HomeMy WebLinkAboutPermit Building 2010-1-28
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00116
ISSUED: 01/28/2010
APPLIED: 01/27/2010
EXPIRES: 07/28/2010
VALUE: $ 166,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5790 ORCHID LN
ASSESSOR'S PARCEL NO.: I802033305000
SPRINGFIETYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence - SAME AS COM2009-01754 5781 Mica
Residential
Owner: HA YDEN HOMES LLC
Address: 2464 SW GLACIER PL STE 110
REDMOND OR 97756
Contractor Type
General
Electrical
.47">-
I CONTRAOIlW'lNro.RMATlON I
. ,Jim l~'e \ u~
I" 0 Iei'll.' "1lC/,.:,e..11lJ
Contractor 00 1<1119.'0" Ce ~ qw Expiration' Date
HAYDEN ENTERPR'ISES :;0. 1'0 'S<-oOI"18J2 6Yl":~eP.7/29/2011
TOP NOTCH ELECTRIC 11:Itf;":f1d:i'''lly~gfj1riiJfJ!.e'''lftOreg,!J.~/(.fJ10
I BUILDING' I'!: :~MW;11~1J~~"O~e8f1t1}~
.tIer is J,.e{l~~:!fl 0/"'6 ~"Q!) 'IfII
# of Stories: '-600~ lJlll~' e teJe.~'PiB1Jf1e:
Height of Structure aa<_ .%.b'Q~~mt Floor:
Type of Heat: '. Forced Air ~t 2nd Floor:
Water Type:., Gas Sq Ft Basement:
Range Type: ""--." Electric Sq Ft GaragelCarport
Energy Path: '''~. Sq Ft Other:
Sprinkled Building: ';i/a -. Occupant Load:
Phone
, 541-228-6935
541-317-1998
-,
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Constructiou Type
Secondary Construction Type:
# of Bedrooms:
I
R-3
U
VB
1,031
400
3
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
5.63
10.00
24.00
8.75
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I
Yes
30.79
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Notes:
"
Fullv Improved ',. ,-,
, No :" NOTICE- Downspouts/Drains:
Storm water to curb via weePifl"8cp'E' ROM ..'i;.,.".".,....,
AUT IT SHALL ."..,."",,1."""
COM~ORIZED UNDER fi,PIRE IF THE WORK'
ANY 18~~X~ ~~:gtBA~~~~~~J~ NOT:.
. ~. .~,:\.~.~:
Sidewalk Type:
Curbside 7'
Cnrb and Gulter
Street Improvements:
Storm Sewer Available:
Special Instruction:
Paee 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
Bid Amount Use Bid Amount
Fee Description
+ 12% State Surcharge
+ 5% Tcchnology Fee
1st Appliance
2 Baths One or Two Family
Ad,dressing Assignment
Appliance Vent
Building Permit
Credit - Trans Improv SDC
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Gas Outlets 1-4
Plan Review Major - Planning
Plan Review Same As
PW Disc - 2nd Permit
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addil 500
Sanitary Sewer - Improvement
Sanital)' Sewer. Reimbursement
SDC MWMC Administration
SDC MWMC Compliance Charge
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Tran Reimburs-Residential
SDC Trans Improvement-Resident
SDC Transportation Admin
Sidewalk Permit
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
Totai Amount Paid
t'
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
166,000.00
Total Value of Project
J:\ppli', ~
Amount Paid
Date Paid
$201.64
$101.87
$79.00
$337.00
$38.00
$9.00
$977.37
$-931.65 "
$88.00.
$9.00.
