HomeMy WebLinkAboutPermit Building 2008-4-18
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00524
ISSUED: 04/18/2008
APPLIED: 04/16/2008
EXPIRES: 10/18/2008
VALUE: $ 131,740.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5786 CINDER ST
ASSESSOR'S PARCEL NO.: 1802030007600
SPRINGFIETYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Single family residence-
SAME AS COM2007-01685 5780 Cinder St
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'
# of Units: 1 # of Stories: 1 Lot Size:
Primary Occupancy Group: R-3 Height of Structure 16.00 Sq Ft 1st Floor: 1,148
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 n/a Occupant Load:
REQUIRED PARKING
Overlay Dist: quiT~aJ:')U to 2
# Street Trees Rqd: Ni\ON: orego~ia~~: ortl~n'l1ih~~~~:
Paved Drive Rq&.:1iE 'es a.do?\e~e~'{ ru\e&G9Olp'aH?~~_
% of Lot Cover1ql19~ rt~on centee91'21PseUg\"l OAR 952-0 b'"
NotltICa , 001-00~ 0 t\"lro oHM rules J
\n OJ\R 952.- _... ^htA\n copIes, _ Mlpnnone
I PUBLIC IMPROVEMJB~~.\~h~"'~ente{. l~~\Uti~\t~ Notlflcai.\on
"'er 10{~ or~~q32._2.3t.4).
Street Improvements: nUm", · watKOIoIY'f1C
Fully Improved .. Cen ",' Curbside 5'
Storm Sewer Available: Yes DownspoutslDrains: Curb and Gutter
Special Instruction: No final occ~~ approval shall be granted prior to Public Works approval for pump station
Bf,W 1\1t. 01
~~~~:. StorS\\~\.ttrU-~m~,,~i!'hli~~~m system.
\n nt.?~\1'If"F~ ,\1\'2>, ,..to.\c.t"'I fO~
\ \I ~. ~\lt\.) uhV- ~~~NO\.J\'i-
p..\j1t\~t~Ct.D O~ \~OD. I Valuation Description I
CO~ \) Df\'l \>r.~
~'f.iJ~on Type of Construction
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
7.00
10.00
25.70
10.00
Subdivision Not Accepted
$ 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: COM2008-00524
ISSUED: 04/18/2008
APPLIED: 04/16/2008
EXPIRES: 10/18/2008
VALUE: $ 131,740.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
DwelIinl!s
Garal!e
V Wood Frame
Garal!e
$105.00
$28.00
1,148.00
400.00
$120,540,00
$11,200.00
$131,740.00
04/1612008
04/16/2008
Total Value of Project
~
Fee Description Amount Paid Date Paid Receipt Number
-Mech Iss 2+ Appliances- $40.00 4/18/08 1200800000000000374
+ 10% Administrative Fee $138.88 4/18/08 1200800000000000374
+ 12% State Surcharge $157.37 4/18/08 1200800000000000374
+ 5% Technology Fee $82.32 4/18/08 1200800000000000374
2 Baths One or Two Family $280.00 4/18/08 1200800000000000374
Addressing Assignment $35.00 4/18/08 1200800000000000374
Appliance Vent $7.00 4/18/08 1200800000000000374
Building Permit $737.40 4/18/08 1200800000000000374
Curbcut Permit $85.00 4/18/08 1200800000000000374
Dryer Vent $7.00 4/18/08 1200800000000000374
Exhaust Hoods $10.00 4/18/08 1200800000000000374
Fire SF Fee - Residential $77.40 4/18/08 1200800000000000374
Furnace - up to 100,000 btu $14.00 4/18/08 1200800000000000374
Gas Outlets 1-4 $5.00 4/18/08 1200800000000000374
Plan Review Major - Planning $205.00 4/18/08 1200800000000000374
Plan Review Same As $220.00 4/18/08 1200800000000000374
PW Disc - 2nd Permit $-40.00 4/18/08 1200800000000000374
Residence Wiring 1000 Sq Ft $117.00 4/18/08 1200800000000000374
Residence Wiring Ea Addtl 500 $42.00 4/18/08 1200800000000000374
Sanitary Sewer - Improvement $469.29 4/18/08 1200800000000000374
Sanitary Sewer - Reimbursement $617.17 4/18/08 1200800000000000374
SDC MWMC Administration $10.00 4/18/08 1200800000000000374
SDC MWMC Improvement $990.39 4/18/08 1200800000000000374
SDC MWMC Reimbursement $95.35 4/18/08 1200800000000000374
SDC Sanitary/Storm Admin $127.56 4/18/08 1200800000000000374
SDC Transpo Improvement $862.25 4/18/08 1200800000000000374
SDC Transpo Reimbursement $195.48 4/18/08 1200800000000000374
SDC Transportation Admin $72.79 4/18/08 1200800000000000374
Sidewalk Permit $85.00 4/18/08 1200800000000000374
Storm Drainage Impervious Area $767.13 4/18/08 1200800000000000374
Storm Sewer Each Addtl 100' $16.00 4/18/08 1200800000000000374
Temp Power 200 amps or less $55.00 4/18/08 1200800000000000374
Vent Fan $21.00 4/18/08 1200800000000000374
Willamalane Single Family $2,513.00 4/18/08 1200800000000000374
Total Amount Paid $9,117.78
I Plan Reviews'
Planninl! Review
04/16/2008
04/1612008
APP T AJ
Pal!e 2 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00524
ISSUED: 04/18/2008
APPLIED: 04/16/2008
EXPIRES: 10/18/2008
VALUE: $ 131,740.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Public Works Review
04/16/2008
04/16/2008
APP TSS
Storm water routed to public storm
system.
