HomeMy WebLinkAboutPermit Building 2010-3-3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00255
ISSUED: 03/03/2010
APPLIED: 03/01/2010
EXPIRES: 09/03/2010
VALUE: $ 174,139.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1027 S 41ST St
ASSESSOR'S PARCEL NO.: 1802061418500
Springlield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence - SAME AS COM2009-01501 1051 s 41st
Residential
Owner: BRUCE WIECHERT CUSTOM HOMES INC
Address: 3073 SKYVIEW LN
EUGENE OR 97405
Contractor Type
General
Expiration Date
09/16/2010
Phone
541-606-5050
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
, Secondary Construction Type:
# of Bedrooms:
...T.
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
8,970
1,627
320
3
nla
I DEVELOPMENT INFORMATION ~
PUBLIC
REQUIRED PARKING
'Overlay Dist: Total: 2
. # Street Trees Rqd:. .' . 7.." ,.Handicapped:
Paved Drive Rqd,:,'~<:'-':"'-"":. :.:~::".':c~:/:;:~:~.V~s,,;;:(;~~-~~.'._-.: ~rpact:
% N~~~M~'eS;A~t f)tP1R!~~:J :~~T .',
s MANOO ,""0" C
ANY 180 DAY PER\OD'sideWaI~'T~p~:-" -
DownspoutslDraills:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
22.50
12.00
5.00
13.00
0.00
Street Improvements:
Storm Sewer Available:
Speciallllstruction:
Fullv Improved
Yes
Storm water to curb, via weephole
Curbside 7'
Curb and Glitter
Notes: Utilities & patio sites and dimensions was give II over phone by Derrick Westover 011 3-1-2010
I Valuation Description ~
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page I of 4
"
O. I
CITY OF SPRINGFIELD
Building/Combination Permit
Status
PERMIT NO: COM2010-00255
ISSUED: 03/0312010
APPLIED: 03/01/2010
EXPIRES: 09/03/2010
VALUE: $ 174,139.00
Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
Estimate
$1.00
174,139.00
$174,139.00
$174,139.00
03/01/2010
Total Valne of Project
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Same As $250.00 3/1/10 1201000000000000184
+ 12% State Surcharge $211.44 3/3/10 1201000000000000194
+ 5% Technology Fee $105.95 3/3/10 1201000000000000194
1st Appliance $79.00, 3/3/10 1201000000000000194
2 Baths One or Two Family $337.00 3/3/10 1201000000000000194
Addressing Assignment $38.00 3/3/10 1201000000000000194
Appliance Vent $9.00 3/3/10 ]201000000000000]94
Building Permit $1,014.00 3/3/]0 ]201000000000000194
Credit- SDC Storm Improv $-1,033.75 3/3/10 ]201000000000000194
Curbcut Permit $88.00 3/3/10 ]201000000000000]94
Dryer Vent $9.00 3/3/10 ]201000000000000]94
Exhaust Hoods $13.00 3/3/10 120]000000000000]94
Fire SF Fee - Residential $100.00 3/3/10 120]000000000000]94
Fireplace (Listed) $20.00 3/3/10 1201000000000000]94
Gas Outlets 1-4 $7.00 3/3/10 1201000000000000194
Plan Review Major - Planning $211.00 . 3/3/10 ]20]000000000000194
Plan Review/Residential Hourly $58.00 3/3/]0 ]20]000000000000]94
PW Disc - 2nd Permit $-30.00 3/3/]0 120]000000000000194
Residence Wiring 1000 Sq Ft $134.00 3/3/10 120]000000000000194
Residence Wiring Ea Addtl 500 $50.00 3/3/]0 ]20]000000000000194
Sanitary Sewer - Improvement $440.93 3/3/10 120]000000000000194
Sanital1' Sewer - Reimbursement $579.86 3/3/]0 120]000000000000194
SDC MWMC Administration $]0.00 3/3/]0 ]20]000000000000194
SDC MWMC Compliauce Charge $22.63 3/3/10 1201000000000000]94
SDC MWMC Improvement $] ,333.57 3/3/]0 ]20]000000000000194
SDC MWMC Reimbursement $101.97 3/3/10 1201000000000000]94
SDC Sanitary/Storm Admin $85.67 3/3/10 ]20]000000000000194
SDC Tran Reimburs-Residential $211.2] . 3/3/10 ]20]000000000000]94
SDC Trans fmprovement-Resident $931.65 3/3/10 1201000000000000]94
SDC Transportation Admin $95.92 3/3/10 1201000000000000194
Sidewalk Permit $88.00 3/3/]0 120]000000000000194
Storm Drainage Impervious Area $],033.75 3/3/]0 120]000000000000194
Temp Power 200 amps or less $63.00 3/3/]0 120]000000000000194
Vent Fan $27.00 3/3/]0 ]20]000000000000194
Willamalane Single Family $2,858.00 3/3/]0 120]000000000000194
Total Amount Paid $9,553.80
I Plan Reviews ~
Initial Review
03/01/2010
03/01/20]0
OK
DJB
Pa!!e 2 of 4
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM20IO-00255
ISSUED: 03/03/2010
APPLIED: 03/0112010
EXPIRES: 09/03/2010
VALUE: $ 174,139.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Plan nine: Review
03/01/2010
03/01/2010
APP DDK
Required street trees as shown on
street tree plan attached to permit:
species as shown. 2" caliper, leave
name tag on nntil approved.
