HomeMy WebLinkAboutPermit Building 2008-8-1
~ii:~
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO' COM2008-00324
ISSUED. 08/01/2008
APPLIED' 03/10/2008
EXPIRES: 02/01/2009
VALUE: $ 465,370.00
225 FIfth Street, SprIngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 2833 20TH ST
ASSESSOR'S PARCEL NO 1703240000500
SprIngfield TYPE OF WORK Smgle FamIly ReSIdence
TYPE OF USE New
PROJECT DESCRIPTION Smgle famIly reSIdence (replaces a smgleWlde MobIle Home)
Addmg a SWlmmmg Pool
Residential
Owner
Address
HELFRICH FAMILY REVOCABLE LIVING TR
2587 N 19TH ST
SPRINGFIELD OR 97477
Contractor Type
General
ElectrIcal
Engmeer
Use Imtlals
Mechamcal
Plumbmg
~"T"""'r-I"TI'"'~1 /,1t:'."1.on law reqUires you to
I CONTRACTORlNFORMATlON'ld by the Oregon Utility
Notification genter Those I ules are set forth
Contractor to OAR 95~!4::~nJ~1 0 thE~~lratIOO)nate1- Phone
JEB & JACKIE WIRFS INC 0090 You9.7m"l7ol)taln coplo04/t2i20w1es by 541-521-8182 Ce
WEILAND ELECTRIC DIVISION, L~lIlng t11~5373ter (Note 04706lzo()90ne 541-747-7701
MORTIER ENGINEERING number for the Oregon Utility Notification 541-484-9080
OTTEN LANDSCAPE ARCHITECTS Center IS 1-800-332-2344). 503972-0311
SUNSET HEATING & AIR INC 171706 08/17/2008 541-988-3181
RS PLUMBING CONTRACTING 103816 01/04/2010 541-461-4714
BUILDING INFORMATION'
# of Umts
PrImary Occupancy Group
Secondary Occupancy Group
PrImary Construcllon Type
Secondary ConstructIOn Type
# of Bedrooms
2
# of StorIes I Lot SIZe
Height of Structure 32 00 Sq Ft 1st Floor
Type of He"'~OTlCE!rced AIr Gas Sq Ft 2nd Floor
Water TypJ' . Gar v~B,Fl~'IU~~RK
Range TypJHIS PERMIT SHtl.. E^'Sq'F GU~ ra '};ADrt
Energy PatlMJTHORIZED UtID~R THlSIililif(MI~r::i \11
SprInkled Bj)OdI>>IlENCED O~dC:; aRaMl:\!i\~1iO EQ.Il1
3,271
I
R-3
U
VB
1,270
600
':\,.'1'1 'V" I..... ,
I DEVELOPMENT iNFORMATION,
REQUIRED PARKING
Front yard Setback
SIde I Selb.lck
SIde 2 Setback
Rearyard Setback
Solar Setbacks
15000
2000
4600
2000
5000
Overlay DlSt
# Street Trees Rqd
Paved DrIve Rqd
% of Lot Coverage
Floodplam
I
Yes
1010
Total
HandIcapped
Compact
2
I PUBLIC IMPROVEMENTS I
Street Improvements
Storm Sewer AvaIlable
SpeCIal InstructIOn
No
Sidewalk Type
Downspouts/Drams
Notes Storm water to be dIrected to ram garden
Paee I of 5
~ii(~
Status
Issued
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspechon Lme
Description
TVlle of Construcllon
AC - Resldent..1
Use Bid Amount
V Wood Frame
Garaee
A C - ReSlden
BId Amount
Dwelhnes
Garaee
Fee DescriptIOn
Plan Review Resldent..1
Plan RevIew ResidentIal
-Mech I;s 2+ Apphances-
+ 10% Admmlstratlve Fee
+ 12% State Surcharge
+ 5% Technology Fee
3 Baths One & Two Family
Apphance Vent
BOIlerlComp Up To 100,000 btu
BuIldmg PermIt
Copies - Ea Addtl @ 50 Cnts Ea
Copy 6th @ 75 cents
Dryer Vent
Exhaust Hoods
FIre SF Fee - ReSIdent..,
Fireplace (Llsled)
Furnace - up to 100,000 btu
Gas Outlets 1-4
Gas Outlets 4+
MIScellaneous Copy Chgs
ReSIdence WIrIng 1000 Sq Ft
ReSIdence WIrIng Ea Addtl 500
SDC SamtarylStorm Admm
SDC SamtarylStorm Admm
Storm Dramage ImpervIOus Area
Storm Dr,lInage ImpervIOus Are.!
