HomeMy WebLinkAboutPermit Building 2005-11-16
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Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
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.. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00483
ISSUED: 11/16/2005
APPLIED: 04/25/2005
EXPIRES: 05/16/2006
VALUE: $ 381,888.00
SITE ADDRESS: 6597 Main St A-D
ASSESSOR'S PARCEL NO.: 1702344401200
Springfield TYPE OF
Four-Plex
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Four-Plex
: Owner: BRANDT-DRURY J M
Address: PO BOX 1473
SPRINGFIELD OR 97477
Phone Number: 541-746-1751
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor License Expiration Date
BLUE POOL CONSTRUCTION INC 12rg01you to 05/05/2006
THOMAS BALC~~rnON: Oregon law rea\~~J3'\ Utility 10/19/2007
MARSHALLS I IQW rules adopted by the \i~7~1~ set forth 12/23/2005
TOMS PLUMB ,9.k~~;IN(J. Those rU,..1~~~~5~"2_001- 05/12/2006
;~QfBumfliN~ \:;.;~'~':':;'JA;;'oIONle rules by
I II' I I h ne
009U. lUU ".-, - Note: the telep o.
callin<tl'df\Sbfri~~r- ( n Utility Notification
r the urego
numb<lleljiht of 1_800-332-2344).
ljpe1ofrmllt:
Water Type:
Range Type:
Energy Path:
Sprinkled
Phone
541-913-8039
5414612590
541-747-7445
541-607-8879
# of Units:
PrImary Occupancy Group:
Secondary Occupancy
_ (Trlmary Construction Type
Secondary Construction
# of Bedrooms:
R2
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
VN
n/a
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Sethack:
Solar Sethacks:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street
.~
IPUBLIC IMP~~ I n ~t\~ \l\lW~ ~~Ol
~~S\'\~ _.p~~~\''n..
Fullv Improved 1\>\\S p 1\\I~O 1.I~~,!f. QJl.~~ ~~t)) ~O~
Yes Il\U"(\>\Q ~CeD Q~oYS7.')rains
t~~~~ ~'3 ~Q~o
Storm drainage piped to storm drain main, access im~rvious surface calc. for this site includes 2 duplex's
5/17/2005 CAS
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Curbside 7'
To Storm Sewer
Subdivision Not Accepted
Storm Sewer Available:
Special Instruction:
Notes:
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CITY OF SPRINGFIELD
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Building/Combination Permit
PERMIT NO: COM2005-00483
ISSUED: 11/16/2005
APPLIED: 04/25/2005
EXPIRES: 05/16/2006
VALUE: $ 381,888.00
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
L.Fees Paid I
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Comm/Ind/Public $963.40 4/20/05 2200500000000000456
+ 10% Administrative Fee $16.00 6/9/05 1200500000000000809
+ 7% State Surcharge $11.20 6/9/05 1200500000000000809
Fixture $14.00 6/9/05 1200500000000000809
Sanitary Sewer - 1st 50 Feet $45.00 6/9/05 1200500000000000809
Sanitary Sewer Each Addtll 00' $28.00 6/9/05 1200500000000000809
Storm Sewer - 1st 50 Feet $45.00 6/9/05 1200500000000000809
Storm Sewer Each Addtll00' $28.00 6/9/05 1200500000000000809
-Mechanical Issuance Fee- $10.00 11/16/05 1200500000000001732
+ 10% Administrative Fee $305.42 11/16/05 1200500000000001732
+ 7% State Surcharge $213.79 11/16/05 1200500000000001732
Appliance Not Listed $36.00 11/16/05 1200500000000001732
Building Permit $1,482.15 11/16/05 1200500000000001732
Dryer Vent $24.00 11/16/05 1200500000000001732
Exhaust Hoods $36.00 11/16/05 1200500000000001732
Fixture $672.00 11/16/05 1200500000000001732
Furnace - up to 100,000 btu $48.00 11/16/05 1200500000000001732
Heat Pump $48.00 11/16/05 1200500000000001732
Plan Review Comm/Ind/Public $34.00 11/16/05 1200500000000001732
Residence Wiring 1000 Sq Ft $424.00 11/16/05 1200500000000001732
Sanitary Sewer - Improvement $1,243.04 11/16/05 1200500000000001732
Sanitary Sewer - Reimbursement $1,634.72 11/16/05 1200500000000001732
SDC MWMC Administration $10.00 11/16/05 1200500000000001732
SDC MWMC Improvement $3,461.24 11/16/05 1200500000000001732
SDC MWMC Reimbursement $328.12 11/16/05 1200500000000001732
SDC Sanitary/Storm Admin $411.35 11/16/05 1200500000000001732
SDC Transpo Admin $263.74 11/16/05 1200500000000001732
SDC Transpo Improvement $3,089.96 11/16/05 1200500000000001732
SDC Transpo Reimbursement $700.52 11/16/05 1200500000000001732
Storm Drainage Impervious Area $3,034.28 11/16/05 1200500000000001732
Vent Fan $48.00 11/16/05 1200500000000001732
Water Line - 1st 50 Feet $180.00 11/16/05 1200500000000001732
Water Line - Each Addtll00' $56.00 11/16/05 1200500000000001732
WilIamalane Apartments $2,768.00 11/16/05 1200500000000001732
Total Amount $21,712.93
2 of 4
. CITY OF SPRINGFIELD -
Building/Combination Permit.
