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HomeMy WebLinkAboutPermit Building 2006-3-24 . CITY OF SPRINGFIELD. . Building/Combination Permit PERMIT NO: COM2006-00114 ISSUED: 03/24/2006' APPLIED: 01130/2006 EXPIRES: 09/24/2006 VALUE: $ 182,983.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone ,^ 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4788 Rocky Rd ASSESSOR'S PARCEL NO.: 1802051101500 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence. .. Owner: Address: Residential PARKER HOMES 24717 WOLF CREEK RD VENETA OR 97487 Phone Number: 541-579-3853 ().. +- ...\0 " ~.... \.\} ,\y::-<V ~ 'CONTRACTOR INFORMATION I {< # ~'<' Contractor Type co~tr i!1~ ~ <.(. License Expiration Date General PA~ ~ INC 162168 11/18/2006 Electrical ~~.<. ECTRIC INC 151>9.11 06/21/2008 Mechanical . ~ ~ A FORT HEATING & AIR 8~i(6~~ ~ 06/25/2007 Plumbing A~~'O-..~~~>>E~c..QM:FORT HEATING & AIR INC ;.~0e;.~4i61,~I<,..o C\i0'" ~ 06/25/2007 ~~~S <x.;~~\.J<V'V -:\ ~~' I BUILDING INFORM~TIO,Ni~~v.s00 y 0 ~ ~,\'0 ~<<; \;:)~ '\,0' >is''V .s\{)' O'?" 0 <;. ~0<0 '~O<::- # of Units: ~ ~~ ,<:0'0 1 # ofStori~s:\..'O~ r_0'" ~ c;-'S' ,}.0<:<1~0V- Lot Size: C~~ ,V'," V r)..J ;)~ ~ xv_,", Primary occupancy,~ up: R-3 Heighco,f Strueture,O ',0 ,,,,020.00 Sq Ft 1st Floor: ~ ~~ " '" Q' '\> ,- ~. Secondary Occupan y Group: Tyie ofJIe~:. ...../\:)~ 00 ~i' .~G~s'>< Sq Ft 2nd Floor: :,' Primary Construction Type VB *~t~t'Ty.pe:):)/\:) ~1P ~O -0"-> (9as Sq Ft Basement: Secondary Construction Type: ~'\<<Rai1geRT~p-ef & 0" r;:>;0~ ~rl.Jrl.JGas Sq Ft Garage/Carport # of Bedrooms: 3 ~ ~Ehetg1<g.a1h:~ l~ 0,0 CJJ\:5 Path 1 Sq Ft Other: . ,0 ~,I..l. qs ~" . ,r:. (? ",: ~prIDJde~Bu~dln.g:~ .~ n/a Occupant Load: ' ~ ("\~ -I: A '<;: ~,- ,." .. ,~; I DEVELO~NlJ:!.f~'l,'NFQRMATION , y.'>" Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 2 Yes 29.80 Total: Handicapped: Compact: Phone 541-935-7984 541-998-7187 541-345-2838 541-345-2838 7,405 1,717 500 REQUIRED PARKING Front yard Setback: " Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 22.00 , 5.00 10.00 0.00 I PUBLIC IMPROVEM~l~ 1 ~ I Street Improvements: Storm Sewer Available: .; Special Instruction: Fully Improved Yes Sidewalk Type: Downspouts/Drains: Notes: Storm drainage piped to stub provided 2/8/2006 CAS ''''. Paee 1 of4 2 Curbside 5' To Storm Sewer Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00114 ISSUED: 03/24/2006 APPLIED: 01130/2006 EXPIRES: 09/24/2006 VALUE: $ 182,983.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description 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 1,717.00 500.00 Value Date Calculated Description Total Value of Project $169,983.00 $13,000.00 $182,983.00 01/30/2006 01/30/2006 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $543.01 1/30/06 1200600000000000091 -Mechanical Issuance Fee- $10.00 3/24/06 1200600000000000340 + 10% Administrative Fee $137.84 3/24/06 1200600000000000340 + 8% State Surcharge $110.27 3/24/06 1200600000000000340 2 Baths One or Two Family $254.00 3/24/06 1200600000000000340 Addressing Assignment $31.00 3/24/06 1200600000000000340 Building Permit $835.40 3/24/06 1200600000000000340 Curbcut Permit $80.00 3/24/06 1200600000000000340 Dryer Vent $6.00 3/24/06 1200600000000000340 Exhaust Hoods $9.00 3/24/06 1200600000000000340 Furnace - up to 100,000 btu $12.00 3/24/06 1200600000000000340 Gas Fireplace $15.00 3/24/06 1200600000000000340 Gas Outlets 1-4 $4.00 3/24/06 1200600000000000340 Heat Pump $12.00 3/24/06 1200600000000000340 Plan Review Major - Planning $150.00 3/24/06 1200600000000000340 PW Disc - 2nd Permit (Street) $-30.00 3/24/06 1200600000000000340 Residence Wiring 1000 Sq Ft $106.00 3/24/06 