The URL can be used to link to this page

Home My WebLink AboutPermit Building 2008-4-14 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00498 ISSUED: 04/14/2008 APPLIED: 04/10/2008 EXPIRES: 10/1412008 VALUE: $ 119,455.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5760 OBSIDIAN AVE ASSESSOR'S PARCEL NO.: 1802030008100 SPRINGFIETYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single Family Residence - same as 1633 s 58th street Owner: HA YDEN ENTERPRISES Address: 2622 SW GLACIER PL #110 REDMOND OR 97756 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Contractor HA YDEN ENTERPRISES TOP NOTCH ELECTRIC INC PACIFIC AIR COMFORT INC License 92208 172366 39237 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 16.00 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Gas Energy Path: Path 1 Sprinkled Building No 1 R-3 U VB 3 I DEVELOPMENT INFORMATION' Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.20 19.40 10.00 19.50 10.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Residential Phone Number: 541-228-6935 Expiration Date 07/29/2009 09/29/2008 03/25/2010 Phone 541-228-1081 541-317-1998 541-672-9510 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 5,681 1,031 400 2 Yes . ,25.10 REQUIRED PARKING Total: 2 Handicapped: Compact: I PUBLIC IMPROVEMENTS I Fullv Improved Sidewalk Ty,new: requireS you to C b'd 7' ~ENT'm-t. Oregon ra ~Tt1 ur Sl e Yes ,11\11 rule~i'ti~~QlS)\l)i:\ifhP'regon MHtfnd Gutter o OW Those rules are se 0 Notification Center. hOAR 952-001. In OAR 952-001-0~~~h~~~I~S of the rules by 0090. You may 0 (Note' the telephone calling the cen~r. on Utility Notification number for the, r1es900_332-2344). Center IS - Subdivision Not Accepted Street Improvements: Storm Sewer Available: Special Instruction: NOTICE: Notes:THI~t.Ptt\1V'IFPam!gi!~PIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Pae:e 1 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00498 ISSUED: 04/14/2008 APPLIED: 04/10/2008 EXPIRES: 10/14/2008 VALUE: $ 119,455.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion , Dwellines Garaee Tvpe of Construction V Wood Frame Garaee $ Per Sq Ft or multiplier $105.00 $28.00 Square Footage or Bid Amount 1,031.00 400.00 Value Date Calculated Description Total Value of Project $108,255.00 $11,200.00 $119,455.00 04/10/2008 04/10/2008 ~ Fee Description Amount Paid Date Paid Receipt Number -Mech Iss 2+ Appliances- $40.00 4/14/08 2200800000000000454 + 10% Administrative Fee $131.90 4/14/08 2200800000000000454 + 12% State Surcharge $149.69 4/14/08 2200800000000000454 + 5% Technology Fee $81.12 4/14/08 2200800000000000454 2 Baths One or Two Family $280.00 4/14/08 2200800000000000454 Addressing Assignment $35.00 4/14/08 2200800000000000454 Appliance Vent $7.00 4/14/08 2200800000000000454 Building Permit $694.44 4/14/08 2200800000000000454 Curbcut Permit $85.00 4/14/08 2200800000000000454 Dryer Vent $7.00 4/14/08 2200800000000000454 Exhaust Hoods $10.00 4/14/08 2200800000000000454 Fire SF Fee - Residential $71.55 4/14/08 2200800000000000454 Furnace - up to 100,000 btu $14.00 4/14/08 