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Home My WebLink AboutPermit Building 2006-07-19Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line FIELD Building/Combination Permit PERMIT NO: COM2006-00663ISSUED: 0711912006APPLIED: 06/0112006EXPIRES: 0112012007VALUE: $ 169,976.00 SITE ADDRESS: 621 S 34th St ASSESSOR'S PARCEL NO.: KIM TENTATIVE PLAT PROJECT DESCRIPTION: Single family residence - Kims subd lot 2 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential Phone Number: 541- License Expiration Date Phone Owner: Address: Contractor Type General Electrical Plumbing BILL CARNAHAN I135 CAL YOUNC EUGENE OR 97402 Contractor OWNER SOURCE ELECTRICAL INC TOMS PLUMBING SERVICE 160918 159425 07t28t2006 05n2t2008 541-520-6466 541-607-8879 CONTRACTOR INFORMATI( # 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: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh oILot Coverage: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 8,516 764 840 430 )I R-3 U VN 25.00 Wall Heat Electric Electric Path 1 nla 3 30.00 10.00 r4.00 30.00 22.50 0 Yes 14.00 Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: 2 Handicapped: Compact: Drywell - Provide Drywell Engineering Gravel No DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Notes: Stormwater to drywell. Pase I of4 -:-a 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: COM2006-00663ISSUED: 0711912006APPLIED: 06/0112006 EXPIRESz 0112012007VALUE: $ 169,976.00 Description Dwellings Garage Tvpe of Construction V Wood Frame Garage $ Per Sq Ft or multiplier $99.00 $26.00 Square Footage or Bid Amount 1,604.00 430.00 Value $158,796.00 $11,180.00 $169,976.00 Date Calculated 06t0y2006 06t0,/2006 Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0o/o Administrative Fee + 87o State Surcharge 3 Baths One & Two Family Addressing Assignment Building Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Minimum/Adj ustment Mechanical Plan Review Major - Planning 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 Storm Drainage Impervious Area Vent Fan Willamalane Single Family + l0oh Administrative Fee + 8% State Surcharge Temp Power 200 amps or less Amount Paid Total Value of Project Date Paid Receipt Number 3200600000000000287 1200600000000001 100 1200600000000001 100 1200600000000001 100 I 200600000000001 1 00 1200600000000001 100 r200600000000001 100 1200600000000001 100 I 20060000000000 I I 00 1200600000000001 100 1200600000000001 100 1 20060000000000r I 00 r200600000000001 100 1200600000000001 100 1200600000000001 100 1 200600000000001 I 00 1200600000000001 100 r200600000000001 100 1200600000000001 100 1200600000000001 100 1200600000000001 100 I 20060000000000 I I 00 1200600000000001 100 1200600000000001 100 r 200600000000001 I 00 1200600000000001 100 2200600000000001018 2200600000000001018 2200600000000001018 $5ls.s5 $r 0.00 $140.89 $104.s7 $306.00 $31.00 $793.r5 $6.00 $9.00 $101.70 $6.00 $198.00 $r06.00 $57.00 $s14.89 $676.89 $10.00 $865.31 $82.03 $l16.25 $66.90 $80s.70 $182.69 $s2s.s3 $24.00 $1,000.00 $s.00 $4.00 $50.00 6nt06 7n9t06 7n9t06 7n9t06 7n9/06 7n9t06 7n9t06 7n9t06 7/19t06 7n9t06 7n9t06 7n9t06 7trg106 7n9t06 7n9t06 7n9t06 7n9t06 7n9t06 7n9106 7n9t06 7n9t06 7n9106 7n9t06 7n9t06 7n9t06 7n9t06 7t20t06 7t20t06 7t20t06 Fees Pa Total Amount Paid $7,314.05 Paee 2 of 4 Valuation Description I 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: COM2006-00663ISSUED: 0711912006APPLIED: 06/0112006 EXPIREST 0112012007VALUE: $ 169,976.00 Plan Reviews Initial Review Planning Review Planning Review Public Works Review Public Works Review Structural Review 06t0y2006 07nu2006 0610u2006 07n0t2006 06t0y2006 06t0u2006 07nu2006 06t09t2006 07n0t2006 06n4t2006 WE JLP OK RJB APP APP WE LLH TAJ TAJ 06t0u2006 07n4t2006 APP JLP On hold until plat recorded and 5 paper copies ofplat turned into Planning Approved. Storm to drywell. JLP 7114106 No information available to review (final Plat?) 6/4/06 CAS Waiting for drywell calcs. Hold until provided.JLPT ll0l06 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 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. 