HomeMy WebLinkAboutPermit Building 2010-8-10
www.cLspringfield.or.us
CITY OF SPRINGFIELD
BuildingiI'~esidential Permit
PERMIT NO: COM2010-00919
IVR Number:
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@cLspringfield.or.us
PROJECT STATUS: Issued
ISSUED: 8/10/2010
APPLIED: 7/12/2010
EXPIRES:
VALUE:
2/512011
$292,675.00
SITE ADDRESS: 780 MOUNTAINGATE DR
ASSESOR'S PARCEL NO: 1802032206900
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Springfield SCOPE: SFD
WORK INVOLVED: NEW
TYPE OF STRUCTURE: RES
PROJECT DESCRIPTION:
OWNER:
ADDRESS:
Single family residence
Phone Number:
Contractor Type
Contractor Name
CONTRACTOR INFORMATION ~
..Lie Type
Lie No
Lic Exp
Phone
BUILDING INFORMAtiON I
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# of Units:
Construction Type
Occupancy Type
Occupancy Comments
U
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:: ' .
1
21.50
FE
E
E
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other:
Occupancy Load:
12205
2610
581
# of Bedrooms: 3
Sprinkled Building:
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. .
140
Energy Path:
002A
Electrical Specialty Code Edition:
Springfield Fire Code Edition:
Mechanical Specialty Code Edition:
Municipal' Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
Site Informatiol)... ~
Fire Alarms:
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
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',' ATTENTION: Oregon law requires you to
. ;Ol'.ow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
0090.. You may obtain caples of the rules by
cal/:ng the center. (Note: the telephone
number for the Oregon Utility Notification
Center IS 1-800-332-2344).
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Springfield Building Permit
'riC.~;~~f201'~'" r18~17PM
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Page 1 of4
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CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
www.ci.springfield.or.us
Building I Residential Permit
PERMIT NO: COM2010.;00919
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permitcenter@ci.springfield.or.us
PROJECT STATUS: Issued
ISSUED:
APPLIED:
8/10/2010
7/12/2010
EXPIRES:
VALUE:
2/5/2011
$292,675.00
SITE ADDRESS: 780 MOUNTAINGATE DR Springfield
ASSESOR'S PARCEL NO: 1802032206900
SCOPE: SFD
WORK INVOLVED: NEW
TYPE OF STRUCTURE: RES
PROJECT DESCRIPTION:
Single family residence
.- :,.
DEVELOPMENT INFORMATION ~
r,"
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
18.00
13.00
31.83
23.78
..1". .
Overlay'Oist:
# Street Trees Reqd:
Paved Drive Reqd:
% of lot Coverage:
Highest point on structure to
north property line:
Hill
3
Yes
32.61
REQUIRED PARKING
Total:
Handicapped:
Compact:
23.75
PUBLIC IMPROVEMENTS' ~
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
STORM WATER TO CITY STORM SEWER
FI
SS
Yes
. I ~.';,I\II:\
Sidewalk Type: C5
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Downspout/Drains:
.~.-..'"
';':'~T?;Yaluatto'n;Description ~
Description
Tvpe of Construction
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Unit Amount Unit Tvpe
Unit Cost
Value
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Springfield Building Permit
8/10/2010 1:18:17PM
Page 2 of 4
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CITY O~iS!,>RINGFIELD
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225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspeclion Phone: 541-726-3769
Fax: 541.726-3676
www.ci.springfield.or.us
Building (Residential Permit
PERMIT NO: COM2010-00919
IVR Number:
permitcenler@ci.springfield.or.us
PROJECT STATUS: Issued
ISSUED: 8/10/2010
APPLIED: 7/12/2010
EXPIRES:
VALUE:
2/5/2011
$292,675.00
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SCOPE:
. WORK INVOLVED:
TYPE OF STRUCTURE:
SFD
NEW
RES
SITE ADDRESS: 780 MOUNTAINGATE DR
ASSESOR'S PARCEL NO: 1802032206900
Springfield.
