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Home My WebLink AboutPermit Building 2005-12-5 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-01284 ISSUED: 12/05/2005 APPLIED: 09/21/2005 EXPIRES: 06/05/2006 VALUE: $ 420,625.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6076 Fernhill Lp ASSESSOR'S PARCEL NO.: 1702343406200 Springfield TYPE OF Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single Family Residence, Lot 54, Mountaingate Residential Owner: WALTER CUSTOM HOMES Address: 2863 RIVERW ALK LOOP EUGENE OR 97401 Phone Number: 541-683-6355 I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: Hillside ~t!.1~v.. ' 2 # Street Trees .-C. ~ ~\\tll ~t'\l\'t~\llpped: Paved D~~~tA\' ,\,\~\J '{~~,e S) '0'i\Pact: % of Lor~~~.:; D U~fJ't.'r. 2B~\\t)Q~ ~,,\,\~\\~1.;,a Q~~~ ~ ~. ~j' . n~ - .... uVt\~fl PUBLIC IMPRO\}'Ifj , " .. ~f"\ Contractor Type General Electrical Engineer " Use Initials Mechanical Plumbing ~Iires ,:/uV'.\.:\.\/ I CONTRACT~~f\' . ;lQ~tJ~~\\o~\\I :\-n:.N\ \VI ". dop\ed u\eS are-'3 -Cl0'\- Contractor p;. \0\1'1 fU\es a :\.ef. \\lOsetdi'\tt9-~.~ 952.ExP,jration Date THOMAS WALTE~~R\~!{\m~~f).-ooot~~~V\\le fU\es ;07/12/2008 BOB FISHER ELE~~Rrf~~OO ~ obtain cOi~~~ \e\e~\lO~ (\l1l25/2006 MATTHEW NA VA \n gO. 'lou ('\'\a~en\ef. \NO\~\i\i\'1 No\i1\Ca\\0 PAMELA HILLSTR~ a\\in9 \\le e Ofe90n ~2.3AA). MARSHALLS INC C u{'\'\bef 'of \\1 is '\ ~80~g.r~0 12/23/2005 RS PLUMBING CONT~CTINGen\ef 103816 01104/2006 I BUILDING INFORMATIONI # of Units: Primary Occupancy Group: Secondary Occupancy P'rimary Construction Type Secondary Construction # of Bedrooms: # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 3 39.00 Gas Gas Gas Path 1 n/a 1 R-3 VB 5 Front yard Setback: d Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 15.20 70.00 12.00 90.00 68.70 , Subdivision Not Accepted Street Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains Fullv Improved Yes Phone 541-683-6355 541-689-7973 503 238-0633 541868-0667 541-747-7445 541-461-4714 20,000 1,641 1,636 669, 762 Curbside 5' To Storm Sewer Notes: No hook-up to City Infrastructure until Public Improvements accepted by the City; Storm drainage piped to stub provided 9/23/2005 CAS 1 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 PERMIT NO: COM2005-01284 ISSUED: 12/05/2005 APPLIED: 09/21/2005 EXPIRES: 06/05/2006 VALUE: $ 420,625.00 I Valuation Description I Description A.C. - Residen Dwellinl!:s Garal!:e Type of Construction AC - Residential V Wood Frame Garal!e $PerSqFt or multiplier $4.00 $96.00 $25.00 Square Footage or Bid Amount 4,039.00 4,039.00 669.00 Value Date Calculated Total Value of Project $16,156.00 $387,744.00 $16,725.00 $420,625.00 09/22/2005 09/21/2005 09/21/2005 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $1,011.99 9/21/05 2200500000000001302 -Mechanical Issuance Fee- $10.00 12/5/05 1200500000000001775 + 10% Administrative Fee $237.29 12/5/05 1200500000000001775 + 7% State Surcharge $166.10 12/5/05 1200500000000001775 3 Baths One & Two Family $306.00 12/5/05 1200500000000001775 Addressing Assignment $31.00 12/5/05 1200500000000001775 Appliance Vent $6.00 12/5/05 1200500000000001775 Boiler/Comp 3-15 HP $22.00 12/5/05 1200500000000001775 Building Permit $1,608.90 12/5/05 