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Home My WebLink AboutPermit Building 2003-04-17.,','l i':LA Building/Combination Permit I ssued 'cct, Springfield, OR .l Phone 6 Fax 9 Inspectiorr Line PERMIT NO: COM2003-00208ISSUED: 0411712003APPLIEDz 0312612003 EXPIRESz 0112812004VALUE: $ 66,841.00 IISS: 628 14th St 'i PARCEL NO.: 1703362301701 'ESCRIPTION: SingleFamilyResidence SPRINGFIELD EUGENE HABITAT FOR HUMA O BOX 4:'9 SPRINGFIELD OR 97477 "'rvpe Springfield TYPE OF WORJC Single Family Residence TYPE OF USE: New Residential Contractor License SPRINGFIELD EUGENE HABITAT FOR HUl\ OREGON ELECTRIC SERVICE 38001 NIARSHALLS INC 25790 OWNER Expiration Date 0911412004 t2t23t2003 Phone 541-741-1707 541-343-1681 541-747-7445 'l s: 'rrpancy Group: '.'cupancy Group: rstruction Type 'onstructiun'fvpe: rlS: -TBACKS back: ris: rvcmcnts: 'Available: rrction: # ofStories: I Height of Structure 16.00 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Gas Energy Path: Path I Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: 596 1 R-3 u-1 \rN ., 5,366 c k:tbac k: li; 20.00 7.00 14.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Yo ofLot Coverage: REQUIRED PARKING Total: 2 Handicapped: Compact: 0 No 11.0067.00 21.00 Gravel Sidewalk Type: Yes Downspouts/Drains: Curb and Gutter Storm drainage to go to E Street via pvt easement. Sanitary sewer to 8' in the alley. Applicant plans to apply for Encroachment permit separately, no fee inlcuded in permit. DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Paee I of4 EF ! DUILUII\(J rNr t KrVrA..t 42N_.] ti -72 7- we 1: t'l 'l t', i//o. ! atl; lr. I nl. ritl' rl.: 'nl 'tI l:l It .LO Building/Combination Permit Issued ''eet, Springfield, OR I Phone 6 Fax ) Inspection Line PERMIT NO: COM2003-00208ISSUED: 0411712003 APPLIEDT 0312612003 EXPIRES: 01/2812004VALUE: $ 66,841.00 Tvpe of Construction V \\/ood Frame $ Per Sq Ft Square Footage or multiplier or Bid Amount $74.60 896.00 Total Value of Project Amount Paid Date Paid Value $66,841.60 $66,841.60 Date Calculated 03t26t2003 rtion rv Residential :rl Issuancc Fee- :rinistrative Fce 'Surcharge '& Trvo Family ,Assignment )79 or Beforc .lrmit t 'rods rp to 100,000 btu s 1-4 \dj ustmen t \ Tcchanical v - Planning 'rver - Improvcment 'rvcr - Reinrt',r rsement !C Adminis'r'rtion IC Improvcrnent lC Rcimburscment rr1,/Storm Admin po Admin 1lo Improve rncnt 1to Rcimbtr: r ,,'nrcnt 'nage Impcrvious Area rc Single IxrrrilY rinistrativt 'c S u rchargc ,\/iring 1000 Sq Ft Receipt Number r200200000000000871 2200200000000000755 2200200000000000755 22002000000000007ss 22002000000000007ss 2200200000000000755 2200200000000000755 220020000000000075s 22002000000000007ss 2200200000000000755 2200200000000000755 22002000000000007ss 220020000000000075s 22002000000000007s5 2200200000000000755 22002000000000007ss 22002000000000007ss 22002000000000007ss 2200200000000000755 2200200000000000755 2200200000000000755 22002000000000007ss 2200200000000000755 22002000000000007ss 22002000000000007ss 22002000000000007ss r200200000000002068 1200200000000002068 1200200000000002068 $281.48 $10.00 $62.70 $43.89 $r4s.00 $8.00 $-49.90 $436.9s $6.00 $9.00 $12.00 $4.00 $2.00 $s9.00 s218.27 $287.17 $10.00 $34.83 $332.86 $s4.00 $s1.s4 $709.81 $160.87 $406.93 $12.00 $1,000.00 $10.60 s7.42 $r06.00 3t24t03 4n7t03 4n7t03 4tr7t03 4n7t03 4n7t03 4fi7t03 4fi7t03 4n7t03 4lt7t03 4n7t03 4n7103 4fi7103 4n7t03 4fi7t03 4n7t03 4lt7t03 4n7t03 4n7t03 4n7t03 4n7t03 4n7t03 4n7t03 