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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 541-726-37 69 lnspection Line Building/Combination Permit PERMIT NO: COM2006-00665ISSUED: 0711912006APPLIED: 06/0112006 EXPIRESz 0112012007VALUE: S 169,976.00 SITE ADDRESS: 623 S 34th St ASSESSOR'S PARCEL NO.: KIM TENTATIVE PLAT PROJECT DESCRIPTION: Single family residence ' Kims subd lot 3 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential Phone Number: 541- License Expiration Date Phone Owner: Address: BILL CARNAHAN 1135 CAL YOUNG EUGENE OR 97402ON: Or on \aw lsquires Y e Ore(6rl duYtt Contractor Type General Electrical Plumbing t q e v 2' IN 160918 159425 07t28t2006 05n212008 54t-520-6466 541-607-8879 BUIL # 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: S ubdivision Nol Accepted Street Improvements: Storm Sewer Available: Special Instruction: Fully Improved No Sidewalk Type: Downspouts/Drains: ) Drywell - Provide Drywell Engineering 769 764 840 430 8,I R-3 U VN 3 # 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 lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Total: Handicapped: Compact: REQUIRED PARKING 2 28.00 Wall Heat Electric Electric Path I nla 23.00 13.00 r4.00 30.00 33.00 13.60 DEVELOPMENT INF( Notes: Drywell calcs approved by MS.07112106 JLP Page I of4 4 *:mr* \ S 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: COM2006-00665ISSUED: 0711912006 APPLIED: 06/0112006 EXPIRES: 0112012007VALUE: $ 169,976.00 Description Dwellinss Garage 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 Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Vent Fan Willamalane Single Family + lOoh Administrative Fee + 87o State Surcharge Temp Power 200 amps or less Total Amount Paid Total Value of Project Date Paid Receipt Number 3200600000000000286 1200600000000001 10r I 20060000000000 I I 0 I r200600000000001 101 1200600000000001 101 r200600000000001 101 1200600000000001 l0l r200600000000001 101 1200600000000001 101 r 200600000000001 I 01 120060000000000r 101 r200600000000001101 1200600000000001 101 r200600000000001 10r r200600000000001 101 1200600000000001 101 1200600000000001 101 120060000000000r 101 1200600000000001 101 r200600000000001 101 1200600000000001 101 r200600000000001 101 1200600000000001 101 r200600000000001 10r 1200600000000001 l0r 2200600000000001017 2200600000000001017 2200600000000001017 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 $l l,l80.oo $169,976.00 Date Calculated 06t0u2006 0610112006 Amount Paid $sr5.55 $10.00 $140.89 $104.57 $306.00 $31.00 $793.15 $6.00 $9.00 $10r.70 $12.00 $198.00 $106.00 $57.00 $495.82 $651.82 $10.00 $86s.31 $82.03 s1 12.18 $805.70 $182.69 s497.75 $18.00 $1,ooo.oo $5.00 $4.00 $s0.00 6nt06 7n9t06 7ltg106 7n9t06 7 n9t06 7n9/06 7n9t06 7n9t06 7n9t06 7n9t06 7n9106 7ltg106 7n9106 7n9t06 7n9t06 7n9t06 7n9t06 7n9t06 7figt06 7ltg106 7n9t06 7n9t06 7n9t06 7n9106 7n9t06 7t20t06 7t20t06 7t20t06 $7,171,16 Fees Paid Plan Reviews Initial Review Planning Review 0610u2006 071tU2006 06t0u2006 07nu2006 APP APP Pase 2 of 4 LLH TAJ a l3r-:" a Valuation Description I FIE Building/Combination Permit PERMIT NO: COM2006-00665ISSUED: 0711912006APPLIED: 06/0112006EXPIRES: 0112012007VALUE: $ 169,976.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line Planning Review Public Works Review Public Works Review Structural Review 06t0u2006 06t0u2006 07n0t2006 06t0u2006 06t09t2006 07n0t2006 06n3t2006 WE WE APP OK TAJ JLP RJB On hold until Plat recorded and 5 paper copies returned to Planning. Unable to review ( final Plat?) 6/4/06 CAS Waiting for Drywell Calcs. Do not forward until rcvd.JLP0T 110106 Renrrired fnsnecf 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. 