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Home My WebLink AboutPermit Building 2009-3-4 CITY OF ~rK11"lJFIELD Building/Combination Permit Status " Issued i PERMIT NO: COM2009-00272 ISSUED: 03/04/2009 APPLIED: 0212612009 EXPIRES: 09/0412009 VALUE: $ 297,0]6.48 225 Fifth Street, Springlield, OR 541-726-3753 Ph~ne. I ' 541-726-3676 Fa~ 541-726-3769 1n~pection Line SITE ADDRESS': _1099 ANDERSON LN ASSESSOR'S P~RCEL NO.: 1703331102400 Springlield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: New Single Family dwelling Owner: BEI'ISON VERN .w Address: 940 HWY 99 N EUGENE OR 97402 Contractor Type General Electrical Plumbiug I COI'ITRACTOR INFO~ATlON . t., -",v'egonl Of.OW i'Uf'J~ d~" aW.reau;r .... Contractor . NOli/lealio' "a OPted byLIcensees YCExplratlOn Date ADAIR HOMES INci';,?Afi 95;:~el~ter, Thos59il~;,:~on IJtililY03/19/2010 INTERSTATE ELECTRIC Il'1fmay O~)~jO thr01'!;7I~hl/JIJ~~UtJrlt09105/2010 GARY YAEGER _ calling the centO"al?;OI~75545 tll~ f",;~qJ'08/14/2010 B-iiiLDING :iNF0;WcATI0N~~eleph{j/1e - r ,- ""-OUuc332_234%tlilcfltiQ/1 # of Stories; ). 2 Lot Size: Heigbt of Structure 26.00 Sq Ft 1st Floor: Type of Heat: . Wall Heat Sq Ft 2nd Floor: Water Type: Electric Sq Ft Basement: Range Type: Electric Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: ' n/a Occupant Load: Phone 503-645-1156 503-393-2223 541-972-5460 / # of Units: Primary Occupapcy Group: Secondary Occupancy Group: P' C ,I, T nmary ollstr~,Chon ype Secoudary Construction Type: # of Bedrooms: I R-3 U VB 5,553 1,768 ],128 440 3 Front yard Setback: Side I Setback: ii Side 2 Setback: 'f Rearvard Setback: , , Solar Setbacks: Ii J DEVELOPMEN'!' INFORMATION .. N 11111:. 12.~JHIS PERIVUj{;e'tf1l5\lrIisEXPIRE IF THE WORK 25.0tf\UTHORIZOO;lJM!ilfmeif~<PERMITIS NOT 3 15.0~OMMENCl.'~~qev~~DoNED FOR Yes 10,OANY 180 DAY.p'''f,""verage: 33,10 0.00 t:fi"l\JIJ. . REQUIRED PARKING Total: 2 Handicapped: Compact: Subdivision Not ~ccepted I Street Improvem'ents: " " Storm Scwcr A vailablc: Special Instructi~n: I PUBLIC IMPROVEMENTS' Sidewalk Type: Fullv Improved Curbside 7' Yes DownspoutslDrains: Curb and Gutter For this parcel in Dove Estates, it is the recommendation to the Building Division, by the City . Enginneer: "That no connections shall be made,to sanitall' or. storm H20 systems, until the Storm lVater to c8lrbdOO~""lm1el'JDeil.ol>\J:GiljppromililNpproved on PIP and by Dean Bishop on 2-26-2009 Notes: ~~ ~~/~V 'V~~' Page I of4 Q\':y1 ~ \ ' Status , Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone l' 541-726-3676,Fax 541-726-3769 Inspection Line Description Tvne of Construction GaraeelMisc SFlDunlex U VB UtililV R-3 VB 1&2 Familv Fee Descrintion I! + 12% State Surcharge " + 