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HomeMy WebLinkAboutPermit Building 2008-9-4 . _'5l.~~!1I!:lEIIl;\;tl>"..~~.",I""_. , Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01317 ISSUED: 09/04/2008 APPLIED: 09/0212008 EXPIRES: 03/04/2009 VALUE: $ 131,740.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5769 PUMICE PL ASSESSOR'S PARCEL NO,: 1802033210600 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: Single Family Residence wi Garage Jasper Meadows, Lot 259 Owner: HA YDEN HOMES LLC Address: 2464 SW GLACIER PL REDMOND OR 97756 I CONTRACTOR INF~RMATION , Contractor Type General Electrical Mechanical Plumbing Contractor. I w requIres yolJilrense HA YDENtflN.ll'~R\iilt.is~~:dn b~ the Oregon I9lilitllJ TOP NO'F<i.iHVEQE~R~C;t:'fhose rules are seH~~ P ACIFI<t:}\~ife~)1iM~1cimthrOugh OAR 95~S}- PLUMB1~^(;tP~,U~~~!':'1 obtain copies of th,e~~g!!l2Y v';~liing tll'''BtJltDIl-i'(nNl{@'~'< '-'::~m~ i~ II " I" Y ...--.,- number v, u"; 1_800-332-2344. I Center # of Stories: ' ' I R-3 Height of Strncture 16,00 U Type of Heat: Forced Air Gas VB .Water Type: Gas Range Type: Energy Path: Sprinkled Building: Expiration Date 07/29/2009 0912812008 03/25/2010 05/10/2009 Phone 541-228-1081 541-317-1998 541-672-9510 541-926-3190 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 3 Lot Size: 5,000 Sq Fnst Floor: 1,148 Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport 400 Sq Ft Other: Occnpant Load: No 1 DEVELOPMENT INFO~MATIO~ 1 REQUIRED PARKING Overlay Dist: Total: 2 ,,~~erees Rqd: . .. ,,I WOR\( Handicapped: '~l\'tl'i )~f~"ll EXPIRE If T'i'\15 NOT Compact: T'f:Illi'r" I tftMtlER THIS PERMJ96IS "UTH ). ' BANOONEO FOR f:~~,m;Mr.1=n ~~_~~" . . I PUBL1~'flVI~<lNiI~~ Front yard Setback: Side I Setback: Side 2 Setback: Re'aryard Setback: Solar Setbacks: 18,00 5,00 5,00 34,01 0,00 Street Improvements: Storm Sewer Available: Special Instruction: Fully Improved Yes Storm to weep hole in curb Sidewalk Type: DownspoutslDrains: Cnrbside 7' Curb and Gutter Notes: " Pal!.e I of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 54 ]-726~3769 'Inspection Line Description . Type of Construction Dwellings Garal!e V Wood Frame Garage Fee Description -Mech Iss 2+ Appliances- + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee 2 Baths One or Two Family Addressing Assignment Appliance"Vent Building Permit Curbcut Permit Dryer Vent Exhaust. Hoods Fire SF Fee - Residential Furnace - up to 100,000 btn Gas Outlets 1-4 Plan Review Major ~ Planning Plan Review Residential Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Sanitary Sewer - Improvement Sanitary Sewer -" Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC SanitarylStorm Admin SDC Transpo Reimbursement SDC Transportation Admin. Sidewalk Permit Storm, Drainage Impervious Area Storm Sewer Each AddtlIOO' . Temp Power 200 amps or less Vent Fan WilIamalane Single Family Total Amonnt Paid I Valuation Desui'ltion I $ Per Sq Ft or multiplier $105,00 $28,00 Square