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Home My WebLink AboutPermit Building 2006-09-02Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2005-00934ISSUED: 0910212006APPLIEDz 0711912005 EXPIRESz 0310212007VALUE: $ 264,475.00 SITE ADDRESS: 6009 PEBBLE CT Springfield TYPE OF WORK: Single Family Residence ASSESSOR'SPARCELNO.: 1802033400182 TYPE OF USE: New Residential PROJECT DESCRJPTION: Single family residence - Jasper Meadows 2nd add lot 135 HAYDEN ENTERPRISES INC 2622 SW GLACIER PL #110 REDMOND OR 97756 PhoneNumber: 541-228-1081Owner: Address: Contractor Type General Electrical Mechanical Plumbing Contractor HAYDEN ENTERPRISES THORNTON ELECTRIC INC PACIFIC AIR COMFORT INC JET MECHANICAL LLC License 92208 tt6329 39237 158633 Expiration Date 07t29t2007 10t0u2006 03t25t2006 02n0t2006 Phone 541-228-1081 541-686-4151 541-672-9510 503-363-2334 CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: 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 Instruction: # ofStories: 2 Height of Structure 26.50 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Electric Energy Path: Path I Sprinkled Building: nla Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I R-3 U VN 1,239 1,239 REQUIRED PARKING Total: 2 Handicapped: Compact: ATTEHfiOIt:Dlmgon law requires )81[t&a. s' fo llog6ffi1edgffF*fiU the O rgq?6' tr/fl ,Urtt", Notification Center. Those rules are set forth in OAR 952-0C1 -0010 through OAR 952-001' 0090. You may obtain copies of the rules by calling the center, (Note: the telephone number {or the Oreg'cn Utility Notiiication Center is 1 -800-3u2 -2344). 21.40 17.40 19.90 10.40 0.00 480 2753 4 Yes 23.00 Fully Improved Yes Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh ofLot Coverage: DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Notes: Storm drainage piped to curb face 712212005 CLS Page I of4 I LI l, U ll:trll\ (r I1\ I (rltlYr4!!!1!1ll JU D Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 54l-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERIVIIT NO: COM2005-00934ISSUED: 0910212006APPLIEDz 0711912005 EXPIRXSz 0310212007VALUE: $ 264,475.00 Description Tvpe of Construction A.C. - Residen AC - Residential Deck/Balcony Deck Dwellings V Wood Frame Garage Garage Fee Description Plan Review Residential -Mechanical Issuance Fee- + 1006 Administrative Fee + 7oh State Surcharge 3 Baths One & Two Family Addressing Assignment Appliance Not Listed Building Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Gas Outlets 1-4 Heat Pump Plan Review Major - Planning PIan Review Residential Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC IVIWMC 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 Storm Sewer Each Addtl 100' Temp Power 200 amps or less Vent Fan Willamalane Single Family + l0o Administrative Fee Total Value of Project Date Paid Receipt Number 1200s0000000000r039 1200s00000000001222 1200500000000001222 1200s00000000001222 1200s00000000001222 1200500000000001222 1200500000000001222 1200500000000001222 1200500000000001222 r200500000000001222 1200500000000001222 1200500000000001222 1200s0000000000t222 r200500000000001222 r200500000000001222 1200s0000000000t222 1200s00000000001222 1200500000000001222 1200500000000001222 1200500000000001222 120050000000000t222 1200500000000001222 1200500000000001222 1200500000000001222 1200500000000001222 r200s00000000001222 1200500000000001222 1200500000000001222 120050000000000t222 1200500000000001222 1200500000000001222 r200s00000000001222 2200500000000001214 $ Per Sq Ft or multiplier $4.00 $17.00 $96.00 $2s.00 Square Footage or Bid Amount 2,479.00 27s.00 2,479.00 480.00 Value $9,912.00 $4,675.00 $237,888.00 $12,ooo.oo $264,475.00 Date Calculated 08/16/200s 08/16/200s 08/16/200s 08/16/2005 Amount Paid $s87.37 $10.00 $178.09 $124.66 $306.00 $31.00 $18.00 $1,101.90 $6.00 $9.00 $12.00 $4.00 $12.00 $150.00 $128.87 $r06.00 $76.00 $514.89 $676.89 $10.00 s865.31 $82.03 $13r.64 $6s.29 $80s.70 $182.69 $80.00 $80r.04 $s6.00 $s0.00 $24.00 $1,000.00 $2.80 7n9t05 8t23t05 8t23tos 8t23t05 8t23t05 8t23t05 8t23tos 8t23t05 8t23t05 8t23t0s 8123t05 8t23t05 8t23tos 8t23tos 8t23t0s 8t23t0s 8t23105 8t23t05 8t23t05 8t23t05 8t23t05 8t23t05 8t23105 8t23tos 8t23tos 8t23t05 8123los 8t23t0s 8t23t0s 8t23t0s 8t23tos 8t23tos 9t2105 Feps Pqid Pase2 oI 4 Valuation Descriotion I Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fa'x 541-726-37 69 Inspection Line PERMIT NO: COM200S-00934ISSUED: 0910212006APPLIED: 0711912005EXPIRES: 0310212007VALUE: $ 264,475.00 + 7o/o State Surcharge Fixture Storm Sewer Each Addtl 100f Total Amount Paid $1.96 $14.00 $14.00 $8,239.13 9t2t05 9t2tos 9t2t05 2200500000000001214 2200500000000001214 2200500000000001214 Plan Reviews Initial Review Planning Review Public Works Review Structural Review Structural Review 07t20t200s 07t2u200s 07t2u200s 07t20t2005 07127t200s 07t22t2005 APP APP APP LLH TAJ CAS 07t20t200s 0712912005 wE JB 08/10/200s 08/13/2005 APP JB Storm drainage piped to curb face 7t22t2005 CAS This one is on hold only because Hayden mixed up the submittal in regards to the various options within the plans. This one does not show a bonus room however, upon discussing with JeffHarrison, it is supposed to have a bonus room. So.... we are simply waiting on Jeff to resubmit two accurate sets of plans to us as he and I discussed. Approved as noted on plans To Request an inspection call the24 hour recording at 726-3769. AII inspection requested before 7:00 a.m. wiII 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 Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. 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. Page 3 of4 Rpnrrirpd fnsnpefinns Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-00934ISSUED: 0910212006APPLIED: 0711912005EXPIRES: 0310212007VALUE: $ 264,475.00 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. Drywall: Prior to taping. 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. 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 Ptumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. Rough Mechanical: Prior to Cover Final Gas: When all gas 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 Springfietd 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 during ? or Contractors Signature Paee 4 of4 Z OS 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone ^ity of Springfield Oflicial Receipt revelopment Services Department Public Works Department RECEIPT #: 2200s00000000001214 Date: 0910212005 tz2szrzPIYl Job/Journal Number coM2005-00934 coM2005-00934 coM2005-00934 coM2005-00934 Description Fixture Storm Sewer Each Addtl 100' + lYo State Surcharge + l0%o Adminishative Fee Amount Due 14.00 14.00 1.96 2.80 Item Total:$32.76 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard HAYDEN HOMES llh 085291 In Person 532.76 Payment Total: -Sffi 9121200s Page I of I rya Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax 541:7 26-37 69 I nspe ction Line Buildin g/Co mbination Permit PERMIT NO: COM2005-00934ISSUED: 081231200sAPPLED: 07119/2005E)0IRESz 0212312006VALUE: $ 264,475.00 SITE ADDRESS: 6009 PEBBLE CT Springfield TYPE OF ASSESSOR'S PARCEL NO.: 1802033400182 TYPE OF USE: PROJECT DESCRIPTION: Single family residence - Jasper Meadows 2nd add lot 135 Single Family Residence New Residential PhoneNumber: 541-228-1081 License Expiration Date HAYDEN ENTERPRISES INC 26225W GLACIER PL #110 REDMOND OR 97756 CONTRACTOR INFORM.d Contractor Tvpe General Electrical Mechanical # of Units: Primary Occupancy Group: Secondara Occupancy Primary Construction Type Secondary Construction # of Bedrooms: Frontlard Setbaclc Side l Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Subdivision Not Accepted Street Storm Sewer Available: Special Instruction: Contractor HAYDEN ENTERPRISES THORNTON ELECTRIC INC 