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Home My WebLink AboutPermit Building 2006-7-27 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00670 ISSUED: 07/27/2006 APPLIED: 06/0112006 EXPIRES: 01127/2007 VALUE: $ 358,736,00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6379 Fernhill Ct ASSESSOR'S PARCEL NO.: 1702343404100 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence - Mt Gate subd lot 30 Owner: W ALTER CUSTOM HOMES Address: 2863 RIVERW ALK LOOP EUGENE OR 97401 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor THOMAS W ALTER CUSTOM HOMES LLC BEAR MOUNTAIN ELECTRIC LLC MARSHALLS INC RS PLUMBING CONTRACTING License 160287 136298 25790 103816 BUILDING INFORMATION I # of Units: 1 # of Stories: 2 Primary Occupancy Group: R-3 Height of Structure 33.50 Secondary Occupancy Group: U Type of Heat: Forced Air Gas Primary Construction Type VN . as au t(\Vater Type: Gas SeCOndal")\'p:mstfUZiibrDryp'@.nlaWreQL\1r'-'YU"'II'IRllnge Type: Gas , " 'b" t'~a C:""'qon I. 1:\/ # of Bedr.QQlBs;' rule:, C;C'C/lSC! j I,v 3' ~', t' Rn.ergy Path: Path 1 lv, " -n ru'es ~re "'8 IQJy' N~-:" :;CGtic'~ ?:~,t~;_ ~l;~:: 'nl~'" ~~,>\ i~,2..0lJ~~inkled Building: n/a Ir t,i. .'...._~.-\.-J.U.I --."- - . -' "'1".. 1" - '-;". cr;c'J. \:'uu -:-::C'.\} O:'2it CC?I~~ at LBEVELOPMENT INFORMATION I It. . ".....,.- roc"..,.1'~r (~1 ~ .2. ~,18 tVL'-':-' .1...,. ,.... Cc" ',-'r' I. ,,--, .J'" ..J' ' I' 'Ii,'. 'I~"; ,,,,,'Dn F~ontyardr~~tbackh t tl: 3, :;,~2 ~i ~~ ~ F;ML~/:,)'~' ,l-a., Overlay Dist: Hillside Side 1 Setback: ~:-l~l:st"'-~\'3r.00 # Street Trees Rqd: 2 Side 2 Setback: 7.00 Paved Drive Rqd: Yes, Rearyard Setback: 27.00 % of Lot Coverage: 31.30 Solar Setbacks: 0.00 I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Residential Phone Number: 541-683-6355 Expiration Date 07/1212008 08/0612007 12/2312009 01/04/2008 Phone 541-683-6355 541-953-6747 541-747-7445 541-461-4714 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Flool': Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 10,588 1,641 1,320 669 353 REQUIRED PARKING Total: 2 Handicapped: Compact: . ": ,- Fully Improved Yes Sidewalk Type: Downspouts/Drains: Curbside 5' To Storm Sewer Notes: Gravity wall and patio approved per Jim Donovan, front steps out of PUE per revised plan 6/1512006 Storm drainage piped to stub provided; 6/4/06 CAS Pae:e 1 of 5 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00670 ISSUED: 07/27/2006 APPLIED: 06/0112006 EXPIRES: 01127/2007 VALUE: $ 358,736.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I A.C. - Residen Dwellin2S Gara2e Tvpe of Construction AC - Residential V Wood Frame Gara2e $ Per Sq Ft or multiplier $4.00 $99.00 $26.00 Square Footage or Bid Amount 3,314.00 3,314.00 669.00 Value Date Calculated Description Total Value of Project $13,256.00 $328,086.00 $17,394.00 $358,736.00 06/02/2006 06/01/2006 06/01/2006 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $887.35 6/1/06 1200600000000000777 -Mechanical Issuance Fee- $10.00 7/27/06 2200600000000001061 + 10% Administrative Fee $232.86 7/27/06 2200600000000001061 + 8% State Surcharge $170.35 7/27/06 2200600000000001061 3 Baths One & Two Family $306.00 7/27/06 2200600000000001061 Addressing Assignment $31.00 7/27/06 2200600000000001061 Boiler/Comp Up To 100,000 btu $12.00 7/27/06 2200600000000001061 Building Permit $1,407.40 7/27/06 2200600000000001061 Curbcut Permit $80.00 7/27/06 2200600000000001061 Dryer Vent $6.00 7/27/06 2200600000000001061 Exhaust Hoods $9.00 7/27/06 2200600000000001061 Fire SF Fee - Residential $199,15 7/27/06 2200600000000001061 Fixture $42,00 7/27/06 2200600000000001061 Furnace - more than 100,000 $30.00 7/27/06 