HomeMy WebLinkAboutPermit Building 2006-10-26
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01092
ISSUED: 10/26/2006
APPLIED: 08/25/2006
EXPIRES: 04/2612007
VALUE: $ 183,656.00
SITE ADDRESS: 5580 Franklin Blvd
ASSESSOR'S PARCEL NO.: 1803101000200
Eugene
TYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Single Family Residence
Owner: CARLOS ANGELO
Address: 1959 ANTHONY WAY
EUGENE OR 97404
Contractor Type
General
Electrieal
Mechanical
Plumhing
Phone Numher: 541-895-3200
I CONTRACTOR INFORMATION I
Contractor
ADAIR HOMES INC
ROSE CORPORATION
ROSE CORPORATION
3T PLUMBING INC
Phone
503-645-1156
541-686-0905
541-686-0905
503-932-2719
I PUBLIC 1~\vENIENTS I
" II ~ I'lll'"'' "MI'ill E~iBbWiillFifilPe:WORK
AUTHORIZED UNDER IHI~ PF T.
No COMMENCED OR IS D'o\Vrlsp~tMIID~,.W;lT
ABANDONED FOR
ANY 180 DAY PERIOD.
Storm water will he piped to existing ditchline per phone conversation 9/25 w/Anne R @ Adair Homes. Billy is
following up with LDAP issues & approval. Septic system to be approved hy Lane County Sanitarian.JLP
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Sethack:
Side 1 Sethack:
Side 2 Sethack:
Rearyard Sethack:
Solar Setbacks:
Street Improvements:
Storm Sewer A vailahle:
Special Instruction:
Notes:
License
593
54431
54431
147077
Expiration Date
03/19/2008
09/30/2008
09/30/2008
03/0212009
BUILDING INFORMATION I
1 # of Stories: I Lot Size:
R-3 Height of Structure 17.00 Sq Ft 1st Floor: 1,728
U Typel/ifmSi:IIUI\I.Ult\WiiJliHeat3QUSij!Fl''2b'ci:<Floor:
VB Watl;rlir.yjie:Jles adopteCEll\<trle1 OnS.!l:Ft iIiiisi!lJlent:
Rarigeiif~pe:Jn Center. TEllectricJles SqEFt;Gar<'l~/Carport 484
3 EriergytP.iltI152-001-0010 tl"'a,t!!!!h O,SlJl~t:.lltlJ.e.r;
SP.!iiJI!<!e.d\ltujl\l.il!g,: obtain c'!!~ies ofQ~S'1P..~!!!;It.9,ad:
._~....... ,.......,..,..."......... ........0. L1IC lOIC'!JIIVIIt:1
I DEVELOPM<.J~'J_mf.ORMATlO!')i_IJlility Notification
, Center is 1-800-332-2344). REQUIRED PARKING
Overlay Dist: Urban Fringe Total: 2
75.00 # Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
12.00 % of Lot Coverage: 7.20
5.00
Paee 1 of 4
-IaIrT"l~~~'
,
"-,-
. .
'- -. .,--,--. ~
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
V Wood Frame
Garaee
Dwellines
Garaee
Fee Description
Plan Review Same As
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
2 Baths One or Two Family
Addressing Assignment
Building Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Minimum/Adjustment Mechanical
Plan Review Major - Planning
Residenee Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Storm Sewer Each Addtll00'
Vent Fan
Water Line - Each AddtlIOO'
Total Amount Paid
Initial Review
08/25/2006
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01092
ISSUED: 10/26/2006
APPLIED: 08/25/2006
EXPIRES: 04/26/2007
VALUE: $ 183,656.00
I v alu at' 011 Oescrintion I
1111111111 _
$ Per Sq Ft
or multiplier
$99.00
$26.00
Square Footage
or Bid Amount
1,728.00
484.00
Value
Date Calculated
Total Value of Project
$171,072.00
$12,584.00
$183,656.00
08/25/2006
08/25/2006
Fpp<. PIilLI
Amonnt Paid
Date Paid
Receipt Number
$200.00
$10.00
$143.93
$76.33
$106.29
$254.00
$31.00
$838.65
$6.00
$9.00
$110.60
$18.00
$198.00
$106.00
$57.00
$40.74
$814.88
$14.00
$12.00
$14.00
8/24/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
2200600000000001192
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
, 1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
$3,060,42
I Plan Reviews I
08/25/2006
APP LLH
Exempt from Willamalane SDC's.
See attached documents.
Paee 2 of 4
. CITY OF SPRIN~NI'.,L1.i
Building/Combination Permit
PERMIT NO: COM2006-01092
ISSUED: 10/26/2006
APPLIED: 08/25/2006
EXPIRES: 04/26/2007
VALUE: $ 183,656.00
.
