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Home My WebLink AboutPermit Building 2011-7-7 S:;:.~...FIE~. .~~ L.>' :, OREGON www.cj.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01638 . IVR Number: 811129337605 225 Fifth 51 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 07/07/2011 ISSUED: APPLIED: 07/07/2011 06/30/2011 EXPIRES: VALUE: 01/02/2012 $176,743.50 SITE ADDRESS: 1195 41ST Pl, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802064109200 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential New single family dwelling lot 21 Filbert Meadows SAME AS 1197 S. 41st 51. OWNER: ADDRESS: BRUCE WIECHERT CUSTOM HOMES INC 3073 SKYVIEW IN EUGENE OR 97405 Phone Number: Contractor Type General Contractor Electrical Contractor Mechanical Contractor Plumbing Contractor CONTRACTOR INFORMATION Contractor Name BRUCE WIECHERT CUSTOM HOMES INC L & E ELECTRIC INC COMFORT FLOW HEATING CO STEVEN R JOHNSON Lic Type CCB CCB CCB CCB # of Units: Occupancy Type Construction Type Occupancy Type Construction Type # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: BUilDING INFORMATION R-3 Type VB U Type VB # of Stories: 1 Height of Structure: 17 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Gas Hazmat: No ~ Lic No Lic Exp 101717 09/16/2012 105475 03/30/2012 460 06/27/2013 65065 03/12/2012 ~ Lot Size: Phone 541-686-9458 541-933-2598 541-726-0100 541-342-3765 5930.2 1650 3 No No Path 1A Gas-fired furnace with m"in. AFUE of 90% 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: Sq Ft 1 st Floor: Sq Fl2nd Floor: Sq Ft Basement: Sq Fl Garage: Sq Ft Carport: Sq Ft Other: A TTOccupanCYrload: ,-," 11-'1\1 urego I follow rules ~do t n aw requires you to Notification Cent:: e1h by the Oregon Utility in OAR 952-001-0oio those rules are set forth 0090. You may obtain rough OAR 952-001_ calling the center (rfoPles of the rules by number for the 0 . ote:. the telephone regon UtIlIty N tT . 2008 Center is 1-800 332 0 I Icatlon - -2344), . 450 o Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit Site Information No No No No No 71712011 8:52:39AM ~ NOTICE: THIS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Page1of6 ST.~G.~I~L~ 1&1:?f , ,~ ",,"OREGON www.ci.springfield.or.U5 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01638 IVR Number: 811129337605 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 07/07/2011 ISSUED: APPLIED: 07/07/2011 06/30/2011 EXPIRES: VALUE: 01/0212012 $176,743.50 SITE ADDRESS: 1195 41ST PL, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802064109200 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential New single family dwelling Lot 21 Filbert Meadows SAME AS 1197 S. 41st 51. Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: 18 12.96 10 12.89 o DEVELOPMENT INFORMA TION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: 5 \ REQUIRED PARKING Total: 2 Handicapped: Compact: Yes 35.4 17 PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion R-3 1 & 2 family U Utility, misc. Tvoe of Construction VB VB Unit Amount Unit Tvoe 1,650.00 Sq Ft 450.00 Sq Ft Unit Cost 96.83 37.72 Value 159,769.50 16,974.00 176,743.50 Springfield Building Permit 7m2011 8:52:39AM Page 2of6 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01638 IVR Number: 811129337605 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 07/07/2011 ISSUED: APPLIED: 07/07/2011 06/30/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci,springfield.or.us EXPIRES: VALUE: 01/02/2012 $176,743.50 SITE ADDRESS: 1195 41ST PL, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802064109200 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential New single family dwelling Lot 21 Filbert Meadows SAME AS 1197 S. 41st SI. PROJECT DESCRIPTION: FEES PAID ~ DescriDtion Amount Paid Date Paid Overwidth / Second Driveway $45.00 0.7/0.7/20.11 Multiple Permit Discount (Max 2) $-30.00 07107/2011 Curb CuVDriveway 1 st Cut $88.00 0.7/0.7/2011 Sidewalk up though 90 Feet $88.00' 0.7/07/2011 Planning - Major R'!.,:"ew :.c;.ity $211.00 0.7/07/2011 Residential Fire (.0.5 Per Sq Foot) $105.00 07/07/2011 Slas Piping up to 4 outlets 514.00 0.7/0.7/20.11 First Appliance Fee ___ 579.00 0.7/07/2011 Water heater $17.00 07/0.7/2011 Single-duct exhaust (bathrooms, toilet compartments, utili 536.0.0.=.=---='.= 07lD7~ii--'-"--'. ~9.:'_hood/other kitchen equipment $13.00 07/0.7/2011 Air conditioner $17.00 07/07/2011 Furnace - up to 100.,000 BTU $17.00 07/0.7/2011 Willamalane fees - Single family detached $3,409.00 07/07/2011 Same as Plan Review Submittal $250..00 07/0.7/2011 Residence wiring 1,0.0.0. sq. ft. or less $134.00 07/0.7/2011 Each added 500 sq. ft. o,-portion $75.00 07/0.7/2011 Tem~ services 20.0. amps or less 563.00 07107/2011_... One or Two Family Dwelling with Two Bath $374.00 07/0.712011 SDC Reimbursement Cost - MWMC Regi;;~t;;;;;;-:=-=--$1 0.1 .97 ---0770712011-" SDC Credit: Improve~!".~~Cost - Storm Drai~".ge $-,1 ,083.2~_..__.._... 07/0.7/20.11 SDC: Reimbursement Cost - Local Wastewater '$3,029.56 07/07/2011 "_~________~_'0 SDC: Improvement - Transportation SDC $1,376.08 07/07/20.11 ~DC: Improvement - Transportation SDC .______ $435.43 07/07/20.11 SDC:. Reimb~~~t - Transportation SDC $497.07 ,.._ 07~.!i~~!.1,_, SDC: Improvement Cost - Storm Drainage $1,083.25 07/07/20.11 SDC~ Reimbursement ~.ost - S!~r~ Drainage $744.51 07/07/2011 SDC: Improvement Cost - Local Wastewater $1,478.67 07/07/20.11 SDC: Improvement Cost - MWMC Regional Wastewater ~ 51,333.57 07/07/20.11 SDC Credit: Reimbursement Cost - Storm Drainage $-744.51 07/0.7/20.11 SDC: Total Transportation Administration Fee $135.03 07/0.7/20.11 SDC: Total Sewer Administration Fee $370.60 07/07/2011 ~I:)g.:. Administrative Fee - MWMc:;.':'!.gional Wast,,~.. 510.00 07/07/2011 ~ompli",:"e Cost - MWMC Regional Waste~~ $22.63 07/0.7/20.11 ~tat:'_0!..?!,,~o~_~~h_a!~'!.!.12%.0~':P?licable fees) .. $22~~~_ 0.7/0.7/20.11 Tec~ology ree (5% of permit total) $104.51 .