Storm water to curb via weep hole
Pnblic Works Review
03/01/2010
03/01/2010
APP LKW
Structural Review
03/02/2010
03/02/2010
APP CJC
As noted on plans
To Request an inspection call the 24 hour rec'ording 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.
~e(]lIirerUnsnections I
Erosion/Grading Inspection: Prior to gronnd distnrbance and after erosion measures are installed.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
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 floor insulation or decking.
Floor Insnlation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with linish materials.
Framing Inspection: Prior to cover and after all rongh in inspections have been approved.
Wall Insulation: Prior to cover.
Drywall: Prior to taping.
Masolll'Y:
Final Building: After all reqnired inspections have been requested and approved and the building is complete.
Perimeter Fonndation Drains: After gravel an" tilter cloth is installed but prior to backfill.
./,::' . i.
Undertloor Plumbing: Prior to insulation or ~ecking.
)! ,
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: 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.
Page 3 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM20I0-00255
ISSUED: 03/0312010
APPLIED: 03/01/2010
EXPIRES: 09/03/2010
VALUE: $ 174,139.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 [nspecti~n Line
1..,"
Undernoor Mechanical. Prior to insulation o(decking and including required testing.
Undernoor Gas: After line is installed and required testing and capped if not attached to an appliance.
Rongh 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 complete.
By signature, [ state and agree, that [ have carefnlly 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 shall be done in accordance with
the Ordinances of the City of Springtield 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.
[ further certify that only contractors and employees'lYho'are i ompliance with ORS 701.005 will be used on this project.
1 further agree to ensure that all required inspections ar quested at the proper time, that each address is readable from the
street, that the permit card is located at the front e property, and the approved set of plans will remain on the site at all
times during construction.
'3A/jo
I
Owner' 01" Contractors Signature
Date
'i:,','
: f,'
'~; ...
.,"
'!.: .,.
Paee 4 01'4
~~t\5 /0'>/ S Lf/~+
Structural Permit Application-_ C 9 -/rol
\/li'i!~;'" Crr\Y;;oF SPRINCiFIEW, 9R!,QON ,~" C""j>' ;,:{; >. ,'.
,.P RING .......~
~,.!~ "
'"~~
I!'<: ....- .
~:,!. " .."..,.
.. ".-~,..,,,.,' _~,~,~..""",.""..h..".',''''~;"._ '.-'1.._
DEPA~JMENTcUSI;'qJ{t~,
'0 "-"~-"'.":;'.,;"..Ik.'!if,';;''''j='__';",,,.,'#,,,'fi,'..
Co..... z.o I c) . 0 oz S~
Permit no,:
Date: 3 .. ( - ( 0
This permit is issued uuder OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is
suspended for 180 days.
~"""li\1~~'1l0CA'~GOVERNME-N];Ai!iiROVAll?Y."'i;jit$it~:it~~1g
.,;:.Iiiill''';'~!!l.L ...... _Ji\L ...._...~,' """"'_ ,._". __ .._ ..1!;-.r."""I""".".?.
This project has final land-use approval.
Signature: Date:
This project has DEQ approval.
Signature: Date:
Zoning approval verified: 0 Yes 0 No
Property is within flood piain: 0 Yes 0 No
?-;;;!l/i~:lfA~1;!';AT.~G'QR~:OItJ;G9fj~]F{Dc;'tlqN'~;!;)~;';'i::~',
Residential 0 Government D Commercial
.~~Jgf~Q~1'~i'f';\'''-~-:M.AI[Qij~ANQ~.[Q9Af(9N[~i;~'7~;
Job site address: (5 r
City: State: 0 YL 1 77
Subdivision: ; ?-(1" (YlC'hl-o\J'.>
Reference:~ C2.Dbl Taxlot: /3606
~~~~:~~~~~:t~lli)~~t:l14tf.e~ge~R17l~~QW~f~'~;:!~, . '..
