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Home My WebLink AboutPermit Building 2008-5-8 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00491 ISSUED: 05/08/2008 APPLIED: 04/09/2008 EXPIRES: 11/08/2008 VALUE: $ 249,661.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2829 PIERCE PKWY ASSESSOR'S PARCEL NO.: 1702302300101 SPRINGFIETYPE OF WORK: Duplex TYPE OF USE: New Commercial PROJECT DESCRIPTION: Duplex and Office for A Storage Place of Springfield -Office 2829, Duplex 2825/2827 Owner: A STORAGE PLACE OF SPRINGFIELD Address: 23455 SW GAGE ROAD WILSONVILLE OR 97070 Phone Number: 503-638-3703 I CONTRACTOR INFORMATION I Contractor Lice~~~~l\r~Xp;r.at.il?nrU~f~re~~epe I MENTRUM ARCHITECTURAL N~'j:IJ r~j,~tt adopted by the rn~al~j A2 CONSTRUCTION 164~R'~~~~!;,~ C%~hjj,/iitoose ru/e~th1~~f~ II TIMBERLINE CONTRACTING & INVESTMI162~O. Y(J~12n?~1:0,:~YiWifou9h QmB~~ .4 I BUILDING INFORMATION ~allbing the cerit~/"iN~~':t:th~Tt~~: r~/es by m er for the Oregon Ut'/'t N J? one Ce to ' , I Y ot,f,cation. # of Units: 2 # of Stories: 1 n'Blitl~ihBOO-332-2344J r4z,714 Primary Occupancy Group: R-3 Height of Structure 18.00 Sq Ft 1st Floor: · 2,399 Secondary Occupancy Group: B Type of Heat: Forced Air Gas Sq Ft 2nd Floor: Primary Construction Type VB Water Type: Electric Sq Ft Basement: Secondary Construction TypeNOTlCE: Range Type: Gas Sq Ft Garage/Carport # of Bedrooms: THIS PEffMIT SHAL,E~U~ Path:, Path 1 Sq Ft Other: ~UTHOR/ZE 1sp:i1B1{~i ffiIiltUilWORK n/a Occupant Load: ,() /ll\ln~R TI-I19 P:~MIT ID ~OJ COMMENCE ~ -- - ATION ANY 180 DA Contractor Type Architect General Sewer 20 REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: Pa2e 1 of 5 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2008-00491 ISSUED: 05/08/2008 APPLIED: 04/09/2008 EXPIRES: 11/08/2008 VALUE: $ 249,661.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I A.C. - Commer A.C. - Residen Dwellin2S Offices AC - Commercial AC - Residential V Wood Frame VN $ Per Sq Ft or multiplier $5.00 $5.00 $105.00 $78.00 Square Footage or Bid Amount 527.00 1,872.00 1,872.00 527.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $2,635.00 $9,360.00 $196,560.00 $41,106.00 $249,661.00 04/11/2008 04/11/2008 04/11/2008 04/11/2008 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Comm/Ind/Public $758.55 4/9/08 2200800000000000422 + 10% Administrative Fee $79.20 4/24/08 2200800000000000513 + 12% State Surcharge $95.04 4/24/08 2200800000000000513 + 5% Technology Fee $39.60 4/24/08 2200800000000000513 Backflow Device $32.00 4/24/08 2200800000000000513 Miscellaneous Plumbing $450.00 4/24/08 2200800000000000513 Sanitary Sewer - 1st 50 Feet $50.00 4/24/08 2200800000000000513 Sanitary Sewer Each Addtll00' $80.00 4/24/08 2200800000000000513 Storm Sewer - 1st 50 Feet $50.00 4/24/08 2200800000000000513 Storm Sewer Each Addtll00' $80.00 4/24/08 2200800000000000513 Water Line - 1st 50 Feet $50.00 4/24/08 2200800000000000513 -Mech Iss 2+ Appliances- $80.00 5/8/08 1200800000000000443 + 10% Administrative Fee $149.41 5/8/08 1200800000000000443 + 12% State Surcharge $161.74 5/8/08 1200800000000000443 + 5% Technology Fee $67.39 5/8/08 1200800000000000443 Addressing Assignment $105.00 5/8/08 1200800000000000443 Air Handling Unit Up to 10,000 $18.00 5/8/08 1200800000000000443 