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Home My WebLink AboutPermit Building 2007-4-3 ,. r ep'qIHQF'~' -1Ir":C;""W' , '. . "-' . '" ", ~~' . . ..:_. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6098 Graystone Lp ASSESSOR'S PARCEL NO.: 1702343302900 . .CITY OF ~rKll'll>l'lJ<.~D Building/Combination Permit PERMIT NO: COM2007-00301 ISSUED: 04/03/2007 APPLIED: 02/28/2007 EXPIRES: 10/03/2007 VALUE: $ 500,000.00 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single Family Residence, Lol13, Mounlaingale West Residential Owner: KYLA LOWELL I LYNN MOORE Address: 265 S 68TH STREET SPRINGFIELD OR 97478 Phone Numher: 541-359-7685 Contractor OWNER LYNNS ELECTRIC 102316 10/14/2007 CHARLES ISAAC OSGOOD 168942 03/07/2008 DOUGS PLUMBING INC 110163 11I24/7€J:7.t BUILDING INFORMATION I \\'t. \r \\-\\:. ~~ ~Q\ C~: \.\. 't.'f..?\ C\\\1I\\ \ # of S\~I:);\~ . ~\\ '2>\-\~ \\\1'2> ?'!1.'?tfii~d;)\\ Heigh""'~~~@,1~1l1j~\)'t.~14l/-~\)l8lllj!t 1st Floor: Type of .Hf\lt\CI\\\ "':"We1l,4it (;',Is Sq Ft 2nd Floor: Water TY',*~'t.~c.t. ?'t.\\\~S Sq Ft Basement: Range Type. .... 'CCI \)r-'l Gas Sq Ft GaragelCarport Energy plftll.:'l Path 1 Sq Ft Other: Sprinkled Building: nla Occupant Load:. ,". _.,,'i'e':). ',1\1 I DEVELOPMENT INFORMATION I hr' ~O~')-;\ \~~~O{~c;,~~ c;G\ ,.)~, -'v''''",I .e1 'O'j REQtJlRED,I!ARKING ....-r€.i~'\ -.-IO?' o-elU' Oil.f\':l;.o~, s t Overlay Dist: j:>.\ I "'J$.~HiI~l!!.~.\~ ~C\tolal: ~~ "".e {1.lle 2 # Street Trees RqdiO\\O'l'l ' \Of, Ce'. .clO'\ () \\\ c~~!!dica~.\l~6V'O"~., Paved Drive Rqd:NO\\\\C~~S'Z--oO~e~o\&'\(\ C ~~'!1Pac'k~\\\'t.:1l.\':O' % of Lot Coverage: Op...~ ,~32~90 ~\'i\' \t~O $\\\\\'; ,. ~, I" C 10U ,C\i~' ~ "r.fI~r)" a09 """.~. \\'1 ..~A Ort' _^".'),'3e." - I PUBLIC IMPROVEMENTS I~~n~~;~~&\\!l ',-u- F II I d Sidewalk Type: u y mprove Yes Contractor Type General Electrical Mechanical Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Constr,uction Type Secondary Construction Type: # of Bedrooms: I Frontyard Setback: Side 1 Setback:, Side 2 Setback: Rearyard Sethack: Solar Setbacks: 38.00 '20.00 8.00 47.50 Subdivision Not Accepted Streel Improvements: Storm Sewer Availahle: Special Instruction: I CONTRACTOR INFORMATION I License Expiration Date Phone 541-726-7895 541-988-5674 541-688-3385 1 R-3 U VB 16,045 1,641 1,355 1,282 3 DownspoutslDrains: Curhside 5' To Slorm Sewer Noles: For this parcel in Mt. Gate Wesl, it is the recommendation 10 the Building Division, by the City Engineer: "that final occupancy should not be given until the subdivision is accepled by City Council". Storm H20 to designated lateral.JLP 3/27/07 Paee 1 of 4 . ecITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-0030I ISSUED: 04/03/2007 APPLIED: 02128/2007 EXPIRES: 10/03/2007 Y ALUE: $ 500,000.00 Status Iss\led 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line I Yah"jtion Descriotion I 11111111 Estimate Tvpe of Construction Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 500,000.00 Value Date Calculated Description Total Value of Project $500,000.00 $500,000.00 02/28/2007 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $1,212.67 2/28/07 2200700000000000270 -Mechanical Issuance Fee- $10.00 4/3/07 1200700000000000350 + 10% Administrative Fee $273.86 4/3/07 1200700000000000350 + 