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Home My WebLink AboutPermit Building 2010-2-25 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20I0-00241 ISSUED: 02/25/2010 APPLIED: 02/24/2010 EXPIRES: 08/25/2010 VALUE: $ 163,024.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1086 S 41ST ST ASSESSOR'S PARCEL NO.: 1802061420400 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence - SAME AS COM2010-00223 1045 s 41st Residential Owner: Address: BRUCE WIECHERT CUSTOMrHO\,,/:ES.l1'!(;,oon law requires you to 3073 SKYVIEW LN )'Ir t:" 1 v,l. d '"i~d by the Oregon Utility EUGENE OR 97405 follow rUlescaen~~r Those rules are set forth NntJflcatlon . I 1 g^Rn~.,.nn1. in OAR 952-UUI-UU IV lllU~y o09d ~l)IlIlU-Q~ ~ calhng In\!. '-""I " ~n Utility Notification Contractor number.for-the.O~~OO_332_~nse Expiration Date BRUCE WIECHERT C~If'IOME'S INC 101717 09/16/2010 L & E ELECTRIC INC 105475 03/30/2010 COMFORT FLOW 460 . 06/27/2011 STEVE R JOHNSON 65065 03/12/2010 I BUILDING INFORMATlON~ Phone 541-606-5050 541-933-2653 541-726-0100 541-342-3765 Contractor Type General Electrical Mechanical Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # .2!.Bedrooms: I R-3 U VB # of Stories: 1 Lot Size: NOTIC9'leight of Structure II: ;rHtl~RK Sq Ft I,st Floor: THIS PE~fM1<(;mll EXPIw;.~M Ilf. "mOT Sq Ft 2nd Floor: O&leIl:R THIS PERM 1~' Sq Ft Basement: AUTH E I F<<U ABANDONED FO Sq Ft Garage/Carport 3 COMM on Sq Ft Other: ANY18Q~ I ,tiling: n/a Occupant Load: 6,050 1,520 420 I DEVELOPMENT INFORMATION ~ REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 7.00 10.00 20.00 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: %~ofLorCoverage: 3 Yes 33.00 Total: Handicapped: Compact: 2 I PUBLIC IMPROVEMENTS . Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: Paee I of 4 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line \:,,:j ,. .1,' i't CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00241 ISSUED: 02/25/2010 APPLIED: 02/24/2010 EXPIRES: 08/25/2010 VALUE: $ 163,024.00 Status Issued I Valuation Description ~ Estimate Gara2e/Misc SF/Duplex Tvpe of Construction Estimate U VB Utility R-3 VB 1&2 Familv $ Per Sq Ft or multiplier $1.00 $37.72 $96.83 Square Footage or Bid Amount 100,000.00 420.00 1,520.00 Value. Date Calculated Description Total Value of Project $100,000.00 $15,842.40 $147,181.60 $263,024.00 02/24/2010 02/24/2010 02/24/2010 ~ Fee Description Amount Paid Date Paid Receipt Number + 12% State Surcharge $7.56 2/24/10 1201000000000000174 + 5% Technology Fee $3.15. " 2/24/10 1201000000000000174 Plan Review Same As $250.00 '. ,.;, :. \. . 2/24/10 1201000000000000174 Temp Power 200 amps or less $63.00 2/24/10 1201000000000000174 + 12% State Surcharge $198.51" 2/25/10 2201000000000000170 + 5% Technology Fee $100.56 . 