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Home My WebLink AboutPermit Building 2008-09-11 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1950 S 57TH PL ASSESSOR'S PARCEL NO.: 1802033300500 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-01366 ISSUED: 09/10/2008 APPLIED: 09/09/2008 EXPIRES: 03/10/2009 VALUE: $ 222,565,00 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: ,New Residential PROJECT DESCRIPTION: New single family dwelling ~ % '())j~o Overlay Dist: t1 4uJ: 0' PA .9'\) # Street Trees Rqd: 4, O~ 'YO..9,~ Paved Drive Rqd: '1;;- ~f'1t, ~ O'~ % of Lot Coverage: 70'0 ~ .~ '4// ' /), ^ 7)^ .l'. rp~~O'~~>>~~IMPROVEMENTS' 'VO &-"{, p. TJ: FUllv"mDit9..7'-9~ 'Yf' If1 Y~() }>O' 1t, V-9-r ' 0-9 VI" Owner: HA YDEN HOMES LLC Address: 2464 SW GLACIER PL REDMOND OR 97756 Contractor Type Contractor # of Units: Primary Occupancy Gronp: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U VB Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Storm to weep hole in curb Description Type of Construction I CONTRACTOR INFORMA TlON I ~ ~:. ':.. "', 009 (~r' <>. '" 'License Expiration Date Phone (' 1.:(1.... '<'~ 4... t;'. /). ($)/..' L. C-,"i -.)." ....". 3 BU I LDi~G.INFORMA nON.,->, , / C' '0", ,vo","'06vo/:' ~v ~'qlt- # of StOY.l)!S0", >:>" ~.o0 00' 0 2~ Lot Size: Height o{~"ucN'r.e:" ~ ~0,.""34:00 0; Sq Ft 1st Floor: '\s> / t.1 '0 " "'< _'" '" Type of Heat:/; ~ot'0:ced iRji" Gas"'^ 'S~Ft 2nd Floor: i:9- '? ,. 'c' Q,..~ "'0 JC Water Type: 1/", ez':?'0 is' 0 ,'!;:,t'_'" 0' '?~.i:FJ. Basement: Range Type: V'~ ~~ ~'if1l9$ "'" .l<j;J:t'Garage/Carport Energy Path: <"Q! 10 "'i> ~/- "'<2 ~1:'t Other: Sprinkled Building: 17~ ~~~' "'0'.< "<Occupant Load: . ~;~".c\ .v~ "0 I DEVELOPMENT INFORMATION r> 400 1,008 1,005 REQUIRED PARKING 2 Yes 44.69 Total: Handicapped: Compact: 2 Sidewalk Type: Downspouts/Drains: Curbside 7' Curb and Gutter I Valuation Description I , $ Per Sq Ft or multiplier Square Footage. or Bid Amount Value Date Calculated Paee I of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Dwellines Garaee V Wood Frame Garaee Fee Descriution ':"Mech Iss 2+ Appliances- + 10% Administrative Fee. + 12% State Snrcharge + 5% Technology Fee 3 Baths One & Two Family Boiler/Comp Up To 100,000 btn Building Permit Cnrbcut Permil Dryer Vent Exhaust Hoods Fire SF Fee - Residential Fireplace (Listed) Furnace - up to 100,000 btu 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 Sanitary Sewer EachAddtllOO' SDC MWMC Administration SDCMWMC Improvement SDC MWMC Reimbnrsement SDC Sanitary/Storm Admin SDC Transpo Reimbursement SDC Transportation Admin Sidewalk Permit Storm Sewer Each Addt1100' Temp Power 200 amps or less Vent Fan Water Line - Each Addtl1 00' WilIamalane Single Family Total Amount Paid PlanniD!! Review Public Works Review Structnr~1 Review $105.00 $28.00 Total Value of Project' " F PPO, P"'iililJ Amount Paid Date Paid " $42.00 $196.73 $221.60 $111.68' $348.00 $15.00 $1,098.63 $88..00 $8.00 $11.00 $120.65 $18.00 $15.00 $6.00 $211.00 $714.11 $121.00 $66.00 . $589.02 $774.62 $17.00 $10.00 $1,009.17 $97.90 $147.51 $201.54 $15.34 $88.00 $17.00 $57.00 $32.00 $17.00 $2,513.00 9/10/08 9/10/08 9/10/08 9/10/08 , 9/10/08 I 9/10/08 i 9/10/08 , 911 0/08 9/10/08 " 9/10/08 9/10/08 9/10/08 ,I" 9/10/08 9/1 0/08 9/10/08 9/10/08 9/10108 9/10/08 9/10/08 9/10/08 9/10/08 9i10/08 . 