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Home My WebLink AboutPermit Building 2008-7-16 CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO' COM2008-00856 ISSUED: 07/16/2008 APPLIED 06/13/2008 EXPIRES: 01/16/2009 VALUE: $ 281,785.00 _...,.~~ siiiI LMIllllf:1i II ~., Status Issued 225 FIfth Street, SprlOgfield, OR 541-726-3753 Phone 541-726-3676 Fdx 541-726-3769 InspectIOn LlOe SITE ADDRESS 5722 Pen dot Way ASSESSOR'S PARCEL NO 1802041401214 Spnngfield TYPE OF WORK SlOgle FamIly ReSIdence PROJECT DESCRIPTION SlOgle famIly reSIdence TYPE OF USE New ReSIdential Owner SAMUEL PAZ Address 4127 VIRGINIA A V SPRINGFIELD OR 97478 Contractor Type General Electncal Mechamcdl PlumblOg 1 CONTRACTOR INFORMATION I Contractor LIcense ADW LLC 172229 VALLEY ELECTRIC CO, LLC 15364 RONS HEATING AND AIR CONDITIONING 169680 WEST COAST PLUMBING CONTRACTORS 168880 BUILDING INFORM~ TION I # of Umts Pnmary Occnpancy Group Secondary Occupancy Group Pnmary CoustructlOn Type Secondary ConstructIOn Type # of BedroolOs # of Stones HeIght of Structure Type of Heat Water Type Range Type Energy Path Spnnkled BUIld 109 1 R-3 U VB 2 2600 Electnc Electnc Electnc Path 1 No 3 I. DEVELOPMENT INFORMATION I Frontyard Setback SIde 1 Setback SIde 2 Setbdck Rearyal d Setback Solar Setbacks 1800 700 700 3400 3400 Overlay Dlst # Street Trees Rqd Paved Dnve Rqd % of Lot Coverage 1 PUBLIC IMPROVEMENTS I Street 1m .A.T.J:ENJION' Oregon law requll&ll yvv IV Ptoflow'iiires adopted byRbulOl1Igflll;lI1lhty Storm Se>WollflOlllldll<Center. Those rules are aEllsforth SpCClal InfjrlilAl'lJ\l52-001-001 0 through OAR 952-001- 0090. You may obtain caples of the rules by Notes St<Oa:lllAgdh~r. (Note' the telephone number for the Oregon Utlllly Notification Center IS 1-800-332-2344). Phone Number 541-736-3873 ExpIratIon Date 09/22/2008 1012412010 04/20/2009 03/0312010 Phone 541-683-3279 503-838-0447 54 I -343-6829 541-926-5300 Lot SIze Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft Garage/Carport Sq Ft Other Occupaut LOdd 1,617 960 400 2 Yes 3300 REQUIRED PARKING Total 2 HandIcapped Compact SIdewalk Type CurbSIde 7' Curb and Gutter DownspoutsffiralDS NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Pa!!e 1 of 4 -Wi:;'~ CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO ISSUED. APPLIED: EXPIRES: VALUE: COM2008-00856 07/16/2008 06/13/2008 01116/2009 $ 281,785.00 225 Fifth Street, SprlOgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspectlOn LlOe I Valuahon DescrlOhon I Dwelhn!!s Garafre V Wood Frame Garaf!e $ Per Sq Ft or multJpher $10500 $28 00 Square Footage or BId Amount 2,577 00 400 00 Value Date Calculated DescflotlOn Tvpe of Construchon Total Value of ProJect $270,585 00 $11,20000 $281,78500 06/13/2008 06/13/2008 ~<, pqJ(11 Fee DescriptIOn Amouut PaId Date PaId Receipt Number Plan RevIew ReSldentldl $828 36 6/13/08 1200800000000000650 -Mecbamcallssuance Fee- $20 00 7/16/08 1200800000000000786 + 10% AdmlOlStratJve Fee $211 63 7/16/08 1200800000000000786 + 12% State Surcharge $236 09 7/16/08 1200800000000000786 + 5% Technology Fee $10862 7/16/08 1200800000000000786 3 Baths One & Two Family $337 00 7/16/08 1200800000000000786 AddresslOg ASSIgnment $35 00 7/16/08 1200800000000000786 Apphance Vent $700 7/16/08 1200800000000000786 BUJldlOg PermIt $1,27440 7/16/08 1200800000000000786 FIre SF Fee - ReSldentJal $148 85 7/16/08 1200800000000000786 FIreplace (LISted) $1700 7/16/08 1200800000000000786 MlO,mum/AdJustment Mechamcal $26 00 7/16/08 1200800000000000786 Pldn ReVIew Major - PlannlOg $205 00 7/16/08 1200800000000000786 ReSIdence WIrIng 1000 Sq Ft $11700 7/16/08 1200800000000000786 ReSIdence WIrIng Ea Addtl 500 $84 00 7/16/08 1200800000000000786 Samtary Sewer - 1st 50 Feet $50 00 7/16/08 1200800000000000786 Samtary Sewer - Improvement $591 72 7/16/08 1200800000000000786 S.mItary Sewer. Reimbursement $778 17 7/16/08 1200800000000000786 SDC MWMC AdmlOlStratlOn $10 00 7/16/08 1200800000000000786 SDC MWMC Improvement $990 39 7/16/08 1200800000000000786 SDC MWMC Reimbursement $95 35 7/16/08 1200800000000000786 SDC SanItary/Storm AdmlO $15429 7/16/08 1200800000000000786 SDC Transpo Improvement $862 25 7/16/08 1200800000000000786 SDC Tr dnspo Reimbursement $19548 7/16/08 1200800000000000786 SDC TransportatIOn AdmlO $69 98 7/16/08 1200800000000000786 Storm DrdlOdge ImpervIOUs Area $962 II 7/16/08 1200800000000000786 Temp Powel 200 dmp' or less $55 00 7/16/08 1200800000000000786 Wllldmalane SlOgle Fdmdy $2,513 00 7/16/08 1200800000000000786 Total Amount PaId $10,98369 I Plan ReVIews I Imhal ReVieW Structural ReVieW 06/13/2008 06/13/2008 06/1312008 06/13/2008 APP NJM APP CJC Pa!!e 2 of 4 ,__~PRINGPJBLiD t."IIII"-',l.lII!I".! ~ CITY OF SPRINGFIELD Building/Combination Permit Status Iss u ed PERMIT NO: COM2008-00856 ISSUED. 07/16/2008 APPLIED: 06/13/2008 EXPIRES 01/16/2009 VALUE' $ 281,78500 225 FIfth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn LlOe Puhllc Works RevIew 06/1312008 06/17/2008 APP LKW Stormwater to curb Planmne RevIew 06/13/2008 07/1112008 APP EMM To Request an inspectIOn call the 24 hour recordmg at 726-3769 All mspectlOns requested before 7.00 a.m will be made the same working day, mspectlOns requested after 7.00 a.m. will be made the followmg work day. I. Rpmnr",j I'WPl'tIoniJ EroslOn/GradlOg InspectIOn Pnor to ground dIsturbance and after erosIOn measures are IOstalled Curhcut - Standard After forms are erected but pnor to placement of concrete SIdewalk - CurbsIde After lorms are erected but pnor to placement of concrete Uler Electncal Ground Install ground rod at footlOg and call for IOspectlOn 10 conjunctIOn wIth footlOg and/or foundatIOn mspectlOn FootlOg After trenches are excavated, FoundatIOn After forms are erected but pnor to concrete placement Post dnd Beam Pnor to floor IOsulatlOn or decklOg Floor InsulatIon PrIOr to decklOg Shear Wall NaIling Befm e coverlOg sheath 109 WIth timsh matenals FramlOg InspectIOn Pnor to cover and after all rough 10 IOspectlOus have been dpproved Wall InsulatIOn Pnor to cover Cedmg InsulatIOn Pnor to cover Drywall Pnor to taplOg Hold Downs Installed Spec..1 InspectIOn performed pnor to placement of concrete PrOVIde report to CIty BUlldlOg Inspector FlOal BuddlOg After all reqUIred IOspectlOns have been requested and approved and the bUlldlOg IS complete Undertloor PlumblOg Pnor to IOsulatlOn or decklOg Rough PlumblOg Pnor to cover and lOc\udlOg reqUIred testlOg Water LlOe Pnor to tilllOg trench and lOc\udlOg reqUIred testlOg Samtar)' Sewer LlOe Pnol to filling trench and lOc\udlOg reqUIred testlOg Storm Sewer LlOe Pnor to filllOg trencb FlOal PlumblOg When all plumblOg work IS complete Rough Mechamcal Pnor to Cover FlOal Mechamcal When all mechamcal work IS complete Tempordry ElectrIC Approval reqUIred prIor to UtIlity Company energlzlOg pole Paee 3 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00856 ISSUED. 07/16/2008 APPLIED. 