HomeMy WebLinkAboutPermit Building 2011-8-23
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5 .PR..I~G_F.IE~
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~ :".........\ OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-01739
IVR Number: 811135305198
www.ci.springfield.or.us
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
08/23/2011
ISSUED:
APPLIED:
08/23/2011
07/13/2011
EXPIRES:
VALUE:
02/18/2012
$152,443.08
SITE ADDRESS: 550 48TH ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1802051103600
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
New single family residence -Lot 5 Westwinds
Phone Number:
OWNER:
ADDRESS:
HAYDEN HOMES LLC
2464 SW GLACIER PL STE 110
REDMOND OR 97756
Contractor Type
Electrical Contractor
General Contractor
Plumbing Contractor
Mechanical Contractor
CONTRACTOR INFORMATION
Lie Type
GGB
GCB
GCB
GCB
Contractor Name
GARNER ELECTRIC CO
HAYDEN HOMES LLC
GO PLUMBING & HEATING LLC
PACIFIC AIR COMFORT INC
~
Lie No Lie Exp Phone
121159 03/14/2012 503-648-4552
172526 10/11/2012 541-923-6607
193589 04/01/2013 503-507-5350
39237 03/25/2012 541.672.9510
I
BUILDING INFORMATION
# of Units:
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
1
18.58 "
Forced Air Gas .
Construction Type
Occupancy
Comments
Occupancy Type
Occupancy
Comments
Occupancy Type
Construction Type
Type VB
1408 s.t
Gas
Electric
R-3
427 s.t.
U
Type VB
lot Size:
Sq Ft 1 st Floor: 1835
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other: 0
Occupancy load:
Electrical Specialty Code Edition:
Springfield Fire Code Edition: r -. 'T'''N: Oregon law requires you.to
Mechanical Specialty Code Edition:p,"1 ,,:.:;s adopted by thetoregon ~~~~h
.t' fan Center Those ru es are s
Municipal I Development Code:NotllCa I 00'10 through OAR 952-001-
in OAR 952-001-
Plumbing Specialty Code EditiOBb90. You may obtain copies of the rules by
Residential Specialty Code Editio'Calling 1I?90JlJnter. (Note: the telePho;.e
Structural Specialty Code Editionilumber for the Oregon Utlltty NO)tlflca 10~,
Center is 1-800-332-2344 .
# of Bedrooms: 3
Sprinkled Building: No
Fire Alanns:
Energy Path: Path 2B All ducts
and air handler
within building
thermal envelope
Site Infonnation
~
NOTICE: E IFTHE WORK
THIS PERMIT SHNfAD~~ ~~~ PERMIT IS NOT
fAUTHORIZED U NED FnR
COMMENCED OR IS fABfANDO P'age 1 of6
fANY 180 DfAY PERIOD.
Engineered Fill:
Fill Volume:
Flood Hazard Area:
land Hazard Area:
Retaining Wall:
Soils Report Required:
Springfield Building Permit
8/23/2011 11:05:18AM
.,1....
sp. RI.N. G..FIEL~.D .
-
.L~
0:',' OREGON
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-01739
IVR Number: 811135305198
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci,sprjngfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
08/23/2011
ISSUED:
APPLIED:
08/23/2011
07/13/2011
EXPIRES:
VALUE:
02/18/2012
$152,443,08
SITE ADDRESS: 550 48TH ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1802051103600
PROJECT DESCRIPTION:
Frontyard Setback: 14
Interior Setback: 5
Sideyard Setback: 5
Rearyard Setback: 19
Solar Setback:
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
New single family residence -Lot 5 Westwinds
DEVELOPMENT INFORMATION ~
Overlay Dist:
# Street Trees Reqd:
Paved Orive Reqd:
% of Lot Coverage:
Highest point on structure
to north property line:
Yes
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Descriotion
R-3 1 & 2 family
U Utility, misc.
