HomeMy WebLinkAboutPermit Building 2008-2-6
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: COM2008-00133
ISSUED: 02/06/2008
APPLIED: 01130/2008
EXPIRES: 08/06/2008
VALUE: $ 330,000.00
SPRINGFIETYPE OF WORK: Single Family Residence
SITE ADDRESS: 2598 17TH ST
ASSESSOR'S PARCEL NO.: 1703243103600
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE
Owner:
Address:
Contractor Type
Applicant
General
Mechanical
Plumbing
I CONTRACTOR INFORMATION'
License
Expiration Date
Phone
484-6560
541-484-6560
541-726-0100
541-688-1931
Contractor
HOME BUILDERS
HOME BUILDERS CONSTRUCTION CO
COMFORT FLOW
DONALD CLEWIS
# 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:
18.00
5.00
6.00
37.00
18.75
Street Improvements:
Storm Sewer Available:
Special Instruction:
133055
460
167921
10/16/2008
06/27/2009
01/16/2010
BUILDING INFORMATION I
R-3
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
A~ter Type: Sq Ft Basement:
foi, h.SIIQ~tOregon law requIres you tE Ft Garage/Carport
N rII,~ ~M9Pted by the Oregon Utili Ft Other:
In ~I~ Me8Wdilbose rules afa set fo cupant Load:
-o01-001nthr""r'''' '-\\n ~-- J'
~tliN:r'tN~~;;S~M~ "r~i~s t,';
I -_"["00 \,~Vlt:. me relephone
number tor the. Oregon Utility Notification
Ov~&i!lt:; 1-800-332-2344).
# Street Trees Rqd: 2
Paved Drive Rqd: Yes
% of Lot Coverage: 31.00
VB
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Sidewalk Type: .
Fullv Improved
Yes
Downspouts/Drains:
Notes: StOl'm drains to weep holes to gutter
Setback 7'
Curb and Gutter
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Paee 1 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Estimate
Estimate
Fee Description
Plan Review Residential
-Mech Iss 2+ Appliances-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
3 Baths One & Two Family
Addressing Assignment
Appliance Vent
Boiler/Comp Up To 100,000 btu
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Fireplace (Listed)
Furnace - up to 100,000 btu
Gas Outlets 1-4
Plan Review Major - Planning
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
SDC Transportation Admin
Sidewalk Permit
Storm Drainage Impervious Area
Storm Sewer Each Addtll00'
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
I Valuation Description I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
330,000.00
Total Value of Project
~
Amount Paid
Date Paid
$940.06
$40.00
$232.32
$261.63
$127.76
$337.00
$35.00
$7.00
$14.00
$1,446.24
$85.00
$7.00
$10.00
$143.00
$17.00
$14.00
$5.00
$205.00
$1l7.00
$84,00
$673.33
$885.50
$10.00
$990.39
$95.35
$164.76
$862.25
$195.48
$69.07
$85.00
$964.27
$32.00
$55.00
$35.00
$2,513.00
1/30/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
Paee 2 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00133
ISSUED: 02/06/2008
APPLIED: 01130/2008
EXPIRES: 08/06/2008
VALUE: $ 330,000.00
Value
Date Calculated
$330,000.00
$330,000.00
01/30/2008
Receipt Number
1200800000000000082
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00133
ISSUED: 02/06/2008
APPLIED: 01/30/2008
EXPIRES: 08/06/2008
VALUE: $ 330,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Amount Paid
$11,758.41
I Plan Reviews I
Plannin1!: Review 01/3012008 01/3012008 APP EMM
Public Works Review 01/30/2008 01/30/2008 APP LKW Storm drains to weep holes to gutter
Structural Review 02/01/2008 02104/2008 APP DLM Approved as noted on Plans
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.
L..ReouireCUnsoections I
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Sidewalk - Setback: 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.
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.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench and including required testing.
Pa1!:e 3 of 4
CITY OF SPRINGFIELD -
Building/Combination Permit
Status
Iss u ed
PERMIT NO: COM2008-00133
ISSUED: 02/06/2008
APPLIED: 01/30/2008
EXPIRES: 08/06/2008
VALUE: $ 330,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 Mechanical. Prior to insulation or decking and including required testing.
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.
'0~\k~.~ 2Jt/OY
/J
/ .
Date
Owner or Contractors Signature
Pal!e 4 of 4
CITY OF SPRINGFIELD, OREGON
ZON
INITiALS
DATE
o SfCE
225 FIFTH STREET. SI'RJNCFIELD. OR 97477 . PH,(S41)726.J753 . FAX: (541)726-3689
ELELl AlGAL PERMIT APPUCATION
Ciry Job Number ~~ - eo I 3 3
Date '7-- '1
,
w . .. -, .."' I .. .....,.. ,; , oj ...... -... 'J 1'- I , -...... .....- :-.
J. : (:QMPu.l, I:. ~~!!- SCHEDUL~:!J~LOW;J~~'; .;,/' .:)~'~;":"',~-~~~
_..I...."._..--J__..._. .... "'-J" \. . '_ _ (..___.__p........'".. .,.a.n.&.,.:J....._ ~~.-_...I..o..S.Jl.:'..__l~roJG...