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax '
541-726-3769 Inspection Line
Plannine Review
08/25/2006
10/06/2006
APP T AJ
Puhlic Works Review
08/25/2006
09/25/2006
APP JLP
Structural Review
08/2512006
OK DLM
I) Property is zoned LDR, hut
designated LMI. It is OK to remain
residential until urban services are
availahle and annexation occnrs per
Gret Mott. 2) Access is via a
recorded easement (reception #
61658, LCOR). 3) Preserve the
trees along the Franklin Blvd
frontage in lieu of required street
trees. 4) Tree Felling Permit is
required if more than 5 trees 5" dhh
or greater are felled.
Storm water will he piped to existing
ditch line per phone conversation
9/25 w/Anne R @ Adair Homes.
Billy is following up with LDAP
issues & approval. Septic system to
be approved by Lane County
Sanitarian.JLP
Master Plan from the State of
Oregon.
See documents for City Bldg. Div.
plan review comments.
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
~~nprtinn~.1
Erosion/Grading Inspection: Prior to ground disturhance and after erosion measures are installed.
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 bnt prior to concrete placement.
Post and Beam: Prior to tloor 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.
Final Building: After all required inspections have been requested and approved and the huilding is complete.
Undertloor Plumbing: Prior to insulation or decking.
Paee 3 of 4
.
. CITY OF SPRINl.t<mLD
Building/Combination Permit
PERMIT NO: COM2006-01092
ISSUED: 10/26/2006
APPLIED: 08/25/2006
EXPIRES: 04/26/2007
VALUE: $ 183,656.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Underlloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Line to Septic Tank: Prior to filling trench and required testing.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
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 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 compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all reqnired 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.
~~
Owner or Contracr.(..s Signature
JtJ-1'~ ~ 6
Date
Pa2e 4 of 4
CITY OF SI'RINuhEI.D. OREGON
225 FIFl1I STREET. SPRINGFIELD, OR 'T/477 . PII,(541)726-3753 . FAX, (541)726-3689
ELECTRICAL PER1!flT APPUJ;ATION
City Job Nwnber ~ 0 _ \~Q.II/
1. LLOCATION OF INSTALlATION: .
~~~() ~n~\1l\
LE\go3mOfo wl)ff)
JO~x~rno;) _ 0 ~
Permits are ~ransferabte and expi \ fwork is
not started :i~~ 180 days ofllluance't) If work is
Suspended for 180 days.
wr~=~
~ SOURCE
Date \ Ol'd-W I ) .Jit{o
3. I COMPLETE FEE SCHEDULE BELOW
A. I New Re.idential- Single or Multi-Family per dwelling unit
Service Included
1000 .q. ft. or less
Each additional 500 sq. ft. or
portion thereof
I
~o(l?
5f)~
\
.7.,
$106.00
$19.00
Each Manufacl'd Home or
Modular Dwelling Service or
Feeder
$50.00
2. I CONTRAcr'OJL..INSTALlATION ONLY I B. I Senices or Feeden -In.lallation, Alterations or Relocation:
Electrica1ConlIactor' ~I? _ (,. ,^ ...,r ^,I, OT\ 200 Amps or less $63.00
Pl. ~ ~ 201 Amps to 400 Amps $ 75.00
Address 'f')C{q'1lJ '.\... r '...\.{ l.lJ....J.\.....~ 401 Amps to 600 Amps $125.00
" 601 Amps to 1000 Amps $163.00
City l.1 \ r i' Q.u Phone l.l1O~ -0 q 0'5 Over 1000 AmpsIV01ts $375.00
I Reconnect Only $ 50.00
C. ,LTemporary Senrices or Feeders
"'II~^
fOIl "'",,
^ ,fiistaUatioii)lAlteratlon or Relocation
'VOt;!,. 'UI~ -''-'''u
i '. /liOO'Am s ili:jess " n Ie: $ 50.00
f) OAr.; -'f P. ~ted f.. l\I rt""
0090' 201:~p',ftS!I~ Amps'; the O~u"e.~ ,,_ $ 69.00
.,.~.(jn', /fl,,~ re '~utr.
o ,. ~O.b1'IDpslO.6.990AiiiPSe rut go" f. ...100.00
'q,lin-" "tiv nf..: th,,, eS q. -""""t)l
nUmb OVer,600_Aiiips'.or 1000[V:olts'see_:tB'~llbPye.
