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Home My WebLink AboutPermit Building 2005-7-14 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2005-00784 ISSUED: 07/14/2005 APPLIED: 06/22/2005 EXPIRES: 0111412006 VALUE: $ 241,707.00 '. ~i Status: Issued .1, ,I 225 Fifth Street, Springfield, OR : 541-726-3753 Phone . 541-726-3676 Fax :;' 541-726-3769 Inspection Line ,. SITE ADDRESS: S44 Ethan Ct ASSESSOR'S PARCEL NO.: 1703221207100 Springfieid TYPE OF Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence - Breanne Commons Sub lot 13 18.00 Overlay Dist:_ " 6.80 # Street Trees 2 5.00 Paved Drive Rqd: Yes 17.40 AJTEwtfO%!6~goO'~'fa~:requ'res you~ 70 32.50 " fnllnw n ,I.... AtlnntAJ;! bv the Dreaan Utilii'( N9PU8l!.ro IMPRO\lFJMl!1N'l'St- are set fortn . In lom. , w.J~.."_ , .~e. ~ .1, ". .!"t !JAR 952'()01- Fullv 006ibv~u mayobtilln copies of the~!Y< Type: caliYl!!! the center. (Note: the tele!li1MlllpoutslDrains number for the Oregon Utility Notification Center Is 1-800-332-2344). No hook-up to City Infrastructure until Public Improvements accepted by the City; Storm drainage piped to curb face 612312005 CAS Owner: SCOTT JORDAN Address: 3520 CELESTE WAY EUGENE OR 97408 " I CONTRACTOR INFORMATION I Contractor License JORDAN & JORDAN CONSTRUCTION LLC 155313 EVERYDAY ELECTRICAL SERVICE 136371 COMFORT FLOW 460 GPC ENTERPRISES INC 136043 I BUILDING INFORMATIONI ~ :' Contractor Type .. General :. Electrical Y Meehanieai , , Plumbmg # of Units: 1 # of Stories: 2 Primary Occupancy Group: R-3 Height of 27.00 Secondary Occupancy U Type of Heat: Forced Air Gas P"rimary Construction Type \'t Oil CYN \";.,,^~~\'fYiJe:illt V'JUl"\t\ Gas ; Secondary Construction lH\S PERM\1 SHl\l'~a,~gf;)'fye~;M\1 IS NOl Gas i # of Bedrooms: lHOn1Z\:D \JND\:r.E~If,rp,:,~l'J~i:D rDR Path 1 I\\J ,,~"CtD OR ISprinkIed nla ('n~^IV":" __.M' I\N'< "\80 Ui.Di~~;:'~nn""',u mJ<ORMATION I i .~ ( ~l Front yard Setback: , Side 1 Setback: ~ Side 2 Setback: ;! Rearyard Sethack: Solar Sethacks: Subdivision Not Accepted Street Storm Sewer Available: Special Instruction: Notes: ,} ~ i , 1 of 4 :; Residentiai Phone Number: 541-688-3998 Phone Number: 541-221-3409 Expiration Date 0413012007 0811212005 06/2712007 01/2912007 Phone 541-688-3998 541-607-6908 541-726-0100 541-345-1931 Lot Size: Sq Ft 1st Fioor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 5,153 1,546 725 400 271 REQUIRED PARKING 1rotal: 2 Handicapped: Compact: Curbside 5' Curb and Gutter (~ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2005-00784 ISSUED: 07/14/2005 APPLIED: 06/22/2005 EXPIRES: 0111412006 VALUE: $ 241,707.00 ........... '.' Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion I ~.. D .. r{t r) eSCrIPtlOD A.C. - Residen Deck/Balconv ;\ i' Dwellines Garaee $ Per Sq Ft or multip6er $4.00 $17.00 $96.00 $25.00 Square Footage or Bid Amount 2,271.00 271.00 2,271,00 400.00 Type of Construction AC - Residential Deck V Wood Frame Garaee Total Value of Project Fp.p.s PaitU Fee Description Amount Paid Date Paid . Plan Review Residential $640.18 6/22/05 -Mechanical Issuance Fee- $10.00 7/14/05 + 10% Administrative