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Home My WebLink AboutPermit Building 2008-6-11 Status Issued 225 F.fth Street, SprlUgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn LlUe CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2008-00819 ISSUED, 0611112008 APPLIED 0610912008 EXPIRES' 12/11f2008 VALUE: $ 123,935,00 SITE ADDRESS 1811 S 57TH PL ASSESSOR'S PARCEL NO 1802033210200 SPRINGFlETYPE OF WORK SlUgle FamIly ResIdence TYPE OF USE New PROJECT DESCRIPTION SlUgle FamIly ResIdence - Same as 1805 S 58th Owner HA YDEN ENTERPRISES Address 2622 SW GLACIER PL #110 REDMOND OR 97756 Contractor Type General Electncal Mechamcal PlumhlUg I CONTRACTOR INFORMATION I Contractor HAYDEN ENTERPRISES TOP NOTCH ELECTRIC INC PACIFIC AIR COMFORT INC PLUMBING PLUS INC LIcense 92208 172366 39237 90482 # of Umts Pnmary Occupancy Group Secondary Occupancy Group Pnmary ConstructIOn Type Secondary Construcllon Type # of Bedrooms Frontyard Sethack SIde I Set hack SIde 2 Setback Rearyard Setback Solar Sethacks Street Improvements Storm Sewer Ava.lable Spec.allnstructlOn BUILDING INFORMATION I I # of Stones I R3 HeIght ofStructui~oll \0 1600 U Type~~\l\te05f#\I\~~lectnc VB ,Ot~ \:'Il!l.Qle;lese\\O .ectnc t\"t~~O"" o~1 ,es 1>0\'\ 9/62.-0 wctnc ~\\~(Il\e9~1I~ _O~\nelU\es e'l>ath I \0 loll ~ n \'lOll 0 ~0\1{IC!',,"'2...o0"'~.roll 'l!b.J~e ~\~~."a\IOt1' ,V",I ~~ "'"'.:"d''':<: ~O~\\~. ~lf~ ~~rL ~TlON I """ Ipet tot ~ I \S ....8(1)- 18 0",1l~ Ce{l~verlay DlSt - 9 00 # Street Trees Rqd 1500 Paved Dnve Rqd 20 00 % of Lot Coverage 000 I PUBLIC IMPROVEMENTS I Resldenllal Phone Number 541-228-6935 Expiration Date 07/29/2009 09/28/2008 03/25/2010 05/10/2009 Phone 541-228-1081 541-317-1998 541-672-9510 541-926-3190 Lot SIze Sq Ft 1st Floor 1,031 Sq Ft 2nd Floor Sq Ft Basement Sq Ft Garage/Carport 560 Sq Ft Other Occupant Load 2 Yes 2690 REQUIRED PARKING Total 2 HandIcapped Compact S,dewalk Type Downspouts/Dra~y.'/.. ~ -.;\-\t. ~I.)\ t:J..,?\'r.t. ~ ~\, \S \\O\\C~" ~\, S\-\f"'\..~\\ ,\-\\S ?~~t.U ~I.)\\ ,\-\\S ~~~\1t.\.) ~~~ \S r>.'Or>.~\.) p..~' ~t.~Ct.\.) ?t.\\\I.)\.)' Cl.)~ Q~ \.)~ t>.WI"\" Page I of4 Fullv Improved Yes Notes Stormwater to pnvate easement CurbSIde 7' Curb and Gutter -ii: .1'i Status Issued 225 FIfth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Description Tvpe of ConstructIOn Dwelhn2s Gara2e V Wood Frame Gara2e Fee Descnphon -Mech Iss 2+ Apphances- + 10% AdmmlStrallve Fee + 12% State Surcharge + 5% Technology Fee 2 Baths One or Two Family Addressmg ASSIgnment Apphance Vent BUlldmg PermIt Curhcut PermIt Dryer Vent Exhaust Hoods Fire SF Fee - Resldenllal Furnace - up to 100,000 htu Gas Outlets 1-4 Plan RevIew Major - Plannmg Plan RevIew Same As ResIdence Wiring 1000 Sq Ft ResIdence Wiring Ea Addtl 500 