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Home My WebLink AboutPermit Building 2008-11-17 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01611 ISSUED: 11/1712008 APPLIED: 11/03/2008 EXPIRES: 05/17/2009 VALUE: $ 5,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phoue 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1820 S 57TH PL ASSESSOR'S PARCEL NO.: 1802033209600 Springfield TYPE:OF WORK: Accessory Building PROJECT DESCRIPTION: Porch cover TYPE OF USE: Addition Residential Owner: Address: COLLINS BRADLEY 1820 S 57TH PL NOTICE: ' S~RINGFIELD ORr~r~18ERMIT SHALL EXPIRE IF THE WORK" -- -llln r"\~rl\Il'T Ie f\lnT AU IHUKILtU UI\lUC-I\ I 1....._. _-:::';"'- -...r,,-, GorVlfvlENCi-IX'ONifWA:G'FORJINFORMl\TlON , ~ ~\!\l .f~:'1 Df\, 1\\:\{1;_' J. Contractor' - . BURNHAM CONSTRUCTION INC BURRELL BROS ENTERPRISES INC Contractor Type General Electrical License 173652 136446 I BUILDING INFORMATION' # of Units: Primary Occupancy Group: Secondary'Occupancy Group: Primary Coustruction Type Secondary Construction Type: # of Bedrooms: # of Stories:' A~T{:NTION: o1!~llhtlllf\&~~ctinte yout.o follow rules adcr'3P~ Q:tyHil.uDregon Utility NoMltation CentW,aOOr(ll)1peJles are set fort.h in OAR 952.00'1-lRilnge-my\l~j1 OAR 952-001, 0090, You may cE1\eilgY;'Plitli$of the rules by calling the cersj>l:in'](ledCBiJil'ili\r~~~ho~e u/a _._ _ ~ .t_~ .j.i-...... r'lrannn Iltilitx Notification ..-.. ,- -lrnmioEOOPMiEJN'i'iNFo-iiMA TlON , " f Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 23.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 0.00 I PUBLIC IMPROVEMENTS' Street Improvements; Storm Sewer Availahle: Speciallnstru'ction: Expiration Date 01102/2011 08/20/2009 Phone 541-554-7358 541-747-2724 Lot Size: Sq,Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other:' 214 Occupant Load: REQUIRED PARKING Yes 31.90 Total: Haudicapped: Compact: 2 Sidewalk Type: Downspouts/Drains: Notes: Storm water to tie iuto existing system Paee I of 3 Status lss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description , Tvpe of Construction Bid Amount Use Bid Amount- Fee Description Plan Review Residential + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Building Permit Fire SF Fee - Residential SDC Sanitary/Storm Admin Storm Drainage Impervious Area Total Amount Paid Initial Review Public Works Review CITY OF SPR1j~u.l'l1',LD Building/Combination Permit PERMIT NO: COM2008-01611 ISSUED: 11/17/2008 APPLIED: 11/0312008 EXPIRES: 05/17/2009 V ALUE:$ 5,000.00 .\ V 1,luation Deserintion I II I . , . ~ $ Per Sq Ft or multiplier , $1.00 Square Footage or Bid Amount 5,000.00 Value Date Calculated Total Value of Project $5,000.00 $5,000.00 11/03/2008 F"l"" Pq;'! · I(I.!' ..... Amount Paid Date Paid Receipt N umher $51.08 $8.93 $9.43 $3:93 $78.58 $10.73 $5.35 $107.02 11/3/08 11/17/08 11117/08 11/17/08 11/17/08 11/17/08 11/17/08 11117/08 1200800000000001102 1200800000000001148 1200800000000001148 1200800000000001148 1200800000000001148 1200800000000001148 1200800000000001148 1200800000000001148 $275.05 Plan Reviews I 11/02/2008 11/05/2008 APP LLH 11/0512008 APP LKW Storm water to tie into existing system. 11/06/2008 Planning Review . 11/0512008 No PIanniog Issues. Structural Review 11/07/2008 APP DDK 1110512008 11/17/2008 APP CJC per don To Request an'inspe'ction call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same ~orking day, inspections requested afte~ 7:00 a.m. will be made the following work day. l_J.