1200600000000000340 Residence Wiring Ea Addtl 500 $57.00 3/24/06 1200600000000000340 Sanitary Sewer - Improvement $457.68 3/24/06 1200600000000000340 Sanitary Sewer - Reimbursement $601.68 3/24/06 1200600000000000340 SDC MWMC Administration $10.00 3/24/06 1200600000000000340 SDC MWMC Improvement $865.31 3/24/06 1200600000000000340 SDC MWMC Reimbursement $82.03 3/24/06 1200600000000000340 SDC Sanitary/Storm Admin $134.39 3/24/06 1200600000000000340 SDC Transpo Admin $65.03 3/24/06 1200600000000000340 SDC Transpo Improvement $805.70 3/24/06 1200600000000000340 SDC Transpo Reimbursement $182.69 3/24/06 1200600000000000340 Sidewalk Permit $80.00 3/24/06 1200600000000000340 Storm Drainage Impervious Area $983.21 3/24/06 1200600000000000340 Temp Power 200 amps or less $50.00 3/24/06 1200600000000000340 Vent Fan $18.00 3/24/06 1200600000000000340 Willamalane Single Family $1,000.00 3/24/06 1200600000000000340 Total Amount Paid $7,678.24 Pal!e 2 of 4 CITY OF SPRINlj,~lELn · Building/Combination Permit PERMIT NO: COM2006-00114 ISSUED: 03/24/2006 APPLIED: 01130/2006 EXPIRES: 09/24/2006 VALUE: $ 182,983.00 '-WIr~r~!.~~fi'~""~J' ~,," ~j !} 1[ , . """"'.~."-.!.""",..",,,,::,~._ '''~.'4~'.' ","""~'='C,'...,, ,',:'"'.'," Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review LDAP Review I Plan Reviews I 02/02/2006 APP , 03/08/2006 APP SKG VRJ 02/02/2006 03/08/2006 LDAP Review 02/15/2006 02/15/2006 10 VRJ ... Planninl! Review 02/0212006 02/22/2006 APP TAJ Public Works Review 02/02/2006 02/08/2006 APP CAS Structural Review 0210212006 02118/2006 OK RJB LDAP is at the front counter and ready to issue. Building Permit and " LDAP to be issued at the front counter concurrently. $600.00 due at issuance. Full Review LDAP required. Applicant submitted LDAP 2/14/2006 and application is under review. $600.00 due at issuance. This lot has a small Tree Conservation Zone located in the rear of the property. That area is to be fenced with construction fencing. No disturbance, tree or native vegetation removal is allowed in this area. Choose street trees from the list on Exhibit B for trees outside the Hillside District - attached to the Street Tree Handout. Storm drainage to stub provided rear of lot 2/8/2006 CAS ~' ,.' To Request an inspection call the 24 hour recording at 726-3769. All inspection 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..ReouiredJnSDections 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. Dfer 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. Pal!e 3 of 4 -"",: \';t; .~~.. \i: Status CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00114 ISSUED: 03/24/2006 APPLIED: 01130/2006 ,EXPIRES: 09/24/2006 VALUE: $ 182,983.00 Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line " Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. 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. UnderOoor Plumbing: Prior to insulation or decking. UnderOoor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench 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. UnderOoor Mechanical. Prior to insulation or decking and including required testing. UnderOoor 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 OGCUP ANCY 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 'v;;nf};;)fVL ?? - ;2.LF - {!)6 Owner or Contractors Signature Date Pae:e 4 of 4 SPRINGFt:ELO --...,,,,,;(! 225 FInD STREET . SPRIN."...u>, OR 91477 . PB:(54I)726-3753 · FAX:JWtl~:e~O'IO'~~;"g ELEl."HuCAL PERMIT APPUCATlON' Zonin!]' ""-'1 City Job Number ~ 'ZOOh - 00 f l'f Date ~ - '"2- 4:. - 0 (0 I)ate 1. :~~y~~~~ 3. ~~,~.K~;:,:,~~,!!~~J~r~i'1 tf 1-t3B ULOck/ ~, LEGAL DESCR1P11DN A..:.