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Home My WebLink AboutPermit Building 2011-7-19 r. , www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01478 IVR Number: 811133015351 Issued 07/19/2011 ISSUED: APPLIED: 07/19/2011 06/16/2011 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perm itcenter@ci,springfield.or,us EXPIRES: VALUE: 01/14/2012 $227,069.34 SITE ADDRESS: 2298 Clear Vue LN. Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703271205600 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residenlial New single family dwelling~ application not accepted yet- applicant is investigating if a LOMA or LOMR exisls 10 lake 101 10 oul of FEMA flood zone A. Phone Number: 541-746-2235 OWNER: ADDRESS: SHELLEY PHILIP N & LOIS V 1019WNST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION ~ Contractor Type Contractor Name Lie Type lie No Lie Exp Phone Electrical Contractor EVERYDAY ELECTRICAL SERVICE INC CCB 136371 08/12/2011 541-912-2957 Plumbing Contractor DON LEWIS PLUMBING SERVICE lLC CCB 167921 01/06/2012 541-688-1931 General Contractor REGAL HOMES BY SHELLEY INC CCB 168831 03/18/2012 541-998-3897 Mechanical Contractor HOME COMFORT HEATING & AIR CONDITIONING INC CCB 84164 06/25/2013 541-345-2838 # of Units: Constrllction Type Occupancy Comments Occupancy Type Occupancy Comments Occupancy Type Construction Type # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Palh: Type VB 2130s.t. BUILDING INFORMATION ~ # of Stories: 2 Height of Structure: 24.5 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Gas Hazmat: Lot Size: Sq FI 151 Floor: Sq FI 2nd Floor: Sq Ft Basemenl: Sq FI Garage: 552 Sq FI Carport: reouires yruto , '"',eoon laW ',' an Utility A""'E~~Olher. "d b"g89 0,8\-J I\orln ,\ \ .;:.r\("\p'te 1 ,\ -, are c::e 101\0~\rpancy-~oad:nose lu,e, '~-2-001- , center,', r 0,,\;"0 Notilicatlon_001_0010 ihrou~.: oi tt',," rules by in 01'-1'.952 obie.in cop'"" \,'\eohOne 0090,.'(0~:ea~enler. \NClI~~~~~ N~tihcation nC~~~~r lor tneO;~~~~_332-2344). center IS 8619 1850 280 ~~i ..' 1 ~ ~:4:,'," 2008,': . ,.:,:.1" R-3 552s.t. U Type VB 3 No 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: Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit Path 1A Gas-fired furnace with min. AFUE of 90% Site Information I . .'1 A~')-'.;'.~~~if,:{;~'h;/-!'i!:1c11::~t( NOTICE: " XPIRE lFiHE WORK ,;: THIS PERMIT SHf1.ll \\-IIS PERMIT IS NO~ ,/ AUTHORIZED UNO\ESRABANOONEO fOR ;';'\_~ rOMMENCED OR ., ".' ~ ANY 180 DAY PER\OD. 7/19/2011 10:01:41AM Page 1 of6 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01478 IVR Number: 811133015351 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us Issued 07/19/2011 ISSUED: APPLIED: 07/19/2011 06/16/2011 EXPIRES: VALUE: 01/14/2012 $227,069.34 SITE ADDRESS: 2298 Clear Vue LN, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703271205600 PROJECT DESCRIPTION: Frontyard Setback: 20 Interior Setback: 17.7 Sideyard Setback: 17 Rearyard Setback: 17 Solar Setback: 0 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential New single family dwelling- application not accepted yet- applicant is investigating if a LOMA or LOMR exists to take lot 10 out of FEMA flood zone A, DEVELOPMENT INFORMATION I Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: Flood Plain 2 Yes 22.6 REQUIRED PARKING Total: 2 Handicapped: Compact: 24.5 Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Descriotion R-3 1 & 2 family U Utility, misc. Springfield Building Permit PUBLIC IMPROVEMENTS ~ Sidewalk Type: Downspout/Drains: I Valuation Description Tvoe of Construction VB VB Unit Amount Unit Tvoe 2,130.00 Sq Ft 552.00 Sq Ft Unit Cost 96.83 37.72 Value 206,247.90 20,821.44 227,069.34 7/19/2011 10:01:41AM Page 2 of6 5PRIN.G.FIE.~ . ~l'~ .:. . ,th. ;""iC:~~ OJlEGO~ www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: B11-SPR2011-0147B IVR Number: 811133015351 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 07/19/2011 ISSUED: APPLIED: 07/19/2011 06/16/2011 EXPIRES: VALUE: 01/14/2012 $227,069.34 SITE ADDRESS: 2298 Clear Vue LN, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703271205600 SCOPE: Single Family Residence WORK tNVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New single family dwelling- application not accepted yet- applicant is investigating if a lOMA or LOMR exists to take lot 10 out of FEMA flood zone A. FEES PAID , Description Amount Paid Date Paid Recio! # Structural Plan Review Fee Residential $799.31 06/22/2011 2011001719 ~----.....__.~-,-------_.'. ;:;DC: Im?!ovem~~t.Cost - Local Wastewater __~ ._._ $1.387.23 07/19/2011 2011.o02C!.~ SDC: Improvement Cost - Local Wastewater $477.18 07/19/2011 2011002056 SDC: R-;;imburse";-;;';TC~-.t:""MWMC::'R;gional W,;-st.;;at;.-.--- -$101-:97-' ..-.---. 