HomeMy WebLinkAboutPermit Building 2005-9-30
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CITY OF SPRINGFIELD
Building/Combination Permit
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2005-01130
ISSUED: 09/30/2005
APPLIED: 08/19/2005
EXPIRES: 03/3012006
VALUE: $ 172,538.00
SITE ADDRESS: 1068 Kelly Blvd
ASSESSOR'S PARCEL NO.: 1703341100600
Springfield TYPE OF
Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: ADU and Single Family Residence
Owner:
Address:
MICHAEL MCCREERY
130LYNNBROOKDR
EUGENE OR 97404
Phone Number: 541-
Contractor Type
General
Electrical
Mechanical
Plumbing
_!~.....e \IOU to
- . f\t"!1on law ,"....- n Utility
I CONTRA:rn;OR\ IilJO~'fK)N'tOlego set lorth
,.rIL' l .\~'" \es are
10110Vl ,~- - e 'Those 952-001-
Contractor Notilication cen~oM\ll1.nSl.\'Jgh ~~Jw.t!wtll>ate
CLARK D PEDEGO In OAR 952-001 8~copies 0 \ ,~t{~~~.!I07
MAG ELECTRIC INC 0090. '(ou may 0 19p'8~ote: the te\ra(~M~.!HI5
CLARK D PEDEGO calling tne cen~~~on Utility N~R4/26/2007
CHAPIN ENTERPRISES INC numbel 101 ~~~\IJ~'.!~00-332-234ll'5/06/2008
Phone
541-485-2885
541-461-0387
541-485-2885
541-485-1146
I BU,LO",,,, m~uKMATloNI
# of Units: 2 # of Stories: 2 Lot Size: 13,875
Primary Occupancy Group: R-3 Height of 23.00 Sq Ft I st Floor: 1,176
Secondary Occupancy U Type of Heat: Electric Sq Ft 2nd Floor: 462
Primary Construction Type VN Water Type: Electric Sq Ft Basement:
Secondary Construction Range Type: Electric Sq Ft Garage/Carport 630
# of Bedrooms: 4 Energy Path: Path I Sq Ft Other:
Sprinkled n/a Occupant Load:
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
10.00
9.60
18.60
86.60
20.50
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
Hillside
2
Yes
28.60
REQUIRED PARKING
Total: 3
Handicapped:
Compact:
Notes:
Storm drainage piped to curb face 8/23/2005 CAS
IPUBLlC IMPROVEMENTS' tl.~ "
\"e, Sidewplln1lml!; f - ~'O1' .;
Fullv Improved NO' ,,~. :t ~~~~\. tJ"I""'~tA11 "" II CurbSide 5'
Yes 1\,\\$ p~l\t/I\ ~~n~ fOfrurb and Gutter
P.U1IiOP.\tt~o 0" \S ~e~~OO
COt/lt/l~NDCO~'( P\,,\QO.
A~'i "
,
Street
Storm Sewer Available:
Special Instruction:
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CITY OF SPRINGFIELD
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Building/Combination Permit
PERMIT NO: COM2005-01130
ISSUED: 09/30/2005
APPLIED: 08/19/2005
EXPIRES: 03/30/2006
VALUE: $ 172,538.00
Status: Issued
- 225 Fifth Street, Springfield, OR
541-726-3753 Phone
. 541-726-3676 Fax
- 541-726-3769 Inspection Line
DecklBalconv
Dwellines
Dwellines
Garaee
Type of Construction
Deck
V Wood Frame
V Wood Frame
Garaee
I Valuation Descriotion I.
