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Home My WebLink AboutPermit Building 2009-9-9 Status Issued' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01329 ISSUED: 09/09/2009 APPLIED: 09/09/2009 EXPIRES: 03/09/2010 VALUE: $: 189,070.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: : 1133 S 41ST PL ASSESSOR'S PARCEL NO.: 1802064108800 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence -Same as COM2008-1610 1271 S 41st St Residential Owner: Address: .~~r ION' O'eqon law require, yuu 'v BRUCE WIECHERT CUSTOM HOMES ~NC'I~1 d~ptad by the Oregon Utility, 3073 SKYVIEW LN , follow n. as a ules are set forth EUGENE OR 97405 ' Notification Center. Tl1hOSe r hOAR 952"001- ,_ r-.. ^ t:l Q,,?nn1-001 0 t roug " , Anon Ynll mHV obtam copIes VI llllj I u........... ....~. I CONTRACTOR,INF,0RMA:rION"I~ telephone , " , Notificalion number tor tne ure':::.!UII V~""J ; .. Contractor Center is i -iill2ei;s~'2341xpiration Date BRUCE W[ECHERT CUSTOM HOMES INC [01717 09/1<;/2010 L & E ELECTRIC INC 105475 03/30/20tO COMFORT FLOW HEATING CO. 460 06/27/2011 Phone 541-606-5050 541-933..2653 541-726-0100 Contractor Type General Electrical Mechanical I ~UlLDIN.G INFORMA TI?N I 3 # of Stories: 1 Lot Size: Height-of Structure 21.50 Sq Ft 1st Floor: ru f ~ I \: ~ .1- . I'" II Type of Heat:r SH' ,ForcedrAinGasTHlSqJF:tr2nd Floor: ....... lIe.:: r!L~I\111 r\lL [.^ IIIL" '.... ":~~~~ T:~Pit TW; PN\MIT~9 ffl!Jllsement: Range&'ype:D UNDER ElectCjicED f!lq"Ft Garage/Carport Ij;l[e:rgy,Pa'iilm OR IS ABANU I~ S'q'Pt Other: ~p.r\nIH~\! I!tiiIdingRIOD, No Occupant Load: . 7,141 1,552 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 ' R-3 U . VB 548 I, DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 15.00 10.00 5.00 43.00 11.75 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 2 Yes 29.40 REQUIRED PARKING Total: 2 Handicapped: Compact: ' I PU~LIC IMPROVEMENTSI , 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: Pa2e 1 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Estimate U VB Utility R-3 VB 1&2 Family Estimate Garaee/Misc SFlDuplex I VaIllation Descriotion I $ Per Sq Ft or multiplier $1.00 $37.72 $96.83 Square Footage or Bid Amount 189,070.00 548.00 1,552.00 Total Value of Project ~ CITY' VI' ~rJ:UN(jnf!.LD Building/Cdmbination Permit PERMIT NO: COM2009-01329 ISSUED: 09/09/2009 APPLIED: 09/09/2009 EXPIRES: 03/0912010 VALUE: $; 189,070.00 Value Date Calculated $189,070.00 $20,670.56 $150,280.16 $360,020.72 09/09/2009 09/09/2009 09/09/2009 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-01329 ISSUED: 09/0912009 APPLIED: 09/09/2009 EXPIRES: 03/09/2010 VALUE: $189,070.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-36'(6 Fax 541-726-3769 I,\spection Line Plannine Review, 09/09/2009 I Plan Reviews I 09/09/2009 APP DDK Require~ street trees as shown on street tree plan attached to permit: species as shown. 