HomeMy WebLinkAboutPermit Building 2011-7-5 (2)
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00339
IVR Number: 811182134591
www.ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
07/05/2011
07/05/2011
03/04/2011
SITE ADDRESS: 545 MOUNTAINGATE DR 3, Sprin
ASSESOR'S PARCEL NO: 1802032101800
SCANNED
225 Fifth 5t
Springfield, OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permilcenter@cLspringfield.of.us
EXPIRES:
VALUE:
12/31/2011
$183,071.72
o ~ 51'2.)
~'\).\
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Single family residence #3
Phone Number:
OWNER:
ADDRESS:
HAYDEN HOMES llC
2464 SW GLACIER Pl STE 110
REDMOND OR 97756
Contractor Type
Electrical Contractor
General Contractor
Plumbing Contractor
Mechanical Contractor
Contractor Name
CONTRACTOR INFORMATION
Lic Type
CCB
CCB
CCB
CCB
GARNER ELECTRIC CO
HAYDEN HOMES LLC
GO PLUMBING & HEATING LLC
PACIFIC AIR COMFORT INC
~
Lie No Lie Exp
121159 03/14/2012
172526 10/1112012
193589 04/01/2013
39237 03/25/2012
~
Lot Size:
Phone
503-648-4552
541~923-6607
503-507-5350
541-672-9510
BUilDING INFORMATION
# of Units:
# of Stories: 2
Height of Structure: 27
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Gas
Hazmat: No
Occupancy Type
Construction Type
Occupancy Type
Construction Type
R-3
Type VB
U
Type VB
# of Bedrooms:
Sprinkled Building:
Fire Alanns:
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:
3
No
No
Path 2A Certified
performance.tested
duct system
4279
744
992
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq EtOther' 0 .
ATTl:I~IIUI~: Oregon law requires you to
follo~'\'U'.'l.aJ'WJb'P\\I':d 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),
397
2008
Site Information
~
Engineered Fill:
Fill Volume:
Flood Hazard Area:
land Hazard Area:
Retaining Wall:
Soils Report Required:
Yes
No
No
Yes
Springfield Building Permit
7/5/2011 9:35:56AM
NOTICE: .
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Page 1 of 7
SPR.IN..G.FIEL~
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. E'+:. \, OREGON
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00339
IVR Number: 811182134591
225 Fifth SI
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
03/04/2011
EXPIRES:
VALUE:
12/31/2011
$183,071.72
SITE ADDRESS: 545 MOUNTAINGATE DR 3, Springfield, OR 97478
ASSESOR'S PARCEL NO: 1802032101800
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Single family residence #3
DEVELOPMENT INFORMATION ~
Frontyard Setback: 34 Overlay Dist: Hillside REQUIRED PARKING
Interior Setback: 7 # Street Trees Reqd: 2 Total: 2
Sideyard Setback: 5 Paved Drive Reqd: Yes Handicapped:
Rearyard Setback: 17.5 % of Lot Coverage: Compact:
Solar Setback: 30 Highest point on structure
to north property line: 24
PUBLIC IMPROVEMENTS ~
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
storm water to storm sewer. Note: sewer utilities have not been accepted by the city at this time.
Fully Improved
Storm Sewer
Yes
Sidewalk Type: Curbside 5'
Downspout/Drains:
No
Valuation Description ,
Oescriotion
R-3 1 & 2 family
R-3 1 & 2 family
U Utility, misc.
