HomeMy WebLinkAboutPermit Building 2005-7-20
CITY OF SPRING~lELD
Building/Combination Permit
PERMIT NO: COM2005-00659
ISSUED: 07/20/2005
APPLIED: 06/02/2005
EXPIRES: 0112012006
VALUE: $ 262,100.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6311 Fernhill Ct
ASSESSOR'S PARCEL NO.: 1702343403800
Springfield TYPE OF
Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence- Mountain Gate subd lot 27
REGAL CUSTOM HOMES INC -rue WORK
PO BOX 489 '! ..,Of CIr.'. ' ' )(P\RE \f I rl(.. "\
ELMIRA OR 97437 ~CJl ~ cRM\I Sr\P\ll E U\S PERN\\"\ \S NO
TI-HS. PI.- .. ""nl,:D. 1 n _.. rr\D
\.rn-\C RILtU u~::- 'I' J\ ~N\J\J\\H..\J . ~
P\ \\J \QQNlRNCm-a INFORMATION I
COM . 0 OM \,C-\\lV-
Contractor P\N'< '\ B
REGAL CUSTOM HOMES INC
MAG ELECTRIC INC
COMFORT FLOW
DONALD CLEWIS
Owner:
Address:
Contractor Type
General
Electrical
Mechanical
.. Plumbing
License
109306
149834
460
33076
I BUILDING INFORMATIONI
# of Units: 1 # of Stories: 2
Primary Occupancy Group: R-3 Height of 30.00
Secondary Occupancy U Type of Heat: Forced Air Gas
Yrimary Construction Type VN Water Type: Gas
Secondary Construction lai~\f~ecyou to Gas
# of Bedrooms: ATTENTION3 Oregon nEf e!Q~WUtility Path 1
Ilf~~~~~.~~I~~~~~~te~h~e~II%lme s~t f~~~ n/a
in OAR 952-001"4~P~bb~ ATION I
0090. You may OUld1l1 \"u!-'k, -WJ~"
calling l~~&enter. (Note: the tel~pho~e
mber- tP.30he Oregon<atftf~~tlfttatlon
nu ~96er is 1-800J~~ri~~e~qd:
24.00 % of Lot Coverage:
0.00
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Subdivision Not Accepted
Street
Storm Sewer Available:
Special Instruction:
IPUBLIC IMPROVEMENTS I
Residential
Phone Number: 541-935-8825
Expiration Date
01111/2007
12/13/2005
06/27/2007
06/10/2007
Phone
541-935-8825
541-461-0387
541-726-0100
541-688-1931
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
10,161
1,371
916
420
Hillside
5
Yes
35.00
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Fully Improved
Yes
Sidewalk Type:
Downspouts/Drains
Curbside 5'
To Storm Sewer
1 of 5
Notes: No hook-up to City Infrastructure until Public Improvements accepted by the City; Storm drainage piped to system.
6/6/2005 CAS
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
A.C. - Residen
Deck/Balconv
Dwellinl!s
Garal!e
Tvpe of Construction
AC - Residential
Deck
V Wood Frame
Garal!e
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
Heat Pump
Mountaingate Impervious Area
Plan Review Major - Planning
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 Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
I Valuation Description I
$PerSq Ft
or multiplier
$4.00
$17.00
$96.00
$25.00
Square Footage
or Bid Amount
2,354.00
384.00
2,354.00
462.00
Total Value of Project
Fees Paid'
Amount Paid
$712.01
$10.00
$172.44
$120.71
$306.00
$31.00
$9.00
$1,095.40
$80.00
$6.00
$9.00
$12.00
$15.00
$4.00
$12.00
$1,396.86
$103.00
$-30.00
$106.00
$76.00
$548.40
$721.20
$10.00
$865.31
$82.03
$168.64
$59.93
$772.49
$175.13
$50.00
$24.00
$1,000.00
Date Paid
6/2/05
7/20/05
7120/05
7120/05
7/20/05
7/20/05
7/20/05
7/20/05
7/20/05
7/20/05
7/20/05
7/20/05
7/20/05
7/20/05
7120/05
7120/05
7/20/05
7/20/05
7/20/05
7/20/05
7120/05
7/20/05
7/20/05
7/20/05
7/20/05
7/20/05
7/20/05
7/20/05
7120/05
7/20/05
7/20/05
7/20/05
2 of 5
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00659
ISSUED: 07/20/2005
APPLIED: 06/02/2005
EXPIRES: 0112012006
VALUE: $ 262,100.00
