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Home My WebLink AboutPermit Building 2010-5-11 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00540 ISSUED: . 05/11/2010 APPLIED: 04/30/2010 EXPIRES: 11/11/2010 VALUE: $ 266,692.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 'Inspection Line SITE ADDRESS: 1694 VERA ST ASSESSOR'S PARCEL NO.: 1703243104200 Springfield TYPE OF WORK: Single Family Residence .. TYPE OF USE: New Residential PROJECT DESCRIPTION: Single family residence .~ Owner: BRUCE WIECHERT Address: 3073 SKYVIEW LN EUGENE OR 97405 Phone Nnmber: 541-686-9458 Contractor Type General I CONTRACTOR INFORMA TION . Contractor License BRUCE WIECHERT CUSTOM HOMES INC 101717 I BUILDING INFORMATION~ Expiration Date 09/16/2010 Phone 541-606-5050 # of Units: I "b,. . # of Stories: Primary Occupancy Group: ",,,'''R-3::'::.::!>,c~!le!giI!rof,,,~~r.uctu~e 26.50 Secondary Occupancy Group: U Type of Heat: Forced Ail' Gas Primary Construction' Type VB Water Type: I Gas Secondary Construction Type: Range Type: ' Electric # of Bedrooms: ATTENTION: Cregon lawlji!!!'JI:g~ell'V!liJ to foll.ow rules adopted by tffliptW~'lIi\irg: In OAR 9S2-o01-o0 ~a ooeo. You may ob 0 e ru es y calling the center. (Note: thelell~"1{~ne IIYmber fli1l'li Oregon \JMllVri\lB't b1iiion Ce~ t-800-33~-~~ reesKqd: . 10.00 .. Paved D'rive Rqd: 15.00 . . 0/0 of Lot Coverage: 36.25' Lot Size: Sq Ft 1st Floor: Sq Ft 2nd FloOl': Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 11,989 2,584 437 179 n/a MA TION Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Floodplain I Yes 26.70 REQUIRED PARKING Total: 2 Handicapped: Compact: I PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer Available: Special Instruction: Fully Improved Yes Storm water to weep hole. t~;curb Sidewalk Type: Downspouts/Drains: Curbside 7' Curb and Gutter . . ^ I,.-,*, ;t~'i.:"'ii:1.~t?i.~:;''1;: 'r~'.:'i_.~ . ,. ,.,....:s,1I1!.'," '!.. ,.,. ...."..- 0'" ." ". fl b-.. \lIe "'0 ",. ~ ,~" ~~ Va' W! "'IS PERtJI,,,'!:i~;: O ~'OOME,D",fO"R, ,',','J/.,";"'" ~~ ,~Il.~A:" \. .. 'i';'.'.:..',':'; o~ :u~~~~:~~~~~~:~~; r,"i/.<j/Y;i~~;; Date Calculated Notes: ;If (i ".,....., ,iel. ,. Description Type of Construction Paee I of 5 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20I0-00540 ISSUED: 05/11/2010 APPLIED: 04/30/2010 EXPIRES: 11/11/2010 VALUE: $ 266,692.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Estimate GaraI!c/Misc SF/Dnplex Estimate U VB Utilitv R-3 VB 1&2 Familv $1:00 $37.n " $96.83 ,,: 250,000.00 437.00 2,584.00 $250,000.00 $16,483.64 $250,208.72 $516,692.36 04/30/20 I 0 05/05/20 I 0 05/05/20 I 0 -. 1"otal Value of Project ~ Fee Description Amount Paid Date Paid Receipt Numher Piau Review Residential $857.51 4/30/10 2201000000000000438 + 12% State Surcharge $268.49 ' 5/11110 1201000000000000431 + 5% Techuology Fee $126.82 5/11110 1201000000000000431 1st Appliance $79.00 5/11/10 1201000000000000431 2 Baths One or Two Family $337.00. ' 5/11110 1201000000000000431 Addressing Assignment $38.00 ' 5/11110 1201000000000000431 Appliance Vent $9.00 5/11/10 1201000000000000431 Building Permit $1,388.44 5/11/10 1201000000000000431 Dryer Vent $9.00 5/11110 1201000000000000431 Exhaust Hoods $13.00 5/11110 1201000000000000431 Fire SF Fee - Residential $160.00 5/11110 1201000000000000431 Fireplace (Listed) $20.00 5/11110 1201000000000000431 Gas Outlets 1-4 $7.00', 5/11110 1201000000000000431 Heat Pump $17.00"" 5/11/10 1201000000000000431 Plan Review Major - Planning $211.00.