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Home My WebLink AboutPermit Building 2007-6-8 .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00654 ISSUED: 06/08/2007 APPLIED: 05/07/2007 EXPIRES: 12/08/2007 VALUE: $ 612,700.00 . Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6094 GRA YSTONE LOOP ASSESSOR'S PARCEL NO.: 1702343302700 Springfield TYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: Single family residence - Mt Gate West lot 11 TYPE OF USE: New Residential Owner: LLOYD WEBB Address: 806 S 69TH ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION 1 Contractor Type General Electrical Mechanical Plnmhing Contractor ANSLOW & DEGENEAUL T INC GOOD CONNECTIONS MARSHALLS INC ABSOLUTE PLUMBING SERVICES INC License 49169 160508 25790 67664 BUILDING INFORMATION I # of Units: Primary Occnpancy Gronp: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I R-3 U VB # of Stories: 2 Height of Structure: 36.00 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Gas Energy Path: Path 1 Sprinkled Building: n/a 2 Phone Numher: 541-726-9194 Expiration Date 10/16/2008 07/0112008 12/23/2009 07/11/2007 Phone 541-484-0070 541-434-6491 541-747-7445 541-345-3055 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 16,000 3,347 1,049 1,264 781 I DEVELOPMENT INFORMATION I. ~,,, 'M' .,,"~ "01' 10 1\, '"'' ,ION: Olegon IREQUIRED PARKING NOTICE: -"""V . fu~low n,I",,, ~dopled bV Ihe uregon UlIlIlY Frontyard Setback:ERMIT SHALl.:25:OOIRE IF THEO:Verlay,D,st: N 'f. I. Hllls,deter ThoTotal:es are sel forth 2 . IH1~~ ~'" _' 011 Ica 1011 '-'"" . ~~.-: S,de I Setbac,~: UN D E R 5.\!H S PE R M IT#, ~tr.eS~ Trees Rqd:. R 952-0.(\ f.001 0 Ih~!JLnJ1',c~PP'~dJ52.001- Side 2 SetbacldTHORIZED doo Paved Drive Rqd: m OA Yes I. Compact: he rules by Rearyard Setl>il~.~MENCED OR IS6'4fooNDONED Fo/~~fLot Coverage: 0090,' You f.i:800b ~m(~~~~~~l~'I~lePhone Solar Setbacks:,y 180 DAY PERIC6.9,00 ca,lmg Ihe cenle . UI"'.I N ffication 1\1, _. ~hM 1m thp Oreoon II Y 0 I Subdivision Not Accepted I PUBLIC IMPROVEMENTS 1 Cenler is 1-800-3322044). Street Improvements: Storm Sewer Available: Special Instruction: Fully Improved Yes Sidewalk Type: DownspoutslDrains: Curbside 5' To Storm Sewer Notes: For this parcel in Mt. Gate West, it is the recommendation to the Building Division, by the City Engineer: "that no connections shall be made to sanitary or storm H20 systems, until the subdivision is accepted by City Council". Pa~e I of5 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Bid Amount Use Bid Amount . .ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00654 ISSUED: . 06/08/2007' APPLIED: 05/07/2007 EXPIRES: 12/08/2007 VALUE: $ 612,700.00 I Valm don Descriotion I '" $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 612,700.00 Value Date Calculated Total Value of Project $612,700.00 $612,700.00 05/07/2007 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $1,451.39 5/7/07 2200700000000000665 -Mecbanical Issuance Fee- $10.00 6/8/07 2200700000000000938 + 10% Administrative Fee $329.79 6/8/07 2200700000000000938 + 5% Tecbnology Fee $162.65 6/8/07 2200700000000000938 + 8% State Surcharge $241.19 6/8/07 2200700000000000938 3 Baths One & Two Family $306.00 6/8/07 2200700000000000938 Addressing Assignment $31.00 6/8/07 2200700000000000938 Building Permit $2,232.90 6/8/07 2200700000000000938 Curbcut Permit $40.00 6/8/07 2200700000000000938 Dryer Vent $6.00 6/8/07 2200700000000000938 Exbaust Hoods $9.00 6/8/07 2200700000000000938 Fire SF Fee - Residential $283.00 6/8/07 2200700000000000938 Fireplace (Listed) $15.00 6/8/07 2200700000000000938 Fixture $42.00 6/8/07 2200700000000000938 Furnace - up to 100,000 btu $12.00 6/8/07 2200700000000000938 Gas Outlets 1-4 $4.00 6/8/07 2200700000000000938 Heat Pump , $12.00 6/8/07 2200700000000000938 Plan Review Major - Planning $198.00 6/8/07 2200700000000000938 Residence Wiring 1000 Sq Ft $106.00 6/8/07 2200700000000000938 Residence Wiring Ea Addtl 500 $190.00 6/8/07 2200700000000000938 Sanitary Sewer - Improvement $791.62 6/8/07 2200700000000000938 Sanitary Sewer - Reimbursement $1,041.06 6/8/07 2200700000000000938 SDC MWMC Administration $10.00 6/8/07 2200700000000000938 SDC MWMC Improvement $961.52 6/8/07 2200700000000000938 SDC MWMC Reimbursement $91.61 6/8/07 2200700000000000938 SDC Sanitary/Storm Admin $236.79 6/8/07 2200700000000000938 SDC Transpo Admin $62.38 6/8/07 2200700000000000938 SDC Transpo Improvement $836.32 6/8/07 2200700000000000938 SDC Transpo Reimbursement $189.58 6/8/07 2200700000000000938 Storm Drainage Impervious Area $2,061.70 6/8/07 2200700000000000938 Temp Power 200 amps or less $50.00 6/8/07 2200700000000000938 Vent Fan $30.00 6/8/07 2200700000000000938 Wmamalane Single Family $2,303.00 6/8/07 2200700000000000938 Total Amount Paid $14,347.50 Pa2e 2 of5 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review Plannin~ Review 05/08/2007 05/0812007 Public Works Review 05/08/2007 Public Works Review 05/11/2007 Structural Review 05/08/2007 I Plan Reviews I 05/0812007 APP OS/2512007 APP 05/09/2007 WI 05/1112007 APP 05/1012007 .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00654 ISSUED: 06/08/2007 APPLIED: 05/07/2007 EXPIRES: 12/08/2007 VALUE: $ 612,700.00 NJM TAJ Property is at maxium coverage no additional impervious will be allowed. Place orange construction fencing along Conservation Easement and keep all construction activity out of tbis area. Choose street trees from the list of Native Trees in Hillside Development on page 6-4 of the street tree handout. For solar calculation, north is the rear lot line. Rcvd 5/9/2007---Waiting in order PW rcvd for rvw.JLP WI 5/9/07 For this parcel in Mt. Gate West, it is the recommendation to the Building Division, by the City Engineer: "that no connections shall be made to sanitary or storm H20 systems, until the subdivision is accepted by City Council". When connection is made, storm shall be connected to designated lateral. JLP APP 5/11107 JLP JLP APP RJB UelluiretUnsnections I Pa~e 3 of 5 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. Vfer 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 Ilo~r 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. . .Lll i' OF SPRINUl'U.LlJ Building/Combination Permit Status Issued PERMIT NO: COM2007-00654 ISSUED: 06/08/2007 APPLIED: 05/07/2007 EXPIRES: 12/08/2007 VALUE: $ 612,700.