HomeMy WebLinkAboutPermit Building 2010-7-28
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00989
ISSUED: 07/28/2010
APPLIED: 07/27/2010
EXPIRES: 01/28/2011
VALUE: $ 250,000.00
Status
I' ;,. ./
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
',.
SITE ADDRESS: 2594 17TH ST
ASSESSOR'S PARCEL NO.: 1703243103200
Springfield TYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: Single family reside,\c~'i",
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TYPE OF USE: New
Residential
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Owner:
Address:
\>.;:.l.j\1
BRUCE WIECHERT CUSTOM HOMES.1NC
3073 SKYVIEW LN
EUGENE OR 97405
oU \0
[.....t'\.\\\res \j ,,~'.\;t\l
Qtego0 ,a~' Qrego" '""''''-~Air' \
:r\'E.\'fi\OI'l', clop\eo b'! \"~\es 8.~1' CON!I:~CTOR INFORMATION ~
~\\O\N lu\eSC~(\\e(. 1\\O~~~9" ai'" - ;u\e5 P'! \
Contract~(,\;r;ype~n _~(S;;oIitfa~t.~pies 01 t~~ "one ' License
General in Op..t'< 90'2 ('\\JlRUeE\WJ~CH'ERT~W).\l10M HOMES INC 101717
Electrical 0090, 'io~"'e U,.&\EEiEC(rRjlt~o.,~' ., ". , ' 105475
. C \.\ \ _ Qrpuv" ,,\-'""f . .'
Mechanical C3.\11~~\ 10\60MFf)J{l1l-B~'€> HATING CO.' , . 460
Plnmbing nU('\\ celSTEVEN R JOHNSON ,65065
BUILDING INFORMATION ~
# of Units: 1 # of Stories: 1
Primary Occupancy Group: R-3 Height of Structure 24.00
Secondary Occupancy Group: U Type of Heat: Forced Air Gas
Primary Construction Type VB Wat~r Type: Gas
Secondary constru,ction Type: , . R,an~~,A~'K: Gas
# of Bedrooms: \lIDl\C\:.: 3)(PIRE W,;mtC,riW-i'it. .
T\;\~ PERMI! S~~~~ ;'\-1\~ PER~pt~lIl;,~ U1ldmg: n/a
rUinOR\;~~O u~R is {'o.BI'DEVELOP~'ENT INFORMATION ~
COMME\\v .;{ PERIOD.
"!'W 180 01\'
Frontyard Setback: 13.00 Overlay Dist:
Side 1 Setback: 5.50 # Street Trees Rqd:
Side 2 Setback: 13.50 Paved Drive Rqd:
Rearyard Setback: 18.50 % of Lot Coverage:
Solar Setbacks: 22.50
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS ~
Fullv Improyed
,,;, Y,~.s: :','
Sidewalk Type:
Downspouts/Drains:
Curbside 7'
Curb and Gutter
Notes:
',. "
'r:,:!)c:r~' :.;~.~~ .!"~{ ~,:'. "
;,\~,lt~W?;~Pae:e' r of 4
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Expiration Date
09/16120 I 0
03/30/20 I 2
06/2712011
03/1212012
Phone
541-606-5050
541-933-2653
541-726-0100
541-342-3765
Lot Size: 7,986
Sq Ft 1st Floor: 2,258
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport 822
Sq Ft Other: 347
Occupant Load:
2
Yes
43.00
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Descriotion
Tvpe of Construction
Estimate
U VB Utility
R-3 VB 1&2 Familv
Estimate
Gara!!elMisc
SFmuplex
Fee Description
Plan Review Residential
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
2 Baths One or Two Family
Addressing Assignment
Appliance Vent
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Fireplace (Listed)
Gas Outlets 1-4
Gas Outlets 4+
Heat Pump
Plan Review Major - Planning
PW Disc - 2nd Permit
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Compliance Charge
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Storm - Improvement
SDC Storm - Reimbursement
SDC Tran Reimburs-Residential
SDC Trans Improvement-Resident
SDC Transportation Admin
Sidewalk Permit
Temp Power 200 amps or less
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I Vahiati~nDe~~;iPti~~ ~
"'''''''. .""
