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Home My WebLink AboutPermit Building 2010-8-11 .. WWW.ci.5pringfield.or.us CITY OF SPRINGFIELD L ,'1 Building f:Resideht'ial Permit PERMIT NO: COM201 0-01 012 IVR Number: 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 5P'R,IN G ,FIE~ .\~ '"",,' ...... .;'--'~ ~J :.-',,- OREGON permitcenter@ci.springfleld.or.us PROJECT STATUS: Issued ISSUED: 8/11/10 APPLIED: 7/29/10 EXPIRES: 2/6/2011 VALUE: $163.024.00 SITE ADDRESS: 4164 STELLAR WAY Springfiel~r;'; -,<\, ',' 'w' ORK INVOSLVCEODP..EN: ESWFD ASSESOR'S PARCEL NO: 1802061419500 ....... "'r";.;.' ",,;V'E' '- ._;r",p~ OF STRUCTURE: RES PROJECT DESCRIPTION: OWNER: ADDRESS: Single family residence - S';'me as COM2010-002561033 S 41st Phone.Number: Contractor Type Contractor Name CONTRACTOR INFORMATION ~ Lic Type Lic No Lic Exp Phone # of Units: Construction Type Occupancy Type Occupancy Comments U BUILDING iNFORMATiClNlf9gon,'aw requires you to " " ,_ _.:. ' ,. y the Oregon Utility . .,' ,t')':.N,;;!,\;"'i;.}h C8nter. Those rules are set forth # o.'Stori~~:OAR 952-~01-001 0 thro.ugh 0\;'/.1 ~!12'061- HeIght of ~!r!!stU%U n1Zy obtain copies oll\f\~'r1~MIBr: Type of Heai?alling th~F6rc.~?Air Gllste: the S<lE~)ZnIl1l!!oor: Water Type~umber fO'G~~e. Oregon Utility ~~\bVB\l~OOent: Cemer IS 1-800-332-2344) j Range Type: Electric Sq ~t Garage: Sq Ft Carport: 5940 1519 420 # of Bedrooms: 3 Hazmat: ;'~ .,d!~.: .',...;^,~:~fl.~l , .,:, Electrical Sp~cialiY Code Edition: h.'-'r--' - , '.Hl, . Springfield Fire Code Edition: Path 1A Gas-fired furnaceM h """'1 S c' Ity Cod Ed't' ec a,~lIca pe la e I Ion: Municipanl!?~'l.~!"ent Code: Plu~bin~-~~c\3~r~fIe E\!j~'i1 EXPIRE~THE WORK Resldent~I,~p.Jf{i!!\V;cdd1J'l.1_ T' HIS P S'IT IS NOT Structural'SpeclaliV~gete~,. IVI """one",' ~IDONED FOR ; ;-~(i,tei'rDlq~~\~ ..~D n - Sq Ft Other: - H, 'Occupancy load: Sprinkled Building: Fire Alarms: Energy Path: Engineered Fill: Fill Volume: Flood Hazat~ Area: land Hazard Area: Retaining Wall: Soils Report Required: ... ; ....I:l,.H'.. ,1 ,. ._. ..,' .' ..,..:. .'r~ .~~ ", ., . .,'. .-'f\ !, :1:",;\"1".. Springfield Building Permit . .r.i_,I: )< .' rier>! -~ ,~'i~"" I ( ;,.8/1:1/201 OJ'''3: 14':49PM ngfi;)J~ "re)' C'.) {~ I 'itcJJ~.!'. Page 1 of4 . ~f(;: ',~~~:.,--,:,~' ,._,~;;;V{.F ,l~-, >J;~' ~ ~ www.cLspringfield.or.us .....'., CITY o'F'SPRINGFIELD Building I Residential Permit PERMIT NO: COM201 0-01 012 IVR Number: 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 ,5',~,RIN G F,I E~,D , .;. ,~;,~ . , "S-: -OREGON permitcenter@ci.springfield.or.us PROJECT STATUS: Issued ISSUED: 8/1,1110 . .. 'II' APPLI~~: 7/29/10'" .,.'EXPIRES: 2/6/2011 VALUE: $163,024.00 <I ,t '(" SITE ADDRESS: 4164 STELLAR WAY Springfield. ASSESOR'S PARCEL NO: 1802061419500 SCOPE: SFD WORK INVOLVED: NEW TYPE OF STRUCTURE:. RES PROJECT DESCRIPTION: Single family residence. Same as COM2010-002561033 S 41st DEVELOPMENT INFORMATION I Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: . Solar Setback: 18.00 12.00 5.00 23.00 Overlay-'Dist: # Stre~;'f;ees:Reqd: Paved:Dri~e Reqd:,.. ,'-.,' '\" ; - ,'..,~ % of L:of:C.overage:" Highestpoint o~'i';tructure to north property line: REQUlflED PARKING 2.' Yes 32.30 Total: 2 Handicapped: Compact:1 12.50 PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: FJ CG Yes Sidewalk Type: (;7 Downspout/Drains: " ; ',. :,::1,: {,,,_: : ',,'.r Valuation Description , Descriotion Tvoe of Construction f.