Footage or Bid Amount 1,148,00 , 400,00 Total Value of Project Fpp" ~ Amount Paid $42,00 $143,93 $163.43 $87.45 $289,00 $37,00 $8,00 $761.93 $88,00 $8,00 $11.00 $77.40 $15.00 $6,00 $211.00 $495,25 $121.00 $44,00 $483,84 $636,30 $10,00 $1,009,17 $97,90 $146,79 $201.54 $15.37 $88,00 $804,47 $17,00 $57,00 $24,00 $2,513.00 $8,713,77 ' Date. Paid 9/4/08 9/4/08 9/4/08 9/4/08 9/4/08 9/4108 9/4/08 9/4/08 9/4/08 9/4/08 9/4/08 9/4/08 9/4/08 9/4/08 9/4/08 9/4/08 9/4/08 9/4/08 9/4/08 9/4/08 9/4/08 9/4/08 9/4/08 9/4/08 9/4/08 9/4/08 9/4/08 9/4/08 9/4/08 9/4/08 9/4/08 9/4/08 Page 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01317 ISSUED: 09/04/2008 APPLIED: 09/02/2008 EXPIRES: 03/04/2009 VALUE: $131,740.00 Value Date Calcnlated $120,540,00 $11,200,00 $131,740,00 09/03/2008 09/03/2008 Rece;'pt Number 2200800000000001338 2200800000000001338 2200800000000001338 2200800000000001338 2200800000000001338 2200800000000001338 2200800000000001338 2200800000000001338 2200800000000001338 2200800000000001338 2200800000000001338 2200800000000001338 2200800000000001338 2200800000000001338 220080000000000]338 2200800000000001338 2200800000000001338 2200800000000001338 2200800000000001338 2200800000000001338 2200800000000001338 2200800000000001338 2200800000000001338 2200800000000001338 2200800000000001338 2200800000000001338 2200800000000001338 2200800000000001338 2200800000000001338 2200800000000001338 2200800000000001338 2200800000000001338 , Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01317 ISSUED: 09/04/2008 A]>PLIED: 09/02/2008 EXPIRES: 03/04/2009 . VALUE: $ 131,740.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Public Works Review 09/02/2008 I, Plan Reviews .1 09/02/2008 APP LKW Storm to weep hole in curb Plan nine: Review 09/03/2008 0910312008 APP DDK Strnctural Review 09/03/2008 09/0312008 CJC 'Survey Requir~d - minimum side setbacks, Approved as noted on the plans 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 following work day. ~J?pnHirrf\J nsnectio~ ErosionlGrading Inspection: Prior to ground disturbance and after erosion measures are installed, Sidewalk - Curbside: After forms are erected but prior to placement of concrete, Curbcut - Standard: After forms are erected but prior to placement of concrete, Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor foundation inspection. Footing: After trenches are excavated, Foundation: After forms are erected but prior to concrete placement, Post and Beam: Prior to floor insulation or decking, Floor Insulation: Prior to decking, Shear Wall Nailing: Before covering sheathing with finish materials, Framing Inspection: Prior to cover and after all rough in inspections have been approved. - . -. 