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Home My WebLink AboutPermit Building 2006-09-08Status In Review 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -726-37 69 Inspection Line Buildin g/Combination Permit PERMIT NO: COM2006-01162 ISSUED: APPLIED: 09/0812006 EXPIRESz 0411712007VALUE: $ 83,754.00 SITE ADDRESS: 2426l6TH ST ASSESSOR'SPARCELNO.: 1703243403500 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Add Family Room over garage and utility area. Owner: Address: MORSE JAMES R & CATHLEEN Y 2426 I6TH ST SPRINGFIELD OR 97477 Contractor Type General Electrical Mechanical Plumbing Contractor *DAVIS BROS EASTSIDE ELECTRIC INC INNOVATIVE AIR INC JOHNS PRECISION PLUMBING LLC License 63275 t17770 161742 158279 Expiration Date 03t31/2006 10t04t2007 10nu2008 0l/13/2008 Phone 541-683-9309 541-915-9828 541-746-1040 541-736-8690 CONTRACTOR INF( # 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 Setbdtk3f N l,utv:rJi Street Storm Special # ofStories: 2 Height of Structure: 23.00 Type of Heat: Forced Air Gas Water Type: Range Type: Energy Path: Path I Sprinkled Building: nla Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 VB 720 t26 12.00 41.50 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: Urban Fringe 24.00 REQUIRED PARKING Total: Handicapped: Compact: Curb and Gutter Sidewalk Type: u ol t c Pi*nsPouts/Drains: THIS PERMIT SHALL EXPIRE IF THE WORK drainage to gffigffim ${trcntgf$ Fmfin{$ft0f COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. DEVELOPMENT INFORMATION Notes: No Page 1 of3 t ul.Ll-rll\(, l1\r[JruvlAllll\ | !:the Status In Review 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line Buildin g/C ombination Permit PERMIT NO: COM2006-01162 ISSUED: APPLIED: 09/0812006 EXPIRESz 0411712007VALUE: $ 83,754.00 Plan Description Type of Construction Use Bid Amount V Wood Frame Garage Garage $ Per Sq Ft or multiplier $1.00 $99.00 $26.00 $73.00 Square Footage or Bid Amount 7,592.00 720.00 126.00 22.00 Value $7,592.00 $71,280.00 $3,276.00 $1,606.00 $83,754.00 Date Calculated 10n712006 10n8t2006 t0/17t2006 10n7t2006 Bid Amount Dwellinss Garage Garage Conver. Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0o Administrative Fee + 57o Technology Fee + 87o State Surcharge Building Permit Fire SF Fee - Residential Fixture Minimum/Adjustment Mechanical Miscellaneous Mechanical Not Covered Mechanical Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Storm Sewer - lst 50 Feet Vent Fan Total Amount Paid Total Value of Project Date Paid Receipt Number 3200600000000000460 3200700000000000082 3200700000000000082 3200700000000000082 3200700000000000082 3200700000000000082 3200700000000000082 3200700000000000082 3200700000000000082 3200700000000000082 3200700000000000082 3200700000000000082 3200700000000000082 3200700000000000082 3200700000000000082 3200700000000000082 Amount Paid $327.11 $10.00 $69.16 $32.46 $s1.94 $503.25 $42.30 $56.00 $15.00 $12.00 $12.00 $158.32 $208.21 $18.33 $45.00 $6.00 9t8/06 2t5t07 215107 215107 2t5t07 2t5107 2t5t07 2t5/07 2t5t07 2tst07 2t5107 215107 2tst07 2tst07 2t5t07 2t5t07 $1,567.08 Initial Review Planning Review Public Works Review 09fiu2006 09n2t2006 09n2t2006 09n2t2006 10n9t2006 10t02t2006 APP JLP No Planning issues. Lft msg on machine. Need Storm H2O plan. L.C. Sanitarian Responsibility Form. Verify roofl ine over back area approx 4' X 36'. Cn't accuratly calc SDC's.JLP No new square footage of impervious area. Storm drainage to existing system ending at curb & gutter.JLP APP APP WE LLH TAJ JLP Public Works Review 10n6t2006 10n6t2006 Page 2 of3 Valuation Descrintion I lees Pard I F Status In Review 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54l-726-3676Fax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2006-01162 ISSUED: APPLIED: 09/0812006 EXPIREST 0411712007VALUE: $ 83,754.00 Public Works Review Structural Review 1U07t2006 09n2t2006 1u07t2006 10n8t2006 JLP APP DLM Rcvd Septic Responsibility Form. Placed in file.JLP See documents for plan review comments. that the To Request an inspection call the24 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. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to coYer. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Final Buitding: After alt required inspections have been requested and approved and the building is complete. Rough Plumbing: Prior to cover and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical 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 ensure that all required inspections are requested at the proper time, that each address is readable from the card is located at the front ofthe property, and the approved set of plans will remain on the site at all times .>S Owner Page 3 of3 Date I t(eourreo lnsDectlons I JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOTNT]MBER: DEVELOPMENT TYPE: NEW DWELLING UNITS I. STORM DRAINAGE DIRECT RTINOFF TO CITY STORM SYSTEM CITY OF SF. .{GFIELD SYSTEMS DEVELOPMENT ,TORKSHEET coM2006-01162 James & Cathleen Morse 2426l6thst. 1703243403s00 SINGLE FAMILY RESIDENCE 0 BUTLDTNG SIZE (SF' 0 LOT SrZE (SF):0 IMPERVIOUS S.F 0.00 RT]NOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F 0.00 NUMBER OF DFU'S 8 B. IMPROVEMENT COST: NUMBER OF DFU's 8 ADT TRIP RATE 9.57 B. IMPROVEMENT COST: ADTTRIP RATE 9.57 ST]BTOTAI- $366.54 COSTPER S.F $0.336 COST PER S.F $0.336 COST PER DFU $26.03 $ 19.79 NT,]\4BER OF TINITS 0 NUMBER OF LTNITS 0 ADM. FEE RATE 5% CTIARGE $0.00 DISCOTINT RATE 50o/o $0.00 DISCOLINT $0.00 x x x x x x x x ITEM I TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER- CIry A. REIMBURSEMENTCOST: ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3. TRANSPORTATION A. REIMBT]RSEMENT COST: $366.54 COST PER TRIP $r 9.81 COST PER TRIP $87.39 $0.00 NEWTRIP FACTOR 1.00 NEW TRIP FACTOR 1.00 xx xx ITEM 3 TOTAL- TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's 0 B. IMPROVEMENT COST: NUMBER OF FEU'S 0 MWMC CREDIT IF APPLICABLE (SEE RE\'ERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC SUBToTAL (ADD ITEMS t, 2, 3, & 4) 5. ADMINISTRATIVE FEE: $0.00 $366.54 CHARGE $r 8.33 TOTAL SANITARY ADMINISTRATION FEE TOTAL TATION ADMINISTRATION FEE: Jeff Prociw t0/1612006 COST PER FEU $91.61 $0.00 $208.21 $0.00 $0.00 $0.00 $0.00 l8 $384.87 1070 I09t 1092 1 093 1094 1054 I 0s6 079 078 a rrl TJ Q rI)Fa r!il COST PER FEU $961.52 PREPARED BY DATE TOTAL SDC CTIARGES x x DRAINAGE FIXTURE TJNIT CALCULATION TABLE NUMBER OF NEW FD(TURES X LINIT EQUTVALENT = DRAINAGE FXTURE UNITS FOR CALCULATE ONLY Ti{E NET ADDITIONAL NO. OF FIXTURES TINIT FXTURE TYPE NEW OLD MISCELLANEOUS DFU TYPE NUMBER OF EDU'S TOTAL DRAINAGE FD(TURE I.]NITS isa toa unit 167 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE 20 DRAINAGE FIXTURE 0 2 2 1979 *EDU BEFORE I979 $5.29 $5.29 $5.19 $5.12 $4.98 $4.80 $4.63 $4.40 $4.07 $3,67 $3.22 $2.73 $2.2s $1.80 IS LAND ELGIBLE FORANNEXATION CREDIP (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR CREDIT FOR LAND (IF APPLICABLE) 1979 1980 1981 't982 1983 1984 x1985 1986 1987 1988 1989 '1990 1991 1992 r993 1994 1995 1996 1997 1998 1999 2001 VALUE / IOOO $0.00 CREDIT RATE $s.29 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / IOOO CREDIT RATE $0.00 x $5.29 TOTAL MWMC CREDTT$1.59 $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.05 I 0 3 3BATHTI.IB 0001DRINKING FOUNTAIN 0 3 0FLOOR DRAIN 0 0 0 3 0INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 6 0INTERCEPTORS FOR SAND / AUTO WASH i ETC.0 0 0 0 2 0LATINDRY TUB 0 0 3 0CLOTHESWASHER / MOP SINK b 0CLOTHESWASHER - 3 OR MORE (EA)0 0 0 0 12 0MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 1 0RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 3 0RECEPTOR FOR COM. SINK / DISHWASF{ER / ETC.0 0 0 2 0SHOWE& SINGLE STALL 0SHOWER GANG (NUMBER OF HEADS)0 0 2 0 0 3 0SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 2 0SINK: COMMERCTAL BAR SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 2 1 0SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 0 0 5 0URINAL, STALL/WALL TOILET. PI.IBLIC INSTALLATION 0 0 6 0 3TOILET. PRTVATE INSTALLATION 1 0 3 8 YEAR ANNEXED CREDIT RATE/$I,OOO ASSESSED VALUE 0 2000 