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Home My WebLink AboutPermit Building 2011-8-22 ..... www.d.springfieJd.or.us PROJECT STATUS: STATUS DATE: CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01948 IVR Number: 811150449573 Issued 08/22/2011 ISSUED: APPLIED: 08/22/2011 08/17/2011 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perrnitcenter@ci:springfield.or.us EXPIRES: VALUE: 02/17/2012 $176,366.30 SITE ADDRESS: 1002 S 41ST ST, Springfield, OR 97477 ASSES OR'S PARCEL NO: 1602061420800 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential New Single Family Dwelling. Filb Mdws Lot 100 Phone Number: OWNER: ADDRESS: BRUCE WIECHERT CUSTOM HOMES INC 3073 SKYVIEW LN EUGE:NE: OR 97405 Contractor Type General Contractor Electrical Contractor Mechanical Contractor Plumbing Contractor CONTRACTOR INFORMATION Contractor Name BRUCE WIECHERT CUSTOM HOMES INC L & E ELECTRIC INC COMFORT FLOW HEATING CO STEVEN R JOHNSON lie Type CCB CCB CCB CCB ~ Lic No Lic Exp Phone 101717 09/16/2012 541-686-9458 105475 03/30/2012 541-933-2598 460 06f27/2013 541-726-0100 65065 03/12/2012 541-342-3765 I # of Units: Occupancy Type Construction Type Occupancy Type Construction Type # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: ATTENTln~I' 1'>.____ , . Tallow n~Jes ad~';t~d 'b;th~"6~;e~ you to "~""vu"un Center Th 9 n Utility in OAR 952-001-00'1 0 t~se rules are set forth 0090, You m'a ,rough OAR 952-001- calling ihe c~~~~~"(~~fe':et~~ft~~: r~~es by number for the Oregon Ut/lit N ,P ne . Center is 1-800~332.l34~t.'flcatlon BUILDING INFORMATION R-3 Type VB U Type VB # of Stories: Height of Structure: Type of Heat; Water Type: Range Type: Hazmat: Gas Gas Forced Air Gas 3 Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal! Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Path 1A Gas-fired furnace with min. AFUE: of 90% Site Information Engineered Fill: Fill Volume: Flood Hazard Area: No Land Hazard Area: No ~." "".>"-:J'" ~- . Retaining w~inTICE: No - - " Soils ReportlReiijJife!mM1N~HALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT .- COMMENCED OR IS ABANDONED FOR ;1,' Spe"9".,d B""d"9IR~Iri,it 180 DAY PERIOD. " 8122/;011 8:39:30AM No Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: 5667,5 1650 440 o 2008 Page 1 of6 . S~~~N....:". FI~L~ ~~ ~OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01948 IVR Number: 811150449573 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 ISSUED: APPLIED: 08/22/2011 08/17/2011 EXPIRES: VALUE: 02/17/2012 $176,366.30 08/22/2011 SITE ADDRESS: 1002 S 41ST ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802061420800 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential New Single Family Dwelling - Filb Mdws lot 100 Frontyard Setback: 18 Interior Setback: 5 Sideyard Setback: 12 Rearyard Setback: 20.5 Solar Setback: 0 DEVELOPMENT INFORMATION I Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: 4 Yes 35.2 17 