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Home My WebLink AboutPermit Building 2010-6-28 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-0063I ISSUED: 06/28/2010 APPLIED: 05/18/2010 EXPIRES: 12/28/2010 VALUE: $ 185,000.00 Status Issued It ,4. r't:'';:)\'\ -i~:~' ." '. h~ "" I' 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ., SITE ADDRESS: 521 S 48TH PL ASSESSOR'S PARCEL NO.: 1702324407100 SPRINGFIETYPE OF WORK; Single Family Residence PROJECT DESCRIPTION: Single family residence TYPE OF USE: New Residential I PUBLIC IMPROVEMENTS ~ 'J., . \. \0" ' ' Sidewalk Type; Fully Improve<!'ii:;',: Curbside 5' Ye~.:.~~:. ,._, Downspouts/Drains: To Storm Sewer For this parcel in Westw\!i?~Esii\les~' it'is the recommendation to the Building Division, by the City Engineer: "that no conneCtions shall be made to sanitary or storm H20 systems, until the All stormwater dnlbdigisifl1smm~lStpdtdJ6J<liiitJ)€cllto<lll~.public stormwater system via the service lateral provided for lot 21. Consult engineer of record for locations of stormwater and sanitary sewer service laterals. Owner: HAYDEN ENTERPRISES Address: 2622 SW GLACIER PL #110 REDMOND OR 97756 .l" H . TCONTRACTOR INFORM A TION ~. , Contractor Type Contractor License General HA YDEN ENTERPRISES 92208 Electrical ! P 6/,TI91~~~ -. 172366 Mechanical ATTENTIO ~~a:ot.....tMtll~'t,;",,~, 39237 Plumbing fol!~~ rules rzmMGil!lR inli:; ',' 31747 . i~ OAR 952.00t-O~t~ln ~ples of \ell. INFORMATION 0090, You may 0 r lNote: the te ep \ ' # of Units: call1ngthe C;~~r~gon I!Jtllity Notlfl~ories: I Primary Occu\l~n<9E(1;~Bli~; , 1 806-332-2344). Height of Structure 18.33 Secondary Occupanqr:epJ3bls - U Type of Heat; Forced Air Gas Primary Construction Type VB Water Type;' Gas Secondary Construction Type: Range Type: Gas # of Bedrooms: 3 Energy Path: Sprinkled Building: n/a Frontyard Setback: Side 1 Setback; Side 2 Setback: Rearyard Setback; Solar Setbacks: I DEVELOPMENT INFORMATION ~ NOTICE: rt\!.llr\ll EXP\R~~;:'iMEn\~8RK THIS PERMI H~')ER THIS fI\Si'~e'\ltf~~~~\d: In HOP,\lE~lO!4fi, c. BI\Nut~r,e::dJ)J"iv", Rqd: v ~iVlENCE22H61 Iv 1\ % of Lot Coverage; ,',' "o:iiof""O. Subdivision Not Accepted Street Improvements: Storm Sewer Available: Special Instruction: Notes: raee I of 5 " .- .).'i , d'Y _."l",'~' . Phone Number: 541-228-6935 Expiration Date 07/29/2011 09/29/2010 03/25/2012 06/12/2012 Phone 541-228-6935 541-317-1998 541-672-9510 541-928-8942 Lot Size: 5,603 Sq Ft I st Floor: 1,290 Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport 400 Sq Ft Other: Occupant Load: 2 Yes 30.00 REQUfRED PARKING Total: 2 Handicapped; Compact: f ,",,"" Status Issued '" . ., ::' ,.:", 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description ~ Description Estimate , .~' $ Pe~.Sq'Ft '",' or muitiplier ';. . l4$J;OO, ,I5: ,,;; .'~. ""Total Valne of Project Tvpe of Construction Estimate Sqnare Footage . or Bid Amount 185,000.00 ~ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00631 ISSUED: 06/28/2010 APPLIED: 05/18/2010 EXPIRES: 12/28/2010 VALUE: $ 185,000.00 Value Date Calculated $185,000.00 $185,000.00 05/18/2010 Fee Description Amount Paid Date Paid Receipt Number PIau Review Residential $685.56 5/18/10 2201000000000000523 + 12% State Surcharge $210.92 ' 6/28/10 1201000000000000762 + 5% Technology Fee $105.73 ",' .;. 