HomeMy WebLinkAboutPermit Building 2009-3-23
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-00290
ISSUED: 03/23/2009
APPLIED: 03/02/2009
EXPIRES: 09/23/2009
VALUE: $ 260,064.46
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1751 BRANDY WAY
ASSESSOR'S PARCEL NO.: 1703331101500
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: New Single Family Dwelling
Owner:
Address:
PARKER HOMES INC
24717 WOLF CREEK RD
VENETA OR 97487
I CONTRACTOR INFORMATION.
Contractor Type
Electrical
Mechanical
Plnmbing
Contractor
EVERYDAY ELECTRICAL SERVICE
DEAN M SCHULTZ
HOME COMFORT HEATING & AIR INC
License
136371
183169
84164
Expiration Date
08/1212009
07/1512010
06/25/2011
Phone
541-607-6908
541-767-0626
541-345-2838
BUILDING INFORMATION'
# of Units: 1 # of Stories: 2 Lot Size:
Primary Occnpancy Group: R3 Height of Strnctnre 27.00 Sq Ft 1st Floor: 1,361
Secondary Occnpancy Gronp: Type of Heat: Electric Sq Ft 2nd Floor: 1,122
Primary Constl'llction Type VB Water Type: Gas Sq Ft Basement:
Secondary Constrnction Type: Range Type: Gas Sq Ft Garage/Carport 477
# of Bedrooms: 4 Energy Path: Sq Ft Other:
Sprinkled Bnilding: n/. Occnpant Load:
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
23.00
13.40
5.00'
25.00
. 13.20
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
ufo, of Lot Coverage:
I
Yes
30.50
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Subdh'ision Not Accepted
I PUBLIC IMPROVEMENTS'
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Fully Improved Cnrbside 5'
No Downsponts/Drains: Cnrb and Gntter
For this parcel in Doye Estates, it is the recommendation to the Bnilding Division, by the City
Engineer: "that no connections shall be made to sanitary or storm H20 systems, until the
Storm water to ca..bdMsipbosuscUl>wilIby:Git,l<Jmmeill'bey claim to be bnilding standard driveway approach
althongh site plan shows 28 ft. overwidth approach. No overwidth permit.
Notes:
Page 1 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Type of Constrnction
Garage/Misc
SFlDnplex
U VB Utility
R-3 VB 1&2 Family
Fee Description
Plan Review Residential
Total Amonnt Paid
[nitial Review
Pnblic Works Review
03/03/2009
03/0312009
Structural Revic\\'
03/03/2009
Plannine: Review
03/0312009
Structural Review
03/12/2009
Structural Review
03/16/2009
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00290
ISSUED: 03/23/2009
APPLIED: 03/02/2009
EXPIRES: 09/23/2009
VALUE: $ 260,064.46
I Valuation Description I
$ Per Sq Ft
or mnltiplier
$37.72
$96.83
Sqnare Footage
or Bid Amonnt
477.00
2,500.00
Total Valne of Project
Frp<, Pqiti I
Amonnt Paid
"
.
Date Paid
$886.61
3/2/09
$886.61
I Plan Reviews I
03/0312009
03/03/2009
APP BJG
, 03/05/2009
WE KLK
03/0612009
APP DDK
03/1212009
10 KLK
03/16/2009
,10 KLK
Page 2 of 4
Valne
Date Calcnlated
$17,992.44
$242,075.00
$260,067.44
03/02/2009
03/0212009
Receipt Number
2200900000000000213
Phone call: talked to Don Parker.
requested submittal of prescriptive
wall bracing, upper floor framing
construction details, type and
location of HV AC, beam
calculations, stamped truss
engineering- 3/5/09.
One tree required in addition to the
one required street tree due to
feIling of two designated "save"
trees. It does not have to be a street
tree. Corners of structure to be
clipped as noted on plans to meet
solar setback requirements.
Meeting schednled with Don Parker
to confirm prescriptive lateral
bracing to be nsed, inclnding details
for IBP's, and clarify requirements
for upper floor framing documents;
cnstomer didn't show- 3/12/09.
I) Incomplete beam calculations. 2)
Incomplete Iloor framing. 3) Pony
wall is located incorrectly on
foundation plan.,
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-00290
ISSUED: 03/2312009
APPLIED: 03/02/2009
EXPIRES: 09/23/2009
VALUE: $ 260,064.46
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Strnctnral Review
03/19/2009
03/1912009
APP KLK
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.
