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Home My WebLink AboutPermit Building 2008-10-1 -.mitR~RI'~!\lI"I~q, ~ ' ~ , , " - ~ ~ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01483 ISSUED: 10/01/2008 APPLIED: 09/30/2008 EXPIRES: 04/01/2009 VALUE: $ 140,770,00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5735 MINERAL WAY Springlield TYPE OF WORK: Single Family Residence ASSESSOR'S PARCEL NO.: 1802033300300 uE W~OF USE: New Residential PROJECT DESCRIPTION: Ne\ll~Dr.t;.e as ~7,~1:1Rre.~\RE If 1 n ~N01 ""a~e:atS:tSV1PuIi\\l'~ 1-l"~~I1i ~ III _ _,~r" IIMllt \'\"1 _ Ilr.J' cn Il.\! \ (1'-" ,,--- D IS I\BI\I~UU ~- Owner: HA YDEN HOMES LLCt'~"j\tNCt.O On Address: 2464 SW GLACIER PLU,:i,"" '\0 01\'1 PERIOO. REDMOND OR 97756hf Ie; I CONTRACTOR INFORMATION I \ ".r " Contractor Type General Electrical Contractor License HA YDEN ENTERPRISES 92208 TOP NOTCH ELECTRIC INC 1723.66 '.. ,_ ,lllfftH.\r~(hNF!0Rt1rTJ8~ig~~ Utility N -ff.' ti P Center, Those rules are set forth in 0~~~/!JE~!8nif:;';01 0 through OAR 95a~001 Lot Size: 0090 ~'(jg'J!l9.ViV'!i\lS~HeJpies ofthlmoo,S b"Sq Ft 1st Floor: calif!;r,PihIifJ!~...t:r. (Ncllorced Airc,G\iS'ne Sq Ft 2nd Floor: num~YHtfJr1Ml!e,:)regon UtilitY_~~!GasltlonSq Ft Basement: Ral!j~ifypi:; 1 ~800.332~2~'lettric Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: No Occupant Load: Expiration Date 07/29/2009 09/29/2010 Phone 541-228-1081 541-317-1998 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I R3 U VB 5,588 1,234 400 3 I DEVELOPMENT INFORMATION I Frontyal'd Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 8,82 10.00 27,00 0,00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/u of Lot Coverage: 2 Yes 29.24 REQUIRED PARKING Total: 2 Handicapped: Compact: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Fully Improved No Sidewalk Type: Downspouts/Drains: Cnrbside 7' Cnrb and Gutter Notes: Storm water to curb Paee I of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Descriotion TVDe of Construction Dwellines Garae.e V Wood Frame Garaee Fee DescriDtion + 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 btu Gas Outlets 1-4 Plan Review Major - Planning Plan Review Same As Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Sanitary Sewer - Improvell)ent Sanitary Sewe~ - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Improvement SDC Transpo Reimbursement SDC Transportation Admin' Sidewalk Permit Storm Sewer Each AddtlIOO' Storm Sewer Each AddtlIOO' Temp Power 200 amps or less Vent Fan Willalllalane Single Family, Total Amount Paid I Val~ation Descriotion 1 $ Per Sq Ft or multiplier $105,00 828,00 Square Footage or Bid Amonnt 1,234.00 400.00 Total Valne of Project IIp,,<, Pii.IIJ Amount Paid $146,78 $169.47 $89.96 $289,00 $37.00 $8.00 $795,23 $88.00 $8,00 $11.00 $55.60 $15,00 $6.00 $211.00 $227,00 $121.00 $44.00 $504,88 $663,96 $10.00 $1,009,17 $97,90 $87.34 $888.98 $201.54 $81.48 $88,00 $17.00 $17,00 $57.00 $24,00 $2,513,00 $8,583,29 Date Paid 10/1108 10/1/08 1011108 10/1/08 10/1/08 10/1108 10/1108 10/1108 10/1108 10/1/08 10/1108 10/1108 10/1108 10/1108 10/1108 10/1108 10/1108 10/1/08 10/1/08 10/1108 10/1/08 10/1108 10/1/08 