HomeMy WebLinkAboutPermit Building 2010-2-16
_~If.!l,I!lI<!ITI,,!!,:~,
~,
~
CITY OF SPRINGFIELD
Building/Cqmbination Permit
"
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: C:OM2010-00052
ISSUED: 02/16/2010
APPLIED: 01/1312010
EXPIRES: 08/16/2010
VALUE: $1254,000.00
Status
Issued
SITE ADDRESS: 545 MOUNTAINGATE DR 4
ASSESSOR'S PARCEL NO.: 1802032104200
SPRINGFIETYPE OF WORK: Singie Family Residence
PROJECT DESCRIPTION: New Single Family Dwelling
TYPE OF USE: New"
Residential
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd: Yes
% of Lot Coverage: 33.50
I'-TTFNT!ON: Oregon law requires you to
fr'lIJ"'IM rlllr.\~ "',..j,"\.....+.-.., 1.-." ~'-- _ .... _ '. .....
.. .u ,~ -..- -. -.l;1....,' "'UII~1
I PUBLIC IMPROYEiVlE'N'I'S'lflter, Those rules are set forth
, ',,' ,~,' ,-~~ %~ -001 Q,throu,Q.h.OAFj952.Q01.
Street Improvements: , . ,; 0090.. You may obtan>ilC8'?'iIl's'o'lqRe rules by
Storm Sewer Available: . ' calling the center.~I~&bll;te\ejlloone
Special InsNtr,nocrti,OCn: . ". t number for the Oregon Utility Notification
~ Center is 1-800-332-2344). i
Notes: Sto~mwa~~ I\l..curb and gutter
I MI" PtKIVIi I SHALL tXPIRE IF THE WORK
~~!T~!O!1JZED UNDER THIS PERMIT IS NOT
'JIJlillVitNCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Owner: HA YDEN HOMES LLC
Address: 2464 SW GLACIER PL STE 110
REDMOND OR 97756
I CON:rRACTOR INFORMATIO~ I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
HAYDEN ENTERPRISES
TOP NOTCH ELECTRIC INC
PACIFIC AIR COMFORT INC,
STUTZMAN SERVICES INC
License
92208
172366
39237
31747
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: 2
Height of Structure 32.00
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type:
Energy Path:
Sprinkled Building: No
I
R-3
VB
3
, DEVELOPMENT I~FORMATlON I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
41.23
5.00
20.00
15.42
Subdivision Not Accepted
Pa2e 1 of 5
Expiration Date
07/29/2011
,
09/29/2010
03/25/2010
05/12120 I 0
Phone
541-228-6935
541-317-1998
541-672-9510
541-928-8942
Lot Size:
Sq Ft ht Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
r
Occupant Load:
5,602
744
992
400
Hillside
, REQUIRED PARKING
2
Total:
Handicapped:
Compact:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726"3769 Inspection Line
Description Tvpe of Construction
Bid Amount VseBid Amount
Fee Description
Plan Review Residential
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Addressing Assignment
Appliance Vent
Building Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Fireplace (Listed)
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 Compliauce Charge
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC SanitarylStorm Admin
SDC Transpo Improvement
SDC Trans po Reimbursement
SDC Transportation Admin
Storm Drainage Impervious Area
Temp Power 200 amps 01' less
Vent Fan
Willamalane Single Family
Total Amount Paid
Initial Review
01/14/2010
CITY OF SPRINGFIELD
Building/CQmbination Permit
I;
PERMIT NO: COM2010-00052
ISSUED: 02/i6/2010
APPLIED: 01/13/2010
EXPIRES: 08/16/2010
VALUE: $ 254,000.00
I Valn.ation Descri?,tion I
$ Per Sq Ft
or mu1tipli~r
$1.00
Square Footage
or Bid Amount,
254,000.00
Value
Date Calculated
$254,000.00
$254,000.00
I
01/14/2010
Total Value of Project
Fp:p:~l P<;Jifi.l
Amount Paid
$868.09
$216.66
$100.83
$79.00
$38.00
$9.00
$1,335.53
$9.00
$13.00" ..