$ Per Sq Ft Square Footage
or multip6er or Bid Amount
$17.00 220.00
$96.00 462.00
$96.00 1,176.00
$25.00 462.00
Value
Date Calculated
Description
Total Value of Project
$3,740.00
$44,352.00
$112,896.00
$11,550.00
$172,538.00
08131/2005
08/1912005
08/19/2005
08/19/2005
Fees Paid I
, Fee Description Amount Paid Date Paid Receipt Number
,- Plan Review Residential $513.43 8/19/05 1200500000000001217
-Mechanical Issuance Fee- $10.00 9/30/05 1200500000000001433
+ 10% Administrative Fee $145.29 9/30/05 1200500000000001433
+ 7% State Surcharge $101.70 9/30/05 1200500000000001433
1 Bath One & Two Family $290.00 9/30/05 1200500000000001433
Building Permit $802.90 9/30/05 1200500000000001433
Encroachment Permit $130.00 9/30/05 1200500000000001433
Exhaust Hoods $18.00 9/30/05 1200500000000001433
Plan Review Major - Planning $150.00 9/30/05 1200500000000001433
Plan Review Residential $8.64 9/30/05 1200500000000001433
Plan ReviewlResidential Hourly $135.00 9/30/05 1200500000000001433
Residence Wiring 1000 Sq Ft $212.00 9/30/05 1200500000000001433
Residence Wiring Ea Addtl 500 $38.00 9/30/05 1200500000000001433
Sanitary Sewer - Improvement $438.61 9/30/05 1200500000000001433
Sanitary Sewer - Reimbursement $576.61 9/30/05 1200500000000001433
SDC MWMC Administration $10.00 9/30/05 1200500000000001433
SDC MWMC Improvement $1,730,62 9/30/05 1200500000000001433
SDC MWMC Reimbursement $164.06 9/30/05 1200500000000001433
.. SDC Sanitary/Storm Admin
$153.33 9/30/05 1200500000000001433
~DC Transpo Admin $145.15 9/30/05 1200500000000001433
SDC Transpo Improvement $1,611.40 9/30/05 1200500000000001433
SDC Transpo Reimbursement $365.38 9/30/05 1200500000000001433
Storm Drainage Impervious Area $1,073.01 9/30/05 1200500000000001433
Temp Power 200 amps or less $50.00 9/30/05 1200500000000001433
Vent Fan $12.00 9/30/05 1200500000000001433
Wood StovelInsert $30.00 9/30/05 1200500000000001433
Total Amount $8,915.13
I Plan Reviews I
Initial Review
08/22/2005
0812212005
APP SKG
2 of 4
. . CITY OF SPRINGFIELD'
Building/Combination Permit
Status: Issued PERMIT NO: COM2005-01l30
225 Flfth Street, Springfield, OR ISSUED: 09/30/2005
541-726-3753 Phone APPLIED: 08/19/2005
541-726-3676 Fax EXPIRES: 03/30/2006
541-726-37691nspection Line VALUE: $ 172,538.00
Initial Review 09/19/2005 09/20/2005 APP LLH Revised Drawings requested by Don
Moore
LDAP Review 09/16/2005 09/16/2005 APP VRJ LDAP approved and ready to issue.
$300.00 due at issuance. Please leave
tag on parcel until LDAP has been
issued.
LDAP Review 08/24/2005 08/24/2005 10 VRJ Full review LDAP. LDAP submitted
and under review, $300.00 due at
issuance. See LDP2005-00169.
Plannine Review 09/28/2005 09/28/2005 APP TAJ DRC2005-00060 approved an ADV
for this site. The site plan was
revised to reflect two of the
conditions of approval. The ADV
was moved 2.5' to the south to allow
for a solar setback of 20.5' and the
continuous footing fullnIls condition
#2.
Condition # 4 requires that final
occupancy of tbe ADV not be
granted prior to final occupancy of
the main dwelling.
Plannine Review 08/22/2005 09/15/2005 WE TAJ On hold for revised plot plan for
solar. Left message for contractor
on 9/15.
Public Works Review 08/22/2005 08/23/2005 APP CAS Storm drainage piped to curh face
8/23/2005 CAS
Structural Review 08/22/2005 09/01/2005 WE DLM Additional information needed to
complete review.
