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Home My WebLink AboutPermit Building 2008-4-10 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2008-00490 ISSUED: 04110/2008 APPLIED: 04/09/2008 EXPIRES: 10/10/2008 VALUE: $ 119,455.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1533 S 57TH PL ASSESSOR'S PARCEL NO,: 1802030007100 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 Phone Number: 541-228-6935 I CONTRACTOR INFORMATION I Contractor Type General Contractor HA YDEN ENTERPRISES License 92208 Expiration Date 07/29/2009 Phone 541-228-1081 BUILDING INFORMATION I # of Units: 1 # of Stories: 1 Lot Size: Primary Occupancy Group: R-3 Height of Structure 15.00 Sq Ft 1st Floor: 1,031 Secondary Occupancy Group: U Type of Heat: Forced Air Gas Sq Ft 2nd Floor: Primary Construction Type VB Water Type: Gas Sq Ft Basement: Secondary Construction Type: Range Type: Sq Ft Garage/Carport 400 # of Bedrooms: 3 Energy Path: Path 1 Sq Ft Other: Sprinkled Building No Occupant Load: I DEVELOPMENT INFORMATION. Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18,30 5,90 12,70 26,70 0,00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 2 Yes 22.60 REQUIRED PARKING Total: 2 Handicapped: Compact: Storm Sewer Available: Special InsWtj~Y~:E: Notes: sTJfffi llarclith~r~~ij~t~ EXPIRE fF THE WORK AUTHORI7Fn 1H\lnJ:R TI-lIC: DI:Qf,nIT IC' ~'0T COMMENCED OR IS ABANDOI\~En H)-I={ . - .. I ANY 180 DAY PERIOD. I Vaf(t'atlOn DescflPtlOn ....1 1:1'4 fIUI\!' uregon la\N re q , t I PUBLIC IMPROVEME. ", wes you 0 rules adopted by the Oregon Utility otlficatlorSkl@Wiilk tJ1p~e rules are set forth Fully Improved in OAR 952-001-0010 through OAR 95;?_OQr-urbside 7' Yes 0090, You~BP.Mtf~"h::~:ofthe rillg!1f>yd Gutter calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). SubdlVlsion Not Accepted Street Improvements: Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pae:e 1 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00490 ISSUED: 04/10/2008 APPLIED: 04/09/2008 EXPIRES: 10/10/2008 VALUE: $ 119,455.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Dwellin2s Gara2e V Wood Frame Gara2e $105.00 $28.00 1,031.00 400.00 $108,255.00 $11,200.00 $119,455.00 04/09/2008 04/09/2008 Total Value of Project ~ Fee Description Amount Paid Date Paid Receipt Number -Mech Iss 2+ Appliances- $40.00 4/10/08 2200800000000000429 + 10% Administrative Fee $131.90 4/10/08 2200800000000000429 + 12% State Surcharge $149.69 4/10/08 2200800000000000429 + 5% Technology Fee $81.12 4/10/08 2200800000000000429 2 Baths One or Two Family $280.00 4/10/08 2200800000000000429 Addressing Assignment $35.00 4/10/08 2200800000000000429 Appliance Vent $7.00 4/10/08 2200800000000000429 Building Permit $694.44 4/10/08 2200800000000000429 Curbcut Permit $85.00 4/1 0/08 2200800000000000429 Dryer Vent $7.00 4/10/08 2200800000000000429 Exhaust Hoods $10.00 4/10/08 2200800000000000429 Fire SF Fee - Residential $71.55 4/10/08 2200800000000000429 Furnace - up to 100,000 btu $14.00 4/10/08 2200800000000000429 Gas Outlets 1-4 $5.00 4/10/08 2200800000000000429 Plan Review Major - Planning $205.00 4/10/08 2200800000000000429 Plan Review Same As $220.00 4/10/08 2200800000000000429 Residence Wiring 1000 Sq Ft $117.00 4/10/08 2200800000000000429 Residence Wiring Ea Addtl 500 $21.00 4/10/08 2200800000000000429 Sanitary Sewer - Improvement $469.29 4/10/08 2200800000000000429 Sanitary Sewer - Reimbursement $617.17 4/10/08 2200800000000000429 SDC MWMC Administration $10.00 4/10/08 2200800000000000429 SDC MWMC Improvement $990.39 4/10/08 2200800000000000429 SDC MWMC Reimbursement $95.35 4/10/08 2200800000000000429 SDC Sanitary/Storm Admin $121.32 4/10/08 2200800000000000429 SDC Transpo Improvement $862.25 4/10/08 2200800000000000429 SDC Transpo Reimbursement $195.48 4/10/08 2200800000000000429 SDC Transportation Admin $73.57 4/10/08 2200800000000000429 Sidewalk Permit $85.00 4/10/08 2200800000000000429 Storm Drainage Impervious Area $657.79 4/10/08 2200800000000000429 Storm Sewer Each Addt1100' $16.00 4/10/08 2200800000000000429 Temp Power 200 amps or less $55.00 4/10/08 2200800000000000429 Vent Fan $21.00 4/10/08 2200800000000000429 WilIamalane Single Family $2,513.00 4/10/08 2200800000000000429 Total Amount Paid $8,957.31 I Plan Reviews I Plannin2 Review Public Works Review Structural Review 04/09/2008 04/09/2008 04/09/2008 04/09/2008 04/0912008 04/09/2008 APP APP APP Pa2e 2 of 4 TAJ LKW DLM Storm to curb & gutter Approved as noted on the Plans Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2008-00490 ISSUED: 04/10/2008 APPLIED: 04/09/2008 EXPIRES: 1011012008 VALUE: $ 119,455.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. ~eouiredJnsnections 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 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 m 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. 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. 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. Pa2e 3 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00490 ISSUED: 04/10/2008 APPLIED: 04/09/2008 EXPIRES: 10/10/2008 VALUE: $ 119,455.00 225 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 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 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. ~~ ;t;rl/~ /0-- 08 Da'- Owner or Contractors Signature Pa2e 4 of 4 SPRINGFIELD r"""~'"""" ZON ~ ,4,& ,~", t~~~ IN1TlALS l~~~~a......:_ .l.::a.:r~l'~~~~ ') ,-.h~~ ~ ..,._,-,1. DATE l, \t.r~\""'(FJl ,)... ~ ~-t':-)'" "{."'