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Home My WebLink AboutPermit Building 2006-04-10LD Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -726-37 69 I nspection Line PERMIT NO: COM2005-01499ISSUED: 0411012006 APPLIEDz 1012412005 EXPIRESz 0211612007VALUE: S 147,168.00 SITE ADDRESS: l2l2 MODOC ST ll0l l2th ASSESSOR'S PARCEL NO.: 1703264417600 TYPE OF USE: Add PROJECT DESCRIPTION: Addition to existing single family - creating duplex Springfield TYPE OF WORK: Duplex ition Residential PhoneNumber: 541-434-1961 License Expiration Date PhoneContractor OWNER BOB FISHER ELECTRIC INC STEVE R JOHNSON Owner: Address: ERIN LYNCH I2I2 MODOC ST SPRINGFIELD OR 97477 Contractor Type General Electrical Plumbing 96275 6s06s 0u25t2008 03n212008 541-689-7973 541-342-3765 CONTRACTOR INFORMATION )RMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: 14.00 5.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: REQUIRED PARKING Total: 2 Handicapped: Compact: Curbside 5' Curb and Gutter 5 Yes 32.10 Sidewalk Type: Downspouts/Drains: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Forced Air Gas Gas Gas Path I nla Lot Size: Sq Ft tst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: , R-3 VN 871 662 3 19.60 40.00 Fully Improved Yes Notes: Storm drainage piped to curb face 10/2612005 CAS Page I of4 i zaqa nnL r{nER 1 H\S RA\EDU U Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-01499ISSUED: 0411012006 APPLIED: 1012412005 EXPIRESz 0211612007VALUE: $ 147,168.00 Description Dwellings Type of Construction V Wood Frame $ Per Sq Ft Square Footage or multiplier or Bid Amount $96.00 1,533.00 Total Value of Project Amount Paid Date Paid Value $147,168.00 $147,168.00 Date Calculated 101241200s Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0oh Administrative Fee + 77o State Surcharge 2 Baths One or Two Family Addressing Assignment Appliance Not Listed Building Permit Curbcut - Additional Driveway Curbcut Repair Dryer Vent Encroachment Permit Exhaust Hoods Furnace - up to 100,000 btu Gas Fireplace Gas Outlets l-4 Plan Review Major - Planning PW Disc - 2nd Permit (Street) Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Vent Fan Willamalane Attached (duplex) + l0'/o Administrative Fee + 57o Technology Fee + 87o State Surcharge Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl500 Receipt Number 120050000000000r592 1200600000000000443 1200600000000000443 1200600000000000443 r200600000000000443 1200600000000000443 1200600000000000443 I 200600000000000443 1200600000000000443 r200600000000000443 1200600000000000443 r200600000000000443 I 200600000000000443 I 200600000000000443 1200600000000000443 1200600000000000443 1200600000000000443 r200600000000000443 1 200600000000000443 I 200600000000000443 1200600000000000443 1200600000000000443 r200600000000000443 1200600000000000443 I 200600000000000443 r200600000000000443 1200600000000000443 r200600000000000443 1200600000000000443 1200600000000000443 2200600000000001 172 2200600000000001 172 2200600000000001 172 2200600000000001 172 2200600000000001 1 72 $469.07 $10.00 $104.27 $72.99 $254.00 $31.00 $9.00 $721.65 $40.00 $80.00 $6.00 $130.00 $9.00 $12.00 $1s.00 $4.00 $1s0.00 $-30.00 $362.33 $476.33 $10.00 $86s.31 $82.03 $92.91 $69.99 $805.70 $182.69 $473.52 $12.00 $924.00 $14.40 $7.20 $11.52 $r06.00 $38.00 10t24t05 4n0t06 4n0t06 4n0t06 4n0t06 4n0t06 4/10t06 4n0t06 4n0t06 4n0t06 4n0t06 4n0t06 4n0t06 4n0t06 4n0t06 4n0t06 4n0t06 4n0106 4n0t06 4n0106 4n0106 4n0t06 4tr0t06 4n0t06 4fi0106 4n0t06 4n0t06 4n0106 4n0t06 4n0t06 8t22t06 8t22t06 8t22t06 8t22t06 8t22t06 Fees Paee 2 oI 4 Valuation