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HomeMy WebLinkAboutRES2003-02182CITY OF COLLEGE STATION .,r ... ` ' WORK F _T " w„""'' PAGE 1 REQ/JOB: WF0442586 / OLm �:'ROJECT — REQUEST DATE: 8/05/03 PRINT DATE: 8/05/03 CREW: PRINT TIME: 16:17:20 SCHSTART.DAT8/05/03 DULLOCATION: 4201 ARUNDEL CT 77845 COMPLETION: 8/05/03 GEN. LOC: COLLEGE STATION LOC ID: 197990 REF NBR: REQ DEPT: DE -BUILDING INSPECTION PRIORITY: NORMAL REQUESTOR: DUSTY PHILLIPS ORIGIN: CUSTOMER -WALK IN USER ID: KELMENDORF AUTH: KELMENDORF WORK TYPE: ROUTINE 3/4" WATER 4" SEWER 3/4" WATER 4" SEWER Category code CS -CUSTOMER SERVICES CSCS Task code: SET UP NEW UTILITY ACCT SET Facility ID Assigned Department: OT-CUSTOMER SERVICE PREPARED 4/27/04, 7:39:21 INSPECTION TICKET PAGE 2 City of College Station INSPECTOR: BUILDING INSPECTOR DATE 4/27/04 ------------------------------------------------------------------------------------------------ ADDRESS . : 4201 ARUNDEL CT SUBDIV: CASTLEGATE SEC 10,11,12,13 CONTRACTOR DUSTY PHILLIPS CONSTRUCTION PHONE (979) 229-4850 OWNER GREENS PRAIRIE INVESTORS LTD PHONE PARCEL 184200-0102-0760 APPL NUMBER: 03-00002182 RESIDENTIAL, 1 UNIT DETACHED NEW ------------------------------------------------------------------------------------------------ PERMIT: BLDG 00 BUILDING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ B100 01 8/14/03 TB BLDG, FOUNDATION -SLAB TIME: 17:00 8/15/03 AP 08/14/2003 10:46 AM KELMENDORF last thing this afternoon STRINGS ON SETBACKS, GARAGE SIDE RT. ON 201. SLAB GROUND BACKS RT. SIDE. B115 01 9/10/03 TB BLDG, FRAMING TIME: 17:00 9/11/03 AP 09/10/2003 11:13 AM GCARRILLO B130 01 9/11/03 TB BLDG, INSULATION TIME: 17:00 9/11/03 AP 09/10/2003 03:24 PM GCARRILLO afternoon B125 01 -N §J.'7/yr4 I P O C BLDG, FINAL TIME: 17:00 04/26/2004 03:21 PM MALFORD ok 01�e -------------------------------------- COMMENTS AND NOTES -------------------------------------- * 4 4 1((;iZ '00n -%s ,n D:3-3r-� � CITY OF COLLEGE STATION WORK REQUEST PAGE .1 REQ/JOB: WF0443619 / 001 PROJECT: REQUEST DATE:TE: 807/0PRINT 3 CREW: PRINT TIME: 9:34:51 DULES SCHSTART.DAT8/07/03 LOCATION: 4201 ARUNDEL CT 77845 COMPLETION: 8/07/03 GEN. LOC: COLLEGE STATION LOC ID: 197990 REF NBR: REQ DEPT: DE -BUILDING INSPECTION PRIORITY: NORMAL REQUESTOR: DUSTY PHILLIPS CONSTRUCTION ORIGIN: CUSTOMER -WALK IN USER ID: KELMENDORF AUTH: KELMENDORF WORK TYPE: ROUTINE TEMP POLE APPROVED TEMP POLE APPROVED Category code CS -CUSTOMER SERVICES CSCS Task code: SET UP NEW UTILITY ACCT SET Facility ID . Assigned Department: OT-CUSTOMER SERVICE D1t..JCRIPTION OF MATERL--i,S ON PROPOSED CONSTRUCTION Property Location 4201 Arunde City College Station State TX (Name) (Address) Contractor or Builder Dusty Phillips Construction 4490 Castlegate Dr. College Station, TX 77845 (Name) (Address) INSTRUCTIONS . Describe all materials and 2. equipment to be used, whether or not shown on the drawings, by 4. Include no alternates, "or equal' phrases, or contradictory items. marking an X in each appropriate check -box and entering the (Consideration of a request for acceptance of substitute materials information called for in each space. if space in inadequate, enter or equipment is not thereby precluded.) "See misc." and describe under item 27 or on an attached sheet. 5. Include signatures required at the end of this form. 3. Work not specifically described or shown will not be considered 6. 1 he construction shall be completed for value. 