$13.00
$71.55
$7.00
$211.00
$250.00
$-30.00
$134.00
$25.00
$507.07
$666.84
$10.00
$22,63
$1,333.57
$101.97
$161.60
$211.21
$931.65
$17.87
$88.00
$736. I 5
",
$63.00
$27.00
$2,858.00
.(,
1/28/10
1/28/10
1/28/10
1/28/10
1/28/1 0
1/28/1 0
1/28/10
1/28/10
1/28/10
1/28/10
1/28/10
1/28/10
1/28/1 0
1/28/10
1/28/1 0
1/28/10
1/28/10
1/28/10
1/28/10
1/28/10
1/28/10
1/28/10
1/28110
1/28/10
1/28/10
1/28/10
1/28/1 0
1/28/10
1/28/10
1/28/1 0
1/28/10
1/28/1 0
1/28/10
,
$9,327,34
Paee 2 of 4
CITY OF ~rKll~uFIELD '
Building/Combination Permit
PERMIT NO: COM2010-00116
ISSUED: 01/28/2010
APPLIED: 01/27/2010
EXPIRES: 07/28/2010
VALUE: $ 166,000.00
Value
Date Calculated
$166,000.00
$166,000,00
01/27/2010
Receipt Number
1201000000000000079
1201000000000000079
1201000000000000079
1201000000000000079
1201000000000000079
1201000000000000079
1201000000000000079
1201000000000000079
1201000000000000079
1201000000000000079
1201000000000000079
1201000000000000079
1201000000000000079
1201000000000000079
1201000000000000079
1201000000000000079
1201000000000000079
1201000000000000079
1201000000000000079
1201000000000000079
1201000000000000079
1201000000000000079
1201000000000000079
1201000000000000079 .
1201000000000000079
1201000000000000079
1201000000000000079
1201000000000000079
1201000000000000079
1201000000000000079
1201000000000000079
1201000000000000079
1201000000000000079
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00116
ISSUED: 01/28/2010
APPLIED: 01/27/2010
EXPIRES: 07/28/2010
VALUE: $ 166,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541.726-3676 Fax
541-726-3769 Inspectiun Line
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 requested after 7:00 a,m. will be made the following
work day.
I Rpollirr~ Insnectinns I
Site Inspection: To be made after excavatiun but prior to setting forms.
Erusion/Grading Inspectiun: Priur to gruund disturbance and after erosion measures are iustalled.
Ufer Electrical Gruund: Install g'ronnd rod at fuuting and call for inspection in conjunction with footing andlur
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 dc<;king;
,
(
Fluur Insulatiun: Prior to. decking.
J,i
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.
Final,Building: After all required inspectiuns have been requested and approved and the building is cumplete.
Perimeter Foundatiou Drains: After gravel and filter cloth is installed btit prior to. backfill,
Undertloor Plumbing: Prior to insulation or decking.
Undernoor Drain: Prior to cover or placement of concrete.
Ruugh Plumbing: Prior to cover and including required testing.
Water Line: Priur to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and inclnding required testing.
Sturm Sewer Liue: Priur to. filling trench.
Final Plumbing: When all plumbing work is complete.
Paee 3 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2010-00116
ISSUED: 01/28/2010
APPLIED: 01/27/2010
EXPIRES: 07/28/2010
VALUE: $ 166,000.00
225 Fifth Street, Springfietd, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
Undertlnor Mechanical. Prior to insulation or decking and including required testing.
Rough Gas: After line is installed and reqnired testing and capped if not 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 Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Rough Electric: Prior to Cover
<>11-
Electric Service: Approval required prior to ,utility company energizing service.
Final Electric: When all electrical work is complete.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measnres 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.
By signalure, 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 strncture without permission ofthe 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 tlie 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.
~~/~~
/~.:T1-'O
~ - -0'
Owner or Contractors Signature
Date
Paee 4 of4
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$ Q.5~o?
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Electrical Permit Application
I
l=s;r;.y_.;._,-",;,:,'-";-;"~1i:"""",-",~:;r,;;;"~'1~~;i;~.e~C~~~~~1
t~1}:iDE8AR]MENT"US60NI}y'~'''1t~
"~';""','~' -,~:;..'":....'c:,, -:",;,',,';--;o;;P'~'>:i':f1''''''',/.l''''~';"::-I:~~.~,,=;,$;).~~,v...,
I permi~Jd~;';;'.'i1b~m" I
I
SPRINGFIELD ~
. ,
~.j~~._-
~.']k,-"""~... 4M,,~
._~_~'."_ ~ ~"'i.
225 Fifth Street+Springfield, OR 97477+PH(541)726.3753+FAX(541)726.3689
. /-2.7-/D
Date:
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days.
