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Home My WebLink AboutPermit Building 2008-8-13 CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO. COM2008-01010 ISSUED' 08/13/2008 APPLIED. 07/08/2008 EXPIRES: 02/13/2009 VALUE' $ 272,160.00 -~~ Status Iss u ed 225 Flftb Streel, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn LIDe SITE ADDRESS 1688 VERA ST ASSESSOR'S PARCEL NO 1703243104100 SPRINGFIETYPE OF WORK SIDgle FamIly ReSIdence TYPE OF USE New PROJEC r DESCRIPTION SIDgle fdmlly reSIdence - Lot 16, Legacy Estates O\\ner OREGON CUSTOM HOMES Add.ess 65 W-l DIVISION AVE #153 EUGENE OR 97404 I CONTRACTOR INFORMATION I Contractor Type General Electrical MecbanlCdl PlumblDg Contractor License OREGON CUSTOM HOMES, INC 96875 TURNBO CARTER ELECTRIC INC 156308 MARSHALLS INC 25790 SUMMIT PLUMBINGIDBA MICKEY CONST 169922 I BUILDING INFORMATION. n la'll requll"''' ) - -\ IIty # of U OItS ,,~ON: O\ep:d by thE/lGlfElIllf\e :orth 1 Prlmdl y Occupancy G m8w ru\e8 ll\\.~P Those fIllefgll !O\51ure 22 50 Secondary occupancy!tlfloatIOn ce~~10thrOU &~s by Forced Air Gas Primary ConstJ uctlOll tt0AR 952.oG.1rf:\aln COPI\W,m, ne Gas Secondary constructlO~~OIlmaYcerner. {Note 0 uon Gas # of Bedl ooms canln9 the th'8 oregon UIl A atb cwrnt* ~\llr Is 1-800~- I a BUlldlDg No I DEVELOPMENT INFORMATION I Frontyard Setbdck Side 1 Setbdck S,de 2 Setback Rearyard Setbdck Soldr Setbdcks 1490 700 1900 1900 000 Overlay Dlst # Street Trees Rqd raved Drive Rqd % of Lot Coverage FloodplaID 2 Yes 2720 I PUBLIC IMPROVEMENTS I Slreet Improvements Storm Se\\er AvaIlable SpecIal I nstructJon ReSIdentIal Phone Number 541-988-4954 Pbone Number 541-554-5778 Expiration Date 11/05/20 I 0 07/14/2009 12/23/2009 04/28/2010 Phone 541-988-4954 541-729-8409 541-747-7445 541-968-5270 Lot S,ze 11,271 Sq Ft 1st Floor 2,400 Sq Ft 2nd Floor Sq Ft Basement Sq Ft Garage/Carport 667 Sq Ft Other Occupant Load REQUIRED PARKING Total 2 Handleapped Compact S,dewalk Type Setbdek 7' Curb and Gutter Downspouts/D. aIDS NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR 15 ABANDONED fOR ANY 180 DAY PERIOD. Fullv Improved Yes Notes Storm drdlDs to weep holes from curb & gutter Paee I of5 -~. ~-, Status Issued 225 F,fth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn LlDe DescrlotlOn Tvpe of ConstructIOn Dwelhne:s Garae:e V Wood Frame Garae:e Fee DC.!tlllDtlOn Plan RevIew ResidentIal -Mech Iss 2+ Apphances- + 10% AdmlDlstratlve Fee + 12% State Surcharge + 5% Technology Fee 3 Batbs One & Two Family AddresslDg Assignment BUlldmg PermIt Dryer Vent Exhaust Hoods Fu e SF Fee - ResldenlIdl Furnace - up to 100,000 btu Gas Outlets 4+ Plan Review MaJO! - PlannlDg SaDltary Sewer - Improvement SaIlltary Sewer - ReImbursement SDC MWMC AdmlDlstralIon SDC MWMC Improvement SDC MWMC Relmbursemenl SDC SaDltary/Storm AdmlD SDC Transpo Improvement SDC Transpo ReImbursement SDC TransporlatIOn AdmID Storm DralOdge ImpervIOus Are.l Storm Sewel Edch AddtlIOO' Temp Power 200 dmps or less Vent Fdn W,llamalane SlDgle FamIly Total Amount Pdld IOIlIal Review 07/10/2008 I Valuatoon DescrintlOn I $ Per Sq Ft or mullIpher $10500 $28 00 Square Footage or BId Amount 2,400 00 667 00 Total Value of ProJect !