HomeMy WebLinkAboutPermit Building 2004-3-23
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. CITY U1' I:lrK11~u1'lJ!.LD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2004-00243
ISSUED: 03/23/2004
APPLIED: 03/03/2004
EXPIRES: 09/23/2004
VALUE: $ 41,395.20
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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SITE ADDRESS: 3255 DOUGLAS DR
ASSESSOR'S PARCEL NO.: 1802062103800
Springfield TYPE OF WORK: Family Room
TYPE OF USE:
Addition
Residential
PROJECT DESCRIPTION: Play Room Addition
Owner: PAUL TOMPKINS
Address: 3255 DOUGLAS DRIVE SPRINGFIELD OR 97478
Phone Number: 541-746-0501
, CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Contractor
OWNER
OWNER
License
Expiration Date Phone
BUILDING INFORMATION I
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# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
VN
# of Stories:
Height of Structure 16.00
Type of Heat: Heat Pump
Water Type:
Range Type:
Energy Path: Path 1
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
448
SETBACKS
I DEVELOPMENT INFORMATION I
18.00
0.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
17.00
22.00
29.30
Street Improvements:
MnTIr.F'
I PUBLIC IMPROVEMENT~llIS PERMIT SHALL EXPIRI: It. I Ht WUtll\
A'tJTH~Z.~!;\,~DER THIS PERMIT IS NOT
Fullv Improved COMME'ffct(j(j~~'S ABANDONED FOR
ANY 196"NI"P~s:
'0
Storm Sewer Available:
Special Instrulil10iENTION:Oregon law requires you to
follow FUles adopted by the Oregon Utility
Notes: "otification Center. Those rules are setfelli'
In OAR 952-o01-Q01 Q through OAR 952-00'
0090. Vou may obtain' copies of the rulal) 1
calling the center. (Note: the t8l0phone
null'lber for the Oregon Utility Notification
"'~_'M;" 1-flnl)-332-2344).
Pa2e 1 00
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Dwellines
V Wood Frame
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Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ Ea Add
Building Permit
Curbcut - Overwidth Appl
Curbcut Permit
Fixture
Minimum/Adjustment Plumbing
Perm Serv/Fdr 200 amps or less
Plan Review - Planning
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
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Total Amount Paid
.
. CITY OF OSl"Kll'j\.ot<lJ'..LU
Building/Combination Permit
PERMIT NO: COM2004-00243
ISSUED: 03/23/2004
APPLIED: 03/03/2004
EXPIRES: 09/23/2004
VALUE: $ 41,395.20
, Valuatinn Descriotion I
$ Per Sq Ft
or multiplier
$92.40
Square Footage
or Bid Amount
448.00
Total Value of Project
l/pp<. PiWLI
Amount Paid
Date Paid
$210.50
$46.79
$32.75
$36.00
$323.85
$35.00
$75.00
$14.00
$31.00
$63.00
$71.00
$10.53
$210.54
3/3/04
3/23/04
3/23/04
3/23/04
3/23/04
3/23/04
3123/04
3123/04
3/23/04
3/23/04
3/23/04
3/23/04
3/23/04
$1,159.96
I Plan Reviews I
Initial Review 03/04/2004 03/05/2004 APP LLH
Plannine Review 03/05/2004 03/19/2004 APP TAJ
Public Works Review 03/05/2004 03/10/2004 WE VRJ
Public Works Review
..
03/12/2004
03/12/2004
APP VRJ
Paee 2 of3
Value
Date Calculated
$41,395.20
$41,395.20
03/03/2004
Receipt Number
2200400000000000203
1200400000000000364
1200400000000000364
1200400000000000364
1200400000000000364
1200400000000000364
1200400000000000364
1200400000000000364
1200400000000000364
1200400000000000364
1200400000000000364
1200400000000000364
1200400000000000364
Buitding permit file does not have a
second driveway application,
contacted owner and left message
3/10/04 10:47am. Asked they apply
for 2nd driveway and for
confirmation on storm drainage
outfall. Waiting for their return
call.
Mr. Tompkins left voice mail that
they do not plan to go forward with
2nd access at this time, it will be in
the future. No 2nd driveway
application at this time, no PW
transportation approvat. Storm
drainage to existing outfall to street
as per Mr. Tompkins 3/12/04
10:25am.
.
