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Home My WebLink AboutPermit 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 Page 1 of 1 311/2010