HomeMy WebLinkAboutPermit Building 2011-9-1
, '
SP~ING. FI.E~..D
l~...-*-.
'. ,~
OREGON
www.ci.springfield.OLUS
PROJECT STATUS:
STATUS DATE:
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-02022
IVR Number: 811186651453
Issued
ISSUED:
APPLIED:
09/01/2011
08/30/2011
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:
02/27/2012
$186,807.15
09/01/2011
SITE ADDRESS: 4040 RICHlAND ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1802064115100
PROJECT DESCRIPTION:
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
New Single Family Dwelling - lot 80 Filbert Meadows - SAMEAS 1102 S41st
Phone Number:
OWNER:
ADDRESS:
BRUCE WIECHERT CUSTOM HOMES INC
3073 SKYVIEW IN
EUGENE OR 97405
Contractor Type
General Contractor
Electrical Contractor
Mechanical Contractor
Plumbing Contractor
CONTRACTOR INFORMATION
Contractor Name
BRUCE WIECHERT CUSTOM HOMES INC
L & E ELECTRIC tNC
COMFORT FLOW HEATING co
STEVEN R JOHNSON
Lic Type
CCB
CCB
CCB
CCB
# of Units:
Occupancy Type
Construction Type
Occupancy Type
Construction Type
# of Bedrooms: .
Sprinkled Building:
Fire Alarms;
Energy Path:
BUilDING INFORMATION
R.3
Type VB
U
Type VB
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
Gas
Gas
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:
6884
1729
514
o
1
17
Forced Air Gas
Electrical Specialty Code Edition:
Springfield Fire Code Edition: ATTENTION: Oregon law requires you to
Mechanical Specialty Code Edition: follow rules adopted by the Oregon Utility
. . Notification Center. Those rules are set forth
MUniCIpal! Development Code: in OAR 952-001-0010 through OAR 952-001-
Plumbing Specialty Code Edition: 0090. You may obtain copies of the rules by
Residential Specialty Code Edition: callil2g1~1e center. (Note: the telephone
Structural Specialty Code Edition: number for the Oregon Utility Notification
Center is 1-800-332.2344).
3
No
No
Path 1 A Gas-fired
furnace with mh
AFUE of 90%
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
Springfield Building Permit
Site Information
No
No
No
No
No
~
NOTICE:
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOO" 1 016
ANY 180 DAY PERIOD.
9/1/2011 9:27:57AM
SP~IING=.~.O
.1"(~
~~-'\.. ~REGON
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-02022
IVR Number: 811186651453
225 Fifth St
Springfleld,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
perm itcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
09/01/2011
ISSUED:
APPLIED:
EXPIRES:
VALUE:
02/27/2012
$186,807,15
09/01/2011
08/30/2011
SITE ADDRESS: 4040 RICHLAND ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1802064115100
PROJECT DESCRIPTION:
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
New Single Family Dwelling - Lot 80 Filbert Meadows - SAMEAS 1102 S 41 st
Frontyard Setback: 17
Interior Setback: 5
Sideyard Setback: 6.5
Rearyard Setback: 42
Solar Setback: 12.5
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:
2
Yes
30.5
17
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
~
Sidewalk Type: .