-iji':.' Unit Amount Unit Tvoe 'Unit Cost Value , et Tre ;, Ht~ ti(~, . -r5.'N.(, '~o'F(:'~; .f.\.. ,~. '--,.,' , . 'f;' .' , '1,'; ',,' ".;.!-, .:., "- . . ,,, .,.-' .:., . Springfield Building Permit 8111/2010 3:14:49PM Page 2 of 4 S~RIN.G... FIE~ ~h- lTrtiJ .f. ~ OREGON CITY OF SPRINGFIELD Building I Residential Permit 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 ",. ;~; www.cLspringfield.or.us PERMIT NO: ,COM201.0-01012 ..iVR Number: , ~.. . -, \ PROJECT STATUS: Issued ISSUED: 8/11/10 APPLIED: 7/29/10 permltcenler@ci.springfield.or.us EXPIRES: 2/6/2011 VALUE: $163,024.00 SITE ADDRESS: 4164 STELLAR WAY Springfield ASSESOR'S PARCEL NO: 1802061419500 SCOPE: SFD WORK INVOLVED: NEW TYPE OF STRUCTURE: RES PROJECT DESCRIPTION: Single family residence - ~ama as COM2010.002561033 S 41st l--:~--'-C-. ---;---- ---'--~---FEES~-~IP"": Description : Amount Paid Plan Review Same As $250:00 Curb CuVDriveway 1 st Cut $88.00 Multiple Permit Discount (Max 2) $-30.00 Admin fea (10% of applicable fees) $9.70 Residential Fire (.05 Per Sq Foot) $96.95 Planning - Major Review $85.35 Planning - Major Review $125.65 Structural Building Permit Fee $969.23 : Address Assignment, each new or change ' ,.;\;. $38.00 Willamalane fees. Single family detached ~t..':"li); !43.'iti:ia.DO ~l'! '- One or Two Family Dwelling with Two Bath. nb'LLi:'~j31tPO Range hood/other kitchen equipment :~~~:. $13.00 :Iue vent for water heater or g_as fireplace $9.00 Single-duct exhaust (bathrooms, toilet compartments, utili $36.00 Heat pump $17.00 First Appliance Fee $79.00 Residence wiring 1,000 sq. ft. or less $134.00 Each added 500 sq. ft. or portion $50.00 Temp selVices 200 amps or less $63.00 Sidewalk up though 90 Feet " $88.00 . " Gas Piping up to 4 outlets . $~:bb SDC: Reimbursement Cost. Storm Drainage !' . .$254.~5 . SDC: Improvement Cost - Storm Drainage $91~:66 SDC: Reimbursement. Transportation SDC $286.81 SDC: Improvement - Transportation SDC $1.169.81 SDC: Reimbursement Cost - Local Wastewater $1,238.32 sac: Improvement Cost - Local Wastewater $165.17 SDC: Improvement Cost - Local Wastewater $575.43 SDC: Reimbursement Cost - M\I\Irv1C Regional WastewatE $101.97 SDC: Improvement Cost - MWMC Regional Wastewater ~ $1,333.57 ! SDC: Compliance Cost - MWMC Regional Wastewater SI .", ~n63 SDC: Administrative Fee - MWMC Regional Wastewater: .G,>:;)': ~:2$:~ ~t1g.00 !, _ . SDC: Total Sewer Administration Fee ':'":~!;::: .$1:-1~~.69 SDC: Total Transportation Administration Fee .'$'101:65 SDC Credit: Reimbursement <:ost - Storm Drainage " - $-254.35 SDC Credit: Improvement Cost. Storm Drainage $-914.66 State of Oregon Surcharge (1?% of applicable fees) $210.15 Technology fee (5% of permit total) $96.76 Total Amount Paid $11,424,84 '-~-r. - -- ''''-''''',-C'_" "- - - -, I Date Paid ReceiDt # 07/29/2010 23255 ,.