Fee $168.12 7/14/05 + 7% State Surcharge $117.68 7/14/05 3 Baths One & Two Family $306.00 7/14/05 , Addressing Assignment $31.00 7/14/05 '-, ~i Appliance Not Listed $18.00 7/14/05 Building Permit $1,027.15 7/14/05 Copies - Ea Addtl @ 50 Cnts Ea $8.50 7/14/05 k Copy 6th @ 75 cents $0.75 7/14/05 ., r. Curbcut Permit $80.00 7/14/05 Dryer Vent $6.00 7/14/05 Exhaust Hoods $9.00 7/14/05 Furnace - up to. 100,000 btu $12.00 7/14/05 . Gas Firepiace $15.00 7/14/05 Gas Outlets 1-4 $4.00 7/14/05 Plan Review Major - Planning $103.00 .7/14/05 Plan Review Residential $27.47 7/14/05 PW Disc - 2nd Permit (Street) $-30.00 7/14/05 Residence Wiring 1000 Sq Ft $106.00 7/14/05 Residence Wiring Ea AddU 500 $76.00 7/14/05 Sanitary Sewer -Improvement $493.56 7/14/05 t, Sanitary Sewer - Reimbursement $649.08 7/14/05 '>1' i- SDC MWMC Administration $10.00 7/14/05 " SDC MWMC Improvement $865.31 7/14/05 SDC MWMC Reimbursement . $82.03 7/14/05 . SDC SanitarylStorm Admin $133.72 7/14/05 r~ SDC Transpo Admin $62.65 7/14/05 , , ) SDC Transpo Improvement $772.49 7/14/05 SDC Transpo Reimbursement $175.13 7/14/05 Sidewalk Permit $80.00 7/14/05 Storm Drainage Impervious Area $879.78 7/14/05 Storm Sewer Each Addtll00' $28.00 7/14/05 2 of 4 Value Date Calculated $9,084.00 $4,607.00 $218,016.00 $10,000.00 $241,707.00 07/07/2005 07/07/2005 06/22/2005 06/22/2005 Receipt Number 2200500000000000811 1200500000000000999 1200500000000000999 1200500000000000999 1200500000000000999 1200500000000000999 1200500000000000999 1200500000000000999 1200500000000000999 1200500000000000999 1200500000000000999 1200500000000000999 1200500000000000999 1200500000000000999 1200500000000000999 1200500000000000999 1200500000000000999 1200500000000000999 1200500000000000999 1200500000000000999 1200500000000000999 1200500000000000999 1200500000000000999 1200500000000000999 1200500000000000999 1200500000000000999 1200500000000000999 1200500000000000999 1200500000000000999 1200500000000000999 1200500000000000999 1200500000000000999 1200500000000000999 -'-I ,iF . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2005-00784 ISSUED: 07/1412005 APPLIED: 06/22/2005 EXPIRES: 0111412006 VALUE: $ 241,707.00 ~ ,. . Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Underfloor 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 trencb. Final Plumbing: When all plumbing work is complete. 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 Meebanical: Prior to Cover Final Gas: When all gas work Is complete. Final Mechanical: When all mechanical work is complete. 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. 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 ofthe 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 ail 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 wiD remain on the site at al~ring cons ctlon. 7#~ j,~' / Owner or Contractors Signature Date 4 of 4 3. .,;,";:,.)':1(:>'''-,.J.ClrY.O .~ 'uNGFi:iillb".ollliGbN :/;-.',.-,\;'~.::"I . ~~. . ;.j ,~:.~ t~:~~;f'Y.~' ',.:l: ',. t f~ ~:-.r"i: . to 't " r',":"~,,4' ~p:?;. !. ~,' .~ <\. '~l.l:~ ~:;.; A J~ l'~.~" , ,. 