HomeMy WebLinkAboutPermit Building 2005-8-24
CITY OF SP.Kll~GFIELD .
}'
, Status
Issued
Building/Combination Permit
PERMIT NO: COM2005-00957
ISSUED: 08/24/2005
APPLIED: 07/21/2005
EXPIRES: 02/24/2006
VALUE: $ 197,900.00
, 225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 758 S 47th PI
ASSESSOR'S PARCEL NO.: 1802051211600
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence - Rocky Road subd lot 5
Residential
Owner: PARKER HOMES
Address: 24717 WOLF CREEK RD
VENETA OR 97487
Phone Number: 935-7984
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor License Expiration Date
PARKER HOMES INC 162168 11/18/2006
BATEMAN ELECT.nON: Oregon laW15l~IJI~es y~U)~ 06/21/2008
HOME COMFORT ~~~ted by t1sftN}~egon tl/ ~.Q6/25/2007
HOME COMFORT. .~ ~~e\lilrlNJr1osetA!l~ a~,s~~ ~n~~6/25/2007
~SfN6JiN~n~'if7h~ Or~ie~ by
0090. You n1ClY . the telephone
camAgSb8i~nter. (Not~t.rty fi tifkati~t Size:
nu~QmQPn II \4~~~0 Sq Ft 1st Floor:
TYP(WIUe8ftS 1-8OP~~~~r 'Has Sq Ft 2nd Floor:
, Water Type: Gas Sq Ft Basement:
Range Type: .' 0,0 Gas Sq Ft Garage/Carport
Energy Path: 0',"" Path 1 Sq Ft Other:
'Sprinkled Building: n/a Occupant Load:
Phone
541-935-7984
541-995-4757
541-345-2838
541-345-2838
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Constructi~n Type '
Secondary Construction Type: .
# of Bedrooms:
1
R-3
U
VN
1,825
616
3
I DEVELOPMENT INFORMATION M
REQUIRED PARKING
OverlayJlist: , Hillside Total: 2
otttga:Ui~iree~R~~: Ll EXPIRE IF TH~ WORKHandicapped:
,p "~dFn raA!;Y;:'s\;\A ~ T C
I il,Y@ QliweIK'ju': HIS PER' \es\S NO ompact:
0/ 11 . ~'r-n 1,~'nER T I I
A-L~ t-WthLo_v..erage::J 0 N d ~ 0 R
COMMENCED OR IS ABAND "
... .......r-nl('\n
1\ l\ I 'J ~ ~ I iLl '-' L . \._ ~ \ I ~ .... .
I PUBLIC IMPRUVEMENTS I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18~00
47.50
34.00
71.00
30.00
Subdivision Not Accepted
Street Improvements:
Storm Sewer Available:
Special Instruction:
FullV Improved
Yes
Sidewalk Type:
Curbside 5'
To Storm Sewer
Downspouts/Drains:
Notes: No hook-up to City Infrastructure until Public Improvements accepted by the City; storm drainage piped to stub
provided 7/25/2005 CAS
Pae:e 1 of 5
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Description
$ Per Sq Ft
or multiplier
$4.00
$96.00
$25.00
Square Footage
or Bid Amount
1,825.00
1,825.00
616.00
A.C. - Residen
Dwelline:s
Garae:e
Type of Construction
AC - Residential
V Wood Frame
Garaee
Total Value of Project
~
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00957
ISSUED: 08/24/2005
. APPLIED: 07/21/2005
EXPIRES: 02/24/2006
VALUE: $ 197,900.00
Value
$7,300.00
$175,200.00
$15,400.00
$197,900.00
Date Calculated
07/22/2005
07/21/2005
07/21/2005
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $559.91 7/21/05 1200500000000001059
-Mechanical Issuance Fee- $10.00 8/24/05 2200500000000001146
+ 10% Administrative Fee $146.12 8/24/05 2200500000000001146
+ 7% State Surcharge $102.28 8/24/05 2200500000000001146
2 Baths One or Two Family $254.00 8/24/05 2200500000000001146
Addressing Assignment $31.00 8/24/05 2200500000000001146
Appliance Not Listed o $18.00 8/24/05 2200500000000001146
Building Permit $884.15 8/24/05 2200500000000001146