~:-',,: ,~,. ~ ~ "'-'J SOURCE 225 FIFTII STREET. SPRINGFIELD, OR 97477 . PH'(541)726-3753 . FAX. (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number C Owt ~C> 1(' - 00 Y C; 0 Date Lf",v;05 ,__,<. ~!"ql:v;:..H'T'i".{:j;(0l>,) 7 !If''''..r'''::-~~':t-ii''lfi;!f'ii{l'JZ.l';;~'T0<'ij1' 11.'\.,1"...:' ~ 'irrl;;' ~ ~\. : ,I,' ~ I I ~~\~ -, ~ 1. :'i..tXJeA''Flf)N.~CXEJ/INS;P~TI0N:,!'" I':"~ '\,I'~J:,',j L ' '~I ii, ,~I',"t;~ jrr':1;:11~\J,.':;~ULlJ:!,t\.,~:~!:.-!,I~l1("'t:~,f"",~,l0J \,\>'\l!.,~..,~..i!~ ~_: ~.<~,-' I \"'<'rf'(. ,:~ 1,1.\~l- \I(I,\,,~~'.('/j l~\!l-"L'I(J ''''"ltlll '1~I:1r"r"}'''' ')',;-"f'L J' It) ..ll,~,T)', "I .. 3. t: COM:PMTBFEE'SCI-fEbiJiE'BEL0TrV', '":::;~;>:,~>,,, >""";",, I'....,~ ~L'_ ~,~~~!, 1(, 'l'I',_'~"",_,LL ~~- .." ,,,~"l."1.1 ~, ~~i{:, _~'-'\.'li, t_!..~.. /533 5. 57P- t/L "li'''t''''';j'lfr''r.l l"lt dl~~"1 (''''>If':l':'''''' ~....,- 'I~ '-)],....,......\)'''''- r 1~.--:~:Mp- ''''_..~~-.. 7l~ -.~ ~)l' .. , r ,'I, ,~;,." f' ",1\ e...1'j~...\,lf'!\ 'I}V,ll'l"L"~~' ~~"l " 3f,.~\.ll':' ".J I" ;:: ~ "f \ \"\'-J I:t;. ~'" ~ ~~r p~ 1 ~r I 1:t ~ t"{ ~l)j'~, (,' r \ J ,~.u I f r' '\~, A. ':u~r(!W;':~t~,s~oeJ.lti~,l:~ S'l#gl,~ i6i~)~1\l,lti;;lTarpjIY';'pe~"d~e~ling u:~j'fu' ::'~, '1 .11... 1j..111~~':..1~ 1 'l~,,,lll ;:<",..cdl,l~..\" '",~ _, l. " 1, <~l~ ~_,'.. I . ,_ ll, '.'J..~\ "J, u~\l .,,,' L ,~, LEGAL DESCRIPTION /8020300 JOB DESCRIPTION / -IoVl5 c." 07/0 C> Service Included 1000 sq ft. or less Each addItIOnal 500 sq fi or porbon thereof J I $117 00 $ 21 00 PermIts are non-transferable and expire If work is Each Manufact'd Horne or not started WIthin 180 days of issuance or if work is Modular Dwelling ServIce or SuspendecLfOl: 180-da)!s- _ ___ ,_ __ _ _ ____ __ _ - - - --- - - - -- _Fe_eder.__ $55 00 ~ ~ _ _ _ ~.... '~'Jt,ll'< rr'tI'k" l~"I~p' 1"'~ rh"<-'~-Io"'1 'If.q''l'<i'' ~~V'<;~~I.......,~tJ.'I-'lY~r.''''''1l" 1f'.....,....'I!l-"~,r,;.~"l:'1... r 1':t~f.!;J'11' J'~jf,{<,}I,i,~1 \1'~ 1{,l,I.-'~ 1?,j"I;~I~'l'~( ,l ~i'I"~;II' , ~.1} ~~ ':1',.1 f(~ICEiVI~ ;,'\ ~ :. th'lll":l:,*h,~: ;;'1J\~,I'~ B. t^~ ,:,e"f;y<icg,,:orc:{l:eeuer, ,'nslliJl~tio:ii\tAJteHifi'o'll'Wor~ !,I~Jd;j;~'11....~i ~,,::' ..." ...... ~~ ll~; ,11) ~f, ~Ji~1j~ ~ ..:1'~-I~ it,~ ~ 11>: \ <~~~ ?L:,;~~,A~.. :',}."L~'~~' ~~).!...::.:~!> ~;l ~\il I.,:l;-,t;f'~r"'f,~ ""1;'''' ,,\,,\(\\~ I,~~, J,ql~:!