HomeMy WebLinkAboutPermit Building 2010-9-13
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CITY o.Fi1)p~RINGFIELD
Building n~esidential Permit
PERMIT NO: COM2010-01044
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@cLspringfield.or.us
PROJECT STATUS: Issued
IVR Number:
ISSUED: 9/13/10
APPLIED: 8/4/10
EXPIRES: 3/11/2011
, ,VALUE: $244,381.00
SITE ADDRESS: 553 48TH PL S SPRINGFIELD
ASSESOR'S PARCEL NO: 1802051104900
SCOPE: SFD
;~:... WORK INVOLVED: NEW
TYPE OF STRUCTURE: RES
PROJECT DESCRIPTION:
OWNER:
ADDRESS:
New Single Family Dwelling
. Phone Number:
Contractor Type
CONTRACTOR INFORMATION ~
Contractor Name .'_~_' ~. '_"_'~M"_'
PACIFIC AIR COMFORT INC. t. '2:.. .
TOP NOTCH ELECTRIC lNC J.r~ .t, ~.., K ~ i ,~.
.STUTZMAN SERVICES INC . _.,.. _.
. /.....,
HAYDEN ENTERPRISES INC
.Lic Type
GGB
GGB
GGB
GGB
Lie No
39237
172366
31747
92208
Lic Exp Phone
03/25/2012 541-672-9510
09/29/2010 541-317-1998
05/12/2012 541-928-8942
07/29/2011 541-923-6607
# of Units:
Construction Type
Occupancy Type
Occupancy Comments
# of Bedrooms:
Sprinkled Building: No
Fire Alarms:
Energy Path:
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
Springfield Building Pe~mit
BUILDING INFORMATION ~
o
# of Stories:
Height of Structure:
Lot ,Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport: '
Sq Ft Other:
Occupancy Load:
24
2
1408
U,
Type of Heat: Forced Air Gas
Water Type: ,
~ Gas.
Range Type: ,Gas,
H_azm,!~: No
. "
980
" 403
5
No Electrical Specialty Code Edition:
. . Springfield Fire Code Edition:
Path 2A Certified perform~echanical Specialty Code Edition:
Municipal I Development Code:
Plumbi[l9 Specialty Code Edition:
Residential Specialty Code Edition: 2006
Structu~ai Spec'faii}t'Code-Edition:
,~. . j
I )ff::. "::"Sit~"(ri'forfnation ~
Yes
X':.','
No
No
No
Yes
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center, Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the teli'lphone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
NonCE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT .'
COMMENCED OR IS ABANDONED FOR ~,;,
ANY 180 DAY PERIOD. ' ' . '
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. .. -.. 9/13/2010 2:13:58PM
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www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: CpM2010-01044
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
perm ltcenler@ci.springfield,or.us
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PROJECT STATUS: Issued
ISSUED:;9(~ ~7fpi ::
APp[i~b': 8i.i/10
EXPIRES: 3/11/2011
VALUE: $244,381.00
SITE ADDRESS: 553 48TH Pl 5 SPRINGFIELD
ASSESOR'S PARCEL NO: 1802051104900
SCOPE: SFD
WORK INVOLVED: NEW
TYPE OF STRUCTURE: RES
PROJECT DESCRIPTION:
New Single Family Dwelling
DEVELOPMENT INFORMATION I
Frontyard Setback: 16
Interior Setback: 5
Sideyard Setback: 5
Rearyard Setback: 31
Solar Setback: 0
Overlay Dist:.
# Street Trees Reqd: 2
., "'T .j'
Paved'Drive Reqd: Yes
% of LofCoverage: 36.3
Highest point on structu,re to
north property line: 18.5
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
-
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, ~W{"ili 'it}.!;,.. ::.d~;':}
Sidewalk Type:
dElrE, .!.f,tihf .:
r:rr;fJ ,:'.~
Downspout/Drains:
Valuation Description ~
Descrietion
Tvee of Construction
Unit' Am'ount Unit Tvoe
Unit Cost
Value
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Springfield Building.Permit
9/13/2010 2:13:58PM
Page 2 of 6
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,.. m. OREGON
CITY OF SPRINGF;IELD
Building I Residential Permit
PERMIT NO:' COM2010-01044
:L ,
225 Fifth St
Sprin9field,OR 97477
Phone: 541-726-3753 .
