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Home My WebLink AboutPermit Building 2003-3-19 . .. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00065 ISSUED: 03/19/2003 APPLIED: 02/05/2003 EXPIRES: 09/19/2003 VALUE: $ 185,245.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ~ SITE ADDRESS: 5691 5693 Glacier Dr ASSESSOR'S PARCEL NO.: 1802041104500 Springfield TYPE OF Duplex TYPE OF USE: New Residential PROJECT DESCR[PTlON: Duplex Owner: PRASAD GYANENDRA & SATYA W Address: 3274 LAKESIDE DR EUGENE OR 97401 I CONTRACTOR INFORMATION I Contractor DUANE A KNIGHTS BATEMAN ELECTR[C [NC MARSHALLS INC ' ,~~, PRASAD GYANENDRA & SA~~~ SURRETTS PLUMB[NG ~ .Co. ~ 121687 I MfiI~4-~FORMATlON I #!('''<":.~0'' # of Buildiugs: !",\"\,, <(; '\~S ~ Stories: I Lot Size: Primary Occupaucy Group: ~ ~<{.. ~~ Height of 16,00 Sq Ft 1st Floor: Secondary Occupancy ~~. # iJ..:!~ {> ~<;), Type of Heat: Electric Sq.F,t\2'nd Floor: JFrimary Constructiou T~1~ "?\,~ ~~l'\ <::::,<{.. ~(;S Water Type: Electric ~~e's"(tFt:iJli1eiJJeut: Sccoudary Constructi~,,^,S .,,,'\V ~p}'_. "?~ Range Type: Electr!.C\~ ~lSfFi~W~ge/Carport ,'<.....,'<.~(_,,~ N' O~uuf1.., l\- # of Bedrooms: ",," _~~v '"' 'e' Energy Path: ,,\path.1 Sq F!,Otlier:'O'. r'\J ~\$!" CO'\,) 0" ~$..o Pjc. "" /\ '"')"" ,.,....... ",(;S.,-\, '\ _ "O~e~~o '0'\ r0~.$' ~-O~P~r!9u~~tur!ace Area: Y" I DEVELOPMENT,INFORMAT)()N:I"'O${-~ o~ ~e\0~~\c,'f>.\\V' ~\' ~'V' (j"" \:II,,)' 'f:\c,O~ .~ ~\QREQUlRED PARK[NG "0..-1 \0'0 R)\' ~'l>~ ~,o\e' 'i\\~ n~'\' Overlaymist;..'c>~ 'iJ{:\:S oa-'\ 0'" 0~'~~ r;:. 0~ ':1:"''' Total: 4 # Street.T~~'.;s~g ., \", r0"~O,e~~5.'1>'?i Haudicapped: , I)' .laV e v "n,,," Paved Dr.ive Rqd: '" 'S' \S'e \'y Compact: . r,l;)"a' ~\\"YJ \O~ ~\'" es % of Lot Covef~ge:;p r-e'0\e 32.00 (\'V-'\\ v Contractor Type General Electrical Mechanical Owner Plumbing License 12112 [51911 25790 Expiration Date 07/10/2003 06/21/2004 12123/2003 Phone 541-726-2960 541-995-4757 541-747-7445 01/14/2004 541-741-3553 9,500 2,268 819 SETBACKS Front yard Sethack: Side I Setback: Side 2 Setback: 18,00 10,00 11.00 Rearyard Setback: Solar Setbacks: 10,00 32,00 IPUBLlC IMPROVEMENTS' Street Storm Sewer Available: Special Instruction: Fully Improved No Sidewalk Type: Downspouts/Drains Curbside 5' Curb and Gutter Notes: I of 4 . . U 1 t' OF ~rKll'\jGFIELD Building/Combination Permit PERMIT NO: COM2003-00065 ISSUED: 03/19/2003 APPLIED: 02/05/2003 EXPIRES: 09/19/2003 VALUE: $ 185,245.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion I Description Dwellings Garage Type of Construction V Wood Frame Garage $ Per Sq Ft $74.60 $19,60 Square Footage 2,268.00 819.00 Value $169,192,80 $16,052,40 $185,245,20 Date Calculated 0210512003 02/05/2003 Total Value of Project I Fees Paid I Fee Description Amount Paid Date Receipt Numher Plan Review Residential $547.24 2/5/03 1200200000000000654 Temp Power 200 amps or less $50.00 3/6/03 1200200000000000781 -Mechanical Issuance Fee- $10,00 3/19/03 1200200000000000855 + 10% Administrative