~\~I~~"I"~ ~ _~...l....J ~\. "''''1 Electrical Contractor ~1;V?JIv!' E"/ec..._.. \lnll to 200 Amps or less Or" on law I\::Y'-'''~' --+,ITg.t\'~\()t'-: \ ~ 0'd b t e Oregon Utl\lty 201 Amps to 400 Amps Address ~~~s . pt ~ \lIeS are set forth 401 Amps to 600 Amps _ . _ _ _ ._ D~0.'1\i~~~g1:~01 -thrOugh O"R 95~~sO~;.601 Amps to 1000 Amps City ,LL~ 'IOU fTl2y~pmll\~r~WWJe Over 1000 ADlpsNolts---- ------- - . t r iNole. {(.6 (~ R t 0n1 ca\ling the cen e. \"~ Unity Notification econnec y number~~tteh~ \~~~~g~~:2344). W~' !:f\i'M\I~,:i,i:I\SII~:"'I.':VI:I"I:'u'Ir:"'}lI\,!jli';;I" SupervIsor LIcense N~ 70) 'i J c. l:f";~: J~,~~:,!),r.II,Fjll,e~,QYll;S,\:I:, _ fl.... "..flili'il,. l.<ilih.t. .1;.......' t~ tlllJ ~ l:.lr 1 ,", I;!" M $ 70 00 $ 83 00 $138 00 $180 00 - $,rn-oa-- -----~ $ 55 00 <I "'\ "'j,'11 ;\;1' ~tlj~ .It<.- :,r,'rt"7;;!;~"I}l' 11~~IJtJkl.:{ll\ 11~th~l~'t ~;IF~I~~t, ~ ~If\ti,'ull~ Exprratlon Date 200 Amps or less I $ 55 00 201 Amps to 400 Amps $ 76 00 401 Amps to 600 Amps $110 00 Over 600 Amps or 1000 Volts see "B" above --- . D C!f!~{~~r~;~~Jll'~11\m~1:1~\lI~I~:11!'nll 1:::~YI~~;~'i!~~;I::1 ::, :~:~::l'~lll'l::~'\~!'l\~ ~ h: '~~I\ 1:>~~ V1J,,~\I', l~' t '~!' ~ ~i,I\;;I~H~ h,;~( ~~. Slgnal Te of Sgperv;Jsmg plectrJclan . l:~~I?,la,fl~~t:~~~~H~J' ,[I~J~~l\~ ll~,~~\j,~,~~~:&:j;~t' ;~~}I~:\~~~~,~:ll~:;Ji:~JlI:(~: ':; ~L ~ ~ f-: -. --A~--~_ New AJteratiou or ExtenSIOn Per Panel -\~ __ ~l rxt"\R!:'f THE ~cUJt $ 48 00 ~.f. f.ttjJ.V. NJI~'~ 1. - ERMIT IS~lddltlODal CrrcUJt or With Owners N~e ~~-crm~_ _ . QNEO FOOrYlce or Feeder Penmt $ 400 +.~ JP\JJI. r:. - ~.~/it~M;.:/b} , E ~;'I~~~!~~1~V1ltl~:I~M~~lrl:r ~~~1;li!~;~:;~:IL~, ~/:Lllf:il '\I'd:1 . '~1111;~;, ~f't,-~~',: ~:; '1' ):~\ 1iq~d:\f"l;;~lj ;"';;~4t' t t ~\I,li ~I:;I 11j, ( , ~I ' ,) 'I, Address - "-:::r:-" "\ !'f~. . 'V11).J,(!.SC."'~ jol (~el;Vi~e, ee er',!jo~l,mc1ude ~;fl,.l);ac]j!lJjst:1lfi':Jtwn, ~,~,jL '-. -- -,' ~~ -~1 ~ ,!:."""~^,lhH:~i~c"l.u, ~@!I:ffiiu:,'~~g.\!},lft.',I"~'f^l.rt~~u,~ :f(~it\"l;']J~hl,:.!1@"M,"!.i''!J)''.~1Uj,IJ'\:WI~J.!,Y~ri''''.%j,( CIty __ Phone, _ ~__ Pump or imgatlOn $ 55 00 ~ - Sign/Outline LIghting $ 55 00 Lmuted EnergyfResldentlal $ 28 00 Lunited-Energy/Commercl-al- - - - --~- - - $ 5000- Minimum Electric Permit Inspection Fee IS $50.00 + Surcharges ;':fil~ji~~m ,~fl:~"'1J.1l1;':l',' - - Frj~ 4.,' , j ,f' liil /1 A (I-L) - 12% State Surcharge t.. "3 . 1(0 10% Administrative Fee / 9. 3 t:J 5% Technology Fee 9 . IQj !2n7 Installation, Alteration or Relocation Exprranon Date Constr Contr Number /7'2 3rR(, (}.rm 7' OWNER INSTALLATION Ybemstallation ill bemg made on propertY I-awn-whIch - IS not intended for sale, lease or rent Owners Signature ".