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HomeMy WebLinkAboutPermit Building 2009-10-8 . " -.liW"~~,I\lI~~ I',' '0', ~ :. ,. ,,{ Y-' Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-0]477 ISSUED: 10/08/2009 APPLIED: 10/07/2009 EXPIRES: 04/08120]0 VALUE: $ ]68,658.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone, 541-726-3676 Fax 541-726-3769 Inspection Liue SITE ADDRESS: 1071 S 40TH PL ASSESSOR'S PARCEL NO,: 1802061420300 Springfield TYPE OF WORK: Single Family Resideuce TYPE OF USE: New PROJECT DESCRIPTION: Single Family Resideuce - SAME AS 1037 S, 40TH Place Residential Owner: BRUCE WIECHERT CUSTOM HOMES INC Address: , 307~ SKYVIEW LN EUGENE O~ 97405 I CONTRACTOR INFORMATION I Contractor Type Geueral Electrical Mechauical Plumbing Contractor License BRUCE WIECHERT CUSTOM HOMES INC 101717 L & E ELECTRIC INC 105475 COMFORT FLOW HEATING CO, 460 STEVEN R JOHNSON I 6,~lL6L" ,,~" t~ I :~uiiDiNG'INFORMA:iiI0N;legOli Utility Notification Center, 1 hose rUle:; are set for~h in OA~ioJLS.!oJie~:)01 0 through OA~"9~i'-OO Sot Size: 0090H~lg~M!:~St~u'cfureOples of \.22.00Ies bSq Ft 1st Floor: calT,yp.e 'of Heat:Jr, (NF(ii'c~'ile~ii-IGa~oneSq Ft 2nd Floor: nUIl~~!~j.JryPe,:oregon Utility~ ~~Gy~atlorsq Ft Basement: RangeJlI'ype:3 1oS00-332-2Electtic Sq Ft Garage/Carport , Energy Path: Sq Ft Other: Sprinkled Buildiug: No Occupaut Load: Expiration Date 09/16/2010 03/30/2010 06/27/2011 03/12/2010 Phone 541-606-5050 541-933-2653 541-726-0100 541-342-3765 # of Uuits: , Primary Occupancy Group: Secoudary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U VB 7,095 1,570 441 3 I DE~ELOPMEN! INFORMATION, 1 REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: , 28,50 10,00 11.00 21.00 11.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 4 Yes 28,10 Total: Handicapped: Compact: 2 Street Improvemeuts: Storm Sewer Available: Special Iustruction: , . I PUDLlL IMPR0VEMENTS) , .. '" H,-, r '-"/VI" vdALI,,~XPI~E IF THE WORK Fully Improved AUTHORIZED UNDER"I R'l'~ ~E~fvWT IS NOT Curbside 7' Yes COMMENCED OR Is9,o.m\~I~!\'Jf~(!>J~i!JTi Curb and Gutter Approach variance granted by T,ransnor,tation,iNlILconditious apply, Storm water to curb, 111" I "J ou UtH r'CnIUU: Notes: , '~r. I . Page I of4 . ,.,. Status ISsued:' ' 225 Fifth Street, Springfield, OR 541-726-3753 Phone' I, 541-726-3676 Fax 541-726-3769 Inspection Line ,~ ' . .. -- Description Garal!e/Misc SFlDuplex ;, Tvpe of Construction . .. ".j U VB Utilitv R-3 VB 1&2 Familv .' " Fee Description,i Plan' Review S~ine As ( I + 12 % State Surcharge + 5% Technology'Fee 1st Appliance 2 Baths One or Two Family Addressing Assignment Appliance Vent Building Permit , Credit- SDC St!!r~.Improv Curbcut Permit Dryer Vent Exhanst Hoods Fire SF Fee - Residential Fireplace (Listed) Gas Outlets 1-4 Plan Review Major - Planning PW Disc - 2ud Permit Residence Wiri~g 1000 Sq Ft Residence Wiring Ea Addtl 500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Admiuistratiou SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admiu SDC Trau Reimburs-Residential SDC Trans Improvement-Resident , , SDC Transportation Admin Sidewalk Permit Storm Drainage Impervious Area Temp Power 200 amps or less ) Vent Fan WiIlamalane Single Family Total.Amount, Paid 'I I Valuation Descriotion I $ Per Sq Ft or multiplier $37,72 $96,83 Square Footage or Bid Amouut 441.00 1,570,00 Total Value of Project ~fr<i Pli.