HomeMy WebLinkAboutPermit Building 2006-8-14
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00841
ISSUED: 08/14/2006
APPLIED: 07/06/2006
EXPIRES: 02/14/2007
VALUE: $ 209,687.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1525 S 58th St
ASSESSOR'S PARCEL NO.: JASPER MDS 3 ADD PH .
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence - Jasper Meadows 3rd add ph 4 lot 169
Same As COM2006-00102 5750 Montclaire
Residential
Owner:
Address:
HA YDEN ENTERPRISES
2622 SW GLACIER PL #110
REDMOND OR 97756
Phone Number: 541-228-1081
Contractor Type
General
Electrical
Mechanical
Plumbing
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ro(\\j\\ \JJ~ \ \\\\\\'j, .
CONTRACTOR\,INIFORM-A;."nION , \O~'I.\y\
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.,,\. -\,':>u 1 u\eS S~-vv
Contractor ' ."~i;~' (~OO\; ~~ \ \lOse ~ ~~re~~eu\esE*'piration Date
HAYDEN ENTERPRI~~~:J(\ C~~\~O'lO'l.\I~OU.~%~l()lre ~ ~of\e; 07/29/2007
M & W ELECTR~~,I~<;,Q~~(i)RAT~B\f\ cO? .~~~:6ie\e~\C(;\'i\o\i\\ 06/19/2007
PACIFIC AIR COM'EOR~JSJ~().~ 0 leC \~o'l.~~-M"~o~ 03/25/2010
DENNIS SCOTT Eg;@:E~.~('\ \\le c~~ l\~e90~ol~E~A)1 05/05/2010
..("...."p. ..... .'''''(' P ~- _ ., ~\ J~ .
BYJ.lIDINGJ~,Ft>RMA TION .
I v.....
Phone
541-228-1081
541-754-6171
541-672-9510
541-459-0110
3
# of Stories: 2
Height of Structure 26.25
Type of Heat: Forced Air Gas
Water Type: Electric
Range Type: Electric
Energy Path: Path 1
Sprinkled Building: n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
6,300
1,008
1,005
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U
VN
400
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
30.60
17.00
5.50
35.90
12.50
I DEVELOPMENT INFORMATION I ~~~~
R't. W ",llE~~~~D PARKING
Overlay Di~01\Ct.. \\ S\-\t:>.\.\. 't.'i-.~~ ?'t.R~J~R 2
# Street Trel~tJ\W\t.D ~~Dt.R "' 2't:>.~Do~'@.lid'icapped:
Paved4>rive ~t\O~\t D O~ \S ~ Compact: .~.
% of Lot Co ~~t.~Ct ?t.R~~\)O
C"N'1 ,\~G Dt:>.i
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fullv Improved
Yes
'."
Sidewalk Type:
Downspouts/Drains:
Curbside 5'
Curb and Gutter
Notes: No hookup to City infrastructure until Public Improvements are accepted by the City; storm drainage piped to curb
face (weep hole) 07/14/06 CJS
Pal!e 1 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2006-00841
ISSUED: 08/14/2006
APPLIED: 07/06/2006
EXPIRES: 02/14/2007
VALUE: $ 209,687.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion I
DweIlinl!s
Garal!e
Tvpe of Construction
V Wood Frame
Garal!e
$ Per Sq Ft
or multiplier
$99.00
$26.00
Square Footage
or Bid Amount
2,013.00
400.00
Value
Date Calculated
Description
Total Value of Project
$199,287.00
$10,400.00
$209,687.00
07/06/2006
07/06/2006
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Same As $200.00 7/6/06 1200600000000001024
-Mechanical Issuance Fee- $10.00 8/14/06 1200600000000001257
+ 10% Administrative Fee $158.58 8/14/06 1200600000000001257
+ 8% State Surcharge $117.21 8/14/06 1200600000000001257
3 Baths One & Two Family $306.00 8/14/06 1200600000000001257
Addressing Assignment $31.00 8/14/06 1200600000000001257
Appliance Vent $6.00 8/14/06 1200600000000001257
Boiler/Comp Up To 100,000 btu $12.00 8/14/06 1200600000000001257
Building Permit $923.15 8/14/06 1200600000000001257
Curbcut Permit $80.00 8/14/06 1200600000000001257
Dryer Vent $6.00 8/14/06 1200600000000001257
