HomeMy WebLinkAboutPermit Building 2009-8-5
CITY OF SPRINlJl'lJ!,LD
Building/Combination Permit
PERMIT NO: COM2009-01 I I I
ISSUED: 08/05/2009
APPLIED: 08/0312009
EXPIRES: 02/05/2010
VALUE: $ 179,000.00
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1152 S 40TH PL Springfield TYPE OF WORK: Single Family Residence
ASSESSOR'S PARCEL NO.: 1802064115500tTTENTION: Oregon law requires you to
o'.ow rules adopted by tiIWP-E:OF,rU$!:::t New Residential
~loflf,c;::r"':1n cr.. t_u ...., . .... . -., y
PROJECT DESCRIPTION: New Single Family:Dwelling S~ME'SE11'2-l6'SI4ISifERl0t forth
'" uAH ":>,,-001-0010 through OAR 952-001-
('InCA v,..,. .......~,. _1.'.' .
Owner: BRUCE WIECHERT CUSTOM HO'M\::S iNtc~~t~~:"'iN;le':vth~'t~;:~~~e~eOY
Address: 3073 SKYVIEW LN numoer tor the Oregon Utility Notification
EUGENE OR 97405 Center IS 1-800-332-2344).
I CONTRACTOR INFORMATION I
"
Contractor Type
General
Electrical
Mechanical
Plnmbing
License Expiration Date
101717 09/16/2010
105475 03/30/2010
460 06/27/2011
cvr~;;1l6~r T"~ ".~~.q3/12/2010
--., . ,,_ .~\.,o"'"
II\BUlLDlNO }NF(i)RMAllION'IRMIT IS NOT
\"UIVIIVII:NGED OR IS ABANDONED FpR
ANY ~i9bSj\!f.ies:ERIOD. . Lot Size:
Height of Strnctnre 17.00 Sq Ft 1st Floor:
Type of Heat: Forced Air Gas Sq Ft 2nd Floor:
Water Type: Gas Sq Ft Basement:
Range Type: Gas Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: Yes Occupant Load:
Contractor
BRUCE WIECHERT CUSTOM HOMES INC
L & E ELECTRIC INC
COMFORT FLOW 1;I.I[AjIJISl8. CO.
STEVEN R JOHNSql)l'li':: pi=RnnlT CUAI I
# of Units:
Primary Occupancy Group:
Secoudary Occupancy Group:
Primary Constructiou Type
Secondary Coustructiou Type:
# of Bedrooms:
I
R-3
U
VB
3
I DEVELOPMENT INFORMATION I
Phone
541-686-9458
541-933-2653
541-726-0100
541-342-3765
1,685
440
REQUIRED PARKING
2
Froutyard Sethack:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Haudicapped:
Compact:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
18.00
12.89
5.00
25.26
1.00
2
Yes
33.80
I PUBLIC IMPROVEMENTS I
Street Improvemeuts:
Storm Sewer Available:
Speciallustruction:
Sidewalk Type:
DownspoutslDrains:
Fully Improved
Yes
Storm water to weep hole in curb
Notes:
Paee I of 4
Curbside 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 Construction
Use Bid Amount
U VB Utilitv
R-3 VB 1&2 Familv
Bid Amount
Gara!!e/Misc
SF/Duplex
Fee Description
Plan Review Same As
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
2 Baths One or Two Family
Addressing Assignment
Appliance Vent
Building Permit
Credit- SDC Storm Improv
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fireplace (Listed)
Gas Outlets 1-4
Overwidth Application Fee
Plan Review Major - Planning
PW Disc - 2nd Permit
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer ~ Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Tran Reimburs-Residential
SDC Trans Improvement-Resident
SDC Transportation Admin
Sidewalk Permit
Storm Drainage Impervious Area
Vent Fan
Willamalane Single Family
Total Amount Paid
I Valuation Oescriotion t'
$ Per Sq Ft
or multiplier
$1.00
$37.72
$96.83
Square Footage
or Bid Amount
150,000.00
400.00
1,700.00
Total Value of Project
Fpp. P\WU
Amount Paid
"
$250.00
$208.83
$107.11
$79.00
$337.00
$38.00
$9.00
$1,030.28
$-1,272.66
$88.00
$9.00
$13.00
$20.00
$7.00
$45.011
$211.00
$-30.00
$134.00
$75.00
$507.07
$666.84
$10.00
$1,146.50
$101.97
$165.21
$211.21
$931.65
$77.18
$88.00
$1,272.66
$27.00
$2,858.00
$9,421.85
Date Paid
8/3/09
8/5109
8/5/09
8/5/09
8/5/09
8/5/09
8/5/09
8/5/09
8/5/09
8/5/09
8/5/09
8/5/09
8/5/09'
8/5109
8/5/09
8/5/09
8/5109
8/5/09
8/5/09
8/5/09
8/5/09
8/5/09
8/5/09
8/5/09
8/5/09
8/5/09
8/5/09
8/5/09
8/5/09
8/5/09
8/5/09
8/5/09
Pa!!e 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01111
ISSUED: 08/05/2009
APPLIED: 08/03/2009
EXPIRES: 02/05/2010