\U Amouut Paid $250,00 - $211.51 $105,98 $79.00 $337.00 $38.00 $9.00 $989,58 $-1,224,61 $88,00 $9,00 $13,00 $100,55 $20,00 $7,00 $211.00 $-30.00 $134,00 $75,00 $551.16 $724,83 $10,00 $1,044,54 $101,97 $94,30 $211.21 $931.65 $84.47 $88.00 $1,224.61 $63.00 $27.00 $2,858,00 $9,437.75 Date Paid 10/7/09 10/8/09 10/8/09 10/8/09 10/8109 10/8/09 10/8/09 10/8/09 10/8/09 10/8109 10/8/09 10/8/09 10/8/09 10/8/09 10/8/09 10/8/09 10/8/09 10/8/09 10/8/09 10/8/09 10/8/09 10/8/09 10/8/09 10/8/09 10/8/09 10/8/09 10/8109 10/8/09 10/8/09 10/8/09 10/8/09 10/8/09 10/8/09 Pal!e 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01477 ISSUED: ]0/08/2009 APPLIED: 10/07/2009 EXPIRES: 04/08/2010 VALUE: $168,658.00 Valu~ $16,634,52 $152,023,10 $168,657,62 Date Calculated 10/07/2009 10/0712009 Receipt Number 1200900000000001117 2200900000000001160 2200900000000001160 2200900000000001160 2200900000000001160 2200900000000001160 2200900000000001160 2200900000000001160 2200900000000001160 2200900000000001160 2200900000000001160 2200900000000001160 2200900000000001160 2200900000000001160 2200900000000001160 2200900000000001160 220090000000000t160 2200900000000001160 2200900000000001160 2200900000000001160 2200900000000001160 2200900000000001160 2200900000000001160 2200900000000001160 2200900000000001160 2200900000000001160 2200900000000001160 2200900000000001160 2200900000000001160 2200900000000001160 2200900000000001160 2200900000000001160 2200900000000001160 '( Status Issued CITY OF SPK11"'l.JJ'lELD Building/Combination Permit PERMIT NO: COM2009-01477 ISSUED: 10/08/2009 APPLIED: 10/0712009 EXPIRES: 04/08/2010 VALUE: $168,658,00 225 Fifth Street;Springfield, OR 541-726-3753 Phone:, 541-726-3676 Fii~' .r :'\,' . 541-726-3769Iuspectiou Liue Plannine: Review " . , ,,: 10/07/2009 Plan Reviews I 10/0712009 APP DDK Required street trees as shown on street tree plan attached to permit: species as shown. 2" Caliper,leave uame t.g ou uutil approved, Approach variauce grauted by Transportation if.1l conditious apply. Storm water to curb, As noted on plans " ''::,;',' ,e Public Works Review 10/0712009 10/07/2009 APP LKW Structural Review 10/0712009 10/07/2009 APP CJC " To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be ~;adethe same working day, inspections requested after 7:00 a.m. will be made the following wMk~~ " . I Rr,r,\ir~rllJ1sDections 1 Ufer Electrical Ground: Install grouud rod at footing aud call for iuspectiou iu coujunction with footing audlor foundation in,spection. Footing:: Aft~r trenches .re excavated, Fouudation: After forms are erected but prior to concrete placement, Post aud Beam: Prior to floor insulation or decking, Floor Insulatiou: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials, Framing Inspection: Prior to cover and after all rough in inspectious' have been approved. Walllusulatiou: Prior to cover, Ceiling Insulation: Prior to cover. Drywall: Prior to taping, Masonry: Final Buildiug: After all required inspections have beeu requested and approved aud the building is complete. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. Underfloor Plumbiug: Prior to insulation or decking, U nderfloor Drain: Prior to cover or placement of concrete, Rough Plumbiug: Prior to cover and'iucluding required testiug, Water Liue: Prior to filling trench and includi~g required testing, Sauitary Sewer Line: Prior to filling treuch and includiug required testing, Storm Sewer ,Line: Prior to filling treuch, . Pae:e 3 of 4 .j <, Status Issued CITY OF SPRINlJl'1.1!.LD ~uilding/CombinationPermit PERMIT NO: COM2009-0]477 ISSUED: 10/0812009 APPLIED: '10/07/2009 EXPIRES: 04108120]0 VALUE: $ 168,658.00 225 Fifth Street,:Spr.ingfield, OR 541-726-3753 Ph'one' 541-726-3676 Fax 541-726-3769 Iuspection Line Final Plumbing: When all ~Iumbiug work is complete, Underfloor Mechanical. Prior to iusulatio~ or deckiug aud including required testing, Underfloor G;as: After line is iustalled aud required testiug and capped if not attached to an appliance, Rough d~s: After line is iustalled and required testiug aud capped if uot attached to an appliance, Gas Service: After line is insialled and line has been connected to a minimum of one appliance includiug required testing. Presure test done at this point. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete, :1 .: . Final Mechanical: When all mechanical work is complete, Temporary Electric: Approval required prior to Utility Compauy energizing pole. H . \ . , . Rough Electric: Prior to Co,:er Electric Service: Approval required prior to utility company energiziug service. Final Electric: When all electrical work is complete, Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed, Sidewalk - Curbside: After forms are erected but prior to placement of coucrete, . , ' Curbcut - Standard: After forms are erected but prior to placemeut of coucrete, By signature, I state and agree, that.1 have carefully examiued the completed applicatiou and do hereby certify that all information hereou is true and correct, aud !further certify that any aud all work performed shall be done in accordance with the Ordinances of the pty of Springtield and the Laws of the State of Oregou pertaiuiug to the work described herein, .ud that NO OCCUPANCY will be made of any structure without permission of the Community Services Divisiou, Buildiug Safety, 1 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 req'uired inspections are requested at the proper time, that each address is read.ble from the street, that the permit card is located at thefront of the property, aud the approved set of plans will remain on the site at.1I timesduriugl}/I t; /~hIo9 Ow.,,,,C....,,.,, '......" ~ .../ t .