HomeMy WebLinkAboutPermit Building 2006-07-07Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
CITY F G
PERMIT NO: COM2006-00696ISSUED: 0710712006
APPLIEDT 0610712006EXPIRES: 0211012007VALUE: $ 232,062.00
SITE ADDRESS: 5790 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 149
HAYDEN ENTERPRISES
2622 SW GLACIER PL #110
REDMOND OR 97756
PhoneNumber: 541-228-1081Owner:
Address:
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
07t2912007
06n912007
03t25t2010
05/0s/2010
Phone
541-228-1081
541-754-6171
s4t-672-9510
541-4s9-01 l0
CONTRACTOR TNFORMATION
# 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:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building
Height of Structu re
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I I
23.00
Wall Heat
Electric
Electric
Path I
nla
5,941
I,154
664
480
20.00
5.00
5.00
51.00
0.00
I
Yes
27.50
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
S ubdivision Nol Accepted
Street Improvements: .^-^,.^r Sidewalk Type:Fully Improved Curbside 5'
Storm Sewer Available: Yes Downspouts/Drains: Curb and Gutter
Special Instruction:
, ,.. ,:, - . i. .
Notes: No hook-up to city infrastructure until Publie Imp4ovepllnts accepted by the city; storm drainage piped to curb face
:,,,
PUBLIC IMPROVEMENTS
Paee 1 of4
ffi Building/Combination Permit
Ca\\
n\]fl
,r \hO
an\OI
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: COM2006-00696ISSUED: 0710712006
APPLIEDz 0610712006
EXPIRESz 02/1012007VALUE: $ 232,062.00
Description
Dwellinss
Garage
Tvpe of Construction
V Wood Frame
Garage
$ Per Sq Ft
or multiplier
$99.00
$26.00
Square Footage
or Bid Amount
2,218.00
480.00
Value
$219,582.00
$ 12,480.00
$232,062.00
Date Calculated
0610712006
06t07t2006
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ l0o." Administrative Fee
+ 87o 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
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 Addtl500
Amount Paid
Total Value of Project
Date Paid Receipt Number
2200600000000000758
1200600000000001038
1200600000000001038
1200600000000001038
r200600000000001038
1200600000000001038
1200600000000001038
1200600000000001038
1200600000000001038
1200600000000001038
1200600000000001038
r200600000000001038
1200600000000001038
I 200600000000001038
1200600000000001038
1200600000000001038
1200600000000001038
120060000000000r038
I 200600000000001038
l 200600000000001 038
1200600000000001038
1200600000000001038
1200600000000001038
I 200600000000001 038
1200600000000001038
1200600000000001038
120060000000000r038
I 200600000000001301
1200600000000001301
120060000000000130r
120060000000000r301
1200600000000001301
$648.64
$10.00
$146.38
$107.91
$306.00
$31.00
$997.90
$80.00
$6.00
$9.00
$114.90
$6.00
$198.00
$-30.00
$572.10
s7s2.l0
$10.00
$865.31
$82.03
$138.71
$64.64
$805.70
$182.69
$80.00
$797.00
$24.00
$1,000.00
$16.30
$8.15
$13.04
$106.00
$57.00
6t8t06
7 t7106
7 t7 t06
7 t7106
7 t7 t06
7 t7106
7 t7 t06
7 t7 t06
7 t7 t06
7 t7 t06
7 t7 t06
7 t7106
7 t7106
7 t7106
7 t7 t06
7 t7 t06
7 t7 t06
7 t7 t06
7 t7 t06
717106
7 t7 t06
7 t7 t06
7 t7106
7 t7 t06
7 t7106
7 t7 t06
7 t7 t06
8/18/06
8/r8/06
8/18/06
8/18/06
8/18/06
F ees Pa
Total Amount Paid $8,206.50
Pas.e 2 of 4
+ffi
Valuation Descrintion I
225 EIF-TIiSTREET r SPR|NGFIELD.OR97l77 . PII:(54I)725-3?53 r FAI(: (s41)7tL}fa9
E LEC TRI CAL P ERMTT AP PL I CATT O.N
City'Job Number C;sartbo(, -a/O 6? L
=i IGrIELD
Datc
zoN
IMTTALS
DATE
t.,3.Slto
LEG.AT
TAtO
DESCRIPTiON- iir--pL " E+ ,L(l
A-
JOB DESCRIPTTOh'
*S€ Wl04
Permits are non-transferahie and expire if work is
not started wfthin 180 days of issuance or if work is
Suspeniled for I80 rlays.
