The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2004-3-8 . -. CITY OF ~L}1NGFIELD, OREGON' () , 225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH:~54I)726-3753 . FAX: (541)726-3689 d h the following I . project as submlne as ELECTRICAL PERMIT APPLICATION ,,( The.to~lo:~~gdoes not require specific land US,e City Job Number(}:JM, Z-CO> - 0\ '2.....ce~ Date 6'S- - 02> -Ou.:-~~~~~al Lt>R._ . Zoning t I. . LOCA110N OF INSTALLATION 3. COMPLEI'E FEE ,<;CHEDULE BliUll" 3 ~ \ \ -0 .. \ - I r'J~ Dffie ~~ ;Z I /./~ 4~ s-J. 5;/rt"lc,~ Authorized Signeture . '-'" LEGAL DESCR[PTlON A. New Residential- Single or Multi-Family per dwelling unit. (lb3'2..-"1 loo t ~c::o JOB DESCRIPT[ON 1000 sq. ft. or less . .'kv Each additional 500 sq. ft. or ;2''''ki./'-r/t;;J.h, 2. E~f..:.,/iJ...(,,/~ ~+,portion thereof ;Z;~.{,i{ri, fJ.(i'ltt.fefab~lixpire if work is Each Manufact'd Home or not started within 180 days of issuance or if work is Modu]ar Dwelling Service or Suspended for [80 days. Feeder '\ CONTRACTOR INSTALLATION ONLY 2. Wi'l..'\B.P ~L..l..c... 1>84- Electrical Contractor PAG{>::,c... E:..Lt'~c..1'(Lit' Address PoB ~V6"11 ..... City t:-v"ie..~~ Phone '18 '1- 'iiZCO Supervisor License Number f~ <; II) /IJ/ I.et; I /~~ Constr. Contr. Number I ? 2:~b _q.. ~ ~ '<.." Expiration Date 9/,>,/ q# if~ . ' . <V:.%' $>" rv n tiiCi ~~~ . t::. ,'. ~. . l' ' .,,'-':: / ~ ~ ~ ~TI ~ ~ ownern~~~~~;7J~ Address 2~,-z-, :-<)'''- - ~ City ~,fJ;d Phone 5//1-7//,-026/ Expiration Date OWNER INST ALLA nON The installation is being made on ~. v~".f I own which is not intended for sale, lease or rent. ~ Inspection Request: 726-3769 Service Included $106.00 $ 19.00 $50.00 B. Services or Feeders - Installation, Alterations or Relocation: . 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps I Over 1000 AmpsIVohs . Reconnect Only /. $63.00 ~ 3 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 ./ c. Temi>Orary Services or Feeders Installation, Alteration or R~ot..<. ~-~- ,-v !:J 200 Amps or less ~q,o, 0<::' .,';;' _ s::s ,,$ 50.00 201 Amps to 400 Amps ~ q,($ ~q,' o.<6v :,.,0' ~$ 6'l.00 o 0<: ~ ~. , " 401 Amps to 600 AIT!p'~ 0 q,o, ~ ;r0 l':100.00 ,,~_o('.~ 0 '0 0'v~ Over 600 Amps 0.5,1 ~'V,glts~ t.B'~oo"!l': D. Branch Cir~;it~J>'Qo(;;ooC; ~o.:s -flJo,~0 ~ ~O l>~' o 0'- " -S ~~"~ r3 New A1te....tion(O't Kyt....sion'Per'p3nel~1 IT ~ "'!:JY .,,- ~- ...., ., OoeC~t P:J~ 0<!!- s::s ",W ~ ('0<::' 'C..... $43.00 EachAaaiiig>~<tij't:\i~ Wi~0'-b'l~: Z- Seryipi 9r F<@1e!(:Perihit.q,<::' 0 ,,' $ 3.00 ,?"~O'v~ 0)'9 <::" q,v~1lJ ',C- ",0 -~ <<' 10'" -S ,,"''''' . . . E. MiSi~I~~s-!~,,!,~~e/~~eder not included) -Each Ins lallation <::'!:JOj ;t '$)0 ( Pump or irngati6h~~ Sign/Outline Ligh'ting Limited Energy/Residential Limited Energy/Commercial ./ ~ $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. SUBTOTAL OFABOVE "-'9 / 7"/o.State Surcharge 4.9 ") - 10% Administrative Fee f., .Cj n ./ TOTAL $ An. 7'7., J Shared Drivc(T:VBuildinR FonnslElccuicnl Permit Application I..oJ.doc . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-01293 ISSUED: 03/08/2004 APPLIED: 12/3012003 EXPIRES: 09/08/2004 VALUE: $ 13,708.00 t. I " Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ~;. SITE ADDRESS: 2143 LAURA ST ASSESSOR'S PARCEL NO.: 1703271001800 Springfield TYPE OF WORK: Garage TYPE OF USE: New Residential PROJECT DESCRIPTION: Garage Owner: BARRY PETERSON Address: 2143 LAURA ST SPRINGFIELD OR 97477 Phone Numher: 541-741-0261 , CONTRACTOR INFORMATION I Contractor Type General Electrical Contractor ALPINE CONSTRUCTION WIZARD ELECTRIC LLC License 125864 152766 Expiration Date 04/0212005 09/05/2004 Phone 541-937-1339 5414845200 I BUILDING INFORMATION' 0;. # of Units: I ~ # of Stories: I Lot Size: Primary Occupancy Group: U-l ~\JQ;' ~ Height of Structure 13.00 Sq Ft Ist Floor: Secondary Occupancy Group: , ~ ~\J Type of Heat: ~,P~t 2nd Floor: Primary Construction Type ~ v.{:i~ f? ~ Water Type: !2> ,\CStifjl~ascmcnt: Secondary Construction Type: ~ "I. 9::-~ ~ ,<'V Range Type: ~0 0<S4J!:.~'G{!fage/Carport 576 # of Bedrooms: .).q,"'- Co. q,t(; ",.$i). Energy Path: 0r:i> .0Q) ~~q;Et.c)thcr: <<.,-r-~" ~,- ~ 0' ~ n.":J. ,,';'J " ",'f'. ~<::s ~~ 0 !2> PC'i.tJou~~Surface Area: ,,'\..,:....... _N ..:'\ .'<:' ::-..0 _\)0.:: n. "'_~ (,', ,~S~\JVf:.:, "'?-;. , DEVELOPMENT INFOR~rfION_'r'~~: 0' ':.0-0~~,v'lY' SE'f,B8CK,S'~~ \J~ ~'V ~.- o~- ,",' >s\0 il ~0 ~O:~F,:QUlRED PARKING &-' Q'V ~ <~ q,'<; ",0 ~?j 0\....<::l rP ,,~.~'\ ~~ Frontyard;Se~.!Ick;r _,,,," ~ 22.00 Overlay Disl:' 0!2> 0~ ,I1rDan'Fr.irigh~ 'I'=' Total: 2 .'" x: <.,- "',- ~, , 'j ,v ~'Ir' \~- v 'I' Side 1 Setback:,$' ~~" ~ v 5.00 # Strect<.T.ree,s~Rq~; 1:)" ~ \." 0(;- dY" Handicapped: Side 2 Setback':'= \J~ ,~ 37.00 Paved 1)r~yet~d:b'l-"<:5 ~'\ ~0 \0Q) ('0' Compact: \J ~ ,0 .~,v"^Oj >>~0v0 00.9' Rearyard Setback~ % of Lot.:,.Goverag!\;) ..:$' \..:$' ;,(13.50 . Solar Setbacks: 0.00 (;- 0 ~<::l' . ~O; ,0 ,.r "!:' ,..~"\ 1'>\ _(" I PUBLIC IMPROVEM~ I .... Street Improvements: Storm Sewer Available: Special Instruction: Notes: Sidewalk Type: No DownspoutslDrains: Drywcll - Provide As specified on plans, drywell needs to he relocated within SCS soil type 119, S~lIdlJljjlD!JtIImting Complex and sized accordingly. If applicant sites drywell within SCS soil type 34, Courtney Gravelly Silty Clay Loam a PERK TEST FROM A LICENSED GEOLOGIST IS REQUIRED. Pa2e 1 00 'I. -iii'ii:... { Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Garaee Tvpe of Construction Garaee " Fee Description Plan Review Residential + 10% Administrative Fee + 7% State Surcharge Garage/Carport Miscellaneous Plumbing Miscellaneous Plumbing Plan Review - Planning Refund - SDC Storm Sanitary Sewer - 1st 50 Feet SDC Sanitary/Storm Admin Storm Drainage Impervious Area + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less ... Total Amount Paid Initial Review Plan nine Review Public Works Review 12/31/2003 12131/2003 12131/2003 " . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-01293 ISSUED: 03/08/2004 APPLIED: 12/30/2003 EXPIRES: 09/08/2004 VALUE: $ 13,708.