVR Number: 811113171638 pe rmitcenler@ci.springfield.or,us PROJECT STATUS: STATUS DATE: Issued 06/15/2011 ISSUED: APPLIED: 06/15/2011 05/09/2011 EXPIRES: VALUE: 12/11/2011 $167,982.57 SITE ADDRESS: 48.15 Holly ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1802051111900 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Single family residence Willamalane fees - Single family detached ~tructura) Building Permit Fee Admin fee (10% of applicable fees) Total Amount Paid $3,409.00 $985.51 $10.60 $17,469.77 Plan Review 06/15/2011 06/15/2011 06/15/2011 2011001626 2011001626 2011001626 ~ Deoartment Initial Review Received Due Date ComD'eted Result 0511212011 05112/2011 05/1212011 Approved Reviewer David Bowlsby 05/12/2011 05/12/2011 Comments: STORM WATER TO CURB AND GUTTER Planning Review 05/12/2011 05/12/2011 OS/27/2011 Approved Tara Jones Comments: 3' walkway is required. Front elevations are site specific and contain required design elements. Inspectors will field check that actual elevations match submitted designs as shown on the approved set of plans. iStructurar""Re~lew."., ~T ~, .. "'Osi1272oTr ~,'-,05112/2b1i :06/08;2011-~. Add'l'lnfo.ReGJired. ..~ '..J'Kip~Kau1niari~:<' , ~',,:,-u,g m _'~ \ '~."l , __.~~i~~'._~'~~i',i; "~'~~,~~::},~~:~~,,-~:[<'.?~~;i:-i.k_~~_}~- :.: J '~'~~'h,,-' .:.:(r:~".,;.i~'.f '~i.~~+_~;~'.~:.. ~;~~/~,~,.,~ '., : '~~__i Structural Review 05/1212011 05112/2011 06/10/2011 Approved Kip Kaufman Springfield Building Permit 6/15/2011 10:10:41AM Page 4 of 6 SP~~>N.:;:EL~ L~~ ~ORfGON www.ci.spril.lgfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00775 IVR Number: 811113171638 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 05/09/2011 EXPIRES: VALUE: 12/11/2011 $167,982.57 SITE ADDRESS: 4815 Holly ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1802051111900 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Single family residence . I INSPECTIONS REQUIRED ~ Inspections 1020 Zoning/setbacks 1090 Street Trees 1110 Footing 1118 Footing Drain 1120 Foundation Footing: After trenches are excavated. Foundation: After forms, are erected but prior to concrete placement. 1220 Underfloor 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 Waif Insulation: Prior to cover. 1440 Insulation Ceiling 1450 Insulation Duct Ceiling Insulation: Prior to cover. 1160 UFER Ground Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 1510 UFER 1520 Interior Shearwafl Shear Wall Naillng: Before covering sheathing with finish materials. 1530 Exterior Shearwall 1540 Gypsum Board/L~th/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. Roof Sheathing Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Gas: After fine is installed and required testing and capped jf not attached to an appliance. Underfloor Gas: After fine 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 1630 Roof Sheathing 1999 Final Building 2020 Underground Gas 2210 Underfloor Gas 2260 Gas Service 2300 Rough Mechanical Springfield BUilding Permit 6/15/2011 10:10:41AM Page 5 of 6 SPRIH.G FI.E?ij .-- "- .