PERMIT NO: COM2005-00483
ISSUED: 11/16/2005
APPLIED: 04/25/2005
EXPIRES: 05/16/2006
VALUE: $ 381,888.00
';"'Wt8e$a~~pJj~LD.' .
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Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fire Department Review
04/25/2005
I PIan Reviews ,
05/05/2005 OK
GRG
Initial Review
Plannine Review
04/25/2005
04/25/2005
RJB
EMM
04/25/2005
07/01/2005
APP
APP
Public Works Review
04/25/2005
CAS
04/28/2005
APP
Structural Review
04/25/2005
04/29/2005
10
LLH
Structural Review
05/0212005
05/04/2005
WE
JB
Structural Review
OS/23/2005
OS/25/2005
APP
JB
See attached document for Fire
Department Plans Review
comments.
Waiting for Site Plan Review
decision, final site plan submittal
and development agreement. To be
built as per approved Final Site Plan .
and Development Agreement
DRC200S-00007
Waiting for site plan approval
4/28/2005 CAS
Plans forwarded to Jason Bush for
Review
Jason has contacted the contractor
for additional information. Plans on
hold
Received requested information.
Plans approved as noted on plans
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.
I Reouired I nsnections I
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.
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 sheatbing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Roofing: Prior to installing any roof covering.
Drywall: Prior to taping.
Firewall: Located and constructed according to plans.
Final Fire Department. After all requirements of the Fire Department have been met.
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CITY OF SPRINGFIELD
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Building/Combination Permit
PERMIT NO: COM2005-00483
ISSUED: 11/16/2005
APPLIED: 04/25/2005
EXPIRES: 05/16/2006
VALUE: $ 381,888.00
Final Building: After all required inspections have been requested and approved and the building is complete.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backmI.
UnderOoor Plumbing: Prior to insulation or decking.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to mUng trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
UnderOoor Mechanical. Prior to insulation or decking and including required testing.
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.
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 m accordance
with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaming to the work described herem,
and that NO OCCUPANCY wiD 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 ofthe property, and the approved set of plans wiD remain on the site
~t a.1l tim du~ construction.
