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Home My WebLink AboutPermit Building 2007-4-17 :ITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00269 ISSUED: 04/17/2007 APPLIED: 02/21/2007 EXPIRES: 10/17/2007 VALUE: $ 404,629.00 , ; Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6106 Fernhill Lp ASSESSOR'S PARCEL NO.: 1702343405900 Springfield TYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: Single family residence-lot 51 TYPE OF USE: New Residential Owner: W AL TER CUSTOM HOMES Address: 2863 RIVERW ALK LOOP EUGENE OR 97401 I CONTRACTOR INFORMATION' Contractor Type General Electrical Mechanical Plumbing Contractor License THOMAS WALTER CUSTOM HOMES LLC 160287 BOB FISHER ELECTRIC INC 96275 MARS HALLS INC 25790 RS P.L~MBING CON~~C:~~Wt: \NQ~$ 103816 ~01\Gt. \1 S\1~Ul uroI'th-r~'j~Fla~lTIoN I 1\1\S \'ERM DER 1 \"\\,,~ljiii.\OR # of Units: 1\10R\IED UN ~$~~~\)s: Primary Occupancy Gro~~MMEN~O OR \S Height of Structure: Secondary Occupancy G.IOllp~' 0 f\r:..l/ \'ER\OD. Type of Heat: Gas Primary Construction Ty~'{ '\ B "'VB Water Type: Gas Secondary Construction Type: Range Type: Gas # of Bedrooms: 3 Energy Path: Path 1 Sprinkled Building: n/a . --31l\Ht: IDEVELOPME~A~@RMXTfR~ P\-r\\:.Nl\ON. ~~;ted b'1 the ~;~;e set iortn 12.00'o\IO\f\l ru\e~e,\~ Illsese rU OJ\R 952-Cl(fUrside 29.5&oti,ication ~r..~1(!jlte-!i\'~ca~ ~ the rules b,/ 3 10.90 OP\R 952W.~~d()HMWt ~!3S 0 telephone Yes 42.od~090. '{ou '7Xl%'fe~~M?~~e~~e NotilicatioOO.70 0.00 al\ing the c oregon Ut\\lt'/ "1\). C t _. thR _ "'1" ,?3"t ""lln,l- . ~ ><"V v- . nIPUBI4J€ll~I4'C 'i\.OVEMENTS I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Subdivision Not Accepted Street Improvements: Storm Sewer Available: Special Instruction: Fully Improved Yes Notes: Storm H20 to designated & approved lateraI.JLP 3/26/07 Pa2e 1 of5 Phone Number: 541-683-6355 Expiration Date 07/12/2008 01/25/2008 12/23/2009 01/04/2008 Phone 541-683-6355 541-689- 7973 541-747-7445 541-461-4714 2 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 1,523 783 2,061 REQUIRED PARKING Total: 2 Handicapped: Compact: Sidewalk Type: Downspouts/Drains: Curbside 5' To Storm Sewer Status Issued :ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00269 ISSUED: 04/17/2007 APPLIED: 02/21/2007 EXPIRES: 10/17/2007 VALUE: $ 404,629.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I A.C. - Residen Dwellinl!:s Garal!:e Tvpe of Construction AC - Residential V Wood Frame Garal!:e $ Per Sq Ft or multiplier $4.00 $103.00 $27.00 Square Footage or Bid Amount 3,584.00 3,584.00 783.00 Value Date Calculated Description Total Value of Project $14,336.00 $369,152.00 $21,141.00 $404,629.00 02121/2007 02/21/2007 02/21/2007 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $1,011.99 2/21/07 2200700000000000231 -Mechanical Issuance Fee- $10.00 4/17/07 1200700000000000423 + 10% Administrative Fee $263.23 4/17/07 1200700000000000423 + 5% Technology Fee $139.10 4/17/07 1200700000000000423 + 8% State Surcharge $193.11 4/17/07 1200700000000000423 3 Baths One & Two Family $306.00 4/17/07 1200700000000000423 Addressing Assignment $31.00 4/17/07 1200700000000000423 Building Permit $1,556.90 4/17/07 1200700000000000423 Curbcut Permit $40.00 4/17/07 1200700000000000423 Curbcut Permit $80.00 4/17/07 1200700000000000423 Dryer Vent $6.00 4/17/07 1200700000000000423 Exhaust Hoods $9.00 4/17/07 1200700000000000423 Fire SF Fee - Residential $218.35 4/17/07 