Storm Sewer Each AddtllOO'
Temp Power 200 amps or less
UGB Plan Rev MJ/Mm - Plannmg
Vent Fan
Total Amount Paid
I ValuatIon Descrmtion I
$ Per Sq Ft
or mulhpher
$500
$100
$10500
$28 00
Square Footage
or Bid Amount
3,271 00
70,000 00
3,271 00
1,27000
Total Valne of ProJect
F pp, '.:iIlLI
Amount Paid
$1,09364
$16289
$40 00
$298 72
$32761
$15036
$33700
$700
$1400
$1,933 12
$1850
$075
$700
$10 00
$257 05
$1700
$1400
$500
$200
$350
$11700
$16800
$10 70
$75 05
$21405
$1,50091
$1600
$55 00
$277 00
$28 00
$7,16085
Date PaId
3/10/08
7/10108
8/1/08
8/1/08
8/1/08
8/1/08
8/1/08
8/1/08
8/1/08
8/1/08
8/1/08
8/1/08
8/1/08
8/1/08
8/1/08
8/1/08
8/1/08
8/1/08
8/1/08
8/1/08
8/1/08
8/1/08
8/1/08
8/1/08
8/1/08
8/1/08
8/1/08
8/1/08
8/1/08
8/1/08
P aee 2 of 5
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2008-00324
ISSUED' 08/01/2008
APPLIED: 03/10/2008
EXPIRES: 02/01/2009
VALUE: $ 465,37000
Value
Date Calculated
$16,35500
$70,000 00
$343,455 00
$35,560 00
$465,37000
03/10/2008
07/07/2008
03/10/2008
03/10/2008
ReceIpt Number
2200800000000000304
1200800000000000757
1200800000000000834
1200800000000000834
1200800000000000834
1200800000000000834
1200800000000000834
1200800000000000834
1200800000000000834
1200800000000000834
1200800000000000834
1200800000000000834
1200800000000000834
1200800000000000834
1200800000000000834
1200800000000000834
1200800000000000834
1200800000000000834
1200800000000000834
1200800000000000834
1200800000000000834
1200800000000000834
1200800000000000834
1200800000000000834
1200800000000000834
1200800000000000834
1200800000000000834
1200800000000000834
1200800000000000834
1200800000000000834
"iii.1il CITY OF SPRINGFIELD'
Building/Combination Permit
Status Issued PERMIT NO. COM2008-00324
225 FIfth Street, SprIngfield, OR ISSUED 08/01/2008
541-726-3753 Phone APPLIED: 03/1012008
541-726-3676 Fax EXPIRES. 02/01/2009
541-726-3769 InspectIOn Lme VALUE: $ 465,370.00
I Plan Reviews I
Planum!! Review 07/11/2008 WI In ground sWlmmmg pool -
sWlmmmg pool IS part of the
Floodplam Overlay approval
Cannot Issue untIl SHR2008-00006
IS approved
Pubhc Works RevIew 07/1112008 In ground sWlmmmg pool
I DltIa) Review 03/1112008 03/1112008 APP NJM
Pubhc Works RevIew 03/14/2008 03/14/2008 WE LKW WaIling for Septic from Lane
County, and drywell from
Contractor Called Jeb Wlrfs to
request mformatlOn before fimshmg
SDC calculatIOns
Planumg Review 03/1112008 03/27/2008 WE TAJ ThIS property IS 10 the floodplam
and needs Floodplam Overlay
approval before BP can be Issued
EXlstmg MH must also be removed
before BP can be ISsued
Left message for Jeb Wlrfs on
3/27/08 With above IIIfo
Structural ReVIew 03/1112008 04/07/2008 WE RWC mlSsmg truss detaIls Also need
foundatIOn drawmgs for flood zone,
per RWC Informed contractor
7/7/08 dim
100tldl ReView 04/11/2008 04/1112008 APP LLH Received Truss Information -
Forwarded to plan revIew
ImtJal ReView 07/1112008 07/1112008 APP LLH In ground sWlmmmg pool
Structural ReVIew 07/11/2008 07/14/2008 POK DLM In-ground sWlmmmg pool only, as
noted on the pool drawmgs
7/14/08dlm
