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Home My WebLink AboutPermit Building 2006-3-3 .--, CITY OF SPRINGF'.....LU . Building/Combination Permit PERMIT NO: COM2006-00081 ISSUED: 03/03/2006 APPLIED: 01/20/2006 EXPIRES: 09/03/2006 VALUE: $ 226,468.00 \- Status Issued . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 616 Ethan Ct ASSESSOR'S PARCEL NO.: 1703221207600 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence - Breanne Commons lot 18. SAME AS COM2005-00858 3348 Raleighwood Owner: TIM PETERSON Address: 27011 JEANS RD VENET A OR 97487 Residential Phone Numher: 541-935-0912 REQUIRED PARKING Total: 2 2 _\!,'{l!dlcapped: Yes ~'i. ~~~pact: 3l~<<t-~ ~\S~ , \'f..,?\~ Q'i.'?-~~ ~t;;}'?- I PUBLIC IMPRQ~?\l'$~~~'?- '\~~~~t;)l.: Fully Improved \~'S '?~~\1.~~ ~~'?- !i~alk Type: Yes ~\J\Y\ ~~~,,~ ~ '?~ownspoutslDralns: ,,~~ \'O~ ~ ~~ I CONTRACTOR INFORMATION I Contractor Type General Electrical ::. Mechanical . Plumbing Contractor License "Expiration Date \J ,- TIM M PETERSON 3l!.1,~,7eS iO .,:.XI\i 03/1012006 L & E ELECTRIC INC . '0,'" ''[0~f1.5,p(\ Ij \ \o\\~03/3012006 HOME COMFORT HEATING & AIR ..)'1 i.\84\~ -a.\e se '2._()a'O~125/2007 HOME COMFORT HEATING & AIR IN.c:.nSI84I!!4,i>-?o 9~ ,\p.S \06/25/2007 I BUILDING INFORMA'fioN.. 0\ \\\~e?\\O(\e (\ a\J' - ." v-' ,,",e\e .C-a.\IO .. .,..' ..,,'/.- O'OWI,' o\e'. ".' ~n\I\1 ~ ('fof'.~~~fi,~~:'! _n\ec \~ 1j\1\,\i _ ,21),). Lot Size: II (!!~lgbt_of,~~ructu0~e9o~ 3':'12-25.50 Sq Ft 1st Floor: \) Ty'p'e.of,.,~,,~:Jle. ~o!ced Air Gas Sq Ft 2nd Floor: Water_Type:(\w\ IS Gas Sq Ft Basement: ('v' \...1'0 Range Type: Gas' Sq Ft Garage/Carport Energy Path: Path 1 Sq Ft Other: Sprinkled Building: nla Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: . # of Bedrooms: 1 R-3 U VN 3 I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: . Side 2 Setback: - Rearyard Setback: , Solar Setbacks: 14.00 5.00 13.30 12.60 28.75 Overlay D1st: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Storm drainage piped to curh face 1/2512006 CAS Pa2e 1 of4 Phone 541-935-0912 541-933-2653 541-345-2838 541-345-2838 4,792 1,402 770 410 Curbside 5' Curb and Gutter - . CITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: COM2006-00081 ISSUED: 03/03/2006 APPLIED: 01/20/2006 EXPIRES: 09/03/2006 VALUE: $ 226,468.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Deserintion I Dwellinl!s Garal!e Tvpe of Construction V Wood Frame Garal!e $ Per Sq Ft or multiplier $99.00 $26.00 Square Footage or Bid Amount 2,I72.00 440.00 Value Date Calculated Description ~ Total Value of Project $215,028.00 $11,440.00 $226,468.00 OI/20/2006 o I12012006 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Same As $100.00 I120/06 1200600000000000064 -Mechanical Issuance Fee-- $10.00 3/3/06 2200600000000000264 + 10% Administrative Fee $159.84 3/3/06 2200600000000000264 + 8% State Surcharge $127.87 3/3/06 2200600000000000264 3 Baths One & Two Family $306.00 3/3/06 2200600000000000264 Addressing Assignment $31.00 3/3/06 2200600000000000264 Building Permit $978.40 