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HomeMy WebLinkAboutPermit Building 2010-4-30 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00528 ISSUED: 04/30/2010 APPLIED: 04/29/2010 EXPIRES: 10/30/2010 VALUE: $177,813.00 Status Issued 225 Fifth Street, Springfield, OR .541-726-3753 Phone '541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4161 STELLAR WAY ASSESSOR'S PARCEL NO.: 1802064108600 Springfield TYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: TYPE OF USE: New Single family residen~e:.: SA.M/C 1\S COM2009-01469 1138 s 41st ..f'..r ~ ~', . Residential .. 1"'. Owner: BRUCE WIECHERT CUSTOM HOMES INC Address:, 3073 SKYVIEWLN EUGENE OR 97405 I CONTRACTOR INFORMATION ~ Contractor Type General Electrical Mechanical Plnmbing Contractor License BRUCE WIECHERT CUSTOM HOMES INC 101717 I. & E ELECTRIC INC "'105475 COMFORTFLOW HEATING STEVE R JOHNSON 65065 I BUILDING IN~\O ~ON:ore\J"I" \neOre e\t~ tf.u(14lIlU\J ~ aSS rules~: :S2-Q91.I R-~Ml!1l /ij\\~0"", 1dB'.t9I VIJno~~:atA9 ':~;~~li~S oo:n"'9 \llGl1l! l~n \J\\\i\'I N~';~ctric 3 rn\:l8f~,&\1g\~R!8Elo-332-2.34 .,. 1\11 ~~d'Building: n/a # of Units: Primary Occupancy Group: Secondary Occnpancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I DEVElcOPMENT INFORMATlO~ Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 18.00 6.67 5.00 21.00 0.00 Expiration Date 09/16/20 I 0 03/30/2012 Phone 541-606-5050 541-933-2653 03/12/2012 541-342-3765 Lot Size: Sq Ft 1st Floor: 1,700 Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport 350 Sq Ft Other: Occnpant Load: REQUIRED PARKING Total: 2 3 Handicapped: Yes Compact: 37.60'__ /J"" - ,_".:,...,iii:~i1f>1'i!:I""~"':-~- .. :l'~~~~;'tOl.r-.~1J',. \' ~,_d:#?;~~q..':'-F#;":"'-"'" <~ I PUBLIC IMPROVE~ """P\?-'C "~"' it \S ~Q1J\: ~O . S~\.\.,~" ~f.?-"^' ~ ,:j)',,:" Fully Improved \-lIS 1't.~\oJ\~ ~\1"f~~;l'IQ~t.~ f~ ,', ;;~:~':"Curbside 5' . Yes' \p..\l\\-IO~I1.t.\)\) ~~Jt&!f!IlIl'rains,:,."/" Curb and Gutter CG\'J\\'J\t.~Ct:p..'l \'t.~IQ\). p..~'l ~ \)0 \) Street Improvements: Storm Sewer Available: Special Instruction: Notes: ",(,',_.',J!,~ I. \ " \, , ,.:;. '\~" ; , ~f.i, -!{I~ '~'Paf!e i of 4 ,'~\; ~ Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvve of Constrnction Use Bid Amount U VB Utilitv R-3 VB 1&2 Familv Bid Amount Garaee/Misc SF/Duvlex Fee Descrivtion + 12% State Snrcharge + 5% Technology Fee Plan Review Same As Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less + 12% State Surcharge + 5% Technology Fee 1st Appliance 2 BathsOne or TwoFamily Addressing Assignment Appliance Vent Building Permit Curhcut Permit 'Dryer Vent Exhaust Hoods Fire SF Fee - Residential Fireplace (Listed) Gas Outlets 1-4 Plan Review Major - Planning PW Disc - 2nd Permit Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Compliance Charge SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Improvement SDC Transpo Reimbursement SDC Transportation Admin Sidewalk Permit Vent Fan WiIlamalane Single Family : _n. ,'-, ,~5. ii,'. t/ 'l.(.",.,,~. i- ?