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Home My WebLink AboutPermit Building 2006-11-13 I, ~ITY OF SPRINGFIJ!.,LU ' ~ . ' Status Issued Building/Combination Permit PERMIT NO: COM2006-00851 ISSUED: 11/13/2006 APPLIED: 07/10/2006 EXPIRES: 05/13/2007 VALUE: $ 447,143.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6420 FOREST RIDGE DR ASSESSOR'S PARCEL NO.: 1702344302600 SPRINGFIETYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence - Mt Gate subd lot 92 Residential Owner: OREGON ESTATES LLC Address: 90896 DIAMOND RIDGE LP EUGENE OR 97408 Phone Number: 541-338-4914 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor OREGON ESTATES LLC SUNSET ELECTRIC INC SUNSET ELECTRIC INC HOME COMFORT HEATING & AIR INC License 137966 158859 158859 84164 Expiration Date 10/07/2009 02/27/2008 02/27/2008 06/25/2007 Phone 541-338-4914 541-915-4883 541-915-4883 541-345-2838 BUILDING INFORMATION I 5 # of Stories: 3 Lot Size: Height of Structure 38.00 Sq Ft 1st Floor: Type of Heat: Forced Air Gas Sq Ft 2nd Floor: Wat&11fy))~P IOI\l:OregO!\ la(iarseqt;I'Sq':)FJfC'Bh~~ment: Rarig-eIWy.pe':Jles adopted by tilts OreS.yFtlaMVage/Carport Eiteug.yi,P.ath::n Center. ThCRiftlillles Sq3Ft(O{he1.r Sp,ljiJI.~If.cI. lHiildiifgl-001 0 thii/algh O/6ccup'iln1rLbad: 22,549 1,904 899 1,123 641 297 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U VN + __ _ _L...._:_ ___:__ _& ~~_ llO.d_,... "",, . "-.IUL.l~.. I""...... ,'I'-4V --.-... --..-'-- -- -..- '-'---J Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 27.00 24.00 20.00 I DEVELOPlVIE:lN;rrl~E.O~A:wJQ~J'I~: the telephone number for the Oregon Utility Notificat~tlQUIRED PARKING Overlay DistSenter is 1-800-3ilihSid~4). Total: 2 # Street Trees Rqd: 3 Handicapped: Paved Drive Rqd: Yes Compact: % of Lot Coverage: 16.30 0.00 Subdivision Not Accepted Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPRcmMI,ENTS I Fullv Improved THIS PERMIT SHAL~imf~frrTHE WORK Curbside 5' Yes AUTHORIZED UNDE~omfBqnffiIMri',~ NOT To Storm Sewer COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Notes: Page 1 of 5 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction A.C. - Residen Dwellines Garaee AC - Residential V Wood Frame Garaee Fee Description Plan Review Residential ~Mechanical Issuance Fee~ + 10% Administrative Fee + 8% State Surcharge 3 Baths One & Two Family Addressing Assignment Boiler/Comp Up To 100,000 btu Building Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Fixture Furnace - more than 100,000 Gas Fireplace Gas Outlets 1-4 Gas Outlets 4+ Mountaingate Impervious Area Plan Review Major - Planning Residence Wiring 1000 Sq Ft Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 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 Temp Power 200 amps or less Vent Fan Willamalane Single Family :ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00851 ISSUED: 11/13/2006 APPLIED: 07/10/2006 EXPIRES: 05/13/2007 VALUE: $ 447,143.00 I Valuation Description I $ Per Sq Ft or multiplier $4.00 $99.00 $26.00 Square Footage or Bid Amount 3,100.00 4,223.00 641.00 Value Date Calculated $12,400.00 $418,077.00 $16,666.00 $447,143.00 07/1012006 07/10/2006 07/10/2006 Total Value of Project ~ Amount Paid $1,102.82 $10.00 $300.99 $221.33 $306.00 $31.00 $12.00 $1,696.65 $6.00 $9.00 $243.20 $84.00 $15.00 $30.00 $4.00 $2.00 $1,193.65 $198.00 $106.00 $106.00 $152.00 $152.00 $781.87 $1,027.87 $10.00 $865.31 $82.03 $186.19 $61.27 $805.70 $182.69 $50.00 $36.00 $1,000.00 Date Paid Receipt Number 7/10/06 11/13/06 11/13/06 11/13/06 11/13/06 11/13/06 11/13/06 11/13/06 11/13/06 11/13/06 11/13/06 11/13/06 11/13/06 11/13/06 11/13/06 11/13/06 11/13/06 11/13/06 11/13/06 11/13/06 11/13/06 11/13/06 11/13/06 11/13/06 11/13/06 11/13/06 11/13/06 11/13/06 11/13/06 11/13/06 11/13/06 11/13/06 11/13/06 11/13/06 2200600000000000949 1200600000000001635 1200600000000001635 1200600000000001635 1200600000000001635 1200600000000001635 1200600000000001635 1200600000000001635 1200600000000001635 1200600000000001635 1200600000000001635 1200600000000001635 1200600000000001635 1200600000000001635 1200600000000001635 1200600000000001635 1200600000000001635 1200600000000001635 1200600000000001635 1200600000000001635 1200600000000001635 1200600000000001635 1200600000000001635 1200600000000001635 1200600000000001635 1200600000000001635 1200600000000001635 1200600000000001635 1200600000000001635 1200600000000001635 1200600000000001635 1200600000000001635 1200600000000001635 1200600000000001635 Paee 2 of 5 "".