5% Technology Fee ' 1st Appliance 3 Baths One & Two Family Addressing Assignment Building Permit:; Dryer Vent Fire SF Fee - Residential Plan Review Major - Planning Plan Review Residential Sanitary Sewer 1 Improvement Sanitary Sewer i Reimbursement SDC MWMC Administration 1 SDC MWMC Improvement SDC MWMC Reimbursement " SDC SanitarylStorm Admin SDC Transpo Improvement SDC Transpo Reimbursement SDC Transpordtion Admin Sidewalk Permit . Storm DrainageJ'lmpervious Area Vent Fan I Willamalane Single Family II Total 'Amount Paid Plannint! Review I Valuation Descrintion I $ Per Sq Ft or multiplier $37,72 $96,83 Sqnare Footage or Bid Amount 440.00 2,896.00 Total Value of Project 11ft< P,\ilU Amount Paid Date Paid $243.79 $116.53 $79.00 $402.00 $38.00 , $1,514.61 $9.00 . $166.80 $211.00 $984.50 $589.02 $774.62 $10.00 $1,009;17 $97.90 $151.49 $888.98 $201.54 $72.63 $88.00 $911.13 $27,00 $2,858,00 314109 314109 314109 314109 314109 314109 314109 314109 314109 314109 314109 . 314109 314109 314109 314109 314/09 314109 314109 314109 314109 314109 314109 314109 $11 ,444.7I I Plan Reviews I 0212612009 0212612009 APP DDK Paee 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00272 ISSUED: 03/04/2009 APPLIED: 02/2612009 EXPIRES: 09/04/2009 VALUE: $ 297,016.48 Value Date Calculated $16,596.80 $280;419.68 $297,016.48 0310212009 0310212009, Receipt Number 1200900000000000156 1200900000000000156 1200900000000000156 1200900000000000156 1200900000000000156 1200900000000000156 1200900000000000156 1200900000000000156 1200900000000000156 1200900000000000156 1200900000000000156 1200900000000000156 1200900000000000156 1200900000000000156 1200900000000000156 1200900000000000156 1200900000000000156 1200900000000000156 1200900000000000156 1200900000000000156 1200900000000000156 1200900000000000156 1200900000000000156 See conditions.of DRC2007-0003t for saved trees and approved plans. Existing trees may be used to meet street tree requirements. :L CITY OF SPRINGFIELD Building/Combination Permit " Status Issued " ", 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fa~ 541-726-3769 Inspection Line I: PERMIT NO: COM2009-00272 ISSUED: 03/04/2009 APPLIED: 02/26/2009 EXPIRES: 09/04/2009 VALUE: $ 297,016.48 Public Works Review " I Oi/26/2009 02/26/2009 APP LKW For this parcel in Dove Estates, it is the recommendation to the Building Division, by the City Enginneer: "That no conneclions shall be made to sanitary or storm H20 systems, until the subdivision is accepted hy City Council". Structural Review 03/03/2009 03/03/2009 APP CJC As noted on plans and in conditions letter. To Request a~ inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m, will be m~de the same working day, inspe'ctions