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Home My WebLink AboutPermit Encroachment 2007-7-6 CITY OF SPRINGFIELD' Building/Combination Permit Status 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2007-00156 ISSUED:' 07/06/2007 APPLIED: 02/0112007 EXPIRES: 01106/2008 VALUE: $ 444,912.00 Issued SITE ADDRESS: 3555 MARCOLA RD ASSESSOR'S PARCEL NO.: 1702300001900 Springfield TYPE OF WORK: Lease Space PROJECT DESCRIPTION: Lease Space for A.M. Solar, Inc TYPE OF USE: New Industrial ~tf ~~~~\ORINFORMATION I ~~~ ~\ ~~ . ~~ ~~~ ~~ ~ License ~l<\()~ ~~ONSTRUCTION 54531 CTRIC 17252 NGINC 1~~~ - ~ ':l! '\." BUILDING INFOR~~~'-:,Il,\.,o't,R)V 1't\ ~ O\'<J ~e b7:r.::s ~ '0'\ # of Storie~\~ ~e ~eC:J "!?-~ g \~e ~e Lot Size: Heig~~B"l1~~ 0 ~~e ~~o~ Sq Ft 1st Floor: ....~e ~~~~o~. eC:J 0 0 ~eRlfic Sq Ft 2nd Floor: ~"1~ ~~~ <:P:~0'~~~~ Sq FtBasement: ~.~ ~~~ ~o ~~~'1,f'!JK" Sq Ft Garage/Carport ,~ .~ ~~!:.....e~O~tr'b~ Path 1 Sq Ft Other: ~O~ d~~~!O~ n/a Occupant Load: ti3,~~~ \~ I DEVqJL~...ORMATION I ~VJ Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Owner: SEED INVESTMENTS LLC Address: PO BOX 696 SPRINGFIELD OR 97477 Contractor Type Architect General Electrical Plumbing Contracto . APAZ ~.E ...,~*\\~~~ ~ "~~'~ -c, ~y~{ ..~~~ ~ \ ~ ~~\~' 'O~ ~ () ~\ # of Units: ~~ Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: F1 B VB Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS i Street Improvements: Storm Sewer Available: Special Instruction: Phone Number: 541-953-5704 Expiration Date Phone 541-744-2046 541-342-4509 541-343-7297 541-935-1081 11/10/2008 02108/2009 05/14/2009 3,000 1,000 REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: Notes: Paee 1 of 5 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Type of Construction Estimate Use Bid Amount Estimate Pavine Fee Description + 5% Technology Fee Encroachment Permit Plan Review CommlInd/Public + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Sanitary Sewer - 1st 50 Feet -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Backflow Device Building Permit Fire SF Fee - Non-Residential Fixture Furnace - Unit Heater Paving Plan Review Comm/Ind/Public Plan Review Fire & Life Safety Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement Sanitary Sewer Each Addt1100' SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet Storm Sewer Each Addt1100' Water Line - 1st 50 Feet Water Line - Each Addt1100' I Valuation Descriotion I $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 331,904.00 113,008.00 Total Value of Project ~ Amount Paid $6.50 $130.00 $747.92 $4.50 $2.25 $3.60 $45.00 $10.00 $284.68 $122.34 $146.85 $14.00 $1,319.65 $400.00 $238.00 $48.00 $611.15 $348.56 $674.76 $554.12 $728.84 $42.00 $10.00 $1,098.88 $104.68 $162.08 $101.12 $1,268.55 $287.56 $1,211.28 $45.00 $28.00 $45.00 $56.00 Date Paid 2/1/07 2/1/07 2/1/07 2/8/07 2/8/07 2/8/07 2/8/07 7/6/07 7/6/07 7/6/07 7/6/07 7/6/07 7/6/07 7/6/07 7/6/07 7/6/07 7/6/07 7/6/07 7/6/07 7/6/07 7/6/07 7/6/07 7/6/07 7/6/07 7/6/07 7/6/07 7/6/07 7/6/07 7/6/07 7/6/07 7/6/07 7/6/07 7/6/07 7/6/07 Paee 2 of 5 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00156 ISSUED: 07/06/2007 APPLIED: 02/0112007 EXPIRES: 0110612008 VALUE: $ 444,912.00 Value Date Calculated $331,904.00 $113,008.00 $444,912.00 05/11/2007 05/11/2007 Receipt Number 3200700000000000078 3200700000000000078 3200700000000000077 1200700000000000137 1200700000000000137 1200700000000000137 1200700000000000137 2200700000000001093 2200700000000001093 2200700000000001093 