4fi7t03 4n7103 4tr7t03 9tst03 9t5t03 9tst03 Epps Pqid I-otal Amourrt Paid s4,432.42 Paee 2 of 4 Plan Reviews Valuation Descrintion I ELD Issued 'rect, Springlicld, OR 3 Phone 16 Fax ,9 Inspection T.ine L'\l' 'cview l<s Rcview ''lis Rcviov 'rlct'icrv Building/Combination Permit PERMIT NO: COM2003-00208ISSUED: 0411712003APPLIEDz 0312612003 EXPIRESz 0112812004VALUE: $ 66,841.00 APP 04nu2003 04fiU2003 APP TCM st an ins;rtction call the24 hour recording at 726-3769, AII inspection requested before 7:00 a.m. rtle the sarrrc working day, inspections requested after 7:00 a.m. will be made the following work ,' Illcctrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or l:rtion inspcction. r,l: After trcnches are excavated. rl:rlion: Ali'"' lbrms are erected but prior to concrete placement. .rucl Bcanr: 'or to floor insulation or decking. ' Iusulaliorr: 'r'ior to decking. ring Inspcctirrn: Prior to cover and after all rough in inspections have been approved. ' lnsulation: l'rior to coYer. ng Insulation: Prior to cover. vall: Prior to taping. t lluilding: ,\ I'ter all required inspections have been requested and approved and the building is complete. 'r'lloor Plurr'' "rg: Prior to insulation or decking. r''loor Drlri": l'rior to cover or placement of concrete. I I)lumbir',': "rior to cover and including required testing. l l-ine: l'r ' 'o filling trench and including required testing. rrry Scrycr : ,': Prior to filling trench and including required testing. :r Snver l.i : Prior to filling trench. l'lrrnrbirrg: "'hen all plumbing work is complete. 1:lcctrical (l r rrrnd: Install ground rod at footing and call for inspection in conjunction with footing andlof t:tliolt inspr:,' irln. nl,: After tr'. "ches are excavated. rl r(ion: Al' 'brms are erected but prior to concrete placement. ,r' rl Bcam: irlr to floor insulation or decking.' rsulatiorr: r'ior to decking. i g Inspec' ' : Prior to cover and after all rough in inspections have been approved. Paee 3 of 4 03t26t2003 03t26t2003 04t0212003 04t04t2003 EMM VRJ 03t25t2003 03t26t2003 APP LLH Address needs to be visible from 14th Street. I will contact Traffic for a street sign to identify address on 14th Street. House numbers must be plainly visible and legible from the alley. Minimum driveway width is 12 feet Alley improvement issues, waiting for more information from city staff, Contacted Lea of Habitat for Humanity. Storm drainage to go to E Street via pvt easement. Sanitary sewer to 8' in the alley. Applicant plans to apply for Encroachment permit separately, no fee inlcuded in permit. WI 04t02t2003 04n0t2003 APP VRJ .'ff ) Keouired lnsDectlons : i., t;txt!&Lar:l -{,Building/C ombination Permit Issued t rcct, Springlicld, OR i3 Phone -6 Fax ') Inspectiorr I.ine PERMIT NO: COM2003-00208ISSUED: 0411712003APPLIED: 0312612003EXPIRESz 0112812004VALUE: $ 66,841.00 ' rsulatior,' 'ior to coyer. :l InsuLrli : Prior to cover. ,r: 'l: Prior t rping. ,l l;uilding: , ..cr all required inspections have been requested and approved and the building is complete. crlloor Plunr' ing: Prior to insulation or decking. r.rl'loor Dr:r' i'rior to cover or placement of concrete. ih I'}lumbing: i'rior to cover and including required testing. ,r l.ine: Prior to filling trench and including required testing. 