Springfield Building Permit
PUBLIC IMPROVEMENTS
~
Valuation Description.
Tvpe of Construction
VB
VB
Unit Amount Unit TVDe
1,408.00 Sq Ft
427.00 Sq Ft
8/23/2011 11:05:18AM
Sidewalk Type:
Downspout/Drains:
~
Unit Cost
96.83
37.72
Value
136,336.64
16,106.44
152,443.08
Page2of6
SPRIH. GFIE~~
~--.
-::'" i/J1J
'. \. OREGON
225 Fifth SI
Springfield.OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-01739
IVR Number: 811135305198
www.cLspringfield.or.us
permitcenter@ci.springfieJd.or.us
PROJECT STATUS:
STATUS DATE:
Issued
08/23/2011
ISSUED:
APPLIED:
08/23/2011
07/13/2011
EXPIRES:
VALUE:
02/18/2012
$152,443.08
SITE ADDRESS: 550 48TH ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1802051103600
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
New single family residence .lot 5 Westwinds
PROJECT DESCRIPTION:
DescriDtion
Structural Plan Review Fee Residential
SDC: Improvement Cost - Storm Drainage
sac: Reimbursement - Transportation sac
SDC: Improvement - Transportation SDC
SDC: Reimbursement Cost - Local Wastewater
SDC: Improvement Cost - Local Wastewater
SDC: Reimbursement Cost - MWMC .Re~ional WastewatE
~DC: Improvement Cost - MWMC Regional Wastewater ~
~9S::_~0~pliance Cost - MWMC Regional Wastewater SI
::;OC: Administrative Fee - MWMC Regional Wastewater:
SOC: Total Sewer Administration Fee
SDC: Total Transportation Administration Fee
Structural Building Permit Fee
Residential Fire (.05 Per Sq Foot)
Admin fee (10% of applicable fees)
Structural Plan Review Fee Residential
Willamalane fees - Single family detached
Address Assignment, each new or change
One. or Two Family Dwelling with Two Bath
~~~g.7 hood/other kitchen equipment
8:in_gle-~u~exhau_s~.(bath~o?!!ls, toil~t ::o!!1pa~~_e~~~ util~. _
.Firs~ Appliance Fee
Residence wiring 1,000 sq. ft. or less
Each added 500 sq. ft. or portion
Flue vent for water heater or gas fireplace
Gas Piping up to 4 outlets
Technology fee (5% of permit total)
State of Oregon Surcharge (12% of applicable fees)
SDC: Reimbursement Cost. Storm Drainage
SDC: Improvement Cost - Storm Drainage
SDC: Total Sewer Administration Fee
SOC: Reimbursement Cost - Storm Drainage
M.':ltipl~~'-'-"itE!s~~n~<.r.1ax_2!. ______.
Curb Cut/Driveway 1 st Cut
Sidew;ik~Pth~ugh 90-Feet-----.
Planning - Major Review - City
FEES PAID
I
Amount Paid Date Paid
$598.25 07/13/2011
$834.73 08/23/2011
$510.94 08/23/2011
$1,852.23 08/23/2011
$3.249.84 08/23/2011
$1.586.16 08/23/2011
$101.97 08/23/2011
$1,333.57 08/23/2011
$22.63 08/23/2011
$10.00 08/23/2011
$365.42 08/23/2011
$138.87 08/23/2011
$924.46 08/23/2011
$91.75 08/23/2011
$9.18 08/23/2011
$2.65 08/23/2011
$3,409.00 08/23/2011
$38.00 08/23/2011
$374.00 08/23/2011
----
$13.00 08/23/2011
$45.00 08/23/2011
- .4._- __ ____"_ .
