HomeMy WebLinkAboutPermit Building 2007-2-5
Status
Issued
.=ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01503
ISSUED: 02/05/2007
APPLIED: 11127/2006
EXPIRES: 08/05/2007
VALUE: $ 163,035.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2223 Clear Vue Ln
ASSESSOR'S PARCEL NO.: 1703271204800
Springfield
TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence - Clear Vue Estates subd lot 2
Residential
Owner: OREGON CUSTOM HOMES
Address: 65 W-l DIVISION AVE #153
EUGENE OR 97404
Phone Number: 541-988-4954
Contractor Type
General
Electrical
Mechanical
Plumbing
I CONTRACTOR INFORMATION.
Contractor License
OREGON CUSTOM HOMES, INC. 96875
BIG C ELECTRIC LLC 156428
USA HEATING & AIR CQNDITIONING INC 154663
SUMMIT PLUMBINGIDBA MICKEY CONST 169922
BUILDING INFO 1'1
Expiration Date
11/0512010
07/2512007
03/1012007
04/28/2008
Phone
541-988-4954
541-744-8946
541-942-1401
541-968-5270
3
# of Stories: THIS PERMIT SH!LL liXR!$1felF THE WORK
Height ofStru'A~ORIZED~~9ER l'h1I19IPt!ffMljf:IS NOT
Type of Heat: co~rnerelsls A~~l~A~lfroR
Water Type: ~qrt'1ttsement:
Range Type: ANY 180 D~~ t~~IODsq Ft Garage/Carport
Energy Path: Path 1 Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
1,531
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type!
Secondary Construction Type:
# of Bedrooms:
R-3
U
VB
441
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
14.90
23.00
12.00
15.50
0.00
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay DistATTENTION:Oregon law reqU~~&Y:~~i~i~ 2
# Street Trelftl6o\lj ~ules adopted by the Or~iJic~&Wr:
Paved Dri'N~at,on Center. Tl!Q~e rulesedfi\R~h: 01
% of Lot q?\V6M1l:g52~OO1-00U9ttmough OAR 95~-O
0090. You may obtain copies of the rules ~~
I PUBLIC IMPROv~M;th~~~~~~~ii~~~;~~;~~n
CentetS&l~_~:2344).
Fully Improved .
Yes Downspouts/Drains:
Curbside 5'
Curb and Gutter
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes: Storm to curb & gutter.JLP
Pa2e 1 of 4
Status
Issued
:ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01503
ISSUED: 02/05/2007
APPLIED: 11/27/2006
EXPIRES: 08/05/2007
VALUE: $ 163,035.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Dwellinl!s
Garal!e
Tvpe of Construction
V Wood Frame
Garal!e
$ Per Sq Ft
or multiplier
$99.00
$26.00
Square Footage
or Bid Amount
1,531.00
441.00
Value
Date Calculated
Description
Total Value of Project
$151,569.00
$11,466.00
$163,035.00
11/27/2006
11/27/2006
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $502.87 11/27/06 1200600000000001686
-Mechanical Issuance Fee- $10.00 2/5/07 1200700000000000118
+ 10% Administrative Fee $136.53 2/5/07 1200700000000000118
+ 5% Technology Fee $79.73 2/5/07 1200700000000000118
+ 8% State Surcharge $101.33 2/5/07 1200700000000000118
2 Baths One or Two Family $254.00 2/5/07 1200700000000000118
Addressing Assignment $31.00 2/5/07 1200700000000000118
Building Permit $773.65 2/5/07 1200700000000000118
Curbcut Permit $80.00 2/5/07 1200700000000000118
Dryer Vent $6.00 2/5/07 1200700000000000118
Exhaust Hoods $9.00 2/5/07 1200700000000000118
Fire SF Fee - Residential $98.60 2/5/07 1200700000000000118
Furnace - up to 100,000 btu $12.00 2/5/07 1200700000000000118
Gas Outlets 1-4 $4.00 2/5/07 1200700000000000118
Minimum/Adjustment Mechanical $2.00 2/5/07 1200700000000000118
Plan Review Major - Planning $198.00 2/5/07 1200700000000000118
PW Disc - 2nd Permit $-30.00 2/5/07 1200700000000000118
Residence Wiring 1000 Sq Ft $106.00 2/5/07 1200700000000000118
Residence Wiring Ea Addtl 500 $38.00 2/5/07 1200700000000000118
Sanitary Sewer - Improvement $494.76 2/5/07 1200700000000000118
Sanitary Sewer - Reimbursement $650.66 2/5/07 1200700000000000118
SDC MWMC Administration $10.00 2/5/07 1200700000000000118
SDC MWMC Improvement $961.52 2/5/07 1200700000000000118
SDC MWMC Reimbursement $91.61 2/5/07 1200700000000000118
SDC Sanitary/Storm Admin $138.49 2/5/07 1200700000000000118
SDC Transpo Admin $68.97 2/5/07 1200700000000000118
SDC Transpo Improvement $836.32 2/5/07 1200700000000000118