1~I!'E'j~~~'~;V',e:BNf~i1tl'jif.~~g&Rg>:\7,~~ '~:.J$~~~!ili.E:;[$gB.I;:Q:t!rnE
I Zonmg approval venfied? D y D N J ~~iil>):~~
PScltonJ!p'e\f;)(~m1iZ)$:,",'il
1~~~~;'ffi:~]):R:{?it':?F,,\lf~&l.tiI$J~lRlij~:1tiLQN~?~~ "'_,.o,~ ,,/,:, "",,_re,-
I Residential, per unit, service include"d:
I [LiResidential I 0 Government I 0 Commercial' I
i~~~~:::m:~~~B~~~~~~N~~~~J~"~\liLQ~~;~:gf~1 I i~;;~:i:~~:II~;O(:~ ft. or portion (:1:::::
I City:)y",,~.c:,.. iol. r State: oR. I ZIP: <J7'ilZ' I I Limited energy (2) $ 32.00 $
~~p,,~~~~tJ~~~iw~J~.~_~~~~i I ~:~~I~:"S~~~~~r~~ &~~~r(~)odular$ 63,00 $
I " I. , /-r I I Services or feeders: installation, alteration, relocation
'~OJSt: w,off'. /t"',.-"J
i~~~~~EiW~lZ~~*ff.~J ': ~:~::~oo~::~~~ ~ ::::: ~
I Name: l-l.IJ( '" Kevr.'t" <.. I I 401 to 600 amps (2) $158.00 $
I Address: .:JtJCL/ <;0 (,(A(,',r I I 601 to 1,000 amps (2) $205.00 $
I C. n I Is/) I ZIP C!77'C''' I I Ove(I,OOO amps or volts (2) $469.00 $
tty: K <"01 V"l""" vi tate: il ,"'- : I -'~
I' l I I' Reconnect only (2) $ 63.00 I $
, Phone:S.'1-22~- "''):;5'. Fa:x:5"lr-7'11- ,;J57? ,
. I E-mail:' I I Temporary services or feeders: installation, alteration, relocation
This installation is being made on residential or farm property I 200 amps or less (2) I $ 63.00
owned by me or a member of my immediate family. This I 201 to 400 amps (2) $ 87.00
property is not intended for sale,.exchange, lease, or rent. OAR
479.540(1) and 479.560(1). I 401 to 600 amps (2) $126.00 $
Signature: lOver 600 amps or 1,000 volts, see services or feeders section above
ID~~<t,(:H\lm~G.rrtQR~tllf.S]fiKI!!IE.b..';iJI.Ojij~W,ll!"&il'ir.wiiJ)'1 I Branch circnits: new, alteration, extensianperpanel
I Business name: 0p \\k>~r~ E' pC I I a. Fee for branch circuits with purchase ofa service or feeder fee:
I Address: .30~ A (oveJ C t-. i I Each hranch circuit I I $ 6.00 I $
I City: &1"\01 I State: oR.. I ZIP: I I h. Feeforbranch circuits without purchase ofaservice or feeder fee:
I Phone:S/" -311-I'1'q~ I Fa:x: I I First branch circuit (2) $ 55.00 $
I E-mail: I I Each additional branch circuit $ 6.00 $
I CCB license no.: 'r7~2 _)0C. I BCD license no.: r .12r1. I I Miscellaneous fees: service or feeder not included
I Signing supervisor's license no.: 4 (){;4S I I Each pump or irrigation circle (2) $ 63.00
I Print name of signing supervisor: V~r I ,g.J..~( L I..z/' I I Each sign or outline lighting (2) $ 63.00
I Signature of signing supervisor: ( ) /J /':: .. J Signal. circuit or a li~ited-energy panel, $ 63.00 $
. _ (0 ~ V _....... , . alteratlOn, or extensIOn (2)
\ Eachaddilional inspection: (I) '$58.00 $ I
~ ~~~:~!~"AN!f~g~~~'tJ~~j
I\!\ Qj ~ 0 (Minimum Permit Fee $58.00)
~ l\l.'\,O""~ (B) Enter 12% surcharge (.12x [A])
~ (C) Technology Fee (5% of [AD
I TOTAL fees and surcharges (A through C):
~'
~ ~ \\)
~u&tt:
~
$
$
$ 2. ?fl.. fP
$ ~la. Llt\
$ \\. \0
~~.-r\
440-2584.J (9108/COM)
SAME
w,-
57'6/ t!I1tt",-.
C7-(7S-C{
Stnll ' Permi't Application
-
22S Fifth Streel. Springfield, OR 97477. PH{54 1)726-3753 . FAX(54 1)726-3689
DEPARTMENT USE ONLY
CO.....-.. ZOIO -
Pemit nOO I , b
I DateJ-Z,7- ZOIC)
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within ISO-days of issuance or ifH'ork is
suspended for 180 days.
