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Home My WebLink AboutPermit Building 2008-9-15 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01283 ISSUED: 09/15/2008 APPLIED: 08/25/2008 EXPIRES: 03/15/2009 \\ALUE: $ 264,810.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2591 17TH ST ASSESSOR'S PARCEL NO.: 1703243102600 SPRINGFIETYPE OF WORK: Single Family Residence 'f - , TYPE OF USE: New PROJECT DESCRIPTION: Single Family Residence, LotI Legacy Estates Overlay Dist: # Street Trees Rqd:;"i. . 6 Paved Drive Rqd: Yes Nomp-Lot Coverage: ' , 2}~.ljJ..... THIS PERMIT SMAll mme ~M~ I I"U;\!I~H!~ERMR'W t~, u"lfl'I\,..H{.;},~~~ONED FO~ FuIIv Imp~ 180 DAY PERIOD. . !, Sidewalk Type: Yes Downspouts/Drains: MAX width of driveway approved i,s 30 F~el. Owner: MIKE BUTLER Address: PO BOX 7425 EUGENE 97401 I, CONTRACTOR INFORMA nON 1 Contractor Type Gene~al Electrical Mechanical Plumbing Contractor License FUTURE B INC 36499" DEANS ELECTRIC 995,79. . JUNG ENTERPRISES INC 102455 CHAPIN ENTERPRISES INC 81994" .\-:-'fE:\':'i-" - I fOIl,~wrul~, Notification Center. Those rules are set forth in OAfl952-001-(jMt)~htti~h OAR 952-001. 1 0000-3 You may o(j;gllflca~~'t:fIlIlf' rules bv 24.00 calling the cenfljF.p~Nbfjr4/je telljljll'/o'llii E,lectric numiler for the iW8!JlJ~ NotifioatlonElectric Center ~). Electric 3 Energy Path: ,Sprinkled Building: # of Units: Primary Occnpancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: ~,No . I DEVELOPMENT INFORMATION ,I ' Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 20.00 f3.00 17.50 24.00 0.00 Street Improvements: Storm Sewer Available: Special Instruction: Notes: weep holes to curb and gutter d. Page 1 01'4 Residential Phone Number: 7442660 Expiration Date 05/18/2010 06120/2010 11/17/2008 05/06/20 I 0 Phone .541-744-2660 541 c935-5303 541-741,0002 541-485-1146 Lot Size: . Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 11,155 2,318 765 REQUIRED PARKING 2 Total: Handicapped: Compact: Setback 7' Curb and Gutter Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description TVpe of Constrnction Dwellings Garage V Wood Frame Garage Fee Description Plan Review Residential -Mech Iss 2+ Appliances- + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee 2 Baths One or Two Family Addressing Assignment Building Permit . Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Fireplace (Listed) Furnace - up to 100,000 btu Gas Outlets 1-4 Heat Pump Overwidth Application Fee Plan Review Major - Planning Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Sanitary Sewer - Improvement' Sanitary Sewer - Reimbursement Sanitary Sewer Each AddtlIOO' SDC MWMC Administration SDC MWMC Improve!"ent SDC MWMC Reimbursement SDC Sanitary/Storm Admin . SDC Transpo Improvement SDC Transpo Reimbursement' SDC Transport~tion Admin Sidewalk Permit Storm Drainage Impervious Area Storm Sewer Each AddtllOO" Temp Power 200 amps Of' less Veut Fan CITY OF SPRINGFIELD . Building/Combination Permit PERMIT NO: COM2008-01283 ISSUED: 09/15/2008 A:PPLIED: 08/25/2008 EXPIRES: 03/15/2009 VALUE: $ 264,810.00 I Valu,~t.ion, Oescription I $ Per Sq Ft or multiplier $105.00 $28.00 Square Footage or Bid Amount 2,318.00 765.00 Value Date Calculated $243;390.00 $21,420.00 $264,810.00 08/25/2008 08/25/2008 . Total Value MProject Fp,,< pqiIiLJ Amount Paid $815.12 $42.00 $209.42 $232.80 $118.35 $289.00 $37.00 $1,254.03 '. $88.00 , $8.00. $11.00 $154.15 $18.00 $15.00 $6.00 $15.00 $40.00 $211.00 $121.00 $88.00 $483.84 $636,30 $17.00 $10.00 ' $1,009.17 $97.90 $181.92 $888.98 $201.54 $70.05 . $88.00 $1,7.Jl.67 $17.00 $57.00 $24.00 Date Paid Receipt Number 2200800000000001286 2200800000000001396' 2200800000000001396 2200800000000001396 2200800000000001396 2200800000000001396 2200800000000001396 2200800000000001396 2200800000000001396 2200800000000001396 2200800000000001396 2200800000000001396 2200800000000001396 2200800000000001396 2200800000000001396 2200800000000001396 2200800000000001396 2200800000000001396 2200800000000001396 2200800000000001396 2200800000000001396 2200800000000001396 2200800000000001396 2200800000000001396 2200800000000001396 2200800000000001396 2200800000000001396 2200800000000001396 2200800000000001396 2200800000000001396 2200800000000001396 2200800000000001396 2200800000000001396 2200800000000001396 2200800000000001396 8/25/08 II 9/15/08 9/15/08 9/15/08 9/15/08, 9/15/08 9/15/08 i 9/15/08 9/15/08 9/15/08 9/15/08. ' 9/15/08 9/15/08 9/15/08 9/15/08 9/15/08 9/15/08 9/15/08 9/15/08 9/15/08 9/15/08 9/15/08 9/15/08 9/15/08 9/15/08 9/15/08 9/15/08 9/15/08 9/15/08 ! 9/15/08 9/15/08 ,I 9/15/08 9/15/08 9/15/08 9/15/08 " Page 2 of 4 CITY OF SPRINGFIELD . Building/Combination Permit I . Status Issued PERMIT NO: COM2008-01283 ISSUED: 09/15/2008 APPLIED: 08/25/2008 EXPIRES: 03/15/2009 VALUE: $ 264,810.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line WiUamalane Single Family $2,513.00 9/15/08 ,: 2200800000000001396 Total Amount Paid $11,780.24 I Plan Reviews I Initial Review 08/26/2008 08/29/2008 APP LLH Public Works Review 08/29/2008 09/05/2008 WI LKW Overwidth driveway application 'submitted to Bob Wilson for approval Structural Review 08/29/2008 09/08/2008 APP CJC Approved as noted on plans Public Works Review 09/10/2008 09/10/2008 APP. LKW Overwidth driveway approval of maximum of 30 feel. Storm drains to weep hole in curb. Plannint! Review 08/29/2008 09/1112008 APP DDK To Request an inspection call the 24 hour recording at 726-3769. All inspections 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 P,l~~ 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 tloor 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 rough in insp~ctions have,bJen approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. .Drywall: Prior to taping. , I ,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 appr~ved a!ld the building is complete. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. . . 1 Undertloor Plumbing: Prior to insulation or decking. : Page 3 of 4 CITY OF SPRINGFIELD B uilding/C 0 m binatio nPermit PERMIT NO: COM2008-01283 ISSUED: 09/15/2008. APPLIED: 08/25/2008 EXPIRES:. 03/15/2009 VALUE: $ 264,810.00 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. 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. Underlloor Gas: After line is installed and required testing and capped i~inot 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 Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to Cover Final Electric: When all electrical work is,complete. Erosion/Grading Inspection: Prior to'ground disturbance and after erosion measures are installed. Sidewalk'- Curbside: After forms are erected but prior to placement of c6ncrete. Curbcut. Overwidth: After forms are erected but prior to placement of concrete. . , Curbcut- Standard: After forms are erected but prior to placement of c~ncrete. 