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Home My WebLink AboutPermit Building 2006-07-07Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 547-726-37 69 Inspection Line OF Building/Combination Permit PERMIT NO: COM2006-00692ISSUED: 0710712006APPLIEDz 0610712006EXPIRES: 0211812007VALUE: $ 251,367.00 SITE ADDRESS: 5774 Montclaire Way Springfield TYPE OF WORK: Single Family Residence ASSESSOR'S PARCEL NO.: JASPER MDS 3 ADD PH TYPE OF USE: New Residential PROJECT DESCRIPTION: Single family residence - Jasper Meadows 3rd add ph 4lot 147. Same As Com2006-00691 5798 Montclaire PhoneNumber: 541-228-1081Owner: Address: HAYDEN ENTERPRISES 26225W GLACIER PL #110 REDMOND OR 97756 Contractor Type General Electrical Mechanical Plumbing Contractor HAYDEN ENTERPRISES M & W ELECTRIC INCORPORATED PACIFIC AIR COMFORT INC DENNIS SCOTT EGGERS License 92208 67362 39237 142776 Expiration Date 0712912007 06119t2007 03t2512010 05/05/2010 Phone 541-228-1081 s4r-754-6171 s4t-672-9510 541-459-01 l0 CONTRACTOR INFORMATION # 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: S ubdivision Nol Accepted Street Improvements: Storm Sewer Available: Special Instruction: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: 2 Lot Size: 24.00 Sq Ft lst Floor: Wall Heat Sq Ft 2nd Floor: Electric Sq Ft Basement: Electric Sq Ft Garage/CarPort Path I Sq Ft Other: nla Occupant Load: I R-3 U VN 6,355 1,008 1,005 400 3 20.00 5.00 9.00 55.00 0.00 Overlay Dist: # Street Trees Rqd:I REQUIRED PARKING Total: Handicapped Compact: 7 Curbside 5' Curb and Gutter yes 22.10 1H IS PERMII I Fully Improved Yes Sidewalk Type: Downspouts/Drains: Notes: No hook-up to city infrastructure until Public Improvement accepted by the City; storm drainage piped to curb face 6n212006 cAS DEVELOPMENT INFORMATION Pase I of4 \R 952-001- Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 I nspection Line PERMIT NO: COM2006-00692ISSUED: 0710712006 APPLIEDT 0610712006EXPIRES: 0211812007VALUE: $ 251,367.00 Description Tvpe of Construction $ Per Sq Ft or multiplier $99.00 $26.00 $26.00 Square Footage or Bid Amount 2,413.00 400.00 80.00 Value $238,887.00 $10,400.00 $2,080.00 $251,367.00 Date Calculated 06t07t2006 06t07t2006 07t07t2006 Dwellings Garage Garage V Wood Frame Garage Garage Fee Description Plan Review Same As -Mechanical Issuance Fee- + lOoh Administrative Fee + 8%o State Surcharge 3 Baths One & Two Family Addressing Assignment Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Minimu m/Adj ustment Mechanical Plan Review Major - Planning Plan Review Same As 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 Sidewalk Permit Storm Drainage Impervious Area Vent Fan Willamalane Single Family + l0oh Administrative Fee + 57o Technology Fee + 87o State Surcharge Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Total Value of Project Date Paid Receipt Number 2200600000000000758 1200600000000001035 I 200600000000001 035 1200600000000001 035 l 200600000000001 035 120060000000000103s 120060000000000103s 1200600000000001035 l 20060000000000 I 035 r20060000000000103s 1200600000000001035 1200600000000001035 r200600000000001035 I 200600000000001035 1200600000000001 035 r 200600000000001 035 l 200600000000001 035 1200600000000001035 1200600000000001035 1200600000000001035 l 200600000000001 035 1200600000000001035 1200600000000001035 120060000000000103s 120060000000000103s 1200600000000001035 1200600000000001 03s 1200600000000001 035 1200600000000001299 I 20060000000000 I 299 l 20060000000000 I 299 120060000000000r299 1200600000000001 299 Amount Paid $100.00 $10.00 $l 53.13 $l12.85 $306.00 $31.00 $1,059.65 $80.00 $6.00 $9.00 $120.6s $6.00 $198.00 $100.00 $-30.00 ss33.96 $701.96 $10.00 $865.31 $82.03 $125.62 $65.89 $805.70 $r82.69 $80.00 $648.s8 $24.00 $1,000.00 $16.30 $8.15 $13.04 $106.00 $s7.00 6t8t06 7 t7 t06 717106 7 t7 t06 7 t7106 717106 7 t7 t06 7 /7 t06 7 t7 t06 7 t7 t06 717106 7 t7 t06 7 t7 t06 7 t7 t06 7 t7 t06 7 t7 t06 7 t7 t06 7 t7 t06 7 t7 t06 7 t7 t06 7 t7 t06 717106 7 t7 t06 7 t7106 7 t7106 717106 717106 717106 8/18/06 8/18/06 8/18/06 8/18/06 8/18/06 E'ees Pas.e 2 of 4 ffi Valuation Description I 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: COM2006-00692ISSUED: 0710712006APPLIED: 0610712006EXPIRES: 0211812007VALUE: $ 251,367.00 Total Amount Paid $7,588.51 Plan Reviews Initial Review Planning Review Public Works Review Structural Review 06t09t2006 06t09t2006 06t09t2006 06t09t2006 06t30t2006 06fizt2006 APP APP APP LLH TAJ CAS No hook-up to city infrastructure until Public Improvements accepted by the city; storm drainage piped to curb face 6/1212006 CAS 06t09t2006 06t22t2006 0K RJB 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. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Final Electric: When all electrical work is complete. 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. FIoor 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. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Page 3 of4 Renuired fnsneefinns Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00692ISSUED: 0710712006APPLIED: 0610712006 EXPIRESZ 02n8t2007VALUE: $ 251,367.00 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. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Coyer Electric Service: Approval required prior to utility company energizing service. By signaturen 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 du ring construction. Owner or Contractors Signature Date Paee 4 of 4 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Cit', o1' Springfield Official Receipt L :lopment Services Department Public Works Department RECEIPT #: r200600000000001299 Date: 08/18/2006 3:45:4ePM Job/Journal Number coM2006-00692 coM2006-00692 coM2006-00692 coM2006-00692 coM2006-00692 Description + 5% Technology Fee + 8% State Surcharge + l0%o Administrative Fee Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Amount Due 8.15 13.04 16.30 106.00 57.00 Item Total:$200.49 Payments: Type of Payment Paid By rc Received By Batch Number ffi Number How Received Amount Paid CreditCard HAYDEN HOMES djb 097242 In Person Payment Total: $200.49 -5md7t cReceint I Page I of I 811812006 *FS|#I{F*Xr& 2ZS FIFTHSTREET r SPRINGFIELD,OR97471 r Ptt:(54I)72G3753 r FAI(: (547)72G3ffD E LECTKI CAL P ERMIT AP PLI CATT O.N City Job Number &ryaz.ooc- oo (o?Z o*/g' JOB DESCR]PTTO}i }L vLs,e- tA/t lLe- Service [ncluded it00 sq. ft or less Each additional 500 sq. ft. or portion thereof Each Mauufact'd Home or Modular Dwelling Service or Feeder 200 Amps or less 201 Amps to 400Amps 401 Amps to 600Amps 601 Amps to 1000 Amps Over 1000 Ampsl/olts Reconnect Only New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with SErvice or Feeder Permit zoN IMTTALS DATE SOURCE $ 106.00 l06 $ r9.00 s7 $50.00 $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 $ 43.00 $ 3.00 Date 1.3. ? LECAL DESCRIPTION T*s( 7?t /u 't le f ttl1 C:. f),. B.1 .:i: Eiectrical Contractor tq) Address eq8'd1 tlqq \'l 5q) Ciry Phone SLU-75,'{-bll{ Supervisor License }luuber .i s Expiration Date to ,/ol Const. Contr. Number lol3QL Expiration Date ,dn'.