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Home My WebLink AboutPermit Building 2011-7-25 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: CITY OF SPI~INGFIELD Building I Residential Permit PERMIT NO: 811.SPR2011-00340 IVR Number: 811110458214 Issued 07/25/2011 ISSUED: APPLlE:D: 07/25/2011 03/04/2011 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: 01/20/2012 $227,058.99 SITE ADDRESS: 545 MOUNTAINGATE DR 12, Springfield, OR 97478- ASSESOR'S PARCEL NO: 1802032101900 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential Single family residence #12 Lot 4 Phone Number: OWNER: ADDRESS: HAYDEN HOMES LLC 2464 SW GLACIER PL STE 110 REDMOND OR 97756 Contractor Type General Contractor Mechanical Contractor Plumbing Contractor Electrical Contractor CONTRACTOR INFORMATION Contractor Name HAYDEN HOMES LLC PACIFIC AIR COMFORT INC STUTZMAN EXCAVATING INC TOP NOTCH ELECTRIC INC Lic Type GGB GGB GGB ELECTRICAL # of Units: Occupancy Type Construction Type Occupancy Type Construction Type # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Springfield 8uilding Permit 2 Lot Size: 3901 27 Sq Ft 15t Floor: 783 Forced Air Gas 0 Sq Fl ~d.\J\?oS you 1610 _ ATTENTION: regon raw "~I ~ , , ~fbw rules adoptec.s;gf11!il;l!@lTlI>yt:l Utility NbWlication Center. TSq,lftGa\.agUlre set f3'9lJ1 IflI'OAR 952-001-001 OS~Ir;jltfJilPdflR 952-001- 0090. You may obtai%.9'FPlftJ\e9t the rule~B~ call'lng the center, INote: me telephorTe" Occupancy Load'cat'lnn ~ ber for the OlegOtll:..'lllll, ''tv,''! w Electrical SpeCIalty cOdelWJll,on:center is 1-800-332-2344). Springfield Fire Code, Edition: Mechanical Spe cialty Code Edition: M~nicipal / Dev,~lopment Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: NOTICE: In RK Site Informati~;~ ~nu UNDER THIS 'PERMIT IS NOT. , COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. BUILDIN(; INFORMATION I R-3 Type VB U Type VB # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: 3 No No Path 2A Certified performance-tested duct system Yes No No No Yes 7/26/201', 9:21 :59AM 2008 Page 1 of6 www.ci.springfield.or.us CITY OF 5PI~INGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00340 IVR Number: 811110458214 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 ISSUED: APPLlE'D: 07/25/2011 03/04/2011 EXPIRES: VALUE: 01/20/2012 $227,058.99 07/25/2011 SITE ADDRESS: 545 MOUNTAINGATE DR 12, Springfield, OR 97478- ASSES OR'S PARCEL NO: 1802032101900 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Single family residence #12 Lot 4 DEVELOPMENT INFORMATION I Frontyard Setback: 33.5 Overlay Dist: Hillside REQUIRED PARKING Interior Setback: 5 # Street Trees R~qd: 2 Total: 2 Sideyard Setback: 5 Paved Drive Recjd: Yes Handicapped: Rearyard Setback: 19.03 % of Lot Coverage: Compact: Solar Setback: 30 Highest point on structl're to north property line: 27 PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Storm water to storm sewer. Drainage facilities storm and sanitary have not been accepted by the city at this time. Fully Improved Storm Sewer Yes Sidewalk Type: Curbside 5' Downspout/Drains: No Valuation Description I Descrietion R-3 1 & 2 family U Utility I misc. Tvee of Construction VB VB Unit Amount Unit Tvoe 2,193.00 Sq Ft 390.00 Sq Ft Unit Cost 96.83 37.72 Value 212,348.19 14,710.80 227,058.99 Springfield Building Permit 7/26/201", 9:21:59AM Page 2 af6 SP~~:::~ ~~~7 ~'OREGOH www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00340 IVR Number: 811110458214 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 07/25/2011 ISSUED: APPLIED: 07/25/2011 03/04/2011 EXPIRES: VALUE: 01/20/2012 $227,058.99 SITE ADDRESS: 545 MOUNTAINGATE DR 12, Springfield, OR 97478- ASSESOR'S PARCEL NO: 1802032101900 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Single family residence #12 Lot4 FEES PAID ~ Amount Paid Date Paid Recio. # $513.60 03/04/2011 2011000399 $570.03 07/25/2011 2011002101 $211.00 .-----.------07T25i2~-----2011 0021 01 ------'.--.,--- ....,....._,....._~...__........~,._- ..---.- ...--- $235.89 07/25/2011 2011002101 -~-------- -- $100.19 07/25/2011 2011002101 $20.50 07/25/2011 2011002101 -'--"- ~-'--'- $0.75 07/25/2011 2011002101 $100.00 07/25/2011 2011002101 $134.00 07/25/2011 2011002101 -_._--_...~,~_.._,..._.,'~- $:1,409.00 07/25/2011 2011002101 $38.00 07/25/2011 2011002101 ----_. $129.15 07/25/2011 2011002101 .-'----$.1~229.'~..~~._- 07/25/2011 201"1002161 -------.-.-.-'.-'-.' $391.78 07/25/2011 2011002101 $12.92 07/25/2011 2011002101 $285.71 07/25/2011 2011002101 _.