$79.00 08/23/2011
$134.00 08/23/2011
$50.00 08/23/2011
$9.00 08/23/2011
$28.00 08/23/2011
$92.77 08/23/2011
$198.78 08/23/2011
$23.75 08/23/2011
$34.55 08/23/2011
$2.92 08/23/2011
$573.80 08/23/2011
$-33.00 08/23/2011
""_ ._..__ __ __._."' _0 ~____'_'__'_'____ ._
$97.00 08/23/2011
._------.
$97.00 08/23/2011
$211.00 08/23/2011
$17,120.22
Total Amount Paid
Springfield Building Permit
8/23/2011 11:05:18AM
ReciDt #
2011002011
2011002294
2011002294
2011002294
2011002294
2011002294
2011002294
2011002294
2011002294
2011002294
2011002294
2011002294
2011002294
2011002294
2011002294
2011002294
2011002294
2011002294
2011002294
2011002294
2011002294
0..____,_. ____
2011002294
2011002294
2011002294
2011002294
2011002294
2011002294
2011002294
2011002294
2011002294
2011002294
2011002294
2011002294
----------
2011002294
---
2011002294
2011002294
Page 3 of6
SPRINGFIE.L~
~~._.
- L~
_'J. OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-01739
IVR Number: 811135305198
www.ci.springfield.or.us
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
08/23/2011
ISSUED:
APPLIED:
08/23/2011
07/13/2011
EXPIRES:
VALUE:
02/18/2012
$152,443.08
SITE ADDRESS: 550 48TH ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1802051103600
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
New single family residence -Lot 5 Westwinds
Plan Review
~
Deoartment
Application Acceptance
Received Due Date ComDleted Result
07/13/2011 07/13/2011 07/18/2011 Application Accepted
Reviewer
David Bowlsby
A 07/18/2011i, 07/18/20f1 . 07/18/2011
Approved '
- _.. '.t.
- --::DaV,id Bowisby.---
-~
Public Works Review. -'07/18/?~.11 07/18/2011' 07/19/20t1 Approved 'Kaye '(l(!lson
Comments: -re4eived on-7-19~20111 Storm'wat~r to ta-p,provided/, Pati~_,10X 10.aP8[oved 'on'8~16_:201'1,'
Planning Review 07118/2011 07/18/2011 07120/2011 Approved Tara Jones
Comments: *3' walkway is required.
*Front elevations 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.
.Survey required based on minimum side setbacks. Letter attached in Documents.
lStructural Review :--. 07/18/2011' 07/18/2011 07/25/2011 Ad~'J ~nfo'Required",
L~:.~~~nts:.." ~rovide Geo. 'Technical E;Qgi~:..::: Soils Report an~~raphic EJevatio~s forthe.'Site.
Structural Review 07/18/2011 07/18/2011 07/26/2011 Approved Kip Kaufman
Comments: Revisions to site plan including 1 0'x1 O' deck on rear of house. Approved by Public Works with fees added, and approved
_ by Planning with n~~~~o!.plan. Approved by Buildin~ 8/18/11.
Miscellaneous Coml)1ent e" 08/18/201,1 08/19/201)..,08/18/201,1 Co"mpl~ted
.'Com~"~nts: Ericri1ad~5h~ng~s't6's!_te,plan,"My_~e'{iev./iS'CoI1)Pl_efe. ~- -f/
Permillssuance 07/26/2011 07/26/2011 08/23/2011 Issued
,'-<>;'''':...
Planning Review 07/18/2011 07/18/2011 07/18/2011
Comments: Gave 10 PWE for review first.
Waiting internal
Springfield Building Permit
8/23/2011 11:05:18AM
Tara Jones
Kip Kaufman
,~
"'--"
Tara 'Jq~es
I
./ _-d
""'1:
Chris Carpenter
Page 4 of6
5P~:\N~l~
IiC;(~
'":" .,\. OREGO~
www.ci.springfiefd.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-01739
IVR Number: 811135305198
225 Fifth 51
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
08/23/2011
ISSUED:
APPLIED:
08/23/2011
07/13/2011
EXPIRES:
VALUE:
02/18/2012
$152,443.08
SITE ADDRESS: 550 48TH ST, Springfield, OR 97477
AssEsOR.s PARCEL NO: 1802051103600
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
New single family residence .Lot 5 Westwinds
INSPECTIONS REQUIRED ~
Inspections
1110 Fooling
1118 Footing Drain
1120 Foundation
Footing: After trenches are excavated.
