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Home My WebLink AboutPermit Building 2011-7-5 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01259 IVR Number: 811153837504 Issued 07/05/2011 ISSUED: APPLIED: 07/05/2011 06/02/2011 225 Fifth 5t 5pringlield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us EXPIRES: VALUE: 12/31/2011 $224,240.80 SITE ADDRESS: 422 S 37TH ST, SPRINGFIELD, OR 97478 ASSESOR'S PARCEL NO: 1702314302701 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential New single family dwelling Phone Number: OWNER: ADDRESS: PARKER VICKI M 434 S 37TH ST SPRINGFIELD OR 97478 Contractor Type Mechanical Contractor Plumbing Contractor General Contractor # of Units: Construction Type Occupancy Comments Occupancy Type Occupancy Comments Occupancy Type Construction Type # of Bedrooms: Sprinkled .Building: Fire Alarms: Energy Path: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy load: Electrical Specialty Code Editfo'n: :,":,!T'QN: Oregon law requires you to S . f Id F' C d EdT f,f,i:-/i "ttI<)S adopted by the Oregon Utility pring Ie Ire 0 e I IOPi:oi;;,cc,tion Cenler. Those rules are set forth Mechanical Specialty Code !i.~[l!?,~; 952-001-0010 through OAR 952-001- Municipal/Development Code:1O. You may obtain copies of the rules by Plumbing Specialty Code Editio,,'!ing the center. (Note: the telephone R 'd t' IS' Ity C d Enlillnber for thpoonregon Utility Notification eSI en la pec," 0 e (II Ion:. Cent~t Ill81-800-332-2344). Structural Specialty Code Edition: CONTRACTOR INFORMATION ~ Contractor Name INTERSTATE ELECTRIC INC 3T PLUMBING iNC ADAIR HOMES INC Lic Type CCB ceB eeB BUILDING INFORMATION I 2 27.5 lie No 117121 147077 593 lie Exp 09/05/2012 03/04/2013 03/19/2012 Phone 503-393-2223 503-932-2719 360-448-6050 Type VB 21605.1. # of Stories: Height of Structure: Type 01 Heat: Water Type: Range Type: Hazmat: Electric Electric lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: 1298 1262 Wall Heat R-3 400s.t. U Type VB 4 No Path 4A Zonal heat with 75% permanent fixtures fitted with CFL lights o Engineered Fill: Fill Volume: FJood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit Site Information No I . ..,,: . '.~ .... ,'" r~ .'1..-;' >",,'<:"'t.\t*.~.i~';,;~. > NOTICE: . .'. "'h':,:':,',' , '",>'0.",'0"",'" THIS PERMIT SHALL EXPIRE IFTHE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR M!V ;'\' ::'^;' :'~".IC'O. No No No 7/5/2011 10:17:25AM Page 1 of6 S~:I:.G_.FI~~.. ~~ ~OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01259 IVR Number: 811153837504 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 07/05/2011 ISSUED: APPLIED: 07/05/2011 06/02/2011 EXPIRES: VALUE: 12/31/2011 $224,240.80 SITE ADDRESS: 422 S 37TH ST, SPRINGFIELD, OR 97478 ASSESOR'S PARCEL NO: 1702314302701 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New single family dwelling DEVELOPMENT INFORMA TION ~ Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: 135 15 23.27 93.13 32 Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: 