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Home My WebLink AboutPermit Building 2009-9-4 Lll y OF SrKll...tJJ:<l~LD ,. Building/Cqmbination Permit Status 225 Fifth Street, Springfield, OR 541-726-3753'Phone . 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2009-01271 ISSUED: 09/04/2009 APPLIED: 0'8/28/2009 EXPIRES: 03/04/2010 VALUE: $i 219,210,00 Iss u ed SITE ADDRESS: 6178 Graystone Lp ASSESSOR'S PARCEL NO.: 1802032205800 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence _ SAME AS 1221 S 41st Overlay Dist: Hillside" Total: # Street Trees Rqd: 3' Handicapped: Paved Drive Rqd: Yes Compact: % of Lot Coverage: 19.00. . ATTENTiON: O'egon law requires you to follow rules adopted by the Oreqol1 Utility . I PUBLIC IMPROVEMENTS:,'11011 L;emeL 1110Se rYles a'e se1 Torm NOTICE' '" '..'L 952-001-0010 lhrouq~ OAR 952-001- Street Improvements:_ . 0090. You nSidewJilk.Type;eS .of the rules by. . . . I HI~ PeRMIT SHALlfllRr)111'.!'~pvF~;E WORK calling the center, (Note: the telephone CurbsIde 5 Stor'." Sewer ^~a,I"~\~\ZED UNDER THIS PERM,sr IS NOT number fOIIlp,1l'n~!'9~i~I,DJilmrNotilic"S~~~ and Gutter Special Instru~e~mv1ENCED OR IS ABANDONED FOR Center is 1-800-332-2344). "tl1\ly' 1 on l'1^V nr.r2!lLf"L . Notes: STORM WA:'fER TO (i)UKI:I AND GUTTER Owner: BRUCE WIECHERT CUSTOM HOMES INC Address: 3073 SKYVIEW LN EUGENE OR 97405 I CONTRA~TOR INFORMATION I Contractor Type General Electrical Mecbanical Plumbing Contractor License BRUCE WIECHERT CUSTOM HOMES INC 101717 L & E ELECTRIC INC lIi5475 COMFORT FLOW HEATING CO. 460 STEVEN R JOHNSON 65065 BUILDING INFOR~~T10N.1 # of Units: Primary Occupancy Group:, Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I R-3 U VB # of Stories: Height of Structure 27,00 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Electric. Energy Path: Sprinkled Building: n/a 3 I ,DE.VELOP~ENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 17,00 25.00 52.00 0.00 Page 1 of 4 Residential Expiration Date 09/](;/2010 03/30/2010 .' 06/27/2011 03/12/2010 Phone 541-686-9458 541-933-2653 541-726-0100 541-342~3765 Lot Si,!e: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft ~asement: Sq Ft yarage/Carport Sq Ft Other: 1; Occupant Load: .1 13,939 2,013 644 , !. REQUIRED PARKING 2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description GaraeelMisc SFlDuplex Tvpe of Construction U VB Utility R-3 VB 1&2 Familv 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 Curbcut - 2nd Curbcut Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Fireplace (Listed) Gas Outlets 1-4 . Mountaingate Impervious Area Plan Review Major - Planning Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtf 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 Temp Power 200 amps or less Vent Fan WillamaIane Single Family Total Amount Paid CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: GOM2009-01271 ISSUED: 09/04/2009 . APPLIED: 08/28/2009 . EXPIRES: 03/04/2010 VALVE: $ 219,210,00 I v ~~uati~n Descrintion , $ Per Sq Ft or multiplier $37.72 . $96,83 Square Footage or Bid Amount 644,00 2,013.00 Value Date Calculated Total Value of Project . $24,291.68 $194,918.79 $219,210.47 08/31/2009 . 