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Home My WebLink AboutPermit Building 2008-3-26 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00396 ISSUED: 03/26/2008 APPLIED: 03/25/2008 EXPIRES: 09/26/2008 VALUE: $ 131,740.00 SITE ADDRESS: 1739 S 58TH ST ASSESSOR'S PARCEL NO.: 1802030009300 SPRINGFIETYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: Single family residence- SAME AS COM2008-00304 5781 Obsidian Owner: HA YDEN ENTERPRISES Address: 2622 SW GLACIER PL #110 REDMOND OR 97756 Contractor Type General Phone Number: 541-228-6935 I CONTRACTOR INFORMATION I Contractor HAYDEN ENTERPRISES Phone 541-228-1081 # 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: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction 17.00 10.30 9.70 55.00 0.00 License 92208 Expiration Date 07/2912009 BUILDING INFORMA TION I 1 R-3 U VB # of Stories: 1 Lot Size: melgh:'tTGf.)Sl::r~em law reqlJJ~.~ij YOU~Ft Ist Floor: foT~p.eIuf1HilaWoptecF~ctijeACHr@OOn Utrl it 2nd Floor: NOMa:lei:irny~nter. Those ruleS(N~ set .1 t Basement: in alMge~1-001 0 through 1952- ~t Garage/Carport OOElaer~lPmBY obtain copiesAf , rul~ t Other: silltiBgI~mR1g (Note:.t.titt el~~hol!J upant Load: n.lmhAr_for .the. Oregon ~~~~I~r otlflcatio'ii I DEVELOPM~If''fNPdR~ilWN''44J. 400 1,148 2 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: 2 Handicapped: Compact: 2 Yes 22.80 I PUBLIC IMPROVEMENTS I Fully Improved NOTICE: Sidewalk Type: . Curbside 7' Yes THIS PERMIT SHAdo~M~~Yfffi~ORK Curb and Gutter AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 1 en DAY PERIOD. I Valuation Description I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e 1 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00396 ISSUED: 03/26/2008 APPLIED: 03/25/2008 EXPIRES: 09/26/2008 VALUE: $ 131,740.00 225 Fifth 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 $105.00 $28.00 1,148.00 400.00 $120,540.00 $11,200.00 $131,740.00 03/25/2008 03/25/2008 Total Value of Project ~ Fee Description Amount Paid Date Paid Receipt Number -Mech Iss 2+ Appliances- $40.00 3/26/08 1200800000000000276 + 10% Administrative Fee $118.44 3/26/08 1200800000000000276 + 12% State Surcharge $142.13 3/26/08 1200800000000000276 + 5% Technology Fee $77.97 3/26/08 1200800000000000276 1 Bath One & Two Family $160.00 3/26/08 1200800000000000276 Addressing Assignment $35.00 3/26/08 1200800000000000276 Appliance Vent $7.00 3/26/08 1200800000000000276 Building Permit $737.40 3/26/08 1200800000000000276 Curbcut Permit $85.00 3/26/08 1200800000000000276 Dryer Vent $7.00 3/26/08 1200800000000000276 Exhaust Hoods $10.00 3/26/08 1200800000000000276 Furnace - up to 100,000 btu $14.00 3/26/08 1200800000000000276 Gas Outlets 1-4 $5.00 3/26/08 1200800000000000276 Plan Review Major - Planning $205.00 3/26/08 1200800000000000276 Plan Review Same As $220.00 3/26/08 1200800000000000276 Residence Wiring 1000 Sq Ft $117.00 3/26/08 1200800000000000276 Residence Wiring Ea Addtl 500 $42.00 3/26/08 1200800000000000276 