7. in compliance with the related drawings and specifications, as amended during processing. 1. EXCAVATION: Bearing soil, type Top soil over rock 2. FOUNDATIONS: Per Plan Footings: concrete mix Foundation wall: material _ Piers: material and reinforcing Sills: material Waterproofing Termite protection Special foundations Additional information 3. CHIMNEYS: Reinlorci Reinforci Material metal Prefabricated (make and si.-e) heat-a-lator or equal 36" Additional information 4. FIREPLACES: Type: ®wood burning; ®gas -burning; Mcirculator (make and size) Ash dump and clean out N/A Fireplace: Facing S/R ; lining metal ; hearth tile ; mantel wood Additional information 5. EXTERIOR WALLS: Wood frame: wood grade, and species #2 Y.P. MCorner bracing. Building paper or felt Brick veneer $285/M type Stone veneer N/A Sheathing 1/2" ; thickness ; width ; ®solid; ❑spaced " o.c.; ❑diagonal: Siding N/A ;grade ; type ; size ; exposure ; fastening Shingles N/A ;grade ; type ; size ; exposure ; fastening Stucco N/A ; thickness "; Lath ; weight lb. Sills Lintels Base flashing Masonry: ❑ solid M faced ❑ stuccoed; total wall thickness 9 "; facing thickness 5 1/2 ; facing material brick Backup material sil-a-tex : thickness 1/2" "; bonding nail Door sills brick Window sills brick Lintels iron Base flashing galvanized Interior surfaces: dampproofing, coats of ; furring Additional information: Exterior painting: material prime oil finish 100% acrylic latex ; Number of coats 1 & I Gable wall construction: M same as main walls; ❑ other construction 8. FLOOR FRAMING: Joists: wood, grade, and species ; other ; bridging ; anchors Concrete slab: M basement floor; ❑ first floor; M ground supported; ❑ self-supporting; mix 3000psi ; thickness 4 1/2 reinforcing rebar ; insulation N/A : membrane poly Fill under slab: material sand ; thickness varies ": Additional information: 9. FINISH FLOORING: (Wood only, Describe other finish flooring under Item 20 Location Rooms Grade Species Thickness Width BI d. Paper Finish First floor Second floor Attic floor s . ft. Additional information: Form 2930 (Rev. 2/78) 8. PARTITION FRAMING: Studs: wood, grade, and species Y.P. #2 size and spacing 2 x 4 16" o.c. Other Additional information 9. CEILING FRAMING: Joists: wood, grade, and species #2 Y.P. 2 x 6 16" o.c. Other Additional information 10. ROOF FRAMING: Bridging Rafters: Wood, grade, and species #2 Y.P. 2 x 6 24" o.c. Roof trusses (see detail): grade and species Additional information 10. ROOFING: Sheathing: wood, grade, and species 9/16 O.S.B ; M solid: ❑spaced "o.c. Roofing: composition ; grade A ; size 12 x 36 : type fiberglass Underlay: felt ; weight or thickness 15 : size 36" ; fastening nail Built-up roofing: N/A ; number of plies : surfacing material Flashing: material: galvanized ; gage or weight : ❑ gravel stops: ❑ snow guards Additional information: 12. GUTTERS AND DOWNSPOUTS: Gutters: material N/A Downspouts: material 13. INTERIOR WALLS: Dry -wall M walls, M ceilings: material S/R ; thickness 1/2 ; finish Stoop & Drag Lath ❑ walls, ❑ ceilings: material N/A ; weight or thickness ; Plaster coats ;finish Joint treatment tape float twice sand & texture 14. DECORATING: (Paint, wallpaper, paneling, etc.) Rooms Wall Finish Material and Application Ceiling Finish Material and Application Kitchen Bath Bedrooms Den L/R — D/R 15. INTERIOR DOORS AND TRIM: Doors: type masonite 6 panel ; material ; thickness 1 3/8 Door trim: type C-I 1 ; material pine ; Base: type B-I I : material