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Home My WebLink AboutPermit Building 2004-02-23CITY F Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax S4l-7 26-37 69 Inspection Line PERMIT NO: COM2004-00028ISSUED: 0212312004APPLIED: 01/0812004 EXPIRESz 0312312005VALUE: $ 45,000.00 SITE ADDRESS: 149f 5th St Springfield TYPE OF WORJ(: Apartment Building ASSESSOR'S PARCEL NO.: 1703264200800 TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Make apartments #14,15, and 19 ADA accessible. Owner: MAINSTREAM HOUSING INC Address: 433 W 8TH AVE APT 001 EUGENE OR 97401 Contractor Type Architect General Electrical Mechanical Plumbing Contractor BERGSON & DELANEY MAINSTREAM HOUSING INC CHRISTENSON ELECTRIC INC OWNER TWIN RIVERS PLUMBING License Expiration Date 156059 07t25t2005 0st0u2007 Phone s41-683-8661 s41-4844868 541-688-6121 0311u2005 541-688-1444 458 17695 CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Sprinkled Building: O( -{o$ Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport \o Ft Other: ,oo Dl Load: REQUIRED PARIilNG Handicapped: Compact: Secondary Construction # of Bedrooms: !t' Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: \S(o Sidewalk Type: Downspouts/Drains: Notes: Paee I of3 r\ \t Heat: Type: w Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-00028ISSUED: 0212312004APPLIED: 01/0812004 EXPIRESz 0312312005VALUE: $ 45,000.00 Description Estimate Type of Construction Estimate $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 45,000.00 Total Value of Project Amount Paid Date Paid Value $45,000.00 $45,000.00 Date Calculated 0u08t2004 Fee Description Plan Review Comm/Ind/Public Plan Review Fire & Life Safety -Mechanical Issuance Fee- + l0o/o Administrative Fee + 7o/o Stile Surcharge Building Permit Exhaust Hoods Fixture Furnace - Unit Heater PIan Review Fire & Life Safety Vent Fan Refund - Admin Fee Refund - Mechanical Refund - Surcharge + l07o Administrative Fee + 7o/o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Copies - Ea Addtl @ 50 Cnts Ea Copy 6th @ 75 cents Plan ReviedCom,Ind,Pub Hourly Total Amount Paid Receipt Number 2200400000000000016 2200400000000000016 1200400000000000235 120040000000000023s 1200400000000000235 1200400000000000235 1200400000000000235 1200400000000000235 1200400000000000235 1200400000000000235 120040000000000023s VOUCHER #7316I voucHER #73161 voucHER #7316r 1200400000000000347 1200400000000000347 r200400000000000347 1200400000000000347 22004000000000013s4 2200400000000001354 22004000000000013s4 $221.91 $136.s6 $10.00 $54.84 $38.39 $341.40 $27.00 $126.00 $36.00 $-136.s6 $18.00 $-3.60 $-36.00 $-2.52 $8.s0 $5.95 $43.00 $42.00 $4.00 $0.75 $45.00 u8t04 1t8t04 2t23t04 2t23t04 2123t04 2t23t04 2t23t04 2t23t04 2t23t04 2t23t04 2t23t04 2t26104 2t26t04 2t26t04 3n9t04 3t19t04 3n9t04 3n9t04 tuU04 tUu04 tUu04 $980.62 tr'ees Paid Plan Reviews Initial Review Planning Review Public Works Review 0u13t2004 0il13t2004 0y1312004 0u16t2004 0u09t2004 0u1912004 APP LLH Permit taken in under apartment #19. Changed address to main address of apartment complex since job was for 3 different apartments. NO SDC'S, CREDITS EXCEED FEES. JMP left message with Joyce to give to Eileen Lahey that we still need tht contractor information. APP APP EMM SB 0u13t2004 wE JMPStructural Review 0u1212004 Page 2 of3 q Valuation Descrintion I Status Issued 225 Fifth Street, Springfield, OR 54l-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2004-00028ISSUED: 0212312004APPLIED: 01/0812004 EXPIRESz 0312312005VALUE: $ 45,000.00 Structural Review SUB Review 09t23t2004 09t23t2004 IO JMP 0ut3t2004 0111612004 APP JF Chris Kent requested replacement plans. Called Joyce at Mainstream Housing and she said to add George Braddock. Made copies, signed, stamped, punched, stickered and called Chris with fees and hours for pick up. R-l not considered under Non-Residential energy code. 