~,~,lIirf1~ Inf'l1rctions I Footing: After trenches are excavated. Framing Inspection: Prior to cover and after alll'Ough in inspections have been approved, Fiual Building: After all required inspections have heeu requested and approved and the building is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Paee 2 of3 ,_S!1!,!~~!!:Ir;;!'~,.; II' . n Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-0161 I ISSUED: 11/17/2008 APPLIED: 11/03/2008 EXPIRES: 05/1712009 VALUE: $ 5,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phoue 541-726-3676 Fax 541-726-3769 Inspection Line By signature, I state and agree, that I have carefully examined the complcted application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall he done in accordance with the Ordiuances of the City of Spriugficld and the Laws of the State of Oregoo pertainiug to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Buildiug Safety. I further certify that only contractors and employees who are in compliance with'ORS 701.005 will be used ou this pruject. I further agree to ensure that all required iuspections 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 during truction. ~-, ///;11oy "'\'" I Owner or Contractors Signature Date Paee3 of 3 City of Springfield Official Receipt Development Services Department Public Works Department' 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/J.our-nal Number COM2008-01611 COM2008-01611 COM2008-01611 COM2008-01611 COM2008-01611 COM2008-01611 COM2008-01611 Payments: Type of Payment CreditCard cReceilltl RECEIPT #: 1200800000000001148 Date: '11/17/2008 2:37:09PM Description Fire SF Fee - Residential Stonn Drainage Impervious Area SDC Sanitary/Stonn Admin Building Pennit + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Amount Due 10,73 107,02 5,35 78,58 3,93 9.43 8.93 $223.97 Paid By JAKE BURNHAM Item Total: Check Number Authorization Received By Batch Number Number How Received cjc 091117 In Person Payment Total: $223.97 $223,97 Amount Paid Page I of I 11/17/2008 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET - JOURNAL OR JOB NUMBER: C0M2008-01611 NAME OR COMPANY: Bradley Collins LOCATION: 1820 A, 57th TAX LOT NUMBER: 1802033209600. DEVELOPMENT TYPE: Single Family Residence NEW DWELLING UNITS 0 BUILDING SIZE (SF' 250 LOT SIZE (SF): I. STORM DRAINAGE 5227 LI) L.Ll Q o U 10: L.Ll E- LI) a ~ DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S,F, x I COST PER S_F. I I CHARGE I 300.00 I, $0.357' ' . = 1 $107,02 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S"F. I x 1 COST PER S,F, I x 1 DISCOUNT RATE I ' 1 I 0.00 I I $0,357 I 50% I = I DISCOUNT $0,00 ITEM] TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER - (]TY $107"02 $]07.02 1070 A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I 0 I B. IMPROVEMENT COST: 1 NUMBER OF DFU's I x I 0 I COST PER DFU $27,67 $0.00 1091 COST PER DFU $21.04 $0.00 I 11092 I ITEM 2 TOT AI. - CITY SANITARY SEWER SDC = , so.oo ). TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP I.x I NEW TRIP F ACTORI I 9,57 I I 0 I I 21.06 I 1.00 SO.OO 11093 B, IMPROVEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP I x INEW TRIP FACTORI I 9,57 I 1 0 I I $92,89 1 1.00 $0.00 1094 ITEM 3 TOTAL - TRANSPORT A nON SDC =1 SO.OO , 4 SANITARY SEWER - MWMG A. REIMBURSEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I 0 I I $97,90 = SO.OO 1054 B, IMPROVEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I o - I I $1,009,17 = SO,OO 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) SO.OO 1054 MWMC ADMINISTRATIVE FEE SO.OO 11056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , so.oo