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Home My WebLink AboutPermit Building 2010-2-16 CIT\' OF SPRINGFIELD Building/C~mbination, Permit PERMIT NO: COM2009-01658 ISSUED: 02/16/2010 APPLIED: 11/16/2009 EXPIRES: 08/16/2010 VALUE: $ 234,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 545 MOUNTAINGATE DR 2 ASSESSOR'S PARCEL NO.: 1802032104300 SPRlNGFIETYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: New single family dwelling Mountaingate lot 28 Yes 19.40 ArrENT/ON' OreQo r . afn(I.~\U ...1_... ;,j_t-';:,u.n:..J?~~,reqUires vP11 t^ I PUBLIC IMPROVEMENt~'i'flcation Center Tho~ e,vregon Utility , - , 'AR 952-001 . e ru es are set forth Street Improvements: F II I d 0090. Y~%WilliPI::iQ.lQJrro~gh OAR 952.Jll),, , , _, u y mprove . lay 0)' In copies ot lh '(."\tl'llSld... 5 Storm Sewer ~GiIlMlG:: Yes n call1ngD\l~~lIr.I~OOM:lhe tll':~W~s,J:m Gu""'r Speciallnstn\G~Rl':pERMlnm~Y'L"E1\jF~'fI!l1iWW0lIlW GUTTER umber tor the Oregon Utility Nolitl one AUT.~~~~_. ~~HI~~~. . Nnr Center Is 1-S00~2-2344). cation Notes: PUBbl ' . .~ . ,rP"TED " v IVf\i q PI 0 :" ,': ',"". ANY 180 DAY PERIOD." Owner: HA YDEN ENTERPRISES Address: 2622 SW GLACIER PL #110 REDMOND OR 97756 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing License 92208 172366 39237 31747 Contractor HA YDEN ENTERPRISES TOP NOTCH'ELECTRIC INC PACIFIC AIR COMFORT INC STUTZMAN SERVICES INC , I BUILDING INFORM~TION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: 2 'ifeigh'tofSt~ucture 27.00 'T9pe ~f Heat: Forced Air Gas 'Water Type: Gas Range Type: Gas Energy Path: Sprinkled Building: No I R-3 U VB 3 /DEVELOPMENT INFORMATION I Froutyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 29.50 5.00 36.00 22.63 Overlay Dist: i" # Street Trees Rqd: Paved Drive Rqd:' : % of Lot C~ver~ge: " Paee 101'5 Residential Phone Number: 541-228-6935 Expirati!>n Date 07/29/2011 09/29/20 I 0 03/25/2010 05/12/2010 Phone 541-228-1081 541-317-1998 541-672-9510 541-928-8942 I' 'Lot Size: Sq Ft 1St Floor: I' Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Gar~ge/Carport Sq Ft Qther: Occup~nt Load: 7,043 744 992 400 Hillside I' REQUIRED PARKING 2 Total: Handicapped: Compact: i _$~RI!"Q,F,I,~J:,o::!l t . Status Issued CITY VI' I'lndNGFIELD Building/Combination Permit I PERMIT NO: 6JM2009-01658 ISSUED: 02/16/2010 APPLIED: 11/16/2009 EXPIRES: 08/16/2010 VALUE: $ 234,000.00 225 Fifth Street;.Springtield. OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Descrintion Tvpe of Construction I ValuatIon Descrintilin I . ,,:;,' . ",.. " $ Per Sq ,Ft Square Footage or multiplier or Bid Amount Value Date Calculated Total Value of Project Fpp<, P.irlJ Fee Descriotion Amount Paid Date Paid Plan Review Residential $815.18 11/16/09 + 12% State Surcharge $253. I 0 2/16/10 + 5% Technology Fee' $122.56 2/16/10 1st Appliance $79.00 2/16/10 3 Baths One & Two Family $402.00 2/16/10 Addressing Assignment $38.00 2/16/10 Appliance Vent $9.00 2/16/10 Building Permit $1,254.13 2/16/10 Curbcut - 2nd Curbcut $-45.00 2/16/10 Curbcut Permit $88.00 2/16/10 Dryer Vent $9.00 2/16/10 Exhaust Hoods $13.00" ' 2/16/10 . "....... ., " Fire SF Fee - Residential $106.80::-: 2/16/10 Fireplace (Listed) $20.00 ",,' 2/16/10 Gas Outlets 1-4 $7.00": " 2/16/10 Heat Pump $17.00 2/16/10 Mountaingate Impel~vious Area $635.21 2/16/10 Plan Review Major - Planning $211.00 2/16/10 Residence Wiring 1000 Sq Ft $134.00 2/16/10 Residence Wiring Ea Addtl 500 $75.00 2/16/10 Sanitary Sewer - Improvement $661.39 2/16/10 Sanitary Sewer - Reimbursement $869.79 2/16/10 SDC MWMC Administration $10.00 2/16/1 0 SDC MWMC Improvement $1,146.50 2/16/10 SDC MWMC Reimbursement $101.97 2/16/10 SDC SanitarylStorm Admin $149.51 2/16/10 SDC Tran Reimburs-Residential $211.21 2/16/10 SDC Trans Improvement-Resident $931.65 2/16/10 SDC Transportation Admin $78.88 2/16/10 Sidewalk Permit $88.00 2/16/10 Temp Power 200 amps or less $63.00 2/16/10 Vent Fan $27.00 2/16/10 Willamalane Single Family $2,858.00 2/16/10 Total Amount Paid $11,440.88 I.l.". '. " i''''; ,~.t" ...: Paee 2 of 5 Receipt Number 2200900000000001295 1201000000000000134 1201000000000000134 1201000000000000134 1201000000000000134 120~000000000000134 1201000000000000134 1201000000000000134 ", 120~pOOOOOOOOOOOI34 1201'000000000000134 1201'000000000000134 1201000000000000134 1201000000000000134 , 1201000000000000134 I~ 1201000000000000134 1201000000000000134 1201000000000000134 120~~00000000000134 1201000000000000134 1201000000000000134 1201000000000000134 1201POOOOOOOOOOOl34 1201000000000000134 1201000000000000134 120(000000000000134 1201000000000000134 1201000000000000134 1201000000000000134 1201000000000000134 1201000000000000134 1201000000000000134 1201000000000000134 " 1201000000000000134 !~ ,..., . ",r:. '."'1 "L....... ',;,./ CITY:: OF SPRINGFIELD Building/Cq,mbination Permit " Status Issued PERMIT NO: COM2009-01658 ISSUED: 02/16/2010 APPLIED: 11/16/2009 EXPIRES: 08/1612010 VALUE: $234,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Plan Reviews I Pnblic Works Review 11/19/2009 10 BJG recieved V7/2010. in review now. Public Works Review 01/08/20 I 0 Initial Review 11/17/2009 11/19/2009 APP LLH Structural Review 11/19/2009 11/1912009 WE CJC Site excavations and fills have been performed on this site outside of the , -,',- , scope of the LDAP permit, and without compaction in lifts as ;',. ~ required';by building code, Review will not c'lommence until the site issues haye been resolved. Need engineer or geotech report for soils to determine foundation requirements. Plannin!! Review 11/19/2009 01/07/2010 APP DDK Elevations are site specific and contain r~quired design elements. " Inspectors will field check that actual elevations match submitted designs as shown on the approved set of plans. Public Works Review 01/11/2010 01/11/2010 APP BJG storm water to curb and gutter. Structural Review 01122/2010 01/22/2010 WE CJC I) Wall braciug requires engineering (irregular building per R30I.2.2.2.2 #1) Str'uctural Review 01/25/20 I 0 01/25/2010 WE CJC Engineer: will provide updated engineering packet and plan sheets ".". with: "t.", I) Signed, dated engineering stamps, 2) Callouts for new hold-downs (specified connectors are obsolete), 