Samtary Sewer - Improvement Samtary Sewer - ReImbursement SDC MWMC AdmmlstratlOn SDC MWMC Improvement SDC MWMC Reimbursement SDC SJmtary/Storm Admm SDC Transpo Improvement SDC Transpo ReImbursement SDC TransportatIOn Admm SIdewalk Permit Storm Dramage ImpervIOus Area Storm Sewer Each Addtl 100' Temp Power 200 amps or less Vent Fan Wlllamalane Smgle Family Total Amount PaId I Valuahon DescrmtlOn I $ Per Sq Ft or mulllpher $10500 $28 00 Square Footage or Bid Amount 1,031 00 560 00 Total Value of Project F....., P~lrIJ Amount PaId $40 00 $13783 $15585 $83 69 $280 00 $35 00 $700 $708 76 $85 00 $700 $10 00 $79 55 $1400 $500 $205 00 $220 00 $117 00 $42 00 $469 29 $61717 $1000 $990 39 $95 35 $122 93 $862 25 $195 48 $73 36 $85 00 $68581 $32 00 $55 00 $2100 $2,513 00 $9,060 71 Date Paid 6/11/08 6/11 /08 6/lI/08 6/11/08 6/11/08 6/11/08 6/11/08 6/11108 6/11108 6/11108 6/11/08 6/1 1/08 6/11/08 6/11/08 6/11108 6/11108 6/11108 6/11/08 6/11108 6/11/08 6/11/08 6/11/08 6/11/08 6/11108 6/11108 6/11/08 6/11/08 6/11/08 6/11/08 6/11/08 6/11/08 6/lI/08 6/11108 Pa2e 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO' COM2008-00819 ISSUED' 0611112008 APPLIED 06/0912008 EXPIRES: 1211112008 VALUE: $ 123,935 00 Value Date Calculated $108,25500 $15,68000 $123,93500 06/0912008 06/09/2008 ReCeipt Number 1200800000000000632 1200800000000000632 1200800000000000632 1200800000000000632 1200800000000000632 1200800000000000632 1200800000000000632 1200800000000000632 1200800000000000632 1200800000000000632 1200800000000000632 1200800000000000632 1200800000000000632 1200800000000000632 1200800000000000632 1200800000000000632 1200800000000000632 1200800000000000632 1200800000000000632 1200800000000000632 1200800000000000632 1200800000000000632 1200800000000000632 1200800000000000632 1200800000000000632 1200800000000000632 1200800000000000632 1200800000000000632 1200800000000000632 1200800000000000632 1200800000000000632 1200800000000000632 1200800000000000632 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO' COM2008-00819 ISSUED: 0611112008 APPLIED: 06109/2008 EXPIRES: 12111/2008 VALUE: $ 123,93500 225 FIfth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Plan Reviews I Pubhc Works RevIew 06/09/2008 06/09/2008 APP Pnor to Occupancy RIght of way Improvements need to be constructed and engmeered plans revIewed and approved by the CIty of Spnngfield before Occupancy Planumg Review Structural Review 06/10/2008 06/1012008 06/10/2008 06/10/2008 APP APP TAJ DLM Approved as noted on the drawmgs 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, I Rpnv.rprl Insnectlons I EroslOn/Gradmg Inspechon Pnor to ground dIsturbance and after erosIOn measures are mstalled SIdewalk - CurbSIde After forms are erected but pnor to placement of concrete