HomeMy WebLinkAboutPermit Building 2004-2-4
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Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2004-00200
ISSUED: 03/04/2004
APPLIED: 02/19/2004
EXPIRES: 09/04/2004
VALUE: $ 154,408.00
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4045 Cherokee Dr
ASSESSOR'S PARCEL NO.: 1802061111800
Springfield TYPE OF WORK: Single Family Residence
, TYPE OF USE:
PROJECT DESCRIPTION: SFR - same as COM2003-01195 4046 Douglas
New
Residential
Owner: BRUCE WIECHERT
Address: -3375 PARK HILLS' EUGENE OR 97405
Phone Number: 541-686-9458
Contractor Type
General
Electrical
Mechanical
Plumbing
I CONTRACTOR INFORMATION.
Contractor License
BRUCE WIECHERT CUSTOM HOMES INC 101717
L & E ELECTRIC INC 105475
COMFORT FLOW 460
STEVE R JOHNSON 65065
I BUILDING INFORMATION I
Expiration Date
09/16/2006
03/30/2004
06/27/2004
03/1212004
Phone
541-686-9458
541-933-2653
541-726-0100
541-342-3765
# of Stories: 1 Lot Size:
Height of Structure 17.00 Sq Ft 1st Floor:
Type otieat: Forced Air Gas Sq Ft 2nd Floor:
wa~ He: Gas Sq FtBasement:
~ \: Electric Sq Ft Garall~Carport
3 ~ "ath: Path 1 Sq Ft <>.~Itet:~~~
-.l~1:-~o~~ <.0. ~ ImRI(1l~i9-~)'gu~ce Area:
(, l' r '\ ;-wY ,,,\) AO ~,(>,'\. 1'0
. S\^.~\.-~~'~~~OPMENT INFORMATION. \0-~ \'<-''0 0\'0; v.e;Oj~~ ~'OC;) "-
SETBACKS,~~' ~'\ ~~"0 S ' ~O~ \'\~ \-.s.'o d~:}:R~P~RKING
- ~'\.... ~~ o~~~" s;.)\)' 'f...0 0.'0 S0 ~ 1:\{( R~ ~O
Frontyard Setback~ sex ~1...'I". ~OO ~~ Overlay Dist: ~9 R~_ e -<...'(;\0 ~O-v, C;)fo~~~ ,~\vfQ. 2
S~de 1 Setback:, - _ " '\~ ~\^.\:S '&-~ ~' # Street ~rees Rqd: <\,0 f'b,0.0 ~'o" ,,&~ o~\'o, ~d#A~.ed:
Side 2 Setback: ~~ ~~ o...~' 6', Paved Drive Rqd\~~ -.s.'OC;) 00~R)\{: _\~ <:"\o\.'O'~Qnh~,act:'
d::S \\J - ~ *'. ~ ~V :"''Q~s ~-- \j~ ~flP
_ Rearyard Setback: ~~ 18.00 % of Lot Covera~, ~O a:~-f'b,1O.8~" ~O~ ,~n:,'
Solar Setbacks: 0.00 \! ~,\V ~ OJ'j ~ ~ v'O~ 0,0 9S:-(\
~O::Y-. .I() r'O {:0,.....'
I PUBLIC IMPROVEMENl~\~'~~'O' '~~.r''''~'
F II I d ' ^\)~Sidewalk Type:
u V mprove -', ,-
Yes
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms: /
1
R-3
U-l
VN
6,570
1,558
430
Street Improvements:
Storm Sewer Available:
Special Instruction:
Downspouts/Drains:
Curbside 5'
Curb and Gutter
Notes:
Pae:e 1 of4
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Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
. PERMIT NO: COM2004-00200
ISSUED: 03/04/2004
APPLIED: 02/19/2004
EXPIRES: 09/04/2004
VALUE: $ 154,408.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone.