2200800000000000454 Gas Outlets 1-4 $5.00 4/14/08 2200800000000000454 Plan Review Major - Planning $205.00 4/14/08 2200800000000000454 Plan Review Same As $220.00 4/14/08 2200800000000000454 Residence Wiring 1000 Sq Ft $117.00 4/14/08 2200800000000000454 Residence Wiring Ea Addtl 500 $21.00 4/14/08 2200800000000000454 Sanitary Sewer - Improvement $469.29 4/14/08 2200800000000000454 Sanitary Sewer - Reimbursement $617.17 4/14/08 2200800000000000454 SDC MWMC Administration $10.00 4/14/08 2200800000000000454 SDC MWMC Improvement $990.39 4/14/08 2200800000000000454 SDC MWMC Reimbursement $95.35 4/14/08 2200800000000000454 SDC Sanitary/Storm Admin $120.52 4/14/08 2200800000000000454 SDC Transpo Improvement $862.25 4/14/08 2200800000000000454 SDC Transpo Reimbursement $195.48 4/14/08 2200800000000000454 SDC Transportation Admin $73.67 4/14/08 2200800000000000454 Sidewalk Permit $85.00 4/14/08 2200800000000000454 Storm Drainage Impervious Area $643.94 4/14/08 2200800000000000454 Storm Sewer Each Addtl100' $16.00 4/14/08 2200800000000000454 Temp Power 200 amps or less $55.00 4/14/08 2200800000000000454 Vent Fan $21.00 4/14/08 2200800000000000454 Willamalane Single Family $2,513.00 4/14/08 2200800000000000454 Total Amount Paid $8,942.76 Paee 2 of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00498 ISSUED: 04/14/2008 APPLIED: 04/10/2008 EXPIRES: 10/1412008 VALUE: $ 119,455.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Planninl! Review Public Works Review Structural Review 04/10/2008 04/10/2008 04/10/2008 I Plan Reviews I 04/10/2008 APP 04/10/2008 APP 04/10/2008 APP TAJ LKW DLM Storm to curb & gutters Approved as noted on the plans. Same-as plan review with minor modifications. 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 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 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. 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. Pal!e 3 of 4 CITY OF SPRINGFIELD. Building/Combination Permit Status Issued PERMIT NO: COM2008-00498 ISSUED: 04/14/2008 APPLIED: 04/10/2008 EXPIRES: 10/14/2008 VALUE: $ 119,455.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. 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. 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. - ~. ______ .../} /J_-- ~ .-- ~/'-' ~ - - - L./ Owner or Contractors Signature 4-/L./-cJ~ Date Pa2e 4 of 4 SPRINGFIELD t""'~'""'?1 LON \ ~'i1 -/ 1 _r1A." ,~,", '"', ~,,~0;~\~ IN1TW:~)J.. '""'-,,~"'-'-'-" 'o,-,I'>tl..,\;.-~,"i' DATE ^ \C.-_I V"\ :) '" ""ryp> ~ ",,",,'i~ \.-Y- \ J V( J hL \h):;\,({Q' --...."" ~ ,'" 225 FIFTII STREET. SPRINGFIELD, OR 97477 . PlI'(541)726-3753 . FAX (541)726-3689 ;\'f."';C{,;:Jb:" ~ "-'\!.J SOURCE ~/ ELECTRICAL PERMIT APPLICATION J 1/ in \V'-'-~ \ Oty Job Nmnbe, /'~1J - CTO.f9 8 D"te~tiflli " ~lr'l'1!'lJ'...[{<r1"'{~110:1"1:;3Lq'0<"1{''l.:r~~*q''i.1i~IW'm1J'1;t~'':F~T:A~ 'if~tr," J ,ffld; (t ,I' ~,L! ,~( 1"lIr"' l':j I" lj '[~c( ~l~~' ~ i, "A iA\!( ( ';':' J '1"'11 r, I, ~ I ~," ;; '"" (')'~",!~'" \~~ i' ,'~~<" ~.l~ r,~, .,. 