~ , -\ OREGON www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00775 IVR Number: 811113171638 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 ISSUED: APPLIED: 06/15/2011 05/09/2011 EXPIRES: VALUE: 12/11/2011 $167,982.57 06/15/2011 SITE ADDRESS: 4815 Holly ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1802051111900 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: 2310 Rough Gas Single family residence 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. 2995 Final Gas 2999 Final Mechanical 3130 Footing/Foundation Drains 3170 Underfloor Plumbing 3200 Sanilary Sewer 3202 Tracing Wire 3315 Water Line Underfloor Plumbing: Prior to insulation or decking. Sanitary Sewer Line: Prior to filling trench and including required testing. 3301 Water Meter Set 3400 Storm Sewer Storm Sewer Line: Prior to filling trench. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Slab: To be made after all ins lab building service equipment, conduit piping and other equipment items are in place but prior to concrete. 3500 Rough Plumbing 3999 Final Plumbing 1150 Slab/Flatwork 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 contrac'tors 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~Clion7f u - Ie::; - (( Owner or Contractor Signature Dale Springfield Building Permit 6115/2011 10:10:41AM Page 6 af6 Structural Permit Application' - 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689 ., DEPARTMENT USE ONL.Y 911..20/1- ~c "77~ PenTIlt no,: Date: S- 7-(1 This permit is issued under OAR 918-460-0030, Permits expire if work isnot started within 180 days of issuance or if work is suspended for 180 days, .;; ,~<~;)+'i~\'I\!~9~~A~-;<~g~'~~'~'M'~~t5.(~F?,pl~~_v~4~';,it~}t:Mti~~$~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: 0 Yes 0 No 1ii1~~~~,~~9~i:g~T.~:GQBy~,q.EJS.G,QN~_'tR'~cJfH~~tii?~~j~i;Air~~1~ esidential D Government 0 Commercial ~N:~;?~ft~h~{!i'Qij~.s,IW~I:JN[9R_MAt.rqN-~A~R.'~f1,QJ~At:'.9~1K1~~1~~'*f@) Job sile address: lff3lt;" City: ':l\> 01<::>-11:;1: D .Subdivision: l..:lc<:.',,"" t~::' Reference: / Be:> CYS ( I , :, P~OPERTY9WNEil~' Name: o<=~ 6 Address: Z'/&,l( <;W C, '-t\(.t8L City: cl) ('""'-eN ~ State: Phone: 9-f-l-",,>:,v - ~"tSto Fax: E-mail:G\eN()~{C.<L~t>A@> f Y0l--...>-f'k,I'^8-,.LD This installation is being made on residential or farm property owned by me or a member of my im'mediate family; and is exempt from licensing reqUiremen~nd~ ;'.010, Sign here: 7'" fL Ol'L I/O ZIP: '1)-(-<,/c. CONTRACTOR J~Sl:AtlA TION,. Business name: 5 ME Address: " '. City: Phone: E-mail: CCB license no.: Print name: State: Fax: ZIP: Signature: :~~,%i~~ISim~~~$lJE!;;rG,tDNfr;BAGJ.o~fJNf.ORMA~lQN~~~1~,!t<<~~~~~T Name CCB License Number Phone Number Electrical Plumbing Mechanical S 'lA1 c.t'S. lIVe. ~,,:;::,:,~~;:;/;;j:).F~E~:'Sot: R"$QiJe:~.i~"'!~;r:I;"-.~~::i~';' ,; -,,'..,. ~!~;Y~I~Wfi.9'~rf~~i<l~i-,~~.#q~~:~&&f~~~;"~~~jtr/:~~kl:~;1fj~':1tt;f:~~~~'~:;A~f~~t}~~ (a) Job description: 5 f- ~ Occupancy ~ '3 - lI\ Construction type: S- Square feet: I"~ <t Cost per square foot: U2 Other information: Type of Heat: (2,1\":, r-/A Energy Path: ? () new o alteration 0 addition (b) Foundation-only permit? 