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Home My WebLink AboutPermit Building 2005-8-15 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . CITY U.l' ~rKlr"lloFIELD Building/Combination Permit PERMIT NO: COM2005-00973 ISSUED: 08/15/2005 APPLIED: 07/26/2005 EXPIRES: 02/15/2006 VALUE: $ 310,674.00 SITE ADDRESS: 460 Mountaingate Dr ASSESSOR'S PARCEL NO,: 1702343402600 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: Single Family Residence, Contractor . ;i~' License THOMAS WA~P';R~C~STOM HOMES LLC 160287 BOB FISHER(ELECTRIC INC 96275 MARSHACLSINC~ '<,\)'0 25790 Rs..~ctt~iN(;\GONTRACTING 103816 :.,::;, .'0 S"~v\.: :(~.,),,,.~. BUILDING INFORMATION I ," ," '.'"",, \)~ ,,\'-' <, , . y,\,.' \.V '\)\" \)v' # of Units~' \,.(,) (,\,-,t:.\ \) ,,\,-' 1 "'\' . "V \\,..... ~...... Primary Occupancy ,Group::!, R-3 \,\'" ,....,.... \)' Secondary Occupancy,Group: \ ,- . ,...... Primary Construction Type \,,,. Secondary Construction Type: # of Bedrooms: Fully Improved Yes Owner: Address: WALTER CUSTOM HOMES 2863 RlVERW ALK LOOP EUGENE OR 97401 Contractor Type General Electrical Mechanical Plumbing Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 21.00 16,00 6,50 30,00 70,00 Subdivision Not Accepted Street Improvements: Storm Sewer Available: Special Instruction: Phone Number: 541-683-6355 Phone Number: 541-556-6536 I CONTRACTOR INFORMATION I Expiration Date 07/12/2008 o I/25/2006 12123/2005 o I/0412006 Phone 541-683-6355 541-689-7973 541-747-7445 541-461-4714 VB # of Stories: 2 Lot Size: Height of Structure 4\1,00 Sq Ft 1st Floor: Type of Heat: o,} ~as Sq Ft 2nd Floor: ~ .,,\.'l Water Type: ,~e'" ,,'G\b~ Sq Ft Basement: Range Type: eC-~ eQ,o~ ~~~()"!lq Ft Garage/Carport Energy Path: ''l>~ ~ e O~ ~i'>"t1b'1 '" '<:~ Ft Other: Sprinkled Bu_Odi!,lji~ \.$-e'" O~1iJa \.$-e ~Occupant Load: ~~ !f?~_,:J.. '0, ,:0. .,r .......'('\0 ':<I~V\.O ~-:~ I DEVELOIIlWENal'INFURMAT10N 'I~ ~,v'l> :<0<V'<'- ~.$-e" c,,?p,,~.()(),\~~ &~'0' ~~,:\ ~~~. ~ ~C)~'i.{!.a~,p.tst~" 0'0" ~\. ~ iV ~'l:7- ,0 #'SlreetCTrees'R!Jcl:' ,eC$ ,,!?> 3 G" y, - ," ~y~ 0' Rl" ~Pl!Y"eaQilv~~~,e. ,93 Yes \%is&okGoverag~\'''' 33.70 I;:j iY" e\' ~" v IS''O ve -" 838 472 1,989 828 3 REQUIRED PARKING Total: 2 Handicapped: Compact: I PUBLIC IMPROVEMENTS I Sidewalk Type: DownspoulslDrains: Curbside 5' To Storm Sewer Notes: No hook-up to City Infrastructure until Public Improvements accepted by the City; Storm drainage piped to stub provided rear oflot 8/I/2005 CAS PaeeIof5 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description A.C. - Residen DecklBalconv Dwellines Garaee Tvpe of Construction AC - Residential Deck V Wood Frame Garaee Fee Description Plan Review Residential -Mechanical Issuance Fee-- + 10010 Administrative Fee + 7% State Surcharge 3 Baths One & Two Family Addressing Assignment Appliance Not Listed Building Permit Curbcut - Additional Driveway Curbcut Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Gas Outlets 4+ Heat Pump Mountaingate Impervious Area Plan Review Major - Planning Plan Review Residential PW Disc - 2nd Permit (Street) 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/Slorm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit . . \...11 l' OF