2/25/10 2201000000000000170 1st Appliance $79.00 2/25/10 2201000000000000170 2 Baths One or Two Family $337.00 2/25/10 2201000000000000170 Addressing Assignment $38.00 2/25/10 2201000000000000170 Appliance Vent $9.00 2/25/10 2201000000000000170 Building Permit $969.23 2/25/10 2201000000000000170 Credit- SDC Storm Improv $-1,094.51 2/25/10 2201000000000000170 Curbcut Permit $88.00 2/25/]0 2201000000000000]70 Dryer Vent $9.00 2/25/10 2201000000000000]70 Exhanst Hoods $13.00 2/25/10 2201000000000000170 Fire SF Fee - Residential $97.00 . 2/25/1 0 2201000000000000170 Fireplace (Listed) $20.00 2/25/10 2201000000000000170 Gas Outlets 1-4 $7.00 2/25/] 0 2201000000000000170 Plan Review Major - Planning $211.00 2/25/10 2201000000000000170 PW Disc - 2nd Permit $-30.00 2/25/10 2201000000000000]70 Residence Wiring 1000 Sq Ft $134.00 2/25/10 2201000000000000170 Residence Wiring Ea Addtl 500 $50.00 2/25/] 0 220]000000000000]70 Sanitary Sewer - Improvement $507.07 2/25/]0 2201000000000000]70 Sanitary Sewer - Reimbursement $666.84 2/25/10 2201000000000000170 SDC MWMC Administration $10.00...., , , 2/25/10 2201000000000000170 SDC MWMC Compliance Charge $22.63 2/2 5/10 2201000000000000170 SDC MWMC Improvement $1,333.57' 2/25/10 2201000000000000170 SDC MWMC Reimbursement $101.97' 2/25/10 2201000000000000170 SDC Sanitary/Storm Admin $95.89 2/25/10 2201000000000000170 SDC Tran Reimburs-Residential $211.21 2/25/10 2201000000000000170 SDC Trans Improvement-Resident $931.65 2/25/1 0 220]000000000000170 SDC Transportation Admin $93.36 2/25/10 2201000000000000170 Sidewalk Permit $88.00 2/25/10 2201000000000000170 Storm Drainage Impervious Area $1,094.51 2/25/10 2201000000000000170 Paee 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM20I0-00241 ISSUED: 02/25/2010 APPLIED: 02/24/2010 EXPIRES: 08/25/2010 VALUE: $ 163,024.00 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amount Paid $27.00 $2,858.00 ' $9,601.20 ; 2/25/10 2125/10 2201000000000000170 2201000000000000170 Vent Fan WilIamalane Single Family I Plan Reviews ~ Plunnill2 Review 02124/20 I 0 02124/20 I 0 APP DDK Required street trees as shown on street tree plan attached to permit: species as shown. 2" caliper, leave name tag on until approved. 2 trees along Stellar Way and I tree along S. 41st Street. Storm water to curb via weep hole As noted on plans Public Works Review Structural Review 02/24/2010 02/24/2010 02/24/2010 ,02/24/2010 APP APP LKW CJC 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. ~e(]lIirerUnsnections ~ , . Ufer Electrical Gronnd: Install ground rod at'footing 'lIld 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. Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. Post and Beam: Prior 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 cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Masonry: Final Building: After all required inspections have been requested and approved and the building is complete. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. " , Undertloor Plumbing: Prior to insnlation or' d~'ckihg. ' Undertloor Drain: Prior to cover or placem:ent of conc'rete. Paee 3 of 4 ~~r~!~:~'~j . , "'-"'", - . . ~c~ ., ........'