.. '=....1- "".. _ -o. ...,/1 I ,-..", __-.......... _.__ ~ ,....
1. ..'~QC4T1.QN'PF INSTAL4TIOl'f:', -.' ,':.;~ '
_........\-~..._..I-__-......... "'.... -....-..\'\.....-~..,'~~... . .,!.....~l.J _\._1:;;...
2.5T9LL1~ /JT'
LEGAL DESCRIPTION:
/71'.r VI 3L.L)20t9-iJ
JOB DESCRIPTION:
S:0/t~ . ~/ U~~
-"'.. -J.. '_:- _....:..' .:i'.... "./-< ':' '.. ........::~"tJ ~~;,-....~}-<::~.~~!...j... 1~.......-1;Llt
A. "~~~ ~~~~~tt~!~ S~tI~!~~.~,~l~:!~,~~~rJ~.er.~~~~!!I!~...~n.Y..:::~
Service Included
1000 sq. ft. or less
Each addJtional 500 sq. ft. or
portion thereof
I
f-
$117,00
//1~
.~~
$ 21.00
Permits are non-transferable and expire if work is Each Manufact'd Home or
not started within 180 days of issullDce or if work is Modular Dwelling SeTVlce or
Suspended for 180 days. Feeder
'''',.,'',_'''';: OR....., ~\r.":7~.. _,)-t. "",,'.., ,1.-;:;, I. -.. t':!..,..~ , :. ,,: ,....r.. '''(o''.:''',=,'''--:C~:;'-!<J''~~-I}o..J ""'''.,'' J'" i:r~'~~-i -.,'~"r"\ -.... -fi..l-....~:j''''
'..........l
2 ;. '~QN".PUCTOR INSTAL~TI()N.ONLY B. '"Serv.ic~,(u::Feede.Es~.....l~tin"lltio~ Al~3tion's,.oi,Rejoc2tioii:' t,~-
. I:".....~"...:::.,.......:"\ ..__ .:~,.... r:_M ,_- .........: _.-1...__...... ~..... ...,#J.~.:,.'.~....:...t~... :~\. .....__.-~':..-I-_""QL~,... ..,(.-. _......\_ ._-.........\....c.-._..;;
...:~.._\~..-..,iJ:..u&4~...a.IL...-I\,""--:&-...,. }v.~,f/.:L.
Electrical Contractor Dtn~'\] \klllo.(~&(~~~J~~l5~~aw requires YQYl'" $ 70.00
NotiflcatleW~f. e XJ~I Oregon Utilitv $ 83.00
, Address:};r;a f\-lla ~, LI\ S A r/-o On OAR 9$a~a;6 ~.es are setforth $138.00
.,'. - V090., YOI4lt1Dll)hP**~~~R 95~-001. $180.00
City GU~(->A\L Phone 9-1 ~ %~03~~~9 ~A~6te\;t!fhe te~:;~~tll) 111 $413.00
o . · er fQrc~~lIn Utility Notifi~~'cr $ 55.00
if ...,z C~n~e~.!~)~~~O~;2344}..~ '-I~f~~~~Z:'-" ~!:U~:': ',ol.' "~'lC,~.c'.J,.li"~tt.'"
SllpllTVlsor Lic....~e Numb"r .....J 7 OLJ c. . 1,emporarv. ~frVlce.s 9r'Jifeiiers'p,;:p:~1:l:;!;r,~1.:.e;;~~~.,~,'/'~:lt-.....jJ!:,~~.:'..t..$
'"'&...... tw T ." _.."..._.......~.8~:~:t. ~::!:...;._J........::._ ~.. \\oJr,.....,_.....1~~t........t"'.J';:..:_....CJ.,O_t...~-NJ.1:J;u..:~
I () J II! dO fa I~tallation. AlterloltiOll or RelocattoD
n 200 Amps or less V $ 55.00 ~c:; ~
Cansti'. Comr. Number Ii q ~,..3L.j 201 Amps to 400 Amps $ 76.00
401 Amps to 600 Amps S110.00
I ~.LL.?:> / &aJ9j Over 600 Amps or 1000 Volts 91:1:"B" above,
D -/".-_" _Ib, -C. - :....~i t~J~~ ..~;~ '_',"I~;'J::...~ ~;~":}'" /~: -;;~~ "-rI:"~~..~1..t:~~~';:~~~f'..
~bP:J2<M&n~E"ui'~ '~=E:~;:~~~'~-':~~~~
I EachIJUififtl'o~arCu'Cuit or with
SCrYl"rHJSFrMdQMJInSHAtl E){PIRE IF lOOWORK
~e:N: _ _ . Mb/ 1~dt(.J tkrr; . AUlHOlllZflt,UNO~JI:IISetRlj1II. \.SNQT'8 .,~.
