HomeMy WebLinkAboutPermit Building 2009-9-2
CITY OF SPRINGFIELD
Building/Q)mbination Permit
PERMIT NO: COM2009-01288
ISSUED: 09/0212009
APPLIED: 09/01/2009
EXPIRES: 03/02/20]0
VALUE: $ ]64,436.00
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1045 S 40TH PL
ASSESSOR'S PARCEL NO.: 1802061420200
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New Residential
PROJECT DESCRIPTION: NEW SINGLE FAMILY DWELLING - LOT 94 FILBERT MEADOWS - SAME AS
1010 S 40TH PL
NOTICE:
_.,,~ n~n"'T ,CW^' I I')(PIRE IF THE WORK
",''::'. .'_::::":-'''1.' ",nCD TWIt:: PI'RMIT I::; NU I
A'JmN'f~eTORlfE'9RMA'fr10N I,m
CUIVIlVIL.I....VLU '-'" {! ' ,-
Contractor ANY 180 DAY PERIOD. License ,Expiration Date
BRUCE WIECHERT CUSTOM HOMES INC 101717 09/1612010
L & E ELECTRIC INC 105475 03/30/2010
COMFORT FLOW 460 06/27/2011
STEVEN R JOHNSON 65065 03/1212010
Owner: '
Address:
BRUC:E WIECHERT CUSTOM HOMES INC
3073 SKYVIEW LN
EUGENE OR 97405
Contractor Type
General
Electrical
Mechanical
Plumbing
BUILDING INFORMATION'
# of Units:
Primary Occupancy Group:
Secondary Occnpancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
# of Stories: 1
Height of Structure 16.00
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: '. yElecyic
_ .' oW reqUires Uu.'.
3 ATTENTIO!'l~,!!gyJ'ath:. ,~.~ Oregon Utility
1\ ru'eS:p.X!n~led\Bu"dmg: are set ~!l.h
to OW _.__ Thn<A IU,clS _ __"
~0~i:;DEyF;1J~@,p,i\iENIJ"INF0RMA1:iO~,~ibY
~090. You may uu,u"('N-o-t'e: the telephone
. ' tho center.. 'j' tlon
15.00 callmg 'Overla'ol Dist:n Utility Notllca
ber tm '"'' ",I"~ ~~ 2344)
15.00 num # Street T.r;.ees"Rqil: .
CeJIlvl I~ .
5.00 l'aved Drive Rqd:
20.00 .. % of Lot Coverage:
0.00
1
R3
U
VB
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
/
Phone
541-686-9458
541-933-2653
541-726-0100
541-342-3765
Lot Size: 7,991
Sq Ft 1.st Floor: 1,519
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport 460
Sq Ft Other:
Occupant Load:
3
Yes
25.00
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Fullv Improved
Yes
Storm water to curb &.gutter via weep hole
Sidewalk Type: :
Downspouts/Drains:
Curbside 7'
Curb and Gutter
Notes:
Paee 1 of 4
Status
]ss u ed
225 Fifth'Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
GaraeelMisc
, SF/Duplex
Tvpe of Construction
U VB Utilitv
R-3 VB 1&2 Familv
Fee Description
Plan Review Same As
Total Amount Paid
Plannine: Review
09/01/2009
Public Works Review
Structural Review
09/0112009
09/01/2009
I Valuation Descriotion ,
$ Per Sq Ft
or multiplier
$37.72
$96.83
Square Footage
or Bid Amount
460.00
1,519.00
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01288
ISSUED: 09/02/2009
APPLIED: 09/0112009
.' EXPIRES: . 03/02/20]0
VALUE: $164,436.00
Value
Date Calculated
Total Value of Project
Fpp, P'IilLI
Amount Paid
Date Paid
$17,351.20
$147,084.77
$164,435.97
09/0112009
09/0112009
$250.00
9/1/09
Receipt Number
1200900000000001014
DDK
Req uired street trees as shown on
street tree plan attached to permit:
species as shown. 2" caliper, leave
name tag on until approved.
Storm ,,:ater ot curh via weep hole
as noted:on plans
$250.00
I Plan Reviews I
09/01/2009
APP
LKW
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 reqllested after 7:00 a.m. will be made the following
work day.
09/01/2009
09/01/2009
APP
APP
Ufer Electrical Ground: Iustall 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 Nailiug: Before cove_ring 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.