......,.,.. CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM20IO-0024I ISSUED: 02/25/2010 APPLIED: 02/24/2010 EXPIRES: 08/25/2010 VALUE: $ 163,024.00 225 Fifth Street, Springfield, OR 541-726-3753 Phnne 541-726-3676 Fax 541-726-3769 Inspection Line Rnngh Plnmbing: Prinr tn cnver and including reqnired testing. Water Line: Prinr tn filling trench and inclnding required testing. Sanitary Sewer Line: Prinr to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is cq:npl~te: . '!'.:i' jI " Underllnor Mechanical. Prior tn insulatinn .or decking.and including required testing. Underllnnr Gas: After line is installed and required testing and capped if nnt attached to an appliance. Rough Gas: After line is installed and required testing and capped if nnt 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 Gas: When all gas wnrk is complete. Final Mechanical: When all mechanical wnrk is cnmplete. Temporary Electric: Apprnval required prior to Utility Cnmpany energizing pnle. Rnugh Electric: Prinr to Cnver Electric Service: Approval required prinr tn ntility company energizing service. Final Electric: Wben all electrical wnrk is cnmplete. Curbcut - Standard: After forms are erected but prinr tn placement of cnncrete. Sidewalk - Curbside: After fnrms are erected but prinr to placement .of cnncrete. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. " "lH :,' " ~/. By signature, I state and agree, that I have carefully ex'amin~iI 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 accnrdance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining tn the wnrk described herein, and that NO OCCUPANCY will be made of any structure without permission .of the Cnmmunity Services Division, Building Safety. I further certify that .only contractors and emplnyees whn 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 propel' time, that each address is readable from the street, that the permit card is lncated at the front of t -property, and the approved set of plans will remain on the site at all timeslptructiok ~/ 2/;0 . Owner 01' Contractors Signature Date Paee 4 nf4 ',' ;:;1. ,', j,~ ;.}i~ ".~.~ .\, , SAI'\'\L- CAS Structural Permit Application-_ '~ ( /oy~ 'f/'St'_ C/O - 00 '2.Z 3 bEPARfMENt~(jsfON6Y1', "...."~C"""',.,.,"..";i"fi'!.~"".,c".1-~,,,.;..!.:...'::.-.,""',.s;" v ;'1~f'1;"~ ClrlY~'oF SPRiNGEIE41D, 9REGON ,'. .\;,,: .,/~: . Date: "2 I a 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. ~~I;t.~jl9CAiJlrGgY~.B~M~f1ARRR9...7Ai#~~1~?i~$! This project has final land-use approval. Signature: Date: This project has DEQ approval. Signature: Date: Zoning approval verified: 0 Yes 0 No Property is within flood piain: 0 Yes 0 No t_~)!1t;~~;g~T.~G'Qf{Y!fQ!1'J~q9N~TR!JC:rlqi:t<Li,;:~~:i,j.\;: ......if;! [J] Residential I 0 Government D Commercial J1"'~";iI1JOBJ,si'1'E~fNF6RMA:'ffo"i'ANDDEoCAiiONj?;tf?;:;;)?,I!1 ~i!I'Ii. lil! ..................~...,......../I!