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Home My WebLink AboutPermit Building 2007-11-13 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01654 ISSUED: 11/13/2007 APPLIED: 11/08/2007 EXPIRES: 05/13/2008 VALUE: $ 137,902.00. 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1601 S 58TH ST ASSESSOR'S PARCEL NO.: JASPER MDWS 5 ADD P SPRINGFIETYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: Single family residence- Jasper Meadows 5 lot 216 SAME AS COM2007-01638 5792 Obsidian Owner: HA YDEN ENTERPRISES Address: 2622 SW GLACIER PL #110 REDMOND OR 97756 Phone Number: 541-228-6935 Contractor Type General Electrical Mechanical Plumbing I CONTRACTOR INFORMATION I Contractor I. Oregon law teqU't;tn~\;'icense HAY~~ ~bytheOre e88\1o$08 M &11. 'fie~ ~f:m~'3~ 952~62 PAC. 1~i5~J()~f)tIM~ 80tthetule8j%Ji37 DEN. !~e~(Qb~~r~tbete'e{)h~?12776 calling tne l'P'. {JlT' ; . . .'ttbN number tor 11 Center . 1 #of Stones: 1 R-3 Height of Structure 16.00 U Type of Heat: Forced Air Gas VB Water Type: Gas ~n~~~: ~s Energy Path: nent Path Sprinkled Building: n/a Expiration Date 07/29/2009 06/19/2011 03/25/2010 05/05/2010 Phone 541-228-1081 541-754-6171 541-672-9510 541-459-0110 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 3 Lot Size: 6,277 Sq Ft 1st Floor: 1,235 Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport 480 Sq Ft Other: Occupant Load: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMATION to NOT'CE~ aP\t\E \, -mE ~~ 18.00 TH\S PEfWA\l-~ T"'l~ PERM\T \S Not 13.00 AU'THO~_m R.tlN\OONEO fOR 2 7.00 '" !fl O"~f\l' Yes 36.40 COMMEO ~~61ge: 26.00 0.00 ANY 18 u REQUIRED PARKING To~l: 2 Handicapped: Compact: Subdivision Not Accepted Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS I Fullv Improved Yes Sidewalk Type: Downspouts/Drains: Curbside 7' Curb and Gutter Notes: No final occupancy approval granted prior to Public Works approval for pump station Pal!e 1 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description $ Per Sq Ft or multiplier $103.00 $27.00 Square Footage or Bid Amount 1,234.00 400.00 DwelIinl!:s Garal!:e Tvpe of Construction V Wood Frame Garal!:e Total Value of Project ~ CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-01654. ISSUED: 11/13/2007 APPLIED: 11/08/2007 EXPIRES: 05/13/2008 VALUE: $ 137,902.00 Value Date Calculated $127,102.00 $10,800.00 $137,902.00 11/08/2007 11/08/2007 Fee Description Amount Paid Date Paid Receipt Number -Mech Iss 2+ Appliances- $40.00 11/13/07 1200700000000001394 + 10% Administrative Fee $139.56 11/13/07 1200700000000001394 + 5% Technology Fee $84.24 11/13/07 1200700000000001394 + 8% State Surcharge $104.79 11/13/07 1200700000000001394 2 Baths One or Two Family $280.00 11/13/07 1200700000000001394 Addressing Assignment $35.00 11/13/07 1200700000000001394 Appliance Vent $7.00 11/13/07 1200700000000001394 Building Permit $758.88 11/13/07 1200700000000001394 Curbcut Permit $85.00 11/13/07 1200700000000001394 Dryer Vent $7.00 11/13/07 1200700000000001394 Exhaust Hoods $10.00 11/13/07 1200700000000001394 Fire SF Fee - Residential $85.75 11/13/07 1200700000000001394 Furnace - up to 100,000 btu $14.00 11/13/07 1200700000000001394 Gas Outlets 1-4 $5.00 11/13/07 1200700000000001394 Plan Review Major - Planning $205.00 11/13/07 