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Home My WebLink AboutPermit Building 2011-7-5 SPRIN...G...... F. IE~ .- #;' tiJ :}.. OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-5PR2011-01281 IVR Number: 811155722540 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 PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 07/05/2011 06/03/2011 07/05/2011 StTE ADDRESS: 4908 HOllY ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802051108200 PROJECT DESCRtPTION: EXPIRES: VALUE: 12/31/2011 $172,810.73 Ln'2.\~\ \) ~....\' ",\0' SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: Single Family Residence New Single family residence. Westwinds lot 63 OWNER: ADDRESS: JHD3 llC 2464 SW GLACIER Pl REDMOND OR 97756 CONTRACTOR INFORMATION ~ lic Type CCB CCB Contractor Name' GARNER ELECTRIC CO HAYDEN HOMES LLC STUTZMAN SERVICES INC PACIFIC AIR COMFORT INC CCB CCB BUilDING INFORMATION ~ Residential Phone Number: Contractor Type Electrical Contractor General Contractor Plumbing Contractor Mechanical Contractor # of Units: Occupancy Type Construction Type Occupancy Type Construction Type # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Engineered Fill: FiJI Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit R-3 Type VB U Type VB # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Gas Electric No 1 16 Forced Air Gas 3 No No Path 2A Certified performance. tested duct system Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal J Development Code: Plumbing Speciatty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Site Infonnation No No No Lie 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: 5576 1579 480 48 ATTENTION: Oregon law requires you to foUow r~les adopted by the Oregon Utility ~otlflcatlon Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- 009@90\l0u may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-:'l~?-?~AA) ~ NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT ~~I\lJi6 COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD, 7/5/2011 9:47:55AM SP:I.~=l~ ~~ ~OREGOH www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01281 IVR Number: 811155722540 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pennilcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Iss ued 07/05/2011 ISSUED: APPLIED: 07/05/2011 06/03/2011 EXPIRES: VALUE: 12/31/2011 $172,810.73 SITE ADDRESS: 4908 HOllY ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802051108200 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Fronlyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: 14 8.16 9.82 22.96 Single family residence - Westwinds lot 63 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: 19.5 PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description I DescriDtion U Utility l misc. R-3 1 & 2 family Tvpe of Construction VB VB Unit Amount Unit Tvpe 528.00 Sq Ft 1,579.00 Sq Ft Unit Cost 37.72 96.83 Value 19,916.16 152,894.57 172,810.73 Springfield Building Permit 7fS/2011 9:47:SSAM Page 2 of6 SP~11N~.FIEL~ ~<~ ~OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01281 IVR Number: 811155722540 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pennitcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 07/05/2011 ISSUED: APPLIED: 07/05/2011 06/03/2011 EXPIRES: VALUE: 12/31/2011 $172,810.73 SITE ADDRESS: 4908 HOllY ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802051108200 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Single family residence - Westwinds lot 63 FEES PAID I Description Amount Paid Date Paid Reciot # Structural Plan Review Fee Residential $444.86 06/03/2011 2011001426 _.,-_..