Inspection Phone: 541-726-3769
Fax: 541-726-3676
www.cLspringfield.or.us
IVR Number:
permitcenter@ci.springfield.or.us
PROJECT STATUS: Issued
ISSUED: 9/13/10
APPLIED: 8/4/10
EXPIRES: 3/11/2011
VALUE: $244,381.00
SITE ADDRESS: 553 48TH Pl S SPRINGFIELD
ASSESOR'S PARCEL NO: 1802051104900
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'..: '-,;~.."-
PROJECT DESCRIPTION:
L."".:.'>- ::;"~:.
Descriotion
Plan Review Residential
SDC: Reimbursement Cosl- MWMC Re9ional WastewatE
SDC: Total Transportation Administration Fee
SDC: Total Sewer Administration Fee
SDC: Administrative Fee - MWMC Regional Wastewater ~
SDC: Compliance Cost - MWMC Re9ional Wastewater Sl ,
sac: Reimbursement Cost - Storm Drainage
SDC: Reimbursement Cost ~ Storm Drainage
~DC: Improvement Cost - Storm Drainage
SDC: Reimbursement. Transportation SDC
SDC: Improvement - Transportation SDC
SDC: Reimbursement Cost - Local Wastewater
SDC: Improvement Cost - Local Wastewater
SDC: Improvement Cost - MWMC Regional Wastewater ~
Residential Fire (.05 Per Sq Foot)
Admin fee (10% of applicable fees)
Planning - Major Review
Structural Building Permit Fee
~ddress Assignment, each new or change
Willamalane fees - Single family ,detached
One or Two Family Dwelling with Three Bath
Range hood/other kitchen equipment
Flue vent for water heater or gas fireplace
Single-duct exhaust (bathrooms, toilet compartments, utili
First Appliance Fee
Residence wiring 1,000 sq. ft. or less
Each added 500 sq. ft, or portion
Temp services 200 amps or less
Sidewalk up though 90 Feet
Curb CuUDriveway 1 st Cut
Multiple Permit Discount (Max 2)
Gas Pipin9 up to 4 outlets
State of Oregon Surcharge (12% of applicable fees)
Technol09Y fee (5% of permit total)
Total Amount Paid
Springfield BUilding Permit
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SCOPE: SFD
WORK INVOLVED: NEW
.' ll;YPE OF STRUCTURE: RES
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~" 'r "', -$~lLIY
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Date Paid
08/05/2010
09/13/2010
09/13/2010
09/13/2010
09/13/2010
09/13/2010
09/13/2010
09/13/2010
09/13/2010
09/13/2010
09/13/2010
09/13/2010
09/13/2010
09/13/2010
09/13/2010
09/13/2010
09/13/2010
09/13/2010
09/13/2010
09/13/2010
09/13/2010
09/13/2010
09/13/2010
09/13/2010
09/13/2010
09/13/2010
09/13/2010
09/13/2010
09/13/2010
09/13/2010
09/13/2010
09/13/2010
09/13/2010
09/13/2010
Receiot #
18590
18590
18590
18590
18590
18590
18590
374295
374295
374295
374295
374295
374295
374295
374295
374295
374295
374295
374295
374295
374295
374295
374295
374295
374295
374295
374295
374295
374295
374295
374295
374295
374295
374295
New Single Family DW~~!.!.~f;.' , "1'. ~~.~.
_--~:",~""t',;0.:;.)k_;"!<.. ,:;';::~'t--'?lr~F'EE SPA'I'D"" ,:;""",k,,;_,~~.,',,,,,,..',,,_'t+"'~.-';__ ;:_~;.".'.' ,~"."i ''of "'--%-'.:i '-"""::~,._:. ',.'.'-'''',,';,,'!-;:-.-:--.
-..=.,,;:,..P' '. - ., ,'_. -
Amount Paid
$741.11
$101.97
$105.40
$315.76
$10.00
$~2.63, ."
$185.3~
'$141:66 i' "
, $788.86
ct! I" $3'56.196
\ ~. ',,'
$1,383.63
$2,664.42
$1,434.18
$1,333.57
$150.75
$15.08
$211.00
':j'd ~1'ilt;t94 ,.