\'!'" 5/11/10 1201000000000000431 Plan Review Residential $44.~8:'):' 5/11/10 1201000000000000431 Residence Wiring 1000 Sq Ft $134.00- 5/11/10 1201000000000000431 Residence Wiring Ea Addtl 500 $125.00 5/11/10 1201000000000000431 Sanitary Sewer - Improvement $901.60 5/11/10 1201000000000000431 Sanitary Sewer - Reimhnrsement $1,507.52 5/11/10 1201000000000000431 SDC MWMC Administration $10.00 5/11/10 1201000000000000431 SDC MWMC Compliance Charge $22.63 5/11/10 1201000000000000431 SDC MWMC Improvement $1,333.57 5/11110 1201000000000000431 SDC MWMC Reimhnrsement $101.97 5/11/10 1201000000000000431 SDC Sanitary/Storm Admin $194.29 5/11/10 1201000000000000431 SDC Storm - Improvement $361.12 5/11/10 1201000000000000431 SDC Storm - Reimbnrsement $129.86 5/11110 1201000000000000431 SDC Tran Reimbnrs-Residential $279.54 5/11110 1201000000000000431 SDC Transportation Admin $95.11 5/11/10 1201000000000000431 Sidewalk Permit $88.00 5/11/10 1201000000000000431 Temp Power 200 amps or less $63.00 5/11/10 1201000000000000431 Vent Fan $36.00 5/11/10 1201000000000000431 Willamalane Single Family $2,858.00 5/11/10 1201000000000000431 Total Amonnt Paid $11,827.45 I :;Plan Reviews I 'i-;."" " Paee 2 of 5 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00540 ISSUED: 05/11/2010 APPLIED: 04/30/2010 EXPIRES: 11/11/2010 VALUE: $ 266,692.00 ,'~i::'~-fj~ : ~'" . -,'-' Status Issued 225 Fifth Street, Springfield, 0 R 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural Review 05/06/2010 10 Initial Review 05/05/2010 APP DJB 05/05/2010 Planning Review 05/07/2010 APP DDK 05/07/2010 . . ~.'Jb p._ ~ '.: ,':':,'.;;:' .:;. ! h Structu ral Review APP CJC 05/05/2010 05/07/20 I 0 Public Works Review 0?D}/2.Q) ll_. APP LKW 05/07/2010 \:>;I~> .~." Received revision for lateral bracing details This lot is in the 100 year floodplain, therefore the following occupancy conditions apply: I) Provide a FEMA Elevation Certificate completed by a certified engineer, surveyor or architect, prior to construction, at completion of first floor construction and at completion of structnre (prior to occupancy). 2) As per condition 5 of FloodPlain Overlay approval (SHR2005-00008) and Note 4 on the recorded plat for Legacy Estates: New construction and substantial improvement of any residential structure on lot 17 shall have the lowest floor, including basement, elevated to one foot above the base flood elevation (449'), that is 450'. Approved as noted on plans. Structure is within FEMA flood zone AE- elevation certificates required for preconstruction, first floor and final building stages. Storm water to curb via weep hole ", . j 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. ~eollirerlJnsnections I FEMA Certificate Required: FEMA Certilicate required to be completed and presented to the City of Springfield prior to requesting any final inspecti~ns on this project. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 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. Pa2e 3 of 5 ':..:.... CITY OF SPRINGFIELD Building/Combination Permit Status Issued ,';'~1~' PERMIT NO: COM2010-00540 ISSUED: 05/11/2010 APPLIED: 04/30/2010 EXPIRES: 11/11/2010 VALUE: $ 266,692.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Slab: To be made after all inslab building service equipment, conduit piping and other eqnipment items arc in place but prior to concrete. ..tli.,~.l;O' ,"I,. ..;~., ' Post and Beam: Prior to tloor insulation or dec.~ing: . Floor Insulation: Prior to decking. . hi Shear Wall Nailing: Before covering sheathing with tinish materials. Framing Inspection: Prior to cover and after all rougb in inspections have been approved. Wall Insnlation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Masonry: Clu-Lam Beams: placement. Inspection Certilicate by ~~approved agency to be provided to City Building Inspector prior to , .'. Final Building: After all required inspections have been requested and approved and the building is complete. Underlloor Plumbing: Prior to insulation or decking. Undernoor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to tilling trench and incl~di~'g r;q'~i~ed testing. ,j ('.,'~" ~- . Sanitary Sewer Line: Prior to filling trenc~ ~Ii? inclu~ing required testing. Storm Sewer Line: Prior to tilling trench. Final Plumbing: When all plumbing work is complete. Underlloor Mechanical. Prior to insulation or decking and including required testing. Undertloor Cas: After line is installed and required testing and capped if not attached to an appliance. Rough Cas: After line is installed and required testing and capped if not attached to an appliance. Pa2e 4 of 5 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line II',; . 1" ' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00540 ISSUED: 05/11/2010 APPLIED: 04/30/2010 EXPIRES: 1l/11/2010 VALUE: $ 266,692.00 .t''f . "',' , ";~!!L ":"1 :Wl : . By signature, I state and agree, that I have carefullY'~xamiliedthe completed application and do hereby certify that all information hereon is true and correct, and I furthel.!eertify 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 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 will be used on this project. I further agree to ensure that all required inspections are requested at tbe proper time, that each address is readable from the street, that the permi card is located at the front of the property, and the approved set of plans will remain on the site at all times duro g co tr tion. Owner or Contractors Signature , '~. ...,-. .f.\tij"', . ," ~:;;!' H'r'~t ' .::1\' .1 :..';',' . ;_}~ ~f?! " . t.!~ . '. . .1'1,)". .'') ',-6;;..1- :,! !'~ ..' Paee 5 of 5 '5 J!I )/ 0 Date' / Structural Permit ApplicatioD__ J ,~ . " '.