0 Yes Total valuation: /O'Z.. ~ 35"'" +- i~~:~~B:~.tI#}i1'g1:f~~~~~~~}iP~~~~~1~~]~i~~~~~~~&F'IF~>~ :~:1k~~'j!;";I:-t\,,:~:\j,;':~; (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 througb 2d): $ i!3~?'RI~ny,1evi~tfe~tl~14~~~~~m~~~:~'4;f#'!i:~~'4~~11;P:+t~~~1~'1; '.", .,_" ." _.. ~,'_'..~,,_~,~" 0- ,_~:!St;~'>~"~,.,"-">~~..~,.."J:l',,..f1ti',,,.l~,_J.j*,*..,,~;;~~VG5 (a) Plan review (65% x permit fee [2a]): $ (b) Fire and life safety (40% x permit fee [2a]): $ (c) Subtotal of fees above (33 and3b): $ t~~M~:~s1-H.~1f~'6'~:~;'f~~~h~~]&i~~;~sn:ij~;;;~~;j,~t(\'~ (:):,i;~:JWt~' '-'-,i .,,- ;,'^'~ ~'. (a) Seismic fee, 1%(,01 x permit fee [2a]): $ TOTAL fees and surcharges (2e+3c+4a): $ (, t.1Zt1r~,H'I ho t/frr,58 - 4//8. i 2- - 1>11(.16 --- -- -" ---.. .--."... -- -~=Electdcat Permif Application 1 I I ~DEPARTMENT USE ONLY SPRINCiFIELD 225 Fiflh Streett Springn'eldl OR 97477. PH(S41 }726-31S3. FA..X{541)7"J th, Penllit no.: H- Date: This permit is issued under OAR 918-309-0000. Permits are nontronsferable. Permits expire ifworli. is not started within 180 days of issuance or if worl, issuspended for ]80 days. . . . lOCAL ,GOVERNMENT APPROVAL Zoning approval verified? 0 Yes 0 No . CATEGORY Of CONSTRUCTION 0.Resjde~tjal . DGovemment 0 Commercial " . ,JOB SITE: INFORMATioN :AND't:OcATION< Job sile address: . 'i .r:; HoUoN City: ~\''''I''''h~\'''-LD Reference: \ Print name of signing supervisor: Signature of signing supervisor. . ~~.~ r.lOrlCE' <\' '\-118 PERMIT SHALL EXPIRE IF THE WORK .1.S . \ITHORIZED UNDER THIS PERMIT IS NOT ~J~ :QMMENCEO OR IS ABAI~DONED FOR \NY 180 DAY PERIOD. '.10.m'.J (910H/COM) .. . FEE SCHEDULE; ..... ....,,'...,/ ;'. ....c.. Number ofinspe:ctions per item () . \Qly. Cost Total ea, cost Residcntinl, per uni~ service- included: 1,000 sq. ft. or less (4)' I . $134.00 $l'\~ Each additionnl 500 sq. ft. or portion '} $ 25.00 $T7~ thereof .. - Limited energy (2) $ 32.00 $ Each manufactured home or modular $ 63.00 $ dwelling service or feeder (2) Sen'ices or feeders: installation. olteration, relocation 200 amps or less (2) $ 81.00 $ 20110400 amps (2) $ 95.00 $ 40 I \0600 amps (2) $158.00 $ 60 I to 1.000 am~s m~. $205.00 $ \ . r l""P~." "":::'-1 y ....'- ~ ~qye~'I"p~g..~~p's\qnYRI,LS (2) $469.00 $ ( Y<~~9nies';nJy:(2) lorth $ 63.00 $ , r.1. 0 Q....,'-u~..'i t rTCJJ~_pClrDry"lgeTvl~s,..or..:rfeders: instal/aliol!, alteration, relocation '200(fimps\drigss~2) - , $ 63.00 $~~ . ~L.." +....101""'1 I. ne t I"'''' ".-. , . ( )qll!?dgO.~[!lIl$:(2)t\on $ 87.00 $ G4Qj:liJ.@tQl!,'ps (2) $126.00 $ Over 600 amps or 1,000 volts; see services or feeders section above Brunch circuits: new, aI/era/ion, extensionperpanel a. Fee for branch circuits with purchase of D service or feeder fee: Each branch circuit I $ 6.00 $ b. Fee for branch circuits without purchase of n service or feeder fee: firsl branch circuit (2) $ 55.00 $ Eacb addilionill branch circuit $ 6.00 $ Miscellnneous fees: sen1ice or feeder 1101 incblded EDch pump or irrigation circle (2) $ 63.00 $ Each sign or outline lighting (2) $ 63.00 $ Signal circuit or n limited-energy pElnd, $ 63.00 $ alteration. or extension (2) Each nddition:11 inspection: (1) $58.00 $ .