Rp(ll,irNI I~lPrtion<, I
Erosion/Grading Inspection: Prior to ground disturbance and after,erosion measures are installed.
Sidewalk - Cnrbside: After forms are erected bnt prior to placement of concrete.
Cnrbcut - Standard: After forms are erected bnt prior to placement of COncrete.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjnnction with footing and/or'
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected bnt prior to concrete placement.
Post and Beam: Prior to Iloor insnlation or decking.
Floor Insulation: Prior to decking.
She.r Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rongh in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insnlation: Prior to cover.
Drywall: Prior to taping.
Final Building: After all reqnired inspections have been reqnested and approved and the bnilding is complete.
Underground Plumbing: Prior to filling the trench and inclnding reqnired testing.
Undertloor Plumbing: Prior to insulation or decking.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trcnch and including required testing.
Sanitary Sewer Line: Prior to tilling trench and inclnding reqnired testing.
Final Plnmbing: When all plnmbing work is complete.
Underfloor Mechanical. Prior to insnlation or decking and inclnding reqnired testing.
Underlloor Gas: After line is installed and reqnired testing and capped if not attached to an appliance.
Rough Gas: After line is installed and reqnired 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. Presnre test done at this point.
Rongh Mechanical: Prior to Cover
Pa~e 3 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00290
ISSUED: 03/23/2009
APPLIED: 03/02/2009
EXPIRES: 09/23/2009
VALUE: $ 260,064.46
225 Fifth Street, Springfield. OR
541-726-3753 Phone
541-726-3676 Fax
'541-726-3769 Inspection Line
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval reqnired prior to Utility Company energizing pole.
Rongh Electric: Prior to Cover
Electric Service: Approval reqnired prior to ntility company energizing service.
Final Electric: When aU electrical work is complete.
By signature, I state and agree, that I have carefnUy examined the completed application and do hereby certify that aU
information hereon is true and correct, and I fnrther 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 will be made of any strnctnre withont permission of the Commnnity Services Division, Bnilding Safety.
I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on this project.
I fnrther agree to ensnrethat aU 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.
rQrn ,12v~
3/;;zsIoCf
Owner or Contractors Signature
,
Date
Page 4 01'4
~ITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER: COM2009-00290
NAME OR COMPANY: PARKER HOMES
LOCATION: 1751 BRANDY WAY
TAX LOT NUMBER: 17033311010500
DEVELOPMENT TYPE: Single Family Residence
NEW DWELUNG UNITS I BUILDING SIZE (SF: 2424 LOT SIZE (SF):
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S,F. x I COST PER S.F, CHARGE
1 3778.00 1 $0.357 I = I $1,347,79 I
RUNOFF ROUTED TO DRYWELLDESIGNED AND CONSTRUCTED TO CITY STANDARDS
f IMPERVIOUS S.F, I x I COST PER SF I x I DISCOUNT RATE I I
000 I I . $0,357 I 50% 1 ~ I
ITEM I TOTAL - STORM DRAINAGE SDC $1,347.79
2 SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
l NUMBER OF DFU's I x
r 40 I
8. IMPROVEMUlT COST:
I NUMBER OF DFU's I
I 40 I
I COST PER DFU
. $27.67.
