HomeMy WebLinkAboutPermit Building 2006-10-30
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: cOM2006-00601
ISSUED: 10/30/2006
APPLIED: 05/19/2006
EXPIRES: 04/30/2007
VALUE: $ 429,005.00
SITE ADDRESS: 6143 FOREST RIDGE DR
ASSESSOR'S PARCEL NO.: 1702343409500
SPRINGFIETYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single Family Residence - Mt Gate subd lot 114
I CONTmf(9T~.R.~I'~FrQtw~ TION ~
'OIlOW rU/E;B adopt d 1". v~1 ires you to
Contractor Notification Center ~h ti~~fi~regCID~!ii'li~ion Date
HOUSEGUARD LLdn OAR 952-001-00"10 t~~ijI4/es are set~~~/2007
STEVE HAUCK 0090. You may obta' '1~7'~~81 OAR 952.Q.,*.@/1)/2007
SUNSET ELECTRIC INlUilling the CAl1tiD" '~~~88%~ of the rul~gi712008
I B1Ji[]fiiN(pINF(l)~1)iQN;III;\; le'~Phone
'-'\:::/ Her IS 1-800-332_ Y NotIfication
# of Stories: 2344~. Lot'Size:
Height of Structure 30.00 Sq Ft 1st Floor:
Type of Heat: Forced Air Gas Sq Ft 2nd Floor:
Water Type: Gas Sq Ft Basement:
N Range Type: Gas Sq Ft Garage/Carport
O'f4eS,. Path: Path 1 Sq Ft Other:
TH/~p~Akled Building: n/a Occupant Load:
- _ NMli ~,~\t . __ _
~M1fmJT1~~HE WORK
A CEO OR IS A IT IS NOT
NY 1aOeQAY~1 BANOONEDIJI6Vfde
# Street Trees ~Qd: 2
Paved Drive Rqd: Yes
% of Lot Coverage: 34.90
Fully Improved Sidewalk Type: Curbside 5'
Yes Downspouts/Drains: To Storm Sewer
Part of driveway and all other walkways, porches, patios, etc. to be of pervious material (see
modified site plan); area of structure plus modified driveway plan at ~35% of lot size
No hookups to City of Springfield infrastructure until Public Improvements accepted by City; storm drainage piped
to storm sewer CJS 06/19/06
Owner: HOUSEGUARD
Address: 2295 COBURG RD
EUGENE OR 97401
Contractor Type
General
Electrical
Mechanical
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
44.00
5.40
10.30
35.00
0.00
Subdivision Not Accepted
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Residential
Phone Number: 541-2559
Phone
541-514-2559
541-221-2665
541-915-4883
1
R-3
10,658
1,631
2,264
VB
1,070
3
REQUIRED PARKING
Total:
Handicapped:
Compact:
2
I PUBLIC IMPROVEMENTS I
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
AC - Residential
V Wood Frame
Garal?:e
A.C. - Residen
Dwellinl?:s
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
Boiler/Comp Up To 100,000 btu
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Furnace - up to 100,000 btu
Gas Outlets 1-4
Mountaingate Impervious Area
Plan Review Major - Planning
PW Disc - 2nd Permit (Street)
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
Temp Power 200 amps or less
Vent Fan
WiIlamalane Single Family
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2006-00601
ISSUED: 10/30/2006
APPLIED: 05/19/2006
EXPIRES: 04/30/2007
VALUE: $ 429,005.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$4.00
$99.00
$26.00
Square Footage
or Bid Amount
3,895.00
3,895.00
1,070.00
Value
Date Calculated
$15,580.00
$385,605.00
$27,820.00
$429,005.00
05/19/2006
05/19/2006
05/1912006
Total Value of Project
~
Amount Paid
$1,064.80
$10.00
$256.34
$132.16
$185.21
$306.00
$31.00
$12.00
$1,638.15
$80.00
$6.00
$9.00
$248.25
$12.00
$12.00
$1,204.22
$198.00
$-30.00
$106.00
$152.00
$610.24
$802.24
$10.00
$865.31
$82.03
$165.58
$62.54
$805.70
$182.69
$80.00
$50.00
$24.00
$1,000.00
Date Paid
Receipt Number
6/7/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
10/30/06
1200600000000000811
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
2200600000000001514
Pal?:e 2 of5
Status
Issued
2ITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2006-00601
ISSUED: 10/30/2006
APPLIED: 05/19/2006
EXPIRES: 04/30/2007
VALUE: $ 429,005.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Amount Paid $10,373.46
I Plan Reviews I
Initial Review 06/08/2006 06/08/2006 APP SKG
LDAP Review 07/27/2006 10 Applicant was made aware of LDAP
requirements several times over the
last few months. As of 7-27-06, the
City of Springfield LDAP staff has
not received an LDAP.