$106.80 '
c'
$20.00 ',"
$7.00', " '
$211.00
$134.00
$100.00
$661.39
$869.79
$10.00
$22.63
$1,333,57
$101.97
$160.31
$931.65
$211.2]
$81.98
$703.63
$63.00
$36.00
$2,858.00
$] 1,293.04
Date Paid
Receipt Number
1/13/] 0
2116/]0
2/16/10
.2/16/10
2116110
2/16/10
2/16/10
2/16/10
2/16/10
2/16/]0
2/]6/]0
2/16/]0
2/161]0
2/16/10
2/16/10
2/16/10
2/16/10
2/]6/]0
2/16110
2/16/10
2/16/10
2/16/10
2/]6/]0
2/]6/10
2/16110
2/16/]0
2/]6/10
2/16/10
2/16/10
]201000000000000041
1201000000000000135
1201'000000000000135
1201000000000000135
1201000000000000135
1201000000000000135
1201000000000000135
1201000000000000135
1201'000000000000135,
1201000000000000135
1201000000000000135
1201000000000000135
,
1201000000000000135
120(000000000000135
1201000000000000135
1201000000000000135
1201000000000000135
.,
1201.000000000000135
1201,000000000000135
1201000000000000135
1201000000000000135
120]000000000000135
1201000000000000135
1201000000000000135
1201000000000000135
1201000000000000135
1201000000000000135
1201000000000000135
1201000000000000135
I Plan Reviews I
0111'4/2010
APP LLH
Signed Electrical Permil Application
submitted with plans. '
Paee 2 of5
CITY; OF SPRINGFIELD
Building/Combination Permit
, I.
Ii
PERMIT NO: COM2010-00052
ISSUED: 02/16/2010
APPLIED: 01/13/2010
EXPIRES: 08/16/2010
VALUE: $ '254,000.00
Status
Issued
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
01/15/2010
WE CJC
01/25/2010
..
Public Works Review
01/15/2010
01128/2010
APP TSS
Plannin~ Review
01/15/2010
APP DDK
01129/2010
Structural Review
02/0512010
ACC CJC
02/05/2010
Strnctural Review
02/08120 I 0
APP CJC
02108/2010
Engineer. will provide updated
engineering packet and plan sheets
with:
I) Signed, dated engineering stamps,
2) Callouts for new hold-downs
(specitied connectors are ohsolete),
3) Girder tied own for truss ETGR te
meet 494)# uplift rating, and
4) Excerpts from 2008 ORSC (2005
provided,in original set).
Review delayed untilissue with
stormwater SDCs for paving was
"
resolved. Stormwater to curb and
gutter.
Elevations are site specitic and
contain ~~quired design elements.
Inspectors will tield verify that
actual el~vations will match
submitte~ designs as shown on
approved, plans.
Recieved updated engineering
As noted!on plans
,
To Request an inspection call the 24 hour re'cording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspection's requested after 7:00 a.m. will :be made the following
work ~ay. .'
I RrrollirprlJnsnections I
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are ~I1stalled.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction: with footin'g 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 tinish materials.
Framing Inspection: Prior to cover and urte," all rough in inspections have been approved.
Wall Insulation: Prior to cover.
~;:'Pa~e'3 of 5
"
/,.,-'
CITY OF SPRINGFIELD
~ "
'i"
Building/C~mbination Permit
PERMIT NO: C'OM20I0-00052
ISSUED: 02/1612010
APPLIED: 01/13/2010
EXPIRES: 08/16/2010
VALUE: $ ,254,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Ceiling Insulation: Prior to.cover.
Drywall: Prior to taping,
Masonry:
Final Building: After all required inspections have been requested and .pproved and the b~i1ding is complete.
Perimeter Foundation Drains: After gravel and Iilter cloth is installed but prior to backtill.,
Undernoor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
W.ter Line: Prior to filling trench and includ~ng r,equired testing.
Sanitary Sewer Line: Prior to filling trench art'd including required testing.