2 REQUIRED PARKING Total: 2 Handicapped: Compact: Yes 6.5 28 PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: DownspoutfDrains: Valuation Description ~ Description R-3 1 & 2 family U Utility, misc. Tvpe of Construction VB VB Unit Amount Unit Tvpe 2,160.00 Sq Ft 400.00 Sq Ft Unit Cost 96.83 37.72 Value 209,152.80 15,088.00 224,240.80 Springfield Building Permit 7/5f2011 10:17:25AM Page 2 of 6 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01259 IVR Number: 811153837504 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: 155 ued 07/05/2011 ISSUED: APPLIED: 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 07/05/2011 06/02/2011 EXPIRES: VALUE: 12/31/2011 $224,240.80 SITE ADDRESS: 422 S 37TH ST, SPRINGFIELD, OR 97478 ASSES OR'S PARCEL NO: 1702314302701 PROJECT DESCRIPTION: New single family dwelling SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential FEES PAID ~ DescriDtion Structural Plan Review Fee Residential First Appliance Fee Residential Fire (.05 Per Sq Foot) Residence wiring 1,000 sq. (1. or less Each added 500 sq. ft. or portion ~~r~~<:P.t ~_<::h ~~djtio~~EL-~____~_.. Curb Cutll?rivew~y 1 sf Cut ~_~C: Re~n.:t:.u~~~nLCost - _~~o~m Drainage SDC: Improve~_ent,S:9st - Storm Drainage SDC: Reimbursement - Transportation sac Admin fee (10% of applicable fees) SDC: Improvement - Transportation SDC SDC: Reimbursement Cost - Local Wastewater SDC: Improvement Cost - Local Wastewater ~~C: Reimbursement Cost - M_WMC ~egional Wast7watE_ ~~~: ~r12prov:':l_e_n_t~~~- M~S;...!:egion~~astewater ~ ~DC:.E.o~p~.~~ Cost - MWMC~egiona[ ~astewater SI SDC:!-~~~~istrative F~.:..~_~~~E.. Reg~onal ~ast.:.~.ter..L._ SDC: Total Sewer Administration Fee --,._,,~ ~" SDC: Total Sewer Administration Fee " -_..... -----,.....-...,.,.-...--.-- SDC: Total Transportation Administration Fee Planning - Major Review - City Technology fee (5% of permit total) State of Oregon Surcharge (12% of applicable fees) SDC Credit: Reimbursement Cost w MWMC RegionalWa! Single-duct exhaust (bathrooms, toilet compartments, utili S!ne or Two Family Dwelling with Three Bath Willamalane fees - Single family detached Addr~~s .~~~~ment, each new or change ~tructural Buildil2..g Per!TIit ~e_e Amount Paid $791.38 $79.00 $128.00 $134.00 $100.00 $0.75 $12.00 $88.00 ' $341.76 $497.26 $497.07 $12.80 $1,811.51 $3,029.56 $1,478.67 $101.97 $1,333.57 ---- -- $22.63 $10.00 $172.95 $145.69 $137.56 $211.00 $107.03 $241.74 $-263.73 $45.00 $439.00 $3,409.00 $38.00 $1,217.50 $16,370.67 Total Amount Paid Springfield Building Permit 7/5/2011 10:17:25AM Date Paid 06/02/2011 "'~-~~~'''- 07/05/2011 07/05/2011 07/05/2011 07/05/2011 07/05/2011 07/05/2011 07/05/2011 07/05/2011 07/05/2011 07/05/2011 07/05/2011 07/05/2011 07/05/2011 07/05/2011 07/05/2011 07105/2011 -.----. 07/05/2011 07/05/2011 ---~,---,,~,"- 07/05/2011 07/05/2011 07/05/2011 07/05/2011 07/05/2011 07/05/2011 07/05/2011 07/05/2011 07/05/2011 07/05/2011 07/05/2011 07/05/2011 ReciDt # 2011001404 2011001869 2011001869 2011001869 2011001869 2011001869 2011001869 2011001869 2011001869 -.