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Description Tvpe of Construction $ Per Sq Ft Square Footage Value Date Calculated
or multiplier or Bid Amount
Dwelline:s V Wood Frame $92.40 1,558.00 $143,959.20 02/19/2004
Garae:e Garae:e $24.30 430.00 $10,449.00 02/19/2004
Total Value of Project $154,408.20
~
Fee Description ' Amount Paid Date Paid _ Receipt Number
Plan Review Same As $100.00 2/19/04 2200400000000000160
-Mechanical Issuance Fee- $10.00 3/4/04 2200400000000000206
" + 10% Administrative Fee $127.74 3/4/04 2200400000000000206
+ 7% State Surcharge $89.42 - 3/4/04 2200400000000000206
2 Baths One or Two Family $254.00 3/4/04 2200400000000000206
Addressing Assignment $31.00 3/4/04 2200400000000000206
Building Permit $744.40 3/4/04 2200400000000000206
Curbcut - Overwidth Appl $35.00 3/4/04 2200400000000000206
Curbcut Permit $75.00 3/4/04 2200400000000000206
Dryer Vent $6.00 3/4/04 2200400000000000206
Exhaust Hoods $9.00 3/4/04 2200400000000000206
Furnace - up to 100,000 btu $12.00 3/4/04 2200400000000000206
Gas Fireplace $15.00 3/4/04 2200400000000000206
Gas Outlets 1-4 $4.00 3/4/04 2200400000000000206
Heat Pump $12.00 3/4/04 2200400000000000206
Plan Review - Planning $71.00 3/4/04 2200400000000000206
PW Mult Disc - 2nd Permit $-30.00 3/4/04 2200400000000000206
Residence Wiring 1000 Sq Ft $106.00 3/4/04 2200400000000000206
Residence Wiring Ea Addtl 500 $38.00 3/4/04 2200400000000000206
Sanitary Sewer - Improvement $344.20 3/4/04 2200400000000000206
Sanitary Sewer - Reimbursement $452.80 3/4/04 2200400000000000206
SDC MWMC Administration $10.00 3/4/04 2200400000000000206
SDC MWMC Improvement $214.23 3/4/04 2200400000000000206
SDC MWMC Reimbursement $314.63 3/4/04 2200400000000000206
SDC Sanitary/Storm Admin $103.23 3/4/04 2200400000000000206
SDC Transpo Admin $53.85 3/4/04 2200400000000000206
SDC Transpo Improvement $727.42 3/4/04 2200400000000000206
SDC Transpo Reimbursement $164.89 3/4/04 2200400000000000206
Sidewalk Permit $75.00 3/4/04 2200400000000000206
Storm Drainage Impervious Area $913.50 3/4/04 2200400000000000206
Temp Power 200 amps or less $50.00 3/4/04 2200400000000000206
Vent Fan $27.00 3/4/04 2200400000000000206
Willamalane Single Family $1,000.00 3/4/04 2200400000000000206
Total Amount Paid $6,160.31
Pal!e 2 of 4
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CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COMio04-00200
ISSUED: 03/04/2004
APPLIED: 02/19/2004
EXPIRES: 09/04/2004
VALUE: $ 154,408.00
Status
Issued.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Plan Reviews I
Initial Review 02/19/2004 02/19/2004 APP RJB
Plannine: Review 02/19/2004 03/03/2004 APP TAJ
Public Works Review 02/19/2004 02/21/2004 APP VRJ Applicant has submitted for an
overwidth driveway 2/21/04, PW's is
waiting for approval from Traffic.
Public Works Review 02/23/2004 02123/2004 APP VRJ 30' driveway throat approved
2123/04.
Structural Review 03/01/2004 03/01/2004 OK RJB
,
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.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Overwidth: After forms are erected but prior to placement of concrete.
Erosion/Grading Inspection: After all erosion mea~ures are in place.
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 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.
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.
Underfloor 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 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 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.
Paee 3 of 4
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Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00200
ISSUED: 03/04/2004
APPLIED: 02/19/2004
EXPIRES: 09/04/2004
VALUE: $ 154,408.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
30 Rough Electric: Prior to Cover
31 Electric Service: Approval required prior to utility company energizing service.
32 Final Electric: When all electrical work is complete.
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 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
times during construction.
~~
~wner o{Contra~tors Signature
-----
;2--.y:tJ;/
Date
Pae:e 4 of 4
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....'tJ.~ CI~\'\.;~
225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)7Z6-3753 . FAX: (541)726-3~eG~0\ ,e
i\~~ oe~ ,
ELELj~CAL PERMIT APPLICATION \o\\o-tl~~o ~
City Job Number COWl z..oCLf - 0 0 2'-C) 0 Date Q z-' 7 () L( -<.'(\e~\~~~~\. \~~
,!-o ~o 1-0~
"?:l:=~'_'_';'C:;9,~"
1. 3. ~~1t.~, .
~;' '-/oLfS'; c.-kevo~-e. 6-V" 00-'"
LEGAL DESCRIPTION
IWlobil
f 0 - C) I ~ 0 Lf _ \\:)<:<:-*:. '\ InstaUation, Alteration or Relocation .\\'o ~O (f).