> ....... .......... ...., ...,. Job site address: I 0 ~ b ~ '-115+ City:<:"";,,.., C: d) State: OIL I ZIP: q 717 7 SUbdivision:F';'lhM'-\ (Y\u,J.oI.J'JI Lot no.: q t. Reference: I Taxlot: ~ifl~lit~\'Pt':'~~W"(lZ~iRRQR~Rrr.~Q\.yN~~i;i, .:>. .' ;/'V .... . ';.: Name: (!, ('Ji<. Iv;, d,..tC"r,\;)" \10",." :tNt.. Address::' 0 ']'3 5 (,... . ,,:. w I- N City: t v'(C"-~ State!) I'- I ZIP:") 7j 05" Phone: -bU- '1'i,>g Fax: -,f1- S3bl- E-mail: W\~.:J....tho.....-5Qc...~."~\I.Ve. t' This installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010. 225 Fifth Street + Springfield, OR 97477 + PH(541)726-3753 + FAX(541)726.3689 Sign here: ."1~~g,Qi{fMi::Tg.F!1I!@.fA~PAjiQ~Hij~t%l\~f.::]:~,;,~;Z;;iii Business name: 'b.,",", l<J;ecl<.", C"-;\:>,,, 1;0""" Ilv'- Address: '3 073 S IL~ .;~..,j LV'- City: C", eH. State:O<L I ZIP;'17)DS- Phone: "-M/, '1'7 S 7 Fax: -3'1'1 - 33 b Z E-mail: W: ed,,-. \ \..,0,'1-' S @ co,'" ct..s4 ~ v..j~ \ CCB license no.: fO II (7 Printn~e:'&) -eN',,;..!e W.:-~i-o..,r-v Signature: W w.____-. ~~_il'1~({i';!~y!!}:gQNt~g:tQl'{,lNF,:9BM~j;lQjlf4l1'!},jfr{:Wili::.';;;'. Name CCB License Number Phone Number Eledrical/....e J05'17.< 5</'1'1& Plumbing5f(.v<i p ".~I,'.,< b.$I1(,5 :> Yl-}'l&, Mechanical C!"H 0 If b () 72.6- 0 I 0 0 ....'NQ.......~ I.!~ . ~.~, Permit no.: Ci D- 2Lf , ~-~-;<t,~~:q~~':#~~1~1\f~~~-=Ees-.c-H'.,..E.Du~'tE:~~1rt.1fJi;"i -- .:.L;~i~~:/;i;.' x.~Jt"l','):i.Al~~T~"'" i:1;!L.~__'"_~_...____'_.._. ~;.".._~:t~~ _...:~~;-.}i..~':.~y~:", ,~.:lrv31u:i1rsif1Ift~Fmatffifi~r~~~t;A;}.:~tfJ~~P!~nt.~~?%;;i!t!;%c '- .J _.. 'h '_h__.'V "'n._ _....m._. ..}..:ti,.; A;..,..,....., ..,.,' '_' ...~",..,,-t"W!l~"'Jil:~-;J:~f:.Jil5::,y,.,_. (aJ Job description: }.jftJ Occupancy IA Construction type: V ~ Square feet: Cost per square foot: Other information: Type of Heat: E rgy Path: o alteration (b) Foundation-only permit? Total valuation: . 2. Bui"lill'g'f~~~t;:t;%i~.;;;~!t,J...,' . (a) Permit fee (use valuation table): (b) Investigative fee (equal to [2a]): (cJ Reinspection ($ per hour):. (number of hours x fee per hour) o addition DYes ONo s "'. ",,:' '':\: .t':,<~1!i~lt~fK4~~~j;~?~<._:'- : $ S s (d) Enter 12% surcharge (.12 x [2a+2b+2c]): S (eJ Subtotal nffees above (2a through 2d): S IT}~.j.~ia~~~Yl~ifr~~i~\~~~~nm~J;{~-~t~~s~~-~_<1~:t~i~J~):.~::. (a) Pian review (65% x permit fee [2a]): (b) Fire and life safety (40% x permit fee [2a]): (c) Subtotal of fees above (3a and 3b): . 4. M:isce.JirllC'oils;i~'H/f' (aJ Seismic fee, 1% (.01 x permit fee [2a)): $ TOTAL fees and surcharges (2e+3<+4a): S Electrical Permit Application ClT:Y OF SPRINGFIELD, OREGON , 225 Fifth Street. Springfield, OR 97477+ PH(541)726-J75J. FAX(541)726-3689 ,'. bE'p_~RTIVfENfuSE ONLY' Penn it no.: {! I~ -;:l 'f I Date: It) 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. '\..' ';LbCAL' GOVERNMENTMf'RbVA,"~,'t.;'. Zoning approval verified? 0 Ves 0 No ("J':;,>?CATEGORY';OF:CONSTRUCtIONh:, . D Residential D Government D Commercial rj.il:J'i-;')~O' 8","SIT'E?,'NF"O'R'M"A' 'T' .I'ON' i'A"'N'D-/:;r'O"C'A' 'T. 