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Home My WebLink AboutPermit Building 2011-7-11 ..; ;.,' www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01364 IVR Number: 811155257585 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 07/11/2011 ISSUED: APPLIED: 07/11/2011 06/10/2011 EXPIRES: VALUE: 01/06/2012 $121,621.47 SITE ADDRESS: 4809 GLACIER DR, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802051110500 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New Single Family Detached Dwelling OWNER: ADDRESS: HAYDEN HOMES LLC 2464 SW GLACIER PL STE 110 REDMOND OR 97756 Phone Number: Contractor Type Electrical Contractor General Contractor Plumbing Contractor Mechanical Contractor Contractor Name GARNER ELECTRIC CO HAYDEN HOMES LLC CONTRACTOR INFORMATION Lie Type CCB CCB CCB CCB GO PLUMBING & HEATING LLC PACIFIC AIR COMFORT lNC BUILDING INFORMATION # of Units: Occupancy Type Construction Type Occupancy Type Construction Type R-3 Type VB U Type VB Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0<': \lOll to \~W ree'}'l' ..' I . ..~ ENTION: OregorOccupancy,Load:u \1,,'1 ATT d ptPC; 0'1 lll.;;..... '..~'. ..(.tl~,(tn Electrical Specialty CodeDEdit.ion:\eS a 0 "l"H,I;;.e rt.\SS ,Ht. '-".~') I)'c' \_ I !lV> . center. .1"''" Jr~~\'........ . Springfield Fire Code B."i!ion~at\on001'_001 0 IhlOlJ'J~ 0\ \thE,';~kS by . ("\1\9952 . c'" re- 0 Mechanical Specialty Clfde'Edlti~n; [nay obtaIn u -- 't-hP te\~" ;hvo8 nQ90. YOU (Not8:"'. n Municipal I Developmentcooe:'g the center. Utili",.' \':ot,flcallO' caUltl OreGon '.1 Plumbing Specialty Code/Wm,?!,:r lor th~iS 1_800-332-2.344). Residential Specialty Code Editionyellte 2008 Structural Specialty Code Edition: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: 1 17 Forced Air Gas Gas Electric 552 # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: 2 No Path 2A Certified performance-tested duct system Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: No No . lliE WORK ~~~\~~RMll Slil\~~ ~~I~~~~M\1 \S:OI l\\Jl\10RI2EO \J~~ \S I\BI\NOONEO FO COMMEONCO~~ PERlOO. fi,N'< 18 Springfield Building Permil 7/11/2011 1:12:42PM Page 1 of 6 SP~INGF.IE~ . . :3; ,~ ~~0;;" b OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01364 IVR Number: 811155257585 225 Fifth St Sprin9field,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perrnilce nter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 07/11/2011 06/10/2011 EXPIRES: VALUE: 01/06/2012 $121,621,47 07/11/2011 SITE ADDRESS: 4809 GLACIER DR, Springfield, OR 97417 ASSESOR'S PARCEL NO: 1802051110500 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: 30.94 5 10 11.42 New Single Family Detached Dwelling DEVELOPMENT INFORMATION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: Yes REQUIRED PARKING Total: 2 Handicapped: Compact: 17 PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Description