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Home My WebLink AboutPermit Building 2010-1-26 -,~"p-....'."'~.I~a,o.... <. . '. !t..... '. ;1 ~......., .~. '.. . . '. ',' t ._.. ,....... .. '" '_', ....._, .. ",,' ""._,..,ti .,~ Status Issued 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 54]-726-3676 Fax 54]-726-3769 Inspection Line SITE ADDRESS: 2587 ]6TH ST ASSESSOR'S I'ARCEL NO.: 1703243103000 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00045 ISSUED: 01/26/2010 APPLIED: 01/13/2010 EXPIRES: 07/26/2010 VALUE: $ 204,000.00 Springfield TYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: Single family residence TYPE OF USE: New Residential Owner: CELIA BARRY Address: 465 HORN LN EUGENE OR 97404 I CONTRACTOR INFORMATION ~ License 137757 149834 460 16792] Expiration Date 09108120] ] 1211312011 0612712011 011]6120]2 Phone 54] -686-9929 crowvalleyelectr 541-726-0100 54]-688-]931 Contractor Type .General Electrical Me~hllnical , Plnmbing Contractor BRIAN MURRY CONSTRUCTION LLC CROW VALLEY ELECTR]C COMFORT FLOW HEATING CO. DONALD CLEWIS , # of Units: Primary Occnpancy Gronp: . Secondary Occnpancy Group: Primary Constrnction Type Secondary Construction Type: # of Bedrooms: ' ] R-3 U VB Front yard Sctback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 20.00 ]4.00 ]4.00 20.50 ] 1.00 Subllivisio.n Not Accepteil Street Improvements: Storm Sewer Available: Speciallnstrnction: 4 B,UlLDING INFORMATION I # of StorieATTENTlON: Oregon 'f~;B' ~~ Heigbt offijllOVl.ndes adopt &N e V&QoItb Type of IHotification Center.~ose ru ~~ Water T,'-^AR 952-OO1-OO10thro~gscul<O.R_d_"" JW'<V y obtain coplelJw......'...-....., Range T~90.. You ma oler (Note: fileItllliip~arport Energy PatlOllhn9 the ce . n Uti.... ~ : ...hAf for the Ot.,gon U_\~.:'~" Sprinkled IJ\\ItUf!lgCeoler Is \~&llItPII't Load: I DE~ELOPMENT INFORMATION I 462 7,822 1,914 ~~'~r1ay I?ist: ,.. .~'\o".'1.pi'.""... # Street Trees Rqd: , Pa~ed Dri~e Rqd: % of Lot Coverage: REQUIRED PARKING ......IlJl<J.;;.u...,;~~.::... 2 Yes 30.35 Total: Handicapped: Compact: 2 -,"'.' I PUBLIC IMPROVEMENTS I Sidewalk Type: Downspoutsillrains: For this parcel in Legacy Estates, it is the recommendation to the Building Division, by the City Engineer: "that no connections shall be made to sanitary or storm H20 systerns,.untiLthC:"l:'.i.'..:.",:,:,:,,,, ',,'" ~_: '.,...,.~_,J.. ,',' " . subdivision is accepted by City COUIlcil". NOTICE: . ^~;"~E. WORK':~: THIS PERMIT SHAll EXPIR~MIT IS NOT~!i AUTHORIZED UNDER ~AISNOONED FOR~t)<t~: COMMENCED ORIS"" .' ,",'. ANY 180 DAY PERIOD."'~:::;::;'; .', ,. ," Notes: Pa~e ] of 5 Status Issued 225 Fifth Street, Springfield, OR 54 ]-726-3753 Phone 54] -726-3676 Fax 54]-726-3769 Inspection Line Description Tvpe of Construction Bid Amount GaraeelMisc SFlDnplex Use Bjd Amonnt U VB Utilitv R-3 VB ]&2 Familv Fee Description Plan Review Residential + 12% State Snrcharge + 5% Technology Fee ]st Appliance 2 Baths One or Two Family Addressing Assignment Building Permit Curbcut Permit Dryer Vent Exhanst Hoods Fire SF Fee - Residential Fireplace (Listed) Gas Onllets ]-4 Plan Review Major - Planning PW Disc - 2nd Permit Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Compliance Charge SDC MWMC Improvement SDC MWMC Reimbursement SDC SanitarylStorm Admin SDC Transpo Improvement SDC Transpo Reimbursement SDC Transportation Admin Sidewalk Permit Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan WiIlamalane Single Family Total Amount Paid :.1.; . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2010-00045 ISSUED: 01/26/2010 APPLIED: 0]/]3/2010 EXPIRES: 07/26/2010 VALUE: $ 204,000.00 I VaIuation Descriotion I $ Per Sq Ft or multiplier $1.00 $37.72 $96.83 Square Footage or Bid Amonnt 204,000.00 462.00 ],9]4.00 Valne Date Calculated $204,000.00 $]7,426,64 $185,332,62 $406,759,26 0]11312010 011]912010 011]912010 Total Value uf Project J;'P"'~ Amount Paid' $735.82 . $227.52 $] 12.65 $79.00 $337.00 $38.00 $],132.03 $88.00 $9.00 $13.00 $118.70 $20.00 $7.00 $2] 1.00 $-30.00 $134.00 $75.00 $551.16 $724.83 $10,00 $22.63 $1,333.57 ' $101.97 $172.22 $931.65 $211.21 $80,53 $88.00 $1,] 68.07 $63.00 $27.00 $2,858.00 $] ],651.56 Date Paid Receipt Number 1/13110 1/261] 0 1/261] 0 1/261] 0 11261]0 1/261] 0 1/26110 1/26/1 0 1/26/1 0 1126110 ]1261]0 ]1261]0 1126110 1/261] 0 1/261] 0 1/261]0 1/261] 0 1/26/1 0 1/261] 0 1/26110 1126110 11261]0 1/26110 1/26110 1/26110 1/261] 0 1/26110 . 1/26110 1/26110 1/26110 11261] 0 1/261] 0 2201000000000000033 1201000000000000076 120]000000000000076 120]000000000000076 ]20]000000000000076 ]20]000000000000076 120]000000000000076 120]000000000000076 ]201000000000000076 ]201000000000000076 ]201000000000000076 ]201000000000000076 ]20]000000000000076 120]000000000000076 120]000000000000076 ]20]000000000000076 ]20]000000000000076 1201000000000000076 1201000000000000076 ]201000000000000076 1201000000000000076 ]201000000000000076 120]000000000000076 .1201000000000000076 ]20]000000000000076 1201000000000000076 ]20]000000000000076 120]000000000000076 ]20]000000000000076 ]201000000000000076 1201000000000000076 ]20]000000000000076 Paee 2 of 5 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00045 ISSUED: 01/26/2010 APPLIED: 01/13/2010 EXPIRES: 07/26/2010 VALUE: $ 204,000.00 Status Issued 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 541-726-3676 Fax 54 ]-726-3769 Inspection Line I Plan Reviews I Structural Review 0111512010 Initial Review 0]11512010 0]115120]0 LLH LLH Plan nine Review 01115120]0 011]5120]0 APP DDK Structural Review 01119120 I 0 01119120]0 WI KLK Public Works Review 011] 5120] 0 01121120]0 APP TSS Structnral Review 01125120]0 KLK 01125120]0 WE Structural Review 0112612010 01126120]0: APP KLK Approved as shown on plans. Waiting for Pnblic Works and for Electrical App. Signed, For this parcel in Legacy Estates, it is the recommendation to the Bnilding Division, by the City Engineer: "that no connections shall be made to sanitary or storm H20 systems, until the subdivision is accepted by City Council". Provide Electrical Application 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. IRro\~ Site Inspection: To be made after excavation but prior to setting forms.- ErosionlGrading Inspection: Prior to gronnd disturbance and after erosion measures are installed., Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction witb footing andlor 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 af'ter~jl rotigh in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insnlation: Prior to cover. Roof SheathinglNailing: Before covering sheatbing with finish material. Paee 3 of5 CITY OF SPRINGFIELD i'. Building/Combination Permit Status Issued PERMIT NO: COM201O-00045 ISSUED: 01/26/2010 APPLIED: 01/13/2010 EXPIRES: 07/2612010 VALUE: $ 