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Home My WebLink AboutPermit Building 2005-10-31 -. Status: Issued 225 Fifth Street, Springfield, OR . 541-726-3753 Phone 541-726-3676 Fax . 541-726-3769 Inspection Line . CITYOFSPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01404 ISSUED: 10/31/2005 APPLIED: 10/07/2005 EXPIRES: 04/30/2006 VALUE: $ 170,362.00 SITE ADDRESS: 632 Ethan Ct ASSESSOR'S PARCEL NO.: 1703221207800 TYPE OF USE: New t PROJECT DESCRIPTION: Single Family Residence - Breanne ).rr~M~b\tJ~\9iegon la~h~eb~:;~~~~ili~y .,. . _. .I~o "rlnnted by . ,_~... N~ii;;~ation Center. 1 b~~~~;~~"OAR 952:601- in OAR 952-001 ~~tain copies of the rules by 0090. you may .. _ "'nto' the telephone . calling '"" vv"O.' . n Utility Notiflcalloll I CONTRACTOR INFORMA 'FIOl'fI, r~igO_332-2344). Vt:::II~OI 10;) 1 Contractor License Expiration Date ANTHONY v CHAPMAN 75029 08/19/2006 I BUILDING INFORMATIONI Owner: Address: Springfield TYPE OF Single Family Residence Residential VALLEY DESIGN & DEVELOPMENT CO 3350 LAKEMONT DR EUGENE OR 97408 Contractor Type General . #orUnits: Primary Occupancy Group: Secondary Occupancy Yrimary Construction Type Secondary Construction # of Bedrooms: Front yard Setback: Side 1 Sethack: Side 2 Setback: , Rearyard Setback: Solar Setbacks: 18.00 7.10 5.20 18.00 25.00 . Street Phone 541-895-4987 1 R-3 VN # of Stories: 2 Lot Size: Height of 24.00 Sq Ft Ist Floor: Type of Heat: 'orced Air Electric Sq Ft 2nd Floor: Water Type: Electric Sq Ft Basement: Range Type: Electric S!LF.J~~rport Energy~~c~~ ~t>tP\\\ts/l1'\ ~NO't Sprink \S PEP-Mil S~ ...U\S ~ n ad: _~~ .,t.m tfl . .~\\f"" to 'DEVELOPME~~~ "~I\\l\IV~" \,JUf..TO" O,.'(~O. REQUIRED PARKING ~t.\'i ,a . Overlay ~ . Total: 2 # Street Trees 2 Handicapped: Paved Drive Rqd: Yes Compact: % of Lot Coverage: 35.50 1,180 467 490 3 IPUBLIC IMPROVEMENTSI Sidewalk Type: DownspoutslDrains Storm Sewer Available: Special Instruction: Fullv Improved Yes Curbside 5' . Curb and Gutter Notes: Storm drainage piped to curb face 10/1112005 CAS Description Type of Construction I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated 1 of 4 Status: Issued 225 Flfth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Dwellinl!s Garal!e V Wood Frame Garal!e Fee Description '- Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge 3 Baths One & Two Family Addressing Assignment Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Furnace - up to IOO,OOO btu Gas Outlets 1-4 Heat Pump Plan Review Major - Planning PW Disc - 2nd Permit (Street) Residence Wiring 1000 Sq Ft Residence Wiring Ea AddU 500 Sanitary Sewer: Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC SanUarylStorm Admin SDC Transpo Admin SDC Transpo Improvement. SDC Transpo Reimbursement Sidewalk Permit Storm Drainage Impervious Area Vent Fan Wlllamalane Single Family Total Amount . . CITY OF SPRINGFIELD- Building/Combination Permit PERMIT NO: COM2005-01404 ISSUED: 10/31/2005 APPLIED: 10/07/2005 EXPIRES: 04/30/2006 VALUE: $ 170,362.00 $96.00 $25.00 