1200700000000000423 Fireplace (Listed) $45.00 4/17/07 1200700000000000423 Fixture $42.00 4/17/07 1200700000000000423 Furnace - up to 100,000 btu $12.00 4/17/07 1200700000000000423 Gas Outlets 1-4 $4.00 4/17/07 1200700000000000423 Gas Outlets 4+ $2.00 4/17/07 1200700000000000423 Miscellaneous Plumbing $90.00 4/17/07 1200700000000000423 Mountaingate Impervious Area $1,304.54 4/17/07 1200700000000000423 Plan Review Major - Planning $198.00 4/17/07 1200700000000000423 PW Disc - 2nd Permit $-30.00 4/17/07 1200700000000000423 Residence Wiring 1000 Sq Ft $106.00 4/17/07 1200700000000000423 Residence Wiring Ea Addtl 500 $133.00 4/17/07 1200700000000000423 Sanitary Sewer - Improvement $752.04 4/17/07 1200700000000000423 Sanitary Sewer - Reimbursement $989.01 4/17/07 1200700000000000423 Sanitary Sewer Each Addtll00' $14.00 4/17/07 1200700000000000423 SDC MWMC Administration $10.00 4/1 7/07 1200700000000000423 SDC MWMC Improvement $961.52 4/17/07 1200700000000000423 SDC MWMC Reimbursement $91.61 4/17/07 1200700000000000423 SDC Sanitary/Storm Admin $192.04 4/17/07 1200700000000000423 SDC Transpo Admin $64.69 4/17/07 1200700000000000423 SDC Transpo Improvement $836.32 4/17/07 1200700000000000423 SDC Transpo Reimbursement $189.58 4/17/07 1200700000000000423 Pal!:e 2 of5 :ITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00269 ISSUED: 04/17/2007 APPLIED: 02/21/2007 EXPIRES: 10/17/2007 VALUE: $ 404,629.00 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 Addtll00' Temp Power 200 amps or less Vent Fan Willamalane Single Family 4/17/07 4/17/07 4/17/07 4/17/07 4/17/07 $80.00 $14.00 $50.00 $24.00 $2,303.00 Total Amount Paid $12,343.03 I Plan Reviews I Initial Review Plannin2 Review 02/21/2007 04/10/2007 02/21/2007 04/10/2007 APP APP NJM TAJ Plannin2 Review 02/21/2007 03/30/2007 WE TAJ Public Works Review 02/21/2007 02/21/2007 WI JLP Public Works Review 03/26/2007 03/26/2007 APP JLP Structural Review 02/21/2007 03/15/2007 10 LLH Pa2e 3 of 5 1200700000000000423 1200700000000000423 1200700000000000423 1200700000000000423 1200700000000000423 Place orange construction fencing along the Conservation Easement and keep all construction activity out of this area except for what is needed for the level spreader. Follow the replanting plan approved on 4/10/07 to replace the 3 trees removed from the Conservation Easement. They must be: at least 2" caliper, chosen from the Hillside list on page 6-4 of the Street Tree Handout, and planted prior to occupancy. Contact Tara Jones 736-1003 when ready to inspect. Plant native trees chosen for the Hillside list for the 3 required street trees. On hold until can get clarification from Contractor on tree removal. Left message for Andy on 3/30/07. Rcvd 2/21/2007---Waiting in order PW rcvd for rvw.JLP Storm H20 to designated & approved lateral.Overwidth approval is currently held until Ken & Bldr work out if possible due to inlet location blocking driveway approach.Forwarded case approved due to:(no tagging) & to avoid delaying permit issuance.JLP 3/26/07 *** Bldr sez Eric Waiter is engineer, I sent overwidth application to Eric to work out drive/utility issues.JLP 3/28/07 Plans forwarded to The Building Department for Structural Review. :ITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: COM2007-00269 ISSUED: 04/17/2007 APPLIED: 02/21/2007 EXPIRES: 10/17/2007 VALUE: $ 404,629.