1200700000000001394 Plan Review Same As $220.00 11/13/07 1200700000000001394 Residence Wiring 1000 Sq Ft $117.00 11113/07 1200700000000001394 Residence Wiring Ea Addtl 500 $42.00 11/13/07 1200700000000001394 Sanitary Sewer - Improvement $469.29 11/13/07 1200700000000001394 Sanitary Sewer - Reimbursement $617.17 11/13/07 1200700000000001394 SDC MWMC Administration $10.00 11/13/07 1200700000000001394 SDC MWMC Improvement $990.39 11/13/07 1200700000000001394 SDC MWMC Reimbursement $95.35 11/13/07 1200700000000001394 SDC Sanitary/Storm Admin $125.55 11/13/07 1200700000000001394 SDC Transpo Admin $73.04 11/13/07 1200700000000001394 SDC Transpo Improvement $862.25 11/13/07 1200700000000001394 SDC Transpo Reimbursement $195.48 11/13/07 1200700000000001394 Sidewalk Permit $85.00 11/13/07 1200700000000001394 Storm Drainage Impervious Area $731.83 . 11/13/07 1200700000000001394 Temp Power 200 amps or less $55.00 11/13/07 1200700000000001394 Vent Fan $14.00 11/13/07 1200700000000001394 Willamalane Single Family $2,303.00 11/13/07 1200700000000001394 Total Amount Paid $8,867.57 Pal!:e 2 of 4 _G ,....p~........II.N.,..G........III....;.;.... ~..;;;ji".'.;......;;........;.......:..;...'.. WIi:'.~. · . '. . ""-", ,", -".."...... ,'.. ...' ...., , ~.-,"'..' .... ,~' Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-01654 ISSUED: 11/13/2007 APPLIED: 11/08/2007 EXPIRES: 05/13/2008 VALUE: $ 137,902.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review Planninl! Review Public Works Review 11/08/2007 11/08/2007 11/08/2007 Plan Reviews I 11/08/2007 APP 11/08/2007 APP 11/08/2007 APP LLH TAJ LKW No final Occupancy approval shall be granted prior to Public Works Approval for pump station Structural Review 11/09/2007 11/09/2007 APP DJB SAME AS COM2007-01638 5792 Obsidian To Request an inspection call the 24 hour recording at 726-3769. All inspections 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. ~eouiredJnsnections . Vfer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Final Plumbing: When all plumbing work is complete. Final Building: After all required inspections have been requested and approved and the building is complete. 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. Curbcut - Standard: After forms are erected but prior to placement of concrete. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to tloor insulation or decking. 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. Drywall: Prior to taping. Vndertloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover 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. Storm Sewer Line: Prior to filling trench. Pal!e 3 of 4 CITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: COM2007-01654 ISSUED: 11/13/2007 APPLIED: 11/08/2007 EXPIRES: 05/13/2008 VALUE: $ 137,902.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. 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 Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Final Mechanical: When all mechanical work is complete. Final Gas: When all gas work is complete. 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 times during construction. - :S ...