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541"- 726-3676 Fax 541-726-3769 Inspection Line 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. Perimeter Foundation Drains: After gravel aud filter cloth is installed but prior to backfill. Underfloor Plumbiug: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Shower Pan. Prior to covering and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling treuch and iucluding required testing. Storm Sewer Liue: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Backflow Device: Prior to covering and provide a copy ofthe test report on site at the time of inspection. Underfloor Mechanical. Prior to insulation or decking and iucluding required testing. Underfloor Gas: After line is installed and required testiug 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 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. Low Voltage: Prior to cover. Erosion/Grading luspection: Prior to ground disturbance and after erosion measures are installed. Curbcut - Overwidth: After forms are erected but prior to placement of concrete. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Pal1e 4 of 5 . 6CITY OF ~n-('H~t.-t<1J<,LD Building/Combination Permit PERMIT NO: COM2007-00654 ISSUED: 06/08/2007 APPLIED: 05/07/2007 EXPIRES: 12/08/2007 VALUE: $ 612,700.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line By signatnre, I state and agree, that I have carefully examined the completed application and do herehy 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 Oregou pertaining to the work described herein, and tbat 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 inspectious 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. ~J# ~/rIo7 Owner or Contractors Signatnre Date Paee 5 of5 .CITY OF SaGFIELD SYSTEMS DEVELOPMEN.RKSH!=ET JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS ,---. 11Il ."-l 10 10 IU 11il 16000 I- =-00 - o gj COM2007 -00654 L1o~d Webb 6094 Graystone Lp' Lot #] I Mt Gate West. SINGLE F AMIL Y RESIDENCE I BUILDING SIZE (SF; 4977 1 STORM DRAINAGE LOT SIZE (SF): DIRECT RUNOFF TO C]TY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. I CHARGE I I 5613.00 I $0.336 = I $1,883.82 RUNOFF ROUTED TO DRYWELL DES]GNED AND CONSTRUCTED TO C]TY STANDARDS I IMPERV]OUS S.F. I x I COST PER S.F. 1 x I DISCOUNT RATE I I I ]060.00 1 I 50.336 I I 50% = I ITEM I TOTAL- STORM DRAINAGE SDC I 52,061.70 I 2. SANITARY SEWER - CITY A REIMBURSEMENT COST: I NUMBER OF DFU's! x 40 I B. IMPROVEMENT COST: I NUMBER400F DFU's I x 5]9.79 ITEM 2 TOTAL - CITY SANITARY SEWER SDC COST PER DFU 526.03 I DISCOUNT $177.88 52,061.70 I 1070 I 51,041.06 11091 I 5791.62 ]1092 I = , 51,832.68 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE I x I 9.57 B. IMPROVEMENT COST: I ADTTRIPRATE I x I 9.57 I I NUMBER OF UNITS 1 ' I I ] I 1 I NUMBER OF UNITS I x I I I I I = , 4. SANITARY S".wER . MWfo,1C ITEM 3 TOTAL - TRANSPORTATION SDC A. REIMBURSEMENT COST: INUMBER ~FFEU'S I x B. IMPROVEMENT COST: INUMBER OF FEU's I ' ICOST PER FEU I I I $961.52 MWMC CREDIT IF