R-3 1 & 2 family U Utility, misc. Tvee of Construction VB VB Unit Amount Unit Tvee 1,041.00 Sq Ft 552.00 Sq Ft Unit Cost 96.83 37.72 Value 100,800.03 20,821.44 121,621.47 Springfield Building Permit 7/11/2011 1:12:42PM Page 2 of6 CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.or.us Building I Residential Permit PERMIT NO: 811-SPR2011-01364 IVR Number: 811155257585 permitcenter@ci,springfield.or.us PROJECT STATUS: STATUS DATE: Issued 07/11/2011 ISSUED: APPLIED: 07/11/2011 06/10/2011 EXPIRES: VALUE: 01/06/2012 $121,621.47 SITE ADDRESS: 4809 GLACIER DR, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802051110500 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New Single Family Detached Dwelling FEES PAID ~ Descriotion Amount Paid Date Paid ReciD! # Structural Plan Review Fee Residential $518.89 06/10/2011 2011001517 -- .... - ~- _.- .-----------_._._-~--. ~[)~: Impr~m_':~lL~ost - Storm Drainage ___..._..$82~.,6~_..__._ 07111/2011 2011001945 S_o.~~':'~imbursement - Transportation SDC______~_.. $497.07 07111/2011 2011001945 SDC: Improvement - Transportation SDC $1,811.51 07/11/2011 2011001945 SDC: Reimbursement Cost - local Wastewater $2,239.24 07/11/2011 2011001945 SDC: Improvement Cost - Local Wastewater $1,092.93 07/11/2011 2011001945 SDC: Reimbursement Cost - MWMC Regional Wastewatt $101_97 07/11/2011 2011001945 ::>DC: Improvement Cost - MWMC Regional Wastewater ~ $1,333.57 07/11/2011 2011001945 SDC: Compliance Cost - MWMC Regional Wastewater SI.--E2.63 _.____.._07111/2011 2011001945 SDC: Administrative Fee - f\IIWMC Regional Wastewater: $10~___~___ 07/11/2011 2011001945 SDC: Total Sewer Administration Fee $285.67 07/11/2011 2011001945 -**-~ -~_._-- ._--*'~.~._._.. SDC: Reimbursement Cost - Storm Drainage $568.17 07/11/2011 2011001945 ~~a.n;~a~e.i~-e.": 2'ingie family detached.__ $3409.00------- 07111/2011 2011001945 Address Assignment, each new or change $38.00 07illi2~------ 2011001945 Residential-Fire (05 P'-r -Sq Fo;t)- - - - -.-- ---------- --$796S--------o7i1i!2011---------zo:i100i945 Str~ctu-;aIB;:;;idTng ~.".'m;t.Fe;,- -- ----------------$~29- 07/11/2011 _____ 2011001945- First Appliance Fee $79.00 07/11/2011 2011001945 ~ingle-duct exhaust (b~throoms, toilet compartments, utj~i $27.00 07/11/2011 2011001945 Flue vent for water heater or gas fireplace _ ___,~~__.2~0, 07111/2011 2011001945 SDC: Total Transportation Administration Fee $139.52 07/11/2011 2011001945 Admin fe_~10~of~pplicable fee_s2.__ __,,___ $7.97 0711112011 2011001945 Gas Piping up to 4 outlets $7.00 07/11/2011 2011001945 Sidew~lk up tho~_9h 90 Feet $88.00 07/11/2011 2011001945 Curb Cut/Driveway 1 st Cut $88.00 02:11/2011 2011001945 ~n,,_00w~amily p~lilng with One_Ba!!'_______ ____.22~8.00 07111/201 !__ 2011001945 ~esidence ,:,irin~~02. ~:L_~.?-,-ress _____ _ _"__ u _~ 3400 07111/2011. 