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Home My WebLink AboutPermit Building 2011-7-20 S:~.f~~._.FIE~ ~;~ \""". ..~ OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01764 IVR Number: 811138443273 www.ci.springfield.or.us 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 07/20/2011 ISSUED: APPLIED: 07/20/2011 07/18/2011 EXPIRES: VALUE: 01/15/2012 $179,474.98 SITE ADDRESS: 1161 40TH Pl, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802064113500 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family residence - SAME AS 1181 S 41st PROJECT DESCRIPTION: Phone Number: OWNER: ADDRESS: BRUCE WIECHERT CUSTOM HOMES INC 3073 SKYVIEW IN EUGENE OR 97405 CONTRACTOR INFORMATION Contractor Type General Contractor Electrical Contractor Mechanical Contractor Plumbing Contractor Contractor Name BRUCE WIECHERT CUSTOM HOMES lNC L & E ELECTRIC INC COMFORT FLOW HEATING CO STEVEN R JOHNSON Lie Type CCB CCB CCB CCB i Lie No lie Exp 101717 09/16/2012 105475 03/30/2012 460 06/27/2013 65065 03/12/2012 i lot Size: Phone 541-686-9458 541-933-2598 541-726-0100 541-342-3765 BUilDING INFORMATION # of Units: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: 1 17.5 Forced Air Gas Gas Gas No # of Bedrooms: Sprinkled Building: Fire Alarms: 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 Editio~: Structural Specialty Code Edition: 3 No No Path 1 A Gas-fired furnace with min. AFUE of 90% 6620 1686 Sq Ft 1 st Floor: Sq Ft2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 ATTENTO!()N: OrArl0nd'RW requires you to ccupancY;L.oa : foll~'N i'iii% ddOp!ea 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). 2008 430 Site Information i Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: No No No No No NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit 7/20/2011 11 :01 :52AM Page 1 of6 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01764 IVR Number: 811138443273 Issued ISSUED: APPLIED: 07/20/2011 07/18/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us EXPIRES: VALUE: 01/15/2012 $179,474.98 07/20/2011 SITE ADDRESS: 116140TH PL, Springfield, OR 97477 ASSES OR'S PARCEL NO: 1802064113500 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family residence - SAME AS 1181 S 41st Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: 14.23 5.1 5 37.93 3.75 DEVELOPMENT INFORMA TION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of lot Coverage: 3 Yes 31.7 Highest point on structure to north property line: 1705 REQUIRED PARKING Total: 2 Handicapped: Compact: 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 ~ Valuation Description Tvpe of Construction VB VB Unit Amount Unit Tvoe 1,686.00 Sq Ft 430.00 Sq Ft 7/20/2011 11:01:52AM Sidewalk Type: Downspout/Drains: ~ Unit Cost 96.83 37.72 Value 163,255.38 16,219.60 179,474.98 Page 2 of6 www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01764 IVR Number: 811138443273 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 