'r ''r' Sqvcr I 'e: Prior to filling trench and including required testing. r Sovcr Li : l'rior to filling trench. Irrnrbirrr:: hen all plumbing work is complete. loor Nl ' '":' 'ical. Prior to insulation or decking and including required testing. Gas: r\ I ine is installed and required testing and capped if not attached to an appliance. S' 'r'icc: Al ine is installed and line has been connected to a minimum of one appliance including required rrg. Presurc t done at this point. ,rh Jlechanr : Prior to Coyer I (l:rs: \\'lr I gas work is complete. I r\ Icclranicr' : 'Vhen all mechanical work is complete. ,lr lilcctric: ior to Cover ".' Scrviclrproval required prior to utility company energizing service. lcctric: \ 'r all electrical work is complete. . I statc Br: t ,r"psso that I have carefully examined the completed application and do hereby certify that atl . i .'rcon is t r .rnd correct, and I further certify that any and all work performed shall be done in accordance with r ct's ol' t hc ( .' of Springfield and the Laws of the State of Oregon pertaining to the work described herein, andCUI',\NC' !l be made of any structure without permission of the Community Services Division, Building Safety.'li,'v tltat r. rntractors and employees who are in compliance with ORS 701.005 wilt be used on this project. ''t'r' to cnst: 'rt all required inspections are requested at the proper time, that each address is readable from the'r ' pct'tttit ' is located at the front of the property, and the approved set of plans will remain on the site at all .r rtst ruc r, Iraclors. rrlture Date Page 4 of 4 225 Fifth Strret i, r inglield, Orcgon 97177 541-726-3759 Phone Citv of Springfield Official Receipt I)evclop u lent Services Department Pr:blic Works Department : ,l()0UU(l :i I)ate: 09i05/20U3 I 0uflt rr tttltcr rltl Arnount coM2003-00208 coM2003-00208 coM2003-00208 Residence Wiring 1000 Sq Ft + 1oh Stale Surcharge + l0%o Adminiskative Fee 106.00 7.42 10.60 Item Total:s124.02 Payments Received By Chec-[TIum5er Batch NumberType of Payment Paid By Authorization Number How Received Amount Paid Check SPFD EUG HABITAT djb In Person Payment Total: $124.02 s124.02 ( ( *Fr*ruatl5l.a la..tu 22.5 FIFTH STREET SPRINGFELD, OREGON 97477 INSPECTION REQUEST:'t 76-3'7 69 OFFICE: 726-3'7s9 ELECTzuCi' PERMIT APPLI CATI ON CitY Job Number cd'vrzoo 5 -<) C''ZA Y 3. COMPLETE FEE SCHEDULE BELOW LOCATION OF INSTALLATION-5'ZZ lL/!* s+- LEGAI DESCRIPTION l7 0 s3 {, 23 JOB DESCRIPTIONtlACr}*r rtottV' A. New Resi or per dwelling urut. 00 Each Manufd Home or Modular Dwelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less amps to 400 amps amps to 600 t0R CITO I Items Cost Sum $ 106.00 /o6 Permits are non-transferable and if q,ork rs not started within 180 days of rssuance or if work is suspended for !,"10' 180 days."d _s19oo $ 50.00 $ 63.00 $ 75.00 $ 125.00 $ 163.00 $3 7 5.00 $ 50.00 ss0.00 s69.00 $100 00 $300 [--Jr' 2 CONTRACTOR INSTALLATION ONLY Etectrical con08fffiE P,0, Box 2237ooo"" EUGEI{E; oR g74oa Crn Phorrq39S:-lb8/ Supen'isor License Number , .aaS- S 20r 401 601 $'-[\ =YL',\l$1 r A-\l Sign of Supervising Electncian Owners *rn. gPFS lere-lps!,7 Bo/ Alterati or Feeders .on or Relocation 200 amps or less 20i amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts see "B" abovg ,,,.1u,,es.1""1..il Bra4ch Circiii^t{- 6r,, got',1 i r cr or Feeder Permit Miscellareous (Service/feeder not included) -Each installation Pump or imgation Sigr/Outline Lighting_ Limited Energy/Res Limited Energy/Comm New, Aiteration or Extension Per Panel One Circuit 543.00 Each Additional Circuit or with Service C. Constr Contr Number .