HomeMy WebLinkAboutPermit Building 2008-7-2
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO. COM2008-00945
ISSUED' 07/02/2008
APPLIED: 06/3012008
EXPIRES: 0110212009
VALUE: $ 145,250.00
Status
Issued
225 F,lth Street, Sprlllgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 IlIspectlOn Lme
SITE ADDRESS 5716 MINERAL WAY
ASSESSOR'S PARCEL NO 1802033210000
SPRINGFIETYPE OF WORK Slllgle Family ResIdence
TYPE OF USE New
PROJECT DESCRIPTION Slllgle family reSIdence SAME AS COM2008-00182 5793 Cinder
Owner HAYDEN HOMES LLC
Address 2464 SW GLACIER PL
REDMOND OR 97756
I. CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechamcal
Plumblllg
Contractor
HA YDEN ENTERPRISES
TOP NOTCH ELECTRIC INC
PACIFIC AIR COMFORT INC
PLUMBING PLUS INC
License
92208
172366
39237
90482
BUILDING INFORMATION'
# ofUmts
Primary Occupancy Group
Secondary Occupancy Group
Primary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
I
R-3
U
VB
# of Stories I
HeIght of Structure 1600
Type of Heat Forced AIr Gas
Water Type Gas
Range Type Electnc
Energy Path Path 1
Sprlllkled BUlldmg No
3
I DEVELOPMENT INFORMATION I
ReSldentJal
ExpIratIOn Date
07/29/2009
09/28/2008
03/25/2010
05/1 0/2009
Phone
541-228-1081
541-317-1998
541-672-9510
54 I -926-3 I 90
Lot SIZe
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft GaragelCarport
Sq Ft Other
Occupant Load
5,201
1,234
560
REQUIRED PARKING
Frolltyard Setback 2050 Overlay DlSt' Total 2
SIde I Setback 10 00 # Street Trees Rqd 3 HandIcapped
SIde 2 Setback II 40 P dved Drive Rqd No Compact
Rearyard Setback 11 00 % of Lot Coverage 3440
Solar Setbacks 10 00
ATTENTION Ore on law r I PUBLIC IMPROVEMENTS I
g eqUln,__._
Street Imprfu;&mePiiles adopted bYtiI;y'rvCffGBP.aJJtllity SIdewalk Type CurbSIde 7'
NotJ.f!~l1t!Q.J;l Center Those rules are ~t forth
Storm se"'~rOAA'~~001-0010throu hOAR 9 t~ , Downspouts/Drdllls Curb and Guller
SpecIal In ~uctJo.n 9 2 001
u~u, r()u may obtain copies of the rules by NOTICE: XPIRE If 1HE WORK
~~,the center .lNote the tel..ohonr. oco~nll c:.HA~L E.nMlT Ie: l\InT
Notes P~ 3f f&"wr~ ~%'"g5!\'rnll~W~M;~rcdof'?Q~omes mdde ijiI\\i!lI. wrw 5rB'ND'E~""\!fl3'~rt"'''''YlnlJt' llIeetmg 30'
ra IUS Center IS 1-800-332-2344). AU1HORlZE OR IS ABANDONED fOR
COMMENCED
ANY 180 DAY PERIOD
Page 1 or 4
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO. COM2008-00945
ISSUED: 07/02/2008
APPLIED: 06/30/2008
EXPIRES: 0110212009
VALUE' $ 145,25000
225 FIfth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
54 I -726-3 769 InspectIOn Lme
I ValuatIon Descriotion I
V Wood Frame
Garaee
$ Per Sq Ft
or multlpher
$10500
$28 00
Square Footage
or B,d Amount
1,23400
560 00
Value
Date Calculdted
Descrlphon
Dwelhnes
Garaee
Tvpe of Construcllon
Total Value of ProJect
$129,57000
$ I 5,680 00
$145,25000
06/30/2008
06/30/2008
L.Fpp~ pqi.dJ
Fee DescriptIOn Amount PaId Date PaId RecClpt Number
-Mech Iss 2+ Apphances- $40 00 7/2/08 2200800000000001009
+ 10% AdmllllStrallve Fee $145 12 7/2/08 2200800000000001009
+ 12% State Surcharge $16338 7/2/08 2200800000000001009
+ 5% Technology Fee $86 83 7/2/08 2200800000000001009
2 Baths One or Two Family $280 00 7/2/08 2200800000000001009
Addresslllg ASSlgllmellt $35 00 7/2/08 2200800000000001009
Apphance Vellt $700 7/2/08 2200800000000001009
Bmldlllg Permit $787 52 7/2/08 2200800000000001009
Curbcut PermIt $85 00 7/2/08 2200800000000001009
