HomeMy WebLinkAboutPermit Building 2007-4-30
Status
Issued
225 Fifth Street; Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 I~spection Line
.
.ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00472
ISSUED: 04/30/2007
APPLIED: 04/02/2007
EXPIRES: 10/3012007
VALUE: $ 419,784.00
SITE ADDRESS: 6107 GRA YSTONE LOOP
ASSESSOR'S PARCEL NO.: 1802032201500
SPRING FIE TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence - Mt Gate West lot 22/23
Owner: ALLEN BOOTHE
Address: 54789 EKING RD
BLUE RIVER OR 97413
,
I
Contractor Type
General I
Electrical
Mechanical
Plumbing
Residential
Phone Number: 484-0070
I CONTRACTOR INFORMATION I
Contractor
ANSLOW & DEGENEAUL T INC
GOOD CONNECTIONS
MARS HALLS INC
ABSOLUTE PLUMBING SERVICES INC
Phone
541-484-0070
541-434-6491
541-747-7445
54 I -345-3055
# of Stories: I Lot Size:
Height of Structure: 23.00 Sq Ft 1st Floor:
Type of He6tTTENil.~QiP.(!lilSllaVS~ffiI'FJ'OlIt:tv
Water Ty~Elllow rules adoptlakby tlsij iltrBi!ieiilU~lity
Range TJ<il1iification CerlterGliklOSeS"ljlltfiGllJfilglllltbpbrt
Energy 11AIIDAR 952-o01-00tlilthroiSgtFf.0t]\cil52-001
Sprinkle~l!miJ~INliJ may obtillin cop~I!If:i)i~Mlbs t
I DEVELOPMENT_i~TiQ~~~~~uiiii~; N~ti~~~iio;n
- ..'," oM."l'>?_?::l4J}.EQUlRED PARKING
Overlay Dist: Hillside Total: 2
# Street Trees Rqd: 7 Handicapped:
Paved Drive Rqd: Yes Compact:
% of Lot Coverage: 29.90
NOTICE:
'J;.OOJ' .~~_. .
'PUBLIC IMPROVEMENrrsl-JALL EXPIRE IF THE WOR
C"OvM"M,vnILCU UNDElSi(jew!il!<fIiYP.~:T IS NOrK
Fullv Improved ENCED OR IS .D.!l^~LDn. ~I_._
Yes ANY 180 DAY PERIOD.ilwn...ou/SiD~ln.~:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
I .
Secondary ConstructIOn Type:
# of Bedrooms: !
I
I
,
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:.
Solar Setbacks:
14.80
45.00
38.30
22.80
0.00
Subdivision Not Accepted
,
Street Improve'11Cnts:
,
Storm Sewer Available:
Special Instruction:
License
49169
160508
25790
67664
Expiration Date
10/16/2008
07/01/2008
12/23/2009
07/11/2007
BUILDING INFORMATION I
I
R-3
U
VB
22,987
3,597
3
898
561
Curbside 5'
To Storm Sewer
Notes: For tbis parcel in Mt. Gate West, it is tbe recommendation to the Building Division, by the City Engineer: "that
final occupancy should not be given until the subdivision is accepted by City Conncil". Storm tied to designated
lateral. Overwidtb Appvd
Pa~e 1 of5
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspection Line
Description
Tvpe of Construction
AC - Residential
Deck
V Wood Frame
Garaee
A.C. - Residen
DecklBalconv
Dwellines
Garaee
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
. + 5% Technology Fee
+ 8% State Surcharge
3 Baths One & Two Family
Addressing Assignment
Appliance Veut
Boiler/Comp Up To 100,000 btu
Building Permit
Curbcut Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Fireplace (Listed)
Furnace - up to 100,000 btu
Gas Outlets 1-4
Gas Outlets 4+
Plan Review Major - Planniug
PW Disc - 2nd Permit
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursemeut
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
.
.ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00472
ISSUED: 04/30/2007
APPLIED: 04/02/2007
EXPIRES: 10/30/2007
VALUE: $ 419,784.00
I Valuatio" Oescril)tion I
II
$ Per Sq Ft
or multiplier
$4.00
$19.00
$103.00
$27.00
Square Footage
or Bid Amount
3,597.00
561.00
3,597.00
898.00
Value
Date Calculated
$14,388.00
$10,659.00
$370,491.00
$24,246.00
$419,784.00
04/0212007
04/02/2007
04/0212007
04/02/2007
Total Value of Project
Fpp< P1iIiU
Amount Paid
$1,043.67
$10.00
$259.90
$135.73
$187.73
$306.00
$31.00
$6.00
$12.00
$1,605.65
$40.00
$80.00
$6.00
$9.00
$252.30
$30.00
$12.00
$4.00
$1.00
$198.00
$-30.00
$106.00
$133.00
$811.41
$1,067.09
S10.00
$961.52
$91.61
$262.21
$61.38
$836.32
. $189.58
$80.00
Date Paid
Receipt Number
1200700000000000348
2200700000000000617
2200700000000000617
2200700000000000617
2200700000000000617
2200700000000000617
2200700000000000617
2200700000000000617
2200700000000000617
2200700000000000617
2200700000000000617
2200700000000000617
2200700000000000617
2200700000000000617
2200700000000000617
2200700000000000617
2200700000000000617
2200700000000000617
2200700000000000617
2200700000000000617
2200700000000000617
2200700000000000617
2200700000000000617
2200700000000000617
2200700000000000617
2200700000000000617
2200700000000000617
2200700000000000617
2200700000000000617
2200700000000000617
2200700000000000617
2200700000000000617
2200700000000000617
4/2107
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
Paee 2 ofS
.ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00472
ISSUED: 04/30/2007
APPLIED: .04/02/2007
EXPIRES: 10/30/2007
VALUE: $ 419,784.00
'-~~~!N.!l11,I;;l.5ii~..~...' .......'..
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.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Storm Drainage Impervious Area
Storm Sewer Each Addtl1 00'
Temp Power 200 amps or less
Vent Fan
WilIamalane Single Family
$2,504.37
$42.00
$50.00
$24.00
$2,303.00
4/30/07
4/30/07
4/30/07
4/30/07
4/30/07
Total Amount Paid
$13,733.47
I Plan Reviews I
Initial Review
Plannine Review
04/03/2007
04/03/2007
04/03/2007
04/26/2007
APP
APP
LLH
TAJ
Puhlic Works Review
04/03/2007
04/08/2007
WI
JLP
Puhlic Works Review
04/11/2007
04/11/2007
APP
JLP
Paee 3 of5
2200700000000000617
2200700000000000617
2200700000000000617
2200700000000000617
2200700000000000617
Ok to remove oak in the
conservation easement per report by
Sperry Tree Care. It will be
replanted according tbe landscape
plan on page LA-Ion the building
plans. All plantings within tbe
conservation easement should follow
this plan.
Place orange construction fencing
along the conservation easement and
keep all construction activity out of
this area.
Choose street trees from list on
Native trees in Hillside on page 6-4
of the street tree handout.
It is OK to build over the lot line
between lots 22 and 23 -- See
recorded deed restriction in the
Address File.
Rcvd 4/3/2007---Waiting in order
PW rcvd for rvw.JLP4/4/07 ...
Overwidth application routed to
Traffic department for approval.
Also need to check with Planning.
House is proposed on two lots, with
the house centered over property
line to include both lots. Will
proceed after resolving both. JLP
4/8/007 WI/WE4/8/07
Rcvd overwidth approval. For this
parcel in Mt. Gate West, it is the
recommendation to the Building
Division, by the City Engineer: "tha,
final occupancy should not be given
until the subdivision is accepted by
City Council". Storm H20 to
designated lateral. JLP APP 4/11/07
.
Status
Issued
,
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Public Works Review
04/10/2007
10 JLP
04/10/2007
Structural Review
04/16/2007
04/19/2007
APP .DLM
Structural Review
04/03/2007
10 DLM
04/16/2007
.ITY OF I'lrKll~'--'J<lELD
Building/Combination Permit
PERMIT NO: COM2007-00472
ISSUED: 04/30/2007
APPLIED: 04/02/2007
EXPIRES: 10/30/2007
VALUE: $ 419,784.00
Tlkd wrrara. Planning has a form
(filled out & filed @ L.c. by owner)
allowing bldg on two (2) lots. As Ion!
as it does not interfear with any
PVE or other easement. {still
waiting for overwidtb approval from
Traffic)JLP 4/90/071O/WI
See documents for Plan review
comments
Requested and received revised sh.6
wI const. Dotes from contr.