REQUIRED PARKING Total: 2 Handicapped: Compact: Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Description U Utility, misc, R-3 1 & 2 family Springfield Building Permit PUBLIC IMPROVEMENTS I Valuation Description Tvoe of Construction VB VB Unit Amount Unit Tvoe 440.00 Sq Ft 1,650.00 Sq Ft 8/22/2011 8:39:30AM Sidewalk Type: Downspout/Drains: I Unit Cost 37.72 96.83 Value 16,596.80 159,769.50 176,366.30 Page 2 016 . www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01948 IVR Number: 811150449573 225 Fifth St Springfleld,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pe rmilcenter@cLspri ngfield. or. us PROJECT STATUS: STATUS DATE: Issued 08/22/2011 ISSUED: APPLIED: 08/22/2011 08/17/2011 EXPIRES: VALUE: 02/17/2012 $176,366.30 SITE ADDRESS: 1002 S 41ST ST, Springfield, OR 97477 ASSES OR'S PARCEL NO: 1802061420800 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential New Single Family Dwelling - Filb Mdws Lot 100 PROJECT DESCRIPTION: FEES PAID ~ Description Amount Paid Date Paid ReciDt # One or Two Family Dwelling with Two Bath $374.00 08/22/2011 2011002286 Furnace - up to 100,000 BTU $17.00 08/22/2011 2011002286 Air conditioner $17.00 08/22/2011 2011002286 .--~-- ~ ..~._-_._- Range hood/other kitchen equipment $13.00 08/22/2011 2011002286 Flue yent for water heater or gas fireplace $9.00 08/22/2011 2011002286 Single-duct exhaust (bathrooms, toilet compartments, utili $36.00 08/22/2011 2011002286 ;~--~.- Gas Piping u~ to 4 outlets $7.00 08/22/2011 2011002286 -,-~---~- Gas ~pin~_~~~~~nal above 4 ___. $4.00 08/22/2011 2011002286 ~~~~_plj~n~~_~~~_ $79.00 08/22/2011 2011002286 H__.____._+__" . '-"-.---".' --"- .'"--,_._,._,,._. ----.-..-.-- Each added 500 sq. ft. or portion $75.00 08/22/2011 2011002286 Structural Building Permit Fee $1,022.14 08/22/2011 2011002286 Same as Plan Review Submittal $250.00 08/22/2011 2011002286 Sidewalk up though 90 Feet $97.00 08/22/2011 2011002286 Curb CuVOriveway 1 st Cut $97.00 08/22/2011 2011002286 SDC Credit: Reimbursement Cost - Storm Drainage $-628.66 08/22/2011 2011002286 ~DC Credit: Improve~ent Cost ~ Storm Drainage $-914.54 08/22/2011 2011002286 --~~- ~DC: Total Transportation Administration. Fee $139.Q3 08/22/2011 2011002286 Planning - Major Revie~ - City $211.00 08/22/2011 2011002286 SDC: Reimburse'!le!1t Cost - Storm Drainage $628.66 08/22/2011 2011002286 ~~~: Improvemen~ Cost - Storm Oraina~~_._..~_~ $574.62 08/22/2011 2011002286 ~D~: lmprovem~n~S::~~~ _Sto~T12.~rain~ge _~___ ._ $339.92 08/22/2011 2011002286 ---'-~""-"-' SDC: Reimbursement - .!!.~portat~?~.~E.S::__.. $510.94 08/22/2011 2011002286 S~C: Improvem~~~w:ra.nsportation SDC $1,862.23 08/22/2011 2011002286 ---".-.