. CITY OF ~rKll'1jul'lJ!,L1J
Building/Combination Permit
PERMIT NO: COM2004-00243
ISSUED: 03/23/2004
APPLIED: 03/0312004
EXPIRES: 09/23/2004
VALUE: $ 41,395.20
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Public Works Review
03/18/2004 03/18/2004 APP VRJ Applicant decided to include 2nd
driveway. 2nd driveway application
approved 3/18/2004. Updated SDC
impervious surface to include 18 ft
of pavement from property line.
03/05/2004 03/16/2004 APP RJB
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Structural Review
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.
I Renniretl InsnediOlW
1 Erosion/Grading Inspection: After all erosion measures are in place.
2 Footing: After trenches are excavated.
3 Foundation: After forms are erected but prior to concrete placement.
4 Post and Beam: Prior to noor insulation or decking.
5 Floor Insulation: Prior to decking.
6 Shear Wall Nailing: Before covering sheathing with finisb materials.
7 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
8 Wall Insulation: Prior to cover.
9 Ceiling Insulation: Prior to cover.
10 Drywall: Prior to taping.
11 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
12 Final Building: After all required inspections have been requested and approved and the building is complete.
13 Undernoor Plumbing: Prior to insulation or decking.
14 Final Plumbing: When all plumbing work is complete.
15 Rough Electric: Prior to Cover
16 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, 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 rcquired inspections are requested at the proper time, that each address Is readabte from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on tbe site at all
tip;tru;n. 2 !... :5 _ ~ ~ _ 6 Y
Own; ~~ contractor~e Date c..
Paee 3 of3
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Construction Contractors Board
700 Summer St NE Suite 300
PO Box 14140
Salem OR 97309-5052
Phoue: 503-378-4621
Web Address: www.ccb.state.or.us
Address:
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Permit#: COWlZO_ _002..43
~$I,n- ~n...
Date: :>/Z3 /0 L{
Issued by:
:5 Z- ')S"""
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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 befiled with the permit.
Fill in the app,vp,;ate blanks and initial boxes I and 2, and either box 3A or 3B:
~1.
~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.
o 3A. My general contractor is
(Name)
(CCB #)
I will instruct my general contractor that all subcontractors who work on the structure must be
licensed with the Construction Contractors Board.
OR
> 3B. I will be my own general contractor.
If I 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
Not:PJ7rty c;:;~:r2t Construction Responsibilities on the reverse ~e :~iS::~
(Sign~e of permit applicant) (Date)
(White copy to issuing agency permit file, pink copy to applicant.)
Property _ owner.doc 03/11103
I,
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Adnnng 2l~ 1{ t1Jl1lllll" (Q)wnn Gennell"21li Ct1Jlnn~ll"21d((J)ll"'l
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
,
I..:., tI,
NOTE: This Information Notice to Property Owners about Construction Responsibilit/es was developed by the
Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legis/ature.
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.
lEmjplloyer Re~jpollD.~nlOnllW.e~
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 following:
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 a State Business ill number, call the Business Information Center at 503-986-2200.
Unemployment Insurance Tax: As an employer, you are required to pay a tax for unemployment insurance purposes
on the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488.
Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law,
and must obtain workers' compensation 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 866-816-2065 or fax them at 801-620-7115. -
OtheJr ResjpollD.si.lOmtie~ amll Areas oj[ Com:eJrllD.s
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 falling 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.
Expertise: 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 appropriate times so they can perform the required inspections.
If you have 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 03/11/03
.'."... '. ci'rY:'OFSrill'NGFIELD OREGON', c, r....