requested after 7:00 a.m. will be made the following work day. ' I u .;:~^... '_<_M+:__< ~ ,''ilrl,,,~ Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Sidewalk CCurbside: After forms are erected but prior to placement of concrete. " Ufer Electrical Gronnd: Install ground rod atfooting and call for inspection in conjunclion with footing and/or foundatioh inspection. , , Footing: lI-fter trenches are excavated. FoundatiJn: After forms are erected but prior to concrete placement. , . . Post and Beam: Prior to floor insulation or decking. I . Floor Ins,!lation: Prior to decking. " Shear Wall Nailing: Before covering sheathing with finish materials. / . Framing l!nspection: Prior to cover and after all rough,in 'inspections have been approved. Wall Insulation: Prior to cover. Ceiling'InJsulation: Prior to cover. I, Final Building: After all required inspections have been requested and approved and the huilding is complete. Perimete~, Foundation Drains: After gravel and filter cloth. is installed but prior to backfill. Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough PI~mbing: Prior to cover and including required testing. Water Line: Prior to filling trench and includi,ng required tesling. Sanitary ~ewer Line: Prior to filling trench and including required testing. Storm Se,hr Line: Prior to IiIling trench. Final Plu~bing: When all plumhing work is complete. Paee 3 of 4 S~RINlGS;Ii:lUli, -;. 'II r Sta Ius 'I Issued CITY OF ~rKll~GFIELD ,Building/Combination Permit PERMIT NO: COM2009-00272 ISSUED: 03/04/2009 APPLIED: 02/26/2009 EXPIRES: 09/04/2009 VALUE: $ 297,016.48 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line !I Underlloor Mechanical. Prior to insulation or decking and including required tesling. j , Rough Mhhanical: Prior to Cover " Final Me~hanical: When all mechanical work.is complete. . \ Temporary Electric: Approval required prior to Utility Company energizing pole, Electric Service: Approval required prior to utility company energizing'service. Rough Electric: Prior to Cover , , Final Ele~tric: When all electrical work is complete. By signature, I'siate 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 JOhe City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCU~ANCY will be made of any structure without permission of the Community Services Division, Building Safely. I . , 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 t~ ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the p~rmit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. J' . "--.......-. ~-----'-, 3- '-}- 9 Owner or Contractors Signature Date Paee 4 of 4 Structural Permit Application DEPARTMENT USE ONLY SPRINGFIELD ..___= " '."'''''.1' .""