HomeMy WebLinkAboutPermit Building 2008-2-13
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00960
ISSUED: 02/1312008
APPLIED: 06/26/2007
EXPIRES: 08/13/2008
VALUE: $ 3,960,442.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1955 3rd St
ASSESSOR'S PARCEL NO.: 1703262403200
Springfield TYPE OF WORK: Apartment Building
TYPE OF USE: New
PROJECT DESCRIPTION: Aster Apartments 55 Unit Senior Community
Commercial
Owner: ST VINCENT DE PAUL SOCIETY LANE CO
Address: PO BOX 24608
EUGENE OR 97402
Phone Number: 541-687-5820
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor ..\~ License
MElLI CONSTRUCTION CO 63771
BUILDERS ELECTRIC INC 4296
HOME COMFORT HEATING & AIR 84164
BARON PLUMBING INC 147744
. ATTL'~lJ If, p". i lf~llJ..ll.1..\"Y\l.. \r'~1."4;I;--,", ,"e1:t-tG
f II 'B n Utility
N~tlflcatlol1 Center. Those rules are set forth
55 in OAR 95296m~iYfo through OAR 952-0Q1-
R2 0090. YoliI~etj~GtJpies of the rules by
calling ftflftenM~.a~Note: the telepho~e
V A number V6lttWer~egon Utility Notification
~'tISIi lWI1t!800-332-2344).
Energy Path:
Sprinkled Building'
Expiration Date
02112/2011
12/10/2011
06/25/2011
05/14/2009
Phone
541-485-1417
541-485-0922
541-345-2838
541-935-1081
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
14,959
14,846
n/a
13,623
266
I DEVELOPMENT INFORMATION.
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
N uaJtlC IMPROVEMENTS
T TH~.WOR~T e'
AUTHORIZED UNDER THIS PERMlf\-S"Nttt yp.
COMMENCED OR IS ABANDONED ~RnspoutsfDrains:
ANY 180 DAY PERIOD.
Notes:
Pa2e 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
Use Bid Amount
Use Bid Amount
Bid Amount
Pavin2
Fee Description
Plan Review Comm/lnd/Public
Plan Review Fire & Life Safety
~Mechanical Issuance Fee~
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Addressing Assignment
Air Handling Unit Up to 10,000
Backflow Device
Building Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Non-Residential
Fixture
Heat Pump
Paving
Perm Serv/Fdr 1000 amps/volts
Perm Serv/Fdr 200 amps or less
Perm Serv/Fdr 201 to 400 amps
Sanitary Sewer - 1st 50 Feet
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
Sanitary Sewer Each Addtll00'
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Storm Drainage Impervious Area
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtll00'
Vent Fan
I Valuation Description I
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
3,960,442.00
439,084.00
Total Value of Project
~
Amount Paid
$9,789.42
$6,024.26
$10.00
$3,051.54
$2,940.23
$1,308.63
$2,139.00
$31.00
$32.00
$28.00
$13,113.90
$24.00
$504.00
$4,342.80
$3,374.00
$60.00
$1,670.65
$375.00
$3,654.00
$525.00
$45.00
$12,242.43
$16,100.01
$28.00
$10.00
$23,862.18
$1,977.47
$2,637.58
$1,968.68
$17,245.01
$3,909.61
$16,778.54
$45.00
$154.00
$342.00
Date Paid
7/10/07
7/10/07
2/13/08
2113/08
2/13/08
2/13/08
2113/08
2/13/08
2/13/08
2/13/08
2/13/08
2/13/08
2/13/08
2/13/08
2/13/08
2/13/08
2/13/08
2/13/08
2/13/08
2113/08
2/13/08
2113/08
2/13/08
2/13/08
2/13/08
2/13/08
2/13/08
2/13/08
2113/08
2/13/08
2/13/08
2/13/08
2/13/08
2113/08
2/13/08
Pa2e 2 of 5
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00960
ISSUED: 02/13/2008
APPLIED: 06/26/2007
EXPIRES: 08/13/2008
VALUE: $ 3,960,442.00
Value
Date Calculated
$3,960,442.00
$439,084.00
$4,399,526.00
1110212007
1110212007
Receipt Number
2200700000000001106
2200700000000001106
1200800000000000129
1200800000000000129
1200800000000000129
1200800000000000129
1200800000000000129
1200800000000000129
1200800000000000129
1200800000000000129
1200800000000000129
1200800000000000129
1200800000000000129
1200800000000000129
1200800000000000129
1200800000000000129
1200800000000000129
1200800000000000129
1200800000000000129
1200800000000000129
1200800000000000129
1200800000000000129
1200800000000000129
1200800000000000129
1200800000000000129
