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Home My WebLink AboutPermit Building 2010-9-28 t.. r. SP~ljN~=~ ifii OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: COM2010-01025 IVR Number: 811000054207 www.ci.springfield.or.us PROJECT STATUS: Issued 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfield.or.us ISSUED: 9/28/10 APPLIED: 7/30/10 EXPIRES: 1/30/2011 VALUE: $174,139.00 SITE ADDRESS: 4156 STEllAR WAY Springfield ASSES OR'S PARCEL NO: 1802061419400 SCOPE: SFD WORK INVOLVED: NEW TYPE OF STRUCTURE: RES PROJECT DESCRIPTION: OWNER: ADDRESS: Single family residence - Same as COM2010-007641011 S 41st Phone Number: I Contractor Type Contractor Name CONTRACTOR INFORMATION I Lie Type Lic No Lic Exp Phone BUilDING INFORMATION I # of Units: Construction Type Occupancy Comments Occupancy Type Occupancy Type Construction Type # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Type VB 1 17 Forced Air Gas Gas Gas U R-3 Type VB # of Bedrooms: 3 Sprinkled Building: No. Hazmat: No Fire Alarms: No Electrical Specialty Code Edition: Springfield Fire Code Edition: Path 1A Gas-fired furnace Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential SpeciaJty Code Edition: Structural Specialty Code Edition: Energy Path: Site Information Engineered Fill: Fill Volume: Flood Hazard Area: No land Hazard Ar:ATTENTI!: Oregon law requires you to Retaining Wall: foDoW. rul oadopted by the Oregon Utility SOIls Report RWtfflllatio enter. Those rules are set forth In OAR 952-001-001 0 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center Is 1-800-002-2344). 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: 5761 1627 420 2008 I : ";',,"i~'~:'-'" .0- NOTICE: fJ(P1RElfTHEWOR1< : THIS PERMIT SHA~~ THIS PERMIT IS NOT.:. AUTHORIZED UNRD1S ABANDONED FOR '. COMMENCED 0 ...., . ANY 180 DAY PERIOD. . SprIngfield Building Permit 9/28/2010 8:45:14AM Page 1 of 4 ... www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: COM2010-01025 IVR Number: 811000054207 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us PROJECT STATUS: Issued ISSUED: 9128110 APPLIED: 7130110 EXPIRES: 113012011 VALUE: $174,139.00 SITE ADDRESS: 4156 STELLAR WAY Springfield ASSESOR'S PARCEL NO: 1802061419400 SCOPE: SFD WORK INVOLVED: NEW TYPE OF STRUCTURE: RES PROJECT DESCRIPTION: Single family residence. Same as COM2010-007641011 S 41st DEVELOPMENT INFORMATION I Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: 18.00 5.00 9.00 17,00 Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING 2 Yes 34,70 Total: 2 Handicapped: Compact: 12,50 PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: FI CG Yes Sidewalk Type: C7 Downspout/Drains: Valuation Description ~ Description TVDe of Construction Unit Amount Unit Type Unit Cost Value Springfield Building Permit 9/28/2010 8:45:14AM Page 2 of4 .. S~h~;:El,~ ~~ ,/," OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: COM2010-01025 IVR Number: 811000054207 www.d,springfield.OLUS 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us PROJECT STATUS: Issued ISSUED: 9/28/10 APPLIED: 7/30/10 EXPIRES: 1/30/2011 VALUE: $174,139.00 SITE ADDRESS:. 