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Home My WebLink AboutPermit Building 2006-8-18 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ~. ..:.GITY-OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00738 ISSUED: 08/18/2006 APPLIED: 06/1412006 EXPIRES: 02/18/2007 VALUE: $ 254,716.00 SITE ADDRESS: 4184 Glacier View Dr 4186 ASSESSOR'S PARCEL NO,: 1802052205100 Springfield TYPE OF WORK: Duplex PROJECT DESCRIPTION: Duplex -lot 14 TYPE OF USE: New Residential '_ .. __....,;..I"'\~ ",",II tn Al I t:.1\llIUI'I. ......l....~--" .-- . '.. RAKOCZY WELKER.EN'IERP.RISESJINCby the Oregon Utility PO BOX 395 ','~:i'fi~~;i;'~'c~~\~r. Those rules are set forth CRESWELL OR 97~26 2-001-0010 through OAR 952.001- ,n nAR !15 . , 0090. You rnav obtain COpl"~ UI ,,'C ,~,~~ -} calling nlnt.Ul'tl,N\:G1i0R\INFORM>\'fION I ber for the Oregon UlIlIlY "U\I""'''''~'' Contract8~rn Center is 1,800-332-2344). License RAKOCZY WELKER ENTERPRISES INC 56636 EVERYDAY ELECTRICAL SERVICE 136371 SUNSET ELECTRIC INC 158859 RS PLUMBING CONTRACTING 103816 Owner: Address: 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 I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Subdivision Not Accepted Street Improvements: Slorm Sewer Available: Special Instruction: # of Stories: 2 Lot Size: Height ofSlructure 27.00 Sq Ft 1st Floor: Type of Heat: Wall Heat Sq Ft 2nd Floor: W '''m-tn,.. E' aterJ ,~pe::. lectTlc Sq Ft Basement: Ran'g~l\lype.;RMIT SHALLEie'Jik1: IF s~IFIt~~~~e/Carport Ene~HI'Wh:,IZED UNDER ll~!ti PERrSqTFlfOthcr: Sprinl<led,Building: OR IS AlnlamONl~tf6'JilIl1t Load: vUlVllvltl~IJC~ ,-"" ' ...,. ....... ...... ,.---......".. I DEVELOPMENT'INFORMATION I BUILDING INFORMATION I 2 R-3 U VN 6 18,00 10.00 12.00 17.00 32.50 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Fully Improved Yes Notes: No hookup to storm or sanitary sewer until council acceptance of PIP Page I of 4 Phone Number: 541-513-2228 Expiration Date OS/22/2008 08/12/2007 02/27/2008 01104/2008 Phone 54 I -895-8606 541-607-6908 54 I -9 I 5-4883 541-461-4714 4,623 1,080 1,360 506 I Yes 26.40 REQUIRED PARKING . . Total: 4 Handicapped: Compact: Sidewalk Type: DownspontslDrains: Cnrbside 5' Curb and Guller Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54 I -726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Dwellines Garaee V Wood Frame Garaee Fee Description Plan Review Same As -Mechanical Issuance Fee- + 10% Administrative Fcc + 80/0 State Surcharge 2 Baths One or Two Family Addressing Assignment Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Plan Review Major - Planning Plan Review Same As PW Disc - 2nd Permit (Street) Residence Wiring 1000 Sq Ft Residence Wiring Ea AddU 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 Storm Sewer Each AddU 100' Temp Power 200 amps or less Vent Fan Willamalane Attached (duplex) Total Amount Paid . I Valuation Descrintion I $ Per Sq Ft or multiplier $99.00 $26.00 Square Footage or Bid Amount 2,440.00 506.00 Total Valne of Project Fpp(', P-:JirU Amount Paid $100.00 $10.00 $210.67 $156.75 $508.00 $62.00 $1,069.40 $80.00 $12.00 $18.00 $147.30 $198.00 $100.00 $-30.00 $212.00 $38.00 $648.38 $852.38 $10.00 $1,730.62 $164.06 $159.48 $144.oJ $1,611.40 $365.38 $80.00 $687.99 $28.00 $50.00 $24,00 $1,848.00 $11,295.84 Date Paid 6/14/06 