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. wiII be made the following work day. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Drywall: Prior to taping. Finat Fire Department. After all requirements of the Fire Department have been met. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Plumbing: Prior to cover and including required testing. Shower Pan. Prior to covering and including required testing. 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 Final Electric: When all electrical work is complete. nsnections 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 wilt 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 atl 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. oor Owner or Contractors Signature Page 3 of3 Date 225 Fifth Street Springfield, Oregon 97 477- 541-726-3759 Phone city of Springfield Official Receipt ;velopment Services Department Public Works Department RECEIPT #: 22004000000000013s4 Date: 1,110112004 10:50:26AM Job/Journal Number coM2004-00028 coM2004-00028 coM2004-00028 Description Plan RevieilCom,Ind,Pub Hourly Copy 6th @75 cents Copies - Ea Addtl @ 50 Cnts Ea Amount Due 45.00 0.75 4.00 Item Total:$49.7s Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number IIow Received Amount Paid CreditCard ROBERT ALVORD jmp 022526 In Person $49.75 Payment Total: -Sffi tUt/2004 Page I of I &Ft*trear*Ltt SPRINGFIELD h, City of Springfr.,ld Voucher Report lD : SPRA103 Voucher lD : Handling Gode : 00073161 RE Accounting Date : Vendor Number: lnvoice Date : lnvoice # : Approver: Operator: Gross Amount : Proi/Grant February 26,2004 0000004386 February 26,2004 coM2004-00028 Puent,David wrLS5940 42.12 Amount 2.52 36.00 3.60 Mainstream Housing, lnc. 433 West 8th Ave. #1 Eugene, OR 97401 Description Refund Account Fund 9gg SubClass BY 215004 425602 426605 821 100 100 2004 2004 2004 Comments: Express Check Mechanical refund $36.00/State Surcharge $2.52lAdmin Fee $3.60 Refund Ok'd by Lisa Hopper/l49't sth StreeUCom2OO4-OOO2B (tny2na'lOoc 2{ (S4HtDlo{g6ggroiect as submitted has the lollowing ';onirit, ani &?es not require specific land use approval. Zoning 225 FIFTH STREET . SPRINGFIELD, OR97417 o PII:(541)726-3753 . FAX: E LE CTRI CAL P ERMIT AP P LI CAT I A N City Job NumberCOrr?V Date 1. Itt/fI 9+q >f 1 LEGAL DESCRIPTION 70=z6q OOSDC JOB D Xs Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ) Electrical Conhactor 5',u1/\ ae u Address D4 [ lleYh el )tt 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 New Alteration or Extension Per One Circuit Each Additional Circuit or with Service or Feeder Permit A. B. D. E. s106.00 $ r9.00 $50.00 $ 63.00 $ 75.00 s125.00 $ 163.00 s375.00 $ s0.00 City Supervisor License Number Expiration Date o 0r o{ b-3q L Expiration Date C) of Supervising Electrician Owners Name Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 AmPs $ 69.00 401 Amps to 