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Home My WebLink AboutPermit Building 2008-10-9 Status Issued CITY OF ~rKll"'\JFIELD' Building/Combination Permit PERMIT NO: COM2008-01513 ISSUED: 10/09/2008 APPLIED: 10/08/2008 EXPIRES: 04/09/2009 VALUE: $ 176,995,00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541.. 726-3676 Fax' 541..726-3769 Inspection Line SITE ADDRESS: 1990 S 57TH PL ASSESSOR'S PARCEL NO.: 1802033300600 Springfield TYPE'OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: New single family residence- same asl839 S 57th Residential Owner: Address: HA YDEN HOMES LLC 2464 SW GLACIERPL REDMOND OR 97756 I CONTRACTOR INFORMATION I Contractor Type Contractor License Expiration Date Phone Applicant' HA YDEN HOMES LLC General HA YDEN ENTERPRISES 92208 07/29/2009 541-228-1081 Electrical TOP NOTCH ELECTRIC INC 172366 ' 09/29/2010 541-317-1998 Mechanical PACIFIC AIR COMFORT INC 39237 03/25/2010 541-672-9510 Plumbing PLUMBING PLUS INC 90482 05/10/2009 541-926-3190 BUILDING INFORMA TIO~ , # of Units: Primary Occupancy Gronp: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 3 # of Stories: Height of Strncture 19.50 Type of Heat: Forced Air Gas, Water Type: . G'as Range Type: Electric Energy Path: Sprinkled Building: No Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 5,400 1,579 I R-3 U VB 400 I DEVELOPMENT INFORMATION' REQUIRED PARKING , Frontyard Setback: "]3,30 Overlay Dist: Side I Setback: 14.00 # Street Trees Rqd: 2 Side 2 Setback: 6.00 Paved Drive Rqd: Yes Rearyard Setback: 19,70' % of Lot Coverage: ' 36,60 Solar SetbbJiTiNTION: Oregon lawlf.Oliuires you 10 NOTICE' f"ll'))" '1""" "rlrntp.rj hv the OreClon Ut,ilit~ r" , Notltlcatlon Center. Those rules arrrJjJltJ!':' IMPROVEMENifr~ rt,KIVII r SHALL EXPIRE IF THE W in OAR 952-001-0010 through OA~,' ,',cr'-JORIZED UNO>'R THI ORK Street Inuwyell,1snts:,ay obtain cOPf'lefihe ruleij by COMMErJ/idewalk Tj'pe. S PERMIT IS fl!iJTb'd 7' c;liin(].;h~ center. (l-Jote:~n0 [mg~?vfne AN" 180 :'~,u UK I~ AB~NDONED !:no 51 e Storm Sewer !\:va.lable: 0 l't'I', I" t.t. Yes I Do;iVnsI'outsIDrams: C\itb and Gutter S . I I nurTHt'.sr Tor me reClon ,11 Y '10 liGatiOn . , . .1 ilUU, pecl3 nstruc lOe,:enteris 1-8\JC-::~3.2>'2344). Total: Handicapped: Compact: . 2 Notes: Storm'to curb via weephole Page I of 4 I, , GP."'I,~QJiIlIiI!;.D: - - 'J" -',' ,'''~~~''',''''~'''''-,""",,,,,,,~. ~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Descriotion Type of Construction Dwellin2s Gara2e V Wood Frame Gara2e 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 Fireplace (Listed) 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 Sanitary Sewer Each AddtllOO' SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Reimbursement SDC Transportation Admin Sidewalk Permit Storm Drainage Imperyious Area Storm Sewer Each Addtl 100' Temp Power 200 amps or less Vent Fan Water Line - Each AddtllOO' Willamalane Single Family I 'Valuation Descrintion I $ Per Sq Ft or multiplier $105.00 $28,00 Square Footage or Bid Amount 1,579.00 400.00 Total Value of Project Fpp<, P~i.