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 p€rtainihg to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Buiiding Safety, I further certify that only contractors and employees who are in compliance withORS 701.005 will be used on this project. , I further agree to ensure that all required inspections.are requested at the propef time, that each address is readable from the street"that the permit card is located at the front of the property, and the appro~ed ~et of plans will remain on the site at all times.during construction. ' ," I AJJtM.d,. () ~ fA- 1 ~G /~? Date / Owner or Contractors ?,nature , Page 4,01' 4 I . CITYO!f'SPRINGFIELD, OREGON ' SPRINGFIELD . ~- ZON INITiALs \;M DATE ~~Il ~ SOURCE ~(~.1 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689' ELECTRICAL PERMIT APPLICATION . City Job Number C. 8 . I Z. 83 Date 1. '~~~~~~~~tm J. 1~m>~~.ilB~~!gj~~iMltlljill~ITI. LEGAL DESCRIPTION: 17032..431 I Te-MI' . WI(lt! Permits are non-transferable and expire if work is Each Manufact'd Home or not started within 180 days of issuance or if work is Modular DwelliIig SOrvice or Suspended for 180 days. Feeder ~i':,:i%.,J4W!""''"'hiim;;;j?".4 ,~-,:qP,?'~""i>!fA'l0'"t4,'W.-"{iHMi..","~,-fi~._~~'i~i%ll"i"'''WShGikO''?,J',''''',Iii1iRi',!ii . ~:S'.~M,','-':W~,'" ", ~~kf',~iriJS,,:J@4!Mil':!mffi~. 0triW%Ji)i;f"'lJ)[iL'\1';illll!Tl'fli~"lC'l1~. ~:~"~,~: :~,"',::'.~#:d1l~;,,;:~,:,;,,trij0"'~,<'"$,II"liiI,',' , 2 ~1l€Q~''6tJ'J70~~1NST:A'l'il:/iI:1i:r01ViO~, B. ~iivicesiQr'F~eqeliS;"llInstallation"1:.Uttfjffions"Oi:ReI;'-i:ation:~ 'e' E~e::::::::"~',\\~~~')~" ~[r~;~'i:t'~~~~~i;t:Z;~;~;lt~;~-""'M""_~_~C"~:~:~-",,~-",' , [) If" . '. II1UAfi952-001_00i3010}&jlili!ll4M~rth' $86.00 Address f,O, 'J)0"'f- 'It; 2'r 0090. You may obta1W~.~~~~l. $143.00. . (~d \n~allmiJlJ1e center. ~mJ4~fjJmA' $186.00 City f,v-..i'j eWe" Phope~ 'f~~re~~PRmile $426,00 - er IS l-~&t~y~ca'(;on $ 57.00 Supervisor License Number 1 Q \ 9 ( , . / 1.()\ () 02 bo D A. '-Oii'~Dm~fdtm.,rsiru~ItV!M~ooi=IT~e~m~rdj1f~mm~1#1 ~ "" " ,'W"",,,\~,",.".,,,,,m.m;,...~gg'>;"]~'N_'"~"'~"ofu,.,,,,",,.,,,_:y,;)Ilb0lii''r\J'''Mi';8''''''0;g'~''~,",~iE>JW:1t JOB DESCRIPTION: ;-k.....s.e Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof " J '1 $121.00 It I 88 $ 22.00 $57.00 c. . Expiration Date 10 11 Constr. Contr, Number 914 t; 7 9 Expiration Date ' (?, ~ 2. D ~ 2. n \ (') Installation, Alteration or Relocation < 200 Amps or1es~ 201 Amps io 400 Amps 401 Amps to 600 Amps I $ 57.00 $ 79.00 $114.00 57 . Inspection Request: 726-3769 Over 600 Amps or 1000 Volts see "B" above. ';-'~r'~ ~o;~;;. .D~ . I AU~ORIZf% SHAt!c~~onal"circuit or with Owners Name ~ -M.I('E:!' '6,C9 . ~~ND~ry'fff~p Jfd~RI( $ 5.00 ~O n 7 t..{ ? I'\.ii {ljO DAYP'E~ ' ," " . f'~:tITha'ltd1.f)i!!!Ei~b1'i~ru~~ Address T O,Q,ot" ~ s- IlJU '~*,"'~".""l """"~l -C"'~tw #~"_ MI, ""Ii' ".,,"," .- - '" '" Cityev...G-t::N'C Phone 741.( -zbW ~porirrigation, $57.00 . ' ". Sign/Outline Lighting $ 57.00 Limited EnergyiResidential .$ 29.00 Limited Energy/Commercial $ 52.00 Minimum Electric P~rmit Inspection Fee is $52.00 + Surcharges 4 Fsw.Bm:F!!L~'E.()Iffi'Iiii_.ilf11l!il-, .,. ..-, / / . 1""'''*'_;;;'''+'+o;"fu'~~"I"''iti''''''''''";;'J;!"0'''''t;lm&:'l'''''~''_''< . ",~'a@,;,,!,,'".!1lf ~~, .i::.;; ~ 12% State SurcIiargJ 5/ yZ, . 10% Admini.stnmve:Fee Ubt' 5% Technology Fee' I ~ 30 TOTAL " 3'3>7 !Z:... Shared Drivc(T:)/Building FonnsIElectrical Pennit Application 7-08,doc I , OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent ' Owners Signature: (. " ~~Willamalane tlli Park & Recreation Dlstnct . 