~ .' . . ~~/;:;10:'''' G1:.rjY,OF SPRIN6F,IELD, 9R!OGON ..'. "",,-. ":"l!," '. ;" "."G~"'" tA!... ~.,. , DEPARtMENT:USE'ONl'~; ;, ,',.- :"""',,',".,-, '~;"""-"51.~l\-".!" .:;~,:",._.,., f;,"...'~,'t..,. CO......ZOI() -005,<0 Pennit no,: Date: - '30 - / 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. ~!.;1:!i".'1'i",,~!Il(iloCA'~GOVEfCMENij\'jAPPRCjVAE"~;'i''ii1:i'''~>;j .?~]i'-iilL .._....,_~.. ..,~...~I'L......,..~,,_.,.. ..... ..t~",,,_,..,..,,,,,,,, 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 plain: 0 Yes 0 No 'i"liIlC\IPi1;~';:ilfci1{C"'A"T"'E'G-'O-R"v;;'O~ .".,.C:'O'....N.S...T..R...U"C' "T'IO'N'::':;,;, "i;,;:.,;'. " ..:,.:;,:: ;:~~~t~;~_1,:_.,.",'..__.___.'~" .!~.".F:L_._,..._,~.j '_., ..;.,,:.. :.d.i,;:'i,':'''"f.:''''{'_'' ,_ "-'j;_ Residential 0 Government 0 Commercial ~ii~i[~Q[~si,(~f~ifQBMAfjQN~:6:'@t'.~QGAf!9N~~'~%;,~,;/:g;; 12'1'1 >1_. i- 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753 . FAX(541)726.3689 City: 177 Subdivision' ;' Reference: I 703 Z '13 I T""lot: ~i[ifif~~~i\::;::!Jf(.r'!~#t~RQi'l~ill'(iQWNER~> . '. Name: C, ( L<' Iv' e Gh. it Cvr'Kl"- \10/10.0$ ::tWL. Address:30,'J :St. V'C:W /..N City: tv' e....'" StateO'" ZIP:<J 7t 0<) Phone: -b'i:b-9'i)6 F",,: -,n.~]b? E-mail:W:,<c.h.,,\' ho""'-s C CLML,Sl. Nc.t- 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: i~~'tIt'~il~,~Qi{fM{::r:Q'F!iir;j$fA~!!ATJQ~iY\j\}~ll~<i;qiJ~:~:..,;;;;~,: Business name: ~"vtc. W,ecJ...,.J~ Lv';b-t- ~v\-Qs.: J:lvc.... Address: '3 07 3 .; I< v; ~ vJ '-'^ City: f: v e...... State:O ,l ZIP: 'I 7) D S- Phone: .63& cf'-/S,? F",,:;:''I -33&Z E-mail: W;e(.h...\.\.-.ot\-.e S @ co.", Uo.54 ~ ,.J,) eCB license no.: Print name; Signature: , . '~B)!$!.i!!g:QNi!:Mg:fQ~iNF,QBMAtIQ.N~~l!iik .:".; Name CCB License Number Phone Number Electricall-+-C S'l./ 'II i I'> Plumbing.51(.v<i > Yl-}'7 &, Mecbanical Cf'H 72.b.-o}00 Construction type: V a It;;;')j'r~~\\!ilfi:. .;"'-il!~~~S::!'t~I:lUl~: .;i'r:Y~lu[~}9;l[g/Qttll[~qi;tf~m~~];'~t:i:t:~}{:+~f~' (aJ Joh description: S(~ ~ j:;t._. t Occupancy v1- -S Square feet: Cost per square foot: Other information: Type or Beat: Energy Path: jd-r1ew 0 alteration (b) Foundation-only permit? Total valuation: , 2. :iJufldJ~{g,'f~e.~'5;:~~T~:lf~'~:~J~g:t:..(i}..-,. (a) Permit fee (use valuation table): (b) Investigative fee (equal to [2a]): (c) Reinspection ($ per hour):' (number of hours x fee per hour) o addition D'Yes ,{]No ::f;(. $ $ $ (d) Enter 12% surcharge (.12 x [2a+2b+2c]): $ (e) Subtotal offee. above (2a through 2d): S ii'3'''P''I' ,,":i"'. njM 'fi""""'~i<f-ri' "~I#H,';"I"","!~&'j'ljw<'JIf~'."'j~j;"''\l'J''. ',,~' i,_,a.~j~Y_ ~J!L~,~,i~~ ~1"J.~';::.~\~~"2.;~t{: !lc~bf;~{!'i:~~'~',~i;j.T&ij.:';wi~J,1ffr.