HomeMy WebLinkAboutPermit Building 2007-5-21
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 547 COLLIER DR
ASSESSOR'S PARCEL NO.: 1702343304300
.
.ITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-006I5
ISSUED: 05/21/2007
APPLIED: 04/30/2007
EXPIRES: I 1/21/2007
VALUE: $ 336,689.00
Springfield
TYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Single family resideace - Mt Gate west lot 40
Contractor License Expiration Date Phone
LUCAS GENERAL CONTRACTORS, LLC 173014 1I/2012,9&youto541-746-1175
MAG ELECTRIC INC 149834 goO \a.WI12)ilil~~~n Uti\it~41-461-0387
MARSHALLS INC fl-ITEN\15J1900reted \J'1 t\1<2/~~20ll,ge set 1(541-747-7445
JAMMAL INC . ..~," fu~i620P_ "-hOS€Ol'/'i2&QM 0<;2._(541-484-7440
BUILDING IN~8kMA'f16N:1")~"<;01 0 thrO~9Is' ~oi the rules I
i-"l "J& ,- ,.' op,e ... ne
01"1'\" - ~ \Jta.,n C telep"o..
In may 0 . ,p'1he t' n
# of Stories: 0090. '(ou "t"'r. ~NSllrS!~e: NotiliCa. \0
Height of Structef;lliinQ ~e Cf~'~reg<Si\ 'Pf~~~Jl.~,'!~:
Type of Heat: nu~!:COO)l\\? Gas, ~'sq Ft 2iid Floor:
Water Type: Gas Sq Ft Basement:
Range Type: Gas Sq Ft Garage/Carport
Energy Path: Path I Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
Fully Improved
Yes
Owner: DENNIS GRICE
Address: 420 MAGNOLIA LN
CRESWELL OR 97426
Contractor Type
General
Electrical
Mechanical
Plumbing
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
19.00
12.00
36.40
22.00
0.00
Subdivision Not Accepted
Street Improvements:
Storm Sewer Available:
Special Instruction:
Phone Number: 541-746-1175
I CONTRACTOR INFORMATION I
1
R-3
U
VB
14.320
2,944
803
3
I DEVELOPMENT INFORM&TION I
.. - IT SHAll EXPIR!.U1QI.iiRED'flRKING
THIS PERM -~""IT IS NOT
Overlay Dist: THORIZEOHillSid!? THIS rfota!:' 2
# Street Trees Rq"dl,l 0 uOfll~ ABAN[,H_i\l)!Iic.rpp~d:
Paved Drive RqdCOMMENCE Yes Compact:
% of Lot CoveraJ;~NY 160 OAY l3ijl8o)O.
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Downspouts/Drains:
Cnrbside 5'
To Storm Sewer
Notes: Storm to existing lateral. JLP APP 5/10/07
Pa~e 1 of5
. .
-WtLsrAJ~~~~~
!
,.
, , , . '. ~_ r
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541'726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
AC - Residential
V Wood Frame
Gara2e
A.C. - Residen
Dwellines
Gara2e
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 80/0 State Surcharge
Plan Review Residential
Temp Power 200 amps or less
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
3 Baths One & Two Family
Addressing Assignment
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Fireplace (Listed)
Furnace - up to 100,000 btu
Gas Outlets 1-4
Heat Pump
Plan Review Major - Planning
PW Disc - 2nd Permit
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
.