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 comptete. Rough Electric: Prior to Cover Page 3 of 4 OF 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: COM2006-00665ISSUED: 0711912006 APPLIED: 06/0112006 EXPIRESz 0112012007VALUE: S 169,976.00 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 4 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Citv of Springfield Official Receipt L lopment Services Department Public Works Department RECEIPT#: 2200600000000001017 Date: 0712012006 2:18:54PM Job/Journal Number coM2006-00665 coM2006-00665 coM2006-00665 Description + 8% State Surcharge + 10%o Administrative Fee Temp Power 200 amps or less Amount Due 4.00 5.00 s0.00 Item Total:$59.00 Payments: Type of Payment Paid By Received By eheck Number Batch Number Authorization Number How Received Amount Paid Check SOURCE ELECTRIC INC djb 9t7 In Person $59.00 Payment Total: -559160- cReceint I Page I of I 7t2012006 a;[rilatl* I^rn&n Y/aCIlok SFG't 225 FIFTH STREET o SPRINGFIELD, OR 97477 o PH:(541)72G3753 o FAX: (541)72G3689 ,b, ELECT'RICAL PERMI City Job Number C O'vl I. I,OCArION OF INS'T'AI,I,AflON \ bL\s .3'l(^ LEGAL DESCRIPTION Et rut r&rr. PLA]-L"+ Supervisor License Number 32855 Expiration Date l0 --t- oV Constr. Contr. Number LO - 5 L4 L Expiration Date 1-zt -oL? Signature of Supervising Electrician 1,0 lil/a *l^*r .I'AI'I'LICAT'ION A.;G-: o; L6f Date 1-zo- ob 3. COMPLETE TEE SCHf,O:UbE BELOW A. friew Residcntial - Single or llulti-F'amily per dwelling unit' Service Included lfiX) so. ft. or less $106.00 Each additional 500 sq. ft. or portion thereof $ 19.00 Each Manufact'd Home or C. Temporary- Services or Feeders Installrtion, Alteration or Relocation 200 Amps or less I $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 60O Amps or 1000 Volts see "B" above.. D. Branch Circuits 5o Owners Name Address O-\ City h-Lc-eru(C pnon. OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. New Alteretion or Extension Per Panel . - ' One Circuit $ 43.00 Each Additional Circuit or with Service or Feeder Permit - . $ 3'0q, -'rr '' E. \'liscellancous (service/ft*derntlt intluded; -Each lnstaltatitn Sigrr/Outline Lighting $ 50.00 7{A-( Owners Signature:.4. SUB'TOTALOFeSOVE OV 8% State Surcharge l0% Administrative Fee TOTAL Limited Energy/Residential $ 25.m Minimum Electric Permit Inspection Fee is $45.00 * Surcharges f,{o 5'l S 5q. oo,n.Ou",roffii,726-3769 [Go1 LT \Qx Sharcd Drive(T:)/Building Forns/Electrical Permit Application l -06.doc CITY OF SPRINGFIELD, OREGON ----:r__-: rl - JOB DESCRIPTION Tp ^ nAlonta. lot^ttt h*l *-t,sL. oon-[r"nrfu"able and expire if work is not sterted within 180 days of issuance or if work is Suspended for lEO days. 2. c0^"1R,1C7OR rNs',,l-)lLLI'I'ION ONLv', Electricalc,ontractor 5our Address 34US S#.r k 1-- Modular Dwelling Service or r\o $50.00 Feeder .'rreS Yo\ taw I"1 h ciw Eqq<nr---v Phone 5zo -a466 - ltr$taHation,,,llterations or Rclotation: $ 63.00 $ 7s.00 $125.00 $ 163.00 $37s.00 $ s0.00 No c F Status Issued 225 Fifth Street, Springfield' OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 [nspection Line Building/Combination Permit PERMIT NO: COM2006-00665ISSUED: 0711912006 APPLIED: 06/0112006 EXPIRES: 01/1912007VALUE: $ 169,976.00 SITE ADDRESS: 623 S 34th St ASSESSOR'S PARCEL NO.: KIM TENTATIVE PLAT PROJECT DESCRIPTION: Single family residence - Kims subd lot 3 