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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 541-726-37 69 Inspection Line PRIN FIELD Building/Combination Permit PERMIT NO: COM2006-00694ISSUED: 0710712006APPLIED: 0610712006EXPIRES: 0211812007VALUE: $ 132,665.00 SITE ADDRESS: 5782 Montclaire Way ASSESSOR'S PARCEL NO.: JASPER MDS 3 ADD PH PROJECT DESCRIPTION: Springfield TYPE OF WORK: Single Family Residence TYPEOFUSE: New Single family residence - Jasper Meadows 3rd add ph 4 lot 148 Owner: Address: Contractor Type General Electrical Mechanical Plumbing HAYDEN ENTERPRISES 2622 SW GLACIER PL #110 REDMOND OR 97756 Expiration Date 07t29t2007 06n9t2007 03t25t2010 05t05t2010 Residential Phone 54r-228-r081 54t-754-6171 541-672-9510 54r-459-01 10 PhoneNumber: 541-228-1081 Contractor HAYDEN ENTERPRISES M & W ELECTRIC INCORPORATED PACIFIC AIR COMFORT INC DENNIS SCOTT EGGERS License 92208 67362 39237 142776 TION # 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: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: R-3 1 3 # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: I 16.00 Wall Heat Electric Electric Path I nla Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 6,166 1,235 400 U VN 20.00 s.00 s.00 50.00 0.00 I Yes 26.50 REQUIRED PARKING Total: 2 Handicapped: Compact: S u b divis io n Not Accepted Street Improvements: n__rr_- r_.._^_-^r Sidewalk Type:Fully Improved Curbside 5' Storm Sewer Available: Yes Downspouts/Drains; Curb and Gutter Speciallnstruction: ' i : '.-.r'-,.,, .::.. Notes: No hook-up to cify infrastructure until PubliC Improveme[tq agcgpted rby the city; storm drainage piped to curb face 6n2t2006 cAS DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Page 1 of4 rO c nl 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: COM2006-00694ISSUED: 0710712006APPLIED: 0610712006 EXPIRESz 0211812007VALUE: $ 132,665.00 Description Dwellings Garage Tvpe of Construction V Wood Frame Garage $ Per Sq Ft or multiplier $99.00 $26.00 Square Footage or Bid Amount 1,235.00 400.00 Value $122,265.00 $lo,40o.oo $132,665.00 Date Calculated 0610712006 06t07t2006 Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0oh Administrative Fee + 80 State Surcharge 2 Baths One or Two Family Addressing Assignment Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Minimum/Adj ustment Mechanical Plan Review Major - Planning PW Disc - 2nd Permit (Street) Sanitary Sewer - lmprovement 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 Addtl500 Total Value of Project Date PaidAmount Paid $437.39 $10.00 $105.37 s77.75 $254.00 $3r.00 $672.90 $80.00 $6.00 $9.00 $81.75 $12.00 $198.00 $-30.00 $4s7.68 $601.68 $10.00 $86s.31 $82.03 s120.72 $66.41 $805.70 $182.69 $80.00 $737.44 $18.00 $1,000.00 $14.40 $7.20 $11.52 $106.00 $38.00 Receipt Number 2200600000000000758 1200600000000001 037 1200600000000001037 1200600000000001037 1 200600000000001037 1200600000000001037 r200600000000001037 1200600000000001037 1200600000000001037 1200600000000001037 1200600000000001037 1200600000000001037 1200600000000001037 1200600000000001037 1200600000000001037 1 200600000000001 037 I 200600000000001 037 120060000000000r037 I 200600000000001 037 1200600000000001037 120060000000000r037 1200600000000001037 1200600000000001037 1200600000000001037 1200600000000001037 1200600000000001037 1200600000000001037 1200600000000001300 1200600000000001300 1200600000000001300 1200600000000001300 