The URL can be used to link to this page

Home My WebLink AboutPermit Building 2005-01-06Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Ftx 541-726-37 69 Inspection Line FIELD Building/C ombination Permit PERMIT NO: COM2004-01477ISSUED: 01/06/2005 APPLIED z 1210212004EXPIRES: 0710612005VALUE: $ 45,000.00 SITE ADDRESS: 1125 SHELLEY ST Springfield TYPE OF WORK: Store ASSESSOR'S PARCEL NO.: 1703270000902 TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Occupancy separation wall being constructed without building permit at north end of building. 1125 Shelley, Platt Electric will occupy new lease space. Owner: MCKAy INVESTMENT CO LLC Address: 2350 OAKMONT WAY STE 204 EUGENE OR 97401 Contractor Tvpe General Electrical Engineer Plumbing Contractor Expiration Date 10t08t2007 03n4t2008 Phone 541-687-2841 541-687-5770 541-48s-8383 541-485-0551 INC License 3550 104929 SS & W INC. vos # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Overlay # Street Paved Drive %o ofLot Coverage: 04t04t2006 Sidewalk Type: Downspouts/Drains: Floor: Load: REQUIRED PARIilNG Total: Handicapped: Compact: \ \p 4180s .s VN PUBLIC IMPROVEMENTS Notes: Paee 1 of4 JB ELECTRIC '\9 <, Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2004-01477ISSUED: 0r1061200sAPPLIEDz 1210212004EXPIRES: 0710612005VALUE: $ 45,000.00 Description Estimate Tvpe of Construction Estimate $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 45,000.00 Total Value of Project Amount Paid Date Paid Value $45,000.00 $45,000.00 Date Calculated 12t28t2004 Total Amount Paid $183.89 $113.16 $10.00 $72.78 $27.0s $s8.s0 $282.90 $24.00 $4.00 $17.00 $s8.50 $282.90 $38.02 $23.40 $143.00 $10.00 $1,211.43 $1r4.84 $r39.41 $1,183.66 $2683r $7.00 $4.90 $43.00 $27.00 $4,348.65 12fist04 t2n5t04 1/5/05 1/5/05 usl0s Ust05 U5t05 1/5/05 1/5/05 u5l05 ust05 U5t05 1/5/05 1/5/05 u5t05 1/5/05 ustos u5t05 1/5/05 1/5/05 u5t05 u6t05 u6t0s U6t05 u6t05 Receipt Number 2200400000000001514 2200400000000001s14 2200500000000000012 2200500000000000012 2200500000000000012 2200500000000000012 2200500000000000012 2200s00000000000012 2200s00000000000012 2200500000000000012 2200s00000000000012 2200s00000000000012 2200500000000000012 2200s00000000000012 2200500000000000012 2200s00000000000012 2200500000000000012 2200s00000000000012 2200500000000000012 2200500000000000012 2200s00000000000012 1200500000000000027 1200s00000000000027 1200s00000000000027 1200500000000000027 E'ees Peid Plan Reviews Paee2 of 4 In r3,n \ Valuation Description I Fee Description PIan Review Commflnd/Public Plan Review Fire & Life Safety -Mechanical Issuance Fee- + l0%o Administrative Fee + 7oh State Surcharge Building Permit Building Permit Furnace - Unit Heater Gas Outlets l-4 Minimum/Adj ustment Mechanical Penalty Fee - BWOP Building Penalty Fee - BWOP Building Plan Review Comm/Ind/Public PIan Review Fire & Life Safety Planning Final Occy Inspection SDC MWMC Administration SDC MWMC lmprovement SDC MWMC Reimbursement SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement + l0Yo Administrative Fee + 7oh State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add FIELD Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-01477ISSUED: 0110612005 APPLIEDT 1210212004 EXPIRESz 0710612005VALUE: $ 45,000.00 Fire Department Review 01/03/2005 OK GRG Fire Department Review 1211612004 12t27t2004 OK GRG 12fi6t2004 APP 12t2u2004 12t2712004 12t28t2004 12t22t2004 APP Plan Review: Modilication of existing sprinkler system in Suite A to deal with Class III commodities for high piled combustible storage to 18 feet. Job #COM2004-01477. Contractor: Omtid and Swinney. Designer: Shawn Fenneran, NICET Level III. Plans appear to meet code