1 Wall Insulation: Prior to cover. Ceiling Insulation:. Prior to cover. . Drywall: Prior to taping, Hold Downs Installed: Special Inspection performed prior to placement of concrete, Provide report to City Bnilding Inspector, ' Final Building: After all required inspections have been requested and approved and the building is complete, Underfloor Plumbing: Prior to insulation or decking. Underfloor Dr.aiD: Prior to cover or placem~nt of concrete. Rough Plumbing: Prior to cover and including required testing, Water Line: Prior to filling trench and including required testing, Sanitary Sewer Line: Prior to filling trench and including'required testing, Storm Sewer Line: Prior to filling trench. Page 3 of4 CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2008-01317 ISSUED: 09/0412008 ApPLIED: 09/0212008 EXPIRES: 03/04/2009 VALUE: $ 131,740.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Plumbing: When all plnmbing work is complete, UnderIloor Mechanical. Prior to insulation or decking and including required testing. UnderIloor Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Gas Service: After line is installed and line has been connected to a minimnm of one appliance including required testing. Presure test done at this point. Rongh Mechanical: Prior to Cover Final Gas: When all gas work is complete, Final Mechanical: When all mechanical work is complete, Temporary Electric: Approval reqnired prior to Utility Company energizing pole, ~ough Electric: Prior to Cover. Electric Service: Approval required prior to utility company energizing<service, Final Electric: When all electrical work is complete. , , By signature, I state and agree, that I have carefully examined, the completed app,lication and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure withou(permission of the Community Services Division, Building Safety. . I further certify that only contractors and employees. who are in compliance with ORS 701.005 will be nsed on this project, I further agree to ensure that all required inspections are reqnested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. <,- /, /nA..dL~. Owner or Co~r~ Signature 0 t3~ 4- oK Date Page 4 of4 225 FIFTII STREET. SPRINGFIELD, OR 97477 . PH,(541)716-3753 . F""'<, (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number (OWl Z-t!:IoY- 0 (3"-' Date 'l-4-CJ'" . 1, iB'II_~~'1~lwl'l S 7 b '7 .r......-..~ c..e:- ~L LEGAL DESCRIPT10N: I BoZ. OS> l 3. i~~B.ll.!lmi.la.lrdlfilt\lJlI ,/0600 . A. ~J~:tf.l~i~11il,m.lJ1IBf[~mfli{~X~JRr~mt111 (,../IQ...C Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $117,00 //7 qz. JOB DESCRIPTION: /-!-O'-"-~ l $ 21.00 Permits :arc Don-transferable and expire if work is Each Manufact'd Home or .not started within 180 days of issuance or.if work is Modular'Dwelling Service or ____~ ~ _SuspendedSoi..180_days__'-___ --:-~~-~- _Le.e.deL.;- $55,00 . - .- -~f"-',:;@i~,:~rla~%','l~j,'r~I;,:ij.M:)~~~1t"~~t!~~ryrk~~~1(r~~'<:>"$i~""!f::i~f,~'~'f,.l;~;::'~ r&@1J'!fIi'm@J!:f!fR!jJJ. 'S''!,!/i"",:W1Y.lIfJGJNt@tYlI,,\>\1'l 2. ht..t~i:{\'Pi'it11~;r.:~~-"h\I!J:',,';'UJ::~j!"!!~)~It."fI-""f.!{f:fi2fQ;,~1j.i,~mPllF.ill!I;])L0;4L:Z!~'~~ifit~~ - - - ~J~~;11'"i~!.f;'_l:>eI'!:>~.lW',..._. '.,- _I;\'m!;~=tl'f.',-". _',_ ,.....