Storm Sewer Line: Prior to tilling 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 a~ appliance.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
'I
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 Covel'
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is c~mplete.
,{'hI :~.
Erosion/Grading Inspection: Prior to ground disturbance and after'erosion measures are installed.
',1 . I'
. Page 4 of5
Status
Issued
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541~726-3769Inspection Line
_,i,
CITY. OF SPRINGFIELD
Building/C~mbination Permit
PERMIT NO: COM2010-00052
ISSUED: 02/16/2010
APPLIED: 01/13/2010
EXPIRES: 08/16/2010
VALUE: $254,000.00
By signatnre, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 further certify that any and all work performed shall':be done in accordance witb
tbe Ordinances of the City of Springfield and the Laws of the State of Oregoll pertaining to the wo:rk described herein, and
that NO OCCUPANCY will be made of any structure witbout permission of the Community Servi~es Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 wilJ.'be used on this project.
I further agree to ensure that all reqnired inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
0:::1:2:.::/
Pa2e 5 01'5
d~d;:: -/if
Date
..
, l'
225 Fifth Street+Sprlngfield, OR 97477+PH(541)726-3753+ FAX(541)726:3689
'l""t;{;,':":'':'-''';~:'''~';''-':.r.;..~,'':;'i'~'n-';'';;:I''"h'~A~!(i,\.:,\,...""",~~'k"i
,~j"'.DEP.ARfMENt"lJSE'0N c'~X"
SPRINGFIELD ~,;~;;;.;_~t:_}';;>'_';;-~'-""-'~';;'!.;~:~~'ff~:1~;'St~~~~~~
I Permit no,: C!/lJ ,- 5;2.. -
I Date: 1/1 'J }IO
Electrical Permit Application
t
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180
days of issnance or if work is suspended for 180 days. ;.
1~1!t~'itrQ:q~~,(;);YJ~B,~M!;~ii;I'~eER9}Z~~~~1 ~~~
I Zoning approval verified? 0 Yes 0 No " Mf}~'~
I~W'~!I'G;ttffiEG'@R-'iii'i'0~Ei@J\jSiJiR\ljlMlf0N),Y~\f~!,""!~'" ""1>~'l'it
1t',.\j;I,-.., ~ ~1lb__,,~__L. _......-J"._~_._.'._~..~~~_<..:_-,.,._- ...----">--.>,-.<~_I_"_'_,._^_.,L:I\''';tLr~..~~,~~~c''''''''1f Residential, per unit, service incl~'de-d: I
0: ResidentiaJ ,. .... 0 Government . 0 Commercial
~Q~~)[$ilf4=~INi1@gM~J!iii'rll,~tr;{@,!I!~@~~ii[c.!i(\j]i!-li\;~ !1,OOO.sq, ft, or less (4) I $134,00 $ f5 L(
I Job site address: S'I.s .fj-ql rr.f b>J~ I I ~~~~:ritionaI500 sq ft, or portion 'I $ 25,00 $ /O~
City:r-""f~:<'" jot' State: oR I ZIP: 9n78' 1 I timited energy (2) $ 32,00 $ I
,_i~;~~~.mi~~FAW;J~i;;*i~~-4~~! I ~~~71~~S~~~~r~~ ~~~:r(~)Odut $ 63,00 $ I
I lL~ I f.A/kt! /ft/YIE _', r ,I Services or feeders: installation, alteration, relocation I
Itir~A~~~~~lJ');WNI;~~~~!f';1S~1 : ~:~ ::~oo:;:~~~ : :::::: i
I Name: l-L'IJoV\ fk'Vr-o-C' <;, I I 401 to 600 amps (2) $158.00 $ I
I Address: :/LfCI!.( Sw /'(",r;,r I 601 to 1,000 amps (2) $205,00 $ 1
I City: Q",o(;".,cVlvl State:<\Q I ZIP:')77S-G, I, Over 1,000 amps or volts (2) $469,00 $ 1
Phone: SLI/-2!g-'0'))5' I FffJi:S2'(/-7'1/- $7? I 1 Reconnect only (2) i' $ 63,00 $ I
E-mail: . I I Temporary serv.ices or feeders~- &:stal/arion. alteration, relocation .)