1200800000000000129
1200800000000000129
1200800000000000129
1200800000000000129
1200800000000000129
1200800000000000129
1200800000000000129
1200800000000000129
1200800000000000129
1200800000000000129
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00960
ISSUED: 02/13/2008
APPLIED: 06/26/2007
EXPIRES: 08/13/2008
VALUE: $ 3,960,442.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Water Line - 1st 50 Feet
Water Line - Each Addtll00'
Willamalane Apartments
$45.00
$14.00
$111,760.00
2/13/08
2/13/08
2/13/08
Total Amount Paid
$262,161.94
Plannin2 Review
Plan Reviews I
WE
08/23/2007
Initial Review
06/29/2007
06/2912007
WE LLH
Initial Review
07/12/2007
07/12/2007
APP LLH
Public Works Review
08/28/2007
08/29/2007
APP JHJ
Structural Review
07/12/2007
08/3112007
WE JMP
SUB Review
08/23/2007
08/3112007
APP JF
Plan Review Comments
09/25/2007
10
JMP
Fire Department Review
08/23/2007
10/3112007
OK GRG
Structural Review
10/18/2007
1110112007
APP DLM
Plan Review Comments
11102/2007
1110212007
10 DLM
Plannin2 Review
1112012007
11/20/2007
APP EMM
Pa2e 3 of 5
1200800000000000129
1200800000000000129
1200800000000000129
Needs to submit Final Site Plan and
sign Development Agreement. Kitti
Gale Planner
On hold for plan review fee paymenl
Received plan review fee. Okay to
process.
Attached SDC Worksheet. (JHJ)
LDAP Pending, contact Billy Curtiss
xl037...
Received 8/23/2007 with a stack of
other projects. See attached
documents for 12 structural
comments.
No energy code issues or inspections.
WE. Received Addendum #1.
See attached document for Fire
Department Plans Review
comments.
E-mailed add'l plan review
comments to architect 10/18. See
folder for hard copy of comments.
Received responsed to John
Pearson's and my plan review
comments from Ann Delaney
10/31107dlm
Received special inspection forms
signed by all parties 1112/2007dlm
Development Agreement received
11120/07. To be constructed per
approved Final Site Plan
DRC2007-00024
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00960
ISSUED: 02/13/2008
APPLIED: 06/26/2007
EXPIRES: 08/13/2008
VALUE: $ 3,960,442.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Site Inspection: To be made after excavation but prior to setting forms.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
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.
Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
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.
Firewall: Located and constructed according to plans.
Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to
City Building Inspector.
Structural Concrete: In excess of 2500 psi. To be done during construction by a State Certified Inspector.
Provide results to City Buiding Inspector
Roof SheathingfNailing: Before covering sheathing with finish material.
Glu-Lam Beams: Inspection Certificate by an approved agency to be provided to City Building Inspector prior to
placement.
Ceiling Grid: After drywall approval but prior to cover.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Epoxy Anchors: To be done by Certified Spcial Inspector. Provide Inspection results to City Building Inspector.
Structural Welds: To be done during construction by State Certified Special Inspector. Provide inspection test
results to City Building Inspector.
Final Fire Department. After all requirements of the Fire Department have been met.
Final Building: After all required inspections have been requested and approved and the building is complete.
Pa2e 4 of 5
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2007-00960
ISSUED: 02/13/2008
APPLIED: 06/26/2007
EXPIRES: 08/13/2008
VALUE: $ 3,960,442.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Rough Grading: After gravel is in place but prior to placing concrete.
Final Paving: After paving is complete.