Dryer Vent $6.00 8/24/05 2200500000000001146
Exhaust Hoods $9.00 8/24/05 2200500000000001146
Furnace - up to 100,000 btu $12.00 8/24/05 2200500000000001146
Gas Fireplace $15.00 8/24/05 2200500000000001146
Gas Outlets 1-4 ,$4.00 8/24/05 2200500000000001146
Plan Review Major - Planning $150.00 8/24/05 2200500000000001146
Plan Review Residential $15.69 8/24/05 2200500000000001146
Residence Wiring 1000 Sq Ft $106.00 8/24/05 2200500000000001146
Residence Wiring Ea Addtl 500 $57.00 8/24/05 2200500000000001146
Sanitary Sewer - Improvement $553.03 8/24/05 2200500000000001146
Sanitary Sewer - Reimbursement $727.03 8/24/05 2200500000000001146
SDC MWMC Administration $10.00 8/24/05 2200500000000001146
SDC MWMC Improvement $865.31 8/24/05 2200500000000001146
SDC MWMC Reimbursement $82.03 8/24/05 2200500000000001146
SDC Sanitary/Storm Admin $146.37 8/24/05 2200500000000001146
SDC Transpo Admin $63.98 8/24/05 ' 2200500000000001146
SDC Transpo Improvement $805.70 8/24/05 2200500000000001146
SDC Transpo Reimbursement $182.69 8/24/05 2200500000000001146
Sidewalk Permit $80.00 8/24/05 2200500000000001146
Storm Drainage Impervious Area $981.25 8/24/05 2200500000000001146
Storm Sewer Each Addtll00' $28.00 8/24/05 2200500000000001146
Temp Power 200 amps or less $50.00 8/24/05 2200500000000001146
Vent Fan $18.00 8/24/05 2200500000000001146
WiIlamalane Single Family' $1,000.00 8/24/05 2200500000000001146
Total Amount Paid $7,973.54
Pae:e 2 of 5
.......~~~,!;.,~~~~."._"-'",.."
~' ' , ' ,
r
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit"
PERMIT NO: COM2005-00957
ISSUED: 08/24/2005.
o APPLIED: 07/21/2005
EXPIRES: 02/24/2006
VALUE: $ 197,900.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726~3769 Inspection Line
I Plan Reviews I
Initial Review 07/22/2005 07/22/2005 APP LLH
LDAP Review 07128/2005 07/28/2005 10 VRJ Full Review LDAP. Spoke with
Parker Homes as they were
submitting building plans. Parker
Homes plans to submit LDAP, plan
have not been submitted as of
7/28/05. $600.00 will be due at
issuance.
LDAP Review 08/19/2005 08/19/2005 APP VRJ LDAP is ready to issue. $600.00 due
at issuance. Parker Homes has been
contacted.
Plannin2 Review 08/05/2005 08/05/2005 APP TAJ building envelop amended by Gary
Karp on 7/21. The plot plan relfects
this.
Tree Felling Permit not needed as
long as the trees removed are within
the amended buidling envelope. No
trees are allowed to be removed
outside the building envelope. Fence
the tree closest (marked on site plan)
with construction fencing to drip
line and follow protection measures
attached.
The Tree Conservation zone is also
to be fenced with construction
fencing. No construction activity
allowed in this area.
Plannine: Review 07/22/2005 08/03/2005 WE TAJ Plot plan needs to show trees to be
removed and preserved near the
building envelop. Contacted Don
Parker on 8/2.
Public Works Review 07/22/2005 07/25/2005 APP CAS Storm drainage piped to stub
provided 7/25/2005 CAS
Structural Review 07/22/2005 07/26/2005 APP DLM see documents for plan review
comment
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or ,
foundation inspection.