- / f/j j ./ -> ' -L---(/( C1~ ' Owner or Contractors Signatur //~ / S - 07 ' Date Pal!e 4 of 4 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM IMPERVIOUS S.F. x COST PER S.F. CHARGE 2115.00 ,$0.346 = I $731.83 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F. x COST PER S.F. x I DISCOUNT RATE I 0.00 $0.346 . I , 50% = I ITEM 1 TOTAL - STORM DRAINAGE SDC I $731.83 Com2007 -01654 Hayden Homes 1601 S. 58th Street Jasper Meadows 5th ADDSL216 Single Family Residence 1 BUlLDING SIZE (SF' 1634 LOT SIZE (SF): 6277 DISCOUNT $0.00 $731.83 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: NUMBER OF DFU's I x . 23 I B. IMPROVEMENT COST: I NUMBER OF DFU's I x I 23 , COST PER DFU $26.83 COST PER DFU $20.40 ITEM 2 TOTAL - CITY SANITARY SEWER SDC --- -- -~- --'- ..,- - $617.17 $469.29 '= , $1,086.46 ifJ ~ Q o u ~ ~ E-< ifJ >-< ,0 ~ , I j 1070 , 1091 11092 I 3. TRANSPORTATION: A. REIMBURSEMENT COST: I ADT TRIP RATE I x I 9.57 I B. IMPROVEMENT COST: , ADTTRIPRATE . 9.57 I NUMBER OF UNITS x I I 1 I x I NUMBER OF UNITS I x I 1 I ITEM 3 TOTAL - TRANSPORTATION SDC = I 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x I 1 I B. IMPROVEMENT COST: NUMBER OF FEU's x 1 ICOST PER FEU I $95.35 ICOST PER FEU I $990.39 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , SUBTOTAL (ADD ITEMS 1; 2, 3, & 4) = I 5. ADMINISTRATIVE FEE: SUBTOTAL x ADM. FEE RATE 1= $3,971.76 5%' TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Kaye Wilson, 11/8/2007 PREPARED BY DATE ' COST PER TRIP 20.43 x NEW TRIP FACTOR 1.00 $195.48 COST PER TRIP $90.10 $1,057.73 x NEW TRIP F ACTORI 1.00 I $862.25 = $95.35 = , I = , 1093 1094 I' 1054 $990.39 1055 $0.00 ,11054 $10.00 I 1056 1'1079 1078 I = , ,$4,170.35 I' " J ' ,,_---:..,-'-,_-_-. I $1,095.74 $3,971.76 CHARGE $198.59 125.55 $73.04 TOT ALSDC.CHARGES DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS IBATHTUB 2 0 3 = 6 I DRINKING FOUNTAIN 0 0 1 = 0 IFLOORDRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC, 0 0 6 = 0 I LAUNDRY TUB 0 0 2 = 0 CLOTIIESW ASHER / MOP SINK 1 0 3 = 3 CLOTIIESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 RECEPTOR FORREFRIG / WATER STATION / ETC. 0 0 1 = 0 I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 1 0 3 = 3 I SHOWER, SINGLE STALL 0 0 2 = 0 ISHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 I SINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0 ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 = 2 IURINAL, STALL / WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET~ PRIVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 23 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) .s~~ at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$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 ELGlBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR 2 2 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0.00 x $5.29 = , $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0,00 x $5.29 o TOTAL MWMC CREDIT $0.00 = -_, '-'" &..UUI\II\J.} IC.:IC ~. D~RlP~O~; A ~ ~~ Scrvice Included JOB DESCRTPTIt ~., G) m 1000 sq. it or less ~\'N ~ ~J ~'~.&1'( () ~~1\fi) =.. .m:.::::SOO "'J. h ~ X.......C..:.bJo..d ~~ Ifwo'" b . '\ &clt Mano6n:t'd H.;",.... not started within 180 days of issuance or if'work is Modular Dwelling Service or SUSpcalded Cor 180 day,,- Feeder (FAX)15417412572 P.00I/002 ~INGPlI!L.D i'iJ ZON lX: J AA ~ = INnlALs" ~ " ..... DA'J'E . .." SOURCE' ~ Date 1/-{3-efl $117.00 1.