Sanitary Sewer - Improvement $326.46 3/26/08 1200800000000000276 Sanitary Sewer - Reimbursement $429.33 3/26/08 1200800000000000276 SDC MWMC Administration $10.00 3/26/08 1200800000000000276 SDC MWMC Improvement $990.39 3/26/08 1200800000000000276 SDC MWMC Reimbursement $95.35 3/26/08 1200800000000000276 SDC Sanitary/Storm Admin $92.57 3/26/08 1200800000000000276 SDC Transpo Improvement $862.25 3/26/08 1200800000000000276 SDC Transpo Reimbursement $195.48 3/26/08 1200800000000000276 SDC Transportation Admin $77.93 3/26/08 1200800000000000276 Sidewalk Permit $85.00 3/26/08 1200800000000000276 Storm Drainage Impervious Area $500.69 3/26/08 1200800000000000276 Storm Sewer Each Addtll 00' $16.00 3/26/08 1200800000000000276 Temp Power 200 amps or less $55.00 3/26/08 1200800000000000276 Vent Fan $14.00 3/26/08 1200800000000000276 Willamalane Single Family $2,513.00 3/26/08 1200800000000000276 Total Amount Paid $8,286.39 I Plan Reviews I Planninl! Review Public Works Review Structural Review 03/25/2008 03/25/2008 03/25/2008 03/25/2008 03/25/2008 03/25/2008 APP T AJ APP LKW APP DLM Storm to curb & gutters See documents for Plan review comments Pal!e 2 of 4 CITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: COM2008-00396 ISSUED: 03/26/2008 APPLIED: 03/25/2008 EXPIRES: 09/26/2008 VALUE: $ 131,740.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. [..ReouireCUnsoections I 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. 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 tloor 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. Undertloor Plumbing: Prior to insulation or decking. Undertloor 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. Undertloor Mechanical. Prior to insulation or decking and including required testing. Undertloor 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. Pa!!:e 3 of 4 CITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: COM2008-00396 ISSUED: 03/26/2008 APPLIED: 03/25/2008 EXPIRES: 09/26/2008 VALUE: $ 131,740.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Gas Service: After line is instalIed 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 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 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, 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 will remain on the site at all times during construction. L-~ /.- - Owner or Contractors Signature e 3-d('p - e~ Date Pa2e 4 of 4 SPRINGFIELD l';'''''''''~'-~'' ~ f, A A'"",-- ~ tl -,.ItJ~"",'~''''~:""",,,,'Ji' '"l ,,"~I[ tm '\... .. .- ';:'~1~~:1''''-''''! ? ;-J ~ :'\':$,:;i-! ""," ' ,,~-l;},~~ _,'<'f I ~ ZON \.~ IN111ALS~~ . DATE'~ -Z'?'=q, - SOURC~7) <~ILvlo~ 225 FIFTII STREET. SPRINGFIELD, OR 97477 . PH'(541)726-3753 . FtL'C (541)726-3689 I ELECTRICAL PERMIT APPLICATION CIty Job Number (,,1JW~OO'1b- ~~9~ Date I 1. ,~~E@~TI'I 3. 1;~'ii/(jNiJfljJ;iiTjKj}j2JJ:~seFIJ11ffJf!!itlji1J!llir \,1',~. ~'M":'~"~l':' i('~, , {[: 'f'\- "'~-.' r:""<iI';~"'" " , _"4,' t{~,-I';"J'I,~...t: :0,,: ,,;':'':'ML' I.:}, I ,(...tt,;;r1f,1;;r: /737 (J. '''''IT'r.;'''E''jJ<l)I''J If "'~,~.,.,"~" A f" :"~1!