SPRINun~,LD Building/Combination Permit PERMIT NO: COM2005-00973 ISSUED: 08/15/2005 APPLIED: 07/26/2005 EXPIRES: 02115/2006 VALUE: $ 310,674.00 I Valuation Descrintion I $ Per Sq Ft or multiplier $4,00 $17.00 $96,00 $25,00 Square Footage or Bid Amount 2,817,00 472,00 2,817.00 838,00 Value Date Calculated $ll,268,OO $8,024,00 $270,432,00 $20,950,00 $310,674,00 07/29/2005 08/04/2005 07/2912005 08/04/2005 Total Value of Project Fpp< P~\IiLI Amount Paid $608.50 $10,00 $197,64 $138,35 $306,00 $31.00 $18.00 $1,251.40 $40,00 $80,00 $6,00 $9,00 $12,00 $30,00 $4,00 $2,00 $12.00 $1,539,98 $150,00 $204,91 $-30,00 $106,00 $76,00 $553,03 $727,03 $10,00 $865,31 $82,03 $176,45 $61.84 $805,70 $182,69 $80.00 Date Paid Receipt Number 2200500000000000979 2200500000000001090 2200500000000001090 2200500000000001090 2200500000000001090 2200500000000001090 2200500000000001090 2200500000000001090 2200500000000001090 2200500000000001090 2200500000000001090 2200500000000001090 2200500000000001090 2200500000000001090 2200500000000001090 2200500000000001090 2200500000000001090 2200500000000001090 2200500000000001090 2200500000000001090 2200500000000001090 2200500000000001090 2200500000000001090 2200500000000001090 2200500000000001090 2200500000000001090 2200500000000001090 2200500000000001090 2200500000000001090 2200500000000001090 2200500000000001090 2200500000000001090 2200500000000001090 7/26/05 8/15/05 8/15/05 8/I 5/05 8/15/05 8/15/05 8/15/05 8/I 5/05 8/15/05 8/15/05 8/15/05 8/15/05 8/15/05 8/15/05 8/15/05 8/15/05 8/15/05 8/15/05 8/15/05 8/15/05 8/15/05 8/15/05 8/15/05 8/15/05 8/15/05 8/15/05 8/15/05 8/15/05 8/15/05 8/15/05 8/15/05 8/15/05 8/15/05 Paee 2 of5 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00973 ISSUED: 08/15/2005 APPLIED: 07/26/2005 EXPIRES: 02/15/2006 VALUE: $ 310,674.00 " Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Storm Sewer Each Addtll00' Temp Power 200 amps or less Vent Fan Willamalane Single Family $70,00 $50,00 $24,00 $1,000,00 8/15/05 8/15/05 8/15/05 8/15/05 2200500000000001090 2200500000000001090 2200500000000001090 2200500000000001090 Total Amount Paid $9,490.86 I Plan Reviews , Initial Review 07/27/2005 07/29/2005 APP LLH LDAP Review 07/26/2005 08/05/2005 APP VRJ Full Review LDAP, $600,00 due at . issuance, Walter Custom Homes suhmitted LDAP 7126/05, applicantion is under review, V J, LDAP Review 08/04/2005 08/04/2005 APP VRJ LDAP Is ready to Issue. $600,00 due at issuance. Leave LDAP tag on parcel until LDAP has been Issued, VJ, Plan nine Review 07/29/2005 08/05/2005 APP TAJ Solar Setback based on Insignificant benefit of undevelople space on the vegetation easement on lhe north side of this property, This site does have a Private Vegetation Easement. As noted on the plans the easement Is to he protected with construction fencing with no construction activity allowed, See Private Vegetation . Easement Restrictions In the MountalnGate Development Plan Restrictions attached to the site plan, Public Works Review 07/29/2005 08/01/2005 APP CAS No hook-up to City Infrastructure until Public Improvements accepted by the City; Storm draiange piped te stuh provided rear of lot; Possihle Encroachment pemlt for storm and sewer, 8/112005 CAS Structural Review 07/29/2005 08/04/2005 APP JB Approved as noted on plans 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 Rpm'Jl;frl Inonpl'tl".II.LI " Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are Installed, Paee30f5 . . U 1 r OF SPRINGFIELD '. Building/Combination Permit Status Issued PERMIT NO: COM2005-00973 ISSUED: 08/15/2005 APPLIED: 07/26/2005 EXPIRES: 02/15/2006 VALUE: $ 310,674.