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Home My WebLink AboutPermit Building 2010-1-7 Status Issued CITY OF SPRINGFIELD Building/Com bination Permit PERMIT NO: COM20I0-00019 ISSUED: 01/07/2010 APPLIED: 01/05/2010 EXPIRES: 07/07/2010 VALUE: $ 148,548.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1232. W Qninalt St ASSESSOR'S PARCEL NO..: 1703273106900 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Residential PROJECT DESCRIPTION: New Single Family Dwelling Owner: NORTHWEST BANK Address: 4900 MEADOWS RD STE 410 LAKE OSWEGO OR 97035. I CONTRACTOR INFORMATION I Contractor Type Electrical . Mecha"llid:1 . Plnmbing Contractor License DML ELECTRIC, INC 161264 CROWN HEATiNG LLC 171074 SUMMIT PLUMBINGIDBA MICKEY CONST 169922 BUILDING INFORMATION I Expiration Date 08/27/2010 07/1112010 04/28/2010 Phone 541-923-9897 541-420-3307 541-968-5270 # of Units: Primary Occupancy Group: Secondary Occupancy Grou'p: Primary Construction Type Secondary Construction Type: # of Bedrooms: R3 U VB # of Stories: Height of Structure Type of Heat: orced Air Electric Water Type: Gas Rauge Type: Energy Path: Sprinkled Building: nla Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: 1,374 411 I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Reilryard Setback: Solar Setbacks: 11.25 5.75 6.20 92.30 8.75 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 1 Ves 23.50 REQUIRED PARKING Total: 2 Handicapped: Compact: Street Improvements: F II I d . '']nCE: u v mprove^ Storm Sew~r(A:,:~il~ble: SHALL EXPIRE IF THEy~ORK S . I I I.,.. K,VIII ERMIT IS N"'T peela nst?,,~t~WZED UNDER THIS P . . ,.,!" '~:;"'~";'-"D np.IS ABANDONED FOR Notes: .stor.mwater1to curb imtl'gutter '. \!Y 180 DAY PERIOD. I PUBLIC IMPROVEMENTS I 1 . au to' equlres Y .' I ~i<0Va1J{>ft~lI,w. I on UtJl1tY . AiTENii\O .' dopted bV~h8 ole~e set 10rtICurbside 5' loll OW 1u,\ei~'1\rnP.UJl.WDral\\s~ AR 95:fuCll-dnd Gutter Notilicatlpn _001-0010 thlough ~I the lules by in OAR 952 a obtain caples telephOne OO~~;\i:g~:e ~entel. (~~t~~i;~~ NotilicatiOn number 101 the. O~~~00_332-2344). centel 15 Page 1 of 4 Status Issued 225 Fifth Street, Springfield; OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction GaragelMisc SF/Duplex U VBUtilitv R-3 VB 1&2 Familv ,I V alu~tion Deserintion I $ Per Sq:Ft or multiplier $37.72 $96.83 Square Footage or Bid Amount 411'.00 1,374.00 Total Value of Project ~ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00019 ISSUED: 01/07/2010 APPLIED: 01/05/2010 . EXPIRES: 07/07/2010 VALUE: $ 148,548.00 Value $15,502.92 $133,044.42 $148,547.34 Date Calculated 01/05/2010 01/05/2010 CITY OF SPRINGl'mLD Building/Combination Permit Sta tus Issued PERMIT NO: COM2010-00019 ISSUED: 01/07/2010 APPLIED: 01105/2010 EXPIRES: 07/07/2010 VALUE: $ 148,548.00 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Plannine: Review 01/05/2010 I Plan Reviews I 01/05/2010 APP DDK Approved as shown on