HomeMy WebLinkAboutPermit Building 2011-8-5
. .
SP~~.N~. FIEL~
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";",l''L, ,"7
't'''-' . OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-01889
IVR Number: 811128523360
www.ci.springfield.or.us
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
Issued
permitcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
08/05/2011
08/04/2011
08/05/2011
EXPIRES:
VALUE:
01/31/2012
$222,652.42
SITE ADDRESS: 1123 S 40TH PL, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1802064113300
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Single family residence - Filbert Meadows lot 62
Phone Number:
OWNER:
ADDRESS:
BRUCE WIECHERT CUSTOM HOMES INC
3073 SKYVIEW LN
EUGENE OR 97405
CONTRACTOR INFORMATION
Contractor Type
General Contractor
Electrical Contractor
Mechanical Contractor
Plumbing Contractor
Contractor Name
BRUCE VV1ECHERT CUSTOM HOMES INC
L & E ELECTRIC INC
COMFORT FLOW HEATING CO
STEVEN R JOHNSON
Lie Type
GGB
GGB
GGB
GGB
I
Lie No Lie Exp Phone
101717 09/16f2012 541-686-9458
105475 03/30/2012 541-933-2598
460 06/27/2013 541-726-0100
65065 03/12/2012 541-342-3765
I
BUILDING INFORMATION
# of Units:
1
24
Forced Air Gas
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
Occupancy Type
Construction Type
Occupancy Type
Construction Type
R-3
Type VB
U
Type VB
Gas
Gas
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
Electrical Specialty Code Edition:
Springfield Fire Code Edition:
Mechanical Specialty Code Edition:
Municipal I Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
4
Path 1 A Gas-fired
furnace with min.
AFUE of90%
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other:
Occupancy Load:
6015
2054
630
o
2008
Site Information
~
Engineered Fill: No
Fill Volume:
Flood Hazard Area: No
Land Hazard Area: No
Retaining Wall: No
Soils Report Required: No
Springfield Building Permit
8/5/2011 1:29:13PM
Page1of6
WNW ,ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-01889
IVR Number: 811128523360
Issued
08/05/2011
ISSUED:
APPLIED:
08/05/2011
08/04/2011
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
EXPIRES:
VALUE:
01/31/2012
$222,652.42
SITE ADDRESS: 11235 40TH Pl, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1802064113300
PROJECT DESCRIPTION:
Frontyard Setback: 11
Interior Setback: 8
Sideyard Setback: 5
Rearyard Setback: 19
Solar Setback: 19
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
Single family residence - Filbert Meadows lot 62
DEVELOPMENT INFORMATION ~
Overlay Dist:
# StreetTrees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure
to north property line:
3
Yes
43.9
24
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Descriotion
U Utility, misc.
R-3 1 & 2 family
Springfield BUilding Permit
PUBLIC IMPROVEMENTS
~
Valuation Description
Tvee of Construction
VB
VB
Unit Amount Unit Tvoe
630.00 Sq Ft
2,054.00 Sq Ft
8/5/2011 1:29:13PM
Sidewalk Type:
Downspout/Drains:
~
Unit Cost
37.72
96.83
Value
23,763.60
198,888.82
222,652.42
Page 2 of6
. '
SPR.I.~G:.~..~
~
~EGO"
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-SPR2011-01889
IVR Number: 811128523360
permitcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
08/05/2011
ISSUED:
APPLIED:
08/05/2011
08/04/2011
EXPIRES:
VALUE:
01/31/2012
$222,652.42
SITE ADDRESS: 1123 S 40TH PL, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1802064113300
PROJECT DESCRIPTION:
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
Single family residence ~ Filbert Meadows lot 62
FEES PAID
~
DescriDtion Amount Paid Date Paid ReciDt #
SDC: Reimbursement Cost - Storm Drainage $936.11 08/05/2011 2011002198
~DC: Improvement Cost - Storr:' Drainage $1,361.79 08/05/2011 2011002198
SD_C:.!'.e~mbursement - Transp.ortation SDC $510.94 08/05/2011 2011002198
SD~:.lmprovement - T~.nryortation SDC $1,662.23 08/05/2011 2011002196
SDC: Reimbursement Cost - Local Wastewater $3,791.46 06/05/2011 2011002196
. ____. __.__ -_._.-.___-_0_- ._.___._________~ ._~_______________._______ _______..._.__
~~C: Improve,,:,ent C.E~: Local Wastewater $643.45 08/0513011___.___ __2011002198
SDC: Improvement Cost. Local Wastewater $1,007.07 08/05/2011 2011002198
SDC: Reimbursement Cost - MWMC Regional Wastewate $101.97 06/05/2011 2011002198
SDC: Improvement Cost. MWMC Regional Wastewater ~ $1,333.57 08/05/2011 2011002196
SDC: Compliance Cost. MWMC Regional Wastewater SI $22.63 08/05/2011 2011002198
SDC: Administrative Fee. MWMC Regional Wastewater: $10.00. 08/05/2011 20110021 98
SDC: Total Sewer Administration Fee $453.51 08/05/2011 2011002198
SDC: Total Transportation Administration Fee $135.55 08/05/2011 2011002198
SDC Credit: Reimbursement Cost - Storm Drainage $-936.11 08/05/2011 2011002198
':Ianning. - Major Review. City $211.00 06/05/2011 2011002196
~t~u~al Buil~ing Pern:'.itFe~ _ __. $1,209.36 08/05/2011 2011002198
Admin fee (10% o~~pplicabl~fee".l _____ $13A2 __.___""O~/95/20..1~_h_.___~011002~
.R,,-sidential~r-"J.O~~e!_S~.9_o.L___ _ _ ,.__.___ _.$134.20 .~8/0~20..11______ .__. .l.9~ 1 002198
Structural Plan Review Fee Residential $766.06 08/05/2011 2011002198
Residence wiring 1,000 sq. ft. or less $134.00 08/05/2011 2011002198
Each added 500 sq. ft. or portion $100.00 08/05/2011 2011002198
Temp services 200 amps or less $63.00 08/05/2011 2011002198
Address Assignment, each new or change $38.00 08/05/2011 2011002198
Willamalane fees. Single family detached $3,409.00 08/05/2011 2011002198
One or Two Family Dwelling with Two Bath $374.00 08/05/2011 2011002198
Furnac,,-. up to 100,000 BTU _____~~_. 08/05/2011 2011002198
Air conditioner $17.00 08/05/2011 2011002198
--_..
Ra~e hood/oth~ kitchen equipment $13.00 08/05/2012___ 2011002198
Flue vent for water heater or gas fireplace $9.00 08/05/2011 ,2011002198
Sin9le-duct exhaust (bathrc;o;;:;5:toilet compartments, utili -$-36:00---08/05/2011 --- -. --'--20" 002198
G~s Pipjng~t;":t~~lets ----. -- -- -$7.00 ----08)05/20-11--- - 2011002198
First Appliance Fee $79.00 08/05/2011 2011002198
Gas Piping. each additional above 4 $4.00 08/05/2011 2011002198
State of Oregon Surcharge (12% of applicable fees) $247.46 08/05/2011 2011002198
Technology fee (5% of permit total) $114.72 08/05/2011 2011002198
Curb CuUDriveway 1st Cut $97.00 08/05/2011 2011002198
S~dew~I~_~p thou~.~.9_~!:,,--,_ ....._______ _._~9.::~__._____.__08/05/2011 2011002198
Springfield Building Permit
8/5/2011 1:29:13PM
Page 3 of6
. .
SPRIN,G, FIEL~
~Ai\ ...-,..