9/10/08 9/10/08 9/10/08 911 0/08 9/10/08 9/10/08 9/10/08 9/10/08 9/10/08 . 9/10/08 ii 9/10/08 $8,998.50 I Plan Reviews il 09/0912008 APP 09/09/2008 :4.PP , 09/09/2008 APP " . Paee 2 of 4 I! 09/09/2008 _ 09/0912008 09/0912008 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01366 ISSUED: 09/10/2008 APPLIED: 09/09/2008 EXPIRES: 03/1012009 VALUE: $ 222,565,00 2,013.00 400.00 $211,365,00 $11,200.00 $222,565.00 09/09/2008 09/0912008 Receipt Nnmber 2200800000000001372 2200800000000001372 2200800000000001372 2200800000000001372 2200800000000001372 . 2200800000000001372 2200800000000001372 2200800000000001372 2200800000000001372 2200800000000001372 2200800000000001372 2200800000000001372 2200800000000001372 2200800000000001372 2200800000000001372 2200800000000001372 2200800000000001372 2200800000000001372 2200800000000001372 2200800000000001372 2200800000000001372 2200800000000001372 2200800000000001372 2200800000000001372 2200800000000001372 2200800000000001372 2200800000000001372 2200800000000001372 2200800000000001372 2200800000000001372 2200800000000001372 2200800000000001372 2200800000000001372 DDK LKW CJC Storm to weep hole in cnrb Approved as noted on plans CITY OF SPRINGFIELD Building/Combination Permit Status Iss u ed PERMIT NO: COM2008-01366 ISSUED: 09/10/2008 APPLIED: 09/09/2008 EXPIRES: 03/1012009 VALUE: $ 222,565,00 225 Fifth Street, Springfiel<!, OR 541-726-3753 Phone. 541-726-3676 Fax 541-726-3769 Inspection Line " 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 requ~sted after 7:00 a.m. will be made the following . I work day. :: " ~pnllirprl Tnsnections I 'I Ufer Electrical Ground: Install gronnd rod at footing and call, for inspection in conjunction with footing and/or. foundation inspection. I Footing: After trenches are excavated. " Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to 1I00r insulation or decking. Floor Insulation: 'Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to co~er.and after all rough in insp'ections have been approved. Wall Insulation: Pri~r 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 Building Inspector. Final Bnilding: After all reqnired inspections have been requested and approved and the building is complete. !~. Perimeter Fonndation Drains: After gravel and filter cloth is installed,butprior to backfill. -Underfloor Plumbing: Prior toinsulalion or decking. Underfloor Drain: Prior to cover or placement of concrete. Ro'ugh Plurribing: Prior to cover and including reqnired testing. . . Water Line: Prior to filling trench and inclnding required testing. . , Sanitary Sewer Line: .Prior to filling trench and including required testing. " Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plnmbing work is complete. Underlloor Mechanical. Prior to insulation or decking and inclnding required testing. . ~~ Underlloor Gas: After line is installed and required testing and capped ifnot 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 inclnding required testing. Presure test' done at this point. .:: II - Rongh Mechanical: Prior to Cover il Paee 3' of 4 11 klt11...' '. ..