Fee $168.62 3/19/03 1200200000000000855 + 7% State Surcharge S1I8.03 3/19/03 1200200000000000855 2 Baths One or Two Family $508,00 3/19/03 1200200000000000855 Addressing Assignment $16,00 3/19/03 1200200000000000855 Annexed 1979 or Before $-130,80 3/19/03 1200200000000000855 Bnilding Permit $845.15 3/19/03 1200200000000000855 Curhcut Permit $75.00 3/19/03 1200200000000000855 Dryer Vent $12,00 3/19/03 1200200000000000855 Exhaust Hoods $18.00 3/19/03 1200200000000000855 Minimum/Adjustment Mechanical $3,00 3/19/03 1200200000000000855 Plan Review - Planning $59.00 3/19/03 1200200000000000855 PW Mult Disc - 2nd Permit $-30,00 3/19/03 1200200000000000855 Residence Wiring 1000 Sq Ft $212.00 3/19/03 1200200000000000855 Residence Wiring Ea Addtl 500 $76,00 3/19/03 1200200000000000855 Sanitary Sewer - Improvement $638,02 3/19/03 1200200000000000855 Sanitary Sewer - Reimbursement $839.42 3/19/03 1200200000000000855 SDC MWMC Administration $10,00 3/19/03 1200200000000000855 SDC MWMC Improvement $69.66 3/19/03 1200200000000000855 SDC MWMC Reimbursement $665,72 3/19/03 1200200000000000855 SDC Sanitary/Storm Admin $139,97 3/19/03 1200200000000000855 SDC Transpo Admin $99,86 3/19/03 1200200000000000855 SDC Transpo Improvement $1,419.61 3/19/03 1200200000000000855 SDC Transpo Reimbursement $321.74 3/19/03 1200200000000000855 Sidewalk Permit $75,00 3/19/03 1200200000000000855 Storm Drainage Impervious Area $963,31 3/19/03 1200200000000000855 Vent Fan $12.00 3/19/03 1200200000000000855 WilIamalane Attached (duplex) $1,848,00 3/19/03 1200200000000000855 Total Amount $9,659.55 I Plan Reviews I Initial Review 02106/2003 02106/2003 APP RJB 2 of 4 rl . . CITY OF SrKll'1lJl'JELD . Building/Combination Permit PERMIT NO: COM2003-00065 ISSUED: 03/19/2003 APPLIED: 02/05/2003 EXPIRFS: 09/19/2003 VALUE: $ 185,245.00 Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Planning Review 02106/2003 APP EMM Called applicant and left message regarding the 30' requiremcnt from the intersection curb return to the beginning of the driveway, Resubmitted on 3/4/03. Checked with Engineering about the angle of the driveway across the sidewalk. It needs to be at a 90 degree angle. See letter regarding sethacks and survey, S/W and D/W shall be constructed to City Spec's. The D/W will be outsidE of the vision triangle, per discussion with builder and VRJ. Public Works Review 02106/2003 03/11/2003 APP DJW Structural Review 0210612003 03/06/2003 APP RJB 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 Reouired Insnections , I Sidewalk - Curbside: After forms are erected but prior to placement of concrete. 2 Curbcut - Standard: After forms are erected but prior to placement of concrete. 3 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor foundation inspection. 4 Footing: After trenches are excavated. 5 Foundation: After forms are erected but prior to concrete placement. 6 Post and Beam: Prior to noor insulation or decking. 7 Floor Insulation: Prior to decking. 