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. 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. Renrrired Insnect Page 3 of4 a -: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line FIELD Building/Combination Permit PERMIT NO: COM2006-00663ISSUED: 0711912006APPLIED: 06/0112006EXPIRES: 0112012007VALUE: $ 169,976.00 Storm Sewer Line: Prior to filling trench. 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 Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. 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 : .:rl 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Cif- of Springfield Official Receipt D _ lopment Services Department Public Works Department RECEIPT #: 2200600000000001018 Date: 0712012006 2:20:00PM Job/Journal Number coM2006-00663 coM2006-00663 coM2006-00663 Description + 8% State Surcharge + llyo Administrative Fee Temp Power 200 amps or less Amount Due 4.00 5.00 50.00 Item Total:--s59:m Payments: Type of Payment Paid By Received By Check Number Batch Number Authorizataon Number How Received Amount Paid Check SOURCE ELECTRIC INC djb 917 In Person Payment Total: $59.00 -Bq,:dd' cReceint I Page I of 1 7120120r 2LlFIFTHSTREET . SPRINGFIELD, OR 97477 o PH:(541)72G37J! oFuk(s4t)72G368e ELECT'RICAL PERMIT APPLICATION Date -J -zo - oL? City Job Number COyvtZO .g- oc>6 63 1. I,ACAT'ION OII INS'I'dJ"LA7'ION 3. COMPLETE FEE SCHEDULE BEI,OW bzt 5.rh LEGAL DESCRIPTION A. Nerv Residential - Single or Multi-Family per dwelling unit' ciw Erlq<nc- Puone 5Zo -co"'lbb.--a--Over 1000 AmPsA/olts Reconnect OnlY C. TemporarY Services or F'eeders Installation, Alteration or Relocatlon 200 Amps or less 201 Ampsto400AmPs 401 Amps to 600 AmPs Over 600 AmPs or 1000 Volts D. Brauch Circuits New Alteration or Extension One Circuit Each Additional Circuit or Service or Feeder Permit Pump or irrigation Sigr/Outline Lighting Limited EnergY/Residential Limited EnergY/Commercial 4, SUB'TOTAL OF ASOVE 8% State Surcharge l0% Administrative Fee TOTAL s37s.00 $ 50.00 37855Supervisor License Number Expiration Date I o7 $ 50.00 $ 69.00 $ 100.00 5o . o't Constr. Contr. Number LO -5L qL Expiration Date 1- zlr -oL? Signature of Supervising Electrician lu Owners Name ,l((1rrw,k Address ti{t/, (Cl-1 city h,\Uti/{ Pwne OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: E. Iliseellaneous (.!trvite/frcdcr not.intluOea) -[ aeh lnstallatkrn Lrn with $ 3,00 $ 50.00 $ s0.00 $ 25.00 $ 45.00 5,O - t 5 5q ,oc Minimum Electric Permit Inspection Fee is $45.00 * surcharges oq,\( 6l4A t Inspection Request:7263769 U/b? SharedDrive(T:)/BuildingForms/ElectricalPermitApplicationl46.doc CIrY. AF SPRINCffE LD, A REGO;\I sp&rru5tsr{L*t &, K.ttn.. 16rr. ?