~~ --- --- / ______ ifrG /..r
erorcontr~ Date
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CITY OF S!GFIELD SYSTEMS DEVELOPMENTtRKSHEET
JOURNAL OR JOB NUMBER:
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
COM2005-00483
JM Brandt Dru['l:
6597 Main Sl4plex A-D
I 702344401 2UO
SINGLE F AM1L Y RESIDENCE
4 BUILDING SIZE (SF: 4320
LOT SIZE (SF):
o
II
II f2
o
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I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. CHARGE
I 9788.00 I $0.310 I = I $3,034.28 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I I
I 0.00 I I $0.310 'I 50% = I
ITEM 1 TOTAL - STORM DRAINAGE SDC '$3,034.28 ~
2. SANITARY SEWER - CITV
DISCOUNT
$0.00
$3,034.28
1070
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x COST PER DFU
I 68 $24.04 $1,634.72 11091
8. IMPROVEMENT COST: I
I NUMBER OF DFU's I x
I 68 $18.28 $1,243.04 11092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I $2,877.76 J
3. TRANSPORTATION I
A. REIMBURSEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTOR I
I 9.57 I 4 I I $18.30 1.00 I $700.52 1093
8. IMPROVEMENT COST:
I ADTTRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI
I 9.57 I I 4 I I $80.72 I 1.00 I 53,089.96 1094
ITEM 3 TOTAL - TRANSPORT AnON SDC = , $3,790.48
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4. SANITARV SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I 4 I I $82.03 = $328.12 1054
8. IMPROVEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I 4 I I $865.31 = $3,46\.24 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054
MWMC ADMINISTRATIVE FEE 510.00 1056
ITEM 4 TOTAL - MWMC SAN IT ARY SEWER SDC = , $3,799.36
SUBTOTAL (ADD ITEMS I, 2, 3, & 4) = , 513,50 \.88 _I
5. ADMINISTRATIVE FEE:
ISUBTOTAL x I ADM.FEERATE
I $13.501.88 I 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
r I
CHARGE
$675.09
411.35
$263.74
11079
11078
Cheryl Slaymaker
7/12/2005
TOTAL SDC CHARGES
=,
$14,176.97 I
/)
PREPARED BY
DATE
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DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT - DRAINAGE FIXTURE UNITS
(NOTE, FOR REMODELS, CALCUlATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
IBATHTUB 4 0 3 = 12
IDRINKING FOUNTAIN 0 0 1 = 0
IFLOOR DRAIN 0 0 3 = 0
!INTERCEPTORS FOR GREASE I OIL I SOLIDS / ETC. 0 0 3 = 0
iINTERCEPTORS FOR SAND I AUTO WASH / ETC. 0 0 6 = 0
ILAUNDRY TUB 0 0 2 = 0
ICLOTHESW ASHER I MOP SINK 4 0 3 = 12
ICLOTHESW ASHER - 3 OR MORE LEA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0
I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
ISHOWER. SINGLE STALL 0 0 2 = 0
ISHOWER. GANG (NUMBER OF HEADSl. 0 0 2 = 0
ISINK: COMMERCIAURESlDENTIAL KITCHEN 4 0 3 = 12
ISINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASINIDOUBLE LA V ATORY 0 0 2 = 0
ISINK: SINGLE LA V ATORY/RESlDENTIAL BAR 8 0 1 = 8
I URINAL. STALL / WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INST ALLA TION 8 0 3 = 24
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 68
.EDU (Equi~.lent Dwelling Unit) is a ~_~..!'~~_.~uivalenJ 10 a single family dwelling unit (20 Oms) set at 167 gallons per day
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MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR I CREDIT RA TEI$I~
ANNEXED ASSESSED VALUE IS LAND ELGlBLE FOR ANNEXATioN CREDIT? 2
I BEFORE 1979 $5.29 (Enter I for Yes, 2 for No)
I 1979 $5.29 IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? 2
I 1980 $5.19 (Enter I for Yes, 2 for No)
I 1981 $5.12 BASE YEAR 1979
II 1982 $4.98
I 1983 $4.80 CREDIT FOR LAND (IF APPLICABLE)
I 1984 $4.63 VALUE/lOOO CREDIT RATE
I 1985 $4.40 $0.00 x $5.29 ~ , $0.00
I 1986 $4.07
I 1987 $3.67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
1988 $3.22 VALUE /1000 CREDIT RATE
1989 $2.73 $0.00 x $5.29 ~ I 0
1990 $2.25
1991 $1.80
1992 $1.59 TOTAL MWMC CREDIT = $0.00
1993 $1.45
1994 $1.25
1995 $1.09
1996 $0.92
1997 $0.72
1998 $0.48
1999 $0.28
2000 $0.09
2001 $0.05
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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ELECTRlCALP~~IT!d{gCAT10N
City Job Number ~ . Date
1. . wf1tqtl99"Qj@r@:i:r'r:1ttiMlt[f~(~
LD~~ tt'O Lr\ ~O ~
LE\~LD~ DVm
JO~llS[PQG~ ~1<t
3.
