HomeMy WebLinkAboutPermit Building 2006-3-30
CITY OF SPRING111ELD .
Building/Combination Permit
PERMIT NO: COM2006-00198
ISSUED: 03/30/2006
APPLIED: 02/16/2006
EXPIRES: 09/3012006
VALUE: $ 365,724.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6028 Fernhill Lp
ASSESSOR'S PARCEL NO.: 1702343407000
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence- Mt Gate subd lot 62
Owner: RUHOFF HOME BUILDERS INC
Address: 3993 MIRROR POND WAY
EUGENE OR 97408
Residential
Phone Number: 541-334-6550
Phone Number: 541-334-6570
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
RUHOFF HOMEBUILDERS INC
BURGHARDT & ZHUN INC
JUNG ENTERPRISES INC
JAMMAL INC
License;" r ~~!piration Date
, 130797'1," yo, 07/13/2008
.II"V
" '-160508 ;c'.', 'C -:JJ 07/0112006
. ~'. :,~1 C; Ja0245~ .:: / "; wl0/04/2006
,-, IJ.- ( " .,,-, , ,- .
, " ";--,,' c:158~62Ic;::n:.i!Cli\' 01/12/2008
10. BUILDINGJNFQRMAIION .~:I :-u, ~~\~I iG,[
~ ",,-,1-,1\:-' I'u
- ,-,---_ v
# of Stories: 2 Lot Size:
Height of Structure 30.00 Sq Ft 1st Floor:
Type of Heat: Forced Air Gas Sq Ft 2nd Floor:
Water Type: Gas Sq Ft Basement:
Range Type: Gas Sq Ft Garage/Carport
Energy Path: Path 1 Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U
VN
3
I DEVELOPMENT INFORMATION I
Phone
541-334-6550
541-434-6491
541-937-2688
541-484-7440 -
13,068
2,266
1,080
811
18.00
15.00
8.00
28.00
55.00
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: Hillside
# Street Trees RqdOOlH3d AVO 09 ~ 3\NV
fd&d~'itt'Wld8V SI HO 03:JN3~08
JO~~btUj~~1::830Nn 03zfg~M.nv
)180M 3Hl ~I 3tlldX3 llVHS J-'INH3d SIHJ
:3:HJOM
Subdivision Not Accepted
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS I
Fully 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 rear of lot 2/17/2006 CAS
Pal!e 1 of 5
CITY OF SPRINGFIELD- .
Building/Combination Permitq
PERMIT NO: COM2006-00198
ISSUED: 03/30/2006
APPLIED: 02/16/2006
EXPIRES: 09/30/2006
VALUE: $ 365,724.00
Status Issued
, 225 Fifth Street, Springfield, OR
. 541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
, Description
$ Per Sq Ft
or multiplier
$4.00
$99.00
$26.00
$13,384.00
$331,254.00
$21,086.00
$365,724.00
03/28/2006
02/16/2006
."
02/16/2006
Square Footage
or Bid Amount
3,346.00
3,346.00
811.00
Type of Construction
AC - Residential
V Wood Frame
Garae:e
Value
Date Calculated
A.C. - Residen
Dwelline::s
Garae:e
Total Value of Project
.