5% Tecbnology Fee $142.63 4/3/07 1200700000000000350 + 80/0 State Surcharge $201.97 4/3/07 1200700000000000350 3 Batbs One & Two Family $306.00 4/3/07 1200700000000000350 Addressing Assignment $31.00 4/3/07 1200700000000000350 Building Permit $1,865.65 4/3/07 1200700000000000350 Curbcut Permit $80.00 4/3/07 1200700000000000350 Dryer Vent $6.00 4/3/07 1200700000000000350 Exbaust Hoods $9.00 4/3/07 1200700000000000350 Fire SF Fee - Residential $213.90 4/3/07 1200700000000000350 Fireplace (Listed) $15.00 4/3/07 1200700000000000350 Furnace - up to 100,000 btu $12.00 4/3/07 1200700000000000350 Gas Outlets 1-4, $4.00 4/3/07 1200700000000000350 Plan Review Major - Planning $198.00 4/3/07 1200700000000000350 PW Disc - 2nd Permit $-30.00 4/3/07 1200700000000000350 Residence Wiring 1000 Sq Ft $106.00 4/3/07 1200700000000000350 Residence Wiring Ea Addtl 500 $133.00 4/3/07 1200700000000000350 Sanitary Sewer - Improvement $653.09 4/3/07 1200700000000000350 Sanitary Sewer - Reimbursement $858.88 4/3/07 1200700000000000350 SDC MWMC Administration $10.00 4/3/07 1200700000000000350 SDC MWMC Improvement $961.52 4/3/07 1200700000000000350 SDC MWMC Reimbursement $91.61 4/3/07 1200700000000000350 SDC Sanitary/Storm Admin $211.29 4/3/07 1200700000000000350 SDC Transpo Admin $63.59 4/3/07 1200700000000000350 SDC Transpo Improvement $836.32 4/3/07 1200700000000000350 SDC Transpo Reimbursement $189.58 4/3/07 1200700000000000350 Sidewalk Permit $80.00 4/3/07 1200700000000000350 Storm Drainage Impervious Area $1,896.57 4/3/07 1200700000000000350 Temp Power 200 amps or less $50.00 4/3/07 1200700000000000350 Vent Fan $18.00 4/3/07 1200700000000000350 Willamalane Single Family $2,303.00 4/3/07 1200700000000000350 Total Amount Paid $13,014.13 Pa~e 2 of 4 . Status I Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 54!-726-3769 Inspection Line Initial Review Plan nine Review 03/01/2007 03/01/2007 Public Works Review 03/01/2007 Structural Review 03/01/2007 Structural Review 03/15/2007 I Plan Reviews I 03/01/2007 APP 03/30/2007 APP 03/27/2007 APP 03/1512007 10 03/20/2007 APP .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00301 ISSUED: 04/03/2007 APPLIED: 02/28/2007 EXPIRES: 10/03/2007 VALUE: $ 500,000.00 LLH TAJ Place orange construction fencing along the Conservation Easment. No construction is allowed in this area. Choose street trees from the list of "Native Trees in Hillside Development" on page 6-4 of the street tree handout. For this parcel in Mt. Gate West, it is the recommendation to tbe Building Division, by the City Engineer: "that final occupancy should not be given until the subdivision is accepted by City Council". Storm H20 to designated lateral. Rcvd in PW 3/5/07. Requested to expedite 3/23/07JLP 3127/07 Plans forwarded to The Building Department for Structural Review. Plans reviewed and approved by Sbawn Eaton with The Building Department under contract with the City of Springfield JLP LLH LLH 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. ~1~lfIolrt 1.'''''11IP'r''ti~ 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. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Erosion/Grading Inspection: Prior to gronnd 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. Foundation: After forms are erected but prior to concrete placement. Paee 3 of 4 . .CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2007-00301 ISSUED: 04/03/2007 APPLIED: 02/28/2007 EXPIRES: 10/03/2007 VALUE: $ 500,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Post and 'Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing;lnspection: 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. Final Building: After all required inspections bave been requested and approved and the building is complete. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. Underfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. Sanitary Sewer Line: Prior to filling trencb and including required testing. Storm Sewer Line: Prior to filling trencb. Water Li,ne: Prior to filling trencb and including required testing. Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Underfloor Gas: After line is installed and required testing and capped ifnot attacbed 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 Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. 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 eacb 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. 1-/5/09- I { Date Paee 4 of 4 DIRECT RUNOFF TO CITY STORM SYSTEM 1 IMPERVIOUS S.F. x I COST PER S.F. CHARGE L 5651.00 I S0.336 I = I $1.896.57 I RUNOFF ROlJI'ED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I x 1 COST PER S.F. 1 x I DISCOUNT RATE I 1 I 0.00 I S0.336 1 I 50% I = I ITEM I TOTAL - STORM DRAINAGE SDC SI,896.57 ~ '.. JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS I STORM DRAINAGF CITY OF SPIGFIELD SYSTEMS DEVELOPMENaRKSHEET - --- C0M2007-00301 LY!l!' & Kvla Lowell 6098 Grayslone Lp Lot#13 MtGa1eWestI4 SINGLE F AWL Y RESIDENCE I BUILDING SIZE (SF: I' 1~ 10 IU I~ ,r:: I~ ,0 'i ~ 3318 LOT SIZE (SF): 16045 DISCOUNT $0.00 51,896.57 11070 , 2 SANITARY SEWER - CITY r A REIMBURSEMENT COST: 1 NUMBER OF DFU's I x I 33 1 B. IMPROVEMENT COST: 1 NUMBER OF DFU's I x 1 33 I COST PER DFU 526.03 5858.88 11091 S19.79 5653.09 1092 = , 3 TRANSPORTATION ITEM 2 tOTAL - CITY SANITARY SEWER SDC 51,511.96 A REIMBURSEMENT COST: 1 ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEWTRIP FACTORI 1 9.57 I I I 1 S19.81 1 1.00 1 5189.58 11093 B. IMPROVEMENT COST: I I ADT~TE I x I NUMBER OF UNITS I x I COST PER TRIP x I NEW TRIP FACTORI 9.57 I 1 I I S87.39 I 1.00 I $836.32 11094 ITEM 3 TOTAL - TRANSPORTA nON SDC = , 51,025.90 4 SANITARY SEWER - MWMC , A REIMBURSEMENT COST: INUMBER OF FEU's 1 x I COST PER FEU I I 1 1 S91.61 = 591.61 1054 B. IMPROVEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I I 1 ; 1 S961.52 = 5961.52 . 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) SO.OO I 1054 MWMC ADMINISTRATIVE FEE 510.00 11056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I 51,063.13 I SUBTOTAL (ADD ITEMS I, 2, 3, & 4) = I $5,497.56 '1 5 ADMlNlSTRA-nv>: WE: / ISUBTOTAL : x 1 ADM. FEE RATE 1= I' CHARGE 1 I 55.497.56 I I 5% I S274.88 I TOTAL SANITARY ADMINISTRATION FEE: 211.29 1079 IOTAL TRANSPORTATION ADMINISTRATION FEE: S63.59 11078 Jeff Proeiw 3/27f2007 TOTAL SDC CHARGES =, $5,772.44 PREPARED BY DATE e. t DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUN ALENT - DRAINAGE FIX11JRE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY mE NET ADDmONAL FIXTURES) NO. OF FIXWRES DRAINAGE UNIT FIXllJRE FIXTURE TYPE NEW OLD EQUIVALENT UNITS rBATH11JB -.