HomeMy WebLinkAboutPermit Building 2007-4-25
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: COM2007-00444
ISSUED: 04/25/2007
APPLIED: 03/26/2007
EXPIRES: 10/25/2007
VALUE: $ 231,495.00
SITE ADDRESS: 1221 S 41ST ST
ASSESSOR'S PARCEL NO.: 1802064111400
SPRINGFIE TYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: Single family residence
TYPE OF USE: New
Residential
I ~~TRACTOR INFORMATION I
fOil IV IION.O
Contractor V2ti!lOW rUle!. ~~,~~~cense Expiration Date
BRUCE WIEClJ~&~YqJt))~Eif1~~tlM res You t 09/16/2008
L & E ELECTR(JfjtJ~~~S2-007.C:C;: rhose~ tt'f5gon Uti/itO 03/30/2008
COMFORT FLO~ '. Ou may 0 '.9 thrqu ~are 8elft. )I 06/27/2007
STEVE R JOH1WW~ng the CAn~t~/,! CO/Jii:afJ" .R 9S2../l~~;03/12/2008
l'i1JCuitD~'ltm!~~~C9 ~Ules b'
..'... of .Qf')f') Illy NOtif O~e
1 # of Stories: ~':I'~:?2344 lCatltJn
R-3 Height of Structure: ), 27.00
U Type of Heat: Gas
VB NO'" Water Type: Gas
1/f:Eange Type: Gas
3 rH/S PE&p.~rgy Path: Path 1
AUrHO"" ~SjAliJllSIed.Building: nla
('1- rr I'),.., 17~11 r-A.
AN~e:~~~~lOI1/(
18.00 o!:ftfiffYEst: NDONfD ~ S NOr
6.00 # Street Trees Rqd: Ofi 2
5.00 Paved Drive Rqd: Yes
25.00 % of Lot Coverage: 40.50
19.00
Owner: BRUCE WIECHERT
Address: 3073 SKYVIEW LN
EUGENE OR 97405
Contractor Type
General
Electrical
Mechanical
Plumbing
# 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:
Subdivision Not Accepted
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS I
Phone Number: 541-686-9458
Phone
541-686-9458
541-933-2653
541-726-0100
541-342-3765
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
2,013
644
REQUIRED PARKING
Total:
Handicapped:
Compact:
2
Fully Improved
Yes
Sidewalk Type:
Downspouts/Drains:
Curbside 5'
Curb and Gutter
Notes: 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". JLP 4/8/07
Pa2e 1 of 5
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
Dwellines
Garaee
AC - Residential
V Wood Frame
Garaee
Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8?o State Surcharge
2 Baths One or Two Family
Appliance Vent
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
Plan Review Major - Planning
Plan ReviewIResidential Hourly
PW Disc - 2nd Permit
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
Storm Sewer Each Addtl100'
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
Wood Stove/Insert
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$4.00
$103.00
$27.00
Square Footage
or Bid Amount
2,001.00
2,001.00
644.00
Total Value of Project
~
Amount Paid
$646.52
$154.99
$87.28
$113.41
$254.00
$6.00
$12.00
$994.65
$80.00
$6.00
$9.00
$132.25
$12.00
$4.00
$198.00
$90.00
$-30.00
$554.14
$728.74
$10.00
$961.52
$91.61
$160.89
$66.91
$836.32
$189.58
$80.00
$1,184.06
$28.00
$50.00
$12.00
$2,303.00
$30.00
Date Paid
3/26/07
4/25/07
4/25/07
4/25/07
4/25/07
4/25/07
4/25/07
4/25/07
4/25/07
4/25/07
4/25/07
4/25/07
4/25/07
4/25/07
4/25/07
4/25/07
4/25/07
4/25/07
4/25/07
4/25/07
4/25/07
4/25/07
4/25/07
4/25/07
4/25/07
4/25/07
4/25/07
4/25/07
4/25/07
4/25/07
4/25/07
4/25/07
4/25/07
Paee 2 of 5
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00444
ISSUED: 04/25/2007
APPLIED: 03/26/2007
EXPIRES: 10/25/2007
VALUE: $ 231,495.00
Value
Date Calculated
$8,004.00
$206,103.00
$17,388.00
$231,495.00
03/26/2007
03/26/2007
03/26/2007
Receipt Number
2200700000000000409
2200700000000000575
2200700000000000575
2200700000000000575
2200700000000000575
2200700000000000575
2200700000000000575
2200700000000000575
2200700000000000575
2200700000000000575
2200700000000000575
2200700000000000575
2200700000000000575
2200700000000000575
2200700000000000575
2200700000000000575
2200700000000000575
2200700000000000575
2200700000000000575
2200700000000000575
2200700000000000575
2200700000000000575
2200700000000000575
2200700000000000575
2200700000000000575
2200700000000000575
2200700000000000575
2200700000000000575
2200700000000000575
2200700000000000575
2200700000000000575
2200700000000000575
2200700000000000575"
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Amount Paid
Initial Review
Plannin!! Review
03/27/2007
03/27/2007
Public Works Review
03/27/2007
Structural Review
03/27/2007
$10,056.87
I Plan Reviews I
03/27/2007
04/13/2007
APP
APP
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-00444
ISSUED: 04/25/2007
APPLIED: 03/26/2007
EXPIRES: 10/25/2007
VALUE: $ 231,495.00
NJM
TAJ
Plant street trees as required by the
street tree plan attached to the
building permit: Patmore green
Ash or Village green zelkova, 2"
caliper, leave the name tags on until
occupancy.
PW rcvd 3/27.JLP 3/27/07 *** For
this parcel in Filbert Meadows, it is
the recommendation to the Building
Division, by the City Engineer: "thaI
final occupancy should not be given
until the subdivision is accepted by
City Council". 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 APP4/8/07
Truss drawings not consistant with
building plans. Contacted truss co
& builder. Received revised truss
dwgs.4/18/07dlm Need engineer's
approval for changes to the plan
affecting the shear walIs4/19/07dlm
Received revised cover sheets
consistent with lateral cales, and
discussed revisions w/ engr, due to
moved openings in exterior walls.
Adjustments made to documents pel
teleon with engineer. 4/24/07dlm
See documents for Plan review
comments.
04/08/2007
APP
JLP
DLM
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.
04/24/2007
APP
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.
~eQujredJnsnectjQns ,
Pa!!e 3 of 5
CITY OF SPRINGFIELD-
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-00444
ISSUED: 04/25/2007
APPLIED: 03/26/2007
EXPIRES: 10/25/2007
VALUE: $ 231,495.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Curbcut - Standard: 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.
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.
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.
Wood Stove: After Installation.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When aU electrical work is complete.
Pae:e 4 of5
CITY OF SPRINGFIELD -
Status
Issued
Building/Combination Permit
PERMIT NO: COM2007-00444
ISSUED: 04/25/2007
APPLIED: 03/26/2007
. EXPIRES: 10/25/2007
VALUE: $ 231,495.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Wood Stove: After Installation.
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 pro erty, and the approved set of plans will remain on the site at all
times during T~tion. ~ i /z /107
Owner or CoAfr'actors Signatu/ Dat~1 /
Pal!e 5 of 5
ZON L."ff/...r'
INITIALS, ~"
DATE lj ---;J~ ,-ar
SOURCE I IY)',
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541 )726-3689
ELECTRICAL PERMIT APPLICATION ..l,
City Job Number --CLJ7412/m 7 -/J 0 41 f
1. LOCATION OF INSTALLATION:
/22./ S, 4/'?S ,")0
LEGAL DESCRIPTION:
J~oZO(p4-1 //4()O
JOB DESCRIPTION:
,I 6#/J. .A-w~
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
/
Phone ./
./
Supervisor License Numy
/
Expiration Date /
Constr. Contr. .Lber
City
Expiration Date
Signature of Supervising Electrician
Owners Name Mtlc6 M4C-~r
Address ..::1() 7, ~ ,y' ~ y .1// ~
City hAuexJC Phone ,~~- CY)5S
c _ ,
OWNER INST ALLA nON
The installation is being made on property I own which
is not intended1'or sale, lease or rent. ..--------
/--
own'''t/~
Inspection Request: 726-3769
Date
3. COJl.1PLETE FEE SCHEDULE BELOlV .
A. New Residential - Single or Multi-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
$106.00
$ 19.00
$50.00
B. Services or Feeders - InS&:t~i~n, Alterations or Relocation:
,,\ "..~~,
~f:J? 'd~., <,.
200 A I ,^cj.\,l' ~ \0
mps or ess,.' ;;'.,'-A' ,,(\V ~'''',~t"\'
, .,' ;;.b~ -"" J:.:>J
201 Amps t~4~~~.~. ~~?;) ~ \
40I~~Oo~ ~~e O\>~g, .sr; )0
fi.~{j:"iA ~\~~ A..h\~\e., 0' .,~" 0~'0~ ~,O'
(\0~\\"'" "~~*~\~~\,e\e~o~~\v?':
>,\ ':-.l' '~h":.\~\ ~0'. .,~~ ~'\.
\,'("~ w' n.' !h~()> t~O ,\\\\' o.r-.'"
(\~\\\C:~\"~(.j7:V 0-"! 010\0'\' -...: O~ v,,()~ n
~o_,f#" ~~diY ~~~rot Feeders
'.. .~ ~0
':"\\(\~' 1;.0\ ~ '
~t~lOn, Alteration or Relocation
2O{)"Amps or less /./ $ 50.00 5'0 ,~
201 Amps to 400 Amps $ 69.00
401 Amps to 600 Amps , \ ~i~~OO
Over 600 Amps or 1000 VoltsseM~\' abm,e,~ ~\C\'i
'. .'i\?\\\~ '>.1\\\ \~)
D. B~~<<t~~'Cl~t\ \\. ~\\..t:~:0\(J ?~ \\\~.~\:\' y \') ~
New,f'~.~t~~5 ~~)iSrc)~l~~~~~r'
One C\r~Ul>f\\:l,.\i -.., '.y;':(. . $ 43.00
EacH:\~ddit~<?tl~(~u~ ~\tilh
ServIc~Ji~F eede1\fle'lhllIt
\ ~ '\ \ 1 "
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
$ 3.00
E. Miscellaneous (Service/feeder not included) -Each Installation
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4. SUBTOTAL OF ABOVE
51) ,t!:rO
- 4-: 60
~O-O
>:;.SO
8% State Surcharge
10% Administrative Fee
5% Technology Fee
TOTAL fo / , S-o
Shared Dlive(T:)/Building Fonns/Electrical Pennit Applicat{on 8-06.doc
CITY OF Sl-"INGFIELD SYSTEMS DEVELOPME~j~ORKSHEET
JOURNAL OR JOB NUMBER: COM2007-00444
NAME OR COMPANY: Weichert
LOCATION: 1221 S 41st St
TAX LOT NUMBER: Lot #43 Filbert Meadows
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS 1 BUILDING SIZE (SF 2938 LOT SIZE (SF):
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. CHARGE
I 3528.00 '$0.336 I = I $1,184.06
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F. I x I COST PER S.F. x 1 DISCOUNT RATE I
0.00 I 1 $0.336 I 50% = I
ITEM 1 TOTAL - STORM DRAINAGE SDC I $1,184.06
DISCOUNT
'$0.00
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's x
28
COST PER DFU
$26.03
B. IMPROVEMENT COST:
NUMBER OF DFU's x
28 $19.79
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
I
I
.= ,
$1,282.88
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE x
I 9.57
NUMBER OF UNITS x I COST PER TRIP
1 I $19.81
x INEW TRIP FACTOR
I 1.00
B. IMPROVEMENT COST:
ADT TRIP RATE x I NUMBER OF UNITS I x I
9.57 I I I
ITEM 3 TOTAL - TRANSPORTATION SDC = I
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's x
I I
COST PER TRIP
$87.39
$1,025.90
x INEW TRIP FA.CTORI
I 1.00 I
ICOST PER FEU
I $91.61
B. IMPROVEMENT COST:
NUMBER OF FEU's 1 x COST PER FEU
1 I $961.52
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANlTARYSEWER SDC, = I
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = ,
5. ADMINISTRATIVE FEE:
SUBTOTAL x ADM. FEE RATE
$4,555.97 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Jeff Prociw
4/8/2007
PREPARED BY
DATE
6552.5
$1,184.06
$728.74
$554.14
. $189.58
$836.32
\,
i\
=
$91.61
r.rJ
l:LI
Q
o
u
p:::
~
r.rJ
......,
o
~
1'1070
1091
1092
1093
1094
1054
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTIJRE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNlT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
BATHTUB 2 0 3 = 6
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
ILAUNDRY TUB 1 0 2 = 2
ICLOTHESWASHER/MOP SINK 1 0 3 = 3
ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
I RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 1 0 3 = 3
ISHOWER, SINGLE STALL 1 0 2 = 2
I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
I SINK: COMMERCIAL BAR 0 0 2 = 0
I SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2
I SINK: SINGLE LA V ATORY/RESIDENTIAL BAR . 1 0 1 = 1
IURlNAL, STALL / WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRIVATE INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 28
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$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 ELGlBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter I 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
22~ Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
C;4", of Springfield Official Receipt
~ dopment Services Department
Public Works Department
Job/Journal Number
CO M2007 -00444
CO M2007 -00444
COM2007-00444
COM2007 -00444
COM2007-00444
CO M2007 -00444
CO M2007 -00444
COM2007 -00444
COM2007-00444
COM2007-00444
COM2007-00444
COM2007 -00444
COM2007-00444
COM2007-00444
COM2007-00444
COM2007-00444
COM2007-00444
COM2007-00444
CO M2007 -00444
COM2007-00444
COM2007-00444
COM2007-00444
COM2007-00444
CO M2007 -00444
COM2007-00444
COM2007 -00444
COM2007-00444
COM2007-00444
COM2007-00444
COM2007-00444
COM2007-00444
CO M2007 -00444
Payments:
Type of Payment
CreditCard
cReceint 1
RECEIPT #:
Date: 04/25/2007
2200700000000000575
Description
Fire SF Fee - Residential
Sidewalk Permit
Curbcut Permit
PW Disc - 2nd 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
Plan Review Major - Planning
Building Permit
2 Baths One or Two Family
Storm Sewer Each Addtl 100'
Furnace - up to 100,000 btu
Vent Fan
Appliance Vent
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Wood Stove/Insert
Boiler/Comp Up To 100,000 btu
WiIlamalane Single Family
Plan ReviewIResidential Hourly
Temp Power 200 amps or less
+ 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 04546B In Person
Payment Total:
Page 1 of 1
9:45:18AM
Amount Due
132.25
80.00
80.00
(30.00)
1,184.06
728.74
554.14
189.58
836.32
91.61
961.52
10.00
160.89
66.91
198.00
994.65
, 254.00
28.00
12.00
12.00
6.00
9.00
6.00
4.00
30.00
12.00
2,303.00
90.00
50.00
87.28
113.41
154.99
$9,410.35
Amount Paid
$9,410.35
$9,410.35
4/25/2007