Same-as review. Approved as noted
on the Plans
Structural Review
04/16/2008
04/1612008
APP DLM
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.
~eQuiredJnsnections ,
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 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: COM2008-00524
ISSUED: 04/18/2008
APPLIED: 04/16/2008
EXPIRES: 10/18/2008
VALUE: $ 131,740.00
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.
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.
----- ~~
h ,~_ ~ __-..... 4 A
Owner or Contract;':s signat:red
0/- /-1}- oCS
Date
Pa2e 4 of 4
SPRINGFIELD r-~"''''''''"'''''''' LON \ ~
~ !. ~ .".;''b, ~\ IN1TIALS'--'W
~<S~;.:~,?~,"jfj^';;\;1f?1 DATE ~A ,I u. .()c{J/
~~'~~\(":~!~,!,l~~ ~ r; "4;-i.4.?'1 \...( ~
..:.'il~~~ "'" . SOURCE \..~~
Date
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX. (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number COlA/\.. '2.-00 g - c> 0 .5' Z-L(
, ';l~'q f.1~'l'i;:..4..!7i11"lr~~~I:[KC~;'f'i"Ull."]j~ ~1-flll, \{'r..'r~' 1~,lr;;: ~J q;r:i Ili~,~l ~ '''l:i 1'" ~ 'OJ
1. \~~:Y:O'({lA/fJP~rQ '.' I', t~' ,,'- :11QN;'{~':';/':~f'::";'{'
, '/ ~,~ ~ '1"<', '~~.ll'~,...'r" ( '11;e~ liIl1~1\1 ~~ 111~c"1Ir}\<Ll.~~ ,I" '~\1 ,1.)\ s. I~..L' L1J t "'1f' 'I, .1" l/i'l<' (<\1.
5786 ellA-dell ~ .
LEGAL DESCRIPTION
/BD2 D300
0766 D
JOB DESCRIPTION.
~~~(!" l.lllLe-
I tc-mP
I .
PermIts are non-transferable and expire If work IS
not started wIthin 180 days of issuance or If work IS
Suspended for _180~da.ys_- _ _ __ _ _ - - ~~ -- -- -- ~ - n
Electncal Contractor -r;,;:J)J~fv0 r:-/ec
Address ;;2087'1 ~IA L~f
(
~ ~Cify- -J~~?( -Phone 5*11 ~-3n79'jg
Supervisor LIcense Number Lj 05" Lf 5
ExprratlOn Date /2fJ-r; 1
Constr Contr Number /7 2 ;, (# f..,.
ExpIratIon Date ;28'6 '1
SIgnal Te of SupervAsmg plec1ncian
~\~\...
-"
Owners N~e - (j ~y~e,; J~;''''?