~ itV' l ~ S 2J .00 2. $55.00 B. Electrical Con1ractor 1M f(;j ~~~ Inspection Rc:qucst: 726-3769 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps-- 601 Amps to 1000 Amps Over 1000 AmpsIV oJts Reconnect Only oU\O, Supervisor License Number f{.:<"7'1 s \ 't~'tJte~~ ", ',~\Ji, " , . Otegol '0'1 \ne s ate -OO'\~ I D -1- ~~tM\\ON''6'r\OP\e~"ose tU~~p,~tcration or ReJoeatioD \ ~ )~ .t~\~"'cen\et. O\ntOU~ ddi~t ess $ 55.00 Constr. Contr. Number '~~~_no'\'~~ c~~~~~~\e t>>"Q!to, Amps $ 76.00 . . . .:..\P -~~ 'lo}1 {(\a~et\\et. ~~t\ U\\\!' s ta,69p..Amps \ $\\ 0.00 Exp..non Dau, I ~~ "'~l \I'" Ql~~V"'600 AmpS ... 1000 Vo"" see"D" above. C ""et to . \& 'I....' Signature of SUpervising ElectrieilflU{(\\I cet\\et D. , New Alteration or Extension Per PaDd One Circuit " 'Each Additional Circuit or with . Service or Feeder Permit Address rrt'f,~'1 Hw,/ ~(..I A\h"&I\-l/ Phone..7~-ltrll $ 70.00 $ 83.00 . $13.s~00 $180.00 $413.00 ~ $ 55.00 City E.....:. ..t; on Date rmpi) . IlL--- - , $ 48.00 $ 4.00 City % State Surcharge JO%Adlninistrativc Fee , S% Technology Fee Willamalane Park & Recreation Oistrict Job. No.~f1.; \\o~4 SYSTEM DE)/ NAME: ~ ADDRESS:!ll.c11L ~ LOPMENT CHARGE WORKSHEET FOR 2007 PHONE:1L'lB.. ~ ~TE~IPanDlo LOCATION OF PROPOSED BUILDING SITE: ' Street Addre';\ > \ V:N 'i:,. ~ ~ t . \.. . Plat Name: m~r ~ '";:otNumber: ~ Ass~ 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the back. ) A. Sinole-Familv Detached l NO. OF UNITS X$2,303 per unit = , n'2iL) aJ $~):) . B. Sinole-Familv Attached NO. OF UNITS X $2,426 per unit = $, C. Multi-Familv Aoartment ' NO. OF UNITS X $2,032 per unit = $ D. Sinole Room Occuoancv NO. OF UNiTS X $1,016 per unit = $ E. Accessorv Dwellina Unit NO. OF UNITS 'X $1,151.50 per unit = $ $ !1<9D5 W $f2J $ 22ijocD _ i/ _, )/ (:::>'1 Date . WILLAMALANE SDC . 2. SDC CREDIT (If applicable) SDC payer must furnish proof of Willamalane Credit approval.) 3. TOTAL WILLAMALANE NET SDC ASSESSED \ tJ~C) r::ced for Credit) f ~ Development se~ment City of Springfield , 5 DEVELOPMENT TYPE DEFINITIONS1 s!!\~,F,c(m!IYiqe{ached Dwelling Unit A bbilClin'gAor 8' po'rtion of a building consisting of one or more rooms including sleeping, cooking, and plumbing facilities arranged and designed as permanent living quarters ' for ore far;Qilyor household; and not attached to any other dwelling unit or building. This-{i, - .e~i.Pflr incrud~Si manufactured housing. -::>'-.. ,cJ . 1- f};!: I ,\-. \j' ..... .1 'o,j t. j,.. 1,., '1' . '-- "l. \It' \~,~...~. (; '. .' ,'~ .. .: 't",j" ~ " ,,; :-. Si.rt9J~ Fa1;1~ly Atfa,Fhed D"'~'..~9iUh.i~ (( . . ~ ~, '.': '. .;. ~~i~' -; rT' A porliolil O'f'8 btlil~llg const~tlrfg.b' gnaorVmoie~O'OrnSj)nckJQj~g, ~e.E!~~I'~cooking, , and plumbing facilities arranged and designed as permanent living quarters for one family or household; and which is attached to one or more dwelling units by one or more common vertical walls. This defJni~on_ at~J~ude~., but i6..Aot limited to "duplex", . _ "zero lot line dwelling", "townhouse",.ara. "r6wh,ouse"..With theiexc.E;p.tion.of duplexes, , 1...8, iT"\g~ ~an11~Atta0ad~elling Units tYP~9U~r~g.".,~p-'..ar~t~li9,#n:eq./. " ',-. ,~J " '" A..Jt'l j \. L..' I ' 1 i i .:; Ii ;, ~ Y . I . ,j',. . - , '.!