The URL can be used to link to this page

Home My WebLink AboutPermit Building 2008-4-1 CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2008-00391 ISSUED: 04/0112008 APPLIED: 03/24/2008 EXPIRES: 10/0112008 VALUE: $ 180,330.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 836 S 31ST PL ASSESSOR'S PARCEL NO.: 1802062109900 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence - Nittany Meadows lot 7 SAME AS COM2007-00870 802 S 31st 2 Yes 40.50 . (t>v8i::-i::88-009- ~ S! J8lUaO 1~)I!I:I;;I~14UN ^41P4rl UOU8JO <:144 JU~ J<:Iqwllu I JOT~CE: PUBLIC IMPROVEMENTS UOl.jdeI8I eLj} :8}ON) 'J8}UaO alll6u!IIeo . -HI$l1e~fJll:t}lfn~MJ\1~e.tf:XPIRE IF THErldM1DoiL q selnsrue.~~I~~e:U1elqo I\ew nOA '}!600. , I UT R"7J; rnUJmlfJJJproved - ~OO-i::96 8'tfO lIBnOJlIl 0 ~OO- WO-G96 ~~r~lde 5 s~~~~e~N~I:iPaffiH/S PERMIT IS NOT Yes lIPOj le!PB}M~Wl~~t,~nt.H1Iueo u{jn~~!~fts\futter ( Or~~e~illiatI@~N8t;A.BANDONED FOR ^l!I!ln uoBaJO eLlI I\q peldope S81nJ MOIlOJ t NY 180 DAY PERIOD. Ol nol\ seJ!nbsJ MEI uo6eJO :NOI1N311V I Notes: Stormwater to weep hole in curb Owner: DJS INVESTMENTS LLC Address: 2860 MARTINIQUE AVE EUGENE OR 97408 Contractor Type General Electrical Mechanical Plumbing I CONTRACTOR INFORMATION' Contractor License DJS INVESTMENTS LLC 131714 BOB FISHER ELECTRIC INC 96275 MARSHALLS INC 25790 EUGENE EXCAVATION & PLUMBING INC 138003 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: 1 Height of Structure 19.00 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Gas Energy Path: Path 1 Sprinkled Building nla 3 I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 6.00 6.30 15.00 3.80 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Paee 1 of 4 Residential Expiration Date 10/09/2008 01125/2010 12/23/2009 04/27/2009 Phone 541-485-2655 541-689- 7973 541-747-7445 541-988-0868 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: 1,507 520 REQUIRED PARKING Total: 2 Handicapped: Compact: Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2008-00391 ISSUED: 04/01/2008 APPLIED: 03/24/2008 EXPIRES: 10/01/2008 VALUE: $ 180,330.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description 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 1,507.00 1,507.00 520.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $7,535.00 $158,235.00 $14,560.00 $180,330.00 03/24/2008 03/24/2008 03/24/2008 ~ Fee Description Amount Paid Date Paid Receipt Number -Mech Iss 2+ Appliances- $40.00 4/1/08 1200800000000000297 + 10% Administrative Fee $141.45 4/1/08 1200800000000000297 + 12% State Surcharge $157.58 4/1/08 1200800000000000297 + 5% Technology Fee $84.41 4/1/08 1200800000000000297 2 Baths One or Two Family $280.00 4/1/08 1200800000000000297 Addressing Assignment $35.00 4/1/08 1200800000000000297 Appliance Vent $7.00 4/1/08 1200800000000000297 BoilerlComp Up To 100,000 btu $14.00 4/1/08 1200800000000000297 Building Permit $884.18 4/1/08 1200800000000000297 Copies - Ea Addtl @ 50 Cnts Ea $12.50 4/1/08 1200800000000000297 Copy 