plans. Public Works Review Structural Review 01/06/2010 01/06/20 t 0 01106/2010 01/06/2010 APP APP BJG KLK stormwater to curb and gutter To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the s~me working day, inspections requested after 7:00 a.m. will be made the following work day. ~eollirerlJnsnections I Erosion/Grading ]n~pection: 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: Pri~r 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 coyer~ Ceiling Insulation: Prior to cover. Roof Sheathing ':l J,. . 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. Underground Plumbing: Prior to tilling the trench and including required testing. Perimeter Foundation Drains: After gravel and tilter cloth is installed but prior to backfill. Undernoor Plumbing: Prior to ins~tlation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Water.Line: Prior to tilling trench and including required testing. Sanitary Sewer Line: Prior to tilling trench and including required testing. Storm Sewer Line: prior to tilting trench. Paee 3 of 4 CITY OF SrKll~GFIELD Status Iss u ed Building/Combination Permit PERMIT NO: COM201O-00019 ISSUED: 0110712010 APPLIED: 01/0512010 EXPIRES: 07/0712010 VALUE: $ 148,548.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fi.nal Plumbing: When all plumbing work is complete. Underfloor MechaniCal. Prior to insulation or decking and including required testing. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Gas Service: After li'ne 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. Ufor Electrical Ground: Install ground rod at footing and call for inspection in conjuction with footing andlor foundation inspectio~. . Rough Electric: Prior to Cover Electric Service: Approval required prior fo utility company energizing service. Final Electric: When all electrical work is complete. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Cnrbcnt - Standard: After forms are erected but prior to placement of concrete. ( By signatnre, I state and agree, that I have carefully examined the completed application and do herehy certify that all information hereon is true and correct, and I furthcr ccrtify 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 OCCUP ANCV 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 will be used on this project. I further agree 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 ~pproved set of plans will remain on the site at all times dUr~,g c~ion._.. /) 1_ 7 _ I 0 r'/JA.u~~ OWl er r Contractors Signature Date ., Pa2e 4 of 4 Mechanical Permit Application 225Fi~ Street. Springfield, OR 97477 . PH(541)726~3753 . FAX(541)726-3689. I pennitno.{UO.. I Date: \-\.- \0 - This permit is issued nnder OAR 918-440-0050. Permits expire if work is not started within 180 days of issuance or if wor 1<:: is suspe Ilded for 180 days.. 1'!F~.~fJ!"~iI~1iE~0R~~oB<fcciN&ifRtIiGfjff0N1!~~lfAiffL~4P :wa~j~~f{Mtilll) .,&\:];, "_;_~"__"_,____, -"--;"-'""""'''_~'''''_,>" .",.