4156 STEllAR WAY Springfield ASSESOR'S PARCEL NO: 1802061419400 SCOPE: SFD WORK INVOLVED: NEW TYPE OF STRUCTURE: RES PROJECT DESCRIPTION: Single family residence - Same as COM2010-007641011 S 41st C---,-_O' - ;w'_- y~:--:."~t:~:~lf;0;;;~:;' ~~;;Li~~~;ij~'~""<'~~-~6~;~-= ~~'i;~$:,eAIP~:~~P ~~- t~~'!~i~-~;~ ."~ ~- ~7.~, .-!~~7fC"~13,}!:~-~:~7!;-;~~~---:1 Description Amount Paid Plan Review Same As $250.00 --" -. Res.i~:ntial Fire (.05 Per Sq Foot) $102.35 Structural Building Permit Fee $147.65 Structural Building Permit Fee $866.35 Admin fee (10% of applicable fees) $10.24 Sidewalk up though 90 Feet $88.00 Address Assignment, each new or change $38.00 Willamalane fees - Sin91e family detached $3,468.00 One or Two Family Dwelling with Two B~~~~~~~ $374.00, Range hood/other kitchen equipment $13.00 FI~e vent for water heater or gas firepl~~__~~-' _..__~._ $9.00 ~___ Single-duct exhaust (bathrooms, toilet compartments, utili $36.00 Heat pump ____~12:~. First Appliance Fee $79.00 Residence wiring 1 ,0~Q.sq. ft. or less ___.~~~4:00 Each added 500 sq. ft. or portion ~75.00 _ Temp services ~OO amys or less $63.00 SDC: Reimbursement Cost - Storm Drainage $230.66 SDC: Improve~ent Cost - Storm Drainage $829.16 SDC: Reimbursement - Transportation SDC $286.81 SDC: Reimbursement Cost - MWMC Regional Wastewatf $101.97 8DC: Improvement Cost - MWMC Regional Wastewater ~ $1.333.57 .?DC: Compliance Cost. MWMC R!.~ional Wastewater 81 $22,63 SDC: Administrative Fee - MWMC Regional Wastewater ~ $10.00 Curb Cut/Driveway 1 st Cut $88,00 Multiple'permit Discount (Max 2) $-30.00 SDC: Total Sewer Administration Fee $189.71 SDC Credit: Reimbursement ~ost - Storm Drainage $-230.66 SDC Credit: Improvement Co~t - Storm Drainage $-829.16 Planning - Major Review $211,00 SDC: Improvement - Transportation SDC $1,169.81 SDC: Reimbursement Cost - Local Wastewater $845.91 SDC: Reimbursement Cost - Local Wastewater $258.89 SDC: Improvement Cost - Local Wastewater $660.74 SDC: Total Transportation Administration Fee $97.80 Technology fee (5% of permit total) $99.90 State of Oregon Surcharge (12~ of applicable fees) $217.68 Total Amount Paid $11,335,01 Springfield Building Permit 9/28/2010 8:45:14AM Date Paid 07/30/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/26/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 Receipt # 23257 23257 23257 374412 374412 374412 374412 374412 -----.-- 374412 374412 374412 374412 374412 374412 374412 .-.-.--.-- 374412 374412 374412 374412 374412 374412 374412 374412 374412 ---_.,--- 374412 374412 374412 374412 . .