Downspout/Drains:
Valuation Description
I
Tvoe of Construction
VB
VB
Unit Amount Unit Tvoe
514.00 Sq Ft
1,729.00 SqFt
Unit Cost
37.72
96.83
Value
19,388.08
167,419.07
186,807.15
9J1/2011 9:27:57AM
Page 2 of6
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-02022
IVR Number: 811186651453
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@cLspringfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
09/01/2011
ISSUED:
APPLIED:
09/01/2011
08/3012011
EXPIRES:
VALUE:
02/27/2012
$186,807.15
SITE ADDRESS: 4040 RICHLAND ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1802064115100
PROJECT DESCRIPTION:
SCOPE: Single Family Residence
WORK INVOLVED:. New
TYPE OF STRUCTURE: Residential
New Single Family Dwelling - Lot 80 Filbert Meadows - SAMEAS 1102 S 41st
FEES PAID
~
Amount Paid Date Paid Reciot #
$38.00 09/01/2011 2011002369
$3,409.00 09/01/2011 2011002369
$97.00 09/01/2011 2011002369
,--_.~--
$97.00 09/01/2011 2011002369
$374.00 09/01/2011 2011002369
$17.00 09/01/2011 2011002369
______.__..__T_..____.__
$13.00 09/01/2011 2011002369
$9.00 09/01/2011 2011002369
$36.00 09/01/2011 2011002369
-_.__.._~~._--
$7.00 09/01/2011 2011002369
$79.00 09/01/2011 2011002369
$134.00 09/01/2011 2011002369
$75.00 09/01/2011 2011002369
$63.00 09/01/2011 2011002369
$3,114.43 09/01/2011 2011002369
$53.14 09/01/2011 2011002369
$18.59 09/01/2011 2011002369
$108.95 09/01/2011 2011002369
$11.22 09/01/2011 2011002369
_._W'~__.w.m....~_
$1.520.07 09/01/2011 2011002369
$510.94 09/01/2011 2011002369
$1~862Zl 097(1721)11---- 2011002369
$101.97 09/01/2011 2011002369
..--.---
$1,333.57 09/0112011 2011002369
$22.63 09/01/2011 2011002369
$10.00 09/01/2011 2011002369
$280.27 09/01/2011 2011002369
$143.52 09/01/2011 2011002369
$-33.00 09/01/2011 2011002369
$96.84 09/01/2011 2011002369
$50.30 09/01/2011 2011002369
$211.00 09/01/2011 2011002369
$690.85 09/01/2011 2011002369
"_.__....._"..._"___.________...__.~."_~._w.w
$1,062.84 09/01/2011 2011002369
$112.15 0910112011 2011002369
$15,730.51
Descriotion
Address Assignment, each new orw_~~~~ge
Willamalane fees - ~ingle family detached
Sidewalk up though 90 Feet
Curb CuVDriveway 1 st Cut
gne or Two Family Dwelling with Two Bath
FlJrnace - up to 100,000 BTU
Ra,~!I': hood/other kit~~en equipment .__ __,_.__~.
~Iue vent for water heater or gas fireplace .
~ingl.:-duct exha~st (bathrooms, toilet compart~ents, utili
9as Piping up to 4 outlets
~irst Appliance Fee _.
Residence wiring 1,000 sq. ft. or less
Each added. 500 sq. ft. or portion
Temp services 200 amps or less
SDC: Reimbursement Cost - Local Wastewater
Technology fee (5% of permit total)
State of Oregon Surcharge (12% of applicable fees)
State of Oregon Surcharge (12%' of applicable fees)
!ldm1n fee (10% of applicable fees)
SDC: Improvement Cost - Local Wastewater
?p~: .~e~.?~r~e:rl2ent - Transporta~~~r-
~DC: !~provement - :!:ransportation SDC
SDC: Reimbursement Cost - MWMC Regional Wastewah
SDC: Improvement Cost - MWMC Regional Wastewater!
SDC: Compliance Cost ~ MWMC Regional Wastewater SJ
SDC: Administrative Fee - MWMC Regional Wastewater!
SDC: Total Sewer Administration Fee
SDC: Total Transportation Administration Fee
~yltiple Permit Discount (Max 2)
State of Oregon Surcl1ar1!.~ (12% of applicable fees)
Technology fee (5% of permit total)
Planning - Major Review - City
Structural Plan Review Fee Residential
---- ---.-..- _._--~_.~
~ural Build~~Permit Fee.
Re~i~~Fire (.O~.er Sq Foot)
Total Amount Paid
Springfield BuHding Permit
9/1f2011 9:27:57AM
Page 30f6
SP~I;~~~~~
L~&
~~:EGON
www.cl.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-02022
IVR Number: 811186651453
225 Fifth SI
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
ISSUED:
APPLIED:
09/01/2011
08/30/2011
EXPIRES:
VALUE:
02/27/2012
$186,807.15
09/01/2011
PROJECT DESCRIPTION:
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
New Single Family Dwelling - lot 80 Filbert Meadows - SAMEAS 1102 S 41st
SITE ADDRESS: 4040 RICHlAND ST, Springfield, OR 97477
ASSES OR'S PARCEL NO: 1802064115100
Plan Review
~
Deoartment
Initial Review
Received Due Date
08/30/2011 08/30/2011
ComDleted
08/30/2011
Result
Approved
Reviewer
Chris Carpenter
Structural Review 08/30/2011 08/30/2011 08/30/2011 Add'llnfo Required Chris Carpenter
Comments: Need truss docs to match larger garage.
