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Home My WebLink AboutPermit Building 2006-6-23 :ITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2006-00433 ISSUED: 06/23/2006 APPLIED: 04/12/2006 EXPIRES: 12/23/2006 VALUE: $ 331,331.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6188 Fernhill Lp ASSESSOR'S PARCEL NO.: 1702343405500 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence - Mt Gate subd lot 47 Owner: REGAL CUSTOM HOMES INC Address: PO BOX 489 ELMIRA OR 97437 I CONTRACTOR INFORMATION I Contractor License REGAL CUSTOM HOM~SJ~uires '10U,~~ 109306 MAG E~~~I<OI~n ,3: tne Oregon Ut\1 rt\\49834 cdMF \l~~pted by rules are set 0 fJiO Dd~~~~; J.~~r. 1~~::\ Inn OAR 95~~~On3~076 l~u6;R'95'2.-001 ~t'olNG ~tb~'bN I In O. '(ou may ~Note', till;; ,~. ." ation # f U 't . 009 . ~e center. J:.lI1"";''''AI.NotlflC o Ul s. aIling III e 8n'U\1rh;~. Primary Occupancy Group: C um~3\or tne.or ll.\~~t!,Gijf~uL\kure Secondary Occupancy Group: n 'tenter IS 1--'fype of Heat: Primary Construction Type VN Water Type: Secondary Construction Type: Range Type: # of Bedrooms: 3 Energy Path: Sprinkled Building: Contractor Type.- General Electrical Mechanical Plumbing 2 29.00 Heat Pump Gas Gas Path 1 n/a I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 14';00 32.00 8.00 55.00 32.50, .~ .~. Overlay Dist: ~~\t(~ _tt.~treet Trees R9~ \~t. W 'n~t. 0'\ "01\\Ji\a~'V~eE fS\,\~8'q& p\S ?t.~~\\ \S ~es \\-\\S ~\1;t'\ ~~tir1tgJ:\ DO~t.D fCl'0.60 1\\.n\-\O~\lt. fI O~ \S 1\'O1\~ ~f.J(;:i\~< ..I w,'~,. l\<9,~OV'EMENTS . Residential Phone Number: 541-935-8825 Expiration Date 01111/2007 12/13/2009 06/2712007 06/10/2007 Phone 541-935-8825 541-461-0387 541-726-0100 541-688-1931 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: ,Occupant Load: 11,710 1,935 1,094 744 REQUIRED PARKING Total: 2 Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Fullv Improved Yes Sidewalk Type: Curbside 5' To Storm Sewer DownspoutslDrains: Notes: Storm drainage piped to stub provided rear of lot 4/18/2006 CAS Paee 1 of 5 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction A.C. - Residen Dwellin2:s Gara2:e AC - Residential V Wood Frame Garaee Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 8% State Surcharge 3 Baths One & Two Family Addressing Assignment Boiler/Comp Up To 100,000 btu Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Fire Fee - Residential Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Gas Outlets 4+ Mountaingate Impervious Area Plan Review Major - Planning PW Disc - 2nd Permit (Street) Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement Sanitary Sewer Each Addtll00' SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Sewer Each Addtll00' Temp Power 200 amps or less I Valuation Description I $ Per Sq Ft or multiplier $4.00 $99.00 $26.00 Square Footage or Bid Amount 3,029.00 3,029.00 744.00 Total Value of Project ~ Amount Paid $857.77 $10.00 $222.73 $163.09 $306.00 $31.00 $12.00 $1,319.65 $80.00 $6.00 $9.00 $188.65 $12.00 $30.00 $4.00 $4.00 $1,204.14 $150.00 $-30.00 $106.00 ' $114.00 $553.03 $727.03 $14.00 $10.00 $865.31 $82.03 $158.46 $63.04 $805.70 $182.69 $80.00 $14.00 $50.00 Date Paid 4/12/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 6/23/06 Paee 2 of5 '=:ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00433 ISSUED: 06/23/2006 APPLIED: 04/12/2006 EXPIRES: 12/23/2006 VALUE: $ 331,331.00 Value Date Calculated $12,116.00 $299,871.00 $19,344.00 $331,331.00 04/12/2006 04/12/2006 04/12/2006 Receipt Number 2200600000000000449 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 1200600000000000939 Status Issued 2ITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2006-00433 ISSUED: 06/23/2006 APPLIED: 04/12/2006 EXPIRES: 12/23/2006 VALUE: $ 331,331.