HomeMy WebLinkAboutPermit Building 2010-3-10
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00292
ISSUED: 03/10/2010
APPLIED: 03/09/2010
EXPIRES: 09/10/2010
VALUE: $ 168,658.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
'541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1064 S 41ST ST
ASSESSOR'S PARCEL NO,: 1802061420500
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCR[PTION: Single family residence - SAME AS COM2009-01477 '[(i7I S 40th pi
Residential
Owner:
Address:
BRUCE W[ECHERT CUSTOM HOMES [NC
3073 SKYVIEW LN , OU to
EUCENE OR 97405 ATTENTION: ?r~?_o..n ~~~hr:~~~~~X Utility
tOllOW ...........:...-:-.... ~::.. Thri'c:P rules are set luul.
I CON;rRACTOR'[NF:ORMA:rIOi'O~R 952-001-
III vn" "-- . bt 'n copies 01 he rules by
90 You way 0 al i1lVme
Contractor 00 Ii. the' center. l'l1iceris'@ teleir'c^a'({ tion Date
BRUCE W[ECHERT CUST?rMJ.1(11Y'.t;;.~ I1'!IGg'101'<ij;'(ty N~~ltlc" li~t6/2010
L & E ELECTR[C INC' nu. Center is 1-8qoS?fl5-234, 03/30/2010
COMFORT FLOW 460 06/27/20[ I
STEVE R JOHNSON 65065 03/12120[0
BUILDlNC INFORMATION ~
Phone
541-606-5050
54[-933-2653
541-726-0100
541-342-3765
Contractor Type
Ceneral
Electrical
Mechanical
Plumbing
# of Units:
Primary Occupancy Croup:
Secondary Occupancy Croup:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
3
# of Stories: I Lot Size:
Heightof Structure 22,00 Sq Ft 1st Floor: 1,570
Type of H~a\:. Forced Air Cas Sq Ft 2nd Floor:
Water Type: Cas s~~asement:
Rang~ TYpe: L EXIf',~~triC: lHIS t-rr'rage/carport 441
EnerJ\y.)t~h':ll SHAL IS PERM\1s ~ her:
Sp~i?~\)~\'t'!!~~iri~:A\~(jiC)\"-.\EO fhlfl1pant Load:
I DEVELOPME'~T'iNF:o.~ON ,
"'" ,-- REQUIRED PARKING
[
R-3
U
VB
Frontyard Setback:
Side I Setback:
Side 2 Setback:
RearYllrd Setback:
Solar Setbacks:
[4.50
6.00
5.00
28.00
3.50
Overlay Dist: .
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
2
Yes
35.00
Total:
Handicapped:
Compact:
2
I PUBLIC [MPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fully Improved
Yes
Storm water to curb via weep hole
Sidewalk Type:
Downspouts/Drains:
Curbside 7'
Curb and Gutter
Notes:
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Paee I of 4
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Estimate
Estimate
Fee Description
Plan Review Same As
+ 12% State Snrcharge
+ 5% Technology Fee
I st Appliance
2 Baths One or Two Family
Addressing Assignment
Appliance Vent
Bnilding Permit
Credit- SDC Storm Improv
Cnrbcnt Permit
Dryer Vent
Exhanst Hoods
Fire SF Fee - Residential
Fireplace (Listed)
Gas Outlets 1-4
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 Sanitary/Storm Admin
SDC Tran Reimburs-Residential
SDC Trans Improvement-Resident
SDC Transportation Admin
Sidewalk Permit
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
Total Amount Paid
."
I Valuation Description ~
$ Per Sq Ft
or multiplier
$1.00
Squal'e Footage'
or Bid Amount
168,658.00
Total V,alue of Project
~
Amount Paid
$250.00
$211.51
$105.98
$79.00
$337.00
$38.00
$9.00
$989.58
$-1,065,35
$88.00 .
$9.00
$13.00
$100.55
$20.00
$7.00
$211.00
$-30.00
$134.00 .:..:~.
$75.00',.,'.
$507.07, "
$666.84
$10.00
$22.63
$1,333.57
$101.97
$95.89
$211.21
$931.65
$93.36
$88.00
$1,065.35
$63. 00
$27.00
$2,858.00
$9,657.81
Date Paid
. ~.~ ..
