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Home My WebLink AboutPermit Building 2013-7-12 SPRINGFIELD- - 225 Fifth St _.> CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00484 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 07/12/2013 EXPIRES: 01/07/2014 STATUS DATE: 07112/2013 APPLIED: 03/11/2013 SITE ADDRESS: 1810 10TH ST,Springfield,OR 97477 SCOPE: Duplex ASSESOR'S PARCEL NO: 1703261300102 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New duplex-Same as 1818-1824 10th OWNER: HIATT MICHAEL G 8 WENDY K Phone Number: ADDRESS: 3283 JAYHAWK CT EUGENE OR 97405 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor L 8 E ELECTRIC INC CCB 105475 03/30/2014 541-933-2598 General Contractor MICHAEL HIATT CONSTRUCTION LLC CCB 152009 06/28/2014 541-485-0219 Mechanical Contractor MICHAEL HIATT CONSTRUCTION LLC CCB 152009 06/28/2014 541-485-0219 Plumbing Contractor KEVIN COHEN PLUMBING INC CCB 176311 05/30/2015 541-607-9208 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. 1160 UFER Ground Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. • 1220 Und^rTflotraTia Orerlon law requires you to 1260 FraiineW rules adopted by the Orei r, Il ection: Prior to cover and after all rough in inspections have been Notification Center. Those rules a�pp�brt 1410 Unideiftoon insu�ailo�-0010 tnrougn u'-t t ,02-001- nf the rules by NfTICF' 1420 Insulallon.G IL4 PO;Ol3arrierer. (Note: the teleph:;cc' THIS PERMIT SHAI I FXPIRF IF TI-IF WORK 1430 InsulationlWallfor the Oregon away 14tvall'lnsula ion: Prior to covecUTHORIZED UNDER THIS PERMIT IS NOT 1440 Insulation Ceiling Ceiling Insulation: Prior to cb'vei�/IIVItNCED OR IS ABANDONED FOR DAY PERIOD 1520 Interior Shearwall Shear Wall Nailing: Before covering snea hln materials. 1530 Exterior Shearwall • 1540 Gypsum Board/Lath/Drywall Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum board, interior and exterior are in place, but prior to plastering. 1999 Final Building Final Building: After all required inspections have been requested and approved and the building is complete. 1550 Firewall Firewall: Located and constructed according to plans. Springfield Building Permit 7/12/2013 9:49:15AM Page 1 of 2 • • SPRINGFIELD 225 Fifth Si CITY OF SPRINGFIELD Springfield,OR 97477 �} �' Phone: 541-726-3753 "i OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 , PERMIT NO: 811-SPR2013-00484 wwv.springfleld-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 fr t of the property, and the approved set of plans will remain on the site at all times during construction. ✓` • 7-4_73 Owner or Contractor Signature Date • • • • r.. • . _ ' il ' t Springfield Building Permit 7/12/2013 9:49:15AM Page 2 of 2 - r• SPRINGFIELD CITY OF SPRINGFIELD 1 T+ a : 225 Fifth St [ TRANSACTION RECEIPT Springfield,OR 97477 �I 541-726-3753 ,OREGON 811-SPR2013-00484 www.springfield-or.goy 1810 10TH ST permitcenter @spdngfield-or gov RECEIPT NO: 2013001519 RECORD NO:811-SPR2013.00484 DATE:07/12/2013 .e . _ rSa 7rSv ,3461702':_;s ACCOUNTCODEJTRANS.CODE ?T,tIkr-,ia�.4ya lie :o -,' : Address Assignment, each new or change 224-00000-425602 1020 76.00 Planning-Major Review-City 100-00000-425002 1231 211.00 Residential Fire(.05 Per Sq