Loading...
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