~_~7/D~.21 Admin fee 110.% of aPe~able f!"es) $10.50 07/0.7120.11 Springfield Building Permit 7/7/2011 8:52:39AM ReciDt # 20.110.0.1907 20110.0.1907 20.11001907 20.11001907 20.1100190.7 20.11001907 20110.0.190.7 2011001907 20110.0.1907 -,_.,--- 20110.0.1907 20110.01907 20110.0.1907 201100.1907 2011001907 201100.1907 20110.0.1907 20110.0.1907 20110.0.1907 20110.0.190.7 20110.0.190.7 -'- 20.1100190.7 ----- 20110.0.1907 20.110.0.190.7 2011001907 2011001907 20.1100190.7 20110.0.190.7 201100190.7 20.110.0.190.7 20110.0.1907 20.110.01907 20110.01907 2011001907 20.11001907 20110.01907 2Oi1OoT907 20110.0.1907 Page 3 of6 S~~~N~~ ~~ ~OREGON www.ci.springfield.or.U5 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01638 IVR Number: 811129337605 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, 07/07/2011 ISSUED: APPLIED: 07/07/2011 06/30/2011 EXPIRES: VALUE: 01/02/2012 $176,743.50 SITE ADDRESS: 1195 41ST Pl, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802064109200 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Newsing)e family dwelling lot 21 Filbert Meadows SAME AS 1197 S. 41st St. $38.00 07/07/2011 $1,022.14 07/07/2011 $15,194.10 2011001907 2011001907 Address Assign~~t, each new or change Structural Building Permit Fee Total Amount Paid Plan Review ~ Deoartment Structural Review Received Due Date ComDleted Result 06/30/2011 06/30/2011 06/30/2011 Approved Reviewer Chris Carpenter 'P!ari~JQ~r:~e_Vje\v\:"'t:',;":;; , ~~ ,~"i ,061~OJi~~,~~~~,q6l70/~01:1 ,,'F'-06J3,~120'1 J "", ,>ApprOV:d<':,?t' :~~-, ~:,T~~a ;40Jles,':~ "'~"}'< ,'~.f. ',r_ .-;." ~" --~- :~ '~7J ~H. ~'O~~~ht~~'t";8J~nt~st;~et;r~~s' a~sho&~'orrt~e~'~~ej't~~.e'pian~tt~~h~6 t'O ~e7mif;~'sp~~i~s:as ~~O~',~:i~a'ltper;leav~,SpeCjes'.n~me: - ';, \'.;' ,,-,.,~_,<, ~,-.HOrli~~!l::~-RPloved~";,i ~~ '., -j<'~~~~i-J~ ~:-,',:,: ';'~_'-'^.'J-'i';f .-\)?~~ ~~;;~;:; :~.~.~~ - ,~"- . '-'," ,-, . :.. Public Works Review 06/30/2011 06/3012011 06/30/2011 Approved Kaye Wilson Comments: S10rm water to curb/weep hole ISt:uC!~r:E~~Vie:,. '"h~!.::~6j!B:~~Y~~,;w~f:::~/~9/tS":' 1ti~~l\;!L~1~~r(i~~r:: ~arp:~ter :,~,' ",? ;h" Application Acceptance 06/30/2011 06/30/2011 06/30/2011 Application Accepted Chris Carpenter -;. ',: 1 -~ . .-,~ -t}-.. . 1 , I Permit Issuance 07/01/2011 07/01/2011 07/07/2011 Issued Chris Carpenter Springfield Building Permit 7/7/2011 B:52:39AM Page 4 of 6 www.ci.springfiefd.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01638 IVR Number: 811129337605 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 07/07/2011 ISSUED: APPLIED: 07/07/2011 06/30/2011 EXPIRES: VALUE: 01/02/2012 $176,743,50 SITE ADDRESS: 1195 41ST PL, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802064109200 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: ,Residential New single family dwelling Lot 21 Filbert Meadows SAME AS 1197 S. 41st SI. INSPECTIONS REQUIRED ~ Inspections 1020 Zoning/setbacks 1090 Street Trees 1110 Footing 1120 Foundation 1160 UFER Ground Footing: After trenches are excavated. 