Name:(:,{ l<.lJ:,d\.,tC~r,,\;J~\I-oMo.\ ::J:NC-
Address:307'3 S~ ~'ew J..N
City: ex ~"-<- StateC' f'- ZIP:') 7t D'J
Phone: -bU,- 9'i"! Fax: -,1'1- ~"3b?
E-mai1:W\(c-h.."r \0..0""'-5 c CDi'O<~S\, Nc.r
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.
225 Fifth Street. Springfield, OR 97477. PH(54 1)726-3753 . FAX(54 1)726.3689
Sign here:
t<~1 ~"1\~ '-CONTRACfoR~iNSfAllifATioN:iii)1~i'&<1;i~t~;\t5:
~~A.t.1(, :e.>~"NQi .'. ...k_.._. ., ._,..... __.._.,_..:&;.b~'....."..-_., ,.._,_...~.~.'_T..'.' __".'.. a;...,,~...,~ _'.':'.'.,_ ,t"'-,
Business name: ~'1VLc w,ed..".J{ Lv<".)bf-.. ~y\4.~ :I've.....
Address: '3073 S IL "' <-oN LV"
City: (:..., e-- State;O-:L ZIP:C,7'/C.S-
Phone: -wb cf'-lS? Fax:;';,'/ -3;3bz
E-mail:W\~0k',\"'-ol"'~S @ co,"'ct-.)'-I~"J.o\
CCB license no.:
Print name:
Signature:
~~'_;Y{fJkI~($!J~:,9.9N!BAG:t.Q!'f ~~QBM~."t(Qj.I~!L~fti;::.<:.
Name CCB License Number Phone Number
Electrical !.-;.C 5/.-1 '114 (,
Plumbing 5tt:,vd J, ~l-3'1 b,
Mechanical CPH 7z.b..o}oO
j:\,;,\","if,tl~""'~l%" "F' E<5JS"'C"H' 'E"DU'" "'E' ':,P.t~';;(!Nli:1I\W~litr."""i:.;:-,:;
!",:ft::\: "P,i;;~l'~f"';~<,~b;.!-~. :i;..:... S~,-"..." _ _,. __ __ .~ ._,,'iJ-'T.,:.~:1>~;t!?'~i1-';:;'~1~,~:,,;":>
,:irM~1~'~1i9-~ijJfrQ~mi:~qfi;f~~}):~1~,,!i~%~/~:~;~t~1.A~~%t~:f~~:
(a) Job description: SI iV~L~ ~ l'-
, Occupancy >(L "$ v\
Construction type: V it
Square feet:
Cost per square foot:
Other information:
Type or Heat:
Energy Path:
,J:3-new 0 alteration
(b) Foundation-only pennit?
Total valuation:
'2 B' u' 1"ld:'-I"D"'igf.\"r.e'e""s:~j~~?;,';~~r,'~/iR'~~:'~~' "-. .
. ,,~'._..>!,.,.~:::_~;...~,(',~t'..,.
(a) Pennit fee (use valuation table):
(b) Investigative fee (equal to [2a]):
(c) Reinspeetion ($ per hour):
(number of hours x fee per hour)
o addition
D.Yes ..-EtNi>.
S
.;",';
$
(d) Enter 12% surcharge (.12 x [2a+2b+2c]): $
(e) Subtotal offees above (2a through 2d): $
~'~t-'~i.a~Q1tlY!{m[~_~~~~~f~~(:~~BJ{rtW~~'~?~!,\ :W~1f;~~::i::~f~~~~r:t~~~:~_
(a) Plan review (65% x pennit fee [2a]): 2$0
(b) Fire and life safety (40% x pennit fee [2a]):
(c) Subtotal offees above (3a and 3b):
4,MiScel{~'iieo'ii~,iees,;i;", .'..
(a) Seismicfee, 1% (,01 x pennit fee [2a]): $
TOTAL fees and surcharges (20+3c+4a): $
Electrical Permit Application
CITY OF SPRINGFIELD, OREGON
225 Fifth Street. Springfield, OR 97477. PH(54t)726-3753' FAX(54t)726-3689
.' [jE~~~fNiENf USE ONt y
Permit no.l3ttJ - ~
Date: '5 I /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.