--------- -_._---- 08/11/2010 23255 08/11/2010 23255 08/11/2010 23255 08/11/2010 23255 08/11/2010 23255 08/11/2010 224418 08/11/2010 224418 08/11/2010 224418 08/11/2010 224418 08/11/2010 224418 08/11/2010 224418 ----.-- 08/11/2010 224418 - --.-.-- -.- 08/11/2010 224418 08/11/2010 224418 08/11/2010 224418 08/11/2010 224418 08/11/2010 224418 08/11/2010 224418 08/11/2010 224418 08/11/2010 224418 08/11/2010 224418 08/11/2010 224418 08/11/2010. 224418 ---- 08/11/2010 ------.22441il--- .-------- - ._--- - 08/11/2010 224418 --._-------- 08/11/2010 224418 08/11/2010 224418 08/11/2010 224418 08/11/2010 224418 08/11/2010 224418 08/11/2010 224418 08/11/2010 224418 08/11/2010 224418 08/11/2010 224418 08/11/2010 224418 08/11/2010 224418 08/11/2010 224418 Springfield Building Permit 811112010 3:14:49PM' r~ ~):, .,..',,".i Page 3 of 4 www.ci.springfield.or.us . ,,';'jl'. . CITY OF SPR,It-!GFIELD Building I Residential Permit PERMIT NO: COM2010-01012 IVR Number: 225 Fifth St Springfield,OR 97477 Phone: 541.726-3753 Inspection Phone: 541-726-3769 Fax: 541,726-3676 permitcenter@ci.springfield.or.us PROJECT STATUS: Issued ISSUED: 8/11/10 APPLIED: 7/29/10 EXPIRES: 2/6/2011 VALUE:,$163,024.00 SITE ADDRESS: 4164 STELLAR WAY springfi~'id~'" ASSESOR'S PARCEL NO: 1802061419500 t\"i" ',~t::... .' ~"jif. :ft1,'l:F" SCOPE: SFD ,il".. WORK INVOLVED: NEW ~ <~; TYPE OF STRUCTURE: RES ~,. ~~.". ~, ~",,~,., < ,~ ;. ~"F~..'..'" Single family residence. Same as COM2010-002561033 S 41st '.t;'"~~;;c4,:(:J?;~'", -~-' :~':i~'\i'?i!iBI~J~~;I~~~:"f'- ~>'~. ,"~'t,. .i.>>.' c." :. . ~<C"~~~i.~,,,'-~'tT. ~ ., , v-.'- PROJECT DESCRIPTION: Deoartment Received Due Date ComDlete Result Reviewer Comments planning Review 08/05/2010 APP Required street trees as sho\ Public Works Review 08/06/2010 APP Storm water to curb and guttE Application Acceptance 07/29/2010 08/09/2010 Application Accepted David Bowlsby Initial Review 08/09/2010 08/09/2010 08/09/20,10 Approved. . Chris Carpenter See workflow history Permit Issuance 08/11/2010 08/11/2010 08/11/2010 Issued .... ... Chris Carpenter Structural Revlew 08/11/2010 08/09/2010 08/09/2910 . iApprove~(, I ': Chris Carpenter . \..t _ ,. INSPEC;rIONS REQUIRED I Inspections By signature, I state and agree, that I have carefully examined the completed application and do hereby certify th,at 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 or 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 compllance with O~S 701.005 will be used on this project,: I further agree to ensure that all required inspections are requested at tb'e-properji,;,~,' Thcit'eacti. address is readable from the street, that the permit card is located at the front of the property, and ttie'-'~~p~oJ~a~s~tofplans ~ill remain on the site at all tjme~ during -'(~~;:';l?/I!// () Owner or Contrapter Signature Date '. ,.-' , ' .j,j'-;L"i . - . ---, ..~...~,~,\-~::;CI .. ~.I'.d. . . ~ Springfield Building Permit . :'~;~it;;s~!;~~~'C.' ,i . h'!-;' , ",\; "":~.