Building Permit $1,159.84 5/8/08 1200800000000000443 Dryer Vent $14.00 5/8/08 1200800000000000443 Exhaust Hoods $20.00 5/8/08 1200800000000000443 Fire SF Fee - Non-Residential $52.70 5/8/08 1200800000000000443 Fire SF Fee - Residential $93.60 5/8/08 1200800000000000443 Fixture $16.00 5/8/08 1200800000000000443 Furnace - more than 100,000 $34.00 5/8/08 1200800000000000443 Gas Outlets 1-4 $10.00 5/8/08 1200800000000000443 Sanitary Sewer - Improvement $693.74 5/8/08 1200800000000000443 Sanitary Sewer - Reimbursement $912.33 5/8/08 1200800000000000443 SDC MWMC Administration $10.00 5/8/08 1200800000000000443 SDC MWMC Improvement $407.31 5/8/08 1200800000000000443 SDC MWMC Reimbursement $39.21 5/8/08 1200800000000000443 SDC Sanitary/Storm Admin $139.94 5/8/08 1200800000000000443 SDC Transpo Improvement $513.35 5/8/08 1200800000000000443 SDC Transpo Reimbursement $116.38 5/8/08 1200800000000000443 Pa2e 2 of5 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SDC Transportation Admin Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan Willamalane Attached (duplex) $36.18 $830.10 $55.00 $21.00 $5,452.00 Total Amount Paid $12,972.61 5/8/08 5/8/08 5/8/08 5/8/08 5/8/08 I Plan Reviews I Initial Review 04/11/2008 04/11/2008 Initial Review 04/14/2008 04/14/2008 Planninl! Review 04/14/2008 04/15/2008 Initial Review 04/21/2008 04/21/2008 Plumbinl! Plan Review 04/21/2008 04/23/2008 Structural Review 04/14/2008 04/24/2008 Plan Review Comments 04/25/2008 04/25/2008 WE LLH APP LLH APP MRM APP LLH OK SKG APP LLH 10 LLH Pal!e 3 of 5 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00491 ISSUED: 05/08/2008 APPLIED: 04/09/2008 EXPIRES: 11/08/2008 VALUE: $ 249,661.00 1200800000000000443 1200800000000000443 1200800000000000443 1200800000000000443 1200800000000000443 Site Plan not included with submittal. Spoke with Bernard Mentrum (503-248-0385) this morning to request site plan. I told him the plans could not be processed until the site plan was received. Site plan submitted. Okay to process Duplex as on-site Manager's residence approved by Mark Metzger 4/15/08. To be built per approved Final Site Plan. Site plan submittal for plumbing review Review of lines from site plan Plans reviewed by Mick Nolte with the BuIlding Department for review under contract with the City of Springfield. Original plumbing permit for site work included fixtures including both baths for duplex and two fixtures for office. One additional fixture will be charged with permit for structure construction. All other plumbing permits have been paid as shown on plans to date. If additional plumbing is added, additional plumbing permits could be due. CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2008-00491 225 Fifth Street, Springfield, OR ISSUED: 05/08/2008 APPLIED: 04/09/2008 541-726-3753 Phone EXPIRES: 11/08/2008 541-726-3676 Fax 541-726-3769 Inspection Line VALUE: $ 249,661.00 Fire Department Review 04/14/2008 05/02/2008 OK GRG Plans Review: office and attached duplex for storage unit facility. Job #COM2008-00491. Occupancy Classifications: Band R-3. Construction Type: V -B. 2,399 sq. ft Occupant Load: 20. Provide address numbers in contrasting color from the background positioned plainly visible and legible from the street or road fronting the property (2007 Oregon Structural Specialty Code 501.2 and 2007 Springfield Fire Code 505.1). Provide fire extinguishers with a minimum rating of2-A:I0-B:C every 75 feet of travel distance. The top of the extinguisher(s) shall be between 3 and 5 feet above finished floor (2007 Springfield Fire Code 906). A fire extinguisher shall be placed in each duplex unit and in thf office. Above the office main exit door, provide sign stating "THIS DOOR MUST REMAIN UNLOCKED DURING BUSINESS HOURS" if key locking hardware is employed (2007 OSSC 1008.1.8.3, exception 2.2), Public Works Review 04/14/2008 05/02/2008 APP JHJ Attached SDC Worksheet. (JHJ) 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. ~eouiredJnsnections . 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 floor insulation or decking. Pal!e 4 of 5 CITY OF SPRINGFIELD. Building/Combination Permit Status Issued PERMIT NO: COM2008-00491 ISSUED: 05/08/2008 APPLIED: 04/0912008 EXPIRES: 11/08/2008 VALUE: $ 249,661.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. 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 trench. 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 Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Plumbing: When all plumbing work is complete. Final Building: After all required inspections have been requested and approved and the building 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 5:'d~~w f'"~t of the prop"~, aod the approved: ~;;::the site at an Own;r or ~racto;; Signature Date / Pa2e 5 of5 3. ZON 1m. \ INITIALS l 14. AM.. DATE 4.. tl. D<n "ilI1' SOURCE ~r- Date 5 ~'O't , COMPUH1!..FEE SCHEDr)iE BELOW 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION CIty Job Number ~YJ "\<\ \. , ~ L q.~~ei(L'~f~~ LiYh ~l!f.~N CO \ 0 \ -- \ Over 600 Amps or 1000 Volts see "B" above. D. Bra~€i~\l~ f\fQ FfViirl New AlI*~ffitf9i!iQi\l$ltGi~~hlPc&~ IF THE WORK One CMPltfiURIZED Ui~DER THIS PERrviln~.80NOT ct~I1" DrrtM f Cnul~~~~~~Nee~e1Wf~ABANDONE~ ~~~ Owners Name rr ~~\J' 0 crr~ ANv rgU57WPERIOD. Address .'l2)~~ S 5\.t ") ~~ 0 E. Miscellaneous (Service/feeder not incI~~~d)-E~ch ~stal1ation CIty ~\Jt ll.e ./ Phone~.lp 3~' 31C2> Pump or Irrigation $ 55 00 Sign/Outline LIghting $ 55,00 LImited EnergylResidential $ 28,00 LImIted Energy/Commercial $ 50 00 Minimum Electric Permit Inspection Fee is $50.00 + Surcharges _, \ 4. SUBTOTALOFABOVE ....oc.., b~PU 12% State Surcharge lo {pf..t 10% Administrative Fee ~ .5 5% Technology Fee 1J.... ., LA.~ -1-~V~eK C . Permits are non-transferable and expire ifwor is not started within 180 days of issuance or if work is Suspended for 180 days. cONn<AcroR~TITY Elect al Contractor / / Address Phi I f I I ber I CIty Supervisor License N ExpIration Date I / \ OWNER INSTALLATION The mstallation is being made on property I own which is not intended for sale, lease or rent Owners SIgnature' Inspection Request: 726-3769 ~ " 'I 'j> , 'H '<;< i' i A. New Residential- Single 'or Multi-Family per dweUmg unit. '^i ,~~ ',,' \ Service Included 1000 sq. ft or less Each additional 500 sq, ft, or portion thereof $117 00 $ 21.00 Each Manufact'd Home or Modular pwel1irig S'emce or ' ." '"..:. - ':' "(.. $;~ ~ Feeder tc J, _,) ': ,':, .. ~:~:' , 'J'Y"([Y . Notltll.:abon GBllt6i, ; I.H.;~B ! ules a~ e set forth