08/31/2009 Fp.p~,~ Amount Paid Date Paid Receipt Number $250.00 $239.42 $116.86 $79.00 $337,00 $38,00 $9.00 $1,197.15 $-45.00 $88.00 $9.00 $13.00 $132.85 $20.00 $7,00 $1,366,13 $211.00 $134,00 $100.00 $617.30 $811.81 $10.00 $1,146.50 $101.97 $184.43 $211.21 $931.65 $75.40 $88,00 $63,00 $27.00 $2,858.00 8/28/09 9/4/09 9/4/09 9/4/09 9/4/09 9/4/09 9/4/09 9/4/09 9/4/09 9/4/09 9/4/09 9/4/09 9/4/09 9/4/09 9/4/09 9/4/09 9/4/09 9/4/09 9/4/09 9/4/09 9/4/09 9/4/09 9/4/09 9/4/09 9/4/09 9/4/09 9/4/09 9/4/09 9/4/09 9/4/09 9/4/09 9/4/09 1200900000000001006 1209900000000001033 1200900000000001033 1200900000000001033 1209900000000001033 1200900000000001033 1200900000000001033 1200900000000001033 1200900000000001033 1200900000000001033 1200900000000001033 1200900000000001033 1200900000000001033 1200900000000001033 1209900000000001033 1200900000000001033 1209900000000001033 1200900000000001033 1200900000000001033 1200900000000001033 1200900000000001033 1200900000000001033 1200900000000001033 1200900000000001033 1200900000000001033 1209900000000001033 1200900000000001033 1200900000000001033 1200900000000001033 1209900000000001033 1200900000000001033 1200900000000001033 $11,428.68 Paee 2 of 4 lUl:Am.~IilIm."i:!, , . W .' _. '..;,,' . ""ii" - ...."... -,,"t"d.:4flc' Wfr1",~"T."i:; -",'g \..,~'-:- ."'f "".~"-'.-l'~> --fJt. 'v <:?;." CITY OF SPRIN<J1<lJ<.LD , Building/Combination Permit , , Status Issued PERMIT NO: COM2009-01271 ISSUED: 09/04/2009 APPLIED: 08/28/2009 EXPIRES: 03/04/2010 VALUE: $ i19,210.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Plan Reviews I Initial Review 08/28/2009 08/31/2009 APP LLH Plannine Review 08/31/2009 . 09/0112009 APP DDK Choose street trees from the list of "Native trees in hillside development" on page 4 of the street tree handout, Structural Review 08/31/2009 09/0212009 APP CJC As noted on plans Public Works Review 08/31/2009 09/0312009 APP BJG storm water to curb and gutter. To Request an inspection call the 24 hour recording at 726-3769. All inspections r~<iuested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a,m, wilJ!:be made the following work day. I Rr{!}\irp~ I!f'snections I Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunctiolHvith 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 deckin'g, Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to COVel' and after all rough in inspections have been approved, Wall Insulation: Prior to cover. Ceiliug Insulation: Prior to cover. Drywall: Prior to taping. Masonry: Hold Downs Installed: Special Inspection performed prior to placement of concrete, Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the b~ilding is complete. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backtilV Underfloor Plumbing: Prior to insulation or decking, Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including req uired testing. Water Line: Prior to filling trench and including required testing. Paee 3 of4 CITY OF ~nul~t..-..IELD Building/Combination Permit Status Issued PERMIT NO: COM2009-01271 ISSUED: 09/04/2009 APPLIED: 08/28/2009 EXPIRES: 03/04/2010 VALUE: $219,210,00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Sanitary Sewer Line: Prior to filling trench aniJ including required testing. 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 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 Mechanical: Prior to Cover Final Gas: When all gas work is complete, Final Mechanical: When all mechanical work is complete, Temporary Ele"ctric: 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 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 ~ddress 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 :~~,::c:(,~~ D:I ~/ () 1 Pa2e 4 of 4 '"" 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(54 1)726-3689 r.AA.-..n"G~~ ~ ii:" <". ',". ~ .', . ' - . ",- - - ~ ri,;p~~~!ti)M~:fLt~Q~~19Ef;i1i! CccM ZOO 9- 0 (27 ( Penn it no.: Structural Permit Application__ Date: '0 - z.i' --C> 1 This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or jfwork is suspended for 180 days. 1~"\l!j'l'@1"i~"110CA~fGOVERNMEN:f<~AAPRo\iAj1'#';~\l"','ill."""~~i-1\JI i~~t__.,-"\__'li..+._.:_~_.___.__~~__~o:.:.;__..._.. -_,_~~~~::st~~ I Thsl.gniSaPt'uOrjee.ct has fi. mal land-use approval. Date'. I 1~~li\f~"\'(1~!~?~~-?:'F,EE"JScHEbUiIE.ti!;,;ltt?lil;':[t"i~,"--r,ijo;f,U\"'il _~!L-_!l'\1~'t~~~ f$;a{\J~\:!~!,,~,..~.__ ... .~," .,_,._m':l~~"1M~.7m~~~. 1,~i~v~Tultijort<%fH'i6'F:i:ti1>1i'~~J;(,;~~Y~'#~NW~.r.!"~~~~'l~l1it41 ., :~~~~;e~ct has DEQ approval. Date: I I '(~)';~b~~:C~~;~~~'--S;.;;.:~\tJ!!":e:~::,;~ I Zoning approval verified: DYes ONo I I Occupancy ~3/U ' I P'operty is within flood plain: 0 Yes 0 No 1 I. Construction type: I . J /3 1'':!Nm;'ljW1il1f.~;iillj'CAiEG0RY,:l'0FI'iCONS:J:RUCTi6~i$;gi1{'t~t~!iii'\?,f(il ~_",,-~ij'.c~!l'k.......,_, _'_~~ .~.__ .._". ._,..'...,,_'. ...,,",~'- ". ,", . ..,..'ii I Squarefeet: i~_l~~![~LlI~~~~M~t~~1Aij~.J~~~i~~if~j~y~~i II Cost pe' square foot: Other information: . 1 Job site address: .f, /7 '1. 6 yGv" 51".........- I I Type .fHeat: & ^ ~ t7"1I I City:<;o.-, "" C :<..1)1 State: 0 1t l ZIP: q 7~ 77 I I I A I '. ,'~ 'F"j .-) -. I Energy Path: Subdivision:1\t;-6--AiG'" w ...-" I T'ot no.: 0 , I . I . J. eO 7..-0 3 Z Z ---,; 0 '<" G--"D I .Q--new 0 alleratlon 0 addition Reference.. -"" ~r"'1rrxlut: -..,;)ov I .. I I~ .""g...'"."""'''.'....,.r..........."...,;"..,..,.,,.-.. ''''''''''~'"''''",'' ~"rg"""""" """1 (b) FoundatIOn-only permIt? O.Yes BNo ~ . . '~~.,:;)~~~r'~~~'.";~ROP.:ERTi;Y.4:0WNER~:~~~~t.