-l I r~n 1\ !f Amount Paid $42.00 $169.61 $19L69 $99.22 $289.00 $37.00 $8.00 $928.43 $88.00 $8,00 $ILOO $98,70 $18,00 $15,00 $6,00 $21 LOO $603,48 $12LOO $44.00 $504.88 $663.96 $17.00 $10.00 $1,009.17 $97,90 $157,99 $20L54 $14.89 $88.00 $970.09 $34,00 $57,00 $24.00 $17.00 $2,513.00 Date Paid 10/9/08 10/9/08 10/9/08 10/9/08 10/9/08 10/9/08 10/9/08 10/9/08 10/9/08 10/9/08 10/9/08 10/9/08 10/9/08 10/9/08 10/9/08 10/9/08 10/9/08 10/9/08 10/9/08 10/9/08 10/9/08 10/9/08 10/9/08 10/9/08 10/9/08 10/9/08 10/9/08 10/9/08 10/9/08 10/9/08 10/9/08 10/9/08 10/9/08 10/9/08 10/9/08 Pa2e2 of 4 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-0I513 ISSUED: 10/09/2008 APPLIED: 10/08/2008 EXPIRES: 04/09/2009 VALUE: $ 176,995,00 Value Date Calculated $165,795.00 $11 ,200.00 $176,995.00 10/08/2008 10/0812008 Receipt Number 1200800000000001054 1200800000000001054 1200800000000001054 1200800000000001054 1200800000000001054 1200800000000001054 1200800000000001054 1200800000000001054 1200800000000001054 1200800000000001054 1200800000000001054 1200800000000001054 1200800000000001054 1200800000000001054 1200800000000001054 1200800000000001054 1200800000000001054 1200800000000001054 1200800000000001054 1200800000000001054 1200800000000001054 1200800000000001054 1200800000000001054 1200800000000001054 1200800000000001054 1200800000000001054 1200800000000001054 120080000000000]054 1200800000000001054 1200800000000001054 1200800000000001054 1200800000000001054 1200800000000001054 1200800000000001054 1200800000000001054 I '1 , t _"'~~"NCil19IEl.;'1\, CITY OF SPRINGFIELD' Status Issued I,Juilding/Combination Permit PERMIT NO: COM2008-01513 ISSUED: 10/09/2008 APPLIED: 10/08/2008 EXPIRES: 04/09/2009 VALUE: $ 176,995.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amount Paid $9,369,55 Plan Reviews , Plaonine: Review Public Works Review Structural Review 10/08/2008 10/08/2008 10/08/2008 10/08/2008 10/08/2008 10/08/2008 APP APP APP TAJ LKW , ' CJC storm water to curb via weep hole Approved as noted on 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. .L.l?pollirprlJnsnections I Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Curbcut - Standard: After forms are erected but prior to placement of concrete, Erosion/Grading Inspection: Prior 'to ground distnrbance and after erosion measures are installed, Ufer Electrical Ground: Install ground rod at footing and call for insp'ection in conjunction 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 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. Wall Insulation: Prior toeover. Ceiling Insulation: Prior to cover~ Drywall: Prior to taping, " Hold Downs Installed: Special Inspection performed prior to placement of conuete. Provide report to City Building Inspector, Final Building: After all required inspections have been requested'and approved and the huilding is complete. Underground Plumbing: Prior to tilling the trench and including required testing. , Perimeter Foundation Drains: After gravel and tilter cloth is installed bu! prior to backtilL Undernoor Plumbing: Prior to insulation or decking, Vnderlloor 