HomeMy WebLinkAboutPermit Building 2003-4-24
.
. CITY OF SPRIr\j\..oHI!..LJJ
Building/Combination Permit
PERMIT NO: COM2003-00251
ISSUED: 04/24/2003
APPLIED: 04/09/2003
EXPIRES: 11/05/2003
VALUE: $ 127,236.00
Status
Issued
225 Firth Street, Springfield, OR
541.726.3753 Phone
541-726.3676 Fax
541-726.3769 Inspection Line
SITE ADDRESS: 6659 Moses Pass
ASSESSOR'S PARCEL NO.: 1702341110800
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: SFR
Owner: BRUCE WIECHERT
Address: 3375 PARK HILLS EUGENE OR 97405
Phone Numher: 541.686.9458
I CONTRACTOR INFORMATION I
Contractor
BRUCE WIECHERT CUSTOM HOMES
L & E ELECTRIC INC
COMFORT FLOW
BRUCE WIECHERT
STEVE R JOHNSON . 1('\~~065
I BU1LDlNff.I~.u~ ~ I
~'1-\,\l . ~~:/T~'i\
# of Buildings: I! ~~\.W ~~R; . ~~l\) ~ I
Primary Occupancy Group: \')'\~ . ~\'\ c;I ~l\)~i ~~~ ueture 21.50
Secondary Occupancy Group~",\~ ~1~l\) ~ l\)v..1S:~ of Heat: Forced Air Gas
Primary Construction Type ~\ ~'i;.l\) ~Type: Gas
Secondary Construction Type: ~ f;)\fI\fI~~ l\)~ 1l'R?;~ge Type: Electric
# of Bedrooms: C;~~'i3\'O~ Energy Path: Path I
Contractor Type
General
Electrical
Mechanical
License
101717
105475
460
Expiration Date
09/16/2006
03/30/2004
06/27/2003
Owner
Plumbing
03/12/2004
Phone
54 I .686.9458
54 I -933.2653
541-726.0100
541-686.9458
541-342.3765
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
12.00
5.00
19.00
0.00
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
_,10"" ..~...
\}\\~,r \)\W-"
I DEVELOPlI...'.,,, m,uK'>1ATION"I)~ eQ,O(\ \'O~,
0Q,0\'" \X\00~ a.\eSe,.,.(..REQUlREDPARKING
~u\ 0'0'1 u\0S n. 9Sv - '0,
Overlay Dist:O . '>'0<\\0 "'OS0 I '" Op--p 'u\'Tiltal: 2
_1':,.... .." 'l' "i" .,"", "'0' ",
# Str~et\Trees:Rqil: \el, \X\IOv':) ,3\ \\. ~(Jfandleapped:
pav';;'d:priJi'R!lffi0(\:\.c:'J:)\ ~ c09\e~" \e\e?,. (,Qiilil\}act:
W.,\,r,a.\\U,,,.'iJ'iJ \a.\(\ \!'\.....es.. ~O\\'\
% ~(d.lOl~~ra,~{3-'1 0'0 el.I,,~O~.~~:-J ll.ll.j.
\(\ 0 -{ou ce(\~ eQ,o(\ 3~'~~
~o(), _ \~0 _ ()I _<\!?i
I PUBLIC nviPROVEJ\i'KNT&:i;1 \S ,\,u-
\\1." v-
Sidewalk Type:
5,531
1,611
360
SETBACKS
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fully Improved
No
overwidth approved 4/17/03 for 30 foot throat.
Downspoutsmrains:
Curbside 5'
Curb and Gutter
Notes:
Paee 1 of4
Status
Issued
225 Fifth Street, Springfield, OR
541-726.3753 Phone
541-726.3676 Fax
541-726.3769 Inspection Line
Description
Dwellines
Garaee
Tvpe of Construction
V Wood Frame
Garaee
Fcc Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
2 Baths One or Two Family
Addressing Assignment
Apnexed 2000
Building Permit
Curbeut - Overwidth Appl
Curbcut Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Plan Review - Planning
PW Mult Disc - 2nd Permit
Sanitary Sewer. Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
+ 10% Administrative Fee
+ 7% State Surcharge
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Total Amount Paid
.
