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HomeMy WebLinkAboutPermit Building 2004-3-23 ~iii . . CITY U1' I:lrK11~u1'lJ!.LD Status Issued Building/Combination Permit PERMIT NO: COM2004-00243 ISSUED: 03/23/2004 APPLIED: 03/03/2004 EXPIRES: 09/23/2004 VALUE: $ 41,395.20 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ~. SITE ADDRESS: 3255 DOUGLAS DR ASSESSOR'S PARCEL NO.: 1802062103800 Springfield TYPE OF WORK: Family Room TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Play Room Addition Owner: PAUL TOMPKINS Address: 3255 DOUGLAS DRIVE SPRINGFIELD OR 97478 Phone Number: 541-746-0501 , CONTRACTOR INFORMATION I Contractor Type General Electrical Contractor OWNER OWNER License Expiration Date Phone BUILDING INFORMATION I " # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 VN # of Stories: Height of Structure 16.00 Type of Heat: Heat Pump Water Type: Range Type: Energy Path: Path 1 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: 448 SETBACKS I DEVELOPMENT INFORMATION I 18.00 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 17.00 22.00 29.30 Street Improvements: MnTIr.F' I PUBLIC IMPROVEMENT~llIS PERMIT SHALL EXPIRI: It. I Ht WUtll\ A'tJTH~Z.~!;\,~DER THIS PERMIT IS NOT Fullv Improved COMME'ffct(j(j~~'S ABANDONED FOR ANY 196"NI"P~s: '0 Storm Sewer Available: Special Instrulil10iENTION:Oregon law requires you to follow FUles adopted by the Oregon Utility Notes: "otification Center. Those rules are setfelli' In OAR 952-o01-Q01 Q through OAR 952-00' 0090. Vou may obtain' copies of the rulal) 1 calling the center. (Note: the t8l0phone null'lber for the Oregon Utility Notification "'~_'M;" 1-flnl)-332-2344). Pa2e 1 00 . r/ .. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Dwellines V Wood Frame " Fee Description Plan Review Residential + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Building Permit Curbcut - Overwidth Appl Curbcut Permit Fixture Minimum/Adjustment Plumbing Perm Serv/Fdr 200 amps or less Plan Review - Planning SDC Sanitary/Storm Admin Storm Drainage Impervious Area '" Total Amount Paid . . CITY OF OSl"Kll'j\.ot<lJ'..LU Building/Combination Permit PERMIT NO: COM2004-00243 ISSUED: 03/23/2004 APPLIED: 03/03/2004 EXPIRES: 09/23/2004 VALUE: $ 41,395.20 , Valuatinn Descriotion I $ Per Sq Ft or multiplier $92.40 Square Footage or Bid Amount 448.00 Total Value of Project l/pp<. PiWLI Amount Paid Date Paid $210.50 $46.79 $32.75 $36.00 $323.85 $35.00 $75.00 $14.00 $31.00 $63.00 $71.00 $10.53 $210.54 3/3/04 3/23/04 3/23/04 3/23/04 3/23/04 3/23/04 3123/04 3123/04 3/23/04 3/23/04 3/23/04 3/23/04 3/23/04 $1,159.96 I Plan Reviews I Initial Review 03/04/2004 03/05/2004 APP LLH Plannine Review 03/05/2004 03/19/2004 APP TAJ Public Works Review 03/05/2004 03/10/2004 WE VRJ Public Works Review .. 03/12/2004 03/12/2004 APP VRJ Paee 2 of3 Value Date Calculated $41,395.20 $41,395.20 03/03/2004 Receipt Number 2200400000000000203 1200400000000000364 1200400000000000364 1200400000000000364 1200400000000000364 1200400000000000364 1200400000000000364 1200400000000000364 1200400000000000364 1200400000000000364 1200400000000000364 1200400000000000364 1200400000000000364 Buitding permit file does not have a second driveway application, contacted owner and left message 3/10/04 10:47am. Asked they apply for 2nd driveway and for confirmation on storm drainage outfall. Waiting for their return call. Mr. Tompkins left voice mail that they do not plan to go forward with 2nd access at this time, it will be in the future. No 2nd driveway application at this time, no PW transportation approvat. Storm drainage to existing outfall to street as per Mr. Tompkins 3/12/04 10:25am. . . CITY OF ~rKll'1jul'lJ!,L1J Building/Combination Permit PERMIT NO: COM2004-00243 ISSUED: 03/23/2004 APPLIED: 03/0312004 EXPIRES: 09/23/2004 VALUE: $ 41,395.20 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Public Works Review 03/18/2004 03/18/2004 APP VRJ Applicant decided to include 2nd driveway. 