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Home My WebLink AboutPermit Building 2005-8-24 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone '. 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGf11ELD . Building/Combination Permit . PERMIT NO: COM2005-01051 ISSUED: 08/24/2005 APPLIED: 08/03/2005 EXPIRES: 02/24/2006 VALUE: . $ 341,219.00 .; SITE ADDRESS: 6310 FernhiU Ct ASSESSOR'S PARCEL NO.: -1702343404600 Springfield TYPE OF Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence - Mountaingate subd lot 35 Residential Owner: Address: RUHOFF HOME BUILDERS INC 3993 MIRROR POND WAY . 0\1\0 EUGENE OR 97408 . \a'IJ te~U\te$ ~ \)\\\\W O~,.t),no f),POQ" . - ';j.t'f\ ,\"{1E~l\U\'" d 'n\~< .re .~~~ \ ~~ " ~ (U\eS ~ Ot' '~~~\Jl,iF0 TION, 10\~~ a\\OO ceo\e~,\ 0 \ntO. . \ \ne f\))'9~ w ~~19a.~gt-OO'\-IO talO CO?I~S ~e\....e\e. ~h@~@ License ~~d\\@Mlt ~~~~ NO\lt~&I~I@~\30797 B .' &. ~\I\\\ 344r~.. 160508 JUN6 ~rodti ~(fJ-'3?/2.-Z' 102455 JAMWrXL i~o\et \s 0 158262 I BUILDING INFORMATIONI Phone Number: 541-334-6550 Contractor Type General ;: Electrical Mechanical o Plumbing Expiration Date 07/13/2008 07/01/2006 10/04/2006 01/12/2006 Phone 541-334-6550 541-434-6491 541-937-2688 541-484-7440 # of Units: 1 # of Stories: 2 Lot Size: 10,001 Primary Occupancy Group: R-3 Height of 39.00 Sq Ft 1st Floor: 2,196 Secondary Occupancy U Type of Heat: Forced Air Gas Sq Ft 2nd Floor: 944 Yrimary Construction Type VN Water Type: Gas Sq Ft Basement: Secondary Construction Range Type: Gas Sq Ft Garage/Carport 778 # of Bedrooms: 3 Energy Path: Path 1 Sq Ft Other: Sprinkled nla Occupant Load: Front yard Setback: Side 1 Setback: , Side 2 Setback: Rearyard Setback: Solar Setbacks: 13.25 28.00 26.75 10.00 0.00 'DEVELOPMENT INFORMATION' QfA~ O I D. t \t: ,\-\t. ~'ll'~C\5 ver ay IS: ?\\\t. \\ "I\~' t9 Slue ,.. ~.Stree!. ~r~tt. t.~ ?t.~\'i\' t(J~ 5 oJ r-\'X\C~avediDiive RqaM\S r\~t.\) Yes \" \J: \ .- \ \\;\\ to II \t.' v o d\S '?%~of-l::;ot~eoverag~:\\WJ 34.80 ''I' \\ 'O\\\LpJ 0\\ \0 ' ~\j\~ ,c.\\\G\-\> ....cP-\O\). ,......,hl\\~\-- ...... ""Il \ ..... IPUBLJ~,!MPROVEMENTSI 1""\ . REQUIRED PARKING Total: 2 Handicapped: Compact: Subdivision Not Accepted Street Storm Sewer Available: Special Instruction: Fullv Improved Yes Sidewalk Type: DownspoutslDrains To Storm Sewer Notes: No hook-up to City Infrastructure until Public Improvements accepted by the City; Storm drainage piped to stub provided 8/5/2005 CAS 1 of 5 '_. '~.'.'." IIJ. ..NIlGI.....'."......c.. '~~.'~:q.... '.......,...... ." -Wlt:I~ ' , :,\.' B1 : ..._-..,"....... ..' ~. "1;7 :, .1: .: . "".:" : . . '0....., ,. "'.~.;.....' . . '" ~ .....,........ . Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRING~lELD Building/Combination Permit PERMIT NO: COM2005-01051 ISSUED: 08/24/2005 APPLIED: 08/03/2005 EXPIRES: 02/24/2006 VALUE: $ 341,219.00 I Valuation Description' 1 A.C. - Residen Deck/Balconv Dwellinl!s Garal!e Tvpe of Construction AC - Residential Deck V Wood Frame Garal!e $ Per Sq Ft or multiplier $4.00 $17.00 $96.00 $25.00 Square Footage or Bid Amount 3,140.00 457.00 3,140.00 778.00 Value Date Calculated Description I' Total Value of Project $12,560.00 $7,769.00 $301,440.00 $19,450.00 $341,219.00 08/15/2005 08/15/2005 08/03/2005 08/03/2005 LFees Paid' Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $834.54 8/3/05 1200500000000001138 -Mechanical Issuance Fee- $10.00 8/24/05 1290500000000001236 + 10% Administrative Fee $213.82 8/24/05 1200500000000001236 + 7% State Surcharge $149.67 8/24/05 1200500000000001236 3 Baths One & Two Family $306.00 8/24/05 1200500000000001236 Addressing Assignment $31.00 8/24/05 1200500000000001236 Appliance Not Listed $27.00 8/24/05 1200500000000001236. Building Permit $1,352.15 8/24/05 1200500000000001236 Curbcut - Additional Driveway , $40.00 8/24/05 1200500000000001236 Curbcut Permit $80;00 8/24/05 1200500000000001236 Dryer Vent $6.00 8/24/05 1200500000000001236 Exhaust Hoods $9.00 . 8/24/05 1200500000000001236 I" Furnace - up to 100,000 btu $12.00 8/24/05 1200500000000001236 Gas Fireplace $30.00 8/24/05 1200500000000001236 Gas Outlets 1-4 $4.00 8/24/05 1200500000000001236 Gas Outlets 4+ $2.00 . 8/24/05 1200500000000001236 Heat Pump $12.00 8/24/05 1200500000000001236 Mountaingate Impervious Area $1,254.21 8/24/05 1200500000000001236 Plan Review Major - Planning $150.00 8/24/05 1200500000000001236 Plan Review Residential $44.36 8/24/05 1200500000000001236 Residence Wiring 1000 Sq Ft ' $106.00 8/24/05 1200500000000001236 Residence Wiring Ea Addtl 500 $114:00 8/24/05 1200500000000001236 Sanitary Sewer - Improvement . $533.96 8/24/05 1200500000000001236 Sanitary Sewer - Reimbursement $701.96 8/24/05 1200500000000001236 SDC MWMC Administration $10.00 8/24/05 1200500000000001236 SDC MWMC Improvement $865.31 8/24/05 1200500000000001236 SDC MWMC Reimbursement $82.03 8/24/05 1200500000000001236 SDC Sanitary/Storm Admin $158.77 8/24/05 1200500000000001236 SDC Transpo Admin $63.02 8/24/05 1200500000000001236 SDC Transpo Improvement $805.70 8/24/05 1200500000000001236 ., SDC Transpo Reimbursement $182.69 8/24/05 .1200500000000001236 Storm Sewer Each Addtl 100' $84;00 8/24/05 1200500000000001236 Temp Power 200 amps or less $50.00 8/24/05 1200500000000001236 2 of 5 ~~....".A.,....~....~.g.'.CC..'.,..~..I!..".C,....D._..' ifiI.... ......C...',..'. ...,....;. 1lIIr.=-. . ; H',J1lH.,. .' '.' ! -. .. . -..:- ' ,~, :",-.,...,. ~.,,,^ -, ".'.:... ,..' -~.- .." -,~, '"." . . Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone' 541-726-3676 Fax '541-726-3769 Inspection Line CITY OF SPRINGf11ELD Building/Combination Permit PERMIT NO: COM2005-01051 ISSUED: 08/24/2005 APPLIED: 08/03/2005 EXPIRES: 02/24/2006 VALUE: $ 341,219.00 Vent Fan Willamalane Single Family . $24.00 $1,000.00 . 8/24/05 8/24/05 1200500000000001236 1200500000000001236 Total Amount $9,349.19 I Plan Reviews , Initial Review 08/05/2005 08/05/2005 APP SKG LDAP Review 08/05/2005 08/05/2005 10 VRJ Full review LDAP. $600.00 due at issuance. Applicant has submitted for LDA, 8/4/05. VJ. I LDAP Review 08/16/2005 08/16/2005 APP VRJ LDAP is ready to issue and is at the front counter. $600.00 due at . issuance. Applicant is aware that permit is ready. Planninl! Review. 