07/19i201'1' .--- .. '201'1-002056' SDC: Imp;;;;';;"ent Cost _ MwMCRe"gi~';~Twa~ie;""i~- h $1-'-33i57~--'-' '-677-i9i2011-- ,-- " 20'11002056' S6E-C;';:'pliance Cost - MWMC Regional W';;tewater SI $22.63 ',.,--.-...07i1.g/2oi1"""-. '--"2011002056 SDC:Administrative Fee. MWMC Regional Wastewater: $10.00 07119'12011'-'--'-- . ---2011-002056' SDC: Total Sewer Administration Fee $439.85 07/19/2011 2011002056 -- ~_._---- .---.- SDC: Total Transportation Administration Fee $132.41 07/19/2011 2011002056 Wiiia;;'-~~e;-:S;~gle family detad;d-~-------$3,409~0 07/i 9/2011 2011002056 Add!:e.ss Assignment, each new or change $38.00 07119/2011 2011002056 Sidewalk up though 90 Feet $88.00 07/19/2011 2011002056 Admin fee (10% of applicable fees) $14.84 07/19/2011 2011002056 Curb CuUDriv"",al1st ~_____ $88.00 ----07ii91201r---' 2011002056 Mul~ple. P~~it [)isc~unt (~~_2L __ ''''_ -'..' ,,'._-- $.3000._.__.___0}/1 9/2~~ 2011002056 ~"~!?,,.~~~Fire (.O~~ ~'!.Foot)____, $148.40 07/19/2011 2011002056 ~ace - up to 100,00~TU .----'"$'WiD---"""Ii7/T9I:2611-..-.----2011'002o56 Range hood/oth,,~itchen...'1"_ipment ______ $13.00 07/19/2011 2011002056 ~.ngle-du~t.exhaust (bathrooms, toilet compartments, utili $36.00 07/19/2011 2011002056 Water heater $17.00 '--'-~Oi/19/2011 2011002056 ------..--- F!!:,St AEE~".~ce Fee . $79.00 07/19/2011 2011002056 One or Two Family DW".lIi.ng with Two Bath $374.00 07/19/2011 2011002056 ~n_ce wiring 1,000 sq ft. ,"!,iEOss $134.00 07/19/2011 2011002056 Each added 500 sq. ft or portion $100.00 07/1 9/2011 2011002056 Air conditioner $17.00 07/19/2011 2011002056 ~as Pip.i~g up to 4 outlets ..$35.00 07/1.9/2011 2011002056 '?-,,~kflow p~.r_,_,____...,.__ ...!19~~._ 07/,19~~2..__,...__----3.011 00205~. Planning. Major Review - City $211.00 07/19/2011 2011002056 State of Oregon Surcharge (12% of applicable fees) $248.49 07/19/2011 2011002056 TeChnology fee (5% of permit total) -----. .- $112.74.---'07ii9iz011 2011002056 SDC: Reimbur;ement Cost~aivva~ewater.----.--$3,il19:88---.- 071191201 i 201,'602056" SDC.-lmpro~e;;;ent.:T~'._n~portatio-riSDC '--'--- _. $1-.81151' -------07ii9r2011. --..---- 2011002056 SDC: Reimbur~';-m;';t:fun-;P;;;;;;;;;;;;SDC---' ---$497.~--'-- 07119/2011 2011002056 S~P;O~erT1ent Cost. Storm D'r"i"Oage _____~~_ il, 176.03 '-07/1'gi2OiT----'2oi1002cis6 SDC: Reimbursement Cost, Storm Drainage $808.28 07/19/2011 2011002056 Structural,?ui\d!~iP"rrT1.lt.~~.. ____.____. $1 ,229~1.__... ~~!.19/20i :1.___, . _, 201 1 002~~~. Springfield Building Permit 7/19/2011 10:01:41AM Page 30f6 SPRING FIE~ .\T . c,~ .~," OREGON CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.cLspringfield.OLUS Building I Residential Permit PERMIT NO: 811-SPR2011-01478 IVR Number: 811133015351 perm itcenter@ci.springfield,or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 07/19/2011 06/16/2011 EXPIRES; VALUE: 01/14/2012 $227,069.34 07/19/2011 SITE ADDRESS: 2298 Clear Vue LN, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703271205600 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New single family dwellingw application not accepted yet- applicant is investigating if a LOMA or lOMR exists to take lot 10 out of FEMA flood zone A. Total Amount Paid $19,216.10 Plan Review . DeDartment Initial Review Received Due Date Comoleted 06/23/2011 06/23/2011 06/23/2011 Result Approved Reviewer David Bowlsby iApplication.Acceptance /' ....." Planning Review 06/23/2011 06/23/2011 06/24/2011 Add'l info required Tara Jones Comments: The Clear Vue Estates plat show that approximately 35' of this lot is in the floodplain. The Doug Shelley is aware that either a Floodplain Overlay application needs to be applied for and approved or a LOMA approved by FEMA BEFORE we can issue this permit. I told him that we would do our reviews and hold on to the application untit the floodplain issue is resolved. 'Public Works R-e~iew, . .. 06123/20"11 - . OO/Z3!2011--06/Z'S/2011~' - Approved --- - Todd Singleton'- --- Co~ments: Stor~~~r~~ ~~~~ ~~_ gutter vi~ two weep holes shown on site plan. Structural Review 06/23/2011 06/23/2011 06/29/2011 Review Comments: Incomplete submittal: Issues are unresolved with construction in the flood plain. . 0.6/16/20] 1. - ~ :;.' ,"" 06/16/2011. '06/f~/2011-' Application.="ccepted' " . . . D~vid ,Bowlsby .. .~~ ., -c-> Kip Kaufman ." 06/23/2011 ,06/23/2011 06/30/2011 Add'l.lnfo Requir~d Kip .Kal:Jfman ., ------'_.~- ,t" - Structural'Review Structural Review 06/23/2011 06/23/2011 06/30/2011 Information Only Kip Kaufman Comments: Talked to owner and faxed 1st plan review comments. Emailed comments to Gen. Contractor. Structural Revie-;:;-- 06/23/2011 06/?}/2011 07/05/2011 Add'llnto Required. . , Kip Kau.fman Comments: _ Response accepted:on comments #3,4 and,S; waiting focdocuments addressing comments:#1,2and 6. ,". _ '.