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Home My WebLink AboutPermit Building 2007-2-1 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2006-01325 ISSUED: 02/01/2007 APPLIED: 10/13/2006 EXPIRES: 08/01/2007 VALUE: $ 284,273.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6190 FOREST RIDGE DR ASSESSOR'S PARCEL NO.: 1702343408300 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: Single family residence- Mt Gate lot 73 Owner: THOMAS W AL TER CUSTOM HOMES LLC Address: 2863 RIVERW ALK LOOP EUGENE OR 97401 Phone Number: 541-683-6355 Contractor Type General Electrical Mechanical Plumbing I CONTRACTOR INFORMATION I contra~T<1iENT'ON:Oregon law requires Y~~~nse THOl\hibJA'U~*~)ttb~~ lltiMt1t7 BOBrtmiJ1i~~~. iRWse rules are s@t~gtt MARBmAClHlMQd)()1-Q010 through OAR 95iMlRl1 RS pnOOiBMmWt!UjlluUIld1ll~ies of the rLl_~ calling In. ~ '!H: "~1 ...' ~ ~":'[fJU numbertot' . 1 Centefis~-~?.2344). 2 R-3 Height of Structure: 42.00 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Gas 3 Energy Path: Path 1 N Sprinkled Building: n/a n~'"JGf THIS PER! DEVELOPMENT INFORMATION I AUTH 1/ I SHALL COM~ZfD UND~ ~f!fjgtIF THE ~ ANyl.(:s~~CfD OR ~~jWA'PiiR~"1S NORK 5lShDAYPE M&~f\d' Or 59.00 RI ~.of Lot Cove'ta{D.R 70.00 Expiration Date 07/12/2008 01/25/2008 12/23/2009 01104/2008 Phone 541-683-6355 541-689- 7973 541-747-7445 541-461-4714 VB Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 13,041 2,417 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 938 978 666 REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Hillside 2 Yes 30.30 Total: Handicapped: Compact: 2 I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: ,// Fully Improved , Yes Sidewalk Type: Curbside 5' To Storm Sewer Downspouts/Drains: Notes: Storm to designated storm line.JLP Pal?:e 1 of5 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction A.C. - Residen Deck/Balconv Deck/Balconv Dwellinl?:s Garal?:e AC - Residential Deck Deck V Wood Frame Garal?:e Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge 3 Baths One & Two Family Addressing Assignment Appliance Vent Boiler/Comp Up To 100,000 btu Building Permit Copies - Ea Addtl @ 50 Cnts Ea Copy 6th @ 75 cents Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Gas Outlets 4+ Mountaingate Impervious Area Plan Review Major - Planning Plan Review Residential Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement Sanitary Sewer Each Addtll00' SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2006-01325 ISSUED: 0210112007 APPLIED: 10/13/2006 EXPIRES: 08/0112007 VALUE: $ 284,273.00 I Valuation Description I $ Per Sq Ft or multiplier $4.00 $19.00 $15.00 $99.00 $26.00 Square Footage or Bid Amount 2,417.00 236.00 430.00 2,417.00 938.00 Value Date Calculated $9,668.00 $4,484.00 $6,450.00 $239,283.00 $24,388.00 $284,273.00 10/13/2006 01/17/2007 01/17/2007 10/13/2006 10/13/2006 Total Value of Project ~ Amount Paid $735.25 $10.00 $213.96 $96.15 $153.83 $306.00 $31.00 $6.00 $12.00 $1,166.90 $29.50 $0.75 $80.00 $6.00 $9.00 $216.65 $12.00 $30.00 $4.00 $2.00 $1,421.67 $198.00 $23.24 $106.00 $133.00 $653.09 $858.88 $14.00 $10.00 $961.52 $91.61 $186.06 Date Paid Receipt Number 1200600000000001525 1200700000000000103 1200700000000000103 1200700000000000103 1200700000000000103 1200700000000000103 1200700000000000103 1200700000000000103 1200700000000000103 1200700000000000103 . 