----- 0 II 2 3 = 6 IDRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 1 IINTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC 0 0 3 = 0 IINTERCEPTORS FOR SANDI AUTO WASH I ETC 0 0 6 = 0 I LAUNDRY 11JB 1 0 2 = 2 iCLOTHESWASHERI MOP SINK 1 0 3 = 3 ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRlG I WATER STATION iETC. 0 0 1 = 0 IRECEPTOR FOR COM. SINK I DISHWASHER I ETC 1 0 3 = 3 SHOWER. SINGLE STALL 1 0 2 = 2 ISHOWER. GANG ~ER OF HEADS\. 0 0 2 = 0 ISINK: COMMERCIAlJRESIDENTIAL KITCHEN 1 0 3 = 3 iSINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASINIDOUBLE LAVATORY 1 0 2 = 2 ISINK: SINGLE LAVATORY /RESIDENTIAL BAR 3 0 1 = 3 IURlNAL STALL I WALL 0 0 5 = 0 ITOILET. PUBLIC INSTALLATION 0 0 6 = 0 ITOILET. PRIVATE INSTALLATION 3 0 3 = 9 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 33 -EnU (Equivalent Dwelling Unit) is a discharge equivalent to a sinJde familv dwellinR unit (20 DFU's) set at 167 gallons per day L I i i i i I I I I I I I I i i I I I I I I I I i MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE II 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/SI,OOO ASSESSED V AWE $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 $028 $0.09 $0.05 = SO.OO IS LAND ELGlBLE FOR ANNEXATION CREDIT'? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT'? (Enter I for Yes, 2 for No) BASE YEAR 2 2 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE 11000 CREDIT RATE SO.OO x $5.29 ~ , SO.OO CREDIT FOR IMPROVEMENT (IF AFfER ANNEXATION) VALUE /1000 CREDIT RATE $0.00 x $529 o TOTAL MWMC CREDIT l 1M FlFfH STREET. SPRINGFIELD. OR 97477 . PH:(SU)716-3753 . FAX: (S41)7~3689 ELECTRICAL PER1lf!T~PPJ.lf.1\ TION City Job Number (t) } . 30 I Dale .PR.NGP..LD ,.."",. ,~'. " ~ ~~~"\!';~':"_:!'!ll', 11: .~'~~ ..,;;';:".''''~~'''''::;''''"'':'''').''':' ....I"';"f>.,ili.":;.;~~,r..f!Jl~.!' 1 ... .1, "." " . "'''r'.,.""I"., 3 . llilTotA '10>,',,, "~-tffi~ . LEGAL DESCRIPTION fA\{ ,....~..""'.,....,...,...- :~l':'. '.' "..,,' j J~.-..,,, j " . '.' ,'t. ..."..::" ,i ," .!~~i,'~i+iffil~hj~;{~",~, .1' ~ ~i{.;;g ,..1k~;~,1' ,_....~y;, 'I . '11'_\lhm:ll'lI,,,~~\I,!I!i'....,,,fo!l~; A.;:jl"'!':~"1lJr';'~t:lJ~~R'f' .~~I.l"",~.,. .~h~~-...,. Sen1ce I.eluded JOB DI;$ClUPTION 4'2-"18" 1000 sq. ft. or less ~J\il\f}~(l!'t\~\ ReS +1tJl\P ~~~=500Sq.ft.Of Permlh ar~oo-traa.rerable a~Plrt If work Is Each Manufact'd Home or Dot _rted wlthlD 180 day. of Iuuanu or If work Is Modular OweUing Service or Suapeacled for 180 days. Feeder \ ~ 5106,00 ~ 5 19.00 ~ S50.00 '.-'i""~."'~' .""""".'1"'_.'.' ,,,,,,,...,....(.., B. ,,'M~~:1f.;':' ";2; .', ". .' ,,"=:}' .,.1,. , ",I:...~ l1!!!'~~~jl.... .. ; I J, ..~: ~I . ,i", fi:l.., .."l..~". 200 Amps or leas 5 63.00 201 Amps to 400 Amps 5 7S.oo 40 I Amps to 600 Amps 5 12S.oo f"_. // 601 Amps to 1000 Amps 5163.00 City .6tiL~ . Phone 7Z,1,-1,~f.) Over 1000 ArnpsNolu 537S.OO Reconn<<t Only S 50.00 '7-'$57~!JgE: c. t~:. ~<~" '>i;'r,l',"'~~'il![.;mlij~~~;l#o;:jj;i1~'~iBl'c ~.. SupervIsor License Nwnber AUi~D -~fI.I;- SHALL EXP II '~:.. _,f;P.\ . ... :ii'!ii!j!~.~~1!f.f,(,1i.'lfi;,,,,,,I- (;f:,.~);", Expiralion Dale J 0 10 I/O 7 fll],~:;,:t~~~g UNDER +~~ ~K Relocatloa \ 50 Cf) CIltIStt. Contr. Number 10 -z. 31 a,NY 180 DAV o~~ /S A;~~J~~T : :~:: . 