Foot) 100-00000-424005 9111 130.80 SDC:Administrative Fee-MWMC Regional Wastewater SDC 611-00000-426604 1189 10.00 SDC: Compliance Cost-MWMC Regional Wastewater SDC 444-00000-426607 1113 45.22 SDC: Improvement-Transportation SDC 447-00000-448027 1174 931.11 SDC: Improvement Cost-Local Wastewater 443-00000-448025 1184 1,152.74 SDC: Improvement Cost-MWMC Regional Wastewater SDC 445-00000-448025 1187 2,784.08 SDC: Improvement Cost-Storm Drainage 440-00000-448028 1176 537.47 SDC: Reimbursement-Transportation SDC 446-00000-448026 1173 255.47 SDC: Reimbursement Cost-Local Wastewater 442-00000-448024 1183 2,361.83 SDC: Reimbursement Cost-MWMC Regional Wastewater SDC 444-00000-448024 1186 216.28 SDC: Reimbursement Cost-Storm Drainage 441-00000-448029 1177 368.96 SDC:Total MWMC Administration Fee—Local - 719-00000-426604 1121 152.78 SDC:Total Sewer Administration Fee 719-00000-426604 1175 175.73 SDC:Total Storm Administration Fee 719-00000-426604 1180 45.32 SDC:Total Transportation Administration Fee 719-00000-426604 1190 59.32 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 142.14 Structural Building Permit Fee 224-00000-425602 1002 1,370.62 Technology fee(5%of permit total) 100-00000-425605 2099 63.03 Willamalane fees-Single family attached 821-00000-215023 1074 6,770.00 TOTAL DUE: 17,859.90 PAYMENTNN IYBE _PAY,OR cnsweR::.ltM - ;COMMENTS. AMOUNTfPAID Check HIATT MICHAEL G 8 WENDY K 17,859.90 386 • TOTAL PAID: 17,859.90 • • SPRINGFIELD- CITY OF SPRINGFIELD A 225 Fifth St TRANSACTION RECEIPT Spnngfeld,OR97477 OREGON 541-72G9753 811-SPR2013-00484 www.spnngfield-or.gov 1810 10TH ST 1812 perrnitcenter @spnngfield-cr.gov RECEIPT NO: 2013000466 RECORD NO:811SPR2013-00484 DATE:03/11/2013 C •R ' : o 'Z_„ :'__.:Taft_ :',.--;.n.+— 41'_,_:_.'.:__, :;ACCOUNTCODELT- •NSCODEp^ ' : =AMOUNT'DUE Same as Plan Review Submittal 224-00000-425602 1060 250.00 TOTAL DUE: 250.00 ""n" -- - ._ AMOUNTPA —�_-- P,AYMENT�TYPE PAYO�R�cnsxleR:.ccnw!exTeR COMMENTS �..,I� Check MICHAEL HIATT 250.00 312 TOTAL PAID: 250.00 • 11 Structural Permit Application DEPARTMENT USE ONLY CITY OF SPRINGFIELD, OREGON t . '�— /` .-. ,. . � " Permit no.:91,..-� 7 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753•FAX(54I)726-3689fi._- ✓' r" I Date: 3// ///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. I •LOCAL GOVERNMENT.`;APPROYAL /�-,,,t "_�„Q-( /g L( ` ' / / G ^ 20 ]Q 4t Sr This project has final land use approval. H i"• �. lJ_ -. ! IL( t0. I l D I� Signature: Date: FEE SCHEDULE - . -. This project has DEQ approval. 1.-valuation infot-n��ra'"tion _ 1,:. ,,1.;'i Signature: - Date: (a) Job description:f.43 .D.,_,,to co, Zoning approval verified: Yes ❑No Occupancy i(7 /(A Property is within flood plain: ❑Yes Z_No Construction!type: Ai ::, .s— CATEGORY¢OFkcONSTRUCTION>< Square feet: 'Residential ❑ Government ❑ Commercial Cost per square foot: JOB SITE INFORMATION'?•AND LOCATION �7/ / / 2 /b Y`/` St. Other information: Job site address: / Type of Heat: City:—ate State' 'xC ZIP:9 J'�]7 Energy Path: Subdivist ,'/g #.2.4ra 1 Lot no.: .❑ alteration ❑ addition Reference: Taxlot: PROPERTY OWNER (b)Foundation-only permit? ❑Yes ❑No Total valuation W Name: iiiO4-44-e i /Ikr& �-2�•Bmlding-fees ":. , Address: 37 9 t'� ) at7 haivc C n (a) Permit fee(use valuation table) $ i330.