600 Amps $100.00 Over 600 or 1000 Volts see "B" above. C. Panel 1 ,13 Address L Cify w Phone OWNER INSTALLATTdI$;] T I fi E : Pump or irrigation Sign/Outline Lighting Limited Energy/Residential TYoState Surcharge l0% Administrative Fee TOTAL $ 43.00 $ 3.00 $ s0.00 s s0.00 $ 2s.00 s 45.00 Y,{ S COIIMENCED OR I tl_UZ h { The installation is being is not intended for sale, Owners Signature: *J,ii!1,Priii.dttr,Eu^ teasdlorrr6rrfl, Z t Li U li D ANY 180 OAY PERIOD ,ZfO 7 L Inspection Request: 726-3769 Shared Drive(T:/Building Fonns/Electrical Permit Application 1-03'doc (1n4 & ir,,- Pton" tot? 'G l> I 3r <q Oreg UI llino tt f) Permit Inspection Fee is $45.00 * Surcharges +lt_tl\tt-(:rb IF Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 lnspection Line PERMIT NO: COM2004-00028ISSUED: 0212312004APPLIED: 01/0812004 EXPIRESz 0910412004VALUE: $ 45,000.00 SITE ADDRESS: 149f 5th St Springfield TYPE OF WORJ(: Apartment Building ASSESSOR'SPARCELNO.: 1703264200800 TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Make apartments #14, 15, and 19 ADA accessible. Owner: Address: MAINSTREAM HOUSING INC 433 W 8TH AVE APT OO1 EUGENE OR 9740I Contractor Type Architect General Electrical Mechanical Plumbing Contractor BERGSON & DELANEY MAINSTREAM HOUSING INC CHRISTENSON ELECTRIC INC OWNER TWIN RIVERS PLUMBING License Expiration Date 156059 458 17695 07t2st2005 05t0y2007 Phone s41-683-866r s41484-4868 s41-688-6121 03/11/2005 541-688-1444 CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: 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: Impervious Surface Area: R-1 \rN Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: )09 REQUIRED PARI(NG Total: Handicapped: Compact: Streetlmprovements: N0TICE: storm sewer Availabte' THIS PERMIT Special Instruction: e: AUTHoRIZED COMMENCED Notes: ANY 1S0 DAY ffi*t#ii:f$r[irsr Sidewalk Type: Downspouts/Drains PUBLIC IMPROVEMENTS Page 1 of3 I I'U ILL'II\ U I].\ I L,IUYIA I I(JI\ I TION:Orego rt numberfor ;€ -o01-00 calling the 10 throrrgh OAR 952-00 Building/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: COM2004-00028ISSUED: 0212312004APPLIED: 01/0812004EXPIRES: 0910412004VALUE: $ 45,000.00 Description Estimate Fee Description PIan Review Comm/Ind/Public Plan Review Fire & Life Safety -Mechanical Issuance Fee- + lOoh Administrative Fee + 7o/o State Surcharge Building Permit Exhaust Hoods Fixture Furnace - Unit Heater Plan Review Fire & Life Safety Vent Fan Refund - Admin Fee Refund - Mechanical Refund - Surcharge + l0o Administrative Fee + 7o/o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid Type of Construction Estimate $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 45,000.00 Total Value of Project Amount Paid Date Paid Value $45,000.00 $45,000.00 Receipt Number 2200400000000000016 2200400000000000016 1200400000000000235 1200400000000000235 1200400000000000235 1200400000000000235 1200400000000000235 r200400000000000235 1200400000000000235 1200400000000000235 1200400000000000235 VOUCIIER #7316I voucHER #73161 voucHER #73161 1200400000000000347 1200400000000000347 1200400000000000347 1200400000000000347 Date Calculated 0u08/2004 $221.91 $136.s6 $10.00 $54.84 $38.39 $341.40 $27.00 $r26.00 $36.00 $-136.56 $18.00 $-3.60 $-36.00 $-2.52 $8.s0 $5.9s $43.00 $42.00 U8t04 u8t04 2123t04 2t23t04 2t23t04 2t23104 2t23t04 2t23t04 2t23t04 2t23t04 2t23t04 2t26t04 2t26t04 2t26t04 