~Plannjhg'ReVlew. : ',. ,..~?~:..;'~08{3:61201;1.:;.:08/30/20f1. '~'08/3Q/4~11 '. ; 'APP~~tl~~[;~~'_~.. "-7'-T~eT ,:'.,_
:' 'Comments:,' ~9S'9:~JPA~~~i~P:~~kTI9g~,;:~~,~~,t;st~e~!:t~~,~:;a, jl~,h~W,., n6nthe,:SI;;;t\re;Pla,r\;:aii~~~.;ctj<i?~r!)1i~ ~peciJ';~s,s~own; :1':',' "
" .', ~",'Cal!Rer,leave:sp'~~eslnal1]~lliuJJ!JLepPl..o'ye~QQ!lt?ftIal~g,~41~736~1003 If-have ~~estlons., " . , "',' - ' ,
Application Acceptance 08/30/2011 08/30/2011 08/30/2011 Application Accepted Chris Carpenter
,
,.;'- ~:'1
.'m " "'"_~'
Permit Issuance
09/01/2011 09/01/2011 09/01/2011
Issued
Chris Carpenter
Springfield Building Permit
9/1f2011 9:27:57AM
Page 4 of6
www.d.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-02022
IVR Number: 811186651453
225 Fifth 5t
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
09/01/2011
ISSUED:
APPLIED:
09/01/2011
08/30/2011
EXPIRES:
VALUE:
02/27/2012
$186,807.15
SITE ADDRESS: 4040 RICHLAND ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1802064115100
PROJECT DESCRIPTION:
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
New Single Family Dwelling - Lot 80 Filbert Meadows - SAMEAS 1102 S41st
INSPECTIONS REQUIRED t
Inspections
1370 Masonry Veneer
1020 Zoning/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.
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
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 5hearwall
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.
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.
1999 Final Building
2200 Underfloor Mechanical
2210 Underfloor Gas
2260 Gas Service
2300 Rough Mechanical
2310 Rough Gas
2995 Final Gas
2999 Final MechanIcal
Final Mechanical: When all mechanical work is complete.
3130 Footing/Foundation Drains
Springfield Building Permit
9/1/2011 9:27:57AM
Page50f6
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-02022
IVR Number: 811186651453
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
09/01/2011
ISSUED:
APPLIED:
09/01/2011
08/30/2011
EXPIRES:
VALUE:
02/27/2012
$186,807.15
SITE ADDRESS: 4040 RICHlAND ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1802064115100
PROJECT DESCRIPTION:
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
New Single Family Dwelling - lot 80 Filbert Meadows - SAMEAS 1102 S41st
3170 Underfloor Plumbing
3200 Sanitary Sewer
33.15 Water Line
3400 Storm Sewer
Underfloor Plumbing: Prior to insulation or decking.
Sanitary Sewer Line: Prior to filling trench and inclUding required testing.
3500 Rough Plumbing
3999 Final Plumbing
Storm Sewer Line: Prior to filling trench.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
4000 Temporary Power Service
4225 Service or Feeder
4500 Rough Electrical
4999 Final Electrical
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the
Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO
OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further
certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree
to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the
permit card is I ated at the fr t of the prope nd the approved set of plans will remain on the site at all times during
construction. q II If;
I
Owner or Date
Springfield Building Permit
9/1/2011 9:27:57AM
Page 6 of6
~0 l"-c. r;K:'
Structural Permit Applicane.-n.7
- ~ ~~tAk;c~
I S~ ,
~
DEPARTMENt'lJSEONL' ,
;' . --,... q' , ''',,'.'k.,'.' ..'....- ......._~' ~".
L/K
......~......
,,~.
"~-'-'.
?t~ 'TlV '
CITY OF SPRINGFIELD, OREGON
225 Fifth Street. Springfield, OR 97477 . PH(541)726-3753. FAX(541)726-3689
Pennitno.: SII- 2D2
Date: y. 70 I I
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is
suspended for 180 days.