--'.-----.--- 2011001869 2011001869 2011001869 2011001869 2011001869 2011001869 2011001869 2011001869 2011001869 2011001869 2011001869 2011001869 2011001869 2011001869 2011001869 2011001869 2011001869 2011001869 2011001869 2011001869 2011001869 2011001869 Page 3 of6 S.PRIHG. fIE.~ .. . ~. (!f= ~ ~:EGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01259 IVR Number: 811153837504 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfield_or,us PROJECT STATUS: STATUS DATE: Issued 07/05/2011 ISSUED: APPLIED: 07/05/2011 06/02/2011 EXPIRES: VALUE: 12/31/2011 $224,240.80 SITE ADDRESS: 422 S 37TH ST, SPRINGFIELD, OR 97478 ASSESOR'S PARCEL NO: 1702314302701 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROjECT DESCRIPTION: New single family dwelling Plan Review I Deoartment Initlal Review Received Due Date 06/07/2011 06/07/2011 Comoleted 06/07/2011 Result Approved Reviewe r David Bowlsby r3r0ingRevieW-,,--'~-"" ::~-t~?;i','_':?_61O? /201.1' ,,~~'O~I07/2011:~ .'~' ~6/0U2:(r1"t.:-AdE%f9'~regu'i~~tV'7=-'~'~g~T~Fa 'Jo~;;< '::',~;~: "~~"f' ~~t r-~'" "~~ ~;:~;~~ '-.,' - "11 r Cbmment~: ~b~~~~I~~~~~di~~~:e*6~~~~~~~rb;::~7~i!~I;I~~:~~~d~:~f~~;Jts~~f~~~~i~}~:~~;~~nni~5~IKm:JOY~~~he:,::1~":~::: ~ t .. -j , 'mea~tlme:' I'm se:n,ding:thi_s ollto;EVVEJor their review.'; ,',' ;"::7.,,;0' '-/ " ,,' -. .' . ..y.yt.,~ -."'~ r _~ '_" " 'I , ";1'0; fhi' ~a parce;cr;'ie~ -i~o~ ai;~a;;'i;;~(pa~ifi6n; L~eliev~:~;a~~;~:;~~~}/I~t a;~'fn~orrectand;are;o;lhe .. <4: - ".- \ j ~ ro"~~~ri~t~:~~~~" ~.~'~i_t~~'~_rir:~e?:-jb/'6::~i?~t:~;~~t~_~,:rtJ,~ro~e1Y-~~Y~~~~~~Z<~~N;~,;of",.~:J~ :~a!t .!O'~~~ ?~b"9~:~ii;~_ "'.'j~'~; ":';, ,",",/f~ "0., I Application Acceptance 06/02/2011 06/02/2011 06107/2011 Application Accepted David Bowlsby IStructuralReview. .~. ~~. 06/07/20": 06107120'lf"":OiiI10/2o;-:;-----;;;d{fiT.1'io Req~ ~'K1P Kaufman:., .<.'; _ I,~~~~~~;:,~!~,:. ';~. 'h~ets 6,~"rfct~:-p~6~;de ~et~s~,~~~u.re'.~:~?fpe;d _e;g!~. e,~~l~g for BWI..::at front of house labele'd as engl~;ered .brace1 ~Wall~: * -; ~ ~;:~ ,_ ...,r ..0J!!2f~11 R-~01;1.L.B.~02J9'" .', _~~~~ '. ~ ';7;JY'>:.'~~: - -=:::. ::- ,t, )p'~' >',4 /~""*:., ,:\. :e' '<<, Structural Review 06/07/2011 06/07/2011 06/14/2011 Add'llnfo Required Kip Kaufman Comments: Provide an engineered drag truss detail for truss GE4 indicated on page 1 as 750# drag truss. ~bff~~~~r~~-:Re'&i'~w'_~~-p6lQ7/201,1e . 06/Q?~*~,1,,1,'~, P~~tO~.1"~ ~d;~~J }Q!o'r_~~~,r~,?1 - .;~~t;:~'::~a\e,'"YV1J~~q'-\-_":;t:~:-~I" ;:~'F?';,;~.-~.--'l comTTre~~~~~l2.~J~lnf()~ma.tLO?:,~,~~w~~y ,s'furface :c ""$." ',1" - ''''''; w' - - H - / ;'~:,~~::'::' ,";'\~-' -i<Y:...' " -7,,}I: -:::' ,\'::" " '.'