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Home My WebLink AboutPermit Building 2005-9-23 ,. Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 579 Ethan Ct ASSESSOR'S PARCEL NO.: 1703221206100 ~- lit f#:JTY OF SPRINGF!ELD- Building/Combination Permit PERMIT NO: COM2005-01208 ISSUED: 09/23/2005 APPLIED: 09/02/2005 EXPIRFB: 03/23/2006 VALUE: $ 177,100,00 Springfield TYPE OF Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single Family Residence, Lot 3, Breanne Commons Subdivision Residential Owner: CARY KONOLD Address: 3169 WOLF MEADOWS EUCENE OR 97408 Phone Number: 541-342-3762 Phone Number: 541-342.4819 1'--1"'- 1\) I uL.. IAI~U "~rm'~l.J'1t~~~fflill\lf\.Wl'{'1~ WORK I nU1i1 Ltu UI~ tli IH S PtRMIT IS NOT Contractor COMMENCED OR IS ABA~~a Fo!fxpiration Date CARY KONOLD ANY 1BO DAY PERIOD, 52796 03/07/2007 FARMERS ELECTRIC 89886 03/24/2007 PACIFIC AIR COMFORT INC 39237 03/25/2006 I BUlLDlNC INFORMATION' Contractor Type Ceneral Eiectrical Mechanical # of Units: Primary Occupancy Croup: Secondary Occupancy Primary Construction Type Secondary Construction # or Bedrooms: Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 12.00 5.00 12.79 18.00 Subdivision Not Accepted Street Phone 541-342-4819 541-998-6772 541-672-9510 I R-3 5,332 1,646 VB # of Stories: I Lot Size: Height of 21.00 Sq Ftlst Fioor: Type of Heat: Forced Air Cas Sq Ft 2nd Floor: Water Type: Cas Sq Ft Basement: Range Type: Cas Sq Ft Carage/Carport Energy Path: ATTENTI Path I Sq Ft Other: Sprinkled fOllo~ ON: GlJ~gon I Occupant Load: .; rulp~ ":)""_, aw r(:jn"o__ I DEVELOPMENTiiNFORM:-\I~eJS-'''T~~Y the dreg~~n~;;~u':: 0090 v --~-[,Ul-0010th Sa rules a!t~~\}RED PARKINC . IOU ma . rOugh OA fOrth Overlay Distealling th Y obtam COP.ie ITGtat--oO 1. 2 # Street Treesmber fo~ Center. (NotJ. t~ of th<FIItl1'I!!!'Wed: Paved Drive Rqd: C the Oregonv,~i-{' e te/(~I!lI1~crl" % of Lot Coverage: enter IS 1-80d~~~ Ity Notification -2344), 500 3 IPUBLlC IMPROVEMENTSI Sidewalk Type: Downspouts/Drains Curbside 5' Curb and Cutler Storm Sewer Available: Special Instruction: Fully Improved Yes Notes: No hook-up to City infrastructure until Public Improvements accepted by the City; Storm drainage piped to curb face 9/7/2005 CAS 1 of 4 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Desc ription A.C. - Residen Dwellings Garage Type of Construction AC - Residential V Wood Frame Garage Fee Description Pian Review Residential -Mechanical Issuance Fee- + 100/0 Administrative Fee + 7% State Surcharge 2 Baths One or Two Family Addressing Assignment Appliance Not Listed Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Gas Outlets 1-4 Pian Review Major - Planning Plan Review Residential PW Disc - 2nd Permit (Street) Residence Wiring \000 Sq Ft Residence Wiring Ea Addtl 500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC SanitarylStorm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewaik Permit Storm Drainage Impervious Area Storm Sewer Each AddtllOO' Temp Power 200 amps or less Vent Fan Willamalane Single Family - ~ f#:-ITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-01208 ISSUED: 09/23/2005 APPLIED: 09/02/2005 EXPIRES: 03/23/2006 VALUE: $ 177,100.00 I Valuation Descrintion I $ Per Sq Ft or m ultipiier $4.00 $96.00 $25.00 Square Footage or Bid Amount 1,646.00 1,646.00 500.00 Value Date Calculated $6,584.00 $158,016.00 $12,500.00 $177,100.00 09/06/2005 09/02/2005 09/02/2005 Total Value of Project Fees P,9id I Amount Paid $517.66 $10.00 $138.12 $96.68 $254.00 $31.00 $18.00 $819.15 $80.00 $6.00 $9.00 $12.00 $4.00 $150.00 $14.79 $-30.00 $106.00 $57.00 $419.54 $551.54 $10.00 $865.31 $82.03 $133.72 $65.09 $805.70 $182.69 $80.00 $1,059.44 $28.00 $50.00 $18.00 $1,000.00 Date Paid Receipt Num ber .9/2/05 9/23/05 9/23/05 9/23/05 9/23/05 9/23/05 9/23/05 9/23/05 9/23/05, 9/23/05 9/23/05 9/23/05 9/23/05 9/23/05 9/23/05 9/23/05 9/23/05 9/23/05 9/23/05 9/23/05 9/23/05 9/23/05 9/23/05 9/23/05 9/23/05 9/23/05 9/23/05 9/23/05 9/23/05 9/23105 9/23/05 9/23/05 9/23/05 . 1200500000000001299 1200500000000001392 1200500000000001392 1200500000000001392 1200500000000001392 1200500000000001392 1200500000000001392 1200500000000001392 1200500000000001392 1200500000000001392 1200500000000001392 1200500000000001392 1200500000000001392 1200500000000001392 1200500000000001392 1200500000000001392 1200500000000001392 1200500000000001392 1200500000000001392 1200500000000001392 1200500000000001392 1200500000000001392 1200500000000001392 1200500000000001392 1200500000000001392 1200500000000001392 1200500000000001392 1200500000000001392 1200500000000001392 1200500000000001392 1200500000000001392 1200500000000001392 1200500000000001392 2 of 4 ~.....--=- -- -'ITY OF SPRINGFIELD' Building/Combination Permit Status: Issued PERMIT NO: COM2005-0I208 ISSUED: 09/23/2005 APPLIED: 09/02/2005 EXPIRES: 03/23/2006 VALUE: $ 177,100,00 225 Fifth Streel, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amonnt $7,644.46 Plan Reviews I Initial Review 09/06/2005 09106/2005 APP LLH Planning Review 09/06/2005 , 09/22/2005 APP EMM Public \\'orks Review 09/06/2005 09/07/2005 APP CAS Strnctural Review 09/06/2005 09/16/2005 APP . TCM No hook-up to City Inrrastructure until Puhlic Improvements accepled by the City; Storm drainage piped to curb race 91712005 CAS Approved as noted on pians 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, Reouired Insnections I Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures arc installed. Sidewalk - Curbside: After rorms are erected but prior to pia cement of concrele. Curbcut - Standard: After forms are erected but prior to placement of concrete. Urer Electrical Ground: Install ground rod at rooting and call for inspection in conjunction with rooting andlor 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: Berore 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. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insula lion or decking. Rough Plumbing: Prior to cover 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. Underfloor Mechanical. Prior to insulation or decking and including required testing. 3 of 4 r ...-:=;- tit _ITY OF SPRINGFIELD' Building/Combination Permit Status: Issued PERMIT NO: COM2005-0I208 ISSUED: 09/23/2005 APPLIED: 09/02/2005 EXPIRES: 03/23/2006 VALUE: $ 177,100,00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Underlloor 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 Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Temporary Eiectric: 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 clectrical 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 1 further certify that any and all work performed shall be done in accordance with the Ordinances orthe City of Springfield and the Laws of the Stale 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. 