Dale:
nate:
Sign here:
" !!9~';,\X~.;I'{~{t;,
C,,~b...., "",w2~ ):)ve-
L",
State:o{t. ZIP: q 7~O S-
Fax: -3'1 - 3'3i> z
@ em... U-54 ~ .-)",r
Name
Electri..1 p-I:!!
Plumbing 5n:"",
Meeb.nle.. Ct='/-l
S'l./'1I'jf,
> yl-3"l1>s-'
72b-o)00
'~,. -, E' ". $i:HEDiiL~~~f~~,~;';j, <;' ',.~'v:;1V,'
X V al'uij:t j)'l!i:
(a) Job description: /-lev S,1oI c.. LJ: Fo'lw' _ j)L<k:'-<.( ^'
Oecupancy 111
Construction type: iii?
Square feet:
Cost per square foot:
Other information:
Type of He.t: t; tc A
Energy P.th: I "'l-
[}1lew D alteration
(b) Foundation-only pennit?
Tot.1 v.lu.tion:
· 1. Bulldi~iife~:,;;'d,,\U~"
(a) Pennit fee (use valuation table):
(b) Investigative fee (equal to [2a)):
( c) Reinspection ($ per hour):'
(number of hours x fee per hour)
S7f.(
c-
D addition
DYes
[J1<1O
s('Y6 'idl. is
2- f't
s
(d) Enter 11% surcharge (.12 x [2a+2b+2c)):
(e) Subtotal of fees .bove (28 through 2d):
"3;.'plilit''''''. 'J
" , ,!'\!it',. ,
(a) Plan review (65% x permit fee [2a)):
(b) Fire and life safety (40% x pennit fee [28]):
(e) Subtot.1 off... .bove (3. .nd 3b):
. 4. Mlsc~li~~edU#te#:Y,,>% .
(a) Seismic fee. 1% (.01 x pennit fee [28)):
TOTAL fee. .nd sureh.rge. (2....3<+4.):
S >'1
S
s
Sl"i3i ~
Electrical Permit Application
225 Fifth StreettSpringfieJd, OR 97477+PH(541)726-3753+ FAX(541)726-3689
DEP~RTMENT USE ONLY
511- 202;2-
Date: 6" 36 :1 f
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not siarted within 180
days of issuance or if work is suspended for 180 days.
,EOCAL;GbVERNMENT 'AP.PROVAL~;.'-,::C;:";
Zoning approval verified? DYes DNa
'GP,.TEGORY/OFCONSTRUCTION)" ;. ,.'
Job site address:
City: Sf>I<-FL-I-:>
Reference:
,'-,,;-
p
Name: 5wc.-l+
07'3 SKY VII:o"W U.J
EIVe= State: ()JL
Phone: aF6 -"1'{s,- Fax: J(..f
E-mail: W~ka..r+ ~ .u {- . ,W
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:
E-mail:
CCB license no.:
Signing supervisor's license no.:
Print name of signing supervisor:
Signature of signing supervisor:
\AlL
CVl.l\
f\&J1O
~.
440-2584-J (9/08/COM)
,'\' '.':~ " ':;}~\~~!{~~,;i0WYi?Ti:~:~1;'?fft;~E~'::~~5PH E_b:.o8E\:::~:~U{~1!ij.<;t&~.}:t~~f~i~~~~Wl%~f,f
,Number"ofjn~pe~tio'~~-per .item' (), , Cost Total
Qly
. . "" .",";'. . ;- ..,,:-~; .'-: -',,' '.",',' ", " . ea. . ~oSL;:
Residential, per unit, service included:
1,000 sq. ft. or less (4) I $134.00 $/5(/
Each additional 500 sq. ft. or portion :1 $ 25.00 $7)
thereof
Limited energy (2) $ 32.00 $
Each manufactured home or modular $ 63.00 $
dwelling service or feeder (2)
Services or feeders: installation, alteration, relocation
200 amps or less (2) $ 81.00 $
2.0 lto 400 amps (2) $ 95.00 $
401 to 600 amps (2) $158.00 $
601 to 1,000 amps (2) $205.00 $
Over 1,000 amps or volts (2) $469.00 $
Reconnect only i2) $ 63.00 $
Temporary services or feeders: installation, alteration, relocation
200 amps or less (2) ( $ 63.00 $ u3
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 of a 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
Each 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: (1) $58.00 $ .