<pp<. P~"l J Amount PaId $807 42 $40 00 $18805 $207 26 $96 91 $33700 $35 00 $1,242 18 $700 $1000 $15335 $1400 $200 $211 00 $63110 $829 96 $10 00 $1,00917 $97 90 $19128 $888 98 $201 54 $69 40 $1,54489 $32 00 $55 00 $28 00 $2,513 00 $11,45339 Date Paid 7/8108 8/13/08 8/13/08 8/13/08 8/13/08 8/13/08 8/13/08 8/13/08 8/13/08 8/13/08 8/13/08 8/13/08 8/13/08 8/13108 8/13/08 8/13/08 8/13/08 8/13/08 8/13/08 8/13/08 8/13/08 8/13/08 8/13/08 8/13/08 8/13/08 8/13/08 8/13108 8/13/08 I Plan Reviews I 07/11/2008 APP LLH Pae:e 2 of5 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-0101O ISSUED: 08/13/2008 APPLIED' 07/08/2008 EXPIRES 02113/2009 VALUE' $ 272,16000 Value Date Calculated $252,000 00 $18,67600 $270,676 00 07/08/2008 07/11/2008 ReceIpt Number 1200800000000000743 1200800000000000868 1200800000000000868 1200800000000000868 1200800000000000868 1200800000000000868 1200800000000000868 1200800000000000868 1200800000000000868 1200800000000000868 1200800000000000868 1200800000000000868 1200800000000000868 1200800000000000868 1200800000000000868 1200800000000000868 1200800000000000868 1200800000000000868 1200800000000000868 1200800000000000868 1200800000000000868 1200800000000000868 1200800000000000868 1200800000000000868 1200800000000000868 1200800000000000868 1200800000000000868 1200800000000000868 CITY OF ~rKIN(j1<lJ<,LD . Building/Combination Permit PERMIT NO. COM2008-01010 ISSUED' 08/13/2008 APPLIED. 07/08/2008 EXPIRES' 02/13/2009 VALUE: $ 272,16000 -G~;; ~ --... Status Issued 225 Flflh Slreel, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 InspectIon LIDe PublIc Works RevIew 07/11/2008 07/16/2008 10 LKW Structural Review 07/11/2008 07/17/2008 WE CJC PublIc Works RevIew 07/22/2008 07/22/2008 APP LKW Plannml! Review 07/11/2008 07/30/2008 APP T AJ Need new Slle plan sbowlDg 7' P U E on West side on sIte plan and bUlldIDg footprint needs to be revIsed for tbat 7" selback WaltlDg for stamped englDeerlng for beams and Idteral, and for energy optIon (Rec'd 7/28) WaltlDg for flood plaID foundatIOn constructIOn and ventmg details Storm water to curb Tbls lot IS ID tbe 100 year floodplalD, tberefore the followlDg occupancy condItIons apply 1 rrovlde a FEMA ElevatIon CertIficate completed by d certIfied engmeer, surveyor or architect, aftel construetlOn and before occupaney 2 As per ConditIon 5 of FPO appl oval (SHR2005-00008) and Note 4 on the recorded plat for Legacy Estates New constructIOn and substantIal Improvement of dny reSIdentIal structure on Lot 16 shall bave the lowest floor, IDcludIDg basement, elevated to one foot above tbe Base Flood ElevatIOn (449'), that IS 450 O' 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 followmg work day ~e(]lIlreCUnsnectlons I ErOSlOn/Gradmg InspectIOn Pnor to ground disturbance and after eroSIOn measures are Installed SIdewalk - Setbdek Afler forms are ereeted but prior to placemenl of concrete Curbcut - Standard After forms are erected but prior to placement of concrete Ufer Electrlcdl Ground Install ground rod at footlllg and call for IDspcctlOn ID conjunctIOn wllh footIDg and/or