-- 374412 374412 374412 374412 374412 374412 374412 374412 ..._~---- 374412 Page 3 of 4 ~ www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: COM201 0-01 025 IVR Number: 811000054207 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 ISSUED: 9/28/10 APPLIED: 7/30/10 EXPIRES: 1/30/2011 VALUE: $174,139.00 SITE ADDRESS: 4156 STELLAR WAY Springfield ASSESOR'S PARCEL NO: 1802061419400 SCOPE: SFD WORK INVOLVED: NEW TYPE OF STRUCTURE: RES PROJECT DESCRIPTION: Single family residence - Same as COM2010-007641011 S 41st ~~'" ," m... ,.",. .~t~,~:; ".' ~~"~-7'~'''''f0:F-:~~::",''t~~''''' . ",:. ',.,'i',/~ ,\P, ... - ~,"'r'x." ",,'&;;;:L~--":_'.~,.~,..=.__&;..,.._.~~= ", '>0' -. .A '.. ." Plan Revlew'~ 't,_ ,-, ......."'_~._0._....,-.__-. .'>",'". ''^' 'W"" '," '~~"'~' .,~,. " ."'.,'m""=_ ....' ~J' '1"', \_j:'''''f ,"-,.,T. .. "" '~J.>-" C''''''''',.,',:~ '~._~~ :,- -- -- ~'--' ";<J-ii.~:.: :;'j Deoartment Received Due Date Comolete Result Reviewer Planning Review 08/05/2010 APP Public Works Review 08/06/2010 APP Public Works Review 09/28/2010 08/09/2010 08/09/2010 Approved David Bowlsby Structural Review 08/11/2010 08/09/2010 08/09/2010 Approved Chris Carpenter Application Acceptance 07/30/2010 08/09/2010 Application Accepted David Bowlsby Initial Review 08/01/2010 08/09/2010 08/09/2010 Approved Chris Carpenter Planning Review 09/28/2010 08/09/2010 08/09/2010 Approved David Bowlsby INSPECTIONS REQUIRED ~ Inspections Comments Required street trees as shm Storm water to curb via weep See workflow history 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 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 will remain on the site at all times during construction. [~ c; /zr~ c) I . Date Owner or Contractor Signature Springfield Building Permit 9/28/2010 8:45:14AM Page 4 of 4 Electrical Permit Application , CITY OF SPRINGFIELD, OREGON , 225 Fifth Street. Springfield, OR 97477+ PH(S4I)726-3753 tFAX(541)726-3689 SPRINGFIELD ~f'~' b~~ .." - ,.., \Ii;?'!i'-,,~ bi:~~?:.. ,",........;,.'.... ,,-' ":,' ':., >. .... bE,,!~RTMENT U~E ONLY'. C.IO -CICZS Pennit no.: Date: 7- 'JC -10 This permit is issued under 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. ""';[()CAVGOVERNMENT;A~F'R.OVAI.Jc,<;; S,"",,< Zoning approval verified? DYes D No 'c',:.CATEGORY'!()FCONSTRUCtIONi.;>;' ','. . o Residential 0 Government 0 Commercial 'f..\i;:*11,,";t()B\SITE;INF()RMATlolilt;AN[j!ILQCA"'ION:;:;Ii::i\:~r Job site address: } S- b 5 I City: Reference: "i.'. PROPERTY OWNER . Name: G>.,,,u: W; ec.ke..A Cv<;.+o"" Address; 5D7 :s s Ie. I fJ City: <: u er<-- ZIP: "! 7t 0 ') Phone:SVI -b86 Of 5 ~ Fax: ~v/-'3Yf ~3b -z.. E-mail: VJ;.cc-~e~~kO~5€9c.o....C....>t.IV~t. 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). Business name: Address: City: 50 Phone:~'tl -5tl - 4r 'i 1\ E-mail: CCB license no,: Of> 47S- Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: BCD license no.:'3'E:13- <:.. '-11 7'/-~ /; \) Oe "o".l~>- ~~ ~~ 440-2584-J (9/08/COM) (~t '~'"'::;;;:;,:;-},;~":)~~;'t~:ii;:*;fJi)P:~~"~ FEE:"t S~ H E.O(J l5E ~~;:~~~~ir~'1~r:\f~~~,r;'i~~~\t?f0i'{~.