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Home My WebLink AboutPermit Building 2006-09-14s$*Elfi,3FrGL& F Building/Combination Permit Status [ssued 225 Fifth Street, Springfield' OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 I nspection Line PERMIT NO: COM2006-00955ISSUED: 0911412006 APPLIED: 0712812006 EXPIRES: 04/0512007VALUE: $ 134,745.00 S;TE ADDRESS: 5759 Peridot 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 -3rd add ph4 lot 178 Same as COM2006-00840 1477 S 58th St PhoneNumber: 541-228-1081()wner: Address: Contractor Tvpe General Electrical Mechanical Plumbing HAYDEN ENTERPRISES 2622 SW GLACIER PL #IIO REDMOND OR 97756 Contractor HAYDEN ENTERPRISES M & W ELECTRIC INCORPORATED 00lul L ANV License 92208 {7Afg 0B Expiration Date 07t29t2007 Phone 541 -228-l 081 54t-754-6171 541-672-9510 54r-459-01 I 0 CONTRACTOR INFORMATION PACIFIC AIR COMFORT INC DENNIS SCOTT EGdflhbO]N OONVBV SI U 3l,Itt'l0C 06n9t2007 03t25t2010 05/05/2010 Uld SIHI :13htott,r Size:# 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: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: I v I R-3 U VN 16.00 Cable Heat Electric Electric uti Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport 10 Sq Ft Other: rlitfccuP"nt Load: 1 4,823 I,235 480 3 21.80 6.10 5.00 12.90 0.00 Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: 2 Handicapped: Compact: Partiallv Improved Yes Notes: Storm drainage to curb & gutter. Pase I of4 Curb and Gutter in OAF 952-001 0090. coples the rules b) Utllity 35.50 Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -726-37 69 Inspection Line PERMIT NO: COM2006-00955ISSUED: 091t412006APPLIEDz 0712812006EXPIRES: 04/0512007VALUE: $ 134,745.00 Description Dwellings Garage Tvpe of Construction V Wood Frame Garage $ Per Sq Ft or multiplier $99.00 $26.00 Square Footage or Bid Amount 1,235.00 480.00 Value $122,265.00 $12,480.00 $134,745.00 Date Calculated 07t28t2006 07/28t2006 Fee DescriDtion Plan Review Same As -Mechanical Issuance Fee- + l0o/o Administrative Fee + 8olo State Surcharge 2 Baths One or Two Family Addressing Assignment Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Gas Outlets l-4 Heat Pump Plan Review Major - Planning PW Disc - 2nd Permit (Street) Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC SanitaryiStorm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Drainage Impervious Area Vent Fan Willamalane Single Family + l0%o Administrative Fee + 5ol, Technology Fee + 87o State Surcharge Temp Power 200 amps or less Amount Paid $200.00 $10.00 $l13.84 $91.07 s254.00 $31.00 $679.40 $80.00 $6.00 $9.00 $12.00 $4.00 s12.00 $198.00 $-30.00 $106.00 $38.00 $474.97 $624.64 $10.00 $865.31 $82.03 sl 19.45 $68.79 $836.32 $189.60 $80.00 $681.97 $18.00 $l,000.00 $5.00 s2.s0 s4.00 $50.00 Total Value of Project Date Paid 7t28t06 9n4t06 9fi4t06 9n4t06 9n4t06 9fi4t06 9fi4106 9n4t06 9n4t06 9n4t06 9n4t06 9n4t06 9n4t06 9n4t06 9t14t06 9fi4106 9^4t06 9n4t06 9n4t06 9n4t06 9^4t06 9n4t06 9n4/06 9t14t06 9n4t06 9fi4t06 9t14t06 9n4t06 9n4t06 9/74t06 l0t5t06 l0/s/06 r0/s/06 r0/5/06 Receipt Number 1200600000000001 158 1 200600000000001 4l 6 1 200600000000001 4l 6 I 200600000000001 41 6 I 20060000000000 l 4 l 6 r 20060000000000 r 4 I 6 l 200600000000001 4r 6 I 200600000000001 416 I 200600000000001 4l 6 1200600000000001 4l 6 1200600000000001 4l 6 r 20060000000000141 6 I 20060000000000141 6 I 200600000000001416 l 20060000000000141 6 I 200600000000001416 120060000000000141 6 I 200600000000001 4l 6 r 20060000000000141 6 I 200600000000001 4r 6 l 20060000000000 I 4 l 6 l 20060000000000 141 6 r 20060000000000141 6 I 20060000000000 I 4 I 6 I 20060000000000 I 4 I 6 l 20060000000000141 6 r20060000000000r416 I 20060000000000 I 4 I 6 l 200600000000001 4l 6 I 200600000000001416 r 20060000000000r 493 I 20060000000000r 493 I 200600000000001 