PROJECT DESCRIPTION:
Single family residence
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DescriDtion Amount Paid Date Paid ReceiDt #
Plan Review Residential $672.33 07/12/2010 9156
Curbcut - 2nd Curbcut $.45.00 08/10/2010 224408
Dryer Vent $9.00 08/10/2010 224408
SDC MWMC Administration ... ..$10.00 08/10/2010 224408
Exhaust Hoods ....,.-.,.' .: ; $13.00 . 08/10/2010 224408
-"-'~ ..... -"'~-"'-'
Fireplace (Listed) 1 t-:',g't Ft '~~'$2e.oo' 08/10/2010 224408
.....' . .
SDC MWMC Compliance Charge ~';';_:" '.'-. "$22.63 08/10/2010 224408
. /-f'"":l.
Vent Fan It,: $36.00 08/10/2010 224408
-
Addressing Assignment $38.00 08/10/2010 224408
Temp Power 200 amps or less $63.00 08/10/2010 224408
Residence Wiring Ea AddU 500 $75.00 08/10/2010 224408
-----
1 s~ Appliance $79.00 08/10/2010 224408
Curbcut Permit $88.00 08/10/2010 224408
Sidewalk Permit $88.00 08/10/2010 224408
SDC Transportation Admin $88.83 08/10/2010 224408
SDC M\Nrv1C Reimbursement $101.97' 08/10/2010 224408
+ 5% Technology Fee $133.36. 08/10/2010 224408
Residence Wiring 1000 Sq Ft ,!):. $134.00 08/10/2010 224408
Fire SF Fee - Residential $166.55 08/10/2010 224408
~Ian Review Major - Planning $211.00 08/10/2010 224408
SDC Sanitary/Storm Admin $276.57 OB/10/2010 224408
+ 12% State Surcharge $279.03 08/10/2010 224408
~_.._~-,-~,~
SDC Transpo F3eir:'_bursement $279.54 08/10/2010 224408
~""-'~'.""~-"--~'"--'-- ---
Pian Review Residential $29B.94 08/10/2010 224408
SDC Storm - Reimbursement $362.67 08/10/2010 224408
3 Baths One & Two Family . . $4.o2.qO 08110/'2010 - 224408
Sanitary Sewer - Improvement '4,::::':. $1,030.40 08/10/2010 224408
SDC Transpo Improvement li:{)~'r 1$,;.;fo;7 . 08/10/2010 224408
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SDC Storm - Improvement ';'~'.:-~ $1,301.18 OB/1 0/201 0 224408
SDC MWMC Improvement ,.-; $1,333.57 08/10/2010 224408
!3uilding Permit $1,494.26 08/10/2010 224408
Sanitary Sewer - Reimbursement $1,722.88 08/10/2010 224408
.~_.-
yvillamalane Single Family $3,468.00 08/10/2010 224408
Total Amount Paid $15,396.88
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Springfield Building Permit
'; ',)
';8/10/2010 1:1S:17PM
Page3of4
PROJECT STATUS: Issued
www.ci.springfield.or.us
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CITY OF SPRINGFIELD
Building I Residential Permit
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: COM2010-00919
IVR Number:
perm itcenter@ci.springfield.or.us
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ISSUED.:, s!1ii/2if1 C).. .
., .' '"',['8'",
APPLIED: 7/12/2010
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EXPIRES:
VALUE:
2/5/2011
$292,675.00
, f-'
Springfield
SCOPE: SFD
WORK INVOLVED: NEW
TYPE OF STRUCTURE: RES
SITE ADDRESS: 780 MOUNTAINGATE DR
ASSESOR'S PARCEL NO: 1802032206900
PROJECT DESCRIPTION:
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DeDartment
Planning Review
Public Works Review
Structural Review
Permit Issuance
Application Acceptance
Initial Review
Planning Review
Public Works Review
Structural Review
Single family residence
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P'lan 'Review'I'~A::;
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Received
07/23/2010
07/22/2010
08/03/2010
08/10/2010
08/09/2010
08/09/2010
08/09/2010
08/09/2010
08/09/2010
Due Date
Comments
Choose street trees from the
storm water to storm sewer.
as noted on plans
ComDlete
Result
APP
APP
APP
Issued
Over the Counter
Over the Counter
Over the Counter
Over the Counter
Over the Counter
Reviewer
08109/?0.1 o.
