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Home My WebLink AboutPermit Building 2009-3-31 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00406 ISSUED: 03/31/2009 APPLIED: 03/26/2009 EXPIRES: 10/01/2009 VALUE: $ 189,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5752 MICA ST ASSESSOR'S PARCEL NO.: 1802033301400 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: New single family dwelling SAME AS 2019 S 57th Residential Owner: Address: HA YDEN HOMES LLC 2464 SW GLACIER PL STE 110 REDMOND OR 97756 ATll::.N [JUt\!: I ;r<-;{ '.' "'>1 I"'; , ' ~,j y..........~ follow rules adcc" j "Y h,d Oregon UillP,hone Number: Notification Cenkr. '-haSf}! L1!es are set forth in OAR 952-001-0010 ;hrm:\jhOAR 952-001- _ r., ..__l...... uu~u. YOU IIldY uu~<;;<;, i v'....I"".......... ".n ".- . _. - --, I CONllR\\G:J'OR'1 NFOR'MA TioN'~I' ',.jPhOtne .' ' llca Ion IIUIlIU"G1 .v, ."..... ~'_.~--. J . 1 600-3"'2-2344) Confractor Center IS: Ci~ense' HA YDEN ENTERPRISES 92208 TOP NOTCH ELECTRIC INC 172366 PACIFIC AIR COMFORT INC _.'-. . 39237 PLUMBING PLUS INC 90482 541-228-6935 Contracfor Type General Electrical Mechanical Plumbing Expiration Date 07/29/2009 09/29/2010 03/25/2010 05/10/2009. Phone 541-228-1081 541-3i7-1998 541-672-9510 541-926-3190 I, BUILDING INF?RMA T10N I # of Units: Primary Occupancy Group: Secondary Occupancy Gronp: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U VB ~-~.. ....,.. . -# of Stories: I Lot Size: . ,-; ,=H-reigm otSt6lcfuWIRE IF Wf6.'8b'JRKsq Ft 1st Floor: .. ~'0iWj[(llUil}li\[:R THIEorce'df\\iI bns'llOT Sq Ft 2nd Floor: ': ,F<'1f:~'WI'D1JWrS ABf,NDOlllED [G.as Sq Ft Basement: ,., 1 oRange, T-l/Ue'OD Electric Sq Ft GaragelCarport . i 011 Unr r:col . ,. Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: 5,062 1,234 406 3 I DEVELOPMENT INFORM A TION I REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 8.00 11.74 22.00 10.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 3 Yes 24.40 Total: Handicapped: Compact: ' 2 I ,PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Fully Improved Yes Storm water to curb via weep hole Sidewalk Type: Downspouts/Drains: Curbside 7' Curb and Gutter Notes: NOTICE: THIS ~E~f~IT SHALL EXPIRE IF THE WORK AUTHOR,Z..:D UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Page I of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax" 541-726-3769 Inspection Line Descrintion Type of Construction Bid Amonnt Use Bid Amonnt Fee Description Plan Review Same As + 12% State Snrcharge + 5% Technology Fee 1st Appliance 2 Baths One or Two Family Addressing Assignment Bnilding Permit Credit - Trans Improv SDC Cnrbcnt Permit Dryer Vent Exhanst Hoods Fire SF Fee - Residential Fireplace (Listed) Cas Ontlets 1-4 Plan Review Major - Planning PW Disc - 2nd Permit Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 S~nitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbnrsement SDC Sanitary/Storm Admin SDC Tran Reimbnrs~Residential SDC Trans Improvement-Resident SDC Transportation Admin Sidewalk Permit Storm Drainage Impervions Area Temp Power 200 amps or less Vent Fan Willamalane Single Family Total Amonnt Paid I, Valuation D~scrintion, I $ Per Sq Ft or mnltiplier $1.00 Amonnt Paid $250.00 $217.20 $108.35 $79.00 $337.00 $38.00 $1,070.98 $-888.98 $88.00 $9.00 $13.00 $82.00 $20.00 $7.00 $211.00 $-30.00 $134.00 $50.00 $504.88 $663.96 $10.00 $1,009.17 $97.90 $132.88 $201.54 $888.98 $74:61 $88.00 $773A3 $63.00 $27.00 $2,858.00 $9,188.90 Sqnare Footage or Bid Amonnt 189,000.00 Total Valne of Project F~~, pq irl , Date Paid 3/26/09 3/31/09 3/31/09 3/31/09 3/31/09 3/31/09 3/31/09 3/31/09 3/31/09 3/31/09 3/31/09 3/31/09 3/31/09 3/31/09 3/31/09 3/31/09 3/31/09 3/31/09 3/31/09 3/31/09 3/31/09 3/31/09 3/31/09 3/31/09 3/31/09 3/31/09 3/31/09 3/3l!09 3/31/09 3/31/09 3/31/09 3/31/09 Pa~e 2 of 4 , , CITY OF SPRINGl'u.,LD Building/Combination Permit PERMIT NO: COM2009-00406 ISSUED: 03/31/2009 APPLIED: 03/26/2009 EXPIRES: 10/01/2009 VALUE: $ 189,000.00 Valne Date Calcnlated $189,000.00 $189,000.00 03/27/2009 Receipt N nmber 1200900000000000217 2200900000000000313 2200900000000000313 2200900000000000313 2200900000000000313 2200900000000000313 2200900000000000313 2200900000000000313 2200900000000000313 2200900000000000313 2200900000000000313 2200900000000000313 2200900000000000313 2200900000000000313 2200900000000000313 2200900000000000313 2200900000000000313 2200900000000000313 2200900000000000313 2200900000000000313 2200900000000000313 2200900000000000313 2200900000000000313 2200900000000000313 2200900000000000313 2200900000000000313 2200900000000000313 2200900000000000313 2200900000000000313 2200900000000000313 2200900000000000313 2200900000000000313 CITY OF SPRINGFIELD Sta tus Issued Building/Combination Permit PERMIT NO: COM2009-00406 ISSUED: 03/31/2009 APPLIED: 03/26/2009 EXPIRES: 10/0112009 VALUE: $ 189,000.00 225 Fifth Street, Springiield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Plan Reviews I I Initial Review 03/27/2009 03/i7/2009 APP LLH Plannine Review 03/27/2009 03/30/2009 APP DDK Access restricted to 1 driveway/lot (condition 19). Follow street tree plan. Public Works Review 03/27/2009 03/30/2009 APP LKW Structural Review 03/27/2009 03/30/2009 I APP CJC As noted on plans/in review letter 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 f,fll"ir'ir1 Irsnections I Curbcut - Standard: After forms are erected bntprior to placement of concrete. Sidewalk - Curbside: After forms are erected but prior'to placement of concrete. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspt:ction. 'I Footing: After trenches are excavated. Foundation: After forms are erected but prior to concr~te placement. Post and Beam: 'Prior to floor insulation or dee.king. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspedion: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. Underfloor Plumbing: Prior io insulation or decking. Underfloor 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. Paee 3 of 4 CITY vJ< ~I:'I:UN&1' JELD Building/Combination Permit Status Issued PERMIT NO: COM2009-00406 ISSUED: 03/31/2009 APPLIED: 03/26/2009 EXPIRES: 10/01/2009 VALUE: $ 189,000.00 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Underfloor Gas: After line is illstalled alld required testillg alld capped jf 1I0t attached to all appliance. Rough Gas: After lille is installed alld required testing alld capped if not attached to all appliance. Cas Service: Aner line is illstalled alld line has been cOllnected to a minimum of one appliance illcludillg 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 mechallic~1 work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizillg service. Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all information hereon is tru~ and correct, and I further certif)' that any and all work performed shall be done in accordance ,~ith the Ordinances of the City of Springfield alld the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure withont permission of the Community Services Division, Bnilding Safety. I further certify that Olily contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ellsure that all required 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 all times during construction. ~/2/L 3- 3/-0 i Owner or Contr;ctors Sig~e Date Paee 4 of 4 Job. No. . Q,~ -400 SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2009 NAME: . \ ~ Pl-tONE:Q f2B. \6135 ADDRESS~4.\~ SLtJ ~TY~TATElI:.zIP:cr-nSLo LOCATION OF PROPOSED BUILDING SITE:. ~ _ ~_StreetA<lclfes~: S \~r&-. .9-:!- Plat Name~PX~{>a . Ta~ Lot Nu~~e;: ~\9iiih?2)3 O\4.fJ5' , 1. DEVELOPMENT TYPE. (Check appropriate dwelling(s). Dwelling type definitions are on the back.) A. Sinole-Fainilv Detached NO. OF UNITS . \ X $2,858 per unit = $ ~.rP B. Sinole-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 Occuoancv NO. OF"UNITS ~XC$1~321-per'unit= . $ E. Accessorv Dwellina Unit NO. OF UNITS WILLAMALANE SDC X $1,550 per unit = $ '. 11.rt. 0... CO $ ~",LX.J{ J . 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) \\~) \A\~~n~ Deveropfnent se~c~~ ~~ment City of Springfield ....>' ' . $15 $ f9ff>pU :6 /8\/CY\ 2. SDC CREDIT (If applicable) SDC payer ,must fumish proof of Willamalane Credit approval.) Date 5 _..:f, ~ "'(~ CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS I. STORM DRAINAGE COM2009-00406 Ha~den Homes 5752 Mica o Single Family Residence I BUILDING SIZE (SF' 1780 LOT SIZE (SF): DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. CHARGE' 1 I 2168.00 I $0.357 [ = I $773.43 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS [ IMPERVIOUS S.F. I x [ COST PER S.F. I x [ DISCOUNT RATE I I [ 0.00 I [ $0.357 I I 50% ~ I ITEM I TOTAL - STORM DRAINAGE SDC $773.43 ~ 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I 24 I B. IMPROVEMENT COST: I NUMBER OF DFU's I x I 24 I COST PER DFU $27.67 COST PER DFU $21.04 ITEM 2 TOTAL - CITY SANITARY SEWER SDC :: , 1 TRANSPORTATION . A. REIMBURSEMENTCOST: I ADT TRIP RATE I x I 9.57 I B. IMPROVEMENT COST: [ ADT TRIP RATE I I 9.57 I I NUMBER OF UNITS I x I I I I x I NUMBER OF UNITS I x [ I I I I ~ , 4. SANITARY SEWER - MWMC ITEM 3 TOTAL - TRANSPORT A nON SDC A. REIMBURSEMENT COST: INUMBER OF FEU's I x I I I B. IMPROVEMENT COST: [NUMBER OF FEU's I x I 1'[ [COST PER FEU [ $97.90 [COST PER FEU I $1,009.17 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =, -<:0 $],]68.84 COST PER TRIP 21.06 COST PER TRII' $92.89 $201.54 $1,117.07 DISCOUNT $0.00 x INEW TRlP FACTOR[ I 1.00 . I x [NEW TRIP FACTORI I 1.00 I 5227 $773.43 $663.96 $504.88 $201.54 $0.00 = $97,90 [J) w a o u !o:: W f- iG ~ 11070 [ 1091 I I 1092 ~I 1'1093 I 1094 [1054 I I lOSS I 1054 1056 5 ADMINISTRATIVE FEE: SUBTOTAL(ADDITEMS],2,3,&4) ~ I I SUBTOTAL I $3.260.88 , TOTAL SANITARY ADMINISTRATION FEE: I ADM. FEE RATE 1= [ 5% I x TOTAL TRANSPORTATION ADMINISTRATION FEE: $3,260.88 CHARGE $163.04 Kaye Wilson PREPARED BY 3/27/2009 DATE TOTAL SDC CHARGES = $] ,009.17 $0.00 $10.00 147.71 $15.33 = I $3,423.92 !I079 1078 _.EDU (EQuiva]ent Dwelling Unit) is a discharge equivalent 10 a single familv dwelling unit (20 DFlJs) set at 167 gallons per day MWMC CREDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE I YEAR ANNEXED r- I I BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 ]989 1990 1991 1992 ]993 1994 1995 . 