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. Paee 3 of 4 CITY OF SPRINGFIELD' Building/Combination Permit Status, Issued PERMIT NO: COM2008-01513 ISSUED: 10/09/2008 APPLIED: '10/08/2008 EXPIRES: 04/0912009 VALUE: $ 176,995.00 225 Fifth Street, Springfield, OR 5.41-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Undertloor, Gas: After line is installed and required testing and capped ifnot attached to an'appliance. Undertloor 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 including 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, Underground Electric: Prior to cover , Rough 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 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 of any structure without permission of the Community Services Division, Building Safety. I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspeetions are requested at the proper time, tbat each address!s readable from the street, that the permit card is locatcd at thc front of the property, and the approved set of plans will remain on the site at all times during construction. ' o3::??.::.~ /0- 7- 0 x-::. Date Pa2e 4 of 4, ~~~/ DATE LS '~lO.~ SOURCE ~. Date / /:) jJ/ /) "F" SPRINGFIELD ;oo-"~_= ~ A' ~1!~~~~~~ It"::",,.'ii?>.. ~ Q'4""_'_~""'_'""-"~ yAJI 225 FIFTH STREET. SPRlNGFIELD, OR 97477 . PHc(541)726-3753 . F,L'lc (541)716-3689 ELECTRICAL PERMIT APPLICATION City Job Number ~ - 15"/.J 1. tlllaifJr~~~~Il~I}~llli 1'1<70 5 5'7~ LEGAL DESCRIPTION: 1<6 0 ~ iJ 5'.:73 'atJ t. 00 JOB DESCRIPTION: :::are:o:~ans~:~~~:::~ not started within 180 days of issuance or if work is: .____ - _Suspended,JolO-180_da)'s__c__ -c---~ ' .- ,-~~,_,.ii1j1i~,: ,~~,i~~,'~~,.--ii ~'H'~it~'",;;ii.;:1i~\;\'.~(,,:r;i~l1P:t~~,("'~'~1,~~~r8 l'{ljl~(i)~~@j'ilrnl~~m, "" Flj,121!mI():~t@;r;Y:Lld~;1 2. ~1rZ._fP.~,'1";I;~i'f,!j'1~~~'-'- ,;o-:"'~1~!,m.l~;:;itt;j)~~tt~~11iP..g1l Electrical Contractor -r;,jJ)J~,f.0. I:/ec " . Address ;;20879 Cue", cf L.lty ,g~/ ,mone 5*;-1- 31/ 1770 Supervisor License Number'''' Lj oY 'f S Expiration Date :;2&r; <] Constr. Contr. Number /72 -;,(/; ~ Expiration Date ~ <1 Signal ~re of S~pe~sing )3.1ectrician Jj) l t\~ ' \ ^- . ~ '. ~"'-~2;~'~ ,~ OWNERINSTALlikTION " 'The installation is being made on property Town which .... is not intended for sale) lease orIep.!. Owners Signature: lnspection Reqnest:, 726~3769 , 3. !~~l1.JJ.ire:_~.lIiil.9I~.1 A. ~1~"ml~ra1ltbfi~~~rli1i~I~!llil~~ii~Id lP . I~\. lA' CJ) ~O~~ $JMo 44~ Service Included l A 1000 sq. ft, or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or --..Ee.e.h,~ IIUI~: ure(Jon 'Q'" ' ''''C'' " yuu ,~55.00 - - -B~ '~'~~1l1:~~AI,'~Jf[~I'''~r~,'''i~r~&~it'f,Hi~~,~,:~M,'~rM:,,''ti'~ff,~~,~]iW,~f~~,~~t~,-f:~~m~'iM!~,'~'-1j~'~l~~ . w;- _~CQ'~,OF"' ~eirde:" ~l~nswJt:a j :om{!$llt-e~tions:tox~eloel:ttlOt't~~ "~ii~' .fi4,.;:~E~",~]}.,. IJl . " )"\tt.~'ti!;;l'~I\~!(,i!!i'".;~~;~'t'~~ri"'_'''' 11'~:1il'~!'ifrl'll"ifft@l~.lftlf:tt'J ~n OAR 952-001.0010 [hiuUgh OAR 952-001- 20'O~s'fl5J1*ay obtilin.copie~ ,..,1 tho" '1&,78fO 201 ~\l't<}QllcWropsr. (Note: the telepho$lB3.00 401 ~iWi trootl\mPlfegon Utility Notifica$'llre,OO ' 601 Ampst;9lUllIlWtJil)QO-:332-;;::;;'1'1j. .." '$180,00 overrOOo-lUi1pSIVOJls ~~ 1j .uu Reconnect Only $ 55.00 C ~lm.