The URL can be used to link to this page

Home My WebLink AboutPermit Building 2008-7-8 Status Issued 225 Fifth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme CITY OF ~rKlj~uFIELD Building/Combination Permit PERMIT NO' COM2008-00969 ISSUED. 07/08/2008 APPLIED: 07/02/2008 EXPIRES: 01/08/2009 VALUE: $ 234,46500 SITE ADDRESS 848 S 31ST PL ASSESSOR'S PARCEL NO 1802062109700 SPRINGFIETVPE OF WORK Smgle Family ReSidence TVPE OF USE New ReSidentIal PROJECT DESCRIPTION Smgle famIly reSidence Owner DJS INVESTMENTS LLC Address 2860 MARTINIQUE AVE EUGENE OR 97408 Contractor Type General I CONTRACTOR INFORMATION I License 131714 Contractor DJS INVESTMENTS LLC # ofUmts PrImary Occupancy Group Secondary Occupdncy Group PrImary ConstructIOn Type Secondary ConstructIOn Type # of Bedrooms Front yard Setback Side I Setback Side 2 Setback Rearyard Setback Solar Setbacks Street Improvements Storm Sewer AvaIlable Spectal InstructIOn I3 40 1690 900 2000 1580 ExpIratIon Date 10/09/2008 Phone 541-485-2655 R-3 U VB I \ill1lpING INFOR~A TION I fOl/o;''' ';"v," Uregon law r Notlf,:!P'~~l(,t'le/i)Pted by theeqUlres ytJu to Lot Size m OAll h1=1ws~qtH5'S, Ore9l81U'lJtll~q Ft 1st Floor 0090 -gPhilftl 0 thrJ&ffW~ i\~il ~tort~q Ft 2nd Floor caUm t/?jl~tam CopIes tAR ~001.sq Ft Basement nUmb afi~f1r.emilr (Note' th~ ll~e 6llts bySq Ft GaragelCarport l" jlJiffegon Ub/lly N e~ghPBe Sq Ft Other Spru' e/llBnaa0i332.~.'tcIoatIon Occupant Load I DEVELOPMENTINFORMATlON I 630 414 858 793 3 Overlay Dlst # Street Trees Rqd Paved DrIve Rqd % of Lot Coverage REQUIRED PARKING Total 2 Handicapped Compact. 1 Ves 2440 I PUBLIC IMPROVEMENTS I Sidewalk Type NOTICE: DownspoutslDrams THIS PERMIT SHAll EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ~MV 11ln nAV DI:Dlnn I ValuatIOn DescrlOtion I Fully Improved Ves CurbSide 5' CUI b dnd Gutter Notes Stormwdter to weep hole 10 curb DeSCriptIOn Type of ConstructIon $ Per Sq Ft or multIphe, Square Footage or Bid Amount Value Date Calculated Page 1 of4 -iiir Status Issued 225 FIfth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Dwelhngs Garage V Wood Frame Gdrage Fee DescrIptIOn -Mech Iss 2+ Apphances- + 10% Admmlstraltve Fee + 12% State Surcharge + 5% Technology Fee 3 Baths One & Two FamIly Addressmg Assignment Apphance Vent BOtlerlComp Up To 100,000 htu BUlldmg Permit Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Resldent131 Furnace - up to 100,000 btu CdS Outlets 1-4 Overwldth ApphcatlOn Fee Plan Review Major - Planmng Plan RevIew ReSldenltal ResIdence WIVIng 1000 Sq Ft Residence WIVIng Ea Addtl 500 Samtary Sewer - Improvement Samtary Sewer - Reimbursement SDC MWMC AdmmlstratlOn SDC MWMC Improvement SDC MWMC Reimbursement SDC SamtarylStorm Admm SDC Trdnspo Improvement SDC Transpo Reimbursement SDC Transportalton Admm Sidewalk Permit Storm Dramage