2200600000000001061 Gas Outlets 1-4 $16.00 7/27/06 2200600000000001061 Gas Outlets 4+ $1.00 7/27/06 2200600000000001061 Mountaingate Impervious Area $1,127,59 7/27/06 2200600000000001061 Plan Review Major - Planning $198,00 7/27/06 2200600000000001061 Plan Review Residential $27,46 7/27/06 2200600000000001061 PW Disc - 2nd Permit (Street) $-30.00 7/27/06 2200600000000001061 Residence Wiring 1000 Sq Ft $106.00 7/27/06 2200600000000001061 Residence Wiring Ea Addtl 500 $114.00 7/27/06 2200600000000001061 Sanitary Sewer - Improvement $762.80 7/27/06 2200600000000001061 Sanitary Sewer - Reimbursement $1,002,80 7/27/06 2200600000000001061 SDC MWMC Administration $10.00 7/27/06 2200600000000001061 SDC MWMC Improvement $865.31 7/27/06 2200600000000001061 SDC MWMC Reimbursement $82.03 7/27/06 2200600000000001061 SDC Sanitary/Storm Admin $180,34 7/27/06 2200600000000001061 SDC Transpo Admin $61.61 7/27/06 2200600000000001061 SDC Transpo Improvement $805.70 7/27/06 2200600000000001061 SDC Transpo Reimbursement $182.69 7/27/06 2200600000000001061 Sidewalk Permit $80.00 7/27/06 2200600000000001061 Temp Power 200 amps or less $50.00 7/27/06 2200600000000001061 Vent Fan $30.00 7/27/06 2200600000000001061 Pa2e 2 of5 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00670 ISSUED: 07/27/2006 APPLIED: 06/01/2006 EXPIRES: 01/27/2007 VALUE: $ 358,736,00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Willamalane Single Family $1,000.00 7/27/06 Total Amount Paid $10,096,44 I Plan Reviews I Initial Review 06/02/2006 06/02/2006 APP LLH Initial Review 07/17/2006 07/17/2006 APP LLH Planninl!: Review 06/28/2006 06/28/2006 APP TAJ Planninl!: Review 06/02/2006 06/23/2006 WE T AJ Public Works Review 06/02/2006 06/15/2006 APP CAS Structural Review Structural Review 06/02/2006 07/17/2006 07/18/2006 07/24/2006 APP RWC DON RWC 2200600000000001061 Revised elevation drawings Jim Donovan has approved a retaining wall in the Vegetation Easement with the following conditions which must be met prior to occupancy: 1. Natural grades are approximated above and below the wall. 2. Plantings occur above and below the wall. 3. The 4 trees removed shall be replaced with native tree species, These 4 trees and the 2 required street trees with hillside trees choses from the list in the street tree handout. Alison will bring 2 revised site plans in on 6/23 or 26. Received new site plan retaining wall and patio okay per Jim Donovan 6/15/2006 No structure in easement including overhang will call contractor MONDAY am; storm drianage piped to stub provided 6/4/06 CAS Revised elevation drawings. 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, ~e(]lIire~QSDections 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. 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, Pal!:e 3 of 5 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2006-00670 ISSUED: 07/27/2006 APPLIED: 06/01/2006 EXPIRES: 01/2712007 VALUE: $ 358,736,00 225 Fifth Street, Springfield, OR 541- 726-3 753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Vfor 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. Curbcut - Standard: After forms are erected but prior to placement of concrete. Vfer 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. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Shower Pan. Prior to covering 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. 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. Pa!!:e 4 of 5 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00670 ISSUED: 07/27/2006 APPLIED: 06/01/2006 EXPIRES: 0112712007 VALUE: $ 358,736,00 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. If.~~L Owner or Contractors Signature Paee 5 of 5 ? -52 1-- . 