~'8/11/2010 "'3:14:49PM Page 4 of4 225 Fiftb Street. Springfield, OR 97477+PH(54I)726-3753+FAX(541)726-3689 SP. RING FI...... =~" ~'''. ~'>--."". ..J~Bir .. ,", . ~~~( ~~,~" ,.. ~ . , '".' ,~ .', . .' -, ,". . DEPARTMENT USEONlY. . .,~.. .' . ero .0 Ie.) I Z. Permit no,: Electrical Permit Application CITY OF SPRINGFIELD, OREGON This permit is issued under OAR 918-309-0000. Permits are nontransferahle. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ~~~ ~\.~ ca\:J~ .~ ~ ,:-'" '~": ~~,-! "::~<lj~'.~.~_:'f~,;;1~~/~~q;;:~~~;}:.: I5EE:~:SC_H ~D_UI2E~;C'r~~~~fr\r~~:~'i~~~~~~-r!~~~rS~ . - ", .. ", ....-.'.---..' . .....- "." .... Ci>st~ Total ,Num~er ofinopeciio'., w item:Oi.. Qty. .....ea;.; cost . '.' . .' .. . . .'." ,- . . .., '. .1'; - \~. , ;.' .." . " ., " Residential, per unit, service included: al ~iWtP..~'n 1,000 sq, ft, or less (4) $134.00 $ Each additional 500 sq. ft. or portion Ic-v- thereof $ 25.00 $ 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 amps (2) $ 95.00 $ 40 I to 600 amps (2) $158.00 $ 60 I to 1,000 amps (2) $205.00 $ 0) 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 $ R 20 I to 400 amps (2) $ 87.00 $ 40 I to 600 amps (2) $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 I $ 6.00 $ '7~ b. Fee for branch circuits without purchase of a service or feeder fee: "fA First branch circuit (2) $ 55.00 $ Each additional branch ci.rcuit $ 6.00 $ c.. Miscellaneous fees: service or feeder not included Each pump or irrigation circle (2) $ 63.00 $ Each sign or outline lighting (2) $ 63.00 $ .. Signal circuit or a limited-energy_panel, $ 63.00 $ alteration, or extension (2) Each additional inspection: (I) $58.00 $ , ~~;'i~i::}?;;~i?:~~~rt~~i~;;~;\~XiI~t'A~,PLICANjY~,1JSE~~>~,~e;:;:~/:;'j~~:i\:.~,;(r~:, :.::.:~Y-':, '.: ~ (A) Enter subtotal ofabove fees $ ~. (Minimum Permit Fee $58.00) (B) Enter 12% surcharge (.12 x [A]) $ (C) TechilOlogy Fee (5% of [A]) $ TOTAL fees and surcharges (A through C): $ , ; . '120CAV~OVERNMENT AP.F'ROVAL\;,,'. Zoning approval verified? 0 Yes 0 No ,:' ::.CATEGORY'OFCONSTRUCTION',;" D Residential D Government D Commerci S~},Mi:Zii<tOBI,SITE(INfQRIIIIA:T10NrAN[j~itQC'ATION:i;; Job site address: .j:e J 3 If liJf s+el City: S .f \ J. t> f\.. ZIP: Reference: Taxlot.: DESCRIPTION: OF WORK;". PROPERTY. OWNER' Name: (2,.,vu Wi ee-he.A (\.1;+0", Address: 5D7 ~ $ It. I F-J City: (: u v-<-- ZIP: "I 71 Phone:SVI -bzb Of 5'8' Fax: ~Y/-3Yf ~3b -z.. E-mail:t,-I;~c.-he_1-\-.()~5 e <:0"''''''>+ ,1V<:.t- 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. OA 479.540(1) and 479.560(1). Signature: ..CONTRACTOR INSTAllATION: Business name: k *"' e f ~C.+,,: c..- Address: Z g :3 3 -:Sores Ac.('e-S City: S f \~ State: 0 TL ZIP: q 7 'f Phone:~~/ -5t1 - 41 'llS Fax:")4-{ 4/.g3 - 2.-5 E-mail: CCB license no.: OS- 4 7S" Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: BCD license no.: .:.563 '7/7'f-$"" 13'0 Oe "0" ole>.... ~ 440.2584-J (9108/COM) , 1\ So,.VV\e, "-S lo?:'"!' 5'7/.5r Structural Permit ApplicatioD_ I CITY OF SPRINGFIELD, OREGON , 225 Fifth Street. Spnngfield, OR 97477. PH(541)726-3753. FAX(54 1)726-3689 i~~::::;J ~~ , . ,-, . ... '_". ,,_ n,.,_.,._', , . . DEPMtMEN'fiJS!OON~ / '-,...0"", '.'.'..'Iw:'.":,,_ ....... <'''.1','.' Co..:'" ZorO aOI OIl.. Penml no.: Dale: 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. Subdivision: ; Reference: 2. ( Taxlot: ~~~i)ij:;!:;i,;(j~;i'11i.PRQI?