I Valuation Descriotion I
$ Per Sq Ft
$74,60
$19,60
Square Footaee
1,611.00
360.00
Total Value of Project
I F",,< PlIilLI
Amount Paid
Date Paid
$426.82
$10.00
$102.47
$71.73
$254.00
$8.00
$-1.23
$656.65
$35.00
$75.00
$6.00
$9.00
$12.00
$15.00
$4.00
$59.00
$-30.00
$352.59
$463.89
$10.00
$34.83
$332.86
$88.32
$50,37
$709.81
$160.87
$75,00
$710,08
$50,00
$18,00
$1,000.00
$14.40
$10,08
$106.00
$38.00
419/03
4/24/03
4/24/03
4/24/03
4/24/03
4/24103
4124/03
4/24/03
4124/03
4/24/03
4/24/03
4/24/03
4/24/03
4/24/03
4124/03
4124/03
4124/03
4/24/03
4/24/03
4/24/03
4/24/03
4/24/03
4/24/03
4/24/03
4/24103
4/24/03
4/24103
4/24103
4/24/03
4/24103
4/24103
5/1 4/03
5/14103
5/14103
5/14103
$5,938,54 '
Paee 2 of 4
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00251
ISSUED: 04/24/2003
APPLIED: 04/09/2003
EXPIRES: 11/0512003
VALUE: $ 127,236.00
Value
$120,180.60
$7,056,00
$127,236.60
Date Calculated
04109/2003
0410912003
Receipt Number
1200200000000000973
1200200000000001064
1200200000000001064
1200200000000001064
1200200000000001064
1200200000000001064
1200200000000001064
1200200000000001064
1200200000000001064
1200200000000001064
1200200000000001064
1200200000000001064
1200200000000001064
1200200000000001064
1200200000000001064
1200200000000001064
1200200000000001064
1200200000000001064
1200200000000001064
1200200000000001064
1200200000000001064
1200200000000001064
1200200000000001064
1200200000000001064
1200200000000001064
1200200000000001064
1200200000000001064
1200200000000001064
1200200000000001064
1200200000000001064
1200200000000001064
1200200000000001183
1200200000000001183
1200200000000001183
1200200000000001183
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-0025I
ISSUED: 04/24/2003
APPLIED: 04/09/2003
EXPIRES: 11/05/2003
VALUE: $ 127,236.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726.3676 Fax
541-726-3769 Inspection Line
Initial Review
Plan nine Review
Public Works Review
Structural Review
04/1 0/2003
04/1012003
04/10/2003
04/1012003
I Plan Reviews I
04/10/2003 APP
04/1512003 APP
04/17/2003 APP
0412312003 OK
LLH
AJD
DJW
TCM
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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 Rpnllirprlln.,~
1 Sidewalk - Curbside: After forms arc erected but prior to placement of concrete.
2 Curbcut - Overwidth: After forms arc erected but prior to placement of concrete.
3 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
4 Footing: After trenches are excavated.
5 Foundation: After forms arc erected but prior to concrete placement,
6 Post and Beam: Prior to lioor insulation or decking,
7 Floor Insulation: Prior to decking.
8 Shear Wall Nailing: Before covering sheathing with finish materials.
9 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
10 Wall Insulation: Prior to cover.
II Ceiling Insulation: Prior to cover.
12 Drywall: Prior to taping,
I3 Final Building: After all required inspections have been requested and approved and the building is complete.
14 Underlioor Plumbing: Prior to insulation or decking,
15 Underlioor Drain: Prior to cover or placement of concrete,
16 Rough Plumbing: Prior to cover and including required testing.
17 Water Line: Prior to filling trench and including required testing.
18 Sanitary Sewer Line: Prior to filling trencb and including required testing.
19 Storm Sewer Line: Prior to filling trench.
20 Final Plumbing: When all plumbing work is complete.
21 Underlioor Mechanical, Prior to insulation or decking and including required testing.
22 Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
23 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.
24 Rough Mechanical: Prior to Cover
25 Final Gas: When all gas work is complete.
26 Final Mechanical: When all mechanical work is complete.
27 Temporary Electric: Approval required prior to Utility Company energizing pole,
28 Rough Electric: Prior to Cover
29 Electric Service: Approval required prior to utility company energizing service.
30 Final Electric: When all electrical work Is complete.
Paee 3 of 4
.