1011108 10/1/08 10/1/08 10/1/08 10/1/08 10/1108 10/1/08 10/1/08 10/1/08 Paee 2 of 4 CITY OF SPRINGFIELD , Building/Combination Permit PERMIT NO: COM2008-01483 ISSUED: 10/01/2008 APPLIED: 09/30/2008 EXPIRES: 04/01/2009 VALUE: $ 140,770,00 Value Date Calculated $129,570.00 $11,200.00 $140,770,00 09/30/2008 09/30/2008 Receipt Number 1200800000000001022 1200800000000001022 1200800000000001022 1200800000000001022 1200800000000001022 1200800000000001022 1200800000000001022 1200800000000001022 1200800000000001022 1200800000000001022 1200800000000001022 1200800000000001022 1200800000000001022 1200800000000001022 1200800000000001022 1200800000000001022 1200800000000001022 1200800000000001022 1200800000000001022 1200800000000001022 1200800000000001022 1200800000000001022 1200800000000001022 1200800000000001022 1200800000000001022 1200800000000001022 1200800000000001022 1200800000000001022 1200800000000001022 1200800000000001022 1200800000000001022 1200800000000001022 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01483 ISSUED: 10/01/2008 APPLIED: 09/3012008 EXPIRES: 04/01/2009 VALUE: $ 140,770,00 225 Fifth Street, Springlield, 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 requested after 7:00 a,m, will be made the following , work day, I Rppll;rr,rlln'inpPt~ Ufer Electrical Ground: Install ground rod ai footing and call for inspection in conjunction with footing andlor fonndalion 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 witb finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved, Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover, Drywall: Prior to taping, Hold Downs Installed: Speciallnspeclion performed prior to placement of concrete. Provide report to City Building Inspector, Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking, Undertloor Drain: Prior to cover or placement 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 trencb and inclnding required testing. Storm Sewer Line: Prior to filling trench, Final Plumbing: When all plumbing work is complete. , Underfloor Mecbanical. Prior to insulation or decking and including required testing. , Pace 3 of 4 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2008-01483 ISSUED: IO/Oi12008 APPLIED: 09/3012008 EXPIRES: 04/0112009 VALUE: $ 140,770,00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Underlloor 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 bas been connected to a minimum of one appliance including required testing, Presnre test done at this point, Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete, Final Mechanical: When all mechanical work is complete, Temporary Electric: Approval required prior to Utility Company energizing pole, Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: Wben,all electrical work is complete. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed, Cnrbcut - Standard: After forms are erected but prior to placement of concrete. Sidewalk- Curbside: After forms are erected but prior to placement of concrete, By signatnre, I state and agree, that I have carefully 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 sball 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 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 used on this project. I furthCt' 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. \ . ~L2L- Ib- /- 6 t" Owner or Contractors Signature Date Paee 4 of 4 ns FIFTH STREET. SPRINGFIELD, OR 97477 . n],(S41)726-37S3 . F"''lo (541)726-3689 SPRINGFIELD .::'".