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Home My WebLink AboutPermit Building 2007-9-20 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO:COM2007-01137 ISSUED: 09/20/2007 APPLIED: 08/0112007 EXPIRES: 04/20/2007 VALUE: $ 239,595.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 520 COLLIER DR ASSESSOR'S PARCEL NO.: 1702343303800 Springfield TYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: Single family residence - Mt Gate West lot 35 TYPE OF USE: New Residential Owner: GRAZIANO DEAGOSTINO Address: 1100 SUNLIGHT CIR CONCORD CA 94518 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor, BREEDEN BROS INC THORNTON ELECTRIC INC MARSHALLS INC ABSOLUTE PLUMBING SERVICES INC License 27 116329 25790 67664 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U VB # of Stories: 1 Height of Structure: 23.50 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Electric Energy Path: Path 1 Sprinkled Building: n/a 3 I DEVELOPMENT INFORMATION I Phone Number: Not Listed Expiration Date 12/04/2008 08/21/2008 12/23/2009 07/11/2009 Phone 541-686-9431 541-686-4151 541-747-7445 541-345-3055 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 11,015 2,082 623 REQUIRED PARKING Frontyard Setback: 22.00 Overlay Dist: Hillside Total: 2 Side 1 Setback: 5.90 # Street Trees Rqd: 3 Handicapped: Side 2 Setback: 26.30 Paved Drive Rqd: ATTENTI~Oregon ~~tJlres you to Rearyard Setback: 15.00 % of Lot Coverage: follow ru~opted by the Oregon Utility Solar Setbacks: 0.00 Notification Center. Those rules are set forth farat-. if': ,:,.^.n.':'1:C ':~H ')':'~ ': +h.~..,:h~ n~r) ~1 SUbfWmo~~flTcc!J?!ed I PUBLIC IMPROVEMENTS 1090. You may obtain copies of the rules by I \:>':fAll EXPIRE IF THE WORt call~gJhe c€M'!ter. (Note: the telephone Str~lIhtl~Jl2l1~t~DER THIS pPRrMrrWff\fA'1 num6\WtM~fi,~,Y(!)Fego~ Utility Notifi~kImide 5' StoC.Q&\t\4fN8f()lOOtS ABANDOI\I~n r:no ~ s Do<YfJsplJfif,ifDr~~~332-234i~ Storm Sewer Sp~h\YI119tN9~,"PERIO~tormwat~tro 'st1fB provide on lot. Notes: For this parcel in Mt. Gate West, it is the recommendation to the Building Division, by the City Engineer: "that no connections shall be made to sanitary or storm H20 systems, until the subdivision is accepted by City Council". Pae:e 1 of5 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726"3769 Inspection Line Description Type of Construction AC - Residential V Wood Frame Gara2e A.C. - Residen Dwellin2s Gara2e Fee Description Plan ReviewResidential -Mech Iss 2+ Appliances- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge 2 Baths One or Two Family Addressing Assignment Appliance Vent Boiler/Comp Up To 100,000 btu Building Permit Curbcut - 2nd Curbcut Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Fireplace (Listed) Furnace - up to 100,000 btu Gas Outlets 1-4 Low Voltage - Residential Plan Review Major - Planning Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDCTranspo Admin SDC Transpo Improvement SDC Transpo Reimbursement . Sidewalk Permit Storm Drainage Impervious Area Storm Sewer Each Addtl100' I Valuation Descriotion I $ Per Sq Ft or multiplier $4.00 $103.00 $27.00 Square Footage or Bid Amount 2,082.00 2,082.00 623.00 Total Value of Project ~ Amount Paid Date Paid $730.63 $40.00 $195.73 $111.60 $145.76 $280.00 $35.00 $7.00 $14.00 $1,124.04 $35.00 $85.00 $7.00 $10.00 $135.25 $17.00 $14.00 $5.00 $28.00 $205.00 $117,00 $84.00 $550.91 $724.50 $10.00 $961.52 $91.61 $175.62 $67.67 $862.25 $195.48 $85.00 $1,469.55 $32.00 8/1/07 9/20/07 9/20/07 9/20/07 9/20/07 9/20/07 9/20/07 9/20/07 9/20/07 9/20/07 9/20/07 9/20/07 9/20/07 9/20/07 9/20/07 9/20/07 9120/07 9/20/07 9/20/07 9/20/07 9/20/07 9/20/07 9/20/07 9120/07 9/20/07 9/20/07 9/20/07 9/20/07 9/20/07 9/20/07 9/20/07 9/20/07 9/20/07 9/20/07 Pa2e 