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Home My WebLink AboutPermit Building 2006-11-16 .'::ITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-01023 ISSUED: 11/16/2006 APPLIED: 08/09/2006 EXPIRES: 05/16/2007 VALUE: $ 316,902.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6242 FOREST RIDGE DR ASSESSOR'S PARCEL NO,: 1702343408400 Springfield TYPE OF WORK: Single Family Residence Residential TYPE OF USE: New Hillside Total: 2 Jlandicapped: Yes ~~~~mpact: 19,~\:. ~~'\ X- \~ ~ \~ :"'f?\~ A'~\ ~Q. I PUBLIC IMPR~~Ij:ME~.\. \.- ~\\\<o ~~\\\:.\) ~ . ~\) \ \..~~\ '0~\..~ ~~~lk Type: Fully Improved ;-...<0 ~ 1\"\) ~ \<0 . Storm Sewer Available: Yes ,'0 :\\\\J~\ ~\..\) \J ~\qfdwnspouts/Drains: Special Instruction: ~\J ....~\..~ ~ \It: ~\J\'i\ ~~ \) Notes: Storm & Sewer to 10' PUE '!' Infrastructure within,~~" \, PROJECT DESCRIPTION: Single family residence - Mt Gate lot 74 Owner: Address: LEWIS LARRABEE 2220 MCLEAN BLVD EUGENE OR 97405 I CONTRACTOR INFORMATION I, Contractor . .0v \.~ . License BRANDON SCOTT DEY~RS .~"\ 0~\{\~~. 150457 BIG C ELECTRIS,,,f;;lJC~'(e~~',, se\ \0 r;\ 156428 PACIFIC AIl!gOMIt~RT JN€;/ 9)'6?;CJ ~ '0\ 39237 CRAIGA'RN'EYAP.rjDMBJ.~6Jb'tC (\)W 167015 ...., -- )f(.;....,. r"::.\C" ,..... CJ .._i...-J'. ~ ~e A~~'\\~ '().co~~'( ."\~~~BUIbDlNG;IINEORMinON I ~\ \ ~ '(\)\: Ge'CX fJO\. cu"(. \',\"" ~O""'\" # of Units: \0\\0 '}).\\o'(\ o\)l\,i o'O\0-\'(\I~c#00f;S'tlh;ies:?)' 2 Primary Occupa'ncy Gli.oii'p~YJ a.. ~~?: .rR~\ <,\\'0'('" o'H'erg'tit-~i'Structure ' , \~~ ~'P ,\' 0" eCIJ '!-l:r Secondary Occupancy <{~6Up.: -.{ 0'1) \'{\l!Jv, 0 0'( ~tJ:ype of Heat: Forced Air Gas Primary Construction T~lRS<2>~' ~\\'(\~ X~i\~ ~\~ \, Water Type: Gas Secondary Construction Type:~ ~'O0'{ (.0(\\'0 Range Type: Gas # of Bedrooms: '(\~" 3, Energy Path: Path 1 Sprinkled Building: n/a Contractor Type General Electrical Mechanical Plumbing I, DEVELOPMENT INFORMA nON I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 20,00 12,20 10,60 103.00 . 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Subdivision Not Accepted Street Improvements: Pa2e 1 of5 Phone Number: 541-515-0427 Expiration Date 02/19/2008 , , 07/2512007 03/25/2010 10/25/2007 Phone 541-607 -6970 541-744-8946 541-672-9510 541- 736-9582 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 17,026 1,743 1,155 708 REQUIRED PARKING 2 Curbside 5' To Storm Sewer Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction AC - Residential V Wood Frame Gara2e A,C. - Residen Dwellin2s Gara2e Fee Description Plan Review Residential + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge 3 Baths One & Two Family Addressing Assignment Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential 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 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 Sidewalk Permit .=ITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-01023 ISSUED: 11/16/2006 APPLIED: 08/09/2006 EXPIRES: 05/1612007 VALUE: $ 316,902.00 I Valuation Description I $ Per Sq Ft or multiplier $4,00 $99.00 $26,00 Square Footage or Bid Amount 2,898,00 2,898,00 708,00 Value Date Calculated $11,592,00 $286,902,00 $18,408,00 $316,902,00 08/09/2006 08/09/2006 08/09/2006 Total Value of Project ~ Amount Paid $826,09 $22.00 $11.00 $17,60 $106.00 $114,00 $10,00 $188,92 $91.95 $136,71 $306,00 $31.00 $1,270,90 $80,00 $6,00 $9,00 $180,30 $12,00 $15.00 $4.00 $12.00 $1,126,25 $198.00 $-30,00 $771.83 $1,015,03 $10,00 $961.52 $91.61 $184.97 $65.14 $836.32 $189,58 $80,00 Date Paid Receipt Number 1200600000000001232 1200600000000001584 1200600000000001584 1200600000000001584 1200600000000001584 1200600000000001584 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 2200600000000001596 8/9/06 10/31/06 10/31/06 10/31/06 10/31/06 10/31/06 11/16/06 11/16/06 11/16/06 11/16/06 11/16/06 11/16/06 11/16/06 11/16/06 11/16/06 11/16/06 11/16/06 11/16/06 11/16/06 11/16/06 11/16/06 11/16/06 11/16/06 11/16/06 11/16/06 11/16/06 11/16/06 11/16/06 11/16/06 11/16/06 11/16/06 11/16/06 11/16/06 11/16/06 Pa2e 2 of 5 ~ITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2006-01023 ISSUED: 11/16/2006 APPLIED: 08/09/2006 EXPIRES: 05/1612007 VALUE: $ 316,902.00 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 WilIamalane Single Family $50.00 $24,00 $1,000,00 11/16/06 11/16/06 11/16/06 Total Amount Paid $10,024.72 I Plan Reviews I Initial Review Planninl!: Review 08/11/2006 10/06/2006 08/11/2006 10/06/2006 APP APP SKG TAJ Planninl!: Review 08/11/2006 08/23/2006 WE TAJ Public Works Review 08/11/2006 08/29/2006 APP JLP Structural Review 08/11/2006 09/14/2006 APP RJB 2200600000000001596 2200600000000001596 2200600000000001596 Place orange construction fencing as shown on the plot plan, Keep all construction activity out of this area. No tree removal allowed within this area, Place orange construction fencing to the dripline of the 18" fir near the deck and follow the tree preservation guidelines attached to the building permit. Choose native street trees from the Hillside list in the street tree handout. On hold for tree info, Spoke to Branden Devers 8/23/06, Storm & Sewer to 10' PUE & Infrastructure within, Have first engineering report, will have second report after cut on lot has been inspected by Pam H, from Hill & Dale Engi, 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. l.Reouire<Unsn~ctions . 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, 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, Pal!:e 3 of 5 Status Issued :ITY OF SPRINGFIELD I Building/Combination Permit PERMIT NO: COM2006-01023 ISSUED: 11/16/2006 APPLIED: 08/09/2006 EXPIRES: 05/16/2007 VALUE: $ 316,902.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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, 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, 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, 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. Pa2e 4 of5 Status Issued =ITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2006-01023 ISSUED: 11/16/2006 APPLIED: 08/0912006 EXPIRES: 05/16/2007 VALUE: $ 316,902.00 225 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 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 t;;;;~::u~o~~ f JUo (/ / C9 eOO ~ c.. __ Owner or Contractors Signature Date Paee 5 of 5 CITY OF SP~GFIELD SYSTEMS DEVELOPMEN1"']''t:>RKSHEET JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS 1. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x COST PER S.F. CHARGE / 3355.75 $0.336 I = I $1,126.25 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F. I x I COST PER S.F. x DISCOUNT RATE 0.00 . , - I - $0.336 50% C0M2006-0 1 023 Lewis Larrabee 6242 Forest Ridge Dr. _ Mt Gate Lot# 74 1702343408400 SINGLEF AMIL Y RESIDENCE 1 BUILDING SIZE (SF 2567.75 LOT SIZE (SF): DISCOUNT $0.00 1 $1,126.25 '1--'-- ITEM 1 TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's x / 39 B. IMPROVEMENT COST: NUMBER OF DFU's x 39 COST PER DFU I $26.03 '1 ITEM 2 TOTAL - CITY SANITARY SEWER SDC $19.79 =1 $1,786.87 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE I x I 9.57 I B. IMPROVEMENT COST: I ADT TRIP RATE I 9.57 I NUMBER OF UNITS I x I 1 I x I NUMBER OF UNITS x I I 1 I = , ITEM 3 TOTAL - TRANSPORTATION SDC ..--~----..-~~. ~~ _."... _.... _.u_.. COST PER TRIP $19.81 x I NEW TRIP FACTOR I . 1.00 17026 $1,126.25 $1,015.03 I $771.83 VJ ~ Q O. U p:; ~ E-< VJ ...... -. o ~ 1070 1091 1092 I. 1093 1094 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's x I I B. IMPROVEMENT COST: INUMBER OF FEU's x I 1 ICOST PER FEU I $91.61 ICOST PER FEU I $961.52 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , 5. ADMINISTRATIVE FEE: I SUBTOTAL x . ADM.FEERATE 1= I $5,002.15 5% I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Jeff Prociw 8/18/2006 PREPARED BY DATE COST PER TRIP $87.39 $1,025.90 x I NEW TRIP FACTOR I I 1.00 I $1,063.13 I I $5,002.15 CHARGE $250.1 I _._ ___~~~_c__ " -....---. - TOTAL SDC CHARGES $189.58 $836.32 = I $91.61 = $961.52 $0.00 $10.00 184.97 $65.14 =, $5,252.26 1054 1055 I 1054 1056 11079 ! 1078 DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS IBATHTUB 2 0 3 = 6 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 LAUNDRY TUB 1 0 2 = 2 I CLOTHES WASHER / MOP SINK 1 0 3 = 3 ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 IRECEPTORFORREFRIG/WATER STATION /ETC. 0 0 1 = 0 IRECEPTOR FOR COM. SINK / DISHWASHER / ETC. 1 0 3 = 3 ISHOWER, SINGLE STALL 2 0 2 = 4 I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 I SINK: COMMERCIAL BAR 0 0 2 = 0 I SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2 ISINK: SINGLE LA V ATORYIRESIDENTIAL BAR 4 0 1 = 4 URINAL, STALL/WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 4 0 3 = 12 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 39 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$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 $125 $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 = $0.00 TOTAL MWMC CREDIT Date ZON L De.. INITIALS N l'4\. . ~ DATE U- He - UY7 "WJ' SOURCE~ I~ //-/&~;{ (JV~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number JjnjJ1 WaG -{)I 023 1. (;/2'-1& Fo~r /2-1+/ At. LEGAL DESCRIPTION: )10.2. 1 tf 1lf{)r{bt.ftJO JOB DESCRIPTION: \('em I e-f"ti..o/ rtJ;, ~ . f / Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. // / City Expiration Date Con'tr~umb" \ EX/on Date \ ralure of Sup"vi,ing Electri~n Owners Name J-6~Jl Ltf7,(_~t7.....e...