I Rp.ollirp:1Jnsoectinr\1J
Paee 2 of 4
CITY OF SPRINGFIELD
,
Building/Combination Permit
. ~
Status
Issued
PERMIT NO: COM2009-01288
ISSUED: 09/02/2009
APPLIED: 09/01/2009
EXPIRES: 03/02/20]0
VALUE: $ ]64,436.00
225 Fifth Street, Springfield, OR
541-726,3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Drywall: Prior to taping.
Masonry:
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 backfill.
Undertloor Plumbing: Prior to insulation or decking.
Undertloor 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.
Undertloor Mechanical. Prior to insulation or decking and including r~quired testing.
Undertloor Gas: After line is installed aud required testing and capped if not attached to an appliance.
Rough Gas: After line is installed and required testing aud capped if uot attached to an appliance.
Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure 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 required prior to Utility Company energizing pole.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company euergizing service.
Final' Electric: When all electrical work is complete.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
)
Paee30f4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: €OM2009-0]288
ISSUED: 09/02/2009
APPLIED: 09/0112009
EXPIRES: 03/02/20]0
VALUE: $ ]64,436.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 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 wiil 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 of the prJ'P~rty, and the approved set, "' "'7 "''' rem.'" "" ", "."."
"m. ,.ri." """'[in /. . ~ / l J 0 cr
Owner or Contractors Sign'a!ur~ Date / I"
, Paee 4 of 4
lX)\u
'\.A.r\
I,.\'O-~
M':>~l'-
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number {]f7 - /2.. g- K
Pump or irrigation $ 57.00
Sign/Outline Lighting $ 57.00.
OWNER INST ALLA nON Limited EnergylResidential $ 29,00
The installation is being made on property I own which Limited Energy/Commercial ,$ 52.00
is not intended for sale, lease or rent. , ~ n D M:.ni~;jri~,b,~i;7j,ii'!1J,ih,'~~,' ;~;;,;~;;~~,~.~:;~ ~~urc~~ vO
Owners Signature: " ~ W~\)\.r ;2;o~;~t;;~;~~~;~ - '.' . ',,: , c" t,,'.,. " \ ~ ~
1\.\\ '() 0.\0 ,10% Administrative Fee (ZJ' .
V-- Ib'~ 5% Technology Fee y.. '1!Li.2
j - \ t:u /J.b.
Shared Drive(T:)fBuilding Fonns/Electrical Pennit Application 7-08.doc
c."":~~,,,,-..."1"~'m'~':: ~~:;-::l~.~' <"'-"~-';";--':-;;;:~~-JI"1'_'::>:<--'_{;l' ._"':'>~' ,::-
1. 1,;I<Og1JQ!'l;gJ::11V~T.it 1jf0-T1()!\{:'Ir,;,rr4J,.: i
....~.'. -. .~., ,.~._,......."..i._.{ '--..:f-.o""..,-,<., ..~ "'-l. 4::.:-:~:l<>i:I:f""<L-'- .~. ,-','.' "~',..~ ..
tOy')" S Llat r I
LEGAL DESCRIPTION:
/Fo:l.. all! ~;J...cxQ
JOB DE~C:ION: , 'V Q}:J l a.lg
~non_~PireifworkiS
not started within 180 days of issuance or if work is
Suspended for 180 days.
l
!
Iir-......~-..-.....,.... -""".,....,.....- - ;'>'~-~ .~=",=,"''''''-'~ ,."",,",, -.--- I
." PcoNTftAcroiflNsTAlMrIoNONL'Y;
2. 'i!itt.~~::.::..;..'$.;,~~~;;,-~~'t-;;..-;':~' -;'::;:;~ili;;t:-;l.fr~;'!;'l'~. (
Electrical Contractor L + c
Address q 2. -g s -$
A::yeS
:r" '.,e f
City 'S;? 9 \ 6
Phone S LJ> '1196
Supervisor License Number I.{ 17 'i - S-
3r/-;-v I zit 0 / II
,
Constr. Contr, Number I b S- '--I 7 y-
3)10
Expiration Date
Expiration Date
Signature of Supervising Electrician
t:dL~uC),~J~
Owners Name ~,( lice l.J I "cJ.evf (0Slo!" ll,,""tS
51c." .;cw lyJ
,
Phone bi ~- 9 I{)''O
Address ~ b 7 j
City t: U J G"''''
Inspection Request: 726-3769
ZON
INITIALS
DATE
SOURCE
Date
<=J1i /0'
3. ~~(jJJj{i;Eiifjfjt~~~(ril~~!jjj.:Mff!!kt~t~:~1~i~~i:~~~~~
~-":F~ :.:';'~'~'!~8-<W:.:~"";'~4:"W~-"'''''':'''''':;?:''l-;;r;_Jr>;;-['C"'''l'~''7"';, _'71';::~_ ':1" :;l!f. "\~_A-r::~';
A. ~J~:' ~~J~~~:~~~~J~!O~~i~~!~!~(2t~1 uJ~~it~a~,i~.~i~~~;.~~I.I;,~eJ'u~jf~id
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft, or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
\-M
~
IJ,.~
$~O
\ IJ;/J.. ,cP
:f>~
\
fl..