B. ,ServiffU].Ufse~lntt.U~<<N)~~tt@idOii'ia~ocation: , '...0090, You may obtain cople~s of the rules by 200 AmpSCt!I'~~ the center. (Note' the tElllet'iotoone 201 AmPRtm4k)QrAM\Jlshe Oregon Utility N~tglon 401 Amps to 600 ~ter is 1-80U-~~'-''''''ib8.00 601 Amps to 1000 Amps $180.00 Over 1000 AmpsNolts $413 00 Reconnect Only $ 55 00 ~? i'> c. Tem~~ry Se~ces or Feeders /i ~~<( v Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps Yl~{) $ 55,00 $ 76.00 $110,00 TOTAL Shared Dnve(T )IBUlldmg Forrns/Electncal Penmt ApphcatlOn 1-08 doc CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER C0M2008-0049I NAME OR COMPANY: A Storage Place LOCATION: 2829 Pierce Parkway SDC's for residential/office strucutre only MAP & TAX LOT NUMBER: 17 02 30 23 001 01 RemalDl!; SDC's will be assessed with CO M2008-00S88 DEVELOPMENT TYPE: On-Site residences/office for IDlm-stroage facility NEW DEVELOPED AREA (S F ) 2,399 00 MWMC 151 ITE EXISTING DEVELOPED AREA (S F ) MWMC ITE TOTAL IMPERVIOUS SURFACE (S F) 2,399 LOT SIZE (S F) 1. STORM DRAINAGE Impervrous for residential structure only IMPERVIOUS SQ FT 2,399 x $ 0,346 PER SF 151 TOTAL STORM DRAINAGE SDC:! 2. SANITARY SEWER-CITY (see reverse side) A REIMBURSEMENT COST NUMBER OF DFU's B IMPROVEMENT COST NUMBER OF DFU's $ 34 26 833 PER DFU x $ 20 404 PER DFU $ 47.24 TOTALLOCALWASTEWATERSDC:I $ 3. TRANSPORTATION buildmg square footage for residential structure only BLDG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR NEW A REIMBURSEMENT COST 240 x 25 B IMPROVEMENT COST 240 x 25 EXISTING A REIMBURSEMENT COST o 00 x 0 B IMPROVEMENT COST 000 x 34 x 1,60607 I 095 NTF $11638 1 $513351 x $ 2043 PER TRIP x x $ 90 10 PER TRIP x 095 NTF $0001 x $ 2043 PER TRIP x o NTF o $ 90 10 PER TRIP x 0 NTF $000 ! $ 110.53 TOTAL TRANSPORTATION REIMBURSEMENT SDC TOTAL TRANSPORTATION IMPROVEMENT SDC TOTAL TRANSPORTATION SDC:I $ 62973 bmldmg square footage for residential structure only x 4. SANITARY SEWER - MWMC NEW A REIMBURSEMENT COST NUMBER OF FEU's B IMPROVEMENT COST NUMBER OF FEU's $1635 PER FEU $3921 ! $407311 240 x $16978 240 PER FEU x EXISTING A REIMBURSEMENT COST NUMBER OF FEU's 0 00 B IMPROVEMENT COST NUMBER OF FEU's 0 00 MWMC CREDIT IF APPLICABLE (SEE REVERSE) x #N/A PER FEU $0001 $000 ! x #N/ A PER FEU TOTAL MWMC REIMBURSEMENT FEE TOTAL MWMC IMPROVEMENT FEE MWMC ADMINISTRATIVE FEE TOTAL MWMC SDC:I $ 456521 SUBTOTAL (ADD ITEMS 1,2,3, & 4) I $3,52243 I S. ADMINISTRA TTVE FEES: BASE CHARGE (SUBTOTAL ABOVE) $ 3,52243 x 5% ! $17612 TOTAL SEWER ADMINISTRATION FEE TOTAL TRANSPORTATION ADMINISTRATION FEE $ ..Q .... tt) 0" \>" .2 '" ~~ !l) "~tt)~>S o6b.g Cr::J & Iii '~8 $830 10 ' ~, $830 10. 11 78 J $912 33 1183 $693 74 ~1184 1,<"'r \ $1,60607 > '>, $11638 l1i3 $513 35 J094 $629 73 $000 $39 21 $407 31 $ 10 00 $456 52 1054 1186 1l8] 'C, 1/89 Jesse Jones CIVil Engineer, EIT TOTAL SDC CHARGES $13994 )175 ,,> 3618 1190 $3,698 55 5/2/2008 DATE DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) On-Site residences/office for rrum-stroage facility FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN, FLOOR SINK INTERCEPTORS FOR GREASE/OIUSOLIDS/ETC INTERCEPTORS FOR SAND/AUTO WASH/ETC LAUNDRY TUB CLOTHES W ASHER/MOP SINK CLOTHES WASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIGERA TOR/W A TER ST A TION/ETC RECEPTOR FOR