~_..".,,... "'.. '.'1'.'''''''''''' ft'. .~lt'lft~... .!i,;"<lf~'- <!it~ L'~~"~ ",,, V ,l.., &.- . . ;J--' , ._ .,,,J~..,,,,,,,,.. "' 225 Fifth Street. Springfield, OR 97477. PH(541 )726-3753. FAX(541 )726-3689 Permit no,: Of. -:.2- ?.2- , - t~-L~ :~.~'",-"':"~ ~....~. " .. .:,~ 1 I Date: '2/2'c,,/ 0 '7 , ' , This permit iSiissued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is suspended for (80 days. S,ign here: 1'~U;IIl:s:~:,~:t'9~~~if~~$j~~~~:~~:~':':;.'" I Address: '1,0("\ 1\; \ \ S'i-. I City' C R ~S wZl.-i.-. I Phonc01I'S'1~--3z.(:;.<::> I E.muil: I CCB license no,: 5"7:' . I Print name Q. kR. '/ CD,..., (YIc, N _ I Signature ~ (;~--r0'A~ I :::";::e,/~,':i:{;'t~ U,f:l'tQ~:ffiA_t"'O~;1 N Pl:>,RMA'ftQN ";,i!'i~';::,:~'i.~':'; I I Name I CCB License Number Phone Number I I 24 - 'Z,S 4 L 503-- 3'13 '-21zZ 3 I l 47 en 7 50')- OJ ,Z.-Z7i'fi I I I~;., ::;'-:~;;~:::V:'r;('5i~Q:C_A.~'i:~:_q:y'~r{~M~Nf..)A_~.Rgpyk;_G.tf5<i:-'~'I~-.,;;,,':;~~;"~:, [I 1 T~lis project has firalland-use approval. I SIgnature: I' Date: 1 This project has fJ,EQ approval. 'I SIgnature: " Date: 1 Zoning approval yerificd: DYes D No 1 1 Property is withil~: flood plain: DYes DNa 1 \~ :.'~' "'-':;,r~.:~~f~~G~~~~P~'y~Q:i:~l~9~~fF{@J.)5:f;.~10~~~Jt:~:;:-;I:;~;'~~' tfl L,Ili!~::'~e....~~i~~ ,.~ .....,,,I,c,J. .?~~. .e.~~~e,n....~"., '. " " .L'?, ~~~.~,:rci~I.. '.' ""II h : :";~UOB,,~ITE~!t'!FQ~MA1:!ON"~ND..L:,05'~TIOi'l, .,';:., '}; l.lob.siteaddress::/6'lCf AfoJ()<&'tQ.SCN '-AAJ1- I I City S P R; rJ G r:: \ 'ELO I Siate: 0 (( IZIP I I Subdivision Dove.. ~.s \-~ I Lot no, #:./1 I I Reference: ,i j Taxlot: /7- 0 '1-1 ~'~Il .21001 I. .;-'~'!:-~,_::~~,:~t~~~'--~~ ~~;;,R~9):[~i{ty;f.QWN:~J~':~<;l<;;.~i'_J{::.t;r_ . :~~:>~c:~:'1 I Name V-LRvV RcrvSarJ ." Address: '110 Hw V '1Q tJ~ I City: e: u G- c.rJ rL I State 0 f.l.. I Phone:S4/ - b Sq 8 3 'i 7 Fax- I E-mai("i, 0skev V CO <2. "'-0 l ; CI!',,,-,", I This installation is being made on residential or farm 'property owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010. I I I ZIP:,Q14o;1 I I I St~te: Fax: "I I I oR. I ZIP'1742C,1 ~(IS--32.ilo I I I I I I Electrical \ Plumbing I ~Iechanical . ~,\, ,1' .' , I :t"'~i;;;r;~'i~;jt..'r"~I"ij,'<'-.;.,~ .qf,:;';:;V';j1F'E.""E.-1!';'S"--'.C.H':'E'-D-U':'j"tE' '~'!'t;:"-~\";,\:.ll"; ?II'.;...., 'l '--,: I .;;":{l')~ ~;'~-:i'Md~:.1'>;."::,, 'MJ~~;,;..>l, "_...,'-L"";_'4 _ . ~--'--_~.. ~',&; t \!'~:~ '\~ ;t., -t--~'~i - , 1"l\:Y~~~1rii.~liX~~fot~fa t!~~n t':::l_~~~C~:'~;,~~,;:'~r;z~~, ;;~; . '.'~~:"";:' '~I I (a) Job description: I I Occupancy I I Construction type: 1 I Square feet: I I Cost per square foot: r I Other.information: I I Type of Heat: I I Energy Path: I I D new 0 alteration D addition 1 I (b) Foundation-only permit'> DYes D No I I Total valu.tion: I $ /28 20') 1 I2)1Jiy'n~!