I', . LOCALGQYERN rvI~NTAP.~R6Y AIi;;;.",., /d
I This project has fmal land. use approval. I I'>' " .,' , ',.'".FEESCH.E, riULE ' 1
Signature: D_ate:
:~~~:,~o:eect has DEQ approval. Date ,I :;~)~::udae:r:'~p:;:~Ofm~O'~~/;'k, 1_ ~:
Zoning approval verified: 0 Yes 0 No 1 I Occupancy (L';J ('\A. I
\ Property is within flood plain: 0 Yes 0 No I Construction type: ,! to \
iWi.\i:ti;1i;:Xi!&~1,rf:<:;A'rEGQ8Y~SQFl;q.oN$;t@i:;tI.QN;W. ,;!,;,\:"",;Jr,' I Squarefeet (03/ +'-100 6c,..",,,. I
\0 ~,:id~.nt!",l, ,..'..,' . .'. 19 .G",~er~m.:~\., '. ,.' ,lg.~~~'".=:~i~I'''"'''1 I Cost per square foot I
- 1~;:::;:e:~:~::S~~~~N!i~::;~gN"'A~Pft;O,CArIQm';:"'?::ic')'1': ~:::r ~;:~:;~tion :
, I City: ~9r,"::,I.:'rl;,f ," I State 61( I ZIP: 97'17ff. II I E'nergy Path, h" <, I
I Subdivision: ~.,:>-(. I Lot no,::A7 I "" 0 r.1A, 0 I
'- _ l.A.I new alteratIOn addition
II Reference/{So~C33.3.. ,I ;a~lot.." ,...,.~,~O=c::.II.1 (b) Foundation-only penn it? DYes ~ I
. .. PROPERTY OWNER',
i ~:;r:ss ;;:d;" '/I-.~ < f-,Iar,y{. ' I :~;;;~,ij;:i~a~~t;~~J;;~~0;i!:iiiH~~jf';;Ki:'i,;.~.;.:;i';.;..;ii:~/)tD:t\.J
1 . ,<;IJ I (a) Pennit fee (use valuation table): $, I
City: Ri-tl""""rA State: OQ I ZIP:'i')7.,e" I ., . I
I . ' (b) lnvestlgatlvefee (equal to [2a]): $...
Phone'?'II-.22<~t:q..,., Fax: I '
. ~ , (c) Reinspection ($ per hour): I
I E~mail: (number of hours x fee per hour) $.
This installation is ?ein~ made. on resj~ential 0: farm property ~wne~ by I (d) Enter 12% surcharge (.12 x (2a+2b+2c]): .$ I
me or a member of my Immediate family, and 15 exempt from lIcensmg
requ, irements~, der OR, S "..----,7,01 'O.IO','~. ' ,.'. 1'~~;i~"":.~,:~L.:~"~;.,~:,:~,:;,~,~~t:t::;:,~~~~~:,,;, ,'. "R''''''~''''"'''''''''',"'''''''II
Sig"n here: ....?_ /.~ ~;_"~r:,,,\:._,~U~-iQ:Y~I.E},'Y;;U:.~~~ti.2~i~~tr~:~i~~~;Htr!c-.:f,~;::;%r_ .~ _.-)!:Wj~.:tlh!}tttfl~.MJ~;~~~
I.' .,...--;-. " /?tI./ ,'" ' ,'.'. I (a) Plan review (65% x permit fee [2a]):)' :> $ Z- <;"01
' , " , :,.' CONTRACTOR "INST '..lAl'ION'.."., ".":"
I' , , , ", I"', ',.,' ..' ' .".- " ' . ,," .' I (b) Fire and life safety (40% x permit fee [2a]): $ I
Busmess name: ft:.i..tAt'A 1-Io,1-7__.c;. 1
1 Address: :!J.!f."I .5~ ,<:;f",r,..r. 1 1"'4(~;'M:.~~:~I~I~'~'~r,,~::s,;~~~..:.~:,~a,n~..:~;:..... ,,$,.., .",..,',.,'11
: ~~:ne.~~;~:~~ ,r~~~e;;~1 ..2~;'h7"c. i, ';(~~ ;~:~i;af~::9;~~:~e~~:;:..~;;:;ti~~::;~:i)':..' "';"'i\\~':\':"1
1 1 TOTAL fees and surcharges-(2e+3c+4a): $ I
E.mail:
I CCB license no.: 'f:J.:J. O(? 1
.1 Print name: \
1 Signature: 1
[~~'i;:~:r?',3:i0'i$QEl'c:,0t{t@gill9RiN}QRM}::t!QNi':~;~I~g~j~~t~'&,~;1
I Name CCB License Number Phone Number I
I Electrical J7lVj, I
1 Plumbing 3/71{7 , I
I Mechanical YI;;. 37 1
2~ willamalane
, t~ Park and Recreation District
Job. No. t1\tJ. CO\ \\.O
SYSTEM DEVELOPMENT CHARGE WORKSHEET'
January 1-June 30, 2010
- - ----'..NAME:~-~-J(\p:r..c\~):\~f'::Y PHONE:~\--212Ryw:t:eCC--.._. .--
ADDRE~S:2A\J~G.~ITY 't\edM(X'd..STAT~ZIP: o...\"'"'\~
LOCATION OF PROPOSED BUILDING SITE: .
