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HomeMy WebLinkAboutPermit Miscellaneous 2011-8-31 . CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-02044 IVR Number: 811164660112 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 08/31/2011 08/31/2011 Issued 08/31/2011 SITE ADDRESS: 478 S 69th PL, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702353302100 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilce nter@cl.springfield.or.us EXPIRES: VALUE: 02/26/2012 $35,000,00 SCOPE: Site Work Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Engineered rockery retaining wall- Related to LDAP record LDP2011-00029 and TYP111-00001 OWNER: ADDRESS: ROSER DERRICK & ANGELA M 6846 F ST SPRINGFIELD OR 97478 Phone Number: Electrical Specialty Code Edition: Springfield Fire Code Edition: ATTENTION: Oregon law requires you to Mechanical Specialty Code Edition: follow rules adopted by the Oregon Utility Notification Center Thos I Municipal I Development Code: in OAR 952-001 00' e ru es are set forth _, , , ' - 10 through OAR 952-001- Plumbrng Specialty Code Ed.t.on: 0090 You may obta'ln co' f th " , pies 0 e rules by Residential Specialty Code Edition: cailInL2~08- center, (Note: the telephone Structural Specialty Code Edition: numbe201Q the Oregon Utility Notification ranta";'" '" ('\1"11""\ "'1"'0"""'''', .. -- '- . -....'" u....~ ':"V"T"'t). :S PERMIT SHALL EXPIRE IF THE WORK ! ;'i,ORIZED UNDER THIS PERMIT IS NOT CU"lNlENCED OR IS ABANDONED FOR 34534PM~NY 180 DAY PERIOD. Contractor Type Plumbing Contractor General Contractor Contractor Name CONTRACTOR INFORMATION ~ Lie Type CCB EMERALD EXCAVATING INC .EMERALD EXCAVATING INC # of Units: o CCB BUILDING INFORMA nON ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Site Information Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard ~rea: Retaining Wall: Soils Report Required: Yes .~.~ ~.r:: Springfield BUilding Permit 8/31/2011 Lie No 14173 14173 lic Exp 07/14f2012 07f14/2012 Phone 541-345-1505 541-345-1505 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: o ~ Page 1 of 4 SPRINGFIEL~ ..~ OREGON www.cLspringfield.or.us 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 'Fax: 541-726-3676 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-02044 IVR Number: 811164660112 pennilce nter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 08/31/2011 08/31/2011 EXPIRES: VALUE: 02/26/2012 $35,000.00 08/31/2011 SITE ADDRESS: 478 S 69th PL, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702353302100 PROJECT DESCRIPTION: SCOPE: Site Work Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential Engineered rockery retaining wall- Related to LDAP record LDP2011-00029 and TYP111-00001 Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: DEVELOPMENT INFORMATION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Description Bid Springfield Building Permit PUBLIC IMPROVEMENTS ~ 130 Sidewalk Type: Downspout/Drains: Valuation Description ~ Tvpe of Construction NA Unit Amount Unit Tvoe 35,000.00 Bid Unit Cost 1.00 8/31/2011 3:45:34PM Value 35,000.00 35,000.00 Page 2 of 4 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-02044 IVR Number: 811164660112 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 08/31/2011 ISSUED: APPLIED: 08/31/2011 08/31/2011 225 Fifth 51 Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perm itcenter@ci.springfield.or.us EXPIRES: VALUE: 02/26/2012 $35,000.00 SITE ADDRESS: 478 S 69th Pl, Springfield, OR 97478 ASSES OR'S PARCEL NO: 1702353302100 SCOPE: Site Work Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential Engineered rockery retaining wall- Related to lDAP record lDP2011-00029 and TYP111-00001 PROJECT DESCRIPTION: FEES PAID ~ Description Structural Plan Review Fee Residential State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) Storm Sewer Ejectors/sump State of Oregon Surcharge (12% of applicable fees) Technology.fee (5% of permit tota~) ~t~ucturaJ Building Permit Fee ~orm ~ewer - Each additional 100 feet or portion of Total Amount Paid Amount Paid Date Paid $231.04 08/31/2011 $42.65 08/31/2011 $17.77 08/31/2011 $76.00 08/31/2011 $19.00 08/31/2011 $13.68 08/31/2011 $5.70 08/31/2011 $355.45 08/31/2011 +-~--"---~'"".,-,._-_._~----_. $19.00 08/31/2011 ~_.~---.,.,- $780.29 Recio! # 2011002366 2011002366 2011002366 .__.- 2011002366 2011002366 2011002366 2011002366 2011002366 2011002366 Plan Review ~ Department Application Acceptance Comoleted 08/31/2011 Result Over the Counter Received Due Date 08/31/2011 08/31/2011 Reviewer Chris Carpenter Permit Issuance 08/31/2011 08/31/2011 08/31/2011 . Issued Chris Carpenter Comments: Application and documents were checked and ok'd to issue over the counter by Kaye Wilson and Andy Limbird. Structural Review 08/31/2011 08/31/2011 08/31/2011 Not Required Chris Carpenter Comments: Over the counter permit Plafii1TQg:B.~l/iew "~.' '~~d';~"".:~.1 ;,08/3)/20frt~Q8/~Y20H "08/31/201,,1,;\;:,, N01'ReqUlred~<Z?J~~ ~ Chns Carpenter~- _..,~,) ~r 'c~~~~nt~.: ~.,"6yer- t~'e~~b~'~I~!:R.~~rQiL'" . '~;r.~~",~~ i", ~ '.~ -~; ~t ":.~,j~. ~~.~ ~. "t~ ~~~~~~:::, :.;,,;:~_ .'~:;,_ \ ..;,..' ~ ,'- "l;- _ _ . ~,' _ .., _ .m "-'-' '.~_" ~.. ,,'-' _~ _ .~.~ INSPECTIONS REQUIRED I Inspections 1020 Zoning/setbacks 1110 Footing 1190 Retaining Wall 3130 Footing/Foundation Drains 3400 Storm Sewer Footing: After trenches are excavated. Storm Sewer Line: Prior to filling trench. Springfield Building Permit 8/31/2011 3:45:34PM , "" ' i 'f ~-~~~)':?V~.\~-_' " r.' -;'~. "1 Page 3 of 4 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-02044 IVR Number: 811164660112 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perm itcenter@ci .springfield. or. us PROJECT STATUS: STATUS DATE: Issued 08/31/2011 ISSUED: APPLIED: 08/31/2011 08/31/2011 EXPIRES: VALUE: 02/26/2012 $35,000.00 SITE ADDRESS: 478 S 69th PL. Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702353302100 SCOPE: Site Work Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: ' Engineered rockery retaining wall- Related to LDAP record LDP2011-000~9 and TYP111.00001 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 J 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 complianc~ with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are re sted at the proper time, that each address is readable from the street, that the permit card is located at the front of the erty, and the approved set of plans will remain on the site at aU times during construction. , 2f/3;/~ Date ~Co""~' """~,, Springfield Building Permit 8/31/2011 3:45:34PM Page 4 of4 ,r DEPARTMENT USE ONLY SPI'IINO-I"Ie:LD ~~,., Permit no.: S 11- 2D'-I'-/ Date: K/'31 J II 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. ..,~ ~. LOCAL GOVERNMENT APPROVAL This project has final land-use approva.l. FEE SCHEDULE Signature: Date: This project has DEQ approval. 1. Valuation information Signature: Da~e: (a) Job description: 10" K 12" I ~u<.o=.""-I ~{Mr"'IM Zoning approval veri fied: Dyes DNo Occupancy LA Property is within Oood plain: DYes DNo Construction type: \Jl'2, CATEGORY OF CONSTRUCTION Square feet: l1(R.esidential I 0 Government I D Commercial Cost p~r square foot: JOB SITE INFORMATION AND LOCATION Other information: lob site- .lddress: 4H' f. CqP- r'1 Type- of Heat: City: -:f/H"~ :f-/,(if I State:/1,f I ZIP 97<fJI Subdivision: /"/kC #<!' 1S4-''<;41'.s I Lot no.: Energy Puth: ffnew o alteration o addition Relhencenl'Z--St5 ?;$ rTaxlot: . 