. CITY OF ~rK11'1GFIELD .
Building/Combination Permit
PERMIT NO: COM2003-00251
ISSUED: 04/24/2003
APPLIED: 04/09/2003
EXPIRES: 11/05/2003
VALUE: $ 127,236.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726.3676 Fax
541.726-3769 Inspection Line
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify tbat 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 he made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who arc 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
times during construction.
Owner or Contractors Signature
Date
Paee 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003.0025I
COM2003-0025I
COM2003.0025I
COM2003.0025I
Payments:
Type of Payment
CreditCard
5114/2003
City of Springfield'
Development Services Department '
Public Works Department.
Official Receipt
Receipt #: 1200200000000001183
Description
Residence, Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
BRUCE WIECHERT
8: 12:02AM
Received By
djb
Date: 05/14/2003
Amount Paid
Item Total:
106.00
38.00
10.08
14.40
S168.48
Check Number Confirm No
How Received
In Person
Payment Total:
Amount Paid
000068 015896
168.48
S168.48
Page I ofl
.
.
cReceipt.rpt
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541.726.3769 Inspection Line
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-002S1
ISSUED: 04/24/2003
APPLIED: 04/09/2003
EXPIRES: 10/24/2003
VALUE: $ 127,236.00
SITE ADDRESS: 6659 Moses Pass
ASSESSOR'S PARCEL NO.: 17023411 10800
PROJECT DESCRIPTION: SFR
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
New
Residential
Owner: BRUCE WIECHERT
Address: 3375 PARK HILLS EUGENE OR 97405
Phone Number: 541.686-9458
I CONTRACTOR INFORMATION.
Contractor License ~cJ5~R\p~tion Date
BRUCE WIECHERT CUSTOM HOMES 1017I7\),\0~ ~\)\"'~6/2006
PETER STOPPANI 2667-,p: \0~O ~0\o%lb/2003
COMFORT FLOW o~~t~(\00 0~~\~C1J~'li~$tI1003
BRUCE WIECHERT 0\0($ o'O~ 0\~ O~ 0\~ ~0
STEVE R JOHNSON -<\O~. AO~\0 -(6.50~,1\\)<1;~_ O'~\",q:rR.~(:2d04
BUlLDIN3'1~FORMiTrON:;~O~'v. ~0 v~o~"-
. ~o.:. ~,O\' C~' :o~C>' ~o\\~,~ ~~~,.
#'ocr~t,ori'es~~'l: '1>~ 0 ~\0\' op~~;'l:7Lot Size:
~~~l?s!{<!lCt~r~ (,0 0\0 'ttl"50 Sq Ft 1st Floor:
Tyjl~o@le~{,\\~ ~ Jb~~~~ir Gas Sq Ft 2nd Floor:
Wat{,l'T)lpe: :o0~\I 0~\0 Gas Sq Ft Basement:
Range Typ~i\'I" G Electric Sq Ft GaragelCarport
Energy Pa'th: Path I Sq Ft Other:
Impervious Surface Area:
I DEVELOPMENT INFORMATION I ~
~\ED PARKING
Overlay Dist: ,~ \~of!l~<,) 2
# Street Trees Rqd: i-~~ ~'\lo.~~nSl'uapped:
Paved Drive Rqd: ~\.\. 'i::\\l:$'S ~ <,)\\~mpaet:
% of Lot COVl\~~' ~~ ~~\\<,)\f6'l/.-ll.)~\\\i
"-\) ~~"?' ~\) \) :?- ,S
~u.\S ~o.\t ..... Ci _\(\\).
I PUBLIC IMPROVE~EN~~;,\\\)~~ ,?V'
l...\J' \"o\l .
F II I d ~\" SIdewalk Type:
u y mprove \>-'"
No DownspoutslDrains:
overwidth approved 4/17/03 for 30 foot throat,
Contractor Type
General
Electrical
Mechanical
Owner
Plumbing
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I
R.3
U-I
VN
VN
3
18.00
12.00
5.00
19.00
0.00
Page I of4
Phone
541-686-9458
541-688.8720
541-726.0100
541-686-9458
541-342-3765
5,531
1,611
360
Curbside 5'
Curb and Gutter
.
