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Home My WebLink AboutPermit Building 2007-5-4 '-T-~.. Ut.1'fJ.1i '. ~J Status Issued . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00324 ISSUED: 05/0412007 APPLIED: 03/05/2007 EXPIRES: 11104/2007 VALUE: $ 188,784.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5777 MT VERNON RD ASSESSOR'S PARCEL NO.: 1802030006300 SPRINGFIE TYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: Single family residence -lot 197 TYPE OF USE: New Residential Owner: HA YDEN ENTERPRISES Address: 2622 SW GLACIER PL #t to REDMOND OR 97756 Contractor Type General Electrical Mechanical Plumbing I CONTRACTOR INFORMATION' Contractor HA YDEN ENTERPRISES M & W ELECTRIC INCORPORATED PACIFIC AIR COMFORT INC MASTER PLUMBING Lieense 92208 67362 39237 I BUILDING INFORMATION I ~ITes 1" - .\,\'1 # of Units: I On la'M'rsl Jfi\}on UtI I {\ 2 Primary Occupancy Group: :r~\l\'.Oleg d 'oY~\JIi\ of S.f.'l'll'fIille'O ~ 25.00 Secondary Occupancy Gro~P:I'E\'I UltlJYadOpte "\"\'IG'YPe\l~~tr\ 9S2..~9ced Air Gas Primary Construction Typ\'OlIOW Tl\ \!;e!\\61. 0 i:~€I'r h\'le TUlaS C Gas Secondary Construction T~8t~lcatl~2.()O'\..oo\. ~esr.y ~e\ep\'lonl/l Gas # of Bedrooms: In O~f\ 9 tna'/ opt311 ~~~I\.;-;~IIICa\ion Path t 0090. 'fOu "'e canteT. Ja,'j\nSI.eiI\'Bli'I Ing: n/a '/'"" \\, ",..,(l\J _^ ,.,,,,4 .}. ~~~beT\OTi'IfEVEJ:(WMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Subdh'ision NotAccepted Street Improveinents: Storm Sewer Available: Special Instruction: 29.00 Overlay Dist: 10.00 # Street .Trees Rqd: 10.00 Paved Drive Rqd: 11.22 % of Lot coverHteWOR\\ ~O"\fu~,,,,, c.\-\r..LL n,I'\RE~~;",. It; N01 1t1\~;~R;~E.lhlt\.t~lJl~ rMJ;'kQ~~~ I Ml 0 01{ I;) tW'" .- CONIMii~gpr'lteI!.100. I\N'< \ BO 01\'( 'rW Phone Number: 541-228-1081 Expiration Date 07/29/2007 06/19/2007 03/25/20tO Phone 541-228-1081 541-754-6171 541-672-9510 Lot Size: 4,495 Sq Ft 1 st Floor: 729 Sq Ft 1nd Floor: 999 Sq Ft Basement: Sq Ft Garage/Carport 400 Sq Ft Other: Oceupant Load: REQUIRED PARKING o Yes 25.tO Total: Handicapped: Compact: 2 Sidewalk Type: Downspouts/Drains: To Storm Sewer Notes: For this parcel in Jasper Meadows, it is the recommendation to the Building Division, by the City Engineer: "that final occupancy should not be given until the subdivision is accepted by City Council". Storm H20 to curb & gutter. JLP 4/5/07 Paee I of4 .:....SF!. _AIN."__ ~ .. ~.. . a~. Status Issued 225 Fifth Street, Springfield, OR 54t-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Dwellin2s Gara2e V Wood Frame Gara2e Fee Description Plan Review Residential + 10% Administrative Fee + 5% Technology Fee + 80/0 State Surcharge Temp Power 200 amps or less -Mechanical Issuance Fee- 3 Baths One & Two Family Addressing Assignment Building Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Fireplace (Listed) Furnace - up to tOO,OOO btu Gas Outlets 1-4 Plan Review Major - Planning 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/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Vent Fan Willamalane Single Family Total Amount Paid . I Valuation Descriotion