~~~'~~~l_"~;fJ~llit~-'iW-i~;\ij~~Tr~1~;1~'!I'''.':'~~~d:'~~~I'lii'-Wl:"""';~'J~~f.~ff~'~:';~''i:~,,~1;' ~~~f!'i~!b"c~~~tf;;~'.;~ . ~'~ ,em,I5iI?a~jl;j"", , ' cesl-""l:1 - keG. fl,'o:>C":'!li':r:",; '" ' . ";~\';,'~"'i>"H'fI1~~~1i1f,.,'i;.'U'tir~ \'!!!".ill~- "''!:,i-,""Jul;i.~~'''''b'~~''''''"'"'-',;;;~~';'>~' i<lli11'lj;d&~~ill)<:Wi~ ,-~""a' .'~ iJ1i,~:i<'J'jill~j~_ill:1t-'!.~m 'Installation; Alteration or Relocation' pnr51~ $ 76.00 $110.00 \ 200 Amps or less 201 Aml!s to 400 Amps 401 Amps to 600 Amps l\InTlCE' , , C?ver ~~O'm:n=~or)OOO VQilM~.,,_"j}~'.fl1:>,Q.ve, ," tilIf~".: "';;' ," '" .,_" -'" " r,~ ,~ '" __ ., .', '. __ ". - '.'" ~ __ _. D ,jlil1lI:'""n\!lii!1E" "."~.. "'41!~1\1 ~lr~ ,;;jj~!"'~~l"'l" ::"~~",~"1!,,ii:\i\ "~,'.,'" j!Iil&""''''''''''':~,'',\C1'',','''';,'j . ',','-IDJrn'. c: It dlrG-- . -- ", ,r:',~~, '~'~f\!!~~~~t -."i!"~'I",<'- .N"'b~~~~lrl"1'.'fo:'J..:t,~~;'1'~!,.,~t~~. ~&~nun"'L 'f'15i'" \ ~ 0!jl;~ .I ,"\.t'Ti1&-'r .~~ ",:7~' ,,1, l'~" "':' , "', ::a:!i;:j~;d~t"l;~t..t;,<,,~! N,,"(ff\f.H\"i~e~19 "0 fH17'1~&'ltfI9Uf,'[I@1 FO R ' Q,'l~HsuJtDAY PERIOD. $ 48.00 Each Addrtional Circuit or with Seriice or Feeder Permit $ 4,00' Qf,7--%iI~"'''''.''',;:r.w',!:l:!~r;;;lI''''~~m8l',;w';i:J1ii:;:; ". ."; ~.__'. .''''!r.':\!l;r''lii'''~"'''~-''"'''''''~ E ,~I'.lfJi'"k'.o-J'~$}jr~I1f{~~?4i:~t:-~~"'("~~~WI:~!l;>1l2~)~f"~~'~a. ~J1Wfi1'~<!<,. .~~.:~u,,;:1"fj.~ "-'.:'-"--'~_;"~I[;"li"ilt:-'U.,""~,,,~;if!'i;,.,r,~'~"I~,~,,~,;". .~..~, . '" 'l$Ce ~-t)em,>,,' gek\'),e" ee' er.;,"01" '''W'''d 'd " I" .h" '''''lau';'t' ~~b....'i;!~~lt,.-i:f"!:'J~~'::.t~1~~~:iF.!iifj:1fuiilllf:b.~~~Jbi"~Wffi~;' }-.~,,~l~B,.w;~..,;9,~~'<if&\W Pump or irrigation Sign/Outline Lighting Limited'EnergyfResidential' ....-, .--.... , Lirrllted Energy/Co=ercial --- $ 55.00 $ 55',00 '$'28;00 :> 50.00 Minimum Electric'Permit Inspection Fe~ is $50.00 + Surcharges 1i!>"~""ll;)'~~!~~m'''''I',~~mo;~'~''"'''''',"C'~''1Il'''!l!,,",;;;'''\'''''"'!'"~llll''' 2Jf1JrL ,.,,) 4. f~,91t(mfl~'@ffift os j!~!@;~I~:ell~~11'"'PJi~~~~~J~I~~1[~'ilcli~ii~~:'" LV' ~~~':'::~:;~'l111liZ,,",~~,,~j~':I""'i"\1!l:'i!I~ r9.lR.~ 10% Adiriinistrative Fee -.AJ:L.3-U 5% Tec4nology Fee -'1. \ . \ D TOTAL !JY, \ ?l:'\ Shared Drive(T:)/Building Fonns/E\ectrical Permit Application] -08.( ~~ Willamalane t~ Park ~ Recreation District, Job. No. &m::WO;r-olS73 SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2008 NAME: IMJlbl;.-rV ~ PHONE: .;2.26'-(;''135"'"" ADDRESS:;1'f~ !;w ~1..f+<.It:.7L CITY ~-D~d""l} STATE:QLZIP: 1??)?:, LOCATION OF PROPOSED BUILDING SITE: Street Address: /'7y~ $, 5'?!!1 Plat Name. Tax Lot Number: /UJ2 t1J3"3 d~(;cJ(j 1. DEVELo"PMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the back.) ", A. Sinale-Familv Detached NO. OF UNITS ( X $2,513 per unit"= $ 1-'5"/3 B. Sinale-FamilvAttached NO. OF UNITS X $2,726 per unit = $ ,C. Multi-Familv Aoartment ,NO. OF UNITS X $2,323 per unit = $ D. Sinale Room Occuoancv , NO. OF UNITS X $1,162 perunit == $ E. Accessorv Dwellina Unit NO, OF UNITS X $1 ,257 per unit= $ $At:)"j~.C() (/ $ WILLAMALANE SDC 2. SDC CREDIT (If applicable) SDCpayer must furnish proof of Willamalane Credit approval.) 