Value
Date Calculated
$9,416.00
$6,528.00
$225,984.00
$11,550.00
$253,478.00
06/24/2005
06/24/2005
06/24/2005
06/24/2005
Receipt Number
2200500000000000706
1200500000000001044
1200500000000001044
1200500000000001044
1200500000000001044
1200500000000001044
1200500000000001044
1200500000000001044
1200500000000001044
1200500000000001044
1200500000000001044
1200500000000001044
1200500000000001044
1200500000000001044
1200500000000001044
1200500000000001044
1200500000000001044
1200500000000001044
1200500000000001044
1200500000000001044
1200500000000001044
1200500000000001044
1200500000000001044
1200500000000001044
1200500000000001044
1200500000000001044
1200500000000001044
1200500000000001044
1200500000000001044
1200500000000001044
1200500000000001044
1200500000000001044
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: COM2005-00659
ISSUED: 07/20/2005
A~ r LIED: 06/02/2005
EXPIRES: 0112012006
VALUE: $ 262,100.00
Total Amount $8,723.55
I Plan Reviews I
Initial Review 06/03/2005 06/03/2005 APP SKG
Plan nine: Review 07/15/2005 07/15/2005 APP TAJ Use tree perservation methods for
the 4 fir trees to be retained as
outlined in the attached
MountainGate Development Plan
Restrictions.
Front walkway to be pervious
pavers in order to meet coverage
requirements.
Plannine: Review 06/03/2005 07/0512005 WE TAJ Waiting for plot plan showing trees
(to be removed and to be saved),
assuming there are not more than 5 .
trees being removed in the minimum
setback area, it's OK to approve
when they turn in the info.
Coverage reduced to 35% by
changing the walkway from the
front door to the street to pervious
pavers.
Public Works Review 06/03/2005 06/06/2005 APP CAS No hook-up to City Infrastructure
until Public IMprovements accpeted
by the City; Storm drainage piped t(
system. 6/6/2005
Structural Review 06/03/2005 06/06/2005 10 LLH Forwarded to Jason Bush for review
Structural Review 06/06/2005 06/14/2005 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.
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.
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
3 of 5
CITY OF SPRINGFIELD'
Building/Combination Permit
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2005-00659
ISSUED: 07/20/2005
APPLIED: 06/02/2005
EXPIRES: 01120/2006
VALUE: $ 262,100.00
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.
Low Voltage: Prior to cover.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Site Inspection: To be made after excavation but prior to setting forms.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
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.
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.
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 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.
4 of 5
Status:
Issued
CITY OF SPRING~lELD I
Building/Combination Permit
PERMIT NO: COM2005-00659
ISSUED: 07/20/2005
APPLIED: 06/0212005
EXPIRES: 01120/2006
VALUE: $ 262,100.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 wiD 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.
IJurtlleragre~;t~Q ensure that all required inspections are requested at the proper time, that each address is readable from
<the street, that th , erfmit card is located at the front of the property, and the apPhroved~e of plans wiD remain on the site
at ~1I times uti const t'tion.
