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Home My WebLink AboutPermit Building 2005-4-27 (2) Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . ..- CITY OF ~rKll~ul'u.LD Building/Combination Permit PERMIT NO: COM200S-00384 , ISSUED: 04/27/2005 APPLIED: 04/04/2005 EXPIRES: 10/27/2005 VALUE: $ 7,620.00 SITE ADDRESS: 2716 Garson Ln ASSESSOR'S PARCEL NO.: 1703361109902 Springfield TYPE OF WORK: Manuf Home w Garage/Carport Private Lot TYPE OF USE: New Residential Lynnetes Happy Homes lot 2 - manufactured home with carport ATTENTION' 0 fol/ow rut ,regon law re . NotifiCat;""ne~~dOPted bv th" ~~~es you to '11 UAR q<;",nr-: ..~'. I nose niJ...- ,cr." VLllIly 0090 ylLCONTRM!:lI'OlHCiIIDBM.n'I(;)N>1f1 cat;ing th -} V..!tam Copies of ".1 tlJ",U01. ContractomUmber f, e center. (Note.th thtrliemty CHARLESCOLU~~~sh~O~gonu~~e~e/~~9 CHARLES COLUMiftf~r Ia 1-800-33< ot~~n PACWEST BUILDERS INC -2344)'157401 PROJECT DESCRIPTION: Owner: Address: CHRIS ADSIT 28465 SIESTA LN EUGENE OR 97402 Contractor Type General ManufHome Inst 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: Street Improvements: Storm Sewer Available: Special Instruction: I BUILDING INFORMATION I 1 # of Stories: R-3 Height of Structure U Type of Heat: Vl'!t, Water Type: ~vOTlCE' Range Type: '!/lts PER' .E:nergy Path: AUTHOR M,SPtlnk1ed Building: 1"\", 17r:,..... IlfiLI c"',..,.. -VIVU'"'- ,-'''''''-' .,OT"'~'_ ANy 1,'DEVtELOPMENTtl"."rodA'IlIlilN..1 "" , I V vv UAY PE' 'v I1/iAND -, /lVII r IS ii' "I 24.00 ov~ja9nist: ONED FOR Or 5.00 # Street Trees Rqd: 5.00 Paved Drive Rqd: 10.00 % of Lot Coverage: 0.00 Electric Electric Electric n/a I PUBLIC IMPROVEMENTS I Phone Number: 541-345-4535 Expiration Date 09/03/2005 Phone 541-935-1880 10/17/2005 541-543-1904 1 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 5,522 1,188 240 1 Yes 25.80 REQUIRED PARKING Total: 2 Handicapped: Compact: Fully Improved Yes Sidewalk Type: Downspoutsmralns: Setback 5' Curb and Gutter Paee 1 of 4 Notes: Encroachment permit for sewer book-up In ROW, Storm piped to curb face 41712005 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Carport Carport Foundation Onlv Use Bid Amount Fee Description Plan Review Residential + 10% Administrative Fee + 7% State Surcharge Addressing Assignment Curbcut Permit Encroachment Permit Foundation Permit Garage/Carport Manuf Home State Issuance Manufactured Home Conn - Plmb Manufactured Home Placement Plan Review Major - Planning PW Disc - 3rd Permit (Street) Sanitary Sewer - 1st 50 Feet 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 - 1st 50 Feet Water Line - 1st 50 Feet Willamalane Manuf Home Private Total Amount Paid Initial Review Plan nine Review 04/07/2005 04/07/2005 . . CITY OF SPRIr~ul'1l'.LD ,Building/Combination Permit PERMIT NO: COM2005-00384 ISSUED: 04/27/2005 APPLIED: 04/04/2005 EXPIRES: 10/27/2005 VALUE: $ 7,620.00 I Valuation Descriotion , $ Per Sq Ft or multiplier $18.00 $1.00 Square Footage or Bid Amount 240.00 3,300.00 Value Date Calculated 04/04/2005 04/04/2005 $4,320.00 $3,300.00 $7,620.00 Total Value of Project Fpp<. PiiILI Amount Paid $59.67 $46.90 $32.83 $31.00 $80.00 $130.00 $60.60 $68.40 $30.00 $45.00 $160.00 $103.00 $-60.00 $45.00 $365.60 $480.80 $10.00 $865.31 $82.03 $101.48 $66.30 $772.49 $175.13 $80.00 $604.19 $45.00 $45.00 $1,000.00 $5,525.73 Date Paid Receipt Number 4/4/05 4/27/05 4/27/05 4/27/05 4/27/05 4/27/05 4/27/05 4/27/05 4/27/05 4/27/05 4/27/05 4/27/05 4/27/05 4/27/05 4/27/05 4127/05 4/27/05 4/27/05 4/27/05 4/27/05 4/27/05 4/27/05 4/27/05 4/27/05 4127/05 4/27/05 4/27/05 4/27/05 2200500000000000378 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 1200500000000000523 I Plan Reviews , 04/07/2005 04/22/2005 APP SKG APP TAJ Paee 2 of4 . . CITY OF ~rKll'1ul'lELD Building/Combination Permit PERMIT NO: COM2005-00384 ISSUED: 04/27/2005 APPLIED: 04/04/2005 EXPIRES: 1012712005 VALUE: $ 7,620.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Public Works Review 04/07/2005 04/07/2005 APP CAS Storm drainage piped to curb face 4/7/2005 CAS Structural Review 04/07/2005 04/26/2005 OK RJB 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. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are Installed. Encroachment: After item(s) have been removed to Inspect condition of public right of way. Curbcut - Standard: After forms are erected but prior to placement of concrete. Sidewalk - Setback: After forms are erected but prior to placement of concrete. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation Inspection. Slab: To be made after all inslab building service equipment, conduit piping and other equipment Items are In place but prior to concrete. Foundation: After forms are erected but prior to concrete placement. Footing: After trenches are excavated. Framing Inspection: Prior to cover and after all rough In Inspections have been approved. Manuf Home Set Up: When Installation of all piers or stands Is complete. Final Manuf Home Set Up: After all required Inspections are requested and approved and porches, skirting, decks, venting, street address numbers, trees, driveway, etc. have been Installed. Final Building: After all required Inspections have been requested and approved and the building Is complete. 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. Manuf Home Plumbing: After home has been connected to water and sewer. MH Electric: When blocking, setup and plumbing Inspections have been approved and the home Is connected to the panel. MH Service: Approval required prior to utility company energizing service. MH Pedestal: Approval required prior to utility company energizing service. Paee 3 of 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: COM2005-00384 ISSUED: 04/27/2005 APPLIED: 04/04/2005 EXPIRES: 10/27/2005 VALUE: $ 7,620.00 By signature, 1 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. ~(%~ Owner or Contrac;ors Signature Pa2e 4 of 4 ~/2 7/0 '> Date . 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726,3753 FAX (541) 726-3689 www.ci.springfield.or.us MANUFACTURED HOME SET-UP AGREEMENT As required by t1ie City of Springfield Development Code;! understand and agree that with the approval of , the attached pennits, one of the following manufactured homes will be placed at "73.., b { ~ J...-l>o.. , , Springfield, Oregon, City Job Number ....cd.."'^ 7 "'" <;" - IJ.::> ~ q,<..( '----- :-----.. ' " T.ype ! Manufactured Home: .', G multi sectional (do:e wide or wider) unit with an enclosed floor area of not less than 1,000 square feet, tnaflias a nominal roof pitch of 3 feet in height for each 12 feet in width, that has no bare metal siding or roofmg, and that has been certified by the manufacturer to have an cxterior thennal envelope meeting perfonnance standards which reduce heat loss to levels equivalent to t\ll; ~nnance standards required for single family dwellings at the time of CODStruction. L!JI initials ' , . . Typ~ Manufactured Home: A unit of n less than 12 feet in width enclosing a minimum floor area of 500 square feet, that has a nominal roo tii'tch of2 feet in height for each 12 feet in width, that has no bare metal siding or roofing, and that has been ertified by the manufacturer to have an exterior thermal envelope meeting performance standards which red ~heat loss to levels equivalent to the perfonnance standards required for single ' family dwellings at the e of construction., initials, . ' ! further state, by my signature below, that! have been provided with the following infonnation: Manufactured Home Blocking, Water Line Connection, Street Tree Standards, Sanitary Sewer Connection, Electrical Connection, and Minimum requirements for pennanent steps. ! also understand that the manufactured home shall be placed on an excavated and backfilled foundation not to exceed 6 percent slope within 10 feet of the perimeter enclosure, enclosed at the perimeter with stone, brick or other concrete or masonry materials approved by the Building Official and with no more than 24 inches of the enclosing material exposed above grade. ' ' , &~ r/zl/O) Date' / Signature . CITY OF sAG FIELD SYSTEMS DEVELOPMEN&RKSHEET JOURNAL OR JOB NUMBER: COM2005-00384 NAME OR COMPANY: Chris Adsil LOCATION: 2716 Garson Ln TAX LOT NUMBER: 1703361109902 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS I BUILDING SIZE (SF: 1524 LOT SIZE (SF): 5522 m u.l Cl o U P<: u.l I- m a ~ L STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. CHARGE I I 1949,00 $0.310 I = I $604.19 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I x I COST PER S,F. I x I DISCOUNT RATE I 1 I 0.00 I I $0,310 I I 50% = I DISCOUNT $0.00 ITEM I TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER - CITY $604.19 A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I 20 I 8. IMPROVEMENT COST: I NUMBER OF DFU's I x I 20 I COST PER DFU $24.04 $18,28 ITEM 2 TOTAL - CITY SANlT ARY SEWER SDC = , $846.40 ], TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRJP RATE I x I NUMBE\OF UNITS I x I COST PER TRIP x INEW TRJP FACTORI I 9.57 I I $18.30 I 1.00 I 8. IMPROVEMENT COST: I ADT TRJP RATE I x I NUMBER?F UNITS I x I COST PER TRIP x INEWTRJPFACTORI I 9.57 I I $80.72 I 1.00 I ITEM 3 TOTAL - TRANSPORT A nON SDC = , $947.62 $604.19 $480.80 11070 '1 1091 I $365.60 11092 J I I $175.13 1093 $772.49 1 ] 094 I 4 SANITARY SEWER. MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x I I ICOST PER FEU i $82.03 8. IMPROVEMENT COST: INUMBER OF FEU's I x I I I ICOST PER FEU $865.3 I MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =, SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , 5 ADMINISTRATIVE FEE' $957.34 = $82.03 = $865.31 $0.00 $10.00 $3,355.55 I SUBTOTAL x I ADM. FEE RATE 1= I $3.355.55 I 5% I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: CHARGE $167.78 Cheryl Slaymaker PREPARED BY 4nt2005 TOTAL SDC CHARGES DATE 101.48 $66.30 = I $3,523.33 11054 I II ]055 ]054 1056 I I 1079 11078 . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIX11JRES x UNIT EQUlV ALENT - DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY 1lIE NET ADDmONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS I BATHTUB 2 0 3 = 6 l IDRINKlNG FOUNTAIN 0 0 1 = 0 I IFLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE lOlL 1 SOLIDS 1 ETC. 0 0 3 = 0 I IINTERCEPTORS FOR SAND 1 AUTO WASH I ETC. 0 0 6 = 0 I I LAUNDRY TUB 0 0 2 = 0 I ICLOTIlESWASHER 1 MOP SINK 1 0 3 = 3 I ICLOTIlESWASHER - 3 OR MORE (EA) 0 0 6 = 0 I IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I IRECEPTOR FOR REFRlG 1 WATER STATION I ETC. 0 0 1 = 0 I IRECEPTOR FOR COM. SINK 1 DISHWASHER 1 ETC. 0 0 3 = 0 ij I SHOWER. SINGLE STALL 0 0 2 = 0 ISHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0 ISINK: COMMERCiAriRESIDENTlAL KITCHEN 1 0 3 = 3 I ISINK: COMMERCIAL BAR 0 0 2 = 0 I ISINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0 I ISINK: SINGLE LAVATORYIRESIDENTlAL BAR 2 0 1 = 2 IURINAL. STALL I WALL 0 0 5 = 0 II !TOlLET. PUBLIC INSTALLATION 0 0 6 = 0 II ITOILET. PRlV A TE INST ALLA TION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S I 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 20 I .EDU (Eauivalent DwelliRJt Unit) is D discharge equivalent to a sinRle family dwelling wtit (20 DFU's) set at 167 ~Ions .per day h MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE' 'I YEAR I CREDlTRATF1$i:OOO 'I ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2 I BEFORE 1979 $5.29 (Enler I fnrYes. 2 for No) 1 I 1979 $5.29 IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? 2 I 1980 $5.19 (Enler I for Yes, 2 for No) I 1981 $5.12 BASE YEAR 1979 I 1982 $4.98 I 1983 $4,80 CREDIT FOR LAND (IF APPLICABLE) I 1984 $4,63 VALUE I 1000 CREDIT RATE I 1985 $4.40 SO,OO x S5.29 ~ , SO.OO I 1986 $4.07 I 1987 $3.67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) I 1988 $3,22 VALUE I 1000 CREDIT RATE I 1989 $2.73 $0.00 x $5.29 0 I 1990 $2.25 I 1991 $1.80 I 1992 $1.59 TOTAL MWMC CREDIT = $0.00 I 1993 $1.45 I 1994 $1.25 I 1995 $1.09 I 1996 $0.92 I 1997 $0.72 1998 $0.48 1999 $0.28 2000 $0,09 2001 $0.05 e, . . \. ,/ ". ." '. - . Constr.uctidn Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.ccb.state.or.us Permit #: co"""\~os-- <::>0-3 gLI Z- II ?::, G-Mt-s c"'- LA.,( ~ (( Date: .!)/z 71' r Address: Issued by: Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical and plumbing permits, Licensed architect and engineer applicants, exempt from licensing under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the a}'}'.v}'.:ate blanks and initial boxes 1 and 2, and either box 3A or 3B: ~l. ~2. I own, reside in, or will reside in the completed structure. I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion. R' 3A. My general contractor is C\-\-;\CLl.t::S LOU..A.,""" ~ 1.A. ~ (Name) <g$"7l{ () (CCB #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR o 3B. I will be my own general contractor. If! hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If! change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information Is correct and that I have read and do understand the Information Notice to Property Owners ahout Construction Responsibilities on the reverse side of this form. (i]L (~onnit"PH,mt) 4f;~r'" (White copy to issuing agency permit file, pink copy to applicant.) Property_owner,doc 