8/18/06 8/18/06 8/18/06 8/18/06 8/18/06 8/18/06 8/18/06 8/18/06 8/18/06 8/18/06 8/18/06 8/18/06 8/18/06 8/18/06 8/18/06 8/18/06 8/18/06 8/18/06 8/18/06 8/18/06 8/18/06 8/18/06 8/18/06 8/18/06 8/18/06 8/18/06 8/18/06 8/18/06 8/18/06 8/18/06 Paee 2 of 4 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00738 ISSUED: 08/18/2006 APPLIED: 06/14/2006 EXPIRES: 02/18/2007 VALUE: $ 254,716.00 Value Date Calculated $241,560.00 $13,156.00 $254,716.00 06/14/2006 06/14/2006 Receipt Number 1200600000000000872 1200600000000001289 1200600000000001289 1200600000000001289 1200600000000001289 1200600000000001289 1200600000000001289 1200600000000001289 1200600000000001289 1200600000000001289 1200600000000001289 1200600000000001289 1200600000000001289 1200600000000001289 1200600000000001289 1200600000000001289 1200600000000001289 1200600000000001289 1200600000000001289 1200600000000001289 1200600000000001289 1200600000000001289 1200600000000001289 1200600000000001289 1200600000000001289 1200600000000001289 1200600000000001289 1200600000000001289 1200600000000001289 1200600000000001289 1200600000000001289 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review Plan nine Review 06/15/2006 06/16/2006 I Plan Reviews I 06/16/2006 APP 07/17/2006 APP Public Works Review Structural Review 07/06/2006 07/14/2006 APP APP 06/16/2006 06/16/2006 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00738 , ISSUED: 08/18/2006 APPLIED: 06/14/2006 EXPIRES: 02/18/2007 VALUE: $ 254,716.00 LLH TAJ Same as 401 and 403 South 41st Condition #8 of the subdivision approval requires that the street tree on Lot II shall be placed adjacent to the panhandle drive for lots 12 and 13, setback a minimum of 10' so as to he outside the vision clearance triangle. MS DLM "same_as" plans reviewed by Jason Bush. Plao review comments are attached to plans. 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. UeouirerUnsnections I 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 noor 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. Firewall: Located and constructed according to plans. 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. Undernoor Plumbing: Prior to insulation or decking. Undernoor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to liIIing trench and including required testing. Sanitary Sewer Line: Prior to tilling trench and including required testing. Paee 3 of 4 . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00738 ISSUED: 08/18/2006 APPLIED: 06/14/2006 EXPIRES: 02/18/2007 VALUE: $ 254,716.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete, Underlloor Mechanical. Prior to insulation or decking and including required testing. 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. Curbcut - Standard: After forms are erected but prior to placement of concrete. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. 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 ofany 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 timesduringcoTlio'8 V- ??/Ii/()(, Owner or Contractors Signature Date Pa2e 4 of 4 225 Fif~h Street Springfield, Oregon 97477 541-726-3759 Phone .