1 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 addrcss is readable from the street, that the perm it card is located at the front of the property, and the approvcd set of plans will remain on thc site at all times during construction. owne~::;t:::~e ~ -'2...S-0S Date 4 of 4 CITY OF SPtltFIELD SYSTEMS QEVELOPMEN,t!IKSHEET JOURNAL OR JOB NUMBER: COM2005-01208 NAME OR COMPANY: G'!!"Y Konald LOCATION: 579 Ethan Ct TAX LOT NUMBER: 1703221206100 DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE NEW DWELLING UNITS I BUILDING SIZE (SF: 2150 LOT SIZE (SF): L STORM DRAINA(;E DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S,F, x I COST PER S,F, I I CHARGE I 3280.00 I $0.323 I = $1,059.44 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I x I COST PER S,F. 1 x I DISCOUNT RATE I 1 I 0.00 I I $0,323 I 50% 1 = I ITEM 1 TOTAL- STORM DRAINAGESDC '$1,059.44 2. SANITARY SEWER - CITY II ~ ,0 U c.:: 5332 ~ en 5 ~ DISCOUNT $0,00 $1,059.44 1070 I A. REIMBURSEMENT COST: I NUMBER OF DFU's I x COST PER DFU I 22 $25.07 $551.54 1109t B. IMPROVEMENT COST: I I NUMBE~20F DFU's I x $19.07 $419.54 11092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC =1 $971.08 I 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADTTRlPRATE I x 1 NUMBER OF UNITS I x COST PER TRIP x INEW TRIP FACTORI I 9.57 I I I $19.09 I 1.00 I $182.69 11093 B. IMPROVEMENT COST: I I ADT TRIP RATE I x 1 NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI I 9.57 I , I I $84.19 1 1.00 1 = , $805.70 11094 ITEM 3 TOTAL - TRANSPORTATION SDC = I $988.39 I 4. SANITARY SEWER - ~ A. REIMBURSEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I I I $82,03 = $82.03 11054 B. IMPROVEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I I I I $865.3 I = , $865.31 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) , $0.00 1054 MWMC ADMINISTRATIVE FEE =, $10.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =, $957.34 - SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , $3,976.25 ~. ADMINISTRATIVE FEE' I SUBTOTAL x I ADM. FEE RATE 1= $3.976.25 1 5% I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: CHARGE $198.81 133.72 11079 565.09 J 1078 , Cheryl Slaymaker 9n/2005 TOTAL SDC CHARGES =, $4,175.06 PREPARED BY DATE -- tit DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTIJRES x UNIT EQUIVALENT. DRAINAGE FIXTURE UNITS (NOTE. FOR REMODELS. CALCULATE ONLY THE NET ADDmONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EOUIV ALENT UNITS I BATHTUB 1 0 3 = 3 IDRlNKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 I INTERCEPTORS FOR GREASE! OIL ! SOLIDS! ETC. 0 0 3 = 0 I INTERCEPTORS FOR SAND! AUTO WASH I ETe. 0 0 6 = 0 I LAUNDRY TUB 1 0 2 = 2 ICLOTHESW ASHER I MOP SINK 1 D 3 = 3 ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REFRlG I WATER STATION! ETC, 0 0 1 = 0 RECEPTOR FOR COM. SINK! DISHWASHER! ETe. 0 0 3 = 0 SHOWER. SINGLE STALL 1 0 2 = 2 SHOWER. GANG (NUMBER OF HEADSl. 