21.40 17.40 19.90 10.40 0.00 ATTENTIO Overlay Dist: # Street Trees Paved Drive Rqd: oh of Lot Coverage: 07t29t2007 requf0frY/9UdP o.qgrsHudufollowrules PACIFIC AIR COMFORT INC otification JET MECHANICAL LLC Water Type: Range Type: Energy Path: Sprinkled law by th e Phone 541-228-1081 541-686-4151 541-672-9sro 503-363-2334rules I R-3 U VN 1,239 1,239 480 2753 Gas Electric Path 1 nla Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Fullv Improved Yes 4 Yes 23.00 Sidewalk Type: DownspoutVDrains REQUIRED PARIflNG Total: 2 Handicapped: Compact: Curbside 5' Curb and Gutter DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Notes: Storm drainage piped to curb face 712212005 CAS 1of 4 Owner: Address: # of Stiltrmber for the copies of the rules by 2nd Floor: COMMENCED UH Ib At ANY 1B0 DAY PERIOD, D Buildin g/Combinatio n Permit Status: Issued 225 Fifth Street, Springfietd, OR 541:726-3753 Phone 541-726-3676Fax 5414 2647 69 Inspection Line PERMTNO: COM2005-00934ISSUED: 0812312005 APPLED z 07119/2005E)?IRESz 0212312006VALUE: $ 264,475.00 Description Type of Construction AC - Residential Deck V Wood Frame Garaee $ Per Sq Ft or multiplier $4.00 $17.00 $96.00 $2s.00 Square Footage or Bid Amount 2,478.00 275.00 2,479.00 480.00 Value $9,912.00 $4,675.00 $237,888.00 $12,000.00 $264,475.00 Date Calculated 08/16/2005 08/16/200s 08/16/200s 08/16/2005 A.C. - Residen Deck/Balcony Dwellinss Garage Fee Description Plan Review Residential -Mechanical Issuance Fee-- + l0Yo Administrative Fee + 7o/o State Surcharge 3 Baths One & Two Family Addressing Assignment Appliance Not Listed Building Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Gas Outlets l-4 Heat Pump Plan Review Major - Planning Plan Review Residential Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl500 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 Storm Sewer Each Addtl 100' Temp Power 200 amps or less Vent Fan Willamalane Single Family Total Value of Project Date Paid Receipt Number 1200500000000001039 1200500000000001222 1200500000000001222 1200s00000000001222 1200s00000000001222 1200500000000001222 1200500000000001222 1200s0000000000t222 1200s00000000001222 1200500000000001222 1200500000000001222 1200s00000000001222 1200500000000001222 1200500000000001222 1200500000000001222 1200s0000000000t222 1200500000000001222 1200500000000001222 1200500000000001222 r200s00000000001222 1200s00000000001222 1200s00000000001222 1200500000000001222 r200500000000001222 1200s00000000001222 1200500000000001222 1200500000000001222 1200s0000000000t222 1200s00000000001222 1200500000000001222 1200500000000001222 r200500000000001222 Amount Paid $s87.37 $10.00 $178.09 $r24.66 $306.00 $3r.00 $18.00 $1,101.90 $6.00 $9.00 $12.00 $4.00 $12.00 $rs0.00 $r28.87 $106.00 $76.00 $514.89 $676.89 $10.00 $865.31 $82.03 $131.64 $6s.29 $80s.70 $182.69 $80.00 $801.04 $56.00 $50.00 $24.00 $1,000.00 7figt05 8t23t05 8t23t05 8t23tos 8t23t05 8t23t05 8t23t05 8t23t05 8t23t05 8t23t05 8t23105 8t23105 8t23t05 8t23t05 8t23t0s 8t23t05 8t23t05 8t23t05 8t23tos 8t23tos 8t23t05 8t23t05 8t23tos 8t23t05 8t23t05 8t23t05 8t23t05 8t23t05 8t23t05 8t23tos 8123105 8t23t05 2of4 [i"" Valuation Description I Iees raro I F SPRIN Buildin g/Co mbination Permit Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax 541:7 26-37 69 I nspe ction Line PERMIT NO: COM2005-00934ISSUED: 0812312005APPLIEDz 07119/2005E)PIRES: 0212312006VALUE: $ 264,475.00 Total Amount $8,206.37 Plan Reviews Initial Review Planning Review Public Works Review Structural Review Structural Review 07t20t2005 07t2u2005 07t2u2005 07t20t2005 0712712005 07t22t2005 APP APP APP LLH TAJ CAS 07t20t2005 07t29t2005 WE JB 08/r0/200s 08/13/2005 APP JB Storm drainage piped to curb face 7122t2005 CAS This one is on hold only because Hayden mixed up the submittal in regards to the various options within the plans. This one does not show a bonus room howeyer, upon discussing with Jeff Harrison, it is supposed to have a bonus room. So.... we are simply waiting on Jeff to resubmit two accurate sets of plans to us as he and I discussed. Approved as noted on plans 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 Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. 