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Home My WebLink AboutPermit Building 2007-1-3 .CITY OF ~rK11~t.t<l.r:LD Building/Combination Permit PERMIT NO: COM2006-01499 ISSUED: 01/03/2007 APPLIED: 11/22/2006 EXPIRES: 07/03/2007 VALUE: $ 202,855.00 . I I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1196 Delrose Dr ASSESSOR'S PARCEL NO.: 1703234409600 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence - Orchard View lot 14 18.00 Overlay Dist: 10.00 # Street Trees Rqd: 2 15.00 An Paved Drive Rqd: Yes 75.00 fOil t:/IJ 'o/o,of, Lot Coverage: 21.20 000 OIVrUle--'<-Yu" lav./t! . '~otifi"","__ ~ adOPted h" fh_ ;jUlreli You tn ~n OAI'PUB.iIG;"'1MP.ROVEMFJ~:r-S:i~~n Utility e90. ruum - ''''uugno setfort~ F II"'" ", d ay obtain CO' AR g'Sidewalk Type: u Y-lmPT~':~.<3 Ce Pies of t v-:--UU7 numberYo1'the '6er. (Note: the te~e rtDow~poutslDrains: Center is 1~~~~~3U32ti1ity Noti~~70en- '. -2344). Owner: PAUL ROTH Address: PO BOX 70468 EUGENE OR 97401 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor BRUCE WIECHERT CUSTOM HOMES INC L & E ELECTRIC INC COMFORT FLOW STEVEN R JOHNSON License 101717 105475 460 65065 , BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: R-3N 0 TI C E . Height of Structure 22.00 UfHIS PER' ))y~~f Heat: Forced Air Gas VB UT flwate.rll.ype:X Gas Ii HORIZLRan~eifryp.l PIRE IF THE WHrfI GOMMENCliJ'rrp,~{i!~HIS PERMIT Is.~{h j( ANY 180 DASpnnkledlBnUdin2'NEn .MOT }' PeD',...,... . "'U\:J 1=no .~,. - , DEVELOPMENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Storm H20 to curb & gutter.JLP Pa2e I of5 Residential Phone Number: 541- Expiration Date 09116/2008 03/30/2008 06/27/2007 03/12/2008 Phone 541-686-9458 541-933-2653 541-726-0100 541-342-3765 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 1,817 604 REQUIRED PARKING 1rotal: 2 Handicapped: Compact: Curbside 5' Curb and Gutter . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01499 ISSUED: 01/03/2007 APPLIED: 11/22/2006 EXPIRES: 07/03/2007 VALUE: $ 202,855.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion I A.C. - Residen DwellinfS Gara2e AC - Residential V Wood Frame Gara2e $ Per Sq Ft or multiplier $4.00 $99.00 $26.00 Square Footage or Bid Amount 1,817.00 1,817.00 604.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $7,268.00 $179,883.00 $15,704.00 $202,855,00 01/03/2007 11/22/2006 11/22/2006 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $570,47 11/22/06 1200600000000001679 -Mechanical Issuance Fee- $10.00 1/3/07 1200700000000000009 + 100/0 Administrative Fee $155.95 1/3/07 1200700000000000009 + 5% Technology Fee $88.32 1/3/07 1200700000000000009 + 8% State Surcharge $115.07 1/3/07 1200700000000000009 2 Baths One or Two Family $254.00 1/3/07 1200700000000000009 Appliance Vent $6.00 1/3/07 1200700000000000009 Boiler/Comp Up To 100,000 btu $12.00 1/3/07 1200700000000000009 Building Permit $900.40 1/3/07 1200700000000000009 Curbcut Permit $80.00 1/3/07 1200700000000000009 Dryer Vent $6.00 1/3/07 1200700000000000009 Exhaust Hoods $9.00 1/3/07 1200700000000000009 Fire SF Fee - Residential $121.05 1/3/07 1200700000000000009 Furnace - up to 100,000 btu $12.00 1/3/07 1200700000000000009 Gas Fireplace $15.00 1/3/07 1200700000000000009 Gas Outlets 1-4 $4,00 1/3/07 1200700000000000009 Plan Review Major - Planning $198.00 1/3/07 1200700000000000009 Plan Review Residential $14.79 1/3/07 1200700000000000009 Plan ReviewlResidential Hourly $112.50 1/3/07 1200700000000000009 PW Disc - 2nd Permit $-30.00 1/3/07 1200700000000000009 Residence Wiring 1000 Sq Ft $106.00 1/3/07 1200700000000000009 Residence Wiring Ea Addtl 500 $38.00 1/3/07 1200700000000000009 Sanitary Sewer - Improvement $554.14 1/3/07 1200700000000000009 Sanitary Sewer - Reimbursement $728.74 1/3/07 