1"\ ::;1 -,~ ~{If"'1 lr t' I'll" 1 ~~'t;OcAJ;IIlIN;(01t/mSJt t" ;. ~TI()N:';\I::,',:,:"', ,,\J;\,j 3. l; COlv.D/JillTE FEE'SCIlEnULE:BE;l,(:)w ':;"~:' 'f~:; ~ '~'I;::~>::, ',1:' \'.',:' . i'I~1'1.\lii'l>hll'j.~lr~':111Ik\...tll,):I1.~~,1.:~'kl~\)~..liltllll.,.J,I!.('l(llljl\~.~...&,lt\~1 ~"l~'\,4~i'\~~". l'..~~~,~'~~' ~,',11" 1(,;1111\ 1.lo"I>,'_,I, ,'- ~~}} ~.,-..I'~, f'~,,\_ '-"'::,,'\', ":~l'~e..., ~7~o f?($S//J/MJ '- LEGAL DESCRIPTION /Bo2~3 C/O O~/c::;rzJ JOB DESCRIPTION (<),F, Re-s. .; uh<k{C / PermIts are non-transferable and expire If work IS not started within 180 days of issuance or If work is Suspended- fOI" 180_ua,ys._ - - - - - - - - - - -- -- - - -- --- -- - - ,_ 'l-i'-'(":;l~I,";l) 3':1-1'."'1;,.1 1~'~1-"'~'11~'t.... ~.....~~ ~'11 '-jl\....."'>.~-r-(\~ 1"""'I~\~'" ''''~'''1'~~:'1'' "'-~~J' ' I 1 .....1, ' '~r..\.t' ,,.lll*'l' I\A ~,r "'n'~~{o~~"141" ~ ~1' '1 ~ ~~';;J ~'4J if ;;':" ~,q I 'f t\"'; I ,> "" r , i J I ~, I r ~ : ~ l~! ~ {'f I<\'~' \11~1Y ~ ( .. l ~~ !' A. !,;~~'gVf;B.'e'sia1~n{:Jlik::i:S'lngle':(Il~'Multl":Fam')IY"f)er-'dwellitl'g u'j)j'fu' ;;~, 1 jl"!t:wll"i~~t',\,"11.,,;r~"d)r~t'.:!'~,-,~ _"~l~<'" ",~h\j'o1."'!' ,,11' '\.'J:...I,~j, ,,~~II.1l\'{' ~', Service lncludeu 1000 sq ft or less / $117 00 //7 Each addItIOnal 500 sq ftor portIOn thereof / $ 21 00 2' Each Manufact'd Home or Modular Dwellmg Service or $55 00 fe_eder: __ - - -- --- - ---- -- 1~W'~I}:j?'\~~11~(~l';f\~~~i:r,~~rJr~~#?"8:q~,jj111~1,';;~~ A...til "i1~~I"'~ft~I"{.1 ntilill;HiS.iil;1;t1't'S'i'~D~'n~~6t;J{~1'6'Ca'tJo~ :~~\\~~ .J0!11~ ~ 11\ :' 'L':)~~~)A::::1\l.w.L~~'~J.~L~:.i'~~~nt.~~,,~:tl..Chlr'~1.~1'~~~.lt~'S~&Liltll~ B. 1fIt ~<\:1k~'I~i ~ i~I:t:I~,~~r <ices.lo<rt~)~'~ ft..~\ILf/t~r! ~n,t" ,; /~ \lli:,~i;_1~/I' Electrical Contractor ~tlJ)J~fv/' r-/ec 200 Amps or less , 201 Amps to 400 Amps Address ;;208/C; Cvey cl 401 Amps to 600 Amps 601 Amps to 1000 Amps - ----CitY ----,g~?t----pn6ne 5*l1--3l77978--- --Over 1000-AIDpsNolts----- -------- Reconnect Only Exprrahon Date Lj (J)"'- t( 5 (2n1 /7;2 ~~~ Supervisor LIcense Number Canstr Contr Number ExprratlOn Date b2e-b C; SIgnal Te of S,;pervijsm!!; ,Electncian -Z ~o\~lu~-k- Owners Name j ~~ L ~l(' ~& Address :;2(JJ77 ~ c + u CIty '>~ Phone _Y41 7qff ~n OWNER INSTALLATION :::~~fr~nWh;Zb V lO' \ ~ CA; to, rJi 7 ln~pection Request: 726-3769 $ 7000 $ 83 00 $138.00 $180,00 - $4lTOo-- ------- $ 55 00 ~;'IJ;'h1"l~ml~~ W11'\ C. 1:<r:emrl6 {!tu~'..'I~f-~J1~l1th'~ I~Tfl\trl~l;:~~,~rt~; ~J1~~~1~~,\~~(},i(til~ 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above, D f:fK", 'iWl\I:l rl~:~'I:r:\:f,iJ":':j" 1'1:'\)~I'tI'l:leli{"~il:,"':'I'!;Y;~h'0: ~ ,':"i';;':i;;P''',':;; .. }!!l~ ~k~:t, ~1?{1:~~tfiz~3~rl: 4, lt~l,l~ 1\~~~d~J ~'fl~:~~1~;;t~~,':~';'~;1'"lt lif,.~:j~~>,1 ~V~t,:S:,I\,; (,I, I',; _ ~ _..---...._~......~~~.,.:,,'_~...,....,~ ~L_"_...l ,~_!~_ H_' Installation, AlteratIon or Relocation New Alteration or ExtenSIOn Per Panel One Crrcmt Each AddItIOnal Crrcwt or WIth ServIce or Feeder Penmt I ,C;~ $ 55 00 $ 76 00 $110 00 $ 48 00 $ 400 E. ~:~151~~ff:W~j~'~~~'~;J~~~'~~W~~al~~~~211:'i~'2j~irrl :..~ -, ;:;'rif1~jWii~li:~'~;b~i ~~...:.\.Jl ':...l1lil(~\~\<~lli 01"\ l!l~lL1.