~.....,...""~,....~='" . - B ~'),S"""i-?i~t~;l7i%:~')r:(:~~~;,N'J!1j:f;:i'lj"b'iri"-'i!il,~-,-""~!,g5!.li,l't'\'ft~:;~:;;lJiJt,,,:;I;:i~~fui\1,!.m'~ ~itB:jf,\:{'-j: ;;:~;"U1~\'-'i.~"~"ffl!';i~,-:r1\im! : ~l: :e:~~~';{QB~J,,~ette;~l~oU~risfftlHfD1fiiif$1tenrrti'On- ~_o-rm"'cf'~t~'til "'-":~1j_ r~~jllf~.~~';'<'<:l1t'2?it':'J~;~~~~.M~~;~~\];ill~iZtiE~~;;J,~'At:,t,,:~~'%~IiFfI(<4'S~;'l~t~ir]tl:"1::iS;~!:2m~a&~ Electrical Contractor: y;,f)JJ~ I:"/ec ;;loB!''? eve. (,/ ........,..7.,.... CIty n J .n t/yu7( .t"Done 7*tl---:>r I ("I'Jif 200 Amps or less 201.Amps to 400 Amps 401 Amps to 600 Amps 601 Aml?stoIOOOAmps'.. uver 1 OOO-AJIij5S1 V OHS Reconnect Only $ 70,00 $ 83,00 $138,00 H :l5180:00 -a;-4T31lv $ 55.00 Address Expiration Date Lfo:7Lf 5 {2e-o-7 c ~~t~~~~~~i~~~I~~r.j..;t,::,~~rA'-~~~~f.~~~~~~~~T(~\1sr~~ . rlli&'!k~...~t1.~1,~"t'Utl,dicl.~5~l,t~f~~~~I~~M~~~i'if~~~~1~~~i~~'~~~1mj,~~~~~liffq}"~ Supervi.sor"License Number InstalhJ:tioD, Alteration or Reloc3tion' / 200 Amps or less 201 Amps to 400 Amps' 401 Amps to 600 Amps s-s- Constr" Contr, Number /72 "'S&~ ~7 $ 55,00 $ 76,00 $110,00 Expiration Date Over 6do Amps or 1000 V 01ls see "B;' above" . Si&1al Te of SlJpervJsing Flectri~ian D_ t~~~~1~1~~!r!)g~I[f.I:~~~\~~~~~~1.~lll~~~t1i.t~l~jllil ((( h~\'\-).-;"\,l\ . C') New Alteration or Extension Per Panel ~.zdj _ ~ ~ 4V)'.t.~ One Circuit $ 48,00 - -~ ~ Each Additional Circuit or with owuersNime~1~f!:7'..I ,~' Service!or Feeder Pennit $ 4.00 /'./ } . 'G- ""'t~"m:-l1i<;['11:;l(lf!!<"1'.(:':'ii!'C'Jj~~'ll""'~'ll"."-"""Wt';l'"':f''T'''iil'm"~""cm~i'f"~'~"'" "" Addr S.s "?' / b"'l ' . 5- (,..I 'I L.../ '""f\. E. lJl'@t1s.~~'en~"l'\!~:~.i'u.:"~IB\.f~."('.~1i'Jf~"e'\d':)\!l&'61{ffl~'i.Jll1"fi!e:m~IiI..'i.~!liil~i'i\ll'~"%al1"tj City e ~l2<.>-/J PhO~ ., Z:~ ~~ ] r ::",::::::::~",cl'''f~\~~l''i~J"~#~''"':''''';'!.'":::'::~l!rW~)~ Sign/Outline Lighting $ 55,00 Limited-EnergylResidential-.- - .-$28,00-- -Lirruted tnergy/CommercJal --- $ 5Q,QQ OWNERINS-TALI:;A'FION . . "The installation is being made onj;rope;-ty laWii which -"- is not intended for sale) lease or rent. OwuersSignatnre: Minimum Electric Permit Inspection Fee is $50.00 + Surcharges 4. _ml~14I~,r_m~fil~J~\~~t'11~]~lli~i\~~~f.t~jli /1.{ r~..~~'ffiUill.1~f1i~ili'1ig~~\1i~,"-;:!1~j[;f,1j,,iF;l,~~~J:~li"~i:,W;fi~T~~iI";(i!';\~,tlJ.;o:!::,~~l Z. "''''''-d, \_. . .. . .~.'-lJElI~"~.IL'<."~"'''',.,,".''',,,,--,>,,~ - 12% State Surcharge 10% Administrative Fee 5% Techn?logy Fee Inspection Request: 726-3769 TOTAL 271 Z:!.- Shared Drive(T:)/BuiJding ForrnslElectrical Permit Application 1 ~O&.{ .. " ~?:.t Willamalarie tlJ Park & Recr~ation District, " Job, No. ~..2001f - 0131'1 SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2008 NAME: ~A'1DE.N f-\t)t/\.",--S PHONE: ;L:;;l.,&, - c,,'135'" ADQRESS:)4G.4 'sw 4LAL/82-. CITY ~\)M()IJt) STATE:.Qf.. ZIP: q 7'7rr~ LOcATION-OF PROPOSED BUILDING SITE: Street Address: :;']r.,q PlAM''-€: Plat Name: Tax LotNumber: ItO-:2- Cl'532..