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Home My WebLink AboutPermit Building 2011-7-25 . . '. CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01723 IVR Number: 811159706939 www.cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 07/25/2011 ISSUED: APPLIED: 07/25/2011 07/11/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us EXPIRES: VALUE: 01/20/2012 $165,000.00 SITE ADDRESS: 4915 GLACIER DR, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802051108600 SCOPE: Sin91e Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential New single tamily dwelling LOT 67 Westwinds - SAMEAS 511-670 PROJECT DESCRIPTION: Phone Number: OWNER: ADDRESS: JHDJ LLC 2464 SW GLACIER PL REDMOND OR 97756 Contractor Type Contractor Name Electrical Contractor GARNER ELECTRIC CO General Contractor HAYDEN HOMES LLC CONTRACTOR INFORMATION Lic Type CCB CCB CCB CCB ------..---- Plumbing Contractor GO PLUMBING & HEATING LLC Mechanical Contractor PACIFIC AIR COMFORT INC ~ lie No Lie Exp Phone 121159 03/14/2012 503-648-4552 172526 10/11/2012 541-923-6607 193589 04/0112013 503-507-5350 39237 03/25/2012 541-672-9510 ~ ATTENTION: Oregon law r~ T'".__Byt~Dl~G INFORMATION # of Units: follow rolles Gdopterlby the Qr,,1QftBrI.M\lity 1 Notific!lti?n CentE!. Those rUI~iIfM~~s\Q(l.Q're: 18.5 Occupancy Typij OAR R;3~-001-0u1 0 through ~q?eS9'l:u Forced Air Gas Construction 191>010. )typelVW obtain copies Yffi~rl1les'by Occupancy Type calling the center. (Note: th'IYU<lej!)tRme Construction Tyj)elmbtliyperJ.!le Oregon Utilitllln-giifiqiplion Center is 1-800-332.~.t: Gas Electric No ..,. .i Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: # of Bedrooms: 3 . ". . Mu~i~ipall Development Code: Sprinkled Buil~iyg:T1CI[<! .... . '. PI~mbing Specialty Code Edition: Fire Alamns: THIS P~MIT SHALL EXPIRERlfsiliirlltidMIl>~c\'ialty Code Edition: Energy Path: AUTHOf!,~~ g!>ffi~i3I THIS PStrJ'c'tl1allS,~M;;YJ;lty Code Edition: COMMl'F{yITi'IDItfSt'f,d3ANDONED FOR J.,J'" ; n~u~,~~~tl'filr>lcn ~ I I U LJ{ j t""t:. I ...... 'I Site Information Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Ga rage: Sq Ft Carport: Sq Ft Other: Occupancy load: 4705 1408 403 o 2008 Engineered Fill: Fill Volume: Flood Hazard Area: No land Hazard Area: No Retaining Wall: Soils Report Required: Springfield Building Permit 7f25/2011 11:33:15AM 1 ~ Page 1 ot6 SPRI NG FIE?ij .~ J!F -.. ~t.~-' """'& OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01723 IVR Number: 811159706939 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perm itcenter@ci,springfield.or,us Issued ISSUED: APPLIED: 01/20/2012 $165,000.00 PROJECT STATUS: STATUS DATE: 07/25/2011 07/11/2011 EXPIRES: VALUE: 07/25/2011 SITE ADDRESS: 4915 GLACIER DR, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802051108600 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential New single family dwelling LOT 67 Westwinds. SAMEAS 511.670 Frontyard Setback: 14 Interior Setback: 5 Sideyard Setback: 6.6 Rearyard Setback: 22.6 Solar Setback: DEVELOPMENT INFORMATION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: 2 Handicapped: Compact: Yes Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: DescriDtion Bid Springfield Building Permit PUBLIC IMPROVEMENTS ~ Sidewalk Type: Downspout/Drains: ~ Valuation Description Tvoe of Construction NA Unit Amount Unit Tvpe 165,000.00 Bid Unit Cost 1.00 Value 165,000.00 165,000.00 7/25/2011 11:33:15AM Page 2 of6 www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01723 IVR Number: 811159706939 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 07/11/2011 EXPIRES: VALUE: 01/20/2012 $165,000.00 SITE ADDRESS: 4915 GLACIER DR, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802051108600 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential New single family dwelling LOT 67 Westwinds - SAMEAS 511-670 FEES PAID I Description Amount Paid Date Paid Reciot # Same as Plan Review Submittal $250.00 07/11/2011 2011001946 SDC: Compliance Cas! - MWMC Regional Wastewater SI $22.63 07/25/2011 2011002102 :;DC: Improvement Cost - MWTv1C Regional Wastewater ~ $1,333.57 07/25/2011 2011002102 SDC: Reimbu~sement Cost - MWMC Regional WastewatE $101.97 07/25/2011 2011002102 SDC: Improvement Cost - Local Wastewater $1,586.16 07/25/2011 2011002102 SOC" Rei.:nbur;er;;;;~i C~~t--C;c-;;IVVaste;;;;;;~--"---- $3.24984--1m25/2011 2011002102 ~- - ._--_.~-_._-----"._._."- ..~ ---- ----_..,.._-'..-_._---,-~---~- S!?C,lmpr?::'"m':.n~:!!~nsport'~~io_n. SDC_________ $1.86223 _",,_ 07/2~2012....___..____ 2011002102 SDC: Reimbursement" Transportation SDC $510.94 07/25/2011 2011002102 SDC: Improvement Cost - Storm D~ainage $814.69 ..__._.g.':/~~/~~ 1--=---="==~~:.1~02102= Multiple Permit Discount (Max 2) $-33.00 07/25/2011 2011002102 CurbCutlDriveway 1st Cut $97.00 07/25/2011 2011002102 Sidewalk up though 90 Feet $97.00 07/25/2011 2011002102 Gas Piping up to 4 outlets ' $14.00 07/25/2011 2011002102 Single"duct exhaust (bathrooms, toilet compartments, utili $36.00 07/25/2011 2011002102 Range hood/other kitchen equipment $1300 07/25/2011 2011002102 Air conditioner $17.00 07/25/2011 2011002102 ~~rnac':." up to 100,000 BTU $17.00 07/25/2011 2011002102 ()~o.r:T.~Fa~ilr Dwelli~g.w}lt1.:r~.Bath ___'_ $374.00 07/25/2011 2011002102 Temp s..e.r:vices20g a~~s or_I~~.. ____ ____ $63.00 07/25/2011 2011002102 lOac'2...,,-d~cI_5~0 sq, !!:or portio~.._ ...__ $50.00 07/25/2011 2011002102 Residen.."e_winng_1,BOO sq. ft. or les~..__..._._._._... $134.00 .___07/25/21J.2.1.___ ___ _ ~~:.:.o021 02 Willamalane fees" Single family detached $3,409.00 07/25/2011 2011002102 Address Assignme~~_~ch new or change $38.00 07/25/2011 2011002102 Structural Building Permit Fee ---'--------..'