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Home My WebLink AboutPermit Building 2006-6-28 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2006-00593 ISSUED: 06/28/2006 APPLIED: 05/18/2006 EXPIRES: 12/28/2006 VALUE: $ 365,013.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6164 Fernhill Lp ASSESSOR'S PARCEL NO.: 1702343405600 Springfield TYPE OF WORK: Single Family Residence NDft~'E;OF USE: New PROJECT DESCRIPTION: Single family residence - Mt Gate subd rq~~PERMIT AIITLJ()l'-- SHALL FYO'nr-.__ Owner: WALTER CUSTOM HOMES COM/~~N~~~ UNDEiTh7iIW~~~~Mj~t5WCWl(.6355 Address: 2863 RIVERWALK LOOP ANY 180 OR IS ABANDON IS NOT EUGENE OR 97401 DAY PERIOD. ED FOR Residential I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor License Expiration Date Phone THOMAS WALTER CUSTOM HOMES LLC 160287 07/12/2008 541-683-6355 BOB FISHER ELECTRIC INC 96275 01/25/2008 541-689-7973 MARSHALLS INC 25790 12/23/2009 541-747-7445 RS PLUMBING CONTRACTING 10381~'n:l.rn;';1 J~k~~~l!f~~1~~ BUILDING INFORMA TION.IIIOW rul. adopted by the Oregon Utility . Notification Center. Those rules are set fortt- # of Stories: . OaI2.~~t.6D'O through OAR 9S2iO(}!h Height of Structure. ~I\Q n: ~U mUbIA'lftoot>1es of the ru'ee,~7 Type of Heat: ForcMl"'X' as the ~P.~~! .the telephone Water Type: . qa P9 f I IlBK'Otlllty Notlflcatiot\38 Range Type: . f\U~,r or ~ ~ K'g~!~~~} 748 Energy Path: Path 1Ce~ rpPOt Wf'^'''' . Sprinkled Building: . n/a Occupant Load: 1 R-3 U VN # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 3 I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 20.00 1 i.90 . 5.90 49.40 31.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Hillside 3 Yes 35.20 REQUIRED PARKING Total: 2 Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Fully Improved Yes Sidewalk Type: Downspouts/Drains: Curbside 5' DryweIl - Provide DryweIl Engineering Notes: Storm drainage piped to Level spreader, overwidth approved for driveway 6/26/2006 Paee 1 of 5 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2006-00593 ISSUED: 06/28/2006 APPLIED: 05/1812006 EXPIRES: 12/2812006 VALUE: $ 365,013.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I A.C. - Residen Dwellines Garaee AC - Residential V Wood Frame Garaee $ Per Sq Ft or multiplier $4.00 $99.00 $26.00 Square Footage or Bid Amount 3,355.00 3,355.00 748.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $13,420.00 $332,145.00 $19,448.00 $365,013.00 06/26/2006 05/18/2006 05/18/2006 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $900.02 5/18/06 1200600000000000680 -Mechanical Issuance Fee- $10.00 6/28/06 1200600000000000990 + 10% Administrative Fee $236.63 6/28/06 1200600000000000990 + 8% State Surcharge $172.89 6/28/06 1200600000000000990 3 Baths One & Two Family $306.00 6/28/06 1200600000000000990 Addressing Assignment $31.00 6/28/06 1200600000000000990 Appliance Vent $6.00 6/28/06 1200600000000000990 Boiler/Comp 3-15 HP $22.00 6/28/06 1200600000000000990 Building Permit $1,430.15 6/28/06 1200600000000000990 Curbcut - Additional Driveway $40.00 6/28/06 1200600000000000990 Curbcut Permit $80.00 6/28/06 1200600000000000990 Dryer Vent $6.00 6/28/06 1200600000000000990 Exhaust Hoods $9.00 6/28/06 1200600000000000990 Fire SF Fee - Residential $205.15 6/28/06 1200600000000000990 Furnace - up to 100,000 btu $12.00 6/28/06 1200600000000000990 Gas Fireplace $30.00 6/28/06 1200600000000000990 Gas Outlets 1-4 $4.00 6/28/06 1200600000000000990 Gas Outlets 4+ $1.00 6/28/06 1200600000000000990 Mountaingate Impervious Area $864.47 6/28/06 1200600000000000990 Not Covered Plumbing $14.00 6/28/06 1200600000000000990 Plan Review Major - Planning $198.00 6/28/06 1200600000000000990 Plan Review Residential $29.58 6/28/06 1200600000000000990 PW Disc - 2nd Permit (Street) $-30.00 6/28/06 1200600000000000990 Residence Wiring 1000 Sq Ft $106.00 6/28/06 