0 0 2 = 0 SINK: COMMERClAURESIDENTIAL KITCHEN 1 0 3 = 3 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASINIDOUBLE LAVATORY 1 0 2 = 2 SINK: SINGLE LAVATORYIRESIDENTIAL BAR 1 0 1 = 1 URINAL. STALL! WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 ,TOiLET. PRlVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 22 -EDU (Equivalent Dwel1in~ Unit) is a discharll:e equivalent to a simde family dwellinll: unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE 'r-- YEAR L ANNEXED r-- BEFORE 1979 I 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATflSl,OOO ASSESSE,Q 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 II IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGffiLE FOR ANNEX. CREDIT? (Eoter I for Yes, 2 for No) BASE YEAR 1979 2 2 CREDIT FOR LAND (IF APPLICABLE) VALUE! 1000 CREDIT RATE SO.OO x S5.29 =, SO.OO CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE 11000 CREDIT RATE $0.00 x $5.29 o TOTAL MWMC CREDIT = SO.OO B9/BG/2BB5 13:B5 CITY OF SPRINGFIELD ~~0~6'P'AGE B1 "," ,.. .~06 c.\,\\V , ~0 \0~ I 125 FIFTH STREET' SPRINGFIELD, OR 97477 . P8:(541)726-3753 . ~.~~(~'t16-3689 ELECTRICAL PERMIT APPLICA110N ,. ,..' \<'~ City Joh Number r, t::. ~ 0 \'20 ~ ' ,-' Datd-o<' - .------ ./ ,..\V'- '.,~:":-';;.:::-:~:-:-~~~~-l'::"-"~ii;',,,,,~,.~~::'.-:"~'''<!'''~;-:J-:';;;';. .~......,.~(.;:~~~...:;:.O!:"(.~ ", .._.# ~'"":I'~~.:-.\..:.~.~~. - ~1f-::;'7"7ii,:'~~~=....:.:-;~.. I. ~:l;OQll'1JONOF.".,,,,TAl;l.A:r-lQN;',-,,: ,"C':".c . 3. "COM'PiJrTEl'.EESClIEDU=.BAL'fJ. ";,,.,'~.,~~r','::ij;( '',;"c.'' ""~r)C:X"~ G~ ,~-._'"'''' "'}, ..c, >", . < "... "'''' ",,",., ,~-, ',"" '''.~::..,. ..,,,, "...' """',,,_,,,,"l, "'. ,0"',........,...",,, LEGALDE~!LON ,",..."..., \()()-;z,"~l.n. D\9\U-' ~q~. "~tf~ Permits .~non-lnln'f~Pire if..ork i. no' started within 180 dlYs ori..uln.e or if work i. Suspended for 180 days. 1. ~~~~,~i{{~1!~~ .ElectrioalContractor ~\"IY\e,.y~ 'E.\ed-. Address ~ 1. 9~ h '< 0 It) I~ ~J0v...f2 .- - . City -1.( {-I ("'if l>?,o.d~one reI ~ 6r?-2- Supervi.or License Number ,1q ( /-, T> Ellpiration Dale J 7'J -'" f - 0 f... Constr. Contr. Number ~9 95 ~ f...., Expiration Date 3> - 2- ~ - 0 b J::O~S~/?l~/ tj r . Owners Name (;1\ \ lJ. 'l (')(\DlA... Address n\~(:'~Q~I\n."5' City n~ Phone ."tN2..~~ OWNER INSTALLATION The insllllllion i. being mad. on property 1 own which is not inlCllded for saie, lease or rent, Owners Signature: Inspection Requl!Jt: 726-3769 .7'.......:.~:;:... .:'.,~':...~.:"p '-~'\:~...~~.r....::'.~.,......,.,' ,-,.", -, ..' ....~.~.f": I'r.:" )';>')'I'-''''::~ ~\:.....~.~" A. "'~Rfl\deiitl.l","'SiiiiileiM'M,;lil,'F':-mnYi:iie,,'dWclli,;'."oJiit:,~:"f." '1.":'":"~:;_"'~,rv~~":~~:';':.~'ot':.,::':... ::'0:': ~".:y ''':'''~::'.'.~' .~:.: .;;~.~..;.:":'~h.~.,. ....,......:.rJ Service Ineludad 1000 "'I. ft. or I..s Eaeh additional 500 $<I, ft, or portion thereof S I 06.00 \~p' J~tl ~ , ~ $ 19,00 Each Manufacl"d Home or Modul", Dwclling Service or Feeder $50,00 ~:?,:":-:-:~"''-''R''''-''''-'''''''i<''~~' - "~'~'~> -.-.-,' ."'...._.>A.I..,....,..,..,.,,.,~"'.~. =~. :o;:,!"... .,...,-_t;~..-~'''' .--........... . -.~.. J""....... ~..d..~,....~......,.......) " .. B. l;'~...l"""'''r:........r:s''''' ,," la"lilio' A4ler..."".iOr"..Rel'''.liO ",'. }"'': ~.;..~ .,..k..,.s:';",...'\tN~x..="...... ....:l.':>"'...Nilo......;~'t~.'~..~1':"....'"'..,.l;,.___ ;i!IO'C::"....~......,' . ."~' ~..,....._...,... ..~. ~......._. ...........".......~;...._....."o;.;.ilif~.........~...,:...~ 200 Amp!ii or less 20 I Amp. to 400 Amps 40 I Amps to 600 Amps 601 Amps 10 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 63:00 5 75.00 5125.00 $163.00 $375,00 S 50,00 C !,;f,'''''''~~S.n.i&WiiEli~"W,',~;;;ti'?i1'~1lf~~'~'<lo'b':':h . ........