06/13/2008 EXPIRES: 01/16/2009 VALUE: $ 281,78500 225 FIfth Street, Spnnglield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspechon LlUe Rough Electnc Pnor to Cover Electnc ServIce Approval reqUIred pnor to uhlIty company energIZIng servIce FlUal Electnc When all electncdl work IS complete By SIgnature, I state dnd agree, that I have carefully examlUed the completed applIcatIOn and do hereby cerhfy that all IUformatlOn hereon IS true and correct, dnd I lurther cerhfy that any and all work performed shall be done IU accordance WIth the OrdlUances of the City of Spnngfield and the Laws of the State of Oregon pertalUlUg to the work descnbed herelU, and that NO OCCUPANCY WIll be made of any structure WIthout permISsIOn of the CommuDlty Services DIVIsIOn, BUlldlUg Safety I further cerhfy that only contractors and employees who are IU complIance With ORS 701 005 wIll be used on thIS project I further dgree to ensure that all reqUIred IUspectlOns are requested at the proper hme, 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 remam on the SIte at all hmes dunng constructIOn ~rYJ(' J'~ / !'Pac 7 Owner or Contrac;ors SIgnature () ";f- ~l ~ - O~ Date Pa2e 4 of4 ZON L~v lNITIALS "Y>-. / DATE ..., - n /{)I:, SOURCE ()'\f3j1'2J Dat.( ~ r'f /1101 og ~' I I rCOMPi1ffE~i1EifscHi:jjvtESBEWW:~W'm illfs~~;jS::fJ ,.ce.... """';:WI.tk"~ M~ :.~ .~. L.._."._.~.._~___~_A_ ~mili~.__~ _Zf:".::-1X_,-~ SPRINGFIELD ~*' o ~ ..' - . ~ " - . ". '.;.. , :qP{Q~' ~~,~Q~~LD;-,q~'Gq~": ,-" 225 FIFIH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689 ELECTRICAL PERMIT APPLICATION CIty Job Number C.9:',.... >(50 1 ~.z::()q;tI2N~, ++~~~ST~:T:~Ti'()N::~;~!;~2-'SI 3 S / 1 ~ i 0 t1 Jf Lo1- - . f/ - -- LEGAL DESCRIPTION \'bPbDt 1401'2-ltf r-'. I-I. / r\JOB DESCRl(TlOr 'S-t' ~ ~ ~ 0 'AY\ 1) ~ 1:1 ,"\1~ . \ -.. PermIts are non-transferable and expIre If work IS not started wIthm 180 days of Issnance or If work IS Suspended for 180 days A. rN;~"B~~l~{;!~~!~~~i~~ti~_~~l!~:;~:[~~Tfi;g\1!1l;~~_j~ ServIce Included 1000 sq ft or less Each addlllonal 500 sq ft or portIon thereof Each Manufact'd Home or Modular Dwellmg ServIce or Feeder IJ 7 DO 'l'1f dV I Lj $11700 $2100 $55 00 B t0s~A1k~~:fl:t~;rii~;Th~'&iiEfi~ri;i~mr~t~~~rR1J:~~~t;i.~'~~ lW,-,wJ&JfuAl;,.:;X1/;,dilm 2-# .';;*0;"'h1/<0",.0i'bi~Wi,*"m;, V~hfuaj;mJjj,,*, ili;;mMiawJ(,~""'h"k0t,,' " L- -- -.-:;;- "-;;'ff"''ijpM'F~:''''i!!MJ-"\} -i'"'~-~~"/--T~ '" ,,~ -"iiJ "'1" ,~-,~ 2 i~P'Ql!!l!dJilJ/l};!f~?'1.+T.T;1!}:ql;k~~}j~ Electncal Contraclor l4t.Lr~ ht!(1!'X! (('if" '4LlC1 Address /91r') 1 h/2A..vI ..k:.z> $ 70 00 $ 83 00 $13800 $18000 $41300 $ 55 00 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Phone (4 n.:}J 93.f3 0411 Over 1000 AmpsIV olts '- Reconnect Only City ~ ,u?, / ,rrd:.. C Supervisor LIcense Number ::? (jJ fl)(<) 5 loll/ In I C;.=3-2 co -'1 1~/t2"'//D Installahon, Alterahon or Relocahon 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 VoIls see "B" above D ExplfatlOn Date ,~ 5 _(5"'0 I $ 55 00 $ 76 00 $110 00 Constr Contr Number Explfallon Date ~~ Owners Name~ ~!lY\ \ uS2 I6_~ Address LtI n V' \ VCf.\!Y\ if.L ~ .--/ c,ty'S-002d 00./ khne i3G ~ S "573- , V OWNER INSTALLATION New Alterallon or ExtenSIOn Per Panel One Clfcmt Each AddIllonal Clfcmt or wIth ServIce or Feeder PermIt $ 48 00 $ 400 E ~~~~Ihi1:~~~{~~i:;r~g;.?iidt0iirclii:f:;~E~~~~':f~~ti~~ +, _"'~"'W_,"__"_6c___d,,____.s3_1_HUd1b-'g"-''''''';;&C~''''K='''"'"'_ ~_~ ,,3w,_~_,,"--,_ -,'~~,- [( 4 Pump or 1IT1gallon $ 55 00 SlgnlOutlme LIghtmg $ 55 00 Lumted Energy/Resldenllal $ 28 00 Lllmted Energy/Commercml $ 50 00 Mmlmum ElectrIC PermIt IuspectlOn Fee IS $50 00 + Surcharges 4 IFsiJBfoTA1?'OE;:4BOVif~i!!l!!l:',\"dII5i!,li!HiIl. %0 t5D f&;;=7'-bc1",",,);<m1:0~"M,"::"",--0J~4:1,+,",.ndd- ji3,14~~.Jfl~~1 11.'/0 1'/0 State Surcharge .3 0 {d- 10% Admrmstrallve Fee :;vs ioU 5% Technology Fee I '2 I? 0 52-5 1:;;2- The InStallatIOn IS bemg made on pwp" ~j I own which IS not mtended for sale, lease or rent Owners SIgnature Inspechon Request- 726-3769 TOTAL Shared Dnve(T )JBUlldmg ForrnslElectncal Permit ApplicatIOn 7-07 doc CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER NAME OR COMPANY LOCATION TAX LOT NUMBER DEVELOPMEN I TYPE NEW DWELLING UNI IS I STORM DRA!NAC;E --..., C0M2008-00856 ADW LLC 5722 Pen dot 1802041401214 Smgle Farmly Residence I BUILDING SI7E (SF 2977 LOT SIZE (SF) DIRECT RUNOFF TO CITV SlORM SYSTEM 1 IMPFRVIOUS S F x I COST PER S F CHARGE I 2780 50 I $0 346 I 1 $962 11 I RUNOFF ROUl ED TO DRYWELL DESIGNED AND CONSTRUCTED lOCI IV STANDARDS IIMPCRVIOUS S Fix 1 COST PI R S Fix I DISCOUNT RATC I I o 00 I I $0 346 1 1 50% I ~ ITEM I TOTAL - STORM DRAINAGE SDC J SANI IARY SEWER - CITY A RLIMIlURSEMENTCOSI 1 NUMBER OF DFU's I I 29 I DISCOUNT $000 $962 II x COST PCR DFU $26 83 B IMPROVCMCN I COST [ NUMIlER OF DFU's I I 29 I x COST PCR DFU $20 40 ITEM 2 TOTAL - CITY SANITARY SEWER SDe = I $1,36988 5663 I~ I~ IW-l E-< r/J G ~ , $962 II , 1070 I , $77817 1091 I $591 72 11092 I Ii J TRANSPORTATION A RLIMBURSFMENT COST I ADrTRJPRATE I x [ 957 I I NUMBER or UNITS 1 x 1 I I 1 1 B IMPROVEMENT COST I ADT TR1P RATE I x I NUMBER OF UNITS 1 x 1 1 957 I I I 1 ITEM 3 TOTAL - TRANSPORTATION SDe = I COS I PER TRIP 2043 x INEW TRJP FACroRI 1 100 $19548 $862 25 1093 I 11094 I I i I 11054 4 SANI IARY SEWER - MWMC A REIMBURSEMENT COST [NUMBER OF FEU's 1 x I I 1 ICOST PER FEU 1 $95 35 B IMPROVEMENT COS I INUMBER OF FEU's I x ICOST PER rcu 1 1 I $990 39 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINIS I RA liVE FEE ITEM 4TOTAL-MWMC SANITARY SEWER SDC =, SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ I 5 ADMINISTRATIVE FEE 1 SUBTOTAL x I ADM FEE RATE 1= I $4,485 46 I 5% I TOTAL SANITARY ADMINISTRATION FEE TOTAL TRANSPORTATION ADMINISTRATION FEE Kaye Wilson 6/17/2008 PREPARED BY DATE COST PER TRIP $9010 $1,05773 x 1 NEW TRIP F ACTORI 1 100 1 $1,09574 = $95 35 , I' 1 1055 I 1054 ill056 1 $4,485 46 CHARGE $22427 TOTAL SDC CHARGES = $990 39 $000 $10 00 15429 $69 98 $4,709 73 I I 11079 J 1078 " DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT "" DRAlNAGE HXTURC UNITS (NOTE FOR REMODELS CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO OF FIXTURES DRAINAGC UNIT FIXTURE FIXTURE TYPE NEW OLD CQUIV ALENT UNITS I BATHTUB 2 0 3 = 6 ----I IDRINKING FOUNTAlN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 I IINl ERCCPTORS FOR GREASE / OIL I SOLIDS / ETC 0 0 3 = 0 I IINTERCEP roRS FOR SAND / AUTO WASH / ETC 0 0 6 = 0 I LAUNDRY TUB 1 0 2 = 2 ICLOTHESW ASHER / MOP SINK 1 0 3 = 3 ICLOTHESW ASHER, 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 IRCCCPTOR FOR REFRIG / WATER SlATION / ErC 0 0 1 = 0 I RECePTOR FOR COM SINK / DISHWASHER / ETC 1 0 3 = 3 ISHOWER, ~INGLE STALL 1 0 2 = 2 ISHOWER GANG (NUMBER OF HEADS) 0 0 2 = 0 ISINK COMMERCiALiRi::SlDENTIAL KITCHEN 1 0 3 = 3 ISINK COMMERCIAL BAR 0 0 2 = 0 I SINK WASH BASIN/DOUBLE LA V AWRY 1 0 2 = 2 ISINK SINGLE LA V ATORY/RESlDCNTIAL BAR 2 0 1 = 2 IURINAL STALL/WALL 0 0 5 0 II OILL T, PUBLIC INSTALLATION 0 0 6 0 [TOILE I , PRlVA[C INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 29 .EDU (EqUivalent Dwelling Umt) IS a discharge eqUIvalent to a smgle family dwellmg urnl (20 DrUs) set at 167 ~allons per day MWMC CREDIT CALCULATION TABLE BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 ]985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 t998 1999 2000 2001 j CREDIT RATE/$I,OOO ASSESSED VALUE ~:~ _$529- '_- ';$529 "'-:' -'-- $519,,",_,- ~----' ~$5 12 J -c ~~ -:-~- $4 98 -- ~ ~~ " $480. c- ;- _ 1~:~i_$_4 ,63 j 1 ~ ~'" $440 :;,-:, d - ~ ~ $4 07 I ,5~-~C~l-~ ~ - I, $3 67_ ~r '$3 22 ,-~ ~ -', ~ ""- - ----'-'j-;j.