HomeMy WebLinkAboutPermit Building 2005-7-14
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00532
ISSUED: 07/14/2005
APPLIED: 05/05/2005
EXPIRES: 01114/2006
VALUE: $ 258,864.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6120 Fernhill Lp
ASSESSOR'S PARCEL NO.: 1702343405800
Springfield TYPE OF
Single Family Residence
TYPEOF.1!~E: New
PROJECT DESCRIPTION: Single family residence, Mountaingate subd lot 50 t, yOU to
laW fectU,res '\'~
- '1' "'...."nn ......-- I It I h."
1E.N \ ,J .. - - tne v."',,-" r.tl:\
Owner: AN SLOW & DEGENEAULT INC ~i ' \es adopted by \as are@lfOlie'Number:
Address: 1953 GARDEN AVENUE iol\oW r.u center. 'Those fU AR 952-001-
EUGENE OR 97403 '~o~i~C:~~_001-001 ?_t~~~;: ~ the rules _bY
,.. - 'IJ. Ii may UU\,......I,. r. the tele\J"'.":-
I CON~9~~~~O\lity Notiiicatlon
.... mber ior the UI~':::l"'" _332-2344).
Contractor nu center is t~~~se Expiration Date
AN SLOW & DEGENEAULT INC 49169 ..- 10/16/2008
BURGHARDT & ZHUN INC 160508 07/01/2006
HAL PFEIFER ."-'-'
MARSHALLS INC 25790
ABSOLUTE PLUMBING SERVICES INC 67664
Contractor Type
General
Electrical
Engineer
- Mechanical
Plumbing
12/23/2005
07/11/2007
I BUILDING INFORMA TIONI
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Yrimary Construction Type
Secondary Construction
# of Bedrooms:
1
R-3
U
VN
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled
1
41.00
Forced Air Gas
Gas
Electric
Path 1
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
3
I DEVELOPMENT INFORMATION'
Residential
503-484-0070
Phone
503-484-0070
541-434-6491
541-683-4257
541-747-7445
541-345-3055
2,280
432
522
438
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Hillside
3
Yes
35.00
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
20.00
10.30
11.00
26.00
0.00
Subdivision Not Accepted
IPUBLIC IMPROVEMENTS I
F II I d P' o~r'l.r:'. SidewalkI,);P.tl:RK
u v mprove li{ iJ ~ ~ d::. I~r IF lHt V\iU Curbside 5'
Storm Sewer Available: Yes 1\-1\S PER\\'~\1 SHALL EXP ~3rmRo,ul~~\its To Culvert - Provide
Special Instruction: AUl HOR\2ED UNDER lHI ~~ fOR Drainage Plan
r.n "li'J\I=\~CED OR \S ABANDON
Notes: No hook-up to City Infrasrtucture until PUI>~ic\lmp'r~v'oemfn~UR~~ed by the City; Storm drainage to trench drain
including underdrain for d/w 5/12/2005 cAs,NY I BlJ /-\
Street
1 of 5
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
.. 541-726-3769 Inspection Line
Description
Type of Construction
AC - Residential
Deck
Bmt Semi-Finished
V Wood Frame
Ganiee
A.C. " Residen
_ Deck/Balcony
Dwellines
Dwellines
Garaee
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
2 Baths One or Two Family
Addressing Assignment
Appliance Not Listed
Building Permit
Curbcut Permit
Dryer Vent
Exha~st Hoods ,:,
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Mountaingate Impervious Area
Plan Review Major - Planning
Plan Review Residential
PW Disc -2nd Permit (Street)
Residence Wiring 1000Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer - Improve'ment
Sanitary Sewer -Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDCMwMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Tra'nspo Reimbursement.
Sidewalk Permit
Storm Sewer Each Addtll00'
Temp Power 200 amps or less
'_. l
~.l.l I V.I' .;,r ftli~~.l' H~..IL.u
B~nglCombination Permit
PERMIT NO: COM2005-00532
ISSUED: 07/14/2005
APPLIED: 05/05/2005
EXPIRES: (H/14/2006
VAL UE: $ 258,864.00
, I Valuation Description I
$ Per Sq Ft
or multiplier
$4.00
$17.00
$24.00
$96.00
$25.00
Square Footage
or Bid Amount
2,280.00
438;00
432.00
2,280.00
522.00
Value
Date Calculated
06/28/2005
. . . . . .06/28/2005 .-
06/28/2005
05/05/2005
05/05/2005
$9,120.00
. $1,44,6.00 ' . .