-. SDC: Reimbursement Cost. Local Wastewater $3,114.43 08/22/2011 2011002286 SDC: Improvement Cost - Local Wastewater $1,520.07 08/22/2011 2011002286 SDC: Reimbursement Cost - MWMC Regional WastewatE $101.97 08/22/2011 2011002286 SDC: Improvement Cost - MWMC Regional Wastewater ~ $1,333.57 08/22/2011 2011002286 sac: Compliance Cost - MWMC Regional Wastewater SI $22.63 08/22/2011 2011002286 SDC: A~mjnistrative Fee - MWMC ~:5li~~ Wastewater: $10.00 08/22/2011 2011002286 SDC: Total Sewer Administration Fee $361.92 08/22/2011 2011002286 ---.--..--.--- T_ec~olojl'y_ !e:,_~5'1,_ ~perrnjt total)__ ,____ $97.41 08/22/2011 2011002286 .---.-- ~ate _".!. Oregon Surc:!2.arg':.L1..2!' of a..!'pli~.!'I.':.!ees) _______ $214.46 08/22/2011 2011002286 ~._------ A~mJ~ f~~.~~g% _of <:eP!!~a~le fe:~ $10.45 08/22/2011 2011002286 _ ..___"___. ~__ ____ _'_'_"W _ _ -" ,-- .__._.....~-_. Residential Fire (.05 Per Sq Foot) $104.50 08/22/2011 2011002286 ~_.__."- -.-.-1..- _______4 .Residence wiring 1,000 sq. ft. or less $134.00 08/22/2011 2011002286 ------- ..--.--.---,-., ,Multiple Permit Discount (Max 2) $-33.00 08/22/2011 2011002286 Total Amount Paid $11,812.75 Springfield Building Permit 8/22/2011 8:39:30AM Page 3 ofB . SPRINGFIEL~ ~!h:- -~ '. ~OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01948 IVR Number: 811150449573 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 08/22/2011 ISSUED: APPLIED: 08/22/2011 08/17/2011 EXPIRES: VALUE: 02/17/2012 $176,366.30 SITE ADDRESS: 1002 S 41ST ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802061420800 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential New Single Family Dwelling - Filb Mdws lot 100 PROJECT DESCRIPTION: Plan Review I DeDartment Application Acceptance Received Due Date ComDleted 08/17/2011 08/17/2011 08/17/2011 Result Application Accepted Reviewer Chris Carpenter Structural Review 08/17/2011 08/1712011 08/19/2011 Waiting Internal Chris Carpenter Iprahning~eVjew'<:~, .:' ",_{,;~njb8/1:71~01.1_',,>08'J71~?,1t~,'?8lJ9120ft: - ';~p~rov'ed;: ",:::,~;ft~!'~'~Tar_a.Jo~'es-{,~^:.\~, ,'. <-"".'- - ,- - 3]' ::- f comm~nt~: F"Plant2';tree;;rees 0," Jaspe;,ko:ad;andc2 t,;-s"4;~tas,stio,~n~~'Q.:i~e,stre~! ir~ii;1'n;ttach~d td~!m!t,:peciesas " ' -:" I;" '. ..~_2'~'s~;LcaIIRerAL~?x~)~p.~c;~W~Jrr,?:on:lJntil ar?r?!:Q..~~,g: '?*">"".:J',';i' s UJ;~:;\0 ': :?T:;::: :f\ . ;.. "":'~<)0>:;:<:.Y' Structural Review 08/17/2011 08/17/2011 08/19/2011 Approved Chris Carpenter Public Works Review' .,08/17/20'" '.'081.171201.1 - 08/19/2011::, .APproved.:."t::-::.. . . ,Kay" Wilson, .~" ?""~",(::{"_ ..&<...'lfj."........ '>,-'~.:..t", "...:,...,....,.,.,.-'..". ,....1..~.f..;",'/......., :,;>r;'j'~-.,.." ,', ~..;_. '" '" .<Comments: Traffic'site'plan'Ok'd,byBdan BarnetUweep hole to.curb .. ,- 'tl ,'';;" ,'.', a"'~~" -" ~.' ,'" <1"'; ,," ~_'~ ,io"-'~0-,- 'J V. .." 'j '--.. .'*'~ '~~-2;~,,--,,~~""":'-'~~~'_~~-- Permit Issuance 08/19/2011 08/19/2011 Oal22/2011 Issued David Bowlsby Springfield Building Permit 8/22/2011 8:39:30AM 1 Page 4 af6 . SPE~:EL~ ~.'.