The URL can be used to link to this page

Home My WebLink AboutPermit Building 2006-9-14 (2) CITY OF SPRINGFIELD' Building/Combination Permit . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: cOM2006-01002 ISSUED: 09/14/2006 APPLIED: 08/04/2006 EXPIRES: 03/14/2007 VALUE: $ 312,355.00 Status Issued SITE ADDRESS: 6300 FOREST RIDGE DR ASSESSOR'S PARCEL NO.: 1702343408600 SPRINGFIETYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: Single family residence - Mt Gate lot 76 TYPE OF USE: New Residential . I PrU~~I,<;:'JMPROVEMENTS I WORK .. IT SHALL tJ\nRE IF THE. .- F II I I \-\\d~ PERM U\S PERSldew.lalk\T~pe: u y mpro.ve D UNDER 1 n \'Jill v (Ilu . ty.~1HOR\ZE 0 OR IS ABANDO\\I[q)v~~pouts/Drains: COMMENCE ANY i 80 D/\Y PERIOD. Storm drainage to curb & gutter. No final occupancy until subdivison is accepted. Owner: WALTER CUSTOM HOMES Address: 2863 RIVERW ALK LOOP EUGENE OR 97401 I CONTRACTOR INFORMA nON, Contractor License THOMAS WALTER CUSTOM HOMES LLC 160287 B~ARr->>RHf~IN ELECTRIC LLC 136298 ~A~~n,l(~SIN(fJon law requires you to 25790 N~S~P'LIU~'?~I~Jt;ctQ~fUeTING10n Utility 103816 . ),.. f _.-I lrl .r"\n.~:r. f :-:-i~'-'v I LA;\:':'"'..-:II f-I ....:'OT TI-\"T'~ In OAR 952-001-001 (II tBUlLDING ,INF.QRM*nON I 0090. You may obtain copies of the rules b' # of Units: calling the c~nter. (NotJ}. of Stor:/ies:j,.., v Y 2 . . v L!le te "to, ,nnq Pflmary Occupancy Gron~mber forRl-3" Oregon :-"t. elghfof.structure .1,,-, 1J..DlIliiN"t'tir l' Secondary Occupancy Group: CenteV is 1-800-3~T::r..~e ot;;Hea'f: Ion Forced Air Gas Primary Construction Type VN Wat~#The: Gas Secondary Construction Type: Range Type: Gas # of Bedrooms: 3 Energy Path: Path 1 Sprinkled Building: n/a Contractor Type General Electrical Mechanical Plumbing I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rear'yard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 20.00 12.00 5.80 70.00 Subdivision Not Accepted Street Improvements: Storm Sewer Available: Special Instruction: Notes: Pa2e 1 of 4 Phone Number: 541-683-6355 Expiration Date 07/12/2008 08/06/2007 12/23/2009 01/04/2008 Phone 541-683-6355 541-953-6747 541-747-7445 541-461-4714 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 17,672 1,989 828 854 REQUIRED PARKING Hillside 2 Yes 20.20 Total: Handicapped: Compact: 2 Curbside 5' Curb and Gutter Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541- 726-3769 I nspection Line Description Tvpe of Construction AC - Residential V Wood Frame Garae:e A.C. - Residen Dwelline:s Garae:e CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2006-01002 ISSUED: 09/14/2006 APPLIED: 08/04/2006 EXPIRES: 03/14/2007 VALUE: $ 312,355.00 I Valuation Description I $ Per Sq Ft or multiplier $4.00 $99.00 $26.00 Square Footage or Bid Amount 2,817.00 2,817.00 854.00 Value Date 'Calculated $11,268.00 $278,883.00 $22,204.00 $312,355.00 09/13/2006 08/04/2006 08/04/2006 Total Value of Project ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $794.40 8/4/06 1200600000000001206 -Mechanical Issuance Fee- $10.00 9/14/06 1200600000000001417 + 10% Administrative Fee $214.95 9/14/06 1200600000000001417 + 5% Technology Fee $112.70 9/14/06 1200600000000001417 + 8% State Surcharge $157.27 9/14/06 1200600000000001417 3 Baths One & Two Family $306.00 9/14/06 1200600000000001417 Addressing Assignment $31.00 9/14/06 1200600000000001417 Appliance Vent $6.00 9/14/06 1200600000000001417 Boiler/Comp Up To 100,000 btu $12.00 9/14/06 1200600000000001417 Building Permit $1,257.90 9/14/06 1200600000000001417 Curbcut - Additional Driveway $40.00 9/14/06 1200600000000001417 Dryer Vent $6.00 9/14/06 1200600000000001417 Exhaust Hoods $9.00 9/14/06 1200600000000001417 Fire SF Fee - Residential $183.55 9/14/06 1200600000000001417 Furnace - up to 100,000 btu $12.00 9/14/06 1200600000000001417 Gas Fireplace $30.00 9/14/06 1200600000000001417 Gas Outlets 1-4 $4.00 9/14/06 1200600000000001417 Gas Outlets 4+ $1.00 9114/06 1200600000000001417 Mountaingate Impervious Area $1,201.34 9/14/06 1200600000000001417 Plan Review Major - Planning $198.00 9114/06 1200600000000001417 PW Disc - 2nd Permit $-30.00 9/14/06 1200600000000001417 Residence Wiring 1000 Sq Ft $106.00 9/14/06 1200600000000001417 Residence Wiring Ea Addtl 500 $1l4.00 9/14/06 1200600000000001417 Sanitary Sewer - Improvement $633.30 9/14/06 1200600000000001417 Sanitary Sewer - Reimbursement $832.85 9/14/06 1200600000000001417 SDC MWMC Administration $10.00 9/14/06 1200600000000001417 SDC MWMC Improvement $961.52 9/14/06 1200600000000001417 SDC MWMC Reimbursement $91.61 9/14/06 1200600000000001417 SDC Sanitary/Storm Admin $171.77 9/14/06 1200600000000001417 SDC Transpo Admin $66.06 9/14/06 1200600000000001417 SDC Transpo Improvement $836.32 9/14/06 1200600000000001417 SDC Transpo Reimbursement $189.58 9/14/06 1200600000000001417 Sidewalk Permit $80.00 9/14/06 1200600000000001417 Storm Sewer Each Addtl 100' $28.00 9/14/06 1200600000000001417 Pae:e 2 of 4 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: cOM2006-01002 ISSUED: 09/14/2006 APPLIED: 08/04/2006 EXPIRES: 03/1412007 VALUE: $ 312,355.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Temp Power 200 amps or less Vent Fan Willamalane Single Family $50.00 $24.00 $1,000.00 9/14/06 9/14/06 9/14/06 1200600000000001417 1200600000000001417 1200600000000001417 Total Amount Paid $9,752.12 Initial Review Planninl! Review I Plan Reviews I 08/10/2006 08/10/2006 APP SKG 08/10/2006 08/18/2006 APP TAJ Plant native trees from the Hillside list in the street tree handout. 08/1 0/2006 08/14/2006 APP JLP Storm drainage to curb & gutter. N(J hook-up to city infrastructure & No final occupancy until subdivison is accepted by city council. 08/1 0/2006 09/13/2006 APP DLM Public Works Review Structural Review 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. ~eauireCUnsDections . 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 - Standard: 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. 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. Pae:e 3 of 4 CITY OF SPRINGFIELD - Status Issued Building/Combination Permit PERMIT NO: cOM2006-01002 ISSUED: 09/14/2006 APPLIED: 08/04/2006 EXPIRES: 03/14/2007 VALUE: $ 312,355.