Tvoe of Construction
VB
VB
VB
Unit Amount Unit Tvoe
744.00 Sq FI
992.00 Sq FI
397.00 Sq FI
Unit Cost
96.83
96.83
37.72
Value
72,041.52
96,055.36
14,974.84
183,071.72
Springfield Building Permit
7/5/2011 9:35:56AM
Page 2 of7
SCi~~.N:-. FIE~
~$
~OREGON
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00339
IVR Number: 811182134591
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permilcenter@cLspringfleld.or.us
PROJECT STATUS:
STATUS DATE:
Issued
07/05/2011
ISSUED:
APPLIED:
07/05/2011
03/04/2011
EXPIRES:
VALUE:
12/31/2011
$183,071.72
SITE ADDRESS: 545 MOUNTAINGATE DR 3, Springfield, OR 97478
ASSESOR'S PARCEL NO: 1802032101800
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Single family residence #3
FEES PAID
~
Description Amount Paid Date Paid ReciDt #
Structural Plan Review Fee Residential $473.92 03/04/2011 2011000400
---- .~----""- ,...."------_.~'..------- ----------_._---,---
SDC: Improvement - Transportation SD~. _.~__.!1.8115~__ 07/0513012..___._ 2011201864
SDC: Total Transportation Administration Fee $133.98 07/05/2011 2011001664
SDC: Improvement Cost - Local Wastewater $1.928.70 07/05/2011 2011001864
SDC: Reimbursement Cost - MWMC Regional Wastew,,-t. $101.97 07/05/2011 2011001864
SDC: Improvement Cost - MWMC Regional Wastewater ~ $1,333.57 07/05/2011 2011001864
SDC: Compliance Cost - MWMC Regional Wastewater SI $22.63 07/05/2011 2011001664
SDC: Administrative Fee. MWMC Regional Wastewater: $10.00 07/05/2011 2011001864
SDC: Total Sewer Administration Fee $396.17 07/05/2011 2011001864
.._._...__...._-_.. ~_.._~_....__.~_._._-
Structural Plan Review Fee Residential $208.99 07/05/2011 2011001864
Residential Fire (.05 Per Sq Foot) $106.65 07/05/2011 2011001864
Planning - Major Review - City $211.00 07/05/2011 2011001864
!:.<:idres~s~i~_ment, -e-;ch new or~~';-'-=:~~-=='= $38~0 --===- 07/0~2011 2011001864
!::.~".l. Applrance Fee $79.00 07/05/2011 __'__ 2011001864
Gas Piping up to 4 outlets __ $14.00 07/05/2011 2011001864
Single-duct exhaust (bathrooms, toilet compartments, utili $45.00 07/05/2011 2011001864
Range hood/other kitchen equipment $13.00 07/05/2011 2011001864
~malane fees - Single family detached $3,409.00 07/05/2011 2011001864
One or Two Family Dwelling with Three Bath $439.00 07/05/2011 2011001864
Residence wiring 1,000 sq. ft. or less $134.00 07/05/2011 2011001864
Eac~ added 500 sq. ft. o~p~rli?n $75.00 07/05/2011 2011001864
Tem"..services 200 amps or less __.!~3.00 07/05/2011 2011001864
Furnace - up to 100,000 BTU $17.00 07/05/2011 2011001864
Air conditioner $17.00 07/05/2011 2011001864
Admin fee (10% of."pplicable fees) $10.67 07/05/2011 2011001864
Technology fee (5% of permit total) $99.23 07/05/2011 2011001864
::>~ate of Oregon Surcharge (12% of applicable fees) $233.60 07/05/2011 2011001864
~~opy $0.75 07/05/2011 2011001864
Each __additional cOEL $3.50 07/05/2011 2011001864
~!,.uctural - Additional.~e.view per hour Residential $58.00 07/05/2011 2011001864
~ Reimburs",~: Transportation SDC $497.07 07/05/2011 2011001864
SDC: Improvement Cost. Storm Drainage $560.61 07/05/2011 2011001864
SDC: Reimbursement Cost - Local Wastewater $3,951.60 07/05/2011 2011001864
SDC: Reimbursement Cost. Storm Drai;;age $385.31 ----.0775512511..........-.---- 2011 001864
Structural Building Permit Fee $1,050.63 07/05/2011 2011001864
