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Home My WebLink AboutPermit Building 2008-2-26 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00271 ISSUED: 02/26/2008 APPLIED: 02/25/2008 EXPIRES: 08/26/2008 VALUE: $ 297,634.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1255 S 41ST ST ASSESSOR'S PARCEL NO.: 1802064111500 SPRINGFIETYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence -Filbert Meadows lot 44 SAME AS COM2008-00094 6024 Graystone Owner: BRUCE WIECHERT CUSTOM HOMES INC Address: 3073 SKYVIEW LN EUGENE OR 97405 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor BRUCE WIECHERT CUSTOM HOMES INC L & E ELECTRIC INC COMFORT FLOW STEVEN R JOHNSON License 101717 105475 460 65065 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U VB # of Stories: 2 Height of Structure 29.00 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Gas Energy Path: Path 1 Sprinkled Building n/a 5 I DEVELOPMENT INFORMATION I ATTENTION: Oregon law I "''-lUll "'" 1 "... '.~ ,jRLIow rules adopted by the Oregon Utility . F~ontyard Setbt\1otrflcatlOn Center.l~iWJse rules ar~lil3~t1l>Ist: S~de 1 Setback:in OAR 952-00 1-00f~'P.P. ough OAR/!'lS11'OO"ITrees Rqd: SIde 2 Setback:OO.~O. You may obta9..p~oples of thfPPlvat>.I\)~ve Rqd: Rearyard Setbac"rialling the cente~I~Qote: the tel~~llfbt Coverage: Solar Setbacks: number for the O~:1!fh Utility Notification - ' . 1 CC" "",.., ,,-:>/1 II} \.It;, ny'...., .... ~ 4. - I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: SpecIal Instruction: Residential Expiration Date 09/1612008 03/3012008 06/27/2009 03/12/2008 Phone 541-686-9458 541-933-2653 541-726-0100 541-342-3765 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 6,534 1,653 627 608 2 Yes 35.00 REQUIRED PARKING Total: 2 Handicapped: Compact: Sidewalk Type: NOTICE: Downspouts/Drains: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Notes: Stormwater routed to curbline weep hole. Pal!:e 1 of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00271 ISSUED: 02/26/2008 APPLIED: 02/25/2008 EXPIRES: 08/26/2008 VALUE: $ 297,634.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I A.C. - Residen Dwellinl!s Garal!e AC - Residential V Wood Frame Garal!e $ Per Sq Ft or multiplier $5.00 $105.00 $28.00 Square Footage or Bid Amount 2,551.00 2,551.00 608.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $12,755.00 $267,855.00 $17,024.00 $297,634.00 02/25/2008 02/25/2008 02/25/2008 ~ Fee Description Amount Paid Date Paid Receipt Number -Mech Iss 2+ Appliances- $40.00 2/26/08 1200800000000000179 + 10% Administrative Fee $196.26 2/26/08 1200800000000000179 + 12% State Surcharge $216.56 2/26/08 1200800000000000179 + 5% Technology Fee $109.23 2/26/08 1200800000000000179 3 Baths One & Two Family $337.00 2/26/08 1200800000000000179 Addressing Assignment $35.00 2/26/08 1200800000000000179 Appliance Vent $7.00 2/26/08 1200800000000000179 Boiler/Comp Up To 100,000 btu $14.00 2/26/08 1200800000000000179 Building Permit $1,331.68 2/26/08 1200800000000000179 Curbcut Permit $85.00 2/26/08 1200800000000000179 Dryer Vent $7.00 2/26/08 1200800000000000179 Exhaust Hoods $10.00 2/26/08 1200800000000000179 Fire SF Fee - Residential $157.95 2/26/08 1200800000000000179 Fireplace (Listed) $17.00 2/26/08 1200800000000000179 Furnace - up to 100,000 btu $14.00 2/26/08 1200800000000000179 Gas Outlets 1-4 $5.00 2/26/08 1200800000000000179 Gas Outlets 4+ $2.00 2/26/08 1200800000000000179 