~ rJfP """, '_ c,X', 'OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit, PERMIT NO: 811-SPR2011-01948 IVR Number: 811150449573 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 08/22/2011 ISSUED: APPLIED: 08/22/2011 08/17/2011 EXPIRES: VALUE: 02/17/2012 $176,366.30 SITE ADDRESS: 1002 S 41ST ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802061420800 SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential New Single Family Dwellin9: Filb Mdw5 Lot 100 PROJECT DESCRIPTION: INSPECTIONS REQUIRED ~ Inspections 1020 Zoning/setbacks 1090 StreetT rees 1110 Footing 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. Post and Beam: Prior to floor insulatIon or decking. Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1170 Post & Beam 1260 Framing 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 ShealWall 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 requested and approved and the building is complete. UnderfJoor Mechanical. Prior to insulation or decking and including required..testing. UnderfJoor 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 Underlloor Gas 2260 Gas Service 2300 Rough Mechanical 2310 Rough Gas 2995 Final Gas 2999 Final Mechanical 3130 Footing/Foundation Drains Springfield Building Permit 8/22/2011 8:39:30AM Page 5 of6 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: B11-SPR2011-01948 IVR Number: 811150449573 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 PROJECT STATUS: STATUS DATE: Issued 08/22/2011 ISSUED: APPLIED: 08/2212011 08/17/2011 EXPIRES: VALUE: 02/1712012 $176,366.30 SITE ADDRESS: 1002 S 41ST ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1802061420800 PROJECT DESCRIPTION: SCOPE: Single Family Residence WORK INVOLVED: New TYPE OF STRUCTURE: Residential New Single Family Dwelling. Filb Mdws Lot 100 3170 Underlloor Plumbing 3200 Sanitary Sewer 3315 Water Line Underfloor Plumbing: Prior to insulation or decking. Sanitary Sewer Line: Prior to filling trench and including requir~d testing. 3400 Storm Sewer Storm Sewer Line: Prior to filling trench. 3500 Rough Plumbing 3999 Final Plumbing 4120 UFER Ground Rough Plumbing: Prior to cover and in1?luding required testing. Final Plumbing: When all plumbing work is complete. 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 is located at the front of the property, and the approved set of plans will remain on the site at all times during constru[~ ~) 1~27-Jr Owner or Contractor Signature Date Springfield Building Permit 8/22/2011 8:39:30AM Page 6 of6 Structural Permit ApplicatioD_ ~V\N." ~s CITY OF SPRINGFIELD, ORECiON 225 Fifth Street. Springfield, OR 97477. PH(541)726-37S3. FAX(S41)726-3689 Date: 3': ';7 II Thi. permit is issued under OAR 918-460-0030. Permit. expire iCwork i. not .tarted within 180 day. oris.uance or iCwork is .u.pended Cor 180 day.. i Date: :'~\;!M ll" . . e' "'S"C'H'e'O U"l.e"'o;'.:"'; "':)':',,-",,;':"~,6fI..._!~- -;'::'~'_"_""" ..._~,...\ I: ViiiiiJiJJ" .