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Home My WebLink AboutPermit Building 2006-8-31 . . CITY OF SPRIl'il.l' H-LD Building/Combination Permit PERMIT NO: COM2006-00933 ISSUED: 08/31/2006 APPLIED: 07/25/2006 EXPIRES: 02/28/2007 VALUE: $ 35,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fa, 541-726-3769 Inspection Line SITE ADDRESS: 2323 Olympic St ASSESSOR'S PARCEL NO,: 1703254101100 Springfield TYPE OF WORK: Tenant Infill TYPE OF USE: New Commercial PROJECT DESCRIPTION: Tenant in fill for Pak Mail Owner: OL YMPIC STREET PROPERTIES Address: PO BOX 26125 EUGENE OR 97402 Phone Number: 541-726-1751 Contractor Type General Electrical Mechanical Plumbing .fJ....J...t"7-?C'9:-00B-\. ~\ "Vt~-'"' nu I CONTRACT-OR INFORMATION"> J'lq~"::J --,.~ " , ON) 'JCi\U"- v-II GUll," C auolida\al aliI .a\ v - ''''J] n~E' 'n~~O . D ontractor 0 saldo::J UL;lcense ,c xplrahon ate ILO CONSTRUCTION,q salnJ a~6l\5nOJL\1 ~2355~CO.c:;r'0l'::I~'?XiI12008 C & S ELECTRIC -~OO-Z<;6 tll' S3\nJ aSCL\~849W::O UO\,"" J09/0112008 BEYMER HEATING &r~~:~~rl\tiS'rA~~O,q ~48j::l:~B ~:;:nJ 1,\O'jU1412006 DICK BAILEY PLUMBINGle<;)~~""~"J MUI u107255 :NOI1,U10612912008 BUILDING INFORMATION I Phone 541-521-0114 541-741-2236 541-688-5004 541-344-6996 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: B # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: 1,070 VB nla 15 I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: "10 of Lot c.<!Vj'~~ge::: . P\RE IF 1HE WORK 1HIS PtR~\~ ~~~~~ ~\-lIC:; PFRMI1 IS N01 1 PUBLIC IMPROVEMENTSfD -OR IS ABI'INDONED ~UK ANY 1 tllJ DAl' P'SiliPJ'alk Type: DownspoutslDrains: Street Improvements: Storm Sewer Available: Speciallnstruclion: Notes: Pa2e I of 4 ~ir~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fa, 541- 726-3 769 I nspection Line Description Tvpe of Construction Estimate Estimate Fee Description Plan Review CommllndlPublic + 10"10 Administrative Fee + 5"10 Technology Fee + 8"10 State Surcharge Add, Alter, E,tend Circ Ea Add Perm ServlFdr 200 amps or less -Mechanical Issuance Fee- + 10"10 Administrative Fee + 8"10 State Surcharge Addressing Assignment Building Permit Copies - Ea Addtl @ 50 Cnts Ea Copy 6th @ 75 cents Fire SF Fee - Non-Residential Fixture Furnace - up to 100,000 btu Gas Outlets 1-4 MinimumlAdjustment Mechanical MinimumlAdjustment Plumbing Plan Review Fire & Life Safety Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC SanitarylStorm Admin Vent Fan Total Amount Paid Fire Department Review 0712812006 Initial Review 0712612006 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00933 ISSUED: 08/31/2006 APPLIED: 07/25/2006 EXPIRES: 02/28/2007 VALUE: $ 35,000.00 I Valuation Descrintion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 35,000,00 Value Date Calculated Total Value of Project $35,000,00 $35,000,00 ' 0712512006 Fpp<. P"W Amount Paid Date Paid Receipt Number $183.89 $12.30 $6,15 $9.84 $60,00 $63.00 $10,00 $47.99 $29,83 $31.00 $282,90 $10,50 $0,75 $107,00 $42,00 $12,00 $4,00 $23.00 $3,00 $113,16 $76,26 $100,29 $8.83 $6,00 7125106 811 0106 8110106 8110106 8/10/06 8110106 8131106 8131106 8131106 8131106 8131106 8131106 8131106 8131106 8131106 8131106 8131106 8131106 8131106 8131106 8131106 8131106 8131106 8131106 1200600000000001135 1200600000000001236 1200600000000001236 1200600000000001236 1200600000000001236 1200600000000001236 1200600000000001362 1200600000000001362 1200600000000001362 1200600000000001362 1200600000000001362 1200600000000001362 1200600000000001362 1200600000000001362 1200600000000001362 1200600000000001362 1200600000000001362 1200600000000001362 1200600000000001362 1200600000000001362 1200600000000001362 1200600000000001362 1200600000000001362 1200600000000001362 $1,243,69 I Plan Reviews I 0813012006 GRG See attached Fire Department Comments, mf OK 0712612006 APP LLH Pa2e 2 of 4 .