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Home My WebLink AboutPermit Building 2005-7-15 ._-Ei~J,NG'~I~ liar CITY OF SPRINGFIELD I Building/Combination Permit PERMIT NO: COM2005-00584 ISSUED: 07/15/2005 APPLIED: 05/17/2005 EXPIRES: 01/15/2006 VALUE: $ 402,771.00 Status: Issued 225 Fifth Street, Springfield, OR , 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6357 Fernhill Ct ASSESSOR'S PARCEL NO,: 1702343404000 Springfield TYPE OF Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single Family Residence, Lot 29, Mountaingate Owner: Address: Contractor Type Applicant General Electrical " Mechanical Plumbing Residential ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility 1'40tll,e,;aUUII '-'t:1Illt:I. '"U~c. Jul~ ClI~ o~lfu,ll. l!Q~WIt-lllNJi\o!Jl..'~~I.JtgIll(Wlf\"" 952-001- "uu~u. YOU may OOlal" copIes 01 uTe rules by Contractor calling the center. (No~~lephB~iration Date TOM W ALTER number for the Oregon Utility Notification THOMAS WALTER cusToM;BOMm;~~n44). 07/12/2008 BOB FISHER ELECTRIC INC 96275 01125/2006 MARSHALLS INC 25790 12/23/2005 RS PLUMBING CONTRACTING 103816 01104/2006 I BUILDING INFORMATIONI Phone 541 683-6355 541-683-6355 541-689-7973 541-747-7445 541-461-4714 # of Units: Primary Occupancy Group: Secondary Occupancy Yrimary Construction Type Secondary Construction # of Bedrooms: Front yard Setback: Side 1 Setback: , Side 2 Setback: Rearyard Setback: Solar Setbacks: Subdivision Not Accepted Street Storm Sewer Available: Special Instruction: 1 R-3 U VN # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled 2 30,00 Forced Air Gas Gas Gas Path 1 n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 10,819 1,663 1,816 864 3 I DEVELOPMENT INFORMATION' REQUIRED PARKING Total: 2 Handicapped: Compact: I\At1'1ri(SfOlJ. Overlay Dist: U\j~lJU~~. THlgl~~MIT SHA~~tltb~1rIlq'a~ WORK AUT3Hf"iO~0IZED UNDEo9. Tf'J.i~,[l..cDnnIT 1(,' NOT 33';'1 /0 0 IJJO(I \1;ovel1age.:1 COMij1filfJCED OR IS ABANDONED FOR Al\IV 1 Rn nAY De?I',;~, IPUBLIC IMPROVEMENTS I Hillside 3 Yes 34,70 Fullv Improved Yes Sidewalk Type: DownspoutslDrains Curbside 5' To Storm Sewer Notes: No hook-up to City Infrastructure until Public Improvements accepted by the City; Storm drainage piped to stub provided, No weep holes 5/18/2005 CAS 1 of 5 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Type of Construction AC - Residential V Wood Frame Estimate Garal!:e - Masonrv Use Bid Amount A,C. - Residen Dwellinl!:s Estimate Garal!:e Patio/Porch Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge 3 Baths One & Two Family Addressing Assignment Appliance Not Listed Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Mountaingate Impervious Area Plan Review Major - Planning Plan Review Residential Plan Review Residential PW Disc - 2nd Permit (Street) 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 Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit I Valuation Descriution I $ Per Sq Ft or multiplier $4,00 $96.00 $1.00 $29,00 $1.00 Square Footage or Bid Amount 3,479.00 3,479,00 17,395,00 864.00 12,420,00 Total Value of Project ~ Amount Paid $893,69 $10,00 $228,94 $160,26 $306,00 $31.00 $18.00 $1,550,40 $80.00 $6.00 $9.00 $12,00 $15.00 $4,00 $1,136,00 $103,00 $12,67 $114.07 $-30,00 $106,00 $133,00 $548.40 $721.20 $10,00 $865,31 $82.03 $-0,30 $154.62 $60.91 $772.49 $175,13 $80,00 Date Paid 5/17/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 2 of 5 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00584 ISSUED: 07/15/2005 APPLIED: 05/17/2005 EXPIRES: 01/15/2006 VALUE: $ 402,771.00 Value Date Calculated $13,916,00 $333,984,00 $17,395.00 $25,056,00 $12,420.00 $402,771.00 06/20/2005 05/17/2005 06/20/2005 06/20/2005 06/20/2005 Receipt Number 3200500000000000211 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 CITYOFSPRINGJ11ELD' Building/Combination Permit PERMIT NO: COM2005-00584 ISSUED: 07/15/2005 APPLIED: 05/17/2005 EXPIRES: 01/15/2006 VALUE: $ 402,771.