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural Review 03/15/2007 03/19/2007 APP LLH Plans reviewed and approved by Shawn Eaton with The Building Department under contract with the City of Springfield To Request an inspection call the 24 hour recording at 726-3769. All inspections 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. ~eouire<UnSDections 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. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. 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 - Overwidth: After forms are erected but prior to placement of concrete. 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. 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. Vnderfloor Plumbing: Prior to insulation or decking. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. 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. Vnderfloor Mechanical. Prior to insulation or decking and including required testing. Pa2:e 4 of 5 Status Issued :ITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-00269 ISSUED: 04/17/2007 APPLIED: 02/21/2007 EXPIRES: ] 0/17/2007 VALUE: $ 404,629.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. 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. ~~ '1' / 7 I 0 7 Owner or Contractors Signature Date Pal!e 5 of 5 u~ ~ I :!!:':' CITY OF spRrn, IELD, OREGON 225 FIFTH STREET. SPRINGFIELD. OR 97477 . PH:(541)726-3753 . FAX: (541)726.3689 ELECTRICAL PW!A!I1i4P~LICATION City Job Number L.:J I · 'L..lcY', Date 1. LOCATION OF INSTALLATION: 3. LEG~~P~~~ \ 1D1..34~ t1ffJd) JO~~R~N . ~-(~ Perml" a~n-tranSf.,able and e Ire If work .. not started within 180 days of issuance or if work is Suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor f?o'" h' S h.e. r' EI~ '- IVlv. Address I~D ~ i nq~huvV M-{ . <<II SI ~I- q[j)g City W (;1(,,(1(/ Phone (p~ q - 7 q 13 I . Supervisor License Number ? 9 '7 C ,'5 Expiration Date I ()- 1 - 07 Constr. Contr. Number 2n <) ~--?- ~ Expiration Date /) 7 , t '"/ ~.I>I ~ Signature of Supervising Electrician COMPLETE FEE SCHEDULE BELOW ZON \ I\~ INITIALS W _ . DATE A. ~.U, SOURCE ~ A. New ResidentiaI- Single or Multi-Family per dwelling unit. 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 ( '1 \ClafJP \33, ctJ $106.00 $ 19.00 $50.00 B. Services or Feeders -Installation, Alterations or Relocation: 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only C. Temporary Services or Feeders 8% State Surcharge 10% Administrative Fee 5% Technology Fee $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 $ 50.00 $ 69.00 $100.00 fi)fD Installation, Alteration or Relocation l 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amp's" Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits \0 "ou " /J I '1 (j New Alteration or ~~Pro~\lbl \~~. f? T~ One Ci~~~o(\ \'o.~ne O~e90n c;p.\ \ot\n $ 43.00 , ~~~~Hiti~~rtu~~Wnhe r;;,z.-OU \- --\f'W"V' ~': f\kO) f\"r\'2.~S~~i.c~~?Feec\~<ffe~it:n Of\\"\ 9 u\-:;<;; \1"- $ 3.00 Owners Nm \VI J _..~. \\o-N ~\,\ ceri\.ecO\n~0\}9 o~~~ \L",e ~ \0\ ',,",""\'-1. ''''\ 'eS if\'\:l" Address \a3!.l.tfi\.. .T~ o:2~\~;';.,~.'i'!',6Ia~\\t~~~~ \tI .. \1!JtlIed) -E". Installation City f~ Phone ~i63 -~~I:"'" '.l~.' ~~'Im.' b~. B~~\~)' $ 50.00 ~- ( - \<2> ~ im)~. ,~~~,If"lJ'~ $ 50.00 OWNER INST ALLATION i\\\)i\\Cl~. .~lsidential $ 25.00 The in,stallation is being made on property I own WhiC~Q~~t.~~~~~eommercial $ 45.00 IS not mtended for sale, lease or rent. 1\~f\~a.