Structural Review 09/20/2005 09/29/2005 APP DLM See documents for 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.
IRpn~
Erosion/Grading Inspection: Prior to ground disturhance and after erosion measures are installed.
Encroachment: After i1em(s) have been removed to inspect condition of public right of way.
Vfer Electrical Ground: Install ground rod at footing and call for inspection in conjunction witb footing and/or
foundallon Inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior .to concrete placement.
Slab: To be made after all inslab building service equipment, conduit piping and other equipment Items are in
place but prior to concrete.
3 of 4
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CITY OF SPRINGFIELD
Building/Combination Permit
Status:
Issued
PERMIT NO: COM2005-01l30
ISSUED: 09/30/2005
APPLIED: 08/19/2005
EXPIRES: 03/30/2006
VALUE: $ 172,538.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Floor Insulation: Prior to decking.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Firewall: Located and constructed according to plans.
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.
Underslab Plumbing: Prior to filling the trencb and including required testing.
Perimeter Foundation Drains: After gravel and mter cloth is installed but prior to backfill.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench and including required testing.
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.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Wood Stove: After Installation.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Rough Electric: Prior to Cov~r
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 wiD be made ofany structure without permission ofthe 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 wiD remain on the site
at al'ClI~;;r;ion. rho/ oS-
Owner or Contractors Signature Date
4 of 4
Dec-19-01 04:46P
P.02
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ELECTRICAL PERMIT APPLICATION
.;'CityJoh Number C~O II J 0 'ng'
~. '. . the tallOW1
'." ubl11ittad has d usa
3: COMPL~~~,J;';'E~~Wspeci1ic Ian .
, '. ddoas nO O.
.: . .' loning, an . I 'h.'~
A. New lWi~ingle Or . ~ -<<I) _p(
l"luICi-FamDfllllhlwelllng nnle, q P'" J -=
. Service Intluded: - .. cfiv-J _
Date - 11#>1R!"' ~
d Signature -
Authorize 11
1000sq.ft.orless ~S)06.00 212.00
Eacl1 additional 500
sq. ft or portion
thereof
Each Mallufd Homc or
Modular Dwelling
Service or Feeder
1. S 19.00 '1600
225 FIFTH STREET
. '. SPRIf'lGFlELD. OREGON 97477 .
INSPECTION REQUEST: 726-3169 .
:' .OfFICE: 726-3159 .
J. LOCATION OF f~g;~TION
I/)t.~ h.l. ,
LEGAL DESCRIPTION
I1--D'11'1/1 IXJ!"I"JO
JOB ?~~ '~7'I?SJkv&1<~
Permits arc Ilon-mmsfcmble and expire
if work is noC stnned within 180 days
of issuance or if work is suspended for
180 days.
S 5U.00
2. CONTRACTOR lNST ALLA nON ONLY B, Services or Feeders
.. () ~\ ^ ~ I ..' 1nsta1latioD, AlleraCioDS or
EleclricalCootnlClOr\ ~) \ I L ~ ,CJleloc:aliou:
A~A-\\Qtin (".... 2ooOJll)lSorlcss. $63.00
CityI!itJifJLPholle&lI-!/tft~~l' ~~:=:~:= ~:l~~':
S~JL;~~~ .'~i'5h"::-:..~" .~~~l~ :~~~::_
.. . '. 10-" I-~?j: . '. -iN'<' .' 1l.. ~~. . , s. SJlJ1ll.
E.....~Dale .:.J.1 1':/<lJ'I'.' I~'" . 'T>:U'ENIlUN:Oregon law r",'iu"syu~ ~v--
'.' ...... ..', . .,:<.......... ..'.'c.,,'. C..!T.:.,.:,.'If'.~~ytheOregonUtlllty.'
