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Home My WebLink AboutPermit Building 2008-6-16 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00865 ISSUED' 06/16/2008 APPLIED: 06/1612008 EXPIRES. 12/16/2008 VALUE: $ 189,861.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn LlUe SITE ADDRESS 1279 S 40TH PL ASSESSOR'S PARCEL NO 1802064114300 SPRINGFlETYPE OF WORK SlUgle FamIly Residence TYPE OF USE New PROJECT DESCRIPTION SlUgle family reSIdence SAME AS COM2008-00572 1237 S 40th PI Owner BRUCE WIECHERT CUSTOM HOMES INC Address 3073 SKYVIEW LN EUGENE OR 97405 Contractor Type General Electrical Mechamcal PlumblUg I CONTRACTOR INFORMATION I Contractor License BRUCE WIECHERT CUSTOM HOMES INC 101717 L & E ELECTRIC INC 105475 COMFORT FLOW 460 STEVE R JOHNSON 65065 BUILDING INFORMATION I # of Umts Primary Occupancy Group Secondary Occupancy Group Primary ConstructIOn Type Secondary Construction Type # of Bedrooms # of Stories 1 Height of Structure 1800 Type of Heat Forced Air Gas Water Type Gas Range Type Energy Path Path 1 Sprinkled BuIldlUg No 1 R-3 U VB 3 I DEVELOPMENT INFORMATION I Front yard Setback Side 1 Setback Side 2 Setback Rearyard Setback Solar Setbacks 1900 500 1050 3500 000 Overlay Dlst # Street Trees Rqd Paved Drive Rqd % 01 Lot Coverage Residential ExpiratIon Date 09/16/2008 03/3012010 06/27/2009 03/12/2010 Phone 541-686-9458 541-933-2653 541-726-0100 541-342-3765 Lot Size Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft Garage/Carport Sq Ft Other Occupant Load 1,685 462 3 Yes 3080 REQUIRED PARKING Total 2 Handicapped Compact I PUBLIC IMPROVEMENTS I . ATSW;QR~ Oregon law requires you to follow rures 1d'8/5ied by the Orego~l.\l~W1e 7' NotllOO\mllp~ID:i:aT.oose ruletill'b iilNJC(illlter In OAR 952-001-0010 through OAR 952-001- 0090 You may obtalD copies of the rules by calling the center (Note the telephone number for the Oregon Utility Notlflcatlon Center IS 1-800-332-2344). Street Improvements Fullv Improved Storm Sewer Ava1:e'rICE: Yes SpeclalInstructlo~HIS PERMIT SHALL EXPIRE IF THE WORK Notes Storm w~MnIA!~\1fD UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ~, Y 180 DAY PERIOD Paee I of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection LlUe DescriptIOn Tvpe of ConstructIOn A C - Reslden Dwelhnes Garaee AC - Residential V Wood Frame Garaee Fee DescriptIOn -Mech Iss 2+ Apphances- + 100/0 AdmlOlstrahve Fee + 12% State Surcharge + 5% Technology Fee 2 Baths One or Two FamIly AddresslUg Assignment Apphance Vent BoIler/Comp Up To 100,000 btu BUlldlUg 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+ OverWldth Apphcatlon Fee Pldn Review Major - PlannlUg Plan Review Same As Residence WIrIng 1000 Sq Ft Residence WIrIng Ea Addtl 500 Samtary Sewer - Improvement Samtary Sewer - Reimbursement SDC MWMC AdmlUlstratlOn SDC MWMC Improvement SDC MWMC Reimbursement