HomeMy WebLinkAboutPermit Building 2004-2-25 (4)
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
. CITY OF ~rKll~ut<1Ji,L1J .
Building/Combination Permit
PERMIT NO: COM2004-00122
ISSUED: 02/25/2004
APPLIED: 0112912004
EXPIRES: 08/25/2004
VALUE: $ 154,408.00
SITE ADDRESS: 4035 Douglas Dr
ASSESSOR'S PARCEL NO.: 1802061110800
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: SFR -lot 9 Shady Creek, same as COM2003-01195 4046 Douglas
Owner: BRUCE WIECHERT
Address: 3375 PARK HILLS EUGENE OR 97405
I CONTRACTOR INFORMATION I
Contractor License
BRUCE WIECHERT CUSTOM HOMES INC 101717
L & E ELECTRIC INC 105475
COMFORT FLOW 460
STEVE R JOHNSON 65065
BUILDING INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
'1~
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
1
R-3
U-l
VN
3
18.00
5.00
15.00
20.00
0.00
# of Stories: 1
Height of Structure 16.50
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Electric
Energy Path: Path 1
I DEVELOPMENT INFORMATION I
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Residential
Phone Number: 541-686-9458
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
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
5,850
1,558
430
REQUIRED PARKING
2
Total:
Handicapped:
Compact:
2
Yes
33.90
I PUBLIC IMPROVEMENTS I
Street Improvements: F II I d Sidewalk Type: 5 yO!....n
u y mprove () On laW reqUire curbside 5'
NT""''''' reo , '\"" .
Storm Se,,;~'lJ\"(3Jl!~le: Yes ATTE . uown.sP.!!I'J~lI?rJ'\'1~.:, Oreg,m,.b lilia Gutter
Special Instruction:RMIT .NO ");'~tl ~IfiW'W8IOCCUPANCY.f"!:tlJII~IP,UBL1CJiMPROVEMF.Nor~rARE-t fort
I MI\) rc \)[11-\'t:t:: L.l'\'n cr. r.':"If 1 noSt:::..Gl.......... .
AUTHORiZED ~fSi:IffT~B~~IJ"H~ ~K'S (See R.p8l~l'J!J.~!'(for,Pillille I1Jmt~B'~p,t<Yr!ll~~:;stams).
Notes: COMMENCED OR is ABANDONED FOR n OAR 952-001 ~~ain copies of the rules \
ANY 180 DAY PERIOD. J090. You may ter (Note: the telepho~e
calling the cen. Utility Notification
. number;~~~~~;~~~~~~_::I::I2_2344\.
"
Palle 1 of 4
,
-Wi
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
V Wood Frame
Garalle
Dwellinlls
Garalle
Fee Description
Plan Review Same As
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
2 Baths One or Two Family
Addressing Assignment
Appliance Vent
Building Permit
Curbcut - Overwldth Appl
Curbcut Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Plan Review - Planning
PW Mull Disc - 2nd Permit
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
Wlilamalane Single Family
Total Amount Paid
.
