HomeMy WebLinkAboutPermit 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