APPLICABLE (SEE REVERSE) ICOST PER FEU I 591.61 MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC SUBTOTAL (ADD ITEMS 1,2,3, & 4) COST PER TRIP 519.81 x INEW TRIP FACTOR! I 1.00 $189.58 COST PER TRIP 587.39 51,025.90 x INEW TRIP FACTORI I 1.00 5836.32 = $91.61 = 5961.52 $0.00 510.00 = , = , $1,063.13 $5,983.41 5. ADMINISTRATIVE FEE:. I SUBTOTAL , I ADM. FEE RATE 1= 1 55,983.41 I I 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Jeff Prociw PREPARED BY 5/11/2007 DATE CHARGE 5299.] 7 TOTAL SDC CHARGES =1 236.79 562.38 $6,282,58 i 1093 I 11094 I 11054 I 11055 11054 , 11056 I I I 1079 !11078 I I . . DRAINAGE FIXTUR~~~I!JDFU) CALCULATION TABLE NUMBER OF NEW FIX11JRES x UNIT EQUIVALENT - DRAINAGE FIXTIJRE UNITS (NOTE: FOR REMODELS.CALCULA TE ONLY THE NET ADDmONAL FIX11JRES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EOUIV ALENT UNITS I BATHTUB 2 0 3 = 6 IDR!NKING FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETe. 0 0 3 = 0 I INTERCEPTORS FOR SAND / AUTO WASH / ETe. 0 0 6 = 0 I .ILAUNDRY TUB 2 0 2 = 4 I ICLOTI-lESW ASHER / MOP SINK 1 0 3 = 3 'I ICLOTI-lESWASHER - 3 OR MORE (EAt 0 0 6 = 0 I IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I IRECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0 I IRECEPTOR FOR COM. SINK / DISHWASHER / ETC. 1 0 3 = 3 I ISHOWER. SINGLE STALL 2 0 2 = 4 I ISHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0 I ISINK: COMMERCiALiIllisIDENTIAL KITCHEN 1 0 .3 = 3 ISINK: COMMERCIAL BAR 0 0 2 = 0 I ISINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 ISINK: SINGLE LAVATORYIRESlDENTIAL BAR 5 0 1 = 5 I IURlNAL. STALL / WALL 0 0 5 = 0 1 ITOILET. PUBLIC INST ALLA TION 0 0 6 = 0 1 ITOILET. PRIVATE INSTALLATION 4 0 3 = 12 1 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S I 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 40 :EDU (EQuivalent Dwelling Unit) is a discharge CQuivalent to a single family dwellinJ!; unit (20 DFU's) set at 167 gaJlons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE. YEAR J CREDIT RATE/S1,OOO II ANNEXED ASSESSED VALUE IS LAND ELGlliLE FOR ANNEXA nON CREDIT? 2 BEFORE 1979 $5.29 (Enter I for Yes, 2 for No) 1979 $5.29 IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? 2 1980 $5.19 (Enter I for Yes, 2 for No) 1981 $5.12 BASE YEAR 1979 1982 $4.98 1983 $4.80 CREDIT FOR LAND (IF APPLICABLE) 1984 $4.63 VALUE / 1000 CREDIT RATE 1985 $4.40 SO.OO x S5.29 ~ I SO.OO 1986 $4.07 1987 $3.67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) 1988 $3.22 VALUE/WOO CREDIT RATE 1989 $2.73 $0.00 x $5.29 = .1 0 1990 $2.25 199\ $1.80 1992 $1.59 TOTAL MWMC CREDIT = SO.OO 1993 $1.45 1 199' $1.25 1 1995 $1.09 I 1996 $0.92 I 1997 $0.72 " 1998 $0.48 1999 $0.28 2000 $0.09 2001 $0.05 .~.G=L~D. .".. ~~~lALS . "" DATE , . . ~'SOURCE 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRlC1L PE.RMIT APPliCATION Cily Job Numbe():x'<)7...(JO'1 .... ('f'r r,/=,<../.- - - ~ ~ .' . '. . ~l<~."'.~.'" ,,,~r.-".: ~___:~.~'.. ....~~..., .,...,: !.-,' ...".... .-,,,.'l:t~5it:t'~...,:o.~ . 1. ; LOc;_~TI9l'!,OFJNST._4LIATIQ1I(:}F.<t?ri~ {' .~.,. .._,:l,........_,..F~t;~'\~'... _...:!t..e-""'.........~....~J...~,.~........