----- -- InspectlOD Request: 726-3769 TOTAL :L 45~" Shared Dnve(T )/BUlldmg fonnsfElecmcal Pemllt ApplicatIon] -08 doc CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER COM2008-00490 NAME OR COMPANY Hayden Homes LOCATION 1533 S 57th Place TAX LOT NUMBER 1802030007100 DEVELOPMENT TYPE Smgle FamIly ResIdence NEW DWELLING UNITS I BUILDING SIZE (SF: 1431 LOT SIZE (SF) I STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM IMPERVIOUS SF x I COST PER S F CHARGE 1901 00 1 $0.346 = I $65779 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS SF x COST PER S F x I DISCOUNT RATE I 1 DISCOUNT I 0 00 $0 346 1 50% I = 1 $0 00 ITEM 1 TOTAL - STORM DRAINAGE SDC '$657.79' 2 SANITARY SEWER - CITY A REIMBURSEMENT COST I NUMBER OF DFU's x I 23 6328 V'1 ~ Cl o u ~ ~ V'1 ...... o ~ $657.79 1070 COST PER DFU $26 83 $617.17 11091 B IMPROVEMENT COST I NUMBER OF DFU's x I 23 COST PER DFU $20 40 $469.29 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $1,086.46 3 TRANSPORTATION A REIMBURSEMENT COST I ADT TRIP RATE x I 957 B IMPROVEMENT COST ADT TRIP RATE x 957 NUMBER OF UNITS x I COST PER TRIP I I 20 43 x INEW TRIP FACTOR I 100 $195.48 1093 NUMBER OF UNITS x COST PER TRIP 1 $90 10 x I NEW TRIP FACTORI I 100 I $862.25 1094 ITEM 3 TOTAL - TRANSPORT A nON SDC = I $1,057.73 4 SANITARY SEWER - MWMC A REIMBURSEMENT COST. INUMBER OF FEU's I x I 1 I ICOST PER FEU 1 $95.35 PREPARED BY DATE = , $95.35 / 1054 \. = $990.39 I, 1055 $0.00 I 1054 I $10.00 11056 = I $1,095.74 I = I $3,897.72 i. CHARGE :i $19489 12132 1079 $73 57 11078 TOTAL SDC CHARGES =1 $4,092.61 - - - ----.- - - '... B IMPROVEMENT COST 'NUMBER OF FEU's 1 x 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 I ADM FEE RATE I $3,897.72 I 5% TOTAL SANITARY ADMINISTRATION FEE TOTAL TRANSPORTATION ADMINISTRATION FEE Kaye Wilson 4/9/2008 DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS I BATHTUB 2 0 3 = 6 IDRlNKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE / OIL / SOLIDS I ETC 0 0 3 = 0 IINTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 = 0 ILAUNDRYTUB 0 0 2 = 0 ICLOTHESWASHER/MOP SINK 1 0 3 = 3 \CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 IRECEPTORFORREFRIG/WATER STATION /ETC 0 0 1 = 0 I RECEPTOR FOR COM SINK / DISHWASHER I ETC. 1 0 3 = 3 I SHOWER, SINGLE STALL 0 0 2 = 0 I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK' COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 SINK COMMERCIAL BAR 0 0 2 = 0 SINK WASH BASIN/DOUBLE LA V A TORY 0 0 2 = 0 SINK SINGLE LA V ATORYIRESIDENTIAL BAR 2 0 1 = 2 URINAL, STALL / WALL 0 0 5 = 0 TOILET~ PUBLIC INSTALLATION 0 0 6 = 0 TOILET, PRIVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 23 *EDU (EqUIvalent Dwelhng Umt) IS a dtscharge eqUIvalent to a smgle faImly dwellIng urnt (20 DFU's) s7~ at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR CREDIT RATE/$l,OOO ANNEXED ASSESSED VALUE ., BEFORE 1979 $529 1979 $529 1980 $519 1981 $512 1982 $498 1983 $4 80 1984 $463 1985 $440 1986 $4 07 1987 $367 1988 $322 1989 $273 1990 $225 1991 $180 