\,' y.;;; '.; ,i;,' <. APPLICANT' USE" ".-, , " "."- (A) Enter subtotal of above fees $ 272- (Minimum Permil Fee $58.00) (B) Enter 12% surcharge (.12 x lAD $n~ (e) Technology Fee (5% of lAD $ /"3 {,!;.. TOTAL fees and surcll3rges (A througb C): $ ~/g~ willamalane Park and Recreation District Job. No. 511-77) PARK AND RECREATION SYSTEM DEVELOPMENT CHARGE WORKSHEET January 1-December 31, 2011 NAME:J{1'\.~~~ ~(- ADDRESS~l(G.l( 5'" Gtl.A-t.(~"")1.. CITY:~W"141......q PHONE: ~R. ~? )~ STAT~ ZIP: 't 7?f".c LOCATION OF PROPOSED BUILDING SITE: .Street Address: L/~/r /Io4L/ Jr Plat Name: l.)::rT1-)( ....\") S Tax Lot Number: /ft'J? OJ7f I ('tOD 1. DEVELOPMENT TYPE (Refer to development type definitions on the reverse.) A. Single-Family Detached NO. OF UNITS / X $3,409 per unit = $ 31..(o~ B. Single-Family Attached NO. OF UNITS X $3,404 per unit = $ C. Multi-Family Apartment NO. OF UNITS X $2,800 per unit = $ D. Single Room Occupancy NO. OF UNITS X $1,400 per unit = $ E. Accessory Dwelling Unit . NO. OF UNITS X $1,705 per unit = $ 2. SDCCREDIT (If appUcable. SDC payer must furnish proof of (7 credit approval.) ($ .) 3. TOTAL PARK AND RECREATION SDC ASSESSED $ Jr~9 ~~R:- City of Springfield ~. r/ '7 / /1 Date ~buildin9.~rmit submittal 'c?> /) / / . .K/;a1..J K Date of building permit issuance City of Springfield RECEIPT NO: 2011001626 RECORD NO: 811.SPR2011.00775 DATE: 06/15/2011 !@ES~Ri&lifON~",1~~~g-.~,jf~~'I!JJ!Ijjill~1~:;l~1lc~:!f.6:ce:C>eNj"JcG@E~\"f~ji1AMQl!jNif~aLlE(~~!j:~ ~__, _ Add~:.~~_A_~?i~p~~~!,_~_a..::~_~;:,w or ch.<:~::..-._.__....._____.___ 224~OOOOO-425~3__,:"_.___"".__.___"__.__"___..__.~..:EE.._.~_" .___. ...,.!\dmi.n.~".L10% of applic~~~"es),--.._.~..._...._._.._.._._~24.00000.426605______. .. ...:.__..__..2~6.Q._._. .... .. _._s;,urb c:.uVDriv"':"ay....!.~s:ut _____'__'_' 201.00000-426060 .__._.___.~CJ.~__.. Each ad~"d 500 sq. ft, or portion 224-00000-426102 75.00 Each additional 224.00000-425602 8.50 First Appliance Fee 224.00000-425604 79.00 First copy 224.00000-425602 0.75 ~!;,e v"nt for water heater or gas fireplace 224-00000.425604 ......__. 9.00 _,_.~.rn..ce .upt~~-,9.CJ.o..~:':IJ":".___ .._._.__. 224.00000,425604 17.00 _._.s>.a~~ie'~2. up ~.~.!'.uli!'~~_._. 224.00000.425604 2600_..._ -"_ _~....~LlI.~0.t!'"fll1gJl~~?unt (M..~,~)._~.~==..__.=_:.=-"=2CJ..1iO'CJ.000~428O'~~=,:="-=~='-...'~__._. .._....9ne or Two .Family D."'<:IIi.".g with.:':.'Y5'..~~~~.. ._. '_'_ _............. .23~~?.CJ.O'O'O'~~~~OL __ _ ...... ... _..._.__...,~I~?.CJ.____ __~.n..Review ~.<iLu"tm"-n.!..::..!'."siden.~a!._._~ .. ... _..._.~4.00000.~~.5.~o.2.. .... .__._ ....... ..._....1.z.1.:~.....__ ___..~Ianning . MaLar Revie~. . Cit~.__...__ 100.00000.425002 ...__._______. 211.00 _~~'" hood/other kitche~..".quipm!.'2!....._. ~24.00000.4256?4 _.___.~ 3.00 _.'3.",,,ide~<:,,_.~,~i~ 1 ,000.."