2" caliper, leave name tag on until approved. Public Works Review Structural Review 09/09/2009 09/09/2009 09/09/2009 09/09/2009 APP 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. \Viii. be made the following work day. I '~.rw\'irr1 Inwertio"i.l 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 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 required inspections have been requested and approved and the building is complete. Perimeter Foundation Drains: After gravel and lilter 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: 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. Final Plumbing: When all plumbing work is complete. UnderflooiMechanicaI. Prior to insulation or decking and including required testing. Paee 3 of 4 .l CITY! OF SPRINGFIELD I ,Building/Combination Permit Status Issued PERMIT NO: COM2009-01329 ISSUED: 09/0912009 APPLIED: 09/09/2009 EXPIRES: 03/09/2010 VALUE: $ '189,070.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspeCtion Line Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Gas: After line is installed and required 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. Presure test done at this point. " Rough lVJechanical: 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 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 1 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 a'ddress is readable from the street, that tbe permit card is located at the front of the properry, and the approved set of plans will remain on the site at all "~'(7?"/ /t 9A 1J9 O~"., c..~,ro" ",0: D...! P Paee 4 of4 Date ZON ---.illJL-- INITIALS (k-\ DATE 4.I(J.uq SOURCE ~!"z---i 9 - '7 -cf7 225 FIFTH STREET. SPRINGFIELD. OR 97477 . PH,(541)726-3753 . FAX, (541)726-3689 ELECTRICAL PERMTT-4PPLICA110N City Job Number LOw, 7.b01'. 0 ( 5 Z '1 :-'.......,.- ,- c-. '" ",""'"t;(~:" ",,"~:,-:-'<''-.'.1'l;<c -~~~.""l'~,~~_,. ~TJ ~ . 1. JidCArloN'onNSTALI:ATiON;,;;; 'I !_~:--~ '::"::,,_~_ .~,~; .~!iC. '~t.-.~~ "{""',,;.: ~-."'l".!E:; : ';,ff'~r-",- ;; p;..:, '~:'_ ';." <:"~ JJ33 S LfJH 71 LEGAL DESCRlPTI~: J 6D20<::,1..(( oWeD JOB DESCRIPTION: ftov..:;e WIIZ..~ ci Tc-wtl' Permits are non-transferable aod e(pire if work is not started within 180 days of issuance or if work is Suspended for 180 days. - - [~~r::::;:.~Jl~,~~:,;-.c,;,,~-..c,.,.*,",.~'f;:;:_.;.,""<:~~'-7.',-"'t;,~~*h'";;.::€..~; '.;eONTRAeJ'OR'INSTAJ.;LAUONONLY;" 2. i;J.,;;2.u.::~';;:':;:":~~:(.:..r>~::~\~"';\;);iL":-;;:;:;l!,,~t:'~,;:::.;;.:)L.-:..~'.;,:j,:" L+-- c Electrical Contractor Address q Z is '3 Ac~e 5 :),."""r City S {J C \ ~ Phone:5 l J > '1/9 g Supervisor License Number i-f 17 '-( - S- 3r/-;-o I 21t 0 / II , Constr, Contr, Number I b $- Y 7 )' 3)10 Expiration Date Expiration Date Signature of Supervising Electrician ~A.nl~ Owners Name ~,( vceWie<,ked CuSlol" ll"",eS 5IC,>"v;,"..) l..yJ , Phone {.;1, (,- '1 y<;,& Address :, '" 7 3 City t: LI J c"", OWNER INSTALLATION The installation is being made on property I own which . is not intended for sale, lease or rent. Owners Signature: , . ~ ~ ~$.,o Inspection Request: 726-3769 ~r~...-".,.-:--.'" ',~..' .'f~l...~..'t:'...~,)~'~;:-'-,J"':'y''',~:jl;'$,'-'';;:-::-~':"",,,'''-,.\' ~'. '". . ..... .....n-,...-.-~_ 3. ~"COMPLETEPEESCHEDULEBELQW0:+' <:';~ ;',. y ':'~, ,; ~ ' .(.M':-~.r--,;': .'. -.;.;:''-1. ,:.......~;.... ,",.."':;";''',;,1,,^-'- .:; ';.,.'. ..O!~~'~",'.~"',';':; ~~ .0... }.' ..-: '!'