~;
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $902.14 2/16/06 1200600000000000169
-Mechanical Issuance Fee- $10.00 3/30/06 1200600000000000378
+ 10% Administrative Fee $214.32 3/30/06 1200600000000000378
+ 8% State Surcharge $171.45 3/30/06 1200600000000000378
3 Baths One & Two Family $306.00 3/30/06 1200600000000000378
Addressing Assignment $31.00 3/30/06 1200600000000000378
Appliance Vent $6.00 3/30/06 1200600000000000378
Boiler/Comp Up To 100,000 btu $12.00 3/30/06 1200600000000000378
Building Permit $1,430.15 3/30/06 1200600000000000378
Curbcut Permit $80.00 3/30/06 1200600000000000378
Dryer Vent $6.00 3/30/06 1200600000000000378
Exhaust Hoods $9.00 3/30/06 1200600000000000378
Furnace - up to 100,000 btu $12.00 3/30/06 1200600000000000378
1, Gas Fireplace $30.00 3/30/06 1200600000000000378
Gas Outlets 1-4 $4.00 3/30/06 1200600000000000378
Gas Outlets 4+ $1.00 3/30/06 1200600000000000378
Mountaingate Impervious Area $1,407.63 3/30/06 1200600000000000378
Plan Review Major - Planning $150.00 3/30/06 1200600000000000378
Plan Review Residential $27.46 3/30/06 1200600000000000378
Residence Wiring 1000 Sq Ft $106.00 3/30/06 1200600000000000378
Residence Wiring Ea Addtl 500 $133.00 3/30/06 1200600000000000378
Sanitary Sewer - Improvement $572.10 3/30/06 1200600000000000378
Sanitary Sewer - Reimbursement $752.10 3/30/06 1200600000000000378
SDC MWMC Administration $10.00 3/30/06 1200600000000000378
SDC MWMC Improvement $865.31 3/30/06 1200600000000000378
SDC MWMC Reimbursement $82.03 3/30/06 1200600000000000378
SDC Sanitary/Storm Admin $171.74 3/30/06 1200600000000000378
SDC Transpo Admin $62.14 3/30/06 1200600000000000378
SDC Transpo Improvement $805.70 3/30/06 1200600000000000378
SDC Transpo Reimbursement $182.69 3/30/06 1200600000000000378
Storm Sewer Each Addtll00' $14.00 3/30/06 1200600000000000378
Temp Power 200 amps or less $50.00 3/30/06 1200600000000000378
Vent Fan $24.00 3/30/06 1200600000000000378
WilIamalane Single Family $1,000.00 3/30/06 1200600000000000378
Pae::e 2 of 5
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Status
Issued
CITY OF SPRINGFIELD"
Building/Combination Permit
PERMIT NO: COM2006-00198
ISSUED: 03/30/2006
APPLIED: 02/16/2006
EXPIRES: 09/30/2006
VALUE: $ 365,724.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Amount Paid $9,640.96
I Plan Reviews ~
Initial Review 02/16/2006 02/16/2006 APP SKG
LDAP Review 02116/2006 02/16/2006 10 VRJ Level II geotechnical assessment due
to proposed cuts. Full review LDAP
required, LDAP application
submitted 2/16/2006 and is under
review. $600.00 due at issuance.
LDAP Review 03/02/2006 03/0212006 APP VRJ LDAP is ready to issue and at the
front counter.
Planninl! Review 02116/2006 03/24/2006 APP TAJ If the 2 trees on lot are preserved,
fence the drip lines with orange
construction fencing and follow the
Tree Preservation Guidelines in the
"MtGate Development Plan
Restrictions" attached to the plans.
Fence the vegetation easement with
orange construction fencing and
keep construction activity out of this
area.
Public Works Review 02/16/2006 02117/2006 APP CAS No hook-up to City infrastructure
until Public Improvements accepted
by the City; storm drainage piped to
stub provided at rear of lot
2/17/2006 CAS
Structural Review 02/16/2006 03/28/2006 APP DLM See documents for Plan review
comments.
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 req1llested after 7:00 a.m. will be made the following work
day.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Vfer 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.
Pae:e 3 of5
CITY OF SPRINGFIELD ..
~
Building/Combination Permit
, Status
Issued
PERMIT NO: COM2006-00198
ISSUED: 03/30/2006
APPLIED: 02/16/2006
EXPIRES: 09/30/2006
VAL UE: $ 365,724.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Firewall: Located and constructed according to plans.
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.
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.
Pae:e 4 of5
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III
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Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2006-00198
ISSUED: 03/30/2006
APPLIED: 02/16/2006
EXPIRES: 09/30/2006
VALUE: $ 365,724.00
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
times during construction.
~/Q~ - 3/3D/"t,
Owner or Contractors Signature Date
Paee 5 of 5
~\~~
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z;\'
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~~6\ro
ELECTRICAL PERMIT APPLICATION ~\o-tW~ 000
C4 ,., ""2.."'""'- (; \0 ?J.~
City Job Number -no fC.'~ Date..)- -"LJ- 2cn.:><;:. ,,\X" i-'~~' ~,
+- ~ ~
1. 3.