— City: C , . State:O h_ Z1P:y 7t/U/ (b)Investigative fee(equal to[2a]): $ Phonerig��(•�`7 - al//y Fax - - /t'//L (ei.0 L4 ' I (c)(number of hours($ per hour): _E-mail: Ax--et �h't�.tit�i/[/- L cis (number of hours x fee per hour) $ This installation is being made on residential or farm property owned by (d)Enter-12%surcharge(.12 x[2a+2b+2c]): $ i��7 me or a member of my immediate family,and is exempt from licensing requirements under ORS 701.010. (e) Subtotal of fees above(2a through 2d): S 3 Plali review fees ,, K ` ; - Sign here: - - - < ; m CONTRACTOR INSTALLATION,.: (a) P S 270- "- - - (b)Fire and life safety(40%x permit fee[2a]): $ Business name:it/U(4a.(( 11iwy-r co/r.47— (c) Subtotal of fees above(3a and 3b): S Address: - 4;-sffitscellaneous fees City: State: ZIP: (a) Seismic fee, 1%(.01 xpermit fee [2a]) y $ �� Phone: - ' CC wk-6' Fax - - cpg TOTAL fees and surcharges(2e+321-42): S J7 V E-mail: CCB license no.:/14-1 C1O ? Print name: A4eC tire✓ ( G"r • Signature:i7.---"---------" , SUB CONTRA'CTORINFORMAT.IO:N` : Name CCB License Number Phone Number - - Electrical - • Plumbing Mechanical - P willarnalane • t, Park and Recreation District C�^ T7� Job. No. q5 ' 917(17 PARK AND RECREATION SYSTEM DEVELOPMENT CHARGE WORKSHEET Jan. 1-Dec. 31, 2013 . NAME: HMV— PHONE: 7%a02/9 ADDRESS: 3 l,? 2 $ 2S.- CITY: eifc STATE: ZIP: -N0,— LOCATION OF PROPOSED BUILDING SITE: Street address: /y/o 1 /777. /6tL S7— Plat name: Tax Lot Number: /7003 26/3 4O /6 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 2-, -7 X$3,385 per unit= $ 6 / 70 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(If applicable.SDC payer must furnish proof of credit approval.) ($ ) 3. TOTAL PARK AND RECREATION SDC ASSESSED $ �077O Z / /( / /3 City of Springfield Date of building permit submittal c(>" , /Z/ / 3 • City of Springfield Date of building permit issuance SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00485 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 07/12/2013 EXPIRES: 01/07/2014 STATUS DATE: 07/12/2013 APPLIED: 03/11/2013 SITE ADDRESS: 1810 10TH ST,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703261300102 TYPE OF STRUCTURE: Residential • PROJECT DESCRIPTION: New duplex-Same as 1818-1824 10th OWNER: HIATT MICHAEL G 8 WENDY K Phone Number: ADDRESS: 3283 JAYHAWK CT EUGENE OR 97405 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor L 8 E ELECTRIC INC CCB 105475 03/30/2014 541-933-2598 General Contractor MICHAEL HIATT CONSTRUCTION LLC CCB 152009 06/28/2014 541-485-0219 Mechanical Contractor MICHAEL HIATT CONSTRUCTION LLC CCB 152009 06/28/2014 541-485-0219 Plumbing Contractor KEVIN COHEN PLUMBING INC CCB 176311 05/30/2015 541-607-9208 INSPECTIONS REQUIRED Inspections 4225 Service or Feeder 4500 Rough Electrical Rough Electric: Prior to Cover 4999 Final Electrical Final Electric: When all electrical work is complete. By signature, I state and agree,that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further, certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. • ANTI yin aw requires you to of ow rules adopted by the Oregon Utility 7-41- . • "" • Notification Center. Those rules are set forth - Owner or Contractor_$igqaturre Date t I G E. In UNH 9b2-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by 'S PERMIT SHALL EXPIRE IF THE WORK calling the center. (Note: the telepl..