The URL can be used to link to this page

Home My WebLink AboutPermit Building 2007-5-31 . CITY OF SP~NGFIELD Building/Combination Permit PERMIT NO: COM2007-00782 ISSUED: 05/31/2007 APPLIED: 05/31/2007 EXPIRES: 11/30/2007 VALUE: $ 193,918.00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541.726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 556 Ethan Ct ASSESSOR'S PARCEL NO.: 1703221207200 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence - Breanne Commons lot 14 I PUBLIC IMPROVEMENTS' . TTEt;\J;~<;WiiA'9peJn law reql,j Fullv Improved . follow ruies adoe.ted b th res y~~~side 5' Yes Notifica/,b\"'!!,Wo?M:?tqra,Xs: e Ore~rll.\li\'iIJGutter in OAR 952-001-00'10 7~se rules are set forth 0090. You may obt. rough OAR 952-001- , aln cop/es of the rut b callmg the center, (Note' the teleph es y numbercfor the, Oregon Utility Notifica~~~ entel /s 1 800-332 2344). Owner: MIKE GANSEN CONSTRUCTION COMPANY Address: 362 HWY 99N STE 2 EUGENE OR 97402 Contractor Type General Eiectrical Mechanical Piumbing I CONTRACTOR INFORMATION I Contractor License MIKE GANSEN CONSTRUCTION COM PAN 92159 MAG ELECTRIC INC 149834 COMFORT FLOW 460 CHAPIN ENTERPRISES INC 81994 BUILDING INFORMA nON I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I R-3 U VB # of Stories: 1 Height or Structure: 20.00 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Gas Energy Path: Path 1 Sprinkled Building: nla 3 I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 6.00 6.00 11,60 8.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Street Improvements: Storm Sewer Available: SpeciallndtllttUriI;: . -."Ii", .Tti... Notes: sWJ~ flf.FM b"hfbH&i ~htf.x.P .l\i~ If>Jj:j,is)t(~P ~/31/07 AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Pa~e I of4 Residential Phone Number: 541-463-1000 Expiration Date 06/14/2009 12/13/2009 06/27/2007 05/06/2008 Phone 541-463-1000 541-461-0387 541-726-0100 541.485-1146 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: 5,153 1,765 449 2 Yes 44.90 REQUIRED PARKING Total: 2 Handicapped: Compact: Status Issued 225 Firth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction V Wood Frame Garaee Dwellines Garaee Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge 2 Baths One or Two Family Addressing Assignment Appliance Not Listed Bnilding Permit Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Furnace - up to 100,000 btu Gas Outlets 1-4 Plan Review Major - Planning Plan Review Residential PW Disc - 2nd Permit 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 SanitarylStorm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Drainage Impervious Area Storm Sewer Each Addtll00' Vent Fan WiIlamalane Single Family Total Amount Paid . I Valuation Deserintion I $ Per Sq Ft or multiplier $103.00 $27.00 Square Footag'e or Bid Amount 1,765.00 449.00 Total Value of Project Ff30P~, P<:Iifi I Amount Paid $10.00 $146.49 $84.11 $108.33 $254.00 $31.00 $9.00 $871.15 $80.00 $6.00 $9.00 $1l0.70 $12.00 $4.00 $198.00 $566.25 $-30.00 $106.00 $57.00 $494.76 $650.66 $10.00 $961.52 $91.61 $143.31 $68.48 $836.32 $189.58 $80.00 $1,001.31 $14.00 $12.00 $2,303.00 $9,489.58 Date Paid 5/31/07 5/31/07 5/31/07 5/31/07 5/31/07 5/31/07 5/31/07 5/31/07 5/31/07 5/31/07 5/31/07 5/31/07 5/31/07 5/31/07 5/31/07 5/31/07 5/31/07 5/31/07 5/31/07 5/31/07 5/31/07 5/31/07 5/31/07 5/31/07 5/31/07 5/31/07 5/31/07 5/31/07 5/31/07 5/31/07 5/31/07 5/31/07 5/31/07 Paee 2 of 4 ~ITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-00782 ISSUED: 05/31/2007 APPLIED: 05/31/2007 EXPIRES: 11/30/2007 VALUE: $ 