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Home My WebLink AboutPermit Building 2008-10-6 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01491 ISSUED: 10/06/2008 APPLIED: 10/01/2008 EXPIRES: 04/06/2009 VALUE: $ 131,740.00 Status Issued 225 Fifth Street, Springfield, OR 54]-726-3753 Phone ' 54]-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2022 S 57TH PL ' ASSESSOR'S PARCEL NO.: 1802033300800 Springfield TYPE:'OF. WORK: Single Family Residence I, BUILDING INFORMATlO~ I . OR\( Ce. > R~ \fftl~ \N ltOll .~~\.\. ~ts PER~\1 \S tlO't Lot Size: 1\-\IS Pt' ERili\-\l oWR Sq Ft 1st Floor: fl..U1r\OWig\Sfl..B~, QM~,r Gas Sq Ft 2nd Floor: . 'O~~ . 100. ' G~s Sq Ft Basement: C ~'1 ~ ~1j)t.'Ir . Electnc Sq Ft Garage/Carport fl.. -r;;;ergy Path: Sq Ft Other: , Sprinkled Building: :No Occupant Load: TYPE OF USE: PROJECT DESCRIPTION: New Single Family Residence w/ garage. Ou to Same as 5769 Pumice PI. (COM1P~lf!lSJVUti\i\Y __ _.1. nrp.oon . . ",..onotl .-r p.;,TTtl'l ..-.'. \ 0 oy '''-, se\ IV"" HA YDEN HOMES LLC Tules adop \\1ose rules are 952.001- 2464 SW GLACIER PL ,f~~~~ation cente~10 \\1roUg\1 op.;,~e rules bY ,REDMOND OR 97756 N 0'1'1952.001.0 "\a'ln copies oft lep\1one ' \.'1.:" -~" nl" '". ..... 3e .- 009u. 'u-" . !lteT. \'W'-". NOU--' ~i~romlt'~.J;10N I C1u~li (~!! , . License 92208 . 172366 39237 90482 Owner: Address: Contractor Type General Electrical Mechanical Plumbing ,Contractor HA YDEN ENTERPRISES TOP NOTCH ELECTRIC ]NC P AC]FIC AIR COMFORT INC PLUMBING PLUS INC # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I R-3 U VB 3 I ,DEVELOPMENT ]NFORMA nON I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay'Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: ] Yes 28.64 18.00 6.00 14.00 24.00 0.00 I,PUBLlC IMPROVEMENTS I New Residential Expiration Date . 07/29/2009 09/2912010 03/25120]0 05/]0/2009 Phone 54] -228-1 081 541-317-1998 541-672-9510 541-926-3190 5,430 1,148 400 REQUIRED PARK]NG Total: 2 Handicapped: Compact: Street Improvements: . StOl:m Sewer Avaiiable: Special Instruction: Fully Improved No Storm water to curb via weep hole Sidewalk Type: DO,wnspouts/Drains: Curbside 7' Curb and Gutter Notes: raee ] of 4 SRI'lII ND}!~IIU.!lk - i:;;S"'~"""""""'''''' i..~,,~K,".'" ,,", ii !lI,l' Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01491 ISSUED: 10/06/2008 APPLIED: 10/01/2008 EXPIRES: 04/06/2009 VALUE: $ 131,740.00 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 541-726-3676 Fax 54]-726-3769 Inspection Line I Valuatio~ Descrintion I Dwellin!!s Gara!!e V Wood Frame Gara!!e $ Per Sq Ft ' or multiplier $105.00 $28.00 Square Footage or Bid Amount ],148.00. 400.