SDC Transpo Reimbursement $189.58 2/5/07 1200700000000000118
Sidewalk Permit $80.00 2/5/07 1200700000000000118
Storm Drainage Impervious Area $914.72 2/5/07 1200700000000000118
Temp Power 200 amps or less $50.00 2/5/07 1200700000000000118
Vent Fan $12.00 2/5/07 1200700000000000118
Willamalane Single Family $1,000.00 2/5/07 1200700000000000118
Total Amount Paid $7,911.34
Pal!e 2 of 4
Status
Issued
:ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01503
ISSUED: 02/05/2007
APPLIED: 11127/2006
EXPIRES: 08/05/2007
VALUE: $ 163,035.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Planninl?: Review
Public Works Review
Structural Review
11/28/2006
11/28/2006
11/28/2006
11/28/2006
I Plan Reviews I
11/2812006 APP
12/21/2006 APP
12/19/2006 APP
01/11/2007 10
NJM
TAJ
JLP
LLH
Structural Review
01/11/2007
01/17/2007 APP
LLH
Storm to curb & gutter.JLP
Plans sent to Building Department
for review under contract with the
City of Springfield.
Plan review completed by The
Building Department, Shawn Eaton,
under contract with the City of
Springfield
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...ReolliredJnsnections.
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.
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.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insulation or decking.
Rough Plumbing: Prior to cover and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Pal?:e 3 of 4
Status
Issued
:ITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2006-01503
ISSUED: 02/05/2007
APPLIED: 11127/2006
EXPIRES: 08/05/2007
VALUE: $ 163,035.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Underfloor 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 including required
testing. Presure test done at this point.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior 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 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
times durin )l~tructi?J!-''''''-. / I
~~ ~ ?---S'-09'.
'A'" /~. ~.// -
7Bwner or ontractors Signature C-.-/
&,~
"
I
Date
Pae:e 4 of 4
CITY OF SPTtl'ffGFIELD SYSTEMS DEVELOPMENr'~~RKSHEET
JOURNAL OR JOB NUMBER: C0M2006-01503
NAME OR COMPANY: Oregon Custom Homes
LOCATION: 2223 Clear Vue Ln
TAX LOT NUMBER: 1703271204800
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWFT T TNG UNITS 1 BUILDING SIZE (SF 2050.5 LOT SIZE (SF):
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.F. x COST PER S.F. CHARGE
2725.50 $0.336 I = I $914.72
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. x ' COST PER S.F. x I DISCOUNT RATE I
I 0.00 $0.336 I 50% =
ITEM 1 TOTAL - STORM DRAINAGE SDC '$914.72
/
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's x
25
B. IMPROVEMENT COST:
I NUMBER OF DFU's x
I 25
COSTPERDFU
$26.03
$19,79
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
. 3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT 1RIP RATE . x
I 9.~7
B. IMPROVEMENT COST:
ADT 1RIP RATE
9.57
I NUMBER OF UNITS x I
I 1 I
x
I NUMBER OF UNITS x I
I I I
=1
iTEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's x
1
B. IMPROVEMENT COST:
'NUMBER OF FEU's I x
1 I
ICOST PER FEU
I $91.61
ICOST PER FEU
I $961.52
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATNE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = 1
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = ,
5. ADMINISTRATNE FEE:
I SUBTOTAL I x I ADM. FEE RATE
I $4,149.18 , I 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Jeff Prociw
PREPARED BY
12/19/2006
. DATE
tZl
~
Q
o
U
~
6903 I ~
- tZl
......
o
~
DISCOUNT
$0.00
$914.72 I 1070
i
$650.66
1091
$494.76
1092
= 1
$1,145.43
COST PER 1RIP
$19.81
x INEW TRIP FACTOR
j 1.00
$189.58
I 1093
COST PER TRIP x I NEW TRIP FACTOR
$87.39 I 1.00
$1,025.90 I .
$836.32
1094
=
$91.61
1054
= $961.52 1055
$0.00 1054
$10.00 1056
$1,063.13
$4,149.18
. CHARGE
$207.46
138.49 1079
$68.97 11078
TOTAL SDC CHARGES =1 $4,356.64
DRAINAGE FIXTURE UNIT (DFU) CALSULA~ION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET AuWIIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
._- .-.