COMMERCIAL SINK! DISHW ASHER/ETC SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK COMMERCIAL, RESIDENTIAL KITCHEN SINK COMMERCIAL BAR SINK WASH BASIN/DOUBLE LAVATORY SINK SINGLE LA V A TORY /RESIDENTIAL BAR URINAL, ST ALUW ALL TOILET, PUBLIC INST ALLA TION TOILET, PRIVATE INSTALLATION MISCELLANEOUS NUMBER OF EDU'S* FIXTURES UNIT NEW OLD EQUIVALENT 3 I 3 3 6 2 2 3 6 12 I 2 3 2 2 2 2 3 2 2 3 I 5 6 3 3 DRAINAGE FIXTURE UNITS o o o o o o 6 o o o 6 4 o 6 o o 3 o o 9 o TOTAL DRAINAGE FIXTURE UNITS = I 34 OEDU (EQUivalent DweIlmg Urnt) IS a dIscharge eqUivalent to a smgle famIly dweIlmg (20 DFU) set at 167 gallons per day CREDIT CALCULATION TABLE BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXA TION DATE IN T ABLE, CALCULATE CREDITS SEPARATELY YEAR ANNEXED 1979 or before 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 RATE PER $1,000 ASSESSED VALUE $529 $519 $512 $498 $4 80 $463 $440 $407 $367 $322 $273 $225 $180 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) YEAR ANNEXED 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 RATE PER $1,000 ASSESSED VALUE $145 $125 $109 $092 $072 $048 $028 $009 $005 $000 $000 $000 x x CREDIT TOTAL $000 $000 $000 Willamalane Park & Recreation District Job. No. Qb~~l SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2008 NAME:}. ~~~fS,~ PHONE:5~-l9?:5-31D3 ADDRESS:~ SWGMr ~ITY \ U\~\J\\lesTATE:DLzIP: cncn.O LOCATION OF PROPOSED BUILDING SJTE: or (\ Street Address: fL((f}.C) *~1 \)\ef({J ~~?rv. ... J Plat Name: l,)(,)'1.ooCn.:?' Tax Lot Number: DO\O \ 1. DEVELOPMENT TYPE (Check appropnate dwelling(s). Dwelling type definitions are on the back ) A. Sinale-Familv Detached NO. OF UNITS X $2,513 per unit = 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 Willarnalane Credit approval.) 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) ~ \..~\r~Dtt.--- I Development s~~artment Date City of Springfield $ $ ~~pO "$ $ $ $ :fA~fL .00 $0" $ 'fl\ r:1L.oD I 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 COM2008-00491 COM2008-00491 COM2008-00491 COM2008-00491 COM2008-00491 COM200S-00491 COM2008-00491 COM2008-00491 COM2008-0049I COM2008-0049I COM2008-00491 COM2008-0049I COM2008-00491 COM2008-00491 COM2008-00491 COM2008-0049I COM2008-00491 COM2008-00491 COM2008-0049I COM2008-0049I COM2008-0049I COM2008-0049I COM2008-00491 COM2008-0049I COM2008-00491 COM2008-00491 COM2008-00491 Payments: Type of Payment Check cRecelOt J RECEIPT #: Date: 05/08/2008 1200800000000000443 DescriptIOn BUlldmg Permit Addressmg Assignment WIllamalane Attached (duplex) Furnace - more than 100,000 Air Handlmg Unit Up to 10,000 Vent Fan Exhaust Hoods Dryer Vent Gas Outlets 1-4 -Mech lss 2+ Apphances- Fire SF Fee - Residential Fire SF Fee - Non-Residential Temp Power 200 amps or less Fixture 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 + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee Paid By A STORAGE PLACE OF SPRFLD Item Total: Check Number Authorization Received By Batch Number Number How Received 1046 In Person NJM Payment Total: Page I of 1 11:26:50AM Amount Due 1,15984 10500 5,452 00 3400 1800 21 00 2000 14,00 IO 00 8000 9360 5270 55.00 1600 83010 91233 693.74 11638 513 35 3921 407 31 IO 00 139 94 36 18 6739 161 74 14941 $11 ,208,22 Amount Paid $11,20822 $11,208.22 5/8/2008