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Home My WebLink AboutPermit Building 2009-5-7 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00590 ISSUED: 05/0712009 APPLIED: 04/30/2009 EXPIRES: iI/07/2009 VALUE: $ 215,418.00 _ ~",11\I911;1l!lL:O llIlii_ II J. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6060 Graystone Lp ASSESSOR'S PARCEL NO.: 1702343302000 Springfield TYPE OF WORK: Single:Family Residence TYPE OF USE: New PROJECT DESCRIPTION: New Single Family Residence Owncr: BRUCE WIECHERT CUSTOM HOMES INC Address: 3073 SKYVIEW LN EUGENE OR 97405 Phone Number: 541-686-9458 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing License 101717 105475 460 65065 Expiration Date 09/16/2010 03/30/2010 06/27/2009 03/1212010 Phone 541-686-9458 541-933-2653 541-726-0100 541-342-3765 Contractor BRUCE WIECHERT CUSTOM HOMES INC L & E ELECTRIC INC COMFORT FLOW HEATING CO. STEVE R JOHNSON BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure 26.00 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Gas Energy Path: Sprinkled Building: nla Lot Size: Sq Ft 1st' Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Ga!age/Carport Sq Ft Other: Occupant Load: 1 R3 U VB 2 I DEVELOPMENT INFORMATION I Residential 12,106 1,975 641 REQUIRED PARKING 2 Overlay Dist: Hillside Total: # Street Trees Rqd: -. 2 Handicapped: Paved Drive Rqd: Yes Compact: % of Lot Cove~apriENTION: orb2J~~~law requires yout.o foliow rules adopte.:J by the,?~e^~~~~~~;Yh "'_"~'-~'-\onvt:llll';;l. "'...............--- NOTICE: I PUBLIC IMPROVEMEl'iJ~'1)2_001-001 0 through OAR 952-001- TWIt: D~D~'IT SHALL E?JtfWE IF THE fORK " . "htA;n ~DPles,of the rules by Street Improvemenlsil I 1m 0090. You m'SidewalkJY,l!.e:the telephone ., !\UTHORI7ED UNDER T t>tIiIW'lv,~ NOT calling the center. t u~~..., ..." CurbSIde 5 Storm Se'1'er}(;},~"gt\jC'.e:D OR IS AS ''y number forP.O,w:nsPQi1ts/D'r~rns~lotlflcatlT.l Storm Sewer Spec..' InstruclIon:~( t ANDONED F R Center IS 1-800-332-2344). ,. W 180 DAY PERIOD. ' Notes: Storm drains to storm sewer. Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 20.00 30.00 17.00 43.00 25.00 Pa2e 1 of 4 \S)~~Q^- ~~~ ~S"" ~ Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Gara2e/Misc SF/Duplex U VB Utility R-3 VB 1&2 Familv Fee Description Plan Review Residential + 12% State Snrcharge + 5% Technology Fee 1st Appliance 2 Baths One or Two Family Addressing Assignment Appliance Vent Building Permit Curbcut - 2nd Curbcnt Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Fireplace (Listed) Gas Outlets 1-4 Mountaingate Impervious Area Plan Review Major - Pla.nning Plan Review Residential Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Sanitary Sewer - Improvement Sanitary Sewer ~ Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC SanitarylStorm Admin SDC Tran Reimburs-Residential SDC Trans Improvement-Resident SDC Transportation Admin Sidewalk Permit Temp Power 200 amps or less Vent Fan Willamalane Single Family Total Amount Paid I Valuation Descrintion I $ Per Sq Ft or multiplier $37.72 $96.83 Square Footage or Bid Amount 641.00 1,975.00 Total Value of Project F~~I~,Pli1J Amount Paid Date Paid $725.24 $238.54 $116.49 $79.00 $337.00 $38.00 $9.00 $1,180.87 $-45.00 $88.00 $9.00 $13.00 $130.80 $20.00 $7.00 $1,206.16 $211.00 $42.33 $134.00 $100,00 $589.02 $774.62 $10.00 $1,009.17 $97.90 $167.70 $201.54 $888.98 $71.17 $88.00 $63.00 $36.00 $2,858.00 4/30/09 5/7/09 5/7/09 5/7/09 5/7/09 5/7/09 5/7/09 5/7/09 5/7/09 5/7/09 5/7/09 5/7/09 5/7/09 5/7/09 5/7/09 5/7/09 5/7/09 5/7/09 5/7/09 5/7/09 5/7/09 5/7/09 5/7/09 5/7/09 5/7/09 5/7/09 5/7/09 5/7/09 5/7/09 5/7/09 5/7/09 5/7/09 5/7/09 $] 1,495.53 . Pa2e 2 of 4 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-00590 ISSUED: 05/07/2009 APPLIED: 04/30/2009 EXPIRES: 11/07/2009 VALUE: $ 215,418.00 Value Date Calculated $24,178.52 $191,239.25 $215,417.77 04/30/2009 04/30/2009 Receipt,Number 1200900000000000324 1200900000000000358 1200900000000000358 1200900000000000358 1200900000000000358 1200900000000000358 1200900000000000358 1200900000000000358 1200900000000000358 1200900000000000358 1200900000000000358 1200900000000000358 1200900000000000358 1200900000000000358 1200900000000000358 1200900000000000358 . 1200900000000000358 1200900000000000358 1200900000000000358 1200900000000000358 1200900000000000358 1200900000000000358 1200900000000000358 1200900000000000358 1200900000000000358 1200900000000000358 1200900000000000358 1200900000000000358 1200900000000000358 1200900000000000358 1200900000000000358 1200900000000009358 1200900000000000358 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00590 ISSUED: 05/07/2009 APPLIED: 04/30/2009 EXPIRES: .11/07/2009 VALUE: $ 215,418.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Iuspection Line I Plan Reviews I Initial Review 04/30/2009 04/30/2009 WI NJM Initial Review 05/01/2009 05/01/2009 APP LLH Plan nine Review 04/30/2009 05/04/2009 APP DDK Public Works Review 04/30/2009 05/04/2009 APP BJG Structural Review 04/3012009 05/0512009 WE CJC Storm drains to storm sewer. Coutacted applicant 05052009 for footing revision, euergy path and soil report. Structural Review 05/0612009 05/0612009 APP CJC As noted o.n plans I conditions letter 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 Rp?"irp1 Tn<nections I Erosion/Grading Inspection: Prior to ground ~isturbance and after erosion measures are ins!alled. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Curhcut - Standard: After forms are erected but prior to placement of concrete. Ufer Electrical Gronnd: Install ground rod at footing and call for inspection in conjunction with footing andlor foundation inspection. Footing: After tren~hes are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Bei:lm: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rongh in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Masonry: Final Bnilding: After all required inspections have heen requested and approved and the huilding is complete. Underground Plumhing: Prior to filling the trench and including required testing. Perimeter Foundation Drains: After gravel and liIter cloth is installed hut prior to hacklill. Paee 3 of 4 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-00590 ISSUED: .05/07/2009 APPLIED: 04/30/2009 EXPIRES: 11/07/2009 VALUE: $ 215,418.00 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Undertloor Plumbing: Prior to insulation or decking. Undcrtloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and inclnding reqnired testing. Water Line: Prior to tilling trench and including reqnired testing. Sanitary Sewer Line: Prior to filling trench and inclnding required testing. Storm Sewer Line: Prior to tilling trench. Final Plnmhing: When all plnmbing work is complete. Undertloor Mechanical. Prior to insnlation or decking and including reqnired testing. Undertloor Gas: After line is installed and reqnired testing and capped if not attached to an appliance. Rongh Gas: After line is installed andreqnired testing and capped if not attached to an appliance. Gas Service: After line is installed and line has been connected to a minimnm of one appliance inclnding reqnired testing. Presnre test done at this point. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval reqnired prior to Utility Company energizing pole, Ufor Electrical Gronnd: Install ground rod at footing and call for inspection in conjnction with footing andlor foundation inspection. Underground Electric: Prior to cover 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 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 ofany strnctnre wifhont permission of the Commnnity 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 ag,.ee to ensure that all reqnired 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 ,;.".m?J1"1A1/- Owner or Contractors Signature -- '5/ yo Cf Date Paee 4 01'4 '. ." '''C~.'.''''''_..'_' ~~ ~ '. DATE <<5. (.'0-\ 1:Z5F1F111STREET. SPRJNGFD:LD,OR97477 .PH:(541)726-3753 .FAX:(541)726-JQl9. .~,. . SOURCE J.A ~ ELECTRICAL PERMlTAPPUCATION . . . , .. \ . . " Cily Job Number {!c; - 5"'1CJ Date If/3'dI07 1. ~O-~ii>%n.~A~-6N~ 3. J.e.....;;';;;;;;;;!^$E"I7:;"~ClmntJ.Bi}.lr;r;T'":i.i~~.. '.'.. '<1 mm~~~~~~'-"W~ ~~;,-,-...,.,..tW~~..o;>_,~.,_ {dD60 C, #FYSw N E (/f'. .. ;. LEGAL DESCRIPTION: \1D1..::?f-f~ III-"~~~~ f 0-+ Y f\'\"\ J" \.t. 1Ak-5f' .. Service Included . / l-AAfD I/LUj) JOBDESCRIP'IlOl .' looosq.ft.orless .~ 0"\. S-pr,---,,~NJ{~~ ~\ I QON~:~500sq.f\.or q.~ \rtlrfJ Permits are oon-transfe;lile aod eXpire if~ W 1\1 ~h Maoufact'd Home or oot started within 180 days of issuaoce or if work is. l'-f ''1 M~ Dwelling Service or Suspeoded for 180 days. Feeder ~'--y-~~";;\.,,",,ml.lfI.~ z. _i?J~~~~~~>:m Electrical Cootractor L + ;;; Addn:ss q Z ;g.3, -~ -:s 0 h.c <,. .Ac,,~ S City~.(2 \~ , q_.v j,O.'. ,. <, '>'" J _ . """\..."!~ " ~,...."' " ",;.-.' _.~.. n.~.., j :".>: . :''cin'-;~OF SP"ItOO6FlELD>ORE60N' .....,2:.' ~ .,..'1::...._ ':.' ~ ';~:.., ..;::....... ,J" :'t' 'it,: :J:.~;"~.~..:"i,':, _..',,~, 't. '~~1j,... , lf~~ '.,~I New A1tentioo or EUeosiC)o Per Paoel One Circuit Each Additional Circui1 or with . (J I '. Service or Feeder Permit . . Owners Name DVVLr: A1,C'c.-h",,+- D.J<"1Ql--o ttov\-~~ ' '. ], ." . E._ilm~";~lr~!!I Address b I ." '5 Jc; '" IJ\ e. u.J .,. ~ .' . . ",,",,~liif_~,_,",, 0 I " Phone 67.1- L/J9 Zl Supervisor License Nmnber 4) 7 't - S L...:''';;ooDate I D /0 f J oq Coostr. Coote. Number J 0 s- LI 7 S- 1L...:''';;._Date 3)10 ! Signature of SupCrvisiog Electrician 7'~9-~~~ City r"JC/'-'<- Phone b3(,4Cf~8 OWNER INSTALLATION. The installation is being made oDr........} I own which is oot intended for sale, lease or rent. Owners Sic.-<-..: Inspectioo r..~~~c..; 7U-3769 .0 0''-' ~~ $55.00 B.~~l!S"'I.' 200 Amps or less . 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsIVolts Recotmect Only $ 70.00 $ 83.00 $138.00 $180.00 $413.00 $ 55.00 c.~~~~ IDstallatloo, Attentioo or RelocatiOi .' 1 ~.' I ..I1...ciJ 200 Amps or less . . ~ \.1.1~ 201 Amps to 400 Amps . $ 76.00 401 Amps to 600 Amps $110.00 Over 600 Amps or 1000 Volts see"B" above. D..