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Home My WebLink AboutPermit Plumbing 2006-10-16Status 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: COM2006-01323ISSUED: 1011612006APPLIED: 10/1312006EXPIRES: 0411612007 VALUE: SITE ADDRESS: 5702 Peridot Way ASSESSOR'S PARCEL NO.: MORNING VIEW SUB L PROJECT DESCRIPTION: Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: New Install 119 feet of sanitary sewer line and 41 feet of storm sewer line Residential Owner: Address: JOE CLOUSE 2286 OAKMONT WAY EUGENE OR 97401 PhoneNumber: 541-521-3836 License Expiration Date PhoneContractor Type Contractor CONTRACTOR INFORMATION \r 1HE Ft Basement: Ft Garage/Carport $.*l.\# 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: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Sq Ft Other: Occupant Load: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: \st Downspouts/Drains: ,rd3 $ Per Sq Ft or multiplier Square Footage or Bid Amount DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Description Type of Construction Paee I of2 Value Date Calculated l, U lLrfrtl\ rJ l.t\ I UI(1Yr:L]:19..1 to(the Valuation Description I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-01323ISSUED: 1011612006APPLIED: 10/1312006 EXPIRESz 0411612007 VALUE: Amount Paid Total Value of Project Date PaidFee Description + l0oh Administrative Fee + 57o Technology Fee + 87o State Surcharge Sanitary Sewer - lst 50 Feet Sanitary Sewer Each Addtl 100' Storm Sewer - lst 50 Feet Total Amount Paid $10.40 $s.20 $8.32 $4s.00 $14.00 $4s.00 t0n6t06 t0lt6106 t0n6t06 t0lt6t06 t0n6t06 t0lt6t06 Receipt Number 1200600000000001532 r200600000000001s32 1200600000000001s32 1200600000000001532 1200600000000001532 1200600000000001532 $t27.92 Plan Reviews 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. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Reouired Insnections 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 etrsure 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 properfy, and the approved set of plans will remain on the site at all times (e^(;-eZ or Signature Pase 2 of 2 Date Bees l-nrr| I 22r Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone C;'-- of Springfield Official Receipt Lr-, clopment Services Department Pubtic Works Department RECEIPT #: 1200600000000001532 Date: 1011612006 I:27:35PM Job/Journal Number coM2006-01323 coM2006-0r 323 coM2006-01323 coM2006-01323 coM2006-01323 coM2006-0r 323 coM2006-01324 coM2006-01324 coM2006-01324 coM2006-01324 coM2006-01324 Description Sanitary Sewer - lst 50 Feet Sanitary Sewer Each Addtl 100' Storm Sewer - lst 50 Feet + 5% Technology Fee + 8% State Surcharge + l\Yo Administrative Fee Sanitary Sewer - lst 50 Feet Storm Sewer - lst 50 Peet + 570 Technology Fee + 8% State Surcharge + l}Yo Administrative Fee Amount Due 45.00 14.00 45.00 5.20 8.32 10.40 45.00 45.00 4.50 7.20 9,00 Item Total:$238.62 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Check Check JOE CLOUSE JOE CLOUSE nJm njm 326 326 In Person In Person Payment Total: $127.92 $l r0.70 $238.62 Job/Journal Number coM2006-01323 coM2006-01323 coM2006-01323 coM2006-01323 coM2006-01323 coM2006-01323 coM2006-01324 coM2006-01324 coM2006-01324 coM2006-01324 coM2006-01324 Description Sanitary Sewer - 1st 50 Feet Sanitary Sewer Each Addtl 100' Storm Sewer - lst 50 Feet + 5% Technology Fee + 8% State Surcharge + l|Yo Administrative Fee Sanitary Sewer - 1st 50 Feet Storm Sewer - lst 50 Feet + 5olo Technology Fee + 8% State Surcharge + l}Yo Administrative Fee Amount Due 45.00 14.00 45.00 5.20 8.32 10.40 45.00 45.00 4.50 7.20 9.00 $238.62Item Total: Payments: Type of Payment Paid By Check Number Received BY Batch Number Authorization Number How Received Amount Paid Check Check JOE CLOUSE JOE CLOUSE njm njm 326 326 In Person In Person Payment Total: $127.92 $ l 10.70 $238.62 cReceint I Page I of I 10116/2006 SPRIHGFIFlD - --tI i r-----;rlitMr-l APPLICATION TO PAY SYSTEM DEVELOPMENT CIIARGES (SDC) IN INSTALLMENTS AND CONSENT TO ASSESS LIEN The owners of the properfy shown below hereby apply to the City of Springfield to pay the system development charges of $ i 2 , 985 . 