Overwidth Application Fee $45.00 2/26/08 1200800000000000179 Plan Review Major - Planning $205.00 2/26/08 1200800000000000179 Plan Review Same As $220.00 2/26/08 1200800000000000179 PW Disc - 2nd Permit $-40.00 2/26/08 1200800000000000179 Sanitary Sewer - Improvement $571.31 2/26/08 1200800000000000179 Sanitary Sewer - Reimbursement $751.33 2/26/08 1200800000000000179 SDC MWMC Administration $10.00 2/26/08 1200800000000000179 SDC MWMC Improvement $990.39 2/26/08 1200800000000000179 SDC MWMC Reimbursement $95.35 2/26/08 1200800000000000179 SDC Sanitary/Storm Admin $96.58 2/26/08 1200800000000000179 SDC Transpo Improvement $862.25 2/26/08 1200800000000000179 SDC Transpo Reimbursement $195.48 2/26/08 1200800000000000179 SDC Transportation Admin $77 .23 2/26/08 1200800000000000179 Sidewalk Permit $85.00 2/26/08 1200800000000000179 Storm Sewer Each Addtll00' $32.00 2/26/08 1200800000000000179 Vent Fan $28.00 2/26/08 1200800000000000179 Willamalane Single Family $2,513,00 2/26/08 1200800000000000179 Pal!e 2 of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00271 ISSUED: 02/26/2008 APPLIED: 02/25/2008 EXPIRES: 08/26/2008 VALUE: $ 297,634.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amount Paid $9,322.60 I Plan Reviews I Planninl! Review 02/26/2008 02/26/2008 APP EMM Public Works Review 02/26/2008 02/26/2008 APP TSS Stormwater routed to curbline weep hole. Structural Review 02/26/2008 02/26/2008 APP DLM Approved as noted on the 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. ~e(]uiredJnsnections I Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Pal!e 3 of 4 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2008-00271 ISSUED: 02/26/2008 APPLIED: 02/25/2008 EXPIRES: 08/26/2008 VALUE: $ 297,634.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. 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 - Overwidth: After forms are erected but prior to placement of concrete. 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 ::;:::'::~7}:t:/:ii?lhe pmperty, and the app;h~;' "main on the ';Ie al all Owner or Contr~ctors signatre Da{e I Pa2e 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00271 COM2008-00271 COM2008-00271 COM2008-00271 COM2008-00271 COM2008-00271 COM2008-00271 COM2008-00271 COM2008-00271 COM2008-00271 COM2008-00271 COM2008-00271 COM2008-00271 COM2008-00271 COM2008-00271 COM2008-00271 COM2008-00271 COM2008-00271 COM2008-00271 COM2008-00271 COM2008-00271 COM2008-00271 COM2008-00271 COM2008-00271 COM2008-00271 COM2008-00271 COM2008-00271 COM2008-00271 COM2008-00271 COM2008-00271 COM2008-00271 COM2008-00271 COM2008-00271 COM2008-00271 Payments: Type of Payment CredltCard cRecemtl RECEIPT #: 1200800000000000179 Date: 02/26/2008 Description Plan Review Same As ButldIng Permit Addressing Assignment WIlIamalane Single Famtly 3 Baths One & Two Famtly Storm Sewer Each Addtl 100' Furnace - up to 100,000 btu Botler/Comp Up To 100,000 btu Appltance Vent Exhaust Hoods Dryer Vent Gas Outlets 1-4 Gas Outlets 4+ Fireplace (Listed) ~Mech Iss 2+ Appltances- Fire SF Fee - Residential Vent Fan Sidewalk Permit Curbcut Permit Overwldth Appltcatlon Fee PW DIsc - 2nd Permit 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 Transportation Admin Plan Review Major - Planning + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee PaId By BRUCE WEICHART Item Total: Check Number AuthOrIzation Received By Batch Number Number How ReceIved nJm 005548 In Person Payment Total: Page 1 of 1 11 :05:47 AM Amount Due 220 00 1,331 68 3500 2,51300 33700 3200 1400 1400 7.00 10 00 700 500 200 17.00 4000 15795 2800 8500 8500 4500 (40 00) 751 33 571 31 195 48 862 25 9535 990 39 10 00 9658 77 23 205 00 109 23 21656 19626 $9,322.60 Amount PaId $9,322 60 $9,322.60 2/26/2008 Date ZON { (~ 1\.