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Permit Building 2013-9-19
SPRINGFIELD h<1 225 Fifth St �. CITY OF SPRINGFIELD Springfeld,OR 97477 �� Phone: 541-726-3753 OHEGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01451 www.springfield-or.gov - perm itcenter©springfield-ar.gov PROJECT STATUS: Issued ISSUED: 09/19/2013 EXPIRES: 03/18/2014 STATUS DATE: 09/19/2013 APPLIED: 06/28/2013 SITE ADDRESS: 2600 19TH ST,Springfield,OR 97477 SCOPE: Single Family Residence ASSESORS PARCEL NO: 1703243102100 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: STR-single family residence OWNER: MCLAUGHLIN JAMES T Phone Number: 541-729-4886 ADDRESS: 2428 RANCH DR • SPRINGFIELD OR 97477 OWNER: CLEVENGER-MCLAUGHLIN TAMERA A Phone Number: ADDRESS: 2428 RANCH DR SPRINGFIELD OR 97477 . • CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor RICK S PRODEN GCB 62927 03/02/2014 541-746-0064 INSPECTIONS REQUIRED Inspections 1020 Zoning Setbacks 1110 Footing Footing: After trenches are excavated. 1150 Slab/Flatwork • Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1410 Underfloor insulation 1420 Insulation.Vapor Barrier t0 cr;iOu 1430 Insulation Wall ^ taw to 11tA,l�sut� tn'erior to cover. 1440 Insulation Ceigrisstptd••copied by�o tUt�'sil 100311. Prior to cover. 1520 Interior S �r)\g1�ll. renke•;ot bhc U9 Shy...Ycj dlyOr-rrv�a�iVg: Before covering sheathing with finish materials.klen 1530 Exterior s}bsedltrrJ4llg52-O Obtain r,te•.the tnt _etlon • 1540 Gypsum Beegtn•a#AtOYgg0n pre0on\-No`,V�t3VirNpcior to taping. Lath/Plaster: To be made after all lathing and gypsum rOngt for the t gp0- rtl. interior and exterior are in place, but prior to plastering. „-.'r-; 1999 Final BuildingnUCnb Center 15 Final Building: After all required inspections have been requested and'appry11R1t1 the building is complete. P\���t-�icXt. S__`v0 �`Gt ,\�SNNF t�AS Do�v0,OF�p, • . '�1�\Sps; n�o0�\S p6PN Pc��`1 op QER\0� Springfield Building Permit 9/19/2013 10:26:34AM ��` Page 1 of 2 • SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 7,Ss.. tii Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01451 www.springfield-ar.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 construction. 2i2li,t/a. ,L47(/G°/ -'ilw 9-/ ?-2o/ Owner or Contractor Signature Date • Springfield Building Permit 9/19/2013 10:26:34AM Page 2 of 2 , . .......____Ali hte SPRINGFIELD CITY OF SPRINGFIELD 5 ■ ...... 225 Fifth St TRANSACTION RECEIPT Springfield,OR 97477 OREGON 541-726-3753 811-SPR2013-01451 www.springfield-or.gov 2600 19TH ST permitcenter@springtield-or.gov RECEIPT NO: 2013001379 RECORD NO: 811-SPR2013-01451 DATE:06/28/2013 16ESCRIPTION . - -7-.1-77::,- -.17 - , .,ACCOUNT OODE/IRARS CODE: 71:;:- AMOUNT...OULU Structural Plan Review Fee Residential 224-00000-425602 1061 115283 TOTAL DUE: 1,152.83 PAYMENTJYPE., P.AYOR 'CASHIER:osowLssv. IL : COMMENTS;_;,--",,1",-,,-:_,J . ..-.. AMOUNT PAID ' " . .."1 Check CLEVENGER-MCLAUGHLIN TAMERP 1,152.83 1916 TOTAL PAID: 1,152.83 • • Structural Permit Application SPRINGFIELD -- DEPARTMENT,USE ONLY, P: a ,Ii TIY4OFiS 9.- ELDAOREGON� ear iiiriVac,>�'ta 4 Permit no.. 0/(-1 225 Fifth Street•Springfield,OR 97477•PH(541)726-3753♦FAX($41)726-3689 OREGON S/3 —� Date: 6(z l/� 3 This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days of i suance or if work is suspended for 180 days. ;Y.- A' ; .;LOCAC.;GOVERNMENT: APPROVAL 15.,$vµ'j„4( TS.;°g.`"; ::% .` t ,FEE:SCHEDULE I ,` „:r =3: '` '4'K This project has final land-use approval. 1 oYaluahoninformahon1. ', ,,t a„s.