~~.. ~Ji \~ ,> j I Valuation Description I $ Per Sq Ft or multiplier $1.00 $37.72 $96.83 Square Footage or Bid Amount 176,743.00 350.00 1,700.00 Total Value of Project ~' I," , ,. Amount Paid' , $32.64 $13.60 $250.00 $134.00 $75.00 $63.00 $183.27 $94.21 $79.00 $337.00, . $38.00 $9.00 $1,026.21 $88.00 $9.00 $13.00 $102.50 $20.00.... $7.001-'1:" $211.00";;" $-30.00 '. $507.07i $666.84 $10.00 $22.63 $1,333.57 $101.97 $103.99 $931.65 $211.21 $91.50 $88.00. $21:00 ' $2,858.00 ;~~~l;'1<~':: Date Paid ",.' ' 4/29/10 4/29/10 4/29/1 0 4/29/10 4/29/10 4/29/10 '4/30/10 ,4/30/10 4/30/10 4/30/10 4/30/10 4/30/10 4/30/10 4/30/10 4/30/10 4/30/10 4/30/10 4/30/10 4/30/1 0 4/30/10 4/30/1 0 4/30/10 4/30/10 4/30/10 4/30/10 4/30/10 4/30/10 4/30/10 ;4/30/10 4/30/1 0 4/30/10 4/30/1 0 4/30/10 4/30/10 Paee 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00528 ISSUED: 04/30/2010 APPLIED: 04/29/2010 EXPIRES: 10/30/2010 VALUE: $ 177,813.00 Value Date Calculated $176,743.00 $13,202.00 $164,611.00 $354,556.00 04/29/2010 04/29/2010 04/29/2010 Receipt Number 2201000000000000427 2201000000000000427 2201000000000000427 2201000000000000427 2201000000000000427 2201000000000000427 2201000000000000439 2201000000000000439 2201000000000000439 2201000000000000439 2201000000000000439 2201000000000000439 2201000000000000439 2201000000000000439 2201000000000000439 2201000000000000439 2201000000000000439 2201000000000000439 2201000000000000439 2201000000000000439 2201000000000000439 2201000000000000439 2201000000000000439 2201000000000000439 2201000000000000439 2201000000000000439 2201000000000000439 2201000000000000439 2201000000000000439 2201000000000000439 2201000000000000439 2201000000000000439 2201000000000000439 2201000000000000439 Status Issued s.~ , CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00528 ISSUED: 04/30/2010 APPLIED: 04/29/2010 EXPIRES: 10/30/2010 VALUE: $ 177,813.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line .." .1. Total Amount Paid $9,708.86 I Plan Reviews , Plan nine Review 04/29/2010 04/29/2010 , APP DDK Public Works Review 04/29/2010 04/29/2010 APP TSS Required street trees as shown on street tree plan attached to permit: species as shown. 2" caliper, leave name tag on until approved. Stormwater to curb and gutter through weep hole. As noted on plans Structural Review 04/29/2010 04/29/2010 APP 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. " ~ ;, ' ~(l(lllirerUnsnections I Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures 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 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. Slab: To be made after all ins lab 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 Bnilding: After all required inspections have been requested and approved and the building is complete. Undernoor Plumbing: Prior to insulation or decking. ~, ~" ' "'P': , "':;~1~1 '. .:'1" Undernoor Drain: Prior to cover or placement of concrete. Pace 3 of4 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM20IO-00528 ISSUED: 04/30/2010 APPLIED: 04/29/2010 EXPIRES: 10/30/2010 VALUE: $ 177,813.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to tilling trench and including requi~ed testing. Sanitary Sewer Line: Prior to tilling trench an'd including required testing. ','" ' Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Underlloor Mechanical. Prior to insulation or decking and including required testing. Underlloor Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Gas: After line is installed and required 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 inclnding required testing. Presure.test done at this point. Rough Mechanical: Prior to Cover 1,( Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval reqnired prior to Utility Company energizing pole. Rongh Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. . . Final Electric: When all electrical work is complete. .'li" 11.