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HomeMy WebLinkAboutPermit Building 2013-4- SPRINGFIELD 225 Fifth St `. t_ CITY OF SPRINGFIELD Springfield,OR 97477 ,1/4 Lao N Phone: 541-726-3753 ' Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00537 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 04/12/2013 EXPIRES: 10/09/2013 STATUS DATE: 04/12/2013 APPLIED: 03/15/2013 SITE ADDRESS: 3652 River Heights DR,Springfield,OR 97477 SCOPE: Single Family Residence ASSESOR'S PARCEL NO: 1702301200800 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: ST-New single family dwelling-Lot 13 River Hts SAME AS LOT 14 . OWNER: BREEDEN BROS INC Phone Number: ADDRESS: 366 E 40TH AVE STE 250 EUGENE OR 97405 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone THORNTON ELECTRIC INC CCB 116329 08/21/2014 541-686-1628 MARSHALLS INC CCB 25790 12/23/2013 541-747-7445 General Contractor BREEDEN BROS INC CCB 27 12/04/2014 541-686-9431 ABSOLUTE PLUMBING SERVICES INC CCB 67664 07/11/2013 541-345-3055 L INSPECTIONS REQUIRED Inspections 1020 Zoning Setbacks 1090 Street Trees 1110 Footing Footing: After trenches are excavated. 1118 Footing Drain 1120 Foundation Foundation: After forms are erected but prior to concrete placement. 1170 Post&Beam Post and Beam: Prior to floor insulation or decking. 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1370 Masonry Veneer 1410 Underfloor insulation 1420 Insulatio VamBJf'gr Oregon law requires you to 1430 Insulatif:P Wall rules adopted by the CwalPlritilaiii/ry Prior to cover. ,... Pa 1440 Insulalre V:e i 9.i2-0 0 1-0 0 1 0 thr011.h Prior to cover. NOTICE: 1520 Interid? Qarxallf may obtain copies cgtlkar Wallfklt1Ing: Before coveririgsheRgaula atE RE IF THE WORK c;.; (:: : : ::, : : N;, ,,e ��$rivnlitU UNDER THIS PERMIT IS NOT 1530 Exterior CGhh arw f1L'fl'lucl a 4or the Oregon Utility Notification onnnnnrmnrD 1540 Gypsum Board/L(a IDOM4111-800-332-2;p"Hy°v}aiI: Prior to taping. Lath/PlasrelrYTo ba;nta/`SS`,,��__ii 15tH11 rl)g4psurkOR board, interior and exterior are in place, at prldr�te Ias 1999 Final Bui.ing Final Building: After all required inspections have been requested and approved and ' the building is complete. .1- Sprin J ld Building Permit 4/12/2013 9:19:30AM Page 1 of 2 SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 Cv Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00537 www.springfield-or.gov permitcenter @springfield-or.gov 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 const - tiop J • ��,, 4//2/I3 • O ner or Contactor Signature Date • • • Springfield Building Permit 9/1212013 9:19:30AM Page 2 of 2 • SPRINGFIELD CITY OF SPRINGFIELD i ll- J .. 225 Fifth St r # TRANSACTION RECEIPT Springfield,OR 97477 I.; . y`>.OR 541-726-3753 OREGON 811-SP R2013-00537 www.springfield-or.gov 3652 River Heights DR permitcenter@springfieid-or.gov RECEIPT NO: 2013000723 RECORD NO:811-SPR2013-00537 DATE:04/12/2013 (DESCRIPTION _ _. _ .._.;.,«_.,:°ACCOUNT CODE/TRANS„CODE _I. _.