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. Post and Beam: 'Prior to floor insulation or decking. 1170 Post & Beam 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1410 Underffoor insufation 1420 Insulation Vapor Barrier 1430 Insulation Wall Wall Insulation: Prior to cover. 1440 Insulation Ceiling 1520 Interior Shearwall Ceiling Insulation: Prior to cover. Shear Wall Nailing: Before covering sheathing with finish materials. 1530 Exterior Shearwall 1540 Gypsum Board/Lath/Drywall Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum, board, interior and exterior are in place, but prior to plastering. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this poirlt. 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. 1999 Final Building 2200 Underfloor Mechanical 2210 Underlloor Gas 2260 Gas Service ' 2300 Rough Mechanical 2310 Rough Gas 2995 Final Gas 2999 Final Mechanical 3130 Footing/Foundation Drains 3170 Underlloor Plumbing Underfloor Plumbing: Prior to insulation or decking. 7f712011 B:52:39AM Page 5 of6 Springfield Building Permit S~~~\N.G.:.IE~ ~""S,,/- ".,,,, ~ . '-~~,.,:, OREGOM www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01638 IVR Number: 811129337605 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 ISSUED: APPLIED: 07/07/2011 06/30/2011 EXPIRES: VALUE: 01/02/2012 $176,743.50 07/07/2011 SITE ADDRESS: 1195 41ST PL, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802064109200 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential New single family dwelling Lot 21 Filbert Meadows SAME AS 1197.5. 41st 51. 3200 Sanitary Sewer 3315 Water Line Sanitary Sewer Line: Prior to filling trench and including required testing. 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. 3500 Rough Plumbing 3999 Final Plumbing 4000 Temporary Power Service 4120 UFER Ground 4225 Service or Feeder 4500 Rough Electrical 4999 Final Electrical Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature. I state and agree, that 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. oCk!:.ctor Signature 7/7/e., , . Date Springfield Building Permit 7n12011 8:52:39AM Page 6 of6 SrR....~G_ FIE~ ' ~.."" '~:+i~ ;"iI;;;' ,~ ';,' ;:>~ OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541.726-3753 www.ci.springfield.or.us 811-SPR2011-01638 1195 41ST PL permitcenter@cLspringfield.or.us l JiA YMENT2!'YPE Check RECEIPT NO: 20.110.0.190.7 RECORD NO: 8h-SPR2G11-G1638 DATE: 0.7/0.7/20.11 ,DESCRIRTION .~J ":.,;..:c.,l'..:c"~;';;"""';~'~_'",-,,:,.;.J:";~'., 'ACCOlJN:f;.CODEl_...".;,,,:G;,.:AIVIOUN:I;DUE.-'-'-___ ~;j Address Assignment, each new or change . __ __E4:9_GGGQ-4256Q2 ____ 38.0.0. _.__ Admin fee (10.% of applicable fees) 224-0.0.0.0.0.-42660.5 10.,50. Air conditioner 224-0.0.0.0.0.-42560.4 17,0.0. Curb Cut/Driveway 1st Cut 20.1-0.0.0.0.0.-4280.60. 88.0.0. Each added 50.0. sq. ft, or ~ortion 224-0.0.0.0.0.-42610.2 75,0.0. First Appliance Fee 224-0.0.0.0.0.