HomeMy WebLinkAboutPermit Building 2011-8-4
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~~
~.OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-01779
IVR Number: 811118077483
www.ci.springfield.or.us
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
08f04f2011
ISSUED:
APPLIED:
08/04/2011
07f19f2011
EXPIRES:
VALUE:
01/30/2012
$240,000.00
SITE ADDRESS: 817 S 31ST Pl, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1802062110700
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
New Single Family Dwelling lot 15 Nittany Meadows
PROJECT DESCRIPTION:
Phone Number:
OWNER:
ADDRESS:
KAST CONSTRUCTION INC
2860 MARTINIQUE AVE
EUGENE OR 97408
FISHER W ROBERT & LINDA J M
4692 HOllY ST
SPRINGFIELD OR 97478
OWNER:
ADDRESS:
Phone Number:
Contractor Type
General Contractor
Plumbing Contractor'
Mechanical Contractor
Electrical Contractor
Contractor Name
OWNER
OWNER
OWNER
OWNER
CONTRACTOR INFORMATION I
Lie Type
OWNER
OWNER
OWNER
OWNER
BUilDING INFORMA TION ~
Lie No
0000000
0000000
0000000
0000000
Lic Exp Phone
08/12/2025 541-726-8980
08f12f2025 541-726-8960
08f12/2025 541-726-8980
08/12/2025 541-726~a980
# of Units: # of Stories: 2 Lot Size:
Height of Structure: 27.5 Sq Ft 1 st Floor: 1120
Construction Type Type VB Type of Heat: Forced Air Gas Sq Fl2nd Floor: 891
Occupancy 2011 sJ.
Comments Water Type: Gas Sq Ft Basement:
Occupancy Type R-3 Range Type: Gas Sq Ft Garage: 572
Occupancy 668 sJ. Hazmat: Sq Ft Carport:
Comments Sq Ft other: 96
Occupancy Type U
Construction Type Type VB Occupancy Load:
Electrical Specialty Code Edition:
Springfield Fire Code Edition:
Mechanical Specialty Code Edition:
Municipal! Development Code:
Plumbing Specialty Code Edition: renu'lres 'IOU to
on laW "1 Utility
Residential Specialty Code Edition: :nE\'.i2PPJlo\ ore{pc\ by tDe Oreg~nset lortD
Structural Specialty Code Edition: AllOW rille!; ac\o~. "'PiOS,9 lu\es a~ 9"2-001-
\0. . _ (,oO\t.'. , '" Op,,, 0 bY
"0\H\cat\0d e;, Oil~' 'j th\O\,lJ" . t.....e r\J\es
l\l c/l 00 \ ~. " OI d \ '
. OAr\ 9,,,, - '"I ~\':i cO"\' 0 ~\en~ on9
100090. 'loll ,n'W ~\ _:, (hl'l")" ~\:'. :'>C\h\~ul\On
t':1P "'8\1>- \1 , '}1'
ca\\lr,g \',J Ii:' (119\ :"; '_'2..344).
mb8r or . 1 _b,,,O-J,j~
nU ceotb\ \S
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
3
No
Energy Path:!VO,. Path 1A Gas-fired
r. II C (furnace with mln
/-fIS p[ ~FUE of 90%
/lUI/-f RMII
COM ORI1[D S/-f-1LL E.
-1Ny 7~gNC[D %%D[R I;:;R[ IF l/-f[
D/ly P[R/~ -18-1ND~~~MII IS~~R/(
. ~D FOR I
8/4/2011 10:17:06AM
Springfield Building Permit
Page 1 of4
S.PR .ING. FIEL ~
.~
-~ . .!M.