VALUE: $ 179,000.00
Value
Date Calculated
$150,000.00
- $15,088.00
$164,611.00
$329,699.00
08/03/2009
08/03/2009
08/03/2009
Receipt Number
2200900000000000864
2200900000000000877
2200900000000000877
2200900000000000877
2200900000000000877
2200900000000000877
2200900000000000877
2200900000000000877
2200900000000000877
2200900000000000877
2200900000000000877
2200900000000000877
2200900000000000877
2200900000000000877
2200900000000000877
2200900000000000877
2200900000000000877
2200900000000000877
2200900000000000877
2200900000000000877
2200900000000000877
2200900000000000877
2200900000000000877
2200900000000000877
2200900000000000877
2200900000000000877
2200900000000000877
2200900000000000877
2200900000000000877
2200900000000000877
2200900000000000877
2200900000000000877
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01111
ISSUED: 08/05/2009
APPLIED: 08/03/2009
EXPIRES: 02/0512010
VALUE: $ 179,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Plan nine: Review
08/03/2009
I Plan Reviews I
08/03/2009 APP
DDK
Required street trees as shown on
street tree plan attached to permit:
species as shown. 2" caliper, leave
name on tag until approved.
Storm watcr to curb via weep
hole/Overwidth driveway approach
approved hy Transportation
, Public Works Review
08/03/2009
08/03/2009 APP
LKW
Structural Review
08/03/2009
08/04/2009
APP CJC
AS NOTED ON PLANS
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.
IRp~
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 inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to noor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with linish materials.
Framing Inspection: 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.
Underground Plumbing: Prior to filling the trench and including required testing.
Undernoor Plumbing: Prior to 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.
Storm Sewer Line: Prior to filling trench.
Paee 3 of 4
_~~!~~F;I!'I&'e;
~! . .
"'"
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2009-0111l
ISSUED: 08/05/2009
APPLIED: 08/03/2009
EXPIRES: 02/05/2010
VALUE: $ 179,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Final Plumbing: When all plumbing work is complete.
Underlloor Mechanical. Prior to insulation or decking and including required testing.
Underlloor Gas: After line is installed and required testing and capped if not attached to au appliance.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Gas Seryicc: 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.
Rougli Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final EI~ctric: 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 concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
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 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 required inspections 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
"mm77Mff Y/(o ~
Owner ';;-Cont:;;ctors Signatnre Date I
Paee 4 of 4'
~.A7=~ ~~,JtV~
' . '. DATE,L~IO.
., SOURCE ~<<()I
Date \ '"\'
1:~', _:> ~;t' ~~ .. - L - ~ ,~- ? . ~,
<;Ietl\, " nJ"['PV:'0E -SPRINC'F,[E.LD"OREI':'ON,I",./..,
~ ~ ~ \r..\...... ..I;~r . ~ !o2J ,~ U, .,.1 \ ~"""I- ~
f...",i:..._,.J....< ",''''I.~'' ," <<.~ ':9)."",.w'~~ ,.;;I~.\;I.;"..;.tl,tMl.!_.J.,.;;V..""~~J....,'il1
225 FlFfH STREET. SPRINGFIELD, OR 97477 . PH:(541)726.3753 . FAX: (541)726-3689
ELECTRICAL PERltIIT APPLICA nON
City Job Number f' '1- II/ I
Permits are non-transferable and expire irwork is Each Manufact'd Home or
not started within 180 days of issuance or if work is Modular Dwelling Service or
Suspended for 180 days. Feeder
... t:i~~::::?;.~"~,;",~-,~;~,!,;?"";:'~,,,~ ::--=-';::!;('~~+-"":!i~,.~;:."-Y:~*'. '~:<I I ":'i';:ar~-*~ --;,,;+r~;.';:_t"'_... -f::=;<'--..-:-~-."f,O"-.~---;'7':""-~:--~ -, - .