-iJ!tJ
" ,'. 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.springfield.or.us
Building I Residential Permit
PERMIT NO: 811-SPR2011-01889
IVR Number: 811128523360
permitcenter@cLspringfield,or,us
PROJECT STATUS:
STATUS DATE:
Issued
08/05/2011
ISSUED:
APPLIED:
08/05/2011
08/04/2011
EXPIRES:
VALUE:
01/31/2012
$222,652.42
SITE ADDRESS: 1123 S 40TH PL, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1802064113300
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Single family residence - Filbert Meadows lot 62
SDC Credit: Improvement Cost. Storm Drainage $-1,361.79
Total Amount Paid $17,282.66
08/05/2011
2011002198
Plan Review
~
Department Received Due Date Completed Result Reviewer
Planning Review 08/04/2011 08/04/2011 08/04/2011 Approved Tara Jones
Comments: .Plant street trees as shown on the street tree pia!:' attached to permit: species as shown, 2~ caliper, leave species name
on until approved.
*The development on this lot is almost at maximum 45% coverage. It is 43.9% based on 2644 sffor house and garage.
Future additions and/or accessory structures on this lot will be limited to 45% maximum coverage.
Application I\cceptance 08/04/2011 .08/04/2011 08/04/2011 Application Accepted' Chris Carpenter
Initial Review
08/04/2011 08/04/2011 08/04/2011
Approved
Chris Carpenter
fUbliC-WOrkS Revi,,;;'--- 08/04/2011 08/04/2011 08104/2011 Approved' . Kaye Wilson
I Comments: Storm water to weep'hole , . .' ~,.-'
_ _._~._ _ __,,__._,,"_~,,~__.,,__,_.__.~""_~_,___~,,_ ___~..,.'-._.._..~~~_ -----.....l~.........
Structural Review 08/04/2011 08/04/2011 08/05/2011 Approved Chris Carpenter
Permit Issuance
08/05/2011 08/05/2011 08/05/2011
Issued
~hrj.s Carpenter
. .-~
.., ;
~. 10
1
I
Springfield Building Permit
8/5/2011 . 1:29:13PM
Page 4 of 6
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building / Residential Permit
. PERMIT NO: 811-SPR2011-01889
IVR Number: 811128523360
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
08/05/2011
ISSUED:
APPLIED:
08/05/2011
08/04/2011
EXPIRES:
VALUE:
01/31/2012
$222,652.42
SITE ADDRESS: 1123 S 40TH PL, Springfield, OR 97477
ASSES OR'S PARCEL NO: 1802064113300 '
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Single family residence ~ Filbert Meadows lot 62
INSPECTIONS REQUIRED ,
Inspections
1020 Zoning/setbacks
1090 Street Trees
1110 Fooling
1120 Foundation
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in
conjunction with footing and/or foundation inspection.
Post and Beam: Prior to floor insulation or decking.
1160 UFER Ground
1170 Post & Beam
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 Insula\ion Ceiling
1520 Interior Shearwall
CeHing lnsulation: Prior 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 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
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.
1999 Final Building
2200 Underfloor Mechanical
2210 Underfloor Gas
2260 Gas Service
2300 Rough Mechanical
2310 Rough Gas
2995 Final Gas
2999 Final Mechtmical
3130 Footing/Foundation Drains
Springfield Building Permit
8/5/2011 1:29:13PM
Page 5 afe
. '
www.ci.springfield.or.U5
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-01889
IVR Number: 811128523360
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permilcenter@cLspringfield,or.us
PROJECT STATUS:
STATUS DATE:
Issued
08/05/2011
ISSUED:
APPLIED:
08/05/2011
08/04/2011
EXPIRES:
VALUE:
01/31/2012
$222,652.42
SITE ADDRESS: 1123 S 40TH Pl, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1802064113300
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Single family residence. Filbert Meadows lot 62
3170 Underlloor Plumbing
3200 Sanitary Sewer
3315 Water Line
3400 Storm Sewer
3500 Rough Plumbing
3999 Final Plumbing,
4000 Temporary Power Service
4225 Service or Feeder
Underfloor Plumbing: Prior to insulation or decking.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
4500 Rough Electrical
4999 Final Electrical
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the
Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO
OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further
certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree
to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the
permit c d is located at the front of the pc perty, and the approved set of plan will remain on the site at all times during
constr ction. !d
' ,
('
Owner or Contractor Signature
Date
Springfield Building Permit
8/5/2011 1:29:13PM
Page6of6
Electrical Permit Application
CITY OF SPRINGFIELD, OREGON
225 Fifth Street. Springfield, OR 97477tPH(54I)726-J753tFAX(541)726-3689
. DEPARTMENT USE ONLY
b~~ permitn~.: 511-0 '887
~~~~~;....,. .~
Date: ~ Y; It
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days.