/. / .I". _ E. MMoeHa' ~. Sfi msmio't.iftabKtll!'tft~lnlltilllatloD.:
Address '2t9.~:r L-rI'tLUIIA .r.p .,- .:tlVM_~~ld~nu;UMm;nH~YA::~li['~~'~~.r""" "..~.,
City ~." T7{11' Phonl: ~~d -~,60 pum~)h~pAY PERIOD. s ss 00
, Sign/Outline Ughnng $ 55.00
OWNER INSTALLATION L1mited Energy/Reside.nnal $ 28.00
The IDstallauon is being made on property I own wmch Limited Energy/Commercial $ 50.00
is not Intended for sale, lease or rent. Minimum Electrie Permit Inspection Fee is $50.00 + Surcharges
4, 'SUBTOTAi.OF~OW ~" ~,';;': ~:~":<~~;~~:' .., c / bf!)
r ,- _Ji... I' '1..'w.......'J '"'1..,1 ~~. ..,
H, _..__'-_I-I_____---.L.......-..-- .....:.\-0..._01"1........ ....0( .......-.-. . ,'2.
/hrlo State Surcharge 2.L? ~ 3tD,
10% Administrative Fee 4.t t;" & ~()
5% Technology Fc!: ! ?.....",I-8
TOTAL ~2'5,IL.
Slw'ed Dnve(T:)/Building FormslElcclnW Permit AppW:d\1011 7.07 doc
$55.00
Expiration Date
Expiration Date
Owners Signature:
InspectloD Request: 726-3769
10 39'Vd
al3I~9NI~dS ~o ^lI~
9L9E9lL
Et:60 L00l/vt/tt
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER COM2008-00133
NAME OR COMPANY 2598 17th
LOCATION HomebUllders
TAX LOT NUMBER 1703243103600
DEVELOPMENT TYPE Smgle Family Residence
NEW DWELLING UNITS I BUILDING SIZE (SF~ 2806 LOT SIZE (SF)
I STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S F x I COST PER SF CHARGE
2786 75 I $0 346 = I $964 27
'RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS SF x I COST PER SF I x I DISCOUNT RATE
I 0 00 I $0 346 I I 50%
ITEM 1 TOTAL - STORM DRAINAGE SDC I $964.27
2 SANITARY SEWER - CITY
A REIMBURSEMENT COST
NUMBER OF DFU's
33
COST PER DFU
$26 83
'<
B IMPROVEMENT COST
NUMBER OF DFU's
33
,
x "I
I
COST PER DFU
$20 40
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
= ,
$1,558.83
DISCOUNT
$000
7504
$964.27
$885.50
$673.33
(/)
u.:l
(:l
o
u
p:::
~
(/)
C3
~
11070
1091
1092
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS J
(NOTE FOR REMonm ", CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUNALENT UNITS
BATHTUB 2 0 3 = 6
DRINKING FOUNTAIN 0 0 1 0
FLOOR DRAIN 0 0 3 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 = 0
LAUNDRY TUB 1 0 2 = 2
CLOTIIESW ASHER / MOP SINK 1 0 3 = 3
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRlG / WATER STATION / ETC 0 0 1 = 0
RECEPTOR FOR COM SINK / DISHWASHER / ETC 1 0 3 = 3
I SHOWER, SINGLE STALL 1 0 2 = 2
I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
ISINK COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
I SINK COMMERCIAL BAR 0 0 2 0
ISINK WASH BASIN/DOUBLE LAVATORY 2 0 2 4
ISINK SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1
URINAL, STALL / WALL 0 0 5 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 3 0 3 = 9
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 33
*EDU (Eqwva1ent Dwellmg Urnt) IS a dIscharge eqwvalent to a smgle falmly dwelhnf urnt (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$l,OOO
ASSESSED VALUE
$529
$529
$519
$512
$498
$480
$463
$440
$407
$367
$322
$273
$225
$180
$1 59
$1.45
$125
$109
$092
$072
$048
$028
$009
$005
IS LAND ELGlBLE FOR ANNEXATION CREDIT?