~: ': ![ Paee 4 of4 5 A l'\-\ e. l1S 10 3 7 S Y f,; l' h r} Structural Permit Application_ - 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726.3689 1;;~ioE~AR'f;'MENm:USErONE:y,i;\1 ;/((':~.. 'r-_'~''''''~t>J.~l<';'';'''''5~\'''''M'~'!:I'''.'kU'"''~""",.Al~, Permit no.: t!.- "'i-; '-I '1'7 Date: / C' /'7 It, ? 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, 1~~geK~~~B.NM[~Jl$jJiB9YAU'i~~~1 I ~is project has final land-use approval. I Signature: . Date: 'I This project has DEQ approval. Signature: Date: I Zoning approval verified: DYes D No I Property is within flood plain: DYes D No li!fll~~~1~Qe;t~:[QR~9El'GQij$:'ijiiucILQt:iJ~.$~~;i~1i;~~! hi! Residential 1 0 Govemm~nt .1 0 Commercial , 1~~Q~l~if~iI~F,;Q~MA'tTQN:~fl~QQATIQN:~~i,l'4:ij I Job site address: I C I I S..., C I.. L. P I I City:<:;"'-~"'l{::<--I,I 1 State: 0 d.. . 1 ZIP: '17'177 Subdivision:F: lhu'l: (YIl&..!.OV'> 1 Lot no,: I:;;~~~,:~,,,".,,~.,,,"'_'" ,,_,___L~":I~::~[~::;.,.~~~~,;~~,>:'~ I Y.m~g;5i!1\~~~:\~i';;~Wrd?J~_QR~B1IY~QWN.I;_~1~}!~1~':~~:"~~;~;#f~~iH@r,'!~t.;:'P~:~ 1 Name: G, {IIC<' /.J;, d,..t Cvr~\;J", ~",a.s ~NC- 1 Address:30l'3 5t:.".iew I-N 1 City: t v~eM' I StateP"" I ZIP:') 7t 0"> 1 Phone: -bib- '1 '1') 'g Fax: .)'17- ~;3bZ- 1 E-mail:W;,c,he-ir hc""'-S QCOl"USt. Nc.r- This installation is being made on residential or farm property-owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010. 1"'m"""'ll"\F~"'Wmm:~'~~"1;'''''''' " """"."'~"'lL"i,i!~"~"&J'4~~'1 ~1ft1J.;;:';:~~[~!il!.'rM,l;f,E!;J.~~!:t,E;P,U.~1':1l.t,,-~k;t.1l~~ft'~'i l!fj'~v~jT:;~~f,~.>;;~~tr;i>i~~fWf~I;.'~:\~(r"~~0r~~m~"::~f!r~l~~>;\"~~~,i'l ,,~ X:)~.~._l:'J!n!9lli-m_Q!!mLmQ.1l~J?~lrU;i~'\",-,-~~~J:,!;~~:mf:.-L~;~g 'I (a) Job description: 1//1=/-1 5,..;) - 1 1 Occupancy 1:2 / (/\ I I, Construction type: Vi~ 1 I Square feet: 2~'o ~) I I Cost per square foot: I I Other infonnation: I I 1 1 1 Sign here: I."." '''''!!t<)!\jrN'C'<'O~'N''!r-RA''~C'T''O-R-'CI'N'S'.T''A'~''aA'T''I'O"Nr~"' " ,~'l\l:-!(i,'>i};',!l ij "If. _":i'~.i1."iF!"" 'I. ' , " ,::leV ,'L:.LJo\." ','J::' '. ,~\t'~.ftZL._,-",!:<,;:A:,_ "." ..",r,;,,,,,,,oc_..,,,,,.,....,-"'.. ,..,.."........." ,. "'",'''c.i!?~,,,.J., I Business name: ~"v'" l,he~l,'-i' Cu<;b..... /.Io,w>~ Jlv'-- 1 Address: '3 073 <; 1L~,";~..v 1-", 1 City: or "1 e...... I State:o<l 1 ZIP: C; 7)D" 1 1 Phone: -6d & cl~/5 y Fax: -3'1'1 - 3>3 b 2. I I E-mail:W;ec..k..\ v-.Ol'-~<; @ c.o"^u:..5-\~v-Jc:.\ ' I CCB license no.: {Oil (I I l Printn~e:t) e-l'''':,d~ W~S\-o';',,/' I Signature: W W __________' I 1~_l1$.g~lQQNI'j:RAC;;'j:QRnN[;,QRtv1p"'j:iQN[~"lt&;r,I~J;ljil 1 Name CCB License Number I Phone Numher 1 !Electrical/.-"!:" /05"17.<:; I SI-IYI'j& I I Plumhing~v<i PI"~I;,,,) ~.50~5 I> YZ-3"Jb'- 1 Mechanical Cf'H 1 L{ b V 1 72.6-0 I 00 1 Energy Path: 1 lallew D alteration D addition 1 (b) Foundation-only permit? DYes I Total valuation: /"-"{, )L. 1'1,z':,,~Ui'4JggYf~~_s~~~~11€!