( INITIALS f ,'yy \ DATE 1- '-'~ /Of; SOURcE~~ ) 7/2~JD'6 / . ',' ',,: ',:,;'CIT:y,'QB~~,':SPRlNGE~E,EQ.:' O~$0N"', <",-...' m...U' u1 STREET . SPRINGFIELD, OR 97477 . PH:(541)726-37S3 . FAX: (541)726-3689 ELEL'l.JdCAL PERMIT APPLICATION CityJobNumber _ t.. F - 00 c> '27{ r,..,,;,.JisorLicenseN~TICE:417 '1- S 1~/, c. T,HIS ~ERMIT SHALL tX~IKt IF THE Expiration Date d I ~ fA (G>r( ~F~ ~J N D E R 1 HIS PE R M I T ~Wtion, Alteration or Relocation COMMENCED OR1S ABANDONED f20ijAmpsorless Constr. Contr. Number I~ l1>~ ffn!tlv 'P r-SR \ 0 0, 20 I Amps to 400 Amps ). 401 Amps to 600 Amps Expiration Date "5 J 0 Over 600 Amps or 1000 Volts see "B" above. D. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with C L Service or Feeder Permit "V~"ll,~ I+cr^-~ S' : ~ . ~". E. Owners Name ~vv(c IN, <"~~+- Address 3.t>""?:, S Ie- 4 IJ~ e. W , City f_ v" C/k.- Phone ~ 0 ~ -4 V) 8 Pump or irrigation $ 55.00 J Sign/Outline Lighting $ 55.00 OWNER INSTALLATION AIIt:NT/ON: Oregon rawreqlJf~ergy/Residential $28.00 !he ~Iation is being ~J~~~~cby the Or~gyJc"....""ercia1 $ 50.00 IS not mtended for sale, I~01t~t'on Center. Those 1'ft/f4QJIIIRII8I1 . Permit Inspection Fee is $50.00 + Surcharges In OAR 952-001-0010 throug'4 0090. You may obtarn caples 6 2 Z. Z callina the centp,r. (Note: the tJ~o 2 b i.Lt ....mber for the Oregon UtJlJty N "'~11 ,0 V 20 Center is 1 800-332 234 0 J /./0 . 'f Inspection Request: 726--3769 TOTAL 28') . Shared Dnve(T:)lBuJlding FonnsIEIectrical Permit Apphca1lon l-oS.doc 1. I z. s s <5 41 st LEGAL DESCIUr uON: 1802 Obl{ ( JOB DESCRIPTION: J~Se. I / .!>-O (:) L./ Ille Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. Electrical Cu~..ctor Address q 2 ~ '3 -~ ~ 0 \'\c: ~ AC'ie $ city ~~\~ Phone 6-7/- LJ J 9 ~ Signature of Supervising Electrician ~O..O~ Owners Signature: 3. A. SerVice Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manuf3ct'd Home or Modular Dwelling Service or Feeder / S- $ 21.00 $117.00 1/7 / () S- $55.00 lB. 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsIV olts Reconnect Only $ 70.00 $ 83.00 $138.00 $180.00 $413.00 $ 55.00 $ 55.00 $ 76.00 $110.00 $ 48.00 $ 4.00 I / - ., CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER C0M2008-00271 NAME OR COMPANY Bruce WeIchert Custom Homes LOCATION 1255 S 41st Street TAX LOT NUMBER 18-02-16-41-11500 DEVELOPMENT TYPE SINGLE FAMILY RESIDENCE NEW DWELLING UNITS 1 BUILDING SIZE (SF: 2596 LOT SIZE (SF) 1 STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S F x I COST PER S F CHARGE '000 I $0346 = $0.00 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS SF I x I COST PER S F I x I DISCOUNT RATE I o 00 I $0 346 I 50% = I ITEM 1 TOTAL - STORM DRAINAGE SDC , $0.00 6573 2 rn P-1 o o u ~ ~ rn ...... o gj DISCOUNT $000 $0.00 1070 2 SANITARY SEWER - CITY A REIMBURSEMENT COST NUMBER OF DFU's x 28 B IMPROVEMENT COST NUMBER OF DFU's I x 28 I r COST PER DFU I $26 83 $751.33 1091 COST PER DFU $20 40 $571.31 1092 ITEM 2 TOTAL.: CITY SANITARY SEWER SDC == I $1,322.65 3 TRANSPORTATION A REIMBURSEMENT COST I ADT TRIP RATE , NUMBER OF .UNITS I x COST PER TRIP x I NEW TRIP FACTOR