This installation is being made on residential or farm property 1,200 amps or less (2) I $ 63.00 $t...2 I
owned by me or a member. of my immediate family, This 1 201 to 400 amps (2) I
property is not intended for sale, exchange, lease, or rent. OAR $ 87_00 $
479.540(1) and 479.560(1),' 1401 to 600 amps (2) ,$126.00 , $ 1
Signature: lOver 600 amps or 1.000 volts, see services or feeders section above J
1~~~€[~J\lrn~(ijii':QRl!INsmi;\il!W~]1(!):1iI~>>~t,1lii.'i'icJ'1 I Branch circnits: new, alteration, e'xtension per panel I
I Business name: 0p I\!;h--~ E I pC I a, Fee for branch circuits with purc~ase of a service or feeder fee: I
,I Address: r:)O~ A (DVe'1 CI-, 1 Each branch circuit _I $ 6.00 I $ I
1 City: & "oil 1 State: oR 1 ZIP: 1 ,I b, Feefor branch circuits without p,urchase ofa service or feeder fee: I
I Phone:SZI/-30-19Q.q I Fax:, - I I First branch circuit (2) I $ 55,001 $ "I
I E-mail: I 1 Each additional branch circuit I $ 6.00 I $ I
I CCB license no.: ~/Y 30C I BCD license no,: { ..22(}. I I Miscellaneous fees: service or feeder not included I
1 Signing supervisor's license no_: Lj r:l ~4 S 1 1 Each pump or irrigatiimcircle (2) , $ 63.00 $ I
I P t a f V. I .-..1 1 Lt.,.~ I 1 Each sign or,outline lighting (2) $ 63,00 $ 1
rin n 'me 0 signing supervisor: ...t!.1' :::::iT/' Ie K..J -, ,
I Signature of signing supervisor: ,a 1- ,/J, rtl1,' A -' iI",J., I Signal ci,rcuit or a limited-energy panel, $63,00 $ I
\ -"d.J(. ~ v ~'1D'-.. alteration, or extension (2).
Each additional inspection: (1)' , I $58.00 I $ I
_r-f1W ":::~_~R~il1i:~llif1llr\!l'[!;Iii~J1'll:i_
',,~~-9M-_ I (A) Enter subtotal of above fees ' loV
\Jfi-' 0 (Minimum Permit Fee $58.00) $::J:fr..
, o..to.'~ 1 (B)Enter12%surcharge(,12x[A]) $- I
I (C) Technology Fee (5% of [A]) $ , 1
I TOTAL fees and surcharges (A through C): $, '"3Lf71 //7
~\\)
\~~
~
440-2584-1 (9/08/COM)
R-~ willamalane
. t-w Parkand Recreation District
Job. No.
'~Jlf) , rrtidJ_ .
, SYSTEM DEVELOPMENT CHARGE WORKSHEET
January 1-June 30, 2010
NAME: t,1QH~~}l ff\~~~ >?b .__PHONE:D4 t.?:l9 ~1cA 05
ADDRESS~4.\.04 ~.") G\naWv ~dMOl1L2STATE~ZIP:~~
LOGATION OFPROPOSED BUILDING SITE:
'StreetAddress:~54CS. ~t. (';ni.o.> 4l. 4 ,,-
. Plat Name:0.nth\~Tax Lot Number: ~h(H n ~ OcJb.\9--
1. DEVELOPMENT TYPE (Check appropriate d';"elling(~), Dwelling type definitions are on the
back.)