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. 3 of 4 I To Request an inspection call the24 hour recording at 72G3769. 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. l(eourreo InsDecnons I Buildin g/Co mbination Permit Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax 541:7 26-37 69 I nspe ction Line PERMIT NO: COM2005-00934ISSUED: 0812312005APPLEDz 0711912005E)PIRES: 0212312006VALUE: $ 264,475.00 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. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backlill. Underfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to lilling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. Rough Mechanical: Prior to Cover Final Gas: When.all gas 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 certiff 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 OCCT PANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certiff 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 stree! 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 Owner or Contractors Date 4oI 4 T ffi 225 I'I['TH STREET . SPRINGFIELD, OR97477 r PH:(541)726-3753 e tr'AX: (541)726-3689 ELECTRICAL City Job Number 3. A. Permits are not started within 180 days of Suspended for 180 days. expire if work is ance or if work is Date 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 2. Electrical Contractor ./r'00e0 City EZqZM phone { SupervisorlicenseNumber 3 O l7 -S Expiration Date P -/ 'CI 7 Constr. Contr.Number I / h 3 Expiration Date I C" - ) *Ct f Si gnature of Superr.ising Electrician Owners Name Phone OWNER TION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature Installation, Alteration or Relocation 200 Amps or less t 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 calling e rules are set forth h OAR 95?SO1-- of the rutesby- telephone- Notificatien- $ 63.00 $ 7s.00 $ 125.00 $ 163.00 $375.00 $ s0.00 $ 50.00 $ 69.00 $100.00 $ 43.00 $ 3.00 C 50.0, D. E. Cify I Pump or irrigation Sign/Outline Lighting Limited EnergylResidenti al Limited Energy/Commercial $ 50.00 $ s0.00 $ 2s.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 * Surcharges 7%o Slate Surcharge l0% Administrative Fee TOTAL Wt.Inspection Request: 726-3769 Shared Drive(T:)/Building Forms/Electrical Permit Application l-03.doc CITY OF ORECON 'frH:6'rraN l. New Residential : $ingle or Multi-Family prr I ,'ouro tDbA'ffi"'o@ unit; $50.00 I]VST}IIIATTO]YO]TTY Address ,4A. 4 e* or Tbmporary,S,arvlces or Feeders Circuite I\f isce I la neous (Se rvi ce/feede r not ineluded) *Each Installatioa raE' OFABOVE h\\\ CITY OF SI..TINGFIELD SYSTEMS DEVELOPMEN ORKSHEET JOURNAL OR JOB NUMBER: COM2005-00934 NAME OR COMPANY Homes LOCATION:6009 Pebble Ct TAX LOTNUMBER:I 8020334001 82 DEVELOPMENT TYPE:SINGLE FAMILY RESIDENCE NEW DWELLING T]NITS I. STORM DRAINAGE DIRECT RTINOFF TO CITY STORM SYSTEM COST PER S.F $0.323 BUTLDTNG SrZE (SFl 2488 LOT SrZE (SF):6104 IMPERVIOUS S.F x 2480.00 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS ITEM I TOTAL. STOR]VI DRAINAGE SDC 2. SANITARY SEWER - CITY A REIMBT]RSEMENTCOST: IMPERVIOUS S.F 0.00 NUMBER OF DFU's 27 COST: ADT TRIP RATE 9.57 B. IMPROVEMENT COST: ADT TRIP RATE 9.57 SIJBTOTAL $3.938.5s COST PER S.F $0.323 COST PER DFU $25.07 $ r 9.07 NUMBER OF L'NITS I NTIIVTBER OF TINITS I A-DM. FEE RATE 5% CHARGE $801.04 DISCOT'NT RATE 50o/" $Eor.04 DISCOUNT $0.00 x x x x x x x x x B. ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3. TRANSPORTATION A. REIMBURSEMENT COST: $1,191.78 COST PER TRIP $r 9.09 COST PER TRIP $84. l 9 $988.39 NEW TRIP FACTOR 1.00 NEW TRIP FACTOR r.00 xx x ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A. REIMBTIRSEMENT COST: NUMBER OF FEU's I B. IMPROVEMENT COST: NUMBER OF FEU's I MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC SUBToTAL (ADD ITEMS 1,2,3, & 4) 5. ADMINISTRATIVE FEE: $957.34 $3,938.55 CHARGE $ r 96.93 TOTAI SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Cheryl Slaymaker 71221200s NUMBER OF DFU's 27 $80t.04 $676.89 $r82.69 $82.03 $865.31 $10.00 131.64 .29 48 I 070 l09t 1092 I 093 1094 105 5 I 054 I 056 079 078 a trloo O & E]Fa E] COST PER FEU $82.03 COST PER FEU $865.31 PREPARED BY DATE TOTAL SDC CIIARGES v DRAINAGE FIXTURE UNIT CALCULATION TABLE NUMBER OF NEW FXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE I.]NTTS FOR CALCULATE ONLY THE NET ADDITIONAL NO. OF FXTURES TINIT FXTURE TYPE NEW OLD ALENT MISCELLANEOUS DFU TYPE NUMBER OF EDU'S TOTAL DRAINAGE FXTURE UNITS lsa toa unit set at 167 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE DRAINAGE FtxTURE 0 2 2 1979 BEFORE I979 1979 1980 1981 1982 1983 l98s I 986 1987 I 988 l 989 I 990 t99t 1992 t 993 1994 I 995 1996 1997 I 998 1999 $5.29 $5.1 9 $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 FORANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR 984 CREDIT FOR IMPROVEMENT (IF AFTERANNEXATION) VALUE/ IOOO CREDITRATE $0.00 x $5.29 TOTAL MWMC CREDIT$1.59 $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.05 BATHTTIB 2 0 3 6 DRINKTNG FOUNTAIN 0 0 1 0 FLOOR DRAIN 0 0 3 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6 0 LALINDRY TUB 1 0 2 2 CLOTHESWASHER / MOP SINK 1 0 3 3 CLoTLTESWASHER - 3 OR MORE (EA)0 0 6 0 MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0 RECEPTOR FOR REFRIG / WATER STATION / ETC 0 0 1 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0 SHOWE& SINGLE STALL 0 0 2 0 SHOWER, GANG (NUMBER OF HEADS)0 0 2 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 3 SINK: COMMERCIAL BAR 0 0 2 0 SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 2 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 2 T-IRINAL, STALL / WALL 0 0 5 0 TOILET, PUBLIC INSTALLATION 0 0 6 0 TOILEI PRIVATE INSTALLATION 3 0 3 9 27 YEAR ANNEXED CREDIT RATE/$I,OOO ASSESSED VALUE 0 $0.00 2000 2001 20 CREDIT FOR LAND (IF APPLICABLE) VALTIE / IOOO CREDIT RATE $0.00 x $5.29 225 F'ifth Street Springfield, Ore gon 97 477 54i-726-3759 Phone City of Springfield Official Receipt :velopm ent Services Department Public Works Department RECEIPT#: 1200500000000001222 Date: 0812312005 e:01:38AM Job/Journal Number coM200s-00934 coM2005-00934 coM2005-00934 coM2005-00934 coM200s-00934 coM2005-00934 coM2005-00934 coM2005-00934 coM2005-00934 coM200s-00934 coM2005-00934 Cbruzoos-oogla coM200s-00934 coM2005-00934 coM2005-00934 coM200s-00934 coM200s-00934 coM2005-00934 coM2005-00934 coM200s-00934 c'oM2005-00934 coM2005-00934 coM2005-00934 coM2005-00934 CcMzoos-oos:+ crotrtzoos-oog:+ coM2005-00934 C;btvtzoos-oog:+ -cbNlzoos-ooq:+ coM2005-00934 coM200s-00934 Description Sidewalk Permit 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 Plan Review Major - Planning Plan Review Residential Building Permit Addressing Assignment Willamalane Single Family 3 Baths One & Two Family Storm Sewer Each Addtl 100' Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Gas Outlets l-4 Heat Pump Appliance Not Listed -Mechanical Issuance Fee- Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less + 7o/o State Surcharge + l0% Administrative Fee Amurnt Due 80.00 801.04 676.89 514.89 182.69 805.70 82.03 865.31 10.00 131.64 65.29 1s0.00 128.87 I,101.90 31.00 1,000.00 306.00 56.00 12.00 24.00 9.00 6.00 4.00 12.00 18.00 10.00 106.00 76.00 50.00 124.66 178.09 Item Total:$7,619.00 Payments: Type of Payment Paid By CheckNumber Authuization Received By Batch Number Number How Received Amount Paid Check HAYDEN ENT djb 18939 In Person $7,619.00 Payment totat: -5@6d- It )t- ,l 8123/2005 lofl atrmf,aa