~..... m_' CITY OF SPRINGFIELD _S~'.l'~~!,I.~I:;>; Building/Combination Permit Status Issued PERMIT NO: COM2008-01366 ISSUED: 09/1012008 APPLIED: 09/09/2008 EXPIRES: 03/10/2009 VALUE: $ 222,565.00 225 Fifth Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Rongh Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Temporary Electric: Approval required prior to Utility Company energizing pole. Final Electric: .Whenall electrical work is complete. , Erosion/Grading 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. By signature, I state and agree, that I have carefnlly examined the completed application 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 or any strncture without 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 requested 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. .~/4c-,L- Owner or Contractors sign~e ~-/O-cJg Date Paee 4 of 4 ns FIFTH STREET. SPRINGFIELD, OR 97477 . PH,(541)726-3753 . F;\X, (541)726.3639 ELECTRICAL PERiHIT APPLIC:::\TION b b' City Job Number (O&,Al\ Z.CO g 013 ZON l N) j ~ IN1TIALS 6X,C ~ DATE a..\ \.<J.:> ,~.~JI SO\JRCE~r-/ ~ r(108 Date ~:;::~.' ";'~''''''-1'''-~'_'';':'''''.~',~''!i~f~'''.;;\.t~~.';<'-':r'?t.~.~"<<"-.:l:"'~i.'.>'f~tJ.!i'/}'~.."._~...:!~-:1]' 1 ""];(fl@A."lfIli)Nl(j)JJi?.JJ1",SHiwmr"'iI"{frr0N",~ '",,""',:, . Ni~HW!f!,~~l'i'{'~;;;""~1"""",,,-;.-..:..s.;:~~!fJ~~c75;.:'r~~Jtt~ i'1 S0.. .5 571"'--- f L LEGAL DESCRIPTION: /802. 03~ '3 , . 3. ~1J!imJfgl~~4~!l!DID1~iIlU!~\1ttl~~~I~ o OS-c:rO A "'1~!~:.!i~~I}~irJ.1i!U~f~!}~$i~?:r!!;t:j.!~i~"f:"~'~~~~~"~,'~~-m4\i;:I.tiIf~!"_}~~*'f.;~~1J~w..ze;!:{~., , """~\Yf,,,-e,lOen 'ffi "..,. )"a ~,6 " ' ,ulti':iitJ)""'Hertlw'-Ui'" Y' "t;"~" ~g<5!$-""i,-~c~r-l'-;",",,"'_"C~'{''-..w... _.,-;'":':-b,.AL";'Uq...., "'''""_ __'';'';Q,,.,,,~j&.~...,.:-~.f,,,~~ir.,,,,J!4~hP,J)J..>,,,'~;;;) . ....~~ _ .. - -,-.. ".~~' ,". -~'~"'=___l...~~ JOB DESCRIPTION: ;-J".....) C:-' l..v' /L.f::- Service Indnded I 1000 sq. ft. or less $1l7.00 / 'l , Each additional 500 sq. ft. or :5 b0 .. portion thereof $ 21.00 " Perinits are non-transferable and expire if work is Each Manufact'd Home or . not started within 180 days of issnance or if work is . eS '1MPtlbJar Dwelling Service or $ , , ,__ '80 d . ,,' teQUII .. .....1l\>J' 55.00 ______Suspendeu.>U'-* - ays----------orr-\B. u''''''''"u: - . . . teC\ '\10 Qle;! '~!4l!m. ' __ , 2. :':''':-~~'1~~~~~~.t~~''I<<~Allr..~''~f~lI!'I~~!L~l{~~~. ,..": " _\Ir-n '-, ' " 'o~~~ 01 the IU,e 7::i I' , ",,/'.'/: O.\-of,o" 'es" ~ Electrical Contractor fN ,,:;/)flS,h'l bU'(~ln COP' ,he \e\~ . s or less $ 70 00 II ~. ,i\llTo- '!-low ,,, ~>r.a\\OI 0099. 'IoU conte!. \ U\II\W!-lo rell\rnps to 400 Amps $ &3.00 Address :;2.087'1 ~~~t.'fue Ole~~'32-2'344)rOJ Amps to 600 Amps $138.00 --- - - l\ull\o'f 6~l\\el is ,- ; 601 Amps to-IOOO Amps - $180.00 CIty ,gf;m__~/ rnone 50/1"-;>"""';; (-; 7 jj .:rverrooO-Pi:DIpSriro;" $'4"rrDv ~ _" Reconnect Only $ 55.00 Expiration Date LjO)~L( S ~ '7 ;;;Q~tralion or Relocation / $ 55.00 Constr. Contr. Number /7 ;2 it,{t , .