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Home My WebLink AboutPermit Building 2004-06-30t GFIELD Building/Com!rination Permit J,' Status Issucrl 225 Fifth Street, Sprirrqficld, OR 541-726-3753 Phorrc 541-726-3676Far 541-7 26-37 69 In s pccti o rr Line PIiRMIT NO: CONI 2004-00375ISSUED: 06/30'2004APPLIED: 04/0512004EXPIRES: 12130t2004VALUE: $ 12.566.00 DtivEl.ol'),1 N'I SITE ADDRESS: llfiO PARKER ST ASSESSORTS l) \.:'}.--!''. \O.: 1703253313000 PROJECT DES( lliP I ION: Addition to existing sli'u/ garasc conv Springfield TYPE OF WORK: TYPE OF USE: Singlc Famill, Resirlence O4,111irrn Rcsidential Owner: Address: SHAIt()N I)r\\rIS 3426(} \LI,I,]N RD COTTAGE GROVI OIT 97.I24 Phone Nu r:' cr: 511-912-7695 Licensc Expiration I rate Phone V{ORK Contractor'l''. "r:l General Electrical Contractor I'I]TER C STOCK XIARKTIAM ELECT tNu I'I,UMB # of Units: Primary Occup rt rt cr' (i i'orr p: Secondary Occtt p;r ttcr' (,-roup: Primary Constrrr c{ ion'f 'r'pc Secondary Cons( r'rrctitrrr Tvpe: # of Bedrooms: Frontyard Setb, Side I Setback: Side 2 Setback: Rearyard Setb;, Solar Setbacks: Street Improvcur (' It ts : Storm Sewer dr 1,il:rlrlt Special Instrucf i rr r: : COMM R-3 ANY 1 VN 6.00 FOR 1 t 4.00 Wall IIeat I'}ath 1 nla EXPIRE roD. Structure T1,pe of IIcnt: \\1atcr T1'pc: Il,ange T1'pc: Encrgy I'ath: Sprinkled Building: 0090. 04l0ll2aa:- 08/31/200:' Lot Size: Sq Ft lst l'lr',rr: Sq Ft 2nd l'llor: Sq Ft Bascrr cnt: Sq Ft Garl,:r/Carport Sq Ft Othcr': Occupant L,'nd: 541-t_)12-8789 s41-ri9s-4768 136 Ri )UIR[I) PAITKING Tol rl: I l u rlicap;lcd: (iolrpact: s.00 Sitloralk Type: I) ou,n spo u ts/Drains CONTRACl'0 IT INFORMATION Notes: I'uge I of 3 225 Fifth Street Springlield, Oregon 97 477 541-726-3759 Phone aty of Springfield Official Receipt ;velopment Services Department Public Works Department RECEIPT #: 1200400000000001420 Date: 1010112004 11:46:06AM Job/Journal Number coM2004-00375 coM2004-00375 coM2004-00375 coM2004-00375 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7Yo State Surcharge + l0% Administrative Fee Amount Due 43.00 6.00 3.43 4.90 Item Total:$s7.33 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check CHRISTENSON ELECTzuC dlm l09l In Person Payment Total: $57.33 -ffi 10n/2004 Page I of I xra!}* $sp*ar$*{}s$#g*{} 225 FIFTH STREET . SPRINGFIELD, OR97477 . PH:(541)726-3753 o FAX: (541)726-3689 E LECTRI CAL P ERMIT AP P LICATI O N CityJobNumber caAect ri - OC3-l { Date 1.3. tl,:!\ '.i:1:I: ryj;;;:r:1:l 3 o \r-^" Q'1 L18o Po.Lo, :\ S ot\ LEGAL DESCRIPTION t)o"32 s 33 JOB DESCRIPTION Ic""o \ Permits are non-transferable and * not started within 180 days of Suspended for 180 days. 1 Electrical Contractor work is B. I\a.Vf,"^. €\o-F,-.!-.200 Amps or Service sq. ft. or Each Manufact'd Home or Modular Dwelling Service or Feeder w- Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 or 1000 Volts see "B" above. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit ,;$i36'$106.00 $ 19.00 Zoning -o Address ?obn llr8 City q-\*tofltoll $50.00 $ 63.00 $ 7s.00 $125.00 s163.00 $375.00 $ s0.00 $ 50.00 $ 69.00 $100.00 $ 43.00 $ 3.00 G no,r.-Phone tJt;t Supervisor License Number Expiration Date I alotlo q Constr. Conff. Number Irr]1c( D{l o\ lo{Expiration Date Owners Name of Supervising Electrician D. Minimum 5G.\J \c^t O,-r b"a Address iLl f .