-- ItA / JeLl VI rr./l/u(, Phone .Yf 1- ((("' -o1f2-f- Address ~?--,7jJ City f.J5~N'./ OWNER INST ALLA TION The installation is being made on property I own which ::::;:'2ren'/) ~ {/ - '" ~----- Inspection Request: 726-3769 3. 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 $106.00 $ 19.00 $50.00 B. 200 Amps or less .,.",r:. \'~)\$'63.00 201 Amps to 400 Amps, __' (,,'oM r2;:~:~::(';, '.;$WsiQo 10.l-V\E1ps to 600 Amp~~.: -;:--,\} -{"I;:-. ~j..;.:~.:~~ :-':~$iQ5:.qO ,"-"'l.l . ,1,.'''' ".' . ;".", "'H~o~~ ~- /:' ""'..~ ~ 68\\{f;\IJ1Ps.t'~1900 Amps:\ ;~", . ..".. (~.'"\ '~;$163.QO ~ _..,..' . 'r('\ \("': '. -,.- . ,'.",,; "J . PXer::lO.oO'1A:TI1ps!Volts. .;'.... .;~.. (.,~ ;;"~; :$3''75.00 \~R'!'.'. ~-"O"-'l \ ~.-r;l';;'" .__.$....~.p. econnect: n y ,~...."n ...-. ." ;.(.;..v~-" -50.00 h~~ ~:,~~\: y~~tJ- 7:~::-':. I 'l : 'd r"~,::.. ^,~' .~~'t"'.':'~'~ :~9:~~:nn C. lr'\\m\;S~-'~_, . . .. ,"0 ,.. Installation,~^lteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps $ 50.00 $ 69.00 $100.00 .s:-o,eo Over 600 Amps or 1000 Volts see "B" above. D. ll\ \ \ \.." '" ~ t.\ NewB\~eM!~w.ql: Eite,ns..i~n P~t,~~~.e~Mn \v \' OnJ CIrc,ll~ Q \1 EO UN \..h:.\\ '\ ~ ,. ; '"' 0 N ~ 0 ,Gioo Eacft..\Almti'dr\.~r,..C;:iI)~Wi"\&ithb r\ \l \.i Serv~tAtL\fe\lMr'Pennit '0'0' $ 3.00 UIJ ?\::.B.\ I . E. Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. {DiDO .ILl .00 CPo ?~C-O 1(;.,/, SD 8% State Surcharge 10% Administrative Fee 5% Technology Fee TQTAL Shared Drive(T:)/Building FonnslElectrical Pennit Application 8-06.doc 225 Fifth'street . ' ~pringfield, Oregon 97477 541-726-3759 Phone C~~f Springfield Official Receipt n~~"'~opment Services Department Public Works Department Job/Journal Number COM2006-0 1 023 COM2006-0 I 023 COM2006-0 I 023 COM2006-01023 COM2006-0 I 023 CO M2006-0 I 023 COM2006-0 I 023 COM2006-01023 COM2006-0 1023 COM2006-0 1 023 COM2006-0 1 023 COM2006-01023 COM2006-0 I 023 COM2006-01023 COM2006-0 I 023 COM2006-0 I 023 COM2006-0 1 023 COM2006-0 I 023 CO M2006-0 I 023 COM2006-01023 COM2006-0 I 023 COM2006-0 1023 COM2006-0 I 023 COM2006-01023 COM2006-0 I 023 COM2006-01023 COM2006-0 I 023 COM2006-0 I 023 COM2006-01023 COM2006-0 1 023 COM2006-0 I 023 Payments: Type of Payment CreditCard Check cReceintl RECEIPT #: 2200600000000001596 Date: 11/1612006 Description Addressing Assignment WilIamalane Single Family Temp Power 200 amps or less Fire SF Fee - Residential Sidewalk Permit Curbcut Permit PW Disc - 2nd Permit 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 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~ + 8% State Surcharge + 10% Administrative Fee + 5% Technology Fee Plan Review Major - Planning Item Total: Paid By LEWIS LARRABEE LEWIS LARRABEE Check Number Authorization Received By Batch Number Number How Received djb 047153 In Person djb 296202 In Person Payment Total: Page 1 of2 2:29:25PM Amount Due 31.00 1,000.00 50.00 180.30 80.00 80.00 (30.00) 1,126.25 1,015.03 771.83 189,58 836.32 91.61 961.52 10.00 184.97 65.14 1,270.90 306.00 12.00 24.00 9.00 6.00 4.00 15.00 12.00 10.00 136.71 188.92 91.95 198.00 $8,928.03 Amount Paid $8,000.00 $928.03 $8,928.03 11116/2006