1,647.00 490.00 Total Value of Project $158,112.00 $12,250.00 $170,362.00 10/0712005 10/0712005 FpPo. P'IW Amount Paid Date Paid Receipt Number 2200500000000001396 1200500000000001645 1200500000000001645 1200500000000001645 1200500000000001645 1200500000000001645 1200500000000001645 1200500000000001645 1200500000000001645 1200500000000001645 1200500000000001645 I200500000000001645 120050000000000I645 1200500000000001645 1200500000000001645 1200500000000001645 1200500000000001645 1200500000000001645 1200500000000001645 1200500000000001645 1200500000000001645 1200500000000001645 1200500000000001645 1200500000000001645 I200500000000001645 1200500000000001645 120050000000000I645 1200500000000001645 I20050000000000I645 1200500000000001645 $517.66 $10.00 $133.24 $93.27 $306.00 $31.00 $796.40 $80.00 $6.00 $9.00 $12.00 $4.00 $12.00 $I50.00 $-30.00 $106.00 $57.00 $457.68 $601.68 $10.00 $865.31 $82.03 $126.66 $65.78 $805.70 $182.69 $80.00 $843.68 $24.00 $1,000.00 1017/05 1013 IJ05 1013 IJ05 1013 IJ05 10131/05 1013 IJ05 10131/05 1013 IJ05 1013 IJ05 1013 IJ05 10131/05 10131/05 1013 IJ05 1013 IJ05 1013 IJ05 1013 IJ05 1013 IJ05 I 013 IJ05 1013 IJ05 10131105 1013 IJ05 1013 IJ05 1013 IJ05 1013 IJ05 10131105 1013 IJ05 1013 IJ05 1 013 IJ05 10131105 1013II05 $7,438.78 , I Plan Reviews I Initial Review 1 OII 0/2005 1011012005 APP LLH Planninl! Review 10lI1l2005 I 012 IJ2005 APP TAJ Public Works Review I011012005 1011112005 APP CAS Storm drainage piped to curb face IOl1112005 CAS Structural Review 1011012005 1011812005 APP RJB 2 of 4 . . CITYOFSPRINGFIELI)~ Building/Combination Permit PERMIT NO: COM2005-01404 ISSUED: 10/31/2005 APPLIED: 10/07/2005 EXPIRES: 04/30/2006 VALUE: $ 170,362.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line To Request an inspection caD 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. wiD be made the following work day. , 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. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Curbcut - Standard: 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. Floor Insulation: Prior to decking. .Shear Wall Nailing: Before covering sheathing with finish materials. Framing In~pection: 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. 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. . 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. 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. 3 of 4 . . CITY OF SPRINGFIELD" Building/Combination Permit PERMIT NO: COM2005-01404 ISSUED: 10/31/2005 APPLIED: 10/07/2005 EXPIRES: 04/30/2006 VALUE: $ 170,362.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line UnderOoor Mechanical.- Prior to Insulation or decking and Including required testing. UnderOoor 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 attacbed 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. ( . 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 wiD 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 therront of the property, and the approved set of plans wID remain on the site atall' esd~rin stru::; _ ~~/D(JJd-'~--1f2uI! /!)'3/-0S- Owner or Contr~ctors Signature -:- 0- f Date ,. 