2nd driveway application approved 3/18/2004. Updated SDC impervious surface to include 18 ft of pavement from property line. 03/05/2004 03/16/2004 APP RJB " Structural Review 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. I Renniretl InsnediOlW 1 Erosion/Grading Inspection: After all erosion measures are in place. 2 Footing: After trenches are excavated. 3 Foundation: After forms are erected but prior to concrete placement. 4 Post and Beam: Prior to noor insulation or decking. 5 Floor Insulation: Prior to decking. 6 Shear Wall Nailing: Before covering sheathing with finisb materials. 7 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 8 Wall Insulation: Prior to cover. 9 Ceiling Insulation: Prior to cover. 10 Drywall: Prior to taping. 11 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. 12 Final Building: After all required inspections have been requested and approved and the building is complete. 13 Undernoor Plumbing: Prior to insulation or decking. 14 Final Plumbing: When all plumbing work is complete. 15 Rough Electric: Prior to Cover 16 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 rcquired inspections are requested at the proper time, that each address Is readabte from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on tbe site at all tip;tru;n. 2 !... :5 _ ~ ~ _ 6 Y Own; ~~ contractor~e Date c.. Paee 3 of3 -. . . . . ;, / " " '. " " ," . Construction Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phoue: 503-378-4621 Web Address: www.ccb.state.or.us Address: . . . . Permit#: COWlZO_ _002..43 ~$I,n- ~n... Date: :>/Z3 /0 L{ Issued by: :5 Z- ')S""" 'Df1 , , Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010(7), need not submit this statement. This statement will befiled with the permit. Fill in the app,vp,;ate blanks and initial boxes I and 2, and either box 3A or 3B: ~1. ~2. I own, reside in, or will reside in the completed structure. I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion. o 3A. My general contractor is (Name) (CCB #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR > 3B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If! change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Not:PJ7rty c;:;~:r2t Construction Responsibilities on the reverse ~e :~iS::~ (Sign~e of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant.) Property _ owner.doc 03/11103 I, . I . Adnnng 2l~ 1{ t1Jl1lllll" (Q)wnn Gennell"21li Ct1Jlnn~ll"21d((J)ll"'l INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES , I..:., tI, NOTE: This Information Notice to Property Owners about Construction Responsibilit/es was developed by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legis/ature. If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and concerns. lEmjplloyer Re~jpollD.~nlOnllW.e~ You will, in most instances, be ruled to be an "employer" and the contractors you contract with will be "employees" if you use contractors not licensed with the Construction Contractors Board to do labor in constructing or to assist in the construction or improvement of a residential structure. As the employer, you must comply with the following: Oregon's Withholding Tax Law: As an employer, you must withhold income taxes from employee wages at the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For a State Business ill number, call the Business Information Center at 503-986-2200. Unemployment Insurance Tax: As an employer, you are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488. Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensation insurance, you could be subject to penalties and be liable for all claim costs if one of your employees is injured on the job. For more information, call the Workers' Compensation Division at the Department of Consumer and Business Services at 503-947-7815. U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. You will be liable for the tax payment even if you didn't actually withhold the tax. For a Federal EIN number, call the IRS at 866-816-2065 or fax them at 801-620-7115. - OtheJr ResjpollD.si.lOmtie~ amll Areas oj[ Com:eJrllD.s Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements that may be brought to your attention through inspections. Liability and Property Damage Insurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, paint over spray, water damage from pipe punctures, fire or work that must be redone. Time: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you have the skills to act as your own general contractor, to coordinate the work of rough-in and finish trades, and to notify building officials as the appropriate times so they can perform the required inspections. If you have additional questions call the Construction Contractors Board (503-378-4621) or write the agency at PO Box 14140, Salem, OR 97309-5052. Property- owner.doc 03/11/03 .'."... '. ci'rY:'OFSrill'NGFIELD OREGON', c, r.... . . ,.., " " , ~. . : . <' ; ~orl 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~' ,is , ELECTRICALPERMITAPPLICATlON 0 ,,,,,,,~Y;j^,0 / c\'" 0:>$ City Job Number (~20 0 l./ --0 OZ lj 3 Date '3/ Z '3 0 1..( ~,,,:x. ~o\ ,II I. f LoCAfIONOifiNSiXi:i 4.ilo1V;.:~~,;;;r;~ / '):cOMP1ET~~~-'" . j{' - _~.............-........~, ,. ..~-:'_~' ',--,_~ ._"ti..~_:"'l. --.;:~::..:....! ~"'_:"':'l-_~"""""'''~~o(\''-~~~''''''--;'fr.~'.;.i':'_" ~-._~ I ~ Z'fi;~G ip~,~ i)';4;.<;<o tlU~ "f'.'. "'~Y'';f;:~99\O :",~:<','D" \~',e.', ..<'-/~""'''',~ <':.: ""., LEGAL DESC,R1PTION A. ;1:.~~~,~~~~tiaL:'Q~{''-b_;~~,,'6~~~~al1}i.2: p~r dwc!1i~~,jm.ig~\i ~t..l'r.~\z,cbz.;1 C :'PU'O 0 Service Included ,."",u JOB DESCRIPTION 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Owners Name g.-t / / /') 1'Vl1C>6/t/J Address ....;;;::2 ,-"",\" /)".,/ ,,, h r I / ~& - - r- City .:::jn,r';"7C,,,;/..dPhone _7'/,t. -O\":O( Pump or irrigation $50.00 . ~ ,. Sign/Outline Lighting $ 50.00 OWNER INSTALLATION ATTENTION:Oregon la\fLilRftl!dll!mr~rdential $ 25.00 The installation is being made on pf6)l~I1'~'il:?,Pted by tb.1hg,~9~~f~ercial $ 45.00 . . d dr" t' Center 1;.l}p!?e rules are IS not mten e lOr sale, lease or reootlflca Ion '1 ()\IW~~Pii9!lID=4)01nspection Fee is $45.00 + Surcharges ~n AR952-001-90j ..., !),'~.- -t ~~~' - ~..-. . ( Ow"""'nature: __ 90. You~may obtail'll~o . iT e.OY!' ~. ", ,:",. 9 c; .-- ~ (' -.u II' \hecenter.(Note,the-eep -~--~._"',-" ,,,'. -.. ... .. / _7::"~;rfnr the Oregon lfJ,ij~t~4S1lt1~t~~fn r... 9-? // 0 ""__'M:,,1_An()-~<l')-?~. 'tra' F q q V '[0% f\:om IS live ee ' () I!_l.i S- Q S(LVL .I /?. Cl (k......~ +<;;, f Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ~~7"t"r~'::~c,,:""'T""'f'T"'"'7',...,r,.~"'~ '~::~""1'~J"'T01 , C6WRACTOR'rNST) r'i"4.TioNof.iL'! 2. l> 'k&f.~2;.J,;.;~;..b~? -, l,r. ;.:....~~,~'''\j Address City Supervisor License Number Expiration Date Inspection Request: 726-3769 $106.00 $ 19.00 Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 ~~~7:,r'i~;0~~'X2_;,'-7'7:-~;.' . '~p, cl>\;'~~ \7'7;'f)~.7:~:'?j,'c . -- .._,,"'~ B. " Srr'ylc~s:ll.r'Fe~<!,er.s -..lnst!,II.ation,,^,!ter.a)lons,!!",ItelocatiQ,n::' , \::.o1i~<;;...;;,.;;....;.t...;,:iii;A~ ." - ~.... ,.~ "k., ~...:- be.. . ,.. '-' ."'-," ,-',' '.:~~.!L:..-l......;.,;,' ...i;., 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNol1S Reconnect Only i /' $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 L...300 ~- :"'- , L":~'W;' ~:7~,-;JP'>~",~c' \" '~:''''''_''" '>~-, "~~:r:'~~~~~ C. ",' Temporary.