07/20/2011 ISSUED: APPLIED: 07/20/2011 07/18/2011 EXPIRES: VALUE: 01/15/2012 $179,474.98 SITE ADDRESS: 1161 40TH PL, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802064113500 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family residence - SAME AS 1181 S 41st FEES PAID I Amount Paid Date Paid ReciDt # $3,409.00 07/20/2011 2011002065 $374.00 07/20/2011 2011002065 $17.00 07/20/2011 2011002065 $17.00 07/20/2011 2011002065 $13.00 07/20/2011 2011002065 $9.00 07/20/2011 2011002065 _._---_."-~.~_..__.. -- -------.---- Single_-d:,,,!-,:>,~aust (bat,:!oom:_, tojl~t .c."mpartm~t_~~t~i__ . __ _, _ ~6cOO _____ .1l!1.~0/2~~ 1___ _~_~011 002065 $79.00 07/20/2011 2011002065 w._ ~____"_~~~ _".~_.___._.___ _'_'___~_'___ $134.00 07/20/2011 2011002065 ""__'_~_'W_~",_._'"___M~___,~.__ ...,._____.w...._______ . _ . .__... $75.00 07/20/2011 2011002065 H__~_W~__~__ $105.80 07/20/2011 2011002065 $63.00 07/20/2011 2011002065 --$1,034.35 '---'-- 07/20/2011 2011002065 $38.00 07/20/2011 2011002065 $-33.00 07/20/2011 2011002065 $51.00 07/20/2011 2011002065 --"'--_.._--..~- SDC: Reimbursement Cost, Storm Drainage $646.00 07/20/2011 2011002065 SDC}';;pro-;;e-;"-;".iC;;t~t~';;-Dr;;i;;;;g~ - --.-- --- $939.76 07/20/2011 2011002065 SDC:_RC'imb.':l~s~~- Tralls_portation SDC $510.94 07/20/2011 2011002065 SDC,.!':'l'co::ement - Transportation SDC "--~5og-52__---oi/20i20i-1--'-----wi"1062065 ~DI:.: Improveme.."t - Tran.'!port..ti~n l'~.._..___....__.. _ _, $352.6~__..,_ ,_ 07/20/2011 2011002065 SDC: Reimbursement Cost, Local Wastewater $3,520.66 07/20/2011 2011002065 ~'", - ..."_.._~_._.~_......__.----_._. SDC: Improvement Cost - Local Wastewater $1,718.34 07/20/2011 2011002065 SDC: Rei'!'bursement Cosl, MWMC Regional WastewalE $101.97 07/20/2011 2011002065 ~~C Im~~.~e.ment c;~st: MWMC Regional~Wastewater ~.~__._...l~,3~357 07/~/201.!...__.._ 2011002065 SDC: Compliance Cost - MWMC Regional Wastewater SI $22.63 07120/2011 2011002065 SDC: Administrative Fee, MWMC Regional Wastewater: $10.00 07/20/2011 2011002065 SDCS,redit: R.e!mbursement C?st - Storm Drainage $-646.00 07/20/2011 2011002065 SDC Credit: Improvement Cost - Slorm Drainage $-939.76 07/20/2011 2011002065 SOC:-Total Sewer Administra!;;;; Fee ..-.-- $312.47 07/20/2011 2011002065 --~--,_._. SDC: Total Transportation Administration Fee $141.55 07/20/2011 2011002065 Sidewalk up though 90 Feet .-.-- ~iOO--~ 07/20/2011 .~ - --.. -201iii02ii65 Curb Cut/Driveway 1st Cut $97.00 07/20/2011 2011002065 -r'-chnologYfe;(5%;)i'p!;mit total) -, -.---., -.-.--- $1 OS.07- ----'----------0:,.7261201'; . - --.-- 26i1602065 State of Oregon Surcha-rge (12% of applicable fees) ---$222.16 ~--------0772cii2(j"i1--'-'----2Oi'1002065 Admin'fee (10% of applicable fees) .---- ---$10.58"-' 07/20/2011 -----2011062065 -----..- Same as Plan Review Submittal $250.00 07/20/2011 2011002065 DescriDtion yvillamalane fees - Single family detached ~ne or Two Famill9welling with Two Bath Fu~nace - up to 100,_0~0 BTU _.. Air conditioner ----- --~ -- -,-,,-- -- .,.,-.