__..__....,._.~._..~_._~--"-_...__._---- SDC: Reimbursement - Transportation SDC $497.07 ___~!~!3-~~_.______3-01100-2.~65 SDC: Improvement - Transportation SDC $1,811.51 07/05/2011 2011001 B65 SDC: Reimbursement Cost - local Wastewater $3,161.28 07/05/2011 2011001865 ---- SDC: Improvem.ent Cost - local Wastewater $1,542.96 07/05/2011 2011001865 SD.C: R~ement Cost - MWMC Regional WastewatE $101.97 07/05/2011 2011001865 .~:..!mpro~.ent Cost. MWMC Regional Wastewater ~ $1,333.57 07/05/2011 2011001865 SDC: Compliance Cost - MWMC Regional Wastewater SI $22.63 07/05/2011 2011001865 SDC: A,dministrative Fee - MWMC Regiona~':Vastewater I _.~._~1O.00 _ 07/05/2011 2011001865 SDC: Total Sewer Administration Fee $363.21 07/05/2011 2011001865 SDC: Total Transportation Administration Fee $135.36 07/05/2011 2011001865 Residential Fire (.05 Per Sq Foot) $~O~~__ 07/05/2011 2011001865 One or Tw~ Family Dwelling with Two Bath $374.00 07/05/2011 2011001865 Furnace - up to 100,000 BTU $17.00 07/05/2011 2011001865 Air conditioner $17.00 07/05/2011 2011001865 !'.ange hood/other kitchen equipment $13.00 07/05/201~____..._. 2011001865 Flue vent for w~~r heater or gas fireplace $9.00 07/05/2011 2011001865 Single.duct exhaust (bathrooms, toilet compartments, utili $36.00 07/05/2011 2011001865 Gas Piping up to 4 outlets $28.00 07/05/2011 2011001865 ~~t Appliance Fee $79.00 07/05/2011 2011001865 Residence wiri~~"_~ ,ODD sq. ft. or less __,_."_~~~~~_. 07/05/2011 2011001865 Each added 500 sq. ft. or portion $75.00 07/05/2011 2011001865 Temp services 200 amps or less $63.00 07/05/2011 2011001865 Sidewalk up though 90 Feet $88.00 07/05/2011 2011001865 Structural Building Permit Fee $1,005.86 07/05/2011 2011001865 Address Assignment, each new or change $38.00 07/05/2011 2011001865 Admin fee (10% of applicable fees) $10.54 07/05/2011 2011001865 Structural Plan Review Fee Residential $653.81 07/05/2011 2011001865 ._____ ___.n_________ ___....__ PI~-"ning.:. Mal?~eview :. S:ity ___ ..___.___ _._ ...__.._$~113.0. 07/05/2011 ._._____ 2011001865 St".~.. of Or".il.9~urcharge (.12% ?! applica.io~_ fees) _._. !.~~~~_______07/05/2011 2011001865 Technology fee (5% of permit total) $39.49 __.'y7/05/2011 2011001865 Technology fee (5% of permit total) $62.25 07/05/2011 201]001865 ~,},,:pro::~"~!..s:.o.s.t.:..Storm Drain.age $883.27 07/05/2011 2011001865 SDC: Reimbursement Cost - Storm DraTage $607.07 07/05/2011 2011001865 Multiple Permit Discount (Max 2) $-30.00 07105/2011 2011001865 Curb Cut/Driveway 1 st Cut $88.00 07/05/2011 2011001865 Structural Plan Review Fee Residential $208.95 07/05/2011 2011001865 Springfield Building Permit 7f5/2011 9:47:55AM Page 3 of6 SP~~~;~ ~~, ~OREGON www.ci.springfield.or.us CITY OF SPRIN'GFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01281 IVR Number: 811155722540 225 Fifth Sl 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 07/05/2011 ISSUED: APPLIED: 07/05/2011 06/03/2011 EXPIRES: VALUE: 12/31/2011 $172,810,73 SITE ADDRESS: 4908 HOllY ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802051108200 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: Single Family Residence New Residential PROJECT DESCRIPTION: Single family residence - Westwinds lot 63 ~!llamalane fees - Si.