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Sidewalk - Curbside: After forms are erected but prior to placement of concrete, 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 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, Special: See Plan Reviewer or Inspectors Notes for specific requirements, Curbcut - Standard: After forms are erected but prior to placement of concrete, Curbeut - Overwidth: After forms are erected but prior to placement of concrete. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction witb 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, Final Building: After all required inspections have been requested and approved and the building Is complete, Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill, Underfloor Plumbing: Prior to insulation or decking, Rough Plumbing: Prior to cover and including required testing, Water Line: Prior to filling trench and including required testing. Special: See Plan Reviewer or Inspectors Notes for specific requirements. 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. Underfloor Mechanical, Prior to insulation or decking and including required testing, Paee40f5 . . CITY VI< ~rKlr\jut<1~LD . Building/Combination Permit PERMIT NO: COM2005-00973 ISSUED: 08/15/2005 APPLIED: 07126/2005 EXPIRES: 02/15/2006 VALUE: $ 310,674.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line UnderOoor 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, 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 lhe 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 ofany structure without permission of the Community Services Division, Bulldlng Safety, I further certify that only conlractors 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, thaI the permit card is located at the front of the property, and the approved set of plans will remain on lhe site at all times during coustruction, ~~~ - t...--. 'l Owner or Contractor Signature <5-/5,0> Date Pal!e 50f5 ~\,.- {> 'O~:~0 ~ 0 'f\0>tb \'Q.~ C~\<.. R0 I I L l , --ZN~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FA~~+{;'.368Y -'. - -,. ELECTRICAL PERMIT APPLICATION 0\\0'" l> 00 /'./ ' City Job Number ~1.? Date C6 - \ s '\-,~?~ 1.-0<-\<-~./~./ ~ 1. ~OCATION OF INSTALLATION ~..J 3, I COMPLETE FEE S9HEP~ BELOW - - '^~\. ,eo - 0 ... ~ \~? v\''''6 L~~h~f~l)l~.TI~ 0(1, ..Nl A, I New Residenlial- Single or Mulli-Family per dwelling unit. " I V "'.,~. )'""'( "L..\.o.JJ Service Included JOB DESCRIPTION 1000 sq. ft. or less <l t' (\0' ",1 A A I\^" _ Each additional 500 sq. ft. or ......0 'f' \t ~\!ll _ portion thereof . CITY OF SPRINGFIELD, OREGON " 2 I CONTRACTOR INSTALLATION ONLY I . B.I Services or Feeders - Installation, Alleralions or Relocation: . d.'- '-t.~0\\\~ Electrical Contractor pLfi..~p,/ lk-k~b\\. ,:' \~\) 200 Amps or less $ 63.00 ,.