493 1 200600000000001 493 Fees Pnid Pase 2 of 4 Valuation Description ] Status Issued 225 Fifth Street, Springfield, OR 541-726-3153 Phone 541-126-3676 Fax 541 -7 26-31 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00955ISSUED: 0911412006APPLIED: 0712812006 EXPIRES: 04/0512007VALUE: $ 134,745.00 Total Amount Paid $6,926.89 Plan Reviews Initial Review Planning Review Public Works Review Structural Review 07t3u2006 07t3u2006 07t3u2006 07t3u2006 07t3u2006 08/03/2006 08/01/2006 08t2U2006 APP APP APP OK SKG TAJ JLP RJB Storm drainage to curb & gutter. R enrr irerl Insnpefions 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. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete, Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Curbcut - Standard: After forms are erected but prior to placement of concrete. Temporary Electric: Approval required prior to Utility Company energizing pole. 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 perlbrmed 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. 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. 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 LD Building/Combination Permit PERMIT NO: COM2006-00955ISSUED: 0911412006 APPLIED: 0712812006 EXPIRES: 04/0512007VALUE: S 134,745.00 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. Underfloor Mechanical. Prior to insulation or decking and including required testing. Underfloor Gas: After line is instalted 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 Mechanical: When all mechanical 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 Safefy. t lurther certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project' I I'urther 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. ,2 Owner or Contractors b*n)u,u..Date Page 4 of4 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Cir" of Springfield Official Receipt D ,lopment Services Department Public Works Department RECEIPT #: 1200600000000001493 Date: 10/05/2006 2:31:45PM Job/Journal Number coM2006-00955 coM2006-009s5 coM2006-00955 coM2006-00955 Description + 5%o Technology Fee + 8% State Surcharge + l0o/o Administrative Fee Temp Power 200 amps or less Amount Due 2.50 4.00 5.00 50.00 Item Total:$6r.s0 Payments: Type of Payment Paid By Received By CheckNumber Authorization Batch Number Number How Received Amount Paid CreditCard HAYDEN ENT djb 031493 In Person $61.50 Payment Total: -56T30- cReceint I Page I of I \01512006 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 I nspection Line Building/Combination Permit PERMIT NO: COM2006-00955ISSUED: 0911412006 APPLIEDz 0712812006 EXPIRESz 0311412007VALUE: $ 134,745.00 SITE ADDRESS: 5759 Peridot 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 -3rd add ph4lot 178 Same as COM2006-00840 1477 S 58th St PhoneNumber: 541-228-1081Owner: Add ress: HAYDEN ENTERPRISES 2622 SW GLACIER PL #IIO REDMOND OR 97756 Contractor Type General Electrical Mechanical Plumbing Contractor HAYDEN ENTERPRISES M & W ELECTRIC INCORPORATED PACIFIC AIR COMFORT INC DENNIS SCOTT EGGERS License 92208 67362 39237 142176 Expiration Date 07t29t2007 0611912007 0312512010 05/0s/2010 Phone 541 -228-108r 54t-754-6171 54t-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: Street lmprovements: Storm Sewer Available: Special Instruction: Partially Improved yes I Yes 35.50 Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: 2 Handicapped: Compact: I R-3 U VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: I 16.00 Cable 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: 4,823 I,235 480 3 2 1.80 6.70 s.00 12.90 0.00 Notes: Storm drainage to curb & gutter. Page I of4 Curb and Gutter a ffi..iG I' U tLL[l\ u r1\ r Lrll]yl,q_!