-:-Z r *`is..'4.ai Signature: Date: (a)Job description: 5,.. • This project has DEQ approval. Occupancy in LA_ Signature: Date: Zoning approval verified: ❑Yes ❑No Construction type: V f S / p Property is within flood plain: ❑Yes ❑No Square feet: Z$ZS /b / S <yr,Lu te,F.;t ,CATEGORY OF,CONSTRIICTIQN01 F ,_., '.- ;:-, Cost per square foot K (� I"1- -r raE t L-e• ,XResidential ❑Government ❑Commercial Other information: 7.1y��.�_",M1 `-0.`y JNLrJOB SITE;INF.ORMATriSii- ND LO TION'x%` .k �`e Type of Heat G /��layr-�oo� Job site address: ?C 6 0 ' /'1 L S t� Energy Path: City: S PP State:State: a 2 ZIP: 7 N77 new ['alteration ❑addition ! 71 Subdivision: r Lot no.: OZJ�d (b)Foundation-only permit? ❑Yes SrNo q ( J Lb Reference:/70 3 2,`l S ( Taxlot it Total valuation: $ 'tra IS f�,sst,�_, PROPERTY:OVVNER ?; sa . .ar .2c�BuddtuetilA�+frA[ `?. na"`�nrs�t:k..rs ; i4 r,: i\.r .A _, 1..-.... ..r,_.. .:+. g: ;:u'. .» .dv-,.r.. J iY. f't..: (IY Name: \tYV� dlG-M)b 1U U (a)Permit fee(use valuation table): Address: b�\�.Pp4%i_PI Y 7— t-� (b)Investigative fee(equal to[2a]): $ / City:G�p Atr16 5LP StateOV., Zlivl��l (c)Reinspection($ per hour): $ Phone: , 2� '—rw-p Fax: - - (number of hours x fee per hour) -�` �- S.�� E-mail: riew t-(yT-v (a &I-GI u,CL7 f l (d)Enter 12%surcharge(.12 x[2a+2b+2c1): $ a 3 (e)Subtotal of fees above(2a through 2d): . $ Building Owner or Owner's agent authorizing this application: l-3:Plan review,fees ;,. ,I , ; o.i5 r' "^Ti*+ rL;; r rst: (a)Plan review(65%x permit fee[2nD: S i — 6 ,/^Sy4 Sign he (b)Fire and life safety(40%x permit fee[2a]): $ gig '----- ❑This installation is being eon residential or farm property owned by (c)Subtotal of fees above(3a and 3b): $ me or a member of my immedia family,and is exempt from licensing 4:iMiscellaneoiis fees__q '.ti 4y } ,- Iii 9 '' . requirements under ORS 701.010. _ e,.+ (a) Seismic fee, 1%(.Ol x permit fee[2a]): $ t'g'l= �r�?f ^�;=e;;CONTRACTOR f NSTALLATION'' (b)Technology fee,5%(.05 x permit fee[2a]): $� � Business name:740DE71 f�w--CS A TOTAL fees and surcharges(2e+3c+4a+4b): $ Address: al/LC State: ZIP: al/LC Phone: - - Fax: - - CCBE-mail: 6Z9Z7 CCB li cense no.: Print name: Signature: m'.-`„ 5116 CONTRACTORINFORMATION M `. Name CCB License# Phone Number Electrical Plumbing Mechanical SPRINGFIELD CITY OF SPRINGFIELD q `r' 225 Fifth St ``O R'EGON TRANSACTION RECEIPT Springfield.OR 97477 (` 541-726-3753 811-SPR2013-01451 www.springfield-or.gov - 2600 19TH ST permitcenter @springtield-or.gov RECEIPT NO: 2013002082 RECORD NO:811-SPR2013-01451 DATE:09/19/2013 DESCRIPTION ACCOUNTTCCODE/TRANS CODE AMOUNT DUE 1 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 263.81 Structural Building Permit Fee 224-00000-425602 1002 485.86 Structural Plan Review Fee Residential 224-00000-425602 1061 276.16 Technology fee(5%of permit total) 100-00000-425605 2099 112.02 TOTAL DUE: 1,137.85 PAYMENT.TYPE PAYOR. 'CASHIER(DBOWLSBY COMMENTS _, _ AMOUNT PAID` : = Check CLEVENGER TAMERA 1,137.85 506803 TOTAL PAID: 1,137.85 • aa„..zarati I. CITY OF SPRINGFIELD NOnsc n ���esoN TRANSACTION RECEIPT o^Fifth m S,noghem^Rynrr 541-726-3753 811'SPR2013'01451 . xmw,paonouo-o^gm 2600 19TH ST ,'nn/xxote"g`vno99do*r goy RECEIPT NO: 2013002078 RECORD NO:011'Spnzo13'o1451 DATE:09/19/2013 — -. 