\?aO / . ,,\'\\'\ Expiration o*" 9 -14 -o4 "i\N1 Ad ()Ll 88 \'::. A\ \s' o Crtl'I P/=I phone OWNER INSTALLATION The instailation is being made on propeffy I own which is not intended for sale, lease or rent. E. 5. SLTBTOTAL OF ABOVE 7% State Surcharge 8% Administrative Fee nU(OU $50.00 $s0.00 $25 00 $45.00 toL Orvners Signanre TOTAL IZLI * Expirauon oate / O- Ot ' 4 '"Y)'l'- i.o' -----qz- - t ocd- MEMORANDUM DATE: FROM: Walt Meyer May 16,2003 Steve Graham Project No.: COM 2003-00208 TO SUBJECT: As we discussed yesterday, the drainage from the roof needs to be pumped to the street. The design storm that you indicated needs to be conveyed is a storm with an intensity of two inches per hour. Based on this storm, a sump pump with a capacity of 1,500 gallons per hour will be necessary. For you information, the following are enclosed: 1. Calculation to establish the runoff from the roof surface that will drain to the sump. 2. A sketch showing the discharge end of the pressure pipe. This follows the approach we discussed whereby the pressure line will terminate into the top of a 3-inch gravity line. 3. System headloss calculations for the discharge line. 4. System curve and pump curve that shows that the selected pump will discharge about 1,800 gallons per hour for the conditions we expect at the site. 5. Information for the pump (FPSE2800A). The only outstanding issue relates to the design of the sump. I would like to get a sump with about 50 gallons of usable capacity and need to look around for what is available. Please give me a call if you have any questions, need additional information, or need to make modifications to the proposed system. You can reach me at 43I-1280 during the day. Calculations for Roof Drainage Habitat for Humanity House at 62814th Street :,\g f,002 I I nvtl -d./\I'JiJ'dU Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line B uilding/Com bin a tion P ermit PERMIT NO: COM2003-00208ISSUED: 0411712003APPLIED: 0312612003EXPIRES: 1011712003VALUE: $ 66,841.00 SITE ADDRESS: 62814th St ASSESSOR'SPARCELNO.: 1703362301701 PROJECT DESCRIPTION: Single Family Residence OwNET: SPRINGFIELD EUGENE IIABITAT FoRHUMA Address: PO BOX 488 SPRINGFIELD OR 97477 Contractor Type General Owner Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential :Oregon law requtres You lu adopted by the oregon UtilityContractor Notiil{igl*rccen&rpTffioilrDfiere Bnbhflf SPRINGFIELD EUGENE HABITAT FoR HI@AR 952-OO1-0010 through OAB $i&ffl1tzoz # of Buildings: 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: Street Improvements: Storm Sewer Available: Special Instruction: Notes: SPRINGFIELD EUGENE HABITAT FOR You obtain es ol the rules b! REQUIRED PARIflNG s96 VNSpr I R-3 u-1 , c€n rforthe Oregon UtilitY Notitication # of Stories: CentPris Ldffi&32-2344\ Height of Structure 16.00 Sq Ft lst Floor: Type of Heat: Forced Air Gas Sq Ft 2nd Floor: Water Type: Gas Sq Ft Basement: Range Type: Gas Sq Ft Garage/Carport Energy Path: Path 1 Sq Ft Other: Impervious Surface Area: 5,366 ,, NOTICE: 20.00 7.00 14.00 overlay Dist: -l irI:; I)I i.ii\4lT SHALL EXPIRETpfFHE !1/!nK # Street trees \g{i i,,,,.., .:,riJ UNDEfl THIS pmffifi"?ppe{fi Paved Drive *{[ i.i'), t. \ i, L r] 0 R rsdBAN Dfrfttiri? i " ohofLot Coverlggy 180 ilA./ PtfltQCI.67.00 2r.00 Gravel Sidewalk Type: Yes Downspouts/Drains: Curb and Gutter Storm drainage to go to E Street via pvt easement. Sanitary sewer to 8'in the alley. Applicant plans to apply for Encroachment permit separately, no