3) Girder tied own for truss ETGR to meet 4941# uplift rating, and 4) Excerpts from 2008 ORSC (2005 provided'in original set). I Structural Review 02/05/20 I 0 02/0512010 ACC CJC Recieved'~updated engineering Structural Review 02105/2010 02/05/2010 'APP CJC As notedl:on plans. !! To Request an inspection call the 24 hour recording at 726-3769. All inspections rJquested 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. Pa!!e 3 of 5 CIT~ OF ;srK1J~uFIELD , Building/Combination Permit " Status Issued PERMIT NO: C'oM2009-0I658 ISSUED: 02/16/2010 APPLIED: ' 11/16/2009 EXPIRES: 08/16/2010. VALUE: $ 234,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726c3676 Fax 541-726-3769 Inspection Line Uleouire<unsnections I ErosionlGrading Inspection: Prior to ground disturbance and after erosion me~sures are installed. Sidewalk - Curbside: After forms are erected but prior to placement of concrete.. Curbcut - Standard: After forms are erected but prior to placement of concrete. Ufer Electrical Grouud: Install ground rod ~t footing and call for inspection in conjunction:with footing andlor foundation inspection. Footing: After trenches are excavated. Foundatiori: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to 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 cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Masonry: Final Building: After all required inspections have been requested and approved and the b~i1ding is complete. , '. . J Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backtill. Underfloor Plumbiug: Prior to insulatiun or d~cking. Underf1ool" Drain: Prior to cover or placement of concrete. Rough Plumbiug: 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 tilling trench. . ,,~~'i: Final Plumbing: When all plumbing work is complete. Undert100r Mechanical. Prior to insulation 01' decking. and including required testing. Uuderfloor Gas: After line is installed and required testing and capped if uot attached to an appliance. , Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Ii Gas Service: After line is installed_and line has been connected to a minimum of one applia~ce including required . . I, testing, Presure test done at thIS pomt. .', Rough Mechanical: Prior to Cover Final Gas: Wheu all gas work is complete. Paee,4 of 5 eIT); OF SrK1J~GFIELD Building/Combination Permit Ii Sta tus Issued PERMIT NO: COM2009-01658 ISSUED: 02/16/2010 APPLIED: 11/16/2009 EXPIRES: 08/1612010 VALUE: $234,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Mechanical: When all mechanical workis complete. -\,). Temporary Electric: Approval required pri~r to Utility Company energizing pole. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. 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 w6rk 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 permitcard is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. --- ______d) / OJ-1J? -/a' ~ -::Y ~~ /u O~ner or Cont;:;;;;;;s Signature U Date . :-"'t~ :! (j !' . ': >0 f.~~ ;': oj., , Page 5 of 5 "-'~ StructuralPerrrdt Application 225 Fifth Street. Springfield, OR 97477 .PH(541)726~3753 t FAX (54 1)726-3689 .