..... 'lOCAV.GOVERNMEN:r-MPROIIAL:;;:'r:~... .';;'.(1(-'
Zoning approval verified? DYes D No
';,,:CATEGORY,;'bF ;.CONSTRUCTIONt"" . .
D Residential D Government D Commercial
~~$){!:J;;;'~1.013.i;SI!tE;;INFORIIIIATIONrAN[j1iiUOCATION~\iW<\[{i;
Job site address: . :> '/1 s I-
City:
~I.l.
.:;ict{,';.: ,-~i'.;,'".
7'17t
Reference:
',:.,-
Ol..l.S~
PROPERTY OWNER
Name: e,'(\IU W; eJ-.e-A CJ;.+o",
Address: 507 s sIt 1/oJ
City: (. U e)-<...- ZIP: "/710 ')
PhondV/-b~ or S'&' Fax: GV/-'3Yf :>36 "Z-
E-mail: W;ec.-he~1-k()~..s €) CoYkc.'-st ,IV.o.\-
This installation is being made on residential or farm property
owned by me or a member of my immediate family. This
property is not intended for sale, exchange, lease, or renl. OAR
479.540(1) and 479.560(1).
Signature:
Business name:
Address:
City: S
Phone:~'tl -5tl - 4r 'i ~
E-mail:
CCB license no.: OS- 4 7S-
Signing supervisor's license no.:
Print name of signing supervisor:
Signature of signing supervisor:
BCD license no.: :) 'b 3
'-/17 '1-S"
t::: a Oe ,,()V.l~,...
~
<584-J (9/08/COM)
)
~.
t~ ~O.\O, Ir'.~
'b ~\\)
~4Q~
\}~
c..
~y,~t-':"~';i{'~~~:J.~~~:'~:)!~t~~~}~~);{::i:'~'ITEI:WscH EOUJ]E:};;~;i~~:%~';*W!i;~:0}~_;:f~?_~1&.~\~>>r:?!
- ".... '.-,..... '-,,"-.., --..... ,;~~~, ' Total
N~niber or inip"cil"Ds per itini:c).,. Qly.
, ", '.,,~.. -, ,'. ',' ;:_"' ,.( ....,.-.-:;-..-'!. - '-r- ...: .,.y.: '\"::"', '.'-_.... ."cost ..
Residential, per unit, service included:
1,000 sq. ft. or less (4) J $134.00 $ 1'><1
Each additional 500 sq. ft. or portion 2- $ 25.00 $ S-O
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 $
201 to 400 amps (2) $ 95.00 $
401 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) T $ 63.00 $1-..3.
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 $ 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 $
M';,:'{2j,j!1iijWk\f,\:\j"{!;';:i~tA~eLftANT,';LJ$E\~,.;:i'!;;%';';;.;?,.',i~~'.!.'. ;
(A) Enter subtotal of above fees
(Minimum Permit Fee $58.00) $247
(B) Enter 12% surcharge (.12 x [A]) $ Z/""-
(C) Technology Fee (5% or [A]) $ ft' r
TOTAL rees and surcharges (A through C): $ 7X~
$~
2~willamalane'
t~ Park and Recreation District
" Job. No.
alO:- ,Lr-S-
" ',-
- - . ~ .--.
_.-"':.: - ..:;-----=:--.....=.. '---- ~-.
SYSTEM DEVELOPMENT CHARGE WORKSHEET
January 1-June 30, 2010
NAME: BfCLfLt: (,VIEcttt1LIClJJ~ ~~ PHONE: .>'11 b8tt. qlfr%
" '"
.' .'
. ..
