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Home My WebLink AboutPermit Building 2005-01-05Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line FIELD Building/C ombination Permit PERMIT NO: COM2004-01496ISSUED: 01/05/2005APPLIEDz 1210712004 EXPIRES: 08/0312005VALUE: $ 181,650.00 SITE ADDRESS: 1875 8th St Springfield TYPE OF WORK: Single Family Residence ASSESSOR'SPARCELNO.: 1703261300306 TYPE OF USE: New Residential PROJECT DESCRIPTION: Mimosa park lot 5 - SFR- same as COM2004-00799 831 S St Phone Number: 342-3762Owner: Address: Contractor Type General Electrical Mechanical Plumbing GARY KONOLD 3169 WOLF MEADOWS EUGENE OR 97408 Contractor GARY KONOLD FARMERS ELECTRIC License Expiration Dates2796 03t07t2005 89886 Phone s4t-342-4819 541-998-6772 541-672-9510 s414614714 PACIFIC AIR RS PLUMBING Oregon law r@gfps you to theos8gpn Utility 03t24t200s 03t25t2006 0u0412006 # 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: 952-001' Range Type: Electric Sq Ft Garage/Carport Energy Path: Path 1 Sq Ft Other: Sprinkled Building: nla Occupant Load: I R-3 U VN 3 REQUIRED PARKING Total: 2 Handicapped: Compact: 9,148 1,826 532 Curbside 5' Curb and Gutter 19.50 18.00 10.00 23.s0 13.00 Overlay Dist: # Street Trees Rqd: 3 Paved Drive Rqd: Yes oh of Lot Coverage: 25.70 Fullv Improved Yes Sidewalk Type: Downspouts/Drains Notes: Page 1 of4 L uur\ l t(AU l uK ri\ rt l:lslyr.ll !!lf!__l copies ol the Size: Utiltty Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: tn 0090. PRIN 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: COM2004-01496ISSUED: 0110512005APPLIEDz 1210712004EXPIRES: 08/0312005VALUE: $ 181,650.00 Description Dwellinss Garage Type of Construction V Wood Frame Garage $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 1,826.00 s32.00 Value $t68,722.40 $12,927.60 $181,650.00 Date Calculated 12t07t2004 12t07t2004 Fee Description Plan Review Same As -Mechanical Issuance Fee- + l0oh Administrative Fee + 7o/o State Surcharge 2 Baths One or Two Family Addressing Assignment Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Furnace - up to 1001000 btu Gas Outlets 1-4 Heat Pump Plan Review Major - Planning 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 Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan Willamalane Single Family + lOoh Administrative Fee + 7o/o State Surcharge Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl500 Amount Paid Total Value of Project Date Paid t2t7t04 1/5/05 yst05 u5t0s 1/s/0s 1/5/05 ll5105 usl05 u5l0s Ust05 y5l0s ust05 1/s/0s 1/5/0s u5t05 1/s/os u5t05 l/5/05 1/5/05 uslos ust0s 1/5/05 1/5/05 1/5/05 1/s/os ust0s 1/5/05 2t7t05 2t7tus 2t7t05 2t7t05 Receipt Number 1200400000000001704 1200500000000000018 1200s00000000000018 1200500000000000018 1200500000000000018 1200500000000000018 1200s00000000000018 1200s00000000000018 1200s00000000000018 1200s00000000000018 1200s00000000000018 1200s00000000000018 1200s00000000000018 1200s00000000000018 1200500000000000018 r200s00000000000018 1200500000000000018 1200s00000000000018 1200500000000000018 1200500000000000018 1200500000000000018 1200500000000000018 1200500000000000018 1200s00000000000018 r200s00000000000018 1200500000000000018 r200s00000000000018 1200500000000000165 120050000000000016s 1200500000000000165 1200s00000000000165 $100.00 $10.00 $119.72 $83.80 $254.00 $31.00 $832.1s $75.00 $6.00 $9.00 $12.00 $4.00 $12.00 $103.00 $383.88 $504.84 $10.00 $86s.31 $82.03 $125.56 $63.4s $772.49 $175.13 $986.42 $50.00 $r8.00 $1,000.00 $14.40 $10.08 $106.00 $38.00 ['eps Pnid Total Amount Paid $6,857.26 Page 2 of4 Valuation Descrintion I 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: COM2004-01496ISSUED: 0l/05/2005APPLIED: 1210712004EXPIRES: 08/0312005VALUE: $ 181,650.00 Plan Reviews Initial Review Plannins Review Public Works Review Structural Review 12t08t2004 12t08t2004 12t08t2004 12t08t2004 12120t2004 12115t2004 APP APP APP SKG TAJ CAS Storm drainage piped to curb face t2lt5l2004cA.s 12t08t2004 12t27t2004 OK RJB ired fnsnecfions 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: After all erosion measures are in place. 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. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. 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. 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 Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Underfloor Gas: After Iine 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 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. Pase 3 of4 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: COM2004-01496ISSUED: 01/05/2005APPLIED: 1210712004EXPIRES: 08/0312005VALUE: $ 181,650.00 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 4 of 4 225 Fifth Street Springfiild, Oregon 97 477 541-726-3759 Phone 6'tty of Springlield Official Receipt relopment Services Department Public Works Department RECEIPT #: 1200s0000000000016s Date: 0210712005 2:41:46PM Job/Journal Number coM2004-01496 coM2004-01496 coM2004-01496 coM2004-01496 Description + 7% State Surcharge + l0o/o Administrative Fee Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Amount Due 10.08 t4.40 106.00 38.00 Item Total:$168.48 Payments: Type ofPayment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard GARY KONOLD djb 063980 In Person $168.48 Payment Total: -51 6-E7ii- 2171200s Page 1 of I IFilfiEFl*I"B sirtiltrI{iFlELI, 225 FIFTH STREET ' SPRINGFIELD, OR97477 o PII:(541 )726-3753 o FAX: (541\726'3689 ELECTRICAL PERMIT APPLICATTON f Ciry Job Number ()()?b Date ,,w, oo lo6Service Included 1000 sq. ft. or less Each additional500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder ase $l ss0.00 s 63.00 s 7s.00 $125.00 '$163.00 $ s0.00 $ 50.00 $ 69.00 s100.00 $ 43.00 $ 3.00 1. ..iOCETTON AF INSTALLATION I {lk + LEGAL DESCRIPTION i70 za3 o0306 JOB DESCRIPTION 3. A.N I{tL Permits are non-transferable and expire if work is " not started within 180 days of issuance or if work is Suspended for 180 daYs. B.or 'l Electrical Contractor Farrn€.YS E R&o Amps or less to rT Hv Address A.cqzEb 6S fl\ladofq 201 o(e AR952o01 inO roaY the You tho tor the 1 D. tor$t .-001' by cirycJ' C'! - Pnon" 9Q Supervisor License Number 3q165 0090 Expiration Date lO-l-OS s375.00 Constr. Contr. Number Bqa8b Expiration Date 3^24-09 Signanrre of Supervising Electrician Owners Name 9 (} New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit 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. C J \Address 6 C}, City hAC*dN{ wo"" OWNER INSTALLATTON The instaliation is being made on property I own which is not intended for sale, lease or rent' Owners Signature: Pump or irrigation Sigrr/Outline Lighting Limited EnergY/Residential Limited EnergY/Commercial $ 50.00 s s0.00 $ 2s.