7—'`:-- 7-'— S CODE 'r7��' Address Assignment,each new or change 1020 42 00 Planning-Major Review-UGB 100'00000425002 1231 286 00 Residential Fire(05 Per 8qFoot) 100-00000'*24005 9111 20160 SDC: Improvement-Transportation SDC 447'00000'**8027 1174 955.32 SDC: Improvement Cost-Storm Drainage 440-00000'448020 1176 97217 SDC: Reimbursement-Transportation SDC 446A0000-448026 1173 262.11 SDC: Reimbursement Cost-Storm Drainage 441-00000-448029 1177 667.37 SDC:Total Storm Administration Fee 718'00000-426604 1180 81.98 SDC:Total Transportation Administration Fee 719'00000^126804 1190 60.87 Structural Building Permit Fee 224'00000'425602 1002 1.712.58 vanumu|ane fees'Single family detached 821-00000-215023 1074 3A10 00 TOTAL DUE: 8.712.00 '".P/���Ew-- - �]`~,����`9AxO�� /C^nmE,'DawwLoo,|�/���`''.'//,.�cp mT|PA0.`�,~�� �` .`.' ^> Credit C���~~'—^ CLEvEN6ER'Md/���H[��TAMERA ~~ ~~ 8.712.00 07373b TOTAL PAID: 8.712.00 • ' . . SPRINGFIELD--- 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 `to OREGON Phone: 541-726-3753 Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01453 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 09/19/2013 EXPIRES: 03/18/2014 STATUS DATE: 09119/2013 APPLIED: 06/28/2013 SITE ADDRESS: 2600 19TH ST,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1703243102100 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: MEC- single family residence OWNER: MCLAUGHLIN JAMES T Phone Number: 541-729-4886 ADDRESS: 2428 RANCH DR SPRINGFIELD OR 97477 OWNER: CLEVENGER-MCLAUGHLIN TAMERA A Phone Number: ADDRESS: 2428 RANCH DR SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor RICK S PRODEN CCB 62927 03/02/2014 541-746-0064 LINSPECTIONS REQUIRED Inspections 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. 2420 Hydronic Piping 2995 Final Gas Final Gas: When`)Mi?aaas work is complete. 2999 Final Mechanical Final Mechanise': ton all mechanical work is complete. cep' te9 se. O° $4�� O e Q� py By signature, I state and agree, that I have �re�f tLyy,�exae as,rJlrnovr�lpletekd application and do hereby certify that all information hereon is true and correct ae;acr r iany�annd',all work performed shall be done in accordance with the Ordinances of the City of Springf" d.' q "S ateeorOregonrpevrtaining to the work described herein, and that NO v ,,` �..e -. . OCCUPANCY will be made.( yttli �a�tVv �,,N,z.,et(+1i scion of thetommunity Services Division, Building Safety. I further - . . certify that only contractorsAa eb # (1'fio geAn gemlpl nce withlORS 701.005 will be used on this project. I further ag ee" O der ti e to ensure that all required ir�p�.t(e �r �st{Oat hsCpropar time,that each address is readable from the street,thaFthe O� permit card is located at lheQ�or�t� tp� $rprt�SeLapproved set of plans will remain on the site at all timesdu}ring' ��, construction. \� gc3., g.. ter .\5 N- ' S --r iko a/,vrlPAa A-Tril/ /�IECL cI-/y zb/3 \P-•it:c 04�� Owner or Contractor Signature Date G`•• \.C3 r\& pOP . ' � 0 • G g Springfield Building Permit 9/19/2013 10:27:45AM Page 1 of 1 SPRINGFIELD - CITY OF SPRINGFIELD 1• �'` 225 Fifth St O R "i-S TRANSACTION RECEIPT Springfield,OR 97477 OREGON 541-726-3753 811-SPR2013-01453 www.springfield-ar.gov 2600 19TH ST permitcenter©spdngfield-or.gov RECEIPT NO: 2013002080 RECORD NO: 811-SPR2013-01453 DATE:09/19/2013 EDESCRIP.TION ACCOUNT CODE/TRANS`CODE AMOUNT DUE First Appliance Fee n 224-00000-425604 1006 80.00 Flue vent for water heater or gas fireplace 224-00000-425604 1006 10.00 Gas Piping-each additional above 4 224-00000-425604 1006 9.00 Gas Piping up to 4 outlets 224-00000-425604 1006 7.50 Range hood/other kitchen equipment 224-00000-425604 1006 14.50 Single-duct exhaust(bathrooms,toilet compartments, utility room: 224-00000-425604 1006 30.