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HomeMy WebLinkAboutPermit Building 2005-01-21Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line CITY F FIELD Building/C ombination Permit PERMIT NO: COM2004-01591ISSUED: 0112112005APPLIEDz 1212912004EXPIRES: 0912212005YALUE: $ 188,589.00 PUBLIC SITE ADDRESS: 759 S 48th St Springfield TYPE OF WORK: Single Family Residence ASSESSOR'S PARCELNO.: 1802051101900 TYPE OF USE: New Residential PROJECT DESCRIPTION: Rockyroad subd lot 16 - Single family residence PARKER HOMES 24717 WOLF CREEKRD VENETA OR 97487 Phone Number: 935-7984Owner: Address: Contractor Type General Electrical Mechanical Plumbing # 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: Subdivision Not Accepted Street Improvements: Storm Sewer Available: Special Instruction: Contractor PARI(ER HOMES INC ATTENTION: the rules ote: the telePhone Electric Gas Gas Path 1 nla i0D Sidewalk Type: Downspouts/Drains: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Phone 541-935-7984 541-995-47s7 541-34s-2838 541-345-2838 6,720 1,430 474 521 1 Curbside 5' Curb and Gutter Date BATEMAN ELECTRIC INC follow rules HoME CoMFoRT HEATII{S&JiMft9N HOME COMFORT HEATI}iG QA&R*EOI Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building Fully Improved yes 1 R-3 U VN 3 REQUIRED PARKING 18.00 5.00 7.00 40.00 7.s0 Total: 2 Handicapped: Yes Compact: 29.00 Notes: No hook-up to City infrastructure until Public improvements accepted by the CiW 1213012004 CAS CONTRACTOR INFORMATION DEVELOPMENT INFOR}{ATION Page 1 of4 I LT lst Floor: Paved 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: COM2004-01591ISSUED: 0112112005 APPLIEDz 1212912004 EXPIRESz 0912212005VALUE: $ 188,589.00 Description Dwellinss Garage Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0o Administrative Fee + 77o State Surcharge 2 Baths One or Two Family Addressing Assignment Appliance Vent Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Gas Fireplace Gas Outlets 1-4 Heat Pump Plan Review Major - Planning PW Mult Disc - 2nd Permit Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC II,IWMC Improvement SDC NIWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan Willamalane Single Family Copies - Ea Addtl @ 50 Cnts Ea Copy 6th @75 cents Replacement Plans per Hour Total Value of Project Date Paid Tvpe of Construction V Wood Frame Garage $ Per Sq Ft or multiplier s92.40 s24.30 Square Footage or Bid Amount 1,904.00 521.00 12t29t04 il2u05 u2y05 u2u05 u2y05 u2u05 yzu05 Uzu05 U21105 u2u05 1t2u05 u2u05 u2u05 y2il05 u2u05 u2u05 u2u0s u2u05 u2u05 uzu05 u2U05 u2u05 U2u05 U2u05 u2u05 u2u05 u2U05 U2U05 U2u05 u2U05 u2u05 U2u0s 412u05 4t2u05 4t2U05 Value $175,929.60 $12,660.30 $188,589.90 Date Calculated 12t2912004 1212912004 Amount Paid Receipt Number 2200400000000001553 1200500000000000100 1200s00000000000100 1200500000000000r00 r200500000000000100 1200500000000000100 1200500000000000100 1200500000000000100 1200500000000000100 1200500000000000100 1200500000000000100 1200500000000000100 1200500000000000100 1200500000000000100 r200500000000000100 1200500000000000100 1200s00000000000100 1200500000000000100 1200500000000000100 1200500000000000100 1200500000000000100 1200500000000000100 1200500000000000100 1200s00000000000100 1200500000000000100 1200500000000000100 r200500000000000100 1200500000000000100 1200500000000000100 1200500000000000100 r200500000000000100 1200500000000000100 1200500000000000485 1200s00000000000485 120050000000000048s $sss.68 $r0.00 $138.s9 $97.01 $254.00 $31.00 $6.00 $854.90 $7s.00 $6.00 $9.00 $r5.00 $4.00 $r2.00 $103.00 $-30.00 $106.00 $s7.00 $47s.28 $625.04 $10.00 $8653r $82.03 $r35.34 $62.50 $772.49 $175.13 $7s.00 $9s1.48 $s0.00 $12.00 $1,000.00 $8.s0 $0.7s $33.7s Eees Paid Paee2 of4 F Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax S4l-7 26-37 69 Inspection Line PERMIT NO: COM2004-0159rISSUED: 0112112005APPLIEDz 1212912004EXPIRES: 0912212005VALUE: $ 188,589.00 Total Amount Paid $7,638.78 Plan Reviews Initial Review Planning Review Public Works Review 12t30t2004 12t30t2004 t2t30t2004 0Ut7t200s APP APP SKG TAJ Street trees must be chosen from Exhibit B, trees outside Hillside, attached to the street tree handout. No hook-up to City Infrastructure until Public Improvements accepted by the City 1213012004 CAS Structural Review 12t30t2004 0u1912005 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. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Site Inspection: To be made after excavation but prior to setting forms. 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. 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 lilling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Paee 3 of4 1213012004 12t30t2004 APP CAS Reorrired Tnsnections 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: COM2004-01591ISSUED: 0112112005APPLIEDz 1212912004 EXPIRESz 0912212005VALUE: $ 188,589.00 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. 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 Gas: When all gas work is complete. 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. Storm Sewer Line: Prior to filling trench. 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. /t -21*o5 Owner or Contractors Signature Date Pase 4 of 4 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Oflicial Receipt evelopment Services Department Public Works Department RECEIPT #: 1200500000000000485 Date: 0412112005 9:08:25AM Job/Journal Number coM2004-01591 coM2004-01591 coM2004-01591 Description Replacement Plans per Hour Copy 6th @ 75 cents Copies - Ea Addtl @ 50 Cnts Ea Amount Due 33.75 0.75 8.50 Item Total:$43.00 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check PARKERHOMES djb 5s86 In Person 543.00 PaymentTotat: ffi 4/21/2005 Page I of I 'I s41 -F68-0888 P.3Jan 26 05 O?z?49 ri 'vd HILL& DALE EN6INEERINC, LLC 74 EAST 1 8TH AVENU E, 5U ITE #5 EU6ENE, ORE6ON 97401 541-868-C-667 FAX:541-868-o888 January 26,2005 Parker Homes 24717 Wolf Creek Road Veneta, Oregon 97487 RE: 759 S. 48'r'sprinsfield - SiteiSoils/Compaction Inspection - Job #33-05 As you requested, a site soils investigations were performed at the above address on January, 25, 2005. At the time of the inspection the site had been excavated and what appears to be a maximum of 20 inches of crushed rock installed. Based on observations and explorations at the site all unsuitable fills, organic and other unsuitable material has been removed to a suitable grade, The native soil is a silty clay loam with a Unified Classification of ML-CL. This soil has a low potential for expansion (Holtz 1959). A compaction inspection was also performed at the site where unsuitable material was removed and crushed rock installed to elevate the site to a suitable grade for construction purposes, The crushed rock was placed in lifts and compacted with a vibratory plate or vibratory roller- The compaction of the gravel surface is greater thanglYo of a standard proctor, per ASTM D698. An allowable soil bearing capacity of 1500 PSF can be used for foundation design, This report is limited to soil conditions at the building site and slope stability is not within the scope of this investigation and report. Thank you for this opportunity to be of service. If you have questions regarding this report, contact me at 868-0667. Sincerely, ffio/DATEuPnf,nm{Pamela S. Hillstrom, P.E. HILL& DALE EN6INEERINC, LLC 74 EAST 18TH AVEN U E, 5U ITE #5 EU6ENE, ORE6ON 97401 (541) 868-C-661 FAX: (541) 868-0888 03104105 Parker Homes 24717 Wolf Creek Rd Veneta, OR 97487 RE: 723 and 759 S. 48th - Drainage inspection- Job #33-05 As you requested, a site visit rvas performed at the above locations on 03/03/05 to inspect the installation of the drainline as recommended by this office in the letter dated 02121105. The inspection of the drainline installation rvas performed prior to the