-~~'M@~l 1~7-. () ~t I 0 I (00 Service Included JOB DESCRIPTION 1000 sq. ft. or less I ' $106.00 to(,(CO /) Each additional 500 sq. ft. or ~ fa...r/"'/<ult!vttL o-1-f8..fl'X"/Y pmtion- 1 S 19.00 )!I-,oo Permits are no'-transferable and expire if work is r Each M~~~hi~Qf8gon law requires you to not started within 180 days of issuance or if work is Mod~~t>wel~g~SeFVice':\Wd by the Oregon Utili~ Suspended for 180 days. Feeder.JL! IC~Jon Center. Thos::; rt.::.::c ;:~J ~~?Porth 2. \:~~B[~~~~ B..' ': ~ - ,G ., i~~Wtj.f;[;j EI tn. I C tra t fll'~I:..Pf'~';n{04 (\ E \.p({rif "00 A C2:::;I~~; tl18 center. (Note: the teleoboije ec ca on cor r'\ ." ~.........! ,~_,,,-, \.. - ~ mps or, ess ",'I" . I :ti~b3.0 ._ ~.' {!tl/' 201 A~li II..~Or fRr the Oregon ULIIILY I'lu~hQ8tl< III ( 't; '4'" \ -r I J~ ......" runt"" 0 ~ mps. 1 800 "I~~."~' 1 1J.UIJ Address '..' ~ .:..-\ t () \ U Ir~'y'\(j)t},'t), 401 Amps to 6obJX= IS - -~vc..-c..v...'"t 125.00 aJ UVltt1 b Y\ CJftJPbone c,q ~ - ~f~ :, ':::::V:' ~~~:: "-....../ Reconnect Only $ 50.00 Expiration Date ,,!) DDlo S \D-\-bL-., \~\O\ \ \ lo-2.\- O~ Supervisor License Number Constr. Contr. Number Expiration Date Signature of Supervising Electrician v~~~ . ~ / ' ~ers Name i=11 Q., l~ tl..v..( A Ad~ 'Z~7' 7 '/..JDl,fd ~~ City Vf3t.J.er-A ' S/5 - J tS"J ~.n R<quest: 726-3769 ~ C.'~;~rf~~~f~~;Er~!r: InstaUation, Alteration or Relocation 200 Amp~.or less I $ 50.00 ~OIOO 201 'AmpS.to 400 Amps $ 69.00 401~~Mooo;~ EXPIRE IF THE W~~.OO ,~WJt>8~. ~,lJ~b1~o~~~ifv\go~. NOT DC, ;, ,':'ru*tt'&:AB~' ,'m'.Q~i))~:"a'i.'7':'<!"i;r<~]~C:'F': .",:':T",'" ", ",,',. Wt$'~'".!; :;\,,:3,-~' " ~ ,Y1f.l;"..;~;.";':':",i:',"'~;{-'~~,{~c;''L,;l A N'f"f311lY1'\tPE'RtO~"~h ,_4..L."." ,~"- ," ,.' ~_.A""'-'''^-' '",-",. New Alteration or Extension Per Panel One Circuit $ 43.00 Each Additional Circuit or with Service or Feeder Permit $ 3.00 ..... ;'~."'t:;'~..;" !";~.-:~0?;.~ J~. ::.~'~~...:.~"~~;T7:::::: :"':'~':~'_ ..~o;rr7;~'i:T~.'~' ~:~.~_~,:'~';.':',"~~-~~";,'~~~'~~r" '. . E. :,Mts.ce.':b,til~us':(S'~r\ri~i~f~d~ti'no.,t,;mcI1ia~d)ii-E~ciitiistallation, . .......~,:..$C.... --'-" :#,._..:.;~"..i ~_ .;(,.,.. _.: u'. . . .~"'.._ ~. _. 0 ,_....:._~~~'"~ ....~...._,_ -- ,:. .,' .,~. ,"';:.,......._...~ ~..;.. ::....::...-.:.... ~.." ,;... .,~.' 0'; OJ Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50,00 Limited EnergylResidential $ 25.00 Limited Energy/C"""".ercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. ;~~~~?]li~J!~.~.~~~~2;K;~i2Gl g% State Surcharge 10% Administrative Fee 2. \ '~,OO l1-.otf -oj '2J .1'0 1 Z..ff, 1'1 TOTAL __ '"' .1.J~o_ _ -r.___1C1............:1O...1 D"""""",t Annl;~~tinn l-03.doc CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT"':;?"RKSHEET - JOURNAL OR JOB NUMBER: COM2006-00114 NAME OR COMPANY: Parker Homes LOCATION: 4788 Rocky Rd TAX LOT NUMBER: 180205110 1500 DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE NEW DWELLING UNITS I BUILDING SIZE (SF: 2224 LOT SIZE (SF): I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. I I, CHARGE ' I 3044.00 I $0.323 = I $983.21 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F. x I COST PER S.F. x DISCOUNT RATE I DISCOUNT 0.00 I $0.323 50% = I $0.00 7433 r/) ~ o o u ~ ~ ,E-< r/) >-< o ~ ITEM 1 TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's x I 24 $983.21 $983.21 1070 COST PER DFU $25.07 $601.68 1091 B. IMPROVEMENT COST: NUMBER OF DFU's x 24 $19.07 $457.68 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $1,059.36 3. TRANSPORTATION , A. REIMBURSEMENT COST: I ADT TRIP RATE x I NUMBER OF UNITS x COST PER TRIP x I NEW TRIP FACTORI I 9.57 I I $19.09 , 1.00 I $182.69 1093 ' B. IMPROVEMENT COST:, I ADT TRIP RATE x NUMBER OF ,UNITS x I. COST PER TRIP x NEW