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Home My WebLink AboutPermit Building 2011-6-24 SP1~.N. ...~. .~~~. .r";."'.-"''''\,. OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01336 IVR Number: 811172371172 www.cLspringfield.or.us 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pe rmitcen1er@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 06/24/2011 ISSUED: APPLIED: 06/24/2011 06/08/2011 EXPIRES: VALUE: 12/20/2011 $79,013.28 SITE ADDRESS: 630 W M sT, Springfield, OR 97477 AssEsOR's PARCEL NO: 1703274300900 SCOPE: Family Room WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Detached Recreation Room for existing single family residence; Not Reviewed or Approved As Accessory Dwelling Unit or Sleeping Room. OWNER: ADDRESS: AlBERTO-RUIZ JORGE 630W M sT SPRINGFIELD OR 97477 Phone Number: CONTRACTOR INFORMATION I Contractor Name Lie Type Lie No Lie Exp Phone OWNER OWNER 0000000 08/1212025 OWNER OWNER 0000000 08/12/2025 OWNER OWNER 0000000 08/12/2025 OWNER OWNER 0000000 08/12/2025 BUilDING INFORMATION I Contractor Type General Contractor Mechanical Contractor Plumbing Contractor Electrical Contractor # of Units: o 1 12.5 Electric # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Construction Type Occupancy Type Occupancy Comments Type VB R-3 Adding Detached 816 s.f. Play Room; Not Reviewed or Approved As Accessory Dwelling Unit or Sleeping Room Electric # of Bedrooms: 0 Sprinkled Building: No Fire Alarms: Energy Path: 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: Lot Size: sq Ft 1st Floor: 816 sq Ft 2nd Floor: sq Fl Basement: sq Ft Garage: sq Ft Carport: sq Ft Other: 0 Occupancy Load: 2006 Site Information I Engineered Fill: Fill Volume: Flood HazarcMiQjNTION: Oregon law requires you ,to land Hazanfol10111 rules adopted by the Oregon Utility Retaining Itlinlification Center. Those rules are set forth Soils RepoKlIGII1il.elii2-001-001O through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). NOTICE: . ... \.'~.'fi.'fi<;ij;!i',.,- '" THIS PERMIT SHALL EXPIRE If THE WORK, AUTHORIZED UNDER THIS PERMIT IS NOT (:'. COMMENCED OR IS ABANDONED FOR\;;;;:'; MY 180 DAY PERIOD. .< Springfield Building Pennit 6/24/2011 12:50:52PM Page 1 of6 SP.RIN. G.. FIE.~ .~? ...:,'.\.~ ',~- OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01336 IVR Number: 811172371172 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pe rmitce nter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 06/24/2011 ISSUED: APPLIED: 06/24/2011 06/08/2011 EXPIRES: VALUE: 12/20/2011 $79,013.28 SITE ADDRESS: 630 W M ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703274300900 PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: 11 Sideyard Setback: 5 Rearyard Setback: 10 Solar Setback: 2.5 SCOPE: Family Room WORK INVOLVED: New TYPE OF STRUCTURE: Residential Detached Recreation Room for existing single family residence; Not Reviewed or Approved As Accessory Dwelling Unit or Sleeping Room. I DEVELOPMENT INFORMA TION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: No 28.8 13 REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Description R-3 1 & 2 family Springfield Building Permit PUBLIC IMPROVEMENTS I Valuation Description Tvoe of Construction VB Unit Amount Unit Tvoe 816.00 Sq Ft 6/24/2011 12:50:52PM Sidewalk Type: Downspout/Drains: ~ Unit Cost 96.83 Value 79.013.28 79,013.28 Page2of6 S~~..I.