HomeMy WebLinkAboutPermit Building 2006-7-10 (2)
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.CITY OF SrKll'lul' IELD '
Building/Combination Permit
PERMIT NO: COM2006-00746
ISSUED: 07/10/2006
APPLIED: 06/15/2006
EXPIRES: 01/10/2007
VALUE: $ 196,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2800 GA TEW A Y ST
ASSESSOR'S PARCEL NO.: 1703220002300
Springfield TYPE OF WORK: Commercial Miscellaneous
TYPE OF USE: Alteration
PROJECT DESCRIPTION: New loading deck, doors, pavement, steel canopy for Ashley Furniture
Commercial
Owner: GATEWAY MALL PARTNERS
Address: PO BOX 617905
CHICAGO IL 60661-7905
Phone Number: 541-747-6294
I CONTRACTOR INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Contractor License Expiration Date
PIVOT ARCHITECTURE ',eS 'IoU to
HOWARD S WRIGHT ~.~nnll \~89i2'~~~nnll Ut\\itll~l26/2010
I BUILDiNG i'NFCIRM:.\ iioN..'es are se~:~o~'_
"."- ter.'''. hOI'-P.95 b
' "nr. cell Oth,ou9" ,ul?S )\(
\;.Wof~S~ol,imo~-OO~ , ieS O\t\1e Lot-Size:
in t!eight of ~!;~c,y!r.e.lll COPe' ~r,hQo\ep\'S'4''F~ 1st Floor:
o~ype 'Or',!~~tbellte'. t\'olotU\i\ity \'oIot\\\CS'~\~t 2nd Floor:
"(,aJ~n1iYP~~ the o(e9011 2.-2.344). Sq Ft Basement:
~an~\\5fype: , \S ~ _800-33 Sq Ft Garage/Carport
E':~rgy Patllpte Sq Ft Other: ' .
Sprinkled Building: n/a Occupant Load:
Phone
541-342-7291
503-220-0895
Contractor Type
Architect
General
M
liB
602
2
I DEVELOPMENT INFORMATION'
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC Il\u"vv EMElll/i1iS'ICE:
THIS PERt"T c::,H^,I.i~XPIRE IF THE WORK
. Sidewalk~I,)' e: MIT IS NOT
AUTHORI7FD UNDEK HI~ PER
COMMEN?~~UR~~s~~~~ONEDFOR
ANY 180 DAY PERIOD.
,
-~,
Notes:
Paee 1 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Use Bid Amount
Use Bid Amount
Bid Amount
Pavine
Fee Description
Plan Review Commllnd/Public
+ 10% Administrative Fee
+ 8% State Surcharge
Building Permit
Fire SF Fee - Non-Residential
Fixture
Paving
Plan Review Comm/lnd/Public
Plan Review Fire & Life Safety
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Storm Sewer - 1st 50 Feet
Total Amount Paid
.
ecITY OF ~nuNGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00746
ISSUED: 07/10/2006
APPLIED: 06/15/2006
EXPIRES: 01/10/2007
VALUE: $ 196,000.00
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$1.00
$1.00
Square Footage
or Bid Amount
133,000.00
63,000.00
Value
Date Calculated
$133,000.00
$63,000.00
$196,000.00
06/27/2006
06/27/2006
Total Value of Project
li'pp<. P..~
Amount Paid
Receipt Number
Date Paid
$420.49
$121.35
$58.55
$672.90
$60.20
$14.00
$421.35
$149.98
$351.06
$57.20
$75.22
$10.00
$175.98
$16.69
$20.67
$78.25
$45.00
1200600000000000876
1200600000000001044
1200600000000001044
1200600000000001044
1200600000000001044
1200600000000001044
1200600000000001044
1200600000000001044
1200600000000001044
1200600000000001044
1200600000000001044
1200600000000001044
1200600000000001044
1200600000000001044
1200600000000001044
1200600000000001044
1200600000000001044
6/15/06
7/10/06
7/10/06
7/10/06
7/10/06
7/10/06
7/10/06
7/10/06
7/10/06
7/10/06
7/10/06
7/10/06
7/10/06
7/10/06
7/10/06
7/10/06
7/10/06
$2,748.89
I Plan Reviews I
Paee 2 of4
. .ITY OF ~nuNGFIELD
Building/Combination Permit
Status Issued PERMIT NO: COM2006-00746
225 Fifth Street, Springfield, OR ISSUED: 07/10/2006
541-726-3753 Phone APPLIED: 06/15/2006
541-726-3676 Fax EXPIRES: 01/10/2007
541-726-3769 Inspection Line VALUE: $ 196,000.00
Fire Department Review 06/16/2006 06/28/2006 OK GRG Plans Review: New loading dock,
doors, and canopy. Job
#COM2006-00746.
