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Home My WebLink AboutPermit Building 2008-3-27 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00407 ISSUED: 03/27/2008 APPLIED: 03/26/2008 EXPIRES: 09/27/2008 VALUE: $ 123,935.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1805 S 58TH ST ASSESSOR'S PARCEL NO.: 1802030009600 SPRINGFIETYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: Single family residence- SAME AS COM2008-00140 1633 S 58th Owner: HA YDEN ENTERPRISES Address: 2622 SW GLACIER PL #110 REDMOND OR 97756 I CONTRACTOR INFORMA nON. Contractor Type General Electrical Mechanical Plumbing Contractor HA YDEN ENTERPRISES TOP NOTCH ELECTRIC INC PACIFIC AIR COMFORT INC DENNIS SCOTT EGGERS License 92208 172366 39237 142776 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: 1 Height of Structure 15.00 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Energy Path: Path 1 Sprinkled Building, n/a 1 R-3 U VB 2 I DEVELOPMENT INFORMATION. Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 18.00 14.00 10.00 25.50 0.00 Phone Number: 541-228-6935 Expiration Date 07/29/2009 09/29/2008 03/25/2010 05/05/2010 Phone 541-228-1081 541-317-1998 541-672-9510 541-459-0110 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 1,031 560 REQUIRED PARKING 2 No 26.60 Total: Handicapped: Compact: 2 f ~r('r'rt.'~. Subdivisi~n' No.t,<Yl'Gcepted I PUBLIC IMPROVEMENTS I Street hi.~~~v~s.~~~J! SHALL EXPIRE IF THE WORK Sidewalk Type' \ w reqUir~s Val:' to , ~u I HuRtZED UNDER THI~.pPR'lWffy~e~OT ATTENT\ON: Or~gonba th~Ore 8nb$~~? Storm S~~~Ji[~~Ne~lJ:O~IS 1,\8 les Dll~~SID\~tj/!\tt3ptf:d Y p.w'llsDa: 8'!~N~ Special/\~~V~'8~'tiAY PERI'btj~a~J}t.Q~~[Jy~~Jroval shall be granted prior to tql M'8a\r&i~Pt,()~il%t~Ih"&~#Y!-001- . !,!oOAR 952-001-001 ~ thro I~S of the rules by Notes: Storm water routed to public system. ~090. YOU may obtain ~~fe' the telephone calling the cen~~'e (on Utility Notification number for the, 1_~OO-332-2344). Center IS Pa2e 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 V Wood Frame Garal!e Dwellin2s Gara2e Fee Description -Mech Iss 2+ Appliances- + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee 2 Baths One or Two Family Addressing Assignment Appliance Vent Building 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 Same As 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 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 Descriotion I $ Per Sq Ft or multiplier $105.00 $28.00 Square Footage or Bid Amount 1,031.00 560.00 Total Value of Project ~ Amount Paid $40.00 $136.23 $153.93 $80.89 $280.00 $35.00 $7.00 $708.76 $85.00 $7.00 $10.00 $79.55 $14.00 $5.00 $205.00 $220.00 $-40.00 $117.00 $42.00 $469.29 $617.17 $10.00 $990.39 $95.35 $122.21 $862.25 $195.48 $73.45 $85.00 $673.36 $16.00 $55.00 $21.00 $2,513.00 Date Paid 3/27/08 3/27/08 3/27/08 3/27/08 3/27/08 3/27/08 3/27/08 3/27/08 3/27/08 3/27/08 3/27/08 3/27/08 3/27/08 3/27/08 3/27/08 