~,.-,.,"_<__L&;, ,,_ ,__~1Mfu:1!l'lf&m\1~{'h8iJ : ~es!2ential 1.0 Government ,i 0 Commercial. I :_iit":""B'''~{S''ITC"!'N::.'''':-''i:''''':::'liiI'''::'''l(j:-''':,.. ,:-::,c.m"'''''ii8ij S!"",~!~:",..J'Il :.: )1:,,"1.:Ii@gM~lTdG)Nj;'~IllP~:l!Jl),Q~'!IIQNtI!!:ll;Jii1Eiii" ~ Job site address: 1''2..'>2.. (.,.1 (;),"~-. City: Spe",..:> "P,,?vD I State: C!R. I ZIP: <1"74 , '7 I Subdi~ision: &v'''~'''t'" "Lot no.: --3 N~ (.a t..JS,:J"(2..vc..-n.,(J.,.J I ~_I!~r:;:~f}Q~J,,,,,rJ'~?B~.JD.r": -~1fB~J2'lillk.~Q-e-~.~TRYIt~~W;tj!J;Bf,*0i~~:i~~j;m;_~1-_~-' B:r~8{0; I Name:JS,I2.-t,,,,, ~,AN'tJP> 6..., r-"\' l / Address: 2.4'10 \)~AiJT &",,1::0 . ''''2-3. I / City:SPI4,...,":p,,,,,..":) I State: CJ(2.. I ZJP:Cj'"1"\'11 I I Phone: I Fax: I l..E-mail: I J:'This inst~lIation is being made on prope.;iy owned by me or a member of my immediate family, and is exempt from licensing -'requirements under ORS 701.010. . '. ' Signature: . ~."'- ......~lIl(feNm~C.lf0RiiJi'INSmjil)ifiEA";ljfeNl~~"'~~' ~;m)j..:\"Aw.""......,...~."{".",,A..,_ "'-"""'A*,:l%"""'i"~;"''''''''w'''w,~",'''''~''''_''''';',~;qt0IT~al~ Business name: C'.i2-0.VN l:4FAT1N'" I I Address: l gq, N.S CAru. 0,., tAh""t I I City: ~8--D I State: 0(2 I ZJP01,O.l I I Phone:S'-"!.( 4"2.0- >307 I Fax:sl\t J.3D "10'2.-1 I / E-mail: I I CCBlicenseno,: i,IO'l4 I I Printuame: 6-n:ot+<oJ h\\~r'l I I Signature: ~ vtl--t- Jr- I I First Appliance /Furnace/burner including ducts and vents . I Up to lOOk BTUIhr, lOver lOOk BTUIhr, I Heaters/stoves/vents Unit heater .. ! Wood/pellet/gas stove/flue I Repair/alter/add to heatmg appliancel refrigeration unit or cooling system! absorption system. .. ) Evaporated cooler J Vent fan with one duct/appliance vent J Hood with exhaust and duct I Floor furnace irtc.luding vent I Gas piping J One to four outlets _ I Additional outlets (each) I Air~handling units, including ducts Up to 10,000 CFM. I. $11.00 I $ lOver 10,000 CFM . I $20.00 $' -/" Compressor/absorption system/heat pump I Up to 3 hp/IOOk BTU I I $17.00. $ I Up to 15 hp/500k BTU I $29.00 $ I Up to 30 hpll,OOO BTU I I $43.00 $ I Up to 50 hpll,750 BTU I $57.00 I $ l.over 50 hpll,750 BTU I I $95.00 I $ ! Incinerators L: I I I I I I Domestic incinerator I Enter total valuation of mechanical, system and installation costs $ _ . Enter fee based on valuation of mechanical-system, etc. - $17.00 I $. $20.00 ~ $17.00 I $ $38.00J_~ $58.00 t $ . $13.00 I $ $9.00/ $ $13.00 _$ $58.00 I $ $7.00 L $ $4.00' $ $20.00 I $ I I I I 1 I ~ I I I 1 I I I I I I I I I I I ~2545.J (l1/08/COM) /_Reinspection . SpeciallY requested inspections (per hI".) J Regulated equipment (unclassed) I Each additional inspection: (1) , I $58.00 $ $58.00 $ $13.00 $ I (A) Enter subtotal of above fees (or enter set rriinimum fee of $ 79.00) I (B) Investigative fee (equal to [A]) I (C) Enter 12% surcharge (.12 x [A+B]) I I (D) Seismic fee, 1% (.0 I x [A]) . . I (E) Technology Fee (5% of[Al) I I TOTAL fees aod snrcharges (A through E): $ $ $ $ $ $ I I J I I I ~~ Eae...tf!AJtt&r Structllral PermitApplication - 225 Fi:fth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689 1~~DEPARrMENffi\1JsE[ON.J$y;E![ rn%WJ:;Y~';~_%;"A~0~'~;:;'1~00~,'C:;0(.jf0; CU3' Permit no.:.. _ 1.. CJ I /- /-...