225 FIITH STREET -SPRINGFIELD, OR 97477 - PH:(541)726-3753 - F~~~~4~~26-3689 ELECI1UCAL PERMIT~CATION -..0" n'o"" 1-0~\"~ ^~ ~ . City Job Number : l":""" . . fJiL""'~~~'......._.,--...."'.'1'~f""''''l!;..':'::-''-'-i'' ."' . ,..'""; ,. ,-.:-" .....Tl~;.t~ 1. l'LOCATIONOF:1NSTALLATION /""'-'~'~ 6."rlt_:.~-, _'~....:,yj... "'"I:U),1'~.....:~ _,',., ...~.""t.4,,~:..~'C;~~'-~~:";.8,. <;;/t'f ~ I-I-aA [.,7 LEGAL DESCRIPTION J5fC4A~ to,.,.,..w>!:5. StJ!. toI- /3 . JOB DESCRIPTION ~ k),t_ ~....) '? I?:.~/~A<<--- Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. !lC~cicfR:iNST$."i:1if6'N'ONLY:~ 2. kli:1~~~~~~"+'~"":'~?i~~~~ Eleetricai contracior8Jerf/hy fl-.?J se(\);~ 1M.. AddresJ(r,BrJ2 h~fJ-1 Di'/I'SiON /JJe City EG~J"Jl ?7'10~_ Phone bo1-f96g '-/ f,o~ .<)" lo/do1 I J Constr. Contr. Number /3' /"5'7/ <i?/iJ/J-Do f) i J Signature of Supervising Electrician Supervisor License Number Expiration Date Expiration Date ~~L.' I Owners Name ~(\ +, ~\da.nl Address ~SruJ (\ol.oc;.-\e(""-'O~ City ~p.a.. Phone~' ~ OWNER INST ALLA nON The installation is being made on property I own which . is not intended for sale, lease or rent. Owners Signature: I I ! ! I Inspection Request: 726-3769 J.....,. ," 1- .:'" .!,:i~ji~: ::I~1j;::\"f'';:\~:'A,~'-1~';:;-~' '~~.' :-',"-~ .It';;I' ...';.....:;:j,:,::c,lt'''.:'.):v:'., - "- ~k~.~1i A. :.-l'lew Resjdential ,!-..~ingie:o!:.M iIlti;.Fa~i1y:per ~weiling;unit.1.'I!:" ,;~ .....-#.-.. .' .."'':!l:.......:i.h..,.''''....,.. v ~\Y..:ijoIo~,,-40.,':l.,. ...... ...... ',-/' ... '. ."01, "".' 'l.,. r.. ,','~:\l. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or . Feeder , $106.00 J6JC" 00 $ 19.00 7(',.ro 4- $50.00 fSF.~~$t:-1-'~.', L':1",.~...;i:1,..~~!~-.~"tlf~ ......'tP ......""\.O.:,,;~:~~~"'J.fK.~~m:..~r:"Tt''%l B. (lIServiCe's:or' Feeders". Iiistalla ti6ri;.Alti'ra tiorisor:. Reliica lion: ;.,.:, ~lt.:t:.i,t?.K3l';.'i:~""~=:--C.r' '.'_~~"'f,'/'(''"~' -'S;'.Y~'-":':;(~~~~l~~"!~;"'{"':;"~"'~l~;;'.~ 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps' 60 I Amps to 1000 Amps Over 1000 AmpsIVolts Reconnect Only $ 63.00 $ 75.00 $125.00. $163.00 $375.00 $ 50.00 ~''<l-':...A. ,.....L.\.,~..... ""~"'.-I~ "'...(;.' "",' ...-,..':~. '!It '... ';"~L.......,:'t~~ .,'"1:t'li~"''''\1\ c. ~r~"I!lP~r!.ry~~tn1~~~~'o!",F~_~!ie-~_~:'~,:t'.,: .:-.f~~~t~:~t~.c~~:::" ~t ~1\"~ " Inst~!I!t!~.g~teration or Relocation 200 Amps or:less' IT SHALL EXPIRe /; THl$\5.0"QQ,< ~.oo 201 AiiipsIW4Q9~;';niji~DER THIS PFRMIT ~L6~;Q9r 401 ~i]ips\.t![(ipgfAmp.s1IS ABA~If1mim F~\QO.OO 1\~"1 "'on n,," .....r-R.".... Over 600 Amps.or. ,1000 Volts.see "B" above. I~::t";-~,~"""-~~_'- ~""w....'''- -'~~':::;':'~'J-._"" ,'. . ,,:::,~":..'~?~.:n::.r:'~~ D. t! Branch:CirctiitS.~..,. ~.'-;':'t.-:",e <:f-M "': ;~.. ..--'""c', .",w-.,....:.~ .~:'~,.r,:, -,: I ili.~~i""""""': ,- ':" ,...tJ"~~~.....~~..~...#J:..:.l.r.~.~~ New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with ServiceA>TfB4T'lelemUt . $ 3.00 '" uregon law regulres to ;,~..;o.(~II\>YtruJ~<;;adODforf;",";'t-'~""",,,\.,-you. -"..,:"'''''''- ,-, E. ijM/!l~!I~J1ue.ous:(~erv)c~r~der;nM.;~~)lJ~lns\ail~t!!'n\ '''''in 6Af{~~~::;:rFHlose.rules.llre setforth'., '" ." , PumBS9!P.lMllo/h 01~ through OAR !lffi9.001. Si nlO tli. Li"hti1!