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45'00 + Surcharges I (/ t'l4.s 7Yo State Surcharge l0% Administrative Fee TOTAL a oy r Lltt i6 c, (8 Inspection Request: 726'3769 Shared Div(T:/Building Forms/Electrical Permit Application l{3'doc otq CITY OF S GFIELD, OREGON 225 FIFTH STREET o SPRINGFIELD, OR97477 o PH:(541)726-3753 r FAX: (541)726-3689 ELE CTRICAL P ERM IT APP LICATI ON City Job Numberftrer< ZooL( - O lq, ? L Date I. LOCaTION OF INSTALLATION 'I I g1{ 6.{u E+ COMPLETE I|BE SCIIEDTILE BELOW , ,, . ,. ,,,,;t...3 Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dweiling Service or Feeder 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsA/olts Reconnect Only *T'rl I N(:l:I ELC' $106.00 $ r9.00 $50.00 $ 63.00 $ 7s.00 $125.00 s163.00 $37s.00 $ 50.00 $ 43.00 $ 3.00 LEGAL DESCRIPTION t2o3 ZL\S oo3 o a JOB DESCRIPTION -Tevu P Fau a€- 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. E. B.2. Electrical Contractor Address City Phone Supervisor License Number Expiration Date Constr. Contr.'Number Expiration Date ryttureS of Supervising Electrician Installation, Alteration or Relocation / 200 Amps or less / $ 50.00 201 Amps to 400 Amps $ 69.00 C 5:D 401 Amps to 600 Amps $100.00 Ovgr 600 Amps or 1000 Volts see "B" above. . BranCh CirCuitS l'1-. r ,. r . ,. 1,:... ., , , .1 New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit Address ?6? i"{U.r**, citv €lL(#{ pnone 3V Z - \8 t ? Owners Name OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: tl Grc- Vn^-( J Minimum Electric Permit Inspection Fee is $45.00 4 Surcharges Pump or irrigation Sign/Outline Lighting Limited Energy/Residenti al Limited Energy/Commercial 7o/o State Surcharge 10% Adminishative Fee TOTAL $ s0.00 $ s0.00 $ 25.00 $ 4s.00 jP 7- 5Er>Inspection Request: 726-3769 4. Shared Drive(T:)/Building Forms/Electrical Permit Application l -03.doc D. 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: COM2004-01496ISSUED: 01/05/2005APPLIED: 1210712004 EXPIRESz 0710512005VALUE: $ 181,650.00 SITE ADDRESS: 1875 8th St ASSESSOR'S PARCELNO.: 1703261300306 PROJECT DESCRIPTION: Mimosa park lot 5 - SFR- same as New gon Utiiity Residential n8B[ $Sose rules are set forthR 952-001-0010 th h OAR calling the center.762 number for the Oregon Util ephone Springfield TYPE OF WORK: : Oregon law Single Family Residence requires ycu tofollow Owner: Address: GARY KONOLD 3169 WOLF MEADOWS EUGENE OR 97408 Contractor Type General Electrical Mechanical Plumbing Contractor GARY KONOLD FARMERS ELECTRIC PACIFIC AIR COMFORT INC RS PLUMBING CONTRACTING License 52796 89886 39237 103816 03t24t2005 0312s12006 0t/04t2006 Expiration Date Phone 03t07t2005 541-342-4819 541-998-6772 541-672-9510 541-461-47r4 CONTRACTOR INFORMATION ffi - # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: ERIOD # 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: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: 3 Yes 25.70 Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: 2 Handicapped: Compact: I R-3 U VN 3 I 18.25 Gas Gas Electric Path 1 nla Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 9,148 1,826 532 Curbside 5' Curb and Gutter 19.s0 18.00 10.00 23.50 13.00 Fully Improved Yes DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Notes: Page 1 of4 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: COM2004-01496ISSUED: 01/05/2005APPLIED: 1210712004 EXPIRESz 0710512005VALUE: $ 181,650.00 Description Dwellinss Garage Type of Construction V Wood Frame Garage $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 1,826.00 532.00 Value $168,722.40 $t2,927.60 $181,650.00 Date Calculated 12t07t2004 12t07t2004 Fee Description Plan Review Same As -Mechanical Issuance Fee- + l0Yo Administrative Fee + 7%o 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 1-4 Heat Pump Plan Review Major - Planning 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 Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan Willamalane Single Family Total Amount Paid Amount Paid Total Value of Project Date Paid Receipt Number r200400000000001704 1200s00000000000018 1200500000000000018 1200500000000000018 1200500000000000018 1200500000000000018 1200s00000000000018 1200500000000000018 1200s00000000000018 1200500000000000018 1200500000000000018 r200s00000000000018 r2005000000000000r8 1200500000000000018 1200500000000000018 1200500000000000018 1200s00000000000018 1200500000000000018 1200500000000000018 1200500000000000018 1200500000000000018 1200500000000000018 1200500000000000018 1200500000000000018 1200500000000000018 1200500000000000018 1200500000000000018 $100.00 $10.00 $119.72 $83.80 $254.00 $31.00 $832.1s $7s.00 $6.00 $9.00 $12.00 $4.00 $12.00 $103.00 $383.88 $504.84 $10.00 $865.31 $82.03 $125.56 $63.4s $772.49 $17s.13 $986.42 $s0.00 $18.00 $1,000.00 t2t7t04 l/5/05 u5l0s 1/5/05 ust05 1/5/05 1/5/05 1/5/05 u5t05 1/5/05 y5105 1/5/05 usl0s 1/s/05 1/s/05 1/5/05 usl0s u5105 l/5/05 1/5/05 u5105 1/5/05 u5t05 1/s/05 u5105 1/5/0s 1/5/05 $6,688.78 Fees Paid Plan Reviews Initial Review Planning Review 12t08t2004 t2t08t2004 12t08t2004 1212012004 APP APP SKG TAJ Paee2 of 4 Valuation Descrintion I LD 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: COM2004-01496ISSUED: 01/05/2005APPLIEDz 1210712004 EXPIRES: 07/0512005VALUE: $ 181,650.00 Public Works Review Structural Review 12t08t2004 tzt08t2004 12fl5t2004 r2t27t2004 APP OK CAS RJB Storm drainage piped to curb face 12lrs/2004 cAS 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: After all erosion measures are in place. 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. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. HoId 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. 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 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 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. Reouired fnsnections Pase 3 of4 G 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: COM2004-01496ISSUED: 01/05/2005APPLIEDz 1210712004EXPIRES: 07/0512005VALUE: $ 181,650.00 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. \^S'oS Owner or Signature Date Paee 4 of 4 B.*-.. d^^tO 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springlield Official Receipt irelopment Services Department Public Works Department RECEIPT #: 1200500000000000018 Date:01/05/2005 8:32:39AM Joh/Journal Number coM2004-01496 coM2004-01496 coM2004-01496 coM2004-01496 coM2004-01496 coM2004-01496 coM2004-01496 coM2004-01496 coM2004-01496 coM2004-01496 coM2004-01496 coM2004-01496 coM2004-01496 coM2004-01496 coM2004-01496 coM2004-01496 coM2004-01496 coM2004-01496 coM2004-01496 coM2004-01496 coM2004-01496 coM2004-01496 coM2004-01496 coM2004-01496 coM2004-01496 coM2004-01496 Description Addressing Assignment Willamalane Single Family Curbcut 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 Building Permit 2 Baths One or Two Family Fumace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Gas Outlets l-4 Heat Pump -Mechanical Issuance Fee- Temp Power 200 amps or less + lYo State Surcharge + l0% Administrative Fee Amount Due 3l.00 1,000.00 7s.00 986.42 s04.84 383.88 t7s.t3 772.49 82.03 86s.31 10.00 