- Icl./"lO 1. . DEVELOPMENT TYPE (Check appropriate dwelling(s), Dwelling type definitions are on the back,) A. Sinole-Familv Detached NO, OF UNITS X $2,513 per unit = $ ').5'/3 B, Sinole-Familv Attached NO, OF UNITS X $2,726 per uriit = $ C. Multi~Familv Aoartment NO, OF UNITS, X $2,323 per unit =, $ 0, Sinole Room Occuoancv NO, OF UNITS X $1,162 per' unit = , $ E. Accessorv Dwe/linq Unit NO. OF UNITS WILLAMALANE SDC X $1,257 per unit = , . $ $~b\S.CV $ kf ; 2. SDC CREDIT (Ifapplicable) SDC payer must fumish' proof of , Willamalane Credit approval.) 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) $ :25"13 ,'b1? 7 I t{ I Date of Development Services Department _~i.":' _~ ,...._ , _r _... \JIlY UI "pFlngTlelo 5 .' . ~ JOURNAL,oR JOB NUMBER: NAME OR COMPANY: ' LQC~TION: -",=~TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UN]TS CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET Com2008-0 13 I 7 Hayden Homes ' 5769 Pumice 1802033210600 Single Family Residence ] BUILDING SIZE (SF' 1548 LOT SIZE (SF): 5000 1. STORM DRAINAGE . DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. CHARGE I, I 2255,00 I $0:357 I = $804.47 I RUNOFF ROUTED TO DRYWELL DESJGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I ~ I COST PER S.F. I x I DISCOUNT RATE I I I 0,00 I I $0.357 I I 50% ~ 1 ITEM] TOTAL- STORM DRAINAGE SDC $804.47 I 7 SANITARY SEWER - r:ITY A. REIMBURSEMENT COST: I NUMBER OF DFU's I x . I 23 B. IMPROVEMENT COST: I NUMBER OF DFU's I I 23 I DISCOUNT $0,00 , $804.47 COST PER DFU $27,67 $636,30 xl COST PER DFU $21.04 $483,84 3 TRANSPORTATION ITEM 2 TOTAL - CITY SANITARY SEWER SDC A. REIMBURSEMENT COST: I ADTTRIP RAYEI x I 9.57 I B. IMPROVEMENT COST: I ADTTRJP RATE I I 9:57 I = , '$1,]20,14. I I NUMBER OF UN]TS 1 x I I ] I I I x INEW TRJP FACTORI I 1.00 I COST PER TRIP 21.06 $201.54 x I NUMBER OF. UNITS I, x I I 0 I =1 I:ix INEW TRJP FACTORI I 1.00 $0,00 COST PER TRJP $92.89 $201.54 ITEM 3 TOTAL - TRANSPORT A nON SDC 4. SANITARY SEWER - MWMC A. RE]MBURSEMENT COST: INUMBER OF FEU's I x I I 1 B. ]MPROVEMENT COST: INUMBER OF FEU's I I x I '] I = $],009,17 11055 $0,00 11054 $10,00 11056 J -I leOSTPERFEU I $97,90 = I, $97,90 leOST PER FEU I $1,009.17 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE. ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , $],117,07 = , $3,243,22 1= CHARGE I, I $162,]6 SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5. ADMIN]STRA TIVE FEE: I SUBTOTAL I. x I ADM. FEE RATE 1 $3,243.22 1 I 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMIN]STRATlON FEE: 146,79 $15,37 Kaye Wilsnn PREPARED BY 9/2/2008 = I $3,405.38 TOTAL SDC CHARGES DATE :; Iff] I c::l- n"IB I~ 1"-1 ,f-< (fJ G "-1 ~ I ,I 1070 ,. 