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Vent Fan Water Line - Each Addtll00' WiIlamalane Single Family $24.00 $14.00 $1,000.00 6/23/06 6/23/06 6/23/06 1200600000000000939 1200600000000000939 1200600000000000939 Total Amount Paid $9,443.32 I Plan Reviews' Initial Review LDAP Review 04/17/2006 04/27/2006 04/17/2006 04/27/2006 APP SKG APP VRJ LDAP is at the front counter and ready to issue. Fence Conservation Easement with orange construction fencing and keep all construction activity out of this area. The 8" oak in the front may be counted as one of the 3 required street trees. Place orange construction fencing to the dripline and follow the other tree preservation guidelines attached to the street tree handout. Storm drainage piped to stub provided 4/18/2006 CAS Plan nine: Review 04/17/2006 05/12/2006 APP T AJ Public Works Review 04/17/2006 04/18/2006 APP CAS Structural Review 04/17/2006 OS/23/2006 OK RWC 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. I ReouireCU'nsnections 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. 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. Pae:e 3 of 5 2ITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2006-00433 ISSUED: 06/23/2006 APPLIED: 04/12/2006 EXPIRES: 12/23/2006 VALUE: $ 331,331.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Underground Plumbing: Prior to filling the trench and including required testing. 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. Shower Pan. Prior to covering 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 Gas: After line is installed and required testing and capped if not attached to an appliance. 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. Ufor Electrical Ground: Install ground rod at footing and call for inspection in conjuction with footing and/or foundation inspection. Underground Electric: Prior to cover Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Low Voltage: Prior to cover. Pae:e 4 of 5 Status Issued ':ITY OF SPRINGFIELD C Building/Combination Permit PERMIT NO: COM2006-00433 ISSUED: 06/23/2006 APPLIED: 04/12/2006 EXPIRES: 12/23/2006 VALUE: $ 331,331.00 225 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 permi~,c rd is located a!:the front of the property, and the approved s7t f Plan7will remain on the site at all tin(es during construc on;!11 , ; , ..---"'/ I ; ./ It! ------- ' J Ii ., C-~A~-h'~" ---- L, I ~ / tJf:::, Owner okontrac-tor; Signature . Dahl J Paj!e 5 of 5 225 Fjfth Street . Springfield, Oregon 97477 541-726-3759'Phone CH-" "If Springfield Official Receipt D~ ,opment Services Department Public Works Department Job/Journal Number COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 Payments: Type of Payment Check Cred itCard cReceintl RECEIPT #: 1200600000000000939 Date: 06/23/2006 Description Addressing Assignment WiIlamalane Single Family Residence Wiring 1000 Sq Ft Temp Power 200 amps or less Fire Fee - Residential Sidewalk Permit Curbcut Permit PW Disc - 2nd Permit (Street) 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 Building Permit 3 Baths One & Two Family Sanitary Sewer Each Addtl 100' Water Line - Each Addtll 00' Storm Sewer Each Addtl 100' Furnace - up to 100,000 btu Boiler/Comp Up To 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Gas Fireplace ~Mechanical Issuance Fee~ Residence Wiring Ea Addtl 500 Gas Outlets 1-4 Gas Outlets 4+ + 8% State Surcharge + 10% Administrative Fee Paid By REGAL CUSTOM HOMES PAUL WITT Item Total: Check Number Authorization Received By Batch Number Number How Received djb djb 7718 In Person 077856 In Person Payment Total: Page 1 of2 9:11:59AM Amount Due 31.00 1,000.00 106.00 50.00 188.65 80.00 80.00 (30.00) 1,204.14 727.03 553.03 182.69 805.70 82.03 865.31 10.00 158.46 63,04 150.00 1,319,65 306.00 14.00 14,00 14.00 12.00 12,00 24.00 9,00 6,00 30.00 10.00 114.00 4.00 4.00 163.09 222.73 $8,585,55 Amount Paid $585.55 $8,000.00 $8,585.55 6/23/2006 225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELEc..;lHlCALPERMIT APPliCATION City Job Number COMUXJ<:O - 00 t.f' J.3 Date _;..,.,....'t"'; c,_ :..