~PRINGf'"IEL-D i:<<-;';"-'i';:~ii . ~J~~~~";~~~ Permit 0001- J(P);6 . D~PARTMENT USEON~ y. I Date 1/ ) J b )() 7 This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days or1ssuanc~ or if wor~ is suspended for 180 days, ' "i'<t;09AqffiytRNM~Nt;*B~,R:O:n(l~<;(i:;':' . .;;l; ~~~~:,~;~ect has final land-use approvaL Date: I" ", ",' ",,,:,FEE 'SCHEQUL€ I ~~~:':~eect has DEQ approval Date :;~)~:~I~;:i:;::,~~orin~ii6n/;:D"i:<;'" . , I Zoning'approval verified: 0 Yes DNa ~, Occupancy i Property is withinfJood plain: 0 Yes 0 No j Construction rype: ~;!;4~;,$ii;;i~%i!,j'#;;GAt€'GQ,Ji)\',jQF1,i.(jN~TR0GmIQN:;;;;&;;i?;.!J;,':::;~:i' Square feet . /7?f:.. -I- 0/00 IIV'l Residenrial . I D Government 1 D Co~merc!~! IAl Cost per square foot; leVi ::t;;':('tJQ(lj:;,SI~EHNF,0RMAf;iQN!;':p;Npl.tQQATi9'N{:lXU;::cUi:: Other information, I Jobsiteaddress:_ J.nf..Ji)IS'-lr MTc;;.~-1:\=)"'. I Type of Heat: (~~ I City ~.?~I..lr~ ... I State oR 1 ZIP:'l7'{7r j I Energy Path: Jlr I Subdivision:i,.-:. . . J c:. 1 Lot no,: I '1 f7l 0 ~., ~ I . '1'- I' !Y.J new alteratIon [J addition [Reference, 1,(61.6~R~PERi/~W~E~j,300.1 I (b) Foundati.on-~nIY permit? iO Yes~No I ;?~i"~::t~4:; ~~ 1:;~'n,fo ! rf:~~E!~~~:~:~:.!t'~'$i 'iii"i'i~;:~- 1 E-mail J I (c) ~~~s6:rc~7~~~rs x fee ~~~ ~~~~ $.1 This installation is being made on residential or farm property owned by 1 (d) E t12" h . (12 [2' .2b 2 ]). b f . dO. ~ 'I d ' < I" n er 10 sure arge. x a I- + c . $ I me or a mem er 0 my lmme late lam] y, an IS exempt trom Icensmg .' . ," , requirements, under ORS 701.010. I ,(e) Subtotal of fees above'(2a through 2d): ....1 I j ! $ Sign here: I State: Fax: I ZIP: , j J J I j I I I I , I (a) Plan review (65% x permit fee [2a)): I (b) Fire and life safety (40% x permit fee [2a)): I (c) Subtotal of fees above (3a a:!ld 3b): .' ....gONTRApif;9R;i@rAtLAj:J9t,l',.' Business name: I-/';;"yd.rtl\ I.l"....v<. Address:' <"'~t=, , I City I Phone: I E-mail: I CCB license no.: Print name: I Signature: $ ~'IS-fL $ $ j j j 1 I .1 (a) Seismic fee, J% (.01 x permittee [2aD: $ '1 TOTAL fees and surcharges (2e+3c+4a): $ I~'.-'.."..'"'';''''' .... '.B-.C.... 'N';'R' ""C'''];' '...R'I..N. E'O" ,.._, .-.,.-....,.".".'.,,".-.'"'...,'.' "cc....u,'.'."..',...SU -0 d' A,' ,0 '. ~,RMA.TION"....,....'...',;:....cc;,...,,'..':.1 ",~:". ":'. '.'.' .'.:' ,"'.',"> '.-.-" ..' - ',..". . ..'. '-'." . "'... .,'........ <' .'.,..,.......,.....,..,..... - ..' .' ";~ .~..."_..'".~:....:;"P':~"".,'y.'....n':'.\'. Name I (CB License Number Phone Number J I Electr;cal n :2.-)(',(;' :<.n - Rwi . I I Plumbing 31 747 q~'i'- kq t.{;). i I Mechanical 31..?--"'7 ({i7:J-CJ510' I \oQ~~ 9\.\ ~o.t--~'\ ( F\'-\V\ Re I!\~..J 1 Electrical Permit Applicatioil D 225 Fifth StreettSpringfield,OR 97477.PH(541)726-3753+ FAX(541)726"3689 ~PR'NGF'ELD ~ 1~,;r"i9~~~~,~!~~Jiri.~~J:~ill' ~" i,~", -I' 1 '" .~ :, t>@ . ~ Ill( ~~ ~ Permit n00t{ - \\,,~ ' I Date: I 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. ~~"i,"';';~N'="G.''''\'iE-R''N''M'-~E''N';'-''''I''OD'R-0'''.\%'''-''''"'''.-' -,~~..."'~l~a;~.2~"~',,~,~..WJ,,::j._~_.