08/05/2005 .08/23/2005 APP TAJ Tree Felling Permit is required if more than 5 trees 5' or greater dbh are felled inside the minimum setback areas. :}.., Trees to be preserved outside the Vegetation Easement shall be protected with construction fencing. See the Tree Protection measures in the MountainGate Development Plan Restrictions handout attached . to the building plans. The Vegetation Easement shall be fenced with construction fencing. Keep all construction activitiy out of this area. The deck is encroaching on the 10' rear setback. Aaron Solbeck agreed to cut the deck back to meet this requirement. The Deckmust be at least 10' from the rear property line. Public Works Review 08/05/2005 08/05/2005 APP CAS No hook-up to City Infrastructure until Public Improvements accepted by the City; Storm drainage piped t( stub provided 8/5/2005 CAS Structural Review 08/05/2005 08/10/2005 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. 3 of 5 -'v. "8&.IId~PJ:p... iiJ"" .1tIt'TJ;.'. '.'-.~"c' c. .' . ....:... . .J./l ......-.. I , . . '., .~';", .: .. '.-, .,'- ." - .... . ~ . .... - ,...-....,'~. ,...-.~, -.-"-.., . Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone . 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGlilELD" Building/Combination Permit PERMIT NO: COM2005-01051 ISSUED: 08/24/2005 APPLIED: 08/03/2005 EXPIRES: 02/24/2006 VALUE: $ 341,219.00 [..Reouired.lnsnections I Erosion/Grading Insp~ction: Prior to ground disturbance and after erosion measures are installed. Curbcut - Overwidth: After forms are erected but prior to placement of concrete. Curbcut - Standard: After for~s 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. 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. 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 niinimum 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 4 of 5 -:-aeWir,".~...". "iiii , ..,- .... .., ..--." . .- Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRING~1ELD ' Building/Combination Permit PERMIT NO: COM2005-01051 ISSUED: 08/24/2005 APPLIED: 08/03/2005 EXPIRES: 02/24/2006 VALUE: $ 341,219.00 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 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. 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 wiD remain on the site at all times during consJ.D1.ction. c')~2- '1-;: 5 '> -- ~-~-,----~ --..... C7/ _ (.._,-,~ Owner or Contractors Signature Date 5 of 5 I, 225 Fifth Street S'prlngfield, Oregon 97477 541-726-3759 Phone i~ 1 ') J<1b/Journal Number COM2005-0 1051 ,I COM2005-0 I 051 COM2005-0 I 051 COM2005-0 I 051 COM2005-0 I 051 COM2005-0 I 051 COM2005-0 1 051 COM2005-0 1 051 COM2005-0 I 051 COM2005-0 1 051 COM2005-0 1 051 COM2005-0 1 051 COM2005-0 1 051 COM2005-0 1 051 CbM2005-0 1 051 C.QM2005-0 1 051 COM2005-0 1 051 COM2005-01051 CbM2005-01051 COM20'05-01051 COM2005-01051 COM2005-0 1051 COM2005-0 1051 COM2005-0 I 051 COM2005-0 1 051 COM2005-01051 CbM2005-0 1 051 , COM2005-0 1 051 COM2005-0 1 051 COM2005-0 1 051 COM2005-0 1 051 CbM2005-0 1 051 COM2005-0 1 051 " CbM2005-01051 )~', ,I P'ayments: Type of Payment CreditCard Check 'I ;/ t,1 41 :~c 8/24/2005 City of Springfield Official Receipt elopment Services Department Public Works Department RECEIPT #: 1200500000000001236 Date: 08/24/2005 Description Addressing Assignment Willamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Curb cut Permit Curbcut - Additional Driveway 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 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 Outlets 4+ Gas Fireplace Heat Pump Appliance Not Listed -Mechanical Issuance Fee- Plan Review Major - Planning + 7% State Surcharge + 10% Administrative Fee Paid By RUHOFF HMBLDR INC RUHOFF HOMEBUILDERS INC Item Total: Check Number Authorization Received By Batch Number Number How Received djb 058973 In Person djb 6552 In Person Payment Total: 1 of 2 9:54:08AM Amount Due 31.00 1,000.00 106.00 114.00 50.00 80.00 40.00 1,254.21 701.96 533.96 182.69 805.70 82.03 865.31 . 10.00 158.77 63.02 44.36 1,352.15 306.00 84.00 12.00 24.00 9.00 6.00 4.00 2.00 30.00 12.00 27.00 10.00 . 150.00 149.67 213.82 $8,514.65 Amount Paid $8,000.00 $514.65 $8,514.65 \~~ ~6 '~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726..9?i~9J-J?>\' ELECTRICAL PERMIT APPLICATION 0-9 City Job Number c"r--O I O\') Date Q?>\e 3. 2. B. YOOq Onne..,.c.,., '-01"15 \avJte~U Uti\it)' Electrical Contractor G Ie. vf-,.. (G C2aJr/ /)4n i 2~6~por~n \Oe Otegon ,a$ $ 63.00 ., ~11~)~\~6\~~~ tu\eS ate s~~ ')0"\:, $ 75.00 Address ~ / 0 uJ (A. 1/ 1'5 Sr. # 0 10\~~'1~\bf\1~1 t~{)J \\WreUgn 0 f\R ~;)~J">'" 'n'l $125.00 Not\1IC~~~1(Pf6b~~ies oHoe IV'~~e $163.00 t; "1 q e.11 e., Phone .Lj.p-/- "'~ CJ / \n O:~~5Ul'tWID~%l}~~~te', tne \e\tr.;~'ion $375.00 00 WPtt~tC@Iil.~r. On U\i\it)' Nc, \ .- $ 50.00 ca \ 'd toe Oreg _2'344). @ LEGAL DESCRIPTION J 7-oz S L/ 7/f n4b6D JOB DESCRIPTION ~)~'.-J taJi'J1Ji1 fla)~dU, h,JUIl/f! Permits ar: non-transftable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. City Supervisor License Number 30<-//5 U<./5 /0 -1-'~07 Expiration Date Constr. Contr. Number J~Q5"oc9 7- /-0(:, Expiration Date Sign2Z:27~ ~ ~~~S \>Ord Phone ~4.~ Owners Name Address m ~ \ ---"'-- City qJ~.l\.t . 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 j h $106.00 /OC;:uOO $ 19.00 J It/,oo $50.00 Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 50.00 $ 69.00 $100.00 ~D,eo I Over 600 Am s or 1000 Volts see "B" above. D. New Alteration or Extension Per Panel One <:ircuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 E. P ... <r 0,1(" ",~(J~ ump or ImgatlOn f \~.l9tJ \Q\ Sign/Outline Lighting .,~\\\\- \\' ~"Q.@cg ~ Limited Energy'~esidentj\lJll\\..\.- t. ~l\c., ,?'c.'?\$_?'i.'@~~ <~\\,\~. ,\,:-\"1;\1" 0. \\" ~t.v Limited~E~t.gy./C:o~h\ercia.]~\>\) I .. n \).~\)\.) $ 45.00 ~'- \ C. ,?'C.\. d) \)\ c.. \"-V. Minimum Elect'ri~"'rer~itlI'n.spe~R)liF,e~\is $45.00 + Surcharges \\ 'U, ,('''' ..... \V' 4. 1.- if-O, cK) J (6 JiO 1... 1-. f!Jr) ~JC:;-SO \,.'~ 7% State Surcnarge 10% Administrative Fee TOTAL Shared Drive(T:)/Building Forms/Electrical Permit Application I-03.doc CITY OF SP~..,jGFIELD SYSTEMS DEVELOPMENT RKSHEET JOURNAL OR JOB NUMBER: C0M2005-01051 NAME OR COMPANY: Ruholf LOCATION: ' 6310 Femhill Ct TAX LOT NUMBER: 1702343404600 DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE NEW DWELLING UNITS 1 BUILDING SIZE (SF' 3187, LOT SIZE (SF): I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM IMPERVIOUS S.F. x COST PER S.F. CHARGE 3883.00 $0.323 = I $1,254.21 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS' I IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE DISCOUNT I 0.00 I . I $0.323 I, I 50% $0,00 ITEM 1 TOTAL - STORM DRAINAGE SDC ' '$1,254.21 'I)e \O\\U~..,;1:J ,.