D:~f,Br~h'tw-cu%t-'vPle: o-,~r-r 95" Oo-"r
C -. t.. <:- ..
t:Jn, vren 8":'7J:'3 rlf':/ rill
N'ew'.<IJleration'Or. EXlensii)li~Per,PaDeH 6"
'~ 1-80 ~l/I/h, '''",n >
One Circuit 0-33<'Y Notifi one $ 43.00
~ \ ~eb Each Additional Circwi-5r?WiJj, '-<llion
~ ~ Service or Feeder Permit . $ 3.00
Owners Name
Address _ ~L\ ~ \J4)61/~ 1.M1.cellaneou. (Service/feeder not includedl-Ea<h In.tallation I
City WC\ ffie ~ Phone 'A.co.~ PE ~p or irrigation $ 50,00
\ 4UTH ~t1ine Lighting $ 50.00
OWNER INSTALLATION COMIvf OIi'/(~~~esidentia1 $ 25.00
The installation is being made on p'~p-Hi I 0"" wIl#y 1 E:NCt-iJ'.{IId/PJi~~lfIIIJ{fe1'l-i"}; $ 45.00
is not intended for sale. lease or rent. 8~~/filtFJrj{.g;t.'IS,1,f>l!J111Jn.~Rs/45.00 + Surcharges
Owners Signature: 4. I s'IJifJJo~8lJflD!f:/S NOr I \ \...o~CO
8% State Surcharge FOli \~~
10"10 Administrative Fee \ .
5% Technology Fee .\.
TOTAL ~ 4lt
SIwed Drivc(qlBuilding FonnolElcctrical Permit Applicotion 8-()6,doc
Supervisor License Nwnber \ 5 ~ p,~
Expiration Date I b' 1) l}.c () '1
Constr. Contr. Nwnber 5L\ L\ & I
Expiration Date q ) '?>() 1 ~ 0 0 t.J
Signature of Supervising Electrician
C2::Rf~ ~
inspection Request: 726-3769
J:r
t ~1{11
c.C"O .I1oJo'D
(3'''' 1/
CITY OF SINGFIELD SYSTEMS DEVELOPMEN.ORKSHEET
JOURl'!AL OR JOB NUMBER:
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
C0M2006-{) I 092
Carlos Angelo
5580 Franklin Blvd
180310 I 000200
SINGLE FAMILY RESIDENCE
o BUILDING SIZE (SF: 2212
LOT SIZE (SF):
o
r-
I'"
W
10
10
u
I~
IW
I-
'"
a
gj
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. I I CHARGE I
2428.00 I 50.336 = $814.88
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
! IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I I
I 0.00 I 50.336 50% = I
ITEM 1 TOTAL - STORM DRAINAGE SDC 5814.88 ~
2. SANITARY SEWER - CITY
DISCOUNT
$0.00
$814.88
1070
A REIMBURSEMENT COST:
I NUMBER OF DFU's I x
I 0
B. IMPROVEMENT COST:
I NUMBEROOF DFU's I x
519.79
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
COST PER DFU
526.03
so.oo
1091
so.oo
1092
)
= ,
so.oo
3, TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE I x i NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI
I 9.57 I 0 I I 519.81 I 1.00 SO.OO 1093
B. IMPROVEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTOR!
I . . 9.57 I 0 I I S87.39 I 1.00 ! SO.OO 1094
ITEM 3 TOTAL - TRANSPORT AnON SDC = I so.oo
4 SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I 0 I S91.61 = SO.OO 1054
B. IMPROVEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I 0 I I 5961.52 = 50.00 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) SO.OO 1054
MWMC ADMINISTRATIVE FEE SO.OO I 1056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , so.oo I
SUBTOTAL (ADD ITEMS 1, 2, 3, & 4) = , $814.88 .J
~,ADMINISTRATIVE FEE: ' ..
I SUBTOTAL 1 x I ADM. FEE RATE I~ I CHARGE
I 5814.88 I 5% $40.74
TOTAL SANITARY ADMINISTRATION FEE: 40.74 1079
TOTAL TRANSPORTATION ADMINISTRATION FEE: 50.00 1078
Jeff Prociw 9/27/2006 TOTAL SDC CHARGES =1 $855.62
PREPARED BY DATE
.
.