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00933 ISSUED: 08/31/2006 APPLIED: 07/25/2006 EXPIRES: 02/28/2007 VALUE: $ 35,000.00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fa, 541-726-3769 Inspection Line Plan Review Comments 10 JMP 0811012006 Plan Review Comments 0811412006 10 JMP Plannin2 Review 0712812006 0810212006 APP EMM Public Works Review 0712812006 0810712006 APP SB Structural Review 0712612006 0810412006 WE JMP Structural Review 0813112006 0813112006 APP JMP SUB Review 0813012006 0813012006 APP JF SUB Review 0712812006 0812512006 WE JF WE. Received a fa, with partial response to structural comments. Called Richard Aiello to inform him that we still need responses for items 8-11. WI, Received special inspection forms, Temporary Occupancy for shopping center good unit! 8/6/06. SDC's ADDED, Received 712812006, See aUached documents for II structural comments fa,ed to Richard Aiello, Received final internal approvals, Contractor contacted to bring lighting into compliance, 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. I Rpnllirprll~ Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover, Ceiling Insulation: Prior to cover, Firewall: Located and constructed according to plans, Ceiling Grid: After drywall approval but prior to cover, Final Fire Department. After all requirements of the Fire Department have been met. Final Building: After all required inspections have been requested and approved and the building is complete, SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection. SUB Final: After all required energy inspections have been requested and approved. Rough Plumbing: Prior to cover and including required testing, Final Plumbing: When all plumbing work is complete, Rough Gas: After line is installed and required testing and capped if not aUached to an appliance. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete, Final Mechanical: When all mechanical work is complete, SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. Rough Electric: Prior to Cover Pa2e 3 of 4 . . CITY OF SPRIN\.Jr II!.LD Building/Combination Permit PERMIT NO: COM2006-00933 ISSUED: 08/31/2006 APPLIED: 07/25/2006 EXPIRES: 02/28/2007 VALUE: $ 35,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fa, 541-726-3769 Inspection Line Final Electric: When all electrical work is complete, SUB Ceiling Grid: Interior Lighting By signature, I state and agree, that I have carefully e,amined 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 will 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 property, and the approved set of plans will remain on the site at all times during construction. RJ,~ ~ y-j/~'(" Owner or Contractors Signature Date Pa2e 4 of 4 Cily of Springfleld Community Services Division 225 Fifth SIr",,! Springfield, OR 97477 Telephone: (541) 726-3759 Fax: (541) 726-3689 C..,/O'l Zo06 -Ot!><J33 Building Pennit>> ~k .Y~1/rd Dille "" 00 ~ "" --J ~ toJ "" '" '" '2~Z.3 I"1/1U Project T~tlc ~l/"'P..:. ~ r. Project Address 5 f?1I,.._~""~~ '" b' ,oJ <D Spedal Inspection aad Teslinl;: --.J toJ 01 .