HomeMy WebLinkAboutPermit Building 2006-5-8
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: COM2006-00306
ISSUED: 05/08/2006
APPLIED: 03/14/2006
EXPIRES: 11/08/2006
VALUE: $ 354,302.00
SITE ADDRESS: 6038 Fernhill Lp
ASSESSOR'S PARCEL NO.: 1702343407100
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence - Mt Gate subd lot 63
Owner:
Address:
RUHOFF HOMEBU1LQJ!;~S IONC law requires you to
3993 MIRROR P.oND:W,AWN: regon ilit
EUGENE OR 9J408w rules adopted by the Oregon Ut y
I~..- .' "_~+M Th("\Cpnllp.~aresetforth
i"U,:lIIJULlV" ~_. ..' ("\~ ("\ +h,'l,! h.OAf1952-001-
In OJ\R 952-001-t'CON1J~^~T,.o.lU~QRM',1\ TION ,
0090. You may u~ .-. ' .
__II; ~~ the center. (Note: the telephone .
Contvae'to.r ~ VJlity NotificatiorJ.-lcense
RUH{j)iF1bfit1ME~V rD*~~t~344). 130797
GOOD cO~'Ti<5 - uu . '
JUNG ENTERPRISES INC 102455
JAMMAL INC 158262
Contractor Type
General
Electrical
Mechanical
Plumbing
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
BUILDING INFORMATION I
I #'ofStories: 2
R-3 Height of Structure 30.00
U Type of Heat: Forced Air Gas
VN Water Type: Gas
Range Type: Gas
3 Energy Path: Path I
Sprinkled Building: ''''Q\\.~ nla
- "Wr "... -
"(\C~. DEVE~~~~iM~\WA~\O~ .
l\Q s ?E?tJ\\ \ ~ . DE? "\ ~O~ED \,U\'\
1~~ :O?\lED ~~$~'D~\\ Hillside
lfi~i)P:NlE~CED~' ~~~rees Rqd: 2
SJS'\'J'\ ~C\ \)~'Ifa ed Drive Rqd: Yes
21rt1d'l "\ % of Lot Coverage: 34.70
26.00
I PUBLIC IMPROVEMENTS I
Phone Number: 541-334-6550
Expiration Date
07/13/2008
Phone
541-334-6550
541-434-6491
541-937-2688
541-484- 7 440
10/04/2006
01/12/2008
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
10,890
1,936
1,194
956
392
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Fullv Improved
Yes
Sidewalk Type:
Downspouts/Drains:
To Storm Sewer
Notes: Storm drainage piped to stub provided 4/2012006 CAS
Page 1 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00306
ISSUED: 05/08/2006
APPLIED: 03/14/2006
EXPIRES: 11/08/2006
VALUE: $ 354,302.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation DescriPtion'
A.C. - Residen
Dedi/Balconv
Dwellin2S
Gara2e
Tvpe of Construction
AC - Residential
Deck
V Wood Frame
Gara2e
$ Per Sq Ft
or multiplier
$4.00
$18.00
$99.00
$26.00
Square Footage
or Bid Amount
3,130.00
392.00
3,130.00
956.00
Value
Date Calculated
Description
Total Value of Project
$12,520.00
$7,056.00
$309,870.00
$24,856.00
$354,302.00
05/0512006
05/05/2006
03/14/2006
03/14/2006
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $864.11 3/14/06 1200600000000000307
-Mechanical Issuance Fee- $10.00 5/8/06 1200600000000000611
+ 10% Administrative Fee $212.74 5/8/06 1200600000000000611
+ 8% State Surcharge $170.19 5/8/06 1200600000000000611
3 Baths One & Two Family $306.00 5/8/06 1200600000000000611
Addressing Assignment $31.00 5/8/06 1200600000000000611
Building Permit $1,394.40 5/8/06 1200600000000000611
Curbcut - Additional Driveway $40.00 5/8/06 1200600000000000611
Curbcut Permit $80.00 5/8/06 1200600000000000611
Dryer Vent $6.00 5/8/06 1200600000000000611
Exhaust Hoods $9.00 5/8/06 1200600000000000611
Fixture $42.00 5/8/06 1200600000000000611
Furnace - up to 100,000 btu $12.00 5/8/06 1200600000000000611
Gas Fireplace $15.00 5/8/06 1200600000000000611