$10,368.00
$218,880.00
$13,050.00
$258,864.00
Total Value oCProject
~
Amount Paid
$646.52
$10.00 .
$.172.04
$120.43
$254.00
$31.00'
$18.00
$1,082.40
$80.00 ,",
$6.00,,:
$9.00
$12.00
$15.00
. $4.00
$1,075.31
$103.00
$57.04
$-30.00
$106.00
$76.00
$420.44
$552.92
, $10.00
$865.31
$82.03
, $135.16
$61.81
$772.49
$175.13
$80.00
$70.00
$50.00
Date Paid
Receipt Number
. 1200500000000000573
1200500000000000997
1200500000000000997
1200500000000000997
1200500000000000997
'1200500000000000997
'1200500000000000997
.,1200500000000000997 .
, 1200500000000000997.
.1200500000000000997
12095~0~00000000997 .
1200500000000000997
1200500000000000997
-1200500000000000997
1200500000000000997
1200500000000000997
120~500000000000997
1200500000000000997
1200500000000000997
1200500000000000997
1200500000000000997
1200500000000000997
1200500000000000997
1200500000000000997
1200500000000000997
1200500000000000997
1200500000000000997
1200500000000000997
1200500000000000997
1200500000000000997
1200500000000000997
1200500000000000997
5/5/05
7/14/05
7/14/05
7/14/05
. 7/14/05
'7/14/05
7/14/05 '
7/14/05
7/14/05,' ,
7/14/05
7/14/05 '"
7/14/05
. 7/14/05
.7/14/05
7/14/05
7/14/05
, 7 /14/0~.
7/14/05
7/14/05
7/14/05
7/14/05
7/14/05
i /14/05
7/14/05
7/14/05
7/14/05
7/14/05
7/14/05
7/14/05
7/14/05
7/14/05
7/14/05
2 of 5
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGf11ELD
Building/Combination Permit
PERMIT NO: cOM2005-00532
ISSUED: 07/14/2005
APPLIED: 05/05/2005
EXPIRES: 01/14/2006
VAL DE: $ 258,864.00
Vent Fan
WiIlamalane Single Family
$18.00
$1,000.00
7/14/05
7/14/05
1200500000000000997
1200500000000000997
Total Amount
$8,141.03
I Plan Reviews I
Initial Review 05/06/2005 05/06/2005 APP SKG
Plannine Review 07/13/2005 07/13/2005 APP TAJ Coverage problems resolved
through minor adjustments to the to
the site plan. See email from
Gordon Anslow dated 7/12/05 for
details.
I gave the plans back to Cheryl to
recalculate SDC's.
Plannin2 Review 05/06/2005 07/12/2005 WI Waiting for resolution of coverage
and use of pervious concrete to meet
coverage requirements. No other
Planning issues.
Trees near the retaining wall shall
be protected using methods outlined
in the MountainGate Development
Plan Restrictions handout.
Construction fencing shall be placed
between the
Conservation easement and the
worksite during construction.
Public Works Review 05/06/2005 05/12/2005 WE CAS No hook-up to City Infrastructure
until Public Improvements accepted
by the City; storm drainage to
system provided; impervious d/w
exempted due to underdrain
secondary system per Jim Donovan
5/12/2005 CAS
Structural Review 05/06/2005 05/19/2005 10 LLH Forwarded to Jason Bush for review
Structural Review 05/19/2005 OS/27/2005 WE JB Plans have to be re-engineered.
Applicant/contractor have been
contacted.
Structural Review 06/23/2005 06/27/2005 APP JB Approved as noted on plans
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.
3 of 5
=-~:iG, E;D iJii .... ',' "', !.
WfL, ." .
~,,-"" !
.~",!
, .. ."'~, ,-'-' ~. ,,_.' ..
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2005-00532
ISSUED: 07/14/2005
APPLIED: 05/05/2005
EXPIRES: 01114/2006
VAL UE: $ 258,864.00
lYeouired InsDec~
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.
Sidewalk - Curbside: 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.
Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
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.
Drywall: Prior to taping.
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.
Rough Plumbing: Prior to cover and including required testing.
Underfloor Drain: Prior to cover or placement of concrete.
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.
4 of 5
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERl\flT NO: COM2005-00532
ISSUED: 07/14/2005
APPLIED: 05/05/2005
EXPIRES: 01114/2006
VALUE: $ 258,864.00
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.