(Enter 1 for Yes, 2 for No)
IS IMPROVEMENT ELGlBLE FOR ANNEX CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
2
2
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE
$0 00 x $5 29
= ,
$000
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE /1000 CREDIT RATE
$0 00 x $5 29
o
TOTAL MWMC CREDIT
$000
=
225 Fifth.Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00 133
COM2008-00I33
COM2008-00 133
COM2008-00I33
COM2008-00I33
COM2008-00I33
COM2008-00 133
COM2008-00I33
COM2008-00 133
COM2008-00I33
COM2008-00I33
COM2008-00133
COM2008-00I33
COM2008-00I33
COM2008-00I33
COM2008-00 13 3
COM2008-00I33
COM2008-00 133
COM2008-00I33
COM2008-00I33
COM2008-00133
COM2008-00I33
COM2008-00 133
COM2008-00I33
COM2008-00I33
COM2008-00I33
COM2008-00 133
COM2008-00I33
COM2008-00 133
COM2008-00 133
COM2008-00I33
COM2008-00I33
COM2008-00I33
COM2008-00I33
Payments:
Type of Payment
Check
cRecemtJ
RECEIPT #:
2200800000000000160
Date: 02/06/2008
DescrIptIOn
Sidewalk PermIt
Curbcut PermIt
Storm Dramage ImpervIous Area
Samtary Sewer - ReImbursement
Samtary Sewer - Improvement
SDC Transpo ReImbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Admlmstratlon
SDC Samtary/Storm Admm
SDC TransportatlOn Admin
Plan Review MaJor. Plannmg
BUlldmg Permtt
Addressmg AssIgnment
WIllamalane Smgle FamIly
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
Fireplace (Listed)
-Mech Iss 2+ Apphances-
ReSidence Wifing 1000 Sq Ft
ReSIdence Wlrmg Ea Addtl 500
Temp Power 200 amps or less
Fire SF Fee - ReSidential
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Paid By
HOMEBUlLDERS
CONSTRUCTION COMPANY
Item Total:
Check Number AuthorIzatIOn
Received By Batch Number Number How Received
dJb 4098 In Person
Payment Total:
Page 1 of 1
1l:31:11AM
Amount Due
8500
85,00
964 27
885 50
673 33
195 48
862 25
9535
990 39
10 00
164 76
69.07
205.00
1,446 24
3500
2,513 00
337 00
3200
1400
1400
3500
700
10 00
700
500
1700
4000
117.00
8400
5500
14300
127 76
261 63
232 32
$10,818.35
Amount Paid
$10,81835
$10,818.35
2/6/2008
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: COM2008-00133
ISSUED: 02/06/2008
APPLIED: 0113012008
EXPIRES: 08/06/2008
VALUE: $ 330,000.00
SITE ADDRESS: 2598 17TH ST
ASSESSOR'S PARCEL NO.: 1703243103600
SPRINGFIETYPE OF WORK: Single Family Reside'nce
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: SINGLE FAMILY RESIDENCE
Owner:
Address:
Contractor Type
Applicant
General
Mechanical
Plumbing
I CONTRACTOR INFORMATION I
Contractor
HOMEBUlLDERS
HOMEBUlLDERS CONSTRUCTION CO
COMFORT FLOW
DONALD CLEWIS
Phone
484-6560
541-484-6560
541-726-0100
541-688-1931
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
5.00
6.00
37.00
18.75
Street Improvements:
Storm Sewer Available:
Special Instruction :
License
Expiration Date
133055
460
167921
10/16/2008
06/2712009
01/1 6/201 0
BUILDING INFORMATION.
R-3
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
~ter T~p'e: Sq Ft Basement:
f~; kSilQ~Dregon faw requIres you t~ Ft Garage/Carport
N rl!J ~MCi)pted by the Oregon Utili Ft Other:
In~. MeBfMdii'ibose rules afe set fa cupant Load:
.. -o01-f!01n thro' rg~ g.~.R e:':-JIi,-
I D~__:r'I'N~K~I4lPJi10Nt,.. rules by
--~ _..Lv.. \"'Vll:#, lIIe tel~phone
number for th~ Oregon Utility Notification
Ov~Il1!t$ 1-800-332-2344).
# Street Trees Rqd: 2
Paved Drive Rqd: Yes
% of Lot Coverage: 31.00
2
VB
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Fully Improved
Yes
Downspouts/Drains:
Notes: Storm drains to weep holes to gutter
Setback 7'
Curb and Gutter
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Pa2e I of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Type of Construction
Estimate
Estimate
Fee Description
Plan Review Residential
-Mech Iss 2+ Appliances-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
3 Baths One & Two Family
Addressing Assignment
Appliance Vent
Boiler/Comp Up To 100,000 btu
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Fireplace (Listed)
Furnace - up to 100,000 btu
Gas Outlets 1-4
Plan Review Major - Planning
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
SDC Transportation Admin
Sidewalk Permit
Storm Drainage Impervious Area
Storm Sewer Each AddtI 100'
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
I Valuation Description I
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
330,000.00
Total Value of Project
~
Amount Paid
Date Paid
$940.06
$40.00
$232.32
$261.63
$127.76
$337.00
$35.00
$7.00
$14.00
$1,446.24
$85.00
$7.00
$10.00
$143.00
$17.00
$14.00
$5.00
$205.00
$11 7.00
$84.00
$673.33
$885.50
$10.00
$990.39
$95.35
$164.76
$862.25
$195.48
$69.07
$85.00
$964.27
$32.00
$55.00
$35.00
$2,513.00
1/30/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
216/08
2/6/08
216/08
2/6/08
216/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
216/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
2/6/08
Pa2e 2 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00133
ISSUED: 02/06/2008
APPLIED: 0113012008
EXPIRES: 08/0612008
VALUE: $ 330,000.00
Value
Date Calculated
$330,000.00
$330,000.00
01/30/2008
Receipt Number
1200800000000000082
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
2200800000000000160
Status
Issued
CITY OF SPJ{l1~GFIELD .