~~ITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2006-00851 225 Fifth Street, Springfield, OR ISSUED: 11/13/2006 541-726-3753 Phone APPLIED: 07/10/2006 541-726-3676 Fax EXPIRES: 05/13/2007 541-726-3769 Inspection Line VALUE: $ 447,143.00 Total Amount Paid $11,070.57 I Plan Reviews I Initial Review 07/11/2006 07/11/2006 APP LLH LDAP Review 10/13/2006 10/13/2006 WE BRC Reviewed second submittal. Not all information requested in the initial review letter sent August 22, 2006 was submitted. No geotech report was attached. Contacted building and pulled the building permit file. I sent a second review letter 10/13 to Kevin F. (owner) addressing the remaining items needing addressed. The site has been changed from a level 1 geotechnical investagation status to a level 2, due to the proposed 12 foot cut slope. BC Planninl!; Review 07/11/2006 08/02/2006 WE TAJ Called contractor and left message. Incomplete plot plan - no trees or contours shown. tara Planninl!; Review 10/27/2006 10/27/2006 APP TAJ Place orange construction fencing to the rear of the house building site as shown on the plot plan. No construction activity allowed in this area. Check with Planning before removing any vegetation in this area. Plant native street trees from the Hillside list in the street tree handout. Public Works Review 07/11/2006 WE CJS 7/17 called owner for more information on walkway CJS 7/18 owner returned call with incomplete info CJS 7/19 called owner for more info on walkway CJS Public Works Review 10/13/2006 10/13/2006 WI JLP Incorrect information (no need for WE, sidewalk issues clearly marked on plan set & inaccurate square footages & inaccurate SDC fees by original reviewer) PW review needs to be redone. I will do next week. Was sent to Planning instead, will complete when returned to me.JLP Public Works Review 11/01/2006 10/27/2006 WI JLP Rcvd back from Tara, will complete within the week when tasks assigned by Les are completed.JLP Pal!;e 3 of 5 ~ITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00851 ISSUED: 11/13/2006 APPLIED: 07/10/2006 EXPIRES: 05/13/2007 VALUE: $ 447,143.00 Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Public Works Review 11/02/2006 11/02/2006 WE JLP Public Works Review 11/03/2006 11/03/2006 APP JLP Structural Review Structural Review Structural Review 07/11/2006 08/10/2006 10/13/2006 10/27/2006 WE RWC 10 APP RWC 10/27/2006 Needs Overwidth Permit -- Will get direction from Dave Puent. All other PW review is complete, entered, and approved.JLP Talked w/owner-Cortney by telephone @ 10:46am. Informed her the requirement of overwidth application & approval prior to driveway inspection. I will place application w/building permit. In addition, Per Kaye's request, I informed owner the building permit is ready to be picked up at front counter.JLP rec: Engineering for foundation wall 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. L...JleouiredJnsnections I 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. 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. Ufor Electrical Ground: Install ground rod at footing and call for inspection in conjuction with footing and/or foundation inspection. Rough Electric: Prior to Cover Temporary Electric: Approval required prior to Utility Company energizing pole. Final Electric: When all electrical work is complete. Curbcut - Overwidth: After forms are erected but prior to placement of concrete. 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. Pa!!:e 4 of 5 ~ITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2006-00851 ISSUED: 11/13/2006 APPLIED: 07/10/2006 EXPIRES: 05/13/2007 VALUE: $ 447,143.