Underslab Plumbing: Prior to filling the trench and including required testing.
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.
Final Plumbing: When all plumbing work is complete.
Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical 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 dU"7!7lAj I ()
Owu.. ., cr;lctJls (;gJ(!.h -
~I/s/ (} f
L .
Date
Pa2e 5 of 5
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER C0M2007-00960
NAME OR COMPANY St Vmcent DePaul (Aster Apts)
LOCATION 1955 3rd St
MAP & TAX LOT NUMBER 17 03 26 24 03200
DEVELOPMENT TYPE 55 Urnt Seruor Commuruty
NEW DEVELOPED AREA (S F) 5500 uruts
EXISTING DEVELOPED AREA (S F )
TOTAL IMPERVIOUS SURFACE (S F)
1 STORM DRAINAGE
IMPERVIOUS SQ FT
ITE
43428 sf ITE
LOT SIZE (S F )
252
48,490
x
$ 0.346 PER SF
TOTAL STORM DRAINAGE SDC:I
2 SANITARY SEWER-CITY (see reverse SIde)
A REIMBURSEMENT COST
NUMBER OF DFU's 600
B IMPROVEMENT COST
NUMBER OF DFU's 600
x $ 26 833 PER DFU
x $ 20 404 PER DFU
$ 47.24
TOTAL LOCAL W ASTEW A TER SDC:I $
28,342 44 I
3 TRANSPORTATION
BLDG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR
NEW
A REIMBURSEMENT COST
55 00 x 3 48
B IMPROVEMENT COST
5500 x 348
EXISTING
A REIMBURSEMENT COST
000 x 0
B IMPROVEMENT COST
000 x
x
$ 2043 PER TRIP
x
NTF
$3,90961 ,
$17,24501 ,
x
$ 90 10 PER TRIP
x
NTF
NTF
$000 f
x
$ 2043 PER TRIP
x
o
o
$ 90 10 PER TRIP x 0 NTF $0 00 ,
$ 110.53 TOTAL TRANSPORTATION REIMBURSEMENT SDC
TOTAL TRANSPORTATION IMPROVEMENT SDC
TOTAL TRANSPORTATION SDC:I $ 21,15462
x
;;;- I
"2~~" :l,>a
>>>'>~ >~ Oxttrx.: S :.~ ~
>:;~\;,E ~ /~ = 'i>>~-g
o ~ ~~~ < ~ U
I
$16,778 541
$16,77854 ::'1178
$16,10001 1183
$12,24243 <:11184
$28,34244 i <<
, <'
--.ok;< '.
$3,90961 1173
$17,24501 < 1094
,,",
$21,15462
4 SANITARY SEWER - MWMC 43,428 sf building area
NEW
A REIMBURSEMENT COST
NUMBER OF FEU's 4343 x $52 35 PER FEU $2,273 56 I
B IMPROVEMENT COST
NUMBER OF FEU's 4343 x $549 44 PER FEU $23,862 18 ,
EXISTING
A REIMBURSEMENT COST
NUMBER OF FEU's 000 x #N/A PER FEU $000 ,
B IMPROVEMENT COST
NUMBER OF FEU's 000 x #N/A PER FEU $000 ,
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
Tax Lot 03101 (Annexed 1973)
Tax Lot 03200 (Annexed 1973)
TOTAL MWMC REIMBURSEMENT FEE
TOTAL MWMC IMPROVEMENT FEE
MWMC ADMINISTRATfVE FEE
TOTAL MWMC SDC:I $ 25,84965
SUBTOTAL (ADD ITEMS 1,2,3, & 4) I $92,12525
Current Assessed Value $25,751
Current Assessed Value $30,226
5 ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE)
$
92,12525 x 5% , $4,60626
TOTAL SEWER ADMINISTRATION FEE
TOTAL TRANSPORTATION ADMINISTRATION FEE $
Jesse Jones
CIVil Engineer, EIT
8/29/2007
DATE
TOTAL SDC CHARGES
($296 09)
$2,273 56
$23,862 18
$10 00
$25,84965
< 1054
1l~6
1187
:~i8?