Curbcut- Standard After forms are erected but pnor to placement of concrete Ufer Electncal Ground Install ground rod at footmg and call for mspectlOn m conjunctIOn WIth footmg and/or foundatIOn mspectlOn Footmg After trenches are excavated FoundatIon After forms are erected but pnor to concrete placement Post and Beam Pnor to Ooor m,ulatlOn or deckmg Floor InsulatIOn Pnor to deckmg Shear Wall Nalhng Before covenng sheathmg WIth fintsh matenals Frammg InspectIOn Pnor to cover and after all rough m mspechons have been approved Wall InsulatIOn Pnor to cover Cellmg Insulation Pnor to cover Drywall Pnor to tapmg Hold Downs Installed Spec,al Inspechon performed pnor to placement of concrete ProvIde report to CIty Butldmg Inspector Fmal BUlldmg After all reqUIred mspectlOns have been requested and approved and the butldmg IS complete UnderOoor Plumbmg Pnor to msulatlOn or deckmg U nderOoor Dram PrIOr to cover or placement of concrete Rough PlumblUg Pnor to cover and mcludmg reqUIred testmg Water Lme Pnor to filhng trench and mcludmg reqUIred teStlUg Page 3 of 4 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO' COM2008-00819 ISSUED 0611112008 APPLIED: 06/0912008 EXPIRES 12/1If2008 VALUE, $ 123,935,00 225 FIfth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Samtary Sewer Lme Pnor to tilhng trench and mcludmg reqUIred testmg Storm Sewer Lme Pnor to tilhng trench Fmal Plumbmg When all plumbmg work IS complete U nderfloor Mechamcal Pnor to msulatlOn or deckmg and mcludmg reqUIred testmg Underfloor Gas After hne IS mstalled and reqUIred testmg and capped If not attached to an apphance Rough Gas Atter hne IS mstalled and reqUIred testmg and capped If not attached to dn apphance Gas ServIce After hne IS mstalled and hne has been connected to a mlmmum of one apphance mcludmg reqUIred testmg Presure test done at thIs pomt Rough Mechamcal Pnor to Cover Fmal Gas When all gas work IS complete Fmal Mechamcal When all mechamcal work IS complete Temporary Electnc Approval reqUIred pnor to Ut,hty Company energIZIng pole Rough Electnc Pnor to Cover Electnc ServIce Approval reqUIred prIOr to utIhty company energlZmg servIce Fmal Electnc When all electncdl work IS complete By sIgnature, I state and agree, that I have carefully exammed the completed apphcatIon and do hereby cerlIfy that all mformatIon hereon IS true and correct, and I further certIfy that any and all work performed shall be done m accordance wIth the Ordmances of the CIty of Spnngfield and the Laws of the State of Oregon pertammg to the work dcscnhed herem, and that NO OCCUPANCY WIll be made of any structure wIthout permISSIOn of the CommuDlty ServIces DIVIsIOn, BUlldmg Safety I further certIfy that only contractors and employees who are 10 comphance WIth ORS 701 005 