2200700000000001093 2200700000000001093 2200700000000001093 2200700000000001093 2200700000000001093 2200700000000001093 2200700000000001093 2200700000000001093 2200700000000001093 2200700000000001093 2200700000000001093 2200700000000001093 2200700000000001093 2200700000000001093 2200700000000001093 2200700000000001093 2200700000000001093 2200700000000001093 2200700000000001093 2200700000000001093 2200700000000001093 2200700000000001093 2200700000000001093 2200700000000001093 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00156 ISSUED: 07/06/2007 APPLIED: 02101/2007 EXPIRES: 01/0612008 VALUE: $ 444,912.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amount Paid $10,900.87 I Plan Reviews I Fire Department Review 02/05/2007 . OS/23/2007 OK GRG (Plans Review completed on 3/7/07). See attached document for Fire Department Plans Review comments. Initial Review 02/02/2007 02102/2007 APP LLH Plan Review Comments 03/29/2007 10 JMP Told Art Paz that he can turn the truss design package in later as a deferred submittal before the framing is done. He asked me to send the faxed information again. Plan Review Comments 04/25/2007 10 JMP WE. See attached documents for cover for the plumbing comments faxed to Art Paz. Plan Review Comments 05/11/2007 10 JMP WE. Received incomplete responses to structural comments from Art Paz. Left a message with Adam about items 2, 10, 13, and 14 that an still missing. Plan Review Comments 05/16/2007 10 JMP WI. Received balance of information requested. Plannine Review 02/05/2007 02/08/2007 APP EMM Public Works Review 02/05/2007 02/09/2007 APP JHJ Added SDC Worksheet. (JHJ) Structural Review 02/02/2007 02/05/2007 WE JMP Received 2/5/2007. Left a voice mail message for Art Paz requesting the drawing set for SUB as well as the energy code forms. Forwarded the drawing set to SUB after it was delivered. See attached documents for 17 structural comments faxed to Art Paz. Structural Review 07/06/2007 07/06/2007 APP JMP Received final internal approval. SUB Review 02/05/2007 03/19/2007 WE DH See attached documents for JMP's structural comments item #6 requesting the energy code forms and information. SUB Review 06/19/2007 06/19/2007 APP DH To Request an inspection ~all 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. ~eouiredJnsDections I Sanitary Sewer Line: Prior to filling trench and including required testing. Pae:e 3 of 5 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2007-00156 ISSUED: 07/06/2007 APPLIED: 02/0112007 EXPIRES: 01106/2008 VALUE: $ 444,912.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. 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. Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. 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. Roofing: Prior to installing any roof covering. Masonry: Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to City Building Inspector. Structural Concrete: In excess of 2500 psi. To be done during construction by a State Certified Inspector. Provide results to City Buiding Inspector Roof Sheathing/Nailing: Before covering sheathing with finish material. Glu-Lam Beams: Inspection Certificate by an approved agency to be provided to City Building Inspector prior to placement. 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. Rough Grading: After gravel is in place but prior to placing concrete. Final Paving: After paving is complete. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. SUB Concrete Slab: Prior to and following pour. 