~~~i.'?\~;lf(/'.:::;~.~ .- ..~.h,.......{,.<, .~~. ,~.f_.._._......_~__.?h,._,._______"i,L.".,...Ir".....:f_. -o',',_"'~_ I Total valuation: I $ ZOO """" 1 Name: (!, "Jl<- lV'" ,-~<<t C"SKll'- \I-c",.S :tl\lc:.. I I....... B""ld"':""'i""'-'''''''.'''''''A..:..".,.".,.,.,,,,,,,"''''l'''>>'''~'''~''~'' .....""1 I I _.2;. Ul lDg"leesf';\o.;>l:'J'S:''.!',~\''~'~{'':f;;;'~ ..".~.;;;;t:fnF~!'~?!'r.j .I.,';*~" ;w~:;,)(~,;,: Address:30'73 S t:4" \c W L-N - ' ""','''' ,.....,.,:.!....l..!Q'!.".'~,""'.L[ ,';--,-'" ,\,,", " .,d,_ ,""~"'" 5.,', ,:t"'.~~,...,;'...-. I . C I I '" 7 -- I I (a) Permit fee (use valuatIOn table): $ I City: , v'rc"c.. StateO I'- ZIP:, i 0-, I ~ h b " I oq 7--, , I I (b) Investigative fee (equal to [2a]): $ I Phone: - 1 -"1'-/)0 Fax: .),,- :nbv .. . . I (c) RemspectlOn ($ per hour):' I I E-mail:W;u,he-l\" ho~5 aCor"~S\, rve.r- I (number of hours x fee per hour) $ . This installation is being made. on residential or farm property owned by I (d) Enter 12% su,charge (.12 x [2a+2b+2c)): . I $ I me or a member of my Immediate famtly, and IS exempt from Iicensmg ,I :~::i:e::~~ under ORS 701010. ~3(~~a~)..'PpJUI~ani;,;e;V:~I~ejrW:~(;6i5:~~'.'~x~p;e~rm(:lat'!ere:~[:~2Ua;J~)~.:~~~~~~~I,:$$~' i&'f~1 1~~"~I'!c6NfAACTOR"iNS$ACi5\.fioN!'il.l~\~\!tF":~:4;%"':!i'~ r '" . ,,&. , _,ip""__......,....._,_.,ll..._...,...,,_____....k.. ..\l1L ~"i"""",. I (b) Fire and life safety (40% x permit fee [2a]): 1$ .' I I Business name: ~'(VLr.. hJ;e~""-..l'( C.lJ':.bt-. ~~~ Jl.JL., I Address: '3 07 3 <; ~~";~.v LV' :;~~)~~;~~;ii~~i;;~k~(t':;in:~/~~:~:q'ji,l$f(itl~!:~~~j:t~:1 I City: {: v, e"" I State:O<l 1 ZI.P: 0. 7)D'l Phone: J_6J& cf"!S;r Fax: 3'1'1-33b2. I I (a) Seismic fee, 1%(.01 x permit fee [2a)): $ I .' I E-mail: W; e,,,k>, \ \--.01"-" S rf2 CO"" U-.54 ~ v'kt I I TOTAL fees and surcharges (2e+3c+4a): $ I I CCB \icense no.: /01 J r 7 I ". I Printn~e:~""~d< W~:;\o",v I " I Signatu,e: UtA W.______.- I ~ , 1.~111l!~!i!lI.<2QNiIMQJ:QB[I.NF,()~M~t!()III~lir';i\i1.tJV;;i;"" Name I CCB License Number Phone Number Electricalp.e 105'17.< 5lIYI~& Plnmbing51c-...S pl)"~I:'-"4 b.5o(,S" "~l-3" (,,- I. I Mechanical CFH I " '" b () I 72.6-0 I 00 I ~ ~\J"\r ~ \ c.(yY . fj rr5' t>:>~ \ Date ZON lX)~ INITIALS V""' ':'\-- DATE ~.'t>\-V\ SOURCE ~(l..- 8'-Z~- c) 'I 225 F1ITH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726.3753 . FAX: (541)726.3689 ELECTRICAL PERMIT APPLICA TION City Job Number C.OVUZOO 9 - 0 I 2- 7 I 1. 7LoC'AlioNBi:INsTAlIATioN: . -'hi; f' -~ ".-;::' $;:" -I~" r> LE\&;Z;:1.~ tF::Sc0' JOB DESCRIPTION: 4v-..se W'1l1! '/7010( f Permits are non-transferable and expire irwork is not started within 180 days of issuance or if work is Suspended for 180 days. . (e_,".J=-:":_i.'-_'..:.,'_~._...-~:;~~;L;::':",;;",":;,,~~;;,,;,-_ ;.,,;,-o.~-,...._-- i 2 'GqN7JlA!lro.RJN~T~llTIONo.NP'. . .__. -",':','J_'''''.<~ '-<".,,:'." ...;.