- -.:- .l_;;..'" -, ~_~. '''"" ",<.... .....::-..:.-..:,_. --.-.' . "'.. - O' ~:.., -'.; Structural Review 06/23/2011 06/23/2011 07/07/2011 Waiting Internal Kip Kaufman Comments: Planning fPlarinfng Review --06i23/2011 06123/2011 07/14/2011 ARproved i Comments: Floodplain Development approval granted on .7/t4(l1"under TYf?111-00016. Elevation Certificates are required'during construction and after construction. L~_. _:.--~_~th the Cj!y. . .____ ___'-_. ' Structural Review 06/23/2011 06/23/2011 07/15/2011 Add'llnfo Required Comments: Structural Engineering Structural'Review . 06/23/2011 06/23/2011, 071'1,8/2011. Approved. .. Chris Carpenter' Com.ments: Per K:.Kaufman and O. Bowlsby'on the basis otEngineer's assesment of structure's relationship to design flood ~J~vation" See attached documents: . ~. . Pennit Issuance 07/18/2011 07/18/2011 07/19/2011 Issued Chris Carpenter Tara Jones------ Unless a LOMA is granted by FEMA, tJo occupancy'until these foiihs are filed Kip Kaufman i~ -~-. Springfield Building Permit 7/19/2011 10:01:41AM Page 4 of6 5P~I~~:ii __7,~ " . '\ OREGON www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01478 IVR Number: 811133015351 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: 155 ued 07/19/2011 ISSUED: APPLIED: 07/19/2011 06/16/2011 EXPIRES: VALUE: 01/14/2012 $227,069.34 SITE ADDRESS: 2298 Clear Vue LN, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703271205600 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New single family dwelling- application not accepted yet~ applicant is investigating if a LOMA or LOMR exists to take lot 10 out of FEMA flood zone A. INSPECTIONS REQUIRED ~ Inspections 1090 Street Trees 1110 Footing 1118 Footing Drain 1120 Foundation Footing: After trenches are excavated. 1150 Slab/Flatwork Foundation: After forms are erected but prior to concrete placement. Slab: To be made after aU ins lab building service equipment, conduit piping and other equipment items are in place but prior to concrete. 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. Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1160 UFER Ground 1170 Post & Beam 1260 Framing 1370 Masonry Veneer 1380 Fireplace 1410 Underfloor insulation 1420 Insulation Vapor Barrier 1430 Insulation Wall Wall Insulation: Prior to cover. 1440 Insulation Ceiling 1450 Insulation Duct Ceiling Insulation: Prior to cover. 1520 Interior Shearwall Shear Wall Nailing: Before covering sheathing with finish materials. 1530 Exterior Shearwall 1550 Firewall Firewall: Located and constructed according to plans. 1630 Roof Sheathing 1999 Final Building Roof Sheathing Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. 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. 2020 Underground Gas 2200 Underfloor Mechanical 2210 Underlloor Gas Springfield Building Permit 7f19/2011 10:01:41AM Page 50f6 5PRIN.. GFI,E, L,~ .\ ""'-. -, \ti>>' ",.:. OREGON www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01478 IVR Number: 811133015351 225 Fifth SI 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: 155 ued 07/19/2011 ISSUED: APPLIED: 07/19/2011 06/16/2011 EXPIRES: VALUE: 01/14/2012 $227,069,34 SITE ADDRESS: 2298 Clear Vue LN, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703271205600 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New single family dwelling- application not accepted yet- applicant is investigating if a LOMA or LOMR exists to take lot 10 out of FEMA flood zone A. 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. 2300 Rough Mechanical Rough Mechanical: Prior to Cover 2310 Rough Gas Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 2995 Final Gas Final Gas: When all gas work is complete. 2999 Final Mechanical Final Mechanical: When all mechanical work is complete. 3120 Underground Plumbing Underground Plumbing: Prior to filling the trench and including required testing. 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. 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 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 contion, 7-f1~ (( Date Springfield Building Permit 7/19/2011 10:01:41AM Page 6 of 6 , -- ~ · Structural Permit Application I @:ruw@P'~(gU4;~ 225 Fifth Street. Springfield, OR 97477. PH(54 I )726.3753. FAX(54 1)726-3689 DEPARTMENT USE ONLY Permit no.: 511 ~/tf'fi ( 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. LOCAL GOVERNMENT APPROVAL This project has final land-use approval. Sign3ture: Date: This project hus DEQ approval. Sign~ture: Dale: Zoning approval verified: 0 Yes 0 No Property is within flood plain: DYes 0 No CATEGORY OF CONSTRUCTION J2I'1'{esidential o Government o Commercial Reference: Name: E-mail: This installation is being made on residential or fann property owned by me or a member afmy immediate family, and is exempt ftom licensing requirements under ORS 701.0 t O. Sign here: ~ .J fl. c",..