ImpervIOus Area Storm Sewer Each Addll 100' Temp Power 200 amps or less Vent Fan WIIlama'ane Smgle FamIly Total Amount Paid Amount Paid $40 00 $19349 $21602 $1 II 36 $33700 $35 00 $700 $1400 $1,10614 $88 00 $700 $10 00 $13475 $1400 $500 $40 00 $211 00 $71899 $11700 $84 00 $61006 $802 29 $10 00 $1,009 17 $97 90 $14985 $888 98 $201 54 $72 79 $88 00 $832 76 $1600 $55 00 $28 00 $2,513 00 $10,86509 $10500 $28 00 Total Value of ProJect F",,<. PlIWJ Ddte Paid 7/8/08 7/8/08 7/8/08 7/8/08 7/8/08 7/8/08 7/8/08 7/8/08 7/8/08 7/8/08 7/8/08 7/8/08 7/8/08 7/8/08 7/8/08 7/8/08 7/8108 7/8/08 7/8/08 7/8/08 7/8/08 7/8/08 7/8/08 7/8/08 7/8/08 7/8/08 7/8/08 7/8/08 7/8/08 7/8/08 7/8108 7/8/08 7/8/08 7/8/08 7/8/08 Page 2 of 4 CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO' COM2008-00969 ISSUED' 07/08/2008 APPLIED. 07/02/2008 EXPIRES 01/08/2009 VALUE: $ 234,46500 2,065 00 630 00 07/0212008 07/0212008 $216,82500 $17,64000 $234,465 00 Receipt Number 2200800000000001034 2200800000000001034 2200800000000001034 2200800000000001034 2200800000000001034 2200800000000001034 2200800000000001034 2200800000000001034 2200800000000001034 2200800000000001034 2200800000000001034 2200800000000001034 2200800000000001034 2200800000000001034 2200800000000001034 2200800000000001034 2200800000000001034 2200800000000001034 2200800000000001034 2200800000000001034 2200800000000001034 2200800000000001034 2200800000000001034 2200800000000001034 2200800000000001034 2200800000000001034 2200800000000001034 2200800000000001034 2200800000000001034 2200800000000001034 2200800000000001034 2200800000000001034 2200800000000001034 2200800000000001034 2200800000000001034 CITY OF SPRINGI'H.LJ.J Building/Combination Permit Status Issued PERMIT NO ISSUED: APPLIED. EXPIRES. VALUE. COM2008-00969 07/08/2008 07/02/2008 01/08/2009 $ 234,465 00 225 Fifth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Plan RevIews I Pldnnmg Review Pubhc Works Review 07/0212008 07/02/2008 07/02/2008 07/02/2008 APP APP TAJ LKW Stormwater to weep hole m curb Structural Review 07/07/2008 07/07/2008 APP DLM See documents for Plan review comments To Request an mspectlOn call the 24 hour recordmg at 726-3769. All mspechons requested before 7:00 a.m. WIll be made the same workmg day, inspections requested after 7:00 a m. wIll be made the followmg work day. I R~ml'rp11~ EroslOn/Gradmg InspectIOn PrIor to ground disturbance and after erosIOn measures are mstalled Sidewalk - Curbside After forms are erected but prIor to placement 01 concrete Curbcut - Standard After forms are erected but prIor to placement of concrete Ufer ElectrIcal Ground Install ground rod at footmg and call for mspectlOn 10 conJunctIOn with footmg andlor foundatIOn lDspectlon Footmg After trenches are excavated Founddhon After forms are erected but prIor to concrete placement