Dryer Vent $700 7/2/08 2200800000000001009
Exhaust Hoods $1000 7/2/08 2200800000000001009
Fife SF Fee - ReSldenllal $89 70 7/2/08 2200800000000001009
Furnace - up to 100,000 btu $1400 7/2/08 2200800000000001009
Gas Outlets 1-4 $500 7/2/08 2200800000000001009
Plan ReVIew Major - Planmng $205 00 7/2/08 2200800000000001009
Plan ReVIew Same As $220 00 7/2/08 2200800000000001009
ReSIdence Wiring 1000 Sq Ft $11700 7/2/08 2200800000000001009
ReSIdence Wiring Ea Addtl 500 $42 00 7/2/08 2200800000000001009
Samtary Sewer - Improvement $46929 7/2/08 2200800000000001009
Samtary Sewer - Reimbursement $617 17 7/2/08 2200800000000001009
SDC MWMC AdmlmstrdtlOlI $1000 7/2/08 2200800000000001009
SDC MWMC Improvement $990 39 7/2/08 2200800000000001009
SDC MWMC ReImbursement $95 35 7/2/08 2200800000000001009
SDC SamtarylStorm Admlll $140 50 7/2/08 2200800000000001009
SDC Transpo Improvement $862 25 7/2/08 2200800000000001009
SDC Transpo ReImbursement $19548 7/2/08 2200800000000001009
SDC TransportatIOn Admlll $71 34 7/2/08 2200800000000001009
Sidewalk PermIt $85 00 7/2/08 2200800000000001009
Storm Drallldge ImpervIOUs Area $996 89 7/2/08 2200800000000001009
Storm Sewer Each Addtl 100' $1600 7/2/08 2200800000000001009
Temp Power 200 amps or less $55 00 7/2/08 2200800000000001009
Vent Fan $2100 7/2/08 2200800000000001009
Wlllamalane Smgle Family $2,513 00 7/2/08 2200800000000001009
Total Amoullt PaId $9,47821
Page 2 of4
-~~
CITY OF SPRINGFIELD.
Building/Combination Permit
Status
Iss u ed
PERMIT NO. COM2008-00945
ISSUED: 07/0212008
APPLIED: 06/30/2008
EXPIRES: 0110212009
VALUE: $ 145,250.00
225 FIfth Street, Springfield, OR
54 I -726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Planmn2 Review
Structurdl Review
06/30/2008
06/30/2008
Plan RevIews I
06/30/2008 APP
06/30/2008 APP
TAJ
DLM
Approved as noted on the Plans
Pubhc Works Review
06/30/2008
07/01/2008
APP LKW
Dnveway on radiUs curve does not
meet 30' standards Ok per Ken
V ogeney
To Request an mspectlOn 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 followmg
work day.
~eonire1JnsnectJons I
EroslOn/Gradmg InspectJon Prior to ground dISturbance and after erosIOn measures dre mstalled
Footmg Aller trenches dre excavdted
FOllndatlOn After forms are erected but prior to concrete placement
Post and Beam Prior to Iloor msulatJon or deckmg
Floor Insulahon Prior to deckmg
Shear Wall Nadmg Before covermg sheathmg WIth fiDlsh materials
Frammg InspectIOn Prior to cover and after all rough m mspectlOns have been approved
Wall InsulatJon Prior to cover
Cellmg InsulatIOn Prior to cover
Drywall Prior to tapmg
Hold Downs Installed Spec..1 InspectlOlI performed prior to placement of concrete ProvIde report to CIty
BUlldmg Inspector
Fmal BUlldmg After all reqUIred mspectlOns have been requested alld approved and the bUlldlDg IS complete
UnderIloor Plumbmg Prior to msulatlOn or deckmg
Underl100r Dram 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 testmg
SaDltary Sewer Lme Prior to filhng trench and mcludmg reqUIred testmg
Storm Sewer Lme Prior to filhllg trench
Fmal Plumbmg Whell all plumbmg work IS complete
UllderIloor MechaDlcal Prior to msulatlOn or deckmg and mcludmg reqUIred testmg
UnderIloor Gas After hne IS mstalled and reqUIred testmg and capped If not attached to all apphance
Page 3 of 4
CITY OF SPRINGFIELD.