SDC Samtary/Storm AdmlU SDC Trdnspo Improvement SDC Transpo Reimbursement SDC TransportatIOn AdmlU Sidewalk Permit Storm Sewer Each Addtll 00' Vent Fall I ValuatIon DescnntIon I $ Per Sq Ft or multlpher $500 $10500 $28 00 Squdre Footage or Bid Amount 2,14700 1,685 00 462 00 Total Value of Project F~p. P1"1 . Amount Paid $40 00 $16414 $18408 $97 45 $280 00 $35 00 $700 $1400 $945 04 $85 00 $700 $10 00 $10735 $17 00 $1400 $500 $200 $40 00 $205 00 $220 00 $117 00 $63 00 $469 29 $61717 $10 00 $990 39 $95 35 $82 09 $862 25 $19548 $7991 $85 00 $32 00 $2100 Date Paid 6/16/08 6/16/08 6/16/08 6/16/08 6/16/08 6/16/08 6/16/08 6/16/08 6/16/08 6/16/08 6/16/08 6/16/08 6/16/08 6/16/08 6/16/08 6/16/08 6/16/08 6/16/08 6/16/08 6/16/08 6/16/08 6/16/08 6/16/08 6/16/08 6/16/08 6/16/08 6/16/08 6/16/08 6/16/08 6/16/08 6/16/08 6/16/08 6/16/08 6/16/08 Paee 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO' COM2008-00865 ISSUED. 06/1612008 APPLIED 06/16/2008 EXPIRES: 12/1612008 VALUE: $ 189,861 00 Value Date Calculated $10,73500 $176,925 00 $12,93600 $200,596 00 06/16/2008 06/16/2008 06/16/2008 Receipt Number 1200800000000000662 1200800000000000662 1200800000000000662 1200800000000000662 1200800000000000662 1200800000000000662 1200800000000000662 1200800000000000662 1200800000000000662 1200800000000000662 1200800000000000662 1200800000000000662 1200800000000000662 1200800000000000662 1200800000000000662 1200800000000000662 1200800000000000662 1200800000000000662 1200800000000000662 1200800000000000662 1200800000000000662 1200800000000000662 1200800000000000662 1200800000000000662 1200800000000000662 1200800000000000662 1200800000000000662 1200800000000000662 1200800000000000662 1200800000000000662 1200~00000000000662 1200800000000000662 1200800000000000662 1200800000000000662 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO' COM2008-00865 ISSUED: 06/16/2008 APPLIED. 06/16/2008 EXPIRES 12/16/2008 VALUE: $ 189,861 00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn LlUe Wlllamalane SlUgle FamIly $2,513 00 6/16/08 1200800000000000662 Total Amount P..d $8,711 99 Planume: Review 06/16/2008 Plan Reviews ~ APP Follow the street tree plan attached to the permit species as shown, 2" caliper, leave name tag on tree until approval Pubhc Works Review 06/16/2008 06/16/2008 APP LKW Bob WIlson's Ok for overwldth driveway approval Storm water to curb/ Overwldth driveway apphcatlOn approved By Bob WIlson Pubhc Works Review 06/16/2008 06/16/2008 APP LKW To Request an mspectlOn call the 24 hour recordmg at 726-3769. All mspectIons requested before 7 00 a m. will be made the same workmg day, mspectIons requested after 7:00 a.m. Will be made the followmg work day. ~Irp.rlln~,nechons I EroslOn/Gradmg Inspection Pnor to ground disturbance and after erosIOn measures dre IDstalled SIdewalk - Curbside After forms are erected but prior to