foundatIOn IDspecllOn FootlDg After trencbes are excdvaled FoundatIOn After forms are erected but prior to concrete placement Post and Beam Prior to floor IDsulatlOn or deckIDg P d2e 3 of 5 -~~ CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2008-01010 ISSUED: 08/13/2008 APPLIED: 07/0812008 EXPIRES: 02/13/2009 VALUE. $ 272,160.00 225 Fifth Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 InspectIOn LlDe Floor InsuldtIon Prior to decklDg Shedr Wall Nalhng Before covering sheatblDg with fiDlsb materials Frdmmg InspectIOn Prior to cover and after all rougb m mspectlOns bave been approved Wall InsulatIon rrlor to cover Celhng InsulatIOn Prior to cover Drywdll Prior to taplDg Hold Downs Inslalled Special InspectIOn performed prior to pldcement of concrete PrOVIde report to CIty BUlldlDg Inspeclor FlDal BUlldlDg After all reqUired mspectlOns have been requested and approved and the bUlldmg IS complete Underfloor PlumblDg Prior to msuldtIon or decklDg Rougb PlumblDg Prior to eover and IDcludlDg requIred lestmg Wdler LlDe Prior to filhng trench dnd IDcludlDg required testIng SdDltary Sewer Lme Prior to filhng trench and mcludmg reqUired tesllDg Storm Sewer LlDe Prior to filhng treneb FlDdl PlumblDg Wben all plumbmg work IS eomplele Underfloor MecbdDlcal Prior to msulatIOn or deckmg and mcludlDg reqUired testmg Underfloor Gas After hne IS IDstalled and reqUired testlDg and capped If not attached to an apphdnce Rough GdS After hne IS mstalled and reqUired testlDg dnd capped If not attaehed to dn apphance Rough MeehaDlcal Prior to Cover Fmal Gas When dll gas work IS complete FInal Mechamcal When .111 mechalllcal work IS complete Tempordry ElectriC Approval reqUired prior to Utlhty Company energIZIng pole Ufor Electrical Ground Install ground rod at footlDg and call for mspectIon m conJuctIon w,tb footlDg and/or foundatIon mspechon Rough ElectrIC Prior to Cover ElectriC Service Approval required prior to utIhty company energIZIng service FlDdl ElectriC When dll electrical work IS complete P d2e 4 of 5 CITY OF SPRINGFIELD. Building/Combination Permit Status Issued PERMIT NO: COM2008-01010 ISSUED 08/1312008 APPLIED 07/0812008 EXPIRES' 02/13/2009 VALUE' $ 272,16000 225 F,lth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 F dX 541-726-3769 InspectIOn LIDe By sIgnature, I state and agree, that I have carefully examIDed tbe completed applicatIon and do bereby certIfy that all IDformatlOn bereon IS true dnd correct, and I furtber certIfy tbat any and dll work performed shall be done ID dccorddnce wIth tbe Ordlllances of tbe CIty of Springfield and tbe Laws of tbe Stale of Oregon pertalDIDg to the work deSCribed herelD, and that NO OCCUPANCY will be made of any structure wltbout permISSIOn of tbe CommuOlty ServIces DIVISIOn, BuIldIDg Safety I further certIfy that only contractors dnd employees who are ID eomplIanee with ORS 701 005,,,11 be used on thIS project I further agree to ensure tbat all reqn~d_lDs~lOns are requested al the proper tIme, that edeb address IS reddabIe from the street, thdt the pel mlt card IS loeated dt the front of the property, dnd tbe approved sel of pldns will remalD on the site at all t/::_coII. ~ /// ////;~ ~ AU/J-/ / 3 t:J;P- ~ L -, - ~ /7 ' 'Der or Contractors Slgnatnre,:;.