> )r14-9cl'u- > f E' City >?,,\Phone H\S $ 25.00 Inspection Fee is $45.00 * Surcharges OK 7t6 o8O l26 3-9 OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: 7o/o State Surcharge 10% Administrative Fee TOTALInspection Request: 726-37 69 4. Shared Drive(T:/Building Forms/Electrical Permit Application l -03.doc ) ,J- L,{( .-' FIELD Iluilding/Conr : ination Permit Status Issrrr-'rl 225 Fifth Strect. 5ipringticld, OR 541-726-3753 Ph'rrc 541-726-3676Lrt 541-726-37 69 I tt. rlccl io rt I-ine PllRMIT NO: COI : 2004-00375ISSUED: 06/30'2004AI'PLIED: 04/05i 2004EXPIRES: 12130 2004\2.\LUE: $ 12,a:66.00 \/alue s12,566.,, s12,566." D:rte Crrlculated 0ti 0s/2004 Receipt \r 'nber 12004/J{\'')000000043l 22004t\ tl' r 000000050-l 22004(i0i )0000000501 22004Cfi r000000050-r 22004t,t, r000000050J 22004(r,),,' i000000050 J 220041'':' r0000000501 220041 i) "' l 00000 0050-l 22004tv. r0000000501 22004(,i) :t000000050"1 220041ii r000000050J l2004t it 00000010t 0 12004('r"000000101() 12004{ i' !0000(!01011} 12004( {t,' i00000(}l0l {} Valu ntion f)cscription Description Dwellinss ! r trc ol Construction \' \\'ood Frame $ Per Srl Irt or multiplicr $9 2..10 Square Footagc or Bid Anrounl 136.0() Total Yrirrc of Project t@r Fee Description Plan Review Rcsirlcn t i :r I + llYo Administ rt 1 ilt' I:cc + 7%o State Su t't rr,t I'g' Building Pernrit Fixture Plan Review - I'l:ttttritrg Sanitary Sewcr - I lttpt.,r'cntcnt Sanitary Sewer - iici rrt brrrscment SDC Sanitary/S1 r, r'rtr .'\ tl rttin Storm Drainagc I:rtllt'r'r ious Area StormSewer- Irt 5{l lrr.'ct + l0Yo Adminisllrr liyc lr-ce + 7 o/o State $1; 1'1' l' :r i'gt' Add, Alter, Extt'rli ( i: ,"' Ila Add Perm Serv/Fdr' l: ' l) rtr,rrs or less Total \rttorrrrt Paid Amount Pairl sns.02 $20.38 $r4.27 $r30.80 $28.00 $71.00 $103.26 $r3s.84 $13.93 $39.44 $1s.00 $ I 0.80 s7.56 ${s.00 $63.00 $813.30 Date Paid 415t04 5lt0t01 5/10/0,1 5lt0t01 5/10/01 5/10/01 5/10/01 5lt0t01 5110t01 5/10i 01 5ll0l01 6130t04 61301$4 6130lt)l 6/30/0.1 Plarr Rcr iervs Initial Revieu Planning Revi Public Works Structural Re 04t06t2004 04t0712004 04t0712004 04t07t2004 04t07 t2001 o.ilr7 t2004 0-l/r 3/2001 01t221200.1 LLII TA,I \/R,I DL]\I APP APP APP WE APP DT,)IStructural Revicl 04/2812004 0.1/2ti/200J I'ree 2 of 3 Rcquested rr rl litional drarling slrowing co rt I i':u ratiort of roofs adjacent to rrllition to dctcrmine if drainage tl! r" i)\\' brrild-u1t problems. Lcli nressrtge on contractor's :',rs. mach. 4nZn004 dln.r Rcceived r('\r' )nse li'om contractor rvith the acl il " rlran'in g, 4D812004 dlrn 225 FIFfH STREET . SPRINGFIELD, OP.97477 o PH:(541)726-3753 r FAX: (54 689 E LE CTRI CAL P E RMIT AP P LICATI O N Ciry Job Number Jbut"I .,. %eo LEGAL DESCRIPTION '2 JOB Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 1 Electrical Contractor Chris Lenson Electric Address t2 Bethel Drirzc City Eugene phone 541'688'6LZL Supervisor License Number 3759 S Expiration Date /04 Consr. Contr. Number 26-34C Expiration Date to/oL/04 of Electrician Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only 0a a A. B. C. D. E. *A4 rt*L+"^ sl s 19.00 $50.00 Installation, Alteration or Relocation 200 Amps or less $ 50'00 201 Amps to 400 AmPs S 69.00 401 Amps to 600 Amps $100.00 Over 600 or 1000 Volts see "B" above. s 63.00 s 7s.00 sr2s.00 s 163.00 $375.00 $ 50.00 (le $ 3.oo b New Alteration or Extension Per Panel, One Circuit I Each Additional Circuit or with ) Service or Feeder Permit :f $ 43.00 02 Owners Name Address trSfl yrt f olo^ I qYD lu.lc;^r clv \414 &Phone--r-- OWNER INSTAILATION Oumber lor the Oreg on UtilitY Notitication Inspection RffIll?l %t:9?80332 (tr,^ 0Ecf Pump or irrigation sigrvoudinBll&ffne ALL EiffififJF tfftSi n K Limited Limited DEI{ ftii}PEfi F,'#{ ts i'i ls Ati*+{gs$Id+qff1 is $45.00 + Surcharges I ,2 3Y5lYo State Surcharge 10% Administrative Fee TOTAL Minimum t1 51 -.? /,00 ?114 -2344t. 4. Shared Drive(T:)iBuilding Forms/Electrical Permit Application 1-03'doc L. i.:ILOICAX'ICINAF::I]{ST4.IL4:IIAIr.ii. 