Chris Carpenter
Chris Carpenter
Chris Carpenter
Chris Carpenter
Chris Carpenter
Chris Carpenter
08/09/2010
08/09/2010
08/09/2010
08/09/2010
08/09/2010
08/09/2010
. See workflow history
Over the counter permit
Over the counter permit
Over the counter permit
Over the counter permit
08/09/2010
08/09/2010
08/09/2010
08/09/2010
Inspections
INSPECTIONS REQUIRED I
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Signature language: ;';~-,-~~~ ..:: ;~;.:~j': ,\
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By signature, I state and agree, that I have carefully examinedthe'comph~ted application and do hereby certify that all information
hereon is true and correct, and I further certify that any a~d'~~IITwdrk performed shall be done-in accordance with the Ordinances of
the City of Springfield and the Laws of the State or 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~f of t property, and the approved set of plans will remain on the ~2:Urlng construction
I
Owner or Contractor Signature Date
Springfield Building Permit
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8/10/2010 1:18:,17PM
Page 4 of 4
225 Fifth Street+Spriogfie1d, OR 97477 tPH(541)726-3753+ FAX(541)726-3689
~i:;1'D.EPARi~~B)j19:~t~~~'?~tl~
Electrical Permit Application
I t
Date:
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.
1m.)i:f41f,.iOCQ~~~.G,QY:~RfjMIrN:]!l'~~j~)i~:Y~~~11,f~1i{ ... ~"-._".,,"_.'.,. tiE;QQI!! . ,
Zorung approval verified? D Yes DNo ?@~~~11~~}~_~
.J;li~il1~:G~fif~:GgJ~~YilQ~~Ji1Jlf$1]~Ju:@lUlp:~}~~M~~~&f~ ~$~~%,.~- ;-iliJ";:
10 10 Residential, per unit, service included:
raResidential Government Commercial $!2c;
~1~~P(')J~:jf~]trJ0iiJNR12RM~\lW10N;w~EJ@l[~'Q])]1ftl'QN'I\!'~}~i'Wi 1,000 sq. ft. or less (4) :t- $134.00
address: --7Ho MI~~ Each additional 500 sq. ft. or portion ~ ~ 1~
Job site ~ thereof $ 25.00 $
City: <;-"".v,(','r io{ I State: oQ I ZIP: '17"i7i5 . Limited energy (2) .F:7 $ 32.00 $ .'2"
SUbdi~ision\).'\-Yli'-'~'E20.,^,~:fl-'. 1 Lot no.: '. Each manufactured home or modular $
$'tli!i!~~&""""0&1':t)'!:S.€HfR;i1j0N"'OR"i'jV0RKi'~""'""'''''')t.f'''ilf': dwelling servi~e or feeder (2) 63.00 $
~.$';\i(",},!," . ~~~~~~r;_:'_'''~';''ic~~.'';'';';3A,~,:,~;,J~!-.,. ,,~JI$.'Y~~.h.~,~,,<,-.;:,:!J.t;<:4~&2t~.~rt,,;}i',t--;!)I;:,~,
. Services or feeders: installation, alteration, relocation
" 200 amps or less (2) l $ 81.00 $
~1I:'~"'m~?ii~,J[.w.('11~f1ROBERiI!Xljl!fWNlE'f{l"1\';;\~4"~"''!f~'r~~'~~''''~\ 201 to 400 amps (2) $ 95,00 $
It,'.r .,.~i'l&~~~'iJ?~f;:"","~'~'~ c' ,..-_:::_.~,._LA",.".,~,.,,,,,,?' .=;Y~,.,"",~:...,~,,,~..._"" ~"'i;;':${,,,,,g~~~,.,'i~.{,{'1;-,'''"!:,ic
Name: \~,;dN\ Kev,.-..'C' <:.. 401 to 600 amps (2) $158.00 $
Address: ,;)i-Ie c( $h/ (!.,("c 601 to 1,000 amps (2) $205,00 $
'"
City: Q <'01 vv>cv> ".{ 1 State: 6 Q 1 ZIP: ')775'0. Over 1,000 amps or volts (2) $469,00 $
Phone: 5"11-.2>8- 1O'j')5 I Fax::>?!!-7'1!' ,;)572 Reconnect only (2) $ 63,00 $
E.mail: Temporary services or feeders: installation, alteration, relocation
This installation IS being made on residential or farm property 200 amps or less (2) l $ 63.00 $
owned by me or a member of my immediate family, Tills 201 to 400 amps (2) $ 87.00 $
property is not intended for sale, exchange, lease, or rent. OAR
479.540(1 ) and 479,560(1). 401 to 600 amps (2) $126.00 $
Signature: Over 600 amps or 1,000 .volts, see services or feeders section above
'i'1~_ll""!@0NifR'A'effi€fR'lijNsmA'l!!~iiI0'N:~_'R"~i'&,qii~," Branch circuits: new, alteration, extension per panel
-~."ll.V _. . "J~t",~._~,."..,-,-::..""..,"",,,~,_~,,,-.'_.~_JC__j.,..,..d, ....._",\"t.:".i.",',.~,.;.~~, _,' ~~...,.:;~D:f.-;;J":;:.