- '- $273' , e- $225 ~ " - C ""_ $1 80 _.:.' " '_ $159 , J I I,,~ 9 $145 ,_ 1,-:-1 ~ '$1 25'-"-]"'=- eL -; c-: $1 09i(t ~ l;cio' f " , ~ c $0 92,.!i~ " f"c $~ 72--: 'H' ql~i :; $O~8 I ~ _ ,-,-,L-"'$028 ~l lH 1 ~>--= $009 _ L-ij~ .". 1 -,-' =' r -$0050"-, __ 0..,. ~ ~~ _ "'-"'" I I 225 Fifth Street CIty of Sprmgfield OffiCIal ReceIpt ~prmgfield, Oregon 97477 Development ServIces Department 541-726-3759 Phone Public Works Department RECEIPT #. 1200800000000000786 Date 07/16/2008 I 19 27PM Job/Journal Number Description Amount Due COM2008-00856 Fire SF Fee - ReSidential 14885 COM2008-00856 Temp Power 200 amps or less 5500 COM2008-00856 WIlIamalane Smgle Family 2,51300 COM2008-00856 Stonn Dramage ImpervIOus Area 962 II COM2008-00856 Samtary Sewer - Re,mbursement 77817 COM2008-00856 Samtary Sewer - Improvement 59172 COM2008-00856 SDC Transpo Reimbursement 19548 COM2008-00856 SDC Transpo Improvement 862 25 COM2008-00856 SDC MWMC Reimbursement 9535 COM2008-00856 SDC MWMC Improvement 99039 COM2008-00856 SDC MWMC Adrrumstratlon 1000 COM2008-00856 SDC SamtarylStonn Admm 15429 COM2008-00856 SDC TransportatIOn Admm 6998 COM2008-00856 Bulldmg Penn It 1,27440 COM2008-00856 Addressmg ASSignment 3500 COM2008-00856 3 Baths One & Two family 33700 COM2008-00856 Samtary Sewer - 1 st 50 Feet 5000 COM2008-00856 Apphance Vent 700 COM2008-00856 Fireplace (Listed) 1700 COM2008-00856 M,mmum/AdJustment Mechamcal 2600 COM2008-00856 -Mechamcallssuance Fee- 2000 COM2008-00856 ReSidence W (flng 1000 Sq Ft 11700 COM2008-00856 Res,dence WIrIng Ea Addtl 500 8400 COM2008-00856 Plan ReView Major - Plannmg 205 00 COM2008-00856 + 5% Technology Fee 10862 COM2008-00856 + 12% State Surcharge 236 09 COM2008-00856 + 10% Admmlstrallve Fee 21 163 Item Total $10,15533 Payments Check Number AuthoTlzatlOn Type of Payment PaId By Received By Batch Number Number How Received Amount Paid Check HARDWOOD PAZ CO ddk 1183 In Person $10,15533 Payment Total $1U,15533 cRecemtl Page 1 of 1 7/16/2008 o !~!!~o~l~,~e Job No ~(--- Q~ SYSTEM DEVECOfMENT CHARGE WORKSHEET FOR 2008 , \/ NAM~JY\ll_& \ ~~ 7_ PHONE ADDRESsL+IG7 V'] ~l1)'t,a CITY~(~_ ~ STATEoQZIP LOCATION OF PRopoM BUILDING SITE\ \j Street Address 57)...~ ~o ))~\ ^-tl~ q/~i Plat Name Tax Lot Number 1. DEVELOPMENT TYPE (Check appropnate dwelllng(s) Dwelling type definitions are on the back) A Smale-Famllv Detached $~ ~L~ C)O NO OF UNITS X $2,513 per Unit = B Smole-Famllv Attached NO OF UNITS X $2,726 per Unit = $ / C Multl-Famllv Aoartment NO OF UNITS X $2,323 per Unit = $ / D Smale Room Occuoancv / NO OF UNITS X$1,162 per Unit = $ E Accessorv Dwelhno Unit I NO OF UNITS X $1,257 per Unit = $ OV $ ;:)SL5 . WILLAMALANE SDC 2. SDC CREDIT (If applicable) SDC payer must furnish proof of Willamalane Credit approval) $ .-- 3. TOT) WILLAMALANE NET SOC ASSESSEO ~5tS, 00 (tf DC reduced for Credrt) $ "- " )p ,q '\) (I hQd 0 I] /& I D<6 I Date City 0 Spm gfi d 5 -iijC CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00958 ISSUED: 07/17/2008 APPLIED: 07/01/2008 EXPIRES: 01/17/2009 VALUE' $ 20,000.00 Status Issued 225 FIfth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 945 54TH ST ASSESSOR'S PARCEL NO 1702331202200 Sprmgfield TYPE OF WORK Smgle FamIly ResIdence TYPE OF USE Remodel ResIdentIal PROJECT DESCRIPTION Enclose carport and mtellOr remodel Owner Address MICHAEL AKINS 614 72ND ST SPRINGFIELD OR Phone Number 541-912-4221 I CONTRACTOR INFORMATION I Contractor Type General Mechdmcal Plumbmg Contractor OWNER OWNER OWNER License ExpiratIOn Date Phone BUILDING INF?RM~TION I # ofUmts Pnmary Occupdncy Group Secondary Occupancy Group Pnmary ConstructIon Type Secondary ConstructIOn Type # of Bedrooms R-3 U VB # of Stones HeIght of Structure Type of Heat Water Type Range Type Energy Path' Sprmkled Bmldmg 1600 Electnc Electnc Electnc Path 1 No Lot SIze Sq Ft 1st Floor Sq Ft 2nd Floor. Sq Ft Basement Sq Ft Garage/Carport Sq Ft Other Occupant Load 280 I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dlst Total # Street Trees ROdt-E'lTIO" 0 I Handicapped RI I I' \I tBOOn taw rE'C'jlJ"'O<:' \If'lll to Paved DrIVe R'IS;low rules ad' Dted b th () Co!"pact 'X 01 Lot Cov a 0, y 1'8 regu" Utility o 'l~~II,catlon CenhJr Trese rules are set forth ~n_l?!,R 952-001-0010 through OAR 952-001- NOTICE' """" II'" ""'y u,""au, ~uf,ues OJ me rUles by I PUBLIC IMPROVEMJi1.~fJili Ihe center (Note the teJeph Street Improvements THIS PERMIT SHALL tXf'IHE IF THE wbRl~niDei'or th~~Ii\RI1(\IIJ~ty Notlflc~~~n AUTHORIZED UNDER THIS PERMIT IS NOT Center IS 1-800-3j2-2344). Storm Sewer AvadabJe'{)MMENCED OR IS ABANDON Downspouts/Drams SpeCIal InstructIon ANY 180 DAY PERIOD. ED FOR Front yard Setback S.de I Setback SIde 2 Setback Rearyard Setbdck Soldr Setbacks 23 80 540 Notes Paee 1 01 4 -Wi:...., Status Issued 225 F,fth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Description Tvpe of Construchon EstImate EstImate Fee DescrIPtIOn Plan RevIew ReSIdential -Mech Iss 2+ Apphances- + 10% AdmmlStrahve Fee + 12% State Snrcharge + 5% Technology Fee BUlldmg PermIt Dryer Vent Exhaust Hoods Fife SF Fee - ReSIdential Fixture Samtary Sewer - Improvement Samtary Sew.. - ReImbursement SDC Samtary/Storm Admm Storm Dramage ImpervIOus Area Vent Fan Vent Fan Vent Fan Total Amount PaId Imtlal Review 07/0212008 Pubhc Works RevIew 07/0212008 Planmne Review 07/0212008 Structural Review 07/0212008 CITY OF SPRIN~1'lJi.LU Building/Combination Permit PERMIT NO. COM2008-00958 ISSUED 07/17/2008 APPLIED' 07/01/2008 EXPIRES 01/17/2009 VALUE: $ 20,00000 I Vahl,~\"on DescrIotIon I $ Per Sq Ft or mulhpher $100 Square Footage or BId Amount 20,000 00 Value Date Calculdted Total Value of Project $20,000 00 $20,000 00 07/0112008 Ff'f'~ P"li.IU Amount PaId Date PaId ReceIpt Number $132 89 $40 00 $4744 $55 25 $23 02 $204 44 $700 $10 00 $1400 $17600 $12622 $16599 $1980 $10381 $2100 $2100 $2100 7/1108 7/17/08 7/17/08 7/17/08 7/17/08 7/17/08 7/17/08 7/17/08 7/17/08 7/17/08 7/17/08 7/17/08 7/17/08 7/17/08 7/17/08 7/17/08 7/17/08 2200800000000000997 2200800000000001100 2200800000000001100 2200800000000001100 2200800000000001100 2200800000000001100 2200800000000001100 2200800000000001100 2200800000000001100 2200800000000001100 2200800000000001100 2200800000000001100 2200800000000001100 2200800000000001100 2200800000000001100 2200800000000001100 2200800000000001100 $1,18886 I Plan RevIews I 07/0212008 APP NJM 07/03/2008 APP LKW Storm wdter ties m to eXlstlOg system 07/08/2008 APP T AJ No Planmng Issues 07/15/2008 APP CJC To Request an Inspection call the 24 hour recordIng at 726-3769. All Inspections requested before 7:00 a.m. wIll be made the same workIng day, InSpectIOns requested after 7:00 a.m. wIll be made the followmg work day. Paee 2 of 4 CITY OF ~nuj'ltJ.H~LD' Building/Combination Permit Status Issued PERMIT NO' COM2008-00958 ISSUED: 07/17/2008 APPLIED: 07/01/2008 EXPIRES 01/17/2009 VALUE $ 20,000.00 225 F,fth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Rp'l".rp~ IOSDeChon~ Footmg After trenches are excavated FoundatIOn After forms are erected but pnor to concrete placement Post and Beam Pnol to 1100r msulatlOn or deckmg Floor InsulatIon Pnor to deckmg Shear Wall Nallmg Before covenng sheathmg wIth fimsh matenals Frammg Inspechon Pnor to cover and after all rough m mspectlOns have heen approved Wall InsulatIOn Pnor to cover Cellmg InsulatIOn