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Home My WebLink AboutPermit Building 2009-8-24 -=~~'~~M~'I,!!f9t, ~' ,"(" .. '~" ';;<. Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-0120S ISSUED: 08/24/2009 APPLIED: 08/19/2009 EXPIRES: 02/24/20 I 0 VALUE: $ 164,000.00 I; 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541- 726-3 769 Inspection Line SITE ADDRESS: 5789 MINERAL WAY ASSESSOR'S PARCEL NO.: 1802033302700 SPRINGFIETYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: NEW SINGLE FAMILY DWELLING LOT 274 JASPER MEADOWS SAME AS 5759 MINERAL Owner: Address: HAYDEN HOMES LLC 2464 SW GLACIER PL STE no' REDMOND OR 97756' I CONTRACTOR INFORMATION I Contractor License HA YDEN ENTERPRISES \.I\reS '101.1 .10 92208 TOP NOTCH ELECJ~RIC'INC-~regon \.JII\\~~nl72366 P A(;:N\I.c.'A!R~c2g!0~:1}!~S\es are se~:go~ 39237 STl!:T.ZMA'l'I~"gYlI(CES .1N~. ,,,n Op..\'. 9~ ,\p~ b~ 1747 NO~~P:9S2-00' j::iluiUDlNG,INF.@RMATIONI In ,/01.1 (1',30,/" , ',,~0'v'. ~'Oll"v~'" 0090. . cenle\. \ _, >\1\\\\'1 " . # of Units: ca\\\n9l-ne Ine OrE#Jot'&t02.e~lA4). I Primary Occupancy Group: nU\1l'R;3;O~ter i5 ~ H~igh-\i'of Structure 16.00 Secondary Occupancy Group: U",e Type of Heat: Forced Air Gas Primary Construction Type VB Water Type: . Gas Secondary Construction Type: Range Type: Electric # of Bedrooms: 3 Energy Path: Sprinkled Building: Contractor Type General Electrical Mechanical ,Plumbing Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Set hack: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: REQUIRED PARKING Overlay Dist: \j?-'v:" Total:' 2 # Street Trees Rqd: X ,\\\ 't1 ~\j' Handicapped: Paved Drive Rqd: 'f.-?\?-.t. \ ~~ \S '. Compact: % of ~o\:.~overS~?\.\. t: \\\S ?t.~,]~ X\j?-' '. ~\J~ ~t.~~~~ \\~\)t.?-. ~\l.~~\)\j~t: ~: . ..-.,,~ ....'"... ~';) I I PUBLlCJM~R0Y.~l\'ifN'f$:I0\)' "\W1v' '\'( r ~. CJ\j" '\ ~C\ \)1" Sidewalk Type: , [>.~i No I DEVELOPMENTINFORMATION I 18.00 10.00 5.00 24.00 0.00 Fully Improved Yes Storm water to curb via weep hole Expiration Date 07/29/20 I I 09/29/2010 03/25/2010 0511112010 Phone 541-228-1081 541-317-1998 541-672-9510 541-928-8942 S." Lot ,ze: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occup'ant Load: I: 4,590 1,031 400 DownspoutslDniins: " Curbside 7' Curb and Gutter Page I of 4 CITY OF SPRINGFIELD Status Issued , Building/Combination Permit PERMIT NO: GOM2009-01205 ISSUED: (!8/24/2009 APPLIED: 08/19/2009 EXPIRES: 02/24/2010 VALUE: $ 164,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax . 541-726-37691nspection Line I Valuation Des~riDtion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project l.F",.. pqilU Fee Description Amount Paid Date Paid Receipt Number il + 12 % State Surcharge $160.23 8/24/09 2200900000000000953 l' + 5% Technology Fee $84.61 8/24/09 2200900000000000953 1 1st Appliance $79.00 8/24/09 2200900000000000953 Addressing Assignment $38.00 8/24/09 2200900000000000953 Applianc~ Vent $9.00 8/24/09 2200900000000000953 Building Permit $969.23 . 