1992 $1 59 1993 $145 1994 $125 1995 $109 1996 $092 1997 $072 1998 $048 1999 $028 2000 $009 2001 $005 IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2 (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 2 (Enter 1 for Yes, 2 for No) BASE YEAR 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0 00 x $5 29 =, $000 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE ~OO x ~~ 0 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 COM2008-00490 COM2008-00490 COM2008-00490 COM2008-00490 COM2008-00490 COM2008-00490 COM2008-00490 COM2008-00490 COM2008-00490 COM2008-00490 COM2008-00490 COM2008-00490 COM2008-00490 COM2008-00490 COM2008-00490 COM2008-00490 COM2008-00490 COM2008-00490 COM2008-00490 COM2008-00490 COM2008-00490 COM2008-00490 COM2008-00490 COM2008-00490 COM2008-00490 COM2008-00490 COM2008-00490 COM2008-00490 COM2008-00490 COM2008-00490 COM2008-00490 COM2008-00490 COM2008-00490 Payments: Type of Payment CredltCard cRecemll RECEIPT #: 2200800000000000429 Date: 04/10/2008 DescriptIOn Plan RevIew Same As Plan Review Major - Planning Sidewalk Permit Curbcut 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 TransportatIOn Admin Building Permit AddreSSing Assignment Wlllamalane Single Famtly 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 Wmng 1000 Sq Ft Residence Wmng Ea Addtl 500 Temp Power 200 amps or less Fire SF Fee - ResIdential + 5% Technology Fee + 12% State Surcharge + 10% AdminIstrative Fee PaId By HAYDEN HOMES Item Total: Check Number AuthOrization ReceIved By Batch Number Number How Received NJM 084363 In Person Payment Total: Page 1 of 1 8:36:18AM Amount Due 220 00 205 00 8500 8500 657 79 617 17 469 29 19548 862 25 9535 99039 10 00 121 32 7357 694 44 3500 2,51300 28000 1600 1400 2100 700 10 00 700 500 4000 117 00 2100 5500 71 55 81 12 14969 131 90 $8,957.31 Amount Paid $8,957 31 $8,957.31 4/10/2008 Job. No. f!/JH!2t'1J ~ -t)O 1i {) SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2008 ~/"J&AJ flrM7W PHONE: 22.~ -~{3..r ( _.-. - - ~ ADDRESS: 2?~ SItJ 4U1otStlTY .I(~~ STATEM. ZIP: <) 7~~ JJL, LOCATION OF PROPOSED BUltOING SITE: Street Address: / 5, ?:5 S, ~ 7 1.!J .:p! , Plat Name:~.dfhl- /l11i+1)g,vr Tax Lot Number: /~L.".3 tJO 6071 ,,-i> NAME: 1. DEVELOPMENT TYPE; (Check appropriate dwelhng(s) Dwelhng type definitions are on the back. ) A. Sinale-Familv Detached NO. OF UNITS I X $2,513 per unit = $--7--5/3 B. Sinale-Familv Attached NO. OF UNITS X $2,726 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS 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 = $ WILLAMALANE 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) ~~,_~~dJO-~d Dev1pment Services Department CIty Springfield I LJ $ ?1J/3 ~ I/O I Or Date 5