-..-.--.....--.- Range hood/other kitchen equipment ~!~;~~~,,~1~~! ~~:~;.Fe~~..t~~or.g~_~ir~pl~~e~~~-=-=-=_~--:.- ~J!~.t Appliance Fee R~~~~_~wiri~,~ 1,000 sq. ft. o!._~~____,__ Each added 500 sq. ft. or portion Residential Fire (.05 Per Sq Foot) Temp services 200 amps or Jess Structural Bu!lding Permit Fee Address Assignment, each new or change MUltiple Permit Discount (Max 2) Overwidth / Secon:t Driv~_~~I Springfield Building Permit 7/20/2011 11:01:52AM Page 3 of6 S~~~:::E.L..?iJ ~~ ~OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01764 IVR Number: 811138443273 www.cj.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfleld.or.us PROJECT STATUS: STATUS DATE: Issued 07/20/2011 ISSUED: APPLIED: 07/20/2011 07/18/2011 EXPIRES: VALUE: 01/15/2012 $179,474.98 SITE ADDRESS: 1161 40TH Pl, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802064113500 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Single family residence - SAME AS 1181 S 41st $211.00 $15,949.32 Planning - Major Review. City Total Amount Paid 07/20/2011 2011002065 Plan Review ~ Department Application Acceptance Received Due Date Completed Result 07/18/2011 07/1812011 07/18/2011 Application Accepted Initial Review 07/18/2011 07/18/2011 07118/2011 Approved - ::-.' ,: Approved O_';IO '\ . ~. "'. Planning Review 07/18/2011 07/18/2011 07/18/2011 Reviewer Chris Carpenter Chris Tara Jones Comments: *Survey required because of minimum side setbacks. *Plant street trees as shown on the street tree plan attached to permit: species as shown, 2" caliper, leave species name until approved. . ,? ~ C" ,.'oiii<iZ?011- - '07/20/2011( ... -,- 'chjisC~ITi~rite~; .--.( ~ Springfield Building Permit 7/20/2011 11 :01 :52AM Page 4 of6 www.ci.springfleld.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01764 IVR Number: 811138443273 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfietd.or.u$ PROJECT STATUS: STATUS DATE: Issued 07/20/2011 ISSUED: APPLIED: 07/20/2011 07/18/2011 EXPIRES: VALUE: 01/15/2012 $179,474.98 SITE ADDRESS: 1161 40TH PL, Springfield, OR 97477 ASSES OR'S PARCEL NO: 1802064113500 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Single family residence. SAME AS 1181 S 41st INSPECTIONS REQUIRED ~ Inspections 1020 Zoning/setbacks 1090 Street Trees 1110 Footing Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Post and Beam: Prior to floor insulation or decking. 1120 Foundation 1160 UFER Ground 1170 Post & Beam 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1410 Undefiloor insulation 1420 Insulation Vapor Barrier 1430 Insulation Wall Wall Insulation: Prior to cover. 1440 Insulation Ceiling 1520 Interior Shearwall Ceiling Insulation: Prior to cover. Shear Wall Nailing: Before covering sheathing with finish materials. 1530 Exterio'r ShealWall 1540 Gypsum Board/Lath/Drywall Drywaff: 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. Underflaar 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. 