~?\?t ~~~, ~()lbo Amps $ 76.00 "01 ~~\i S~I\\..? i~\S ?~W1lO~ 600 Amps $11000 ExpITation Date ~l'iIs "\,it.-':) ,,~\lt, fl.'3fl.~\l9~er 600 Amps or 1000 Volts see "B" above. Signal Te of S~perv,jsing ,E!ecl1"1~~~~CC~ ~~~~O\l, ': D. lllk~liJ~~1Ltli,ii~"fP~Ji~f~~I~~!~~l"if.~~lI!'i4f;~~~I~:;;~ f tJ ~ A / ~\i:..;.$j) \llll New Alterati?n or Extension Per Panel . VI d_.~ --yf ~ X)A'AJ'~A / One CITCUlt $ 48.00 (J --..:..-- c. Eacb Additional Circuit OT with OWners Name -ilh ~ r:N t:-t'/r Service or Feeder Perrn.it $ 400 'c'.~~'O\lJ~'~~"'" . ...'>C~..,"""_.h.' ;=I""~ .'''; em; orra i '~';'er~Viir~ (- ; - ,e a .~~'~ -!>l[f,~_:~:-:~,;>:"r I - , - ''i'I*1''li~' t'4..~ . ,. -:>t..-,.,iP.'l""'''''''~' -,.",~".,~fI,.q!" . ,;.,..~~-,.r~1~m$i'~:!~4~;: "__' '~.,J;\i,W)~~ S~pervisor Lic~nee Number S7 c--- Address' ., . (-'-DL.XV$lU^fJ CIty ~ ~$. .,_-_" - j._---, \ ~ Pump or irrigation $ 55.00 Sign/Outline Lighting $ 55.00 . OWNER-INSTALLATION Limited-EnergyfResidential'-"- .--..... $2&,00" '-The instaUatJon is bemg made onpropertY Town which -.- -- --- Lirru,ci:J iinergyll.o=erclal --- l> oU.UO is not intended for sale, lease or rent. Minimum Electric PeTmit Inspection Fee is $50.00 +Surcharges .4 ~l$'''6.!~W~'mz\\!:6'IW..\''&;l.~~!llll.!lIl~fi,l\~~(1 2 u /I Owners 'Signature: " . ~~~_Jip.!l~~~M:i'Jr.ltjfltiij:~.ffih~~~~~~8~m:~~u~ 1 , , - 12% State Surcharge .' 2. '1 c.e 10% AdmIDistrative Fee 'Z 4 '(0 . 5% Technology Fee Ii.. {,"-' 30 ~ 8!J V. Pbone Inspection Request: 726-3769 TOTAL Shared J?rive(T:)/Building Fonns/Electrical Permit Application I-OK.d II , ,i CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: COM2008-01366 NAMEORC_OMPANY: HAYDEN HOMES .11 _____!eQr::AOOlt._____u._________ 1950 57TH PLACE -- - 11 TAX LOT NUMBER: 1802033300500 DEVELOPMENT TYPE: Single Familv Residence II NEW DWELLING UNITS 1" BUILDING SIZE (~F: 1300 LOT SIZE (SF): 5227 1_ STORM DRAINAGE' DIRECT RUNOFF TO CITY STORM SYSTEM .1 I . IMPERVIOUS S.F. . x I COST PER S.F. CHARGE I I 1611.22 I $0.357 1 = I $574.80 RUNOFF ROUTED TO DR YWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I ! 1 0.00 I 1 $0.357 I I 50% ~ I ITEM I TOTAL - STORM DRAINAGE SDC '$574.80 2 SANITARY SEWER - CITY A. REIMBURSEMENT COST' I NUMBER OF. DFU's I x I 28 1 1 . COST PER DFU I . $27.67 B. IMPROVEMENT COST: . . 1 NUMBER OF DFU's I x' COST PER DFU I . 28 $21.04 ITEM 2 TOTAL - CITY SANITARY SEWER SDC ~ , 1 TRANSPORTATION. A. REIMBURSEMENT COST: I ADT TRIP RATE I x I 9.57 1 B. IMPROVEMENT COST: I ADTTRlP RATE'" I x 1 9.57 I I NUMBER OF UNITS I x , I I I I 1 NUMBER OF UNITS I 1 0 I x I. 1 =1 ITEM 3 TOTAL- TRANSPORTATION SDC DISCOUNT . I $0.00 .," $1,363:65 COST PER TRIP 21.06 x [NEW TRJP FACTORI I 1.00 I COST PER TRIP $92.89 $201.54' x' INEW TRIP FACTORI I 1.00 I 4 SANITARY SEWER - MWMC A. REIMBURSEMENT COST: fNUMBER OF FEU's I x I I ICOST PER FEU I $97.90 B. IMPROVEMENT COST: INUMBER OF FEU's I x I I I ICOST PER FEU I $\,009.17, MWMC CREDIT IF APPLlCABLJO (SEE REVERSE) MwMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC ~, SUBTOTAL (ADD ITEMS 1,2,3, & 4) . ~ I 5. ADMINISTRATIVE FEE: I SUBTOTAL. x ADM. FEE RATE I~ I $3,257.06 5%' TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: - - k $1,117.07 r.