Pubhc Works ReVIew 07/16/2008 07/16/2008 APP LKW Approved pool, mIght need a Land
Dramage Alteration permIt for pool
because of bemg m flood pi am WIll
move plans on to Tara whIle I walt
for the mformatlOn on LDAP
Pubhc Works ReVIew 03/11/2008 07/18/2008 APP LKW
Paee 3 of 5
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO. cOM2008-00324
ISSUED: 08/01/2008
APPLIED' 03/10/2008
EXPIRES: 02/01/2009
VALUE: $ 465,370.00
Status
Issued
225 FIfth Street, SprIngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Planum!! Review
07/2812008
07/2812008
APP T AJ
Structural RevIew
04/1112008
07/28/2008
APP RWC
Pave at least lhe first 18' of
dnvewdY
Adhere to the followmg occupancy
condlhons for development wlthm
the Floodplam (SHR2008-00006) I
Provide a FEMA ElevatIOn
Cerllllcate completed by a certIfied
engmeer, surveyor, or architect aftel
constructIOn, but prIor to
occupancy 2 VerIfy on the
ElevatIOn CertIficate that all
electrIcal and mechamcal equIpment
wlthm the bUlldmg and on the SIte
be located above the Base Flood
ElevatIOn
Received Truss InformatIOn
4/ll/08-lh
To Request an mspectlOn call the 24 hour recordmg at 726-3769. All mspectlOns requested before 7:00
a.m WIll be made the same workmg day, mspectIons requested after 7 00 a m will be made the following
work day
I !1'pnllirp<! I nlilPrtinn..I
Ufer ElectrIcal Ground Install ground rod at footmg and call for m.pectlOn m conJunctIOn WIth footmg and/or
foundation lDspectlOn
Footmg After trenches are excavated
Foundation After forms are erected but prIor to concrete placement
Post and Beam PrIor to Ooor msulatlOn or deckmg
Floor InsulatIon PrIOr to deckmg
Shear Wall Nalhng Before coverIng sheathmg WIth fimsh materIals
Frammg Inspecllon PrIor to cover and after all rough 10 mspectlOns have been approved
Wall InsulatIOn PrIor to cover
Cellmg Insulahon Prior to cover
Drywall PrIor to taplllg
Hold Downs Installed SpeCial InspectIOn performed prIor to placement 01 concrete PrOVIde report to CIty
BUlldmg Inspector
Fmal BUlldmg Alter all reqUIred mspectlOns have been requested and approved and the bUlldmg IS complete
UnderOoor Plumbmg PrIor to msulatIon or deckmg
U nderOoor Dram PrIor to cover or placement of concrete
Rough Plumbmg PrIor to cover and mcludmg reqUIred testmg
Paee 4 of5
U I l' OF ~rKll~GFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2008-00324
ISSUED' 08/01/2008
APPLIED 03/10/2008
EXPIRES. 02/01/2009
VALUE. $ 465,37000
225 FIfth Street, SprIngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Shower Pan PrIor to covermg and mcludmg reqUIred testmg
Water Lme PrIor to filhng trench and mcludmg reqUIred testmg
SanItary Sewer Lme PrIor to fillmg trench and mcludmg required testmg
Storm Sewer Lme PrIor to filhng trench
Fmal Plumbmg When all plumbmg work IS complete
Underfloor MechanIcal PrIor to msulatlOn or deckmg and mcludmg reqUIred testmg
UnderfloOl Gas After hne IS mstalled and reqUIred testlllg and capped Ifnot attached to an apphance
Rongh Gas After hne IS mstalled and reqUIred testmg and capped If not attached to an applIance