Building/Combination Permit
Status
Issued
PERMIT NO: COM2008-00945
ISSUED: . 07/02/2008
APPLIED. 06/30/2008
EXPIRES: 01102/2009
VALUE: $ 145,250.00
225 Fifth Street, Sprmgtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Rough Gas Alter hlle IS mstalled and reqUIred testmg and capped If not attached to an apphance
Gas ServIce After hne IS mstalled and hlle has beell cOllllected to a mlmmum of one apphance mcludmg required
testmg Presure test done at thIS pomt
Rough Mechamcal Prior to Cover
Fmal Gas When all gas work IS complete
Fmal Mechamcal Whell all mechamcal work IS complete
Temporary Electric Approval reqUIred prior to Utlhty Company energlzmg pole
Rough Electric Prior to Cover
Electric ServIce Approval reqUIred prior to utlhty company energIZIng servIce
Fmal Electric When all electrical work IS complete
S,dewalk - CurbSIde After forms are erected but prior to placement of concrete
Curbcut - Standard After forms are erected but prior to placement of concrete
EroslOn/Gradmg InspectIOn Prior to groulld dlStUl bdnce and after erosIOn measures are mstalled
By SIgnature, I state and agree, that I have carefully exammed the completed apphcatlOn and do hereby certlfy that all
mformatlOn hereon IS true and correct, and I further certlfy that any and all work performed shall be done m accordance WIth
the Ordmances of the CIty 01 Sprmgfield and the Laws of the State of Oregon pertammg to the work desctlbed herem, and
that NO OCCUPANCY will be made of any structure wltbout permISsIOn of the Commumty Services DIVIsIOn, BUlldmg Safety
I lurther certlfy that only contractors and employees who are m comphance WIth ORS 701 005 WIll be used on thIS project
I further agree to ensure that all reqUIred mspectlons are requested at the proper tlme, that each address IS readable from the
street, that the permIt card IS located at the fro lit of the property, and the approved set of plans will remam on the SIte at all
tImes dUflOg construction
L. /UhL1
Owner or Contractors S\gnature
:r"'/'J- 2 - Olr
Date
Pa2e 4 of4
. FAX (511)726-,639
SPRINGFIELD ~
it t4 ...r<f'<.......t\
[1 _~.... ~:;--,- ~!~"./ ,....:f,.1
II 'iT',. (~-4;'" j
l.'}-'I'~~~Y~1l.. ~J! "'-i
LON
fNJ1lALS
DATE
SOURCE
ELECTRICAL PERMIT APPLICATION
CIty Job Number ("~ 26Jc9;b - tp 0'/ 4- S-
r}J!,....,...'I/""!ul!'w."jv...~~3.."J.~~'v.,o,,-,rA"'-...?.,'t.\,: "~tl ~~-, 'II, ~ I'TL~
1 ;'EtiiCi]A!'FIONlOFu.t,SiFiJRDlTION "i:/'),"
5-7;;;";;);;:);;;;2 "'/jAr' " ,,-
LEGAL DESCRIPTION
/fWJ2-&J332- /0 ee-o
JOB DESCRIPTION
_ s-'r,?CJ/!l~ fC:;~e
,
PermIts are non-transferable and expll e If work 1S
not started wlthm 180 days of lSSUDnce or lfwork:ls
_ _ _SuspendecLlot:.-180-days- - - - - -- - ---~ - --
tjji,{r~nili?"Jt,Nfn~i~~&r?:JN~~ n;1~1~11~;lt;1:r1V"tJ'''J'~~~ "/g-~,r"1",;J~l
2 L~1~,2NMH~~L~mtclLg~1~~~QR ;.~~!l
Date 1/ ~ /0 z(
, ,
11' '"I\~J-~""I',,~,,~IJ-r '1-""~?~]f,.J'I,..-'~'-"""'7,,"1"-.'J!,;,~)~\l;-t'_' tJ I~'i,-...-r", 1-..
