HomeMy WebLinkAboutPermit Building 2006-9-25 (2)
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: COM2006-01114
ISSUED: 09/25/2006
APPLIED: 08/29/2006
EXPIRES: 04/25/2007
VALUE: $ 77,760.00
*
Springfield TYPE OF WORK: Manuf Home w
Garage/Carport Private Lol
TYPE OF USE: New Resideotial
Manufactured home with garage on private lot, Lol69 Maia Park
SITE ADDRESS: 2285 MAlA LP
ASSESSOR'S PARCEL NO.: 1703251302900
PROJECT DESCRIPTION:
Owner:
Address:
MAlA LLC
2433 MARCOLA RD
SPRINGFIELD OR 97477
ATTENTIUI\j:UlegCi'h'6\\ll NUlIIir&\l y!;4Itt~46-4065
follow rule. adopted by the Oregon Utility
Notification Center. Those rules are set fortt
-, . - --;, -.....
In U"'" ~;:)~"\lUI"'VU.'" VII"'tof~II"""''--11 ..,..,~ .........
I CONTRACTOR 1,..I,_.,,,,,,OO\)\ONl\lobtaln copies of the rules b}
calling me center. (Note: the telephone
numlUicenslhe OE:QjiiTlUilI'ii/I1>liteflciPiion e
66<GVlnter is 1-80ilsMtilliOlM). 541-689-7762
156678 08/14/2007 541-686-5444
66447 05/07/2007 541-689-7762
66447 05/0712007 541-689-7762
Contractor Type
General
Electrical
Manuf Home Insl
Plumbing
Contractor
HARRISON JACOBSON INC
ROBS ELECTRIC INC
HARRISON JACOBSON INC
HARRISON JACOBSON INC
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Prima ry Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Selback:
Solar Setbacks:
13.00
5.00
5.00
42.00
0.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
BUILDING INFORMATION I
1
R-3
U
VN
Lot Size:
Sq Ft 1st Floor:
Sq FI 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Olher:
Occupant Load:
560
7,846
1,620
3
# of Stories:
Height of Structure
Type of Heat: orced Air Electric
Water Type: Electric
Range Type: Eleclric
Energy Path:
Sprinkled Building:
!HlTUU:.
I DEVELOPMENT INFORM,HIQN'1r SHALL EXPIf\f~IiJHfEW~~~KING
AUTHORIZED UNDER THIS PE~MIT IS NOT
Overlay Dist: .TRt~" 2
# Street Trees Rq~PMMENCED OR IS ABANIt'H\laiQa~g.fit:
Paved Drive RqdANY 180 DAY PEYOOD. Compact:
% of Lot Coverage: 27.70
n/a
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
DownspoutslDrains:
Fullv Improved
Yes
Cnrb and Gutter
Notes: Privale Lot with private utilities. Slorm drainage to approved system, with field verification required.JLP
Paee 1 of 4
-~-~
Status
Issued
225 Fifth Slreet, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
54I-726-3769Inspeclion Line
Description
Tvpe of Conslruction
Foundation Onlv
Garaee
Manuf Home
Use Bid Amonnl
Garaee
Manufactured Home
Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 50/0 Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ Ea Add
Addressing Assignment
Fire SF Fee - Residential
Garage/Carport
Manuf Home State Issuance
Manufactured Home Conn - PImb
Manufactured Home Feeder
Manufactured Home Placement
Manufactured Home Service
Plan Review Major - Planning
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursemenl
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Trunspo Improvement
SDC Transpo Reimbursement
Storm Drainage Impervious Area
Storm Sewer - I,o;t 50 Feet
Water Line - 1st 50 Feet
WilIamalane Manuf Home Private
Total Amount Paid
.