'LOCAL ~OVERNMENr A~PROVAC.
Zoning approval verified? 0 Yes 0 No
.CATEGORYOF.CONSTRUCTION' ......
t.t~E:'
PROPERTY OWNER'
Name: e,.,IIU Wi ..c.-he..A CJ;.-!-o",
Address: 307 ~ sIt I fJ
City: <:: u v-<-- ZIP: "I 71 0 ')
Phone:SW -b3b Of S'is' Fax: ~v/-'3'1f ~3b 'Z.-
E-mail:[,.J;t:c-\"e""l--I-.<l~5 e "'-t:."Sf.lV<..t
This installation is being made on residential or farm property
owned by me or a member of my immediate family. This
property is not intended for sale, exchange, lease, or rent OAR
479.540(1) and 479.560(1).
Signature:
CCB license no.: O~ 4 7'> BCD license no.: 383.c:..
Signing supervisor's license no.: "i I 7 'f - S-
Print name of signing supervisor: /;;' () Oe "OoJ,)~"'"
Signature of signing supervisor: ~() ere;
'SJ'V'
0~
~
440-2584-J (9/08/COM)
. ,~'.
" ".' .; FEE,SCHEDUCE;:" :::\: F';:{2~';~-":}::~':~' ;?:~::v.. .if)?
,Number <innspection. p.rite~() Qt}>. . Cost Total
. . " n,.' : , 08... .' cost'
Residential, per unit, service included:
1,000 sq, ft, or less (4) j $134.00 $l~
Each additional 500 sq. ft, or portion ~ $ 25.00 $ 1dL
thereof
Limited energy (2) $ 32.00 $
Each manufactured home or modular $ 63.00 $
dwelling service or feeder (2)
Services or feeders: instal/ation, alteration, relocation
200 amps or less (2) $ 81.00 $
20 I to 400 amps (2) $ 95.00 $
40 I to 600 amps (2) $158.00 $
60 I to 1,000 amps (2) $205.00 $
Over 1,000 amps or volts (2) $469.00 $
Reconnect only (2) $ 63.00 $
Temporary services or feeders: installation, alteration, relocation
200 amps or less (2) -f $ 83.00 $(03
201 to 400 amps (2) $ 87.00 $
401 to 600 amps (2) $126.00 $
Over 600 amps or 1,000 volts, see services or feeders section above
Branch circuits: new, alteration, extension per panel
a. Fee for branch circuits with purchase ofa service or feeder fee:
Each branch circuit '$ '6.00 $
b. Fee for branch circuits without purchase of a service or feeder fee:
First branch circuit (2) $ 55,00 $ .
Each additional branch circuit $ 6.00 $
Miscellaneous fees: service or feeder !lot included
Ea.ch pump or irrigation circle (2) $ 63.00 $
Each sign or outline lighting (2) $ 63.00 $
Signal circuit or a limited-energy panel, $ 63.00 $
alteration, or extension (2)
Each additional inspection: (I) $58.00 $
,ii\;:,'?',;;!{):iU:t/ii.ApJ'>LICANTUSEt;..i ;',';,.,,' :./: .
(A) Enter subtotal of above fees Zt:/).r
(Minimum Permit Fee $58.00) $
(B) Enter 12% surcharge (,12 x [AD $~~
(C) Technology Fee (5% of[AD $ ,,,V
TOTAL fees and surcharges (A through C): $ 1ZlfY.
Structural Permit Application.-
-......~
f. -11.
"-.'~-' ......
~~,.,. .
bEPARTMENiUSEONL .