3/9/1 0
3/10/10
3/10/10
3/10/10
3/10/10
3/10/1 0
3/1 0/1 0
3/10/10
3/10/10
3/10/10
3/10/10
3/10/10
3/10/10
3/10/10
3/10/10
3/10/1 0
3/10/10
3/1 0/1 0
3/10/10
3/10/10
3/10/10
3/10/10
3/10/10
3/10/10
3/10/10
3/10/1 0
3/10/10
3/10/10
3/10/10
3/10/10
3/10/10
3/10/10
3/10/10
3/10/10
Paee 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00292
ISSUED: 03/10/2010
APPLIED: 03/09/2010
EXPIRES: 09/10/2010
VALUE: $ 168,658,00
Value
Date Calculated
$168,658.00
$168,658.00
03/09/2010
Receipt Number
1201000000000000211
1201000000000000220
1201000000000000220
1201000000000000220
.1201000000000000220
1201000000000000220
1201000000000000220
1201000000000000220
1201000000000000220
1201000000000000220
1201000000000000220
1201000000000000220
1201000000000000220
1201000000000000220
1201000000000000220
1201000000000000220
1201000000000000220
1201000000000000220
1201000000000000220
1201000000000000220
1201000000000000220
1201000000000000220
1201000000000000220
1201000000000000220
1201000000000000220
1201000000000000220
1201000000000000220
1201000000000000220
1201000000000000220
1201000000000000220
1201000000000000220
1201000000000000220
1201000000000000220
1201000000000000220
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
Iss u ed
225 Fiflh Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
'-*-'.'
PERMIT NO: COM2010-00292
ISSUED: 03/10/2010
APPLIED: 03/0912010
EXPIRES: 09/10/2010
VALUE: $ 168,658.00
<:t.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to lilIing 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.
Undertloor Mechanical. Prior to insulation or decking and including required testing.
Undertloor 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 dnne 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
'.,~:; I.
Electric Service: Approval required prio~ t.o utility company energizing service.
Final Electric: When all electrical work is complete.
B)' signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and] further certify that any and all work performed shilll be dOI1(, 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 wiIlbe made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 wiII be used on this project.
1 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 wiII remain on the site at all
time ,uring onst etion. dZ ~ oj; 0
q.L/
Owner or ontractors Signature Date
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00292
ISSUED: 03/10/2010
APPLIED: 03/09/2010
EXPI RES: 09/10/2010
VALUE: $ 168,658.00
Status
Issued
225 Fifth Street. Springfield, OR
541-726-3753 Phone
541c726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Plan nine: Review
03109/2010
03/09/2010
I Plan Reviews ~
03/09/2010 OK
03/09/2010 APP
DJB
DDK
Required street trees as shown on
street tree plan attached to permit:
species as shown. 2" caliper, leave
name tag on until approved,
Storm water to curb
Public Works Review
03/09/2010
03/09/2010 APP
LKW
Structural Review
03/09/20 I 0
03/10/2010
APP CJC
As noted on plans and attachments
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, insp~ctions requested after 7:00 a.m. will be made the following
work day. ." '.' "
l...Re{]lIiredJnsnections ~
Erosion/Grading Inspection: Prior to ground disturbance and aftcr erosion measures are installed.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Ufer Electrical Gronnd: Install ground rod at footing and call for inspection in conjunclion with footing and/or
foundation inspection.
Fooling: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Slab: To be made after all inslab building service equipment, condnit piping and other equipment items are in
place but prior to concrete.
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 after 'a) I rough'.iil inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Masonry:
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 backtill.
Undertloor Plumbing: Prior to insulation or decking.
Undertloor Drain: Prior to cover or placement of concrete.
Paee 3 of 4
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Structural Permit Application,_
1071 S <-(o'w.- fL
C1-01l{77
;/~;I:j,: ~ ~:\ri~'OF SPRINGFIELD, 9REG9N ,"" 1;' . : ':{" .',
225 Fifth Stree'. Springfield. OR 97477. PH(541)726-3753 . FAX(541)726-3689
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DEPARTMENT USE:ONL'6'
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COlA-( ZOI 0-0" 29 Z.
Pennit no.:
Date: :5-'1-1 0
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.
,"-W~~4EoCAiRGOijERNMENNAi1P.R6vAII'''''~iil-~~'''''l1
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This project has final land-use approval.
Signature: Date:
This project has DEQ approval.