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Qi+" o1' Springfield Official Receipt L- .:lopment Services Department Public Works Department RECEIPT#: 3200700000000000082 Date: 0210512007 8:55:27AM Job/Journal Number coM2006-01162 coM2006-01162 coM2006-01162 coM2006-01162 coM2006-01162 coM2006-01162 coM2006-01162 coM2006-01162 coM2006-01162 coM2006-01162 coM2006-01162 coM2006-01162 coM2006-01162 coM2006-01162 coM2006-01162 Description Fire SF Fee - Residential Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Building Permit Fixture Storm Sewer - lst 50 Feet Vent Fan Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- Miscellaneous Mechanical Not Covered Mechanical + 5%o Technology Fee + 8% State Surcharge + lUYo Administrative Fee Amount Due 42.30 208.21 158.32 18.33 503.25 56.00 4s.00 6.00 15.00 10.00 12.00 12.00 32.46 51,94 69.16 Item Total:$1,239.97 Payments: Type of Payment Paid By Received By Batch Number Number How Received Amount Paid CreditCard JAMES R MORSE nJm 05543C In Person Payment Total: $1,239.91@ cReceintl Page I of I 21512007 rGlmG*8 SPRI}'-€IELD zoN Li)L ?fi, INITIALS DATE SOURCE o7 225FlFrHSTREET.SPR!NCFlELD,oR9T4TToPH:(5rll)72G3753o FAX: (541)725-3589 ELECTRICAL PEKMIT ON Ciry Job Number I 1.L 3.. COMPLETE FEE Z {s i:it.::.: :r:1 - "':ii-_:;'--r:: ',:.-:': ":: -':Nerv Reside"iiri- Single or l\{ultilFamill. pgt awelliS Date A. LEGAL DESCRIPTION:*i7a=2(: ( o:sno Service Included sq. ft. or less $ r 06.00 JOB DESCzuPTION SVvL 5 ctr'd, Perrnits are non-transferable and expire if work is 'n OA not started within 180 days of issuance or if work is J0g0 Suspended for 180 daYs. Constr. Contr. Number Expiration Date lo^l-)u.o? IZED Signarure of Supervising Electrician CgMMENCED ANY 1 80 DAY P Owners Name Jlw -23qat $mps 201 AmPs to 400 AmPs Efth$Slteration or Extension P One Circuit Each Atlditional Circuit or with Service or Feeder Permit Pump or irrigation Sign/Outline Lighting Limited EnergY/Residential Limited EnergY/Commercial s#BLCExPIREW4m,'wi)RK U ffienpqQ,ffirPE RilI U00 yNtJtee "B.' above, sq. ft. or i tLiVy s 19.00 s50.00 syL.rl o.YUt, (v $ 63.00 s 50.00 s 69.00 $ r 00.00 L-, THIS PERMIT er Panel sl 5 $3.00 /E t. E. I\{iicellaneorrs (Sirvice/fCeder n9t included.) -Each Instlllation,. Address z1?/- |S Ciry sQ€\Phone OWNER INSTALLATION The installation is being made on properry I own which is not intended for sale, Iease or rent. Owners Signature: $ 43.00 s 50.00 s 50.00 s 25.00 s 45.00 Minimum Electric Permit lnspection Fee is $45.00 + surcharges 4. . SLBTOTAL OF ABOW 8% State Surcharge l0% Administrative Fee 5% TechnologY Fee qq59( (- bqa_____w --------T6r Inspection Request: 726-3769 TOTAL Shared Drivc(T: )/Building Fonns/ Electrical Permit Appl isation 8-06 doc obtain 2.I tclll r Electrical Contractor Address '31)S3 6o City SflqTD Supervisor License Number Cellter))l s Expiration Date ^l-foo7 ANY 1 Amps $ 75.00 s 125.00 $ I 63.00 $375.00 FOB s 50.00 l{777o ugrrGE: Status In Review 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: COM2006-01162 ISSUED: APPLIED: 09/0812006 EXPIRES: 08/2012007VALUE: $ 83,754.00 SITE ADDRESS: 2426 16TH ST ASSESSOR'S PARCEL NO.: 1703243403500 PROJECT DESCRIPTION: Add Family Room over garage and utility area. TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential Expiration Date Phone Springfield Owner: Address: MORSE JAMES R & CATHLEEN Y 2426 I6TH ST SPRINGFIELD OR 97477 ]TOR INFORMATION Contractor Type General Electrical Mechanical PIum # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Fronfyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Contractor *DAVIS BROS EASTSIDE ELECTRIC INC INNOVATIVE AIR INC JOHNS PRECISION PLUMBING #of Height Type of AR roay Water CenterRange Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: 0 otw Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: 0ccupant Load: to s41-683-9309 541-915-9828ltY tofl slr-z16-ro4o 541-736-8690 Curb and Gutter License 63275 117770 I ia{l i by tho 720 R-3 VB 126 Path I nla 12.00 41.50 Fullv Improved Yes Sidewalk Type: Downspouts/Drains: Notes: No