1
Electrical Conractor nfu) €L l,ut-
Address e78 ul)3{ s^)
City Phone SLll-75'(-btll
Superuisor License }lumber .)s
Expiration Date o
Consf. Contr. Number
B;.
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsA/olts
Re*onnoct Only
- Installation, Alteration or Relocation
200 Amps or tess
2Crl Amps to 400 Amps
'401 Amps to 600 Amps
Over 600 or 1000 Volts see'B" above.
[r.
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feedcr Permit
Service ltncludedl
ICl00 sq. fr or less
Each adfitiooal 500 sq. ft. or
pcrrtion tirereof
Each Maaufrct'd Home or
Modular Dwelling Servioe or
Feeden
| $106.00
3 ,,r.oo
o6
s50.00
$ 63.00
$ 75.00
$r25.00
$163.00
$375.00
$ 50.00
$ 50.00
$ 69.00
$100-00
$ 43.00
$ 3.00
I
Expiration Date - t /n '.-r
Signature of Supenrising Electricia
J* il*c-sOwners Name
Address 6z
City kgu^a^, J- phone Zzf -6?Jf
OWI\IER INSTALLATION
The installation is being made on properry I own which
is uot inteuded for sale, Iease or rent.
E.
Pump orirrigatioo
S ign/Outlinc Li.ghting
Lfudted Energl,/Rxidenrial
Linited Enorgly'Commercial
Miniurum Electric Per.rnit Inspection Fee is M5.00 + Surcharges
$ s0.00
$ 50.00
$ 25.00
s 45.00
lL3
89'o Stale Surcharge
l0% Admiaistrative Fee
,z;|fi. ae?*l ?q€
,3 ctl
tt 20le -
aru
Shared Driv{T:}Building Forms/Elctrical permit Apptication 7E fr''l 1
roo E O'IgIdENIf,dS JO IIIC 68989ZZItS r!-d 60:0MIIJ g0/IT/LC
(
Owners Signature:
-
Inspection Request: 72G37 69
4.
IHIS YT
D
ABANDO
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: COM2006-00696ISSUED: 0710712006APPLIEDz 0610712006EXPIRES: 0211012007VALUE: $ 232,062.00
Plan Reviews
Initial Review
Planning Review
06t09/2006
06t09t2006
06t09t2006
06t30/2006
APP
APP
LLH
TAJ
Public Works Review 06t09t2006 06n212006 APP CAS
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 611212006 CAS
Structural Review 06t09t2006 06t20t2006 OK 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.
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 Plumbingl Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Shower Pan. Prior to covering and including required testing.
Reouired Insnections
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: COM2006-00696ISSUED: 0710712006
APPLIEDT 0610712006
EXPIRESz 0211012007VALUE: $ 232,062.00
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.
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.