Signature: Date:
Zoning approval verified: DYes ONo
Property is within flood plain: DYes ONo
~~4;\B~j!)(QAf.~~-QR.Y$.6~tq(jN~j:R:(jCIlqN:.'~,~i+",:: .S"~'l
'<:ii,
I] Residential I 0 Government o Commercial
m~1i.QEI!~i'r~4fNf9BMAfiQijV.NQli[Qc:~f(Qi{~~~;;g;.)ri1~i
lob site address: IO?,'7 5 If I Sr
City:<;o",; "" ~ :<0-1 ~ State: 0 fL I ZIP: '17177
Subdivision: F;jb~ i'-t (l'\ th.\-o W'.> I Lot no.:
Reference: 1[30ZDbfL! I Taxlol: 20500
~~1ti:;g~it~,r;~~~ni~~ pJ~Q.Ff~BtYrQW~.~~tf . ~,~~~~,,::.: .:' '/,\ ~ .;, /'.: :.~ "
Name: \3 {Ii ,< f,J: , L~. .t C v ',t;J", 110",..5 :tI\J{..
Address: 307'3 Sl:.".i(.w L-N
City: (''-''10''-<- StateO f...- I ZIP:'!)j D")
Phone: -b'&b- '1'/)6 Fax: -,n. ~:;3 b l-
E-mail: W ;'cOh...,r \-"0\""-5 (-.1.CM<~~; Net'
This installation is being made on residential or farm property owned by
me or a member of my immediate family, and is exempt from licensing
requirements under ORS 701.010.
Sign here:
~~'l~iWl!~.~QRfMi;f.QiWiij$f..\L~fjQ~G{~;;:l!~~.;~j'i~'~!i':
Business name: ~"v<.c lJ ;ecl.,,~', Lv':.b", 1>0,,,,,,-\ J:1vc.-
Address: '3 07 3 S Il~ ,i ,,,,; /....Y'-
City: Cv~ e~ State:o<L I ZIP: '17)C.,-
Phone: -Mil cl"} 5 J' Fax: -3 '/'f - 3'36 z
E-mail: W; "",h", \ ~OI""S @ COrVl. ct,:~i4 ,;. lj..Jc...t
eeB license no.: 101 J (/
Print n~e: {) -e........~,:..I~ W<" 10,...
Signature: W W _____
1~~iM;t~!i!1}~.QNIBA~fQR.IN!19RM~:tI(tN~~I~'tiE:,:;,'
Name CCB License Number Phone Number
Electrical t....e /05'" 7.<:: stl 'II i(,
Plumbing 51<:..", i P ...1'.....1,.,""(: b.50b~ ;, ~l-3'1 &<;"
Mecbanical CFH '" bl) 72.&-0)00
"'( ".:il!!;"~l, '~-'""f'<"'" '":''^'~'''''"''~~''':'ll'''
~\l!~~r~';'~".~~~.,..l _J} ~<' .;~ftl;g~~.H~PUJ~.~ !iz~';!~~:~~',,_~.;ir,: . J~~';~~.:'
.1~~1n~1tiiQ:&JglR~:IDl1iqn.:f~t~~;rr~!;;t{t:~~~~~]l~;t!1
(a) lob description: SIlVfh-- 1.':i4....,l /Es
Occupancy t')/IA ,
Construction type: , II'B
Square feel: 20((
Cost per square foot
Other infonnation:
Type of Heat: F<Hz.c./tb A-/ C~/1 $
Energy Path: IA
I2f new o alteration o addition
Cb) Foundation-only permit? O'Yes erNo
Total valuation: $ /6~ 6'S.
.' 2. Build)gg.'r~~~ii:~r?lfY:~.H{r.'t~...". . " - .. ., :::~~~~~~~~-$$'#~~ '
Ca) Permit fee (use valuation table): $
(b) Investigative fee (equal to [2a]): $
(c) Reinspection ($ per hour):. $
(number of hours x fee per hour)
(d) Enter 12% surcharge (.12 x [2a+2b+2c]): $
Ce) Subtotal offees above (2a tbrougb 2d): $
1'3-!pi""'"'i:~.'''~ fi:l:$'\~i.lii>"1r:FM"'e:,o""';"'~"I!;'c"',I>*fi!l<""i!i""
". ~. .,1I1~j~~Y.~Wt~, _.~..~ ,m,,'''H,~,.r;;~,,':,Hl~~;~Fj-I;:;'' ..:;;~j,::1't1~:::f'~~i,';.~);'
(a) Plan review (65% x permit fee [2a]): A'" $ 'Z SO
(b) Fire and life safety (40% x permit fee [2a]): $
(c) Subtotal offees above (3. and 3b): $
'. . ......-..--1-,_,'".-.(,"-..-.....,...-. >. .,:~;>r;'.';~~1~frM~~i.#t!~'i ~;~'.~
4. Mlsc~Uiilleousfees; :" ,-,....,. ,
Ca) Seismic fee, 1%(.01 x permit fee [2a]): S
TOTAL fees and surebarges (20+3c+4a): $
Electrical Permit Appiication
CITY OF SPRINGFIELD, OREGON
225 Fifth StreetoSpringfield, OR 97477.PH(54I)726-3753+FAX(541)726-3689
'- . bE~f'~TMENt USE ONt y'
COH-1Z0(O-OOZ 9Z
Penn it no.:
Date: :5 - ,-;0
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.