(;,fJ:2.6 FeIYl A / I ( k/J
A.
LEGAL DESCRIPTION
\ '1-ov') tf ~ t.f ot/oco
Service Included
I
~::;-
fa;, I eX>
I') IfiD
1000 sq. f1. or less
Each additional 500 sq. f1. or
portion thereof
Each Manufact~fl6~,~ or
Modular Dw.e1iing 'S:eM~or
.\).,' :(\ -' :1,'-\
Fe~~e\0O: ,\e~O se\ \0 0J\'
O,\eqr.
. :\.e
OCle!, ~ n e ~. oO~ ~\\O _ 0-~\\ ~ ~ ';0of'.:(\
hie chI €... ~J;\ af4'?n ~ ~e'\.208 '~mps'~d~~ \e\e~. cro.\\o
~' N'l'v' Ce\' }'\~6l.Am"p~ro400 A""'-"~'\
/. ' \ ./br7J'" 0J \ ,v ~\ . ;\"",; "4'P>
Address _ /j / () U-Jo.-/ 15 ( .~\~\c~~t:\) ,\ C401'O't-~~tGjj0~~"
~V. h,\,- J ",'O:'J,o.\.e' o\' _QQ.:./';
/ / or :{O\,). cro'Olct.mPs ~:twU Amps
Phone 73 ~\'~f#f.{\'~ \\~'\ '<9~~<J1ll8eJ\)AmpsN oIts
cz..: ~e'\ \~onnect Only
\'\,).~ (;e
Supervisor License Number 30 'II 5 c.
cr<tS
Id- 1-~07
/0050c?
/-1'0,,"
JOB DESCRIPTION
$106.00
S\~cJel ~m) ~ I1sJi/llV Q..J 1f.~
Permits are non-transferable and expire if wo~k is I
not started within 180 days of issuance or if work is
Suspended for 180 days.
$ 19.00
$50.00
2.
Electrical Contracto
$ 63.00
$ 75.00
$125,00
$163,00
$375,00
$ 50.00
&4 q(?/1 €--
City
,
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
Over 600 Amps or 1000 Volts se
Signature of Supervising Electrician D.
/l d .#' ~./-- . New AIt~~'ij~ ~1,J ~ Panel
~'Ar ~~ ~tt;. .~~~~& ,\\\S ~t.\) t
l\ \}\'2jJ,t:.~~~~6Ja~~\)' or with
'" Nwn, ~ l....--f( ~ ""'" ,.. h.... -: rfrl!~ \I'e\'! 'Ii> !:): P"nnt
Address J ~ r I v1A I"';' 0- "~C()~~~%Q
, ........... . /' ~~"( \
City b- C><L....,u'~Phone /'
~"$'(. b ':> \ 0
Expiration Date
so,~
j
$ 50,00
$ 69.00
$100.00
Constr. Contr. Number
Expiration Date
$ 43,00
$ 3.00
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
$ 50.00
$ 50.00
$ 25.00
$ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4.
~~iOO
1.3,12...-
2d5,'lO
.r 3t.f I . OJ-.
6% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)/Building FonnslElectrical Permit Application 1-03,doc
CITY OF Srr{INGFIELD SYSTEMS DEVELOPME~i:WORKSHEET
JOURNAL OR JOB NUMBER:
NAME OR COMPANY:
LOCATION:
T AX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.F." x COST PER S.F. CHARGE
4358,00 $0.323 = I $1,407.63
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
. I IMPERVIOUS S.F. x COST PER S.F. x I DISCOUNT RATE I
I 0.00 $0.323 I 50% I
ITEM 1 TOTAL - STORM DRAINAGE SDC , ' $1,407.63 I
COM2006-00 198
Ruhoff
6028 FemhiIi Loop
1702343407000
SINGLE FAMILY RESIDENCE
1 BUILDING SIZE (SF: 3462
LOT SIZE (SF):
12859
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2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's ' x' I COST PER DFU
30 I $25.07
B. IMPROVEMENT COST:
NUMBER OF DFU's x
30
$19.07
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = ,
$1,324.20
- -.-.-
- -.,..