: 'COl'YlYIili'FEF'EE-SCHEDT.JDE'BELOW,' ,c-:, ~'.'\, '
[f~ _ ,_~" _ _h,~"t"wf '!.~t~J.'..J' ~0~~"',,--';;... 1.~' ~~k J... ~~'~l..~ ~ --,
,"
3
_, 1F"I:;}.;''F','lf~:~(pjI1r,jJ~~~",1(w1rrl]F:O;~TrJ (,"~\rS-':r ;0!.n -c, t ~\ "'~-::'''f\('Vl 'I' f -"-I
A ':N\i\Y:l;{eSidel)t!h1.~,Sfifgk'Qlt,Mlllil;iiift1)11'pei-'dwc!lJng uOlt, ", ~
"",A1.J.<\~~'~"""/'I~I..J:;"'-"JIJ~~:;]"'~f.........,-,-~t".=!,-,,~,..........,; ~~..~...' ~ L __r!. l ~
ServIce Included
1000 sq ft or less
Eacb addItlOnal 500 sq ft or
portIon thereof
Each Manufact'd Home or
Modular DwellIng ServIce or
_ _ Ie.eder____
/
$11700 /17.~
$ 21 00 12
Z-
$55 00
-B ~:llS\rI'15:@J~1~}~)tfr;~~~~~1~~,~~PlIlffl~~\}n){:f~b'~;\\:J,,}mz'1;:r.r~~;~ff~ ~R'~'I:'~:l~~; f,J~l~(~j
" erylces or~~"eeq~lj$lT ,gsw a on\\Al Cl allolls~on e ocntlon , ,~,..
~ I~,~t..t'" k:l', ~!-,~i' tr.....i:!:.~!--';(J ~t l~I..'b-\.....t,ll.fr'::" '>! .l..:~..,)..'~.) k'::.1.\t:::" r~ j~i>J.'~r..l' -~' ') " Il~Nl ~
ElectrIcal Contractor -r;"jJ)J~k~ .["/{'C 200 Amps or less
201 Amps to 400 Amps
;;2o(f7'1 eve", L f 401 Amps to 600 Amps
() ( : 601 Amps to 1000 Amps
n ~.,("----P]jone 5'7;- Sn-i-/9 ~g-Oven OO(}ANps1Y OllS
I Reconnect Only
Pump or ll11gallon $ 55 00
ATTE I ' SIgnlOut]me LIghtmg $ 55 00
N'tION1.Q\eQon law reqLlreoi you to ... - -
~WNERtoi(b1\,',..\tq a'db)i~<iQy_1!J\i Q[e.(}~'nJJ1J!ity Ilulllted Ener~/ResldentIal -=-_ _ ___='.:--" _ $ 28 00
rhe mstaO:OIlltC8lI9lmG;anrlllroiflilmlif'fD1e5'l'ffiJ"tlt!ffurth [unIted Energy/Co=ercral l . ~ N~~lf'lJU ------
IS not mtllil,QAB,Ss2<QfrM,@>tCl<U1!rough OAR $52.001.MlDlli'um El-;'ctrlC PermIt I;speetIo; Fee~I;I$?,(l'-ro~Q1urch"rgeS
0090. You may obtain copies of the1rules by ~~'1Cj'~~""~'"<Ig)!'!I1'!;\~I"'~I"~r.'''\''''''1'''''''>'1;1\;'''':'~''"':iJl,R;"I',,"';"
o S ....w.... the cent (N t h' 4 ~ {UL> !iJw8'.W Qlllllil'RIi);W,f,!lr' ;' 0, ,I-,ll)' ":;"11:;"'\ " /} / j
wners 1l5fHJllUtf ere 0 e: t e telephone r~, ~i~'1 ~~!jhI~~J.il,~u~1if'yliL~'m~<~~j;gi'C~\~~~J~1.Jfui\lt~~ilu'~'j~:)~5tait..?- f-
numbp_dnr t"_'" ?reg~n ,~I~lty~ Nolltlcalion - ] 2% State Surcharge 25 ":6
? .14) , 10% AdmJmstralIve Fee 2- I -1'-0
5% Technology Fee / (i 70
:z7 J,7f>
Shared Dnve(f )/BUlldmg [onTIslElectncal Pemllt Apphcntlon ] 08 doc
Address
---TIty
SupervIsor LIcense Nmnber 1f 0:/ 7 S
ExpIratIon Date (2n '7
Constr Contr Number /7 2 > &> G,
ExpIratIon Date ,:;2()() '1
Slgnat re of SupervJSlDl! Electnr-liln
9J 4 qJ4ddR/l .~-
JJAtfllOU' 5t,T."