4 of 4 CITY OF StlNGFIELD SYSTEMS DEVELOPM~RKSHEET JOURNAL OR JOB NUMBER: COM2005-01404 NAME OR COMPANY: Valley Design and Development LOCATION: 632 Ethan Court TAX LOT NUMBER: 1703351401700 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS I BUILDING SIZE (SF' 1908 LOT SIZE (SF): L STORM DRAINAGE -I Iff] I' CI 10 I~ 4701 I !:: [/) a ~ DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER SF I CHARGE 2612.00 I $0.323 = I $843.68 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUSS.F. I x I COSTPERS.F. I x I DISCOUNTRATE I I I 0.00 1 I $0.323 I 50010 ~ I ITEM I TOTAL- STORM DRAINAGE SDC '$843.68 I 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's 1 x I 24 I DISCOUNT $0.00 $843.68 11070 COST PER DFU $25.07 S601.68 11091 I 11092 II B. IMPROVEMENT COST: I NUMBER OF DFUs I x I 24 I $19.07 $457.68 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , 51,059.36 J TRANSPORTATION A. REIMBURSEMENT COST: 1 ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEWTRlPFACTORI I 9.57 , I I I I $19.09 i 1.00 I B. IMPROVEMENT COST: I ADTTRIPRATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI I 9.57 I I 1 , $84.19 I 1.00 I ITEM 3 TOTAL - TRANSPORTATION SDC =, 5988.39 5182.69 1093 5805.70 1094 ~. SANITARY SEWER - MWMG A. REIMBURSEMENT COST: IN UMBER OF FEU's I x ICOST PER FEU I 1 I $82.03 = 582.03 11054 B. IMPROVEMENT COST: I INUMBER OF FEU's I x ICOST PER FEU I I I I $865.31 = 5865.3 I 11055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) SO.OO 11054 MWMC ADMINISTRATIVE FEE 510.00 11056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I 5957.34 I SUBTOTAL (ADD ITEMS 1,2,3, & 4) = I $3,848.77 I 5. ADMINISTRATIVE FEE: I SUBTOTAL x I ADM. FEE RATE 1= CHARGE . I $3.848.77 I I 5% I $192.44 TOTAL SANITARY ADMINISTRATION FEE: 126.66 11079 TOTAL TRANSPORTATION ADMINISTRATION FEE: 565.78 11078 Cheryl Slaymaker 10/11/2005 TOTAL SDC CHARGES = $4,041.21 I PREPARED BY DAre . . . . 'l' DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTIJRE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY TIlE NET ADDmONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EOUIV ALENT UNITS BATHTUB 1 0 3 3 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 I LAUNDRY TUB 0 0 2 = 0 ICLOTHESWASHER / MOP SINK 1 0 3 = 3 ICLOTHESWASHER - 3 OR MORE lEA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRlG / WATER STATION / ETe. 0 0 1 = 0 IRECEPTOR FOR COM. SINK / DISHWASHER / ETe. 0 0 3 = 0 ISHOWER. SINGLE STALL 1 0 2 = 2 I SHOWER. GANG ~ER OF HEADSl. 