_!uN..l Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: u LrI! V tlLurlvrl1l\ r u\ ry_.] &PRIf*qFiG.L* 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: COM2006-00955ISSUED: 0911412006APPLIED: 0712812006 EXPIRESz 0311412007VALUE: $ 134,745.00 Description Dwellinss Garage Tvpe of Construction V Wood Frame Garage $ Per Sq Ft or multiplier $99.00 $26.00 Square Footage or Bid Amount I,235.00 480.00 Value $122,265.00 $12,480.00 s134,745.00 Date Calculated 07t28t2006 07t28t2006 Fee Description Plan Review Same As -Mechanical Issuance Fee- + l0oh Administrative Fee + 8olo State Surcharge 2 Baths One or Two Family Addressing Assignment Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Gas Outlets l-4 Heat Pump Plan Review Major - Planning PW Disc - 2nd Permit (Street) 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 Vent Fan Willamalane Single Family Amount Paid Total Value of Project Date Paid Receipt Number 1200600000000001 158 1 200600000000001416 l 200600000000001416 r20060000000000141 6 1 200600000000001 416 l 200600000000001416 1200600000000001416 I 20060000000000 I 4 I 6 I 20060000000000 I 4 1 6 1 20060000000000r416 1200600000000001416 l 200600000000001416 1200600000000001416 1200600000000001416 l 200600000000001 4l 6 l 20060000000000r416 I 200600000000001416 l 20060000000000r416 I 200600000000001 4l 6 l 20060000000000 r 4 l 6 1200600000000001416 l 20060000000000141 6 l 200600000000001416 I 20060000000000141 6 l 20060000000000r416 I 200600000000001416 r200600000000001416 I 2006000000000014r6 1200600000000001416 I 200600000000001416 $200.00 $r0.00 $l13.84 $91.07 $254.00 $31.00 $679.40 $80.00 $6.00 $9.00 $12.00 $4.00 $12.00 $198.00 $-30.00 $106.00 $38.00 $474.97 s624.64 $10.00 $86s.31 $82.03 $r 19.4s $68.79 $836.32 $189.60 $80.00 $681.97 $18.00 $1,000.00 7t28t06 9n4t06 9n4t06 9fi4t06 9fi4t06 9lt4t06 9n4t06 9n4t06 9n4t06 9n4t06 9n4t06 9n4/06 9fi4t06 9n4t06 9n4t06 9n4t06 9n4t06 9n4t06 9n4t06 9fi4t06 9^4/06 9tr4t06 9fi4t06 9n4t06 9n4t06 9n4t06 9fi4t06 9n4t06 9n4t06 9n4t06 Fees Paid Total Amount Paid $6,865.39 Paee 2 of 4 Fr*L. Valuation Description I 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: COM2006-00955ISSUED: 0911412006APPLIED: 0712812006EXPIRES: 0311412007VALUE: $ 134,745.00 Plan Reviews Initial Review Planning Review Public Works Review Structural Review 07t3u2006 07t3U2006 01t3U2006 07 t31t2006 07t3u2006 08/03/2006 08i01/2006 08t2u2006 APP APP APP OK SKG TAJ JLP RJB Storm drainage to curb & gutter. Reouired Insnections 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. Ufer Etectrical Ground: lnstall 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. 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. 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. 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. Page 3 of4 sFr**il*rl{*t**} 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: COM2006-00955ISSUED: 0911412006APPLIEDz 0712812006EXPIRES: 0311412007VALUE: $ 134,745.00 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 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. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Curbcut - Standard: After forms are erected but prior to placement of concrete. 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. 7'4- q? Owner or Contractors Signature Date Pase 4 of 4 SPHTNGFaELD "a%M zoN INITIALS DATE SOURCE225 FIFTH STREET . SPRINGFIELD,OR|T4TT o PH:(341)726'3753 ' FAX: (541)726-3689 ELECTRICAL PERMIT AP PLICATTON City Job Number buv< ?s(>6 - oo 7s->-Date 6 1.3. s-7 t?. d.,t JL, t LEGAL DESCRIPTION AlJ -at q L.lrzaTls( aabwg = Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 daYs. A. Nerv Residential - Single or Multi-Famil-v per d*'etling unit' 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 $ 19.00 or Relocation: JOB DESCRIPTION: -1-,*r*,/?o- * $106.00 $s0.00 CONT RACTO R IN ST ALIATI A N O N LY B, D. I Electrical Contractor Address 200 