-"1 Print name: Signature: SUB.CONTRAC INFORMATION Name Electrical Plumbing Mecbanical CCO License Number Phone Number FEE SCHEDULE Cost per square foot: Other in fonnation: Type of Heal: DNo t 2. Building fees (n) Permit fee (use valuation table): (b) Investigative fee (equal to [2a]): (c) Rcinspection ($ per hour): (number ofhQurs x fee per hour) (d) Enter 12% surcharge (.12 x [23+ 2b+ 2c ]): (e) Subtotal offees above (2a thropgh 2d): 3. Plan review fees (a) Plan review (65% x pemlit fee [2a]): (b) Fire and life safety (40% x pemlit fee [2a]): (c) Subtotal of fees above (33 and 3b): 4. Miscellaneous fees (n) Seismic fee, 1% (.01 x penn it fee [2a)): TOTAL fees and surcharges (2e+Jc+4a): :1<( 7 . ) .$ .,1, S s/'l,57 s It f..p tl s m.3 s $ t:z s s sfi -r'l8'~ 38'17 If1/cny/M'i ELcLT ]):)'" /..DV/ ~ tMfI'1 t3 ~ F77TL=I Electrical Permit Application CITY' OF 'SPRINGFIELD' 'OREGON- . :... -< ,;;...., . ~ . "'l ~',J . -;1,1 '_ ,.; ...~ ' . '';' _". ~ ,:;-- r 225 Fifth Street_Springfield, OR 97477 _ PH(54!)726-3753 _ FAX(54!)726-3689 DEPl\RTMENT USE ONLY Permit no.5 ( 1- / Lf?f 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 APPROVAIj Zoning approval verified? 0 Yes 0 No 'CATEGORY(OF'CONSTRUCrrON ), ""': o Government o Commercial Reference: Taxlot.: DESCRIPTION, OF WORK, ~ WttZ~ PROPERTY,. OWNER Name: Pi-fI ,0 Address:/DlC, W ;J Ci ?tIlL!) Phone: '74tp ')..2.7S 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: '52.rv I 11, 'tj'i E-mail: Signing supervisor's license no,: Print name of signing supervisor: Signature of signing supervisor: \))~~ ~~ 440-2584-) (9108/COM) .< '., ","i(rt";'<'q~i!,'~:'.'"EE!',SCHEbCJlJEj.'::!:'ii.'0.\'X ~~~~~~\~N~i:' . '.," . Cost Total ,Nu~~e~' o.f-~~sp~~tj~:~~ ~~r-,~~~.~,' (-) . Qty. 'eil. cost Residential, per unit, service included: 1,000 sq: ft. or less (4) I $134.00 $0'1 Each additional 500 sq. ft. or portion tJ $ 25.00 $jfP thereof Limited energy (2) $ 32.00 $ Each manufactured home or modular $ 63.00 $ dwelling service or feeder (2) Services or feeders: installation, alteration, relocation 200 amps or less (2) $ 81.00 $ 201 to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158.00 $ 601 to 1,000 amps (2) $205.00 $ Over 1,000 amps or volts (2) $469.00 $ Reconnect only (2) $ 63.00 $ Temporary services or feeders:, installation. alteration, relocation 200 amps or less (2) $ 63.00 $ 201 to 400 amps (2) $ 87.00 $ 401 to 600 amps (2) $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 of a service or feeder fee: Each branch circuit I $ 6.00 I $ b. Fee for branch' circuits without purchase of a service or feeder fee: First branch Circuit (2) $ 55.00 $ Each additional branch circuit $ 6.00 $ Miscellaneous fees: service or feeder ~ot included Each pump or irrigation circle (2) $ 63.00 $ Each sign or outline lighting (2) $ 63.00 $ Signal circuit or a limited-energy panel, $ 63.00 $ alteration, or extension (2) Each additional inspection: (I) $58.00 $ )~~~~;,~lfJffli~~f:i~;W:~~:\;J~EAR~F!,ClCA~mATtJ:S.~~~::;:;::;:'::/f~:f:i;:;~nt~~:,: :i~:-r::~ :':".: (A) Enter subtotal of above fees $')3'1 (Minimum Permit Fee $58.00) (B) Enter 12% surcharge (.12 x [A]) $ :a\..... (C) Technology Fee (5% of [A]) $ //?q TOTAL fees and surcharges (A through C): $.71 j'''f 2~ willamalane tlJ . Park and Recreation District Job. No.8.l./::2~ 1.L -11'=18 . PARK AND RECREATION SYSTEM DEVELOPMENT:CHARGE WORKSHEET Januarv 1-December 31, 2011. . ._ .NAM.f:..s::~ r . A~DRESS: 16J.'f f)l,I}.) 5r: CITY:~ Pf:l2N.E:.5'f1- .71G -:-. 2,2...~.$ -'- STATE: ~Il.. ZIP: . c:r :1-1-=1-9- LOCATION OF PROPOSED SUILDINGSITE: - _. - - _..0 _ _ ._. .Stniei:. Address: -z,2-C(2 Plat Name: . . ~j:E.M.. VtlE I-AjoIf:; ,- . Tax Lot Nu;"ber:J 1-&3 2? J t- I!f 5'6ee- .. .. 1. DEVELOPMENT TYPE (Refer to devei6pment typ~definitio-ns on. the revers~.). . A. Single-Family Detached . . NO: OFUNITS~X$3,409per unit = .. $ 3Wr. e& S.. Single-Family Attached NO. OF UNITS X $3,404 per unit = $ C. Multi-FamilyApartment 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.SDG CREDIT (lfapplicable..SDC payer must furni~h-proof of · creditapproval.) - . . 