HomeMy WebLinkAboutPermit Building 2006-4-4
Status Issued
~~. 225 Fifth Street, Springfield, OR
~ 541-726-3753 Phone
.1 541-726-3676 Fax
..
,[,541-726-3769 Inspection Line
.,
jj.-
'r
-.
.& CITY VI' ~nUl~uH.~LD .
..
Building/Combination Permit
PERMIT NO: COM2006-00119
ISSUED: 04/04/2006
APPLIED: 02/01/2006
EXPIRES: 10/04/2006
VALUE: $ 187,770,00
. ""\- ~/()ll HJ
Springfield TYPEPF,r,WORK:'Single\Family Residence
ATTENTION', O~::;'~ ~~ the Oregon~~1I1~~th
'ollow rule~ adTYPE,OFtYS_E:S aNew,t 00' Residential
, . C nter, I"U~' R 952- ,-
PROJECT DESCRIPTION: Single Family Residence Nolilicatlo;_0~1_0010 through ~\he rules by
,.. ("\l>R 95 ,_ ..~n'PS 0
r.MO You 111ay VU'-' (Note' thph818IJrt' '~b 541 520 1620
MIKE GANSEN CONSTRUCTION COMPANY '. the center. '.. N'b~f,\"Mm., ~r: --
362 HWY 99N STE 2 calling Oregon UtilitY
EUGENE OR 97402 number lor the 1_800-332-2344),
rnntpr \5
SITE ADDRESS: 563 Ethan Ct
ASSESSOR'S PARCEL NO.: 1703221206200
.. Owner:
,
)) Address:
;1
" fContractor Type
... General
:l, Electrical
,t'M h . I
i 1,# ec ames
:i Plumbing
, CONTRACTOR INFORMATION I
Contractor License
MIKE GANSEN CONSTRUCTION COMPAN 92159
MAG ELECTRIC INC 149834
COMFORT FLOW 460
HOME COMFORT HEATING & AIR INC 84164
BillLDING INFORMATION I
# or Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
:' Secondary Construction Type:
:1 # of Bedrooms:
:1
,
,;1'
) Frontyard Setback:
oJ
,\ Side I Setback:
:'. Side 2 Setback:
'it'
,;, Rearyard Setback:
'r- Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
18,00
5.00
5.00
12,00
0,00
Expiration Date
06/14/2009
12113/2009
06127/2007
0612512007
Phone
541-463-1000
541-461-0387
541-726-0100
541-345-2838
I
R-3
# of Stories: I Lot Size:
Height of Structure 23.00 Sq Ft I st Floor:
Type of Heat: Forced Air Gas Sq Ft 2nd Floor:
Water Type: Gas Sq Ft Basement:
Range Type: Electric Sq Ft Garage/Carport
Energy Path: Path )'\-\E '~ii)i"t\Uther:
~S8rt~RJ~1I Buildinl(l.L E'i.\J\R\i/~\" .\\"t \~c,,,.want Load:
" _....,.4\1' c:.\-\p.. ",.. ncp.\IJ\ \
I DEVELOPI\~;':~IU'FO'RMAfioNr,)I'IEO \"\Jt\
~OMlv\EI'IC\:U un ~\OD,
OVfflaY\Jl.is'i':~Y \JE
# ~treet Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
.,
5,313
1,758
VB
528
2
2
Yes
42.80
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
DownspoutslDrains:
Fully Improved
Yes
Curbside 5'
Curb and Gutter
:i Notes: Storm drainage piped to curb face: curbcut fee added to building permit still need to fill out rorm 2/8/2006 CAS
:1
'r>
"
.. Pa!!e I or 4
,\
'I
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.,
Description
Tvpe of Construction
V Wood Frame
Garaee
I
"
Dwellines
Garaee
.,:;
."1
:~
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
, + 8% State Surcharge
2 Baths One or Two Family
Addressing Assignment
Building Permit
Curbcut Permit
:, Dryer Vent
-;" Exhaust Hoods
~ Furnace - up to 100,000 btu
~ Gas Fireplace
.: Gas Outlets 1-4
.'1:\
,. Heat Pump
Plan Review Major - Planning
PW Disc - 2nd Permit (Street)
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
: Storm Drainage Impervious Area
, , Temp Power 200 amps or less
t Vent Fan
" Willamalane Single Family
Total Amount Paid
.