~iJ Structural Review 06/07/2011 06/07/2011 06/23/2011 Waiting Internal Kip Kaufman Comments: Planning and Public Works Planning Review 06/07/2011 06/07/2011 06/28/2011 Approved Comments: *Revised pial plan showing 15' side setback received on 6/8/11. Tara Jones Permit Issuance 06/29/2011 06/29/2011 07/05/2011 Issued Chris Carpenter Springfield Building Permit 7/5/2011 10:17:25AM Page 4 of 6 5P~I~G:El~ .I\~ g// idios. OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01259 IVR Number: 811153837504 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 07/05/2011 ISSUED: APPLIED: 07/05/2011 06/02/2011 EXPIRES: VALUE: 12/31/2011 $224,240.80 SITE ADDRESS: 422 S 37TH ST, SPRINGFIELD, OR 97478 ASSES OR'S PARCEL NO: 1702314302701 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New single family dwelling INSPECTIONS REQUIRED I Inspections 1090 Street Trees 1110 Footing 1118 Footing Drain 1120 Foundation Footing: After trenches are excavated. 1160 UFER Ground 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. Slab: To be made after all ins lab building service equipment, conduit piping and other equipment items are in place but prior to concrete. Post and Beam: Prior to floor insulation or decking. 1150 Slab/Flatwork 1170 Post & Beam 1220 Underfloor framing 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1410 Underfloor insulation 1420 Insulation Vapor Barrier 1430 Insulation Wall Wall Insulation: Prior to cover. 1440 Insulation Ceiling Ceiling Insulation: Prior to cover. 1450 Insulation Duct 1510 UFER 1520 Interior Shearwall 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. Roof Sheathing Final Building: After all required inspections have been requested and approved and the building is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Underground Plumbing: Prior to filling the trench and including required testing. 1630 Roof Sheathing 1999 Final Building 2300 Rough Mechanical 2999 Final Mechanical 3120 Underground Plumbing 3130 Footing/Foundation Drains Springfield Building Permit 7/5/2011 10:17:25AM Page 5 of6 SP;i:;~.EL.;jI ~,~. ~ORfGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01259 IVR Number: 811153837504 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitce nter@Ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 07/05/2011 ISSUED: APPLIED: 07/05/2011 06/02/2011 EXPIRES: VALUE: 12/31/2011 $224,240,80 SITE ADDRESS: 422 S 37TH ST, SPRINGFIELD, OR 97478 ASSESOR'S PARCEL NO: 1702314302701 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: 3170 Underfloor Plumbing 3200 Sanitary Sewer 3315 Water Line 3301 Water Meter Set New single family dwelling Underfloor Plumbing: Prior to insulation or decking. S~nitary Sewer Line: Prior to filling trench and including required testing. 3400 Storm Sewer Storm Sewer Line: Prior to filling trench. 3411 Perimeter Rain Drains 3500 Rough Plumbing 3999 Final Plumbing 4120 UFER Ground Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. 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 shaff 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 ens t at all required i . ns are reques at the proper time, that each address is readable from the street, that the is! lac at the front of the property, d the approved set of plans will remain on the site at all times during ')-7- If o Date Springfield Building Permit 715/2011 10:17:25AM Page 6 of6 Electrical Permit Application I @'[f\f<OO'~~~~ 225 Fifth Street+Springfield, OR 97477.PH(541)726~J7SJ.FAX(54I)726.3689 DEPARTMENT USE ONLY I~ Date: till . "'-1' Permit no.:...