3/3/06 2200600000000000264 Curbcut Permit $80.00 3/3/06 2200600000000000264 Dryer Vent $6.00 3/3/06 2200600000000000264 Exhaust Hoods $9.00 3/3/06 2200600000000000264 . Furnace - up to 100,000 btu $12.00 3/3/06 2200600000000000264 Gas Fireplace $15.00 3/3/06 2200600000000000264 " Gas Outlets 1-4 $4.00 3/3/06 2200600000000000264 ,. Heat Pump $12.00 3/3/06 2200600000000000264 Plan Review Major - Planning $150.00 313/06 2200600000000000264 PW Disc - 2nd Permit (Street) $-30.00 3/3/06 2200600000000000264 Residence Wiring 1000 Sq Ft $106.00 3/3/06 2200600000000000264 Residence Wiring Ea Addtl 500 . $76.00 3/3/06 2200600000000000264 Sanitary Sewer - Improvement $457.68 3/3/06 2200600000000000264 Sanitary Sewer - Reimbursement $601.68 3/3/06 2200600000000000264 SDC MWMC Administration $10.00 3/3/06 2200600000000000264 SDC MWMC Improvement $865.31 3/3/06 2200600000000000264 SDC MWMC Reimbursement $82.03 3/3/06 2200600000000000264 SDC SanltarylStorm Admin $133.67 3/3/06 2200600000000000264 SDC Transpo Admin $65.15 3/3/06 2200600000000000264 SDC Transpo Improvement $805.70 3/3/06 2200600000000000264 SDC Transpo Reimbursement $182.69 3/3/06 2200600000000000264 Sidewalk Permit $80.00 3/3/06 2200600000000000264 Storm Drainage Impervious Area $959.31 3/3/06 2200600000000000264 Temp Power 200 amps or less $50.00 3/3/06 2200600000000000264 . Vent Fan $24.00 3/3/06 2200600000000000264 Wmamalane Single Family $1,000.00 3/3/06 2200600000000000264 Total Amount Paid $7,469.73 Pal!e 2 of 4 Status Issued . CITY OF ~rKll~\Jt<I~LD Building/Combination Permit PERMIT NO: COM2006-00081 ISSUED: 03/03/2006 APPLIED: 01120/2006 EXPIRES: 09/03/2006 VALUE: $ 226,468.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review Plan nine Review Public Works Review 01/23/2006 01/23/2006 01/23/2006 I Plan Reviews I 01/23/2006 APP 02/13/2006 APP 01/25/2006 APP SKG TAJ CAS Storm drainage piped to curb face 1/25/2006 CAS Structural Review 01/23/2006 02J15n006 OK RJB . 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. IRPn~ Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work Is complete. Curbcut - Standard: After forms are erected but prior to placement of concrete. Ufer Electrical Ground: Install ground rod at footing and call for Inspection In conjunction with footing and/or foundation Inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rougb in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and Including required testing. Water Line: Prior to filling trench and including required testing. Paee 3 of 4 Status Issued . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00081 ISSUED: 03/03/2006 APPLIED: 01/20/2006 EXPIRES: 09/03/2006 VALUE: $ 226,468.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. UnderOoor Gas: After line is installed and required testing and capped If not attached to an appliance. Rough Gas: After line is installed and required testing and capped If not attached to an appliance. Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. Rough Mechanical: Prior to Cover Final 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 .hall 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 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 dwing construction. . ~ 7ilN\ W\ Dv\R\ . Owner o~ Contractors Signature ~ ---J --. -=-' -'0 Date Page 4 of 4 LPtZ.. . .. I I It'. . 'b SP~.~h'D=."i."~" . . . ,U .~te ." . 1~(IJp, .... 'Gulre,~p..-1 ".:i;J ~~~?; '; 225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . EM(:V(541)726-3689 illS;ll~ ~~RJ~ ELECTRICAL PERM.IT APPLICATION .< Zoning l"~~ ~jlI. ~ City Job Number U -000(3 ( Date '::) lJ) (;f;,ale. "-..y >-o~ . "".....~,._.....~u...... ..,.....-.v,.,..- _ ",,_.. ., '~",_"""'K~ _~ ,,,~_~,,,~~"""~,,." ",""",~,_"......__.".,..".,,_..!hl,\\!,0r,J~,~~SI9[lfltLJrA _.~~ 1. 'IOCAfION':OFiNST;rr:}:ATfoj\i\"''&~~;'i'i,4~ 3. ~;COMPiETEj'EE:SCHED~BEL"OWt~~~~~'-'l~-'iI:.~"1 ll..;~i;;"ltA';;:1~:.ti"'L't"'NiiitS.';."~:;4;'.,'f~'iOlf';::.N."i:<.Ji;~U~_i~,...P;' ~~""~'il;.,;i:~i,;.J;.",'~{'W",a.j;~",_";':':,;i..~.'t.:.'",,"'iua,>-~......-,<':tf...~~;;.i'~;,;;,.:~.,~~JD1~!., ~~fi~,l~;S C,lh 6,!4A ~ ffo'NTW6fbltmsfAl1!4"TIw'7'WLY'Jj B. ID~}ti~i~~~'d~~'~ril~fi~~:xi;W:ftTM'i~\'~.R~I6~:tii1W~i 2. ~:':;S.~'~lf.>\;"1i;''',1'<.IW"'"''''''r''-:~;'~'~;;':':'J;':&~.;;t!'...t.''"'$!;'~'''~I,:'lii'F1'1iti:;~tilli: ~~~~O~-&.~'<_UZ;;:~~~~:~dl:.yp.\.',~\f;~~~~*","':.~.i~,~'ttiti L. C -I \a\N leC\UI n \)\1\1\'1 ... Electrical Contractor ~ E \:: Uc.-t.:<e\ (llegOl" t\\600'Amps o~!~~:t\1 $ 63.00 " " \'-"~, c:.OQteo b~ 2WAii1p"s fo 400~&nps $ 75.00 q '\ 6:l 3 I ' ,AJ\f;. a I') ::I\\Ose . <'I!>.n \l;)~ - Address (J\ J ,C) (lQ.'')J';.'/'\U1-(.)1tl''5-!, '\110tlgIIAmps toJ,O-O,Amps $125.00 \Ie""~ ~ \J\]~ v '- nll)W \ C ,,~'I ," -:~2-()0' ,in eO\60PA:g'PJ,c,/->'I000:Amps $163.00 City "0 ~ ~ I d Phonel"C'1 ~~\c),{)f81 \I'I00v~~1000 A:inp~NBIls $375.00 I . \)u<'v II (\9 \\1e eel 1\~;e9orR~l!~J;i,~~(0pIY $ 50.00 ea I IOI,\\e '000-3'2,'2--2-::>" J 41 \--7IIl[(\bSPIC I"tel is ~ - C ~'1'l=l?=""'s~<),'.'i''i~''''-'F'"~''d. ~",~i'J!il>~,~<<'~"!:'i"~~~~ l (~- e . li~~P2~~<<~:}1c!~~~Je ~er:~/!J~~~'~ 0'1 10 -- 0 I -- Ea ~ 0), -. lo51.--t'75 ~ -- 30 - nLo 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps . Over 600 Amps or 1000 VOIls see "B" above. Signature of Supervising Electrician D. ~~~fr"!LtW~.r_ . .~~' , en (\ f\ ~ __ . New Alteration or Exten{~ "\,~\il'fmel (" LY t..l>wl J.rt ~ . One Circuit ~m~t. \t iXS2> ~Q\ $ 43.00 . . ,,\O"i\C~'E"'c/1~"i\i'oo\ . ~it~~~~Q\\ _ ~ I .. _,. _ ~'-l\S \>t.~~~'tl~ Q ~Wl\l~t.D $ 3.00 . O~erst:lame J,,,,,,,,,, \~..~ ,<' ?\~~V \S~'" ." y-;i- J -.~\\\Q ~~n~-,. ,)t\rl'fl'i1'I;.~.::t',,,,",,w,,,,~.,,,'_-'4'J~~~,~<!\!,,l:j Addr.e.ss', 1 ~7- ~I J-~ .A../ .\ ",~,JiL".' ,'&\isce n<ltlO~~Sehice/feeder.notillchided).;;Eachlnstanatioll'1 ~ ...... ~ /oL CQ,"\'l\\;.U"\))\.'{< ,l;\!~"""'''''''''''''''Jr'''-''''''i.-_~,,,,,,,,,,,,,,~,,,<,,,,,,",,,,,,=,,,-1 City ~~ Pho~J S- ..0 7/4.~'i \~ump or inigation $ 50.00 / '----- ~ j Sign/Outline Lighting $ 50.00 '-.... ? _J( -- OWNER INSTAbJ..1'\xI'lyN Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. ~:~tt)f'!i'fdj;f~~jijf~<1.