r200600000000001300 6t8t06 7 t7 t06 7 t7 t06 7 t7 t06 7 t7 t06 7 t7 t06 7 t7 t06 7t7t06 7t7t06 7 t7 t06 7t7t06 717106 7t7t06 7/7t06 7 t7106 7 t7 t06 7 t7 t06 7 t7106 7 t7 t06 7 t7 t06 7 t7 t06 7 t7 t06 717 t06 7 t7 t06 7 t7 t06 7t7t06 7 t7 /06 8/18/06 8/18/06 8/18/06 8/18/06 8/18/06 Fees Pa Total Amount Paid s7,149.94 Paee 2 of 4 Valuation Descrintion 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: COM2006-00694ISSUED: 0710712006APPLIED: 0610712006EXPIRES: 0211812007VALUE: $ 132,665.00 Plan Reviews Initial Review Planning Review Public Works Review Structural Review 06t09t2006 06t09t2006 06t09t2006 06t30/2006 APP APP LLH TAJ 06t09t2006 06n2t2006 APP CAS 06t09/2006 06t20t2006 OK RJB Survey required because of minimum side setbacks. No hook-up to city infrastructure until Public Improvements accepted by the city; storm drainage piped to curb face 6/12106 CAS 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. 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 fou ndation 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. Final Building: After all required inspections have been requested and approved and the building is complete. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. 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 filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Paee 3 of4 Reouired Insnections 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: COM2006-00694ISSUED: 0710712006APPLIED: 0610712006EXPIRES: 0211812007VALUE: $ 132,665.00 Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover 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 correctn and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springlield 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 Iocated 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 Page 4 of4 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Cia, of Springfield Official Receipt L ;lopment Services Department Public Works Department RECEIPT #: 1200600000000001300 Date:08/18/2006 3:47:l6PM Job/Journal Number coM2006-00694 coM2006-00694 coM2006-00694 coM2006-00694 coM2006-00694 Description + 5% Technology Fee + 8% State Surcharge + 10oh Administrative Fee Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Amount Due 7.20 1t .52 14.40 106.00 3 8.00 Item Total:$177.12 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid CreditCard HAYDEN HOMES djb 097242 In Person Payment Total:st77.t2 $177.12 cReceint I Page I of I 8/1812006 22SFIFTIiSTREET r SPRINGFIEIT,AR97477 r Ptt:(54l)725-375i cFAt{:(541y26.389 E IEC T RT CAL P ENMtrT APPLI CA?TO.hI City Job Number CootazrcG- oob?tl 1 3. 3P GEEL'' Date zoN INITIALS DATE 782 Ott *trg' LEGAL DESCRIPTION S rt:stz a?L 0d q I r>+ tqg JOB DESCRIPTIOI{ //*"u Ferurits are non-transferabie and expire if work is not started within 180 days of issuance or if work is Suspen*[ed for n80 rlays, Serviae li.ncludedl I Ct00 sq. ft. or less Eachadditional 500 sq. ft. or portion tirereof Each Maaufact'd Home or Modular Dwelling Servioe or FeBder 200 Amps or less 201 Amps to 400 Amps 4Cll Amps to 600Amps 601 Amps to 1000 Amps Over 1000 Amps,^/olts Reconnect Only wtL€Z $ r06.00 $ 19.00 l6L =8 2.ts;. $s0.00 $ 63.00 $ 7s.00 s125.00 $i63.00 $375.00 $ 50.00 - $69.00 $100.00 $ 43.00 $ 3.00 .,;;: Electrical Contractor tq) Address )q8'd1 ll'd'l 3 1 Su) Suporuisor License }iumber 'li7tJ S Expiration Date U Cons$. Contr. Number ba3bZ Expiration