-42560.4 79.0.0. Furnace - up to 10.0.,0.0.0. BTU 224-0.0.0.0.0.-42560.4 17,0.0. Gas Pipin~..~p~o 4 outlets __ 224-0.0.0.0.0.-42560.4 14.0.0. Multip,I<:.f:~i.S;:~~nt \Ma2'.3.l__ 20.1-0.0.0.0.0.-4280.60. ,...___.__. -30..0.0. _ One_o! Two Family Dw<:!l~g_w.~..Iwo Bath_____ 224-0.0.0.0.0.-42560.3 374_~_____ _.. Ov-,,~idt~~c~.d_Drive~'!Y...____.__...._.___ ____~1-QQQQQ:428Q6Q ___~5,QQ ___ _'''__ __ Planning - Major_Re~iew - City 100.-0.0.0.0.0.-425002 211,0.0. Range hood/other kitchen equipment 224-0.0.0.0.0.-42560.4 13.0.0. Residence wiring 1,0.0.0. sq. ft, or less 224-0.0.0.0.0.-42610.2 134.0.0. Residential Fire (.0.5 Per Sq Foot) 10.0.-0.0.0.0.0.-4240.0.5 10.5.0.0. SDC Credit: Improvement Cost - Storm Drainage 440.-62243-650.117 -1,0.83.25 SDC Credit; Reimbursement Cost - Storm Drainage 441-62243-650.117 -744,51 SOC; Administrative Fee - MWMC Regional Wastewater SOC 611-0.0.0.0.0.-42660.4 10.,0.0. .~'2.~;..~~'p~iance Cost - MWMC Regional Waste~r SDC 444-0.0.0.0.0.-42660.7 22.63 _.._SD~;,~mprovement - Transportation SDC 447-0.0.0.0.0.-4480.27 '_'___' 1,811.51 SDC: Improvement Cost - Local ~astewater 443-QQQQQ-~48Q~_ __._______._____. 1,478,67 _!"i:)Ec!.mprovement Cost - MWM~_Reg~~nal,'::'!.ast:water SDC __445-9QDg~~48Q25 "..__.. ___. ____..._ ..2,-~~~E____ .__ SOC: Improvement Cost - Storm Draina~e 440.-0.0.0.0.0.-4480.28 1,0.83.25 SDC: Rei~ment - Transportation SDC 446-0.0.0.0.0.-4480.26 497,0.7 SOC: Reimbursement Cost - Local Wastewater 442-0.0.0.0.0.-4480.24 3,0.29.56 SDC: Reimbursement Cost - MWMC Regional Wastewater SOC 444-0.0.0.0.0-448024 10.1.97 SDC: Reimbursement Cost - Storm Drainage 441-0.0.0.0.0.-4480.29 744,51 SDC: Total Sewer Administration Fee 719-0.0.0.0.0.-42660.4 370.,60. SDC: Total Transportation Administration Fee 719-0.0.0.0.0.-42660.4 135,0.3 Same as Plan Review Submittal 224-0.0.0.0.0.-42560.2 250..0.0. Sidewalk up though 90. Feet 20.1-0.00.0.0.-4280.60. _____________ 88.0.0. ________. Single-duct "."~ust (~thr(~~~~oilet ~p~rtm,,!:,_~-,,-tilitL.'.'O~_224-QQQQQ-4256Q4 36.0.0. State of Oregon Surcharge (12% of applicable fees) 821-0.0.0.0.0.-2150.0.4 223.34 -~._-- . '^', " ~-_._._--,- Structural Building Permit Fee 224-0.0.0.0.0.-42560.2 1,0.22.14 Technology fee (5% of permit total) 10.0.-000.00.-42560.5 10.4.51 Temp services 20.0. amps or less 224-0.0.0.0.0.-42610.2 63.0.0. Water heater 224-0.0.0.0.0.-42560.4 17,0.0. 'Mllamalane fees - Sin~le family detached 821-0.0.0.0.0-215023 3,40.9.0.0. TOTAL DUE: 15,194.10 -COIVIMENTSiil,j",:;;;~11~~ :,:,[,,2,,' AMOUNl'PAlb ;,- $5,694.10 20.676 ~. :~,. ipAY.OF!'.~~ ~",t~ ~CA~.;~tER: '9CA-RP.~NtER';- BRUCE WIECHERT CUSTOM HOMES INC " ;"1 ,.........-.,' t; f'; ~ 4-:> Structural Permit Application I @u'\'?@iI~(Ql@!il9~ 225 Fifth Street. Springfield, OR 97477. PH(54/ )726~3753 . FAX(S41)726.3689 lien S Lf IS.\- S +V-at' DEPARTMENT USE ONLY Permit no.: 5/ /,-1 {pJ6 Date: (Q , This permit is issued under OAR 9t8-460~0030. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL 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: DYes DNa CATEGORY OF CONSTRUCTION o Government PROPERTY OWNER Name: W ;c c-k.. r Address: 5 u 'c W City: c:. V StateO ~ Phone: t;g: Fax: E-mail: :~ e-t... ,,- \4l,,,-.) c2.- ~ i'-c~r . v "i- l1lis installation is being made on residential or farm property ovmed by me or a member ofm)' immediate family, and is exempt from licensing requirements under ORS 701.010. Sign here: City: Phone: E-mail: Print name: 7r7 lrJe,,'<>-.<..- Signature: SUB-CONTRACTOR INFORMATION NUffiC Eleelrical Plumbing Mecbanical CCB License Number +-/7 S \."'},; "fu.,~ 1"1.'"-' Phone Number FEE SCHEDULE 1. Valuation information (a) Job description: N,,;:vJ SlrJ(, Le ,..~ VI. " .. . Occupancy ..e ('-^ Construction type: \IK Square teet: 17(,"( / 1'3<:. c;.. Cost per square foot: Other information: Type of Heal:;;'yq ~ J4 . Energy Path: J r'\ [3'Uew o alteration D addition (b) Foundalion-only permit? Dyes 1:31'10 Total valualion: /?t, 'It{ rSD I $1Y.I\o" 2. Building rees ~ (a) Permit fee (use valuation table): / (b) Investigative fee (equal to [2a1): $ (e) Reinspection ($ per hour): $ (number of hours x fee per hour) (d) Enter 12% surcharge (.12 x [2a+2b+2c]): $ - (e) Sublotal offees above (2a through 2d): $ 3. Plan review fees . (n) Plan review (65% x pernlit fee [2a]): $2S0~ (b) Fire and life safety (40% x permit fee [2a]): $ (e) Sublolal orrces above (33 and 3b): $ 4. Miscellnneous fees f:7!J- (8) Seismic fee, J%(.OJ x pennit fee pal): $ TOTAL fees and surcharges (2e+3c+4a): s /I..( 'f > "I ( "2.2..1 M\-- t'l<;:i::" 225 Fifth Street. Springfield, OR 97477. PH(541)726-J75J. FAX(541)726-J689 . DEPARTMENT USE ONLY Electrical Permit Application CITY QF SPRINGFIELD, OREGON ~3Y r 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. .. . c 'LOCAL ~OVERJilMEJilT A~PRO'l AC' '", " ;.,ct. .. I"EE;SCHE[)U[Ei'" ':~::.r~:;,>; ~'<:' :,~~W}it ,~..',t".;,; ". . Zoning approval verified? DYes DNo .Number o(inspectio~s perite.~.(). Q1Y. Cost Total CATEGORYOFCONSTRUCTIOf;j' ': ., ." 08;, . cost .. ..... '.' Residential, per unit, service included: o Residential I 0 Government T 0 Commercial ~~E!lWJ.OB';;Sltl:'INF()RMATIOf;jYAN[)ILoCA1710tf,;;:>'i;';': 1,000 sq. ft. or less (4) J $134.00 $f"jl.; Each additional 500 sq. ft. or portion ./ Job site address: i/Cf)" 5 '1/5-/- F' thereof :5 $ 25.00 $ '1) City: Sdll- State: I ZIP: Limited energy (2) $ 32.00 $ Reference: \(]f)') OlnA '-\ T Taxlo!.: [J.J.r Ll Y ) Each manufactured home or modular $ 63.00 $ DESCRIPTION OF WORK". "c":":;"':' dwelling service or feeder (2) ~ 1'\('\ ~. \ V" ~'~I "t) n " All 1 Services or feeders: installation, alteration, relocation ~ \:! I~r . 9nll~ 200 amps or less (2) $ 81.00 $ . . .PROPER-n OWNER.' . '. 201 to 400 amps (2) $ 95.00 $ Name: e,nlU Wi t'J-.U\ CJ;.+o", 401 to 600 amps (2) $158.00 $ Address: 307 :s sit li v,el..J )foJ 601 to 1,000 amps (2) $205.00 $ City: (Uf1 e.J-<-.o State: 01\.. I ZIP: "/710) Over 1,000 amps or volts (2) $469.00 $ Phone:SW~ba6 Of 'W'l I Fax: GV/-'3Yf";,3(, -z. Reconnect only (2) $ 63.00 $ E-mail: [,.1. a_\""~jo- \..