LDAP Review 08/09/2006 08/09/2006 10 BRC Left a voicemail for T J that I needed
two copies of plans sheets and a
geotech report for the site.
Planninl?: Review 06/08/2006 06/2812006 APP TAJ According to CJ the contractor,
there are no trees on the site. If
there are trees, no tree removal is
allowed except in the area of
disturbance. Must use a Hillside
species street tree. See Street Tree
handout for appropriate species.
Public Works Review 06/08/2006 06/19/2006 APP CJS No hookup to City infrastructure
until Public Improvements are
accepted by the City; storm
drainage piped to storm sewer
06/19/06 CJS
Structural Review 06/08/2006 06/27/2006 WE RWC waitting for engineering, faxed
6/27/06
Structural Review 07/17/2006 07/17/2006 WE RWC Engineering not consistent with
plans. Contacted owner and
engineer... waiting for corrections
7/27/06 dim
Structural Review 08/18/2006 OK Received revised building plans
8/18/06; dim. Received revised
engineering 8/21/06 dIm Forwarded
both to RWC. dIm
Structural Review 09/20/2006 09/2012006 WE RJB Need site ingineering and plot plan
with correct topo on plot. will
contact owner on 9/21/06. Plan will
be put on HOLD until correct
information is provided to City
Structural Review 09/22/2006 09122/2006 APP RJB Have geotechnical site investigation
report, site will be semi flat lot and
was looked at by Rob C. Elevation
sht will be ok.
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.
Pal?:e 3 of5
2ITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: cOM2006-00601
ISSUED: 10/30/2006
APPLIED: 05/19/2006
EXPIRES: 04/3012007
VALUE: $ 429,005.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
~eouire<Unsnections I
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.
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.
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.
Shower Pan. Prior to covering 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.
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.
Final Mechanical: When all mechanical work is complete.
Ufor Electrical Ground: Install ground rod at footing and call for inspection in conjuction with footing and/or
foundation inspection.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Pal?:e 4 of5
Status
Issued
2ITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2006-00601
ISSUED: 10/30/2006
APPLIED: 05/19/2006
EXPIRES: 04/30/2007
VALUE: $ 429,005.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Low V oltage: Prior to cover.
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
t~)g c.oncrstruction.
~ la-~'CJ-~
Owner or Contractors Signature
Date
Pal?:e 5 of5
~ro & ?Li(c~ ~ 17 ;1-)
~,,",
i-:')
,
.>4-
~~Ql(J -
\\~:~~\~
COMPLETE FEE SCHEDULE BELOTl1 \'\'\f'\
225 FIFTH STREET 0 SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
Cc., -t:>00ol
Date
City Job Number
1. LOCATION OF INSTALLATION
6Jtf1 fo~StI- tfj,trV'J (AI,
C/-
LEGAL DESCRIPTION fipvlIJ)..A15~b pJJ ~)}-
I M) ~J.. J JLf
3.
A. New Residential- Single or1\1ulti-: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
,
B
$106.00 10&',00
$ 19,00 / Qoo
JOB DESCRIPTION
St"tJ~/ ~IYI AUJ/ ~ k/'1I1flt1LM
Permits are no -transferable and expire if ~ork rs
not started within 180 days of issuance or if work is
Suspended for 180 days.