\~'i'Ul~tl <1:t;'Ulll!fr~J~ It :!l\\; \\ ~IJ~~illL\\,l'l ~U;1h' II~m~~ t.:l!J'tl.il' X\d,:t:.lf:l.llil:Uit~-liJ:~~lIl Xfu',~Jfum~tB Pump or rrngatIOn $ 55 00 Slgn/Outlme Llghtmg $ 55 00 Limited Energy/ResIdentJaI $ 28 00 (Iiiiitea-Energy/Com.rne-rcl-aC- ---~- --- -$50-00-- -~- MlDlmum Electric Permit Inspection Fee IS $50.00 + Surcharges ~~~~~N ,'N~!,Y1J~II!j;:}il\ ~ fhl11i 4. .\>f,?, ' I:l~,' / 9 ? c-o l.!,I~\tl~ljlu!~Jj 11~dY l 2. ~/~ Icr-;U Cf L~S 24S 11 Shared Dnve(T )/BUlldmg ronnslElectncal PermIt ApphcatlOn ] -08 doc - 12% State Surcharge 10% AdmmistratIve Fee 5% Technology Fee TOTAL Job. No. C/}t1~-(!)()<l9 ~ SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2008 NAME: .~2>bt J~~ PHONE: 2 2..~ -eo ? J~ ADDRESS::z:M S'kJ t:~"!;CITY ~111 r! STATE:OI( ZIP:_5' 7t.1::'~ LOCATION OF PROPOSED BUILDING SITE: Street Addres~: 5 7 ~ /) OA /}/l) lA-V .. - -- - .." Plat Name: ~ftl'( _jj(~.r Tax Lot Number: /~2- ~3 60 "'S(d~ 1. DEVELOPMENT TYPE (Check appropnate dwelllng(s) Dwelling type definitions are on the back. ) A. Sinale-Familv Detached NO. OF UNITS I X $2,513 per unit = $ 2-~/.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 Occuoancv 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 :;s;;;;ro~ DevelopmEtP't Services Department' City of Springfield $ 25'/3 4- I./!d:-J & Date 5 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER C0M2008-00498 NAME OR COMPANY Hayden Homes LOCATION 5760 ObsIdian TAX LOT NUMBER 0 DEVELOPMENT TYPE SmgIe FamIly ResIdence NEW DWELLING UNITS 1 BUILDING SIZE (SF: 1631 LOT SIZE (SF) I STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S F x 1 COST PER S F CHARGE I 186100 1 $0346 = I $64394 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS SF I x I COST PER S F x 1 DISCOUNT RATE I DISCOUNT I 0 00 I I $0 346 I 50% = I $0 00 ITEM 1 TOTAL - STORM DRAINAGE SDC '$643.94 2 SANITARY SEWER - CITY A REIMBURSEMENT COST NUMBER OF DFU's 23 5681 if] ~ p o u ~ ~ j E-< if] ...... o ~ $643.94 1070 x COST PER DFU $26 83 $617.17 11091 I B IMPROVEMENT COST , NUMBER OF DFU's 23 x COST PER DFU $20 40 $469.29 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC =, $1,086.46 3 TRANSPORTATION I. A REIMBURSEMENT COST I ADT TRlP RATE x I NUMBER OF UNITS x COST PER TRlP x/NEW TRlP FACTOR I I 957 1 I 2043 I 100 $195.48 11093 B IMPROVEMENT COST I ADT TRIP RATE I x NUMBER OF UNITS x I COST PER TRIP I x NEW TRIP FACTOR I 957 I 1 1 $90 10 I 100 $862.25 1094 ITEM 3 TOTAL - TRANSPORTATION SDC = , $1,057.73 I 4 SANITARY SEWER - MWMC A REIMBURSEMENT COST INUMBER OF FEU's x ICOST PER FEU I I I $95 35 = $95.35 1054 B IMPROVEMENT COST INUMBER OF FEU's x COST PER FEU 11055 I I $990 39 = $990.39 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 11054 MWMC ADMINISTRATIVE FEE $10.