. 'Constr COntr. Num~ 1'-/9.-"1. q if., ':":';: . :;bistAliauoi;~&liiiilal6t.RlioeatioriJles are l;Jet fOrth
:E.'J'iration Dale i:) J ')3 c;;~..;~;(. ':j~~R.:5iJ2"001:~~~nt~~~~;: 2t1{~ii~ .=
.. ',"~1m er. (Note: the4e\e I :06-
..~:<:Si~ of Supenisiog Eledriaaa ~~ ~J.I.!ility-Ho:ti lC;akl" . ..-
"';!' .. ~ j,j ...., ~ ~ "8" ...~..center is 1-800'332-234~).(... _
.... .,.:". ". " "" . fl' ."" .1} A/'.. D. BnIJICh Ciituils ..: .'
<:::,~:~'NiIio~.eUM:-1,.,. "v((.Lf~ NcwAIier.mon ortixccnsion PerPaael :
};:~~jl06f{;..\C4(.:;;; Il/vel O";;:~~ "'. . "',$43,,00
, . . "'. ._ ,.. 0" . --.:--
.' . :,:,~City<"?~::b .:p~ '7/? - 'ii0f'1 ~"'~;;';""I Cin:uit or with Service
'". .:.~:'.'.' "-' ". orF~Permit
....:\'O~. R............n.ON.....:;..
....l'le. ..,.".n.t.oLcft,. . ".-. ,.:: ~. '".
,.... The installation is beiog made DlI. . L Misl:eUaneoos (S .' . 'foeder nol incloded)
.' ':.':'~."....",:IownwhicltisDOl~ : -:Eiichinstallstion
,. 'forsale,'Jease'orreot. ,... . Pli!DP'or" , . $50.00
':,O,~oersSli:oaturt: "':'N(}l\Ct~ t/l1't S~"'ll "', . 01 \ ~::=
, ." \tlIS:p~~I.,~OUNOt: n1i...-i:i- ~$45.oo_
t)Jn-\O~ .. m'!~!foi '
COt/l\'ll~~~~~Jectrie Pennit Iaspeclion Fee i. S~5.0D + Surcharge.
~~'( ,~O 4.sUBTOTALOFABOVE' -Sa:?,OO
1% Stale Sureharge ? I .0,..,
1 (1% AdminiJlra!h'c Fee ~ ~
f1,';;:I.oo
$3,00
... ..'
TOTAL
CITY OF'RINGFIELD SYSTEMS DEVELOPM_WORKSHEET
JOURNAL OR JOB NUMBER:
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
C0M2005-01130
Michael McCreery
1068 Kelly Blvd
17033411 00600
SINGLE FAMILY RESIDENCE
2 BUILDING SIZE (SF: 2032
LOT SIZE (SF):
13127.25
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L STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. CHARGE
'3322.00 I $0.323 I = I $1,073.01 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
0.00 I $0.323 I I 50% ~ I
ITEM 1 TOTAL - STORM DRAINAGE SDC $1,073.01
2 SANITARY SEWER - CITY
DISCOUNT
$0.00
$1,073.01
11070
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x COST PER DFU
23 ' $25.07 $576.61 11091
B. IMPROVEMENT COST: I
1 NUMBER OF DFU's I x
I 23 I $19.D7 $438.61 11092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $1,015.22
3. TRANSPORTATION
A. REIMBURSEMENT COST: I
I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEWTRlPFACTORI
I 9.57 I I 2 I $19.09 1.00 . $365.38 1093
B. IMPRO'VEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x !NEWTRIPFACTORI
I 9.57 I I 2 I $84.19 I 1.00 $1,611.40 1094
ITEM 3 TOTAL - TRANSPORT A nON SDC = , $1,976.78
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x
I 2 I
B. IMPROVEMENT COST:
INUMBER OF FEU's I x
I 2 I
ICOST PER FEU
I $82.03
=
$164.06
1054
ICOST PER FEU
I $865,31
Cheryl Slaymaker
8/23/2005
= $1,730.62 11055
$0.00 I 1054
$10.00 11056
$1,904.68 I
$5,969.69 I
CHARGE
$298.48
153,33 11079
$145.15 11078
TOTAL SDC CHARGES =, $6,268.17
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL-MWMC SANITARY SEWER SDC =,
SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ I
5. ADMINISTRATIVE FEE:
I SUBTOTAL x I ADM. FEE RATE I~
$5.969.69 I 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
PREPARED BY
DATE
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DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXl1JRE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