.CITY OF SPRINt.r II'.,LD '
Building/Combination Permit
PERMIT NO: COM2006-01114
ISSUED: 09/25/2006
APPLIED: 08/29/2006
EXPIRES: 04/25/2007
VALUE: $ 77,760.00
I Valuation DescriDtion I
$ Per Sq FI
or multiplier
$1.00
$26.00
$1.00
Square Footage
or Bid Amounl
3,200.00
560.00
60,000.00
Value
Date Calculaled
$3,200.00
$14,560.00
$60,000.00
$77,760.00
08/29/2006
08/29/2006
08/30/2006
Total Value of Project
~PP<r PIiiJ
Amount Paid
$110.37
$72.18
$30.64
$49.02
$3.00
$31.00
$109.00
$169.80
$30.00
$45.00
$50.00
$160.00
$50.00
$198.00
$45.00
$514.55
$676.69
$10.00
$961.52
$91.61
$127.63
$70.15
$836.32
$189.58
$675.26
$45.00
$45.00
$1,000.00
$6,396.32
Date Paid
Receipt Number
2200600000000001214
1200600000000001446
1200600000000001446
1200600000000001446
1200600000000001446
1200600000000001446
1200600000000001446
1200600000000001446
1200600000000001446
1200600000000001446
1200600000000001446
1200600000000001446
1200600000000001446
1200600000000001446
1200600000000001446
1200600000000001446
1200600000000001446
1200600000000001446
1200600000000001446
1200600000000001446
1200600000000001446
1200600000000001446
1200600000000001446
1200600000000001446
1200600000000001446
1200600000000001446
1200600000000001446
1200600000000001446
8/29/06
9/25/06
9/25/06
9/25/06
9/25/06
9/25/06
9/25/06
9/25/06
9/25/06
9/25/06
9/25/06
9/25106
9/25/06
9/25/06
9/25/06
9/25/06
9/25/06
9/25/06
9/25/06
9/25106
9/25/06
9/25/06
9/25/06
9/25/06
9/25/06
9/25106
9/25/06
9/25/06
Paee 2 of 4
.
.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01114
ISSUED: 09/25/2006
APPLIED: 08/29/2006
EXPIRES: 04/25/2007
VALUE: $ 77,760.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspeclion Line
Initial Review
Plannine Review
I Plan Reviews I
08/30/2006 08/30/2006 APP LLH
08/30/2006 09/15/2006 APP TAJ
08/30/2006 09/13/2006 APP JLP
08/30/2006 09/08/2006 APP DLM
Survey reqnired because of
minimum side sethacks.
Private Lol with private ulilities.
Slorm drainage 10 approved system,
wilh field verification required.JLP
Standard comments for M.H. and
garage, plus required corner
framing detail for "Continuously
Sheathed Brace Wall" at garage
front.
Public Works Review
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.
UeouireCUnsnections I
Footing: After trenches are excavated.
Foundation: After forms are erecled but prior to concrele placement.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Manuf Home Set Up: When inslallation of all piers or slands is complele.
Final Manuf Home Set Up: After all required inspections are requesled and approved and porches, skirting,
decks, venting, street address numbers, trees, driveway, etc. have been installed.
Final Building: After all required inspections have been requested and approved and the building is complete.
Waler Line: Prior to filling trench and including required testing.
Sanilary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Manuf Home Plumbing, After home has been connected 10 water and sewer.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
MH Electric: When blocking, setup and plumbing inspections have been approved and the home is connected to
the panel.
MH Service: Approval required prior to utility company energizing service.
Erosion/Grading Inspeclion: Prior to ground disturbance and after erosion measures are installed.
Paee 3 of 4
.
.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01l14
ISSUED: 09/2512006
APPLIED: 08/2912006
EXPIRES: 04/25/2007
VALUE: $ 77,760.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspeclion Line
By signature, I slate and agree, that I have carefully examined the compleled application and do hereby certify that all
information hereon is true and correct, and I further certify thai any and all work performed shall be done in accordance with
the Ordinances of Ihe City of Springfield and Ihe Laws of Ihe Slale 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 furlher cerlify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agr to ensure I t aIfJquired inspeclions are requested althe proper lime,lhal each address is readable from the
street, that ~p rm tea \1 s 10 al d al the front of the property, and the approved set of plans will remain on the site at all
times duri g n tr ctio .
_IX ~-
Y '-../ '" --~ <:::r/15l"D G
~
v
Owner or Contractors Signature
Dale
Paee 4 of 4
.
.
Fr~'2
,\\~51()(p
~PRINGPIEf' \ .~ ~
U.tfITY OF SPRfNGFIELD, O@:GON'~ ; 1:; ::.