~i\TI'tQ" .... ~it': Name:G{ L<.I.J: cl,,,t CIi'>Kl". \10",..; :J:l'\lt- Address:~0"73 51:: .ic:w I-N City: t Lit e"", StateI' f'- ZIP:'17t 0"- Phone: -bU. "i'1SK Fax: -)fr. ;3b? E-mail: W; ~e-h... \- \0..0""'-, <" CD\"<~St . VIle. t" 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. Type of Heat: Energy Path: Bilew D alteration D !Wdition (b) Foundation-only permit? DYes IDo Total valuation: ,. 2. Biiildii!gfe~~/:::'!{!iJi'l":\ .: . '. (a) Permit fee (use valuation table): $ (b) Investigative fee (equal to [2a]): $ (c) Reinspection ($ per hour):' $ (number of hours x fee per hour) (d) Enter 12% surcharge (.12 x [2a+2b+2c]): (e) Subtotal offee. above (2a throogh 2d): \1'3':._!'pf':O>;<t. - ...;, ;; .alt~. .lIlY!. .. _ 'J (a) Plan review (65% x permit fee [2a]): zse (b) Fire and life safety (40% x permit ree [2a]): (e) Subtotal offee. above (3a and'3b): . 4. MJsc~iiij'ifequs,t.;e$t...." (a) Seismic fee, 1% (.01 x permit fee [2a]): S TOTAL fee. and ,orcha'rge. (2e+3c+4a): S l{ Sign bere: ;< '~'o.i!fi":illf,CMfBAiiT .ff,i'N~f~~Q!.JIO~;";?;;;;;'~::~ ..:"} Business name: ~'<Vl.<: lJ'ed....,~ Cli~b,.... I>o~~ :!lv<... Address: '3 073 .:; l.: v' -:,..J Lv" City: .::" e..... Stale:Od. ZIP:'17Y<>, Phone: .6J~cf'1Si' Fax: -3'1-33bZ E-mail: W; e<:.l..'>'f \.--0,,,-, s @ co',... U-5-l ~ 1Ne-f CCB license no.: 101 J ( 7 Print name: W<:. luv>v' Signature: [ >r "-j\1~$. : Name Electrical/-'" r: Plombing 5lt:"" i Mechanic:al CF H st.! '1IH~ > yZ-3'l b, 72.6-o}oc) ~.~~ '\}J'-' O' ~'? . 2~willamalane . tw Park and Recreation District Job. No. . D/ Cl - / ZJ /2- SYSTEM DEVELOPMENT CHARGE WORKSHEET July 1-December 31,2010 NAME:-.&.\A.!E cJle:C.HtKI WJ:TDrIA H!l~HONE: ~tcr 7'15'6 ADDRESS:$d")? Se!( V/EJv CITYCtAC(. STATEJ]!. ZIP:'1'?;t7..r LOCATION OF PROPOSED BUILDING SITE: . Street Address: . ~/&'-i ~ ?lJt . Plat Name:. Tax Lot Number: 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type ,idefinitions are' on the back.) .' . . , ~I A. SinQle~Family Detached NO. OF UNITS t X$3,468 perunit= B. SinQle-Familv 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 fumish proof of WilJamalane Credit approval.) 3.. TOTAL. WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) .~ Development Services Department City of Springfield $ _0LffoZ $ $ $ $ ~, $ '$ $': .?'f 6i" . (j /1'1 /,/0 'I Date 1 5 SPRIN.G.F....I.EL~...D.... Iii . C.t!f; "'OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield, OR 974n 541-726-3753 VNIW.ci.springfield.or.us permitcenter@ci.springfield.or.us RECEIPT NO: 2010000040 RECORD NO: COM20JO-OJ012 DATE: 08/11/2010 ;";~s~~BFilii*At:~c.o_t.fNffLQQile,;;~n:~jdJ;t~~;t;~~~M9.U~~JI[lie,jw~:'! $250.00 $88.00 $-30.00 $9.70 $96.95 $8535 $125.65 $969.23 $38.00 $3,468.00 $374.00 $13.00 $9.00 $36.00 !OE.SC."R/. 'p'TJ' 'O,oN.'''': "'~"j'4--'7''S.~""m. .~"V7f.f. . :':';;;"".: . . ,.,. ~''''''''\'~_=''''''''F.F:4/.,V'S''~~.L.