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Home My WebLink AboutPermit Building 2007-3-2 , .::ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00045 ISSUED: 03/02/2007 APPLIED: 01/09/2007 EXPIRES: 09/02/2007 VALUE: $ 407,328.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6212 Fernhill Lp ASSESSOR'S PARCEL NO.: 1702343405400 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: Single family residence - Mt Gate lot 46 Owner: RUHOFF HOME BUILDERS INC Address: 3951 MIRROR POND WAY EUGENE OR 97408 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor RUHOFF HOMEBUlLDERS INC MAG ELECTRIC INC JUNG ENTERPRISES INC JAMMAL INC License 130797 149834 102455 158262 BUILDING INFORMATION I # of Units: Primary Occupancy Group: ~ Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: 2 Height of Structure: Type of Heat: Forced Air Gas Water Type: Gas Range Type: Gas Energy Path: Path 1 Sprinkled Building: n/a 1 R-3 U VB 5 I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 22.50 8.30 7.60 59.00 55.00 Expiration Date 07/13/2008 12/13/2009 10/04/2007 01/12/2008 Phone 541-334-6550 541-461-0387 541-937-2688 541-484- 7 440 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 11,326 2,115 1,470 879 Hillside 3 Yes 33.20 REQUIRED PARKING Total: 2 Handicapped: Compact: ATTEN IIUI\l:Vr8gon laiN mqulrtlJ:&BLGJ;MPROVEMENTS I Street I"WIlID'WlW9S adopted by tUrr q:~on Uti~ ty . Storm A II"\+ifiG::>tir"r1b~e. nter. Those rITtes 'a:~sit fo~ ~vwef' ~Vl1t1al It! ~ Downspouts/Drains: SpecialiIbaA'cHil62-001-0010 through OAR 102-001 0090. You may obtain copies of the rules \: . Notes: &!ell"lllJ~O~0::d'el1gd'a{Mat.teJ~1~Ai}~~~~g in new site plan with mirrored ~ll#~~rwidth drive must be 1,~BWitl~nW Wr@IijP.~~blli~f9t'Mme~\r1B~16f~'permits by Building Division.JLPfH~/~ER M I Centaris 1-800-332-2344), AUTHORIZE; ~~ALL EXPIRE IF TH: WORI COMMENCED OR ~~~~HIS PERM/1 IS N01 ANY 180 DAY PERIOD. ANDONED fOR Sidewalk Type: Pae:e 1 of 6 Curbside 5' To Storm Sewer Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction A.C. - Residen Dwellinl!s Garal!e AC - Residential V Wood Frame Garal!e Fee Description Plan Review Residential ~Mechanical Issuance Fee~ + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge 3 Baths One & Two Family Addressing Assignment Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Fireplace (Listed) Furnace - up to 100,000 btu Gas Outlets 1-4 Plan Review Major - Planning PW Disc - 2nd Permit Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Drainage Impervious Area Storm Sewer Each AddtI 100' Temp Power 200 amps or less Vent Fan WilIamalane Single Family I Valuation Description I $ Per Sq Ft or multiplier $4.00 $103.00 $27.00 Square Footage or Bid Amount 3,585.00 3,585.00 879.00 Total Value of Project ~ Amount Paid $1,018.32 $10.00 $248.39 $129.43 $180.85 $306.00 $31.00 $1,566.65 $80.00 $6.00 $9.00 $223.20 $30.00 $12.00 $4.00 $198.00 $-30.00 $106.00 $133.00 $870.78 $1,145.17 $10.00 $961.52 $91.61 $212.65 $63.52 $836.32 $189.58 $80.00 $1,418.32 $14.00 $50.00 $24.00 $2,303.00 Date Paid 1/9/07 3/2/07 3/2/07 3/2/07 3/2/07 3/2/07 3/2/07 3/2/07 3/2/07 3/2/07 3/2/07 3/2/07 3/2/07 3/2/07 3/2/07 3/2/07 3/2/07 3/2/07 3/2/07 3/2/07 3/2/07 3/2/07 3/2/07 3/2/07 3/2/07 3/2/07 3/2/07 3/2/07 3/2/07 3/2107 3/2/07 3/2/07 3/2/07 3/2/07 Pal!e 2 of 6 ~ITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2007-00045 ISSUED: 03/02/2007 APPLIED: 01/09/2007 EXPIRES: 09/02/2007 VALUE: $ 407,328.00 Value Date Calculated $14,340.00 $369,255.00 $23,733.00 $407,328.00 01/09/2007 01/09/2007 01/09/2007 Receipt Number 2200700000000000034 3200700000000000127 3200700000000000127 3200700000000000127 3200700000000000127 3200700000000000127 3200700000000000127 3200700000000000127 3200700000000000127 3200700000000000127 3200700000000000127 3200700000000000127 3200700000000000127 3200700000000000127 3200700000000000127 3200700000000000127 3200700000000000127 3200700000000000127 3200700000000000127 