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT Co DRAINAGE FIXTIJRE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY TIlE NET ADDITIONAL FIXTIJRES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
I BATHTUB 0 0 3 I 0
IDRINKING 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
ILAUNDRY TUB 0 0 2 = 0
ICLOTHESWASHER / MOP SINK 0 0 3 = 0
ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRIG/WATER STATION / ETC. 0 0 1 = 0
IRECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
ISHOWER. SINGLE STALL 0 0 2 = 0
!SHOWER. GANG ~BER OF HEADS) 0 0 2 = 0
ISINK: COMMERCIALIRESIDENTIAL KITCHEN 0 0 3 = 0
ISINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 = 0
URINAL. STALL / WALL 0 0 5 = 0
TOll..ET. PUBLIC INSTALLATION 0 0 6 = 0
TOll..ET. PRIVATE INST ALLA TION 0 0 3 = 0 ':
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S I'
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 0 I
.EDU (Equivalent Dwc:11i!!~ Unit) is a disc~ equivalent to a single family dwellin~ unit (20 DRls) set at 167 gallons per day I,
'[
I
I
I
I
I
I
MWMC CREDIT'CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR ----,-----cREDIT RATElSI,OOOI/
ANNEXED I ASSESSED V ALUE I
2
IS LAND ELGlBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
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
$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
=
CREDIT FOR LAND (IF APPLICABLE)
VALUE /1000 CREDIT RATE
SO.OO x S5.29
- ,
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE /1000 CREDIT RATE
$0.00 x $5.29
TOTAL MWMC CREDIT
w.,....'..
2
1979
SO.OO
o
SO.OO
II'"
225 Fifth S.treet
SpringfieJa, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM200~-0 I 092
COM2006-0 I 092
COM2006-0 I 092
COM2006-0 I 092
COM2006-0 I 092
COM2006-01092
COM2006-0 I 092
COM2006-0 I 092
COM2006-0 I 092
COM2006-0 I 092
COM2006-0 1 092
COM2006-0 I 092
COM2006-0 I 092
COM2006-0 I 092
COM2006-0 1 092
COM2006-0 1 092
COM2006-0 1 092
COM2006-01092
COM2006-01092
Payments:
Type of Payment
Check
Check
Job/Journal Number
COM2006-01092
COM2006-0 I 092
COM2006-0 I 092
COM2006-0 I 092
COM2006-0 I 092
COM2006-0 I 092
COM2006-0 I 092
COM2006-0 I 092
COM2006-0 I 092
COM2006-0 I 092
COM2006-0 I 092
COM2006-0 I 092
COM2006-0 I 092
COM2006-0 I 092
COM2006-0 I 092
COM2006-0 1 092
COM2006-0 I 092
COM2006-0 1 092
COM2006-0 1 092
cReceintl
· ~;;~: fIIf:
u....-. ,.
~.
C.iMi...of Springfield Official Receipt
~opment Services Department
Public Works Department
RECEIPT #:
Date: 10/26/2006
1200600000000001569
Description
Addressing Assignment
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Fire SF Fee - Residential
Stonn Drainage Impervious Area
SDC Sanitary/Storm Admin
Plan Review Major - Planning
Building Permit
2 Baths One or Two Family
Storm Sewer Each Addtl 100'
Water'Line - Each Addtl1 00'
Vent Fan
Exhaust Hoods
Dryer Vent
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Item Total:
Paid By
PACIFIC CONIFERS LLC
ADAIR HOMES 1NC
Lheck Number Authorization
Received By Batch Number Number How Received
djb 1023 In Person
djb 1908 In Person
Payment Total:
Description
Addressing Assignment
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Fire SF Fee - Residential
Storm Drainage Impervious Area
SDC Sanitary/Storm Admin
Plan Review Major - Planning
Building Permit
2 Baths One or Two Family
Storm Sewer Each Addtl 100'
Water Line - Each Addtl1 00'
Vent Fan
Exhaust Hoods
Dryer Vent
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Item Total:
Page I of2
9:07:36AM
Amount Due
31.00
106.00
57.00
110.60
814,88
40.74
198.00
838.65
254.00
14.00
14.00
12.00
9.00
6.00
18.00
10.00
76.33
106.29
143.93
$2,860.42
Amount Paid
$1,351.77
$1,508.65
$2,860.42
Amount Due
31.00
106.00
57.00
110.60
814.88
40.74
198.00
838.65
254.00
14.00
14.00
12.00
9.00
6,00
18.00
10,00
76.33
10~,29
143,93
$2,860.42
10/26/2006
, '
Payme"ts':
Type of Pay.ment
Check
Check
cReceintl
RECEIPT #.1200600000000001569
l:heck Number
Paid By Received By Batch Number
PACIFIC CONIFERS LLC
ADAIR HOMES INe
djb
djb
Page 2 of2
Ate: 10/26/2006
Autho.on
Number How Received
1023
1908
In Person
In Person
Payment Total:
9:07:36AM
Amount Paid
$1,351.77
$1,508.65
$2,860.42
10/26/2006
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01092
ISSUED: 10/26/2006
APPLIED: 08/25/2006
EXPIRES: 04/26/2007
VALUE: $ 183,656.00
SITE ADDRESS: 5580 Franklin Blvd
ASSESSOR'S PARCEL NO.: 1803101000200
Eugene
TYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Single Family Residence
Owner: CARLOS ANGELO
Address: 1959 ANTHONY WAY
EUGENE OR 97404
Contractor Type
General
Electrical
Mechanical
Plumhing
Phone Numher: 541-895-3200
I CONTRACTOR INFORMATION I
Contractor
ADAIR HOMES INC
ROSE CORPORATION
ROSE CORPORATION
3T PLUMBING INC
Phone
503-645-1156
541-686-0905
541-686-0905
503-932-2719
I PUBLIC 1~\vEMENTS I
" II ~ I'L"",,, "MI'ill E~iBbWiillFifilPe:WORK
AUTHORIZED UNDER IHI~ PF T,
No COMMENCED OR IS D'o\Vrlsp~tMIID~,.W;lT
ABANDONED FOR
ANY 180 DAY PERIOD.