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~'
,is ,
ELECTRICALPERMITAPPLICATlON 0 ,,,,,,,~Y;j^,0
/ c\'" 0:>$
City Job Number (~20 0 l./ --0 OZ lj 3 Date '3/ Z '3 0 1..( ~,,,:x. ~o\ ,II
I. f LoCAfIONOifiNSiXi:i 4.ilo1V;.:~~,;;;r;~ / '):cOMP1ET~~~-'" . j{' -
_~.............-........~, ,. ..~-:'_~' ',--,_~ ._"ti..~_:"'l. --.;:~::..:....! ~"'_:"':'l-_~"""""'''~~o(\''-~~~''''''--;'fr.~'.;.i':'_" ~-._~
I ~ Z'fi;~G ip~,~ i)';4;.<;<o tlU~ "f'.'. "'~Y'';f;:~99\O :",~:<','D" \~',e.', ..<'-/~""'''',~ <':.: "".,
LEGAL DESC,R1PTION A. ;1:.~~~,~~~~tiaL:'Q~{''-b_;~~,,'6~~~~al1}i.2: p~r dwc!1i~~,jm.ig~\i
~t..l'r.~\z,cbz.;1 C :'PU'O 0 Service Included ,."",u
JOB DESCRIPTION 1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Owners Name g.-t / / /') 1'Vl1C>6/t/J
Address ....;;;::2 ,-"",\" /)".,/ ,,, h r I / ~&
- - r-
City .:::jn,r';"7C,,,;/..dPhone _7'/,t. -O\":O( Pump or irrigation $50.00
. ~ ,. Sign/Outline Lighting $ 50.00
OWNER INSTALLATION ATTENTION:Oregon la\fLilRftl!dll!mr~rdential $ 25.00
The installation is being made on pf6)l~I1'~'il:?,Pted by tb.1hg,~9~~f~ercial $ 45.00
. . d dr" t' Center 1;.l}p!?e rules are
IS not mten e lOr sale, lease or reootlflca Ion '1 ()\IW~~Pii9!lID=4)01nspection Fee is $45.00 + Surcharges
~n AR952-001-90j ..., !),'~.- -t ~~~' - ~..-. .
( Ow"""'nature: __ 90. You~may obtail'll~o . iT e.OY!' ~. ", ,:",. 9 c; .--
~ (' -.u II' \hecenter.(Note,the-eep -~--~._"',-" ,,,'. -..
... .. / _7::"~;rfnr the Oregon lfJ,ij~t~4S1lt1~t~~fn r... 9-?
// 0 ""__'M:,,1_An()-~<l')-?~. 'tra' F q q
V '[0% f\:om IS live ee ' ()
I!_l.i S- Q
S(LVL
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Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
~~7"t"r~'::~c,,:""'T""'f'T"'"'7',...,r,.~"'~ '~::~""1'~J"'T01
, C6WRACTOR'rNST) r'i"4.TioNof.iL'!
2. l> 'k&f.~2;.J,;.;~;..b~? -, l,r. ;.:....~~,~'''\j
Address
City
Supervisor License Number
Expiration Date
Inspection Request: 726-3769
$106.00
$ 19.00
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$50.00
~~~7:,r'i~;0~~'X2_;,'-7'7:-~;.' . '~p, cl>\;'~~ \7'7;'f)~.7:~:'?j,'c . -- .._,,"'~
B. " Srr'ylc~s:ll.r'Fe~<!,er.s -..lnst!,II.ation,,^,!ter.a)lons,!!",ItelocatiQ,n::' ,
\::.o1i~<;;...;;,.;;....;.t...;,:iii;A~ ." - ~.... ,.~ "k., ~...:- be.. . ,.. '-' ."'-," ,-',' '.:~~.!L:..-l......;.,;,' ...i;.,