$en:ices oj-:Feeder"s-<!',.T:.1' " ~,~:,.t'-0,,~~t;:-:;.~'1/~'\,<, '>~./'.,~.' '~-""-'"' ,-~' '.<.' ..,,,..... ,. ~~~~...""""',,;"..:~t.:~.....L "#;.;~J.::;....;_':l.-..::...~' Installation, Alteration or Relocation 200 Amps or less . $ 50.00 Ndt\eE!'s to 400 Amps $ 69.00 TH1g1P1:'M~fY ~A\T.PfXPIRE IF THE WOR~IOO.OO AUlt~ffill.~~1{lP~~~M!I~~~NOT ~~.~ ,j gOMM[(>WIBtfitJRf'S'ABANIDOaEmFOR;',,~:;;:!f~{, /,n:! ':'1 ..........-""""""'._____,~ --'.....~..;..;;:..-"_'--'....~.... ,--,,--,_.._:;"'___~""~"-V~_ <~..2.~ A~Jl}.QtQ4Yi.r.mI~""nsion Per Panel One Circuit ~ 43.00 Each Additional Circuit or with Service or Feeder Permit / ~ $ 3.00 . ~ {1. 00 ~~:-7~""'"."" ..~ ,""" c7' .',:-./" ~~,-:~Z~' .:;y.-,,--:~"~~~..,",:,---::.... :-:-,J E. ; .'Mi~~~ll~neJ>~s (S~rvice/fe~de~.p~~~c1-,,~e~) "~.:'~~ll!?1_t;!I~i~-~ TOTAL Shared Drive(T:)lBuilding Fonns/Electric::l1 Pennit Application I-OJ.doc CITY OF S!NGFIELD SYSTEMS DEVELOPMENtltORKSHEET JOURNAL OR JOB NUMBER: Com2004-00243 NAME OR COMPANY: Paul Tomokins LOCATION: 3255 Douglas Drive TAX LOT NUMBER: 18020621 tI 3800 DEVELOPMENT TYPE: SFO Addition NEW DWELLING UNITS 0 BUILDING SIZE (SF: 0 LOT SIZE (SF): I. STORM ORAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. CHARGE I 726.00 I $0.290 I = I $210.54 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUSS.F. I x I COSTPERS.F. I x I DISCOUNTRATE I I DISCOUNT I 0.00 I $0.290 I I 50% I ~ $0.00 ITEM I TOTAL - STORM DRAINAGE SDC $210.54 2. SANITARY SEWER - CITY CIl u.l Q o U I~ o I~ CIl ~ o ~ $2 I 0.54 _I 1070 A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I COST PER DFU I 0 I $22.64 $0.00 1091 B. IMPROVEMENT COST: I NUMBER OF DFU's I x COST PER DFU I 0 $17,21 $0.00 11092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC ~ , $0.00 I 1. 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 I 0 I $17.23 I 1.00 $0.00 1093 B. IMPROVEMENT 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 I 0 I $76.01 I 1.00 $0.00 1094 I ITEM 3 TOTAL - TRANSPORT A nON SDC = , $0.00 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I 0 I I $314.63 = $0.00 t054 B. IMPROVEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I 0 I $214.23 = $0.00 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054 MWMC ADMINISTRATIVE FEE $0.00 r56 tTEM 4 TOTAL - MWMC SANITARY SEWER SD( = , $0.00 SUBTOTAL (ADD ITEMS 1, 2, 3, & 4) ~ , $210.54 I 5. ADMINISTRATIVE FEE: I SUBTOTAL I x I ADM. FEE RATE I~ CHARGE I $210.54 i I 5% $10.53 TOTAL SANITARY ADMINISTRATION FEE: 10.53 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $0.00 1078 Virginia Jurasevich 3/18/2004 TOTAL SDC CHARGES = $221.07 PREPARED BY DATE . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT - DRAINAGE FIXTURE UNITS I (NOTE: FOR REMODElS. CALCULA. IE ONLY THE NET ADDITIONAL RXTIJRES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EOUIV ALENT UNITS I BATHTUB 0 0 3 = ----0 IDRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 ICLOTHESW ASHER / MOP SINK 0 0 3 = 0 ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAPJI PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 SHOWER. SINGLE STALL 0 0 2 = 0 I SHOWER. GANG (NUMBER OF HEADSl. 0 0 2 = 0 I SINK: COMMERCIAURESIDENTIAL KITCHEN 0 0 3 = 0 I SINK: COMMERCIAL BAR 0 0 2 = 0 :1 SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 = 0 URINAL, STALL / WALL 0 0 5 = 0 I TOILET. PUBLIC INSTALLATION 0 0 6 = 0 I ITOILET. PRIVATE INST ALLA TION 0 0 3 = 0 I MISCELLANEOUS DFU TYPE NUMBER OF EDU'S I 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 0 II -EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DRJ's) set at 1_67 ~lIons per day I MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE r= YEAR CREDIT RATE/$ I ,000 01 ANNEXED ASSESSED V