$50,00
B. Services or Feeders - Installation, Alterations or Relocation:
CONTRACTOR INSl'ALLATION ONLY
,
2.
Electrical Contractor S1l3Ul!. HfwClc-
~Ol BolO "11310 (
$ 63.00
$ 75.00
$125.00
$163.00
$375,00
$ 50,00
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsNolts
~~~.~~~~:~~n:~~u~e:~~~~~, .
/ ,. \ \ iUI>C~)"T.e~p~l\he~\j~te>s6\'a~
p,.. \ \--' . \e~ aoO?\e 1bOse tUxeS ~f\ 952.~OO'\
\0\\0\1\1 ~~ n cet1n'Sfallati?{t~IfrQJOn or \%~1.9~~11D
fIlGi:H\O . Qn'\ 0 t . s 01 tt\S /
NO \ 952..00200'Am8t~ote~ 't \e9no~e $ 50.00
\n OP-R'{ou ma%o{j)~gp\~.j..@O ~P~0'\1\Ca't\on $ 69.00
oOgU.. n \ne4B1lnA~~~~~~'(Wfu~AA). $100.00
ca\\\n~ 'lhe at :~ (\ 3'3?'1.',;
mpel ,ot Gver. gOp.~ps or-l 000 V oIts see "B" above.
flU c",ntElI \, .
D; Branch Circuits
Address
~~I-~~"S'
~
Phone
City
3S7'1-5
Supervisor License Number
i 0- ( - tJ7
Expiration Date
9,00
I '-/ft,/ B
L{ -3:,;)'- (J:r
Constr, Contr. Number
Expiration Date
Signature of Supervising Electrician
New Alteration or Extension Per Panel
One Circuit
-Jf/ftV'/
v . Each Additional Circuit or with
"'U~l.Xl, -.,II Service or Feeder Permit E$~S~\<.
_l/ ((.)t.- O,"\C~:. .... ,.'. t p\RE \f lJ\ 1
Cl 5 rJ~ ~E. ~fSl\'e~lS~~t.t~eef~\ ~o~~IWld\S.~J!fi Installation
. \ lIED UNDER NED fOR
Pho · punM11\i\.Q~~I~ItD OR \S I\BI\NDO $ 50,00
sig~~fL~ti~?ER\OD. $ 50,00
Limi~~r1tn\~/~~ldential $ 25,00
Limited Energy/Commercial $ 45.00
2.)
$ 43.00
City
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
S 08 rOO
2L/htf
11 ~.ny,D
\~w
4. SUBTOTAL OF ABOVE.'
/J% State Surcharge
10% Administrative Fee
TOTAL
Inspection Request: 726-3769
Shared Dlive(T:)/Building Fonns/Electrical Pennit Application I-03.doc
CITY OF SYiIf.JGFIELD SYSTEMS DEVELOPMEN'~;;;;~~RKSHEET
JOURNAL OR JOB NUMBER: COM2006-00601
NAME OR COMPANY: Houseguard
LOCATION: Mt Gate Lot 114
TAX LOT NUMBER: 0
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS 1 BUILDING SIZE (SF: 3895 LOT SIZE (SF): .
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S,F. x I COST PER S,F, CHARGE
3728.25 I $0.323 I = I $1,204.22
RUNOFF ROUTED TO DRYwELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S,F, x COST PER S,F, x DISCOUNT RATE DISCOUNT
0,00 $0,323 50% $0.00
ITEM 1 TOTAL - STORM DRAINAGE SDC
2, SANlT ARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's ,. x
I 32
. B. IMPROVEMENT COST:
I NUMBER OF DFU's x
I 32
COST PER DFU
$25.07
$19,07
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = ,
3. TRANSPORTATION
A. REIMBURSEMENT COST:
ADT TRIP RATE x
9,57
NUMBER OF UNITS x I
1 I
B. IMPROVEMENT COST:
I ADTTRIPRATE
I 9.57
x
NUMBER OF UNITS x I
1 I
= ,
ITEM 3 TOTAL - TRANSPORT A TION SDC
4, SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's x COST PER FEU
1 $82.03
B. IMPROVEMENT COST:
INUMBER OF FEU's x
I 1
ICOST PER FEU
I $865,31
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =,
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = ,
5. ADMINISTRATNE FEE:
SUBTOTAL x I ADM, FEE RATE
$4,562.43 I 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
$1,204.22
$1,412.48
COST PER TRIP
$19,09 .