1200500000000001775 Dryer Vent $6.00 12/5/05 1200500000000001775 Exhaust Hoods $9.00 12/5/05 1200500000000001775 Furnace - more than 100,000 $15.00 12/5/05 1200500000000001775 Gas Fireplace $30.00 12/5/05 1200500000000001775 Gas Outlets 1-4 $4.00 12/5/05 1200500000000001775 Gas Outlets 4+ $2.00 12/5/05 1200500000000001775 Mountaingate Impervious Area $1,309.36 12/5/05 1200500000000001775 Plan Review Major - Planning $150.00 12/5/05 1200500000000001775 Plan Review Residential $33.80 12/5/05 1200500000000001775 Plan ReviewIResidential Hourly $135.00 12/5/05 1200500000000001775 Residence Wiring 1000 Sq Ft $106.00 12/5/05 1200500000000001775 Residence Wiring Ea Addtl 500 $152.00 12/5/05 1200500000000001775 Sanitary Sewer - Improvement $553.03 12/5/05 1200500000000001775 Sanitary Sewer - Reimbursement $727.03 12/5/05 1200500000000001775 Sanitary Sewer Each Addtll00' $14.00 12/5/05 1200500000000001775 SDC MWMC Administration $10.00 12/5/05 1200500000000001775 SDC MWMC Improvement $865.31 12/5/05 1200500000000001775 SDC MWMC Reimbursement $82.03 12/5/05 1200500000000001775 SDC Sanitary/Storm Admin $164.12 12/5/05 1200500000000001775 SDC Transpo Admin $62.64 12/5/05 1200500000000001775 SDC Transpo Improvement $805.70 12/5/05 1200500000000001775 SDC Transpo Reimbursement $182.69 12/5/05 1200500000000001775 Sidewalk Permit $80.00 12/5/05 1200500000000001775 Storm Sewer Each Addtll00' $28.00 12/5/05 1200500000000001775 Temp Power 200 amps or less $50.00 12/5/05 1200500000000001775 2 of 5 CITY OF SPRINGFIELD' Building/Combination Permit Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2005-01284 ISSUED: 12/05/2005 APPLIED: 09/21/2005 EXPIRES: 06/05/2006 VALUE: $ 420,625.00 Water Line - Each Addtll00' , Willamalane Single Family $14.00 $1,000.00 12/5/05 12/5/05 Total Amount $9,989.99 I Plan Reviews I Initial Review 09/22/2005 09/22/2005 APP LLH Initial Review 10/10/2005 10/10/2005 APP LLH Initial Review 10/11/2005 10/11/2005 APP LLH LDAP Review 10/11/2005 10/11/2005 APP VRJ LDAP Review 09/29/2005 10 VRJ Plan nine Review Plan nine Review Plannine Review 10/11/2005 10/10/2005 09/22/2005 WE TAJ 10/11/2005 APP TAJ 10/05/2005 Public Works Review 09/23/2005 09/22/2005 APP CAS Structural Review 09/22/2005 10/12/2005 WE DLM Structural Review 11/02/2005 1200500000000001775 1200500000000001775 Revised site plan 2nd Revised Plot Plan LDAP ready to issue 10/11/05. Alison of Walter Custom Homes has been contacted. $600.00 due at issuance. Full review LDAP. $600.00 due at issuance. Ldap is currently under review. received revised site plan 10/11/05. On hold for revised site plan: tree removal, limits of disturbance, coverage, solar and height need to be noted on the site plan. Left message for Alison at Walter Custom Homes on 10/4/05. No hook-up to City Infrastructure until Public Improvements accepted by the City; storm drainage piped to stub provided 9/23/2005 CAS Requested add') information on vertical engineering & misc. via fax. See documents for needinfo letter 10/12/05 dim Received additional structural information and revisions from Watton design firm in response to my request for add'l info. 11/2/05 dim. Forwarded to Tom Marx to complete review 11/3/05 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 Reouired InsDections . 