TRIP FACTOR I 9.57 I I $84.19 1.00 $805.70 1094 ITEM 3 TOTAL - TRANSPORT A nON SDC =, $988.39 4. SANITARY SEWER - MWMC I A. REIMBURSEMENT COST: I NUMBER OF FEU's x ICOST PER FEU I I $82,03 = $82.03 11054 B. IMPROVEMENT COST: NUMBER OF FEU's I x ICOST PER FEU I I I $865.31 = $865.31 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 i: 1054 MWMC ADMINISTRATIVE FEE $10.00 1'1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = 1 $957.34 SUBTOTAL (ADD ITEMS 1,2,3, & 4) =,1 $3,988.30 I u_ 5, ADMINISTRATIVE FEE: I SUBTOTAL x ADM. FEE RATE CHARGE , $3,988.30 5% $199.42 TOTAL SANITARY ADMINISTRATION FEE: 134.39 11079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $65.03 1078 , Cheryl Slaymaker 2/8/2006 TOTAL SDC CHARGES =1 $4,187.72 PREPARED BY DATE ,"- DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUN ALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUlV ALENT UNITS IBATHTUB - 2 0 3 = 6 IDRINKING FOUNT A1N 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 ICLOTHESW ASHER / MOP SINK 1 0 3 = 3 ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 I MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0 IRECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 I SHOWER, SINGLE STALL 1 0 2 = 2 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASINillOUBLE LAVATORY 2 0 2 = 4 SINK: SINGLE LA V ATORY/RESIDENTIAL BAR 0 0 1 = 0 URINAL, STALL / WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRlVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EOD'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 24 OEDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit '(20 DFD's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$I,OOO ASSESSED VALUE $5.29 $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 $1.59 $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.05 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR 2 2 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0.00 x $5.29 = , $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0.00 x $529 o = $0.00 TOTAL MWMC CREDIT 125 Fifth Street .. Spr~ngfield, Oregon 97477 ..' 541-726-3759 Phone Job/Journal Number COM2006-00114 COM2006-00114 COM2006-00114 , CpM2006-00114 COM2006-00114 COM2006-00114 COM2006-00114 COM2006-00114 COM2006-00114 GOM2006-00I14 COM2006-00114 ~ J COM2006-00II4 CbM2006-00114 cOM2006-00114 COM2006-00114 COM2006-00114 COM2006-00114 COM2006-00114 COM2006-00114 COM2006-00114 COM2006-00114 COM2006-00I14 CbM2006-00114 CbM2006-00I14 COM2006-00114 COM2006-00114 COM2006-00 114 ci6M2006-00114 CbM2006-00114 CbM2006-00114 d~M2006-00114 T r'!+v of Springfield Official Receipt " t'elopment Services Department Public Works Department RECEIPT #: 1200600000000000340 Date: 03/24/2006 2:10:13PM Description Addressing Assignment Willamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Sidewalk Permit Curbcut Permit PW Disc - 2nd Permit (Street) 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 2 Baths One or Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods , Dryer Vent Gas Outlets 1-4 Gas Fireplace Heat Pump -Mechanical Issuance Fee- + 8% State Surcharge + 10% Administrative Fee Plan Review Major - Planning Amount Due 31.00 1,000.00 106.00 57.00 50.00 80.00 80.00 (30.00) 983.21 601.68 457.68 . 182.69 805.70 ,82.03 : 865.31 10.00 134.39 65.03 835.40 254.00 12.00 18.00 9.00 6.00 4.00 15.00 12.00 .. 10.00 1l0.27 13 7.84 150.00 ' $7,135.23 Item Total: Check Number Authorization Received By Batch Number Number How Received Payments: Type of Payment Paid By Check .' ;t " :1 \ ~'. ; ('f:: 1(- ~l ... :t ~ '1- 3/24/2006 Amount Paid PARKER HOMES, INC. 6341 In Person Payment Total: $7,135.23 $7,135.23 Jmp Page 1 of 1