--' Date ?/ "/' ". /" -- Pdge 5 of5 SPFUNOP'ELD ___ ~A ~. ,~~ 'I' ~ ~.~.!~'" '" ~ ZON LOt lNlTlALst..k\ DATE "'\.\.\...q5_ SOURCE t-\. ~C"'/ 22S FtITH STREET. SPRINGFIELD, OR 97477 . PH (S41)726-3753 . FAX (541)726-3689 ELECTRICAL Pk~IT Na:UCATION City Job Number l \ ~ -\D \.U Date I Lf{~N6(\t~~;i:- . 3 -~ ...,. -- - - ,..." -.. , ~, .. ~ -~- COMPLETE FEE SCHEDULE BELOW ""------ - + -- -..... .....- - - ~ LEqAL DESCRIPTION n031A.'O\ JOB DESCRIPTION 1000 sq ft or less ~ 'l'I f"'\ Each addItIonal 500 sq ft or per~~~L-::::~nd ~~ :~~k IS ~::~o~::;:~'d Home or $ 21 00 not started wlthlD 180 days of Issuance or If work IS Modular Dwellmg Service or $55 00 :uspe;~:::~~~s iNS~ALLA1;I/; ONL'y , B ~::::,ees or Fe~ders ~ns!aIlatIon, AJter~tJOns or RelocatIon Elec: -a1c~:act:~~--- - '-7- -~--,- o;~=~:-:rl~s:'--' .-.. -;~o~ . -.-- ~ / '/'J leo,ll\leS ~ ~~mps 10 400 Amps $ 83 00 Address .. ,,<eClOl\ I'a: .\"\e Ole<;l~ se'l!.ll>~ps to 600 Amps $13800 " p..\\\O~y:~ aOO\l\e~;~se lll\e~~~ 95/?o9~s to 1000 Amps $18000 CIty '\. .,,\\0'ljl'I!li1~~el\\e~. ,,\\"\loll<;l~ 0\ \ne 1~~J600 AmpsNolts $41300 ~O \ca~5?_OOi ,u~;all\ cO\l\O~ne \e\e!~ct Only $ 55 00 Ol\\> ll\a~ 0 I~o\e ~O\I\IC _ Q '{Oil el\\el' \.l\\\\\~ \ r .---- -- - - - r, . - - -. Supervisor Lleense ~u ~\\'''O \ne \~ Ole<;lO~ "-~2-~J'1 '!.e_ml'~r s.e~ce~!"eedcr~ ;I ll\'oel W~\~l IS '\-1)" - ExpIratIon Date " ce Installation, AlteratlOD or Relocation 200 Amps or less t Constr Conti Number 201 Amps to 400 Amps I / 401 Amps to 600 Amps Exprratl n Date ~~ ()':.~~690 ~mps or .!O29 V.l/l{.' ,,'(" 'B" above D f Bran.;'h CJrcUJiS~"'~ ~'6 ..\\'I\)':) - - --- -t;~" ~....~,. 14 -- ~::~~~~~~ $4800 Owners Name ~\).%tY\ ~\JS~tIo~ ~'5 ~~~tl~'~~\~\) $ 400 Address ~V;) lD-\ \iU.l~ ~i~~~~~l~n~~':~~e':lc~;~~d;;~_~~I~ci~ded)-E~~hI;st~1a~I~~_ CIty f,~e.. Phone a..<6<6.~C\.~ A -,e- - ---~- --- -- -- -- -~-~~ - - --.---- ~ Ne" ResldentIal-:SlDgli or l\1ultI-Famdy per dwelling Unit -- - -- - - -.....- - -~ - ~ -- - - - - - ServIce Included (J\\LD $11700 -"--1 $ 55 00 $ 76 00 $11000 ~~v re of Supervlsmg Electnclan OWNER INST ALLA TION The mstallatIon IS bemg made on property I own whleh IS not Intended for sale, Ie ent ~ rump or IrrIgatIOn $ 55 00 Sign/Outline Llghtmg $ 55 00 Limited Energy/Resldennal $ 28 00 LimIted Energy/Commerelal $ 50 00 Mmlm_ul11 E~-,,~~c_ P~rm.~t ~nspec~IOn Fee IS 550 00 + Surcbarges 4 SUBTOTAL OF {iBOVE "" ~~~L- "- J \ ~ State Surcharge 10% AdmmlstratIve Fee 5% Teehno10gy Fee ~ c.. . a:.~ 2 ."'\~ ~..e6 Shared Onve(T )/BUlldmg FonnslElectncal Pemut Apphcatlon 7 07 doc ~ Inspeetlon Request 726-3769 TOTAL @ !~I!!~o~l~,~e Job No ~~\.D\O SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2008 NAME~Y\ ~ OO~e..~ PHONE q<b%'L\A.~ ADDRES-S \o~ l~'\ \)\~JS~ fo~ene... STATEOf'2...zIP ql~ LOCATION OF PROPOSED BUILDING SITE Street Address \~ ~elfCL. \:J(\\)(2...