~.ic:....~
. <,~ OREGON
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-01779
IVR Number: 811118077483
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
08/04/2011
ISSUED:
APPLIED:
01/30/2012
$240,000.00
08/04/2011
07/19/2011
EXPIRES:
VALUE:
SITE ADDRESS: 817 5 31ST Pl, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1802062110700
PROJECT DESCRIPTION:
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
New Single Family Dwelling lot 15 Nittany Meadows
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
Site Information
~
\:
Frontyard Setback: 16
Interior Setback: 7.9
Sideyard Setback: 5
Rearyard Setback: 23
Solar Setback: 25
DEVELOPMENT INFORMATION I
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of lot Coverage:
Highest point on structure
to north property line:
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Yes
28
24
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Descriotion
Bid
Springfield Building Permit
PUBLIC IMPROVEMENTS
~
Sidewalk Type:
Downspout/Drains:
~
Valuation Description
Tvoe of Construction
NA
Unit Amount Unit Tvpe
240,000.00 Bid
Unit Cost
1.00
Value
240,000.00
240,000.00
B/4f2011 10:17:06AM
Page 2 of4
www.cLspringfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-01779
IVR Number: 811118077483
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
08/04/2011
ISSUED:
APPLIED:
08/04/2011
07/19/2011
EXPIRES:
VALUE:
01/30/2012
$240,000.00
SITE ADDRESS: 817 S 31ST Pl, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1802062110700
PROJECT DESCRIPTION:
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
New Single Family Dwelling lot 15 Nittany Meadows
FEES PAID
~
Descriotion
Structural Plan Review Fee Residential
_.._.._.6_._____._______
SOC: Total Sewer Administration Fee
- ._~ ...--- -
~: Improvement Cost - Local Wastewater
SOC: Reimbursement Cost - MWMC Regional Wastewate
SOC: Improvemen! Cost - MWMC Regional Wastewater ~
SOC: Compliance Cost - MWMC Regional Wastewater SI
SOC: Administrative Fee - MWMC Regional Wastewater:
~OC: Total Transportation Administration Fee
SOC: Reimbursement Cost. Local Wastewater
--------.
~ulti~le Permit Ois~ount (Max 2)
Curb Cut/Driveway 1 st Cut
Sidewalk up though 90 Fe~
Each added 500 sq. ft. or portion
Planninil, - Major Review - City
Residential Fire (.05 Per Sq Foot)
Address Assignment, each new or change
Willamalane fees - Single family detached
One or Two Family Dwelling with Three Bath
Furnace ~ up to 100,000 BTU
Structural Building Permit F~~_.__.,_,
~~~~ewduc!..:xhaust (bathro~ms, toilet cO,mpartments, uti!~..___
Gas Piping up to 4 outlets
First Appllance Fee __,_.__
Flue vent for water heater <:r gas fireplace
Residenc~ wiring 1,000 s9. ft. or less
Admin fee (10% of applicable fees)
Technology fee (5% of permit total)
Stat~-of Oregon- Surcharge (12% of applicable fees)
SDC: Improvement - Transportation SDC
SDC: Reimbursement - Transportation SDC
SDC: Improvement Cost - Storm Drainage
SOC: Reimbursement Cost. Storm Drainage
Range hoo,d/other ki~~~~~ equipment ,
Total Amount Paid
Amount Paid Date Paid Reciot #
$831.06 07/19/2011 2011002062
-. - $39T76 --"-Q8j64i-2~011-- --- -. 2011 002185
$1,784.43 08/04/2011 2011002185
$101.97 08/04/2011 2011002185
$1,333.57 08/04/2011 2011002185
$22.63 08/04/2011 2011002185
$10.00 08/04/2011 2011002185
$137.52 08/04/2011 2011002185
$3.656.07 08/04/2011 2011002185
$-33.00 08/04/2011 2011002185
$97.00 08/04/2011 2011002185
$97.00 08/04/2011 2011002185
---_._.-.---_._._..~._--_.,,---_.-._,-,,_._.__._-
$100.00 08/04/2011 2011002185
.___..___ _.___________._____._ - 0 _0"___________
$211.00 08/04/2011 2011002185
._-,,---~--
$133.95 08/04/2011 2011002185
$38.00 08/04/2011 2011002185
$3,409.00 08/04/2011 2011002185
$439.00 08/04/2011 2011002185