The fire department connection for
the sprinkler system shall be
relocated so that the dnmpsters shall
not obstruct the FDC (2004
Springfield Fire Code 508.5.4 and
912.3).
Landscaping: Immediate access to
fire department connections shall be
maintained at all times and without
obstruction by fences, bushes, trees,
walls or any other object for a
minimum of 3 feet (2004 SFC 912.3),
Extend sprinkler coverage to
underneath the canopy area above
the garbage dumpsters.
Maintain "No Parking-Fire Lane"
curh markings consistant with the
rest of the mall.
Initial Review 06/15/2006 06/16/2006 APP LLH
Plan Review Comments 06/27/2006 10 JMP WI. Received structural responses
from Larry Banks.
Plan nine Review 06/16/2006 APP EMM Needs to submit Final Site Plan
incorporating conditions of Minor
Site Plan Review DRC2006-00049
Public Works Review 06/16/2006 06/28/2006 APP SB See Revised plan review.
Revised Plan Review - Fir 06/23/2006 06/28/2006 OK GRG Revised Plans Review: Loading
Dock and canopy. Job
#COM2006-00746. No changes in
comments from original submittal.
Revised Plan Review - Pia 06/23/2006 07/03/2006 APP EMM Submitted Development Agreement
7/3106
Revised Plan Review - Pu 06/23/2006 06/28/2006 APP SB SDCs added. No transportation
SDC. Ensure sign is installed and
management knows what to do if a
spill occurs.
Revised Plan Review - Str 06/23/2006 06/23/2006 10 JMP WE.
Revised Plan Review - SU 06/23/2006 06/23/2006 10 JF
Structural Review 06/28/2006 06/28/2006 APP JMP Received final internal approvals.
Structural Review 06/16/2006 06/23/2006 WE JMP See attached documents for 4 .
structural comments faxed to Bill
Seider.
SUB Review 06/16/2006 06/23/2006 APP JF No energy code issues or inspections,
Paee 3 of 4
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.ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00746
ISSUED: 07/10/2006
APPLIED: 06/15/2006
EXPIRES: 01/10/2007
VALUE: $ 196,000.00
Status
Issued
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 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.
IRl'n\Jirl'iI~
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.
Slab: To be made after all inslab buiOlding service equipment, conduit piping and other equipment items are in
place but prior to concrete.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Roofing: Prior to installing any roof covering.
Structural Welds: To be done during construction by State Certified Special Inspector. Provide inspection test
results to City Building Inspector.
Final Fire Department. After all requirements of the Fire Department have been met.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Plumbing: Prior to cover and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing 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 fnrther 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 nsed on this project.
I f;urther agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
st;.~\. et, thatl"1te permit \Illrd is I.oca. ted at the front of the property, and the approved set of plans will remain on the site at all
, 11111 , 1I \
\:'I""['~V~ .11"'\0(".
Owner or Contractors Signature Date
Paee 4 of 4
City of Springfield
Community Stl"Vices Division
225 Fifih Street
Springfield, OR 97477
TelE;pbone: (541) 726-3759
Fax: (541") 726~3689
Cb"'lZot:t;o - cc>"14l<> (b.-z.7. /)6
Building Pcnnlt t# Dote
A1loHUH ~_'\'''l''E- _~l~ ~ (Mfh.~.
.Project TiUe -
~ ~ 4~l2C:O'1' .
Project Adello"
Special Inspection Bud Testfqg
To applioanls of projects requiring opecial inspcctioD or tl:nmg as per Section 1704 orlM Oregon SInlcl1lnl1 Specialty Cod<:. Ploaso",vicw the iof"..._.:_. below. When yoU have
flnisbed, acknowledge an unden;tandlng of the iDformatlon by Ilgpi.og below, tIII<I relDm ads form to the City.
BEFORX A PERMIT CAN BBISSUED: ThcOWllctorOWDC:r'9~Ve, on Ihcadviecoflhe. ..,..~.:1JIe ProjcetEngineer or ArchItect. shan complete, sign, Iind submillo!he
City for review end epplOvallhis fOrm wmplered on bolh IIIll frontlUld baete. .
.
The OWI1er and Oenen! ConInlctor, wh~ appliClble, ahalJ eIso acL. ,,:.c.._1IIll fotJawing Cllllllitlons,epplica.lo to Spc:Wll InspmIon and/or Testing.