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsNol1S
Reconnect Only
i /' $ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
L...300
~- :"'- , L":~'W;' ~:7~,-;JP'>~",~c' \" '~:''''''_''" '>~-, "~~:r:'~~~~~
C. ",' Temporary.$en:ices oj-:Feeder"s-<!',.T:.1' " ~,~:,.t'-0,,~~t;:-:;.~'1/~'\,<, '>~./'.,~.'
'~-""-'"' ,-~' '.<.' ..,,,..... ,. ~~~~...""""',,;"..:~t.:~.....L "#;.;~J.::;....;_':l.-..::...~'
Installation, Alteration or Relocation
200 Amps or less . $ 50.00
Ndt\eE!'s to 400 Amps $ 69.00
TH1g1P1:'M~fY ~A\T.PfXPIRE IF THE WOR~IOO.OO
AUlt~ffill.~~1{lP~~~M!I~~~NOT ~~.~ ,j
gOMM[(>WIBtfitJRf'S'ABANIDOaEmFOR;',,~:;;:!f~{, /,n:! ':'1
..........-""""""'._____,~ --'.....~..;..;;:..-"_'--'....~.... ,--,,--,_.._:;"'___~""~"-V~_ <~..2.~
A~Jl}.QtQ4Yi.r.mI~""nsion Per Panel
One Circuit ~ 43.00
Each Additional Circuit or with
Service or Feeder Permit / ~ $ 3.00 . ~ {1. 00
~~:-7~""'"."" ..~ ,""" c7' .',:-./" ~~,-:~Z~' .:;y.-,,--:~"~~~..,",:,---::.... :-:-,J
E. ; .'Mi~~~ll~neJ>~s (S~rvice/fe~de~.p~~~c1-,,~e~) "~.:'~~ll!?1_t;!I~i~-~
TOTAL
Shared Drive(T:)lBuilding Fonns/Electric::l1 Pennit Application I-OJ.doc
CITY OF S!NGFIELD SYSTEMS DEVELOPMENtltORKSHEET
JOURNAL OR JOB NUMBER: Com2004-00243
NAME OR COMPANY: Paul Tomokins
LOCATION: 3255 Douglas Drive
TAX LOT NUMBER: 18020621 tI 3800
DEVELOPMENT TYPE: SFO Addition
NEW DWELLING UNITS 0 BUILDING SIZE (SF: 0 LOT SIZE (SF):
I. STORM ORAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. CHARGE
I 726.00 I $0.290 I = I $210.54 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUSS.F. I x I COSTPERS.F. I x I DISCOUNTRATE I I DISCOUNT
I 0.00 I $0.290 I I 50% I ~ $0.00
ITEM I TOTAL - STORM DRAINAGE SDC $210.54
2. SANITARY SEWER - CITY
CIl
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$2 I 0.54 _I 1070
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x I COST PER DFU
I 0 I $22.64 $0.00 1091
B. IMPROVEMENT COST:
I NUMBER OF DFU's I x COST PER DFU
I 0 $17,21 $0.00 11092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC ~ , $0.00 I
1. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI
I 9.57 I I 0 I $17.23 I 1.00 $0.00 1093
B. IMPROVEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI
I 9.57 I I 0 I $76.01 I 1.00 $0.00 1094
I
ITEM 3 TOTAL - TRANSPORT A nON SDC = , $0.00
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I 0 I I $314.63 = $0.00 t054
B. IMPROVEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I 0 I $214.23 = $0.00 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054
MWMC ADMINISTRATIVE FEE $0.00 r56
tTEM 4 TOTAL - MWMC SANITARY SEWER SD( = , $0.00
SUBTOTAL (ADD ITEMS 1, 2, 3, & 4) ~ , $210.54 I
5. ADMINISTRATIVE FEE:
I SUBTOTAL I x I ADM. FEE RATE I~ CHARGE
I $210.54 i I 5% $10.53
TOTAL SANITARY ADMINISTRATION FEE: 10.53 1079
TOTAL TRANSPORTATION ADMINISTRATION FEE: $0.00 1078
Virginia Jurasevich 3/18/2004 TOTAL SDC CHARGES = $221.07
PREPARED BY DATE
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DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT - DRAINAGE FIXTURE UNITS I
(NOTE: FOR REMODElS. CALCULA. IE ONLY THE NET ADDITIONAL RXTIJRES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EOUIV ALENT UNITS
I BATHTUB 0 0 3 = ----0
IDRINKING FOUNTAIN 0 0 1 = 0
IFLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
ILAUNDRY TUB 0 0 2 = 0
ICLOTHESW ASHER / MOP SINK 0 0 3 = 0
ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAPJI PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
SHOWER. SINGLE STALL 0 0 2 = 0 I
SHOWER. GANG (NUMBER OF HEADSl. 0 0 2 = 0 I
SINK: COMMERCIAURESIDENTIAL KITCHEN 0 0 3 = 0 I
SINK: COMMERCIAL BAR 0 0 2 = 0 :1
SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 = 0
URINAL, STALL / WALL 0 0 5 = 0 I
TOILET. PUBLIC INSTALLATION 0 0 6 = 0 I
ITOILET. PRIVATE INST ALLA TION 0 0 3 = 0 I
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S I
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 0 II
-EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DRJ's) set at 1_67 ~lIons per day I
MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE
r= YEAR CREDIT RATE/$ I ,000 01
ANNEXED ASSESSED V AWE IS LAND ELGIBLE FOR ANNEXATION CREDIT?