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. Pae:e 4 of 5 CITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: COM2007-00156 ISSUED: 07/06/2007 APPLIED: 02/01/2007 EXPIRES: 01106/2008 VALUE: $ 444,912.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SUB Plumbing: Following City Rough Plumbing inspection approval and prior to cover. SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover. SUB Ceiling Grid: Interior Lighting SUB Exterior Lighting 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 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 Hm'r\;ng fJ,uctionf a A ~) .J- ~I~ 1- (, - ()7 Own~r Contrac~ Signature - Date Paee 5 of 5 .... .......-....... ....___ ............................_-...0..-- \.-HY or ~pnngIleiO Community Services pivision 225 Fitlh Street Springfield,OR.97477 Telephone: (541) 726~3759 Fax: (541) 726..3689 CD~ 'UX:> 1- (!)O t 5 b Building Pertnit # ~,~, S - tt?-o"1 Date 3SSS ~o '-,... tt.., l K c. Project Title t--Al>-.~~ \<.o~ '0 Project Address Special Inspection and Testing To applicants of projects requiring special inspection or testing as per Section 1704 of the Oregon Stnlctural Specialty Code. Please review the informution below. When you have finished. acknowledge un understanding of the informauan by sighing below. and rerum this form to the City. BEFORE A PERMIT CAN BE ISSUE)); the owner or owner's representative, on the advice of the re!;ponsible Proj~ct Engineer or Architect, shall complete. sign, tlJid submit t6 thl City for review and approval this fonn completed on both the front and back, The owner and General Contractor, where ~pplicable, shall also acknowledge the following conditions applicable to Special In!ip~ction and/oJ;' Testing. I. Contractor is responsible for I'roper i}otit1cunon for the Inspection or Testing ofitcllls listed. 2. Testing laboratory !Shull tllke appropriate samples and transport them to their laboratory for proper evaluation or testing. . Copies of ulllabotatory reports and inspections are to be sent to the CHy py the Testing Agency. 3. Special Inspection Agency is to submit nnll1CS and qtJallfications of on-sHe Speciai Inspectors to the City for approval. 4. Special Inspector shall provide inspection reports to the building ofticial ofull inspection activities. 5. Contractor is responsible to review the City approved plans for additional inspection or testing requirements that may be noted. BEFOllE A CERtIFICATE OF OCCPPANCY WILL BE ISSUED: The Special Il')spection A~ency shall submit to the Building Official a statetnent that;u1 items requiring in:;;pection have been fulfilled and repolted and Were to the best of the inspector's knowlcdfJc, in conformance with the approved plans;spedtications and applicable wQrkman~hip provisions. Those Item~ not tested and/or inspected shall be noted in the statement. The report is to be sl.jbmitted to the City prior to a reqUest for final inspections. . t ACKNOWLEDGEMENTS ~LC ~ S~L;) t'~~~EA.r7; " 6,fG"b: . C7< , Owner Name (Printed) I d,PA-C: A1tf/i7~ Engineer or Archite.ct Firm (Printed) ?S/ Testing Laboratory Name.