~rdt"'::;~'<~/.. $8S7 s' s s (a) Plan review (65% x permit ree [2a]): (b) Fire and life safety (40% x permit ree [2a]): (c) Subtotal offee. above (3a and 3b): 4, l\'Ii~c~Ujjlle~iis:f~esfj', (a) Seismic fee, 1% (.01 x permit fee [2a]): TOTAL fee. and .urcbarge. (2e+3c+4a): S S ck c ~"'~) - ;==-- ".il-< - ~~"~ r--.e <:. cAll be J; " r( ./, ~ W y ~.) Electrical Permit Application CITY OF SPRINGFIELD, OREGON 225 Fifth Street. Springfield, OR 97477+PH(541)726-3753+FAX(S41)726-3689 "_'",.,0" , '. DEPAirrNiENTusE ONLY . . -, ,"~.';' . . . - . . . CO'" Z 010 - 00 ':)4 () Pennit no.: Date: 4-':J 0 -/ 0 This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. "'lOCAl:C;;OVE~NMEIIIT' APF>ROV ALt,'y,,"!.:, " ," Zoning approval verified? 0 Yes 0 No f'.i)~::'c;ATEGORY:iOF '.cON$TRUCTION::~' City: Reference: PROPERTY OWNER' Name: \::>-rIlU W, ec-he.A CJ;.+o", Address: 507:S s)t } fJ City:.cu e)-<-- ZIP: "/710) Phone:SV' -b'Db Of 5'6' Fax: GV/-'SY'f :>3b "Z- E-mail: W;t:c.-he~\-h.Q~5t8CoYkC-ASf.1V <-t- 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 rent. OAR 479.540(1) and 479.560(1), Signature: ,CONTRACTOR INSTAllATION Business name: k *' e f ~c..+V: c.. Address: Z 8 33 -:50v>eS Ac.(e.5 City: S f \G State: 0 it- ZIP: "1 7 'f '7"'5 Phone:$~/ -Sl'. 41 "I ~ -3' - 2.~ E-mail: CCB license no.: O~47S- Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: BCD license no.: 3 '1/7'1-S;- ~Q Oe...ov,)/!...... . ~~~ ~');O ~.~ 0~ 440.2584.) (9/08/COM) ," ;'~;,1?',o;;1?~J!Hr;;~i:i;Y:~ff;\':;},2fi:-EEE~;:SCH ep.(fl}E:;f~;ft1':r~r0,~j~~~:(~~1~\~Wl;~_~!E?j :Nilll\~e~~rinspections p~ri~?,"p.'.:'.19iy.I....'.' ~~~f... Total cost .., Residential, per unit, service included: 1,000 sq. ft. or less (4) I $134.00 $ 134 Each additional 500 sq. ft. or portion ~ $ 25.00 ......., ,- ~ thereof 1:oJ. 'Jr' Limited energy (2) $ 32.00 $ , Each manufactured home or modular $ $ dwelling service or feeder (2) 63.00 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 $ 60 I to 1,000 amps (2) $205.00 $ Over \ ,000 amps or volts (2) $469.00 $ Reconnect only (2) $ 63.00 $ Temporary services or feeders: installation. alteration, relocation 200 amps or less (2) I $ 63.00 $ t::"' 20 I to 400 amps (2) $ 87.00 $ 40 I to 600 amps (2) $126.00 $ Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: Ylew, 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 ci.rcuit $ 6.00 $ Miscellaneous fees: service or fteder not 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: (1) $58.00 $ ;\:~~:;~~(1!:;(~~i(;!;:{Y:N{i:'~fARel.:1cAIII'"[i;i.JSE\!.;t;:\;'J "/,:1i'Y:.,'; '.0....:.,.._... . (A) Enter subtotal of above fees ~Z2.CC $. -'" r .) (Minimum Permit Fee $58.00) (B) Enter 12% surcharge (.12 x [A]) '~ 19> .\tt $~~ ~ (C) Technology Fee (5% of [A]) \\9.\0 $ TOTAL fees and surcharges (A through C): ~ '- 3llo .~~ ~~ willamalane t\i Park and Recreation District Job. No. (J/O- )'/0 SYSTEM DEVELOPMENT CHARGE WORKSHEET .January 1-June 30, 2010 NAME: J3rcu.(..E' (,JIEcttBL,C(),frtJrh... HoI'1.~ PHONE:)Cf I ;.,'Eu, .q-lfr% ADDRESS:'30'71 Sl4'tlleW t.N CITY blt,E"Ne. LOCATION OF PROPOSED BUILDING SITE: Street Address: /~'1o/' ;/EJ?# . . STATE~ ZIP: t:1?'IoS. Plat Name: Tax Lot Number: 1,"1:1'5 2'01 d~ 1. .DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the back.) A SinQle-Family Detached NO. OF UNITS I X $2,858 per unit = $ ~ s:-S- B, SinQle~Family Attached NO. OF UNITS X$3,100 per unit = $ C" Multi-Familv Apartment 1 X $2,641 per unit = $ NO. OF UNITS D.. SinQle Room Occupancy __ .