~ Till appli.caol$ or proj~cts JC'(fJiling special inspection or testing :u per Setlinn 17Qct of t~ Ol:"egoA Slrudurnt S~r.jaJty eock. Please (\."'liew the inff)(matian beLow. \~n you tw'Ye fi.ished. lltkoowlcdgc.fln unc1..~standirlg ortbe information by si:ning below, and r..:tum this. fmm to ~Cil}'. "_ ._~.UORE A PRDlrr CAN DE ISSUED: The O\\'JH:I'"CT oWMr'i refll'e5Cn~tive. on the advice oflhe rC"..'i]Jon.'lible Project Engineer or Ardlitecl, "hall vomplete,dgn. and submil to lhe <.:ity for ~w and appro.....al tl1is fonn eomplcted on bott! the front:md back T~~ owner am.! Oa...::ral Cl.liltf.l.clor. \vheo.: applicabJe, sbalJ als[) acknowlalgc the following c(Jndition.sapplicab!c to Specw hupectKJn IlIldlvr Testing. I. Contractor;5 rcspomible for proper JIV:if~rnh')n .for the: Jnsp<<tiCR Of Testing llf items JiS1etl. 2. T~ting laboratmy shoal] take appropriate sampJ~s anLllr:msport them tv their labomtol)- [()T prrp:r eva.lulI&jnn fir testing. . Copie3 ofOllllaborwul)' rt'pocls wid inspections Me 10 bcs:ent te the Cit)' by the Tc..,tingAgency. 3. Special Jl13pcctiwt Agency i.s 10 3ubmit num~s and q~aljfiC:DtiOl1.'1o of on-site SpetinllrtSpcdors 10 the C~. fur approval. " ... -< < G1 U1 ." ;0 ... z . GJ ." '" IT1 r t:l 4. SpeciallllSpl:'CUX shalL prorvide if'I!JK.'Coon reportS to lhe building official ofalL in5~io[. activitin. .5. COIltrador is respomible to re\;icw tt.e City ilJIPfo\-'cd plans for additional jnspedioo or te.'lting reqwrements Ihat may be noted. 8&fORE A CERTIFICATE Of OCCtJPA,'1ey WILL BIlISSUED: The Sp<:cialll1Sjlectioo Agen<} sball.llbmitlo the Building Ofticiala slalcment IIml all ill:ms l"llliring impcdiuD have heat fulfilled m1d reported and were 10 t~ bc.~t of the inspcdor's knowledge. in confonn:ma: with Lhe appl'Ov~ plans, speciftcatioos and applicable l'Io'Orkmamrnp Ilt'O'vi:Jions. .Jf1ose tlan5 not ll:~tcd and/or inspected studt be I~lcd in lhe: stalemenl. lhf: I~porl is 10 be :mbmittcd to Ihc City prior 10 a. reqnat for fmal insp~ons. ACKNOWLEDGEMENl'S /<.t? r:E.<'~"l~,,-JC:-4tLC 1?-,,,( _"7:r-~ Xt..O C~r.u(r)"- Owner Name (Prmra(d) Owne.. Si .rc /' Gen. Contractor Finn Name (Prir.led) '":5sv-.l &-G.\~ is;id;tS:abim~d) Te,ting Laboratory Name (Printed) p. S. -r P.#lc~ a~~~ General Conlractor Signature T~O.sL"', itccl Signatyr,9] !ipecial ..........;"', ,'g""") '7~i:d) .' S:=-IZt' ____ \ tV- \, ~ l - n& .nEoralory Rep. Signature Building Official Name (Printed) --- -- <" (;!r"'QI'~ Agency Rc:p St~ ./ ~ :\::,,~ ~ Building Ot1ici.ISi~.IllJC fii "" .. SPI!C1AL INSPECTION AND TESTING SCHEIlULI: ---- I Reinforced Concme. Gun.le. C..rout and MiJrlar: 1 CConcrdc Gunite Groul Marw- I I I I I I I 1-- ---- I Precast/Pre-stresscd O:mcrete: I Pile! Post-Ten. Pre-Tens ~-- ~----- I I I I I I I I I A.s..I!I~.a:rte Ti~s1s Rcinlbrcine: Tests Tendon Ten Mix Desi:~rr.r. Rt'intorcine. Pln-cemenl Ins~rt Placemelll Concrete Ball;bine. C(Jncret~ Ptoct!JTLent I lnstnllolinn Inspeclion I Cast .s~jes I Pkk-llD Sam~Jes COBlllression Te3ls AI<;j1;~ TeM alMix DesiJVl Reint'orcin.l:: Test Mix Dcsil?;n-Weigflmasler Ccrt.. Reinton:inJ!. f1a.ct'ment Continuous Batch P!ant Insped. Im;pect PlacinR CO$l SWllDIc. S~}es (Picku~li\i~red) ComllTi"islon Test. Claddint!. SMOKE CONTROL: It:akagL:" testing Control Verifi.cation FTR[PROOfIl'IG: ROOfiNG: ___In_~ul.'ltion instollutionIR-VnJLle" Test strips/scams Placement illspeclion Denstty lests Thickne5.