1200700000000000103 1200700000000000103 1200700000000000103 1200700000000000103 1200700000000000103 1200700000000000103 1200700000000000103 1200700000000000103 1200700000000000103 1200700000000000103 1200700000000000103 1200700000000000103 1200700000000000103 1200700000000000103 1200700000000000103 1200700000000000103 1200700000000000103 1200700000000000103 1200700000000000103 1200700000000000103 1200700000000000103 1200700000000000103 10/13/06 2/1/07 2/1/07 2/1/07 2/1/07 2/1/07 2/1/07 2/1/07 2/1/07 2/1/07 2/1/07 2/1/07 2/1/07 2/1/07 2/1/07 2/1/07 2/1/07 2/1/07 2/1/07 2/1/07 2/1/07 2/1/07 2/1/07 2/1/07 2/1/07 2/1/07 2/1/07 2/1/07 2/1/07 2/1/07 2/1/07 2/1/07 Pal?:e 2 of5 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Sewer Each Addtll00' Temp Power 200 amps or less Vent Fan WiIlamalane Single Family $65.07 $836.32 $189.58 $80.00 $42.00 $50.00 $24.00 $1,000.00 Total Amount Paid $10,065.03 2/1/07 2/1/07 2/1/07 2/1/07 2/1/07 2/1/07 2/1/07 2/1/07 I Plan Reviews' Initial Review Planninl?: Review 10/16/2006 10/16/2006 10/1612006 01/31/2007 . Public Works Review 10/16/2006 01/17/2007 Public Works Review 11/16/2006 11/16/2006 Public Works Review 12/07/2006 12/07/2006 APP APP WI WE WE Pal?:e 3 of 5 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2006-01325 ISSUED: 02/0112007 APPLIED: 10/13/2006 EXPIRES: 08/0112007 VALUE: $ 284,273.00 1200700000000000103 1200700000000000103 1200700000000000103 1200700000000000103 1200700000000000103 1200700000000000103 1200700000000000103 1200700000000000103 LLH TAJ Place orange construction fencing to the drip lines of trees 9 and 10, keep all construction activity out of this area and follow the tree preservation guidelines in the attached MtGate Development Plan handout. Plant native street trees from the Hillside list in the street tree handout. Don Moore made contact with Allison @ owners business. See prior notes for previous contact RE: same, Later in day, I Rcvd overwidth application via fax. I Forwarded to Traffic. Will process when returned.JLP Proposed driveway exceed maximum width for overwidth permit. Lft msg for owner: Must make changes to plans. And an overwidth permit must be submitted & approved by traffic for drive over 24' with a max width of30'.JLP Tlkd to Alison of Walter Custom Homes by telephone today 11/7/06 @ 11am. Tld her still do not have info from them. Will be waiting for updated plot plan & overwidth application & approval from traffic prior to review completion by PW.JLP JLP JLP JLP CITY OF SPRINLT111ELU . Building/Combination Permit PERMIT NO: cOM2006-01325 ISSUED: 02/01/2007 APPLIED: 10/13/2006 EXPIRES: 08/01/2007 VALUE: $ 284,273.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Public Works Review 10 JLP 01/1812007 01/1812007 Public Works Review Structural Review JLP LLH 01/31/2007 12/22/2006 01/31/2007 12/28/2006 APP WE Structural Review 12/2812006 APP TR 01/16/2007 Structural Review 10/16/2006 WE LLH 12/01/2006 Rcvd phone call from Allison @ 1:33pm 1/18/07. She said Don Moon did not call her back yesterday as requested. XX asked statis of project. I tId xx I rcvd fax and have forwarded to Traffic. Will process accordingly when it is returned to PW.JLP Storm to designated storm line.JLP Additional plan review letter sent to owner/contractor by Tom Rogers. See attached documents. Received approved plans from Tom Rogers who reviewed them under contract with the City of Springfield. I have forwarded the information to Don Moore to compile. lIh Completed 1/18/07 dim Forwarded to Tom Rogers for review 10/16/06. Letter mailed to owner for changes to plans 11/28/2006. 