A. ~~'f~R~5iia~fi1ft~siifi'i~1c~~1liirm~F;~'fi~'fffd*~lltiF';tifi'il~~':r..
,~_"Wi".~.,""'- .M.....g....,....*t,~..,",.~.._.y"R. .".. ..' ...... li\
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
4'L4~
.4
$106.00
$19.00
Permits are non-transferable and expire If work Is Each M~~~:d Home or
not started within 180 days of issuance or If work i~n laW reqMoalllM'Ut\at~ng Service or $50.00
Suspended for 180 days. . lI.i1E.Ni\ON~ Oreg b'i t\1e die~e:n~p~\~rth
fCoNiRAciifil1N~.. "... _.,. 't'. '10Se {ll~eJe~;ti11t~~WW~~~iiiYt~li~ti6if~Ali~~ti1lte1if~~t~~~
2. ....<.,...~"'$.t,,.<.. 'i'..=;~b '.;' r. - , ..' t\lroug\1~-;~les'tlr""~"~""~""~~'n~"~~.~''''h'' .,.
Electrical Contractor tl 9~ ,eSz~b~m~ilI"i16S $ 63.00 . .
P D 0\)90. .'Uu r'e center. {Note: .~~I',~9.t4011Amps $ 75.00
Address () POX --r~69lf~~::'h"OregOnU~~~~st0600Amps $125.00
nUlIlU ceotel is 1-800-3 601 Amps to 1000 Amps $163.00
City btjr)~ CjIJ.CP$ne -1{fJI2.S90 Over 1000 AmpsNolts $375.00
Reconnect Only $ 50.00
Supervisor License Number <f. ,S 53 5
l 0,1 ( / () 7 Installation, Alteration or Relocation
I f" ~ 200 Amps orless
Constr. Contr. Number ( ,) 'is" /?_'f-l-U- 4-1?- e.... 201 Amps to 400 Amps
401 Amps to 600 Amps
J () I/q /07
.' __, _ _,__ Over 600 Amps or 1 000 Valls see "Bn above.
. .... D ~"IBw.'""~'ti'~G>..'''"'''.''''~'\'!,\lIj''''i:''\E\:J;,''-''<ill!\ll;fti'<1,''':~;.~f~l
Sign ture of SupeI'V1smg Electnclan . t~"_~,,,~<,~,"'..~:~J:"~~~~.~q'Lff1.':'f'_R~t~;.eJf~f.:~~~~~;J;~~~~';~i;t:~3'~, -A~
,..e '"
O New Alteration or Extension Per Panel
'"" .,". C'o'?''' If.' Ie:, ~,
l '- _J().O~"..., '\\~\..\.. l.one_C)Jt'{l,~\\I\ ~,. .
.' (I'~' u\I,,,II;) r,\:.\\'Each'Add1l10nal\C1rcUltorWlth
0.... \'"~' 11.! -. ~'l~~U Service;&\F~~aer Permit $ 3.00
N\I ,.':ID' ~. )1'\ IS ,...~'"
~.t o 't....\.;\-;.J Q'@~B"'~.t ....0:;.[.-."'12. ~...-;-,-:- ""~;J;nzr-"::~~'2~'!f:t'''''''.w..h~'l.f._~':I::-~z,"'';''';-.\''''.'
vV . "'_., ,,:.~ ' U,E. .1'!!!'~~.!I,a.~~.2.u.~(~~mc...O{!(~!l5\"'O~!!!gW!~~.h"J;ag!i[n~lIation.
h~ne . \0 ';\15\ Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited Energy/Residential $ 25.00
Limited Energy/CommerCial $ 45.00
Mioimum Electric Permit Inspection Fee is $45.00 + Surcharges
4. ~S?;~~~ALOE.Mr({VBR[,~~~.,.~i".~~ A Il.A (j)
~~:.+;~~V';.;<o~to,;;r~,~~,,",Z~;~"L"'~~..iiit~1~"l;::~' ~ 't..'1' .
7% State Surcharge . 2..~ .I.f)~
10% Administrative Fee ~ 'l,.. ~ I .
. TOTAL . l\l\~
Expiration Date
Expiration Date
City
OWNER INST ALLA nON
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
C lif:r'~::.m;.o.;""""v-f='-S~4.<:~:o.tY~""j;Kj;o,",,;:~"Io"''''!!L"2l~i~-''-~.''.I.~~ji:.Mtt.'(..a3l'<l1:~!/~t.i,;'1.