~\C\D 'CXCI\\~
Street Address:
Plat Namej~( ~ Tax Lot Number: \P>()'LO~3 ~ O~C:tJ..J
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 =
$ 'l.fYE:6.CV
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
~-----._-----_...~ - ,.---
)(~$.1,321.r>er_ul1.i! =.. __$
E. ,Accessorv Dwellina Unit
NO. OF UNITS
r
X $1,550 per unit =
$
$ 1.B5BfO
{:J
WILLAMALANE SDC
2. SDC CREDIT (If applicable) SDC payer must furnish proof of
Willamalane Credit approval.)
$
3. IOTA,," WIL~MALANE.NET SDC ASSESSED
(if SDC reduced for Credit)
\ '-
,DQ., )\.
.,' evelopm13nt Services
City of Springfield
$ I),.~ ~
""~ ,Jb \0 [\)~
5
lift4t
City of Springfield Official Receipt
Development Services Department
Public Works Department
225 Fifth Street
Springfield, Qrcgon 97477
541-726-3759 Phone
Job/Journal Number
COM2010-00116
COM2010-00116
COM2010-00116
COM2010-00116
, COM2010-00116
COM2010-00116
COM20 I 0-00 116
COM2010-00116
COM2010.00116
COM2010-00116
COM2010-00116
COM2010-00116
COM2010-00116
COM201Q-00116
COM2010.00116
COM2010-00116
COM2010-00116
COM2010-00116
COM2010-00116
COM20 I 0-00 116
COM2010-00116
COM20 I 0-00 116
COM2010-00116
COM20 I 0-00 116
COM2010-00116
COM2010-00116
COM2010-00116
COM2010-00116
COM2010-00116
COM2010-00116
COM2010,00116
COM2010-00116
COM2010-00116
Payments:
Type of Payment
CredilCard
cRcccintl
RECEIPT #:
1201000000000000079
J I :26:48AM
Date: 01/28/2010
Description
Plan Review Major. Planning
Curbcut Pennit
Sidewalk Permit
PW Disc. 2nd Penn it
Stonn Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
Plan Review Same As
SDC Tran Reimburs-Residential
SDC Trans Improvement-Resident
Credit - Trans Improv SDC
SDC MWMC Reimbursement
Fire SF Fee - Residential
SDC MWMC Improvement
'SDC MWMC Administration
Building Penn it
SDC MWMC Compliance Charge".;.
SDC Sanitary/Stonn Admin ,....
Addressing Assignment i',
S DC l'ransportation Admin
Willamalane Single Family
2 Baths One or Two Family
I sl Appliance
Vent Fan
Appliance Vent
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
+ 12% State Surcharge
+ 5% Technology Fee
Amount Due
211.00
88.00
88.00
(30.00)
736.15
666.84
507.07
250.00
211.21
931.65
(931.65)
101.97
71.55
1,333.57
10.00
977.37
22.63
161.60
38,00
17,87
2,858.00
337.00
79.00
27.00
9.00
13.00
9.00
7.00
134.00
25.00
63.00
201.64
101.87
$9,327.34
Paid By
HA YDEN HOMES
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
. Amount Paid
djb
085083 In Person
Payment Total:
$9,327.34
$9,327.34
...-.,;
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