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Home My WebLink AboutPermit Building 2005-9-23 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . .':CITY OF ~rtOj~t.l'mLD Building/Combination Permit PERMIT NO: COM2005-01114 ISSUED: 09/23/2005 . APPLIED: 08/17/2005 EXPIRES: 03/23/2006 VALUE: $ 238,775.00 SITE ADDRESS: 648 Ethan ct ASSESSOR'S PARCEL NO.: 1703221208000 Springfield TYPE OF WORK: Single Family Residence :1 TYPE OF USE: New , PROJECT DESCRIPTION: Single family residence - Breane Commons lot 22 , \ w rlc\lllM~: 541-954-9960 ATTENTION: oregonb a the Oregon Utility 10\\oW rules_ ad~~_te~h!"'" rules are set 10~h NotITlC<1UU" ~~. .-. h gh OAIi $J"--vY. - . --~f),.t rou b I CONTRAC1i9RlI~RM~~~ I copies 01 the rules Y 0090. 10(. ,11",1 ~_.- NO : the te\epho~e Contractor calling thU€f~j~ (on~,Qif.tiOiicD3't~ MATTHEW JAMES CHAPMAN number IOf_S3'.iW;~ioo_332-tl!tallJ)Z006 BEAR MOUNTAIN ELECTRIC LLC CE136J298 08/06/2007 COMFORT FLOW 460 06/27/2007 EDWARD L COOK SR 50557 02/15/2006 .\ ". Owner: ." Address: MATT CHAPMAN PO BOX 1030 CRESWELL OR 97426 Contractor Type General Electrical :: Mechanical , Plumbing r # 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: Subdivision Not Accepted :; Street Improvements: , Storm Sewer Available: .1 Special Instruction: Residential Phone 541-895-4987 541-953-6747 541-726-0100 541-895-4423 I. BUILDING INFORMATION' 1 R-3 U VN # of Stories: 1 Lot Size: Hei~.ture 22.00 Sq Ft 1st Floor: Typ . I1m~d 4ilrGAA- ~"Un4,ll)oor: Wat ~ .f{MIT ::iNALL t^GIGt IF Ftl'fj~9tent: Ranilli RilED UNDEfEiI<!l~iER R&iJjQ.\eJcarpr EneOOIfl~CED OR IS AMNIilONIlQ Fi)llther: SprIANYdWJUl~.: ~ERIOD.n/a Occupant Load: I DEVELOPMENT IJ,ru",,'IATION I 623 10,481 2,232 3 27.00 5.20 12.10 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: 2 Handicapped: Compact: 1 Yes 25.80 15.00 I PUBLIC IMPROVEMENTS I Fully Improved Yes Sidewalk Type: DownspoutslDrains: Curbside 5' Curb and Gutter it [' Notes: No hook-up to City Infrastructure until Public Improvements accepted by the City; Storm drainage piped to curb face 8/19/2005 CAS Pal1.e 1 of4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction AC - Residential V Wood Frame Garal!e A.C. - Residen Dwellinl!s Garal!e Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge 2 Baths One or Two Family. Addressing Assignment Appliance Vent Building Permit Curbcut Permit :.. Dryer Vent Exhaust Hoods Furnace - up to 100,000 htu Gas Fireplace Gas Outlets 1-4 Heat Pump Plan Review Major - Planning Plan Review Residential Plan ReviewIResidential Hourly PW Disc - 2nd Permit (Street) 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 Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan . I Valuation Descrintion I $ Per Sq Ft or multiplier $4.00 $96.00 $25.00 Square Footage or Bid Amount 2,232.00 2,232.00 623.00 Total Value of Project Fpp<. PiiILI Amount Paid $619.06 $10.00 $157.94 $110.56 $254.00 $31.00 $6.00 $1,017.40 $80.00 $6.00 $9.00 $12.00 $15.00 $4.00 . $12.00 $150.00 $42.25 $90.00 $-30.00 $106.00 $76.00 $419.54 $551.54 $10.00 , $865.31 $82.03 $142.61 $64.29 $805.70 $182.69 $80.00 $I,22I.26 $50.00 $12.00 Date Paid 8/17/05 9/23/05 9/23/05 9/23/05 9/23/05 9/23/05 9/23/05 9/23/05 9/23/05 9/23/05 9/23/05 9/23/05 9/23/05 9/23/05 9/23/05 9/23/05 9/23/05 9/23/05 9/23/05 . 