AWE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 1- BEFORE 1979 $5,04 (Enter I for Yes, 2 for No) II 1979 $5.04 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 0 1980 $4.95 (Enter I for Yes, 2 for No) I 1981 $4.88 BASE YEAR 1979 1982 $4.75 I 1983 $4.58 CREDIT FOR LAND (IF APPLICABLE) 1984 $4,41 VALUE / 1000 CREDIT RATE 1985 $4.20 $0.00 x $5.04 = , $0.00 1986 $3,88 1987 $3.50 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) 1988 $3.07 VALUE / 1000 CREDIT RATE 1989 $2.60 $0.00 x $5.04 0 1990 $2.14 1991 SUI 1992 $1.52 TOT At MWMC CREDIT = $0.00 1993 $1.38 1994 $1.19 1995 $1.03 1996 $0,87 1997 $0.68 1998 SO.46 1999 50.27 2000 $0.09 I 2001 $0,04 II , 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone "~"'FOaD' Wi.'.'., -~.,....~ ..... .,., " .-.....' : 'H . r . I , ' '-".' '. - . ..... ... JoblJournal Number COM2004-00243 COM2004-00243 COM2004-00243 COM2004-00243 COM2004-00243 COM2004-00243 COM2004-00243 COM2004-00243 COM2004-00243 COM2004-00243 COM2004.00243 COM2004-00243 Payments: Type of Payment Check Cash Change 'Job/Journal Number COM2004-00243 COM2004-00243 COM2004-00243 COM2004-00243 COM2004-00243 COM2004-00243 COM2004-00243 COM2004-00243 COM2004-00243 COM2004-00243 COM2004-00243 COM2004-00243 Payments: Type of Payment Check Cash Change 'f if' Receipt #: 1200400000000000364 Description Building Permit Fixture Minimum/Adjustment Plumbing Curbeut Permit Curbeut - Overwidth Appl Storm Drainage Impervious Area SDC Sanitary/Storm Admin Plan Review - Planning Perm Serv/Fdr 200 amps or less Add, Alter, Extend Cire Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By PAUL TOMPKINS PAUL TOMPKINS PAUL TOMPKINS Received By djb djb djb Description Building Permit Fixture Minimum/Adjustment Plumbing Curbeut Permit Curbeut - Overwidth Appl Storm Drainage Impervious Area SDC Sanitary/Storm Admin Plan Review - Planning Perm Serv/Fdr 200 amps or less Add, Alter, Extend Cire Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By PAUL TOMPKINS PAUL TOMPKINS PAUL TOMPKINS Received By djb djb djb Check Number Batch Number Authorization Number 8383 t.:heck Number Batch Number Authorization Number 8383 City of Springfield Official Receipt. Development Services Department. Public Works Department Date: 03/23/2004 8:47:21AM . Amount Paid Item Total: 323.85 14.00 31.00 75.00 35.00 210.54 10.53 71.00 63.00 36.00 32.75 46.79 $949.46 , ~ . How Received In Person In Person In Person Payment Total: Amount Paid :...i $922.55 $26.95 ($0.04) $949.46 Amount Paid "~ , , ..; Item Total: 323.85 14.00 31.00 75.00 35.00 210.54 10.53 71.00 63.00 36.00 32.75 46.79 $949.46 . ... How Received Amount Paid In Person In Person In Person Payment Total: $922.55 $26.95 ($0.04) $949.46 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00243 COM2004-00243 COM2004-00243 COM2004-00243 COM2004-00243 COM2004-00243 COM2004.00243 COM2004-00243 COM2004-00243 COM2004-00243 COM2004.00243 COM2004-00243 Payments: Type of Payment Check Cash Change Wit-~"~~::.~~.,'~, ..".,. ~,. ~ , " , ......... - ...- .' ~-^," !' " Receipt #: 1200400000000000364 Description Building Permit Fixture Minimum/Adjustment Plumbing Curbcut Permit Curbcut - Overwidth Appl Storm Drainage Impervious Area SDC Sanitary/Stann Admin Plan Review - Planning Penn ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By PAUL TOMPKINS PAUL TOMPKINS PAUL TOMPKINS Received By djb djb djb Check Number Batch Number Authorization Number 8383 City of Springfield Official Receipt. Development Services Department .. Public Works Department. . Date: 03/23/2004 8:47:2IAM Amount Paid Item Total: 323.85 14.00 31.00 75.00 35.00 210.54 10.53 71.00 63.00 36.00 32.75 46.79 $949.46 . How Received In Person In Person In Person Payment Total: Amount Paid $922.55 $26.95 ($0.04) $949.46 .