1- BEFORE 1979 $5,04 (Enter I for Yes, 2 for No) II
1979 $5.04 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 0
1980 $4.95 (Enter I for Yes, 2 for No) I
1981 $4.88 BASE YEAR 1979
1982 $4.75 I
1983 $4.58 CREDIT FOR LAND (IF APPLICABLE)
1984 $4,41 VALUE / 1000 CREDIT RATE
1985 $4.20 $0.00 x $5.04 = , $0.00
1986 $3,88
1987 $3.50 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
1988 $3.07 VALUE / 1000 CREDIT RATE
1989 $2.60 $0.00 x $5.04 0
1990 $2.14
1991 SUI
1992 $1.52 TOT At MWMC CREDIT = $0.00
1993 $1.38
1994 $1.19
1995 $1.03
1996 $0,87
1997 $0.68
1998 SO.46
1999 50.27
2000 $0.09
I 2001 $0,04 II
,
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
"~"'FOaD'
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JoblJournal Number
COM2004-00243
COM2004-00243
COM2004-00243
COM2004-00243
COM2004-00243
COM2004-00243
COM2004-00243
COM2004-00243
COM2004-00243
COM2004-00243
COM2004.00243
COM2004-00243
Payments:
Type of Payment
Check
Cash
Change
'Job/Journal Number
COM2004-00243
COM2004-00243
COM2004-00243
COM2004-00243
COM2004-00243
COM2004-00243
COM2004-00243
COM2004-00243
COM2004-00243
COM2004-00243
COM2004-00243
COM2004-00243
Payments:
Type of Payment
Check
Cash
Change
'f
if'
Receipt #: 1200400000000000364
Description
Building Permit
Fixture
Minimum/Adjustment Plumbing
Curbeut Permit
Curbeut - Overwidth Appl
Storm Drainage Impervious Area
SDC Sanitary/Storm Admin
Plan Review - Planning
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Cire Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
PAUL TOMPKINS
PAUL TOMPKINS
PAUL TOMPKINS
Received By
djb
djb
djb
Description
Building Permit
Fixture
Minimum/Adjustment Plumbing
Curbeut Permit
Curbeut - Overwidth Appl
Storm Drainage Impervious Area
SDC Sanitary/Storm Admin
Plan Review - Planning
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Cire Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
PAUL TOMPKINS
PAUL TOMPKINS
PAUL TOMPKINS
Received By
djb
djb
djb
Check Number
Batch Number
Authorization Number
8383
t.:heck Number
Batch Number Authorization Number
8383
City of Springfield Official Receipt.
Development Services Department.
Public Works Department
Date: 03/23/2004 8:47:21AM .
Amount Paid
Item Total:
323.85
14.00
31.00
75.00
35.00
210.54
10.53
71.00
63.00
36.00
32.75
46.79
$949.46
,
~
.
How Received
In Person
In Person
In Person
Payment Total:
Amount Paid
:...i
$922.55
$26.95
($0.04)
$949.46
Amount Paid
"~
,
,
..;
Item Total:
323.85
14.00
31.00
75.00
35.00
210.54
10.53
71.00
63.00
36.00
32.75
46.79
$949.46
.
...
How Received
Amount Paid
In Person
In Person
In Person
Payment Total:
$922.55
$26.95
($0.04)
$949.46
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-00243
COM2004-00243
COM2004-00243
COM2004-00243
COM2004-00243
COM2004-00243
COM2004.00243
COM2004-00243
COM2004-00243
COM2004-00243
COM2004.00243
COM2004-00243
Payments:
Type of Payment
Check
Cash
Change
Wit-~"~~::.~~.,'~, ..".,.
~,. ~ ,
" ,
......... - ...- .' ~-^,"
!'
"
Receipt #: 1200400000000000364
Description
Building Permit
Fixture
Minimum/Adjustment Plumbing
Curbcut Permit
Curbcut - Overwidth Appl
Storm Drainage Impervious Area
SDC Sanitary/Stann Admin
Plan Review - Planning
Penn ServlFdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
PAUL TOMPKINS
PAUL TOMPKINS
PAUL TOMPKINS
Received By
djb
djb
djb
Check Number
Batch Number Authorization Number
8383
City of Springfield Official Receipt.
Development Services Department ..
Public Works Department.
.
Date: 03/23/2004 8:47:2IAM
Amount Paid
Item Total:
323.85
14.00
31.00
75.00
35.00
210.54
10.53
71.00
63.00
36.00
32.75
46.79
$949.46
.
How Received
In Person
In Person
In Person
Payment Total:
Amount Paid
$922.55
$26.95
($0.04)
$949.46
.