*T cor L Service Included 1000 sq. ft. or less Each additional 500JOB DESCRIPTION Permits are and expire if work is not started within 180 days of issuance or if work is o{{ $50.00 Suspended for 180 daYs.to\\-001 0 ^\es o $106.00 $ 19.00 $ 63.00 $ 7s.00 $125.00 Irist4llrtlonr .rriterations or Relocatio*:,CAN'{RAC'T'AR TN S'|AT-IA7'ION ON LY'\nO Electrical C'onhactor Sour ro 6l L {ott nofl o,1 - frA\ Address 34toS S&.rk Sl -401 to 600 Amps 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: COM2006-00663ISSUED: 0711912006APPLIED: 06/0112006EXPIRES: 0111912007VALUE: $ 169,976.00 SITE ADDRESS: 621 S 34th St ASSESSOR'S PARCEL NO.: KIM TENTATIVE PLAT PROJECT DESCRIPTION: Single family residence - Kims subd lot 2 Springfield TYPE OF WORK: Single Famity Residence TYPE OF USE: New Residential Phone Number: 541 License Expiration Date Phone Owner: Address: Contractor Type General Electrical Plumbing BILL CARNAHAN II35 CAL YOUNG EUGENE OR 97402 Contractor OWNER SOURCE ELECTRICAL INC TOMS PLUMBING SERVICE INC 160918 159425 07/28t2006 05n2t2008 541-520-6466 541-607-8879 CONTRACTOR INFORMATION )RMATION # 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: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh ofLot Coverage: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 8,516 764 840 430 I R-3 U VN 2 25.00 Wall Heat Electric Electric Path 1 nla 3 30.00 10.00 14.00 30.00 22.50 0 Yes 14.00 Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: 2 Handicapped: Compact: s you totn_Utitity Gravel No DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Notes: Stormwater to drywell. Pase I of4 tb f}.l jAJI/otu.^ :RMIT lS N0I )NED FOR ! I Status lssued 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: COM2006-00663ISSUED: 0711912006APPLIED: 06/0112006EXPIRES: 0111912007VALUE: $ 169,976.00 Plan Description Dwellings Garage Tvpe of Construction V Wood Frame Garage $ Per Sq Ft or multiplier $99.00 $26.00 Square Footage or Bid Amount 1,604.00 430.00 Value $158,796.00 $l1,180.00 $169,976.00 Date Calculated 06t01/2006 06t0u2006 Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0oh Administrative Fee + 87o State Surcharge 3 Baths One & Two Family Addressing Assignment Building Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Minimum/Adj ustment Mechanical Plan Review Major - Planning 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 Storm Drainage Impenious Area Vent Fan Willamalane Single Family Total Amount Paid Amount Paid $5 r 5.tt $10.00 $140.89 $104.57 $306.00 $3r.00 $793.15 $6.00 $9.00 $101.70 $6.00 $198.00 $106.00 $57.00 $514.89 $676.89 $r0.00 $865.31 $82.03 $116.25 $66.90 s805.70 $182.69 $525.53 $24.00 $1,000.00 $7,255.05 Total Value of Project Date Paid 6fi106 7n9t06 7/19t06 7n9t06 7n9t06 7n9t06 7/19t06 7n9t06 7n9t06 7n9t06 7trgt06 7n9t06 7n9t06 7figt06 7n9t06 7/19t06 7n9t06 7n9t06 7n9t06 7n9t06 7n9t06 7n9t06 7n9t06 7n9t06 7ltgt06 7n9/06 Receipt Number 3200600000000000287 r 20060000000000 I I 00 1200600000000001 100 1200600000000001 100 1200600000000001 100 1200600000000001 100 120060000000000r 100 1200600000000001 100 r200600000000001 100 120060000000000r 100 1200600000000001 100 1200600000000001 100 1200600000000001 100 1200600000000001 100 1200600000000001 100 1200600000000001 100 1200600000000001 100 1 200600000000001 1 00 120060000000000r 100 I 200600000000001 I 00 I 20060000000000r r 00 120060000000000r 100 1200600000000001 100 1200600000000001 100 1200600000000001 100 1200600000000001 100 Fees Paid Initial Review Planning Review 06t0u2006 0711112006 06t0u2006 07nU2006 APP APP LLH TAJ Pase 2 of 4 Valuation Descrintion I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line FS Building/Combination Permit PERMIT NO: COM2006-00663ISSUED: 0711912006APPLIEDz 0610112006EXPIRES: 0l/1912007VALUE: $ 169,976.00 Planning Review Public Works Review Public Works Review Structural Review 06t01/2006 06t09t2006 wE TAJ 06t0U2006 07n4/2006 APP JLP On hold until plat recorded and 5 paper copies ofplat turned into Planning Approved. Storm to drywell. JLP 7114106 No information available to review (final Plat?) 614106 CAS Waiting for drywell calcs. Hold until provided.JLPT ll0106 07/1012006 06t0u2006 07/10t2006 06n4t2006 WE JLP RJBOK To Request an inspection call the 24 hour recording at 726-3769. AII 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. 