pine ; size Finish: doors: painted ; trim Other trim (item, type and location): crown 4 1 /4" Additional information: 16. WINDOWS: Windows: type aluminum ; make Alenco ; material Weatherstripping: type ; material Screens: ❑ full; M half, type ; number ; screen cloth material Special windows: per plan Additional information: 17. ENTRANCES AND EXTERIOR DETAIL: Main entrance door: material metal : width 36 ; thickness 1 3/4 ". Frame material pine ; thicknessl 1/2 " Other entrance doors: material metal : width 32 ; thickness 13/4 ". Frame material pine ; thicknessl 1/2 " Head Flashing galvanized Weatherstripping: type mag. ; saddles Screens doors: thickness N/A `; number ; screen cloth material Storm doors: thickness Combination storm and screen doors: thickness N/A"; number ; screen cloth material Shutters ❑ hinged: ❑ fixed. Railings N/A Attic louvers number Exterior millwork: grade and species: walminized pine & fir Paint oil & latex : number coats I & Additional information: 18. CABINETS AND INTERIOR DETAIL: Kitchen cabinets, wall units: material oak or birch ; lineal feet of shelves ; shelf width Base units: material ; counter top : edging Back and end splash formica Finish of cabinets Stain or painted ; number coats Medicine cabinets: make N/A : model Other cabinets and built-in furniture Additional information: 19. STAIRS: Stair Treads Risers Strings Handrail Balusters Material Thickness Material 'Thickness Material Size Material Size Material Size Basement Main Attic Disappearing: make and model number: Additional information; 20. SPECIAL FLOORS AND WAINSCOT: (Carpet, tile, linoleum): F Location Material, Color, Border, Sizes, Gage, Etc. Quality and Grade Wall Base Underfloor Material I or Allowances Material ° Kitchen rile 5.50 wood N/A Bath & Entry Tile 5.50 wood N/A r s Bedrooms Carpet 16.00 wood N/A Den Carpet 16.00 wood N/A L/R - D/R Carpet 16.00 wood N/A R Location Material, Color, Border, Sizes, Gage, Etc. Height Height Over Height in Showers Tub From Floor Baths i Bathroom accessories: ❑ Recessed: material Additional information: 21. PLUMBING: number ;❑Attached: material ; number Fixture Number Location Make Mfr's Fixture Identification No. Size Color Sink I kitchen S.S. Lavatory 3 R.R. By owner Water Closet 2 R.R. White Bathtub 1 R.R. By Owner Shower over tub 1 R.R. By Owner Stall shower I R.R. By Owner Laundry trays ®Curtain rod M Door M Shower pan: material marble Water supply: M public: ❑ community system; ❑ individual (private) system Sewage disposal: M public: ❑ community system; ❑ individual (private) system "Show and describe individual system in complete detail in separate drawings and specifications according to requirements. House drain (inside): ❑ cast iron: ❑ tile: M other PVC House sewer (outside): ❑ cast iron: ❑ tile: M other PVC Water piping: ❑ galvanized steel; M copper tubing; ❑ other Sill cocks, number 3 Domestic water heater: type Gas ; make and model O.A. Smith ; heating capacity p-ph 100'rise. Storage tank: material ; capacity 40 gallons Gas service: M utility company; ❑ liq. pet. gas: ❑ other Gas piping: ❑ cooking: ❑house heating. Footing drains connected to: ❑ storm sewer: ❑ sanitary sewer: ❑ dry well 22. HEATING: Warm air: ❑ Gravity. M Forced. Type of system Lenox or equal Duct material: supply ; return Insulation thickness ❑ Outside air intake. Furnace: make and model Input : Btub: output Additional information: per A/C contractor ❑ Space heater: ❑ floor furnace; ❑ wall