A. Sinole-Familv Detached
NO, OF UNITS
\
X $2,858 per unit =
$, ftf/6f--:>PD
B. Sinole-Familv Attached
NO, OF UNITS
X $3,100 per unit =
$,
I'
C. Multi-Familv Aoartment
NO. OF UNITS
X $2,641 per unit =:
$'
D. Sinole Room Occuoancv
"-NO:-OF-UNFTS.-'--'
,X $1 ;321-p~r unit=' - '$'
E. Accessorv Dwellino Unit
NO, OF UNITS
X $1,550 per unit =
$
$, 'lAITJ,CD
WILLAMALANE SDC
"
.,--__ n
-----
2. SDC CREDIT (If applicable) SDC payer must furnish proof of
..: Will.af!1a!afle gred_it apprpxalJ .... ~ c___~.
if
, .
. $ Q.0 ~S.00
'~ \\.9/:' \0
'Date "
$
. .'
. ~~----,--_......-'
3. TOTAL WILLAMALANE NET SDC ASSESSED
'~. (if SDC redu ced for Credit)
, ". &\. ' /J /'
\ · .' \..f\HXlt, V .
Development Services ~~p~utment '
City of Springfield " .
5
'.
) .
Stru( 'Permit Application
--
225 Fifth Street. Springfield, OR 97477 . PH(~41)726-3753 . FAX(541)726-3689
I DEPARTMENT USE ONLY I
perinit no, t!/tJ -72.
I Date /// C1 jiDI
This permit is issued under OAR 918-460-0030, 'Permits expire if work is not started within 180 days of issuance or if work is .
suspended for 180 days,
,'..,..:::..:;,Ji!6.CAi.::9'c5:\1E@iVi,E.Nfi~~R~9YAil;;:;J'i;/1~:1&:~i,{\[
I T~is project has finallandMuse approval. I
SIgnature: Date:
I This RrDJect has DEQ approval.. I
Signature: Date: j (a) Job description:
I Zoning approval verified: 0 Yes 0 No I I Occupancy
. 7 p_ro~ert)'_i~_~_it~inflO~?Plain:[],~~S " ,[]NO,:" '_' "I 1- Construction type:
~:~~~~';~~f=ATE~r~~~;i~~~;~.T~U~"I".~~~~~~:;c~~~::~~'~.~: ~:::;e~ese~uaref:~3~- / Y~~e
Ig1d~;~ln:;;tJQEl:;,SEJ:I~!..INF;PRMAT!Pt:l?AI'lQnL:O.cATIQt:l[;j~liN:ii,(1 I Other information:
I Job site address: t:;4~:tt 'i fl1+I""",k. I I 'TypeofHeat. h
I City: <;Dr...J,A'(. I State.: CR I ZIP "f7'f7'if. I I E P ="
,- .i. 'u- .. "nergy ath: d.A '
1 SubdIvISion: ;,k.,,,,,,, , I Lot no.: ,.?7 . I I IV< 0 "
II,Reference.\~t)1-tr~.h~ _\1 Taxlo! CP<Irr') .11 I (~;::dation_o:ll~~~::it?
," '" '" P,RuPER-r" 0WNER ' '. ' " I
I'.' .11....- .- - . "I ~Tota'vaJuation:
Name: I-k....,rl.~ fIevvt.__ ~
I Address: ,':;/'(;,0 .'l.Jf.:!ar.'r{ . I
'I City: R..-d""'MrA. I State 0 Q I ZIP:'177n" I
I Phone:~I-.22\"t;<1~S- Fax: - I
I E-mail: I
This installation is being made on residential or farm property owned by
me or a member ormy immediate family, and is exempt from licensing
requirements under ORS 701.010.
IS,i~~ here:. ~a~~~LATI9N:_ . . :.,;.1
I Business name: 14"",/,,^ 1-10,';';. <;. I
I Address: ,JJff."I .5 v,',; /.',/"'",.- r . I,
I City ~dyY/cJnd- I. State: ~K. I zIP,cr-n"c.1
IPhone:5LiI-.:l.l*--t,<t,<;" Fax.~I-itil-..25';o I
I E-mail: I
I CCB license no,: <t.JJ ofl I
I Print name: I
...,.j.Signature: I
r~2t;'i;!1~1;!'(:j~(fi)sQEFGot-!Jj@Gt6Ril. N,,6BM.AtIP.Nrt':;11!}~*1;;fl:1~~~;:;tl
I Name CCBLicense Number Phone Number I
I Electrical 17.1,", 'rP9 No4cV\ I
I Plumbiog 317l{7~,?J.r<\!)..K"' I
I Mechanical 3'1;J. 37 \:~f). ,{ , I
1/ :','.::;.~;.py\:~:;;F.EE:ScHEDiJLE'~"'..~ -';."