requirements. See attached document for Fire Department Plan Review Comments. Will be performing site visit for LUCS requirements for change of use. Need information on note on plans regarding addition of a storage yard to be paved? See attached LUCS for.change of use requirements. Applicant must sign. @ike Parking, Handicap space and aisle.) No new paving. No new s.f., no new fixtures. Changed from Manufacturing to Industrial Use. $2927.66 Total SDCs. Contractor to provide details on demishing wall. wI. WE. Received 15 pages of seismic calculations and storage rack details drawing. Rob Harp said he would fax the cosUvalue for the project. WI. Received faxed valuation from Mclntyre. Need approvals from planning and SUB. JMP called Rob Harp to inform him that the lighting forms passed the review. Requested BE and HVAC forms and explained the process and resources. Initial Review Plannins Review Planning Review Public Works Review Structural Review Structural Review Structural Review Structural Review SUB Review SUB Review 12t16t2004 12fi6t2004 12t2u2004 12t27t2004 12t28t2004 12n7t2004 WI SKG EMM TCM JMP 12120t2004 12t20t2004 APP EMM 12116t2004 12t2712004 APP SB 12n6t2004 12n7t2004 WE TCM 12t2812004 12t28t2004 APP JMP IO IO JF JFWE 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. Page 3 of4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-01477ISSUED: 0110612005APPLIEDz 1210212004 EXPIRESz 0710612005VALUE: $ 45,000.00 Reouired Insnections Framing Inspection: Prior to cover and after all rough in inspections have been approved. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Final Building: After all Conditions have been completed as required on Development Agreement. Final Fire Department. After all requirements of the Fire Department have been met. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. SUB Final: After all required energy inspections have been requested and approved. SUB Ceiling Grid: Interior Lighting SUB Exterior Lighting 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 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. l-l- "*Owner or Signature Date Pase 4 of 4 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone F'ty of Springfield Oflicial Receipt Jvelopment Services Department Public Works Department RECEIPT #: 1200500000000000027 Date: 0110612005 2:25240PM Job/Journal Number coM2004-01477 coM2004-01477 coM2004-01477 coM2004-01477 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 1Yo State Surcharge + l0% Administrative Fee Amount Due 43.00 27.00 4.90 7.00 Item Total:$8r.90 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check JB ELECTRIC,INC Jmp 0l 521 I In Person Payment Total: $81.90 $81.90 U612005 Page I of 1 lilrEe]-e ('r t\ ()t,sl\(it il.1 t). ot{t,(io\t 225 FIFTH STREET . SPRINGI'IELD, OR 97477 o PHz$a\72G3753 o FAX: (54 ELECTRICAL PERMIT APPIICATTON CityJobNumber @t\Zeo4 " o \ 41-( Date U6to5 1. 1125 Shellev Street LEGAL DESCRIPTION l'1 0b L-l oo ooqoL A. JOB DESCRIPTTON New warehouse lighting, outlets Permits are non-tranrferable and expire if work is not stafted within 180 days of issuance or if work is Suspended for 180 days. 2. Electrical Contractor JB Electric, Inc. Service Included 1000 sq. ft. or less Each additional 500 sq. ft, or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only Installation, 200 Amps or 20r 401 or with Pump or irrigation Sign/Outline Lighting 7Yo State Surcharge l0% Administrative Fee TOTAL $106.00 $ 19.00 B. $s0.00 $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ s0.00 $ 50.00 $ 69.00 $100.00 Address 4685Isabelle City Eugene __ Supervisor I Expiration Date Constr. Contr. Number 37587C Expiration Date '711106 (CCB 104929 3114108) Owners Name Address City EvE+ilL Phone {gq - 17 tt OWNER INSTALLATION The installation is being made on property I ovyn which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 7263769 JB Job #2065 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 70.00 Per Panel 1 $ 43.00 $ 3.00 $ 50.00 $ s0.00 43.00 27.00ILLL r,l E. 4.90 700 4. 