Post and Beam PrIor to Iloor msulahon or deckmg Floor InsulatIOn PrIor to deckmg Shear Wall Nallmg Before covermg sheathmg wIth fiUlsh materIals Frammg InspectIOn PrIor to cover and dfter dll rough 10 mspechons have been approved WalllnsulatlOn PrIor to cover CeIlmg Insulation Prior to cover Drywdll PrIor to tapmg Hold Downs Installed Special Inspection performed pi lOr to placement of concrete Provide report to City Butldmg Inspector Fmal BUildmg After all reqUired mspechons have been requested and approved and the bUildmg IS complete Underlloor Plumbmg PrIor to msulatlOn or deckmg U nderlloor Dr dm PrIor to cover or placement of concrete Rough Plumbmg PrIor to cover and mcludmg reqUired testmg Water Lme PrIor to filhng trench and mdudmg reqUired testmg Samtary Sewel Lme PrIor to filhng trench and mcludmg reqUired testmg Storm Sewer Lme PrIor to filhng trench Page 3 of 4 -iiit CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2008-00969 ISSUED. 07/08/2008 APPLIED' 07/02/2008 EXPIRES' 01/08/2009 VALUE: $ 234,465.00 225 Fifth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Fmal Plumbmg When all plumbmg work IS complete Underfloor Mechamcal PrIor to msulatIon or deckmg and mcludmg reqUired testmg Underfloor Gas Aller hne IS mstalled and reqUired testmg and capped If not attached to an apphance Rough Gas After hne IS mstalled and reqUired testmg and capped If not attached to an apphance Gas Service After hoe IS mstalled and hne has been connected to a mmlmum of one apphance mcludmg requIred testmg Presure test done at thiS pomt Rough Mechamcal PrIor to Cover Fmal Gas When all gas work IS complete Fmal Mechamcal When dll mechamcal work IS complete Temporary EtectrIc Approvdl reqUired prIOr to Utility Company energIZIng pole Rough ElectrIC PrIor to Cover ElectrIC Service Approval reqUired prIor to utIhty company energlzmg service Fmal ElectrIC When all electrIcal work IS complete By signature, I state dnd agree, that I have carefully exammed the completed apphcatlOn and do hereby certIfy that all mformahon hereon IS true and correct, and I further certify that dny and all work performed shall be done 10 accordance With the Ordmances of the City of SprIngfield and the Laws of the State of Oregon pertammg to the work descrIbed herem, and that NO OCCUPANCV Will be made of any structure WIthout permiSSIOn of the Commumty Services DIVISIOn, Bulldmg Sdfety I further certIfy that only contractors and employecs who are m comphance With ORS 701 005 will be used on thiS proJect I further agree to ensure that all reqUired mspectIons are requested dt the proper tIme, that each address IS readable from the street, that the permit card IS located dtthe front of the property, and the approved set of plans Will remam on the site at all times durmg constructIOn ~'~ 7-8-()g Owner or Contractors Signature Date Page 4 of 4 fi !m!m~l!!,~e Job No ~MOS .f'ttJ;tb<7 \ SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2008 NAME ---1J I L S !N;/FrTluQ.J.Tr PHONE ~~/7 - <;"<;"".