3. TOTAL PARK AND RECREATION SDC ASSESSED ($ $ ~C- Ci~~ City of Springfield 6 / '/"21 11 . Date of building permit submittal . -'/"7/<(--;- 1/ u Date of building permit issuance ~. h- ...... ~_.... ~ . . , U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE Federal Emergency Management Agency National Flood Insurance Program Important: Read the instructions on pages 1-9. OMB No. 1660-0008 Expires March 31, 2012 SECTION A - PROPERTY INFORMATION For Insurance Company Use: A1. Building OWner's Name Philip & Lois Shelley Po!i~ N~ber A2. Building Street Address (including Apt., Unit. Suite, and/or Bldg. No.) or P.O. Route and Box No. Company.NAIC Number 2298 Clear Vue Lane City Spnngfield Slate OR ZIP Code 97477 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, legal Description, etc.) Tax Lot 5600, Assessors Map 17-03-27 12 A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longttude: Lat. 44.0674 Long. -123.0366 Horizontal Datum: 0 NAO 1927 181 NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number !i A8. For a Duilding with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) 1839 sq ft a) Square footage of attached garage 552 sq ft b) No. of pennanent flood openings in the crawlspace or b) No. of pennanent flood openings in the attached garage enclosure(s) within 1.0 foot above adjacent grade 15 within 1.0 foot above adjacent grade Q c) Total net area of flood openings in A8.b 1920 sq in c) Total net area of flood openings in A9.b Q d) Engineered flood openings? 0 Yes tEl No d) Engineered flood openings? 0 Yes SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION sqin 181 No 81. NFIP Community Name & Community Number City of Springfield, (#415592) B2. County Name Lane B3. State OR B4. MaplPanel Number B5.SufflX 86. FIRM Index B7. FIRM Panel B8. Flood B9 Base Flood Elevation(s) (Zone 41039C1133 F Date Effective/Revised Date Zone(s) AO, use base flood depth) 2 June 1999 2 June 1999 A 434.6 810. Indicate the source of the Base Flood Elevation (8FE) data or base flood depth entered in {tern B9. o FIS Profile 0 FIRM 0 Community Determined t8:I Other (Describe) Enaineerina Analvsis (Case #11-1Q-1567Al B11. Indicate elevation datum used for BFE In Item 89: t8:I NGVD 1929 0 NAVD 1988 0 Other (Describe)_ 812. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 0 Yes 18I No Designation Date _ 0 CBRS DOPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: 0 Construction Drawings* t8:I Building Under Construdion* tJ Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations -Zones A1-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, ARIA, ARlAE, ARlA1-A30, ARlAH, ARlAO. Complete /lems CZ.a-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmal1< Utilized City Bench Mal1<Vertical Dalum NGVD 1929 Conversion/Comments a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 437..12 b} c) d) e) TOp of the next higher floor Bottom of the lowest horizontal structural me":lber rv Zones only) Attached garage (top of slab) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) Lowest adjacent (finished) grade next to building (LAG) Highest adjacent (finished) grade next to building (HAG) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support ~.l! N/A._ N/A._ N/A._ Check the measurement used. l8J feet 0 meters (Puerto Rico only) [8J feet 0 meters (Puerto Rico only) o reet 0 meters (Puerto Rico only) o feet 0 meters (Puerto Rico only) o feet 0 meters (Puerto Rico only) n g) h) 437.g 437.g N/A._ 181 feel 0 meters (puerto Rico only) 181 teet 0 meters (Puerto Rico only) o feet 0 meters (Puerto Rico only) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certifICation is to be signed and seated by a land surveyor, engineer, or archited authorized by law to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.0 Check. here i:f comments are provided on back of form. Were latitude and longitude in Section A provided by a licensed land surveyor? t8:I Yes 0 No _ to "- PROFESSIONAL A"'D SURVEYOR Signature Veneta State OR ZIP Code 97487 Certifier's Name Scott Goebel License Number 2280 Title President Company Name Goebel Engineering & Surveying, Inc. Address 25469 H Date 13 July 2011 Telephone 541-687-0542 .... '1"'."1 ; 1=FMA Form R1_:\1 M::lr See reverse side for continuation. Replaces'all previous editions .-< IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite,.andlor Bldg. No.) or P.O. Route and Box No. 2298 Clear Vue Lane City Springfield State OR ZIP Code 97477 ,... JF.641i!s~ririC1':~.LJd:;~~~: SECTION D. SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation CertiftCate for (1) community official, (2) insurance agent/company, and (3) building owner~,; Comments Foundation has not been poured atthe time this Elevation Certificate was completed. The value for the 'top of ~he next highest floor' etevation (C2.b) notes the top of the stem wal~ foons. . Signature o Check here if attachments INFORMATION {SURVEY NOT REQUIRED} FOR ZONE AO AND ZONE A (WITHOUT BFE) Date 07/1312011 For Zones AD and A (without BFE), complete Items E1-E5. If the Certificate is intended to 5UPPOrt.:8 LOMA orLOMR~F'request, complete Sections A,S, and C. For Items E1~E4, use' natural grade; if available. Check the measurement used. In Puerto Rico only, enter meters: E1. Provide elevation information for the following and cheddhe appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the JOWest adjacent grade (LAG). a) Top of bottom floor (ir19luding basement, crawlspace, or enctosure) is _.