~~5 e r^Mc,...<;.+ ,Nc.r Temporary services or feeders: installation. alteration, relocation This installation is being made on residential or farm property 200 amps or less (2) j $ 63.00 $bS owned by me or a member of my immediate family. This 201 to 400 amps (2) $ 87.00 $ property is not intended for sale, exchange, lease, or rent. OAR 401 to 600 amps (2) 479.540(1) and 479.560(1). $126.00 $ Signature: Over 600 amps or 1,000 volts, see services or feeders section above 'C.ONTRACTOR INSTALLATION. . . Branch circuits: new, alteration, extension per panel - Business name: I-~e F/ ~c;+v: c.. a. Fee for branch circuits with purchase of a service or feeder fee: Address: q Z g 3 3 -:5ov-es Ac.yeS Each branch circuit 1 $ 6.00 $ City: S"'~ \~ State: 0 rt. I ZIP: "17 '(/3 b. Fee for branch circuits without purchase of a service or feeder fee: Phone:S~1 -,tl - 4r"l~ I Fax: CJl.fr 4.:f.l- Lsqr3 First branch circuit (2) $ 55.00 $ E-mail: Each additional branch circuit $ 6.00 $ CCB license no.: I OS' 47S" BCD license no.: 3'03 G- Miscellaneous fees: service or feeder ~ot included Signing supervisor's license no.: '11 7 ,,/-S"' Each pump or irrigation circle (2) $ 63.00 $ Print name of signing supervisor: /;;'\) Oe "0.... tie.,... Each sign or outline lighting (2) $ 63.00 $ Signature of signing supervisor: c,' (~) f)~() \J-&~ Signal circuit or a Iimited-energy_panel, $ 63.00 $ alteration, or extension (2) Each additional inspection: (I) $58.00 $ ~~~ :,.i':;;!:i~~:\:~;;:F>(2",\AR"titAlIitFUSE\; ........:/..;;:.:'. . . . . - : . - . . . .. - "," . . (A) Enter subtotal of above rees (Minimum Permit Fee $58.00) $ 277- (B) Enter 12% surcharge (.12 x [AD $ J2-tI ~& . (e) Technology Fee (5% of [AD $ r~~ TOTAL fees and surcharges (A through C): $ ?/l'ZV 440-2584-J (9/08/COM) . 2~ willamalane .' t.'W . Park and Recreation District . Job. No. >1/-/05/ PARK AND RECREATION SYSTEM DEVELOPMENT CHARGE WORKSHEET January I-December 31, 2011 .NAME: . W/t;7!.Ih:~ ADDRESS::.0?3' . SWt4~ C1TY:67A-c; .... PHONE:' ~~ ~rJ. . . STATE:~ ZIP: 7?C(C>~ LOCATION OF PROPOSED BUILDING SITE: ) Stre~~Addr~s~: / /9S-'S:-~ i(7;r /?L . PI~t Name: nt-8tf)Z...r IJlIJWS . Tax Lot Number: / ,Fu2 (/6'(1 t:' 7.249 1. DEVELOPMENT TYPE (Refer to development type definitions on the reverse.) A. Single-Family Detached NO. OF UNITS / X $3,409 per unit '= $ J"f'CJ7 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 $1,705 per unit =' ~ '. -. 2... SDC CREDIT (Ifapplicable.-SDC payer must furnish proofof ..~.. credit approval.) .. . ($ 3. TOTAL PARK AND RECREATION SDC ASSESSED $ ;10/0 , c&- . ef/ .7.::1/ II Date of building permit submittal ~7 ~ ri~ II Date of building permit issuance City of Springfield ...~ City of Springfield l'~RAYMEN-r;ryRE: p.; ,:;RAYOR: ,"",).;rCAs8lER,TCCAR!,~NTERi, Credit Card BRUCE WIECHERT CUSTOM HOMES INC RECEIPT NO: 2011001907 RECORD NO: 811-SPR2011-01638 DATE, 07/07/2011 IbESCRiF,'TlbN,~';_;.':-~' '.;:''.L:i:;-~:.':J:~J6.1:i'."