HomeMy WebLinkAboutPermit Building 2009-2-12
Status
Iss u ed
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2009-00186
ISSUED: 02/12/2009
APPLIED: 02/09/2009
EXPIRES: 08/12/2009
VALUE: $ 185,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phoue
541-726-3676 Fax
541-726-3769 Inspectiou Line
SITE ADDRESS: 2019 S 57TH ST
ASSESSOR'S PARCEL NO.: 1802033300900
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Single family residence-
Same As 1953 S 57th St COM2009-00098
Owner: HAYDEN HOMES LLC
Address: 2464 SW GLACIER PL STE 110
REDMOND OR 97756
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
HAYDEN ENTERPRISES
License
92208
Expiration Date
07/29/2009
Phone
541-2i8-1081
I BUILDING INFORMATION I
3
# of Stories: 1 Lot Size:
Height of St);~~~rf 51 Ja\uaoI6.OO Sq Ftlst Floor:
TYWJ>i-' ;€1\tuo5aJO .a4\ JOI J~liSnU Sq Ft 2nd Floor:
UO!l13~1qtl Rt'ON) 'JalUao a4\16I\~\JO Sq Ft Basement:
aUOlRi:y~A,\ gliloo U113\qO AeLEleen-ii:0600sq Ft Garage/Carport
Aq 5all}t.rel ~'lJll11()J4\ 0 ~OO- WO-Z96 \:litO USq Ft Other:
~wgi,~jf~~~a~!,~~:i1rJJ~~:~~::;f:,'~~,~~ccupant Load:
I oi!v.eLoPMitNi, iNtORMATlmlUIBlllt
5,407
1,235
# of Uuits:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U
VB
400
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
21.88
13.00
7.04
1~.21
0.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage.:
2
Yes
22.84
.Total:
Handicapped:
Compact:
2
Notes:
-
I PIJ~"K'.liIrLPROVEMENTS I RK
. THIS PERMIT SHALL tM'IRE In!'lJ,W~fW:
IZED UNDER THIS PE~'IJfi I
AUTHOR ANDO~D'\&ilf\1tslDrains:
For this parcel in JasI%5MM\j~~1i} Qli'bl?r~~mmendation to the Building Division, by the City
Engineer: "that no C0'1IW/ti1'8es6~iR!fiIM\I~ sanitary or storm H20 systems, untiltbe
subdivision is accepted by City Council".
Subdivision Not Accepted
Street Improvements:
Storm Sewer Available:
Special Instruction:
I Valuation DescriDtion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of 4
_"'~!l!"~lj;l~!(g;
;1m""',' ,
j1~, ' .
Status
.Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
Estimate
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
2 Baths One or Two Family
Addressing Assignment
Appliance Vent
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Fireplace (Listed)
Gas Outlets 1-4
Plan Review Major - Planning
Plan Review Same As
PW Disc - 2nd Permit
Residence Wiring 1000 Sq Ft
Resideuce Wiring Ea Addtl 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Admiuistration
SDC MWMC Improvemeut
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Reimbursemeut
SDC Transportation Admin
Sidewalk Permit
Storm Draiuage Impervious Area
Temp Power 200 amps or less
Vent Fan
WilIamalane Single Family
Total Amount Paid
. Planning: Review
Amount Paid
$216.32
$107.98
$79.00
$337.00
$38.00
$9.00
$1,054.70
$88.00
$9.00
$13.00
$81.75
$20.00
$7.00
$211.00
$250.00
$-30.00
$134.00
$50.00
$504.88
$663.96
$10.00
$1,009.17
$97.90
$152.06
$201.54
$15.37
$88.00
$755.23
$63.00
$27.00
$2,858.00
$9,121.86
02/0912009
,
CITY OF ~r luNGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00186
ISSUED: 02/12/2009
APPLIED: 02/0912009
EXPIRES: 08/1212009
VALUE: $ 185,000.00
$1.00
185,000.00
Total Value of Project
$185,000.00
$185,000.00
02/09/2009
J{pp<, PllWJ
Date Paid
Receipt Number
2/12/09
2/12/09
2/12109
2/12109
2/12/09
2/12/09
2/12/09
2/12/09
2/12/09
2/12109
2/12/09
2/12/09
2/12/09
2/12/09
2/12/09
, 2/12/09
2/12/09
2/12/09
2/12/09 .