Pnor to cover Drywall Pnor to tapmg Hold Downs Installed SpecIal InspectIOn pel formed pnor to placement of concrete ProvIde report to CIty BUIld 109 Inspector Bolts Installed m Concrete To be done by a State CertIfied SpecIal Inspector ProvIde mspectIon test reports to CIty BUlldmg Inspector Fmal BUlldmg Alter all reqUIred mspectlOns have heen requested and approved and the bUlldmg IS complete Underl1001 Plumbmg Pnor to msulatlOn or deckmg Rough Plumbmg Pnor to cover and mcludmg reqUIred testmg Water Lme Pnor to fillmg trench and mcludmg reqUIred testmg Samtary Sewer Lme Pnor to fillIng trench and mcludmg reqUIred testmg Storm Sewer Lme Pnor to fillmg trench Fmal Plumbmg When all plumbmg work IS complete Rough Mechamcal Pnor to Cover Fmal Mechamcal When all mechamcal work IS complete Rough Electnc Pflor to Cover Fmal Electnc When all electflcal work IS complete Paee 3 of 4 Status Issued 225 FIfth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO ISSUED' APPLIED. EXPIRES. VALUE: COM2008-00958 07/17/2008 07/0112008 01117/2009 $ 20,000 00 By sIgnature, 1 state and agree, that I have carefully examlDed the completed apphcalIon dnd do hereby cerlIfy that all IDformatlOn hereon IS true and correct, and I further certlly thdt any and all work performed shall be done ID accordance WIth the OrdlDances of the CIty of SprlDgfield and the Laws of the State of Oregon pertalDlDg to the work descnbed herelD, and that NO OCCUPANCY wIll be made of any structure WIthout permISSIon 01 the CommuDlty ServIces DIVIsIOn, BuIldlDg Safety I further cerlIfy thdt only contractors and employees who are ID comphdnce WIth ORS 701 005 wIll be used on thIS prolect I further agree to ensure that all requlI ed IDspectlOns are requested at the proper lIme, 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 pldns wIll remalD on the SIte at all times durmg nstructlOll ~~ Owner or Cont;act'od Slgna~ur; v ) P dee 4 of 4 Date '1. Ilr !)~ CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER Com2008-00958 NAME OR COMPANY MIchael Akms LOCATION 945 54th Street TAX LOT NUMBER 1702331202200 DEVELOPMJ:NT TYPE Smgle Farmly Resldencc NEW DWELLING UNITS 0 BUILDfNG SIZE (SF 280 LO r SIZE (SF) I STORM DRAINAGE 5227 I I~ 10 II ~ 18 ~ ~ DIRECT RUNOFF TO CITY STORM SYS I EM I IMPERVIOUS S F x I CO~T PER S F I I CHARGE I I 29100 I $0357 = I $10381 RUNOFF ROUTCD TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUSSF I x I COSTPERSF I x I D1SCOUNTRATE I I l 0 00 I $0 357 I I 50% ~ I ITEM I TOTAL - STORM DRAINAGE SDC $10381 2 SANITARY SEWER - CITY DISCOUNT $000 $10381 I 1070 A RI:IMBURSEMENT COST I NUMBER OF DFU's I x I 6 I COST PER DFU $27 67 $16599 , II i 11091 B IMPROVEMENT COST I NUMBER OF DfU's I x COST PER DFU 6 I $2104 $12622 I 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC ~ I $29221 J J TRANSPORTATION I A REIMBURSEMCNT COST I ADT TRIP RATE I x I NUMBER OF UNII S I x I COST PCR I RIP x INEW TRIP FACTOR I I 957 I I 0 I I 21 06 I 100 I $000 ' 1093 B IMPROVEMENT COST I ADI TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP !-ACTORI I 957 I I 0 I l $92 89 I 100 I $000 [1094 ITEM 3 TOTAL - TRANSPORT A nON SDC =1 $000 J 4 SANITARY SEWER - MWMC A REIMBURSCMENT COST INUMBER ~F FEU's I x ICOST PER FEU I I $97 90 = $000 1054 B IMPROVEMENT COST IN UMBER OF FEU's I x ICOST PER FEU I 0 I I $1,00917 = $000 1055 MWMC CREDI r IF APPLICABLE (SEE REVERSE) $000 11054 MWMC ADMfNlSTRATIVE FEE $000 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC ~ I $000 I I SURTOT AL (ADD ITEMS I, 2, 3, & 4) ~ , $396 02 I I , ADMINIS I RA liVE FFE ISUBroTAL x I ADM FEE RATE I~ CHARGE I $396 02 I 5% I $1980 TOTAL SANITARY ADMINISTRATION FEE 1980 J 1079 TOTAL TRANSPORTATION ADMfNlSTRATION fCE $000 11078 Kaye Wilson 7/3/2008 TOTAL SDC CHARGES =1 $41582 II PREPARED BY DATE .._____.._ _u_ ., _ .. DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE .- -- l N1J1vffiER OF NEW FIXTIJRES x UNIT EQUIVALENT = DRAINAGE FIXTIJRE UNITS (NOTE FOR REMODELS CALCULATE ONLY THE:. NET ADDmONAL FIXTURI:S) NO OF FIXTIJRES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD [OUIV ALENT UNITS IBATHTUB 2 1 3 = 3 II I DRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 I IINTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC 0 0 3 = 0 I INTERCEPTORS FOR SAND I AUTO WASH I ETC 0 0 6 = 0 ILAUNDRY TUB 1 0 2 = 2 ICLOTHESWASHER I MOP SINK 1 1 3 = 0 ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBlLE HOME PARK TRAP/I PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REFRlG I WATER STATION I ETC 0 0 1 = 0 I RECEPTOR FOR COM SINK I DISHWASHER I EYC 1 0 3 = 3 ISHOWER SINGLE STALL 0 1 2 = -2 I SHOWER, GANG (NUMBER or HEADS) 0 0 2 = 0 ISINK COMMERCi.ijJRESIDENTIAL KlTCHEN 1 1 3 = 0 ISINK COl\1MERCIAL BAR 0 0 2 = 0 I>INK WA"H BASINIDOUBLE LAVATORY 0 0 2 = 0 ISINK SINGLE LAVATORYIRESIDENTIAL BAR 2 2 1 = 0 IURlNAL, STALL/WALL 0 0 5 = 0 ITOILEI, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PIUVATE INSTALLATION 2 2 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 6 *EDU (EqUivalent Dwelilm~ Umt) IS a discharge equIValent to a smgle Calmly dwelhng umt (20 DFU's) set at ]67 gallons per day MWMC CREDIT CALCULATION TABLE BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 I 1988 I 1989 1 1990 I 1991 I 1992 ! 1993 1994 1995 1996 1997 1998 1999 2000 2001 I CREDITRATE/$I,OOO - )1 I A<<"<<FD VALUE ~ ) "t J- $5 29') ~ _,c_, -*-$5 29 -~~ ,',_ ) --"-- 1 $519 '.te" l, ,_ '$5 12 r -'~5r~--' , --r," $4 98_'"~ - ~--;c_ $480 - _ . _ =~' $4 63 {_' .;b~.;;- ~ _j::t-l- __.j.,-.J....!..-.L:. ~ -_$440 - =$4 07 -;. .. , -$367'~'~'~ +~ - -' $3 22 9~ ~""It - ' $273 -;:; $225 - $180 _ - $1 59, ~'f, t ~LI $145' "; ",,_,"'$1 25F _~j t -:J~-f't $1 O_9~J -c "11' '1- $0 92 ~ f-,01!. - 1~~ I Jt~~" r $0 72~ ~_ r >I ) T' $048-,t.:f<g~I~' ,~c ~ '_-c$O 2_~Y~-i 'Li " "'- 1'l..'OJj' $0 09 " ,='-", r $~O-05 -=.k F ""- - I - - , 2.-/ I IS LAND ELGIBLE FOR ANNEXATION CREDIT" (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX CREDIT" (Enter I for Yes, 2 for No) BASE YEAR 2 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE I 1000 CREDIT RATE $0 00 x $5 29 ~I $000 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXA nON) VALUE I 1000 CREDIT RATE $000 x $529 o TOTAL MWMC CREDIT $000 = '- 225 FIfth Street Sprmgfield, Oregon 97477 541-726-3759 Phone *- CIty of Sprmgfield OfficIal ReceIpt Development ServIces Department PublIc Works Department Job/Journal Number COM2008-00958 COM2008-00958 COM2008-00958 COM2008-00958 COM2008-00958 COM2008-00958 COM2008-00958 COM2008-00958 COM2008-00958 COM2008-00958 COM2008-00958 COM2008-00958 COM2008-00958 COM2008-00958 COM2008-00958 COM2008-00958 Payments Type of Payment CredltCard cRecemtl RECEIPT #: 2200800000000001100 Date: 07/17/2008 DescriptIOn FIre SF Fee - ResIdentIal Storm Dramage ImpervIOus Area San'tary Sewer - ReImbursement Samtary Sewer - Improvement SDC Samtary/Storm Admm BUlJdmg PermIt FIxture Vent Fan Exhaust Hoods Dryer Vent Vent Fan Vent Fan -Mech Iss 2+ Apphances- + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee PaId By KARKYNN AKINS Item Total Check Number AuthorlL;atlOn Received By Batch Number Number How Received NJM 045558 In Person Payment Total Page] of] 9 43 29AM Amount Due 1400 103 8] 16599 12622 1980 204 44 17600 2100 10 00 700 2100 2100 4000 2302 5525 4744 $1,05597 Amount PaId $],05597 $1,05597 7/17/2008 CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO' COM2008-00856 ISSUED: 07/16/2008 APPLIED 06/13/2008 EXPIRES: 01/16/2009 VALUE: $ 281,785.00 _...,.