~~!:~~ily detached $3.409.00 Total Amount Paid $17,872.11 07/05/2011 2011001865 Plan Review ~ Department Initial Review Received Due Date Completed 06107/2011 06/07/2011 06/07/2011 Result Approved Reviewer David Bowlsby Structural Review 06/07/2011 06/07/2011 06/14/2011 Waiting Internal Chris Carpenter !Planning'ReYJew~~, ~~>.\-" ." .,"6f:)~O?lZ01:.i;. >O~/271?'Obr4-~,."qW?!1.~q)X;;3p~r~~e~,' -. ;: ." ~;~.,. ',. .T~~:J6h~S.'~-C\"-~'~ _' ! - ...f ... :' . ...".. c. .'" " ~. .. ." ./. .;..,...:~.,. ... o...r . :_ :.c. , . i Comments:"3'.walkwayis,re~l!ire(L. . "_,-,>,:011''_' L : ',. If, -, -" ',,'~. . .~.. ,^_,~ '~'" off;,. , . .'"~'~ _;- ~". I" - ..' - . '-~;~n~ont elevation~ar~:-stt~;-~Pe:cj~c:~n.d;C9-Dl~i~;r.,~ql-We.d;destgn e!ef!1ent~J'lns~edors'Will. f1et~. check:thatactUal elevations " . '" 'm?ltgh'.submitted'q~9illi2sshown on thE:t.ilPPf.Q..ved'set,of;pl~D~.~' _'~:.' . ,_.' '-,ft..,,; >_,t~_.L~__.;;/ Permit Issuance 07/05/2011 07/05/2011 07/05/2011 Issued Chris Carpenter ~" I ..J Structural Review 06/07/2011 06/07/2011 07/05/20\1 Approved Chris Carpenter Springfield Building Permit 7/5/2011 9:47:55AM Page 4 of 6 SPR\I.NG .FI.EL..~ ~'~ ,",,- ~, '~.~ k :.. 'OREGON www.ci.springfie!d.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01281 IVR Number: 811155722540 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfjeld.or.us 'PROJECT STATUS: STATUS DATE: Issued 07/05/2011 ISSUED: .APPLlED: 07/05/2011 06/03/2011 EXPIRES: VALUE: 12/31/2011 $172,810.73 SITE ADDRESS: 4908 HOLLY ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802051108200 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Single family residence - Westwinds lot 63 INSPECTIONS REQUIRED ~ Inspections 1020 Zoning/setbacks 1090 StreetT rees 1110 Footing 1120 Foundation Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. 1160 UFER Ground Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 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/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. 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. 1999 Final Building 2200 Underfloor Mechanical 2260 Gas Service 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 Mechanical: When all mechanical work is complete. 2300 Rough Mechanical 2999 Final Mechanical 3130 Footing/Foundation Drains 3170 Underlloor Plumbing 3200 Sanitary Sewer 3315 Water Line Underfloor Plumbing: Prior to insulation or decking. Sanitary Sewer Line: Prior to filling trench and including required testing. Springfield Building Permit 7/5/2011 9:47:55AM Page 5of6 S!..~.