placement of the round rock over the drainline. The perforated drainline is encased in a silt sock and placed at the base of the footing, as recommended, and tied to solid line that has a l% slope to the curb. As the drainage has been installed as recommended, the clean round rock may now be placed over the line, and inspections by the Cify of Springfield may be performed. Thank you for this opportunity to be of service. If you have any questions regarding this report, contact me at 868-0667. Sincerely, PR r Pamela S. Hillstrom, P.E. ---- -t+- I Exmnrym t-"rArE'nnn'6t _, 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: COM2004-01591ISSUED: 0ll2ll200sAPPLIEDz 1212912004EXPIRES: 0712112005VALUE: $ 188,589.00 SITE ADDRESS: 759 S 48th St Springlield TYPE OF WORK: Single Family Residence ASSESSORTSPARCELNO.: 1802051101900 TYPE OF USE: New Residential PROJECT DESCRJPTION: Rockyroad subd lot 16 - Single family residence Owner: Address: Contractor Type General Electrical Mechanical Plumbing PARI(ERHOMES 24717 WOLF'CREEKRD VENETA OR 97487 Contractor PARKER HOMES INC BATEMAN ELECTRIC INC Phone Number: 935-7984 License Expiration Date ATTENTION Phone 541-935-7984 541-99s4757 541-345-2838 541-34s-2838 HOME COMFORT HEATING ES HOME COMFORT ling e #of for the Oregon UtrNtY is1 the telePhonc Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: RearTard Setback: Solar Setbacks: S ubdivision Not Accepted Street ImproYements: Storm Sewer Available: Special Instruction: 1 R-3 U VN 3 Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: Electric Gas Gas Path I nla 6,720 1,430 474 521 18.00 5.00 7.00 40.00 7.50 trf*llI-,T.SBT;aPPed:1 SHALL UNDER OR \S Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: 2 Curbside 5' Curb and Gutter D Fully Improved Yes Notes: No hook-up to City infrastructure until Public improvements accepted by the City 1213012004 CAS DEVELOPMENT INFORMATION Pase I of4 F *-: L('1\ I I(AL I UK INT UI(VIA I IUN I rules the oh of F 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: COM2004-01591ISSUED: 0112112005APPLIED: 1212912004 EXPIRESz 0712112005VALUE: $ 188,589.00 Description Dwellings Garage Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0Yo Administrative Fee + 7%o State Surcharge 2 Baths One or Two Family Addressing Assignment Appliance Vent Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Gas Fireplace Gas Outlets 1-4 Heat Pump Plan Review Major - Planning PW Mult Disc - 2nd Permit Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 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 Sidewalk Permit Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan Willamalane Single Family Total Value of Project Date Paid Type of Construction V Wood Frame Garage $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 1,904.00 521.00 12t29t04 u2u05 u2u05 u2u05 y2u0s U2u05 U2u05 u2u05 u2u0s u2u0s il2u05 y2u05 u2u05 U2u05 U2u05 u2u0s u2u0s U2u05 U2u05 1tzu05 U2u05 u2u05 u2u05 u2u05 u2u0s u2u05 u2y05 u2u05 u2u05 u2lt0s y2u05 u2u0s Value $175,929.60 $12,660.30 $188,589.90 Date Calculated 12t29t2004 12t29t2004 Amount Paid Receipt Number 2200400000000001ss3 1200500000000000100 r200s00000000000100 1200s00000000000100 1200s00000000000100 1200500000000000100 1200s00000000000100 1200s00000000000100 r200s00000000000100 1200s00000000000100 1200500000000000100 1200500000000000100 1200500000000000100 1200500000000000100 1200s00000000000r00 1200s00000000000100 1200500000000000100 1200s00000000000100 1200500000000000100 1200s00000000000100 1200500000000000100 1200500000000000100 1200500000000000100 1200s00000000000100 r200s00000000000100 r200s00000000000100 1200s00000000000100 1200500000000000100 1200500000000000100 1200500000000000100 1200500000000000100 1200s00000000000100 $555.68 $10.00 $138.59 $97.01 $254.00 $31.00 $6.00 $854.90 $7s.00 $6.00 $9.00 $15.00 $4.00 $r2.00 $103.00 $-30.00 $106.00 $57.00 $475.28 $625.04 $10.00 $865.31 $82.03 $r35.34 $62.50 $772.49 $17s.13 $75.00 $951.48 $50.00 $12.00 $1,000.00 Fees Prid Total Amount Paid $7,595.78 Pzse2 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 Building/Combination Permit PERMIT NO: COM2004-01591ISSUED: 0ll2ll2001APPLIEDz 1212912004EXPIRES: 07l?ilZfiLsVALUE: $ 188,589.00 Plan Initial Review Planning Review Public Works Review Structural Review 12130t2004 12t30t2004 APP APP SKG TAJ 12130t2004 12t30t2004 APP CAS 1213012004 0y19t2005 APP TCM Street trees must be chosen from Exhibit B, trees outside Hillside, attached to the street tree handout. No hook-up to City Infrastructure until Public Improvements accepted by the City 1213012004 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. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Site Inspection: To be made after excavation but prior to setting forms. 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. 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. Underfloor Mechanical. Prior to insulation or decking and including required testing. 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 Gas: When all gas work is complete. 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. Paee 3 of4 Reorrired Insneetions 12t30t2004 0ut7t200s 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: COM2004-01591ISSUED: 0112112005APPLIEDz 1212912004 EXPIRES:. 0712112005VALUE: $ 188,589.00 Final Electric: When all electrical work is complete. Storm Sewer Line: Prior to filling trench. 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 Springlield 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. / -A/-cs Owner or Contractors Signature Date Paee 4 of4 CITY OF SPr-.'nlGFlELD SYSTEMS DEVELOPMENT '.ORKSHEET JOIIRNAL OR JOB NUMBER: COM2004-01591 Parker Homes 759 S 48th St 18702051101900 NEW DWELLING UNITS I. STORM DRAINAGE DIRECT RI.INOFF TO CITY STORM SYSTEM BUTLDTNG SrZE (SFl 2075 LOT SIZE (SF): CHARGE $951.48 6720 IMPERVIOUS S.F 3069.30 RLINOFF ROUTED IMPERVIOUS S.F 0.00 NUMBER OF DFU's 26 B.IMPROVEMENT COST: NUMBER OF DFU's 26 ADT TRIP RATE 9.57 COST PER S.F. $0.310 COST PER S.F. $0.310 COST PER DFU $24.04 $ r 8.28 NUMBER OF LINITS I NT]MBER OF UNITS I ADM. FEE RATE 5o/o DISCOUNT RATE 50o/o $951.48 DISCOUNT $0.00 TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS x x x x x x x x x ITEM 1 TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER- CITY A. REIMBURSEMENTCOST: ITEM 2 TOTAL. CITY SANITARY SEWER SDC $1,100.32 3. TRANSPORTATION A. REIMBURSEMENT COST: xx x COST PER TRIP $r 8.30 COST PER TRIP $80.72 s947.62 NEWTRIP FACTOR 1.00 NEWTRIP FACTOR 1.00 B. IMPROVEMENT COST: ADTTRIP RATE 9.57 ITEM 3 TOTAL - TRAI\TSPORTATION SDC 4. SANITARY SEWER - MWMC A. REIMBTIRSEMENT COST: NUMBER OF FEU's I B. IMPROVEMENT COST: NUMBER OF FEU's 1 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5. ADMINISTRATIVE FEE: $957.34 76 CHARGE $ I 97.84 SUBTOTAL $3.9s6.76 TOTAL SANITARY ADMINISTRATION FEE: CherylSlaymaker 12/30/2004 FEE: COST PER FEU $82.03 .48 $475.28 $175.13 s772.49 $0.00 $62.50 $4,154.60 1070 l09l 1092 1 093 1094 I 054 1055 I 054 1056 1079 1078 aHo U &HFU) oH& COST PER FEU s865.31 PREPARED BY DATE TOTAL SDC CHARGES NAME OR COMPANY: LOCATION: TAX LOTNUMBER: DEVELOPMENT TYPE: I x x DRAINAGE FIXTURE UNIT CALCULATION TABLE NUMBER OF NEWFXTURES x UNIT EQU]VALENT = DRAINAGE FXTURE UNITS FOR CALCULATE ONLY THE NET ADDITIONAL NO. OF FIXTURES I-'NIT NEW OLDFIXTURE TYPE MISCELLANEOUS DFU T\?E NUMBEROF EDU'S TOTAL DRAINAGE FXTURE UNITS *EDU lsa toa BEFORE 1979 1979 $5.29 I 980 $5.19 $5.12 $4.98 $4.80 $4.63 $4.40 1 981 r982 I 986 $4.02 1987 $3.67 $3.22 $2.73 $2.25 $1.80 I 988 't992 $1.59 $1.45 $1.25 $1.09 $0.92 $o.72 $0.48 $0.28 $0.09 $0.05 I 993 1994 I 995 1996 20 DRAINAGE FIXTURE UNITS 0 1979 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE $5.29 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FORANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR unit set at I 67 CREDIT FOR