:~>.\. ~-t_ ~ $38:'60 i
J!jjlg-,,::~. $3;468.00
~7:r:.~; .: ;~$.H~39~00
~~..l"
$13.00
$9.00
$45.00
$79.00
$134.00
$100.00
$63.00
$88.00
$88gg"
.$-3P.99
,.$7.00
" .,
$243.71
$110.75
$15,999.73
Page 3 of6
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CITY O!7,SPRINGFIELD
Building I Residential Permit
PERMIT NO: COM201 0-01 044
IVR Number:
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 54f-726-3676
permitcen1er@ci.springfield,or.us
PROJECT STATUS: Issued
ISSUED: 9/13/10
APPLIED: 8/4/10
,'J\
EXPIRES: 3/11/2011
VALUE: $244,381.00
SITE ADDRESS: 553 48TH PL S SPRINGFIELD
ASSESOR'S PARCEL NO: 1802051104900 '
. ;.l," t'e
SCOPE: SFD
WORK INVOLVED: NEW
TYPE OF STRUCTURE: RES
.1
PROJECT DESCRIPTION:
New Single Family Dwelling
~':'t,,~}2.s--, .-~~:';"~ ~ . ;:~- fr.~~ ~ ::,:- 't!!~:s~~ _" ~ >~ _':""~:y~ ';-,-'RI'!~t3~I[;,w': '-,.'-: :;:">ty,.[~~f,:0:~<:~i ,..<~;~~D~-~?J:7';C<0.":*~
Deoartment Received Due Date
Initial Review 08/16/2010 08/16/2010
Application Acceptance 08/16/2010 08/16/2010
Planning Review 08/16/2010 08/16/2010
Public Works Review 08/19/2010 08/16/2010
Permit Issuance 09/13/2010 08/20/2010
Planning Review 08/18/2010 08/16/2010
Structural Review 08/20/2010 08/16/2010
no F]
Comolete
08/16/2010
Reviewer
. David Bowlsby
David Bowlsby
Deyette Kelly
Kaye Wilson
David Bowlsby
Deyette Kelly
Chris Carpenter
Comments
Result
Approved
Application Accepted
08/16/201~il' J~~~} ~~~a: required
08/16/20.10L .APpr.oved
08/20/2010 Issued
08/16/2010';- tAP.pr6ved
._ I, '
08/16/2(m) Approved
Spoke to Tim D. with Hayden
received on 8-18-2010 Starn
Front elevation is site specific
As noted on plans
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Page4of6
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CITY OF SPRINGFIELD
Building I Res.idential Permit
,l.,> .."If,',,'" \,
PERMIT No:C'6Mio1cO~01 044
" ,) ,
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci,springfield . or. us
k." ,", .
t:,IV~ Number:
PROJECT STATUS: Issued
ISSUED: 9/13/10
APPLIED: 8/4/10
EXPIRES: 3/11/2011
VALUE: $244,381.00
SITE ADDRESS: 553 48TH PL S SPRINGFIELD
ASSESOR'S PARCEL NO: 1802051104900
SCOPE: SFD
WORK INVOLVED: NEW
TYPE OF STRUCTURE: RES
PROJECT DESCRIPTION:
New Single Family Dwelling
INSPECTIONS REQUIRED I
Inspections
1050 Excavation
1090 Street Trees
1110 FoOtin9
1120 Foundation
1150 Slab/Flatwork
1160 UFER Ground
~ '.1'
1190 Retaining Wall
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1220 Underfloor framing
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,""110
1260 Framing
1370 Masonry Veneer
1410 Underiloor insulation
1420 Insulation Vapor Barrier
1430 Insulation Wall
1440 Insulation Ceiling
1520 Interior Shearwall
1530 Exterior Shearwall
1540 Gypsum Board/Lath/Drywall
1999 Final Building
2200 Underfloor Mechanical
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2210 Underfloor Gas
2260 Gas Service
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2300 Rough Mechanical
2310 Rough Gas
2995 Final Gas
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2999 Final Mechanical
3130 Footing/Foundation Drains
3170 Underfloor Plumbing
Springfield Building Permit
9/13/2010 2:13:58PM,
Page5of6
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J.>*'~v'OREGON
CITY OF'SPRIN.<3FIELD
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
www.cLspringfield.or.us
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BuildillgL'Residel'ltial Permit
PERMIT NO: COM2010-01044
IVR Number:
permitcenter@cLspringfield.or,us
PROJECT STATUS: Issued
ISSUED: 9/13/10
APPLIED: 8/4/10
EXPIRES: 3/11/2011
VALUE: $244,381.00
~ . ~
SITE ADDRESS: 553 48TH PL S SPRINGFIELD. "___.,
ASSESOR'S PARCEL NO: 1802051104900J:;'~;:
. " SCOPE: SFD
u_:; '~:;;:---.- WORK INVOLVED NEW
'3'(; .'5"', '. :
"jyPE OF STRUCTURE: RES
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PROJECT DESCRIPTION:
New Single Family Dwellirii{'
3200 Sanitary Sewer
3315 Water Line
3400 Storm Sewer
3500 Rough Plumbing
3999 Final Plumbing
, '
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4000 Temporary Power Service