-~/'_:":'?.,.- .. ;-, "": ~-.... "":'~ -,:.- ^ '~t. ~:~:'-'.:~;:i'. '. :..,..: "'~:y"':i-?:~,:fCc -: "~;,,-::---L'- ''':'''~~-:.;'?'' 1. 'LOCATioN OEINSTi.uAnON.<;L ,,',. '...' _,_ ..~___'_' >.' _,._.. '_0' : ',:' .;C' :~"_ .. ,'__'__>;,.".~-:.';;"; ::;:-~'.--.. : .,>,'/- ._:..~,>";~,_.,,.. ".;..;.:.~ )....-__./:;,i,:<-..,:).;t;.".:~.:'t~.:: t; /136 kin h) i ( /-00,1'1 p LEGAL DESCRIPTION I'-:to 2:s'1?'-t c sTco JOB DESCRIPTION ~).".,I::.- fa P1 /1../ r6 :&UL lid rkry<<?o/ C(( Permits are non-fransferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ';}',~,7;J::~;_-I'Cr';':::'f,-~::~:~0-("7,:;cj/:-;~'::-tS!,::{r<1-:<7':..-;;::' ":.--_--~_~:---::--~-:;'f{j:;-._-;>-,:\'1':.:.~.:t!>:~;if}J'?~.1~;~}:~:~ 2. ..,~Olf[l'gA'YJ.t/JJ.)N$TAL1.ATlQli(.f1N1.;y;.t :=;;;~~~ City ~ Phone !iik.1J3~L I Supervisor License Number A.17 '-1:1 5 10-1 -D7 . . Constr. Contr. Number 119 Y 31 Expiration Date Owners Ignature: ,/ / / i Inspection Request: 726-3769 'Wf"i'V ';'~:"?f.'''':.n~~.~':~-?':'-'-'''':''''''f~:J':~7':,~~':'!1r~:'' ';""""~'i-:Y;:t:'-- -. -'c_" 3. .",COMP.fu;.l.l!.L:J!..l!..S,., CH.EIJ..P, ,LE . BELOW n'fy;: .i'<. ,,-_"~'_~_' _","'"-:'\'.."'{,~i<:.i" U";Y~';_.~,,;~.i,;;~'k;c'_,'___,-;,,~"_>;_,,;::, b;.~,'>:" _ , " ,.-..... "_ ,.,;.;1_::-.-::""_f__,;;':" A. ?(~':'_'q~~;,.~_'i' -~i't/!;~:"''',y.':--:j-'''''-,,~;~c'1~~+:'':Y._;-''"'7'_. ~"-?:~'!>'f7::~1,*W"~~;o'~~?',;":-7~:,/~ gle or Multi-F~miil}' per dwelling'unit. ::,; .;,~,_.._;.~e,,,,,,,;;,,,_,,,,,,>".O!"\;_F"."~,"';_;'.'-.".,,'_'>! '~'C.. "",""'" ..,....;.. '."..,,___ ~'.'.'. ."""..... ,-, ..-.:...-.,........ " 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 i (;, $106.00 /00tOU i I tj-{OD $ 19,00 $50.00 B. $ 50.00 $ 69.00 $100.00 So,CV 200 Amps or less $ 63.00 201 A~ t0400 Amps $ 75.00 l ,', , ' 0 401 A~~to~9~~mps ~l~~9'b(, 601 Amps ,~lO~'O~ltI.P~t,," /) (, Jtli!,0'9,~%/o Over 1000 ARtns/volts" -', ('/", ,'j/c$'t~n- :y ~~f)f '-.0" I' "'>"f '; D Yo Reconnect Only <f)ric> 'co"\ '"'L,"': I' Vf!h~~~CI(1f "7 VIJ/)! . -J. t!-i, CJ. I c. FT~iliij~t~~~~i~~~fq~~<::{!{~~,tj?AWst~"~ I. "',, '..'",".." ,k,.,',"" ""... ,,'A", ~att1).ftIJ0Ett/o:" Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 4011mps to 600 Amps Expiration Date --.I,;} /.13,/109 Over 600 Amps or 1000 Volts see"B':above. Signature of Supervising Electrician ~ ,/'1tPrl. B;';;~h~ir~:ii{:'~~.w,;",~" '.- ,. '--1A/\ " -L' A c. /jU1t~~'A~i:. ., Exle.,io. p" P.." . $ 4300 . -, c7\ /Otl1tl1[;~~~O'with , ~'" Name ~ A I (LA.' J-,..... B.,.:,/lN 80:S 0& /'/j.,.#;& 'hI:;' , $ 3,,00 AdQ(ess :Pc> -g~)t' lI~7 / E. l1e~l"e(1Jf!.1Se~feeYl.:M"")Wduded)-Ea , t> ~.. "irrllJb:-:mVf3o .. Wf/'t}~ 'Wlil(' .. City ~/U1iR-A Phon 9JS" -382)' pumporirrig~tion 'lvfDFO%tvO, $50.00 "". Sign/Outline Lighting $ 50.00 OWNER INS Limited Energy/Residential $ 25.00 Limited Energy/Commercial.~ $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. 