2/UO (b) Foundation-only permit? Dyes !dNo PROPERTY OWNER Pl"N'/l:K 11/" h~,../A;/. /('PS"/f Total valuation: n'saoo Nnme: Address: ~~ oS. , 2. Building Cees (ll) Permit fee (use valuation table): $555':!:2 City: 4"fI/'/hf. I~ , State~/t I ZIP: (b) Investigative fee (equal to [2aJ): IiW-1U~ Fax: $ Phone: - - - 990 (e) Reinspection ($ per hour): $ E~mail: (number of hours x fee per hour) nlis installation is being made on residential or rann propert)' mvned by Cd) Enter 12% surcharge (.12 x [2a+2b+2c]): $ 4'~ me or, member Z' Camily, and iSZn licensing (e) Subtotal of fees above (2a through 2d): requirements under ORS 7 10. 7 ~ . $ S' h - /-_- ...Jl. / 3. Plan review fees Ign ere; . (a) Plan review (65% x permit fee [28]): I '?~I o<-t ,?e{iNTRACTOR INSTALLATION nusiness name: Pf-t.-,:::, ~Xl...l4J*~~C (b) Fire and life safety (40% x pemit fee [2a]): $ Address: 4- 2 'X::> W rf"'\.. (e) Subtotal offces above (3a and 3b): $ City: F.l/...r~ I State: 01Z- I ZlpqJi--/D 4. Miscellaneous fees 1 '7 'J.2 "1>'+-$""- / S-05" I Fax: (a) Seismic fee, 1% (.01 x permit fee [2a]): $ Phone: - - s(,; if (P CjL E~maiJ: TOTAL fees llnd surchlll-ges (2e+3c+4a); CCB license no.: 1411) @ Print name: /' WlfbbO ~ Pw Signature: l.Jt4-t.-I.. SUB-CONTRACTOR INFORMATION Nllme ceo Licensl." Number Phone Number Electrical Plumbillg /'-II7J ~L/, ))U)" Mechllniclll ,@~ t:;7h<=:7vn..-p E""'K e- puvc, , SYSTEMS DEVELOPMENT CHARGES The City requires Systems Development Charges (SDCs) on new development and . redevelopment to accumulate funds to construct new streets, wastewater facilities and storm drainage facilities to accommodate the needs of development. Because SDCs are based on the intensity of the impact on City systems that a use of the property will have, these charges are sometimes large for commercial developments and can apply even if little 01' no change is required to the physical structure of a property. We are always concerned that someone starting a business in Springfield not be surprised in needing to pay a significant charge. For that reason, we ask everyone who applies for a commercial building permit, or inquires about using a vacant or occupied property for commercial or residential purpqses (other than one and two family dwelling units), to give us some basic information so that we can discuss the potential impact of SDCs. While we can't provide a precise estimate until we have much more detail, we can point out approximate costs you may wish to consider. Please provide the information below, and we can have someone from the City's Public Works Department contact you to discuss how your development proposal could include the need to pay SDCs. Address. or location of the pi'oposed business: 7Y ~. t9/Z );~ 7'/y7r Describe the business activities you are proposing at that location and how much area they will use. bl.t,(t{ ~/lt/~e~~~- roe:-,i:' U/ /f'// /'t'M/-v/4'V4// or removing any im ervious surfaces or buildings? Will the general public use or come to your location for the proposed business activi. ? Do you anticipate needing additional plumbing fixtures and/or needing water or wastewater facilities? . What's the best way and time to contact you? 17j//-- J-1Z,-J9fY' Email: jtJ /111'{1't" kf'/ P .ht~ /r.t'tl i"' .. Phone Numbers: 114'1./( ~ C&... Name . ) I DM' ~l~'o/ I 1 lCity of Springfield Development Services Department 225 Fifth Street, Springfield, OR 97477 SPRINGFIELD ~~ Planning Division Information Sheet for Building Permits Com mercial/lndustriall Multi-Family Residential , The Planning Division requires the following information for illl building permit submittals on properties