$17.00 08/04/2011 2011002185
$1.278.55 08/04/2011 2011002185
$27.00 08/04/2011 2011002185
,,--..._-- """"".-....----
$7.00 08/04/2011 2011002185
$79.00 08/04/2011 2011002185
$9.00 08/04/2011 2011002185
$134.00 08/04/2011 2011002185
---
$13.40 08/04/2011 2011002185
$115.13 08/04/2011 2011002185
$252.43 08/04/2011 2011002185
$1,862.23 08/04/2011 2011002185
$510.94 08/04/2011 2011002185
$843.71 08/04/2011 2011002185
$579.98 08/04/2011 2011002185
$13.00 08/04/2011 2011002185
$18,509.33
Springfield Building Permit
8/4/201110: 17:06AM
Page 30f4
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-01779
IVR Number: 811118077483
www.ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
08/04/2011
07/19/2011
Issued
08/04/2011
ISSUED:
APPLIED:
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permilcenter@ci.springfield.or.us
EXPIRES:
VALUE:
01/30/2012
$240,000.00
SCOPE: Single Family Residence
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
New Single Family Dwelling Lot 15 Nittany Meadows
SITE ADDRESS: 817 S 31ST PL, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1802062110700
PROJECT DESCRIPTION:
Plan Review
~
Deoartment
Application Acceptance
Received Due Date Comoleted Result
07/19/2011 07/19/2011 07/20/2011 Application Accepted
Reviewer
David Bowlsby
im~i.~~Review,
~~:E~
Planning Review 07/20/2011 07/20/2011 07/20/2011
Comments: Gave to PWE first for review
iRu~cWork~ ReView: ."2; .~7/20/2~1":0;;(~0/201:1 ,:07/2W2011:' :r~pprov~d,.:", ::;:""~"T"f,6dd9!Qglet"n;--
if-~CO~~~~~~: '~~~~r.mw~te!.t~ ~rti ~~~~'g~tteT" vi~,hvo,-3""~~~~~~~:~_2. :...~ ~_~: .~:~ .. ::., if.~~~'0i.. _~_._..__.____:::"'
Planning Review 07/20/2011 07/20/2011 07/26/2011 Approved Tara Jones
Comments: *If any native trees are left along the frontage, they may used.instead of a new street tree.
*If any native trees remain, fence them to the dripline with orange construction fencing.
*Shade point height is the height to the ridge of the house minus 3' equaling 24'. Solar Setback is measured from the
Shade point height to the north proper1y line.
Stn,lcturalRe\fiew " "'07l2_0ig011 - 07/20/,291]
- '-fJ
Waiting internal
08/0fig-9_1,1:'~ :'" RevLe~,::':~~~:,"; _M~':;,< ,
~ .. '<", .." <''' 'T~." If '1~'S.'" "
~".';-- 'v 5Y-z -- "'~ - -t;<;'''<''::',J':
Structural Review
07/20/2011 07/20/2011 08/03/2011
Approved
,'"
!PermiT~;~~anc~':;;" ~".~ -z.' ,:~~O~IO~/20J1-,' .. 08/03/201.1
f~LL~" ..:f.L~i:,L'..;:' ";:~f:~~:..:~~~ ~h~~"j-t"~;'~'
~ :9~/94/2,bf1.. ,~~?lssued.'; fi';il:~
\. .~.:~:t'Si_'.J~~ ~ ~ P_Y i'i::~'~;;':'~'~~ ~ J v "
Tara Jones
~
.,..,!
_Kip:KaYffriah<f~
.. 'Ye ~:~.:~~ts:t ~', ,;'i-
....,..,
Kip Kaufman
Lisa Hoppe[
~
,
I
.~~
-... .t-c__, . '
...._""',.."'~
INSPECTIONS REQUIRED ~
Inspections
1060 Driveway Approach
1065 Sidewalk
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 wjll 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
~;~#~~ ~ ~-;;of!
Owner or Contractor Signature Date
Springfield Building Permit
B/4f2011 10:17:06AM
Page 4 of 4
2~willamalane
t'W Park and Recreation District
JOb."NO.~
PARK AND RECREATION SYSTEM DEVELOPMENT CHARGE WORKSHEET
January 1-December 31, 2011
".. ~_. ____NAME:
ADDRESS:
PHONE:l11o Sqeo
. STATE:~P: ~-e
LOCATION OF PROPOSED BUILDINGSITE~..\ ;\- "'Y L
Street Address: 6\"\ buS ..
Plat Name: Tax Lot Number:_\5mOW'2. \" \O"\cO
1. DEVELOPM ENT TYPE (Refer to development type definitions on the reverse,)
A. Single-Family Detached
NO. OF UNITS \
B. Single-Family Attached
NO. OF UNITS
C. Multi-Familv Apartment
NO. OF UNITS
D. Single Room Occupancy
NO. OF UNITS
E: Accessorv Dwelli'ng Unit
NO. OF UNITS
X $3,409 per unit =
X $3,404 per unit =
X $2,800 per unit =
X $1,400 per unit =
X $1,705 per unit =
2. SDC CREDIT(lf applicable. SDC payer must furnish proof of.
credit approval.)
