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HomeMy WebLinkAboutPermit Building 2007-5-4 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: COM2007-00513 ISSUED: 05/04/2007 APPLIED: 04/09/2007 EXPIRES: 11/04/2007 VALUE: $ 174,944.00 SITE ADDRESS: 4064 FILBERT MEADOWS Way SPRINGFIE TYPE OF WORK: Single Family Residence ASSESSOR'S PARCEL NO.: 1802064114400 TYPE OF USE: New Residential PROJECT DESCRIPTION: Single family residence- Filbert Meadows lot 73. SAME AS COM2006-00512 1264 S 41st St Owner: BRUCE WIECHERT Address: 3073 SKYVIEW LN EUGENE OR 97405 Contractor Type General Electrical Mechanical Plumbing Phone Number: 541-686-9458 I CONTRACTOR INFORMATION I License 101717 105475 460 65065 Contractor BRUCE WIECHERT CUSTOM HOMES INC L & E ELECTRIC INC COMFORT FLOW STEVEN R JOHNSON Overlay Dist: .(PPBc-cSE-OUli- t> ~." _. , Total: # Street ~f1!~'-I' .\ON ^l!mn uo5e~da4l JOJ M~h~pped: Paved Dr~fi ~Ie. 91.n :elON) .J'ao e4. ~ct: % of Lot rove age:, 24 0 L . ~ S91nJ 84. JO se!doo ural 10 /\ew nOA 0600 lno-7.CR ~wn U6nOJUl OlOO-LOo-~S6 ~'IO UI I PUBLIC IMPftmEME1'f l'~JnJ eS04.L 'Je~e~ uoneO!JnOf\ fl.!!!.1 I ...vOg.. 94l ^q pSldape S91nJ MOIIO~ Fully Improved O~ nO^ sSJmbaJ M~leaml~:~e>I.iN311~ Curbside 5' Yes Downspoutsillrains: Curb and Gutter # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U VB Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 11.00 20.00 11.00 16.50 Subdivision Not Accepted Street Improvements: Storm Sewer Available: Special Instruction: Notes: Storm H20 to curb & gutter.JLP Expiration Date 09/16/2008 03/30/2008 06/27/2007 03/1212008 Phone 541-686-9458 541-933-2653 541-726-0100 541-342-3765 3 BUILDING INFORMATION I # of Stories: 'OOllJl3d Al6iJ~~ AN\f Height of~[;b.MlfJ\JOON\f8~~Q<<HO ~11~~~9f: Type UWe, kid:llllil~csfH1iB~~fNn It I d''I<'1'cYor: Wate~~w~: 3Hl :11 3WdX3 -P.y p hlllnt: Range Type: (jasHS 1$ iiltid:&/Ilgg[Carport Energy Path: Path 1 Sq:!jlt~ITN Sprinkled Building: n/a Occupaift'Load: 452 8,270 1,580 I DEVELOPMENT INFORMATION I REQUIRED PARKING 2 Page 1 of5 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54] -726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Dwelline:s Garae:e V Wood Frame Garae:e Fee Description Plan Review Same As -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge 2 Baths One or Two Family Addressing Assignment Building Permit Curbcut Permit Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Fireplace (Listed) Furnace - up to 100,000 btu Gas Outlets 1-4 Heat Pump Plan Review Major - Planning 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 Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan Willamalane Single Family I Valuation Descrintion I $ Per Sq Ft or multiplier $103.00 $27.00 Square Footage or Bid Amount 1,580.00 452.00 Total Value of Project ~ Amount Paid $200.00 $10.00 $145.40 $87.52 $108.19 $254.00 $31.00 $809.40 $40.00 $80.00 $6.00 $9.00 $101.60 $15.00 $12.00 $4.00 $12.00 $198.00 $106.00 $57.00 $554.14 $728.74 $10.00 $961.52 $91.61 $158.30 $67.12 $836.32 $189.58 $80.00 $1,136.57 $50.00 $18.00 $2,303.00 Date Paid 4/9/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 5/4/07 Pae:e 2 of 5 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00513 ISSUED: 05/04/2007 APPLIED: 04/09/2007 EXPIRES: 11/04/2007 VALUE: $ 174,944.00 Value Date Calculated $162,740.00 $12,204.00 $174,944.00 04/09/2007 04/09/2007 Receipt Number 1200700000000000375 1200700000000000503 1200700000000000503 1200700000000000503 1200700000000000503 1200700000000000503 1200700000000000503 1200700000000000503 1200700000000000503 1200700000000000503 1200700000000000503 1200700000000000503 1200700000000000503 1200700000000000503 1200700000000000503 1200700000000000503 1200700000000000503 1200700000000000503 1200700000000000503 1200700000000000503 1200700000000000503 1200700000000000503 1200700000000000503 1200700000000000503 1200700000000000503 1200700000000000503 1200700000000000503 1200700000000000503 1200700000000000503 1200700000000000503 1200700000000000503 1200700000000000503 1200700000000000503 1200700000000000503 Building/Combination Permit PERMIT NO: COM2007-00513 ISSUED: 05/04/2007 APPLIED: 04/09/2007 EXPIRES: 11/04/2007 VALUE: $ 174,944.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amount Paid $9,471.01 I Plan Reviews I Initial Review Plannin!! Review 04/10/2007 04/10/2007 04/10/2007 05/02/2007 APP APP NJM TAJ Public Works Review 04/10/2007 04/10/2007 WI JLP Public Works Review 04/16/2007 04/16/2007 APP JLP Public Works Review 04/23/2007 04/23/2007 10 JLP Structural Review 04/10/2007 05/0112007 APP RJB CITY OF SPRINGFIELD - Plant street trees as required by Street Tree Plan attached: 4 either Autumn Purple Ash or Oct Glory Maple and 1 either London Plane or Ornamental Pear; 2" caliper, leave name tags on until occupancy. Rcvd 4/10/2007---Waiting in order PW rcvd for rvw.JLP WI 4/10/07 For this parcel in Filbert Meadows, it is the recommendation to the Building Division, by the City Engineer: "that final occupancy should not be given until the subdivision is accepted by City Council". Storm to curb & gutter. Storm H20 SDC's added, as no resolution has been met to date between Ken/Les and Weichert Homes on repayment methods for storm system. (Adjustments to be made at later date). JLP APP4/16/07 Rcvd overwidth approval from Traffic Dept. JLP 10 4/23/07 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. [JeouireCUnsnections I 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. 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. Pa!!e 3 of 5 CITY OF SPRINGFIELD - Building/Combination Permit Status Issued PERMIT NO: COM2007-00513 ISSUED: 05/04/2007 APPLIED: 04/09/2007 EXPIRES: 11/04/2007 VALUE: $ 174,944.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line 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 Conditions have been completed as required on Development Agreement. Final Building: After all required inspections have been requested and approved and the building is complete. Underground Plumbing: Prior to filling the trench and including required testing.' 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. 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. lIemporary 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. Pa2e 4 of 5 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00513 ISSUED: 05/04/2007 APPLIED: 04/09/2007 EXPIRES: 11/04/2007 VALUE: $ 174,944.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 f~Qnt of the property, and the approved set of plans will remain on the site at all Hm" ~:i/;"CHOV/ sj r/o;2- Owner~ ~ntractors Signature Da;e I Pal!e 5 of 5 ZON 1.TY2 INITIALS l\. 'J y\/\ DATE ~- 'l{- 07 SOURCE - rY1z 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPliCATION City Job Number t. c::> vV"'.? ere:::> 7 - 0 ~ S-,.3 200 Amps or less 20 I Amps to 400 Amps "J' on~5' ,A-we) 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsN 0118 Reconnect Only Su_ism Lkenso Numb.. iii ") '1- 5 c, }e~~~ orf~ede";'" ," ',' J '~\J\~'3 ~S~IJ~1 \.\\'4 (0 0 I / D 7 <6.J'!s\t'lli~tlC{1~~h\l~~~ Relocation I ' ~()~~~ 2{\~~~s ~~~~c\ S ~ I Constr. Contr. Number /O.s 't 7S""'~\)~ ~~~1a S\~?.{>\~~t040€l,~~t) ?/D 0 ~\)~ c;\ ~~ \ \. j\ 1'd\O <r01 Amps to 600 Amps Expiration Date ./, a ~U\J~\\. ~\\ Over 600 Amps .or .1~qo :r~~!S .see "B" above. Signature of Supervising Electrician D. . ~~~~~~Sir~~~~~~},;~:,'::,;'::.:?'. " .', ~> ~ (\/1 ,0 f'A 171 ~ . , New Alteration or Extensio&\\lUi Panel L...~ 'lJ.. v.:t\. ) v'(jUVVl One Circuit - . )~~~'0':)) Eac~ ~8Qjtion~~~ wv::::..o~O\J :-. () I '\ ~-~~l1e~~,*~~~ ~o)o.. ~c~ $ 3.00 Owners Name D....v Le. w\ e~e-..;~ C\.f->~ ~\j ~\'~\\p 'O~\~~~'l ~o~'0 ':1FJ'O~':)\~)f~~, ' . Address 3073 .s Ie. '1 V ~<:: W. -nO\\\\~.. ~~'f!:~'s~~:P.qjf~1l'PA\\olcIUded) -Each Installation / ~~).'u ~o0\0..- o-s-e~:\i\O\~;e9~e\(\" ""... - ~ ^' . . - Phone b '8 b - 'j l{ )9~\{\) e~~~~Qti~ 0\6oQ~ O\~~~~ $ 50.00 \ S ..'?Jf:J'O ~i~@~~~~~O'~ _ $ 50.00 OWNER INST ALLA TION O~\ \eS t~~~~esidential $ 25.00 The installation is being made on property I own which V f,.\\\\\(\ ~~tt~nergY/Commercial $ 45.00 is not intended for sale, lease or rent. , Mir~um Electric Permit Inspection Fee is $45.00 + Surcharges -'d/J.qp V 1.0] ~ 'Llo\,qt\ 1. ,LOC4.TION OFINSTALUTION:.":::';':' ',_ ,,/ ,'_. _'"".\'''':'..' ~...:/J.-'" "C"';' -1. "":,:'''~',l_.'', ..;.:-.. ',,;;Z-_ ",:,j~;j'i:J~':<C::':_j) -~~ Y D b Y F,'/ bvt VV\ ~1-.J.o...JS LEGAL DESCRIPTION: ) 80 Z bb4 ( /4 'tOD JOB DESCRIPTION: 5~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ""-.<<".'r"),.'":~:~",,,~;, .;~ /."-'i'-"~"""'. ; .:"'- ...........' '::''0-- ",I; ~' ~,,' "'.'1> ,,,....' ".' 2.C9N!RAC;Tq"flJV~t40~~?~ o!4Y':'. Electrical Contractor L ~ e Address q 2.g 3 :3 City tS'p y JJ, Phone & II ,. VI , 3 Expiration Date City ~VJ ~h.. e... Owners Signature: Inspection Request: 726-3769 Date 3. ;~~O~fL1f_!~{~E,~f!tl!R~TI:EJ!EpC!~,: .'., ,...... ". -; - " "'y., ,,' ,', '/ - ..-~. "",",." --~, -->"Y_' . Y. ". .. < -, ,. . A. ':.l'T~wj~~s~~~~t,jal'':' Si~gl~'~~MUI!i~Famiiyper'~~ellil1g~nit." ".'_. ....,..,._........ ...,.; ........H..... .., _., ..~ ..~,.,,,, ,.,,,. ,. ",.". ......._.J..L,"~.;;. ,...- .' .- 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 I 10(; 57 $106.00 3 $ 19.00 $50.00 ~"",'?"W'_~,:?::;'~'~.:':_\_;~""': '<"~7~~:~":_~~': >--;,~~"~'~i'_~','" ',', "~_','_, " ":~':. .:.' -'1 ", ,', B. ': Ser\.ites~;_Feed~~s;'::.. install~ti.on',.Alt~i~tioi1s o~,'Rel~~atio~:i\ '. ~. . '""-s.<- ~.-~<\;-^.:",. '-'<'~"':"'.} ,... ':'-!.:..':';:.;:':.: ;'. >.:'-:.'. "'" .,' .' ./ $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 $ 50.00 $ 69.00 $100.00 6() . ()V $ 43.00 4. :'~S'iJBTOTAL'OFABOVE'!,: .'.' .m', :'.,,';d'.:,:~I.'_ :~,~':--..j!/?' H:::;;~:_ :'; <-.\f.,;;,,: )J:.,;' .:.,".. j " , 8% State Surcharge ] 0% Administrative Fee 5% Technology Fee TOTAL ' Shared Drive(T:)/Building Fonns/Electrical Permit Application 8-06,dOc CITY OF 51 ~GFIELD SYSTEMS DEVELOPMEN~ JOURNAL OR JOB NUMBER: C0M2007-00513 NAME OR COMPANY: weichert LOCATION: 4064 filbert meadows dr., TAX LOT NUMBER: Lot #73 filbert meadows DEVELOPMENT TYPE: SINGLE F AMll.. Y RESIDENCE NEW DWELLING UNITS 1 BUILDING SIZE (SF: 2545 1. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM IMPERVIOUS S.F. x I COST PER S.F. CHARGE 3386.50 I $0.336 = $1,136.57 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F. x I COST PER S.F. x DISCOUNT RATE I 0.00 I $0.336 50% = I ITEM 1 TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER - CITY A REIMBURSEMENT COST: NUMBER OF DFU's x 28 )RK5HEET LOT SIZE (SF): 8270.1 rI) ~ o o u ~ ~ jr-< rI) ...... Co? ga $1,136.57 DISCOUNT r $0.00 I COST PER DFU $26.03 B. IMPROVEMENT COST: I NUMBER OF DFU's I x I 28 $]9.79 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = ! 3. TRANSPORTATION A REIMBURSEMENT COST: I ADTTRIPRATE I x I 9.57 I B. IMPROVEMENT COST: I ADT TRIP RATE x I 9.57 $1,282.88 NUMBER OF UNITS x, COST PER TRIP 1 I $19.8] - NUMBER OF UNITS I x 1 I ITEM,3 T:OTAL - TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A REIMBURSEMENT COST: INUMBER OF FEU's x I 1 =! ICOST PER FEU I $91.61 B. IMPROVEMENT COST: . NUMBER OF FEU's x 1 ICOST PER FEU I $961.52 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I, SUBTOTAL (ADD ITEMS 1,2,3, & 4) = 1 5. ADMINISTRATIVE FEE: SUBTOTAL x ADM. FEE RATE 1= $4,508.48 5% I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Jeff Prociw 4/16/2007 PREPARED BY DATE x NEW TRIP FACTOR 1.00 , COST PER TRIP $87.39 $1,025.90 x NEW TRIP FACTOR 1.00 $1,063.13 I I $4,508.48 CHARGE $225.42 TOTAL SDC CHARGES $1,136.57 $728.74 $554.14 $189.58 $836.32 = $91.61 = $961.52 $0.00 $10.00 158.30 $67.12 =" $4,733.90 1070 1091 1092 1093 1094 1054 1055 111054 11056 " 1079 111078 DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDffiONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUlVALENT UNITS IBATIITUB 2 0 3 = 6 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / On.. / SOLIDS / ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 ILAUNDRY TUB 1 0 2 = 2 I CLOTIIESW ASHER / MOP SINK 1 0 3 = 3 ICLOTIIESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBn..E HOME PARK TRAP (1 PER 1RAILER) 0 0 12 = 0 I RECEPTOR FOR REFRJG / WATER STATION / ETC. 0 0 1 = 0 RECEPTOR FOR COM SINK / DISHWASHER / ETC. 1 0 3 = 3 SHOWER. SINGLE STALL 1 0 2 = 2 SHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 SINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASINIDOUBLE LAVATORY 1 0 2 = 2 SINK: SINGLE LAVATORY /RESIDENTIAL BAR 1 0 1 = 1 URINAL, STALL / WALL 0 0 5 = 0 ITOn..ET, PUBLIC INSTALLATION 0 0 6 = 0 ITOn..ET, PRIVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 28 "EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons peT day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$],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 ]979 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 TOTAL MWMC CREDIT $0.00 = 225 Fifth Street 'Springfield, Oregon 97477 541-726-3759 Phone C:+v of Springfield Official Receipt elopment Services Department Public Works Department Job/Journal Number COM2007-00513 COM2007-00513 COM2007-005l3 COM2007-005l3 COM2007-00513 COM2007-00513 COM2007-005l3 COM2007-005l3 COM2007-00513 COM2007-00513 COM2007-00513 COM2007-005l3 COM2007-00513 COM2007-00513 COM2007-005l3 COM2007-005l3 COM2007-00513 COM2007-005l3 COM2007-00513 COM2007-00513 COM2007-005l3 COM2007-00513 COM2007-00513 COM2007-00513 COM2007-005l3 COM2007-00513 COM2007-00513 COM2007-00513 COM2007-005l3 COM2007-005l3 COM2007-00513 COM2007-00513 COM2007-00513 Payments: Type of Payment Cred itCard cReceint 1 RECEIPT #: 1200700000000000503 Date: 05/04/2007 Description Fire SF Fee - Residential Addressing Assignment Willamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Sidewalk Permit Curbcut Permit Storm Drainage 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 Curbcut Permit Building Permit 2 Baths One or Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Gas Outlets 1-4 Fireplace (Listed) Heat Pump -Mechanical Issuance Fee- Plan Review Major - Planning + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By BWCH Item Total: Check Number Authorization Received By Batch Number Number How Received djb 00578B In Person Payment Total: Page 1 of 1 9:08:28AM Amount Due 101.60 31.00 2,303.00 106.00 57.00 50.00 80.00 80.00 1,136.57 728.74 554.14 189.58 836.32 91.61 961.52 10.00 158.30 67.12 40.00 809040 254.00 12.00 18.00 9.00 6.00 4.00 15.00 12.00 10.00 198.00 87.52 108.19 145.40 $9,271.01 Amount Paid $9,271.01 $9,271.01 5/4/2007