~.N~ ~,~ ~OREGON www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01336 IVR Number: 811172371172 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilce nter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 06/24/2011 ISSUED: APPLIED: 06/24/2011 06/08/2011 EXPIRES: VALUE: 12/20/2011 $79,013.28 SITE ADDRESS: 630 W M ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703274300900 SCOPE: Family Room WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Detached Recreation Room for existing single family residence; Not Reviewed or Approved As Accessory Dwelling Unit or Sleeping Room. I FEES PAID ~ Descriotion Amount Paid Date Paid Recio! # Structural Plan Review Fee Residential $120.09 06/08/2011 2011001485 ._ ~~ __ _"'___'~_."__'W~___~_ Bathtub $19.00 06/24/2011 2011001787 ~irs~Appliance Fee ._ $79.00 .____~24/2011 2011001767 Residential Fire (.05 Per Sq Foot) $40.80 06/24/2011 2011001767 Structural Building Permit Fee $611.35 06/24/2011 2011001767 SDC: Reimbursement c;ost - Storm Drainage $209.11 06/24/2011 2011001767 Admin fee (10% of applicable fees) $4.08 06/24/2011 2011001767 SDC: Improvement Cost - Storm Drainage $304.25 06/24/2011 2011001767 SDC: Reimbursement Cost - Local Wastewater $922.04 06/24/2011 2011001767 SDC: Improvement Cost - Local Wastewater $450.03 06/24/2011 2011001767 SDC: Total Sewer Administration Fee $94.27 06/24/2011 2011001767 _.W~_'_"._~~_'_____ ___~._.______ ____,___~" Services 200 amps or le~s -~'-----'-l-- $81.00 06/24/2011 2011001767 Branch circuits with service or feeder each circuit " $36.00 06/24/2011 2011001767 ~tate'~f()';"e~~g-;(12% of applicable fe~--- $1ii8:"2s--.-06tW2oTl-----201..1001767 Technol,,9.x,!ee (5!~of permit total) $45.12 06/24/2011 2011001767 Water heater $19.00 06/24/2011----- 2011'001is:r- Water closet $19.00 06/24/2011 2011001767 Sink/basin/lavatory $38.00 06/24/2011 2011001767 Structural Plan Review Fee Residential $277.29 06/24/2011 2011001767 Planning - Minor Review - City $119.00 06/24/2011 2011001767 Total Amount Paid $3,596.71 Springfield Building Permit 6/24/2011 12:50:52PM Page 3 016 SP.~ING...F. IE?ij ~ii!_ '. ~ir t;t; :'.c' 'OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01336 IVR Number: 811172371172 225 Fifth 51 Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pe rmilcenter@ci.springfield.or,us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 06/24/2011 06/08/2011 EXPIRES: VALUE: 12/20/2011 $79,013.28 06/24/2011 SITE ADDRESS: 630 W M ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703274300900 SCOPE: Family Room WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Detached Recreation Room for existing single family residence; Not Reviewed or Approved As Accessory Dwelling Unit or Sleeping Room. I Plan~vi~ ~ Department Initial Review Received Due Date Completed Result 06/09/2011 06/09/2011 06/09/2011 Approved Reviewer David Bowlsby . , . Applicalioh'Accepted': ~ .David.Bowlsby . ", ' ~" ' ~"-f'<;"P'" :it_,;i: '- .,' -:,-,'~'~,t, i?:1\',~'~Y; _ ~:,_f;;",>~:-r'. '".'