HomeMy WebLinkAboutPermit Building 2009-10-28
,
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01551
ISSUED: 10/28/2009
APPLIED: 10/22/2009
EXPIRES: 04/28/2010
VALUE: $ 180,000.00
225 Fifth Street, Springfield, OR.. '.
541-726-3753 Phone.. . ":- ...:. d
541-726-3676 Fax " ". ,,:,;;,,,),,):\:;',i,,".'
541-726-3769. I~;p~c.tio~'Liiie ':;', .
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SITE ADDRESS:';". ':5794 MII.::A SJ
ASSESSOR'S PARCEL NO.:" 1802033303500
SPRINGFIETYPE OF WORK: Single Family Residence
'. .. TYPE OF USE: New Residential
PROJECT DESCRIPTION: NEV\;. SINGI"EF~MIL Y DWELLING- LOT 282 JASPER MEADOWS- SAMEAS
" ~77o;MICA
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Owner: UX'V'DENHONiES t&
Address: 2464.SW GLACIER PL STE 110
REDM<;lND OR 97756
'.
I.<:ONTRACTOR INFORMAT~ON ,
# of Units: 1
Primary Occupancy Gronp:...R-3 "
Secondary Occupancy Gronp.:., ,.i( ',i:J U
Primary Constr"ction T,ype. ,. ",'1; .~(VB
Secondary Construction Type:
# of Bedrooms:, : '.
!f: I
Contractor Type Contractor' '.' Li{alfWlYoU Uixpiration Date Phone
General ., . .:~ OWNE~ > . . "moN: oregon law~: Oregon UtilitY
Electrical r ':: ,i; -::;:'TOP NOT.CH ELEIl' ~ \lll{es adopted :V ~ ~ e setlortf. 09/29/2010
Mechanical;'" . PACIFIC AIR CO (i! a!\'l!J6 Center. 1 t~~o~6JAR 952-00 03/25/2010
Plumhing .!' '. ".STUTZMAN SERV ~t~2-001-~~~~,\ (,DoiW~th8 ru..'~~~ 05112/2010
,,,, , , lumALf.1i.i~'"'''' @RIWA.~ N'~ti~cation
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number lor t e. v 1 ':a00..s32-2344).
. '# of ~emar IS . 1 Lot Size:
Height of Structure 16.00 Sq Ft 1st Floor:
Type of Heat: Forced Air Gas Sq Ft 2nd Floor:
Water Type: Gas Sq Ft Basement:
Range Type: Electric .h' Sq Ft Garage/Carport
Energy Path: . Sq Ft Other:
Sprinkled Building: No Occupant Load:
541-317-1998
541-672-9510
541-928-8942
4,950
1,235
400
3
, ~~,
.
I DEVELOPME:,T INFORMATION'
"
REQUIRED PARKING
~. -
Overlay Dist: '>:i~<!~,~~~'Tf.~;,;':Total: 2
# Street Trees Rqd: ..' '.,^:v^2'" '. ~~dicapped:
Paved Drive Rqd: ~'1V'iW' fi~pact:
% o\tO~ffrage: ~ t>.\.\. fj."~,,~WI\1 \D
:r.I:lIC; "t.\\~i~ ~\l\\\Jt.\\ \\\~;\nn~t.~ fO?> .
I PUBLIC l~mfiM~?\~ IS t.W
c'\.JI~"U~ " P't.\\IO~'
F II I d " < on 1)1\, SIdewalk Type:
. ....'. u y ~prove jI,~\ 'o\)
''7-H- No Downspoutsillrains:
Storm water to curb via weep hole.
u
Frontyard Setback:
Side 1 Set hack: .
Side 2 Sethack:"
Rearyard Setback:
Solar Setbacks: ri :. I
.. .
;1 ..
:,18.00
::.~ ::&~~5.00' -
. 10.00"
22.00
10.50
Subdivision Not Accepted
Street Improvements:
. ~~ :;
Storm Sewer Available:
Special Instruction: ,. .1,
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Curbside 7'
Curh and Gutter
Notes:
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" Status. IsSued "_
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225 Fifth Street; Springfield;:Q~i::: :,^
541-726-3753 Phone' .', Jr':J' '
541-726-3676 Fax'
541-726-3769 Inspection Line :".
