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SPRINGFIELD~ ~~.... -.'~ ~-:"j:\,~....;, ....::.A<f#,OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: COM2010-00868 IVR Number: 210184428399 www.cLspringfield.or.us PROJECT STATUS: Issued STATUS DATE: 10/11/2010 ISSUED: APPLIED: 6/30/10 225 Fifth St ' Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us EXPIRES: 4/9/2011 VALUE: $255,672.00 SITE ADDRESS: 329 S 42ND ST, SPRINGFIELD, OR ASSESOR'S PARCEL NO: 1702323301701 SCOPE: DUP WORK INVOLVED: NEW TYPE OF STRUCTURE: RES PROJECT DESCRIPTION: New Duplex Phone Number: OWNER: ADDRESS: LARKIN GREGORY D PO BOX 832 SWEET HOME OR 97386 CONTRACTOR INFORMATION ~ Contractor Type General Contractor Mechanical Contractor Electrical Contractor Plumbing Contractor Contractor Name RIVER VALLEY BUilDERS INC MIDWAY MECHANICAllNC BATES INDUSTRIES INC ADH PLUMBING INC Lic Type CCB CCB CCB PLUMBING Lie No 134566 154166 182438 22-134PB lie Exp Phone 04/15/2011 541~367-1638 01/30/2011 541-928~2423 06/05/2012 541-967-8627 07/01/2011 541-967-7686 BUILDING INFORMATION I Sq Ft Basement: Sq Ft Garage: 496 A TTENTISq F.t,Carport: V,". '-"Iegon law requires you to foHow rulSq F.,tQl!1.en by the Oregon Utility ~otlflcatlOlbrcup'a~rfcyT;i:oa(J:' rules are s,,1 forth Electrical Specially Code Edition:~O~~,\952-001-001 0 through OAR 952-001- S ' f' Id F' C d Ed" . au may obt~ln co,,:os of t,'le rule" by pring Ie Ire 0 e Itlon: '. ,... ..... ,) calling the center (No'e' the t I I Mechanical Specialty Code Edition" . l, e ep lOne Municipal I Development Code: number for the Oregon Utility Notification Plumbing Specially Code Edition:. Center IS 1~800-332~2344), Residential Specialty Code Edition': J. Structural Specialty Code EdUion: # of Units: 0 Construction Type Occupancy Type U Occupancy Comments # of Stories: Height of Structure: 2 26,50 FE Type of Heat: Water Type: E E Range Type: # of Bedrooms: 6 Hazmat: Sprinkled Building: Fire Alarms: Energy Path: 002A Site Information . Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: 1168 1624 I .J "':'.'r"~.'." NOTICE':' ",';::;,-:,:" THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit 10/11/201 11:46:51AM Page 1 of6 .. www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: COM2010-00868 IVR Number: 210184428399 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 5,~:~N..,~.FI:~ .~- ..'''''oc_ OREGON permitce nter@ci.springfield.or.us PROJECT STATUS: Issued STATUS DATE: 10/11/2010 ISSUED: APPLIED: 6/30/10 EXPIRES: 4/9/2011 VALUE: $255,672.00 SITE ADDRESS: 329 S 42ND ST, SPRINGFIELD, OR ASSESOR'S PARCEL NO: 1702323301701 SCOPE: DUP WORK INVOLVED: NEW TYPE OF STRUCTURE: RES PROJECT DESCRIPTION: New Duplex DEVELOPMENT INFORMA liON I REQUIRED PARKING Frontyard Setback: Interior Setback: Sideyard Setback: "Rearyard Setback: Solar Setback: 67 5 15.28 19.08 o Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north properly line: Yes 23 Total: 4 Handicapped: Compact: 26.5 PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: . Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description I Description Tvpe of Construction Unit Amount Unit Tvoe Unit Cost Value Springfield Building Permit 10/11/201 11:46:51AM Page2of6 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: COM2010-00868 IVR Number: 210184428399 WWW.ci.springfield.or.us PROJECT STATUS: Issued STATUS DATE: 10/11/2010 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us ISSUED: APPLIED: 6/30/10 EXPIRES: 4/9/2011 VALUE: $255,672.00 SITE ADDRESS: 329 S 42ND ST, SPRINGFIELD, OR ASSESOR'S PARCEL NO: 1702323301701 PROJECT DESCRIPTION: New Duplex SCOPE: DUP WORK INVOLVED: NEW TYPE OF STRUCTURE: RES r:~: t,-~~ '-:" ~:~>? ::":'-~!-; ,~,.;"'_~-:::::~~~~'ZJ:;J'.i..,;~~,;:7,;'>f~j;9\'i~I~I$J~:~Jpr0Z.?~~t;~,:, :T,~~~ftf!:,~. -_,~~:","'f~:~'Vr~';:~_,;;~y'~ Descriotion SDC: Administrative Fee - MWMC Regional Wastewater: sac: Improvement Cost - MWMC Regional Wastewater ~ sac: Reimbursem~nt Cost - MWMC Regional WastewatE SDC: Improvement ~ Transportation SOC SDC: Reimbursement Cost. Storm Drainage SDC: Improvement Cost - Local Wastewater SDC: Reimbursement Cost -Local Wastewater SDC: Total Transportation Administration Fee SDC: Total Sewer Administration Fee SDC: Reimbursement. Transportation SDC Planning - Major Review Willamalane fees - Single family attached First Appliance Fee ._~ Single-duct exhaust (bathrooms, toilet compartments, utili Address Assignment, each new or change One or Two Family Dwelling with Three Bath Residential Fire (.05 Per Sq Foot) Structural Building Permit Fee First Appliance Fee !ldmin fee (10% of applicable fees) ~achad.?~<!..tiOO sq. ft. or portion ~esid_~nce wiring 1,000 sq. ft. or !~~~ ~~~ge hood/other kitchen equip'!len~ TechnolojlY fee (5% of permit total) Stc:!::.?f Oregon Surcharge (12% of applicable fees) Temp services 200 amps or less _"_,_~ State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) Same as Plan Review Submittal Total Amount Paid Springfield Building Permit Amount Paid $10.00 $2,018.34 $195.80 $1,777.96 ~~._-_. $740.61 $1,093.90 $1.438.59 $153.52 $230.39 $403.08 $211.00 $6,200.00 $79.00 $72.00 $76.00 $878.00 $164.40 $1,343.87 $79.00 $16.44 $125.00 ~~M__"_^"",".'W... $134.00 $26.00 $140.63 $326.40 -.-.-...- $63.00 $7.56 $3.15 $250.00 $18,259.44 Date Paid 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 09/08/2010 Receiot # 374557 374557 374557 374557 374557 374557 374557 374557 374557 374557 374557 374557 374557 374557 374557 374557 374557 374557 374557 374557 374557 374557 ~~--_.- 374557 374557 374557 374557 374557 374557 299455 10/11/201 11:46:51AM Page3of6 www.d.