I I SUBTOTAL (ADD ITEMS], 2, 3, & 4) ~ , S107.02 I' I 5. ADMINISTRATIVE FEE: I I SUBTOTAL x 1 ADM, FEE RATE 1= CHARGE I I $107,02 I 5% I $5,35 TOTAL SANITARY ADMINISTRATION FEE: , 5.35 11079 TOTAL TRANSPORTATION ADMINISTRATION FEE: I $0,00 111078 - Kaye Wilson ] 1/6/2008 TOTAL SDC CHARGES =, $112.37 I PREPARED BY DATE I DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x lJ!'lIT EQUIVALENT "" DRAINAGE FlXl1JRE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO, OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS [BATHTUB 0 O. 3 = 0 I DRINKING FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS 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 0 0 3 = 0 ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRlG / WATER STATION / ETC 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC 0 0 3 = 0 SHOWER. SINGLE STALL 0 0 2 = 0 SHOWER. GANG fI'lUMBER OF HEADS\. 0 0 2 = 0 SINK: COMMERCIAURESIDENTIAL IUTCHEN 0 0 3 = I 0 SINK: COMMERCIAL BAR 0 0 2 = i 0 SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = I 0 SINK: SINGLE LA V A TORY /RESIDENllAL BAR 0 0 1 = I 0 URINAL, STALL / WALL 0 0 5 = I 0 TOILET, PUBLIC INST ALLA TION 0 0 6 = 'I 0 TOILET, PRIVATE INSTALLATION 0 0 3 = I 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 0 *EDU (EQuivalent Dwelling Unit) is a dischan:~e eQuivalent to a single familv dwelling unit (20 DFU's) set at 167 gallons ner day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE l YEAR ANNEXED I BEFORE 1979 I 1979 I 1980 I 1981 I 1982 I 1983 I 1984 I 1985 I 1986 I 1987 I 1988 I 1989 I 1990 I 1991 I 1992 I 1993 I 1994 I 1995 I 1996 I 1997 I 199' I 1999 I 2000 I 2001 ~--- ru~I:~t~I~'-~~i:~~,,;.~!j~::;, ':;f $1,59 -~;::$1.45 ""'f~'$1 .25' ,I, $1,09 $0.92 __ , $0,72 -'~::~ ~c~9.48,:-:'ilJi}~',;;: $0,28.", :"- $0,09 .~ $0,05 --~~ IS LAND ELGlBLE 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 o TOTAL MWMC CREDIT = $0,00 Status Issued 225 Fifth Street, Springfield, OR , 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . CITY OF SPRINtJJ:<H,LD I Building/Combination Permit PERMIT NO: COM2008-01611 ISSUED: ll/1712008 APPLIED: 11103/2008 EXPIRES: 06/04/2009 VALUE: $ 5,000.00 Springfield TYPE OF WORK: Accessory Bnilding SITE ADDRESS: 1820 S 57TH PL ASSESSOR'S PARCEL NO.: 1802033209600 PROJECT DESCRIPTION: Porch cover Owner: COLLINS BRADLEY Address: 1820 S 57TH PL SPRINGFIELD OR 97478 TYPE OF USE: Addition Residential 'CONTRACTOR INFORMATION. Contractor Type General Electrical Contractor BURNHAM CONSTRUCTION INC BURRELL BROS ENTERPRISES INC # of Units: Primary Occupancy Gronp: Secondary Occupancy Gronp: Primary Construction Type Secondary Constrnction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyal'd Setback: Solar Setbacks: 23.00 License 173652 136446 Expiration Date 01/02/2011 08/20/2009 Phone 54]-554-7358 54]-747-2724 BUILDING INFORMATION' ~~!J~ ~{v Page I of 3 R-3 # of Stories: Ueigbt of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: n/a Lot Size: Sq Ft 1st Floor: SqFt'2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 214 VB I DEVELOPMENT INFORMATION I Overlay Dist: # Street Trces Rqd: Paved Drive Rqd: 0/0 'of Lot Coverage: 0.00 REQUIRED PARKING Yes 31.90 'Total: Handicapped: fompact: 2 NOTICE: ,.PUBLlC IMPROVEMENTS I Street Improv;r.wtbt~ERMIT SHALL EXPIRE IF THE WORK Storm Sewer 1Ji.Tt~SIZED UNDER THIS PERMIT IS NOr' Special Instru~'Mt~MENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Notes:, Storm water to tie into existing system Sidewalk Type: Downsponts/Drains: ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of ihe rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-llO0-332-2344). _$.