3. TOTAL WILLAMALANE NET SDC ASSESSED, (if SDC reduced for Credit) $, ;2S"n ~ 11nu..r - tJ._cr-nr7<-- Development Services Department CitY of Springfield /tJ I J' /lJZ' Date, 5 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: C0rn2008-01513 NAME OR COMPANY: Hayden Homes LOCATION: 1990 S, 57th Place TAX LOT NUMBER: 1802033300600 DEVELOPMENT TYPE: Sin~Je Family' Residence NEW DWELLING UNITS 1 BUILDING SIZE (SF: 1979 LOT SIZE (SF): L STORM DRAINAGE, ~ It/] I~ 18 'ce: I~ ,f- IG .g2 5400 DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER SF " CHARGE 'I, .. I '2719.25 I $0,357 I = I $970,09 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 I I 50% co I ITEM I TOTAL - STORM DRAINAGE SDC '2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: ' I NUMBER OFDFU's I x I 24 'I' B. IMPROVEMENT COST: I NUMBER OF DFU's I x I COST PER DFU I 24 I $21,04 ITEM 2 TOTAL c CITY SANITARY SEWER SDC DISCOUNT $0,00 , $970.09 $970.09 1070 COST PER DFU $27.67 I. ~' ,,' $663.96 I (091 l $504.88 . I f092 II i ~, . $1,168.84 ., 3, TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE I x I 9,57 I B. IMPROVEMENT COST: I ADT TRIP RATE I I 9,57 I ! NUMBER OF UNITS I x I I 1 I x INEWTRlPFACTORI I 1,00 I COST PER TRIP 21,06 $201.54 11093 x I NUMBER OF UNITS I x I I I I I ~ , 1094 COST PER TRIP I,~ I NEW TRIP F ACTORI $92.89 I . I 1,00 I $201.54 I $0.00 ITEM 3 TOTAL - TRANSPORT A nON SDC ~, 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 $97.90 1054 = ICOST PER FEU $1,009,17 = $1,009.17 11055 $0.00 11054 $10.00 I 1056 J -I MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , $1,117.07 . '~ ~, $3,457.54 ! I~ CHARGE I $172.88 SUBTOTAL (ADD ITEMS I, 2, 3, & 4) 5, ADMINISTRATIVE FEE: I SUBTOTAL x I ADM, FEE RATE , n~~~ I % TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINlSTRATION FEE: ] 0/8/2008 157,99 '1079 $14.89 11078' $3,630.4;~.:'1 ' "I Kaye Wilson PREPARED BY TOTAL SDC CHARGES DATE DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NlThffiE,R OF NEW FIXTIJRES x UNIT EQUJV ALENT = DRAlNAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY TIlE NET ADOmONAL FIXTIJRES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUlY ALENT UNITS I BATHTUB 2 0 3 = 6 II I DRINKING FOUNTAIN 0 0 1 = 0 I IFLOOR DRAIN 0 0 3 = 0 1 IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. ,0 0 3 = 0 L IINTERCEPTORS FOR SAND / AUTO WASH / ETC. O. 0 6 = 0 1 1 LAUNDRY TUB 0 0 2 = 0 I, ICLOTHESWASHER / MOP SINK 1 0 3 = 3 . 