1150 Slab/Flalwork
Foundation: After forms are erected but prior to concrete placement.
Slab: To be made after all ins lab building service equipment, conduit piping and
other equipment items are in place but prior to concrete.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in
conjunction with footing and/or foundation inspection.
1160 UFER Ground
1220 Underfloor framing
1260 Framing
Framing Inspection: Prior to cover and after all rough in inspections have been
approved.
1370 Masonry Veneer
1410 Underiloor insulation
1420 Insulation Vapor Barrier
1430 Insulalion Wall
Wall Insulation: Prior to cover.
1440 Insulation Ceiling
1450 Insulation Duct
Ceiling Insulation: Prior to cover.
1520 Interior Shearwall
Shear Wall Nailing: Before covering sheathing with finish materials.
1530 Exterior Shearwall
1999 Final Building
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.
2200 Underfloor Mechanical
2210 Underfloor Gas
2260 Gas Service
2300 Rough Mechanical
2310 Rough Gas
2995 Final Gas
2999 Final Mechanical
3130 Footing/Foundation Drains
Springfield Building Permit
8f23/2011 11:05:18AM
Page 5 af6
SP~IIN;:~
.~~~
i:""\' OREGON
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-01739
IVR Number: 811135305198
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permilcenler@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
08/23/2011
ISSUED:
APPLIED:
08/23/2011
07/13/2011
EXPIRES:
VALUE:
02/18/2012
$152,443.08
SITE ADDRESS: 550 48TH ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1802051103600
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
New single family residence -Lot 5 Westwinds
3170 Underfloor Plumbing
3200 Sanitary Sewer
3315 Water Line
3400 Storm Sewer
3500 Rough Plumbing
3999 Final Plumbing
4120 UFER Ground
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.
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 1 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. 1 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~ 4(-
'ff- ZZ-/j
Owner or Contractor Signature
Date
Springfield Building Permit
8/23/2011 11:05:18AM
Page 6 af6
.. Electric~l Permit Application
I t
_ SPRINGFIELD
DEPARTMENT USE ONLY
~~~ pem,ilno?~ L - J?3
225 Fifth Streett Springfield, OR 97477. PH{S41 )726-3153. FA.X(S.:I IF?
Date:
This permit is issued under OAR 918-309~OOOO. Permits are nontr3nsfernble. Permits expire if work is not started within 180
days of issuance or if WOrli is suspended for 180 days. .-
~Ytx\~
f6~\Y
FEE SCHEDULE .'....::.";..::...: ;....>.. -
-
Number of inspcc.tilms per item {} Qty. Cost Total
ea. _ cost -
Residential, per unit, sen'1cc included: ...... CfJ
1,000 sq. fie or less (4) _. \- -$134.00 ~$Fa:- 1\-.'
Each additional 500 sq. ft. or portion ~ $ 25.00 6tJ ~
thereof
Limited energy (2) v $ 32.00 $
Each manufactured home or modular $ 63.00 $
dwelling sen'icc or feeder (2)
Sen';ccs or fceders: instaJJoJioJ1, alJeratiDn relocation
200 amps or less (2) $ 61.00 $
20110400 amps (2) $ 95.00 $
401 to 600 amps (2) $158.00 $
60110 1.000 amps (2)~ $205.00 $
Over 1,000 amps or volts (2) . .