193,918,00 Value Date Calcuiated $181,795.00 $12,123.00 $193,918,00 05/31/2007 05/31/2007 Receipt Number 1200700000000000662 1200700000000000662 1200700000000000662 1200700000000000662 1200700000000000662 1200700000000000662 1200700000000000662 1200700000000000662 1200700000000000662 1200700000000000662 1200700000000000662 1200700000000000662 1200700000000000662 1200700000000000662 1200700000000000662 1200700000000000662 1200700000000000662 1200700000000000662 1200700000000000662 1200700000000000662 12007Q0000000000662 1200700000000000662 1200700000000000662 1200700000000000662 1200700000000000662 1200700000000000662 1200700000000000662 1200700000000000662 1200700000000000662 1200700000000000662 1200700000000000662 1200700000000000662 1200700000000000662 . ~ITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-00782 ISSUED: 05/31/2007 APPLIED: 05/31/2007 EXPIRES: 11/30/2007 VALUE: $ 193,918,00 Issued 225 Firth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Plan Reviews I Initial Review 05/31/2007 05/31/2007 APP LLH "Express planf!> Plan nine Review 05/31/2007 05/31/2007 APP TAJ Property is at maxium coverage, No additional covered structnres will be allowed. Public Works Review 05/31/2007 05/31/2007 APP JLP Storm tied to curb & gutter. JLP Express/APP 5/31/07 Structural Review 05/31/2007 05/31/2007 APP DLM 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, ~ In<np,.~ ErosionlGrading Inspection: Prior to ground disturbance and after erosion measures are installed. Sidewalk - Curbside: After rorms are erected but prior to piacement of concrete. Curbcut - Standard: After forms are erected but prior to placement or concrete. Ufer Electrical Ground: Install ground rod at footing and call ror inspection in conjunction with footing andlor roundation inspection. Footing: After trenches are excavated. Foundation: After rorms are erected but prior to concrete piacement. Post and Beam: Prior to floor insulation or decking. Floor Insulation:' Prior to decking. Shear Wall Nailing: Berore covering sheatbing with finisb materials. Framing Inspection: Prior to cover and after all rougb in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Underfloor Plumbing: Prior to insulation or decking. 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. Underfloor Mechanical. Prior to insulation or decking and including required testing. Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Gas: Arter line is installed and required testing and capped if Dot attached to aD appliance. Paee3 or 4 . acITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00782 ISSUED: 05/31/2007 APPLIED: 05/31/2007 EXPIRES: 11/30/2007 VALUE: $ 193,918,00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Finai Electric: When all electrical work is complete. Final Gas: When all gas work is compiete. Final Mechanical: When all mechanical work is complete. Final Plumbing: When all plumhing work is complete, Final Building: After all required inspections have been requested and approved and the building is complete. By signature, I state and agree, that I have carefully examined the completed application and do herehy 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 or Springfield and the Laws or the State or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made or any structure without permission or the Community Services Division, Building Sarety. I further certiry that only contractors aud empioyees who are in compliance with ORS 701.005 will he used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readahie from the street, that the permit card is located at the fron th d the approved set or plans will remain on the site at all times during co truction. t' Owner or Contractors Signature Date Paee 4 or 4 62/B2/2B07 BB'41 72&3&76 '. CI,["Y OF SPR1" '..,FIELD. OR ECiO"\! l;l1V lk' ~lNbtJt.UJ ~." i~~~ ..