Gas Outlets 1-4 $4.00 5/8/06 1200600000000000611
Heat Pump $12.00 5/8/06 1200600000000000611
Mountaingate Impervious Area $1,301.69 5/8/06 1200600000000000611
Plan Review Major - Planning $150.00 5/8/06 1200600000000000611
Plan Review Residential $42.25 5/8/06 1200600000000000611
Residence Wiring 1000 Sq Ft $106.00 5/8/06 1200600000000000611
Residence Wiring Ea Addtl 500 $133.00 5/8/06 1200600000000000611
Sanitary Sewer - Improvement $610.24 5/8/06 1200600000000000611
Sanitary Sewer - Reimbursement $802.24 5/8/06 1200600000000000611
SDC MWMC Administration $10.00 5/8/06 1200600000000000611
SDC MWMC Improvement $865.31 5/8/06 1200600000000000611
SDC MWMC Reimbursement $82.03 5/8/06 1200600000000000611
SDC Sanitary/Storm Admin $170.80 5/8/06 1200600000000000611
SDC Transpo Admin $62.20 5/8/06 12006000000000006]]
SDC Transpo Improvement $805.70 5/8/06 12006000000000006]1
SDC Transpo Reimbursement $182.69 5/8/06 1200600000000000611
Storm Sewer Each Addtll00' $14.00 5/8/06 1200600000000000611
Temp Power 200 amps or less $50.00 5/8/06 1200600000000000611
Vent Fan $24.00 5/8/06 1200600000000000611
Pa2e 2 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-00306
ISSUED: 05/08/2006
APPLIED: 03/14/2006
EXPIRES: 11/08/2006
VALUE: $ 354,302.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Willamalane Single Family
$1,000.00
5/8/06
Total Amount Paid
$9,620.59
I Plan Reviews I
Initial Review
Plannin!!: Review
03/1512006
03/15/2006
03/15/2006
04/26/2006
SKG
TAJ
APP
APP
Public Works Review
04/2012006
CAS
APP
03/1512006
Structural Review
Structural Review
03/15/2006
05/0512006
04/24/2006
05/05/2006
RWC
RWC
WE
APP
1200600000000000611
Place orange construction fencing
along vegetation easement. No
construction activity allowed in the
easement. Place orange
construction fencing to the dripline
of the tree(s) on the west property
line. Follow the tree preservation
guidelines in the attached "MtGate
Development Plan Restrictions".
Overwidth d/w application fee
added to permit form to be filled out
still 4/20/2006 CAS Waiting for
revised driveway/Site Plan
6/16/06JLP
faxed 4/24/06
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.
Ueouiredjnsnections I
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.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector. '
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.
Final Building: After all required inspections have been requested and approved and the building is complete.
Pa!!:e 3 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2006-00306
ISSUED: 05/08/2006
APPLIED: 03/14/2006
EXPIRES: 11/08/2006
VALUE: $ 354,302.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
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.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
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.
Drywall: Prior to taping.
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Water Line: Prior to filling trench and including required testing.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Rough Electric: Prior to Cover
Final Gas: When all gas work is complete.
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.
Curbcut - Overwidth: After forms are erected but prior to placement of concrete.