..i'.~~;'- ACCOUNf:cODE:'.;;';;'~'io"AMOUNt:bUE' <.:s.;;",-"! _ Address ./"ssi9!'rTlent, each new or change 224-00000-425602 38.00 Admin fee (10% of_"1'plicable fees) 224-00000-426605 10.50 Air conditioner 224-00000-425604 17.00 Curb CuUDriveway 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 Furnace - up to 100,000 BTU 224-00000-425604 17.00 ~'!.s Piping up to 4 outlets 224-00000-425604 14.00 __~ultiple ':,ermit Dis,:ount (Max 2) 201-00000-428060 -30.00 . One a; ::V:~S!rT1ily Dw_e~i~.9.:v.i!h_::w-" _B!t~___ .__.~2~:9E.~~56~.._ 374.00 __ _~v':rwi~h~ ~:_c?'2.d~r"::.w--"r_____.____ ___ ______....321-00~.~~__. 4502._ .___. ..._ Planni~g - Major Review. City 100-00000-425002 211.00 Range hood/other kitchen equipment 224-00000-425604 13.00 Residence wiring 1,000 sq. ft. or less 224-00000-426102 134.00 Residential Fire (.05 Per Sq Foot) 100-00000-424005 105.00 SDC Credit: Improvement Cost - Storm Drainage 440-62243-650117 -1,083.25 SDC Credit: Reimbursement Cost - Storm Drainage 441-62243-650117 -744.51 SDC: Administrative Fee - MWMC Regional Wastewater SDC 611-00000-426604 10.00 SDC: Compliance Cost - MWMC Regional Wa~tewater SDC 444-00000-426607 22.63 _~~: ImE'~e:ment - Transportation S,i)C 447-00000-448027 _.._...__ 1,811.51 SDC: Improveme:"t Cost - Local Wast:.w3'~e:.c._.__. ._ 443-00000-448025 1,478.67 __~EC ImR~~em,:~t~_~~~- MWMC Reglon~~!0'aste~te~~ 445;00000-448025 '. _._____ .._- __ .2-.~33.5.! _____ ._. ~pC _lmpr.o_v!rTl~'2.~~ - Storm Draln~g-"._.._____~~~.~A8028 _____.1.,E~~~__ __ ~C: Reim~~"ment - Transportation SDC 446-00000-448026 497.07 SDC: Reimbursement Cost - Local Wastewater 442-00000-448024 3,029.56 SDC: Reimbursement Cost - MWMC Regional Wastewater SDC 444-00000-448024 101.97 SDC: Reimbursement Cost - Storm Drainage 441-00000-448029 744.51 SDC: Total Sewer Administration Fee 719-00000-426604 370.60 SDC: Total !ransportation Administration Fee 719-00000-426604 135.03 Same as Plan Review Submittal 224-00000-425602 250.00 Sidewalk uP,t~ough 9.0 Feet 201-00000-428060 88.00 __~n.9le-duct exha~~a~~;?~ms, toil:~rnJa~rn".!'~ti~i!y~224-00000-~?5604 _ _,_, 36.00 _~tate~ Oregon Sur.<:~rge J.1.?:~~f appli:~~le_~,,~L____ __,. .~_1-~0~E~~!~~~____.___. 223.34 Structural Building Permit Fee__?2~:0000D:-42~6g.2___ ________.___ 1 ,022.~_ _____ Technology fee (5% of permit total) ._10D:-~C>.OOO-4256g5__ 104.?1____ Temp services 200 amps or less 224-00000-426102 63.00 Water heater 224-00000-425604 17.00 Willamalane fees - Single family detached 821.00000-215023 3,409.00 TOTAL DUE: 15,194.10 ,COMNlE~!:i.;(\~i.__-..':'";:.'AMOl.iNTPAID.t.- ,. - ,J $9,500.00 04582d TOTAL PAID: $15,194.10 0000 :0000 0000.• 0000 0000.. s • • ••.• •.0. 00 .• • • 0000 0o••• • • o . • •• . •. . .. 0000 0000. 000.0 ••• G A o "' VQns�� L c 1-2 i V fTI � ` V LLJ g.r r A Q O C? 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