$57,00
r.~~~~ry~~~:?;?""~~-;h~~-::-'~r~"~~'-.d"l.,.o;,,~ ,'.~,~'-: ~",-;,';'r-~ f~ 7,,:~ s'.~,;;:..:-.?:..,-.;
B. 1.,.~~ry'~~~~~-~~:~~ii:~~;~iJ~~!.?r:IJt:~~.I~~~~~1tt~~~~Ltj~$~~1~g~!1~il,~~;
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
$ 73.00
$ 86,00
$143.00
$186.00
$426.00
$ 57.00
~,\'.E'ij("'~~"'~,i~y.;"':V:::'7"" ,c', "'" ,"'.,~, .~- ,'''>,'~ '>101( .;-it, ~,_
C. !.'-iTem~porary'Services'orFeeders, ~.:...
.-"'",,' - "'-+-' .-. '." "'- '--"';'
, .
~,-: ",," ,
1.
Installation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
401 Amps to 600 Amps
$ 57.00
$ 79.00
$114.00
Over 600 Amps or 1000 Volts see "B;' above.
r7:;;::"~_};;':F-!~"~:;;:~'::;_:t;::;,~ ::::ir'--:l;I:,a::f\. "';"J\': ~':,-- - .',' '. ,.,~' '-_-,~7",,:,~":::,'l.:""-' c.:'l
D. tj,BI.anch'GlrcUlts~!,'?,";7>' ';".1;;,~Ik.\.-'I;;'~ ,.1l.: ""I ,".t~<,- -A,g,,:.. . ..::"l<j~'1!~~"!~""'\
{"--'~'oJ-'=";;'-'::"-"''-'--ri4';;. '.-, _-,_,~,-::'_"..!. ">' ,.',' S'_ _. .: ~':'~';Ji......,,,, ,,"
New Alteration or Extension Per Panel
One Circuit
Each Additional 'Circuit or with
Service or Feeder Permit
$ 50.00
$ 5.00
: -:::'7i:"~~"'-l~'-tif~:t ,;~"::';:i{;~:. ,,:,~.;;,r,,_U'f,'''~~;1'.~;f:'~~}:, :~- .--h.~'\"':;~ '.~'~;'l.-;",;,:' 1- ~r..: .,;,."
E. t ~t!~~;~~I~~.~~~~\~5',~,~.~f~,~~.,e,r.\ ~~t -;~~51~~J~dl'~~.a~~:' I ~s(a!I~~;~'l~~~'1
TOTAL
L/u1l... f I
c:.{)...~
Structural PermitApplication__
-
225 Fifth Street. Springfield, OR 97477. PH(54 1)726-3753 . FAX(541)726-3689
",-5
[0 J D
It,:oi::F>,ARTMEN"':'iVUSEI'ONil'y.-%'ll
';i.~" ',' -~ 'l-:'''~0,-''t1l-':"'.\i;"",''''S';~!l~-':'"~'''''''''-.;"~'~'''"~'.&'_~!:''
Pennitno.: {!!'1-/.2Sd'
. Date: 71/I/~i
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days .(f issuance or if work is
suspended for 180 days. '
1~~~\~iI0CAil\{G0VERNrN~f"'APRROVAIi.i)!'!i~''''r''~~4
1:;?~fi;;I~I:d~~;;~~;;~;~-"JM~" ~I:ate.'~~-"~"'I
'I This project has DEQ approval. I 1
Signature: Date:
I Zoning approval verified: 0 Yes 0 No I
I Property is within flood plain: 0 Yes 0 No I
I\al(W~'i!i'~Jli1fi:YA]EG0'RY;1l0#~CaNS'fRUC'ffoNic5~a~"t~{-;~Fi"~~c",,'I
~~~~~..i(!"c"~"."'___.___'_'~"_'_'."'1'1'"_",,,"~,,____~_~__~_',,_.__'~ ,J_.,__._..~,<t,..._,~. .~~-,