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Undertloor 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. 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 ofany 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. (_ ~JJACxLu k~v 7' I Lf- OCp Owner or Contractors Signature Date Pae:e 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2006-0 I 002 COM2006-0 1002 COM2006-0 I 002 COM2006-0 1002 CO M2006-0 I 002 COM2006-0 I 002 COM2006-0 I 002 CO M2006-0 I 002 CO M2006-0 I 002 COM2006-0 I 002 COM2006-0 I 002 CO M2006-0 1002 CO M2006-0 I 002 COM2006-0 I 002 COM2006-0 I 002 COM2006-0 I 002. COM2006-0 I 002 CO M2006-0 I 002 COM2006-0 I 002 COM2006-0 I 002 <:;;0 M2006-0 I 002 CO M2006-0 1002 CO M2006-0 I 002 CO M2006-0 I 002 COM2006-0 I 002 COM2006-0 1002 COM2006-0 I 002 COM2006-0 I 002 COM2006-0 I 002 COM2006-0] 002 COM2006-0 I 002 CO M2006-0 1002 COM2006-0] 002 CO M2006-0 I 002 COM2006-0 I 002 COM2006-0 I 002 Payments: Type of Payment Check CreditCard c Receinll c;hr of Springfield Official Receipt 1. ;Iopment Services Department Public Works Department RECEIPT #: 1200600000000001417 Date: 09/14/2006 11 :47:24AM 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 Sidewalk Permit Curbcut - Additional Driveway 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 3 Baths One & Two Family Storm Sewer Each Addt\ 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~ , Building Permit + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Amount Due 31.00 1,000.00 106.00 114.00 50.00 183.55 80.00 40.00 (30.00) 1,201.34 832.85 633.30 189.58 836.32 91.61 961.52 10.00 171.77 66.06 198.00 306.00 28.00 12.00 12.00 24.00 6.00 9.00 6.00 4.00 1.00 30.00 10.00 ],257.90 112.70 157.27 214.95 $8,957.72 Paid By THOMAS WALTER CUSTOM HOMES WALTER CUSTOM HOMES Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid djb 5113 In Person $957.72 djb 0014967 In Person Payment Total: $8,000.00 $8,957.72 Page I of2 9/14/2006 ~L N I"--A-. ~,~";7:';';'.:.C:7~.:...:;-I'f.~ oc.;, -~-~....".-.._---~. _._--_.."'".-......~ _. -.~:------' . ~~"~"- ",-'. ~..,-- +..... ;::;:F;, !F?CiJ1.~'?~rG.;jl.X,_ PlEI':?.F/iJ1 Ji '_A1PPL~rCA TI(0~i! 225 FIFTH STREET · SPRINGFIELD, OR f}7477 . PH:(541)726-37S3 It FAX: (541)72&-3689 :;ectri:::::~~;E:t:.:p,~ rL;2:::~::i~~,,~",~ij~(~f,"~:~::!'~!~""~'..... .;'j) k J I < I! I 7 tf ~ 201 Amps to ~g~uireS '10 t;\',t\! $ 75.00 Address t<""S'a..JJ; flwtlll.({ec;s. J' Y ~~\t~1~srt9~~~-.P5)r8g:1\ s~t'f,,~t\l $125.00 G .t:;4A' 71(1~d1rr' 1i0:J ~'f.:.d,ooO~p\sS ell e v,., 00\ - $163.00 - /J \y.~.....H.I\v" :\nuJV !\R 95 - City ..l..U.J./t,1"\. 'C... Phone '1~-67'1? 7~~~ic9~O'O((~~1tI~n 0, fl,Ir:,S bY $375.00 J Notl'IC: c ~gneac'6My\c\ ooies 0' tne r",nP. $ 50.00 , Or\\I:::Io btaHl' te\3?' ,- . / / /" H"\ VOlUJ\ay 0 ~ t~\O~e: t\,e _'\.' t'hcatlO\\ Supervisor License Number </L t/O ::> 0090. C. ~\B-'>o~~'l~ ~f';.'!UfWlr{<j;.'ah",- - ca\\I\\9 t t\le Oregon 32.