placement of concrete Curbcut - OverWldth After forms are erected but prior to placement of concrete Ufer Electrical Ground Install grollnd rod at fOOtlUg alld call for IUspectlOn 10 conJullctlOn with fOOtlOg and/or foundatIOn IDspectlOn Footmg After trenches are excavated FoundatIOn After forms are erected but prlOl to concrete placement Post and Beam Prior to floor IUsulatlOn or decklOg Floor InsulatIOn Prior to decklOg Shear Wall Nalhng Before covering sheath lUg with fiDlsh materials FramlUg InspectIOn Prior to cover and after all rough 10 IIlspectlOns have been approved Wall InsulatIOn Prior to cover Celhng InsulatlOlI Prior to cover Drywall Prior to taplOg FlOal BIlIIdlOg After all reqUired lOspectlOns have been requested and approved and the bUlldlUg IS complete Hold Downs Installed Spec18llnspectlOn performed prior to placement of concrete Provide report to City BUlldlUg Inspector Paee 3 of 4 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO' COM2008-00865 ISSUED. 06/16/2008 APPLIED 06/16/2008 EXPIRES. 12/16/2008 VALUE: $ 189,861.00 225 Fifth Street, Sprlllgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Underfloor PlumhlUg Prior to msulatlOn or decklUg Underfloor Dr31U Prior to cover or placement of concrete Rough Plumbmg Prior to cover and mcludmg reqUIred testmg Water Lme Prior to filhng trench and mcludmg reqUIred testlUg SaUltary Sewer Lme Prior to filhng trench and IUcludmg reqUIred testlUg Storm Sewer LlUe Prior to filhng trench FlUal Plumbmg When all plumblUg work IS complete Underfloor MechaUlcal Prior to msulatlOn or decklUg alld IUcludmg reqUIred testlUg Underfloor Gas After hne IS mstalled and reqUIred testmg and capped If not attached to an apphance Rough Gas After hne IS IUstalled and reqUIred testmg and capped If not attached to an apphance Gas Service After hne IS mstalled alld hne has been connected to a mmlmllm of one apphance mcludmg requIred testlUg Presure test done at this pomt Rough MechaUlcal Prior to Cover FlUal Gas When all gas work IS complete FlUal MechaUlcal When all mechaUlcal work IS complete Rough Electric Prior to Cover Electric Service Approval reqUIred prior to utIhty company energIZIng service Fmal Electric When all electrical work IS complete By signature, I state and agree, that I have carefully examlUed the completed apphcatlOn and do hereby certify that all IUformatIon hereon IS true and correct, and I further certify that any and all work performed shall be done IU accordance With the Ordmances of the City of Sprlllgfield and the Laws of the State of Oregon pertammg to the work deSCribed herem, and that NO OCCUPANCY wIll be made of any structure Without permiSSIOn of the CommuUlty Services DIVISIOn, BuIldlUg Safety I further certIfy that only contractors and employees who m comphance With ORS 701005 Will be used on thIS proJect I further agree to ensure thdt all reqUIred mspectlOns equested at the proper time, that each address IS readable from the street, thdt the permit card IS located at the front property, and the approved set of plans wIll remalU on the site at all :~~,:ZZZ'::"!!!) f I/o 1 Pdee 4 of4 ;~BU>~'" ," ~ ~ JIll.... '6s. DATE J.f2.!JZ/06 125 nFI1I STREET . SPRINGm:LD, OR 97477 . PH.