2 of 5 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01137' ISSUED: 09/20/2007 APPLIED: 08/0112007 EXPIRES: 04/20/2007 VALUE: $ 239,595.00 Value Date Calculated $8,328.00 $214,446.00 $16,821.00 $239,595.00 08/0112007 08/01/2007 08/01/2007 Receipt Number 1200700000000000982 2200700000000001478 2200700000000001478 2200700000000001478 2200700000000001478 2200700000000001478 2200700000000001478 2200700000000001478 2200700000000001478 2200700000000001478 2200700000000001478 2200700000000001478 2200700000000001478 2200700000000001478 2200700000000001478 2200700000000001478 2200700000000001478 2200700000000001478 2200700000000001478 2200700000000001478 2200700000000001478 2200700000000001478 2200700000000001478 2200700000000001478 2200700000000001478 2200700000000001478 2200700000000001478 2200700000000001478 2200700000000001478 2200700000000001478 2200700000000001478 2200700000000001478 2200700000000001478 2200700000000001478 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Temp Power 200 amps or less Vent Fan Willamalane Single Family $55.00 $28.00 $2,303.00 Total Amount Paid $11,038.12 . I Plan Reviews I Initial Review Initial Review 08/02/2007 09/20/2007 08/02/2007 09/20/2007 PlanniDl! Review 09/19/2007 09/19/2007 Planninl! Review 08/02/2007 08/08/2007 Public Works Review 08/0212007 08/03/2007 Public Works Review 09/19/2007 09/19/2007 APP APP APP WE APP APP Pal!e 3 of 5 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01137 ISSUED: 09/20/2007 APPLIED: 08/0112007 EXPIRES: 04/20/2007 VALUE: $ 239,595.00 9/20/07 9/20/07 9/20/07 2200700000000001478 2200700000000001478 2200700000000001478 LLH LLH Received information from Planning - able to complete review and completion of information of issuance. PWE (Billy Curtiss) has approved 933 sf of pervious pavement. They will receive a 500 sf credit toward their coverage requirements. The 35% coverage for this lot is nearly met. It is 34% based on 3747 sf of impervious surface on a lot of 11,015 sf. Property is solar exempt based on Tract a to the north. Choose street trees from the list of native trees for hillside development in the street tree handout. Coverage problems. Left a message for Breeden Brothers this afternoon (8/8). For this parcel in Mt. Gate West, it is the recommendation to the Building Division, by the City Engineer: "that no connections shall be made to sanitary or storm H20 systems, until the subdivision is accepted by City Council". Stormwater to stub provided on the lot. BC Spoke with Eric Crabtree (Breedon Bros.). Let him know that the 933 sq ft of pervious pavement was approved. 500 sq ft will be accounted for. BC TAJ TAJ BRC BRC CITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: COM2007-01137 ISSUED: 09/20/2007 APPLIED: 08/0112007 EXPIRES: 04/20/2007 VALUE: $ 239,595.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural Review 08/02/2007 08/21/2007 APP DLM Called contractor (Eric at Breeden); need lateral engineering for left sidewall of building. They will provide 8/15/07dlm. Faxed to contr. copies ofDev. Report & Earthwork Summary for subd. (requires Type II geotech report). E-mailed required engineer's form for fdn. preparation to contr. (LDAP already issued).8/16/07dlm Received requested lateral engineering 8/20/07dlm. OK To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. ~eouiredJnsnections , Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Curbcut - Standard: After forms are erected but prior to placement of concrete. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior tofilJing trench and including required testing. Pae:e 4 of 5 CITY OF SPRINGFIELD' Status Iss~ed Building/Combination Permit PERMIT NO: COM2007-01137 ISSUED: 09120/2007 APPLIED: 08/0112007 EXPIRES: 04/20/2007 VALUE: $ 239,595.