Amps or less 201 Amps to 400 AmPs 401 Amps to 600 Amps 601 Amps to I 000 Over 1000 uo o1c- s! 0N(\ tt tISupervisor License Number Expiration Date Constr. Contr. Number Expiration Date Signature of Supervising Electrician / $ 63.00 $ 7s.00 $125.00 $163.00 $37s.00 $ 50.00 $ s0.00 $ 69.00 00.00 3.00 $ s0.00 $ 50.00 $ 25.00 $ 4s.00 sr> City . Phone r0$ )u'Alteration or Relocation 200 Amps or less 201 Amps to 400 AmPs 401 Amps to 600 Amps Over 600 Amps L,,,Owners Name 1L Address z (t City a.l,1t\-Phone Zz [ -6, ) ( OWNERINSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent.Minimum Electric Permit Inspection Fee is $45.00 * Surcharges E. Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial 8% State Surcharge l0% Administrative Fee 5% Technology Fee s()q t Z S'9 6rt=Inspection Request: 726-37 69 4. TOTAL Shared Driv{T:)/Building Forms/Electrical Permit Application 8'06.doc 'CIryOF OREGON I }ttd0 [CIfl not included) *Each Installation r Date zoN Lou INITTALS AJF DATE -l225 FIFTH STREET r SPRINGFIEL,D, OR 97{77 r Ptl:(54I)72G375J e FAlt(: (541)'?263(/d9 E LEC TP.T CAL P ERMIT AP PT-I CATTO.N City'Job Number Y-tLf-Zsr:(e I sI05.00 lo6,oo 2 $ le.oo id,oo $50.00 $ 53.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 l.3. s? LEGAL DESCRIPTIoN J*;P".3t+bb A- PWSu,t service Irrctudedl t'76JOB DESCRIPTTO}T 91 F"*l Permits are non-transferahle and expire if work is not started within 180 days of issuance or if work is Sus;pended for 180 rlays. 1 1000 sq, ft. or Iess Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Sendoe or Feeder 2Ct0 Amps or less 201 Amps to 400Amps 4Cl1 Amps to 600 Amps 601 Amps to i000 Ampr Over 1000 Amps,rVolts Reconne:t Only New Alteratiou or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit 8% State Surcharge l0% Adminigtradve Fee TOTAL I B;. C:. Electrical Contractor nid thil,ic >"c-. Address 2qffi1 ndl \1 54 City Phone SqfiS'l-(atl( Supervisor License Number '1j-7,1S Expiration Date rc,/az Constr. Contr. Number ba3bL Expiration Date t /n/wt Signature of Supervising Electricim Owners Name q tJ vztr-6"J r OWNERINS The installation is is not intended for on propefty I own which Owners Sigaature: Inspection Request: 72G3769 Installation, Alteration or Relocetion 2Cr0 Amps or less $ 50.00 201 Aneps to 400 Amps - $ 69.00 401 Amps to 600 Amps $100.00 Over 600 Amps or I000 Volts see'8" above.,.ir.ii*fiffii i$+r**F;*i City Phone f,,/-s, /.E Pump or irrigatioo Sign/Ouilinc Lighting I .i mited Energl,F.esidential I .imited Energy/Commercial Minimurn Electric P'ermit Inspection Fee is $45.00 + Surcharges $ 43.00 $ 3.00 $ s0.00 $ s0.00 $ 2s.00 $ 4s.00 .;.:.1::::l:r.''::::'i iji:rilr=-1iij::iil''--:'n:.irn,:"lr:li::i::i'lj.-l':1.i.;..i:.,'...r:;,. ,,;sr, V9ret',9*,{#o,,#;;r1l|rtlri ::r:y,i;r;i,,i, l,l 4, oa tl,5L I L+ ,"fO S tailt Shared Driv(T:/Building Form/Elctrical Permit Applicatien I {6.doc roo E 0'IgIdeNIuds J0 IIIc 68989ZZIrg r}-d 60 : 0I iru s0 iTI / L0 sr ErtItE (bmzaoa -.onqs,' \Jte:2 lease 4. CITY OF SF(INGFIELD SYSTEMS DEVELOPMEN. /ORKSHEET JOURNAL OR JOB NUMBER: COM2006-00955 NAME ORCOMPAI.TY Ent. LOCATION 5759 Peridot TAXLOTNUMBER:Lot#178 DEVELOPMENT TYPE:SINGLE FAMILY RESIDENCE NEW DWELLING UNITS I. STORMDRAINAGE DIRECTRLINOFFTO CITY STORM SYSTEM COST PER S.F $0.336 BUTLDTNG SZE (SFl 1572 LOT SZE (SF): CTIARGE $681.97 x DISCOUNT $0.00 $681.97 $1,099.61 0 I rr\,PERvrous s-F. xI zozz.oo RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO STANDARDS ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3. TRANSPORTATION A. REIMBURSEMENTCOST: ITEM 1 TOTAL. STORM DRAINAGE SDC 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: IMPERVIOUS S.F 0.00 NLIMBER OF DFU's 24 B. IMPROVEMENT COST: NUMBEROFDFU'S 24 ADT TRIP RATE 9.57 B. IMPROVEMENT COST: ADT TRIP RATE 9.57 STIBTOTAL $3,764.84 COST PER S.F $0.336 COST PER