'I Y; : ..ii:::.:j-::;?r, ..it:i.,,ii':t :::ltr!:1! r l ;:iii':::-;.jn{,iii:'::ii.l;:....':1 ..'-rr1t;t:,l ii,;i:;i:::i.L:t,-. n l.'LlYlt ( attV car / ,) s s0.00 472 AFIIII'IGF|EL]D City of Springfield Development Services Departrnent Community Services Division, Building Safety 541-726-3759 Phone 541-726-3676Fax August 1,2005 SHARON DAVIS 34260 ALLEN RD COTTAGE GROVE, OR 97424 Date Permit Issued:613012004 Permit Number:coM2004-00375 Location:I48O PARKER ST Project Description:Addition to existing sfr w/ garage conv Dear Permit Holder: Recently, our office sent you a letter notiffing you that your permit(s) was about to expire. Because you did not contact us to request an inspection or to call us to verify that progress has continued to be made on the project, your permit(s) has expired. This letter is a reminder that the above referenced permit(s) expired on7l2ll2005. Please contact our office at Springfield City Hall, 225Fifth Street, Springfield, Oregon between 8:00 a.m. and noon or between 1:00 p.m. and 3:00 p.m. Monday through Friday, excluding holidays prior to continuing work on yourproject. There are permit fees that are due in order to complete your project. $indrely, UmJ Lisa Hopper Building Safety Supervisor City of Springfietd 225 Fifth Street, Springfield, OR 97 477' 541-126-3759 Phone 541-126-3676Fax June 30,2005 DAVIS SHARON 34260 ALLEN RD COTTAGE GROVE OR Job Number: Location: 97424 coM2004-00375 T48O PARKER ST Project:Addition to existing sfr d garage conv Dear Permit Holder: The Springfield Building Safety Code Administrative Code provides that in order for a permit to remain valid, the work which has been authorized by the permit must begin within 180 days of the date of issuance, and an inspection must be requested at least every 180 days. According to our records, you obtained a permit for a project at 1480 PARKER ST which is set to expire on7l2ll2005. Our records indicate that you have not requested an inspection within the past five (5) months. This letter is written to notiff you that your permit(s) will be expiring shortly. If you are ready to request an inspection for your project, please phone the inspection line at 541-726-3769. lf you do not request an inspection prior to the expiration date, your permit(s) will expire and additional permit fees willbe required in order to complete your project. If you have any questions, please feel free to phone me at 541-726-3790. Sincerely, Lisa Hopper Building Safety Supervisor CITY C lluilding/Conrl ination Permit PII TN {;FIELD Status IssuL'rI 225 Fifth Strect. ! t,r'irr:,llcld, OR 541-726-3753 Phrir:t 541-726-3676Far 541-726-37 69 In sp i'c{ il rr Linc PIiRMIT NO: COI I 2004-00375ISSUED: 06/3[l/]004APPLIED: 04/()5'1004EXPIRES: 12130 2004\/;\LUE: $ I1.566.00 To Request att i'tst-.tr'lion call the24 hour recording at 726-3769. All inspeclion requc: will be madc f l,r' :i:r::ri'11'61[i1g