8/24/09 2200900000000000953 Credit. Trans Improv SDC $-931.65 8/24/09 2200900000000000953 , Curbcut Permit $88.00 8/24/09 2200900000000000953 Dryer Vent $9.00 8/24/09 2200?00000000000953 Exhaust Hoods $13.00 8/24/09 ' 22~0900000000000953 Fire SF Fee - Residential $71.55 8/24/09 2200900000000000953 Gas Outlets 1-4 $7.00 8/24/09 2200900000000000953 1 Plan Review Major. Planning $211.00 8/24/09 2200900000000000953 " Piau Review Same As $250.00 8/24/09 2200900000000000953 PW Disc. 2ud Permit $-30.00 8/24/09 2200900000000000953 Residence Wiring 1000 Sq Ft $134.00 8/24/09 2200900000000000953 Residence Wiring Ea Addtl 500 $25.00 8/24/09 2200900000000000953 " Sanitary Sewer ~ Improvement $507.07 8/24/09 2200900000000000953 Sanitary Sewer. Reimbursement $666.84 8/24/09 2200900000000000953 , SDC MWMC Administration $10.00 8/24/09 2200900000000000953 SDC MWMC Improvement $1,044.54 8/24/09 2200900000000000953 SDC MWMC Reimbursement $101.97 8/24/09 2200900000000000953 , SDC Sanitary/Storm Admin $148.24 8/24/09 2200900000000000953 . SDC Tran Reimburs.Residential $211.21 8/24/09 2200900000000000953 SDC Trans Improvement.Resident $931.65 8/24/09 2200900000000000953 SDC Transportation Admin $16.28 8/24/09 2200900000000000953 Sidewalk Permit $88.00 8/24/09 2200900000000000953 Storm Drainage Impervious Area $748.86 8/24/09 i200900000000000953 Temp Power 200 amps or less $63.00 8/24/09 - 2200900000000000953 Vent Fan $27.00 8/24109 2200900000000000953 Willamalane Single Family $2,858.00 8/24/09 2200900000000000953 -,j Total Amount Paid $8,609.63 Pal!e 2 of 4 Status Issued CITY VI' ~rKll'\iGFIELD 'I , Building/C6mbination Permit PERMIT NO: COM2009-01205 ISSUED: 08/24/2009 APPLIED: 08/19/2009 EXPIRES: 02/24/2010 VALUE: $" 164,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Plan Reviews I , Public Works Review 08/19/2009 03/19/2009 ACC LKW Storm w'ater to curb via weep hole I, Plan nine Review 08/19/2009 08/19/2009 APP DDK Access restricted to one driveway/lot. Follow street tree plan. Structural Review 08/19/2009 08/19/2009 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:lbe made the following work day. I' , Rp.nllirf~rlJnsnections I Ufer Electrical Ground: Install ground rod at footing and call for iuspection in conjunctio~, 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 floor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish 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. Masonry: Final Building: After all reqnired inspections have been requested and approved and the b~i1ding is complete. Underground Plnmbing: Prior to filling the trench and including required testing. Perimeter 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 Plumbing: Prior to cover and including required testing. Water Line: P~ior to filling trench and iucluding required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Liue: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Paee 3 of 4 CITY OF SPRINGFIELD j~ Building/C()mbination Permit " Status Issued PERMIT NO: COM2009-01205 ISSUED: 08/24/2009 APPLIED: 08/19/2009 EXPIRES: 02/24/2010 VALUE: $:: 164,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectionLine Underlloor Mechanical. Prior to insnlation or decking and including reqnired testing. Underlloor Gas: After line is installed and required testing and capped if not attached to an appliance. , I Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Gas Service: After line is iustalled and Iiue has been connected to a minimum of one appliance inclnding reqnired testing. Presnre 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. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Erosion/Grading Inspection:. Prior to ground disturbance and after erosion measures are i~stalled. , Curbcut - Standard: After forms are erected but prior to placement of concrete. Sidewalk. Curbside: Afier forms are ere~teil 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 w6rk described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I fnrther 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 aU required inspections are requested at the proper time, that each address is readahle from the street, that the permit card is located at the front of the property, and the approved set of plans will remaiu on the site at all 'm~a4 g~~'1~O'i . Owner or Contractors. Signature . "-.J Date Page 4 of 4 Sl\"fI\c A.S 575'1 M..(\C"'(, Structural Permit Application ' - 225 Fifth Street. Spnngfield, OR 97477. PH(541}726.3753. FAX(541}726-3689 1'..""'.-.. """"'., ~', DEPARTMENT, USE 'ONLY . -',-... '- ..... ,.... ,"...". -.' penh;t no{;9 ~ /.20S- . I Dat~: 'FjI'l,/.?'7 This permit is issued under OAR 918-460-0030, Permits expire if work is not started withio 180 days of issuaoce or if work is . suspended for 180 days. r~t{.s:/~;j~;,:k'~~F\:G9,GA~'.~-~:Q2~~'NM.~Rtf.~~R!iR~Y~~Jf:{~~:wli~~f~~~~1 I T~is project has final land-use approval. I Slgnature: Date: I This project has DEQ approval. I Signature: . Date: I (a) Job description: I I Zoning approval verified: 0 Yes D No I I Occupancy ',! I I Property is within flood plain: DYes D No _ I I Construction type: I ~~i;~~~~~~~~At.~:9:QBX~Jj,GE1tG:Q~.~fRJjCIt~'~~~{lk~tJi:~~~riliiJ I 1 Square feet: /0 ~ I f '-100 I. (}~~.~~,~\~~,~~a:.,:;.,.<..., ''j_.t-.9_~~,~~,~-~:~~,~~,~_~.,.,,,~J,.g,~~~.~.m.'~~i~~~'~lr;~; I Cost per square foot: I ~;"i\\i,,,,;,~;:JQI3,~SJjTI;JINI;().RMe.TI9N:i'~l>lq~I2:()~CA]I()!'ltk~liil>\!!.',';l lather information: I I Job site address: "l7R "'1 IM.',,~,.. I I I Type of Heat: <5", S . I City: Sf" ~r; tp \e), I State: DR. I ZIP 91 'l7 ~ I I Energy Path: ~A I ' I SubdivIsion: ..".On M,..~J"...., ~ I Lot no,: .;;1?4, I I ~ new. 0 alteration 0 ad~ition I I Reference: .' "J~~XIO~:""",,,_. .,." ..,1 I (b) Foundation.only permit? 0 yes 0 No I , ;". ~RO!,ERTX,QWN.ER_';' :':' .' "v\~,\ -.,' ,I I Total valuation: ,I $/~/o". I I Name. " l. Y A../I. 'l-t~:- I 1\5'irBcuH(ji~'g.':'-'Ifee~;?rtIs;,,~1rL4~~\~f1iJliUI.;~~i{~i~f.~Q;i;~~~:,\~ffj:-i';~y{,']:-i0J~~:i2~;';;/:~il I Address: ;:;).t.t~ c..( <:1oV 6(~ tee{ . I ".-.'.'''-'-''''.-'.' '-'- ._, .0''''-'i""'-":"~,,,4h%I,,,!,,,{6''7"''~'l.ii'f~'''-',,-,-,,.._ ci$._,~~~-f'r]",~._""",;,..".-".",r:1~,'-. I 0\ I I r-r 1 1 (a) Permit fee (use valuation table): ':. $ . , City: R.....!.......... State: u-R. ZIP:<'177~,.. :. I . . I 1 (b) Investigativefee (equal to [2a]): !' $ I Phone. -,XE- oq~,- Fax, - I ' , I I (c) RemspectlOn ($ per hour):" I E-mail: (number of hours x fee per hour):! $ This installatibon isfbeing maddeon rresid\entialdor farm proPfrerty lowned by (d) Enter 12% surcharge (,12 x [2a+ 2b+ 2c]): $ I me or a mem er 0 my lmme late amI y, an IS exempt om Icensmg I requirements under ORS 701.010. (e) Subtotal of fees above (2a through 2d): $ 1 Sign here: -,-I 1 I ZIP "f77-,Cio I I I I I I I . ,...90NTRACl;cJR,if:j1fIALLf\TION'!,,,,:;;,,:, I Business name: I;-~er\ 1-k",C" "- I Address: ,:]/.-IG lol <; L.J (~/; :a'( I City: P ref .......0 .,..." cA. . State: (;"/2 I Phone: Fax: I E,mail: I CCB license no,: I Print name: I Signature: ::1i~~~;\1s;~::~;f;SQB'.C0~g~~~~~~~~~~~~M~m~~~'i~:~~;f,ilt;1 I Electrkal n~ ~lO{, - ~n - 1"i"I'K . I I Plumbing I I Mechankal I 1~~?;~.:;i~~!:~~:;~)~~{1~~~'.~':~~;iZ~~f#,~'~}~'~f:.8-~ptT~~~v.;?ti':,~i;;.;,:t~~:i;t:f!f;'?';~:7'7,:,!)l.r::.1 'liri;:i~y.~oJ~~~:H~!f{i!!triIiit~jJB~~~~~ft2~~4~zi~1~1~~\Wi"*,;3~};~~W,l,'g!r$,~~11f~;;'!.;t:'1 (a) Plan review (65% x permit fee [2a]): $ (b) Fire and life safety (40% x permii fee [2a]): $ Subtotal offees above (3a and ~b): $ (a) Seismic fee. 1% (,01 x permit fee![2a]): $ TOTAL fees and surcha~'ges (2e+3c+4a): $ _ i: 225 Fifth Streett Springfield, OR 97477 t PH(541)726-3753 t FAX(S41)726-3689 . l~~~~Le~~hR]~J~1ti1t~i~!.l Permit rio t!1- /20 S- I .1 Date: 1/1/1/ l) ., I Electrical Permit Application , , ,- This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire ifw~rk is not started within 180 days of issuance or if work is suspended for 180 days. . 1~~):l~iD'~~~GJ~~EE~Ml;t'lffiil~e:B'B.GJX{~~itm I Zoning approval verified? 0 Yes 0 No 1~~~~!.~J~~mJ;JrQ'B;Y'~~l?;jfi!iI~!:'I$l1;,B.J!I~illIQ:r!if~~\t~!li~..j 1~~~:~~~m;:EiJIJE~B.G~~;i~;~~l!~C~~~&~~?ifl I ~~~~::ti~I,:,el:S:n(~; service incl~ded: I $134.00 $ I ~ tj I I. Each additional 500 sq. ft. or portion, -? ,1-- Job site address: .57 8 ~ 111 ,l.... r... I thereof I- $ 25.00 $ ? 1> I City:p...,~C'r iot ~ ~ ~tate:..O~. I ZIP: '17"f78" II Limited energy (2) $ 32.00 $ I I Subdivision'? \:..c,",olr UV\~,,~,3. I Lot no.:O"2.7~ I Each manufactured home or modular I lli,~~~~~~~~Q~Wi=~~~ .1 :~:il::: ::~~::eo:s~~::;:/;~~ion" a;teration. relo~a:::OO $ I. I ! ,:,\, " .'1 200 amps or less (2) $ 81.00 $ I 1"'>""il~,1!i'''''''i1'",,"ilV,i'}'',,'ri-R-0';.'!:E:-Rf6'ii!%~W''N' E'R"~'i'$"'~"'<~JC",,'t~ ,'i-.201'ro 400 amps (2) $ 95.00 $ I _"1r"",i~.~"'ll11i'k_"'~""'..c:","~"'".u.. .>~."_.<J1,"'"",~""",,,">,' . I Name' ll, t Ii, C' ~O '>7o.l<?,I',jOl:.io':600amps(2) $158.00 $ I .. . ~"'/At'V\ nc.vv-.-e ~ "" Sh J,.....:> .........N '''"' I Address: :;l;CL/ c,t-J (!,(c-..o,r V06~1>I'~i'j<;<::b~o!~)'6'~I!~60;"JI'pS(2) $205.00 $ I I City: I< ",0( V"1cvt vi State: 61< I ZIP: ')77td;:~ c ,~b~~s;~;<b'~~!nJf.q[ ~olts (2) $469.00 $ I I h. I F <>' ',?, "/~ ~,Riconnect 6'niy~(2)\l0~ $ 6300 I $ " I P one:5'1I-218-~')~5' a:x:.>-/r'7'lr-.;i577. 'cS> '-0' '. ". .,.~"'~ I . - /"'. :I": IA _ ....n. V/"'l.. '15).. CI,... l,,), " I I E-mail:' . 'u' ; C cIe~gor~~Iy's~~vIE..t;.s'Q.~fett}~rs: installation, alteration, relocah"on . . . ..' '.. "i ~200'affips ofJIess'(2j" 0' 0,. 1'0 I, / L (' ThIS mstallatlOu 15 bemg made on reSIdentIal or farm property ~. ~ ~//> '/~ . /,( . ,v. cS>, . 0, $ 63.00 $ rz....d. owned by me or a member of my immediate family. This I ibh~/400~~~(2)"''Q'0/'.{ $ 87.00 $ property is not intended for sale, exchange, lease, or rent. OAR I --:--:,.' ':';1' .~~/) ",0' ';. 479.540(1) and 479.560(1). 401 to 6g0 ~P..s (2), 61- ' I $126.00 $ 'Signa~e: lOver 600 amps''6e-}~OOOvolts, see ~~rvices or feeders section above - , ~B,Q:<;>]\iJ!i~Gil):l1i'~j~.sJii~I!&,i)f]I.Q~~~~;tiilr$j I Branch circuits: new. alteration. eltehsion per panel . I Business name: 0pJ: i(i)2Jtf'\?,. F I <,C I I a. Fee for branch circuits with purcl'ase of a service or feeder fee: I Address: ,.JO~ 7'tIn~(~~;'hC +- . I I. Each branch circuit II I $ 6.00 I $ I City: & "d "4'};;ltj['A;tsLitt~:l~a. I ZIP: I I b. Fee for branch circuits without p~rchase ofa service or feeder fee: I '()'/'> '''t/! VIII .,~ '1 I I I I Phoue:S/ ,,-311.19'1"; v /)A, '1/I!i!"'I'r. '/'../-'11' . First branch circuit (2) $ 55.00 $ I E-mail: . 'r P[';:/S ,4':/i;,,/'7/' k. I I Each additional branch circuit ~ $ 6.00 $ I CCB license no.: ,/-;J. 3(0(, I B~D:jlc;{i1S'e.:i!li14~~fJl!#E f~. ~iscellaneousfees: service or feeder not included .. I Signing supervisor's license no. (J-,...:) <l.a~ ~/,~'f4' Each pump or lITIgatIOn CIrcle (2) , $ 63.00 $ I Print name of signing supervisor: \J<< l S+r-.r,. <.k:~ I I Each SIgn or outlme IIghtmg (2) $ 63.00 $ I I Signature of signing supervisor: '1 0 C"f' -;"n /J rMl I Signal circuit or a limited-energy p~nel. $ 63 00 $ I .. . \. (J.( ~ ~a,... v"--' alteration. or extensIOn (2) _ - ~ Each additional inspection: (I) , $58.00 $ I 'l::..'ii'il,:iJl\ti~11i~l[~""'-'''''l''''6ni:(I;;''A'..Nii'llH;tS--E-~~''--'''''~I iF.rr.;I11~.@':i ~~~:t.