. CITY OF I:)rKll'ihl'iJ'.LlJ
Building/Combination Permit
PERMIT NO: COM2004-00122
ISSUED: 02/25/2004
APPLIED: 01129/2004
EXPIRES: 08/25/2004
VALUE: $ 154,408.00
I Valuation Descriotion ,
$ Per Sq Ft
or multiplier
$92.40
$24.30
Square Footage
or Bid Amount
1,558.00
430.00
Value
Date Calculated
$143,959.20
$10,449.00
$154,408.20
01/29/2004
01129/2004
Total Value of Project
Fpp< PiIilLI
Amount Paid
$100.00
$10.00
$126.24
$88.37
$254.00
$31.00
$6.00
$744.40
$35.00
$75.00
$6.00
$9.00
$12.00
$15.00
$4.00
$71.00
$-30.00
$106.00
$38.00
$344.20
$452.80
$10.00
$214.23
$314.63
$110.17
$53.41
$727.42
$164.89
$75.00
$1,043.42
$50.00
$18.00
$1,000.00
$6,279.18
Date Paid
Receipt Number
1/29/04
2/25/04
2/25/04
2/25/04
2/25/04
2/25/04
2125/04
2/25/04
2/25/04
2125/04
2125/04
2125/04
2125/04
2125/04
2125/04
2/25/04
2125/04
2125/04
2125/04
2125/04
2125/04
2125/04
2125/04
2125/04
2125/04
2125/04
2/25/04
2125/04
2125/04
2125/04
2125/04
2125/04
2/25/04
1200400000000000128
1200400000000000241
1200400000000000241
1200400000000000241
1200400000000000241
1200400000000000241
1200400000000000241
1200400000000000241
1200400000000000241
1200400000000000241
1200400000000000241
1200400000000000241
1200400000000000241
1200400000000000241
1200400000000000241
1200400000000000241
1200400000000000241
1200400000000000241
1200400000000000241
1200400000000000241
1200400000000000241
1200400000000000241
1200400000000000241
1200400000000000241
1200400000000000241
1200400000000000241
1200400000000000241
1200400000000000241
1200400000000000241
1200400000000000241
1200400000000000241
1200400000000000241
1200400000000000241
Palle 2 of 4
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00122
ISSUED: 02/25/2004
APPLIED: 01129/2004
EXPIRES: 08/25/2004
VALUE: $ 154,408.00
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Plannjnll Review
Public Works Review
01130/2004
01130/2004
01130/2004
I Plan Reviews I
01130/2004 APP
02120/2004 APP
02107/2004 APP
LLH
TAJ
VRJ
NO SEWER HOOK-UP OR
OCCUPANCY UNTIL PUBLIC
IMPROVEMENTS ARE
ACCEPTED BY PUBLIC WORK'S
(See Ron Sather for Public
Improvement Project status).
Overwidth driveway approved for
30' max. throat.
Structural Review
01130/2004
02/19/2004
OK
TCM
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.
I Curbcut - Overwidth: After forms are erected but prior to placement of concrete.
2 Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
3 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
4 Footing: After trenches ,are excavated.
5 Foundation: After forms are erected but prior to concrete placement.
6 Post and Beam: Prior to noor insulation or decking.
7 Floor Insulation: Prior to decking.
8 Shear Wall Nailing: Before covering sheathing with finish materials.
9 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
10 Wall Insulation: Prior to cover.
11 Ceiling Insulation: Prior to cover.
12 Drywall: Prior to taping.
13 Final Building: After all required inspections have been requested and approved and the building is complete.
14 Undernoor Plumbing: Prior to insulation or decking.
15 Undernoor Drain: Prior to cover or placement of concrete.
16 Rough Plumbing: Prior to cover and including required testing.
17 Water Line: Prior to filling trench and including required testing.
18 Sanitary Sewer Line: Prior to filling trench and including reqnired testing.
19 Storm Sewer Line: Prior to filling trench.
20 Final Plumbing: When all plumbing work is complete.
21 Undernoor Mechanical. Prior to insulation or decking and including required testing.
22 Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
23 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.
24 Rough Mecbanical: Prior to Cover
25 Final Gas: When all gas work Is complete.
26 Final Mechanical: When all mechanical work is complete.
27 Temporary Electric: Approval required prior to Utility Company energizing pole.
Palle3of4
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00122
ISSUED: 02/25/2004
APPLIED: 01/29/2004
EXPIRES: 08/25/2004
VALUE: $ 154,408.00
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
28 Rough Electric: Prior to Cover
29 Electric Service: Approval required prior to utility company energizing service.
30 Final Electric: When all electrical work is complete.
By signature, I state and agree, that I bave 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 ens e th t all required inspections are requested at the proper time, hat each address is readable from the
street, t::;t:e per car is locate at the front of the property, and the approved s of plans will remain on the site at all
timeSdj' gcon cti. ~ z-fr5'h'f
Owner r n ra{p/rs Signa;;;-re Daf / I
Palle 4 of 4
oio,<Io"
~:O~~0
225 FIFTH STREET' SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-368~"'~'O~:0\ ~
'l> 0: I
ELECTRICAJ( !'!l:.~r APPLICATION ' /' _ /.. ,6\0V~O' ,0
City Job Number \lIffiU R.('i) \1,1... Date 2 2 ) / () 4 ~\"~~00'"
. 1 rSi-O'1>"o
1. ~.j!-OCATlofi.QfIN.stALl.:A1iON;,:~, '. "'; 3. f~'~OMhETE:Fiiil~~;'~ir'O"'~,~"~:.::ih>~;:;F'-'!j.'
"G;~~~"~~-Gt' ~,.;,-';;,:;,..~:(;:::;~"","~,:"
\ ~U~ l\ \t'g()O ;:~i:;;~C;~~:~~-'"' .. ~~",Q'::'c - .... ""P ,.,
JOB D~SCRIPTION - \cm' 1000 sq. fl. or less \ $106.00 \DlofD'
~o~~~p:e~~? :::o:::;:~I'::o:e:ror 1_ $19.00 3C6(j
not started within 180 days of issuance or if work is . Modular Dwelling Service or $50 00
sus~e.~~~"fO:.:l~~~. _=,_ .....,..~c.-~' :,? f:urt~!JJ3G,v"-"::T.""-~" '~ .-we ' y', - . - , ,"0"-'"
2. l ,CoNTl!AJ!rORlNSTALLATION f!NLY ,: Not'.R~~~~~W~,,,~,;:; Installati."n,IAlteralio'1~ or Relocation: "
~~---- -- ,. -, -, ~ --~.. in o~/CationCen7'Plel:r6y Ih.reQUiriisyo _.~ _._~ -~ .-,_... ..-
Electrical Contractor L t;. E [LR U.f..jg}090 R ~6il:'1m9s ;WleTlJose e Oregon i.J U 10 $ 63,00
cali. YOjo ~~qg4(}a~J.U/es are se,.l/llty $ 75.00
Address f:.r501 Lf S~f1ur Hi'lfl~~ng~p,~qIN,00:61JJ&~hOAR952'~Orth $125.00
I _ erffMtPiw6;,~'{800I~,ttherul,,!: 01. $163.00
Phone .~6')-3o't2... C~tnIl/.JP9_fjllrtY?tIJtJ\ffy~e/~PhOQ^ /";y $375.00
Reconnecl ~/JPr332'2344~~"'cat;Q" $ 50,00
C. r';Teo;6"~ra;:Y S;r~ic;S'or F;ed"rs:;;'~)>;~,\ , ...
,'-. '",:..~.'~.....:....---~;.-".. ........ ..~..,-,
, '.~: . .: '\" "CItrOFI~\4NG.~~LJj, O:4GO~\i ':": \):.~'."':.'
City
?; lOt Qf\.e.
I
4/7'-1.- S
I 0 II / () If Installalion, Alleration or Relocation
, , , 4'0 200 Amps orless \ $ 50.00
Constr. Contr. Number 1/'l 'SY is '-rilf1f'ef'. 201 Amps to-400 Amps $ 69,00
'1/30 /0''-1 ro4(jr;:ffrt/~/1 401 Amps to 600 Amps $100.00
( OI/1f/.t. 'f?~!) ~!;)~~OO~~~~~r 1~0_\'.9lts..e':;~::~2?v!,. .______.'
Signature of Sup' ervising Electrician 44ty, c4tl'r-. D:'~rBranch.ClrcUlts , '.
" 8 "'<'C 'b.-'---"--'fP;;i' ,-- ,~ --,
r--:O (\ 0 '7J 0 04y p Ot9l)lJw1MI.~~\al1;,b~oraxlension Per Panel
7; ( f J OA~'A . ~ Cf?,one1a;fQUIIP(j'>~ 1;( "'17, $ 43.00
_ - 'u.n ".V']" '1 ">- 'y, 'I>
tach Adai"'lp,u . irc~ 0 with
eQt Service or Fee'dg'p~iWOl' $ 3.00
t'L H\ l\; E. : -lVjjs~~iI~~.~~(Se.:vic~if~"d~rn~I'iJlclu'ded;7Ea;h In~laUa;io'li'
Phone ~.Q4~ p~m;O~irrigation-~--~ --$'~O~O~- ,,- "H'
Sign/Outline Lighting $ 50,00
Limited EnergylResidential $ 25.00
Limited EnergylCommercial $ 45,00
Supervisor License Number
Expiralion Date
~~
Expiration Date
-1
.,
Owners Name
Address ~"l~_
City ~~
OWNER INSTALLATION
The installation is being made on property 1 own which
is not intended for sale, lease or rent.