2/12/09
2/12/09
2/12/09
2/12/09
2/12/09
2/12109
2/12/09
2/12/09
2/12/09
2/12/09
2/12/09
2/12/09
1200900000000000099
1200900000000000099
1200900000000000099
1200900000000000099
1200900000000000099
1200900000000000099
1200900000000000099
1200900000000000099
1200900000000000099
1200900000000000099
1200900000000000099
1200900000000000099
1200900000000000099
1200900000000000099
1200900000000000099
1200900000000000099'
1200900000000000099
1200900000000000099
1200900000000000099
1200900000000000099
1200900000000000099
1200900000000000099
1200900000000000099
1200900000000000099
1200900000000000099
1200900000000000099
1200900000000000099
1200900000000000099
1200900000000000099
1200900000000000099
1200900000000000099
I Plan Reviews I
02/09/2009
APP DDK
Access restricted to I driveway/lot.
Follow street tree plan.
Paee 2 of 4
_t;l!~~t,f!I~"lli!t~ ,"
'il" ,H ,
~
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00186
ISSUED: 02/12/2009
APPLIED: 02/09/2009
EXPIRES: 08/12/2009
VALUE: $ 185,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspection Line
Puhlic Works Review
02/09/2009
02/09/2009
APP TSS
For this parcel in Jasper Meadows,
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".
As noted on plans and in review
letter
Structural Review
02/09/2009
02/09/2009
APP CJC
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.
I R...,lIir..rl 11I<,II.."tio'\1.l
Erosion/Grading Inspectiou: Prior to ground disturhance and after erosion measures are installed.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjuriction 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 floor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing luspection: Prior to cover and after all rough in inspections have heeu 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.
Underfloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placemeut of concrete.
Rough Plumbing: Prior to cover and including required testing.
Fiual Plumbing: When all plumbing work is complete.
Underlloor Gas: After liue is installed aud required testing 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.
Paee 3 of 4
CITY OF SPRINGFIELD
,Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-00186
ISSUED: 02/12/2009
APPLIED: 02/09/2009
EXPIRES: 08/12/2009
VALUE: $ 185,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541~726-3769 InspeCtion Line
Gas Service: After Iiue is installed and line has been counected to a minimum of o'ue appliance including required
testing. Presure test done at tbis point. '
n
Rough Mechauical:Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: Wheu all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company euergizing pole.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
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 Ordin'ances 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 aud 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 reqnested 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.
_ ____ -./7 '/
~ ~L __ ~,
..:J -/;2 - (/ '7
- -7/
Owner or Contractors Signature
V
Date
Paee 4 of 4
If~ Willamal.ane
. t Park & RecreatIon Distnct
Job. No. 09-16? .
SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2009 .
NAME: /ll4-i/)C71/ ~cJ
PHONE:>>t:- &.1' 3J
ADDRESS: .2-'I~'( .51<1 O.At:l!-7L CITY ~trl}l'1.6M) STATE~ZIP: '1??~"(;'
LOCATION OF PROPOSED BUILDING SITE:
Street Address: ;2<J /9 0 57 ff .
Plat Narpe: Tax Lot Number: /"fo;2 CJ33J c.b~o
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are' on the
back.) . .