6th @ 75 cents $0.75 4/1/08 1200800000000000297 Curbcut Permit $85.00 4/1/08 1200800000000000297 Dryer Vent $7.00 4/1/08 1200800000000000297 Exhaust Hoods $10.00 4/1/08 1200800000000000297 Fire SF Fee - Residential $101.35 4/1/08 1200800000000000297 Furnace - up to 100,000 btu $14.00 4/1/08 1200800000000000297 Gas Outlets 1-4 $5.00 4/1/08 1200800000000000297 Plan Review Major - Planning $205.00 4/1/08 1200800000000000297 Plan Review Same As $220.00 4/1/08 1200800000000000297 Sanitary Sewer - Improvement $469.29 4/1/08 1200800000000000297 Sanitary Sewer - Reimbursement $617.17 4/1/08 1200800000000000297 SDC MWMC Administration $10.00 4/1/08 1200800000000000297 SDC MWMC Improvement $990.39 4/1/08 1200800000000000297 SDC MWMC Reimbursement $95.35 4/1/08 1200800000000000297 SDC SanitarylStorm Admin $139.43 4/1/08 1200800000000000297 SDC Transpo Improvement $862.25 4/1/08 1200800000000000297 SDC Transpo Reimbursement $195.48 4/1/08 1200800000000000297 SDC Transportation Admin $71.45 4/1/08 1200800000000000297 Sidewalk Permit $85.00 4/1/08 1200800000000000297 Storm Drainage Impervious Area $977 .65 4/1/08 1200800000000000297 Storm Sewer Each Addtll00' $16.00 4/1/08 1200800000000000297 Temp Power 200 amps or less $55.00 4/1/08 1200800000000000297 Vent Fan $21.00 4/1/08 1200800000000000297 Willamalane Single Family $2,513.00 4/1/08 1200800000000000297 Pal!e 2 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00391 ISSUED: 04/0112008 APPLIED: 03/24/2008 EXPIRES: 10/0112008 VALUE: $ 180,330.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amount Paid $9,422.68 Plan Reviews I Planninl!: Review 03/24/2008 03/24/2008 APP TAJ Public Works Review 03/2412008 03/24/2008 APP LKW Structural Review 03/24/2008 03/24/2008 WE DLM Stormwater to weep hole in curb Truss drawings do not match construction dwgs. Contractor to resubmti truss drawings 3/24/08dlm. Structural Review 03/25/2008 03/25/2008 APP DLM Received revised Truss drawings 3/25/08dlm 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. ~eouired.JnSDections I Site Inspection: To be made after excavation but prior to setting forms. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunctIOn with footing andlor 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. Final Building: After all required inspections have been requested and approved and the building is complete. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. 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. Pal!:e 3 of 4 CITY OF SPRINGFIELD Building/Combination Permit Status Iss u ed PERMIT NO: COM2008-00391 ISSUED: 04/0112008 APPLIED: 03/24/2008 EXPIRES: 10/0112008 VALUE: $ 180,330.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. 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 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. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. 