Minimum Electric Permit Inspeclion Fee is $45.00 + Surcharges
4. fStJBTOT~~~~~~',~,_:=-: .,.. \q4~
\5.~
\ ~ .4.0
~oA9J
7% Stale Surcharge
10% Administralive Fee
Owners Signature:
Inspection Request: 726-3769
TOTAL
Shared Drive(T:)IBuilding Fonns/Electrical Pennit Applicntion 1-Q3.doc
CITY OF S!NGFIELD SYSTEMS DEVELOPMEN'ORKSHEET
JOURNAL OR JOB NUMBER: COM2004-00122
NAME OR COMPANY: Bruce Weichert Cllstom Homes
LOCATION: 4035 DOll!!!as Drive
TAX LOT NUMBER: 18020611 Tax Lot 10800
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS I BUILDING SIZE (SF' 0 LOT SIZE (SF):
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S,F, CHARGE
I 3598,00 I $0.290 I = I $1.043.42 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F, I x I COST PER S.F, I x I DISCOUNT RATE I I DISCOUNT
I 0.00 I $0,290 I I 50% I = I $0.00
ITEM 1 TOTAL. STORM DRAINAGE SDC $1,043.42
2. SANITARY SEWER. CITY
A, REIMBURSEMENT COST:
I NUMBER OF DFU's I x I
I 20 I
B. IMPROVEMENT COST:
I NUMBER OF DFU's I x
I 20 I
COST PER DFU
$22.64
COST PER DFU
$17,21
ITEM 2 TOTAL - CITY SANITARY SEWER SDC =,
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADTTRIPRATE I x I NUMBER OF UNITS I
I 9,57 I I I
B. IMPROVEMENT COST:
I ADTTRIPRATE I x I NUMBER OF UNITS I
I 9.57 'I I I
ITEM 3 TOTAL - TRANSPORTATION SDC
$797.00
x I COST PER TRIP x I NEW TRIP F ACTORI
I $17.23 I 1.00 I
x I COST PER TRIP x I NEW TRIP F ACTORI
I $76.01 I 1.00 I
= , $892.31
4, SANITARY SEWER. MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I I I $314.63
B. IMPROVEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I I I $214,23
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDI = ,
SUBTOTAL (ADD ITEMS I, 2,3, & 4) = ,
5, ADMINISTRATIVE FEE~
ISUBTOTAL I x I ADM, FEE RATE 1=
I $3.271.59 I I 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
$538.86
11
I~
5850 I ~
~'"
-
o
~
$t,043.42 11070
$452.80
1091
$344.20
1092
$ I 64.89
1093
$727.42
I 1094
I
=
$314.63
1054
= $2t4.23 1055
$0.00 1054
$10.00 I 1056
I
I
l
110,17 11079
$53.41 ....J 1078
=, $3,435.17
$3,271.59
CHARGE
$163,58
Matt Stouder
2/7/2004
TOTAL SDC CHARGES
PREPARED BY
DATE
.
.