11>% State Surcharge 10% Administrative Fee TOTAL 2i-{),oo 2...1 ~/pO Z. 7-,00 /1 i&.i..L) Shared Drive(T:)lBuilding FonnsIElectrical Pennit Application l..o3.doc CITY OF S~NGFIELD SYSTEMS DEVELOPMEN~"ORKSHEET 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 I 3728,00 $0.323 I = , $1,204.14 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F. x I COST PER S.F. I x DISCOUNT RATE I 0.00 I $0.323 I 50% = I COM2006-00433 Regal Custom Homes 6188 Felnhill Loop , 1702343405500 SINGLE FAMILY RESIDENCE 1 BUILDING SIZE (SF: 3999 LOT SIZE (SF): DISCOUNT $0,00 ITEM 1 TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER - CITY $1,204.14 11710 I $1,204.14 if) ~ Cl o U ~ ~ E-< if) >-< o ~, 1070 A. REIMBURSEMENT COST: I NUMBER OF DFU's I x COST PER DFU 1"1091 I 29 $25.07 $727.03 B. IMPROVEMENT COST: NUMBER OF DFU's x 29 '$19.07 $553.03 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I $1,280.06 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE I x I 9.57 I NUMBER OF UNITS x I COST PERTRIP 1 I $19.09 x I NEW TRIP FACTOR I 1.00 B. IMPROVEMENT COST: ADT TRIP RATE x NUMBER OF UNITS 9.57 1 ITEM 3 TOTAL - TRANSPORTATION SDC x I. COST PER.:TRIP I $84.19 = , $988.39, x NEW TRIP F ACTORI 1.00 I 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's x I 1 ICOST PER FEU I $82,03 B. IMPROVEMENT COST: INUMBER OF FEU's I x COST P~R FEU I 1 $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: SUBTOTAL x I ADM. FEE RATE $4,429.93 I 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: $957.34 $4,429.93 CHARGE $221.50 Cheryl Slaymaker 4/18/2006 TOTAL SDC CHARGES PREPARED BY DATE $182.69 $805.70 = $82.03 = $865.31 $0.00 . $10.00 158.46 $63.04 =, $4,651.43 1093 1094 1054 1055 1054 1056 1079 1078 DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FlXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS I BATHTUB 2 0 3 = 6 IDRlNKING FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 LAUNDRY TUB 1 0 2 = 2 CLOTHESW ASHER / MOP SINK 1 0 3 = 3 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 I SHOWER, SINGLE STALL 1 0 2 = 2 I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 ISINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASHBASINIDOUBLELAVATORY 0 0 2 = 0 ISINK: SINGLE LA V ATORY/RESIDENTIAL BAR 4 0 1 = 4 IURINAL, STALL! WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 3 0 3 = 9 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 29 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at ]67 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE] 979 ]979 ]980 ]981 1982 1983 ]984 1985 ]986 1987 1988 ]989 ]990 ]99] 1992 ]993 ]994 1995 1996 ]997 ]998 ]999 2000 200] CREDIT RATE/$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 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 TOTAL MWMC CREDIT $0.00 = . . Job/Journal"Nuniber COM200o-00433 COM2006.-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 COM2006-00433 Payments: Type of Payment Check CreditCard cReceintl RECEIPT #:.1200600000000000939 Description, Addressing Assignment Willamalane Single Family Residence Wiring 1900 Sq Ft Temp Power 200 amps or less Fire Fee - Residential Sidewalk Permit Curbcut Permit ' PW Disc - 2nd PerI1)it (Street) Mount'aingate 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/StorlTJ Admin SDC Transpo Admin Plan Review Major c Planning Building Permit 3 Baths One & Two!' Family Sanitary Sewer Each Addtl 100' ,I Water Line- Each A,ddtll 00' Storm Sewer Each 1}ddtl 100' Furnace - up to 1 OO~OOO btu Boiler/Comp Up To 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Gas Fireplace -Mechanical Issuance Fee- Residence Wiring Ea Addtl 500 Gas Outlets 1-4 Gas Outlets 4+ + 8% State Surcharge + 10% Administrative Fee te: 06/23/2006 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 7718 In Person djb 077856 In Person Payment Total: Paid By REGAL CUSTOM HOMES PAUL WITT Page 2 of2 9:H:59AM Amount Due 31.00 1,000,00 106,00 50,00 188.65 80,00 80.00 (30.00) 1,204.14 727.03 553.03 182.69 805.70 82,03 865.31 10.00 158.46 63.04 150.00 1,319.65 306.00 14.00 14.00 14.00 12.00 12.00 24,00 9.00 6.00 30.00 10.00 114.00 4.00 4.00 163.09 222.73 $8,585.55 Amount Paid $585,55 $8,000,00 $8,585.55 6/23/2006