~"\:: "L: Planning Review 06/09/2011 06/09/2011 06/15/2011 Approved Tara Jones Comments: "The building needs to be moved to allow for a minimum 10' rear and 5' side setback as marked on the plot plan. *This permit is for an accessory building NOT an Accessory DWELLING Unit (ADU). No kitchen is allowed in this structure. It is too large to be converted to an ADU in the future. *The accessory structure cannot be larger in square footage or taller Public Works Review 06109/2011 06/09/2011 06/17/2011 Comments: received on 6.16-2011/ storm water to curb/street Approved Kaye Wilson Permit Issuance 06/21/2011 06/21/2011 06/24/2011 Issued David Bowlsby Springfield Building Permit 6/24/2011 12:50:52PM Page 4 ot6 SP41..N~._ fIEL~ .~~~ .rr: ... OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01336 IVR Number: 811172371172 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@cLspringfield,or.us PROJECT STATUS: STATUS DATE: 155 ued 06/24/2011 ISSUED: APPLIED: 06/24/2011 06/08/2011 EXPIRES: VALUE: 12/20/2011 $79,013.28 SITE ADDRESS: 630 W M ST, Springfield, OR 97477 ASSES OR'S PARCEL NO: 1703274300900 SCOPE: Family Room WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Oetached Recreation Room for existing single family residence; Not Reviewed or Approved As Accessory Dwelling Unit or Sleeping Room. I INSPECTIONS REQUIRED ~ Inspections 1020 Zoning/setbacks 1110 Footing 1118 Footing Drain Footing: After trenches are excavated. 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. Framing Inspection: Prior to caver and after all rough in inspections have been approved. 1160 UFER Ground 1260 Framing 1400 Perimeter Slab Insulation 1420 Insulation Vapor Barrier 1430 Insulation Wall Wall Insulation: Prior to cover. 1440 Insulation Ceiling Ceiling Insulation: Prior to cover. 1530 Exterior Shearwall 1630 Roof Sheathing 1999 Final Building Roof Sheathing Final Building: After all required inspections have been requested and approved and the building is complete. Rough Mechanical: Prior to Cover 2300 Rough Mechanical 2999 Final Mechanical Final Mechanical: When all mechanical work is complete. 3150 Underslab Plumbing 3500 Rough Plumbing 3999 Final Plumbing 4500 Rough Electrical 4999 Final Electrical Underslab Plumbing: Prior to filling the trench and including required testing. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Underslab Electric: Prior to cover 4150 Underslab Electric 3315 Water Line 3400 Storm Sewer Storm Sewer Line: Prior to filling trench. Sanitary Sewer Line: Prior to filling trench and including required testing. 32QO Sanrtary Sewer Springfield Building Permil 6/24/2011 12:50:52PM Page5of6 SP:~N~.FIEL~ ~~ ~.OREGOH www.ci.springfieJd.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01336 IVR Number: 811172371172 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspeclion Phone: 541-726-3769 Fax: 541-726-3676 perm itcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 06/24/2011 ISSUED: APPLIED: 06/24/2011 06/08/2011 EXPIRES: VALUE: 12/20/2011 $79,013_28 SITE ADDRESS: 630 W M ST, Springfield, OR 97477 ASSES OR'S PARCEL NO: 1703274300900 SCOPE: Family Room WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Detached Recreation Room for existing single family residence; Not Reviewed or Approved As Accessory Dwelling Unit or Sleeping Room. 