Deseription l F Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -726-37 69 I nspection Line PERMIT NO: COM2005-01499ISSUED: 0411012006 APPLIEDz 1012412005EXPIRES: 0211612007VALUE: $ 147,168.00 Total Amount Paid $6,621.91 Plan Reviews Initial Review Planning Review Public Works Review Structural Review Structural Review t0t25t2005 10t26t2005 10t25t2005 10t26t2005 APP APP LLH TAJ 10t25t2005 10t26t200s APP CAS 10t25t200s 1v09t2005 WE TCM 03t0u2006 03/01/2006 APP DLM 5 street required (3 on 12th,2 on Modoc), unless there already street trees. Storm drainage piped to curb face; encroachment and second d/w application included in packet. 10i26/2005 cAS Forwarded to Tom Marx for review I l/3/05. Requested structural calculations ll/8/05. Vertical design calcs submitted t2nt05. 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. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Curbcut - Second: After forms are erected but prior to placement of concrete. Encroachment: After item(s) have been removed to inspect condition of public right of way. Curbcut - Standard: After forms are erected but prior to placement of concrete. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with 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. Final Building: After all required inspections have been requested and approved and the building is complete. Rpnnired Insnecfinns Page 3 of4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-01499ISSUED: 0411012006APPLIED: 1012412005 EXPIRESz 0211612007VALUE: $ 147,168.00 Underfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover 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 trench. Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. 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 the City of Springfield and the Laws of the State of Oregon pertaining to the 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 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. Owner or Contractors Signature Date Pase 4 of4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone C;-' of Springfield Official Receipt L ;lopment Services Department Public Works Department RECEIPT#: 2200600000000001172 Date: 0812212006 8:38:42AM Job/Journal Number coM2005-01499 coM2005-01499 coM2005-01499 coM2005-01499 coM2005-01499 Description Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 5% Technology Fee + 8% State Surcharge + l0%o Administrative Fee Amount Due 106.00 38.00 7.20 11.52 14.40 Item Total: $177.12 Type of Payment Paid By Received By Batch Number Number How Received Amount Paid CreditCard ROBERT D FISHER ddk 044606 In Person Payment Total: $177.t2 - cReceint I Page I of I 812212006 .DTHO'U,E l/D'f?-( p."&" **n,rcfr'lo1,[/ F- 225 FIFTH STREET o SPRINGFIELD, OR 97477 e PH:(541)726-3753 o FAX: (541)726-3689 ELE CTRI CAL P E RM I T APPLI CATI ON Ciry Job Number ( 5 tqqq Date $106.00 l0b.n $ re.00 31 6D l.3 4. C. E. A. New Residential - Single or i\lulti-Family per drvelling unit.LEGAL DESCRIPTIONir \b'zh +4 11t"oo JOB DESCRIPTION EL-ft€, eoL fw //c'u>< Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 7 B. 