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: COM2010-00868 IVR Number: 210184428399 225 Fifth Sl Springfield,OR 97477 Phone: 541-726-3753 Inspeclion Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us PROJECT STATUS: Issued STATUS DATE: 10/11/2010 ISSUED: APPLIED: 6/30/10 EXPIRES: 4/9/2011 VALUE: $255,672.00 SITE ADDRESS: 329 S 42ND ST, SPRINGFIELD, OR ASSESOR'S PARCEL NO: 1702323301701 SCOPE: DUP WORK INVOLVED: NEW TYPE OF STRUCTURE: RES PROJECT DESCRIPTION: New DeDartment Received Due Date ComDleted Result Public Works Review 09/10/2010 09/10/2010 09/17/2010 Approved Comments: Received on 9-10-20101 Received information from Greg Larkin on 9-14-2010. Initial Review 09/10/2010 09/10/2010 09/10/2010 Approved Comments: Planning Review 09/10/2010 09/10/2010 09/10/2010 Approved Deyette Kelly Comments: Occupancy of duplex will not be issued until final plat is recorded and recorded copies have been provided to the City. Structural Review 09/14/2010 09/10/2010 10/05/2010 Approved Chris Carpenter Reviewer Kaye Wilson Storm water to private system Lisa Hopper Comments: Permit Issuance 10/05/2010 10/05/2010 10/11/2010 Issued Chris Carpenter Comments: Structural Review 07106/2010 WE Comments: See planning comments Application Acceptance 09/10/2010 09/10/2010 Application Accepted Lisa Hopper Comments: Planning Review 07/06/2010 WE Comments: Cannot be reviewed until we've received recorded copies of subdivision plat. Springfield Building Permit 10f11J201 11:46:51AM Page 4 of6 www.ci.spring~ield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: COM2010-00868 IVR Number: 210184428399 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 STATUS DATE: 10/11/2010 ISSUED: APPLIED: 6/30/10 EXPIRES: 4/9/2011 VALUE: $255,672.00 SITE ADDRESS: 329 S 42ND ST, SPRINGFIELD, OR ASSESOR'S PARCEL NO: 1702323301701 SCOPE: DUP WORK INVOLVED: NEW TYPE OF STRUCTURE: RES PROJECT DESCRIPTION: New Duplex INSPECTIONS REQUIRED ~ Inspections 1110 Footing 1120 Foundation 1160 UFER Ground Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection, 1220 Underfloor framing 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. 1410 Underfloor insulation 1420 Insulation Vapor Barrier 1430 Insulation Wall Wall Insulation: Prior to cover. 1440 Insulation Ceiling 1520 Interior Shearwall Ceiling Insulation: Prior to cover. Shear Wall Nailing: Before covering sheathing with finish materials. 1530 Exterior Shearwall 1540 Gypsum Board/Lath/Drywall Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum board, interior and exterior are in place, but prior to plastering. Firewall: Located and constructed accordjng to plans. 1550 Firewall 1999 Final Building Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Rough Mechanical: Prior to Cover 2200 Underfloor Mechanical. 2300 Rough Mechanical 2999 Final Mechanical Final Mechanical: When all mechanical work is complete. 3130 Footing/Foundation Drains 3170 Under/loor Plumbing 3200 Sanitary Sewer 3315 Water Line 3400 Storm Sewer 3500 Rough Plumbing 3999 Final Plumbing 4000 Temporary Power SelVice Underfloor Plumbing: Prior to insulation or decking. Sanitary Sewer Line: Prior to filling trench and including required testing, Storm Sewer Line: Prior to filling trench. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Springfield Building Permit 10/11/201 11:46:51AM Page 5 016 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: COM2010-00868 IVR Number: 210184428399 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541.726.3676 permitcenler@ci.springfield.or.us PROJECT STATUS: Issued STATUS DATE: 10/11/2010 ISSUED: APPLIED: 6/30/10 EXPIRES: 4/9/2011 VALUE: $255,672.00 SITE ADDRESS: 329 S 42ND ST, SPRINGFIELD, OR ASSESOR'S PARCEL NO: 1702323301701 SCOPE: DUP WORK INVOLVED: NEW TYPE OF STRUCTURE: RES PROJECT DESCRIPTION: New Duplex 4225 Service or Feeder 4500 Rough Electrical 4999 Final Electrical Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, J 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 shalf 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 compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspectio re requested at the proper time, that each address is readable from the street, that the permit card is 10 ted at the fro of th property, and the approved set of plans will remain on the site at all times during constructio ;;:L 1- o. - / (- /0 Owner or Contractor Signature Date Springfield Building Permit 10/11/201 11:46:51AM Page 6 ofB - b I~ . Structural Permit Application I ~W@}'~~~E 225 Fifth Street. Springfield, OR 97477. PH(541)72&-3753' FAX(54 1)72&-3689 TSl..b& --> DEPARTMENT USE ONLY Permit no.: &0 .- 9-;' . Date: 0 5",tJ/ /0 This permit is issued under OAR 918-460-ml30, Permits expire if work is not started within 180 days ofis.nance snspended for 180 days. -- &;-- CD +- r' ~ LOCAL GOVERNMENT APPROVAL This project has fmalland.use approval. Signature: Date; . This project has DEQ approval. Signature: Date: Zoning approval verified: 0 Yes Property is within flood plain: Sign here: FEE SCHEDULE 1. Valuation information (a) Job description: Occupancy Construction type: Square feet: Cost per square foot: Other infonnation: Type of Heat: Energy Path: Dnew o alteration D addition (b) Foundation-only penn it? DYes DNo Total valuation: I $ 2, Bnilding fees (a) Permit fee (use valuation table): $ (b) Investigative fee (equal to [20]): $ (c) Reinspection ($ per hour): $ (number of hours x fee per hour) (d) Enter 12% surcharge (.12 x [2a+2b+2c]): $ (e) Subtotal offe.. above (20 through 2d): S 3, Plan review fees .: (a) Plan review (65% x permit fee [2a]): if7rS $ ?-SO~ (b) Fire and life safety (40"10 x permit fee [2a]): $ (c) Subtotal offees above (3a and 3b): S 4,.Miscellaneous fees (a) Seismic fee, 1% (.01 x permit fee [2a]): $ TOTAL fees and surcharges (2e+3c+4a): S o Residential D Government JOB SITE INFORMATION AND $. Print name: r Signature: SUB-CONTRA~TOR INFORMATION Name Electrical Plumbing MKbanical "DEPARTMENT USE ONLY 22:; Firth Slrl'el+ Sprillglicld, on 97477. PI-I(5~ 1)726-3753. FAX(541)72G-36S9 ~I'IlINCFIIU.D ~~ I -l~ ~_...1\\1')! ~''''=.''''''S~''1l:ii' ,. Ii)'? ,"".""""lI t-~~-"-.'t;..~.1I if! Permit no,CIO. ;F?l!J Date: I~ This permit is iS~llC~1 u.ndcr OAR 918-309-0000. Permits fire nontnlllsfcl'nble. Permits expire if work is not started within] 80 dil~'S of issuance or if \\'ork is suspended for 180 days. ',' lOCAL GOVERNMENT APPROVAL FEE"SCHEDUlE Zoning approval verified? DYes DNo NU~lb,cr ofin~pc~tio.ns'ic~~; if~~ ~~~.