4110/06dlm Requested from
applicant, calculations for larg~ ftgs.
at garage per Code reqmt.
4/11/07dlm Received footing
calculations and revised Foundation
Plan from contr.4116/07dlm
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.
~rprlln~,nprtinUiJ
i
I
Vfer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundati.on inspection.
Footing:~ After trenches are excavated.
I
Foundation: After forms are erected but prior to concrete placement.
,
Post and Beam: Prior to floor insulation or decking.
I
Floor In~ulation: Prior to decking.
Shear Wall Nailing: Before covering sheatbing witb 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 bave been requested and approved and the building is complete.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Vnderfloor Plumbing: Prior to insulation or decking.
Vnderfloor Drain: Prior to cover or placement of concrete.
Paee 4 of5
,,:~'
~.
.
. CITY OF SPRINGFIELD
Building/Combination Permit
Status Iss,ued
225 Fifth Street~ Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
PERMIT NO: COM2007-00472
ISSUED: 04/30/2007
APPLIED: 04/02/2007
EXPIRES: 10/30/2007
VALUE: $ 419,784.00
Rough Plumbing: Prior to cover and including required testing.
Shower Pan. Prior to covering 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 trencb.
Final Plumbing: When all plumbing work is complete.
Rougb Gas: After line is installed and required testing and capped if not attached to an appliance.
Gas Ser':ice: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
,
Rougb Mechanical: Prior to Cover
Underl100r Mechanical. Prior to insulation or decking and including required testing.
Final Gas: When all gas work is complete.
Final Me,chanical: When all mechanical work is complete.
Tempor~ry Electric: Approval required prior to Utility Company energizing pole.
Rough Electric: Prior to Cover
I
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 L Overwidth: After forms are erected but prior to placement of concrete.
I
!
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 tbe City of Springfield and the Laws of the State of Oregon pertaining to tbe 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 tbe 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
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Paee 5 of5
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, A!. DATE ~-
~ SOURCE -'- - ""''::7
225 FIFTH STREET 0 SPRINGFIELD, OR 97477 0 PH:(541)72&-3753 0 FAX: (541)72&-3689
ELECTRICAL PERMIT APPliCATION
City Job Number QJ1", 4of1/l..
c. ~&iEffifi~~?~1Y;~~.t;ites~T~~~J~sj?iff~i:0r~~~~~zifrf~~{7~~~t .~, .:.':~:
ATTENTION:lJregon~req~iies~Y~;:;I~"..:L..-,. ~. .. -"_,t
follow mlitSlIllIiilp,t!MtbJIt1i1J!J@~t!9nlit .
~otificati215b.lA1WPtElJi. ifhose rules are set fotl $ 50.00 SO pQ
In OAR92tfflA.QJpP&l1(6ol;lu;\~Slh OAR 952-001 5; 69.00
0090. ~04bI'1~pqq6<!i6b9HIi\i~s of the rules t $100.00
calhng t~e center. (Note: the telep'Wnili .
numbe~19:iS .~g~\j!gJl,ftiY~~at1ri!?!itj9",':~{;::"1"'1\<"'il,,'\i'F-;2;::"'"
. p.. j;~fr.~P,4;lj.,(~hr.S.uits.~,,-.,:.?~ 1'4- .)t'R'.\"":;..r.:,\T;>:'$.t:t~r::t{ff:"::'k?:''';:'1...o, t;\:{l~(-,-t.,,"~.~; t}l
........,.__(.:t;.....-hb~"._..oi:J~.,._.,~~, . ;_,'-_,.1";,,,;; ...:;._.~."j/;A1;;.::;i,..,..,;;;,:::,;;.....;;:_'"-...,,'-'"-""~,,~
t!fJ ~~~~~:;~:::tion or Extension Per Panel
- - Each.Additional Circuit or with
Owners Name &n~ ~JOn .Se,:,i."e or Feeder Permit $ 3.00
CEo ~'f~'-'!"Y'-- . "....".-m._..~ - "'''''r~
Address . 1::.A'1fJQ f v. ';'.n\ t> ..1 HIS. PEE.\.ffi"Iis.~~lfa;;J';~'s::(se~rtefreedij-'not intl~de<l):iE;{cii:lii~taii~'iion'l
..: n on . V" .\ ~J""OR'''ZVr:~:;~~If~~~XP'RfTrfHtWOR'I(~'-~''''''''" ~::.~
City ~ Phone Q.q 8' . i4~EN.-pump. ~fJirrigati9.i1'-; PERMIT IS N - $ 50.00
'~"'I" CSrJ1(;)".. . . Ul
ANY 18 :g&0Utliile"\!Ml>.tt,neNfO Fa $ 50.00
OWNER INSTALLATION . O,D'EJ'm'i'f2l1EilErgyIResidential R $ 25.00 .