~.: f '~t;f;n;. (a) Job description: fVtUJ 51 M : 4=- F/tIYl. OccupancY ~ lA. Construction type: I Square reet: q m Cost per square root: Other information: Type.orHeat: ~ FJ"l- E ergy Patb: }- o alteration (b) Foundation-only permit? Total valuation: . Z. Buildi~gfe~,,::t/!:y!;';', (a) Permit ree (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 orree. above (2a through 2d): ~{flali" (a) Plan review (65% x permit ree [2a]): (b) Fire and life safety (40% x permit ree [2aJ): (c) Subtotal orr... above (3a and 3b): .4.......1.c..o......' B.'."..............us..'....fi...e;....... .......;...,.i............. . 1.. '... .,.. ,Ut _ u: u _ ''__ _._" ,..': '".,',",:," .~~;:~;>(k:~:ki~, (a) Seismic ree, 1% (.01 x permit ree [2a]): S TOTAL ree. and .urcharge. (2t<-3c+4a): Date: o addition DYes s :--... ..tjQ.,,'.::\!~~n~Hf4~~{..~ :'}'.:.::'.::;.:).:: C"~b.... l>oy\oQ.~ ~(... /..."'" Slate;O <to ZIP; q 7~" l Fax: -3'1 - 336 z G2 CO"" ~5-l ~ v.Jc, t s s Z-J~ <:: ""'c., , /7:';' 'V-- Name Electrlcal/.... (! Plumbing 5!c.... \ Meehaniea. CFH Sll 'II 'i 6 ;~l-3"Jb., 7l.b,,0100 225 Fifth Streett Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689 " , ;, :" ,.-. ' 5. DEp'~RTMENTUSE ONLY [ Pennit no.: Date: II 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. ."..,:"iL!0CALi'G0VERNMENT" AP,P~OVAL0":jt'g'0'ir# 'i'r: Zoning approval verified? 0 Yes 0 No ;i" ::~,~",j,i~:",~cA TEGORYY;OF:C0NSTRUCTION~;~"""., '. ,i, ,0'Residential D Government D Commercial ~li~it,d.:J9BlitSI'[Ef,INF,ORMA'l:ION~;ANI:)~iI!OGAIi10N~~i~E DO '2- "115r City: S; ~l f'1 ;:t. Reference: l({o L X ( l Taxlot.: 20 tf'(JU . . , . .I:)ESCRIPTION;,0F'WClRKi'~,\:,::{:;.~",\";,>,.,,,, fA) / M!J.,J IiuvJ t!'" PROPERTY,OWNER iA 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). E-mail: CCB license no.: Signing supervisor's license no.: p'rint name of signing supervisor: Signature of signing supervisor: " t ATTENTION: Orego; b the Or~gon tl y follow rules adopt\h ~e rules are set forth Notilication~center'1 0 t~rough OAR 952.00b1. i~:dAR ~ 01. , 0 ies onhe rules Y iJ6'9tr. '{6uf ay tam ~ofe: the telephone calling the center. (on Utility NotificatIOn number for the.or1~~00_332-2344). l)? ,\ Center IS \S) 'Y 'b' \,~ ~~ 440.2584.) (9/08/COM) r~:~!<;:\~'~rr407iJ;~ft~~)l&Z17~.7fE:E,~SCH E.P.CJ 1]1;~~l~h~;:;t1~~;#'<%~~~~~"Wt*g; .Number'~'(;-:inspe~tio;ris,p~r)t~'~. cri;~ ~Q;ty. .. Cost' .. .. ':. ;.I-f,~- .' .--;-- ., _'-' '. - .'".-:'."1", -_;-' i'",U ." PO:- -'.::;1'~;:. '.,_, _-;'" ,.~i".~~a~-~;. Residential, per unit, service includ~d: 1,000 sq. ft. or less (4) Each additional 500 sq. ft. or portion -; thereof . Total ,'."c9st, ( $/5'1 $ '7 ') I $134.00 ') $ 25.00 $ 32.00 $ 63.00 $ $ Limited energy (2) Each manufactured home or modular dwelling service or feeder (2) Services or feeders: installation, alteration, relocation 200 amps or less (2) $ 81.00 $ 201 to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158,00 $ 60 I to 1,000 amps (2) $205.00 $ Over 1,000 amps or volts (2) $469.00 $ Reconneclonly(2) $ 63.00 $ Temporary