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 of 4
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
C'.v of Springfield Official Receipt
- .velopment Services Department
Public Works Department
RECEIPT #: 1200600000000001301 Date:08/18/2006 3:48:42PM
Job/Journal Number
coM2006-00696
coM2006-00696
coM2006-00696
coM2006-00696
coM2006-00696
Description
+ 5%o Technology Fee
+ 8% State Surcharge
+ l0%o Administrative Fee
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Amount Due
8.15
I 3.04
16.30
106.00
57.00
Item Total:$200.49
Payments:
Type of Payment Paid By
CheckNumber Authorizataon
Received By Batch Number Number How Received
CreditCard HAYDEN HOMES djb 097242 In Person $200.49
Payment Total:
-5i6T?iF
cReceinl I Page I of I 8t1812006
*Fh$taSrIt-s
Amount Paid
*I*ees**Fr&s ,F
Building/Combination Permit
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
54 l-7 26-37 69 Inspection Line
PERMIT NO: COM2006-00696ISSUED: 0710712006
APPLIEDT 0610712006
EXPIRESz 0110712007VALUE: $ 232,062.00
S|TE ADDRESS: 5790 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 4 lot 149
Owner:
Address:
HAYDEN ENTERPRISES
2622 SW GLACIER PL #110
REDMOND OR 97756
PhoneNumber: 541-228-1081
r {or the Orego Expiration Date
07t2912007
0312512010
05/05/2010
Phone
541-228-1081
541-672-9510
541-459-01 l0
1e
Contractor Type
General
Mechanical
Plumbing
Contractor
HAYDEN ENTERPRISES
PACIFIC AIR COMFORT INC
DENNIS SCOTT EGGERS
License
Cerrter is 1 -8008e092344).
39237
142776
# of Units:
Primary Occupancy Croup:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Subdivision Not Accepted
Street Improvements:
Storm Sewer Available:
Special lnstruction:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Building:
"h of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
480
,
Curbside 5'
Curb and Gutter
I
R-3
U
VN
,,
23.00
Wall Heat
Electric
Electric
Path I
nla
5,941
1,154
664
3
20.00
5.00
5.00
51.00
0.00
REQUIRED PARKING
IS PE RMIT,S N Total:
NDO NED FoF Handicappeo:
Yes Compact:
27.s0
F THE WO
Sidewalk Type:
Downspouts/Drains:
Fully Improved
Yes
Notes: No hook-up to city infrastructure until Public Improvements accepted by the city; storm drainage piped to curb face
611212006 cAS
Pase I of4
the center,
Paved
A
UNDER
OR
'S
ABA
D.
FIELD
Building/Combination Permit
F
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
54 L-7 26-37 69 Inspection Line
PERMIT NO: COM2006-00696ISSUED: 07/0712006
APPLIED: 0610712006
EXPIRES: 0110712007VALUE: $ 232,062.00
v
Description
Dwellings
Garage
Type of Construction
V Wood Frame
Garage
$ Per Sq Ft
or multiplier
$99.00
$26.00
Square Footage
or Bid Amount
2,218.00
480.00
Value
$219,582.00
$12,480.00
$232,062.00
Date Calculated
06t07t2006
06t0712006
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ l0oh Administrative Fee
+ 87o State Surcharge
3 Baths One & 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 - Improvement
Sanitary Sewer - Reimbursement
SDC ITIWMC Administration
SDC IUWMC 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 Amount Paid
Amount Paid
Total Value of Project
Date Paid Receipt Number
2200600000000000758
r200600000000001038
1200600000000001038
1200600000000001038
120060000000000r038
120060000000000r038
r200600000000001038
r20060000000000r038
r200600000000001038
1200600000000001038
120060000000000r038
1200600000000001038
120060000000000r038
1200600000000001038
1200600000000001038
1200600000000001038
1200600000000001038
120060000000000r038
120060000000000r038
1200600000000001038
r200600000000001038
r200600000000001038
r200600000000001038
120060000000000r038
1 200600000000001038
1200600000000001038
1200600000000001038
$648.64
$10.00
$146.38
$107.91
$306.00
$31.00
$997.90
$80.00
$6.00
$9.00
$l14.90
$6.00
$198.00
$-30.00
$572.10
$752.10
$10.00
$865.31
$82.03
$138.7r
$64.64
$80s.70
$182.69
$80.00
$797.00
$24.00
$1,000.00
6t8t06
7 t7 t06
717106
7/7t06
7 t7106
717106
7t7t06
7 t7 t06
7 t7 /06
7 t7 t06
717106
7/7t06
7 t7 t06
7 t7 t06
7 t7 t06
7 t7 t06
7t7t06
7 t7 t06
7t7t06
7 t7 t06
7t7t06
7t7106
7/7t06
717106
7 t7 t06
717106
7 t7 t06
$8,oo6.ol
Fees Paid
Plan Reviews
lnitial Review
Planning Review
06t0912006
06t09t2006
06t09t2006
06t30t2006
APP
APP
LLH
TAJ Survey required because of
minimum side setbacks.