•;-:: , HORIZED UNDER THIS PERMIT IS NOT number for the Oregon Utility Notification AMENCED OR IS ABANDONED FOR Center is 1-800-3i:2-2344). " 180 DAY PERIOD. • Springfield Building Permit 7/12/2013 9'57:47AM - Page 1 of 1 SPRINGFIELD— CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Spnngfield,OR 97477 . { 541-726-3753 ' OREGON 811-SPR2013-00485 www.spnngfieldor.gov 1810 10TH ST permitcenter@spnngfield-or.gov RECEIPT NO: 2013001517 RECORD NO:811-SPR2013.00485 DATE:07/12/2013 ) ]�.Ya1:71• a1 S �_x- 4� 1u�o'. �,;R 95 lf...':ACCOUNT'CODE/TRANS CODE s rr AMOUNT!DUE k Each added 500 sq.ft. or portion 224-00000-426102 1004. 50.00 Residence wiring 1,000 sq.ft. or less 224-00000-426102 1004 268.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 38.16 Technology fee(5%of permit total) 100-00000-425605 2099 15.90 TOTAL DUE: 372.06 NPAYAIIENT TYPE PAYOR Y-cnsHleRJLnrssaN.-_.--ufrtrCOMMENTS j.e5--vZir }=_ �r�_ Check HIATT MICHAEL G&WENDY K - 372.06 386 TOTAL PAID: 372.06 • • • • • SPRINGFIELD' 225 Fifth St CITY OF SPRINGFIELD Springfield,OR97477 Phone: 541-726-3753 _„"' OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00486 • www.springfeld-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 07/12/2013 EXPIRES: 01/07/2014 STATUS DATE: 07/12/2013 APPLIED: 03/11/2013 SITE ADDRESS: 1810 10TH ST,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1703261300102 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New duplex-Same as 1818-1824 10th OWNER: HIATT MICHAEL G&WENDY K Phone Number: ADDRESS: 3283 JAYHAWK CT EUGENE OR 97405 CONTRACTOR INFORMATION Contractor Type • Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor L 8 E ELECTRIC INC CCB 105475 03/30/2014 541-933-2598 General Contractor MICHAEL HIATT CONSTRUCTION LLC CCB 152009 06/28/2014 541-485-0219 Mechanical Contractor MICHAEL HIATT CONSTRUCTION LLC CCB 152009 06/28/2014 541-485-0219 Plumbing Contractor KEVIN COHEN PLUMBING INC CCB 176311 05/30/2015 541-607-9208 INSPECTIONS REQUIRED Inspections 2200 Underfloor Mechanical Underfloor Mechanical. Prior to insulation or decking and including required testing. 2300 Rough Mechanical Rough Mechanical: Prior to Cover 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 Cityyof 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 e property,and the approved set of plans will remain on the site at all times during construction. ATTENTION: Oregon law requires you to Owner or Contrfthlouy,iffittgeadopted by the Oregon Utility Date NOTICE: Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK OAR 952-001-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by calling the center. (Not the telep!-„;.,,: ;OMMENCED OR IS ABANDONED FOR number for the Orc tt N ott:a:ion "Y 180 DAY PERIOD. r Springfield Building Permit 7/12/2013 9:55:14AM Page 1 of 1 • SPRINGFIELD--- CITY OF SPRINGFIELD r s� 225 Fifth St r; eft TRANSACTION RECEIPT Spnngfield,OR 97477 OREGON 541-726-3753 811-SPR2013-00486 • www.springfield-or.gov 1810 10TH ST permitcentera@spdngfield-or.gov RECEIPT NO: 2013001516 RECORD NO:811•SPR2013-00486 DATE:07/12/2013 ]etX.Yolthalfoff a t,..: ;`' eylf._�,., .koc ''-a o e _ First Appliance Fee - 224-00000-425604 1006 79.00 Range hood/other kitchen equipment 224-00000-425604 1006 13.00 Single-duct exhaust(bathrooms,toilet compartments, utility room: 224-00000-425604 1006 54.