~=} "J, -~ ~ _t~.A~>\~T~r-I~~~~ ~.~ I A.'V ZON IAJ INITIALS (I r" ,/ DATE levill'DD SOURCE(Y'\t)$(Y7 ./ ELECTRICAL PERMIT APPLICATION Cb'14'65 1. tfJ~Jt~i~_~~iJ&~1ti Cj/~cJ , '( , 3. 1~~I.~itlJlII~JiIE~wlt{1}:mfJlI~~lj. Date City Job Number m ~ c;- M ( t.JaUrL-- v LEGAL DESCRIPTION: /fJ~2 o.J?Bl ()o"?~ .;;.; - ~ JOB DESCRIPTION: tJ-coJ S. F \:) 'm'&,~~f,')l'm'l'1~'rJ}~~~..: .' ..=s.. - - - - -- A t~~"';"'-~v.~J~\~';tlIJ!'>lrt:li~IIW$iS""l,~I'f"'''"''i''rc~t€-t~'ltf!;;l'1t~Ji:lW~'fcJl.l",;:,:~::!'~~r:{flt~1''1-'J~~~''''~~ili,~':;''j . ;~~~}Jt~~i2!~~~~~i~~A~~;~lti~'ue~if}1~l:P1~~jlk~Um:gg~Rl~ Service Included 1000 sq, ft, or less Each additional 500 sq. ft, Ot portion thereof Each Manufact'd Home or Modular Dwelling Service or __..EeeecT /01 I $117,00 H9 ":1- $ 21.00 ~:;- -W- $55,00 Permits are D~n-transferable and expire if work is not started witliin 180 days of issuance or if work is _____ _ _Suspended.JOl:,.lSO_da)!s_____ ---- .- .. 'if~14l1~i~~~-~I"t.. ~~~:li";~~~~<;rn;~r,~~ii1tilWjl' <~~ r,~i'~i~! - ~W@(J)'I\'7iflirnl~l@{lUV. 'Tfl$l$'l~~~~fJ.15Ii ,fi'1\/m_l , - . 2. tiit~~~~~.1!f\f,jf~"~~:i:~.h~~.~l ~{t;~,h'~~~I~Wi.W1_11ttr~c.~~~:tit~/ Electrical Contractor, -r;,jJ)J~fcj., [""lee , , - -B~ ~~'t~~EEJ~~.~~~~Jg~~J~111~Wa.4~ft'r~ifiW;'j.'l;~:i:#~W1i[~ii~~f~R1ll~M;:'t,~3~~r;,;%'mllI;~~~j?>>~i\;1,,',g,~; . H,~ecI}Y,mes'd)r~~jj~~~nsUll1'alJonli'e..&tteraFronsfoli' 'e16cd:tjo"f~w< . ~~rI"A'~'fJii~@i;;, -"X~~~"'H' J~lil','l5~11]1...,;r.~~']:,,~n::<:tt.:<;;.~':'~,;;i';""l'f'.l'i>, ';"\ .~<I;~~~ CIty ,() J ,n~( PEone 5o/t--:5n777{j 200 Amps or less 20J Amps to 400 Amps 40J Amps to 600 Amps 60J Amps toIOOO-Amps.' vve{ raov J-UilpSi v5hs Reconnect Only , $70,00 $ 83,00 $138,00 ' '$180:00 $"4T3:0u $ 55,00 Address ;;Lo8t9~7 ('I "_H Expiration Date LjoYC; S ::2&t; '7 c. .::.~~~~~11~%~~~~~~\I~:k~~~~~i!~i~1~1:~~~i~~:I~If~~"~.;: &--., "'......~!I,:2~.......iMl...9_.w:.,q,.;jj,~~,.,1'o.J -~, ~fj.1iJ'tI'!;~~\:!tJ'--'~~:i~~-:>mL~~~, ~"tU:~ '. ~~: Supervisor License Number ';'. .. ~ lnstall;<ition, Alt.eration or Relocation. utJI: Expiration Date '., J7 2 ~'t#G. ~'i 200 Amps or less! $ 55,00 20J Amps to 400 Amps, $ 76,00 40] Amps to 600 Amps $110,00 Over 600 Amps or I OOO'V olts see "B" above. , D. v: ~"h :_~~~nm\1i~~nm'~~1fI~1~~~ii~r.~:;~lft:~}~~?~,~!rl.;'i~~~~~t~.,.lh~~ . l. .. ,. ,,';-', ,,' .,,";.i'~''''',.'''',,''"'''$~Atl<i,jU[i[if"~,~'ii.'li';f:li!W"'r~lr;.'.i'<_'lJ~l~"Il\;~ttr\l;'~~,!,;i&'""!.\,t~%wl~~~~~;":;J,hi~:N'.~:tq~:~ Constr. Contr. Number New Alteration or Extension Per Panel One ~TION: Oregon Jaw r.equiros YDd 18,00 Eacl:f~4-!tj'lllel!.~,l%'O"fj9'the Oregon L1iilU~( Se~(lIf'f~ilit&I1'1!;~AU!\l.t Those rub Q, c oct forthO, " E. ,~\~'~t1~~~Jt~,!Ili~~;1,i~i01~~M~Jl"l<~f.'iJ!'