----0 0 feet (j meters 0 above or 0 below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is _.--:....; 0 feet 0 meters 0 above or 0 below the LAG. E2. For Building Diagrams 6-9 with permanent f1o~openings provided in Section A Items 8 andlor 9 (see 'pages 8-9 of I~structions), the next higher floor (elevation C2.b in the diagrams) of the building is _'_ 0 feet 0 meters 0 above or Dbelow.tI1e HAG. E3. Attached garage (top of slab) is ~._ Dfeet 0 meters 0 abov~ or 0 below the HAG." , E4. Top of platform of machinery andlor equipment servicing the building is _._ 0 feet o meters 0 abc,va'or 0 below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? 0 Yes 0 No 0 Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER {OR OWNER'S REPRESENTATIVE} CERTIFICA1:I.ON . The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA;'issuedor community-issued BFE) or Zone AO must sign here. The statements in sections A, e, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Dale Telephone Comments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local o"!flcial wh? is a~orized by law or ordinan~ to ~inister the community's floodplain management ordinance cafl complete Sections A, S, C (or E), and G of thIS Elevabon Certificate. Complete the apphcabIE: item{s) and sign below. Check the measurement used in Items G8 and G9. . G1.D !he infof!T'3tion in Section.C was ~en.from ot~er docu~entation that has been sig~and sealed by a,licensedsurveyor, engineer, or architect who IS authorIZed by law to certIfy ele\lat[on mformatlon. (Ind[cate the source and date of the elevation dc$ in the Comments area below.) G2.D A community official completed Section E for a building iocated in Zone A (without a FEMA.issued or communtty-issued'BFE) or Zone AO. G3. 0 The following inform:ation (Items G4-G9) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued o Check here if attachments G6. Date Certificate Of ComPuance/O~ncy Issued G7. G8. G9. G10. This permit has been issued for: 0 New Construction 0 Substantial Improvement Elevation of as-built lowest floor (including basement) of the building: _ _ 0 feet 0 meters (PR) Datum _ BFE or (in Zone AO) depth of flooding at the building site: _ _ 0 feet 0 meters (PR) Datum _ Community's design flood elevation _ _ 0 feet 0 meters (PR) Datum _ Local Official's Name Title Community Name Telephone Signature Date Comments o Check herP. tf attachments FEMA Form 81-31, Mar 09 ~eplaces'alfprevious editions v ~ / <~ ; " . For Insurance CompanyUse: Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number 2298 Clear Vue Lane City Springfield State OR ZIP Code 97477 Company NAlC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page, following. Building Photographs See Instructions for Item A6. Front View (East) Side View (North) \ , , 'F.rM" ,,~~ " 07/06/2011 10:42 #049 P.002/005 .-' .. J c ~ '._. .w. Geo",a~ July 6, 2011 PROFESSIONAL ENGINEERS LAND SURVEYORS BUILDING DESIGNERS 806 N. NINTH STREET COTTAGE GROVE, OREGON 97424 TELEPHONE: (541) 942-0126 FAX: (541l942~7935 Mr. Doug Shelley Regal Homes by Shelley 1163 Spruce SI. Junction City, OR 97448 Re: Soils Evaluation, 2298 Clear Vue Ln., Springfield, OR. BP 81-LPD 2011-00037. Dear Doug: On July 5,2011, at your request, Geomax inspected the site referenced above to estimate soils qualities and bearing strength of soils in the area proposed for construction. The National Resources Conservation Service lists the soils in this area as Courtney gravelly silty clay 101m, with gravelly silty clay 10lUD tol5 m,ches. Test holes were excavated at the west side of the site and at the northeast comer to a depth of approximately 12 inches below native grade. Soils in the test holes . were consistent with NRCS determination. No highly expansive soils are present at the site within the depth investigated. Soil bearing strength was checked using a Soiltest, Inc. CL700A pocket penetrometer which indicated a soil bearing strength of 1900 pounds per square foot at the west test hole and 2800 pounds per square foot at the northeast corner. No hydric soils were noted at the site. . ~ We recommend that footingsjliedesigned'for..