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 17.52 Technology fee(5%of permit total) 100-00000-425605 2099 7.30 TOTAL DUE: 170.82 O€PYMENTETtCPE TAYORI. CASNIEli RLA sooa�' -WCOMMMENTS•Bf ?"r,. ''a4 •I 6;.:.i.;!IAM_OPNWAIDaTitgln, Check HIATT MICHAEL G&WENDY K 170.82 386 TOTAL PAID: 170.82 • • SPRINGFIELD - 225 Fifth St lik , __s._t4ii CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00487 vmw.springfieldar.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 07/12/2013 EXPIRES: 01/07/2014 STATUS DATE: 07/12/2013 APPLIED: 03/11/2013 • SITE ADDRESS: 1810 10TH ST,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703261300102 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New duplex-Same as 1818-1824 10th OWNER: HIATT MICHAEL G&WENDY K Phone Number: ADDRESS: 3283 JAYHAWK CT EUGENE OR 97405 • CONTRACTOR INFORMATION Contractor Type - Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor L&E ELECTRIC INC CCB 105475 03/30/2014 541-933-2598 General Contractor MICHAEL HIATT CONSTRUCTION LLC CCB 152009 06/28/2014 541485-0219 Mechanical Contractor MICHAEL HIATT CONSTRUCTION LLC CCB 152009 06/28/2014 541-485-0219 Plumbing Contractor KEVIN COHEN PLUMBING INC CCB 176311 05/30/2015 541-607-9208 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 efThRfet I&Upegfeldt$ndttNacitansltnOttile or Oregon pertaining to the work described herein, and that NO OCCUPANibelAllktiteltagleicif_fplii61349NrceweilgtitArtNi of the Community Services Division, Building.Safety. I further • certify thaticn7�(contEN4to[' .,a(tdPrrirloYgQ�� gr#,gr nce with ORS 70 10 a used on this project. I further agree to ensure Sa€b1l G$9uifedi psp3lctio,JlataieUraepuosAnirpa , er time,that each aZl t readable from the street, that the. permit cardi(lbca l ehltheyf( %rt of_the properYiPlne rues aved set of plans''y.;iplgl,�Rf (Itegtt tPlti at Irj THE WORK construction calling the r,nter. (Note: the teleph,:,f, Y AUTHORIZED UNDER THIS PERMIT IS NOT number :,,r the Oregon I Itiliitr ^' tion COMMENcEUR IS ABANDONED FOR c 9 ?-you-• 6,2-2314). -7-4P-1-819 DA ERIOD. Owner or ContractorSignature Date • Springfield Building Permit 7/12/2013 9:52:28AM Page 1 of 1 SPRINGFIELD - CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Spnrigfield,OR 97477 541-726-3753 OREGON 811-SPR2013-00487 vww.springfield-or.gov 1810 10TH ST permitcenter @spnngfield-or gov RECEIPT NO: 2013001518 RECORD NO: 811-SPR2013-00487 DATE:07/12/2013 DESCRIP_TION r- _-m ra, a,ili-a=�Tx�nEf_'AGGOUNTCOUELTRANS.CODEx ��_;�.':�7AMOUNTDUE=n? One or Two Family Dwelling with Two Bath 224-00000-425603 1005 748.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 89.76 Technology fee(5%of permit total) 100-00000-425605 2099 37.40 TOTAL DUE: 875.16 PAYMENTgEVPE` PAY,OR1ecA5HieR rgarr r ;COMMENTS, . fWAMOUNTWAID 'a`,',�,' jr§s'9-x"-, ,`., l Check HIATT MICHAEL G&WENDY K 875.16 386 TOTAL PAID: 875.16