\!1;1} .." ..... ,Number "finspections per.itein,(}, Qty. ,filst, :' ,:rQtal . _"'. ',.;' ,,". ,':. ."",.:."..:.:r;;';,"',1," <,:~,. ""''-.0 :1' ea.:, cost,. Residential, per unit, service included: 1,000 sq, ft. or less (4) Each additional 500 sq, ft, or portion thereof Limited energy (2) Each manufactured home or modular dwelling service or feeder (2) . I $134.00 ~ $ 25.00 $ 32.00 $ 63.00 $~lD $ 'l~ fxJ $ $ Services or feeders: installation, alteration, relocation 200 amps or less (2) $ 81.00 $ 20 J to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158.00 $ 60 I 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: installation, alteration, relocation l.-lI1 200 amps or less (2) I $ 63.00 $ fl:!1i f.W 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 of a 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) Each additional branch circuit $ 55,00 $ $ 6.00 $ Miscellaneous fees: service or feeder ':lot included Each pump or irrigation circle (2) $ $ $ $ 63.00 $ 63.00 Each sign or outline lighting (2) Signal circuit or a limited-energy panel, alteration, or extension (2) . Each additional inspection: (I) .~~t:,If\?~::}l~1~X;~W~!g;:~T&;Qjf~A'Rf!(lcANjf6JJ$~kj,~~~~.; $ 63.00 $58.00 $ ;;,'~':i;n(..';;'>.. ~ 1f)..V $-~ .6./C14 $ /1.1, Jr: r r;J-,1O r.4 ...JT[7O (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) (8) Enter 12% surcharge (.12 x [A]) (C) Technology Fee (5% of [A]) TOTAL fees and surcharges (A through C): 225 Fifth Street Springfield, Oregon 97477 .541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000850 ,.;;,,,, .1 " Date: 07/30/2010 I :35: \I PM Job/Journal Number COM2010-01025 Payments: Type of Payment CreditCard cRcceiotl Description Plan Review Same As Paid By BWCH Amount Due 250.00 $250.00 Item Total: Check Number Authorization Received By Batch Number Number How Received ;:.~t~;~c jl~~;~\: , Page 1 .of 1 Amount Paid djb $250.00 $250.00 03524d In Person Payment Total: dH/H\!)i'-', , ' "-".".... ." ,. .~ ': .i, ,qI.;){:,t' '''''0'''' . ,.' 7/30/2010 S&\,'I'Y\G &...~ Structural Permit ApplicatioD_ 10,1 ~ Ct t> . 7 "I.{ L'IJ S }- DEP~RfMENlfl)s"ifoN4~ n' ...~'" ,., ...,'...'.k..;,.,<.,.....>_ '" ,....._..~._,!'. COwl. Z-OIO ~o IOZS" Pennit no.: Date:7.1C -/0 CITY OF SPRINGFIELD, OREGON , This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. i::" 'i -:;j'l;~(fig\f~QQyj:!BNM:' ~!~APfB9V:.\~$;\)1;*K;c;;;:~~~m This project has final land-use approval. Signature: Date: This project has DEQ approval. Signature: Date: Zoning approval verified: DYes D No Property is within flood plain: DYes D No 1\"<:i;\j~~~;;;Q' .J~~Q~~9flqo.~faDCTIQN:"i~t;" Residential 0 Government 0 Commercial "f1'~i: ",JosRSln;;ji..1fr.'i'R1i"JI-O 'KNN:LOCAflou,';'K:i):;!1'; ,ftriEto,,- ..'.,.."....., .~...;f,~._~.1._;'1I'!'.. ','~_ ""_'.' _..":"..."~"...-..-h,e.... .,,-,1.-.,.,.., '. J OS '" S ~e.-IIv-.V" State: 0 rL ?,,'t Mu"!'u""> Reference: l Z-O I L{ Taxlot: { , I.