..'L!t:.5'.r less 224.00000.426102 134.00 _Y!~.Fire. (05 Per Sq Foot) .___ 100.00000-424005' 105.95 ~Dc:: Administr~e . MWMC Regional Wastewater SDC 611.00000.426604 10.00 SDC: Complience Cost. MWMC Regional Wastewater SDC 444.00000-426607 22.63 SDC: Improvement. Transportation SDC 447.00000.446027 ..~..._._._......2,.s11~____ _~C: Improv",I'lent Cost. Local Wastewater 443.00000.446025 1,542.96 _.2E.C::.!.rT/p~ov~~-"r1l ~.."".!:~WMC; Re~ona.l.'l\:'.a.:'.t?water ~12.~~.-:!>:.O0000-4<l8025 ._._.._ 1,333.57 SDC: Improvement Cost. Storm Drainage 440.00000.448028. 905.45 ""~---'~'-- _'_~u_... "r-- ._.~~.._.....__.__c,._~"__,_~,"___...__~_,___,.<...,~__._,_" ......_...._~.,_._.....~_~__..._._~~___,_ _~!?C;:_~ei~..':"~ment.:.."!"ransportation SDC 446.0o.o.CJ.O.44602.6 ...._ 497.07.._....__ ..._ SDc:..~eim?urs~':0_c:~st. Loc.."1 Wastewater 442.00000-448024 3,161.26 __.~DC: ReimbursementCost. M~C Regional Wastewater SDC 444.00000.4480~.__.__..__.---.202:~!.....__.___ ..._~i:J~Rejm~r"-"me.n~E",,t. Storm Drainage 441.00000.446029 622.31 SDC: Total Sewer Administration Fee 719.00000.426604 365.17 _..._- -~-~ _ SD_C: Total Transportatio~ Administration Fee 719.00000.426604 135.27 Sidewalk up though 90 Feet 201.00000-426060 66.00 _~-,,~~uct exh..a.':'~l~t~~oms,toilet cOrT/partm",".t", utility roar 224.00000-425604 27.00 __ Stat".?f Oregon Surchargei12% ,of ap~licable fees) 821~CJ.0000:32!'_004_._...._.._....___ 238~___ _ Structur.~I. A6ditional review per hour Reside.r1lial. 224.0000.0.:::-:'25602 _.__._~..________"...58.00 ___. Structural Building Permit ~e-,,--.,__. 224:00000-42~~___.._._____...965.5.1....._.._. Structural Plan Review Fee Residential 224.00000.425602 171.96 -.~-~ '"--'---"---'--~---'~-.--'"--'._'- --'--.--- Technology fee (5% of permit total) , 100.00000.425605 108.47 ^T."._..____e..._.._T~''"__....,_~.,_....__~.___~.._____~_.___.._____..~__.__*.._..__~_._..._.~._"'_.."'"..,~..,__"-"'M"~_ __ ......-,.__~.-'--.~__.__~_.~._m_._.._ .__ Te":'p....".ervices 20.IJ_~rnl's...~r less.. ..._._.____ 224.00000-426102 ..._....___.6300 . .....V-"~!.!?r.,~~p!i~n..<:.~ other.t~a.n.furn.~~'O...._.____.__._.. 224._o.CJ.OO?.:~Il.4... -...--___...___~:o.?...___... .... WiIl':."2-alane f~~~~~!<'.!~m~,9-"tach:.ct...u._.__.____ 621.00000.21502~_._".__.. . 3,4iJ9JlO __ TOTAL DUE: 17,001.15 ~P~y,hi"f~'Nrr4';TIY.RE~i?]:~OR~CA'SHrER~NvM,~9F{D~~W:~~J~~l~,!ENi~~i~.~~MQ,[tj[~c~R~~~~~ TOTAL PAID: 17,001.15 wWw.ci.springfield.or.us TRANSACTION RECEIPT 811.SPR2011..lJ0775 4815 Hollv ST CITY.OF SPRINGFIELD 225 Fifth $t Springfield,OR 97477 541-726-3753 permitce nter@ci.springfield.or.us RECEIPT NO: 2911000902 RECORO NO: 811-SPR2011-00775 01'. TE: 0510912011 !DESCRI&tI0N_IJit'0;;;il;i~j;j~~~~'D:',,~~~~l,li:1\~CC00NT~C.OI)'E~~J~~AMObN;itOtJE:a!Lil!\Vt~":CJ';"I Structural Plan Review Fee Residential 224-00000-425602 468.62 --~_.._--_._- ~-----"._-_.- TOTAL DUE: 468.62 irQiiA~M~timiTY.FiE~5f~~gQB~'CAs:;tEii"'DBowrrss~a10CO.MM~iJIf~,:.~I:F!i?fJl.~AMOUNT,P~ID~1'~~:;;;fj;'>';~;~:ii!~~ Credit Card HAYDEN HOMES LLC 468.62 031641 TOTAL PAID: 468.62