'I'ON' ""2';,;\'x-t: . ,~..."",,,,,,,,,<-.'. ..)." ,".._ \',_. .;... __..~.". ._.._,". ......:,~~. '" _ '.. _.~..'.",...i":", Job site address: 10 'g b --S '7;pi" 5: I City: <; t \ ~ State: ZIP: .....- ," Reference: Taxlot: . . 'DESCRIPTION,. OFWORK:,',<:: :'.,.;.:\" 4 PROPERTY,O NER Name: ~'/' I/u W \ ecke.A CJ;.-!-o", Address: 307 :s 5 It I fJ City: .( u u-<-- ZIP: "f 71 0 )' Phone:W -bab Of .s ~ Fax: GV!-'3Yf ;>36 'Z- E-mail: W;cc-h..~~\-(l~5eCoMc-...st . N"-T 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, exchange, lease, or rent OAR 479.540(1) and 479.560(1). Signature: CONTRACTOR INSTALLATION. Business name: k ~ e f ec-+V: c... Address: l 8 3:5 -:5ores. Ac.(e.5 City: S f \c State: 0 )'t. ZIP:'l7'f'7C1 Phone:;\'t/ -5ZI- 4r 'i ~ Fax:5lff 933 ..2.5Cf E-mail: CCB license no.: O$' 4'7S-' BCD license no.: ")'t3:, c:. Signing supervisor's license no.: '1/ 7 if - S- Print name of signing supervisor: t7 () 0" "o"J~,... Signature of signing supervisor: c;(7~k 440-2584-J (9/08/COM) dD S:~:'~.:\;)~?tJ;'~~{'fW\Y,-~tW~::i~-FE-E~.:~S-CHE.[j"UJ]E~;:;!~~,tWt~P~;:::f~;~:;t~:~7\~lt~i~~~~Fh 'N ~m~er ?fi~Jpec.t~?~s pc.r:t~~_():? (jtr. . ..~~~~ '. '1~~t~1 i Residential, per unit, service included: cilJ 1,000 sq. ft. or less (4) r $134.00 $ \'H\ . Each additional 500 sq. ft. or portion I).. $ 25.00 $~D :V thereof Limited energy (2) $ 32.00 $ Each manufactured home or modular $ 63.00 $ dwelling service or feeder (2) Services or feeders: installation. alteration, relocation 200 amps or less (2) $ 81.00 $ 201 to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158.00 $ 601 to 1,000 amps (2) $205.00 $ Over 1.000 amps or volts (2) $469.00 $ Reconnect only (2) $ 63.00 $ Temporary services or feeders: installation, alteration, relocation 200 amps or less (2) .~ $ -, 63.00 hl.l-J. 201 to 400 amps (2) $ 87.00 $ 40 I to 600 amps (2) $126.00 $ Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: new, alteration, extension per panel a. Fee for branch circuits with purchase of a service or feeder fee; Each branch circuit $ 6.00 $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) $ 55.00 $ Each additional branch circuit $ 6.00 $ Miscellaneous fees: service or feeder not included Each pump or irrigation circle (2) $ 63.00 $ Each sign or outline lighting (2) $ 63.00 $ Signal circuit or a limited-energy panel, $ 63.00 $ alteration, or extension (2) . Each additional inspection: (1) $58.00 $ .~.i"i~~41011\[.~t?1{~~\'hi%{AReilicA.Ni"il.J$EVi;~:;~;~,\;;!d'",c";";': .;' (A) Enter subtotal of above fees $i41P ') (Minimum Permit Fee $58.00) (B) Enter 12% surcharge (.12 x [AD $ R. 11 (C) Technology Fee (5% of [AD $ .~ 7:F- TOTAL fees and surcharges (^ through C): $ ~.l tc\ NOt- 'e.Mp ($€1"~~) f'J ee.J b~ willamalane t\l. Park and Recreation District. . Job. No. tJ/tJ-.~4.\ SYSTEM DEVELOPMENT CHARGE WORKSHEET January 1-June 30, 2010 . - NAME~ 1f~iri7;;iEC-H-fi:rL;-(iii~-- ~~ -PHONE~ fc,7b8~ -&fifr% - ADDRESS:'30'7.r S/;:J/ll/ew l.N CITY 6(4EN!f: STATE~ ZIP: cn'lOs LOCATION OF PROPOSED BUILDING SITE: Str~etAddress: I( IS'? 