LAND (IF APPLICABLE) VALUE / IOOO CREDIT RATE $0.00 x $5.29 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / IOOO CREDIT RATE $0.00 x $5.29 TOTAL MWMC CREDIT 1983 I 984 1985 1989 I 990 1997 I 998 1999 l99l BATHTUB 1 0 3 3 DRINKING FOUNTAIN 0 0 1 0 FLOORDRAIN 0 0 3 0 TNTERCEPTORS FOR CREASE / OIL / SOLIDS / ETC.0 0 3 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6 0 LAUNDRY TLrB 1 0 2 2 CLOT}MSWASHER i MOP SINK 1 r0 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 1 0 2 2 SHOWE& GANG (NUMBEROF HEADS)0 0 2 0 SINK: COMMERCIAL/RESIDENTIAL KITCHE,N 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 2 0 1 2 URINAL, STALL IW1J-L 0 0 5 0 TOILET, PI.]BLIC INSTALLATION 0 0 b 0 TOILET, PRIVATE INSTALLATION 3 0 3 I YEAR ANNEXED CREDIT RATE/$1,OOO ASSESSED VALUE 0 2000 2001 I I 25 Fifth Street "ingfield, Oregon 97 477 -726-3759 Phone IPFII{(IFISLD 1-"+y of Springfield Oflicial Receipt ^ .velopment Services Department Public Works Department RECEIPT #: 1200500000000000100 Date: 0112112005 2z42zt2PM Job/Journal Number coM2004-01591 coM2004-01591 coM2004-01591 coM2004-01591 coM2004-01591 coM2004-01591 coM2004-01591 coM2004-0ls9l coM2004-01591 coM2004-01591 coM2004-01591 coM2004-0r591 coM2004-01591 coM2004-01591 coM2004-01591 coM2004-01591 coM2004-01591 coM2004-01591 coM2004-0ls9l coM2004-01591 coM2004-01591 coM2004-01591 coM2004-01591 coM2004-01591 coM2004-01591 coM2004-01591 coM2004-01591 coM2004-01591 coM2004-01591 coM2004-01591 coM2004-0ls9l Description Addressing Assignment Willamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Sidewalk Permit Curbcut Permit PW Mult Disc - 2nd Permit Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC IvMMC Administration SDC Sanitary/Storm Admin SDC Transpo Admin Plan Review Major - Planning Building Permit 2 Baths One or Two Family Vent Fan Appliance Vent Gas Outlets l-4 Gas Fireplace Heat Pump -Mechanical Issuance Fee- Dryer Vent Exhaust Hoods + 7o/o State Surcharge + l0% Administrative Fee Amount Due 31.00 1,000.00 106.00 57.00 s0.00 75.00 75.00 (30.00) 951.48 625.04 475.28 I 75. l3 772.49 82.03 86s.31 10.00 135.34 62.50 103.00 854.90 254.00 12.00 6.00 4.00 15.00 12.00 10.00 6.00 9.00 97.01 138.59 Item Total:$7,040.10 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check PARKERHOMES DJB 5 139 In Person $7,040.10 Paymenttotat: -5f,6?6.i5- t/2U200s Page I of I SPEUTIOFTtLD PHt(541fi2G374I r FAX: 3.l. A- LEGAL DESCRIPTION bL o{tt olcloo Service Included 1000 sq. ft- or less Each additional 500 sq' ft or portion thereof Each Murufact'dHome or ModuluDwelling Senrice q $50-00 Feeder ..-:i;'i=::.ii:l - :'--<-:.:*::r-:"'+ :-' ;--.-.'1I- -'-': "r* -- -:-''' : B..#i.aEF+;.. stellitionlf I|:56Tg,I"l"T1o'',1:-' .oO $ 19.00 oJOB DESCRIPTION (. Permlts ere not started within lEll daYs Suspended for 180 deYs and exPire if work ls of issuence or if workb ,, Electrical Contractor ^i_..-."Ci f l{ ,ooAnpscless , 201 AmPs to 400 ArnPs 4Ol ArPs to 600 AmPs ': 601 AmPsto 1000 AnPs $ 63.00 $ 75-00 s163.00 $375-00 $ s0.m Ad&ess E. t r-Y1 s 1 Over lO(X)AnrPs/VoltsI Reconnect onlY Supervisor License Numbef, Expiration Date Constr. Contr. Number q)l n4 t,-d il Expiration Date Signature of SuPervising Electrician -< Owners Name Address -7 City OWI{ER INSTALLATION The installation is being made on property t is not inteaded for sale, lease or rent. Owners Sigranre: aY{q*ru Pr,,,ne 511tr9#fl#7 PunP orinigation own which Service or Feeder Permit -(\ E. {i1ce!yeou1 (seric*n"'aern3t.lgndeoljlchinltaltaJion t)RK $ 25.00 ' Mitrimum Electric Inspectiou Fee is $45'00 * SurchargesD. AbA 0I $ 45.00 ,ql . rtr.-.1:r---::.';: 4. sagTA-ML.1, OFENGVE 1%Stata Surcharge I 0olo Adnrinistrati ve Fee TOTAL 4l|,10 f w,z* Inspectlon Request: 72G3769 6 r 6 it i,- - n-- - Et ^ *i^qt pmit A nnlicafi rm I 43'dOC SPRNGFIELD o RECO}I7OF l- sn dfIffi rutes New Q.r follow rules are set $ s0.00 90,o,s 952-001-$ 69.00 $100.00 Per Panel \16,,u€+L :_2J3,oo