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $120,540.00 $]],200.00 $131,740.00 1 % 1/2008 1 % 1/2008 ~ Fee Description Amount'Paid Date Paid Receipt Number -Mech ]ss 2+ Appliances- $42.00 ]0/6/08 2200800000000001482 + ]0% Administrative Fee $143.93 10/6/08 2200800000000001482 + 12% State Surcharge $163.43 10/6/08 220080000000000]482 + 5% Techno'logy Fee $87.45 ]0/6/08 2200800000000001482 2 Baths One or Two Family $289.00 10/6/08 2200800000000001482 Addressing Assignment $37.00 10/6/08 220080000000000]482 Appliance Vent $8.00 10/6/08 2200800000000001482 Building Permit $761.93 ]0/6/08 2200800000000001482 Curbcut Permit $88.00 ] 0/6/08 2200800000000001482 Dryer Vent $8.00 ] 0/6/08 220080000000000]482 Exhaust Hoods $] 1.00 10/6/08 220080000000000]482 Fire SF Fee - Residential $77.40 10/6/08 2200800000000001482 Furnace - up to 100,000 btu $15.00 10/6/08 ' 2200800000000001482 Gas Outlets 1-4 $6.00 10/6/08 2200800000000001482 Plan Review Major - Planning $2] 1.00 ]0/6/08 2200800000000001482 Plan Review Residential $495.25 ]0/6/08 2200800000000001482 Residence Wiring 1000 Sq Ft $121.00 10/6/08 2200800000000001482 Residence Wiring Ea Addtl 500 $44.00 ]0/6/08 220080000000000]482 Sanitary Sewer - Improvement $483.84 10/6/08 220080000000000]482 Sanitary Sewer - Reimbursement $636.30 ]0/6/08 2200800000000001482 SDC MWMC Administration $10.00 10/6/08 2200800000000001482 SDC MWMC Improvement $1,009.17 ]0/6/08 2200800000000001482 SDC MWMC Reimbursement $97.90 ]0/6/08 2200800000000001482 SDC Sanitary/Storm Admin $143.26 10/6/08 220080000000000]482 SDC Transpo Reimbursement $201.54 10/6/08 220080000000000]482 SDC Transportation Admin $15.54 ]0/6/08 2200800000000001482 Sidewalk Permit $88.00 ]0/6/08 2200800000000001482 Storm Drainage Impervious Area $737.3 ] ]0/6/08 2200800000000001482 Storm Sewer Each AddthlOO' $17.00 10/6/08 2200800000000001482 Temp Power 200 amps or less $57.00 10/6/08 2200800000000001482 Vent Fan $24.00 10/6/08 2200800000000001482 WilIamalane Single Family $2,513.00 ]0/6/08 2200800000000001482 Total Amount Paid $8,643.25 Pa!!e 2 of4 -~!it!i1.l~!;i',f1I~!~q; ,;;- ,.~ CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2008-01491 ISSUED: 10/06/2008 APPLIED: 10/0112008 EXPIRES: 04/06/2009 VALUE: $ 131,740.00 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726~3769 Inspection Line , Plan Reviews , Public Works Review 10/0 I /2008 Plannine Review 1 % I /2008 10/01/2008 APP' DDK Access restricted to one driveway per lot. Follow street tree plan. Structnral Review 10/01!2008 10/01/2008 APP CJC 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. ~rprl Tnlimections I 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 bnt prior to placement of c.oncrete. Ufer Electrical Gronnd: Install gronnd rod at footing and call for inspecti.on in conjnnction with footing and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to 1100r insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with tinish 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 ]nstalled: Special Inspection performed prior to placement of concrete. Provide report t.o City Bnilding Inspector. Final Building: After all required .inspections have been requested and approved and the building is complete. Underl100r Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to