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. 3 of 5 CITY OF SPRINGFIELD,' Building/Combination Permit Status: Issued PERMIT NO: COM2005-01284 ISSUED: 12/05/2005 APPLIED: 09/21/2005 EXPIRES: 06/05/2006 VALUE: $ 420,625.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. 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. 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. 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. 4 of 5 Status: Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01284 ISSUED: 12/05/2005 APPLIED: 09/21/2005 EXPIRES: 06/05/2006 VALUE: $ 420,625.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 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. ~<4-:::;-)~tc.0 I t-- 5 -, OS Owner or Contractors Signature Date 5 of 5 , SU 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3~9's e ~o\ ~ ~ ELECTRICAL PERMIT APPLICATION ~\o'l'l\~\Q'~oe'i> ,,0 I\~. .,nn A- Date \0 '0-,,0 City Job Number \:#:') rLYTr 1.I4()C~,!,J i'iJ1!1VS,/,-Jf.I./lllJ-T1()r'l \Ql)fl\o ~'(\\\\ tm~ LEGAL DESCRIPTION \~~~ DloW JOB DESCRIPTION ~D~ ~t1~ Permits a e non-transferabl nd expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 3. 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~ \ 51J....00 \ e $106.00 $ 19.00 $50.00 B. 2. Electrical Contractor M fl?~ ~t:-~\"'("/ 201 Amps to 400 Amps Address / eO t,IfPh,. kl( /life:...-- 401 Amps to 600 AmD.&s you to r:>. ~Ia\lll reOUII '-' ATTENTION:~leA'm n'\hoJl~tE1Jjn Utility. Phone 6-gq 7r~!fuw rules aQvett~'~&~W~D~glt~i8 s8t:'or~h Notification CeReeooJeffinry h OAH 952-001- in OAR 952-001-:991 0 thro~g . Supervisor License Number _~ q 7>:3 ~1)9n You rna'/~~ calling the cente . \ I~i\itv. Notiiicallon mber forfinstanatiOIjlrMfer;lUOD40r Relocation ;1\"\ " Cen2'~'()iA~p~009i~~t~j4)' \ 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 200 Amps or less $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 City r: /J~{J - , /0- J -tJ7 Expiration Date $ 50.00 '6D ,00 $ 69.00 $100.00 Constr. Contr. Number .cl- (),,'?,'J1--c...- 7-/ -- ob Expiration Date D. Signature of Supervising Electrician New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with \'; \ "" _ , L ,.. J"\ / Service or Feeder Pennit Owners Name \t:('(\ ~~ Address ~lo~ Qi~(L \ ~'L' ';'\ u~..'aM'f.~;II~n~ous (Se~~,fMd'~ ~ -Ea~h~Inst~llation ~ lk' "U 1'" It S~"t1VJ""t\.:'" S NOT - City 91 Y\t 1\0 - Phone ~. \tBc::f) lH.~ M\, _ER lH\S fER~~lf~R $ 50.00 ' ----~ ~ - AUli ratG~im ABANDON $ 50.00 OWNER INSTALLATION C ~~.al $ 25.00 The installation is being made on property I own which A~~l nergy/Commercial. $ 45.00 is not intended for sale, lease or rent. ~p 77-1A1:J $ 43.00 $ 3.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges Owners Signature: 4. 