Total Amount Paid $17,933.06
Springfield Building Permit
7/5/2011 9:35:56AM
Page 3 of 7
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SP,',',~IIN:~
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,,;"~'.' OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
www.cLspringfield.or.us
PERMIT NO: 811-SPR2011-00339
IVR Number: 811182134591
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
perm itcenler@ci.springfield.or,us
PROJECT STATUS:
STATUS DATE:
07/05/2011
03/04/2011
Issued
07/05/2011
ISSUED:
APPLIED:
EXPIRES:
VALUE:
12/31/2011
$183,071,72
SITE ADDRESS: 545 MOUNTAINGATE DR 3, Springfield, OR 97478
ASSESOR'S PARCEL NO: 1802032101800
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Single family residence #3
Plan Review
~
l~tr~ct~~lRev,eY; ---~~ ::~~81~011, - ~03708!20~ 1 '~~/o~72011. -..., .~dd:lln~o ~eqUlr~d,., ;;-' 'qhrts,C~~Ipente(
Comments' 1).Lateral engineering and beam calc's not provIded. ".., -. . '"
I ...;;;_".----.~ "" " '- _ . ... _____~_~ ~___-'_
Public Works Review 03/08/2011 03/08/2011 03/14/2011 Approved Ben Gibson
Comments: Storm water to storm sewer. Note: sewer utilities have not yet been accepted by the city,
StructllraIReview,. " ,"', 03/08/2011." 03/08/2011 " 04/08/2011 Add'llnfoRequired'" Chris Carpenter,
,- " .~~ .H'-"~r"'"" , <*>::;r;,~,.,,~, ,-/'1-""""',.-..,..,, ,.', ,.,.., ,:.".,",-, ., Ie '0 <;::,r ',',:
;:Comments; '\~e,cie,te~,,~ta~Bed(sighealdate9.:cqri~~~fylan shee.t~;aQ9:R.oye~~I~t!erJ~~~~:~oje~g~neering c,~I~ula},[on~. -.-
Planning Review 03/30/2011 03/08/2011 04/11/2011 Waiting internal Tara Jones
Comments: This permit needs to be reviewed by the planner who did the site plan review (Andy Limbird). Waiting for Andy to go over
this with me,
[PfanningRevieJ)~*",w:~:'~03/30/20i'lt,;03/08,l20AJ:""06/24/,201{"",~p.i?ve9~": ,.;, 'TIra~oDe*, _ ., "
I Comments:" ~Tt}e~a~ky,ard,ti-eem\lst~e"conj!erous,:at~le~st8:'.nigh"and ,s~,I~~te<!..trOrn"th~.I!Srof'''NaUve'1feeS'in/~ill:;;ide, . '_
~ . ' Development" inthe:str~:ethancr6ut.':'- Planting tbe ba~kyard~ree:is'a'condition of occ.upancy,,' (Condition 2'1)" '. , .
r ,*'Tfee~ that ar~,to'.be~~tc;irie-q,>~t~in,!~e .15~foO~VI1d,e,l~rl~~9.aP.,~~c9u~_er~~ti9~_ ~~se'!lents ~l1dTr~ct'_A:'sha!t~e.protected
i', ..... i.';frQm'conS~rl,lmlOnlrnR~fts~bYI~stalla,tlo~,'of",approprla~e b~rne~fenclng;"(CoodllIQn 22):. 'V,,;", .," l' ,,"r:
! "'Prior to,issuanCe-?!,fi~aJ,Pcc,upa~cy, ~he;front/~hd.r~ar yard.trees'sh~U;b,e,iinstalled as. generally depicted, onthe'site':
!".. ,-.. , la_ndsl::~pt~g pla'6'" 'Jh~;t~ees:gJ1.?)f;me}~t'the plan1i~grEfq~ife[1Jgn!'iVQf,J>~tr"e.:e~trees"as outlined in t~e stree"t~reech~Qdo~fo 0-'
r:,":~~:' ~-~"_,,,(g'ondition'2i); .. :-"<:)~~1?j'fr:":4'~~:b(~ }~~t ~?,,"'; _ h,'~, .'" ,,'-\R,*i,,";'::;,:':~~~iJ.t~';~:_>:~,~,~~, ,_r' ,:,:' ,,'" ~.. j:'~
\:,; ~:""~~~ '._~ "~Frgf)tCiqd,,;rt:~ir.~I~v?!io~s..?g{;sjt~,specific 'and'i::ontain'r~qUire.d',de:sJgn~ieri1erts~;4IrisPSCtors will "fie'lcfctleck_ that
~'J:,. ',_ ;~'elevatfon,s1matctf"submjtteddErsighsas sh9wn;9ntherCiPR~rpved'\$,et:ofplans:, ;,,:;1 _" ';, . "~, "" "
:, ' ,",--::" ,', "~Jhe~"15:~Conservation. Easementtnustbe fenced:\yith1orengELcon"struction'febeing, Native vegetation to be preserved
./;',': .:.....~ ~:;I~;~~s~;i~~~~I~~;~~~d~~1~!~:~~~~;~;~~~n:j~6j}j~~i;:l~:~ssuc~:~eu~.~~~::.~~~i'c~I,+ara .