{ 0'0 f.$.\!i~.'~..'JS,:,l,;, ;:,::f..;,i:\F.:,.\ijf.'}"R, OP,ci:>.;v.RfN,',',e"% ~i~~ll".\,'}.,...... ",'" ,,1, .JT--....,'~t~~!c,.,....".~.. ~,.~". ,., Name:e,{ ,<tv.. L~.,tCo'>kl".\Ia",.~ :t'NC- Address:307'3 St:. ~i<=w ~N City: (' \.I{ enL- StateO f\- ZIP:'17to5' Phone: -bU - 'i 'i ') K Fax: -, fr- ~"3b l- E-mail:W;e(/h.e.~ ho~s c CDI'''~S\. I'\i';:\-' This installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010. 225 Fifth Street. Springfield. OR 97477. PH(541)726-3753. FAX(54 1)726-3689 Sign here: ;\ .~ ~H'\!~ 4,~()~fM:~i '~iNstAtWj91'+Fi';i::4;1;Jf::'~:i..'i:h': Business name: \1,'(V1<: l-J;ed"..,~ C:",b... 1>o,w2~ I'w<- Address: '3 073 <; II 0; C.v LoA City: Co e>-<- SlJite:o<l ZIP:q7~"1 Phone: -6.1' ~ cl'-1 S F Fax:;3'/ - 3 'H z. E-mail: W; e(.. h,>, t ~o ,...... S @ COM u,,5-l ~ v-Jc.J CCB license no.: 101 ') f 7 Print name: W"> \0,.,/ Signature: t: .: - "~rf.;~:~~r:,~. '~~f: -', .. .-- Name CCD License Number Electrica' t-+.C Plumbing 5fr.vr i Meebanieal CF /-I ,";-,.' S'l./ '1146 j, YZ-3"1 I., 72.6.-0}00 .P....Q~..... LA!.. . ~..: Construction type: Square feet: Cost per square foot: Other infonnation: Type or Heat: FA- erl') Energy Patb: I .la11ew D alteration D addition (b) Foundation-only permit? DYes o.ETMo Total valuation: $/7'-1. /1 '. 2. Buildi~gfe~~:::~i",\j!t':,. '. . (a) Permit fee (use vaiuation table): $ (b) Investigative fee (equal to [2a]): $ (c) Reinspection ($ per hour): . $ (number of hours x fee per hour) (d) Enter 12% surcharge (.12 x [2a+2b+2c]): S (e) Subtotal offee. above (2a tbrougb 2d): S liJiPia'tit'.,. - .... "~' (a) Plan review (65% x permit fee [2a]): 2 ~ D (b) Fire and life safety (40% x permit ree [2a]): (c) Subtotal of fee. above (3a and 3b): . 4'l\1I~c~Jilijl'eiJiis:ie~;'L' ..... (a) Seismic fee, J % (.0 I x permit fee [2a]); S TOTAL re.. and ,urcbarge, (20+3c+4a): S ~~ willamalane tlJ Park and Recreation District Job. No. d/o -/d:=2. .r SYSTEM DEVELOPMENT CHARGE WORKSHEET . July1-December31,2010 NAME:JS,tIAl? cJIEC.H€"i<.T ~ToM t-ob~HONE: ~0- 9't-Sg ADDRESS:$6')?St:.YVleAi tITY~CA<f. STATE0lL ZIP:"1'~S- LOCATION OF PROPOSED BUILDING SITE: Stre'etAddress: ~S~ cJ~U~ .A.J"I Plat Name: W~~axLotNumber: \~01()Co\t \~ 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the back.) . . A. Sino Ie-Family Detached NO. OF UNITS l X $3,468 per unit '= . $ "J'1foZ B. SinQle-Family Attached NO. OF UNITS X $3,538 per unit = $ C. Multi-Family Aoartment NO. OF UNITS X $2,906 per unit = $ '. D. Sinole Room Occuoancy NO.OFUNITS X $1 ,453 per unit = $ . E. AccessorVDwelfino Unit NO. OF UNITS X $1,734 per unit =. $ WILLAMALANE SDC $ 2. SDCCREDIT (If applicable) SDC payer must furnish proof of Willamalane Cred~approvaL) $ a' 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Cred~) $ :IV6/" '.~ Development Services Department . City of Springfield ? I // I /V Date 5 SP.RI..N.G..FI E.~ .