1200600000000000990 Residence Wiring Ea Addtl 500 $133.00 6/28/06 1200600000000000990 Sanitary Sewer - Improvement $610.24 6/28/06 1200600000000000990 Sanitary Sewer - Reimbursement $802.24 6/28/06 1200600000000000990 SDC MWMC Administration $10.00 6/28/06 1200600000000000990 SDC MWMC Improvement $865.31 6/28/06 1200600000000000990 SDC MWMC Reimbursement $82.03 6/28/06 1200600000000000990 SDC Sanitary/Storm Admin $147.22 6/28/06 1200600000000000990 SDC Transpo Admin $63.91 6/28/06 1200600000000000990 SDC Transpo Improvement $805.70 6/28/06 1200600000000000990 SDC Transpo Reimbursement $182.69 6/28/06 1200600000000000990 Paee 2 of 5 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2006-00593 ISSUED: 06/28/2006 APPLIED: 05/18/2006 EXPIRES: 12/28/2006 VALUE: $ 365,013.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Sidewalk Permit Storm Sewer Each AddtI 100' Temp Power 200 amps or less Vent Fan Willamalane Single Family $80.00 $14.00 $50.00 $18.00 $1,000.00 6/28/06 6/28/06 6/28/06 6/28/06 6/28/06 Total Amount Paid $9,548.23 I Plan Reviews I Initial Review Plan nine Review OS/22/2006 OS/22/2006 OS/22/2006 06/2112006 APP APP SKG TAJ Public Works Review OS/22/2006 06/26/2006 APP CAS Structural Review OS/22/2006 06/26/2006 APP DLM 1200600000000000990 1200600000000000990 1200600000000000990 1200600000000000990 1200600000000000990 Place orange barrier fencing along the Conservation Easement. The 8" oak on the east side of the lot counts as one of the required street trees. Follow the "Street Tree Protection During Construction" attached to the street tree handout. For the other 2 street trees, choose a species from the list on pag 6-4 of the street tree handout - Native trees in Hillside Development. Storm drainage piped to Level spreader, overwidth approved 30' Max. 6/26/2006 CAS 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 requested after 7:00 a.m. will be made the following work day. ~eouiredJnsDectjons , 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. Curbcut - Overwidth: After forms are erected but prior to placement of concrete. Site Inspection: To be made after excavation but prior to setting forms. 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. Paee 3 of5 CITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: cOM2006-00593 ISSUED: 06/28/2006 APPLIED: 05/18/2006 EXPIRES: 12/28/2006 VALUE: $ 365,013.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Drywall: Prior to taping. 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. Drywell: Engineered Drywell is Required. Provide the City with a copy of the DEQ application to keep on file. 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. Paee 4 of5 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2006-00593 ISSUED: 06/28/2006 APPLIED: 05/18/2006 EXPIRES: 12/28/2006 VALUE: $ 365,013.00 225 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;m"d;;:U~%L~ 6h9/C6 Owner or Contractors Signature Date Paee 5 of5 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-00593 COM2006-00593 COM2006-00593 COM2006-00593 COM2006-00593 COM2006-00593 COM2006-00593 COM2006-00593 COM2006-00593 COM2006-00593 COM2006-00593 COM2006-00593 COM2006-00593 COM2006-00593 COM2006-00593 COM2006-00593 COM2006-00593 COM2006-00593 COM2006-00593 COM2006-00593 COM2006-00593 COM2006-00593 COM2006-00593 COM2006-00593 COM2006-00593 COM2006-00593 COM2006-00593 COM2006-00593 COM2006-00593 COM2006-00593 COM2006-00593 COM2006-00593 COM2006-00593 COM2006-00593 COM2006-00593 COM2006-00593 COM2006-00593 COM2006-00593 Payments: Type of Payment Check CreditCard cReceintl RECEIPT #: Description Addressing Assignment Willamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Fire SF Fee - Residential Plan Review Major - Planning Curbcut Permit Sidewalk Permit Curbcut - Additional Driveway PW Disc - 2nd Permit (Street) Mountaingate