= I~ 10 ,-0- -,--- I~ l"-l ,f-< VJ (3 i;!. 1070 $774.62 11091 I $589.02 11092 I I -I $15.34 $574.80 $201.54 I 1093 $0.00 = $97.90 1094 11054 I 11055 11054 i 1056 I $3,257.06 TOTAL SDC CHARGES = , $1,009.17 ~ , $0.00 ~, $10.00 II I \47.5\ 1079 1078 =, $3,419.91 CLAYTON MCEACHERN 9/9/2008 CHARGE $162.85 PREPAREDBY DATE DRAINAGE FIXTURE UNIT.(DFU) CALCULATION TABLE ou . ~BKOF NEW FIXTURES'iUNlT EQuryALENT":"'-DRAINAGEFlXTUREUNITS-_ .--- , . ',N-~ - _ _ ,. . ,",'''.' . _,~..... ," . (NOTE: fOR REMODELS. CALCULATE ONLY TIlE NET ADDITIONAL FlXTURES) ',-." "- NO. OF FIXTURES _~DU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day I I I " I I I I I I I I I . I DRAINAGE . FIXTURE UNITS 6 o o o o o 3 o .0 o 3 o o 3 o 2 2 o o 9 o 28 .MWMC CREDIT-CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE CREDIT RATE/$I,OOO 1 ASSESSED VALUE 5. 9 YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 \99\ ]992 1993 1994 1995 1996 1997 ]998 1999 2000 2001 IS LAND ELGIBLE FOR ANNEXA nON CREDIT? (Enter I for Yes, 2 for No)' IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No). BASE YEAR CREDIT FOR LAND (IF APPLICABLE) VALUE/IOOO CREDIT RATE $0.00 x $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE /1000 CREDIT RATE $0.00 x $0.00 ~ I TOTAL MWMC CREDIT =, .~ 2 2 2005 ~ I $0.00 . o $0.00' 1\ ,I I I i' I II ----=...... JOURNAL OR JOB NUMBER: .N~E OR COMPANY: l.cic"AII9I:L~:_. _ - TM:LOTNUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS L STORM DRAINAGE , CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET C0M2008-0 1366 HAYDEN HOMES I 950.57TH PLACE 1802033300500 Sin~1e Family Residence I BUILDING SIZE (SF; 1300 LOT SIZE (SF): DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. I CHARGE I 1611.22 I $0.357 = I $574.80 I RUNOFF ROUTED TO DR YWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I I I 0.00 I I $0.357 I 50% I ~ ITEM I TOTAL - STORM DRAINAGE SDC I $574.80 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I 28 I 8. IMPROVEMENT COST: I NUMBER OF DFU's I x I 28 I DISCOUNT $0.00 . COST PER DFU $27.67 COST PER DFU I $21.04 'I IT~M 2 TOTAL - CITY SANITARY SEWER SDC ~ , 3 TRANSPORTATION A. REIMBURSEMENT COST: I ADTTRJP RATE I x I 9.57 I $1,363.65 I NUMBER OF UNITS I x I I I I I COST PER TRJP 21.06 x INEW TRJP FACTORI 1.00 . I B. IMPROVEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I x I I 9.57 I I I I ITEM 3 TOTAL-TRANSPORTATIONSDC ~ I 4 SANITARY SEWER - MWMf: A. REIMBURSEMENT COST: INUMBER OF FEU's I x i I I 8. IMPROVEMENT COST: INUMBER OF FEU's I x I I I COST PER TRIP $92.89 x INEW TRIP FACTORI I 1.00 I $1,090;52 ICOST PER FEU I $97.90 ICOST PER FEU I $1,009.17 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =, SUBTOTAL (ADD ITEMS], 2, 3, & 4) ~ , 5 ADMINISTRATIVE FEE: $],117.07 .' ..:\:--,.~~,,..- . 5227 $574.80 I", .W 10 18. 