~ 0 ADDRESS 7..~~o /t1M.r1^,lf'I~'CITY_ELlu~ STATE6{ ZIP ., 74'L>f!. LOCATION OF PROPOSED BUILDING SITE Street Address ~4-f!3 5, :~ / g PL, . Plat Name Tax Lot Number IlJ,o).. 0(;, 2-( O~1t7o 1. DEVELOPMENT TYPE (Check appropnate dwellmg(s) Dwellmg type definitions are on the back) A Slnole-Famllv Detached NO OF UNITS B Slnole-Famllv Attached NO OF UNITS C Mulli-Famlll/ Aoartment NO OF UNITS D Slnale Room Occuoancv NO OF UNITS E ACceS5l.lnt I)welhno Unit NO OF UNITS WILLAMALANE SDC X $2,513 per Unit = X $2,726 per Unit = X $2,323 per Unit = X $1,162 per Unit = X $1,257 per Unit = 2. SDC CREDIT (If applicable) SDC payer must fumlsh proof of Willamalane Credrt approval) 3 TOTAL WILLAMALANE NET SDC ASSESSED (If SDC reduced for Credit) ~00 Development Services Department City of Spnngfield 7 Date $ -.z..S-/J $ $ $ $ $ !J:S\~_OSJ S? $ 2 5/~ , lS, zoot 5 ZON (lDJ?/ INITIAL----rrr\ DATE ., -U ~nY? SOURCE \1. ~/ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689 ELECTRICAL PERMIT APPliCATION CIty Job Number ~~g -("){;)9~9 Dale I [' LPCATIOlY?)EIN~fAi') 1.:f.iO~(~;;~1~~ ~.(.fl-, ,) '5/ if 'pL, LEGAL DESCRIPTION /f!!Jn2... CJ"'" 2-1 D' 7/JO JOB DESCRIPTION 5'./7 /1CJ/-,~f)(XI!:-; C~~ Permits are non-transferable and expIre If work IS not started wlthm 180 days of ISsuance or If work IS Suspended for 180 days 3 rC(fNrtiJiTi;{.t~_SCH~iYiiLEBifLq'tV;;,;;;;:~~~;, A. ~~!f~,i~i4~t,~(~$litgi~~1~~ili:J~~11;p~?;~;~i~g~~~,iL ServIce Included 1000 sq ft or less Each addlhonal 500 sq ft or portion thereof Each Manufact'd Home or Modular Dwellmg Service or Feeder / $11700 //7thJ -1 $2100 ~-(MJ $55 00 W""~""-'"""-)~i>A0'i''^ ~",,;.~,,-,-_..,. .,.~ i-'~"/'~0""~:~-"j';'j~J ~;-"-'~=""'-'ci""j"w;iiX.-.-"'r" -;\'0 ""'~"""'-4'WW""~"''W'-:''" '1T~'r ~r~pm:i00'"';;''''\"'~'''~~'j'' J tr~CONTRACTOgJNSTALLi1TIO -ONL i:: ,,- ~+ - 0, ~,,- 1'- ~ \, * ** '''' ~-,~* ~, 'y,r'i -"'.4F * 4*"" ~~ * 2 ~. ,,_.Z_' ,__...: _z A_""~" ,;V B ,;"Se'lj.se,s,.,':Ee~~~r~-l!s.~,I,~a~loll,"~Jt!;\'$\!l,'!',2.J}~fJ.,.,~alt~it:', Electrical Contractor !f(lIJ_J--''' h €-,/ I::t.=-<-~ ,Q 200 Amps or less $ 70 00 201 Amps to 400 Amps $ 83 00 401 Amps to 600 Amps $13800 601 Amps to 1000 Amps $180 00 Over 1000 AmpsIVolts $413 00 Reconnect Only $ 55 00 ,ATD;NllPN QrlWon law requlr"" ~P~d'''L~:h''''''';!~-1l''jiil'I~:" Supemso,r License Numb.f)JJo~rlJ,4e".faPJo&Arl hI' tf:!e Ore "'6rili~PQraryccS~n:!Cl!S or .l!'e~j!_el"j;.jt0ll~ l',",,"". . Notillcatlon Center Those rules a~e ~ Exprrahon Date I 0 1!L9~9~-@Prl 0f901 0 throuqh OAR eW.lOn, Alteration or Relocation OC"v J uU rriay oOtaln Copies of the r1Jlll~s or less I Constr Contr Number n~~6ir~~nrdNO!e' the tele~~ps to 400 Amps I~\lv" vulrty Nottlin"'..