~N~.FIE~ ~;,-,. -"'P_, ~". ',. OREGON www.ci.springfield:or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01281 IVR Number: 811155722540 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 07/05/2011 ISSUED: APPLIED: 07/05/2011 06/03/2011 EXPIRES: VALUE: 12/31/2011 $172,810.73 SITE ADDRESS: 4908 HOllY ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802051108200 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: 3400 Storm Sewer Single family residence - Westwinds lot 63 Storm Sewer Line: Prior to filling trench. Rough Plumbing: Prior to cover and including required testing. . Final Plumbing: When all plumbing work is. complete. 3500 Rough Plumbing 3999 Final Plumbing 4000 Temporary Power Service 4225 Service or Feeder 4500 Rough Electrical 4999 Final Electrical Rough Electric: Prior to Cove'r Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any 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 ensur that all required inspections are requested at the proper time, that each address is readable from the street, that the permit rd is loc the front of the property, and the approved set of plans will remain on the site at all times during constr tion. 'L Ii / I / Date ,I { Owner or Contractor Signature Springfield Building Permit 7/5/2011 9:47:55AM Page 6 of6 Structural Permit Application -- 225 Fifth Stree't Springfield, OR 97477. PH(541)726.3753. FAX(541)726-3689 DEPARTMENT USE ONLY SJ/ ~ 0 ( Z rl Pennlt no.: Date: This permit is issued under OAR 9]8-460-0030, Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days, "".i:,{Oc'A!-QQ\tERNMElliT:'i\p,pRe)Yi>,l ~,; 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 Zf~~~ii~ji~\-{~~~XG.4I~:G9i~.y;~"q_FJ1G,O_N?.T~{u_G.iflQ}:'~'J~(t:.,: :~ ~~:t~~:~'~;,~:; p,~ esidential 0 Government 0 Commercial t!?!,i:ij{i,;},iUpsjisIJE:, INj;0~,MA TI6N'tANQ~~6,9AfI9~Y\S:ffi;!\!'j Job site address: ,C~ ~ 4<(~ City: S.\'~-lN(c "\8..~ State:)(L ZIpC(,4'1e Subdivision:/.J-')G'S'-V-'Ol"-' <;:,"', Lot no,: li~ Reference: 1&::>2 0 S 0 S- 20 D , ", PROPERTY OWNER', Name: ~O,,,,..s 14-0",,<=:,::> Address: Z'l& i{ <; c,) (1'- o'\L' ",,0_ Ii 0 City: ",-t><"'-o''-l~ State: Dr ZIP: '1r7Sl" Phone: 51f.1-5"::.t,; -5nlD Fax:o/?{ .'O'{- [fH.L- E-mail: G.tt;....-.~Q...\<:..i:.;;. rJ, H4:tO<.""-J. ,.l-kj""<='b.<.Q \ This installation is being made on residential or farm property owned by me or a member afmy immediate family, and is exempt from licensing requirements; under ~s 701.010. Sign here: [. , -;7'(. '..'~;; '. " ,," "-' .."" . . , "',FEESCHEpuLE .,',', ,;:t:~y~~.~~.t'i9N;i~.fo<r:rif~ii-9:~{;~~;?Gr~~~~Ci~~Y\l:::~{,~,/ :. (a) Job description: SP'D Occupancy 12L\.- ~ Construction type: 51':.., Square feet: 15:'79 Cost per square foot: U ~ Other information: Type' of Heat: ,C!.., Energy Path: Z I?:, D alteration (b) Foundation-only permit? D addition DYes (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): $/20,7EJ CONTRAC1;QR INSTALLATI91'l' " Business name: t\"..(f.)r;::,..,) N-ol""-t..~ Address: (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): $ LfLfU - 28lf'1S 7 - >3 .~I $ City: Phone: State: Fax: ZIP: $ J,"'O':z, , ,'/ - :-::- ~ $ E-mail: CCB license no,: If 2520 Print name: l::e..J"L ik"-J{:\~,,-LlL-:. ~ .'li (a) Seismic fee, 1%(,01 x permit fee [2a]): TOTAL fees and surcharges (2e+3c+4a): $/6 t) Signature: l'F',,:~\}\:':;':;,W~s(j [j-C,0N;rRAc:ro R'[NF6,R.r.1A:rrQN;:;;it;~j:iT1~j~{,'~;i' Name eCB License Number Phone Number Electrical C-i~;J..)