Storm water will he piped to existing ditchline per phone conversation 9/25 w/Anne R @ Adair Homes. Billy is
following up with LDAP issues & approval. Septic system to be approved hy Lane County Sanitarian.JLP
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Sethack:
Side 1 Sethack:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Slreet Improvements:
Storm Sewer A vailahle:
Special Instruction:
Notes:
License
593
54431
54431
147077
Expiration Date
03/19/2008
09/30/2008
09/30/2008
03/0212009
BUILDING INFORMATION I
1 # of Stories: I Lot Size:
R-3 Height of Structure 17.00 Sq Ftlst Floor: 1,728
U Typel/ifmSi:IIUI\I.Ult\WiiIJiHeat3QUSij!Fl''2b'ci:<Floor:
VB Watl"lir.yjie:Jles adoptecEIl\<trlc1 OnS.!l:Ft Biisi!lJlent:
Rarigeiif~pe:Jn Center. TEJlectricJles SqEFt;Gar<'l~/Carport 484
3 EriergytP.iltI152-001-0010 tl"'aJ!!!!h O,.!!IJlIY:.lltlJ.e.ri
SP.!iiJI!<!e.d',ltujl\l,il!g,; obtain c'!!~ies ofQ~S'1P..~!!!;1t.9,ad:
._~....... ,.......,..,..."......... ........0. L1IC lOIC'!JIIVIIt:1
I DEVELOPM<.J~'J_mf.ORMATlO!')l_IJtility Notification
, Center is 1-800-332-2344). REQUIRED PARKING
Overlay Dist: Urban Fringe Total: 2
75.00 # Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
12.00 % of Lot Coverage: 7.20
5.00
Pal!e 1 of 4
-IaIrT"l~~~'
,
"-,-
. .
'- -. .,--,--. ~
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
V Wood Frame
Garaee
Dwellines
Garaee
Fee Description
Plan Review Same As
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
2 Baths One or Two Family
Addressing Assignment
Building Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Minimum/Adjustment Mechanical
Plan Review Major - Planning
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Storm Sewer Each Addtll00'
Vent Fan
Water Line - Each AddtllOO'
Total Amount Paid
Initial Review
08/25/2006
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01092
ISSUED: 10/26/2006
APPLIED: 08/25/2006
EXPIRES: 04/26/2007
VALUE: $ 183,656.00
I v alu at' 011 Oescrintion I
1111111111 _
$ Per Sq Ft
or multiplier
$99.00
$26.00
Square Footage
or Bid Amount
1,728.00
484.00
Value
Date Calculated
Total Value of Project
$171,072.00
$12,584.00
$183,656.00
08/25/2006
08/25/2006
Fpp<. PIilLI
Amount Paid
Date Paid
Receipt Number
$200.00
$10.00
$143.93
$76.33
$106.29
$254.00
$31.00
$838.65
$6.00
$9.00
$110.60
$18.00
$198.00
$106.00
$57.00
$40.74
$814.88
$14.00
$12.00
$14.00
8/24/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
10/26/06
2200600000000001192
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
. 1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
1200600000000001569
$3,060.42
I Plan Reviews I
08/25/2006
APP LLH
Exempt from Willamalane SDC's.
See attached documents.
Paee 2 of 4
. CITY OF SPRINL-NI'.,LIJ
Building/Combination Permit
PERMIT NO: COM2006-01092
ISSUED: 10/26/2006
APPLIED: 08/25/2006
EXPIRES: 04/26/2007
VALUE: $ 183,656,00
.