-.. Cenlerls HI00-332-234) ......-.nps to 600 Amps IrJ- , - 2.,) )r'~ 4. Over 600 Amps or 1000 Volts see "B" above D Address (&J r<!.r~}1 f k"''(Ii.JJ-.< City C!-IJCr-<(,/.>- Phone !S>8"t"17:S Exprrahon Date Signature of SlIpervlsmg Electnclan -rMkJf j) +--/AL $ 55 00 $ 76 00 $110 00 5<),- New Alteration or ExtenSIOn Per Panel One Crrcmt Each AddJhonal Crrcmt or With SemceorFeederPenrut $ 48 00 Owners Name ~ \, ~ .::L~.Mf::-k. ~ Address 28w tlif&a- T~t// 0,--,- r E r:i!;~~lj~~*~~~:<~.r~;~';(ri';1~l~1:~;;1~~!d)~~~~!ilIi!i!i~~~1 City ~fHfS~~.:-.S550 Pumporrrngahon $5500 AUTHOR nMLI t:APIRE IF ~e Llghtmg $ 55 00 OWNER INSTALLATI~MME~~~~ UNDER THIS PERMfInlSeN~fergylRes'dent'a1 $ 28 00 The U1stallalton IS bemg mAMo~/:III''iJAY ~~NDONEQfiMd Energy/Commerclal $ 50 00 IS not IDtended for sale, lease or renT . MlDlmum ElectriC Permit Inspection Fee IS $50 00 + Surcharges Owners SIgnature InspectIOn Request 726-3769 $ 400 4 Z-5b~ ~A.72. ?~_&O -/ 2..&0 32 <!:). /2. 12% State Surcharge 10% Adnumstrahve Fee 5% Technology Fee TOTAL Shared Dnve(T )/Bulldmg FonnslElectncal Penmt Apphcallon 1-08 doc Moisture Content Acknowled2:ement Form ~t'ros+- I, bUilder at the followmg address ~S / Sf. tfJ I, , am the general contractor or the owner- ~~ . l). Street Address .yA'/k'~I7e{J City C- ~ - '1fe:,f Permlt# I{;r15blel\) l +\0 SubdlVlSIOn/LOt I~z... Oq:, 2./ 69 76 () Map and Tax Lot To conform with the 2008 Oregon Residential Specialty Code (ORSC), SectIOn R318 2, I am notJfymg the bUlldmg official that I am aware of the mOisture content reqUirement of ORSC SectIOn R318 2 and have taken steps to meet thiS code requrrement [SectIOn R3l8 2 IS provided for reference] SectIOn R318 2 MOisture content. Pnor to tssuance of the msulatIOn/vapor bamer approval reqUIred by RI 09 I 5 2 of thiS code (A) All mOIsture-sensItIve wood fiammg members used m construchon shall have a mOIsture content of not more than 19 percent of the weight of dry wood frammg members (B) The general conhactor or the owner who was Issued the structural penmt shall nOllfy the bUlldmg offiCial on a diVISIOn approved form that the contractor or the owner who was Issued the structural perout IS aware of and has taken steps to meet the reqUIrement m paragraph (A) EJL_ ---- ;<:: SI~nature - ?-tj-cJS Date JOURNAl OR JOB NUMBCR NAME OR COMPANY LOCATION TAX LOT NUMBCR DEVELOPMENT TYPE NEW DweLLING UNITS CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET COM2008-00969 DJS Investments 848 S 31 st Place 1802062109700 Smgle FaITIlly ResIdence I BUILDING SIZE (SF o I STORM DRAINAGE DIRECT RUNOfF ro CIIY STORM SYSTEM I IMPERVIOUS SF x I COST PER S F CHARGC I I 233430 I $0357 I = I $832 76 RUNOFF ROUTED TO DRYWELL DeSIGNED AND CONSTRUCTED TO CIl Y S I