~~ Plumbing ""';'L-'-", ""M Meehauiea) %..._ AI..L (JflJ __DEPARTMENT USE ONLY pem\'?~L- olZ~1 SPRINCFIELD ~I Date: .--:- .. This permit is issued under OAR 9]8-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if worl\. is suspended for 180 days. -- LOCAL GOVERNMENT APPROVAL FEE SCHEDl.llE .......,..::..::., ,. "..::.' Zoning approvaL verified? DYes DNo Number of inspections per item () Qty. .Cost Total CATEGORY OF CONSTRUCTION. :. . ea. 'cost Residential, per unit, service included: 0-R~sid~nti,;j: -.. . I 0 Government . I 0 Commercial - --. 1.000 sq. ft. or less (4) I - . $I~I{- ............JOBSITE INFORMATION' Afilti"LocAtioN<: ...,. .- $134.00 t 'Jobsileaddress:'~ .~.tial WD'fi3 /j.QL -7 Each additional 500 sq. ft. or ponion ~ $ 25.00 $'S. thereof City: :>1''''1'..'l,,\'''''LD I State; Da.. I ZIP;'1'l-'("l-'il Limited energy (2) $ 32.00 $ Reference: \ 'tJU 11 )~ \ \ I Taxlot.:CP1l7Y"') Each manufactured home or modular $ 63.00 $ DESCRIPTION OF WORK '.. .. dwelling sen'lcc or feeder (2) 1), ",,10, I nn. N'I. b. . ~. - )J If)'! "" Sen'iccs or [eeders: installalion. alteratiOIT, relocatiol1 "" ~~. :.j.."J." '>\>,...,. .\o'n 200 amps or less (2) $ 81.00 $ I"R\lPERTY OWNER' 20110400 amps (2) $ 95.00 $ Name: f+~-,..:l l4-o~o?;, 40 I to 600 amps (2) $158.00 $ Address: 7%.'-( ~'" C-.l..J"lt<..l t:!CL "L 7/f0 601 to 1,000 amps (2) $205.00 $ City: ~,.j\,> I State: 0l2... I ZlP: "rn-,.-lo Over 1 ,000 nmps or volts (2) $469.00 $ Phone: '5'!{ %Ct. -~ I Fax: , Reconnecl only (2) $ 53.00 $ - - E-mail: l,{.,.-.bQ.(C(<-'O>'D"ltt:D 1fF'!(1)c'N-Hot-<t'S .<0-.... Tempornry services or rceders: installaliolI. afteratio1l, relocation This installation is being made on residential or farm property 200 Dmps or Jess (2) I $ 63.00 rIn~ owned by me or a member of my immediate family. Thi5 20 I \0 400 amps (2) $ aI.OO $ property is not intended for sale, exchange, lease, or rent. OAR 40 I to 600 amps (2) 479.540P) ~d 4,??tCI). $126.00 $ --. ._,_. .. . Over 600 llmps or 1,000 volls, see servlces.or feeders section obove - Slgnature: ~ CONTRACTOR INSTALLATION. Brnnch circuits: /Tell', a/fermion. extensiolT per panel Business name: G Q..Q.'C'\,,~ C L'Q.r\ ('..-..c- a. Fee for branch circuils with purchase of II service or [eeder fee: Address:d.. ~C -:::." '<:.... ~R~<:>\<""\.1.:),,~ ~Q\le.... Each brunch circuit I $ 6.ao $ City: \-\, \ \ <;;b ~ f'-c:. I State:G~...... I ZIP: q,\\">..<. b. Fee for branch circuits without purchase of a service or feeder fee: Phone: 5::>:0.. (.4-',;.... ,is:>'' I Fax: Sc>> - c.,-\-':l. ."')1 '\'; First brilnch circuit (2) $ 55.00 $ E-mail: Q. E:. @ :::\OR-~~ ~ ",~e.8 ~,<: _ C. c....... Each additional branch circuit $ 6.00 $ CCB license no.: \-:l.' \ OS "I I BCD license no.: '3'-1,."!'cS r:... Miscellaneous .rees: service or feeder not included Signing supervisor's license no.: ~ 'X<::, "I S Each pump or irrigation circ:le (2) $ 63.00 $ Print name of signing supervisO~o."',,'" l(: Erich sign or outline lighting (2) $ 63.00 $ Signature of signing supervisfr: Signal circuit or D limited-energy panel, $ 63.00 $ alteration, or e~lension (2) Each additional inspection: (1) $56.00 $ ..,... > '::"'.,. , ' '.. APPLICANT USE,. :""... ... \~~ (A) Enter subtOlal of above fee!i $ 2-'71- (Minimum Permit Fee $58.00) n ,1\' (B) Enter 12% surcharge (.12 x [Ali $ '12'1. to,;! 