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential Phone Number: 541- License Expiration Date Phone Owner: Address: BILL CARNAHAN IT35 CAL YOUNG EUGENE OR 97402 Contractor Type General Electrical Plumbing Contractor OWNER SOURCE ELECTRICAL INC TOMS PLUMBING SERVICE INC 160918 159425 07t2812006 0sn2t2008 541-520-6466 541-607-8879 # of Units: Primary Occupancy Group: Secondary Occupancy GrouP: Primary Construction TYPe Secondary Construction TyPe: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: S ubdivision Not Accepted 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 of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 769 764 840 430 8,',I R-3 U VN 3 1 28.00 Wall Heat Electric Electric Path I nla 23.00 13.00 14.00 30.00 33.00 0 Yes 13.60 Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: 2 Handicapped: Compact: Fully Improved No rth _rilO4g catron DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Page I of4 (, coN IRAC I UK lNlUl(lYrAr ruN I Notes: Drywell calcs approved by MS.07112106 JLP aFBlxnrFl*3 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: COM2006-00665ISSUED: 0711912006APPLIED: 06/0112006 EXPIRES: 0l/1912007VALUE: $ 169,976.00 Description Dwellings Garage 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 Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Vent Fan Willamalane Single Family Total Amount Paid Total Value of Project Date Paid Receipt Number 3200600000000000286 r200600000000001 101 1200600000000001 101 1200600000000001 I 01 1200600000000001 101 1200600000000001 101 1200600000000001 101 r200600000000001 101 1200600000000001 101 1200600000000001 101 120060000000000r 101 1200600000000001 101 1200600000000001 101 1200600000000001 10r r200600000000001 r0r 120060000000000r 101 1200600000000001 101 1200600000000001 101 1200600000000001 101 r200600000000001 101 1200600000000001 101 1200600000000001 101 1200600000000001 101 1200600000000001 101 1200600000000001 101 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 0610U2006 06t0U2006 Amount Paid $515.55 $10.00 $r40.89 $104.57 $306.00 $31.00 $793.15 $6.00 $9.00 $101.70 s12.00 $198.00 $106.00 $s7.00 $495.82 $6s1.82 $10.00 $86s.31 $82.03 $112.18 $805.70 $182.69 s497.75 $r8.00 $1,oo0.oo 6nt06 7n9t06 7n9t06 7n9t06 7n9t06 7n9t06 7trgt06 7n9t06 7n9t06 7n9t06 7n9106 7n9t06 7n9t06 7trgt06 7n9t06 7trgt06 7n9t06 7n9t06 7n9t06 7n9t06 7n9t06 7n9t06 7n9t06 7n9t06 7n9t06 $7,1 12.16 Fees Paid Plan Reviews Initial Review Plannins Review Planning Review 06t01/2006 07nu2006 06t0U2006 06t0U2006 07nu2006 06t09t2006 APP APP WE LLH TAJ TAJ On hold until Plat recorded and 5 paper copies returned to PIanning. Pase 2 of 4 Valuation Description 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: COM2006-00665ISSUED: 0711912006APPLIED: 06/0112006 EXPIRES: 0111912007VALUE: S 169,976.00 Public Works Review Public Works Review Structural Review 06t0U2006 07tr0t2006 06t0u2006 07n0t2006 06n3t2006 WE APP OK JLP RJB Unable to review ( final Plat?) 6/4/06 CAS Waiting for Drywell Calcs. Do not forward until rcvd.JLP0T/l 0/06 To Request an inspection call the 24 hour recording at 726-3769, All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Ufer Electrical Ground: Instalt 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. 