$469.00 $
Reconnect only (2) $ 63.00 $
Tempornry services or feeders: instaJ/alion, alteratioll, relocation
200 amps or less (2) 1/ $ 63.00 $
201 to 400 amps (2) $ 87.00 $
40110600 amps (2) $126.00 $
". Over 600 nrops or 1,000 vallS, see services or feeders section above
Brnnch circuits: nell', alteration. extension per panel
a. Fee for branch circuits with purchase orn sc"rvice or feeder fee:
Each brnnch circuit $ 6.00 $
b. Fee for branch circuits without purchase of D.. service or feeder fee:
First branch circuit (2) $ 55.00 $
Each additional brnnch circuit $ 6.00 $
Miscellaneous fees: service or feeder nDt included
Eneh pump or irrigation circle (2) $ 63.00 $
EDch sign or outline lighting (2) $ 63.00 $
Signo.l circuit or n limilcd-encrgy pone!, $ 63.00 $
lllteration, or extension (2)
Each additional inspection: (I) $56.00 $
,,:':,:,;', ,,:',,:. APPLICANT USE',' ......
(A) Eme'r subtot.al of above fees $ \64:.C
(Minimum PermU Fee $58.00)
(B) Enter 12% surcharge (.12 x [All $'1.' IJ ,( 'J
(C) Technology Fee (5% of [A]) $0 :1.-. )
TOTAL fees and surcharges (A through C): ~It:; '}
<.../' . .
=
Print name of signing supervisor:
Signature of signing supervisor
'.1O-25S'.) (9/0S/COM)
Structural Permit Application
DEP ARTMENT USE ONLY
Permit no
Sf f,O /73
225 Fifth Street.. Spflngfleld, OR 97477. PH(541)726-3753.. Fl\X(54 1)726-3689
Date:
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within] 80 days of issuance or if work is
suspended for 180 days.
.'~0~A'9'Q;;E'~'!'lrv1~Nt.,"'p.PRg>V At....
This project has final land-use approval.
Signature:
This projeCt has DEQ approval..
Signature:
Zoning approval verified:
Property is within flood plain: DYes 0
~~~~~i~H:g{}~'~,(G'AT.~J~QRX;lQ_Eil~.G~~N'~;l!tr~,GJf;(~-N11~;i:.,:
esidential 0 Government 0 Commercial
'1,')i!+:;;;iii9~lislirEiiN~9~MAtlQNJiANR.,;tQGMi9N'
Job site address: 5Sb ~. 'tS't' "::...
City: S."c...INC l="tZl..ll \L
Subdivision:~CS~L'~I"-> ~<;.
}{oz. OS D :SbD 0
, ' p,ROPERTY OWNER' .
Name: ~O,~...J 14i:",....<:!"':>
Address: "Z. 'l&1{ <; c":' (.., l.. 'k ",<- PL II 0
City: ;2-1::>i"'-O'-..l;':' State: 0 ZIP: Cfr7<>L:.
Phone: '5"41-5:-,u., .5~lD Fax:'ni. "Oi.(' CI"1?,G
E-mail: GIt-G..:....,I:\(L\<:..i:..s. .(J l ft.two""" '. t-k".<..(:=;,. (0 \.
This installation is being made on residential or farm property owned by
me or a member afmy immediate family, and is exempt from licensing
requirements, under ~s 701.010.
Sign here: [. 'l"" ( .
Date:
:;'iFEEs<:;HE!6uIE'f'
Date:
''i<cv~'i~ ~~.i~!FYp.to'r:~-~.~lp:~~i}iYf2~~fiiF'!:ii;;r:;-l3/ :,s~tf:;';; ;'" ,. .
(a) lob description: S~.D
Occupancy \2. L,-" ~
Construction type: 5 ~
'>,,;-
Square feet:
Cost per square foot: ii ;:;
Other information:
Type' of Heat: (7
Energy Path: 'Z l3.
o alteration
(b) Foundation-only permit?
\
,
,,_. \~ ,",
"
Reference:
1;' '.
-~\...._:;i
'r:.,,'
. .'
"
.\. .'