\.ri,'_'\' By signatnre, I state and agree, that I have carefullf~iamine'd the completed application and do hereby certify that all information hereon is true and correct, and I fnrther 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 timeSdurl~ L-hO)JO Ow."., C.",,,,.,, "''''"'' ---- Do<' 1; , ld,1P ,., ,<1';1' '. ,..tt 'SL.i.t.\, j,'.)1.i l."j Page 4 of 4 Electrical Permit Application I CITY OF SPRINGFIELD, OREGON I 225 Fifth Street. Springfield, OR 97477.PH(541)726-3753+FAX(541)726-3689 '" DEP~RTMENtusE ONL. y.' .' tJ - '-:1 r- Pennit no.:./I > - Date: If) This permit is issued under OAR 918-309-0000. Permits are nontransferahle. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. . ;c-OCAVC;>OVERNMENt ""P.F'ROVAG;:'~/''J'' Zoning approval verified? D Ves D No >:':i.,:'}::,,:.cATEGOR~j'c5F ':CONSTRUqION'S, .'.;' '. o Residential 0 Government 0 Commercial . \(~~tt~i:~tOB~.SITE; INFORMATI()NrANJj!.i(:O_CA'f,ION:ti;i'~5':E lob site address: 4/6 S+~/'t;"v City: Residential, per unit, service included: 1,000 sq. ft. or less (4) ( $134.00 $rN Each additional 500 sq. ft. or portion 3 $ 25.00 $'1) 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 $ 40 I to 600 amps (2) $158.00 $ 601 to 1,000 amps (2) $205.00 $ ZIP: "1710) Over 1,000 amps or volts (2) $469.00 $ $ 63.00 $ ~o't\C~~ ~ S 1\1\S ~'t.~~'t.O ~ . [:>,1.)1\10 HIC't.O') 12% surcharge (.12 x [A]) . CO~~'O\l 0[:>,'1 'i' echnology Fee (5% of [A]) [:>,~ TOTAL fees and surcharges (A through C): Signature: Business name: Address: CCB license no.: O~ 47':> BCD license no.: :363 Signing supervisor's license no.: '-II 7 '1- S- Print name of signing supervisor: ~C Oe "o".l~"" C Signature of signing supervisor: 0<:... ,.~yo< ~, D~ ?513 \.1),~ 6A: \\) ~Wfh ~ 440-2584-J (9/08/COM) $ 63.00 $ 87.00 $126.00 $") $ $ volts, see services or feeders section above .ranc cirCUits: new, alteration, extension per panel a. Fee for branch circuits with purchase of a service or feeder fee: . Each branch circuit $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) Each additional branch circuit $ 55.00 $ $ 6.00 $ Miscellaneous fees: service or feeder not included Each pump or irrigation circle (2) Each sign or outline lighting (2) Signal circuit or a limited-energy panel, alteration, or extension.p) .;, . Each addition'-afih~p~di' $ 63.00 $ 63.00 $ $ $ $ 63.00 $58.00 $ N.tB'i.JSE"i,,\i;fj~~;:",;7W.;.Y.:'; .>'flfLL.- Structural Permit ApplicatioD_ /151 SifS*' L '/'- 0146 1 r ~. . ...'! '" l. . . .'. '.:.:~""li:;o eITY,0F.SPRINGEIELD, OREGON .:'. "1.' _1;,:"'; c ,. 'f """'. 7, -,' . _., 1 _' ~. .'", . . . 225 Fifth Street + Springfield, OR 97477 + PH(541)726-3753 + FAX(541)726.3689 O.A.INOl'1l11LDiij. ~, ,. ,... }), M" 'GlJf .. . . . -"-. ;"'".,< '-~ M'...."""'_..".....-,...~;.,,,',"'".>.."'.4 1\' DEPMHMENT;U~E;qNUYAi. .. "~<". .... ''',' ."~"'~I,*"",,,,,.,. _ ,;...\.1', ,..,. .~~_., Penn it no,: (1/ [J "j2 F Date: t:.j / ;J'1 / I .) ./ , This permit is issued uuder OAR 918-460-0030. Permits expire if work is uot started withiu 180 days of Issuauce or If work IS suspeuded for 180 days. ~~~'tOCA~GOVER...MENl\~APPROVAii!"":;:{il1''"J''"~~'il ~,w.<...__........ ..........lI......,.H............ . ,~f.l1i" ,:!!,!'