225 F1ITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~ ,.,.
ELECTRICrlL PERMIT APPj.-ICATlON I ~
City Job Number C 1.2 I t\ \ l.\- Date -2I.i;:)E; /010
1. tiOCATiC)N OFINSTfl Fi'iffiON.' " .... 3. W(;OMPiEiEFIiE SCj.iEDUi2E':aEIm'V;"!'~I:"~/f"\,,,fF~fj
'~)jY3:;.I ~lri";"w ..j.~ ~"~~--~., '.. ...._~"'~"..J!.lli:iiIi1~"".iilf:!lb:l~,,i]
I~ I.. ,.~'t:''0':ril~', -.~;;~d. -'yo "I;e~~J<:::",".._tr"-): ~...,~ ~'..r.i'~:m ',~'?S- 1 _,........':.l'-;':;t?~
LEG\?fO?;~S \ '3 rfLa...W A.s~~~;;::~;~~;i.2}~~!~~lJ.rrt~J1I-J:~~,&'ji~L~1"J1M~~%l!~,~;iiii\
JOB DESCRiPTION 1000 sq. ft. or less
[VV\ " )1 \l.r..lV\e......J. ~ r/"I/)CJ ..EachadditionaI500sq. ft. or
\ \ \ 1 \ \\ nl...ll.ll .l--t~(uponlOn thereot
Permits are non-l ansferable and expIre If work Is Each Manufact' d Home or ()
not started within t80 days of issuance or If work Is Modular Dwelling Service or ..J..- $5(180
Suspended for 180 da)'s. Feeder'\TTENTION: Olegonla\': :Z:;;;";:Z5 YOOl!
[oo~doItiN~oN\ANiW~ B.lt~~~~~I~~it~~@gl\f~~J~,,~~~~~~Ji!~]fc'ir.iJil.;~
2. !:~~t;'~I;...:~!lV';""J"''''''''I\AA''''''~I't'!I.~-e 'i~~bk1Cn......CiItt::.:L~~7l.:;r.g..~.!;,Y..~~1 ." sai.Mdtflv .".'..""", ,:;,>'t~
. /J L' /" j - in OAR 952-001-0010 through OARi~!01.
Electrical Contractor .1t! DS C jl"ylr/c JI1C. 200ltS!;IJ.old\Tmay obtain copk: ::-:~.,J 'b}'
?C b)/ d:lJ"dJ / 201 A'em;mdqMffiI!~ter. (Nota: 1hz ::13 H6 ~a
Address 401 ~I5'JjDfbr'iPle'oregon Utility ~leti ~tiBR
601 Amps to I~~ 1..800-31??1.44).$163.00
Over 1000 AmpslVolts $375.00
Reconnect Only $ 50.00
~106.00
$ 19.00
\DO~
City
h/aet'Je
~
Phone
6 J'6 -'i</t,/s!
Supervisor License Number
S/]v5/S
~':" -:,>,)It.., :.. ";~'::r' ;..t;XI"'\!.1i:r~) "''.;'''',,,",,I~'!!-e~..,;:!;iR:>'.' :';'1_;(;(:';1;'
C. ~Tcmpor.a~y Seryl.ces or~F~e~'!-')~"~~}"J~},~*'~'.~f~~,~ :~'.,:J.'j't::~.,~r~
~..~~"~_~,,=__.._.,...J:.;.R...............~~"""'<li;.:.i-.. . --:":"","", ~E:t: ~..:.-<>..=..~.\.;ti:,
Expiration Date
//J -/ /17
Installation, Alteration or Relocation
Constr. Contr. Numb~r
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
Over 600 Amps or 1000 Volts see "B" above.
[!1 "",....>~" .. ""''''mt~ -~-""'~. ".._~"~".~ ''''1':'''il;''
Signature ofSup~r\'ising Electrician D. Bnincli Circuitst....~~~!:' il!::;~k;'m~G"" >;f~"i\Ir ::..' ~'l;.g~.~15. t'\i
~. /? ~.. ~~ .. -- ,~c-=:
Ar--Lf" I '.n.D ~ Service-or'Feeder Permit _a...D
Owners Name Tl ~~/f\ ~ .