~~g"f~e~ft'r* ::~~ 1~~:t:t~~:'::i~.~~~~~~f;:i,;.~1;,<4i;i~;J~'~Tii~1:: ~,~, ;,'.:>",'1 1 (a) Permit fee (use valuation table): $ I (b) Investigative fee (equal to [2a]): $ I (c) Reinspection ($ per hour): "" (number o~ haUl'S x fee per hour) $ I (d)Enler 12% surcharge (,12 x [2a+2b+2ej): $ I (e> Subtotal of fees above (2. through 2d): I $ !:~3.~ r,i~))~~r~li{~ti~f~e'~;:~~"~~~~::~:~~f~S%.'~~; I (a) Plan review (65% x permit fee [la]): I (b) Fire.and life safety (40% x permit fee [2a]): I (c) Subtotal of fees above (3a and 3b): I ~4:':Mi~Eel)ane9'ti_~- :r~~s}:~;~~'::J~;:.)S~':~':~:i~; ~iJ;, I (a) Seismic fce, 1 % (.0 1 x permit fee [2a]): I TOTAL fees and surcharges (2e+3c+4a): $ ..,. "I I I I I I I .1 I I $ $ s $ ',i! "11 Willamalane Park & Recreation District Job. No. 0~~Af)~ SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2009 NAME: \~(ffi ~f\~ PHONE:\O~<(:'-R~ql. , iDDRESS:. C\4D ~ IJl ~ q~TY ' AJE:.Qtaw: Lh4Cf2- JOCATION OF PROPOSED BDrt..DING SITE: Street Address: \tJC\u.' Ar-d,efS()(\ Lr1.1\V' , Riat Name:_ Ln\P_, ts~e;TaxLot N~mber: no~ \ \ CJ24l::{~ t. DEVELOPMENT TYPE (Check appropriate dwelling(s): Dwelling type definitions are on the , back,) A. Sinale-Familv Detached NO. OF UNITS l X $2,858 perunit = $~~' B. Sinale-Familv Attached NO. OF UNITS X $3,100 per unit = ' $ C. Multi-Familv Aoartment NO. OF UNITS x $2;641,per unit= $ D, Sinale Room Occupancy NO~OFONITS , X-$1~321 per unit = , $ E. Accessorv Dwellina Unit NO. OF UNITS X $1 ,550 per unit" $ 3. TOTAL WILLAMALANE NET SDC ASSESSED " (if SDC reduced for Credit) 0h~-D ~\fr ~ 1 , Development Services Depart~ent ' Date City of Springfield ' , ' 4 'l.~t-A.ltJ ' if ., $ 28ffi.W IOC1. $ WILLAMALANE SDC 2: SDc CREDIT (If applicable) SDC payer must furnish proof of Willamalane Credit approval.) $ , , " 5 Electri~al Permit Ap 1'""""""""''0"'''''''' ,CC,'P'::c"",y;,,">,.',;ji' ;'?:1:"OE!>ARTMEN1j'USE;,ON~y,;;cr","! ."A:Q:~~ 6.""~"=~"""""pc"".""""""""""," WtL... I Permtt no.: ! I ' 1 _Rate: . 12::; Firth Strrtt.SpTi..fitld, OR 974~7.PFl(54J)'i.16w3'l'5J.. Ei.'X(541)726..J689 This permit is issuerlunder OAR918-J09-0000. Permit! ere oontransferabJf'.. Permits expire if work i3 notflfarted within 180 days of ;S!UBnCe or if llo ork is ~uspendf:d (or 1.80 d:iJ's. pEFg~i7]it~Q,OAtr1;40VERNM€"T~~l\..R.P.R~V Aiii'I~J~:"i'Y1i]~f;{;:~J; !!~tYi~\l5:j:;'!~~:tr;j!fr~)'tit~,~~~,~i{eENsCHEO_UtiE{:i07n5'~~~t:~i;:i.'~\~':~~:MW;~i~~:'\'i , 1.1~!JR~;'~':"~';:d:~-'.'~.f~,.r-',fi~.lll~,~~p:!!.:~r~~~u:,~;,~t~.~~.;!;.i~.'fi'~,i.~.'I'~i"\(I':"')'~:d\~.~....~,:I.'~.:~;.:~.:..~.]lh~:W~~J;'f~!ltf-.f:~.t%\1t.i;j~11 . ~~~~:'~~~~Kf€ci&~~,!:Or=.