3/27/08 3/27/08 3/27/08 3/27/08 3/27/08 3/27/08 3/27/08 3/27/08 3/27/08 3/27/08 3/27/08 3/27/08 3/27/08 3/27/08 3/27/08 3/27/08 3/27/08 3/27/08 3/27/08 Pal!e 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00407 ISSUED: 03/27/2008 APPLIED: 03/26/2008 EXPIRES: 09/27/2008 VALUE: $ 123,935.00 Value Date Calculated $108,255.00 $15,680.00 $123,935.00 03/26/2008 03/26/2008 Receipt Number 1200800000000000279 1200800000000000279 1200800000000000279 1200800000000000279 1200800000000000279 1200800000000000279 1200800000000000279 1200800000000000279 1200800000000000279 1200800000000000279 1200800000000000279 1200800000000000279 1200800000000000279 1200800000000000279 1200800000000000279 1200800000000000279 1200800000000000279 1200800000000000279 1200800000000000279 1200800000000000279 1200800000000000279 1200800000000000279 1200800000000000279 1200800000000000279 1200800000000000279 1200800000000000279 1200800000000000279 1200800000000000279 1200800000000000279 1200800000000000279 1200800000000000279 1200800000000000279 1200800000000000279 1200800000000000279 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00407 ISSUED: 03/2712008 APPLIED: 03/26/2008 EXPIRES: 09/27/2008 VALUE: $ 123,935.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amount Paid $8,985.31 I Plan Reviews I Public Works Review 03/26/2008 03/26/2008 APP TSS Storm water routed to public system. Structural Review 03/2612008 03/26/2008 APP DLM Approved as noted Plannilll! Review 03/2612008 03/2712008 APP TAJ 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(]uire<Unsnections I 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. 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 tloor 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. Undertloor Plumbing: Prior to insulation or decking. Undertloor 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. Pal!:e 3 of 4 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2008-00407 ISSUED: 03/27/2008 APPLIED: 03/26/2008 EXPIRES: 09/27/2008 VALUE: $ 123,935.00 225 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. 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 Mechamcal: 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, 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. C?' L- <::-- )h~/~ Owner or Contractors Signature Date Pa2e 4 of 4 SPRINGFIELD i:'.}~1'>'"'"1'<"~"'~~ 1 f. A,,,.J 1 -J.~ltJ') ,01''''~,9 '"'.~~~;r..> ~r..j\r.'~ ~::~~"" ~ ,,1.., ~ ~~~~~~~r-. ') ''',~ 1i:'T~~ ~ ~,,-- \'Ii l/~..\~~t.'j'~i>~ ("'"~" ~~'P ~}r~I\~L~l~<.'l<~.~ y..... I ~ ZON Ltt ( INITIALS \ ') 1 ~lJ DATE ~ SOURCE~)~)V 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PlI-(541)726-3753 . FA-X' (541)726-3689 ELECTRICAL PERMIT APPLICATION Clty Job Number L o~ e..O"O rr-- 00 Ll 0 -/ , l 'IG1T}l~~$'!J~~;!~U2t"'l ~1 (r.~~~s.))~m!'Mi"lZ>[/~1l'?,:ri'J' \:'#1'\'.:" '1< ~~i"j't~, , \{ J'" U't J~'(, f'~' :'1'4 1. ~rr,(!)ffJl1a;IJ!)Nl(j)lt))I1)J8:P' t" .' ''J![ON::'.!'''::, ~ '~~':\ .:'~~ '" i' ",I, ' ~.... <' (< J~:"('\.