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 construction. '0/ (}v/'tJ IJtrt ~ I. ^ rJJI <1- Owner or Contractor Signature rr;,/2-/J/lf Date Springfield Building Permit 6/24/2011 12:50:52PM Page 6 016 Electrical Permit Application 225 Fifth Street. Springfield, OR 97477+PH(541)726-375HFAX(541)726-3689 DEP,ARTMENT USE ONLY 2/1-5f1Z '2-91-. Permit 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 APPROVAh''.,:''',r:': Zoning approval verified? 0 Yes 0 No CA1EGORY;OFCbNSTRUCTION," '., :"':i";;::',ih.r;{;~{'\1~'t".9J~';\!i:r;~~t~;f,t:E\SCH Et)J:iL:rE~~'l!.iVi:i']fi~\;:~tf;W~'*i;~~?t;:i'tt~ NUDlberofinspecii~n~ perit~~O. .,"'Qty. ,~~~~ 1~1~1 Residential, per unit, service included: 1,000 sq. ft. or less (4) Each additional 500 sq. ft. or portion ~ thereof Limited energy (2) Each manufactured home or modular dwelling service or feeder (2) X $134.00 ..- $ 25.00 ~.( ,.. ...... $ $ $ 32,00 $ 63,00 $ Services or feeders: installation, alteration, relocation 200 amps or less (2) I $ 81.00 $ g'( 201 to 400 amps (2) $ 95.00 $ 40] to 600 amps (2) $158.00 $ 60 I to 1,000 amps (2) $205.00 $ City: ZIP:" l~ Over 1,000 amps or volts (2) $469.00 $ Reconnect only (2) $ 63.00 $ . E-mail: 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: ZIP: Phone: E-mail: CCB license no.: Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: \})~~\\ \o.ru ~. 440-2584-) (9/08/COM) Temporary services or feeders: installation, alteration, relocation 200 amps or less (2) 20 I to 400 amps (2) 40 I to 600 amps (2) $ 63.00 $ $ 87.00 $ $126.00 $ Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: new, alteration. extension per panel a. Fee for branch circuits with purchase ofa se'rvice or feeder fee: Each branch circuit " $ 6.00 $ , b b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) Each additional branch circuit $ 55.00 $ $ 6.00 $ Miscellaneous fees: service or feeder l}ot included Each pump or irrigation circle (2) Each sign or outline lighting (2) $ 63.00 $ $ 63.00 $ Signal circuit or a limited-energy panel, alteration, or extension (2) Each additional inspection: (I) $58.00 $ ,~;~g:;~~~~~%~~~;1~~~Jl';-~~~fAF?e:LicAt:jTf\'iiJs E~;'h~>';f .:X0~;'!;{'.'{\rL:;~;y~1~~.; '-::, $ 63.00 $ (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) (B) Enter 12% surcharge (.12 x [AD (C) Technology Fee (5% of [AD TOTAL fees and surcharges (A through C): $~/ / $ _~2.. $ l/r ~ ;f;. 9'~, t:Y. \ tructural Permit Application *'H -,""'~' .~~"~'-i."f.'.":"'~'" ,",' "'1"';''' -~i:"f"" 'Of' "~~-""'r"'<' {tl>'" i;,0l; ...':;,.. .>-' ~ ~:t- ~,1 . "'_-, ' "'I q.,' "" ',. "-,,"__' "_ i'1:..,.,~ - ~ ;;:;p;)'>;<..~~r. ''',';!,i' \.. ,Jf.S'~.t' _.:"",.. ~. ~.n ~.~ -~-'''''-r.'' c< ",..< -, '09"- ~ ~...,,"- ,,,..' W"+"'~i#'i~IIfrXi(i)Ee$.~R~Qflp,LP~li)Rs:gR>~#'~.$~~.~~"i;""'" .t;~ !J;.''. . DEPARTMENT USE ONLY. p~t ~2 ( "33, Date: b - Y:-/ 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. ....:.li9CAL; 9QYE'@M$riIT;;A~P"R9y~tlj~,:ii:;f;';Ij):Mt;*ifj 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 ~~~~i~(~f;~~~l9AtEg.9RY;t(:jF;~JG.Q'/;I~t@Cf1;(9ri1j;f;;'\)if'.