-'$973~30... 07/25/201'.,--..------'201"i662i02 Residential Fire (.05 Per Sq Foot) $90.55 07/25/2011 2011002102 Admin fee (10% of applicable fees) $9.06 07/25/2011 2011002102 Technology fee (5% of permit ~otal) $8.05 07/25/2011 2011002102 ~anning ""MaJor Review - City $211.00 07/25/2011 2011002102 ~a_te of Oreg~ Surcha~e (12% of applicable fees)_ ___~~~44 _ 07/25/2011 2011002102 Technology fee (5% of permit total) $9042 07/25/2011 2011002102 SDC Admi~istrativ_eF;;.;-=-'MWMC Regi;-;;;;TW..;;ie;;;;;;;-: - - -,.- - $1 iiOO-"-.-~-07/i5/2~ ---'--2'Oi10021 02 SDC: =r;;t~1 Sew~r Ad~i~ati~~;;;'-- ._- --,-----. - -- $363.6"5-- -07/25/2011 ---- --~ - 2011-002102' _....__.__ __~._._ ~_._.,____. __.,_ __.__ _w. _. _____~_ SDC Total Transportation Administration Fee $138.95 07/25/2011 2011002102 SOC-R'-;;;bu;S;;;;;;;;t'Cc;;t-:St;;;:;;-Dr'-i~g;--'-'''-' . umu" -$560'.0'3----- - 07i2"5I2o 1 T . 20i1ii02W2 First Applia~ce Fee $79.00 07/25/2011 2011002102 Total Amount Paid $16,804.48 Springfield Building Permit 7/25f2011 11:33:15AM Page 3 of6 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01723 IVR Number: 811159706939 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 07/25/2011 ISSUED: APPLIED: 07/25/2011 07/11/2011 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 $165,000.00 SITE ADDRESS: 4915 GLACIER DR, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802051108600 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential New single family dwelling LOT 67 Weslwinds. SAMEAS 511-670 PROJECT DESCRIPTION: Plan Review ~ DeDartment Application Acceptance Received Due Date 07/11/2011 07/11/2011 Comoleted 07/11/2011 Result Application Accepted Reviewer Chris Carpenter Structural Review 07/12/2011 07/12/2011 07/13/2011 Waiting Internal Chris Carpenter Comments: Review complete [Pif6ll"Works-Re'~;;w~>,,;'"' ~07/12/20{1;.::Q7/12/~Ol;1!j:Q7/15/2011.: '-7'ppi~ved":.'":-,l\':'TOdd'Sin9Ieto~,'~ .",:: . ::;", ftG~~_~~nts:,"+_G_o.r;i~i_~.~~.rf=1'i9t~~~t~!g'!"~~~~i~_sij~!~~tbir~i~"~.~nd~ti9n-t.~:t~~'i~~j!~'~.,~jyi~i~_~~iy-,~i~~~q,!trl~D~!.d~~:6j;~,~t ~9~~~i"'!~~h~H~ L:.~ "'.' . " '" ..""connectlons shalbbe'mad~jQjsanlt~_IY;OLsto_[I1..Jti20syg~"U}JJ!L~uQ9)Vls~_ccepl~~.!?Yi-Qj:yj.S;;.99JlCIL ,~iii1'L .', ~~<:~ ~'^~';. "1 Structural Review 07/12/2011 07/12/2011 07/19/2011 Approved Chris Carpenter lPlan~ing~~ev~e.'f~7c~\::)'~'\_~A" ,07/12/20rt,ti ".07r12120,1:1", ;,07j19/2'911~~~: .~~pt()V~d,_i}?1.t:~"'i ':.~~-~,,, .':Till~,JR~,~S~::~~~"~ ~~ . :;';:~:'.f', i'~l - . _ '_'~_-,"". ,"r 0 "'_~V.;.:" :,w' ~..--,-- '!';1;U-.?;~, .",,y-c~.,~",,,_.t,,,,..''-''''''' '.."'... ',," , "~:_ ."',,,''''',,' ....\. <"""1"; ":~.. " ~ ,-"yO'mments: ~3':walk~ay.is required:-;" ,., .