Cas ServIce After hne IS mstalled and hne has been connected to a mmlmum of one apphance mcludmg required
t..tlng Presure test done at thIS pomt
Rough MechanIcal PrIor to Cover
Fmal Gas When all gas work IS complete
Fmal MechanIcal When all mechamcal work IS complete
Temporary ElectrIC Approval reqUIred prIor to Utlhty Company energIZIng pole
Rough ElectrIC PrIor to Cover
Electnc Service Approval reqUIred prIor to utlhty company energIZIng servIce
Filial ElectrIC When all electrIcal work IS complete
By SIgnature, I state and agree, that I have carefully eX8mmed the completed apphcatlOn and do hereby certify that all
mformatlOn hereon IS true and correct, and 1 furlher certIfy that any and all work performed shall be done m accordance WIth
the Ordmances of the CIty 01 Sprmgfield and the Laws of the Slate of Oregon pertammg to the WOl k descrIbed herem, and
that NO OCCUPANCY will be made of any structure wlthoul permISSIOn of the CommunIty ServIces DIVIsIOn, BUlldmg Safety
I further certify that only contractors and employees who are 10 comphance WIth ORS 701005 Will be used on thiS project
I further agree to ensure that all reqUIred mspectlOns are requested at the proper time, that each addre;s 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
tunes d, ring constructlOn/
GJllt~;/ U)IJ;z 8-1- 2/8
Owner or Contr.lclor> s~ure Date
Paee 5 of5
CITY OF SPRINGFIELD, OREGON
SPAINOI'IELD .... ZON m(L-"'
A& _ ~ INlTIALS -Oc...
DATE 'b oPt. oct)
taL:: I(, SOURCE }k. '6\) \V
Z25 FIFfH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689
ELECTRICAJ-JPERMIT APPIJCATION
CIty Job Number ( IJm)-Im% - ()o3.:;).A/
I
1. ! L9CATIOl'l/. OF "lNS'{ALLATION:
d?'::;.3 :}()'IA c.Si
LEGAL DESCRIPTION
/7fJ.3;:;J.L./ ()()(}(J 6()7)
. JOB DESCluPTION
(.~~~
Date
3 L COMPLfITE FEE fiC~DlJLE BELow
A I N~w Reside~t"'I~'Si~ga'1,'~Multi~FamiI~ pe;!I~~Iii~g umt
Permits are non-transferable and expIre If work IS
not started wlthm 180 days of ISsuance or If work IS
Suspended for 180 days.
2 ~ CQNJ'RAq;OR!Nlf~,{AfLATI()N ONLr I B I ~fVIC~ o~ fJ'ed~!:S.- Instal'a!lon,~Jte~tJons or ~elocahon:.
1 / I () Aryj:WIIiJN -9feP/'!,_~aw requIres you to
ElectrIcal Contractor _.~~J. 1ItL.j9!j8'wSru~~~~ UlIllty $ 70 00
r1otl~I~1Ion Center TilR>MltleS0i40B;~h $ 83 00
Address <;i! ') n Jij'J -J y~ O~95<J1l)01-001 04~IOAJ&\~"Q6\f1d05_1. $138 00
- .' ~J 5.'vu'1i1aYObtal!~I~ft/jll,\'III~l~ $18000
call1n.9 tbe~cwter. ifellJlll\6lI'f~
CIty :;::h~.-P--/ Phone .lf~IfiTI~~trpore ~tA"1I9~tIIOb $41300
/ Center IS 1-~..,,~ $ 55 00
Service Included
1000 sq ft or less / /1/. ()O
$11700
Each additIOnal 500 sq ft or Y.' /l,%. VV
portJon thereof ,'l $2100
Each Manufact'd Home or
Modular Dwelhng ServIce or $55 00
Feeder
SupervIsor LICense Number ;Jr 6 C) _ c:;
c I Temporary Serv!~es of F~~d~~h;~-;~~"-,;ir-
ExprralIon Date /7J -.I - 20 J 0
Inst3llahon, Alterahon or Relocahon
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
ExprralIon Date / - 2 3 - 20 c) 9
Over 600 Amps or 1000 Volts see "B" above
"'/7."")';1 4 D ~='::=::~..: ;:.