lⅈ~ij~~j]]~~N~9~~~~~~1~&151JQ~[~~R~~~(4!~
I Job site address: 10 4':>' 5 '-/O.,..l.. e \ .1
I City:S9'-;"'l{; :",1,1 I State: 0 \'L I ZJP: q 7n7
I Subdivision:F:; Jh~{1: (l'\l&..!.\)Io..I'~ I Lot no,: I
I Reference: I Taxlot/.ld2 -~/~. :U>2&)c)
1:,l\lf_""'~9-!l'f",!j_'.m""r>" "~""""'"'W"""_'O'"'';[''' """"1.1'''''' ",,'" "",,\
wtti)'i.;~!Ji~,:;~'~nwl'H~~{~!ieJ~Qg~BI\(~QWN~J:~Ffj;,m'i,~~~*;1ff,jj,*,,~~'i::-P~1~.,..~;"/:,t.1
I Name: (),""/l(, tv;, c.h..t C"',\-:J,,, 110",.-> :I'rJC-
I Address:307'~ St."vicw L-N
I City: f'v~e,,-<- I StateO t-- I ZIP:'J 7t 0'"
I Phone: -b~b-9,/')g Fax: -,t'l-~;36Z-
I E-mail:Wicc,he.,\' 1--.0""'-5 QCD'OC~St" >\JeT'
This installation is being made on residential or farm property-owned by
me Or a member of my immediate family, and is exempt from licensing
requirements under ORS 701.010.
Sign here:
1111_J1i!l[QQMLf~~[Q1!ti.~r~t~g~TIQJ~-t~~"1tt~~~~~E~
I Business name: ~"v'-" Wied".~, C:,,~b,.., /.1"""", J:1v<-
I Address: '3 073 <; iL~ "i Co""; LV'-
I City: ~ "J e,r<- I State:O<L I ZJP: q 7)D I-
I Phone: -6Jh cl~1 S Y Fax: -3'1'1- - 'Y3 b 2-
I E-mail: Wi eG-l-e, \ \o-..o,,-,~ @ CO""et..)-\~v.j",\
I CCB license no,: Ion ( 7
I Printn~e:~.e"..',.;.tC W~-:)tc.J"".r
I Signature W W __________
~T_.$.fJ!!.l!;;~QN;Ji!M!;;Jc!'>.['{ilNF'(jR~~]IQ!'Im~l~~~;Gfi(y;,1
Name CCB License Number Phone Number 1
IElectricalp-e 105"17.< 51.1'i1~& I
I Plumbing5Jc.",,> PIv~J,'",< h.5o(,5' ;, yZ-3'1(" I
I Mechanical CFJ-l J "h V 72.6-0 JOO
~ ~~S4
1:!I;.";,{i~"!li"""'fV!l;j.!4'l\~EE$scHE!JUcEi1~iliI!:~1~;i\.~1'!~1
.,~"<l~IL!iilI.I..~il!L.._~.....,__,...._....,,,_Jl;j""''f.'I!II1l'Jl!<'"~>'II.'''..
l'i"v'l,~"{,,,,,,\,,,t,,,,,,w;"''''''~1\,,,,,,,,,~.~*,~.jfmi_,_,.'/'l'tit;'!!;l'l
:,';, J~;'..I_~>~~J!"_!!:>>ml!LQ.r'!!!~!!Q~J;n;~i",.,f._tr';:;"i:;',,:'i1P.;wt~,,-~~~~~~~
I (a) Job description: ~ (Fc) I
I Occupancy 2.3 I
I, Construction type: V 5 I
I Square feet: I
I Cost per square foot: I
I Other information: f
I ~~~H_ I
I EnerJ:Y Path: (IJ, I
[J1lew 0 alterajion 0 additioo I
(b) Foundation-only permit? D'Yes 0 No I
I Total valuation: / )-S- ~.I $i7(J;fJ/i/!f2.