1 . -".. 0 3 3 :'
BATHTUB = I
DRINKING FOUNT AlN 0 0 1 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC. 0 0 3 = 0
I INTERCEPTORS FOR SAND I AUTO WASH IETC. 0 0 6 = 0
I LAUNDRY TUB 1 0 2 = 2
ICLOTHESWASHER/MOP SINK 1 0 3 = 3
ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRIG I WATER STATION I ETC. 0 0 1 = 0
RECEPTOR FOR COM. SINK I DISHWASHER I ETC. 1 0 3 = 3
SHOWER., SINGLE STALL 1 0 2 = 2
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
I SINK: COMMERCIAL BAR 0 0 2 = 0
I SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2
I SINK: SINGLE LAVATORY /RESIDENTIAL BAR 1 0 1 = 1
IURINAL, STALL/WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRIVATE INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 25
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (29}>pY's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR CREDIT RATE/$l,OOO
ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2
BEFORE 1979 $5.29 (Enter 1 for Yes, 2 for No)
1979 $5.29 IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT? 2
1980 $5.19 (Enter 1 for Yes, 2 for No)
1981 $5.12 BASE YEAR 1979
1982 $4.98
1983 $4.80 CREDIT FOR LAND (IF APPLICABLE)
1984 $4.63 VALUE I 1000 CREDIT RATE ','
1985 $4.40 $0.00 x $5.29 = , $0.00
j' 1986 $4.07
I' 1987 $3.67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
II 1988 $3.22 VALUE I 1000 CREDIT RATE
:1 1989 $2.73 $0.00 x $5.29 0
1990 $2.25
1991 $1.80
1992 $1.59 TOTAL MWMC CREDIT = $0.00
1993 $1.45
1994 $1.25
1995 $1.09
1996 $0.92
1997 $0.72
1998 $0.48
1999 $0.28
2000 $0.09
2001 $0.05
I Vll
ZON :.. V'
INITIALS PJ f\
DA TE :5- ~ --- (J /,
SOURCE~5~1Q.]')
~J5J07
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689
ELECTRICAL P~RMIT APPLlkATION
City Job Number . N n _ \ c::JJ .:::> Date
1.' .l~9S1/ileIJ qF:{~~{~~If,q~g;j/l~';;YC,:
n~ ryJ'L~ \:I\XAllL V LuL-
LEGAL \D15831.<:1 \1- LJ~9,OO . A. 5~~;:::~!:~:~L~~ii~'m:&i~\iiIF3E:{~~ia;;Ui;~@iil;~[t
JOB DESCRIPTIO~ \ C{1Y 1000 sq, ft. or less l
(\ r ~?\.I ~ () ~ - T~~ additional 500 sq. ft. or ()
....~\.U\.l~~ ~lQA\ ok-:' \ I 0 Ion thereof '/./ $ 19.00
Permits ar~ ~n-transfe~able and ex i e if work is " ach Manufact'd Home or
not started within 180 days of issuance or if work is Modular Dwelling Service or
Suspended for 180 days. Feeder
Over 600 Ampsor IOOOYoltssee "B" above.
Signature of Supervising Electrician D. ~,:~~.i:~.n,~I1~~~~~i~Gi~~!~1~~&J~ir,~'~v:;~4H:}~f~uu tv .
/) I /) ~ New ~t~~~w~fSg~\S~~~"NSOW~~OU1 Uiiiity
~ '.k'" . ~ -- One cl~tOg~C81~00U1 C~U1~i6fi'. TV'M~~~ r8l1~~~~~~ Wfll
U~ A,L.." -~Il;'\... Each.Aittl~~~~H~fi'@U@hO~~~20001'
Owners Name \ \A LD1 UY \ .:v )1 r ~ servlceG0~~~(o)&~ QIM~UIn ~\YityJU\9Gli (}g ~~~ m!~s b'
~ I' ~'YI ~-=S\~ ^~~.LIE. 'l\~i~~~~~='~~~J~~~S~~iJ~~4~!~~~ailation
Address ') ~ . W\ "LL ~ 1"'9. E:~ ._, ~ ~ ' ",,:~~gl'1ugmiy~btm~atITOi')'" .."