5. "1/$7 J Plat Name:-J8j)l K~DS Tax Lot Number: \ ~ t:'71jlO\ A '1J)4J:P 1.. DEVELOP ENT TYPE (Check appropriate ~welling(s). Dwelling type definitions are on the back.) A. SinQlecFamilv Detached . NO. OF UNITS I X $2,858 per unit = $ .:1-d s:-S- B. SinQle~Familv Attached . NO. OF UNITS X $3,100 per unit = $ c. Multi-Family Apartment NO. OF UNITS X $2,641 per unit = $ D,. SinQle Room Occupancy _..c__.._----'-.____~__NQ._QEUt'iIIS .)<:.$J.,:i~1.R.er uoif:.:_:..:..:._$.' E. AccessoiVDwelliriQ Unit . . NO. OF UNITS .. X $1 ;550 per unit = $ $2~~ "WILLAMALANESDC .u_ -.::_,...,_';":,-:-._:",::,,:_-:::_::,,::,___.:::"-=:";~:::,,,::::=:~~'.:..:'::......:~.;;---'.:.=-==.=::':'::::"":~:.::;-.:.;;::.~__-'':'__'::::=~'_::-:::~..::::.;..;::::..:::_:__~:;::.::.~_ '.:..:=:.'::::.:._!~::_"::'::..:;;-;::.:,::,:'._~;""_:~ , ' , . 2. SDC CREDit (If applicable) SDC payerrnust furnish proof of . ... .._ yvill~!'}~ane_CreditapprovaL) $ 0 . --" - -'- . -0'-"'''-''''''- ...________._.__. 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) $ ?-i"st t!1t- 2 I 2 'Y I ..2.<1/ cJ Development Services Department Date City of Springfield . .5 225 Fifth Street Spl"ingfield, Oregon 97477 541-726-3759 Phone if~ City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000170 Date: 02/25/2010 ' 8:24:0IAM Job/Journal Number COM20 I 0-00241 COM20 I 0-00241 COM20 I 0-00241 COM20 I 0-00241 COM20 I 0-00241 COM20 I 0-00241 COM20 I 0-00241 COM20 I 0-00241 COM20 I 0-00241 COM20 I 0-0024 I COM2010-00241 COM2010-00241 COM20 I 0-00241 COM20 1 0-00241 COM20 1 0-00241 COM20 1 0-00241 COM20 1 0-00241 COM20 I 0-00241 COM20 I 0-00241 COM20 I 0-00241 COM20 I 0-00241 COM2010-00241 COM20 I 0-00241 COM20 I 0-00241 COM20 1 0-00241 COM20 1 0-00241 COM20 \ 0-0024\ COM20 1 0-00241 COM20 I 0-00241 COM2010-0024 1 COM201 0-0024 ! COM201 0-0024 I Payments: Type of Payment CreditCard cReceintl Description Plan Review Major - Planning Addressing Assignment Willamalane Single Family 2 Baths One or Two Family I st Appliance Vent Fan Appliance Vent Exhaust Hoods Dryer Vent Gas Outlets 1-4 Fireplace (Listed) Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Fire SF Fee - Residential Building Pennit + 12% State Surcharge Sidewalk Permit Curbeut Pennit PW Disc - 2nd Penn it Stonn Drainage 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 MWMC Compliance Charge SDC Sanitary/Stonn Admin SDC Transportation Admin Credit- SDC Stonn Improv + 5% Technology Fee .,. , Paid By BRUCE WIECHERT Item Total: Check Number Authorization Received By Batch Number Number How Received cjc 02521 d In Person Payment Total: " ~.~;\ Page I of I Amount Due 2\ \.00 38.00 2,858.00 337.00 79.00 27.00 9.00 13.00 9.00 7.00 20.00 134.00 50.00 97.00 969.23 198.5 I 88.00 88.00 (30.00) \,094.5\ 666.84 507.07 211.21 931.65 101.97 1,333.57 10.00 22.63 95.89 93.36 (1,094.5 I) 100.56 $9,277.49 Amount Paid $9,277.49 $9,277.49 2/25/20 I 0