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 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only $s0.00 $ 63.00 $ 75.00 $ r25.00 $ 163.00 $375.00 $ s0.00 $ 3.00 civ &sezj-%e;;;;: SupervisorLicenseNumber 3 77rf - S Electrical Contractor Address /(A /?,'.t?,sbu rZ /q Ue Expiration Date ,/2- /- o 7 consrr. conr.Numbe, I D * ] C'A A-, Expiration Date ry--d6 Signature of Supervising Electrician Owners Name Address / 7 IZ b"l B -zttc>2oo Amps or Iess Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 New Alteration.or Extension per panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 Over 600 Amps or 1000 Volts see "B" above. D. Br:rnch Circuits c,v 5 fKr " ,6e t,lenone 414 l7/,. f OWNER INSTALLATION The installation is being made on property I own which rs not intended for sale, lease or rent. Owners Signature: $ s0.00 $ 25.00 $ 45.00 Minimum Electric permit Inspection Fee is $45.00 + Surch Pump or irrigation Sign/Outline Lighting Limited EnergylRqprdentral Limited EnergytCJhmerciat {Ay" srur"Surcharge Admi[istrafive Fee o: "1, Tc<.h A*- a arges tqLI.DD It-b-z il ir{.o 1 11 ,IZInspection Request: 726-37 69 Shared Drive(T:)/Building FormVElectrical permit Application l-03.doc (l4op OF INS'1'ALIA7'ION CO MP LtrI'E I'EE SCH ED ULE ['ceders Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-01499ISSUED: 0411012006APPLIEDz 1012412005EXPIRES: 10/1012006VALUE: $ 147,168.00 SITE ADDRESS: 1212 MODOC ST 1101 12th Springfield TYPE OF WORK: Duplex ASSESSOR'S PARCELNO,: 1703264417600 TYPE OF USE: Addition PROJECT DESCRIPTION: Addition to existing single family - creating duplex Owner: Address: Contractor Type General Electrical ERIN LYNCH 1212 MODOC ST SPRINGFIELD OR 97477 Residential PhoneNumber: 541-434-1961 Expiration Date PhoneContractor OWNER BOB FISHER ELECTRIC INC #of# of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special [nstruction: I Heat:Forced Air Gas 0u2st2008 541-689-7973 Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: 2 gon \cairon 1 Gas Gas Path I nla R-3 871 662n\)r$ VN 3 Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: ^-[andicapped:NUlfp-p".tt \s \\ut t0R r4.00 s.00 19.60 40.00 5 Type: 180 Downspouts/Drains: Fully Improved Yes Curbside 5' Curb and Gutter )PMENT INFORMATION Notes: Storm drainage piped to curb face 10/2612005 CAS Paee I of4 Ca! \S F Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-01499ISSUED: 0411012006 APPLIEDz 1012412005EXPIRES: 10/1012006VALUE: $ 147,168.00 Description Dwellinss Type of Construction V Wood Frame $ Per Sq Ft Square Footage or multiplier or Bid Amount $96.00 1,533.00 Total Value of Project Amount Paid Date Paid Value $147,168.00 $147,168.00 Date Calculated 10t24t2005 Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0oh Administrative Fee + 77o State Surcharge 2 Baths One or Two Family Addressing Assignment Appliance Not Listed Building Permit Curbcut - Additional Driveway Curbcut Repair Dryer Vent Encroachment Permit Exhaust Hoods Furnace - up to 100,000 btu Gas Fireplace Gas Outlets l-4 Plan Review Major - Planning PW Disc - 2nd Permit (Street) Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC lmprovement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Vent Fan Willamalane Attached (duplex) $469.07 $10.00 $104.27 s72.99 $2s4.00 $3r.00 $9.00 $721.65 $40.00 $80.00 $6.00 $130.00 $9.00 $12.00 $1s.00 $4.00 $150.00 $-30.00 $362.33 $476.33 $10.00 $865.3r $82.03 $92.91 $69.99 $805.70 $182.69 s473.52 $12.00 $924.00 10t24t05 4nol06 4n0t06 4n0106 4n0t06 4n0t06 4n0t06 4n0t06 4n0t06 4n0t06 4n0t06 4n0t06 4tr0t06 4n0t06 4tL0t06 4n0t06 4n0t06 4n0t06 4n0t06 4n0t06 4n0t06 4n0t06 4n0t06 4n0t06 4n0t06 4n0t06 4n0t06 4n0t06 4fi0t06 4n0t06 Receipt Number 1200500000000001592 1200600000000000443 l 200600000000000443 r200600000000000443 1200600000000000443 1200600000000000443 I 200600000000000443 1 200600000000000443 I 200600000000000443 l 200600000000000443 I 200600000000000443 1200600000000000443 1200600000000000443 I 200600000000000443 1200600000000000443 1200600000000000443 r200600000000000443 l 200600000000000443 I 200600000000000443 