5D~~ 7% State Surcharge 2. [ . ~ to ~ 10% Administrative Fee ~O .Be) ~ \J~~iOT A~ru.red D,jw(fVB,jldmg FomWE[","~1 Porm" APP~j:l:3:~ to ~'< %J Inspection Request: 726-3769 CITY OF S~INGFIELD SYSTEMS DEVELOPME~~ORKSHEET JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT 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 4053.75 $0.323 = I $1,309,36 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. x COST PER S.F. x I DISCOUNT RATE I I 0.00 $0.323 I 50% = I ITEM 1 TOTAL - STORM DRAINAGE SDC '$1,309.36 C0M2005-0 I 284 Tom Walter Homes 6076 Femhill Loop 1702343406200 SINGLE FAMILY RESIDENCE 1 BUILDING SIZE (SF: 3775 LOT SIZE (SF): 20000 C/) ~ Cl o U ~ ~ f-; C/) ..... o ~ DISCOUNT $0.00 $1,309.36 1070 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's x COST PER DFU 29 $25.07 $727.03 1091 B. IMPROVEMENT COST: I NUMBER OF DFU's x 1 29 $19.07 $553.03 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC =1 $1,280.06 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE x 1 NUMBER OF UNITS I x I COST PER TRIP x I NEW TRIP FACTOR I 9.57 I 1 I I $19.09 I 1.00 $182.69 1093 B. IMPROVEMENT COST: I ADT TRIP RATE I x 1 NUMBER OF UNITS x COST PER TRIP x NEW TRIP FACTORI I 9.57 I 1 $84.19 1.00 I $805.70 1094 ITEM 3 TOTAL - TRANSPORTATION SDC =1 $988.39 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x COST PER FEU 1 1 I $82.03 = $82.03 1054 B. IMPROVEMENT COST: INUMBER OF FEU's x I COST PER FEU 1 1 I $865.31 $865.31 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 11054 MWMC ADMINISTRATIVE FEE $10.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = 1 $957.34 SUBTOTAL (ADD ITEMS 1,2,3, & 4) =1 $4,535.15 5. ADMINISTRATIVE FEE; 1 SUBTOTAL x ADM. FEE RATE 1= CHARGE I $4,535.15 5% I $226.76 TOTAL SANITARY ADMINISTRATION FEE: 164,12 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $62.64 11078 I Cheryl Slaymaker 9/23/2005 TOTAL SDC CHARGES =1 $4,761.91 I PREPARED BY DATE -;-,,;--~ DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUN ALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS IBATHTUB 1 0 3 = 3 I DRINKING FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 LAUNDRY TUB 1 0 2 = 2 ICLOTHESWASHER/MOP SINK 1 0 3 = 3 ICLOTHESWASHER- 3 OR MORE (EA) 0 0 6 = 0 I MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0 I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 ISHOWER, SINGLE STALL 2 0 2 = 4 I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 I SINK: COMMERCIAL BAR 0 0 2 = 0 I SINK: WASH BASIN/DOUBLE LA V A TORY 2 0 2 = 4 ISINK: SINGLE LAVATORYIRESIDENTIAL BAR 1 0 1 = 1 IURINAL, STALL/WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 3 0 3 = 9 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 29 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 /984 /985 /986 /987 /988 /989 /990 /991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$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 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 = $0.00 TOTAL MWMC CREDIT 225 Fif~h Street Springfield, Oregon 97477 541-726-3759 Phone S..,PA.JI'IGF,'.'.IELO.. .iiii.... . ..:.... 1I\iL' ,.~- V · " -- : , -,.. .... .. ..~.,... ,~,..,_._" -'~ty of Springfield Official Receipt ~velopment Services Department Public Works Department Job/Journal Number COM2005-01284 COM2005-0 1284 COM2005-01284 COM2005-0 1284 COM2005-0 1284 COM2005-01284 COM2005-0 1284 COM2005-01284 COM2005-01284 COM2005-0 1284 CbM2005-01284 COM2005-01284 COM2005-01284 COM2005-01284 COM2005-01284 COM2005-01284 COM2005-0 1284 COM2005-0 1284 CbM2005-0 1284 CbM2005-0 1284 COM2005-01284 COM2005-0 1284 COM2005-0 1284 CbM2005-01284 CbM2005-01284 CbM2005-01284 CbM2005-0 1284 CbM2005-01284 COM2005-0 1284 COM2005-0 1284 COM2005-0 1284 