0 0 2 = 0 ISINK: COMMERCIAURESIDENTIAL KITCHEN 1 0 3 = 3 ISINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2 I SINK: SINGLE LA V A TORY /RESIDENTIAL BAR 2 0 1 = 2 I URINAL, STALL/WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 3 0 3 = 9 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 24 .EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 Dros) set at J 67 ~lJons per day MWMC CREDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE , YEAR ANNEXED IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2 (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 2 (Enter I for Yes, 2 for No) BASE YEAR 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE I 1000 CREDIT RATE $0.00 x $5.29 = , $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE I 1000 CREDIT RATE $0.00 x $5.29 = , 0 , II TOTAL MWMC CREDIT = $0.00 BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 .; I J I I I I I I I I I I ! I I I J , ... .. ~".I ~L-~. .," . "SLl~.' O_o~-S . req~lre ~p.~ I _'. '~~.:~':'I. , 225 I'll' In STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . F~~ )726-3689 ~1;r~~:(!I' ~~~'.'._' . ~~::~::r-f.K\~LICATION Date \ OQat~ {OninZ~S';,:,tJ./~ 1 :n-L':;:~O":~CA...{P!'#.~O..'{f1'O,~~,..;'~";.',j<:'TPr::~p. Ttl'TL:..":t.."'O,''!:i.~~.'..~i.'~.~~:S: !~.t~r,,~'';ot~'';,;:~~.-;.:::7.!1YJ'rlcI(titWA~_~;W~~w;'~~':'''',;:.~~;...~.:...~..~:!':'f".t i~oi\7),. . ~.~. ",:",,~,""~,'_'~"':..-f::':7f,:f!-~!:-:. , 'c .~_ ,..._t:!i'.::?:r;..::;~.fJiG-f'-.J 3. t.;'COMPI:EFEEEE;.,t:.d:::1l!I.Du.Ll:itBELOW{l\;:~~:rr:~~~'~'~P.~:f1~~~" \o~~"'f~."~'fi'fH="-.'-.~.'." ,'tJ'''''.''':''''-.'"''''''''''''''';'''<;'-'''''''''.''''''"'c,;.""",-,.,,'.<<,'.:.:"';~i:,:.",h"';,:,,"~;'~<i'~"" ';'~\'j~l\,.:~",:.,.,lm,..~..,;.~~,~~",:.~-,:;.7;'i}<~~,clo...""~',~;;;;':~l";";~.-i<~;-?,-,~~..,.i~_;i""'" ...,......,~.,.~::~~~.~ A. {;.New;.R.;sjdentilil~:;;~i!!il!""obM"iJti+FiiOill..'.' er?ihvemri' .iuii~~f~' ':~':\.'l~.;.,:':'",,~;~~a::,,~'~,<;~~.>\,,"~:'ir."';S.-::""';~1~"'.i~;;-:" 1. .~'''''>1::.:..:.-..t-:$;JJ~..~,z.g -:~:;r4."";:~~ LEGALE!S~ON ro l~~~~ ()\'1 .JO~~~ON~. pe::::-:r:-1'::ansferable and . e if work is ;. not started within 180 days of Issuance or if work is Suspended for 180 days. . !!7"r",~_"'~---:'1:",~",,':::'-;-'-':':;'-""!::'_:',~~'~~...-:' '.~:"'1'1.~'-~~..;::E.~~ , cONTRACTORINSTALLATION,ONVY:P :l~~~~:~~::'ig~:;'c'cU:rc,fu'~ Add=s Po Boy Q Ii Il J( 95'3--t7Cf1-- City C (-(.~I.J<- PhonenJ.X 7 Lf I-Sl4'.{~ Service Included riJ 1000 sq. ft.,orless~TION: Orego~ 1- J. $106.00 \tlo. Eachadditioiial5oo ,ft..or "-" 'V'1u""S you to ~'\ . . \. ,tJ1i9, uuvpted by th1rir , ..... t::;.t'\ l'-' pomon tli~~f:ation Center Th .~ egr$'19;00'y l.) t;:. inalt~r.:-",..,.... . .....;)C IUlt:::::ictre set forth Each Man~!'!,i~t.?;~ome:or'001 0 through OAR 952-001- ModularlDwelhng Sem~Q!taln copies of thellSO.Qjl . Feeder . calling the center. J~!JJ.~~ the tele . < b~. . ""~'''''-''''''''''''lJIJ'l'A:~.,..t~~..-,,", : -,~' ""1- - .,pJl.one.... ....:..-;::r-....-.:,.jjr B. rSe~i~~;or:-F~~I"~~I.yJiStlfij'irtioA.ttAite;atu)fis ,ondl igciltion':~:'~~~ ":'~'ci!61'5,,,,;,.,.,,,,vemet,j~H~800;332::2344);.".'~ l'!;.'C'.....' ..:t!l'" 200 Amps orless $ 63.00 201 Amps to 400 Amps $ 75.00 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163.00 Over 1000 AmpsIVollS $375.00 Reconnect Only $ 50.00 c. t~tgmR#8fi~~ffu[~~?~~!:~~fl:~'~~;~~f:~~~:~rf~:.