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Home My WebLink AboutPermit 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