3. TOTAL PARK AND RECREATION SDC ASSESSED
;.
$~r;:tJ
$
$
$
$
($ . )
$ ,,0At5=\ .CD
~1L \l
Date of bUilding permit submittal
6/~ 2Dtl
Date of building permit issuance
225 Fifth Street + Springfield, OR 97477+PH(541)726-3753+FAX(541)726.3689
i)t<>>':""''''''7''<'?') '>"'<<i} ,i., ,:,: r:;;")'"0iMf\;"';:,'t,. i0#{0<''':j
. ,DEPA.RTMENT USE,ONL Yi,..
,!,;",'C<"wA' ,""'.1;,,,,"'
Electrical Permit Application
-
Permit no.:
~l
CJ
Date:
(
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is Dot started within 180
days of issuance or if work is suspended for 180 days.
: i, ''''i'ilOc;AL~GO:VERNMEN'f'ApPR()VAL " ",w.. !"i "'~"":'J.".'i." " i",'FEE SCHEDULE "', ,," ,,'
Zoning approval verified? DYes DNo j~~~be;r;of i~~,I>e~t!~~sJ)~e~'it~,!'l{) . ", / '.j Qt;.' Cost I Total
',ir'. \cATEC3()RY()F,CONSTRUCTION ;ii~)<:~, . ' - ,.. ,,'''''~ , ea;': cost
o Residential I 0 Government Residential, per unit, service included: cP
o Commercial \ $l ":)G
1,..,"p';JOB'SI'fEjNFORMAJ'loN"ANO.cL.()CATION,J,: '. 1,000 sq. ft. or less (4) $134.00 .
Job site address: p" 7 s 3JSl f LRcE Each additional 500 sq. ft. or portion 4 $ 25.00 $\(Y. cfJ
thereof
City: SffLi) I State:O~ I ZIP: q,74~ Limited energy (2) $ 32.00 $
Reference: I Taxlot.: Each manufactured home or modular $ 63.00 $
RIF1tJON.'.'()F.:WORI(,.'ii&!:,rt&,i",c,).'.'yt dwelling service or feeder (2)
~\~"( OAdt-- C't. 0\0 \} c , \:::' 0 }:> Services or feeders: installation, alteration, relocation
cl. .., ~O.n ~ ~ ~ !L1 200 amps or less (2) $ 81.00 $
I'.;le;,'; . l"", 201 to 400 amps (2) $ 95.00 $
Name: u-J 1'~oRB,2'l Y"\ ~l-\e.L 401 to 600 amps (2) $158.00 $
Address: cJ.b'i 2- Jh..- , _ V ..('I 60lto 1,000 amps (2) $205.00 $
City: sf [. L. D 1 State:(')TL I ZIP:97Y7~ Over 1,000 amps or volts (2) $469.00 $
.
Phone~~l- 7U -gcr&t:> I Fax: c:-r!-J-J{I.i?'-S'?, I:; Reconnect only (2) $ 63.00 $
E-mail: FISJ./t<<,f:,L);.;,E.. il ,,(11.--... LoN\. Temporary services or feeders: installation, alteration, relocation ~
This installation is being made 60 residential or fann property 200 amps or less (2) 7 $ 63.00 $/.'3 ,\
owned by me or a member of my immediate family. This 201 to 400 amps (2) $ 87.00 $ ~
property is not intended for sale, eXCh"Aase, or rent. OAR 401 to 600 amps (2)
479.540(I)~.5.~~ . $126.00 $
Signature: > -/~ ~. Over 600 amps or 1,000 volts, see services or feeders section above "..J
'..d[ ,"'..'''CONTRACTOR<,IN$TALLATjON]E 'J. '.. . c[ Brancb circuits: new, alteration, extension per panel
Business name~W;V'~ a. Fee for branch circuits with purchase of a service or feeder fee:
Address: Each branch circuit I $ 6.00 I $
City: I State: I ZIP: b. Fee for branch circuits without purchase of a service or feeder fee:
Phone: - - I Fax: - - First branch circuit (2) $ 55.00 $
E:"mail: Each additional branch circuit $ 6.00 $
CCB license no.: I BCD license no.: Miscellaneous fees: service or feeder not included
Signing supenrisor's license no.: Each pwnp or irrigation circle (2) $ 63.00 $
Print name of signing supervisor: Each sign or outline lighting (2) $ 63.00 $
Signature of signing supervisor: \ "G /. ...... Signal clfcuit or a hmIted-energy panel, $ 63.00 $
alteratIOn, or extension (2)
~~~ "~V:JY."EaCb additional inspection: (I) $58.00 $
1J~t:,,~~~"~,c,iS? ,c,'.'t! c... rJ
I (~~ (A) Entersubtotalofabovefees Q.Yt9 ). ^,...;,;.
$
. ATTENTION' 0 . (Minimum Permit Fce $58.00) r ;~
. regon law reqUIres you to (B) Eoter 12% surcbarge (.12 x [A]) r,.O ?
follow rules adopted by the Oregon Utility $
Notification Center. Those rules are set forth (C) Technology Fee (5% of [A]) . r () $.. .. -B
In OAR 952-001.0010 through OAR 952-001- TOTAL fees and surchargcs (A tbrougb C): A: T51 t~
0090.. You may obtain co ies
~
~
P of Ihe rules by
calling the cenIer. (Note: the telephone
number for the Oregon Uti lily Notification
440-2584-J (9/08/COM) Center is 1-800-332.2344).
~
Structural Permit Application
225 Fifth Street. Springfield; OR 97477 . PH(541 )726-3753 . FAX(54\ )726.3689
DEPARTMENT USE ONLY
\ -n79
This permit is issued under OAR 918-460p0030. Permits expire if work is not started within 180 days of is uance or jfwork is
suspended for 180 days.
LOCAL GOVERNMENT APPROVAL
This project has linalland-use approval.
Signature: Date:
This project has DEQ approval.
Signature: Date:
Zoning approval verified: 0 Yes 0 No
Property is within flood plain: 0 Yes 0 No
CATEGORY OF CONSTRUCTION
esidential
o Government
o Commercial
City:
Subdivision:
Reference: I
Name: A.) J
Address:
a
l1usiness name:
Address:
City:
Phone:
E-mail:
CCB license no.:
Print name:
State:
Fax:
ZIP,
Signature:
SUB.CONTRACTOR INFORMA nON
NHme
Electrical
Plumbing
Mcrlumi{'al
cen License Number
Phone Number
FEE SCHEDULE
1. Valuation information
(a) Job descnption: Ne.-.J $'11.1(, L~ ~\L" ,)<.<
Occupancy (2/0
Constnlction type: VB
Square feet:
Cost per square foot:
Olher information:
Type of lIeat' h l4-S r:.A .
Energy Puth: J A-
0'T1ew o alteration o addition
(b) Foundation-only permit? DYes Jd-l'fo
Total valuation: '2'10 000 I $
2. Building fees
(a) Permit fee (use valuation table): $ /2.'71" \'
(b) Investigative fee (equal to [2aJ): $
(c) Reinspection ($ per bour): $
(number of hours x fee per hour)
(d) Enter 12% surcharge (.12 x [2a+2b+2cl): $
(c) Sublotal offccs above (2l!. through 20): $
3. Plan review fees
(a) Plan review (65% x permit fee [28]): $~'l~ -
(b) Fire and life safety (40% x pcnnil fee [2a]): $
(c) Subtotlll offces above (33 and 3b): $
4. Miscellaneous fees
(a) Seismic fee, 1%(.01), permit fee l2a]): $
TOTAL fees nml surcharges (2c+3c+4a): $
LLG
O{,.<N8'L
~tl
{),.:JVr:="'1e-
~WTlGE:
. ;I!~ PERMIT SHALL EXPIRE iF THE WORK
,IOrR:~ED UNDER THIS PERMIT IS NOr
I ,lvEO OR IS ABANDONED FOR
',' PEnIOD,
.
.f
I;.
Property Owner Statement
Regarding Construction Responsibilities
Oregon Law requires residential construction permit applicants who are not licensed with the
Construction Contractors Board to sign the following statement before a building permit can be
issued. (ORS 701.055 (4))
This statement is required for residential building, electrical, mechanical, and plumbing permits.
Licensed architect and engineer applicants, exempt from licensing under ORS 701.010 (7), need not
submit this statement. This statement will be filed with the permit.
Please check the appropriate box:
D I own, reside in, or will reside in the completed structure and my general contractor is:
/
Name
CCB#
Expiration Date
D. I will inform my general contractor that all subcontractors who work on the structure must be
licensed with the Construction Contractors Board.
ft .
o:J' I will be performing work on property I own, a residence that I reside in, or a residence that I will
reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction
Contractors Hoard. If I change my mind and hire a general contractor, I will select a contractor
who is licensed with the CCB and will immediately give the name of the contractor to the office
issuing this Building Permit.
I have read and understand the Information Notice to Homeowners AboutConstruction Responsibilities,
and I hereby certify that the information on this homeowner statement is true and accurate.
o
A.J / 'Cb/.?e";?r R sH6?
Print Name of Permit Applicant
7-J9-;),DII
.....
,
Signature of PennitApplicant
Date
Permit #: ,5 I I - /'7 '7
Address: "61 ? S. '3/ $. 'f<--
Sfet W~ F/n.O 0V1- C'jf]t.f'7f
Issued by: ~ate: B 4. \ \
This Copy for Permit Offices
ST~~~EL~
~
~OREGON
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth 5t
Springfield,OR 97477
541.726-3753
www.cLspringfield.or.us
811-SPR2011-01779
817 S 31ST PL
permitcenter@ci,springfield.or.us
L~x.@;ill':;iY~E:~RAi9Rj;;<CASHIER'LHOP~fR:~ ,<~< ,
Check FISHER W ROBERT & LINDA J
107
RECEIPT NO: 2011002185 RECORD NO: 811-5PR2011-01779 DATE: 08/04/2011
IDESCRIP..TION":,<,. , ;". .'. .,~"><t.,,,;,., "J\CCOUNLCODE::1::J.;,:;- ", J 'AIVIOUIII:(DUE~.7'j
Address Assignment, each new or change 224-00000-425602 38.00
Admin fee (10% of applicable fees) 224-00000-426605 13.40
Curb CuVDriveway 1st Cut 201-00000-428060 97.00
Each added 500 sq. ft. or portion 224-00000-426102 100.00
First Ap~liance Fee 224-00000-425604 79.00
Flue vent for water heater or gas fireplace 224-00000-425604 9.00
~~_: up to 100,000 BTU 224-00000-425604 17.00
. __~~s P;,:,i"fL':lE to_4~~.!i.':!S__..___.__ 224-00000-425604 7.00
_ __ Mu.i!iele.P."!mitpsc?un~~~~~~1 __._...__ 2o1-ooooo-428..D.E3().._____._ ______....EO()..
_ One ~_!I-Vo FamiIY.E.":,,lling wit~ Three..El."th 224-00000-425603 439.00
Planning - Major Review - City 100-00000;425002 211.00
Range hood/other kitchen equipment 224-00000-425604 _~3.00 .____
Residence wiring 1,000 sq. ft. or less 224-00000-426102 134.00
Residential Fire (.05 Per Sq Foot) 100-00000-424005 133.95
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.. 447-00000-448027 1,862.23
__SDC-,-,~-,?~em-,,-,,! Cost - Local Was~water_____ 443-00000-448025 1 ,~84.43
. _ ~.I?C;:.lm~-,~v_e'C",-nt <::.ost - r..1Y:1MC_Regi~~I..""~J~e"'_"_t,,! .~~<::.._.._'!.4.~()0000-448025 __ _____.2"~3];5!_..___
SDC: Improvement Cost - Storm Drainage 440.00000-448028 843.71
.-".-. . -.". ----- -~----,~-----_. -... .._~.._-~-~_.._.~--_..~._--------.---~----,_.._-,."'"'.--.---
_ _ S'p~ R"~b~~~: Tra""e.o~!i.o~_SDC._ '. _ _..__._~__.~4?:'OEOOO-44802.?_____.___._.____.___ 510.94
_ _~I?_<::.Reimbursement.<::.os.t.:_L,,?cal Wastewa~",_~.___'!.~0000.44802~_______._.___ 3,656.07
SDC: Reimbursement Cost - MWMC Regional Wastewater SDC 444-00000-448024 101.97
SDC: Reimbursement Cost - Storm Drainage 441-00000-448029 579.98
SDC: Total Sewer Administration Fee 719-00000-426604 397.76
SDC: Total Transportation Administration Fee 719-00000-426604 137.52
Sidewalk up though 90 Feet 201-00000-428060 97.00
Single-duct exhaust (bathrooms, toi'."t compartments, utility roar 224-00000-425604 27.00
~tate~2reg.2_!C~urcharge i!.2% of aeelicable fees) 821-00000-215004 252.43
_~tr~5't"-,-al Buildingl'_,,~mit Fe.e ____.___ ,324-00000-425602 1,278.55
Te5'h.n..o~o.~y..!."~15% of p'.'!",it !?t~'L __ . ___~000-'!.?~6.o_~.____ ____. 115.13
_ __ _~~~~al-"n~.!,,-es - Singl". f"-rn~Y_ ~et~ch-,,-cj___ __ _ _. n__~22:000_09~2_1 ~'2.23 ___ _ __ _ __ 3,409.00 '_ __
TOTAL DUE: 17,678.27
'C_<:l.MM.ENI.5 ' ~:"f,:-__ F..- _. . A~1$I'AIDj,
17,678.27
"
~,",I
TOTAL PAID:
17,678.27
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
541-726~3753
www.cj.springfield.or.us
811-SPR2011-01779
817 31ST PL
permitcenler@ci.springfield.or.us
: 'PAYMENLtYPE':,'~tPAYOR~ '.,': ;:'CASHIER CCAR"ENfER~;:tOMMENTS~~+
-".".~ _.__ __-, ";. _'___~-4"0-'......~~~_..~.;.....,~_'____'''''-_''___''''''''';.~_''_ ,."..w..,.._.......__~.,__._"-=
Credit Card William Fisher
035514
RECEIPT NO: 2011002062 RECORD NO: 811-SPR2011-01779 DATE: 07/19/2011
[bESCRIF1tION::>~{ ,:z~!i:~,~.rZ:;;;<::-:!bf,":7-'':':;:~'+ r;::u~::::"~ACCO:l.JNJ:QobE'" 7 h "ii.: ::AMO.UNLD.UE .',
Structural Plan Review Fee Residential 224-00000-425602 831.06
'"",-~_..~
TOTAL DUE: 831.06
, . -', ":Wi ;' AMOUNT'PAID, '
$831,06
'-I
....."
I
TOTAL PAID:
$831,06
11
t
THE Csai° i f ,
o �csc5
CITE Off' S9R9j"ACv1jffL
REV1 FIEIWIf'ED FUR
CODE COMPLIANCE
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
i
1\' 0T1(3E:
THIS PERMIT SHALL EXPIRE 1F THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
C01",411!IENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
OFRCE
SPY
NORTH
These plumbing plans are NOT
reviewed prior to permit issuance.
Plumbing work shall comply with
current codes and will be field
inspected for compliance.
These eleo ical plans are NOT
reviewed prior to permit issuance.
Electrical work shall comply with
current codes and will be field
inspected for compliance.
PLOT PLAN-
5GALE
III=20'—O"
fU W.01
LEGAL DE5CRIFTION
LOT 15 OF NITTANY MEADOW5
5PRINCIFIELP, LANE COUNTY, OREGON
MINIMUM SETBACKS - INTERIOR LOTS
All measurements are from Property Lines
-Front yard to House 10 feet
-Front yard to: GFxrage' 18 feet_
Side yard to :House :or Garage 5 feet::
-Rear yard to House .or Garage 10 feet
P:U.E. MAY CIiANGE ,SETBACKS
�'� STREET TREES ARE
REQUIRED. Please refer to
attached Development Code
Section regarding the placement
and types of allowable trees.
3" RAIN MIN
TO STREET -
U
OW
U C1
o WATER
(VERILOCATION)
orfrpwar
color
/ work shall be installed in accordance -with
the approved construction documents and
any changes made during construction that
are not In code compliance:with1he
approved construction docurnerits-shall;be
vesubmitted for approval as.an amended
set of construction: documents.
0550 106.4/ORSC 106.4
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