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'Description " ,., Tvpe of Co.i1~t~,\,~!.ion ,
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Use Bid Anionnt.~.
U VB Utility
,R-3 VB 1&,~ F:aini!v. "
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Bid Amount
Gara!!elMisc
SF/Duplex
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01551
ISSUED: 10/28/2009
, APPLIED: 10/22/2009
EXPIRES: 04/28/2010
VALUE: $ 180,000.00
I Valuati?" Descriotio" ,
$ Per Sq Ft
or multiplier
$1.00
$37.72
$96.83
Square Footage
or Bid Amount
180,000.00
400.00
1,235.00
Value
Date Calculated
$180,000.00
$15,088.00
$119,585.05
$314,673.05
10/22/2009
1012212009
10/22/2009
Total Value of Project
};~p~, ~
"
'.: , Amount Paid
Fee Description " ,
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance ." , . c" "
2 Baths One or;.Two'Fa~i1y .:"'" ":
Addressing As;'ig~meni "
Appliance ~ent!"" ...
Buil~ing PerIp!t~~..1[..",;:ic*>- ""..._..'~~, ,:;
Credit - Trans Improv SDC '.' -J; .~.
Curbcut Permit ,; ,,'
Dryer Vent
Exhaust Hoods
Fireplace (Listed) , ^ . .J...,
l ....; ,_8'., 1."'" "-.7f.l,,jl"ll
Gas Outlets 1-4' ';,. ,'" ",' ,,' ,
. ;!. ..'. -~
Plan ReviewM!ljor;- Planning
Plan Review Same As
. '
PW Disc - 2nd Permit,'; .
, "
Residence Wiring 1000 Sq Ft ',.
Residence Wiring Ea Addtl 500" .
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration" ',f,
" ..',\.:
SDC MWMC Improvement ..: '"
SDC MWMC ~eimbursement '.
SDC Sal!itary/Storm Admin
SDC Tran'Rein;ilU~~-Residential
SDC Trans Improvement-Resident
SDC Transportation Admin .
Sidewalk Permit
Storm Drainage Impervio,!s Area Co
Temp Power 2QO amps !lr less :e :11\
Vent Fan ;;,: 1 I " 5:' . "..:.:1 <.f'
. I. ,
Willamalane Single:Family
I ' " .
'Totai;Amou'!t Paid ,
\
,
.'
$213.88
-$106.97
$79.00
$337.00
$38.00
$9.00
$1,034.35
$-931.65
$88.00
$9.00
" $13.00
$20.00
$7.00
$211.00
$250.00
$-30.00
$134.00
$50.00
$529.11 '
'$695.83
$10.00
$1,044.54
$101.97
$153.75
$211.21
$931.65
$16.02
$88.00
'$802.70
. $63.00
$27.00
$2,858.00
$9,171.33
,
,
Date Paid
Receipt Number
1200900000000001198
1200900000000001198
1200900000000001198
1200900000000001198
1200900000000001198
1200900000000001198
1200900000000001198
1200900000000001198
1200900000000001198
1200900000000001198
1200900000000001198
1200900000000001198
1200900000000001198
1200900000000001198
1200900000000001198
1200900000000001198
1200900000000001198
1200900000000001198
1200900000000001198
1209900000000001198
1200900000000001198
1200900000000001198
1200900000000001198
1200900000000001198
1200900000000001198
1200900000000001198
1200900000000001198
1200900000000001198
1200900000000001198
1200900000000001198
1200900000000001198
1200900000000001198
10128/09
10128/09
10128/09
10128/09
10/28109
10128109
10/28109
10128/09
1 0128/0~
10128/09
10/28109
10/28/09
10/28109
10/28109
10128/09
10/28/09
10/28109
10128109
10/28/09
10128/09
10/28/09
10/28109
10/28/09
10128/09
10128/09
10/28109
10128109
10/28/09
10128109
10/28109
10/28109
10128109
Pa!!e 2 ,of 4
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CITY OF SPRIl'ltJJ:<1.1!.LlJ
Building/Com bination Permit
'-..