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADTTRIPRATE x
I 9.57
B. IMPROVEMENT COST:
ADT TRIP RATE
.9.57
I NUMBER" OF UNITS x I
I 1 I
COST PER TRIP
$19.09
I NUMBER OF UNITS I x I
, ' 1 I'
= ,
COST PER TRIP
$84.19
$988.39
x
ITEM 3 TOTAL - TRANSPORTATION SDC
DISCOUNT
$0.00
x I NEW TRIP FACTOR
I 1.00
x I NEW TRIP FACTOR
I 1.00
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's x
1
. ICOST PER FEU
I $82.03
B. IMPROVEMENT COST:
INUMBER OF FEU's' x COST PER FEU
I I $865.31
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. FEE RATE
I $4,677.56 5% '
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Cheryl Slaymaker
2/17/2006
PREPARED BY
DATE
$1,407.63
$752.10
$572.10
$182.69
$805.70
=
$82.03
1070
1091
1092
r
I
11093
,I
.11094
I
1054
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
I BATHTUB 2 0 3 = 6
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
LAUNDRYTUB 1 0 2 = 2
ICLOTHESWASHER/MOP SINK 1 0 3 = 3
ICLOTHESWASHER- 3 OR MORE (EA) 0 0 6 = 0
I MOBILE HOME PARK TRAP (l PER TRAILER) 0 0 12 = 0
I RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0
I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
SHOWER, SINGLE STALL 1 0 2 = 2
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2
SINK: SINGLE LA V ATORY/RESIDENTIAL BAR 3 0 1 = 3
URINAL, STALL / WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 3 0 3 = 9
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 30
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons peT day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$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
$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
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE
$0.00 x $5.29
= ,
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0.00 x $5.29
TOTAL MWMC CREDIT
=
2
2
1979
$0,00
o
$0.00
225 Fifth Street
" Springfi'eld, Oregon 97477
\. :541-726-3759 Phone
.~~..;itiI, ',.' ~.,'
WIIr.
~ity of Springfield Official Receipt ;
~velopment Services Department)
Public Works Department'~
":;' ~~:.
';!.
,:' ~
L!,; :\
" ' ~ ; .
Jijb/Journal Number
CbM2006-00 198
COM2006-00l98
COM2006-00 198
, COM2006-00198
COM2006-00198
" COM2006-00l98
, COM2006-00198
, COM2006-00198
" \
COM2006-00198
COM2006-00198
; COM2006-00l98
i COM2006-00l98
r:,rCOM2006-00 198
:~~CbM2006-00 198
;~COM2006-00 198
'.5G(i.)M2006-00 198
. ci~M2006-00198
C6M2006-00 198
COM2006-00 198
. COM2006-00198
, COM2006-00198
COM2006-00198
. COM2006-00 198
, COM2006-00l98
: CbM2006-00198
: CbM2006-00 198
, CbM2006-00198
, COM2006-00l98
~ .COM2006-00l98
':'t::OM2006-00 198
::::dbM2006-00 198
"CbM2006-00198
dfuM2006-00198
f01
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,"
RECEIPT #:
1200600000000000378
Date: 03/30/2006
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Curbcut 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
Plan Review Major - Planning
Plan Review Residential
Building Permit
3 Baths One & Two Family
Storm Sewer Each Addtl 100'
Furnace - up to 100,000 btu
Boiler/Comp Up To 100,000 btu
Vent Fan
Appliance Vent
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Gas Outlets 4+
Gas Fireplace
-Mechanical Issuance Fee-
+ 8% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment Paid By
. CreditCard AARON SOLBECK
Check RUHOFF HOMEBUlLDERS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
~b M~m fu~nM
djb 7142 In Person
Payment Total:
:1
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3/30/2006
Page lof2
1 :22:50PM
Amount Due
31.00
1,000.00
106,00
133.00
50,00
80.00
1,407.63
752.10
572.10
182.69
805,70
82.03,
865.31;
10.00 :'
171.74
62.14
150,00
27.46
1,430,15
306.00
14.00
12,00
12.00
24.00
6.00
9,00
6.00
4,00
1.00
30.00,.:
10.00 .
171.45
214.32 '
$8,738.82
Amount Paid
$8,000.00
$738.82
$8,738.82
.I