2. 1:~::glY.1,'RjlgOl!JN.~!#!!tt;nOl'f ONl.Y', B. , 'S~p;i~~'o~ FeedeJt-l~s'~lIali.':!n, AI!"'ll!io~s,~r R~lo~ati,on:~ ,,4
'~'-' - -' "- . ~~i;;;;''1o'V~rCCE:~o; - -.----, -~'-,~. '-"., '.. - -. "'-- '-~' --. _~c'" I
Electrical Contractor / .Jon", f'Jlet ". .-'!If) 11^~8-1 '" Jf'J 200 Amps or less $ 73.00
,,':OO'CC,6' "'If 1 lo ~~ 'f'J/ONI-~.I0 f'J1'/'JUf'JO 201 Amps to 400 Amps $ 86,00
Ci ) " S- -~';O .. &'" 0"" A, j CJf'J/ ~, OJ
Address "' (.. 0 AI.. ~ /'!i,,>,eD l.Jfi;(1C'(~d'._ Uf'J:) f'J Jf'J40J'/j}mps to 600 Amps $143,00
""'1/ .. Of'J ~'I{I . ~u..f 1f16u' (J
01 I/o.{ ~06f'JJO /l)J f'J"gL Otl/O-t &lI.J I/o.{ ?~_bAmps to 1000 Amps $186,00
City 5,0 ~ \~ 'P~o'll'f'JSI,q" ~!{1"9).?"OO'CS61:J 9v~t!1000AmpsNolts $426,00
" 41&1 u;;/CJOP& v UO!I&:) ~Rec9nnect Only $ 57,00
_ f'JJO: "f'J/nJ 41 !ll/ON _' .
11) 7 'i S NOli 01/0" . '. ,.' , '
Supervisor License Number 1 - -.l.tv2J ,C. ~Tel1)porar)' Services 'Or Feeders. ), ,;.
-<.lit .. " . ali f' (jj
~ 12/10/11 Installation,AlterationorRe~'1ro,tf1, ,
,
200 Amps or less
20 I Amps to 400 Amps
3) 40 I Amps to 600 Amps
Expiration Dat~ J 0
IVr; 1/ 9ver ~O Amps 0~1000 Vol~ see "B"above.
'''F~~~k,. "~~;;:~~;;~,.;;.:~:~; ....,~'oo
ANy 180"D""ED OR ~S -4 HIS PC""'!IHrc WO"I( Each Additional Circuit or with
O'AV bit /, $"LJ.1l1 C/]WI. 1& ,.., Service or Feeder Permit
Owners Name \), Iirew~.trc;{i;JHV!59~~ Ne'r
Address ~ b 73 SIC", v:; w l,v ,-- "uR E. ;. ~i'is~ei,~fi&iu~ i~~''Vic.::ir~:~e~ ~Jij~~I~Jed'j'~.;a~h I~S~~II:~i;~?Ji
,
1. ::IoCA1'ioN'OF INSTAii:4.TfEm:'
rF.>'i ,C_, .. >'Y0+~~P~(""
LEl002Dr~4 \ \ ~ c::o~
JOB DESCRIPTION:
f-hv.-Y! (J ( o..e '
~.". ~'.
Expiration Date
Constr, Contr. Number I b S- Y 7 y-
Phone b-g ~- ') 4)''3
City t: U j e.,,-e..
OWNER INSTALLATION
The installation is being made on property I own which
, is not intended for sale, lease or rent.