(54I)726-3753 . FAX. (541)716-3689 .- IlllIJI' SOURCE '(Y\ p:'>p e.--' ELECTRICAL PERMIT APPliCATION 74~ CrtyJobNumber Co~ .,......~~_,-,r-. 'iSb) Date;l'; lJ 5 -- I. 1il'Tiii,;:;.iM'd--oOEiiV.i;Aj;ft,f'hiW~~,' .~ 3. 1~="-;;;;;.GiFEK:SeHiiili.iLbii;;F.r.oW~)-~~-':~~ ~~~.~~~j!~!~q:.-~ ~,_,~,",_;(i'_~_"'"""""'~\I"~ ~,~,~~,,~t101*~~ 1 ( 7 q S ,-/0 ~ (> \ CiTY OF S'PRINGFIELD, OREGON' ' IDstaUatloD, A\teratloa or RelocatJOa 200 Amps or ~ $ 55 00 20 I ~ fff.ret:""'" $ 76 00 401 Am1ffffs()~ SHALL ElIrlnC If f~~'M:JDI( Over~ITISNOT D..lil~iI' '..'.iJ#1/. ' '0" ,~m~~_ New AItmldoooo1- ii~.l$i(roli!.\t Paael One CD'CU1t Each AddItional CD'CU1t or WIth ServIce or Feeder pemut C"c.,.-h)~ ltov'\-ef E. ~~F(~!~~l~~:~~~~~' LEGAL DESCRIPTION JROZDbC{/ JOB DESCRIPTION J4.....tE / l/3t>o t/ I tLP: /' Permits are noa-traosferable aad expire if work is Dot started within lHO days of lSSD8ace or d work IS S "",. "..;ee1 for lHOdays. iv~';;:;;~~~~~ncWf1iiL~j 2. ~~~-,,",,'i!'"""~~'l"'7~~""'~~"'~ Lib Addn:ss q 2 z '3 -3, -:s 0 ,,~':. Ac,,~ S Ctty Sp~\~ . EIectnca1 Contractor Phone 57)- LIJ 7 Zl Expll'llt1on Date 417'1-$ IO/OIJo~ ::'-,.~,.sor License Number Constr Contr Number I 0 c,- LI 7 S- a..._~_uDate 3)'0 , SIgIIlItUre of Superv1Smg Electncian ~ C} U~,~ Owners Name (?,v \I (C. W \ (,U"."",+- Address ?,,,, I ~ 5 k..., Il' C. u.J ) Phone (, lJ &4 'i S- 8 Crty f "J c,k.- OWNER INSTALLATION The mstaIlal:Ioa IS being made on property I own wluch IS not II1Iended for sale, lease or rent. OwnClll Sl""";"'v Iospeetioa Reqnest: 726-3769 A. ~i~ffi>~!!ff~IID~~~""~~~ ~'P~_.___;r..__ ~"_ ~,.~~ ",~~-!:~..!eJi_.,.. Sen'lce IDclndeel 1000 sq ft. or less Each addrtional 500 sq ft. or portIon thereof I .3 $117.00 -/17 bS $2100 Each Manufuct'd Home or Modular Dwelling ServIce or Feeder $55 00 ~~'~f.mlln"""~~A",,",';'~""'i'I".~ B. ~v~~ ns:.,,,~!~~.'~~~~y~~-1~~t!-'!i~t~~ 200 Amps orlENTION Oregon law req'f7o"d69'J III 201 AmpsfD~9, VX!!!!es adopteu uy 1I1~ ,)$'L8"3"iiOL, ,.y -NO II~" Center TL-z:- ,.~IJl~ h,l'; -.:J' b..th 401 Amps ~~-001-001 (l th,,,, ".h \.$13~.09~ ('01- 601 AmpstB1l900 ~ay obtain c~ ,,~" ,$I8000'~C by Over 1000 ~e center (Jr....., '$413 iJo JI e 1L___...l o&\Ymber for the On'!,1'" ' , :$ S5 00 ,a"" " CeIiT,ler IS 1~1.-'-.J \0>",..... ....._h+) c. I&:TS"'-~,lf~elit""",.,:;i:.,J;,;,~~~'S'jJ ~~~",,,,,,,,,,,,,,,,,,,",,~_~~;g:-mr~~Bf'~- .-."."..... - $4800 $ 400 Pump or UTtg8Ilon $ 55 00 StgnIOutbne LightIng $ 55 00 Lnnrted EnergylReslllenl18l $ 28 00 Lnnrted Energy/Commercl8l $ 50 00 Minimam EJectrie Permit Inspeetion Fee IS $50.00 + Snrdutrges 4. ~.i!GOJ;?U~'~";lg;~"-'I\\\~~'~ /80 ~_~~rIt.