A. Sinole-Familv Detached
I
NO. OF UNITS
X $2,858 per unit =
$ hfsf
. B: Sinole-Familv Attached
NO. OF UNITS
X $3,100 per unit.=
$
C: Multi-Familv Aoartment
NO. OF UNITS
X $2,641 per unit =
$
D. Sino Ie Room Occuoancv
- m -NO;OFONITS----- -----X$-1;32rperunif=----$--.-
. E. Acces!';l)rv Dwellino Unit
NO. OF UNITS
X $1,550 per unit =
$
WILLAMALANE SDC $
2. SDCCREDIT (If applicable) SDC payer must furnish proof of
Willamalane Credit,approvaL) . > $ --
3. TOTAL WILLAMALANE NET SDC ASSESSED'
did~.
Development Services Department
City of Springfield
$ _ ..2ES- 6
.2 17
Date
I .24'Z>;;
5
~PR.NGF.ELD P.~"i
~ '
~~S'\?d~.J
~~~;m,,", ~
ZON t<<
IN1TIALS \.kI"
DATE A..,......cP\
SOURCE ( ~
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH,(541)721r3753 . FAX, (541)726-3689
ELECTRICAL PERMITAPPLICflTION
City Job Number row( zeO '1- 00 {Ob
LjO)-c; 5
(;2n '7 Installation, Alteration or Relocation /,1
200 Ainps or less ( ~OO ----b3-
Constr. ContY. Number /7;2. "?J{,;{" 20) Amps to 400 Amps $ 76.00
401 Amps to 600 Amps $110.00
Expiration Date :;In '1 Over 600 Amps or 1000 Volts see "B" above. _
S 1 ofS rv smg "1 tnclan D ~~#~~~ffilrtil~J~I~~~~~ff~J~~l!f~~~~~~\~~f!JI.~11ll~-\~~!
igna ~re ,;pe ~., j-' ec . . - lw~" ' .;:Jh;~I~"'"""c,"J;,",.",.I;;;I~;~,i~1fiflt,ul,'l\'Tc!i~$fl"r:,;'ilV;,,;i:-l.,~;Iti~;iiil!!~I,,-...t,,>!t~ti.l~';i):r(~~.:I1)ifr~&.'m;~
d_~r }, J c\\-; \ t - ~ L, New Alteration or Extension Per Panel
i~ kIU.l-;a.))'~ One Circuit $ 48.00
~ -, I Each Additional Circuit or with
OwnersN";;'e J/~d6V ftvoN\.e'5._ se:iceo::~ederperrnit HOO
Address _ ~L(b<( "Sl.J l/>IA-ct&tL . E; ~m~J,i".Iil:&t~~"_~~~YI~t?li~:\tJWjlt~1
City I2e- ~~ ~ Phone '?'ff-6. y 1- r
~~,~,'-\i,'$'"~-''''''l''''';'''~''im~~&<..r,o:i::!;;?~'ilrl'ty~.:t;~'h~'i;~j";g:i":,"601<!
1 ~~J5(Q.(ffH;f/FJ[illNt-ui?BJN":~l,1~~t&J..\YI.:j~~~;!_i-?I~~~~
. 2~('~9"""""'''''r''"'""-S'71e'C''';~t'i""
LEGAL DESCRIPTION:
18DZ-OJ$5
60 '7 a C>
IkMP
JOB DESCRIPTION:
SI....J/:!" tZ-.:l
I
Permits are non-transferable and expire if\vork is
Dot started witliiu 180 days of issuance or if work is
_____ _ _Suspended_JoJ:-180_daj1s_--:-__ ---:----
- .- 'fJi~_~~"~,"l;;Ii_~~i'J~~_'. ~ar_'~!!I.~iiiil~.<ijl~~~~i~l;;;(~:'_-."~~II~1Wl~i1\fJi~r 7\'~' ~8:i!
'It.@l1!~~@iE 'Ri!li$f'f,:ii'" . :Wlf]J,(i)1!il' ) , 'Il
2. i:...~~<lt:ll",';l""l~t"r~"~.w~,,'. - ,*;li'<l:~,y.,. J';, ~::w,,~t:"~'~ \:i,l~'ili"
~Iectrical Contractor., -r;,f)Jb~ .r-/ec
Address ;;208/9
() ,
Llty ,n~(
~ (f
-_ ,- ----7-- ---- m
t'none nl-3rTr7'Jo
Supervisor License Number
Expiration Date .