x I NEW TRIP FACTOR
I 1.00
COST PER TRIP
$84,19
$988.39 .
x INEWTRIPFACTOR
I 1.00
10658
$1,204.22
$802.24
$610.24
$182.69
$805.70
r:n
~
Q
o
u
~
~
r:n
I-<
o
~.
1070
1091
11092
I
l
1093
1094
= $82.03 I 1054
= , $865.31 1055
I' $0.00 1054
I $10.00 1056
$957.34 I
$4,562.43 I.
CHARGE
$228,12
165.58 1079
$62,54 1078
(
TOTAL SDC CHARGES =1 . $4,790.55
Cheryl Slaymaker
6/19/2006
PREPARED BY
DATE
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
BATHTUB 2 0 3 = 6
DRINKING FOUNTAIN 0 0 1 = 0
FLOORDRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC, 0 0 6 = 0
LAUNDRY TUB 1 0 2 = 2
ICLOTHESWASHER I MOP SINK 1 0 3 = 3
ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0
RECEPTOR FOR COM, SINK I DISHWASHER / ETC, 1 0 3 = 3
SHOWER SINGLE STALL 1 0 2 = 2
SHOWER GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
I SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 = 2
URINAL, STALL / WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 0
TOILET, PRlV ATE INSTALLATION 3 0 3 = 9
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 32
'EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 OFD's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNT\' ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$I,OOO
ASSESSED 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 ELGlBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
2
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
=
225 FjnJl',Street
Springfield, Oregon 97477
541-726-3759 Phone
C;.L-. of Springfield Official Receipt
1 :lopment Services Department
Public Works Department
Job/Journal Number
COM2006-00601
COM2006-0060 1
COM2006-0060]
COM2006-0060 1
COM2006-00601
COM2006-0060 1
COM2006-0060]
COM2006-0060 1
COM2006-00601
COM2006-0060 1
CO M2006-0060 1
COM2006-0060 1
COM2006-0060 1
COM2006-00601
COM2006-0060 1
COM2006-0060 1
COM2006-0060]
COM2006-0060 1
COM2006-0060 1
COM2006-0060]
COM2006-0060 1
COM2006-0060 1
COM2006-0060]
COM2006-0060 1
COM2006-0060 1
COM2006-0060]
COM2006-0060 1
COM2006-0060 1
COM2006-0060 1
COM2006-00601
COM2006-0060 1
COM2006-0060 1
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
2200600000000001514
Date: 10/30/2006
Description
SDC MWMC Administration
SDC Sanitary/Storm Admin
SDC Transpo Admin
Plan Review Major - Planning
Building Permit
3 Baths One & Two Family
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Boiler/Comp Up To ] 00,000 btu
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
Sidewalk Permit
Curb cut Permit
PW Disc - 2nd Permit (Street)
Mountaingate Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo lmprovement
SDC MWMC Reimbursement
SDC MWMC Improvement
Paid By
HOUSEGUARD LLC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
742
In Person
Payment Total:
Page 1 of 1
8:09:48AM
Amount Due
10,00
]65,58
62,54
] 98,00
],638,15
306,00
]2,00
24,00
9,00
6,00
]2,00
10,00
132,]6
185.21
256,34
]2,00
31,00
] ,000,00
]06,00
152,00
50,00
248,25
80,00
80,00
(30,00)
1,204,22
802,24
610.24
182,69
805,70
82,03
865,31
$9,308.66
Amount Paid
$9,308,66
$9,308.66
10/30/2006