~~2}~';~;i~}.j~;\~~\;~~f1~ Supervisor License Number If b l.ID S Expiration Date ID-DI-b7 Co~tr. Contr. Number 1~l2 <li Expiration Date ~ (,-{;/)'" t17 Installation; Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $.69.00 401 Amps to 600 Amps $100.00 ~~:ffi~~~!~~W<~~K.;,.~~.~::7-.-:"<'"':::'~"~ ~4l.."b .'iE~~~i~\;~=P~RNOT'" -.,. .;' , . i. "..'.. J ~l:unn $ 43.00 A~11 'C~orwith Service or Feeder Permit $ 3.00 Owners Nam Add=s 1\, . City ~~fL OWNER INSTALLATION . . . r%';;~-~2-_:;:'Z~;>:~:.,:""-';; .o:~,..->:,..",~, '':".- \:,~..:.'~.. A'-::;O ,7;"~_;.:..; ,::,:~:,~~,v' -~,. - ~.~~-;~"':'':':''''1 E. f.LJ\1!S5-e,n.~~eo..l~H~~\"vI~,eJfe~~W,,)l~t~cluqect)fEacbl"!'tall~ti<in j -' ""-.. ,-... ......~.- ,.~,..:... - -..' .-.::-...-...,. -'- ..."",~_."~- ,.....----.. .. .. ". .. . ..,- 'j Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minlmum Electric Permit Inspection Fee is 545.00 + Surcharges Ua~p \ \.""t l n.o.W \ q('l. I'd The installation is being made on property I own which is not intended for sale, lease or rent ~1-~j~:::~~.rJ:!;'~;:'04.~ms.z;z;~~;:;r'('~~~~~K?~0"':'.ti-Fe?lq 4. ?SVBTOTA:liOF:ABOVE,~.:.,(.i"'1f':C .,',., ..!<.,-,,~;. '( ~:';-;:':;;.:~'~::r2'.';'''<t\~~-,,';,;h',r~I.;R"~';iL~::s-ri'i~'a.': {~~.~:;: "; '~.~~:;E.:,..: Owners Signature: 7% Stale Surcharge 10% Administrative Fee TOTAL Inspection Request: 726-3769 Shared Drive(T:)lBuilding FonnslElcctrical Permit !'-pplication 1.o3.doc . . ar~l;It~.~~.~,._,._.~_ /." u.., 1Ik-..'; ~ty of Springfield Official Receipt .velopment Services Department Public Works Department 225 Fifth Street . . Springfield, Oregon 97477 541-726-3759 Phone ) ;'",,/Journa' Number CpM2005-01404 COM2005-0 1404 CbM2005-0 1404 COM2005-0 1404 COM2005-0 1404 COM2005-0 1404 COM2005-0 1404 COM2005-0 1404 COM2005-01404 COM2005-0 1404 COM2005-01404 COM2005-0 1404 , COM2005-0 1404 COM2005-0 1404 COM2005-0 1404 ~OM2005-0 1404 CVM2005-01404 CbM2005-0 1404 .. COM2005-0 1404 CbM2005-0 1404 CbM2005-0 1404 COM2005-0 1404 COM2005-0 1404 COM2005-01404 COM2005-0 1404 COM2005-0 1404 COM2005-0 1404 COM2005-0 1404 " C.OM2005-0 1404 ;: Payments: T)1le of Payment ,Speck .i :0 :i l ~ '; ;.: .' ~t :! i 10/31/2005 RECEIPT #: 1200500000000001645 Date: 10/31/2005 Description Addressing Assignment Willamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Sidewalk Permit Curbcut Permit PW Disc - 2nd Permit (Street) 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 SanitarylStorm Admin SDC Transpo Admin Building Permit 3 Baths One & Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Gas Outlets 1-4 Heat Pump -Mechanical Issuance Fee- Plan Review Major - Planning + 7% State Surcharge + 10% Administrative Fee Paid By Received By VALLEY DESIGN & DEVELOP njm I of I !lem Total: t.:beck Number Authorization Batch Number Number How Received 2156 In Person Payment Total: 3:11:20PM Am... nt Due 31.00 1,000.00 106.00 57.00 80.00 80.00 (30.00) 843.68 601.68 457.68 182.69 805.70 82.03 865.31 . 10.00 126.66 65.78 796.40 306.00 12.00 24.00 9.00 6.00 4.00 12.00 10.00 150.00 93.27 133.24 $6,921.12 Amount Paid $6,921.12 $6,921.12