tilling trench and including required testing. Sanitary Sewer Line: Prior to tilling trench and including reqnired testing. Storm Sew~r Line: Prior to filling trench. Paee 3 of 4 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2008-01491 ISSUED: 10/06/2008 APPLIED: 10/01/2008 EXPIRES: 04/06/2009 VALUE: $ 131,740.00 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 541-726-3676 Fax 54]-726-3769 Inspection Line Final Plumbing: Wheu all plumbing work is complete. ' Underl100r Mechanical. Prior to insulation or decking and including required testing. Underl100r 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 minimum of one appliance inclnding required testing. Presure 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 reqnired prior to utility com'pany energizing sel'Vice. Final Electric: When all electrical work is complete. By signature, ] state and agree, that I have carefnlly examined ,the completed application and do hereby c~rtify that all information hereon is true and correct, and] further certify that any and. all work performed shall be done in accordance with tbe 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. 1 further certify that only. contractors and employees who are in compliance withORS 701.005 will be used on this project. ] 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. ' . ~~0-A_~ Owner or Contractors Signature Q."/ -r.;- cxf Date Pa2e 4 of 4 Job. No. /!f- /0/9/ SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2008 NAME: J-IJ4-~II)C;J /I-dr>1.C<: PHONE: :;J-;J.-'( u'7 3 Y . ADDRESS:;;;>'i &,t-/ 4'"1./tc-lk'7l-CITY /2t:'t>frl6tA/1) ST~TE: U41P: tf'7'?~ LOCATION OF PROPOSED BUILDING SITE: Street Address: ).0:2-::2- S 5?Ht Plat Name: Tax Lot Number: r'l?O::l- 033'7 QO '600 , 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definttions are on the back.)' ' I A. Sinale-Familv Detached NO. OF UNITS . X $2,513 per unit= . $ . ~S-/3 B. Sinale-Familv Attached NO. OF UNITS X $2,726 per unit = $ C" Multi-Familv Aoartmerit NO. OF UNITS X $2,323 per unit = $ D.Sinale Room Occuoancv NO. OF UNITS' X $1,162 per unit = $ E. Accessorv Dwellina Unit NO. OF UNITS X $1.257 per unit = $ $~51 ~ pO, 1/ $ WILLAMALANE SDC , 2. SDC CREDIT (If applicable) SDC payer must furnish proof of, Willamalane C<editapproval.) . 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) $ J..S"J3 ~~<.,~-r:r-',"":. Clevelopment Services Department CitY of Springfield j 0 /. I 1.;)..00>9 Date ~ IDjlofoB 5 ZON ~~ G:~~~ f;.or> \;URCE H:i' 225 FIFTII STREET. SPRINGFIELD, OR 97477 .PH,(541)726-3753 . F,,"X, (541)726-3689' ELECTRICAL PERMIT APPLIC.ATION City Job Number a<; ILfq I Signal Te ofS,"perv,jsing,Electrician D. _<fJo ,D. ~~' r ~v~ ~::~~:::tion or Extension Per Pane] ~ Each Additional Circu.it or with Owners'Name -~' t9t) liJ ~.fc:r Service~r Feeder Permit $ 4.00 -} ,'- ~ t'0'r;l"fl''''~~t.w.."",.,..",,,,,~='1';lF.... :""''''''''''''''''''''~=:''N:1iF''''''''''''''''''m<~''''''''''~' f . -' E R', ~"i(f,J<jl"~:;';,lf~'];fi;~~~,&",.,i:t,&:','~~:!,t.iW;:t",,j?;,~1'ill~,',:W,,'!i,,~<tlM,' ',.:1'1'~_{ii1li;rj"';W~'~l,"":t,'Et:!J:~1f~j~';:' ',~~t,~"iJ!,-.11M' 0~~,,~~~," :;1T."""