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 . of Springfield and the Laws of the State of Oregon pertaining to the work described herein,
and that NO ' AN iD be made of any structure without permission of the Community Services Division,
BUilding~~ . I rdrthe cLI ifY that only contractors and employees who are in compliance with ORS 701.005 will be used
on this pr .je t. /
I further ag, ee to ,nsur t at all required inspections are requested at the proper time, that each address is readable from
the street, Pilat the per it card is located at the front of the property, and the approved set of plans wiD remain on the site
at an u./.j ~ri/;;;.' netioo. _ '7/' '1 I 0 J--
/ ,Ill I I l
own7jotrtrs S goatore nate
5 of 5
CITY OF s11\lNGFIELD 'SYSTEMS' DEVELOPME~~RKSHEET
JQURNAL OR JOB NUMBER:
NAME OR COMPANY:
LOCATION:
TAX 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
3468.75 $0.310= I $1,075.31 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F. x COST PER S.F. x I DISCOUNT RATE I
0.00 $0.310 I 50% I
ITEM 1 TOTAL - STORM DRAINAGE SDC J $1,075.31 I
COM2005-00532revised
Anslow & DeGeneault
6120 FemhiII Loop
. Mountain Gate PH2 Lot 50
SINGLE FAMILY RESIDENCE
I BUILDING SIZE (SF:
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's x
j 23
B. IMPROVEMENT COST:
I NUMBER OF DFU's x
I 23
COST PER DFU
$24.04
$18.28 '
, '
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
= I
$973.36
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE . x . NUMBER OF UNITS' x
I 9.57 I
B. IMPROVEMENT COST:
I ADTTRIPRATE . x
I 9.57
2707
LOT SIZE (SF):
DISCOUNT
$0.00
COST PER TRIP' x . NEW TRIP FACTOR'
$18.30 1.00
I NUMBER OF UNITS x
I ]
COST PER TRIP
$80.72
$947.62
ITEM 3 TOTAL - TRANSPORTATION SDC = I
4. SANITARY SEWER - MWMC,
A. REIMBURSEMENT COST:
INUMBER OF FEU's x COST PER FEU
I I $82.03
B. IMPROVEMENT COST:
INUMBER OF FEU's I x
I I ,
ICOST PER FEU.
I $865.31
MWMC CREDIT IF APPLICABLE (SEE RE~RSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =; I
x I NEW TRIP FACTOR
I 1.00
10262
r/)
~
,~
o
u
~
~
E-<
r/)
......
o
~
$1,075.31
I
I ]070
$552.92
]09]
$420.44
1092
$175.13
1093
$772.49
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = I
5. ADMINISTRATIVE FEE:
I SUBTOTAL xl ADM. FEE RATE =
I $3,953.63 I 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE: .
Cheryl Slaymaker
7/13/2005
PREPARED BY
DATE
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
I BATHTUB 2 0 3 = 6
IDRINKlNG FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 0
I LAUNDRY TUB 0 0 2 = 0
I CLOTIIESW ASHER / MOP SINK 1 0 3 = 3
I CLOTHES WASHER - 3 OR MORE (EA) 0 0 6 = 0
I MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
I RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0
!RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
I SHOWER, SINGLE STALL 1 0 2 = 2
I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
ISINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
I SINK: COMMERCIAL BAR 0 0 2 = 0
I SINK: WASH BASIN/DOUBLE LA V A TORY 1 0 2 = 2
ISINK: SINGLE LA V ATORY/RESIDENTIAL BAR ~;; ", 1 0 1 1
URINAL, STALL I WALL 0 0 5 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRlV ATE INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU!S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 23
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$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
$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 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
=
City Job Number
Date
1.
hJ2tJ e('~ ~)II ~
LE\iAL DESCRIPTION ?I~~/v1.~ fh 2-
. t\ot Ass \Qno rl StJb k?f- 9J
\.,. J()B DESCRIPT~ f)f!LO
5}~k r;MJ/v ~~
Permits are non-transfer'ble and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
Electrical Contractor
Address J J ()
uJa..- ///S
City ;; 4 '1 e /'J ~
,Phone
Ll3lj,r...Y11
Expiration Date
r-i 0 t.j / 5 _
- c.,<5
10- /-~07
Supervisor License Number
Constr. Contr. Number
J t:, () 50~
7 - /~ 6 ~
Expiration Date
S;CZ2;2/ ~
O~=N'~~~
Address \ ct ~~ Gl\ t\aeri ~ i' E.
aty fl~ Phone <\ct4.cmD
OWNER INST ALLA nON
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
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
/
if
$106;00 / ,()b,oO
$ 19.00 ~ 100
$50.00
B.