1 Job. No; ~~\'l2O . . 'I SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2008 NAME: ~ D \\oThe~' PHONE~.1.ld&) . ADDRESS:'t()~ -v\lh _cITY~f~STATEDlzIP:C{'1b ( . .. LocATION OFPROPOSED'BUIt.:DING"SITE:'" ',' .' Street Address: 2..S\\. \\.~ ~eet Plat Name: \fq().tt \ f5--,~esTax Lo.t NUhtber: 1. DEVELOPMENT TYPE (Check appropriafedwelling(s), Dwelling type definitions are on fhe back.) , . A. Sinale-Familv Detached "NO. OF UNITS t X.$2,513 pe~unit = '$~~ B. Sinale-Familv Attached NO. OF UNITS X $2,726 per,uriit = I $ C. Multi-Familv Aoartment NO. OF UNITS X $2,323 per,unit = $ , D. Sinale Room Occuoancv . NO. OF UNITS X $1,162 per'unit= $ E. Accessorv Dwellina Unit NO. OF UNITS X $1,257 per unit = $ $ !l.~\"5?' WILLAMALANE SDC 2. SDC CREDIT (If applicable) SDC payer musf furnish prbof,of Willamalane Credif approval.) 3; TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) \Di\.; ~ Do {2/ Development Se~ces ~tiartmEmt City of ~pringfield I' -" CI' $ i~tD~ ~p $ .. I I Date, /f'; . '. I , , "I I , 5' , .; I , ~ CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S,F. x I COST PER S,F, . . I CHARGE 1 II I 4798.00 1 $0,357 1 = 1 $1,711.67 I ;, RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERV]OUSS.F. I x I.' COST PER S,F, 1 x 1 DISCOUNT RATE I I I 0,00' . 1 $0.357 I I 50% . .. I ITEM I TOTAL - STORM DRAINAGE SDC $1,711.67 ~ 7, SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's I' x I 23 ' B. IMPROVEMENT COST: I NUMBER OF DFUs 1 x I 23 1 IOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCAT]ON:" TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS 1. STORM DRAINAGE ,-- C0m2008-0]283 Future B Homes 259] ] 7th Street ] 703243102600 Sin.2;le Family Residence' ] BU]LDING SIZE (SF' 3083 COST PER DFU $27.67 COST PER DFU $21.04 3. TRANSPORTATION ITEM 2 TOTAL - CITY SANITARY SEWER SDC LOT SIZE (SF): 10890 r-. ..:,. I ~ I .~ IW " l- V) (3 ~ I 1070 1091 1092 A. REIMBURSEMENT COST: I ADT TRJP RATE 1 x I 9.57 I B. IMPROVEMENT COST: 1 ADT TRIP RATE I i , . I 9,57 1 I NUMBER OF UNITS I x I I I I I 1 NUMBER OF UNITS I x I I I I I ~ , 4 SANITARY SEWER - MWMC' ITEM 3 TOTAL - TRANSPORT A nON SDC A. REIMBURSEMENT COST: INUMBER OF FEU's 1 x I I I ICOSTPERFEU I $97,90 I I B. IMPROVEMENT COST: INUMBER OF FEU's 1 x ICOST PER FEU I I, I $],009,]7 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINlSTRA TIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC ~, I I - SUBTOTAL (ADD ITEMS 1,2,3, & 4) .. ~ , 5, ADMINI~TRATTVE EEE: ISUBTOTAL x I ADM, FEE RATE I~ I $5.039.40 I 5% I TOTAL' SANITARY ADMINISTRATION FEE: . TOTAL TRANSPORTATION ADMINlSTRATION FEE:' Kaye Wilson 9/8/2008 PREPARED BY DATE $10.00 I 1056 -l -I I 181.92 ]079 I I .~ XiOjl5_11078 =, $5.291.37 DISCOUNT 1 $0,00 ,I - $1,711.67 =1 $636.30 11093 1 11094 i I I 1054 1055 1054 ;1' I $483.84 ~ I $1,120.14 I, COST PER TRJP 21.06 '1 x INEWTRJPFACTORI I 1.00 I $888.98 $201.54 COST PER TRIP $92.89 $1,090.S2 x INEWTRlP,FACTORI <0 1 1.00 I = " $97.90 = $1,009.t7 $0.00 $1,117.07 $5,039.40 CHARGE $251.97 TOTAL SDCCHARGES DRAINAGE FIXTURE UNIT(DFU) CALCULATION TABLE NUMBER OF NEW FIXTIJRES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS , . _ 0_ ! -_2 . (NOTE: FOR REMODELS, CALCULATE ONLY TIlE NET AuUI J IVI~AL FIXTIJRES) NO, OF FIXTIJRES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS I BATHTUB 1 0 3 = 3 IDRlNKJNG FOUNTAIN 0 0 1 = 0, I FLOOR DRAIN 0 0 3 = 0 !INTERCEPTORS FOR GREASE !.OIL / SOLIDS / ETC, 0 0 3 = 0 IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 ICLOTHESW ASHER / MOP SINK 1 I 0 3 = 3 I CLOTHESW ASHER - 3 OR MORE (EA) ,0 I 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 I 0, 12 = 0 I RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 I 0 1 = 0 I RECEPTOR FOR COM, SINK / DISHWASHER / ETC, I l' I 0 3 = 3 I SHOWER SINGLE STALL I 1 I 0 2 = 2, I SHOWER GANG (NUMBER OF HEADS) I 0 I 0 2 = 0 ISINK: COMMERCi.i.ui&SIDENTIAL KircHEN I ,1 I 0 3 = I 3 ISINK: COMMERCIAL BAR I 0 I 0 2 = I 0 ISINK: WASH BASIN/DOUBLE LAVATORY I 0 I 0 2 - I 0 I SINK: SINGLE LA V A TORY/RESIDENTIAL BAR I 3 I 0 1 = I 3 URINAL, STALL / WALL I 0 I 0 5 = I 0 TOILET. PUBLIC INSTALLATION I 0 I 0 6 = i 0 TOILET. PRIVATE INSTALLATION I' 2 I 0 3 = I 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 23 *EDU (Equivalent Dwelling Unit) is a discharRe equivalent to a single family dwelling unit (20 DFIJs) set at 167 gallons per day I' I I II I' I,! Ii , II I' II I' I I II MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE'. YEAR , ANNEXED ~ CREDIT RATE/$I,OOOlj ASSESSED VALUE 5;~ I I I I I I I: I I I I ,I I I , 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 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enler I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT? (Enter I for Yes, 2 for No) BASE YEAR 2 2 2005 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0,00 x $0,00 ~ , $0,00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE/1000 CREDIT RATE $0,00 x $0,00 ~ I o TOTAL MWMC CREDIT $0.00 I II I I 225 Fifth ~treet Springfield, Oregon 97477 541-726-3759 Phone Job/Journal 'Number COM2008-0 1283 COM2008-0 1283 COM2008-0 1283 COM2008-0 1283 COM2008-0 1283 COM2008-0 1283 COM2008-0 1283 COM2008-0 1283 COM2008-0 1283 COM2008-0 1283 COM2008-0 1283 COM2008-0 1283 COM2008-0 1283 COM2008-0 1283 COM2008-0 1283 COM2008-0 1283 COM2008-0 1283 COM2008-0 1283 COM2008-01283 COM2008-0 1],83 COM2008-0 1283 COM2008-0 1283 COM2008-0 1283 COM2008-0 1283 COM2008-0 1283 COM2008-0 1283 COM2008-0 1283 COM2008-0 1283 COM2008-0 1283 COM2008-0 1283 COM2008-01283 COM2008,O 1283 COM2008-0 1283 COM2008,0 1283 COM2008-0 1283 RECEIPT #: iCity of Springfield Official Rcccipt I Development Services Department Public Works Department 2200800000000001396 Date: 09/15/200.8 Desc,ription Addressing Assignment Willamalane Single Family Fire SF Fee - Residential Curbcut Permit Sidewalk Permit Overwidth Application Fee Building Permit . 2 Baths One or Two Family Sanitary Sewer Each Addtl 100' Storm Sewer Each Addtl 100' Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Gas Outlets 1-4 Fireplace (Listed) Heat Pump . , -Mech Iss 2+ Appliances- Temp Power 200 amps or less Stann Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement sbc MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transportation Admin Plan Review Major - Planning Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Payments: Type of Payment . Paid By Check CreditCard cReceintl FUTURE B HOMES FUTURE B HOMES i' Item Total: Check Number Authorization Received By Batch Number Number How Received djb djb 17062 In Person 089249 In Person Payment Total: Page 1 of2 .1 I 1:54:25PM Amount Due 37,00 2,513.00 154.15 88.00 88.00 40.00 . I ,254,03 '289.00 17.00 17,00 15,00 24,00 11.00 8,00 6,00 18,00 15,00 42,00 57,00 1,711.67 636,30 483,84 201.54 888.98 97,90 1,009.17 10.00' 181.92 70,05 211.00 121.00 88,00 II1u5 232.80 209.42 $10,965.12 Amount Pai~ $1,465.12 $9,500,00 $10,965.12 9/15/2008