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax '
541-726-3769 Inspection Line
Plannine Review
08/25/2006
10/06/2006
APP T AJ
Puhlic Works Review
08/25/2006
09/25/2006
APP JLP
Structural Review
08/2512006
OK DLM
I) Property is zoued LOR, hut
designated LMI. It is OK to remain
residential until urban services are
available and annexation occurs per
Gret Mott. 2) Access is via a
recorded easement (reception #
61658, LCOR). 3) Preserve the
trees along the Franklin Blvd
frontage in lieu of required street
trees. 4) Tree Felling Permit is
required if more thau 5 trees 5" dbh
or greater are felled.
Storm water will be piped to existing
ditch line per phone conversation
9/25 w/Anne R @ Adair Homes.
Billy is following up with LDAP
issues & approval. Septic system to
be approved by Lane County
Sanitarian.JLP
Master Plan from the State of
Oregou.
See documents for City Bldg. Div.
plan review comments.
To Request an inspection call the 24 hour recording at 726-3769, All inspection 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,
~~nprtinn~.1
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
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.
Walllnsulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the huilding is complete.
Underfloor Plumbing: Prior to insulation or decking.
Paee 3 of 4
.
. CITY OF SPRINt.t<mLD
Building/Combination Permit
PERMIT NO: COM2006-01092
ISSUED: 10/26/2006
APPLIED: 08/25/2006
EXPIRES: 04/26/2007
VALUE: $ 183,656,00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Underlloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Line to Septic Tank: Prior to filling trench and required testing.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
By signature, 1 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 ofthe State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made ofany 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.
~~
Owner or Contracr.(..s Signature
JtJ-1'~ ~ 6
Date
Paee 4 of 4
CITY OF SI'RINuhEI.D. OREGON
225 FIFTH STREET 0 SPRINGFIELD, OR 'T/477 0 PH:(541)726-3753 0 FAX: (541)726-3689
ELECTRICAL PER1!flT APPUJ;ATION
City Job Nwnber ~ 0 _ \~Q.II/
1. LLOCATION OF INSTALlATION: .
~~~() ~n~\1l\
LE,\go3mOfo wl)ff)
JO~X~PTIO;) _ 0 ~
Permits are ~ransferable and expi \ fwork is
not started :i~~ 180 days ortssuance't) If work is
Suspended for 180 days.
wr ~ =LS
~ SOURCE
Date \ Ol'd-W I ) .Jit{o
3. I COMPLETE FEE SCHEDULE BELOW
A. I New Residential- Single or Multi-Family per dwelling unit
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
I
~o(l?
5f)~
\
.""t.,
$106.00
$19.00
Each Manufac1'd Home or
Modular Dwelling SelVice or
Feeder
$50.00
2. I cONTRACTOJL..INSTALLATlON ONLY I B. I Senices or F..den -Installation, Aiterations or Relocation:
ElectricalContractor- ~I? _ (,. ,^ ...,r A,I' OT\ 200 Amps or less $63.00
Pl. ~ ~ 201 Amps to 400 Amps $ 75.00
Address 'f')C{q'1lJ ".\.... r '..\.{ l.lJ.....L\.....~ 401 Amps to 600 Amps $125.00
" 601 Amps to 1000 Amps $163.00
City 1..." r i' Q.u Phone l..l1O~ -0 q 0'5 Over 1000 AmpsIVolts $375.00
I Reconnect Only $ 50.00
C. ,LTemporary Senrices or Feeders
"'II~^
fOIl "'",,
^ ,mstallatioii)lAlteratlon or Relocation
'VOtit,. 'UI~ .''-'''u
i '. IliOO'Am s ili:iess -, n Ie: $ 50.00
f) OAr.; -'f P. ~Ied f.. l\I r(:,,,
0090' 201:~p':ftS!I~ Amps'; the O~u"e.~ ,__ $ 69.00
...~.(jn', Ifl,,~ re '~utr.
o ,. 40.b1\liiPSIO.6.990AiiiPSe rut go" f. ...100.00
'q,l;n-.. "tiv nf..: th,,, eS q - -""""ty
nUmb OVer,60!tAiiips'.or IOOO[V:oIts'see_:tB'~llbPye.
D:~f,Br~h'tw-cu%t-'vPle: o-,~ry 95" Oo-"r
C _. t.. <:- ..