'A-l~ W.A_~--? OneClrcwt
Each AddIlIonal Crrcwt or WIth
ers Namefl,57'112f'r- If .NOTlCE: ServIce or Fecder PermIt $ 400
Address ;JJ:)X7 /ej-lh S/ ~~ERMIlF.S~Atllc~rn';f;;'c1~~d)"'E;~hI~~tallatlOn I
CIl>h. ~N d!.- Phone 7~7 -~~~~~ =VJ/Jf~~~r-~/TlS NOT $ 55 00
r {! Qa....... ANY 180 DAY p~_W;~'1'.~FOR $ 55 00
OWNER INST ALLA TION LlIDlted Energy/ResldenlIal $ 28 00
The mstallalIon IS bemg made on y.vy.uj I own which LlIDlted Energy/Commercial $ 5000
IS not mtended for sale, lease or rent MlDlmum Electnc Permit Inspechon Fee IS $50 00 + Surcharges
Owners Signature 4 r.SUBTOTAl, OFABOrnT"", ~4()
- <1! o. ~ 0
j3,j g%
43 i iJO
Constr Contr Number
c-><',,; 00
$ 55 00
$ 76 00
$1 JO 00
;,.~:) -
$ 48 00
12% State Surcharge
10% AdnumstralIve Fee
5% Technology Fee
InspectIon Request 726-3769
TOTAL
Shared Dnve(T )/Buddmg FonnsIElectncal Pemul ApplicatIOn 1 ~8 doc
\:
,
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER COM2008-00324
NAME OR COMPANY Dean Helfrich
LOCA nON 2833 20th Street
TAX LOT NUMBER 1703240000500
DEVELOPMENT TYPE Smgle Familv ReSIdence
NCW DWELLING UNITS 0 BUILDING SIZE (SF 4541 LOT SIZE (SF)
I STORM DRAINAGl~
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS SF, 1 COST PER S F CHARGE
I 000 I $0346 1=1 $000 I
RUNOFF ROUTED TO DR YWELL DESIGNED AND CONSTRUC I CD TO CITY STANDARDS
1 IMPCRVIOUS S F I ' 1 COST PER S F I, 1 DISCOUNT RATE I I
I 8675 25 1 $0 346 1 1 50% = I
ITEM I TOTAL - STORM DRAINAGE SDC $1,50091
2 SANITARY SEWER - r.JTY
A REIMBURSEMEN r COST
I NUMBER OF DFU's 1
1 43 1
B IMPROVEMENT COST
I NUMBER OF DFU's 1
43 1
,
COST PER DFU
$26 83
COST PER DFU
$20 40
x
ITEM 2 TOTAL-CITY SANITARY SEWER SDC ~ I
J TRANSPORTATION
A REIMBURSEMEN r COST
I ADT TRIP RATE 1 x
1 957 I
1 NUMBER OF UNITS 1 , I
1 0 1 1
B IMPROVEMENT COST
1 ADTTRJPRATE 1
1 957 I
x
1 NUMBER OF UNITS I , I
I 0 1 I
= ,
ITEM 3 TOTAL - TRANSPORTATION SDC
44867
DISCOUNT
$1,50091
$1,50091
$000
$0 00
$000
COST PCR TRIP
2043
x !NCW TRIP FACTORI
I 100
$0 00
COST PER TRIP
$9010
$000
, INEW TRIP FACTORI
1 100 1
$000
4 SANITARY SEWER - MWMC
A REIMBURSEMENT COST
INUMBER OF FEU's 1 x
I 0 I
ICOST PER FEU
I $95 35
B IMPROVCMENT COST
INUMBER OF FEU's I
o 1
,
ICOST PER FEU
I $99039
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I
=
$000
ICIl
ClJ
10
10
u
let:
IClJ
II-
CIl
(3
~
11070
11091
1
1
11092
I
I
1093
1 1094
I
1054
= $000 1055
$000 111054
$000 11056
I
$000 i
I
~
$1,50091 I
CHARGE
$75 05
7505 1079
$000 11078