3200700000000000127 3200700000000000127 3200700000000000127 3200700000000000127 3200700000000000127 3200700000000000127 3200700000000000127 3200700000000000127 3200700000000000127 3200700000000000127 3200700000000000127 3200700000000000127 3200700000000000127 3200700000000000127 3200700000000000127 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amount Paid Initial Review Plan Review Comments 01/10/2007 PIannin!!: Review 01/10/2007 Public Works Review 01/10/2007 $12,532.31 I Plan Reviews' 01/10/2007 02/22/2007 03/02/2007 01/12/2006 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2007-00045 ISSUED: 03/0212007 APPLIED: 01109/2007 EXPIRES: 09/02/2007 VALUE: $ 407,328.00 APP SKG 10 DLM Per Jeff Prociw, earlier this month, the applicant decided to withdraw this permit and submit a different building for the lot. However, the applicant now wants to reverse the present plan on the lot instead of submitting a different building plan. The red building folder was given to Jeff on 2/22 to recreate the manilla folder that was either lost or discarded after the applicant's decision to change building plans. Jeff will request a new site plan from the applicant showing the revised position of the building on the lot and then return the red folder to building div. 2/22/07 dim Red folder returned 2/23/07 dim Place orange construction fencing along the conservation easement or limit of activity area and keep all construction activity out of this area, Plant native street trees chosen form the Native Trees in Hillside Development list in the street tree handout. Waiting in order PW rcvd for rvw.JLP APP T AJ WI JLP Pa!!:e 3 of 6 2ITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: cOM2007-00045 225 Fifth Street, Springfield, OR ISSUED: 03/02/2007 541-726-3753 Phone APPLIED: 01/09/2007 541-726-3676 Fax EXPIRES: 09/02/2007 541-726-3769 Inspection Line VALUE: $ 407,328.00 Public Works Review 02/14/2007 02/23/2007 APP JLP Site plan shows 39ft driveway. Cld Aaron @ 912-6103 on 2/14/07 @10am. Aaron to come to city and make modifications to plans and/or apply for overwidth. Modifications may effect planning, so holding in PW until modifications are rcvd.JLf 2/14/07 *** Rcvd application & rcvd back frm Traffic---Denied---ADA access ramp in middle of proposed drive. Cld and 1ft msg on Aarons voicemail @ 912-6103 about denial. May need to resubmit w/new configuration. Tlkd w/Tara she agreed shld hold in PW until owner decides on changes.JLP2/16/07 *** Tlkd w/Aaron he wants to go with a mirror image of plans as submitted. He will bring in revised site plan on Monday 2/26/07. He asked about status. I read him the structural notes in tidemark. He asked to be transferred to Don Moore.JLP2/22/07 *** Storm H2O to designated lateral. Aaron to bring in new site plan with mirrored layout. To expedite, PW has approved & sent to planning--Overwidth drive must be approved by Transportation prior t( release of permits by Building Division.JLP 2/23/07 Structural Review 02/27/2007 02/07/2007 APP DM Plans approved by David Mortier of The Building Department Structural Review 01/10/2007 01/18/2007 10 LLH Forwarded to the Building Department for plan review 1/18107 I1h. Structural Review 02/02/2007 02/02/2007 WE LLH Dave Mortier with the Building Department is reviewing the plans under contract with the City of Springfield. Dave has requested information from the engineer of the project regarding the retaining wall. 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. Pal!e 4 of 6 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: cOM2007-00045 ISSUED: 03/02/2007 APPLIED: 01109/2007 EXPIRES: 09/02/2007 VALUE: $ 407,328.00 225 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. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Curbcut - Overwidth: After forms are erected but prior to placement of concrete. Site Inspection: To be made after excavation but prior to setting forms. 