204,000.00 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 54]-726-3676 Fax 541~726-3769 Inspection Line Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Bnilding: After all required inspections ~~vebeen requested and approved and the building is complete. Underground Plumbing: Prior to filling the trench'and including required testing. Perimeter Foundation Drains: After gravel and filter cloth is installed bnt prior to backfill. UnderOoor Plumbing: Prior to insulation or decking. Undernoor Drain: Prior to cover or placement of concrete. Rough Plnmbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trencb and including reqnired testing. Storm Sewer Line: Prior to filling trencb. Final Plumbing: When all plumbing work is complete. Undertloor Mechanical. Prior to insulation or decking and inclnding required testing. Undertloor Gas:. After line is installed and required testing and capped if not attllched to an appliance, Rongh Gas: After line is installed and required testing IInd capped if not attached to an appliance. Gas Service: After line is installed lIud line has been connected to a minimum of one appliance including required testing. Presure test done lit tbis point. Rough MechanicllI: Prior to Cover r,t\;1 , - Final Gas: Wben all gas work is complete. ''', Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. UfoI' Electrical Ground: Install ground rod at footing and call for inspection in conjuction with footing andlor foundation inspection. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Low V ollage: Prior to cover. LathlPlaster: To be made after all III thing and gypsnm board, interior and exterior are in place, but prior to plastering. Curbcut - Standard: After forms are erected but prior to placement of concrete. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. I;, Paee 4 of5 Status Issued 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 541-726-3676 Fax 541~726-3769Inspection Line '"' . ~ 1 ; ., ' CITY OF SPRINGt< l~LD Building/Combination Permit PERMIT NO: COM2010-00045 ISSUED: 01/26/2010 APPLIED: 01/13/2010 EXPIRES: 07/26/2010 VALUE: $ 204,000.00 By signatnre, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all information hereon is true and correct, and J 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 withont permission of the Community Services Division, Building Safety. I fnrther 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 tbat all required inspections are requested at tbe proper time, that each address is readable from the s~reet, tha.t-~er~it ~ard is located at the front of the property;and the approved set of plans will remain on the site at all times nDg~const chon. ;r---- Pa2e 5 of5 /-26-10 Date GP.,RINQ FIBLO.. '~." ...,...'. \ A'- 0:', , 1Iii:~ '.' '~" " -- - .- .....-....._"....'..'^..:..~:.. - 225 Fifth,Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM20 I 0-00045 COM20 I 0-00045 COM20 I 0-00045 COM20 I 0-00045 COM20 I 0-00045 COM20 I 0-00045 COM20 I 0-00045 COM20 I 0-00045 COM20 I 0-00045 COM20 I 0-00045 COM20 I 0-00045 COM20 I 0-00045 COM20 I 0-00045 ' COM20 I 0-00045 COM20 I 0-00045 COM20 I 0-00045 COM20 I 0-00045 COM20 I 0-00045 COM20 1 0-00045 COM20 1 0-00045 COM20 1 0-00045 COM20 10-00045 COM20 I 0-00045 COM20 I 0-00045 COM20 I 0-00045 COM20 I 0-00045 COM20 I 0-00045 COM20 I 0-00045 COM20 I 0-00045 COM20 I 0-00045 COM20 I 0-00045 Payments: Type of Payment CreditCard Check cReceioll City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: Date: 01/26/2010 2:40:59PM 1201000000000000076 Description Addressing Assignment Willamalane Single Family Temp Power 200 amps or less Fire SF Fee - Residential Plan Review Major. Planning Building Pennit 2 Baths One or Two Family I st Appliance Vent Fan Exhaust Hoods Dryer Vent Gas Outlets 1-4 Fireplace (Listed) Sidewalk Pennit Curbcllt Penn it PW Disc - 2nd Permit ,j" '. 