> f. This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started witbin 180 days of issuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL Zoning approval verified? 0 Yes 0 No CATEGORY OF CONSTRUCTION Residential 0 Government 0 Commercial JOB SITE INFORMATION AND LOCATION Job site address: 2 J.3 7 ""<: .r, City: 5.' r.- ZIP: '7 '7' Reference: t-:: 7.<>2.. ::l t'-l .> Taxlot.:e>27o DESCRIPTION OF WORK PROPERTY OWNER Name: Address: City: Phone: ~f -'7/ ' E-mail: This installation is being made on residential or farm property owned by me or a membcrofmy immediate family. This property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.560(1). ZIP: Signature: Business name: Address: tt.e.. City: YA Phone: J2:> E-mail: CCB license no.: 1/7/ BCD license no.: 'f-3S'Y C Signing supervisor's license no.: .s- Print name of signing supervisor: {l Signature of signing supervisor: __ ...,. ,,' .. ~ .~~ ~ .. .1 '.' .' (' .. " . J' ',_' !.~ ....iJ ,.,., ;' ,i . J'o" I .~- ': 440-2584-1 (9108/COM) FEE SCHEDULE Number of inspections per item ( ) Qty. Cost Total ea. cost Residential, per unit, servif.:e induded: 1,000 sq. ft, or less (4) \ $134.00 H'.~ . Each additional 500 sq. ft. or portion ~ $ 2S.00 $\0( thereof . Limited energy (2) $ 32.00 $ Each manufactured home or modular $ 63.00 $ dwelling service or feeder (2) Services 01' feeders: installation, alteration, relocation 200 amps or less (2) $ 81.00 $ 201 to 400 amps (2) $ 9S.00 $ 401 to 600 amps (2) $158.00 $ 601 to 1,000 amps (2) $20S,00 $ Over 1,000 amps or volts (2) $469,00 $ Reconnect only (2) $ 63.00 $ Temporary seITices or fee~rs: ins/alia/ion, al/eration, relocation 200'affips'orless(2f~' .... " .. ,. ., . $ 63.00 $ 20'1 '10 400 amps (2) " " '. $ 87,00 $ 401 to'6oo;ll;ps (2) , , $126.00 $ Over 6~-0 amps or I-,O~9 ~?Jt~;' ~k'e services or feeders section above Branf.:h drcuits: new, alteration, extension per panel a. Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit $ 6.011 $ 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 not included Each pwnp 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) Eaf.:h additional inspection: (1) $S8.00 $ APPLICANT USE (A) Enter subtotal of above fees $r~ oJ '.. ., I" (Minimum Permit Fee $S8.00) , , .. qe, (B) Enter 12% :surcharge (.12 x [A]) '. $' ~. (e) Technology Fee (S% of [A]) $ / TlD TOTAL fees and surcharges (A through C): $A '", 7 t7' V c:O cP 6 .. DEPARTMENT USE ONLY, Pennit nO':.5I! -/2S- 7 Date: G/2/)! This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ' ,,'U"'O'C'A': 'G'O,oV"'E"R' "N'M"E'N"T('A'P'P"R'O"V'A"Il' ,,,,>,,,,,,>C;\',," ',ck;:;" , .""'... . .'".. ~. ._ ...._,._... '. ",.._.. ........."._..r".,;.:.._ A)j....._.,.,..,.;._L.__"~,,,<':_.."j:.'''f.J<-~:,~.?