Impervi~us 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 Residential Building Permit 3 Baths One & Two Family Storm Sewer Each Addtl 100' Not Covered Plumbing Furnace - up to 100,000 btu Boiler/Comp 3-15 HP 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 Paid By W ALTER CUSTOM HOMES WALTER CUSTOM HOMES r"T of Springfield Official Receipt ~ ~t'elopment Services Department Public Works Department 1200600000000000990 Date: 06/28/2006 Item Total: Check Number Authorization Received By Batch Number Number How Received Ikw 1698 In Person 028422 In Person Payment Total: Page 1 of2 3:06:56PM Amount Due 31.00 1,000.00 106.00 133.00 50.00 205.15 198.00 80.00 80.00 40.00 (30.00) 864.47 802.24 610.24 182.69 805.70 82.03 865.31 10.00 147.22 63.91 29.58 1,430.15 306.00 14.00 14.00 12.00 22.00 18.00 6.00 9.00 6.00 4.00 1.00 30.00 10.00 172.89 236.63 $8,648.21 Amount Paid $678.21 $7,970.00 $8,648.21 6/28/2006 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL P~RMIT APPLICATION I t---x..) j'/ --.-1 __ City Job Number ~ -- (Jo(2f 1 Date ([) IdO {"O ~ Electrical Contractor &fi ;::;5 h p r ~/'p{i' Z /lC- 200 Amp r less ., $ 63.00 . ~ 201 ps to 400 Amps _ _ - .~ 75.00 Address ) f" () )( / ,;> nCS ~.P' ./" V /l J/~ ;10( Amps to 600 Amps L .,L)l--J$125.00 M -!-///- 9DO~ / 601 Amps to 1000 Amps \\DJ ~l(ti310q'\L----- City ~t':7-R r7 -e Phone ~ r9- 1973 Over 1000 AmpsNo~tsQ.v "' 'Q~'r1.o6 Reconnect Only ~ \~) \':'- $ S% State Surcharge ~ f\ ':> 10% Administrative Fee t~~ ~\Oc,.OJ> TOTAL ~ ~.'"'\; Shored Dri'o{T,)IB,Hdl" F,,,,,,,,,],,,ri,,] P,rml< A"II"",, ] -OJ.doc 1. ~/(,;./ ~/J1j,} 11 /-Wf LEGAL DESCRIPTION J70')..~lf1tf{)~ JOB DESCRIPTION S"'5lt/ taP1l~., t~)~dV-- J hlo~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. Supervisor License Number 39 7/:- S c. Expiration Date / tJ -- ./ - ~~/ / Constr. Contr. Number oP~/_-:J,;;"'" c!:l ~ / Expiration Date ~,/ - ~ (; ./ SignatTervising Electrician -;(J~~#P-1- J-.L - ... w , , City (' 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 l 7- $106.00 ( OC:,tOO I~~,OO $ 19.00 $50.00 B. Installation, Alteration or Relocation 200 Amps or less i $ 50.00 "" 201 Amps to 400 Amps $ 69.00 ~401 Amps to 600 Amps $100.00 dver 600 or 1000 Volts see "B" above. D. Q),(V "\ New A eration or Extension Per Panel One Circuit Each Additional Circuit or with S ice or Feeder Permit $ 43.00 $ 3.00 $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. 2.~ 7/00 2 '5. 12- .. 2- f),~ ~() ,._~ L/ It 02 CITY OF S~fttNGFIELD SYSTEMS DEVELOPMEN1~ORKSHEET JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAXLOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. 'x COST PER S.F. CHARGE I 720.00 $0.323 = I $232.56 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I 3912.75 I I $0.323 I 50% = I ITEM 1 TOTAL - STORM DRAINAGESDC '$864.47 C0M2006-00593 Walter Custom Homes 6164 Femhill Loop 1702343405600 SINGLE FAMILY RESIDENCE 1 BUILDING SIZE (SF' 4130 LOT SIZE (SF): 11711 r/) i1..l' ~ o u ~ i1..l t-< r/) 6 ~ DISCOUNT $631.91 $864.47 1070 2. SANITARY SEWER - CITY . A. REIMBURSEMENT COST: I NUMBER OF DFU's x I 32 COST PER DFU $25.07 $802.24 1091 B. IMPROVEMENT COST: NUMBER OF DFU's x 32 $1~07 ITEM 2 TOTAL - CITY SANITARY SEWER SDC $610.24 1092 I = , $1,412.48 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE x NUMBER OF UNITS x I COST PER TRIP x INEWTRIPFACTOR I 9.57 I I $19.09 I 1.00 $182.69 1093 B. IMPROVEMENT COST: I ADT TRIP RATE x I NUMBER OF UNITS x COST PER TRIP x I NEW TRIP FACTOR I 9.57 I I $84.19 , 1.00 $805.70 1094 ITEM 3 TOTAL - TRANSPORTATION SDC = , $988.39 -- 4. SANITARY SEWER - MWMC ' A. REIMBURSEMENT COST: INUMBER OF FEU's x COST PER FEU I ] $82.03 = $82.03 1054 B. IMPROVEMENT COST: INUMBER OF FEU's x leOST PER FEU I I I $865.31 = , $865.31 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) , - $0.00 1054 MWMC ADMINISTRATIVE FEE I $10.