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 requeste~ and approved and the building is complete. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. Underfloor Plumbing: Prior to insulation or decking. 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. 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. Pal!e 5 of 6 CITY OF SPRINGFIELD - Status Issued Building/Combination Permit PERMIT NO: cOM2007-00045 ISSUED: 03/02/2007 APPLIED: 01/09/2007 EXPIRES: 09/02/2007 VALUE: $ 407,328.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Ufor Electrical Ground: Install ground rod at footing and call for inspection in conjuction with footing and/or foundation inspection. 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 during construction. / () g~ wner ~r Contra~rs S/{nature ~/zh,1 . Date Pal!e 6 of 6 JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F.. x COST PER S.F. CHARGE I 4226.00 $0.336 = I $1,418.32 I , RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS .1 IMPERVIOUS S.F. x COST PER S.F. x I DISCOUNT RATE I . 0.00 $0.336 I 50% ITEM 1 TOTAL - STORM DRAINAGE SDC '$1,418.32 : 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's x I 44 B. IMPROVEMENT COST: I. NUMBER OF DFU's x 1 44 CITY OF Sr'J~GFIELDSYSTEMS DEVELOPMENfl~RKSHEET COM2007-00045 Ruhoff 6212 Femhill Lp 1702343405400 SINGLE FAMILY RESIDENCE 1 BUILDING SIZE (SF: 3150 LOT SIZE (SF): 11430 CZl iJ..1 o o I ~. ~ CZl >-< Q ~ DISCOUNT $0.00 $1,418.32 1070 COST PER DFU $26.03 $1,145.17 1091 $19.79 $870.78 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3. TRANSPORTATION A. REIMBURSEMENT COST: ADT TRIP RATE x 9.57 B. IMPROVEMENT COST: I ADT TRIP RATE I. 9.57 =, $2,015.95 . 1 NUMBER OF UNITS x 1 I COST PER TRIP $19.81 x NEW TRIP FACTOR 1.00 $189.58 1093 x. 1 NUMBEROF UNITS x '.1 I x INEW TRIP FACTOR I 1.00 ITEM 3 TOTAL - TRANSPORTATION SDC = I' COST PER TRIP $87.39 $1,025.90 4, SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x I 1 I $836.32 1094 ICOST PER FEU I . $91.61 $91.61 1054 = B. IMPROVEMENT COST: INUMBER OF FEU's .1 x ICOST PER FEU I I I $961.52 = $961.52 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054 MWMC ADMINISTRATIVE FEE $10.00 1056 ITEM 4 TOTAL- MWMC SANITARY SEWER SDC =1 $1,063.13 SUBTOTAL (ADD ITEMS I, 2, 3, & 4) = J $5,523.30 5. ADMINISTRATIVE FEE: SUBTOTAL x ADM. FEE RATE CHARGE $5,523.30 5% $276.17 TOTAL SANITARY ADMINISTRATION FEE: 212.65 11079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $63.52 1078 Jeff Prociw 2/14/2007 TOTAL SDC CHARGES =1 $5,799.47 PREPARED BY DATE "".--- DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUrv ALENT UNITS IBATHTUB 1 0 3 = 3 I DRINKING FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 I INTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC. 0 0 3 = 0 IINTERCEPTORS FOR SAND I AUTO WASH I ETC. 0 0 6 = 0 ILAUNDRY TUB 1 0 2 = 2 ICLOTHESWASHER I MOP SINK 1 0 3 = 3 I CLOTHES WASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK I DISHWASHER I ETC. 2 0 3 = 6 ISHOWER, SINGLE STALL 3 0 2 = 6 I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 2 0 3 = 6 I SINK: COMMERCIAL BAR 0 0 2 = 0 I SINK: WASH BASIN/DOUBLE LAVATORY 2 0 2 = 4 I SINK: SINGLE LAVATORY /RESIDENTIAL BAR 2 0 1 = 2 IURINAL, STALL/WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 4 0 3 = 12 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 44 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFD's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$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 1 for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR 2 2 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0.00 x $5.29 = I $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE 11000 CREDIT RATE $0.00 x $5.29 o TOTAL MWMC CREDIT $0.00 = &.All" . tmZ- 00I1ALS ~ DATE. ..s ----5 ,./ a-=' SOURCE rvv~ . Date 3 --o~ -' dOO I 3. (;11 Y UJ- m ..... "... SJ'RBET 0 SPRlNCFlELD. "'.77 . m:(S4I)7Z6-3753 . FAX: (S4I)126-3G1i9 ELEL-I.1<lCAL PERAf.!.r APPLICAT!ON City Job Number V I . ocot... <) Supervisor License Number A./j'l ()5 /f) / II /) 7 InstullatJon,Alh..,,,:,,, orRelocatiolJ 1_') ~O.l}(/ L / ~(/ ~ L I 200 Amps or less $ 50.00 '-.J ConSlT. Contr. Number /7 7 A ')', 201 Amps to 400 Amps ,$ 69.00 Ent":...