1999 Final Building 2200 Underfloor Mechanical 2210 Underfloor Gas 2260 Gas Service 2300 Rough Mechanical 2310 Rough Gas 2995 Final Gas 2999 Final Mechanical Final Mechanical: When all mechanical work is complete. 3130 Footing/Foundation Drains 3170 Underfloor Plumbing Underfloar Plumbing: Prior to insulation or decking. 7/20/2011 11:01:52AM Page 5 of 6 Springfield Building Permit S~.il.NG~.IE~ ~ ~OREGOrl www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01764 IVR Number: 811138443273 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 07/20/2011 ISSUED: APPLIED: 07/20/2011 07/18/2011 EXPIRES: VALUE: 01/15/2012 $179,474.98 SITE ADDRESS: 1161 40TH Pl, Sprin9field, OR 97477 ASSESOR'S PARCEL NO: 1802064113500 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family residence - SAME AS 1181 S 41st 3200 Sanitary Sewer 3315 Water Line Sanitary Sewer Line: Prior to filling trench and including required testing. 3400 Storm Sewer 3500 Rough Plumbing 3999 Final Plumbing 4000 Temporary Power Service 4225 Service or Feeder Storm Sewer Line: Prior to filling trench. Rough Plumbing: Prior to cover and inCluding required testing. Final Plumbing: When all plumbing work is complete. 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 required inspections are requested at the proper time, that each address is readable from the street, that the permit card i ocated at the front of the property, and the approved set of plans will remain on the site at all times during construction Owner or Contractor Signature Date J / Springfield Building Permit 7/20/2011 11:01:52AM Page6of6 #~. ,4 s:. II f (\ l(/ sf- _....~ t~1l. . . ~.-" Structural Permit ApplicatioD_ CITY GF SPR1N(iFIFLD, OREGON bEPA~tMENj'USE6N~ ' .' ..... . ..'.-,,1.',,-<':,., ...'.,.........,".. 225 Fifth Street + Springfield, OR 97477 + PH(541)726-3753 + FAX(541)726-J689 Pennit no.: SIlO f 76lf Date: 7-1 S -II 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 ror 180 days. ,.,lAAfRQVA~;\~~J~g~~:':~:;~j:.r.; Date: Dyes Date: DNo C""b... />"I"-Q\ ~'- /.-"" State:O d. ZIP: q 7~ () l Fax: ;:,'1 -3Hz €d em", '"-5-1 ~ v-lc.t Name Eleclrica' "..r: Plumbing 5fc..~ Mecbanical <: F H PhODe Number 5tl .." ~ (, ~ '(Z-311,<;' 72.b--o)00 Construction type: Square f..t: Co,t p.r 'quare root: Other infonnation: Typ. or Heat: En.rgy Patb: new D alteration (b) Foundalion-only p.rmit? Total valuation: . Z. BuiJdii1itfe~(}!'\!!~.-:'. (a) P.rmit r.e (u,e valuation tabl.): (b) Inv.stigativ. f.. (.qual to [2a]): (c) Reinspection ($ per hour):- (number of hours x r.. per hour) t: D addition DYe, (d) Ent.r 12% ,urcharg. (.12 x [20+21>+2c]): (.) Subtotalorr... above (2a tbro.gh 2d): '3n'I~" 'J (a) Plan review (65% x p.rmit reo [2a]): (b) Fire and life ,af.ty (40% x permit f.. [2aJ): (c) Subtotalorr... above (3a and 3b): 4. MiS"e,l1i!Ied~fi:lili;<>. . (a) S.i,mic f.., 1% (,01 x p.rmitf.. [2a]). $ TOTAL f....nd .urcbarg.. (20<-30+4a): $ 0 (If Electrical Permit Application 225 Fifth Street. Springfield, OR 97477 +PH(541)726-3753 tFAX(541)726-3689 DEPf.RTMENT USE ONLY Date: Pemit no.: 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. '::EOCAL;"GClVERIiIMEIiIT . APP.R.0VAL".',./T;,' Zoning approval verified? 