HomeMy WebLinkAboutPermit Building 2008-4-18
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00523
ISSUED: 04/18/2008
APPLIED: 04/16/2008
EXPIRES: 10/18/2008
VALUE: $ 119,455.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5790 PUMICE PL
ASSESSOR'S PARCEL NO.: 1802030010000
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
Electrical
Mechanical
Plumbing
Contractor
HA YDEN ENTERPRISES
TOP NOTCH ELECTRIC INC
PACIFIC AIR COMFORT INC
PLUMBING PLUS INC
License
92208
172366
39237
90482
Expiration Date
07/29/2009
09/29/2008
03/25/2010
05/10/2009
Phone
541-228-1081
541-317-1998
541-672-9510
541-926-3190
BUILDING INFORMATION I
# of Units: 1 # of Stories: 1 Lot Size:
Primary Occupancy Group: R-3 Height of Structure 16.00 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: 2 Energy Path: Path 1 Sq Ft Other:
Sprinkled Building No Occupant Load:
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
6.00
9.00
24.00
10.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
2
Yes
31.10
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Subdivision Not Accepted I PUBLIC IMPROVEMENTS I
StrA~ fENTI8~e~n~gon law requilE\ftl~<mt\Sl-oved Sidewalk Type: Curbside 5'
St'l'iID~'foq.vatl~~d by the Oregon Utility Yes DownspoutslDrains: Curb and Gutter
S~ftnl:mtw~enter. ThCN@nRWt%&~t~~\~proval shall be grante"ri~ fo":Fublic Works approval for pump station
In OAR 952-001-0010thro~gh OAR 52- - H" .. ^'f t'T I\I! ~~rf"'~C IF THE WORK
NIOOOO. ~OdDaytnJvt~OORW~~~~-$~~.nebY T ," : _ c. :qMIT IS NOT
calling the center. (Note: {he te ~~ o~ All \! , - OR
number for the Oregon Utility Notification CO L" \I\JUNED F
Center is 1-800-332-2344). A~),
Paj!e 1 of 4
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Type of Construction
DwelIinl!s
Garal!e
V Wood Frame
Garae:e
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 AddtI 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 AddtI 100'
Temp Power 200 amps or less
Vent Fan
WilIamalane Single Family
I Valuation Description I
$ Per Sq Ft
or multiplier
$105.00
$28.00
Square Footage
or Bid Amount
1,031.00
400.00
Total Value of Project
~
Amount Paid
$40.00
$131.90
$149.69
$79.12
$280.00
$35.00
$7.00
$694.44
$85.00
$7.00
$10.00
$71.55
$14.00
$5.00
$205.00
$220.00
$-40.00
$117.00
$21.00
$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
4/18/08
4/18/08
4/18/08
4/18/08
4/18/08
4/18/08
4/18/08
4/18/08
4/18/08
4/18/08
4/18/08
4/18/08
4/18/08
4/18/08
4/18/08
4/18/08
4/18/08
4/18/08
4/18/08
4/18/08
4/18/08
4/18/08
4/18/08
4/18/08
4/18/08
4/18/08
4/18/08
4/18/08
4/18/08
4/18/08
4/18/08
4/18/08
4/18/08
4/18/08
Pae:e 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00523
ISSUED: 04/18/2008
APPLIED: 04/16/2008
EXPIRES: 10/18/2008
VALUE: $ 119,455.00
Value
Date Calculated
$108,255.00
$11,200.00
$119,455.00
04/16/2008
04/16/2008
Receipt Number
1200800000000000375
1200800000000000375
1200800000000000375
1200800000000000375
1200800000000000375
1200800000000000375
1200800000000000375
1200800000000000375
1200800000000000375
1200800000000000375
1200800000000000375
1200800000000000375
1200800000000000375
1200800000000000375
1200800000000000375
1200800000000000375
1200800000000000375
1200800000000000375
1200800000000000375
1200800000000000375
1200800000000000375
1200800000000000375
1200800000000000375
1200800000000000375
1200800000000000375
1200800000000000375
1200800000000000375
1200800000000000375
1200800000000000375
1200800000000000375
1200800000000000375
1200800000000000375
1200800000000000375
1200800000000000375
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00523
ISSUED: 04/18/2008
APPLIED: 04/16/2008
EXPIRES: 10/18/2008
VALUE: $ 119,455.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Amount Paid
$8,931.65
I Plan Reviews I
Planninl! Review
Public Works Review
Structural Review
04/16/2008
04/1612008
04/1612008
04/16/2008
04/16/2008
04/16/2008
APP
APP
APP
TAJ
TSS
DLM
Stormwater routed to public system.