wIll be used on thIS project I further agree to ensure thdt all reqUIred mspectlOns are requested at the proper tIme, that each address IS readable from the street, that the perm.t qrd IS located at the front of the property, and the approved set of plans wIll remam on the sIte at all times dUring construction --;;C ~. Owner or Contractors k..Jature Date rfr8 Paee 4 of4 ZON ~""V [NnlALS~ . DAT&o-t l --<11<' SOURCI(Y\(RI,(J (n \ll.n( SPRINGFIELD ,j , . I fl\ ""''''''l "J ~ \-_ A...., ':t":>",,;4~~ j ~1ID " ~1;}~ \,j';"",,,:1>"b... ~I """l I 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541~726-3753 . fAX (541)726-3689 I ELECTIUCAL PJWNIT t;lf.PLICATION CIty Job Number l ~ n - t')l V\ I I'Th~li~I'''~' ~.:..' ,;\c"....'..-..'J~';:,..i~'tm;1;;p;'I,e\~ :~~..-fj}~F~ti1T.'''!:~4,1 3 1 r;.II'.J:,O&J1{lII€fNjfJfftINSX.i-xrllllfTIGhv .,?\\~;ilh 11'"<\'~\r"'~'s~':Ck5~" :, V It- Date 'tl~""~~.T'I-'" :I.~~' 'W'.nP,,7'~,rzi:!=U';:""~~~I-{"?L ...:r'4' ~--r) l"t'1;"'I";;:,'\q~ ...~f""trf1l~I,"'......,-:\ "-'iVF,n-... "ICOlY.fR1iliiTilltFEE'SG:lr11iDl:J iill:BELOJ/V\I-';.~ ~~.. ,''''',I.fS~~:.t. ~;:'<1.i11,1r-i 1$_.::>tI,.L -"~':-'",,, ':U.~.1!, !;::",';uJu::.L".l..ut-r..\Jd"'~.J 'JJ......T'=~t~l..l"'____t~....:!!....rfl~...lJ; -.!"'J;;:w..'.~ A ~~~~lfkwr4~~~~'S\i~:I~~I~~<4'M\i><JU;I~~P~{t;~~:I!?>>Tr)j,{~}~'i>::irUI~"W:311~>> LEGAL DESCRIPTION ~~'l~~!fI..::,~~\~K r'g,!1.,.,~tl.~!iU..~R~-;.J~~e..}p~liDL~.i\} /~ () 2-D :s ~ 2- / c92cJCJ 5erYIcelncluded BDESCRlJ'Tl~N- ~. ~_ 100 q It or less , addItIOnal 500 sq fi or I ~ 60n tbereof PermIts a on-transferable and exp e ,fwork I~ . Eacb Manufacl'd Home or 1I0t started wlthm 180 days of ,SSUdnce Dr If work I" Modular Dwellmg Serv,ce or _ _ ___ __Suspended_for-.l80_ctays____ _______ _ ___________[eeder___ . I ~ijl;..."@imJ,n/)t".,,~""~.. il.'J.;~~' ."'""m"""'"C""'I!.;:~~W Oll~ ~,~'l~.,,:ti\i\W)[9(~1'"!U!'.iW.~;;!!;'!il)<<~~;,;;;m'P,w;..""]f"":5~:i)I::rq/~/',~ ,@@'lVlIim'lWi!'J1(11UJi S'lf..' ,IdJJs1!I(.l1'f.,'19 .... B ,,,,Sewlces'onFeeilersl=,JnsrunatlO..rMllel aoolls,or;:RelncatlOn'ili'l 2 k~~"'tt~.Mtil~~~ "~1i,tt,. .,.~~.l;;::t0~F"~ r}J1">lI~ .2fi ~~~,~l~'V""'~i,.fl';\'fi!iiJJ-,ft")C<':lQ~.26.il ~j;.A~..:a',1~"~~;J.J\~<'}'{"\t'o."'I~~ ~~~ Electrical Contractor 7:r.P)J~kj1 r-/ec I ATTENT:!~~gpn,J~w requires you to 1 . I \lIow rulllll !\i!!Q.P~~~9' t~9regon Utility Address r") ,-CtCl /I (. I NotlficatI6/itent'er, osef'Ules are setrvl<I, o'-VU ( l...vev T' .... OAR 96l!lbfWlllM'rl MlWi'OAR 952-001 ( I 0090, YOl:l(J'IJ~tlllnOO(lJ~J!lf,t~e ~ules_bv Puone ~/-5'17vqqQa/ll~~f-~01l3"'"'~':/'M''' -~rfUmber MffieQr~tp.,n Utility NotlflcallOn enter IS 1-800-332-2344). C ~ ?WJ~~~Jl~~!.~!A~D~t11~~~~1~1~i~1,}P~~~~~~iliJ:f~id 117 4,2., , $117 00 /..