fee inlcuded in permit. Description Type of Construction $ Per Sq Ft Square Footage DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Page 1 of4 Value Date Calculated _f t}.J 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: COM2003-00208ISSUED: 0411712003APPLIEDz 03126t2003EXPIRESz 10117t2003VALUE: $ 66,841.00 Dwellings V Wood Frame Fee Description PIan Review Residential -Mechanical Issuance Fee- + l0o/o Administrative Fee + 7Vo State Surcharge I Bath One & Two Family Addressing Assignment Annexed 1979 or Before Building Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Gas Outlets 1-4 Minimum/Adj ustment Mechanical Plan Review - Planning 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 Storm Drainage Impervious Area Vent Fan Willamalane Single Family Total Amount Paid $74.60 896.00 Total Value of Project Date Pai $66,841.60 $66,841.60 03t26t2003 Amount Paid Receipt Number 1200200000000000871 2200200000000000755 2200200000000000755 2200200000000000755 22002000000000007ss 2200200000000000755 2200200000000000755 22002000000000007ss 22002000000000007ss 2200200000000000755 22002000000000007ss 220020000000000075s 2200200000000000755 2200200000000000755 22002000000000007ss 2200200000000000755 22002000000000007ss 22002000000000007ss 2200200000000000755 2200200000000000755 220020000000000075s 22002000000000007s5 22002000000000007ss 220020000000000075s 22002000000000007ss 22002000000000007s5 $281.48 $r0.00 $62.70 $43.89 $14s.00 $8.00 $-49.90 $436.9s $6.00 $9.00 $12.00 $4.00 $2.00 $s9.00 $218.27 $287.17 $10.00 $34.83 $332.86 $54.00 $51.54 $709.81 $160.87 $406.93 $12.00 $1,000.00 3t24t03 4n7t03 4n7t03 4n7t03 4n7t03 4n7t03 4n7t03 4lt7t03 4lt7l03 4n7t03 4fi7103 4n7103 4n7t03 4n7t03 4n7t03 4n7t03 4n7t03 4n7t03 4n7t03 4fi7t03 4n7t03 4n7t03 4n7t03 4n7103 4lt7t03 4n7t03 $4,308.40 tr'ees Pnid Plan Reviews Initial Review Planning Review Public Works Review 03t25t2003 03t26t2003 APP LLH Address needs to be visible from 14th Street. I will contact Traffic for a street sign to identify address on l4th Street. House numbers must be plainly visible and legible from the alley. Minimum driveway width is 12 feet Alley improvement issues, waiting for more information from city staff. Contacted Lea of Habitat for Humanity. WI 03t26t2003 03t26t2003 04t02t2003 04t04t2003 APP EMM VRJ Paee 2 of 4 \r1. 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: COM2003-00208ISSUED: 0411712003 APPLIEDz 0312612003 EXPIRESz 1011712003VALUE: $ 66,841.00 Public Works Review 04t0212003 04n0t2003 APP vRJ Storm drainage to go to E Street via pvt easement. Sanitary sewer to 8' in the alley. Applicant plans to apply for Encroachment permit separately, no fee inlcuded in permit. Structural Review 04nu2003 04nu2003 APP TCM 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. I 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. 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. 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 lilling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing 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. 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. 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. Page 3 of 4 2 3 4 5 6 7 8 9 10 11 t2 13 t4 15 t6 t7 18 19 20 2t 22 23 24 25 26 27 28 29 30 31 32 33 34 E Reouired lnsDecttons 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: COM2003-00208ISSUED: 0411712003 APPLIEDz 0312612003 EXPIRESz 1011712003VALUE: $ 66,841.00 35 Underfloor Mechanical. Prior to insulation or decking and including required testing. 