83, do. o" - . in twenty (20) semi-an:rual installments, plus interest and-late f"*if"ppIi."ble.Thetothevolu:rtaryimposilionofalienforthefullamountofthe system development charges, plus a one-time administrative fee of $50, plus i:rterest accrued upon the followilg described land in the City of Springfield, Lane County, Oregon: MAP AND TAX LOT 78020474 tzt6 STTEADDRESS 5702 Peridot BILLINGNAME Davi d McK im & Deborah McKim 996 Elkay DriveBILLINGADDRESS CITY STATE Lugene, Uregon ztp 97 404 SDC CHARGE ADMINISTRATME FEE TOTALPRINCIPAL $12,985. 83 s0.00 INTEREST RATE We are all of the legal owners of the described laud or all of the contract purchasers of record of the described land to which these system development charges are applicable. We waive any and all irregularities or defects, jurisdictional, or otherwise, in any proceedings to impose, calculate and collect these system development charges, and in the imFosition and collection of the lien consented to in this application. We promise to pay these system development charges, plus a one-time administrative fee of $50, in twenty (20) equal semi-annual installrnents commencing on In addition to each of those principal installments, we promise to pay interest on the unpaid principal balance accrued to the date of payment at the designated interest rate. The interest rate at the time of signing the contract'shall be calculated at the rate of the previous month's average interest eamed on the City of Springfield's investrrents, plus 2.0%. If, at some future time, the City finances the balance of the receivable by selliug bonds, then the interest rate will change to the rate paid on that bond, plus 1.5%. If the principal and interest billed semi-arurually has not been paid in full by the subsequent billing, then a 10% late fee based on the delinquent installment amount wil1be imposed. The charges may be paid in tullat any time without penalty. We understand that if there is a subsequent failure to pay any installmeut, plus interest and late fees, the City shall have the right to enforce payment of the amount due in any manner provided by the general law of the State of Oregon or by the Springfield Municipal Code In the event ofany proceeding to enforce collection or to foreclose, the entire unpaid balance, accrued interest, and any fees shall be considered delinquent and due' We also agree to pay the clty's cost ofcollection or foreclosure and any necessary for such collection or foreclosure $ 13,035.83 )r^,,/Dtt/4-/E-z i-t) Date lU',1/ / ,z 511-gf-72 Phone # €1Jsl5-/s 7o f 1/0of Print Name of Owner of Date Phone # PrintName of Owner Signature of Owner Date Phone # PrintName of Owner STATEOFOREGON ) Countyoflane ' The foregoing instrument My Signature of Owner duy or CC-I- , 2D\3. ffi \\::'Y'}},'.Y,/\\Ej,7 OFFIGIAL SEAL Kathryn E, Reeder NOIARY PUBLIC. OREGON coMMrsstoN No.480544 MY COMMiSSION.EXPIRES OCT.4, 2017 Notary ss. beforeme this 3l'- v:\common\accntin g\assessmt\SDCcontract. doc $iffix TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth Sr Springfield,OR 97477 541-725-3753 www.sprin gfield-or. gov 811-SPR2013-02234 5702 Peridot WAY permitcenter@springfi eld-or. gov RECEIPTNO: 2013002396 RECORD NO: 81 1 €PR2013-02234 DATE: 10/31/20'13 SDC: Administrative Fee - M\ /tUC Regional Wastewater SDC SDC: Compliance Cost - M\AAIC Regional Wastewater SDC SDC: lmprovement - Transportation SDC SDC: lmprovement Cost - Local Wastewater SDC: lmprovement Cost - M! /MC Regional Wastewater SDC SDC: lmprovement Cost - Storm Drainage SDC: Reimbursement - Transportation SDC SDC: Reimbursement Cost - Local Wastewater SDC: Reimbursement Cost - MV/MC Regional Wastewater SDC SDC: Reimbursement Cost - Storm Drainage SDC: Total t\4\ A/C Administration Fee - Local SDC: Total Sewer Administration Fee SDC: Total Storm Administration Fee SDC: Total Transportation Administration Fee 61 1-00000-426604 444-00000426607 447-OOOOO448027 443-00000-448025 445-00000-448025 440-00000-448028 446-00000-448026 442-OOOOO448024 444-00000448024 44'l-00000-448029 71 9-00000-426604 71 9-00000-426604 71 9-00000-426604 71 9-00000426604 1 189 1 '113 1174 1184 1 187 1176 1173 1 183 1 186 1177 1121 1175 1 180 1 190 10.00 22.58 1,962.23 2,089.20 1,448.64 1,126.75 538.41 4,280.40 114.41 774.84 79.78 318.48 95.08 12s.03 TOTAL DUE:12,985.83 lnternal Transfer City of Springfield SDC Deferral 12,985.03 lnternal Transfer City of Springfield SDC Deferral 12,985.83 TOTAL PAID:25,970.86