M~\~
\SY O'
Inspection Request: 726-3769 tb~
Owners Signature:
, -,"~' - A .:-:- '"'" L, ._"-:". ,"_ .., _,,> ." --..:" ::-1-', ~ _. 4;" .,_~J', "',"j . -'~:..,
3. ' COMPLETE FEE SCHEDULE BELOW ::~'W ::. ;J,:','.:..,,,:,:. h:~
_.~':"";':' -':. "" '" ; .:...:.. ;,,""-_,,_.,,;"'~.-~,";'"'\',:.,,:, \l. "--,., ,":r~ , ,.'.; :r_." ',':;". -"- "_~"'
r ...."~-r:"- ~-:,-;.,_ ~;-- '_---:-.:,~~'i-'~~:: ~".;;-,,~ -.... ."""'~p -, i;;~' ~;""_."... ~~ . '~,',,,,,:,",...~--:- ,;;,....-: _,""
A. (N~w:~eside~1i!'l- '~i~g\e:" ',1\1 ~lii:~~miliRe~.1~,~!I~~ ~i1iF:~._/
Se;:";ce Included
1000 sq. ft, or less
Each additional 500 sq, ft. or
portion thereof
{
'5
IJ4
7S-
~OO
0,00
$57.00
$ 57.00
$ 79.00
$114,00
~_:!,,?i:,',';:
$ 5.00
Pump or irrigation $ 57,00
, Sign/Outline Lighting $ 57.00
Limited EnergylResidential $ 29,00
Limited Energy/Commercial $ 52.00
Minimum Electric Permit Inspection Fee is $52.00 + Surcharges
4. SUlJl'OiA,:cii'i.BO'ir;;"- .-' 2D i
Z,DB
12% State Surcharge
J.O..%.-k ~::::::~::.~. (.,~: _ '"' .( c.:l!"
~I
5% Technology Fee
/On
28 Y ~)
TOTAL
Shared Drive(T:YBuilding FormslElectrical Permit Application 7-0g,doc
Structural Permit Application-_
-- --'
-
225 Fifth Street. Sp,ingfield, OR 9.7477. PH(54 1)726-3753 . FAX(541)726-3689
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s tt4l/( (J I
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f;:bEg'A~I~E"~f~Y$.~9NikYll;~1
L _ , _', . _ ,'~_".',_ ....~"'~ ~,.,__ - " __ .~.. <",..., _,.
Pennit no.: C!1- 1I1I
Date:
This permit is issued under OAR 918-460-0030. Permits expire if work is nnt started within 180 days of issuance or if work is
suspended for 180 days.
1;fl\W'.tir~~~tclCA~G0VERNMEN'F(;'A"F1PROVAIi~,~"!!1~{~fi1i.1tj
,~,=.~'"",.___~,__.__.___~_~,.J(l__""__"___,....",,,,,_..JL, 1.o'T :. (01"1'7-6
I ~;:~;e~ct has final land-use ~pproval. Date: - li*\iiBy%~~1,~i1J~~E~i;1gf~RHgWk~~tJ~~1't~I~!lli!i'.\\18i.\i;1
I ~;~~;e~ct has DEQ approval, Date: :'~~;;:~~!!;~~~[~~~~~~S;4~Y~1!l~I,~\~~1il~~"i~41
I Zoning approval verified: 0 Yes 0 No I, I Occupancy rZ-- \ '^-
I Property is within flood plain: 0 Yes 0 No I I, Construction type: V 3
tt.~~$&~Ji:g-AI~9Q'R:~;i9fJ~G&N~1,R~~G:Tt.Q~~iY.Jki~~{ht?f~~:~\~..~:titl I Square feet: 2- \ ex:::::>
l&;;i~~H~LT:~K{@~i;ft~~R~NP1.JQ~~~;:~~~2,!~qf1;11 ~:::::f:::t~::~t:
I Job site address: , "Sz... S I./OTI- pI I I Type of Heat: (;F-A:
ICity:<;9'-''''lC;,,-I~. IState:OIL IZIP:Q7177 I En~rgyPath: i'fA-
I Subdivision:F; Ih?{-I' ,l'\u"!'uv'> I Lotno,: I ,.--,L' 0 '
\j ~ L!fnew alteration
11,~;~r:~'~~~"1{),~.~31?lo.:\...~~.~~:.~,,, y",rn v ' I (b) Foundation-only permit?