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 20.34 Technology fee(5%of permit total) 100-00000-425605 2099 8.48 Water heater 224-00000-425604 1006 18.50 TOTAL DUE: 198.32 PAYMENT TYPE- PAYOR CASHIER:osOweser 'r " COMMENTS -' :_„ , . AMOUNT PAID -= - ,I Credit Card CLEVENGER-MCLAUGHLIN TAMERP 198.32 07373b TOTAL PAID: 198.32 SPRINGFIELD 225 Fifth St `'_�° • CITY OF SPRINGFIELD Springfield,OR 97477 (`41-1 Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 . Fax: 541-726-3676 • PERMIT NO: 811-SPR2013-01452 • www.springfield-or,gov permitcenter @springfield-or.gov PROJECT STATUS: Issued . ISSUED: 09/19/2013 EXPIRES: 03/18/2014 STATUS DATE: 09/19/2013 APPLIED: 06/28/2013 SITE ADDRESS: 2600 19TH ST,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703243102100 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: ELE-single family residence OWNER: MCLAUGHLIN JAMES T Phone Number: 541-729-4886 ADDRESS: 2428 RANCH DR SPRINGFIELD OR 97477 OWNER: CLEVENGER-MCLAUGHLIN TAMERA A Phone Number: ADDRESS: 2428 RANCH DR SPRINGFIELD OR 97477 CONTRACTOR INFORMATION II Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor RICK S PRODEN CCB 62927 03/02/2014 541-746-0064 INSPECTIONS REQUIRED II Inspections 4140 Underground Electric Underground Electric: Prior to cover 4000 Temporary Power Service 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 codnpleted application and do hereby certify that all information hereon is true and correct, and I further certify that p"yL,���,, all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of thhaapitat�%r\L�y�le[l t ,pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure witheutt &rbrfaI R cz44t a unity Services Division, Building Safety. I further certify that only contractors and employee�tyh$ P wYi�°c glaripi y`�t) �q 701.005 will be used on this project. I further agree to ensure that all required inspectiQ(�pQ1rg,QgosTh fSf may,`:=r ti ty ?l lt each address is readable from the street,that the permit card is located at the,`fr `J`th 9`se�rt�to fid \eg�o\��es¢,1,®2,‘-‘" Wits will remain on the site at all times during• construction. «� rr G 0 oP , e kept. 0 0 apt\coy- lh - . dd i,vta �' P of o0,12 9 -/ 9-26/ 3 _ ��.t�0a Owner or Contractor Signatpros Ca\\�r9t\OC\�1•\5 Date t Oombe Get\e �Q���Q�Q�p��� '" ccR P" Springfield Building Permit 9/19/2013 10:25:38AM G0 CP' �$O Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth S TRANSACTION RECEIPT Springteld,OR97477 OREGON 541-726-3753 811-SPR2013-01452 www.springfeldocgov 2600 19TH ST permitcenter @springfield-or.gov RECEIPT NO: 2013002081 RECORD NO:811-SPR2013-01452 DATE:09/19/2013 [DESCRIPTION' "�__-_ • •" r, ,„ 4- ACCOUNT CODE/TRANSCODE' - ..AMOUNT DUE" Each added 500 sq. ft. or portion 224-00000-426102 1004 247.50 Residence wiring 1,000 sq. ft. or less 224-00000-426102 1004 147.50 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 55.68 Technology fee(5%of permit total) 100-00000-425605 2099 23.20 Temp services 200 amps or less 224-00000-426102 1003 69.00 TOTAL DUE: 542.88 /PAYMENT:T -.