~~,' ;;;il!>}~ 2'7A.L '0.1 /' /.J "'/ d1( " . ;;;1iir.is~~"a:\1e'l:hi'~'Ii:1""""i1eZfe'e1r~y,c'~Ol'm"W'i'(l"tlIT~]R';b"I'Jl!\\~"il"" Address _ ~ U'V q""'U~ ~-' j1~~,'~1""'fu2ir'''''''~~'\lli'l!Jiii!!I,:;!ii.",jf,",",i;!iit""""~_~,,,;1?,,~~,,,...,~~ City ~d'.JL Phone4-2,a.-~9J.r 1. tDl1jl~ltil.IE_;~~~l~I~lttjl ;l.{) :1- ~ ~. ~?#- LEGAL DESCRlPT]ON: /t)O 2- 033 J .,~c?$tJ-o JOB DESCRIPTION: ,');::- ~ d ./ c:::-~ c-" Permits are Don-transferable and expire if work is not started within 180 d~ys of issuance or if work is ' _~___ _ _SuspendecLrOJ:...l80-d3.!'s-----.....,---~, 2. Electrical Contractor ~,jJ)JJ,fj, r:-/ec Address;;J.o8i9 ~:. cf- " ,/ Uty () I .n~( rnone 5o/t--:5rrT9-'J'j J, Supervisor License NUmber 1j 0::7 c.;S ,Expiration Date b2.lft; '7 Consb-. Contr. Number /7 2 -;'rR G. Expiration Date :;2&-r) 'i OWNER'JNSTA:LhkTION -The installation is being made on propertY Town which ..- is not intended for sale) leas~ or rent. . Owners Sigoahrre: Inspection Request: 726-3769 , Date ItY/l/dt1 3. ~tl[i.~I.1!1I1.1.1JjJlil~llliifWi . .. . ..' ~. rtl\i~IwI~I.~JI~'i~1i~tll~II~~!iQi~Ii~. Service ]ncluded , 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or' __..Ee.e_d~ ( '". $ H"I.OO- /2/ dO $ tt6&- 4<JM $55.00 -z!=- , - - - ti'\i'''i:r,f~~(m'l,~~~1i'!.~'''''.'''..,...Wi\l'''.IIf1'l'l','.... " ...'" ""'''''''''""'''i~ ".. .. - _n, , - ,.......,- B' ~-S"'~~i:,*",L{~H~<~w;@!M~~~~f;1i~~~'T',ycii~tii"'~~{a~!J,~,\%r~,~~1~Jiftfit~~Jj~~lm~il'~5t~~i~'i!I~1 . ,;~"~lThY'I~es~.o.F'mee\\ens:t:~.:us -i:i11{llji'Dn1\';;~"illtg.r.atron~DriPf<:e Dt:a'ft1:h)?~'~ . ~""~fl...~.:'@"~jfr~:s:~}[;.~~"r~,~~1R"6W~'&~t~~""~ii~,,~;i~rJ,,;:w~""'t,.!-~~i:,\>"''','''i!'li--1?;~l!l@t~~~:~ 200 Amps or less 20] Amps to 400 Amps 401 Amps to 600 Amps 60] Amps to JOOO-Amps-- averroOIJA:Jjjj)sIV5llS Reconnect Only $.70.00 $ 83.00 $138.00 '$180:00- -P'tlJ.t!U $ 55.00 C, t~e2~1i!Jt~~~~~WJ-~,~':li,JmTe~}~~~~~~fi~~\-"ld !~[~pmi:l!lF.":~~:~~~~2.I i;,~I,,~~!i,1!l!l~1~~:t;,~1I..;r.t'1iI;~"f~-'>;\"t'.;'~m~.~"',' . lk~J!t~Mc'.' . ];"" "" -,;) "(>i,'(i,lG,e$j:O!-;-ihliee. ~!:,..""Vi '1";I,"\iY~r}ti<"1 -:SfJ1i!..i'.:'~!Iffi:1l;:\",.;',I;:'"1',I;~Wh- \~ill>i~:u:.:"I~~.r{f'u'!;lilIl'J~~~.:;a:fiM'~!.lliJlliillii';it~$:'W~'" I~J!l:::i"'"i';',-,-wl',v ~;~~~ Installa'tion~ Alteration or,Relocation 200 Amps or less 20] Amps to 400 Amps 40] Amps ~o 600 Amps Over 60'0 $-55:00 '5 7~ $ 76.00 $110.00 $ 48.00 Pump or irrigation Sign/Outline Lighting Limited'EDergy/Residential-' .. Lu:ll1ted, Energy/CommercIal $ 55,00 $ 55.00 .. $,28,00-' $ 5U.UU Minimum EI~ctric Permit IDsp~Ltion 'Fe~'is $50.00 + Surcharges Il'~_'-"""""':' 'lm""',i1li",'m1l[fflI}!l'TIR!..'[;;:!~'''i'''I'''''''~'1~"''''l!'i/ili~-m!l.."",.."...,.'-..."''.