TOTAL SDC CHARGES =, $1,57596 I
II
.-----
SUBTOTAL (ADD ITEMS 1,2,3. & 4) ~ I
5 ADMINISTRATIVE FEE
1 SUBTOTAL x I ADM FEE RATE I~
I $1,50091 5% 1
TOTAL SANITARY ADMINISTRATION FEE
TOTAL TRANSPOR rATION ADMINISTRATION FCE
Kaye Wilson
7/1112008
PREPARED BY
DATE
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE 7
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTIJRE UNITS
(NOTE FOR REMODELS CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO OF FIXTURES DRAINAGE
UNIT FIXTURE
FIX fURE TYPE NEW OLD EQUIVALENT UNITS
[BATHTUB 3 0 3 = 9
IDRINKJNG FOUNTAIN 0 0 1 = 0
IFLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 = 0
IINTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 = 0
ILAUNDRY TUB 2 0 2 = 4
CLOTHESW ASHER / MOP SINK 1 0 3 = 3
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
RI:CEPTOR FOR REFRlG / WATCR STATION / ETC 0 0 1 = 0
I RECEPTOR FOR COM SINK / DISHWASHER / ETC 2 0 3 = 6
ISHOWCR. SINGLE STALL 3 0 2 = 6
I SHOWER. GANG (NUMBCR OF HEADS) 0 0 2 = 0 I
ISINK COMMERCiAURESIDENTIAL KITCHEN 1 0 3 = 3 I
ISINK COMMCRCIAL BAR 0 0 2 = 0 I
ISINK WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 i
ISINK SINGLE LAVATORYIRESIDENTIAL BAR 3 0 1 = 3 ,I
IURINAL. STALL / WALL 0 0 5 = 0
ITOILEf PUBLIC INS lALLATION 0 0 6 = 0
ITOILET. PRIVATE INSTALLATION 3 0 3 = 9
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 43
*EDU (EqUivalent Dwelhng. Untt) IS a dlschar~ eqw~.~ent to a smgle family dwellmg urnt (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE BASED ON COUNTY ASSESSED VALUE
r[ YEAR I CREDIT RATE/$I,OOO
ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2
BEFORE 1979 $529 (Enter I for Yes, 2 for No)
1979 $529 IS IMPROVEMENT ELGIBLE FOR ANNEX CREDIT? 2
1980 $519 (Enter I for Yes, 2 for No)
1981 $512 BASE YEAR 1979
1982 $4 98
1983 $4 80 CREDIT FOR LAND (IF APPLICABLE)
1984 $4 63 VALUE /1000 CREDIT RATE
1985 $440 $000 x $529 ~ I $000
1986 $407
1987 $367 CREDIT FOR IMPROVEMENT (IF AFI ER ANNEXATION)
1988 $322 VALUE/1000 CREDIT RATE
1989 $273 $000 x $529 0
1990 $225
1991 $180
1992 $159 TOTAL MWMC CREDIT = $000
1993 $145
1994 $125
1995 $109
1996 $092
1997 $072
1998 $048
1999 $028
2000 $009
2001 $005
(i
1
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBCR Com2008-00324/Pool
NAME OR COMPANY Helfrich ramlly Trust
LOCATION 2833 20th Street
TAX LOl NUMBCR 1703240000500
DEVELOPMENl TYPE Smgle Family Residence
NCW DWCLLING UNITS 0 BUILDING SIZE (SF 0 LOT sIze (SI')
I STORM ORAINAGF.