!::~2f~uj)#!~gif~~~i~~1ti!]t~if-!~;~{t:i~;:;;~;1':r;M;~;'~i,i~~~.~~t~~~i;1
I (a) Permit fee (use valuation table): $ I
I (b) lnvestigative fee (equal to [2a]): $ I
I (c) Reinspection ($ per hour): 'I,
(number of hours x fee per hour) $
I (d) Enter 12% surcharge (.12 x [2a+2b+2c]): $ I
~(e) Subtotal of fees above (2a through 2d): $ ~
rr~~"':-~,\k"'~:fl1'U;\~:Mt~J1'"'~~~lfril~XfJ<i~~~a::'~:~~~it~ilh^'ffjj;~~~~'"Ar
~J?:::R~!lJ~1!:~YJ~!Y~f~!tSJ2!'f~.~~~~~;.:!;-t;tf~;m~~;~~,.>Ji~.,~l!..,iit~.;it~
I (a) Plan review (65% x permit fee [2a]): I $ I
I (b) Fire and life safety (40% x permit fee [2a]): I $ I
I (c) Subtotal offees above (3a and 3b): I $ I
1}~;J"Mi]'~;,n~!l~~YIiJf(~~7~1~;/~~";:~.f~';,~tt\~0,~~~~[~,'8~:~~~f~~J~~~Z;!:~};;1
I (a) Seismic fee, 1% (,01 x permit fee [2a]): I $ I
I TOTAL fees and surcharges (2e+30+4a): I $ I
,-
,
.-' ;
.-
Job. No.,
~q - \ 'L9t2
SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2009
NAME: \D'(\yP. \ l \If(\ i\Qrt PHONE\cl)19 SJ.;:&:)
ADDRESS?m~ S~~ITY ~-en..a- STAT~ ZIP: <1"1:~'D.5
LOCATION OF PROPOSED BUILDING SITE:
Street Address: \D-\ ~ c:; L\D~ ~L
plat Name: ~\~ M.mda,gj-ax Lot Number: \ ~ D1O(o \4 2.0200
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type ,definitions are on the
back,)
A. Sinale"Familv Detached
NO. OF UNITS \
X $2,858 per unit =
$ '2.. tt;~.aU
, 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. OFUNITS
X $1 ~550 per unit =
$
\
$'Il'b'66.CXJ
$.'. If
WILLAMALANESDC
. .
2.' SDC CREDIT (If applicable) SDC payer must furnish proof of
WillamaJane Credit approvaL)
3. TOTAL WILLAMALANE NET SDC ASSESSED
, (if SDC reduced for Credit)
'~', ~()Q1\\-eLI._
, Deveio-pmeni Services DE\Part-m~nt {Lt\
City o/Springfield , , '
$', 'tB58.W
I
q I t/".~
. Date
5
City of Springfield Official Receipt
Development Services Department
~. . .
Public Works Department
225 Fifth Street
Springfield, Oregon 97477
54]-726-3759 Phone
Job/Journal Number
COM2009-0 1288
COM2009-0 1288
COM2009-0 1288
COM2009-01288
COM2009-01288
COM2009-0 1288
COM2009-01288
COM2009-01288
COM2009-0 1288
COM2009-01288
COM2009-01288
COM2009-0 1288
COM2009-0 1288
COM2009-0 1288
COM2009-01288
COM2009-01288
COM2009-0 1288
COM2009-0 1288
COM2009-01288
COM2009-01288
COM2009-01288
COM2009-01288
COM2009-0 1288
COM2009-0 1288
COM2009-01288
COM2009-0 1288
COM2009-0 1288
COM2009-0 1288
COM2009-0 1288
COM2009-01288
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
2200900000000000994
9:13:26AM
Date: 09/0212009
Description
Curbcut Permit
Sidewalk Permit
PW Disc - 2nd Permit
Storm Drainage Impervious Area
Credit- SDC Storm Improv
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Tran Reimburs-Residential
SDC Trans Improvement-Resident
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Transportation Admin
Addressing Assignment
Willama1ane Single Family
2 Baths One or Two Family
I st 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
Plan Review Major - Planning
Building Permit
Fire SF Fee - Residential
+ 5% Technology Fee,
+ 12% State Surcharge
Amount Due
88.00
88.00
(30,00)
968,70
(968,70)
695,83
529.11 '
211.21
931.65
101.97
1,044.54
10.00
76,95
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
211.00
973,30
98,95
100.77
.199,00
$8,911.28
Paid By
BRUCE WIECHERT CUSTOM
HOMES
Item Total:
l.:heck Number Authorization
Received By Batch Number Number How Received
Amount Paid
o 1522C In Person
$8,911.28
Payment Total:
$8,911.28
Page 1 of 1
9/2/2009