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 m accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertainmg 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. V-i~) ~- Owner or Contractors Signature ~.... f-l-o'8 .,.,.,... ~-- Date Pal!e 4 of 4 Job/Journal Number COM2008-00391 COM2008-00391 COM2008-00391 COM2008-00391 COM2008-00391 COM2008-00391 COM2008-00391 COM2008-00391 COM2008-00391 COM2008-00391 COM2008-00391 COM2008-00391 COM2008-0o'39I COM2008-00391 COM2008-00391 COM2008-00391 COM2008-00391 COM2008-00391 COM2008-00391 COM2008-00391 COM2008-00391 COM2008-00391 COM2008-00391 COM2008-00391 COM2008-00391 COM2008-00391 COM2008-00391 COM2008-00391 COM2008-00391 COM2008-00391 COM2008-00391 COM2008-00391 COM2008-00391 COM2008-00391 LDP2008-00043 LDP2008-00043 Payments: Type of Payment CredltCard Check cRecemtl RECEIPT #: 1200800000000000297 Date: 04/0112008 DescriptIOn Plan Review Same As Plan Review Major - PlannIng Sidewalk Permit Curbcut Permit SanItary Sewer - Reimbursement BuIldIng PermIt SanItary Sewer - Improvement SDC Transpo ReImbursement AddressIng AssIgnment SDC Transpo Improvement WIllamalane SIngle FamIly SDC MWMC Reimbursement 2 Baths One or Two FamIly SDC MWMC Improvement SDC MWMC AdmInistration Furnace - up to 100,000 btu ( BOller/Compyp To 100,000 btu Vent Fan Appliance Vent Exhaust Hoods Dryer Vent Gas Outlets 1-4 Temp Power 200 amps or less Fire SF Fee - ReSIdential Storm Sewer Each Addtl 100' ~Mech Iss 2+ Appliances~ Storm DraInage ImperVIous Area SDC SanItarylStorm AdmIn SDC TransportatIOn AdmIn + 5% Technology Fee + 12% State Surcharge \ + 10% AdmInIstratIve Fee Copy 6th @ 75 cents CopIes - Ea Addtl @ 50 Cnts Ea LDAP Short Form + 5% Technology Fee Paid By MICHAEL BUTLER MICHAEL BUTLER Received By dJb dJb Page 2 of2 Item Total: Check Number' AuthOrizatIOn Batch Number Number How Received 71109B In Person 1179 In Person Payment Total: 3:08:50PM Amount Due 220 00 205 00 8500 8500 61717 884 18 469 29 19548 3500 862 25 2,51300 9535 280 00 990 39 to 00 1400 1400 2100 700 to 00 700 500 5500 101 35 1600 4000 977 65 13943 7145 8441 157 58 14145 075 1250 450 00 2250 $9,895.18 Amount Paid $8,000 00 $1,895 18 $9,895.18 4/1/2008 ZON lJ1;y INITIALS () "(>"'\ DATE 4- z.,-ZJ~ SOURCE f"{'O-s 02- 2251'U! ul STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPliCATION City Job Number ~2/L)~ ,,00 ~/ LEGAL DESCRIPTION: }~!}/Jh2! DC:;S'o-o JOB DESCRIPTION: 1000 sq. ft. or less 2::, _ _ ~ . / , A . .. ::ach additional 500 sq. ft. or 5;o.i/r/TTY/. /C't::r --,/ ~/~, ortionthereof Permits are non-transferable and expire if work is 6~ Each Manufact'd Home or not started within 180 days of issuance or if work is Modular Dwelling Service or Suspended for 180 days. Feeder 2 r;~Jii!Ti&tiiiQRm;~AiMTIQiJ ONL~ \~~iii~;~ti~~6n}A1terati ." :,,,0,'< 1, ,,\v:.4uUbJdwwJ-* ,,~r.8l>~^,>:.~*",> '"* -' ~/ -.: '4 v ~"'" '.-jE::::~~'illllit:f", }" w ,ft~",,-~, JifiL%,/ '" ~ee.I. Contractor ~ J ./,vP~i!!JJ?,l;/ 200 Amps or less $ 70.00 201 Amps to 400 Amps $ 83.00 Address 2t!!:6o ~;I(w(,/1r;lfV6 401 Amps to 600 Amps $138.00 601 Amps to 1000 Amps $180.00 City liI~t.