Exhaust Hoods $9.00 8/14/06 1200600000000001257
Fire SF Fee - Residential $120.65 8/14/06 1200600000000001257
Furnace - up to 100,000 btu $12.00 8/14/06 1200600000000001257
Gas Outlets 1-4 $4.00 8/14/06 1200600000000001257
Plan Review Major - Planning $198.00 8/14/06 1200600000000001257
PW Disc - 2nd Permit (Street) $-30.00 8/14/06 1200600000000001257
Residence Wiring 1000 Sq Ft $106.00 8/14/06 1200600000000001257
Residence Wiring Ea Addtl 500 $57.00 8/14/06 1200600000000001257
Sanitary Sewer - Improvement $474.97 8/14/06 1200600000000001257
Sanitary Sewer - Reimbursement $624.64 8/14/06 1200600000000001257
SDC MWMC Administration $10.00 8/14/06 1200600000000001257
SDC MWMC Improvement $865.31 8/14/06 1200600000000001257
SDC MWMC Reimbursement $82.03 8/14/06 1200600000000001257
SDC Sanitary/Storm Admin $123.60 8/14/06 1200600000000001257
SDC Transpo Admin $68.34 8/14/06 1200600000000001257
SDC Transpo Improvement $836.32 8/14/06 1200600000000001257
SDC Transpo Reimbursement $189.60 8/14/06 1200600000000001257
Sidewalk Permit $80.00 8/14/06 1200600000000001257
Storm Drainage Impervious Area $755.84 8/14/06 1200600000000001257
Vent Fan $24.00 8/14/06 1200600000000001257
WilIamalane Single Family $1,000.00 8/14/06 1200600000000001257
Total Amount Paid $7,461.24
Pal!e 2 of 4
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: cOM2006-00841
ISSUED: 08/14/2006
APPLIED: 07/06/2006
EXPIRES: 02/14/2007
VALUE: $ 209,687.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Planninl! Review
Public Works Review
07/10/2006
07/10/2006
07/10/2006
I Plan Reviews I
07/10/2006 APP
08/02/2006 APP
07/1412006 APP
SKG
TAJ
CJS
No hook up to City infrastructure
until Public Improvements are
accepted by the City; storm
drainage piped to curb face (weep
hole) 07/14/06 CJS
Structural Review
07/10/2006
08/09/2006
APP RWC
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.
~eouiredJnsoections 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 - 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.
Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to
City Building Inspector.
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.
Pal.!:e 3 of 4
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2006-00841
ISSUED: 08/14/2006
APPLIED: 07/06/2006
EXPIRES: 02/14/2007
VALUE: $ 209,687.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
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.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Low Voltage: Prior to cover.
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.
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 during construction.
. ~ 7lA~---
Ow." ., Co.t,;;;'.~, S;g6
# ~-/7'~
Date
Pal!e 4 of 4
Date
ZON LtY'L
lNITIALS NM
DATE ~ O(P ,
~ . SOURCETV't?~, h,~
3/ILf/ZU~' '
225 FiFTH STRIEET 8 SPRINGFIELD, OR 91477 . PH:(541)726-3753 . FAX: (541)726.3689
200 Amps or le'Ss
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsN olts
Reconne'ct Only 00 \0
. _So[jlig~1jf( ~i'\\'l. ,;~t
, ': ~\~(;. 'O'J r) !D\eS, ~ ~ 9?~- '0'-1 .
. ; c. .: '-Installatmn,AlteratioD(OJo ~location
~ \"- Cf - 13\""
. ," ,~ '~(;~'2,O,O ...--.!00 'l-Hn '^o(\e
. . .- 8' I' ' .c;uups.or;.: ess ('II \
.' . ('.v ~ O( " ,\.J 0\0- 'e\et' . 0(\
., <'\C):~ 00....- '20,lvA.m'J\s to 400 Alnnfi\C-o.\\ . $ 69.00
. , , ~-v X-\G' \ :<.,e. ~V.-;.'"