City ~a-- Phone (l ~ ~. uy -:~mp or irrigationcenWnS "iaa(x}'332-2~b.oo
Sign/Outline Lighting $ 50.00
OWNER INST LATION Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45.00
'. <i>'h:'!.r',~,:>..~.:..{,~r""",' ;'.A'-: W fl' - """'" "~<""~,'"". .:~ ":''\'
; 90NTj{ACTQRl!'ls,iALLXT!PNONLY;:
2. . -.', '~h'!.. ,,:"~., ;:". '..: .' ,';".':;":'1. ....;, .!;....;.. ~. i:-,; I,' .',:::'..r _, ."~ ":.~ \":,; ~ r; .... ,;', ,.:,.,.;,:~ ,"; ,,',\,' e'';.;;' ,~;':<' ::,:: ."-:; '"',, ,c,_,.,""";"'>
Electrical Contractor J3;0 e Ekc..fr,c ItC.
/
Address 3l.(<..J ("fli't0r"ei1 ~ :5 i,
City Sp fve , Phone 7 tf;t{ 1fr q C
u
Supervisor License Number
'? l./ 5" Lj S
Expiration Date
/6- 0 (- 07
Constr. Contr. Number / '5 h II 2 &"
<("-()(41)7
Expiration Date
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
3. ;"Eg~if;f.f~~:f~~~~EliEB:~ff~#~fq.~~:'j~:':".';k~~f;L~;j~'~~?;';:;~\t~;
$106.00
t Old pO
8g#ctJ
$50.00
B. '2~J~:~1!~t~r.~~i,~~~t;,Ki~~~~111{~~:~,:~I~~f~t~~ 1~~~~;;"J{~r(~?~I~~,:~:1,'
200 Amps or less $ 63.00
201 Amps to 400 Amps $ 75.00
401 Amps to 600 Amps $125.00
601 Amps to 1000 Amps $163.00
Ov~MPtl~~ps/Volts If l~E$JIro~K
Re'ro~~~lHi SHALL ~~~tt\~tll~~~
""'.'iY.HI.'HO. "H\..,Ztr:Q,.U. N.D. .E....B.,..,.,....'....
c. ~:'T~. 3faix,;SirgJ~s.;o~^~ .
~"'C . Mtt'JUt:e~~V\Kl".""
Inst:MNMot~JL~t~~~~ cmioca tion
200 Amps or less
20 I Amps to 400 Amps
, 40 1 Amps to 600 Amps
6n.~
~
$ 50.00
$ 69.00
$100.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
\Q4fO
\5.S'L
t ~ ft()
~~Tf_~ SOlO q,#lD_
Shared Drive(T:)/Building Fonns/Electlical Pe;,nit AP~tiS~& 7
.... ,,>0":, . '"\~. >/' . ._.~.;, ","
,.."/-;:.:-,,' ~":;~',?-:;~.'J:-" "::"':" ~;'"
;.^
4.;iSUBTPTAfPf ~4BOVE .
.... .-;. '.',--:, 1;'," .:\;.>'.-,':,:~.;L'~:\'/~};>:~_.:i '::::,~ >,~ . ::.' '.',; "~
8% State Surcharge
10% Administrative Fee
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
c~ Qf Springfield Official Receipt
L .:lopment Services Department
Public Works Department
Job/Journal Number
COM2006-01503
COM2006-0 1503
COM2006-0 1503
COM2006-01503
COM2006-01503
COM2006-0 1503
COM2006-0 1503
COM2006-01503
COM2006-01503
COM2006-01503
COM2006-01503
COM2006-01503
COM2006-0 1503
COM2006-0 1503
COM2006-01503
COM2006-01503
COM2006-01503
COM2006-0 1503
COM2006-0 1503
COM2006-01503
COM2006-0 1503
COM2006-01503
COM2006-0 1503
COM2006-01503
COM2006-01503
COM2006-0 1503
COM2006-01503
COM2006-0 1503
COM2006-0 1503
COM2006-01503
COM2006-0 1503
COM2006-01503
Payments:
Type of Payment
CreditCard
cReceint 1
RECEIPT #:
1200700000000000118
Date: 02/05/2007
Description
Fire SF Fee - Residential
Sidewalk Permit
Curbcut Permit
PW Disc - 2nd Permit
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
Plan Review Major - Planning
Building Permit
2 Baths One or Two Family
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Addressing Assignment
Willamalane Single Family
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
NICHOLAS P. LENN
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
nJm 016058 In Person
Payment Total:
Page 1 of 1
2:41 :24PM
Amount Due
98.60
80.00
80.00
(30.00)
914.72
650,66
494.76
189.58
836.32
91.61
961.52
10.00
138.49
68.97
198.00
773.65
254,00
12.00
12.00
9.00
6.00
4,00
106.00
38,00
50,00
2.00
10.00
31.00
1,000.00
79,73
101.33
136.53
$7,408.47
Amount Paid
$7,408.47
$7,408.47
2/5/2007