Structural Review 03/08/2011 03/08/2011 06/28/2011 Approved Chris Carpenter
Deoartment
Phone Call
Received Due Date Comoleted Result
03/08/2011 03/08/2011 03/08/2011 Event occurred
Comments: Left message for Eric Hendricson requesting engineering,
Application Acceptance
Application Accepted
03/04/2011 03/04/2011 03/08/2011
Reviewer
Chris Carpenter
David Bowlsby
-
"~.
, "
"
',I
, "
<<,"{-.-cO
I
I
..
~uti!t9-,yvor~s 13:yreY"~- ~;; ;~ -'.
}"..c. ..~.~-:::> :~;t.'{
Planning Review
:'O"3/0~/~,q11~08/2011 "'06/30/201,1' R~~:ed~~.~, ; :. : :ChnsCarpenter ',' : ' :_1
.':~' 5~::~,<-~~_.,_,,_~~=: M>t'~ -'. :..::.:......~:.::.~~-.:=-.....:~"_~>-..:_-::-'_:._!;:.:..._~~_~
,>;~'03/08/io~03~9812QJ:1 j(.{.Q613.9!29;!,j;:.. ,ReView. -'~ ~~ ';P 4&'. ':'.Chns Carpenter
:t.%;: ,,~,;,~ ;,,' :",'^'.' U 0'.' '"'~'," " .~:'~ t::~. ,_;, ,ill.../. ~ '" ,'II
:~=:~~~':~'~<L ,j ,. . ',;,' - "~~_' .' .-
Public Works Review '03/08/2011 03/08/2011 06/30/2011 Approved Kaye Wilson
Comments: Storm water to storm sewer. Note: sewer utilities have .001 yet been accepted by the city. Checked site plan,
plans. Original plan review by Ben Gibson on 3-14~2011
Springfield Building Permit 7/5/2011 9:35:56AM
03/30/2011 03/08/2011 06/30/2011
Routed
rStilTci~;aIRev;ew . : ~':
L:f,,"~I-,'_,':':~"~:\;',ZJi
Chris Carpenter
,~---:'
,
,
~1
'A
reverse
Page 4 of7
WWW.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00339
IVR Number: 811182134591
225 Fifth 51
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
pennitcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
07/05/2011
ISSUED:
APPLIED:
07/05/2011
03/04/2011
EXPIRES:
VALUE:
12/31/2011
$183,071.72
SITE ADDRESS: 545 MOUNTAINGATE DR 3, Springfield, OR 97478
ASSESOR'S PARCEL NO: 1802032101800
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Single family residence #3
r~t~U:~~:~!(i~'1~~~ii~p~;~~;~~:f-~~Oj1..:7~OiV0.rAPf~~:d;~r~~g:;!.';f;J~ S~[;~~j~\~[~;'i:;~;-:>~~~+-_f :"!
Planning Review 03/30/2011 03/08/2011 07/01/2011 Approved Tara Jones
Comments: Solar setback did not change under the revised plot plan. All original comments apply.
:~ 0'7/05/201 ('~.-.'I~~~~;~~-'~::-:-,;' ::l~ .?:.c,p.'r~f~?~~.entJr-;-::- "..:, ' .) '_:-~;'_~~~ _.H:-_. ---:~!
~. .'d..