~---------- $439.00 07125/2011 2011002101 $63.00 07/25/2011 2011002101 -'--~"--,.,._.....__..__.,,_..._.~ $:1.951.60 07/25/2011 2011002101 _._- $'1.928.70 07/25/2011 2011002101 $497.07 07/25/2011 2011002101 -".._"-"."'-~,-'"-,--- $'1,811.51 07/25/2011 2011002101 $101.97 07/25/2011 2011002101 $'1,333.57 07/25/2011 2011002101 <_m'__'__' $22.63 07125/2011 2011002101 $10.00 07/25/2011 2011002101 $396.99 07/25/2011 2011002101 --"~-'"-""-----~-" $133.95 07/25/2011 2011002101 --_._--- -"..._~-----_.- ------.------ Tec~no.lo_gyJee (~%_oJRe~rnit totaIL_. ' _ ,_____ ____ ,.,_ __ $O.~~____. 07/26/2011 _ __ 2011002114 State ~~?r"g_o._n _~u!c.hari1.,,-(12~ of_aPJ'li.:a~le f""s) _ _..... _ $23;~ _ ___. __ 07/2~21!.11,_ _ ____, ~~1~02114 ~urn~e - uP..!~~,~00!!...B~__._____________,$1700 ___~26/2011 _ __2D11002~~_ Techno.logy fee (5% o.f permit to.tal) $8.85 07/26/2011 2011002114 Single-duct exhaust (bathro.o.ms, toilet co.mpartments, utili ------$45:'~-----07i26/2011-- -------2Oi1Oii2i1'4 Ga;PiPin9-~p_t;4;,-;:;il;;ts-------'--_._'----------$liOO-- ---'0'7i26/2oi1- -_. ------2'o1Tli02i14- First Appliance Fee $79.00 07/26/2011 2011002114 Flue vent fo.r water heater 0; gas fireplace $9.00 07/26/201'- 2011002114 ~-"_r1jl-"~':",d/~th,,r kitc':'.,,~equipment_____ .. . ..__,_ __ ___ $.!3~___... 07/26/2011 _._ _~~002~1.~_ Descriotion Structural Plan Review Fee Residential SDC: Improvement Cost - Storm Drainage Planning - Major Review - City State ~! Oregon Surcharge (12% of applicable fees) Technology ~ee (5% of p:.r.!!1it total) ~~_~~d-?i~<:~al copy___.___,,~_ ~~~t.:~py_______ ________ Each added 500 sq. ft. or po.rtion Residence wiring 1,000 sq. ft. or less Willamalane fees - Single family detached Address Assignment, each new or change Residential Fire (.05 Per Sq Foot) Structural Building Permit Fee SDC: Reimburseme:~t Cost - Storm Drainage Admin fee (10% o.f applicable fees) Structural Plan Review Fee Residential .____._ _w _____ _____'._ ________."______~______ O_~_~or_Two_Family Dwej~ing with Three Bath !..emp service~n200 amps or~!::~~_ SDC: Reimbursement Cost - Local Wastewater --_.~- . SDC: Improvem_ent~~~~ Wastewater SDC: Reimburserl2.:_~~~I~,~nsportati,?r:~PC SDC: Improvement - Transportation sac sac: Reimbursement Cost ~ MWMC Regional WastewatE sac: Improvement Cost - MWMC Regional Wastewater ~ ~DC: Compliance Cost - MWMC Regional Wastewater SI sac: Administrative Fee. MWMC Regional Wastewater: sac: Total Sewer Administration Fee ~~S;: ~~ta~ !~~~spo~ati~n,A?_m~~is~r:t~_~~.~__ Springfield Building Permit 7/26/201 " 9:21:59AM Page 3 016 SP~~H:::.~ L~~ ~ORfGON CITY OF 5PI~INGFIELD Building I Residential Permit 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.or.us PERMIT NO: 811-SPR2011-00340 IVR Number: 811110458214 permilce nter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 07/25/2011 ISSUED: APPLIED: 07/25/2011 03/04/2011 EXPIRES: VALUE: 01/20/2012 $227,058.99 SITE ADDRESS: 545 MOUNTAINGATE DR 12, Springfield, OR 97478. ASSES OR'S PARCEL NO: 1802032101900 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Single family residence #12 Lot 4 Air conditioner Total Amount Paid $17.00 $111,299.20 07/26/2011 2011002114 Pia n Review ~ Department Application Acceptance Received Due Date 03/04/2011 03/04/2011 Comoleted 03/08/2011 Result Application Accepted Reviewer David Bowlsby Public Works Review 03/08/2011 03/08/2011 03/10/2011 Approved Ben Gibson Comments: Storm water to storm sewer. Note: sanitary and storm pipelines have not been accepted by the city at this lime. f8iFu~tura.!~eVieW>~, ~ .~'::i ,03/08/~O~1" 03/08/20~1' 0~/.15/20J(-~ Waiting l~tern~I~:- :,' "l'C~rjs Carpe~ .'::'. ,bo- L~,?rii~e_~ts;,~nl}l~g,appr~~?1 {,{" "~Z" . .~r{J4,.; :~-_ ,~'~~'~~4~,/~~~t':""_....,;::":'L~..: Planning Review 03/30/2011 03/08/2011 04/11/2011 Waiting internal Tara Jones Comments: This permit needs to be reviewed by the planner who did t~le site plan review (Andy Limbird). Waiting for Andy to go over this with me, rl~;;~~~:~~~~::.~~~apP~a~~o3~~~t1:.o7~~;:~~~:;~;~:j~:/~~~1~~;~c;~~;~~~~~~~~s';f"~1~i~:~~E.5(r:~>':' p,} :',;~l' ~::>..