Building/Combination Permit
PERMIT NO: COM2008-00133
ISSUED: 02/06/2008
APPLIED: 01/3012008
EXPIRES: 08/06/2008
VALUE: $ 330,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Amount Paid
$11,758.41
Plan Reviews I
Plannin2 Review 01130/2008 0113012008 APP EMM
Public Works Review 01130/2008 0113012008 APP LKW Storm drains to weep holes to gutter
Structural Review 02/0112008 02/0412008 APP DLM Approved as noted on Plans
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.
~eouir((dJnSDections I
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Sidewalk - Setback: 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 NaIlmg: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
WallInsulation: 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.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench and including required testing.
Pa2e 3 of 4
Status
Issued
CITY OF SPRINlJ~lELD.
Building/Combination Permit
PERMIT NO: COM2008-00133
ISSUED: 02/06/2008
APPLIED: 01/30/2008
EXPIRES: 08/06/2008
VALUE: $ 330,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
UnderfIoor 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 of any structure without permission of the Community Services Division, Budding 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
tim"t;o~~~.J.. -~ 2.Jt /Oy
1
Date
Owner or Contractors Signature
Pa2e 4 of4
225 FIFTH STREET. StRJNCFIELD, OR 97477 . PH.(S41)726..J753 · tAX: (54])726-3689
ELELl KlCAL PERMIT APPUCATION
Ciry Job Number {/J)H .2. ~~ - $0 I 3 3
Date '~ 1.
ZON
INITiALS
DATE
D SrCE
I .
CITY OF SPRINGFIELD, OREGON
I
1. .~QciTIPNPF.rNSTA"'i;~170~:',:" :_I~;'.'
-_.....\o-41~_..r-....-.,...'..... ..,..... .......\.......-..'-....~....t, '..:.,,.::;:~w .:..__':'__
--2-C:;7'91 /7~ :Jr,
LEGAL DESCRIPTION:
/7IJ.r 24 j I (J.,76 t9-i)
JOB DESCRIPTION: 1000 sq. ft. or less
C'" d .. / ./1 Each adQ.itional 500 sq. ft. or
,;;), r. /'('t:;S , J..O/ U~~ portion thereof
. , .
Permits are nOD-trllDsferable llnd ell:plre if work is Each Manufact'd Home or
Dot started within 180 days orissullnte or if work is Modular Dwelling Service or
Suspended for 180 days. Feeder
'''I...~..,~",\ I......,~\r..:;".... .,.)_1.. ..1"......., ,1,-.:... I..... ..~y..'J.... 1 :- ....~...".r..~. ~......~..'='....1;;:;/..."'i';;,..-I?-..' ....n.I...)"" ":r~,"'..l.. ..'1'~"f'"\
.... .'lJI-";'i:i'\.'~..l
2 ; 'CQ~RACTOR lNSTALJ..A,TION ON1;Y B. ._.servic~.~t: ~eede(~'..... X~tinatio~ AltUlit10D$..oi lleJoc:atioD:I';-;
. 1:-I.Mi'.:i.'.J...~...": '\... ,,-.. ~;..... f,.-.. N ......... .....-1..._....-..~.&. ..\~~~.,'-.....;_.,:.... ~.\. ....__,....~":..~....llL.~..... ~.(......._......\_ .._._.....\...~~.....;.;
_~.\~...;;liI:...u&.:).;2.""...dl....-lI..~:.&...M..~\.....:.~,tll..
/' \) J I 51 n -> LJ).TTENTION' Or8,OO ,
Electrical Contractor (./LnUJ 0 O,l) ~/fCfll\:& rttIWsWd Olmaw requIres yQYJn $ 70.00
NotiflcatleW~F.e X4~,Oregon Utilitv $ 83.00
, Address fl1;a 1t+lla \\D. L/\ ~ A.tto On OAR 9S!HOO1'f\lUO;O ~~es are setforth $138.00
~... - v090.. YOIdl1Ila)h1)b(lalW~~~R 95~-OO1. $180.00
CIty &tCA <' A\L Phone:3-1 ~ V 1(l1--03~t~g ~a~{j(e~!fhe te~:;~It:#l:$ Dr $413.00
0. er farc&\l&:8$DJl)n Utility Notific.:. ~Ct' $ 55.00
if .'lZ C~n~er}~}1~o~(~41..~ '-II; :'~~:~l::-'- ""j,l";:Hk~1 ...!., ";'"~,-J;:.e'. J '~_l!'*{'"
Supllrvlsor LIcense N umb~r .....J 7 ~ c. . :r.empor~rv. ~~~V1ceS j)~ '~leaeJ'S.'"~,,;:r-;lj]rHj~ ,t,~~~1.?:./:,:lt....,.i'd~v. g/it:;:
T ..._.,"'...__....:.J!(;~..4...,)_J\.....__'M.. ....Jr......,-....u:; ~~/.r.-,~__.tloi..t..."""..NA.1a..>>~
I () J I J 6){) 10
I I
Constl'. Contt. Number I L.{. Q X 31
.,; .