~.",;!ij! ~1ffl\~"m,.e~~~',(~:;i~~l~,;~~~WI,~ID>>~~"-"'~ J'um!jl4ftllli'Jglilib\lle Oregon Utility Notifica6ioo,OO SigoJOut1in~~g 1-800'332-2344), $ 55,00 ' OWNER -INST-kLI*TION -, Limited EnergylResidential- , " , ,- ,., 'u__, .. $'28,00-' ,,- -' ,--, '-The installation is being made on propertY Town .which - --, .. LlID.lted Energy/Commercial $ 5U,UU is not intended for sale, lease or rent. : Minimum Electric Permit ]nsp~ction Fe~ is $50.00 + Surcharges ~sl~,M"'" HAIL EXPIRE 'IF THE WOR' K 4,"~m-"~!.~~l~~~>< ,"'\DWJ&1!Jil~lWlmi>til~;1j!il,!;ilf<1 -'7?~,i 00 ="" ~ . ~~[;Ij,w..Jt,!, .(...,,,::,~~~d ;,"~". ;:MJi~~Wlh~\W~~:'1;IJ~1~n~~~ii~W:i~~..~ ~~ AUTllOruZED l'~It'P'l THI~...EERMIT IS NOT - 12% State Surcharge ,2.~ COMMENCED OR IS ABANDONED FOR 10% Administrative Fee ' '} ?..:;,o ANY 180 DAY PERIOD. 5% Technology Fee /7,1.0 lnspection Request: 726-3769 TOTAL 2~,'Tf Signal 'Ie of S~pervAsing ;Electrician ;,,-r, - ~~f '~ OWDersN~e tk:7~~~ Address _~..-;. S u/ c[ f1jCl..iJd. City ~' tf1!-Pbone 2'4.$ -~<J ~r Shared Drive(T:)/Building FormslElectrical Pennit Applical,lon ]-08.( " CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS COM2008-0 1483 Hayden 5735 Mineral 18020333003~00 Single Family Residence I BUILDING SIZE (SF; 1634 LOT SIZE (SF): 5227 I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S,F, x I COST PER S,F, I, CHARGE I I 2072.50 I $0.357 I = I $739,36 RUNOFF ROUTED TO DRYWELL 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 1 I 50% ~ I ITEM I TOTAL - STORM DRAINAGE SDC $0.00 I 2, SANITARY SEWER - r:rry A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I 24 I DISCOUNT $0,00 $0.00 I COST PER DFU $27,67 $663.96 B. IMPROVEMENT COST: I NUMBER OF DFU's I 24 I x COST PER DFU $21.04 $504.88 rrEM 2 TOTAL - CITY SANITARY SEWER SDC =, $1,168.84 m U-l Cl 10 u I~ IU-l ,I- m a i::J 11070 1]091 I 11092 I 3, TRANSPORTAT]ON A, REIMBURSEMENT COST: I ADTTRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP I xlNEW TRIP FACTOR I I 9.57 I I I I I 21.06 I I 1.00 I $201.54 1093 B. IMPROVEMENT COST: I ADTTRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI ! 9,57 I I I I $92,89 I 1.00 I $888.98 1094 ITEM 3 TOTAL - TRANSPORT A nON SDC = I $ J ,090.52 4 SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x I I I B. IMPROVEMENT COST: INUMBER OF FEU's I x I I I ICOST PER FEU I $97,90 , I I = $97.90 ICOST PER FEU I $1,009,17 = $1,009.17 $0.00 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 41'01' AL - MWMC SANITARY SEWER SOC $10.00 = , ~ , $t,l17.07 SUBTOTAL (ADD ITEMS I, 2, 3, & 4) $3,376.43 5, ADMINISTRATIVF FEE; 1 SUBTOTAL x I ADM, FEE RATE I~ I $3.376.43 I 5% I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: CHARGE $168,82 ' 87.34 $81.48 Kaye Wilson 9/30/2008 TOTAL SDC CHARGES = I $3,545,25 j' I PREPARED BY DATE /1054 I 11055 1054 ,11056 I J 1079 , /1078 DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE - NUMBER OF NEW FIXTURES x UNlT EQUIVALENT = DRAINAGE FIXI1JRE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY TI-lE NET ADDmONAL FIXTURES) NO, OF FIXTURES .EDU (Equivalent Dwelling Unit) is a discharge equivalent to a sin~e f~ilY dwelling unit (20 DFU's~ ~~~:..167 gallons per day ,- '--~ DRAINAGE 'I FIXTURE UNITS I 6 I o I o I o I o o 3 o o o 3 o o 3' o 2 1 o o 6 o I MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE 24 I I I I I I I I I I I I I I CREDIT RATE/$I,OOO-I ASSESSED VALUE : -!