x I 957 1 I 2043 I 100 $195.48 1093 B IMPROVEMENT COST ADT TRIP RATE x I NUMBER OF UNITS x I COST PER TRIP x INEW TRIP FACTOR 957 I 1 I $90 10 I 100 $862.25 1094 ITEM 3 TOTAL - TRANSPORTATION SDC == , $1,057.73 4 SANITARY SEWER - MWMC A REIMBURSEMENT COST /NUMBER OF FEU's x ICOST PER FEU I 1 I $95 35 = $95.35 1054 B IMPROVEMENT COST NUMBER OF FEU's x ICOST PER FEU 1 I $990 39 = $990.39 1055 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) =1 $3,476.12 5 ADMINISTRATIVE FEE SUBTOTAL x I ADM FEE RATE 1= CHARGE $3,476 12 I 5% I $173 81 TOTAL SANITARY ADMINISTRATION FEE' 9658 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE $77 23 1078 Todd Singleton 2/26/2008 TOTAL SDC CHARGES =1 $3,649.93 PREPARED BY DATE -- I DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE \ NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIXTURES) NO OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 2 0 3 I = 6 DRINKING FOUNTAIN 0 0 1 I = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 = 0 LAUNDRY TUB 0 0 2 = 0 CLOTHESW ASHER / MOP SINK 0 0 3 = 0 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRIG / WATER STATION /ETC 0 0 1 = 0 RECEPTOR FOR COM SINK / DISHWASHER / ETC 1 0 3 = 3 SHOWER, SINGLE STALL 1 0 2 = 2 I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 I SINK COMMERCIAL BAR 0 0 2 = 0 ISINK WASHBASINIDOUBLELAVATORY 2 0 2 = 4 I SINK SINGLE LA V A TORY /RESIDENTIAL BAR 1 0 1 = 1 IURINAL, STALL/WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INST ALLA TION 3 0 3 = 9 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 28 *EDU (EQUIvalent Dwellmg Unit) IS a discharge eqUIvalent to a smgle family dwelling UnIt (20 DFU's) ~~. ~:.1~7"~lons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$I,OOO ASSESSED VALUE $529 $529 $519 $512 $4 98 $4 80 $463 $440 $4 07 $367 $3.22 $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 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 = I $000 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE /1000 CREDIT RATE $0 00 x $5 29 o TOTAL MWMC CREDIT $000 = d vt7 "n1 PeN i~ ,CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER COM2008-00271 NAME OR COMPANY Bruce Weichert Custom Homes LOCATION 1255 S 41st Street TAX LOT NUMBER 18-02-16-41-11500 DEVELOPMENT TYPE SINGLE FAMILY RESIDENCE NEW DWELLING UNITS 1 BUILDING SIZE (SF' 2596 LOT SIZE (SF) 6573 2 1 STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM IMPERVIOUS S F x I COST PER S F CHARGE 3838 00 I $0346 = $1,328 03 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S F x I COST PER S F x I DISCOUNT RATE I DISCOUNT o 00 I $0 346 I 50% = I $0 00 ITEM 1 TOTAL - STORM DRAINAGE SDC I $1,328.03 $1,328.03 2 SANITARY SEWER - CITY A REIMBURSEMENT COST NUMBER OF DFU's x 28 COST PER DFU $26 83 $751.33 B IMPROVEMENT COST NUMBER OF DFU's x 28 COST PER DFU $20 40 $571.31 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $1,322.65 I Irn P-1 o o u ~ P-1 t-< rn ...... o gj, I 11070 1091 1092 3 TRANSPORTATION A REIMBURSEMENT COST I ADTTRIP RATE x I NUMBER OF UNITS x I COST PER TRIP x I NEW TRIP FACTOR I 957 I 1 I 2043 I 100 $195.48 1093 B IMPROVEMENT COST I ADT TRIP RATE x I NUMBER OF UNITS x COST PER TRIP x I NEW TRIP FACTOR , 957 , I $90 10 I 100 $862.25 1094 ITEM 3 TOTAL - TRANSPORT A nON SDC =, $1,057.73 4 SANITARY SEWER - MWMC A REIMBURSEMENT COST NUMBER OF FEU's x ICOST PER FEU 1 I $95 35 $95.35 1054 B IMPROVEMENT COST NUMBER OF FEU's I x ICOST PER FEU 1 I $990 39 = $990.39 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054 MWMC ADMINISTRATIVE FEE $10.