- Plat Name Ler\O{\U\ Tax Lot Number \1.0""02*'5 \. <::1\ \0::) 1 DEVELOPMENT TYPE (Check appropnate dwellmg(s) Dwelling type definrtlons are on the back) A Smale-Family Detached NO OF UNITS \ B Smale-Family Attached NO OF UNITS C Multi-Family Aoartment NO OF UNITS D Smale Room Occuoancv NO OF UNITS E Accessorv Owellina Unit NO OF UNITS WILLAMALANE SDC X $2,513 per Unit = $ 2.Cbt'5 ,e{) X $2,726 per Unit = $ X $2,323 per Unit = $ X $1 ,162 per Unit = $ X $1,257 per unit = $ $ 1Sl5.<i) jY 2~\o~ 2 SDC CREDIT (If applicable) SDC payer must furnish proof of Willamalane Credit approval) $ 3 TOTAL WILLAMALANE NET SDC SSESSED \ , ~~ reduced for~ Development ~part nt City of Spnngfield $ 8", /], 2=6,? Date 5 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER C0M2008-0101O NAME OR COMPANY Oregon Cu,tnm Homes LOCA II ON 1688 Vera TAX LOfNUMBER 1703243104100 DEVELOPMENT TYrE Smgle Family Resldcnee NEW DWELLING UNITS I BUll DING SIZE (Sr 3067 LOT SIZE (SF) I SlORM DRAINAGE DIRECT RUNOI F TO CITY STORM SYSTEM I IMPERVIOUS S r x I COST rLR S F CIIARGE I 433050 I $0357 I = 1 $1,544 89 I RUNOFF ROUfl:D TO DRY WELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS sri x 1 COST rI:R S F I x I DISCOUNT RATE I 1 I 0 00 I I $0 357 I I 50% ~ I HEM I TOTAL - STORM DRAINAGE SDC $1,544 89 ~ 2 SANIl ARY SI~WER - r.ITY DlSCOUN I $000 A RJ:IMBURSEMENT COST I NUMBER OF DfU's 1 x I 30 I B IMPROVEMI:N f COS f I NUMBI:R OF DFU's I x I 30 I COST PLR DFU $27 67 COST PER Dru $2104 ITEM 2 TOTAL - CITY SANITARY SEWER SDC ~ 1 $1,461 05 3 TRANSPOR I A nON A RI:IMBURSI:MENT COST I ADfTRIPRATE I x I 957 I 1 NUMBER OF UNIl S I x I I I I I COST PI:R I RIP 21 06 x INEW TRlr FACIORI I 100 B IMPROVEMENT COST I ADT TRIP RATE I x I NUMBER OF UNITS I x 1 COST rER TRIP I 9 57 I I I I I $92 89 ITEM 3 TOTAL - TRANsrORT A nON SDC ~ , $1,09052 x INEW TRJr FAC10RI I 100 I 4 SANITARY SEWER - MWMC A REIMBlJRSEMENl COST INUMBER Of FEU's I I I ICOST rER FEU I $97 90 x B IMPROVEMENT COS I /NUMBER OF FEU's I I I x ICOST rER FEU I $1,00917 MWMC CREDII IF APrLlCABLE (SEE REVERSE) MWMC ADMINISTRATIVE fEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =1 $1.11707 SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ I $5,213 53 5 ADMINISTRA liVE FEE I SUBTOTAL x ADM FI:E RATE I~ I $5.213 53 5% 1 ro I AL SANITARY ADMINISTRATION FEE TOTAL I RANSPORTATION ADMINISTRA1ION FEE CHARGE $260 68 Kaye Wilson PREPARE--D BY 7/17/2008 TOTAL SDC CHARGES DATE 10890 $1,54489 $829 96 r:- ~ c:l o U ~ ~ E- rn o gj ~ I 1070 1091 $631 10 1 1092 J $20 I 54 $888 98 = $97 90 = $1,009 17 $000 $1000 19128 111093 I: 1094' ~ 11054 I 11055 11054 11056 I J =, $5,47421 $69 40 J 1078 --, It079 11 DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIX rURbS x UNI r EQUIV ALLNT = DRAINAGE FIXTURE UNITS II (NOTE FOR REMODELS CALCULATE ONLY THl::. NET ADDITIONAL FIXTURES) NO OF FIXTURLS DRAINAGe UNIT nXl URE FIXTURE TYr~ NEW OLD I QUIV ALENT UNITS I BATHTUB 1 0 3 = 3 I DRINKING FOlIN I AlN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 IINTERCerTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 = 0 IINTERCFPTORS FOR SAND / AU ro WASIl / ETC 0 0 6 = 0 ILAUNDRY TUB 1 0 2 = 2 ICLOTIIESWASlleR / Mor SINK 1 0 3 = 3 ICLOTIleSWASIIFR - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOMF rARJ( TRAr (I rFR 1 RAlLl R) 0 0 