. . ".:..'..' ;;,'..' '':'''.: ""~-.' .'. "',""''','':':'
CITY (JF SPRINC/FIELD, ORECiON
22S Fifth Street> Springfield, OR 97477 > PH(S41)726-37S3 > FAX(S41)726-3689
Pennitno.: sr/-o/grr
Date: 8"-
This permit Is issued under OAR 918-460-0030. Permits expire iCwork is not started within 180 days of issuance or iCwork Is
. suspended Cor 180 days.
Date:
Date:
IQ-T"es
DNo
,
Name: (,<. t..)' J....t Cv',KJ'" lla",.~
Addr..s:~O?'3 SI:. ~;c::w l-N
City: tVt e"" Statet) '" ZIP:<}7yo"5"
Phone: -Hb- cPi':>! Fax: -)tr- ~>3b?
E-mail:W;."h.,,\' "'{)~J c c,,'~,~s;. >'Vel"
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 ORS 701.010.
Sign bere:
I' '. ~ir c,CCnr'(;'f:'N .f"....i!::l.~;;;,{;,;\'(f:'li).::j.
Business name: ~vv(c lJ;~"l-...y C"~b.... 1>.,&<2\ :I:')vc...
Address: '3 073 .,; v' Co.,.,) ,-""
City: 'i:" e.... State:O {t. ZIP: q 7~ c. ..
Phone: -Mb cf'-l5? Fax: -3'1 -3Hz
E-mail: W; e"I.... t \-0.,0 IN' S @ co... Uo.s4 ~ v-Jc:. t
CCB license no.: (01117
Print name: W<., \oY'o/
Name
Electr!..1 /-.. ~
Plumbing 5ft:.... i
Mecbanlc:al C F H
jt:ii.,
HI 'il ~ t.
~ yZ-3'l(,'S"
72.6-0}00
..:
Ii V~i~~jJ'lir
(a) Job description:
Occupancy
Construction type:
Square feet:
Cost per square foot:
Other information:
Type o( Heat: 6A c;.
Energy Path:
new D alteration D addition
(b) Foundation-only permit? D'Yes .-8'No
Total valuation: <.l Oov
1~ Bui'd~~lff~~:Y?;'~c>~!/:\H~: :~l:.<: . : ";':{'if\(~,~.?J~r~~f;~;~-'
(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% surcbarge (.12 x [2a+21>+2c]):
(e) Subtotal offees above (2a tbrougb 2d):
"~;'Pl~:g ,'m ;J
(a) Plan review (65% x permit fee [2a]):
(b) Fire and life safety (40% x permit fee [2alJ:
(c) Subtotal offees above (30 and 3b):
. 4'1\1ISc~ffiifleiji#(.it;j<,!< '.'
(a) Seismic fee. 1% (.01 x permit fee [2a]):
TOTAL (ees and surcharges (2e<-3c+4a):
Ill.
'Bt-bf- - ':p ~
,?l~ ~
:prJ - l^KvJ
2?J willamalane
t"W Park and Recreation District .
Job. No. 5://..... /1%Y
PARK AND RECREATION SYSTEM DEVElOPMENT CHARGE WORKSHEET
January l-December 31, 2011
. NAME: i'JU1U' t../('~"'l:.I'ft;t.-'-
ADDRESS: JO?'1 ~~l{"(~"1.....J CITY: 6"vtc..
PHONE: ~-9trf"d
STATE:.:::YZ ZIP: '77~,r
LOCATION OF PROPOSED BUILDING SITE:
Street Address: 1/.2:5 S l/ t> t-(
.... . .... _ C............~. _... ._' .,,. "T"___ I _.........-.__.!.- ___ 1,,"'- /~.
t"!al r~ame:-r'L~""" _ .,NL1~(.:J.! .. tdX LUll'4UIIIUt:'I,.. L,JJI _ rA~
1. DEVELOPMENT TYPE (Refer to development type definitions on the reverse.)
c%z-.
~/ l.j / /.1
Date of building permit submittal
City of Springfield
~
City of Springfield
~ /~ /J
Date of building permit issuance
. .