Same-as review. 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.
~e(]uirecUnsDections 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.
Pal!e 3 of 4
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2008-00523
ISSUED: 04/18/2008
APPLIED: 04/16/2008
EXPIRES: 10/18/2008
VALUE: $ 119,455.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 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 ofany 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.
--- ~ ~-
'7 - /1' '0't'
Owner or Contractors Signature
Date
Pal!:e 4 of 4
ZON 'JJ~
INITIALS "^'
DATE
SOURCE
SPRINGFIELD 1"~..~l'>7'i"r:::-"~O
.~ f. , ..,f'."l")_~
a ~ f..!~.-.. ......-...::. "1~ t?;..'.lo!"~"P:"s ~~"';:[:'j
\'':.''-l~ ~"""]J~
~<\.t}(~(t?i~~ l'}.,...
;",,1 ",' <,:;~ ~ ~ ~1
225 FlFTII STREET. SPRINGFIELD, OR 97477 . PlI'(54I)726-3753 . FAX (541)726-3689
ELECTRICAL PERMIT APPLICATION
CIty Job Number fOWl ZOO ~ - 00 S Z 1.
Date
,-.' '<l'l -. 'l\l~" ~~ '''~'.''l1flll''.ll'ltt..(lU.~'lt.~~~' ~~"'~f...:,Il,~~..l'>l,'CI'"~ -1\,"1(,1"'\ 'I "l-"l~
3. :, COMPlill'IE FFE'SCFrEDtJ:.DE Bl!J..:{;)T1Ti,,~:;~, G~;,:>~'>;,,;,D; ',';: ;';~};',
I', _ Ir ,t ~ I ~"'\~~'_ t' "...1 .....' ,,,!...1.::..J."..'.....,,,:-,~..1j~L:' ~'T:,'l::.-.J"\"" ~_i'~ .~. '
~ ,,-l!';~1'11P'>'f'I.. ~1.11~,.u:;...:tlrN~l!~1ltlIW'1J~r.....~ I, ~~ r:t '"h~.F': "l'.r;'1.f':1 '~i,~J I, :~~:i ~" ~'':I
1 "::rX)'(fJATI07\:JirO'fi.'{[NSJt .' " 'TION-"," ," ""t'",-""j
~ ~'l:, 'l I A.I: I '~1.~~~3r~~':lltlr:l~ J;~~~~~I~~b-ji\'i;.(.Ir~~:'Lls":.It YIl b\~~ ,~:b 1I.1~ 11_ ,,1: ~ '~,"1,~1}, '~~\' \ ~,~.
57'0 ?\AW\lc..e--.pl
LEGAL DESCRIPTION
18Dl-Oseo
r'l J, ~,\lJ[},life~ll""\,;j~~,::;,Ctl,,"1~I,f.~~I~I,q\....f,,,,~r;r~tl~ 'l1I!;l ~ .:tn..;;f'I~\~'f.'i1'" -,-ff~'i. ~'~3"">'] ll\t'tt:~""'r~,/~~ l:Ff "~!t -j'~f t~~:;,~\ -;:'j'
A ,'M"" }'{C 'o""t f" s'" 'J '0 'M"lt1'V<[i~'I" "'d""'lli"" .'....', ,"f"
. .~i~~~k~~~' _~ ~~~J I ~~_J~ ~~' J!1~ ~ ~_ ~ R~, 1 ~ ~~ t~f~ll ~~ ~~l_~) R~~ lS"~.~~~~~ ~ \~ ~t~~~ I,j <-~t~!