~~ siiiI LMIllllf:1i II ~., Status Issued 225 FIfth Street, SprlOgfield, OR 541-726-3753 Phone 541-726-3676 Fdx 541-726-3769 InspectIOn LlOe SITE ADDRESS 5722 Pen dot Way ASSESSOR'S PARCEL NO 1802041401214 Spnngfield TYPE OF WORK SlOgle FamIly ReSIdence PROJECT DESCRIPTION SlOgle famIly reSIdence TYPE OF USE New ReSIdential Owner SAMUEL PAZ Address 4127 VIRGINIA A V SPRINGFIELD OR 97478 Contractor Type General Electncal Mechamcdl PlumblOg 1 CONTRACTOR INFORMATION I Contractor LIcense ADW LLC 172229 VALLEY ELECTRIC CO, LLC 15364 RONS HEATING AND AIR CONDITIONING 169680 WEST COAST PLUMBING CONTRACTORS 168880 BUILDING INFORM~ TION I # of Umts Pnmary Occnpancy Group Secondary Occupancy Group Pnmary CoustructlOn Type Secondary ConstructIOn Type # of BedroolOs # of Stones HeIght of Structure Type of Heat Water Type Range Type Energy Path Spnnkled BUIld 109 1 R-3 U VB 2 2600 Electnc Electnc Electnc Path 1 No 3 I. DEVELOPMENT INFORMATION I Frontyard Setback SIde 1 Setback SIde 2 Setbdck Rearyal d Setback Solar Setbacks 1800 700 700 3400 3400 Overlay Dlst # Street Trees Rqd Paved Dnve Rqd % of Lot Coverage 1 PUBLIC IMPROVEMENTS I Street 1m .A.T.J:ENJION' Oregon law requll&ll yvv IV Ptoflow'iiires adopted byRbulOl1Igflll;lI1lhty Storm Se>WollflOlllldll<Center. Those rules are aEllsforth SpCClal InfjrlilAl'lJ\l52-001-001 0 through OAR 952-001- 0090. You may obtain caples of the rules by Notes St<Oa:lllAgdh~r. (Note' the telephone number for the Oregon Utlllly Notification Center IS 1-800-332-2344). Phone Number 541-736-3873 ExpIratIon Date 09/22/2008 1012412010 04/20/2009 03/0312010 Phone 541-683-3279 503-838-0447 54 I -343-6829 541-926-5300 Lot SIze Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft Garage/Carport Sq Ft Other Occupaut LOdd 1,617 960 400 2 Yes 3300 REQUIRED PARKING Total 2 HandIcapped Compact SIdewalk Type CurbSIde 7' Curb and Gutter DownspoutsffiralDS NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Pa!!e 1 of 4 -Wi:;'~ CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO ISSUED. APPLIED: EXPIRES: VALUE: COM2008-00856 07/16/2008 06/13/2008 01116/2009 $ 281,785.00 225 Fifth Street, SprlOgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspectlOn LlOe I Valuahon DescrlOhon I Dwelhn!!s Garafre V Wood Frame Garaf!e $ Per Sq Ft or multJpher $10500 $28 00 Square Footage or BId Amount 2,577 00 400 00 Value Date Calculated DescflotlOn Tvpe of Construchon Total Value of ProJect $270,585 00 $11,20000 $281,78500 06/13/2008 06/13/2008 ~<, pqJ(11 Fee DescriptIOn Amouut PaId Date PaId Receipt Number Plan RevIew ReSldentldl $828 36 6/13/08 1200800000000000650 -Mecbamcallssuance Fee- $20 00 7/16/08 1200800000000000786 + 10% AdmlOlStratJve Fee $211 63 7/16/08 1200800000000000786 + 12% State Surcharge $236 09 7/16/08 1200800000000000786 + 5% Technology Fee $10862 7/16/08 1200800000000000786 3 Baths One & Two Family $337 00 7/16/08 1200800000000000786 AddresslOg ASSIgnment $35 00 7/16/08 1200800000000000786 Apphance Vent $700 7/16/08 1200800000000000786 BUJldlOg PermIt $1,27440 7/16/08 1200800000000000786 FIre SF Fee - ReSldentJal $148 85 7/16/08 1200800000000000786 FIreplace (LISted) $1700 7/16/08 1200800000000000786 MlO,mum/AdJustment Mechamcal $26 00 7/16/08 1200800000000000786 Pldn ReVIew Major - PlannlOg $205 00 7/16/08 1200800000000000786 ReSIdence WIrIng 1000 Sq Ft $11700 7/16/08 1200800000000000786 ReSIdence WIrIng Ea Addtl 500 $84 00 7/16/08 1200800000000000786 Samtary Sewer - 1st 50 Feet $50 00 7/16/08 1200800000000000786 Samtary Sewer - Improvement $591 72 7/16/08 1200800000000000786 S.mItary Sewer. Reimbursement $778 17 7/16/08 1200800000000000786 SDC MWMC AdmlOlStratlOn $10 00 7/16/08 1200800000000000786 SDC MWMC Improvement $990 39 7/16/08 1200800000000000786 SDC MWMC Reimbursement $95 35 7/16/08 1200800000000000786 SDC SanItary/Storm AdmlO $15429 7/16/08 1200800000000000786 SDC Transpo Improvement $862 25 7/16/08 1200800000000000786 SDC Tr dnspo Reimbursement $19548 7/16/08 1200800000000000786 SDC TransportatIOn AdmlO $69 98 7/16/08 1200800000000000786 Storm DrdlOdge ImpervIOUs Area $962 II 7/16/08 1200800000000000786 Temp Powel 200 dmp' or less $55 00 7/16/08 1200800000000000786 Wllldmalane SlOgle Fdmdy $2,513 00 7/16/08 1200800000000000786 Total Amount PaId $10,98369 I Plan ReVIews I Imhal ReVieW Structural ReVieW 06/13/2008 06/13/2008 06/1312008 06/13/2008 APP NJM APP CJC Pa!!e 2 of 4 ,__~PRINGPJBLiD t."IIII"-',l.lII!I".! ~ CITY OF SPRINGFIELD Building/Combination Permit Status Iss u ed PERMIT NO: COM2008-00856 ISSUED. 07/16/2008 APPLIED: 06/13/2008 EXPIRES 01/16/2009 VALUE' $ 281,78500 225 FIfth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn LlOe Puhllc Works RevIew 06/1312008 06/17/2008 APP LKW Stormwater to curb Planmne RevIew 06/13/2008 07/1112008 APP EMM To Request an inspectIOn call the 24 hour recordmg at 726-3769 All mspectlOns requested before 7.00 a.m will be made the same working day, mspectlOns requested after 7.00 a.m. will be made the followmg work day. I. Rpmnr",j I'WPl'tIoniJ EroslOn/GradlOg InspectIOn Pnor to ground dIsturbance and after erosIOn measures are IOstalled Curhcut - Standard After forms are erected but pnor to placement of concrete SIdewalk - CurbsIde After lorms are erected but pnor to placement of concrete Uler Electncal Ground Install ground rod at footlOg and call for IOspectlOn 10 conjunctIOn wIth footlOg and/or foundatIOn mspectlOn FootlOg After trenches are excavated, FoundatIOn After forms are erected but pnor to concrete placement Post dnd Beam Pnor to floor IOsulatlOn or decklOg Floor InsulatIon PrIOr to decklOg Shear Wall NaIling Befm e coverlOg sheath 109 WIth timsh matenals FramlOg InspectIOn Pnor to cover and after all rough 10 IOspectlOus have been dpproved Wall InsulatIOn Pnor to cover Cedmg InsulatIOn Pnor to cover Drywall Pnor to taplOg Hold Downs Installed Spec..1 InspectIOn performed pnor to placement of concrete PrOVIde report to CIty BUlldlOg Inspector FlOal BuddlOg After all reqUIred IOspectlOns have been requested and approved and the bUlldlOg IS complete Undertloor PlumblOg Pnor to IOsulatlOn or decklOg Rough PlumblOg Pnor to cover and lOc\udlOg reqUIred testlOg Water LlOe Pnor to tilllOg trench and lOc\udlOg reqUIred testlOg Samtar)' Sewer LlOe Pnol to filling trench and lOc\udlOg reqUIred testlOg Storm Sewer LlOe Pnor to filllOg trencb FlOal PlumblOg When all plumblOg work IS complete Rough Mechamcal Pnor to Cover FlOal Mechamcal When all mechamcal work IS complete Tempordry ElectrIC Approval reqUIred prIor to UtIlity Company energlzlOg pole Paee 3 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00856 ISSUED. 07/16/2008 APPLIED. 