ANDARDS I IMPCRVIOUS S F I x I COSl PER S F I x I DISCOUNT RATE I I I 000 I I $0357 I I 50% ~ I ITEM I TOTAL - STORM DRAINAGE SDC $832 76 , 2 SANITARY SEWER - r:I rY A REIMBURseMeNT COST I NUMBeR or DFU's I x I 29 I B IMPROVEMeNT COST I NUMBER OF DFU's I x I 29 I COST PER DFU $2767 $802 29 1091 COST PER DFU $2104 $610 06 1092 ~ , ITEM 2 TOTAL - CITY SANITARY SEWER SDC $1,412 35 3 TRANSPORTATION A REIMBURSEMENl COST I ADl TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x \NEW TRIP FACIORI I 957 I I I I I 2106 I 100 I $201 54 11093 B IMPROVCMeNT COST I I ADT TRIP RATE I x I NUMBeR or UNITS I x I COST PER TRJP x INEW 1 RIP FACTORI , I 957 I I I I i $92 89 I 100 I $888 98 11094 ITEM 3 TOTAL - TRANSPORT A nON SDC = , $1,09052 I ---..--- 4 SANITARY SEWER - MWMr. A REIMBURSEMEN r COST INUMBCR OF FEU's I x ICOST PER FEU I I I I $97 90 = $97 90 1054 B IMPROVEMENT COST INUMBCR OF FCU's I x ICOST PER FEU I I I I $1,00917 = $1,00917 ' lOSS MWMC CREDIT IF APPLICABLE (SEE REVERSE) $000 j! 1054 MWMC ADMINISTRATIVE FEE $1000 I 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC ~ I $1,11707 J SUBTOTAL (ADD ITEMS I, 2, 3, & 4) ~ , $4,452 70 ~ 5 ADMINISTRATIVE FEE I ISUBTOrAL x ADM FEe RATC I~ CHARGE I $4,452 70 5% I $222 64 I TOTAL SANITARY ADMINISTRATION Fec 14985 11079 TOTAL TRANSPORTATION ADMINISTRATION FEE $72 79 J 1078 Kaye Wilson PREPARED BY 7/2/2008 TOTAL SDC CHARGES $4,675 34 I II DATE DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUlV ALENT = DRAINAGE FIXTURE UNITS l (NOTE fOR REMODELS CALCULATE ONLY TIlE NET ADDITIONAL FDITURES) NO OF FIXTURES DRAINAGE _J UNIT FIXTURE FIXTURE TYPE NEW OLD . EQUIVALENT UNITS ......_---,.. IBArHfUB 1 0 3 = 3 , IDRINKlNG FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GRLASE / OIL / SOLIDS / ETC 0 0 3 = 0 IINTERCEPTORS FOR SAND / AUTO WASH I ETC 0 0 6 = 0 ILAUNDRY TUB 1 0 2 = 2 ICLOTHESWASHER / MOP SINK 1 0 3 = 3 ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILe HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRlG / WATER STATION / ETC 0 0 1 = 0 I RECEPTOR FOR COM SINK / DISHWASHER / ETC 1 0 3 = 3 ISHOWER. SINGLE STALL 1 0 2 = 2 I SHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK COMMERCIALiRESIDEN1lAL KITCHeN 1 0 3 = 3 ISINK COMMCRClAL BAR 0 0 2 = 0 I SINK WASH BASIN/DOUBLe LAVATORY 1 0 2 = 2 'I ISINK SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 = 2 1 I URINAL. STALL I WALL 0 0 5 = 0 I ITOILET. PUBLIC INSTALLATION 0 0 6 = 0 I I I OlLET. PRIVATE INSrALLATION 3 0 3 = 9 MISCELLANeous DFU TYPE NUMBER or eDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 29 "'EDU (EqUlvalent.Dwelhng Umt) IS a dlsc~:~ eqUlvalen~~ a smgJe fmmly dwelhng umt (20 DFlJs) set at 167 gallons per day r II I I I 1 I I I I I I I I I I I 1 I I I I I I MWMC CREDIT CALCULATION TABLE BASED ON COUNTV ASSESSED VALUE YEAR ANNeXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$I,OOO ASSESSED VALUE ", ~ $5,29 i,,, ,- , ,$529 ~ '-;;: , ~ ,$5 19~ :e-1J ~~' '_~~_'=$5 12.L t- _~--;!:. ,'l' ; '-_ _-_L C1>: P$4-98.~ .' -'c '$480' ,~ ,'-- -$4 63";-"- ,,,, ---- =- ~ "-$4 49 r..:" _- $4 07 "'~ -11 P - 1="- , .$367..: 'I' ~' _ J~ $3 22~- ~ I .I'_~ - - -----=- - =-$273 ,- , ~ = "I- '~, $225 ~., >-~ 1 /~$180 _ ~-'i'=-:; _ $1..59,- ,,- -~ "1' $f45 ~ - 'c :" $1 ?5 tC -- ;-~ $1 09" ~ - t "$092 " -_ , '$0 72~-~=~S T A+~~~ $0 48 ~F~ _.><$028~_~, ,.c j'~ $009 ,_t' _; _.L :'$0 05~i!', <~ IS LAND ELGlBLE tOR ANNEXATION CREDIT' (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGffiLE FOR ANNEX CREDIT' (Enter I for Yes, 2 for No) BASE YEAR 2 2 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE /1000 CREDIT RATE $000 x $5 29 ~ , $000 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE /1000 CREDIT RATE $000 x $529 ~ I o TOTAL MWMC CREDIT $000 = RECEIPT #. 2200800000000001034 Date: 07/08/2008 923 I7AM Job/Journal Number DeSCI'lptlOn Amount Due COM200S-00969 Plan Review ResidentIal 71S 99 COM200S-00969 Plan Review Major - Plannmg 21100 COM200S-00969 Sidewalk Penmt SS 00 COM200S-00969 Curbcut Penmt SS 00 COM200S-00969 Stann Dramage ImpervIOus Area S3276 COM200S-00969 Samtary Sewer - Reimbursement S02 29 COM200S-00969 Samtary Sewer - Improvement 61006 COM200S-00969 SDC Transpo Reimbursement 20154 COM200S-00969 SDC Transpo Improvement S8S 9S COM200S-00969 SDC MWMC Reimbursement 9790 COM200S-00969 SDC MWMC Improvement 1,00917 COM200S-00969 SDC MWMC AdmmlstratlOn 1000 COM200S-00969 SDC SamtarylStorm Admm 149 S5 COM200S-00969 SDC TransportatIOn Admm 72 79 COM200S-00969 BUlldmg Penmt 1,10614 COM200S-00969 Addressmg Assignment 3500 COM200S-00969 Wlllamalane Smgle Family 2,51300 COM200S-00969 3 Baths One & Two Family 33700 COM200S-00969 Storm Sewer Each AddtllOO' 1600 COM2008-00969 Furnace - up to 100,000 blU 1400 COM200S-00969 BOIler/Comp Up To 100,000 blU 1400 COM200S-00969 Vent Fan 2S 00 COM200S-00969 Appliance Vent 700 COM200S-00969 Exhaust Hoods 10 00 COM200S-00969 Dryer Vent 700 COM200S-00969 Gas Outlets 1-4 500 COM200S-00969 -Mech Iss 2+ Apphances- 4000 COM200S-00969 Residence WIrIng 1000 Sq Ft 11700 COM200S-00969 Residence WII 109 Ea Addtl 500 S400 COM200S-00969 Temp Power 200 amps or less 5500 COM200S-00969 Fire SF Fee - Residential 13475 COM200S-00969 + 12% State Surcharge 21602 COM200S-00969 + 10% AdmmlstratIve Fee 19349 COM200S-00969 Overwldth ApphcatlOn Fee 4000 COM200S-00969 + 5% Technology Fee III 36 Item Total $10,865 09 Payments Check Number Autho....zatlon Type of Payment Paid By Received By Batch Number Number How Received Amount Paid CredltCard DALE KAST dJb 03506C In Person $9,50000 Check DJS INVESTMENTS dJb 5SS5 In Person $1,36509 Payment Total $10,865 09 cRecemt 1 Page 2 of2 7/S/200S