~m~~t~~1!1~j:: I (aJ Permit fee (use valuation table): $ 1 I (b) Investigative fee'(equal to [2a)): $ 1 I (c) Reinspection ($ per hour):' '1. (number of hours x fee per hour) $ I (d) Enter 12% surcharge (.12x [2a+2b+2c)): $ I 1 (e) Subtotal offee, above (2a through 2d): 1 $ I 1~''l''-''!!R'''"''''''''~''~'i'1!)~,\n;m~iB''''''''i:!'~''j!ll'''_>.:I~i!',i!illi! ""I t,~?!:J~Jl;l)~.!!~Y~~~tJ~.~~~~~:,.~'!(i~vX~-fu~\..,~L~~~~g~~r~~~~~~ 1 (a) Plan review (65% x permit fee [2a)): $ 1 1 (b) Fire and life safety (40% x permit fee [2a)): $ 1 I_~c) ~u~tot_al o,f.f..e,s.~,b?,v...~3~and~b): c '. _, " . $, ,,_ ,..1 I ;4,,',Mi#~(l~!i~~;~.S'!feeSi1:'W'.~;f.'~:,;>'.',?:i1"!i~~,Jjf%~lj;~fAf'J.:~1~~::;il (a) Seismicfee, 1% (.01 x permit fee [2a)): I $ I TOTAL fees and surcharges (2e+3c+4a): I $ Type of Heat: DNo $ ZON INITIALS ' DATE SOURCE ~L~ Date /a/7/dt1f 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH,(54I)726-3753 . FAX, (541)726-3689 ELECTRICAL PERMIT APPUCA TION City Job Number tJ'J- Il/?? Permits are non-transferable and expire if work is Each Manufact'd Home or not started within 180 days of issuance or if work is Modular Dwelling Service or Suspended for 180 days, Feeder r:--"'".-:-'::':"''1:--;::-- _':.a.o~_;''?'i~'';~':'-';;'~T__'q~~"t. C'-_~.,:i f":~-~-:...r::":"-=~;=-<",,:_~_r_~~''';..-:--::::~,, .,/' .i., , . ._.."......,-~-\_;:>:~;:;::-. 2. l:Eo.IY!1!1:fT?~ !JJ:.~'{ij:f1Jm~ g~LJ:; B. k.Se..~i,~e.Er1.'S!:.ile~L:.!~~J?,I-'~!~~,~~~~,~t5rat~~:~X~~;N!_~r~Y?~4.1i4 Electrical Contractor L +- c- 200 A~I')S'.QT less $ 73.00 ,,;..0$ ~ .~ n \aWleQL20 I Ampsilo'!lOO Amps $ 86.00 A ~ ego" o'Pgv" 'h :r n "".5~,.\,\()Av:e.~. _~ "'I 1\'\6 40,l(Al)lps1tO'6UO Amps $143.00 f.\1 ,... I:) auup'- e nj\es a. '-' "c:.I)-OO~~ \ \'O'IJ n..\~S ,,'~r 1\105 \160,I,tAmps to WOO Amps $186,00 o. S l<W''I.'' 9'[ 0 l\1l0Ug - ~ ~ .. ,'es '-'1 p~?.9~;,- 3- . ~ ::.';' _.L"\ op\esQv~~\12~g,~mpsNohs $426.00 in ON'\ Bv"- a'l oblaln ~ le'IReconnect,qp.!YI $ 57.00 ,(lOgO., ~OU~ cenlel, (o~ UtiliI'! l'\~I'~~~~" " ,., ' ,",,_ Supervisor License Number '11 !7,,'1'~~,~()1 l\1e Ol.~900_,,(J2-'?JlM~0!ary Services or Feed~rs ) '. '. nu"'v- cenlel 'b ' \\ 3r/--;-o ,-zlt 0/ 1/ Constr. Contr. Number / b S- '-i 7 )- 3),0 I. :iOCA7.iONOF:iN'S1:.4iLA-tioN: . : "',', 3, ;;;71' ,'~." ',. f''i~-f '\ ""-'rr " - " LEGAL DESCRlPTlOpr: ~ ...... /~20\.::J(L{ ZO ?O<-J JOB D~S(:T:N:, r tt~-,--:>C- fj I (Lc 'Address q 2. -g S :, City '3,0 c; \ 6 Expiration Date Expiration Date r~. ~~'b "-P;~ ~~ Inspection Request: 726-3769 ~o,:~ ~ I 9.' bll'lPU,~-i FEE ~c.HEDU.)1f B.' how:. .' '..;,:,'~:-'i "d ';'.<',':,;,',.'.:1 " " ~. _." - ....~"~._ '_ " ... ," _......r_ _. __ __,- ~ "_,,_ r-.s.--I.~'-' ;-'~""""7._-".~' ~.-W.~ ,'-':' .l~.>%,:-". ,~,~-~,;;-,,;::;~., ....,-t.-::-:'- A. i' New Rcsidenlial- Single or Mulii'Family per dwellingu"il. ;: I -~. ". . - ' ~.' - . -" -. " ~.. ... .