81.90 3. ffiI*TPT,ETfr FEN WEDIII.E f.e N-\1N N C. Tcmpomry $clictc Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2004-01477ISSUED: 01/05/2005APPLIEDz 1210212004 EXPIRESz 0710512005VALUE: $ 45,000.00 SITE ADDRESS: 1125 SHELLEY ST Springfield TYPE OF WORK: Store ASSESSOR'S PARCEL NO.: 1703270000902 TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Occupancy separation wall being constructed without building permit at north end of building. 1125 Shelley, Platt Electric will occupy new lease space. Owner: Address: MCKAYINVESTMENT CO LLC 2350 OAKMONT WAY STE 204 EUGENE OR 97401 Contractor Type General Electrical Engineer Plumbing Contractor MCINTYRE CONSTRUCTION INC JB ELECTRIC SS&WINC-ENGINEERS VOS PLUMBING INC License 3550 104929 41805 Expiration Date 10t08t2007 03n4t2008 04t04t2006 Phone 541-687-2841 541-687-5770 541-485-8383 s41-485-0551 CONTRACTOR INFORMATION Handicapped: ARKINGP{s.o Total: Compact: \e \\ # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms:*q, Structure of Heat: Type: Range Type: Energy Path: Sprinkled Building: Paved %o of Lot Size: Sq Ft lst Floor: 2nd Floor: B S1 vN ^\ e? Sidewalk Type: Downspouts/Drains: \ Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: # 1$ Notes: Paee 1 of4 s 4 tr\ s \$r Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 54l-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-01477ISSUED: 01/05/2005APPLIEDz 1210212004 EXPIRESz 0710512005VALUE: $ 45,000.00 Description Estimate Type of Construction Estimate $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 45,000.00 Total Value of Project Amount Paid Date Paid Value $45,000.00 $45,000.00 Date Calculated 12t28t2004 Fee Description Plan Review Comm/Ind/Public PIan Review Fire & Life Safety -Mechanical Issuance Fee- + lloh Administrative Fee + lYo State Surcharge Building Permit Building Permit Furnace - Unit Heater Gas Outlets 1-4 Minimum/Adjustment Mechanical Penalty Fee - BWOP Building Penalty Fee - BWOP Building Plan Review Comm/Ind/Public Plan Review Fire & Life Safety Planning Final Occy Inspection SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Total Amount Paid $183.89 $r13.16 $10.00 s72.78 $27.0s $s8.s0 $282.90 $24.00 $4.00 $17.00 $s8.s0 $282.90 $38.02 $23.40 $r43.00 $10.00 $1,211.43 $114.84 $139.41 $1,183.66 $268.31 t2n5t04 t2n1t04 U5t05 u5105 1/5/05 u5t05 u5t05 u5105 u5t05 1/5/0s u5105 1/5/05 u5105 l/5/05 usl05 u5t05 Ust0s 1/5/05 U5t05 u5t0s u5105 Receipt Number 2200400000000001514 2200400000000001s14 2200500000000000012 2200s00000000000012 2200s000000000000r2 2200500000000000012 2200500000000000012 2200s00000000000012 2200500000000000012 2200500000000000012 2200s00000000000012 2200500000000000012 22005000000000000r2 2200s00000000000012 2200500000000000012 22005000000000000r2 2200s00000000000012 2200500000000000012 2200s00000000000012 2200500000000000012 2200500000000000012 $4,266.75 Fees Paid Plan Reviews Fire Department Review 01/03/2005 OK GRG PIan Review: Modification of existing sprinkler system in Suite A to deal with Class III commodities for high piled combustible storage to 18 feet. Job #COM2004-01477. Contractor: Omlid and Swinney. Designer: Shawn Fenneran, NICET Level III. Plans appear to meet code requirements. Paee2 of 4 Valuation Description I PRIN Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-01477ISSUED: 0110512005APPLIEDz 