The installation is being made on property I own which .. . '-Limited Energy/Commercial $ 45.00
is not intended for sale, lease or rent. , Minim'umElectric Permit Inspection Fee is $45.00 + Surcharges
I (},~;.:',~=-s:.:~ ,";!\t'!'i'.-~,-:< t:fc'~:r.g';;?~;;~"~I':.'..r:7-';":"Wj''''v~.s'l if\ ...."'
Owners S,.gnature'. I 4. .0SUBT.OTAL'OFABO,VE7"",::~-'.,;d{;"i:.);ti:? (,.V'
~"'2:J~8i:,:~:...:::.~~.!:~:L.:.'''.J:'~~.t'"""",>, "-",,,~,'..c.l~~ ..
. . ~K~:~1:,~~~~:~ee Fee . ~~ ~
. 5% Technology Fee ~
~~'\A1
Shared Drive(T:)IBuilding FonnsJElectrical Pennit Application 8-06.doc
. '" .. ....ct''''.... .;:~~ '~.-:''-:.'': ~~.".....""'" ,........h.-.. " ;^"", ..Tl:r.... "'~\.~ -'-1
1. 'LOCATION OF INSTALIATION:-~f'+"P,
:;..... .:....:':;~...o..1.~,)....::t.~..;..:,.A~~.L-'" .,'. ., ""~':>':"...o~;:'::l:;.d;:.::.:..:d
- LEGAL DES~~~I~: G(~rne1 f
l~[jU)~2..L. D\~
JOB DESC~PTION: ... .-\4Cl5
~LM~.J~~ ~D t-T~
Permits arethon-transferable an~expire if work is
not started within ISO-days of issuance or if work is
Suspended for ISO days.
CCOmk4CTOR;iN~TAEtA1iBN:ONiTI1
2. -:; ,';'.~~t-~_~-:-0-'i.:;::''1J._';':''..Ia;'Iif.,.I.i::~r~~c;_~.~:,t:d"''''~- ~ ';11
Electrical Contractor ~q) r1,d-t/,<;cnoA1~ ri/;"a;8c-
Address :L ID f1 J ~U J stFL!.
City Eve. !;=i.JE- Phone if- ;;;4--& '/4/
Supervisor License Number ~ <: 0 1-/ -:;{!
Expiration Date
j()-/-O 7
Constr. Contr. Number It, 0 S-o g'
Expiration Date 7 - ( - 0 7
Signature of Supervising Electrician
Inspection Request: 726-3769
Lj -.s 0 - LQ1) 7
Date
C.;Jo.... _'~T,,'''-~'-<"''r-->rt.,:.-, _~..l-.~'-_"""''''''....'f~- .yo.-I. ,...~-).-:-"'....\-"1.:<t~~,...J;,--..{_._--.';'~ ;oo:-~ -,--
3. ~E()~1r-9R~,{f.E.~SJ!J}l?@E,Bg.f2..lf~~~{2;iijJj.Si
1";f~~",<;,;_I,<?-';'?1':'::_:S-~''::~'"'70:v~~~.'i'''~ ,~:~t'7,~_t7!Fr:;\{_-:.~:--r:F~~"'T(~~~7'"l
A. irl'!e'~~esi!ienliaL~.Singl"9r ,1\1 ulli; r::.~mily..p"i~welliiiillriit.'.~.,"
,_......-,__~~_,,_~,,~"""(,,~:.-.~.-~~;._."'%..Il.l~:..:.t4M........~-_...._~:d,._~,,_"'_""~~..""'-'-.;J>.~...,,'-". ~~...a...,....