~J~~~~~ 12% Stale Sun:harge ? /_ ~O 10% AdmunstratIve Fee / fP, ~ 5% Technology Fee - Cf UI.7 TOTAL "L7../b _ GC Sbmed Dnvc(T )/BulIdmg FmmsIEICdnaII Pcmut Appbcal10D 1~8 <!<>c I}-~ Willamalane t"W Park & Recreation Dlstnct , Job No UJY/~-oouS- SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2008 NAME t:vtUct: 1A)1e.c~r PHONE ~U -9cf)"B ADDRESS ~f9'77 fJi'1Mdt.1 CITY .m~~ STATE lJ,(ZIP 97fD5 lOCATION OF PROPOSED BUilDING SITE Street Address } /_ '7 9 :=) . .41") l! Pi. , ,- . - . PlatNameJ~ JJJ~IJW( Tax lot Number J.1zf)ZlXPt/ /4...3bD 1. DEVELOPMENT TYPE (Check appropnate dwelllng(s) Dwelling type definrtlons are on the back) A SlDale-Famllv Detached NO OF UNITS , J X $2,513 per umt = $ 2-<;;;/3 " B SlDale-Famllv Attached NO OF UNITS X $2,726 per umt = $ C Multl-Famllv Aoartment NO OF UNITS X $2,323 per unit = $ D SlDale Roam Occuoancv NO OF UNITS X $1,162 per unit = $ E Accessarv Dwelllno Umt NO OF UNITS X $1,257 per unit = $ WILLAMALANE SDC $ - 2. SDC CREDIT (If applicable) SDC payer must furnish proof of Willarnalane Credrt approval) $ 3 TOTAL WILLAMALANE NET SDC ASSESSED (If SDC reduced for Credit) $ 25"/:1 # ~--1~-<- e:, I /0 I O~ Development S"ervlces Department Date City of Spnngfield 5 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER COM2008-00865 NAME OR COMPANY Brucc Wiechert Homes LOCA liON 1279 S 40th place rAX LOT NUMBER 1802064114300 DEVELOPMENT TYPE Smgle Falllllv ResIdence NEW DWELLING UNI rs I BUILDING SIZE (Sr 2147 " I SroRM DRAINAGE LOT SIZE (SF) 6866 3 I", I~ I~ l 5 ~ DIREC I RUNOrr TO CI I Y STORM SYSTEM I IMPERVIOUS S I' x I COST PER S r CHARGE I 304900 I $0346 I = I $1,05502 RUNOFr ROUTCD 1'0 DRYWELL DESIGNED AND CONSTRUC1 ED TO CITY Sl ANDARDS I IMPERVIOUS S F I x I COST PLR sri x I DISCOUNT RATE I I I 0 00 I I $0 346 I I 50% ~ I ITEM I TOTAL - STORM DRAINAGE SDC $1,05502 2 SANI rARY SCWCR - CIl Y A REIMBURSLMENT COST I NUMBER OF DI U's I x I 23 I B IMPROVCMCNT COS I I NUMBER OF DrU's I x I 23 I COS r PER DFU $26 83 COST PCR DFU $20 40 ITEM 2 TO rAt - CI rv SANITARV SEWER SDC = , 3 rRANSPOR I ATION A REIMBURSEMENT COS r I ADrTRIPRATE I x I 957 I Il IMPROVEMENTCOSI I AD1 IRIP RAIE I x I 957 I I NUMBI:,ROF UNIISI x I I I I I I NUMBER or UNITS I x I I I I I ITEM 3 TOTAL-TRANSPORTATION SDC = , 4 SANI I ARY SEWCR - MWMC A REIMBURSEMENI COST INUMBER OF FFU's I x i I I B IMPROVEMENrCOSI INUMI3fR OF FI:.U's I x I I I ICOST PER FEU I $9535 ICOST PCR FEU I $99039 MWMC CREDIT IF APPLICABLE (SEr RLVERSI:) MWMC ADMINIS rRATIVE rEE ITEM 410TAL-MWMCSANlTARVSEWERSDC ~ I $1,08646 COS I' PCR TRIP 2043 COST PER TRIP $9010 $1,05773 $t.09574 DISCOUNT $000 x INEW 1RIP rACTORI I 100 I x INEW TRIP rAC I ORI I 100 I SUBTOTAL (ADD ITEMS t, 2, 3, & 4) = , 5 ADMINISTRATIVE