36 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 37 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. 38 Rough Mechanical: Prior to Cover 39 Final Gas: When all gas work is complete. 40 Final Mechanical: When all mechanical work is complete. 4l Rough Electric: Prior to Cover 42 Electric Service: Approval required prior to utility company energizing service. 43 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 construction. o 14/"] Owner or Contractors Signature Date Pase 4 of 4 [_3 4/17/2003 I l:53:35AM City of Springfield Development Services Department Public Works Department Oflicial Receipt 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Receipt #: 2200200000000000755 Date: 0411712003 coM2003-00208 coM2003-00208 coM2003-00208 coM2003-00208 coM2003-00208 coM2003-00208 coM2003-00208 coM2003-00208 coM2003-00208 coM2003-00208 I Bath One & Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Gas Outlets 1-4 Minimum/Adj ustrnent Mechanical -Mechanical Issuance Fee- + 7%o State Surcharge + l0%o Administrative Fee 145.00 12.00 12.00 9.00 6.00 4.00 2.00 10.00 43.89 62.70 Line Item Total:$4,026.92 Payments Type ofPayment Paid By Received By Check Number Confirm No How Received Amount Paid Check HABITAT FOR HUMANITY ddk In Person 4,026.92 Page 2 of 2 Total: cReceipt.rpt sslfils lFtRl*$} 225 Fifth Street Springfield, OR 97477 Fees Associated With Casc #: COM2003-00208 628 t4th St SPI].INGFIELD ET]GI 4il1t2003 8:09:064M 541-726-1753 Phone 541-726-3676 Far 54 I -7 26-3 7 69 I nspection L ine Descrip tion Trans (lode Reven uc Account Number Date Calcu lated Origin al Amount l)u c Addressing Assignrnent Willamalane Single Fam ily Plan Review Residential Plan Review - Planning Storrn Drainage Irnpervious Arca Sanitary Sewer - Reirnbursement Sanitary Sewer - lmprovernent SDC Transpo Reirnbursernent SDC Transpo lrnprovernent SDC MWMC Reimbursernent SDC MWMC lrnprovernent SDC MWMC Adrn inistration SDC Sanitary/Stonn Adrn in SDC Tlanspo Adrnin Annexed 1979 or Before Building Pernrit I Bath One & Two Farnily Furnace - up to 1 00,000 btu Vent Fan Exhaust Hoods Dryer Vent Gas Outlets l-4 M in imLrrn/Ad-iustrnent Mechan ical -Mechanical Issuance Fee- + 1oh State Surcharge + l0o Administrative Fee I 020 t074 l06l 123 I I 070 l09l 1092 I 093 1094 I0-55 r 055 I 056 t079 I 078 I 054 I 002 I 005 I 006 I 006 I 006 r 006 I 006 I 006 I 087 I 099 r 098 8.00 r,000.00 28t.48 59.00 406.93 281.t] 218.27 r60.87 709.81 332.86 34.83 r0.00 54.00 5 1.54 -49.90 436.95 145.00 t2.00 t2.00 9.00 6.00 4.00 2.00 r0.00 43.89 62.70 | 00-00000-425602 821-00000-2r5023 I 00-00000-425602 I 00-00000-425002 436-00000-448028 436-00000-448024 43 6-00000-44 8025 43 5-00000-448026 43 5-00000-448027 437 -00000-448024 43 7-00000-448025 6l l-00000-426604 436-00000-426604 435-00000-426604 437 -00000-448024 I 00-00000-425602 I 00-00000-425602 I 00-00000-425602 I 00-00000-425602 I 00-00000-425602 I 00-00000-425602 I 00-00000-425602 r 00-00000-425602 I 00-00000-425602 821-00000-2r5004 I 00-00000-426605 312612003 3t26t2003 312612003 412t2003 411012003 4lt0/2003 41t012003 41t012003 411012003 41t0t2003 41t012003 41t012003 4il0t2003 411012003 411012003 4lt I12003 4il t 12003 4n t 12003 4/t I12003 41'l12003 4lt I12003 4lt I12003 4^ I t2003 4il | 12003 4lt I12003 4lt I12003 8.00 1,000.00 0.00 59.00 406.93 287.17 218.21 r60.87 709.81 332.86 34.83 t0.00 54.00 51.54 -49.90 