~~g~~f{u~no~F~~~,~!j:~;Z$ . u .... . . " ,~.\.'~;~~;:~,~e-:;~~~~~iS~;A~J7.'i~;c~;~~.;i:;I;;',;m 'Irr:~~:~i:~:l'~~(:: 1\ o,~orti.n '11__,I_~1301'OO'I: ~ .,.... '11 '. I lob ,ite addteSs: fIJ 'f -~.- ..' ~" L-i:--t.:' :,,----: .,th..",.f '. ." ." ". ,,25"" r City: r' ., I SIB1~:~~ Zf~,--i.1.':tll~ }:i:iti<iC'n",gy(2) ..,. '.. ". . .':-:-t~~""1 $1" ~~;~~;,;;~;1~~::?~::iU~l~}RJ~ftoF;;wJ~~1%};;,,:;~,;~;];',\iiw:: '~~~J~;{~':;~:r~2),"i'!vi" ."', i:$'3,~', ,'" i, .__1, ., Uz...;-1.5.M FA I ! Senl~:jrrer.d('TS:'in.naIlation,c.ll'e;afiall.rel~.ati/)n i' :--;~ . G-(L----.'"1 i1OOmnp'Otk3S(1) ! $ 91,'0 $ ! ~~~~:W;'~~=i :::::::::" -T ;::::1: . I CityP~--1A.t.- I State/It! _, l_zIPf1.1.!:tc12.,j I:O!:~:Q~u,~~~Grv~lt:~~:::-:'~:I:;":' ,,:;:$'6:'OOt~--_.~: ! Phon<:!j1>(rut~J Fax; - -'l IIR:~n~'.~I,ooly:(1)...,____.____,..___ I, --",:$:"~-" .'>"',,--=,I , , 1 l~l~~~ci.t}:!l~~rct.:!t rfi~d~;ii":_lm;!all(JtllJfl,. aI!erat~oll, ~\!i()C;JliOn_..I,', .1 E..m:lll; , J This installation is being ma~,e on ,reside~t.ial or f~m pr?perty Ij 29~.~lp~,~r l~:ls t?-)~>~- "'~..:: '.:'::..~:~.- ,Ir "HO I $. 63.0D-l. .$ -~ --- -::\ I owned by me or a memb~, ot my ImmedIate fanuly, 'TIm tt26~ t~'dQ9,!L"-Ps. (2(~:;. ~'::':I~:~ -:---1.$ s'., 00 bl S 111 . property is'not.intended for sale~ exchange, !ea.s~ or rent. OAR ------------- ,"-- I 4J9.5400) and 479,560(1), 1.401 t~~.Of),,,,,ps_(2) '::'\"'Tr" ':-;'."';;:1'"'''',1.0$1'6''''' ,~,~..==-:-;I ~i Sign_ature: . Ii Qyer,-6!BJ'arnp5,~-r\iA9~).:v.~lti~-\.St;{~~[vj;eii or fe~~r'~'see!iG;iat;;~(:; :;"1 "'"=""'~""~N"N."''';;:''''''''''''. "IN~"""'''.~''N'''''''''''~''''''.'''''':= I ... .. ..., , , r.:;:"".~",,,,""..,,",;;).:;,,,,,_, .:~_:~"'jli~~'.1_ _ ;!.~.~~:I;ty, ...;'-7-=;;;-:;:c;.;~;'".-:r:;! ~:~~~~~~ C:~rcl!i~i: .~'ew,';;t;tati!;!.~~~i~l1petJJanej '~_._=-J. i Businessname:Z,---Ie.-s.~' -~jp~.ML.. ". ! a,~<<'fl)tbra.fJC~circuits":ith'pmdiaSi':ofa.Y.:r,,i{:eor'ft.-ed~rfec; ! lAdd~5S:.?Lf>.cl~>< '].3.~ij., , . . __.~J,E~'hb,an~-~;icUit i.~_L$ ~~oTi-i I City: S/Jy::g.:'"1' . 'i It.:~~.:....:1 ZfP: 97 3<J.3 I, ..":Fee fur~nm'h.'ir.('~l-lih-~i.~O'~t.pur~~as:: Of,a.. 5~n'.i~.e 'lJ!~.~der~~~ji., .- '1' Phone: sci.::::t..J.9:1-.)~"U'~: :J-o,"\ :C'i'J-97.u.1 Fin:l b"G"',rcun (2) .. I ''')''$ ll.OO I $ . . , f.-mail: I -E~;;n additional bi;;;;~~t;;Uii -- .!:- ;-i.o;-t--s-,:--- !.'. LCCB lic~:!~:~.: / f 7 ~gj, ! 'BCD Hcen!i~ Tl~:il c{- j1Y..~ I '1iscail~H'~oul\ .fEes: .!ervi~f! or/e.e.der not il'lcbf1()4 - I ' isjg~jng ,"perv;",r" license no,: St" ,}'6/ .s I I EaCh pmn? o<irrigaf.on circle (2)' , I, $ 63.00 S j 1- P-rin1 mdn~:lof signir:,g Sllpe.rv'isor; 1? i (f-~-1.-h1'g.l.J2_____~ EaGh~ign Of ~ut1lne 1tghtin~,('::'! -~ I $ 63.00 S ---I I Signature o'fsigiling sup~TVis6r: '..