~ " ,
"
, ;..
o addition
DYes
f
(a) Permit fee (use valuatic;m table):
(b) Investigative fee (equal to [2a]):
(c) Reinspection ($ per hour):
(number of hours x fee per hour)
(d) Enter 12% surcharge (.12 x [2a+2b+2c]):
(e) Subtotal of fees above (2a through 2d):
$
$
$
$
~ONTRAClf()RA~$~ALI;.A"I()N'. ..
Business name: t\"'.{C\C'r-..) Ho\'V'-.t...~
Address:
(a) Plan review (65%x permit fee [2a]):
(b) Fire and life safety (40% x permit fee [2a]):
(cj Subtotal of fees above (3. and 3b):
City:
Phone:
State:
Fax:
ZIP:
E-mail:
CCBlicenseno.: 1'f252
Print name: Ef'_l,. f.:-.. ""("€'J\,Jb Q... \.L~.
Signature: ~
(a) Seismic fee, 1% (.01 x permit fee [2a1): $
TOTAL fees and surcharges (2e+3c+4a): $
~
tf;;',V\~'ct!;!i")jS:O:B-C;0NmR~(;;T;()R:INtQRM",tIQN~ri;{:H,~:;.;i1.~;~; "
Name CCB License NU,mber I Phone Number
Electrical i 2i l 0'i I &, oV"-,,> 2<'_
Plumbing I 9 '3 ~ h 0 Pt-Cl..Mf" 4,.,
Mechanical :J ..., l :n- I ~%..- A....<;>
2~willamalane
tlJ Park and Recreation District
Job. No. 8i!-~I/-n3i
PARK AND RECREATION SYSTEM DEVELOPMENT CHARGE WORKSHEET
January 1-December 31, 2011
NAME:-.l:btl'PiN ~~
ADDRESS: M6""fSLJ &-tM::1:112- PL CITY: ~.MONP
PHONE: S"fL - 5 $6- S?5-c
STATE:/.?/__ ZIP: '11-"15-6
-...------- ----- ----- ---_.~--- - .~~~ -----~- -~-- ------ ---- ---- -._---_.~ --- - - .._--.-----
LOCATION OF PROPOSED BUILDING SITE:
Street Address:~S"8 S. ~7!t ST~
Plat Name:\0Q-,*\J.JJJ / Tax Lot Number: J-Se- 2- &-5""jj -e3b&8
1. DEVELOPMENT TYPE (Refer to development type definitions on the reverse.)
A. Single-Family Detached
NO. OF UNITS j..
B. Single-Family 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 $3,409 per unit =
$
31'&1
/
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, f"81
"
3. TOTAL PARK AND RECREATION SDC ASSESSED
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City o(Sprin ield
~C---
City of Springfield
::; / [3/ j.J
Date of building permit submittal
~ ;2'.(3'/ U
Date of building permit issuance
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W'
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;.+".. OREGON
www.cLspringfield.or.us
TRANSACTION RECEIPT
811-SPR2011-01739
550 48TH ST
CITY OF SPRINGFIELD
225 Fifth 51
Springfield,OR 97477
541-726~3753
permitcenter@ci.springfield.or.us
RECEIPT NO: 2011002294 RECORD NO: 811-SPR2011-01739 DATE: 08/23/2011
fDESCRjj~:tfiDN'",y~:"::,+, . ,'.:',', "+",,'i't:..'l:.>iA\i," "ACC0:UN'CC06E:~;;.::+0'. ~MOUN:t;6.UE~<': . ~
Address Assignment, each new or change 224-00000-425602 38.00
_~dmin fee (10% of applicable fees) 224-00000-426605 9.18
Curb CuUDrivewar.1st Cut 201-00000.428060 97.00
_____~ach added 500 sq. ft. or portion "___ __ __ 224:00000-426102 50.00
__Firs!._Al'plianceFee__...___... _... _.._32~~02~25604__ '_'___ 79.00
Flue vent for water..~eater or gas fireplace ~___. _ 224~OOOOO-4256_q~______"" __~_~~_ 9.0q~_~___
Gas Piping up to 4 outlets .__.....3.~4.-00000-4~5604 _____... 28.00