4225' Service or Feeder
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4500 Rough Electrical
4999 Final Electrical
('
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 or Oregon pertaining to the work described herein, and that NO
OCCUPANCY will be made of any structure without permis~ion of ~he 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 th~-p/6per,ti;';'e:.that ea~h address is readable from the street, that the
permit card is located at the front of the property, and the:approve(j~seNjf'Pla'n~ wiil remain on the site at all times during
construction. .. , -. . TVi ::
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Owner or Contractor Signature
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Date
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Page 6 of6
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Electrical Permit Application
225 Fifth Streett Springfield, OR 97477. PH(541)726~3753. FAX(541)726w3689
SPRINGFIELD l:o~
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Date:
Permit no.:
This permit is issued uuder OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days.
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Zoning approval verified? DYes DNa
lr:i!;!I~'}j~~[eAiljE({~BY~[QFJcl(;:~N~m8.l!Jpmlbr\l~f!~m~1lj1\fUii!7:~1
o Residential 0 Government 0 Commercial
!\f~~:OB\1!$Iif:E~lINJ;,<;)gM~ml0.rIl;wA'Ni:JjjlYC:"!>'A.ljI0ti1ij1m~foii
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ZIP: "'l775<;.
City:
Phone:
E-mail:
This installation is being made on residential or farm property
owned by me or a member of my immediate family. This
property is not intended for sale, exchange, lease, or rent. OAR
479.540(1) and 479.560(1).
Signature:
~j1,~~\C::}lNili~C::iT~0R@ltilSJMl!!I!.MiIQN~f,1~~iffiifB
Business name;
Address:
City:
Phone:
ZIP:
Fax:
E-mail:.
o
CCSiicense no.:
Signing supervisor's license no.:
Print name of signing supervisor:
Signature of signing supervisor:
.
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~~~CY.' tc$1a. (',o\Je\{, ex-
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~~ . D\\.3\1.\C\a,0
440-2584-J (9/08/COM)
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~.~~~~~~,~t~~~W:;,~~11mt~s.'Wf.~~~!~~;-::~~;,~1$ r<:t'r~ !J,'~~€osf~iit i'f.o1al~t:
, urn er,o dnspec IOn~~",,1 em:(\'),j"I1: Q y" '{'i\fe;-""c," '.-"'- f-Ii.\
~i;:~r.',;l:'I:"'t';;;o:':!lM:t..;l'h~'.~~;~.. .j'Pt';:,:i";~;;;~':;',:'w;..t~_: '~"'i'\"~ I.;.;...:. .~fI'_()I!.i;l ~iI~&O_S, ~'-'
Residential, per unit, service included:
1,000 sq. n. or less (4) \ $134.00 $t~, iJ
Each additional 500 sq. ft. or'portion Ac. $ 25.00 $\(0
thereof
Limited energy (2) $ 32.00 $
Each,manufaclured home or modular $ 63.00 $
dwelling service or feeder (2)
Services or feeders: instailation, alteration, relocation
200 amps or less (2) $ 81.00 $
20 I to 400 amps (2) $ 95.00 $
40 I to 600 amps (2) $158.00 $
601 to 1,000 amps (2) $205.00 $
Over 1,000 amps or volts (2) $469.00 $
Reconnect only (2) $ 63.00 $
Temporary services or feeders: instailation, alteration, relocation -,)
200 amps or less (2) t $ 63.00 $0:> V
201 to 400 amps (2) $ 87.00 $
40 I to 600 amps (2) $126.00 $
Over 600 amps or 1,000 volts, see services or feeders section above
Branch circuits: new, alteration, extension per panel
a. Fee for branch circuits with purchase ofa service or feeder fee:
Each branch circuit $ 6.00 $
b. Fee for branch circuits without purchase of a service or feeder fee:
First branch circuit (2) $ 55.00 $
Each additional branch circuit $ 6.00 $
Miscellaneous fees: service or feeder not included
Each pump or irrigation circle (2) $ 63.00 $
Each sign or outline lighting (2) $ 63.0'0 $
Signal circuit or a limited-energy panel, $ 63.00 $
,alteration, or extension (2)
Each additional inspection: (1) $58.00 $
~;if;;~l'~~~~j.~~P.ip.P,t'JIGAlilm~i!JsE:;t,~~lf~~~~~~~
(A) Enter subtotal of above fees $~~.C c)
(Minimum Permit Fee $58.00)
(B) Enter 12% surcharge (.12 x [A]) $ ~ ~
(C) Technology Fee (6% of [A]) $ tl--;q.