6/28/10 1201000000000000762 1st Appliance $79.00 6/28/10 1201000000000000762 2 Baths One or Two Family $337.00 6/28/10 1201000000000000762 Addressing Assignment $38.00 6/28/10 1201000000000000762 Appliance Vent $9.00 6/28/10 1201000000000000762 Building Permit $1,054.70 6/28/10 1201000000000000762 Curbcut Permit $88.00 6/28/10 1201000000000000762 Dryer Vent $9.00 6/28/10 1201000000000000762 Exhaust Hoods $13.00 6/28/10 1201000000000000762 Fire SF Fee - Residential $84.50 '" 6/28/10 1201000000000000762 Gas Outlets 1-4 $7.00, ", ~ 6/28/10 1201000000000000762 Plan Review Major - Planning $211.00'\)'}" " 6/28/10 1201000000000000762 . ~',t... , 6/28/10 PW Disc - 2nd Permit $-30.00\!\i!.!' 1201000000000000762 Residence Wiring 1000 Sq Ft "~'~~f\ "':' 6/28/10 1201000000000000762 $134.0.0,);.',. Residence Wiring Ea Addtl 500 .t_ < 6/28/10 1201000000000000762 $25.00 ", Sanitary Sewer - Improvement $772.80 6/28/10 1201000000000000762 Sanitary Sewer ~ Reimbursement $1,292.16 6/28/10 1201000000000000762 SDC MWMC Administration $10.00 6/28/10 1201000000000000762 SDC MWMC Compliance Charge $22.63 6/28/10 1201000000000000762 SDC MWMC Improvement $1,333.57 6/28/10 1201000000000000762 SDC MWMC Reimbursement $101.97 6/28/10 1201000000000000762 SDC Sanitary/Storm Admin $189.80 '~/28/10 1201000000000000762 SDC Storm - Improvement $590.34 6/28/10 1201000000000000762 SDC Storm - Reimbursement $164.16 .. 6/28/10 1201000000000000762 SDC Transpo Improvement $1,14~.~~ " 6/28/10 1201000000000000762 SDC Transpo Reimbursement $279.54 6/28/10 1201000000000000762 SDC Transportation Admin $95.57 6/28/10 1201000000000000762 Sidewalk Permit $88.00 6/28/10 1201000000000000762 Temp Power 200 amps or less $63.00 6/28/10 1201000000000000762 Vent Fan $27.00 6/28/10 1201000000000000762 Willamalane Single Family $2,858.00 6/28/10 1201000000000000762 Total Amount Paid $12,090.12 " " ,(;;:~:;, " ,Paee 2 of 5 \(~~f~:i " , !~ , Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review Plannint! Review Planning Review Public Works Review Structural Review Structural Review ,1',:. ~;,: ',I~ "~ . "."........ . ," ,.',' (' , I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00631 ISSU ED: 06/28/2010 APPLIED: 05/18/2010 EXPIRES: 12/28/2010 VALUE: $ 185,000.00 Plan Reviews I OS/20/2010 OS/20/2010 APP DJB OS/20/2010 OS/2112010 WE DDK './':~1\ ,I" '" .;i' OS/25/2010 05)25/2010 , APP DDK """"~ ,. no truss docs. Plot plan doesn't show 3' walkway or extended porch. Tim will come in and revise plot plan. -- 5/25/10 Tim came in and revised plot plan. Front elevations are site specific and contain REQUIRED design' elements. Inspectors will field check that actual elevations match submitted desigus as shown on the approved set of plans. OS/25/2010 For this parcel in (name of project) , it is the recommendatio'u to the Building Division, by the City Engineer: "that no connections shall be made to sanitary or storm H20 systems, until the subdivision is accepted by City Council". OS/27/20]0 APP TSS ;'.,".' ., " t.: All stormwater shall be coveyed to public. storrnwater system via servicE lateral for lot 21. Consult engineer . of' record for Jocations of sanitary and storm service laterals. OS/20/2010 WE waitting for truss details RWC OS/28/2010 i.i:~/;C;; :\i Waitting for interior review from Planning and Public works ,.,,..' 06/21/2010 06/21/2010 APP RWC 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. , ~e{]lIirerUnsnec.tion's I Erosion/Grading Inspection: Prior to g~ound ~isturbance and after erosion measures are installed. Sidewalk - Curbside: After forms are erected but prior to placement of' concrete. Curbcut - Standard: After forms are erected but prior to placement of concrete. Pa!!e 3 of 5 CITY OF SPRINGFIELD Building/Combination Permit 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ~)~1/ i~< ., PERMIT NO: COM2010-00631 ISSUED: 06/28/2010 APPLIED: 05/18/2010 EXPIRES: 12/28/2010 VALUE: $ 185,000.00 Status Iss u ed Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundatio'o inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete'placement. ,.,~ ,':'.