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$99.00
$26.00
Square Footage
or Bid Amount
1,758.00
528.00
Total Value of Project
Fpp<. V"W
Amount Paid
$553,57
$10.00
$140.07
$112.05
$254.00
$31.00
$851.65
$80.00
$6,00
$9,00
$12,00
$15.00
$4.00
$12.00
$150.00
$-30,00
$106,00
$57,00
$381.40
$501.40
$10.00
$865.31
$82.03
$129.34
$65.51
$805.70
$182.69
$80.00
$1,068.48
$50.00
$24.00
$1,000.00
$7,619.20
Date Paid
2/1/06
414/06
4/4/06
4/4/06
4/4/06
4/4/06
4/4/06
4/4/06
4/4/06
4/4/06
4/4/06
4/4/06
4/4/06
4/4/06
4/4/06
4/4/06
4/4/06
4/4/06
4/4/06
4/4/06
4/4/06
4/4/06
4/4/06
4/4/06
4/4/06
4/4/06
4/4/06
4/4/06
4/4/06
4/4/06
4/4/06
4/4/06
Paee 2 or 4
.. CITY OF SPRINGFIELD"
Building/Combination Permit:
PERMIT NO: COM2006-00119
ISSUED: 04/04/2006
APPLIED: 02/0112006
EXPIRES: 10/04/2006
VALUE: $ 187,770.00
Value
Date Calculated
$174,042.00
$13,728.00
$187,770.00
02/01/2006
02/0112006
Receipt Number
2200600000000000155
1200600000000000403
1200600000000000403
1200600000000000403
1200600000000000403
1200600000000000403
1200600000000000403
1200600000000000403
1200600000000000403
1200600000000000403
1200600000000000403
1200600000000000403
1200600000000000403
1200600000000000403
1200600000000000403
1200600000000000403
1200600000000000403
1200600000000000403
1200600000000000403
1200600000000000403
1200600000000000403
1200600000000000403
1200600000000000403
1200600000000000403
1200600000000000403,
1200600000000000403
1200600000000000403
1200600000000000403
1200600000000000403
1200600000000000403
1200600000000000403
1200600000000000403
.
. CITY OF >srK11~\j1flti;LD
Building/Combination Permit
PERMIT NO: COM2006-00119
ISSUED: 04/04/2006
APPLIED: 02/01/2006
EXPIRES: 10/04/2006
VALUE: $ 187,770.00
. Status
Issued
'. 225 Fifth Street, Springfield, OR
:. 541-726-3753 Phone
. 541-726-3676 Fax
)41-726-3769 Inspection Line
Initial Review
Plan nine Review
I Plan Reviews I
02106/2006 02106/2006 APP SKG
02106/2006 02124/2006 APP TAJ Needs survey because or minimum
setbacks
02106/2006 02108/2006 APP CAS Storm drainage piped to curb race:
curbcut and sidewalk permit ree
added to building permit still need
to fill out permit 2/812006 CAS
02106/2006 02127/2006 OK RJB
Public Works Review
Structural Review
. 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.
~
UeotliredJnsne~tions I
Erosion/Grading Inspection: Prior to ground disturbance and arter erosion measures are installed,
Curbcut - Standard: After forms are erected but prior to placement of concrete.
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.
Sidewalk - Curbside: After rorms are erected but prior to placement of concrete,
Urer Electrical Ground: Install ground rod at footing and call for Inspection in conjunction with footing and/or
foundation inspection,
Footing: After trencbes 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.
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.
Underfioor Plumbing: Prior to insulation or decking,
Paee 3 or 4
.
. CITY OF SPRINGFIELD. .
