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Home My WebLink AboutPermit Building 2005-9-30 Status: Issued ~ 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line -. .- CITY OF SPRING1<lliLIJ Building/Combination Permit PERMIT NO: COM2005-01126 ISSUED: 09/30/2005 APPLIED: 08/1812005 EXPIRES: 03/30/2006 VALUE: $ 288,300.00 SITE ADDRESS: 6451 Main St 6453 ASSESSOR'S PARCEL NO.: 1702344300400 Springfield TYPE OF Dnplex TYPE OF USE: New Residential PROJECT DESCRIPTION: Duplex Owner: Address: RAKOCZY WELKER ENTERPRISES lNC PO BOX 395 CRESWELL OR 97426 Phone Number: 541-513-2228 ~\O , ,\Ie'" '1_~ \'i.~~ ,\'\ 1"':.1 r-.v' . ,"! _!.ll1'l'.4'.I"'''' "e' 0" ,CONTRACTOR.lNI'URMAUeN\"J7;Cl '0'1 ~.v! !l.e'O~\ eW oR(' lVoW'" Contractor 0 ~ 90609 ~ '\~~~loh'it'e\!S'e-e 9~i,l:ation Date RAKOCZY WELKrt{ ~t~\1 c~g3'R'\e \e\~'i.\\\r:.:o.\~ 0512212006 EVERYDAY ELEC ~~x>\i\\\ ~6'31~~ ~o 08/1212007 SUNSET ELECTRIQl "'~ g ~ ~9o'l \\\e1. ~t:ll8'llS'9.'.'2.#~' 02127/2006 RS PLUMBING CON }\qG\-r,0 ~ ..010 ;!,i!38\W' 01/0412006 .r.. ....._r ,_, r __, , BIJll-,ull",b.<ilNF6RM\\TIONI VI " ~". ,"," # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path, Sprinkled : Contractor Type General Electrical Mechanical Plumbing # of Units: . Primary Occupancy Group: Secondary Occupancy P'rimary Construction Type Secondary Construction # of Bedrooms: ; : Front yard Setback: Side 1 Sethack: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: Notes: Phone 541-895-8606 541-607-6908 541-915-4883 541-461-4714 2 R-3 U VN 2 26.00 Wall Heat Electric Electric Path 1 nla 8 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 1,514 1,374 396 I DEVELOPMENT INFORMATION I REQUIRED PARKING Total: 4 Handicapped: Compact: 18.00 11.00 11.00 72.00 0.00 Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: 2 Yes 23.10 " -~~ IPUBLICIMPa.OVEMENT~ \\ ~Q~~~' \ Partially Improved ~\)'\~ y'~~\~i~~~~~ Yes '\~\~ ~ ~\~\J~~~s To Storm Sewer l>-\)'\~~t~~~ ~f!jJ. tO~ tr,~~ ~ ~~ Storm drainage to stub provided 8/23/2005 I 1 of 4' Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone , 541-726-3676 Fax 541-726-3769 Inspection Line Description Dwellines Garaee Type of Construction V Wood Frame Garaee Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 70/0 State Surcharge 2 Baths One or Two Family Addressing Assignment Building Permit Dryer Vent Exhaust Hoods Plan Review Major - Planning 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 Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan Willamalane Attached (duplex) Total Amount Initial Review Plan nine Review 08/19/2005 08/22/2005 Public Works Review 08/2212005 . I Valuation Descriotion I $ Per Sq Ft or multip6er $96.00 $25.00 Square Footage or Bid Amount 2,900.00 396.00 Total Value of Project F pp<, Pi1i4.1 Amount Paid $766.94 $10.00 $209.19 $146.43 $508.00 $62.00 $1,179.90 $12.00 $18.00 $150.00 $212.00 $76.00 $686.52 $902.52 $10.00 $1,730.62 $164.06 $180.95 $140.46 $1,611.40 $365.38 $957.70 $50.00 $36.00 $1,848.00 $12,034.07 Date Paid 8/18/05 9/30/05 9130/05 9/30/05 9/30/05 9/30/05 9/30/05 9/30/05 9/30/05 9/30/05 9/30/05 9/30/05 9/30/05 9/30/05 9/30/05 9/30/05 9/30/05 9130/05 9/30/05 9/30/05 9/30/05 9/30/05 