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
;:;::?5"7/ ~
(~r or conr.:;ctor~ture
~-ft ft6
Dare /
Pa!!e 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Cjf-' qf Springfield Official Receipt
L wpment Services Department
Public Works Department
Job/Journal Number
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
Payments:
Type of Payment
CreditCard
Check
cReceiotl
RECEIPT #:
1200600000000000611
Date: 05/08/2006
Description
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
Fixture
Storm Sewer Each Addtl 100'
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Gas Fireplace
Heat Pump
~Mechanical Issuance Fee~
Temp Power 200 amps or less
+ 8% State Surcharge
+ 10% Administrative Fee
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Curb cut Permit
Curbcut - Additional Driveway
Paid By
AARON SOLBECK
RUHOFF HOMEBUlLDERS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 04043B In Person
djb 7252 In Person
Payment Total:
Page 1 of2
lO:02:33AM
Amount Due
1,301.69
802.24
610.24
182.69
805.70
82.03
865.31
10.00
170.80
62.20
150.00
42.25
1,394.40
306.00
42.00
]4.00
12.00
24.00
9.00
6.00
4.00
15.00
12.00
10.00
50.00
170.19
212.74
31.00
1,000.00
]06.00
133.00
80.00
40.00
$8,756.48
Amount Paid
$8,000.00
$756.48
$8,756.48
5/8/2006
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL Pl!RMIT APPLICATION I~
City Job Number n - 00 ~or Date f.tL
(
1. 3.
W5>f!? fel'n h) II lacy)
LEGAL DESCRIPTION
i '1-02 'J1{'3Y OrlOO
JOB DESCRIPTION
~.~-' t;,_J0 tts1/foALL--
Perm~s are non-tr(nsferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days. ,\0
~.
2.
,
CO~"\ JX' ~
Electrical Contractor _.;Ele, , r. J..<<!f ~ @'6'~
O;\e\~~(j. '0"1 ~~;\0-\: Ol>'g:" ezj"\v.:o~~^
/J J.v.s.. J,',""J, 07 CX" ~ if I . [\'
Address r-......L4.fY ;,\~ tfl'lM::J><.c.O . \e,.~"
('~ " c- '0-- '&,e" \) '\.\' R\'U' K'e v-' ~,\\~
&-.'\(..' J.0' (je'" ~\J\. c,o . ~ '~..\~O
City (J-L/'~~ ~ri' < 0.\J'" ~v88rt~ \~08j@:\lf~f).,~Y;9 /
- \vJ ~\\(,o-' S'0t:~0-'\ 0 ^,\e"\' ~O'" -n..<'?:>tt'....
~\O . G\ " ". e" <e'1> ('\,;;
\~ oY\' -4.0'" e C; 0' ~\)'V
'.:0 ('\ ~ ~e A- X /'
Supervisor r:iEfJlse ~~m]je\o"\ i1V ct./ "::::>
v~ '\\)e"\ e~-' C ((;6
Expiration Date ",0-"" / d' / - ~ 0 7
Constr. Contr. Number
J ~O 5'6cP
7 - / -(j '-
Expiration Date
...........
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
$106,00 lOtp,oo
-::;- $ 19.00 I -')'S,a?
$50.00
B.
200 Amps or less
20 I Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsN oIts
Reconnect Only
$ 63,00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
c.
Installation, Alteration or Relocatio~
200 Amps or less \
201 Amps to 400 Amps
401 Amps to 600 Amps
~PJ
$ 50.00
$ 69.00
$100.00
D.
New Alteration or Extension Per Panel
One Circuit
$ 43.00
$ 3.00
$ 50.00
$ 50.00
$ 25.00
$ 45.00
4.
--:::::-
""-
,.-. ......, " -:--v
~-;7D~
, /"
M? I?L-
~O
''''~.r
~2-
8% State Surcharge
10% Administrative Fee
~ 3. \11
~B (10
TOTAL
Shared Drive(T:)/Building F~ct .
