HomeMy WebLinkAboutPermit Building 2006-06-22Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00607ISSUED: 0612212006
APPLIEDz 0512212006
EXPIRESz 1212212006VALUE: $ 300,328.00
sITE ADDRESS: 1652 32ND ST Springfield TYPE OF WORK: Shop
ASSESSOR'S PARCEL NO.: 1702300001931
TYPE OF USE: Addition
PROJECT DESCRIPTION: Facility expansion. Issued electrical permit per John P. 06/02/2006 nm
Owner:
Address:
Contractor Type
General
Electrical
Engineer
Mechanical
Plumbing
MCKENZIE CO
PO BOX 703
SPRINGFIELD OR 97477
Commercial
Phone Number: 541-747-6435
Phone
s4r-284-tt2t
541-935-9321
54t-746-0637
541-747-7445
541-686-4888
ton
# 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:
Street Improvements:
Storm Sewer Available:
Special Instruction:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
F-1 20.00
Gas
Path I
nla
HAt L
5,000
50
IIB
Overlay
# Street
Paved
oh ol
illl$L c
REQUIRED PARKING'a
Total:
Handicapped:'/l4ll s
ED
B
Sidewalk Type:
Downspouts/Drains:
UI\lDE
0B,s
a
DEVELOPMENT INFORMATION
Notes:
Pase I of5
i
-j
Datefallri.ino,'"oContractor
MARKUS THOMPSON
PROCESS AUTOMATION
BRANCH ENGINEERING
MARSHALLS INC
JOHN THE PLUMBER INC
t td$f
IF
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: COM2006-00607ISSUED: 0612212006
APPLIEDz 0512212006
EXPIRESz 1212212006VALUE: $ 300,328.00
Valuation Descriotion
Description
Estimate
Paving
Type of Construction
Estimate
Use Bid Amount
$ Per Sq Ft
or multiplier
$r.00
$1.00
Square Footage
or Bid Amount
251,316.00
49,012.00
Value
$251,316.00
$49,012.00
$300,328.00
Date Calculated
0513u2006
05i31/2006
Fee Description
Plan Review Comm/Ind/Public
Plan Review Fire & Life Safety
+ l0oh Administrative Fee
+ 87o State Surcharge
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Perm Serv/Fdr 401 to 600 amps
-Mechanical Issuance Fee-
+ lOoh Administrative Fee
+ 87o State Surcharge
Building Permit
Fire SF Fee - Non-Residentiat
Fixture
f,'urnace - Unit Heater
Furnace - up to 100,000 btu
Gas Outlets 1-4
Minimum/Adj ustment Mechanical
Not Covered Plumbing
Paving
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Storm Sewer - lst 50 Feet
Storm Sewer Each Addtl 100'
Total Amount Paid
Amount Paid
Total Value of Project
Date Paid Receipt Number
2200600000000000636
2200600000000000636
r200600000000000783
1200600000000000783
1200600000000000783
1200600000000000783
1200600000000000783
1200600000000000933
r200600000000000933
1200600000000000933
1200600000000000933
1200600000000000933
1200600000000000933
1200600000000000933
1200600000000000933
1200600000000000933
1200600000000000933
1200600000000000933
1200600000000000933
1200600000000000933
1200600000000000933
1200600000000000933
r200600000000000933
1200600000000000933
1200600000000000933
r200600000000000933
1200600000000000933
s792.29
$487.s6
$26.30
$21.04
$7s.00
$63.00
$r2s.00
$10.00
$210.73
$98.93
$1,059.65
$s00.00
$14.00
$24.00
$12.00
$4.00
$5.00
$45.00
$370.65
$10.00
$2,472.31
$234.38
$306.80
$2,787.35
$631.92
$45.00
$28.00
st22t06
5t22106
6t2t06
6t2t06
6t2t06
6t2t06
6t2t06
6t22t06
6t22t06
6t22t06
6t22t06
6t22t06
6t22t06
6t22t06
6t22t06
6t22t06
6t22t06
6t22t06
6t22t06
6t22t06
6t22t06
6t22t06
6t22t06
6t22t06
6t22t06
6t22t06
6t22t06
$10,459.91
tr'pes Pnid
Plan Reviews
06n9t2006 0K GRG See attached document for Fire
Department Plans Review
comments.
Fire Department Review 0512612006
Page 2 of 5
GFTELD
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
Building/Co mbination Permit
PERMIT NO: COM2006-00607ISSUED: 0612212006
APPLIEDz 0512212006
EXPIRES: 1212212006VALUE: $ 300,328.00
Initial Review
Plan Review Comments
Plan Review Comments
Planning Review
Planning Review
Public Works Review
Public Works Review
Structural Review
Structural Review
SUB Review
SUB Review 05t26t2006 06105t2006 WE
WI. Received responses from Rene
Fabricant. Forwarded the energy
code forms to David Harris.
WE. Received revised plumbing
plan C4 from Don Branch. Still
waiting for plumbing contractor
selection and data.
development agreement for the
MDS (DRC2006-00040) signed on
6t2t06.
Waiting for Development
Agreement. Tara Jones Planner
SDCs added. LDAP or Engineer's
statement required prior to issuance
of permit. Street trees (3) required.
Dumpster screening required. Joint
-use access agreement required.
LDAP issued. Street trees (3)
required. Dumpster screening
required. Joint -use access
agreement required.
See attached documents for 6
structural comments faxed to Rene
Fabricant 5131106 jmp. Received
revised sheet C4 with plumbig error,
Returned to engineer for revision.
6120106 dlm
Received plumbing contractor data.
Code forms received 6/9/06. Pass
energy code review 6119106 dh
See attached documents for
comment 3 in JMP's structural
comments requesting the energy
code forms.
06t22t2006 JMP
06t02t2006 06t02t2006 TAJ
05t26t2006 EMM
05t26t2006 06t07t2006 SB
06n9t2006 06tr9t2006 APP SB
05t25t2006 06t20t2006 Io DLM
0st23t2006
06t22t2006
06t20t2006
05t25t2006
06t07t2006
06t22t2006
06n9t2006
APP
IO
IO
APP
WI
WE
APP
APP
LLH
JMP
JMP
DH
DH
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.
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.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection.
Reouired Insnections
Page 3 of 5
G
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00607ISSUED: 0612212006APPLIED| 05t2212006
EXPIRES: 1212212006VALUE: $ 300,328.00
SUB Finat: After all required energy inspections have been requested and approved.
SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover.
SUB Ceiling Grid: Interior Lighting
SUB Exterior Lighting
Storm Sewer Line: Prior to filling trench.
Underslab Plumbing: Prior to filling the trench and including required testing.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to coYer.
Ceiling Insulation: Prior to cover.
Roofing: Prior to installing any roof covering.
Firewall: Located and constructed according to plans.
Roof Sheathing/l',lailing: Before covering sheathing with finish material.
Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to
City Building Inspector.
High Strength Bolting: To be done during construction by a State Certified Special lnspector. Provide inspection
results to City Building Inspector.
Structural Welds: To be done during construction by State Certified Special Inspector. Provide inspection test
results to Cify Building Inspector.
Structural Masonry: To be done during construction by a State Certified Special Inspector. Provide results to
City Building Inspector.
Final Fire Department. After all requirements of the Fire Department have been met.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Grading: After gravel is in place but prior to placing concrete.
Final Paving: After paving is complete.
Rough Mechanical: Prior to Cover
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Electric Service: Approval required prior to utility company energizing service.
Paee 4 of5
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: COM2006-00607ISSUED: 0612212006
APPLIEDz 0512212006EXPIRES: 1212212006VALUE: S 300,328.00
Rough Electric: Prior to Cover
Final Electric: When all electrical work 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
street, that the permit card is at the front of the property, and the approved set of plans will remain on the site at all
times
G Lz-O(i
Owner or Contractors Signature Date
Page 5 of 5
SPItITIGFIELr}cos,\7-:eel(o-oob-7 6-g-o6
Building Permit #Dale
Mara.u ?rao>ocrg Cosrt ? * NY
Ito97-
Proiect'TitlebLg'*ar+:yr;'\
Project Address
Special Inspection and Testing
tlnisherl, acknowlcdge an undenhnding of lhe informalion by signing belorv, and rehun lhis form to lhe City.
BEFORE A PERIIIIT CAN BE ISSUED: The orrner or olvner's represenlative, on the hdvice olthe responsible Pmjecl Engineer or Arcbitect, shall completq slgn. and submit to the
City for revie$ and approval this tbrm compleled on both the front and back-
The onner and General Conlractor, rvhere applioable , shall also acknouledge rhe follorving cohditions applicable lo $peciat Inspeution and/or Tesling.
I . Contmctor is responsible fbr proper notification lor the lnspe ction or Testing of iterns listed.
2- Iesting laboratorl shall takc apprupriale samples nnd lransport them to their laboralory for proper eyirfintion or testing.
I Copies of all laboratory reporls and inspections are to be srnt to lhe City by thc Testing Agenry-.
3. Special lnrpection Agency [s to submit namss and qualifications of on-site Special Inspectorr lo the City lbr approval.
4- Special hrPettor shall provide inspecliDn reports to thc building official ofatt inspection activities.
5. Conlraclor is responsible lo revierv lhc Ciry approved plons lbr additional inspection or testing requiremeils that may be noted.
Bf,FORE A CERTI$ ICATE OE OCCUPANCY WILL BE ISSt.IED: The Special Inspection,.rrgency- shall submi! to the Buikling Official a statemert that all ilernr rrquiring
provisions. Those items not testxl and/or inspecred shall be noted in tlre statement. The rcport is to be snbmitGd lo the City priorlo a regncst for linat inspections.
City of Springfield
Communi! Services Division
225 Fiflh Street
Springfield OR97477
Telephone: (5 4 1) "126-37 59
Fax (54 l) 726-3689
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ACKNOWIJI}GEIVIEMTS%t ffaka"
Owrrr Name (Prinled)
fcu€ filg,ztc.c,+.t; P.G,S.e,.
6P*+r c{l.l LN r, rilwFl tr *-[alc.
E nginecr er+t+ehileelEirn. (Piinted)
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or Sigrature
o
Firm (Prinbed)
Ax rruq "
General Contsactor Si matureKLvuAr
1'Dc)m
6'(n
Testing Laboratory Name (Printed)LaboratoryrRep. Signatrrre Official Signahre'
)
/tit.
Grout arLd fulorrar:
Concrete Gunilc GmuE Mortar
Aggegate Tesl of lf{ix Design
Reinforcing Tes[
iU Lr Drsi en-Wei rhmaster Cert. r
Relnlblcins Placemcnt
Cbntinuous Batch Plant lnsnect.
Inspea Placing
Cast Samples
S am ple.r (P ickr ilDe livered)
Compression Teslt
trsssed Concrele:
Piles Post-Tens Pre-Tens Claddine
Aggregate Tests
Reinlbrcins Tcsts
Tendon Test
Mix Desiensr
Re i nlbrc ing. Pl acement
lnsetl Plarement
Concrele Batchine
Concrele Placement
lnstallation lnspection
Clasl Sunpler
Pick-up Samoles
Compression Tests
SPE CIAL INSPECTTON AND TESTING SCIIEDULE,
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GI
GIm
6'
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{N(n
GJ(n{(nV
GRADING, EXCAVATIOil, ANI} FILL
,{cceptaacctestr} - PSF
Estatlisb linal grade
Fill ptacement inspectiory'contiruous
Soil Densily
ST RUCTURAL ST EEI.,\? EL DIN G:
Sample and tcst (list specilic members belou,)
Shop malerial idenlilication (mill cert)
Weld inspeclion t-lShop t-z Field
Ullrasonic inspection . Shop Field
tligh Strcngth Botring t-: Shop t- FieldA325 _}z:11 _XA{90 _N _X
Itlletal deck ryelding inspcr.tion
Reintbrcing Steel rvelding inspection
Rein tbrcing stecl mill certi t'i care
Vletirl strrd weltling inspecli on
Concrrtc inserl wcltling inspect ion
,lvloment rcsisting sleel tramcs
STRUCTURAL }VOOD:
Shcar rvall nailing inspection
Shear rtall anchors
lnspeclionofGlu-lam fab. i T/C psi
Inspection of truss joist fab.
Sample and terl comFonerls
Fabricalion rvelding of sleel accessories
NTASONRY
-F
-F
t/_
U/
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c)
HJ
oTl
a1'nHz6)Tl
HmrIJ
Special inspcction stresses usedTlgo_t'm ZOoo t'B
Preliminary acceplaoce lests (masonry rmiB, rvnll prismt)
Subsequent tcsts {morlar. grout, Iield rvall prisms)
Placemcnt inspection olunits, and reinforcrcmenl
fulasonry, morlar, grout, aDd ]eintbrcing rleel ccctilicates
Form Cornpleted by Dalc-
SIIOKE CONTR.OL:
_Leakoge tesling
Conlrol Verificarion
FIREPROOFING:
.=- Placement insp.tclion
_Densiry lcsts
_Thickness tests
_lnspect botchirrgROOFING:
_Insrrlation instntlationtR-Value;
_Tes! slrip#seams
tD6)m
TPROYIDE STNENGTII REQUIRf,D BY ARCI]ITECT OR ENGINEEROR CONTRACT DOCU]}T&\T LOCATION OI.VALUES
GI{
ADDITIONT\L INSRUCTION$ OTIIER TEST, & INSPECTIONS:
ATTACHMENTA
CITY OF SPRINGFIELD SYSTEMS DEVEI.OPMENT CIIARGE WORKSHEET
JOURNAL OR JOB NLMBER COM2OO6-OO6O7
NAMEORCOMPANY METALPRODUCTS CO.
I.OCATION 1652 32ND
MAP&TAXL.OTNUMBER: 17 0230 00 01931
$0.00
$0.00
$63 r.92
787.35
19.2'7$319.27$
$0.00
$234.38
s2,472.31
$10.00
716.69
5.96
16.69
96,442.76
DEVELOPMENT TYPE:Light Indusrial
NEW DEVELOPED AREA (S.F.):
EXSTING DEVELOPED AREA (S.F,):
TOTAL IMPERVIOUS SURFACE (S.F.):
I. STORM DRAINAGE
IMPERVIOUS SQ. FT.
2. SANITARY SEWER{ITY
A REIMBT'RSEMENT COST:
NIIMBER OF DFI.I'S
B. IMPROVEMENTCOST:
NUMBEROF DFU's
(SEE REVERSE SIDE)
5,000.00 ITE:
ITE:
L.OT SZE (S.F.):
110
x $ 0.323 PER SF
TOTAL STORM DRAINAGE
x $ 25.07 PER DFU
x $ 19.07 PER DFU
s M.14
TOTAL LOCAL WASTEWATER SDC:
0.95 NTF $63 1.92
0.95 NTF
$0.00
0
0
3. TRANSPORTATION
BLDG AREATGSF X TRIP RATE X COST PERADT XNEW TRIP FACTOR
NEW
A. REIMBTJRSEMENT COST:
5.00 x 6.97 x $ 19.09 PERTRIP x
B. IMPROVEMENT COST:
5.00 x 6.97 x $ 84'19 PERTRIP x
E)(ISTING
A. REIMBURSEMENT COST:
0.00 x 0EffirnmrvrcosT--
0.00 x 0
$ 103.28
x
x
0
o
NTF
NTF
$0.00
$0.00
$ 19.09 PER TRIP
$ 84.19 PER TRIP
x
x $46.88
x
TOTAL TRANSPORTAT]ON REIMBIIRSEMENT
TOTAI TRANSPORTATION IMPROVEMENT SDC:
TOTAL TRANSPORTATION SDC:
4. SANITARY SEWER - MWMC
NEW:
A REIMBTJRSEMENTCOST:
NLIMBER OF FEU's
B. IMPROVEMENT COST:
NUMBEROF FEI.,TS
EKSTING:
A REIMBIJRSEMENTCOST:
NUMBER OF FELrs
B. IMPROVEMENTCOST:
NIIMBER OF FEU's
-4'.- il A"-/,, A--
SDC COORDINATOR
MWMC CREDIT M APPLICABLE (SEE REVERSE)
5. ADMINISTRATIVE FEES :
BASE CHARGE (SI.JBTOTAL ABOVE)
SUBTOTAL (ADD ITEMS 1,2,3,&4)
$6,135.96
s494.46 $2,472.31
$O.OO PERFEU $0.00
$O.OO PERFEU $0.00
TOTAL MWMC REIMBURSEMENT
TOTAL MWMC IMPROVEMENT
MWMC ADMIMSTRATTVE
TOTAL I}ftVMC SDC
5o/o
5.00
5.00
0.00 x
0.00 x
PER FEU
PER FEU
$234.38
x
x
6/6t2006
TOTAL TRANSPORTATION ADMINISTRA'
TOTAL SEWER ADMINISTRATION
,787
COM2OO6-Oo5O7, Metal Products Co, 1652 32t. -.s
DATE
TOTAL SDC CHARGES
1 JULY2OO4
ATTACHMENTA
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NTJMBER COM2OO6-OO6O7
NAMEORCOMPANY:METALPRODUCTS CO.
LOCATION:1552 32ND
MAP&TAxI,oTNUMBER: 17 0230 00 01931
DEVETOPMENT TYPE:
NEW DEVELOPED AREA (S.F.):
EKSTING DEVELOPED AREA (S.F.):
TOTAL IMPERVIOUS SURFACE (S.F,):
I. STORMDRAINAGE
IMPERVIOUS SQ. FT.
2. SANITARY SEWER-CITY
A REIMBURSEMENT COST:
NUMBEROFDFU"S
B. IMPROVEMENTCOST:
NIIMBEROF DFU's
(sEE REVERSE SIDE)
x
5. ADMIMSTRATIYE FEES:
BASE CHARGE (STJBTOTAL ABOVE)
Industrial
$ 19.09 PERTRIP
$ 84.19 PER TRIP
s,000.00
x $ 0.323 PER SF
x $ 25.07 PERDFU
x $ 19.07 PERDFU
$ 44.14
TOTAL LOCAL WASTEWATER
ITE:
ITE:
LOT SZE (S.F.):
110
TOTAL STORM DRAINAGE SDC:
$0.00
0
0
3. TRANSPORTATION
BLDG AREA TGSF X TRIP RATE X COST PERADT XNEW TRIP FACTOR
NEW
A REIMBURSEMENTCOST:
5.00 x 6.97 x $ 19.09 PERTRIP x
E. npnover.,gvrcosr:
5.00 x 6.97 x $ 84.19 PERTRIP x
E)CSTING
A. REIMBURSEMENT COST:
0.00 x 0
n.ffinovsl"Gi!"r cosT--
0.00 x 0
$ 103.28
0.95 NTF $63t.92
0.95 NTF s2,787.35
x
x
0 NTF
NTF
$0.00
$0.000
4. SANITARYSEWER-MWMC
NEW:
A. REIMBURSEMENTCOST:
NI-JMBEROF FEU's
B. IMPROVEMENT COST:
NLIMBER OF FEt]'s
5.00
5.00
E)ilSTING:
A REIMBI]RSEMENT COST:
NLIMBER OF FEU's 0.00
B. IMPROVEMENTCOST:
NLMBER OF FEU's 0.00
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
TOTAL TRANSPORTATION REIMBURSEMENT
TOTAL TRANSPORTATION IMPROYEMENT
TOTAL TRANSPORTATION
$46.88 PER FEU
PERFEU
$234.38
$494.46
$O.OO PERFEU $0.00
$O.OO PERFEU
TOTAL MWMC REIMBURSEMENT
TOTAL MWMC IMPROVEMENT
MWMC ADMIMSTRATTVE
TOTALM1VMC
SUBTOTAL (ADD ITEMS I, 2, 3, & 4)
x
x
x
x
$6,r3s.96 x 5%
TOTALTRANSPORTATION
TOTAL SEWER ADMINISTRATION FEE:
.92""-ilA--iA-*
SDC COORDINATOR
6t6/2006
$0.00
$0.00
$0.00
$2,787.35
19.27$3
$0.00
$234.38
$2,472.31
$r0.00
fElatlf.n'l
716.69
135.96
,71
$ 306.80
(0.00$
$6,442.76
-@
-@
-@
-@
COM2005-00607, Metal Products Co, 1652 32r'. .s
DATE
TOTAL SDC CHARGES
1 JULY 2OO4
225 Fifth Street
Springfield, Oregon 97 47 7
541-726-3759 Phone
r'*y of Springfield Official Receipt
--velopment Services Department
Public Works Department
RECEIPT #: 1200600000000000933 Date: 0612212006 ll:39:39AM
Job/Journal Number
coM2006-00607
coM2006-00607
coM2006-00607
coM2006-00607
coM2006-00607
coM2006-00607
coM2006-00607
coM2006-00607
coM2006-00607
coM2006-00607
coM2006-00607
coM2006-00607
coM2006-00607
coM2006-00607
coM2006-00607
coM2006-00607
coM2006-00607
coM2006-00607
coM2006-00607
coM2006-00607
Amount Due
s00.00
1,059.65
370.6s
631.92
2,787.3s
234.38
2,412.31
10.00
306.80
14.00
45.00
12.00
24.00
4.00
5.00
10.00
45.00
28.00
98.93
210.73
Description
Fire SF Fee - Non-Residential
Building Permit
Paving
SDC Transpo Reimbursement
SDC Transpo lmprovement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Transpo Admin
Fixture
Storm Sewer - lst 50 Feet
Furnace - up to 100,000 btu
Furnace - Unit Heater
Gas Outlets I -4
M inimum/Adj ustment Mechanical
-Mechanical Issuance Fee-
Not Covered Plumbing
Storm Sewer Each Addtl 100'
+ 8% State Surcharge
+ 10Yo Administrative Fee
Item Total:$8,869.72
Payments:
Type of Payment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
Check MARKUS THOMPSON
CONSTR
djb 3240 In Person
Payment Total:
$8,869.72
$8,869.72
cReceintl Page I of I 6/2212006