3n9t04 3fi9t04 3n9104 3fi9104 $930.87 Fees Paid Plan Reviews Initial Review Planning Review Public Works Review Structural Review 0u1312004 01n3t2004 EMM 0u0912004 0111912004 APP LLH Permit taken in under apartment #19. Changed address to main address of apartment complex since job was for 3 different apartments. NO SDC'S, CREDITS EXCEED FEES. JMP left message with Joyce to give to Eileen Lahey that we still need the contractor information. R-l not considered under Non-Residential energy code. APP APP SB 0u12t2004 0u13t2004 wE JMP APP JFSUB Review 0u13t2004 0U1612004 Paee 2 of3 LLi Valuation Description 0u1312004 0yt6/2004 F'IELD Building/Combination Permit F Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2004-00028ISSUED: 0212312004APPLIED: 01/0812004EXPIRES: 0910412004VALUE: $ 45,000.00 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. 6 4 5 I 8 9 3 7 ,| 10 11 Framing Inspection: Prior to cover and after all rough in inspections have been approved. Drywall: Prior to taping. Final Fire Department. After all requirements of the Fire Department have been met. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Plumbing: Prior to cover and including required testing. Shower Pan. Prior to covering and including required testing. 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 Final Electric: When all electrical 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 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 Paee 3 of3 -: T 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone .f City of Spriagfield Official Receipt Development Services Department Public Works Department ate:8:13:32AM coM2004-00028 coM2004-00028 coM2004-00028 coM2004-00028 Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7%o State Surcharge + l0o/o Administrative Fee Item Total:$99.45 43.00 42.00 5.95 8.50 Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check MAINSTREAM HOUSING INC djb 61173 In Person Payment Total:$99.4s $99.4s isffiffi{}" 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: COM2004-00028ISSUED: 02/23/2004APPLIED: 01/0812004EXPIRES: 0812312004VALUE: $ 45,000.00 SITE ADDRESS: 1491 5th St Springfield TYPE OF WORK: Apartment Building ASSESSOR'S PARCEL NO.: 1703264200800 TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Make apartments #14, 15, and 19 ADA accessible. Owner: MAINSTREAM HOUSING INC Address: 433 W 8TH AVE APT 001 EUGENE OR 97401 Contractor Type Architect General Electrical Mechanical Plumbing Contractor BERGSON & DELANEY MAINSTREAM HOUSING INC CHRJSTENSON ELECTRIC INC OWNER TWIN RIVERS PLUMBING License Expiration Date 156059 07t25t200s 05t0U2007 17695 Phone 541-683-8661 541-484-4868 541-688-6r21 03/11/2005 541-688-1444 4s8 CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Yo ofLot Coverage: R-l Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: REQUIRED PARKING Total: Handicapped: Compact: follow rulsadopted bY the Oregon Those rules are set forth 0through oAR952-001- copies ol tho rul€s by calling the center . (Note: the telePhone number forthe Oregon Utility Notification VN to Street Imorovements: storm su,n"""#,flil9f t specia, r..,"**f,#ri,,#trf,[it !. Ix d{d, #Notes: CQMM ANY 1B DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Page I of3 Center is 1-800-332 -2*11 T ItUIL-l-rll\t, Il\-l] tTI(lYIA I t(J1\ | F Building/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: COM2004-00028ISSUED: 0212312004APPLIED: 01/0812004 EXPIRESz 0812312004VALUE: $ 45,000.00 Description Estimate Tvpe of Construction Estimate $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 45,000.00 Total Value of Project Amount Paid Date Paid Value $45,000.00 $45,ooo.oo Date Calculated 01/08/2004 Fee Description Plan Review Comm/Ind/?ublic PIan Review Fire & Life Safety -Mechanical Issuance Fee- + l0Yo Administrative Fee + 7o/o State Surcharge Building Permit Exhaust Hoods Fixture Furnace - Unit Heater Plan Review Fire & Life Safety Vent Fan Total Amount Paid $221.91 $136.s6 $r0.00 $54.84 $38.39 $341.40 $27.00 $126.00 $36.00 $-136.s6 $18.00 u8104 u8t04 2t23t04 2t23t04 2t23t04 2t23tO4 2t23t04 2t23t04 2t23t04 2123t04 2t23t04 Receipt Number 2200400000000000016 2200400000000000016 r200400000000000235 1200400000000000235 120040000000000023s 1200400000000000235 1200400000000000235 120040000000000023s r20040000000000023s 120040000000000023s 120040000000000023s $873.54 E'ees Paid Plan Reviews Initial Review Planning Review Public Works Review Structural Review SUB Review 0U1312004 0u13t2004 0u1312004 0u16t2004 0y09t2004 0u1912004 APP LLH Permit taken in under apartment #19. Changed address to main address of apartment complex since job was for 3 different apartments. NO SDC'S, CREDITS EXCEED FEES. JMP left message with Joyce to give to Eileen Lahey that we still need the contractor information. R-l not considered under Non-Residential energy code. EMM 0u1212004 0u13t2004 WE JMP 0u1312004 0U1612004 APP JF APP APP SB To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. wilt be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Paee 2 of3 Valuation Descriotion I Building/Combination Permit Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00028ISSUED: 0212312004APPLIED: 01/0812004EXPIRES: 08/2312004VALUE: $ 45,000.00 1 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 2 Drywall: Prior to taping. 3 Final Fire Department. After all requirements of the Fire Department have been met. 4 Final Building: After all required inspections have been requested and approved and the building is complete. 5 Rough Plumbing: Prior to cover and including required testing. 6 Shower Pan. Prior to covering and including required testing. 7 Final Plumbing: When all plumbing work is complete. 8 Rough Mechanical: Prior to Cover 9 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 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 during construction. or Contractors Signature , , Ma,ntfrs^'A tfu 3,^5 fuA Date .6, Paee 3 of3 fT. l Keourreo InsDectlons coM2004-00028 AQUARIUS I APARTMENTS JOURNAL ORJOB NUMBER NAMEORCOMPANY: LOCATION: MAP & TAX LOT NUMBER: DEVELOPMENT TYPE: l49t sTH ST t7 0326 42 00800 1 $ $ $ $ $ $ #Dtv/o! #Dtv/o! NE NEW DEVELOPED AREA (S.F.): EXSTING DEVELOPED AREA (S.F.): TOTAL IMPERVIOUS SURFACE (S.F.): I. STORM DRAJNAGE IMPERVIOUS SQ. FT, 2. SANITARY SEWER-CITY A. REIMBURSEMENT COST: NUMBEROFDFU's B. IMPROVEMENTCOST: NUMBEROFDFU's (SEE REVERSE SIDE) LOW RISE APARTMENT REMODEL x $ 0.290 PER SF -3 -3 ITE: LOT SrZE (S.F.):0 TOTAL STORM DRAINAGE SDC: ITE 3. TRANSPORTATION BLDG AREATGSF xTRIP RATE xCOST PERADT XNEWTRIP FACTOR NEW A. REIMBURSEMENT COST: 0.00 x 6.59 x $ 17.23 PER TRIP x B. IMPROYEMENTCOST: 0.00 x 6.59 $ 76.0I PER TRIP x E>(STING A. REIMBURSEMENT COST: 0.00 x 0 $ 17.23 PER TRIP x B. IMPROVEMENTCOST: 