8 Shear Wall Nailing: Before covering sheathing with finish materials. 9 Framing Inspection: Prior to cover and after all rough iu inspections have been approved. 10 Wall Insulation: Prior to cover, II Ceiling Insulation: Prior to cover. 12 Drywall: Prior to taping. 13 Final Building: After all required inspections have been requested and approved and the building is complete, 14 Undernoor Plumbing: Prior to Insulation or decking. 15 Rough Plumbing: Prior to cover and including required testing. 16 Water Line: Prior to filling trench and including required testing. 17 Sanitary Sewer Line: Prior to filling trench and including required testing. 18 Storm Sewer Line: Prior to filling trench. 19 Final Plumbing: When all plumbing work is complete. 20 Undernoor Mechanical. Prior to insulation or decking and including required testing. 21 Rough Mechanical: Prior to Cover 22 Final Mechanical: When all mechanical work is complete. 23 Temporary Electric: Approval required prior to Utility Company energizing pole. 24 Rough Electric: Prior to Cover 25 Electric Service: Approval required prior to utility company energizing service. 26 Final Electric: When all electrical work is complete. 3 of 4 v . . CITY OF :st"Kll~lJFIELD ' Building/Combination Permit PERMIT NO: COM2003-00065 ISSUED: 03/19/2003 APPLIED: 02/05/2003 EXPIRES: 09/19/2003 VALUE: $ 185,245.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, 1 state and agree, that I have carefuUy examined the completed application and do hereby certifY that all information bereon is true and correct, and I further certify that any and all work performed sball 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 OCCUP ANCY 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 wiD 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~<.:d~~It.L:;;;-./ ~-Ir - 03 Owner or Contracto;s Si~re Date 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Line Items: Job/Journal Number COM2003-00065 COM2003-00065 COM2003-00065 COM2003-00065 COM2003-00065 COM2003-00065 COM2003-00065 COM2003-00065 COM2003-00065 COM2003-00065 COM2003-00065 COM2003-00065 COM2003-00065 COM2003-00065 COM2003-00065 3/19/2003 2:1O:44PM City of Springfield Development Services Department Public Works Department Official Receipt Receipt #: 1200200000000000855 Date: 03/19/2003 . Amount Paid 59.00 75.00 75.00 (30.00) 963.31 839.42 638.02 321.74 . 1,419.61 665.72 69.66 10.00 139.97 99.86 (130.80) Description Plan Review - Planning Sidewalk Permit Curbeut Permit PW Mult Disc - 2nd 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 Transpo Admin Annexed 1979 or Before Page I of3 cReccipt.rpt 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone COM2003-00065 COM2003-00065 COM2003-00065 COM2003-00065 COM2003-00065 COM2003-00065 COM2003-00065 COM2003-00065 COM2003-00065 COM2003-00065 COM2003-00065 COM2003-00065 COM2003-00065 Receipt #: 1200200000000000855 Date: 03/1912003 Addressing Assignment Willamalane Attached (duplex) Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 2 Baths One or Two Family Vent Fan Exhaust Hoods Dryer Vent Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Building Permit + 7% State Surcharge + 10% Administrative Fee Page 2 of3 3/19/2003 2: 1O:45PM City of Springfield Development Services Department Public Works Department Official Receipt 16.00 1,848.00 212.00 76.00 508.00 . 