-; DateI:..-". ...;/ C? ., 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 "'"' \ 0 I Job site address: i "2.~ 2.. IW Qv \ 10/"-.0T I City: SPI2-,f'-l4 FIECO I Stat~: Ql?- I ZIP:Q7<\:971 I . -I Subdivision: 9" J.1..lf<<--T' I Lot no.: ....3 I . ~ I II!!' new 0 alteratioo Reference: 1-':k33 2-:r,.,L ,",3< e{. "(e-e _1~~e[Q[~LYilg:WNgE:lJII!.I'~~ I (b) Foundation-only penn it? I I Total valuation: Name::1,i,,""" ~ AN~ eLl. pT ioi\ddress:2.4i O?lt0AS;~ ~'-VD ,!city: SPi2-,t-J{.,F'~ I Slate: 0(2. I Phone: I Fax: 'I":E-mail: This installation is being made on residential or farm property owned by me or a member afmy-immediate family, and is exempt from licensing requirements Under ORS 701:010. I This project has finalland-us.e approvaL I Signature: I This project has.DEQ.approval. Signature: I Zoning approval verified: 0 Yes. I ~roperty is within flood plain: 0 Yes Date: Date: DNo DNo D Residential o Government D Commercial '"f2.3 I ZIP:Q,4T7 Sign here: , "I S"usiness name: E!:.QU I TL1 '~Vl.,LD~ LLC... I Address: ll33 INW 'L-.I i'LL S, .5.1"6'""" \ I City:bel"O I State: CAL I ZIP:C)"O I I Phone:5'tl 6~2 0803 Fax:5'41- 693. tS2S' I E-mail: " pre""fwoai {. b",,,,::tbro',>c{Io,,,,,ol. LaM I CCB license no,: l'1 (0 Ol (O Printoame: _\''''''-. d;:Jf:JO'> I Signature: 1~ W . NameV I Electrical DML I Plnmblog """""",, I I Mechanical ClUWr.J I < CCS"License" Number J " . Phone Number l(o\ '2ia"t ls'4I-"lo-~S(a6 GS-'llS' IS41-41O- I(PS'S' nLOL4 ",'41- -'\'20- 3'!>O) 0?'iL-- sfl t-:8B -1.-;e)?f 3 ~Ok\,p , I ~:~~:b description I Occupancy S,W"cf': ~""'-'1 I Construction type: '~'o O\....,;...J'"M.V\:L I Square feet: l ~ "7"'i: -+- "'t11 I I I I I I I ~T"~/~~ I I Cost per square foot: Other information: Type of Heat: P-ttOl~ Energy Path: S" D addition DYes DNo :00 (a) Permit fee (use valuation table): (b) Investigative fee (equal to [2a)): (e) Reinspection ($ per hour): " (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): I $ $ $ j(a) Plan review (65% x permit fee [2a)): I I (b) Fire and life safety (40%, pennit fee [2a]): ! I (c) Subtotal of fees above (3a and 3b): I I I I I I I (a) Seismic fee, 1%(.01 x pennit fee'[2a]): $ I TOTAL fees and surcharges (2c+3c+4a): $ i~ I ~ ~ ~.<6 \j 2~ willamalane t-W. Park and Recreation District Job. No.C/D - )q SYSTEM DEVELOPMENT CHARGE WORKSHEET . January 1-June 30, 2010 NAMJI);2...fAwrrsr J?rn..J/e PHONE: / . . ~0 . ADDRESS:'116V /fZ-eIJdOtAS CITY I8AmfJltoL STATEm:::ZIP: 9702S LOCATION OF PROPOSED BUILDING SITE:. Street Address: /d3~ .Lj (jI.Dfldr Plat Name: ~~ Qf-- Tax Lot Number: \ f\(')?/~f"\~ \ ~ . 