>:'fEtEf=f'~>>'''''''''''''=m;:;t;,. Plan Review Same As ;~U~~;;&;::1 201,00000-428060 201-00000-428060 224-00000-426605 100-00000-424005 100-00000-425002 100-00000-425002 224-00000-425602 224-00000-425602 821-00000-215023 224-00000-425603 224-00000-425604 224-00000-425604 224-00000-425604 224-00000-425604 224-00000-425604 224-00000-426102 $134.00 224-00000-426102 $50.00 224-00000-426102 $63.00 201-00000-428060 $88.00 224-00000-425604 $7.00 441-00000-448029 . $254.35 440-00000-448028 $914.66 446-00000-448026 $286.81 447-00000-448027 $1,169.81 442-00000-448024 $1,238.32 443-00000-448025 $165.17 443-00000-448025 $575.43 444-00000-448024 $101.97 445-00000-448025 $1,333.57 444-00000-426607 $22.63 611-00000-426604 $10.00 719-00000-426604 $141.69 719-00000-426604 $101.65 441-62243-<350117 $-254.35 440-62243-<350117 $-914.66 821-00000-215004 $210.15 100-00000-425605 $9676 TOTAL DUE: $11,424.84 !!il~l'iA.~MENfit.'tYeEJf~8eAYOR;:::t;:::tC,i,:l:;JIER!:Cce,!'''~l~~'::COMMENT~~.!:,:~j~f.Jf':~:.;;!:;!:'.j.o=!:!,""[jf.A.~jRAfD!7!8[!~!,"".';;':;;!~ Check BRUCE WIECHERT CUSTOM $1,424.84 19835 HOMES INC Curb Cut/Driveway 1st Cut Multiple Permit Discount (Max 2) Admin fee (10% of applicable fees) Residential Fire (.05 Per Sq Foot) Planning - Major Review Planning - Major Review Structural Permit Fee Address Assignment, each new or change Willamalane fees - Sin9le family detached One or Two Family Dwelling with Two Bath Range hood/other kitchen equipment Flue vent for water heater,or gas fireplace Single-duct exhaust (bathrooms, toilet compartments, utility rooms) Heat First Fee Residence wirin~ 1,000 sq. ft. or less Each added 500 ft. or Temp services 200 amps or less Sidewalk up though 90 Feet Gas Piping up to 4 outlets SOC. Reimbursement Cost - Storm Drainage SDC: Improvement Cost - Storm Drainage SDC: Reimbursement - Transportation SDC SOC. Improvement - Transportation SDC SDC: Reimbursement Cost - Local Wastewater SDC: Improvement Cost - Local Wastewater SDC: Improvement Cost - Local Wastewater SDC: Reimbursement Cost - MWMC Regional Wastewater SDC SDC. Improvement Cost - MWMC Regional Wastewat~r SDC SOC. Compliance Cost - MWMC Regional Wastewater SDC SDC: Administrative Fee - MWMC Regional Wastewater SDC SDC: Total Sewer Administration Fee SDC: Total Transportation Administration Fee SDC Credit: Reimbursement Cost - Storm Drainage SDC Credit: Improvement Cost - Storm Drainage State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) Credit Card 00519d BRUCE WIECHERT CUSTOM HOMES INC $9,500.00 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone 8P..j~Q._...~~'~ ........... ~<" ." . . .......... ~ .~ " .-" . ._...'C.,....-.~_..,., - City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000843 Date: 07/29/2010 8:45:07 AM Job/Journal Number COM2010-01012 LDP2010-00092 LDP20 1 0-00092 Payments: Type of Payment CreditCard Description Plan Review Same As LDAP Short Form + 5% Technology Fee Paid By BWCH ;:; . ",q.. " R~c~i,ved By djb Check Number Batch Number , :.,..l '1 ~. .. ~. /', " t '. ~. ,:.,}'j t' ~~;:j!~~'-:~, ~ )1' "-,,, , . , . , " '.~I .~ ';';; ~; ('.~ .: n' .":';:.: ' I!,' ." ,1.",''''', , ,. " .i - :~~~'I .f ~' ~l"J;'~~' Page I of 1 Item Total: Authorization Number How Received Amount Due' 250.00 450.00 22.50 $722.50 Amount Paid 04543d In Person Payment Total: $722.50 $722.50 , 7/29/2010