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , $957.34 ,...-- SUBTOTAL (ADD ITEMS 1,2,.3, & 4) = , $4,222.68 5. ADMINlSTRATIVE FEE: I SUBTOTAL x ADM. FEE RATE j= CHARGE I $4,222.68 .5% $211.13 TOTAL SANITARY ADMINISTRATION FEE: ]47.22 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $63.91 1078 .- Cheryl Slaymaker 6/26/2006 . TOTAL SDC CHARGES '= , $4,433.81 PREPARED BY DATE DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY TIlE NET ADDmONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS IBATHTUB 2 0 3 = 6 I DRINKING FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC. 0 0 3 = 0 IINTERCEPTORS FOR SAND I AUTO WASH I ETC. 0 0 6 = 0 I LAUNDRY TUB 1 0 2 = 2 I CLOTHES WASHER I MOP SINK 1 0 3 = 3 ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 I MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRIG I WATER STATION I ETC. 0 0 1 = 0 I RECEPTOR FOR COM. SINK I DISHWASHER I ETC. 1 0 3 = 3 I SHOWER., SINGLE STALL 1 0 2 = 2 I SHOWER., GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK: COMMERCIALfRESIDENTIAL KITCHEN 1 0 3 = 3 I SINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2 ISINK: SINGLE LA V ATORYfRESIDENTIAL BAR 2 0 1 = 2 URINAL, STALL I WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 TOILET, PRIVATE INSTALLATION 3 0 3 = 9 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 32 .EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 OFD's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$l,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 I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE 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 $0.00 x $5.29 = , $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE I 1000 CREDIT RATE $0.00 x $5.29 o TOTAL MWMC CREDIT $0.00 = " RECEIPT ft 1200600000000000990 .de: 06/28/2006 3:06:56PM Job/Journal Number Description Amount Due COM2006-00593 Addressing Assignment 31.00 COM2006-00593 WilIamalane Single Family 1,000.00 COM2006-00593 Residence Wiring 1.000 Sq Ft 106.00 COM2006-00593 Residence Wiring Ea Addtl 500 133.00 COM2006-00593 Temp Power 200 amps or less 50.00 COM2006-00593 Fire SF Fee - Residential 205.15 COM2006-00593 PI~n Review Major - Planning 198.00 COM2006-00593 Curbcut Permit 80.00 COM2006-00593 Sidewalk Permit 80.00 COM2006-00593 Curbcut - Additional Driveway 40.00 COM2006-00593 PW Disc - 2nd Permit (Street) (30.00) COM2006-00593 Mountaingate Impervious Area 864.47 COM2006-00593 Sanitary Sewer - Reimbursement 802.24 COM2006-00593 Sanitary Sewer - Improvement 610.24 COM2006-00593 SDC Transpo Reimbursement 182.69 COM2006-00593 SDC Transpo Improvement 805.70 COM2006-00593 SDC MWMC Reimbursement 82.03 COM2006-00593 SDC MWMC Improvement 865.31 COM2006-00593 SDC MWMC Administration 10.00 I COM2006-00593 SDC Sanitary/Storm Admin 147.22 COM2006-00593 SDC Transpo Admin 63.91 COM2006-00593 Plan Review Residential 29.58 . COM2006-00593 Building Permit 1,430.15 COM2006-00593 3 Baths One & Two Family. 306.00 COM2006-00593 Storm Sewer Each Addtl 100' 14.00 COM2006-00593 Not Covered Plumbing 14.00 COM2006-00593 Furnace - up to 100,000 btu 12.00 COM2006-00593 BoilerlComp 3-15 HP 22.00 COM2006-00593 Vent Fan 18.00 COM2006-00593 AppIianc~ Vent 6.00 COM2006-00593 Exhaust Hoods 9.00 COM2006-00593 Dryer Vent 6.00 COM2006-00593 Gas Outlets 1-4 4.00 COM2006-00593 Gas Outlets 4+ 1.00 COM2006-00593 Gas Fireplace 30.00 COM2006-00593 -Mechanical Issuance Fee- 10.00 CO,M2006-00593 + 8% State Surcharge 172.89 COM2006-00593 + 10% Administrative Fee 236.63 Item Total: $8,648.21 Payments: Check Number Authorization Type of Payment Paid By Received By Batch Number Number How Received Amount Paid Check W ALTER CUSTOM HOMES Ikw 1698 In Person $678.21 CreditCard W ALTER CUSTOM HOMES 028422 In Person $7,970.00 Payment Total: $8,648.21 cReceintl Page20f2 6/28/2006