44867
en
W
Cl
o
U
I~
_I ~
10
~
DIRECT RUNOFr TO CITY STORM SYS rEM
I IMPI:RVIOUS S F x I COST PI:R S F I I CHARGE
I 60000 1 $0357 = 1 $21405 I
RUNOFF ROUTCD TO DRYWCLL DESIGNED AND CONS fRUCTI:D TO CITY Sl ANDARDS
I IMPI:RVIOUS S F I x I COST pCR S F I x I DISCOUNT RATI: I I
I 0 00 I I $0 357 I 50% I ~ I
[TEM [ TOTAL - STORM DRAINAGE SDC I $2[405
2 SANI IARY SCWER - CITY
DISCOUNT
$000
$21405
A REIMBURSEMENT COST
I NUMBERO OF DFU's I x
B IMpROVEMI:N I COS I
I NUMBi:R or DFU', 1 x
I 0 I
COS I PER DFU
$2767
$000
.. _.J 1070
II
I
II09t
,I
COST PER DFU
$2104
$000
1092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
= ,
$000
-. --
.--.-.
3 TRANSpOR1ATION
A REIMBURSCMENT COST
I ADTTRIp RATE I x
I 957 I
I NUMBER OF UNITS I x I
I 0 I
COST PER 1 RIP
2106
x INEW TRIP FACTORI
100 I
$000
11093
B IMPROVEMENT COST
I AD I TRIP RA IE I x I NUMBER OF UNITS 1 x 1
957 I I 0 I I
[TEM 3 TOTAL - TRANSPORTATION SDC = ,
4 SANITARY SI~WER - MWMC
COST pl:R fRIp
$92 89
$000
x INEW IRJpFACTORI
I 100 I
$000
1094
A REIMBURSEMI:N I COST
INUMBI:R OF FEU's I x
I 0 I
ICOST PER FEU
$97 90
=
$000
1054
B IMPROVEMCN I COST
INUMBER OF FEU's I x ICOST PER FEU
I 0 1 $1,00917 = $000 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $000 1054
MWMC ADMINISTRATIVE FEE $000 1056
[TEM 4 TOTAL - MWMC SAN[TARY SEWER SDC ~ , $000
SUBTOTAL (ADD [TEMS [,2.3, & 4) ~ , $21405 J
5 ADMINISTRATIVE FEI:
1 SUBTOTAL x I ADM FEERAll: I~ CHARGE
I $21405 I 5% $1070
TOIAL SANITARY ADMINISTRATION FEE 1070 1079
TOTAL TRANSPORTATION ADMINISTRATION rEE $000 1078
. - ---
Kaye Wilson 7/15/2008 TOTAL SDC CHARGES =, $224.75
PREPARED BY DATE
l
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE 1
NUMBER OF NL W FIXTURES x UNIT EQUIVALENT = DRAINAGL IIX ruRE UNITS
(NOTE FOR REMODELS CALCULATE ONLY niE NET ADDITIONAL FIXTIJRES)
NO OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTIJRE TYPE NEW OLD EOUIV ALENT UNITS I
IBA1HTUB 0 0 3 0
IDRINKING FOUNTAIN 0 0 1 = 0
IFLOOR DRAIN 0 0 3 = 0
IINTCRCEPTORS fOR GREASE / OIL / SOLIDS / ETC 0 0 3 = 0
IINTERCEPTORS FOR SAND / AUTO WASH / CTC 0 0 6 = 0
LAUNDRY 1lJB 0 0 2 = 0
CLOfHLSWASHER/ MOP SINK 0 0 3 = 0
CLOTHESWASHER - 3 OR MORE (EAl 0 0 6 = 0
MOBILE HOME PARK TRAP (I PER TRAlLER) 0 0 12 = 0
RECEPTOR FOR REFRIG/WATER STATION /ETC 0 0 1 = 0
RCCEPTOR FOR COM SINK / DISHW ASHCR / ETC 0 0 3 = 0
SHOWER. SINGLC STALL 0 0 2 = 0
SHOWCR. GANG (NUMBER OF HEADSl. 0 0 2 = 0
ISINK COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = 0
ISINK COMMERCIAL BAR 0 0 2 = 0
ISINK WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
SINK SINGLE LAVATORYIRESIDENTIAL BAR 0 0 1 = 0
URINAL, STALL/WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET. PRIVATE INSTALLATION 0 0 3 = 0