Pae:e 3 of 5
.....:..~i~.a~~~~I.;;Pf ."'" ,.-,~~>~
CITY OF SPRINGFIELD'
Building/Combination Permit
, ,
Status
Issued
PERMIT NO: COM2005-00957
ISSUED: ' 08/24/2005
APPLIED: 07/21/2005
EXPIRES: 02/24/2006
VALUE: $ 197,900.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building is complete.
Perimeter Foundation DraiI~s: After gravel and filter cloth is installed but prior to backfill.
Underfloor Plumbing: Prior to insulation or decking.
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.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Underfloor 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 toa 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: P~ior 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 disturbanc~ and after erosion measures are installed.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Pae:e .. of 5
Status
Issued 0
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00957
ISSUED: 08/24/2005'
APPLIED: 07/21/2005
,EXPIRES: 02/24/2006
VALUE: $ 197,900.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify 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 withORS 701.005 will be used on this project.
I further agree to ensure that all r~quirea IUS]> tions are requested at the proper time, that each address is readable from the
~~.es' ,:;;t ~~~a~J2e f~ ,Mi-d the apProV~li3;f2e se at all
Owner or Contractors Signature Date I /
Pae:e 5 of 5
225 FIFTH STREET. SPRIN"-I':mLD. OR 97477 . PH:(541)726-3753 · FAX: (S41)V-!~~ o~~ - ,
ELE';HdCAL PIfPll~PJ.lCATION '. ,~OO<o' 1-o"',.~ ,- ~ '
City Job Number \ , ';;\ .Lt'::'J1 ) Date '().\o,)t~
' , S\~~ -
,_ ..,_"".,:-~____,_.-.;*.e~-y.p.,,~_..__., ,0 __ ,-', --
3.:C01'vIPU5~J!.J!J!&SC.1;U!..UULfl~LOW , " 0 >- I
~ .... _ ,.__.". .__..... '_._ ...._._ 4____......._.......} ...._ ..0--'- - - -~...
1.t\:~~N;~1~C:: F_~~ _ ,_ ___ _ _~___-_ qU' .
LEG, iD1DS\1. \ \ lnOO A. ~:;~~! ::~,D;I<u}~Uili:Fa..;IY'~,d...lling un,it,
JOB DESCRIPTION · '~~\ 1000 sq. ft. orless \
~ t= \(0 ~ N' .v lD ~ Eaoh _.onaI500 sq, ft. or .~
pe':,,, are aOD-~_..f ~:'" is =:='d Home or S 19,00
not started within 180 days of issuance or if work is Modular Dwelling Service or $50 00
Suspended for 180 days. . Ore on taw requires ~ .
2. '~coNrnACTQj\~~!~~:~~~:~~~ oregQj:~~tHW'~~;~~d;";~'~~s~i~~~~te~ti~ns'~~ 'Rel~~~tio~= .'
E1ec~:oI c:...otor ~~t~t~il0~~~ :;~. . n'- ,-- - . ' "s 63.~ .... ... .
" , ._ . '. ~u may obtain c09J~~ 01 t~e ~ 5\' ~ to 400 Amps $ 75.00
Address "', -t l ~o~o'. . r~16 (:;~t.'JNote: ~he1ele,9jp Aims to 600 Amps $125.00
vaffitr; .- . , 1(1it\' Not\'Jlca1l0lt
. ""J,., ,Ilf1iJmberforA1~x.egoDIJ\- .4'4).60IAmPstoIOOOAmpS $163.00
Ci~ Uf\... \1 D r\ In<\Phoreen'tt1K$lrooo:a~21 Over 1000 AmpsIVolts $375.00
I....J Reconnect Only $ 50.00
Supervisor License Number
~ODto::~
Expiration Date
I D' l f. I
C,' 1 ~~ Dlo
Constr. Contr. Number
'"
\.
~=" ~, ~~?~: \
r."::~" t,.. \}
Expiration Date
.~ .f ":FY~.'