2011001945 Each added 500 sq. h. or portion $50.00 07/11/2011 2011001945 T_,;mp ;"'r~ices 200 ~l'sir~,,~~~ - - -$63:00 ---==-=- o7il1/201-1 _. - ---------2011001945 Furnace - up to 100,000 BTU $17.00 07/11/2011 2011001945 Range hood/other kitchen equipment $13.00 07/11/2011 --2011001945 Planning - Major Review - City $211.00 07111/2011 2011001945 State of Oregon Surcharge (12% of applicable fees;" $172.23 07/11/2011 2011001945 Technology fee (5% of permit to!al) $82.46 07/11/2011 2011001945 Total Amount Paid $15,059.44 Springfield Building Permit 7/11/2011 1:12:42PM Page 3 of6 SPRINGFIEL~ .~ 3:~ I.~) T"~ OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-5PR2011-01364 IVR Number: 811155257585 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: APPLIED: 07/11/2011 06/10/2011 EXPIRES: VALUE: 01/06/2012 $121,621,47 07/11/2011 SITE ADDRESS: 4809 GLACIER DR, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802051110500 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New Single Family Detached Dwelling Plan Review ~ Deoartment Initial Review Received 0611312011 Due Date 06/13/2011 Comoleted 06/13/2011 Result Approved Reviewer Chris Carpenter Public Works Review 06/13/2011 06/13/2011 06/17/2011 Comments: Storm water to tap Approved Kaye Wilson Planning Review 06/13/2011 06/13/2011 06/30/2011 Approved Tara Jones Comments: "'3' walkway is required. "Front elevations are site specific and contain required design elements. Inspectors wit! field check that actual elevations match submitted designs as shown on the approved set of plans ISt~lJctuial Review ^ 'p s ~.. 06!13/~01"1 ,~ ".o.~~1~/2011~~97{2p2'F~~: ,App;rp~e'd~':}>T'.., -~"2c:'J~~hnS}Ca,~p7'f1t~I;"" ',r r r::.:;,'~...'~~'',,;.?,.~,~~:,.-.>'' )/;~~:::'~r~ '~i'" "".~}:o<~f[;,:j~?;\~;~'>;,',, ~:. ".3.~~,t~t;;t~:~;:;[';,~ :"'f~:1i,!'.z ~~rj":fi,' ~., .t~:~\,;; '! ,~?:i1 ~}~ m" /' Permit Issuance 07/01/2011 07/01/2011 07/11/2011 Issued Chris Carpenter ,-..] .~, ~ $ . c ~ P_ ~~- Springfield Building Permit 7/11/2011 1:12:42PM Page 4 of 6 SP~IN. G FIEL ~ ~jA._. , N; ,,', bJ . ",~ OREGON www.ci:springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01364 IVR Number: 811155257585 225 Fifth SI 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: 155 ued 07/11/2011 ISSUED: APPLIED: 07/11/2011 06/10/2011 EXPIRES: VALUE: 01/06/2012 $121,621.47 SITE ADDRESS: 4809 GLACIER DR, Springfield, OR 97477 ASSES OR'S PARCEL NO: 1802051110500 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New Single Family Detached Dwelling INSPECTIONS REQUIRED ~ Inspections 1020 Zoning/setbacks 1090 Street T fees 1110 Footing 1120 Foundation Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. 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: Prior to cover. 1440 Insulation Ceiling Ceiling Insulation: Prior to cover. 1510 UFER 1520 Interior Shearwall Shear Wall Nailing: Before covering sheathing with finish materials. 