TOTAL rees and surcharges (A through C): :v.2A-"1 "\\
- .
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DEPARTMENT USE ONL Y i
,
StnH Permit Application
--
225 Fifill Street + Springfield, OR 9i477 . PH(S4 1 )726-37S3 . F:\X(541 )726-3689
SP"lNGf',ELD .,'
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Pemlit no
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Date:
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is
suspended for 180 days,
L0CAL G6~ERN. MENTAPPROVAL
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This project has final land-use approval.
Signature:
This project has DEQ approval..
Signature:
Zoning approval verified:
I
Dale:
Dale:
FEE SCHEDULE "
i ;.ya~ ll.~'dbh;'hif a'nn ~t(o:h'.~,
(a) Job description:
Occupancy
Property is \;,ithin flood plain:
DYes
DYes
DNo
~"
UI'lO
Construction type:
rgJ Residential
o Government
o Commercial
Square feet:
Cost per square foot"
Other information:
/- 0/00 ~- ~,
,'_'0"
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'hi 'cA'fEq()R~Y;iOF,i,CONS.TRUCTlbN
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'U9B,SITE
iN#ORMATIOkANDLOCATIOI'l.. "
ff" PL
Type of Heat:
Energy Path: ~p
[XI new 0 alteration 0 addition
,(b) Foundation-only permit? 0 Yes 0 No
Total valuation:
City:
Subdivision: w~5f- w
Reference: ' -e-"]... e-5" 1. 1-
PR0PERTY OWNER
(0
(a) Permit fee (use valuation table):
(b) Investigative fee (equal to [2a)):
(c) Reinspection ($ per hour):
(number of hours x fee per hour)
Cd) Enter 12% surcharge (.12 x (2n+2b+2c]):
(e) Subtotal of fees above (2. through 2d):
Name:
Address:
City:
Phone: '
State: 0 Q
$
s
E-mail:
This installation is being made on residential or farm property owned by
me or a member afmy immediate family, and is exempt from licensing
requirements under ORS 701.010.
$
City:
Phone: 5LII -
E-mail:
CCB license no.: 0
Print name:
-/4(( r
State: OK
$
$
Sign here:
CONTRAqrOR'lNST 'LATION
fIc"
(a) Seismic fee, 1% (.01 x permit fee [2a]): $
TOTAL fees and surcharges (2e+3c+4a): $
Signature:
,'" ': sU,Ei,CONTRAC'rOR INFORMAflO,N"
';:;,".,t.,:c"
Name
Electrical
Plumbing
Mechanical
CCB License Number
Phone Number
17
3/7'17
YI,;L37
/
*~iI!~ecT'!l!~e
Job. No. c'\D - \\}\ t\
SYSTEM DEVELOPMENT CHARGE WORKSHEET
July 1-December 31, 2010
NAME: ~(\L\d.Q)[\ ~ PHONE: ()Jl.f6 Loq~
ADDRES~4b4 !'itA) G.~l ~E:D.R4IP:
LOCATION OF PROPOSED BUILDING SITE:
Street Address: :SD~ {). L\5~ ~L . rvl
Plat Name: \t)\QD\\l)~ Tax Lot Number: \t({i2..OS\\ (~W
1. DEVELOPMENT TYPE (Check appropriate dwelling{s). Dwelling type definitions are on the
back.)