.. _~"" .....2_;if.., n;T'_'7",;~~;,;",~,";-~:'"~'!~;;.~~~;-r;"~, :.'~".'. :\~",;:'::l:-z?j'~', ;Wl::,~~~.:i:"~":';' c.~~....~'r.~'"11 A. ~,!'t~)~:;~es,i1e~J~J ;-,~i,~,~~'t'E'I\-! tj!!~:!.~jl~: pe};:~~~!ltn_~iin!t,' ;;:1 - . ~ , . - . . ~..~. ~~f \~~ $~ 'l~~ Service Included \ _'!J 1000 sq, ft, or less Each additional 500 sq, ft, or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $57.00 F?7:f~"'f;;b-!'~~.J~,-,;.:,Ij'~";--:~S;"y?:,:~~,..~,.~"'~t"~;J:"r~,,:,;, :'i#J,...-: .It;.';IJ"ii~ /'A': ::'~.::-; B. i:'Set:Vic'es :O"riFeeders~: Installiltion;~'A IteHitions:or4 Reloc~itiori :'::3tj c: Y$..:!\.t:::;.,.. '-;:"";i>'.Ir",.,~":';;"'..,(-...;.~~:::',);,;~"EJ:"!Cg~~_~;",_. '.:-~.) ~~ ~~ ~"i~'2.;~:: ..u ....,,;.;;l..q'::"l 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 73,00 $ 86,00 $143.00 $] 86,00 $426.00 $ 57.00 . t!V~<{:ti ~:t:.j ,;.....::::.~,;.J.l,;." -~' < ;-~.l_ ;<1.'".,.... ' t J~,'..~ :.. C. ; ~Terrlpof~ry'Se-n;ice~.br.Fecder~'~i~.:: " ::... .1 ~...; ._ <_ __. . .. .... """" ., '. _ '" . "" Installation, Alteration or Relocation \ 200 Amps or less 20] Amps to 400 Amps 40t Amps to 600 Amps lcA_cV 00 $~ lo'&. $ 79,00 $] 14,00 Over 600 Amps or 1000 Volts see "B;' above, D. t~~t~:~.~.~~~~~i4!~~:~';5~t~~r~~Ul~~.1t~t~~;~;:~:;~f~tf~r..~:~~T*l~!~;;J.'! New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 50,00 $5,00 ~; \ :"~f}~";Z. i:1'~:;';' r;:,~; -t ~~~:':";'i~"'~':.:~~:-lF:~~",-',~;'7._ -. ~,M,:. ~ _"';"! '.'>';'..', ,,-~'p' ~ '- . ~~'I E. E.~ ~~~~~n~~u.sl~~!,~'5~!.f~~~~'..n:o~-~~~~~d~~),.~~:;~c~J ~~!a l~ati_Q~ ~ I Pump or irrigation $ 57,00, , Sign/Outline Lighting $ 57,00 Limited EnergytResidential $ 29,00 Limited Energy/Commercial $ 52,00 Minimum Electric Permit Inspection Fee'is $52.00 + Surcharges 4. sv.iili,01:4!}qF~~<rfE,f~ ::;~i:it :{.c):F,. ';~f ex) ~., . .--:...," ".. ,r",', .. v.. _~-..l,..-_ :..' , . . ] 2% State Surcharge . lP4 10% Administrative Fee rtf 5% Technology Fee I '-~ . loC) ~\~.~4 Shared Drive(T:)lBuilding Forms/Electrical Permit Application 7-08.doc - TOTAL Structural Permit Application,,_ 8.0'.0"",-,> ::;J . ~~ sAv.A€:t . ~ <; ,.'. ,..,.',. "'''.'''''"''~~''''''''""'''''''~''F :;,DEI'ARTMENilWSEiONIl.Y, ~ }y,,;~..,~: ",. .;."';;....~.t.".:;.;,:"';;~.,;.;W;'"""w;~r<.~.t,.,,,JI<~;,~;..w:..~~ (o~WO r-Of'Szi Penm( no,: I Date: 9 - i - 0 ~ This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is snspended for 180 days. 1~1".\l~>'51flijJ~i1oC'AiWtG0VERNMEN;fI"AF!P.ROVAI1~i\l"1!~W-2~1 ~_M'-"'''.'''~'___''_'''Y_'_''~''_'e'''M'__'''_'''Plt_.,,_.1i~_,_..,."_,,,,.,,..,_.;d:lr~..;..::r~,~~j I This project has final land-use approvaL I l~t~"~iillg~~EElS'CHE6u~E~"'i\~<iI'lIl1l',!":ii,,,r;1;'~;;;.:1 Signature: . Date: -'f. ~.1:,,0i.,,", " . .,u~"1.L_,.~""."~",,,,.~...,_.,,_.,,..\!~~~~~~~~; I ~;:~;e~ct has DEQ approvaL Date: I 1~~1:~~:~:!:?~~~':7;1i;~~"7~m I Zoning approval verified: 0 Yes 0 No I I Occupancy (L "] / v\ ., I Ili':=~~;~;'~;;~~~~~~'O~'~~NS1i~U~;fONf!~lI'fit;~f;U'l[R'1:,,\111 I, ConstrUction type: I" J3 I ._W.,iill1!L..,.......... ,AiL",l'L..,..,."",....,.....,I:Jl!","'. ,,$, I Square feet: I !~~=,t!~~~~,.__ _.J.~c.!,.::?~~~~:n\v~.._.l}~,:.?:"::'~~~~~,.;.,.