:,~t~l~t{~~~~ffW~F~t~~f;:~~~R,.e,'LIc.~NIJ,;JjS~';~i;,~~i~':~,:!.::~:i1~~;:g~;:~~:i;h,;?/~,. :;:':.'
(A) Enter subtotal of above fees 2'72.--
(Minimum Permit Fee $58.00) $
(B) Enter 12% surcharge (.12 x [A]) $ :3 2 (,'-\
(C) Technology Fee (5% of [A]) $ l'SU?
TOTAL fees and surcharges (A through C): $ 31g"l-j.
2~'willamalane
t-w Park and Recreation District
Job,No,
5/1 -20.22
PARK AND RECREATION SYSTEM DEVELOPMENT CHARGE WORKSHEET
January 1-December 31, 2011
NAME: W/ECI-h:;-iLT
ADDRESS: 30'7)- <>~,{v'It:.--W
CITY: t:--rAC;
PHONE:
STATE:07Z-ZIP: 1'7C;O~
LOCATION OF PROPOSED BUILDING SITE:
Street Address: 'fOLIO K'I c-f/ U;4tvF)
Plat Name: hlJ~7J7 ;V1 OW i
Tax Lot Number:
7f'! \WLD\A \ \~\LP
1. DEVELOPMENT TYPE (Refer to development type definitions on the reverse,)
A. Single-Familv Detached
NO, OF UNITS /
B, Single-Familv Attached
NO, OF UNITS
C. Multi-Familv Apartment
NO, OF UNITS
D. Single Room Occupancy
NO. OF UNITS
E. Accessorv Dwelling Unit
NO. OF UNITS
X $3,409 per unit =
$
:s '(6 c.r
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.)
($ ,2
$ J''ltY7
3. TOTAL PARK AND RECREATION SDC ASSESSED
,~"
City of Springfield
6/ :h I,ll
Date of building permit submittal
,{~
City of Springfield
1 I I I If
Date of building permit issuance
Sr;~N... ~.=~. D
Ii- ~
..;~. ~
, ".~ OREGON
I
TRANSACTION RECEIP.T
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
541-726-3753
811-SPR2011-02022
4040 RICHLAND ST
www.ci.springfield.or.us
perm itcenler@cLspringfield.or.us
,
RECORD NO: 811-SPR2011-0~022
,,<---_~'~0.~'~: '. -' -ACC0UNJIGODE
224-00000-425602
i
224-00000-426605
201-00000-428060
224-00000-426102
,
224-00000-425604
-,.
224-00000-425604
-'~---"-'-----r
Furnace - up to 100,000 BTU 224-00000-425604
--'------ .----..-.--".--."---".-.....,+-".",.-...-.......-,~."~--I
Gas Piping up to 4 outlets 224-00000-425604
.____. ____n___.______.--;
Multiple Permit Discount (Max 2) 201-00000-428060
------ --------.-----.--t--
One or Two Family Dwelling with Two Bath ________..224-00000--42.~603
Planning - Major Review - City 100-00000--425002
Range hood/other kitchen equipment 224-00000-425604
Residence wiring 1,000 sq. ft. or less 224-00000-426102
I
Residential Fire (.05 Per Sq Foot) 100-00000-424005
SDC: Administrative Fee - MWMC Regionai Wastewater SDC 611-00000-4k6604
----,- -- -- I
SDC: Compliance Cost - MWMC Regional Wastewater SDC 444-00000-426607 22.63
. - . ,
__ SDC: IrnPro~":'!:~~.r:':nsport~~~~__.____________~!-00000--4,~027__.__________1 ,862.23
,
__..?DC: !rnE!~~nt Cost - Local Wastewater 443-00000-4f8025 ______________..~520.0~__,___
.SDC: Improvem_,,-n.!,.Cost - M~_C Regional Wastewater SDC 445-000~~4f~(),~5____ _ __ _ .________2:.~33~______