\~/,;/.....- (~~-
i1 '\, <
c"-: ..~..J
Signature of Supervising Electrician
t:?~/~
/'
$.L.,
$106.00
~a?
6'1
-r .,.",,' ;~~-:~.-... ,'~' .-.:;'~'-:1-1"'- _: ~,!..,:;"7;::;~...~~(--~.,. ". .'~ "; -
C. TempOrary Servi"esor F~edeis 0 ":;, :0.,:_
'.__~'.' .~_.... .1........ ~_ .._--"'-.....".-., _~..;..r. .....~ ..0.0.-.__ '.
, .
,-.._,...- ." --.
\
c.:JJifJ
Installation. Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
Ov~ ~ Amps.. or l.~~ y ~1!S.~~ ''B'' above.
D. Branc.bCircuits or, ' .- -----."",. ,
. . ", .......\ "._~. 'J" .'":'_....,,~_.. - ." '...
New ~t:~...~~ qr EXten~~o~per Panel
. ".'-', _\~ ~b~x1~~o~;ltir~Ujt~'~r~~ih $ 43.00
\' ~_\ ~etviceor,FeederPermit' $ 3.00
. -~:: ,-h,,\r~'... , ," ,." _..H'
~ '}-:E~o: ~~~us (Service~feeder notincluded)-Eachi~stalbtion
'J ,'. ". -- -..' . ..' " . 0 --- '
. Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited EnergylResidential $ 25.00
Limited Energy/C.:"..."ercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
$ 50.00
$ 69.00
$100.00
:=N'J4'1l \J' \f~~h'
City \~ Phone 5'V\...
OVVNERINSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
-.-..........--....
4.S~'~~,.~._,c,._O. .o'_~,_, .':,:;, -. ..' ;
- - - ".-. ~~..~.,;.~_.-.
7% State Surcharge
10% Administrative Fee
TOTAL
. _. ,.,.. 'On,. ot.J:.. _ T.'___1C1..........:......1 D09'ft't1t Annlir:Ahnn l-03.doc
, CITY OF sf1~NGFIELD SYSTEMS DEVELOPME~1'ORKSHEET .
JOURNAL OR JOB NUMBER:
NAME 'OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x, I COST PER S.F. CHARGE
I 3037.92 I $0.323 I $981.25
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. ,I x I COST PER S.F. I x DISCOUNT RATE I
I 0.00 I , $0.323 I 50% = I
ITEM 1 TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's x
, 29
B. IMPROVEMENT COST:
I NUMBER OF DFU's x
I 29
COM2005-00957
Parker Homes
758 47th St
1802051211600
SINGLE FAMILY RESIDENCE
1 BUILDING SIZE (SF: 2430
'\r)~.',fl;
if.!
P-1
Q
o
U
t:r:
P-1
E-<
VJ
>-<
tI
~
LOT SIZE (SF):
20048
DISCOUNT
$0.00
$981.25
$981.25
1070
COST PER DFU
$25.07
$727.03
1091
$19.07
$553.03
1092
=1
$1,280.06
I
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS I x COST PER TRIP x INEW TRIP FACTOR
I 9.57 I I I $19.09 I 1.00 $182.69 1093
B. IMPROVEMENT COST:
ADT TRIP RATE x I NUMBER OF UNITS x COST PER TRIP x NEW TRIP FACTOR
9.57 I 1 $84.19 1.00 $805.70 1094
ITEM 3 TOTAL - TRANSPORTATION SDC =1 $988.39
,..-
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's I x ICOST PER FEU
1 I I $82.03 = $82.03 1054
B. IMPROVEMENT COST:
INUMBER OF FEU's x ICOST PER FEU
I 1 I $865.31 ' - $865.31 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 r 1054
MWMC ADMINISTRATIVE FEE $10.00 11056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = 1 $957.34
SUBTOT AL(ADD ITEMS 1, 2, 3, &4) = I $4,207.04 !
~ , ~.