(printed) c ~ ~ . ~ E~~ r~hitcctS' n re ~~ ~~ ~ Laboratory Rep. Signature E~~eK C2AJ~ Gen. ContJ'D,ctor Firm NMle (Printed) ?SI Special Inspection Agency Name (Printed) - ,r' _\~ l BuUding OffiCial N . <::::', '-, \!fu:r Building om " ... , ' SPECIAL INSPECtION AND TESTING SCBEDULt Reinforced Concrete, Gunite. Grout and Mortar: Concrete Gunite Grout Mortar v V- Agfd-egate test of Mix Design Reinforcin~ Test Mix Design- W ei,ghmilster Cert. '" Reinforcing Place'mertt Continuous Batch Plant Inspect. Inspect Placing Cast Samples Sambles (Pickup/Oelivered) Compression Test. GRADING, EXCA VA nON, AND FILL Acceptance tests · PSF Establish final grade FiU placemeilt inspectiol'i/continuous ~ Soil Density -1 AgJUegate tests Reinforcing Test'i Tendon Test Mix Designs. Reinforcing Placement Insert Placement Concrete Batchit1~ Concrete Placemertt Installation Inspection Cast Samples Pick-up Samples Compression Tests stRUCTURAL STEEUWELDING: Sample and test (list specific members below) Shop material identification (mill cert) Weld inspection Shop, Ultrasortic inspection Shop , High Strength Bolting Shop , A325 N ~X A490 N X Metal deck welding inspection Reinforcing Steel welding Inspection Reinforcing steel millcertifioatl;'l Metal stud welding inspection Concrete insert welding inspection Moment resisting steel frames Field Field Field v-- I-- PrecastIPre-stressed Con'crete: Piles Post-Tens, I Pre-Tens Cladding F F SMOKE CONTROL: FIREt>ROOFING: STRUCTURAL WOOD: . 'Shear wall nailhlg il1spectiotl Shear wall ailchors Inspection orGlu-lam fab. ... TIC pst Inspection of tiltss joillt fab. Sample and test oomponents Fabrica.tioh welding of steel accessories MASONRY Special in specti Ol1 stresses used'" fm rg Preliminary acceptance tests (masonry units. wall prisms) Subsequent tests (mortar, grout, field wall prisms) , Placement inspection ofunlts; and reinforcement Masonry. mortar, grout, and reinforcing steel certlftcates ...-""\ / <.... fp' ADDITIONAL INSRUCTIONS, OTHER TEST, & INSPECnONS: Fonn Completed bY~ . . . Date5/;;r,;bi Gptt:'XY ~A~Cdc;,!!", &:7t.,7';o~A~6f/T ~ ~..JA-,ee;f:k::lJ1E ~~/?~~'/rA-cK<; I .. , Leakage testing Control Verification Placement inspection pcnsity tests Thickness tests Inspect batching ROOFING: Insulation installation/R- Val ue'" Test strips/seams *PROVIDE STRENGTH REQUIRED BY ARCHITECT OR ENGINEER OR CONTRACT DOCUMENT LOCATION OF VALUES CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER C0M2007-00156 NAME OR COMPANY: SEED Investments - AM, Solar LOCATION: 3555 Marcola Road MAP & TAX LOT NUMBER: 17 02 30 00 01900 DEVELOPMENT TYPE: Light Manufacturing/Office NEW DEVELOPED AREA (S,F,): 4,000,00 Both Floors EXISTING DEVELOPED AREA (S,F,): TOTAL IMPERVlOUS SURFACE (S,F,): I. STORM DRAINAGE 605 s.f sidewalk + 3000 s.f. building footprint IMPERVIOUS SQ, FT. 3,605 x $ 0,336 PER SF ITE: ITE: LOT SIZE (S.F.): 140 TOTAL STORM DRAINAGE SDC:I 2, SANITARY SEWER-CITY (see reverse side) A REIMBURSEMENT COST: NUMBER OF DFU's 28 B. IMPROVEMENT COST: NUMBER OF DFU's 28 x $ 26,03 PER DFU I , 1,282,96 I x $ 19,79 PER DFU TOTAL LOCAL WASTEWATER SDC:' $ 3 TRANSPORTATION BLDG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR NEW: A REIMBURSEMENT COST: 4,00 x 3,82 B. IMPROVEMENT COST: 4,00 x 3,82 EXISTING: A REIMBURSEMENT COST: 0,00 x 0 B. IMPROVEMENT COST: 0,00 x 0,95 NTF $287,56 I x $ 19,81 PER TRIP x 0,95 NTF $1,268,55 I x $ 87,39 PER TRIP x NTF $0,00 I x $ 19,81 PER TRIP x o o $ 87.39 PER TRIP x 0 NTF $0,00 I TOTAL TRANSPORTATION REIMBURSEMENT SDC: TOTAL TRANSPORTATION IMPROVEMENT SDC: TOTAL TRANSPORTATION SDC:I $ 1,556,12 x 4. SANITARY SEWER - MWMC NEW: A REIMBURSEMENT COST: NUMBER OF FEU's 4,00 x $26,17 PER FEU $104,68 I B.IMPROVEMENTCOST: NUMBER OF FEU's 4,00 x $274,72 PER FEU $1,098,88 I EXISTING: A REIMBURSEMENT COST: NUMBER OF FEU's 0,00 x #N/A PER FEU $0,00 , B. IMPROVEMENT COST: NUMBER OF FEU's 0,00 