9/23/05 9/23/05 9/23/05 9/23/05 9/23/05 9/23/05 9/23/05 9/23/05 9/23/05 9/23/05 9/23/05 9/23/05 9/23/05 9123/05 9/23/05 Pal!e 2 of 4 . \..II l' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01114 ISSUED: 09/23/2005 APPLIED: 08/17/2005 EXPIRES: 03/23/2006 VALUE: $ 238,775.00 Value Date Calculated $8,928.00 $214,272.00 $15,575.00 $238,775.00 09122/2005 09122/2005 09/22/2005 Receipt Number 1200500000000001205 2200500000000001320 2200500000000001320 2200500000000001320 2200500000000001320 2200500000000001320 2200500000000001320 220050000000000I320 220050000000000I320 2200500000000001320 2200500000000001320 2200500000000001320 2200500000000001320 2200500000000001320 2200500000000001320 2200500000000001320 2200500000000001320 2200500000000001320 2200500000000001320 2200500000000001320 2200500000000001320 2200500000000001320 2200500000000001320 220050000000000I320 2200500000000001320 2200500000000001320 2200500000000001320 2200500000000001320 220050000000000I320 2200500000000001320 2200500000000001320 2200500000000001320 2200500000000001320 2200500000000001320 . . Lu)' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01114 ISSUED: 09/23/2005 APPLIED: 08/17/2005 EXPIRES: 03/23/2006 VALUE: $ 238,775.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Wlllamalane Single Family $1,000.00 9/23/05 2200500000000001320 Total Amount Paid $8,265.18 Initial Review Plannlnl! Review Public Works Review 08/18/2005 08/18/2005 08/18/2005 I Plan Reviews I 08/18/2005 09/07/2005 08/19/2005 APP APP APP SKG TAJ CAS Structural Review 08/18/2005 08/24/2005 WE DLM Must have at least 10' rear setback. No hook-up to City Infrastructure until Public Improvement accepted by the City; Storm drainage piped t( curb race 8/1912005 CAS sent letter to contractor & owner requesting add 'I Information. See letter In documents. Received revised plans 8130/05. Inconsistencies stili exist. Called owner for add'l changes to be made 9/1/05 dim Structural Review 0910112005 09/22/2005 APP DLM 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. 11?p~ 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 - Standard: After forms are erected but prior to placement of concrete. Urer 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. 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. Final Building: After all required Inspections have been requested and approved and tbe building Is complete. Underfloor Plumbing: Prior to insulation or deckIng. Underfloor Drain: Prior to cover or placement of concrete. Pal!e 3 of 4 . . CITY OF SPRINlJNI'.,LD Building/Combination Permit PERMIT NO: COM2005-01114 ISSUED: 09/23/2005 APPLIED: 08/17/2005 EXPIRES: 03/23/2006 VALUE: $ 238,775.00 Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Rough Plumbing: Prior to cover and including required testing. Shower Pan. Prior to covering and including required testing. Water Line: Prior to f1Iling 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. UnderOoor Mechanical. Prior to insulation or decking and including required testing. UnderOoor 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 he 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 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 ndng canst ction. :/f!..; :%r I .:. ... .:.,.... Owner or Contractors Signa e 9'-?~5--- ~./ Paee40f4 JOB DESCRIPTION ~"'tih ~w k;/i:I,Ah" -L~....(J . Permits are non~erable and expire if work is ATTEtl.B\fh~MQrUfiiCll'll'Htimal(n\lres you to , not started within 180 days of issuance or if work is lol.low rMOduJal-J;lYie1Img Ser:vIOe<oJon Utility $50 00 Suspended for 180 days. . NotlflcatlE~nter. Those rules are set ;u, J. . 2 ~":co1iTIiA:Cfult'lNST)(rYiTIoNb&tY:.~~o09Ao ~B~!%~i~ml?1!~lfa\\iNo~Xit~r~;i~'~~~~;R"',;f~~ti.