x
COST PER DFU
$21.04
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
i
ll;
18
I~
6011 I !:S
'c/)
6
gJ
DISCOUNT
$0.00
$1,347.79 11070
$1,106.61
1091
~I
$841.46
1092
'" ,
$1,948.07
--- ~
--
3 TRANSPORTATION
A. REIMBURSEMENT COST:
I ADTTRlP RATE I x
1 9,57 1
B. IMPROVEMENT COST:
I ADT TRIP RATE I x
.1 9.57 1
I NUMBER OF UNITS I x I
I I I
I NUMBER OF UNITS I
I I I
ITEM 3 TOTAL- TRANSPORTATION SDC
4. SANITARV SEWER - MWMC
A REIMBURSEMENT COST:
INUMBER OF FEU's I x
I I I
B. IMPROVEMENT COST:
INUMBER OF FEU's I x
I I I
I COST PER FEU
I $97.90
ICOST PER FEU
I $1,009,17
.MWMC CREDIT IF ApPUCABLE (SIiE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = ,
SUBTOTAL (ADD ITEMS I, 2, 3, & 4) ~ ,
-.. -"
5. ADMINISTRATIVE FEE:
I SUBTOTAL x ADM, FEE RATE
I $5,503.45 5%
TOTAL SANITARY ADMINISTRATION FEE:
1= ,
I'
Ben Gibson
IOTAL TRANSPORTATION ADMINISTRATION FEE:
3/3/2009
PREPARED BY
DATE
COST PER TRIP
21.06
I'x INEW TRIP FACTORI
I I LOO I
$201.54
11093
I
I
/1094
I
x I
= ,
x INEW TRIP FACTORI
I LOO I
$888.98
COST PER TRIP
$92.89
$t,090.52
=
$97.90
1054
$1,117.07
= $1,009.17 1055
$0.00 I 1054
$10.00 11056
I
_._1
I
I
206.76 11079
$68.41 11078
-.1
= , . $5,778.62 I
I
\,
$5,503.45
CHARGE
$275.17
TOTAL SDC CHAR{;ES
,
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW fJXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY TIfE NET ADDmONAL FIXTURES)
NO. OF FIXTURES
UNIT
FIXTURE TYPE NEW OLD EOUIV ALENT
IBATHTUB 3 0 3 ~
IDRlNKlNG FOUNTAIN 0 0 1 ~
IFLOOR DRAIN 0 0 '3 ~
I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETe. 0 0 3 I ~
!INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 I. ~
LAUNDRY TUB 0 0 2 ~
ICLOTIIESWASHER / MOP SINK 1 0 3 I ~
ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 i ~
IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 I ~
IRECEPTOR FOR REFRlG /WATERSTATION IETe. 0 0 1 I ~
IRECEPTOR FOR COM. SINK / DISHWASHER / ETC, 1 0 3 ~
I SHOWER, SINGLE STALL 2 0 2 i ~
I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 I .,.=
I SINK: COMMERCIAURESIDENTIAL KITCHEN 1 0 3 I ~
ISINK: COMMERCIAL BAR 0 0 2 I ~
ISINK: WASH BASIN/DOUBLE LAVATORY 2 0 2 I ~
ISINK: SINGLE LAVATORYIRESIDENTIAL BAR 2 0 1 I ~
IURlNAL. STALL / WALL 0 0 5 I ~
ITOILET. PUBLIC INSTALLATION 0, 0 6 I ~
ITOILET. PRlV ATE INSTALLATION 4 .0 3 I ~
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 ~
TOTAL DRAINAGE FIXTURE UNITS
.EDU (Equivalent Dwelling Unit) is a discharge equ_iyalent to a single family dwellin~tunit (20 DFU's) set at 167 ~lIons per day
- - -- -
DRAINAGE
FIXTURE
. UNITS
9
o
o
o
o
o
3
'0
o
o
3
4
o
3
.0
4
'2
o
o
12
MWMC CREDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE
r
I
I
I
I
I
I
I
I
I
I
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1954
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
200]
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
is IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR,
CREDIT FOR LAND (IF APPLICABLE)
VALUE/1000 CREDIT RATE
$0,00 x $5.29
CREDIT FOR IMPROVEMENT{IF AFTER ANNEXATION)
VALUE /1000 CREDIT RATE '
$0,00 x $5.29 ~ I
TOTAL MWMC CREDIT
"
-I
I
I
I
I
I
I
"
o
40
I
I
,
2
'1
II
I
I
2
1979
$000
!
o
$0,00
.
w C
S88- -44:56"f: a
- m
85.09 ".,
l' W'L Y -
l CO
I -
ON LINE e
-
- 0
~uE_ , 2
I
..~ , I
v/
@ ~l
6011 SF cO:
fD:' @
t
,
-
- -
S88e44'56JtE
-71:77
l' WL Y
I'\t,.J I Jur
Structural Permit Application
_.'_.<.".'-.'..............'..
'", . 0 . . . "0,',0 . ",' _ _ - ~.
225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(54 1)726-3689
...