~'- ". ,.\\' .,\\ 201 Amps to 400 Amps $75.00 ., , '. l\..' \ .....\J Address/,Ii(O l:!u'1: /J,IY':f .,.:o~):...,.".v\ 401 Amps to 600 Amps $125.00 .. . ," ." ,,,'J 601 Amps to 1000 Amps $163.00 \'. ",. I' City ~Ut~ 'Ph'2ne'h~!t'7'17~ Over 1000 AmpsIVolts ,0 $375.00 ".:J ',\.,,,"'\\,\)' ""..lv' Reconnect Only ~0\).",,--4. $50.00 \ .\.'\ \' ,,\~'.J'" ':'\ y\:. ;.,<..eC:1 ('\. \:)\.. \0\'-': Supervisor License N'1!.rrib"'/:-:-z..~' 7c:;'.S c. I Temporary Serv)~;r.;F"'~~fiS'n.\:l~~__\ ", ~ ,\,,1 e- .<>. '1l':J' i:>ol \~ , .0,<;< ,_\~ ~e'O ~o((.. ,s,e e Expiration Date J.'F'J-J - '~7 InstallatJ(lJIfAlteratlnn\lir,R"ocat1~n",o{,'< n u U V' eV 0--"-"; ~' [I.....'. IV" '0" 200K~ps,Qf.~ss'\'{,'< V\~O-S'e'OO ,i'e.,J.:>~ $ 50.00 .o(\~ ,/>V -~" C \)' R' K\e _\0" ,,\~OJ' ~!JlPS bq~u~Jlmp,,;:,o 0'~' ,'~' $ 69.00 ~ dQ.I"Amp~Jto.:.6dO~iil~S~0'l '0\.~"'n,!>~~1 $100.00 \O~ r~v _~_\l ~ 0 ~~. ,,<;< n,'l-' ",pver,6QO /\fl)pS qr,<~.yoL!$.Sl>e "B" above. "D,J, Br~nch 'qrcuilS,l. . ",v-J ~. C\'-)v..<;<'iJ \0' ~ ,- ---L) I. II.J1. . Nt)\' ~!th~t!<)t'lf.:E'xtenslon Per Panel -A ...%LW1P '.:lAAM . One q,clli't ~~ ~EaChAdditiOnalCircuitorwith 1\' Service or Feeder Permit $ 3.00 Owners N')I"e ~ Address ~/... (\]~LD E.I Miscellaneous (Service/feeder not included) -Each Installation I CIty <(t~ Phone ~.3?>1~ Pumporinigation $50.00 ~ Sign/Outline Lighting $ 50.00 OWNER INSTALLATION Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45,00 + Surcharges IILIJfl. .m \.' ". II.. f.J 7% State Surcharge \J{ ~ ~ f ' !'v" n.e 10% Administrative Fee Inspection Request: 726-3769 ~ ~\9 ~ TOTAL i\ \. ~~~ '." -~"'''''''';.'-'''''''-'''''''''~ ,~- Permits are non~transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days, Constr. Contr. Number .~ D~ 57..-- c... Expiration Date 7- /-06 Signature of Supervising Electrician The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: \ .At _tDto?O ~(fJ $106.00 $19.00 Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 I . m.d) -1 $ 43.00 4,1 SUBTOTAL OF ABOVE CITY OF _INGFIElD SYSTEMS DEVElOPMEAoRKSHEET JOURNAL OR JOB NUMBER: COM2005-00973 NAME OR COMPANY: Tom Waller Custom Homes LOCATION: 460 Mountain Gate Dr TAX LOT NUMBER: 1702343402600 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE ~ NEW DWELLING UNITS I BUILDING SIZE (SF' 3714 LOT SIZE (SF): I~ I U) "-l Cl I 0 u J ~ 11291 ~ , U) a ~ " I STORM ORAINAC,E DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. I I CHARGE 4767.75 I $0.323 I = $1,539.98 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I I 0.00 I I $0.323 I I 50% I = I ITEM I TOTAL, STORM DRAINAGE SDC $1,539,98 2 SANITARY SEWER - CITY DISCOUNT $0.00 $1,539,98 1070 A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I 29 I 8. IMPROVEMENT COST: , NUMBER OF DFU's I x I 29 I COST PER DFU $25.07 $727,03 t091 $19.07 $553,03 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I $1,280.06 ,1 TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI 9.57 I I I I $19.09 I 1.00 I $182,69 :.1093 8. IMPROVEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI 9.57 I I I I $84.19 I 1.00 $805.70 11094 ITEM 3 TOTAL - TRANSPORTATION SDC = I $988.39 II 4 SANtTARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I