$ Per Sq Ft
or multiplier
$1.00
$37.72
$96.83
Square Footage
or Bid Amount
250,000.00
822.00
2,258.00
,rota I Value of Project
l~','"
. ,;,,"'.H'~"."
'Ii
l~~)'~'(':'/;
Amount Paid,' "
$857.51
$262.95
$127.41
$79.00
$337.00
$38.00
$9.00 .
$1,319.25
$88.00
,~9;;OOl~'J ,~>.{"'"
$13:00 .
$171.35 "
$40.00
$7.00
$12.00
$17.00
$211.00
$-30.00,.",....". ~,;... "
$134.00H;!;~ <.'~;nr",i'" .
$125.00~,;A..l;1 ,;.1ft ,;-'.dr-\ \ i i I
$991.f:2:;,"".:.:". "",.
$1,657.201
$10.00
$22.63
$1,333.57
$101.97
$280.98
$1,456.32
$405.14
$286.81" .
$1,169.81
$90,7,5.!
.,.c-.<.i},
$88~00
$63.00 "
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Pa!!e 2 of 4
Date Paid
"'.,
7/27/10
7/28/10
7/28/10
7/28/10
7/28/10
7/28/10
'7/28/10
, 2/28/10
. 7/28/10
. 7/28/10
7/28/10
7/28/10
7/28/10
7/28/10
7/28/10
7/28/10
7/28/10
,7/28/10
. 7/28/10
7/28/10
7/28/10
7/28/10
7/28/10
7/28/10
7/28/10
7/28/10
7/28/10
7/28/10
" 7/28/10
. 7/28/10
1/28/10
7/28/10
7/28/10
7/28/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00989
ISSUED: 07/28/2010
APPLIED: 07/27/2010
EXPIRES: 01/28/2011
VALUE: $ 250,000.00
Value
Date Calculated
$250,000.00
$31,005.84
$218,642.14
$499,647.98
07/27/2010
07/27/2010
07/27/2010
Receipt Number
1201000000000000839
2201000000000000895
2201000000000000895
2201000000000000895
2201000000000000895
2201000000000000895
2201000000000000895
2201000000000000895
2201000000000000895
2201000000000000895
2201000000000000895
2201000000000000895
2201000000000000895
2201000000000000895
2201000000000000895
2201000000000000895
2201000000000000895
2201000000000000895
2201000000000000895
2201000000000000895
2201000000000000895
2201000000000000895
2201000000000000895
2201000000000000895
2201000000000000895
2201000000000000895
2201000000000000895
2201000000000000895
2201000000000000895
2201000000000000895
2201000000000000895
2201000000000000895
2201000000000000895
2201000000000000895
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00989
ISSUED: 07/28/2010
APPLIED: 07/27120]0
EXPIRES: 01l28/20ll
VALUE: $ 250,000,00
Status
Issued
Vent Fan
Willamalane Single Family
$27.00
$3,468.00
7/28/10
7/28/10
2201000000000000895
2201000000000000895
Total Amount Paid
$15,279.77
I Plan Reviews ~,
Plan nine Review
Public Works Review
Structural Review
07/27/2010
07/27/2010
07/27/2010
07/27/2010
~7/27/2010
,07/27/2010
APP
APP
APP
DDK
LKW
CJC
Storm water to curb
as noted on plans
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.
l...P-eouirerunsnections I
~ _I:""~'::..~' '".01; .-~,:>"-"
Ufer Electrical Ground: Install ground rod:atihlOii.\'gliiiid call for inspection in conjunction with footing and/or
foundation inspection. ',1: ""
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
iff,
Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking. -i' .
Shear Wall Nailing: Before covering sheathing with finish ma~erials.
,'. ,
Framing Inspection: Prior to cover and afte.r- ~II rough in inspections have been approved.
,-'\ ."
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Masonry:
Final Building: After all required inspections, have been requested and approved and the building is complete.