1 ICLOlllESWASHER - 3 OR MORE (EA) 0 0 6 = 0 1 IMOBILE HOME PARK TRAP (I PER TRAILER) '0 0 12 = 0 RECEPTOR FOR REFRlG / WATER ST AnON / ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 1 0 3 = 3 SHOWER. SINGLE STALL 0 0 2 = 0 SHOWER. GANG (}lUMBER OF HEADS) 0 0 2 ,= 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 SINK: COMMERCIAL BAR 0 0 2 = '0 SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2 SINK: SINGLE LAVATORYIRESIDENTIAL BAR 1 0 1 = 1 URINAL, STALL / WALL 0 0 5 = 0 TOILET, 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 24 ' ot-EDU (Equivalent Dwelling Unit) is a dischan1;e equivalent to a single family dwellin.e; unit (20 DFUs) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE:'BASED ON COUNTY ASSESSED VALUE II I I I I, I A~~ED_._-L:_~~~~;S~~~Z~~O BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992" 1993 1994 1995 1996 1997 ]998 1999 2000 2001 ~~~ 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 2 2 2005 CREDIT FORLAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0,00 x $0,00 . ~ , $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE/1000 CREDIT RATE $0,00 x $0.00 o ,TOTAL MWMC CREDIT $0.00 = CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: COm2008-01513 NAME OR COMPANY: Hayden Homes, LOCATION: 1990 S. 57th Place TAX LOT NUMBER: 1802033300600 DEVELOPMENT TYPE: Single Family Residence NEW DWELLING UNITS I BUILDING SIZE (SF' 1979 LOT SIZE (SF): I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S,F. x I COST PER S.F. CHARGE I 2719,25 I $0.357 I = I $970.09 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 I 0,00 I I $0.357 I I 50% ~ I ITEM I TOTAL - STORM DRAINAGE SDC $970.09 DISCOUNT $0.00 5400 $970.09 .r-- Ir/) I~ 18 I'~ 1'''-1 ,f-< r/) (3 ,"-1 ~ 1]070 .;) 2 SANITARY SEWER - rlTY A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I 24 I B. IMPROVEMENT COST: I NUMBER OF DFU's I x I 24 I , COST PER DFU $27.67 COST PER DFU $21'.04 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADTTRIPRATE Ix l 9:57 I B. IMPROVEMENT COST: , I ADT TRIP RATE I I 9,57 I I NUMBER OF UNITS I x I I I I I NUMBER OF UNITS I I I I x I I ~, x ITEM 3 TOTAL" TRANSPORT A nON SDC $1,168.84 COST PER TRJP 21.06 COST PER TRlP $92.89 $1,090.52 4 SANITARY SEWER - MWMr A.'REIMBURSEMENT COST: INUMBER 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 $1,009.17 I I MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =, SUBTOTAL (ADD iTEMS 1, 2, 3, & 4) ~ , 5 ADMINISTRATIVE FEE: I SUBTOTAL x ADM. FEE RATE I~ , $4.346.52 5% I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Kaye Wilson PREPARED BY 10/8/2008 DATE $1,117.07 $4,346.52 CHARGE $217.33 $663.96 " $504.88 I x INEW TRIP FACTORI I 1.00 I I x INEW TRlP FACTORI I 1.00 I $201.54 $888.98 = $97.90 1091 I I 1092 I I 1093 I I 1094 I I 1054 I I 1055 I 1054 I 1056 I I = $1,009.17 $0.00 $10.00 TOTAL SDC CHARGES 143,94 11079 , $73.39 . 11078 =, $4,563.85 DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNlT EQUIVALENT = DRAINAGE FIXl1JRE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO, OF FIXTURES DRAINAGE UNIl: FIXTIJRE FIXTURETYPE NEW OLD EQUIVALENT UNITS I BATHTUB 2 0 3 - 6 I IDRINKING FOUNTAIN 0 0 1 = 0 I I FLOOR DRAIN 0 0 3 = 0 I I INTERCEPTORS FOR GREASE 1 OIL 1 SOLIDS 1 ETe. O. 0 3 = 0 I I INTERCEPTORS FOR SAND 1 AUTO WASH 1 ETC. 0 '0 6 = 0 I I LAUNDRY TUB 0 0 2 = 0 I CLOTHESW ASHER 1 MOP, SINK 1 0 3 = 3 I CLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0 I MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRIG 1 WATER STATION 1 ETe. 0 0 1 = 0 I RECEPTOR FOR