1200700000000000009 SDC MWMC Administration $10.00 1/3/07 1200700000000000009 SDC MWMC Improvement $961.52 1/3/07 1200700000000000009 SDC MWMC Reimbursement $91.61 1/3/07 1200700000000000009 SDC Sanitary/Storm Admin $155.73 1/3/07 1200700000000000009 SDC Transpo Admin $67.34 1/3/07 1200700000000000009 SDC Transpo Improvement $836.32 1/3/07 1200700000000000009 SDC Transpo Reimbursement $189.58 1/3/07 1200700000000000009 Sidewalk Permit $80.00 1/3/07 1200700000000000009 Storm Drainage Impervious Area $1,089.41 1/3/07 1200700000000000009 Storm Sewer Each Addtl 100' $14.00 1/3/07 1200700000000000009 Pa2e 2 of5 .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01499 ISSUED: 01103/2007 APPLIED: 11122/2006 EXPIRES: 07/03/2007 VALUE: $ 202,855.00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Temp Power 200 amps or less Vent Fan Willamalane Single Family $50.00 $12.00 $1,000.00 1/3/07 1/3/07 1/3/07 Total Amount Paid $8,638,94 Initial Review Plannin2 Review 11/28/2006 11/28/2006 , Plan Reviews I APP APP NJM TAJ 01/02/2007 Public Works Review Structural Review 11/28/2006 11/28/2006 JLP DLM 12/21/2006 12/22/2006 APP WE Structural Review 01/02/2007 DLM 01103/2007 APP 1200700000000000009 1200700000000000009 1200700000000000009 Orchard View Subdivision has an a FEMA approved LOMA. However, Lot 14 is one of the lots that is only partially outside the 100 year floodplain. Therefore as a condition of occupancy, the contractor will need to provide a FEMA elevation certificate completed by a certified engineer, surveyor or architect. Storm H20 to curb & gutter.JLP Called contr; left msg. need add'l. info. Lateral engineering is incomplete and expired, Need truss layout and dwgs. w/ reactions. 12/22/06 dim Rectified Lat. Engr'g, Received Truss dwgs. designed to wrong criteria. Requested revised truss dwgs from manufacturer. 12/22/06 dim Received appopriate truss dwgs. from Moshofsky. Did not include th, layout drawing. dim Received revised layout dwg. for trusses 1/2/07 dim Truss designs have revised end reactions; resolved this w/ contractor. 1/3/07 dim 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 he made the following work day. l...U.su.uJrprllnsnections I 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. Curbcut - Standard: After forms 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. Pa2e 3 of5 . .CITY OF SPRINtJ'I<lJ<.LD Building/Combination Permit Status Issued PERMIT NO: COM2006-01499 ISSUED: 01/03/2007 APPLIED: 11/22/2006 EXPIRES: 07/03/2007 VALUE: $ 202,855.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. 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. Drywall: Prior to taping. Underfloor Plumbing: Prior to insulation or decking. Uoderfloor 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. Underlloor Mechanical. Prior to insulation or decking and including required testing. Underlloor 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 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. Pa2e 4 of 5 . .CITY OF ~nHNGFIELD Building/Combination Permit PERMIT NO: COM2006-01499 ISSUED: 01/03/2007 APPLIED: 11/22/2006 EXPIRES: 07/03/2007 VALUE: $ 202,855.00 Status Issued 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 will be made ofany 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 inspe tions are requested at the proper time, that each address is readable from the street, that the permit card is ocated at the f nt of the property, and the approved set of plans will remain on the site at all timeSduringr~ion. ;; /J~7- I../l ~ t Owner or Contractofs Signature Date Paee 5 of5 I. STORM DRAINAG~ DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. CHARGE I I 3246.00 I $0.336 I = I $1.089.41 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 