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<Unsnections I 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. Pal?:e 4 of 5 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: cOM2006-01325 ISSUED: 02/01/2007 APPLIED: 10/1312006 EXPIRES: 08/0112007 VALUE: $ 284,273.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Underfloor Plumbing: Prior to insulation or decking. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. 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. U nderfloor 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. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Curbcut - Overwidth: After forms are erected but prior to placement of concrete. Sidewalk - Curbside: 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 times ~~ '(~n. / ( /(J&A/j ~ O~;; or Contractors S{gnature .!:.-, ;. 0 r:j I Date Pal?:e 5 of5 225 Fifth Street Sprin~fie~d, .oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-01325 COM2006-01325 COM2006-01325 COM2006-01325 COM2006-0 1325 COM2006-01325 COM2006-0 1325 COM2006-0] 325 COM2006-01325 COM2006-01325 COM2006-0 1325 COM2006-01325 COM2006-01325 COM2006-01325 COM2006-01325 COM2006-0 1325 COM2006-01325 COM2006-01325 COM2006-01325 COM2006-01325 COM2006-01325 COM2006-01325 COM2006-0 1325 COM2006-01325 COM2006-0 1325 COM2006-01325 COM2006-01325 COM2006-0]325 COM2006-01325 COM2006-01325 COM2006-01325 COM2006-01325 COM2006-0 1325 COM2006-0 1325 COM2006-01325 CO M2006-0] 325 COM2006-01325 COM2006-01325 COM2006-01325 Payments: Type of Payment CreditCard Check cReceint 1 ca of Springfield Official Receipt ~lopment Services Department Public Works Department RECEIPT #: 1200700000000000103 10:20:55AM Date: 02/01/2007 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 Residential Building Permit 3 Baths One & Two Family Sanitary Sewer Each Addtl ] 00' Storm Sewer Each Addtl 100' Furnace - up to 100,000 btu Boiler/Comp Up To 100,000 btu Vent Fan Appliance Vent Exhaust Hoods Dryer Vent Gas Outlets 1-4 Gas Outlets 4+ Gas Fireplace ~Mechanicallssuance Fee- + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Copy 6th @ 75 cents Copies - Ea Addtl @ 50 Cnts Ea Plan Review Major - Planning Sidewalk Permit Curbcut Permit Mountaingate 1mpervious 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 Amount Due 31.00 ] ,000,00 ] 06,00 133,00 50,00 216,65 23,24 1,166,90 306,00 14,00 42,00 12,00 12,00 24,00 6,00 9,00 6,00 4,00 2.00 30,00 10,00 96,15 ] 53,83 2]3.96 0,75 29,50 198,00 80,00 80,00 1,42] ,67 858,88 653,09 189,58 836,32 91.6] 961,52 10,00 186,06 65,07 $9,329.78 Paid By WALTER CUSTOM HOMES THOMAS WALTER CUSTOM HOMES Item Total: Check Number Authorization Received By Batch Number Number How Received DJB 081698 In Person DJB 1005 In Person $8,000,78 $1,329,00 Amount Paid Payment Total: $9,329.78 Page 1 of2 2/1/2007 lOOJ ~~~lp _.~" f 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL P \RMIT APPLICATION City Job Number ~ to · \r(}...j')b Date 1. .~'QQ4!~IQ~'QJ!;ri~~llg/141/liJ -- \"Q.