~~ <a of Springfield Official Receipt _Iopment Services Department Public Works Department Job/Journal Number COM2006-00738 COM2006-00738 COM2006-00738 COM2006-00738 COM2006-00738 COM2006-00738 COM2006-00738 COM2006-00738 COM2006-00738 COM2006-00738 COM2006-00738 COM2006-00738 COM2006-00738 COM2006-00738 COM2006-00738 COM2006-00738 COM2006-00738 COM2006-00738 COM2006-00738 COM2006-00738 COM2006-00738 COM2006-00738 COM2006-00738 COM2006-00738 COM2006-00738 COM2006-00738 COM2006-00738 COM2006-00738 COM2006-00738 COM2006-00738 LDP2006-00 169 LDP2006-00 169 Payments: Type of Payment Check Cash Change cReceinll RECEIPT #: 1200600000000001289 Date: 08/18/2006 Description Addressing Assignment Willamalane Attached (duplex) Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Fire SF Fee - Residential Plan Review Same As Building Permit 2 Baths One or Two Family Storm Sewer Each Addtl 100' Vent Fan Exhaust Hoods Dryer Vent -Mechanical Issuance Fee- + 8% State Surcharge + 10% Administrative Fee Sidewalk Permit Curbcut Permit PW Disc - 2nd Permit (Street) 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 Storm Drainage Impervious Area Plan Review Major - Planning . LDAP Short Form + 5% Technology Fee Paid By COMMERCIALESCROW INC RW HOMES RW HOMES Item Total: Check Number Authorization Received By Batch Number Number How Received djb 5761 In Person djb In Person djb In Person Payment Total: Page I of3 I:42:20PM Amount Due 62.00 1,848.00 212.00 38.00 50.00 147.30 100.00 1,069.40 508.00 28.00 24.00 18.00 12.00 10.00 156.75 210.67 80.00 80.00 (30.00) 852.38 648.38 365.38 1,611.40 164.06 1,730.62 10.00 159.48 144.03 687.99 198.00 300.00 i5.00 $11,510.84 Amount Paid $11,502.59 $20.00 ($11.75) $11,510.84 8/18/2006 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ";~;;l;l!":' ~ ELECTRICALPEFJtlJT APXLJPATION <;t1J.lv"""5i.: \>AW' City Job Number ~ ' 'l;:)Y') Date ~ 2.rro(P I. K'.LOCA'i10N"OF iNSj;,u,,',i:ATiON,/~>'.+.i;l '. ~coMPiEiEFEE sCHiiDriLE'BELOW,"":,: Jt/:/,~'.j' :,,:,.~, ::.1 "4t~"T4~\n'(iCY':"~~~"~'~""-" .,'".,' . ,"". "~ JlD~ .DS\D07)..W.( A.!::~:;~:"';;i;,,,,;~'ii''''''i..'i''''.!i'i'"iif, I JOBDESCRlPTIOl'j., ~ '. 1000 sq. ft. or less ~ $106.00 -21'2.-- f'\. \ . ~ \ n ....^ n., _ "\ d rI) Each additional 500 sq. ft. or Il n oi \JU.(\\W -t \\M-'\(\\()~ portion thereof "// $19.00----.:i..h.. Permits ar~on-;r:usferable and eXPi~ if work is ' Each Manuf~F,t;g,):fome.o~ ou \0 not started within 180 days of issuance or if work is Modular Dwelling Service,or\illty Suspended for 180 days. } Feeder , ,,, ~' .; :Jt lor",' i _...... 2. F9Q&~gti;J~:~ms!~,'~l~1tI/lg:Qflt!t~ B. ~~~IS~~7~t,t~~~~~r~f~:~if~mrli~~:;!9t~~[:;fi~i~~:~:Eiff~,~~'~;f!)~'!~Y':;\'1 . 'r" ," ~. ,~ ,..... VI ~"... . /yl /( I" '. . .,,," ' \, hone Electrical ConlTactor tNe..(U /1, \ 1-. tC ,\-y,\l(',. 200 ~mpspr ..!~ss \' 3 tl; up \ ~ J c_" ,. ~26rA'mps't0400,Ahip~\otlllca 10. Address P~6 1~1_ Ca< W-1. f)i\li-;<,iOll.\I'A\J~":'4m""A~R~t~600)Amp..4). - ' L;entef \~ .' -- 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only $50.00 City ~.&.... Phone G01-' G~O't $ 63.00 $ 75.00 $i25.00 $163.00 $375.00 $ 50.00 Supervisor License Number 4(. () y S' Expiration Date loll /ZCb' c. ~[f~jrrip~/~>t,y;'$~*i~i~~:tiI;F~~dc;s' ~(,~ l: '1 ConslT. ConlT. Number l~'Z,11 - <6h1/(f~ Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps l $ 50.00 $ 69.00 $100.00 5) Expiration Date Over 600 Amps or 1000 Volts see "B" above. . " . D.Jt-a ''''/i',C;' "1""':\,.,," ,;';" 't;. :"''il" ,:.,' _.,e' '1':;';J SIgnature ofSupervlsmg ElectncIan l..l!J+~<<;~ls, ~'.'