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Home My WebLink AboutPermit Building 2010-6-11 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20IO-00748 ISSUED: 06/11/2010 APPLIED: 06/10/2010 EXPIRES: 12/1112010 VALUE: $ 171,940.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 54 J -726-3 769 I nspection Line SITE ADDRESS: 1059 S 41ST ST ASSESSOR'S PARCEL NO.: 1802061419000 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: New Single Family Dwelling- Same As #COM2010-00639 (1039 S. 41st) Residential Owner: BRUCE WIECHERT CUSTOM HOMES INC Address: 3073 SKYVIEW LN ' "c', ' EUGENE OR 97405 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Plumbing Contractor L & E ELECTRIC INC COMFORT FLOW HEATING STEVE R JOHNSON Expiration Date 03/30/2012 06/27/2011 03/12/2012 Phone 541-933-2653 541-342-3765 0"'" I ~'1'te.~\e& llJ 0 'lIOse o~ u\e& 'O'f # of Units: ~\\o'fff).ll\cell\el. :t\'lIef. I Primary Occupancy Group: tlo\i\\~~Z.oo\.oO '~~\t~'lIO~ 22.00 Secondary Occupancy Group: \II O~~oU fl\t.'1 o'fJ Y"la~ tlO\\~ Air Gas Primary Construction Type ~;1' \'lIe 08'" t! 'Za4A). Gas Secondary Construction Type: Ce.\~~~f'ol \'lIe.. e: Electric # of Bedrooms: t\\lI., cell\ef nergy Patb: Sprinkled Building: No Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 1,604 451 I DEVELOPMENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 10.00 20.00 16.00 18.00 0.00 Overlay Dist: # Street Trees Rqd: ':r.3:ved lid';e Rqd: i : % of Lot Coverage: 5 Yes 27.30 REQUIRED PARKING Total: . 2 Handicapped: Compact: ,...., .-,-,:,... ~ik; ";..HB~~~~~?j,/~;r'~'" ~ .~:: .~ Street Improvements: Storm Sewer Available: Special Instrnction: I PUBLIC IMPR~VEMENTS t.?~I'-t. W "~~ S ~01_ L 10.\ ",,\C't.. ... ,,~~\.\. L1'~~\\VI~ J",Ill': _":\~ ,..v t.I'-Wl,,>J t.?ID\ I\\t.~t'v>' ^",., '\\-I\'0? \It.~ \.\~U f>.~f>.1h\lPhsPo.u.ts/Drains: \.\,\\-101'- ~ GI'- \'0 , ~GW\W\t.~Ct. ({ ?t.I'-\GU. r>.~'i ~\l\) ~f:\ :i ..~ ",~ " Notes: Paee I of 5 'l,' CITY OF SPRINGFIELD Building/Combination Permit " ~,;:1, ~) \', '; ,l~ n~-,)- Status Issued PERMIT NO: COM2010-00748 ISSUED: 06/11/2010 APPLIED: 06/10/2010 EXPIRES: 12/11/2010 VALUE: $ 171,940.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description ~ Garaee/Misc SF/Dulllex U VB Utility. R-3 VB 1&2 Familv $ Per Sq Ft or iritiliiplier $37.72 $96.83 Square Footage . or Bid Amount 451.00 1,600.00 Value Date Calculated Description TVlle of Construction Total Value of Project $17,011.72 $154,928.00 $171,939.72 06/1012010 06/10/2010 ~ Fee Descrilltion Amount Paid) ,,: 'J() D;~,:' Date Paid Receipt Number + 12% State Surcharge $215.01 ". .. 6/11/10 2201000000000000682 + 5% Technology Fee $109.6~ri;; 'I_,-'d.,- f. 6/11/10 2201000000000000682 1st Appliance $79.00' 6/11/10 2201000000000000682 2 Baths One or Two Family $337.00 6/11/10 2201000000000000682 Addressing Assignment $38.00 6/11/10 2201000000000000682 Appliance Vent $9.00 6/11/10 2201000000000000682 Building Permit $1,001.79 6/11/10 2201000000000000682 Credit- SDC Storm Improv $-1,173.95 6/11/10 2201000000000000682 Credit- SDC Storm Reimb $-326.46 6/11/10 2201000000000000682 Curbcut Permit $88.00 .' 