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. Renrrired fnsnecfions Paee 3 of4 F Status Issued 225 Fifth Street, SPringfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-1 26-37 69 InsPection Line Final Electric: When all electrical work is complete' times during construction. Building/C ombin ation Permit PERMIT NO: COM2006-00665 ISSUED: 0711912006 APPLIED: 06/0112006 EXPIRES: 01/1912007VALUE: S 169,976.00 a -t1-oG By signature, I state and agree, that I havecarefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any "no "tt wo.x perrormed shall be done in accordance with the ordinances of the city of Springfierd and the Laws of ihe State of oregon pertaining to the work described herein, and that No occupANCy will be made of any structure without permission of th. co*rnunity services Division, Building Safety' r further certify that only contractors and emproyees who are in compriance with oRS 701.005 wilt be used on this project' I further agree to ensure that all required inri..iion, are requestea at ilre proper time, that each address is readable from the street, that the permit card is located at the front of the property, and fire appioved set of prans will remain on the site at all DateOwnerContractors Signature Pase 4 of 4 G 225 FIFTH STREET ' SPRINGFIELD' OR97471 o PH:(541)726 -37 53 c FAX: (541)726-3689 ELECTRICAL Date -7 -tq _ob City Job Number I CAMPLE'TE T-EE SCHEDLiLE BELOvV A. New Residentiat - Singte or lVlulti-Famity per drvelling unit' 7'ION 3 1 OF LEGAL DESCRIPTION - JOB DESCRIPTION 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 B. Services or Feeders 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 $106.00 s 19.00 $s0.00 $ 63.00 $ 7s.00 sl2s.00 $163.00 $ 69.00 $100.00 $ 43.00 $ 3.00 Lffi Permits are non-transferable and expire if work is * noi startea.within 180 days of issuance or if work is Suspended for 180 daYs' - Installation, Alterations or Relocatiou: 3 ,, Electrical Contractor Address I ac f.rZ Inc.\(ao S City $375.00 $ 50'00 Supervisor License Number 3?-95 S Temporary Services or FeetlersC Expiration Date 6 Installation, Alteration or Relocation 200 Amps or less $ 50'00 Phone fzo -bqlob Expiration Date 1-l'ov Signature of Supervising Electrician Owners Name Address Phone Over 600 Amps or 1000 Volts see "B" above. D. Branch Circuits 201 Amps to 400 Amps 401 Amps to 600 AmPs New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit E. a City OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Pump or irrigation S igrr/Outline Lighting Limited Energy/Residential Limited Energy/Commercial Minimum Electric Permit Inspection Fee is $45.00 * Surcharges 4. SWTOTAL OF ABOW 7%o State Surcharge l0% Administrative Fee TOTAL $ 50.00 $ 50.00 $ 25.00 $ 4s.00 Inspection Request: 726-3769 Sharcd Drive(T:)/Building Forms/Electrical Permit Application I -03.doc S $ l Constr. Contr. Numbe, I b09l { JOTIRNAL OR JOB NUMBER: NAMEORCOMPANY: LOCATION: TAX LOTNUMBER: DEVELOPMENTTYPE: NEW DWELLING UNITS 1. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM CITY OF SPRINGFTELD SYSTEMS DEVELOPMEN I r1/ORKSHEET coM 2006-00665 Grass Roots 623 34th St Kim's Subdivision Lot #3 SINGLE FAMILY RESIDENCE BUILDING SIZE (SF, 1312 LOT SIZE (SF):8806 IMPERVIOUS S.F 775.00 RTINOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS COST PER S.F. $0.323 COST PER S.F, $0.323 COST PER DFU $25.07 $19.07 NUMBER OF UMTS I NT]MBER OF UNITS I ADM. FEE RATE 5% CHARGE $250.33 DISCOUNTRATE 50o/o $497.75 DISCOUNT $247.42 IMPERVIOUS S.F. 1532.00 ITEM 1 TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER - CIry A REIMBURSEMENT COST: x x x x x x x x ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3. TRANSPORTATION A. REIMBT]RSEMENT COST: NUMBEROF DFU's 26 B. IMPROVEMENT COST: NUMBER OF DFU's 26 ADT TRIP RATE 9.57 SUBTOTAL $3,591. l2 xx