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 coYer. 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. 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. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Paee 3 of4 Keourred Insnecttons I 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: COM2006-00663ISSUED: 0711912006APPLIED: 06i0112006EXPIRES: 0111912007VALUE: $ 169,976.00 Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. 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 70f .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. 'ffirrilu)o,w 1-/1-06 *f r, *"r*"to.s SignatJe Date Pase 4 of 4 225 FIFTH STREET . SPRINGFIELD, OR97477 r PH:(541)726-3753 o FAX: (541)726'3689 E LECTRI CAL P E RMIT AP P LI CATI O N Ciry Job Number 3 Date 7't'i'Ob 1. LOCA'TION OF INSI'ALIAT'ION CAMPLET-E T-EE SCIIEDLiLE BELAW' LEGAL DESCRIPTION , JOB DESCRIPTION \k#uf \rL \ s. jAdl\ Sf A. n-ew Residential - Single or.illulti-Family per drvelling unit. ffiTT:::i:l \ $,0600ud . Z $ te.oo ed, 3 NOTI THI p+ffitfflp' to 600 Amps $s0.00 50.00 50.00 25.00 45.00 a Each additional500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Permits non-transferable if rryork is " not started within 180 days of issuance or if work is Suspended for 180 daYs. 7 Electrical Contractor Soqrcz Et e rtr, t Address 3tlO 5 6)r^rY-31. City e'Phone 20 - c!4 (/ Supervisor License Number 3 zt5 Expiration Date 16 -l -o7 Constr. Contr. Number Expiration Date 1-l-D tt Signature of Supervising Electrician tu Owners Name Address City Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: JND m{w ABAND0NED FOR- $63'00 $ 75.00 $ r2s.00 $ 163.00 $37s.00 $ s0.00 ffi{$tr^fu 601 Amps to 1000 AmPs Over 1000 Amps/Volts Reconnect Only C. Temporary Serl'ices or Feetlers Installation, Alteration or Relocation A rraqq fruffi:t5 s s0.00 foll iaw requlIeDTOIITO- $ 69.00 Notifi e Orego'nlJtitity $ 100.00rules areeetffii' in OAFL0E&0DA{S1O 00eb. call numl Service or Feeder Permit $ 43.00 $ 3.00 E. ).- Pump or irrigation Sigrr/Outline Lighting Limited Energy,/Residential Limited Energy/Commercial Minimum Electric Permit Inspection Fee is $45.00 + Surcharges $ $ $ $ 7o/o State Surcharge l0% Administrative Fee TOTALInspection Request: 726-3769 4. Shared Driv(T:)/Building Forms/Electrical Permit Application I 43'doc U lb}q( JOURNAL OR JOB NUMBER: NAMEORCOMPANY: LOCATION: TAX LOTNUMBER: DEVELOPMENT TYPE: NEW DWELLTNG UMTS I. STORM DRAINAGE DIRECT RLTNOFF TO CIry STORM SYSTEM CITY OF SPRINGFIELD SYSTEMS DEVELOPMENi -TORKSHEET coM2006-00663 GrassRoots 62t 34rh 0 SINGLE FAMILY RESIDENCE BUILDING SIZE 1270 LOT SZE (SF):6864 C,) El IJoU & ElFv) r! RLINOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS x IMPERVIOUS S.F 1270.00 NUMBER OF DFU's 27 B. IMPROVEMENT COST: NUMBER OF DFU's 27 ADT TRIP RATE 9.57 B. IMPROVEMENT COST: ADTTRIP RATE 9.57 COST PER S.F $0.323 COST PER S.F $0.323 COST PER DFU $25.07 $ r 9.07 NI]MBER OF UNITS I NUMBEROF LNITS I ADM. FEE RATE 5% CHARGE $320.42 DISCOUNT RATE 500/, $525.s3 DISCOT]NT $205.11 x x x x x x x x ITEM l TOTAL- STORM DRAINAGE SDC 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I 070 1091 1092 I 093 1094 I 054 I 055 1054 I 0s6 ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3. TRANSPORTATION A REIMBI.IRSEMENT COST: $1,191.78 COST PER TRIP $ r 9.09 COST PER TRIP $84. l 9 $988.39 NEW TRIP FACTOR 1.00 NEW TRIP FACTOR 1.00 xx