Inspection
Comments: Inspection in process
07/05/2011
In Process
Robert Castile
Springfield Building Permit
7/5/2011 9:35:56AM
Page 5 of 7
SP~I...N..G.F IE.L~
.~~
"'~" ~
,",c;;:~ ~REGON
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00339
IVR Number: 811182134591
225 Fifth St
Springfield,OR 97477
Phone. 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permilcenler@ci,springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
07/05/2011
ISSUED:
APPLIED:
07/05/2011
03/04/2011
EXPIRES:
VALUE:
12/31/2011
$183,071.72
SITE ADDRESS: 545 MOUNTAINGATE DR 3, Springfield, OR 97478
ASSESOR'S PARCEL NO: 1802032101800
SCOPE: Single Family Residence
WORK INVOLVED: New
lYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Single family residence #3
INSPECTIONS REQUIRED ~
Inspections
1090 Street Trees
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
WalllnsuJation: 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/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
2210 Underfloor Gas
Underfloor Gas: After line is installed and required testing and capped if not attached
to an appliance.
Gas Service: After line is installed and line has been connected to a minimum of one
appliance including required testing. Presure test done at this point.
Rough Mechanical: Prior to Cover
Rough Gas: After line is installed and required testing and capped if not attached to
an appliance.
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
2260 Gas Service
2300 Rough Mechanical
2310 Rough Gas
2995 Final Gas
2999 Final Mechanical
3130 Footing/Foundation Drains
3170 Underfloor Plumbing
3200 Sanitary Sewer
Underfloor Plumbing: Prior to insulation or decking.
Sanitary Sewer Line: Prior to filling trench and including required testing.
3315 Water Line
3400 Storm Sewer
Storm Sewer Line: Prior to filling trench.
Springfield Building Permit
7/512011 9:35:56AM
Page 6 of?
www.cLspringfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00339
IVR Number: 811182134591
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
07/05/2011
ISSUED:
APPLIED:
07/05/2011
03/04/2011
EXPIRES:
VALUE:
12/31/2011
$183.071.72
SITE ADDRESS: 545 MOUNTAINGATE DR 3, Springfield, OR 97478
ASSESOR'S PARCEL NO: 1802032101800
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
3500 Rough Plumbing
3999 Final Plumbing
Single family residence #3
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
4000 Temporary Power Service
4120 UFER Ground
4225 Service or Feeder
4500 Rough Electrical
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
4999 Final Electrical
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the
Ordinances of the City of Springfield and the laws of the State or Oregon pertaining to the work described herein, and that NO
OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further
certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree
to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the
permit card is located a front of the property, and the approved set of plans will remain on the site at all times during
constru tion.
1/s(!1
Owner or Contractor Signature
Date
Springfield Building Permit
7/5/2011 9:35:56AM
Page 7 of 7
SP~IN...G..FIE~LO
...~~'
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OREGON
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth 8t
Spr(ngfiefd,OR 97477
541-726-3753
www.cLspringfield.or.us
811-SPR2011-00339
545 MOUNTAIN GATE DR)' IV
perm itcenler@ci.springfield.of.us
["PAYMENT,t'lPE ,: .'
~~_._--
Check
38469
RECEIPT NO: 2011001864 RECORD NO: 811-SPR2011-00339 DATE: 07105/2011
[DESCRI~TION:-' \.t, <i,p.' : -~~"'":':;2..,:; ~ ':''U~~2~L,-,---)2..:ACC()UNT,-CODE: ,: , ,', '.-" ; '::"AMOUNTcDUE,'.'