11091 I' I 1092 I I 11093 1094 1054 1079 1078 ,. DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE , , NUMBER OF "NE~ FIXT~RES }~IT EQ~~ ALENT = DRAINAGE FIXTUREUNlTS . (NOTE: FOR REMODELS. CALCULATE ONLY TIlE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS fBA THTUB 2 0 3 = 6 IDRINKING FOUNTAIN 0 0 1 = o. IFLOOR DRAIN O. 0 3 = '0 \INTERCEPTORS FOR GREASE I OIL I SOLIDS / ETC, 0 .0 3 = 0 IINTERCEPTORS FOR SAND / AUTO WASH / ETC, 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 I CLOTIIESW ASHER / MOP SINK 1 0 3 = 3 ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAlLER) 0 0 12 = 0 I RECEPTOR FOR REFRIG / WATER SYA TION / ETe. 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER I ETC, 1 0 3 = 3 I SHOWER SINGLE STALL 0 0 2 = 0 I SHOWER GANG ~ER OF HEADS) 0 0 2 = 0 I SINK: COMMERCIALIRESIDENTIAL KITCHEN 1 0 3 = 3 I SINK: COMMERCIAL BAR 0 0 2 = 0 I SINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0 ISINK: SINGLE LAVATORYIRESIDENTIAL BAR 2 0 1 = 2 I URINAL, STALL I WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 23 ,*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED I I I I I I I I I I I I I I I I I II BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998. 1999 2000 2001 CREDIT RATE/$I,OOO A~"P"PO VALUE 9 1 IS LAND ELGlBLE FOR ANNEXATION CREDIT? (Enler I for Yes, 2 fo'r No) IS IMPROVEMENT ELGffiLE FOR ANNEX, CREDIT? (Enter I for Y es,- 2 for No) BASE YEAR 2 2 2005 CREDIT FOR LAND (IF APPLICABLE) VALUE I 1000 CREDIT RATE $0,00 x $0,00 ~ I' $0,00 CREDIT FOR IMPROVEMENT (IF 'AFTER ANNEXATION) VALUE I 1000 CREDIT RATE $0,00 x $0,00 o TOTAL MWMC CREDIT $0.00 = CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: Com2008-01317 NAME OR COMPANY: Hayden Homes L()CATI()N: 5769 Pumice TAX LOT NUMBER: .1802033210600 DEVELOPMENT TYPE: Single Familv Residence NEW DWELLING UNITS I BUILDING SIZE (SF' 1548 LOT SIZE (SF): 1 STORM DRAINAGE DIRECT RUNOFF TO CITY-STORM SYSTEM' I IMPERVIOUSSY x I COST PER S,F. I 'I CHARGE I 2255,00 I $0,357 I = $804.47 J, RUNOFF ROUTED TO DRY WELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S,F. I x I. COST PER S,F, I x 1 DISCOUNT RATE I I I 0,00 1 I' $0357 . 1 50% I ~ ITEM I TOTAL - STORM DRAINAGE SDC I $804,47 I, 2. SANITARY SEWER - CITY DISCOUNT $0,00 A, REIMBURSEMENT COST: ! NUMBER OF DFU'sl x I 23 . B. IMPROVEMENT COST: I NUMBER OF DFU's I x ,I. 23 . I COST PER DFU $27,67 . COST PER DFU I' $2104 I : ITEM 2 TOTAL - CITY-SANITARY SEWER SDC ~ I 3 TRANSPORTATION $1,120,t4 I A. REIMBURSEMENT COST:. I ADTTRlPRATE I x I 9.57 I B, IMPROVEMENT COST: I ADT TRJP RATE I I 9.57 I I NUMBER OF UNITS I x I I I I I COST PER TRJP 21.06 I x, INEW TRJP FACTOR I ,I 1.00 I I NUMBER OF UNITS I. x I I I I I ~, I x INEW TRIP FACTORI I 1.00 I . COST PER TRJP $92,89 , $1,090,52 x, ITEM 3 TOTAL - TRANSPORTATION SDC 4 SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x I I I ICOST PER FEU I $97.90 B, IMPROVEMENT COST: [NUMBER OF FEU's [ I I I x, I COST PER FEU, I $1,009,17 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL: MWMC SANITARY SEWER snc = I $t,t17,07 I ~ I $4,132,20 I -- - I~ CHARGE I, $206,61 SURTOT AL (ADD ITEMS I, 2, 3, & 4) 5. ADMINISTRATIVE FEE: I SUBTOTAL x ADM, FEE RATE I $4,132,20 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Kaye Wilsnn PREPARED BY . 