heater, Input Btub„ output Stub: number units - Make, Model Additional information: Controls: make and types: Additional information: Fuel: ❑ Coal; ❑ oil; ❑ gas; ❑ liq. pet. gas; ❑ electric; ❑ other ; storage capacity Additional information: Electric heating system: type Input watts: at volts: output Btub. Additional information: Ventilating equipment: attic fan, make and model: Other heating, ventilating, or cooling equipment: 23. AIR CONDITIONING: Per A/C contractor Central air: make Type and size ducts ❑ cooling tower; ❑ electric; ❑ gas. ❑ Window units: make ❑ Evaporator cooler: make Other 24. ELECTRIC WIRING: number of units number of units B.T.U. capacity B.T.U. capacity of each unit : cu. ft. rating Service: ❑ overhead; M underground. Panel: ❑ fuse box: M circuit -breaker; make AMP's No. circuits Wiring: ❑ conduit; ❑ armored cable; ❑ nonmetallic cable; ❑ Knob and tube: ❑ Other Special outlets: ❑ range; ❑ water heater; ❑ other M Doorbell, M chimes, Push-button locations Additional information: LIGHTING FIXTURES: Total number of fixtures Total allowance for fixtures, typical installation. $ 1,000.00 Non -typical installation Additional information: oer elan _ 25. INSULATION: Location Thickness Material, Type, and Method of Installation Vapor Barrier Roof R-19 Ceiling R-30 Wall R-13 Floor HARDWARE: (make, material, finish, or allowance. $575.00 SPECIAL EQUIPMENT: (State material or make, model and quantity. Do not include items which, by established custom, are supplied by occupant and removed when he vacates premises or chattels prohibited by law from becoming reality.) allow:$1,500.00 Built-in range and oven ❑ , make Model Built-in refrigerator ❑ ; make Cu. Ft. Ice Maker ❑ ; make Model Garbage disposal ❑ ; make Model Dishwasher ❑ : make Model Venthood Model Other: 26. MISCELLANEOUS: (Describe any main dwelling materials, equipment, or construction items not shown elsewhere: or use to provide additional information where the space provided was inadequate. Always reference by item number to correspond to numbering used on this form.) Sprinkler yard allow $1,600.00 Grass & plants allow $2,600.00 Cedar fence, back & side w/one Pate PORCHES: per plan TERRACES: GARAGES: per plan WALKS AND DRIVEWAYS: per plot plan Driveway: width ;base material ;thickness "; surfacing material ; thickness Front walk: width ; material : thickness ` ; Service walk: width ; material : thickness Steps: Material OTHER ONSITE IMPROVEMENTS: (Specify all exte►•ior onsite improvements Not deseribed elsewhere, including items such as unusual grading, drainage structures, retaining walls, fence, railings, and accessory structures.) LANDSCAPING, PLANTING, AND FINISH GRADING: Topsoil " thick: ® front yard; ® side yards; ® rear yard to feet behind main building. Lawns (seeded, sodded, or sprigged): ® front yard sodded ; ® side yards sodded ; ® rear yard sodded Planting: ❑ as specified and shown on drawings; ❑ as follows: Shade Trees, deciduous, " caliper. Evergreen trees: to B & B Low flowering trees, deciduous, to Evergreen shrubs: to `, B & B Hi -growing shrubs, deciduous, to Vines, 2-year Medium -growing shrubs, deciduous, to Low -growing shrubs, deciduous, to IDENTIFICATION. This exhibit shall be identified by the signature of the builder and mortgagor. Date July 2,2003 Signatu Contract Price $154,900 Signatu Contractor or Builder Land Owner APP CATION FOR BUILDING PERMIT CITY OF COLLEGE STATION 1101 TEXAS AVENUE COLLEGE STATION, TX 77840 (979) 764-3570 (979) 764-3496 FAX W W W.CI.COLLEGE-STATION.TX.US ADDRESS/LOCATION: L-ld61 Avuntle, I For Office Use Only Y DATE: q~ q-0 ¢ APPLICATION # 03 -9I P TEMP POLE # o d 49w1 LOT 7LP BLOCK U,.,;t, SUBDIVISION �� �Q���e �ia��Cnhifi°� i SEC/PH 1.0 BUSINESS/OWNER NAME: 61t� Af t l ips PHONE: 2, �r -C&FO CONTRACTORIHOMEOWNER: PHONE: '5C1L— P CONTRACTORADDRESS: 'jLtgO ka,14e Cat b, _1C 77Yg5� ELECTRICIAN: LE Gii I�`lec��.,c PLUMBER: f2 101r..1�,,,,, HVAC: CLiv111Lk V/ 145 ` , 5 GOOD CENTS (Residential only): CLASS OF WORK ACCESSORY/STORAGE LOCATION RE -ROOF (Total/Partial) ADDITION MOVING SHELL ONLY DEMOLITION (Asbestos Survey) ✓ NEW CONSTRUCTION SLAB ONLY DUPLEX (Landscape Plans REMODEURENOVATION SWIMMING POOL Req) DESCRIPTION OF WORK: �-Cb Vows STRUCTURE USE: 5t&, �,V k o,� Lg M -I . HOMEOWNER ASSOCIATIO OR DESIGN REVIEW COMMITTEE APPROVAL: TEXAS ACCESSIBILITY STANDARD (TAS7JECTOTAL T REGISTRATION# EABPR. VALUATION: $ i94,C10o AREA: R 0_� (Cost of Labor and Materials) PUBLIC SEWER ❑ SEPTIC/TREATMENT SYSTEM SEWER TAP: SIZE WATER TAP: 1'q SIZE OTHER TAP: SIZE TEMP POLE GARAGE TYPE: SINGLE El ATTACHED E] SIGNATURE OF APPLICANT: NUMBER OF BEDROOMS: NUMBER OF BATHROOMS: INTERIOR WALL TYPE: EXTERIOR WALL TYPE: FOUNDATION TYPE: ROOF TYPE: DOUBLE a DETACHED HEATED AREA: I Las 7 I�Sn ck Ct'nu�-f' S�,n GQ3 TRIPLE CARPORT a Official Use Only 11�°� v 3� 3 nESoreNO Plans Examiner Zoning Official 1 a u�. Energy Code Compliance Information % Glazing of exterior walls Insulation R value of exterior walls 3 Insulation R value of ceiling 1 (flat areas) a La Insulation R value of ceiling 2 (vaulted areas/no attic) Glazing SHGC .90 Glazing U-Factor , -7S R value of ductwork A/C SEER rating ( p 0 m ARUNDEL COURT BUILDINGz PERMIT CITY OF COLLEGE STATION 1101 TEXAS AVE COLLEGE STATION, TX 77840 PHONE: (979)764-3570 FAX: (979)764-3496 ---------------------------------------------------------------------------- Application Number . . . . . 03-00002182 Date 8/05/03 Property Address . . . . . . 4201 ARUNDEL CT Property ID 184200-1002-0760 R # . . . . . . R***** Application description . . . RESIDENTIAL, 1 UNIT DETACHED NEW Subdivision Name . . . . . . CASTLEGATE SEC 10 Property Use . . . . . . . . RESIDENTIAL Property Zoning . . . . . . . PLANNED DEVL HOUSING Application valuation . . . . 154900 Owner Contractor ------------------------ ------------------------ GREENS PRAIRIE INVESTORS LTD DUSTY PHILLIPS CONSTRUCTION 4490 CASTLEGATE DR DUSTY PHILLIPS COLLEGE STATION TX 778453388 4490 CASTLEGATE DRIVE COLLEGE STATION TX 77845 (979) 229-4850 ------ Structure Information SINGLE FAMILY ----- Construction Type . . . . . COMBUSTIBLE (UNPROTECTED) Occupancy Type . . . . . . RESIDENTIAL-SFR/DUPLEX Other struct info . . . . . EXTERIOR WALL TYPE BRICK IMPACT/PRORATA FEES PAID NA FOUNDATION TYPE SLAB NUMBER OF GARAGE BAYS 2.00 HEATED AREA 1657.00 INTERIOR WALL TYPE SHEETROCK NUMBER OF BATHROOMS 2.00 NUMBER OF BEDROOMS 3.00 SEWER TYPE PUBLIC SERIAL ZONES 249.00 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . KE Permit Fee . . . . 625.00 Plan Check Fee .00 Issue Date . . . . 8/05/03 Valuation . . . . 154900 Expiration Date . . 