.;,.",'
Underfloor Plumbing: Prior to insulation ~(~~,ckii!g~,~.'
Underfloor Drain: Prior to cover or placerriehV-~r-;~in'~~~te.
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Rough Plumbing: Prior to cover and includ,~g required testing.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including reqnired testing.
Storm Sewer Line: Prior to filling trench.
Paee 3 ff 4
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
.:. :/ -\,
PERMIT NO: COM2010-00989
ISSUED: 07/28/2010
APPLIED: 07/27/2010
EXPIRES: 01/28/2011
VALUE: $ 250,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Final Plnmbing: When all plumbing work is complete.
Underlloor Mechanical. Prior to insulation or,decking and including required testing.
-'.'r~" ,'" .' ~
Underlloor Gas: After line is installed and'r~q~\re~i;testing and capped if not attached to an appliance.
""'t';!.:,, i""'~;~:;V^~'.,
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 ~~~"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.
Temporary Electric: Approval required prior to Utility Company energizing pole.
I . '. .
Rough Electric: Prior to Cover : !.' l\\' '."
Electric Service: Approval required prior to,.utjlity c~mpany,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.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
By signature, I state and agree, that I have carefully.!e,~~mi.n;~d the completed application and do hereby certify tbat all
information hereon is true and correct, and I furthe.r.i~~rtiXY, t~at, any. and all work performed shall be done in accordance with
.J'_ ,", . -,
the Ordinances of the City of Springfield and the l5aws' of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structUi'li1withhlit 'permission of the Community Services Division, Building Safety.
I further certify that only contractors and employe~S"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..~~ 7/25//Q
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Owner or Contractors Signature i' Date
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Structural Permit Application__
. CITY OF SPRINGFIELD, OREGON
. ....p..,.....~
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~it!'!J. ~
:US Fifth Street. Springfield, OR 97477. PH(S41)726-37S3. FAX(541)726-3689
bE,.~!'ttMENT,'i,JS~ONl~ i.
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C~ZC/c).()Orc9-
Permit no.:
Date: 7. Z7./0
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.
Date:
Date:
DYes
ONo
'.
y 77
';':"i..<
; ",..'-'
LV'
State:o<L ZIP:c; 7~" I
Fax: ::3'1 - 33b 2-
@ GO"" ct..54 ~ v-Je- ~
Name
Electrical /..'- ~
Plumbing 5!c.~,
Meebanical CFH
51./ '11 'i &
:> YZ-3'1 b,
72.6--0/00
.I; 'VaJ.ii~H!i"i
(a) Job description:
Occupancy
Construction type:
Square feet:
Cost per square foot:
Other information:
Type of Heat:
Energy Patb:
Bnew D alteration
(b) Foundation-only permit?
~
D addition
. DYes
~o
Total valuation:
. 2. Bulldilig(e~~;;:ni:i;'!.!W'f.
(a) Permit fee (use valuation table):
(b) Investigative ree (equal to [2a]):
(c) Reinspection ($ per hour):
(number of hours x fee per hour)
sZSD
s
s
$
(d) Enter 12% surcharge (.12 x [2a+2b+2c]): S
(e) Subtotal oHees above (2a through 2d): S
')~;'i'I~~:"
(a) Plan review (65% x pennit fee [2a]):
(b) Fire and lire safety (40% x pennit fee [2aJ):
(c) Subtotal oHees above (3a and 3b):
,...,'-.-.;(.';''>:'...-.-f(''.....,:'-'':-',.,
4. lMisc~Uliifeolisf'ees)':
(a) Seismicree, 1% (.01 x permit ree [2a]): $
TOTAL fees and surcharges (2e+3<+4a): S
Electrical Permit Application
CITY OF SPRINGFIELD, OREGON
225 Fifth Stree..Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689
S PRINCiPII!LD ~;J
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i:i~PAMMENT U~_E ONLY
c/o ~OC>
Pennit no.:
Date: 7- 'Z 7 -/0
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started withiu 180
days of issuance or if work is suspended for 180 days.