Page2 of 4
G
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: COM2006-00696ISSUED: 0710712006
APPLIEDz 0610712006
EXPIRES: 0110712007VALUE: $ 232,062.00
Public Works Review 06t09t2006 06n212006 APP CAS No hook-up to city infrastructure
until Public Improvements accepted
by the city; storm drainage PiPed to
curb face 611212006 CAS
Structural Review
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 andior
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 Buitding: 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.
Shower Pan. Prior to covering 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
Page 3 of 4
leouired Insnections
l{GFlgl*s
06t0912006 0612012006 0K RJB
Building/Combination Permit
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
54 I -7 26-37 69 [nspection Line
PERMIT NO: COM2006-00696ISSUED: 0710712006
APPLIEDz 0610712006
EXPIRES: 0110712007VALUE: $ 232,062.00
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility 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, 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.
77-%'-t/
Owner or Contractors Date
Paee 4 of 4
OR JOB
TAXLOTNUMBER:
DEVELOPMENT TYPE
I,IEW DWELLING UNITS
S.F.
0.00
NUMBER OF DFU's
30
B.IMPROVEIVIENT COST:
NTIMBER OF DFU'S
30
ADT TRIP RATE
9.57
B. IMPROVEMENT COST:
ADT TRIP RATE
9.57
STIBTOTAL
s4,066.93
CITY OF
5790
Lot 149 3rd
Y
SYS TEMS
BUILDING SIZE
CIIARGET'i075b-
TO CITY
x DISCOT]NT RATE
5oyo
I
LOT szE (SF):5941
COSTPERT-F"-
$0.323
AND
x COST PER S.F
$0.323
COST PER DFU
$25"0i-
$19.07
NUMBER OF TINITS
I
NUMBEROF UNITS
I
ADM. FEERATE
5Yo
DISCOLNT
$0.00ITEM 1 TOTAL - STORM DRAINAGE SDC
A. REIMBURSEMENT COST:
x
x
ITEM 2 TOTAL- CITY SAIIITARY SEWER SDC
3. TRANSPORTATION
A. REIMBURSEMENTCOST:
xx
xx
COSTPER TRIP
$19.09
COST PER TRIP
$84. I 9
$988.39
NEWTRIPFACTOR
1.00
NEW TRIP FACTOR
1.00
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER. MWMC
A. REIMBURSEMENTCOST:
NLIMBEROFFEU's
I
B. IMPROVEMENT COST:
NTIMBEROFFEU's
I
x
x
x
x
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMIMSTRATTVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
SUBToTAL (ADD ITEMS 1,2,3, & 4)
5. ADMINISTRATIVE FEE:
$9s7.34
$4,066.93
CHARGE
$203.35
TOTAL SANITARY ADMINISTRATION FEE
TOTAL TRANSP ORT ATTON ADMINTSTRATION FEE
Cheryl Slaymaker 6/12/2006
$752.