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$4.00
$103.00
$27.00
Square Footage
or Bid Amount
2,944.00
2,944.00
803.00
Total Value of Project
Fpp< PiilLI
Amount Paid
$5.00
$2.50
$4.00
$868.34
$50.00
$10.00
$215.23
$114.65
$157.19
$306.00
$31.00
$1,335.90
$80.00
$6.00
$9.00
$187.35
$30.00
$12.00
$4.00
$12.00
$198.00
$-30.00
$106.00
$114.00
$811.41
$1,067.09
$10.00
$961.52
$91.61
$232.19
$62.58
$836.32
$189.58
$80.00
Date Paid
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
5/21107
5/21107
5/21107
5/21107
5/21107
5/21107
5/21107
5/21107
5/21107
5/21107
5/21107
5/21107
5/21107
5/21107
5/21107
5/21107
5/21107
5/21107
5/21107
5/21107
5/21107
5/21107
5/21107
5/21/07
5/21107
5/21107
5/21107
5/21107
5/21/07
Pa2e 2 of 5
.ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00615
ISSUED: 05/2112007
APPLIED: 04/30/2007
EXPIRES: 1112112007
VALUE: $ 336,689.00
Value
Date Calculated
$11,776.00
$303,232.00
$21,681.00
04/30/2007
04/30/2007
04/30/2007
$336,689.00
Receipt Number
2200700000000000619
2200700000000000619
2200700000000000619
2200700000000000616
2200700000000000619
1200700000000000600
1200700000000000600
1200700000000000600
1200700000000000600
1200700000000000600
1200700000000000600
1200700000000000600
1200700000000000600
1200700000000000600
1200700000000000600
1200700000000000600
1200700000000000600
1200700000000000600
1200700000000000600
1200700000000000600
1200700000000000600
1200700000000000600
1200700000000000600
1200700000000000600
1200700000000000600
1200700000000000600
1200700000000000600
1200700000000000600
1200700000000000600
1200700000000000600
1200700000000000600
1200700000000000600
1200700000000000600
1200700000000000600
6.-11 r OF ~rKIl'\j'-'f1IELD'
Building/Combination Permit
PERMIT NO: COM2007-00615
ISSUED: 05/2 I/2007
APPLIED: 04/30/2007
EXPIRES: Il/2I/2007
VALUE: $ 336,689.00
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Storm Drainage Impervious Area
Vent Fan
Willamalane Single Family
$1,927.78
$30.00
$2,303.00
5/21107
5/21107
5/21/07
Total Amount Paid
$12,431.24
I Plan Reviews I
Initial Review
Plan nine Review
05/01/2007
05/01/2007
05/01/2007
05/1812007
APP NJM
APP TAJ
Public Works Review
05/01/2007
05/01/2007
WI JLP
Public Works Review
05/10/2007
05/10/2007
APP JLP
Structural Review
05/10/2007
05/10/2007
WE . RJB
Structural Review
05/01/2007
05/09/2007
APP RJB
Structund Review
05/09/2007
05/09/2007
WE RJB
1200700000000000600
1200700000000000600
1200700000000000600
Site is at Maximum coverage. No
more impervious surface (structure
or pavemeut) allowed.
Choose street trees from the list of
"Native Trees in Hillside
Development on page 6-4 of the
street tree handout.
Plant 4 trees ou Collier aud 2 on
graystone.
Rcvd 5/1/2007---Waiting in order
PW rcvd for rvw.JLP WI 5/9/07
For this parcel in Mt. Gate West, it
is the recommendation to the
Building Division, by the City
Engineer: "that no connections shall
be made to sanitary or storm H20
systems, until the subdivision is
accepted by City Council". Storm to
existing lateral. JLP APP 5/10/07
Spoke to Larry Lucas ( owner)
about needing a compaction report
on soil for subbase. He will provide
approved report to City.
Need to provide site engineering at
footing inspection.
Called contracter ( Larry Lucas,
5/9/07 AM. ) requesting information
on listed ( plumber) expired Iic. Will
not allow entries to job at this date
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.
I ~pn~ ~1111"Ir-til~11II.I
Temporary Electric: Approval required prior to Utility Company energizing pole.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor
foundation inspection.
Paee 3 of5
.
.ITY OF SPRI1'ljul'lJ!.LD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-00615
ISSUED: 05/21/2007
APPLIED: 04/30/2007
EXPIRES: 11121/2007
VALUE: $ 336,689.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Rongh Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Rongh Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Low Voltage: Prior to cover.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Sidewalk - Curbside: After forms are erected but prior to placemeat of concrete.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to t100r insulation or decking.
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.
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.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Undert100r Plumbing: Prior to insulatioa or decking.
Undert100r Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Shower Pan. Prior to covering and including required testing.