06/13/2008 EXPIRES: 01/16/2009 VALUE: $ 281,78500 225 FIfth Street, Spnnglield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspechon LlUe Rough Electnc Pnor to Cover Electnc ServIce Approval reqUIred pnor to uhlIty company energIZIng servIce FlUal Electnc When all electncdl work IS complete By SIgnature, I state dnd agree, that I have carefully examlUed the completed applIcatIOn and do hereby cerhfy that all IUformatlOn hereon IS true and correct, dnd I lurther cerhfy that any and all work performed shall be done IU accordance WIth the OrdlUances of the City of Spnngfield and the Laws of the State of Oregon pertalUlUg to the work descnbed herelU, and that NO OCCUPANCY WIll be made of any structure WIthout permISsIOn of the CommuDlty Services DIVIsIOn, BUlldlUg Safety I further cerhfy that only contractors and employees who are IU complIance With ORS 701 005 wIll be used on thIS project I further dgree to ensure that all reqUIred IUspectlOns are requested at the proper hme, 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 remam on the SIte at all hmes dunng constructIOn ~rYJ(' J'~ / !'Pac 7 Owner or Contrac;ors SIgnature () ";f- ~l ~ - O~ Date Pa2e 4 of4 ZON L~v lNITIALS "Y>-. / DATE ..., - n /{)I:, SOURCE ()'\f3j1'2J Dat.( ~ r'f /1101 og ~' I I rCOMPi1ffE~i1EifscHi:jjvtESBEWW:~W'm illfs~~;jS::fJ ,.ce.... """';:WI.tk"~ M~ :.~ .~. L.._."._.~.._~___~_A_ ~mili~.__~ _Zf:".::-1X_,-~ SPRINGFIELD ~*' o ~ ..' - . ~ " - . ". '.;.. , :qP{Q~' ~~,~Q~~LD;-,q~'Gq~": ,-" 225 FIFIH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689 ELECTRICAL PERMIT APPLICATION CIty Job Number C.9:',.... >(50 1 ~.z::()q;tI2N~, ++~~~ST~:T:~Ti'()N::~;~!;~2-'SI 3 S / 1 ~ i 0 t1 Jf Lo1- - . f/ - -- LEGAL DESCRIPTION \'bPbDt 1401'2-ltf r-'. I-I. / r\JOB DESCRl(TlOr 'S-t' ~ ~ ~ 0 'AY\ 1) ~ 1:1 ,"\1~ . \ -.. PermIts are non-transferable and expIre If work IS not started wIthm 180 days of Issnance or If work IS Suspended for 180 days A. rN;~"B~~l~{;!~~!~~~i~~ti~_~~l!~:;~:[~~Tfi;g\1!1l;~~_j~ ServIce Included 1000 sq ft or less Each addlllonal 500 sq ft or portIon thereof Each Manufact'd Home or Modular Dwellmg ServIce or Feeder IJ 7 DO 'l'1f dV I Lj $11700 $2100 $55 00 B t0s~A1k~~:fl:t~;rii~;Th~'&iiEfi~ri;i~mr~t~~~rR1J:~~~t;i.~'~~ lW,-,wJ&JfuAl;,.:;X1/;,dilm 2-# .';;*0;"'h1/<0",.0i'bi~Wi,*"m;, V~hfuaj;mJjj,,*, ili;;mMiawJ(,~""'h"k0t,,' " L- -- -.-:;;- "-;;'ff"''ijpM'F~:''''i!!MJ-"\} -i'"'~-~~"/--T~ '" ,,~ -"iiJ "'1" ,~-,~ 2 i~P'Ql!!l!dJilJ/l};!f~?'1.+T.T;1!}:ql;k~~}j~ Electncal Contraclor l4t.Lr~ ht!(1!'X! (('if" '4LlC1 Address /91r') 1 h/2A..vI ..k:.z> $ 70 00 $ 83 00 $13800 $18000 $41300 $ 55 00 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Phone (4 n.:}J 93.f3 0411 Over 1000 AmpsIV olts '- Reconnect Only City ~ ,u?, / ,rrd:.. C Supervisor LIcense Number ::? (jJ fl)(<) 5 loll/ In I C;.=3-2 co -'1 1~/t2"'//D Installahon, Alterahon or Relocahon 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 VoIls see "B" above D ExplfatlOn Date ,~ 5 _(5"'0 I $ 55 00 $ 76 00 $110 00 Constr Contr Number Explfallon Date ~~ Owners Name~ ~!lY\ \ uS2 I6_~ Address LtI n V' \ VCf.\!Y\ if.L ~ .--/ c,ty'S-002d 00./ khne i3G ~ S "573- , V OWNER INSTALLATION New Alterallon or ExtenSIOn Per Panel One Clfcmt Each AddIllonal Clfcmt or wIth ServIce or Feeder PermIt $ 48 00 $ 400 E ~~~~Ihi1:~~~{~~i:;r~g;.?iidt0iirclii:f:;~E~~~~':f~~ti~~ +, _"'~"'W_,"__"_6c___d,,____.s3_1_HUd1b-'g"-''''''';;&C~''''K='''"'"'_ ~_~ ,,3w,_~_,,"--,_ -,'~~,- [( 4 Pump or 1IT1gallon $ 55 00 SlgnlOutlme LIghtmg $ 55 00 Lumted Energy/Resldenllal $ 28 00 Lllmted Energy/Commercml $ 50 00 Mmlmum ElectrIC PermIt IuspectlOn Fee IS $50 00 + Surcharges 4 IFsiJBfoTA1?'OE;:4BOVif~i!!l!!l:',\"dII5i!,li!HiIl. %0 t5D f&;;=7'-bc1",",,);<m1:0~"M,"::"",--0J~4:1,+,",.ndd- ji3,14~~.Jfl~~1 11.'/0 1'/0 State Surcharge .3 0 {d- 10% Admrmstrallve Fee :;vs ioU 5% Technology Fee I '2 I? 0 52-5 1:;;2- The InStallatIOn IS bemg made on pwp" ~j I own which IS not mtended for sale, lease or rent Owners SIgnature Inspechon Request- 726-3769 TOTAL Shared Dnve(T )JBUlldmg ForrnslElectncal Permit ApplicatIOn 7-07 doc CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER NAME OR COMPANY LOCATION TAX LOT NUMBER DEVELOPMEN I TYPE NEW DWELLING UNI IS I STORM DRA!NAC;E --..., C0M2008-00856 ADW LLC 5722 Pen dot 1802041401214 Smgle Farmly Residence I BUILDING SI7E (SF 2977 LOT SIZE (SF) DIRECT RUNOFF TO CITV SlORM SYSTEM 1 IMPFRVIOUS S F x I COST PER S F CHARGE I 2780 50 I $0 346 I 1 $962 11 I RUNOFF ROUl ED TO DRYWELL DESIGNED AND CONSTRUCTED lOCI IV STANDARDS IIMPCRVIOUS S Fix 1 COST PI R S Fix I DISCOUNT RATC I I o 00 I I $0 346 1 1 50% I ~ ITEM I TOTAL - STORM DRAINAGE SDC J SANI IARY SEWER - CITY A RLIMIlURSEMENTCOSI 1 NUMBER OF DFU's I I 29 I DISCOUNT $000 $962 II x COST PCR DFU $26 83 B IMPROVCMCN I COST [ NUMIlER OF DFU's I I 29 I x COST PCR DFU $20 40 ITEM 2 TOTAL - CITY SANITARY SEWER SDe = I $1,36988 5663 I~ I~ IW-l E-< r/J G ~ , $962 II , 1070 I , $77817 1091 I $591 72 11092 I Ii J TRANSPORTATION A RLIMBURSFMENT COST I ADrTRJPRATE I x [ 957 I I NUMBER or UNITS 1 x 1 I I 1 1 B IMPROVEMENT COST I ADT TR1P RATE I x I NUMBER OF UNITS 1 x 1 1 957 I I I 1 ITEM 3 TOTAL - TRANSPORTATION SDe = I COS I PER TRIP 2043 x INEW TRJP FACroRI 1 100 $19548 $862 25 1093 I 11094 I I i I 11054 4 SANI IARY SEWER - MWMC A REIMBURSEMENT COST [NUMBER OF FEU's 1 x I I 1 ICOST PER FEU 1 $95 35 B IMPROVEMENT COS I INUMBER OF FEU's I x ICOST PER rcu 1 1 I $990 39 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINIS I RA liVE FEE ITEM 4TOTAL-MWMC SANITARY SEWER SDC =, SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ I 5 ADMINISTRATIVE FEE 1 SUBTOTAL x I ADM FEE RATE 1= I $4,485 46 I 5% I TOTAL SANITARY ADMINISTRATION FEE TOTAL TRANSPORTATION ADMINISTRATION FEE Kaye Wilson 6/17/2008 PREPARED BY DATE COST PER TRIP $9010 $1,05773 x 1 NEW TRIP F ACTORI 1 100 1 $1,09574 = $95 35 , I' 1 1055 I 1054 ill056 1 $4,485 46 CHARGE $22427 TOTAL SDC CHARGES = $990 39 $000 $10 00 15429 $69 98 $4,709 73 I I 11079 J 1078 " DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT "" DRAlNAGE HXTURC UNITS (NOTE FOR REMODELS CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO OF FIXTURES DRAINAGC UNIT FIXTURE FIXTURE TYPE NEW OLD CQUIV ALENT UNITS I BATHTUB 2 0 3 = 6 ----I IDRINKING FOUNTAlN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 I IINl ERCCPTORS FOR GREASE / OIL I SOLIDS / ETC 0 0 3 = 0 I IINTERCEP roRS FOR SAND / AUTO WASH / ETC 0 0 6 = 0 I LAUNDRY TUB 1 0 2 = 2 ICLOTHESW ASHER / MOP SINK 1 0 3 = 3 ICLOTHESW ASHER, 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 IRCCCPTOR FOR REFRIG / WATER SlATION / ErC 0 0 1 = 0 I RECePTOR FOR COM SINK / DISHWASHER / ETC 1 0 3 = 3 ISHOWER, ~INGLE STALL 1 0 2 = 2 ISHOWER GANG (NUMBER OF HEADS) 0 0 2 = 0 ISINK COMMERCiALiRi::SlDENTIAL KITCHEN 1 0 3 = 3 ISINK COMMERCIAL BAR 0 0 2 = 0 I SINK WASH BASIN/DOUBLE LA V AWRY 1 0 2 = 2 ISINK SINGLE LA V ATORY/RESlDCNTIAL BAR 2 0 1 = 2 IURINAL STALL/WALL 0 0 5 0 II OILL T, PUBLIC INSTALLATION 0 0 6 0 [TOILE I , PRlVA[C INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 29 .EDU (EqUivalent Dwelling Umt) IS a discharge eqUIvalent to a smgle family dwellmg urnl (20 DrUs) set at 167 ~allons per day MWMC CREDIT CALCULATION TABLE BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 ]985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 t998 1999 2000 2001 j CREDIT RATE/$I,OOO ASSESSED VALUE ~:~ _$529- '_- ';$529 "'-:' -'-- $519,,",_,- ~----' ~$5 12 J -c ~~ -:-~- $4 98 -- ~ ~~ " $480. c- ;- _ 1~:~i_$_4 ,63 j 1 ~ ~'" $440 :;,-:, d - ~ ~ $4 07 I ,5~-~C~l-~ ~ - I, $3 67_ ~r '$3 22 ,-~ ~ -', ~ ""- - ----'-'j-;j.