services or feedgs.:...,installation, alteration, relocation (Af/) T '---" 200 amps or less (2) $ 63.00 $ $ $ 201 10400 amps (2) 401 to 600 amps (2) $ 87.00 $126.00 Over 600 amps_or 1,000 volts, see services or feeders section above Branch circuits: new, alteration, extension per panel a. Fee for branch circuits with purchase of a service or feeder fee; Each branch circuit I $ 6.00 $ b. Fee for branch circuits without purchase ofa service or feeder fee: First branch circuit (2) Each additional branch circuit $ 55.00 $ $ 6.00 $ Miscellaneous fees: service or feeder f}ot included Each pump or irrigation circle (2) Each sign or outline lighting (2) $ 63.00 $ $ 63.00 $ Signal circuit or a limited-energy panel, alteration, or extension (2) Each additional inspection: (I) $58.00 $ ~i~t[i'~~~;~~{;;~7~~iA'RRlJiGAf\jt~:t.iJS-El~~~~f.i.~tt~~~9E~tj;~r~~t;~:;~~. ~.::: ,(~k!,nler subtotal ofabov;.fees 1RE \NORK NO. \rMiniJ1!,lJ,.mc\1&'I't! He1i'58fuaL..\,:\~ NOT T,\-1'i i(B}i[il,~! J ?P':'.\lff.~rl~~<o' (lr~~l~ >=OR i\\r J~i;r~\l.<l!f>~~S(~Irf'tXJ CO ~Yi:PJ!~~,l);ef\lild\!;ll~charges (A through C): i\N, $ 63.00 $ $ '::;~)'1-- $ -;zrq.[ $ !O"s... $ztN~ ~?, willamalane t'W Park and Recreation District Job. No. ..{j) - /,fL./ J PARK AND RECREATION SYSTEM DEVELOPMENT CHARGE WORKSHEET January i-December 31, 2011 NAME: ~lJJ -r WI tcc-r+c.-"VL-T ADDRESS: 507'5 SI4fVI<='I",/ CITY: 6Zu:, PHONE: (PO(p 0' )0 STATEiJrL ZIP: C;7lfO') LOCATION OF PROPOSED BUILDING SITE: Street Address: /m2- (". L((Sr . Plat Name: FIL-/3eY2..-r /0/)&<...-:' Tax Lot Number: ;u6 \'6CJZDlo\4:- f)JRffJ . 1. DEVELOPM ENT TYPE (Refer to development type definitions on the reverse.) A. Single-Familv Detached NO. OF UNITS / X $3,409 per unit = $ :1'4'07 B. Single-Familv Attached NO. OF UNITS C. Multi-Family Apartment NO. OF UNITS D. Single Room Occupancy NO. OF UNITS E. Accessory Dwelling Unit NO. OF UNITS 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.) ($ $ ~ .5'-( tJ '7 3. TOTAL PARK AND RECREATION SDC ASSESSED ~ F / I') / 1/ Date of building permit submittal g/ 24- 2-0(( Date of building'permit issuance City of SprinQfield I"....~ -"" I'"~ I '" ( i City of Springfield. SP~~N.G_FIEL~ ~;"/~ "M.~' \.,' .jL~~. OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield, OR 97477 541-726-3753 www.cl.springfield.or.us , 811-SPR2011-01948 1002 S 41ST ST permilcenter@ci,springfield.or.us RECEIPT NO: 2011002286 tOES.CRIFttiON .. ~ - Admin fee (10% 01 applicable fees) Air conditioner ~-'-'----~---------'-------"-----'" RECORD NO: 811-SPR2011-01948 DATE: 08/22/2011 ~";; ,'2ZAcCOUNLC.OOEC , . .j.-AMOUNLDUE - . 224-00000-426605 10.45 224-00000-425604 17.00 201-00000-426060 9700 224-00000-426102 75.00 -.. ------~'_.._-"- ----..-- --- ,__-.f.irs.!..A~pl!'!!'..,!!,~,,-.