!r,.",,,,, This project has final laud-use approval. Signature: Date: This project has DEQ approval. Signature: Date: Zoning approval verified: 0 Yes ONo Property is within flood plain: 0 Yes ONo ~~~.,.-......_~._.-.~'..<.._...._.-.... ". . ..:;;:~ ,. " .-i;i~llj,~Ji~AJJ~~OR.Y.;~9If.;,.C;9N1HRUC:rION(t"M!!.'i;. ': [Jj Residential I 0 Government 0 Commercial J\!1ff_<f~Q~ls1igllINff9BMAJiQN'~~&R1l1!Qc::Af!QNn~.fti;%;.i;~~1 Job site address: '-/1 br/J 5'+~ lI~v City:<;o.; "" C .<-1) State: 0 tL I ZIP:'i7Y 77 Subdivision: p;' I h", f~ (1'\",.).0"<' '1 Lot no.: IS' Reference: I Taxlot: ~~ri~i!.ij~r~~,t~~f~WJ;t~~~[RRQ#~R~~.QWtt~~tt::: . ""';';"; ... .., Name: (!, {11l<' /,J: < Gh.,t ("r,\-;Jp.. \lQMO.s ::trJC- Address: 30'73 St.",.cw l-N City: t.'}'tc,,<- StateO I'- I ZIP:') 710'J Phone: .b~b - '1'i')g Fax: .,1'1- 2,3 b ? E-mail:W ) (0h.Nf \--.c""'-S QC)I"<~S\ Ne.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. Sign here: ~'t!~f~M...-'->.,......."."..,~-~.--,.-1:.''''''.."'.~'~":i~A'~' '.,"'''''.'':/..-.,"4:.:'?''',~~I.''::'. ,".:-,',' ill ~i". ;';';.' i>C;QN;TBA9J.Q~.il.'N~I~r,:~IJl:~J,It,~h>iil;\Sii;\{'...,;:~;;i;: Business name: ~c"i.< W ,e~~'",~ Lv~br- 1;.""",- ~ ]:),1,-- Address: '3 07 3 ~ I<~ v; <..v ,-"" City: ('"< e.H- State:O-1l.. I ZIP:C, 7)DS- Phone: -M & cl '1 S ? Fax: ;3'1'f. ~3 b z. E-mail: w; ,,"'1......\ \--.OI\-t'S @ co~'" (t,,)'4 ~ ,>J",t CCB license no.: 101 } r 7 Printn~e:~ -e...../,.;..I~ W",I-n"v Signature: VA IN' _______- j:Nt~~~,,~r~1!f~~EE!SC.HEbiJ[E~~~~l~~...i~r-'.~~\h::: "~_.,:.-.: 'C\...-...l~-~t,':",_" .!J:<;"" .~""~'-\~,~, :':>,._. _",', ,_".. _..... .,....."__,,,, ,t;~~... _~;.",~.-l;}!hifh~,":., ti'(v'T":i''''i'';':''':J;;''ii't;''i"1i~~'''r~(4~~:''~:;jA''i';(.t~'.:;';~~..;;n~i~'~l~;;;t , o'_:e ~~, _u~L~9.ntL .Q!m~,.!QI,lJr:t;I~i",l;;;'t':','~'l~':';';;'~~~~;':trL" , "', ;2t~t.:;fi;:i,' _:"~,~ (a) lob description: }JeW 5 I- i) Occupaucy r:). ItA Construction type: vi) Square feet: /'7Co if '3 "0 tJ. Cost per square foot: Other information: Type nfHeat: t; r 11 En~rgy Path: I ,tt Grnew 0 alteration 0 addition (b) Foundation-only permit? DYes ONo Total valuation: 1'7& '1'-13 I s 'C 2. Do ild~~g:f~~~~:~~f:';f,~"~'mrJt:":i~!~.".. ~)~n~~.~~l:?~fjtfu"~t.;.: : . (a) Permit ree (use valuation table): S (b) Investigative fee (equal to [2a]): S (c) Reinspection ($ per hour):' S (number of hours x fee per hour) (d) Enter 12% surcbarge (.12 x [2a+21>+2c]): S (e) Subtotal of fees above (2a through 2d): S 1'3A'pi'''''i<f~'1''-fi'ti$'~t.lf''til'''i'M';''''i'\'"'il''"'''.Jfi;'E'f''If'i'lfj''' "::,, _t _ ..a,_~_'.r.~Y.. ~l:Yi:.~, . ,,:i~ '~.' ~,J,"ii4i;~~;i!~': ~!"~i\~i~)'t~'::c~'~~. ..-".:rd,0:~"r~f:):_ ';.:, (a) Piau review (65% x permit ree [2a]): $ (b) Fire aud life safety (40% x permit ree [2a]): S (c) Subtotal of fees above (3a and 3b): S '4. Mi"c~ij~ife~!isfeegt;i.' .... . " .'. .,'/~:V2~~~~~tijJ\j~~~~~;f'r~'.:; ~ (a) Seismic fee, 1%(.01 x permit ree [2a]). S TOTAL fees and surcharges (20+3c+4a): S " r' "?'~~~';;SUB:CON:tRACTORNF.(jRMAtrON!l;:,\'!l!i.flt,!....,::,. ,- . ,~.._w...,"..,.,_..."._~....--,,.,;_..~-~..;..,_~...:-<..L_,..-,.,, ..........<",,'.._.". ,'~,.~'1}~'""'P,.._,--, ". " Name CCB License Number Phone Number Electrical t-..e 5LI 'II ~.