I I I $82.03 = $82.03 1054 8. IMPROVEMENT COST: IN UMBER OF FEU's I x ICOST PER FEU 1 I I I $865.31 = $865.31 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0,00 1054 MWMC ADMINISTRATIVE FEE $10,00 11056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , $957.34 I SUBTOTAL (ADD ITEMS 1.2,3. & 4) = , $4,765.77 5 AOMINISTRATIVE FEE'. l I SUBTOTAL x I ADM. FEE RATE 1= CHARGE I $4.765.77 I 5% I $238.29 TOTAL SANITARY ADMINISTRATION FEE: 176.45 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $61.84 11078 , Cheryl Slaymaker 8/112005 TOTAL SDC CHARGES = $5,004.06 PREPARED BY DATE . . < DRAINAGE FIXTl!,RE UNIT (DFU) CALCULATION TA!!,LE . NUMBER OF NEW FIXTURES x UNIT EQUIVALENT 0 DRAINAGE FIXTURE UNITS (NOTE FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EOUIV ALENT UNITS rBATHTUB 2 0 3 = 6 [DRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 !INTERCEPTORS FOR GREASE lOlL 1 SOLIDS 1 ETC. 0 0 3 = 0 I INTERCEPTORS FOR SAND 1 AUTO WASH 1 ETC. 0 0 6 = 0 !LAUNDRYTUB 1 0 2 = 2 ICLOTHESWASHER 1 MOP SINK 1 0 3 = 3 ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REFRIG 1 WATER STATION 1 ETC. 0 0 1 = 0 ~RECEPTOR FOR COM. SINK 1 DISHWASHER 1 ETC. 0 0 3 = 0 SHOWER. SINGLE STALL 1 0 2 = 2 I SHOWER. GANG (NUMBER OF HEADS\. 0 0 2 = 0 ISINK: COMMERClAURESIDENTIAL KITCHEN 1 0 3 = 3 ISINK: COMMERCIAL BAR 0 0 2 = 0 !SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2 ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 = 2 IURlNAL. STALL 1 WALL 0 0 5 = 0 ITOILET. PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 3 0 3 = 9 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 29 .EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day ....JI MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE I YEAR CREDIT RATE/SI,OOO l 'I ANNEXED ASSESSED V AWE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2 BEFORE 1979 $5.29 (Enter I for Yes, 2 for No) I 1979 $5.29 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 2 1980 $5.19 (Eoter I for Yes, 2 for No) I 1981 $5.12 BASE YEAR 1979 1982 $4.98 I 1983 $4.80 CREDIT FOR LAND (IF APPLICABLE) 1984 $4.63 VALUE 11000 CREDIT RATE 1985 $4.40 SO.OO x S5.29 - I SO.OO 1986 $4.07 1987 $3.67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXA TlON) 1988 $3.22 VALUE 11000 CREDIT RATE 1989 $2.73 $0.00 x $5.29 - I 0 1990 $2.25 1991 $1.80 1992 $1.59 TOTAL MWMC CREDIT = SO.OO 1993 $1.45 1994 $1.25 1995 $1.09 1996 $0.92 1997 $0.72 1998 $0.48 1999 $0.28 2000 $0.09 2001 $0.05 , 'f' 2'25 Fifth Street , Springfield, Oregon 97477 541-726-3759 Phone '., . Job/Journal Number COM2005-00973 COM200S-00973 COM200S-00973 COM200S-00973 COM200S-00973 COM200S-00973 ,. ClOM200S-00973 COM200S-00973 COM200S-00973 CpM200S-00973 COM200S-00973 COM2005-00973 COM200S-00973 COM200S-00973 COM200S-00973 COM200S-00973 COM2005-00973 COM200S-00973 CbM2005-00973 COM200S-00973 COM200S-00973 COM200S-00973 GOM200S-00973 ./ GOM200S-00973 COM200S-00973 CbM200S-00973 CbM200S-00973 COM200S-00973 COM200S-00973 COM200S-00973 COM200S-00973 COM200S-00973 COM200S-00973 COM200S,00973 COM200S-00973 ., COM200S-00973 Payments: !ype of Payment qfeditCard qheck ;l :: ': 8/IS/200S . 1Iir."~A'lN~~!LD -.~. ...