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $23.80 Square Footage or Bid Amount 576.00 Value Dote Colculoted Total Value of Project $13,708.80 $13,708.80 12130/2003 Fpp< PiilLI Amount Paid Date Poid Receipt Number $90.09 $27.36 $19.15 $138.60 $45.00 $45.00 $59.00 $-90.62 $45.00 $4.53 $181.25 $6.90 $4.83 $6.00 $63.00 12130/03 1/26/04 1/26/04 1/26/04 1/26/04 1/26/04 1/26/04 1/26/04 1/26/04 1/26/04 1/26/04 3/8/04 3/8/04 3/8/04 3/8/04 1200200000000002671 1200400000000000102 1200400000000000102 1200400000000000102 1200400000000000102 1200400000000000102 1200400000000000102 1200400000000000102 1200400000000000102 1200400000000000102 1200400000000000102 2200400000000000212 2200400000000000212 2200400000000000212 2200400000000000212 $645.09 I Plan Reviews I 12131/2003 01/13/2004 01/07/2004 APP RJB APP TAJ APP VRJ Site plan approved based on opplicant meeting these requirements: drywell needs to be relocated within SCS soil type 119, Solem Vrbon Land Complex and sized accordingly. If applicant sites drywell within SCS soil type 34. Courtney Gravelly Silty Clay Loom a PERK TEST IS REQUIRED FROM A LICIENCED GEOLOGIST. Spoke with contractor 10:12am Int2004. Site plan shows proposed garage 35 feet from property line. Paee 2 of3 . . l.11 t OF ~rKll~uFIELD Building/Combination Permit PERMIT NO: COM2003-01293 ISSUED: 03/08/2004 APPLIED: 12/30/2003 EXPIRES: 09/08/2004 VALUE: $ 13,708.00 ::, . ~\ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural Review 12/31/2003 01/1612004 OK TCM To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. I Rf'ouWii.lnsne~tion\J 1 Ufer Eiectrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 2 Footing: After trenches are excavated. 3 Foundation: After forms are erected but prior to concrete placement. 4 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 5 Final Building: After all required inspections have been requested and approved and the building is complete. 6 Drywell: Engineered Drywell is Required. Provide the City with a copy of the DEQ application to keep on file. 7 Storm Sewer Line: Prior to filling trench. S Rough Electric: Prior to Cover 9 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 Ordinanees 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 empioyees who are in complianee 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 tbe approved set of plans will remain on the site at all '...."j;"ru."_ _ cJ:7-os-05/ Owner or racto/s Signature Date Paee 3 of3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number C0M2003-O 1293 C0M2003-O 1293 COM2003-O 1293 COM2003-0 1293 Payments: Type of Payment Cheek " 1tii!-.-~~."~"'~Ill.D'- -1 . . . . :'.~.A!;:. I 't-..". ,;,~}'-J Receipt #: 2200400000000000212 Description Add, Alter. Extend Cire Ea Add Penn ServlFdr 200 amps or less + 7% State Surcharge + 10% Administrative Fee Received By jmp l:heck Number Batch Number Authorization Number Paid By MARY J STAFFORD 2568 City of Springfield Official Receipt Development Services Department Public Works Department Date: 03/08/2004 9:01:45AM Amount Paid Item Total: 6.00 63.00 4.83 6.90 $80.73 How Received In Person Payment Total: Amount Paid $80.73 $80.73 . . " . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2143 LAURA ST ASSESSOR'S PARCEL NO.: 1703271001800 6_ Ll1 l' OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-01293 ISSUED: 01126/2004 APPLIED: 12/30/2003 EXPIRES: 07/26/2004 VALUE: $ 13,708.00 Springfield TYPE OF WORK: Garage PROJECT DESCRIPTION: Garage. \ Owncr: BARRY PETERSON Addrcss: 2143 LAURA ST SPRINGFIELD OR 97477 TYPE OF USE: New Rcsidcntial Phone Number: 541-741-0261 I CONTRACTOR INFORMATION I Contractor Type General Contractor ALPINE CONSTRUCTION BUILDING INFORMATION I # of Units: Primary Occupancy Group: Sccondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I U-I # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: VN License 125864 Expiration Date 04/0212005 Phone 541-937-1339 1 Lot Sizc: 13.00 Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Arca: 576 I DE~"Lun,IENTINFORMATION I SETBACKS Frontyard Setback: Side I Sethack: Side 2 Setback: Reary'ard Setback: Solar Setbacks: 22.00 5.00 37.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 0.00 I PUBLIC IMPROVEMENTS I Street Improvements: Urban Fringc REQUIRED PARKING Total: 2 Handicapped: Compact: 13.50 Sidewalk Type: Storm Sewer Available: No DownspoutslDrains: Drywell- Providc Special Inst~f'f~/liTION:~ @lllll'ifilfd;onqAlIllWdrY~~\l:~eeds to be relocated within SCS soil typc 119, S~nlJ.almting A ~lt~l}niI"liAIJlilE't~r !.ll~J>Y Ifapplicantm:n~ell within S~!i~,qi~1e1HtoWoro)\ Notes: fo~I?W r.ule~:I\im~ef\1lSl!Y((lIa}'imrlib\lfi\P%Rk TEST FRyAt~~~GIiI~tdL~ M~~ljtB~D. \jotlhca~o~ ~ ^'l1r\throuoh OAR 952-00 ..~ ol7l:n IINOER1HI ~ _..~ nO ,u"n k- e-, I ' " . 0 .,..~ ....... . -to" \ \'] 00 \" "k"l,u(f..~e r obtam boples 1" ...- - MENCEO "" nun 0090. :ou may nter. (Note: thl> MMull1i6ii DescriotiorJ:; M 80 Ot>.Y PERIOO. calling the ce 0 gon Utility NotlllCallulI 1\ Y 1 nUfl1b.!!r for the re !I; Per Sq Ft Square Footage Description Ty,oe Jlf,(;Ql!sttw:1iblR32-2MQ"lt' I' B'd A t Value Date Calculated i' ~ or mu Ip lef or 1 moun Garaee Garaee $23.80 576.00 $13,708.80 12130/2003 Total Value of Project Paeelof3 $13.708.80 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Fee Description Plan Review Residential + 10% Admipistrative Fee + 7% State Surcharge Garage/Carport Miscellaneous Plumbing Miscellaneous Plumbing Plan Review - Planning Refund - SDC Storm Sanitary Sewer - 1st 50 Feet SDC Sanitary/Storm Admin Storm Drainage Impervious Area Total Amount Paid Initial Review Plan nine Review Public Works Review Structural Review . . LlJ f OF SPRINGFl~LJJ Building/Combination Permit PERMIT NO: COM2003-01293 ISSUED: 01/26/2004 APPLIED: 12/3012003 EXPIRES: 07/26/2004 VALUE: $ 13,708.00 I Fpp<. PlIiILI Amount Paid' Date Paid Receipt Number $90.09 $27.36 $19.15 $ I 38.60 $45.00 $45.00 $59.00 $-90.62 $45.00 $4.53 $181.25 12/30/03 1/26/04 1/26/04 1/26/04 1/26/04 1/26/04 1/26/04 1/26/04 1/26/04 1/26/04 1/26/04 1200200000000002671 1200400000000000102 1200400000000000102 1200400000000000102 1200400000000000102 1200400000000000102 1200400000000000102 