--' $ 2100 $55 00 $ 70 00 $ 8300 $13800 $18000 $'410-00 $ 55 00 () J ,0 tMJ'r Llty Lfo:7Lf S /2&15'7 17 2- ~~(., ~'1 SupervIsor L,cense Number InstallatJon, AlteratIOn or RelocatIOn Exprrahon Date c;c; / $ 55 00 $ 76 00 $11000 200 Amps or less 20] Amps to 400 Amps 40 I Amps to 600 Amps Constr Contr N\lIDber Exprratlon Date Over 600 Amps or 1000 V olts see "B" above D ~13'':>$r'~}iIWQ~dr~'',a,JW~tl1l~~_f1;~rflt~r''!~~rtr;,fl~~r~~~l1~~' \;1 :.\C1j\' '.'~~J ~~~MBn~~ d?rJ7,~~,~t,lj r"'~'~"~'J~j~.',j~"'\W.r~'r1.rjl~^1$ " ~f:"':1~)~' ~ J:N::1UJ!1 :.t] SIgnal re of S1]pervJsmg P:lectr'CHlI1 ' r0~~~~' New AlterahoD or ExtenslOD Per P~mcl One CIrCUIt Each AddItIOnal Crrcmt or wIth ~ NOTICE" ServIce or Feeder Penmt Owners ame ~.l"""6fG}. . - J ~ I ^4M~fHv1i -, -'1~ 1'-"'>l<tirM~~;-_"if'Th~I' ,;,'~Jl:,';,'1'!S,~~:.1i~ Adclres: < 2C,lL7ifl ; 'u' ".J 'I,\jg f, ,..f, ]~~~f!lr>" - '~llfJm!~~~Jj~-!i~t'I.~ut~ C,ty ~~_A. Phone ~(~'N8 ~_ENC~~1jSrAsl\'N{)ONED FOR $ 55 00 u.w\\Jl~ 141'd-S~O DA1I#E\IllOO.L,gbtmg $5500 OWNER INSTALLATION LUlllted EnergyfResldentml $ 28 00 -The mstallatlOn IS bemg made onproper[y l-oWD~ ih,cli- - Lilli,ted Energy/ColllIDerclar - - - - ~ 50 00 IS not mtended for sale. lease or rent Mmlmum E1eetnc PermIt InspectIOn Fee IS $50 00 + Surchdrges ~" ,,~m~:m!'ill!l~~;"~""J'1"'''~W~'''/''''''); "I.'"'l!!1[\1'i'~I! d o S tur 4 x~lUjj.wI<I)[llAmJ'OI~UW>@ '.I 1\~1,\r'~11' ~lfllI1j'!1~lli)I'1,1~111:'t'"'\ 1" .w"l wners 19na e ~11~~o1i'I~'IIIIW",1'1'111iJ.~~tiM1t~l1full&.~l~'\ 1~ ~,~\tl:Jf~IM,;~ 7/ vv - 12% State Surcharge ~ -;lie: 6 f!, 10% Adnwnstrahve Fee "":j -/ <10 5% Technology fee /' /J_ 7.0 TOTAL I'.J. 7/, 78 Shared Dnve(T )/Bmldmg fonnslElecmcal Permll ApplIcatIon )-08 doc $ 48 00 $ 400 InspectIOn Request 726-3769 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER COM2008-00819 NAME OR COMPANY Ilayden Homes LOCATION 1811 S 57th Place TAX LOT NUMBER 1802033210200 DEVELOPMENT TYPE Sm~1e Fmmly ReSIdence NEW DWELLING UNITS I BUILDING SIZE (SF 1591 LOT SIZE (SF) I STORM DRAINAGE DIRECT RUNOFF TO CITY S roRM SYSTEM , IMPERVIOUS S F x I COST PCR S F CHARGE I I 198200 I $0346 I = I $68581 RUNOFF ROUl ED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS r IMPERVIOUS S F I x I COST PER S F I x I DISCOUNT RATE I I l 0 00 I I $0 346 I I 50% ~ I ITEM 1 TOTAL - STORM DRAINAGE SDC '$68581 2 SANITARY SEWER - CI IT A REIMBURSEMENT COST I NUMBE~30F DFU's I DISCOUNT $000 5663 $68581 I r/J LLl o o u ~ LLl f-- r/J a gj 1070 x COST PER DFU $26 83 B IMPROVEMENT COST I NUMBER OF DfU's I I 23 I x COST PER DFU $20 40 ITI!:M 2 TOTAL - CITY SANITARY SEWER SDC = / 3 TRANSPORTATION $1,08646 A REIMBURSEMENT COST I ADTTRIPRATE I x I 957 I B IMPROVEMENT COST L ADTTRIPRATE I r 957 I I NUMBER OF UNITS I x I I I I COST PER I RIP 2043 x INEW TRIP FACTORI I 100 I I NUMBER OF