1996 1997 1998 ]999 2000 2001 IS LAND ELGlBLE FOR ANNEXATION CREDIT? 2 II (Enter I for Yes, 2 for No) I IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? 2 (Enter I for Yes, 2 for No) I BASE YEAR 2005 CREDIT FOR LAND (IF APPLICABLE) I VALUE 11000 CREDIT RATE $0.00 x $0.00 =1 $0.00 I CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) I VALUE 11000 CREDIT RATE $0.00 .x $0.00 = 1 0 - TOTAL MWMC CREDIT = $0.00 ;. . ~ CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: COM2009-00406 NAME OR COMPANY: Hayden Homes . LOCATION: 5752 Mica TAX LOT NUMBER: 0 DEVELOPMENT TYPE: Single Family Residence NEW DWELLING UNITS I BUILDING SIZE (SF' 1780 LOT SIZE (SF): 5227 I~ [/J W P o u c<: W I- [/J G w <>:: I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM 1 IMPERVIOUS S.F. x'l COST PER S.F. CHARGE I 1 2168.00 '$0.357 1 = , $773.43 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS 1 IMPERVIOUS S.F. 1 x I COST PER S.F. 'x 1 DISCOUNT RATE I ' , 0.00 , 1 . $0.357 'I 50% . =, ITEM 1 TOTAL - STORM DRAINAGE SDC '$773.43 2. SANITARY SEWER - (]TY DISCOUNT $0.00 11070 I $773.43 A. REIMBURSEMENT COST: I NUMBER OF DFU's 1 .x 24 I B. IMPROVEMENT COST: I NUMBER OF DFU's 1 x 24. I COST PER DFU $27.67 COST PER DFU $21.04 I, I. = I $1,168.84 $663.96 11091 I $504.88 I 1092 J. ITEM 2 TOTAL - CITY SANITARY SEWER SDC' 1 TRANSPORTATION. A. REIMBURSEMENT COST: I ADT TRIP RATE I x , NUMBER OF UNITS I x I COST PER TRIP x 'NEW TRIP FACTORI 9.57 , 1 I 1 1 21.06 1 1.00 I $201.54 1 1093 8. IMPROVEMENT COST: I 1 ADT TRIP RATE '1 x I NUMBER OF UNITS I x, COST PER TRIP I x 'NEW TRIP FACTORI 1 9.57 1 1 I 1 I $92.89 1 , 1.00 1 $888.98 I 1094 ITEM 3 TOTAL - TRANSPORT A nON SDC =, $1,090.52 I I 4 SANITARY SEWER - MWMC A. REIMBURSEMENT COST: . INUMBER OF FEU's 1 x ICOST PER FEU I I I I $97.90 = $97.90 1054 8. IMPROVEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I I I 1 $1,009.17 = $1,009.17 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0,00 1054 MWMC ADMINIST,RATIVE FEE $JO.OO 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC ~, $1,117.07 -. SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ , $4,149.86 5 ADMINISTRATIVE FEE: 1 SUBTOTAL x 1 ADM. FEE RATE I~ CHARGE , $4,149.86 , 5% 1 $207.49 TOTAL SANITARY ADMINISTRATION FEE: 132.88 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $74.61 '1078 ..---., Kaye Wilson 3/27/2009 TOTAL SDC CHARGES ~I $4,357.35 PREPARED BY DATE .------ .