$2,63758 < 1175
1,96868 " 1190'
$96,73151
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)
55 Umt Semor Commumty
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN, FLOOR SINK
INTERCEPTORS FOR GREASE/OIUSOLIDS/ETC
INTERCEPTORS FOR SAND/AUTO WASH/ETC
LAUNDRY TUB
CLOTHES W ASHERlMOP SINK
CLOTHES WASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP (1 PER TRAILER)
RECEPTOR FOR REFRIGERA TOR/W A TER ST A TION/ETC
RECEPTOR FOR COMMERCIAL SINK! DISHW ASHER/ETC
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK COMMERCIAL, RESIDENTIAL KITCHEN
SINK COMMERCIAL BAR
SINK WASH BASIN/DOUBLE LAVATORY
SINK SINGLE LA VA TORY /RESIDENTIAL BAR
URINAL, STALUWALL
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS
FIXTURES
NEW OLD
55
1
4
2
57
57
57
NUMBER OF EDU'S*
UNIT
EQUNALENT
3
1
3
3
6
2
3
6
12
1
3
2
2
3
2
2
1
5
6
3
DRAINAGE
FIXTURE
UNITS
165
o
3
o
o
o
3
24
o
o
6
o
o
171
o
o
57
o
o
171
o
TOTAL DRAINAGE FIXTURE UNITS = I 600
*EDU (EqUlvalent Dwellmg Umt) IS a discharge eqUlvalent to a smg1e farm1y dweIImg (20 DFU) set at 167 gallons per day
CREDIT CALCULA TION TABLE BASED ON ASSESSED V ALOE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEP ARA TEL Y
ZON {\[\,~ V
INITIALS 'to\""" .
DATE :2- \;:s.---OK
,- SOURCE ~9f-->
Date ;;/ J~} D!
J J
COMPLETE FEE SCHEDULE BELOW
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689
ELECTRICAL PE~\IT ~rIKATION
CIty Job N\~er ., '-'\, \..Ol)
1. LOCATI~~F ~ ~~ 3.
3rd & M Street, Springfield, Oregon
LEGAL DESCRIPTION l1~.J\O~~. New Residential- Single or Multi-Family per dwelling unit.
57 Unit - 3 Story Apartment Bldg. Service Included
JOB DESCRIPTION 1000 sq ft or less
New apartment building Each addItIOnal 500 sq ft or
portIon thereof
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
CONTRACTOR INSTALLATION ONLY
Electncal Contractor Builder's Electric, Inc.
Address 195 Madison St.
CIty Eugene
Phone 485-0922
SupervIsor LIcense Number
$"2Js..s
ExpIratIOn Date
10.../-/0
Constr Contr Number 4296
ExplfatlOn Date December 10, 2007
SIgnature of Supervlsmg Electnclan
~ ;Jc:-
Owners Name St. Vincent dePaul Society
Address 705 Seneca Rd.
CIty Eugene Phone 345-8036
OWNER INSTALLATION
The installatIOn IS bemg made on property I own whIch
IS not mtended for sale, lease or rent
Owners SIgnature
Inspection Request: 726-3769
Each Manufact'd Home or
Modular Dwelhng ServIce or
Feeder
o
$10600
0.00
o
$ 1900
0.00
o
$50 00
0.00
B. Services or Feeders - InstallatIon, AlteratIons or RelocatIOn:
Installation, Alteration or Relocation
200 Amps or less 0 $ 50 00
201 Amps to 400 Amps 0 $ 69 00
401 Amps to 600 Amps 0 $100 00
Over 600 Amps_or 1000, Volts see "B'~,~0If1HE WORK
D. BdnchSGi.rc~M\ r SHAll tXPIK
, ' " F~1 UNDER THIS PERMIT IS NOT
New Altenltlori'oiE'xt~\l~~'5PAB~~fttWINED FOR
One CitcUlt ,. .J '0' '"' $ 43 00
Each AddltlOnaVd#cUltfof.-{3lbJD.