1200400000000000102 1200400000000000102 1200400000000000102 1200400000000000102 $564.36 I Plan Reviews I 12/31/2003 12/31/2003 APP RJB 12/31/2003 01/13/2004 APP TAJ 12/31/2003 01/0712004 APP VRJ Site plan approved based on applicant meeting these requirements: drywell needs to be relocated within SCS soil type 119, Salem Urban Land Complex and sized accordingly. If applicant sites drywell within SCS soil type 34, Courtney Gravelly Silty Clay Loam a PERK TEST IS REQUIRED FROM A LICIENCED GEOLOGIST. Spoke with contractor 10:12am 1/7/2004. Site plan shows proposed garage 35 feet from property line. 12/31/2003 01/16/2004 OK TCM To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made tbe same working day, inspections requested after 7:00 a.m. will be made the following work day. I I? nnlrMITnonM,tlnno. fI"_ 1 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 2 Footing: After trenches arc excavated. 3 Foundation: After forms are erected but prior to concrete placement. Paee 2 of3 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-01293 ISSUED: 01126/2004 APPLIED: 12/30/2003 EXPIRES: 07/26/2004 VALUE: $ 13,708.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 4 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 5 Final Building: After all required inspections have been requested and approved and the building is complete. 6 Drywell: Engineered Drywellls Required. Provide the City with a copy of the DEQ application to keep on file. 7 Storm Sewer Line: Prior to filling trench. 8 Rough Electric: Prior to Cover 9 Final Electric: When all electrical work is complete. By signature, 1 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 certiI that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further_agree to nsure tha~II'required in tions are requested at the proper time, that each address is readable from the stree(that the p mit ca s Io{,.ted a front of the property, and the approved set of plans will remain on the site at all (r.." '.ri." ::..0/ V II At, ~ <;/ /r or Contractors Signature Date ' t Paee 3 00 CITY OF SPIlGFIELD SYSTEMS DEVELOPMEN,fORKSHEET JOURNAL OR JOB NUMBER: Com2003-01293 NAME OR COMPANY: B!'}'V Peterson LOCATION: 2143 Laura Street TAX LOT NUMBER: 17032710tll800 DEVELOPMENT TYPE: SFD - Garage NEW DWELLING UNITS 0 BUILDING SIZE (SF' 0 LOT SIZE (SF): I. STORM DRAINAGE , o r/l "-l Cl o U ~ ~ r/l - " ~ DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. I I CHARGE . I 0.00 I $0.290 = I $0.00 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I I DISCOUNT I 625.00 I I $0.290 50% I = I $90.63 ITEM 1 TOTAL - STORM DRAINAGE SDC , 590.63 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I COST PER DFU I 0 I I $22.64 B. IMPROVEMENT COST: I NUMBER OF DFU's I x I 0 I 590.63 1070 -1 50.00 1091 COST PER DFU $17.21 ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I I 9.57 I I 0 B. IMPROVEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I I 9.57 I 0 I ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's 1 x ICOST PER FEU I 0 I $314.63 B. IMPROVEMENT COST: INUMBER OF FEU's 1 x ICOST PER FEU I 0 I $214.23 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SO( = 50.00 1054 SUBTOTAL (ADD ITEMS I, 2, 3, & 4) 5. ADMINISTRATlv" ""'" ISUBTOTAL I x II ADM. FEE RATE 1= I $90.63 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Virginia Jurasevich PREPARED BY 1/7/2004 DATE . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT - DRAINAGE FIXTURE UNITS (NOTE, FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS IBATHTUB 0 0 I 3 = 0 IDRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE lOlL I SOLIDS I ETC. 0 0 3 = 0 I INTERCEPTORS FOR SAND I AUTO WASH I ETC. 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 ICLOTHESWASHER I MOP SINK 0 0 3 = 0 ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REFRIG I WATER STATION I ETC. 0 0 1 = 0 IRECEPTOR FOR COM. SINK I DISHWASHER I ETC. 0 0 3 = 0 ISHOWER. SINGLE STALL 0 0 2 = 0 ISHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0 ISINK: COMMERCiAURESIDENTIAL KITCHEN 0 0 3 = 0 ISINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0 ISINK: SINGLE LA V ATORYIRESIDENTIAL BAR 0 0 1 = 0 IURINAL. STALL I WALL 0 0 5 = 0 ITOILET. PUBLIC INSTALLATION 0 0 6 = 0 ITOILET. PRIVATE INST ALLA TION 0 0 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 0 .EDU (Eauivalent Dwelling Unit) is a dischar~ eouivalent to a single family dwelling unit (20 DFU's) set at 167 2allons ocr day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR CREDIT RATE/$I,OOO II ANNEXED ASSESSED VALUE IS LAND ELGlBLE FOR ANNEXATION CREDIT? 0 BEFORE 1979 $5.04 I (Enter I for Yes, 2 for No) 1919 $5.04 I IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? 0 1980 $4.95 I (Enter 1 for Yes, 2 for No) 1981 $4.88 I BASE YEAR 1979 1982 $4.15 I 1983 $4.s8 I CREDIT FOR LAND (IF APPLICABLE) 1984 $4.41 VALUE I 1000 CREDIT RATE 1985 $4.20 $0.00 x $5.04 = , $0.00 1986 $3.88 1981 $3.50 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) 1988 $3.01 VALUE I 1000 CREDIT RATE 1989 $2.60 $0.00 x $5.04 0 1990 $2.14 1991 $1.11 1992 $1.52 TOTAL MWMC CREDIT = $0.00 1993 $1.38 1994 $1.19 1995 $1.03 1996 $0.81 1991 $0.68 1998 $0.46 1999 $0.21 2000 $0.09 I 2001 $0.04 II 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number . COM2003-0 1293 COM2003-0 1293 COM2003-0 1293 COM2003-0 1293 COM2003-0 1293 COM2003-0 1293 COM2003-0 1293 COM2003-0 1293 COM2003-0 1293 COM2003-0 1293 Payments: Type of Payment Check . ~ ii-_J Receipt #: 1200400000000000102 Description SDC Sanitary/Storm Admin Plan Review - Planning . Miscellaneous Plumbing Sanitary Sewer - 1st 50 Feet Garage/Carport + 7% State Surcharge + 10% Administrative Fee Miscellaneous Plumbing Storm Drainage Impervious Area Refund - SDC Storm Received By dIm Check Number Batch Number Authorization Number Paid By ALPINE CONSTRUCTION 1234 City of Springfield Official Receipt Development Services Department Public Works Department Date: 01/26/2004 9:48:S7AM Amount Paid Item Total: 4.53 59.00 45.00 45.00 138.60 19.15 27.36 45.00 181.25 (90.62) $474.27 How Received In Person Payment Total: Amount Paid $474.27 $474.27