«_AMOUNT DUE_,_ Address Assignment,each new or change 224-00000-425602 1020 38.00 Overwidth/Second Driveway 201-00000-428060 1144 51.00 SDC:Administrative Fee-MWMC Regional Wastewater SDC 611-00000-426604 1189 10.00 SDC: Compliance Cost-MWMC Regional Wastewater SDC 444-00000-426607 1113 22.61 SDC: Improvement-Transportation SDC 447-00000-448027 1174 955.32 SDC: Improvement Cost-Local Wastewater 443-00000-448025 1184 983.22 SDC: Improvement Cost-MWMC Regional Wastewater SDC 445-00000-448025 1187 1,392.04 SDC: Improvement Cost-Storm Drainage 440-00000-448028 1176 490.43 SDC: Reimbursement-Transportation SDC 446-00000-448026 1173 262.11 SDC: Reimbursement Cost- Local Wastewater 442-00000-448024 1183 2,014.50 SDC: Reimbursement Cost-MWMC Regional Wastewater SDC 444-00000-448024 1186 108.14 SDC: Reimbursement Cost-Storm Drainage 441-00000-448029 1177 336.67 SDC: Total MWMC Administration Fee—Local 719-00000-426604 1121 76.64 SDC:Total Sewer Administration Fee 719-00000-426604 1175 149.89 SDC:Total Storm Administration Fee 719-00000-426604 1180 41.36 SDC:Total Transportation Administration Fee 719-00000-426604 1190 60.87 Same as Plan Review Submittal 224-00000-425602 1060 247.50 Second Permit Discount 201-00000-428060 1148 64.00 Structural Building Permit Fee 224-00000-425602 1002 1,351.81 Wllamalane fees-Single family detached 821-00000-215023 1074 132.53 TOTAL DUE: 8,788.64 (_PAYMENT TYPE- ' --PAYOR• CASHIER:JLARSON =-,-J: `COMMENT5 _ ”' " • -� -..L- AMOUNT PAID �� ' Credit Card John Thompson 8,788.64 • 01545B TOTAL PAID: 8,788.64 kilrSPRINGFIELD CITY OF Fifth St SPRINGFIELD i\ TRANSACTION RECEIPT SpriingfeldoR 97477 EGON 541-726-3753 811-SPR2013-00537 www.springfield-or.gov 3652 River Heights DR permitcenter©springfield-or.gov RECEIPT NO: 2013000726 RECORD NO: 811-SPR2013.00537 DATE:04/12/2013 [DESCRIPTIONA _ ACCOUNT.CODE/TRANS CODE AMOUNtDUELJ Planning-Major Review-City 100-00000-425002 1231 211.00 Residential Fire(.05 Per Sq Foot) 100-00000-424005 9111 141.70 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 162.22 Technology fee(5%of permit total) 100-00000-425605 2099 75.24 Willamalane fees-Single family detached 821-00000-215023 1074 3,277.47 TOTAL DUE: 3,867.63 PAYMENT TYPE - PAYOR ' CASHIER:-auRSON COMMENTS :,-, •- -AMOUNT PAID - • J Check Renee Thompson 3,867.63 3609 TOTAL PAID: 3,867.63 • • . irCV Job. No. • J /3 -5-3 PARK AND RECREATION SYSTEM DEVELOPMENT CHARGE WORKSHEET Jan. 1-Dec. 31, 2013 PHONE: (2-6 �� NAME: ► n E7v ?L(.0 ADDRESS11 ire ya CITY: tL�— STATE — ZIP: s-re-2S 1) LOCATION OF PROPOSED BUILDING SITE: • Street address: _ 2 va 190 g'D� Platname:�L E�'t U� S�—TaxLotNumber: �76Z 1. DEVELOPMENT TYPE (Refer to development type definitions on the reverse.) A. Single-Family Detached NO. OF UNITS_ ___X$3,410 per unit= $ B. Single-Family Attached NO. OF UNITS X $3,385 per unit= $ C. Multi-Family Apartment ' •NO. OF UNITS_ X $3,021 per unit= $ D. Single Room Occupancy • NO. OF UNITS X$1,510 per unit= $ E. Accessory Dwelling Unit NO. OF UNITS X$1,705 per unit= $ 2. SDC CREDIT Of applicable. SDC payer must furnish proof of ($�) credit approval.) 