9/30/05 9/30/05 9/30/05 I Plan Reviews I 08/2212005 0812312005 APP LLH APP TAJ APP CAS 2 of 4 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01126 ISSUED: 09/30/2005 APPLIED: 08/18/2005 EXPIRES: 03/30/2006 VALUE: $ 288,300.00 Value Date Calculated $278,400.00 $9,900.00 $288,300.00 08/18/2005 08/1812005 Receipt Number 1200500000000001214 1200500000000001435 1200500000000001435 1200500000000001435 1200500000000001435 1200500000000001435 1200500000000001435 1200500000000001435 1200500000000001435 1200500000000001435 1200500000000001435 1200500000000001435 1200500000000001435 1200500000000001435 1200500000000001435 1200500000000001435 1200500000000001435 1200500000000001435 1200500000000001435 1200500000000001435 1200500000000001435 1200500000000001435 1200500000000001435 1200500000000001435 1200500000000001435 Meets MDR min density for lot and partition. Storm drainage piped to stub provided 8/23/2005 CAS . . 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: COM2005-01126 ISSUED: 09/30/2005 APPLIED: 08/18/2005 EXPIRES: 03/30/2006 VALUE: $ 288,300.00 Structural Review 08/2212005 09/12/2005 APP RJB 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. l..~~1Uired T nsnections I Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are Installed. 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 sheathing 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. Drywall: Prior to taping. Firewall: Located and constructed according to plans. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. 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 placement of concrete. Rough Plumbing: Prior to cover and Including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench 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. 3 of 4 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01126 ISSUED: 09/30/2005 APPLIED: 08/18/2005 EXPIRES: 03/30/2006 VALUE: $ 288,300.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Temporary Electric: Approval required prior to Utility Company energizing pole. By signature, I state and agree, tbat 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 tbe City of Springfield and the Laws of the State of Oregon pertaining to tbe work described herein, and tbat NO OCCUPANCY will be made of any structure witbout permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are In compliance witb ORS 701.005 will be used - on this project. I further agree to ensure that all required inspections are requested at the proper time, tbat each address is readable from the ~:~eO:hat the permit card Is located at tbe front of the property, and the approved set of plans wiD remain on the site at al~aJri~cofJ::- ) q /!oJ 0 5'" , - . , Owner or Contractors Signature Date 4 of 4 ~\~'6 \O\\~C;,0 I ?~e ~O , ' ~ ~'li- \1; I I "' In " .~x, '" ,,', SPR~.e.~ ' e lIP' ~ \1/ i?~ f ~ir '-; 'i ' . . fS'\ , " ,,~ ''1w. '." ':V'O e \ ~~ ~\\ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-368gec'''~,e<ll _ ELECTRICAL PERMIT APPLICATIqN ,.i,<'~t~:" <,0,_ ,-' City Job Number COI+'! %00 r - C> II Z b DaIle \0,,0 ..<,0 ",'("I \~ ~v ":\,,1 3. · COMPLETE FiE SC'~'fjui1t~-; . w>,e ~~.... _.' _. .,,__._.... w._.. .. ~~_ . '?)