~.'": '1,.' "1;"'-' ,~1l.,:{;': ....!';~..., ',__ ,.,; ,'""',;, ,', ,-,~ "",~j ~~Front'elevatiO.nS:are'Sii~;speCipC~a,nd cont~ln:reqUired gesigne'le'm~nt's.;,: In'spe-ctorsiWill;'field~Ch,~C'" -'Mat,aciual.elev~tion::;"":'_ .:,' .5:,,'- :'_1 .-: .. mat_cb,Sl1blj1itted~ciesji;ms:a's_sho06;P[l.th(approv~d)etPf.pl~ciS_:.l:;":~_,,.i__--.<.'~_d___=-- . i._ --4 ~.~:: ~,~<:. '-' ~. #b,:~1 Permit Issuance 07/19/2011 07/19/2011 07/25/2011 Issued Chris Carpenter Springfield Building Permit 7/25/2011 11:33:15AM Page 4 of 6 SP~... \?EL~ ~,~ ~OREGON WWW.cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01723 IVR Number: 811159706939 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 07/11/2011 EXPIRES: VALUE: 01/20/2012 $165,000.00 SITE ADDRESS: 4915 GLACIER DR, Springfteld, OR 97477 ASSESOR'S PARCEL NO: 1802051108600 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential New single family dwelling LOT 67 Westwinds - SAMEAS S11-670 INSPECTIONS REQUIRED ~ Inspections 1020 Zonin9/setbacks 1090 Street Trees 1110 Footing 1120 Foundation Footing: After trenches are excavated, Foundation: After forms 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 footing and/or foundation inspection. 1220 Underfloor framing 1260 Framin9 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 Shearwall 1540 Gypsum Board/LathlDrywall Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum board, interior and exterior are in place, but prior to plastering. Final Building: After all required inspections have been request~d and approved and the building is complete. Undenloor 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 1999 Final Building 2200 Underfloor Mechanical 2210 Underfleer Gas 2260 Gas Service 2300 Rough Mechanical 2310 Rough Gas 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 Final Mechanical: When all mechanical work is complete. 2995 Final Gas 2999 Final Mechanical 3130 Footing/Foundation Drains Springfield Building Permit 7/25/2011 11:33:15AM Page 50f6 SP4rG.~EL~ .<~ . ,"'trt\. OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01723 IVR Number: 811159706939 225 Fifth St 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 07/11/2011 EXPIRES: VALUE: 01/20/2012 $165,000.00 SITE ADDRESS: 4915 GLACIER DR, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802051108600 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential New single family dwelling LOT 67 Westwinds. SAMEAS S11.670 3170 Underfloor Plumbing Underfloor Plumbing: Prior to insulation or decking. Sanitary Sewer Line: Prior to filling trench and including required testing. 3200 Sanitary Sewer 3315 Water Line 3400 Storm Sewer Storm Sewer Line: Prior to filling trench. 3500 Rough Plumbing 3999 Final Plumbing 4000 Temporary Power Service 4120 UFER Ground Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. 4225 Service or Feeder 4500 Rough Electrical 4999 Final Electrical 1060 Driveway Approach 1065 Sidewalk 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 construction. { fl- 9-21)-!