0 Yes 0 No ,,' ".CJ,\TEGORY/ClFCONSTRUCTION' ,. Name: Signature: City: Phone. E-mail: CCB license no.: Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: 440-2584-J (9/08/COM) ~~C\ ~'VJ! :f~ :t~;~:;'!.~ :r,,:~':;-',~""f'~;~l;r~~~':2":?}f.,E~EJ~~ S ~ H E.p:Ql1i:r~.~tt<1)::~. f!1~M?~~~:i~(~~fh~~:,;~~~I1~'fi . ,': Qt)'. .Cost Total ,~umberqf.jn~pectjD'JjS per item' ()" _:. .:'" <"'",;-' .,' -', ,,,-,-,-! .':' '.' ", ;" " '. '.~-' { ,~ea. cost... Residential, per unit, service, included: 1,000 sq. ft. or less (4) I $134.00 $/20/ Each additional 500 sq. ft. or portion '3 $ 25.00 $ 7,[' 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) $ 61.00 $ 201 to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $156.00 $ 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 $ 'J 201 to 400 amps (2) $ 67.00 $ 40 I 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 $ 6.00 $ 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 l!-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: (1) $56.00 $ ~ ~ L (A) Enter subtotal of above fees 2',/,2- (Minimum Permit Fee $58.00) $ (B) Enter 12% surcharge (,12 x [AD $ :J.2.~ (C) Technology Fee (5% of [AD $/~ ?~ -- TOTAL fees and ,nrcharges (A throngh C): $fIK'=.6, 2~ willamalane t~ Park and Recreation District , Job. No. Sll-I?~ ~/ PARK AND RECREATION SYSTEM DEVELOPMENT CHARGE WORKSHEET January i-December 31, 2011 NAME: l?ttJC- f/ ADDRESS:.3 0 ?7 .JWt/(t:;1J CITY: CtA..4_ PHONE: STATE:dYLZIP: c;r;l(OJ LOCATION OF PROPOSED BUILDING SITE: Street Address: / / ~ (. S r'dl't ~L- Plat Name:/f? Fill1!~r J^D IAJJ Tax Lot Number: / itJ z. t)(; 4/ 17~D 1. DEVELOPMENT TYPE (Refer to development type definitions on the reverse.) A. Single-Familv Detached NO. OF UNITS I B. Single-Familv Attached NO. OF UNITS C. Multi-Familv Apartment NO. OF UNITS D. Single Room Occupancy NO. OF UNITS E. Accessorv Dwelling Unit NO. OF UNITS X $3,409 per unit = X $3,404 per unit = X $2,800 per unit = X $1;400 per unit = X $1,705 per unit = 2. SDC CREDIT (If applicable. SDC payer must furnish proof of credit approval.) 3. TOTAL PARK AND RECREATION SDC ASSESSED O\z:--- City of Springfield a:rz---:-- City of Springfield $ ?ltt) S $ $ $ $ ($ ~ . $ 37'o'i . ~fO> & '1/11/(/' Date of building permit submittal ~ Date of building permit issuance TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 81 Springfield,OR 97477 541-726-3753 www.ci.springfield.OLUS 811-SPR2011-01764 1161 40TH PL permitcenter@cLspringfield.or.us RECEIPT NO: 2011002065 RECORD NO: 811-SPR2011-01764 DATE: 07/20/2011 lDESCRIP.)"ION~o:&~;i~ c:h2!;",!i1i\_1_,...L~,_j,Y"2!':j[~",7; gCCdUN:f~CO[jE"-'" ."'" AMOUN:t~QUE c'- -- -~:::::.