> " t~~~~~~,~~f~n~w~!~, <t. ,~ ~~ .:Z 12, 00. IBS,," '2 S .?/J 12..'7-3.710 LEGAL DESCRIPTION 11-n~ 2-?.i 2- O'U,DO JOB DESCRIPTION )kle- f:UJ1J? ~/J.M'./ '/1"'/' </;-,lD"(' Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. . Supervisor License Number . Expiration Date Constr. Contr. Number Expiration Date The installation i>>-15'emg ma~n property I own which is not intendeP'Thr sale, lease o~nt. . \~/. (~ Owne>tSignature: ._~ J ~ I / Inspection Request: 726-3769 A. ~~~~.}i~~~~%~'~~Gr~1f{~i~i~~~1:{~F'1~1~j~f;'~d'~rm~~:~~i:i~tJ~~ 11.M-.:r':'~~';':"~~"'41.rt:,:-,;",;,;:!.~iJ.;-;[, _~~.1i'~""'~~""~';~:'::'~',"I~!.":iIC"JOl~'foI'':;'''~''''i-l: ~... Service Included 1000 sq. ft. or less Each additional 500 sq. fl. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder I if $106.00 . l{)fo,OO $ 19.00 1',00 $50.00 Installation, Alteration or Relocation / $ 50.00 $ 69.00 $100.00 )0,00 8% State Surcharge 10% Administrative Fee TOTAL ~hared Drive(T:)IBuilding Forms/Electrical Pennit Application l.o3.doc CITY aPRINGFIELD SYSTEMS DEVELOpltT WORKSHEET JOURNAL OR JOB NUMBER: COM2006-00081 NAME OR COMPANY: Tim Peterson LOCATION: 616 Ethan Ct TAX LOT NUMBER: 1703221207600 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS I BUILDING SIZE (SF" 2040 LOT SIZE (SF): 1. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. CHARGE I 2970.00 I $0.323 I = I $959.31 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I I I 0.00 I I $0.323 I I 50% = I ITEM I TOTAL - STORM DRAINAGE SDC S959.31 I 2. SANITARY SEWER - CITY I I'" U.l 10 10 U It>: 4690 I. ~ la i~ DISCOUNT $0.00 S959.31 1070 A. REIMBURSEMENT COST: ! NUMBER OF DFU's I x COST PER DFU , 24 S25.07 $601.68 11091 B. IMPROVEMENT COST: I I NUMBE~40F DFU's I x $19.07 $457.68 11092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , SI,059.36 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADTTRJP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI I 9.57 I I I I $19.09 1.00 S182.69 1093 B. IMPROVEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEWTRJPFACTORI I 9.57 I I I I $84.19 I 1.00 $805.70 1094 ITEM 3 TOTAL - TRANSPORT A nON SDC = I S988.39 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I I , I $82.03 = $82.03 11054 B. IMPROVEMENT COST: I INUMBER ?F FEU's I x ICOST PER FEU I $865.31 = $865.31 . 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) SO.OO !11054 MWMC ADMINISTRATIVE FEE SIO.OO 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =1 S957.34 I SUBTOTAL (ADD ITEMS 1,2,3, & 4) = 1 $3,964.40 -II 5. ADMINISTRATIVE FEF~ I SUBTOTAL x I ADM. FEE RATE 1= CHARGE I $3.964.40 I 5% I $198.22 TOTAL SANITARY ADMINISTRATION FEE: 133.07 1079 , TOTAL TRANSPORTATION ADMINISTRATION FEE: $65.15 11078 Cheryl Slaymaker 1/2512006 TOTAL SDC CHARGES = , $4,162.62 PREPARED BY DATE . . ' . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT - DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS IBATHTIJB 1 0 3 = 3 IDRlNKlNG FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 ICLOTHESWASHER / MOP SINK 1 0 3 = 3 ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0 IRECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 ISHOWER. SINGLE STALL 1 0 2 = 2 I SHOWER. GANG (NUMBER OF HEADSt 0 0 2 = 0 ISINK: COMMERCIAURESIDENTIAL KITCHEN 1 0 3 = 3 ISINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 4 0 1 = 4 IURINAL. STALL / WALL 0 0 5 = .0 ITOILET. PUBLIC INSTALLATION 0 .0 6 = 0 ITOILET. PRIVATE INST ALLA TION 3 0 3 = 9 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 24 I .EDU (EQuivalent DwellinR Unit) is a discharee eauivalent to a sin2le familv dwellinJ!: unit (20 Oms) set at ) 67 PJlllons per day II MWMc CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR CREDIT RATE/$I,OOO ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXA nON CREDIT? 2 BEFORE 1979 $5.29 (Enter I for Yes, 2 for No) 1979 $5.29 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 2 1980 $5.19 (Enter I for Yes, 2 for No) 1981 $5.12 BASE YEAR 1979 1982 $4.98 1983 $4.80 CREDIT FOR LAND (IF APPLICABLE) 1984 $4.63 VALUE / 1000 CREDIT RATE 1985 $4.40 $0.00 x $5.29 ~ , $0.00 1986 $4.07 1987 $3.67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXA nON) 1988 $3.22 VALUE /1000 CREDIT RATE 1989 $2.73 $0.00 x $5.29 0 1990 $2.25 1991 $1.80 1992 $1.59 TOTAL MWMC CREDIT = $0.00 1993 $1.45 1994 $1.25 1995 $1.09 1996 $0.92 I 1997 $0.72 I 1998 $0.48 I 1999 $0.28 I 2000 $0.09 ,I 2001 $0.05 ,I 215.Fifth Street Springfield, Oregon 97477 541-72\;-3759 Phone . 8!'~.""I!lLD.._. __.. ... '. ~. ~",: Job/Journal Number COM2006-00081 COM2006-00081. COM2006-00081 COM2006-00081 COM2006-00081 COM2006-00081 COM2006-00081 COM2006-00081 CpM2006-00081 ('QM2006-00081 CbM2006-00081 CbM2006-00081 COM2006-00081 COM2006-00081 COM2006-00081 COM2006-00081 COM2006-00081 COM2006-00081 CbM2006-00081 CbM2006-00081 CbM2006-00081 COM2006-00081 COM2006-00081 C0M2006-00081 CbM2006-00081 CbM2006-00081 C!l)M2006-00081 dOM2006-00081 ,., COM2006-00081 COM2006-00081 COM2006-00081 Payments: Type of Payment <;~eck :i :, ,', i;(' ;\. j :t f , :, :, 3/312006 RECEIPT #: ..City of Springfield Official Receipt ~evelopment Services Department Public Works Department 2200600000000000264 Date: 03/03/2006 Description Addressing Assignment Willamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Sidewalk Permit Curbcut Permit PW Disc - 2nd Permit (Street) Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transpo Admin Plan Review Major - Planning Building Permit 3 Baths One & Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Gas Outlets 1-4 Gas Fireplace Heat Pump -Mechanical Issuance Fee- + 8% State Surcharge + 10% Administrative Fee Paid By TIM PETERSON CONSTR Received By djb Page I of 1 Item Total: Check Number Authorization Batcb Number Number How Received 11494 In Person Payment Total: 1 :29:28PM Amount Due 31.00 1,000.00 106.00 76.00 50.00. 80.00 . 80.00 (30.00) 959.3\ 601.68 457.68 182.69 805.70 82.03 865.31 10.00 133.07 65.15 150.00 978.40 306.00 12.00 : 24.00 9.00 6.00 4.00 15.00 12.00 10.00 127.87 159.84 $7,369.73 Amount Paid $7,369.73 $7,369.73 'I