1530 Exterior Shearwall 1540 Gypsum Board/Lath/Drywall Drywall: Prior to taping. Lath/Piaster: 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. 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 Mechanical: When all mechanical work is complete. 1999 Final Building 2200 Underfloor Mechanical 2260 Gas Service 2300 Rough Mechanical 2999 Final Mechanical 3130 Footing/Foundation Drains 3170 Underfloor Plumbing 3200 Sanitary Sewer Underfloor Plumbing: Prior to insulation or decking. Sanitary Sewer Line: Prior to filling trench and including required testing. 3315 Water Line 3400 Storm Sewer Storm Sewer Line: Prior to filling trench. Springfield Building Permit 7/11/2011 1:12:42PM Page5of6 SPRIN..G.. FIE~. D. .~ ~, ~ Ht:'1,~ OREGON CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfietd.or.us Building I Residential Permit PERMIT NO: 811-SPR2011-01364 IVR Number: 811155257585 permitcenler@ci,springfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 07/11/2011 06/10/2011 EXPIRES: VALUE: 01/06/2012 $121,621.47 07/11/2011 SITE ADDRESS: 4809 GLACIER DR, Springfietd, OR 97477 ASSES OR'S PARCEL NO: 1802051110500 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New Single Family Detached Dwelling 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 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 all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during constrUCi ;It 7 _ / r _ 1 ( Owner or Contractor Signature Date Springfield Building Permit 7/11/2011 1:12:42PM Page 6 af6 Structural Permit Application 225 Fifth Street. Springfield~ OR 97477. PH(541)726~3753. FAX(541)726-3689 DEPARTMENT USE ONLY 81 J - 51''-28 U - Pennit no, 1. 3 (; f Ii This permit is issued under OAR 918-460-0030. Permits expire if "..'ork is not started within 180 days of issuance or if work is suspended for 180 days. -' ,,' WQ,C:A~'(;QYE~t-IM~~T,A.P'RRQYi\I>.-,... This project has final land-use approval. Signature: Date: This project has DEQ approval.. Signature: Date: Zoning approval verified: Property is within flood plain: DYes 0 ~tlli~j~~~~~tJz{~~~{~i~~T'.~'@.QtiY~~~,Q_~h\~:9J{$;jB_WGJrlQJ~:~~4,;~<~"~;'';~; ,:'l'{.<). :', esidential D Government 0 Commercial :,,--~ .. .FEn;cH~pi.JLE' ' ZIPC/ )ij9-t!. {p ~Set9 . pROPERTy QWNElt Name: ~O$'...J 140.",-<--"':>. Address: "2. 'Iu'{ <;..0 C.H_ "\c ,,'1.. II 0 City: ",---t:\<'^--o''-l';\ State: D ZIP: Cf7-7s1c Phone: '5"if-1-5c,u, -51--':\(0 Fax<n{ - -'O'{- O'H,(" E-mail: G'1-tG~~~-'<-i:->. ,J t H4:Yo,->>-'> ..I-i-c,'--'t:;,.G[j \. This installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements under ~s 701.010, Sign here: [ ~(- :1, ::;'V a~iJ.~'"t)ph'\~f6r~~.t~QH<YL!;~:;'Mt;:{1;!;::~~,:f-:_:~,._t~~l;~}~;,~:,~'i.:;/i:,-.:::t (a) Job description: '3~t> Occupancy ILL-\. - ~ Construction type: 5 G Square feet: ~ J 0.1.