-soiLliearingstrength of 1500:p,oundsper squardoot.. We also recommend removing th'-surface soils to a depth of 8 inches and placing four to six inches of crushed aggregate prior to forming footings. The site should then be filled to provide at least 12" of cover above the bottom of the footings. The scope of service for this work was limited by the Client to assessment of expansive soils and estimation of bearing strength _in the area of the foundation. No other investigations or surveys including. but not limited to, those of a geo-technical nature, were authorized by the client and none have been performed. This work was not performed preparatory to placement of a manufactured home, This report offers a professional opinion and no warranties, either expressed or implied are offered by Geomax, Inc. I hereby certify that this work was performed by me or under my direct . supeIVision. Yours Truly, ~CU~ Richard L Christian, E.l.T., AIBD Principal Designer Y:\ProjectsI20l1\L06<4:\soils rpt.wpd DPIIl!S: \"l- ~ \. \7-- ,~ C' ,_.. ..rom: - Ill! \ i It." ,J 07/06/2011 10:43 #049 P.003/005 . . . . . . ". GEOMAX. Ine 806 N. Niinth St. Cottage Grove, OR 97424 541.942.0]26 PORT ABLE PENETROMETER TEST 7/612011 8:]4 AM CLIENT: Regal Homes VICINITY: West Eugene LOCATION: 2298 Clear Vue, Springfield, OR WEA mER: Clear, 80. f TESt DATE: TEST BY: 7/5/11 r]c Test Location Reading (TSF) 4.25. 2.75 2.25 3 2.8 3.75 3 2.5 2.75 2.7 Standard Deviation Average (TSF High Limit Low Limit Reduced . Reduced Readin s Avera e 4.25 2.75 2.25 3 2.8 3.75 3 2.5 2.75 2.7 Safety Factor Est. Brg Ca ( s . I West side home site (12" Depth) 0.60 2.98 4.17 1.78 2.98 3 1983 pst Number oftest! 10 Test Location Reading Standard Average High Low Reduced Reduced Safety Est. Brg TSF) Deviation (TSF) Limit Limit. Readin s Avera e Factor Ca s 2 4.5 4.5 Northwest 4.25 4.25 comer.of lot 4.5 4.5 (12" Depth) 4.25 4.25 4.25 4.25 4.5 4.5 4.5 4.5 3 3 4.25 4.25 4.25 4.25 0.45 4.23 5.12 3:33 4.23 3 2817 pst Number of tesu 10 POCKET-PEN..l. Page 1 of! rdr . .. .. .. . . .. . . . . " . . . . . . . . . . . . . . . . . . . ... .. .. .. . . . . . . . . . . . . . . . . . . . . .. PIONEER ENGINEERltCG tlc .: ... . . .. . . ... . . . . . . . . . . . .: p.d.2Jox 788 : Ple~t Hill. OR 91455 ... ... Phone (541) 746-5841 Fax (541)393-2651 July 18,2011 . . .. .. .. . . . . . . . . . . . . . . . . . . .. .. . . . . . . . . . .. . . . . . Doug Shelley 1163 Soruce St. Junction City, OR 97448 RE: 2298 Clear Vue Lane. Soringfield - Residential Code Flood-Resistant Construction Compliance - Job #11-062 This letter is regarding whether the proposed structure meets the flood-resistant requirements of the Oregon Residential Specialty Code. Upon review of the elevation certificate dated July 13,2011, the soils report dated July 6, 2011, and performing a site visit on July 17,2011, I have determined that the structure is being constructed to resist tlotation, collapse, or permanent lateral movement from hydrodynamic and hydrostatic loads and stresses. In addition, the structure is being constructed to minimize flood damage. Per the elevation certificate, no construction is below the design flood elevation. Thank you for this opportunity to be of service. If you have any questions in regards to this report please contacI me. Expires' 12/31 t ~ Adam Ciough, P.E. SP~.ING.FIE~ ....~ ~ji(~ , "'~'" OREGON TRANSACTION RECEIPT CiTY OF SPRINGFIELD 225 Fifth 5t Springfield,OR 97477 541-726-3753 www.cLspringfield.or:us 811-SPR2011-01478 2298 Clear Vue LN permitcenter@ci.springfield.or.us RECEIPT NO: 2011002056 RECORD NO: 811-SPR2011-01478 DATE: 07/19/2011 !DESCRIP.JION ,,,,S' ,;,:,";~,:~.; :~~:~'c:~':"_:"_ ;;\ ACCQUN:r:c.bDE "" AMOUN:r;DUE:::":: ccA Address Assignment, each new or change 224.00000-425602 38.00 Admin fee (10% of applicable fees) 224.00000.426605 14.84 Air conditioner 224.00000.425604 17.00 Backflow preventer 224-00000-425603 19.00 Curb Cut/Driveway 1st Cut 201-00000.428060 .___.__.88.00 Each adde.d ?O~ ~g ft.o:.E.or:tion __. _ ... __ . 224-00000-~~12~__.___ _ __ _ . .!OOOO___ First Appliance F.ee .. n~'1!'!000.4:25.6.9-:. ... 7~c~9.. _ _._ Furnac,,-. up..'o !00,0.99. ~TU _ _. ~24-090o.~-4.~5~.04._ 1700 Sia".!'iping up to 4 outlets 224-00000-425604 .____-. ___.,. __.____' 35.00 Multiple Permit Discount (Max 2) 201-00000-428060 _______ -30.00 One or Two Family Dwelling wi~"--Two Bath 224-00000-425603 374.00 Planning - Major Review - City 100-00000-425002 211.00 Range hood/other kitchen equipment 224-00000-425604 13.00 ~,,-sidence wiring 1,000 sq. ft. or less 224-00000-426102 134.00 ,_Re.::~dential Fire (.05 Per Sq Foot) 100-00000-424005 148.40 _h~[)..s:~ Administrative Fee - MWMC Regional Wastewater SOC 611.00000-426604 10.00 . SDC:. C;ompliance Cost- M~~ !,__e.l!~onal W~stew~t;,r_SDC 444-0000g~~26607_ 2263 __ SOC: ImJ'rov~ment - Tran~portation S[)S; __ ____._. _ .. ____4~7-00g20-448~2Z___..____.._. _ _____.!.~1.51______. SOC Impr~vement Cost - Local Wastew~t~r._._. __ __ _.... .__443-029~0~~4!l03!'_________ '_'_ __ . _, 1,864.4! ._ _~E?C;.:..'.n.'!,r-,,_~e.!!'ent ~os,t :~WTv1.C.