3. TOTAL PARK AND RECREATION SDC ASSESSED $ �� / / 3 / /5 City of Springfield Date of building permit submittal t( /Z, /3 J L (-)/ Date of building permit issuance City of Springfield • Payment Method: Credit Card - • Receipt No:2013000507 Received By:CCARPENTER Extract Ref.No: 383620 Date Payee Permit Number CCAuthori{ation Code Payment en 3/15/13 LARSON DALE D&RHONDA R 811-SPR2013-00532 09347z - $11115 Receipt No:2013000509 Received By:CCARPENTER Extract Ref.No: 383622 Date Payee Permit Number CCLAUthorization Code Paym nt/q,tnot( - .�•.� r:_ a .. volnnnpc lMC 811-SPR2013-00534 '052912 , 7 / $67.86 Received By:CCARPENTER Extract Ref.No: 383623 CITY OF SPRINGFIELD Permit Number C A thorization Code Pay en t Amount DEVELOPMENT SVC. DEPT. 225 5TH STREET C 811-SPR2013-00533 052912 $128.770 SPRINGFIELD. OR 97477 541-726-3791 Received By:CCARPENTER Extract Ref.No: 383626 Merchant ID: 7024668 I Term ID: 2021 Permit Number C _ thorization Code Paymen mount l t Sale 'AUND 8 811-SPR2013-00536 013699 $132.766 MASTERCARD yyyyy Received By:CCARPENTER Extract Ref.No: 383627 I XXXXXXXXXXXX7422 Permit Number uth nzation Code Paym ntAmount • Entry Method: Swiped AUND 8 811-SPR2013-00535 013699/ $122.85 APPrud Online 8atcha: 000008 Received By:JLARSCN Extract Ref.No: 383629 03/15/13 14:59:54 Permit Number ccae lion Code PaymentA aunt Invq: 00000010 APPr Code: 005078 811-SPR2012-02507 - (4218 L$100.62 Total: $ - 2.50 Received By:JLARSON Extract Ref.No: 383630 • I agree to may above total Permit Number CC Authprization Code Paymen aunt amount according to card i aauer Ey A 811-SPR2012-02071 7415 $966.60; agreement (Merchant agreement if I credit voucher) / Received By:JLARSON — Extract Ref.Na: 383631 — 1 Permit Number CG_Authorization Code Payme/ntAmount �i X )N LLC 811-SPR2012-01899 61516� . / $422.371 Merchant Come Received By:JLARSON Extract Ref.No: 383632 THANK YOU -- FOR VISITING Permit Number / CC_Authorization'Code Patent Amount \ AIL INC 811-SPR2013-00276 09726G t $2,664.26 J Receipt No:2013000519 Received By:KWILSON Extract Ref.No: 383633 Date Payee Permit Number / CC_Authorization Code Pa men'CAmount / 3/15/13 John Thompson 811-LDP2013-00015 ( 055898 $945.00 Receipt No:2013000520 - Received By:CCARPENTER Extract Ref.No: 383634 Date Payee Permit Number CC_Authorization Code Payment Amount 3/15/13 John Thompson 811-SPR2013-00537 00507b $250.00 t • • Paid by Credit Card $5,912.17 3/15/13 3:27:25 pm Page 2 of 4 SPRINGFIELD -- CITY OF SPRINGFIELD 225 Fifth St hrtOREGON TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 811-SPR2013-00537 www.springfeld-or.goy 3652 River Heiahts DR permitcenter @springfeld-or.gov RECEIPT NO: 2013000520 RECORD NO:811-SPR2013-00537 DATE:03/15/2013 iol*.'Co111:hdCof+@ ; = . 2_m_ '° °l _';,-V`'ACCOUNTCODEITRANSCODE1:;03 T h'.AMOUNTTDUE`-mod Same as Plan Review Submittal 224-00000-425602 1060 250.00 TOTAL DUE: 250.00 PAYMENT-TYPE PAYOR caswER earl ENTER ;,-_? 