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =1 $1,095.74 SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , $4,804.15 -- 5 ADMINISTRATIVE FEE SUBTOTAL x ADM FEE RATE CHARGE $4,804 15 5% $240 2 I TOTAL SANITARY ADMINISTRATION FEE 171 70 1079 I TOTAL TRANSPORTATION ADMINISTRATION FEE $68 5 I 11078 Todd Singleton 2/26/2008 TOTAL SDC CHARGES =1 $5,044.36 PREPARED BY DATE ) DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIXTURES) NO OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS IBATHTUB 2 0 3 = 6 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 CLOTHESW ASHER / MOP SINK 0 0 3 = 0 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (l PER TRAILER) 0 0 12 = 0 RECEPTOR FORREFRIG / WATER STATION /ETC 0 0 1 = 0 I RECEPTOR FOR COM SINK / DISHWASHER / ETC 1 0 3 = 3 ISHOWER, SINGLE STALL 1 0 2 = 2 I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 ISINK COMMERCIAL BAR 0 0 2 = 0 I SINK WASH BASIN/DOUBLE LAVATORY 2 0 2 = 4 I SINK SINGLE LAVATORY /RESIDENTIAL BAR 1 0 1 = 1 IURINAL, STALL/WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 3 0 3 = 9 MISCELLANEOUS DFU TYPE NUMBEROFEDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 28 *EDU (EQUIvalent Dwelling Unit) IS a dIscharge eqUIvalent to a smgle family dwelling UnIt (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 198] 1982 1983 ]984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$I,OOO ASSESSED VALUE $529 $529 $519 $512 $498 $480 $463 $440 $4 07 $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 I for Yes, 2 for No) BASE YEAR CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0 00 x $5 29 = , CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0 00 x $5 29 TOTAL MWMC CREDIT 2 2 1979 $000 o $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 COM2008-00271 COM2008-00271 COM2008-00271 COM2008-00271 COM2008-00271 Payments: Type of Payment CredltCard cRecemtl RECEIPT #: 1200800000000000180 Date: 02/26/2008 Descnption Residence Wmng 1000 Sq Ft Residence Wiring Ea Addtl 500 + 5% Technology Fee + 12% State Surcharge + 10% AdministratIve Fee Paid By BRUCE WEICHART Item Total: Check Number AuthorizatIOn Received By Batch Number Number How Received nJill 015298 In Person Payment Total: Page I of I 11:12:1SAM Amount Due 117 00 10500 II 10 26.64 2220 $281.94 Amount Paid $281 94 $281.94 2/26/2008 Job. No.{J1h(2LtJ g "'00 Z 7/ NAME: SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2008 &4c~ jfh~T PHONE:_h g,6 - ~4.:rS STATE:L!AfZIP:_9 .7~S- ADDRESS: .'?971 5/<~.0'~ CITY /:u<. _. I LOCATION OF PROPOSED BUILDING SITE: f(U ~T. Street Address: /2 c:; r S" Plat Name:fl/.--A~7_/Jf~ Tax Lot Number: _/ ~ 2- ~6 tJ lLS-bO 1. DEVELOPMENT TYP~ (Check approprrate dwellrng(s). Dwelling type definrtlons are on the back. ) A. Sinale-Familv Detached NO. OF UNITS X $2,513 per umt = $ ~/3 8. Sinale-Familv Attach"ed NO. OF UNITS X $2,726 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS X $2,323 per unit = $ D. Sinale Room Occuoancv NO. OF UNITS X $1,162 per unit = $ E. Accessorv Dwellina Unit NO. OF UNITS X $1,257 per unit = $ WILLAMALANE SDC $ 2. SDC CREDIT (If applicable) SDC payer must furnish proof of Willamalane Credit approval.) $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) Pf{ :2 $ 2~) /.5 -' :?~ 6~ Development Services Department City of Springfield Date 5