MISCELLANEOUS DFU TYPE NUMBeR OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 0
*EDU (EqUivalent Dwelling Umt) IS a discharge eqUivalent to a smgle famdy dwelhn~mt (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR CREDIT RATE/$ I ,000 I
ANNEXED ASSESSCD VALUE IS LAND ELGIBLE FOR ANNEXA nON CREDIT? 2
BEl-ORE 1979 $529 (Enter I for Yes, 2 for No) I
1979 $529 IS IMPROVEMENT ELGIBLE FOR ANNEX CREDIT? 2
1980 ,~ $519 (Enter I forYes,2forNo) I
1981 $512 BASE YEAR 1979
1982 $498 .,;:.., I
1983 ~ $480 CREDI r FOR LAND (IF APPLICABLE)
--
1984 $463 VALUE/IOOO CREDIT RATE
1985 $4 40', ~ $000 x $529 ~ , $000
--
1986 -- $4 07 =-
-
-
1987 $3 67 _- CREDI r FOR IMPROVEMENT (IF AFTER ANNEXATION)
1988 $322 VALUE/IOOO CREDIT RATE
1989 $273 $000 x $529 0
"$225 .,
1990
1991 $180 -
1992 $159 TOTAL MWMC CREDIT = $000
1993 $145
1994 r , ' $125
1995 $109
1996 $092
1997 $O72~_~
1998 - $048 --
c
1999 $028 ,- "
2000 $009
- $005
2001 -
225 FIfth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
~
City of Sprmgfield OffiCial Recclpt
Development Services Department
Pubhc Works Department
Job/Journal Number
COM2008-00324
COM2008-00324
COM2008-00324
COM2008-00324
COM2008-00324
COM2008-00324
COM2008-00324
COM2008-00324
COM2008-00324
COM2008-00324
COM2008-00324
COM2008-00324
COM2008-00324
COM2008-00324
COM2008-00324
COM2008-00324
COM2008-00324
COM2008-00324
COM2008-00324
COM2008-00324
COM2008-00324
COM2008-00324
COM2008-00324
COM2008-00324
COM2008-00324
COM2008-00324
COM2008-00324
COM2008-00324
Payments
Type of Payment
Check
cRcl,emtl
RECEIPT #.
1200800000000000834
Date' 08/01/2008
Description
rlre SF Fee - ReSidential
Storm Dramage ImpervIOus Area
SDC Samtary/Stonn Admm
Stonn Dramage ImpervIOus Area
SDC Samtary/Stonn Admm
UGB Plan Rev MJ/Mm - Plannmg
Bulldmg Pennlt
3 Baths One & Two Family
Storm Sewer Each Addtl 100'
Furnace - up to 100,000 btu
Bollcr/Comp Up To 100,000 btu
Appliance Vent
Exhaust Hoods
Dryer Vent
Vent Fan
Gas Outlets 1-4
Gas Outlets 4+
rlreplace (Listed)
-Mech Iss 2+ Apphances-
ReSidence Wmng 1000 Sq Ft
ReSidence WIfing Ea Addtl 500
Temp Power 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmmlStralIve Fee
Miscellaneous Copy Chgs
Copy 6th @ 75 cents
Copies - Ea Addtl @ 50 Cnts Ea
Paid By
PACIFIC HOMES
Item Total
Check Number AuthorlLdtlon
Received By Batch Number Number How Received
10208
In Person
Paymcnl Total
cJc
Page I of I
2 37 39PM
Amount Due
25705
1,50091
7505
21405
1070
277 00
1,933 12
33700
1600
1400
1400
700
1000
700
2800
500
200
1700
4000
11700
16800
5500
15036
32761
298 72
350
075
1850
$5,904 32
Amount Paid
$5,904 32
$5,904 32
8/1 /2008