~:' J Planning Review 03/30/2011 03/08/2011 07/14/2011 Approved Tara Jones Comments: .Front and rear elevations are site specific and contain required design elements. Inspectors will field check that actual elevations match submitted designs as shown on the apprc;ved set of plans. . A final site inspection for Planning's Site Plan Review conditions is required prior to issuance of occupancy. Call Tara Jones (541 736-1003) or Andy Limbird (541726-3784) at IE~ast48 hours in advance to schedule a site visit. .The 15' Conservation Easement must be fenced with orange construction fencing. Native vegetation to be preserved and no construction activity allowed in this area. . The backyard tree must be coniferous, at least 8' high and selected from the fist of "Native Trees in Hillside Development" in the street handout. Planting the backyard tree is a condition of occupancy. *Provide at least 18' from face of the garage to sidewalk so cars parked in front of the garage will not block sidewalk. *Survey required based on minimum side setbacks. rStru~ili-;;TRevfew-;-- --;-- 03/081201:1""" '~o3/0872011\'~, 07/25/2o;:r~r '~pp'rovea '~#-<~ J:~Z:~ChrlS'9arpenter ~ L:s,'.: ..('i.:::t~,~:-<',~:'~~:,., '~'~"' ..1 __ ~::'I 7 ~ '>~"'f\~:-~; ~c~ .1:" . ~;: ~ ~,~}' ' ~~~:}"'t~~d, ",21""",., ,::'~ 'f'~~ Permillssuance 07/25/2011 07/25/2011 07/25/2011 Issued Chris Carpenter ~~l< ':'.' ~",~, :'<*~,- <"i(t'i ':~~~~,- :~".- '''.j::~':'::i ., i Springfield Building Permit 7f26/201'1 9:21:59AM Page 4 of 6 SP~.11NG~.~..IELD .'~ ..~ '&:,9( ~" ..',~ .);. OREGON CITY OF 5pr~INGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.cl.springfield.or.us Building I Residential Permit PERMIT NO: 811-SPR2011-00340 IVR Number: 811110458214 pennitcenter@ci. springfield. or. us PROJECT STATUS: STATUS DATE: Issued 07/25/2011 ISSUE[): APPLlE:D: 07/25/2011 03/04/2011 EXPIRES: VALUE: 01/20/2012 $227,058.99 SITE ADDRESS: 545 MOUNTAINGATE DR 12, Springfield, OR 97478- ASSESOR'S PARCEL NO: 1802032101900 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Single family residence #12 Lot 4 INSPECTIONS I~EQUIRED , Inspections 1020 Zoning/setbacks 1090 Street Trees I 1110 Footing 1118 Footing Drain 1120 Foundation Footing: After trenches are excavated. Foundation: After f,xms are erected but prior to concrete placement. 1160 UFER Ground Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with foc-ting and/or foundation inspection. 1220 Underlloor framing 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1370 Masonry Veneer 1410 Underfloor insulation 1420 Insulation Vapor Barrier 1430 Insulation Wall Wall Insulation: Pri.)r to cover. 1440 Insulation Ceiling 1520 Interior Shearwall Ceiling Insulation: I:}rior to cover. Shear Wall Nailing: Before covering sheathing with finish materials. 1530 Exterior Shearwall 1540 Gypsum Board/Lath/Drywall Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum board, interior and E!xterior are in place, but prior to plastering. Final Building: After all required inspections have been requested and approved and the building is com~,lete. Underfloor Mechanical. Prior to insulation or decking and including required testing. 1999 Final Building 2200 Underiloor Mechanical 2210 Underlloor Gas Underiloor Gas: After line is installed and required testing and capped if not attached to an appliance. Gas Service: After !ine 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 2260 Gas Service 2300 Rough Mechanical 2995 Final Gas Final Gas: When all gas work is complete. Final Mechanical: ~Vhen all mechanical work is complete. 2999 Final Mechanical 3130 Footing/Foundation Drains Springfield Building Permit 7/26f201'i 9:21:59AM Page 5 of6 SP~~.~:;?iJ .,;,~ . ,~," OREGON CITY OF SPI~INGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.cLspringfield.or.us Building I Residential Permit PERMIT NO: 811-SPR2011-00340 IVR Number: 811110458214 permitcenler@ci.springfield.or,us PROJECT STATUS: STATUS DATE: Issued 07/25/2011 ISSUED: APPLlE'D: 07/25/2011 03/04/2011 EXPIRES: VALUE: 01/20/2012 $227,058.99 SITE ADDRESS: 545 MOUNTAINGATE DR 12, Springfield, OR 97478- ASSESOR'S PARCEL NO: 1802032101900 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Single family residence #12 Lot 4 3170 Underlloor Plumbing 3200 Sanitary Sewer 3315 Water Line UnderfJoor Plumbin;~: 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. 3411 Perimeter Rain Drains 3500 Rough Plumbing 3999 Final Plumbing 4000 Temporary Power Service 4225 Service or Feeder Rough Plumbing: Prior to cover and including required testing. Final 'Plumbing: When all plumbing work i;S complete" 4500 Rough Electrical 4999 Final Electrical Rough Electric: Pri'Jr to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that 1 have carefully examined the c'Jmpleted application and do hereby certify that all information hereon is true and correct, and 1 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 :;et of plans will remain on the site at all times during 00"7: ;?1- 7-Z&-/( Owner or Contractor Signature Date Springfield Building Permit 7/261201", 9:21:59AM Page 6 of6 SP~~;:~1i.. ~ ~OItEGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR20'11-00340 545 MOUNTAINGATE DR 12 CITY OF SPR]NGF]ELD 225 Fifth St Springfield, OR 97477 541-726-3753 permitcenter@ci,springfield.or.us RECE]PT NO: 2011002114 RECORD NO: 811-SPR2011-00340 DATE: 07/26/2011 [DESCRI/?TION ,.