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 SanitarylStonn Admin SDC MWMC Compliance Charge SDC Transportation Admin Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 12% State Surcharge + 5% Technology Fee Amount Due 38,00 2,858,00 63.00 118,70 211.00 1,132,03 337.00 79,00 27.00 13.00 9.00 7,00 20.00 88.00 88.00 (30.00) 1,168,07 724,83 551.16 211.21 931.65 101.97 1,333.57 10.00 172.22 22,63 80,53 134,00 75,00 227.52 112,65 $IU,915,74 r Paid By BRIAN MURRY BRIAN MURRY CONSTRUCTION Item Total: Check Number Authorization Received By Batch Number Number How Received' djb 003608 In Person dj~ 3122 In Person $9,500,00 $1,415.74 Amount Paid Payment Total: $IU,9]5.74 Page I of2 112612010 I DEPARTMENT USE ONLY I CrO -000 '-I S- PermIt no.: Structural Permit Application '~ ~ CiTY OF SPRINGFIELD, OREGON 225 Fifth Slrecl< Springfield. OR 97477 < PH(54 1)726-3753 < FAX(541)726-3689 I Date: I - I ~ ~ 10 -This permit is issued under OAR 918-460-0030. Permits expire if work is not started within ]80 days of issuance or if work is ~,... , . suspended for 180 days, I I I FEE SCHEDULE I II. Valuation information " I (a) Jobdcscription: S(""<j/~ I A I I Occupancy i.. '1!~\ I I Construction Iypc: V /1 I Square feet: I Cost per square foot: I I I Energ.v Path: ~~ 0 alteration (b) Foundation-only permit? Total valuation: lit: LOCAL GOVERNMENT APPROVAL I Th,iS project has tinalland-use approval. Signature: Date: This project has DEQ approval. Signature: Zoning approval verified: 0 Yes 0 No Property is within flood plain: 0 Yes 0 No CATEGORY OF CONSTRUCTION ~ Residential I 0 Government I D Commercial JOB SITE INFORMATION AND LOCATION Job silc address: Z. 5' 7? 7 1(, Yv-- S'\ _ City: Six; ^4.~ ~ \~ I State: [)~C t ZIP: Subdivi;ionL~..(.yfg'<i\.I"', I Lot no,: ;- Reference: j 702. 2..l( ~ ( I Taxlo!: Os,-" '-'-.. PROPERTY OWNER Name: Ce.'; 0\ ~e$rv Address: I{"~ \.\oC (\ L", City: '2' '-'-j t-V\e... Phone: ..: 17 Date: I I I I I $ ZOl{ ~ I Other information: Type of Heat: G--/r<;. ,.;leA- IA ' D addition DYes ".,erNo I I I zIP"I7'1olf I I I 2, Building fees (a) Permit fee (use valuation table): (b) Investigativc fee (equal to [2a]): (c) Reinspect!on ($ per hour): (number of hours x fee per hour) (d) Enter 12% surcharge (.12 x [2a+2b+2c]): (e) Subtotal of fees above (2a through 2d): 3. Plan review fees I: I $ I : I ~~~~O~ . E-mail: This installation is being made on residential or farm property owned by me Of a member ormy immediate family, and is exempt from licensing requirements under ORS 701.010. I I " I $73S'l51": $ I $ I I I I Sign here: I CONTRACTOR INSTALLATION I Business name:~i(;..V'\ m ,-,c("y ll+ll/'l),~ I I Address47ZrLi:"""Ief\a.7~ L..llI'SJr 2-00 I I City: ~ ,^:~~ - I State: Of{ I ZIP:'17?..1! I I Phone:~l-lfJ' '1'12'" Fax{l{/ -.JW 53'1 } I I E-mail:-I.rlc....M...frrHll.....Jm~cn..i I.CerV'\ I CCIl license no.: /377S7 I I Print name:W:"'-..... 