HomeMy WebLinkAboutPermit Electrical 2005-6-28
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX\~~~~8~6~
ELECTRICAL PERMIT APPLICATION ' ",\X\e0\~g. e.~
City Job Number Cs;:.- OOt.f~ L Date "l-~~~~O\le. ' 1...of-.\~g
AIB~
o~ nn e (j I S fol.l~ . Those rules are set forth
G-/~/r-;c, &nJP4n~otlflc~R~rl:ss' h hOAR~?_nn1_$63.00
10 oAf!@P~iIWs1toOgaJ.> lnf~~~s of the rlIIA~ hy $ 75.00
OJa../ /1'> 51 /:I> c. 0090,~U^,~~Ytg~W'1~])rel.theteleph()nA $125.00
ca~' the center. :0'101.1 .
erT(IP,.I1.~tg cmH-i~WJatility Notification $163.00
Phone Lf3 '1- t::. Y1 / nu ver-fi~~^W~~1YOOtSJ32-2344). $375.00
RecMtEf1ecrb'i1ly $ 50.00
Signature of Supervising Electrician D.
/ /1 /7 ff ./" New Alteration or Extension Per Panel
(~ A~ ~ ~ One Circuit $43.00
~ Each Additional Circuit or with
~+ hlIOU. MIJ1'~~mceorFeederPe~tRE II: T \~ ',"!OR\<.$ 3.00
OwnersNa e w.: [\ \;'"', lE}\\-'\ r I'
Address \ .~'b 6C>>tim ACJU\()~ ~lfH
, ~ \I\"nn AnA. ,,~A CO\\j~"[\FNCED OR I
City ----.WJr ~ Phone ~"\ .(.JJ IV 'Pump Or~lffigati0nOD $ 50,00
\' IV ~ R[d \ ;-{ I (.1\1 '
AN 1 SIgit/OUt ine Lighting $ 50,00
Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
1.
a '338 ~ljYl Ani or:
fA~hA.M. ~ PH-I
()4~O Sub Jof-[)~
LEGAL DESCRIPTION
\ fJD1.'34-?A-
JOB DESCRIPTION
>~0 ~~)Iv ~/~
Permits a~e non-transterable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
Electrical Contractor
Address :1/ 0
City
~ iA 0 t-'./1 P-
I
Supervisor License Number 30 '1/ S
c.U
Expiration Date I 0 - /- ,a::!I- 6 7
Constr. Contr. Number I ~ 0 50,SJ
Expiration Date 1- / - 0 b
OWNER INST ALLA nON
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
A.
Service Included
1000 sq. ft. or less
Each additional 500 sq, ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
/ $106.00
s-' $ 19,00
J06"tJC)
q{:aa
$50.00
c.
Installation, Alteration or Relocation
200 Amps or less I
201 Amps to 400 Amps
401 Amps to 600 Amps
$ 50.00 SO tOO
$ 69,00
$100.00
4.
7% State Surcharge
10% Administrative Fee
2-.s-~ leD
/t-,fl-
'ZS-:IO
! :J-c, '51(;1-
TOTAL
Shared Drive(T:)/Building Forms/Electrical Permit Application I,03,doc
/'
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00492
ISSUED: 07/13/2005
APPLIED: 04/26/2005
EXPIRES: 01/13/2006
VALUE: $ 286,890.00
Status: Issued
'; 225 Fifth Street, Springfield, OR
, 541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6338 Fernhill Ct
ASSESSOR'S PARCEL NO.: 1702343404500
Springfield TYPE OF
Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence, Mountain gate subd lot 34
Owner: ANSLOW & DEGENEAULT INC
Address: 1953 GARDEN AVENUE
EUGENE OR 97403
Residential
Phone Number: 503-484-0070
I CONTRACTOR INFORMATION'
': Contractor Tvpe
General
Electrical
Engineer
Mechanical
Plumbing
Contractor License Expiration Date
ANSLOW & DEGENEAULT INC 49169 10/16/2008
BURGHARDT & ZHUN mENTION: OregorlMi083quires YOLOtoo1/2006
HAL PFEIFER follow rules adopted by the Oregon Utility
MARSHALLS INC Notification Center. T~@ltules are sett0A111/2005
ABSOLUTE PLUMBIN~ ~~~~m.cg01 0 ffj'~h OAR 952m0l1l-/2007
I Bum:mNt9lJN~'[~es ot the rUles oy
CCllllllY lilt: lit:IILCI, \IJ~: the telephone
#lij~if{Br the Oregon Utility f'1otificetif>Yize:
Height dtenter is 1-800-332~). Sq Ft 1st Floor:
Type of Heat: Forced Air Gas SqFt 2nd Floor:
Water Type: . Gas Sq Ft Basement:
Range Type: '--::-.-. ::~' 'Electric Sq Ft Garage/Carport
Energy Path: Path 1 Sq Ft Other:
Sprinkled n/a Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy
P'rimary Construction Type
Secondary Construction
# of Bedrooms:
1
R-3
U
VN
3
I DEVELOPMENT INFORMATION'
Phone
503-484-0070
541-434-6491
541-683-4257
541-747-7445
541-345-3055
2,480
686
388
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Hillside
3
Yes
35.00
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
13,00
5.30
10.00
18.00
25,50
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
Subdivision Not Accepted
IPUBLIC IMPROVEMENTS I
Street F II I d Sidewalk Type:
,u v mprove
Storm Sewer Available: '1tC~: Yes E \f 1\-1E WOi)l{.wnspoutsIDrains To Storm Sewer
Special Instruction: ~iQ '. \\1\\1 S\-If\ll E)<,P\R cRN\\1 \S N01
1\-11S PER NDER 1 \-lIS PL R
Notes: No hook-up to City Infrastrl'\'Sf~'r'e:wJlif-R.~IifJI~Alb\{t:rn~bt~~i~lp~ed by the City; storm to system stub 5/3/2005
f\fi\'J\ENCEO Un
COI~\ 01\'< PERIOD.
f\N'< '\ BO
1 of 5
~WrL~p~, A.....~""IG._U),~.. ....iiii..", ,.""., "'. ',!.'
,~. l
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~.... . ..,,' .."". .,.
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
Deck
V Masonarv
Garaee - Masonrv
A,C, - Residen
Deck/Balconv
Dwellines
Garaee
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 - Additional Driveway
Curbcut - Additional Driveway
Curbcut Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Mountaingate Impervious Area
Mountaingate Impervious Area
Plan Review Major - Planning
Plan Review Residential
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 Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
I Valuation Description I
$ Per Sq Ft
or multiplier
$4.00
$17,00
$101.00
$29,00
Square Footage
or Bid Amount
2,480.00
388.00
2,480.00
686,00
Total Value of Project
Fees Paid I
Amount Paid
$688,77
$10.00
$192.24
$134,57
$306,00
$31.00
$18,00
$1,173,40
$-40.00
$40,00
$80.00
$6.00
$9.00
$12.00
$15.00
$4,00
$-94,86
$802.28
$103.00
$84,50
$106.00
$95.00
$493.56
$649.08
$10.00
$865.31
$82,03
$-5,27
$129,43
$0,53
$63.06
$772.49
$175,13
Date Paid
4/26/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
7/13/05
2 of 5
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00492
ISSUED: 07/13/2005
AIr LIED: 04/26/2005
EXPIRES: 01/13/2006
VALUE: $ 286,890.00
Value
Date Calculated
$9,920,00
$6,596,00
$250,480.00
$19,894,00
$286,890,00
06/28/2005
06/28/2005
06/28/2005
07/11/2005
Receipt Number
1200500000000000511
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
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: COM2005-00492
ISSUED: 07/13/2005
AIr LIED: 04/26/2005
EXPIRES: 01/13/2006
VAL UE: $ 286,890.00
Storm Sewer Each Addtll00'
Temp Power 200 amps or less
Vent Fan
WiIlamalane Single Family
$98.00
$50.00
$30,00
$1,000.00
7/13/05
7/13/05
7/13/05
7/13/05
1200500000000000992
1200500000000000992
1200500000000000992
1200500000000000992
Total Amount
$8,189,25
I Plan Reviews I
Initial Review 04/27/2005 04/27/2005 APP SKG
Planninl! Review 07/11/2005 07/11/2005 APP TAJ Amount of imperviuos surface
reduced to meet 35% coverage
requirements, I gave the plans back
to PW to recalculate SDC's.