>,\ 'II, ,l". ;1,< f l l." " ,\ ~,,'" "I l\~ >.' , . ';bB\.;;;'~ u",.'m'_5h"''''>I'''S'~ _'w,' HI. "'''. LEGAL DESCRIPTION' J $e>'ZO",S6C> (!> J'::?'J b JOB DESCRIPTION. /'/ r.:> "'- s. ~ Date 3 I'~ 'C'OM:PBETE;FEE:sc~mD iliiit~.'EE;OT-tF\~,~Y;\~ ~1~::17i~,'~l';\~:"::I~":': Er.,\ ~ \;:~.~ '~J," l~~':~ ,~\~! 1("~~~"ll,~~I~~\!._\ (' n~J~l'''~<' ",,~'1." 1.,1,.. ..",,:~lJtlJ;,,\\~'<: ).i1;f:)t! ~~;.: ~:~>~ ~r"::NJ7~)1i~%t~ff~~\'Jh~!J;\r~I;~~~lln:\t~~),!j'r..!~~1l::-~~~~~~lru~:; f~~ l'l~::l'(\\~~'i;t',,~,:r~ \-;4 ,')~} {',~~;I~ l()f.;}~}I!Pt~,iVf~ 'X~~{:.r ~~" <~1 f ( A. ';~", e~'f,' .-';,-~,slu'eJ;1pig\~ Sm.gl~)>r:',Mlilti~Fhm)Iy,"'per'dwelling unj'fu~'i;\>j ~1'\.~~"llll\"lf~M tlt'\I,'III..w""J;JA l''''~~ "'..~ ~", l~,,' j ,', 1,,~,,~t'l\.l.\'\:""'M{ljj tl.'j~l,l'~J\ u..(11,,111" ,I~ ~ ServIce Included 1000 sq. ft or less Each addItIOnal 500 sq fl or portion thereof J $117 00 / /7 "2...... $ 21 00 -1 )., Permits are non-transferable and expire If work is Each Manufact'd Home or not started WIthin 180 days of issuance or if work is Modular Dwelllllg ServIce or Suspended fOt: 180_days_- _ _n__ _ _ ______ ____ --- - -- J;'e.e_der --- - - Electncal Contractor -r;(jJ)J~fvh r-/ec , Address ;)o!f"71 Gve14 Cf ( -City ----.g~V'l---Plf6ne 5*lt--3n-r9'J$ EXpIratIOn Date Lfo5~t( 5 :2n1 /72 ::,tRG b2e1J7' Supervisor LIcense Number Constr Contr Number ExprratJon Date SIgnal 'Ie of SupervAslllf; plectncian -l~\' . OwnersN~e j U-a~ L RlC lvrds Address ';).('JJ7 7 e~ c + CIty 13~ Phone .r4 { 'Pig ~n OWNER INSTALLATION The lllstallation is belllg made-on propertY 1- own-whIch IS not intended for sale, lease or rent Owners Signature Inspection Request: 726-3769 $55 00 B. ~"lr~. '1"''''''''>'>1-''(" "'l\i'ii0h,j'~i":\)'l'\,I,j " "!elOcrltfo'n:;~ tria ~..l ~~\\Ll~~~ ~~i..\ll~~~?i1i~frll~ 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Over lOOO-AmpsNolts ~- __n Reconnect Only $ 70 00 $ 83 00 $13800 $180.00 --$413-00---- ~ $ 55 00 Installation, AlteratIon or Relocation I $ 55 00 $ 76 00 $110 00 ,)S 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps C?ver 600 Amps or 1000 Volts see "B" above Ill'!' ~~Il:},\ sj:\ New Alteration or ExtenSIOn Per Panel One Crrcmt Each AddItional Crrcwt or WIth ServIce or Feeder PerIDlt $ 48 00 $ 400 "'1'.'"('NI'J"J"j"""J<1' "~'I'"' """'"''['''1''''' '''I "'" I' E lD~~;1: ll~ 1\-'11(~ !')\!~'}ljt'l~: .'1~\'1"(,!l'1~ ll~i1..,i' l:i,l f k 'i,'II,,;~[:\"t\ ~'il: :1/ ,~\,II :,.: " . ~1'~~J~tSc",1 hneqMSU(D" 'rm '''''If'' d' t, ,,' irjl~[[:;"~'lbtll\1\P.li,:H.1,lIQ1J~tl!1,~I).t::l]~~1~;u~\I'q~~\t2l!~\~~1l~ I tt;el' i~~~'r~~tr:, Q,' <,jK:~ " iliii'lifioni ~~~IL~~:i,~~~\"Lt Pump or imgation $ 55 00 Sign/Outline Llghtmg $ 55 00 Lrrlllted Energy/Residenttal $ 28 00 'Ciiilitea-Energy/CommercI-ar- - - .--- -- - U $ 50 00 -- ---- -- - - MlDlillum Electric Permit Inspection Fee is $50.00 + Surcharges 4. ~!~!'