. -
STATE~ ZIP: Q?'105
ADDRESS:'397JSIqf&!/f'"W t..N CITY Cr.l.t,~NI:,
" '
.. .. - ~
LOCATION OF PROPOSED BUILDING SITE:
S c;l,sr
~~Lo;~~mb:r:\50WLo\4 \g&J)"
Plat Name:
, 1.' .DEVELOP 'rTYPE (Check appropriatedwelling(s) Dwelling type definitions are on the
back,) ,
, A:Sinqle-Family Detached
NO. OF UNITS
/
X $2,858 per unit =
$ ~ ~S-'
B: Sinqle-Family Attached
, NO. OF UNITS
X $3,100 per unit =
$
C.Multi-FamilY Apartment '
,NO. OF UNITS
X $2,641' per unit =
$
D.Sinqle Room Occupancy
-~.~~.._,-,--,-~~.._~.;t-lP. QFlJl'ilTS
, , . X $1~~.~.Re.r l,lnit = __~$
E.AccessorVDwellinq Unit
'NO.OFUNITS
X $1 ;550 per unit =
$
$ 2~~
WILLAMALANESDC
2., SDC CREDIT (If appli~ble) SDC payer must furnish proof of '
.V\lilil3rnl3lane~iedi!app~C?va~) "," '. , $ 0 '
._.,.......:..~~_.~~c;;...~=,~...:...:._~~";'-;'~:~~~:O:_'7~~.:---::::-.~_=:::"..:::-=..::-~--=~-~"o;-:-.::.::.-=:::=-~_:.:.=:.-:.~:;-~-::.::..:,=:;-::::;;:;::::;...:.:-.., ".''';'_'
=:~~--..-~,:..;..:~~.. - .-. -' ,--,~----==-~-=-_"::._- -. -- --~- -=-:....-- --
3: . TOTAL liiti LLAMA LAN E NET SDC AS'SESSEI)' -,., - - .. . ... ------ - - ',.--
(if SDC reduced for Credii), ' $ ~SS
~,.
"3
I~
,If}
/()
Develop'ment Services Department
City of Springfield
Date
5
225 Fifth Street
Springfield, Oregon 97477
54]-726-3759 Ph~ne
T~
WiL....
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
]20]000000000000]94,
Date: 03/03/20]0
8:36:2IAM
Job/Journal Number
COM2010-00255
COM20 \0-00255
COM20 \ 0-00255
COM20] 0-00255
COM20] 0-00255
COM20 I 0-00255
COM20 I 0-00255
COM20 10-00255
COM2010-00255
COM2010-00255
COM2010-00255
COM2010-00255
COM20 \ 0-00255
COM20] 0-00255
COM20] 0-00255
COM20] 0-00255
COM20 I 0-00255
COM20 I 0-00255
COM20 I 0-00255
COM2010-00255
COM20 I 0-00255
COM20] 0-00255
COM20 1 0-00255
COM2010-00255
COM20 I 0-00255
COM20 I 0-00255
COM20 I 0-00255
COM2010-00255
COM20 I 0-00255
COM20 I 0-00255
COM20 I 0-00255
COM20 I 0-00255
COM20 I 0-00255
COM20 I 0-00255
Payments:
Type of Payment
CreditCard
cReceintl
Description
Plan Review Major - Planning
Curbcut Permit
Sidewalk Permit
PW Disc - 2nd Permit
Storm Drainage Impervious Area
Credit- SDC Storm lmprov
Sanitary Sewer - Reimbursement
San itary Sewer - Improvement
SDC Tran Reimburs-Residential
SDC Trans Improvement-Resident
SDC MWMC Administration
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Compliance Charge
SDC Sanitary/Storm Admin
S DC Transportation Admin
Plan Review/Residential Hourly
Building Permit
Addressing Assignment
Willamalane Single Family
2 Baths One or Two Family
I st Appliance
Vent Fan
Appliance Vent
Exhaust Hoods
Dryer Vent
Gas Outlets ]-4
Fireplace (Listed)
Temp Power 200 amps or less
Residence Wiring \ 000 Sq Ft
Residence Wiring Ea Addtl 500
Fire SF Fee - Residential
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
BWCH
Item Total:
Check Number Authorization
Received By Batch Number Number How Received'
djb
0355\ d In Person
Payment Total:
Page \ of I
Amount Due
2] 1.00
88.00
88.00
(30.00)
1,033.75
(1,033.75)
579.86
440.93
211.21
931.65
10.00
101.97
1,333.57
22.63
85.67
95.92
58.00
1,0]4.00
38.00
2,858.00
337.00
79.00
27.00
9.00
13.00
9.00
7.00
20.00
63.00
134.00
50.00
100.00
211.44
105.95
$9,303.80
Amount Paid
$9,303.80
$9,303.80
3/3/20 I 0
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
ti:-
City of Springfield Official Receipt
Development Services Department
Publie Works Department
RECEIPT #:
1201000000000000184
8:36:09AM
Date: 03/01/2010
Job/Journal Number
COM20 I 0-00255
Payments:
Type of Payment
CreditCard
cRcccinll
Description
Plan Review Same As
Paid By
BWCH
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 03545d In Person
Payment Total:
Amount Due
250.00
$250.00
Amount Paid
$250.00 .
$250.00
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