OWNER-lNSTALM-TlON -.." - .
-The installation is being made on propertY Town which -.-
IS not intended for sale, lease or renL . ~
0==';",._ ~~,i\'\O
InspectioD Request: 726-3769
Date 2- 5' - ZOO?
3. R~~.~lf!{~.l~~~t.Wjl{.I~~li..
A. l~t\';\[~gj~-mTh'fli!i;'%,'j1ffiinf~W~mj'fi&f~{q"~~~f~ilf%'ll'J'~_:,
~u.f:?"...,tlt~w~wil;~~~.~"""~"'''''\\'-~.r~L::1:J1,Bf'~''''''''--E-;J,;~B"g,!-#;f'-.~y~,~~
Service 1ncluded
1000 sq. It or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modu]ar Dwelling Service or
__.Ee.ed~
/1'(
~O
~O
I3lf
SO
I
2-
$55.00
- - -B~ ~_:'s!~'f},~l~1"g~"Jfi.t~~h_'i,L~i!lf:~~~'~t<i.!tl~~I.:ffM~'fif@_i!iJ:l~"-:{~~!;itf_'~I.~ililt~\lf,!._,f,W)?,f:~ffi~~_~!~'l',:t-t~V_,,~'ili'f!/:__:~ '~;WJ__;I_
. !;~ ..!::.lfiY'.lJiCS'WFc; ~ee Sil,Sh;l1UStaHauonIL\:,.' fetatmnS>OFRe]oca. oIf-~"1
~iI"~w"",,"...~.t<:,,;t';R..';'~'.11l' '~~.I;ifl~~)E!'iIio$~.",",'tr,.~~w"~~",.~l.~'.t'!ry'<,,,r'"'it:~";'b""~j;'~~;-i\''''iits~t..::w~
200 Amps or less
20 I Amps to 400 Amps
401 Amps to 600 Amps
601 Ampsto'IOOOAmps'
LIver l'OOU runps/v5tts
Reconnect Only
$ 70.00
$ 83.00
$138.00 -
$]80,00"",
<ll'+1j.~U
$ 55.00
c 1!'1il~i1r,f~~~~~1m~~~~~~
~l""'''W~m:4~ii.1i\'<~~~~~:lli.'lUi'~~~-tulil'\~\l'.~*,)II};~~~liW41..m;,@.1\fj~~
Pump or inigation $ 55.00
Sign/Outline Lighting $ 55'.00
Limited- EnergylResidential'''' ---$28:00---. --. -------
Linl1ted cnergy/Co=erclal ~ 50.0U
Minimum Electric Permit Insp~ction Fe~ is $50,00 + Surcharges
4 ~m@'~~~mrWIiJ_~_--,_"~~~\.~i1t,i!\1~:,j'i,'\~1 -? U7
. ,::",~"=,,...... ..m"l-',~~,"","~i&~~~~:m~:'l~tfl~~~~~i\llf,j!,.I.~ v 1
- 12% State Surcharge Z. , f>'{
-to(OA7.:-;-':-":c>u-Q~ve Fee
5% Technology Fee
TOTAL
I 'l J'
Z8S 7.,
Shared Drive(T:)/BuiJding FormslElecmcal Permit Application 1-0&.(
5Ar:EAS
/153 5 S)7V\
Structural Permit Application
~~ma~
225 Fifth Street. Springfield, OR 97477. PH(54'1)726-3753. FAX(S41)726-3689
li!f~Dgp~R$MEN'fi;~USEfON[~$il
;~,'i'" ,~c,,' ,,~'h:'" '''-~'4S~_"-.,,-;:r;:t.\~<:;'l\,''1l'~iW_~\.~,I,,,'!..,,*~.,~~,
COH1 z..Oc) .,-
Permit no. 0 () ( p 6.