DFU $26.03 $19.79 NUMBEROFUMTS I NT]MBEROF UMTS I ADM. FEE RATE 5o/o x x x x x x x xx xx COST PER TRIP $r9.8r COST PER TRIP $87.39 NEWTRIP FACTOR 1.00 NEW TRIP FACTOR r.00 ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A. REIMBURSEMENTCOST: NUMBER OF FEU's I B. IMPROVEMENT COST: NUMBEROFFEU's 1 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATTVE FEE ITEM 4 TOTAL. MWMC SA]\IITARY SEWER SDC SUBToTAL (ADD ITEMS 1,2,3, & 4\ 5. ADMINISTRATIVE FEE: $9s7.34 $3,764.84 CHARGE $ 188.24 TOTAL SANITARY ADMINISTRATION FEE : TOTAL TRANSPORTATION ADMINISTRATION FEE: Carol Stineman 8n/2006 DISCOTINTRATE 50% $681.97 $624.64 M74.97 $865.31 $0.00 79 $3,953.08 1070 l09l 1092 1093 1094 1 055 1054 1056 079 ar! oU & rI]Fa o rrl& I COST PERFEU $82.03 COST PER FEU $865.31 PREPAREDBY DATE TOTAL SDC CIIARGES x DRAINAGE FIXTURE UNIT CALCULATION TABLE NUMBER OF NEW FD(TURES x UNIT EQUIVALENT: DRAINAGE FXTIIRE UNITS FOR CALCUI.A.TE ONLY T}IE NET ADDITIONAL NO. OF FIXTURES UNIT FTXTURE TYPE NEW OLD ALENT MISCELLANEOUS DFU TYPE NUMBEROFEDU'S TOTAL DRAINAGE FIXTURE T]NITS isa toa unit set at 167 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE 20 DRAINAGE FIXTTIRE UNITS 0 2 2 1979 +EDU BEFORE 1979 $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 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.05 VALUE / IOOO s0.00 CREDIT RATE $5.29 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 CREDIT FOR LAND (IF APPLICABLE) 1979 I 980 1981 1982 1983 1984 x1985 1986 1987 I 988 1989 l99l 1992 1995 1997 1998 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / IOOO CREDIT RATE $0.00 x $5.29 TOTALIVTWMC CREDIT 1990 1993 1994 1996 1999 BATHTUB 2 0 3 6 DRINKING FOUNTAIN 0 0 1 0 FLOORDRAIN 0 0 3 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6 0 LATJNDRY TUB 0 0 2 0 CLOT}IESWASTMR / MOP SINK I 0 3 3 CLOTT{ESWASTMR - 3 OR MORE (EA)0 0 b 0 MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0 RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC.1 0 3 3 SHOWE& SINGLE STALL 0 0 2 0 SHOWE& GANG (NUMBER OF }IEADS)0 0 2 0 SINK: COMMERCIAL/RESIDENTTAL KITCMN 1 0 3 3 SINK: COMMERCIAL BAR 0 0 2 0 SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 2 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 1 URINAL, STALL/WALL 0 0 5 0 TOILET, PUBLIC IN STALLATION 0 0 b 0 TOILET, PRIVATE IN STALLATION 2 0 3 6 24 YEAR ANNEXED CREDIT RATE/$I,OOO ASSESSED VALTIE .00 0 $0.00 2000 2001 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Cir', of Springfield Official Receipt L .lopment Services Department Public Works Department RECEIPT #: 1200600000000001416 Date: 0911412006 l0:53:27AM Job/Journal Number coM2006-00955 coM2006-00955 coM2006-00955 coM2006-00955 coM2006-00955 coM2006-00955 coM2006-00955 coM2006-00955 coM2006-00955 coM2006-00955 coM2006-00955 coM2006-00955 coM2006-00955 coM2006-00955 coM2006-00955 coM2006-00955 coM2006-00955 coM2006-00955 coM2006-00955 coM2006-00955 coM2006-00955 coM2006-00955 coM2006-00955 coM2006-00955 coM2006-0095s coM2006-00955 coM2006-00955 coM2006-00955 coM2006-00955 Description Addressing Assignment Willamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 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 Plan Review Major - Planning Building Permit 2 Baths One or Two Family Furnace - up to 100,000 btu Exhaust Hoods Dryer Vent Gas Outlets I -4 Heat Pump -Mechanical Issuance Fee- Vent Fan +,8% State Surcharge + 10%o Administrative Fee Amount Due 31.00 1,000.00 106.00 38.00 80.00 80.00 (30.00) 681.97 624.64 47 4.97 189.60 836.32 82.03 865.31 10.00 I t9.4s 68.79 198.00 679.40 2s4.00 l2.00 9.00 6.00 4.00 12.00 10.00 18.00 9t.07 r I 3.84 Item Total:$6,665.39 Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid CreditCard HAYDEN ENT djb 066137 In Person Payment Total: $6,665.39 -$6F6ffi',' cReceint I Page I of I 911412006