\t(6"'.'mX~(>Y' ", LE\~DE~~ O<&'Y:f) J~PESCRIPTIO - A ~~ _ 1000 sq. ft. or less ~ r n d:.. L r~additional 500 sq, ft. or \ \1 ~ "{...::> .,.. \ n thereof Permits are ~n-transferable and ex' if work is Ea h Manufact'd Home or not started within 180 days of issuance if work is Modular Dwelling Service or Suspended for 180 days. Feeder 3. A. Service Included $106.00 \ blofP ,~{V \ '1 $ 19.00 $50.00 2. B. $ 50.00 $ 69,00 $100.00 ,'..,.'. ij: OJ'~a~~, Signature of Supervising Electrician D./~~aPflI.Ci ~ // c/LrJ I B~~~l1oq~fm@~p,~~~n -~UP _~ ("V~-JP~ iON '2On\:\~rt~?\.l\r.l'i411VHSLl~tl3d 51H1$43,OO ~ (\j~ ~Addiaon'afcrrcuit,orwith :3~'.lON \ , t>tJ e or Feeder PermIt .. $ 3,00 Owners Name \:lL Address ~J)to~ ~\~\\Q~lf) E. City ~y)pm. Phon, -10 ~O;~O'img'tion ~ Sign/Outline Lighting OWNER INSTALLATION Limited Energy/Residential Limited Energy/Commercial Electrical Contractor ,f! /) b /::;. s /~c~ r- ~4Y" ;r /l C200 Amps or less eO / /' _ ~~_e\A~~ ~j9(.\.,mu Address } 5? {) ff/ j/) ft.J jJ,N rt//lJ/.e- '\1r.~~e\\\&1mao. uP 37{- 9~~:~'1W~tll~M9~p~lJUl nO^ 00600 City /: -:'/~ _~ /7 r _ Phone ~ f/ 9- 'l ~~ :Q'l6 <j~01~~S\?s ~OO-'GS6 ~"O U\ :/ ~ il\~U e~t~_~O~OO- en UO\\~1\\ON ~Oo-~96 tivv 'Js\U -.J' 0 Supervisor License Number ,,597 J - - 5~ \\JO~ \e~ ^l\\~ln UO (\"'~} ^,,~l uo ' , . Expiration Date / tJ- /- C) -7 !"l n~^ ~IWalliltion, Alteration or Relocation 200 Amps or less 1 201 Amps to 400 Amps 401 Amps to 600 Amps $ 63.00 $ 75.00 $125.00 $163,00 $375.00 $ 50,00 Constr. Contr. Number o? l1"- ,?..5 -.;1 ~ t:JJFtJ Expiration Date 7-/- f) C-, The installation is being made on property 1 own which is not intended for sale, lease or rent. $ 50.00 $ 50,00 $ 25.00 $ 45,00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges Owners Signature: 4. ~1J~.C() 'l.C? .1ltJ 10% Administrative Fee ~ '} , '2lJ 110TA~5Ph~ l ~-ldJ ''-i D""(TY.,iI"", 'o~;a::' APPI~~'5 \0 Inspection Request: 726-3769 t/JJo State Surcharge ~~S ...~~\9,>~ ~ \:\: ~~ . .~ CITY OF S'JI'mNGFIELD SYSTEMS DEVELOPME~{~fORKSHEET JOURN~ OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS 1, STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S,F, x I COST PER S.F, CHARGE I 4236.00 I $0,336 = I $1,421.67 RUNOFF ROUTED TO DRYWELL DESIGNED-AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F, x I COST PER S,F, I x DISCOUNT RATE I I I: 0.00 I $0.336 I, 50% I = I ITEM 1 TOTAL - STORM DRAINAGE SDC $1,421.67' C0M2006-0 1325 Walter_ Custom Homes 6190 Forest Ridge Dr 1702343408300 SINGLE FAMILY RESIDENCE 1 BUll..DING SIZE (SF' - 3374 LOT SIZE (SF): DISCOUNT $0,00 I . I 2, SANTT AR Y SEWER - CITY A REIMBURSEMENT COST: I NUMBER OF DFU's x - I 33 B. IMPROVEMENT COST: I NUMBER OF DFU's x I 33 . COST PER DFU $26.03 $19.79 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I $1,511-.96 3, TRANSPORTATION. A REIMBURSEMENT COST: ADT TRIP RATE x - , - 9.57 I NUMBER OF UNITS I x I I 1 \ I COST PER TRIP $19,81 I x NEW TRIP F ACTORI I 1.00 I B. IMPROVEMENT COST: I ADT TRIP RATE x NUMBER OF UNITS I 9.57 1 ITEM 3 TOTAL - TRANSPORTATION SDC x L I - , -- COST PER TRIP $87,39 $1,025.90 x I NEW TRIP FACTOR I 1.00 4_ SANITARY SEWER- MWMC A REIMBURSEMENT COST: NUMBER ~F FEU's I x ICOST PER FEU I $91.61 B. IMPROVEMENT COST: INUMBER OF FEU's x ICOST PER FEU J I 1 I $961.52 1 MW}1C CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMIN1STRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =, $1,063:13 , - SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , $5,022.66 , 13041 $1,421.67 , $858.88 $653.09 _ $189.58 $836.32 = $91.61 r/) ~ ~ o u p:::: ~ Eo-< r/) >-< '0 gz 1070 -/1091 1092 1093 1094 1054 1055 1054 1056 = $961.52 $0.00 $10.00 5, ADMINISTRATNE FEE: I SUBTOTAL x ADM, FEE RATE I $5,022,66 5% TOTAL SANITARY ADMIN1STRATION FEE: TOTAL TRANSPORTATION ADMIN1STRATION FEE: CHARGE $251.13 --. _. ... Jeff Prociw 1/31/2007 186,06 $65,07 1079 11078 - TOTAL SDC CHARGES =, $5,273.79 ~. PREPARED BY DATE DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTIJRE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIXTIJRES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS IBATHTUB -' 2 0 3 = 6 IDRlNKING FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETe. 0 0 3 = 0 IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 ILAUNDRY TUB 1 0 2 = 2 CLOTHESW ASHER / MOP SINK 1 0 3 = 3 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 I MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETe. 1 0 3 = 3 SHOWER, SINGLE STALL 1 0 2 = 2 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 3 0 1 = 3 URlNAL, STALL / WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 3 0 3 = 9 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 33 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFD's) set at ]67 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE ]979 ]979 ]980 ]981 ]982 ]983 ]984 1985 1986 ]987 ]988 ]989 ]990 ]99] ]992 ]993 ]994 ]995 ]996 1997 1998 ]999 2000 2001 CREDIT RATE/$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 ELGffiLE 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 = t, ...."..-... Job/Journal Number COM2006-01325 COM2006-01325 COM2006-01325 COM2006-0 1325 COM2006-01325 COM2006-0 1325 COM2006-0 1325 COM2006-01325 COM2006-01325 COM2006-0 1325 COM2006-0 1325 COM2006-0 1325 COM2006-01325 . COM2006~01325 COM2006-0 1325 COM2006-0 1325 COM2006-0 1325 COM2006"0 1325 COM2006-0 1325 COM2006-01325 ..COM2006-01325 .COM2006-01325 COM2006-0 1325 COM2006-01325 COM2006-01325 COM2006-01325 COM2006-0 1325 COM2006-0 1325 COM2006-01325 COM2006-01325 COM2006"01325 COM2006-0 1325 COM2006-01325 COM2006-01325 COM2006"0 1325 COM2006~0 1325 COM2006-0 1325 COM2006-0 1325 COM2006-0 1325 Payments: Type of Payment CreditCard Check cReceint] , ~' RECEIPT. 12~0700000000000103 \te: 02/0112007 Description Addressing Assignment _ WiIlamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Fire SF Fee - Residential Plan Review Residential Building Permit 3 Baths One & Two Family Sanitary Sewer Each Addtl 100' Storm. Sewer Each Addtl 100' Furnace.: up to 100,000 btu Boiler/Comp Up To 100,000 btu Vent Fan Appliance Vent Exhaust Hoods Dryer Vent Gas Outlets 1-4 Gas Outlets' 4+ Gas Fireplace ~Mechanical1ssuance Fee~ + 5% Technology Fee + 8% State .Surcharge + 10% Administrative Fee Copy 6th @ 75 cents . Copies - Ea Addtl @ 50 Cnts. Ea Plan Review Major - Planning Sidewalk Permit Curbcut 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 Paid By WALTER CUSTOM HOMES THOMAS WALTER CUSTOM HOMES Item Total: Check Number Authorization Received By Batch Number Number How Received. DJB 08'1698 1n Person DIB 1005 In Person Payment Total: Page 2 of2 10:20:55AM Amount Due 31.00 1,000,00 106,00 133.00 50,00 216.65 23.24 1,166,90 306.00 14,00 42,00 12,00 . 12.00 24,00 6,00 9,00 6,00 4,00 2,00 30,00 10,00 96.15 153,83 213,96 0,75 29,50 198,00 80,00 80,00 1,421,67 858.88 653,09 189,58 836,32 91.61 961.52 10,00 186,06 65.07 $9,329.78 . Amount Paid $8,000,78 $1,329,00 $9,329.78 2/1/2007