\"S ~e et) ,,' , ,.. .' <:J"-,,~1; : --. " " A. ; ~e~' ~~s!~ent!al.-::,~ing~e or_~~i~FamilY.p.er dwelling unit. Service Included blfriCAlrc///;Ns:::r;oN ~) LEGAL DESCRIPTION J70l711l{J o o l(t% 0 ~\ JOB DESCRIPTION ~,^pt..ey Permits are non-transferable and expire if work is not started within ]80 days of issuance or if work is Suspcnded for 180 days. 1000 sq, ft. or less Each additional 500 sq, ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder '2 L{ $ 19,00 $106,00 21'2 7b $50.00 .'.__ _ .__ _ ~___ _'_-0 __ -_...._____ r--~- -.-.- .-.--~-- _.,-~ --~ ~-.-.-.-.-- ----- 2. ~C:()!"!.~c:-!.'()J?_l!"'S~ALI~TI()~O~L: _ B. i_~rvice~.o... Fee~~:"'-,I~sta~~t~on,~I~eration~or R."location: Electrical Contractor .EVe:('1J ~y [leJric..ATTEN1~oA""'S.o.r.le"la . , $ 63,00 ; N:'19'''l,jDn W reqUires Yvu LU o 7) / .11) l1!ollow nii(;!;lmB'PttetflBtrn'iforegon L;'~;;;~ $ 75,00 Address r M u 02 '" S {J-'ll\ SI6JJ NIf&lificatidlllctffl~r!ofAI6~les are Sl; fv~~;, $125.00 ( u in OAR 9g{Q<<ir)lJW9<lQA9dtJgI'i'OAR 95" '1(" $163,00 City fk;.9M Phone ..!illLf) b 90 20090. YO~~'fQ9gt~mP1!ty,9.!!% of the ru~; :~. $375,00 calling t\1'e'1!mffi\J9.n(Note: the telephc;-,;; $ 50,00 // / number !or,-the, O. 1'6, ~n-tltjjjty-Nolificalion - - _. ---- Supervisor License Number 'if-. ~ 5 cCe!Jl1!IIJ!gr1'}B~I1l'"~~2',s.2'?J4111;d:rs_ . ,. Expiration Date //\/01/7f){)'1 Installation, Alteration or Relocation ~ 200 Amps or less Constr. Contr, Number 1"'3 b 3'7 ) 201 Amps to 400 Amps 40 I Amps to 600 Amps Expiration Date Signature of Supervising Electrician 1/arp~ Owners Name Rw Hc~t-S -:5,r Phone "'SIJ - Z'Z z !J Address 11'0 ;< City Cf;.P-s.-e:rl ( 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 CC,f3# 13&:7'37/ !!!tla/Yo' $ 50,00 $ 69.00 $100.00 qver60.o.:~ml)S,()r!00..Q_~0Its.!;'e.':!3'~ abov,,: __'. _ _ _ D. Branch Circuits 1--._ . __ __ __ _.___ ~ -_.--- ~ - - ----. New Alteration or Extension Per Panel One Circuit Each Additionai Circuit or with Service or Feeder Permit $ 43.00 $ 3,00 E. '~liS~~l~ni_i~~~Mi~I~;i~~ Pump ol\\l-T.IZro nlNOER 1MIS ~~~~!'b.ilB NOr Sign/OJ;Q, ~ Ofll$ Pl~AI\l~~lI1~~~ J;\miteM~ ~~t~g~. $ 25,00 Limited Energy/Commercial $ 45,00 . Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. SUBTOTAL OF ABO\!'E 288 ZOlh Z ~ ([Sc.7 33b~ 7% State Surcharge 10% Administrative Fee TOTAL Shared Drivc(T:)/Building Forms/Electrical Permit Application I.oJ.doc i I. . LOCATION OF INSTALLATION 3. ~\ + rit6~ llrJin ~ L~GAL DESSiR!l~J(~ 1\f\A ^/'\ \n ()Il:~.:> I VttJJ JOB DESCRIPTION 1000 sq, ft, or less $106.00 , " ~o\J'ltn (\11'\ 1.1( Each additional 500 sq, ft, or ..::tf,tt.D ~ portion thereof $ 19,00 Permits a'L no -transferable and expie of wor~ is Each Manufact'd Home or not started within 180 days of issuance or ifw.~ is Modular Dwelling Service{l'tl'l $5000 Sus~:nded f.~..I~~ days. __ .. _ .. __ -1_ . ~~~n1a'll ~~:~~~I\t'!m _ _ _ ~ _ _ 2. : C(!.~r~_C'!.'f!R I3"~TAL~TIONE~!'lI~~~oo~l~<-e; ~~~~~~fJ~n~t'~~~on, Alter~tions or Reloca~on: '0\\0'11 fU \I~f. 1hoS 01\\\ 95,,- , . ctrical Contractor Hs."''''l\\On ce2~ d\'"flllfl1e',1:P 01 the ru\es \iV $ 63,00 \n 01\\\ 952-0010 . AmPl'\t6't100<;AmpsleghOfl~ $ 75,00 r'I"Ia\'O\)\:"'" }'i'\" \ne \,~ . ,l'Q ~"QI\, '(01.1 ,.. 