~; 9~Y' :-, .~~:t. Totll) CATEGORY OF CONSTRUCTION ....... cost I 0 Government I 0 Commercial Rcsidcntilll, per unit, service included: c::3'Rcsidential 1,000 sq, ft, or less (4) , $nt1 JOB SITE INFORMATION AND lOCATION $134,00 Each additio'nal 500 sq. ft. or portion Job site address: ~'1? / ?!J<::t .$ &f:L NO thereof S" $ 25.00 $/z'5" City t;PF'-D I State: ()Y'- I ZIP: t:J1v'Jr Limited energy (2) $ 32.00 $ Reference: I Taxlo!.: Each manufactured home or modular $ 63.00 $ DESCRIPTION OF WORK dwelling service or feeder (2) New b~~~ Serviccs or fcc(lcrs: installation, alteration, relocation 200 amps or less (2) $ 81.00 S PROPERTY OWNER 20 I to 400 amps (2) $ 95.00 S ~alllc: 1........""1IJ 40 I to 600 amps (2) $158.00 $ ,\ddrcsro"toO\l ~12. 60 I to 1,000 amps (2) $205,00 $ Cit)G ~I~€ I State: OIC- 1 ZIP C;'7:1K" Over 1 ,000 amps or volts (2) $469.00 $ Phone: I Fax: - Reconnect only (2) $ 63.00 $ - - - E:'mnil: Tempor:lry services or feeders: installation, alteration, relocolion This inswl1mioll is being made on residential or farm propelty 200 amps or less (2) I $ 63.00 $V? owned by me or a member of my immediate family. This 20 I to 400 amps (2) $ 87.00 $ propcl1)' is not intended for sale, exchange, lease, or rent. OAR 40 I to 600 amps (2) -179,540i I) and 479,560(1), $126.00 $ Signature. Over 600 amps or 1,000 volts, see services or feeders section above CONTRACTOR INSTAllATION .' llranch circuits: new, alferation, extension per panel Business JH\Il1C: G 4 E Sl ectr-I L rvtC: u. Fee for branch circuits with purchase ofa service or feeder fee: Address: 'PO B01< (taAf? Each branch circuit I S 6.00 $ City: AI b6) VlV I Statc:()y( I Z1Pm 32..f b. Fec for branch circuits without purchase ofa service or reeder f"c'.:': i'honc5l{ f Of b 7, Ifih;;C7 I FaxSlf!-C;f"l- 7oLf5 first branch circuit (2) $ 55,00 S E-mail: 0neelec..HiQ.. (?-^SWf;' b n -et, (.0 i11 Each additional branch circuit $ 6,00 $ CCI3 licen~ no.: leZ lf3 B 1 BCD licenserlo.: (1...42.0 IVlisccllallcous fees: service or feeder not included I Signing supervisor's license no.: ,;),q@OS Each pump or irrigation circle (2) $ 63.00 $ Print nante of signing StlPerViso~..J r/J .T, 12J b I'sh Each sign or outline lighting (2) $ 63.00 $ Sie.n3l11rc of signing supervi-snt': '-C'.l1 / ) /:J~ _ /L.AL& Signal circuit or a limited-energy panel, $ 83.00 $ ,. alteration, or extension (2) ~ Each additional inspection: (1) $58.00 $ .f:, ::'.~::'~""X'i;:,;},AP.PLlCANTi USEj;1"",. . (A) Enter subtotal of above fees $ 3'- "V nVIinimum .P,er.l1lit Fcc 558.00) ~~\\D (8) Enter 12% surcharge (,12 x [AD $ 't. ~ ttJ. (C) Technology, Fee (5% of [AD $ III I!. TOTAL fees a'ud surcharges (A through C): S tl')~~' ~~O-158::..I (l)!\lX/COi\1) \~ ~ " 2~ willamalane t~ Park and Recreation District . Job. No. &0-- - ~?tJ SYSTEM DEVELOPMENT CHARGE WORKSHEET January 1-June 30, 2010 NAME: Zilla. v'AtI.E'I :iiU,LMClLS" PHONE:9!I-J&. 