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the back.) A. Siriole-Familv Detached NO. OF UNITS X $2,858 per unit = $ ;)1 g--5g::.6D B. Sinole-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 . ___.___ ._.".._ no ". X.$~-,-321 per unit = $ E. Accessorv Dwellino Unit ." NO. OF UNITS x $1,550 per unit = $ 00 $ :)1 is~" WILLAMALANE SDC . 2. SDC CREDIT (If applicable) SDC payer must furnish proof of Willamalane Credit approval.) . $ 3; TOTAL WILLAMALANE NET SDC ASSESSED ~(rr C~d;:: . /Devei ent Services Department City S ringfield. . . ' . . $_;)1 ~S~ oV 0/ 1 CJ7, dOl b . Date' 5 Electrical Permit Application 225 Fif'tJl$treet+ Springfield;' OR 97477. PH(541)726.3 753. FAX(541)726-3689 1~j;~V4%fd)~,~4:*,,;ff~;,:;;:"~t.'10;'~~~~~');;::'i";:';'" 1ll1El&~~lf~!'l,m~~\~~~~~~l~1 I p~rmitnoac..\{').{f1)~ I Date \-\-m _ . This p.rmit is issued under OAR 918-309-0000.. Permits are nontransferable. Permits expire if work is not started within180 days ofissuance or if work is suspended for 180 days. ~~~l:fQ.ti~l2ll!~~YJ:R.NMENit"~RRR.b;YAI.,:~.l![lIl!'1fu'!II:!!I 1~::;';:~~~~~~~~~~QF,iFIC~N~~SR.U~it'~~~~Il1~i -I Residential, per nnit, service inclnded: ~~~~~~~.=;.=, i f;,::,':~(~,",,",," i ~i ;':: I ;~ I City: S9U"'tcF<e...'::' I State: (:xL. 1 ZIP:Cf74, I' 1 Limited energy (2) I I $ 32.00 $ I I SubdiV'"ision: Qv~~\ I Lotno~: ..3 I Each manufactured home or modular I I $ 63.00 $ I dwelling service or feeder (2) __ I Services or feeders: installation, alteratio'.l. relocation I 1 -200 amps oriess (2) $ 81.00 $ I I 201 to 400 anips (2) $ 95.00 $ I 401 to 600 amps (2) $156.00 $ I 601 to 1,000 amps (2) I $205.00 $ lOver 1,000 amps or volts (2) I $469:00 $ I Reco~ect only (2) 1 1 '$ 63.00 I I r I Temporary services or f~eders: installation, alteration, relocation 1 200 amps or less (2) . I \ I $ 63.00-/ $ \ D'~ ,rfJ "201 to 400 amps (2) $ 67.00 $ I ., 401 to 600 amps (2) I I $126.00 I $ I lOver 600 amps-or 1,000 volts, see services or feeders se.ctionabove I J Branch.circuits: new, alteration, extension per pa.ne1 I ! a. Fee for branch circuits ":,,ith purchase of a service ,or feeder fee; I I Each branch circuit I I $ 6.00 I $ I I b. Fee for branch circuits without purchase of a service or feeder fee: J I First branch circnit (2) I $ 55.00 I $ I ! Each additional branch circuit I j $ 6.00 _ $ J I Miscellaneous fees; service or feejer not included I I Each pump or irrigation circle (2) . $ 63.00 I $ I I Each sign or outline lighdng (2) I $ 63,00 ! $ I . I Signal circuit or a limited-energy panel, I $ 63.00 I $ I alteration, or extension (2) Each additional inspection: (1) $,58.00.) $ ./ N.~ (,')<>-l',.....-a.0(7!1-a,J I . .1l \ oloq [XJ .J "<;.\-".,,, . _!1l""lt, ""'''''.\06,"< ,. .' ..,....-_... ---:.:''''-'-. ':". ': .... ~ :':"'.. .. ,".""." ..... .... '. .., _ ?:. - i.4" . ~ .'M/"":'-"':\ii l'\;.lli\,I''lililL'''''1i!.4E\~QRJ:~\I?(~jQWN.E~~,,!I!.l!I!~11i.1 I Name:&""o."J :'AN~!