\rg,r;cL::_1.:,; ,,_,;lgl'!cV__ ~~~4-at"~A~;;-~~~l~ (A) Enter subtotal of above fees (Minimum. Permit Fee $58.00) I (B) Enter 12% surcharge (.12 x [A]) (C) Technology Fee (5% of [A]) TOTAL fees and surcharges (A.'through C): ~ ~~ O;~ ~""~ CX~ ~ V"~ ~ $22-' t:. , (/ $ '?tJ' :; $ /I~- $ 25~~ ?i 440-2584.) (9/08/COM) Willamalane Park & Recreation District Job. No. (!f; - /:20~ OJ! SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2009 , I NAME: . /-tA'-{"'~ PHONE: ADDRESS: ~l.(~~C)z..c..~ vlAlCITY J2.DV'"\.J.J t\ STATE:612zIP: ms<::-_ . LOCATION OF PROP.OSED BUILDING SITE: Street Address: S"J1f'J It1/Nb7l..A-- Plat Name: '~i' Tax Lot Number: NO. OF UNITS I X$2,858 per unit: ~- B. Sinale.FamilV'Attached . NO. OF UNITS X $3,100 per unit: C. Multi.FamilvAoartment NO. OF UNITS X $2,641 per unit: D. Sinale Room Occuoancv ' NO. OF UNITS X $1,321 per unit: E. Accessorii Dwellina Unit NO. OF UNITS X $1,550 per unit: WILLAMALANE SDC 2. SDCCREDIT (If applicable) SDC payer must furnish proof of Willamalane Credit approval.) 3. TOTAL WiLLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) : L'0C- Il'* Development Services Department . City of Springfield $1 2B >4 I . : $;, , $1 $. 1, . $ I $ $ $ !'-:2-t1->T i; If/11/b<; Date -;;- "I: 5 225 Fifth Street Sprin'gfleld, Oregon 97477 541-726-3759 Phone .~;Q~~'" .- '....,,"":"-.... -"...-........ '.-.-.-..'....."..'..... :1.- ". t 81:.' .... -,.....~. , 4-.," ~ ::: ,.",," .'..."0. ..' Job/Journal Nu,:"ber COM2009-0 1205 COM2009-0 1205 COM2009.01205 COM2009-0 1205 COM2009-0] 205 COM2009-0 1205 COM2009-0]205 COM2009-0]205 COM2009-0] 205 COM2009-01205 COM2009-0 1205 COM2009-0 1205 ,COM2009-01205 COM2009-0 1205 COM2009-0 1205 COM2009-0] 205 COM2009-0] 205 COM2009-0 1205 COM2009-01205 COM2009-0] 205 COM2009-0 1205 COM2009-0]205 COM2009-0 1205 COM2009-0] 205 COM2009-0]205 COM2009-0 1205 COM2009-0 1205 COM2009-0]205 COM2009-0]205 COM2009-0 1205 COM2009-0] 205 Payments: Type of Payment CreditCard cReceint) RECEIPT #: 2200900000000000953 Description Plan Review Major - Planning Plan Review Same As Building Permit Addressing Assignment WilIamalane Single Family 1st Appliance' Vent Fan Appliance Vent Exhaust Hoods Dryer Vent Gas Outlets 1-4 . Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Fire SF Fee - Residential Sidewalk Permit Curbcut Permit PW Disc - 2nd Permit Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Tran Reimburs-Residential SDC Trans Improvement-Resident Credit - Trans ]mprov SDC SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transportation Admin ~ 5% Technology Fee ~ ] 2% State Surcharge Paid By HAYDEN ENT Received By DJB Check Number Batch Number Page I of] City of Sprirgfield Official Receipt Development Services Department " Puhlic Works Department Date: 08/24/2009 Item Total: Authorization Number 1, How: Received 032573 In Person Payment Total: I 9:04:57AM Amount Due 211.00 250.00 969.23 38.00 2,858,00 79.00 27.00 9.00 13,00 9,00 7,00 134.00 25,00 63.00 71.55 88,00 88,00 (30.00) 748.86 666.84, 507.07 211.21 '(31.65 (931.65) 101.97 1,044.54, 10,00 148.24" ]6.28 84,61 ]60,23 $8,6U9.63 Amount Paid $8,609.63 $8,6U9.63 8/24/2009