new square footage of impervious area. Storm drainage to existing system ending at curb & gutter.JlP PUBLIC IMPROVEMENTS Page I of4 h Status In Review 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line GFIELD Building/Combination Permit PERMIT NO: COM2006-01162 ISSUED: APPLIED: 09/0812006 EXPIRES: 08/2012007VALUE: $ 83,754.00 Description Type of Construction Bid Amount Use Bid Amount Dwellings V Wood Frame Garage Garage Garage Conver. Garage Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0"h Administrative Fee + 57o Technology Fee + 87o State Surcharge Building Permit Fire SF Fee - Residential Fixture Minimum/Adjustment Mechanical Miscellaneous Mechanical Not Covered Mechanical Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Storm Sewer - lst 50 Feet Vent Fan + l0oh Administrative Fee + 57o Technology Fee + 87o State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid Total Value of Project Date Paid Receipt Number 3200600000000000460 3200700000000000082 3200700000000000082 3200700000000000082 3200700000000000082 3200700000000000082 3200700000000000082 3200700000000000082 3200700000000000082 3200700000000000082 3200700000000000082 3200700000000000082 3200700000000000082 3200700000000000082 3200700000000000082 3200700000000000082 1200700000000000176 1200700000000000176 1200700000000000176 1200700000000000176 1200700000000000176 $ Per Sq Ft or multiplier $1.00 $99.00 $26.00 $73.00 Square Footage or Bid Amount 7,592,00 120.00 126.00 22.00 Value $7,592.00 $71,280.00 $3,276.00 $1,606.00 $83,754.00 Date Calculated 10n712006 10n8t2006 t0tr7t2006 10n7t2006 Amount Paid $327.11 $10.00 $69.16 $32.46 $51.94 $503.25 $42.30 $56.00 $1s.00 $12.00 $12.00 $1s8.32 $208.21 $18.33 $4s.00 $6.00 $8.10 $4.05 $6.48 $18.00 $63.00 $1,666.71 9t8t06 2t5t07 2t5t07 2t5107 2t5107 2t5t07 2t5107 2t5107 2t5t07 2/5107 2t5t07 2t5t07 2t5t07 2t5107 2t5t07 2t5t07 2t20t07 2t20107 2/20t07 2t20t07 2t20t07 tr'ees Pcid Plan Reviews Initial Review Planning Review Public Works Review 09nu2006 09n212006 09n2t2006 09n2t2006 10n9t2006 10t02t2006 APP APP WE LLH TAJ JLP No Planning issues. Lft msg on machine. Need Storm H2O plan. L.C. Sanitarian Responsibility Form. Verify roofline over back area approx 4' X 36'. Cn't accuratly calc SDC's.JLP Pase 2 of 4 x Valuation Descriotion Status In Review 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: COM2006-01[62 ISSUED: APPLIED: 09/0812006 EXPIRES: 08/2012007VALUE: $ 83,754.00 Public Works Review Public Works Review Structural Review 10n6t2006 10t16t2006 APP JLP No new square footage of impervious area. Storm drainage to existing system ending at curb & gutter.JLP Rcvd Septic Responsibility Form. Placed in file.JLP See documents for plan review comments. 1u07t2006 09n2t2006 1u07t2006 10/18/2006 JLP APP DLM To Request an inspection call the24 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. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Framing Inspection: 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 have been requested and approved and the building is complete. Rough Plumbing: Prior to cover and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. f,lpnrrired Insnecfinns Page 3 of4 Status In Review 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-01162 ISSUED: APPLIED: 09/0812006 EXPIRES: 08/2012007VALUE: $ 83,754.00 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 Safefy 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. C)wner or Contractors Signature Date Pase 4 of 4 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Ci^' of Springfield Official Receipt L ;lopment Services Department Public Works Department RECEIPT #: 1200700000000000176 Date: 0212012007 l1:42:llAM Job/Journal Number coM2006-01162 coM2006-01162 coM2006-01162 coM2006-01162 coM2006-01162 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10o/o Administrative Fee Amount Due 63.00 18.00 4.05 6.48 8.10 Item Total:$99.63 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard ROGER KING djb 04504B In Person $99.63 Payment Total: -Sffi cReceint I Page I of I 2120t2007