10 ,lId I (J--1. /00,401 Amps to 60 5100.00 Expiration Dale __ .--:J..f-!L--{ Over 600 Amps or 1000 VollI see "B" above. SI--ture ofS.......,,;sing Elecuician D. .,i:'lM'i(~ii~rt%~~iili1{~i:0il'''''I',,1ii!!~\lIt~;1:i!JI6~m~I~~1ii'. i;~;!i!il;;:':~ 0"- -roo. ~" '., ..'",'" "..~. ..-;,..,..JJ;.i:'l!II..<l~~.:lr:l.l.,::;:}t~l.ij11i:lf;JQl~.,~r.;~Uk",~~., :I%It;o.~""':" ,,~r ;f:; P ~- - New AI.., . .' , . or Kstetllioa Per Panel ...,(\ .. . . ".t1~ OneC' . 543.00 ...../1 LfV\.oo'lI .. ,. .~.. ItCWt J/ .' 161101!'(1/"1 .....:1;;:,1 Each:!#i~C;:ircuitorwitb \ r 'G"" . . :,j,.. 'Il'~~~,'.j b'SewiceorFeeaer. Pernu. '\ OwnenN }l Y\r\ ._ '. ~ . ." ~~U, .." U \I,eocn . nQ"~.' A.' -"'1:1I;':i.'~":J." I03e"'{;li...,t."".";;.~... "''''. Addressra:t\ 1\ ~ [lOon ~~I::'::'~: '),'.1 ,d: 'r~;4"'~5~~o.o >".. ], City 10RPf', phone'~r~:,'L . ~ CO~ Or~iiiiP!ion~ 550.00 1iJlill,,,;.for" '... \1'IOlsiiPb0ul1ifteLi:~'~ f $50.00 ----- C Ill:} Q,'ePQn I "'f.,-,.,!':!P."i OWNER INSTALLATION Gniorls : 'DOO-J*~~i~~:E~~~~~tial S 25.00 The installation is being made on property I own which l:iitiiteil :Ei)ergy/C. .,-... ..ojal S 4~.1)() ia not inteaded for we, leue or rent. Mlalmum Elec:lI1c Permit Illspectloa Fee II 545.00 + SvdI..... Owners Signarw-e: 4. :j:~~i~~'''.. .1'; '" "'~tWili:~1;;ii,~ n an cD '~;~~!i,'f.., ,l~.~,!..,.,,:I\f1t:~~a;H~f,~ .~\. 'J..:!).VL ~ 2. ~~_~M_~ Elecuical Contractor L.,IIJ IJ 5 t:. fI.,:fu;_,- , Address ~ A- 8% State Surclwae 10"10 Administrative Fee Ill,. .."". Requea: 7Z6-3769 ~n... "\ech ~O 5 3.00 _ Orive(T'VII..\cIina FonllIil!ioclri<al Pmiut AppliutiOlll-06.doc -ro~l ~O N1 \ 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . lJ~'~~ Wit c.,r Springfield Official Receipt '-opment Services Department Public Works Department Job/Journal Number COM2007-0030 I COM2007-0030 I COM2007-0030 I COM2007-0030 I COM2007-0030 I COM2007-0030 I . COM2007-00301 COM2007-00301 COM2007-0030 I COM2007-0030 I COM2007-0030 I COM2007-0030 I COM2007-00301 COM2007-00301 COM2007-00301 COM2007-00301 COM2007-0030 I COM2007-0030 I COM2007-00301 COM2007-00301 COM2007-00301 COM2007-0030 I COM2007-00301 COM2007-0030 I COM2007-0030 I COM2007-0030 I COM2007-0030 I COM2007-00301 COM2007-00301 COM2007-0030 I COM2007-0030 I COM2007-0030 I Payments: Type of Payment CreditCard Check cReceintl RECEIPT #: 1200700000000000350 Date: 04/03/2007 Description Addressing Assignment Willamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 . Temp Power 200 amps or less Fire SF Fee - Residential Building Pennit 3 Baths One & Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Gas Outlets 1-4 Fireplace (Listed) -Mechanical Issuance Fee- Sidewalk Penn it 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 + 10% Administrative Fee Paid By KYLA LOWELL RHONDA MOORE Item Totat: (;heck Number 'Authorization Received By Batch Number Number How Received djb 044956 In Person djb 1159 In Person Payment Total: Page I of2 8:S9:2IAM Amount Due 31.00 2,303.00 106.00 133.00 50.00 213.90 1,865.65 306.00 12.00 18.00 9.00 6.00 4.00 15.00 10.00 80.00 80.00 (30.00) 1,896.57 858.88 653.09 189.58 836.32 91.61 961.52 10.00 211.29 63.59 198,00 142.63 201.97 273.86 $11,801.46 Amount Paid $8,000.00 $3,801.46 $11,801.46 4/312007