) 000 <.:)
Service Included
1000 sq. ft or less
Each addltJOnal 500 sq it or
porDon thereof
Each Manufact'd Home or
Modular Dwelhng ServIce or
Feeder ~
, $117,00 \ \ 1
, $ 21 00 .-2 \
$55 00
- -- - --- -------~ ~
JOB DESCRIPTION
~ 'OlA.~ ~ [.II fl,([' I Te/tVt (J
I I
Permits are non-transferable and expIre If work IS
not started within 180 days of issuance or if work is
Suspended fOJ: _180~days_ ~ _ _. _ ~ _ _ _ - -- ~ - -- - ~- ~ -- n
_ .... ''''~~!:'' ...~... r'" Y~"I' \ I' ~~ '''r'h '!"~~' ""J";n"&' l"l'< .",T.-"'~ ...'l\"l:i;'''I:'!!\...... .......Jhl~ ...Jt""l~-""''';;\!$I""+'''''''' ...... ""j~~14t:'rl.......
~ \ S?1\-r~1, J'Jil~.....),!,,:"\il' \'(.11~~rl,"I~l!~,:\j!l:ill~II'I~11!~.'I,",'J~ ~I ~l')l t\);\ ..1'111..",&1 ::'Hi1,i',~'.'I~~1~lt~ "'.)'fi'lYl~I<;' "'''lj-:hi.~II~ , \'.iiJ~"-~~~il(ll:tt.,'tl.'1
fl.i~VI'I~t,,,,I<.
B.~' 'etYiceS":cii:hl eeoetS'I~"'Iiisl.iinatioiI';{A1leJ;a 'on '<:0' , ReI'ifc'ati "::;)~~:
~f"j~ 1 'I ,y' ~r, ~/' ~-' t 111:"", ,t"(~ 1.1!.,111 ' !1 ,I I !"d I ,,,It ,<', '~IU~' of: ~ k,rr "'_:~1,~',\'1' .~'~~II~~I.,,~.;tl.r'l'! \1.,;,'. t ~,~~ r.~t~ I'
.- _ ~.. _ ~ ___ ...~,/ ~ I', 1.\.1::_ ,~....... <,;..... ....~ ! .....~ ",,\o,_"'_..........~oll........ .. I .~..\lVIi.....1.l ;I,.,..... .......w.\oll""'....l ~
2.
Electrical Contractor T;,P)/b!c.i1 .r-/ec
Address ;;)og-7c; ~ (~f
(
-- CitY --.g~A Phone 2!1I 31779'13 ~.
$ 70 00
$ 83 00
$138 00
$180.00
--~ ---$'413~Ou
$ 55 00
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
601 Amps to 1000 Amps
-- -Over 1000 AinPS/Volts --~
Reconnect Only
c ~~T \ ~2rlJtJ~8~I)t'~~llf~ll,I~11f.}~~P:' ~n~lwII~:I~l; FI~~tl~drrH
. '~(b.~~~~ BtlJl:'~~'~'I~~~~gt,~bi~~!1ullS2~
Supervisor License Number If 05'- L( 5
ExplratlOn Date ~ '1
Constr Contr Number /7 2 3 (; ~
ExprratJon Date ;2e1) 7'
Installation, Alteration or Relocation I
s~
$ 55 00
$ 76 00
$110 00
200 Amps or less
201 Amps to ilOO Amps
40 I Amps to 600 Amps
SIgnal 'Ie of SgpervAsmg; plecmcian
;:n (I ( ,r \ _____ " .
~(r"
->
New Alteration or ExtenSIOn Per }>anel
One CrrcUlt
Each AddItional CirCUIt or wIth
ServIce or Feeder PermIt
$ 48.00
$ 400
Owners N ame -.!!~d ("YL. f/ot!'\M'" 5-
J", I
Address ~l.{&:, ~ -SCA-J c:'to.C(I~r
u
City &-oI/t'1t'UJr7 ~. Phone .P2- i'" ~(;,q 3 ~
~'n,;I~~I::I:lt~l!~~~I!U,l;;li:t~:'jI\'~ .J;::\~\Fl id'~ 'l[:;l,l~~;~;, l
o S"(~"a! "sh '''.''
'I!MI~'ill1UlJ.~b~~!I~[Llll'~~h~I,\ff\~~~~~f~~fu.
~;~l" ~J,LI~I!I~\7~~ll, rr
E. ,,~M IsceJ
!.'.t..:r~t"I~'lt'f~t'r,.
~"'-.M....l<. Ill. ~Ii'...,
Pump or imgaDon $ 55 00
SlgnlOutlme Lightmg $ 55 00
LImIted Energy/ResldentJaI $ 28 00
Liilliiea-BnergyJComme'rclar~ ~- - ----- - $ 50 00 - -- - ~ -
Minimum Electric Permit Inspection Fee is $50.00 + Surcharges
l"rftlmH~~
4, ~ I J"
OWNER INSTALLATION
The mstallation IS bemg made onj:;rop.ertY r own 'whlch
IS not mtended for sale, lease or rent
d-O
2...?.f 6
/lJ.3e>
Q. "r
r .
TOTAL ~,<:;.II
Shared Dnve(T )lBmldmg FonnsfE1ectncal Pennlt Apphcallon 1-08 doc
~3 \ .\0':>
Owners Signature
---
- 12% State Surcharge
10% Administrative Fee
5% Technology Fee
InspectIOn Request: 726-3769
Willamalane
Park & Recreation District
Job. No. (};lw ~ -190 ::'L,J
SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2008
NAME: /~j)OtJ ~cr PHONE: "/ ?a.-~':J S-
f ( .
ADDRESS:2fftf JW(;IMt'/iCITY~4 STATEMzIP:977S"{;
LOCATION OF PROPOSED BUILDING SITE:
Street Address: 5790 P~./~ ..~f-~
Plat Name: JArlLt3( ;Jftl;f~ Tax Lot Number: / B"zo'3 ~O / "t)/} 0
1. DEVELOPMENT TYPE (Check appropnate dwelling(s). Dwelling type defimtions are on the
back. )
A. Sinale-Familv Detached
NO. OF UNITS
I
X $2,513 per unit =
$ 25/ '(
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 =
$
$ ~ S \~ ~
J5
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)
~~I~se~~
City of Springfield
$ ?--~/ 5-
4 /~ ~ ,1jeJ
Date
5
JOURNAL OR JOB NUMBER
NAME OR COMPANY
LOCATION
TAX LOT NUMBER
DEVELOPMENT TYPE
NEW DWELLING UNITS
I STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S F x I COST PER S F CHARGE
I 1946 00 I $0 346 = I $673 36 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S F x I COST PER S F x I DISCOUNT RATE I
I 0 00 I $0 346 I 50%
ITEM 1 TOTAL - STORM DRAINAGE SDC '$673.36 I
2 SANITARY SEWER - CITY
A REIMBURSEMENT COST
I NUMBER OF DFU's x
I 23
B IMPROVEMENT COST
NUMBER OF DFU's x
23
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
2008-00523
Hayden Homes
5790 PumIce Place
1802030010000
Smgle Family ReSIdence
I BUILDING SIZE (SF: 1431
LOT SIZE (SF)
6276
r/)
P-l
Q
o
u
~
~
r/)
>-<
I,~
DISCOUNT
$000
$673.36
i 1070
COST PER DFU
$26 83
$617.17
1091
COST PER DFU
$20 40
$469.29
1092
=,
$1,086.46
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3 TRANSPORTATION
A REIMBURSEMENT COST
ADTTRIP RATE , NUMBER OF UNITS' x I COST PER TRIP x I NEW TRIP FACTOR
x
957 I , 2043 I 100 $195.48 1093
B IMPROVEMENT COST
ADT TRIP RATE I x I NUMBER OF UNITS x COST PER TRIP x INEWTRIPFACTOR
957 I I 1 $90 10 I 100 $862.25 1094
ITEM 3 TOTAL - TRANSPORT A nON SDC =, $1,057.73 I
4 SANITARY SEWER - MWMC
A REIMBURSEMENT COST
INUMBER OF FEU's x COST PER FEU
I I $95.35 = $95.35 1054
B IMPROVEMENT COST
INUMBER OF FEU's x COST PER FEU
, I $990 39 = $990.39 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 I 1054
MWMC ADMINISTRATIVE FEE $10,00 I 1056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , $1,095.74
SUBTOTAL (ADD ITEMS 1,2,3, & 4) =, $3,913.29
5 ADMINISTRATIVE FEE
I SUBTOTAL x ADM FEE RATE j= CHARGE
I $3,913 29 5% $19566
TOTAL SANITARY ADMINISTRATION FEE 12221 1079
TOTAL TRANSPORTATION ADMINISTRATION FEE $73 45 11078
Todd Singleton 4/16/2008 TOTAL SDC CHARGES =1 $4,108.95
PREPARED BY DATE
----
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNlTS
(NOTE FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