day, inspections re<gucsted after 7:00 n.m. will be mar'r, day. Reouired I rr rncctions Footing: ,\{(cr' Ir'cnchcs are excavated. Foundatiorr: ,\Itcr lbrms are erected but prior to concrcte placement. Post and lJcrrn: I']rior to floor insulation or decking. Floor Insrrlirtion: I)rior to decking. Framing Insllccliorr: Priorto cover and after all rough in inspections hirvc bcen approved. Wall Insrrl,rtion : I'r'ior to cover. Ceiling Irrrll:rtilrr : Prior to cover. Drywall: I'rirtr t,' taPing. Final Brrilriirrg: .\ lter all required inspections have bt'rrr rcquested anrl irpprovcd and the buil,li Storm So,,.'r' Lirrt': Prior to filling trench. Rough I'lrr rrrllirrg: Prior to cover and including rcquircrl tcsting. Final Plrrnrl,irrg: \\'hen all plumbing work is conrplett'. Underfloor I'lrnnbing: Prior to insulation or decking. Rough EIcr{r'ic: I'rior to Cover Electric Scrlicc: ,\lrproval required prior to utility corrpany energizing scrvice. Final Elcct ' ic: \\'hcn all electrical work is complcte. cd bclbrc 7:00 a.m. he lirllor ing work is conrplclc By signature, I s(r,'L' rilrr ;rgrce, that I have carefully exanrincrl thc completcd rrppliration arrd clo herc'r'. r crtilr lhat :rll informationhcr'cr.ri\r;ui.,andcorrectrandlfurthercertif),t1,;rtanyandall rr'ollillcrlirrnrerlshallbrr'rrcin:rccolt!rncewith theOrdinancesol 'hcf itl of SpringfieldandtheLawsof thrStrrtcofOregonyru'tainirrgtotheworLrl "cribrrl hercirr,and thatNOOCCUPi\{'\'lillbemadeofanystructurewithorrlllcrrnissionoflhc('ornnrunitvServicesl'rision.BuilrlingSafety. I further certifr' (l,rrt or,ir contractors and employees who arc irr compliancc uith ORS 701.005 will br, r, ,.lrl on this project. I further agrec to rnslr'('that all required inspections are rc(lrrtsted at the prol)o'tirne, that cach adtlrr'' i is rc:rrlablr from the street, that the pc:'rnii ,. rrrrl is located at the front of the prope rtr', and the approvcd set of plans will r',-.n:,rin orr lhe sitc at all times during c0tlsl!'lre 1ir,!1. Owner or Contr':tr'l o r s i. i grtature I)att I'agc 3 of 3 T 225 Fifth Street Springfield, Orcgon 97 477 541-726-3759 Phone C;ty of Springlirld Olficial Receipt velopment Scrvices Department Public \Vorks Department I{ECEIPT #: 1200400000000001010 Date: 0613012('04 ll:-12:05AM Job/Journal Number coM2004-00375 coM2004-00375 coM2004-00375 coM2004-0037s Dcsc ription Pcrrr Serv/Fdr 200 amps or less Aild, Alter, Extend Circ Ea Add t Jtt/o SIale Surcharge + l)oh Administrative Fee .\mount Due 63.00 45.00 7.56 10.80 Itcnr Total:s126.36 Payments: Type ofPayment l'aid Bv (.lleckNumber Autlrorization Rcccir cd Br llntch Number Nurnber How Rccci, ed Amount Paid CreditCard \] \RI(I]AM ELECTRIC djb 000425 030927 In Person Payment'Ir,tal: s126.36 -sTttu6-- 6/30/2004 Page I of I r CITY Building/C ombin ation Permit PERMIT NO: COM2004-0037 5ISSUED: 0511012004 APPLIED: 04/0512004 EXPIRES: 11/1012004VALUE: $ 12,566.