1. COMMENTS A '`._r. _ ur? r+... AMOUNTFPAID C Credit Card John Thompson 250.00 00507b TOTAL PAID: 250.00 631 SPRINGFIELD- CITY OF SPRINGFIELD • .•w+x.. .T"' , 225 Fifth St TRANSACTION RECEIPT Springfield,OR97477 CM- k4 I»' `-''r�"- OaEGON 541-726-3753 811-SPR2013-00537 w.Avspringfieid-or.gov 3652 River Heights DR permitcenter @spdngfield-or gov RECEIPT NO: 2013000521 RECORD NO:811-SPR2013-00537 DATE:03/18/2013 DESCRIPTION, a K.'1 a` X t, fi 7Thigr.Zt? ; r 1i ;3"2;`AGCOUNTCODEITRLINS CODE„, ? °,'''.' ?AMOUNTjDUE": v!l Same as Plan Review Submittal 224-00000-425602 1060 2.50 TOTAL DUE: . 2.50 7PAYMENT.TYPE'�.n ,,PAY,OR '?:casxieR:ccaRPERTER '". v COMMENTS,' ,,,,� ;ri:; = ,, AMOUNTPAID��r` > ;'1""u '-� Credit Card John Thompson Credit card was run on 3/15/13 2.50 00507b for$2.50 instead of$250.00 TOTAL PAID: 2.50 • • Structural Permit Application i DEPARTMENT USE ONLY aaaiuomco . . rWAPE' ±a .t.. +0 =?',e1".'`w ;t:? i '_ -�yy�y i6 I Permit no.: 5( ✓ --f 225 Fifth Street'•Springfield,OR 97477♦PH(541)726 375J•FAX(541)726 3689 - e0T Date.: 3 /(57 )3 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. LOCAL GOVERNMENT APPROVAL yr:r✓te-AS Iro y 14 This project has final land-use approval. _ Signature: Date: FEE SCHEDULE This project has DEQ approval. I.Valuation.information Signature: Date: (a)lob description: YT ILK 8u l LT S t N S LE PArn iL Zoning approval verified: ❑Yes 0 No Occupancy 123uvt Property is within flood plain: El Yes ❑No Construction type:VJOOD PRA me CATEGORY OF CONSTRUCTION Square feet: 2371 (JV)).Jq '161 qAz c (Y Residential ❑Government ❑Commercial 1 - Cost per square foot: JOB SITE INFORMATION AND LOCATION Other information: Joh site address: RS52 e.IVEP_ 14E[CqHT Type of Rear: CA5 City:5P1?itApiaz, I State:OR I ZIP: Subdivision: {LIVER HE[SI TS I Lot no.: IA Path: Reference:)7DZ 3O I Z_I Tavlot: 00 8ab La new ❑alteration ❑addition _/ PROPERTY OWNER (b)Foundation-only permit? ❑Yes Iyj No Total valuation: Iwo $ Name: BQEF'-pe,J WOt-{FS 2 f 2.Building fees Address: ".34 6 E. 4071: AVE STE 250 {) 11 (a)Permit fee(use valuation table): $ 1 l l City: EIActEf4E State: OR ZIP:97465 (b)Investigative fee(equal to[2a]): $ Phone:M[-(4 9431 Fax541 '69b 09[8 (c)Reinspection($ per hour): E-mail: KAT2IrIA C° F312GC-I f4NOI.IC5• coil_ (number of hovrs x fee per hour) $ This installation is being made on residential or farm property owned by d Enter 12%surchar e(.12 x 2a+2br2c 27� TUC or a member of my immediate family,and is exempt from licensing O P (' [ ])' g�� i requirements under ORS 701.010. (e)Subtotal of fees above(23 Through 2d): s Sign here: 3. Plan review fees �/ CONTRACTOR INSTALLATION (a)Plan review pat):permit fee[2a]): $L SI�Mr. (b)Fire and life safety(40%x permit fee X21): $ Business name: 54MCAs AS VE (c)Subtotal of fees above(3a and 310: S Address: 4.Miscellaneous fees �G fi City: State: ZIP: (a)Seismic fee, I%(.01 x permit Ice[21) S �� Phone: - - Fax: - - E-mail: ...144.1 1Q, SCE-✓r DEn1NoMcS• WM TOTAL fees and surcharges(2e+3c+4a); $,�3 f CCB license no.: 21 I ,t '� Print names_AON14 TN OM PS DA l u'L Mk! ik)a� 0v�u- a Signature: (! �fI ' SUB-CONTRACTOR INFORMATION Name CCB License Number Phone Number Electrical LI1.3Z9 '(53-o02-1 Tt•toen4T•cN 5a - S3r Plumbing (0`2(o 44 345- 3055 - A16•50L.u7E- _c, — .S-y D Mechanical 2.5790) 147- 1445 -- PIAFSNgLLS _ Sl3— 5 3y • SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 -.