1; (e) Technology Fee (5% of [A]) $-{7~ TOTAL fees and surcharges (A through C): $,< Jr. \}\ If' 4.10.2584.) (9108/COM) b?,willamalane t'W Park and Recreation District Job. No. $'/(- .' . . i'ARK AND ,RECREATioN SYSTEM DEVELOPMENT CHARGE WORKSHEET January 1-December 31, 2011 ,NAME:f-h"T'lJ>t=iV tf-o'yV\~S . ~HONE:5~-9?)~ , ADDRESS:~%"I.>W~t.J-1.:..1c.IL:CITY:,~7)MawD STATE:O/LZIP: 977s-? ',.' ,_' __.. - I. _." _, " .. ..' -------;-==~o=o"...=~=~==-==~-=~c_="_~=,='""=c_,'''"''''OO"=~___,.,.,=_'''''=''<''''''''',."=___="=='=---''-''"''''==''''='-=''~-==''-''''''-'-=--''=O=7='''=~-''-''''-:_ 'on . -'~='...............~;. ......~~.. .., .: LOCATION OFPROPOSEDBUILDING SITE: , ' , . . ", - .. . "Str~'e~Addr~ss: "lf1dY '$iLl-if JT .. ." .~ , . ' .PlatNa~e: WG57WI;VPJ TaxL,ot Number: 1102.. ds/( ,"~ 1. DE~'ElOPMENtTYPE (Refer to'developm~nt type defi~iii~ns onthe r~v~'rse,)' , A.Single-FamilvD~tached NO. OF UNITS. ( 'x $3,409 per unit =. $' 3LjtJ , 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. QFLJNITS' , . '. - .' X $1,400 per unit= ,,' $ 't, . '-'-.'-'+'-"'.-,-'-" ".". "E. Accessory Dwelling Unit NO. OF UNITS . , , , ' .. .-(- X $1,705 per unit = $ " , .' -", J'" ,'" " '-;.:.". . .-, ,- ",' 2, SDC CREDIT (If applicable'. SDC payer'must furnish proof of ' credit approval:) '--::::.-=". '-'---- - - -_-~,.:;;:;'_.,.. ,-_-~.;_"., - ,"'"="._"....;:........... ~'':'''-'-=:.."'''. ':"0;. . ~'-.=.,'. . --=, '--'-+--<.'. .. ~ ($' .13', .O~ ~'7jq{/f ~' ,3: TOTAL pARK AND,RECREATION SDC ASSESSED .PI" City of Springfield ,.,~' ,{' / :r / II . Date of building permit submittal , , "'J ,.,~ /' If D,ate.?fbuilding permit issuance , City of Springfield SP:I~~.FleL~ ~ ~OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541.726.3753 811-SPR2011-01281 4908 HOLLY ST permitcenter@ci.springfield.or.us www.ci.springfield.or.us RECEIPT NO: 2011001665 RECORD NO: 611-SPR2011-01261 lDESCRI~TION~_.. .. .~;. '" _' . - "_2AccOllNfj:;ODE'. - Address Assignment, each new or change 224-00000-425602 Admin fee (10% of applicable fees) 224-00000-426605 Air conditioner 224-00000-425604 Curb CuUDriveway 1 st Cut 201-00000-426060 Each added 500 sq. ft or portion 224-00000-426102 First Applia~ce Fee 224-00000-425604 ___ Flue vent for water heater or gas fireplace 224-00000-425604 Furnace - up to 100,000 BTU 224-00000-425604 Gas Piping up to 4 outlets 224-00000-425604 Multiple Permit piscount (Max 2) 201-00000-426060 One or Two Family Dwelling with Two Bath 224-00000-425603 ___ Planning - Major Review - City 100-00000-425002 Range hood/other kitchen equipment 224-00000-425604 Residence wiring 1,000 sq. ft or less 224-00000-426102 Residential Fire (.05 Per Sq Foot) 100-00000-424005 SDC: Administrative Fee - MWMC Regional Wastewater SDC 611-00000-426604 SDC: Compliance Cost - MWMC Regional Wastewater SDC 444-00000-426607 SDC: Improvement - Transportation SDC 447-00000-446027 SDC: Improvement Cost - Local Wastewater 443-00000-446025 SDC: Improvement Cost - MWMC Regional Wastewater SDC 445-00000-446025 SDC: Improvement Cost - Storm Drainage 440-00000-446026 SDC: Reimbursem~nt - Transport,ation SDC _~___._..