- ----- -'. :~. DRAINAGE FIXTURE UNIT (DFU) CA_LCULATION T~!l~E ._~- NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS I (NOTE: FOR REMODELS. CALCULATE ONLY 1HE NET ADDITIONAL FIXTIJRES) NO. OF FIXTURES DRAINAGE I UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS IBATHTUB 2 0 3 ; 6 I IDRlNKING FOUNTAIN 0 0 1 ; 0 I FLOOR DRAIN 0 0 3 ; 0 I I INTERCEPTORS FOR GREASE 1 OIL 1 SOLIDS 1 ETC. 0 0 3 ; 0 I INTERCEPTORS FOR SAND 1 AUTO WASH I ETe. 0 0 6 ; 0 I LAUNDRY TUB .0 0 2 ; 0 CLOTHESW ASHER 1 MOP SINK 1 0 3 ; 3 I ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 ; 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 ; 0 I RECEPTOR FOR REFRJG 1 WATER STATION 1 ETe. 0 0 1 ; 0 I RECEPTOR FOR COM. SINK I DISHWASHER 1 ETe. 1 0 3 ; 3 I SHOWER, SINGLE STALL 0 0 2 ; 0 I I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 ; 0 I ISINK: COMMERCIAURESIDENTIAL KITCHEN 1 0 3 ; 3 I ISINK: COMMERCIAL BAR '0 0 2 ; 0 I ISINK: WASH BASINIDOUBLE LAVATORY 1 0 2 ; 2 ISINK: SINGLE LA V ATORY/RESIDENTIAL BAR 1 0 1 ; .1 IURlNAL. STALL 1 WALL 0 0 5 ; 0 ITOILET, PUBLIC INSTALLATION 0 0 6 ; 0 [TOILET, PRIVATE INSTALLATION 2 0 3 ; 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 ; 0 TOTAL DRAINAGE FIXTURE UNITS 24 .*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwellin~ 'unit (20 DFU's) set al 167 ~lons per day ,MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED CREDIT RATE/$I,OOO ASSESSED VALUE ij~Y!' : $5.29 $5.29 BEFORE 1979 .1979 1980 1981 1982 1983 1984 ]985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 ~ 2000 2001 ;-; ;'3- ~~~ '..',:H.::. . $4~63 .... $4:40 $4:07 , $3.67 ,.,;, $3)22 $273 $2.25 ; .$1.80 ::.' $1.59 $j~45 ~c i $.125. ~_~:':I: J~~~~_ $0.72 ;$0,48 $0:28 $0.09 . .,$6~ri5 IS LAND ELGlBLE 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 2 2 2005 CREDIT FOR LAND (IF APPLICABLE) VALUE 1 1000 CREDIT RATE . $0.00 x $0.00 ~ I $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) V AWE 1 1000 CREDIT RATE WM x moo -I o TOTAL MWMC CREDIT $0.00 ; 225. Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00406 COM2009-00406 COM2009-00406 COM2009-00406 COM2009-00406 COM2009-00406 COM2009-00406 COM2009-00406 COM2009-00406 COM2009-00406 COM2009-00406 COM2009-00406 COM2009-00406 COM2009-00406 COM2009-00406 COM2009-00406 COM2009-00406 COM2009-00406 COM2009-00406 COM2009-00406 COM2009-00406 COM2009-00406 COM2009-00406 COM2009-00406 COM2009-00406 COM2009-00406 COM2009~00406 COM2009-00406 COM2009-00406 COM2009-00406 COM2009-00406 Payments: Type of Payment CreditCard cReceintl RECEIPT #: City of Springfield Official Receipt . Development$erVices Department Public Works Department 2200900000000000313 II :32:06AM Date: 03/3l!2009 Description Addressing Assignment Willamalane Single Family Fire SF Fee - Residential Sidewalk Permit . Curbcut Permit PW Disc - 2nd Permit Credit - Trans Improv SDC Storm Drainage Impervious Area Sanitary Sewer ~ Reimbursement Sanitary Sewer - Improvement SDC Tran Reimhurs-Residential SDC Trans Improvement-Resident. SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transportation Admin Building Permit 2 Baths One or Two Family I st Appliance Vent Fan Exhaust Hoods Dryer Vent Gas Outlets 1-4 Fireplace (Listed) Residence Wiring 1000 Sq Fl Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Plan Review Major - Planning + 5% Technology Fee + 12% State Surcharge Paid By TIM DRIEUNGER Amount Due 38.00 2.858.00 82.00 88.00 88.00 (30.00) (888.98) 773.43 663.96 504.88 201.54 . 888.98 97.90 1.009.17 10.00 132.88 74.61 1,070.98 337.00 79.00 27.00 13.00 9.00 7.00 20.00 134.00 50.00 . 63.00 211.00 108.35 217.20 $8,938.90 :" Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid cJC 016591 In Person Payment Total: $8,938.90 $8,938.90 Page 1 of I 3/3 1/2009