-. _.. ' "., .. . Service Included 1000 sq, ft. orless Each additional 500 sq. ft. or portion thereof mr.Oo r~ r 'J' 7~ ~ $57.00 ,. " " Installation, Alteration or Relocation ( $mG {79.00 $114.00 b3 200 A mps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 12% State Surcharge ~:% I.j...:..:" At;'" liee 5% Technology Fee , 1st:> 31g~ TOTAL Shared Drive(T:)/Building FormsIElectrical Permit Application 7-08.doc , ' Willamalane Park & Recreation District ".. Job. No.' C!1- 1'17'7 . , . SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2009 ~JfaM~I!:~T PHO~E: "(Jfi-c1i?]:-Y-. NAME: ADDRESS: :W7:i" Sl::Vf)/~-W uv'CITY BACi!:7Id'- STATE:MzIP: 71'1tJJ . LOCATION OF PROPOSED BUILDING SITE: . Street Address: I {) '71 <7. L{ Eft'- r L- "Plat Name: Tax Lot. Number: /fftJZ tJ&/~ /)CJ;38:)' 1. DEVELOPMENT TYPE (Check appr~priate dwelling(s). Dwelling type definitions .are on the back.) 'A. Sinale-Familv Detached NO. OF UNITS \ ' X $2,858 per unit'; $ 2.~ S-f' B, Sindle~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 NO. OF UNITS X $1,321per unit = $ E. Accessorv Dwellino Unit. NO. OF UNITS X $1 ,550 per unit = $ $ WILLAMALANE SDC ~.. nO ".:c 2. SDC CREDIT (Ifapplicable) SDC payer musffumish proof of Willamalane Gredit approval.) .$ 3, TOTAL WILLAMALANENET SDC ASSESSED (if SDC reduced for Credit) $ 2.f"r4 ~~L/ .Development SelVices Department ""ty"of'SpringfieILi D~~.:/_l: l (7~_, '8-S> 5 225 Fifth'Street Springfield,Oregon97,477 54]-726-3759 Phone " City of Springfield Official Receipt . Development Services Department Public Works Department RECEIPT #: Date: 10/08/2009 .220090000000000]]60 COM2009-01477 COM2009-0 1477 COM2009-01477 ' COM2009"01477 COM2009-01477 COM2009-01477 COM2009-01477 COM2009-01477 COM2009-01477 COM2009-01477 COM2009-01477 , COM2009-01477 COM2009-0 I 477 . COM2009-01477 COM2009-01477 COM2009-0 147'7 COM2009-01477 COM2009-01477 COM2009-01477 COM2009-01477 COM2009-01477 COM2009-01477 COM2009-0 1477 COM2009-01477 COM2009-01477 COM2009-01477 COM2009-01477 COM2009-01477 , COM2009-01477 COM2009-01477 COM2009-01477 COM2009-01477 Job/Journal Number._..:", Description'"',, 'Building Pemit '. . Addressing Assignment " -"WillamalaneSingle Family . 2 Baths One or Two Family I st Appliance .". Vent Fan Appliance Vent. , . Exli!,ustHoods '.'. , . . :Dryer Vent' ' ., . Gas Outlets 1-4 ", ',Fireplace (Listed) ."., . . 'Re,sidence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Fire SF Fee - Residential Plan Review Major - Planning . Curbcut Permit PW Disc - 2nd Permit Sidewalk Permit ._ . Sto.rm 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 Sanitary/Storm Admin SDC Transportation Admin + 5% Technology Fee + 12% State Surcharge Payments: Type of Payment CreditCard cReceintl Paid By BWCH Item Total: <-'heck Number Authorization Received By Batch Number Number How Received djb 00506c In Person Payment Total: Page I of I 2:01:46PM ' Amount Due 989,58 38,00 2,858,00 337,00 79,00 27.00 9,00 13,00 9.00 7.00 20.00 134.00 75.00 63.00 100,55 211.00 88.00 (30,00) 88,00 1,224.61 (1,224.61) 724.83 551.16 211.21 931.65 101.97 1,044,54 10.00 94.30 84.47 105,98 211.51, $9,187,75 Amount Paid $9,187,75 $9,187,75 10/8/2009