-.:;..1;,.;$-:.,........ ...~~_.,~, ','. Electrical Contractor L +- t: Add,ess q Z. -g s "3 ACr-eS :r ,....<>L?f City '3.0 C \ ~ Phone 5 l J > '119 d' Supervisor License Number L{ I 7 'i - s.- Expiration Date 3r/-to IZ/io/I/ IbS-'-!7'5- 3)10 Constr. Contr. Number Expiration Date Signature of Supervising Electrician hQUvov.>L ~ Owners Name ~'r vce LJ i ec.ke~+ C,,<;bl'" ilo.",s Add,ess :, '" 7 3 SIC.,r .; <1,..) l yJ , Phone b'6 (,- 9 4 ~'& City t uS:,,'" OWNER INSTALLATION The installation is being made on property I own which . is not intended for sale, leas~ or r Owners Signature: 0 .~ ~'tJr:P Inspection Request: 726-3769 ~ -~ ,k'~_~~.'-::-'.'" ", '-1/-'" 3. . COMPLirrE l"EF;Sqib"'Dc[LEBELOW\ " -. ,~.. - ,__ _ -I _ ~ ~ I... . _ __. " I......' _""::-''''0' _~,"I':'---".-' n-"~-"", ',r.,"" :-!t:..",,,.,. ... ..~-.- .. ,- ... _'.. ..-. A. ;"~ew ~~side'nthil'''': Si'ugle ~r' ~rtiiii~Faill~ly P!r.'il~'e'lI.i~'g'';nit... \-. '._. ,- -- _. '.,.., -', - - - ,- ,..-.. " ".' .., . Service Included /3c.f 1000 sq. ft. or less f $ .J.21: 00 13Lf Each additional 500 sq. ft. 0' L-( zs- 100 portion the,eof $ )Z.OO Each Manufact'd Home or Modular Dwell ing Service 0' $57.00 Feeder 1,- .f~-_ -;\_-_.....-~._~-~-.~..~.....,,,..~.' ,'"4\ . ",'_ ':-""" 'i.' ~...-..;-.--,;:~-;--,~.:;.:, B. t :.S~~r:.vl~~~ '~i t.ecd~I}:,~ ~"-st~ II,atJ~n,;1\ U_~I..~-t~~_~:~~; Rel~~!i,O!!~:c'<1 I.. To_ _... '-~. .,.L..",_,\ .- _.,. )..~ _~- :.- _ ---0.'"_"''' _ .. _ '. '_-..__.;; _"~_" _,'1 "".. Z,. ."'''.. ~,.. 200 Amps or less 20 I Amps to 4'00 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Ove, 1000 AmpsNol1s Reconnect Only $ 73.00 $ 86.00 $143.00 $186.00 $426.00 $ 57.00 . c. ,,'I'e'n'lP6fnry-s^e'rvi~e-s:'6"r Feeder;'~,,~-.,. ,...,~ ,~. Installation, Alteration or Relocation 200 Amps 0' less I 201 Amps to 400 Amps 40 I Amps to 600 Amps b~ ~O $ 79.00 $114.00 6"{ Ove, 600 Amps 0' 1000 Volts see uB" above. D. ~;r.Jia:~.t-hicir;;ij'its~',.<..~~-." :", :," :1<tcli:.;'~' ;""i!.: " '.'~' - ...... '. . .::!~." ,,~,..;~:..:~'":~~~.~t '::.1 New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 50.00 $ 5.00 . - - .' .: .:- .. -., .Ij ~. '. _.' . Eo ! _l\-l~s.cdlii"~'eous'(Servic~lieeder_"I1'~';i_"_.i.~"c1~d~) -Eo:actJ l~st~lI~tion':. I . ----. . , . .. .'.. JJ . ^ . , Pump or irrigation $ 57.00 . Sign/Outline Lighting $ 57.00 Limited Energy/Residential $ 29.00 Limited Ene'gy/Comme,cial $ 52.00 Minimum~~ec.t~~per~it In-,pe~tion ~e~:s, $~2.00 ~ Surcharges cJ 4, SUII.10TAl,OE,AII0l1E . :~k' . 2.G\i. 12% State Su,charge :~ 5.10'\ 10% Administrative Fee @: _- ~.~ 5% Technology Fee \4-.C2.~_ TOTAL ...MJ.'\q Shared Drive(T:YBuilding FormslElectrical Permit Application 7-08,doc o !i}!!~o~I~~e Job. No. J'f\..... Vl/H SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2009 'NAME:~n'tn_ \_~.. ..' PHONE: 1081oJ:1.4-5~ ADDRESS: 3m?:> ~ \~\I-ekW ~fflQ...STATEDe-zIP:l1l4D~ LOCATION OF PROPOSED BUILDING SITE: Street Address: \Q\18 c; (~S~ . Plat Name:l--\.,+ 6 Me- Tax Lot Number: \?iJl.D."'2.'2.. CfS&V 1. 