~;~~~ ~1~~~~~p'7?o/"'~:r'tk"~~:.~1~~:~;~'" :~~ '^'"" Address 0 (jO){ c.; It 4011n~~ ~ 6~1!-t344). $125.00 11 J( q~3-t7q7 601 Amps to 1000 Amps $163.00 . City C (-(~t..J<- . PhoneF4X ~L/I-<l4Ilf<'/ Over 1000 AmpsIVol1s $375.00 Reconnect Only. $ 50.00 rr,.-7.:...~r':'-"""'f.'-"_~.'17~~;':j;,"_'''G.:'.'':;!'~J...~'''",:,:~,!>i;. ~/;i.'''i:~:tt~ 1. ~.f~~P;9~;cq~f!.!;13lg~W~f'f!. 0'-i~ f:/1..aA or- LEGAL DESCRIPTION 1+-0 '3 ZJ...I2.-{?fi3c:vO LJtl/DS Expiration Date !O-O!-o7 Co~tr. Contr. Number /Zl1 W Expiration Date ~ 6-{;f; 'Ut7ft:f3 :;Z'~-,\t,~ ' Ci~ -=-iL./ Phon~ .-031/ Supervisor License Number OWNER TALLATION The installation is being made on property I own which is nol intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 ......1. 3. .,t;';'t'i,l~.,. ..~ '-"'- _',tl'.;;","",,~"@-' ~~.~~.!I",u,,""""~'_"'f"""""""'_r,<"'U .~-"l!:Q~"~ q"", ....ie."';,p...,..., '~'-"~'.""....'" "."'~' ~.,r":.,r"';.-';'"-""'''~''.~'''''')' .~,..',"";' ..... t,......:;;,._...... . ');:.;.:.:.... -.,. A. !;;.New'ResideiitiBlSoSi!@e;iir,iMUlti;:Fiimil ,... "~ihvemri' . uriit/,,~,i; 0;~':\",7'';,~:7i~'I":::'::'.~'f'~'i'~~';.'4>\...'~.:.."':"i.'''~>&-~~o,:'..'''.~::.....,.' 1. ,~-_"".!;.s:.:~..~t~~ -N':;~~Jlor~t Service Included 1000 sq. It or less Each additional 500 sq. It or portion thereof r Lf $106.00 JOfo,DO $ 19.00 7~/oo c. t~t~i~!:Ifi:~~~~~:~~~~~tp~~~~~:~~f::~~?~;{~<;:~;~\~.~~?~~~ ......Y' Installation; Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps .401 Amps to 600 Amps $ 50.00 $.69.00 $100.00 $""D.oO J Over 600 Amps or 1000 Volls see "B" above. N OTl tiE: ~B';;ri~h?(;ii~~r~~fT:~~A:~~;;~~.~~!:;~~~~:'~:t'''';' ~~{ ~:-; ~:-::-' "~i'""::~ T~ ',:vr l~~.:o~~~~~~::~1::g:~""" .: .., '. , "".-. lioMMEt\\~.s.A~~P!ilQIOR $ 43.00 ANY 180;aAiP~Permit $ 3.00 E. fI~K~'~~i~~~.F1~~~~-~(~~t~~~~~I~~~~'1~:~~?ti~:i Pump or irrigation $ 50.00 Sign/Outline Lighting . $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ~}.~;jr;~,:;;,<;;:;~~~t4~~:.J;,~:::E'i!"{"<!;~;.~~;::;;~?JXr:.';'-I;-f"':1~?]j 4. iSUBTOTA:liiOFABOVE-".~'i0:l1'1')_..,<".'1:;1:r,':1 '--''7Z D :,:::~,:;;t.S~~'~~r;':~"<t.\::~-;.'$,;;.~~~;!~~..~,j"},':" f~~~':;~ <.' .t:'i;':;",';. .' =_f.t ~ 0 7% State Sun:harge 10% Administrative Fee Ib.VI z,.1u:> .$Z=7-I}I'f TOTAL Shared Drivc(T;}lBuilding FonnslEloctricnl Permil Application I-OJ.doc -. . . \ l " " '. " . ." '." . Constrbction Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.ccb.state.or.us Pennit#:CS - -I j L). /' c ~-?:Ji ,",,-I I' ~ Address:l..J;?Q.-9: ~OO~~ V1 Issued bY:(\ lY1r1rJ.1 a'J;t~::~;b~~-o5 Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the at't'wt',;ate blanks and initial boxes 1 and 2, and either box 3A or 3B: ~'1. (0 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 o 3B. I will be my own general contractor. If! hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If! change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and will immediately notify the office issuing this building pennit of the name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice to. Property Owne about Construction Responsibilities on the reverse side of this form. ~i~"=~~t) - f~~r (White copy to issuing agency permit file, pink copy to applicant.) r."~~..I_owner.doc 06-01-04 .- tr1 . '~ A(\;~nll1l~ ~~. ~ iUlUnIr ([)wrrn \l1TerrneIr~n C([J)rrn~Ir~(\;~l{DIr { H\lFORI\I/ATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES NOTE: This Information Notice to Properly Owners about Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature. 