~.1 I Cost per square foot: ' I h~~{~'LQ,E'l,1~[EI;!l.l~E.QBM.ft.,'1;'QNlt,ll.NR.~.I.'Qc;AIIQN'lc~CC:.~*-in I Other information: I Job site address: II 3'3 S Y I 5 t' P I I I Type orHeat: G1A f7 A I City:<;o,.~;"c,~:<--I,l 1 State:01l. 1 ZIP:'l7'177 1 I/'I ' -. '1 1 Energy Path: Subdivision:F; Ih,.{1' (\'\(&,';.0,",'> Lot no,: I ",.,. 0 ' , 18 6 I 0....,;-.. "-I new aIteratlOn 0 addition 1 Reference: Oz 0 Y.f TaxIot: OBD'--"-' " 1il\J!"""'1')'''.l!i''~'!.!'i'jlJt--..''..''.''~...._~~'_......''t''''~'''.,...<''iJrP"li" ..'.-','~ I (b) Foundallon-only permIt? O.Yes ~o I P~&iW;:'~'_~f1L~i:Af{:f~;C~RR,QJ~c~RIX;;~,Q)V~ER!l~~,{;J::'~~;;1r~;~~;~,.~~%,...!'.:tL:i;?i$t, I Total valuation: I $ I 1 Name: (3, fllC( 10;, (.~..t ("r,I-;J", \IQ",o.> :1'NL- 1"2'"B" '...ld'.';'..'~i."".$li,"'~,.,..."";,.~,..:....ii.,..----,."';'"""..'.""'.,~'fi{'.T_"'_--"'__.1 I., ~ :,' ., Ul lDg~leeS{;'''i'w~ ip':l;g,"t,-'.~_,r:::: ,.;..~)/"~};;~~f,"~-~j::7/;*'~':f>!'i~;:,r:Jl:/,-';t''it:!\\i~,~ Address:,;;) 07 '3 S (."" u ~~ W L.N - ., L_. _..-_...- "-,"",,,-</;.,:>;'.,." _:,::,'..'!.." """ -, ",,' .' .".,.~,..'_~"i,"",~..',cl..,...H'\.\~...<;.l~. Ie' I I '" 7' -- I (a) Permit fee (use valuation table): I $$ I City: <: vile,,-<- StateO '" ZIP:, i 0 J 1 ," h'b" . tv 77b' I (b) Investigative fee (equal to [2a]): I Phone, -. .'1'-1)0 Fax. -, '-:::>0 v ., 1 ,', I (c) Remspectlon ($ per hour): 1 '1, E.mall:W.~c..hN\.. ~O~S QCD'~C"S1. Ne.t' (number of hours x fee per hour) $ i This installation is being made, on residential or farm property owned by 1 (d) Enter 12% surchar e (,12 x [2a+2b+2c]): 1 $ 1 me or a member of my JmmedIate famtly, and IS exempt from IIcensmg g requirements under ORS 701.010, (e) Subtotal offees above (2a throngh 2d): I $ ~''''-'''"_A~''^'''''''''~' '~. "~",,,^",j{\-"""P~~ '''' ';"'~~' .'" '.c ~\.J:\:Plan::revlew;fees '", - l, ,"~~i!<fl:i~;~-_-'!'3i' ,~-' 'H" :;. . ,.~ Sign here: '.(.a').p..'J.an...."re.'v...,:e.w.....(.6..5';;,". x p"'erm" l't ;e!e" '["'2"a'J~)',""'" . ......, $ ":;; -Z"OI 1~7~~I!jf{CON:fRACf6R"fNS$A1fl!ATIONg;'1';;~i~~--4':~;Wi~"l;.,~1 ",. '- oJ< ~i\\i'L"lI'~~4*'_....,.,h...__.._..,JL..,..,.....__.,..__):Il.1l';i..i't\".."""..,.,"'" (b) Fire and life safety (40% x permit fee [2a])~ $ I I Business name: \t,..vu: lJ;e"I.,~, Cu~b", I>c,..,a.; :fv'-- I I Address: '3 07 3 s,I<~ "; e vol /...'" I (c) Snbtotal offees above (3a and 3b): $ /, : ~~:~e:':v~.'~;& cf"} S y I ~:~:O<~37'~ ~ ~;i ~~"l : 11~)~~!:~~::~~~e:;$J~~!::~:;2:~~:~;':~~~ili:~i%~~lfi~;ii\~t~i::1 I E-mail: W; "c"\-..,,. \ ),...0 ,\--~ S G! C-Ollo> C&..5-\ ~ ~<-\ I TOTAL rees and snrcharges (2e+3c+4a): $ I 1 CCB license no,: 1011 ( '1 I Print name: ~ ",,'~dC W", n,vv I Signature: W W ________' r~~_$Q!li~:QNmR.~lt~I'l;ltl~QB.I'1Il,TjQ.NlirA''!!ll~F>I,{:;f,jl I Name CCB License N~-;ber -- Phone Number I I Electrical p,e /05'17,< 5LI YI'i& I I Plnmhing51Lv<i p Iv,~I:i,,, b50"5 > yZ-31 &,- I, / Mechanical CfH 0 '-i h () 72-6- 0 I DO cY~' ,'> ~ \'l''1 )~ ~ 7"\''> '>~ ~~ WiUamala~e . t Park & Recreation District ' .Job.No. tlr-/:J27. SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2009 NAME: Jj2J1aM~t~ T PHOt:!