( Owner or Contractor Signature Date Springfield Building Permit 7/25/2011 11:33:15AM Page 6 of6 - ~ --.-.---OEPARTMENTUSEONLY SPRlt>lCFIELC --- 225 Fifth Streett Springfieldl OR 97477. PH{S41 }n6-3753. FAX(541}7 tn, Permit no.: 5 Date: '7 Il This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if wod, is not started within 180 days of issuance or if worli. is suspended for 180 days. ~=..o~ LOCAL GOVERNMENT APPROVAL Zoning approval verified? 0 Yes 0 No ,CATEGORY OF CONSTRUCTION .' , ~Residential-~ -. 0 Government 0 Commercial-- ,JOS'SITE'INFORMA1'ION ANb't:OcATiON ., Job site. address: "{Cfft;; C-l(...ttel~ ~Q... City: ")\'l'-\""h<'\~'-C\ D(L ZIP: q"'l-'-(+'!:l Reference: Signing supervisor's license no.: Print name of signing supervisor' Signarure of signing supervis : ~ <\.~\O'~'rJ ~~. ~ 4.10.25B4~J (910B/COM) FEE SCHEDULE'" ~ ,. ,.:., ~', ,>""'::C'..' ~ - ~ - Number or inspections per item ( ) Qty. Cost Total -- .- ea. cost Residcntinl, per unit, service included: ~ . - ~ _.-~ - 'I,OOO'sq. ft. or less (4)- 17- $.(3L-\ ~~--- -$13,~.00- Each nddilionDI 500 sq. fl. or portion ~ _ $ 25.00 S SD thereoF Limited energy (2) S 32.00 $ Each manuFactured home or modular $ 63.00 $ dwelling service or feeder (2) Sen'ices or Feeders: ins/allation. alteration, relocation 200 amps Dr less (2) $ 81.00 $ 20110400 amps (2) S 95.00 $ 40110600 amps (2) $158.00 $ 601101,000 amps (2) $205_00 $ Over 1,000 ilmps or volts (2) -- $469.00 $ Reconnecl only (2) $ 53.00 S Tempornry services or feeders: instaJlaliOlf, alteration, relocation 200 amps Dr less (2) ...- $ 63.00 slS 20110400 amps (2) - S 87.00 $ . -- - 401 In 600 amps (2) $126.00 $ Over 600 amps or 1,000 volts, see services or Feeders section nbove Brnnch circuits: /lew, aflermion, extension per panel a. Fcc: for branch circuits with purchase of D service or Feeder Fee: EDch bronch circuit I $ 5.00 $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) $ 55.00 $ Each odditionn\ branch circuit $ 6.00 $ Miscellaneous fees: ,renlice or feeder not include.d Ench pump or irrigation circle (2) $ 63.00 $ Each sign or outline lighting (2) $ 63.00 $ Signal circuit or n limilcd-energy panel, $ 53.00 $ alteration, or e~aension (2) E.ac.h additionlll inspection: (I) $58.00 $ ,. ,,:"':':,':" ".'<., APPUCANTUSE' ,", , ".'. ., . . .... . . (A) Enter subtotal of above fee!i $ 24'/ (Minimum Permit Fec S58.00) (B) Enler 12% sureharge (.12 x [AD $ )., "'1 (C) Technology Fee (5% of [An $ / .z. ?!- TOTAL fees and surcharges (A through C): Sm" !-- -. s~-.