-= Signature of Supervising Electrician Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 '401 Amps to 600 Amps $100.00 Over 600 or 1000 Volu see'B" above. lt Owners Name J* thrt Address Z6ZZ G/i<tt City irJrno*L p6one ??t- 6rJ S- OWNER INSTALLATION The installadon is being made on propert-v I own which is uot inteuded for sale, lease or renL Owners Signabrre:4. lnspection Requestr 72G37 59 E.- Purnp or irrigation Sigu/Outlinc Li.ghting Lirnited Energtr Aiesidential I-imite{ Pqorgy/Coumercial Minimurn Etectric P'errnit Inspection Fee is $45.00 + Surcharges $ s0.00 $ s0.00 $ 2s.00 $ 4s.00 tL3 8% State Surcharge l0% Adminigtratve Fee 5 7o Tsa2a 45 TOTAL I b)o 8c-----26-ci11 Shared Driv(T:)/Building FormsElcctrical Permit Application I {6,doc a q 11 I Too D CTSIS9NIUdS JO IIIC 68989ZIIrS XVd 60 r 0T iIItL 9airr / L0 ffi A l 7 Permits are non-transferable and expire if work is not started within 188 days of issuance or if work is Sr,rspended for X80 rlays. \^t-. l30t{ *FIr*s aFix*$ Building/Combination Permit Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2006-00692ISSUED: 0710712006 APPLIED: 0610712006 EXPIRES: 0110712007VALUE: $ 251,367.00 S|TE ADDRESS: 5774 Montctaire Way Springfield TYPE OF WORK: Single Family Residence ASSESSOR'S PARCEL NO.: JASPER MDS 3 ADD PH. TYPE OF USE: New Residential PROJECT DESCRIPTION: Single family residence - Jasper Meadows 3rd add ph 4lot 147 - Same As Com2006-00691 es ent o edb ho yth gcn taw PhoneNumber: 541-228-1081 eo reqrrires you to se rule ON Uilfity Owner: Address: HAYDEN ENTERPRJSES 2622 SW GLACIER PL #I1O REDMOND OR 97756 e,: r reg Contractor Tvpe General Mechanical Plumbing Contractor HAYDEN ENTERPRISES PACIFIC AIR COMFORT INC DENNIS SCOTT EGGERS 6enler /s7 142776 0s/05/2010 Phone 541-228-1081 541-672-9510 541-459-01 10 LIC DEVE # 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: Subdivision Not Accepted Street Improvements: Storm Sewer Available: Special Instruction: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 6Jss 1,008 1,005 400 1 Curbside 5' Curb and Gutter I R-3 U VN 2 24.00 Wall Heat Electric Electric Path I nla 3 20.00 5.00 9.00 5s.00 0.00 Overlay Dist: # Street Trees NCED OR IS REQUIRED PARKING Total: Handicapped Compact: Fully Improved Yes Rqd: Paved Drive Rqd: oh of Lot Coverage: I Yes 22.10 Sidewalk Type: Downspouts/Drains: Notes: No hook-up to city infrastructure until Public Improvement accepted by the City; storm drainage piped to curb face 6/1212006 CAS Page I of4 the 1 rUles Date PERI(]N *FB*SI:*Fl#*.{} Building/Combination Permit Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2006-00692ISSUED: 0710712006 APPLIED: 0610712006 EXPIRESz 0110712007VALUE: $ 251,367.00 Description Dwellinqs Garage Garage Fee Description Plan Review Same As -Mechanical Issuance Fee- + l0oh Administrative Fee + 87o State Surcharge 3 Baths One & Two Family Addressing Assignment Building Permit Curbcut Permit Dryer Vent Exhaust Hoods f ire SF Fee - Residential Minimum/Adj ustment Mechanical Plan Review Major - Planning Plan Review Same As PW Disc - 2nd Permit (Street) Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC IUWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Drainage Impervious Area Vent Fan Willamalane Single FamilY Total Value of Project Date Paid Receipt Number 22006000000000007s8 120060000000000r035 1200600000000001035 120060000000000103s 120060000000000r035 120060000000000r035 120060000000000r035 120060000000000103s 120060000000000103s 1200600000000001035 r200600000000001035 120060000000000103s 1200600000000001035 1200600000000001035 1200600000000001035 120060000000000103s 120060000000000r035 120060000000000103s r200600000000001035 120060000000000103s 120060000000000103s 