-( \ Cost per square foot: U ;:;- Other information: Type' of Heat: (~ Enecgy Path: 2. e:. new 0 alteration (b) Foundation-only permit? ":',:0)'iiO;,:_;: (a) Permit fee (use va]uati(.m 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]): (c) Subtotal of fccs abovc (2a through 2d): $ $ $ $ $ CONTRAClI:()R.A~s'rALLATI91'l;'_", " Business name: i\'-IQ\?"~ N.o\V't..~ Address: (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): $ r::f~,M~~s.~Jt~:h~QJ!~:rr~~~ltft:$~rtj::f~:i:~;~;,~:{rt:~,~~l.1t:t~:;:'c:',:~':\A:~~::+>\::}~'Fr:,5 .'I:'.:', ' (a) Seismic fee, 1% (.01 x permit fee [laD: $ TOTAL fees and surcharges (2e+3c+4a): $ y ~"'-2... City: Phone: State: Fax: ZIP: E-mail: CCB license no,: If 2S'Z. Print name: EL\. '- J..f..e-:~~Q.. \.LL.;~ -~ ".:, Signature: ;'~$~~;~:;:t~:;"{}::;~:~~~j~:n;i~'~GJD~',jRAG_J;:Qf{~I~'i7.Q:tfMAItiQ~'[2jl:~??J?i;'iW;:,.';.'~~'~ Name CCB License Number Phone Number Electrical I '1--11 ~ C-. ~-"" S"O_ Plumbing I q 3 5'8"1 Mechanical ~9 Z"J +-- .~%... A\..f'_ c..o p~t""(-' \ DEPARTMENT USE ONLY 225 Firth Streett Springfield, OR 97477. PH{S41)726-3753+ FA.X{541)TJ SPRINOFIELC ~I Date: This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if worli. is suspended for] 80 days. LOCAL GOVERNMENT APPROVAL Zoning approval verified? 0 Yes 0 No ..CATEGORYOFCONSTRUCTlON ~Resjdentjal .: D Government D Commercial . JOBSITE'INFORMATI'ION AND"[OCA1ioN."" Job sile address:~4'~01 6"'L-A<-1~ Cily: :)"I'-I"'t~"'\"'L.D Reference: Print name of signing supervisor: Signature of signing supervise . ~~ '.10.25B4.J (910K/COM) ., FEE SCHEDULE' :........;...,;, ,..;;.,:.:::"; Number of inspections per item ( ) Qty. Cost Tobll .. e.. cost Residential, per unit, service included: .. ~..~ \.000 sq, ft. or less (4)- h. I $134.00. $/?#- Each additional 500 sq. ft. or portion 't-- .. h "T thereof . $ 25.00 $)Z) -- Limited energy (2) $ 32.00 $ Each manufactured home or modular $ 63.00 $ dwelling service or feeder (2) Sen'ices or feeders: installation, a/feration, relocatio/1 200 amps or less (2) $ 61.00 $ 20 I 10 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158.00 $ 60110 1,000 amps (2) $205.00 $ Over 1,000 amps or vallS (2) $469.00 $ Reconnect only (2) - - $ 63.00 $ Tcmpornry scrvices Dr feeders: instaJ/atioll, alteration, relocation 200 amps or less (2) } $ 63.00 $","3 201 10 400 amps (2) $ 67.00 $ 40110600 amps (2) $126.00 $ - . Over 600 amps or 1,000 volts, see services or Ceeders section above Branch circuits: new, alteration, extension per panel a. Fee for branch circuits with purchuse of II servitc or feeder fee: Each branch circuit $ 6.00 $ b. Fee for branch circuits without purchase of D. service or feeder fee: First branch circuit (2) $ 55.00 $ Each additional branch circuit $ 6.00 $ Miscellaneous fees: sen1ice or feeder Ilo/included Ellch pump or irrigation circle (2) $ 63.00 $ Each sign or outline lighting (2) $ 63.00 $ Sign 0.1 circuit or D. limited-energy panel, $ 63.00 $ nheration, or e~aension (2) Each additional inspection: (1) $56.00 $ ,,;:,.,' ,,,:".. :<. APPLICANT USE.','. .......,., (A) En\er subtotal of above fees $ i4T {Minimum Permit Fec $SS.OO} (B) Enter 11% surcharge (.12 x lAD $ 2<? '-!:! (C) Technology Fee [5% of [AD $ ) 2 1.