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
lct.D pO
\~~c>
\
rt
$ 19.00
$50.00
B. ~~~~~~!~dili:~j~'t~lli1iJri~~Z~~~~fi~~~~~lcii&:tiJri1in -
Al-2.l'-"""': -:-"-,, .".~~:.:~--'" .,,~ ,;..'....,";,;.::i!i-;.,~;:.ltl.:::,;;.:,:~'~?K.0ll.:,,;.~~ -n,,~,. '" .\~.
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsNolts
Reco~ect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
$ 43.00
TOTAL
CITY OF SaG FIELD SYSTEMS DEVELOPMEN.RKSHEET
JOURNAL OR JOB NUMBER: C0M2007-00472
NAME OR COMPANY: Allen Boothe
LOCATION: 6107 Graystone Le
TAX LOT NUMBER: MtGateLot#22 & #23
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS I BUlLDING SIZE (SF" 5446 LOT SIZE (SF):
1. STORM I1RAINAGR
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x 1 COST PER S.F. CHARGE I
I 7462.00 I 50.336 I = I $2,504.37
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. I x I COST PER S.F. I' 1 DISCOUNT RATE I 1
I 0.00 I 50.336 I 50"10 = I
ITEM 1 TOTAL - STORM DRAINAGE SDC $2,504.37 l
o
1-
Ig'j
10
o
u
p::
~
C/]
~
o
:;j
DISCOUNT
$0.00
52,504.37
1070
1
51,067.09 1091
2. SANITARY SRWRR - CITY.
A REIMBURSEMENT COST:
I NUMBER OF DFU's I ,
41 1
B. IMPROVEMENT COST:
I NUMBER OF DFU's I x
I 41 I
COST PER DFU
526.03
.1
519.79 1
5811.41 1092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
= ,
51,878.50
3 TRANSPORTATION
A REIMBURSEMENT COST:
I ADT TRIP RATE I , I NUMBER OF UNITS I x I' COST PER TRIP , I NEW TRIP FACTORI
9.57 1 I 1 I I 519.81 1 1.00 1 5189.58 11093
B. IMPROVEMENT COST: I
I ADT TRIP RATE 1 x I NUMBER OF UNITS I ,I COST PER TRIP x INEW TRIP FACTOR!
I 9.57 1 I 1 1 587.39 1.00 1 $836.32 11094
ITEM 3 TOTAL- TRANSPORTATION SDC = , $1,025.90 .1
4 SANITARY SRWRR. MWMC
A REIMBURSEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU 1
1 I, I 591.61 1 = 591.61 11054
B. IMPROVEMENT COST: I
INUMBER OF FEU's I x ICOST PER FEU
1 I I 5961.52 = 5961.52 I 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) 50.00 I 1054
MWMC ADMINISTRATIVE FEE 510.00 1056
. ITEM 4 TOTAL. MWMC SANITARY SEWER SDC = , 51,063.13
SUBTOTAL (ADD ITEMS 1, 2, 3, & 4) = , $6,471.90 .I
5 AI1MTN1STRA TIVR FER:
1 SUBTOTAL x I ADM. FEE RATE 1= CHARGE
I 56.471.90 I I 5% I 5323.59
TOTAL SANITARY ADMINISTRATION FEE: 262.21 11079
TOTAL TRANSPORTATION ADMINISTRATION FEE: 561.38 J 1078
,
Jeff Proeiw 4111/2007 TOTAL SDC CHARGES = , $6,795.49 I
PREPARED BY DATE II
. .