+ (_U,PT I Address: 2..<\'10 '-:p~",..." :b....v D tt'L.3 I CitySeru~H8..0 1 State: c<h... I ZIP: Q,4'l1 [Phone: I Fax: ] E-mail: This installation is being made on residential or fann property owned by me or a member of my immediate family. This . property is not intended for sale, exchangej lease, or rent. OAR . '479.540(1) and 479.560(1). . Signature: .~_~QNm~~ttQR.lliNs.m~l!l!<<iJj1QN!I!ll_'1I.U I Business name: fllYll- ' {=, .r-< TrcL L I I Address: qc.o \ t.JW ,'SD>7,l1Ck ij:)LAc.E I I City: \4=()...'\iJM~ .1 State: OZ 'ZIP:qll~ I .lphone:52\;~ 4\O-~5&B IFax:s4iQ2-:>,3313 I E-maI!.. I I CCB license no.: iw::).(,,'-( 'BCD license no.: 1-3U-c. , I Signing supervisor's license no.: _t;;iOt;' S .1 I Print name of signing supervisor: j),u,M1J .'..A /.-/r,~~r I I Signature of signing' supdrvisor: Dl ,_ ~~~ ft1, ~~ I \../ ~ "r\D . #f~ . 'tJ~. ~~ 't -0, . ~ 440.2584.J (9/08/COM) I 1 I (A) Enter subtotaJ of above fees (Minimum Permit Fee $58.00) I (B) Enter 12% surcharge (.12 x [A]) I (C) Technology Fee (5% of [A]) I ' I TOTAL fees and snrcharges (A through C): I $ ~41 cO $ A'~ ~U:o.1 $ \ . ~,q 225. Fift.h Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number' COM20 I 0-000 19 COM2010-00019 COM20 I 0-000 19 COM20 I 0-000 19 COM20 I 0-000 19 COM20 I 0-000 19 COM20 I 0-000 19 COM20 I 0-000 19 COM20 I 0-000 19 COM20 I 0-000 19 COM20 I 0-000 19 COM20 I 0-000 19 COM20 I 0-000 19 . COM20 I OcOOO 19 COM20 I 0-000 19 COM20 1 0-000 19 COM20 I 0-000 19 COM20 I 0-000 19 COM20 I 0-000 19 COM2010-00019 COM2010-00019 COM2010-00019 COM2010-00019 COM2010-00019 COM20 I 0.000 19 COM20 I 0-000 19 COM20 I 0-000 19 COM20 I 0-000 19 COM20 I 0-000 19 COM20 I 0-000 19 COM20 I 0-000 19 Payments: Type of Payment Check cRcceintl RECEIPT #: Date: 01/07/2010 1201000000000000020 Description Plan Review Major - Planning, Plan Review Residentiai Building Permit Addressing Assignment Willamalane Single Family 2 Baths One or Two Family 1st Appliance Vent Fan Exhaust, Hoods Dryer Vent Gas Outlets 1-4 Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Fire SF Fee - Residential Sidewalk Permit Curbcut Permit Curbcu\,- 2nd Curbcut . ~tom1 Drainage Impervious Area ir". Sanitary Sewer - R'eimbursement .,' Sanitary Sewer R Improvement SDC Transpo Reimbursement SDC Trans Improvement-Resident SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sa,nitary/Storin Admin SDC MWMC Compliance Charge SDC Transportalion Admin + 12% State Surcharge + 5% Technology Fee " Paid By . EQUITY HOMEBUILDERS Hem Tota': Check Number Authorization Received By Batch Number Number How Received NJM 4390 In Person Payment Total: "', Page I of 1 9:06:02AM Amount Due 211.00 590.32 908.18 38.00 2,858.00 337.00 79,00 18,00 13.00 9.00 7,00 134,00 50,00 63,00 89,25 88,00 88.00 . (45.00) 932.81 666.84 507.07 211.21 931.65 101.97 1,333.57 10,00 152,93 22,63 82.96 194.18 98.01 $10,781.58 Amount Paid $10,781.58 $10,781.58 1/7/2010