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Storm Drainage Impervious Area Storm Sewer Each Addtll00' Temp Power 200 amps or less Vent Fan Willamalane Single Family $-5,58 $56,00 $50.00 $24,00 $1,000,00 7/15/05 7/15/05 7/15/05 7/15/05 7/15/05 Total Amount $9,493,24 I Plan Reviews I Initial Review Planninl! Review 05/18/2005 05/18/2005 05/18/2005 07/05/2005 APP APP SKG TAJ Public Works Review 05/18/2005 05/18/2005 APP CAS Structural Review 05/18/2005 OS/25/2005 10 LLH Structural Review OS/25/2005 06/14/2005 WE JB Structural Review Structural Review 06/14/2005 06/20/2005 06/16/2005 06120/2005 APP 10 JB LLH 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 1200500000000001012 Must change patio to pervious pavers to meet coverage requirements, Construction fencing shall be placed to protect the Vegetation Easement, No hook-up to City Infrastructure until Public Improvements accepted by the City; Storm Drainage piped to stub provided 5/18/2005 CAS Plans forwarded to Jason Bush for review Received additional information as requested by Jason Bush, Forwarded to Jason for his review, Approved as noted on plans Truss information was left at the front counter for lot 64, Mountain Gate, Timberline, I spoke with Allison with Walter Custom Homes today and she said it was actually for this lot, I have em ailed Jason asking if he needed to review plans again with the truss information, 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 Reouired Insoections 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, Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection, 3 of 5 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITYOFSPRING.l11~LD . Building/Combination Permit PERMIT NO: COM2005-00584 ISSUED: 07/15/2005 APPLIED: 05/17/2005 EXPIRES: 01115/2006 VALUE: $ 402,771.00 Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete, 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 bacldUl, 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, 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, 4 of 5 SRiAIlNftBIr-.;-" --1'1:';":,,,~',-:,?-,~""?!;,,~of! ~', ~. Status: ,Issued 225 Fifth Street, ~pringfi~ld, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line. CITY OF SPRINGf11ELD Building/Combination Permit PERMIT NO: COM2005-00584 ISSUED: 07/15/2005 , Arr LIED: 05/17/2005 EXPIRES: 01/15/2006 VALUE: $ 402,771.00 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 certity 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 wiD be made of any structure without permission of the Community Services Division, Building Safety, I further certity 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, /1 r n ,/ / ~ U~ ~c1:J'~' 7/ rs-IO~ Owner or Contractors Signature Date 5 0(5 E~fcJ~~!fjme or MWt~kJ?O'1~$l1~[~Tll/aw requires you bo,oo ~tlbatio P d by the Gregon Utili B! LJ-h C .Q ,I;' Y obtain copies fth . . Electrical Contractor W. _ 0 - c<)' h e r L lee J: I1C- 2lf@AffiRj; th-e~l&nter. (Not 'tf 0 e rU/$tt3~o ~1N~6 f6r4~gon ~', . )e IelephOtB65.00 Address / Y() % /~~S bury g //~ 401 Am~~ "eOO.33~~~J':t't'cati$JJij.5.00 601 Amps to 1000 Amps ~. $163.00 City r 14u-i! /1 e Phone ~?9 -1J973 Over 1000 AmpsNolts $375.00 / C.ell '~-/~-9gJt')l? Reconnect Only $50.00 1. ~ 5 Sf- Ii/J'I Jill! cr- LEGAL DESCRIPTION }4tJr..V'J-r:t.M~ fA. I V1 O'l:~3t O4a:O S~b /0}- 02~ JOB DESCRIPTION 4 :343 {'JI\~ ~/I'f/~ fle,>J~~-, f Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. Date A, Service Included 1000 sq, ft. or less Each additional 500 sq. ft. or portion thereof / -:;- $106,00 ItJ~rCD $19.00 IrJ,(X:;J Supervisor License Number .3 9' 7 6- S c. Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. Y&S, ignatur~e of superPrvising~E~leCtriCian D, New Alteration or Extension Per Panel One Circuit v ~Each Additional Circuit or with I, ---.-f\ '~f\l f\..I...---. ~,.' ~rvice or Feeder Permit Owners Name \..1 l.JJJ:A \. 1 "- ~ ), ".. ' '~, f) ~ ~' , - ,~I liS pr- Address _ ~(O~ 0~\..Jl.[:JU,4Urh'O~!> , t~.."., \_r~' ~~v. ~d_ D UiVnr:p ,TIll - THE WaR' City .J ~ Phone lYl\u'~~ IIvltNPump Of.1m~atJon S PERI'VlIT . (,\ $ 50.00 - I' 'Y ULlJ I)I.,! I~A IS 'dlj 180 ,SigvJOJtline E;igh''tin~'ONr::D NOT $ 50.00 Llfty fJ'':R/O "'81 c FOk OWNER INSTALLATION Limited'EneF~ylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45,00 + Surcharges Expiration Date / LJ - / - OZ 0 {) 7 Expiration Date 9 6 ~ ?~- )--dV -- ,..:2t)C)(; Constr. Contr, Number The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 j 5tJ.co $ 50.00 $ 69.00 $100.00 $ 43.00 $ 3.00 4. 7% State Surcharge 10% Administrative Fee 2{3~IOD 2.6, 23 ? a /10 f:-<gA.13 ... - TOTAL Shared Drive(T:)/Building FormslElectrical Permit Application I-03,doc CITY OF Sif7~'NGFIELD SYSTEMS DEVELOPMEr#~'~'''ORi<SHEET " JOURNAL OR JOB NUMBER:, NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS 1, STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM IMPERVIOUS S,F, x COST PER S,F, CHARGE 3646.50 ,$0.310= I $1,130.42 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 $0.310 1 50% = I ITEM 1 TOTAL - STORM DRAINAGE SDC , $1,130.42 2,SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I 30 I B. IMPROVEMENT COST: I NUMBER OF DFU's , x I 30 COM2005-00584 Tom Walter 6357 Ferrihill Ct MountainGate PH2 Lot 29 SINGLE FAMILY RESIDENCE 1 BUILDING SIZE (SF: 3479 COST PER DFU $24.04 $18,28 = , ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3, TRANSPORTATION A. REIMBURSEMENT COST: ADT TRIP RATE I x 9.57 I $1;269.60 I NUMBER OF UNITS I x I l' I LOT SIZE (SF): ' DISCOUNT $0,00 COST PER TRIP $18.30 x INEW TRIP FACTORI I 1.00 1 B. IMPROVEMENT COST: ADT TRIP RATE x NUMBER OF UNITS x I COST PER TRIP 9.57 1 . I $80,72 ITEM 3 TOTAL - TRANSPORTA nON SDC ,= I $947.62 4, SANITARY SEWER - MWMC A REIMBURSEMENT COST: NUMBER OF FEU's I x 1 I B. IMPROVEMENT COST: INUMBER OF FEU's x I 1 Cheryl Slaymaker PREPARED BY x' 1 NEW TRIP FACTOR I ],00 10819 $1,130.42 $72 1.20 $548.40 $175.13 $772.49 ICOST PER FEU 1 $82,03 ICOST PER FEU I $865,3] $957.34 $4,304.98 CHARGE $2]5,25 7/11/2005 = .$82.03 r:/J P-1 Cl o U ~ P-1 f-< r:/J >-< \.:) ~ 11070 1091 1092 1093 11094 1054 I 1055 11054 1056 , ] 54.32 1079 I $60,93 1078 U $4,520.23 _ , ~ &M~[) DATE TOTAL SDC CHARGES = $865.31 $0.00 $10.00 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWJ;:R SDC = I SUBTOTAL (ADD ITEMS 1, 2,.3,& 4) = , 5, ADMINISTRATIVE FEE: I SUBTOTAL x I ADM, FEE RATE 1= ! $4,304.98 1 5% I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUN ALENT ~ DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIXTURES) NO, OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS IBA THTUB 2 0 3 = 6 I DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC, 0 0 6 = 0 LAUNDRY TUB 1 0 2 = 2 ICLOTHESWASHER/MOP SINK 1 0 3 = 3 CLOTIIESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRlG / WATER STATION / ETC, 0 0 1 = 0 I RECEPTOR FOR COM, SINK / DISHWASHER / ETC. 0 0 3 = 0 SHOWER, SINGLE STALL 1 0 2 = 2 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 I SINK: COMMERCIAL BAR 0 0 2 = 0 I SINK: WASH BASIN/DOUBLE LAVATORY 2 0 2 = 4 ISINK: SINGLELAVATORY/RESIDENTIALBAR 1 0 1 = 1 I URINAL, STALL / WALL 0 0 5 = 0 ITOILET,'PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRN ATE INSTALLATION 3 0 3 = 9 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 30 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$l,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 ELGlBLE 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 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 / 1000 