~:. c:F~., 'err-F: 'ADORESS:'O?? ~lI/e-wulCITY81C~t'~ STATE:d>LZIP: 'l1'ttJJ" , LOCATION OF PROPOSED BUILDING SITE: Street Address: /I]':J' 5..lj I ST PI. Plat Narrie: Tax Lot Number: /.((:):2- "Colfl. ?tfdcJ 1. DEVELOPMENT TYPE (Check appr~priate dwelli~g(s), Dwelling typedefiniti~,;~' are on the ' back:) , A. Sinale-Farriilv Detached NO. OF UNITS \ ' X $2;858 per unit ~ $ 2.~Sf' B. Sinale~Familv Attached NO. OF UNITS X $3,100 per unit = $ '. C, Multi-Familv Aoartment NO. OF UNITS . X $2,641 per uilit = $ . D. Sinale Room Occuoancv .,' . , NO. OF UNITS X $1,321 per unit = $ E. Accessorv Dwellino Unit .. NO, OF UNITS X $1,550 per u'nit = $ . WILLAMALANE SDC $ ,,' , . ,.. . 2. SDC CREDIT (If applicable) SDC payer musftumish proof of, WilIamalane Credit approval.) '$ 3. TOTAL WILLAMALANE NET SDC ASSESSED , ' (if SDC reduced for Credit) ;4~A4' Development Services Department Cityof Springfield' . 5 225 Fifth Street " SpringfieId,Oregon'97477 541-726-3759 Phone Job/Journal Number COM2009-01329 C0M2009-0 1329 COM2009-0 1329 .. COM2009.01329 COM2009-01329 COM2009-0 1329 COM2009,-01329 COM2009-0l329 COM2009.0 1329 COM2009-0 1329 COM2009.01329 COM2009.01329 COM2009-01329 COM2009-0 1329 COM2009-0 1329 COM2009-01329 COM2009-01329 COM2009-01329 COM2009-0 1329 COM2009-01329 COM2009-0 1329 COM2009.01329 COM2009-0 1329 COM2009-01329 COM2009.0 1329 COM2009.01329 COM2009-0 1329 COM2009-0 1329 COM2009.0 1329 Payments: Type of Payment CreditCard cReceintl RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000001023 Date: 09/09/2009 Description Plan Review Major.. Planning " Building Pennit ';Addressing Assignment :WiJlamalane Single Family ,2 Baths One or Two Family , ] st Appliance Vent Fan Appliance Vent Exhaust Hoods Dryer Vent , ;'Gas Outlets 1-4.' . ~ . Fireplace (Listed) Fire SF Fee - Residential Curbcut Pennit Sidewalk Pennit PW Disc - 2nd Penn it Stonn Drainage Impervious Area Credit.. SDC Stonn Improv Sanitary Sewer - Reimbursement Sanitary Sewer. tmprovement SDC Tran Reimburs-Residential SDC Trans Improvement.Resident SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Stonn Admin SDC Transportation Admin + 5% Technology Fee + 12% State Surcharge Paid By BRUCE WIECHERT Item Total: Check Number Authorization Received By Batch Number Number How Received cjc 03507c fn Person Payment Total: Page 1 of 1 1:31:36PM Amount Due 211.00 1,075,05 38,00 2,858,00 337,00 79,00 27,00 9,00 13,00 9,00 7,00 20.00 105,00 88,00 88.00 (30,00) 1,189.66 (1,189,66) 869,79 661.39 211.21 931.65 101.97 1,044,54 10,00 176.76 74.25 107.10 214.21 $9,336.92 Amount Paid $9,336,92 $9,336,92 9/9/2009 225 Fifth Street\ Springfield, Or~~q~;9,7477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200900000000001022 Date: 09/09/2009 1 :29:35PM Job/Journal Number "," COM2009-0 1329 COM2009-0 1329 COM2009-0 1329 , Payments:',"""'.. Type of Payment "PaidBy," CreditCard BRUCEWfECHERT Item Total: Check Number Authorization Received By Batch Number Number How Received cjc 02592c In Person Payment Total: Amount Due 250,00 134,00 75,00 $459.00 Description Plan Review Same.As ., ,.Residence \yiring 1000 Sq Ft ~esidence Wiririg Ea Addtl 500 Amount Paid $459.00 $459.00 cReceintl Page 1 of 1 9/9/2009