Building/Combination Permit
PERMIT NO: COM2006-00119
ISSUED: 04/04/2006
APPLIED: 02/0112006
EXPIRES: 10/04/2006
VALUE: $ 187,770,00
Status
Issued
225 Firth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
, 541-726-3769 Inspection Line
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,
UnderOoor Mechanical. Prior to insulation or decking and including required testing.
UnderOoor Gas: After line is installed and required testing and capped ir 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 Mechanical: When all mechanical work is complete.
By signature, I state and agree, that I have carerully examined the completed application and do hereby certiry that all
information hereon Is true and correct, and I further certify that any and all work perrormed shall be done In accordance with'
the Ordinances or the City of Springfield and the Laws or the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made ofany structure without permission of the Community Services Division, Building Sarety,
I rurther certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
: I rurther agree to ensure that all required inspections are requested at the proper time, that each address Is readable rrom the
, - street, that the permit card is located at the front of the property, and the approved set or plans will remain on the site at all
""'times during construction.
~C---~S-) r ~/ ~-ij~()(O,
Ow;;;:-Or l.:ontracto;s Signature /' p--- Date
.:.
"
Paee 4 of 4
.^~'.' ..
,~V" .) .
"
\'<...~(
. ... . ~v'O~r
~0rj A
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (54U.t.e~~0 r*'.;',~'
ELECTRICALPERMITAPPUCATION. 0\O\\O..~O,.l.
A.L$ "~"~Il'" ~
City Job Number r~h-Cbll'i Date rr: '1-0~~<o."'1-0~\"
I '09 ,e.
3, 1,'CPMf.LEtE.FEESCIJ~~i.ow. .,,..
\) ~\J,.lQ""
.,..}\\\O
1. P:;o.9At.tONOFlNStA.L!ATlQN".i..'
c;-'" ') c; t-L..... c."..,-
LEGAL DESCRIPTION
-----L=1-o11.2..1 'Z.. rJt"Q,-.....
JOB DESCRIPTION
~~/t.. ~,,)Iw ~f,.lle,At!J7~ av-J f"~-;u~
.. I f
Permits are non-transrerable and expire If work is
not st~rted within 180 days of Issuance or irwork is
Suspeuded ror 180 days,
2. ~C;~:iN,TiiA.97:gRny,Si:44p9NOftit j
Electrical Contractor fJLJtJV.aL/Iy//l/d~
Address cf6J5tJ. ~ LA ~ 6
City _~AJI./
Phone /fIPfd3I?1
Supervisor License Number "-I7V.;zS
Expiration Date /1).-- 1-01
Constr. Contr, Number I VI gy:!
Expiration Date /,;} -/.rtJ~
;:;:f~)E1.~
OwnersName &A.lA ,eN CGo.c;.k..
Ad~ "3b'Z.. I-IlI<IY '";.y IV'
City e-u. ~~ Phon~ S~. /61O
OWNER INSTAL~
I~n Request: 726-3769
A. 1':~e~lJ.l.esjde6ti...I,;!~i;;gle.~j..l\1ulti-faD!i1y per d.velii~g uni!.]
Service Included
1000 sq, ft. or less
Each additional 500 sq. ft. or
portion thereor
Each Manuract'd Home or
Modular Dwelling Service or
Feeder
/
3
$ 19.00
~,+, CO
S106.00
JOc",OD
$50.00
B. I:,$e.~~~~~'o-i',fee~r~~s -: [lJ~t;aJI~ti~,~_~".~~~~~a.(LoR~~~'Reloc*tio~:' '-I
ATTEN IIUI~: urt\ju" ,un '--,-".. , .',
b h 0 "on' ,'.1,'"
2001b-mp.s:'1I"Jess adopted Y t ere,., $'N,oqh
20I'AmnHo~400:'Am.p.s'. Those rUles are ff75:00
.....,... r.: ".. ::),",'J 11111
4Q11'\.nlJiS toc600),xmps')1 0 througn Ut-In $125,00-
" [Illes Oy
601lW'mps'iolI0001Aii\~~aln cop,es ur u:t $163.00
O '100"0' 'A' 'h:n','(ler. (Note." Ie '~'~P$"3u7'5'''00
ver mp'"'vots U ".. "'T .