- ::~"':t+.'~i~~,]::.; ii~L.J';;J.;;i!,!~:.;s~'AccoIIiNtJCOI)E~':' . AMO.(jNt~I).IiE' Air conditioner 224-00000-425604 17.00 224-00000-425604 79.00 224-00000-425604 9.00 ------- 224-00000-425604 17.00 --------..._- 224-00000-425604 14.00 ..._-~.._---.. 224-00000-425604 13.00 224-00000-425604 45.00 821-00000-215004 23.28 100-00000-425605 9.70 TOTAL DUE: 226.98 l.;.:~~j;J\II~tiIJygEJt;~ilip'~X6R(ij'rc"AJ'H;E~~CCARPENTERf :L3':'9:QMM~N~S~~ '. -;.. .:d:t~NT;f1,o;]Q'lIi;;i~t.;::.. . ." ~1 Credit Card Eric Hendrickson 226.98 ,'I __ .~~~~pplian~e Fee ...._ FI.u.e v~n~ ~<:r_,!,,~!:r he~~ter or ga~s fireplace ______ _....F.urn!,.c:e..:.'!? .!.OJOOl~~!.I:!..._.___.__ _._ .. _~ _ ~~_s .!:jping up to 4_<:~t!ets Range hood/other kitchen equipment Single-duct exhaust (bathrooms, toilet compartments, utility roar State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of perrnit total) 070914 TOTAL PAID: 226.98 .. . CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00340 IVR Number: 811110458214 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 07/25/2011 03/04/2011 07/25/2011 SITE ADDRESS: 545 MOUNTAINGATE DR 12, Springfield, OR 97478. ASSESOR'S PARCEL NO: 1802032101900 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 EXPIRES: VALUE: 01/20/2012 $227,058.99 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Single family residence #12 Lot 4 Phone Number: OWNER: ADDRESS: HAYDEN HOMES LLC 2464 SW GLACIER PL STE 110 REDMOND OR 97756 CONTRACTOR INFORMATION Contractor Type General Contractor Mechanical Contractor Plumbing Contractor Electrical Contractor Contractor Name HAYDEN HOMES LLC PACIFIC AIR COMFORT INC STUTZMAN EXCAVATING INC TOP NOTCH ELECTRiC INC Lie Type CCB CCB CCB ELECTRICAL BUILDING INFORMATION ~ # of Units: 2 Height of Structure:' 27 Type of Heat: # of Stories: Occupancy Type Construction Type Occupancy Type Construction Type , R.3 Type VB U ATTEN Water Type: Gas T/ON' Or!J<a'i\o , Type Yl};low rules 'd g.<rYPll:?quires yo&"'OS N ' a op'o^, h, th I otlfieatlon C Hazmat: e Oregon UNffty . enter Those I In OAR 952-001-00'10 thro ru es are set forth 0090, You may obt' ugh OAR 952-001_ cal/in th aln copies of the r I h numb g / e centeIEI~ct(i~~! ~P,~"iill!llpl;io~~ E'cfltion: er or the Or~nr. n ','" " non~, Cent ' Sprrngfleltl/P,"e&o,de.Fdition: er IS 1-Ron_ ,{ " ,v,iUon Nfeenll1fl.?aI'S\i'e'<;\alty Code Edition: Forced Air Gas # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: 3 No No Path 2A Certified performance-tested duct system Municipal I Development Code: Plumb,iog Specialty Code Edition: Residential Specia_lty Code Edition: Structural'Spec,ialty Code Edition: ~ Lie No Lie Exp Phone 172526 10/11/2012 541-923-6607 39237 03/25/2012 541-672-9510 68829 08/23/2012 541-791-1151 C220 D7/01/2014 541-317-1998 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: 3901 783 1210 390 200 2008 Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: NOT! CEJ. Site Information ~ ;~~S/ERM'T SHALL EXPIRE IF THE WORK COM~E~ZED UNDER THIS PERMIT IS NOT ANY 18 CED OR IS ABANDONED FOR o DAY PERIOD. Yes No No No Yes Springfield Building Permit 7/25/2011 11 :27:09AM Page 1 of6 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00340 IVR Number: 811110458214 225 Fifth Sf Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci,springfietd.or.us PROJECT STATUS: STATUS DATE: Issued 07/25/2011 ISSUED: APPLIED: 07/25/2011 03/04/2011 EXPIRES: VALUE: 01/20/2012 $227,058.99 SITE ADDRESS: 545 MOUNTAINGATE DR 12, Springfield, OR 97478- ASSESOR'S PARCEL NO: 1802032101900 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Single family residence #12 Lot 4 DEVELOPMENT INFORMATION ~ Frontyard Setback: 33.5 Overlay Dist: Hillside REQUIRED PARKING Interior Setback: 5 # Street Trees Reqd: 2 Total: 2 Sideyard Setback: 5 Paved Drive Reqd: Yes Handicapped: Rearyard Setback: 19.03 % of Lot Coverage: Compact: Solar Setback: 30 Highest point on structure to north property line: 27 PUBLIC IMPROVEMENTS , Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Storm water to storm sewer. Drainage facilities storm and sanitary have not been accepted by the city at this time. Fully Improved Storm Sewer Yes Sidewalk Type: Curbside 5' Downspout/Drains: No Valuation Description ~ Descriotion R-3 1 & 2 family U Utility, misc. Type of Construction VB VB Unit Amount Unit Type 2,193.00 Sq Ft 390.00 Sq Ff Unit Cost 96.83 37.72 Value 212,348.19 14,710.80 227,058.99 Springfield Building Permit 7/25/2011 11:27:09AM Page 2 of 6 SP~.IN..G.FIEL~ ~~ ~." ItJy .,..