t:Jn, vren 8":'7J:'3 rlf':/ rill
N"ew'.<IJteration'Or. EItensii)li~Per,PaneH 6"
'- 1-80 ~""h_ '''"n >
One Circuit 0-33< 'y Notifi one $ 43.00
~ \ ~eb Each Additional Circwi-5r?WiJj, '-<lliOn
~ ~ Service or Feeder Permit . $ 3.00
Owners Name
Address _ ~L\ ~ \J4)61/~ 1.M1scellaneous (Servicelfeeder not includedl-Each Installation I
City WC\ ffie ~ Phone 'A.co.~ PE ~p or irrigation $ 50.00
\ 4UTH ~tIine Lighting $ 50.00
OWNER INSTALLATION COMIvf OIi'/(~~~esidentiaI $ 25.00
The instaIlation is being made on p'_P'H/ I 0"" wIl#y 1 E:NCt-iJ'.{IId!PJi~~lfII.fJ{fe1'lj"f. $ 45.00
is not intended for sale, lease or rent. 8~~/filtFJrjfg;t.'IS,\fll!J111Jn.~Rs/45.00 + Surcharges
Owners Signature; 4. I srJifJJo~8lJflD!f:/S NOr I \ lo~CO
8% State Surcharge FOli \~~
10"10 Administrative Fee \ 0
5% TeclmoIogy Fee .\.
TOTAL ~ 4lt
S!wed Drivc(T:YBuilding FonnolEloctrical Permit Applicotion 8-D6.doc
Supervisor License Nwnber \ 5 ~ p,~
Expiration Date I b' 1) l}.c () '1
Constr. Contr. Nwnber 5L\ L\ & I
Expiration Date q ) '?>() 1 ~ 0 0 t.J
Signature of Supervising Electrician
C2::Rf~ ~
Inspection Request: 726-3769
J:r
t ~1{11
c.C"O .I1oJo'D
(3',," 1/
CITY OF SINGFIELD SYSTEMS DEVELOPMEN.ORKSHEET
JOURl'!AL OR JOB NUMBER:
NAME OR COMPANY;
LOCATION;
TAX LOT NUMBER:
DEVELOPMENT TYPE;
NEW DWELLING UNITS
C0M2006-{) I 092
Carlos Angelo
5580 Franklin Blvd
180310 I 000200
SINGLE FAMILY RESIDENCE
o BUILDING SIZE (SF: 2212
LOT SIZE (SF);
o
r-
I'"
W
10
10
u
I~
IW
I-
'"
a
gj
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. 1 I CHARGE 1
2428.00 I SO.336 = $814.88
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
! IMPERVIOUS S.F. I x I COST PER S.F. 1 x I DISCOUNT RATE 1 I
I 0.00 I $0.336 50% = I
ITEM I TOTAL - STORM DRAINAGE SDC S814.88 ~
2. SANITARV SEWER - CITY
DISCOUNT
$0.00
$814.88
1070
A REIMBURSEMENT COST;
I NUMBER OF DFU's I x
I 0
B. IMPROVEMENT COST;
I NUMBEROOF DFU's I x
$19.79
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
COST PER DFU
S26.03
SO.OO
1091
SO.OO
1092
)
= ,
SO.OO
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI
I 9.57 I 0 I I S19.81 I 1.00 SO.OO 1093
B. IMPROVEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTOR!
I . . 9.57 I 0 I I $87.39 I 1.00 ! SO.OO 1094
ITEM 3 TOTAL - TRANSPORTATION SDC = I so.oo
4 SANITARY SEWER - MWMC
A. REIMBURSEMENT COST;
INUMBER OF FEU's 1 x ICOST PER FEU
I 0 I $91.61 = SO.OO 1054
B. IMPROVEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I 0 I I S961.52 = SO.OO 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) SO.OO 1054
MWMC ADMINISTRATIVE FEE SO.OO I 1056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , so.oo I
SUBTOTAL (ADD ITEMS I, 2, 3, & 4) = , $814.88 ~
~. ADMINISTRATIVE FEE: . ..
I SUBTOTAL 1 x I ADM. FEE RATE 1= I CHARGE
I $814.88 I 5% $40.74
TOTAL SANITARY ADMINISTRATION FEE; 40.74 1079
TOTAL TRANSPORTATION ADMINISTRATION FEE: SO.OO 1078
Jeff Prociw 9/27/2006 TOTAL SDC CHARGES =1 $855.62
PREPARED BY DATE
.
.