~~lpIt~~~i~!jj~~~~yjl
Permit no.: C'f - z. '1B
I Date: 3/ '2- / ~ ~
This permit is issned nnder OAR 918-460-0030. Permits expire if work is not started within 180 days ofissnance or if work is
snspended for 180 days. -
~~~W~g@Mllif.~E@R.{~~
.':I~~iS project has final land-use approval. I
~ SIgnature: Date:
.' I This project has DEQ approval. I
~fSignature:" Date:
I Zoning approval verified: '0 Yes 0 No I
I Property is within flood plain: 0 Yes 0 No . ~
liR~"2ir~~;~"""}"7"'"..''''..,,~,....--:J..~.''''':~,..-~-''c,.,-''~._.''''-'''i:'-~~1,r.i;iI"-",'.'.;;it:-'...-.~'"
~~~<ll1"'i\l..~,g;~TlE;9G.R:Y(,;,QIi!\;QQ~~ill~JI.9J]lJ;1.N(~'"t~!}1,i,i,~~i,!
~fi~~lmJ!f~~~;;Jt;~gJQ~~~;;Jr~~~
I Job site address: /7.:)/ R1 V'o,Pv /.4-0X I
I City: . c:, p-P,// ,Statl l ZIP: I
I Subdivision: t.-n/T.-" ~"" frL-f~C I Lot no,: 5 I
I Reference: I Taxlot: I
f~~l~i_~~Qg~B:t&IQW~~~~-~f~'a~trf.:::~~if~~1
I Name M;/) /::'<;: v.:J 1/(?J1!1f'C. I
I Address:j L/. 7/'7 'IC/' {!. ~ 18 Y j
I City Vn/JC; -Ie; State: L!?y' I ZIP:974'1?7J
I Phonef)'fl -579 3';z<; 3 F",,!;"</I I($- -2 '7// I
I E-mail: rJt2n fj) fi!"..1:Fv j/om',c; /J? '~ I
ThisinstaIlation is~being made on residential or f:. operty owned by
me or a member of my immediate family, and is exempt from licensing
requirements under ORS ~,01~ _
Sign here: O(J?1 ~
~.I~rffii18K~~~.I1:ti~l[~~~.J{jQH~>>'I~'t_
I Business name: -/ . /'f\., tf' '
I Address: L (])' . -
I City: ~ I State:
\ ,Phone: Fax:
.5'1. E-mail:
"'1 CCB license no.:
q I '
'., Print name:
) Signature:
I ZIP:
1;-"J1L~Sl!JBiG0NliliRACq;('jR1INf;ORMA;f,16Nf"'l<"l"-i:"""''':t,61
~R'.i1~%2J~L..~,_,R-_.,.._,,-, '-".,~_'---",\._.__,__;c_,,,'___'''^'~;.,~__.JJ,.,.~~_.)]'Mtw'~!f.:sJ:O~~~}I
Name
I Electrical
I Plumbing
1 MechanJcal
I CCB License Number I
fI"'J'7JL uP
HtJy)?~ (,I) I
;~mmFmuj A'RI
Phone Number
~f&, '~_;,.)~~l!hllt!llilE:II~.'I~EE.Els'(:;ii1EDU1h
,,""!:',rh';y~~~~~~iiE~_,.__~,___,~.,......
~~"'$-J?~~;t~.~.....-
f;tlj~~~IJ!~!!g:mjnJormllJ.!Qn
I (a) Job description:s'):lV~
I Occupancy IR.. - '3
I. Construction type: ~I/ l~
I Squarefeet: Z.5@(;j~,F. ~/ -1-::rJ,.f ()
~
I
H1it1R-<t ~,<IcEl
I
I
I
I
I
I
I
I
I (b) Foundation-only permit? 0 Yes 0 No I
I Total valuation: I $ I
. i~~:J~u'JJ~I~gTi.~~~:~~{JlU{~~~~1T~;.:V~~T,~t:'W~~i~~W~1~~l!1
I (a) Permit fee (use valuation table): $ I
I (b) Investigative fee (equal to [2a]): $ I
I (c) Reinspection ($ per hour): I
(number of hours x fee per hour) $
I (d) Enter 12% surcharge (.12 x [2a+2b+2c]): $ I
I (e) Snbtotal of fees above (2a througb 2d): S I .