+J 5'( I - ~ c,;'7{) Structural Permit Application -~ 225 Fifth Streel. Springfield, OR 97477. PH(54 1)726-3753 . FAX(541)726-3689 DEPARTMENT USE ONLY SPRINGFIELO "":;c.,";>; Date: 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. . n . L.0CAL "cSYERNMENTAPP~cSy~~j,;" This project has final land-use approval. Signature: This project has DEQ approval.. Signature: Zoning approval verified: Property is within flood plain: 0 Yes !,jtei;Jill!:4f;'i'P;~!!!CATE99~'i<jQF;&ic.oNSjTgQ(;;(1.0'N~i;.i.',r;'i',\i(:li;;ij:j'l,! esidential 0 Government 0 Commercial ;V'ri'I)c:,\{JQS'jS,ljTE. iN);lDRMATioN,iANi:iiJQcATi6:NI;g,~i;:~i::k;;: Job site address: If; C-rL-1tC It: City: S{'I'--!N& ::\"'U~ State: )(L Subdivision:L'ce:-7St'"V":;l"'-3 ~or.; Lot no.: Reference: 02 CF>71 Taxlot6'%Ga7 '" PROPERTY OWNER'. Name: E+<wo,o-..J 14o,,,,-~ (f03 uc...- Address: "{.,-/&,( <;c.) (11..."\<:'''''- \<-.- 110 City: oe'-\':,("'-.o:'-.l';:, , State: D ZIP: Cf7-t'>ia Phone: 5"t.f1-57':>'U,; -51-<><0 Fax:o/f{ - "o'i- [fH,L.. E-mail: G'1tG-u<<lQ...\<:..i:..s. .'0, lfiwo~ ,. Hci"t:;1:"CCl 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: [. -:;7'( Date: Date: ZIPLt t4'1B ,. Business name: I"L- Fax: E-mail: CCB license no,: I~ 257-1..0 Print name: t:L,,- }.(:.e-J'.j~- Q..\.L~. Signature: /- ~ \ ~~ "~:/\E:!';:';l'l,s\.JB-C0NjtRA:<;:IQRiINf()RMAl"iQI'!~~;~!0fiig%;<<!!'!'~; Name CCB License Number I Phone Number Electrical 1 2.i l '!;.-q I L';~-,,>s-<>_ Plumbing I 9~ ~l h 0 Pt-lL-M\',. ;.l(" Mechanical ::r '1 l ~n- I ~%.... A\,L ::~,.FEEstHEDULE :':'i':~:'y.~!ti~I(~:n:~i"_(o'rM~#.9~6.i~:~);:~:;:?,;ii-i"'~>:' \ ~ I (a) Job description: S~~ Occupancy \2 L\.- ~ Construction type: 5 ~ Square feet: Cost per square foot: It E: Other information; Type' of Heat: (~ Energy Path: 'l ~ new 0 alteration . (b) Foundation-only permit? '.: D addition DYes Total valuation: ;1i!~t(,ij:il~)f{g)t~~~,sj~,~t?rftr:~r';~<;'ttj:~i~~{;':,:;e.i~:::'~~? (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 of fees above (2a through 2d): $ $ .itJ $ (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): ~A;~_M_r~.f~jt~_b~~c9~li~If~~s}~1f,;~+~t~.l:~>{;:~},;:} C~:~:.,( :-:~ ... r (a) Seismic fee, 1%(.01 x permit fee [2a]): TOTAL fees and surcharges (2e+3c+4a): ~~willamalane t-w Park and Recreation District . Job. No. [ill-/?ZJ' PARK AND RECREATION SYSTEM DEVELOPMENT CHARGE WORKSHEET January l-December 31, 2011 NAME: /fAYl>~}I tk;/YIC'> ADDRESS:2'f~ ~ 'iU/w.Je.'YL CITY: ~cbl'l"ND PHONE: srb -5"?~ STATE:~ ZIP: 9'??r' LOU.TION OF PROPOSED BUILDING SITE:- Street Address: '19 Is 4~ft::.?!- . Plat Name: ~.,-"J(N/) S Tax Lot Number: /Al'2- t1i7/ ~aO 1. DEVELOPMENT TYPE (Refer to development type definitions on the reverse.) A. Single-FamilY Detached NO. OF UNITS I B. Single-FamilY Attached NO. OF UNITS C. Multi-FamilY Apartment NO. OF UNITS D. Single Room Occupancy NO. OF UNITS E. Accessorv Dwelling Unit NO. OF UNITS X $3,409 per unit = $ 3Lf09 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 ($ cr $ :3"to9 ro-t- ~i!-;!f Date of building permit submittal City of Springfield ~) (7 i. ", ':ity of Springfield --2.