FEE I SUBTOTAL x I ADM FEE RArE I~ I $4,294 95 I 5% I 10TAL SANlrARY ADMINISTRArlON FEC 10TAL TRANSPORTATION ADMINISTRATION FEE $4,294 95 CHARGE $21475 Kaye Wilson PREPARED BY 101 ,~, o<{ , DATE TOTAL SDC CHARGES $t,05502 1070 $617 17 1091 11092 I [ ----I $469 29 $t9548 1093 I = 11094 I I 11054 $990 39 i 1055 $862 25 $95 35 $000 I 1054 $tO 00 I 1056 J J 11 I 14375 {079 $7100 1078 =1 $4,509 70 l' DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUTV ALENT = DRAINAGE FIXTURE UNITS (NOTE FOR REMODELS CALCULATE ONLY THE NET ADDmONAI FIX11JRES) NO OF FIX I URCS DRAINAGE UNIT FlXl URE FIXTURE TYPE NEW OLD CQUI'0-LENT UNITS IBAfHTUB 1 0 3 = 3 IDRlNKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 IINTFRCEP roRS FOR GREASE 1 OIL 1 SOLIDS 1 ETC 0 0 3 = 0 I IN I ERCEP IORS fOR SAND / AUTO WASH 1 ETC 0 0 6 = 0 I LAUNDRY TUB 0 0 2 = 0 ICLOTHESWASHLR / MOP SINK 1 0 3 = 3 ICLOTHESWASHI:R.3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (I PCR TRAILER) 0 0 12 = 0 I RCCEPTOR I OR REF RIG / WATER STATION / E fC 0 0 1 = 0 IRECEPTOR FOR COM SINK 1 DISHWASHER / ETC 1 0 3 = 3 I SHOWER, SINGLC S fALL 1 0 2 = 2 I SHOWER, GANG (NUMBCR OF HCADS) 0 0 2 = 0 ISINK COMMERCIAURESIDCNTIAL KITCHEN 1 0 3 = 3 ISINK COMMERCIAL BAR 0 0 2 = 0 ISINK WASH BASIN/DOUBLC LAVAroRY 1 0 2 = 2 ISINK SINGLE LAVA I ORY/RCSIDENTIAL BAR 1 0 1 = 1 I URINAL, STALL / WALL 0 0 5 = 0 IIOILET, PUBLIC INSTALLAIION 0 0 6 = 0 I roILH, PRIVAIC INSTALLATION 2 0 3 = 6 MISCCLLANEOUS DFU I YPC NUMBER OF CDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 23 I -EDU (eqUIvalent Dwellmg Umt) IS a discharge eqUivalent to a single family dwelhng llnlt (20 OFtfs) set at 167 ~lIons per day I MWMC CREDIT CALCULATION TABLE BASED ON COUNTY ASSESSED VALUE YLAR CRCDIT RATF.J$I,OO~ I ANNEXED IS LAND ELGffiLE FOR ANNEXATION CREDIT" 2 ASSESSED VALUE BEFORE 1979 $529 (Enter I for Yes, 2 for No) I ]979 $529 IS IMPROVCMENT ELGIBLE FOR ANNEX CREDIT" 2 ]980 $519 (Enter I for Yes, 2 for No) I 1981 $512 BASE YEAR 1979 1982 $4 98 I 1983 " -1 $4 80. CREDIT r0R LAND (IF APPLICABLE) 1984 $463. VALUE/1000 CREDIT RA 1 E 1985 $440 $000 x $529 ~ , $000 I 1986 - $4 07 , I, 1987 ,- $367. CRCDIT I OR IMPROVEMENT (IF AFTER ANNEXA nON) 1988 $322 -- VALUE /1000 CREDIT RATE 1989 $273 $000 x $529 = , 0 1990 $225 1991 $180 1992 $159 TOTAL MWMC CREDIT = $000 1993 - $145 1994 1;; $125 f 1995 $109 1996 ~ $092 " , 1997 $072 1998 $048 1999 $028 2000 $009 2001 $005 ., '" CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER COM2008-00865 NAME ()R COMPANY Bruce Wlcchertllomes LOCAl JON 1279 S 40th place TAX L0TNUMBER 1802064114300 DEVELOPMENl TYPE Smglc family Re;ldence , NEW PWELLING UNITS I BUILDING SIZE (SF 2147 1 1 S roRM DRAINAGE D1REC r RUNOFF TO CITY STORM SYSTEM L IMPERVIOUS S f x I COST PCR S r CHARGE r ' 000 I $0346 I = I I $0 DO' RUNOEF ROUTED 10 DRYWELL DESIGNED AND CONS [RUCTED TO CITY STANDARDS Lllv'JLRVlOUSSF I x I COSfpbRSF I x I DlSCOUNTRATE I I L 0 00 I $0 346 I I 50% I I I ITEM IITOTAL - STORM DRAINAGE SDC $000 I 2 SANI rARY SEWF,R - r:ITY A REIMBURSCMEN r COST ~NUMBE~30F DFU's I x B IMPROVEMENT COS r I NUMBCR OF DFUs I x COS I PER DFU I 23 $20 40 ITEM t TOTAL - CITY SANITARY SEWER SDC COST PER DFU $26 83 = , $1.08646 LOT SIZE (SF) D1SCOUN I $000 3 IRA! SPORTATION A REIMBURSEMENT COST I ADTTRIPRATC I x I NUMBER OF UNITS I x I COST PCR 1 RIP x INEW 1 RIP FACTORI I 957 I I I I I 2043 I 100 I B IMPROVEMENT COS 1 I ADT TRIP RATC I x I NUMBER OF UNI1 S I x I COST PER TRIP x INEW TRIP FACTORI I 957 I I I I $90 10 I 100 I ITEM 3 TOTAL - TRANSPORTATION SDC ~ I $1,05773 4 SANITARY SEWER - MWMr: A REIMBURSEMENT COST I NUMBER ~F FCU's I x ICOSl PER FEU I $9535 B IMPROVEMENTCO,T INUMBER OF FEU's I x ICOST PCR FEU I I J I $990 39 MWMC CREDI r II< APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I $1.095 74 SUBTOTAL (ADD ITEMS 1, 2, 3, & 4) = , $3,239 93 5 ADMINISTRATIVE FEE 6866 3 I I if] IQ o U ~ W-l l- [/) G gz $000 11070 $6t7 t7 11091 II I 11092 I $469 29 $19548 IIOJ3 I $862 25 1094 [SUBTOTAL x I ADM FEE RATE I~ I nn9~ I % TOTAL SANITARY ADMINISTRA110N FEE TOTAL TRANSPORTATION ADMINISTRATION FEE CHARGE $16200 Kaye Wilson (Pltl.o\()~ = $95 35 1054 = $990 39 11055 $000 11054 $10 00 11056 I I l PRI- P ARbD BY DATE TOTAL SDC CHARGES 82 09 11079 $7991 --"1078 $3,401 93 I ~ <" , DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF Nf:o. W FIXTURES x UNIT EQUIVALENT = DRAfNAGE FIXTURE UNITS l (NOTE FOR REMODELS CALCULATE ONLY THE NET ADDITIONAL FIXl VRES) , NO OF rrXTURES ' DRAINAGE "\1 UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 1 0 3 = 3 ~-1 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 I INTERCEPTORS FOR GREASE lOlL I SOLIDS I E rc 0 0 3 = 0 I INTERCEPTORS FOR SAND I AUTO WASH I ETC 0 0 6 = 0 I LAUNDRY TUB 0 0 2 = 0 I ICLOTHESWASHER I MOP SINK 1 0 3 = 3 :' -I I CLOnu:sw ASHER. 3 OR MORE (EAl 0 0 6 = 0 IMOBILE HOME PARK TRAP (J PCR TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRlG 1 WATER STATION IETC 0 0 1 = 0 RECEPTOR FOR COM SINK I DISHWASHER 1 ETC 1 0 3 = 3 I SHOWER. SINGLE STALL 1 0 2 = 2 I SHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0 ISINK COMMFRCiALlRESIDENTJAL KITCHEN 1 0 3 = 3 ISINK COMMERCIAL BAR 0 0 2 = 0 SINK WASIJBASIN/DOUBLELAVATORY 1 0 2 = 2 SINK SINGLE LA V A TORY IRESIDENTJAL BAR 1 0 1 = 1 URlNAL STALL/WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRlVATE INSTALLATION 2 0 3 6 ~ MISCELLANEOUS DFU TYPE NUMBER Of EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 23 ,*EDU (EqUivalent Dwelling Urnt) IS a dlSChar~ eqUIvalent to a smgle falmly dwelling urut (20 DFU's) set at 167 J,'3.lIons per day II I I I I I I I I I I I I I MWMC CREDIT CALCULATION TABLE BASED ON COUNTY ASSESSED VALUE YEAR I ANNEXED I BEFORE 1979 1979 1980 \98\ 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 II: LAND ELGlBLE FOR ANNEXATION CREDIT? (Cnter I for Yes, 2 ror No) IS IMPROVEMEN r ELGIBLC FOR ANNEX CREDIT? (Enter I for Yes, 2 for No) BASE YEAR 1979 ~ CREDIT RATE/$ I ,000 ASSESSED VALUE \. .