2/02/04 Qty Unit Charge Per Extension BASE FEE 460.00 55.00 3.0000 THOU BLDG, VAL 100001-500000 165.00 ---------------------------------------------------------------------------- Special Notes and Comments ALL BRANCH CIRCUITS THAT SUPPLY RECEPTACLES IN DWELLING UNIT BEDROOMS SHALL BE PROTECTED BY AN ARC -FAULT CIRCUIT INTERRUPTER(S) PROVIDE ATTIC ACCESS WITHIN 20 FEET OF MECHANICAL EQUIPMENT ------------------- --------------------- ---- - - - ------------------------ BUILDING DEPT R RESENTATIVE: APPLICANT: BUILDING PERMIT CITY OF COLLEGE STATION 1101 TEXAS AVE COLLEGE STATION, TX 77840 PHONE: (979)764-3570 FAX: (979)764-3496 Application Number . . . . . 03-00002182 Page 2 Date 8/05/03 Special Notes and Comments PROVIDE EXTERIOR LANDING LEVEL WITH THE INTERIOR FLOOR FOR EXIT DOOR (S) PROVIDE ENGINEERED BEAM FOR GARAGE DOOR HEADER ATTACHED GARAGES SHALL HAVE ALL TOP PLATE AND HEADER PENETRATIONS SEALED PLATFORM FOR MECHANICAL EQUIPMENT AND/OR ACCESS MAY HAVE TO BE ELEVATED TO ALLOW FOR ATTIC INSULATION IF LAWN SPRINKLER IS PROVIDED, PERMIT MUST BE ISSUED PRIOR TO CERTIFICATE OF OCCUPANCY. POST PERMIT CARD ON JOB SITE For residential applications with a glazing area that exceeds 15% of the gross area of exterior walls, R-8 duct insulation is required. As an alternative, R-6 duct insulation can be used if the a/c system has a SEER rating of 12 or more. ADD SMOKE DETECTOR(S) PER NOTES ON PLANS PROVIDE STRING LINES FOR ALL BUILDING SETBACKS AND EASEMENTS ON FOUNDATION INSPECTION. ALL SILLS AND BOTTOM PLATES IN CONTACT WITH CONRETE MUST BE TREATED OR NATURALLY RESISTANT TO INSECTS AND DECAY REMOVE ALL VEGETATION AND FOREIGN MATERIAL FROM SLAB AREA PRIOR TO PLACING FILL. FILL SHALL BE FREE FROM VEGETATION AND FOREIGN MATERIAL. WINDOWS ADJACENT TO TUBS SHALL BE TEMPERED GLASS TEMPERED GLASS REQUIRED WITHIN 24" OF DOORS GAS APPLIANCES HAVING AN IGNITION SOURCE SHALL BE ELEVATED SUCH THAT THE IGNITION SOURCE IS 18" ABOVE THE FLOOR IN PRIVATE GARAGES Other Fees . . . . . . . . . SEWER TAP 4" CITY INSTALL 350.00 WATER TAP 3/4" CITY INSTL 400.00 Fee summary Charged Paid ---------- Credited -------------------- Due ----------------- Permit Fee Total ---------- 625.00 625.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 750.00 750.00 .00 .00 Grand Total 1375.00 1375.00 .00 .00 ------------------------------------ ----C-- - - ---------- - ------------ BUILDING DEPT PRESENTA,TIIVE: AP PL I CANT : �G�!9 MECHANICAL PERMIT CITY OF COLLEGE STATIOP' 1101 TEXAS AVE COLLEGE STATION, TX 77840 PHONE: (979)764-3570 FAX: (979)764-3496 ---------------------------------------------------------------------------- Application Number . . . . . 03-00002181 Date 8/05/03 Property Address . . . . . . 1901 LAWYER ST Property ID 582400-0101-0070 R # R42176 Application description . . . MECHANICAL ONLY Subdivision Name . . . . . . SOUTHWOOD #1 Property Use . . . . . . . . RESIDENTIAL Property Zoning . . . . . . . UNKNOWN Application valuation . . . . 0 Owner Contractor ------------------------ FOX, JERRY E & SUSAN A ------------------------ MULLINIX A/C 1901 LAWYER PL JERRY BREWER COLLEGE STATION TX 778404884 113 B SULPHUR SPRINGS BRYAN TX 77801 (979) 822-4079 ------ Structure Information SYSTEM REPLACEMENT ----- ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . KE Permit Fee . . . . 39.00 Plan Check Fee .00 Issue Date . . . . 7/07/03 Valuation . . . . 0 Expiration Date . . 1/04/04 Qty Unit Charge Per Extension BASE FEE 24.00 3.00 5.0000 EA MECH, EA ADDN 1000 VALUATION 15.00 Fee summary Charged --------------------------- Paid Credited ------------------------------ Due Permit Fee Total 39.00 .00 .00 39.00 Plan Check Total .00 .00 .00 .00 Grand Total 39.00 .00 .00 39.00 -------------------------------------- BUILDING DEPT PRESENTATIVE: APPLICANT: