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Home My WebLink AboutPermit Building 2006-06-13Status 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: COM2006-00552ISSUED: 06/131200GAPPLIED: 05/1012006EXPIRES: 05/1312007VALUE: $ 113,319.00 SITE ADDRESS: 2080 19TH ST Springfield TYPE OF WORK: Site Work Onty ASSESSOR'S PARCEL NO.: 1703252400100 TYPE OF USE: New PROJECT DESCRIPTIoN: site improvements - paving and storm alterations Owner: Address: Contractor Type General Landscape Low Voltage Electrical Plumbing FIRST ASSEMBLY OF GOD 2O8O N I9TH ST SPRTNGFIELD OR 97477 Expiration Date 02t23/2009 Commercial Phone 541-683-6400 PhoneNumber: 541-746-1291 Contractor EUGENE SAND & GRAVEL OWNER OWNER EUGENE SAND & GRAVEL INC 44524 02t23t2009 541-683-6400 T INFORMATION arl(f # 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: # ofStories: 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: REQ 15 nla c$ Notes: Paee 1 of3 License 44524 F Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00552ISSUED: 0611312006APPLIED: 05/1012006 EXPIRES: 05/1312007VALUE: $ 113,319.00 Description Paving Fee Description + lOoh Administrative Fee + 87o State Surcharge Fixture Paving Plan Review Comm/Ind/Public SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - lst 50 Feet Storm Sewer Each Addtl 100' + l0oh Administrative Fee + 57o Technology Fee + 87o State Surcharge Backflow Device Low Voltage - Residential Minimum/Adjustment Electrical Minimum/Adjustment Plumbing Total Amount Paid Type of Construction Use Bid Amount $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 113,319.00 Total Value of Project Amount Paid Date Paid Value $113,319.00 $113,319.00 Date Calculated 06t06t2006 $69.82 $6.96 $28.00 $61 1.15 $397.25 $155.78 $3,115.61 $45.00 $r4.00 $9.00 $4.50 $7.20 $14.00 $25.00 $20.00 $31.00 6n3t06 6n3106 6n3106 6n3t06 6n3t06 6n3t06 6n3t06 6n3t06 6n3t06 tut3t06 tut3t06 tut3t06 rilt3t06 tut3t06 tut3l06 tUt3t06 Receipt Number 1200600000000000852 l 200600000000000852 1200600000000000852 1200600000000000852 r 200600000000000852 1200600000000000852 1200600000000000852 1 200600000000000852 I 200600000000000852 2200600000000001570 2200600000000001570 2200600000000001 s70 2200600000000001 570 2200600000000001570 2200600000000001 570 2200600000000001570 s4,554,27 Fees Paid Plan Reviews Initial Review Plan Review Comments Planning Review Public Works Reyiew 05n112006 05/1u2006 05/1U2006 05nL12006 06t06t2006 0sn2t2006 06/05/2006 APP IO APP APP LLH JMP EMM SB WI. Received faxed responses from Vicki Hood and Jeanette Applauso. Jeanette stated that Sign permits will be applied for with David Bowlsby before signs are placed and that the correct valuation to be used for all of this site work is $113,319. To be built per approved final site plan DRC2005-00056 HOLD FOR ISSUANCE OF LDAP. (Ready to issue) Does not approve any construction of Church Building Structure. SDCs for pavement added. Page 2 of3 Valuation Description I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00552ISSUED: 0611312006APPLIED: 05/1012006EXPIRES: 05/1312007VALUE: $ 113,319.00 Structural Review Structural Review SUB Review 0snu2006 05n6t2006 WE JMP 06n2t2006 06/12t2006 APP JMP 05nU2006 0s122t2006 APP JF See attached documents for 2 structural comments faxed to Jim Branch. Received Gilbert's approval and plans. Deleted his review and inspection per his request. No energy code issues or inspections, 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. Rough Grading: After gravel is in place but prior to placing concrete. Final Paving: After paving is complete. Rough Plumbing: Prior to cover and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection. Low Voltage: Prior to cover. 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 witt 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 at the of the property, and the approved set of plans will remain on the site at all times du //-t3-.)Z or Contractors Signature Date Paee 3 of3 l(eoulreo lnsDectrons I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Cit' qf Springfield Official Receipt Dt .- .opment Services DePartment Public Works Department RECEIPT#: 2200600000000001570 Date: 1111312006 ll:37:00AM Job/Journal Number coM2006-00552 coM2006-00552 coM2006-00552 coM2006-00552 coM2006-00552 coM2006-00552 coM2006-00552 Description + 10/o Administrative Fee Backflow Device Minimum/Adjustment Plumbing Low Voltage - Residential M inimum/Adj ustment E lectrical + 5olo Technology Fee + 8% State Surcharge Amount Due 9.00 14.00 31.00 25.00 20.00 4.50 7.20 Item Total:$l10.70 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Check NEW LIFE CENTER djb 170r6 In Person Payment Tota!: $l10.70 -sTim' cReceint I Page I of I 111t312006 IOD 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 200 Amps or less 201 Amps to 400 AmPs 401 Amps to 600 AmPs 601 Amps to 1000 AmPs Over 1000 AmPsA/olts Reconnect OnlY zoN INITIALS DATE SOURCE -oG $ 63.00 $ 7s.00 $ 125.00 $ r 63.00 s3 75.00 s s0.00 $ 43.00 $ 3.00 SPFINGFIELD GEiJ:i"T:i}J i: r *t, t,l h -#,..h- _::,*r:i:,;,r:;iiiff* )h,"*.,;l t ;25 FIFTH STREET T SPRINGFIELD, OR97477 E PH:(541)726-3753 O FAX: (541)72G3689 E LE CTRI CAL P ERMIT APP LICATT ON City Job Number Co"vt zoo6 c.OSSL 3 (-o8(>| 1+l'\s LEGAL DESCRIPTION: )7o3 Z {Z t{ odr Date 1. LQIC,ATION OF INSTALLATION"COMPLETE FEE SCHEDWE BELOW JOB DESCRTPTION Permits are not started Address : non-transferable and expire if work is within 180 days of issuance or if work is Suspended for 180 daYs. 7 Electrical Contractor $50.00 . B. services or Feeders - Installation, Alterations or Relocation: City {L pno'. l4 ,*]z1l Supervisor License Number Expiration Date Consfr,umber Expirition Date Signature of Supervising Electrician C. Temporary Services or Feeders Installation, Alteration or Relocation 200 Amps or less $ 50'00 201 Amps to 400 AmPs $ 69'00 401 Amps to 600 AmPs $100'00 Over 600 Amps or 1000 Volts see "B" above, . Branch Circuits New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit Owners Name Utr @'(rrg{L 11" tcE PE& E. Miscellaneous (Service/feeder not included) -Each Address City Phone OWNER L\STALLATION ANY The instaliation is being made on property I o'rm which is not intended for sale, lease or rent' Owners Signarure: .E IF IHE WO RK-s 50.00 II IS NOI s s0.00 s 2s.00 -- s 4s.oo q6 DD_ Fee is $45.00 + SurchargesMinimum Electric Permit Inspection 4. SUBTOTALOFABOW 8% State Surcharge 10% Administrative Fee 5% TechnologY Fee IVI,T SHALL BI ZED II4ENCED 180 DAy L/f ss 3r Inspection Request: 726-31 69 TOTAI- Shared Drive(T: )/Building Forms,'Electrical Permit Applicadon 8 -06'doc Nerv Residential - Single or Multi-FamilY per dwelling unit. C ONT RACI O R IN ST/LLIATT ON O NLY $ 19.00 Installation NL r f . -----3@-------w-------T 225 FIFIH STREET . SPRINGFIELD, OR 97477 o PH:(541)726'-3753' tAX:(s4 1 )726-3689 11t-(cop{ {-) CS () r pr{ tE{g,g city Job NumbercoYvl?Po 6 - OO -SSZ -il." Job Location Assessors ,703 Tax Lot .{ Ooo Address 2ofl.n \qk Owner City e?* zip q1411 BACKFLO\Y PREVEIITION DEVICE PERMIT FEE: $55'35 Contractor I nform ati on Contractor City zipS \t-) rp{ -111l-t $-.t() 0{ c) () r q-{ ()nlra -1F{ C)r pr( {-)(.lFt() c),t-{Al-t'l Bo,-.{t''l-'i w,t-t () Cs m I agree to call for an inspection once the backflow prevention device iJ,triliJlff."fr; i:'$lffits,h permit/application is corr{d{l S PER insoection MII-SHALL gff-fgffi\rfrlhOnte," that all information on this THIS PERMIT IS NOT AUTHORIZ COMMENC ED UNDER EDORISA l0D BANDONED FOR T For Office Use //- /7 -o CDate of Application l/'Checked for Historical StatusChecked for Delinquenci es Shared Drive (T:)/Building Forms/Backflow Prevention8-06.doc CITY.OF SPRINGFIELD, OREGON oot oo pr,on"S'{\-f i[s -l2q I( Add."."&DRb \ qs\ -tr(Q-t ,h",. 5{\-14 U -1211 Construction Contractors Registration # Expires t-/' .a\ PNWS.A\\'WA PROPERTY E${ew4lDosrrNoBA CKFLOW ASSEMBLY TESTREPOR T trnEuolap Lt 0Lr/,""firffOWNER: }{AILING ,.\DDRES.S ASSEAI B LY \\.AT E R PURvE YOK ,-\.SS ET' BLY LOCATION l:\ ITIAL I'EST RESULTS CITY .D< .ror, &R. ,r, f7477 .\DDRESS: On.r.a.a I D c.v A El R.P.D.A EO.C.O.a.op.v.a.A" Els.v.s.A_ Ela,v.n. trarn oarszE: I t/l.tZtot uext,t-L-BLO ttt SERIAL NUMBER: A ne TNITIAL PASSED PAILED DATE: /a 1)z- SYSTEM PSI AFTER REPAJRS DATE: 2525 r:Err t1e{ RA1 ,7,) PHONE ' PF.ESS PSI D FAILED tr COLIM EhTS R EPAIIS A.\D / 08. PARTS TEST AT-TER REPAIRS G,\UGE CALIB PASSED EI IN PLMNO THE ^SSEMSLY HAS BEEN TESTED AND MAJNT^JNEO IN AccoRDA.l,lCE WTrH A.I-L ATPLICAALSRULES ^NO R,EOUL^NONS OF THE WATER, S YSTEM, AXD STATE REGUL{NONS. TTSTER SICN^TL'RE TTSTER,S NAMg PRIA.TEO :Pf PqESt..'T{'n\E OF o,.\':ir A) P.V.B.A / S.V.B.A INLET CHECK REDUCED PRESSUR.E ASSEMBLY CHECK #Irrclrr d l,? lgnxgo E Psru VE (B) MtN I PSIO FER B= g 2,D FBU CHECKt! lN PSt Tlo HTERELIIALvE PSIDEALKtrEDPSSLFDtr ,rCIECii PRESS OROP I.ELIEF VAL OPENEO AT OPENED AA PSt O DID NOT opeN E P.V.B.A./S.V.B.A (B) arre , CHECKlrlcHr #t rrcHr g =i6- REDUCEO PRESSUR.E (^) PSID CHECK #2 ,t CHECX PI.ESS OROP RELIEF OPENEO 8L,,FFER.A.8- AT OR,OP PSID R[Cf '.t:- li\ '(senurce REsToRED uoorr' BbE i '' '"7D4 H' /I iUA AIR PSID .;.:" 7 Status Issued 225 Fifth Street, Springfield' OR 541-726-3753 Phone 541-726-3676 Fax S4l -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00552ISSUED: 0611312006APPLIED: 05/1012006 EXPIRESz 1211312006VALUE: $ 113,319.00 SITE ADDRESS: 2080 19TH ST ASSESSOR'S PARCEL NO.: 1703252400100 Springfield TYPE OF WORK: Site Work Only TYPE OF USE: Alteration PhoneNumber: 541-746-1291 Expiration Date 02t2312009 02t23/2009 Commercial Phone 54r-683-6400 541-683-6400 FIRST ASSEMBLY OF GOD 2O8O N 19TH ST SPRINGFIELD OR 97477 Contractor Type General Plumbing Contractor EUGENE SAND & GRAVEL EUGENE SAND & GRAVEL INC License 44524 44524 # 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 oI Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains PUBLIC IMPROVEMENTS Notes: Page I of3 PROJECT DESCRIPTION: Site improvements - paving and storm alterations un to I\Y ]UU UA}/ PERIOD E,V ir4'1ll UUIOwner: Address: t ulLt,rNU rNrvr(lv4ryJ L,|!YlrLurlvlM\ I tl\rt l(lvtAr l\r1\ | Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line Buildin g/Combination Permit PERMIT NO: COM2006-00552ISSUED: 0611312006 APPLIED: 05/1012006 EXPIRES: 1211312006VALUE: $ 113,319.00 Description Paving Type of Construction Use Bid Amount $ Per Sq Ft Square Footage or multiplier or Bid Amount $1.00 113,319.00 Total Value of Project Amount Paid Date Paid Value $l13,319.00 $l13,319.00 Date Calculated 06106t2006 Fee Description + l0oh Administrative Fee + 8Yo State Surcharge Fixture Paving Plan Review Comm/Ind/Public SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - lst 50 Feet Storm Sewer Each Addtl 100' Total Amount Paid $69.82 $6.96 $28.00 $61 1.15 $397.2s $155.78 $3,115.61 $45.00 $14.00 6t13t06 6n3t06 6n3t06 6n3t06 6n3t06 6lt3l06 6n3t06 6n3t06 6n3t06 Receipt Number 1200600000000000852 r200600000000000852 r200600000000000852 1200600000000000852 1200600000000000852 12006000000000008s2 r200600000000000852 r2006000000000008s2 1200600000000000852 $4,443.57 tr'ees Paid Plan Reviews Initial Review Plan Review Comments Planning Review Public Works Review Structural Review Structural Review 05/1u2006 0snU2006 05/l l/2006 05nU2006 06t06t2006 0511212006 06t05t2006 LLH JMP EMM SB 05/tU2006 05n6t2006 wE JMP 06n2t2006 06n2t2006 APP JMP APP JF WI. Received faxed responses from Vicki Hood and Jeanette Applauso. Jeanette stated that Sign permits will be applied for with David Bowlsby before signs are placed and that the correct valuation to be used for all of this site work is $113,319. To be built per approved final site plan DRC2005-00056 HOLD FOR ISSUANCE OF LDAP. (Ready to issue) Does not approYe any construction of Church Buildinp Structure. SDCs for pavement added. See attached documents for 2 structural comments faxed to Jim Branch. Received Gilbert's approval and plans. Deleted his review and inspection per his request. No energy code issues or inspections, IO APP APP APP SUB Review 05/r l/2006 05t22t2006 Pase 2 of3 Valuation Description I Status Issued 225 Fifth Street, Springfield' OR 541-726-3753 Phone 541-726-3676 Fax S4l-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00552ISSUED: 0611312006APPLIED: 05/1012006 EXPIRES: 1211312006VALUE: $ 113,319.00 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. Rough Grading: After gravel is in place but prior to placing concrete. Final Paving: After paving is complete. Rough Plumbing: Prior to cover and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. 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. 6-,.3*oZ Owner or Signature Date Pase 3 of3 LI*t! Reouired lnsDections I ATIACHMENTA CITY OF SPRINGFIELD SYSTEMS DEVETOPMENT CHARGE WORKSHEET coM2006-005s2 NEW LIFE CENTERCHURCH 2O8O I9TH ST 2. SANTTARY SEWER{ITY A REIMBURSEMENTCOST: NUMBER OF DFLrs B. IMPROVEMENTCOST: NUMBER OF DFLI's (SEE REVERSE SIDE) 0 4. SANITARY SEWER-MWMC NEW: A. REIMBIIRSEMENT COST: NUMBER OF FEUS B. IMPROVEMENT COST: NUMBEROF FELIs DCSTING: A. REIMBI"]RSEMENT COST: NUMBEROF FEU's B. IMPROVEMENTCOST: NUMBEROF FEU's 0.00 0.00 0.00 0.00 MWMC CREDTT IF APPLICABLE (SEE REVERSE) 5. ADMIMSTRATTVE FEES: BASE CHARGE (SLIBTOTAI ABOYE) x $ 25.07 PER DFU x $ 19.07 PER DFU $ 44.14 TOTAL LOCALWASTEWATER and a stormwate,r treahe,nt swale ITE: ITE: r.oT SIZE (S.F.): TOTAL STORM DRAINAGE NTF NTF $0.00 $0.00 JOLIRNAL ORJOB NUMBER NAMEORCOMPANY: I,OCATION: MAP & TAXLOT NUMBEK DEVEIOPMENT TYPE: 1. STORM DRAINAGE IMPERVIOUS SQ. FT. NEW DEVELOPED AREA (s.F.): EXSTING DEVEIOPED AREA (S.F.): TOTAL IMPERVIOUS STJRFACE (S.F.): Church lot 9,636 x $ 0.323 PER SF 17 0325 24 00100 s/30/2006 560 $3,1 15.61 0 3. TRANSPORTATION BLDG AREA TGSF X TRIP RATE X COST PER ADT X NEW TRIP FACTOR NEW A REIMBI.]RSEMENT COST: 0.00 x 9.11 x $ 19-09 PERTRIP x E] nr-nowgvrcoil 0.00 x 9.ll x $ 84.19 PERTRIP x E)(IST TG A. REIMBI.JRSEMENT COST: 0.00 x 0 x $ 19.09 PERTRIP x E]np-r"m.rrcosF- 0.00 x 0 x $84.19PERTRIP x $ 103.28 NTF $0.00 TOTAL TRANSPORTATION REIMBURSEMENT SDC TOTAL TRANSPORTATION IMPROVEMENT SDC TOTAL TRANSPORTATION 523.44 PER FEU $0.00 $247.23 PERFEU $0.00 $0.00 $0.00 O NTF $0.00 x x SUBTOTAL (ADD ITEMS 1,2,3, &4) 3,115.61 x TOTAL TRANSPORTATION PER FEU PERFEU TOTAL MWMC REIMBIIRSEMENT TOTALMWMC IMPROVEMENT MWMCADMIMSTRATTVE TOTALMWMCSDC 5% TOTAL SEWER ADMIMSTRATION x x $0.00 -€tn ", fl A--./., A^- SDC COORDINATOR 15.61 $0.00 $0.00 $0.00$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 I15.6t $l 55.7E $$0.00 $[-rffn $3.271.39 -uu II@ COM200G00552, New Life CHurch, 2080 1gth.xls $ DATE TOTAL SDC CHARGES 1 JULY 2O(N 1 0 DRAINAGE FNTURE UNIT (DF[I) CAI-CTJLATTON TABLE NLMBER OF NEW FDOURES x I,,NTTEQUTVALENT = DRAINAGE FXTI"]RE UNITS FOR REMODELS, CAI-CULATE ONLY THE NETADDMONAL Church Parkins lot and a stormwat€r teatment svyale DRAINAGE FDilURE LNITSTYPE BATIITUB DRINKING FOT]NTAIN FLOORDRAIN, FLOOR SINK INTERCEPTORS FOR GREASUOIUSOLIDS/ETC. INTERCEPTORS FOR SAND/AU"TO WASTYETC. I-AUNDRY TT]B CIOTI{ES WASHERA'OP SINK croTHEs WASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (1 PER TRAILER) RECEPTOR FOR REFRIGERATOR/WATER STATION/ETC. RECEPTOR FOR COMMERCIAL SINK/ DISHWASHER/ETC. SHOWE& SINGLE STALL sHowE& GANG (NUMBER OF HEADS) SINIC COMMERCIAL, RESIDENTIAL KITCI{EN SINK: COMMERCI-ALBAR SINK: WASH BASIN/DOL,BLE I-A,VATORY SINK: SINGLE LAVATORY/RESIDENTIAL BAR URINAL, STALI../WALL TOILET, PUBLIC INSTALLATION TOILET, PRTVATE INSTALLATION MISCELT,ANEOUS: NUMBER OF EDU'S* *EDU (Equivaleirt Dwelling Unit) is a FDilURES NEW OLD TOTAI DRAINAGE FXTURE LINITS= TINIT 3 I 3 3 6 2 3 6 t2 I 3 ') 2 3 ) 2 I 5 6 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 discbarge eguivalsnl 1s x singlg family dwelling (20 DFI-I) set at 167 gallons Dfr.dzy 0 0 0 0 CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCI,]RRED AFTER ANNEXATION DATE IN TABLE, CAIfULATE CREDITS SEPARATELY YEAR ANNE)GD CREDTT FOR PARCEL OR I-A,ND ONLY IFAPPLICABLE IMPROVEMENT (m AFTER ANNEXATION DATE) RATE PER $1,OOO ASSESSED VALUE $ 1.45 $1.25 $1.09 $0.92 s0.72 $0.48 $0.28 $0.09 $0.05 x x $0.00 RATE PER $I,OOO ASSESSED VAIUE YEAR ANNE)GD 1979 1980 l98l 1982 r983 1984 1985 1986 r987 1988 1989 1990 1991 or before $s.29 $s. l9 $5.12 $4.98 $4.80 $4.63 $4.40 s4.07 $3.67 $3.22 1992 1993 r994 1995 1996 1997 1998 1999 2000 2001 2002 2003 20M $0.00 $0.00 COM20O5-00552, New Life CHurch, 2080 1gth.xls CREDITTOTAL 1 JULY 2OO4 0 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Citu of Springfield Official Receipt D opment Services Department Public Works Department RECEIPT #: 1200600000000000852 Date: 0611312006 e:02:34AM Job/Journal Number coM2006-00552 coM2006-00552 coM2006-00552 coM2006-00552 coM2006-00552 coM2006-00552 coM2006-00552 coM2006-00s52 coM2006-00552 Description Fixture Storm Sewer - lst 50 Feet Storm Sewer Each Addtl 100' Storm Drainage Impervious Area SDC Sanitary/Storm Admin Plan Review Comm/IndiPublic Paving + 8% State Surcharge + l0o/o Administrative Fee Amount Due 28.00 45.00 14.00 3,115.61 155.78 397.2s 6l l.t5 6.96 69.82 Item Total:-$4-f857--Payments: Type of Payment Paid By Received By Batch Number Check Number Authorazation Number How Received Amount Paid CreditCard CreditCard TODD WAGNER TODD WAGNER ddk ddk 013 l98 In Person 013150 In Person Payment Total: $ r ,000.00 $3,443.57 $4,4$:54 Job/Journal Number coM2006-00552 coM2006-00552 coM2006-00552 coM2006-00s52 coM2006-00552 coM2006-00552 coM2006-00ss2 coM2006-00552 coM2006-00552 Amount Due 28.00 45.00 14.00 3,115.61 155.78 397.2s 6l I .15 6.96 69.82 Item Total:$4,443.57 Payments: Type ofPayment Paid By uhecl(Number Authorrzatton Received By Batch Number Number How Received Amount Paid CreditCard CreditCard TODD WAGNER TODD WAGNER ddk ddk 013 l98 In Person 013150 In Person Payment Total: $ 1,000.00 $3,443.57 s4,443.57 cReceint I Page I of I 6113/2006 Description Fixture Storm Sewer - lst 50 Feet Storm Sewer Each Addtl 100' Storm Drainage Impervious Area SDC Sanitary/Storm Admin Plan Review Comm/Ind/Public Paving + 8% State Surcharge + ll%o Administrative Fee