~ tests lJupect batch~ ADDITIONAL INSRUCTIONS, OTHER TV.sT, &< INSPECrIONS: 7-13AR... c~/'4"C GRWING. EXCA VA nON, AND nLL Acceptance: h:5t:o " VSF Bot.bli'" f....1 y1l4~ FjlJ placement insp;diorJcooliuUilil.> 50~ Den91)o STRUCTIJRAL STEEIAVELDlNG: Sample l1lld tcst (list specific member.; be law) Shop material illenlification (mill ceel) Weld irllspct:tiun __ _Shop _Meld UltnasonK': ill!j.pection __SIlop ~Field Higb Strength Bl"l:llinc_Shop _Field AJ25 _~ _X <\490 __N __X Mt:tal dct"k. ..,,~khng ill~pect)on Ri:intOrcing Sted \."'tJtfing injpcdion ReiRtlwci1g s.te..::l mill certilicate Mi:lal~'Il:J ....\:Iding. in'ipecljon. Cont;.(etc Wlserl weLJing inspection Moment resLsElllg steellfames _F ~F STRUCTURAL WOOD: Shear wall nailing jnspectloo Sheor wllill1ll'1wr.l l"speaionofGtu-ltnl fab." TiC psi IBSIleL1im of tntiS jOoist fab. Sample ami test componen" Fabrication wehlillg or s.teel aCI.':CS50rJc5 i....ASO''lRy SJh=cial illspr.dian ~rc.3.1e:!l used' fm fg Preliminary acceptO>>lce teds (m:rsanry lmits. wall prism3) Subsequenl teas (morlar. grotlt,. field wall prisms) Plat:emcnl inspo;liOll of unils. a.nd rdntQrcemern Mas(Jnry. morlar.gJUUl. iUld rem forcing st.ee~ certificates Form Compld"~ by' D"" 'PROVlDESTRENGTH REQUIRED BY ARCHITECT OR ENGtNEER OR CONTRACT DOCUMENT LOC~TION OF VALUI:S . '" OJ -- '" " -- '" Cl '" '" '" "' w "' '" '" '" .~ n H -I -< 'i1 U1 " ;u H Z . Gl -., H '" r t:1 " ]> lil Cl '" . . AlTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET . JOURNAL OR JOB NUMBER COM2006-00933 NAME OR COMPANY: PAK-MAIL LOCATION: 2323 OLYMPIC ST MAP & TAX LOT NUMBER: 1703254101100 DEVELOPMENT TYPE: SHOPPING CENTER> 1 0,000 S,F NEW DEVELOPED AREA (S,F,): U20,OO EXISTING DEVELOPED AREA (S,F,): TOTAL IMPERVlOUS SURFACE (S,F): I STORM ORATNACI-S Paid with COM2OOS..()()S71 Olvmoic Street Shoppinl? Center ITE: lTE: LOT SIZE (S,F,): 821 ~ >, - 8 8 ~ u - ~ '''-8 E u . g>o o:S~&l .xu -; $0,00 $0,00 1178 IMPERVlOUS SQ, IT, , $ 0.323 PER SF TOTAL STORM DRAINAGE SDC:I 3-POINT CREDIT FROM PREVlOUS GAS STATION 2 SANITARY SEWER-CITY A. REIMBURSEMENT COST: NUMBER OF DFU's B. IMPROVEMENT COST: NUMBER OF DFU's (SEE REVERSE SIDE) 4 x $ 25,07 PER DFU $100,29 1183 4 x $ 19,07 PER DFU $76.26 1184 $ 44,14 TOTAL WCAL WASTEWATER SDC:I $176,56 I $176.56 3 TRANSPORTATION Paid witb COM20tJ5.00571 BLDG AREA TGSF, TRIP RATE , COST PER ADT x NEW TRIP F ACfOR NEW A. REIMBURSEMENT COST: U2 x 86.56 B. IMPROVEMENT COST: U2 x 86,56 EXISTING A. REIMBURSEMENT COST: 0,00 , 0 B, IMPROVEMENT COST: 0,00 x , $ 19,09 PER TRIP x 0,35 NTF $647,65 ~ 0,35 NTF $2,856, 73 ~ 0 NTF $0,00 l 0 NTF $0,00 I x $ 84.19 PER TRIP x x $ 19,09 PER TRIP , o $ 84,19 PERTRIP $ 103,28 x x 4SANITARYSEWER-MWMC NEW: A. REIMBURSEMENT COST: NUMBER OF FEU's B. IMPROVEMENT COST: NUMBER OF FEU's TOTAL TRANSPORTATION REIMBURSEMENT SDq TOTAL TRANSPORTATION IMPROVEMENT SDC:' TOTAL TRANSPORTATION SDC:I $ - _ I Paid witb COM20tJ5.0OS71 U2 $52,46 PER FEU $58,76 ~ x Ll2 $550.38 PER FEU $616.43 l x EXISTING: A. REIMBURSEMENT COST: NUMBER OF FEU's 0,00 B. IMPROVEMENT COST: NUMBER OF FEU's 0,00 MWMC CREDIT IF APPLICABLE (SEE REVERSE) , $0,00 PER FEU , $0,00 I TOTAL MWMC REIMBURSEMENT FEE:! TOTAL MWMC IMPROVEMENT FEE:I MWMC ADMINISTRATIVE FEE:1 TOTALMWMCSDC:, $ - SUBTOTAL (ADD ITEMS 1,2,3,&4) $176,561 $0,00 PER FEU $0,00 I x x 5 ADM..Il"~;~~ 7;"v-;: ~;;:;;. , BASECHARGE(SUBTOTALABOVE) $ 176.56 x 5% , $8,83 TOTAL TRANSPORTATION ADMINISTRATION FEE: $ TOTAL SEWER ADMINISTRATION FEE: $ &-.... W. ~ &.