~ $ 48.00 $ 4.00 "I f-.: ?a. Willamalane t Park & Recreation District .. J~b. (t{LCO;:)01 0 SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2009 NAME:) A\U?Cjfr-:;1.2-.l (1 1:--516m &1'WfffONE: ~ U-' w!:7r, -Q4S:J -- -.. ... . ,- - ADDREss6D'"Z3 SiCYI/JE'tAJ CITY_~10Ii{1P:" STATEOu ZIP/174oS , , LOCATION OF PROPOSED BUILDING SITE\) street Address: (()C\(0 U C ~s--h') ~/ 'L-o _ Plat Name: Tax Lot Number: liO?.s4 33 02-UDu 1. DEVELOPMENT TYPE; (Check appropriate dwelling(s), Dwelling type definitio'ns areori the back.) A. Sinale-Familv Detached . NO. OF UNITS \ X $2,858 per unit = $ d8"SO. aD 'B. Sinale-Familv Attached NO. OF UNITS - X $3,100 per unit = $ C. Multi-Familv Aoartment , NO. OF UNITS X $2,641 per unit = $ D~ Sinale Room Occuoancv -' NO. OF UNITS X $1,321 per unit = $ E. Accessorv Dwellina Unit . NO. OF UNITS WILLAMALANE SDC X $1 ,550 per unit = -- "$ $~ 15StJ . ao 2. SDCCREDIT (If applicable) SDC payer must furnish proof of Willamalane Credit approval.) . $ ~ 3. TOTAL WILLAMALANE NET SDC ASSESSeD (if SDC reduced for Credit) . ' ~t{\ll n . Development ~.ervices Depa City of Sp~ingfi~ld ' "'e'er $cJu0J. ~/-=L o=t Date ;;-fJ 5 r; CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER, COM2009-00590 NAME OR COMPANY: WIECHERT HOMES LOCATION: 6060 GRAYSTONE LP TAX LOT NUMBER: 1702343302000 DEVELOPMENT TYPE: Single Family Residence . NEW DWELLING UNITS I BUILDING SIZE (SF' 2941 LOT SIZE (SF): 1 STORM DRAINAGE 12106 DIRECT RUNOFF TO CITY STORM SYSTEM I ,IMPERVIOUS S.F. x I COST PER S.F. CHARGE I 338100 I $0.357 I = I $1,206.16 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 1 $0.357 I I 50% I ~ I ITEM 1 TOTAL - STORM DRAINAGE SDC $1,206.16 I 2. SANITARY SEWER - DTY A. REIMBURSEMENT COST, I NUMBER OF DFUs I x I 28 I B. IMPROVEMENT COST: I NUMBER OF DFU's I x I. 28 I COST PER DFU $27.67 COST PER DFU $2104 ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE I x I 9.57 I I NUMBER OF UNITS I x I I I I I B. IMPROVEMENT COST: I ADTTRlPRATE I x fNUMBERIOFUNITSl1 x I I 9.57. ITEM 3 TOTAL - TRANSPORT A nON SDC = , 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x I I I ICOST PER FEU $97.90 B. IMPROVEMENT COST: . INUMBER OF FEU's I x ICOST PER FEU I I I . $1,009.17 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =, SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ , = , $1,363.65 COST PER TRIP 2106 COST PER TRIP $92.89 $1,090.52 DISCOUNT $0.00 I . I $1,206.16 T'~ I~ 10 10 I~ W ~f- VJ (3 W ~ 1070 $774.62 11091 I $589.02 11092 .1 x INEW TRIP FACTORI I 100 I x INEW TRIP FACTORI I 100 I 1093 I I 1094 I $1,117.07 , $4,777.40 ~ 5. ADMINISTRATIVE FEE, ISUBTOTAL x I ADM. FEE RATE I~ I $4,777.40 5% 1 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Ben Gibson 5/4/2009 PREPARED BY DATE CI-1ARGE $238.87 $201.54 $888.98 = $97.90 1054 1055 1054 1056 I TOTAL SDC CHARGES = $1,009.17 $0.00 $10.00 167.70 $71.l7 $5,016.27 1079 1078 I I l. ;, DRAINAGE F~TURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT ="ORAINAGE F[CTVRE UNITS '" (NOTE: FOR REMODELS, CALCULATE ONLY THE Nfl ADDITIONAL FIXTURES) NO. OF FIXTURES I I I I 20 TOTAL DRAINAGE FIXTURE UNITS I. .EDU (Equivalent Dwelling Unit) is a dischar~e equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons ~l:r day I MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE - - I _ YEAR CREDlTRATE/$I,OOO III I ANNEXED ASSESSED VALUE ---'l IS LAND ELGlBLE FOR ANNEXATION CREDIT? BEFORE 1979 . $5.29i (Enter I for Yes, 21 for No) 1979 IS IMPROVEMENT ELGlBLEIFOR ANNEX. CREDIT? 