x #N/A PER FEU $0,00 , MWMC CREDIT IF APPLICABLE (SEE REVERSE) TOTAL MWMC REIMBURSEMENT FEE: TOTAL MWMC IMPROVEMENT FEE: MWMC ADMINISTRATIVE FEE: TOTAL MWMC SDC:I $ SUBTOTAL (ADD ITEMS 1,2,3, & 4) I 1,213,56 $5,263,92 I 5 ADMINISTRATIVE FEES; BASE CHARGE (SUBTOTAL ABOVE) $ 5,263,92 x 5% , $263,20 TOTAL SEWER ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Jesse Jones Civil Engineer, EIT 2/9/2007 DATE TOTAL SDC CHARGES $5,527,11 DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) Light Manufacturing/Office FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN, FLOOR SINK INTERCEPTORS FOR GREASE/OIUSOLIDS/ETC, INTERCEPTORS FOR SAND/AUTO W ASH/ETC. LAUNDRY TUB CLOTIIES W ASHERlMOP SINK CLOTIIES WASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRJGERA TORfW A TER ST A TION/ETC. RECEPTOR FOR COMMERCIAL SINK! DISHW ASHER/ETC, SHOWER., SINGLE STALL SHOWER., GANG (NUMBER OF HEADS) SINK: COMMERCIAL, RESIDENTIAL KITCHEN SINK: COMMERCIAL BAR SINK: WASH BASINIDOUBLELAVATORY SINK: SINGLE LA V A TORY /RESIDENTIAL BAR URINAL, ST ALUW ALL TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: NUMBER OF EDD'S* FIXTURES UNIT NEW OLD EQUIVALENT 3 1 3 3 6 2 3 6 12 1 3 2 2 3 2 2 3 I 2 5 6 3 3 DRAINAGE FIXTURE UNITS o o o o o o 3 o o o o o o 3 o o 3 10 o 9 o TOTAL DRAINAGE FIXTURE UNITS = I 28 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling (20 DFU) set at 167 gallons per day CREDIT CALCULATION TABLE: BASED ON ASSESSED V ALOE IF IMPROVEMENTS OCCURRED At 1 cK ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEP ARA TEL Y YEAR ANNEXED 1979 or before 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 RATE PER $1,000 ASSESSED V ALOE $5.29 $5,19 $5,12 $4,98 $4,80 $4,63 $4.40 $4.07 $3,67 $3.22 $2,73 $2.25 $1.80 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) YEAR ANNEXED 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 RATE PER $1,000 ASSESSED V ALOE x x CREDIT TOTAL $1.45 $1.25 $1.09 $0,92 $0,72 $0,48 $0.28 $0.09 $0,05 $0,00 $0,00 $0,00 $0,00 $0,00 $0,00 2:15 Fifth Street Springfield, Oregon 97477 S!lI-726-3759 Phone . City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-00 156 COM2007-00156 COM2007-00156 COM2007-00156 COM2007-00156 COM2007-00156 COM2007-00156 COM2007-00156 COM2007-00156 COM2007-00156 COM2007-00156 COM2007-00156 COM2007-00156 COM2007-00156 COM2007 -00156 COM2007-00156 COM2007-00156 COM2007-00156 COM2007-00156 COM2007-00156 COM2007-00156 COM2007-00156 COM2007-00156 COM2007-00156 COM2007-00156 COM2007-00156 COM2007-00156 Payments: Type of Payment Check cReceiotl RECEIPT #: 2200700000000001093 Date: 07/06/2007 Description Fire SF Fee - Non-Residential Storm Drainage Impervious Area 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 Transpo Admin Building Permit Paving Plan Review Comm/lnd/Public Plan Review Fire & Life Safety Fixture Sanitary Sewer Each Addtl 100' Water Line - 1st 50 Feet Water Line - Each Addtl 100' Storm Sewer - 1 st 50 Feet Storm Sewer Each Addtl 100' Backflow Device Furnace - Unit Heater -Mechanical Issuance Fee- + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By SEED INVESTMENTS, LLC Item Total: Check Number Authorization Received By Batch Number Number How Received 5036 In Person Payment Total: Jmp Page 1 of 1 11 :45:36AM Amount Due 400.00 1,211.28 728,84 554.12 287.56 1,268.55 104.68 1,098,88 10,00 162.08 101.12 1,319.65 611.15 348,56 674,76 238.00 42,00 45,00 56,00 45.00 28,00 14,00 48,00 10,00 122.34 146.85 284,68 $9,961.10 Amount Paid $9,961.10 $9,961.10 7/6/2007