12.00 18.00 12.00 3.00 10.00 . 845.15 118.03 168.62 Line Item Total: 59,062.31 cReceiptrpt 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Payments: TWe of Payment Check Receipt #: 1200200000000000855 Date: 03/19/2003 Paid By Received By Check Number Confirm No DUANE KNIGHTS djb Page 3 of3 3/19/2003 2:1O:44PM City of Springfield Development Services Department Public Works Department Official Receipt . How Received Amount Paid In Person 9,062.3 I $9,062.3 I Payment Total: . cRccdpt.rpt . " -FIFTHSTREET". ",c.,., ",.".,,- E+CALPE TAPP . _:.. "'.22) - ,"- ;,.""",,~';::_"_' RMI LICATION ",' ," ',,' ...... " . .._~ \1"';0;- " ',_ 'i,;;':'~"'.' ",' .,.\-..... ~.. -' ",'- \ .. . .,' . ~ . -, ,'('\; 1;'+ SPRINGFIELD, OREGON 97477 :r.:"';{~ 'A j;;":':~ld;;;",',': :.'.., ,>. ,: t". ,;'" ~,).. . ,,~ '.; " "_;: 11'/ INSPECTION REQUEST: 726:37~9'~ :T; ft~':-, ;:i; :'CityJoh ~umi)ei:-e.3/7<600'<6 (-:'" '.: I:' ,.... ': ~: ,".,' ". . '", '~'''~'. '" _ 'L '. ~.... '.;.,1 '-,'" ..-.\~. t ,~. ,"'. -' .. > ...... ,- " -.. _.. . '-";:;"":i ;>:OFFICE' 726-37,9 <..,,~.. . '.....j. :(~.}-~ ):J )::':'~i:'~)' ~;~'i. :;- _.-~ I... ".~:.~.\ . 'J"'" 0"; "":'t',' ',', ,',', "'ll,';l; . .",'.'_., ,~.r. '-.]';~...:';4;. <l"T".;;.~;:.....:.... J' ~,.,~ ",'i~"_'<c".I' ",""'.. "Ii,,' '!' tJ' '-;;.3" ':} - '"'t"-:" :,.',,'. ~'el; ':"', .Ii'. ~r .:.: ~"'"":, 3:'.COMPLETE FEE SCHEDULE BELOW';..-')",-:'-'.: .; '. : :,' "'",.' ''':4;. \'" '.,' ,.' " .'~_:.' ", ^,-<.. - ~"I' l:).;~'...\'..,...,..".~''".'' "-"',' l,;-..-," ,~',"" ..., ,-"" ,i.~_'. .,.... i':',~f::;" C; I. LOCATION O. F INSTA~'~ION ~;,: ~,j,,,,Ie'.J .;\"",::,;:,: ii:V.;,: Ii"" ;,',' ,~;-:,,",....<<, .,':. :",:y:,..;<: ': :"';";-. ::. ,,-...~. ~ t.'/~",I":", ';"")'.,' . -':'- f'i~~.T'r':l:":""'~"'''' :.,~, ~ .'-., - .,.. -. ., "",. I' " '. " . ".- ., _~(;C; :'-)-0~7'3 "Jrt-C/(;.<__""'A~"Ne;,:Residential-Singleor' '..",':;, -:,'~.'" - ,"..":~;' - Multi-Family per dwelling unit. Service Included: LEGAL DESCRIPTION I gO"L D'tl/ .t. ~::\ ' i: t,T::' ':\~~ ~~;.~;~ ..wc;. \O~,o 13 ~0 i>~" ?J.S \?J.~ JOB DESCRIP;rION .~0i>"'C\~\0 sq.ft. or less 7\ 14 hi' U?:"/ _ ~~'O<!i-'e ..'10 additional 500 ~ /"' , ,'lJ.:T o..v 00 ,0 n ~ q. ft ortion .' (6~ f;\o\ ~--.... Permits are non-transferable ani~~~ I2t ; 0 tl eof if work is not started withi,b+~'S ,18 Each Manufd Home or !,':.. of issuance or if ivork i~~~~~d f~~\I'c;. Modular Dwelling :;"';,: 180 days. . ,..... '\.~~~(O 1,0 0 Service or Feeder .. : t:r.. ~: ' . " ~ _ + ~'V-( . . :~,_-,: 2, CONTRAtTORI~STALb~!r~~t't~M~ \x\LB. Sen'ielesorIIFe.ederAsl ,'~'~"/~~.i:'{{' :t ~~.:_""'~ n^-\AI^^~\'v nsta atton, tcrahonsor '-'. .'