~:onDate I~ /3 ,I (J9 ::'~:7:;:vO)t$!lee"B"above. 9:100.00 ~:;FZ~-- a~ ... ~. 1 r7 ct}..., Each Additional Circuit or with I . 4ll.. 'L(12 ~ Savice or Feeder Pennit ' $ 3.00 . Ownel"9Name' _~ . 1, Ackfr' .'. ~rib f (. M ( ~a~E. City~ Phon~331 ~~C:;F)-6 Pump or itrigation $ 50.00 Sign/Outline Lighting $ 50.00 OWN!: ALLATlON Limited &ergy/ResidentiaJ $ 25.00' !~; Limited Energy/Comm......:..1 S 45.00 ~1~. Minimum Elecark: Permit 1m........Jon Fee III $45.00 + Sun:ha"';, Owners SignalUre: 4.' ". ~W NOTICE" Er~~. &~ . I'"'\T rt:I'I! IIUj\l.~llb~Uh itillV j\;;q " . Jnspectlon1M\\'J~RMi~7@lHALL EXPIRE IF THE WO~TAL fo~I?w.~ule~ adopted by the '.' ',t AUTHORIZED UNDER THIS PERMIT IS NOT ~6~'R.na(TMl.u@~f~I'~~~Vl!!~6'P.gI~~et'~, COMMENCED OR IS ABANDONED FOR In OAR 952-001-001 0 through OAR 952-001 ANY 180 DAY PERIOD. 0090. you may obtain copies of the:fules , callIng th~ center. (Note: the telephone i1umber for the Or.gonUtility Notification Center is 1-80G-~32-2344). . l :~ . ~r~r~ LEGAL DESCRIPTIO \\O~31c_ n6Lfcm IDB DESCRr.PTION: ~,L\ lot ~~QD'*\~ Permjl~ arc Mn-transferable and eXPjr~ifwOrk is not started within 180 days of issullore or .f work is Suspended for] 80 days. Expiration Date The instal1ation is bemg made on .......,._ ~J I own which is TJOl intended for sale, lease or nmL A. J I Olo~ 1~3E ,"'.:t;"':Jtt"~'J 'Il'~"l t'j 'J tY'~. 1 ~~\~\. JII' i'l J ~ :rl!~:" .all.p'~I;',\~~~';I't.)(.Ji~liHtJ!~,:1~! ,~r:':'~t~t...'-t'.,'~I~'r. I 11,1t"": , I.., ,........... " I r 1_.' ~'''''"T:1'''r'!',...'' t-ll'. ,'",.lJ, Service Included 1 000 sq. 11. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder \ '1 5106.00 $ 19.00 $50.00 II. 200 Amps or less 201 AmPs to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsIVolts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 c. ::,rf.} ~.IA.t~:r~..,./i>)~~~l,4~l,: ':'l~~j'~_~,;:, 'eI;':" lr' tl~'''' ;}r::~:jl\ ~~~t, 11~\~1:f~\I:t~,;<y:).;;;l~~~L{!.'~~~~\~~~:~~~: 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone C of Springfield Official Receipt L"" . elopment Services Department Public Works Department Job/Journal Number COM2007 -00045 COM2007-00045 COM2007-00045 COM2007 -00045 COM2007 -00045 COM2007-00045 COM2007 -00045 COM2007-00045 COM2007 -00045 COM2007 -00045 COM2007 -00045 COM2007 -00045 COM2007-00045 COM2007 -00045 COM2007 -00045 COM2007-00045 COM2007-00045 COM2007-00045 COM2007-00045 COM2007-00045 COM2007 -00045 COM2007-00045 COM2007 -00045 COM2007-00045 COM2007-00045 COM2007-00045 COM2007-00045 COM2007 -00045 COM2007-00045 COM2007 -00045 COM2007 -00045 COM2007-00045 COM2007-00045 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 3200700000000000127 Date: 03/02/2007 Description Addressing Assignment Willamalane Single Family Temp Power 200 amps or less Fire SF Fee - Residential Sidewalk Penn it Curbcut Pennit PW Disc - 2nd Pennit Stonn 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/Stonn Admin SDC Transpo Admin Plan Review Major - Planning Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Building Pennit 3 Baths One & Two Family Stonn Sewer Each Addtl 100' Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Gas Outlets 1-4 Fireplace (Listed) ~Mechanical Issuance Fee~ + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By RUHOFF BUILDERS Item Total: Check Number Authorization Received By Batch Number Number How Received llh 087934 In Person Payment Total: Page 1 of 1 3:18:23PM Amount Due 31.00 2,303.00 50.00 223.20 80.00 80.00 (30.00) 1,418.32 1,145.17 870.78 189.58 836.32 91.61 961.52 10.00 212,65 63.52 198.00 106.00 133.00 1,566.65 306.00 14.00 12.00 24.00 9.00 6.00 4.00 30.00 10.00 129.43 180.85 248.39 $11,513.99 Amount Paid $11,513.99 $11,513.99 3/2/2007