-l'. ^"k~ OREGON WWoN. ci. springfield. or. us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00340 IVR Number: 811110458214 225 Fifth St Springfield,OR 97477 Phone: 541-726.3753 Inspection Phone: 541.726.3769 Fax: 541.726.3676 permilcenter@ci,springfield.or.us PROJECT STATUS: STATUS DATE: Issued 07/25/2011 ISSUED: APPLIED: 07/25/2011 03/04/2011 EXPIRES: VALUE: 01/20/2012 $227,058.99 SITE ADDRESS: 545 MOUNTAINGATE DR 12, Springfield, OR 97478- ASSESOR'S PARCEL NO: 1802032101900 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Single family residence #12 Lot4 FEES PAID I Description ( Amount Paid Date Paid Reciol # Structural Plan Review Fee Residential $513.60 03/04/2011 2011000399 One or Two Family Dwe~ing with Three Bath $439.00 07/25/2011 2011002101 !emp 5"."''''.5 200 ".mJ'''.''~less $63.00 07/25/2011 2011002101 S.!?~..I,:,provement Cost. St?~. Draina~'O...__.______. $570.03 _____q:/25/2o11 2011002101 SDC Reimbursement Cost. local Wastewater $3,951.60 07/25/2011 2011002101 SDC~ Imp~ovement Cost. lo~;;j Waste::vate;:----...--- -- '---$1.928:;0--- --.. 07/25/2011--.------'2011002101 SD~c.~;i,;;burs~,,;e-;,t.. T;~'n~portat;on'SDC' --- ..... .- .. . '$49707-- -07l25/~OJ.!..=:"'=:- '2011 0021 01 SDC: Improvement. Transportation SDC $1,811.51 07/25/2011 2011002101 SDC: Imp..':".vement Cost. MWMC Regional Wastewa!er ~ $1,333.57 07/25/2011 2011002101 SDC: Compliance Cost. MWMC Regional Wastewater SI $22.63 07/25/2011 2011002101 SDC Administrative Fee. MWMC Regional Wastewater: $10.00 07/25/2011 2011002101 SDC: Total Sewer Administration Fee $396.99 07/25/2011 2011002101 SDC: Total Transportation Administration Fee $133.95 07/25/2011 2011002101 Residentia!Fire (.05 Per Sq Foot) .$129.15 07/25/2011 2011002101 Address p:.~.:'!gnm~e~ch new or change .._~38..c!?.. 07/25/2011 2011002101 Wiliar':,alal1.".fees ~n_g'? family detach,,<!.....________.. .._!~409.0~___.._1!.~/25/2011 2011002101 Residence wiring 1,000 sq. ft. or less $134,00 07/25/2011 2011002101 E~ct;-;;id;d-500Sq.-ft::.or porti?~--'-- . '____u --.~~._$.10~~ii.:__:.:_:.-=-=-~ 07/25i201,,:--_.. ___ :.:. :39j}002101 l2'~tc.?EL.._.__._____. ....______$075 ____~~~~/2011._._ .__..._~11002101 Each additional_~py $20.50 07/25/2011 2011002101 Technology fee (5% of permit total) $100.19 07/25/2011 2011002101 ~tate of Oregon Su;charge (12% of api;li;;abl~fees)"---~--'$23589 07/25/2011' '2oiiiJo2i01 Pla.l1.ning. Major Review. City $211.00 07/25/2011 2011002101 Structural Plan Review Fee Residential $285.71 07/25/2011 2011002101 Admin fee (10% of applicable fees) $12.92 07/25/2011 2011002101 SDC: Reimbursement Cost - Storm Drainage $391.78 07/25/2011 2011002101 SiruCtUraiBuilding Permit Fe~------- $1,229.71'07125/2011 2011 002101 SDC: Reimburseme~t Cost. MWMC RegionaiWastewate "---'--$'1'01.97 '_"_ 07/25/2Cl22..._":"'---=:'---"'20'11 002101 Total Amount Paid $18,072.22 Springfield Building Permit 7/25/2011 11:27:09AM Page3of6 5P~ING.FIE. L~ .~ '.- 'w.. "'i'.~ Trc~ OREGON CITY OF SPRINGFIELD Building I Residential Permit www.ci.springfield.or.us PERMIT NO: 811-SPR2011-00340 IVR Number: 811110458214 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 07/25/2011 ISSUED: APPLIED: 07/25/2011 03/04/2011 EXPIRES: VALUE: 01/20/2012 $227,058.99 SITE ADDRESS: 545 MOUNTAINGATE DR 12, Springfield, OR 97478- ASSESOR'S PARCEL NO:. 1802032101900 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Single family residence #12 Lot 4 Plan Review DeDartment Application Acceptance Received Due Date 03/04/2011 03/04/2011 ComDleted 03/08/2011 Result Application Accepted ~ Reviewer David Bowlsby Public Works Review 03/08/2011 03/08/2011 03/10/2011 Approved Ben Gibson Note: sanitary and storm pipelines have not been accepted by the city at this time. Comments: Storm water to storm sewer. Planning Review 03/30/2011 03/08/2011 04/11/2011 Walling internal Tara Jones Comments: This permit needs 10 be reviewed by the planner who did the site plan review (Andy limbird). Waiting for Andy to go over this wilh me. ''''~.~.:.,!".,------y-:-' - . "'~-"--;- .__..",..."c-:-----..~.",""".~_;;'C,._ ...-.---.-__-~.~~--___.."7--,...~_.,--.