Water Line: Prior to filling trench and including reqnired testiag.
Sanitary Sewer Line: Prior to filling trench and inclnding required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Undert100r Mechanical. Prior to insulation or decking and including required testing.
Undert100r Gas: After line is installed and required testing and capped if not attached to an appliance.
Paee 4 of5
.
.CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-006I5
ISSUED: 05/2112007
APPLIED: 04/30/2007
EXPIRES: 1l/2112007
VALUE: $ 336,689.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
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, tha.t each address is readable from the
street, that th permit card is located at t e front of the property, and the approved set of plans will remain on the site at all
~ construction.
7AAM
o~ Con;ractor{ Signature
~~ 2-( -[J 7
Ow
Date
Pa2e 5 of5
(;lIY UI' ~1""'1"Ll) ~.. r"'f .;r 1"""-
L~:U ~~~1;ol
.....~ SOURCI! i7) \
D5F1F7.1fSTRBET. "". '." ",.,.u.o.
ELECTRIC#-PERMIT APPUCA110N [ (
CityJobNUmb.(rm2./5b1 ~ (X)OI5 DaICJ/-:l1 .; 0,
~~Ui&l",,ij 3. ~'fl~iJil.'~~*ill'j~
, ,
LEGAL DESCRIPTION: A.
t, 0').. :'S 'f lJ.3 60 '+3<JO
108 DI!SCRIPTION:
~
!J /tJnC 200 Amps or less
',.1. J'. 201 AmjIs to 400 Amps
I lib V 401 Amps to 600 Amps
601 Amps 10 1000 Amps
Phone ,'-JII Jf?!,d,JG7 Over 1000 AmpsIVolts
A .,..,.Rcconncct Only
'''''EN
fOI/COll .
Votification led by th . Utres You t
mO~~~':l~~orfi{L.. . 0
;'090 "~200"<~!Jfi1n1-:;iGn"-" "USe rUles a"rn Utl/i!ISO"
. T(j I _ OCSOJth~o rb ~-' ,~. .00
Cal/in~~1 ~I . ~9h OAfi 0 ~. '0/69.00
nUmber 'j1~mjiijlil..'fiI!<t!!:!!P'es of tha ~S~"VISIOO.oo
Or th~ 1Vb"fev. thft .~, ' . W'''S t .
Over 600 .. ,oltS....~ ve.
D. '
S.,_ :.,. UcenseNumber fl.'/,;;5
Expiration Date I() / I I /) 7
, ----.
ConsIr. Con1r: Number 1"l9x ':{ A.('
I:J/ /3 / ()9
. SititrallJrc:/:..:.......I!la:tricimJ
~.. ~ A-\
'\"'\ .' : c) AI Each Addition.1 Circuit or with
. Ownerv}l~ i'("\(') L"') .( -Q \ C ;grICf:SaviceorFecdaPrsmit . S 3.00 i. .
Addt<ss rYY1q~~I~J /~;;/RC}~~~~
Phonel~ - ,IZf~.Jl'Jf..orl"'iilJ:l.R $50.00
([LA.. ANY'; cNcd~ t1rLF IF THe S 50.00 .
. Rl~~noN /' . 80 DAyLi\!'~~~/T WO~!( szs.oo \,
:","mstalll1lOlllSlMringmadoon, .....J J""",whiob ~~;a.':>.;)i~~.ISN.(li S4S.00.~'.:'. .
IS 1lOl mtcnded for 881.. ...... or n:nL Mlulmam ~ Pamit r I t'~ - ".; It S45..00 + Sa "c.: '
OwncrsSignslurc: ... ~~~~~~~I . ," " .'.' m..I,~..'.<fl>
8% SWe Sun:haJge . ~.:-'
. 10% A ~:, :.." ..: ' . Fee ,..:
S%T.;, ,\.. Pee .
Permib are ftoll-tr.nsferable aDd expire if work is
Dot .taned wilhln 180 day. of 11m ore or If work i.
Su.peoded for 180 d.ya.
2. .
Address :Jf.:J.