1200600000000000443 1200600000000000443 1200600000000000443 r200600000000000443 l 200600000000000443 1200600000000000443 1200600000000000443 1200600000000000443 I 200600000000000443 1200600000000000443 r 200600000000000443 Feps Pqi.l Total Amount Paid s6,444.79 Paee 2 of 4 M Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-01499ISSUED: 0411012006APPLIEDz 1012412005EXPIRES: 10/1012006VALUE: $ 147,168.00 Plan Reviews Initial Review Planning Review Public Works Review Structural Review Structural Review t0t25t200s 10t26t2005 10t25t2005 t0t26t200s APP APP LLH TAJ r0t25t2005 10t26/200s APP cAS t0/25t2005 tU09t200s WE TCM 0310112006 03t0u2006 APP DLM 5 street required (3 on l2th,2 on Modoc), unless there already street trees. Storm drainage piped to curb face; encroachment and second d/w application included in packet. r0/2612005 cAs Forwarded to Tom Marx for review I 1/3/05. Requested structural calculations 1l18/05. Vertical design calcs submitted t2nt05. 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. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Curbcut - Second: After forms are erected but prior to placement of concrete. Encroachment: After item(s) have been removed to inspect condition of public right of way. Curbcut - Standard: After forms are erected but prior to placement of concrete. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with 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. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. Page 3 of4 Reouired Insnecfions Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-01499ISSUED: 0411012006APPLIED: 1012412005 EXPIRES: 10/1012006VALUE: $ 147,168.00 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 trench. Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Gas Service: After tine is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. 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 the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further I further that only contractors to ensure that all requ and employees who are in compliance with ORS 701.005 will be used on this project. .ired inspections are requested at the proper time, that each address is readable from the at the front of the property, and the approved set of plans will remain on the site at all 4 (o 0b Date street, that permit card is times Owner or Contractors Pase 4 of 4 CITY OF SFdNGFIELD SYSTEMS DEVELOPMEN. .ORKSHEET IMPERVIOUS S.F. x 1466.00 RLNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS JOURNAL OR JOB NUMBER: COM2005-01499 NAME ORCOMPANY Erin LOCATION l2l2 Modoc TAX LOTNUMBER:1703264417600 DEVELOPMENT TYPE:SINGLE FAMILY RESIDENCE NEW DWELLING LTNITS BUILDING SIZE I. STORM DRAINAGE DIRECT RTINOFF TO CITY STORM SYSTEM 1 896 LOT SrZE (SF):5940 DISCOTINT $0.00 NEWTRIP FACTOR r.00 NEW TRIP FACTOR 1.00 IMPERVIOI]S S.F 0.00 NUMBER OF DFU's 19 B. IMPROVEMENT COST: NIIMBER OF DFU's t9 ADTTRIP RATE 9.57 B. IMPROVEMENT COST: ADTTRIP RATE 9.57 SUBTOTAL $3,257.91 COST PER S.F $0.323 COST PER S.F $0.323 COST PER DFU s2s.07 $19.07 NUMBEROF UNITS I NUMBER OF- UNITS I ADM. FEE RATE s%o CIIARGE $473.52 DISCOUNTRATE 50o/o $473.52 x x x x x x x x ITEM I TOTAL - STOR]VI DRAINAGE SDC 2. SANITARY SEWER - CITY A, REIMBURSEMENT COST: ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3. TRANSPORTATION A. REIMBURSEMENTCOST: $838.66 COST PER TRIP $r 9.09 COST PERTRIP $84. I 9 $988.39 xx xx TTEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's I B. IMPROVEMENT COST: NI-IMBER OF FEU's I MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINI STRATIVE FEE ITEM 4 TOTAL- MWMC SANITARY SEWER SDC SUBTOTAL (ADD ITEMS I,2,3, & 4) 5. ADMINISTRATIVE FEE: $9s7.34 $32s7.91 CHARGE $ r 62.90 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Cheryl Slaymaker 10t261200s COST PER FEU $82.03 $362.33 $805.70 $86s3r $0.00 $10.00 92.91 1070 1091 1092 1093 I 094 I 055 I 056 1079 1 078 a E]noO &ll]Fa or!