06-01-04 AdnIffi~ ~~ ~1lllrr ({])WIlll GteIffiterr~n CC!n~lT'~~~@lT'T' INFORMATION NOTiCE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES NOTE: This Information Notice to Property Owners about Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature, r If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and concerns. lEmjplRoyer Re!lJIllOHD!lnl!)m~fies You will, in most instances, be ruled to be an "employer" and the contractors you contract with will be "employees" if you use contractors not licensed with the Construction Contractors Board to do labor in constructing or to assist in the construction or improvement of a residential structure. As the employer, you must comply with the foDowing: Oregon's Withholding Tax Law: As an employer, you must withhold income taxes from employee wages at the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more information, call the Department of Revenue at 503-378-4988. Unemployment Insurance Tax: As an employer, you are required to pay a tax for unemployment insurance purpose!; on the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488. The Oregon Business Identification Number (BIN) is a combined number for both Oregon Withholding and Unemployment,lnsurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.oLus/formsoav.htmll for the appropriate forms, Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' cvu'l'~usation insurance for your employees. If you fail to obtain workers' compensation insurance, you could be subject to penalties and be liable for all claim costs if one of your employees is injured on the job. For more information, call the Workers' Compensation Division at the Department of Consumer and Business Services at 503-947-7815, U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. You will be liable for the tax payment even if you didn't actually withhold the tax. For a Federal EIN number, call the IRS at 1-800-829-4933 or visit their web site at www.irs.l!Ov. Oltlhu RleSjplOll1lsJilbftllftltfte!l 2mll AIrle2!i of COll1liCleIrll1lS Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements that may be brought to your attention through inspections. Liability and !Property Damage Insurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as faIling tools, paint over spray, water damage from pipe punctures, fire or work that must be redone~ ~ " Time: Make sure you have sufficient time to supervise your employees. iExpertise: Make sure you have the skills to act as your own general contractor, to coordinate the work of rough-in and finish trades, and to notify building officials as the aI'IUVI" ;ate times so they can perform the required inspections. If you havc additional questions call the Construction Contractors Board (503-378-4621) or write the agency at PO Box 14140, Salem, OR 97309-5052. Property _ owner.doc 06-0 \-04 225 Fifth Street Springfield, Oregon 97477 541-726-3759 'Ph'one . 8, Rty of Springfield Official Receipt .velopment Services Department Public Works Department Job/Journal Number COM2005-00384 COM2005-00384 COM2005-00384 COM2005-00384 COM2005-00384 COM2005-00384 COM2005-00384 COM2005-00384 COM2005-00384 COM2005-00384 COM2005-00384 COM2005-00384 COM2005-00384 COM2005-00384 COM2005-00384 COM2005-00384 COM2005-00384 COM2005-00384 COM2005-00384 CbM2005-00384 CbM2005-00384 COM2005-00384 CbM2005.00384 COM2005-00384 COM2005-00384 COM2005-00384 COM2005-00384 Payments: Type of Payment Check :' :! , , " " 4/27/2005 J RECEIPT #: 1200500000000000523 Date: 04/2712005 Description Addressing Assignment WiIlamalane ManufHome Private Manufactured Home Placement ManufHome State Issuance Sidewalk Permit Curbcut Permit Encroachment Permit PW Disc - 3rd Pcrmit (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 SanitarylStorm Admin SDC Transpo Admin Plan Review Major - Planning Foundation Permit Garage/Carport Manufactured Home Conn - Plmb Sanitary Sewer - 1st 50 Feet Water Line - 1 st 50 Feet Storm Sewer - 1st 50 Feet + 7% Statc Surcharge + 10% Administrative Fee Paid By CHRISTOPHER ADSIT Item Total: Check Number Authorization Received By Batch Number Number How Received djb 2014 In Person Payment Total: Page 1 of1 1:10:39PM Amount Due 31.00 1,000.00 160.00 30,00 80,00 80,00 130.00 (60.00) 604,19 480,80 365,60 175,\3 772.49 82,03 , 865,31 10.00 101.48 66,30 103,00 60,60 68.40 45,00 45,00 45,00 45,00 32,83 46,90 $5,466.06 Amount PaId $5,466,06 $5,466.06