DRAINAGE FIXTURE UNIT (DFU) CALCULATION]ABLE
NUMBER OF NEW FIXTIJRES x UNIT EQUIVALENT - DRAINAGE FIXTIJRE UNITS
(NOTE: FOR REMODElS. CALCULATE ONLY TIlE NET ADDmONAL FIXTIJRES)
NO. OF FIXTIJRES DRAINAGE
UNIT FIXTIJRE
FIXTIJRE TYPE NEW OLD EQUN ALENT UNITS
IBATIITUB 2 0 3 l = 6
DRINKING FOUNTAIN 0 0 1 = 0
iFLOOR DRAIN 0 0 3 = 0 1
IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 = 0
IINTERCEPTORS FOR SAND / Aura WASH / ETC 0 0 6 = 0
I LAUNDRY TUB 1 0 2 = 2 J
CLOllIESW ASHER / MOP SINK 1 0 3 = 3
!CLOllIESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 I
MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRlG / WATER STATION /ETC 0 0 1 = 0
IREL-cr J V1'. FOR COM. SINK / DISHWASHER / ETC. 1 0 3 = 3
I SHOWER. SINGLE STALL 3 0 2 = 6
ISHOWER. GANG ~ER OF HEADS\. 0 0 2 = 0
ISINK: COMMERClAlJRESIDENTIAL KITCHEN 1 0 3 = 3
~INK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2
ISINK: SINGLE LA V ATORY/RESIDENTIAL BAR 4 0 1 = 4
IURlNAL, STALL/WALL 0 0 5 = 0
TOILET. PUBLIC INSTALLATION 0 0 6 = 0
ITOILET. PRIVATE INSTALLATION 4 0 3 = 12
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 41 i
~u (Equivalent Dwelling Unit~ .8.discharge equivalent to a sinJ;e family dwellinsr unit (~O DFU's) set at 167 RBllons pc:r day J.
1
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MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
198.5
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RA TE/SI,OOO
ASSESSED VALUE
$5.29
$5.29
$5.19
$5.12
$4.98
$4.80.
$4.63
$4.40
$4.07
$3.67
. $3.22
$2.73
. $2.25
$1.80
$1.59
$1.45
$1.25
$1.09
$0.92
.$0.72
$0.48
$0.28
$0,09
$0.05
I
I
I
I
,
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter 1 for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
2
2
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE/1000 CREDIT RATE
SO.OO x S5.29
- ,
SO.OO
CREDIT FOR IMPROVEMENT (IF AFfER ANNEXATION)
VALUE/1000 CREDIT RATE
$0.00 x $5.29
o
TOTAL MWMC CREDIT
=
SO.OO
I
225' Fifth 'Street !
Sp'ringfi~ld, Oregon 97477
541-726-3759 PIlone
Job/Journal Number
COM2007-00472
COM2007-00472
COM2007-00472
COM2007-00472
COM2007-00472
COM2007-00472
COM2007-00472
COM2007-00472
COM2007-00472
COM2007-00472
COM2007-00472
COM2007-00472
COM2007-00472
COM2007-00472
COM2007-00472
COM2007-00472
COM2007.00472
COM2007-00472
COM2007-00472
COM2007-00472
COM2007-00472
COM2007-00472
COM2007-00472
COM2007-00472
COM2007-00472
COM2007-00472
COM2007-00472
COM2007-00472
COM2007-00472
COM2007-00472
COM2007-00472
COM2007-00472
COM2007-00472
COM2007-00472
COM2007-00472
COM2007-00472
COM2007-00472
Payments:
Type of Payment
CreditCard
Check
cReceinll
.
'!!"""ibi." ".C!~...IILD.__.. .. ....
WIt. .. . .
i '. I
. .
., .~.,..'^ .
c;& of Springfield Official Receipt
.elopment Services Department
Public Works Department
RECEIPT #:
2200700000000000617
Date: 04/30/2007
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Fire SF Fee - Residential
Building Permit
3 Baths One & Two Family
Storm Sewer Each Addtl 100'
Furnace - up to 100,000 btu
Boiler/Comp Up To 100,000 btu
Vent Fan
Appliance Vent
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Gas Outlets 4+
Fireplace (Listed)
-Mechanical Issuance Fee-
Curbcut Permit
Curbeut Permit
Sidewalk Permit
PW Disc - 2nd Permit
Storm Drainage Impervious Area.
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
S.DC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Storm Admin
SDC Transpo Admin
Plan Review Major - Planning
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee.
raid By
I\NSLOW & DEGENEAULT
!-\NSLOW & DEGENEAULT
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm 07847c In Person
njm 26502 In Person
Payment Total:
Page I of2
3:01:28PM
Amount Due
31.00
2,303.00
106.00
133.00
50.00
252.30
1,605.65
306.00
42.00
12.00
12.00
24.00
6.00
9.00
6.00
4.00
1.00
30.00
10.00
40.00
80.00
80.00
(30.00)
2,504.37
1,067.09
811.41
189.58
836:32
91.61
961.52
10.00
262.21
61.38
198.00
135.73
187.73
259.90
$12,689.80
Amount Paid
$9,500.00
$3,189.80
$12,689.80
4/30/2007