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 5 4l -7 26-37 69 Inspection Line SITE ADDRESS: I48O PARKER ST ASSESSOR'SPARCELNO.: 1703253313000 PROJECT DESCRIPTION: Addition to existing sfr il garage conY Owner: SHARON DAVIS Address: 34260 ALLEN RD COTTAGE GROVE OR 97424 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PhoneNumber: 541-942-7695 Contractor Tvpe General Plumbing Contractor PETER C STOCK PLUMB CRAZY PLUMBING INC License 136547 Exrriration Date Phone 08/31/2005 541-895-4768 DEVE # of Units: Primary Occupancy Group:R-3 Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1b SE Frontyard Side I Setback: Side 2 Setback: 6.00 Rearyard Setback: Solar Setbacks:s.00 Street Improvements: Storm Sewer Available: Special Instruction.: I 14.00 Wall Heat Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Ft Basement: 136 * Water Type: Range Type: Energy Path: Overlay oh of Surface Area: PARKINC {so # Total: Handicapped: Compact: {r .9 Sidewalk Type: Downspouts/Drains: Notes: Page 1 of3 UUNIT(ALTTJK r(rt\ | of Structure of Heat: FIELD Building/Combination Permit F Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line PERMIT NO: COM2004-00375ISSUED: 0511012004APPLIED: 04/0512004 EXPIRES: 1111012004VALUE: $ 12,566.00 Description Dwellings Type of Construction V Wood Frame $ Per Sq Ft Square Footage or multiplier or Bid Amount $92.40 136.00 Total Value of Project Amount Paid Date Paid Value $12,566.40 $12,566.40 Date Calculated 04t0st2004 Fee Description Plan Review Residential + l0o Administrative Fee + 7o/o State Surcharge Building Permit Fixture Plan Review - Planning Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - lst 50 Feet Total Amount Paid $85.02 $20.38 $14.27 $130.80 $28.00 $7r.00 $103.26 $13s.84 $13.93 $39.44 $4s.00 4t5t04 5n0t04 5fi0t04 5n0t04 5lr0l04 5n0t04 5fiot04 5lt0l04 5n0t04 5n0t04 sn0t04 Receipt Number 1200400000000000434 2200400000000000s04 2200400000000000504 2200400000000000504 2200400000000000504 2200400000000000504 2200400000000000s04 2200400000000000504 2200400000000000504 2200400000000000s04 2200400000000000504 $686.94 Fees Paid Plan Reviews Initial Review Planning Review Public Works Review Structural Review Structural Review 04t06t2004 04t07t2004 0410712004 04t0712004 04t0712004 04n7t2004 04n3t2004 04t2212004 LL}I TAJ VRJ DLM APP APP APP WE 04t28t2004 04t28t2004 APP DLM Requested additional drawing showing configuration of roofs adjacent to addition to determine if drainage or snow build-up problems Left message on contractor's ans. mach.412212004 dlm Received response from contractor with the add'l drawing.412812004 dlm 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. I Footing: After trenches are excavated. 2 Foundation: After forms are erected but prior to concrete placement' Page 2 of 3 Reouired Insnections Valuation Description I - Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Ftx 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2004-00375ISSUED: 0511012004 APPLIED: 04/0512004 EXPIRESz llll0/2004VALUE: $ 12,566.00 3 4 5 6 7 8 9 10 11 t2 13 Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Storm Sewer Line: Prior to filling trench. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Underfloor Plumbing: Prior to insulation or decking. 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 3 of3 M ffis AL NAME OR COMPANY: LOCATION: TAX LOTNLIMBER: DEVELOPMENT TYPE: NEW DWELLING LINITS I rMPERVtot s s-F. xI r:o.oo NLIMBER OF DFU's 6 B. IMPROVEMENT COST: NUMBER OF DFU's 6 B. IMPROVEMENT COST: ADTTRIP RATE 9.57 COST PER S.F $0.290 COSTPER S.F s0.290 COST PER DFU s22.64 COSTPERDFU st7.2r NUMBER OF UNITS 0 NLIMBER OF TINITS 0 ADM. FEE RATE 5% CHARGE $39.44 DISCOTINTRATE 50% $39.44 DISCOLINT $0.00 CITY OF 5. TiINGFIELD SYSTEMS DEVELOPMEN. vT ORKSHEET Sharon Davis 1480 Parker Street 17032533 tl 13000 SFD addition BUILDING SIZE LOT SrZE (SF)0 I. STORM