___._ 446-00000-446026 SDC: Reimbursement Cost - Local Wastewater 442-00000-446024 __~_C: Reimbursement Cost - MWMC Regional Wastewater SDC 444-00000-446024 SDC: Reimbursement Cost - Storm Drainage 441-00000-446029 SDC: Total Sewer Administration Fee 719-00000-426604 _n_ SDC: Total Transportation Administration Fee 719-00000-426604 Sidewalk up though 90 Feet 201-00000-426060 Single-duct exhaust (bathrooms, toilet compartments, utility roor 224-00000-425604 State of Oregon Surcharge (12%..of applicable fees) ____~~:?0000-215004 Structural Building Permit Fee 224-00000-425602 Structural Plan Review Fee Residential 224-00000-425602 Technology fee (5% of permit total) 100-00000-425605 Temp services 200 amps or less 224-00000-426102 - ~._,..._~._.. Willamalane fees - Single fam~t. detached 621-00000-215023 _,_._ TOTAL DUE: COIV!MEtjTS': >i;.'N .-'; , Also covers S11-339 DATE: 07/05/2011 ,', ~_-..c. II P.tl\llouNt6uE 36.00 10.54 17.00 66.00 ..-...-.----. 75.00 7900 9.00 17.00 26.00 -30.00 374.00 211.00 13.00 134.00 --- 105.35 10.00 22.63 1,611.51 1,542.96 1,333.57 663.27 497.07 3,161.26 101.97 607.07 363.21 135.36 66.00 36.00 222.10 1,005.66 662.76 101.74 63.00 ___.___3,40900 __ 17,427.25 AM6uNTPAID:'~_~-: I $17,365.00 tJ,..PA YM ENT TYPE~': -PAYOR.. ;!-~'&~"AsHIERfccARP,Et<TER- Check HAYDEN HOMES LLC 36469 " I RECEIPT NO: 2011001865 RECORD NO: 811-SPR2011-01281 DATE: 07/05/2011 I,DESCRf~t[ON:~'~:::7,"'" :',d;:V"':5'E~tL', :1i'\"0o/iCs,:',--Nl_?-;,_'-"..!ACC.6uN'[C.6DEP;>~~,;;L'v,t ,'- 'AMQUNJ:D.UE'-', __.!\ddr"-,,,,- Assig"-~.t.c each ~_e~.?~~ang..:._____ 224-000_00-425602 38.00 .Admin.f~e (10'/~ app.!.icable fees) ___._____-224-00000-426605 10.54 Air conditioner 224-00000-425604 17.00 ._----- Curb Cut/Driveway 1st Cut 201-00000-428060 88.00 Each added 500 sq. ft. or portion 224-00000-426102 75.00 First Appliance Fee 224-00000-425604 79.00 Flue vent for water heater or gas fireplace 224-00000-425604 g.OO Furnace - up to 100,000 BTU . 224-00000-425604 17.00 Gas Piping up to 4 outlets 224-00000-425604 28.00 __f>II~ltiple Permit Discount (Max 2) 201-00000-428060 -30.00 _~.': or Two Family Dwelling wit~.!:,:? Bath.. 224-00000-425603 374.00 Planning - M~j,!,:~evi"w - Ci.!L._________ 100-00000-425002 211.00 __ Range hood/".t.t2.e.r.kitchen equi!,'C'~."!.______ 224-00000.425604 13.00 _____ Residence wiring ~ .000 sq. ft. or less 224-00000-426102 134.00 _l3.e~idential Fire (.05 Per S9 FootL__.____ 100-00000-424005 ______1.9~~~___.__ __SDC: Administrative Fee - MWMC Regional Wastewater SDC 611-00000-426604 10.00 SDC: Compliance Cost - MWMC Regional Wastewater SDC 444-00000-426607 22.63 SDC: Improvement - Transportation SDC/ 447-00000-448027 1,811.51 SDC: Improvement Cost - Local Wastewater 443-00000-448025 1,542.96 SDC: Improvement Cost - MWMC Regional Wastewater SDC 445-00000-448025 1,333.57 . SDC: Im!'rovement Cost - Sto.~m Drainage 440-00000-448028 883.27 ...-J'.DC: Reimb~sement - Transportation SDC 446-00000-448026 497.07 _ _.. SDC: R_~burse~ent C?st - Local Wastewate! ..__..u___.