.
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2003-00251
ISSUED: 04/24/2003
APPLIED: 04/09/2003
EXPIRES: 10/24/2003
VALUE: $ 127,236.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description
Dwellines
Garaee
Tvpe of Construction
V Wood Frame
Garaee
$ Per Sq Ft
$74.60
$19.60
Square Footaee
1,611.00
360.00
Value
$120,180.60
$7,056.00
$127,236.60
Date Calculated
04/09/2003
04/0912003
Total Value of Project
L.I?PP<. pqilU
Fee Description Amount Paid Date Pal Receipt Number
Plan Review Residential $426,82 4/9/03 1200200000000000973
-Mechanical Issuance Fee- $10,00 4/24/03 1200200000000001064
+ 10% Administrative Fee $102.47 4/24/03 1200200000000001064
+ 7% State Surcharge $71.73 4/24/03 1200200000000001064
2 Baths One or Two Family $254.00 4/24/03 1200200000000001064
Addressing Assignment $8,00 4/24103 1200200000000001064
Annexed 2000 $- 1.23 4/24/03 1200200000000001064
Building Permit $656.65 4/24103 1200200000000001064
Curbeut- Overwidtb Appl $35.00 4/24103 1200200000000001064
Curbcut Permit $75.00 4/24103 1200200000000001064
Dryer Vent $6.00 4/24103 1200200000000001064
Exhaust Hoods $9,00 4124103 1200200000000001064
Furnaec - up to 100,000 btu $12,00 4124103 1200200000000001064
Gas Fireplace $15.00 4/24103 1200200000000001064
Gas Outlets 1-4 $4.00 4/24103 1200200000000001064
Plan Revicw - Planning $59.00 4/24103 1200200000000001064
PW Mull Disc - 2nd Permit $-30.00 4/24103 1200200000000001064
Sanitary Sewer - Improvement $352.59 4/24103 1200200000000001064
Sanitary Sewer - Reimbursement $463.89 4/24103 1200200000000001064
SDC MWMC Administration $10.00 4124103 1200200000000001064
SDC MWMC Improvement $34.83 4/24/03 1200200000000001064
SDC MWMC Reimburscment $332.86 4124/03 1200200000000001064
SDC Sanitary/Storm Admin $88.32 4/24/03 1200200000000001064
SDC Transpo Admin $50.37 4/24/03 1200200000000001064
SDC Transpo Improvement $709,81 4/24/03 1200200000000001064
SDC Transpo Reimbursement $160,87 4/24/03 1200200000000001064
Sidewalk Permit $75,00 4/24/03 1200200000000001064
Storm Drainage Impervious Area $710,08 4/24/03 1200200000000001064
Tcmp Powcr 200 amps or less $50,00 4/24103 1200200000000001064
Vent Fan $18,00 4/24103 1200200000000001064
Willamalane Single Family $1,000,00 4/24103 1200200000000001064
Total Amount Paid $5,770.06
Paee 2 of4
.
.
CITY OF SPRINGFIELD.
Building/Combination Permit
Status
Issued
PERMIT NO: COM2003-002SI
ISSUED: 04/24/2003
APPLIED: 04/09/2003
EXPIRES: 10/24/2003
VALUE: $ 127,236.00
225 Fifth Street, Springfield, OR
541-726.3753 Phone
541-726.3676 Fax
541-726-3769 Inspection Line
Initial Review
Plannine Review
Public Works Review
Structural Review
04/10/2003
04/1 0/2003
04/1012003
04/10/2003
I Plan Reviews I
04/10/2003 APP
04/1512003 APP
04/1712003 APP
04/23/2003 OK
LLH
AJD
DJW
TCM
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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, I?pnllirptll~
I Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
2 Curbcut - Overwidth: After forms arc erected but prior to placement of concrete.
3 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor
foundation inspection.
4 Footing: After trenches are excavated.
5 Foundation: After forms arc erected but prior to concrete placement.
6 Post and Beam: Prior to Ooor insulation or decking.
7 Floor Insulation: Prior to decking.
8 Shear Wall Nailing: Before covering sheathing with finish materials.
9 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
10 Wall Insulation: Prior to cover,
I I Ceiling Insulation: Prior to cover.