-~ =C!~ WFlFJ:lJSI'IIBI!T. ~"." .,,,.~ORn,". ftl:(541)7Z6.fl5J . FAX: \S41Jl26-- ELECTRICAL f~IT..A,fPLICATlON City Job Number ~ 1-' 'P1 L- E1eclricaJ Con_ C 200 Amps or Ia8 1111" ",f) } , '..L /' 201 Amjlsro400Amps Address ~ ~/I. JI1J!,V 401 Amps ro 600 Amps 601 Amps 10 1000 Amps Phone ,<:JI/-- i/(ol,d.jg.an CEOver 1000 AmpsIVolts 'TH R.c01lIICCI Only IS PERr. .~ .. SlIJlCIVi5Ol'U=Number A./'1'1,:;6 AUTHOhC:t fA / ,/ 7 COMME;r~E'iJJJ~~ r HE WORK ExpirationDat. /u..r-i-, /) . ,... -- vn ,!; M ..fm~NDO '..., 180 D2OO~Gt'1as4NDON T 5S000 ./-ynt/,"7' I '20"Ir:r:BI{J!'4QO 4~ ED FOit . Con5lr. Conlr. Number 71\, J'"'f ^"'I'" _ _..... ,569.00 / / 9 401 Aqlo 1115 600 Ampo 5100.00 I!xpimionDam /~ /3 f () Ovct600AmpsorIOOOVol1u.e"B~abovc. ~ of3L':~ ~~~'ciaD D. New Alt....tlon or Extelllioa Per raael IAA r.' ~ K On. Circuit 543.00 .... U I ATTENT/OEacb Addition~1 Circuil or with ~r. C ~;'"Fetdi'rl1't!m1l1 . 5 3.00 OwnerwNllIl1ll ,..!1'1;:)\~^' rules adMt': .. .~_ ~ ulres yc.w;v Addroos qQ <\.)~o~mcationtf.' ' . ... I I. City FI"I\~tl.n. p ..~,;~~~~2~~~~lghOAR-952-on 550.00 ~ calli'llg the ,~.;..~iR. .~~ ,.(nN~ii'\'':.a of the rul.... r 550.00 , ~~... 'nON r~:i&n""...!}=.."" " . 'o\oJ, .. ~......... ... "mhod "r 1f.'~(ir:/"XIV'I\ClI""::1II1l11 ephon.. S 25.00 ~ in....l1ation is beinB made on. ....J I own wrhich 1.imitJt~:"~' i Ii at;ficati....., S 45.00 1500tmtcndcd rorsal..l....eorrmL M~"".." EIeark: PomtifIOlpl;ctioo Fee 1!I$45.00+Sarda 4.~~\!~. \ 8% State.:." :1,_.._ IO%A~",:.:."...:. eFee S%T,.:,.:... roe TOTAL ~ SJlIJ'ed Drm(T:)lButlding FonmIEltcuical Pllnnjl Applicmjon 8-06.doc I'~~~ LEG.AL~S>W:J;'9tI; .., ,.....T"l \ ' \\ OJ..l..t ~ D'\ (J...A/. .. JOB~~~ ~~~ permib arc non\r.DSftrable .ad apire \r work is not ,taned ..Ithln 180 dAY' ofls..um.. or lfwork it Suspended for 180 dAys, City ~ .."'<. Owners SjgnaIurc: luspectlon Request: 726-3769 Dale 3,~~~_j__ Service Induded 1000 sq. n. orlcn Each additi....l SOO sq. ft. or poniondlcrcof Each Manufacl'd Home or Modular Dw.lling SeMce or Feeder ., .~ 5106.00 It)(o~~ S 111.00 _f)'l.OO $50.00 B. ~'~'._~ ~:',();:~':. _' ~.:~~.~:~. :\'1:;:' '-', 'i :..:;~:.:~~~~~.:~.j~0(1\.'~1 ::[)V..:'..::lji,~'~:. S 63.00 5 75.00 SI25.00 $163.00 5375.00 $ 50,00 ~ .' :.~,.:~jii~":~:-'~:~~:.t:_ I ="': ':.t'.'l''':li';~>::~':;'' i,.":. :":' . ):,':~~:~ \ ..c ~; ". . . R-~ WiUamalane . t'W park & Recreation District. Job. No. ~JV'\~'l" SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2007 NAME:l ~, Gtc\l\~ PHONE: 4\o~ \009 : ADDRESS:~"~ OA~CITY ~ STATE~IP: ~'1'\c::fL-- LOCATION OF PROPOSED BUILDING SITE: Street Address: Plat Name:~n_t\I\lL- ntOtp E.~ Tax Lot Number: \"10~ '2.:ltl. CJl1..Cf:J 1. DEVEU)PMENT TYPE (Check appropriate dwelling(s), Dwelling type definitions are on the back.) . A. Sinale-Familv Detached NO. OF UNITS \ X $2,303 per unit = $ t~o~.cXJ B. Sinale-Familv AttacheQ 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 Dwellina Unit NO. OF UNITS X $1,151.50 per unit = $ $ ~S()DP' WILLAMALANE SDC 2. SDC CREDIT (If applicable) SDC payer must furnish proof of Willamalane Credit approval.) $ B' $ 2..?n3 ~ 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) . D~,~~~,Q City of Springfield ) /71, Of Date 5 . . ." DEVELOPMENT TYPE DEFINITIONS1 . Single FllflUIY.D,!!