<,I_rl-N,t This project has final land-use approval. Signature: Date: This project has DEQ approvaL Signature: Date: Zoning approval verified: 0 Yes 0 No Property is within flood plain: 0 Yes 0 No .i"W""."\':~"/,iiC'A' 'r'E'G' O"'R"vCC'O,'f':'C""O"'N' 's' T'R' "u"c"",I'O"N"'}""/i",:;"i,,,,,,',:,,/ };,,;;~~f-, F,;::F;;,,,'f;k"':._.. ,'. u'_'."_'" ", ,M'L., [!,f.J,\ .,____ ~__. J:.___ _, _AIL"',~.;?~;;,(~y~\\,,,'t~l;;~~'l'{ r,:i'_ Residential 0 Government 0 Commercial ),:);~{,:",;"U9'B:";rE: i~EORMAtigN"ANp;,lQcAfI'Q&;:r)j:!Q:?':' s-. 7- City: State: 6L Lot no.: Fax: E-mail: This installation is being made on residential or farm property owned by me or a member afmy immediate family, and is exempt from licensing requirements 0 S 70.. 010 Sign '..i. Print name: Signature: Na Electrical Plumbing Mecbanical }s\.J~-CGN:J:~c;tb~.I.N170RMAtIQN~";,"W;~':~:;2:1;~f.~, CCB License Number Phone Number , " 5Pf'lINGFlEU:J ~~j~. ~1tJ ,:'i;(i'"lFEE'SCHEbt.i1..f""j . ':i:'lYa!~~ti~~"iilfoim~ii9~\;;!ij~:?rW]\?>':'.;;;;i'ii;"i~'\ (a) Job description: :vJ SFfJ Occupancy "''-,,:i, :':;': ;':_~'/:..\f+ ~,':' ~' Construction type: Square feet: Cost per square foot: / '-I004:1bc,.,.-"c;- Other information: Type of Heat: '7!UI"-+L. CU--r Energy Path: '-I A- new 0 alteration 0 addition (b) Foundation-only permit? 0 Yes 'ErNo Totsl valuation: ~I;..o" ~ (a) Permit fee (use valuation table): (b) Investigative fee (equal to [2a]): (c) Reinspection ($ per hour): (number of h9urs x fee per hour) (d) Enter 12% surcharge (.12 x [2a+2b+2c]): (e) Subtotal of fees above (2a through 2d): .oC! $ (ZI'I ~ $ $ $ $ ;}~~i~mr~yi~w~~tr~$rtl~i&~1~~~~~t:t}~''flH~~{~~t1~~~~~~r~~~~1,~-; (a) Plan review (65% x permit fee [2a]): (b) Fire and life safety (40% x permit fee [2a]): (c) Subtotal of fees above (3a and 3b): K4'; :_'t~~'~:~~_i~.~'~~~(lIsYf~~~-,:-,:~m~@~~'J.{'_;';{~:;~'-f,::t~t.:':;::',: ::}~; :~;'" ' (a) Seismic fee, 1% (01 x pennit fee [2a]): $7t!(L" $ $ $ ~OTA[' fees and surcharges (2e+3c+4a): $ 3)3> 't3 -"{,-:;r2..2- FAK . :Drrcz,.e..>r.~ ~k-rl2-'yC- / .;:.JJc.. ~~willamalane ,t-w Park and Recreation District , Job. No. ~V-5PraeJl- L2$'r PARK AND RECR,EATION SYSTEM DEVELOPMENT CHARGE WORKSHEET January i-December 31, 2011 ,\ .. NAME: fM<J(."f5P... A.DDRESS4-31"- s. , ' PHONE:~5 ':?:1ffl5T. C1TY:SP~P5TATE:~ ZIP: '114-::f8 ........,..~=~=:-~~c.====-~".,~_=_=~~.....~-"=-=~-==,="~~"'--'-..,;==~ _ . '. '_ __ __..m... -.':""~-':=_!==~=="'=-~~'-'-o=~--:-"='O'~~=-~~-~"=-"",,~===~~~---====,=-~_--=-_=_=_=_.~----=--=.===---'-"= ,= LOCATION, OF PROPOSED BUILDING SITE: " ' d' Stre~t Address~~:2.-Z- ~"-;;;-. 3:fTH S~T 'Plat Name: Tax Lot N~inber': t.:=1:i:7Z-31 ~3 e 2- 9191 . . ~ . 1. DEVELOPMENT TYPE(Refe~ to development tYpe definitions on.the reverse,) A. Single-Family Detached NO. OF UNITS T X $3,409 per unit = $~' 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 ~ $ ..~'; . ..... "d._ __ . "<~., . _" -"--"c'" ~_~.. E. AccessorY Dwelling Unit, NO. OF UNITS X $1,705 per unit = , '$ , ,2. SDCCREDIT (If app"ucabl'e. SDC payer must fur~i~h proof of _ credit approval.) '. ($ ) ""-.. _.._-.,..