~j., rp!an~ing f3.eview' ,;/ fJ 03/~0/201.1, /03/08!201.1'" _06/24129)1:rPc- t\dd:linfo:r~,g'~![ed>' .. ,Tara,Jones'-, . .. " t: Co~melits:"" 'Itdo'~5noCappea(to,meer~;o\~{~tand~fds~;:'Jim D6novah,-t6':c'orlt8_ct Ha~dlfA'Romes"Ori'MOnday June2? . '-. L__..,.;",."",~\<,-,,-___--:;..._,.;,..~,.";;;"~'. :.:,_.""',.',J;,.;.,.T:_.____..,'--.-..-2.2.L.-."~~~, .... - ;:_ __,_~_.....-i-=_-::....-__'"'---'.~~,,,.'_:i~"~"___.,~ ... :-. Planning Review 03/30/2011 03/08/2011 07/14/2011 Approved Tara Jones Comments: *Front and rear elevations are site specific and contain required design elements. Inspectors will field check thaI actual elevations match submitted designs as shown on the approved set of plans. * A final sile inspection for Planning's Site Plan Review conditions is required prior to issuance of occupancy. Call Tara Jones (541736-1003) or Andy limbird (541726-3784) alleas148 hours in advance to schedule a sile visit. *The 15' Conservation Easement must be fenced with orange construction fencing. Native vegetation to be preserved and no construction activity allowed in this area. * The backyard tree must be coniferous, at least 8' high and selected from the list of "Native Trees in Hillside Development" in the street handout. Planting the backyard tree is a condition of occupancy. *Provide at least 18' from face of the garage to sidewalk so cars parked in front of the garage will not block sidewalk. Springfield Building Permit 7/25/2011 11:27:09AM Page 4 of 6 www.cl.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00340 IVR Number: 811110458214 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perm itcenter@cl.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 07/25/2011 ISSUED: APPLIED: 07/25/2011 03/04/2011 EXPIRES: VALUE: 01/20/2012 $227,058.99 SITE ADDRESS: 545 MDUNTAINGATE DR 12, Springfield, OR 97478- ASSESOR'S PARCEL NO: 1802032101900 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Single family residence #12 Lot 4 INSPECTIONS REQUIRED ~ Inspections 1020 Zoning/setbacks 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. 1220 Underfloor framing 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1370 Masonry Veneer 1410 Underfloor insulation 1420 Insulation Vapor Barrier 1430 Insulation Wall Wall Insulation: Prior to cover. 1440 Insulation Ceiling 1520 Interior Shearwall Ceiling Insulation: Prior to cover. Shear Wall Nailing: Before covering sheathing with finish materials. 1530 Exterior ShearwalJ 1540 Gypsum Board/Lath/Drywall Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum board, interior and exterior are in place, but prior to plastering. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Mechanical. Prior to insulation or deCking and including required testing. Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. 1999 Final Building 2200 Underfloor Mechanical 2210 Underfloor Gas 2260 Gas Service 2300 Rough Mechanical 2995 Final Gas 2999 Final Mechanical 3130 Footing/Foundation Drains Springfield Building Permit 7/25/2011 11:27:09AM Page 5 016 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00340 IVR Number: 811110458214 225 Fifth St Springfleld,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilce nter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 07/25/2011 03/04/2011 EXPIRES: VALUE: 01/20/2012 $227,058.99 07/25/2011 SITE ADDRESS: 545 MOUNTAINGATE DR 12, Springfield, OR 97478. ASSEsOR'S PARCEL NO: 1802032101900 sCOPE: single Family Residence WORK INVOLVED: New TYPE OF sTRUCTURE: Residential PROJECT DESCRIPTION: Single family residence #12 Lot 4 3170 Underfloor 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. 3411 Perimeter Rain Drains 3500 Rough Plumbing 3999 Final Plumbing Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work (s complete. 4000 Temporary Power Service 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 (s located at the front of the property, and the approved set of plans will remain on the site at all times during construction. f. n 7- -2':;;- (( Owner or Contractor Signature Date Springfield Building Permit 7/25/2011 11:27:09AM Page 6 of 6 225 Fifth Strcelt Springfield, OR 97477 t PH{S41)7:!6-3753t FA...X{541)7"J DEPARTMENT USE ONLY SPRINGFIELD :____ _ C, I - '-~L/U\ - &J~-- -Pemlit no.: ~ ...)- . ","';', Date: " lJ I / This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permils expire if work is not-started within 180 days of issuance or if work is suspended for 1 SO days. - - LOCAL GOVERNMENT APPROVAL Zoning approval verified? 