-;"~ Phone 5Z'7;-~{) Over 1000 AmpsNolts $413.00 Reconnect Only $ 55.00 "~AN~ '_~.?~V~>>"':~~ ~~r;~~~@'-.-~'7~':1f"f,-/v.::-' _ ;y'< '~-: ... 1. ;:";L@CATJON"@E1NSrr~(jN:4/WA'~' S$$L~?Jr...JiliL._~;::-:J.>-:-_t.}'6J(1J:?-..__... -? _ <<'V~ <0:" ,,~' y~ ~3~ ,<:), ~./.if ~/. - r f ATTENTION: Oregon law requires Super{.lisoflnicenstlM1.1W-p@.Tby tho Qr"-:.< YO~!J NotificatIon Center. Those rul -l:/:.cm Irlly In OAR O!)? 0 es ar et forth E"W~8on Date 01-0010 throuah R 9S'-OOl . You may OOta~n co' f th calling the cente~ . te' tShOe tele rhUles by CO~1:f~tfflJb5 . _ _ . "1 ep one C r[ li/VI/ Ullllly I'IOtlTlcation . enter 1-800-332-2344) ExprratIOn Date . Signature of~~~~ x Owners Name ])":S~ ~lISl,~.........::::r-1 LLc Address 2.tJbl" ~~iJL"'~.A. 1ifu!;2 / Phone S1. 7 - S:s-~-o ,.- City c-')f-z--<........ OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. owners Signature. L~_,_~",-_ L--~/ --~~ -- Inspection Request: 726-3769 4--01 --or Date r;q:/A ~ ~4'@~'/----; N "'~/"'7;jjtwr';;;W'iWVl%' 'Y<'W'''''~W'l, 3. ~~GfJMl~lA!J'U'J'J<~~s,~k!-BD~ ~ / "" y...~~h'::i,:ttilibtmL.::.."",.....w:<< <1- -.-q>.w3%%illLiillt-.<w..o. '~Ah !.'<', t%i>dJUilid0-i<wv~,,, ~ ~ v.r ~ ~ ~~\70':;;/ ~ tp.;; Fiitily!per,tdweUing1uDI' ' :'Mi hM'>J4.,<~k", ~_ ~ ..,/Hdtlli.-<< =:ilL...i_k"",,:~~'<-,- Service Included $117.00 $ 21.00 $55.00 . t-~.: ~,\1W\~ Jon: '. ~~~l:4iiL~ 1<m0$lM!/:~l. '''':'''~ C. ~~~~'~,~ i N0f0f ~ Feeders- 0, ,\mw" =ru~''';;,,"~ i../~/> ''"~~-~ill~ ~"'" Installation, Alteration or Relocation 200 Amps or less / 201 Amps to 400 Amps 40 I Amps to 600 Amps $ 55.00 ~"f:) ,410 $ 76.00 $11 0 00 Over 600 Amps or 1000 Volts see "B" above. /#~~ "<>. v, ,7.' D. I!ra . . ; New Alteration or Extension Per ~~tfb~ ~ }..tW One CirCUIt 'OO\'d3a mrn"l\m@8}oo Each Additi~n~,~~rJWjU1'dO -eD"'12\BO\1.l.(\~ Servic<<t\<<6:f~~Asm1. 'd3Q~{) (1:1 'd:1d "S\l\<!? I ' ~"S ll\N-r. . E. IIi! ' der not inciaD iIU ' ' ' /I' , Pump or irrigation $ 55.00 Sign/Outline Lighting $ 55 00 Limited Energy/Residential $ 28.00 Limited Energy/Commercial $ 50.00 Minimum Electric Permit Inspection Fee is $50.00 + Surcharges %tfbx6:.m= ~~-\0,lWW02@wn~<~lipt~: >R <7 _::, ~/~~~~~~ O"'V~";P ,!W~4*%i% 4. ,:Sf.JBTOTAL"OE5UJOVE: 'If:,~,,Y;;'<II4/WA'/'''''''':~ ~i~' ,,;;,.'; ::~I 'c < ,,,~~b,,,,,-,, :>~:n::'""l<~"7x<3t:'1'q=r/;;,:",:'~s 12% State Surcharge 10% Administrative Fee 5% Technology Fee ~~iH) c;, ~ it) $" ;)D 2--7~ (05'. -.r TOTAL Shared Dnve(f )/BuIldmg Fonns/ElectncaJ Penmt ApplIcatIOn 1-08 doc DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTIJRES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 1 0 3 = 3 DRINKING FOUNTAIN 0 0 1 0 I FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 = 0 INTERCEPTORS FOR SAND I AUTO WASH / ETC 0 0 6 = 0 LAUNDRY TUB 0 0 2 = 0 CLOTHESW ASHER / MOP SINK 1 0 3 = 3 CLOTHES WASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 RECEPTOR FORREFRIG / WATER STATION /ETC 0 0 1 0 IRECEPTOR FOR COM