1. Conwelor 15 re.poDSlblo for propor Il<ltifiation for the IIlSJ>CCUon or Testing ofir.ms listed,
2. Testing laboratory shall talce approprfate nmpIes lUld lmJsport them to thclr laboraloly for proper ovaI1lalion or leSlmg.
. Copies ofalllA~..,;~.,'repoll8ond :......_.~_ "'" to beaentto Ihe City by tho Tcstillg.Agency.
3. Spceiollnspection Agency Is to submit narntS 8IIdqualificatiODS ofOtl-situ Spsoial tnspoe1omlO the City Ibrapp.lOvaI.
4. Spccial1nspcelor &haU provide inspection repOrts 10 the building Qftjeial of all inspccIiDll tctivld.s.
S. Contraelor is respOll5lblo to review the City approved plans foJ: admti0ll81 :........;;.~ or ICSting """,:'__.J thatlll8ybe noted.
BEFORE A ...6... ....ICATl!: OJ! OCCUPANCY WILL BR ISSUllJ): The Speclallnq>eclion Ajpmcy shall rubmlttCtll1c BulIdihll Official. &18temenllhat aU ilems requiting
InsJ'e<:tion hlIve been fUlfilled IIDd reported and were 10 the ~est of lb. inspector', bow1edic. in com'ornIance willi the appmvod ptans, spcelficatiorw lUld applicable y . \. "...sbip
.
provisions. Those items nDlleSte1l andlor intpeelod. ab8I1 b. nDled in the 6latemCll~ The le;>ortls 10 be submitted 10 1be Cityprior 10 a Rqucst rot f'lflall:1sp<ouDII9.
ACKNOWLEDGEMENTS
~c..: ~ (f LL.c.. Ivv"-- f.4/IJ",.e1) ~. (q..~'" C ...~pe~ c.~.
Owner Nlltlte ~ntod) Gen. Contractor Firm Name (printed)
P/l1orA<2Cfh'frgC[Of1t; P( _ ...>- y:;....rr~~ '9d~ I.JJ?!!S=~ k.
Engineer or Architect Finn (Printed) E' eer or Arcbitect Signature ~ _Agency~nt"'i'
~p. ~-~\/n. '~~7~ . ,\ J~ "l~A.X- ,
Testing Laboratory Name (Printed) Testing Laboratory Rep. Signature Building Official Name (Printed)
'/JJI
lor8i~
- .-
cy Rep Si~ /
\,~
Building Official Signature
SPECIAL INSPECTION AND TESTING SCHEDULE
I Reinforced ':oncrete. Gunitc. Grout ane' Mortar:
: Concrete Gunite I Grout Mortar
I i
i
I
I
I
I
I
Ix I
L}recastIPre-stressed Concrete:
I' Piles Post-Tens I Pre-Tens
I I
I I
I I
I I
I I
I I
I I
I I
I
I
I
I
I
x
Ag.mgate Test of Mix Desil'll
Reinforcing Test
Mix Design-Weighmaster Cer!..
Reinforcinlt.Placement
Continuous Batch Plant Inspect.
InsDe_ct Placing
Cast Samj?les
Samples (Pick.!!l'lDelivered)
Compression Test.
GRADING, EXCA V A TION, AND FILL
Acceptance tests. PSF
Establish final grade
Fill placement inspection/continuous
~ Soil Density
All.l<fegate Tests
Reinforcing Tests
Tendon Test
Mix Designs.
Reinforcing Placement
Insert Placement
Concrete Batching
Concrete Placement
Installation Insoection
Cast Samples
Pick-up SamPles
Compression Tests
STRUCTURAL STEELIWELDING:
Sample and test (list specific members below)
Shop material identification (mill cert)
V Weld inspection _Shop _Field
Ultrasonic inspectiun _Shop _Field
High Strength Bolting_Shop _Field
A325 _N _X
A490 _N _X
Metal deck welding inspection
Reinforcing Steel welding inspection
Reinforcing steel mill certificate
Metal stud welding inspection
Concrete insert welding inspection
Moment resisting steel frames
_F
_F
.
I
It
Cladding
SMOKE CONTROL:
Leakage testing
Control Verification
FIREPROOFING:
STRUCTURAL WOOD:
Shear wall nailing inspection
Shear wall anchors
Inspection ofGlu-lam fab. . TIC psi
Inspection of truss joist fab.
Sample and test components
Fabrication welding of steel accessories
ROOFING:
Insulation instaJlationIR- Value*
Test strips/seams
Placement inspection
Density tests
Thickness tests
Inspect batching
MASONRY .