_____u_._ ....
IBATHTUB 2 0 3 = 6
IDRINKING FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
ILAUNDRY TUB 0 0 2 = 0
CLOlliESW ASHER / MOP SINK 1 0 3 = 3
ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
I RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0
fRECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
SHOWER. SINGLE STALL 0 0 2 = 0
I SHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0
ISINK: COMMERCiAiJRESIDENTlAL KITCHEN 2 0 3 = 6
ISINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0
SINK: SINGLE LAVATORYIRESIDENTIAL BAR 2 0 1 = 2
URINAL, STALL / WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRIVATE INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 23
.EDU (EQuivalent Dwellin~ Unit) is a discharge eQuivalent to a single familv dwellin~ unit (20 DFU's) set at 167 ~Ions per day
-,
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
I[ YEAR CREDIT RATEI$I,OO~I
ANNEXED IS LAND ELGlBLE FOR ANNEXATION CREDIT? 2
ASSESSED VALUE
r BEFORE 1979 $5.29 (Enter I for Yes, 2 for No)
I 1979 $5.29 IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? 2
I 1980 $5.19 . (Enler I for Yes, 2 for No)
I 1981 $5.12 BASE YEAR 1979
I 1982 $4.98
I 1983 $4.80 CREDIT FOR LAND (IF APPLICABLE)
1984 $4.63 VALUE /1000 CREDIT RATE
1985 $4.40 SO.OO x $5.29 ~ , $0.00
1986 $4.07
1987 $3.67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
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
1997 $0.72
1998 $0.48
1999 $0.28
2000 $0.09
2001 $0.05
"
225 Fifth Stre.et ' .. .
SptiIigl1eld, Oregon 97477
541-726-3759 Phone
, Job/Journal Number
COM2005-01130
" COM2005-01130
J
C,OM2005-01130
COM2005-01130
COM2005-01130
COM2005-01130
COM2005-01130
,
COM2005-01130
. COM2005-01130
,
COM2005-01130,
ct>M2005-01130
COM2005-01130
COM2005-01130
COM2005-01130
. COM2005-01130
COM2005-01130
, COM2005-01130
COM2005-01130
" CbM2005-01130
COM2005-0 1130
COM2005-01130
COM2005-01130
COM2005-01130
CbM2005-0 1130
. COM2005-0 1130
,\
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Payments:
Thie or Payment
Check
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9/3012005
...~"'..~.._' .
~"'~-'~."'.:- :
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-.-"" .,
RECEIPT #:
1200500000000001433
Description
Encroachment Permit
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 Residential
Plan Review Major - Planning
Plan ReviewlResidential Hourly
Building Permit
I Bath One & Two Family
Vent Fan
Exhaust Hoods
Wood StovelInsert
-Mechanical Issuance Fee-
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
+ 7% State Surcharge
+ 10% Administrative Fee
aity of Springfield Official Receipt
~evelopment Services Department
Public Works Department
Date: 09/30/2005
Item Total:
l:be<k Number Authorization
Batch Number Number How Received
5195 In Person
Payment Total:
Paid By
CLARK PEDEGO CONSTR
Reeel ved By
djb
I of I
11:51:08AM
Amount Due
130.00
1,073.01
. 576.61
438.61
365.38 .
1,611.40
164.06
1,730.62
10.00
153.33
145,15
8.64
150,00
135.00
802,90
290,00
12,00
18.00.
30.00
10.00
212.0q
38.00
50.00
10 1.70
145.29
$8,401.70
Amount Paid
$8,401.70
$8,40 l. 70