0 Yes 0 No ..CATEGORYOFCONSTRUCTlON iZi,Residential- : 0 Government _ -~_ 0 Commercial '. JOB:SITE'INFORMATI.oN-AND'COtAtioN,': Job sile address: gl~. \l.. L- City: :>I'I'-I,,*,"''''-D ZIP: q'l-l( +\3 Reference: I ro 2.. a 2-1 Taxlo\.: 7 () DESCRIPTION OF WORK ~-..~ liD ZlP: 'r-rr-,-lo Print name of signing supervisor' S. f" . I 19nnture 0 slgnmg supervlso ' 4.1O.2;84.J (9/on/COM) FEE SCHEDULE:. '.'c'''::''-'::' :::<:'" - -- - ---. Numbcr of inspections pcr item () Qty. Cost Total ea, cost - Residentinl, per unit, service included: - I --- - .-- -1.000 sq. ft. or less (4)___ -$134.00- - $-f,;JL Each additional :500 sq. f1. or .portion - . thereof '-I $ 25.00 $/00 Limited energy (2) $ 32.00 $ Each manufactured home or modular $ 63.00 $ dwelling service or feeder (2) Sen'iccs or fceders: installation. alteratiDn, relDcation 200 amps or less (2) $ B1.00 $ 20110400 amps (2) $ 95.00 $ 40 I 10600 amps (2) $15B.00 $ 60 I to 1,000 amps (2) $205.00 $ -- ". Over 1,000 amps or volts (2) $469.00 $ Reconnect only (2) $ 63.00 $ Tempornry scrvices or fceders: imlallatio/l. alteration. relocation 200 amps or less (2) f/ $ 63.00 $/',,< 201 to 400 amps (2) $ B7.00 $ 40 I to 600 amps (2) $126.00 $ Over 600 ilmps or \,000 volts, see services or feeders section nbave Branch circuits: "ell'. allerarion. extension per panel a. Fee for branch circuits with purchase or a service or feeder fee; Each branch circuit $ 6.00 $ b, Fee for branch circuits without purchase of n service or feeder fee: First branch circuit (2) $ 55.00 $ Each additional branch circuit $ 6.00 $ Miscellnneous fees: seMlice or feeder nOI included Ench pump or irrigation circle (2) $ 63.00 $ Each sign or outline lighting (2) $ 63.00 $ Signal circuit or n limited-energy po.ne!, $ 63.00 $ alleralion. or extension (2) Each ndditional inspection: (I) $5B.00 $ .~."":::'..:. 'j.,- AppLICANT 'USE. ..."'. - (A) Entc:r subtotal of above fees $Ti7 (Minimum Permil Fee $58.00) (B) Enler 12% sUTchorge (.12 x [AD $~) ~- (C) Technology Fee (5% of lAD $ )'-1 'L TOTAL fees nnd surcharges (A through C): $'3Y'l ' c ( Structural Permit Application ~PRINGF1ELO ~ !4^,^'_~ .~~~~ , DEPARTMENT USE ONLY 5Pt2-ZCI/-o~ 3Ha. PermIt no.: Date: ::1- tt-I( ""': .r~:;/"~''*''-''''''''.'i:t !:>.t' ''''. ,J; ,'-~"'<'ir!':>""-'>';:"~~'.~'\~~:'-' ~ .' ';''/;'..."/:.< " ,e,' ". 'GITYOESPRfNGFlEED-OREGON ;"",-,_~ d<".,",' t ) .""- .;<, 'ft.,... . . _ ~ ,", ~ ,-0;.' " "~i" " 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. ' ,\. . ,1':0~A~ '~QY~R~M~~TXA~pF,i(:j:VAAi,,\jij:_';I;;ij:Vf~~~'l This project has final land-use approval. Signature: Date: This project has DEQ approvaL SignanJre: Date: Zoning approval verified: DYes D No Property is within flood plain: DYes D No 'm~:~~~~\f:~',~;i%~~X~At.E~g9,BX(;QF.~~.~,Q,N_~'JtRW-G:trii.9~Ni~~:~r"JUt,::i~;!;:~}~~~~f;!~; Residential 0 Government 0 Commercial ,'i.'li!:>B.;SI;j-~, fNJ:r(jF,iMA,.!(:)}i,gANQi'4Q.CA-:j-i9~h,:')\'i\!;,j?;J;j Job site address: !;'tIt; 'tI/:J.--I'1"i C......... If' L City: S~a---tl,-,c ~\L-'LC. State: 6JiL. ZIP:'1~ Subdivision: J~(~MTS Lot no.: 'f Reference: O:SZ- TaxlOI: OJ 9: 0 ... PROPERTY OWNER- Name: ~ /4-&~ Address: 1'1{,l{ 5w t:- t.-I'\-ldL ~ City: ~~N"~ State: ()<L Pbone: ~-( gs-~ --- ~Io Fax: E-mail: tleN"'Q..{a-~'tI'" ,t4t-~ - (- 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 under O~~.010. Sign here: / ,/'I 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689 CONTRACTORiN~;;rALLA1]()N' Business name: "a frI;/ Address: Z SoW City: !N\.()oI\ b. State: Phone: "5 l.\, .JS''i"t:.- 57 ~ "" Fax: E-mail: Print name: '- '>2.& I a....C Ie ~C~ Signature: l~~;f/r;~.vr'\:'?:;";:!f.~~~M~lJ.~-c:0N:~,RA'CJ~9~}( NF.b"R.:!VI.Att;"Qf!~*~10~j~}1~~:( Name CeB License Number Phone Number Electrical ~o">'t.~ Plumbing ;rt...l.l Mechanical ttz:..\ F-\C- A \ Q.... ,... ,'" (:FEEsCHEi5iJLE~"',"'.' ,",'c';,'.' 'rl~(Y.~lli~t)p,n'irit~r}i{~!~~~;:!:fJ}H;,': i;A:;f.;tt;.:;\J't;,-~~:t~:';fiU~;:;:ti :~;l:"f.i: (a) Job description: OS/.... Occupancy ~ ;':' i.\~~~;! . Ii; , Construction type: \/(3 Square feet: Cost per square foot. Other information: Type of Heat: A Energy Path: ew 0 alteration (b) Foundation-only permit? Total valuation: D addition DYes (a) Permit fee (use valuation table): (b) Investigative fee (equal to [2a]): (c) Reinspection ($ per hour): (number of hours x fee per hour) $ $ (d) Enter 12% surcharge (.12 x [2a+2b+2c]): (e) Subtotal offees above (2a through 2d): G $ (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): :::~}-:'M{~S~lf~i~~,~~'~'f~~$I~.f~~:~~}~;:t,\J';:~~!:,> <~i~Ml,f-:;~~::t~:,:~ ,C . (a) Seismic fee, 1% (.01 x pennit fee [2a}): ''i!t, $ TOTAL fees and surcharges (2e+3c+4a): $::22tJ'f. D e~willamalane t"W Park and Recreation District Job. No. 5/ / - .7L)O PARK AND RECREATION SYSTEM DEVELOPMENT CHARGE WORKSHEET January i-December 31, 2011 NAME: /lAY!