::i :Ya!uati6h;WorDia.tjo~'j:;:I:.t'~::~,7';i.i>':i;;',::::i:,j: :
'Ii? d -
"
o acidition
DYes
ONo
I. (a) Permit fee (use valuatio'n table):;'
I (b) Investigative fee (equal to [2a]):'
I (c) Reinspection ($ . per hour):
(number of hours x fee per hour)
I (d) Enter 12% surcharge (,12 x [2a:.'2b+2C]):
(e) Subtotal of fees above(2a through 2d):
$
$
I
I
I
I
$
$
1 (a) Plan review (65% x permit fee [2a]):
I (b) Fire and life safety (40% x permit fee [2a]):
I (c) Subtotal.of fees above (3. and3b):
$ f~30Y I
I
I
$
$
I (a) Seismic fee, 1%(01 x permit fee [2a]):
I
$
TOTAL fees and surch~rges'(2e+3c+4a): $
~~
1-::144
2-:. 't 't 2-
1~4VO
'tIll
~\~
~~
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM20 I 0-00052
Payments:
Type of Payment
CreditCard
cReccinll
RECEIPT #:
Description
Plan Review Residential
Paid By
TIM DREILING
"
City of Springfield Official Receipt
"
Development Services Department
"
Pu\Jlic Works Department
1201000000000000041
Date: OllP/2010
2:42:59PM
Item Total:
Check Number Authorization
Received By Batch Number Number How ,~eceived
Amount Due
868,09
$M68.09
Amount Paid
cjc
$868,09
$86M,09
068782 In ~erson
Payme'nt Total:
"
'i,~.
Page I of I
1/1312010
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
1jr~;~!
-=
City of Spripgfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM20 I 0-00052
COM2010-00052
COM20 I 0-00052
COM20 I 0-00052
COM20 1 0-00052
COM20 1 0-00052
COM20 1 0-00052
COM20 I 0-00052
COM20 I 0-00052
COM20 I 0-00052
COM20 I 0-00052
COM20 1 0-00052
COM20 1 0-00052
COM20 1 0-00052
COM20 1 0-00052
COM20 I 0-00052
COM2010-00052
COM20 I 0-00052
COM20 I 0-00052
COM20 I 0-00052
COM20 I 0-00052
COM20 I 0-00052
COM20 I 0-00052
COM20 I 0-00052
COM20 i 0-00052
COM20 I 0-00052
COM2010-00052
COM20 I 0-00052
Payments:
Type or Payment
Check
cReccintl
RECEIPT #:
Date: 02/16/2010
1201000000000000135
Description
Addressing Assignment
Willamalane Single Family ,:(,
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Fire SF Fee - Residential
Building Permit
1 st Appliance
Vent Fan
Appliance Vent
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Fireplace (Listed)
Storm Drainage Imperyious 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 MWMC Compliancc Charge
SDC Transportation Admi~,
Plan Review Major - Planning
+ 12% State Surcharge
+ 5% Technology Fee
, ,
Paid By
HA YDEN HOMES
Item Total:
Check Number Authorization
Received By Batch Number Number How J~eceived
njm
21958
In person
payme'nt Total:
,
..:.-,
, .
Pa,ge I of I
8:27:47 AM
Amount Due
38,00
2,858,00
134,00
100,00
63,00
106,80
1,335,53
79,00
36,00
9,00
13,00
9,00
7,00
20,00
703,63
869,79 '
661.39
. 211.21
931,65
101.97'
1,333,57
10,00
160.31
22,63
81.98
211.00
216,66
100,83
$10,424,95
Amount Paid
$10,424,95
$10,424.95
2/16/20 I 0