<iJ'N;'':c.',~.~(:~tF 'i..'I.iJ.."!;l ': -1_"'~"_"!';_tl~'.,1 ;;:,i\';::~.:,~ ~ L~--J'I/ TIl:i€wrAlterat\oD'or,\Extension,FerFPa~eJ. WQ /// '- ('_'''1l11 Ullf"\LL L^itMt lINt RI( ~_ ' Al9lfi,ei9'R!!'W UNDER THlc; pmL"~ 1- . $,'43.00 H /' -~ _ C(Each.Additional Circui~or w'itH IIVIII u IWT . '-. S~\~~r~i'FUdkp~hnittJANUONFn Fm~ $ 3.00 ,. Owners Nan e \ l) . , ,AIH I/JU DAY PERIOD. ' I :~.l\lo.ill.. ,.""~ ~\ '0 .w:Lt,~~~~:~::",,",ik;~;ii~;f.cli;:::~:"'""'~i"l Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 OWNER INSTALLATION The installation is being made on property 1 own which is not intended for sale, lease or rent. Inspection Request: 726-3769 Miuimum Electric Permit Inspection Fee is $45.00 + SUrChargesoJ r,'N ,..,...,"',.',..,'"..,',."..,.."....1 ~ 4. ,SUBTOTAL,Oli:ABOVE ;'" ", ;'?i~_"_..:.....~:.<!_~._-.~.,,':-.....:.,:-..+...._._.,...... -,'.~, ~".'_ J 7%'State Surcharge .W 10% AdminisITative Fee 1-.( yO- TOTAL ?-'rrA.aU . Owners Signature: Shared Drive(T:)/Building FormslElectrical Permit Application ~-03.doc , . ..,' CITY OF SINGFIELD SYSTEMS DEVELOPMEN_ORKSHEET JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS C0M2006-00738 RaKo!'.."YlWelker 4184/4186 Glacier View Dr 18020522 TL. 05100 SINGLE F AMIL Y RESIDENCE 2 BUILDING SIZE (SF: 2946 LOT SIZE (SF): 6000 'r-- IrJJ U.l I~ ~ rJJ (3 gj I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. ,I COST PER S.F. CHARGE I I 2130.00 I $0.323 I = I $687.99 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCfED 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 $0.323 I I 50% ' ~ 1 ITEM 1 TOTAL - STORM DRAINAGE SDC $687.99 I 7, SANITARY SEWER - rlTY A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I 34 I COST PER DFU $25.07 B. IMPROVEMENT COST: I NUMBER OF DFU's I x 34 I $19.07 ITEM 2 TOTAL - CITY SANITARY SEWER SDC 1, TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE I x 9.57 B. IMPROVEMENT COST: I ADT TRIP RATE I x I 9.57 I I NUMBER OF UNITS I x I I 2 I I I NUMBER OF UNITS I x I I 2 I I 4 SANITARY SEWER - MWMC ITEM 3 TOTAL - TRANSPORTATION SDC DISCOUNT $0.00 $687.99 $852.38 $648.38 = , $1,500,76 11070 11091 1092 11093 I 11094 I A. REIMBURSEMENT COST: I NUMBER ~F FEU's I x B. IMPROVEMENT COST: INUMBER 20F FEU's I x ICOST PER FEU I $865.31 MWMC CREDIT IF APPLICABLE (SEE REVERSE) ICOST PER FEU I $82.03 MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , SUBTOTAL (ADD ITEMS I, 2, 3, & 4) ~ , 5 AI1MINISTRATIVE FEE: I SUBTOTAL x I ADM. FEE RATE 1= I I $6.070.21 I 5% I I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Cheryl Slaymaker PREPARED BY COST PER TRIP $19.09 x INEW TRIP F ACTORI I 1.00 I $365,38 = , COST PER TRIP $84.19 $1,976.78 x INEW TRIP FACTORI I 1.00 I $1,611.40 = $164,06 11054 = $1,730.62 , 1055 $0,00 11054 $10.00 11056 $1,904.68 $6,070.21 CHARGE $303.51 159.48 $144.03 7/612006 TOTAL SDC CHARGES =, $6,373.72 DATE 1079 11078 , . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE II I NUMBER OF NEW FIXl1IRES x UNIT EQUIVALENT - DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDmONAL FIXl1IRES) NO. OF FIXTURES UNIT FIXTURE TYPE NEW OLD EOUIV ALENT BATHTUB 2 0 3 = DRINKING FOUNTAIN 0 0 1 = FLOOR DRAIN 0 0 3 = INTERCEPTORS FOR GREASE lOlL I SOLIDS I ETC. 0 0 3 = INTERCEPTORS FOR SAND I AUTO WASH I ETC. 0 0 6 = LAUNDRY TUB 0 0 2 = ICLOTHESWASHER I MOP SINK 0 0 3 = ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = IRECEPTOR FOR REFRlG I WATER STATION I ETC. 0 0 1 = !RECEPTOR FOR COM. SINK I DISHWASHER I ETC. 2 0 3 = ISHOWER. SINGLE STALL 0 0 2 = I SHOWER. GANG (NUMBER OF HEADSl. 0 0 2 = I SINK: COMMERCIALlRESIDENTIAL KITCHEN 2 0 3 = I SINK: COMMERCIAL BAR 0 0 2 = ISINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = ISINK: SINGLE LAVATORYIRESIDENTIAL BAR 4 0 1 = IURINAL, STALL! WALL 0 0 5 = ITOILET. PUBLIC INSTALLATION 0 0 6 = ITOILET. PRIVATE INSTALLATION 4 0 3 = MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = TOTAL DRAINAGE FIXTURE UNITS *EDU (EQuivalent Dwellin~ Unit) is 8 discharee eauivalent to a sin~lc family dwellinll unit (20 DFU's) set at 167 JtBllons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE I[ I I I I I I I I 2 '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/S I ,000 ASSESSED VALUE $5.29 $5.29 $5.19 $5.12 $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 ANNEXA nON CREDIT? (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR CREDIT FOR LAND (IF APPLICABLE) VALUE I 1000 CREDIT RATE $0.00 x ' $5.29 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXA nON) VALUE I 1000 CREDIT RATE $0.00 x $5.29 TOTAL MWMC CREDIT = DRAINAGE FIXTURE UNITS 6 I o I o I o I o I o I o 1 o I o o 6 o o 6 o o 4 o o 12 I :j 2 1979 ~ , sO.oo o $0.00 '. , RECEIPT ~ 1200600000000001289 .te: 08/18/2006 I :42:20PM Job/Journal Number Description Amount Due COM2006-00738 Addressing Assignment 62.00 COM2006-00738 Willamalane Anached (duplex) 1,848.00 COM2006-00738 Residence Wiring 1000 Sq Ft 212.00 COM2006-00738 Residence Wiring Ea AddU 500 38.00 COM2006-00738 Temp Power 200 amps or less 50.00 COM2006-00738 Fire SF Fee - Residential 147.30 COM2006-00738 Plan Review Same As 100.00 COM2006-00738 Building Permit 1,069.40 COM2006-00738 2 Baths One or Two Family 508.00 COM2006-00738 Storm Sewer Each Addtl 100' 28.00 COM2006-00738 Vent Fan 24.00 COM2006-00738 Exhaust Hoods 18.00 COM2006-00738 Dryer Vent 12.00 COM2006-00738 -Mechanical Issuance Fee- 10.00 COM2006-00738 + 8% State Surcharge 156.75 COM2006-00738 + 10% Administrative Fee 2iO.67 COM2006-00738 Sidewalk Permit 80.00 COM2006-00738 Curbcut Permit 80.00 COM2006-00738 PW Disc - 2nd Permit (Street) (30.00) COM2006-00738 Sanitary Sewer - Reimbursement 852.38 COM2006-00738 Sanitary Sewer - Improvement 648.38 COM2006-00738 SDC Transpo Reimbursement 365.38 COM2006-00738 SDC Transpo Improvement 1,611.40 COM2006-00738 SDC MWMC Reimbursement 164.06 COM2006-00738 SDC MWMC Improvement 1,730.62 COM2006-00738 SDC MWMC Administration 10.00 COM2006-00738 SDC Sanitary/Storm Admin 159.48 COM2006-00738 SDC Transpo Admin 144.03 COM2006-00738 Storm Drainage Impervious Area 687.99 COM2006-00738 Plan Review Major - Planning 198.00 LDP2006-00 169 LDAP Short Form 300.00 LDP2006-00 169 + 5% Technology Fee 15.00 Item Total: $ II,5 10.84 Payments: Check Number Authorization Type of Payment Paid By Received By Batch Number Number How Received Amount Paid Check COMMERCIALESCROW INC djb 5761 In Person $11,502.59 Cash RW HOMES djb In Person $20.00 Change RW HOMES djb In Person ($11.75) Payment Total: $11,510.84 cRcccint 1 Page 3 of3 8/18/2006