'DEVELOPMENT. TYPE (Check app,op,iate dwelling(s). Dwelling type definitions are on the back.) A. Sinale-Familv Detached NO. OF UNITS L X $2,858 per unit = $ ~6.=5.a:) B. Sinale-Familv Attached NO. OF UNITS X $3,100 per unit = $ C. !Y'Iulti-Familv Aoartment NO. OF UNITS X $2,641 per unit = I $ D. Sinale Room Occuoanc', NO. OF UNITS. X $1,321 per unit = $' E. [>.ccessorv Dwellina Unit , NO. OF UNITS X $1,550 per unit = $ $12056.00 {Y $ WILLAMALANE SDC 2. SDC CREDIT (If applicable) SDC payer must furnish p,oof of Willamalane C,edtt approvaL) 3. TOTAL WILLAMALANE NET SDC ASSESSED . (if SDC reduced for Credit) 1\ m_) - Development Services ()epartment , __ u ____ _ _ ,_ _ CityQf~wingfield . - - - -- - - - <-. - .- :$ 2~.EB ~(){) ~~ ~j?)7 - Date . 5 225 Fifth Street Springfield,Oregon'97477 541-726-3759 Phone G,~~.~I~Q.._F1.....lIL"._ ~ I I",.. _.... 1 ~ ,," ~at:"' rll. . -..,.- - ........, ~', ,'-- '- .. Job/Journal Number COM2009-0]271 COM2009-0]271 COM2009-0]271 COM2009-012i] COM2009-0127] COM2009-0]27] COM2009-0127] COM2009-0127] COM2009-0 127] COM2009-01271 COM2009-01271 COM2009-0]27] COM2009-0]271 COM2009-0127] COM2009-0127] COM2009-0 1271 COM2009-0] 271 C0M2009-0] 271 COM2009-0127] COM2009-0127] COM2009-0] 271 COM2009-0127] COM2009-0127] COM2009-0 1271 COM2009-0 1271 COM2009-01271 COM2009-0]27] COM2009-0]27 I COM2009-0]271 COM2009-0127 I COM2009-0]27I Payments: Type of Payment C,editCard Check cReceintl RECEIPT. #: 1200900000000001033 Description Addressing Assignment Willama]ane Single Family Residence Wiring 1000 Sq Ft ,Residence Wiring Ea Addtl 500 Temp Powe, 200 amps or less 'Fi,e SF Fee - Residential Plan Review Major - Planning Building Permit 2 Baths One or Two Family I st Appliance Vent Fan . ;Appliance Vent: Exhaust Hoods Drye, Vent Gas Outlets]-4 Fi,eplace (Listed) Sidewalk Permit Curbcut Permit Cu,bcut - 2nd Curbcut . Mountaingate Impervious Area Sanitary Sewe, - Reimbursement Sanitary Sewer - Improvement SDC Tran Reimbu,s-Residential SDC Trans Improvement-Resident SDC MWMC Reimbu,sement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transportation Admin + 5% Technology Fee + 12% State Surcharge City of Springfield Official Receipt Development Services Department Publie Works Department Date: 09/04/2009 Item Total: Check Number Authorization Received By Batch Number Number How.Received Paid By BRUCE WE]CHERT BRUCE WIECHERT njm njm Page I of2 18851 00545c In Person In Pe,son Payment Total: 1:06:39PM Amount Due 38.00 2,858.00 134.00 100.00 63.00 132.85 211.00 1,197.15 337.00 79.00 27.00 9.00 13.00 9.00 7,00 20.00 88.00 88.00 (45.00) 1,366.13 8]1.8] 617.30 211.21 931.65 101.97 1,146.50 10.00 184.43 75.40 116.86 239.42 , $11,178.68 Amount Paid $9,500.00 $1,678.68 $11,178.68 9/412009