0(0 Date 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, IMPERVIOUS S,F. . x COST PER S,F, CHARGE 3491.00 $0.323 = I $1,127,59 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS' I IMPERVIOUS S,F, x I COST PER S,F, x I DISCOUNT RATE I DISCOUNT I 0,00 . I $0.323 I 50% = ~ I ' $0,00 ITEM 1 TOTAL - STORM DRAINAGE SDC '$1,127.59 2, SANITARY SEWER - CITY A. REIMBURSEMENT COST: NUMBER OF DFU's x 40 B. IMPROVEMENT COST: I NUMBER OF DFU's x I . 40, - ,- ,... -" ~ CITY OF sJ_INGFIELD SYSTEMS DEVELOPME~~ORKSHEET COM2006-00670 Walter Custom Homes 6329 Femhill Ct 1702343404100 . SINGLE FAMILY RESIDENCE -I BUILDING SIZE (SF: 2360 LOT SIZE (SF): 1 0588 . if) ~ o o u p::: ~ E--< if) ...... o ~ $1,127.59 I 1070 COST PER DFU $25,07 . $1,002.80 1091 ...; $19,07 , $762.80 1092 ITEM 2 TOTAL - CITY SANITARY SEWER Si>C = , $1,765.60 . 3, TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE x I NUMBER OF UNITS I x COST PER TRIP x NEW TRIP FACTOR I 9.57 I 1 I $19,09 1.00 $182.69 I ]093 B. IMPROVEMENT COST: I ADT TRIP RATE, x I NUMBER OF UNITS x COST PER TRIP x NEW ,TRIP FACTOR I 9.57 I 1 $84,19 1.00 $805.70 1094 ITEM 3 TOTAL - TRANSPORTATION SDC =1 $988.39 4, SANITARY SEWER - MWMC A. REIMBURSEMENT COST: ' INUMBER OF FEU's " ICOST PER FEU ' ; , ,x I 1 I $82,03 = $82.03 1054 ' B, IMPROVEMENT COST: INUMBER OF FEU's x ICOST PER FEU - I 1 I $865,31 = $865.31 ]055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 ]054 MWMC ADMINISTRATIVE FEE $10.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =1 $957.34 , SUBTOTAL (ADD ITEMS I, 2, 3, & 4) = 1 $4,838.92 , ,- 5, ADMINISTRATIVE FEE: I SUBTOTAL x I ADM, FEE RATE 1= CHARGE I $4,838,92 , 5% I $241.95 TOTAL SANITARY ADMINISTRATION FEE: 180.34 p079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $61.61 P078 Cheryl Slaymaker 6/4/2006 TOTAL SDC CHARGES = -J $5,080.87 :1 PREPARED BY DATE JI DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO, OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS IBATHTUB 3 0 3 = 9 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC, 0 0 6 = 0 LAUNDRY TUB 1 0 2 = 2 CLOTHESW ASHER / MOP SINK 1 0 3 = 3 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRIG / WATER STATION / ETC, 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC, 1 0 3 = 3 SHOWER, SINGLE STALL 1 0 2 = 2 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 I SINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASIN/DOUBLE LAVATORY 2 0 2 = 4 I SINK: SINGLE LAVATORY /RESIDENTIAL BAR 2 0 1 = 2 I URINAL, STALL / WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 4 0 3 = 12 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 40 *EDU (Equivalent DweIling Unit) is a discharge equivalent to a single family dweIling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$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 ELGffiLE FOR ANNEXATION CREDIT? (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGlBLE FOR ANNEX, CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0,00 x $5,29 = I CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0,00 x $5,29 TOTAL MWMC CREDIT 2 2 1979 $0,00 o $0,00 Date ,~;,~ "'< :~,:.' :..0~~~.~:tr.< ..'.c.'f' , . , ~A~,. .~ 1-)'7-Db 225 FIFfH STREET · SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 3LECJf. H3.'ClfJL PERJ1:f.llt.AlPPff.."ICAT!f}J"l City Job Number \..:.. \j). \1/10 1. \~l17f~i({~1t~z&;~C ' LE\rtDi~~N [A \Cf) JOB DESCRIPTION ~~ Rtn\ck.1\~ + \ff1\l Permits are non-transferable and expire if work IS not started within 180 days of issuance or if work is Suspended for 180 days. 3. .~:~.:f7q~f!f!;~1%:!:~tf~-~$~1:tlJ~~t!~~)~~tj~p~.1r'",~"":'"' :..... -: ." A.:~~j~f~#~~ti'arS~i~~~!