Address 24M S'uJ .;/AoQtt. ~L , i
CIty ;fCJYntPi) ()j;J, Pho~e ~ -C7i:J 3 S"
Owners Name
InspectIOn Request 726-3769
$ 7000
$ &3 00
$ 138 00
$] 8000
- -~4 ]TOO--- --
$ 55 00
c ~~dfMfJl~~Ni~'~!~"r~~~tP!l~llr,~WllJr~~1 a~ll!l~r,:,~~lt'r~ l~t~~~~~J;t!~tyJ.~b' ~r.lt~AJj ~~~f
I(ll'c..~& ....li:~L..~-"J~1J~j:i1~~~S'~qfhw ~m7!'h~r...-Ab~\Jt,crr~J;..1'.u(",.1~)~.>!.j~~t)it1J ri-:;;'Jli,l-! l
NOTICE:
n\ffil~m~M'A'lto~PIFtt'fF'mE WORK
AGl'Pl6mmJ t:lMDER THIS PERMIT is Nor5500 5"2,-
CGmr\'f,{,;1'ffi~TJ4{3ji{lJ&~BANDONED FOR $ 76 00
AN'Jl1100rl/JA'lIflltlR'WEf $] 10 00
Over 600 Amps or ] 000 Volts see "B" above
D ~~BP!0;n.J~~j;a~t~r'~lfiliM li.~~l!IIJlj~l~?~'lW~~Tl~~;~~W,i'~l~'~?li 1'1~li~~t.li~J~~frl;tlr " '< I ,',r< ~:1()'f J
l~l!.~~~m~i1.~~~~~~~'01~~ii,,~~rl~~.:1~ L~it~:~iili~'~,f-\:i,,"r~ 1
New Alteration or ExtenslOD Per Panel
One CIrCUIt
Each Add,tlOoa] CIrCUIt or wltb
ServIce or Feeder PeIIDJt
$ 48 00
$ 400
E ~ r-2i~~f&iWf~i~l;f:I'~~($,m~Jt\1f,t~ln~r~,~)'r~~~~\Sj' '1~f~{~1'~ ~ ~ r If~ w
~~.'Ur.~'~e.Lrl~A'Ui(.El~~i'J.Dl~'i~;~8~~~~Jtlli?.JMJ~]~iJlll.,~~~li~~~~d:&~t\~~i~3,1
TOTAL
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER COM2008-00945
NAME OR COMPANY Havden Homes
LOCATION 5716 MIneral Way
TAX LOT NUMBER 1802033210000
DEVeLOPMENT TYPe SIngle Farmlv ReSIdence
NEW DWELLING UNITS I BUILDING SIZE (SF 1794 LOT SIZE (SF)
I STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
1 IMPERVIOUS S F x I COST PER S F CHARGE I
I 288100 I $0346 I = I $99689
RUNOFF ROU I ED 10 DRYWELL DeSIGNeD AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S Fix 1 COST peR S F I x 1 DISCOUNT RATE I 1
o 00 I I $0 346 I I 50% I ~ I
ITEM I TOTAL - STORM DRAINAGE SDC $99689 I
2 SANITARY SEWER - c:rTY
A REIMBURSEMENT COST
1 NUMBER OF DFU's I
I 23 I
B IMPRoveMENT COST
I NUMBER OF DFU's 1
1 23 1
x
COST PER DFU
$26 83
COST peR DFU
$20 40
x
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
DISCOUNT
$000
~ ,
$1,08646
5201
$996 89
$6t717
$469 29
Vl
w
a
o
u
Ip::
W
I-
Vl
G
~
1070
I
11091
I
11092
II
I
3 TRANSPORTATION
A REIMBURSEMENT COST
I ADT fRIP RA1E I x
957 I
B IMPROVEMENT COST
1 ADTTRIP RATE 1 x
I 957 I
1 NUMBER OF UNITS I x 1
I I I I
1 NUMBER OF UNITS 1 x 1
I I I I
~ I
ITEM 3 TOTAL - TRANSPORTATION SDC
COST PER TRIP
2043
x INEW TRIP FACTORI
I 100
$195 48
$862 25
I
I 1093
I
1 1094
I
I
~ SANITARY SEWER - MWMf:
A REIMBURSEMENT COST
INUMBeR OF FEU's I x
I I I
ICOST PER FEU
I $9535
B IMPROVeMENT COST
INUMBER OF fEU's I x
I I I
ICOST PER FEU
$990 39
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL-MWMC SANITARY SEWERSDC ~ ,
SUBTOTAL (ADD ITEMS I, 2, 3, & 4) ~ ,
5 ADMINISTRATIVE FEE
I SUBTOTAL x I ADM FEE RATE I~
$4 236 82 5% 1