$529 " ~ 'J' ~ $529 \~T ;z --'----'-- $519 't' r $512', 'l .,,~t :-Io?~~ : $498 " ~ $480 '" _ $463.. '1.,' "-"',;-r~-$440:l-.:'J,~;;~ -,x-, $4 07 :- ~ I- $3 67--,- r ~ Ji..' $3 22'- -~-r - $273 - 1- _ ' :JlL ~ --t $2 25 ;- $180 - " $1 59 c;~ . $145 J' "uJ' -'- ',"' ,.-" $1251('(-, -t'~ *- $~ _09 _ l '" 1 ,_ d r~'$092 '"" -~ r nl ~$672r;-~ 1 ~~L ~ " $048 C>, ' r -'l "$0 28 -.F-,,~t r -j:T-.[L C $0-09- -"," l-- ""$dug~~ ~-~ ~{~ v 2 CRCDIT FOR LAND (IF APPLICABLE) VALUE 11000 CREDIT RATC $0 00 x $5 29 ~, $000 CREDIl FOR IMPROVCMLNT (If ArTER ANNEXATlON) VALUE 11000 CREDIT RATE $000 x $529 ~ , o = $000 TOTAL MWMC CREDIT '7 -'-"", 225 Fifth Street Sprmgfield, Oregon 97477 541-726-3759 Phone ~~; ~~ ~-'- City of Sprmgfield OffiCial Receipt Development Services Department Pubhc Works Department Job/Journal Number COM2008-00865 COM2008-00865 COM2008-00865 COM2008-00865 COM2008-00865 COM2008-00865 COM2008-00865 COM2008-00865 COM2008-00865 COM2008-00865 COM2008-00865 COM2008-00865 COM2008-00865 COM2008-00865 COM2008-00865 COM2008-00865 COM2008-00865 COM2008-00865 COM2008-00865 COM2008-00865 COM2008-00865 COM2008-00865 COM2008-00865 COM2008-00865 COM2008-00865 COM2008-00865 COM2008-00865 COM2008-00865 COM2008-00865 COM2008-00865 COM2008-00865 COM2008-00865 COM2008-00865 COM2008-00865 COM2008-00865 Payments Type of Payment CredltCard cRecemtl RECEIPT #. 1200800000000000662 Date. 06/16/2008 Description Curbcut Penmt Sidewalk Penmt BUlldmg Permit Addressmg Assignment Wlllamalane Smgle Family 2 Baths One or Two Family Stonn Sewer Each Addtl 100' Apphance Vent Exhaust Hoods Dryer Vent Gas Outlets 1-4 Gas Outlets 4+ Fireplace (Listed) -Mech Iss 2+ Apphances- Residence WIring 1000 Sq Ft Residence Wiring Ea Addtl 500 Fire SF ree - Residential Plan Review Same As BOIler/Comp Up To 100,000 btu Samtary Sewer - Reimbursement Samtary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Relmbllrsement SDC MWMC Improvement SDC MWMC AdmmlstratlOn SDC SamtarylStonn Admm SDC TransportatIOn Admm Plan Review Major - Plannmg Furnace - up to 100,000 btu Vent Fan + 5% Tcchnology Fee + 12% State Surcharge + 10% Admmlstratlve Fee Overwldth ApphcatlOn Fee PaId By BRUCE WIECHERT Item Total Check Number Authorlzatton Received By Batch Number Number How Received dim 055360 In Person Payment Total Page I of I 2 52 40PM Amount Due 8500 8500 945 04 3500 2,51300 280 00 3200 700 10 00 700 500 200 1700 4000 11700 6300 10735 220 00 1400 61717 469 29 19548 862 25 9535 99039 10 00 8209 7991 205 00 1400 2100 9745 18408 16414 4000 $8,71 I 99 Amount Paid $8,71199 $8,711 99 6/1 6(2008