~,,-gional.YJ~:.tewa!er_SD_C_ _._~5'Og.9_00-44802~__ __.____ __ ______1..,3~357__ SOC: 1n1l'.'ovement Cost - Sto!m Drainage _______~.OOOOO-~____ 1,176.03 ______ SDC: ~eimbursement - Trans~-,,!!ation SDC_______~~~'O.09.9:~48O'~_......____~~70~ ___._ .__ SOC: Reimbursement Cost - Local Wastewater 442-00000-448024 3,819.88 SOC: Reimbursement Cost - MWMC Regional Wastewater sac 444-00000-448024 101.97 SDC: Reimbursement Cost - Storr:n Drainage 441-00000-448029 808.28 SOC: Total Sewer Administration Fee 719-00000-426604 439.85 ... ..SO,S:, Total_T-,-ansportatio."..Adm~'-'tr~i~ Fee __ ___..___~-001!'!.9-426604 132.41 Sid,,-walls.~p_!h_,,-,,-~.!'...g~feet __ _..__.._h..______ 201-~~~...__..______.~80()_.____ Sif2~J~~.9_~_~~x~?~_(~a.t~r~o~~ t'?I~~~o.~partm!_n!~~ uti~te.::o:..._~2::-0_~QQP.:~25_6~~_._____ __ ._ _ ~~.EE... __ _ Sta_te.o~?re_gonSurch.~r9..J.1:2.~"-!~~plic~.I2!~.f_"_.._~_ ___._ __ ~21-00~()2.__~522~ .._.._ _ __ .;:'4.8,~~_ _. _.... Structur~l ~il<l!ng. Pe!~~i"-~__ __ ...._ ..,.... ____ _.....E4-00000-<l?~~93.. 1,229.71 _~':!Cf1..010gY...fe-"j5% of permit total) 1 00-00000-425605 112.74 Water heater 224-00000-425604 17.00 Willamalane fees - Single family detached 821-00000-215023 3,409.00 TOTAL DUE: 18,416.79 !rci.PAYMENl'?J:YPE ;..<i'PAYbR;,'..;:~CAs!irE~r<;cAfPEiiTER":\;.cdMMENTS>ll",:'","0"". ",:' .; ,". AMduN:rf'AIJ)~' ;' Credit Card Philip Shelley $9,500.00 I 02449c _____ _.____,._____._____._.._ __~. ____~.___.__w. _ ._._ ~ __~ ~_.._._~__m...___..______~..____ Check 3874 REGAL HOMES BY SHELLEY INC $8,916.79 ~ . . ~ RECEIPT NO: 2011002056 RECORD NO: 811-SPR2011-01478 DATE: 07119/2011 lI)ESCRIf?mQN,-""i.'yjfD"'.''':'~~;d2'' I",. -";>""",,,-,,1'-, Atco@-f~t<iIYEL:"'C' c;,AMQUNT;DUE' .-' ..;.:'j Address Assignment, each new or change 224-00000-425602 38.00 Admin fee (10% of applicable fees) 224-00000-426605 14.84 Air conditioner 224-00000-425604 17.00 __.~~~fiow preventer 224:~00-4256~~_ 19.00 _c:.".'~ Cu~a~_1st Cut 201-00000-428060_______ 88.00 ________ Each added 500 sq. ft. or portion 224-00000-426102 100.00 _ _~i:~t..Aepliance Fee .___.___._. _--.?~4-00000-425604 79.00 Furnace - up to 101),000 BTU . ___c. 224-00002:425604 ______._ 17.00 ___ G"".J:iping up to 4 outlets 224-00000-425604 35.00 ._.!:!!.'!Itipl<:'p!rmit Discount (Max 2) 201-00000-428060 -30.00 One or Two Family Dwelling with Two Bath 224-00000-425603 ____.__:l?4.00___ Planning - 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 Fo~t) 100-00000-424005 148.40 SDC: Administrative Fee_~~MC Regional Wast~water SDC 611-00000-426604 10.00 . _ __~g~: CO."'.e!i:,nce Cost - MWMC R~gional Wastewater SDC __~-00000::.426607 22.63 S[)S Impr~velT1ent - Transporta~i~n SDC....___ __. 447-00000-448027 ___ ___~~__ SDC: Improvement Cost - Local "'Y!:~ewa~e..'._.___..._ _...oo _._ ~43-DOOOO-~~8i!?~ ____. __ _ . _' 1,8.64.41 . __. ._..__~_I2.(;:~m.erove."'..nt C,,-~-.!"1vvMCHej!i~:,al ~~ewi3t~SDC__~::S~IJIJ.9DO:4.480~~_____ _ _. o' .._..!23357 ._. _ . SDC: Improvement Cost - Storm Drainage 440:00000-4480~8 1 76.03 SDC: Reimbursement - Transportation SDC 446-00000-448026 497.07 SDC: Reimbursement Cost - Local Wastewater 442-00000-448024 3,819.88 M__~~__ SDC: Reimbursement Cost - MWMC Re.~ional Wastewater SDC 444-00000-448024 101.97 SDC: Reimbursement Cost - Storm Drainage 441-00000-448029 808.28 SDC: Total Sewer Administration Fee 719.00000-426604 439.85 SDC: Total Transportation Administration Fee 719-00000-426604 132.41 __ Side~alk up though 90 Feet 201-00000-428060 88.00 Si~~J.E:~d_uE~ exhaust (~~.~~.!:~~~,~_~oile~~pa.!!~ents, utility roor 224-00000-4256~::..,_~,~,__.__ 36.00 ::;tate _of ()r~g-,,~ Surchi3:g':J~2.% of_~plica~f,,-es) _.___ . 821-00000-21500.4.______ _____3~:~___ _n. S!r:uCO!ur:a!..Byild!.".g 'pe!~~e~__.__ _ __ 224-00000-425602 _____ 1,229.71 __Technology fee (5% of permit !.otal) _____. 100-00000-425605 .____..__ _1.12.7~ ,__ Water heater 224-00000-425604 17.00 ________.w_~ Willamalane fees - Single family detached 821-00000-215023 3.409.00 TOTAL DUE: 18,416.79 'f>AYMENf"TYPE,;: "fp.AY.0R"- '.;:;gAsHiER,fci:ARPEN"'E!.':@;,:,C()MMENf$~417I:':~1lJ',,_,":d'i:fAMQUNT,F1AID';~Sf:!f-"l;;yJ:';::j TOTAL PAID: $18,416.79 SP.~:!N..~E~ ~ ~OREGOH www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2011-01478 2298 Clear Vue LN CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541.726.3753 permitcenter@ci.springfield.or.us RECEIPT NO: 2011001719 lDESCRIP..TION 0 0' Structural Plan Review Fee Residential RECORD NO: B11-SPR2011-0147B - , .ACCOUNT-C.ODE.. 224-00000-425602 TOTAL DUE: DATE: 06/22/2011 AMOU NJ"DU E '-'------'--., 799.31 799.31 AMOUNT PAID 799.31 I PA'fIIIIE.I!ITTYPE Check 3869 P~YOR 'CASHIER::CCARPENTER REGAL HOMES BY SHELLEY INC COMMEI!I:rS Check also covers LDA? TOTAL PAID: 799.31