Datie t /n/x*t Signature of Supervising Electician ;, Oun:ers Name a/Address LO G/4<te-t E.ZZ City phone Z:U-673 t- OWNER INSTALLATIO}I The installation is being made on properry I own which is not intended for sale, lease or renl Owners Signature:4" Inspection Request: 72G37 69 Installation, Alteration or Relocation 20C Amps or less $ 50.00 201 Amps to 400 Amps '401 Amps to 600 Amps o'Tfl 9.;1'-,'e9*'I'.1"'9i0voltssee'B"above'o.ln$rilsi,*#,i$riitirliffi i:ttiir#,;+rriffi ,.it#+t*l+i,,1$^il New Alteratiorn or Extension Per Panel One Crcuit EachAdditional Circuit or with Service or Feeder Permit - /-*rn Limited Energly'Commucial $ 45.00 Minimum Electric P'enrnit Inspection Fee is $45.00 + Strcharges 8% State Surcharge i0% Admini5trative Fee5 /. siq.x Fd TOTAL tqtl ltsL lV qo___TF_ Shared Driv(T:)/Building FormyEletrical Permit Applicaion I {6.doc l-? -?' Z roo E O'IUI{SNIf,dS JO AITC GSStgZII?S fvd 60:0I EnL 90/TI/LA Ur/ C:. ru to JtilitY it for' i2-00 City A\La^q Fhone SLtt-15,,{-bt1l --.-_T__-.:_:.:.=]:_:-:_l 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: COM2006-00694ISSUED: 0710712006APPLIED: 0610712006 EXPIRES: 0110712007VALUE: $ 132,665.00 SITE ADDRESS: 5782 Montclaire Way ASSESSOR'S PARCEL NO.: JASPER MDS 3 ADD PH PROJECT DESCRIPTION: Single family residence - Jasper Springfield TYPE OF WORK: Single Family Residence Residential 081Owner: Address: HAYDEN ENTERPRISES 2622 SW GLACIER PL #1IO REDMOND OR 97756 0090. you may obtain eoples of tho rules b.Filng tho center. ln OAR 9sz-0o ,-@t0 License 92208 39237 t42776 USE: New requtres you to by the O Expiration Date 0712912007 0312512010 05/05/2010 1 Contractor Type General Mechanical Plumbing Contractor HAYDEN ENTERPRISES PACIFIC AIR COMFORT INC DENNIS SCOTT EGGERS Phone 541-228-1081 s4t-672-9510 541-459-01 l0 # 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 Not Accepted Street Improvements: Storm Sewer Available: Special Instruction: * or sl$0i5lC E: I Lot Size: Heighf gfQqFfiMPT SHAL I.. EIBOflE IBdHfiWOB&: rvp. qtHt?&o', r n r r Nr ilYdr tlqflS prHtlTr f$ffi{or: Xffffiti,i *i,i, 0 * EIE$f;l'. o 0'gf;{tg3,iTi,t".,o,, Energtrffit{80 DAY PERIO&ttr I sq Ft other: Sprinkled Building: nla Occupant Load: I 6,166 1,235 400 R-3 U VN 3 20.00 s.00 5.00 50.00 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: I Yes 26.50 Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: 2 Handicapped: Compact: Curbside 5' Curb and Gutter Fully Improved Yes Notes: No hook-up to city infrastructure until Public Improvements accepted by the city; storm drainage piped to curb face 6n212006 cAS PUBLIC IMPROVEMENTS Paee I of4 UUlity Notification EUTLDTNG INT UT(IVTA I TUN DtrVrllurryttrN r rNlryJ 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: COM2006-00694ISSUED: 0710712006APPLIED: 0610712006 EXPIRESz 0110712007VALUE: $ 132,665.00 Descrintion Dwellinss Garage Tvpe of Construction V Wood Frame Garage $ Per Sq Ft or multiplier $99.00 $26.00 Square Footage or Bid Amount 1,235,00 400.00 Value $122,265.00 $10,400.00 $132,665.00 Date Calculated 06107t2006 0610712006 Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0oh Administrative Fee + 87o State Surcharge 2 Baths One or Two Family Addressing Assignment Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Minimum/Adjustment Mechanical 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 Sidewalk Permit Storm Drainage Impervious Area Vent Fan Willamalane