{.. TOTAL fees and surcharges (A through C): $"}.<ji;{'i'f , ' , 2?,willamalane 'tlJ Park and RecreationDistrict Job. NO.' ::; / I-I j~L/ PARK AND RECREATION SYSTEM DEVELOPMENT CHAR~E W()RKSHEET January 1cDecember 31,2011 , ' NAME:H~'ib~f'!H..ffl-,1A~~ ,~'~.:.~ _,~..~" __" f'HONE: 5S0'~r;p)&.. ,. '" !lDDRESS:2%~.>w ~/';I1<--1(;'/L.- 'CITY:,~7:l~btvO STATE:(->.L.ZIP: '777n -- ._--- , , lOC,Il,TIONOF PROPOSED BUILDING SITE: . '.' Stre~tAcidre~s;Lf~b '7 4U4-Zf6JC- ' .. ..', Plat NameWETTW/ JVt'j' Tax Lot NUn1be;)~Q2.. OS-I II oS?:O 1. ,DEVElOPMENjTYPE (Ref~r toci~velopment type defi'riitiO~S o~ thereverse,) " A. SinglecFamilvDetached NO. OF UNITS [ X $3,409 per unit"" $ '3'101 B, Single-Familv Attached NO, OF UNITS X $3,404 per unit = $ C. Multi-Familv Apartment, NO. OF UNITS, X $2,800 per unit= , $ ., -'. ". D. Single Room Occupancy ._n':'.., -, '.,-' NO. OF UNITS ' X $1,40'O,per unit'; $ _. .~ -"'~""~-'--"'~_'-'~''';~'":''-';':'"--'-----'-,"~,~-~ '~----------:":""""':":~~'~':-'--~'---':"';' ---.'.... - '. . --.,-7-- - __ "c-'-- ___, , ' E. Accessory Dwelling Unit NO. OF UNITS ' X $1,705 per unit= . . '. . - $' ,-2. ,SDCC~EDIT (if appncable: sbc pay~r'must furnish proofof, '~ credit approval.) " 3. TOTAL PARK AND RECREATION SDC ASSESSED ($ , '/3' , n," .. ',' ,~c.-........ "'~$'o ~=--;YZ:;otC' ,:~-,',~::;,.c'~-"-=,,=,,"~=---,-,,:-,-,,,~'= =,,,-,,,,:c:c--,,,~_'";",:;o-c;.'.,,,,;',:-,,,,",,,,,,,,",_-::-,-,,,,,~~~;c:,,,,.,, = _.~.L...:.~ -'..0. "'".;:'c:'" ", 0;_,. _-'-~ :;'-.c. ~..;-o -.. ...::_. _~"- , ' Ie::. ~4lAFI'^- A- r0 ' City of Springfield '~~' ,C'i,tv of Springfield ' ~/{)I {/ f?ate of building permit submittal '7il( I // Date of building permit issuance . ' TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 8t Springfield,OR 97477 541-726-3753 www.ci:springfield.or.us 811-SPR2011-01364 4809 GLACIER DR permitcenter@cLspringfield.or.us RECEIPT NO: 2011001945 RECORD NO: 811-SPR2011-01364 DATE: 07/11/2011 tDESCRIR.TION[:~f::~~; '~IiJ?fZ:3~~~:~-'>~':2c';~- . ,'" j:,-,~+?,~";~,-,,"j(cc0LiNt:tobE:Lsh;~i"Lk~J1AMo.U,.ttD:(fE:0F":4y{;J$~j Address Assignment, each new or change 224-00000-425602 38,00 Admin fee (10% of applicable fees) 224-00000-426605 7.97 Curb CuVDriveway 1st Cut 201-00000-428060 88.00 Each added 500 sq. ft. or portion 224-00000-426102 50.00 First Appliance Fee 224-00000-425604 79.00 Flue vent for water heater or gas fireplace _"__w_____ 224wOOOOO-425604 9.00 __~~.~e - u~..t~_100,OOO BTU 224-00000-425604 17.00 __ ___ Ga~ipi':.~ ~P.to~_outle~___..___ ___ _____...--124-ooo?o-43.~6!l~ ___._ __ 7.00 _._..9_n"._or Two Family D':'.:.~with_ ~ Bath _._...