I Date: 2.;.... '1'- 0 '7
This permit is issued under OAR 918-460'0030. Permits expire if work is not started within 180 days 'of issuance or if work is
suspended for 180 days.
;"llI'~"'\!l,!I~TI0B~Thc"G0YERNMEN1if"''<<Ri?R0VAi!~~~I-'~~~1
""'l"~511.~c_J(L__.__w._,,,~.,__...~__._...fuL"_.,_ .... .".' _~~1'ilL\li)"i!i.._"_..
This project has final land-use approval. - I 1'''J'''''',m;;e'31[~l'''''''tijl'~''_.''''-'"-''''''--'--''''''''''.~-"li1llllt~/!!j:_T''I
Signature: Date: ~;:~~~~'iif~tl~-rlM~~'1l!}g~~~Qtttgg,~JJ,~~FfZ~Z~~l?-l~~~t~~
I ~~~:~%~ct has DEQapproval. Datel:~~~~:!~~~~!~<rf~~~1i~~~~~'i!~~~~~1
I Zoning approval verified: rg) Yes 0 No I' I Occupancy
Property is within flood plain: 0 Y es ~ No _ 1 I" Construction type:
~!BiE"&~f~Q:<r&yi?1Et['<:l'~~]igys;jl1i,Q]l!'i(i,'[~~t~~~i{t[Ci)kll I Square feet /J 3';
i1f~~~;;~~~"e."-.:~J!2.~?~~,~:?~;"".~L9~~.?;~.::~~~~,,),,?,,,,1 I Cost per square foot
~"'.~2i;1!9.l!.!'liiEJIg.~!NFiQBM.~'mQ.N:!t~1l.['!4gQg:~I!Q!:JJI'Ai~'!i.:1i'l'i! I Other information:
Job site address: 201"J.$ 5 ll^ 57- I I
1,[; I I I Type orHeat, b<<...- ~,,,,,,I 11.....
City: '(["'i ~..rol. State: oR. ZIP:"rm1 I Eoergy Path, :JA
Subdiviston: ~Uo<" fVt~J.....,c I Lot no.: ;J1{i!f. I '1
_I _ _ ~ new 0 alteration 0 addition
,Reference: f8DZOJ33 I Taxlot: DC> ., 00 I
~-ir~'iJ~'l'if~~\'j1'R0I?ERl1it:f'(j\\"N'ER.~!}j~:1'\(\'li~ff~~~i~Fsiti':{lif;;\1 I y p . ~
I ~~:e. it"~',>~:' u.:.:::;!R~._,.", .".,.,.,.", ...... ... .e'11 1"-"2~;B~:~;I:d";~;f;;~:~~~:~:'~:')'~i;:~::~"?!'M'=':~~6'!' 0
I Address: I ~ t:./.rJfv It I ,- -,',:" _~L..}!!gt~~~~J~"'.i'rJfj:1!,yctl.\[;,..'it'--";'if~"'f:~'!-L('~lt,:t{:1t~t1l'l~~t~~~~~~i\:
I f I I I (a) Permit fee (use valuation table): I $ I
City: l.."'........l State: <1f/ ZIP: 'inTc.
I I (b) Investigative fee (equal to [2a]): $
I Phone:Pit -..:no - ""U- I Fax: I
I I (c) Relnspection ($ per hour):
I E-mail: (number of hours x fee per"hour) $
This insiallationis being made on, residential or farm property owned by I (d) Enter 12% surcharge (.12 x [2a+2b+2c]): $ I
me or a member of my immediate fami}y. and is exempt from licensing
:::i:::~ts under ORS 7010 I O. 1~(~ar)kRp:)Ullfane~rre:~V~I~e.FW;~(;6:r~5;!,~xO'p:;e'r'm~21:t'~e-e::o[fU2a~J]~')iP.i_)~~$: "zPs1f;lit~I..-- .