& Plumbing 51c.vd ., y 2- 3'1 &Z;- Meehanical CI"H 72.6-0100 &, tb \s~<t''0-Q '\fJ'Xj~ .Willamalane Park & Recreation District Job. No.c,O -005 z,f SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2009 , NAME: 1SlJ crt PHONE: <:;'If;''' bar; '5"0 s- Cl ADDRESS:.3073. S~Ie:W CITY k.lG-CN~ STATE~ZIP: 77~or' . LOCATION OF PROPOSED BUILDING SITE: Street Address: 41 b , s ;- (:;t.. ~ Plat Name: /062 06Cf ( wy Tax Lot Number: C> 8"60 () 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dweiling type definitions are on the back.) A. SinGle-Family Detached NO. OF UNITS ! X $2,858 per unit = $ 23St r B. SinGle-Family Attached NO. OF UNITS X $3,100' per unit = $ C. Multi-Family Apartment NO. OF UNITS X $2,641 per unit = $ D. SinGle Room Occupancy NO. OF UNITS X $1,321 per unit = $ E. Accessory DwellinG Unit NO. OF UNITS X $1,550 per unit = '$ $ 28S"6 - WILLAMALANE SDC 2. SDC CREDIT (If applicable) SDC payer must fumish proof of Willamalane Credit approval.) $ ~ 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) $ 2l>~g'- --- ~e Development -Services Department City of Springfield L( .1 SUI ZorC:> Date 5 ': ~':.' ..i:i \ T.~. .' ~.~ _,_,..___..,~..;. -Ok,.....F ". City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone RECEIPT #: 2201000000000000427 1O:42:18AM Date: 04/2912010 Job/Journal Number COM20 I 0-00528 COM20 1 0-00528 COM20 I 0-00528 COM20 1 0-00528 COM20 I 0-00528 COM2010-00528 Payments: Type of Payment CreditCard cRcccintl Description Plan Review Same As Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less + 12% State Surcharge + 5% Technology Fee Amount Due 250.00 134.00 75.00 63.00 32.64 13.60 $568.24 Paid By BWCH Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid djb 045140 In person Payment Total: $568.24 $568.24 ,:, .f....;.- 1",; , ~~. rJ,.r,,1 .... ~ - . .. T". . Page 1 of 1 4/29/2010 22~ Fifth Street Springfield, Oregon 97477 541-726-3759 Phone WiM; -""i'.""""""'~"'-'-,' ,.-,. ",u - City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: . . 2201000000000000439 Date: 04/30/2010 9:01 :04AM Job/Journal Number COM20 I 0-00528 COM20 I 0-00528 COM20 10-00528 COM20 I 0-00528 COM20 I 0-00528 COM2010-00528 COM20 I 0-00528 COM2010-00528 COM2010-00528 COM20 I 0-00528 COM20 I 0-00528 COM20 I 0-00528 COM20 I 0-00528 COM20 I 0-00528 COM20 I 0-00528 COM20 I 0-00528 COM2010-00528 COM20 I 0-00528 COM20 I 0-00528 COM20 I 0-00528 COM20 I 0-00528 COM20 I 0-00528 COM20 I 0-00528 COM20 1 0-00528 COM20 I 0-00528 COM20 I 0-00528 COM20 I 0-00528 COM20 I 0-00528 Payments: Type of Payment CreditCard cRcceintl Description Plan Review Major - Planning Sidewalk Permit Curbcut Permit PW Disc - 2nd Permit Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC MWMC Compliance Charge SDC Transportation Admin Building Permit Addressing Assignment Willamalane Single Family 2 Baths One or Two Family ."._... 1 st Appliance Vent Fan Appliance Vent Exhaust Hoods Dryer Vent Gas Outlets 1-4 Fireplace (Listed) Fire SF Fee. Residential + 12% State Surcharge + 5% Technology Fee Paid By BWCH !ti~1J :~, ~,~ '. A;,'J' .-4'-'" , ~... Item Total: Check Number Authorization Received By Batch Number Number How Received djb 00500d In Person Payment Total: {t(~,;./I\ ,\,'!J.:. .....';"."1 "" ;rir,. ~ " "' i~. Page I of I Amount Due 211.00 88.00 88.00 (30.00) 666.84 507.07 211.21 931.65 101.97 1,333.57 10.00 103.99 22.63 91.50 1,026.21 38.00 2,858.00 337.00 79.00 27.00 9.00 13.00 9.00 7.00 20.00 102.50 183.27 94.21 $9,140.62 Amount Paid $9,140.62 $9,140.62 4/30/20 I 0