UNITS I x I I I I I = , COST PER TRIP $9010 $1,05773 x INEW TRIP FACTORI I 100 x ITEM 3 TOTAL - TRANSPORT A nON SDC $61717 $469 29 $19548 $862 25 1109] I 11092 I I I 1093 11094 I 4 SANITARY SEWER - MWMC A REIMBURSEMENT COST INUMBER OF FEU's I x I I I B IMPROVEMENT COST INUMBER OF FEU's I x I I I ICOST PER FEU I $95 15 ICOSTPERFEU I $990 39 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , =1 $3,925 74 $1,09574 SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5 ADMINISTRATIVE FEE I SUBTOTAL x I ADM FEE RATE 1= I $3,925 74 5% I TOTAL SANITARY ADMINISTRATJON FEE lOTAL TRANSPORTAflON ADMINISTRATION FEE CHARGE $19629 Kaye Wilson 619/2008 TOTAL SDC CHARGES PREPARED BY DATE = $95 35 = , = , ~ , $990 39 $000 $10 00 i 1054 1055 I 1054 I 1056 J I 12293 1]079 $7336 J 1078 --, = I $4,122 03 DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUlvlBER OF NEW FlXTIJRES x UNIT EQUIVALENT = DRAINAGE FIXTIlRE UNITS 1 (NOn. FOR REMODELS CALCULATE ONLY TIffi NET AuUl1lVl'IAL FIXTURES) NO OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNlfS r BAfHTUB 2 0 3 = 6 I DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE I OIL I SOLIDS I E fC 0 0 3 = 0 INTERCEP10RS FOR SAND I AUTO WASH I ETC 0 0 6 = 0 LAUNDRY TUB 0 0 2 = 0 CLO fHESW ASHER I MOP SINK 1 0 3 = 3 CLOTIffiSW ASHER - 3 OR MORE (EA) 0 0 6 = 0 I MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRlG I WATER STATION I ETC 0 0 1 = 0 I RECEPTOR FOR COM SINK I DISHWASHER I ETC 1 0 3 = 3 I SHOWER, SINGLE STALL 0 0 2 = 0 ISHOWER GANG (NUMBER OF HEADS) 0 0 2 = 0 ISINK COMMERCIAURESIDENTIAL KlTCHEN 1 0 3 = 3 ISINK COMMERCIAL BAR 0 0 2 = 0 ISINK WASHBASINIDOUBLELAVATORY 0 0 2 = 0 ISINK SINGLE LAVATORY/RESIDENTIALBAR 2 0 1 = 2 \URINAL, STALL I WALL 0 0 5 = 0 TOILET PUBLIC INSTALLATION 0 0 6 = 0 ITOlLET PRIVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDO'S 20 0 TOTAL DRAINAGE FIXTURE UNITS 23 ,,:EDU (EquIvalent DwelhnJ; Umt) IS a d'sc~ge eqUivalent to a smgle famIly dwelhng urnt (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE BASED ON COUNTY ASSESSED VALUE .-- -,,--- II Il YEAR CREDIT RA TEI$1 ,000 ANNEXED ASSESSED VALUE IS LAND ELGffiLE FOR ANNEXA nON CREDIT? 2 I BEFORE 1979 .$529 (Enter J for Yes, 2 for No) I 1979 $529 IS IMPROVEMENT ELGlBLE FOR ANNEX CREDIT? 2 I 1980 $519 (Enter 1 for Yes, 2 for No) I ]98] $512 BASE YEAR 2005 I 1982 $4 98 I 1983 $4 80 CREDIT fOR LAND (IF APPLICABLE) I ]984 $463 VALUE 11000 CREDIT RATE I 1985 $440 $000 x $000 ~I $000 I 1986 $4 07 I 1987 $367 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) I 1988 $322 VALUE I 1000 CREDIT RATE I 1989 $273 $000 x $000 0 I 1990 $225 I 1991 $180 I ]992 $159 TOTAL MWMC CREDIT = $000 I 1993 $145 I ]994 $125 I 1995 $109 1996 $092 I 1997 $072 I 1998 $048 I ]999 $028 I 2000 $009 I 2001 $005 225 FIfth Street Sprmgfield, Oregon 97477 541-726-3759 Phone ~..