__._________.~._._.._.J\jQ._QE..UN lIS '>C$J,32tR.~LlJnit = ~___$ E. AccessorvDwe/linQ Unit NO. OF UNITS' X $1,550 per unit = $ $ 2~~ W!LLAMALANESDC 2. SDC CREDIT (If applicable) SDC payer must furnish proof of Willamalane Credit approvaL) $ 0 - ...:. - - - -- - ~.~::. --:;:- .....;--::. :::..::::::..::."- --_.=:;"'--:.~-=-:.-~--=..;::....:..-=--.:...=.:.:....:_::.=..:":.......= -~-:::"==.:.::"'-==,"':'::'::='~"";-::":~':;:;:':;- -:..::.. - - :....- 3. . TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) -" ." .-- --..., . - --- .._..__.._--_.~ -- ,- $ ?-Yst C<Z:-- r, II , fd . Date Development Services Department City of Springfield 5 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone 8l!4i"';, ~ii4", \,. lIIL" ~,:. .' ~ M "...MM',' ~MM".', City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000438 Date: 04/30/2010 8:49:56AM Job/Journal Number COM20 I 0-00540 Description Plan Review Residential Payments: Type of Payment CreditCard Paid By BWCH Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 857.51 $857.51 Amount Paid djb 04598d In Person Payment Total: $857.51 $857.51 ,~}::;~;' ':i~-,~"1~,:I:~' o:""'~{f//.\ ~" t- ~ '~,;~4, .,." ~~, 1,,' .'::~~;:~ ..}~ t I': , ., cReceintl Page I of I 4/30/20 I 0 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000431 Date: 05/1112010 . I :34:40PM Job/Journal Number COM20 1 0-00540 COM2010-00540 COM2010-00540 COM201O-00540 .COM20 I 0-00540 COM2010-00540 COM20 I 0-00540 COM20 1 0-00540 COM20 1 0-00540 COM20 I 0-00540 COM2010-00540 COM20 1 0-00540 COM2010-00540 COM20 I 0-00540 COM2010-00540 COM2010-00540 COM20 I 0-00540 COM20 1 0-00540 COM2010-00540 COM20 1 0-00540 COM20 I 0-00540 COM20 I 0-00540 COM20 I 0-00540 COM20 I 0-00540 COM20 1 0-00540 COM20 I 0-00540 COM20 I 0-00540 COM20 1 0-00540 COM20 1 0-00540 COM20 I 0-00540 COM20 I 0-00540 COM20 I 0-00540 Payments: Type of Payment CreditCard Check cReceintl Description Addressing Assignment Willamalane Single Family Fire SF Fee - Residential Plan Review Residential Building Permit 2 Baths One or Two Family 1 st Appliance Vent Fan Appliance Vent Exhaust Hoods Dryer Vent Gas Outlets 1-4 Fireplace (Listed) Heat Pump Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Plan Review Major - Planning SDC Storm - Improvement SDC Storm - Reimbursement Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Tran Reimburs-Residential SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC MWMC Compliance Charge SDC Transportation Admin Sidewalk Permit + 12% State Surcharge + 5% Technology Fee '-;..: Paid By BWCH BWCH Item Total: Check Number Authorization Received By Batch Number Number How Received DJB DJB 19574 03526D In Person In Person Payment Total: Page I of2 Amount Due 38.00 2,858.00 160.00 44.98 1,388.44 337.00 79.00 36.00 9.00 13.00 9.00 7.00 20.00 17.00 134.00 125.00 6300 211.00 361.12 12986 1,507.52 901.60 279.54 101.97 .1,333.57 10.00 194.29 22.63 95.11 88.00 . 268.49 126.82 $10,969.94 Amount Paid $9,500.00 $1,469.94 $10,969.94 5/11/20 I 0