- SDC COORDINATOR 81712006 DATE TOTAL SDC CHARGES C0M2006-0D933. PAK-MAlL. 2323 Olympic,x!s $647,65 $2,856,73 1 $3,504.37 1173 1094 $0,00 1054 $58,76 J186 $616.43 \187 $10,00 \189 $685,18 .L.- r- 1175 8,83 1190 SI85.39' 1 JULY 2004 . . DRAINAGE FIXTURE UNIT (DFU) CALCULA TION TABLE NUMBER OF NEW FIXTIJRES , UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY TIlE NET ADDmONAL FIXTIJRES) SHOPPING CENTER >10,000 S,F, FIXTURE TYPE BA TIiTUB DRINKING FOUNTAIN FLOOR DRAIN, FLOOR SINK INTERCEPTORS FOR GREASFJOlllSOLIDSIETC, IN\'ER<-cr 'VN> FOR SAND/AUTO W ASHlETC. LAUNDRY TUB CWTIlES W ASHERlMOP SINK CWTIlES WASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRJGERA TORIW A TER ST A TIONIETC, RECEPTOR FOR COMMERCIAL SINKI DISHW ASHERlETC. SHOWER, SINGLE ST A1l. SHOWER, GANG (NUMBER OF HEADS) SINK: COMMERCIAL, RESIDENTIAL KITCHEN SINK: COMMERCIAL BAR SINK: WASH BASINIDOUBLE LA VA TORY SINK: SINGLE LA V A TOR Y /RESIDENTIAL BAR URINAL, ST AUJW A1l. TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: FIXTIJRES UNIT NEW OLD EQUIVALENT 3 1 3 3 6 2 3 6 12 1 3 2 2 3 2 2 I 5 6 3 NUMBER OF EDU'S' TOTAL DRAINAGE FIXTURE UNITS= 'EDU (Equivalcnl Dwellin~ Unit) ~ dischar1!e eouivalcnt to . single family dwellin~ (20 DFU) set al167 ..nons per dav CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE. CALCULATE CREDITS SEPARATELY YEAR ANNEXED 1979 orbefore 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 . DRAINAGE FIXTURE UNITS o o -3 o o o o o o o o o o o o o 1 o 6 o o o o 4 RATE PER $1,000 ASSESSED VALUE '., $5,2~ $5,19 . $5,]2' $4,98 $4,80 $4,63 -$4:40 ~ :"$4,07 $3,67 $3,22' $273 $2:25: $1.80 RATE PER $1,000 ASSESSED VALUE YEAR ANNEXED 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 _ $1.45 $1.25 $1.09 ,$0,92: .,$0,72 $0,48 " $0.28, $0,09 $0,05,' $0,00 $0,00 $0,00 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) x x CREDIT TOTAL COM200s.00933, PAK~MAIL, 2323 OlympiC.xls $0,00 $0,00 $0,00 1 JULY 2004 225 Fifth Street Springfield,.Oregon 97477 541-726-3759 Phone . · ri:~ ca of Springfield Official Receipt lI!'elopment Services Department Public Works Department Job/Journal Number COM2006-00933 COM2006-00933 COM2006-00933 COM2006-00933 COM2006-00933 COM2006-00933 COM2006-00933 COM2006-00933 COM2006-00933 COM2006-00933 COM2006-00933 COM2006-00933 COM2006-00933 COM2006-00933 COM2006-00933 COM2006-00933 COM2006-00933 COM2006-00933 Payments: Type of Payment Check cReceintl RECEIPT #: Date: 08/31/2006 1200600000000001362 Description Addressing Assignment Copy 6th @ 75 cents Copies - Ea Addtl @ 50 Cnts Ea Fire SF Fee - Non-Residential Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC SanitarylStorm Admin Plan Review Fire & Life Safety Building Permit Fixture MinimumlAdjustment Plumbing Furnace - up to 100,000 btu Vent Fan Gas Outlets 1-4 MinimumlAdjustment Mechanical -Mechanical Issuance Fee- + 8% State Surcharge + 10% Administrative Fee Paid By ILO CONSTRUCTION Item Total: Check Number Authorization Received By Batch Number Number How Received djb 6664 In Person Payment Total: Page I of I 2:54:36PM Amount Duc 31.00 0.75 10,50 107,00 100,29 76,26 8,83 113,16 282,90 42,00 3,00 12,00 6.00 4.00 23.00 10.00 29,83 47.99 $908.51 Amount Paid $908,51 $908.51 8/3 112006