~---'>- -~-'~:;:"_--~-~~'~.~-~---"""'~~~ -.--' ---,.~..~-,-~,-----;._-",---'--~-'-~, .---'------ ~-_.--~~ 3. TOTAL PARK AND RECREATION SDC ASSESSED' $ 3,~. /Jet I . . . ~L--' City 0 sprin'gfield '~.' '" '~.~- b / Z-- ilL Date of building permit submittal , /~ i If Date of building permit issuance City of Springfield SP11~.::EL~ .~~ . ~.Si;".;~ OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 8t Springfield, OR 97477 541.726.3753 www.cLspringfield.or.us 811-5PR2011-01259 422 5 37TH 5T perrnitcenter@cLspringfield.or.us RECORD NO: 811-SPR2011-01259 DATE: 07/05/2011 ",'.,::-," ',"': -'cACC0UNLCOOE~Y:'" h,MQuf.,mO.!JE'"," . d 224-00000-425602 38.00 224-00000-426605 12.80 201-00000-428060 88.00 224-00000-426102 100.00 224-00000-425602 12.00 224-00000-425604 79.00 224-00000-425602 0.75 224-00000-425603 439.00 100-00000-425002 211.00 224-00000-426102 134.00 100-00000-424005 128.00 444-62256-650117 -263.73 611-00000-426604 10.00 444-00000-426607 22.63 447-00000-448027 1,811.51 443-00000-446025 1,478.67 445-00000-448025 1,333.57 440-00000-446028 497.26 446-00000-448026 497.07 442-00000-446024 3,029.56 444-00000-448024 101.97 441-00000-448029 341.76 -"~'._-~-' 719-00000-426604 316.64 719-00000-426604 137.56 224-00000-425604 45.00 621-00000-215004 241.74 224-00000-425602 1,217.50 100-00000-425605 107.03 821-00000-215023 3,409.00 TOTAL DUE: 15,579.29 '. " "5::'""ii':5:s:.~ltMQJlNTP~Q..':..~';~~~J $15,000.00 RECEIPT NO: 2011001869 lI:5ESC:RIR.TION' '"'<,"1:_ ~ --, .;'i, ,', "''Ii', ",;;14:', Address Assignment, each new or change Admin lee (10% 01 applicable fees) Curb CuU~riveway 1st Cut Each added 500 sq. It or portion ~ach additional copy .,_~,~rst Applianc~.!ee .__ _~,irst coer_,~ One or Two Family Dwelling with Three Bath Planning - Major Review ~ City Residence wiring 1,000 sq. ft. or less Residential Fire (.O~ Per Sq Foot) SDC Credit: Reimbursement Cost - MWMC Regional Wastewatl SDC: Administrative Fee - MWMC Regional Wastewater SDC SDC: Compliance Cost - MWMC Regional WastewaIer SDC SDC: Improvement - Transportation SDC SDC: Improvement Cost - Local Wastewater SDC: Improvement Cost - MWMC Regional Wastewater SDC sac: Improvement Cost - Storm Drainage SDC:.!3_eimbursement - Transportation SDC SDC: Reimbursement Cost - Local Wastewater _~~gg: Reimbur~..Tent Cost :~~WMC Region~~ Wa~~~~ SDC _~DC: Reimbursement Cost - Stor~ Drainag~.____.~_",.~.".__~_, SDC: Total Sewer Administration Fee SDC: Total Transportation Administration Fee Single~duct exhaust (bathrooms, toilet compartments, utility roor State ~S?regon Surcharge (12%'of ape,licable fees) Structur~1 Buildin~~Permit Fee Technology fee (5% of permit total) Willamalane. fees - Sing~e fami~y detached [~RAYMENT"tYPE~l\~VAYOR<. _ CASHiER:9C~~~ENTER':r COiv!MENI~. Check Cashiers Check Parker 131202 Cash Parker $579.29 TOTAL PAID: $15,579.29 SP1~N":_, I~~ ~~ ;~i:?). OREGON www.cLspringfield.or.us TRANSACTION RECEIPT 811-SPR2011-01259 434 5 37TH ST CITY OF SPRINGFIELD 225 Fifth 8t Springfield,OR 97477 541-726-3753 pel1l1itcenter@Ci.springfield.or.U5 RECORD NO: 811-SPR2011-01259 DATE: 06/02/2011 ";Y';'i~, '5''T;:'';>..'Ac.COUN'(COOE;h;:-'-};'if'1'':'';:",'.