~~J~~~~!?~ , 2l '.,',' _;1 Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-0I611 ISSUED: 11/1712008 APPLIED: tI/03/2008 EXPIRES: 06/04/2009 VALUE: $ 5,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion 1 Description Type of Construction Bid Amount Use Bid Amonnt $ Per Sq Ft or multiplier $1.00 Sqnare Footage or Bid Amonnt 5,000.00 Value Date Calculated Total Valne of Project $5,000.00 $5,000.00 11/03/2008 Fees Paid I Fee Description Plan Review Residential + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Bnilding Permit Fire SF Fee - Residential SDC Sanitary/Storm Admin Storm Drainage Impervious Area. + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Amonnt Paid Date Paid Receipt Number $51.08 $8.93 $9.43 $3.93 $78.58 $10.73 $5.35 $107.D2 $5.20 $6.24 $2.60 $52.00 11/3/08 11117/08 11/17/08 II /17/08 11/17/08 11/17/08 11/17/08 11/17/08 12/4/08 12/4/08 12/4/08 12/4/08 1200800000000001102 1200800000000001148 1200800000000001148 1200800000000001148 1200800000000001148 1200800000000001148 1200800000000001148 1200800000000001148 3200800000000000777 3200800000000000777 3200800000000000777 3200800000000000777 Total Amount Paid $341.09 1 Plan Reviews I Initial Review 1110212008 11/05/2008 APP LLH Public Works Review 11105/2008 11/06/2008 APP LKW Planning Review 11/05/2008 11/07/2008 APP DDK Structural Review 11/05/2008 11/17/2008 APP CJC Storm water to tie into existing system. No Planning Issnes. per don 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. Reooired Insoections I Footing: After trenches are excavated. Framing Inspection: Prior to cover and after all rongh in inspections have been approved. Page 2 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01611 ISSUED: 11/17/2008 APPLIED: 11/03/2008 EXPIRES: 06/04/2009 VALUE: $ 5,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Building: After all required inspections have been reqnested and approved and tbe building is complete. Rongh Electric: Prior to Cover Final Electric: When aU electrical work is complete. By signature, I state and agree, that I have carefnlly examined the cOlJ1pleted application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shaU 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 reqnired inspections are reqnested 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 aU times during construction. / Owner or Contractors Signature Date '- Page 3 of 3 City of Springfield Electrical Authorization To Begin Work E.mailed To: burrellbros@integraonline.com Receipt # EC543078 12/3120084:55:36 PM Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us I D New construction [KJ Addition/alteration/replacement .~J~.:- i. ;t~~r.:0:'~~.C_~f~];'<iRr~Qf)~9.~.sfl{~f~J12~-r;_{~:~~:1~~~:;';:~.'t~-fff~ [K] I or 2 family dwelling o Comm~rcial/lnduslria] D Multi-family -;~rl~~.9~!Slt~J1~F.O~-~AT-I~~:~~~<~2:9~!ION':}~~~;:J~~::' 1;"'- jJob no.: IJob addl'"tss: 1820 S 57TH PL I City/State/ZIP: SPRINGFIELD, OR 97478 I SuiteJbldg.lapt.no.: II)roject name: Cross street/directions to job site: I Subdivision: I Lot no.: i~".;.:-f~~/;;~~;;,~;;i;;;~OSi:RtkJI0_Nj5j<!'iQ~~J~~~'~":'ik~~~:,' ",:~I adding recess in front porch I Name: Fred Collins I Phone: (503) 880-5185 IEmail: IF,,: lEI. lic.. no.: 20-442C I CCB lic. no.: 136446 I Business Name: BURRELL BROS ENTERPRISES INC I Contact: Joshu<l Burrell IAddress: PO p~Yfr!:: Ic;,y/stal"JzI~'~~l1'ktlf~ll~fl~~pl[)~ Ie TI.U: IIJI.