Multiple Permit Discount (Max 2) 201-00000-428060 -33.00
One or Two Family Dwelling with Two Bath 224-00000-425603 374.00
Planning - Major Review - City 100-00000-425002 211.00
Range hood/other kitchen equipment 224-00000-425604 13.00
Residence wiring 1,000 sq. ft. o~ss 224-00000-426102 134.00
Residential F'.~':1()5 Per Sq Foot) .___---2 00-000~0-424005 91.75
__...E~C AiJ_m~ni~~".!i:::' Fee - MWMC Regional Wa~"",~~D~_ 611-00000-426604 10.00
._.__S~ ~C:rnE.lia_n..:..,: Cost.:..II:!'!YMC Re~-"~'!Y~.st:"'ate~~__.~~0~26607 22.63
~D..s: Improvement. Tran~~r:!~tion SDC .._.3.47-00000:.4~Q.27. ..___. 1,862.23
_~:.~fl1provement Cost -._':~cal Wastewater .4.43.00000-44~025 .. .__ .____.. 1,586.16
_~C: Improvement Cost.. MWMC Regional Wastewater SDC 445-00000-448025 1,333.57
SDC: Improvement Cost. Storm Drainage 440.00000.448028 869.28
SDC: Reimbursement - Transportation ~I)C 446-00000-448026 510.94
SDC: Reimbursement Cost - Local Wastewater 442.00000-448024 ~_'_'_ 3,249.84
.__~DC: Reimbursement C~st . MWMC Regional Wastewater SDC 444-00000-448024 101.97
SDC: Reimbursement Cost - Storm Drainage 441-00000-448029 597.55
SDC: Total Sewer Administration Fee 719.00000.426604 368.34
-----^--
SDC: Total Transportation Administra.tion Fee 719-00000-426604 138.87
Sidewalk.,:!,.~~?~h 90.!:eet 201-00000-42806l!.._._______ 97.00
_.~~~9Ie.duct exhau!!J.I::'.t~rooms, toilet compartmen.ts, utility roor 22~.00000.4256.~.. ___.__ _.._~__._
__~e ,2f Ore90n Surcl).arge (12% of applicable fees) 821-0g~-21.~g.~____. __ 198 78 ...___.
Structural Buildin9 Permit Fee 224.00000.425602 924.46
Structural Plan Review Fee Residential 224-00000-425602 2.65
Technology feeJ5% of permit total) 100-00000-425605 92.77
Willamalane fees. Sin91e family detached 821-00000-215023 3,409.00
TOTAL DUE: 16,521.97
L~~XM!;"~,nT.YRI;~~~Y.QR~cAsH(ER:ccARPE~NT-~~~::;C~9~,MI;Ni~:4:'.:<i~t>0;;,~"':;::~~, ..,... ,?~. ~'.,~IYIQU~n:~~A_IP~';(;~l:;,;c"; 1
Check HAYDEN HOMES LLe ... 16,521.97
001394
TOTAL PAID:
16,521.97
SP~:.~. ~:EL~
.%~~
~':2.. OREGON
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth 5t
Springfield,OR 97477
541-726-3753
www.ci.springfield.or.us
811-SPR2011-01739
550 48TH ST
permitcenter@cj,springfield.or.us
RECEIPT NO: 2011002011
RECORD NO: 811-SPR2011.01739
DATE: 07/13/2011
i[)ESCRIP-iIONi'i'~-" .Lffmi'10G':;i.<>;< ;'+:;:-;%;,: ~;'li"iT"i5'~ri"'::i!::Zf...,t(ccb(jN;r~CboE~'~.;. ;";1': 'AII;10UNJ:[)UE: :;.~~
Structural Plan Review Fee Residential 224-00000-425602 598.25
TOTAL DUE: 598.25
LJ.PAYMENTTVPE ';.';RAYOR ~ :,~"iC_As~JER:-DBOWL~~~l::';;~QMM~l;jJJ>:~ i:'-_2;:~~.QYEr.J:!\ID'~i-";"';':! -'.;:1
Credit Card HAYDEN HOMES LLC $598.25
069472
TOTAL PAID:
$598.25
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SSS
PI -AV RD AL
Ar -'p M7r_vNA-L- rJ F0 -
j STREET TREES ARE
QUIRED. Please refer to
attached Development Code
N Section regarding the Placement
and types of allowable trees.