(Jr~'rl&\\j~';~JJ~"f ~+J'~!~ ;I~'i'\ ~l-ll;: ,j~rL\ '{. ~r'i$':<~4~J;1f";W~' f~'~:Ilff ,- LEGAL DESCRIPTION . ;~11.\'~~~mi",,,~&11,!~,, l!g ~~9n~M; ,< , trre]i~aweUiJj'g'-m ' ~l u~ l"l! II, , 7') I J .I,,'l!,hll',,;;<', h:;..t':&(~~ ,f~~ ;:."I~~J"'~~ ,,"\~l{'I!,T"~ IJ~ 1l/1tf~I"J~hfJ~:lr:il.,!;:I~,~' H"':'i.1. r,/:: (;1\' .....~~}1 / ~ 2- 0 ~< ~ 09 ~5 tJ-1J Servide Included JOB DESCRIPTION: 1000 Jq ft or less I . /..;;tL ~7;z...r '~ Each addItional 500 sq ft or ;5/,(/~ ~ 1/,;.>> v ~.J r ~ort1Ob thereof .. I Perm1ts are non-transferable and expire If work is Each :tyIanufact'd Home or not started w1thin 180 days of issuance or if work is Modular Dwellmg ServIce or I - - --Suspended-for.-180-da:ys_____'__ __ __,_______, ___, _,Feeder.___ I ---- m~~~~ - MllI :1Ie:~ ,;~~,~t~~~~~~!~~~ ~ $11700 /1-7 ~Z ?~ $2100 $55.00 2. Electncal Contractor -r;"jJ)J~lcj1 I:""/ec , Address ;;2og79 B. ~ I~J~I'Jkl~I\,~'1L' I 200 Amps or less I 201 Ainps to 400 Amps ~.4 (f 401 Mnps to 600 Amps lu II:NTlON: Oregon faw re'ijUI~~li>tl))OO Amps p}jQtfeI'af~~f~Y lIJt:l tON~mr~/V01ts Noti Ion Cen ere nose rU~ScaffitSfl:t~ In OAR 952-001-0010 through OAR 952-001- O~)",yo)J}l)aY obtain COpl~ SupeTVlsor License Number . a'a4Hdg]h~ ~~nter.- (Note:l'h number for the Oregon Utility Notification Exprrabon Date !2rJ-t; '7 Center is 1-800-332-Z~4jlation, Alteration or Relocation I 200 Ainps or less ) Constr Contr Number /7;2"3 rR G. 201 Alnps to 400 Amps I 401 Ainps to 600 Amps ().~ l' ~~er Joo Amps or 1000 Volts see "B" above ~ifrJ D. .,1 , M....1111..,1 ,g~( $ 70 00 $ 83 00 $138.00 $180.00 .$'411'00 $ 55 00 --- ----CIty 5J- $ 55 00 $ 76 00 $110 00 Exprratlon Date I New AlteratIOn or Extension Per Panel I One CirCUIt f . Each tddltlOnaJ CrrcUlt or wIth , L.o I ServIce or Feeder Pemut Owners Name j ~~ /J 't--lc...+~rJs llll~~.~.':~:I(~I',:f.I'i, '9IiIIJ;'li!"11~\\l'0:t~:J Address ':2tJ67'7 C~ C E." , '>.~ '" City 13~ Phon~ S-4~f.~trSH~~m;~~ \5 N01 $ 55 00 1\'\\S PERN\ 0 UN~~e~~~~R $ 55 00 _~~R INST ALLA TION ______ __ , AU~~OR\l~ED OR~SnFt~Pgy~eSid~~a!__, _ _ ~_,__ ,_$ 28-00 __,___ __. The m.stallation 1S bemg made on property I 0\1i~~W O~'l PEV\~d Energy/CommeTClal $ 50 00 IS not mtended for sale, lease or rent M~'{ 180 . MlDlmum Electric P.ermit Inspection Fee is $50.00 + Surcharges 4. SIgnal re of Supe.lY/pmg .Electrician ~~ ' ~ ~:!; w ~}'~~J,~ lJ !t,;i:l';hj\.j,~-11 J,.:::l~,{[,I:t:1.~ $ 48.00 $ 400 Owners Slgnature z. ~~ 2/ ~b It!) 0 TOTJL 27/.79 Shared Dnve(T )/BUlldmg FonnslEleclncaJ Penn It Apphcltlon ] -08 doc , - 12% State Surcharge 10% Administrative Fee I 5% Technology Fee InspectIOn Request: 726-3769 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER COM2008-00396 NAME OR COMPANY Hayden Homes LOCA nON 1739 S 58th street TAX LOT NUMBER 180203000930 DEVELOPMENT TYPE SIngle Family ResIdence NEW DWELLING UNITS ] BUILDING SIZE (SF: 1548 