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT Co DRAINAGE FIXTIJRE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY TIlE NET ADDITIONAL FIXTIJRES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
I BATHTUB 0 0 3 I 0
IDRINKING FOUNTAIN 0 0 1 = 0
IFLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC. 0 0 3 = 0
IINTERCEPTORS FOR SAND I AUTO WASH I ETC. 0 0 6 = 0
ILAUNDRY TUB 0 0 2 = 0
ICLOTHESWASHER I MOP SINK 0 0 3 = 0
ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRIG/WATER STATION I ETC. 0 0 1 = 0
IRECEPTOR FOR COM. SINK I DISHWASHER I ETC. 0 0 3 = 0
ISHOWER. SINGLE STALL 0 0 2 = 0
!SHOWER. GANG ~BER OF HEADS) 0 0 2 = 0
ISINK; COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = 0
ISINK: COMMERCIAL BAR 0 0 2 = 0
ISINK; WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
SINK; SINGLE LA V ATORY/RESIDENTIAL BAR 0 0 1 = 0
URINAL. STALL I WALL 0 0 5 = 0
TOILET. PUBLIC INSTALLATION 0 0 6 = 0
TOILET. PRIVATE INST ALLA TION 0 0 3 = 0 "
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S I'
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 0 I
.EDU (Equivalent Dwc:11i!!~ Unit) is a disc~ equivalent to a single family dwellin~ unit (20 DRls) set at 167 gallons per day I,
'[
I
I
I
I
I
I
MWMC CREDlT'CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR ----,--cREDIT RATElSI,OOOI/
ANNEXED I ASSESSED V ALUE I
2
IS LAND ELGlBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT'I
(Enter I for Yes, 2 for No)
BASE YEAR
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
$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
=
CREDIT FOR LAND (IF APPLICABLE)
VALUE I 1000 CREDIT RATE
SO.OO x S5.29
- ,
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE I 1000 CREDIT RATE
$0.00 x $5.29
TOTAL MWMC CREDIT
w.,....'..
2
1979
SO.OO
o
SO.OO
II'"
225 Fifth S.treet
SpringfieliJ, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM200~-0 I 092
COM2006-0 I 092
COM2006-0 I 092
COM2006-0 I 092
COM2006-0 I 092
COM2006-0I092
COM2006-0 I 092
COM2006-0 I 092
COM2006-0 I 092
COM2006-0 I 092
COM2006-0 1 092
COM2006-0 I 092
COM2006-0 I 092
COM2006-0 I 092
COM2006-0 I 092
COM2006-0 I 092
COM2006-0 I 092
COM2006-01092
COM2006-0I092
Payments:
Type of Payment
Check
Check
Job/Journal Number
COM2006-0I092
COM2006-0 I 092
COM2006-0 I 092
COM2006-0 I 092
COM2006-0 I 092
COM2006-0 I 092
COM2006-0 I 092
COM2006-0 I 092
COM2006-0 I 092
COM2006-0 I 092
COM2006-0 I 092
COM2006-0 I 092
COM2006-0 I 092
COM2006-0 I 092
COM2006-0 I 092
COM2006-0 I 092
COM2006-0 I 092
COM2006-0 I 092
COM2006-0 I 092
cReceintl
· ~;;~: fIIf:
u....-. .'
~.
C.iMi...of Springfield Official Receipt
~opment Services Department
Public Works Department
RECEIPT #:
Date: 10/26/2006
1200600000000001569
Description
Addressing Assignment
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Fire SF Fee - Residential
Stonn Drainage Impervious Area
SDC Sanitary/Storm Admin
Plan Review Major - Planning
Building Permit
2 Baths One or Two Family
Storm Sewer Each Addtl 100'
Water'Line - Each Addtl 100'
Ven1 Fan
Exhaust Hoods
Dryer Vent
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
l1em To1al:
Paid By
PACIFIC CONIFERS LLC
ADAIR HOMES INC
Lheck Number Authorization
Received By Batch Number Number How Received
djb 1023 In Person
djb 1908 In Person
Payment Total;
Description
Addressing Assignment
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Fire SF Fee - Residential
Storm Drainage Impervious Area
SDC Sanitary/Storm Admin
Plan Review Major - Planning
Building Permit
2 Baths One or Two Family
Storm Sewer Each Addtl 100'
Water Line - Each Addtl 100'
Vent Fan
Exhaust Hoods
Dryer Vent
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
l1em Total:
Page I of2
9:07:36AM
Amount Due
31.00
106.00
57.00
110.60
814.88
40.74
198.00
838.65
254.00
14.00
14.00
12.00
9.00
6.00
18.00
10.00
76.33
106.29
143.93
$2,860.42
Amount Paid
$1,351.77
$ I ,508.65
$2,860.42
Amount Due
31.00
106.00
57.00
110.60
814.88
40.74
198.00
838.65
254.00
14.00
14.00
12.00
9.00
6.00
18.00
10.00
76.33
106.29
143.93
$2,860.42
10/26/2006
, '
Payme"ts":
Type of Pay.ment
Check
Check
cReceintl
RECEIPT #.1200600000000001569
l:heck Number
Paid By Received By Batch Number
PACIFIC CONIFERS LLC
ADAIR HOMES INC
djb
djb
Page 2 of2
Ate: 10/26/2006
Autho.on
Number How Received
1023
1908
In Person
In Person
Payment Total;
9:07:36AM
Amount Paid
$1,351.77
$1,508.65
$2,860.42
10/26/2006