I I I 0.00 I $0.336 I 50% = I ITEM 1 TOTAL - STORM DRAINAGE SDC '$1.089.41 ~ 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I 28 B. IMPROVEMENT COST: I NUMBER OF DFU's I x I 28 $19,79 ITEM 2 TOTAL - CITV SANITARY SEWER SDC JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS CITY OF S_NGFIELD SYSTEMS DEVELOPMEN&RKSHEET - COM2006-0I499 Paul Roth I 196 DeIrose 170323449600 SINGLE FAMILY RESIDENCE I BUILDING SIZE (SF' 2604 !I~ 10 10 I~ Iu:! E- rn 6 ~ LOT SIZE (SF): 12234 DISCOUNT $0,00 $1,089.41 I 1070 II 11091 I COST PER DFU $26.03 $728.74 $554.14 11092 = , $1,282.88 ;J TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI 9.57 I I $19.81 I 1.00 I B. IMPROVEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI I 9.57 I I $87.39 I 1.00 I ITEM 3 TOTAL - TRANSPORT A nON SDC = , $1,025.90 $189.58 " 1093 $836.32 1094 4. SANITARY SEWER - MWMC B. IMPROVEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I I' I $961.52 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ I 5 ADMINISTRATIVE FEE: I SUBTOTAL x I ADM. FEE RATE 1= I $4,461.32 5% I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: A. REIMBURSEMENT COST: INUMBER OF FEU's I x I I ICOST PER FEU I $91.61 $91.61 1054 = $1,063.13 = $961.52 1055 $0.00 1054 510,00 I 1056 ~ I II 155.73 11079 $67.34 11078 =1 $4,684.39 - .- $4,461.32 CHARGE $223.07 Jeff Prociw TOTAL SDC CHARGES PREPARED BY ]2/21/2006 DATE . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT - DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY TIffi NET ADDmONAL FIXTIJRES) NO, OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EOUIV ALENT UNITS IBATIHUB 2 0 3 = 6 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH I ETC. 0 0 6 = 0 LAUNDRY TUB 1 0 2 = 2 CL011IESW ASHER I MOP SINK 1 0 3 = 3 CL011IESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRIG / WATER ST AnON / ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER I ETC. 1 0 3 = 3 SHOWER. SINGLE STALL 1 0 2 = 2 ISHOWER. GANG (l'!UMBER OF HEADSl 0 0 2 = 0 I SINK: COMMERClAlJRESIDENTIAL KITCHEN 1 0 3 = 3 I SINK: COMMERCIAL BAR 0 0 2 = 0 I SINK: WASH BASINIDOUBLE LAVATORY 1 0 2 = 2 ISINK: SINGLE LAVATORYIRESIDENTIAL BAR 1 0 1 = 1 IURINAL. STALL / WALL 0 0 5 = 0 ITOILET. PUBLIC INSTALLATION 0 0 6 = 0 LTOILET. PRIVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDD'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 28 .,:EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFlJs) set at 167 gallons per ~y ____._.._u MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE ~- YEAR L ANNEXED I BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999' 2000 2001 CREDIT RATE/$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 I for Yes, 2 for No) IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR 2 2 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE I 1000 CREDIT RATE so.OO x S5.29 - I .SO.OO CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE I 1000 CREDIT RATE $0.00 x $5,29 o TOTAL MWMC CREDIT SO.OO = ~ . 8~!Jit5 . '225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689 L...... _ ELECTRICAL PERMIT APPLICATION / -..: City Job Number (OIN'\t:oOb - OI4~' Date ~ YO'? I. LLOCAVONOFINSTA:LfiA.VON I 3. I COMPLETEFEi!1f!,'@EDULEBELOW 119& b~/,rD j/':--_.- I I U o CITY OF ~.~(UNGFIELD, OREGON LEGAL DESCRIPTION /7032')4'" JOB DESCRIPTION tit,,\) s t:fL i .----' I Z I lOb -sg A. I New Residential- SingI~'orMlilticFamilyper dwellinguniL 09600 I 'Ie-oM P ?OVtW\. Permits are non-tnmsferable and expire If work Is not started wIthin 180 days of issuance or If work Is Suspended for 180 days. 2. I c6NiFR'ACT(5iPiiVST~il.T:4.~ I . Electrical Contractor l of I: i:::. \~c-4-1\ <- Address ''1riB33 _ \"f\t>S Aae.