_ _ _~<J<Jr,,-s~ Assi9-,,-m~~~ each ~,<:~han~___.,____ ___.1.24-00000-425602 3800
_ Adrl1~nfee.J2(),!~-"!-':r:>Plic~!:I:fe~, _ ___._ _ ,_ __ _._ J~-,:-00.l:l90-426605 ____ ____ 10,67 ____
Air conditioner 224-00000-425604 17,00
Each added 500 sq. ft, or portion 224-00000-426102 75,00
Each additional copy 224-00000-425602 3.50
First Appliance Fee 224-00000-425604 79,00
First copy 224-00000-425602 0.75
Furnace - up to 100,000 BTU 224-00000-425604 17,00
Gas Piping up to 4 outle!s 224-00000-425604 14.00
One or Two Family Dwelling with Three Bath 224-00000-425603 439,00
Planning - Major Review - City 100-00000-425002 211.00
Ra,,-g~ ho~o~her ,kitchen e9~ipment 224-00000-425604 13,00
Residence w~i~,1 ,90()..s:L f!:..<>r__r.:~__,__ _ 224-00000-426102 13400
__ _....F'~iden~~'!ir: (,O~f'-=~~.3X.~,__,_, 100-00000-424005 ,_,__ 10665
SOC: Administrative Fee - MWMC Regional Wastewater SOC 611-00000-426604 10.00
SOC: Compliance Cost - MWMC Regional Wastewater SOC 444-00000-426607 22.63
SOC: Improvement, Transportation SOC 447-00000-448027 1,811.51
SOC: Improvement Cost - Local Wastewater 443-00000-448025 1 ,928. 70
SOC: Improvement Cost - MWMC Regional Wastewater SOC 445-00000-448025 1,333,57
SOC: Improvement Cost - Storm Drainage 440-00000-448028 560.61
SOC: Reimbursement - Transportation SOC 446-00000-448026 497,07
___,!'D~_~:~rl1b,~r~:~ent Cost - Local Wastewater ,_~~:.oOO,CJ.():~~802~ 3,951,60
SO,C;: Reimbursemen! Cost :.~C Regional Wast::::,~r SOC 444-00000-448024 101.97
_ __~DC~~~bur~ement Cost:J?tor~E.rainage _~_~._.~41-0000g-448029 385.31
SOC: Totai Sewer Administration Fee 719-00000-426604 396,17
--------~ ------~.- -~._--,.._------------
_,20C:_~otal Transportation Administration Fee 719-00~CJ.():.436604 133.98
Single-duct exhaust (bathr~oms, toilet compartmen~s, utility roor 224-00000-425604 45.00
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 233.60
Structural - Additional review per hour Residential 224-00000-425602 58.00
Structural Buildin~ Permit Fee 224-00000-425602 1,050,63
Structural Plan Review Fee Residential 224-00000-425602 208,99
Technology fee (5% of permit total) 100-00000-425605 99.23
-----.:r:~pservices 200 amps or less 224-00000-426102 63,00
_~~~~~e fees - Single family detached 821-00000-215023 3,409,00
TOTAL DUE: 17,459.14
P,hYOR... -::.i:f.SHIER;CCARPENr"--~.;.96r.1MgtiT.S; -: -,"' , AMOU!:IIBAID _,,,-,-,.~--,--,~:
HAYDEN HOMES LLC Also covers S11-1281 $17,459.14
TOTAL PAID:
$17,459.14
www.cLspringfield.or.us
TRANSACTION RECEIPT
811-SPR2011-00339
545 MOUNTAINGATE DR * \ O~
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
541-726-3753
permitcenler@ci.springfield.or,us
RECEIPT NO: 2011000400 RECORD NO: 811-SPR2011-00339 DATE: 03/04/2011
[BESC R.I~~tr6r\fr:i: ~-';~P;)t;J~~'r~'~t7:.:_~,+00~C"',;,;~: .'~: Ji$1~~:"i1~t'f:~'t;E'A-c.c:O)TNJ{C.ODE;;~~::;f,~\/!;Ji'F! :.~AMbu NtD{fE2J)~~ .1- ~'~,,;~
Structural Plan Review Fee Residential 224-00000-425602 473.92
---'--- --- ---~-
TOTAL DUE: 473.92
L',a,~Y~'E~J:~Erg~':';~1~~j~AYQ~.,:'c~6As;HIER:' bSOWhSBY ~:.-:.~'\~~. 'C.9MM.(~J~t-~?~)~~,,;~'~\%',~i ;-~;; l':-lt.~j::~:~MO-UNT~~~~~:iJ:~~j
Credit Card HAYDEN HOMES LLC 473.92
005235
TOTAL PAID:
473.92