I $ Per Sq Ft or multiplier $103.00 $27.00 . Square Footage or Bid Amount 1,728.00 400.00 Total Value of Project FpP~, ~. Amount Paid $555.68 $5.00 $2.50 $4.00 $50.00 $10.00 $306.00 $31.00 $854.90 $6.00 $9.00 $106.40 $t5.00 $t2.00 $4.00 $198.00 $106.00 $57.00 $554.14 $728.74 $10.00 $961.52 $91.61 $t30.92 $69.78 $836.32 $t89.58 . $641.03 $18.00 $2,303.00 $8,868.12 Date Paid 3/5/07 3/27/07 3/27/07 3/27/07 3/27/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 Pa2e 2 of4 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00324 ISSUED: 05/04/2007 APPLIED: 03/05/2007 EXPIRES: 1110412007 VALUE: $ 188,784.00 Value Date Calculated $177,984.00 $10,800.00 $188,784.00 03/05/2007 03/05/2007 Receipt Number t200700000000000234 1200700000000000334 1200700000000000334 1200700000000000334 1100700000000000334 1200700000000000505 1200700000000000505 1200700000000000505 1200700000000000505 1200700000000000505 1200700000000000505 1200700000000000505 t200700000000000505 1200700000000000505 1200700000000000505 1200700000000000505 1200700000000000505 1200700000000000505 1200700000000000505 1200700000000000505 1200700000000000505 1200700000000000505 1200700000000000505 1200700000000000505 1200700000000000505 1200700000000000505 1200700000000000505 1200700000000000505 1200700000000000505 1200700000000000505 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00324 ISSUED: 05/0412007 APPLIED: 03/05/2007 EXPIRES: 11/04/2007 VALUE: $ 188,784.00 . 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 03/05/2007 03/05/2007 I Plan Reviews I 03105/2007 APP 04/25/2007 APP NJM TAJ Public Works Review 04/03/2007 WE JLP 03/05/2007 Public Works Review 04/09/2007 WE JLP 04/05/2007 Public Works Review 04/1t/2007 04/1112007 APP JLP Structural Review 03/05/2007 03/15/2007 10 LLH Structural Review 03/15/2007 03/20/2007 APP LLH Per the agreement in the lelter dated 4/25107 from Hayden Homes, this house is required to have a 3' walkway from the porch to the street and windows in the garage door. PW Rcvd 3/5/2007 JLP ... Bldg shown in easement on site plan. Lft msg for Eric @ 228-108t 4/4 @ 4:50pm.JLP 4/4/07 Rcvd call from Eric of Hayden @ 10:15am 4/9. Discussed that site plan shows PUE on opposite side as plat. I faxed plat and site plan to Eric @ 184-4527. Eric will resubmit site plan. Will complete review at that time. JLP 4/9/07 Rcvd new site plan. Gave a eopy to Don Moore. Updated Tidemark and SDC worksheet.JLP APP 4/11107 Plans forwarded to The Building Department for Struetural Review. Plans reviewed and approved by Shawn Eaton with The Building Department under contract with the City of Springfield 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. will be made the following work day. Uenllire'Un~nections I 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 1100r 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. Paee30f4 . . CITY OF SPRINGFIELD - Building/Combination Permit Status Issued PERMIT NO: COM2007-00324 ISSUED: 05/04/2007 APPLIED: 03/05/2007 EXPIRES: 11/04/2007 VALUE: $ 188,784.00 225 Fifth Street, Springfield, OR 54 t -726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Final Building: After all required inspections have heen requested and approved and the building is eomplete. Undernoor Plumbing: Prior to insulation or decking. Rough Plumhing: 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. Undernoor Mechanical. Prior to insulation or decking and including required testing. Undernoor 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 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 eomplete. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. 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 eontractors 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, 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. z. ~~ Owner or Contractors Signature S fl./ /o-r Date Paee 4 of 4 ZON UJ€.., INITIALS N rv\ DATE ':"'), -1- 0"1 SOURCE --L:r>~ ~ Date ~- If-O( ;f*~~H .;r...~.:..:,.,~~.' ....._.~~'..,.~::r~~~f~~~i!J:~~~~.;.;~-~~..W~~.~~~~:.-~ 3. E~~~~~~~~~~;n~.~~n~~~f!.~~~t1\~t~~~ ~'~l~~";'.'~, ::r;;:t';'ll.'~.Y,G-;y~{.~~~r,:",,':~'~I'-''!--=iti:;'.~(I:!;;~'JE''''..''i'~.....t:,.':~~~t~~"'lti';I~~ , ;\. "Ne*:ReSidtJitliil"--:si!il"" Miilll.=FSni....- - "lIWiiIllii~' '''uC'''''' LE\'<tWtf!EO 0 \9~O ",. ~~::~~~:~..~.Id~"~-"~~.J,,~,,!c.=';JW-""'">""-'"'~'~;li{ . JO~~CRIP11~" ~Jfflfr~n$) 1000 sq. ft. or less \ $106.00. \nb.~ r . 1 ~ Each additional 500 sq. ft. or..-:L ~. fl~ . ~ ' ,~-f portion thereof ' .J S 19.00 ~ , Permi!s are n-transferable a~d J}k.e if work 11. - Each ManufDc;'d Home or not started within 180 days of issuanRor if work is Modular Dwelling Scrvice or . Suspended for 180 days. Feeder ,.... " 200 Amps or less ' $ 63.00 201 Amps to 400 Amps $ 75.00 401 Amps to 600 Amps. .('u '\,\J~ $125.00 601 Amps to 1000 Amps ~\~0<;' I< $'i.\\~fJ.63.00 Over 1000 AmpslVolt> ~ ~0~~~V _ qa'\, ~75.00 . R=Jnnect Only ~o~,,\'a: ~0 ~0<;' 'ao.-;' Q,~" 1:}O'OO ;-,";)Sf~~~~Z~~~-. \\)' .- -.~~-""'.., C. bt~~~~~~J(~ e-oL, ;~~,,~ ~ \.r~\,0 G0('.~~"'~' .CO~ .~0 ~o'i.~~ . ~~tiGb; ~r){!<f.~~ ~~l!l'I /l./l.'\. c:.l!"'\ e,D ~~~~,\a~\0~.1:! o('.~^".'1 S50.00..JV. 1~~~1IO'\~~~~~"'" ,$ 69.00 '4~PIi\~~PS'~ $100.00 [o'(>.~0~ ' ~'~~~.9~~t::.;.;;~~:.l:t~i?~~~~~;;~;;::~~,j'~~~~:~""''":'~1~r.~~ Si~z:upervwmgEleCmCian D'=!;~~!~:;:~;~~::~::!~{.~ },h.' .A .A\r\Mf\f"'\ EachAdditionalCmt;9rwiths\,\I'\.~n\\,\\S".';:,~~\i'- Owners Na e ')'UJ..-\L\Ql\ \J \.!1l'WJ' Servicc orF~\l.,~\\ \'i'~:{.,~ ~\)~~'ou . ~~trA ~ ....,~'~'-'''..~-'lt... >~~\\ .-"",.... ~-~v~.~.=..-~"',... ) /" . E. ~~iiiiiii\i~'-- ,,,:". rii~"\1,!~~@~f.i::Ea'cltiiiiijuail~; Address """'1-- _ ~ <<.: ;:;c)';;"'l':lli'.o:'-'-:;::.~:;:a."::nb' td ~"t\\i,.~~..__~;~.:~&:,...~:a~".@~.v,:r~';';'~.';:'1Y.:I:e~ City ~ Phone Pump or irrigation c,\)~ \'C\) \)~ $ 50.00 Sign/Outline Ligh*~' , " $ 50.00 Umiled EnergylResidentiaJ $ 25.00 Umited Energy/Commercial S 45.00 Minimum Electric Permit Inspeetion Fee Is $45.00 + Surcharges ~?'~':-~(,":!~Ji~7~~~J~~~~:~;~~~~.t~~~~~ia'Z'I"~~~i_~~t~~"-:JJ1~ r() 4 ,'BL'BTeT.A.L'OF)i..BQVE.',-",,"",';'f '~"'''~'',;lfc... ' VV . ,t-:,-, .;.,,: ::~"~~~~'.::"; ';':';;;~,Et,"i.j\i"',~':' ~ "';!l'r~'/':'litTii:J~.Ii;~i:<t:;',;:" ~"l."