6/11/10 2201000000000000682 Dryer Vent $9.00 ~ . ~', .6/11/10 2201000000000000682 Exhaust Hoods $13.00 6/11/10 2201000000000000682 Fire SF Fee - Residential $102.75: i 6/11/10 2201000000000000682 ',','" , Fireplace (Listed) $20:00 6/11/10 2201000000000000682 Gas Outlets 1-4 $7.00 6/11/10 2201000000000000682 Heat Pump $17.00 6/11/10 2201000000000000682 Overwidth Application Fee $45.00 6/11/10 2201000000000000682 Plan Review Major - Planning $211.00 6/11/10 2201000000000000682 Plan Review Same As $250.00 6/11/10 2201000000000000682 PW Disc - 2nd Permit $-30.00 6/11/10 2201000000000000682 Residence Wiring 1000 Sq Ft $134.00 , 6/11/10 2201000000000000682 Residence Wiring Ea Addtl 500 1 " 6/11/10 2201000000000000682 $75.00,'"" i') ':'J," Sanitary Sewer - Improvement $740.60: '.:, 6/11/10 2201000000000000682 Sanitary Sewer - Reimbursement $1,238.~2,...'; ,,,,.. ~, 6/11/10 2201000000000000682 SDC MWMC Administration $10.00,'. 6/11/10 2201000000000000682 SDC MWMC Compliance Charge $22.63 6/11/10 2201000000000000682 SDC MWMC Reimbursement $101.97 6/11/10 2201000000000000682 SDC Sanitary/Storm Admin $141.69 6/11/10 2201000000000000682 SDC Storm - Improvement $1,173.95 6/11/10 2201000000000000682 SDC Storm - Reimbursement $326.46 6/11/10 2201000000000000682 SDC Tran Reimburs-Residential $279.54 6/11/10 2201000000000000682 SDC Trans Improvement-Resident $1,140.17 : 6/11/10 2201000000000000682 SDC Transpo Improvement $1,333.57 , 6/11/10 2201000000000000682. SDC Transportation Admin $101.65 6/11/10 2201000000000000682 Sidewalk Permit $88.00. , ' 6/11/10 2201000000000000682 ;'", .. Paee 2 of 5 ,; . ." , 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line :i' ';'.'("1:. ;),. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20l0-00748 ISSUED: 06/11/2010 APPLIED: 06/10/2010 EXPIRES: 12/11/2010 VALUE: $ 171,940.00 Status Issued \;, , " Temp Power 200 amps or less Vent Fan Willamalane Single Family $63.00 $27.00 $2,858.00 6/11/10 6/11/10 6/11110 2201000000000000682 2201000000000000682 2201000000000000682 Total Amount Paid $10,877.38 I Plan Reviews I Plan nine: Review 06/10/2010 06/1012010 APP DDK Required street trees as shown on street tree plan attached to permit: species as shown. 2" caliper, leave name tag on until approved. Overwidth approved for 30"by Jess< Jones on 6-10-2010 and Storm water to weep hole to curb Public Works Review 06/10/20 I 0 06/10/20 I 0 APP LKW Structural Review 06/11/2010 06/1112010 APP KLK I;.. To Request an inspection call the 24 hour 't;.e~ording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, ipspections requested after 7:00 a.m. will be made the following work day. " ~eClllireCUnsnections ~ Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 'j' 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 equipment items are in place but prior to e.onerete. 