CREDIT RATE $0,00 x $5,29 o = $0,00 TOTAL MWMC CREDIT 225 ]fifth Street Springf!,eld, Oregon 97477 541-726-3759 Phone ~ity of Springfield Official Receipt evelopment Services Department Public Works Department .t Job/Journal Number COM2005-00584 COM2005-00584 COM2005-00584 COM2005-00584 COM2005-00584 COM2005-00584 COM2005-00584 COM2005-00584 COM2005-00584 COM2005-00584 COM2005-00584 COM2005-00584 COM2005-00584 COM2005-00584 COM2005-00584 GOM2005-00584 COM2005-00584 COM2005-00584 CbM2005-00584 COM2005-00584 COM2005-00584 COM2005-00584 COM2005-00584 COM2005-00584 COM2005-00584 COM2005-00584 COM2005-00584 COM2005-00584 COM2005-00584 COM2005-00584 COM2005-00584 COM2005-00584 C'OM2005-00584 COM2005-00584 COM2005-00584 CbM2005-00584 Payments: Type of Payment CreditCard Check " 7/15/2005 RECEIPT #: 1200500000000001012 Date: 07/15/2005 Description Plan Review Residential Addressing Assignment Willamalane Single Family Temp Power 200 amps or less Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Sidewalk Permit Curbcut Permit PW Disc - 2nd Permit (Street) 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 Mountaingate Impervious Area Plan Review Residential Building Permit 3 Baths One & Two Family Storm Sewer Each Addtl 100' Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Gas Outlets 1-4 Gas Fireplace Appliance Not Listed -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Plan Review Major - Planning Storm Drainage Impervious Area SDC Sanitary/Storm Admin Paid By W ALTER CUSTOM HOMES W AL TER CUSTOM HOMES Item Total: Check Number AutnorIzahon Received By Batch Number Number How Received djb 015569 In Person djb 1630 In Person Payment Total: I of 2 lO:24:41AM Amount Due 12.67 31.00 1,000.00 50,00 106.00 133,00 80,00 80,00 (30.00) 721.20 548.40 175,13 772.49 82.03 865.31 10.00 154,62 60.91 1,136.00 114.07 1,550.40 306.00 56.00 12.00 24.00 9.00 6.00 4.00 15.00 18.00 10.00 160.26 228.94 103.00 (5.58) (0.30) $8,599,55 Amount Paid $8,000.00 $599.55 $8,599.55 ;I ; vr':' Job/Journal Number COIl2005-00584 COM2005-00584 COM2005-00584 COM2005-00584 COM2005-00584 COM2005-00584 COM2005-00584 Q9M2005-00584 COM2005-00584 COM2005-00584 COM2005-00584 COM2005-00584 GbM2005-00584 COM2005-00584 , COM2005-00584 .} C;-oM2005-00584 COM2005-00584 COM2005-00584 COM2005-00584 COM2005-00584 COM2005-00584 COM2005-00584 COM2005-00584 COM2005-00584 COM2005-00584 COM2005-00584 COM2005-00584 COM2005-00584 ~OM2005-00584 COM2005-00584 COM2005-00584 COM2005-00584 GOM2005-00584 COM2005-00584 COM2005-00584 COM2005-00584 Payments: Type of Payment CreditCard qheck , :! 1', 7/15/2005 RECEIP" 1200500000000001012 Description Plan Review Residential Addressing Assignment Willamalane Single Family Temp Power 200 amps or less Residence Wiring 1000 SqFt Residence Wiring Ea Addtl 500 Sidewalk Permit Curbcut Permit PW Disc - 2nd Permit (Street) 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 Mountaingate Impervious Area Plan Review Residerithll Building Permit , 3 Baths One & Two Family Storm Sewer Each Addtll 00' Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Gas Outlets 1-4 Gas Fireplace Appliance Not Listed -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Plan Review Major - Planning Stonn Drainage Impervious Area SDC Sanitary/Storm Admin Paid By WALTER CUSTOM HOMES WALTER CUSTOM HOMES LneCI{ Number, Received By Batch Number djb djb 1630 2 of 2 Date: 07/15/2005 Item Total: AutllonzatlOn Number How Received 015569 In Person In Person Payment Total: lO:24:41AM Amount Due 12.67 31.00 1,000.00 50,00 ,106.00 133.00 80,00 80.00 ' (30.00) 721.20 548.40 : ; 175.13 772.49 82.03 865.31 10.00 154.62 60.91 , 1,136,00 114.07 1,550.40 .. '306.00 56,00 12.00 24.00 9,00 6.00 4.00 ' 15,00 18.00 10.00 160.26 228.94 103.00 (5.58) (0.30) $8,599.55 Amount Paid $8,OqO.OO $599.55 $8,599,55 , ,