LOT SIZE (SF) 1 STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM IMPERVIOUS S F x I COST PER S F CHARGE . ]44700 I $0346 = $50069 RUNOFF ROUTED 'FO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS SF I x COST PER S F x I DISCOUNT RATE I DISCOUNT I 0 00 I $0 346 I 50% = I $0 00 ITEM 1 TOTAL, STORM DRAINAGE SDC I $500.69 2 SANITARY SEWER - CITY A REIMBURSEMENT COST I NUMBER OF DFU's I x I 16 I COST PER DFU $26 83 B IMPROVEMENT COST NUMBER OF DFU's x ]6 COST PER DFU $20 40 ITEM 2 TOTAL - CITY SANITARY SEWER SDC =1 $755.80 3 TRANSPORTATION A REIMBURSEMENT COST ADT TRIP RATE I x 9.57 I I NUMBER OF UNITS x I I I I COST PER TRIP 2043 x INEWTRIPFACTOR I ] 00 B IMPROVEMENT COST I ADT TRIP RATE x I NUMBER OF UNITS x I COST PER TRIP I 957 I] I $90 IO ITEM 3 TOTAL - TRANSPORTATION SDC = 1 $1,057.73 4 SANITARY SEWER - MWMC A REIMBURSEMENT COST INUMBER OF FEU's x L I x INEW TRIP FACTOR I 100 COST PER FEU $95 35 B IMPROVEMENT COST INUMBER OF FEU's x I I ICOST PER FEU I $990 39 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = 1 $1,095.74 ,- - ,- SUBTOTAL (ADD ITEMS 1,2,3, & 4) = 1 $3,409.96 6772 $500.69 $429.33 $326.46 $195.48 $862.25 = $95.35 r./) I:I.1 o o u ~ I~ , r./) ....... o ~ 1070 I '1091 1092 1093 1094 1054 1055 1054 1056 .---- --. ... 5 ADMINISTRATIVE FEE /SUBTOTAL x ADM FEE RATE I $3,409 96 5% TOTAL SANITARY ADMINISTRATION FEE TOTAL TRANSPORTATION ADMINISTRATION FEE CHARGE $17050 Kaye Wilson 3/25/2008 TOTAL SDC CHARGES = I PREPARED BY DATE - - - = . $990.39 $0.00 $10.00 92 57 1079 $77.93 l1078 I $3,580.46 I DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS (NOTE FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIXTURES) NO OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUN ALENT UNITS IBATHTUB 1 0 3 = 3 I DRINKING FOUNTAIN 0 0 1 = 0 IFLOORDRAIN 0 0 3 = 0 I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 = 0 I INTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 ICLOTHESWASHER/MOP SINK 1 0 3 = 3 ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 I MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REFRIG / WATER STATION / ETC 0 0 1 = 0 IRECEPTOR FOR COM SINK / DISHWASHER / ETC 1 0 3 = 3 ISHOWER. SINGLE STALL 0 0 2 = 0 I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 ISINK COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 SINK COMMERCIAL BAR 0 0 2 = 0 SINK WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 ISINK SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1 IURINAL, STALL/WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 1 0 3 = 3 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 0 TOTAL DRAINAGE FIXTURE UNITS 16 *EDU (EqUIvalent DwellIng Umt) IS a dIscharge eqUIvalent to a smgle famIly dwellIng umt (20 DFU's) set at 167 gallons per day - MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 J996 1997 1998 1999 2000 2001 CREDIT RATE/$I,OOO ASSESSED VALUE $529 $529 $519 $512 $498 $480 $463 $440 $407 $367 $322 $273 $225 $180 $1 59 $145 $125 $109 $092 $072 $048 $028 $009 $005 IS LAND ELGIBLE FOR ANNEXATION CREDITJ (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX CREDITJ (Enter I for Yes, 2 for No) BASE YEAR 2 2 2005 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $000 x $000 = , $000 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $000 x $000 o TOTAL MWMC CREDIT $000 = Job. No._~~2./JO~ -aJ~J? SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2008 NAME: .