HomeMy WebLinkAboutPermit Building 2009-1-20
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00081
ISSUED: 01/20/2009
APPLIED: 01/20/2009
EXPIRES: 07/20/2009
VALUE: $ 228,190.82
. _~!l~~!'!~'li!!!!!lg;, '. .. .... .
. ,..',',' ,~ ." ~;'_H~' ,').c"'~.:Y')~
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Liue
SITE ADDRESS: 1102 S 41ST PL
ASSESSOR'S PARCEL NO.: 1802064110600
Spriugfield TYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: New siugle family dwelling
TYPE OF USE: New
Residential
Overlay Dist: Total:
# Street Trees Rqd: '5 Haudicapped:
Paved Drive Rqd: ATTENTiON: O'Yes~;' I~'v rConi"l)~cl:)~I.o
% of Lot Coverage:JIIOW rulas at36~Oo2 by :11(: ure,)on Ullllly
Notification Center, I nose rules al e set forth
in nH' Q~?-nn1-0010 throuch Of\R 952-001-
I PUBUC IMPROVEME'N-TS'. You may obtain. caples 01 me rUles uy
, .dng the center. (Note: the telephone
F II I d number f6.i<!r,\yalkEJ;ype:Ulility Notlflcatlonc b'd 5'
u y mprove is 1-ROO-3~2-2344). ur Sl e
Storm Sewer Available:"E' Yes Clj)lJWnspouls/Drams: Curb and Gutter
"u "V . WORK
Special Instructiolu81S PERMIT SHALL EXPIRE IF THE .
AIITI-loimm m'DER THIS PERMIT IS NOT
Notes: storm water to ciJrb.'Traffi~,J.Ip.p., Qy~,~~tdFcr\!\ 1/20/2009
. COMMENCED OR I::> I-itlJ-\I~UVI
ANY 180 DAY PERIOD.
Owner: BRUCE WIECHERT CUSTOM HOMES INC
Address: 3073 SKYVIEW LN
EUGENE OR 97405
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechauical
Plumbiug
Contractor
BRUCE WIECHERT CUSTOM HOMES INC
L & E ELECTR]C INC
COMFORT FLOW
STEVE R JOHNSON
License
101717
105475
460
65065.
BUILDING INFO~MA T10N I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: 1
Height of Structure 24.00
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Gas
Energy Path:
Sprinkled Building: No
R-3
VB
2
I. DEVELOPMENTINFORMATlON ,
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
16.00
14.00
18.00
14.00
Street Improvements:
Paee 1 of4
Expiration Date
09/16/20]0
03/30120] 0
06/27/2009
03/] 2/20] 0
Phone
541-686-9458
541-933-2653
541-726-0100
541-342-3765
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
1,962
1,013
REQUIRED PARKING
2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
.541-726-3676 Fax
541-726-3769 Inspection Line
Description
Garal!e/Misc
SFmuplex
Type of Construction
U VB Utility
R-3 VB 1&2 Family
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
2 Baths One or Two Family
Addressiug Assignment
Appliance Vent
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Resideutial
Fireplace (Listed)
Furnace - up to 100,000 btu
Gas Outlets 4+
Overwidth Application Fee
Perm Serv/Fdr 200 amps or less
Plan ReviewMajor - Planning
Piau' Review Residentia]
Plan Review Resideutial
PW Disc - 3rd Permit
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer - Improvemeut
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Trauspo Improvement
SDC Trauspo Reimbursement
SDC Trausportation Admin
Sidewalk Permit
Temp Power 200 amps or less
Vent Fan
WilIamalaue Single Family
I V aluation Oescrin~ion I
$ Per Sq Ft
or multiplier
$37.72
$96.83
Square Footage
or Bid Amount
1,013.00
1,962.00
Total Value of Project
I FIlPr' p~;.-I .
~ rr ~ ,'".......
Amount Paid
Date Paid
$250.29
$122.64
$79.00
$337.00
$38.00
$9.00
$1,233.78
$88.00
$9.00
$13.00
$148.75
$20.00
$17.00
$4.00
$40.00
$81.00
$211.00
$341.27
$460.69
$_60.00
$134.00
$50.00
$525.91
$691.63
$10.00
$1,009.17
$97.90
$90.34
$888.98
$201.54
$80.92
$88.00 .
$63.00
$36.00
$2,858.00
1/20/09
1/20/09
1/20/09
1/20/09
1/20/09
1/20/09
1/20/09
1/20/09
1/20/09
1/20/09
1/20/09
1/20/09
1/20/09
1/20/09
1/20/09
1/20/09
1/20/09
1/20/09
1/20/09
1/20/09
1/20/09
1/20/09
1/20/09
1/20/09
1/20/09
1/20/09
1/20/09
1/20/09
1/20/09
1/20/09
1/20/09
1/20/09
1/20/09
1/20/09
1/20/09
Pal!e 2 of 4
CITY OF SPRINGFIELD
. Building/Combination Permit
PERMIT NO: COM2009-00081
ISSUED: 01/2012009
APPLIED: .01/20/2009
EXPIRES: 07/20/2009
VALUE: $ 228,190.82
Value
Date Calculated
$38,210.36
$189,980.46
$228,190,82
01/2012009
01/20/2009
Receipt Number
1200900000000000026
1200900000000000026
1200900000000000026
1200900000000000026
1200900000000000026
1200900000000000026
1200900000000000026
1200900000000000026
]200900000000000026
1200900000000000026
1200900000000000026
1200900000000000026
1200900000000000026
1200900000000000026
1200900000000000026
1200900000000000026
1200900000000000026
1200900000000000026
2200900000000000065
1200900000000000026
']200900000000000026
1200900000000000026
1200900000000000026
1200900000000000026
1200900000000000026
1200900000000000026
1200900000000000026
1200900000000000026
]200900000000000026
]200900000000000026
1200900000000000026
1200900000000000026
1200900000000000026
1200900000000000026
1200900000000000026
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00081
ISSUED: 01/20/2009
APPLIED: 01/20/2009
EXPIRES: 07/20/2009
VALUE: $ 278,190.82
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Iuspection Line
Total Amount Paid
$10,268.81
I Plan Reyiews I
Structural Review
01/20/2009
Planuinl1 Review
01120/2009
01/20/2009
APP EMM
Street tree Plantiug plan for Filbert
Meadows attacbed. Leave uame
tags on trees until inspected. Rear
setback on plans not shown to scale,
must be minimum 10' setback.