City ~
e.pimion Om
JDspmlon Request: 726-3769
~~
6U
S106.00 / by .
Service Included
1000 sq. II. or Ius
Each additional SOO sq. II. or
portion tllc=f
I
"
S 19.0D
JJ!:f--.
Each Manuract'd Home or
Modular Dwclling Service or
Feedcr
S50.00
B.1w.~~j,:,.,i,Qli.!ll!U.~~~!~II~I~I~~i~.
S63.oo
S 75.00
SI25.00
$163.00
$375.00
$ 50.00
~
60/'~
'-'c:.~
Nrwf Alteration or ExteDtioa
Onc Circuit
$ 43.00
TOTAL .
Shued DrM(T:)lBuilclml Fonr.'EICcu1cal PennJ! AppJlaltion S-(J6,doc
'.,
CITY OF elNGFIELD SYSTEMS DEVELOPME
JOURNAL OR JOB NUMBER: C0M2007-00615
NAME OR COMPANY: Dennis Grice
LOCATION: 547 Collier Dr
TAX LOT NUMBER: Lot #40 Mt Gate West
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS 1 BUILDING SIZE (SF: .4114
.L...S.TORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
, IMPERVIOUS S.F. x I COST PER S.F. 1 CHARGE I
'5744.00 1 $0.336 . =, $1,927.78
RUNOFF ROUfED 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 I
0.00 , I $0.336 , 50"10 = ,
ITEM 1 TOTAL - STORM DRAINAGE SDC 1 $1,927.78 ~
ORKSHEET
LOT SIZE (SF):
14320
en
W
o
o
u
e<:
w
f-<
en
-
o
~
DISCOUNT
$0.00
$1,927.78
1070
2, SANITARY SEWER - CITY:
A REIMBURSEMENT COST:
, NUMBER OF DFU's , x I COST PER DFU
I 41 I $26.03 = , $1.067.09 1091
B. IMPROVEMENT COST:
I NUMBER OF DFU's , x I
41 I I $19.79 = , $811.41 1092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I $1,878.50 I
=
:!JRANSPORT A TlO~
A REIMBURSEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS I x , COST PER TRIP x INEW TRIP FACTORI
I 9.57 , 1 I , $19.81 I 1.00 I = , $189.58 1093
B. IMPROVEMENT COST:
I ADT TRIP RATE , x I NUMBER OF UNITS' x COST PER TRIP x 'NEW TRIP FACTORI
9.57 , 1 I $87.39 I 1.00 =1 $836.32 . 1094
ITEM 3 TOTAL - TRANSPORTATION SDC = , $1.025.90 I
~NJTARY SEWER - MWMC
A REIMBURSEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I 1 1 I $91.61 = $91.61 11054
B. IMPROVEMENT COST: I
'NUMBER OF FEU's I x ICOST PER FEU
, 1 , I $961.52 = , $961.52 11055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) = , $0.00 1054
MWMC ADMINISTRATIVE FEE - , $10.00 1056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , $1,063.13
- -
SUSTOT AL (ADD ITEMS 1.2,3. & 4) = I $5,895.31
.-l
2...AQMINlSTRA TIVE FEE: l
I SUBTOTAL x , ADM. FEE RATE 1= I CHARGE
$5.895.31 i 5% $294.77
TOTAL SANITARY ADMINISTRATION FEE: 232.19 1079
TOTAL TRANSPORTATION ADMINISTRATION FEE: $62.58 11078
-.