- ---:r;::--~- . - -
Address ~l.{(PL( =>~ 6.k..L/~ ff
U-
CIty fl'P{/'Y\O'~ Pbone.~~~ -,Coq"3S-
OWNER INSTALLATION
The mstallation is bemg made on propertY 1 own whIch
IS not intended for sale, lease or rent
Owners SIgnature
Inspection Request: 726-3769
3. ~ I 'CoMPlliirE FFE\S'CI-mDUfifBEI:6w~~~~:y;~~~~,~;~?~~,IJr~?~~:',; I"'; ,~~}~,~
I' ~ _' \ r, (11,lrj I' '""~'.._,,~ '..~,.,..._."..-' ~-..~~1..:. ./.. ,'t}J..!:',,~ .1::\1.:':..,'\.... ,~_"'~l,:;' _'I
'-,' 1 ,~,J~);~~~~!I...S:J~d'~'\VI,;~~l!fJt."~~jINj"'<.1,:t"lj!?;~~~i~f.iiij ~,....~n,(t"'j'I\~'F-.'i ~r-(17'5,-;'l)l;L\~;<'\lftfl""I1..~'1~ jfH' '~>;; l"i t-" ..'1 i~I'
A. !'i1':n~~"]tesi(j'eri daP::,{: Sjllgti; 'oF M'Md.:;:F~'mjI1I,"'per ~dwelli:d'g'uh)~~\'~:'f"l
.t"\' ~'~!.\,3_~~ tl,\l 'Ill i>.<;;-"'-dl (t':"t~'~ u _", l'~~f'Jud ,j~l,~'t'i..~\Ljl,~ t\ ,'~~;JlI' }IA':i..DI'!>...., l\_,ll,,~l\fl r...~: l
Service Included
1000 sq ft or less
Each addItlOnal 500 sq ft or
portIon thereof
Each Manufact'd Home or
Modular Dwellmg ServIce or
F eeder ~
)
Z
$117.00
J Ii
Lfl.-
$ 21 00
$55 00
1~ 'It4(1~~ (~r ~l~:; \1!Vj ~ P,1:~};'~i WW(~II~~~ 1:'~';~lr~~' 11" ~ r~\Y:'t -r1Iff;~:~tXIl-'jr.';7.~'...,~Jr;~I.:'A~lfit,.~,~9'9~~r. ~:-~I~"il~~lt~rJt~~(.l
B "S""" .j,,<1('I",' !T<I\ ,,,J, '>;Ip, "..I" 1'~I''''''t'I.''n' "'fi.n, " , "" , 't'''l<<ll''L:'''' 'l'o"""PJ{"ll,,,' "'''tl"rl.I'''i~l'
.', ernceS',OfJ 1"eeoer;>,I-,- ns a a on\' erauOl1s\on e oca 1O~1:,~"':
; I~J' ~:'1'~:; '~J~'..r~ ,,"L~~' ,}.11,11., J ,',.: t-,tE~"!~ ~ll'wLj !:~J lJ Ii. c(~ "}'Ju..~,<s,.i.' JJ.JJ.~ ',:';.i:.l:S~l'l'.GU..;...tlil~:J ;t:!).lll~;1;! lW~j<~J:\.11iLrJ~II,
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
--Over 1 OOO~AmlfslV oW; --~
Reconnect Only
$ 70 00
$ 83 00
$13 8 00
$180 00
---;--- ~--3>413~Ou
$ 55 00
"~I', o'1"i'J,'p 1 "1'1'1'
C ~ ~ ,1,'""'0(,' '
a .l;,k:~~~Bg1i~,~
Installation, Alteratton or RelocatIon
s)
/
$ 55 00
$ 76 00
$110 00
200 Amps or less
201 Amps to t\ 00 Amps
401 Amps to 600 Amps
Over 600 Amps or lDoo vtlts see "B" above
~11!~ \\ -"!;I;;4;~fP'tr"t~l: :ILI{l;1 :l~ :1;I,Oj'I;,I'II:!'}\ 11 ;t~lil:(f, J lil~\ ,~lj:'
D. ."Br,anch,Rj , "[""""'dl'II!"ll'. "I"
f"I~~: 'hili'.!l~:'rL ~.!J~'il ~!Js~lfl!ll!! J~i/lj~r :!.J~8~1~~~~1~~' ~,
\l"q, II I' lJI~lljl~l ':.1'1/,1.;
hl:~j;! 'i ;~~1) I; ';;1' Id, '; ~I\~i :
!i!t~!II.l!l!4'~~1\~J:l.:;lll1Ii~~
New Alteration or ExtenSIOn Per })anel
One CirCUIt
Each Additional CirCUIt or WIth
ServIce or Feeder Pemt
$ 48 00
$ 400
E YI~~~I~I:~ ~)t!'ll:]~i~~jJ~I\;r~~w' ?r~I~~ l~hP1JI"~ l( lA!i >'1;ll)V/1' , ~'~{lFg~:" 'l~~; ,"~\ ;~1\~,;:~q~ ',f2~,li~~,. ~'~I'.,'l! :t"'F'11~~\11/ij~11 ' f, I ~l 11.1'
'. ,'\:.-,Isce ..h'(;;O ere e/'f' d" "" ",,' Jui:Il.d~""~ " b't' ' ll" '.
J~'~"b.1~'d~I~J\I~<~ 1JJfd1I' flltl! L 3::rilG[a2r~~iJh~,\,e~~~~~ :fI!!l~rJ!1~{.t.~&rn1!l~~~,~f~lilJSua~l~lt1~:w.~Mg~~
Pump or IITIgabon
SlgnJOutlme LIghting
Llmlted EnergyfResIdentml
lilliitea-Energy/CommercI-cir-
$ 55 00
$ 55 00
$ 28 00
-- ~ --------
$ 50 00
MlDlillum Electric Permit Inspection Fee is $50.00 + Surcharges
i~ 1!~I~~~alfi'J[I~!a:'U\1r 1!.lr~y.:ffr t),",h}~l~;j)(
4, ;;!S:';: "miS-iS?'" 'I~ , ~ ~ ~
r:!~:ti:~IU1:!lW," IlI~Jtl~tlM~\~lli~l;r' ~/~ t?-O
- 12% State Surcharge 2.. ~ ~!>
10% Admmistrative Fee --2l , 44'J
5% Technology Fee ItJ _ 7;f:>
TOTAL ~.le
Shared Dnve(T )ffiUlldmg FarmsfElectncal Pemllt Apphcat\on I ~Og oac
q \\\ .l<b
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER COM2008-00524
NAME OR COMPANY Hayden Homes
LOCATION 5786 Cmder
TAX LOT NUMBER 1802030007600
DEVELOPMENT TYPE Smgle Farmly ReSidence
NEW DWELLING UNITS 1 BUILDING SIZE (SF: 1658 LOT SIZE (SF)
1 STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS SF x COST PER S F CHARGE'
221700 $0346 = I $767131
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S F I x COST PER S F I x I DISCOUNT RATE I I
o 00 I $0 346 I 50% I = I
ITEM 1 TOTAL - STORM DRAINAGE SDC '$767.13'
2 SANITARY SEWER - CITY
A REIMBURSEMENT COST
NUMBER OF DFU's x
23
B IMPROVEMENT COST
I NUMBER OF DFU's x
I 23
5743
C/)
W
Q
o
u
~
W
E-<
.' C/)
......
o
.~
DISCOUNT
$000
$767.13
1070
COST PER DFU
$26 83
I
II
,
i11091
$617.17
COST PER DFU
$20 40
$469.29
1092
= ,
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
B IMPROVEMENT COST 1,-
ADT TRIP RATE I x NUMBER OF UNITS I, x I COST PER TRIP
9 57 I 1 I I $90 10
ITEM 3 TOTAL - TRANSPORTATION SDC = , $1,057.73 '
4 SANITARY SEWER - MWMC
A REIMBURSEMENT COST
INUMBER OF FEU's x
I I
3 TRANSPORTATION
A REIMBURSEMENT COST
I ADT TRIP RATE I x
I 957 I
B IMPROVEMENT COST
INUMBER OF FEU's x
I I
$1,086.46 ,I
NUMBER OF UNITS x I
1 I
COST PER TRIP I x NEW TRIP FACTOR
2043" I I 00
$195.48
1093
x NEW TRIP FACTOR
100
$862.25
1094
ICOST PER FEU
, $9535
$95,35
1054
=
ICOST PER FEU
I $99039
= $990.39 1055
$0,00 1054
$10,00 1056
= , $1,095.74 "
= , $4,007.06 1
--
CHARGE
$20035
12756 1079
$72 79 1078
TOTAL SDC CHARGES =, $4,207.41 I
-.~ -.~- I'
.-- ...