401 &mpt\tb~ovO Ampso'\\I9~\\:''' $125.00 -- 'he ~ef"'" b"'\\W'" Cal\ing' OL '''''p''to''I OO,Amps". $163,00 IOf f'l6'''''' '" '13"'''''' '-.'" City number Q~f~d6.00.lJfriiPsi'Volts $375,00 CePJteconnect Only $ 50,00 Expiration Date Constr. Con ~umber Owners Name ~ \\tJme~ Address t:!'r- '?C\~ .. City _~rP~ Phone Tif)\'tl-')}),!J!> OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. oi2~jaE: , Inspection, Request: 726-3769 .......------------------ --- - --- ------ c. [~~~.~~,~~'I..~~!"~~~~ ~.!"^!~~d!_r~ Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps $ 50,00 $ 69.00 $100.00 ~ Over 600 Amps or 1000 Volts see "B" above, D. r~&~nch cir~~it';~ -- - -- -- - --- l... _.'_..____ ..------- -- ----.-,-, New Alteration or Extension Per Panel One Circuit $ 43,00 , Ea~h Additional Circuit or with .MO?1-, Service:r Feeder Permit \'i\~ 15l1~i ... ~6\'OO . ~'\~t~~~~~~~f~~~~'t...~d) -E~~h i~~;lIati;~" ,\~\S'\l~", 'i)U~m."'-f>o.~t)e~~V'fV:- - -- _..- ~~\1.~~~~ \~ 1\.'0 $ 50,00 ~~~I\l1ii\O~', $50.00 ~'ftcll~ergYlResidential $ 25.00 Limited Energy/Commercial $ 45,00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges r --- - ---- - -. -~- - -- ----- , --.' OD , ~~~ SIDU "'::f{) .~ 4. SUBTOTAL OF ABOVE 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building Forms/Electrical Pennit Application ).03.doc CITY OF ANGFIELD SYSTEMS DEVELOPMEaORKSHEET JOURNAL OR JOB NUMBER: COM2005-01126 NAME OR COMPANY: RW Homes LOCATION: 6451 Main St 6453 TAX LOT NUMBER: 1702344300400 Parcell DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS 2 BUILDING SIZE (SF: 3508 LOT SIZE (SF): 1 STORM DRAINAGE 8328 r-- 1[2 10 10 u I~ IUl I- m G gJ DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S,F, x I COST PER S,F. CHARGE I 2965,00 I $0.323 I = I $957,70 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 0,00 I $0.323 I I 50% I ~ I ITEM I TOTAL - STORM DRAINAGE SDC $957.70 2, SANITARY SEWER - CITY DISCOUNT $0,00 $957.70 1070 A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I 36 B, IMPROVEMENT COST: I NUMBER OF DFU's I x I 36 $19,07 ITEM 2 TOTAL - CITY SANITARY SEWER SDC COST PER DFU $25,07 $902.52 11091 $686.52 1092 = I $1.589.04 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 FACTORI I 9.57 I 2 I I $19,09 I 100 I B, IMPROVEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x I NEW TRIP FACTORI I 9.57 I 2 I I $84,19 I 100 I ITEM 3 TOTAL - TRANSPORTATION SDC = I $1.976.78 $365.38 11093 I $1,611.40 11094 I 4 SANITARY SEWER - MWMr. A. REIMBURSEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I 2 I $82,03 = $164.06 11054 8. IMPROVEMENT COST: I INUMBER OF FEU's I x ICOST PER FEU I 2 I $865,31 = $1,730.62 11055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 ,11054 MWMC ADMINISTRATIVE FEE $10.00 I 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , $1,904.68 I SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , $6,428.20 I 5, ADMINISTRATIVE FEE: I SUBTOTAL x I ADM, FEE RATE I~ CHARGE I $6.428,20 5% $321.41 TOTAL SANITARY ADMINISTRATION FEE: 180,95 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $140.46 11078 Cheryl Slaymaker 8/22/2005 TOTAL SDC CHARGES =1 $6,749.61 PREPARED BY DATE . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIX11JRES x UNIT EQUIVALENT"" DRAINAGE FIX11JRE UNlTS (NOTE, FOR REMODELS. CALCULATE ONLY TIlE NET ADOmONAL FIXTURES) NO, OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 2 0 3 = 6 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETe. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC, 0, 0 6 = 0 LAUNDRY TUB 0 0 2 = 0 CLOTHESW ASHER / MOP SINK 2 0 3 = 6 ICLOTHESWASHER - 3 OR MORE (EAt 0 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRIG / WATER STATION / ETC, 0 0 1 = 0 I RECEPTOR FOR COM, SINK / DISHWASHER / ETe. 0 0 3 = 0 SHOWER. SINGLE STALL 0 0 2 = 0 I SHOWER. GANG (NUMBER OF HEADS\. 0 0 2 = 0 ISINK: COMMERCIAURESIDENTIAL KITCHEN 2 0 3 = 6 ISINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASIN/DOUBLE LAVATORY 2 0 2 = 4 ISINK: SINGLE LAVATORYIRESIDENllAL BAR 2 0 1 = 2 IURINAL. STALL / WALL 0 0 5 = 0 ITOILET. PUBLIC INSTALLATION 0 0 6 = 0 ITOILET. PRIVATE INSTALLATION 4 0 3 = 12 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 36 .EDU (&luivalent DwcllinJ~ Unit) is a disc~e equivalent to a sin~le family dwelling unit (20 DF\J's) set at 167 Wlllons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$I,OOO ASSESSED VALUE $5.29 $5,29 $5,19 $5,12 $4,98 $4,80 $4,63 $4.40 $4,07 $3,67 $3,22 $2,73 $2,25 $1.80 $1.59 $1.45 $1,25 $1,09 $0,92 $0,72 $0.48 $0,28 $0,09 $0,05 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter I Cor Yes, 2 Cor No) IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT? (Enter I for Yes. 2 Cor No) BASE YEAR 2 2 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE SO,OO x S5,29 I II ~, SO,OO CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0,00 x $5,29 o TOTAL MWMC CREDIT SO,OO = 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . ~ liljty of Springfield Official Receipt .velopment Services Department Public Works Department Job/Joornal Number COM2005-01126 COM2005-01126 COM2005-01126 COM2005-01126 COM2005-01126 C()M2005-01126 COM2005-01126 COM2005-0 1126 C.OM2005-01126 COM2005-01126 COM2005-01126 COM2005-01126 COM2005-01126 COM2005-01126 COM2005-01126 COM2005-01126 COM2005-01126 ChM2005-01126 COM2005-01126 COM2005-01126 COM2005-01126 COM2005-01126 CbM2005-0 1126 COM2005-01126 :. ~ayments: Tl1'e of Pa)1llent Check ~J I ~ \ :: , :( , . :i , 9/30/2005 RECEIPT #: 1200500000000001435 Date: 09/30/2005 Description Addressing AssignlJ1ent Willamalane Attached (duplex) Temp Power 200 amps or less Storm Drainage Vnpervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transpo Admin Building Permit 2 Baths One or Two Family Vent Fan Exhaust Hoods Dryer Vent -Mechanical Issuance Fee- Plan Review Major - Planning Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 7% State Surcharge + 10% Administrative Fee Paid By RAKOCZY WELKER ENT Received By djb I of I Item Total: (;beck Number Aulllorizalion Batch Number Number How Received 2166 In Person Payment Total: 2:25:27PM Amoont Due 62.00 1,848.00 50.00 957.70 902.52 686.52 365,38 1,611.40 164.06 1,730,62 10.00 180.95 140.46 1,179.90 508,00 36.00 18.00 12.00 10.00 150.00 212.00 76.00 146.43 209.19 $11,267.13 Amount Paid $11,267.13 $11,267.13