't"\""(:;T- I' I Signature:~ "1--- _______ I !..,;' /~'UB,CONTRACTOR INF~RMATION I I.tlectrical-W""''' ::'rDW I Plumbing~ I Meehanieat (t:f.t I (a) Plan review (65% x pcnnit fee [2a]): (b) Fire and life safety (40% x penni! fee [2a]): (e) Subtotal of rees above (3a and 3b): 4, Miscellaneous fees (a) Seismic fee, 1% (.01 x pennit Ice [2a]): I $ TOTAL rees and surcbarges (2e+3c+4a): I S \if , ~~ \r}.. ~ ~V7 ~\ 1.\'In' . ^~ ~f:::J4J~ \'l,~': d @ \S' f' Name ceB License Number Phone Number 1\1 ",ct, CV ~'0~'-;;~ 225 Fifth Street. Sp.-ingfield, OR 97477. PH(541)726-3753. FAX(541 )726-3689 ~~ 'DEP~RrMENT'fisE,9Nl:\jl COW\. 'ZOtO - 0 00 l..( S; I Permit no.: Date: I/~b/;O . I . . Electrical Permit Application ,C,IT'; OF SPIJINGRIELD_, OR~CON: - This permit is issued under OAR 918-309-0000. Permits are. nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. L " LOCAl:. GOVERNMENT APPROVAL I FEE,SCHEDULE' I;,,' I I Zoning approval verified? 0 Yes 0 No I Number ofi~specti';'!:~~r'item 0;': :Iqwl".~t 1 Jotal. 'I I.CATEGORY,OF 'CONSTRUCTION' . " I .i, cost . I ~ J I I I Residential, per unit, service included; I -t:J Residential 0 Government 0 Commercial II'J';O"b"si'tJeOadBdr'eSs'sT:E ~F;:R:~IONAN/DbL~c;ATI~~ ,., II I 1.000 sq. ft. or less (4) I $134.00 I $/3L(1 v ~ 0 I I -. -'> t I ~~~~~tditional 500 sq, ft, or portion :5 $ 25.00 I $ 751 I City: S!f>Pb 1 State:~ I ZIP:cr7l(771 I Limitedenergy(2) $ 32,00 I $ I I Reference: 170 ~ 24 '3 \ 1 Taxlot: Oloo C) I I Each manufactured home or modular I I I ' , DESCRIPTION 'OF" WORK', " '<I dwelling service or feeder (2) $ 63.00 $ I rfC:U.A-Sf:!'" WI(1..€ " Te,..,vt P I I Services or feeders: installation, alteration, relocation I '!",PROPERPfOWNER '"-', . ,i : ~~~~:~oo:;:;~;. : :::::: I I Name: C ~, 1\ "8/i--f4LY I I 401 to 600 amps (2) $158,00 $ I I Address: If b S- H-o-(Uo/' LA! I I 601 to 1,000 amps (2) $205.00 $ I I City: ev...(J..e::-Nl!' I State: OR.... r ZIP: '17401( I IOverl,000ampsorvolts(2} $469,00 $ I I Phone: I Fax: I I Reconnect only (2) $ 63.00 $ I 1 E-mail: I I Temporary services or feeders: installation, alteration, relocation I h . I 200 amps or less (2) I' I I b? I T is installallOn is being made on residential or farm property $ 63.00 $ ~ owned by me Or a member of my immediate family, This I 201 to 400 amps (2) $ 87,00 I $ I property is not intended for sale, exchange, lease. or rent. OA R I I 479540(1) and 479,560(1), 1401 to 600 amps (2) I $126,00 I $ Signature: lOver 600 amps or 1,000 volts, see services or feeders section above I I .. .. CONTRACTOR INSTAl:.LA TION' I Branch circuits: new, alleralion, exlension per panel I I Business name: mP&:2l<<lriuQauMJrAiW [b/, ZlPrlri( > I a, Fee ror branch circuits with purchase ofa service or feeder fee: I I AddressJis.2 11/11.,01." L 1 ." 1 d)., G- I Each branch circuit I I $ 6,00 I $ I I City: h/f?-8r& ~ State: ()~ J zlPfj1VOd. ,,;;07\71 h. Fee for branch circuits without purchase of a service or feeder fee: I I Phone9!f4lo1 03'/H I Fax5I'l-~ c.;Ofpd... I I First hranch circuit(2) I I $ 55.001 $ I I E-mail{'AA''{) tlJlifJI R iJifr{c.; ;:) /'AYVltl:t/J( rJt! I Each additional branch circuit $ 6,00 $ I I CCB license no.:/i../ ~1~.f /. BCD license no.:2If',-1i7C~ 1 MiscellaDeo~s fees: service .or feeder not included 1 I Signing supervisor's license no,: A/1-1 as I Each pwnp or irrigation circle (2) $ 63,00 $ I I Print name