> Rei, City .c:,...S: \ d Phone Q3.i - J:598 I Supervisor License Number 4 \ '1 '-\ - S Expiration Date i 0 - I - 0 .., Constr, Contr. Number \ 0 '5 L\ l 5 Expiration Date 3/3/ / () '1 , , Signatun: of Supervising Electrician Service Included 1000 sq. ft. or less Each additiona1500 sq, ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106,00 $19,00 $50,00 B. r:S~:~~t~F~~~~~,:I'~.~~6~W:~Ali~~1i~i~liR~I1i~ation: 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AinpsIVolts Reconnect Only $ 63.00 $ 75,00 $125.00 $163,00 $375,00 $ 50,00 c. I Tempo'j-,lry'Services or Feeders Idj'iICE: 1 ~I<; PERrv~,qst.!l~~!!.ftUteiiiiolforl~IlA!M~ i\L'THORIZ~~lM!P[!i!'litisS PERMIT IS NOT ( $50,00 ~:-' PIENct-Q\ ~.)toA'19I\~EO FOR $69,00 V~., I. 401 f!.!nml 600Amps $100.00 t\I':Y 1 SO DAY t'tl\llW, Over 600 Amps or 1000 Volts see "B" above, D. I Branch CircuIts New A1teradon or ExtensIon Per Panel One Circuit ~-C> f~ ~GI~~ rt lEach Additional Circuit or with j uU 'v ~\ ,...., nI::l . ,Service or Feeder'Pemuit-"~~ . .". $ 3.00 Owners Name --r'iW- ~ ~ A' I '" ?rjO\')IArJ bv t\le Oregon LJ",,,,.. _ Address ~D ~ co}c 701.( b b ,,':::t~II?lcWa~~:f~~wj~tl1lS~WlMrWdt~~t'Pn\:'IUded) -Each Installation " I 95?-001-001 U ufrnUgtr0AR:gb;::-OVl:-- - .. -.. . City ~6-l.~lf" Phone ,'lOAR "'.mn oriJriaAtioo)pies of the rules b~ $ 50,00 90 YOlbma-v 0",0",,- JV '. -ri!WEWf\l'!.'\Hg!l~i.Ig: the telephontl $ 50,00 OWNER INST ALLA nON calling I..imitM.E!WllY?-Uiei\681 Notlflcauon $ 25.00 , ." . numben~,rm:: :!";-""."1 "'''44). The mstallat.on IS bemg made on r'.r":' I own whIch el91lt~ En6rliY71!...,_....lal $ 45,00 is not intended for sale, lease or rent. Mlnlmnm EleetrIc PermIt In..,, ,..:.. D Fee Is 545.00 + Snrcharges Ownelll Signatun:: 4. \ SUBT@T)j:J.;'OFABOVE I "'I / s 5'L ,,~O , 7" - Inspeedon Request: 726-3769 8% State Surcharge 10"10 Administrative Fee S "" n... ,r" TOTAL $ 43.00 ~ ~t~e Shared Drive[f:VBuilding F . t1t~~;~ ~~... ~ C~f Springfield Official Receipt "opment Services Department Public Works Department 225 Fifth Street Springfield,. (,)regon 97477 541-726-j759 Phone Job/Journal Number COM2006-0 1499 COM2006-0 1499 COM2006-0 1499 COM2006-0 1499 COM2006-01499 COM2006-01499 COM2006-0 1499 COM2006-01499 COM2006-0 1499 COM2006-0 1499 COM2006-01499 COM2006-01499 COM2006-01499 COM2006-01499 COM2006-01499 COM2006-01499 COM2006-0 1499 COM2006-01499 COM2006-0 1499 COM2006-01499 COM2006-01499 COM2006-01499 COM2006-0 1499 COM2006-01499 COM2006-01499 COM2006-01499 COM2006-01499 COM2006-01499 COM2006-01499 COM2006-01499 COM2006-01499 COM2006-01499 COM2006-01499 COM2006-01499 COM2006-01499 COM2006-01499 Payments: Type of Payment CreditCard cRcceiotl RECEIPT #: 1200700000000000009 2:47:04PM Date: 01/03/2007 Description Fire SF Fee - Residential Curbcut Permit Sidewalk Permit PW Disc - 2nd Permit Storm Drainage 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 2 Baths One or Two Family Storm Sewer Each Addtl 100' Furnace - up to 100,000 btu Vent Fan Appliance Vent Exhaust Hoods Dryer Vent Gas Outlets 1-4 Gas Fireplace -Mechanical Issuance Fee- Temp Power 200 amps or less Plan Review Major - Planning Plan Review Residential . Plan ReviewlResidential Hourly Building Permit Boiler/Comp Up To 100,000 btu Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Willamalane Single Family Amount Due 121.05 80.00 80.00 (30,00) 1,089.41 728,74 554.14 189.58 836.32 91.61 961.52 10.00 155.73 67.34 254,00 14,00 12.00 12.00 6.00 9.00 6.00 4.00 15.00 10.00 50.00 198.00 14.79 112.50 900.40 12,00 106,00 38,00 88.32 115.07 155.95 1,000.00 $8,U68,47 Item Total: l:heck Number Authorization Paid By Received By Batch Number Number How Received BRUCE WIECHERT CUSTOM djb 04551 B In Person HOMES Amount Paid $8,068.47 Payment Total: $8,U68,47 Page I of I 1/3/2007