>~N tkJ#lC> ADDRESS:2'f~ .Stu 'iL.Vt<-le'VoL CITY: /<.:bl'lloND PHONE: SY/r5?rr.. STATE:~ ZIP: 9??rG' LOCATION OF PROPOSED BUILDING SITE: Street Address: 01~-. ;1114/~- #/.?-- Plat Name: Tax Lot Number: /;;:)2 ('J;s-z-t C/7'(JO ".=_..0 1. DEVELOPMENT TYPE (Refer to development type definitions on the reverse.) A. Single-Family Detached NO. OF UNITS I X $3,409 per unit = $ 3Lf69 B. Single-Family Attached . NO. OF UNITS X $3,404 per unit = $ C. Multi-Family Apartment NO. OF UNITS X $2,800 per unit = $ D. Single Room Occupancy NO. OF UNITS X $1,400 per unit = $ E. Accessory Dwelling Unit NO. OF UNITS X $1,70S per unit = $ 2. SDC CREDIT (If applicable. SDC payer must furnish proof of credit approval.) ($ (f 3. TOTAL PARK AND RECREATION SDC ASSESSED $ ~"to1 coz--- City of Springfield y /~ If Date of building permit submittal On---. City of Springfield ? / '2-) / II Date of building permit issuance TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 5t Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-00340 545 MOUNTAINGATE DR 12 pe rmilcenter@ci.springfield.or,us RECEIPT NO: 2011002101 RECORD NO: 811-SPR2011-00340 DATE: 07/25/2011 'DESCRlFrm()tf":,~~ ;". .'J"~.d;~~,ri>': ~<x ji.d;;:;>. ';; ~*,"':r.'.;~:~:~~~':k~~'.~.i::iAccoiJNt~C_ODE .yf ; t /:,"\~,'~..:AMdYJNJ::b:UE,,-;,.;>m,~,' ?.'- 'I Address Assignment, ea..".t1~~hange 224-00000-425602 38.00 Admin fee (10% of applic~ble fees) 224-00000-426605 12.92 Each added 500 sq. ft. or portion 224-00000-426102 100.00 Each additional copy 224-00000-425602 20.50 _~rst copy 224-00000-425602 0.75 ._~~ or Two Family Dwellin~ with Three Bath 224-00000-42513.~.~ 439.00 _~nning...:_~.~jor Review: City ______~_0-00000-42500~_ 211.00 Residence wi:.~~ 1,000 sq. ft. o~less _____'__' 224-00000-426102 134.00 .._~.sldentia~~ (05 Per Ss..c_':?!!___. __._...___..__~_~0..9~0.?00-424005 _~ 129.15 ~_~~':'!_'"i~tr,,!i:'~ Fe':.:~WM~~gi:>~_al Wa;;~~t,,~!?g_~12:()2Il()0-426~'O~__.________ 10.00 . . __Sl2.C,_c;~,:,pOa..n.s"-c;Cl.~~MWMC R.e.9io..n"~~~!:,~,,te:.~!?~_~4-000.o0-4266.CJ7________ 22.63 _.... S!:!,C;: Il1lprove~."n~_: Tr"nsportation SD~_________ _~~.o~80_21. 1,811.51 __~.!:lC;:.lmprovelTlent'<::Cl.s.t_:_L.~"'- Wastewater _______._. 443-00000-448025 .__________ 1,928.70 SDC, improvemen.t Co~' MWMC Regional Wastewater SDC 445-00000.448025 1,333.57 SDC: Improvement Cost' Sto:~!:rainage 440-00000-448028 570.03 SDC: Reimbursement - Transportatio". SDC ___~6-02ll.o0.448026 497.07 SDC: Reimbursement Cost - Local Wastewater 442-00000.448024 3,951.60 SDC: Reimbursern.!'~..<::ost. MWMC .~~ional Wastewater .SDC 444-00000-448024 101.97 _SI)C: .~eimburs<:'rnent Cost - S~~rT1..[)~a.i""ge _._. _~:900.og-44802!!.. 391.78 SDC: Total Sewer Administration Fee 719-00000-426604 396.99 _.~______~. _,____.__,..__ __"._.,.__.__.~._ _. ._w__.____~____,~._.___.__~~~,____""__, SDC,.T.?t~::Tr~.n_sp_o~t!o..n ~~!:'i!'istrati.on !<:.e_. __. _...... _ 2!~~0~Og:_42~604__. _____..___._ ._133;~,ti____.__. State of Oregon~rc..harg".!12%.of..."PI~Ii~able f~-".sl_.. _ _..__82.1-00~g-_2~500~_...... ......______ __ _._?~~__ .__.?.!.'~~'JL"'- BUil<;li:'.g Perm~_.____ __.______.._~4-00000~~~~l!.0~.._.__ 1,229.71 Structural Plan Review Fee Residential 224.00000-425602 285.71 _...---_.- ~......,.,_._.--~_._--_._-_..,,_._.,,--,-- -_._--_._-._--~-- 100-00000-425605 100.19 224.00000-426102 63.00 821-00000.215023 3,409.00 TOTAL DUE: 17,558.62 tl~rM~_~l~Wtf~;g!~~~e~Y:(j~~A's'ffi~~lt~~li~Effsf{~~:!~QMM]:~k~~~?{5':0:.:~~~~t~'" :~,.~~,,}~)~MOU~TPAID~:;,:.,~!;;_~~:.::.d Check HAYDEN HOMES LLC 17,558.62 000421 ~~:.~hnolo~y fee (5% ~ permit total) --2:mp serv_i~es .20.9 amp~~~ less Willamalane f,:es ~ Sin.~le family detached TOTAL PAID: 17,558.62 SP~~NG..=.~ .~ ^m dib- OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-00340 545 MOUNTAINGATE DR 4 permitcenter@ci.springfield,or.us RECEIPT NO: 2011000399 RECORD NO: 811-SPR2011-00340 DATE: 03/04/2011 _ iDESCRIP..TION+';':.:';" . :4-"t ;;;tl. '.. --; f,:'''e: ~"'~-1".!?'.":i';ij~i?!f,..~.,j~'~c:;coliNfic6tiE. :....-tTrt!).'::.::i.l:rAMQUNrr~D.l..i E",'';'i.'-i$;-;.'" I Structural Plan Review Fee Residential 224-00000-425602 513.60 TOTAL DUE: 513.60 ,c(iIlliMgNl$3~" -:l.:'!> :,,-;~< ;" ~(j"c;)::.;i~~M8R'!tEAtD' ";:':J;.:<\;"};'~~'" \"'1 513.60 ['PAxIilLENfiXe~ ''', i'~i:(C)~'/'CASHIER:"DBowrs'Byri'",i,;"i;:;'; Credit Card HAYDEN HOMES LLC 0005235 TOTAL PAID: 513.60