IlI!i;;"""-~1M1tf.. ~"".,,,,~. "'''.'-''''''.'''''-. "'.."....,"--,...'f'f.-.-. '''''."'''.''If._. ~'"""'''~''~..'1 ",..,.,....-,As I
s;F_~i;,i;~\g:.Q~)llB;!il'!1!@I3.l!!1:!2'li.~I!I;A'l'].lD.Niik~-$:m~i'f"'1t\l1~!;':
I I. I (b) Fire and life safety (40% x permit fee [2a]): $
Business name: OWl'\lI!r
I 1 (c) Subtotal of fees .bove (3a and 3b):
Address:
I City:
I Phone:
I E-mail:
I CCB license no.:
I Print n~me:
I Signature:
$
I State.
Fax:
I ZIP-
. I (a) Seismic fee, 1% (.01 x permit fee [2a)): I $
J I TOTAL fees and surcharges (2e+3c+4.), $
I > S!tw.f'1rs c. '7 - o-9g
I
1.....Al'''''7\iif,'''''''s{iJB!e0N:fRAGli0R\INF0RMAffij'bN~~;1l'~~,{(,;n
!*, ".~lliLBllA'~~~"-~,._.....~"""-,:.J:-",...c,o..=..,~.,,~.\;~,"';',,,,,~:.4:..."._"C",..;f1$!j,\lP.h.~",,-,,:4...'fl1!}~r~..:
J Name CCB License Number I Phone Number . 1
I Electrie.1 1'7.;1~'" ~I-"""-~"" I
I Plumbing "'I~lf '12 .IN, - 'I;t-I- 7f15"O I
I Mechanical 3.,.;1 '31 $ti, - 'Jla. -.5'3~" I
225 Fifth Street
Springfield, Orego,n?7,!77._
541-726-3759 Phone
City of Springfield Official Receipt
Development Service~ Department
Public Works Department
Job/Journal Number
COM2009-00 186
COM2009-00186
COM2009-00 186
COM2009-00186
COM2009-00 186
COM2009-00186
COM2009-00 186
COM2009-00 186
COM2009-00 186
COM2009-00 186
COM2009-00 186
COM2009-00 186
COM2009-00186
COM2009-00 186
COM2009-00 186
COM2009-00 186
COM2009-00186
COM2009-00 186
COM2009-00 186
COM2009-00 186
COM2009-00 186
COM2009-00 186
COM2009-00 186
COM2009-00 186
COM2009-00 186
COM2009-00 186
COM2009-00 186
COM2009-00 186
COM2009-00 186
COM2009-00186
COM2009-00 186
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
1200900000000000099
Date: 02/12/2009
Description
Plan Review Same As
Plan Review Major - Planning
Sidewalk Pennit
Curbcut Pennit
PW Disc - 2nd Pennit-
Stonn Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - lmprovement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC.Sanitary/Stonn Admin
Building Pennit
Addressing Assignment '
Willamalane Single Family
2 Baths One or Two Family
1st Appliance
Vent Fan
Appliance Vent
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Fireplace (Listed)
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Fire SF Fee - Residential
+ 5% Technology Fee
+ 12% State Surcharge
SDC Transpo Reimbursement
SDC Transportation Admin
Paid By
HAYDEN HOMES
Item Total:
Check Number Authorization
Received .By Batch Number Numb_cr How Received
djb
062888 In Person;
Payment Total:
Page I of I
1:16:51PM
Amount Due
250.00
211.00
88.00
88.00
(30.00)
755.23
663.96
504.88
97.90
1,009.17
10.00
152.06
1,054.70
38.00
2;858.00
337.00
79.00
27.00
9.00
13.00
9.00
7.00
20.00
134.00
50.00
63.00
81.75
107.98
216.32
201.54
15.37
$9,121.86
Amount Paid
$9,121.86
$9,121.86
2/12/2009