;.'~ C;';.:, s:l~ 0'-o."l Q.(~~~A\llp~ te}~OOIAm~,. $100.00
,(\ '{OD ce(\ <:\0(\ <)_~'2Jv.,
IJ\.;~(\ .' \'(\e Q~~Elq ~~~r 1000 Volts see "B" a~~~e.
-o.\\\(\C3 \0,.1'(\ ,...~,~'OJ.,.__,.,,,_ "..--
C 1j0''Oe~ ce~~J,~~NSP,t~S~~ t~1i7
(\ New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit $ 3.00
'. . "'_''''__.....' , '.._ " '" .......,_..".. ___ ~\"\r\~~" __ _ .
E. :':~1i~~e~I;~~~aS'~~~~~~~;r~~~ :;' ''1'.' I~J-=:~"~t4i~~'ati~t '
fi. -.:'''' --.- -.--..-. --~ -~', ".."c'..-- . ""'"{~1~~~~~'~~''''' ' .,IV';._
"Pump or~.~ :\ S\\~\..\.. ,\-\\S? ~~3;1).~~
SignJO~J.t~~\ '0~'0t.~ f\ ~r:..~\)\J $ 50.00
Li ited~\~~\)~a\\ \S~Q $ 25.00
Li~ted E~~~~~~l\>t.\\~ $ 45.00'
Minimu~ El~tr~~~',~~~~P~Cti~~:.~ee is $45.00 + Surcharges
4. ,;f;~8~i~'i~j~l~~~~~:;1i~~iti:., /6-:3
',\
8% State Surcharge
10% Administrative Fee
ELECTRICAL PERMIT APPLICATI07\T
City Job Number C04Alt 2006 - 00 g 4 I
l.\.fg~t~gHi~~~.si1f~rf~~;tJ\F{:~~i~lt
/ SZ~ S. S"8+-'--
LEGAL DESCRlPTrON (
T~(J v11~.s ,?~JAJc.
JOB DESCRlPTfON
.p~ 4
It>f- If:, <<7
J.h,~~ WI U
Permits are non~transferable and expire if work is
not: started wlithin 180 days; of issuance or if work is
Suspended for 180 days.
2. ;~i~2~~~iIRi,.JE~!~~_gRi:~IE~f
Electrical Contractor ~lt0 fl-eJ.llic .):.;\A0
Address
.;;:(q<6~'1 H t-V'( ~ L{ 5 v.J
City
AlkV\'i
Phone 9-ft-7S'f-(PC7l
Expiration Date
"-!~7L./S
10/0'7
Supervisor License Number
Const!'. Contr. Number
L17 i3(P ""2-
&!tq / .)Orr
Expiration Date
Signature ofSupeIVising Electrician
I/L----
Owners Name 'i.h+t~,1/ lit/VIt:.=-!.
Address '2c( 6(( I G-/ A-c.tclt
City 'i?e-d.~"",-J. Phone -z...2r-b,:;.r
-
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
.,/
100~
3. 1~fR~~Bii~,~~:~;~~Jg;i%~:t:fg~ff;'~t"iJ~.W~~:)t:W;}!1!;'r!~:;
A~ .;}~'~~~~~~f~~i~~~~~~;~f~~2K~~:~i"~~~tf~~~,:~'~";
Service J(ncludeCi
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof .
Each Manufact'd Home or
Modular Dwelling Service or
Fe:eder
JOb'
5"7
J
$lO6.00 .
"5
$ 19.00
$50.00
B. :1;~~tl~;,~&1i~!~fi~lt~~~i~;~~~1~~J,:~~!,~~f1!~~;}~Jf,;
$ 63,00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
~\,,:=:';".,;;.
=.':.~..
~~i;~21'
$ 50.00
~,
$ 43.00
~~j
TOTAL
/ J o~{
163
.192 ~
Shared Drive(T:)/Building FOlmslElectrical Permit Application l..()6.doc
01gId~NladS dO ALI~
6S9C9ZLltg YVd 60:01 Hn~ 90/IT/LO
CITY OF Sl~'NGFIELD SYSTEMS DEVELOPME~~ORKSHEET
JOURNAL OR JOB NUMBEF-:
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
1. STORM DRAINAGE
DlRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. CHARGE
I 2252.08 I $0.336 I $755.84 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F. I x I COST PER S.F. x I DISCOUNT RATE I I
0.00$0.336 I 50% I = I
ITEM 1 TOTAL - STORM DRAINAGE SDC '$755.84 I
C0M2006-00841
Hayden
1525 S. 58th St.
Jasper Meadows 3rd Add Ph 4 Lot 169
SINGLE FAMILY RESIDENCE
1 BUILDING SIZE (SF: 2413
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFD's I x
I 24 I
B. IMPROVEMENT COST:
NUMBER OF DFD's x
24
COST PER DFU
$26.03
$19.79
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3, TRANSPORTATION
A. REIMBURSEMENT COST:
I ADTTRIP RATE x
I 9.57 .