ServIce or Feeder PermIt 713 $ 300
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsIVolts
Reconnect Only
C. Temporary Services or Feeders
58
7
o
o
1
o
$ 63 00
$ 75 00
$125 00
$16300
$375 00
$ 50 00
3,654.00
525.00
0.00
0.00
375.00
0.00
E. Miscellaneous (Service/feeder not included)--:Ik~stallation
,..",. t " '~I' k,,\'V reqll\fes~~
Pump or ftifiiti~rt k .' 0; Oreg~0'''''''' 0.00
Slgn/Ou~hne t,ignt;ng - c-; ~ les ~~ %@t t~ 0.00
Llmlte<NEnergy/ResldentJa] :,' r,rol!iQh Oi'~~2,05 - 0.00
bm'te"""l!gY(~OIDm''''~!' ',,'" co,D;S ot~\!~;;: 0.00
Minimum EldlrtttPpe\'fuJf,lpfR~cttwI ~~J5!@J~I~ irc :" s
4. SUBTOT~\\R~p~~JfiEOregon UtIlity Noti
ti~ ~~\ >"",fM 800-332 2344). 6,693.00
8% State SurchargeCentel IS 1 535.44
10% Admmlstratlve Fee 669.30
5% Technology Fee 334.65
(J.B! L/ 7 'i ( TOTAL Sh,,,d D""fT )lB"ldm, F,~';E'''tr,~II'''m'' APPI,,",,~~;~~~;9
(1/ I~I>}I
0.00
0.00
0.00
0.00
2,139.00
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-00960
COM2007-00960
COM2007 -00960
COM2007-00960
COM2007 -00960
COM2007-00960
COM2007-00960
CO M2007 -00960
COM2007-00960
COM2007 -00960
COM2007 -00960
COM2007-00960
COM2007-00960
COM2007-00960
COM2007-00960
COM2007-00960
COM2007-00960
COM2007-00960
COM2007-00960
COM2007-00960
COM2007-00960
COM2007-00960
CO M2007 -00960
COM2007 -00960
CO M2007 -00960
COM2007 -00960
COM2007-00960
COM2007-00960
COM2007-00960
COM2007-00960
COM2007-00960
COM2007-00960
COM2007-00960
COM2007-00960
COM2007-00960
COM2007-00960
Payments:
Type of Payment
Check
cRecemtl
RECEIPT #:
1200800000000000129
Date: 02/13/2008
DescriptIon
Addressmg Assignment
Wlllamalane Apartments
Fire SF Fee - Non-Residential
Storm Dramage ImpervIOus Area
Samtary Sewer - Reimbursement
Samtary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC AdmmlstratlOn
SDC Samtary/Storm Admm
SDC Transpo Admm
Perm Serv/Fdr 200 amps or less
Perm Serv/Fdr 201 to 400 amps
~erm Serv/Fdr 1000 amps/volts
Add, Alter, Extend Clrc Ea Add
Pavmg
Buildmg Permit
Air Handlmg Umt Up to 10,000
Vent Fan
Exhaust Hoods
Dryer Vent
Heat Pump
-Mechamcallssuance Fee-
Fixture
Samtary Sewer - 1st 50 Feet
Samtary Sewer Each Addtl 100'
Water Lme - 1st 50 Feet
Water Lme - Each Addtl 100'
Storm Sewer - 1st 50 Feet
Storm Sewer Each Addtl 100'
Backflow Device
+ 5% Technology Fee
+ 10% Admmlstratlve Fee
+ 12% State Surcharge
PaId By
ST VINCENT DEPAUL
SOCIETY
Item Total:
Check Number AuthOrizatIOn
Received By Batch Number Number How Received
dJb
2995
In Person
Payment Total:
Page I of 1
9:41 :37 AM
Amount Due
31 00
111,76000
4,342 80
16,778 54
16,10001
12,24243
3,90961
17,24501
1,97747
23,862 18
10 00
2,63758
1,968 68
3,654 00
525,00
375 00
2,13900
1,670 65
13,11390
3200
342 00
50400
2400
6000
10 00
3,37400
4500
2800
4500
1400
4500
15400
2800
1,308 63
3,051 54
2,94023
$246,348.26
Amount PaId
$246,348 26
$246,348.26
2/13/2008