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =, $1,095.74 SUBTOTAL (ADD ITEMS 1,2,3, & 4) =, $3,883.87 I -- 5 ADMINISTRATIVE FEE II I SUBTOTAL x ADM FEE RATE CHARGE $3,883 87 5% $19419 TOTAL SANITARY ADMINISTRATION FEE 12052 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE $73 67 1078 Kaye Wilson 4/1 0/2008 TOTAL SDC CHARGES =, $4,078.06 PREPARED BY DATE DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTIJRES x UNIT EQUIVALENT = DRAINAGE FIXTIJRE UNITS (NOTE FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIXTIJRES) NO OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS IBATHTUB -~~ 2 0 3 = 6 IDRlNKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 = 0 \ INTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 I CLOTHESW ASHER / MOP SINK 1 0 3 = 3 ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (l PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRIG / WATER STATION / ETC 0 0 1 = 0 I RECEPTOR FOR COM SINK / DISHWASHER / ETC 1 0 3 = 3 SHOWER SINGLE STALL 0 0 2 = 0 SHOWER GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK. COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 SINK COMMERCIAL BAR 0 0 2 = 0 SINK WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 SINK SINGLE LA V ATORY/RESIDENTIAL BAR 2 0 1 = 2 URINAL, STALL / WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 23 *EDU (EQUIvalent Dwelling Umt) IS a dtschar~e e~UIvalent to a smgle falmly dwelhng umt (20 DFU's) set at ] 67 gallons per day - MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 ]979 ]980 ]98] ]982 ]983 1984 ]985 ]986 ]987 ]988 ]989 ]990 199] ]992 ]993 ]994 ]995 ]996 ]997 1998 ]999 2000 2001 CREDIT RATE/$I,OOO ASSESSED VALUE $529 $529 $519 $512 $498 $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 I 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) VALUE 11000 CREDIT RATE $0 00 x $5 29 = , $000 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0 00 x $5 29 o TOTAL MWMC CREDIT $000 = ~ Stre~t ~ld, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-00498 COM2008-00498 COM2008-00498 COM2008-00498 COM2008-00498 COM2008-00498 COM2008-00498 COM2008-00498 COM2008-00498 COM2008-00498 COM2008-00498 COM2008-00498 COM2008-00498 COM2008-00498 COM2008-00498 COM2008-00498 COM2008-00498 COM2008-00498 COM2008-00498 COM2008-00498 COM2008-00498 COM2008-00498 COM2008-00498 COM2008-00498 COM2008-00498 COM2008-00498 COM2008-00498 COM2008-00498 COM2008-00498 COM2008-00498 COM2008-00498 COM2008-00498 COM2008-00498 Payments: Type of Payment CredltCard cRecemtl City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200800000000000454 Date: 04/14/2008 DescriptIOn Plan Review Major - Planning Building Permit Addressing 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+ Appllances~ ResIdence Wifing 1000 Sq Ft Residence Wifing Ea Addtl 500 Temp Power 200 amps or less Fire SF Fee - Residential 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 + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Plan Review Same As Paid By TIM DREILING Item Total: Check Number AuthorizatIOn Received By Batch Number Number How Received ddk 050550 In Person Payment Total: Page 1 of 1 2:18:22PM Amount Due 205 00 694 44 3500 2,51300 280 00 1600 1400 21 00 700 10 00 700 5,00 4000 11700 2100 5500 71 55 8500 8500 643 94 61717 469 29 19548 862 25 9535 990 39 10 00 12052 7367 81 12 14969 131 90 220 00 $8,942.76 Amount Paid $8,942 76 $8,942.76 4/14/2008