0.00 x 0 4. SANITARY SEWER - MWMC NEW: A. REIMBURSEMENTCOST: NUMBEROFFEU.S B. IMPROVEMENTCOST: NUMBEROFFEU's E)ilSTING: A. REIMBURSEMENTCOST: NUMBEROF FEU's 0.00 B. IMPROVEMENTCOST: NLMBEROFFEU's 0.00 MWMC CREDIT IF APPLICABLE (SEE REVERSE) NTF NTF NTF $ 76.01 PERTRIP X O NTF $ TOTAL TRANSPORTATION REIMBURSEMENT SDC: TOTAL TRANSPORTATION IMPRO\EMENT SDC: TOTAL TRANSPORTATION SDC 0.00 x $269.68 PER FEU $ 0.00 x $I83.62 PERFEU $ x x $ 22.64 PER DFU x $ 17.21 PERDFU TOTAL LOCAL WASTEWATER SDC $O.OO PERFEU 0x x x x $ 5. ADMNISTRATI\TE FEES: BASE CIIARGE (SUBTOTAL ABOVE) Stevew W . BeavLdrg BaYwes U16t2004 $O.OO PER FEU $ TOTAL MWMC REIMBURSEMENT FEE: TOTAL MWMC IMPROVEMENT FEE: MWMC ADMINISTRATIVE FEE: TOTALMWMC SDC: SUBTOTAL (ADD ITEMS I,2,3, & 4)$ x 50 TOTAL TRANSPORTATION ADMINISTRATION FEE TOTAL SEWER ADMINISTRATION FEE $ $ $ $ ) c8R9o6P-B&?d)dfr9ftrus Aprs, 14s1 srH sr.*rs DArE TOTAL SDC CHARGES JULY 2OO1 ATTACHMENTA CITY C. ,,RINGFIELD SYSTEMS DEVELOPMENT CHARGE J(SHEET :$ 1070 l09l fi92 r07$ 1079 DRAINAGE FIXTIIRE UNIT (DFU) CALCTJLATION TABLE NUMBER OFNEWFD{TURES x UNIT EQUTVALENT: DRAINAGE FXTLIRE UMTS (NOTE, FOR REMODELS, CALC IIT "#ffi FIXTURE TYPE NEW OLD UNITS TOTAL DRAINAGE FXTURE UMTS:-3 +EDU (Eouivalent Dwellins Unit) is a discharse eouivalent toa sinsle familv (20 DFLI) set at 167 gallons per day -93 0 3 I 3 3 6 2 3 6 t2 I 3 2 2 3 2 2 I 5 6 3 0 0 0 0 0 0 0 0 63 0 0 0 0 0 0 0 0 0 0 0 CREDIT CALCULATION TABLE: BASED ON ASSESSED VAIUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCIILATE CREDITS SEPARATELY YEAR ANNEXED CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) RATE PER $I,OOO ASSESSED VAL 2.06 1.64 1.45 l.3l 1.13 0.97 0.82 0.63 0.41 0.22 0.04 $0.00 $ $ $ $ $ $ $ s $ $ $ x x RATE PER $1,OOO ASSESSED VALT]E YEAR ANNEXED 1979 1980 l98l 1982 I 983 1984 1985 1986 1987 1988 1989 or before $ 4.92 $ 4.83 $ 4.77 $ 4.64 s 4.47 $ 4.30 $ 4.09 $ 3.78 $ 3.41 $ 2.98 $ 2.s2 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 $0.00 $0.00 COM2004-00028, AQUARIUS APTS, 1491 5TH ST.xls CREDIT TOTAL BATHTTIB DRINKING FOUNTAIN FLOORDRAIN INTERCEPTORS FOR GREASE/OIUSOLIDS/ETC. INTERCEPTORS FOR SAND/ALIO WASH/ETC. T-AUNDRY TUB CLOTHES WASHER/MOP SINK CLOTHES WASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIGERATOR/WATER STATION/ETC. RECEPTOR FOR COMMERCIAL SINK/ DISHWASHER/ETC. SHOWE& SINGLE STALL SHOWER. GANG (NUMBER OF HEADS) SINK: COMMERCIAL, RESIDENTTAL KITCHEN SINK: COMMERCIALBAR SINK: WASH BASINiDOUBLE LAVATORY SINK: SINGLE T-A,VATORY/RESIDENTIAL BAR URINAL, STALI-/WALL TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELI-ANEOUS: NUMBER OF EDU'S* JULY 2OO1 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City o( Springfield Official Receipt Development Services Department Public Works Department Receipt #: 1200400000000000235 Date: 0212312004 10:20:46AM coM2004-00028 coM2004-00028 coM2004-00028 coM2004-00028 coM2004-00028 coM2004-00028 coM2004-00028 coM2004-00028 coM2004-00028 Exhaust Hoods Furnace - Unit Heater Building Permit -Mechanical Issuance Fee- Vent Fan + 7Yo State Surcharge Fixture + lDYo Administrative Fee Plan Review Fire & Life Safety 27.00 36.00 341.40 10.00 18.00 38.39 126.00 54.84 (136.56) Item Total:$515.07 Payments: Type of Payment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Paid Check MAINSTREAM HOUSING INC dIM 6l138 In Person Payment Total: $515.07 $s1s.07 (