. Reconneci:0nII,Dr the Oregon ""'" .~:' '$~o~6'ci
Center is 1-800-33<<-<<"""1'
c. ~:Te.~pb'ri1ry~.'SerVic~o';:Fe-~ders.'.' , . ,,\" ~
Installation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
$ 50,00
$ 69.00
$100.00
w,oo
Over 600 Amps or 1000 Volts see "B" above.
D. 1,',ilra'n~Il:~i~cujts'. ')~-".-
....
'I
New Alteration or Extension Per Panel
NCQile:c&cuit ~ F _..~ '''A~,,43.00
THEach~dditiiin-aHnircui'il;P~tIi I 1111." v
S~~C~I(;~:F"ed~~,perrnitHIS PERMIT IS Nf$hoo
AU lt1Ut'\ Leu U_I~U.~'.'" HI "Ie I=n~
G" "H~' ""I un'" r"J"ror.D~~,~\' , ' . 'I
E,J Miscellaneous .(S~!"i'\i~~/feeder not inc!uded),","E~~h Installation i
AN ,"-
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50,00
Limited EnergylResidential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
~". ". ',.. '," '.
4'I;S~tqTA:i'qF.ABgVE
B% State Surcharge
10% Administrative Fee
. .1 21>.00
1"1-,01/
, "1./,'30
!' :2-)"/. '3't-
TOTAL
Shared Drive(T:)lBuilding FormslElectrical Pcnnit Application I.03.doc
CITY OF SINGFIELD SYSTEMS DEVELOPMEN&RKSHEET
-----
"-..
JOURNAL OR JOB NUMBER: COM2006-00119
NAME OR COMPANY: Gansen Construction
LOCATION: 563 Ethan Ct
TAX LOT NUMBER: 1703221206200
DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE
NEW DWELLING UNiTS I BUILDING SIZE (SF: 2502 LOT SIZE (SF):
I. STORM DRAINAG~
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S,F, x I COST PER S.F. I I CHARGE I
I 3308.00 I $0,323 I = $1,068.48
RUNOFF ROUTED TO DRY WELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I I
I 0,00 I I $0.323 I 50% = I
ITEM I TOTAL. STORM DRAINAGE SDC $1,068.48 I
DISCOUNT
$0.00
2. SANITARY SEWER. CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x
I 20 I
B. iMPROVEMENT COST:
I NUMBER OF DFU's I x
I 20 I
COST PER DFU
$25.07
$19.07
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
= ,
$882.80
3 TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE I x
I 957 I
I NUMBER 10F UNITS I
x I COST PER TRIP x INEW TRIP FACTOR I
$19.09 I 1.00
x I COST PER TRIP x INEWTRIPFACTORI
$84.19 I 1.00
= , $988.39
B. IMPROVEMENT COST:
I ADT TRIP RATE I x I NUMBER,OF UNITS I
I 9.57
ITEM 3 TOTAL- TRANSPORTATION SDC
5332
$1,068.48
$501.40
SJ81.40
$182.69
$805.70
:1i1.lJ .
10
,0
u
~
I.IJ
I-
Of ~
o
I.IJ
~
1070
1091
t092
11093
1094
I
I
4 SANITARY SFWFR. - '\1WMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x
I I I
B. IMPROVEMENT COST:
INUMBER OF FEU's I x
I I I
ICOST PER FEU
I $82.03
ICOST PER FEU
I $865.31
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I
SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ ,
5. ADMINtSTRATIVE FEE.
$957.34
$3,897.0 I
ISUBTOTAL x I ADM. FEE RATE 1=
$3.897.0 I , I 5% I
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
CHARGE
$194.85
Cheryl Slaymaker
2/8/2006
TOTAL SDC CHARGES
PREPARED BY
DATE
=
$82.03
=
$865.31
$0.00
$10.00
129.34
$65.51
=, $4,091,86
I 1054
'1
1055
1054
1056
1079
11078
..,
" ,
.
.