- '- $273' , e- $225 ~ " - C ""_ $1 80 _.:.' " '_ $159 , J I I,,~ 9 $145 ,_ 1,-:-1 ~ '$1 25'-"-]"'=- eL -; c-: $1 09i(t ~ l;cio' f " , ~ c $0 92,.!i~ " f"c $~ 72--: 'H' ql~i :; $O~8 I ~ _ ,-,-,L-"'$028 ~l lH 1 ~>--= $009 _ L-ij~ .". 1 -,-' =' r -$0050"-, __ 0..,. ~ ~~ _ "'-"'" I I 225 Fifth Street CIty of Sprmgfield OffiCIal ReceIpt ~prmgfield, Oregon 97477 Development ServIces Department 541-726-3759 Phone Public Works Department RECEIPT #. 1200800000000000786 Date 07/16/2008 I 19 27PM Job/Journal Number Description Amount Due COM2008-00856 Fire SF Fee - ReSidential 14885 COM2008-00856 Temp Power 200 amps or less 5500 COM2008-00856 WIlIamalane Smgle Family 2,51300 COM2008-00856 Stonn Dramage ImpervIOus Area 962 II COM2008-00856 Samtary Sewer - Re,mbursement 77817 COM2008-00856 Samtary Sewer - Improvement 59172 COM2008-00856 SDC Transpo Reimbursement 19548 COM2008-00856 SDC Transpo Improvement 862 25 COM2008-00856 SDC MWMC Reimbursement 9535 COM2008-00856 SDC MWMC Improvement 99039 COM2008-00856 SDC MWMC Adrrumstratlon 1000 COM2008-00856 SDC SamtarylStonn Admm 15429 COM2008-00856 SDC TransportatIOn Admm 6998 COM2008-00856 Bulldmg Penn It 1,27440 COM2008-00856 Addressmg ASSignment 3500 COM2008-00856 3 Baths One & Two family 33700 COM2008-00856 Samtary Sewer - 1 st 50 Feet 5000 COM2008-00856 Apphance Vent 700 COM2008-00856 Fireplace (Listed) 1700 COM2008-00856 M,mmum/AdJustment Mechamcal 2600 COM2008-00856 -Mechamcallssuance Fee- 2000 COM2008-00856 ReSidence W (flng 1000 Sq Ft 11700 COM2008-00856 Res,dence WIrIng Ea Addtl 500 8400 COM2008-00856 Plan ReView Major - Plannmg 205 00 COM2008-00856 + 5% Technology Fee 10862 COM2008-00856 + 12% State Surcharge 236 09 COM2008-00856 + 10% Admmlstrallve Fee 21 163 Item Total $10,15533 Payments Check Number AuthoTlzatlOn Type of Payment PaId By Received By Batch Number Number How Received Amount Paid Check HARDWOOD PAZ CO ddk 1183 In Person $10,15533 Payment Total $1U,15533 cRecemtl Page 1 of 1 7/16/2008 o !~!!~o~l~,~e Job No ~(--- Q~ SYSTEM DEVECOfMENT CHARGE WORKSHEET FOR 2008 , \/ NAM~JY\ll_& \ ~~ 7_ PHONE ADDRESsL+IG7 V'] ~l1)'t,a CITY~(~_ ~ STATEoQZIP LOCATION OF PRopoM BUILDING SITE\ \j Street Address 57)...~ ~o ))~\ ^-tl~ q/~i Plat Name Tax Lot Number 1. DEVELOPMENT TYPE (Check appropnate dwelllng(s) Dwelling type definitions are on the back) A Smale-Famllv Detached $~ ~L~ C)O NO OF UNITS X $2,513 per Unit = B Smole-Famllv Attached NO OF UNITS X $2,726 per Unit = $ / C Multl-Famllv Aoartment NO OF UNITS X $2,323 per Unit = $ / D Smale Room Occuoancv / NO OF UNITS X$1,162 per Unit = $ E Accessorv Dwelhno Unit I NO OF UNITS X $1,257 per Unit = $ OV $ ;:)SL5 . WILLAMALANE SDC 2. SDC CREDIT (If applicable) SDC payer must furnish proof of Willamalane Credit approval) $ .-- 3. TOT) WILLAMALANE NET SOC ASSESSEO ~5tS, 00 (tf DC reduced for Credrt) $ "- " )p ,q '\) (I hQd 0 I] /& I D<6 I Date City 0 Spm gfi d 5 -iijC CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00958 ISSUED: 07/17/2008 APPLIED: 07/01/2008 EXPIRES: 01/17/2009 VALUE' $ 20,000.00 Status Issued 225 FIfth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 945 54TH ST ASSESSOR'S PARCEL NO 1702331202200 Sprmgfield TYPE OF WORK Smgle FamIly ResIdence TYPE OF USE Remodel ResIdentIal PROJECT DESCRIPTION Enclose carport and mtellOr remodel Owner Address MICHAEL AKINS 614 72ND ST SPRINGFIELD OR Phone Number 541-912-4221 I CONTRACTOR INFORMATION I Contractor Type General Mechdmcal Plumbmg Contractor OWNER OWNER OWNER License ExpiratIOn Date Phone BUILDING INF?RM~TION I # ofUmts Pnmary Occupdncy Group Secondary Occupancy Group Pnmary ConstructIon Type Secondary ConstructIOn Type # of Bedrooms R-3 U VB # of Stones HeIght of Structure Type of Heat Water Type Range Type Energy Path' Sprmkled Bmldmg 1600 Electnc Electnc Electnc Path 1 No Lot SIze Sq Ft 1st Floor Sq Ft 2nd Floor. Sq Ft Basement Sq Ft Garage/Carport Sq Ft Other Occupant Load 280 I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dlst Total # Street Trees ROdt-E'lTIO" 0 I Handicapped RI I I' \I tBOOn taw rE'C'jlJ"'O<:' \If'lll to Paved DrIVe R'IS;low rules ad' Dted b th () Co!"pact 'X 01 Lot Cov a 0, y 1'8 regu" Utility o 'l~~II,catlon CenhJr Trese rules are set forth ~n_l?!,R 952-001-0010 through OAR 952-001- NOTICE' """" II'" ""'y u,""au, ~uf,ues OJ me rUles by I PUBLIC IMPROVEMJi1.~fJili Ihe center (Note the teJeph Street Improvements THIS PERMIT SHALL tXf'IHE IF THE wbRl~niDei'or th~~Ii\RI1(\IIJ~ty Notlflc~~~n AUTHORIZED UNDER THIS PERMIT IS NOT Center IS 1-800-3j2-2344). Storm Sewer AvadabJe'{)MMENCED OR IS ABANDON Downspouts/Drams SpeCIal InstructIon ANY 180 DAY PERIOD. ED FOR Front yard Setback S.de I Setback SIde 2 Setback Rearyard Setbdck Soldr Setbacks 23 80 540 Notes Paee 1 01 4 -Wi:...., Status Issued 225 F,fth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Description Tvpe of Construchon EstImate EstImate Fee DescrIPtIOn Plan RevIew ReSIdential -Mech Iss 2+ Apphances- + 10% AdmmlStrahve Fee + 12% State Snrcharge + 5% Technology Fee BUlldmg PermIt Dryer Vent Exhaust Hoods Fife SF Fee - ReSIdential Fixture Samtary Sewer - Improvement Samtary Sew.. - ReImbursement SDC Samtary/Storm Admm Storm Dramage ImpervIOus Area Vent Fan Vent Fan Vent Fan Total Amount PaId Imtlal Review 07/0212008 Pubhc Works RevIew 07/0212008 Planmne Review 07/0212008 Structural Review 07/0212008 CITY OF SPRIN~1'lJi.LU Building/Combination Permit PERMIT NO. COM2008-00958 ISSUED 07/17/2008 APPLIED' 07/01/2008 EXPIRES 01/17/2009 VALUE: $ 20,00000 I Vahl,~\"on DescrIotIon I $ Per Sq Ft or mulhpher $100 Square Footage or BId Amount 20,000 00 Value Date Calculdted Total Value of Project $20,000 00 $20,000 00 07/0112008 Ff'f'~ P"li.IU Amount PaId Date PaId ReceIpt Number $132 89 $40 00 $4744 $55 25 $23 02 $204 44 $700 $10 00 $1400 $17600 $12622 $16599 $1980 $10381 $2100 $2100 $2100 7/1108 7/17/08 7/17/08 7/17/08 7/17/08 7/17/08 7/17/08 7/17/08 7/17/08 7/17/08 7/17/08 7/17/08 7/17/08 7/17/08 7/17/08 7/17/08 7/17/08 2200800000000000997 2200800000000001100 2200800000000001100 2200800000000001100 2200800000000001100 2200800000000001100 2200800000000001100 2200800000000001100 2200800000000001100 2200800000000001100 2200800000000001100 2200800000000001100 2200800000000001100 2200800000000001100 2200800000000001100 2200800000000001100 2200800000000001100 $1,18886 I Plan RevIews I 07/0212008 APP NJM 07/03/2008 APP LKW Storm wdter ties m to eXlstlOg system 07/08/2008 APP T AJ No Planmng Issues 07/15/2008 APP CJC To Request an Inspection call the 24 hour recordIng at 726-3769. All Inspections requested before 7:00 a.m. wIll be made the same workIng day, InSpectIOns requested after 7:00 a.m. wIll be made the followmg work day. Paee 2 of 4 CITY OF ~nuj'ltJ.H~LD' Building/Combination Permit Status Issued PERMIT NO' COM2008-00958 ISSUED: 07/17/2008 APPLIED: 07/01/2008 EXPIRES 01/17/2009 VALUE $ 20,000.00 225 F,fth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Rp'l".rp~ IOSDeChon~ Footmg After trenches are excavated FoundatIOn After forms are erected but pnor to concrete placement Post and Beam Pnol to 1100r msulatlOn or deckmg Floor InsulatIon Pnor to deckmg Shear Wall Nallmg Before covenng sheathmg wIth fimsh matenals Frammg Inspechon Pnor to cover and after all rough m mspectlOns have heen approved Wall InsulatIOn Pnor to cover Cellmg InsulatIOn Pnor to cover Drywall Pnor to tapmg Hold Downs