IBATIITUB 2-1 0 3 = 6
IDRINKING FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 = 0
I INTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 = 0
ILAUNDRY TUB 0 0 2 = 0
ICLOTHESWASHER/MOP SINK 1 0 3 = 3
ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
I RECEPTOR FOR REFRJG /WATER STATION /ETC 0 0 1 = 0
I RECEPTOR FOR COM SINK / DISHWASHER / ETC 1 0 3 = 3
ISHOWER, SINGLE STALL 0 0 2 = 0
I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
I SINK. COMMERCIALIRESIDENTIAL KlTCHEN 1 0 3 = 3
I SINK COMMERCIAL BAR 0 0 2 = 0
ISINK WASHBASINIDOUBLELAVATORY 0 0 2 = 0
SINK SINGLE LA V ATORYIRESIDENTIAL BAR 2 0 1 = 2
URINAL, STALL / WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
,TOILET, PRIVATE INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 23
*EDU (EQUIvalent Dwelhng Umt) IS a dIscharge eqUIvalent to a smgle faml1t ~welhng umt (20I?,.FU's) set at ] 67 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
]980
]98]
]982
]983
]984
1985
]986
]987
]988
]989
]990
]99]
]992
]993
]994
]995
]996
1997
]998
]999
2000
200]
CREDIT RATE/$l,OOO
ASSESSED VALUE
$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 I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
CREDIT FOR LAND (IF APPLICABLE)
VALUE /1000 CREDIT RATE
$0 00 x $5 29
=1
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE /1000 CREDIT RATE
$0 00 x $5 29
TOTAL MWMC CREDIT
=
:;
;
r
2
2
1979
$000
o
$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
COM2008-00523
COM2008-00523
COM2008-00523
COM2008-00523
COM2008-00523
COM2008-00523
COM2008-00523
COM2008-00523
COM2008-00523
COM2008-00523
COM2008-00523
COM2008-00523
COM2008-00523
COM2008-00523
COM2008-00523
COM2008-00523
COM2008-00523
COM2008-00523
COM2008-00523
COM2008-00523
COM2008-00523
COM2008-00523
COM2008-00523
COM2008-00523
COM2008-00523
COM2008-00523
COM2008-00523
COM2008-00523
COM2008-00523
COM2008-00523
COM2008-00523
COM2008-00523
COM2008-00523
COM2008-00523
Payments:
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
1200800000000000375
Date: 04/18/2008
DescnptlOn
Plan RevIew Same As
Plan Review Major - Plannmg
Bulldmg Permit
Addressmg AssIgnment
Wlllamalane Smgle Family
2 Baths One or Two FamIly
Storm Sewer Each Addtl 100'
Vent Fan
Apphance Vent
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Furnace - up to 100,000 btu
-Mech Iss 2+ Apphances-
ReSIdence Wifing 1000 Sq Ft
ReSIdence Wifing Ea Addtl 500
Temp Power 200 amps or less
FIre SF Fee - ReSidential
SIdewalk Permit
Curbcut Permit
PW DIsc - 2nd PermIt
Storm Dramage ImpervIOus Area
Samtary Sewer - ReImbursement
Samtary Sewer - Improvement
SDC Transpo ReImbursement
SDC Transpo Improvement
SDC MWMC ReImbursement
SDC MWMC Improvement
SDC MWMC AdmlmstratlOn
SDC Samtary/Storm Admm
SDC TransportatIOn Admm
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Paid By
TIM DREILING - HAYDEN
Item Total:
Check Number AuthOrizatIOn
Received By Batch Number Number How Received
IIh
092174 In Person
Payment Total:
Page 1 of I
9:37:25AM
Amount Due
220 00
205 00
694 44
3500
2,513 00
280 00
1600
21 00
700
10 00
700
500
1400
4000
11700
21 00
5500
71 55
8500
8500
(4000)
673 36
61717
469 29
19548
862 25
9535
99039
10 00
12221
7345
79 12
14969
131 90
$8,931.65
Amount Paid
$8,931 65
$8,931.65
4/18/2008