___.._____._ ____..._~2~9..0ggQ:4.?560~__________~. ____ ___ 790g________ _.F~y~nt for water heater or 9~~replace _____._ _324-00000-42~04 _____ ____ ___ 9.00 Furnace - up to 100,000 BTU 224-00000-425604 17.00 Gas Piping - each additional above 4 224-00000-425604 4.00 Gas Piping up to 4 outlets 224-00000-425604 7.00 Multiple Permit Discount (Max 2) 201-00000-428060 -33.00 One or Two Family Dwellin9 with Two Bath 224-00000-425603 374.00 Planning: Major Review - City 100-00000-425002 211.00 .._~_9!~~/other kitchen eguipment 224-00000-425604 13.00 Residence wiring 1,000 sq. ~. or less 224-00000-426102 134.00 ~~~~e_~tia~!r~J.:~~er Sq Foot) 100-00000-4~~__ 10450 ___SQ~ ~t.!"2pro~~nt Cost - Storm Dr~~n,:g-",____ ___440-62243-6501.12....__ __ __,_ _.........:~1454 _~E>C Credit: Reimbursement Cost - Storm Drainag~ 441-62243-650117 -628.66 SDC: Administrative Fee - MWMC Regional Wastewater SDC 611-00000-426604 10.00 _~C: Compliance Cost - MWMC Regional Wastewater SDC 444-00000-426607 22.63 SDC: Improvement - Transportation SDC 447-00000-448027 1,862.23 SDC: Improvement Cost - Local Wastewater 443-00000-448025 1,520.07 __SDC: Impr,,-y~.~~t Cost - MWMC Regio~~1 Wastewater SDC 445-00000-448025 1,333.57 SDC: Improvement Cost - Storm Drainage 440-00000-448028 914.54 SDC: Reim.b.."'se'Tlent - Transportation S_DC 446-00000-448026 510.94 SDC: Reimbursement Cost - Local Wastewater 442-00000-448024 3,114.43 SDC: Reimbursement Cos~.:.~VI;'JVI.s: Regional Waste~er SDC 444-~-448024__._._____._.. __ _ _..___:01.97 __~~~'!!.bursement Cost_:..~.!ofm Drainag,,-. 441-00000-448029 . _________.__..___.._~~8.66 SDC: Total Sewer Administration Fee 719-00000-426604 361.92 ~"""-'-'-'------ __._~DCo.:rotaIJransportation Administration Fee 719-00000-426604 139.03 Same as Plan Review Submittal 224-00000-425602 250.00 --.,.-".-- ...-..-....., _~ide'^'~~_up though 9'?f'~!~ 201-00000-426060 97.00 _ Si~~le~~uct exhaust (b~.~rooms, toil~t c9mpartments, utility roOT 224-00000-425604 36.00 State of Orego_n Surcharge (12% of applicable I,,-es) 821-00000-215004 214.46 Structural Building Permit Fee 224-00000-425602 1,022.14 .........1!chnology fee (5% of permit total) 100-00000-425605 97.41 TOTAL DUE: 11,812.75 . '-'" . COMMENnl" . .4." ' " . :. .'.' AIVIOUNTPAID." . --., ._._...._.__._--.._~----'--~--~". -. 2,312.75 ',"":;'10 >F -I ._C;IJf~ C~V~I::~,^,~.1 st Cut _____ _ ____ ___~"_c_h ~9ded.?Q9..s.9c~,-orp~___________ _'_.. Lp~YMEN:LrXPE-,~ <~~YqR6:C~HIER~D~9WLS8Y-- - -- Check BWCH ~ Credit Card 03539d BWCH 9,500.00 TOTAL PAID: 11,812.75 U- 6009 0*000: • • •0006• • • e 0000 • DO �e ••• oboe OO •• D0•• 0I � • • • •onr,6p U J • L • Q� X00 •. coo � • ® i O . V:. . 41J e. AVV N IN N .�n 11 OZ LLJ o ~o U uj Ca 1 z O Q`V�o- � p d til �_ (X a Lit LLI c„=an..44 � Y� t4 u I zr'6J C:) 000 n w�Q8 oa ' , \�j V 11. { � .+v r• � L 21 ink 44 W Za �?} �c w 0 LJ 0 IL u�� m U ° f/ 'z�o0�� SaoLI ? O O 'SO —_ O O u7 � �, _Lf) ca C 07 Q Y- cz < a) •� L (n CY r cL � {' 04 'r �o Q oo mss' J o °IE uz oQ \ , 9 c z3 t- o .� as LA -o c a cts O v,C)C? 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