DRAINAGE DIRECTRIINOFF TO CITY STORM SYSTEM RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F 0.00 ITEM 1 TOTAL - STORM DRAINAGE SDC A. REIMBURSEMENTCOST: x x x x x x x ITEM 2 TOTAL - CITY SANITARY SEWER SDC $239.10 COST:A. xxx xx COST PER TRIP $17.23 COST PER TRIP s76.01 $0.00 NEW TRIP FACTOR 1.00 NEWTRIP FACTOR 1.00 ITEM 3 TOTAL - TRANSPORTATION SDC A. REIMBURSEMENTCOST: NLIMBER OF FEU's 0 B. IMPROVEMENT COST: NUMBEROFFEU's 0 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SD( = SUBToTAL (ADD rTEMS 1,2,3, & 4) 5. ADMINISTRATIVEFEE: SUBTOTAL $278.54 $0.00 $278.54 CHARGE s13.93 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Virginia Jurasevich 4n312004 ADT TRIP RATE 9.57 $0.00 s0.00 13.93 $292.47 1070 1091 1092 1093 1094 1054 1055 1056 079 078 (n E]ooQ & rqtia E]il IU COSTPERFEU $314.63 COST PER FEU s2r4.23 PREPARED BY DATE TOTAL SDC CHARGES x DRAINAGE FIXTURE UNIT CALCULATION TABLE NUMBER OF NEW FXTURES x TJNIT EQUIVALENT : DRAINAGE FD(TURE LTNITS FOR REMODELS, CALCULATE ONLY TIIE NET ADDITIONAI NO. OF FIXTURES UNIT FIXTURE TYPE NEW OLD MISCELLANEOUS DFU ryPE NLIMBER OF EDU'S TOTAL DRAINAGE FIXTURE UNITS rsa toa rmit set at 167 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE 20 DRAINAGE FIXTURE LINITS 0 *EDU BATHTUB 0 0 3 0 DRINKING FOLINTAIN 0 0 1 0 FLOORDRAIN 0 0 3 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6 0 LAUNDRY TUB 0 0 2 0 CLOTHESWASHER / MOP SINK 0 0 3 0 CLOTHESWASHER- 3 ORMORE (EA)0 0 6 0 MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0 RECEPTORFOR REFRIG/ WATER STATION / ETC.0 0 1 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0 SHOWER, SINGLE STALL 1 0 2 2 SHOWER, GANG CNUMBER OF HEADS)0 0 2 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 0 SINK: COMMERCIALBAR 0 0 2 0 SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 0 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 1 URINAL, STALL/WALL 0 0 5 0 TOILET, PLIBLIC INSTALLATION 0 0 6 0 TOILET, PRIVATE INSTALLATION 1 0 3 3 YEAR ANNEXED CREDIT RATE/$I,OOO ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR 0 0 1979 CREDIT FORL4ND (IF APPLICABLE) VALUE/ IOOO $0.00 CREDITRATE $5.04x CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1OOO CREDIT RATE $0.00 x $5.04 TOTAL MWMC CREDIT I so.oo BEFORE 1979 $5.04 1979 $5.04 1980 $4.95 198 1 $4.88 1982 $4.7s 1983 $4.58 1984 $4.41 1985 s4.20 1986 $3.88 1987 $3.s0 1988 $3.07 1989 $2.60 1990 $2.14 1991 $r.71 1992 $ 1.52 1993 $ 1.38 1994 $ l.l9 1995 $ 1.03 1996 $0.87 1997 $0.68 1998 $0.46 1999 s0.27 2000 $0.09 2001 $0.04 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone _C;-' of Springfield Official Receipt elopment Services Department Public Works Department RECEIPT #: 2200400000000000504 Date: 0511012004 11:09:44AM Job/Journal Number coM2004-00375 coM2004-00375 coM2004-00375 coM2004-00375 coM2004-00375 coM2004-00375 coM2004-0037s coM2004-00375 coM2004-0037s coM2004-00375 Description Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Plan Review - Planning Building Permit Fixture Storm Sewer - I st 50 Feet + 7%o State Surcharge + ljYo Administrative Fee Amount Due 39.44 135.84 103.26 13.93 71.00 130.80 28.00 45.00 t4.27 20.38 Item Total:$601.92 Payments: Type of Payment Paid By - - Check Number Received By Batch Number Authorization Number How Received Amount Paid Check PETER C. STOCK Jmp In Person Payment Total: $601.92 -s60i3' tt02 str0/2004 Page I of I &t5l+-t&F'l&tE