~~ ~'S ~\J 200 Amps or less \Q\:\.~~ $ 50.00 -0
Constr. Contr. Number I 054 15 ,~~_,>'\" C'\.<:<:- 201 Amps to 400 Amps _cqC;) 'l^ \j\ ,<$ 69.00
<-~. ~" cv ~" 0" \Q~ ,I;\\..'
3 o~v (-~ (.\)" 401 Amps to 600 Amps 'ofS. ~~ ^ '=' .~"'100.00
- J 0 - 0 LL,S. ~v ~v '\ O~- :--- n.YJ 'OC;)
:J ":~.c:- !)"... Over 600 Amps or 1000 ~}t ~ "'D.,'ll: ~o~e ~ '0
~ '\~' ~'V ~ . . O!-" !:".: ." .C\
Sib,~'''~ueo~erviSin ]ectriCi~'&-<:<:- ~~ D.
. " ~..~f:.~fJ">' NeWAllerati~~W~~~.'O~~o~
(. , _.:~ _~<IJf?r One Circ~'O f'b,?S ~'O" ,\) ~ vO _,<e'~,.,~ ~:OO
-- ~ ~~ - ~"<' ~1J .~" EachMCJiti^~C;)~~it.bf ~th" ~v '0'-' ;//
n "\': ~~'\~,~ ~~ S~%$~?Ptffirtit o:t$'o ~.~...o~ ().n.fJ $ 3.00
Owners Name , ~ '(v ~~~ G.V\e. vt C. v'.:>~ ltov'-( ~ ~ . <0: ,,~e; Af'b,~ ~ ~0 ~'O';J,,~Y
Address 3~ '75 P (;" ~ H-; \ h E.
. r- I o,.-'tJ " ~ . ~~ ~~ .r~
CIty CVlje.n.t. Phone Q ob-9Lf~ 'rJ Pumpori~tiSlt ~'O ,r $50.00
. Sign/Outline Li!$l" $ 50.00
OWNER INSTALLATION Limited-Energy/Residential $ 25.00
The installation is being made on property I own which Limited Energy/Commercial $ 45.00
is not intended for sale,lease or rent. Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
\ C\4 90
\~.~
\ q .4.(5
'L 2lo rJ8
JOB DESCRIPTION
~ ~ .. ~ .
;;rnU~;r~erab~.D
Dot started within iTU7days of iss
Suspended for 180 days.
It gO-O
f\ Iq~
\{of\dr ~
pire if work is
ce or if work is
2. -
Electrical Contractor L ~ c E Ii (') rt L
Address r;)'9J.~ j()f}.t.J Acre) eel..
City ~ f {!..l d Phone 0/33 -J,.S'1f3
Supervisor License Number
'1/7'1-5
Expiration Date
Expiration Date
::>wners Signature:
fnspettion Request: 726-3769
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
$106.00
\Dlo~
3'6.00
~
2-.
$ 19.00
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$50.00
B.
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsNolts
ReconnectOnIy
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
c.
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4.
7% State Surcharge .
10% Administrative Fee
TOTAL
Shared Drive(T:)IBuilding FormslElectrical Permit Application 1-03,doc
, -
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENl wf'ORKSHEET
-JOURNAL OR JOB NUMBER: COM2004-00200
NAME OR COMPANY: Bruce Weichert Custom Homes
-LOCATION:. 4045 Cherokee Drive
TAX LOT NUMBER: 180206.11 Tax Lot 11800
DEVELOPMENT TYPE: . SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS 1 BUILDING SIZE (SF: 0 LOT SIZE (SF):
1, STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F, x COST PER S.F, \ CHARGE
'3150.00 $0.290 I = $913,50 .
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. x. COST PER S.l', x I DISCOUNT RATE DISCOUNT-
I 0.00 $0.290 I 50% $0.00
ITEM 1 TOTAL ~STORM DRAINAGE SDC '$913.50.1
2, SANITARY SEWER- CITY
A, REIMBURSEMENT COST:
I NUMBER OF DFU's x I
I 20 I
COST PER DFU
$22,64" .
8. IMPROVEMENT COST:
I NUMBER OFDFU's x
I 20
COST PER DFU
$InI
ITEM 2 TOTAL - CITY SAN IT ARYSEWER SDC =,
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE x NUMBER OF UNITS x
I 9.57 .1
B. IMPROVEMENT COST:
I ADT TRIP RATE x NUMBER OF UNITS I
'9.57 I .
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's xlCOST PER FEU'
1 I $314,63
B, IMPROVEMENT COST:
INUMBER OF FEU's . x ICOST PER FEU
/1/ $214.23
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE.