Single Family Total Amount Paid Amount Paid $437.39 $10.00 $105.37 s77.75 $2s4.00 $31.00 s672.90 $80.00 $6.00 $9.00 $81.75 $12.00 $198.00 $-30.00 $457.68 s601.68 $10.00 $865.31 $82.03 $120.72 $66.41 $80s.70 $182.69 $80.00 $737.44 $18.00 $1,000.00 $6,972.82 Total Value of Project Date Paid 6t8t06 7 t7 t06 7 /7 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 /06 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 7 t7 t06 7 t7 t06 7 t7 /06 7 t7 t06 7 t7 t06 Receipt Number 2200600000000000758 I 20060000000000 l 037 I 200600000000001 037 l 2 0060000000000 r 03 7 1200600000000001 037 r200600000000001037 r200600000000001037 1200600000000001037 1200600000000001037 r200600000000001037 1200600000000001037 1200600000000001037 l 20060000000000 I 03 7 I 200600000000001 037 l 200600000000001 037 I 200600000000001037 l 200600000000001037 120060000000000r037 1200600000000001 037 I 20060000000000 l 037 1200600000000001 037 1200600000000001037 1200600000000001 037 1200600000000001037 r200600000000001037 1200600000000001037 1200600000000001037 Plan Reviews Initial Review Planning Review 06t09t2006 06t09t2006 06t09t2006 06t30t2006 APP APP LLH TAJ Survey required because of minimum side setbacks. Pase 2 of 4 ffi Valuation Descrintion I Fees rar(l 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: COM2006-00694ISSUED: 0710712006APPLIED: 06/07/2006 EXPIRESz 0110712007VALUE: $ 132,665.00 Public Works Review Structural Review 06t09t2006 06n2t2006 APP CAS 06t09t2006 06t20t2006 0K RJB No hook-up to city infrastructure until Public Improvements accepted by the city; storm drainage piped to curb face 6112106 CAS 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. 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. Final Building: After all required inspections have been requested and approved and the building is complete. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. 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 filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Pase 3 of4 l(eourred lnsDectrons 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: COM2006-00694ISSUED: 0710712006APPLIED: 0610712006 EXPIRESz 0110712007VALUE: $ 132,665.00 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. 7- 7- oca Owner or Contractors Signature Date Paee 4 of 4 CITY OF Sr<INGFIELD SYSTEMS DEVELOPMEN, aIORKSHEET IMPE,RVIOI]S S.F x 2283.10 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS JOURNAL OR JOB NUMBER: COM2006-00694 NAMEORCOMPANY: LOCATION: TAX LOTNUMBER: DEVELOPMENT TYPE: NEW DWI. LLING UNITS Homes 5782 Montclaire Lot 148 3rd SINGLE FAMILY RESIDENCE BUILDING SIZE I. STORM DRAINAGE DIRECT RLNOFF TO CITY STORM SYSTEM 1726.5 LOT SrZE (SF):6166 DISCOL]NT $0.00 NEW TRIP FACTOR 1.00 NEW TzuP FACTOR 1.00 IMPERVIOUS S.F 0.00 NUMBER OF DFU's 24 B. IMPROVEMENT COST: NL]MBER OF DFU's 24 ADT TRIP RATE 9.57 B. IMPROVEMENT COST: ADTTRIP RATE 9.s7 SUBTOTAL $3.742.s3 COST PER S.F $0.323 COST PER S.F $0.323 COST PER DFU $25.07 $ r 9.07 NTIMBER OF UNITS 1 NT]MBER OF LINITS I ADM. FEE RATE 5o/o CHARGE $737.44 DISCOLTNT RATE 50Y. s737.44 x x x x x x x x x ITf,,M I TOTAL- STORM DRAINAGE SDC 2. SANITARY SEWER - CITY A. REIMBT'RSEMENT COST: ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3. TRANSPORTATION A REIMBURSEMENT COST: xx xx COST PER TRIP $19.09 COST PER TRIP $84. r 9 $988.39ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A REIMBTIRSEMENTCOST: NUMBER OF FEU's I B. IMPROVEMENT COST: NLIMBER OFFEU's I MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMIMSTRATIVE FEE ITEM 4 TOTAL- MWMC SANITARY SEWER SDC 5. ADMINISTRATIVE FEE: $9s7.34 CHARGE $r87.13 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Cheryl Slaymaker 6t12t2006 0s9.36 $737.44 $60r.68 $82.03 $0.00 $10.00 120.72 I 1070 l09l 1092 I 093 I 094 I 054 1055 1054 1056 1079 l 078 a rJ.la U &Ht-a (, F.l& COST PER FEU $82.03 COST PER FEU s865.31 PREPARED BY DATE TOTAL SDC CIIARGES SUBTOTAL (ADD ITEMS I,2,3, & 4).742.53 DRAINAGE FIXTURE UNIT CALCULATION TABLE NUMBER OF NEW FXTURES x UNIT EQUIVALENT : DRAINAGE FXTURE UNITS FOR CALCULATE ONLY THE NET ADDITIONAL NO. OF FIXTURES UNIT FXTURE TYPE NEW OLD ALENT MISCELLANEOUS DFU ryPE NUMBER OF EDU'S TOTAL DRAINAGE FIXTT.]RE TINITS lsa toa unit set at 167 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE DRAINAGE FIXTURE UNITS 0 2 2 1979 *EDU BEFORE 1979 1979 1980 l98l 1982 r983 1984 1985 1986 1987 1988 1989 I 990 199',I 1992 I 993 1994 1995 1996 1997 I 998 't999 $5.29 $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. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR CRIDIT FOR LAND OF APPLICABLE) VALUE / IOOO $0.00 CREDIT RATE $5.29x CREDIT FOR IMPROVEMENT OF AFTER ANNEXATION) VALUE / IOOO CREDIT RATE $0.00 x $5.29 TOTAL MWMC CREDIT 2001 $1.59 $1.45 $1.25 $1.09 $0.92 $o.72 $0.48 $0.28 $0.09 $0.05 BATHTUB 2 0 3 6 DRINKING FOI]NTAIN 0 0 1 0 FLOOR DRAIN 0 0 3 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 b 0 LALNDRY TUB 0 0 2 0 CLOTHESWASTMR / MOP SINK 1 0 3 3 CLOTI{ESWASHER - 3 OR MORE (EA)0 0 6 0 MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0 RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC.1 0 3 3 SHOWE& SINGLE STALL 0 0 2 0 SHOWE& GANG CNUMBER OF HEADS)0 0 2 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 3 SINK: COMMERCIAL BAR 0 0 2 0 SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 2 SINK: SINGLE LAVATORY/RESIDE,NTIAI. BAR 1 0 1 1 T]RINAL, STALL / WALL 0 0 5 0 TOILET. PUBLIC INSTALLATION 0 0 b 0 TOILET, PRIVATE INSTALLATION 2 0 3 6 24 YEAR ANNEXED CREDIT RATE/$I,OOO ASSESSED VALUE $0.00 0 .00 2000 20 225 Fifth Street Springtield, Oregon 97 477 541-726-3759 Phone C:' ' of Springfield Official Receipt L - , elopment Services Department Public Works Department RECEIPT #: 1200600000000001037 Date: 0710712006 3:12:40PM Job/Journal Number coM2006-00694 coM2006-00694 coM2006-00694 coM2006-00694 coM2006-00694 coM2006-00694 coM2006-00694 coM2006-00694 coM2006-00694 coM2006-00694 coM2006-00694 coM2006-00694 coM2006-00694 coM2006-00694 coM2006-00694 coM2006-00694 coM2006-00694 coM2006-00694 coM2006-00694 coM2006-00694 coM2006-00694 coM2006-00694 coM2006-00694 coM2006-00694 coM2006-00694 coM2006-00694 Description 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 Building Permit 2 Baths One or Two Family Vent Fan Exhaust Hoods Dryer Vent -Mechanical Issuance Fee- Minimum/Adjustment Mechanical Plan Review Major - Planning + 8% State Surcharge + 10%o Administrative Fee Amount Due 3l,00 1,000.00 8l.75 80.00 80.00 (30.00) 737.44 601 .68 457.68 t82.69 805.70 82.03 865.31 10.00 120.72 66.41 672.90 254.00 18.00 9.00 6.00 10.00 12.00 198.00 77.75 105.37 Item Total:$6,535.43 Payments: Type of Payment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid Check HAYDEN ENTERPRISES dlm 25615 In Person $6,535.43 Payment total: -Sffi cReceint I Page I of 1 71712006