Iff?'\ ()/ A l'. ~ A,r .":;:,!:!!"""'r-. ~:;-;~-'r.'.:?~~1~jl1~-:~ 'n~~'i----:~{'~
Address \.;\ \ '-'\ ;> _ ~('l ....~ rr 1 E. 1Q\1i:~o~~.~if.t~!~~f~~,!I,~~t.!!"clU:d~d);;;,~~~:I~.~~~~>~.nJj
City ~C(d / Phone "1<\\0.-\005 Pump or i1Q\l'ffi:E' $ 50.00
- t\ / Sign/oUtliin~~g~MIT SHf>.l' ~\(PIRE~p.;1t6IE WOR"
OWNER INST -Y-LA nON Limiled EnA\lJfA~iP,'l~~ UNDER TI-II5; P5~M6o ISRNOT
The installati09';s being made on property 1 own which LImIted Encrli1~ff~l~m~~IOR 1s.....4HANO()~cfO
is not intended for sale. lease or rent. Mlnlmu~l.Electr~f~O~~'!l!:~~~~tlis S45~0~ ~ Surcharges
/ 'ilP'".... ...._...~"'1:"..". -. ...."~.,,.,. \f)~"""')
Owners Signature: 4. :jSUBTOTAL OF ABOVE1~r;;1::,:\} ....".j.;~f.<r:>;. UV
/ ~~...:.:..l.i.L,tm,;. ~:',l1cl?>:"'ie"l8iWrii."lhd"~:'h',.;;;,:1::!uu.,.~....~ ~ 1..
8% State Surcharge ~ ,1..:1-
I 10% Administrative Fee \ I"').z()
Ins.!'ectlon Request: 726-3769 l'OTAl mD ~ . \E1
Shurl:d Drivc(T:)/BuiJding FOrmsl~~ \pPJf1b~'~~
/ '5'0 &.P 7 A7
$ 50.00
$ 69.00
$100.00
Expiralion Date
.f' -/7' -C:' 7
.
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER: C0M2006-0 1114
NAME OR COMPANY: Mai. L.L.C.
LOCATION: 2285 Mai. L~
TAX LOT NUMBER: 1703251302900
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS I BUILDING SIZE (SF 1740
'"
.
I STORM DRAINAGE
LOT SIZE (SF):
7846
I~
]~
10
1u
1~
I-
m
G
~
DIRECT RUNOFF TO CtTY STORM SYSTEM
, IMPERVtOUS S.F. x I COST PER S.F. CHARGE
,
'2012.00 '$0.336 I = I $675.26 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. 1 x , COST PER S.F. 'x, DISCOUNT RATE I I
0.00 '$0.336' I 50"10 I =
ITEM I TOTAL - STORM DRAINAGE SDC $675.26
--- --
. -.
2 SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
, NUMBER OF DFU's' x
, 26 I
COST PER DFU
$26.03
B. tMPROVEMENT COST:
, NUMBER OF DFU's I x
'26 $19.79
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
DISCOUNT
$0.00
$675.26
11070
$676.69
11091
= ,
$514.55
1092
= ,
$1,191.24
) TRANSPORTATION
A. REIMBURSEMENT COST:
I ADTTRlP RATE I x
I 9.57 ,
I NUMBER OF UNITS I x I
, I I I
B. IMPROVEMENT COST:
, ADT TRIP RATE , x ! NUMBER OF UNITS I x I
, 9.57 I , I I
ITEM 3 TOTAL. TRANSPORT A nON SDC = ,
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
'NUMBER OF FEU's I x
, I
B. IMPROVEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I I '$96152
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
ICOST PER FEU
I $9161
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL-MWMC SANITARY SEWERSDC = ,
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = ,
5. ADMINISTRATIVE FEE,
'SUBTOTAL x ADM. FEE RATE 1=
I $3.955.53 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
COST PER TRIP
$19.81
x INEWTRlPFACTORI
, 1.00 ,
$189.58
11093
COST PER TRIP
$87.39
$1,025.90
x INEW TRIP FACTORI
I 1.00
1094
$836.32
= $91.61 11054
I
= $961.52 1055
$0.00 1 1054
$10.00 11056
$1,063.13 I
$3,955.53 I
CHARGE
$197.78
127.63 1079
$70.15 J 1078
,
TOTAL SDC CHARGES = , $4,153.31
Jeff Prociw
PREPARED BY
9/13/2006
DATE
,
.
.