1980 (Enter I for Yes, 2 for No) 1981 BASE YEAR I ~ I 1983 CREDIT FOR LAND (IF APPLICABLE) 1984 VALUE I 1000 CREDIT RATE 1985 $0.00 x :S5.29 I I CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) . VALUE I 1000 CREu'IT RATE $0.00 x ~;5.29 ~ , FIXTURE TYPE rBATHTUB I DRINKING FOUNTAIN I FLOOR DRAIN I INTERCEPTORS FOR GREASE I OIL I SOLIDS I ETe. IINTERCEPTORS FOR SAND I AUTO WASH I ETe. ILAUNDRY TIJB ICLOTHESWASHER / MOP SINK ICLOTHESWASHER - 3 OR MORE (EA) IMOBlLE HOME PARK TRAP (I PER TRAILER) I RECEPTOR FOR REFRlG / WATER STATION I ETe. I RECEPTOR FOR COM. SINK /DlSHW ASHER I ETC. I SHOWER. SINGLE STALL I SHOWER. GANG (NUMBER OF HEADSl. ISINK: COMMERCIAL/RESIDENTIAL KITCHEN I SINK: COMMERCIAL BAR I SINK: WASH BASINIDOUBLE LAVATORY ISINK: SINGLE LAVATORY/RESIDENTIAL BAR URINAL, STALL / WALL TOlLET. PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION NEW 2 o o o o 1 1 o o o 1 1 o 1 o 1 1 o o 2 OLD o o o o o o o o o o o o o o o o o '0 o o MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 1986 1987 1988 1989 1990 1991 t992 ]993 1994 1995 1996 -1997 1998 1999 2000 2001 TOTAL MWMC CREDIT $2.73 _ ~'~~~r8;~j1h -:::~~:;~J0 $159_ $1.45' '$:i~"?~~~r:!_-I'I!'~ '~:~~~i~ $1.0.9" $0.92_~ $0.72 $0'- $0.28 . ~?~.;"~L~~:g~fl"...~j I UNIT , EQUIVALENT '13 1 3 3 6 2 3 6 12 1 3 2 2 3 2 2 1 5 6 3 = DRAINAGE FIXTURE UNITS 6 o o o o 2 3 o o o 3 2 o 3 o 2 1 o o 6 = = = = = = = = = = = = = = = = = = = = o 28 2 2 1979 ~ , $0.00 o = $0.00 1 I I I I I I ,I I \ I I I I I I I I 225 Fifth Strcet Springfield, Oregon 97477 541-726~3759 Phone City of Springfield Official Receipt Dcvelopmenti Services Department Public Works Dcpartment Job/Journal Number COM2009-00590 COM2009-00590 COM2009-00590 COM2009-00590 COM2009-00590 COM2009-00590 COM2009-00590 COM2009-00590 COM2009-00590 COM2009-00590 COM2009-00590 COM2009-00590 COM2009-00590 COM2009-00590 COM2009-00590 COM2009-00590 COM2009-00590 COM2009-00590 COM2009-00590 COM2009-00590 COM2009-00590 COM2009-00590 COM2009-00590 COM2009-00590 COM2009-00590 COM2009-00590 COM2009-00590 COM2009-00590 '.COM2009-00590 ...." COM2009-00590 COM2009-00590 COM2009-00590 Payments: Type of Payment Check Cred itCard cRece;ntl RECEIPT #: 1200900000000000358 Date: 05/07/2009 Description. Addressing Assignment Willamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Fire:SF Fee - Residential Temp Power 200 amps or less Plan Review Residential Sidewalk Pennit Curbcut Pennit Curbcut - 2nd Curbcut Mountaingate Impervious Area Sanitary ,Sewer - Reimbursement Sanitary Sewer - Improvement SDC Tran Reimburs-Residential SDC Trans Improvement-Resident SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Stonn Admin SDC Transportation Admin Plan Review Major - Planning Building Penni! 2 Baths One or Two Family I st Appliance Vent Fan Appliance Vent Exhaust Hoods Dryer Ven! Gas,Outlets 1-4 Fireplace (Listed) + 5% Technology Fee + 12% State Surcharge ..., Item Total: Check Number Authorization Received By Batch Number Number How Received Paid By BRUCE WEICHERT HOMES BRUCE WEICHERT HOMES nJm njm 18475 In Peison 035060 In Person Payment Total: Page I of2 8:31:17AM Amount Due 38.00 2,858.00 134.00 100,00 130.80 63.00 42,33 88,00 88.00 (45.00) 1,206.16 774.62 589,02 201.54 888.98 97.90 1,009.17 10.00 167,70 7117 211.00 1,180.87 337.00 79.00 36.00 9.00 13.00 9,00 7,00 20,00 116.49 238.54 $10,770.29 Amount.Paid $1,270.29 $9,500,00 $10,770.29 5/7/2009