12s.56 63.45 103.00 832. I 5 254.00 12.00 18.00 9.00 6.00 4.00 12.00 10.00 50.00 83.80 119.72 Item Total:$6,588.78 Payments: Type ofPayment Paid By Received By Batch Number Number How Received Amount Paid CreditCard GARY KONOLD nJm 060950 In Person $6,588.78 Payment totat: -56$6T.78- U5/2005 Page 1 of I l5Inanl3.ll CITY OF SPRINGFIELD SYSTEMS DEVELOPMEN] JRKSHEET JOURNAL OR JOB NUMBER: COM2004-01496 NAME OR COMPANY: LOCATION: TAX LOTNUMBER: DEVELOPMENT TYPE: NEWDWELLING TNITS Konold 1875 8th Sr r 703261300306 I. STORM DRAINAGE DIRECTRUNOFF TO CIry STORM SYSTEM BUTLDTNG SrZE (SF' 2366 LOT SrZE (SF): CIIARGE $986.42 x DISCOUNT $0.00 $986.42 $888.72 9148 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY I- rMPERVrcrtJS s-R x J : t sz.oo COST PER S.F $0.3 l0 COST PER S.F. $0.310 COST PER DFU $24.04 $ r 8.28 NTIMBEROFTNITS I NT]MBER OF LINITS I ADM. FEE RATE 5o/o ITEM I TOTAL- STORM DRAINAGE SDC 2. SANITARY SEWER - CIry A. REIMBT]RSEMENT COST: IMPERVIOUS S.F 0.00 NUMBER OF DFU's 2t B. IMPROVEMENT COST: NLIMBER OF DFU's 2l ADTTRIP RATE 9.57 B. IMPROVEMENT COST: ADT TRIP RATE 9.57 x x x x x x x ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3. TRANSPORTATION A. REIMBURSEMENTCOST: xx xx COST PER TRIP $18.30 COST PERTRIP $80.72 s947.62 NEW TRIP FACTOR 1.00 NEW TRIP FACTOR r.00 ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NIIIvIBER OF FEU's I B. IMPROVEMENT COST: NUMBEROF FEU's I MWMC CREDIT TF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC SUBTOTAL (ADD ITEMS I, 2, 3, & 4) $9s734 780.10 x CHARGE $189.0r TOTAL SANITARY A|IMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: CherylSlaymaker 12/1512004 DISCOTINT RATE 50o/o COST PER FEU $82.03 sl75.l3 s772.49 $E2.03 I s0.00 12s.56 $63 $3,969.11 1070 l09l 1092 1 093 1094 1054 1055 1 054 1 056 1079 l 078 a lllooO &HFa rrl& IEGL COST PER FEU $865.31 STIBTOTAL 780. I PREPARED BY DATE TOTAL SDC CIIARGES DRAINAGE FIXTURE UNIT TYPE MISCELLANEOUS DFU TYPE TOTAL DRAINAGE FD(TURE UNITS lsa BEFORE I979 CALCULATION TABLE NUMBER OFNEWFD(TURES x UNIT EQUWALENT:DRAINAGE FDilURE UMTS FOR CAI]CUI-ATE ONLY THE NET ADDITIONAL NO. OF FIXTURES I.INIT NEW OLD NT'MBER OF EDU'S toa mit set at I 67 20 DRAINAGE FIXTURE 0 2 1979 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE 1979 1982 1983 I 984 1986 1987 1988 I 989 199r 1992 1994 1995 1996 1997 1998 1999 $5.29 $5.1 I $5.12 $4.98 $4.80 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 CBEDIT FOR LAND (IF APPLICABLE) 2 I 980 198 I $4.63 $4.40 $a.oz $3,67 $3.22 $2.73 $2.25 $1.80 VALUE / 1OOO $0.00 CREDITRATE $5.29x1985 1990 1993 CREDIT FOR IMPROVEMENT OF AFTER ANNEXATION) VALUE/ IOOO CREDITRATE $0.00 x $5.29 TOTAL MWMC CREDTT$1.59 $1.45 $1.25 $1.09 $0.92 $o.72 $0.48 $0.28 $0.09 $0.05 INIIi BATI{TUB 2 0 3 6 DRINKING FOUNTAIN 0 0 1 0 FLOOR DRAIN 0 0 3 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6 0 LALINDRY TUB 0 0 2 0 CLOTHESWASFTER / MOP SINK 1 0 3 3 CLoTHESWASmR - 3 OR MORE (EA)0 0 6 0 MOBILE HOME PARK TRAP (I PER TRA]LER)0 0 12 0 RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0 SHOWER, SINGLE STALL 0 0 2 0 sHowER, GANG (NL 4BER OF HEADS)0 0 2 0 SINK: COMMERCTAL/RESIDENTIAL KITCIIEN 1 0 3 3 SINK: COMMERCIAL BAR 0 0 2 0 SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 2 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 1 URINAL, STALL/WALL 0 0 5 0 TOILET, PUBLIC INSTALLATION 0 0 b 0 TOILET, PRTVATE INSTALLATION 2 0 3 b YEAR ANNEXED CREDIT RATE/$I,OOO ASSESSED VALUE 0 2000 2001