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,
PERMIT NO: COM2009-01551
ISSUED: 10/28/2009
APPLIED: 10/22/2009
EXPIRES: 04/28/2010
VALUE: $ 180,000.00
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. 'i~. iil/2212009
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1012212009 .
1012f/2009"
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I Pla.~. Revie,:s ,
10/22/2009 APP
DDK
Access restricted to 1 driveway/lot.
Follow Street Tree plan.
Storm water to curb via weephole.
As noted on plans
Pnblic Works Review
Structnral Review
10/22/2009 APP
10/2212009 APP
LKW
CJC
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to Request ap inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be maile the same working day, inspections requested after 7:00 a.m. will be made the following
, .' :]':".~ ......
., work day: ~r' ;) Jf " t,~ :'.
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t. ~pnll;rprlJnsnections ,
Ufer Electrical Gronnd: I~si~1I grou7.d rod at footing and call for inspection in conjunction with footing and/or
foundati9,n i~~p~~tio~...:.;::.4i "':P: :
''', ' '. "'"~.''' . " '.. . \:
Footing:~Afte;" irenches are excavated.
Fonndation: -After forms are erected bnt prior to concrete placement.
..if. ~ .)..:\f' t.'. i:, ,
Post and Beam: Prior to floO! insulation or decking.
" .
Floor Insulation: Prior to decklng. ..
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing.~nsJle~t~on: Prio.r, t(icover and after all rough in inspections have been approved.
.... '. ".
Wall Ins~lati~n: 'Prior to cover.
. '
Ceiling Insnlation: Prior to cover.
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Drywall: Prior to taping..~, "_
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Masonry:
Final Building: After all required inspections have been requested and approved and the building is complete.
Perimete,r Fo~n.d~tionnra.in~: After gravel and filter cloth is installed hut prior to backtill.
underoofr.p!nnibing: Prio~'to insnlation or d'ecking.
Underfloor Drain: Prior to cover or placement of concrete.
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Rough Plnmbing': "Prior to cover and inclnding required testing.
Water Line: Prior to filling treoch and including reqnired testing. '
Sanitary Sewer Line: Pri~r t~ filling trench and including required testing.
Storm Sewer Line: Prior ,to flIling trench.
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Final Plu'mbi~g: 'i'When all plumhing work is complete.
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UnderOoor Mechanical. Prior to insnlation or decking and including required testing.
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Underfloor Gas: jAfter Ii,!~ i~ installed and required testing and capped if not attached to an appliance.
.
Pace 3 of 4
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CITY OF SPRINGFIELD
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Building/Combination Permit
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Status Issued ., 'ii '
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225 Fifth Street, Springfield, ORY',';::'<., .
541- 726-3753 Phone,; 'L~'~:< ::;,j!.C(.:'if,c,f1ii'i;:i"
541-726-3676 F~ic Ii '(-'(tjr'" ';', {
541-726-37691~spe<ti~~ Line
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PERMIT NO: COM2009-01551
ISSUED: 10/28/2009
APPLIED: 10/22/2009 .
EXPIRES: 04/28/2010
VALUE: $ 180,000.00
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Rough Gas: After line'j~ i~staUed a.nd required testing and capped if not attached to an appliance.
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Gas Service: After line is instaU~d and line has heen connected to a minimum of one appliance including required
testing. Presure test doneatt!tispoin,t.
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Rough Mechanical:~rioiito;'Cover {,
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Final Gas: When-aU gas work is complete.
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Final Mechanical: When aU mechanical work is complete.
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Tempo"h'y'Electric: Appro~al reqnired prior to Utility 'Company energizing pole.
Rough Electri~:~ Prior to Cover
Electric Service: Approval requiredyrior to ntility company energizing service.
Final Ele.~tric:,'Y,hen aU ~!ec!rical work is complete.
"~:~~~".,_J;'~~~ ,'" .41:..
Curbcui'~ Standard: After forms are erected but prior to placement of concrete.
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Sidewalk.-.C~rhside: After forms are erected but prior to placement of concrete.
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Erosion/Grading'Inspection: Prior to ground disturbance and after erosion measures are instaUed.