~ I ' g"II"'~h"" m"~i\.'l,,",,,L..r,"-'w '"''''Ir,""''' ,';I",~,,,,"~'l"""" "",..'"Ii''''''I~''!!'c;,'''''i,,,~~,'''''',''''t''"''~'f,'';,F'i 4. ~'t:; ~__1if:J!iJj)jllfL 1';1' "lV' '~ml;- . ,'i;~~'1r~i~~t~'~J1~~~!~~~[~~~m~~~ ~,'~i7;;:l1d'i'""";[;'!h:"r""",',"',.,,,,;;.1'" 21\"'i'lOi/~'''i:r~TI!~lill'~_''j''';:;,;Ii.~~'''i,,'ftlij,,~;1~!,;.''-\~~T'''-,','"'i~,",\J~~Ii~>i@!,@, 2. ..,. z...trtJ ~~_~.....,,."~ , '1~"=",,, """"1.,J~~;........'Y.li":illM1.\',MlI""",,,,!:!iI~="""'''I'J~~".. ~ <tC..- - ]2% State Surcharge '-'-' 2c.. "1- ]0% Acl.rnllllstrative Fee ?7 ;z.:; 5% Technology Fee 7/ ,/D ~2,;: '7-1 Shared Drive(T:)/Building FormslElectrical Permit Applicat:ioD 1-08.e TOTAL ,. ,,'. CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: C0M2008-0I491 NAME OR COMPANY: J'layden Homes LOCA nON: ' 2022 S. 57th TAX LOT NUMBER: 1802033300800 DEVELOPMENT TYPE: Single Family Residcnce NEW DWELLING uNITS I BUILDING SIZE (SF' 1548 LOT SIZE (SF): I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. I I CHARGE I 2066.75 I $0.357 = '$737,31 I 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 DISCOUNT I 0.00 I I $0.357 1 1 50% I ~ i $0.00 ITEM 1 TOTAL - STORM DRAINAGKSDC 7 SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I 23 I $737.31 COST PER DFU I' $27.67 B. IMPROVEMENT COST: I NUMBER OF DFU's I x I COST PER DFU I' 23 I I $21.04 ITEM 2 TOTAL - CITY SANITARY SEWER SDC ~ , 1 TRANSPORTATION A. REIMBURSEMENT COST: I ADTTRlP RATE I x I 9.57 I B. IMPROVEMENT COST: I ADTTRIPRATE I I 9.57 I I NUMBER OF UNITS I x I I I I I NUMBER OF UNITS I x I I I I I ~ I x iTEM 3 TOTAL, TRANSPORT A nON 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: INUMBER OF FEU's I x I I I ICOST PER FEU I $1,009.17 MWMCCREDIT IF APp'L1CA)lLE (S,EE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC ~ I SUBTOTAL (ADD ITEMS 1, 2, 3, &4) ~ I 5 ADMINISTRATtVE FEE: I SUBTOTAL x I ADM. FEE RATE I~ 1 $3.176.06 I 5% I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: "$1,120.14 5227 1 1m ICJ 10 I~ 1u.1 ,f- m (3 u.1 ~ $737.31 ',1070 $636.30 II 11091 I i 1092 II $483.84 TOTAL SDC CHARGES $201.54 1093 COST PER TRIP 21.06 x !NEW TRIP FACTORI I 1.00 $0.00 1094 COST PER TRIP $92,89 $201.54 x INEW TRIP FACTORI I 100 . I = $97.90 1054 $1,117.07 ' $3,176.06 ,CHARGE $158.80 I 'I = $1,009.17 ,11055 $0.00 I 1054 $10.00 1056 I ~ I 143.26 11079 I $15.54 ~ 1078 = I $3,334.86 10/1/2008 Kaye Wilson PREPARED BY DATE ", .-'... DRAINAQE FIXTURE UNIT (DFU) C~CULATION TABL]j; ~ NUMBER-OF NEW FIXTURES x UNIT EQUIVALENT.= DRAINAGE FIX1URE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY TIlE NET ADD[TIONAL FIXTURES) NO, OF FIXTURES DRAJNAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS I BATHTUB 2 0 3 = 6 I IDRINKING FOUNTAJN 0 0 1 = 0 I FLOOR DRAIN 0 0, 3 = 0 I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 '6 = 0 ILAUNDRY TUB 0 0 2 = 0 ICLOTHESWASHER / MOP SINK 1 0 3 = 3 ICLOTHESWASHER - 3 OR MORE (EAl I 0 0 6 = 0 IMOBILE HOME PARK TRAP (1 PER TRAILER) i 0 0 12 = 0 RECEPTOR FOR REFRJG / WATER STATION / ETC. ,i 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. I 1 0 3 = 3 SHOWER, SINGLE STALL I 0 0 2 = 0 SHOWER, GANG ,(NUMBER OF HEADS), I 0 0 2 = 0 SINK: COMMERCIAL/RESIDENTIAL KJTCHEN I 1 0 3' = 3 I SINK: COMMERCIAL BAR I 0 0 2 = 0 I I SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 I I SINK: SINGLE LAV ATORY/RESlDENTIAL BAR 2 0 1 = 2 I IURlNAL. STALL / WALL 0 0 5 = 0 I fTOILET, PUBLIC INSTALLATION 0 0 6 = 0 I TOILET, PRIVATE INSTALLATION 2 0 3 = 6 I MISCELLANEOUS DFU TYPE NUMBER OF EDU'S I 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 23 ,:EDU (EQuivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) se~1167 gallons per day I I I I I I I I MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ~ ANNEXED I BEFORE 1979 1979 1980 1981 . 19&2 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 ]999 2000 2001 211 I II IllS LAND ELGlBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT'? (Enter I for Yes, 2 for No) BASE YEAR 2005 CREDIT RATE/$I,OOO ASSESSED VALUE ,29 ",,""" 2 CREDIT FOR LAND (IF APPLICABLE) VALUE/IOOO. CREDIT RATE $0.00 x $0.00 ~ , $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE/IOOO . CREDIT RATE $0.00 x $0.00 I o 1 I $0.00 I II TOTAL MWMC CREDIT = , .1 City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth.Street Spri'tgfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-0I491 COM200S-0 1491 COM2008-01491 COM200S-0 1491 COM200S-0149l COM20,OS-0149I COM200S-0149l COM200S-0149I COM200S'0149I COM200S-0I49l COM200S-0 1491 COM2008-0 1491 COM2008-0149I COM200S-0I49I COM2008-0I491 COM2008-0I491 COM2008-0l491 COM2008-0I491 COM200S-01491 COM200S'OI49I COM2008-0I491 COM2008-0I49! COM2008-0 1491 COM2008-01491 COM2008-01491 COM2008-0 1491 COM2008-0 1491 COM2008-0149I COM2008-0149I COM2008-0149I COM2008-0l491 COM2008-0I491 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 2200800000000001482 9:57:14AM . Date: 10/06/2008 Description Plan Review Major -Planning Plan Review Residential Building Permit Addressing Assignment Willamalane Single Family 2 Baths 9ne or Two Family Storm Sewer Each Addtl 100' Furnace - up to 100,000 btu Vent Fan Appliance Vent Exhaust Hoods Dryer Vent Gas Outlets 1-4 -Mech Iss 2+ Appliances- Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Fire SF Fee - Residential Sidewalk Pennil Curbcut Penn it Stonn Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC TranspoReimbursement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transportation Admin + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Amount Due 211.00 495.25 761.93 37.00 2,513.00 289.00 17.00 15.00 24,00 8.00 11.00 8.00 6,00 42,00 121.00 44,00 57.00 77.40 S8.00 SS.OO 737.31 636.30 483.S4 201.54 97,90 1,009,17 10,00 143.26 15.54 S7.45 163.43 143.93 $H,643.25 Paid By Item Total: . Check Number Authorization Received By Batch Number Number How Received Amount Paid ' TIM DRE]LING $8,643,25 $H,643.25 cjc 080827 In Person Payment Total: Page I of I 10/6/200S