12 = 0 I REcrp roR FOR REFRIG / WATER STATION / ETC 0 0 1 = 0 I RLCerTOR FOR COM SINK / DISIIW ASI IeR / ETC 1 0 3 = 3 ISHOWLR. SINGLE STALL 1 0 2 = 2 ISHOWI R. GANG ~BLR OF HeADS) 0 0 2 = 0 ISINK COMMERCIALlRESIDENTIAL KITCIIFN 1 0 3 = 3 ISINK COMMeRCIAL BAR 0 0 2 = 0 II ISINK WASH BASINIDOUBLE LAVATORY 0 0 2 = 0 ISINK SINGLE LAVATORY/RESIDENTIAl BAR 5 0 1 = 5 I URINAL, STALL / WALL 0 0 5 = 0 11 OIl I I, PUBLIC INSTALLATION 0 0 6 = 0 ITOILel, PRIVATE INSTALLATION 3 0 3 = 9 MISCLLLANEOUS DFU 1 yrE NUMBFR or EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 30 :EDU (EQUIvalent Dwclhn~ UOIt) IS a discharge eqwvalent to a smgle family dwelling Unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE BASED ON COUNTY ASSESSED VALUE [ I I I I I :i YEAR CRI:,DIT RAnJ$I,OOO ~ ANNEXeD ASSLSSED V ALliE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2 BEFORE 1979 $529 (Enter I for Yes, 2 for No) 1979 $529 IS IMrROVLMENT ELGIBLE FOR ANNEX CREDIT? 2 1980 $519 (I nter I for Yes, 2 for No) 1981 $512 BASE YEAR 2005 1982 $498 1983 $4 80 CRI:,DIT FOR LAND (IF APrLICABLE) 1984 $4 63 VALUE/1000 CREDIT RATE 1985 $440 $000 x $000 ~ I $000 1986 $4 07 1987 $367 CR~ DIT FOR IMPROVEMENT (IF AFTER ANNEXATION) 1988 $322 VALliE / 1000 CREDIT RATE 1989 $273 $000 x $000 0 1990 $225 1991 $180 1992 $159 TOTAL MWMC CREDIT = l $000 1993 $145 1994 $125 1995 $109 1996 $092 1997 $072 1998 $048 1999 $028 2000 $009 2001 $005 225 Fifth Street Sprmgfield, Oregon 97477 541-726-3759 Phone ~ CIty of Spnngfield OfficIal ReceIpt Development ServIces Department Public Works Department Job/Journal Number COM2008-01010 COM2008-0 I 0 I 0 COM2008-0 1 0 I 0 COM2008-01010 COM2008-01010 COM2008-0 I 0 I 0 COM2008-0 1 0 I 0 COM2008-010l0 COM2008-0 1 0 I 0 COM2008-0 I 0 1 0 COM2008-0 I 0 1 0 COM2008-0 I 0 I 0 COM2008-0 I 0 I 0 COM2008-01010 COM2008-010l0 COM2008-01010 COM2008-01010 COM2008-01010 COM2008-0 1010 COM2008-0 I 0 I 0 COM2008-0 I 0 I 0 COM2008-0 1 0 I 0 COM2008-0 1 0 I 0 COM2008-0 1 010 COM2008-0 I 010 COM2008-0 1 010 COM2008-01010 Payments Type of Payment Cheek cRecemt' RECEIPT #: 1200800000000000868 Date. 08/13/2008 Descnptlon Addressmg Asslgnmenl WIllamalane Smgle Family Temp Power 200 amps or less Fire SF Fee - ReSidential Slonn Dramage ImpervIous Area SaDltary Sewer - Relmbursemenl SaDllary Sewer - Improvemenl SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Relmbursemenl SDC MWMC Improvement SDC MWMC AdmmlstratlOn SDC SaDllary/Stonn Admm SDC TransportatIOn Admm BuIldmg Penn!t 3 Baths One & Two Family Storm Sewer Eaeh Addtl 100' Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Venl Gas Outlets 4+ -Mech 155 2+ Appilances- Plan ReView Major - Plannmg + 5% Technology Fee + 12% State Sureharge + 10% Admm!stratlve Fee raid By OREGON CUSTOM HOMES INC Item Total Check Number AuthorizatIOn Received By Batch Number Number How Received dJb 5312 In Person Paymenl Total Page I of I 2 07 25PM Amount Due 3500 2,51300 5500 15335 1,544 89 829 96 631 10 20154 888 98 9790 1,00917 10 00 19128 6940 1,24218 33700 3200 1400 2800 10 00 700 200 4000 21 100 9691 207 26 18805 $10,64597 Amount Paid $10,645 97 $10,64597 8/13/2008