~J :tf,vu~ PHONE: ZZC!br""o9.?-..r ADDRESS:2~~ S'" 4W~ITY/~~9J STATE:~IP:-'~~' . / tf/t, . -~I " w LOCATION OF PROPOSED BUILDING SITE: Street Address: 17.~ <J (). ~~ 7!:J ~ T" Plat Name:$/~ _~M.~(11;-( Tax Lot Number: /~L~.J M /??.1/10 1. DEVELOPMENT TYPE (Check appropriate dwelllng(s). Dwelling type definitions are on the back) A. Sinale-Familv Detached NO. OF UNITS I X $2,513 per unit = $ 2-5 / j B. Sinale-Familv Attached NO. OF UNITS X $2,726 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS X $2,323 per unit = $ D. Sinale Room Occuoancv NO. OF UNITS X $1,162 per unit = $ E. Accessorv Dwellina Unit NO. OF UNITS X $1,257 per unit = $ WILLAMALANE SDC $ 2. SDC CREDIT (If applicable) SDC payer must furnish proof of Willamalane Credit approval.) $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) $25/") J ,Z6, Dff Date DC? Development Services Department City of Springfield 5 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00396 COM2008-00396 COM2008-00396 COM2008-00396 COM2008-00396 COM2008-00396 COM2008-00396 COM2008-00396 COM2008,00396 COM2008-00396 COM2008-00396 COM2008-00396 COM2008-00396 COM2008,00396 COM2008-00396 COM2008-00396 COM2008-00396 COM2008-00396 COM2008-00396 COM2008-00396 COM2008-00396 COM2008-00396 COM2008-00396 COM2008-00396 COM2008-00396 COM2008,00396 COM2008,00396 COM2008-00396 COM2008-00396 COM2008-00396 COM2008,00396 COM2008-00396 Payments: Type of Payment CredltCard cRecelOtl RECEIPT #: 1200800000000000276 Date: 03/26/2008 DescriptIOn Plan Review Same As Plan Review Major - Planning Sidewalk PermIt Curb cut PermIt Storm Dramage ImpervIous Area Sanitary Sewer - Reimbursement Sanitary Sewer. Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC AdmmlstratlOn SDC Sanitary/Storm Admm SDC Transportation Admm BUlldmg Permit Addressmg ASSignment Wlllamalane Smgle Family 1 Bath One & Two Family Storm Sewer Each Addtl 100' Furnace - up to 100,000 btu Vent Fan Appliance Vent Exhaust Hoods Dryer Vent Gas Outlets 1-4 ~Mech Iss 2+ ApplIances- ResIdence Wifing 1000 Sq Ft Residence Wifing Ea Addtl 500 Temp Power 200 amps or less + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee Paid By HAYDEN ENT Item Total: Check Number AuthOrizatIOn Received By Batch Number Number How Rece,ved dJ b 022251 In Person Payment Total: Page 1 of 1 9:50:00AM Amount Due 220 00 205 00 8500 8500 500 69 429 33 32646 195 48 862 25 9535 99039 10 00 9257 77 93 73740 3500 2,513 00 16000 1600 1400 1400 700 10 00 700 500 4000 11700 4200 5500 77 97 142 13 11844 $8,286.39 Amount Paid $8,28639 $8,286.39 3/26/2008