__ .. ._____ _._3.24-00000-42~.~03_ __ ____ __. _ ... .. ____ _ .. ...2~2..____ .........!:!anning - Major Review - City . '__' 100-00090-4~0()?._______._... .._.___.____~~1.00 Range hood/ot~er 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 79.65 SDC: Administrative Fee - MWMC Regional Wastewater SDC 611.00000-426604 10.00 SDC: Compliance Cost - MWMC Regional Wastewater SDC 444-00000-426607 22.63 SDC: Imp~ovement - Transportation SDC 447-00000-448027 1,811.51 SDC: Imr::~~vement Cost~. Local Wastewater 4~00000-448025 1,O~2.93 SDC: Improvement C.':"t - MWMC Regiona! W.".:.t~er S9S:~~5-00000-44.8025 1,333.57 SDC: Improvement Cost - Storm Draina~:.. 440-00000-448028 82667 ._ SDC:..~~",-bur_..':.ment.:. Transpo~atio"2[:)~______ _. .____~::.6-00000-448026_____________~707 __0__ . _S_D_~c R.eim~::rsement Cost - Local Wastewat,:,.__ _ ___. _ 442:,9.0_C!.~~~I!.~__________?}~~9.24 .____ ~l2.S;: ReimburserTlent.S;ost. MWMC Reg~onal Wastewater SDC 444_~00000:~~024_. 101.97 SDC: Reimbursement Cost - Storm Drainage 441-00000-448029 568.17 SDC: Total Sewer Administration Fee 719-00000-426604 285.67 SDC: Total Transportation Administration Fee 719-00000-426604 139.52 Sidewalk up though 90 Feet 201-00000-428060 88.00 Single-duct exhaust (~athrooms, toilet compartments, utility roar 224-00000-~25604_._~.____ 27.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 172.23 ~~tural Bu~din_g Permit Fee ______. 224-00000-42~60?____ 798.29 Technology fee (5% of permit total) __._._.___ 100-0000g-42~605__.__...___ ____ 82.46 _lemp services 200 amps or less __ ________________ 224-00000-42610.2__..____ ___ 63.00 Wllamalane fees - ~ngle !amily detached 821-00000.21592~_____.. .3.40~0_0 ____ TOTAL DUE: 14,540.55 b:zRAyMEf,,-T:T:YPE~7;d'PAY6R~~-9~,;~!ER,ccAlfpE;iiER'l::;;:~ COMIv1l2N;tSt'<ir{~~';,:1l;!';.::;:2f~""'AMQg!fl: PAiD -- '__:'_.-J Check HAYDEN HOMES LLC $14,540.55 000001 TOTAL PAID: $14,540.55 www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2011-01364 4809 GLACIER DR CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 permitcenter@ci.springfield.or.us RECEIPT NO: 2011001517 RECORD NO: 811-SPR2011-01364 DATE: 06/10/2011 " ~. '. "'\"e.2.-'"m"~~"'_~~. """.,l:t",'*',,'r--lji2,,(f"",,"''''''''''';U:'''''''''' "-".' -- ~"'''''''';;''tm''-''2f'''''''"''-'' ' ""-""~\r~lf':''l'illl'--'' D[)ESCRle][I0N~i:t~1.~JiiliEi~t;W?.i~~44~~~:"5:;&tJ;\:~,};3~,y~!~~€llif.f;:;~#..~;+:~!AC:G0<l:1NITh.e0DE~~3~l'i c"~~~.~'l\M0UNJ11[JUE:/f. "~'~'"-121f.~~ Structural Plan Review Fee Residential 224,00000-425602 518,89 TOTAL DUE: 518,89 l!f{BAYM~Nifb:~!i~[~'jfP~Y:Q8.!liXC';':SHIERj'KKAUFMA~A~]tG.:ciMMEr:lis~~~(iy",1,'AI'i1()ONT~AID~iI'~~ Credit Card Hayden Homes 518,89 032857 TOTAL PAID: 518.89 BOOTH ..... ...}'� . . KELLY �� 1J� MM 86 AVERY 1041 S.F. o � 0 DWY / / - / S.F. 596 S.F. LOT R LOT 85 \. 