12 Drywall: Prior to taping.
13 Final Building: After all required inspections have been requested and approved and the building is complete.
14 UnderOoor Plumbing: Prior to insulation or decking.
15 UnderOoor Drain: Prior to cover or placement of concrete.
16 Rough Plumbing: Prior to cover and including required testing.
17 Water Line: Prior to filling trench and including required testing.
18 Sanitary Sewer Line: Prior to filling trench and including required testing.
19 Storm Sewer Line: Prior to filling trench.
20 Final Plumbing: When all plumbing work is complete.
21 UnderOoor Mechanical. Prior to insulation or decking and including required testing.
22 Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
23 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.
24 Rough Mechanical: Prior to Cover
25 Final Gas: When all gas work is complete.
26 Final Mechanical: When all mechanical work is complete,
27 Temporary Electric: Approval required prior to Utility Company energizing pole.
28 Rough Electric: Prior to Cover
29 Electric Service: Approval required prior to utility company energizing service,
30 Final Electric: When all electrical work is complete.
Paee30f4
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726.3753 Phone
541.726.3676 Fax
541-726.3769 Inspection Line
.
CITY OF SPRIl"n..t<lJj,LD .
Building/Combination Permit
PERMIT NO: COM2003-00251
ISSUED: 04/24/2003
APPLIED: 04/09/2003
EXPIRES: 10/24/2003
VALUE: $ 127,236.00
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 eontr etors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that required inspections are requested at the proper time, that each address is readable from the
stree~'d~the permit card is ocated at the f the property, and the approved set of plans will remain on the site at all
times; rinjOnstrue'. ~
Paee40f4
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Line Items:
Job/Journal Number
COM2003.00251
COM2003.00251
COM2003.00251
COM2003.00251
COM2003.0025I
COM2003.0025I
COM2003.0025I
COM2003.0025I
COM2003.0025I
COM2003.0025I
COM2003.0025I
COM2003.0025I
COM2003.00251
COM2003.00251
COM2003.00251
4/24/2003 .
8:10:IOAM
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Receipt #: 1200200000000001064
Date: 04/24/2003
.
Amount Paid
8.00
1,000.00
50.00
59.00
75.00
75.00
35.00
(30.00) .
710.08
463.89
352.59
160.87
709.81
332.86
34.83
Description
Addressing Assignment
Willamalane Single Family
Temp Power 200 amps or less
Plan Review. Planning
Sidewalk Permit
Curbcut Permit
Curbcut . Overwidth Appl
PW Mull Disc. 2nd Permit
Storm Drainage Impervious Area
Sanitary Sewer. Reimbursement
Sanitary Sewer. Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
Page I of3
cReceipt.rpt
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
COM2003.0025I
COM2003.0025I
COM2003.0025I
COM2003-0025I
COM2003.00251
COM2003.0025I
COM2003.0025I
COM2003.0025I
COM2003.0025I
COM2003.0025I
COM2003.0025I
COM2003.0025I
COM2003.0025I
COM2003.0025I
COM2003.0025I
Receipt #: 1200200000000001064
Date: 04/24/2003
SDC MWMC Administration
SDC Sanitary/Stonn Admin
SDC Transpo Admin
Annexed 2000
Building Permit
2 Baths One or Two Family
Furnace. up to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Gas Fireplace
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Page 2 00
4/24/2003.
8:1O:12AM
City of Springfield
Development Services Department
Public Works Department
Official Receipt
10.00
.
88.32
50.37
(1.23)
656.65
254.00
12.00
18.00
9.00
6.00
.
4.00
15.00
10.00
71.73
102.47
Line Item Total:
$5,343.24
cReceipLrpt
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Payments:
Type of Payment
CreditCard
Paid By
BRUCE WIECHERT CUSTOM
HOMES
Receipt #: 1200200000000001064
Date: 04/24/2003
Rcceived By
Check Number Confirm No
djb
000051 050365
Page3 oD
412412003'
8: 10: 10.AM
City of Springfield
Development Services Department
Public Works Department
Official Receipt
.
How Received
Amount Paid
In Person
5,343.24
Payment Total:
$5,343.24
.
cReceipl.rpt