7- 161/" ADDRESS: Ct'. [bJ<. B'2 CITY.~ccr HtJIME'"" STATE~ZIP: 973'%6 LOCATION OF PROPOSED BUILDING SITE: Street Address: ') '31 I J J q s. L{2 IJ[) Plat Name: Tax Lot Number: 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the back.) www.cLspringfield.or.us TRANSACTION RECEIPT COM2010-00870 337 S 42ND ST CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 permitcenter@ci.springfield.or.us RECEIPT NO: 2010000470 RECORD NO: COM20 I 0-00870 DATE: 10/04/2010 I^O'E SC', RIPTIO' N"'" ,C;;;;";;;;" ',"'";Y':,f"~'F'C""h~',,',,Z;," ""3;~', ,t ; A'''C''C''''O''if'N T"C'O"'O'E' "'i"VT/! 'h" -'<, ;'A'M" '0' i'i'N' T'O"E' '." ,:,,' ,,' I t___""",,_~W~_____~~_~ '. ~i' J '+" /""0?0':''^'~''..' "" k..~~E0h;J~""'..;'0"'< .. Y,., ,',_, _,'~V!, ';;;;"","b~'~"'''''' 1" ~,'I'---:'..152.""...._~_"!!~_I,.I_ " SDC; Improvement Cost - Local Wastewater 443-00000-448025 $546.95 Reimbursement Cost - Local Wastewater 442-00000-448024 $719.29 SDC: Reimbursement Cost - Storm Drainage 441-00000-448029 $1,672.43 SDC: Total Sewer Administration Fee 719-00000-426604 $146.93 FirsI Appliance Fee 224-00000-425604' $79.00 Willamalane lees - Single lamily attached 821-00000-215023 $6,200,00 Pla"."l"9_,: Major Review.___~~:00000-_42~002 """~_,,,$211.00 Range hood/other kitchen equipment 224-00000-425604 $26.00 Temp services 200 amps or less 224-00000-426102' $63.00 ~ fee (10% 01 applicable fees) 224-00000-426605 $16.44 ~ingle-duct exhaust (bathrooms,. toilet compartments, utilitY.':~".'f'.5L....?_2~:900.o_0-~2':>204 ,,~~ ~,~,~~ss Assignme~ each new or, change 224-00000-425602 .~ $76~" One or Two Family Dwe!liTlg.."'ith Three Bath 224-00000-425603 $878.00 Residential Fire (.05 Per Sq Foot) ,__~_ 100-00000,424005 $164.40 Structural Building Permit Fee 224-00000-425602 $1,343,67 First A~pliance Fee "~_ 224-00000-425604 $79.00 TOTAL OUE: $12,294.11 t .' 'PAY'MENt';j:YPE';""""'f'AYORi)#;~'CASHIER:CCARPEiHEfi!';C,' 0" M'M EN'T'''s:lP'"ie:;0?~9.}:'ft;,;,n ,,4 ""'A'M' O'''N''" P'AIO I"',,),'''''' 1; '-" ,I . -.:..~ '".' ,. "..lEi.""...........,. .';' '" ~. __... ,~.~~4-.,_.....",.~...__........_...,.1...:.......~4,,~t~..~""'~;i..; u '1_,.. _'. .......""""... ":",' "jf'j" _ Check 1013 Back Porch Properties LLC This check also covers C10-869 $12,294.11 $12,294.11 SP~;~::::iJ. · .;~EGON www.ci.springfield.or.us TRANSACTION RECEIPT COM2010-00870 337 S 42ND ST CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541~726.3753 permilcenter@ci,springfield.or.us RECEIPT NO: 2010000472 RECORD NO: COM2010-00870 DATE: 10/04/2010 \[)ESCRIPll0W'''' : .:; ,. '; ,,;~iijV;'th:~~y,~ ":$;;.