~..:_...~:_~JHcI~.~t_,..~,,'~1!;\~~~~:1 I Zoning ap~;oval verified? 0 Yes 0 No 1 i~_1i:~~\I1~:~=Q]~<<~1'}~!;J~~mf;(I!J;fuljWr~~W:ti!i;~~~ I 0Residential I 0 Government I 0 Commercial I !~iJl1!l:[El;i1s'jm]~iJ[NIi.(j5,[M~J<iIN:'1la'N];lJi(li'fi,G*'iJI~~-'-~~.:;l'-iii I Job site address: ) rff .J![' I I City:Jy",~.c:r 101 I State: oK I ZIP: '17'-178' I I Subdivision, 'lC tVIov-J ")' J Lot no,: ...;/0 I ~!~;.ij;~---' 1""""';~~1f,~~"BR0BER;f;,Y$!OWNER'\i'!i'i~jt!~~,'l(~.j~S{i1!~I' ~~i:WJi<l)~~F;i::J.-,if.~M"'_".'~' _._,-,-",_.!lI~.."",~"." ___"-,::sI~,,",,,A'.12i'"!~itI'~:"''''",F.'''_ot1\.A4M,., Name: \-lsIJcv\' KCVro-e <;. I Address: .JL;C"-( <;w- f,(",oRr I I City: r<",,,{v>1CVl vf I State: <) R I ZIP:'j'77S-G.1 Photie: 5'11-218- b')~5' I Fax:S?(I-?'!I- ,;J572' ' I E-mail:' I Signature: ~~~""~""(r0"'NmRl('erui!J'R'!I!jNSm'i'll!iiW":;?;l.'0' 'N',,,,~~;"i,,~,~;,",,~~l I \C'.1t~r?,,~~;'~~,"^., ._'_'..'.'. ~_~_ _:L~,_,__"_,"'_,____Lj~~ ~I;\;_I; L__~."3T.;:&ffilK~=>_~":ol'r'?'l Business name: - 7,;'r \'J:l(~, E I pC I ' I I Address: ~O<(. A (OVe'1 C t- I I $ 6,00 I $ I I City: rx~ Y'\d\ I State: oR . -[ ZIP: I b. Fee for branch circuits without purchase of a service 'or feeder fee: I I Phone:;li-3il-19q~,1 Fax: 1'1 Firstbranchcircuit(2) I $ 55,00 $ I I E-mail: I I Each additional branch circuit I $ 6.00 $ I I CCB license no,: 'riL- 3roC, I BC,? lie,!!,se n9,: ( .:J2r), I I Miscellaneous fees: service or Jeeqer notincluded I I Signing supervisor's license no,: ~J.;{kr/~ I I Each pump at irrigation circle (2) " $ 63,00 $ I \ Print name of signing'superyisor: V<:VLr... ..)"'\Y2..\(,...\::.. (.;.~'fL 'I I Each sign or outline lighting (2) i $ 63.00 $ .1 Signature of signing supervisor:" I I Signal circuit or a limited-energy panel, $ 63.00 $ alteration, or extensjon (2) _ I Each additional inspection: (I) I $58,00 $ . ~~.&P'f~Jg(8~~'~fu~~~".I . .,.).,~ (A) Enter subtotal ofabovefees ) V?~q, (Minimum Permit Fee $58,00) $ 2.1q.~ ~ ,,\.\0 I (B) Enter 12% surcharge (,12 x [Ah $ ~2..lt:rt .\ ~ I (C)Technology Fee (5% of[A]) $15.u,' ~ This installation is being made on residential or farm property , owned by me or a member of my immediate family, This ' property is not intended for sale, exchange; lease, or rent. OAR 479.540(1) and 479,560(1), ~~ ~ ~Cl.\O C\"(; 440-2584-!(9/08/CCJ!<O __,;~~i~7Jj..3.h-'1'!;~~"j&{f.'~1JI:t I Residential, per unit, service incl~de.d: .1 11,000sq, ft, or less (4) I $134,00 $ 131, I I ~~i~:ritional 500 sq ft, or portion 2> $ 25,00 '$ ~5 I I Limited energy (2) $ 32.00 I $ I I Each manufactured,home or modular I I dwelling service or feeder (2) Jr $ 63.00, $ 1 Se'-;'ices or feeders: installation, al,!eration, relocation - \. '\ 200 amps orless (2) , $ 81,00 $ I I 201 to 400 amps (2) " $ 95,00 $ I I 40 I to 600 amps (2) $158.00 $ I I 601 to 1,000 amps (2) $205,00 $ I I CJver 1,000 ampsorvolts'(2) $469,00 $ I I Reconnect only (2) , $ 63.00 $ ! 1 Temporary services or feeders: in~tallation, alteration, relocation ,I I 200 amps or less F) $ 63,00 $ w'!, I I 201 to 400 amps (2) $ 87,00 $ I 40 I to 600 amps (2) Ii" $126,00 , $ .