. -"'~"';'v' , ':', j;' Electric<lrContractor~' Un . c ' . Relocation: ,;l~('~ ....:~;;"- ....',./..i.~<~~~. ~'" ';~/~' 'r " Addressl6S,i' \:\e:tkR.vt ~~~:'... 200 amps or ]ess+::{;'~)~::';~{:'~ ~,: :~'~~~~}oo' :'::~; I \:.:;:"" \"~'6'?';" ';)q':\ l~,y;;,\:~j,:::<,;~,. . 20] amps to 40r)'i,;,ps\..T;(,;- :', ~ '; ,>f75:0()~ : :.'_'...::,,'.:-:...-.,,:.'.,.;.~.';_'.'_:~':,_.<.'~.:~:,:, Cit)' ~~;~; ,hone" /~:~~!t:~~~fi1,::" 40 I amps t~.6()() anip,s';.~i ~o"".;' ,;' j-,_, ',;'$'125.00. ,::. ~.~ ." t~..if:-';_-<\",")~, .~,<, ~-!. ';. i-~ ~S"",,:,,::,:;~~':,,!,1.,~.,,;"t7(<:;';~''''' ,..GOl amps!~J9..oQ,~Il1PS_,"',..f.,.~,;...'~\~I,(q.QO,~' . ", ,,, ", .' , .' ,;'.,' ....~ .,.....;;t.')~~,,;n_., .. . . ,,' .:-....-., '1\." . .~.. . ,,' . '..;. ..:. l~'1\:{~ Super\'lS;J~:~~C.~P.~c~.~~.~~~~?~r," ;;~.,'.,:~_",'~:.:.:;~.' ':'~i~;r~t'$i{~r~~:~,l qv~r 10?Q ~lnp~{~~H~,':tt7A:'~,;..~;'~.Y~.:_ .,.~,~,~,~:'$~.7.~.9~;' ',' -,,-~'" '. l'~ ...... ;, . ' <~~..,~...L. \." -t ,,',,,. "6- .'t.,- ~----~ II.'~' .,(Ioi,; - ,..,..'..... >",,'.y .' 'R. econnec.t 0 nlY,,>)/;., '~'. ';) ~:;.:.-~. - - ,.... ." -,~ ; $ 50.00 . .... . ~: ,:_....~., .. .~'.<. ~~~-Q.., .:~ ~ "p:' ,. :''/h'-:;': : ,",:-': (j).,7{/...;.i;~' '=S,",;f :';;:~:-' i':~': '._.,_'.. ~:,.' ," -::.;'::.::'"~"",,.~..:,\-'" -,:;.~ '~\. .,'" ,~~" 1i~!'-"''1p,~' Exp~r.at1?n~l?ate . ',,~ ,.',,:" Ii 'W~:' ~. .' _':~~.~. :."~~; ',,) ;:>:. ,~'!..~,,;:;" :.~.. ".~\~ .~.>( }'~''':':'~-~'\;:~' ~~.:' :. ...~';...;:: . ;'r' "~.,... ~,' ~.~ ,,'"'' -., ., ','- ,....., <'f.4 -.. , .' , .f,,,!;;, ,- .......- ~ "EX"~' . ,... ....~ _v, '.'. tF 'I'" " ... . i"'''' . .. . . ~, ',' j,""'.;.,:'""; ,."r." ~', ':~-f'..f.-.-i'...>;.,.; :....t '.~'li".. . .: - '~'-"-."-".""'''' :.-~-;"....~ -".": .', 1!~' ~.~~~s or ee(. ers:' ....', . .... ~". . .,..-.~..,r,:r:~.,~ '.-': '.~.., .t.... '.W.::' .' ,. '.- "..;:)..,~ ,I.' ; ,. "'('~'.\c:..>l!{(l'OJ;hMit'SAAUJj' .p . - .' r\- ~ .>"J.'''. ," ..,~..' .'St'Y l' If' .~.: -~.~:}" At.. :p\: '!'- . ""CanstI' Contr.'NulI1b. "i"1 .-,JI\\ ><\.'1''\1:\. ' '. ':. ..'.' "." .:~~, '''H'''' I, , lati. in' t' liD. ,1"or ~Cloc1ltiD.I; ~.;,.e:r:;I,~ "'>". "'::)":',;-' :,+. ':"" ""-'~, i:.;':':-:, -~JH~. t!FUOu:o.EB\l. lS:P~~MI:1 ,: _ '~;: ;..\:",~,;,~ ~~;_.r.:,\.:;'~("~~:";V:':":~ \', · '., '. _'" ~/O':';"-' ~'I.tt_.r.(' ;,,~~!i.:r. ''':\-;''\)O.~';.t:);''r:nn.' .... 'I"~'\ ' ',', .'1...... ,\ ,'-'to l.~.~ -;~_':'~t\"~;;.,b~pifiltion Date . (_. lKif - _q '. .',Jt\~.:A~~~ :,~,!..-.u~,alup~ 0,1', les(i;:f:, /;,:,:t;i(_\~ <; .,\.~~q,oo :'1=,':-:' ,;::~<:'r\'~.,:.',::.;.:' .. ANY 180 OIAY' PEl'lteo"t:.,';;;.';:(/'20 Larilps,to 400_amps';'[:"j1:,.;':"., '!:"~".'~$69,00:.. C',. .',' t~...:.--:t':.:;"',".,,,_,. '.,.... .f:t '!--:'i,""-'\\'~' .... ..~, ",.f,'''-.t;.,\':' \',F';'~~fit~": ""'~" -'" " ,~<.:-;:-:- ::: ~-,.("t~~:':'r-~~,:::;'~Sigllature of SupclTising l:.lcctJ'ician ,~. .;..<.:i:, Over 40 I.to 600.ampst,;.,.P-:<Y';"~;,,,,;'~ [~~et;$IOO.OO,J1"\' ,''''::f " ~":;;O,..f''',,',_, _'" "........'... .' . .'."_ -,.,..... ._'. .,_...'