Business name: "'To() \\1,J(~ EI pC a. Fee for branch circuits with purchase of a service or feeder fee:
Address: ...JO~70 (OVe'1 Ct Each branch circuit $ 6.00 $
City: &.. Y\cA I State: oR. I ZIP: b, Fee for branch circuits without purchase of a servic.e or feeder fee:
Phoue:C) 11,311' 191'1; 1 Fax: - - First branch circuit (2) $ 55,00 $
E-mail: Each additional branch circuit $ 6.00 $
CCB license no,: ,/y 3iOC: 1 BCD license no,: (' ..22r1. Miscellaneous fees: service or feeder not included
Signing supervisor's license no.: 14o~<t oS Each pump or irrigation circle (2) $ 63.00 $
Print name of signing supervisor:\' ,( , , ~W,...L.J ...J. ,,;; Each sign or outline lighting (2) $ 63.00 $
Signature of signing supervisor:~ .0 L1"' -' 51't> .~... Signal circuit or a limited-energy panel, $ 63.00 $
~. . alteration, or extension (2)
C.Y '.
Each additional inspection: (I) $58,00 $
~&~~"lkV'~p.;eiriIi0Ji:Nm'<U'SE'''''''m'!lt;'''''''''''.'~''''
. ~.~:. ,_'!>"i-,.~~~~' ' -,-;",,~':"I:'<'e'~~,",,~:~,^,. ,L~~~;;,2_c_..,c...:~$&~t: '~4~~~~~]t~
~~ (A) Enter subtotal of above fees :;1'2-
(Minimum Permit Fee $58.00)
C\\ C\,\\) (B) Enter 12% surcharge (.12 x [A]) $
(C) Technology Fee (5% of[AJ) $ I ,.
TOTAL fees and surcharges (A through C): $:;;1 D' < ./
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f
440-2584-J (9/08/COM)
2~ willamalane
tlij Park and Recreation District .
Job. No.
t!lo - 9ft;
SYSTEM DEVELOPMENT CHARGE WORKSHEET
July 1-December31, 2010
NAME: SI^,J71~.L(~f /l L
ADDRESS:2'16Q ~t.A:.tt.7L 1M CITY ~t.1>A<tAJ~
LOCATION OF PROPOSED BUILDING SITE:
Street Address: 7%6 P1a,~,rl47l5'
PHONE:
STATE: .(')l...ZIP: '7?? sr.-
Plat Name:
Tax Lot Number:
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the
back.)
5
DEPARTMENT USE ONLY
Co~ 'LO{O-O c::> '1(1
Penn it no.:
Date: 7-(2-(0
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance Or if work is
suspended for 180 days.
..' :'f.;' ,):!~0(;AL' :i3QY$RNNt~~f?;4pi)8Q:V~llf;:?;f,b1!;.M~:;~~i
This project has final land-use approval.
Signature: Date:
This project has DEQ approval.
Signature: Date:
Zoning approval verified: DYes D No
Property is within flood plain: DYes D No
~~~~:~;~~~~:9l~tr~:ggRY~:9.FJ19,q~:~T:R:q,ctf;lQN-~~:;;;j~2~1l\:z;~~{+W:fWk
Residential 0 Government 0 Commercial
~",:t:3~?!;:,',h~:~U_9,'$~~Fr_~f :!N,fip.~MAif9NyjANp~_~6,GAfIqJ~~~J~~~j-~i3,'R~'~
Job site address: 780.