~, Over 600 amps or i,oOO volts, see {ervices or feeders section above I Branch circuits: new, alteration, e#tensionper pane'l I a. Fee for branch circuits with pur~hase of a service or feeder fee: Each branch circuit ,. Willamalane Park & Recreation District Job. No'., Q.Q.- \\o'bB SYSTEI'o'I DEVELOPMENT CHARGE WORKSHEET FOR 2009 NAME:~~ff\\e~i\se.s , ' PHONE: 9...'l.fJ:J .~q35 A[)DRE~~t41ltf. 5k)~~~CITYJ\~D~TATEO~zIP:q"11~ ,. LOCATION OF PROPOSED BUILDING SITE: Street Address: 546 u.t.~ -!t, 2.' . Plat Name: Tax Lot Number: 1 ,DEVELOPMENT TYPE (Check appropriate dweiling(s), Dwelling type definitions are on the back.) , 'A. Sinole-Familv Detached NO. OF UNITS . \ X $2,858 per unit = " () ri..r;;;.o_ a:J $ f ~~. ,.;. B. Sinole-Familv Attached NO, OF UNITS X $3,100 per unit = $ C, Multi-Familv Aoartment , NO. OF UNITS X $2.1341 per unit = $ . , D., Sindle Room Occuoancv NO, OF UNITS X$1,321 per unit = $ E, Accessorv Dwellino Unit , NO. OF UNITS WILLAMALANESDC X $1,550 per unit = $ $ ': Q.OO6.cD QY $, 2. SDC CREDiT (If applicable) SDC payer must furnish proof of WillamalaneCredit'approval.) . -~'-""-"''','e'-_',__'~..__''._'_ _ __._._'_,'_r. ~.. ~_ .1: --3;-TOT'AI:WICI:AMAIiANENET-SDC ASSESSED~-'--' .. -' -.--.- 1[fl --a-W- (if SDC reduced for Credit) $ )~~ ~ I 0\t\~DD . ~~ \ta/i: to .' Development Services'[;~\artment Date i. City of Springfield r 5 ,.1, 225 Fifth Street Springfield, Oregon 97477 54]-726-3759 Phone City of Springfield Official Receipt DevelopmeI,1t Services Department Public Works Department Job/Journal Number ,COM2009-01658 COM2009-01658 COM2009-01658 COM2009-01658 COM2009-0 1658 COM2009-01658 COM2009-0 1658 COM2009-0 1658 COM2009-01658 COM2009-01658 COM2009-0 1658 COM2009-0 1658 COM2009-0 1658 COM2009-01658 COM2009-0 1658 COM2009-0 1658 COM2009-01658 COM2009-0 1658 COM2009-0 1658 'COM2009-01658 COM2009-0 1658 COM2009-Q 165 8 COM2009-0 J 658 COM2009-01658 COM2009-0 1658 COM2009-01658 COM2009-0 1658 COM2009-0 1658 COM2009-0 1658 COM2009-0 1658 COM2009-0 1658 COM2009-0 1658 Payments: Type of Payment Check cReceintl RECE]PT #; ]20]000000000000]34 Date; 02/16/20 I 0 , De'scription Addressing Assignment Willamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Fire SF Fee - Residential Plan Review Major - Planning Sidewalk Pem,it Curbc~t Permit Curbcut - 2nd Curbcut Mountaingate Impervious Area 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/Stonn Admin SDC Transportation Admin 3 Baths One & Two Family I st Appliance ' Vent Fan Appliance Vent Exhaust Hoods Dryer Vent Gas Outlets 1-4 Fireplace (Listed) Heat Pump Building Permit + 12% State Surcharge + 5% Technology Fee ~.;; . ..~ Paid By HA YDEN HOMES LLC Item Total: Check Number Authorization Received By Batch Nu'mber Number Uow ~eccjvcd njm 21959 In Person Payment Total: , Page I of I 8:20:12AM Amount Due 38,00 2,858,00 134,00 75,00 63,00 106,80 211.00, 88,00, 88,00 (45,00) 635,21 869,79 661.39 211.21 931.65 101.97 1,146,50 10,00 149.51 78,88 402,00 79,00 27,00 9,00 13,00 9,00 7,00 20,00 ]7,00 1,254,13 253,10 122,56" $10,625.70 Amount Paid $10,625,70 $10,625.70 2/16/20 I 0