.:t'~"""""!"\~'~1 ~..' .'~'I:':t:::t- .)>. :::- .';" ~~ .: '~ Over 600 amps o~ 1000 \'ol.iS see . ." :,::~'r.~ ".~: .:' '~-, "".:"':.. ~ ~';':~~~~,,;,~~i,J,0';~.:(~:~~~.Y,::: ~ .L- "B"aboye "'-.. ,,:_~ ,:~\!)'{~":.:r:,';~:}. I.i....,."."".."'..:",,,.:.......;..~~b~~ .- V ~_'7R_ _ _ ~l:{, ,{ '"..........';.\.,..11 ,~v:., :'.--~; . ~':.l'-:--'\;j'A,i>/.~- ',,',,-.' Gii'" .'.".'-.---;'../, ,'{.i,'. (,....\';I...,'.."."..,:......__.......M. .\,:....f~,.,:'::...t\_~ ,.\-_.'. -':+"~";~~'_ ,..,,:,.., .. ~;t0, . D. Bn1l1ChCll'cul~s .,:.....~~:-.;'..';,:.;t,..:'.~...: ,:~: ~ .,'.;:;.~::~.~':-O'''J.I~r~ ~a~c' r'. t. "~/!r'J,. ::t~t:ndr.A- Ncwj\I,tcr3tion or .~,tension Per. Pil~~l~ ~~:\~:1... .:"~::.~ ~~ ": " \;:.>;j~:~>~l:;~;;:e~:"-'3.:z:7:q,;:;';: 'tA,\\1&S..dl:-'D r One CirCllii:, i.-.~ .';, ),/~i~~'~o'..r~ >',;; .; '.;,,;i..~\i ~::',::.":-' '~',,'~ . ,-.;,~., ".'.. .' ";.__~ci"'~-~;l ' : ..;. ,- ~.,.-, .~>.. ~~:"":I_:, .<,--:--. , "".' ~-,' .~~~.. .'J . . ",J.':~ ':, J I I l;l\lI IUI\I.:.urti(l('!f'.\aw rei'!U1rAS "OJ I t'" .' '. '.:'/ ','.' . , . . .' Cltd:::~l.AC, t7V L Phone, -'-,'. - . ' I ],ach Amh IOnal Clrcmt or mth,SelVlce I ' , . ': =,,;, ' , . ,vllow ru es 8J}<'F1lfcatpmm uregon UtllliY' ,,','$ 3,00 ". :..::;O\\;~'ER IN s"'rALLATi ON NotitiCl;ltion Center. TMse rules are set fOi'~,; '" ':~ . . , .In OAH ;;)5.... ':\('\1 tl(\.,n't~< ';,\II,,:,,'~'I\r.':' Ok') t:\n"" . . - ':". The installation is beingmade on '.' ., E-. ,!\hseellaneolls(Sel"'lee/fee~er'nDt'ihcluded) " . . 'pioperty I oim which is nol intended 0090. You mnY4;;achiiilst5113tiiin':'1 tho rules b: " " : " for, sale, lease or rent.: : :,. calling tho CP.llilip':O:,'irrigatibn1 telap,hone _ $50.00 ~ nu,nberfort~Sig-n!0Htlille.l!.iglltii1g)tification _ $50,00_ C('nteli!lI\te,g:f,Il'-fm:II3-.!'M4).' $25,00 Limited Energ)'/Comm $~5,tlO Oli so-o Items Cost SUlh ';'. ~., . ~$106,00 ill " :".1 ~ $ 19.00 '7(p $ 50,00 , . (''',' ,Owners Signature: I\Iinimul11 Electric Permit lnsjlcction Fcc i:-i S45.00 + Surcharges TOTAL 3315 23 bb , "S:s l5U f>37S~ , , " , . \ . ....-.:. 4, SUBTOTAL OF ABOVE 70/0 State Surcharge 80/0 Adminis~l'atiYc Fcc , ,. "\. ../, '--- CITY OAlRINGFIELD SYSTEMS DEVELOPM. WORKSHEET JOURNAL OR JOB NUMBER: Com2003-00065 NAME OR COMPANY: Duane Kni~hls LOCATION: 569115693 Glacier SI. TAX LOT NUMBER: 180204II-TL04500 DEVELOPMENT TYPE: NEW DWELLING UNITS 2 BUILDING SIZE (SF) 0 LOT SIZE (SF): L STORM DRAINAGE DlRECf RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S,F. . x I COST PER S,F, I CHARGE I 3416.00 1 $0,282 = I $963,31 1 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCfED TO CITY STANDARDS I IMPERVIOUS S,F_ I x I COST PER S,F, 1 x I DISCOUNT RATE I I DISCOUNT r 0.00 1 $0,282 I 50% 1 = I $0,00 ITEM I TOTAL - STORM DRAINAGE SDC '$963.31 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: 1 NUM BER OF DFU's 1 x I I 38 I COST PER DFU $22.09 B. IMPROVEMENT COST: I NUMBER OF DFU's I x I 38 I COST PER DFU $16,79 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , 1. TRANSPORTATION A. REIMBURSEMENT COST: I ADTTRIP RATE 1 x I NUMBER OF UNITS' x I I 9.57 2 I B. IMPROVEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I x I I 9.57 2 I ITEM 3TOTAL-TRANSPORTATION SDC = I 4 SANITARY SEWER - MWMC A, REIMBURSEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I 2 I $332.86 B. IMPROVEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I 2 I $34_83 MWMC CREDIT IF APPLlCABLIj (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL. MWMC SANITARY SEWER SDC = , SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , 5. ADMINISTRATIVE fEE: 'SUBTOTAL , x I ADM, FEE RATE 1= I 1 $4.796.68 1 I 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: r; CI o U 'i:>:: 9584 ~ l~ $963.3 I I 1070 = $839,42 1091 = $638.02 1092 $1,477.44 COST PER TRIP $16.81 x INEWTRIPFACfORI I 1.00 = $321.74 11093 I COST PER TRIP $74,17 $1,741.35 x INEWTRIPFACfORI I 1.00 = $1,419.61 11094 = $665.72 11054 I = $69.66 I 1055 = ($130.80) I 1054 = $10.00 ] 1056 $614,58 I $4,796.68 _I CHARGE $239_83 139,97 1079 $99,86 _ 11078 TOTAL SDC CHARGES = $S,036~Sl I 3/1112003 Steve Templin PREPARED BY DATE . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW RXTURES x UNIT EQUIVALENT = DRAINAGE AXTURE UNITS (NOTE: RlR REMODELS, CALCUlATE ONLY THE NET ADDITIONAL AXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EOUIV ALENT UNITS BATHTUB 2 0 3 = 6 IDRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 ICLOTHESW ASHER / MOP SINK 2 0 3 = 6 ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REFRIG/WATER STATION / ETC. 0 0 1 = 0 I RECEPTOR FOR COM, SINK / DISHWASHER / ETc.1 0 0 3 = 0 I SHOWER. SINGLE STALL 2 0 2 = 4 ISHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0 ISINK: COMMERCIAURESIDENTIAL KITCHEN 2 0 3 = 6 ISINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 ISINK: SINGLE LAV ATORY/RESIDENTIAL BAR 4 0 1 = 4 IURINAL. STALL! WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 I ITOILET. PRIV ATE INST ALLA TION 4 0 3 = 12 I MISCELLANEOUS DFU TYPE NUMBER OF EDU'S I 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 38 ~I .EDU (Equivalent DwelJip.e: Unit) is a discharge equivalent to a sin.e:le family dwelling unit (20 DAJ's) set at 167 .e:allons per day MWMC CREDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE L YEAR CREDIT RATE/$I.000 I II ANNEXED ASSESSED VALUE IS LAND ELGlBLE FOR ANNEXATION CREDIT? I BERlRE 1979 $4.92 (Enler I for Yes. 2 for No) I 1979 $4,92 IS IMPROVEMENT ELGlBLE FOR ANNEX, CREDIT? 0 I 1980 $4.83 (Enler I for Yes, 2 for No) I 1981 $4,77 BASE YEAR 1979 I 1982 $4,64 I 1983 $4.47 CREDIT FOR LAND (IF APPLICABLE) I 1984 $4.30 V ALUE I 1000 CREDIT RATE I 1985 $4,09 $26.59 x $4,92 = , $130,80 I 1986 $3.78 I 1987 $3.41 CREDIT FOR IMPROVEMENT (IF AFfER ANNEXATION) I 1988 $2.98 VALUE/IOOO CREDIT RATE I 1989 $2.52 $0,00 x $4.92 = 0 I 1990 $2,06 I 1991 $1.64 I 1992 $1.45 TOTAL MWMC CREDIT = $130,80 I 1993 $1.31 I 1994 $1.13 I 1995 $0.97 I 1996 $0.82 I 1997 $0,63 I 1998 $0.41 I 1999 $0.22 L- 2000 $0.04