__~_2-00000-448024 3,161.28 SDC: Reimbursement Cost - MWMC Regional Wastewater SDC.. 444-00000-448024 101.97 SDC: Reimbursement Cost - Storm Draina!1.~___ 441-00000-448o.~~_ _.....__.. ___ _____ 607.07 SDC: Total Sewer Administration Fee 719-00000-426604 363.21 SDC: Total Transportation Administration Fee 719-00000-426604 135.36 Sidewalk up though 90 Feet 201-00000-428060 88.00 Single-duct exhaust (bathrooms, toilet compartments, utility roar 224-00000-425604 36.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 222.10 Structural Building PermitFee 224-00000-425602 1,005.86 Structural Plan Review Fee Residential 224-00000-425602 862.76 100-00000-425605 101.74 ."-'-' 224-00000-426102 63.00 "--- 821-00000-215~~3___ 3,409.00 TOTAL DUE: 17,427.25 IPAYMEN"fTYPE?;,-:;q'AYOR'fr"';,z;:.;'gAsHiER:'fC.ARPENTER'. COMME NTS"':~;'t':-Z::y" Cd;; Vi' ;.AMoiJNt PAID Credit Card HAYDEN HOMES LLC $62.25 Technology fee (5'(0 of !,e!mit~~_.___. Temp services 200 amps or less _ ~.!!!.aT_alane fees - Single fami2' detached__ 031396 TOTAL PAID: $17.427.25 J ';""".) www.ci.springfield;or.us TRANSACTION RECEIPT 811-SPR2011-01281 4908 HOllY ST CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 pe rmitce nter@cLspringfield.or.us RECEIPT NO: 2011001426 RECORD NO: 811-SPR2011-01281 DATE: 0610312011 lDESCRllitfoN" ""'"';,, 0,' c' ~.it"''o,\'j,;;.?"~tSS:!.l:~-'::;:..t~~,'':;;'!;-A'CC;ouRLcobE''f{;;;\-:,,j\;;;'P,';\ :' ~'AMOUNTcDUE'" ,:-J" Structural Plan Review Fee Residential 224-00000-425602 444.86 TOTAL DUE: 444,86 LJ~...5'M~~J)-:Y:P'~~;'';---_Jp,~'(P1:l;;:~1iHiE:R' DBqk1~s.~ykiii:' 'o.,J:QMI'IIE~I~2~~';;:,';:;:;'~~~~0UN'!:f.AIO; - ,: ,~ Credit Card HAYDEN HOMES LLC 444,86 060980 TOTAL PAID: 444,86 W • •• •i •• • f �•• :�@f-.$-.'�S:�Ead`�Z��Sii'r�-._<'.sz'SYil:�d�2d13®LT'�!S • • • • • • •• • ••• • • • i • • • • • • • • •• • • • •• • ••• ••• • STREET TREES ARE REQUIRED. Please refer to attached Development Code N Section regarding the placement and types of allowable trees. SCALE: 1" = 20' HAYDEN HOMES 2464 SW GLACIER PLACE, SUITE REDMOND, OR 97756 (541) 923-6607 110 S16Vz4Icwa-I--, INIMUM SETBACKS - INTERIOR LOTS W measurements are from ProDert■, 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 CHANGE SETBACKS LOT 6 3 ADDRESS: 4q OF HOLLY ST WESTWINDS SUBDIVISION SPRINGFIELD, OREGON Z LU 2 LU LU Ln � w J � U I— Z w _w U_ CL0 V J _z W re W Ln 0 U LL O IJ z LL] O _ U iY w z w w LL U z N u 0 0 0 V) r - v7 O 0 a 0 z Q U O 0 LU O U z O LL U ry O 0 LU af w O U 0 z_ _ LU m LL d - w u U I LL O u z m z V) w U_ O DATE RECEIVI�EDn LI -3111 JC^. :: s -() X51 ZONE LIJI[, OCCUPANCY Gr,,,)ur'_t<.'J LI UNITIS OCCUPANCY LOAD STORIES TYPE CONSTRUCTION IJIK LEGAL DESCRIPTION O -IS// O�OU ADDRESS 14 9 O E d:L�,1Z`f S7 - OWNER THE CONTENTS HERE ON HAVE BEEN REVIEWED, WITH ALTERATIONS INDICATED ON COLORED PENCIL. CHANGES OR ALTERATIONS MADE TO THE APPROVED DRAWINGS OR PROJECT AFTER THE DATE BELOW SHALL BE APPROVED BY THE BUILDING OFFICIAL. CITY OF D, OREGON�2';1-111 APPROVED BY C DATE�'l ATTENTION: Oregon law 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 number for the Oregon Utility Notification Center is 1-800-332 2344), NOTICE: THIS PERMIT SHALL EXPIRE iF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 100 DAY PERIOD.