1210212004 EXPIRESz 0710512005VALUE: $ 45,000.00 Fire Department Review 1211612004 t2/27t2004 0K GRG 12n6t2004 APP SKG WI EMM See attached document for Fire Department Plan Review Comments. Will be performing site visit for LUCS requirements for change of use. Need information on note on plans regarding addition of a storage yard to be paved? See attached LUCS for change of use requirements. Applicant must sign. (Bike Parking, Handicap spact and aisle.) No new paving. No new s.f., no new fixtures. Changed from Manufacturing to Industrial Use. $2927.66 Total SDCs. Contractor to provide details on demishing wall. wI. WE. Received 15 pages of seismic calculations and storage rack details drawing. Rob Harp said he would fax the cost/value for the project. WI. Received faxed valuation from Mclntyre. Need approvals from planning and SUB. JMP called Rob Harp to inform him that the lighting forms passed the review. Requested BE and HVAC forms and explained the process and resources. Initial Review Planning Review Planning Review Public Works Review Structural Review Structural Review Structural Review Structural Review SUB Review SUB Review 12t20t2004 t2t20t2004 APP EMM 12fi6t2004 12t27t2004 APP SB 12n6t2004 12fi7t2004 WE TCM 12n6t2004 12n6t2004 12t2u2004 12t27t2004 12t28t2004 12n7t2004 12t2u2004 12t27t2004 t2t28t2004 12t22t2004 TCM JMP IO IO 12t28t2004 12t28t2004 APP JMP APP WE JF JF To Request an inspection call the24 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. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the buitding is complete. Final Building: After all Conditions have been completed as required on Development Agreement. Final Fire Department. After all requirements of the Fire Department have been met. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Paee 3 of4 Reorrired Insnections f L},j Building/Combination Permit Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676F2x 541 -7 26-37 69 Inspection Line PERMIT NO: COM2004-01477ISSUED: 01/05/2005APPLIEDz 1210212004 EXPIRESz 0710512005VALUE: $ 45,000.00 SUB Final: After all required energy inspections have been requested and approved. SUB Ceiling Grid: Interior Lighting SUB Exterior Lighting 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 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. Lr-o; Owner or Contractors Signature Date Pase 4 of4 Int iD L]LJ SPEIiIOFIELD MTNIMUM DEVELOPMENT STANDARDS' LAND USE COMPATIBILITY STATEMENT PROPERTY INFORMATION 1125 Shelley Sfreet, I 7032700-00902,Address/ Map and Tax Lot: LMIZoning: Personal ServicesExisting Use: Platt Electric SuPPIYProposed Use: 12t20104Site Visit Conducted Date: With Building PermitLUCS Issuance Date: Liz MillerPlanner Assigned: MINIMUM DEVELOPMENT STANDARDS REQUIRED SITE COMPLIES CONDITION OF OCCUPANCY NOTES Street Trees tree(s) req. Stormwater Catch Basin Filters a n filter(s) req. Bicycle Parking n x 3 space(s) req. Parking Lot Striping space(s) req. I ADA space(s) req. Screened Trash Receptacle and Outdoor Storage Area Vegetative Maintenance of Existing Site Improvements x ! n tr x N n ADDITIONAL COMMENTS/APPLICABLE SPECIAL USE STANDARDS Storage yard area should not encompass any required parking. Fence height maximum is 8 feet' STATEMENT OF COMPLIANCE Date:tf By Signature, I state I have carefully examined this change of use approval and do hereby agree to comply with the requirements ofihe approval and certifu any and all work performed shall be done in accordance with the ordinances ortn. city of Springfield, applicable city Standard Specification and Drawings and the laws of tiie S;te ofbregon pertaining to the work described herein. The city may inspect the work site described in this approval at any time during a one-year period iollowing the receipt by the City of notice of completion of the described work and specify, at the City's .of"t""."rioo, ury additional worhrequired to bring the site into "ornpiiun"" witn att applicable City standards. In the event conditions are not met prior to o""rp*.y of the buiiding or within thirty days of issuance of the approval, Code Enforcement witl be notifred of an infraction and a citation may be issued. CITY C ATTACHMENTA I.INGFIELD SYSTEMS DEVEI,OPMENT CHARGE ..SHEET COlv120O4-01477JOURNAL ORJOB NUMBER NAME OR COMPANY: LOCATION: PI-ATT ELECTRIC I I25 SHELLEY ST MAP & TAX t,OT NUMBER 17 03 27 OO OO9O2 DEVELOPMENT TYPE:Industial NEw DEVEIOPED AREA (S.F.): 4900 EXSTING DEVELOPED AREA (S.F.): 4900 Manufacturing TOTAL IMPERVIOUS SURFACE (S.F.)'_ I. STORM DRAINAGE IMPERVIOUS SQ. FT x $ 0.310 PER SF0 11ITE: ITE:140 LOT SZE (S.F.): TOTAL STORM DRAINAGE SDC: 2. SANTTARY SEWER€IrY A REIMBURSEMENTCOST: NUMBER OF DFLl"s B. IMPROVEMENT COST: NUMBER OF DFLrs (sEE REVERSE SIDE) 0 x $ 24.04 PERDFU x $ 18.28 PER DFU0 TOTAL LOCAL WASTEWATER 3. TRANSPORTATION BLDG AREATGSF X TRIP RATE X COST PER ADT XNEW TRIP FACTOR NEW A. REIMBURSEMENTCOST: 4.900 x 6.97 * @PERTRIP x B. IMPROVEMENTCOST: 4.900 x 6.97 x $ 80.72 PER TRIP x 0.9s 0.9s E)OSTING A REIMBURSEMENTCOST: -4.900 x 3.82 B. IMPROVEMENTCOST: -4.900 x 3.82 $ NTF NTF $ 593.69 $ 2,619.07 x $ 18.30 PER TRIP $ 80.72 PER TRIP 4.900 x 0.95 NTF $ (325.38)x 4.900 -4.900 -4.900 MWMC CREDIT tr APPLICABLE (SEE REVERSE) 4. SANITARY SEWER - MWMC NEW: A. REIMBURSEMENTCOST: NUMBEROF FELIs B. IMPROVEMENTCOST: NUMBEROFFEU's EXSTING: A. REIMBURSEMENTCOST: NUMBER OF FELIs B. IMPROVEMENT COST: NUMBER OF FEtIs 5. ADMIMSTRATTVEFEES: BASE CHARGE (SUBTOTAI ABOVE) Stevew W. Eeaud,rg Barwes rW,&ffi,tISfr 9Br-zooo.,.r. x 0.95 NTF $ (1,435.42) TOTAL TRANSPORTATION REIMBI]RSEMENT TOTAL TRANSPORTATION IMPROVEMENT TRANSPORTATION SDC $46.88 PERFEU $ 229.69 x $494.46 PER FEU $ 2,422.86 $23.44 PERFEU $ (114.84) $247.23 PERFEU $ (1 ,211.43) TOTAL MWMC REIMBIJRSEMENT TOTALMWMC IMPROVEMENT MWMCADMIMSTRATTVE TOTALMWMC SUBToTAL (ADD ITEMS 1,2,3,&4) 2,788.24 x 5%io 139.41 TOTAL TRANSPORTATION ADMINISTRATION TOTAL SEWER ADMIMSTRANON t2/27/2004 x x x $ 1,451.97 $ 1,336.28r-@ $o $ 268.31 $ 1,183.66 $ $ 114.84 $ 1,211.43 10.00$ 2,927.66$ $ 1,451.97 $ DATE TOTAL SDC CIIARGES 1 JULY 2OO4 :$ , 225Fifth Street Springfield, Oregon 97477 541-726-3759 Phone -'ty of Springfield Official Receipt -evelopment Services Department Public Works Department RECEIPT #: 2200500000000000012 Date:01/05/2005 8:25:18AM Job/Journal Number coM2004-0t477 coM2004-01477 coM2004-01477 coM2004-01477 coM2004-01477 coM2004-01477 coM2004-01477 coM2004-01477 coM2004-01477 coM2004-01477 coM2004-01477 coM2004-0t477 coM2004-01477 coM2004-01477 coM2004-0t477 coM2004-01477 coM2004-01477 c'oM2004-01477 coM2004-01477 Description Planning Final Occy Inspection Building Permit Furnace - Unit Heater Gas Outlets 1-4 -Mechanical Issuance Fee- Minimum/Adj ustment Mechanical Penalty Fee - BWOP Building SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Improvement SDC MWMC Administration SDC Transpo Admin SDC MWMC Reimbursement Plan Review Comm/Ind/Public Plan Review Fire & Life Safety Building Permit Penalty Fee - BWOP Building + 7Yo State Surcharge + l0% Administrative Fee Amount Due 143.00 282.90 24.00 4.00 10.00 17.00 282.90 268.31 1,183.66 1,211.43 10.00 139.41 I14.84 38.02 23.40 58.50 58.50 27.05 72.78 Item Total:$3,969.70 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard EVELYN MCINTYRE jmp 066899 In Person S3,969.70 Payment totat: 196150- U5l200s Page I of I tFrt,t}}lttD