&..d-_- ~ ~ (~Ct4SfD~ CD LEGAL DESCRIPTION: \10z.:~'4-:S'?:. 02.:7r'1O JOB DESCRIPTION: ~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ;:t~CoNTRXctOR'$Vs~5fi;t~rto~m}8 2. ..(. ,-';';~'M/.;...,,~', ~"'i;;:i.,'iE!I'.~~.,-k';,~~.;"" ",;~.~!t..'il.'f):';;:~t>'iti,i4t.?11 Electrical Conlractor &;q, (l,,u-t/,<;C:I7oAl<, ~C- uJ I.-U i <; '#-~ Address :l./D City EUc oJE.. Phone If -, <f-t <(4/ Supervisor License Number ... :s 0 f / -:::R Expiration Date (()-I-07 Constr. Contr. Number ! t, 0 S-o I( Expiration Date 7 -1-0 7 Signature of Supervising Electrician 'L / .. /.. / " /( .' /LJ /Ur"'~ Owners Name ~'-{ d .~b\D Address'X'[)G? .5>. ~ 51 . ci~...1U./, Phon~('ZCJ ,-q )q ~" OWNER ~LATlON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Reqnest: 726-3769 Date 0~ r /07 3. :::'f2~jflJi~f~~~~.9!i~ijfft,~f(t~~~~~~i~~i~. Y.!:~,!.-~""':''':'''~;~:~.;.:_~'r:S;'1'~:[',""'''~~~t''-: ~~~"~:'\~nf,~:~.'i!'j.:,-::_Jl\oI';,~n.~...1~~'t'~:~~~ A. ~ New.Residc.ritial ~. Single .'OJ:" ~Multi~F a'injly ,per.:""dwelling unit.::... ~ 1..._,....~.:;...J...a:....,;.1ilt!..~c.~;'I:__.,..loi.............;.b.l"~'....!.-::::~.-.t.---.A..,;,.~~~,,r>:::i:'..loo:;:'~.."". ...::~~;.,. Service Included foro. VO :r-V Jqo. ~ I 10 $106.00 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $ 19.00 Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 :t.""~\~''.f~~.;~~~'>?l~~rl!''';?~r~~~~f.\'~:3?::~:%t:!~.~:~ti?;\;;:.~}~,;(/,-;;t'-;-:~~t..;t:.t~;.t';I!1~~ B. ~~~Serxi~.~s;.or::..F e~4ers '-'-. i.Jl1sta nat~on,~AI~eniti{)JlS. or'; Relocation:)/~r "~<.t.';.,:;<>>,,,,~,..~....,~.I.~~~:'C~\.~~~:.;"t~<_',"''';J:;;'~~1';':'''!-:,,~v'''''''~".'.~~j'!!:..."S,.;..-z;~::,.~~.....'";i;i-~;:.~tt~ 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to I 000 Amps Over 1000 AmpsIVolts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 .{;:-;if:~~~'-;::~'?S""'-~~~~F" '~~'d"l'!';-v--~J'!~~~~~~-~~.;~~~~]r~1. c. 'd~it!~W~iry~~~Z~;~~~S~~~E~~'~~ii&~S~~~~~J~.<~ Installation, Alteration or Relocation 200 Amps or less / 201,Amps to 400 Amps 401 Amps to 600 Amps $ 50.00 ..5() $ 69.00 $100.00 Over 600 Amps or 1000 Volts see "B" above. ':X't.I\;~~J' 'i~h'.'="-C':' s, _";'Y'. '~","~~lr-t~,~~&t.:~\1\l:1j;,:~1i;'~%:}!t{i.~~~,~~t~;:r:~;;o~yrJ'i!i;.';.J:;""j~f4r~:,r~ p.. m;t}I~r-~ :. .1f;C~1I.t~'1j0..:~"j~~I'..::i[.~l- ..,,\I!:t:~Y'\''1i.;;;,.',;';i'.*,l'~1j'l:e"~:;i;'/(''~J,~,,;;o;~(''ii>';S\~.'i' .,."."..~__'X(~,.;..J;u..'''''J.,'o:..,.".,.""""",~,,,,,,,,il(... ,..... "'~_, ,'. lIo,Ii.U-'~"''''''''~A.t:;;:,.........,;:\..__,~,;.il."~.,...~,...,...::~",.,',,.t...l New:A1teration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 :~r:<r:;;.~~~\.~'5:>.\L7{:E~j::;-:Q:~~~~~~\~~~~::-:':~J;',~r.~t-i7.~:~,\;"~r~. '::'~r~'t?'~~.~ E. ..",Mlscellaneous (Service/feeder not,lllcluded)'~Each InstallatIOn" ;;:.:;~'l'"~_-;.;..->"c_..;..~,!;~.... ?'o.....~~ ._..~,>.:;;.;:u..'J:.~::"_~<-'::.:.L"'-;;!...~ ,,;,~~.-;;'_.S-:.:i..'-M'; Pump.~9r inigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Mini~~m,_ EI~~~~"-!,~.~.~~}~.~t.~;~~;~;~l~;;;i~~~~~:;u~ChargeS CV 4. ,SUBTOTAL OFABOVE.;",,,;';C.""\''P),!;>;;,,:,,;,,g 3 lJ/ ~:::,:4::;;;<'~;~r:;Jf.';"'_:"~:'::.:::::J :.: "'.