-2.344). Expiration Date /()-ol-07 nLHl\bitI~f ti..g,At~~ti%n or Reloeation e\\lv . /Jt" / 20 Amps or less I Constr. Contr. Number /~ k2Y () 201 Amps to 400 Amps A-{_/'7 401 Amps to 600 Amps Expiration Date ~. C/ Over 600 Amps or 1000 Volts see "B" above. -. - - _. "_n' S~L)7!;r~;" D.~Iw:;::~~....ro~:erPanel v - Each Additional Circuit or with . Service or Feeder Permit City Job Number cfo -0 l QcOI_ - - . .. 1. .j;~iqg<-?/jYB{YXRJ.:~f~~%~m<~~~f:!~v;/'-~~c2<~:g 0'300 FfJl'~"J- ILl J&,--, hI'.... LEGAL DESCRIPTION rfo23 i.f'31f o8boo JOB DESCRIPTION S'~5~ 6111) ~ ~stJt'v1t.P/ f kf'''!t1~ Permits are non-transferable and expire if work ,is ( not started within 180 days of issuance or if work is Suspended for 180 days. ~ers Name I 0 '^"""'- ( y}.ft Gi\.... / Addfas,' '2 rsb::r 12. ~t-IL"-V~Le City ~~~, Phone 3 -b":lrS- Inspection Request: 72&-3769 Date C\. -, '-\..-~ 3. -?4t14t~(:/ltt~~~~-~:~~9i.~~~:fjV~$;:i!EI;JJj;~-1(..-.::..";. -. .:.. . . A. "~~':~~ft~#<l:~~t~~+~~ii~t~~i':r~~!tj"~~n~ljl~;V~j'~h'fe!firig:UIkit~ Service Included 1000 sq. fl or less Each additional 500 sq. ft or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder I $106.00 JOt,t~ G $19.00 Ii Lf ,DO $50.00 $ 50.00 $ 69.00 $100.00 ~O,()O $ 43.00 $ 3.00 E. ...'1'r1~~#~P~~~~t~~K~:~~~:i~~/f#:#i~~#:6fi~c~#{~~~tt~~~~~i:,i:~~~~HaHQ~: . \ Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential: $ 25.08E \tJ()\\'l' L~ed Energy/C.:~:ercial . _.~,;,'.~~\45\~\ \S ~Cy\ Minimum ~lee~~~"~~~~~\f~~~t~~",,~~iJ~~~~~es , .- ,.....~.,~rnc.\::!KiH&P.\j.~\). f\Qp..~\)O 4. .:;.~t.7ff!!T(!p'!f%Am1'F'~","{J!l.~.'t{.\5..r:''?>:.'..i r') ":l.... 00 .":.":~'::jX\Ji\S\PIT~CtU:OD" \6\),'-"< ,v 'rUt. 8% State surc~~~~( \) Di\'{ I(t,\\ '2- ( , (gO 100Admin~'{Flf i 2'f,OO TOTAL ':) 113 t bO . Shared Drive(T:}lBuilding FOnnsIElectrical Permit Application 1-06.doc C,TY OF ~'~NGF'ELD SYST~ft;jS DEVELOPME~-,.vORKSHEET JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS COM2006-0 1002 Walter Custom Homes 6300 Forest Ridge Dr o SINGLE FAMILY RESIDENCE ] BUILDING SIZE (SF: 2562 LOT SIZE (SF): r.rJ P-l Cl o u ~ P-l f-< r.rJ ...... d ~ o ]. STORM DRAINAGE J DIRECT RUNOFF TO CITY STORM SYSTEM IMPERVIOUS S.F. x I COST PER S.F. I I CHARGE 3579.50 I $0.336 = I $1,201.34 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. x COST PER S.F. x DISCOUNT RATE I 0.00 $0.336 50% ITEM 1 TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's x I 32 B. IMPROVEMENT COST: NUMBER OF DFU's x 32 J , COST PER DFU $26.03 ITEM 2 TOTAL - CITY SANITARY SEWER SDC $19.79 DISCOUNT $0.00 $1,201.34 $1,201.34 1070 $832.85 ]09] $633.30 1092 = , $1,466.15 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADTTRIPRATE . x I 9.57 B. IMPROVEMENT COST: ADT TRIP RATE 9.57 I NUMBER OF UNITS x I ] x NUMBER OF UNITS' x I ] I = , ITEM 3 TOTAL - TRANSPORTATION SDC COST PER TRIP $]9.8] x NEW TRIP F ACTORl 1.00 $189.58 COST PER TRIP $87.39 $1,025.90 x I NEW TRIP FACTORI I ' 1.00 I $836.32 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's x ] B. IMPROVEMENT COST: NUMBER OF FEU's x 1 ICOST PER FEU , $91.61 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) = I 5. ADMINISTRATIVE FEE: I SUBTOTAL x ADM. FEE RATE I $4,756.52 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: = $91.61 1054 = $961.52 1055 $0.00 1054 $10.00 1056 $1,063.13 I $4,756.52 I - CHARGE $237.83 171. 77 ]079 I $66.06 1]078 = , i TOTAL SDC CHARGES $4,994.35 - ..~.. - --....-- _.~_._- - ",., - Jeff Prociw PREPARED BY 8/14/2006 DATE DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS IBA THTUB 2 0 3 = 6 I DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE 1 OIL / SOLIDS / ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 LAUNDRY TUB 1 0 2 = 2 ICLOTHESW ASHER / MOP SINK 1 0 3 = 3 I CLOTHES WASHER - 3 OR MORE (EA) 0 0 6 = 0 I MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRIG 1 WATER STATION / ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 1 0 3 = 3 SHOWER, SINGLE STALL 1 0 2 = 2 I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK: COMMERCIALIRESIDENTIAL KITCHEN 1 0 3 = 3 I SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASINIDOUBLE LAVATORY 1 0 2 = 2 SINK: SINGLE LA V ATORY /RESIDENTIAL BAR 2 0 1 = 2 IURlNAL, STALL/WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 3 0 3 = 9 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 32 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$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] for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter ] for Yes, 2 for No) BASE YEAR 2 2 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE 11000 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 ," Job/Journal Number COM2006-0 I 002 COM2006-0 I 002 COM2006-0 I 002 COM2006-0 I 002 ' CO M2006-0 I 002 COM2006-0 I 002 COM2006-0 I 002 COM2006-0 I 002 COM2006-0 I 002 COM2006-0 I 002 COM2006-0 1002 COM2006-0 1 002 CO M2006-0 1 002 COM2006-0 1002 COM2006-0] 002 COM2006-0 1 002 COM2006-0 I 002 CO M2006-0 I 002 CO M2006-0 I 002 COM2006-0 1 002 COM2006-0 1 002 COM2006-0 I 002 COM2006-0 I 002 COM2006-0 I 002 CO M2006-0 I 002 COM2006-0 I 002 CO M2006-0 I 002 COM2006-0 I 002 COM2006-0 I 002 CO M2006-0 1002 CO M2006-0 1002 COM2006-0 1002 COM2006-0 I 002 COM2006-0 I 002 COM2006-0 I 002 COM2006-0 I 002 Payments: Type of Payment Check Cred itCard cReceinll RECEIPT #. 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 Sidewalk Permit Curbcut - Additional Driveway 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 3 Baths One & Two Family 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 -Mechanical Issuance Fee~ Building Permit + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By THOMAS WALTER CUSTOM HOMES WALTER CUSTOM HOMES 1200600000000001417 te: 09/14/2006 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 5113 In Person djb 0014967 In Person Payment Total: Page2of2 11:47:24AM Amount Due 31.00 1,000.00 106.00 114.00 50.00 183.55 80.00 40.00 (30.00) 1,201.34 832.85 633.30 189.58 836.32 91.61 961.52 10.00 171.77 66.06 198.00 306.00 28.00 12.00 12.00 24.00 6.00 9.00 6.00 4.00 1.00 30.00 10.00 1,257.90 112.70 157.27 214.95 $8,957.72 Amount Paid $957.72 $8,000.00 $8,957.72 9/14/2006