5,025 S.F. -�a N SCALE: 1" = 20' HAYDEN HOMES 2464 SW GLACIER PLACE, SUITE 110 REDMOND, OR 97756 (541) 923-6607 86 � R1\ / X.so MINIMUM SETBACKS - INTERIOR LOTS All measurements are from Pru ertri- bines -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 CHANCE SETBACKS LOT 86 ADDRESS: 4809 GLACIER DR WESTWINDS SUBDIVISION SPRINGFIELD, OREGON STREET TREES ARE REQUIRED. Please refer to attached Development Code Section regarding the placement and types of allowable trees. NOTICE: #6° N PERMIT SHALL EXPIRE IF THE WORK AMORUED UNDER THIS PERMIT IS NOT MICE® OR IS ABANDONED FOR WKWIMVIPUM DATE RECEIVED 444L__J1- I Sr ZONE OCCUPANCY,GROUP b I UNIT'S) OCCUPANCY LOAD STORIES TYPE CONSTRUCTION LEGAL DESCRIPTION SLL e _ ADDRESS A-AWY AMR== THE CONTENTS HERE ON HAVE BEEN REVIEWED, WITH ALTERATIONS INDICATED ON COLORED PENCIL. CHANGES OR ALTERATIONS MADE TO THE APPROVED DRAWINGS OR PROJECT AFTER THE DATE BELOW SHALL BE APPROVED BY THE BUILDING OFFICIAL. CITY OF .'`sPRtIs]GF, OREGON APPROVED BY DATE , !/ SPRINGFIELD CLUSTER DEVELOPMENT REQUIREMENTS: - 6/Z ROOF PITCH - 12 INCH OVERHANGS - 2 DIFFERENT MATERIALS - 15% WINDOW GLAZING - COVERED PORCH W/POSTS - GARAGE 4 FT. BEHIND COVERED PORCH - OFF SETS IN BUILDING FACE & ROOF ATTENTION; Oregon law requires you to follow rules adopted 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 -80,0-332 2344). RE11/EWED FOR CODE COMPLIANCE ••• •• •• •• • • • • BOOTH ..... ...}'� . . KELLY �� 1J� MM 86 AVERY 1041 S.F. o � 0 DWY / / - / S.F. 596 S.F. LOT R LOT 85 \. 5,025 S.F. -�a N SCALE: 1" = 20' HAYDEN HOMES 2464 SW GLACIER PLACE, SUITE 110 REDMOND, OR 97756 (541) 923-6607 86 � R1\ / X.so MINIMUM SETBACKS - INTERIOR LOTS All measurements are from Pru ertri- bines -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 CHANCE SETBACKS LOT 86 ADDRESS: 4809 GLACIER DR WESTWINDS SUBDIVISION SPRINGFIELD, OREGON STREET TREES ARE REQUIRED. Please refer to attached Development Code Section regarding the placement and types of allowable trees. NOTICE: #6° N PERMIT SHALL EXPIRE IF THE WORK AMORUED UNDER THIS PERMIT IS NOT MICE® OR IS ABANDONED FOR WKWIMVIPUM DATE RECEIVED 444L__J1- I Sr ZONE OCCUPANCY,GROUP b I UNIT'S) OCCUPANCY LOAD STORIES TYPE CONSTRUCTION LEGAL DESCRIPTION SLL e _ ADDRESS A-AWY AMR== THE CONTENTS HERE ON HAVE BEEN REVIEWED, WITH ALTERATIONS INDICATED ON COLORED PENCIL. CHANGES OR ALTERATIONS MADE TO THE APPROVED DRAWINGS OR PROJECT AFTER THE DATE BELOW SHALL BE APPROVED BY THE BUILDING OFFICIAL. CITY OF .'`sPRtIs]GF, OREGON APPROVED BY DATE , !/ SPRINGFIELD CLUSTER DEVELOPMENT REQUIREMENTS: - 6/Z ROOF PITCH - 12 INCH OVERHANGS - 2 DIFFERENT MATERIALS - 15% WINDOW GLAZING - COVERED PORCH W/POSTS - GARAGE 4 FT. BEHIND COVERED PORCH - OFF SETS IN BUILDING FACE & ROOF ATTENTION; Oregon law requires you to follow rules adopted 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 -80,0-332 2344). RE11/EWED FOR CODE COMPLIANCE