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Undertloor Gas: After line is installed and required testing and capped if not attached to an appliance. Rough 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 Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Shear Wall Nailing: Before covering sheathing with finish materials. 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 of 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 complia'nce 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 time> du,log cuu"'"CtiU~ ~4 01 r;/Z/! , ~ '--" - - - P" Owner or Contractors Signature C:;/7rJ! (5/ Date' Page 5 of 5 ZON t.ne, INITIALS ~ DATE t5 .I.OJ SOURCE ~_ ~P-- o /:+0/07 f I 225 FIFTH STlmET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRJCAL PJJ~lIT AI2'LJCATION City Job Number l~J)" t::J} Date S Pc.. ';-4- --r t! 17 <7... ~ LEGAL DESCRIPTION: A. C-.O'+ ~" tJ1D'/Lf,-I~,.I"" G~ .fe tJe'1+ Service mcluded JOB DESCRIPTION: c9 '705 . 1000 sq. ft. or less I ~ /j . +~\f;lTVJfl Eac~ additional 500 sq. ft. or YJ e~ l ~'-""'t..P ...l \ ~ portIOn thereof Pe~mits are non-transferable and expire if workis Each Manufact'd Home or not started within 180 days ofissuance or if work is Modular Dwelling Service or Suspended for 180 days. Feeder 1. 2. Electrical Contractor t;l/z:2/PJ..J TVA-J dEe Address / (). '.5 (:;) K SO 'I if ~". City _&u.y Phone~S-3 ---DD:) 7 Supervisor License Number 3D I 7 S Expiration Date I CJ - /- o? Constr. Contr. Number //10:<..::;;2 9 Expiration Date /0 - j,--- ~ . Signature of Supervising Electrician /) ~ U ""'. ~\::;!/~ ) Own~,Nmn' 6m~m ln~~~ Address \\00 &nr~M U E. City (\~ ~ pl1e r A..I.. I Adb ' U"'_. ~~l OWNER INST ALLA TION The installation is being made on property I own which is not intended for sale, lease or rent. own~PJJ&~;e: THIS PERMIT SHALL EXPIRE IF THE WORK AU I fiORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY EFRlon mspection Request: 7'Z(j~37li':J 3. l 4~ \~ $117.00 $ 21. 00 $55.00 B. 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only ~ $ 70.00 $ 83.00 $138.00 $180.00 $413.00 $ 55.00 c. mstaUation, Alteration or Relocation 200 Amps or less I 201 Amps to 400 Amps 401 Amps to 600 Amps 'f:JtJ:Jcf $ 55.00 $ 76.00 $110.00 D. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 48.00 $ 4.00 Pump or irri~on $ 55.00 Sign/Outli~U~!ON: Oregon raw req~r~d(PU to L' . d Jollo~.rufus ac;ioptediJy ,he O~@80Utn''';J a.. pc) mute "'Ntfflfi'ealf~JIf~hter. rhos rules cfre set f~ Limited I1neoA~9@.2lm9ifUo01 0 thrnllgh ~W@@2-(ln1- Minimum Eleti69lt.eNoU bt.c6iaifi<<ed~.Of) th Uul)3rlg 4. ~ 0) . 8% State SurchargtCenter is 1-800-332-2344). _ t\ ~ 10% Administrative Fee I L'P-.> ""A.f:J. 5% Technology Fee \ A iLJ.,L ~~q ~'2- TOTAL Shared Drive(T:)/Building FonnslElectrical Penn it Application 7-07.doc CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: C0M2007-01137 NAME OR COMPANY: Breedon Bros Inc LOCATION: 520 Collier Drive TAX LOT NUMBER: 17-02-34-333800 DEVELOPMENT TYPE: Single Family Residence NEW DWELLING UNITS 1 BUILDING SIZE (SF: 4247 LOT SIZE (SF): 1. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. CHARGE . I 4247.00 . I $0.346 = I $1,469.55 ) RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. x I COST PER S.F. I x I DISCOUNT RATE I I 0.00 I $0.346 I I 50% I ITEM 1 TOTAL - STORM DRAINAGE SDC '$1,469.55' 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFD's x I 27 B. IMPROVEMENT COST: I NUMBER OF DFD's x I 27 COST PER DFU $26.83 COST PER DFU $20.40 ITEM 2 TOTAL - CITY SANITARY SEWER SDC ==, $1,275.41 3. TRANSPORTATION A. REIMBURSEMENT COST: I' ADT TRIP RATE x I 9.57 NUMBER OF UNITS x I COST PER TRIP 1 I 20A3 B. IMPROVEMENT COST: ADT TRIP RATE . x NUMBER OF UNITS x I COST