~ched Dwelling Unit ,. . A build~ 'orla poltibn of a buildirlg 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. This defifiti.OliII~n<illlldllt~manufactured housing. _""-. ,J,),J. CQJ I v19.? 1\ tire' J ,," . /Yr .... J VJJ ..; '.. ;I.../Jl'" /\ ) SJD)~~!IY A~~~d Dwelling l!.QitD-:l; /f1.f.) J . fl. i^ -. A por<<o~ ola builafr\g'consisting of:'oM'\,Fl1",sre rooms'~luGlrlg.sle~b>Im9:cooking, : and plumbing facilities arranged and de~lgned as permaneniJliving quarters for one family or household; and which is attached to one or more dwelling units by one or more common vertical walls, This definition al1?o-A1~~s, but.is.QQ.~limited to "duplex", "zero lot line dwelling", "townhouse", and "ro.~ Il6Li~e~.JXlith(lb~~~ptibn of duplexes, c:nirmle'1'a~/JMtac~d Dwelling Units typically are separately owned. ,.... ~oI_) 1 ',)...\ -J.~} C\.Jj " "n I't"" "'.......' .' o-"-'NfoJ,),Slq 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 c...n:I:?~e ~rRflIOl1..vertical walls. Typically, the units are in an apartment building or _ '1"'-" -(1 . compleX;-an5-ilre not separately owned, ..' 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 ~n.s:a,ttCJ1.ijl~ to, or detached from the primary single-family dwelling, Accessory dwerlfRg\J~ts-'6hall be charged at one-half the single family detached dwelling unit SDC rate. '\). ()CJ Cr-(",\.t;" \\ . . ,)<..~~ C\"'C, \ '-.. ' (--. I);' , ~'.. 1 - " . '-', ( ........J519tVJpgate9...'?J.~P!etJ 1 From the WPRD Parks and Recreation SDC Resolution No. 06-07-6, October 10, 2006 6 .' . CITY OF SptGFIELD SYSTEMS DEVELOPMEN&RKSHEET JOURNAL OR JOB NUMBER: COM2007-00782 NAME OR COMPANY: Mike Gansen Const. LOCATION: 556 Ethan Ct TAX LOT NUMBER: Lol#14 BreanneCommons DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS I BUILDING SIZE (SF: 2296.5 LOT SIZE (SF): 1. STORM flRAiNAGE ,....---. I~ 10 10 I~ 5153 1 ~ 113 ~ DIRECT RUNOFF TO CITY STORM SYSTEM 1 IMPERVIOUS S,F. x I COST PER S.F. I CHARGE I 2983.50 '$0.336 = I $1,001.31 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. 1 x ! COST PER S.F. I x 1 DISCOUNT RATE 1 I 0.00 I I $0.336 I 50% I ~ 1 ITEM I TOTAL - STORM DRAINAGE SDC $1,001.31 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: 1 NUMBER OF DFU's I x I 25 B. IMPROVEMENT COST: I NUMBER OF DFU's 1 x 25 1 DISCOUNT $0.00 $1,001.31 [1070 COST PER DFU $26.03 $650.66 11091 I 11092 I $19.79 $494.76 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $1,145.43 ), TRANSPORTATION A. REIMBURSEMENT COST: 1 ADT TRIP RATE I x 1 NUMBER OF UNiTS 1 x I COST PER TRlP x INEW TRIP FACTORI I 9.57 1 I I $19.81 1.00 1 B. IMPROVEMENT COST: I ADT TRlP RATE I x 1 NUMBER OF UNITS 1 x I COST PER TRlP x INEW TRIP FACTORI 1 9.57 1 I I $87.39 1 1.00 1 ITEM 3 TOTAL - TRANSPORTATION SDC = I $1,025.90 4. SANITARY SEWER - MWMC $189.58 11093 I $836.32 11094 _I I A. REIMBURSEMENT COST: INUMBER OF FEU's I x I 1 B. IMPROVEMENT COST: INUMBER OF FEU's I x 1 I I ICOST PER FEU $91.61 = $91.61 1054 ICOST PER FEU 1 $961.52 Jeff Prociw 5/3112007 = $961.52 1055 $0.00 1054 $10.00 11056 $1,063.13 I $4,235.77 CHARGE $211.79 143.31 1079 $68.48 1078 TOTAL SDC CHARGES = $4,447.56 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL. MWMC SANITARY SEWERSDC =, = SUBTOTAL (ADD ITEMS I, 2, 3, & 4) = , :i AflMINISTRATIVE FEE: 1 SUBTOTAL x 1 ADM. FEE RATE I~ I $4.235.77 I 5% I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRA.!ION FEE: PREPARED BY DATE . . '. . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUlV ALENT ~ DRAINAGE FIXTURE UNITS (NOTE. FOR REMODELS. CALCULATE ONLY THE NET ADDmONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS fBATIiTIJB 1 0 3 = 3 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE I OIL I SOLIDS 1 ETe. 0 0 3 = 0 INTERCEPTORS FOR SAND I AUTO WASH 1 ETe. 0 0 6 = 0 I LAUNDRY TUB 1 0 2 = 2 I CLOTHESW ASHER 1 MOP SINK 1 0 3 = 3 I CLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0 I MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRlG 1 WATER STATION 1 ETC. 0 0 1 = 0 I IRECEPTOR FOR COM. SINK 1 DISHWASHER I ETC. 1 0 3 = 3 I SHOWER. SINGLE STALL 1 0 2 = 2 I SHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0 ISINK: COMMERCiAuRESIDENTIAL KITCHEN 1 0 3 = 3 ISINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASINIDOUBLE LAVATORY 1 0 2 = 2 ISINK: SINGLE LA V A TORY /RESIDENTIAL BAR 1 0 1 = 1 IURlNAL. STALL I WALL 0 0 5 = 0 ~TOILET. PUBLIC INST ALLA TION 0 0 6 = 0 TOILET. PRIVATE INST ALLA TION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 25 .EDU (EQuivalent Dwellin2: Unit) is a discharge eauivalent to B sinl!:le familv dwellin~ unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULA TlON TABLE: BASED ON COUNTY ASSESSED VALUE YEAR CREDIT RATE/$I,OOO I) ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2 BEFORE 1979 $5.29 (Enter 1 for Yes, 2 for No) 1979 $5.29 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 2 1980 $5.19 (Enter 1 for Yes, 2 for No) 1981 $5.12 BASE YEAR 1979 1982 $4.98 1983 $4.80 CREDIT FOR LAND (IF APPLICABLE) 1984 $4.63 VALUE 11000 CREDIT RATE 1985 $4.40 $0.00 x $5.29 ~ , $0,00 1986 $4.07 1987 $3.67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) 1988 $3.22 VALUE 1 1000 CREDIT RATE 1989 $2.73 $D.DO x $5.29 ~ I 0 1990 $2.25 1991 $1.80 1992 $1.59 TOTAL MWMC CREDIT = $0.00 .1993 $1.45 1994 $1.25 1995 $1.09 1996 $0.92 1997 $0.72 1998 $0.48 1999 $0.28 2000 $0.09 ,I 2001 $0.05 225 F,H"~h S.~eet Springfield, Oregon 97477 541-726-3759 Phone .ii~ CiWf Springfield Official Receipt D"opment Services Department Public Works Department Job/Journai Number COM2007-00782 COM2007-00782 COM2007-00782 COM2007-00782 COM2007.00782 COM2007-00782 COM2007.00782 COM2007-00782 COM2007.00782 COM2007-00782 COM2007-00782 COM2007-00782 COM2007-00782 COM2007-00782 COM2007-00782 COM2007-00782 COM2007.00782 COM2007-00782 COM2007-00782 COM2007-00782 COM2007-00782 COM2007-00782 COM2007-00782 COM2007-00782 COM2007-00782 COM2007-00782 COM2007-00782 COM2007-00782 COM2007-00782 COM2007-00782 COM2007-00782 COM2007-00782 COM2007-00782 Payments: Type of Payment CreditCard cReceinl1 RECEIPT #: 1200700000000000662 Date: 05/3112007 Description Plan Review Residential Plan Review Major - Planning Sidewalk Permit Curbcut Permil PW Disc. 2nd Permit 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 Building Permit Addressing Assignment Willamalane Single Family 2 Baths One or Two Family Storm Sewer Each Addtl 100' Furnace - up to 100,000 btu Dryer Vent Vent Fan Exhaust Hoods Gas Outlets 1-4 Appliance Not Listed -Mechanical Issuance Fee- Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Fire SF Fee - Residential + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By MICHAEL GANSEN Item Total: Check Number Authorization Received By Batch Number Number How Received djb 00345C In Person Payment Total: Page I or I 9:54:50AM Amount Due 566,25 198,00 80,00 80,00 (30,00) 1,001.31 650,66 494,76 189,58 836,32 91.61 96U2 10,00 143.31 68.48 871.15 31.00 2,303,00 254,00 14,00 12.00 6,00 12,00 9.00 4,00 9,00 10,00 106,00 57,00 110.70 84,11 108.33 146.49 $9,489.58 Amount Paid $9,489,58 $9,489.58 5/3 112007