ITEM 4 TOTAL - MWMC SANITARY SEWER SD< = ,
SUBTOTAL (ADD ITEMS 1,2,3, &4) . = ,
5, ADMINISTRATIVE FEE:
/SUBTOTAL x ADM, FEE RATE
I $3',141.67 5%
TOTAL SANITARY ADMINISTRATION FEE:
- , ,
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Virginia Jurasevich
PREPARED BY
2120/2004'
DATE
$214.23 lOSS
. !.' $0,00 1054
$10.00 1056
I
I
II
103,23 . 1079
$53.85 1078
=1 $3,298.75
COST PER TRIP
$17,23 '
x NEW TRIPF ACTOR
1.00
x I
I
=,
COST PER TRIP
$76,01
$892.31
x NEW TRIP FACTO' I
1.00 ...
$538.86
$3,141.67
I
CHARGE
$157.08
TOTAL SDC CHARGES
6451
C/J
~
Q
o
U
~
~
,I ~
..... .
t?
,~
$913.50
1070
I;"
$164.89
1093
$727.42
1094
$314.63.
1054
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
i FIXTURE TYPE NEW OLD EQUIVALENT UNITS
....1
BATHTUB 1 0 3 = 3
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE I OIL / SOLIDS / ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
LAUNDRY TUB 0 0 2 = 0
CLOTHESW ASHER / MOP SINK 1 0 3 = 3
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK. TRAP (I PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
RECEPTOR FOR COM, SINK / DISHWASHER / ETC. 0 0 3 = 0
SHOWER, SINGLE STALL 1 0 2 = 2
ISHOWER, GANG (NUMBER OF HEADS) 0 0 2 -. 0
ISINK: COMMERCIALIRESIDENTIAL KITCHEN 1 0 .3 = 3
I SINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2
ISINK: SINGLE LA V A TORY/RESIDENTIAL BAR 1 0 1 = 1
IURINAL, STALL / WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 2 0 3 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS '! 20
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED pN COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986.
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RA TE/$I ,000
ASSESSED VALUE
$5.04
$5.04
$4.95
$4.88
$4.75
$4.58
$4.41
$4.20
$3.88
$3,50
$3.07
$2.60
$2,14
$1.71
$1.52
$1.38
$1.19
$1.03
$0.87
$0.68
$0.46
$0.27
. $0.09
$0.04
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter 1 for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
2
o
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE /1000 CREDIT RATE
$0,00 x $5,04
= ,
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE /1000 CREDIT RATE
$0.00 x $5,04 ,
o
TOTAL MWMC CREDIT
=
$0,00
..
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-00200
COM2004-00200
COM2004-00200
COM2004-00200
COM2004-00200
COM2004-00200
COM2004-00200
COM2004-00200
COM2004-00200
COM2004-00200
COM2004-00200
COM2004-00200
COM2004-00200
COM2004-00200
COM2004-00200
COM2004-00200
COM2004-00200
COM2004-00200
COM2004-00200
COM2004-00200
COM2004-00200
COM2004-00200
COM2004-00200
COM2004-00200
COM2004-00200
COM2004-00200
COM2004-00200
COM2004-00200
COM2004-00200
COM2004-00200
COM2004-00200
COM2004-00200
Payments:
Type of Payment
CreditCard
Receipt#:2200400000000000206
Description
Willamalane Single Family
Sidewalk Permit
Curbcut Permit
Curbcut - Overwidth Appl
PW Mult Disc - 2nd Permit
Storm Drainage Impervious Area
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 Transpo Admin
2 Baths One or Two Family
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Gas Fireplace
Heat Pump
-Mechanical Issuance Fee-
Plan Review - Planning
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
+ 7% State Surcharge
+ 10% Administrative Fee
Building Permit
Addressing Assignment
Received By
jmp
Check Number
Batch Number Authorization Number
Paid By
BRUCE WIECHERT
000314 030580
City of Springfie~d Official Receipt
Development Services Department
Public Works Department
Date: 03/04/2004
"
Item Total:
11:50:41AM'
Amount Paid
1,000.00
75.00
75.00
35.00
(30.00)
913,50
452.80
344.20
164.89
727.42
314.63
214.23
10,00
103,23
53,85
254,00
12.00
27.00
9,00
6,00
4,00
15.00
12.00
10,00
71.00
106,00
38.00
50,00
89.42
127,74
744.40
31.00
$6,060.31
How Received
In Person
Payment Total:
Amount Paid
$6,060.31
$6,060.31