-; 7_'>/ II Date of building permit issuance SPRINGFIELD ~(I"-' ~'\'~ '~i<... O'UGOH TRANSACTION RECEIPT 811-SPR2011-01723 4915 GLACIER DR CITY OF SPRINGFIELD 225 Fifth 8t Springfield,OR 97477 541-726-3753 www.cLspringfleJd.or.us permitcenter@ci,springfield.or.us RECEIPT NO: 2011002102 RECORD NO: 811-SPR2011.01723 DATE: 07/25/2011 tDESCRIP..TfON t.. ""..<,...,.~", "" .<~"." : ':<.:L!:''!;dIi1:J,c''''f''~ :.';'"P.-CC'clu NTJ::ODEi:.,.' 1'$7 }:~~'l- " ''!,~AMOUNJID.UE ~.,s. "1 Address Assignment, each new or change 224-00000-425602 38.00 Admin fee (10% of applicable fees) 224-00000-426605 9.06 Air conditioner 224-00000-425604 17.00 Curb CuVDri."e!,~y_ 1st Cut __. 201-00000.-:28060 97.00 _~."~_h."~d."~_500~~:.!!~J'.0.t1i?~___. __ _______ _ . ___~4-~~O"O.Q.~2610~__ 50.00 First_ Ap~lia~ce !:ee. ... ___ __ __ _ __ .___. __ __ .. ___~_::000QO-42560~.______ .. _ _.__ 79.00 .___._ __. __ ~_ur."~c-,,--_u~.!'C.100.0900 BTU _.______ _______ __33~~QooOg:~2_~~~-:..____. __ __ _._____ 17.00 Gas Piping up to 4 outlets __ -------324-"OQ'OOO:~2__~.~9~_ _____..____~Qq______ Multiple Permit Di~_count (Max 2) 201.00000-428060 -33.00 One or Two Family [:)welling with Two Bath 224.00000-425603 374.00 Planning. Major Review - City 100-00000-425002 211.00 Range hood/other kitchen .".'!".ipment 224-00000-425604 13.00 _ _.Residence wiring 1,000 sq. ft or less 224-00000-426102 134.00 _.R-,:~!denti."!..F~r:..~.o5. Per ~'!.~oot).______. 100-00000-424005 90.55 SDC Admin~tr!,~~:..Fee -~~, Re~~n~::!.:.waler SDC 611-00000-426604 10.00 _.____ . ._2!:lC~~rr:>,,-lian.""..c;ost - MWMC..R"giona! ;'Vas!,,:v".t,,~?gc; ._.~~QO..oO.42~~______._.__ 22.63 _.._. sgs: .1",pro~"me~t.::.T!ansp,,-rt".tlo~C_.... __ _. _._ .__....._ -:4~-000..oQ::4~~Q3~._... . ____ __. 1,862.23 SDC;: Improvement ~st.~ Lo~.~VVas.te~a~r. ._.. . ___ __ ._.~43~000g-4-:sg25 ..__. _ ______~5861~_..____ . _..E[:)S::2rr:>Prov~..nt Cost - MWMC Regional Wastewater .SE.s:..._ 445-00000-448025 1,333.57 SDC: Improvement Cost - Storm Drainage _____ 440-00000.448028 814.69 SDC: Reimbursement - Transportation SDC 446-00000.448026 510.94 SDC: Reimbursement Cost - Local Wastewater 442-00000-44802.4,__~_______ 3,249.84 SDC: Reimbursement Cost. MWMC Regional Wastewater SDC 444-00000-448024 t01.97 SDC: Reimbursement Cost. Storm Draina~e 441-00000-448029 560.03 SDC: Total Sewer Administration Fee 719.00000-426604 363.65 ~~: Total :r!ansp.~rtati(:ln Administra~?n Fee _.,,__ _____....219.00~0-426604 138.95 _ _..S_ide~e. tho-"~t1.9__Q!'eet 201-000Q():,4,~~_0~iO _..__.____f!.7.00 ..__ ..!!'r;,gle:duct exhaust (bathrooms, toilet co,:"p,a_~-,,-~, u.t~i~ roo~ 3~4.00000-4256~.____ .. _'__ ___~~:o.O______ _._ _?!~ of Oregon"Surcharge (12% of applicable..fee~L_._ 821-00000-21500~_________ _ _ _.l2~:44, .....~~ctural Building P-,,~m..i~ Fee 224-00000.425602 973.30 .