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT .. DRAINAGE FIXTURE UNITS
(NOTE. FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
I BATHTUB 1 0 3 3
IDRINKING FOUNTAIN 0 0 1 = 0
IFLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE / OIL I SOLIDS / ETe. 0 0 3 = 0
IINTERCEPTORS FOR SAND / AUTO WASH I ETC, 0 0 6 = 0
I LAUNDRY TUB 0 0 2 = 0
ICLOTHESWASHER I MOP SINK 1 0 3 = 3
ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
I RECEPTOR FOR REFRIG / WATER STATION I ETC. 0 0 1 = 0
I RECEPTOR FOR COM. SINK I DISHWASHER / ETe. 0 0 3 = 0
ISHOWER. SINGLE STALL 1 0 2 = 2
I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
WINK: COMMERCiAURESIDENTIAL KITCHEN 1 0 3 = 3
SINK: COMMERCiAL BAR 0 0 2 = 0
ISINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 3 0 1 = 3
IURINAL, STALL I WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET. PRIVATE INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 20
.EDU (Equivalent Dwelling Unit) is a discharge equivalent 10 8 single family dwelling unit (20 DFlYs) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
I
I
I
I
I
~
I
I
I
I
I
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$I,OOOlr--
ASSE~SED V ALU~ IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2
: $5,29' (Enter 1 for Yes, 2 for No)
$5.29 IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT? 2
$5,19 (Enter I for Yes, 2 for No)
$5.12 BASE YEAR 1979
$4.98
$4,80 CREDIT FOR LAND (IF APPLICABLE)
$4.63 VALUE I 1000 CREDIT RATE
$4M ~oo x ~~ -, ~OO
$4.07
$3.67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
$3.22 VALUE I 1000 CREDIT RATE
$2.73 $0.00 x $5.29 - , 0
$2.25
$1.80
$1.59 TOTAL MWMC CREDIT = $0,00
$1.45
$1.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$(),05____
225. Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
8Pin14'~""".J'1.~ ----. .....
Wt. ,
. ,
. .
-, ".'" ,:
, ,
.... "
~." -""'~ .,,-
~ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
.,
, :J~b/Journai Number
CpM2006-00 119
COM2006.00119
"
COM2006-00119
,W
CpM2006-00 119
COM2006-00119
COM2006.00119
COM2006-00119
COM2006-00119
COM2006-00 119
COM2006-00 119
COM2006-00119
CbM2006-00119
CbM2006-00119
COM2006-00119
COM2006-00119
COM2006-00119
, d&M2006.00 119
CbM2006.00119
CbM2006-00119
d~M2006-00119
COM2006-00119
COM2006-00119
COM2006-00119
COM2006-00119
COM2006-00 119
COM2006-00119
COM2006-00 119
C;OM2006-00 119
CbM2006-00119
CPM2006-00119
COM2006-00119
RECEIPT #:
1200600000000000403
Date: 04/04/2006
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Sidewalk Pennit
Curbcut Pennit
PW Disc. 2nd Pennit (Street)
Stonn 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 SanitarylStonn Admin
SDC Transpo Admin
Plan Review Major - Planning
Building Pennit
2 Baths One or Two Family
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Gas Fireplace
Heat Pump
-Mechanical Issuance Fee-
+ 8% State Surcharge
+ 10% Administrative Fee
, p~ments:
, ,
T pe or Payment Paid By
qreck GANSEN CONSTRUCTIN
;6
:F
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk 7745 In Person
Payment Total:
~I
:1
\.,
'i ,~\
'I'
:,.
.
"
\
:(~
4/4/2006
Page I or I
12:49:35PM
Amount Due"
31.00 '
1,000,00
106,00
57.00
50.00
80,00,
80,00
(30.00)
1,068.48
501.40
381.40
182,69
805,70
82,03.
865,31 I
1O.0l). ,
129.34':
65.51
150.00
851.65
254,00
12.00
24,00 '
9.00
6.00
4.00
15.00
12.00
10.00
112.05
140.07' :
$7,065.63 :
-
Amount PaId "
$7,065,63
$7,065,63