Planninl! Review 04/27/2005 07/05/2005 WI TAJ Waiting for resolution of coverage
and use pervious concrete to meet
coverage requirements, No other
Planning issues,
Trees near the retaining wall shall
be protected using the methods
outlined in the MountainGate
Development Plan Restrictions
handout, Construction fencing shall
be placed between the Vegetation
easement and the worksite during
construction,
Public Works Review 04/27/2005 07/11/2005 APP CAS Waiting for info on pervious surface
- structural section Called Gordon
4/28/2005 CAS Revised site plan
approved 7/11/2005 CAS
Structural Review 04/27/2005 05/05/2005 10 JB Plans forwarded to Jason Bush for
review
Structural Review 05/05/2005 05/10/2005 WE JB Jason has requested additional
information from contractor to
complete plan review,
Structural Review OS/27/2005 OS/27/2005 WE JB Plans need to be re-engineered,
Applicant/contractor has been
contacted,
Structural Review 06/23/2005 06/28/2005 APP JB Approved as noted on plans
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.
I ReQuired Insoections .
Curbcut - Overwidth: After forms are erected but prior to placement of concrete,
3 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: COM2005-00492
ISSUED: 07/13/2005
APPLIED: 04/26/2005
EXPIRES: 01/13/2006
VALUE: $ 286,890.00
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 WaU Nailing: Before covering sheathing with finish materials,
Framing Inspection: Prior to cover and after all rough in inspections have been approved,
WaU Insulation: Prior to cover.
Ceiling Insulation: Prior to cover,
DrywaU: Prior to taping,
Final Building: After aU required inspections have been requested and approved and the building is complete,
Perimeter Foundation Drains: After gravel and filter cloth is instaUed but prior to backfiU,
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,
Water Line: Prior to mling trench and including required testing,
Sanitary Sewer Line: Prior to mling trench and including required testing,
Storm Sewer Line: Prior to filling trench,
Final Plumbing: When aU plumbing work is complete,
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Underfloor Gas: After line is instaUed and required testing and capped if not attached to an appliance.
Rough Gas: After line is instaUed and required testing and capped if not attached to an appliance,
Gas Service: After line is instaUed 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 aU gas work is complete,
Final Mechanical: When aU 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 aU electrical work is complete.
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: COM2005-00492
ISSUED: 07/13/2005
APPLIED: 04/26/2005
EXPIRES: . 01/13/2006
VALUE: $ 286,890.00
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 &arety, I tirher certify that only contractors and employees who are in compliance with ORS 701.005 will be used
on this p.lojedt,
I furth" ~gr~e to en~ure that all required inspections are requested at the proper time, that each address is readable from
the str~e 'Ith/~t the ~Jrmit card is located at, the front of the property, and the appr, oved, set of Plan, s will remain on the site
at all ~m 's uring ~nstruction, / ___
~ -... 7 I"?/('"):(
owne\juature Da;." ( '-
5 of 5
'CITY OF S'i~GFIELD SYSTEMS DEVELOPMEN\~?~~RKSHEET
JOURNAL OR JOB NUMBER: COM2005-00492revised
NAME OR COMPANY: Anslow & DeGeneault
LOCATION: 6338 Femhill Ct
TAX LOT NUMBER: Mountain Gate Lot 34
DEVELOPMENT TYPE: SINGLE F AMIL Y'RESIDENCE '
NEW DWELLING UNITS 1 BUll..DING SIZE (SF 3612 LOT SIZE (SF):
1, STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S,F, i I COST PER S,F, CHARGE
I 2282,00 I $0.3] 0 = $707.42
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S,F, I x I COST PER S,F, x DISCOUNT RATE I DISCOUNT
, 0,00 I '$0,310 50% = I $0,00
ITEM 1 TOTAL - STORM DRAINAGE SDC'
2, SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's x
I 27
COST 'PER DFU
$24,04
B. IMPROVEMENT COST:
NUMBER OF DFU's x
27
$] 8.28
ITEM 2 TOTAL - CITY SAMTARY SEWER SDC
3, TRANSPORTATION
A. REIMBURSEMENT COST:
I ADTTRIPRATE I x
I 9,57 I
B. IMPROVEMENT COST:
I ADT TRIP RATE
, 9.57
. NUMBER OF UNITS' x 'I
1 I
x . I NUMBER OF UNITS I x
I 1 I
ITEM 3 TOTAL - TRANSPORTATION SDC,
4, SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's x' COST PER FEU
I 1 $82,03
B. IMPROVEMENT COST:
'NUMBER OF FEU's
]
x
ICOST PER FEU
I $865.31
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = ,
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = ,
5, ADMINISTRATIVE FEE:
I SUBTOTAL x I ADM, FEE RATE
I $3,755,02 I 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
.-.--- ~~ -
------,- _.