xx COST PER TRIP $r9.09 COST PER TRIP $84. t 9 $988.39 NEW TRIP FACTOR 1.00 NEW TRIP FACTOR r.00 B. IMPROVEMENT COST: ADT TRIP RATE 9.57 ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A. REIMBURSEMENTCOST: NUMBER OF FEU'S I B. IMPROVEMENT COST: NLMBEROF FEU's 1 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - M}VMC SANITARY SEWER SDC SUBToTAL (ADD ITEMS 1,2,3, & 4',) 5. ADMINISTRATIVE FEE: $957.34 $3,591.12 CHARGE $r 79.s6 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMIMSTRATION FEE: Cheryl Slaymaker 7112t2006 ',1,147.64 $651.E2 M9s.82 70 $82.03 $865.31 $r0.00 112.1 $67.38 $3,770.68 I 070 1091 1092 I 093 1094 1055 1056 1079 1078 osloo(J & E]Fa (, rrl COST PER FEU $82.03 COST PER FEU $865.31 PREPARED BY DATE TOTAL SDC CHARGES x x DRAINAGE FIXTURE UNIT CALCULATION TABLE NUMBER OF NEW FXTURES x L]NTT EQUTVALENT: DRAINAGE FD(URE L]NTTS FOR CALCULATE ONLY THE NET ADDMONAL NO. OF FD(TTIRES UNIT FIXTT]RE TYPE NEW OLD MISCELLANEOUS DFU TYPE NUMBER OF EDU'S TOTAL DRAINAGE FD(TI]RE IJITITS lsa toa uit set at 167 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE 20 DRAINAGE FXTURE UNITS 0 2 2 1979 +EDU BEFORE I979 IS LAND ELGIBLE FORANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR CREDIT FOR LAND (IF APPLICABLE) 1979 1980 l98t 1982 1983 I 984 x1985 1986 1987 I 988 I 989 I 990 1996 1997 1998 1999 2001 $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 CREDITRATE $5.29 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1OOO CREDIT RATE $0.00 x $5.29 TOTAL MWMC CR.EDIT1992 1994 l99l 1993 1995 $1.5e $1.45 $1.25 $1.09 $0.s2 $o.72 $0.48 $0.28 $0,09 $0.05 BATHTTJB 2 0 3 6 DRINKING FOTINTAIN 0 0 1 0 FLOORDRAIN 0 0 3 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0 INTERCEPTORS FOR SAND /AUTO WASH /ETC.0 0 6 0 LAUNDRY TUB 0 0 2 0 CLOTT{ESWASHER / MOP SINK 1 0 3 3 CLOT}IESWASHER -3 ORMORE (EA)0 0 b 0 MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0 RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC 1 0 3 3 SHOWE& SINGLE STALL 1 0 2 2 sHowER" GANG ATLTMBER OF HEADS)0 0 2 0 SINK: COMMERCIAL/RESIDENTIAL KITCIIEN 0 0 3 0 SINK:COMMERCIAL BAR 0 0 2 0 SINK: WASH BASIN/DOTIBLE LAVATORY 0 0 2 0 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 3 0 1 3 T]RINAL, STALL /WALL 0 0 5 0 PUBLIC INSTALLATION 0 0 6 0 TOILET, PRIVATE IN STALLATION 3 0 3 9 26 YEAR ANNEXED CREDIT RATE/$1,OOO ASSESSED VALUE 2000 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone r ' of Springfield Official ReceiPt r--velopment Services Department Public Works DePartment RECEIPT#: 1200600000000001101 Date: 0711912006 2:33:41PM Job/Journal Number coM2006-00665 coM2006-00665 coM2006-00665 coM2006-00665 coM2006-00665 coM2006-00665 coM2006-00665 coM2006-00665 coM2006-00665 coM2006-00665 coM2006-00665 coM2006-00665 coM2006-00665 coM2006-00665 coM2006-00665 coM2006-00665 coM2006-00665 coM2006-00665 coM2006-00665 coM2006-00665 coM2006-00665 coM2006-00665 coM2006-00665 coM2006-00665 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^- Minimum/Adj ustment Mechanical 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 + 8% State Surcharge + l0o Administrative Fee Amount Due 3l.00 1,000.00 r 06,00 57.00 101.70 793.1s 306.00 18.00 9.00 6.00 10.00 12.00 198.00 497.75 651.82 495.82 182.69 805.70 82.03 865.31 10.00 I 12.18 104.57 140.89 Item Total:$6,596.61 Payments: Type of Payment Paid By Received By Batch Number Check Number Authorization Number How Received Amount Paid Check GRASSROOTS lkw r 509 In Person Payment Total: $6,596.61 -$6--5ta6i- cReceint I Page I of I 711912006