I &0 3/~CJ)~
c.;:.{p"'"""s Eleclncian
New Alteration or Extension Per Panel
One~rw:. . $48.00
A: _ _ i:~~::rYl~~oHAlt EXPIRE 1F lHelWORK
iJIll ~r: E "AU1H{)'RIZEo..:~ND~aJ.l:tl~.~~JUt1iI-~~~~rtV'lla;l ~'1~
Address ~.5 7 L.N~AAf '(: . _~\lllm~~!f'lSlitiAN!YalmtfWf.,-"~~,~" ~~~.
CIty ::tJn T7{17 Phonc:~~d -t:.,,60 pum/tf}J)h.~pAY PERIOD. $ S5 00
Sign/Outline Lighnng $ 55.00
Limited Energy/Residennal $ 28.00
Limited Energy/Commercial $ 50.00
Minimum Elec:trie Permit InspectioD Fee is $50.00 + Surcbarges
4. . SUBTOTAL OF~OVE ~" :.,' ;; .: :~~" \ '~T;~~:' *7 C' /' 6C)
r ." ~..I.~ ,'''''.~.-J..,''l ~CJO. ..,
- . _.. _~^"_LI~ ___.::......J....~--..-...-- .. r;.;:.w~_J-I...... ..~ ...~-: ..r..".... /L
/~ State Surcharge ~ . ~ JJt!J,
10% Administratlvc Fee ~ ~. t",()
5% Technology Fcc: / '..Z- ,$.0
TOTAL ~ 2'5:./'2.
S~d Drive(T:)lBullding FlltmSlElcclnW Permit Applu:~uon 7.07 doc
ExpiratIon Date
Expiration Date
Owners Name
OWNER INSTALLATION
The Installation is being made on property I own wiuch
is not intended for sale, lease or rent.
Owners SIgnature:
Inspection Request: 726-3169
10 39\1d
al3Ij9NI~dS jO ^lI~
. . .-, ,.......' .... ..... l" J .."' '="' ....... 'J ~...,.I ,.'-,1 \'I-~-; "I"';:'I_"~"'"
J. : c::qMPLr..t..~ ~:q1SCHEDUL~'!l~LOW:l..:.:,:-";,,~',".;:;""'~~"~t.
_.(..n.._~______....._' ,.... ~M~ .... . ._ _ l..___.__il.":"O"'...,.. ..JooA.~)o'J.~a.,. ..,;!.~Ji-_~ito.S.:.ll:.:...._1l~r.w:..
-.,~... -). 'M:" _...~..' .;',.... "I/":' '.-' '... .....,.,.r;:.~)~~ ..~:'-....:..}-<:::-.~~.:..j...J:-:-.it:t
A. .' ~~~ ~~~~,~t!~!.: ~!ilp!~~.~,~l~:!!.'_~~.r.J~.~~~~~.I!~~!t~,V~Y.:.'
Servi~e lnduded
/
~
1/1~
U~
S117.00
$ 21.00
$55.00
Illl>tallation, Alterlltio4 or Relocation
200 Amps or less V
201 Amps to 400 Amps
401 Amps to 600 Amps
Over 600 Amps or 1 000 Volts SI:I: "B" above.
.,H,-.," .1..._... ,. ~J.Jr~ 1,-" ~-..,~.'::..,. ~....,.:r .!.;~"..II"'\ ...;.....:~-:.t"l}'r.!r''"'~.~(s
D. 'Braa.cb Ca.rcUlU,_~. I ;.:~;!. ~..I;/)I,:".."'J 1,1I1~_ .:......:'\.t:~'; ~ !-~~t7":'--;..\,-~\~~~;-,r.,~
~ .1'.v...._L.....__... .. ..__......;.:aw/__..L__'___~_o.-A.ow.....1),.\-..,-__ ~......................ti.....~o.awr~~.J:.L.:".
$ 55.00 ':;:::;o~ ~
$ 76.00
Sl10.00
9L9E9GL
EI:50 L00l/vI/II
,
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER
NAME OR COMPANY
LOCATION
TAX LOT NUMBER.
DEVELOPMENT TYPE
NEW DWELLING UNITS
I STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S F x I COST PER S F CHARGE
2786 75 I $0 346 = I $964 27
'RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S F x COST PER SF x I DISCOUNT RATE I I
o 00 $0 346 I 50% I = I
ITEM 1 TOTAL - STORM DRAINAGE SDC '$964.27 I
COM2008-00133
2598 17th
HomcbUllders
1703243103600
Smgle FamIly Residence
I BUILDING SIZE (SF' 2806
LOT SIZE (SF).
7504
(/)
r.r.1
Cl
o
,U
~
r.r.1
f-<
r/)
>-<
o
~
DISCOUNT
$000
$964.27
1070
2 SANITARY SEWER - CITY
A REIMBURSEMENT COST
I NUMBER OF DFU's '{ COST PER DFU
I 33 $2683
B IMPROVEMENT COST
NUMBER OF DFU's x -I COST PER DFU
33 I $2040
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
$885.50
1091
$673.33
1092
=!