B. IMPROVEMENT COST:
ADT TRIP RATE x
9.57
=,
$1,099.61
NUMBER OF UNITS x I COST PER TRIP
I I $19.81
I NUMBER OF UNITS
I 1
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's x COST PER FEU
I I $82.03
B. IMPROVEMENT COST:
/NUMBER OF FEU's I x COST PER FEU
I I I $865.31
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
. ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
LOT SIZE (SF):
DISCOUNT
$0.00
x NEW TRIP FACTOR
1.00
x I COST PER TRIP
I . $87.39
= , $1,025.92
x NEW TRIP F ACTORI
1.00 I
== , $957.34
= , $3,838.71
I CHARGE
I. $191.94
6300
$755.84
$624.64
$474.97
$189.60
$836.32
=
$82.03
r:/)
~
Q
o
u
~
~
r:/)
......
c.:;
~
I 1070
. 1091
1092
1093
1094
1054
= $865.31 11055
$0.00 1054
!
$10.00 1056
I
II
123.60 11079
$68.34 11078
=1 $4,030.65
SUBTOTAL (ADD ITEMS 1, 2, 3, & 4)
5. ADMINISTRATIVE FEE:
I SUBTOTAL x I ADM. FEE RATE
I $3,838.71 I 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Carol Stineman
7/14/2006
PREPARED BY
DATE
TOTAL SDC CHARGES
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQillV ALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
I BATHTUB 2 0 3 = 6
'DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
LAUNDRY TUB 0 0 2 = 0
ICLOTHESWASHER/MOP SINK 1 0 3 = 3
I CLOTHES WASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
I RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 1 0 3 = 3
SHOWER, SINGLE STALL 0 0 2 = 0
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2
ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1
URINAL, STALL / WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDD'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 24
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$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 1 for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
o
o
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
=
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
c;t-v of Springfield Official Receipt
1 :lopment Services Department
Public Works Department
Job/Journal Number
COM2006-00841
COM2006-00841
COM2006-00841
COM2006-00841
COM2006-00841
COM2006-00841
COM2006-0084I
COM2006-00841
COM2006-00841
COM2006-00841
COM2006-00841
COM2006-00841
COM2006-00841
COM2006-00841
COM2006-00841
COM2006-00841
COM2006-00841
COM2006-00841
COM2006-0084I
COM2006-00841
COM2006-00841
COM2006-00841
COM2006-00841
COM2006-0084I
COM2006-00841
COM2006-00841
COM2006-00841
COM2006-00841
COM2006-00841
COM2006-00841
COM2006-00841
Payments:
Type of Payment
CreditCard
cReceinl1
RECEIPT #:
1200600000000001257
Date: 08/14/2006
Description
Addressing Assignment
Willamalane Single Family
Fire SF Fee - Residential
Sidewalk Permit
Curbcut Permit
PW Disc - 2nd Permit (Street)
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
3 Baths One & Two Family
Furnace. up to 100,000 btu
Boiler/Comp Up To 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
~Mechanical Issuance Fee~
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Appliance Vent
Gas Outlets 1-4
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
HA YDEN HOMES
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
018033 In Person
Payment Total:
Page 1 of 1
2:37:54PM
Amount Due
31.00
1,000.00
120.65
80.00
80.00
(30.00)
755.84
624.64
474.97
]89.60
836.32
82.03
865.3 ]
10.00
123.60
68.34
] 98.00
923.15
306.00
12.00
12.00
24.00
9.00
6.00
10.00
] 06.00
57.00
6.00
4.00
]] 7.2]
158.58
$7,261.24
Amount Paid
$7,261.24
$7,261.24
8/1 4/2006