- . LOCAV ~OVERNMENT" APcF'ROV AI2;-",! ' ......,....
Zoning approval verified? 0 Yes 0 No
'.' '.CAtEGORy/OFCONSTRUCtION\0c .' .
D Residential D Government D Commercial
U\-l1h"iBI,!:(J.OB~.SITE!:.INF.ORMATIONI:AN[)~iLO.CA:r,IONi(i!;iili3
Job site address: ZS C; '-I /7tl-..
City: 5 t \ ~ State: 0 I'-
ROPERTY OWNER'
Name: !2:>-r.I!U Wi ec-he-A CvS,+o",
Address: 307 ~ s)t } /oJ
City: (u v-<--- ZIP: 7710)
Phone:SVI -bz{, or 51r Fax: GV!-'3Yf 3b 'Z-
E-mail: W;cc-h~-~h.()~5iBCo~c...>f.lV<-r
This installation is being made on residential or fann 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: I- 4- C f ee--+V: G
Address: Z 8 33 --:Sores Aco(~5
City: S f \c State: 0 Tt. ZIP: q 7 'f 7'0
Phone:,." -5Z1 - 4r '1 ~ Fax: 5,-\ \ -25"\8
E-mail:
CCB license no.: O~47S-
Signing supervisor's license no.:
Print name of signing supervisor:
Signature of signing supervisor:
BCD license no.: 0 :3 G
'1/7'1-S-
t3'CJ Oe MVdO-
~~
~.~
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'\~~
~
440.2584-J (9/08/COM)
~i,<.~,,;"'.:' ;,;}~~t1,~~~::~~~','~{rt~f:!ttl;,~(~ FEE+ S'C H ~OJj C_E; i:~.jiW;~\lfi~~~;{I~~~J;'{~W,'l~~i~Ar~~p~i
:JIlill~~~r~rinspefii~~~p~r,ite~() 'i. gty.;C~~~, ..~~tt
Residential, per unit, service included:
1,000 sq. ft. or less (4)
Each additional 500 sq. ft. or portion
thereof
Limited energy (2)
Each manufactured home or modular
dwelling service or feeder (2)
\ $134.00
5 $ 25.00
$lQA V
$\q500
$ 32.00 $
$ 63.00 $
Services or feeders: installation, alteration, relocation
200 amps or less (2) $ 81.00 $
201 to 400 amps (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, alteratjon, relocation
200 amps or less (2) \ $ 63.00 $' ~u. II:
.
$ 87.00 $
$126.00 $
201 to 400 amps (2)
401 to 600 amps (2)
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 I $
b. Fee for branch circuits without purchase of a service or feeder fee:
First branch circuit (2)
Each additional branch circuit
$ 55.00 I $
$ 6.00 $
Miscellaneous fees: service or feeder ':lot included
Each pump or irrigation circle (2)
$
$
$ 63.00
$ 63,00
Each sign or outline lighting (2)
Signal circuit or a limited-energy panel,
alteration, or extension (2) ,
Each additional inspection: (I) $58.00 $
~i,:"S f:t!:~;,:~~:;~:\)r~';:J.~\AR,eLic.A.,~t/\tJ's~1~i~_t~;,:;'::~:;~:~.~~~;;3:r;:::.:,,: ',",
$ 63.00
$
-",'~J",
(A) Enter subtotal of above fees
(Minimum Permit Fee $58.00)
(B) Enter 12% surcharge (.12 x [AD
(C) Technology Fee (5% of [AD
TOTAL fees and surcharges (A through C):
$~/)",
-i-.
$ Ii .Id
$ '-jl).tO
~!;. 7t
2~ willamalane
t~ Park and Recreation District
Job. No. 6'0- 167'
SYSTEM DEVELOPMENT CHARGE WORKSHEET
July 1-December 31,2010
NAME: ~ W-i::Z#t.:nF PHONE: Q.' [dJto' CJC:::FJ 0
ADDRESS: ?o?3 Sl:::'{ II'ldJ CITY EV\c. au t: ST A TEort--zIP: q '1 <-{ 0 S
LOCATION OF PROPOSED BUILDING SITE:
Street Address: 2S9'f If 1?t4..