\ii&!;icfA-: . ~idential 0 Government 0 Commercial ~}/~/:,.:.,::J9B.:,SI:rE; iNfbRMAti9N\iA~Q)I,OC;6,:f19tiJj;;::t;;',1';');:; ~r City: State: () e.. 225 Fifth Street. Springfield, OR 97477. PH (54 1)726-3753 . FAX(541)726-3689 l::>O E-mail: 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 ORS 701.010. . .,' State: Fax: ZIP: E-mail: CCB license no.: Priot name: Signature: ~g,;\~:,);:f;;h'I,SlJB"t@Nj1;Mt:tRRfr-lF.RRMA:tIQi'j","~W~1'1#}*~W;, Name CCB License ~umber Phone Number Electrical OW., e-.. Plumbing CJ LVh-~/ Mechanical 0 tv . - .":..;',,\,'; . ,'.,';/;' FEE 'SCHEDULE:"'"'' ",:.";;:',..,:,, .';{:~,y~~tt~HpRj.6't~ri#'~tip~.~i:~I:h~;;.:~;i;,~t;th>~v',!'i,::.~~:i:,'!'~;f/'{{~,~',i:::. ;;.,;:';:.:.i!-~~,~ ~,;'~, (a) Job description: K..t:::"L- QoCW^ Abr. Occupancy /2:3 Construction type: VB Square feet: ~ Cost per square foot: Other infonnation: Type of Heat: a..a.T w Itt-L Energy Path: [5TreW D alteration (b) Foundation-only permit? D ad.dition DYes~ Total valuation: ;.~2);.~.tii)4ing:,;fe'~~lh~ii::\:}i;;iS;~:6~\i;;t:f;~;~~::i;if:;~ (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): $1:5" CiXJ . $ $ $ , $ $ ",.',...,.... r:'eJ.,;'" .',':. ;~~'~i;~J~mr~yi~~~I~~~~~~~8~,~}~~~~j:')~c;~*~\~~;~~if.:tft~J]{~~~~vt);,,: (a) Plan review (65% x permit fee [2a]): (b) Fire and life safety (40% x permit fee [2a]): (c) Subtotal of fees above (3a and 3b): ;:A:~:;;M.l~c~li~i~Ji~~]t~~~X:~~;i:,::N~t?I~,{~:i:' ~i:lM;)::;::},~.:,;, . (a) Seismic fee, 1 % (.01 x permit fee [2a)): $ TOTAL fees and surcharges (2e+3c+4a): $ b. "TI r. 'j Property Owner Statement Regarding Construction Responsibilities Oregon Law requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. (ORS 701.055 (4)) This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010 (7), need not submit this statement. This statement will be filed with the permit. Please check the appropriate box: ~ I own, reside in, or will reside in the completed structure and my general contractor is: Name CCB# Expiration Date D' I will inform my general contractor that all subcontractors who work on the'structure must be licensed with the Construction Contractors Board, \--=:? or ~ I will be performing work on property I own, a residence that I reside in, or a residence that I will reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. I have read and understand the Information Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this homeowner statement is true and accurate. ~m9~~?U \c ;~~~ ~U~L , ure of Pe 'App lcant o(Q/O(3AoU- Date (I Permit #: Issued by: Date: Address: This Copy for Permit Offices S~t~N:G..~:I:~ ~y iSu. """",\'~jf . . ~8/' OREGON WWN.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2011-01336 630 W M ST CITY OF SPRINGFIELD 225 Fifth 8t Springfield, OR 97477 541-726-3753 permitcenter@ci.springfield.or.us RECORD NO: 811.5PR2011-01336 DATE: 06/24/2011 ~_ACJj.(:il!JNTD.C.otrE' --,p -,~:x '.':'{\Y\'AM0.UN1:DIfE,,-_s-:1:~j 224-00000-426605 4.08 224-00000.425603 19.00 224.00000.426102 36.00 224-00000-425604 79.00 100-00000-425002 119.00 100.00000-424005 40.80 443.00000-448025 450.03 440-00000-448028 304.25 442-00000-448024 922.04 ~_.._._._~,--,~.,_.,-",._----~----_.,._._- _._.- 441.00000.448029 209.11 ,._~_.~._.,.. 