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. ,,,"_..,.., '-,_.", ...._u " .. Wall Insulation: Prior to cover. '/~:~~y~ '~;H'n~':l" Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Bolts Installed in Concrete: To be done hy a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. ;, ,:n~_ Roof Sheathing/Nailing: Before covering sheathing with finish material. Pa~e 3 of 5 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2010-00748 ISSUED: 06/11/2010 APPLIED: 06/]0/20]0 EXPIRES: ]2/11/2010 VALUE: $ ]71,940.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Hold Downs [nstalled: Special [nspection performed prior to placement of concrete. Provide report to City Building [nspector. Final Building: After all required inspections have been, requested and approved and tbe building is complete. .; " '; I ,~ .. - .' , Underground Plumbing: Prior to filling th~Jrench and includin'g required testing. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. Underfioor Plumbing: Prior to insulation or decking. 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. Underfloor Me'chanical. Prior to insulation or' decking and including required testing. Underlloor Gas: After line is installed and reqnired 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. Rough Mechanical: Prior to Cover Gas Service: After line is installed and line has been connected to a minimum of one appliance inclnding required testing. Presure test done at this point. , " :"', . . :i:\ ':~~t.'i, \-' , '., Final Gas: When all gas work is complete. ", ':' ~ {':I-1.;I,':',11 . ,."~f~ Final Mechanical: When all mechanical work is complete. ., Temporary Electric: Approval required prior to Utility Company energizing pole. Ufor Electrical Ground: [nstall ground rod at footing and call for inspection in conjuction with footing and/or foundation inspection. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company e!lergizing service. Final Electric: When all electrical work is complete. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. .' , ',l. Sidewalk - Curbside: After forms are ereded but prior to placement of concrete. Curbcut - Standard: After forms are erected but prior to placement of concrete. .' , . '~. ":;~;i Paee 4 of 5 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fa% 541-726-3769 Inspection Line ; " ),\~ 'j1-;~4~."" .:i,;',,~:~ ;',\;: ;, .,.n. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00748 ISSUED: 06/11/2010 APPLIED: 06/1012010 EXPIRES: 12/11/2010 VALUE: $ 171,940.00 By 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 I further certify that any and all work performed sball 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 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 will remain on the site at all "m.'c'Z1ru";"1N~ . ct. ,,:,~' Owner or Contractors Signature "' _!,'i'-' ",I' , ,""" .:~:~~l .,.. ,'" Pa2e 5 of 5 C/JI/JO , / Date 5AIYlt A3 la?Jj Structural Permit Applicati. S 4/SJ- <.;iJ,,;. ClTM'GF SPRIN6FIEIoD,GREGON "';"':1,-' :'.:.";: ,: ,,: T.,r .'~'I"" ,_ . _ ..', ~ . .. DEPJ\RfMENT.;US'E;ONIi~i. -' .,. "-'~:>'.""'-"'<'...."~,;,',n\i;".",>~:..,_",, _.,~,'" -"",.":.,~,.: Pennit no.:Ctff - 74:1? Date: G - 1..8 - t-Rf 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689 This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days oCissuance or iCwork is suspended Cor 180 days. ~ gf~~m-rrocA"wG'ovERNMEN'ErAPPR6\jA~''"'fi~Z>;\''~I.jlj~7. . ~" ". ... .,Jilt, ....-..........., '" ...,.. ..... ....!:l1li, ,.~ ,(l,L."" This project has final land~use approval. Signature: " , Date: This project has DEQ approval. Signature: Date: Zoning approval verilied: D Yes DNo Property is within flood plain: D Yes DNo t~':"~g."h"~""~~"''''..''d';''''''''__~~,:"",,,-<,,,,\,,~,",,,.:-_,,,,,,,,",,_,,...,~,_.,.,.,.,.,,....~., ", '_', ",' , ,'.~ ,',:'_, ." >FJi Jiti.\I~{;):)ril'i;illl&.!;A:'TE.GQRcY:*.Q!flGQ~~]~lJCIIQtl":::M:'::''';;\';, """'0 [iJ Residential I 0 Government o Commercial ~j~'Wt~Q~1.~IIg~fN.f9BMA'ffQtiVA~pa~QG~f!QN)V.~a;~)Xff) Job site address: 0 S-q ,),- 4 I ~-r- City:<:;o r, " ~ f 'dJ State: 0 lL I ZIP: 171 77 Subdivision: F';" h,,-;~ (f\t?.!.uv'). I Lot no.: "I Reference: I Taxlot: i!lfi\f~\~,\t0~'\Jt';\Fl};1il[~QP:~Rt'($QWN~iiii{, S;i,) -'\ ~;.:: " ....... ..:,; Name: I!. {.u< Iv: , Gh. ,t Cv',kll'- \10 "'.'; ::tt\lC- Address: 30'7'3 sc:".;.:w L-N City: t vil'n.'" Statepr-- I ZIP:'! 71 0" Phone: -blb - '1'1,$ Fax: -,17- ~i3b i- E-mail: W; <vhe. \' 1r-.OVhLS a("'~L"S\ 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: ~~~~~~,~ON:fM9J:O~.~!~~fAP~f!9'@t~j\iik~0.);~;E'i.;;~if:: Business name: 'b"v(e W ,ec.~'.J'~ Lv~b,.... I>o".a.<; I1v'-- Address: '3 07 3 -; lop' CoAl ,-", City, -f:v'1 e.....<.. State:o..(L I ZIP: 9 7yQ- Phone: -M~ cI '7 S ? Fax: ::5'1'{ - 33 b Z E-mail: w; e.(....\..,... ~ \.-..Ql"-~<; @ GO\'\I\ Uo.)'4 ~ V'"L t CCB license no,: {Ol 7 r I Printname:'S} .e"\I"~d~ W"o \"''0/ Signature: W W._____- l;~Ri!:'Wil\\ll!SliB:.cON;[RACtORINFcdRMAtrONi&IIJ~I\1W"'" ,,' ...... .riti.",.. ~..o...._.J~_._.w_.._-.J .~_,.--..._~--,,_t".~..~~... "'.'_"""""~''"'_'" .r..Jt ,~,1,>:<':"F,.'" Name CCB License Number Phone Number Electrical t-..e lOS' 7< 5/.-1 'II 'i " Plumbing 51Lv< i P v.....~.. "l\ .5oll!; " y 2- 3'" b~ Mechanical (PH .~ b V 72.6--0100 '.".' '..'1"'''''''.''.'''._-.",. -~~'.'.'.'."."..'" '..' ''''..'''''i~'.'''.'~ -".&&.'~" 'if"".""".'" :rt;H~;1.;~1~{€~11'fM~~J>:'o-ift;9$c~fil;'p.U_J;g~:r!:"~~1t-t4..,L:~m0::h~J~ .,~..'o.~..,.too",,,-,:,:o~~'~~\~~i'-;:t.'i;;~J&.}.'~\ .c.- ":,0,. ,.,-~?ti",t,J:"'~,4"T"'~ty;~~~o"'~'\i.~''-- ;1;"Y~,I.A~!!9jtji1!!Q.rm.~JiQ,I:I;Ir(~:;'~h;{n-S~~~;1~:~;f;i~~Rij~;}g~~;afl~1tt~~!~~ (a) Job description: Occupancy ~ Construction type: Square feet: Cost per square foot: Other information: Type of Heat: Energy Path: new 0 alteration D addition (b) Foundation-only permit? 'D.Yes D No Total valuation: $ .. 2. Bufld~Qg;f~~~~~~~~~g~~:.lff:~tJ:..... c. . ~~.~!~~E~~~f~r~N~:~~~t:. (a) Permit Cee (use valuation table): (b) Investigative fee (equal to [2a]): (c) Reinspection ($ per hour):' (number of hours x fee per hour) s s s (d) Enter 12% surcharge (.12 x [2a+2b+2c]): S (e) Subtotal offees above (2a through 2d): S ;Y~t~p.U~~1I~YJ~wr~~ira~~r~~~:J~~~8'~~~~~t~ar~~~~~~]}tr~~~~;. (a) Plan review (65% x pennit Cee [2a]): S (b) Fire and life safety (40% x permit fee [2a]): S (c) Subtotal offees above (3a and 3b): S . 4. l\11"c~[i~'1Ieoiin~e~X{ (a) Seismic fee, 1% (.01 x permit fee [2a]): S TOTAL Cees and surcharges (2e+3c+4a): S ~^,\J 225 Fifth Street. Springfield, OR 97477+PH(54I)726-3753+FAX(541)726-3689 . ~ bEP.A......RTNiENTUSEONL Y SPRINGFIELD ~ . ". Permit no.:C ~ :H-'d Date: -~ 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. '.' :l!OCAL>~OVERNMENTAp.F>~()VAt>>:. Zoning approval verified? 0 Yes 0 No :.CATEGORY/OF.CONSTRUcTION.....,;... ;:>,;~'~" ~:~'.q' o Residential 0 Government 0 Commercial il..jlfftr.)\i.~.OB::SITEi'INFO~NiA:rIONirAIiID;;;t:OCA1;IOl'f,~2i:'.,\1~;; 0) 5 LjISl- City: :> r- \.l- Stale: ZIP: &>2. 06/Lf Taxlot.: Of 10 .. .:'.' DESCRIPTION: OF'WORK'. ,.,::','i.. ,':'" . ." Ol^-Sf" WIll . Reference: ,,I PROPERTY..OWNER . Name: (:,n/u Wi ec-he-.A CJ;,+o"" Address: 307 S s Ie. I/>J City: (. u v-<-- ZIP: '7 7'10"- Phone:SV/ -b8b or ~ ~ Fax: GV/-'3Yf ~3b 7..- E-mail: (;J;.::c.h..~t...<l~58Co".-C-ASf.1V ,,-j- 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: l- *' e f -ec-+V:G Address: Z 8 :5 3 -:5'ov-es A c. (e-S City: S f \~ State: 0 TL ZIP: q 7 'fI'Z Phone:S~/ -5Z' - 41 'i ~ Fax: '5 -<::-5- E-mail: CCB license no.: 0'1> 4'7S- BCD license no.: '0 c.., Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: '-1/7 '/-S- t;:'O Oe"ov,Je->- ~ I\.\.<n.v\~ W ~~. ~. . '$>~ \ ^~~~\) ~~~~ ~ 440-2584-J (9/08/COM) ;~~,;r/~.~....~)i~;'(~:~::i1\:;;{~\~~1J~'y~ "U:E'~;~SCH EP.UIJI;:I;}!5gt.::\M~(~;.:J:i~~:~~Vth,/{~!H{ ;Number 6(iitspectiori;p~ri;:~~'(j'IQiy.~ost.. Total . . '.' . .., '. cO..... .'. .,' . ,....r... ". ea;. '. cost'- . Residential, per unit, service included: 1,000 sq. ft. or less (4) I $134.00 $ J3L( Each additional 500 sq. ft. or portion ;:s $ 25.00 $7> 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 $ 401 to 600 amps (2) $158.00 $ 60 I 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) 201 to 400 amps (2) 401 to 600 amps (2) I $ 63.00 $ C. <.. $ 87.00 $ $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 se'rvice 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) Each additional branch circuit $ 55.00 $ $ 6.00 $ Miscellaneous fees: service or feeder:':lot included Each pump or irrigation circle (2) Each sign or outline lighting (2) Signal circuit or a limited-energy panel, alteration, or extension (2) . Each additional inspection: (I) ~;ij2',~\l~~~i&i\':;;!W!;fi,,,~Af!,F>UCANt;:USE};;.t: (A) Enter subtotal of above fees (Minimum Permit Fee $58,00) $ $ $ $ $ 63.00 $ 63.00 $ 63.00 $58.00 !~~f-~.:?-~:{:~?:;0::>:':, ~\>,;., _ . (B) Enter 12% surcharge (.12 x [AJ) (e) Technology Fee (5% of [AJ) TOTAL fees and surcharges (A through C): $z.7l $ $ $ -YY z.y 't ~. !!I!!m~l~i~e . c/o - 00 7l(<6 Job. No. SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2009 NAME: 7$.tJ crf PHONE: b 0 6- ~ 0 r-D . 3073. S\L.yv/~'; U ,.- ADDRESS: CITYEu G-tr<C- STATE~IP: 7"74'0! LOCATION OF PROPOSED BUILDING SITE: Street Address: /D -;- 9 5. L({~t- Plat Name: / SDZ ObfL{ Tax Lot Number: Dr 7'0 0 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the back.) A. Sinqle-Family Detached ( -- X $2,858 per unit = $ ?F::; t NO. OF UNITS B. Sinqle-Family Attached NO. OF UNITS X $3,100 per unit = $ C. Multi-Family Apartment NO. OF UNITS X $2,~41 per unit = $ D. Sinqle Room Occupancy NO. OF UNITS X $1,321 per unit = $ E. Accessory Dwellinq Unit NO. OF UNITS X $1 ,550 per unit = $ Z g:- S1S ,.- WILLAMALANE SDC $ 2. SDC CREDIT (If applicable) SDC payer must fumish proof of ...-- Willamalane Credit approval.) $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) $ --- Z3')g ~~ C. I I( I 20rO Date Development Services Department . City of Springfield. . 5 RECEIPT #: 2201000000000000682 Date: 06/11/2010 9:SS:22AM Job/J()urnarN~mber COM20 I 0-00748 COM20 I 0-00748 COM20 I 0-00748 COM20 I 0-00748 COM20 I 0-00748 COM2010-00748 COM20 I 0-00748 COM20 10-00748 COM20 I 0-00748 COM20 I 0-00748 COM20 I 0-00748 COM20 I 0-00748 COM20 I 0-00748 COM2010-00748 COM2010-00748 COM2010-00748 COM20 I 0-00748 COM20 I 0-00748 COM20 I 0-00748 COM2010-00748 COM2010-00748 COM20 I 0-00748 COM20 I 0-00748 COM2010-00748 COM20 I 0-00748 COM20 I 0-00748 COM20 I 0-00748 COM20 I 0-00748 COM20 I 0-00748 COM2010-00748 COM20 I 0-00748 COM20 I 0-00748 COM20 I 0-00748 COM2010-00748 COM2010-00748 COM20 I 0-00748 COM20 I 0-00748 COM2010-00748 Payments: Type of Payment CreditCard Check cReceintl Description Plan Review Major - Planning Plan Review Same As Fire SF Fee - Residential Building Permit Addressing Assignment Willamalane Single Family 2 Baths One or Two Family 1st 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 Sidewalk Permit Curbcut Permit PW Disc - 2nd Permit SDC Storm - Improvement SDC Storm - Reimbursement Credit- SDC Storm Improv Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Tran Reimburs-Residential SDC Trans Improvement-Resident SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Administration SDC MWMC Compliance Charge SDC Sanitary/Storm Admin SDC Transportation Admin Credit- SDC Storm Reimb Overwidth Application Fee + 12% State Surcharge + 5% Technology Fee Paid By BWCH BWCH Item Total: ChecJ< Number Authorization Received By Batch Number Number How Received djb djb 19694 05542d In Person In Person Payment Total: ;1 >'::"'.-r; Page 2 off Amount Due 211.00 250.00 102.75 1,001.79 38.00 2,858.00 337.00 79.00 27.00 9.00 13.00 9.00 7.00 20.00 17.00 134.00 75.00 63.00 88.00 88.00 (30.00) 1,173.95 326.46 (1,173.95) 1,238.32 . 740.60 279.54 1,140.17 1,333.57 101.97 10.00 22.63 141.69 101.65 (326.46) 45.00 215.01 109.69 $10,877.38 Amount Paid $9,500.00 $1,377.38 $10,877.38 6/11/2010