5. ADMINISTRATIVE FEE:
I SUBTOTAL x ADM. FEE RATE 1= CHARGE
I $4,207.04 5% I $210.35
TOTAL SANITARY ADMINISTRATION FEE: 146.37 1079
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Cheryl Slaymaker
PREPARED BY
7/25/2005
$63:98 1078
I
=, $4,417.39 I
_ __.___J
TOT ALSDC CHARGES
DATE
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNlT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
I BATHTUB 2 0 3 = 6
IDRINKlNG FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
I LAUNDRY TUB 1 0 2 = 2
ICLOTHESW ASHER / MOP SINK 1 0 3 = 3
I CLOTHES WASHER - 3 OR MORE (EA) 0 0 6 = 0
I MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
I RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0
I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
ISHOWER, SINGLE STALL 1 0 2 = 2
I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
I SINK: COMMERCIAL BAR 0 0 2 = 0
I SINK: WASH BASIN/DOUBLE LAVATORY 2 0 2 = 4
ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 = 0
IURINAL, STALL / WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRlV ATE INSTALLATION 3 0 3 = 9
MISCELLANEOUS DFU TYPE NUMBEROFEDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 29
"EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFtJs) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
]982
]983
1984
1985
]986
1987
1988
1989
1990
1991
]992
1993
1994
1995
1996
1997
]998
1999
2000
2001
CREDIT RATE/$I,OOO
ASSESSED VALUE
$5.29
$5.29
$5.19
$5.12
$4.98
$4.80
$4.63
$4 .40
$4.07
$3.67
$3.22
$2.73
$2.25
$1.80
$1.59
$1.45
$1.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.05
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter ] for Yes, 2 for No)
BASE YEAR
2
2
]979
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE
$0.00 x $5.29
= ,
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0.00 x $5.29
o
TOTAL MWMC CREDIT
$0.00
=
225,.Fift~ Street
Springfield, Oregon 97477
541-726-3759 Phone
')
"
Job/Journal Number
eOM2005-00957
Q>M2005-00957
dpM2005-00957
COM2005-00957
,\
Q.)M2005-00957
dbM2005-00957
COM2005-00957
COM2005-00957
eOM2005-00957
COM2005-00957
COM2005-00957
eOM2005-00957
COM2005-00957
QOM2005-00957
QOM2005-00957
eOM2005-00957
eOM2005-00957
COM2005-00957
COM2005-00957
qbM2005-00957
COM2005-00957
~t .
C0M2005-00957
dbM2005-00957
eOM2005-00957
eOM2005-00957
eOM2005-00957
COM2005-00957
COM2005-00957
eOM2005-00957
COM2005-00957
<
CbM2005-00957
<
LDP2005-00l6l
City of Springfield Official Receipt
)evelopment Services Department
Public Works Department
RECEIPT #:
2200500000000001146
Date: 08/24/2005
1l:51:04AM
Description
Plan Review Residential
Building Permit
Addressing Assignment
Willamalane Single Family
2 Baths One or Two Family
Storm Sewer Each Addtl 100'
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Gas Fireplace
Appliance Not Listed
-Mechanical Issuance Fee-
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500 0
Temp Power 200 amps or less
Sidewalk Permit
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer -Improvement.
SDC Transpo Reimbursement
SDC Transpo Improvement
SDe MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Storm Admin
SDC Transpo Admin
Plan Review Major - Planning
0+ 7% State Surcharge ,
+ 10% Administrative Fee
LDAP Short, Form Impacted 'New
Amount Due
15.69
884.15
31.00
1,000.00
254.00
28.00
12.00
18.00
9.00
6.00
4.00
15.00
18.00
10.00
106.00
57.00
50.00
80.00
981.25
727.03
553.03
182.69
805.70
82.03
865.31
10.00
146.37
63.98
150.00
102.28
146.12
600.00
$8,0~3.63
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Payments:
,T,rpe of Payment Paid By
Check
-;1
',i
!}"
9
8/24/2005
Amount Paid
PARKER HOMES me
djb
6718
In Person
Payment Total:
$8,013.63
$8,013.63
. ;,'
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