~ _,_."_~ddress Assignment, each new or change 224-00000-425602 38.00 Admin fee (10% of applicable fees) 224-00000-426605 10.58 Air conditioner 224-00000-425604 17.00 Curb CuVDriveway 1st Cut 201-00000-428060 97.00 Each added 52.2 sq. ft. or portion __~:::22222::4261 02 75.00 _f.!'"i;.t!l.epliance Fee 224-00000-425604 79.00 ~I~_e_~"nt f~,^,~-"-,--h;:~t,,L~~ gas_fireelac~_.__ .____ 22421CJ.200-.::2~04_ ____ _______ _..__~_O F.'J':".a.ce_ - lJr:.!.0__1DO.000}l~__ __.____n__ __ _ ______ ___l24-00000-425~04 ___ __ __ ____ __ ___~O.CJ.. _ ___.___ __Iv1.'JI!iple ~e-,".'.it.Di:countj.lv1~"-_~L________._ ________ _ __ 201-20_0.00-428062_..____ _ __ __ ._____ __.2l.~,02.______ One or Two Family Dwelling with Two Bath 224-00000-425603 374.00 Overwidth I Second !Jriveway 201-00000-428060 51.00 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 Foot) 100-00000-424005 105.80 SDC Credit: Improvement Cost - Storm _l?rainage 440-62243-650117 -939.76 SDC Credit: Reimbursement Cost - Storm Drainage 441-62243-650117 -646.00 S2_!:.. Ad_m.i~~t-,ati~~e"-.: MIfV-':'1C Re~!,,!:,~I_Was~~!.".' SDC __._611-00000-~_2_6604 10.00 ___ SDc;: ~o".'plia~c! c;o~!.: M~C; r:e~i~~~1 Wastewate! _SDC __. 444:20000-426607. 22.6_~_______ __ S_DC !mprovement.:_~a_n~eortatio~ ~_I2C .______ _ _ _ __ _._ __ 4~ 7 -02.CJ.0.2~::~~~ __ _ 1.86223 __~l:l.C: Improvement Cost - Local Wastewat".'_______~43-2222.0-448025 1 ,718.~::.._________ SDC: Improvement Cost - MWMC Region~1 W~~e_':'~-'~s:__...::.4!!.-00000_:448025 _________. 1.'-~~~~~..__.__ SDC:Jmprovement Cost - Storm Drainage 440-00000-448028 93976 SDC: Reimbursement - Transportation SDC 446-00000-448026 510.94 SDC: Reimbursement Cost - Local Wastewater 442-00000-448024 3,520.66 SDC: Reimbursement Cost - MWMC Regional Wastewater SDC 444-00000-448024 101.97 ____~~."~".'~.'J~,,mentCost - Stor".'_.E:lr,,;nage 441-00000-448029 646.00 SDC: Total Sewer Administration Fee 719-00000-426604 312.47 -- --.....-..-.- - ____2.DC To~~portati~n Admi."~!'.!-':':._ 719-00000-426604 _ 141.5~___~ Same_as.F'l~ ~-,,~iew.~ub_rnitta'----___ ____ ___.__.__.__________?24:0229'O:4?560~____________ ___ 250.00_______ __ _ ~d-"~.II<_up th,,-~gh 90 Fe"'----____ _ ___ ___ _____ __ ______ ~02:0000'O:~280E!.0_________ _ 97.00 _____ ~i n~le-du:~~~~~tJ b.!~ ~~,~~~~.~~~~part~_~~.!:,~_~~~~~t,r.?~r_,3.?5:?OO~-425604 36.00 _~tal" of Orellon Surcharge i_~~ of applicable fee~__~__ 821-00000-215004 222.16 Structural Building Permit Fee 224-00000-425602 1,034.35 Technology fee (5% of permit total) 100-00000-425605 105.07 Temp services 200 amps or less 224-00000-426102 63.00 'Mllamalane fees - Single family detached 821-00000-215023..3,409.00 TOTAL DUE: 15,949.32 L PAYllif~~ttYe--,;;;j~~y6R, ~_:::'~ CASH!.t'!~:'8~3f.J.NT~R~i:;.C.QI"1M~rif~;,.;~~-" :'---;- '"~" ,AMOONtipAID:Y ,-- ___~."71 Credit Card BRUCE WIECHERT CUSTOM $9,500.00 05583d HOMES INC RECEIPT NO: 2011002065 RECORD NO: 811-SPR2011-01764 DATE: 07/20/2011 [l)ESCRi ~TjON;"'2';"<':\:t 0 . ..v'c,<:'''1'::y,:: . "'c. . ~1J,:,~:ii:lh' ;0., '>Acceu NTfcot)l:':::"';;';;~;';':;;L~AM()UN:tOl.iEQ,:;G;;;_j Address Assi~nment, each new or cha.!:ge ____~_. _ 224-0..