xx ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A REIMBURSEMENTCOST: NUMBER OF FEU's I B. IMPROVEMENT COST: NUMBER OF FEU's I MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATTVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC suBTorAL (ADD ITEMS 1,2,3, & 4',) 5. ADMINISTRATIVE FEE: SL]BTOTAL $3,663.04 $9s7.34 CHARGE $r83.15 TOTAL SANITARY ADMINISTRATION FEE: CherylSlaymaker 711412006 FEE: 079 078 $525.53 $676.89 $E05.70 $82.03 $0.00 116.25 $3,846.19 COSTPERFEU $82.03 COST PERFEU $865.3 r 663.04 PREPARED BY DATE TOTAL SDC CHARGES I IIvPERvrous s-F. I ggz.oo x DRAINAGB FIXTURE UNIT CALCULATION TABLE NUMBER OF NEW FDOURES X UNIT EQUTVALENT : DRAINAGE FXTURE UMTS FOR CAI'ULATE ONLY T}IE NET ADDMONAL NO. OF FIXTURES I,INIT FIXTURE TYPE NEW OLD ALENT MISCELLANEOUS DFU TYPE NUMBER OF EDU'S TOTAL DRAINAGE FXTT]RE I.]NITS lsa toa mit set at I 67 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE 20 DRAINAGE FIXTURE UNITS 0 2 1979 *EDU BEFORE 1979 1979 I 980 1982 1983 l 984 1985 I 986 1987 1988 r 989 1990 l99l t99Z 1993 t994 1995 1996 1997 I 998 1999 $5.29 $5.19 $5.12 $4.98 $4.80 $4.63 $4.40 $4.07 $3.67 $3.22 $2.73 $2.25 $1.80 VALUE / IOOO $0.00 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 APPLICABI-E) 2 198 x CREDIT RATE $5.29 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / IOOO CREDIT RATE $0.00 x $5.29 TOTAL MWMC CREDIT$1,59 $1.45 $1.25 $1.09 $0.92 $o.72 $0.48 $0.28 $0.09 $0.05 0 3 62BATHTUB 0001DRINKING FOUNTAIN 0003FLOOR DRA]N 0 0 3 0INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0006INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 2 00LALINDRY TUB 1 0 3 3CLOTTIESWASMR / MOP SINK 0006CLoTHESWASHER - 3 OR MORE (EA) 0 12 0MOBILE HOME PARK TRAP (I PER TRAILER)0 0001RECEPTOR FOR REFRIG / WATER STATION / ETC. 3 310RECEPTOR FOR COM. SINK / DISTMASHER / ETC. 0 0 2 0SHOWER. SINGLE STALL 0SHOWER GANG TNTLMBER OF }#ADS)0 0 2 0 3 3SINK: COMMERCIAL/RESIDENTIAL K]TCHEN 1 0 0 2 0SINK: COMMERCIAL BAR 0SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 0 1 3SINK: SINGLE LAVATORY/RESIDENTIAL BAR 3 URINAL, STALL / WALL 0 0 5 0 TOILET, PT]BLIC INSTALLATION 0 0 b 0 TOILET, PRIVATE INSTALLATION 3 0 3 I 27 YEAR ANNEXED CREDIT RATE/$I,OOO ASSESSED VALT]E $0.00 2000 EI 2001 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Ci' ' of Springfield Official Receipt I)- ;lopment Services Department Public Works Department RECEIPT#: 1200600000000001100 Date: 0711912006 2:28:29PM Job/Journal Number coM2006-00663 coM2006-00663 coM2006-00663 coM2006-00663 coM2006-00663 coM2006-00663 coM2006-00663 coM2006-00663 coM2006-00663 coM2006-00663 coM2006-00663 coM2006-00663 coM2006-00663 coM2006-00663 coM2006-00663 coM2006-00663 coM2006-00663 coM2006-00663 coM2006-00663 coM2006-00663 coM2006-00663 coM2006-00663 coM2006-00663 coM2006-00663 coM2006-00663 Description Addressing Assignment Willamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Fire SF Fee - Residential Building Permit 3 Baths One & Two Family Vent Fan Exhaust Hoods Dryer Vent -Mechanical Issuance Fee- M inimum/Adjustment Mechanical + 8% State Surcharge + l0%o Administrative Fee Plan Review Major - Planning 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 Amount Due 3 r.00 1,000.00 106.00 57.00 r 0l .70 793.1s 306.00 24,00 9.00 6.00 10.00 6.00 104.57 140.89 198.00 525.53 676.89 514.89 t82.69 805.70 82.03 865.3 r 10.00 116.25 66.90 Item Total:$6,739.50 Payments: Type of Payment ,Check Number Received By Batch Number Authorization Number How ReceivedPaid By Amount Paid Check GRASSROOTS lkw l5l0 In Person Payment Total: $6,739.50--$6ffi' cReceintl Page I of I 711912006 rrttr$*e