Special inspection stresses used. .fm fg
Preliminary acceptance tests (masonry units, wall prisms)
Subsequent tests (mortar, grout, field wall prisms)
Placement inspection of units, and reinforcement
Masonry, mortar, grout, and reinforcing steel certificates
ADDITIONAL INSRUCTlONS, OTHER TEST, & INSPECTIONS:
Form Completed by.
Date
'PROVIDE STRENGTH REQUIRED BY ARCIDTECT OR ENGINEER OR CONTRACI' DOCUMENT LOCATION OF VALUES
..~\';;~;,j~.',gii;f01;1~~~ ,;~'t ,.-
'\: ',' 8 '0 c"~~;;; ,. 1;;' ~
:~<:~~:8~;il.i'!:or':.tl, '~rEib-t5
_ ~\:~,t O:,;:);~C&3 V~:~:
'Y<';~:' _';'
'f,,";./'"
S78.25 )f:~;,
""", -~
$7825 ij 178
.
.
AITACHMENT A
CITY OF SPRJNGFIEW SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER COM2006-Q0746
NAME OR COMPANY: Ashley's Furniture
LOCATION: 2800 Gatewav St
MAP & TAX LOT NUMBER: 17 03 22 00 "02300
DEVELOPMENT T)'PE: Loading Dock revision
NEW DEVELOPED AREA (S.F.):
EXISTING DEVELOPED AREA (S,F,):
TOTAL IMPERVIOUS SURFACE (S,F,):
,1, ~TORM DRAINAGE
=
35530
828
I1E:
I1E:
LOT SIZE (S.F):
nla
242
IMPERVIOUS SQ, FT,
$ 0323 PER SF
242
x
TOTAL STORM DRAINAGE SDC:I
2 SANITARY ~EWER-CITY
A REIMBURSEMENT COST:
NUMBER OF DNs '
R IMPROVEMENT COST:
NUMBER OF DNs
(SEE REVERSE SIDE)
$
25m PER DFU
3
x
$ 19m PER DFU
S 44.14
TOTAL WCAL WASTEWATER SDC:I
3 TRANSPORTATION NO ADDmONAL TRIPS FOR GARBAGE ENCWSURE
BLOG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR
NEW
A REIMBURSEMENT COST:
0.36 x 3H
B. IMPROVEMENT COST:
036 x 3H
EXISTING
A REIMBURSEMENT COST:
0,00 x 0
R IMPROVEMENT COST:
0,00 x
3
x
$132.42 I
Q,65
NTF
$14458 ~
x
$ 19,09 PER TRIP
x
x
$ 84.19 PER TRIP
0,65
NTF
$63U5 I
x
x
$ 19,09 PER TRIP
o
NTF
$0.00 I
x
$0,00 ,
o
$ 84,19 PER TRIP
$ 103,28
o
NTF
x
x
TOTAL TRANSPORTATION REIMBURSEMENT SDq
TOTAL TRANSPORTATION IMPROVEMENT SDC:'
TOTAL TRANSPORTATION SDq I
4 SANITARY SEWER - MWMC
NEW:
A REIMBURSEMENT COST:
NUMBER OF FEU's 036 x $46,98 PER FEU
R IMPROVEMENT COST:
NUMBER OF FEU's 036 x $49530 PER FEU
EXISTING:
A REIMBURSEMENT COST:
NUMBER OF FEU's 0,00 x $0.00 PER FEU
R IMPROVEMENT COST:
NUMBER OF FEU's 0,00 x SMO PER FEU
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
$16,69 ~
$175,98 ~
$0,00 I
$0,00 ,
TOTAL MWMC REIMBURSEMENT FEE:
TOTAL MWMC IMPROVEMENT FEE:
MWMC ADMINISTRATIVE FEE:
TOTAL MWMC SDC:I $ 202,67
SUBTOTAL(ADDI1EMS 1,2,3,&4) $413341
5 ADMINISTRATIVE FEES'
BASE CHARGE (SUBTOTAL ABOVE)
$
41334 x 5% I $20,67
TOTAL TRANSPORTATION ADMINISTRATION FEE: S
TOTAL SEWER ADMINISTRATION FEE: $
&0.... W. &....v &-
SDC COORDINATOR
6/2812006
DATE
TOTAL SDC CHARGES
C0M2006-00746, Ashleys Fumiture Dock, 2800 Gateway Mall.xts
$7522
$5720
$132.42
$14458
S637,75
$78233
$0,00
$16,69
$175,98
$lO.OO
S202,67
'~~~;':~"
1054
1186
-11 ~7
'<1'189,'
::.;':~:~/ '
:'k'
.