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATNE 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 $4,007 06 I 5%
TOTAL SANITARY ADMINISTRATION FEE
TOTAL TRANSPORTATION ADMINISTRATION FEE
Todd Singleton
PREPARED BY
4/1 6/2008
DATE
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS
(NOTE FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
BATHTUB 2 0 3 = 6
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 = 0
IINTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 = 0
LAUNDRY TUB 0 0 2 = 0
CLOTHESW ASHER / MOP SINK 1 0 3 = 3
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRIG / WATER STATION / ETC 0 0 1 = 0
I RECEPTOR FOR COM. SINK / DISHWASHER / ETC 1 0 3 = 3
I SHOWER, SINGLE STALL 0 0 2 = 0
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
SINK COMMERCIAL BAR 0 0 2 = 0
SINK WASH BASINIDOUBLE LAVATORY 0 0 2 = 0
SINK SINGLE LA V ATORYIRESIDENTIAL BAR 2 0 1 = 2
URINAL, STALL / WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 23
.EDU (EqU1valent Dwelhng Urnt) IS a dIscharge eqU1valent to a smgle family dwellmg urnt (20 OFD's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$l,OOO
ASSESSED VALUE
$529
$529
$519
$512
$498
$4 80
$463
$440
$407
$367
$322
$273
$225
$180
$159
$145
$1.25
$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
2
2
]979
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE
$0 00 x $5.29
= I
$000
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE /1000 CREDIT RATE
$0 00 x $5 29
o
TOTAL MWMC CREDIT
$000
=
Willamalane
I Park & Recreation District
Job. No. ~ZLJ{) 1J 7/{)~~
SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2008
NAME: ~)bV /frl'1~e:t PHONE: Z.2~ . ~? ~
ADDRESS.~ 2V~~d< CITY J"'u__-A STATE:~IP:-.1.17.r~
;te, ~ -
LOCATION OF PROPOSED BUILDING SITE:
StreetAddress:57~ c/v1J~( 57"
Plat Name:-/AJ#ij1t ~Jm~r Tax Lot Number: /tfl.JtJ2.LJ~~o 02.1P6-0
1. DEVELOPMENT TYPE (Check appropnate dwelllng(s). Dwelling type definitions are on the
back. )
A. Sinale-Familv Detached
NO, OF UNITS
,
X $2,513 per unit =
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 =
$ 2-S-j:J
$'
$
$
$
WILLAMALANE SDC $
2. SDC CREDIT (If applicable) SDC payer must furnish proof of
Willamalane Credit approval) $
3. TOTAL WILLAMALANE NET SDe ASSESSED
\$C)red~~redit) ~ t) 4 /
Development ServiCes De~nl Dale
City of Springfield
$ 25/3
8, 08
5
225 Fifth Street
Spri~gfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00524
COM2008-00524
COM2008-00524
COM2008-00524
COM2008-00524
COM2008-00524
COM2008-00524
COM2008-00524
COM2008-00524
COM2008-00524
COM2008-00524
COM2008-00524
COM2008-00524
COM2008-00524
COM2008-00524
COM2008-00524
COM2008-00524
COM2008-00524
COM2008-00524
COM2008-00524
COM2008-00524
COM2008-00524
COM2008-00524
COM2008-00524
COM2008-00524
COM2008-00524
COM2008-00524
COM2008-00524
COM2008-00524
COM2008-00524
COM2008-00524
COM2008-00524
COM2008-00524
COM2008-00524
Payments:
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
1200800000000000374
Date: 04/18/2008
DescriptIOn
Plan RevIew Same As
Storm Dramage ImpervIOus Area
Samtary Sewer - Reimbursement
Samtary Sewer - Improvement
Plan Review Major - Plannmg
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC ReImbursement
SDC MWMC Improvement
SDC MWMC AdmmlstratlOn
SDC Samtary/Storm Admm
SDC TransportatIOn Admm
Sidewalk PermIt
Curbcut PermIt
PW DISC - 2nd PermIt
BUlldmg Permit
Addressmg AssIgnment
WIllamalane Smgle 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
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmmIstratlve Fee
Paid By
TIM DREILING - HAYDEN
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
IIh 035961 In Person
Payment Total:
Page I of I
9:01 :47 AM
Amount Due
220 00
767 13
61717
469 29
205 00
19548
862 25
95,35
990 39
10 00
12756
72 79
8500
8500
(40 00)
737 40
3500
2,51300
280 00
1600
1400
2100
700
10 00
700
500
4000
11700
4200
5500
77 40
8232
15737
13888
$9,117.78
Amount Paid
$9,11778
$9,117.78
4/18/2008