'LOC~V GOVERNMENT'- AP.F'ROVAIf::c:,:i:
Zoning approval verified? DYes DNa
'.' .i.-C~TEGORY'OF:CONSTRUCTION':~-..
)d'Residential D Government D Commercial
~iiil'ili\\J_OBiSITE(INF.ORI\IIATIONrAN[j\iCO_C'A1iIONi~i:k,~':;:
Job site address: 0 b '-( 5 'i I S
City: <;; \> p ~ State: 012...... ZIP: .., ?C{7
Reference: /802 06 r L( Taxlot.: Zt> stye>
. .- DESCRIPTION OF WORK
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'PROPERTY. OWNER
Name: (),/,IIU Wi ec..he..A CJ;.+o",
Address: 3073 sit. I t-J
City: (u e..I-<-- ZIP: '1710)
Phone:SW -bab Of 5 ~ Fax: >V/-'3Yf ~3b 'Z--
E-mail: w; ec..he~1-- "-o~5 rB CDIkC-Ast . IV c..t
This installation is being made on residential or fann property
owned by me or a member of my immediate family. This
property is not intended for sale, exchange, lease, or rent. OAR
479.540(1) and 479.560(1).
Address:
City: S
Phone:S'/I -5l1 - 4r '7 ~
E-mail:
CCB license no.: O~47':>-
Signing supervisor's license no.:
Print name of signing supervisor:
Signature of signing supervisor:
BCD license no.: 393 <::..
'-117 Y-S-
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440-2584-J (9/08/COM)
~~~"~:".::;;~/~\:1~~:f~\;~f.ft(m:r~~': F:EE~~:.SCH EDU UE~;;:~r:~'~rrr:.~f~~~i{*A1:i~~~?~~~~:~
:Nu~ber' ofjn~pe~ti~:~~ per',ii~-rit~_(r;:. ,~. Q'.Cost, Total
.' . . . "~ .":' '.- . "...;.,~. : .',': ..' '.1 " -. ,~;' ...}y. .:.:"ea;'; ..' . cost. -
Residential, per unit, service included:
1,000 sq. ft. or less (4) I $134.00 $
Each additional 500 sq. ft. or portion 3 $ 25.00 $
thereof
Limited energy (2) $ 32.00 $
Each manufactured home or modular $ 63.00 $
dwelling service or feeder (2)
Services or feeders: installation. alteration. relocation
200 amps or less (2) $ 81.00 $
20 I to 400 amps (2) $ 95.00 $
40 I to 600 amps (2) $158.00 $
601 to 1,000 amps (2) $205.00 $
Over 1,000 amps or volts (2) $469.00 $
Reconnect only (2) $ 63.00 $
Temporary services or feeders: installation, alteration, relocation
200 amps or less (2) $ 63.00 $
201 to 400 amps (2) $ 87.00 $
401 to 600 amps (2) $126.00 $
Over 600 amps or 1,000 volts, see services or feeders section above
Branch circuits: new, alteration, extension per panel
a. Fee for branch circuits with purchase of a service or feeder fee:
Each branch circuit I $ 6.00 $
b. Fee for branch circuits without purchase of a service or feeder fee:
First branch circuit (2) $ 55.00 $
Each additional branch circuit $ 6.00 $
Miscellaneous fees: service or feeder ~ot included
Each pump or irrigation circle (2) $ 63.00 $
Each sign or outline lighting (2) $ 63.00 $
Signal circuit or a limited-energy panel, $ 63.00 $
alteration, or extension (2) .
Each additional inspection: (I) $58.00 $
:~&:.;~:~~Jf~~:~?~~~ t:1iil.~tA~E'ticANt(i.J!n:t~~i~{::'Xt~;;;;~d:.~:~:i~;;) i, __ ;
(A) Enter subtotal of above fees
(Minimum Permit Fee $58.00) $
(B) Enter 12% surcharge (.12 x [A]) $
(C) Technology Fee (5% of[A]) $
TOTAL fees and surcharges (A through C): $
. n~willamalane
tlJ. Park and Recreation District
Job. No. t1;iJ-2. 92-
. _: ----- ..-.,'-."