`CN Phone: 541-726-3753 OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00540 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 04/12/2013 EXPIRES: 10/09/2013 STATUS DATE: 04/12/2013 APPLIED: 03/15/2013 • SITE ADDRESS: 3652 River Heights DR,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1702301200800 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: PL-New single family dwelling -Lot 13 River Hts SAME AS LOT 14 OWNER: BREEDEN BROS INC Phone Number: ADDRESS: 366 E 40TH AVE STE 250 EUGENE OR 97405 CONTRACTOR INFORMATION - Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor BREEDEN BROS INC CCB 27 12/04/2014 541-686-9431 Plumbing Contractor ABSOLUTE PLUMBING SERVICES INC CCB 67664 07111/2013 541-345-3055 INSPECTIONS REQUIRED Inspections 3130 Footing/Foundation Drains • 3170 Underfloor Plumbing Underfloor Plumbing: Prior to insulation or decking. 3200 Sanitary Sewer Sanitary Sewer Line: Prior to filling trench and including required testing. 3315 Water Line 3400 Storm Sewer Storm Sewer Line: Prior to filling trench. 3500 Rough Plumbing Rough Plumbing: Prior to cover and including required testing. 3999 Final Plumbing Final Plumbing: When all plumbing 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 constructionTENTION: Oregon law requires you to foil OW rules adopted by the Oregon Utility !'!OTICE: inF.'cation Center. Those rules are set forth 4Iijji PPPMIT SHALL EXPIRE IF THE WORK t 1 T.2-nRi_nn f r,.i„_.._,. ..._ nn ' u - - o pe fth pules b Date 'ITHORIZED UNDER THIS PERMIT IS NOT ner��Cllingcthe cea"ter.( copies Of the rules by calling the center. (Note: the telephone ' 'MMENCED OR IS ABANDONED FOR number for the Oregon Utility Notification ' 'ZO DAY PERIOD. Center is 1-800-332-2344). Springfield Building Permit 4/12/2013 9:22:25AM Page 1 of 1 • • SPRINGFIELD CITY OF SPRINGFIELD • hit: ‘014225 Fifth St EGON TRANSACTION RECEIPT Springfield,OR97477 541-726-3753 811-SPR2013-00540 www.springfield-or.gov 3652 River Heiahts DR pennitcenter @springfield-ar.gov RECEIPT NO: 2013000724 RECORD NO:811-SPR2013-00540 DATE:04/12/2013 [DESCRIPTION, - - ACCOUNT,CODETRANS CODE AMOUNT-CUE ' One or Two Family Dwelling with Three Bath 224-00000-425603 1005 439.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 52.68 Technology fee(5%of permit total) 100-00000-425605 2099 21.95 TOTAL DUE: 513.63 LPAYMENT TYPE _ PAYOR �_ CASHIER:JLARSON__, _,_COMMENTS. q .. � . AMOUNT PAID ..� ._.