� PAYOR,.: CASHIER:DeOWLSev ° COMMENTS ' •= AMOUNT PAID,'.: ;+. Check W YPE CLEVENGER TAMERA 542.88 506803 TOTAL PAID: 542.88 • • • • 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-SPR2013-01454 www.springtield-orgov permitcenter@springfield-or.gov PROJECT STATUS: Issued ISSUED: 09/19/2013 EXPIRES: 03/18/2014 STATUS DATE: 09119/2013 APPLIED: 06/28/2013 SITE ADDRESS: 2600 19TH ST,Springfield,OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL NO: 1703243102100 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: PLM-single family residence OWNER: MCLAUGHLIN JAMES T Phone Number: 541-729-4886 ADDRESS: 2428 RANCH DR SPRINGFIELD OR 97477 OWNER: CLEVENGER-MCLAUGHLIN TAMERA A Phone Number: ADDRESS: 2428 RANCH DR SPRINGFIELD OR 97477 • _ CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor RICK S PRODEN CCB 62927 03/02/2014 541-746-0064 INSPECTIONS REQUIRED II Inspections 3150 Underslab Plumbing Underslab Plumbing: Prior to filling the trench and including required testing. 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. 3450 Drywell/Soakage Trench Drywell: Engineered Drywall is Required. • 3500 Rough Plumbing Rough Plumbing: Prior cover and including required testing. 3999 Final Plumbing Final Plumbing,•SWhe tubing work is complete. ' r ceQ eCP n� e0 nV By signature, I state and agree, that I have carefully exarniR4 ths�a l ,a lication and do hereby certify that all information hereon is true and correct, and I furthfr��� _''rrAAc�ertjWy ba't }>y i *0`drlcperformed shall be done in accordance with the Ordinances of the City of Springfield andJt 'w & t etas Sb Stif f° a` Og to the work described herein, and that NO OCCUPANCY will be made of any.itOdu edrnfkgtel,ceeuit.S%lo`r✓SORgQr�Sd ` Aty Services Division, Building Safety. I further certify that only contractors a (eriipNl asewbgi%sipm'cgm�l a, rGtcls%'tk1\J���`qR\S. 701.005 will be used on this project. I further agree to ensure that all required ins Dns, r,Bc' gySle�t �� tp4o h Iti each address is readable from the street,that the . � . Rb permit card is located at the fro tOtti�akfe.arkVie apttAvsJ?s of plans will remain on the site at all times during r,' 4, construction. OP NO e Ge Ote g00 ;-.. ',..4.1,:"' o.. 00- 0\--e 0 fie s . \� ��5��` . ,'Q e i as"A r 11.x;44- �, Cam 9-/9-2oi3 Q\�Q���\\o�o�,• Owner or Contractor Signature • Date `C`• \�S\\w\3*�-�%\P\0QON� \cc �Q`� ' \S P Springfield Building Permit 9119/2013 10:29:00AM h\vNt Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD -v(\,� 225 Fifth St `"`OREGO> TRANSACTION RECEIPT Spnngfield,OR 97477 ` 541-726-3753 811-SPR2013-01454 wxws96999eld-or.gov 2600 19TH ST permitcenter©springfield-or.gov RECEIPT NO: 2013002079 RECORD NO:811-SPR2013-01454 DATE:09/19/2013 [DESCRIPTION • =. - _ ,". ACCOUNT.CODE/TRANS,CODE " AMOUNT DUE ±S Drywell 224-00000-425603 1005 21.00 One or Two Family Dwelling with Three Bath 224-00000-425603 1005 483.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 60.48 Technology fee(5%of permit total) 100-00000-425605 2099 25.20 TOTAL DUE: 589.68 [PAYMENT TYPE PAYOR CASHIER:osoWLSeY: COMMENTS . �� ,. '.,, AMOUNT PAID � ', Credit Card CLEVENGER-MCLAUGHLIN TAMERP 589.68 07373b TOTAL PAID: 589.68 Show Receipt Detail Page 1 of 1 RECEIPT Springfield SPRINGFIELD 225 5TH STREET Dave Puent Set ID:2600 19TH Set Name:2600 19TH • Payment Method Ref Number Amount Paid Payment Date Receipt No. Cashier ID Cash Drawer ID Received Comments Credit Card $9,500.00 09/19/2013 3849 DBOWLSBY DJB https://ay.prod.oregon.accela.com/portlets/fee/receipt V iew.do?mode=viewSet&setReceipt... 9/19/2013 ' Show Receipt Detail Page 1 of 1 RECEIPT Springfield SPRINGFIELD 225 5TH STREET Dave Puent Set ID:2600 19TH Set Name:2600 19TH Payment Method Ref Number Amount Paid Payment Date Receipt No. Cashier ID Cash Drawer ID Received Comments Check $1,680.73 09/19/2013 3850 DBOWLSBY DIB https://ay.prod.oregon.accela.com/portlets/fee/receiptView.do?mode=viewSet&setReceipt... 9/19/2013