Cheryl Slaymaker
7/11/2005
PREPARED BY
DATE
= , $865.31 1055
, $0.00 1054
, $10.00 1056
I
I
, ] 24,16 11079
I $63,59
1078
=1 $3,942.77
-,
$707.42
=,
$1,142.64
COST PER TRIP
$ 18.30
x INEW TRIP FACTORI
I 1.00 I
=,
COST PER TRIP
$80,72
$947.62
x I NEW TRIP FACTORI
I 1.00 I
$957.34
$3,755.02
10709
$707.42
$649.08
$493,56
$175.13
$772.49
=
$82.03
CHARGE
$]87,75
TOTAL SDC CHARGES
rfJ
~
o
o
u
~
~'
E--<
rfJ
......
o
gz
,
11070
1091
1092
1093
1094
1054
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONI.. Y THE NET ADDITIONAL FIXTURES)
NO, OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUNALENT UNITS
IBATHTUB 2 0 3 = 6
IDRINKING FOUNTAIN 0 0 1 = 0
IFLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC, 0 0 3 = 0
IINTERCEPTORS FOR SAND / AUTO WASH / ETC, 0 0 6 = 0
I LAUNDRY TUB 0 0 2 = 0
ICLOTHESWASHER/MOP SINK 1 0 3 = 3
ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRIG / WATER STATION / ETC, 0 0 1 = 0
IRECEPTOR FOR COM, SINK / DISHWASHER / ETC. 0 0 3 = 0
ISHOWER, SINGLE STALL 1 0 2 = 2
I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
I SINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2
I SINK: SINGLE LA V A TORY /RESIDENTIAL BAR 2 0 1 = 2
I URINAL, STALL / WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 3 0 3 = 9
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 27
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at ] 67 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE] 979
]979
]980
]98]
]982
]983
]984
]985
]986
]987
]988
]989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$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 f 1000 CREDIT RATE
$0.00 x $5,29
=,
$0,00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0,00 x $5,29
o
TOTAL MWMC CREDIT
$0,00
=
225 Fifth Street
Spt;ingfield, Oregon 97477
541-726-'3759 Phone
r'ity of Springfield Official Receipt
evelopment Services Department
Public Works Department
Job/Journal Number
COM2005-00492
COM2005-00492
COM2005-00492
COM2005-00492
COM2005-00492
COM2005-00492
COM2005-00492
COM2005-00492
COM2005-00492
COM2005-00492
COM2005-00492
COM2005-00492
COM2005-00492
COM2005-00492
COM2005-00492
COM2005-00492
COM2005-00492
COM2005-00492
COM2005-00492
COM2005-00492
COM2005-00492
CbM2005-00492
COM2005-00492
COM2005-00492
COM2005-00492
COM2005-00492
COM2005-00492
COM2005-00492
COM2005-00492
COM2005-00492
COM2005-00492
COM2005-00492
COM2005-00492
COM2005-00492
CbM2005-00492
COM2005-00492
P,~yments:
Type of Payment
CreditCard
7/13/2005
RECEIPT #:
1200500000000000992
Date: 07/13/2005
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Curbcut - Additional Driveway
Curbcut Permit
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
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-
Plan Review Major - Planning
Building Permit
+ 7% State Surcharge
+ 10% Administrative Fee
Mountaingate Impervious Area
Curb cut - Additional Driveway
SDC Sanitary/Storm Admin
SDC Transpo Admin
Paid By
GORDON ANSLOW
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 093369 In Person
Payment Total:
1 of 1
11:47:03AM
Amount Due
31.00
1,000,00
106.00
95.00
50.00
40.00
80,00
649.08
493.56
175.13
772.49
82.03
865.31
10,00
129.43
63.06
802.28
84.50
306.00
98,00
12.00
30,00
9.00
6.00
4.00
15,00
18,00
10.00
103,00
1,173.40
134.57
192.24
(94.86)
(40,00)
(5.27)
0.53
$7,500,48
Amount Paid
$7,500.48
$7,500.48