~OO~~25602 38.00 Admin t.ee (10% of applicable fees) 224-00000-426605 10.58 Air conditioner 224-00000-425604 17.00 Curb Cutli:?:iveway 1stCu~... 201-00~~8060 97.00 Each added 500 sq. ft orgo..rtion 224-00000-426102 _._;______..__ 75.00 First Appliance Fee 224-00000-425604 79.00 -!,.!-u"-':':.e~t for water heater or gas fireplace 224-00000-425604 9.00 Furnace - up to 100,000 BTU 224-00000-425604 17.00 __~ultiple Permit Discount (Max 2) __ 201-00000-428060 -3300 n_ .2_".':9r T~!~!~ Dwelling with Tw.<:.~.!I2.-____ 224-00000-425603 374.00 Overwidth / Second Driveway 201-00000-428060 51.00 __.F:!anning - Major Review - City 100-00000-425002 211.00 __._RaC'.g~.?od/other _kitchen equipment 224-00000-425604 ___ 13.00 ..___ Residence wiring 1,000 sq. ft. or less 224-00000-426102 134.00 Residential Fire (05 Per Sq Foot) 100-00000-424005 105.80 SDC Credit: Improvement Cost - Storm Drainage 440-62243-650117 -939.76 SDC Credit: Reimbursement Cost - Sto.':,,:,.Drainage 441-62243-650117 -646.00 SDC: Administrative Fee - MWMCReg.i."Il.,,1 Wastewater SDC 611-00000-426604 10.00 SDC: Compliance Cost - MWMC Regional Wastewater SDC 444-00000-426607 22.63 .__ __ SD~:.1~provement__.!.ransportauon SDC ___~7-00000-448027 ..__.____ 1,862.23 SD.c.Ir11pr':'~.rl1e~~.c~s.!.:Y)~aIWas~e!.,,~er___ _~ 443-'!9.?_00-448~~_____ ______ u!'J1834__. _ SD~-,-I.lTlpr.?~~.rn_e~t.C3.st - M'!Y~C Re~i..?"-"1..'!Yas~"te! .SEC 445-00!l.{JO-448025 ___. ~3357 _.~~:.:.rn~~':'''2:r'~nt Cost - Stonn Draina~ 440-00000-448028 939.76 SDC: Reimbursement - Transportation SDC 446-00000-~48026 510.94 SDC: Reimbursement Cost - Local Wastewater 442-00000-448024 3,520.66 SDC: Reimbursement Cost - M\l\lMC Regional Wastewater SDC 444-00000-448024 101.97 SDC: Reimbursement Cost - Storm Dr~nage 441-00000-448029 646.00 SDC: Total Sewer Administration Fee 719-00000-426604 312.47 SDC: Total Tr"nsportation Administratio!'.I"~____ 719-00000-426604 141.55 Same as Plan Review Submittal 224-00000-425602 250.00 Sidewalk up thou~~ 90 Feet 201-00000-428060 97.00 S.!ngle.-9~c:t e:<h_a.::~t (b~1_h!~.mst _to~~t~~Y~~f!ments, ut~l~ty.!_?~~_.~~?~:9.~OOO-_-:~~60~~~__~_~. 36.00~.~___ State. of Oregon ~urc~.arg"i~.~_ of applica~~~~L _ ____.__!!'!.~.:!l.?.9?0-2!.50?~__________ ___.__ 22216___ __ _ _1>!r~ct~r1l!. Buil~!J..Perm~ Fe~_____________u. 224-00000-425602 1,03435 Techn_?lo~y fee (5% of permit tota9 100-00000-425605 105.07 Temp services.?OO amps or less 224-00000-426102 ..____.._... 63.00 ~lIamalane fees - Single family detached 821-00000-215023 3,409.00 TOTAL DUE: 15.949.32 /,'PA YMENT tYPE;;:}~-ilPAYO~;~;';~CASHrER:'C:"AR.PE,hER","'5COMMENTS"~..;f '.! ','.,;:;i:,;;{1l-7,ZrAMOUNT PAI[)'~:::h.. ",_.] Check BRUCE WIECHERT CUSTOM $6,449.32 20737 HOMES INC TOTAL PAID: $15,949.32