'i1:~ '-~. t
CITY OF SPRINGFIELD SYSTEMS DEVELOPMEN.~7\~RKSHEET
JOURNAL OR JOB NUMBER: C0M2006-00306
NAME OR COMPANY: RuhoffHomebuilders
LOCATION: 6038 Femhill Loop
TAX LOT NUMBER: 1702343407100
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS 1 BUILDING SIZE (SF: 3308
LOT SIZE (SF):
I. STORM DRAINAGE
DlRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.F. x COST PER S.F. CHARGE
4030.00 $0.323 = $1,301.69
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. x COST PER S.F. x 1 DISCOUNT RATE I DISCOUNT
I 0.00 $0.323 I 50% I $0.00
ITEM 1 TOTAL - STORM DRAINAGE SDC I $1,301.69
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's x
, 32
B. IMPROVEMENT COST:
NUMBER OF DFU's x
32
COST PER DFU
$25.07
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
$19.07
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADTTRIPRATE I x
1 9.57 ,
I NUMBER OF UNITS x I
1 I 1
B. IMPROVEMENT COST:
ADT TRIP RATE x NUMBER OF UNITS x I
9.57 I I
ITEM 3 TOTAL - TRANSPORTA nON SDC = "
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's x
1 I
B. IMPROVEMENT COST:
NUMBER OF FEU's x
I
ICOST PER FEU
I $82.03
ICOST PER FEU
1 $865.31
Cheryl Slaymaker
4/20/2006
PREPARED BY
DATE
= I
$1,412.48
x INEWTRIPFACTOR
I 1.00
x NEW TRIP FACTOR
1.00
10502
$1,301.69
$802.24
$610.24
$182.69
$805.70
=
$82.03
if.J
~
Cl
o
u
~
~
E-<
r/J
I-<
o
~
1070
1091
1092
1093
1094
!:
1054
1055
1054
1056
1079
11078
I
I
COST PER TRIP
$19.09
COST PER TRIP
. $84.19
$988.39
$957.34
$4,659:90
CHARGE
$233.00
TOTAL SDC CHARGES
=
$865.31
$0.00
$10.00
170.80
$62.20
=,
$4,892.90
',"
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIXTURES)
NO, OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
I BATHTUB 1 0 3 = 3
IDRINKlNG FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
LAUNDRY TUB 1 0 2 = 2
CLOTHESW ASHER / MOP SINK 1 0 3 = 3
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
SHOWER, SINGLE STALL 2 0 2 = 4
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN ~ 1 0 3 = 3
SINK: COMMERCIAL BAR 0 0 2 = 0
I SINK: WASH BASIN/DOUBLE LA V A TORY 1 0 2 = 2
SINK: SINGLE LA V A TORY /RESIDENTIAL BAR 3 0 1 = 3
URINAL, STALL / WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRIVATE INSTALLATION 4 0 3 = 12
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 32
OEDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at ]67 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
BEFORE] 979
]979
]980
]98]
]982
]983
]984
]985
]986
]987
]988
]989
1990
]99]
]992
]993
]994
1995
]996
]997
]998
]999
2000
2001
CREDIT RA TE/$I,OOO
ASSESSED V ALOE
$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 I for Yes, 2 for No)
BASE YEAR
2
YEAR
ANNEXED
2
1979
CREDIT FOR LAND (IF APPLICABLE)
V ALOE / 1000 CREDIT RATE
$0.00 x $5.29
= ,
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
V ALOE / 1000 CREDIT RATE
$0.00 x $5.29
o
TOTAL MWMC CREDIT
=
$0.00
'7':
Job/JouriJaJ Number
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
COM2006-00306
Payments:
Type of Payment
CreditCard
Check
cReceint 1
-',
~
RECEIPT #: _200600000000000611
e: 05/08/2006
Description
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
Fixture
Storm Sewer Each Addtl ] 00'
Furnace - up to ] 00,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets]-4
Gas Fireplace
Heat Pump
~Mechanical Issuance Fee~
Temp Power 200 amps or less
+ 8% State Surcharge
+ ]0% Administrative Fee
Addressing Assignment
Willamalane Single Fami]y
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Curbcut Permit
Curbcut - Additional Driveway
Paid By
AARON SOLBECK
RUHOFF HOMEBUILDERS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 04043B In Person'
djb 7252 ]n Person
Payment Total:
Page 2 of2
lO:02:34AM
Amount Due
] ,30] .69
802.24
610.24
182.69
805.70
82.03
865.3 ]
]0.00
]70.80
62.20
]50.00
42,25
] ,394.40
306.00
42.00
]4.00
]2.00
24.00
9.00
6.00
4.00
]5.00
]2.00
]0.00
50.00
]70.]9
2]2.74
3 ].00
],000.00
]06.00
]33.00
(
80.00
40,00
$8,756.48
Amount Paid
$8,000.00
! $756.48
$8,756.48
5/8/2006