- :.' ,~ " 'lI'J" _. --- ~ty of Springfield Official Receipt .velopment Services Department Public Works Department RECEIPT #: 2200500000000001090 Date: 08/1512005 Description Curbcut - Additional Driveway PW Disc - 2nd Permit (Street) Mountaingate Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transpo Admin Plan Review Residential Building Permit 3 Baths One & Two Family Storm Sewer Each Addtl 100' Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Gas Outlets 1-4 Gas Outlets 4+ Heat Pump Appliance Not Listed Gas Fireplace -Mechanical Issuance Fee-- Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl SOO Plan Review Major - Planning + 7% State Surcharge + 10% Administrative Fee Addressing Assignment Willamalane Single Family Temp Power 200 amps or less Sidewalk-Permit Curbcut Permit Paid By ALISON HUNTER ALISON HUNTER BELISLE Item Total: Check Number Authorization Received By Batch Number Number How Received jmp OISSII In Person jmp 4987 In Person Payment Total: Page lof2 1l:33:20AM Amount Due 40.00 (30,00) I,S39.98 727.oJ S53,03 182.69 80S.70 82.03 865,31 10.00 1 76.4S 61.84 204.91 1,2S1.40 306.00 70.00 12.00 24.00 9.00 6.00 4.00 2.00 12,00 18.00 30.00 10,00 106.00 76,00 ISO.OO 138.3S 197.64 31.00 1,000.00 SO.OO 80.00 80.00 $6,M~,~6 Amount Paid $8,000.00 $882.36 $8,882,36 RECEIP4 2200500000000001090 .ate: 08/15/2005 11:33:2IAM Job/Journal Number Description Amount Due COM200S-00973 Curbcut- Additional Driveway 40.00 qGM200S-00973 PW Disc - 2nd Permit (Street) (30.00) COM200S-00973 Mountaingate Impervious Area 1,539.98 COM200S-00973 Sanitary Sewer - Reimbursement 727,03 COM200S-00973 Sanitary Sewer - Improvement SS3.03 COM200S-00973 SDC Transpo Reimbursement 182.69 COM200S-00973 SDC Transpo Improvement 80S.70 COM200S-00973 SDC MWMC Reimbursement 82.03 COM2005-00973 SDC MWMC Improvement 86S.31 COM2005-00973 SDC MWMC Administration 10.00 COM200S-00973 SDC Sanitary/Storm Admin I 76.4S COM2005-00973 SDC Transpo Admin 61.84 COM200S-00973 Plan Review Residential 204.91 COM200S-00973 Building Permit 1,2S1.40 COM2005-00973 3 Baths One & Two Family 306.00 COM200S-00973 Storm Sewer Each Addtl 100' 70.00 COM200S-00973 Furnace, up to 100,000 btu 12.00 COM200S-00973 Vent Fan 24,00 GOM200S-00973 Exhaust Hoods 9.00 COM200S-00973 Dryer Vent 6.00 COM200S-00973 Gas Outlets 1-4 4,00 CbM200S-00973 Gas Outlets 4+ 2.00 CbM200S-00973 Heat Pump 12.00 COM2005-00973 Appliance Not Listed 18,00 COM200S-00973 Gas Fireplace 30.00 COM2005-00973 -Mechanical Issuance Fee- 10,00 COM200S-00973 Residence Wiring 1000 Sq Ft 106.00 COM200S-00973 Residence Wiring Ea Addtl SOO 76,00 COM200S-00973 Plan Review Major - Planning IS0.00 COM2005-00973 + 7% State Surcharge 138.3S COM2005-00973 + 10% Administrative Fee 197.64 COM200S-00973 Addressing Assignment 31.00 COM200S-00973 Willamalane Single Family 1,000.00 COM200S-00973 Temp Power 200 amps or less SO.OO COM200S-00973 Sidewalk Permit 80.00 CbM200S-00973 Curbcut Permit 80.00 :' Item Total: $8,882,36 . Paymenls: Check Number Authorization ifpe of Payment Paid By Received By Batch Number Number How Received Amount Paid CreditCard ALISON HUNTER jmp OISSII In Person $8,000,00 Check ALISON HUNTER BELISLE jmp 4987 In Person $882.36 Payment Total: $8,882,36 ~ , 8/1S1200S Page 2 of2