SCALE: 1" = 20'
HAYDEN HOMES
2464 SW GLACIER PLACE, SUITE 110
REDMOND, OR 97756
(541) 923-6607
NQNIIVIUM SETBACKS - INTERIOR LOTS
All measurements are from Property 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 5
ADDRESS: 550 S 48th STREET
WESTWINDS SUBDIVISION
SPRINGFIELD, OREGON
EF levations are site specific and
contain re wired design
elements. Inspectors will field
check that actual elevations
match submitted designs as
shown on the approved set of
plans.
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SPRINGFIELD CLUSTER
DEVELOPMENT REQUIREMENTS:
- 6/2 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
"`„��s';ER
ATTENTION: Oregon law requires you to
rFr , f 3.� 1. follow reales adopted by the Oregon Utility
Aoe <L.I i -D I Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
R��y�w1✓ �kT _P'L 0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
PI�Ar�S FoQ number for the Oregon Utility Notification
P(ZpJP;7�
_ - Center is 1-800-332-2344).
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DATE RECEIVED % /" JOB
ZONE L OCCUPANCY GROUP p - CA
UNMS] , OCCUPANCY LOAD )t
STOP.IES fTYYPE COTaSTRUCTION VE
LEGAL DESCRIPTIOND v ��{1
ADDRESS s:1; -r-) S.
S
OWNER l
THE CONTENTS HERE ON HAVE BEEN REVIEWED, WITH
ALTERATIONS INDICATED ON COLORED PENCIL. CHANGES
OR ALTERATIONS MADE TO THE APPROVED DRA`NINGS OR
PROJECT AFTER THE DATE BELOW SHALL BE APPROVED BY
THE BUILDING OFFICIAL.
tr.Ul� Crry OF SPRINGFIELD, OFZEGON
APPROVED BY 17ATE
REVIEWED FOR
CODE COMPLIANCE
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- 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
"`„��s';ER
ATTENTION: Oregon law requires you to
rFr , f 3.� 1. follow reales adopted by the Oregon Utility
Aoe <L.I i -D I Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
R��y�w1✓ �kT _P'L 0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
PI�Ar�S FoQ number for the Oregon Utility Notification
P(ZpJP;7�
_ - Center is 1-800-332-2344).
�N✓ b Pk
DATE RECEIVED % /" JOB
ZONE L OCCUPANCY GROUP p - CA
UNMS] , OCCUPANCY LOAD )t
STOP.IES fTYYPE COTaSTRUCTION VE
LEGAL DESCRIPTIOND v ��{1
ADDRESS s:1; -r-) S.
S
OWNER l
THE CONTENTS HERE ON HAVE BEEN REVIEWED, WITH
ALTERATIONS INDICATED ON COLORED PENCIL. CHANGES
OR ALTERATIONS MADE TO THE APPROVED DRA`NINGS OR
PROJECT AFTER THE DATE BELOW SHALL BE APPROVED BY
THE BUILDING OFFICIAL.
tr.Ul� Crry OF SPRINGFIELD, OFZEGON
APPROVED BY 17ATE
REVIEWED FOR
CODE COMPLIANCE
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