I '
1175
20,67 1190.
$434,01
1 JULY 2004
.
.
DRAINAGE FlX11JRE UNIT (DFU) CALCULA TION TABLE
NUMBER OF NEW FIXTIJRES x UNIT EQUIVALENT - DRAINAGE FlX11JRE UNITS
(NOTE: FOR REMODELS. CALCULATE ONLY TIlE NET ADDmONAL FIXTIJRES)
. .
.
#REF!
FIXTURE TYPE
BA TIlTUB
DRINKING FOUNTAIN
FLOOR DRAIN, FLOOR SINK
INTER<..r.r I u~ FOR GREASElODJSOLIDS/ETC.
INTERCEPTORS FOR SAND/AUTO WASHIETC.
LAUNDRY 11JB
CWTIlES WASHER/MOP SINK
CWTIlES WASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP (1 PER TRAILER)
RECEPTOR FOR REFRlGERA TOR/W A TER ST A TIONlETC.
R&..r.r ,u,," FOR COMMERCIAL SINK/ DlSHW ASHERIETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: COMMERCIAL, RESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
SINK: WASH BASINIDOUBLE LAVATORY
SINK: SINGLE LAVATORYIRESIDENTIAL BAR
URINAL, ST AllJW ALL
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCEllANEOUS:
NUMBER OF EDU'S'
FIXTIJRES UNIT
NEW OLD EQUIVALENT
3
1
2 3
3
6
2
3
6
12
I
3
2
2
3
2
2
1
5
6
3
TOTAL DRAINAGE FIXTURE VNITS-
'EDU (EQuivaleot ~ Unit) is a ~ equivaleot to a sinI<Ie family dweIlinl< (20 DFU) set 81167 gallons pel' day
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALVE
IF IMPROVEMENTS OCCURRED AITER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATELY
YEAR
ANNEXED
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
RATEPERS1,OOO
ASSESSED VALVE
" ~5.29.
. S5.19
S5.12 :
$4.98.
. S4.80'
"$4.63,.
$4.40 '
:~or
. $3.67
_ $3'22/
..~}~.;
""'$225.
;-'$1.80'1
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AFTER ANNEXATION DATE)
COM2006-00746. Ashleys Furniture Dock, 2800 Gateway MalI.xIs
YEAR
ANNEXED
1992
1993
1994
t995
1996
1997
1998
1999
2000
2001
2002
2003
2004
RATE PER SI.000
ASSESSED VALVE
S1.45 '
. S1.25'
. $1.09
'f;;-;r_~~:i:)::,:~;i~~; :ri:~~:~"
. '" , SO.48
.:;,: ,i..;~" L~ . $028~:
~"';c-', 50.09:
'''~-O:'.'' 'SO.05
c" _o,~' . ... $6:00:
~,~',- :!{;~;,:'~.:;,1.-< s~:oo:.':
"..;,;'". SO.OO
x
x
CREDIT TOTAL
DRAINAGE
FlX11JRE
UNITS
o
o
3
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
3
SO.oo
SO.OO
SO.OO
1 JULY 2004
225 Fifth S1reet
Springfield, Oregon 97477
541-726-37~9 Phone
· iiE~
CAof Springfield Official Receipt
_Iopment Services Department
Public Works Department
Job/Journal Number
COM2006-00746
COM2006-00746
COM2006-00746
COM2006-00746
COM2006-00746
COM2006-00746
COM2006-00746
COM2006-00746
COM2006-00746
COM2006-00746
COM2006-00746
COM2006-00746
COM2006-00746
COM2006-00746
COM2006-00746,
COM2006-00746
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
1200600000000001044
Date: 07/10/2006
Description
Fire SF Fee - Non-Residential
Fixture
Storm Sewer - 1st 50 Feet
Building Permit
Paving
Plan Review Comm/IndlPublic
Plan Review Fire & Life Safety
+ 8% State Surcharge
+ 10% Administrative Fee
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Storm Admin
Paid By
HOWARD S WRIGHT
Item Total:
<":heck Number Authorization
Received By Batch Number Number How Received
357872
In Person
Payment Total:
djb
Page I of I
1I:10:56AM
Amount Due
60,20
14.00
45,00
672,90
421.35
149,98
351.06
58,55
121.35
78,25
75.22
57.20
16,69
175,98
10.00
20,67
$2,328.40
Amount Paid
$2,328.40
$2,328.4U
7/1012006