~~~W)itt"'!J:Jlf~hr(:'f:,:".::1'~1Y:te.RQJ~F.~.~~~QWN.~_~)\:!/,,~~':?:P,''',''!~!;(\'}'~~: ..'~.:; I Total valuation:
I Name: B {v':'<' lV ~ ~ LhQ ,.t Cvr~~-, ~t'ho..s :trJC- I:-,i BuildTff~.~re"es{~~1ilfXU1i-;~~Fi~::l;,:'-;'
I Address:307~ 5r.",\.:w /...N . . "-g..,, ""'-""""
I ' " I I" 7" -- I <a) Permit fee (use valuation table):
City: , Vile ,,-,," State;:) t-- ZIP:, ,OJ
I ~ h btq -?.., , I (b) Investigative fee (equal to [2a]):
Phone: -'&-1'-/S{! Fax:-J,-::ubv '"
I (c) RernspectlOn ($ per hour):'
I E-mail:W;~c..h..,\' "'0""'-5 Q.CDr~L'-~1. \\ic.r- (number of hours x fee per hour)
I This installatibon i,sfbeing maddeon ~esidlentialdo: fann proPfrerty ,owned by I (d) Enter 12% surcharge (,12 x [2a+2b+2c]):
me or a meI!l er 0 my lmme late J.arm y, an IS exempt om lcensmg
, requirements under ORS 701.010, I (e) Subtotal offees above (2a through 2d): l s I
Ilr::3"~~'P"""I.:'~t>Z'::;;tl:!J~p~~!il.r''-''''fi ,(!i;t",~~?'~r_,,{~~,"i\:!"'~;";;;iJ:';;"i;'i."!'iiit;~-.s;~j~'t~:01tJl\t,~:~~);:J~"I
-\:. .~:. __ .l!I,.~~J!~.YJ~!!L~~~~::,~j~'_::if%:~?J~'Q1?;~!:~:i~~'!1:l~,,~~~~~~~~:lp;~)-/;,
I (a) Plan review (65% x permit fee [2a]): S I
I (h) Fire and life safety (40% x permit ree [2a]): S I
I (c) Subtotal of fees above (3a and 3b): S I
L 4~' Mjs"~~ri~!(~~TJ~j~~e~;~~\~C}':;~'.~;/"'.~~'~ '::,..:. .":;.':':i~?-j~~l}~~~:[~~mt~t~~~~~:Eft~::1
I (a) Seismic fee. 1% (.01 x permit fee [2a]): S
I TOTAL fees and .urcharges (2e+3c+4a): S
o addition
DYes
DNo
I S
~:'-:-3.');~~i~,~~€~~~~-::""":"1
,_1-., ";,E""~''''i'.,-r,:,;""l";-!\:..,,,.,,
. ".~" ~ ,., . I
S I
I
I
S
I S
, Sign here:
1~1'i1-~~~~Q:~fMgI9B~~~5'~[j~IiQN'fj~!*~(~\;~~Ni;,~;;[1
I Business name: ~'j.u(c W)e,.~€...l.( c.v';Oi- ~y......a.~ ]:)Jc..... I
I Address: '3 073 <;1L~v;~...J LV'- I
ICily: ..:",<o~ IState:o<L IZIP:'17~C>ll
I Phone: "-M~ cf'-l S y I Fax: ,3'11{ - 33 b l I
I E-mail: W;ec..k..<\\-.a l"~ ~ @ co.", Ct-54 ~ voJ" \ I
I CCB license no,: 10 Ii r '7 I
I Printn~e:'&) .e-J....-~y!C W.:'~\u.,l1'V'
I Signature: W W_______"
r~~i~tf~$..Q?'1.~QNjrM9'TQB',L~Q~M~:tlQ.f:I~1l1\gtlD:'i'~;d
I Name CCB License Number Phone Number
I Electrical p,r:; 105'1 7.<;, 5 t/ '11,; &
I PI.umbing5ILvd Plu'~I,"~ b50(,5' ., ~Z-3-' &,
I MechaniealCFH I ~bv 72-b--c/o()
f'l ~ Willamalane
t~ par~ & ~ecreation District
. .'. ! .