200 Amps or less ...........'" $63.00
--.tcmJleftutrO'o I~
. " '~1 O~U\mt"". '~'1 Ut'\ity- $ 75.00
AI 'l~.lW(tef!&~~he Oreguli \ \,\$125.00
fo' tlJP:]WQl\iO'Vr rutes are sot fori
Notifi~~mlllf1On~Ugh OAR ~~?001..$163.00
In oAfi'95~Q)~9~~~~. of the f' lIes by$375.00
OO:'..R<<.o]jlIm1~~a'n coPlesh t '........h')nj:ll $ 50.00
W. lU\1 Nota: tee t7p" .
\' . .
~
flU . 1 -
center t$ -
Installation, Alteration or Relocation
200 Amps or less /
20 I Amps to 400 Amps
40 I Amps to 600 Amps
~~ I 0-0
$ 50.00
$ 69.00
$100.00
Over 600 Amps or 1000 Volts see "B" above.
D.
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 5~00
\~Trt~~}lergYlResidee~P\RE \~ 1HE ~~~~OO
11\Wtrd.:~\1Wg;,klj~~K~af\\S PFRM\1 \~ ~~5.00
Minirp.'t.~fJi1felriiJi~~eV~Pt fflSR~~~~~rAf~~~ + Surcharges
4.
21 Z,eID
1~,2Jf
'?~ 7.1)
I! n.l. If tJ-
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)/Building FormslElectrical Permit Application I-03.doc
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
RECEIPT #:
Job/Journal Number Description
COM2005-00532 Plan Review Residential
Payments:
Type of Payment
CreditCard
5/5/2005
Paid By
GORDON ANSLOW
City of Springfield Official Receipt
velopment Services Department
Public Works Department
1200500000000000573
Date: 05/05/2005
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 024510 In Person
Payment Total:
Page 1 of 1
11:07:25AM
Amount Due
646.52
$646.52
Amount Paid
$646.52
$646.52
225 Fifth Street
Springfield, Oregon. 97417
541-726-3759 Phone
~:A:~F~.''''~"...",'." ,.,..
U4..,...,.,.",., .
.. '.
rity of Springfield Official Receipt
~velopment Services Department
Public Works Department
Job/Journal Number
COM2005-00532
COM2005-00532
COM2005-00532
COM2005-00532
COM2005-00532
COM2005-00532
,
COM2005-00532
COM2005-00532
COM2005-00532
COM2005-00532
COM2005-00532
COM2005-00532,
COM2005-00532
COM2005-00532
CpM2005-00532
COM2005-00532
COM2005-00532
COM2005-00532
COM2005-00532
CbM2005-00532
COM2005-00532
CpM2005-00532
CbM2005-00532
COM2005-00532
COM2005-00532
COM2005-00532
COM2005-00532
COM2005-00532
COM2005-00532
COM2005-00532
COM2005-00532
CbM2005-00532
COM2005-00532
Payments:
TJPe of Payment
OreditCard
;~
7/14/2005
j]
RECEIPT #:
1200500000000000997
Date: 07/14/2005
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Sidewalk Permit
Curb cut Permit
PW Disc - 2nd Permit (Street)
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Transpo Admin
Plan Review Residential
Building Permit
2 Baths One or Two Family
Storm Sewer Each Addtl 100'
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Gas Fireplace
Appliance Not Listed
-Mechanical Issuance Fee-
Plan Review Major - Planning
Mountaingate Impervious Area
SDC Sanitary/Storm Admin
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
GORDON ANSLOW
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 086871 In Person ,
Payment Total:
1 of 1
9:08:51AM
Amount Due
31.00
1,000.00
106.00
76.00
50.00
80.00
80.00
(30.00)
552.92
420.44
175.13
772.49
82.03
865.31
10.00
61.81
57.04
1,082.40
254.00
70.00
12.00
18.00
9.00
6.00
4.00
15.00
18.00
10.00
103.00
1,075.31
135.16
120.43
172.04
$7,494.51
Amount Paid
$7,494.51
$7,494.51