~ y //. ,7 "20 OS
-........... -........-- -
Owner or Contractors Signature Date
5 of 5
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
~;~~F~~~.iti,'" ',I,'
IJIL"-li' ~ - ,
.. ,
",t ,j
._'..__ "_""""".;..'_'W" .,.__
~~ty of Springfield. Official Receipt
;'~elopment ServIces Department
Public Works Department
Job/Journal Number
COM2005-00659
COM2005-00659
COM2005-00659
COM2005-00659
COM2005-00659
COM2005-00659
COM2005-00659
COM2005-00659
COM2005-00659
COM2005-00659
COM2005-00659
COM2005-00659
COM2005-00659
COM2005-00659
COM2005-00659
GOM2005-00659
COM2005-00659
COM2005-00659
CbM2005-00659
COM2005-00659
COM2005-00659
COM2005-00659
COM2005-00659
COM2005-00659
COM2005-00659
COM2005-00659
COM2005-00659
CbM2005-00659
COM2005-00659
COM2005-00659
COM2005-00659
LDP2005-00 1 0 I
J
Payments:
T~e of Payment
Check
CreditCard
7/20/2005
RECEIPT #:
1200500000000001044
Date: 07/20/2005
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Curbcut Permit
PW Disc - 2nd Permit (Street)
SDC MWMC Administration
Building Permit
3 Baths One & 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-
Appliance Not Listed
Plan Review Major - Planning
+ 7% State Surcharge
+ 10% Administrative Fee
SDC Sanitary/Storm Admin
SDC MWMC Improvement
SDC MWMC Reimbursement
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
Mountaingate Impervious Area
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
LDAP Short Form Impacted New
Paid By
REGAL CUSTOM HOMES
PAUL WITT
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 6897 In Person
djb 057058 In Person
Payment Total:
1 of 2
10:14:54AM
Amount Due
31.00
1,000.00
106.00
76.00
50.00
80.00
(30.00)
10.00
1,095.40
306.00
12.00
24.00
9.00
6.00,
4.00
15.00
12.00
10.00
9.00
103.00
120.71
172.44
168.64
865.31
82.03
548.40
721.20
1,396.86
59.93
772.49
175. I3
600.00
$8,611.54
Amount Paid
$611.54
$8,000.00
$8,611.54
~\(\Y;
\0\\0 0
Co ~0 0 \>""
....7>- ,'().~
C" 'v'
.~\.e 06\\\
'\~0 ""~p I
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: ~~$6~0689
ELECTRICAL PERMIT APPLICATION , ,X\e'~~''().~~ .~~
City Job Number CJ>'^ - C00 S-q Date 1,.0~()~0~7> 1...0(\\
'i>~'
1.
3.
uV\AHl u-r
LEGAL DESCRIPTION fMo~C1vIr-IH-1 I'd). A.
101-02,7- Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or ~\)I{\'\'
Modular Dwelling Service or ,y...<(. ~ ~\J'
Feeder X- \" , ~,,\~
,'" 9\ _ \ ~
B.
Electrical Contractor /".. ~. j / /tu/JI/ C!Lc '\"-\2:d6';~~. ~\~~ I~i~~\)~~ 'r-IQ'~\
~ - I - ",.. '( v ~ ,- V r"~ \ '"
-'\ \2Pi' Amps Ito 400 '^, mns!0v .
/ cJ \' V\J \,\,\,J -;-":'--.,
Address ~'):;) t:?..d/hr-1 K .L/J u LP...J5 ~~ti\A'mJ[~\io-'6bQ~A?mps
[\\:{,~'( (~\\\
60]'-l\!ppfJ0 rooo Amps
Phone ~I-d 327 ov~i~t'boo AmpsN olts
Reconnect Only
JOB DESCRIPTION
~~"-- ~!f Ia/~/_ -
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.
City ~k'/lA ~
Expiration Date
-'-I7(j' ,z
/ ()./ j-tJ '/
/L./C}f(3</
. -
/bt ~1.3-()~
- - -
Supervisor License Number
Constr. Contr. Number
Expiration Date
S~:;;f:kY/ciS
'---../"
OwnersName ~;A-I C\~__ \-l.-,.;;
:YO I r.? oy 4 'lS' ~ E.
City f:::i "i,A \ ~ Phone 5' "$ \" - YKZ- \
Address
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
/
If
$106.00 jtf}("ov
$ 19.00 1/;'lvO
$50.00
c.
f>. tU\eS t. "'\ U~n 0 U\eS b'l
In\dl~1i~t\.tiit~~~ idfac~e~@)\ \ne t ~One
2~Q\\\\2~".,.ag<"pO'\ - ~\a.\n cO?' . \neJ..e\e~~_<;(Jr~<Df.\
. n~ ~~~~\1 0\.1 INO\e :t\\'\vo.>
20in\'rti~s ~~'Kmg~tet. \: U~\XI\'l ~u ~$ 69.00
401 (A~p.i~,?\@'6:~Mn~ Ote90~ ",~'2.-2~.\ $100.00
Ca\ \ot \\\ . '1_~Ov-
Over 6 ( %l'ts see "B" above.
D.
~3), r:::AO
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electri~ Permit Inspection Fee is $45.00 + Surcharges
4.
7% State Surcharge
10% Administrative Fee
23Ztoo
J h ~2}1
_ 1.;),W
, 2. ":}-L W
TOTAL
Shared Drive(T:)/Building Forms/Electrical Permit Application I-03.doc
CITY OF Srt~GFIELD SYSTEMS DEVELOPMEN~1~RKSHEET
JOURNAL OR JOB NUMBER: C0M2005-00659
NAME OR COMPANY: Regal Custom Homes
LOCATION: 6311 Fernhill Ct.