~~ lIL:~j --~ - --~ - CIty of Sprmgfield OffiCIal ReceIpt Development ServIces Department PublIc Works Department Job/Journal Number COM2008-00819 COM2008-00819 COM2008-00819 COM2008-00819 COM2008-00819 COM2008-00819 COM2008-00819 COM2008-00819 COM2008-00819 COM2008-00819 COM2008-00819 COM2008-00819 COM2008-00819 COM2008-00819 COM2008-00819 COM2008-00819 COM2008-00819 COM2008-00819 COM2008-00819 COM2008-00819 COM2008-00819 COM2008-00819 COM2008-00819 COM2008-00819 COM2008-00819 COM2008-00819 COM2008-00819 COM2008-00819 COM2008-00819 COM2008-00819 COM2008-00819 COM2008-00819 COM2008-00819 Payments Type of Payment CredltCard cRecemtl RECEIPT #: 1200800000000000632 Date' 0611112008 Descnptlon Storm Dramage ImpervIOus Area Sanitary Sewer - Re,mbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Re,mbursement SDC MWMC Improvement SDC MWMC AdmmlstratlOn SDC Sanitary/Storm Admm SDC Transportation Admm Sidewalk Perm,t Curbcut Permit BUlldmg Permit Addressmg Ass'gnment Willamalane Smgle Fam,ly 2 Bath~ One or Two Family Storm Sewer Each Addtl 100' Furnace - up to 100,000 btu Vent Fan Apphance Vent Exhaust Hoods Dryer Vent Gas Outlets 1-4 -Mech Iss 2+ Apphances- Res,dence W IflOg 1000 Sq Ft Res,dence Wifing Ea Addtl 500 Temp Power 200 amps or less fife SF Fee - Res,dentlal Plan Review Major - Plannmg + 5% Technology Fee + 12% State Surcharge + 10% Admm,stratlve Fee Plan Review Same As Paid By HA YDEN HOMES Item Total Check Number Authorization ReceIVed By Batch Number Number How Received dJb 020068 In Person Payment Total Page I of I 932 SIAM Amount Due 68581 61717 46929 19548 862 25 9535 99039 1000 12293 7336 8500 8500 70876 3500 2,51300 280 00 3200 1400 2100 700 10 00 700 500 4000 11700 4200 5500 7955 205 00 8369 15585 13783 220 00 $9,06071 Amount Paid $9,060 71 $9,06071 6/1112008 fi !i&I!!!!~l!,~e Job No a.JJH2/P!6 -/'JOb/? SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2008 NAME Fffrrrj)Q) h~At_j(e\ PHONE 7'4/-25"72- ADDRESS 2.1~4 W 4'i4C/~CITY~J STATE ~ ZIP 977>6 ~t, LOCATION OF PROPOSED BUILDING SITE Street Address' / ~ 1/ J , ~ 7 l}J ,t? L Plat Name ~A- 'f;1~ ~~ax Lot Number /53/)7J:)~~2 //J207;J 1 DEVELOPMENT TYPE (Check appropnate dwelllng(s) Dwelling type defimlions are on the back) A Slnale-Famllv Detached NO OF UNITS / B Slnale-Famllv Attached NO OF UNITS C Multl-Famllv Acartment NO OF UNITS D Slnale Room Occucancv NO OF UNITS E Accessorv Dwelhno Unit NO OF UNITS WILLAMALANE SDC X $2,513 per Unit = $ 2-51 ~ X $2,726 per Unit = $ X $2,323 per Unit = $ X $1,162 per Unit = $ X $1,257 per Unit = $ $ 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) ---r:>'f3 Development Services Department City of Spnngfield $ 25/3 L I //, 2DO? Date 5