~_..~"-_~\ _..... ',..-\...1'\,..... -',.."'.-' Mul~i-Family Dwelling Unit . : A portion of a building consisting of one or more rooms including sleeping, cooking, and plumbing facilities arranged and designed as permanent living quarters for one family or household; and which is attached to two or more dwelling units by one or mOfe ~omfl;Jon. v~rtical walls. Typically, the units are in an apartment building or corrt'pJ~@rr<f~r~ not separately owned. . Single Room Occupancy Dwelling Unit A portion of a building consisting of one or more rooms including sleeping facilities with a shared or private bath, and shared cooking facilities and shared living/activity area. This definition atso includes, but is not limited to "assisted living facility." Single room occupancy dwelling units shall be charged at one-half the multi-family dwelling unit SDC rate. Accessory Dwelling Unit A secondary, self-contained dwelling that may be allowed only in conjunction with a detached single-family dwelling. An accessory dwelling unit is subordinate in size, location, and appearance to the primary detached single-family dwelling. An accessory dwelling unit generally has its own outside entrance and always has a separate kitchen, bathroom and sleeping area. An accessory dwelling unit may be located w\thin,ratt~.o"il<;f!to, or detached from the primary single-family dwelling. Accessory , 'dlJtt~ling u,IJ.I~.s~all be charged at one-half the single family detached dwelling unit SDC rate. rt .. f' ~ y" . "c.oo \ ..... 'l ~ .: t. 1 i.~.. . ' / ....., .. r . " _ - j ~-"\ _4~ ~ ~ __\ f. . , , ." 1. _ Ld~ ../-...;, UPd,ate~~2,O(~7j I 1 From the WPRD Parks and Recreation SDC Resolution No. 06-07-6, O~tober 10, 2006 . 6 225 Fifth Street Springfietd; Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01654 COM2007-01654 COM2007-01654 COM2007-01654 COM2007-01654 COM2007-01654 COM2007-01654 COM2007-01654 COM2007-01654 COM2007 -01654 COM2007-01654 COM2007-0 1654 COM2007-01654 COM2007-0 1654 COM2007-01654 COM2007-01654 COM2007-01654 COM2007-01654 COM2007-01654 COM2007-01654 COM2007-01654 COM2007-01654 COM2007-01654 COM2007-01654 COM2007-01654 COM2007-01654 COM2007 -01654 COM2007-01654 COM2007 -01654 COM2007-01654 COM2007 -01654 COM2007-0 1654 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 1200700000000001394 Date: 11/13/2007 Description Plan Review Same As Plan Review Major - Planning Building Permit Addressing Assignment Willamalane Single Family 2 Baths One or Two Family Furnace - up to 100,000 btu Vent Fan Appliance Vent Exhaust Hoods Dryer Vent Gas Outlets 1-4 ~Mech Iss 2+ AppJiances~ Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Fire SF Fee - Residential Sidewalk Permit Curbcut Permit Storm Drainage 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 + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By HA YDEN ENT Item Total: Check Number Authorization Received By Batch Number Number How Received djb 096468 In Person Payment Total: Page 1 of 1 1 :38:32PM Amount Due 220.00 205.00 758.88 35.00 2,303.00 280.00 14.00 14.00 7.00 10.00 7.00 5.00 40.00 117.00 42.00 55.00 85.75 85.00 85.00 731.83 617.17 469.29 195.48 862.25 95.35 990.39 10.00 125.55 73.04 84.24 104.79 139.56 $8,867.57 Amount Paid $8,867.57 $8,867.57 11/13/2007