By signature, I state and agree, that 1 have carefnUy examined the completed application and do herehy certify that aU
information hereon is true and corr.e~t, and.I further certify that any and aU work performed shaU be done in accordance with
the Ordinances of the City .of Springfield and the Laws of the State of Oregon pertaining to the work descrihed herein, and
that NO OCCUPANCYwill be m-ade of any structure without permission of the Community Services Division, Building Safety.
1 further certify;that'only contractors and employees who are in compliance with ORS 701.005 will be nsed on this project.
1 further agree!o en~ur~ 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 remain on the site at aU
times during con'strri'ction.. 'f. \ .~ ';'_~ .
~/7../k2- ( /{J-dY-01,
Owner or cont~acto,r~s:gnatu~e;,~':f:;' Date
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Paee 4 of 4
.225 Fifth Street. Springfield, OR 97477.PH(541)726,3753+ FAX(541)726,3689
/<;5)'/
10 (i."2-IO r
Electrical Permit Application
)
This permit is issued under OAR 918"309-0000. Permits are nontransferable. Permits expire jfwork is not started withiu 180
days ofissuance or if work is suspended for 180 days.
~1f0~@~p~i;g!\l.t~fI;Nit;!l':4;eRR9)17ki~~I!i[~1~1
I Zoning approval verified? . 0 Yes 0 No..
1~~~~~tr~6~'R~~;~~~~[:E~~ff~0~~::;~~1 1 Residential, per unit, service included: 1
g1ili1!D'@(3JfSJiiL~1JINi1]5,R.]ji'~liJQNrji;1'lIf)!1.IfQ)::AillfQN1i!"~~!1 1,000 sq. ft. ~r less (4) $134.00 $ ~t..( I
I 1 Each additional 500 sq. ft. or portion r-71 I
Job site address: .$7<1L/ MIC"'- therenf '2r- $ 25.00 $;;1.....
1 City:S'x,..,~.c'e iol I State: 6R I ZIP: '17'1715' I 1 Limited energy (2) $ 32,00 $ ,I
"~=~~~~~~~~~Wfi"W~~;'~;~~~4~ I ~~~il~:"S~~~:r~~ ~e~~:r (~)odular $ 63,00 $ I
I IA_ /~ . I 1 Services or feeders: installatfon, alte'ration, relocation 1
I ~, OJ-o."II, r-Cl.V.IU_,/~, :''{'/'/- 6?1,~_.~ I I'
U l"t..l/J~<.J ~ _ ,\200 amps or)e" (2) $ 81.00 $
1~"""''''''1lf,j1('';'''''o/'''''A:;i:i'R.'-0i:fEofi'V''0W'N"'ER';'~';''';r;jti;W,,,",')',f"jg{"J,,,' 1 201 to 400 amps (2) $ 95.00 $ I
~f;q:Ji~'~.1k.~~~~,*&,'-!il=_.,~,~, _,~~~~I~",.C=w.0-_..,%-.;:'t"~<:~"f"~Wt~~~%~~l:~..,,,!joC-1
I Name: l-k'-/JN\ Kcvy--e <;. 'I 1401 to 600 llIpps (2) $158.00 $ I
I Address: ;JL;CC./ $G-J (.,(c./;,,^ 1 -I 601 to 1,000 amps (2) ,$205.00 $ 1
1 C. nil S /) I <;>77 Y' I lOver 1,000 amps or volts, (2) , $469,00 $ 1
tty: K <"0\ VVl"'" .0 tate: 6 .<. ZIP: I 5'0-
I Phone: 5<1i-2iif- (;,'))5. I Fax:S>/I-?'!!' ,;577, 1 1 Reconnect only (2) $ 63.00 $ I
IE-mail' . . " . s vou;o I Temporary services -or feeders: installation, alteration, relocation .1
.' . . .- __......... l<;lW reQUire . ..