. W~n.!P9.~ry,._, eQ'~~.9X1":j~~~er~c...~~,jlhYAek1Zl.t~<~~~~';J
$ 50.00
$ 69.00
$100.00
$ 43.00
Shared Drive(T:)lBuilding FonmlElectrical Permit Application l-03.doc
225 Fifth Street
,
SpflJtgfieM, Oregon 97477
541-726-3759 Phone
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aty of Springfield Official Receipt
.evelopment Services Department
Public Works Department
RECEIPT #: 1200500000000001732 Date: 11/16/2005 1l:08:15AM
Job/Joornal Number Description Amooot Doe
COM2005-00483 SDC MWMC Administration 10.00
COM2005-00483 Building Permit 1,482.15
COM2005-00483 Willamalane Apartments 2,768.00
COM2005-00483 Fixture 672.00
COM2005-00483 Water Line - 1 st 50 Feet 180.00
COM2005-00483 Water Line - Each Addtl 100' 56.00
COM2005-00483 Furnace - up to 100,000 btu 48.00
COM2005-00483 Vent Fan 48.00
COM2005-00483 Exhaust Hoods 36.00
COM2005-00483 Dryer Vent 24.00
COM2005-00483 Heat Pump 48.00
COM2005-00483 Appliance Not Listed 36.00
COM2005-00483 -Mechanical Issuance Fee- 10.00
COM2005-00483 Residence Wiring 1000 Sq Ft 424.00
COM2005-00483 Plan Review CommlIndlPublic 34.00
C{)M2005-00483 + 7% State Surcharge 213.79
COM2005-00483 + 10% Administrative Fee 305.42
COM2005-00483 SDC Sanitary/Storm Admin 411.35
COM2005-00483 SDC MWMC Improvement 3,461.24
COM2005-00483 SDC MWMC Reimbursement 328.12
CbM2005-00483 Sanitary Sewer - Improvement 1,243.04
CbM2005-00483 Sanitary Sewer - Reimbursement 1,634.72
CbM2005-00483 Storm Drainage Impervious Area 3,034.28
CbM2005-00483 SDC Transpo Admin 263.74
COM2005-00483 SDC Transpo Improvement 3,089.96
COM2005-00483 SDC Transpo Reimbursement 700.52
Item Total: $2U,562.33
Payments: Lheck Number Authorization
Type of Payment Paid By Received By Batch N nmber Number How Received Amount Paid
CreditCard JESS DRURY djb 005909 In Person $8,000.00
Check JM BRANCH DRURY djb 1955 In Person $12,562.33
;, Payment Total: $20,562.33
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11/16/2005
1 of 2
"Il RECEIPe 1200500000000001732 .Date: 11/16/2005 11:08:15AM
Job/Jouroal Number Description Amount Due
COM2005-00483 SDC MWMC Administration 10.00
C9M2OO5-00483 Building Permit 1,482.15
COM2005-00483 Willamalane Apartments 2,768.00
COM2005-00483 Fixture 672.00
.,
COM2005-00483 Water Linc - 1st 50 Feet 180.00
COM2005-00483 Water Line - Each Addtl 100' 56.00
COM2005-00483 Furnace - up to 100,000 btu 48.00
COM2005-00483 Vent Fan 48.00
COM2005-00483 Exhaust Hoods 36.00
COM2005-00483 Dryer Vent 24.00
COM2005-00483 Heat Pump 48.00
COM2005-00483 Appliance Not Listed 36.00
COM2005-00483 -Mechanical Issuance Fee- 10.00
COM2005-00483 Residence Wiring 1000 Sq Ft 424.00
COM2005-00483 Plan Review Comm/IndlPublic 34.00
COM2005-00483 + 7% State Surcharge 213.79
COM2005-00483 + 10% Administrative Fee 305.42
COM2005-00483 SDC Sanitary/Storm Admin 411.35
tOM2005-00483 SDC MWMC Improvement 3,461.24
CbM2005-00483 SDC MWMC Reimbursement 328.12
CbM2005-00483 Sanitary Sewer - Improvement 1,243.04
CbM2005-00483 Sanitary Sewer - Reimbursement 1,634.72
C6M2005-00483 Storm Drainage Impervious Area 3,034.28
COM2005-00483 SDC Transpo Admin 263.74
COM2005-00483 SDC Transpo Improvement 3,089.96
COM2005-00483 SDC Transpo Reimbursement 700.52
Item Total: $20,562.33
Payments: Lheck Number Authorization
Type of Payment PaId By Received By Batch Number Number How Received Amount PaId
CreditCard JESS DRURY djb 005909 In Person $8,000.00
C;~eck JM BRANCH DRURY djb 1955 In Person $12,562.33
Payment Total: $20,562.33
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11/16/2005
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