_SDC: Reimbursement - Transportation SDC___ _~-00000-4:~_02.6_ 510.94
SDC: Reimbursement Cost - Local Wastewater 442--00000-4~8024 3,114.43
-~'- . -,
SDC: Reimbursement Cost - MWMC Regio!,al Wastewater SDC 444-00000-4~8024 _101.97
SDC: Total Sewer Administration Fee 719-00000-426604 280.27
SDC: Total Transportation Administration Fee 719-00000-426604 143.52
Sidewalk up though gO Feet 201-00000-428060 97.00
Single-duct exhaust (bathrooms, toilet compartments, utility roar 224-00000-425604 36.00
_._~~"-Ef Or,,-~~__~charge (12% of appli~able fees) 821-00000-2r~__.__ 224.38
Structural Building Permit Fee 224-00000-425602 1,062.84
.-._.,,-..._- ----_._----.. ~*-.--1---~--------.",
__ 2tr.':ctu~Plan Review F-"e Residen.!!."!._____ .___ 224-00000-4t~602~._,_.__________6.90~.__._
Technology fee (5% of permit total) . 100-00000-425605 103.44
._-,-~...._-,._..' --~-----'---~._---_.-t~-'-~-_._~-- -~~'-----_."_.""-"'
Temp s'ervices 200 amps or less 224-00000-426102 63.00
, . '.~-"'-'--'--------'--I-- ~'-,._-~--- --"---
__~~.':malane fees - Single family detached 821-00000115023 ___ 3,40!j.00_.______
TOTAL DUE: 15,730.51
l:iPAyMEJQlEfPE~'1:~"',~Ay6R;~(\cAsiil.R;ccARPENT.R~~~g_QM.lv1gil.I~l-ii~'Af,~~z::.~~~AMO\!fojJfAID.'ift~;\:.'.-,}7,,'
Credit Card BRUCE WIECHERT CUSTOM t 9,500.00
RECEIPT NO: 2011002369
lDEscRIBri()!'i,f?Z' ' ; ~l'\'F;'4...,,\:, v"
Address Assignment, each new or change
Admin fee (10% of applicable fees)
Curb Cut/Driveway 1 st Cut
Each added 500 sq. ft. or portion
First Appliance Fee
Flue v~nt for water heater or ga~~ireplace
DATE: 09/01/2011
',;,t " ;Z,6..I\IIOUNTJDUE#:'
38.00
11.22
97.00
75.00
79.00
9.00
17.00
7.00
-33.00
374.00
211.00
13.00
134.00
112.15
10.00
02533D
Check
20844
BRUCE WIECHERT CUSTOM t
6,230.51
TOTAL PAID:
15,730.51
.,1',:'1
"w:j
o cc
t O OlC) 2 S- C�
(� G L CL U
f (.1) O d
d �� a- z C7
O 0
a> a
CSi.
c r
C. rs)
® D
Q)
LU
-C z-
0 0��
"-z Cp
•• 6•
00.00•
••
• •
6.906•
•
0000••
4J ��
W,
l�
v
•
0000
0.006•
ozd
� cn
0000••
Q
W
••0•r
\\ GO••••
L a Cc:,)
ci EE
r
Q G
0.000•
U3 ::D
C3 Q
�vfl
ai LC
w rxy
SCLC:)
fn i---�
Joe:
..
\O f J
•
1
•
•• 6•
00.00•
••
• •
6.906•
•
0000••
4J ��
W,
l�
v
U
O
O
En CL) Lo
U CZ
au �
U
v
cn ao 0
U cM � T c1
� r- to
�. O z d" V
W m W to U
IL'l
yar�":?
�_uJpm
as
wJQQ
{:ww^i
�
wh'an@
mo
E - Q
T4 6-w
N is
U) ? ? e O
oaNu
w 1
In
C) CL
ozd
� cn
Lu u-
W
L a Cc:,)
ci EE
r
Q G
U3 ::D
C3 Q
�vfl
ai LC
w rxy
SCLC:)
fn i---�
U
O
O
En CL) Lo
U CZ
au �
U
v
cn ao 0
U cM � T c1
� r- to
�. O z d" V
W m W to U
IL'l
yar�":?
�_uJpm
as
wJQQ
{:ww^i
�
wh'an@
mo
E - Q
T4 6-w
N is
U) ? ? e O
oaNu
w 1
In
C) CL