~~,::~i~:~[~;: ~~;::_~: i >:r~~:~jil'.~' I~~" 'f~;:1;' , :::'li~t'!r;',~ " -,,;,:;;~:f~, 'i;:~'!i ',:,' ,:,~;~rjl:~' ~''']~'-.;,I:.:::;.~~~"l~ -},~:~,ii::, , ,- "-$2,25' " !'l"'ill:,:!:" H:i~$,1:;80'Di:,1 ,59 YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 ]984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 ]996 1997 1998 1999 2000 2001 I i I I I I I 2 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGlBLE FOR ANNEX, CREDIT? (Enler I for Yes, 2 for No) BASE YEAR CREDIT FOR LAND (IF APPLICABLE) VALUE 1 1000 CREDIT RATE $0,00 x $0,00 ~ I CREDIT FOR IMPROVEMENT (IF AFfER ANNEXATION) VALUE 11000 CREDIT RATE ,$0,00 x $0,00 = I TOTAL MWMC CREDIT = 2 2005 $0,00 o $0,00 o o , CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: COM2008-0 1483 NAME OR COMPANY: J-1avden LOCA nON: 5735 Mineral TAX LOT NUMBER: 18020333003200 DEVELOPMENT TYPE: Sin~le Familv Residence NEW DWELLING UNITS I BUILDING SIZE (SF: 1634 LOT SIZE (SF): I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S,F, x I COST PER S,F, CHARGE I 2072.50 I $0,357 I = I $739,36 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S,F, I x I COST PER S,F, I x I DISCOUNT RATE I I 0,00 I I $0.357 I 50% ' I ~ I ITEM 1 TOTAL - STORM DRAINAGE SDC $739.36 2 SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I 24 I B, IMPROVEMENT COST: I NUMBER OF DFU's I I 24 I COST PER DFU $27,67 COST PER DFU $21.04 x ITEM 2 TOTAL - CITY SANlT ARY SEWER S~C 3 TRANSPORTATION =1 A. REIMBURSEMENT COST: ' I ADTTRIP RATE I x I 9,57 I 8. IMPROVEMENT COST: I ADT TRIP RATE I x I 9,57 I I NUMBER OF UNITS I x I I I I i I NUMBER OF UNITS I x I I I I I ITEM 3 TOTAL - TRANSPORT A nON SDC =, 4, SANITARY SEWER - MWMC A. REIMBURSEMENT COST: /NUMBER OF FEU's I x I I I ICOST PER FEU I $97,90 8. IMPROVEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I' I I I $1,009,17 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ , 5, AOMINlSTRATIVE FEE: I SUBTOTAL x I ADM, FEE RATE I~ I $4,115,79 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: DISCOUNT $0,00 r- Im W 'c:1 o u 'e::: 'W If-< m C3 ~ 5227 $739.36 1070 $1,168.84 $663.96 1091 $504.88 1092 COST PER TRIP 21.06 x INEW TRIP FACTORI I 1.00 I COST PER TRIP $92,89 $1,090.52 x INEW TRIP FACTORI I 1.00 I $1,117.07 $4,115.79 $201.54 11093 I $888.98 1094 -I = $97.90 I 1054 ,', I = $1,009.17 I 1055 $0.00 I 1054 $10.00 1056 J I 130,95 11079 $74,84 .-J 1078 =, $4,321.58 CHARGE $205,79 9/30/2008 TOT AI. SDC CHARGES Kaye Wilson PREPARED BY DATE DRAINAGE FIXTURE UNIT (DFU) CALCULA nON TABLE NUMBER OF NEW FIXTURES x UNIT EQUlV ALENT = DRAINAGE FIX11JRE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO, OF FIXTURES .... . . -, .EDU (F...quivalent Dwelling Unit) is a disc~ equivalent to a sin~le..rami~.t.!~.!!i~ _uni!. (2~_H~s) set a~ 167 ~~ns.J~T ~...L.-m. DRAINAGE FIXTURE UNITS 6 o o o o o 3 o o o 3 o 0, 3 o 2 1 o o 6 o 24 I I :1 I I MWMC CREDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE I CREDITRATE/$I,OOO '11 ASSESSED VALUE II ,"",:"..$5,29 }'if,'''! ~ilt~g~~:"11 ,!::~:~~~ ~~,~"~ ,~,,~~n~ "'~" ~~':;!