$1,558.83
3 TRANSPORTATION
A REIMBURSEMENT COST
ADT TRIP RATE x I NUMBER OF UNITS x COST PER TRIP x INEWTRIP FACTOR
957 I I 2043 I I 00 $195.48 1093
B IMPROVEMENT COST'
I ADT TRIP RATE x NUMBER OF UNITS x I COST PER TRIP x I NEW TRIP FACTOR
I 957 I I $90 10 I 100 $862.25 11094
ITEM 3 TOTAL - TRANSPORTATION SDC = , $1,057.73 I
4 SANITARY SEWER - MWMC
A REIMBURSEMENT COST
NUMBER OF FEU's x ICOST PER FEU
I I $95.35 = ! $95.35 1054
B IMPROVEMENT COST
INUMBER OF FEU's x ICOST PER I;EU
I I I $990 39 $990.39 lOSS
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054
MWMC ADMINISTRATIVE FEE $10.00 1056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =! $1,095.74
SUBTOTAL (ADD ITEMS 1,2,3, & 4) =, $4,676.57 'I
ii
5 ADMINISTRATIVE FEE' j;
I SUBTOTAL x I ADM FEE RATE CHARGE
I $4,676 57 I 5% $233,83
TOTAL SANITARY ADMINISTRATION FEE 16476 1079
TOTAL TRANSPORTATION ADMINISTRATION FEE $69 07 /1078
Kaye Wilson 1/30/2008 TOTAL SDC CHARGES =1 $4,910.40
PREPARED BY DATE
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS
(NOTE FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUlV ALENT UNITS
IBA THTUB 2 0 3 = 6
IDRINKlNG FOUNTAIN 0 0 1 = 0
IFLOOR DRAIN 0 0 3 = 0
/INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 = 0
I INTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 = 0
I LAUNDRY TUB 1 0 2 = 2
I CLOTI-IESW ASHER / MOP SINK 1 0 3 = 3
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 0
MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRIG / WATER STATION / ETC 0 0 1 = 0
RECEPTOR FOR COM SINK / DISHWASHER / ETC 1 0 3 3
I SHOWER, SINGLE STALL 1 0 2 = 2
I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
ISINK COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
SINK COMMERCIAL BAR 0 0 2 = 0
SINK WASH BASIN/DOUBLE LA V A TORY 2 0 2 = 4
ISINK SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1
I URINAL, 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 33
*EDU (Eqwvalent DweIlmg Umt) IS a discharge eqwvalent to a smgle family dweIlmg umt pO DFU'sJ_~..,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
]986
]987
1988
]989
1990
199]
1992
1993
1994
1995
]996
]997
]998
]999
2000
2001
CREDIT RA TE/$1 ,000
ASSESSED VALUE
$529
$529
$519
$512
$498
$480
$463
$440
$407
$367
$322
$273
$225
$180
$159
$145
$125
$109
$092
$072
$048
$028
$009
$005
IS LAND ELGIBLE FOR ANNEXATION CREDIT'
(Enter 1 for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX CREDIT'
(Enter 1 for Yes, 2 for No)
BASE YEAR
2
2
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE
$0 00 x $5 29
= I
$000
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0 00 x $5 29
o
TOTAL MWMC CREDIT
$000
=
Willamalane
Park & Recreation District
Job. No. CM2IYJB-tJO /3.1
SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2007
NAME: fkw.t~tll(7Jt>tJ ChJ.sr PHONE: -1u - ~~~O
, .. . .
ADDRESS: '2t>5J ~;A. CITY <;;t!i.." STATEMzIP: 9 zd77
. ~, ,
LOCATION OF PROPOSED BUILDING SITE:
Street Address: z'59/b / 7 ~ Jr,
Plat Name" j ,lfl~ k.~ Tax Lot Number. / llll? z4. jLfl3~tnJ
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the
back. )
A. Sinale-Familv Detached
NO. OF UNITS
25/7
X $2-;303' per unit =
$. 2~/ ~
B. Slnal~-Familv Attached
NO. OF UNITS
X $2,426 per unit =
$
C. Multi-Familv Aoartment
NO. OF UNITS
X $2,032 per Unit =
$
D Sinale Room Occuoancv
NO. OF UNITS
X $1,016 per unit =
$
E. Accessorv Dwelllna Unit
NO. OF UNITS
X $1,151.50 per unit = $
WILLAMALANE SDC $
2. SDC CREDIT (If applicable) SDC payer must fumlsh proof of
Wi/lamalane CredIt approval) $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
~
Development Services Department
City of Spnngfleld
$ 2.'513
z/b/oY
Date
5
DEVELOPMENT TYPE DEFINITIONS1
" ~ \ -.." ,...s.~~ie' ~~y.Detached Dwelling Unit
'.. .J \ ,J A builffing br"a.pbrtion of a building consisting of one or more rooms including sleeping,
cooking, and plumbing facilities arranged and designed as permanent living quarters
for one family or household; and not attached to any other dwelling unit or building.