zoned Medium Density Residential, High Density Residential, Commercial, or Industrial, including new construction, expansions, and changes of use. New construction, expansions, and changes of use to any building, parking, or development area in these zoning districts requires either Minimum Development Standards-MDS review (SDC 5.15-100) or Site Plan Review (SDt 5.17-100) by the Planning Division. OverlaiDistrict Development review (SDC 3.3-100) may also be required, depending on the site. NOTE: It is prudent to make sure your use is permitted in the applicable zoning district. Building Permit, Police or other permit approvals or inspections are not Planning approval. ~", '"w .#f..c}, , _ "~ .', -1;/ ,;::e.". .~~,..., ".,.~.' "',~~.,- _.,~,,'~ .,''',.... ;r~,. . .,. ,~.~,...<~.:" _'0'4 " , ~ ~.. okC,~ R~quir.~i;I_ProjeC:t: ~n~O.r~_~~~~n:.~,:~::~k,:;:;_)':<_~ '.~iC~'_'-:~}:,:;. :'~, (.!tppl{c,a.lJ,t:;t;:o,mplete t,!!~'sect!~n)_:-. A licant Name:' Phone: '/ -2-./2- 7ff.5 ?'YI- %f~ 9?Y Address: ASSESSOR'S MAP NO: /l#V?533'C2-/W Pro e Address: ~i'dWkt"JOO€f.l'X:i~t4k'Y,1~.Jt...~~~~~=:~"fu.~~~,;,.s*...~~ Description of the proposed work to be completed under this building permit: ('(lJ1<//o('K -0>P/~~""" _ c?l'nd: b//ft'/ /Z( hr/?/")'f/#/l' &?:J7 /.r<Y'~ //~, Has this development proposal been reviewed by the Planning Division . through an application process (i.e. MDS or Site Plan Review)? If yes, Case #: PII-L-O.fJZt?/I- c?C/c/z,1 If no, is this a change in use? 0 Yes 0 No Prior A roved Use: Pro osed Use: ~s ONo . -. . - - Zonin TOTZ: Overla s: The proposed project requires submittal and approval of the following Planning application prior to building permit approval: " o DWP Overlay District Development 0 Statement Letter Regarding DWP Exemption o MDS 0 MDS Land Use Compatibility Statement o Site Plan Review 0 Other: Reviewed b : Date: :Pi1i0:"j\j~%1-~~>1;;iY~4<<;:,,0i.!?ilitS:,\!f0;;1Y1i{Rti%ii;_Qt!,;:;ffi0J'~~7):$WW,C,,~ft:fW'4'fg.f~~~ff;W,-"tl-'51!, ^ "i''^~':r~'''::' ''''j~~ffi~s\k~l4d#iWj.i~g~&;;\,_ . ~:j.crT'Y OF S/~BIf1GFIELQ, :OREGON~.; ; ..... " : .' . . ," DEVELO~t>Nt S2:~vQ::~ t~ARt~~T ..... .... . ... Communily ~e.,ice; DivisiOn ... : . . . .. . . . . . . . .. .. .. . . . . . . .. . . . . . . . . . . . . . . . . . ... ... ... 225 FIFTH STREET SPRINGFIELD. OR 97477 (541) 726-3753 Fax (541) 726-3689 www.ci.springfield.or.us Building Safety Section Residential Plan Review .. ...... . . . .. . . . .. .. . . . JOB ~MSS ..: ~78 S:96th PI. CITY JOB#: SPR2011-02044 OWNER: Roser PHONE: 726-9905 CONTRACTOR: Emerald Excavation PHONE: 345-1505 Items listed below (if any) and those marked in red directly on the approved permit documents are incorporated into this project. I) Construct according to approved plans and engineering requirements. 2) Obtain electrical permit prior to any electrical work. All references are to the 2008 Oregon State Residential Specialty Code, (2006 International Residential Code as amended by the State of Oregon) unless noted otherwise. A copy of this code may be obtained from the Building Tech Bookstore, Inc., 8020 S. W. Cirrus Dr. Beaverton, Oregon 974008-5986. Building Codes are also available for viewing only on- line at the Ore. Building Codes Division web site - htto://www2.iccsafe.org/states/oregonl Your signature on the Building Permit is an agreement that all items will be installed or corrected, and that all work on this project will comply with applicable codes. ISSUANCE OR GRANTING OF A PERMIT OR APPROVAL OF PLANS, SPECIFICATIONS AND OTHER DATA SHALL NOT BE CONSTRUED TO BE A PERMIT FOR, OR APPROVAL OF, ANY VIOLATION OF ANY OF THE BUILDING SAFETY CODES OR OF ANY OTHER ORDINANCE OF THE CITY OF SPRINGFIELD. PLANS REVIEWED BY: Chris Carpenter PHONE: 744-4153 Review completed on --^ugust 3 J, 20 J 1 . .. .. .. . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . .. .. .. .. . . . . . . . . . . . . . . . . . . . .. ~: '~Br:atlch Engineering, ~. . orporate H.a~qUarters Salem Engineering Office (541) 746-0637 (503) 779-2577 .. . .3\C1.5" it...t 4310 Cherry Avenue NE . . . . Sl"ioofiold,.OR 97477 Salem, OR 97303 .. .. --.. . . .. ..... . .. :.. . .~.BratlcOEngineering.com Inc. Principals M. Lane Branch, PE Damian Gilbert, PE Renee D. Clough, PE, PLS Rene' Fabricant, PE, SE Ronald J. Derrick, PE, GE August 29, 2011 First Horizon Bank c/o Mr. Lannie McClure REMAX Integrity 4710 Village Plaza, Suite 200 Eugene, Oregon 97401 RE: ~ ENGINEE'l:NG CALULATIONS~O ROCKERY RET AINING WALL TAX LOT 2100 ADJACENT TO S.69THpLACE. e,/rh SPRINGFIELD, OREGON 4'1(p. /117 r 5'. l.P Branch Engineering Inc. Project No. 11-072 lVI ~L) In our May 23,2011 Geotechnical Evaluation for the subject site, the following recommendation was included for the design of the proposed retaining wall for the site. "The property owner representative has indicated that a retaining wall 'will be constructed along the southern property boundary. Documentation regarding the placement and compaction of the fill material that comprises the south edge of the property was not provided to BEl and is expected to have been regulated by the City of Springfield. Based on our observations and field tests, the soil parameters for design of a retaining wall are 50 pcf and 250 pcffor the active and . passive equivalent fluid pressures, respectively. The coefficient of friction between the soil and neat poured concrete is 0.35. These values assume a drained wall with no hydrostatic pressures. Should a cast-in-place concrete retaining wall be constructed, BEl recommends that the wall be designed and sealed by a competent structural engineer. As an alternative, a rockery wall may be constructed in accordance with the typical details attached in Appendix B. Although the typical design of rockery walls is generally conservative, their construction requires experience to select and place the stones. A contractor with previous wall construction is recommended and an engineer should observation 'construction at foundation excavation, periodically during stone and drain placement, and at wall completion Rounded stones shall not be usedfor wall construction and there shall be at least three contact points between stones before chinking Rockery walls over 8 feet in height are not recommended for this site and the grade of the 'surface soil above the wall shall not exceed 1 0% for a distance of at least 20 feet from the top of thewa/l. " The site owner has since selected an experienced contractor to construct a rockery retaining wall at the site. Based on our field measurements, the maximum height of the wall appears to be 9 feet. For calculation purposes we have used a wall height of 10 feet, and conservatively selected a wall batter of 10:1 (vertical:horizontal), typical such walls are constructed near a 6:1 batter. A friction angle of 400 is used for' the rock and 300Jor the retained soil and underlying bearing soil . .. .. .. . . .. . . . . . . . . . . . . . . . . . . . . . . . . T.x Lot 2100 - S. 69th PI.ce ... .. .. .. . . . . . . . . . . . . . . Springfield, Oregon . . . . . . . .. with no coefficie.a1;llf oohesioo. ,];he density of the wall, with voids, is estimated at 135 pcf and . - ... .... . ' the w..1:QeQ.~~ty ohlJe ~il at :tOO I1cf. The width of the wall base for the calculations is 4 feet, whereas tli~recommoo:3ed oo~e ~hhe wall below is at least 5 feet. Using these values, the factors of safety against overturning, sliding, and bearing failures are presented on the ,attached hand calc~~~ti:m she~lso. fol} ~(:sors of safety exceed 1.2 for the above conservative wall design parametets. ~e recotlm1t:.dd~Q .design parameters are presented below. In addition, a global stability aoojy~i~ of t:h.:,. vkll wa; conducted using the Stable computer modeling program for slope stability analysis by the Bishop method with the model output attached in color. All safety factors exceeded I and the lowest factors of safety were shown to intersect the wall, which is best determined by the calculation for sliding that shows a factor of safety of 1.5 for a plane at 1/3 the wall height above the wall base. Based on the typical rockery wall details, previously provided and attached again with this letter, the recommend wall design parameters are: . Base of wall to be a minimum 5-feet in width and be comprised ofboulder(s) weighing at least 2,000 pounds. The wall height may not exceed 10 feet. . The base boulders shall be buried at least 12-inches below the adjacent grade and rest atop a compacted crushed aggregate mat at least 8-inches thick tipped 10% into the slope. . All key boulders shall at least 700 pounds, not rounded and shall have at least three points of contact with adjacent boulders. Quarry spoils shall be used for chinking but may not be used in lieu of the boulder to boulder contact. . The wall shall have an approximately 6: I (vertical:horizontal) batter and shall be adequately drained so that no hydrostatic pressure is developed against the wall or seepage though the wall occurs. If you have any questions regarding this report please contact the undersigned at your convenience. Sincerely, Branch Engineering, Inc. / ..' / Expires: December 31, 2011 Ronald 1. Derrick, P.E., G.E. Principal Geotechnical Engineer Branch Engineering, Inc. 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FIE L~ ..: .'~ .~ " . .t:>,,,> 'OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 . www.ci.springfield.or.us 811-SPR2011-02044 478 S 69th PL perm itce nter@ci.springfield.or.us RECORD NO: 811-SPR2011-02044 DATE: 08/31/2011 'f' c _,,'I " i.i' ,', -"~'-@:';_';.'~'\O.CC0I.JNTcCODEi;:;';::',">4 ;:f,\~:NAM0[.flllrtb.UE'; ,;;. . J 224-00000-425603 19.00 821-00000-215004 56.33 224-00000-425603 76.00 224-00000-425603 19.00 224-00000-425602 355.45 224-00000-425602 231.04 100-00000-425605 23.47 ----- TOTAL DUE: 780.29 i.:,I'AYMENTTYf?E:s, .."'" pAYOR:;;CASHIER;CCARPENTER;;' ;'COMMEIIITSr,,:,'"l: ,.,.- ,> :<, ,", AMOUNTP,AID';C:-",i,\: . ,;; ;..,..~ ..~ '....~,.,........ _._..___..~_.,3'..._:qw,",,,^... _ . '-.__.._.__._.....,..."-'-___..,~....,..._~,.._"uw.'.,..M'.~_.,"__"'*-.:.~_-'-__..~.~., '_'..' . _ ......... ~.~_____._00.'_';h ..,.~_ ~ _ ...' , . . _",--",,,^,,,_~,~_'_"d Check '--~nnie Mcl5i~r'~--.- --.,,--,----~.__._-. ---- ,. -.-.- 780.29 . 2779 RECEIPT NO: 2011002366 I[)ESCRIP..TI6N;~' ,",,'I"'c ',:, ' Ejectors/sump State of Oregon Surcharge (12% of applicable fees) Storm Sewer Storm Sewe~ - Each additional 100 feet or portion o!- Structural Buil~ing _Permit Fee Structural Plan Review Fee Residential _ _ Te"hno!C:9Y, fee (5% of,permit total) TOTAL PAID: 780,29 'AS .c'''' o~to.nQ)g ......:=Oocnc._ :;)+::- , Q) o1tl o:Ja;~"S.cQ >- C (f) 0> ~ o..~ . ooOQ) Q)ID........--., Q.lO).....a:..c:(j)OV .....Q)m<(............z-:::r .5 '- 00 0 '0 Q) >-C') erG ~..c Cf)..c :t::: ~ ~Q)2cnQ)~~~ ~~ Q.l gOi5..2::> (V) ro>.oo.....ooc6 -.oo....c:oZoo c ...c ....... c - Oleo 0"'01-0'- Q)' rnID ,-ro....:............. (1)0."":0:520 (j) '- 0 ~ C? 0 C Q.) .- o -a c ...-- '>, Q) ..c 05 ." 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