~'-:':;'>,;:~dAi::cPuNTli.;Q6E=-". /1: ~ ..;A.ri1Q).!f~J.:QIJE:~::':;';: J;";;:;:~:';; I State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $304.88 Technology fee (5% of permit total) ____ 100-00000-425605 $130.83 TOTAL DUE: $435.71 lQ>AYM~Ni__T:Yeg':'",;;,6RAy'QR~:;;~,:~ASHIER'CCA~PE.!'1lf~~<f;:OMri1~NTSm..' ~;'it;;~",;.,,:;2r";Y"..:AMOUN1.1'JiiD';.l'; ~;~.,--- -:::J . Check 1013 Back Porch Properties LLC . surcharges $435.71 $435.71 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000784 Date: 06/30/2010 2:58:14PM JobfJournal Number COM20 I 0-00870 Payments: Type of Payment Check cReceintl Description Plan Review Same As Paid By RlVER VALLEY BUILDERS INC Item Total: Check Number Authorization Received By Batch Number Number How Received . Amount Due 250.00 $250.00 Amount Paid djb 14773 In Person $250.00 Payment Total: $250.00 .~.rre~1( .d/111;' ,....;.., " Inf, .j< Pa~e I of I 6/30/20 I 0 www.ci.springfield.or.us TRANSACTION RECEIPT COM2010-00868 329 S 42ND ST CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726~3753 permitcenter@ci.springfield.or.us RECEIPT NO: 2010000533 RECORD NO: COM201O-00868 DATE: 10/11/2010 IDESCRII'itf()N~:!4l;lZ~~n: ._.t-~;! j; . ..-;'. :'.:zd:~~L~t=L::.::;"Ai:;:[QPNi7C:O:P:'E;:'!;:~:~IVIQ.i.[&IPj.Ig:: soc: Administrativ~!ee - MWMC Re_gional Wastewater SOC 611-00000-42?6~__..__..$10.00 soc: Improvement Cost - MWMC Re~ional Wastewat,:~[).<?____ 445-00000-448025 $2,018.34 SOC: Reimbursement Cost - MWMC Regional Wastewate~ SDC:__~:'-00000-448024 ,_,,___ $195.80 SOC: Improvement - Trans~rtation,~OC 447-00000-448027 $1,777.96 SOC: Reimbursement Cost - Storm Orainage 441-00000-448029 $740.61 SOC: Improvement Cost - Local Wastewater 443-00000-448025 $1,093.90 SOC: Reimbursement Cost - Local Wastewater 442-00000-448024 $1,438.59 ,~~-~"--'".- SOC: Total Transportation Administration Fee 719-00000-426604 $153.52 SOC: Total Sewer Administration Fee 719-00000-426604 $230.39 SOC: Reimbursement - Transportation SDC 446-00000-448026 $403.08 Planning - Major Review 100-00000-425002 $211.00 Willamalane fees - Sin91e family attact'.~_ ,,_,,_. 821-00000-215023 ._____~?;200.00 Fir~t Appliance Fee _____ 224-00000-425604 ____~79~ ~~le-ducLexhaust (ba~~~~~,,!9Jl~!~~~e~artmen~~tility r()oms) 224-00000-425604 ,~_272.00 Address Assignment, each new or change 224-00000-425602 $76.00 One or Two Family Owelling with Three Bath 224-00000-425603 $878.00 Residential Fire (.05 Per Sq Foot) 100-00000-424005 $164,40 Structural Building Permit Fee 224-00000-425602 $1,343.67 First Appliance Fee 224-00000-425604 $79.00 Admin fee (10% of a~licable fees) . 224-00000-426605 $16,44 Each adged 500 sq. ft. or portion 224-00000-426102 $125.00 ~esi~n~!_wiring 1,000 sq. It or less 224-00000-426102 $134.00 ,-~------,------"----.,"-----~~ ,'3.""ge hood/other kitchen equipment...__ 224-00000-425604 $26.00 Te,ch.n~'2.gy feej~l'ermit tot~_L________--,-. __ __ _ 100-00000-425605 __ __" $1_~;~_~,_ Stat.':. of ~,,:gon Sur."harge (12% of applicable fees) ___ 821-00000-215004___ ______~32~,40. Temp ~ervi~s 200 amps or less 224-00000-4261 02 ____.,,~~~~~ State of Oreg~n Surcharge (12% of applicable fees) 821-00000-215004 $7.56 Technology fee (5% of permit total) 100-00000-425605 $3.15 TOTAL DUE: $18,009,44 'PAYMEt-IT,T..YRE~li"lliydR~;tG.,,?B'-ER~c_~[P~iifEBltFiC;'O:MMglits~'<<{::{4:;, ':"-:;;;r:;- 'AMOUNT PAID,;'..:':. Check 15843 River Valley Builders $18,009,44 $18,009.44