~Electric Permit Inspection Fee is $45.00 + Surcharges Owners Signature: 4. SUBTOTAL OF ABOVE ~_a:J :t-:{j -J(o tt~~ ~ :,\, TOTAL Shared Drive(T:)/Building Fonns/Electrical Permit Application 8-06,doc " ' CITY OF SP'rffqGFIELD SYSTEMS DEVELOPMENT"":~~'RKSHEET JOURNAL OR JOB NUMBER: C0M2007-00269 NAME OR COMPANY: ' Walter Custom Homes LOCATION: 6106 Femhill Lp TAX LOT NUMBER: - 1702343405900 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS 1 BUILDING SIZE (SF 2939 LOT SIZE (SF): L STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM . I IMPERVIOUS S.F. x I COST PER S.F. CHARGE I 3887.00 I $0.336 = I $1,304.54 I . RUNOFF ROD lbU TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. x I COST PER S.F. x DISCOUNT RATE I I DISCOUNT I 0.00 I $0.33650% I = I ' $0.00 ITEM 1 TOTAL - STORM DRAINAGE SDC $1,304.54 J 2. SANITARY SEWER - CITY A REIMBURSEMENT COST:' NUMBER OF DFU's I x 38 I B. IMPROVEMENT COST: I NUMBER OF DFU's x I 38 11911 r/) ~ o o u ~ ~ t-< r/) ...... c:; ~ $1,304.54 1070 'i I COST PER DFU I $26.03 $989.01 109] $19.79 =, ' $752.04 1092 = , $1,741.05 ITEM 2 T01:AL - CITY SANITARY SEWER SDC 3. TRANSPORTATION f\.. REIMBURSEMENT COST: I ADTTRIPRATE x I 9.57 B. IMPROVEMENT COST: ADTTRIPRATE I 9.57 I I NUMBER OF UNITS x I I 1 I x I NEW TRIP FACTORI i 1.00 I = , 1093 COST PER TRIP $19.81 $189.58 x I NUMBER OF UNITS x I 1 COST PER TRIP $87.39 $1,025.90 x I NEW TRIP FACTOR I 1.00 1094 , ' $836.32 = , ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A REIMBURSEMENT COST: NUMBER OF FEU's I x COST PER FEU 1 J $91.61 B. IMPROVEMENT COST:, INUMBER OF FEU's I. x I 1 I 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.FEERATE I $5,134.62 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Jeff Prociw PREPARED BY = $91.61 1054 ICOST PER FEU L $961.52 = , $961.52 ,1055 = , $0.00 I' 1054 " =, $10.00 t" $1,063.13 $5,134.62 I CHARGE $256.73 192.04 1079 ~ $64.69 1078 TOTAL SDC CHARGES =1 $5,391.35 3/26/2007 DAlE --- ..~- ...-... DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQillV ALENT = DRAINAGE FIXTURE UNITS (N01E: FOR REMODELS, CALCULATE ONLY 1HE NET AuUIIIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 2 0 3 I = 6 DRINKING FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 IIN1ERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 ILAUNDRY TUB 1 0 2 = 2 ICLOTHESWASHER/MOP SINK 1 0 3 = 3 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 1 0 3 = 3 ISHOWER, SINGLE STALL 2 0 2 = 4 I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK: COMMERClAL/RESIDENTIAL KITCHEN 1 0 3 = 3 I SINK: COMMERCIAL BAR 0 0 2 = 0 I SINK: WASH BASINIDOUBLE LAVATORY 1 0 2 = 2 I SINK: SINGLE LAVATORY /RESIDENTIAL BAR 3 0 1 = 3 IURINAL, STALL / WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 4 0 3 = 12 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 38 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 !?FU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$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 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 = I $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0.00 x $5.29 o = $0.00 TOTAL MWMC CREDIT 225 Fifth ~..treet Springfield, Oregon 97477 541-726-3759 Phone Cwf Springfield Official Receipt DWlopment Services Department Public Works Department Job/Journal Number COM2007 -00269 COM2007 -00269 COM2007-00269 COM2007-00269 COM2007-00269 CO M2007 -00269 CO M2007 -00269 COM2007-00269 COM2007 -00269 COM2007 -00269 COM2007 -00269 COM2007-00269 COM2007-00269 COM2007-00269 COM2007-00269 COM2007-00269 COM2007-00269 COM2007-00269 COM2007-00269 COM2007-00269 COM2007-00269 COM2007 -00269 COM2007-00269 COM2007-00269 COM2007-00269 COM2007-00269 COM2007-00269 COM2007-00269 COM2007-00269 COM2007-00269 COM2007-00269 COM2007-00269 COM2007-00269 COM2007 -00269 COM2007 -00269 COM2007-00269 COM2007-00269 COM2007-00269 Payments: Type of Payment Check CreditCard cReceintl RECEIPT #: 1200700000000000423 Date: 04/17/2007 Description Fire SF Fee - Residential Building Permit Addressing Assignment Willamalane Single Family 3 Baths One & Two Family Fixture Sanitary Sewer Each Addtl 100' Storm Sewer Each Addtl 100' Miscellaneous Plumbing Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Gas Outlets 1-4 Gas Outlets 4+ Fireplace (Listed) ~Mechanical Issuance Fee~ Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Curbcut Permit Curbcut Permit Sidewalk Permit PW Disc - 2nd 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 + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By THOMAS WALTER CUSTOM HOMES LLC W ALTER CUSTOM HOMES Item Total: Check Number Authorization Received By Batch Number Number How Received djb djb 6478 In Person 017643 In Person Payment Total: Page 1 of2 11:03:18AM Amount Due 218.35 1,556.90 31.00 2,303.00 306.00 42.00 14.00 14.00 90.00 12.00 24.00 9.00 6.00 4.00 2.00 45.00 10.00 106.00 133.00 50.00 40.00 80.00 80.00 (30.00) 1,304.54 989.01 752.04 189.58 836.32 91.61 961.5 2 10.00 192.04 64.69 198.00 139.10 193.11 263.23 $] ],331.04 Amount Paid $3,273.33 $8,057.71 $11,331.04 4/17/2007 . ' . ';/ Job/Journal Number COM2007 -00269 COM2007.-00269 COM2007-00269 COM2007-00269 COM2007-00269 COM2007 -00269 COM2007 -00269 COM2007-00269 COM2007-00269 COM2007-00269 COM2007-00269 COM2007-00269 COM2007 -00269 COM2007 -00269 COM2007 -00269 COM2007 -00269 COM2007 -00269 COM2007-00269 COM2007-00269 CO M2007 -00269 COM2007-.o0269, COM2007-00269 COM2007-00269 COM2007-00269 COM2007-00269 COM2007-00269 COM2007-00269 CO M2007 -00269 COM2007-00269 COM2007-00269 COM2007-00269 COM2007-00269 COM2007-00269 COM2007-00269 COM2007 -00269 COM2007-00269 COM2007-00269 COM2007-00269 Payments: Type of Payment Check CreditCard cReceintl . RECEIPT #: 1200700000000000423 e: 04/17/2007 Description Fire SF Fee - Residential Building Permit Addressing Assignment WilIamalane Single Family 3 Baths One & Two Family Fixture Sanitary Sewer Each Addtl 100' Storm Sewer Each Ad.dtl 100' Miscellaneous Plumbing Furnace - up to 100,000 btu Vent Fan Exhaust Hoods DlJ.'er Vent Gas Outlets 1 ~4 Gas Outlets 4+ Fireplace (Listed) ~Mechanical Issuance Fee~ Residence Wiring'l 000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Curbcut Permit Curbcut Permit Sidewalk Permit , PW Disc - 2nd 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 + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By THOMAS W ALTER CUSTOM HOMES LLC WALTER CUSTOM HOMES Item Total: Check Number Authorization Received By Batch Number Number How Received djb djb 6478 In Person 017643 ' In ,Person Payment Total: Page 2 of2 1l:03:18AM Amount Due 218.35 1,556.90 31.00 2,303.00 306.00 42.00 14.00 14.00 90.00 12.00 24.00 9.00 6.00 4.00 2.00 45.00 10.00 106.00 133.00 50.00 40.00 80.00 80.00 (30.00) 1,304.54 989.01 752.04 189.58 836.32 91.61 961.52 10.00 192.04 64.69 198.00 139.10 193.11 263.23 $11,331.04 Amount Paid $3,273.33 $8,057.71 $11,331.04 4/17/2007