__ _ 'J Credit Card John Thompson 513.63 015458 TOTAL PAID: 513.63 SPRINGFIELD 225 Fifth St ' =� _= • CITY OF SPRINGFIELD Springfield,OR 97477 ' ;< C O Phone: 541-726-3753 -\OREGN Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00539 www.springfield-or.gov permitcenter @spring/ield-or.gov PROJECT STATUS: Issued ISSUED: 04/12/2013 EXPIRES: 10/09/2013 STATUS DATE: 04/12/2013 APPLIED: 03/15/2013 SITE ADDRESS: 3652 River Heights DR,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1702301200800 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: ME-New single family dwelling -Lot 13 River Hts SAME AS LOT 14 OWNER: BREEDEN BROS INC Phone Number: ADDRESS: 366 E 40TH AVE STE 250 EUGENE OR 97405 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Mechanical Contractor MARSHALLS INC CCB 25790 12/23/2013 541-747-7445 General Contractor BREEDEN BROS INC CCB 27 12/04/2014 541-686-9431 L INSPECTIONS REQUIRED Inspections • 2200 Underfloor Mechanical Underfloor Mechanical. Prior to insulation or decking and including required testing. 2210 Underfloor Gas Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. 2255 Gas Pressure Test 2300 Rough Mechanical Rough Mechanical: Prior to Cover 2310 Rough Gas Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 2995 Final Gas Final Gas: When all gas work is complete. 2999 Final Mechanical Final Mechanical: When all mechanical 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 i❑§ ec1ions are requested.at the proper time,that each address is readable from the,street,that the f-I I :R' Isrnnnn later +aryl a" the -. _ .. permit card is I c t�tl'at the front of'the property;and the a p�; 8ed set of plans will remairl.o r�site at all times during - construction. o ow rules adopted by the Oregon �fl lity iU i Fa. Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK in OAR 952-001-0010 through OAR 952-001- ql I AUTHORIZED UNDER THIS PERMIT IS NOT LA") 2••0. You may obtain copies of the rules by JZ 13 • caulnq the center. (Note: me telepnone VCED OR IS ABANDONED FOR • ner or Conti-19 �1§cYflf mile Oregon Utility Notification Date ANY 180 DAY PERIOD. Center is 1-800-332-2344). • Springfield Building Permit 4/12/2013 9:24:42AM Page 1 of 1 SPRINGFIELD - CITY OF SPRINGFIELD 'k 225 Fifth St tom: wx TRANSACTION RECEIPT Springfield,DR97477 OREGON 541-726-3753 811-SPR2013-00539 www.springfield-or.gov 3652 River Heights DR permitcenter @springfield-ar.gov RECEIPT NO: 2013000725 RECORD NO: 811-SPR2013.00539 DATE:04/12/2013 'DESCRIPTION. - 3 ACCOUNTCOREITRANS.CODE " AMOUNTLDUE `-II First Appliance Fee 224-00000-425604 1006 79.00 Flue vent for water heater or gas fireplace 224-00000-425604 1006 9.00 Furnace-up to 100,000 BTU 224-00000-425604 1006 17.00 Gas Piping-each additional above 4 224-00000-425604 1006 8.00 Gas Piping up to 4 outlets 224-00000-425604 1006 7.00 Range hood/other kitchen equipment 224-00000-425604 1006 13.00 Single-duct exhaust(bathrooms, toilet compartments, utility room: 224-00000-425604 1006 36.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 20.28 Technology fee(5%of permit total) 100-00000-425605 2099 8.45 TOTAL DUE: 197.73 PAYMENTTYPE_,_- JPAYOR,--:cASHIER_.iiARSON ., :="'AMOUNTPAID Credit Card John Thompson 197.73 015458 TOTAL PAID: 197.73