A. Sinole-Family Detached
NO. OF UNITS \
X $3,468 per unit =
$ ~4to<(6 ,ex)
B. Sinole-Family Attached.
NO. OF UNITS
X $3,538 per unit =
$
C. Multi-Family Apartment
NO. OF UNITS
X $2,906 per unit =
$
D. SinqleRoom Occupancy
NO. OF UNITS
X $1 ,453 per unit =
$
E. Accessory Dwellino Unit
NO. OF UNITS
Development Services Depa
City of Springfield
o~
$
$ <~4.to6 ,DO
-CY
$~lag~
, 0, \0
$
X $1,734 per unit =
. WILLAMALANE SDC
2. SDC CREDIT {If applicable) SDC payer must furnish proof of
Willamalane Credit approval.)
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
Date
5
. '
S~:\~N~_.F~El~.
~._,.~
_:. ":i'i1
~...0..", OREGON
CITY OF SPRINGFIELD
225 Fifth 5t
Springfield,OR 97477
541-726-3753
TRANSACTIO~ RECEIPT
COM201 0-01 044
553 S 48TH PL
www.cLspringfield.or.us
pe rmitce nter@ci.springfield.or.us
RECEIPT NO: 2010000309 RECORD NO: COM201O-01044 DATE: 09/13/2010
'DESCRIPTION;:;';- ~'''',: ";~')':'i:):/;::1.:0.t':;~;) ):~~i:~)iT~:;';4'3Yk,!';.c_Q_ulil'f.LG:QJi.E--~.'i;'-;': :;'"rAMd@TR.lJE:. . .,
SDC. Reimbursement Cost - Storm Drainage 441.00000.448029
SDC. Improvement Cost - Storm Drainage 440.00000.448028
SDC: Reimbursement. Transportation SDC 446-00000-448026
SDC: Improvement. Transportation SDC 447-00000-448027
SDC: Reimbursement Cost - Local Wastewater 442.00000.448024
SDC: Improvement Cost. Local Wastewater 443-00000-448025
.s..~.lrnp,-~ern.ent Cost. MWMC Regional Waste~t.e.!:.2.DC ___...~,:5-00000-448025 ____._~._
.~esidential Fire (.05 Per Sq Foot) 100-00000-424005
Admin fee (10% of applicable fees) 224-00000-426605
Planning - Major Review 100-00000-425002
Structural Building Permit Fee 224-00000-425602
Address Assignment, each new or change 224-00000-425602
Willamalane fees - Single family detached 821-00000-215023
One or Two Family Dwelling with Three Bath ,~\G.-.. ; :).r+~.'22~-OOOOO-425603
Range hood/other kitchen equipment . 224-00000-425604
Flue vent for water heater or gas fireplace .iI7: 224-00000-425604
Single-duct exhaust (bathrooms, toilet compartments, utility rooms) 224-00000-425604
First Appliance Fee 224-00000-425604
Reslgence wiring.1.cl!.29 sq. ft. or less 224-00000-426102
Each added 500 Sq. ft. or portion 224-00000-426102
Temp services 200 amps or less 224-00000-426102
Sidewalk up though 90 Feet 201-00000-~8060 ,,,_,_
Curb CuUDriveway 1 st Cut 2Q1-00000-428060
Multiple Perniit Discount (Max 2) 201-00000.428060
Gas Piping up to 4 outlets 224-00000-425604
~ of Or<:"90n Surcharge (12% of applicable fees) 821-00000-215004
Technol09Y fe..':..i~% of permit total)_. 100-00000-425605
TOTAL DUE:
t: . PAYMENT TYPE ). .;r>AYOR~:;)';;CASHIER DBO\NLSBY. '.",: ~'CO' M"M..E.N....T..S\""~"tiF,,,)'b'f - '..
~,.^".~.."..._~___.,....____"'"~_.-.~.....,~_~. . _...,.,' . _ .'. .',.._... _ ..._,_.._..... .............~.... ...~~.. <.A _ .. ....._ _~-- ..,
$141.66
$78886
$356.96
$1,383.63
$2,664.42
$1,434.18
$1,333.57
$150.75
$15.08
$211.00
$1,141.94
$38.00
$3,468.00
$439.00
$13.00
$900
$45.00
$79.00
$134.00
$10000
$63.00
$88.00
$88.00
$-30.00
$7.00
$243.71
$110.75
$14,517.51
. AtilQLJIiIXJ:?A!R~:;tf"",,-i,~.,.'l1
Check
28719
HAYDEN ENTERPRISES INC
$14,517.51
\C~.. ; '~)t<
:,-,-
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i~1 ,
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$14,517.51