~:ullr.fiu*1 '" ? I J ~":llt[ha~'i1WJ.: ]:UL1~1.. 6- ~.~ -12% State Surcharge 7~ A6 !l 10% Administrative Fee 7:/' "'ff) 5% Technology Fee -L() .7,0 TOTAL 2-7/,7f Shared Dnve(T )/BUlldmg fonns/Electncal Pennlt ApplicatIon 1-08 doc Job.No.~~-()04tJ7 SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2008 ~L)~J ~c?) PHONE, 2-2-ih-G9JS- . I - , ADDRESS:2~1 flV'u/M/6lCITY ~t-yubVj STATE:6i!ZIP:n1~t:, fit, LOCATION OF PROPOSED BUILDING SITE. Street Address. / f!; O~ r j, NAME: S"~&5r PlatName~rl1L~~~#( Tax Lot Number: le"2~J 19{) C2!Jboa , 1. DEVELOPMENT'lYPE (Check appropriate dwelling(s) Dwelling type definitions are on the back ) A Sino Ie-Family Detached NO, OF UNITS X $2,513 per Unit = $--25/.1 B Smale-Family Attached NO, OF UNITS X $2,726 per unit = $ C. Multi-Family Aoartment NO OF VNITS X $2,323 per Unit = $ D. Sinale Room Occuoanc~ NO. OF UNITS X $1,162 per Unit = $ E. Accessorv Dwellina Unit NO. OF UNITS X $1,257 per unit = $ $ WlllAMAlANE 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) ~f$ $ 25"/ 3 .:3 / Z 7 CSx Date Development Services Department City of Spnngfield 5 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER' 2008-00407 NAME OR COMPANY Hayden Homes LOCATION 1805 S 58th TAX LOT NUMBER 1802030009600 DEVELOPMENT TYPE Smgle Farmly ResIdence NEW DWELLING UNITS 1 BUILDING SIZE (SF: 1431 LOT SIZE (SF) 1 STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S F x COST PER S F CHARGE I 194600 $0346 = I $67336 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S F x COST PER S F x I DISCOUNT RATE I I , 0 00 $0 346 I 50% = I ITEM 1 TOTAL - STORM DRAINAGE SDC '$673.36 I 2 SANITARY SEWER - CITY A REIMBURSEMENT COST NUMBER OF DFU's x 23 B IMPROVEMENT COST I NUMBER OF DFU's I x I 23 I COST PER DFU $26 83 COST PER DFU $20 40 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $1,086.46 3 TRANSPORTATION A REIMBURSEMENT COST I ADT TRIP RATE x I 957 DISCOUNT $000 NUMBER OF UNITS x I COST PER TRIP 1 I 20 43 x I NEW TRIP FACTOR I 100 B IMPROVEMENT COST I ADT TRIP RATE x NUMBER OF UNITS x I COST PER TRIP I 9 57 1 I $90 10 ITEM 3 TOTAL - TRANSPORTATION SDC = , $1,057.73 4 SANITARY SEWER - MWMC A REIMBURSEMENT COST INUMBER OF FEU's I x I 1 I x NEW TRIP FACTOR 100 ICOST PER FEU I $95 35 B IMPROVEMENT COST NUMBER OF FEU's x 1 COST PER FEU $99039 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , 5 ADMINISTRATIVE FEE I SUBTOTAL x ADM FEE RATE I $3,913 29 5% TOTAL SANITARY ADMINISTRATION FEE TOTAL TRANSPORTATION ADMINlSTRATION FEE $1,095.74 $3,913.29 CHARGE $19566 6276 $673.36 $617.17 $469.29 $195.48 $862.25 = $95.35 V1 ~ Cl o U ~ ~ f-< V1 ...... o ga 1070 1091 1092 1093 1094 1054 1055 1054 j 1056 11079 , 1 1078 Todd Singleton 3/26/2008 PREPARED BY DATE TOTAL SDC CHARGES = $990.39 $0.00 $10.00 --,.~ -.-. -~-~ - .--- ..