1lF."r~~*"""-~J:~","~!Ir-"j;~~"-~"h..""'''''''~1
I ';~~~;:;::::~:~~::;~~::[~:;~~'tf~'~__;4l1
I (b) Fire and life satety (40% x permit fee [2a]):. S I
l;;:~~~,..~~~~~~~~~~~:~~~;~:,~".~~;~~'~~__~r.:~~.:t,.~,;.".~~...:~,,~~~jffte..,;k;1,,11
~.f4;:;M!.~~~It~n~.qp~lf~~~J~~:::~;~,~Sj,.~:~:};i~::1:~i:~;;;~.f,~ii#~~~J&~~~~.~~
I (a) Seismidee, 1%(,01 x permit fee [2a]): I $ I
I TOTAL fees and snrcharges (2e+3c+4a): $ I
Cost per square foot:
Other information:
Type of Heat:
I Energy Path:
I teI new D alteration
o addition
Willamalane
- Park & Recreation District
Job. No:
~q -'2.40
SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2009
NAME: \X\ \\~ 0 ( \\o\res PHONE: b"\q.. ~~
ADDRESsAL\1\"1 \\."rl.~~t\h ~~~trL.sTATE:DlLzIP: a.l.48i-
- LOCATION OF PROPOSED BUILDING SITE:
........ ....:;~:~r1~~~~~~j \1 rBii \ -: 6SiJO..
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type - definitions are on the
back,)
- A. Sincle-Familv Detached
\.
NO. OF UNITS
X $2,858 per unit =
$ Qi)~ .uJ
B. Sincle-Familv Attached
NO. OF UNITS
X $3,100 per unit =
$
C. Multi-Familv Aoartment
NO. OF UNITS
X $2,641 per unit =
$
D. Sinqle Room Occuoancv
.. - .
NO-:-OFUNITS------
X$1~321per unit =
01>
E. Accessorv Dwellinc Unit
NO. OF UNITS
X $1,550 per unit =
$
WILLAMALANE SDC
$ 2.f/c8,CD
/2!
$ !22J SS ,ocJ
~ I 231m
$
2. SDC CREDIT (If applicable) SDC payer must fumish proof of
Willamalane Credit approval.)
3. TOTAL WILLAMALANE NET SDC ASSESSED
~ ~ _~(if SDC reduced for cred;~ ( I
Develo ment rvic epartmenttti
City of ringfield'
Date
5
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00290
COM2009-00290
COM2009-00290
COM2009-00290
COM2009-00290
COM2009-00290
COM2009-00290
COM2009-00290
COM2009-00290
COM2009-00290
COM2009-00290
COM2009-00290
COM2009-00290
COM2009-00290
COM2009-00290
COM2009-00290
COM2009-00290
COM2009-00290
COM2009-00290
COM2009-00290
. COM2009-00290
COM2009-00290
COM2009-00290
COM2009-00290
COM2009-00290
COM2009-00290
COM2009-00290
COM2009-00290
COM2009-00290
COM2009-00290
COM2009-00290
COM2009'00290
Payments:
Type of Payment
Check
cRcceintl
RECEIPT #:
Description
Addressing Assignment
Fire SF Fce - Residential
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Sidewalk Pemlit
Curbeut Permit
Curbcut - 2nd Curb cut
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 Transportation Admin
Plan Review Major - Planning
Fireplace (Listed)
Building Permit
3,Baths One & Two Family
Fixture
I st Appliance
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Fireplace (Listed)
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
PARKER HOMES, INC
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000000205
Date: 03/23/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KLK
8775
In Person
Payment Total:
:
Page I of 1
11 :00: 19AM
Amount Due
38,00
124,15
2,858,00
134,00
100,00
63.00
88,00
88.00
(45,00)
1,347,79
1,106,61
841.46
201.54
888,98
97,90
1,009,17
10.00
206,76
68.41
211.00
20,00
1,364,02
402,00
38,00
79.00
54,00
13.00
9,00
7,00
20,00
132,25
276,36
S J J ,852.40
Amount Paid
$11,852.40
$] 1,852.40
3/23/2009
THE CONTENTs•, 'RE ON HAVE BEEN E?FVEEWED, WITIH
ALTERATIONS IN17)K:ATEDP N COLORED PENCIL. CHANOMS
0R ALTERATION1 ;nADE TO THE APPROkIED DRAWINGS OP
PP,OJECT AFTER 1 HE DATE BELOW SHALL 13E APPROVMD M
TM BUILDING OFFICIAL.
CITY OF SPRINGFIELD, OREGON
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APPROVED 6Y OVE
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 the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
NOTICE:
THIS PERMIT SHALL EXPIRE MITISNNOT
AUTHORIZED UNDER S ABANDONED THIS
FOR
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GOTIVIMENCED 0
ANY 180 DAY PERIOD.
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