1200600000000001035 1200600000000001035 120060000000000r035 120060000000000r035 1200600000000001035 1200600000000001035 120060000000000103s Type of Construction V Wood Frame Garage Garage $ Per Sq Ft or multiplier $99.00 $26.00 $26.00 Square Footage or Bid Amount 2,413.00 400.00 80.00 Value $238,887.00 $10,400.00 $2,080.00 $251,367.00 Date Calculated 0610712006 06t07t2006 0710712006 Amount Paid $100.00 $10.00 $1s3.13 $112.85 $306.00 $3r.00 $1,059.65 $80.00 $6.00 $9.00 $120.65 $6.00 $198.00 $r00.00 $-30.00 $533.96 $70r.96 $10.00 $86s.31 $82.03 $12s.62 $65.89 $80s.70 $182.69 $80.00 $648.s8 $24.00 $1,000.00 6t8t06 7 t7 t06 7 t7 t06 7 t7 t06 7t7106 7 t7 t06 7 t7 t06 717106 7 t7 t06 7 t7106 7 t7106 717106 7 t7 t06 7 t7 t06 7t7106 7 t7 t06 7 t7106 7 t7 t06 7t7t06 7 /7 t06 717106 7 t7 t06 7 t7106 7 t7106 7 t7 t06 717106 7 t7 t06 7 t7 t06 Fees Paid Total Amount Paid $7J88.02 Pase 2 of 4 Valuation Description I F Building/Combination Permit Status: Issued 225 Fifth Street, Springfield, OR 54L-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2006-00692ISSUED: 0710712006 APPLIEDz 0610712006 EXPIRESz 0l/0712007VALUE: $ 251,367.00 Plan Reviews Initial Review Planning Review Public Works Review 06t09t2006 06t09t2006 06t09t2006 06t09t2006 06t30t2006 06n2t2006 APP APP APP LLH TAJ CAS No hook-up to city infrastructure until Public Improvements accepted by the city; storm drainage PiPed to curb face 611212006 CAS Structural Review 06t09t2006 06t2212006 0K RJB To Request an inspection call the24 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. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Final Electric: When all electrical work is complete. 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. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. sanitary sewer Line: Prior to lilling trench and including required testing. Storm Sewer Line: Prior to filling trench. Page 3 of 4 ieouired Insoections F Buildin g/Combination Permit Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54t-726-3676 Fax 541-726-37 69 Inspection Line PERMIT NO: COM2006-00692ISSUED: 0710712006 APPLIED: 0610712006 EXPIRES: 0110712007VALUE: $ 251,367.00 Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utilitv company energizing service. 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, thaithe 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. 7-7-oG Owner or Contractors Signature Date Pase 4 of 4 CITY OF STxINGFIELD SYSTEMS DEVELOPMEN, TVORKSHEET JOURNAL OR JOB NUMBER: COM2006-00692 NAME OR COMPANY: LOCATION: TAX LOTNTIMBER: DEVELOPMENT TYPE: NEW DWELLTNG UNITS Homes 5774 Montclaire SINGLE FAMILY FESIDENCE I. STORM DRATNAGE DIRECT RLNOFF TO CITY STORM SYSTEM IMPERVIOUS S.F COST PER S.F. s0.323 BUTLDTNG S\ZE (SF, 1520 LOT SZE (SF): CHARGE $e8.58 Lot 147 3rd 6355 RT]NOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS 2008.00 IMPERVIOUS S.F 0.00 NUMBER OF DFU's 28 COST: ADT TRIP RATE 9.57 B. IMPROVEMENT COST: ADT TRIP RATE 9.57 SUBTOTAI- $3,830.23 COST PER S.F $0.323 COST PER DFU $25.07 $19.07 NUMBER OF T]NITS I NUMBER OF IINITS I ADM. FEE RATE 5Yo DISCOUNT RATE 50Yo $64E.s8 DISCOLINT $0.00 x x x x x x x ITEM I TOTAL- STORJT{ DRAINAGE SDC 2. SANITARY SEWER - CITY A. REIMBURSEMENTCOST: B. x ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3. TRANSPORTATION A. REIMBURSEMENT COST: $1r3s.92 COST PER TRIP $ r 9.09 COST PER TRIP $84. I 9 $9E8.39 NEW TRIP FACTOR 1.00 NEW TRIP FACTOR r.00 xx xx ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A. REIMBURSEMENTCOST: NUMBER OF FEU'S I x B. IMPROVEMENT COST: NUMBER OF FEU's I MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC SUBTOTAL (ADD ITEMS I,2,3, & 4) 5. ADMINISTRATIVE FEE: $957.34 *t,830.23 CHARGE $l9l.5l TOTAI- SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTA ADMINISTRATION FEE: CherylSlaymaker 611212006 NUMBER OF DFU's 28 $648.s8 $701.96 $182.69 70 s82.03 $0.00 $10.00 .89 $4,021.74 I 070 1091 1092 I 093 1094 I 054 I 055 I 054 I 056 1079 1078 a trl oO &trlFa F.l COST PER FEU $82.03 COST PER FEU $865.31 PREPARED BY DATE TOTAL SDC CTIARGES I DRAINAGE FD(TURE UNIT CALCULATION TABLE NUMBER OF NEW FXTURES x T]NIT EQUIVALENT = DRAINAGE FXTURE UMTS FOR CAI-CUI-ATE ONLY T}IE NET ADDMONAL NO. OF FIXTURES TINIT FtXruREryPE NEW OLD MISCELLANEOUS DFU TYPE NUMBER OF EDU'S TOTAL DRAINAGE FXTURE I.INITS lsa toa mit set at 167 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE +EDU DRAINAGE FIXTURE 0 2 1979 BEFORE 1979 1979 I 980 l98l 1982 I 983 1984 I 985 1986 1987 I 988 1989 1990 l99 r 1992 1993 1994 1995 1996 1997 1998 1999 $5.29 $5.19 $5.12 $4.98 $4.80 $4.63 $4.40 $4.07 $3.67 $3.22 s2.73 $2.25 $1.80 29 IS LAND ELGIBLE FORANNEXATION CREDIT? (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FORANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR CREDIT FOR LAND (IF APPLICABLE) VALT]E / IOOO CREDIT RATE $0.00 x $5.29 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE/ IOOO CREDITRATE $0.00 x $5.29 TOTAL TVTVYMC CREDIT 2 $1.59 $1.45 $1.25 $1.09 $0.92 $o.72 $0.48 $0.28 $0.09 $0.05 BATHTT]B 2 0 3 6 DRINKING FOT]NTAIN 0 0 1 0 FI-OOR DRAIN 0 0 3 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6 0 LALTNDRY TUB 0 0 2 0 CLOTHESWASHER / MOP SINK 1 0 3 3 CLOTHESWASIIER - 3 OR MORE (EA)0 0 b 0 MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0 RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC.1 0 3 3 SHOWER" STNGLE STALL 0 0 2 0 sHowE& GANG (NUMBER OF rmADS)0 0 2 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN I 0 3 3 SINK: COMMERCIAL BAR 0 0 2 0 SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 2 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 2 URINAL, STALL/ WALL 0 0 5 0 TOILET, PUBLIC INSTALLATION 0 0 b 0 TOILET, PRIVATE INSTALLATION 3 0 3 I 28 YEAR ANNEXED CREDIT RATE/$I,OOO ASSESSED VALUE $0.00 0 $0.00 2000 2001 20 225 Fifth ,Street Springfield, Oregon 97 477 541-726-3759 Phone C'-' of Springfield Official Receipt L . elopment Services Department Public Works Department RECEIPT #: 1200600000000001035 Date: 0710712006 3:10:56PM Job/Journal Number coM2006-00692 coM2006-00692 coM2006-00692 coM2006-00692 coM2006-00692 coM2006-00692 coM2006-00692 coM2006-00692 coM2006-00692 coM2006-00692 coM2006-00692 coM2006-00692 coM2006-00692 coM2006-00692 coM2006-00692 coM2006-00692 coM2006-00692 coM2006-00692 coM2006-00692 coM2006-00692 coM2006-00692 coM2006-00692 coM2006-00692 coM2006-00692 coM2006-00692 coM2006-00692 coM2006-00692 Description Plan Review Same As Addressing Assignment Willamalane Single Family Fire SF Fee - Residential Sidewalk Permit Curbcut 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 3 Baths One & Two Family Vent Fan Exhaust Hoods Dryer Vent Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- Plan Review Major - Planning Building Permit + 8% State Surcharge + l}Yo Administrative Fee Amount Due 100.00 31.00 1,000.00 120.65 80.00 80.00 (30.00) 648.58 701.96 s33.96 182.69 805.70 82.03 865.31 r 0.00 125.62 65.89 306.00 24.00 9.00 6.00 6.00 10.00 198.00 1,059.65 r 12.85 153.13 $7,288.02Item Total Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Check HAYDEN ENTERPRISES dlm 25675 In Person $7,288.02 Payment totat: T73TTT cReceint I Page I of 1 71712006 Amount Paid