9/2/2008 TOTAL SDC CHARGES DATE 5000 100 IlQ 10 10 I~ IlQ ,I- 00 5 gj $804.47 I 1070 I I $636,30 I 1091 I $483,84 11092 I .....-, I $201.54 I 1093 I $888,98 ' 1094 = $97,90 -I I I I 1055 I 1054 = $1,009,17 $0,00 $10,00 I 1054 11056 131.88 11079 =1 $74.7}----11078 $4,338,81 I MWMCCREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE I- I I I I I I I I I I I 'I I I I YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 ~ 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 "]999 2000 2001 !CREDiT RATE/$I,OOO I ASSESSED VALUE .1 IS LAND ELGIBLE FOR ANNEXATION. CREDIT? (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGlBLE FOR ANNEX, CREDIT? (Enter .1 for Yes, 2 for No) BASE YEAR '., <. ;./ . CREDIT FOR LAND (IF APPLICABLE) VALUE /1000 CREDIT RATE $0.00 x. $0.00 ~ I CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0.00 x $0,00 TOTAL MWMC CREDIT = 2 2005 $0.00 $0,00 2 o I l I I I ~r.~"~:.iJ." :.. JIi:...' .'-,. . , - -~ .',..:, '-.."--'._--- -,- ,- ~ City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth Street Springfield, Oregon 97477 541-72'6-3759 Phone Job/Journal Number COM200S-0 13 17 COM200S-0 1317 COM200S-0 13 17 COM200S-0 1317 COM200S-0l317 COM200S-0 13 17 COM200S-0 1317 COM2008-0 1317 COM2008-0 13 17 COM2008-0 1317 COM200S-0 1317 COM200S-0 13 17 COM2008-0 13 17 COM200S-0 13 17 COM200S-0 1317 COM200S-0 13 17 COM200S-0 1317 COM2008-0 13 17 COM2008-0 13 17 COM2008-0 1317 COM200S-0 1317 COM200S-0 1317 COM200S-0 1317 COM2008-0 1317 COM200S-0 1317 COM2008-0 13 17 COM200S-0 13 17 COM200S-0 1317 COM200S-0 13 17 COM200S-0 13 17 COM2008-0 1317 COM200S-0 131 T LDP2008-00 116 LDP200S-00 116 Payments: Type of Payment CreditCard cRcccintl RECEIPT #: 2200800000000001338 Date: 09/04/2008 2:08:58PM Description Curbcut Permit Sidewalk Permit Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement, SDC Transpo Reimbursement SDC MWMC Reimbursement SDC MWMClmprovement SDC MWMC Administration SDC SanitarylStorm Admin SDC Transportation Admin Plan Review Major - Planning Plan Review Residential Building Permit Addressing,Assignment Willamalane Single Family 2 Baths One or Two Family Storm Sewer Each Addt1 1.00' Furnace - up to 100,000 btu Vent Fan Appliance Vent Exhaust Hoods Dryer Vent Gas Outlets 1-4 -Mech Iss 2+ Appliances- Fire SF Fee - Residential Residence Wiring 10.00 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less + 5% Technology Fee + 12% State Surcharge " + 10% Administrative Fee LDAP Short Form + 5% Technology Fee " Amount Due SS,OO SS,OO 804.47 636,30 483,84 201.54 97,90 1,009.17 10,00 146,79 15,37 211.00 495,25 761.93 37,00 2,513,00 2S9.00 17,00 15,00 24,00 8.00 11..00 S.OO 6,00 42,.00 77.40 121.00 44..00 57,00 S7.45 163.43 143,93 450.00 22,50 $9,186,27 'paid By HA YDEN ENT Item Total: Check Number Authorization Received By Batch N'umber Number How Received Amount Paid D18 015547 In Person Payment Total: $9,IS6,27 $9,186,27 Page I of I 9/412008