~3 10001 $1,254.21 r/) ~ Ci o u ~ I~ IE-< , r/) ....... o ga 1070 DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNlTS (NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIV ALENT UNITS BATHTUB 1 0 3 = 3 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 = 0 II LAUNDRY TUB 1 0 2 = 2 CLOTHES WASHER / MOP SINK 1 0 3 = 3 CLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (l PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRIG /WATER STATION /ETC 0 0 1 = 0 I RECEPTOR FOR COM. SINK / DISHWASHER / ETC 0 0 3 = 0 ISHOWER, SINGLE STALL 2 0 2 = 4 I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 I SINK: COMMERCIAL BAR 0 0 2 = 0 I SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2 ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 = 2 IURINAL, STALL / WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 3 0 3 = 9 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 28 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 ]992 1993 1994 1995 1996 1997 1998 ]999 2000 2001 CREDIT RATE/$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 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 = , $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0.00 x $5.29 o TOTAL MWMC CREDIT $0.00 = ;L Li " Job/Journal Number, COM2005-0 I 051 COM2005-0 1 051 COM2005-01051 COM2005-0 1 051 COM2005-0 1 051 COM2005-0 1 051 ( CbM2005-0 1 051 COM2005-0 1 051 COM2005-0 1 051 COM2005-0 1 051 CpM2005-0 1 051 qOM2005-0 1 051 COM2005-0 1 051 ~! COM2005-01051 ,1 QOM2005-0 1 051 COM2005-0 I 051 COM2005-0 1 051 COM2005-0 1 051 COM2005-0 1 051 COM2005-0 1 051 COM2005-01051 COM2005-0 I 051 COM2005-01051 CbM2005-0 1 051 COM2005-0 1 051 COM2005-0 1 051 COM2005-01051 CbM2005-01051 CbM2005-01051 COM2005-0 1 051 CeM2005-01051 cibM2005-0 1 051 COM2005-01051 COM2005-0 1 051 Payments: Type of Payment CreditCard (heck :1; ~~ :;r I, ;: !t, " 1 8/24/2005 RECEIPT i. Description Addressing Assignment Willama1ane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Curb cut Permit Curb cut - Additional Driveway 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 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 Outlets 4+ Gas Fireplace Heat Pump Appliance Not Listed -Mechanical Issuance Fee- Plan Review Major - Planning + 7% State Surcharge + 10% Administrative Fee Paid By RUHOFFHMBLDR INC ' RUHOFF HOMEBUILDERS INC 1200500000000001236 ~'ate: 08/24/2005 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 058973 In Person djb 6552 In Person Payment Total: 2 of 2 9:54:08AM Amount Due 31.00 1,000.00 106.00 114.00 50.00 80.00 40.00 1,254.21 701.96 533.96 182.69 805.70 82.03 ' 865.31 10.00 158.77 63.02 44.36 1,352.15 306.00 84.00 12.00, ,24.00 9.00 6.00 4.00 2.00. 30.00 12.00 27.00 10.00 150.00 149.67 213.82 $8,514.65 Amount Paid $8,000.00 $514.65 $8,514.65