of signing supervisor: 'mo 1'-/-1111 11_ G yo. Ii I I Each sign or outline lighting (2) $ 63,00 $ I I Signature of signing supervi-t:r: /11 AA, ch ",I--;j I I Signal. circuit or a li~iled-energy panel, $ 63.00 $ I ~ ~. alteration, or extensIOn (2) . ~ 1 Each ~dditiona~ i~sp~ctinn: (I) , , $58.00 $ I . '..." APPLlCANT"USE, " ' 'I . ... Q:) \. I (A) Eoter subtotal of abnvefees $ '77? I C\ . ~ ~ (Minimum Permit Fee $58.00) L-- ~ \SjVr0" \\) r-...:." I (B) Enter 12% surcharge (.12 x [A]) $ 32~ ,\0 I (C) Technology Fee (5% of [A]) $ I '3 ~ \' ~ I TOTAL fees and surcharges (A throngh C): $ 318t!1- ~~ ~ 44()'2584-J (9i08/COM) b~ willam.al~"e t\sl Park and Recreation Dlstnct ' , Job. No. ~\\)-f{) Street Address: . Plat Name: \ (J(l{i ~l \ \ \ 1. DEVELOPMENT TYPE (Check appropriate dwelling(sl. Dwelling type definitions are on the back.l SYSTEM DEVELOPMENT CHARGE WORKSHEET January 1-June 30, 2010 NAME: ~'<icln ~\)'<IDl\ ~PHONE:~-\\ \t')~G\1i.q' ADDRESS: t\ l'l.S \/\\\act:e-CITY fA ~..pte.STATE:_ZIP: ctL40 ( LOCATION OF PROPO~~~NG SITE: . t~ \\n.~ Ch~eeJ: , - Tax~otNumber: \\b~~~4'2> \ ~ A. Sincle-Familv Detached NO. OF UNITS t B. Sincle-Familv Attached NO. OF UNITS X $2,858 per unit = $ !li?Bg~ X $3,100 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS X $2,641 per unit = $ D, Sinole Room'Occuoancv NO. OF UNITS X $1,321 per unit = $ E. Accessorv Dwellinc Unit NO. OF UNITS X $1,550 per unit = $ $ , !l eJ5f3.(X.;) $ ~ $~9,S~:V WILLAMALANE SDC 2, SDC CREDIT (If applicable) SDC payer must furnish proof of Willamalane Credit approval.) 3, TOTAL WILLAMALANE NET SDC ASSESSED \U:;;~) "'3\1"'"', ) Development Services Dep~ ~ City of Springfield)~jnt. II Zbl Date 10 5 . . , . Job/Journal Number COM20 I 0-00045 COM20 I 0-00045 COM2010-00045 COM20 I 0-00045 COM20 I 0-00045 COM2010-00045 COM20 I 0-00045 COM20 I 0-00045 COM20 I 0-00045 COM20 I 0-00045 COM20 I 0-00045 COM20 10-00045 COM20 I 0-00045 COM20 I 0-00045 COM20 I 0-00045 COM20 I 0-00045 COM20 I 0-00045 COM20 I 0-00045 COM2010-00045 COM20 I 0-00045 COM20 1 0-00045 COM20 I 0-00045 COM20 I 0-00045 COM20 I 0-00045 COM20 I 0-00045 COM20 I 0_00045 COM20 1 0-00045 COM20 I 0-00045 COM20 I 0-00045 COM20 1 0-00045 COM20 I 0-00045 Payments: Type of Payment CreditCard Check cReceintl RECEIPT #: 1201000000000000076 Date: 01/26/2010 Description Addressing Assignment Willamalane Single Family Temp Power 200 amps or less Fire SF,Fee _ Residential Plan Review Major - Planning Building Permit 2 Baths One or Two Family I st Appliance Vent Fan Exhaust Hoods Dryer Vent Gas Outlets 1-4 Fireplace (Listed) Sidewalk Permit Curbcut Penn it PW Disc - 2nd Penn it Stonn Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMCAdministration SDC SanitarylStonn Admin SDC MWMC Compliance Charge SDC Transportation Admin Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 12% State Surcharge + 5% Technology Fee '" Paid By Received By BRIAN MURRY BRIAN MURRY CONSTRUCTION d'b ,] djb . .;., P~ge 2 of2 Item Total: Check Number Authorization Batch Number Number How Received 003608 In Person 3122 In Person Payment Total: 2:4] :OOPM Amount Due 38.00 2,858.00' 63,00 118,70 211.00 1,132,03 337,00 79,00 27.00 13,00 9,00 7,00 20,00 88,00 88,00 (30,00) 1,168,07 724,83 551.16 211.21 931,65 101.97 1,333,5.7 10,00 172.22 22.63 ,80.53 ' 134,00 75.00 227.52 112,65 $]0,915.74 . Amount Paid $9,500,00 $1,415,74 $10,915.74 112612010