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-~''/;'?,t:FEE' SCH~QiJLE:::"'}:: i;;:t;~'T', ."
~~i::;/Yalu~ti,9~)'f~,f~r#{~:ii9:~\::'!~YLi'jMi~7)i\!}j~~j\:r~'i~ff-'~}';U!~::?;\:,~:~:;~1tl:~~%:t;':f;~-
(a) Job description: S.",
Occupancy 'i J LA
Construction type: V j]
Square feet: J..f.Q \ D
Cost per square foot:
Other information:
Name:
Type of Heat: FA- ~\.c.
Energy Path: ZA-
)2t'ilew D alteration D addition
(b) Foundation-only permit? DYes ..Etno
Total valuation: ~ Po '2 VI <) ,<i\/ ~ $' 'to ~
City:
Subdivision:
Reference:
::r7)).j,~JJgJ#'g:;.fe~~~~f,m'~~"~~~~rYb~I*ff~i\{]~:~:~wf$~55r~~; .,1' l=',_;;:~;::'~:i/'{;~;:d\~'_ , '
(a) Permit fee (use valuation table):
(b) Investigative fee (equal to [2a]):
(c) Reinspection ($ per hour):
number of hours x fee per hour)
$
$
$
$
Sign here'
" "
(a) Plan review (65% x permit fee [2a]):
(b) Fire and life safety (40% x permit fee [2a]):
(e) Subtotal of fees above (3a and 3b):
Business name:
(a) Seismic fee, 1% (.01 x permit ree [2a]): $
TOTAL fees and surcharges (2e+3c+4a): $
Gc _"",,-
Print name:
Signature:
Name
Electrical
Plumbing
Mechanical
Aii(QN~~;'~fr*ik$}~t;~;~1
Phone Number
2t-IO
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000815
Date: 07/12/2010
12:IO:03PM
Job/Journal Number
COM2010-00919
Payments:
Type of Payment
CreditCard
cReceintl
Description
Plan Review Residential
Paid By
HAYDEN HOMES
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 075232 In Person
Payment Total:
Amount Due
672.33
$672.33
Amount Paid
$672.33
$672.33
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Page 1 of 1
7/l 2/20 1 0
TRANSACTION RECEIPT
CIlY OF SPRINGFIELD
225 Fifth 8t
Springfield, OR 97477
541-726-3753
WNW.ci.spnngfield.or.us
permitcenter@ci.springfield.or.us
RECEIPT NO: 2010000032
RECORD NO: COM2010-00919
DATE: 08/10/2010
TOTAL DUE:
$-45.00
$9.00
$10.00
$13.00
$20.00
$22.63
$36.00
$38.00
$63.00
$75.00
$79.00
$88.00
$88.00
$88.83
$101.97
$133.36
$134.00
$166.55
$211.00
$276 57
$279.03
$279 54
$298.94
$36267
$402.00
$1.03040
$1.140.17
$1,304.18
$1,333.57
$1,494.26
$1,722.88
$3,468.00
$14,724.55
.....,iAMOUN:j:"'A"IO.!iil~q!.,ilqq!.,'!;;
$14,724.55
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Curbeut - 2nd Curbeut
Dryer Vent
SOC MWMC Administration
Exhaust Hoods
Fireplace (Listed)
SDC MWMC Compliance Charge
Vent Fan
Addressing Assignment
Temp Power 200 amps or less
Residence Wiring Ea Addtl 500
1 st Appliance
Curbeut Permit
SOC Transportation Admin
SOC MWMC Reimbursement
+ 5% Technology Fee
Residence Wiring 1000 Sq Ft
Fire SF Fee - Residential
Plan Review Major - Planning
SOC Sanitary/Storm Admin
+ 12% State Surcharge
SDC Transpo Reimbursement
Plan Review Residential
SDC Storm - Reimbursement
3 Baths One & Two Family
Sanitary Sewer - Improvement
SOC Transpo Improvement
SOC Storm - Improvement
. SOC MWMC Improvement
Building Permit
Sanitary Sewer - Reimbursement
Willamalane Single Family
l!iqRAYMEN:j:JJ~PEIilWJ~eA"YORWiIiI~JjAsHieR''fccAReelii"fE.fjllil!rcoMMEN;t5'i
Check Simplicity Homes
02596
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