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW RXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONt Y THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EOUlV ALENT UNITS
IBA THTUB 1 0 3 = 3
IDRINKING FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE lOlL 1 SOLIDS 1 ETe. 0 0 3 = 0
IINTERCEPTORS FOR SAND I AUTO WASH 1 ETe. 0 0 6 = 0
iLAUNDRY TUB 0 0 2 = 0
IcLOTHESWASHER 1 MOP SINK 1 0 3 = 3
ICLOTHESW ASHER. 3 OR MORE (EAl 0 0 6 = 0
IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
I RECEPTOR FOR REFRIG 1 WATER STATION 1 ETe. 0 0 1 = 0
IRECEPTOR FOR COM. SINK 1 DISHWASHER 1 ETe. 0 0 3 = I 0
ISHOWER. SINGLE STALL 1 0 2 = I 2
ISHOWER. GANG (NUMBER OF HEADSl. 0 0 2 = I 0
ISINK: COMMERCIAURESIDENTIAL KITCHEN 1 0 3 = I 3
ISINK: COMMERCIAL BAR 0 0 2 = I 0
ISINK: WASH BASINIDOUBLE LAVATORY 1 0 2 = I 2
ISINK: SINGLE LA V A TORY IRESIDENTIAL BAR 1 0 1 = I 1
I URINAL. STALL 1 WALL 0 0 5 = I 0
ITOILET. PUBLIC INSTALLATION 0 0 6 = I 0
ITOILET. PRIVATE INST ALLA TION 2 0 3 = I 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 20
.EDU (Eauivalent Dwellin,g Unit) is a dischar):!;e eQuivalent [Q a sinl?;le family dwellin,g unit (20 DRYs) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
~EAR CREDIT RATE/$I.OOO
ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2
I BEFORE 1979 $5:0:;--- = I (Enter I for Yes. 2 for No)
,I 1979 $5,04 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 0
i 1980 $4.95 (Enter I for Yes. 2 for No) I
I 1981 $4.88 BASE YEAR 1979
1982 $4.75 I
1983 $4.58 CREDIT FOR LAND (IF APPLICABLE) I
1984 $4.41 VALUE 11000 CREDIT RATE
1985 $4.20 $0,00 X $5.04 ~ , $0,00
1986 $3,88
1987 $3,50 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
1988 $3.07 VALUE 11000 CREDIT RATE
1989 $2,60 $0.00 x $5.04 = , 0
1990 $2,14
1991 $1.71
1992 $1.52 TOTAL MWMC CREDIT = SO.OO
1993 $1.38
1994 SLl9
1995 $1.03
1996 $0,87
1997 $0,68 I
1998 SO.46 I
1999 $0.27
2000 SO.09 J
ZOOt $0,04
225 Fifth Street "-
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-00122
COM2004-00122
COM2004-00122
COM2004-00122
COM2004-00122
COM2004-00122
COM2004-00 122
COM2004-00 122
COM2004-00 122
C0M2004-00 122
COM2004-00 122
COM2004-00 122
COM2004-00122
COM2004-00122
COM2004-00 122
COM2004-00 122
COM2004-00l22
COM2004-00122
COM2004-00122
COM2004-00122
COM2004-00122
COM2004-00122
COM2004-00122
COM2004-00 122
COM2004-00 122
COM2004-00 122
COM2004-00122
COM2004-00122
COM2004-00 122
COM2004-00122
COM2004-00 122
COM2004-00 122
Payments:
Type of Payment
CredilCard
Paid By
BRUCE W W
.~". "....
WiE7'."'~- '" ... .1
~';:" .", . .". j
, . "
, ,,,,,,,,,,,,,',ic'E'__,.' ",-,- '-,
Receipt #: 1200400000000000241
Description
SDC Transpo Admin
Building Permil
2 Baths One or Two Family
Furnace. up to 100,000 btu
Vent Fan
Appliance Vent
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Gas Fireplace
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Plan Review. Planning
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Sidewalk Permit
Curbcut Permit
Curbcut - Overwidth Appl
PW Mull Disc - 2nd Permit
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer. Improvemenl
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC SanitarylSlorm Admin
Received By
dim
Check Number
Batch Number Authorization Number
000306 037416
.' City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 02/25/2004 8:33:22AM
Amount Paid
,!I
Item Total:
53.41
744.40
254.00
12.00
18.00
6.00
9.00
6.00
4.00
15.00
10.00
88.37
126.24
71.00
31.00
1,000.00
106.00
38.00
50.00
75.00
75.00
35.00
(30.00)
1,043.42
452.80
344.20
164.89
727.42
314,63
214.23
10.00
110.17
$6,179.18
.
.
How Received
In Person
Payment Total:
Amount Paid
$6,179.18
$6,179.18