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth 51
Springfield,OR 97477
541-726-3753
www.ci.springfield.or.us
811-SPR2011-01889
1123 S 40TH PL
perm itcenter@ci.springfield.or.us
RECEIPT NO: 2011002196 RECORD NO: 811-SPR2011-01889 DATE: 06/05/2011
CDESCRIP..TION.Jc:2,;: ~2_-:,,_::'Ls~~ "!,'p _'~__ ,...,'L--.k' L .... ACCOuNJ,C6bE_.:..:....,:::?;;C___,~AMOlJNT:DUE. .c_"-
Address Assignment, each new or change __....224-00C!.00-4_2.!i60~___.___._ 38.00
Admin fee (10% of applicable fees) 224-00000-426605 13.42
Air conditioner 224-00000-425604 17.00
Curb CuUDriveway 1st Cut 201-00000-426060 97.00
Each added 500 sq. ft. or portion 224-00000-426102 100.00
First ApplianceFee 224-00000.425604 79.00
Flue vent for water heafer or gas fireplace 224-00000-425604 9.00
Furnace - up to 100,000 BTU _________ 224-00000-425604 17.00
Gas Piping - each additional ab9:,.e_::.___ .____...---.E..~~~-425604 4.00
__~~ Piping up to 4 outlets 224-00000.425604 7.00
__C!.'2!'.or Two F~~~~elli.n~iti:!. Two Bath _________ 224-00000-425603 374.00
___..!:!~nning - Major Review - City 100-00000-425002 211.00
Range hood/other kitchen equipment 224-00000-425604 13.00
Residence wiring 1,000 sq. ft. or less 224-00000-426102 134.00
Residential Fire (.05 Per Sq Foot) 100-00000-424005 134.20
SDC Credit: Improvement Cost - Storm Drainage 440-62243-650117 -1,361.79
SDC Credit: Reimbursement Cost - Storm Drainage 441-62243-650117 -936.11
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 Improvement - Transportation SDC 447-00000-446027 1,662.23
SDC: Improvement Cost - Local Wastewater ______ 443-00000-446025 1,650.52
SDC: Improvement Cost -MWI<1<:: Regional Y"a~ewater SDC 445-00000-446025 __ .__._. 1,333.57
_SDC: Improvement Cost - Storm Drainage 440-00000-446026 1,361.79
SDC: Reimbursement - Transporta~ion SDC 446-00000-446026 ____.510.94
SDC: Reimbursement Cost - Local Wastewater ._______. 442-00000-446024 3,791.46
SDC: Reimbursement Cost - MWMC Regional Wastewater SDC 444-00000-446024 101.97
SDC: Reimbursement Cost - Storm Drainage 441-00000-448029 936.11
SDC: Total Sewer Administration Fee 719-00000-426604 453.51
-"-'--'~---_.
SDC: Total Transportation Administration Fee 719-00000-426604 135.55
Sidewalk up though 90 Feet 201-00000-428060 97.00
Single-duct exhaust (bathrooms, toilet compartments, utility roor 224-00000-425604 ...___._ 36.00
_ Stat,,--,,~Oregon Surcharge (12% of applicable fees). 821-00000-215004 247.48
_~c:!ural Building Permit Fee 224-00000-425602 1,209.36
Structural Plan Review Fee Residential 224-00000-425602 786.08
_Technology fee (5% of permit t?!al) 100-00000-425605 114.72
Temp services 200 amps or less 224-00000-426102 63.00
Willamalane fees - Single famil~ detached 821-00000-215023 3,409.00
TOTAL DUE: 17,282.66
:C6MMEIil:~'~:'';'':;\)f __ ,,' . ;'Lot.. ,AMOUNJPcP'ID._ . .':,_:l~n-;;1j
L:~~Y.Mi::~J:.D'~E.L.:.:::.~.Pc/i.'f9R0'i.ASH"iR.CCARPENiER"':' g.;;..
Credit Card BRUCE WIECHERT CUSTOM I
02555d
9,500.00
Check
20776
BRUCE WIECHERT CUSTOM I
7,782.66
TOTAL PAID:
17,282.66
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