COM2005-01284 COM2005-01284 COM2005-01284 COM2005-01284 'I Payments: Type of Payment CreditCard C:~leck ~ : :l. :., 12/5/2005 RECEIPT #: Date: 12/05/2005 1200500000000001775 Description Plan Review Residential Addressing Assignment Willamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Sidewalk 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 Building Permit 3 Baths One & Two Family Sanitary Sewer Each Addtl 100' Water Line - Each AddtllOO' Furnace - more than 100,000 Boiler/Comp 3-15 HP Appliance Vent Exhaust Hoods Dryer Vent Gas Outlets 1-4 Gas Outlets 4+ Gas Fireplace -Mechanical Issuance Fee- Plan Review Major - Planning Storm Sewer Each Addtl 100' + 7% State Surcharge + 10% Administrative Fee Plan Review/Residential Hourly Paid By W ALTER CUSTOM HOMES W ALTER CUSTOM HOMES Item Total: ChecR Number Authorization Received By Batch Number Number How Received djb 005441 In Person djb 5103 In Person Payment Total: 1 of 2 8:43:42AM Amount Due 33.80 31.00 1,000.00 106.00 152.00 50.00 80.00 1,309.36 727.03 553.03 182.69 805.70 82.03 865.31 10.00 164.12 62.64 1,608.90 306.00 14.00 14.00 15.00 22.00 6.00 9.00 6.00 4.00 2.00 30.00 10.00 150.00 28.00 166.10 237.29 135.00 $8,978.00 Amount Paid $8,000.00 $978.00 $8,978.00 ~r.:i l '~f , ,'--" , J~i>IJournal Number dOM2005-0 1284 COM2005-0 1284 COM2005-01284 COM2005-01284 COM2005-0 1284 COM2005-0 1284 COM2005-0 1284 ,:QpM2005-01284 , dpM2005-01284 COM2005-0 1284 COM2005-0 1284 COM2005-0 1284 .[,OpM2005-01284 . ~~ . . '~qpM2005-01284 ?ciOM2005-01284 , q~M2005-01284 , COM2005-01284 CbM2005-01284 COM2005-01284 COM2005-01284 COM2005-01284 COM2005-0 1284 COM2005-01284 , COM2005-01284 ,CPM2005-01284 CbM2005-0 1284 CbM2005-0l284 COM2005-01284 , ',COM2005-01284 ltiDM2005-01284 " 'i" . 'CbM2005-0 1284 . t ~', , d)M2005-01284 dt:>M2005-01284 qOM2005-01284 COM2005-0 1284 Payments: Type of Payment CreditCard Check ;t '{',:' 'i ~, ;1 jil' ,: ~\ it~. WJ t 12/5/2005 RECEIPl , 1200500000000001775 late: 12/05/2005 Description Plan Review Residential Addressing Assignment Willamalane Single Family Residence Wifing '1 000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Sidewalk Permit Mountaingate Impervious Area Sanitary Sewer - Reimbursement . Sanitary Sewer -, Improvement SDC Transpo Rdmbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transpo Admin Building Perni.it 3 Baths One .& Two Family Sanitary Sewer Each Addtl 100' Water Line - Each Addtl 100' Furnace - more than 100,000 Boiler/Comp 3-15 HP Appliance Vent Exhaust Hoods Dryer Vent Gas Outlets 1-4 Gas Outlets 4+ Gas Fireplace , -Mechanical Issuance Fee- Plan Review Major - Planning Storm Sewer Each Addtl 100' + 7% State Surcharge + 10% Administrative Fee Plan Review/Residential Hourly Paid By W ALTER CUSTOM HOMES W ALTER CUSTOM HOMES Item Total: Check. Number Autltortzation Received By Batch Number Number How Received djb 005441 In Person djb 5103 In Person Payment Total: I, 1 2 of 2 8:43:42AM Amount Due 33.80 31.00 1,000.00 106.00 152.00 50.00 80.00 1,309.36 727.03 553.03 182.69 , 805.70 82.03 865.31 10.00 164.12 62.64 1,608.90 306.00 14.00 14.00 15.00 22.00 6.00 9.00 6.00 4.00 . 2.00 ' 30.00 10.00 150.00 28.00 166.10 237.29 135.00 $8,978.00 Amount Paid $8,000.00 $978.00 $8,978.00