TAX LOT NUMBER: Mountain Gate Pill Lot 27
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS I BUILDING SIZE (SF: 3322 LOT SIZE (SF):
1. STORM DRAINAGE
l
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.F. x COST PER S.F. CHARGE
4506.00 ' $0.310 I = I $1,396.86
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 0.00 I I $0.310 50%
ITEM 1 TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER - CITY
, A. REIMBURSEMENT COST:
I NUMBER OF DFU's x
I 30
$1,396.86
COST PER DFU
$24.04
B. IMPROVEMENT COST:
I NUMBER OF DFU's x
I 30
$18.28
ITEM 2 TOTAL- CITY SANITARY SEWER SDC
= I
$1,269.60
DISCOUNT
$0.00
rfJ
~
Cl
o
u
p::
10161 I ~
rfJ
, >-<
o
~
I
I
$1,396.86 f 1070
$721.20
$548.40
1091
1092
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUN ALENT ~ DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY TIIE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
I BATHTUB 2 0 3 = 6
I DRINKING FOUNTAIN 0 0 1 = 0
IFLOORDRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
IINTERCEPTORS FOR SAND / AUTO WASH / ETe. 0 0 6 = 0
ILAUNDRY TUB 1 0 2 = 2
ICLOTHESW ASHER / MOP SINK 1 0 3 = 3
I CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
I MOBILE HOME PARK TRAP (l PER TRAILER) 0 0 12 = 0
I RECEPTOR FOR REFRIG / WATER STATION /ETe. 0 0 1 = 0
IRECEPTOR FOR COM. SINK / DISHWASHER / ETe. 0 0 3 = 0
I SHOWER, SINGLE STALL 1 0 2 = 2
I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
I SINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASIN/DOUBLE LAVATORY 2 0 2 = 4
ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1
IURINAL, STALL! WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 3 0 3 = 9
MISCELLANEOUS DFU TYPE NUMBER OF EDD'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 30
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFlJs) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$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 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
= ,
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0.00 x $5.29
o
=
$0,00
TOTAL MWMC CREDIT
t
-,'
..
Job/Journal Number
COM2005-00659
COM2005-00659
COM2005-00659
COM2005-00659
COM2005-00659
COM2005-00659
QPM2005-00659
COM2005-00659
COM2005-00659
COM2005-00659
, COM2005-00659
, COM2005-00659,
. qOM2~05-00659
ciOM2005-00659,
i:
ObM2005-00659
~i .
qbM2005-00659
COM2005-00659
COM2005-00659
COM2005-00659
COM2005-,00659
COM2005-00659
COM2005-00659
COM2005-00659
QOM2005-00659
COM2005-00659
COM2005-00659
COM2005-00659
COM2005-00659
tbM2005-00659
OOM2005-00659
i
QPM2005-00659
IJbp2005-00 10 1
~ .
Payments:
Type of Payment
Check
CreditCard
!: .
;i
"
1",
"
7/20/2005
. .
RECEIP. 1200500000000001044
~ate: 07/20/2005
Description
Addressing Assignment
WiIlamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Curb cut Permit
PW Disc - 2nd Permit (Street)
SDC MWMC Administration
Building Permit
3 Baths One & 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-
Appliance Not Listed
Plan Review Major - Planning
+ 7% State Surcharge
+ 10% Administrative Fee
SDC Sanitary/Storm Admin
SDC MWMC Improvement
SDC MWMC Reimbursement
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
Mountaingate Impervious Area
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
LDAP Short Form Impacted New
Paid By
REGAL CUSTOM HOMES
PAUL WITT
Item Total: '
,Check Number Authorization
Received By Batch Number Number How Received
djb 6897 In Person
djb 057058 In Person
Payment Total:
2 of 2
10:14:54AM
Amount Due'
31.00
1,000~00
106.00
76.00
50.00
80.00
(30.00)
10.00
1,095.40
306.00
12.00
24.00
9.00
6.00
4.00
15.00
12.00
10.00
9.00
103.00
120.71
172.44
168.64
865.31
82.03
548.40
721.20
1,396.86
59.93
772.49
175.13
600.00
$8,611.54
Amount Paid
$611.54
$8,000.00
$8,611.54 '