-AM6uNT;[jiiE~s;;,-.' . 'j 224-00000-425602 791,38 . --- TOTAL DUE: 791.38 L':~AxMEN:r.)'YEE;'2.:2P.AiQB,~;!,~s~lER:-cc~RP~~ ~t_Q~!!iE_IiI.S;:':;:;:';; _.~ ;-:;,k : .; . '_, '. ~MOUNtPAID'''- :<. Check PARKER Katie D Check also covers LDP11-030 791.38 2157 RECEIPT NO: 2011001404 t'D'E"S'C,RI"'T'I'O'N",,..' i~.;;., i'.' .'Y0d/E.~/;'.' , r;;c.., ~~.~" "4"'=~ Z."_ Structural Plan Review Fee Residential ,'1 oJ ~,,__._ __________'~.___~___~___~_.___~.__._'~._.'_h.._-.. TOTAL PAID: 791.38 tu E .. _ JOB NO -C z.-,".- c OCCUPANCY GROUP - N OCCUPANCY LOADJM- Tr TYPE C0NSTRUCT-L01 Af�rF OWNER-AUX-0A,THE CONTENTS I -'FELL ON HA,/E BEEN REVIEWED, WITH ALTEPATIO'YE if+lL: ?'? CN CL: L`,r.E T PENCIL. CHANGES OR ALTERATIONS MADE TO THE APPROVED DRAWINGS ORi PROJECT AFTER THE DATE BELOW SHALL BE APPROVED. 8Y THE BUILDING OFFICIAL. ■ - CI` Y OF SPRING1F'I}✓L01 OR GAN APPROVED ,BYT ' v ®ATIRZ V, q-` STREET TREES ARE REQUIRED. Please refer to attached Development Code Section regarding the placement and types of allowable trees. J Air - � r �N�-��, ' Piz 404 CIA NQNIM[TM SETBACKS - INTERIOR LOTS All measurements are from Property Lines -Front yard to House 10 feet -Front yard to Garage 18 feet -Side yard to House or Garage 5 feet -Rear yard to House or Garage 10 feet P.U.E. MAY CHANGE SETBACKS REVIEWED FOR CODE COWLIANCE a ATTENTION: OI vquires you to follow rules adol Or -upon Utility Notification 'Center. i _ r.;i s are set forth in OAR 952-001-00 0 `�Ir�v;; ;`: C' R 952-001 0090. You may obtain ur,,Dies of the rules by calling the center. (N11c1e: the telephone number for the Oregon Utility Notification Center is 1 .800-332 2344), These electrical plans are NOT reviewed prior to permit issuance. Electrical work shall comply with current codes and will be field inspected for compliance. These plumbing plans are NOT., reviewed prior to permit issuance. Plumbing work shall comply with current codes and will be field inspected for compliance. nr�c��on�n Irl JUN 08`2011 IUI, i NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT 15 NOT COMMENCED OR IS ABANDONEDOR ••:••. ANY 180 DAY PERIOD.—% .... •••••• .. " 1 THE INFOAMAlick ON THIS !.LOT PtVN HV lffN rRd'V1OE0 AND • • • • • • REVIEWED 8Y ITR: PROPERTY OWNER.Y.HCI,STS SIGNWG.sEtOMR tJ • ACKNOWLEDGE! AND ACCEPTS FULL RESrow61I LITPfOA $IS9XIIIII�CY • • • • AND COMPMENES11; 2.1 IS r%SPO1VVLE•TP ENSURE TfIAl TIIE • • • • 1AMOVEIWENTS TO THE SITE TARE PLACE 19 GONFOAMANCE WITH TINS ALAN: 3.1 WR.t EfTA8t1SM Att THE CORNEA IAOWLOT LINES'"D CQDE • REOLRRfD SETBACKS REOVIAED OF TNI3 P�YY,�PAOFE E • PjY•CNANGEUSiT:1fT • • PLAN MUST 0E E-APMIOVED 8Y TM COVERNMENiAL AGENCIES WITII JUAtSDIC Al. THE MORTGAGE N Et'R9VD•L♦<IEGONTAITDAl�ND •: _� / oaGv s . •.. awNEA - DAVE I