- ~ -. -
-
SYSTEM DEVELOPMENT CHARGE WORKSHEET
January 1 :June 30, 2010
NAME: :..BICLiCl: tv'IEctt€1LIC{.~.fr~. ~~ PHONE:)tf rb~(p t:t/fr%
ADDRESS:'3d71 Sf4/VIf"w t..N CITY ctJ.4ENt:
LOCATION OF PROPOSED BUILDING SITE:
. .
STATE:O!C- ZIP: q?lfoS
Street Address:
Ie) ~ q" S. t;; Jr I.J-
Plat Name:
. Tax Lot Number:
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the
back.) .
. A. Sinqle-Familv Detached
NO. OF UNITS
I
X $2,858 per unit =
$ .:J-d ~S-
B. Sinqle~Familv Attached
. NO. OF UNITS
X $3,100 per unit =
$
C. Multi-Familv Apartment
NO. OF UNITS
X $2,641 per unit =
$
D. Sinqle Room' Occljpancv
--'-'~=~~-~=--~o=N~Q.~QF_l!f\JII$
,)CU,3_2J_R~r unit = ___ $
E. Accessolv Dwellinq Unit
NO. OF UNITS
WILLAMALANE.SDC
X $1,550 per unit =
$.
$ 2.~~
2. SDC CREDIT (If applicable) SDC payer must furnish proof of .
WiIl<l1!1al~ne_ Cr~.dit approval.)
$ 0
.... -'-"~--~"--_'___'_'_'____~'_'__'__'__ __ u__ ...... _~. _ .. ___. ".".
. 3.--ioT ACWILLAMALANENETSDCASS-ESSE-D~-------
(if SDC reduced for Credit)
$ ?-i'"st
~
:J I /(/ I Ib
Date
Development Services Department
City of Springfield
5
aC;:F;~
Wit-" .
22~_Fif~h.Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000220
Date: 03/10/2010
2:16:4IPM
Job/Journal Number
COM20 I 0-00292
COM20 I 0-00292
COM20 I 0-00292
COM20 I 0-00292
COM20 I 0-00292
COM20 I 0-00292
COM20 1 0-00292
COM20 I 0-00292
COM20 I 0-00292
COM20 I 0-00292
COM20 I 0-00292
COM20 1 0-00292
COM20 1 0-00292
COM20 I 0-00292
COM20 I 0-00292
COM20 I 0-00292
COM20 I 0-00292
COM20 I 0-00292
COM20 1 0-00292
COM20 I 0-00292
COM20 I 0-00292
COM20 I 0-00292
COM20 I 0-00292
COM20 I 0-00292
COM20 I 0-00292
COM20 I 0-00292
COM20 I 0-00292
COM20 I 0-00292
COM20 1 0-00292
COM20 I 0-00292
COM20 I 0-00292
COM2010-00292
COM20 I 0-00292
Payments:
Type of Payment
CreditCard
cReceinll
Description
Curbcut Permit
Sidewalk Penn it
PW Disc - 2nd Permit
~tonn Drainage Impervious Area
Credit- SDC Storm Improv
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Tran Reimburs-Residential .
SDC Trans Improvement-Resident'
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC MWMC Compliance Charge
SDC Sanitary/Stonn Admin
SDC Transportation Admin
Plan Review Major - Planning
Building Penn it
Addressing Assignment
Wi llama lane Single Family
2 Baths One or Two Family
1 st Appliance
Vent Fan
Appliance Vent
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Fireplace (Listed)
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Fire SF Fee - Residential
+ 12% State Surcharge
+ 5% Technology Fee
Amount Due
88.00
88.00
(30.00)
1,065.35
(1,065.35)
666.84
507.07
211.21
931.65
101.97
1,333.57
10.00
22.63
95.89
93.36
211.00
989.58
38.00
2,858.00
337.00
79.00
27.00
9.00
13.00
9.00
7.00
20.00
134.00
75.00
63.00
100.55
211.51
105.98
$9,407.81
Paid By
BRUCE WIECHERT
Item Total:
Check Number Authorization
Received By Batch Number Number How Iteceived
Amount Paid
cjc
o 1556d In Person
Payment Total:
$9.407.81
$9,407.81
Page I or I
3/10/2010
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
ifii~.
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000211
Date: 03/09/2010
8:56:49AM
Job/Jour",l! Number
COM20 I 0-00292
Payments:
Type of Payment
CreditCard
cReceintl
Description
Plan Review Same As
Paid Bj'
BWCH
Item Total:
Check Number Authorization
Received By Batch Number Number How H.cceived
Amount Due
250.00
$250.00
Amount P:lid
djb
05554d In Person
Payment Total:
$250.00
$250.00
Page I of I
3/9/20 I 0