I , '
SYSTEM;DEVELOPMENT CHARGE WORKSHEET FOR 2009
,
NAME: ~'^~ Flt.lIOLJ~
Job. No. C~-'-II//
PHONE:
ADDRESS: .5<173 ,)~'fi//~"7V CITY, cue:"
-LOCATioN OF PROPOSED BUILDING SITE:
STAT~ZIP: <f?trLJJ
,Street Address: I/'>:?-
.s. 'lotio-It-
Plat Name:
Tax Lot Number:
\BO'L.()(Jr\ \5s::O
1. DEVELOPMENT. TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the
back.) ,
I,
A. Sinale-Familv Detached
NO. OF U~ITS
/
X $2,858 per unit =
$
:J.-O-- of
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 Occuoancv
NO. OF UNITS
'X $1,321 perunit =
$
J
E. Accessorv Dwellina Unit
I
NO. OF UNITS
X $1 ,550 per unit =
'$
WILLAMALANE SDC ' $
2. SDC CREDIT (If applicable) SDC payer must fur~ish proof of
Willamalane CreditapprovaJ.) $
3. TOTAL WILLAMAlANE NET SDC ASSESSED
(if SDCreduced for Credit)
I
'Q-~:
DevelopmentServices Department
City of Springfield
$' ;;2:;)6
!f / cO-,... I ():5
Date
5
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-01113
COM2009-0 1111
Payments:
Type of Payment
CreditCard
cReceiotl
RECEIPT #:
Description
Plan Review Residential
Plan Review Same As
Paid By
BRUCE WIECHERT
":RI"'Qfl"'-..~ I,. :',
j. ~., 1lJ .,:
~.----::""!! ~--.,--. '.,
~~., -
.~,..-"",-",,-,,,-_.~,- --
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000000864
Date: 08/03/2009
Item Tataf:
Check Number Authorization
Received By Batch Number Number How Received
CJC
03591 C In Person
Payment Total:
Page I of I
8:39:54AM
Amount Due
722.59
250,00
$972.59
Amount Paid
$972.59
$972.59
8/3/2009
225 Fifth Street ,
Springfield, Oregon 97477
541-726-3759.Phone'
"T'~ ~e:.,_...~. "..'.. ,.
1 " '
JE'. ,-, .
. <:.-.. ~;, !
- ',.
,,_4_ __ ,.
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1200900000000000887
Date: 08/06f2009
2:30:20PM
Paid By
DERRICK WESTOVER
Item Total:
L'heck Number Authorization
Received By Batch'Number .Number How Received
Amount Due
63,00
3,15
7,56
$73.71
Job/Journal Number
COM2009-01111
COM2009-01111
COM2009-01111
Description
Temp Power 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
" Payments:
Type of Payment
, Creaj!Card
Amount Paid
lIh
21591C Phone
Payment Total: '
$73,71
$73.71
"
cReceintl
Page 1 of 1
8/6/2009
225 Fifth Street
Springfield, Oregon 97477
541~726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-01ll1
COM2009-01111
COM2009-0111 I
COM2009-011l1
COM2009-01111
COM2009-0 1111
COM2009-0 IIII
COM2009-01111
COM2009-01111
COM2009-0 1111
COM2009-01111
COM2009-0 II II
COM2009-01111
COM2009-01111
COM2009-0 IIII
COM2009-01111
COM2009-01111
COM2009-01111
COM2009-01111
COM2009-01111
COM2009-0 1111
COM2009-0 IIII
COM2009-01111
COM2009-01111
COM2009-01111
COM2009-0111 I
COM2009-0 IIII
COM2009-01111
COM2009-01111
COM2009-01111
COM2009-01l11
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Date: 08/05/2009 '
2200900000000000877
Description
Building Penn it
Addressing Assignment
Willamalane Single Family
2 Baths One or Two Family
I st Appliance
Vent Fan
Appliance Vent
Exhaust Hoods
Dryer' Vent
Gas Outlets 1-4
Fireplace (Listed)
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Curbcut Penn it
Sidewalk Pennit
Overwidth Application Fee
PW Disc - 2nd Pennit
Plan Review Major - Planning
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Tran Reimburs-Residential
SDC Trans Improvement-Resident,
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Stonn Admin
SDC Transportation Admin
Credit- SDC Storm Improv
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
BRUCE WIECHERT
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
CJC
00546C In Person
Payment Total:
Page I of I
9:04:53AM
Amount Due
1,030,28
38,00
2,858,00
337,00
79,00
27.00
9,00
13,00
9,00
7,00
20,00
134,00
75,00
88,00
88,00
45,00
(30,00)
211.00
1,272.66
666,84
507,07
211.21
931.65
101.97
1.146,50
10.00
165,21
77.18
(1.272,66)
107,11
208,83
$9,171.85
Amount Paid
$9.171.85
$9,171.85
8/512009