SINK / DISHWASHER / ETC 1 0 3 3 I SHOWER, SINGLE STALL 1 0 2 = 2 I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK COMMERCIALIRESIDENTIAL KITCHEN 1 0 3 = 3 I SINK COMMERCIAL BAR 0 0 2 0 SINK WASH BASIN/DOUBLE LA V A TORY 1 0 2 = 2 ,I SINK SINGLE LA V ATORYIRESIDENTIAL BAR 1 0 1 = 1 URINAL, STALL / WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 0 ITOILET, PRlV ATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 23 *EDU (EqUIvalent Dwe1hng Umt) IS a dIscharge eqUIvalent to a SIngle family dwelh~~:~~pO DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE I YEAR CREDIT RATE/$I,OOO ANNEXED ASSESSED V ALOE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2 I BEFORE 1979 $529 (Enter I for Yes, 2 for No) 1979 $529 IS IMPROVEMENT ELGIBLE FOR ANNEX CREDIT? 2 1980 $519 (Enter 1 for Yes, 2 for No) I 1981 $512 BASE YEAR 1979 I 1982 $498 I 1983 $480 CREDIT FOR LAND (IF APPLICABLE) I 1984 $463 VALUE/IOOO CREDIT RATE I 1985 $440 $000 x $5.29 = , $000 I 1986 $407 I 1987 $367 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) 1988 $322 V ALOE / 1000 CREDIT RATE I 1989 $273 $000 x $529 = I 0 1990 $225 1991 $180 1992 $159 TOTAL MWMC CREDIT = $000 1993 $145 1994 $125 1995 $109 1996 $092 1997 $072 1998 $048 1999 $028 2000 $009 2001 $005 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER COM2008-00391 NAME OR COMPANY. DJS Investments LOCATION 836 S 31st Street TAX LOT NUMBER 1802062109900 DEVELOPMENT TYPE Smgle Farmly ResIdence NEW DWELLING UNITS I BUILDING SIZE (SF: 2027 LOT SIZE (SF) 1 STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S F x I COST PER S F CHARGE I 2825 40 I $0 346 = $977 65 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S F x COST PER S F x I DISCOUNT RATE DISCOUNT I 0 00 $0 346 I 50% $0 00 ITEM 1 TOTAL - STORM DRAINAGE SDC I $977.65 2 SANITARY SEWER - CITY A REIMBURSEMENT COST NUMBER OF DFU's x 23 B IMPROVEMENT COST I ADT TRIP RATE I x I NUMBER OF UNITS x I COST PER TRIP I 9 57 I I 1 I $90 10 ITEM 3 TOTAL. TRANSPORTATION SDC = I $1,057.73 1 SANITARY SEWER - MWMC A REIMBURSEMENT COST INUMBER OF FEU's I I 1 B IMPROVEMENT COST INUMBER OF FEU's I I 1 \ COST PER DFU $26 83 B IMPROVEMENT COST- NUMBER OF DFU's x 23 COST PER DFU $20 40 ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3 TRANSPORTATION A REIMBURSEMENT COST ADTTRIPRATE I x 957 I I NUMBER OF UNITS '-x I 1 x COST PER FEU $95 35 x COST PER FEU $990 39 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I SUBTOTAL (ADD ITEMS 1,2,3, & 4) = I 5 ADMINISTRATIVE FEE SUBTOTAL x I ADM FEE RATE $4,21758 I 5% TOTAL SANITARY ADMINISTRATION FEE TOTAL TRANSPORTATION ADMINISTRATION FEE 4792 if.J ~ ~ o u ~ ~ E-< if.J f-< o ~ $977.65 1070 $617.17 1091 $469.29 1092 = , $1,086.46 COST PER TRIP 2043 x NEW TRIP FACTOR 100 $195.48 1093 x INEW TRIP FACTORI I 100 I $862.25 r 1094 -~-..~--..-- . I " ,...".-- II = $95.35 1054 = $990.39 1055 $0.00 1054 $10.00 1056 $1,095.74 $4,217.58 .n CHARGE $21 0 88 139 43 1079 $71 45 1078 TOTAL SDC CHARG~S $4,428.46 Kaye Wilson PREPARED BY 3/24/2008 DATE v Willamalane Park & RecreatIon District Job. No. ~s& . 