- 12221 $73 45 =, $4,108.95 DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE FOR REMODELS, CALCULATE ONLY TIlE NET ADDmONAL FIXTURES) NO OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUlV ALENT UNITS I BA TIITUB 2 0 3 = 6 IDRINKlNG FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 ICLOTHESWASHER/MOP SINK 1 0 3 = 3 ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 I MOBILE HOME PARK TRAP (1 PER TRATTF~) 0 0 12 = 0 I RECEPTOR FOR REFRlG / WATER STATION / ETC 0 0 1 = 0 IRECEPTOR FOR COM SINK / DISHWASHER / ETC 1 0 3 = 3 ISHOWER, SINGLE STALL 0 0 2 = 0 I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 I SINK COMMERCIAL BAR 0 0 2 = 0 I SINK. WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 ISINK SINGLELAVATORY/RESIDENTIALBAR 2 0 1 = 2 IURINAL, STALL/WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRNATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 23 *EDU (Eqwvalent DwellIng Umt) IS a dIscharge eqUIvalent to a slOgle fwmly dwellIng urnt (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$I,OOO ASSESSED V ALOE $529 $529 $519 $512 $4 98 $4 80 $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) V ALOE / 1000 CREDIT RATE $0 00 x $5 29 = , $000 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) V ALOE / 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 COM2008-00407 COM2008-00407 COM2008-00407 COM2008-00407 COM2008-00407 COM2008-00407 COM2008-00407 COM2008-00407 COM2008-00407 COM2008-00407 COM2008-00407 COM2008-00407 COM2008-00407 COM2008-00407 COM2008-00407 COM2008-00407 COM2008-00407 COM2008-00407 COM2008-00407 COM2008-00407 COM2008-00407 COM2008-00407 COM2008-00407 COM2008-00407 COM2008-00407 COM2008-00407 COM2008-00407 COM2008-00407 COM2008-00407 COM2008-00407 COM2008-00407 COM2008-00407 COM2008-00407 COM2008-00407 Payments: Type of Payment CredltCard cRecelOtl RECEIPT #: 1200800000000000279 Date: 03/27/2008 Description Plan Review Same As Curbcut Permit Sidewalk Permit PW DIsc - 2nd PermIt Storm Dramage ImpervIOus Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo ReImbursement SDC Transpo Improvement SDC MWMC ReImbursement SDC MWMC Improvement SDC MWMC AdmmIstratIon SDC Sanitary/Storm AdmIn SDC TransportatIOn Admm BuIlding Permit Addressmg Assignment WIllamalane SIngle FamIly 2 Baths One or Two FamIly Storm Sewer Each Addtl 100' Furnace - up to 100,000 btu Vent Fan ApplIance Vent Exhaust Hoods Dryer Vent Gas Outlets 1-4 -Mech Iss 2+ ApplIances- ResIdence WIrIng 1000 Sq Ft Residence WIrIng Ea Addtl 500 Temp Power 200 amps or less Fire SF Fee - ResIdential Plan RevIew Major - Plannmg + 5% Technology Fee + 12% State Surcharge + 10% AdmInIstratIve Fee Paid By HAYDEN HOMES/ERIC Item Total: Check Number AuthOrizatIOn Received By Batch Number Number How Received nJm 070794 In Person Payment Total: Page I of 1 2:43:05PM Amount Due 220 00 8500 8500 (40 00) 673 36 617 17 469 29 195 48 862 25 9535 99039 10 00 12221 7345 708 76 3500 2,51300 28000 1600 1400 2100 700 10 00 700 500 4000 11700 4200 5500 7955 205 00 8089 153 93 136 23 $8,985.31 Amount Paid $8,985 31 $8,985.31 3/27/2008