TOTAL SANITARY ADMINISTRATION FEE
TOTAL rRANSPORTATION ADMINISTRATION FeE
= $990 39 1055;
$000 110541
$10 00 r 1056
I
J
1 I
14050 11079 :
$7134 11078 I
$4,448 66 I
-
COST PER TRIP
$9010
$1,05773
x INEWTRIPFACTORI
I 100 I
$1,095 74
=
$95 35
$4,236 82
CHARGE
$21184
110541
Kaye Wilson
7/1/2008
TOTAL SDC CHARGES
PREPARED BY
DATE
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
...-..
NUMBER OF NEW FIXTURES x UNIT CQurv ALENT = DRAINAGE FIXTURE UNITS
(NOTE FOR REMODELS CALCULATE ONLY TIlE NET ADDITIONAL FIXl1JRES)
NO OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
IBATHruB 2 0 --
3 = 6
IDRlNKING FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC 0 0 3 = 0
IINTERcePTORS FOR SAND I AUTO WASH I ETC 0 0 6 = 0
I LAUNDRY TUB 0 0 2 = 0
ICLOTHESWASHER I MOP SINK 1 0 3 = 3
ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (l PER TRAILER) 0 0 12 = 0
I RECEPTOR FOR REFRIG I WATER STATION I ETC 0 0 1 = 0
IRECEPTOR FOR COM SINK I DISHWASHER I ETC 1 0 3 = 3
ISHOWER, SINGLE STALL 0 0 2 = 0
I SHOWER, GANG (NUMBER OF HEADSt 0 0 2 = 0
SINK COMMERCIAL/RESIDENTW~ KITCHEN 1 0 3 = 3
SINK COMMERCIAL BAR 0 0 2 = 0
SINK WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
I SINK SINGLE LA V ATOR Y /RESIDENTIAL BAR 2 0 1 = 2
IURlNAL, STAI~L I WALL 0 0 5 = 0
IJOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU I YPE NUMBER OF EDU'S
20 = 0 ;1
TOTAL DRAINAGE FIXTURE UNITS 23
*EDU (EQuivalent Dwelling Umt) IS a dlschar,ge :.g,wvalent to a smgle family dwellmg Unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION T ABl.E BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
CREDITRATE/$I,OOO J
ASSESSED VALUE
T~' _If $5?9 J- /r- ,-
..,~, - $5 29 ,,~-TTI
1,.:;-7 $519 ~l
T - =-$512- ~ "T
,
!c _ -$4-98=:~-
., _' '-_$4 80 -, ,=
~ ~$463' -
- ~ _ T _ ,..uc
;Lt - - $4-40 r!~
, ~ $4 oj ~, ~
J - - "'~I
~L{' ~367"~\r-tT
- ~'$322 -c'
-01- , ! _ i" ~"
" =_ $2 73 ,---
-, _ -j' d
.; ~[,~$2 25 ~
J , $180:~__
_ -~ $1 59,~
rn ~r","1 I $1 45;:".... --1:r
,,.~$-125~ g
, -,
- :$109
E' ~~ $0-92 ~~:---;.<
'-- ,,:$072 ,
I 1\ '$-0 48e~L/ > ~
,m $O-28.[~_- :-
'-"'.,JI~ :- -< !:::-~J
'" $009 _- -'
1 ~ - I)l_~
"$005 --_c
-I~ ~ - ____
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
]996
1997
1998
1999
2000
2001
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)
BASI: YEAR
2
2
2005
CREDIT FOR LAND (IF APPLICABLE)
VALUE I 1000 CREDlTRATI:
$000 x $000
~ ,
$000
CREDIT fOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE 11000 CREDIT RATE
$000 x $000 ~ I
o
TOTAL MWMC CREDIT
$000
=
225 FIfth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00945
COM2008-00945
COM2008-00945
COM2008-00945
COM2008-00945
COM2008-00945