\,.!;~t~i:~ti;(;' f' , ',.~~:;::;:;:~:r-,_.,_"_,..."' :'''.....,~ ': :"'" ~ 1 .. . 2. ~;.~~t~;~g2i~~1jgi~i~~ Electrical Contractor MfiU fl~~i ~(., Address ~'1\il\'l H<-v<{ 1'1 Sw City A\k.,^~ Phone S'{/" 7S'(-(I17{ , Expiration Date l.f:),7t./S /0/01 Supervisor License Number Constr. Contr. Number 1013&;2... {;/,'1/:xor Expiration Date OWNER INST ALLATlON The installation is being made on property I own which is not intended for sale, lease or rent Owners Signature: Inspection Request: 726-3769 S50.00 , , ..~,,,..-,,,.........,............,,-,,.,.,.,.-, ....-:11',.....,_. ":"'1'_ .......=....,.,..., "'.""~=",~" .(f.d.,*'.~............'Ilrnn','-_.,~ r.4; "~-".""";: ,. ,~~~.r..,,~,,~..':'.o-~" .~.~. .~.". ..... .....~-,.......",; J J.,'~...'\:r~.~~. '.",.~..~.~"'C',~~:E~:":..'i"iIi".. Ir~ B. ~~:il~~t~~i:~~i~~~ttt~1~J.!t~?~~kii 10% Administrative F~ ~~' / Shared Drivc(T:)/Building Fomu!El",trical perm;t~\m U1Hld~NIHdS dO XLI~ 689t9ZLItS IVd 60:01 HaL 90/II/LO IOOjjJJ _ CITY OF S.GFIELD SYSTEMS DEVELOPMEN~SHEET JOURNAL OR JOB NUMBER: C0M2007-00314 NAME OR COMPANY: Hay.dcnEnl LOCATION: 5777 Ml Vernon TAX LOT NUMBER: 1802030006300 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS I BUILDING SIZE (SF' ,1238 LOT SIZE (SF): LSIQRM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. CHARGE I 1913.00 1 $0.336 I = I $642.03 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 $0.336 I I 50% I ~ I ITEM I TOTAL - STORM DRAINAGE SDC $641.03 2: SANITARY SEWER - CITY A REIMBURSEMENT COST: I NUMBE~~F DFU's I x B. IMPROVEMENT COST: I NUMBER OF DFU's I x I 28 I COST PER DFU $26.03 $19.79 ITEM 2 TOTAL - CITY SANITARY SEWER SDC ~I I~ I~ o I i=: 'Vl G ~ DISCOUNT $0.00 $641.03 1070 S728.74 =, SSS4.t4 =1 St,281.88 11091 I 1092 3 TRANSPORT A TlO1'!: A REIMBURSEMENT COST: I ADT TRIP RATE I x I 9.57 I B. IMPROVEMENT COST: I ADT TRIP RATE I x I 9.57 I I NUMBER OF UNITS I x I I I I i I NUMBER OF UNITS I x I I I I ITEM 3 TOTAL - TRANSPORT A nON SDC 4. SANlTA-'IV SEWEll - MWM& A REIMBURSEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I I I I S91.61 B. IMPROVEMENT COST: INUMBER OFFEU's I x ICOST PER FEU I I I I S961.51 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRA TlVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = 1 SUBTOTAL (ADn ITEMS 1, 1, 3, & 4) ~ 1 ~STRATIVE FEE: I SUBTOTAL x I ADM.FEERATE I~ I $4.013.94 I 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Jeff Prociw 4/11/2007 PREPARED BY DATE COST PER TRIP S19.81 x INEWTRIPFACTORI I 1.00 = S189.58 = , COST PER TRIP S87.39 SI,025.90 x I NEW TRIP FACTORI I 1.00 I $836.32 = $91.61 =, $961.52 , SO.OO =, SIO.OO SI,063.13 $4,013.94 CHARGE S200.70 TOTAL SDC CHARGES 1 130.92 _. __-_-_ _1,_, ~?~_'?~.n-_ =, $4,214.64 , 1093 1094 I I IOS4 lOSS 11054 11056 I 11079 1078 . . '. - ..--.- DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE --.,.