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. JEmlIllloyer ResJPiollllsibillWes You will, in most instances, be ruled to be an "employer" and the CO!1tractors 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 wiihhoid income taxes from employee wages at the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more information, call the Department of Revenue at 503-378-4988. Unemployment Insurance Tax: As an employer, you are required to pay a tax for unemploymenrinsurance purposes on the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488. The Oregon Business Identification Number (BIN) is a combined number for both Oregon Withholding and Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.or.us/forrnsnav_htmn for the ayy. VJ-'I ~ate fonns. Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' cv...p~usation insurance for your employees. If you fail to obtain workers' compensation insurance, you could be subject to penalties and be liable for all claim costs if one of your employees is injured on the job. For more information, call the Workers' Compensation Division at the Department of Consumer and Business Services at 503-947-7815. U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. You will be liable for the tax payment even if you didn't actually withhold the tax. For a Federal EIN number, call the IRS at 1-800-829-4933 or visit their web site at www.irs.l!ov. OtheIr lRes]llollsibfinitfies alllld Areas of COllllcems 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 apl',vl',;ate 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 06-01-04 . . CITY OF .NGFIELD SYSTEMS DEVELOPME.ORKSHEET JOURNAL OR JOB NUMBER: COM2005-01114 NAME OR COMPANY: Mall Chapman LOCATION: 648 Ethan Ct TAX LOT NUMBER: 1703221208000 DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE NEW DWELLING UNITS I BUILDING SIZE (SF; 2814 LOT SIZE (SF): L STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. I I CHARGE I 3780.98 1 $0.323 I = . $1.221.26 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I x I COST PER S.F. I x! DISCOUNT RATE I ! I 0.00 I $0.323 I 50% I = I ITEM 1 TOTAL - STORM DRAINAGE SDC $1,221.26 10481 'I Ir/J 11:l o u or: W fo- r/J 6 ~ DISCOUNT $0.00 SI,221.26 1070 2. SANITARY SEWER - CITY -, I. S551.54 1 1091 I A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I 22 I COST PER DFU $25.07 B. IMPROVEMENT COST: 1 NUMBER OF DFU's I x I 22 I $19.Q7 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $419.54 1 1092 i S971.08 J TRANSPORTATION A. REIMBURSEMENT COST: I ADTTRIP RATE I x I 9.57 I B. IMPROVEMENT COST: 1 ADT TRIP RATE I I 9.57 , I NUMBER OF UNITS I x I I I I I I NUMBER OF UNITS I x 1 I I I I = , x ITEM 3 TOTAL - TRANSPORT A nON SDC COST PER TRIP $19.09 x INEW TRIP FACTORI I 1.00 I $182.69 I 1093 I COST PER TRIP $84.19 $988.39 x INEW TRIP FACTOR I I 1.00 I $805.70 11094 I 4 SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x I I B. IMPROVEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I I $865.31 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ICOST PER FEU $82.03 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =, SUBTOTAL (ADD ITEMS 1,2,3,&4) ~, 5. ADMINISTRATIVE FEE: I SUBTOTAL x I ADM. FEE RATE ,~ I $4.138.07 I 5% I TOTAL SANITARY ADMINISTRATION FEE: IOTAL TRA!'!.SPORTATION ADMINISTRATION FEE: = $82.03 1054 $957.34 = $865.31 1055 $0.00 1054 S 10.00 11056 _=1 I ,,~ 1079 $64.29 J 1078 = , $4,344.97 $4, I 38.07 CHARGE $206.90 Cheryl Slaymaker 811912005 TOTAL SDc CHARGES PREPARED BY DATE . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTIJRES x UNIT EQUIVALENT - DRAINAGE FIXTIJRE UNITS II (NOTE: FOR REMODELS. CALCULATE ONLY TIlE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD l'OUIV ALENT UNITS I BATHTUB 2 0 3 = 6 IDRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 t INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 ILAUNDRYTIJB 1 0 2 = 2 ICLOTHESWASHER / MOP SINK 0 0 3 = 0 ICLOTHESWASHER - 3 OR MORE (EAl 0 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0 I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 SHOWER. SINGLE STALL 1 0 2 = 2 SHOWER, GANG (}'lUMBER OF HEADSl 0 0 2 = 0 SINK: COMMERCIAURESIDENTlAL KITCHEN 1 0 3 = 3 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1 URINAL. STALL/WALL 0 0 5 = 0 TOILET. PUBLIC INSTALLATION 0 0 6 = 0 TOILET. PRIVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 22 :1 .EDU (Equivalent Dwelling Unit) is a discharge equivalen.~.~.~:.~ ~.8!!:!~i1y dwelling unit (20 Oms) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE II YEAR CREDIT RATfJSI,OOO ~LAND ELGIBLE FOR ANNEXATION CREDIT? II ANNEXED ASSESSED VALUE 2 I BEFORE 1979 $5.29 (Enter I for Yes, 2 for No) I 1979 $5.29 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 2 I 1980 $5.19 (Enter I for Yes, 2 for No) I 1981 $5.12 BASE YEAR 1979 I 1982 $4.98 I 1983 $4.80 CREDIT FOR LAND (IF APPLICABLE) I 1984 $4.63 VALUE/IOOO CREDIT RATE I 1985 $4.40 SO.OO x S5.29 ~ , $0.00 I 1986 $4.07 1987 $3.67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) 1988 $3.22 VALUE / 1000 CREDIT RATE 1989 $2.73 $0.00 x $5.29 0 I 1990 $2.25 I 1991 $1.80- 1992 $1.59. TOTAL MWMC CREDIT = SO.OO II 1993 $1.45 1994 $1.25 1995 $1.09 1996 $0.92 1997 $0.72 1998 $0.48 1999 $0.28 2000 $0.09 2001 $0.05 i25 Fifth Street . Sprin:;iield, Oregon 97477 541-126-3759 Phone :1 " Job/Journal Number COM2005-01114 d)M2005-01114 COM2005-01114 COM2005-01114 COM2005-01114 COM2005-01114 COM2005-01114 COM2005-01114 COM2005-01114 COM2005-01114 CpM2005-011 i4 COM2005-01114 COM2005-01114 COM2005-01114 COM2005-01114 C.pM2005-01114 COM2005-01114 CbM2005-01114 CbM2005-01114 COM2005-01114 COM2005-01114 COM2005-01114 COM2005-01114 COM2005-01114 COM2005-01114 COM2005-01114 CbM2005-01114 c.bM2005-01114 COM2005-01114 COM2005-01114 COM2005-01114 CbM2005-01114 C'OM2005-0 1114 ( COM2005-01114 :t W Payments: Type of Payment Check ., ., ~: , :. ;, l :1 :1. t IJ 9/23/2005 . "!'~"'."!..~!'!........-.... IJtirI f', t ';.." i , .. ~-' ,.,.,~, RECEIPT #: ~ty of Springfield Official Receipt .velopment Services Department Public Works Department 2200500000000001320 9:0S:27AM Description Addressing Assignment Willamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Sidewalk Permit Curbcut Permit PW Disc - 2nd Permit (Street) Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transpo Admin Plan Review Major - Planning Plan Review Residential Plan Review/Residential Hourly Building Permit 2 Baths One or Two Family Furnace - up to 100,000 btu Vent Fan Appliance Vent Exhaust Hoods Dryer Vent Gas Outlets 1-4 Gas Fireplace Heat Pump -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Paid By MATTHEW CHAPMAN Received By njm Page I of I Date: 09/23/2005 Item Total: Check Number Authorization Batch Number Number How Received Amount Due 31.00 1,000.00 106.00 76.00 50.00 80.00 80.00 . (30.00) 1,221.26 551.54 419.54 182.69 805.70 82.03 . 865.31 10.00 142.61 64.29 150.00 42.25 90.00 1,017.40 254.00 12.00 12.00 6.00 9.00 6.00 4.00 15.00 12.00 . 10.00 110.56 157.94 $7,646.12 Amount Paid 2114 In Person Payment Total: $7,646.12 $7,646.12