Tt1is,~Vf1iti.Q[l'i(l~G.eS manufactureq. housing. \ '
"'_'~<'::_ 'J) --., '.,..-:';;~" .'*i. \~ 1'\..I"~(' \ '.' , '...:h.. .. ... ~
""'\ ,_......'~'.' ,\ -J \\-"'_.,'---:J ,,\{~,
~ !tn~Le,.-F.fIDily A~hed Dwelling Ur,it.. L · - .
'A portidn of a buil~g consisting of "One 1rr~re rooms~~~sl~PTr11t}J::ooklng,
. and plumbing facilities arranged and designed as permanent living quarters for one
family or household; and which is attached to one or more dwelling units by one or
more common vertical walls. This defi~tipn ~Q, includes, but is not limited to "duplex",
"zero lot line dwelling", "townhouse",'and \~o';rho'us~". Wi~~~~eption of duplexes,
. .;l,~' Sw1,~-FOO1QY.....Ma~eti-Dwelling Units typically are ~e~rat~y bwned. .
-... ...._., c)C: .. G \ -,.>0 ~\~ L~~'-:i",\\rl""" <~,~).'.."
. . . . ,')., ~~
Multi-Family Dwelling Unit
A portion of a building consisting of one or more rooms including sleeping, cooking,
and plumbing facilities arranged and designed as permanent living quarters for one
family or household; and which is attached to two or more dwelling units by one or
more..c;o[Tl.[Tlo(l, yertical walls. Typic~I~.tm units are in an apartment building or
comptl3x> afld' are not separately owl'ted. -.
Single Room Occupancy Dwelling Unit
A portIon of a building consisting of one or more rooms including sleeping facilities with
a shared or private bath, and shared cooking facilities and shared living/activity area.
This definition also includes, but is not limited to "assisted living facIlity." Single room
occupancy dwelling Units shall be charged at one-half the multi-family dwelling unit
SDC rate.
Accessory Dwelling Unit
A secondary, self-contained dwelling that may be allowed only In conjunction with a
detached single-family dwelling. An accessory dwelling unit IS subordinate in size,
location, and appearance to the primary detached single-family dwelling, An accessory
dwelling unit generally has Its own outside entrance and always has a separate
kitchen, bathroom and sleeping area. An accessory dwelling unit may be located
within, attached to, or detached from the primary Single-family dwelling. Accessory
dwelling units shall be charged at one-half the single family detached dwelling unit
SDC rate.
r 1, --:'\ <--
.. \ "~.1 -..
-,
. '.
.,
~ h ..
,_ ;> \'. Updated 2/20107
1 From the WPRD Parks and Recreation SDC Resolution No. 06-07-6, October 10, 2006
6
225 fifth.Street
Spr.ingfiel.d, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00 133
COM2008-00133
COM2008-00133
COM2008-00133
COM2008-00133
COM2008-00133
COM2008-00133
COM2008-00133
COM2008-00 133
COM2008-00133
COM2008-00 133
COM2008-00133
COM2008-00133
COM2008-00133
COM2008-00133
COM2008-00133
COM2008-00133
COM2008-00133
COM2008-00133
COM2008-00133
COM2008-00133
COM2008-00133
COM2008-00133
COM2008-00 133
COM2008-00 133
COM2008-00133
COM2008-00 133
COM2008-00 133
COM2008-00 133
COM2008-00 133
COM2008-00133
COM2008-00133
COM2008-00133
COM2008-00133
Payments:
Type of Payment
Check
cRecemtl
RECEIPT #:
2200800000000000160
Date: 02/06/2008
DeSCriptIOn
Sidewalk Permit
Curbcut PermIt
Storm Dramage ImpervIOus Area
Samtary Sewer - ReImbursement
Samtary Sewer - Improvement
SDC Transpo ReImbursement
SDC Transpo Improvement
SDC MWMC ReImbursement
SDC MWMC Improvement
SDC MWMC AdmmlstratlOn
SDC Samtary/Storm Admm
SDC TransportatIon Admm
Plan ReVIew Major - Plannmg
Butldmg PermIt
Addressmg ASSignment
WIllamalane Smgle Famtly
3 Baths One & Two Famtly
Storm Sewer Each Addtl 100'
Furnace - up to 100,000 btu
Botler/Comp Up To 100,000 btu
Vent Fan
ApplIance Vent
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Fireplace (LIsted)
-Mech Iss 2+ ApplIances~
ResIdence WIrIng 1000 Sq Ft
ResIdence WIrIng Ea Addtl 500
Temp Power 200 amps or less
Fire SF Fee - ResIdential
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Paid By
HOME BUILDERS
CONSTRUCTION COMPANY
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
dJb 4098 In Person
Payment Total:
Page I of I
II:31:IIAM
Amount Due
8500
8500
964 27
885 50
673 33
195 48
862 25
9535
99039
1000
164 76
6907
205 00
1,446 24
35.00
2,51300
33700
3200
1400
1400
3500
700
10 00
700
500
1700
4000
II 7 00
8400
55.00
14300
12776
261 63
232 32
$ I 0,8 I 8.35
Amount PaId
$10,81835
$10,818.35
2/6/2008