~; . Post and Beam: Prior to 1100r insulation or.'!ecking. Floor Insulation: Prior to decking. Sbear 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. .! ,~,\~'f '4.~'''f''''-';' , . Lath/Plaster: To be made after all lathing and gypsum board; interior and exterior are in place, but prior to plastering. t.-'; c' ; Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. ' Final Building: After all required inspections have been requested and approved and the building is complete. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. Underl100r Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required ie~tjng:; ,\ .:,: . . L.: ;:. ~" I 1 Shower Pan. Prior to covering and includ,ing required testing. Water Line: Prior to filling trench and inclu(Iing required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Final Plumbing: When all plumbing work is complete. Underl100r Mechanical. Prior to insulation or decking and including required testing. Underl100r Gas: After line is installed and required testing and cappcd if not attached to an appliance. Rough Gas: After line is installed and required~testin-g and capped if not attached to an appliance. Gas Service: After line is installed and line ~\l~ :bee,i '.:orinec'ted to a minimum of one appliance including required testing. Presu're 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. , r' Temporary Electric: Approval required prior to Utility Company energizing polc. Rough Electric: Prior to Cover , ga~e ,4 of 5 ,- Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line - , t. '~~.j , -.; , . I "~'h ,,~ Final Electric: When all electrical work is complete. :'hJ;':~'jJ: r'\H" '. ,. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00631 ISSUED: 06/28/2010 APPLIED: 05/18/2010 EXPIRES: 12/28/2010 VALUE: $ 185,000.00 By signature, 1 state aud agree, that I have carefull~:e'~~mi,j~d';he ~ompleted applicatiou aud do hereby certify that all information bereon is true and correct, and I further certify that any and all work performed shall be doue 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, Buildiug 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, aud the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature ~. . i .. ," I l'. ~ -~.Ii .,.,,:l"jj;(l )Ai:~.:.I[h~ '".<' ~, ",1.. IY~-~}~~~~ ",.'::ih . ',:r ."1 .!,."t.,,\.. tt . "i;;;t;' _~;. ~'~;..\',' ~" ;>",;'-,;~. 'u; 1 \ 'I . Paee 5 of5 ;b -d3- /tJ. 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. ~~'1il!($$~~G:Q!l~~NMEN[l~~I[~QV:~~~~~~~~ Zoning approval verified? 0 Yes 0 No ~'''''W:GAill.EG1~:I~X~~~$:QfJ$1;;R]lfGi!ij,QNliilii7~~~&!'~ 0.Residential 0 Government 0 Commercial ~~!1fi:\I$j)tLI;JjrN[Ci)"gM~1[i.~Nl[~~DJlljl~rO:I.i'~IQtiI]'t;~,:i;s!!{l Job site address: ;J 5 111 PL City: ,: '0( ZIP: '17"f78 . Subdivision. ' W t' 5J W,''''' S Lot no.: .;21 ,!j\>i~c"<k'~,ii'fD;"FS@D[-n"'I"'NI'1!"<;J!ilW"- ""6on~\Il:~{.""'13:'~"'i"?;:';'" E$~~~~~~*~~ .~._~~_._..~,,~~I~_~~",_'~~Ii..n'., '.~[\.[Y"~n$~;"'{';:"f4,,,i'o,,',':;-)~,k-:.-J'-1'1., ~ Electrical Permit Application 225 Fifth Street. Springfield, OR 97477 .PH(541)726-3753+ FAX(541)726-3689 .!1l"-""ii!'!ll\\'\l:'1:;:,,'Jl1ii!RR0gER:Ri'F0WNER~i~'i;i~"1:;;"''-''':S;:,'i'l'i( l;:,jm..~5-~11',N:l!tl';",~;,,1'!i_';""'_"'''_;'''-'__.:''_,r''''''~";_,_",_""-",,,:,__,_,,__".'I"~l}~,::"c.~7,,,:,tif::..~~.'l~:',",:e'''' Name: \-L tiN\ Address: L(, ('. City: R",olV'""lc,", vj ZIP:/]7S-c;:, Phone: 5"11-228"- ",<)~'i . E-mail:' 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). Address: City: 1SC. Phone:Sllj-3i1- 191'1; E-mail: CCB license no.: ) BCD license no.: '.:J1 Signing supervisor's license no.: Print name of signing supervisor: ZIP: Signature of signing supervisor. / ~~ o.Fe-~..p ~\o '\ . ,9 ~ \\--~ ~ 440-2584-J (9/08/COM) "f.:""" '.';,',,-," ::::>,,:c,,,&'~'.:..;;,'~~~i~i~...~~;f;>:-:";;.i.L\':"~~--:'';,'~O'! 'f'"'~'DE8ARTMENT!USE;ONIliY'>"';' 'cf;.'.;~cf" ;'," .: ../.., , ";;'::=:'ci!j"'_,':i;;S~%.:i:~~~,,':,-?/:?jji'~~~k~ C I D - 0 0 b "3 / P erm it n 0 D ate: ) -( g . (0 ~gt~~;t~~ - .;'~ "-"":c!fJi:"" 4M.. ....J.wl.:""' -,. 'iiIIJI Residential, per unit, service included: 1,000 sq. ft. or less (4) $134.00 $ Each additional 500 sq. ft. or portion ( $ 25.00 $ 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 ..-ups (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) $ 63.00 $ 201 to 400 amps (2) 401 to 600 amps (2) $ 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 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) Each additional branch circuit $ 55.00$ $ 6_00 $ Miscellaneous fees: sendee or fteder not included Each pump or irrigation circle (2) Each sign or outline lighting (2) Signal circuit or a limited-energy panel, alteration, or extension (2) $ 63.00 $ 63.00 $ $ $ $ 63-00 Each additional inspeetion: (I) $58.00 $ '.',.,51!fiI""'-'~N''*'"'UhS^'E~~''' ''"'m",;\i'",<''=''' ;l"I&Ib.r.;;:..;,Y:~;;(".ifl,::t:_, . J'*W:m~"!.~~~~~ (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) $ (B) Enter 12% surcharge (.12 x [A]) $ (C) Technology Fee (5% of[AD $ TOTAL fees and surcharges (A through C): $ StnJi , Permit Application SPR1NGF,eLO DEPARTMENT USE ONLY COW\z,otO-OO 63/ Pemlit no.: 225 FifLh Street. Springfield, OR 97477. PH(541)726-3753. F.~'<(541)726-36S9 ~, , Date "5 -/8' -I 0 This permit is issued under OAR 918-460-0030. Permits expire if work is not started within] 80 days of issuance or if work is suspended for 180 days. "' L:OCAL GOVERNMENT .APPROVAL I Date: This project has finallsnd-use approval. Signature: This project has DEQ approval., Signature: Zoning approval verified: Property is \vithin flood plain: Date: DNa DNa DYes DYes 'iiL,;~.::,:,0iCA:rE(;C)B'f'ob80NSlRUCTI.ON.' .' [2J Residential o Government o COiTtfficrcial ...... ".. '.-:J9i3 SITE LOCATIoN Reference: PROPERTY OWNER Name: .\",( . State: 0 Q G, City: Phone: /1' - '} ~ /C: ~S- Fax: I E-mail: I I 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 require.ments under ORS 701.0] O. Sign here: LATlON: City: Phone: 5'11 - E-mail: CCB license no.: Print name: '/t:ia"' r. State: Signature' ? .... .";c.,;'i~0Elct0N;rRi>.t;r;C5RINF()R.M,,;~IQN~;;""L ;::u Name CCll License Number Phone Number Electric;}1 / j7"\f2 Plumbing 31 7'i7 lVlechnnica] 'Y1;) 37 ~. FEE SCHEDuLE i ...-Va'} ll~'~ibF"'1 ~f c)'rill a hO.D (a) Job description: S..... Occupancy /-3 Construction type: Sq uare feet: I '(J I- FAlAA , ~t<S:>~ce va '((}C) Cost per square foot: Other information: Type of Heat: Energy Petn: lXInew 0 alteration 0 addition (b) Foundation-only permit' DYes ,B-no Total valuation: (a) Permit fee (use valuation table): (b) Investigative fee (equal to [2a]): (c) Reinspection ($ per hour): (number cfhours x fe~ per hour) (d) Enter 12% surcharge (.12 x [2a+2b+2e]): (e) Subtotal of fees above (2a through 2d): s > $ $ (a) Plan review (65% x permit fee [2a}): (b) Fire and life safety (40% x permit fee [2a]): (c) Subtotal of fees above (3a an'd 3b): (a) Seismic fee, 1% (.OJ x permit fee r2a)): $ TO!AL fees and surcharges (2e+3c+4a): $ f'l ~ Willamalane t'W Park & Recreation District Job. No~ % - (0:5 / NAME: SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2009 j-ft/l--'( oi:.Y PHONE: ADDRESS:2'f~t( 510 4lv1Z..1d31'FY~/I STATE:d/Z-ZIP: 9,??J& LOCATION OF PROPOSED BUILDING SITE: . Street Address: )'2/ . Lj fA PL Tax Lot Number:J1D7~7_t\A; 0\\(0 Plat Name: 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on' the back.) , . . A. Sinale-Family Detached NO. OF UNITS / X $2,858 per unit = $. 2-F~J B. Sinale~Family Attached NO. OF UNITS X $3,100 per unit = $ C. Multi-Family Apartment NO. OF UNITS X $2,641 per unit = $ D. Sinale Room Occupancy NO. OF UNITS .X $1,321 per unit = $ E: Accessory Dwellina Unit NO: OF UNITS X $1,550 per unit = .$ $ WILLAMALANE SDC 2. SDC CREDIT (If applicable) SDC payer must fumish proof of Willamalane Credit approval.) /3if t" $ .2~r $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) . ~ o / .,;zy / -:2-0/ (j Date Development Services Department City of Springfield . 5 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone afj~~~;_~ '* City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000762 Date: 06/28/2010 8:43:22AM Job/Journal Number COM20 I 0-0063 I COM20 I 0-00631 COM20 I 0-00631 COM20 1 0-00631 COM20 I 0-00631 COM20J 0-0063 I COM20 I 0-00631 COM2010-0063 I COM20 I 0-00631 COM20 I 0-00631 COM20 I 0-00631 COM20 I 0-00631 COM2010-0063J COM20 I 0-00631 COM20 I 0-00631 COM20 I 0-00631 COM20 I 0-00631 COM20 1 0-00631 COM2010-0063 I COM20 I 0-00631 COM20 I 0-0063 I COM20 I 0-00631 COM20 I 0-0063 J COM20 I 0-00631 COM2010-00631 COM20 I 0-00631 COM20 I 0-00631 COM20 1 0-00631 COM2010-0063 I COM2010-0063 I COM20 I 0-0063 I COM20 I 0-00631 Payments: Type of Payment. Check cReceintl Description Plan Review Major - Planning ",', Sidewalk Permit Curbcut Permit PW Disc - 2nd Permit SDC Storm - Reimbursement SDC Storm - Improvement Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC MWMC Compliance Charge SDC Transportation Admin Building Permit Addressing Assignment Willamalane Single Family "lilo, 'hlli'J(),l 2 Baths One or Two Family I st Appliance Vent Fan Appliance Vent Exhaust Hoods Dryer Vent Gas Outlets 1-4 Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Fire SF Fee - Residential + 12% State Surcharge + 5% Technology Fee ." , ;.'. n" Paid By HA YDEN HOMES LLC Check Number Received By Batch Number djb 26166 .....'" ',HW~ ,VI:')U'} >. ~,:,::':':;J:' "I."!' Page I of I Item Total: Authorization Number Amount Due 211.00 88.00 88.00 (30.00) 164,16 590.34 1,292.16 772.80 279.54 1,140.17 101.97 1,333.57 10.00 189.80 22.63 95.57 1,054.70 38.00 2,858.00 337.00, 79.00 27.00 9.00 13.00 9.00 7.00 134.00 25.00 63.00 84.50 210.92 105.73 $11,404.56 How Received Amount Paid In Person Payment Total: $11,404.56 $1) ,404.56 6/28/20 I 0 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000523 Date: 05/18/2010 9:14:27AM Job/Journal Number COM20 1 0-0063 I Description Plan Review Residential Payments: Type of Payment CredilCard Paid By HAYDEN ENT Item Total: Check Number Authorization Received By Batch Number Number How Received djb 094584 In Person Payment Total: Amount Due 685.56 $685.56 Amount Paid $685.56 $685.56 L ..,r, . .-~ "',...~,. ,-.: , '-,'''-' cReceintl Page 1 of I 5/18/20 I 0