COM2008-00945
COM2008-00945
COM2008-00945
COM2008-00945
COM2008-00945
COM2008-00945
COM2008-00945
COM2008-00945
COM2008-00945
COM2008-00945
COM2008-00945
COM2008-00945
COM2008-00945
COM2008-00945
COM2008-00945
COM2008-00945
COM2008-00945
COM2008-00945
COM2008-00945
COM2008-00945
COM2008-00945
COM2008-00945
COM2008-00945
COM2008-00945
COM2008-00945
COM2008-00945
COM2008-00945
Payments
Type of Payment
CredltCard
cRecemtl
~ ---
~-,,_:-
CIty of Sprmgfield OffiCIal ReceIpt
Development ServIces Department
PublIc Works Department
RECEIPT #:
2200800000000001009
Date' 07/02/2008
DescriptIOn
Plan RevIew Same As
Plan Review Major - PlannlOg
BUlldlOg Penmt
AddresslOg ASSignment
Wlllamalane SlOgle 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+ ApplIances-
ReSidence WIrIng 1000 Sq Ft
ReSidence Wmng Ea Addtl 500
Temp Power 200 amps or less
Fire SF Fee - ReSidential
Sidewalk Permit
Curbcut Permit
Storm DralOage ImperviOus Area
Sallltary Sewer - ReImbursement
Sallltary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC AdmlOlStratlOn
SDC SallltarylStorm AdmlD
SDC TransportatIOn AdmlD
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmlDlStralIve Fee
PaId By
TIM DREILING
Item Total
Check Number AuthorizatIOn
Received By Batch Number Number How Received
ddk 062698 In Person
Payment Total
Page 1 of 1
10 16 47AM
Amount Due
220 00
205 00
78752
3500
2,513 00
280 00
1600
1400
2100
700
10 00
700
500
4000
11700
4200
5500
8970
8500
8500
996 89
61717
469 29
19548
862 25
9535
99039
1000
14050
7134
8683
16338
14512
$9,47821
Amount Paid
$9,47821
$9,47821
7/2/2008
2~ Willamalane
t~ Park & Recreation District,
Job No UJJ.#211J~ -(')!)11{;
SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2008
NAME ~l)f7t) &1/)01 ~/<;::3" PHONE Z2--f'b - b'7r..? S
ADDRESS 2#:../. J/1/ c:;/.4c;~ CITY R~k't&..tl;1 STATEMzlP '977Sc:.
/L'
LOCATION OF PROPOSED BUILDING SITE
Street Address CZ; 7/ h YlI/;J lYtAI...
WA-U
I
Plat Name ~AJ./.J& J1l.f7tflIJUl.(' Tax Lot Number /97/)2- O.? J 2- /Ot5lOV
1. DEVELOPMENT TYPE (Check appropnate dwelling(s) Dwelling type definitions are on the
back)
A SlRole-Famllv Detached
NO OF UNITS
/
X $2,513 per Unit =
B SlRole-Familv Attached
NO OF UNITS
X $2,726 per Unit =
C MultI-Famllv Aoartment
NO OF UNITS
X $2,323 per Unit =
D SlRole Room Occuoancv
NO OF UNITS
X $1,162 per unit =
E Accessorv Dwelhno Unit
NO OF UNITS
X $1,257 per Unit =
WILLAMALANE SDC
2. SDC CREDIT (If applicable) SDC payer must fumlsh proof of
Willamalane Credit approval)
3 TOTAL WILLAMALANE NET SDC ASSESSED
(If SDC reduced for Credit)
\1X\ \krrJ\e...>
Deveiopmerit Services Department Date
City of Springfield
$ 20/2
$
$
$
$
:&1
$ 25/3
I
I
5