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Roofing: Prior to installing any roof covering. 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. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. 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. Shower Pan. Prior to covering 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. 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. 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 ~imes during con~lctiO? ) - // / ~ e dv /~ ~&, l Owner or Contractors Signature Date Pal!e 5 of 5 ZON L1);z , , INITIALS u....J rv-- DATE ll-\lp-E::x;o SOURC~pz..'~ 225 FIFTH STREET. SPRINGFIELD, OR 97471 . PH:(541)726-3753 . FAX: (541)726-3689 ~LECTRICAL P~RMIT~I:LICATION City Job Number ,(\ AD ' tf;:)\ Date 1. LOCATION OF:INsTAifA?rIONi:~'" "+'J'>' \d\t1!}'t6~RtCr,;z>:e; , LEGAL DESCRIPTION 1"'\ , ~ ~~\{?tt\~~\'\ ~~~~~Qe/~~~ Permits are non-transferable and expire if work is \ Each Manufact'd Home or not started within 180 days of issuance or if work is Modular Dwelling Service or ,.()U \..; $50.00 Suspended for 180 days. Feeder ",;)' ",;\30 \j \ ",,'\>\'J :l,,:~~~:z~=~tr~i;;\~::';;~:~f~~i:~~~~~~~~l;~~;::~g;[iflr!~~Y2~ __ ~...,)' . I 0'" _",.-:',._ 'J . ....,r'.,"" $ . ",.... 20J~,,"mps,to~ 9iAmpS,'" ".,,,,";6'.':,> ",'~'r\ 75.00 Address ~ '1 h"'r Q c;,C( vl" V L" ';" ';)~Ad(Afl}ps' t;-~OdiAmiP-S~-'-')",.~.~,~: t-V,<'::'.G~.",'r $125.00 _ Lill_ ., "',. .. ---.'r ': . , "o, "\\t.) <),~ " >'60'1 ^...~('>. r.:, 10'00 ,A' -"", "iV'). $16- 00 ~ I,"''' ,..,\,,;~mps,\~,. " '2~mRst)r:>p~?') , .J. Phone '-J tll-c;/\- m}~\~~'~rD'lbOO..r.t~p'~/Yoft~-,j' - $375.00 '\"'" Reconneot Ollly $ 50.00 3. ;:;9g~rf,f5T~'f4f:~:ql!~evf:~"WE:~qtg:'E.;:i";,(;,f":;;tf,~~' A;\,:~ ~~t'~~~,i~'~~I[~:G;,$,i~i~ii~,'~IE~li~~~~.~~i.~!"'~~f'.~~i~ilj~~~~~J!?~i~, Service Included $106.00 \~ \ c'L, 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof \ B $ 19.00 City 7.Uc.. t'~ e ,I Supervisor License Number ~() (00 <) c. ~i,J"~~iip~I.€.rir~,~!3l!!J~;,~['!ff~1~t~;>,~, -:. / CJ .- () ~ Installation, Alteration or Relocation v 11 Be 9 200 Amps or less \. $ 50,00 15 0 ~) 201 Amps to 400 Amps $ 69.00 '401 Amps to 600 Amps _ $100,00 (~ .S -off tlOl'~;6~0~~~\.~"i~~IM:sl~fB~~t1~:.;.~ ;"~" ~:"... rvi7:;; ctrician 1\-\\6.p&fl.~1'(1lr"'l,l-l~"tU\t"PE.R\~\~J"::".'",. ", ,:":,,' '~;' f//~ ________ f\Ul~a'if&~;~~;;~D~J~JX"" ,',,' ',' ',' /(t./<~ ,CO~p~~\~tpH\\OO. $43,00 I ~ () J\tl'lE\BrOAltl.tional Ciccuit 0' with , ~:::~, Na:O~~[~~~::~;;;';i:~:~,~;;~'i;:,;,d;D;"iE;~~;:i~::~hi~;~~,ir,~i;?~: City fl h eI\f?"J Phone ~ W.~\L.. Pump or irrigation $ 50.00 - - -, Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45,00 wfXJ Expiration Date Constr. Contr. Number OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Minimum Electric Permit Inspection Fee is $45.00 + SurcharGes . 0 ~~~ 4,;S[]1l,~oi~'f!f&jo;;E'., In'pe<tion R'qu,,', 726.3769 'd-: ~ ::,,.~co ". .:-.. . ~~ ~).~ ,~\o~,~ 8% State Surcharge 10% Administrative Fee TOTAL Shared DI;ve(T:)/Building Fonns/Electl;cal Pennit Application I-06,doc . . CITY OF SP~~FIELD SYSTEMS DEVELOPMENT "';;?'~KSHEET COM2006-00851 Ore~on Estates 6420 Forest Ilid~e Dr o SINGLE FAMILY RESIDENCE ] BUILDING SIZE (SF~ 2740 JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS 1. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. CHARGE I 3695.50 I $0.323 = I $1,193.65 RUNOFF ROUTED TO DRYWELL DES]GNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. x I COST PER S.F. x' I DISCOUNT RATE I 0.00 I $0.323 I 50% ITEM 1 TOTAL - STORM DRAINAGE SDC '$1,193.65 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's x I 41 B. IMPROVEMENT COST: I NUMBER OF DFU's x I 41 I COST PER DFU , I $25.07 ' $]9.07 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $1,809.74 3. TRANSPORTAT]ON , A. REIMBURSEMENT COST: ADT TRIP RATE x ' 9.57 I NUMBER OF UNITS x , 1 COST PER TRIP $19.09 B. IMPROVEMENT COST: ADT TRIP RATE x NUMBER OF UNITS x I COST PER TRIP 9.57 1 I $84.19 ITEM 3 TOTAL - TRANSPORTATION SDC = 1 $988.39 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's x COST PER FEU I 1 $82.03 B. IMPROVEMENT COST: INUMBER OF FEU's x I ] ICOST PER FEU I $865.31 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = 1 =1 $957.34 SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5. ADMINISTRATIVE FEE: I SUBTOTAL x I ADM. FEE RATE 1= I $4,949.]2 I 5% , TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: $4,949.12 ,CHARGE $247.46 LOT SIZE (SF): DISCOUNT $0.00 I x NEW TRIP F ACTORI I 1.00 I x NEW TRIP FACTOR 1.00 I ~--... I 22549 $1,193.65 $1,027.87 $781.87 $182.69 $805.70 = $82.03 r:/) ~ o o u ~ ~ E-< if.J >-< o ~ 1070 I 1091 1092 1093 1094 1054 1055 1054 ~, 1056 = $865.31 $0.00 $10.00 Jeff Prociw 10/11/2006 1079 11078 PREPARED BY DATE TOTAL SDC CHARGES 186.] 9 $61.27 = I $5,196.58 DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUN ALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY 1HE NET AuUIII0NAL FIXTIJRES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATIIT1JB 2 0 3 = 6 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INlERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 INlERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 LAUNDRY TUB 1 0 2 = 2 CLOTIlESW ASHER / MOP SINK 1 0 3 = 3 I CLOTIlESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REFRIG / WAlER STATION / ETC. 0 0 1 = 0 IRECEPTOR FOR COM. SINK / DlSHW ASHER / ETC. 1 0 3 = 3 SHOWER, SINGLE STALL 3 0 2 = 6 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLE LAVATORY 2 0 2 = 4 I SINK: SINGLE LA V A TORY /RESIDENTIAL BAR 2 0 1 = 2 IURINAL, STALL / WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIV AlE INSTALLATION 4 0 3 = 12 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 41 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 200] CREDIT RAlE/$I,OOO ASSESSED VALUE $5.29 $5.29 $5.19 $5.12 $4.98 $4.80 $4.63 $4 .40 $4.07 $3.67 $3.22 $2.73 $2.25 $1.80 $1.59 $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.05 = IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter ] for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR CREDIT FOR LAND (IF APPLICABLE) VALUE / ] 000 CREDIT RAlE $0.00 x $5.29 = , CREDIT FOR IMPROVEMENT (IF AFlER ANNEXATION) VALUE / 1000 CREDIT RATE $0.00 x $5.29 TOTAL MWMC CREDIT 2 2 1979 $0.00 o $0.00 225 Fifth' Street Springfi.eld, Oregon. 9'1477- 541-726-3759 Phone Job/Journal Number COM2006-00851 COM2006-00851 COM2006-00851 COM2006-00851 COM2006-00851 COM2006-00851 COM2006-00851 COM2006-00851 COM2006-00851 COM2006-00851 COM2006-00851 COM2006-00851 COM2006-00851 COM2006-00851 COM2006-00851 COM2006-00851 COM2006-00851 COM2006-0085 ] COM2006-00851 COM2006-00851 COM2006-00851 COM2006-00851 COM2006-00851 COM2006-00851 COM2006-00851 COM2006-00851 COM2006-00851 COM2006-0085 ] COM2006-00851 COM2006-0085 ] COM2006-00851 COM2006-00851 COM2006-00851 Payments: Type of Payment CreditCard Check cReceint 1 Citv "r Springfield Official Receipt Dl Jpment Services Department Public Works Department RECEIPT #: 1200600000000001635 Date: 11/13/2006 Description Addressing Assignment Willamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Fire SF Fee - Residential Plan Review Major - Planning Building Permit 3 Baths One & Two Family Furnace - more than 100,000 Boiler/Comp Up To 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Gas Outlets 1-4 Gas Outlets 4+ Gas Fireplace -Mechanical Issuance Fee- Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Mountaingate 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 Fixture + 8% State Surcharge + ] 0% Administrative Fee Paid By TODD BARDWELL OREGON ESTATES LLC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 071300 In Person djb 2502 In Person Payment Total: Page 1 of2 lO:59:35AM Amount Due 31.00 1,000.00 106.00 152.00 50.00 243.20 ] 98.00 1,696.65 306.00 15.00 12.00 36.00 9.00 6.00 4.00 2.00 30.00 10.00 106.00 152.00 1,193.65 1,027.87 781.87 182.69 805.70 82.03 865.31 10.00 186.19 61.27 84.00 221.33 300.99 $9,967.75 Amount Paid $8,000.00 $1,967.75 $9,967.75 11/13/2006