~,.:~~~~2.?3"~ ";;.i;:i,tr" / $2..25 - --- !"~'"""3${80;":" '2', $1,59 ,~ $1.45 "~'$1,25 YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 '. 1984 1985 ]986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Entcr 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 /1000 CREDIT RATE $0,00 x ' $0,00 ' ~ I CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE /1000 CREDIT RATE $0,00 x ' $0,00 ~ I TOTAL MWMC CREDIT = 2005 $0,00 $0,00 2 2 o 225'Fifth'Street Springfield"Oregon 97477 541-726'-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-01483 COM2008-01483 COM2008-0 1483 COM2008-0 1483 COM2008-0 1483 COM2008-0] 483 COM2008-0]483 COM2008-0 1483 COM2008-0 1483 COM2008-0 1483 COM2008-01483 COM2008-0 1483 COM2008-0 1483 COM2008-0 1483 COM2008-0 I 483 COM2008-0 1483 COM2008-0 1483 COM2008-0 1483 COM2008-0 1483 COM2008-0 1483 COM2008-01483 COM2008-0 1483 COM2008-0 1483 COM2008-0 1483 COM2008-0 1483 COM2008-0 1483 COM2008-0 1483 COM2008-0 1483 COM2008-0 1483 COM2008-0]483 COM2008-0 1483 COM2008-0 1483 Payments: Type of Payment Cred itCard cReccintl RECEIPT #: 1200800000000001022, Date: 10/0112008 Description Plan Review Same As Building Penn it Addressing Assignment Willamalane Single Family 2 Baths One or Two Family Storm Sewer Each Addtl 100' Furnace - up to 100,000 btu Vent Fan ApplianceVenl Exhaust Hoods Dryet Vent Gas Outlets 1-4 Plan Review Major - Planning Residence Wiring 1000 Sq Ft , Residence Wiring Ea Addtl 500 Fire SF Fee - Residential Cutbcut Pennit Sidewalk Penn it Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbutsement SDC MWMC Improvement SDC, MWMC Administtation SDC SanitarylStonn Admin SDC Transportation Admin Temp Power 200 amps or less Stonn Sewet Each Addtl 100' + 5% Technology Fee 4- 12% State Surcharge + 10% Administrative Fee Paid By TIM DR]ELlNG Item Total: Check Number Authorization Received By Batch Number Number How Received cjc 044875 In Person Payment Total: Page I of I 1O:29:48AM Amount Due 227,00 795,23 37,00 2,513,00 289,00 17,00 15,00 24,00 8,00 ] 1.00 8,00 ,6,00 211.00 121.00 44,00 55,60 88,00 88,00 663,96 504,88 201.54 888,98 97,90 1,009,17 l 10,00 87,34 81.48 57,00 ]7,00 89,96 169.47 146,78 $8,583,29 Amount Paid $8,583,29 $8,583,29 10/1/2008 ~~ Willamalane , t"W Park & Recreation District , Job, No~)J~n5 -()l Lfz3 SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2008 NAME:\(\m \~ t.k-'f'Nl) 1 ' Uc- PHONE: ADDR~~Lf G-lCtCLt.lV CITYaNiyY\(\r'\.1!1c STATEOhIP: en S~ LOCATION OF PROPOSED BUILDING SITE: , , Street Address: 61 ~:S ml hO,vM JA~\~ Tax Lot ~!umber: \ '6"0), 33 :;s 00300 Plat Name: . 1. DEVELOPMENT TYPE (Chec~ appropriate dweIUng(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 uriit = C. Multi-Familv Aoartment NO. OF UNITS ' X $2,323 per unit = , D. Sinale Room Occuoancv NO. OF UNITS' X$1,162perunit= ,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.) ,3, TOTAL WILLAMALANE NET SDC ASSESSED , . SDj reduced for Credit) 1(1 !If~/u! nAa d1 (] Ii 0 De lopment Services Department Ci 'of Sp!ingfield ' r' ' ' ) 0 I Date ,""--- '~513,gu -' $, --- $ ..--- $' -- $ . r-o $d\S)~l~ --- $ $,:;)513, Qi) I D! I !) i 5