- I NUMBER OF NEW FlXTIJRES x UNIT EQUIVALENT - DRAINAGE FIXTIlRE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY TIlE NET ADDmONAL FlXTIJRES) NO. OF FIXTURES DRAINAGE UNIT FIX11JRE FIXTURE TYPE NEW OLD EQUN ALENT UNITS BATIITUB 2 0 3 I = 6 -J DRINKlNG FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETe. 0 0 3 = 0 I IINTERCEPTORS FOR SAND / AUTO WASH / ETe. 0 0 6 = 0 I ILAUNDRY TUB 0 0 2 = 0 I ICLOTHESWASHER/MOP SINK 1 0 3 = 3 I ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 WOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 1 RECEPTOR FOR REFRlG / WATER STATION /ETC. 0 0 1 = 0 I RECEPTOR FOR COM. SINK / DISHWASHER / ETe. 1 0 3 = 3 ISHOWER. SINGLE STALL 0 0 2 = 0 1 , I SHOWER. GANG ~ER OF HEADSl. 0 0 2 = 0 I I SINK: COMMERCIAURESIDENTIAL KITCHEN 1 0 3 = 3 I SINK: COMMERCIAL BAR 0 0 2 = 0 ~INK; WASH BASINIDOUBLE LAVATORY 1 0 2 = 2 SINK: SINGLE LA V ATORYIRESIDENTIAL BAR 2 0 1 = 2 IURINAL. STALL / WALL 0 0 5 = 0 TOILET. PUBLIC INSTALLATION 0 0 6 = 0 fTOILET. PRrVATE INSTALLATION 3 0 3 = 9 MISCELLANEOUS Dru TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 18 ~u (Equivalent DwellinR, Unit) is B discharr(e equivalent to a single family dwellin2 unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE Il~D J CREDIT RA TE/$I,OOil- , ~ ASSESSED VALUE IS LAND ELGlBLE FOR ANNEXATION CREDIT? 2 I BEFORE 1979 $5.29 (Enter I for Yos, 1 for No) I 1979 $5.29 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREam 2 I 1980 $5.19 (Enter I for Yos, 2 for No) , f 1981 $5.12 BASE YEAR 1979 1982 $4.98 I 1983 . $4.80 CREDIT FOR LAND (IF APPLICABLE) I 1984 $4.63 VALUE/1000 CREDIT RATE I 1985 $4>40 $0.00 x $5.19 =, $0.00 I 1986 :$4.07 I 1987 $3.67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) I 1988 $3.22 VALUE /1000 CREDIT RATE I 1989 $2.73 $0.00 x $5.29 = I 0 I I 1990 $2.25 I I 1991 $1.80 I 1992 $1.59 TOTAL MWMC CREDIT = $0.00 I 1993 $1.45 I I 1994 $1:25 I 1995 $1.09 I I 1996 $0.92 I 1997 $0.72 II I 1998 $0.48 I 1999 $0.28 Ii 2000 $0.09 2001 $0.05 225' Fifth S~reet Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-00324 COM2007-00324 COM2007-00324 COM2007-00324 COM2007-00324 COM2007-00324 COM2007-00324 COM2007-00324 COM2007-00324 COM2007-00324 COM2007-00324 COM2007-00324 COM2007-00324 COM2007-00324 COM2007-00324 COM2007-00324 COM2007-00324 COM2007-00324 COM2007-00324 COM2007-00324 COM2007-00324 COM2007-00324 COM2007-00324 COM2007-00324 COM2007-00324 Payments: Type of Payment CreditCard cRcccintl . ~. ~ ~- c;;a of Springfield Official Receipt .Iopment Services Department Public Works Department RECEIPT #: Date: 05/04/2007 1200700000000000505 Description Fire SF Fee - Residential Building Permit Addressing Assignment WillamaJane Single Family 3 Baths One & Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Gas Outlets 1-4 Fireplace (Listed) -Mechanical Issuance Fee- Residence Wiring 1000 Sq Ft Residence Wiring Ea AddU 500 Storm Drainage 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 Major - Planning Paid By HAYDEN HOMES Item Total: Check Number Authorization Received By Batch Number Number How Received djb 041674 In Person Payment Total: Page I of I 1:33:3IPM Amount Due 106.40 854.90 31.00 2,303.00 306.00 12.00 18.00 9.00 6.00 4.00 15.00 10.00 106.00 57.00 642.03 728.74 554.14 189.58 836.32 91.61 961.52 10.00 130.92 69.78 198.00 $8,15U.94 Amount Paid $8,250.94 $8,15U.94 5/4/2007