This installation is being.ma,He\d~',~~~~d'~41i~t~rd'Wl'nlp~pell.9n Ul i~ 200 amps or less (2) .' \- $ 63.00 $ {(J~ I
owned by me or a mem"eriOfmY'lTI1mI:~ate~r1.i\>i$ are set J '201 to 400 amps (2) I
property is not intendedj[<lJ;s;1le\Ce5!:c'liiill r.\1ftfu8ulJWtJ~1ll52.')0. , $ 87.00 $
479.540(1) and 479.56R(1,1rAR 952-001- 0 . I ',es otthe rU'EB l\ylOl to 600 amps (2) , $126.00 $ 1
" y obtain cop .
Signature: 009~.. y~u ma nter, (Note: the,~el~~hO ~e Over 600 amps or 1,000 volts, see se!'VlCes or feeders section above 1
l~::~:;N~:~'~!:!~~~_~ .~~ I':r;::~~:i:::~~ ::;~~~t:~:::r~~~:s~~na:::i::e~r feederfe~: I'
1 Address: ,.)O<rS 7'1 (ove.., C -t. I 1 Each hranch circuit 1 1 $ 6.00 1 $ I
1 City: \5<:.1"\0\ 1 State: oR 'I ZIP: I -I b. Fee for branch circuits without purchase ofaservice or feeder fee : 1
I Phone:Sl q-3i1-19qq I Fax: .\'\ FirstbraI\ch circuit(2) '. '1 I $ 55.001 $ I
I E-mail: I I Each addItional branch CIfCUlt : I $ 6.00 $ I
) CCB license no.: -;Y 3fOc' I BCD license no.: ( ..22(J. 1 ' I Miscella~eous fees: service or feeder notincluded I
1 Signing supervisor's license no.: ''105 'i5 I 1 Each pump or irrig~tion circle (2) $ 63.00 $ . 1
1 Print name of signing supervisor: Ved ~("clcle{ . I 1 Each Sign gr,outline Itting,(Z) $ 63.00 $ I
I ,;",,~""_,ro,~"., v",10f,;clfiL j' r~c",="':~\, '",00' I
, it\C~" ~f>.,-,- ~' ,- ~r~pecti~: (I) ",^ $58.001 $ 1
\\~\~ ?t.?\fI\~ ~~IJt.? "'~f41~JiIR6'b;~[~O:S~~~__
~ ("~Q'\\"\ -:i"lji\-\Q?\l'\1J Q? \~ I, A) Enter subtotal of above fees
:Jfl(" .\V CQ\fI\fIt.~C r>-'1 ~'t.?\Q )~Minlmum Permit Fee $58.00) $ 2c.f)
/l.~'1 '\ BO IJ I (B) Enter 12% surcharge (.12 x [A]) $ l~ t, I( I
~ t . C".~) ,...(\ - t (C) Technology Fee (5%0f[A]) , $ I ~'.~S'
\Y,'\"'~ tlQ l)'\ '.1 TOTAL fees and surcharges (A through C): $-pn. 0/ 7
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440"2584-J (9108/COM) ~ ~ ',', ,
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f'J ?. Willamahine
" t Park & Recreation District
Job. No. {!fl- />)"'!
SYSTEI'v1 OEVELOPMENT CHA.RG~ INORKSHEETFQR 2009
NAME: HN/ DEN' H,oM.E':5 PHONE: ?-"2.0 G'jYS-
ADDRESS:J.<-("4 Sw 4.t..f,c/f:'YP( tZ-PM#J1> STATE~IP: q '74')6
LOCATION OF PROPOSED BUILDING SITE:
Street Address: . ~?9c'/ ~cA'
Plat Name: Tax Lot Number:/.!dz'"n7 C$SW
1. -DEVELOPMENT TYPE (Check . appropriate dwel/ing(s). Dwelling'type definitions areori the .
" '"back,) " . ,
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'-,
A. SinalecFamilv Detached
NO. OF UNITS
( X $2,858 per unit =
$ :l-fTd
B. .Sinale~Familv Attached
NO. OF UNITS
X $3,1.00 per Linit =
$
C, Multi-Familv Abartmemt
NO, OF UNITS
X $2,641 per un!t =
$
D. Sinale Room Occuoancv
NO. OF UNITS
X $1,321 per.unit =
$
E, Accessorv Dwellina Unit
NO. OF UNITS
X $1,550 per unit =
"$
$
WILLAMALANE SDC
,2. SDC CREDIT (If. applicable) SDC payer must furnish proof of
Willamalane Credit approvaL)
$
3.. TOTAL WILLAMALANE NET SDC ASSESSED
. (if SDC reduced for Credit)
$ 2,.3S!)