~"'".........~.I,,:,~'~~.~~~::-o...otJ~::;~~p.~.t...::'(.\~o'!!;..;;jo'~.~...~t'E."t.;~ N OlltQSlion, Alteration or Relocation TH~~t18HAlL EXPIRE IF TI1E WSlWOO ~~ AlHlM~~ THIS PERMiTlS ~69Too - . Ccml\\~W<t9PM$'ABANDON~D FOJ:\$loo.oo ~~N~~~~~~;~$~,"~f-1't~., l. tll!i1I~~If{t\'!.f~.liflk_"'~~''':l~'''. '.'~~'I<"!:ll: New Alteratiou or Extension Per Panel One Circuil $ 43.00 Each Additional Circuit or with Servicc or F<eder Permit S 3,00 ~',"" .,.~..._....'''''-'''''''_''"I.-:::~' ...... .... II'. E. ;)\.m~i.#~~(S~'i~i!~~~lnBii'li:"""'~<a;iil"";jjlill'iini ...~...~,:!.:......;:.,........~,.t.,.'-l<'~"':.'.r'"1lo'1t;...:=\..'1"':'-"'_.~.~~.....~~.1'\~_-::.;.;:.ir!'::;..:1 ~mff im~~~on 550,00 t1i,gnlOUhlr. L;.Qm1810n law reouir,,~ ".,tJ "".00 OPOI.'" ~I.IQC:: a(S~nlr..-f ' . tCt N Lim,Ie<!'EnergylRes ijcnliliJ' the Oreoon I ISI~5.oo OTlflCflll"r1 r.An~"r Thu .. , T in 6'~Teo';;'~I<':Omnlercl.l~ rules are SAtS~S!~O A ~52-0ul-00l n thro""h..f)~ '"'_'l"^ n~ ' M"~~~e~~~~f:!1.~P'ID~!~~.f~~~ Fc'.!i':HS.OO.+:Sur.hargcs 4 'r",;~~"';j:;;;;'.~6v.i""1",~~Jo/k~ ~\~ "",") . ...-::JUD~_'l'~~.uw': ' . J ~ '1-~n:l-ln,;;{h~-h.l lJ'.o' ri~~~~::~~;~~~r;{~ciHtj'iil1~Y'Noii~~~~' \ "n \ -':;(;".v'," 1-800.332-2344) .-. 10% Admini!lll'1lliv. Fee . "1.,1. ()() TOTAL ,Mq~ S~ Dri~:)I8uilding FormsIEIcctrical Pelrmh Application I-<lJ.doc 225 'Fiftl1 Street .... . .;' Springfield, Oregon 97477 541-726-3759 Phone -~ Wi:. ~f Springfield O'llial Receipt .opment Sen'i~s-Departmcnt Public Works Department RECEIPT #: 1200500000000001392 Date: 09/23/2005 1:31:3IPM Job/Journal Number Description Amount Due COM2005-0 1208 Sidewalk Permit 80,00 COM2005-0 1208 Curbcut Permit ' 80.00 COM2005-0 1208 PW Disc - 2nd Permit (Street) (30,00) COM2005-0 1208 Storm Drainage Impervious Area 1,059.44 COM2005-0 1208 Sanitary Sewer - Reimbursement . 551.54 COM2005-0 1208 Sanitary Sewer - Improvement 419.54 COM2005-0 1208 SDC Transpo Reimbursement 182.69 COM2005-0 1208 SDC Transpo Improvement 805.70 COM2005-01208 SDC MWMC Reimbursement 82.03 COM2005-0 1208 SDC MWMC Improvement 865,31 COM2005-0 1208 SDC MWMC Administration 10,00 COM2005-0 1208 SDC Sanitary/Storm Admin 133,72 COM2005-0 1208 SDC Transpo Admin 65.09 COM2005-0 1208 Plan Review Residential 14.79 COM2005-0 1208 Building Permit 819,15 COM2005-0 1208 Addressing Assignment 31.00 COM2005-0 1208 Willamalane Single Family 1,000.00 COM2005-0 1208 2 Baths One or Two Family 254.00 COM2005-0 1208 Storm Sewer Each Addtl 100' 28,00 COM2005-0 1208 Furnace - up to 100,000 btu 12,00 COM2005-0 1208 Vent Fan 18.00 COM2005.0 1208 Exhaust Hoods 9.00 COM2005-0 1208 Dryer Vent 6.00. COM2005-0 1208 Gas Outlets 1-4 4,00 COM2005-0 1208 Appliance Not Listed 18.00 COM2005-0 1208 -Mechanical Issuance Fee-- 10,00 COM2005-0 1208 Temp Power 200 amps or less 50,00 COM2005.0 1208 Plan Review Major. Planning 150.00 COM2005-0 1208 Residence Wiring 1000 Sq Ft 106,00 COM2005-0 1208 Residence Wiring Ea Addtl 5.00 57.00 COM2005-0 1208 + 7% State Surcharge 96.68 COM2005-0 1208 + 10% Administrative Fee 138,12 Item Totai: $7,126.80 Payments: t...:heck Number AuthorilJltlon Tll,e of Payment Paid By Receind By Batch Num ber Number How Received Amount Paid CreditCard GARY KONOLD djb 266960 In Person $7,126,80 Payment Total: $7,126.80 9/23/2005 : 1 of I