PER TRIP 9.57 1 I $90.10 ITEM 3 TOTAL - TRANSPORTATION SDC == , $1,057.73 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's x COST PER FEU ., 1 $91.61 B. IMPROVEMENT COST: 'NUMBER OF FED's I x I I . COST PER FEU $961.52 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC ==, == I $1,063.13 SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5. ADMINISTRATIVE FEE: SUBTOTAL x I ADM. FEE RATE $4,865.82 I 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: $4,865.82 CHARGE $243.29 DISCOUNT $0.00 . , x I NEW TRIP FACTOR I 1.00 x INEWTRIPFACTOR I 1.00 Billy Curtiss 8/3/2007 =1 PREPARED BY DATE TOTAL SDC CHARGES 11015 $1,469.55 $724.50 $550.91 $195.48 $862.25 = $91.61 ifJ i:I.1 Cl o u ~ i:I.1 E-< r:n I-< ;0 ~ 1070 109] I 1092 , 1093 1094 ]054 . JOSS 11054 , 11056 I .: J'I079 j ]078 I = $961.52 $0.00 $10.00 175.62 $67.67 $5,109.11 . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTIJRES x UNIT EQUIVALENT = DRAINAGE FIXTIJRE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS I BATHTUB 1 0 3 = 3 I DRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 /LAUNDRY TUB 1 0 2 = 2 ICLOTHESWASHER/MOP SINK 1 0 3 = 3 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0 I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 1 0 3 = 3 SHOWER, SINGLE STALL 1 0 2 = 2 SHOWE~ GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLE LAVATORY 2 0 2 = 4 SINK: SINGLE LA V ATORY/RESIDENTIAL BAR 1 0 1 = 1 URINAL, STALL/WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 27 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$l,OOO ASSESSED VALUE $5.29 $5.29 $5.19 $5.12 $4.98 $4.80 $4.63 $4.40 $4.07 $3.67 $3.22 $2.73 $2.25 $1.80 $1.59 $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.05 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR 2 2 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0.00 x $5.29 =1 $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0.00 x $5.29 o TOTAL MWMC CREDIT $0.00 = 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01137 COM2007-01137 COM2007 -01137 COM2007-01137 COM2007-01137 COM2007-01137 COM2007-01137 COM2007-01137 COM2007-01137 COM2007-01137 COM2007-01137 COM2007-01137 COM2007-01137 COM2007-01137 COM2007-01137 COM2007-01137 COM2007-01137 COM2007-01137 COM2007-01137 COM2007-01137 COM2007-01137 COM2007-01137 COM2007-01137 COM2007-01137 COM2007-01137 COM2007-01137 COM2007-01137 COM2007-01137 COM2007-01137 COM2007-01137 COM2007-01137 COM2007-01137 COM2007-01137 COM2007-01137 COM2007-01137 COM2007-01137 Payments: Type of Payment Check CreditCard cReceintl RECEIPT #: Description Addressing Assignment Willamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Low Voltage - Residential Fire SF Fee - Residential Sidewalk Permit Curbcut Permit Curbcut - 2nd Curbcut Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transpo Admin Building Permit Storm Sewer Each Addtl 100' Furnace - up to 100,000 btu Boiler/Comp Up To 100,000 btu Vent Fan Appliance Vent Exhaust Hoods Dryer Vent Gas Outlets 1-4 Fireplace (Listed) ~Mech Iss 2+ Appliances~ 2 Baths One or Two Family Plan Review Major - Planning + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By BREEDEN HOMES BREEDEN HOMES City of Springfield Official Receipt Development Services Department Public Works Department 2200700000000001478 Date: 09/20/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received ddk ddk 17097 In Person 015394 In Person Payment Total: Page I of2 11:14:57AM Amount Due 35.00 2,303.00 117.00 84.00 55.00 28.00 135.25 85.00 85.00 35.00 1,469.55 724.50 550.91 195.48 862.25 91.61 961.52 10.00 175.62 67.67 1,124.04 32.00 14.00 14.00 28.00 7.00 10.00 7.00 5.00 17.00 40.00 280.00 205.00 111.60 145.76 195.73 $10,307.49 Amount Paid $807.49 $9,500.00 $10,307.49 9/20/2007