DRAINAGE rIAl URE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUrv AlENT '"' DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY TIlE NET Au..... 1 Iv,.AL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
I BATHTUB 2 0 3 = 6
I DRINKING FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
I tNTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
I LAUNDRY TUB 0 0 2 = 0
\CLOTHESW 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 REFRIG / WATER STATION / ETC. 0 0 1 = 0
I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 1 0 3 = 3
ISHOWER. SINGLE STALL 1 0 2 = 2
SHOWER. GANG (NUMBER OF HEADS!.. 0 0 2 = 0
IStNK: COMMERClAURESIDENTIAL KtTCHEN 1 0 3 = 3
ISINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASINIDOUBLE LAVATORY 1 0 2 = 2
ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1
IURINAL. STALL / WALL 0 0 5 = 0
ITOtLET. PUBLIC INSTALLATION 0 0 6 = 0
ITOILET. PRtVATE INSTALLATION 2 0 3 = 6
MtSCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 26
.EDU (EQuivalent Owellin~ Unit) is a disc~ equivalent to a sim!le: family dwellin~ unit (20 DFU's) set at 167 ~ons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
r ~::ED
li~ 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
CREDIT RATElSI,OOO
ASSESSED VALUE
$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
2
IS LAND ELGIBLE FOR ANNEXATION CREDIT'?
(Enter 1 for Yes, 2 for No)
IS IMPROVEMENT ELGffiLE FOR ANNEX. CREDIT'?
(Enter 1 for Yes, 2 for No)
BASE YEAR
2
1979
CREDtT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE
SO.OO x S5.29
~ ,
SO.OO
CREDIT FOR IMPROVEMENT (IF AFfER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0.00 x $5.29
=
SO.OO
TOTAL MWMC CREDIT
I
I
1
I
1
1
1
1
1
j
1
I
I
I
I
===0
o
.
.
'.
Date: ~,;;f- /~,.2QD ~
Iiav,^ ~
Re: Address: 2-'2-'OS- m a ~"'- V Building Permit Number COM200~ - () l \ l.y
The location of the structures as shown on the plot plan of your proposed project appears
to meet the minimum residential setback requirements of the Springfield Development
Code (SDC 16.050). ~Y1 2>'d-<- ~c.4..
There is little or no room for error in the placement of the proposed structures on the lot,
therefore, the property will need to be surveyed by a licensed surveyor to verify the
location of the property lines in relation to the proposed siting of the project. A copy of
this survey will need to be submitted to the Community Services Division, Building
Safety Section or to the Building Inspector at the time of your site inspection. All
property and structure pins shall remain on the property for verification by the Building
Inspector at the time of the footing inspection.
Should you have any questions regarding the above, feel free to contact me at 736-1003.
Sincer ~Iy,
-7Y'---
Tara Jones'
Planner
Development Services
Planning Division
225 Fifth Street
Springfield,'Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-0 1114
COM2006-0 1114
COM2006-0 1114
COM2006-0 1114
COM2006-0 1114
COM2006-0 1114
COM2006-0 1114
COM2006-0 1114
COM2006-01114
COM2006-01114
COM2006-01114
COM2006-01114
COM2006-01114
COM2006-01114
COM2006-01114
COM2006-0 1114
COM2006-0 1114
COM2006-0 1114
COM2006-0 1114
COM2006-0 1114
COM2006-0 1114
COM2006-0 1114
COM2006-0 1114
COM2006-01114
COM2006-01114
COM2006-01114
COM2006-01114
I}ayments:
Type of Payment
CreditCard
cRcccintl
.
-';Q~;~
Wii:
<Aof Springfield Official Receipt
JlI!Irelopment Services Department
Public Works Department
RECEIPT #:
1200600000000001446
Date: 09/25/2006
1 :08:09PM
Description
Manufactured Home Conn - Plmb
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Storm Drainage Impervious Area
Sanilary 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
Addressing Assignment
Willamalane ManufHome Private
Manufactured Home Feeder
Manufactured Home Service
Add, Alter, Extend Circ Ea Add
Fire SF Fee - Residential
Garage/Carport
Manufactured Home Placement
Manuf Home State Issuance
Sanitary Sewer - I sl 50 Feet
Water Line - 1st 50 Feet
Storm Sewer - 1 st 50 Feet
Amount Due
45.00
30.64
49.02
72.18
675.26
676.69
514.55
189.58
836.32
91.61
961.52
10.00
127.63
70.15
198.00
31.00
1,000.00
50.00
50.00
3.00
109.00
169.80
160.00
30.00
45.00
45.00
45.00
$6,285.95
Paid By
WILLIAM HARRISON
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
ddk
095925 In Person
Paymenl TolaI:
$6,285.95
$6,285.95
Page 1 of 1
9/25/2006