~ ~(~Y1~~~-:~:~t<ii]ip~t3b~fI~ngj~Ulit;:.. ':' Service Included 1000 sq. ft or less Each additional 500 sq. ft. or portion thereof Each Manufilct'd Home or Modular Dwelling Service or Feeder $106.00 \Dlo~ \\A,~ \ lo $ 19.00 $50.00 :;~=:=::~;E~!=ff}~ tL;'~~~!:~~~:E~~:~:~~<<~~m"..,., /j} k } / ;< , / r II /h 2<l.l~ftdf\~r. Those rules arE%~!&9rtr Address t(','S<aJj;fIw; ~~. d' y /fbS' 4o.~Wmtg~GtH-.a010throughOAR~~1 , C q% 71(1-~qJ 60l<t9\'P.S'ft,)WM~tain copies of th\rb'.!!l\ b~ City -'luJt.n. 'C... , Phone fJ<'5-67'-11 7q;"~1 ~er ~~gtt:nter. (Note: the tet~!3fJ J RecqfBffi~for the Oregon Utility Notill~~ '. '.. . Center is 1-800-332-2344). c. ..~:~~~i~~i~!~~~~{~~::'~'~~f0~~~5~~::~~~~_:'f~cdi:.i.:4::_~'.:': -" . Supervisor License Number IfL C/o <) Expiration Date / ()-o 1-07 Constr, Contr. Number /<. ~29<6 Expiration Date t -('-07 SignatuJ;~e 91' Supe?'fsln~ilectriCian lA, ) 1/ 1 __ / IiIv/ !.!-,A/l - ) '/"'" . Owners Name \lx\~er ~tl~-tn'(Y\ Address rLt6lo'3 W U.e.n 1 "'rt.2J{ j City tA)q~ Phone to<tJ~'(n6SS OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 InstaUation, Alteration or Reloeation 1 c::.O.aJ 200 Amps or less \ $ 50.00 '-.) 201 Amps to 400 Amps $ 69.00 401 Anpffirf8~~s $100.00 ~~e~.6fJ1aof lO()()VOlts~~"~bOV~. . D. ...,:g"<-<,I~<t".'''"a'r,-=.~-MfT SH.At::[. EX.p.'RE " '.' . , . ..... ..'... .' 'fIUT ,.".........', ..... .....' " FTH.." ..." .,.' New~l~gnWltt4i_lfemi~'fJ E WORk' OnedJlM)MNCED OR 'S A.B~..,ERM~~j~rNOT Each~ditQ@lr . witlj ,. n'VUU/lJtD FnR Service or Feedeim!RIUD,. $ :rob E,:,~!~t~~;iin~~~!sr~~~;::i~ff~;;~~{~::liiit)!~c~ilgg~U'g~~~:iiis~n~ij3}~Q~1' , Pump or irrigation $ 50.00 Sigo/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Eleetric Permit Inspection Fee is $45.00 + Surcbarges 4. 8% State Surcharge 10% Administrative Fee ~~l") 0 ,CO ~l. Lei) 'LJ 1 (XJ ~\6.\aO TOTAL Shared Drive(T:)/Building Fonns/Electrical Pennit Application 1..(}6.doc 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ,", of Springfield Official Receipt .L , elopment Services Department Public Works Department Job/Journal Number COM2006-00670 COM2006-00670 COM2006-00670 COM2006-00670 COM2006-00670 COM2006-00670 COM2006-00670 COM2006-00670 COM2006-00670 COM2006-00670 COM2006-00670 COM2006-00670 COM2006-00670 COM2006-00670 COM2006-00670 COM2006-00670 COM2006-00670 COM2006-00670 COM2006-00670 COM2006-00670 COM2006-00670 COM2006-00670 COM2006-00670 COM2006-00670 COM2006-00670 COM2006-00670 COM2006-00670 COM2006-00670 COM2006-00670 COM2006-00670 COM2006-00670 COM2006-00670 COM2006-00670 COM2006-00670 Payments: Type of Payment Check CreditCard cReceint I RECEIPT #: 2200600000000001061 Date: 07/27/2006 Description Plan Review Residential Addressing Assignment Willamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Fire SF Fee - Residential Sidewalk Permit Curbcut Permit PW Disc - 2nd Permit (Street) Mountaingate 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 3 Baths One & Two Family Furnace - more than 100,000 Boiler/Comp Up To 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Gas Outlets 1-4 Gas Outlets 4+ -Mechanical Issuance Fee- Fixture + 8% State Surcharge + 10% Administrative Fee Paid By THOMAS WALTER CUSTOM HOMES THOMAS W ALTER CUSTOM HOMES Item Total: Check Number Authorization Received By Batch Number Number How Received Ikw 1703 In Person LKW 517253 In Person Payment Total: Page 1 of2 1 :35:48PM Amount Due 27A6 31,00 1,000.00 106,00 114.00 50,00 199.15 80,00 80.00 (30,00) ],127,59 ] ,002,80 762.80 182.69 805,70 82.03 865,31 10,00 180.34 61.61 ]98.00 1,407 AO 306,00 30.00 12,00 30.00 9,00 6,00 16,00 1.00 10.00 42.00 ] 70.35 232,86 $9,209.09 Amount Paid $1,209,09 $8,000,00 $9,209.09 7/27/2006