-i.0~";';; ...;.~. .::~: . ~.,I I Slgnill.circm1 <!r all!!lltcd-~n~!gy p~el. I "$ 83,00 $' . : ~ .....'I~l.i.~.... -.;..;.._.- .", 'f _~',:;<,:' I ~~I~~tt~n,orexfensron(2) "To:' t 0:--'. .::,'I~I<'1 I' l~~~~!id!ti{ln8tip!Jpection:(1) ~~Ll~a.~.o _$ ~ 11;tk!\->~""J"r"~."'/,1' tfe'NT"" ,It,,,, ",'1",,7"'"-.('-.---;:- ,l,,,,,~~l"","~~":,~ '}~"F..j;~..~PF!l!J 'A 1\'USE:\,'''1c~;'''':;'''''~t~\1~.T'"p'' ! ~~"i:Eil1ir~9u!jtolAJ~ofabove .ft'es,....,..:._~i-'~,..~:..- '-"II~~-:-..,.L,'~_~.~. ~.:~ I, ",',i~,:'.':J';'J ....~."".. .....;1. .: !! Y ': \'t;'J $ ;;. i I :;.~~n!Dum' PC~lt-Fee $58,OI))..h.......-t:.--.....;,~~_.-J .._~..,l...._~_.,._"..i [ .,-.,,_. ..--.--:' :""',..'" ,,~. ..' i", '10.'.... . u . i :(~}:TI!:!e>rJ :s~~~, ~,~r~~c{-12x, [An ~=:~.,:~~:::;;;r ..:.... s ..~. _-:.,~i, t 1:(~)J,~~~,~?g}';k'~e,(5~~ 'C;t:rA i}'::'''::::;~:~. ::-....:;:~~:~.:,I.'-'-_, .::~~..~~.,). ; ~'I':l:~rr~~ ~(~i~~ii'dso~a~;.gr~,{At~~~~~~i:~(::j.~~~~~:- i ~;0-:::;~;" . -;',~~i';:.~:~' '"'.._'-i'-:',~:~F~1:r~~~:-.~ ly~,~"~',~r!.:,;~:~:;"..,.~,~;.~,..1'~".". '.. , ll"",~~l~._.;, )'4(:\,1 .~..f;",~ ",n~ t."3f.r- < (,.':;.I>n.\ y'~""'{'-r.r "'~'l"'~ O' ..,. ~_~~~~:~Yi~~~i , '- 44:J.J.'iS.~.J :9roS/COM) SOM:OO.'dP.VIU ~ ."_ .'-"...." _...1 '-~ . OO:~1 SIlOZfSOi€O ~hZ€!iS~~~l;;'::fr~" ,;'.,":,:; 1'13I\S3llJ.,~:JH011 m(J~ :UlO~:l .,.'J 225 Fifth Street Springf.i~ld, Oregon 97477 541~726-3759 Phone - " Job/Journal Number COM2009-00272 COM2009-00272 COM2009-00272 COM2009-00272 COM2009-00272 COM2009-0'0272 COM2009-00272 COM2009-00272 COM2009-00272 COM2009-00272 COM2009-00272 COM2009-00272 COM2009-00272 COM2009-00272 , COM2009-00272 COM2009-00272 COM2009-00272 COM2009-00272 COM2009-00272 COM2009-00272 COM2009-00272 COM2009-00272 COM2009-00272 Payments: Type of Payment Check cRcceintl RECEIPT #: ~.' City of Springfield Ofticial Receipt Development Services Department Public Works Department 1200900000000000156 Date: 03/0412009 Description Plan Review Major - Planning Sidewalk 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 SanitarylStonn Admin SDC Transportation Admin - Plan Review Residen1ial , Building Penmit Addressing Assignment Willamalane Single Family 3 Baths One & Two Family 1 st Appliance Vent Fan Dryer Vent Fire SF Fee - Residential + 5% Technology Fee + 12% State Surcharge ~aid By BENSON Item Total: Check Number Authorization Received By Batch Number Number How Received cJc 629 In Person Payment Total: Page I of I 8: 12:24AM Amount Due 211.00 88,00 911,13 774.62 589,02 201.54 888,98 97,90 1,009,17 10,00 151.49 72,63 984,50 1,514,61 38,00 2,858,00 402,00 79,00 27,00 9,00 166,80 116,53 243,79 $11,444.71 ' Amou-nt Paid $11,444,71 $11,444.71 3/4/2009