- ~1/i'Ji m':'''"''' OREGON www.cLspringfield.or.us TRANSACTION RECEIPT COM201 0-01 025 4156 ' STELLAR WAY CITY OF SPRINGFIELD 225 Fifth 5t Springfield,OR 97477 541-726-3753 permitcenter@ci.springfield.or.us '. , ~~;<)';~r::t ."_~ft~ ~}~"+ - !~f'~~lfh_-4;I:!r:L~cj;MOX!N;t~J~>QEs,-.-:i 224-00000-425602 224-00000-426605 201-00000-428060 224-00000-425602 821-00000-215023 224-00000-425603 224-00000-425604 224-00000-425604 224-00000-425604 224-00000-425604 224-00000-425604 224-00000-426102 224-00000-426102 224-00000-426102 441-00000-448029 --- 440-00000-448028 446-00000-448026 444-00000-448024 445-00000-448025 444-00000-426607 611-00000-426604 201-00000-428060 201-00000-428060 719-00000-426604 441-62243-650117 440-62243-650117 100-00000-425002 447-00000-448027 442-00000-448024 442-00000-448024 _.__._~---_. 443-00000-448025 719-00000-426604 100-00000-425605 821-00000-215004 TOTAL DUE: ~ge.xME:J;fttYPE"1' ::pAY6R1t~cAsHI-ER'.DBOI'V"SBY';;3,~IC.OMlIiIg~:i:$(~>:."l'-t~'";: <. I Dt::scR'lpTIClW' ~,: w" Structural Building Permit Fee :,\dmin fee (10% of applicable fees) Sidewalk up though 90 Feet Address Assignment, each new ~r change WlJJamalane fees - Single family detached One or Two Family Dwelling with Two Bath Range hood/othe'-~il.C.hen equipment _ _...__ ._ Flue vent fo~ water heater or ~as fireplace Single-duct exhaust (bathrooms, toile~::ompartments, utility rooms) DATE: 09/28/2010 '....;.. AMOUNT DUE. _'.....,.f J' _......_.~--- _._....~..."'..".,-,....._....~--"~ $866.35 $10.24 $88.00 $38.00 $3,468.00 $374.00 $13.00 $9..00 $36.00 $17.00 $79.00 -~~ $134.00 $75.00 $63.00 $23066 $829.16 . $286.81 $101.97 $1,333.57 $22.63 $10.00 $88.00 $-30.00 $189.71 _._-- $-230.66 $-829.16 $211.00 $1,16981 $845.91 $258.89 $66074 $97.80 $99.90 $217.68 $10,835.01 AM6u'f.!tPAID;':...~>':~ RECEIPT NO: 2010000408 RECORD NO: COM2010-01025 ~j~tAppli~nce Fee . Residence wiring 1,000 sq, :ft. l?f less Each added 500 sq. ft. or portion Temp services 29P amps or less SDC: Reimbursement Cost - Storm Drainage SDC: Improvement Cost ~ Storm Drainage SDC: Reimbursement - Transportation sac SDC: Reimbursement Cost - MWMC Regional Wastewater SDC SDC: Improvement Cost - MWMC Regional Wastewater SDC SDC: Compliance Cost - MWMC Regional Wastewater SDC SDC: Administrative Fee - MWMC Reg!onal Wastewater SDC Curb CuUDriveway 1 st Cut ~~!!iple Permit Discount (Max 2) sac: Total Sewer Administration Fee -'."-,-."".,,-~. sac Credit: Reimbursement Cost - Storm Drainage sac Credit: Improvement Cost - Storm Drainage "planning - Major Review ~pC: Improvement - Transportation "sac sac: Reimbursement Cost - Local Wastewater -.-- ~pC: ~~imbursement Cost - Local Wc:~~~water SDC: Improvement C,?st - local Wastewater SDC: Total Transportation Administration Fee I~hnolo~y_!ee (5% of permit total) ~tate of g~,:,gE.!2~~rch"~~t~J2 2% ~~~r:plicable fe~L Credit Card BRUCE WIECHERT CUSTOM .HOMES INC BRUCE WIECHERT CUSTOM HOMES INC $9,500,00 Check 19968 $1,652.59 $11,152.59