& I I COST PER FEU s865.31 PREPARED BY DATE TOTAL SDC CHARGES x DRAINAGE FIXTURB UNIT CALCULATION TABLE NUMBER OF NEW FXTURES x UNIT EQUIVALENT = DRAINAGE FD(TURE UNITS FOR CALCULATE ONLY T}IENET ADDITIONAL NO. OF FIXTURES I.INIT FIXTURE TYPE NEW OLD ALENT MISCELLANEOUS DFU TYPE NUMBER OF EDU'S TOTAL DRAINAGE FXTURE I.]MTS lsa toa unit set at I 67 IVTWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE 20 DRAINAGE FIXTTIRE TNITS 0 2 1979 'EDU BEFORE I979 1979 1980 1982 1 983 1984 1985 I 986 1987 I 988 I 989 I 990 l99l 1992 1993 1994 1995 1996 1997 I 998 1999 $5.29 $5.2e $5.19 $5.12 $4.98 $4.80 $4.63 $4.40 $4.07 $3.67 $3.22 $2.73 $2.25 $1.80 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIP (Enter I for Yes, 2 for No) BASE YEAR CREDIT FOR LAND (IF APPLICABLE) 2 l98l VALUE / IOOO $0.00 CREDIT RATE $5.29x CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / IOOO CREDIT RATE $0.00 x $5.29 TOTAL MWMC CR.EDIT$'1.5e $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.05 BATHTUB 1 0 3 3 0 0 1 0DRINKING FOUNTAIN FLOORDRAIN 0 0 3 0 3 0INTERCEPTORS FOR GREASE / OIL / SOI-IDS / ETC.0 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6 0 LAI]NDRY TUB 0 0 2 0 CLOTITESWAS}IER / MOP SINK 1 0 3 3 0 0 6 0CLo'THESWASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0 RECEPTOR FOR REFzuG / WA ER STATION / ETC.0 0 1 0 0 0 3 0RECEP'|OR FOR COM. SINK / DISHWAS}IER / ETC. SHOWER. SINGLE STALL 1 0 2 2 SHOWER, GANG (NUMBER OF I{EADS)0 0 2 0 SINK: COMM ERCIAL/RESIDENTIAL KITCIIEN 1 0 3 3 SINK: COMMERCIAL BAR 0 0 2 0 SINK: WASH BASIN/DOUBLE I,AVATORY 0 0 2 0 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 I 2 TIRINAL, STALL / WALL 0 0 5 0 0 0 6 0TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION 2 0 3 6 YEAR ANNEXED CREDIT RATE/$1,OOO ASSESSED VALUE $0.00 $0.00 2000 rl 2001 225 Fifth Street Springfield, Oregon 97 477 541-725-3759 Phone (>\ of Springfield Official Receipt ^ relopment Services Department Public Works Department RECEIPT #: 1200600000000000443 Date: 0411012006 2:12:0lPM Job/Journal Number coM200s-01499 coM2005-01499 coM2005-01499 coM2005-01499 coM2005-01499 coM200s-01499 coM2005-01499 coM2005-0r499 coM2005-01499 coM2005-01499 coM2005-01499 coM2005-01499 coM2005-01499 coM200s-01499 coM2005-01499 coM2005-01499 coM2005-01499 coM2005-01499 coM2005-01499 coM2005-01499 coM2005-01499 coM2005-01499 coM2005-01499 coM200s-01499 coM2005-01499 coM2005-0r499 coM2005-01499 coM2005-01499 coM2005-01499 Amount Due 40.00 80.00 130.00 (30.00) 473.52 476.33 362.33 182.69 805.70 82.03 86s.31 10.00 92.91 69.99 721.65 254.00 12.00 12.00 9.00 6.00 4.00 I 5.00 9.00 10.00 72.99 104.27 150.00 3l.00 924.00 Description Curbcut - Additional Driveway Curbcut Repair Encroachment Permit PW Disc - 2nd Permit (Street) 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 Building Permit 2 Baths One or Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Gas Outlets l-4 Gas Fireplace Appliance Not Listed -Mechanical lssuance Fee- + 7Yo State Surcharge + l0o/o Administrative Fee Plan Review Major - Planning Addressing Assignment Willamalane Attached (duplex) Item Total:s5,975.72 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Check VANCE LYNCH DJB In Person Payment Total: $5,975.72@)J I cReceint I Page I of I 4n0t2006