"~
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"'-,~Date ~~. .-----:.-:_--.:------ --.~-...---.-.----~--.-.~-.-..~.- ----
....:- :"':--'Devel6'pment'SeiVices' De-paftmeiif
City of Springfield ."
5
225 Fifth Str.eet It ... i'
Spr.ingfield,_Oregon' 97477,
541-726-3759 Phone..
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City of Springfield Official Receipt
Development Servi,ces Department
Public Works Oepartment
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't ,'iu:CEIP1}#;; 1200900000000001198
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Job/Journal Nurnber.:~~ .;,~Des:cfiptiori: .
COM2009-01551, ,J, '/ f,'Plall Review Major - Planning
C()~2009-0)5.5.I.,;'fi;;~:':ih:~B}l:~vie~~'!H'e As .
C0M2009-01551' )\:\"IBuild(ri 'PeTIIlit', . ,.
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COM2009-01551 .. "AdctressingAsslgnl11ent
COM2009-01551 ..' Willamalan~"Sin~k Family
COM2009-01551 :2 Baths,One9r.J;~'.'Fa.mily "
~~~~~::~: ~~: 'i::"E:',;y:~~t~~~!~\:l~~~:~?;';_:' ' , " .
COM2009-01551"~:};;'Appliance Vent
C0M2009-0 1551 " ,/""" ,'.Exhaust Hoods
! .... . . -~':'.~T:~,,':t,~:~i;:_,_:~' ..;;':"- ....
COM2009'01 55 1.,..';!i(i'J?'-',Dryer \I~nt""
COM2009-0 1551'!.'Gas'Outi~d'i~4>:, .
COM2009-01551 '!'Fireplace (Li~t;d)'"
COM2009-0155I Residence Wiring 1000 Sq Ft
COM2009-0155I Residence Wiring EaAddtl500.,
COM2009-01551 ."!,;, ,iTemp power 20~ amps or less
COM2009-0155 I .;;._! !fSidewalk Permit
C0M2009-0155I '. 'Curbcut Permit
. ,.1 ~ ,. _', .
COM2009-0 1551~r; ;p~ pisc ~ 2~~ ~ermit
COM2009.0155 I , Storm Dr~inageJmpervious Area
C0M2009-0155 I Sanitary Sewer !Reimbursement
COM2009-0 1551 Sanitary Sewer - Improvement
COM2009-01551 SDC Tran Reimburs-Residential
COM2009-0155 I SDC Trans Improvement-Resident
COM2009-0155I (.', j',Cre'ait -,Trans lipprov SDC
COM2009-0155 I i'. iSDCMWMCReimbursement
C0M2009-015511l iSDCMWMC Improvement
COM2009-01551 ~,'" ISDG MWMC Administration
COM2009-0 1551 SDC Sanitary/Storm Admin
COM2009-01551 SDC Transportation Admin
COM2009-01551 + 5% Techoology Fee ,)
COM2009-0155 I + 12% State Surcharge
<. ":,' .~;L$::" ~~:d\"."';.f1 j~'
Date: 10/28/2009
9:16:59AM
Payments:
Type of Payment
CreditCard
,';'!. "
Paid By
HAYDEN H()MES INC
\,' -":.it;
, .
Item Total;
Check Number Authorization
Received By Batch Number Number How-Received
Amount Due
211.00
250.00
1,034.35
38.00
2,858.00
337.00
79.00
27.00
9.00
13.00
9.00
7.00
20.00
134.00
50.00
63.00
88,00
88.00
(30.00)
802.70
695.83
529.11
211.21
931.65
(931.65)
101.97
1,044.54
10.00
153.75
16.02
106.97
213.88
$9,171.33
Amount Paid
djb
084435 In'Person
Payment Total:
, $9,171.33
$9,171.33
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Page I of I
10/2812009
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