COM, SINK 1 DISHWASHER 1 ETC. 1 0 3 = 3 I SHOWER. SlNGLESTALL 0 0 2 = 0 I I SHOWER. GANG !NUMBER OF HEADS) 0 -0 2 = 0 I ISINK: COMMERCiALiRESIDENTIAL KiTCHEN 1 0 3 = 3 I I SINK: COMMERCIAL BAR 0 0 2 = 0 j' ISINK: WASH BASINIDOUBLE LAVATORY 1 0 2 = 2 I SINK: SINGLE LA V A TORY /RESIDENTIAL BAR 1 0 1 = 1 I IURlNAL, STALL 1 WALL ,0 0 5 = 0 I ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 I TOILET, PRIVATE INSTALLATION 2 0 3 = 6 I MISCELLANEOUS DFU TYPE NUMBER'OF EDU'S I 20 = 0 , TOTAL DRAINAGE FIXTURE UNITS 24 II _*EDU (Equivalent Dwellin~ Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 1671?,aJ!ons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE II YEAR ANNEXED I BEFORE 1979 1979 I 1980 I 1981 I 1982 I 1983 I 1984 1985 I 1986 I 1987 I 1988 I 1989 I 1990 I 1991 1992 I 1993 I 1994 I 1995 I 1996 I . 1997 I 1998 1999 I 2000 . I 2001 CREDIT RATE/$I,OOO II ASSESSED VALUE IS LAND ELGlBLE FOR ANNEXATION CREDIT? 2 (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGffiLE FOR ANNEX. CREDIT? 2 (Enter I for Yes, 2 for No) BASE YEAR 2005 CREDIT FOR LAND (IF APPLICABLE) VALUE 11000 CREDIT RATE $0.00 x $0.00 ~I $0,00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXA liON) VALUE 11000 CREDIT RATE $0,00 x $0,000 = $0.00 TOTAL MWMC CREDIT 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/JournalNumber COM200S-01513 COM200S-01513 COM200S-01513 COM200S-0 1513 COM200S-0 1513 COM200S-01513 COM200S-0 1513 COM200S-01513 COM200S-0 1513 COM200S-01513 COM200S-01513 COM200S-01513 COM200S-0 1513 COM200S-0 1513 COM200S-01513 COM200S-01513 COM200S-0 1513 COM200S-0 1513 COM200S-0 1513 COM200S-0 1513 COM200S-0 1513 COM200S-0 1513 COM200S-01513 COM200S-0 1513 COM200S-0 1513 COM200S-0 1513 COM2008-0 1513 COM200S-0 1513 COM200S-0 1513 COM200S-0 1513 COM200S-0 1513 COM200S-0 1513 COM200S-0 1513 COM200S-01513 COM200S-0 1513 Payments: Type of Payment CreditCard cRCCcin! I City of Springfield Official Receipt Development Services Department Rublic Works Department' RECEIPT #: 1200800000000001054 Date: 10/09/2008 2:27:50PM Description Plan Review Major - Planning Plan Review Residential Building Permit Addressing Assignment Willamalane Single Family 2 Baths One or Two Family Sanitary Sewer Each Addtl 100' Water Line - Each Addtl 100' Storm Sewer Each Addtl 100' Furnace - up to 100,000 btu Vent Fan Appliance Vent Exhaust Hoods Dryer Vent Fireplace (Listed) 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 Permit Storm Drainage Impervious Area Curbcut Permit Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transportation Adinin + 5% TechnologyFee + 12% State Surcharge + 10% Administrative Fee Amount Due 211.00, 603.48 92S.43 37,00 2,513,00 2S9.00, 17.00 17.00 34.00 15,00 24.00 S.OO 11.00 S,OO IS,OO 6,00 42,00 121.00 44,00 57,00 98.70 S8.00 970.09 SS.OO 663.96 504.SS 201.54 97,90 1,009.17 , 10,00' 157.99 14.S9 99.22 191.69 169.61' $9,369,55' Paid By TIM DRIELlNG/HA YDEN HOMES Item Total: Check Number Authorization Received By Batch Number Number How Received njm 000196 In Person $9,369,55 Amount Paid Payment Total: $9,369,55 Page 1 of 1 10/9/200S