(lRI( II'bon", (541)~~,1J~~j~RIZ[8 ~l'\r~f1 -r~~ff71\; ~~0: IEmn;, bUITd~'5'~i~':frf~~ 1€ .\lWID~NH' ~0[) I~'et'" li~. nO'htJY,1 I'll D^Y r:::f11:J8)Cily 1;0, no,' Isupervlsmg eleClrIClan'S'(ic. no.: 472IS Supen1ising electrician's Durne: JOSHUA J BURRELL Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed within one business day, with Instructions-on how to schedule your inspection. NOTE: This Authorization To Begin Work expires within 180 days if a pennit is not obtained. The local building department may detennine that an Authorization To Begin Work is null and void if It does not meet applicable land use laws and local ordinances. I I I I I I I I I I I I - Stand-~Ione limited energy, I commercial. 1!~~lS~:<?HjE~dr~1iE~'fa.~iK~llii~i[~r~i!onr{riq!.qi'{~~~li~@Ji~~~~~'~I 1200 amps or less I 120 I amps to 400 amps I 401 amps to 599 amps I ~rEl\:I!~Q)~AHY-~en:ig~~.OR -fe,cdc'rij~S~~I~t:onCiili~r~i!o~~:,,;/:~_:"'1 A~!>/,q~!.eloc~tion~":: ," ., . <" -'..;-':.~~'.,- f>l--:~:~~_~ ~-;t,; .". :,;i~-,' 'I: .: 1200 amps or less I 20 I amps to 400 amps I 140 I amps to 599 amps I I ~rilnf~;dr!.iJi_ts";~,_~)Y,~,:ilt!.ci'lt!o.n'~!2~:!xt,ep4s1p~Z ~~[p;inel' ,'~~j;?;-.' .1 I A. Fee for branch circuits with service or teeder fee, each branch circuit. lB. Fee for branch circuits without service or feeder fcc, lirst branch circuit I ,"~bA'I.t~~1!i1j}t:O!eg?~1!l:~~eq~~~,~~,y'o,\I;~;,. . l\!.'rnlli'lW'.'Hdes'adol'll"rU'\v.th,,:nr"rilin"'11 "tvo' - S<H",~f;""',;",Il'~nter. TiJJo'se rulej are set Jth qfl> (!)Jl\K>SJS!leO~ 0 hrough AR 952- Ol- d_in,,,,,,,,"",,,, " . u_,_~ .~- _"1_ .... I ~P .:.. .(,.,.Q ....-t"....~ w ,.."'.-... J;;, urn 0 tl Ir - I Sigffil/WIlJl!Ii-lfiIIIi'lf1" 0'''0 -, I ~nigc~gayl CpaiCCUilt(~.i!PJj\,"", l-Bf0'332-2 44). I '" , . ne, a'tflf&fi~, o~ extensIOn. I~,":' ..~';, ~'~:;ECE~TRKAl'~[RMIT FEE~'[ I Subtotal I $50,00 I I Minimum fee used instead of Subtotal $52.00 I State Surcharge ([2% of penn it fee) $6.24 I City Of Springfield fees *1 $7.80 i TOTAL PERMIT FEE I $6604 ... City Of Springfield fees: 10% Administration Fee; 5% Technology Fee I Description l Qty. Ea. 1 Total liRCsid,-e,lIti,ra S,'ING r..;,E-' OR"" IUlti:f;rr1i1)<,_-(h\-e,II,ing:U,>ni,i~ln'clii-,des,'" :'~!f"",1)Y j:nia~~:g~;a-g~.'i~ <~~-,-.~-,~'.~:~~" ii., ~~:.;":.r~;r~~~A~t~{ .' 11,000 sq. ft. or less I Ea. add! 500 sq. ft. or portion 1:.I~i~iie~:~~C~r/f.i~~1~';i"f : I-Limited energy, residentinl (with aboye so. f1.) I-Limited energy, multifamily residential (with above Sq. ft.) I . Limite9 energy, commercia-l (with above SQ. ft.) I . Stand-alone limited energy, residential I - Stand-alone limited energy, multi. family ,"'~'" ~(~.~t. ".~,~-!.-~' ,'-.; $50,00 $50,00 n COM: ~m~- tJlloLl RCPHo, ~8 ''fin , DATE PROCESSED- \ 7~Ll \ De , This Authorization To Begin Work must be posted at the jo nmeLJrmrreplacEffPl a ~ermll, , PRorJ<llllJ:n BY: K. _ rrje.v- 225'Fifth Street Springfield, Oregon 97477 54:iH26~3759 Phone Job/Journal Number COM2008-0l611 COM2008-01611 COM2008-0 1611 COM2008-01611 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: Description Add, Alter, Extend Circ + 5% Technology Fee + 12%' Stale Surcharge + 10% Administrative Fee Paid By ONLINE PERMIT CHGS City of Springfield Official Receipt Development Services Department Public Works Department 3200800000000000777 Date: 12/04/2008 Item Total: <"':heck',Number Authorization Received By Batch Number Number How Received KR ONLINE BURRELL Online BROS Payment Total: Page I of I 1O:07:00AM Amount Due 52.00 2,60 6,24 5.20 $66.04 Amount Paid $66,04 $66.04 12/4/2008