Installed SpecIal InspectIOn pel formed pnor to placement of concrete ProvIde report to CIty BUIld 109 Inspector Bolts Installed m Concrete To be done by a State CertIfied SpecIal Inspector ProvIde mspectIon test reports to CIty BUlldmg Inspector Fmal BUlldmg Alter all reqUIred mspectlOns have heen requested and approved and the bUlldmg IS complete Underl1001 Plumbmg Pnor to msulatlOn or deckmg Rough Plumbmg Pnor to cover and mcludmg reqUIred testmg Water Lme Pnor to fillmg trench and mcludmg reqUIred testmg Samtary Sewer Lme Pnor to fillIng trench and mcludmg reqUIred testmg Storm Sewer Lme Pnor to fillmg trench Fmal Plumbmg When all plumbmg work IS complete Rough Mechamcal Pnor to Cover Fmal Mechamcal When all mechamcal work IS complete Rough Electnc Pflor to Cover Fmal Electnc When all electflcal work IS complete Paee 3 of 4 Status Issued 225 FIfth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO ISSUED' APPLIED. EXPIRES. VALUE: COM2008-00958 07/17/2008 07/0112008 01117/2009 $ 20,000 00 By sIgnature, 1 state and agree, that I have carefully examlDed the completed apphcalIon dnd do hereby cerlIfy that all IDformatlOn hereon IS true and correct, and I further certlly thdt any and all work performed shall be done ID accordance WIth the OrdlDances of the CIty of SprlDgfield and the Laws of the State of Oregon pertalDlDg to the work descnbed herelD, and that NO OCCUPANCY wIll be made of any structure WIthout permISSIon 01 the CommuDlty ServIces DIVIsIOn, BuIldlDg Safety I further cerlIfy thdt only contractors and employees who are ID comphdnce WIth ORS 701 005 wIll be used on thIS prolect I further agree to ensure that all requlI ed IDspectlOns are requested at the proper lIme, 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 pldns wIll remalD on the SIte at all times durmg nstructlOll ~~ Owner or Cont;act'od Slgna~ur; v ) P dee 4 of 4 Date '1. Ilr !)~ CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER Com2008-00958 NAME OR COMPANY MIchael Akms LOCATION 945 54th Street TAX LOT NUMBER 1702331202200 DEVELOPMJ:NT TYPE Smgle Farmly Resldencc NEW DWELLING UNITS 0 BUILDfNG SIZE (SF 280 LO r SIZE (SF) I STORM DRAINAGE 5227 I I~ 10 II ~ 18 ~ ~ DIRECT RUNOFF TO CITY STORM SYS I EM I IMPERVIOUS S F x I CO~T PER S F I I CHARGE I I 29100 I $0357 = I $10381 RUNOFF ROUTCD TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUSSF I x I COSTPERSF I x I D1SCOUNTRATE I I l 0 00 I $0 357 I I 50% ~ I ITEM I TOTAL - STORM DRAINAGE SDC $10381 2 SANITARY SEWER - CITY DISCOUNT $000 $10381 I 1070 A RI:IMBURSEMENT COST I NUMBER OF DFU's I x I 6 I COST PER DFU $27 67 $16599 , II i 11091 B IMPROVEMENT COST I NUMBER OF DfU's I x COST PER DFU 6 I $2104 $12622 I 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC ~ I $29221 J J TRANSPORTATION I A REIMBURSEMCNT COST I ADT TRIP RATE I x I NUMBER OF UNII S I x I COST PCR I RIP x INEW TRIP FACTOR I I 957 I I 0 I I 21 06 I 100 I $000 ' 1093 B IMPROVEMENT COST I ADI TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP !-ACTORI I 957 I I 0 I l $92 89 I 100 I $000 [1094 ITEM 3 TOTAL - TRANSPORT A nON SDC =1 $000 J 4 SANITARY SEWER - MWMC A REIMBURSCMENT COST INUMBER ~F FEU's I x ICOST PER FEU I I $97 90 = $000 1054 B IMPROVEMENT COST IN UMBER OF FEU's I x ICOST PER FEU I 0 I I $1,00917 = $000 1055 MWMC CREDI r IF APPLICABLE (SEE REVERSE) $000 11054 MWMC ADMfNlSTRATIVE FEE $000 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC ~ I $000 I I SURTOT AL (ADD ITEMS I, 2, 3, & 4) ~ , $396 02 I I , ADMINIS I RA liVE FFE ISUBroTAL x I ADM FEE RATE I~ CHARGE I $396 02 I 5% I $1980 TOTAL SANITARY ADMINISTRATION FEE 1980 J 1079 TOTAL TRANSPORTATION ADMfNlSTRATION fCE $000 11078 Kaye Wilson 7/3/2008 TOTAL SDC CHARGES =1 $41582 II PREPARED BY DATE .._____.._ _u_ ., _ .. DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE .- -- l N1J1vffiER OF NEW FIXTIJRES x UNIT EQUIVALENT = DRAINAGE FIXTIJRE UNITS (NOTE FOR REMODELS CALCULATE ONLY THE:. NET ADDmONAL FIXTURI:S) NO OF FIXTIJRES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD [OUIV ALENT UNITS IBATHTUB 2 1 3 = 3 II I DRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 I IINTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC 0 0 3 = 0 I INTERCEPTORS FOR SAND I AUTO WASH I ETC 0 0 6 = 0 ILAUNDRY TUB 1 0 2 = 2 ICLOTHESWASHER I MOP SINK 1 1 3 = 0 ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBlLE HOME PARK TRAP/I PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REFRlG I WATER STATION I ETC 0 0 1 = 0 I RECEPTOR FOR COM SINK I DISHWASHER I EYC 1 0 3 = 3 ISHOWER SINGLE STALL 0 1 2 = -2 I SHOWER, GANG (NUMBER or HEADS) 0 0 2 = 0 ISINK COMMERCi.ijJRESIDENTIAL KlTCHEN 1 1 3 = 0 ISINK COl\1MERCIAL BAR 0 0 2 = 0 I>INK WA"H BASINIDOUBLE LAVATORY 0 0 2 = 0 ISINK SINGLE LAVATORYIRESIDENTIAL BAR 2 2 1 = 0 IURlNAL, STALL/WALL 0 0 5 = 0 ITOILEI, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PIUVATE INSTALLATION 2 2 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 6 *EDU (EqUivalent Dwelilm~ Umt) IS a discharge equIValent to a smgle Calmly dwelhng umt (20 DFU's) set at ]67 gallons per day MWMC CREDIT CALCULATION TABLE BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 I 1988 I 1989 1 1990 I 1991 I 1992 ! 1993 1994 1995 1996 1997 1998 1999 2000 2001 I CREDITRATE/$I,OOO - )1 I A<<"<<FD VALUE ~ ) "t J- $5 29') ~ _,c_, -*-$5 29 -~~ ,',_ ) --"-- 1 $519 '.te" l, ,_ '$5 12 r -'~5r~--' , --r," $4 98_'"~ - ~--;c_ $480 - _ . _ =~' $4 63 {_' .;b~.;;- ~ _j::t-l- __.j.,-.J....!..-.L:. ~ -_$440 - =$4 07 -;. .. , -$367'~'~'~ +~ - -' $3 22 9~ ~""It - ' $273 -;:; $225 - $180 _ - $1 59, ~'f, t ~LI $145' "; ",,_,"'$1 25F _~j t -:J~-f't $1 O_9~J -c "11' '1- $0 92 ~ f-,01!. - 1~~ I Jt~~" r $0 72~ ~_ r >I ) T' $048-,t.:f<g~I~' ,~c ~ '_-c$O 2_~Y~-i 'Li " "'- 1'l..'OJj' $0 09 " ,='-", r $~O-05 -=.k F ""- - I - - , 2.-/ I IS LAND ELGIBLE FOR ANNEXATION CREDIT" (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX CREDIT" (Enter I for Yes, 2 for No) BASE YEAR 2 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE I 1000 CREDIT RATE $0 00 x $5 29 ~I $000 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXA nON) VALUE I 1000 CREDIT RATE $000 x $529 o TOTAL MWMC CREDIT $000 = '- 225 FIfth Street Sprmgfield, Oregon 97477 541-726-3759 Phone *- CIty of Sprmgfield OfficIal ReceIpt Development ServIces Department PublIc Works Department Job/Journal Number COM2008-00958 COM2008-00958 COM2008-00958 COM2008-00958 COM2008-00958 COM2008-00958 COM2008-00958 COM2008-00958 COM2008-00958 COM2008-00958 COM2008-00958 COM2008-00958 COM2008-00958 COM2008-00958 COM2008-00958 COM2008-00958 Payments Type of Payment CredltCard cRecemtl RECEIPT #: 2200800000000001100 Date: 07/17/2008 DescriptIOn FIre SF Fee - ResIdentIal Storm Dramage ImpervIOus Area San'tary Sewer - ReImbursement Samtary Sewer - Improvement SDC Samtary/Storm Admm BUlJdmg PermIt FIxture Vent Fan Exhaust Hoods Dryer Vent Vent Fan Vent Fan -Mech Iss 2+ Apphances- + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee PaId By KARKYNN AKINS Item Total Check Number AuthorlL;atlOn Received By Batch Number Number How Received NJM 045558 In Person Payment Total Page] of] 9 43 29AM Amount Due 1400 103 8] 16599 12622 1980 204 44 17600 2100 10 00 700 2100 2100 4000 2302 5525 4744 $1,05597 Amount PaId $],05597 $1,05597 7/17/2008