719.00000-426604 94 27 224.00000-426102 81.00 224-00000-425603 38.00 821-00000-215004 108.28 224.00000-425602 611.35 224-00000-425602 277.29 100.00000-425605 45.12 224~00000-425603 19.00 224-00000-425603 19.00 TOTAL DUE: 3,476.62 CO..M.M......E..NT.S. '..,-,,:...!.., .... ..AMOUNTI'AID~.'-'. " I .__......... ......_._ _ __ 0.!, ,.... >.~ '...' -.~~~_~.;;..,,;.-../ 3,476.62 RECEIPT NO: 2011001767 lDESCRIP.JIONoi. '-1 . :','''';' '.lP.;;':~- " Admin fee (10% of applicable fees) Bathtub Branch circuits with service or feeder each circuit First Appliance ~ee Planning - Minor Review w City .__..!3~sid.".rJ!J.a1 Fire (.05 ~er Sq Foot) _ SDC:~~e~~~ent Co~!-- Local Wastewater SDC: Improvement Cost M Storm Drainage SDC: Reimbursement Cost. Local Wastewater SDC: Reimbursemen^~~ost . Storm D!ainage SDC: Total Sewer Administration Fee Services 200 amps or less Sink/basin/lavatory State of Oregon Surcharge (12% of applicable fees) St!uctural Building Permit Fee Structural Plan Review Fee Residential Technology fee (5% of permit total) Water closet Water heater L~~-'f.M~i,lj3'.;(I~J=:':""'8Il.Y_OR .'!CASHIEIl,.DBOWLSBY. Check maria alvarado 208 TOTAL PAID: 3,476.62 s~;~:~:=~ ~;,Itb y... ....+, OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2011-01336 630 W M ST CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726-3753 permitcenter@ci,springfield.or.us RECEIPT NO: 2011001485 ti:)ES.CRlittI0Ni~ir:,~,,~: ." ~o /.n~^"~~ ,- Structural Plan Review Fee Residential RECORD NO: 811-SPR2011-01336 DATE: 06/08/2011 . ,...:.L:2':E:.;;;~::._;Z___ ;'Acc6uNrfJ:::ODE,: ,,::,:!'f4l....::..:AMOUNT[DUE~ 224-00000-425602 120.09 TOTAL DUE: 120.09 .,,' '0. ;?AM9oNn>~llb 120.09 ,,2.._1 1....PAY.N1!'J:Ij'.TYPE;;;,;";'PAYQB;?CASHiER,.NMAcH)\llb;'~~S....", .CQII1.M~NT_S..;";,'; '. Credit Card maria alvarado 083478 I TOTAL PAID: 120,09 �C C _�� Q CDCpQ "�� cra)ca CUD CD 0, 3o o C o wc� Lo.. U CD o m CD M10 I 0 CDQ n S ° CL r_ m CD CD :3' (a C) 0;v a T rn r"i 0 0 0 n � rnF- C-) �u z fTl � -Tl (3-) F-- CJ 7 0 CO II � F-- F9 F9 / V I 56' NOT R v � Accv--S.Sos-y G,LI PROPOSED PLAN ROOM ADDITI❑N Its sl.Fff =NGr ROOM 34' �D 16'-6" 0 8, w EXISTING HOUSE 3 3' c > i� N C" m m Cn gO� � LAWN . . . . . . . . . . : . STREET S�D� •• • 0 gj Q 9 0 7i ��000 = CA n 5- R, '(A� se's C) cn P -4 +o Yn P-� qr-L p �J P j �" '' r 'o Q � 1 W ZO � W o• . . . . . . . . . . : . STREET S�D� •• • 0 gj 0 g 00 ns ro'0 s= co y o o? Q Z J- CID s ID 00cl ICD ca cao ID 30 >0 � �. m C�91f�R (D 0 4. �, R 0 93 o 9 6 toCD -- 0Cc 0 o tS��. ti n O =r (D y f �L 9F -C, o C LS C � C z23 xC o d ®� coo 0 O ®1 (D o N O =ro 0CD5o 1 1 I 1 9 o 7i ��000 = CA n 5- -� C) cn P -4 P-� qr-L p �J 0-� Er '0+ 0 rn S� ZO 0 H UQ�+ c by `° 0 g 00 ns ro'0 s= co y o o? Q Z J- CID s ID 00cl ICD ca cao ID 30 >0 � �. m C�91f�R (D 0 4. �, R 0 93 o 9 6 toCD -- 0Cc 0 o tS��. ti n O =r (D y f �L 9F -C, o C LS C � C z23 xC o d ®� coo 0 O ®1 (D o N O =ro 0CD5o a z -o G a. o r �oom mom: o�^�r = CA n 5- -� C) cn P -4 C) m. A 4 N,, ,i�,1�� v •-! rn S� ZO 0 g 00 ns ro'0 s= co y o o? Q Z J- CID s ID 00cl ICD ca cao ID 30 >0 � �. m C�91f�R (D 0 4. �, R 0 93 o 9 6 toCD -- 0Cc 0 o tS��. ti n O =r (D y f �L 9F -C, o C LS C � C z23 xC o d ®� coo 0 O ®1 (D o N O =ro 0CD5o