Plat Name: \.Q~\ f..SW~x Lot Number: ~O~4 0\ (l~2.I0
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the
back.)
A. SinQle-Family Detached
NO. OF UNITS j X $3,468 per unit =
$ 3lf(P~
B. SinQle-Family Attached
NO. OF UNITS
X $3,538 per unit =
$
C. Multi-Family Apartment
NO. OF UNITS
X $2,906 per unit =
$
D. SinQle Room OccupancY
NO. OF UNITS
X $1,453 per unit =
$
E. Accessory DwellinQ Unit
NO. OF UNITS
X $1 ,734 per unit =
$
$
WILLAMALANE SDC
2. SDC CREDIT (If applicable) SDC payer must furnish proof of
Willamalane Credit approval.)
$
cfj
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
$ ~Jt-f?Y
1 Ifr/d
Date
~~ 5
dSY-
Development Services. Department
City of Springfield
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000895
Date: 07/28/2010
9:18:24AM
Job/Journal Number
COM2010-00989
COM20 I 0-00989
COM20 I 0-00989
COM20 I 0-00989
COM20 I 0-00989
COM20 I 0-00989
COM20 I 0-00989
COM20 I 0-00989
COM20 I 0-00989
COM20 I 0-00989
COM20 I 0-00989
COM20 10-00989
COM20 10-00989
COM20 10-00989
C0M20 10-00989
COM20 I 0-00989
COM20 10-00989
COM20 10-00989
COM20 10-00989
COM20 10-00989
COM2010-00989
COM20 I 0-00989
COM20 I 0-00989
COM20 I 0-00989
COM2010-00989
COM2010-00989
COM20 I 0-00989
COM20 I 0-00989
COM20 I 0-00989
COM20 J 0-00989
COM20 I 0-00989
COM20 I 0-00989
COM20 I 0-00989
COM20 I 0~00989
COM20 I 0-00989
Payments:
Type of Payment
CreditCard
Check
cReceintl
Description
Plan Review Major - Planning'
Building Pennit
Addressing Assignment
Willamalane Single Family
2 Baths One or Two Family
1 sl Appliance
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets .1-4
Gas Outlets 4+
Fireplace (Listed)
Heat Pump
Residence Wiring 1000 Sq Ft
Residence Wiring Ea AddU 500
Temp Power 200 amps or less
Fire SF Fee - Residential
Sidewalk Pennit
Curbcut Penn it
PW Disc - 2nd Penn it
SDC Stonn - Improvement
SDC Stonn - Reimbursement'
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Tran Reimburs-Residential
SDC Trans Improvement-Resident
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Stonn Admin
SDC MWMC Compliance Charge
SDC Transportation Admin
+ 5% Technology Fee
Appliance Vent
+ 12% State Surcharge
"j.
ill
0",.':.
r" ~
Paid By
BWCH
BWCH
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
cjc
cjc
19784
o 1575d In Person
In Person
Payment Total:
'.,
, ; : :; ~ ,
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'r'Page I of2
Amount Due
211.00
1,319.25
38.00
3,468.00
337.00
79.00
27.00
]3.00
9.00
7.00
12.00
40.00
17.00
134.00
125.00
63.00
171.3 5
88.00
88.00
(30.00)
1,456.32
405.14
1,657.20
991.12
286.81
1,169.81
101.97
1,333.57
10.00
280.98
22:63
90.75
127.41
9.00
262.95
$14,422.26
Amount Paid
$9,500.00
$4,922.26
$14,422.26
7/28/2010
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000839
";-,-'
Date: 07/27/2010
9:09:10AM
Job/Journal Number
COM20 1 0-00989
Payments:
Type of Payment
CredilCard
cReceintl
Description
Plan Review Residential
Paid By
BWCH
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
857.51
$857.51
Amount Paid
djb
00575d In Person
Payment Total:
$857.51
$857.51
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Page 1 of I
7/27/2010