60.3 7'/ SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2008 NAME' 'J.J J' .1Nt/c~rM6t17J . ADDRESS' zt;~O_..v~T~IIBITY bUr:.. LOCATION OF PROPOSED BUILDING SITE' PHONE'_S'" /7 - S)-J- LJ STATE'MZIP: 97478 Street Ad,dress ~- <:tP S, JIll: sr Plat Name. Tax Lot Number' 1. DEVELOPMENT TYPE (Check appropnate dwelllng(s) Dwelling type definitIons are on the back ) A. Smale-Famllv Detached NO. OF UNITS I X $2,513 per unit = $ Z.S/3 B. Smale-Famllv Attached. . NO, OF UNITS ~ $2,726 per unit = $ C Multl-Far:mlv Aoartmen~ NO OF UNITS X $2,323 per unit = $ . 0 SinaJe Room Occuoancv NO OF UNITS X $1,162 per unit = $ E. Accessorv Dwe/llna Unit NO, OF UNITS X $1,257 per Unit = $ WILLAMALANE SDC $ 2. SDC CREDIT (If applicable) SDC payer must furnish proof of Wlllamalane Credit approval) $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (If SDC reduced for Credit) $ 2..5'/-:1 &/ 017 {-I Development serviCes Department Date City of Springfield / I 5 RECEIPT #: 1200800000000000297 Date: 04/0112008 3:08:50PM Job/Journal Number DescriptIOn Amount Due COM2008-00391 Plan Review Same As 220 00 COM2008-00391 Plan Review Major - Plannmg 205 00 COM2008-00391 Sidewalk Permit 8500 COM2008-00391 Curbcut Permit 8500 COM2008-00391 Samtary Sewer - Reimbursement 61717 COM2008-00391 BUlldmg Permit 884 18 COM2008-00391 Samtary Sewer - Improvement 469 29 COM2008-00391 SDC Transpo Reimbursement 195 48 COM2008-00391 Addressmg Assignment 3500 COM2008-00391 SDC Transpo Improvement 862 25 COM2008-00391 WIIlamalane Smgle Family 2,51300 COM2008-00391 SDC MWMC Reimbursement 9535 COM2008-00391 2 Baths One or Two Family 280 00 COM2008-00391 SDC MWMC Improvement 99039 COM2008-00391 SDC MWMC AdmmlstratlOn 10 00 COM2008-00391 Furnace - up to 100,000 btu 1400 COM2008-00391 BOller/Comp Up To 100,000 btu 1400 COM2008-00391 Vent Fan 21 00 COM2008-00391 ApplIance Vent 700 COM2008-00391 Exhaust Hoods 10 00 COM2008-00391 Dryer Vent 700 COM2008-00391 Gas Outlets 1-4 500 COM2008-00391 Temp Power 200 amps or less 5500 COM2008-00391 Fire SF Fee - Residential 101 35 COM2008-00391 Storm Sewer Each Addtl 100' 1600 COM2008-00391 ~Mech Iss 2+ Apphances~ 4000 COM2008-00391 Storm Dramage ImpervIous Area 977 65 COM2008-00391 SDC SamtarylStorm Admm 13943 COM2008-00391 SDC Transportation Admm 71 45 COM2008-00391 + 5% Technology Fee 8441 COM2008-0039I + 12% State Surcharge 15758 COM2008-00391 + 10% Admimstratlve Fee 141 45 COM2008-00391 Copy 6th @ 75 cents 075 COM2008-00'391 COpieS - Ea Addtl @ 50 Cnts Ea 1250 LDP2008-00043 LDAP Short Form 450 00 LDP2008-00043 + 5% Technology Fee 2250 Item Total. $9,895.18 Payments: Check Number AuthorizatIOn Type of Payment PaId By ReceIved By Batch Number Number How Received Amount PaId CredltCard MICHAEL BUTLER dJb 71109B In Person $8,000 00 Check MICHAEL BUTLER dJb 1179 In Person $1,895 18 Payment Total: $9,895.18 cRecemtl Page 2 of2 4/1/2008