10:: I~ '" G w 0:: 1070 I I $774.62' ' 1091 , ~ I $589.02 I I , $201.54 $888.98 = , $97.90 = ,. $],009.17 I $0.00 $]0.00 I i'1092 I 1093 II 11094 11054 I ;11055 11054 11056 I $4,]46.04 I SUBTOTAL x I ADM. FEE RATE I~ $4.146.04 5% I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: - ~ CHARGE $207.30 132.67 CLAYTON MCEACHERN PREPARED BY 1-";-oi> TOTAL SDC CHARGES DATE I It :i1079 DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE --:'_-_'_"_--c-._~__~._n_~_'__---'---"--'--:'NuMBER'OF.NEW FlXTIJRES x' UNIT EQUIVALEN"r="ORAlNAGE FIXTURE UNITS --.. -. c-:. ~. - ~"'~'''~:::-(N6TE: FOR REMODELS: CALCULATE ONLY TI-IE'Nci ADDITIONAL FLXTURES) NO. OF FIXTURES .. , ~ ~.' UNIT FIXTURE TYPE NEW' OLD EQUIVALENT BATHTUB 2 0 3 = DRINKING FOUNTAIN 0 0 1 = FLOOR DRAIN 0 0 3 = INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = ILAUNDRY TUB 0 0 2 = ICLOTHESWASIIER / MOP SINK 1 0 3 = ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = I RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = I RECEPTOR FOR COM, SINK / DISHWASHER / ETe. 1 0 3 = ISHOWER. SINGLE STALL 0 0 2 = I SHOWER. GANG (NUMBER OF HEADS) 0 0 2 = SINK: COMMERCIALlRESIDENTIAL KITCHEN 1 0 3 = I SINK: COMMERCIAL BAR 0 0 2 = I SINK: WASH BASINIDOUBLE LA V A TORY 1 0 2 = ISINK: SINGLE LA VATORY/RESIDENTIAL BAR 2 I 0 1 = IURlNAL, STALL / WALL 0 I. 0 5 = ITOILET. PUBLIC INSTALLATION 0' I 0 6 = ITOILET. PRIVATE INSTAllATION 3 I 0 3 = MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = TOTAL DRAINAGE FIXTURE UNITS .EDU (Equivalent Dwcllin~ Unit) is a dischar~e equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CAL~ULA TION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED 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 = IS LAND ELGlBlE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGlBlE FOR ANNEX. CREDIT? (Enter I for Y cs, 2 for No) BASE YEAR CREDIT FOR lAND (IF APPLICABLE) VALUE /1000 CREDIT RATE SO.OO x SO.OO ~ , CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE /1000 CREDIT RATE $0.00 x $0.00 ~ , TOTAL MWMC CREDIT ~~l\!:ii;_!i,; ""j:f".$J '.45.~. ~ili~'::'i':~"ii - '~iiJir $1 f.25 " ;,~r"";$i,09 - '-$0.92 .72 $0"48" ' ,"$0.28 _ ;', -,. -, .""- -" ~~t~~"~~!~~;,!lhl~.~~\!t;!~,':!fi~t!~ DRAINAGE FIXTURE UNITS 6 o o o o .0 3 o o o 3 o o 3 o 2 2 o o 9 o' 28 'SO.OO 2 ~ I , i ; I 1 2 2005 o SO.OO 2~ WiUamalane t~~ Park & Recreation District.,;: Job_ No. 6m.:bo')j -()!1Gf. SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2008 NAME: lI.4v,oFN' If(JA1b"S ADDRESS:2'I"'" Jw &LJu.;:~ CITY !2G:-;:>A,,,,./J) 'I LOCATION OF PROPOSED BUILDING SITE: , c Street Address: 11m 5. "i'7H. Plat Name: PHONE: flIJ .2-2-f" ~ 'I JJ STATE~ZIP: o;?'J'lt; Tax LotNumbe-r: jf&2 {)~3? /){)~7JQ 1, DEVELOPMENT TYPE (Check appropnafe dwelling(s). Dwelling type definitions are on the 'back.). ,. -A. Sinale-Familv Detached ,NO. OF UNITS / X $2,513 per unit = B. Sinale-Familv Attached NO. OF UNITS X $2,726 per unit = C. Multi-Familv Aoartment . .NO. OF UNITS X $2,323 per unit = D. Sinale Room Occuoa'ncv' NO. OF UNITS X $1,162 per unit = E. Accessorv Dwellina Unit NO. OF UNITS X $1 ,257 per unit = WILLAMALANE SDC 2, SDC CREDIT (If applicable) SDC payer must furnish proof of Willamalane Credit approval.) "I; 3, TOTAL WILLAMALANE NET SDC ASSESSED if SDC reduced for Credit) 9 Date $::1 5""/3 - " $ $ $ $' $j}n\;)~CO $/7 $ J.'f /'J - I jcJ I drTDcY 5 ~..~AI"'~F,:I'~~ji..'