$r82.69
$805.70
$82.03
${t65.31
a
TQao(J
&
E]Fa
=tJ
E]&
l09l
1092
1093
1070
1094
r079
1055
1056
-frrrr]r
COST PER FEU
$82.03
COST PER FEU
$865.31
PREPAREDBY
DAIE
TOTAL SDC CI{ARGES
STORM
x
DRAIN AGE FIXTURE I.INIT CALCULATION TABLE
NUMBER OFNEWFXTURES X UNIT EQUIVALENT:DRAINAGE FD(UREUNITS
FOR ONLY THENET ADDITIONAL
NO. OF FD(TURES
UNIT
NEW OLD ALENT
DRAINAGE
FIXTURE
UNITS
0
2
1979
TYPE
+EDU
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
TOTAL DRAINAGE FXTI]RE T]NITS
tsa toa unit set at 167
IVTWMC CREDIT CALCULATION TABLE: BASED ON COT}NTY ASSESSED VALUE
BEFORE 1979 $5.29
IS LAND ELGIBLE FORANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
CREDIT FORLAND (IF APPLICABLE)
20
21979
1980
l98l
1982
1983
1984
I 985
1986
1987
1988
1989
I 990
t99t
1992
1993
1994
1995
1997
1998
1999
VALUE / IOOO
$0.00
CREDITRATE
$5.29x
CREDTT FOR TMPROVEMENT (rF AFTERANNEXATTON)
VALTIE / IOOO CREDIT RATE
$0.00 x $5.29
TOTALMWMCCREDIT
6320100FOUNTAIN0300DRAIN0300ETC.SOLIDSOLGREASEFORINTERCEPTORS 0600WASHETC.AUTOSANDFOR 201TUB3031MOPSINKASIIERCLOTHESW00603 ORMORE 0120HOME PARKTRAP I PER 0010WATERSTATIONETC.REFRIGFORRECEPTOR 3301DISHWASTIERETC.COM.FOR SINKRECEPTOR 0200SINGLE STALL 0200OFGANG
3031KITCHENSINK:0020SINK:COMMERCIALBAR
2201ATORYWASHvLABASIN/DOTIBLESINK:2012LAVATORYBARSINGLE/RESIDENTIALSINK:
0050STALL/WALL
0060TOILET.PTIBLIC INSTALLATION
3 I30PRTVATE INSTALLATION
YEAR
ANNEXED
CREDIT RATE/$I,OOO
ASSESSED VALUE
00
0
$0.00
2000
2001
$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
$1.59
$1.45
$1.25
$1.O9
$0.92
$o.72
$0.48
$0.28
$0.09
$0.05
0
225 Fitth Street
ffiiTf ;'ijr"trwone7477 f" gf snringfietd OfticiatReceinf
rr - /etoplllen t Seryices Departmen tPublic Works O.p""t-"oi
RECEIPT #;1200600000000001 038 Date: 07/07/2006 3:13:32pMJob/lournal Number
coM2006_00696
c0tvt2006-006e6
coM2006_00696
coM2006-00696
coM2006-00696
coM2006-00696
coM2006-00696
coM2006-00696
coM2006-00696
coM2006-00696
coM2006-00696
coM2006-00696
coM2006-00696
coM2006-00696
coM2006-00696
coM2006-00696
coM2006-00696
loM2006-00696
loM2006-00696
)oM2006-00696
)oM2006-00696
)oM2006-00696
;oM2006-00696
:oM2006-00696
toM2006-00696
toM2006-00696
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
3 Baths One & Two Family
Vent Fan
Exhaust Hoods
Dryer Vent
M inimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Plan Review Major - Planning
+ 8% State Surcharge
+ ljYo Administrative Fee
Amount Due
3l.00
1,000.00
114.90
80.00'
80.00
(30.00)
797.00
752.10
572.10
182.69
805.70
82.03
865.31
10.00
138.71
64.64
997.90
306.00
24.00
9.00
6.00
6.00
10.00
198.00
107.91
146.3 8
Item Total:s7,357.37
ayments:
ype of Payment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
lheck HAYDEN ENTERPRISES dlm 25675 In Person $7,357 .37
Paymenttotat: ffi
cReceint I
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