436.95 145.00 12.00 12.00 9.00 6.00 4.00 2.00 t0.00 43.89 62.70 s4,026.92 lofl 'f otal Du e: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING TINITS 10142 Sprinefield JOURNAL OR JOB NUMBER: Com2003-00208 Habitat for Humanity SINGLE FAMILY RESIDENCE 628 14th Street 17033623 tl 1701 BUTLDTNG SIZE (SF. 896 LOT SIZE (SF): COST PER S.F s0.282 CHARGE $406.93 IMPERVIOUS S.F 0.00 COST PER S.F s0.282 DISCOUNT RATE 50% DISCOUNT $0.00 $406.93ITEM I TOTAL - STORM DRAINAGE SDC xx I rMPERVrous s,F. I t +ar.oo x AND CONSTRUCTED TO CIry STANDARDSRTINOFF ROUTED TO DRYWELL DESIGNED 1. STORM DRAINAGE DIRECT RL]NOFF TO CIry STORM SYSTEM NUMBER OF DFU'S t3 COST PER DFU $22.09 NUMBER OF DFU's l3 COST PER DFU s 16.79 $505.44 B. IMPROVEMENT COST: ITEM 2 TOTAL - CITY SANITARY SEWER SDC x x 2. SANITARY SEWER - CITY A. REIMBURSEMENTCOST: ADT TRIP RATE 9.57 NUMBER OF UNITS I COST PER TRIP $t6.8r NEW TRIP FACTOR r.00 ADT TRIP RATE 9.57 NUMBER OF UNITS I COST PER TRIP s74.1'7 NEW TRIP FACTOR 1.00 $870.68 B. IMPROVEMENT COST: ITEM 3 TOTAL - TRANSPORTATION SDC xxx xx = I $7oe.8l 3. TRANSPORTATION A. REIMBURSEMENTCOST: NUMBER OF FEU's I NUMBER OF FEU'S I MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SD( =s327.79 COST PER FEU s332.86 COST PER FEU $34.83 B. IMPROVEMENT COST: x x : I ($4e.eo) 4. SANITARY SEWER - MWMC A. REIMBURSEMENTCOST: 110.84SUBToTAL (ADD ITEMS 1,2,3, & 4) SUBTOTAL $2,1 10.84 ADM. FEE RATE 5% CHARGE $ I 05.54 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: 5. ADMINISTRATIVE FEE: x I 54.00 Virginia Jurasevich 4110t2003 TOTAL SDC CHARGES PREPARED BY DATE CITY OF SPRINGFIELD SYSTEMS DEVELOPM ENT WORKSHEET aHar- U rl]Fa ri rr.l& I 070 1091 1092 I 093 1094 I 055 I 056 I 079 1078 l-$4'6e55- DRAINAGE FIXTURE UNIT CALCULATION TABLEUIU NUMBER OF NEW FXTURES x TINIT EQUIVALENT = DRAINAGE FIXTURE LNITS DRAINAGE FIXTURE I.INITS NO. OF FIXTURES FIXTURE ryPE NEW OLD ONLY THE NET ADDITIONAI FIXTURES)(NOTE: FOR REMODELS, CALCULATE UNIT EQUIVALENT BATHTUB 1 0 3 3 DRINKING FOI]NTAIN 0 0 1 0 FLOOR DRAIN U 0 3 0 INTERCEPTORS FOR CREASE / OIL / SOLIDS i ETC.0 0 3 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6 0 LAUNDRY TUB 0 0 2 0 CLOTHESWASHER / MOP SINK 1 0 3 3 CLoTHESWASHER - 3 OR MORE (EA)0 0 b 0 MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0 RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0 SHOWER, SINGLE STALL 0 0 2 0 SHOWER, GANG (NUMBER OF HEADS)0 0 2 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 3 SINK:COMMERCIAL BAR 0 0 2 0 SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 0 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 1 URINAL, STALL / WALL 0 0 5 0 TOILET, PUBLIC INSTALLATION 0 0 6 0 TOILET, PRIVATE INSTALLATION 1 0 3 3 l3 toa set at I 67 20 0 unit MISCELLANEOUS DFU ryPE NUMBER OF EDU'S TOTAL DRAINAGE FIXTURE UNITS tEDU ls a MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED CREDIT RATE/$I,OOO ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIP (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR I 0 t979 CREDIT FOR LAND (IF APPLICABLE) VALUE / IOOO $t0.14 CREDIT RATE s4.92x CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE/ IOOO CREDITRATE $0.00 x $4.92 TOTAL MWMC CREDIT BEFORE I979 s4.92 1979 $4.92 I 980 $4.83 l98t s4.77 1982 $4.64 1983 $4.47 1984 $4.30 1985 $4.09 1986 $3.78 1987 $3.41 I 988 $2.98 1989 s2.52 I 990 s2.06 199 I $r.64 1992 s1.45 1993 st.3l 1994 s l.l3 1995 s0.97 't996 s0.82 1997 s0.63 1998 s0.41 I 999 s0.22 2000 s0.04 : l-d- l-$-4qro-