.. ~, Aa :'ill.' M[-~..,. c. .' - .." ..., . . . - . - . . .~. ~ .- -" ~ _' .....c._ ....,. 225 Fifth Street Spr.ingl1eld, Orcgon 97477 541-726-3759 Phone Job/Journal Number COM2008-0 1366 COM2008-0 1366 COM2008-0 1366 COM2008-0 1366 COM2008-0 1366 COM2008-0 1366 COM2008-0 1366 COM2008-0 1366 COM2008-01366 COM2008-0 1366 COM2008-0 1366 COM2008-0 1366 COM2008-0 1366 COM2008-01366 COM2008-0 1366 COM2008-0 1366 COM2008-0 1366 COM2008-0 1366 COM2008-0 1366 COM2008-0 1366 COM2008-0 1366 COM2008-0 1366 COM2008-0 1366 COM2008-0 1366 COM2008-0 1366 COM2008-0 1366 COM2008-0 1366 COM2008-0 1366 COM2008.0 1366 COM2008-0 1366 COM200S-0 1366 COM2008-0 1366 COM2008-0 1366 Payments: Type of Payment CreditCard cReceinlJ City of Springfield Official Receipt Dcvelopmcnt Scr.vices Department Public Works Department RECEIPT #: 2200800000000001372 Date: 09/10/2008 2:50:45PM Description PI~n Review Major - Planning Plan Review Residential Building Pennit Willamalane Single Family 3 Baths One & Two Family Sanitary Sewer Each Addtl 100' Water Line - Each Addtl 100' Storm Sewer Each Addtl 100' Furnace - up to 100,000 btu Boiler/Camp Up To 100,000 btu Exhaust Hoods Dryer Vent Gas Outlets 1-4 Fireplace (Listed) Vent Fan -Mech lss 2+ Appliances- Temp Power 200 amps or less Fire SF Fee - Residential Sidewalk Pennit Curbcut Permit Sanitary Sewer - Reimburs~ment Sanitary Sewer - lmprov~ment SDC Transpo Reimbursemcnt SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Transportation Admin SDC Sanitary/Stonn Admin Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 5% Technology Fee + 12% State Surcharge' + .10% Administrative Fee Amount Due 211.00 714. II 1,098.63 2,513.00 348.00 17.00 17.00 17.00 15.00 15.00 11.00 8.00 6.00 18.00 32.00 42.00 57.00 120.65 88.00 88.00 774.62 589.02 201.54 97.90 1,009.17 10.00 15.34 147.51 121.00 66.00 111.68 221.60 196.73 $8,998.50 Paid By HAYDEN ENT Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Pllid DJB 097210 In Person Payment Total: $8,998.50 $8,998.50 Page I of I 911 0/2008 September 11, 2008 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 wwwci.springfield.or.us Hayden Enterprises. 2622 SW Glacier Place #110 < Redmond, Oregon 97756 On September 10, 2008 our office issued permits to you or your representative for a single family residence to be located at 1950 South 57th Place, Springfield, Oregon. While calculating the fees for that permit, the pl~ reviewer neglected to include the addressing assignment fee of $37.00. I am enclosing a copy of the permit that was issued and a copy of the original receipt for your reference. Please pay the amount due prior to requesting yo~ final inspections for this project. I have enclosed a prestamped envelope for your cqnvenience if you wish to make payment by miril, or you are welcome to make payment iI! person at our office. Our office hours are 8:00a.m. -noon and from 1:00 p.m. - 3:00 p.m. Monday through Friday. I sincerely apologize for any inconvenience this may cause you. If you have any questions please feel free to con~ct me at 541-726-3790. SincerelY, ~~lr{)D ~~/ Lisa Hopper '\ ''f"'" co=unity Services Building Safety Ene!