___!echnology fee (5% of permit lotal) ...____..1.()0..:,0.0000-425605 98.47 Temp services 200 amps O!~~~~ 224-00000-426102 63.00 ___~i!'a~-".I~_ne fees - Single family detached 821.00000-215023 3,409,00 TOTAL DUE: 16,554.48 l;)~~YJ'IIE:~:r;r{@~~~AY6Bk,C'ASHIER:C(:4RPE~~li:c..:i~:cq[lilME.f:lJ.S~ri';; ',.,:..;?' ",:,: '.~MOUNTiF'AID1:'..~i'~""""': .'1 CheCk-.-----.-H.ilYDEN'HClMES LLC ---.....-.-. , 16,554.48 000600 TOTAL PAID: 16,554.48 SP.~~N..~.FIE~. ~~ ~OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth $1 Springfield,OR 97477 541-726-3753 www.cLspringfield.or.us 811-SPR2011-01723 4915 GLACIER DR permitcenter@ci.springfield.or.us RECEIPT NO: 2011001946 RECORD NO: 811-SPR2011-01723 DATE: 07/11/2011 [bESt RI~TION'C'" ~ ';l'l't';'l' ;':':'v~'i ':'.;~ ,~,:;';fj:,,-,-":,':; ,>': ~ X S"" <' ":'-;Acco(jN:i~CGbE ","! -'-;'AivlO:I.lNjfbUEr;:::~-.':t'j Same as Plan Review Submittal 224-00000-425602 250.00 TOTAL DUE: 250.00 liPAYMENT-;rNpE;~';;;["AYQl{l~_:=f-CAsHIER?cc[~2_cor."-MEJjli~;:S_-" . '-"'.;AMOI.lNT,PAiO'- ':.'" '::'~ Credit Card Eric Hendrickson $250.00 010706 TOTAL PAID: $250.00 EDGEWOOD 1408 S.F. N SCALE: 1" = 20' HAYDEN HOMES 2464 SW GLACIER PLACE, SUITE 110 REDMOND, OR 97756 (541) 923-6607 STREET TREES ARE Vj�Q ]�D. Please refer to • ; : • • s °atached0evelopment Code ' Section regarding the placement ... • and types of allowable trees. •.• • w •. • 01 4,705 S.F. / LOT 68 MINIMUM SETBACKS - INTERIOR LOTS All measurements are from. P rn a m Lines -Front yard to House 10 feet -Front yard to Garage 18 feet -Side yard to House or Garage 5 feet -Rear yard to House or Garage 10 feet P.U.E. MAY CHANGE SETBACKS LOT 67 ADDRESS: 4915 GLACIER DR WESTWINDS SUBDIVISION SPRINGFIELD, OREGON ATTENTION: Oregon law requires you to follow riles adopted by the Oreton Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1.800-332-2344). 15 PERMIT SHALL EXPIRE IF THE WORK UNDER THIS PERMIT IS NOT "`7=1) ORIS AiANDOf'"ED FOR ANY 130 DAY PERIOD. EI iNo vs are site specific and contain required design elements. Inspectors will field check that actual elevations match submitted designs as shown on the approved set of plans. ze-<:4CA-Yd SPRINGFIELD CLUSTER sal—iI2S SONE ✓� LF -- N GROUP .G•ROUP UNITS G Y LoAU STORIES T D LEGAL E$CRIPT1ON 6?,s3DRE S l4LI��- o - E TKE CONTENTS HERE ON HAVE BrE.EN REVIEWED, IRi#TI-° ALTERATIONS INDICATED ON COLORED PENCIL. CHAUbES OR ALTERATIONS MADE TO THE APPROVED DRAWINGS OR PROJECT AFTER THE DATE BEt CON SHALL BE APPROVW- BY THE BUILDING OFTICIAL. CITY OF SPRING'F1 , 0,REGON I, -_,v REU/EWED FOV CODECOMPL6ANCf DEVELOPMENT REQUIREMENTS: - 6/z ROOF PITCH - 12 INCH OVERHANGS - 2 DIFFERENT MATERIALS - 15% WINDOW GLAZING - OPTIONAL FRONT COVERED PORCH STANDARD W/POSTS - RECESSED FRONT ENTRY - GARAGE 4 FT. BEHIND COVERED PORCH - OFF SETS IN BUILDING FACE & ROOF