Jeff Prociw 5/1 0/2007 TOTAL SDC CHARGES = , $6,190.08
PREPARED BY DArn
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIX11JRES x UNIT EQUIV ALEJoIT - DRAINAGE FIXTIJRE UNITS
(NOTE: FOR REMODEl..S. CALCUI..A TE ONLY TIlE NET AuUIIIVI~AL FIX11JRES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EOUIV ALENT UNITS
IBATHTUB _3 0 3 = 9
DRlNKING FOUNTAIN 0 0 1 - 0
iFLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE 1 OIL 1 SOLIDS 1 ETe. 0 0 3 = 0
I INTERCEPTORS FOR SAND 1 AlITO WASH 1 ETC. 0 0 6 = 0
iLAUNDRY TUB 1 0 2 = 2
ICLOTHESWASHER 1 MOP SINK 1 0 3 = 3
ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
I RECEPTOR FORREFRIG 1 WATER STATION 1 ETC. 0 0 1 = 0
I RECEPTOR FOR COM SINK 1 DISHWASHER 1 ETC. 1 0 3 = 3
ISHOWER. SINGLE STALL 2 0 2 = 4
I SHOWER, GANG ~ER OF HEADSl. 0 0 2 = 0
ISINK: COMMERCIAURESIDENTIAL KITCHEN 1 0 3 = 3
ISINK: COMMERCIAL BAR 0 0 2 = 0
I SINK: WASH BASINIDOUBLE LAVATORY 1 0 2 = 2
I SINK: SINGLE LAVATORYIRESIDENTIAL BAR 3 0 1 = 3
IURlNAL. STALL 1 WALL 0 0 5 = 0
. ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET. PRIVATE INSTALLATION 4 0 3 = 12
.MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 41
-aDU (Equivalent Dwell~ Unit) is a ~ eQuivalent to a sintlle familv dwellinJt unit (20 DFU's) set at 167 J!]l.lIons per day
.
.
, '
II
I
j
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
~D l
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$l,OOO
ASSESSED VALUE
.. :.$5.29
$5.29'
$5.19
.$9,.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
~
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter 1 for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
2
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE 11000 CREDIT RATE
$0.00 x $5.29
= ,
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE/1000 CREDIT-RATE
$0.00 x $5.29 = I
o
TOTALMWMCCREDIT
=
$0.00
.
225 Fifth.Street
SpringfieId, Oregon 97477
541-726-3759 Phone
.
ii~
Jiiily of Springfield Official Receipt
Wvelopment Services Department
Public Works Department
Job/Journal Number
COM2007-00615
COM2007-006] 5
COM2007-006] 5
COM2007-00615
COM2007-00615
COM2007-00615
COM2007-00615
COM2007-006] 5
COM2007-00615
COM2007-00615
COM2007-006] 5
COM2007-006] 5
COM2007-006] 5
COM2007-00615
COM2007-00615
COM2007-006 I 5
COM2007-006 I 5
COM2007-00615
COM2007-00615
COM2007-006 I 5
COM2007-006] 5
COM2007-006] 5
COM2007-006 I 5
COM2007-006 I 5
COM2007-006] 5
COM2007-006]5
COM2007-00615
COM2007-006] 5
COM2007-006] 5
COM2007-006]5
COM2007-00615
COM2007-00615
Payments:
Type of Payment
Cred itCard
Check
cReceintl
RECEIPT #:
1200700000000000600
Date: 05/21/2007
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Fire SF Fee - Residential
Willamalane Single Family
Addressing Assignment
Building Permit
3 Baths One & Two Family
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Fireplace (Listed)
Heat Pump
-Mechanical Issuance Fee-
Sidewalk Permit
Curbcut Permit
PW Disc - 2nd Permit
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 Sanitary/Storm Admin
SDC Transpo Admin
Plan Review Major - Planning
+ 5% Technology Fee
+ 8% State Surcharge
+ ] 0% Administrative Fee
Paid By
LARRY LUCAS
LARRY LUCAS
Item Total:
<"':heck Number Authorization
Received By Batch Number Number How Received
njm 005498 In Person
njm 1108 . In Person
Payment Total:
Page I of2
3:07:59PM
Amount Due
106.00
114.00
187.35
2;303.00
31.00
1,335.90
306.00
12.00
30.00
9.00
6.00
4.00
30.00
12.00
10.00
80.00
80.00
(30.00)
1,927.78
1,067.09
8] 1.4 I
189.58
836.32
91.61
961.52
]0.00
232.19
62.58
198.00
114.65
157.19
215.23
$11,501.40
Amount Paid
$9,500.00
$2,00 1.40
$11,501.40
5/2 I /2007