~ obtsln copies of the $(8()s)lb g !LlIng"ffie~nte~ (N Y Limite~IB,e~i\\;nh~1 ote:me te/elli '-""\w . ,n,J l'Igon UlIlllY NOllftJ::nti Limited Ener~ltl!JII1srqi.'Uon "?~ ~" ... ;J""'!W ~:,,,,,,,,,,,,,,J. Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ""'~''-'''''''''''''!I'''!~''':'IL.'''''-:JI"'C'" -..~"'I"t:.~...._~~..." \t-"~-.''''~~ '.~-..... .--cu:' ~"_OO.I__ '.....,...'->(q::.l':j;iL'.~.__E...~... -~ 4. ~SUBTOTA.frOFABOVE:'~(~.,;.. .i-'!i.,'j.'." ~'\,,;'}i:it 'l-.~':\.~ ~l-t~~T(/--',',i~'_ .,.....u.:~;.~..:3t.. "~1;...::.lt .,.1; $ 43.00 7% State Surcharge 10% Administrative Fee :;2:') 2,00 fb2'-1 '23. UJ 1211.1/1 TOTAL Shared Drive(T:)/Buiiding FonnsJElectrical Pennit Application ).()3.doc CITY OF S_NGFIELD SYSTEMS DEVELOPME.ORKSHEET DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. I CHARGE "2838.00 I 50.310 = I $879.78 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I I 0.00 I I 50.310 I 50% I = I JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS I. STORM DRAINAGE COM2005-00784 Jordan & Jordan 544 Ethan Ct Breanne Common Lnt 13 SINGLE F AMIL Y RESIDENCE I BUILDING SIZE (SF' 2065 LOT SIZE (SF): o :1 tIl I~ 10 I~ Ii=: l~ DISCOUNT $0.00 'I 2. SANITARY SEWER - CITY ITEM 1 TOTAL - STORM DRAINAGE SDC $879.78 $879.78 11070 A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I 27 I B. IMPROVEMENT COST: I NUMBER OF DFU's I x I 27 I COST PER DFU 524.04 5649.08 11091 518.28 $493.56 I 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , 51,142,64 J TRANSPORTATION A. REIMBURSEMENT COST: I I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI I 9.57 I I I I I 518.30 I 1.00 I 5175.13 11093 B. IMPROVEMENT COST: I I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI I 9.57 I I I I , 580.72 I 1.00 I 5772.49 11094 ITEM 3 TOTAL - TRANSPORT A nON SDC = , 5947,62 J 4. SANITARY SEWER - MWMC I A. REIMBURSEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I I I 582.03 = $82.03 1054 B. IMPROVEMENT COST: INUMBER ~F FEU's I x ICOST PER FEU I 5865.31 = $865.31 11055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) 50.00 ,11054 . .MWMC ADMINISTRATIVE FEE 5]0.00 I 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , 5957.34 J SUBTOTAL (ADD ITEMS 1. 2, 3. & 4) ~ , 53.927.38 I ~. ADMINISTRATIVE FE!;; I !SUBTOTAL x I ADM. FEE RATE I~ CHARGE I 53,927.38 I 5% I 5196.37 TOTAL SANITARY ADMINISTRATION FEE: , 133.72 11079 TOTAL TRANSPORTATION ADMINISTRATION FEE: I 562.65 11078 Cheryl Slaymaker 6/2312005 TOTAL SDC CHARGES =, $4,123.75 II PREPARED BY DATE . . DRAINAGE FI!TURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW RXTIJRES , UNIT EQUIVALENT - DRAINAGE FIXTURE UNITS 'I (NOTE: FOR REMODELS. CALCULATE ONLY TIlE NET ADDmONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS rBATHTUB 2 0 3 = 6 IDRlNKlNG FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 I INTERCEPTORS FOR GREASE 1 OIL I SOLIDS 1 ETC. 0 0 3 = 0 I INTERCEPTORS FOR SAND 1 AUTO WASH 1 ETC. 0 0 6 = 0 I LAUNDRY TUB 0 0 2 = 0 ICLOTHESWASHER 1 MOP SINK 1 0 3 = 3 ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRIG 1 WATER STATION 1 ETC. 0 0 1 = 0 I RECEPTOR FOR COM. SINK 1 DISHWASHER I ETC. 0 0 3 = 0 I SHOWER. SINGLE STALL 1 0 2 = 2 I SHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0 ISINK: COMMERCiAuRESIDENTIAL KITCHEN 1 0 3 = 3 ISINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASINIDOUBLE LAVATORY 1 0 2 = 2 ISINK: SINGLE LAVATORYIRESIDENTIAL BAR 2 0 1 = 2 URINAL. STALL! WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 TOILET, PRIVATE INSTALLATION 3 0 3 = 9 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 27 .EDU (EQuivalent Dwellins;! Unit) is a disc~e eauivalent to a simde family dwellin~ unit (20 DFU's) set at 167 ~Ions per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2lJO(J 2001 CREDIT RATE/$I,OOO ] ASSESSED VALUE $5.29 $5.29 $5.19 $5.12 $4.98 $4.80 $4.63 $4.40 $4.07 $3.67 $3.2? $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 21 I IS LAND ELGlBLE FOR ANNEXA nON CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? (En1cr I for Yes, 2 for No) BASE YEAR 2 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE I 1000 CREDIT RATE $0.00 x $5.29 = I $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE I 1000 CREDIT RATE $0.00 x $5.29 o TOTAL MWMC CREDIT = $0.00 I I 215 Fifth.Street SpringfieJd, Oregon 97477 541-726-3759 Phone Joh/Journai Number . COM2005-00784 COM2005-00784 COM2005-00784 COM2005-00784 COM2005-00784 i COM2005-00784 b COM2005-00784 P'C'OM2005-00784 / COM2005-00784 COM2005-00784 ,. CbM2005-00784 CbM2005-00784 COM2005-00784 COM2005-00784 COM2005-00784 . COM2005-00784 COM2005-00784 . COM2005-00784 COM2005-00784 CbM2005-00784 COM2005-00784 COM2005-00784 j COM2005-00784 ~~OM2005-00784 . CbM2005-00784 COM2005-00784 CbM2005-00784 dOM2005-00784 COM2005-00784 COM2005-00784 COM2005-00784 COM2005-00784 . COM2005-00784 COM2005-00784 . COM2005-00784 .. Payments: Type or Pa)1llent CreditCard i . r,... "'.. :' :. i\. ./ " , 7/14/2005 . 8~~R.(~~F.lIILD..._,_._. _ __'_.__'. , WiLl I .~ .." .---- RECEIPT #: 1IJ.ty of Springfield Official Receipt .velopment Services Department Public Works Department 1200500000000000999 Date: 07/14/2005 Description Addressing Assignment Willamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea AddU 500 Temp Power 200 amps or less 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 Plan Review Residential Building Permit 3 Baths One & Two Family Storm Sewer Each Addtl 100' Furnace - up to 100,000 blu Vent Fan Exhaust Hoods Dryer Vent Gas Outlets 1-4 Gas Fireplace Appliance Not Listed -Mechanical Issuance Fee- Copy 6th @ 75 cents Copies - En AddU @ 50 Cnts Ea Plan Review Major - Planning + 7% State Surcharge + 10% Administrative Fee Paid By SCOITJORDAN Received By djb 1 of I Item Totai: LbecKNumDer AuUlonzatiOD Bateb Number Number How Received 419801 In Person Payment Total: 10:22:26AM Amount Due 31.00 1,000.00 106.00 76.00 50.00 80.00 80.00 (30.00) 879.78 649.08 493.56 175.13 772.49 82.03 865.3i 10.00 133,72 62.65 27.47 i,027.i5 306.00 28.00 12.00 24.00 9,00 6.00 4,00 15.00 18.00 10.00 0.75 8.50 103.00 117.68 168.12 $7,401.42 Amount Paid $7,401.42 $7,401.42