-;;t'y.~;;.{~1!~" ,!<.~.~;:::;r,-;'}:;'~:(:J;;,t~ ~/' . 8% ~t~te Surcharge 10% Administrative Fee 5% Technology Fee . TOTAL . ./ /;).5 . 53 Shared Drive(T:)lBuilding FonnslElectrical penni;A'p"plication 8-06.doc . . RECEIPT #: .200700000000000938 ee: 06/08/2007 1:54:05PM Job/Journal Number Description Amount Due COM2007-00654 Temp Power 200 amps or less 50.00 COM2007-00654 Residence Wiring 1000 Sq ft 106.00 COM2007-00654 Residence Wiring Ea Addtl 500 190.00 COM2007-00654 Fire SF Fee - Residential 283.00 COM2007-00654 Willamalane Single Family 2,303.00 COM2007-00654 Addressing Assignment 31.00 COM2007-00654 Building Permit 2,232.90 COM2007-00654 3 Baths One & Two Family 306.00 COM2007-00654 Fixture 42.00 COM2007-00654 Furnace - up to 100,000 btu 12.00 COM2007-00654 Vent Fan 30.00 COM2007-00654 Exhaust Hoods 9.00 COM2007-00654 Dryer Vent 6.00 COM2007-00654 Gas Outlets 1-4 4.00 COM2007-00654 Fireplace (Listed) 15.00 COM2007-00654 Heat Pump 12.00 COM2007-00654 -Mechanical Issuance Fee- 10.00 COM2007-00654 Stonn Drainage Impervious Area 2,061.70 COM2007-00654 Sanitary Sewer - Reimbursement 1,041.06 COM2007-00654 Sanitary Sewer - Improvement 791.62 COM2007-00654 SDC Transpo Reimbursement 189.58 COM2007-00654 SDC Transpo Improvement 836.32 COM2007-00654 SDC MWMC Reimbursement 91.61 COM2007-00654 SDC MWMC Improvement 961.52 COM2007-00654 SDC MWMC Administration 10.00 COM2007-00654 SDC Sanitary/Stonn Admin 236.79 COM2007-00654 SDC Transpo Admin 62.38 COM2007-00654 Curbcut Permit 40.00 COM2007-00654 Plan Review Major - Planning 198.00 COM2007-00654 + 5% Technology Fee 162.65 COM2007-00654 + 8% State Surcharge 241.19 COM2007-00654 + 10% Administrative Fee 329.79 Item Total: $12,896.11 Payments: L'heck Number Authorization Type of Payment Paid.By Received By Batch Number Number How Received Amount Paid CreditCard LEWIS A. DEGENEAULT njm 076430 In Person $9,500.00 Check ANSWLOW & DEGENEAUL T, njm 26649 In Person $3,396. I I INC. Payment Total: $12,896.11 cReceintl Page 2 of2 6/8/2007 . . ~. Willamalane ~. Park & Recreation Dlstnct Job. NoCi;m2.DlY1- 000 &f SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2007 NAME: L-L-oL-j cL lJ Gt3rs PHONE: CSV\) 7Z.~ - q \q<.f ,ADDRESS:DW o. (A-tiA CITY...8:pflg. STATEOVIP: 9t\..nX , LOCATION OF PROPOSED BUILDING SITE: Street Address~aq ~ ( s:>0ti r~~'lO"" l.p., Plat NameffiOlLr(f'CUX'C!.a:1j) t.,Th~x Lot Number: no:?-- ~,,-,33 o'd.7GV . . ~\ , . 1. DEVELOPMENT TYPE (~eCk appropriate dwelling(s). Dwelling type definitions are on the back.) A. Sinale-Family Detached NO. OF UNITS X $2,303 per unit = $ d'303 _ u\J B. 33inale-FamilY Attached NO. OF UNITS X $2,426 per unit = .$ C. Multi-Family Aoa'rtment NO. OF UNITS X $2,032 per unit = $ D. Sinale Room Occuoancy NO. OF UNITS X $1,016 per unit = $ E. Accessory Dwellina Unit NO. OF UNITS X$1,151.50perunit= $ ~ $ ~?-{)3 , WILLAMALANE SDC 2. SDC CREDIT (If applicable) SDC payer must fumish proof of Willamalane Credit approval.) 3. TOTAL WILLAMALANE NET SDC ASSESSED . SDC reduced for Credit) $ (7) $'2.boS -~ tv (JJ',1/\<1(L0 D velopl nen Ser ,ices Department Ci y of S xing' eld ., Date 5