Traffic app. overwidtb drive.
1/20/2009
Public Works Review
01/20/2009
01120/2009
APP BJG
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 Rpnnirp.r1 In~lPrtinn., ,
Erosion/Grading Inspection: Prior to ground disturbanceaud after erosion measures are installed.
Sidewalk - Curbside: After forms are erected but prior toplacement of concrete.
Curbcut - Overwidth: After forms are erected but prior to placement of concrete.
Ufer Electrical Ground: Install ground rod at footing aud call for inspection iu coujunctiou with footing and/or
foundatiou iuspection. .
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insulation or decking.
Ftoor Iusulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to co'Cer and after all rough in inspections have been approved.
Wall Insulatiou: Prior to cover.
Ceiling Iusulation: Prior to cover.
Drywall: Prior to taping.
Final Building: After all required inspeftions bave been requested and approved and the building is complete.
Undertloor Plumbing: Prior to iusulatiou or decking,
UnderOoor Drain: Prior to cover or placement of concrete.
, .
Rough Plumbing: Prior to cover and including required testing.
Pal1e 3 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-00081
ISSUED: 01/20/2009
APPLIED: 01/20/2009
EXPIRES: 07/20/2009
VALUE: $ 228,190.82
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Water Line: Prior to filling treuch aud including required testing.
Sanitary Sewer Line: Prior to filling trench and iucluding required testiug.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing workis complete.
Underfloor Mechanical. Prior to insulation or decking and includiug required testing.
Underfloor 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 aud capped if not attached to an appliance.
Gas Service: After line is installed and Iiuehas been conuected to a minimum of one appliance includiug required
testing. Presure test done at this point.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechauical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing' service.
Final Electric: When all electrical work is complete.
Temporary Electric: Approval reqnired prior to Utility Company energizing pole.
By signature, I state audagree, 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 Ordinauces ofthe City of Springfield and the Laws of the State of Oregon pertainiug to the work described herein, and
that NO OCCUPANCY will be made of any structure without permissiou of the Community Services Divisiou, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on tbis project.
I further agree to ensure that all required inspections are requested at the proper time, tbat each address is readable from the
:~}i:;' ,",,~ " '" ,,,,' "".. ,row", ." .., .""". ., "' ,,,~ wm ,,,,,... ." .." .," " ..
-1/7 / Y /teh z!Oq
Owner or Contractors Signature .L ,?-
Paee 4 of 4
--"-
~ ~Willamal.ane
t park & RecreatIOn Distnct
Job.No.~ .2009" - o<">'">x I
SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2009 .
NAME: 7.JWUI-- PHONE: d?i&Jc" 7'1.J cf
. ADDRESS:Jo?3 S Icy <./ 1/o.-"1J CITY t..7At.. ,y7-/C ST A TE:OiLZII::l: ~?Y() \
LOCATION OF PROPOSED BUILDING SITE:
Street Address: } 10"2- ,~ 41,s! P ,
PlalNaryle:
Tax:Lot Number: Ift.J2{;r;, e/I'
1. DEVELOPMENT TYPE (Check 'appropriate dwelling(s), [)w~lIing type definitions ~re on the.
back.)'
. A. Sinale~Familv Detached
. NO. OF UNITS. I
X $2,858.per unit =. . $ ).1) S-o
'i
B.Sinale-F ami"! Attached
. ,
NO. OF UNll1S ,.
x $3,100 per unit=
$
C. Multi-FamilyAoartment
NO. OF UNITS
X $2,641 per unit =
$
D. Sinale Room Occuoancv
NO, OF UNITS .
X $1 ,321 per unif=
$
E. Accesscini Dwellino Unit
NO. OF UNITS
X $1,550 per unit =
$
. WILLAMALANE SDC $
2. SDC CREDIT (If applicable)SDC payer must fumish proof of
.'
Willamalane Credit approval.) , $
. . " ,
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
/lI!J1A .
~elopment ~rvices Department
City of Springfield
. ,
$ :J--Fsf
. / / 2-d / 0:>
Date
.5
e' CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER:
NAMC'OI\ COMPANY:
LOCATION:
TAX.LOTNUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
1. STORM DRAINAGE
.._._-
COM2009-00081
BRUCE WIECHERT
1102 SO. 41ST. PL
1802064110600
Single Family Residence
I BUILDING SIZE (SF' .
2616
LOT SIZE (SF):
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. CHARGE I
I 0.00 I $0.357 I = 1 $0.00
RUNOFF ROUTED TODRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. 1 x I COST PER S.F. I x I DISCOUNT RATE I 1
1 0.00 I I $0.357 I 1 50% ~ I
ITEM 1 TOTAL- STORM DRAINAGE SDC $0.00 l
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's 1 x
I 25 I
B. IMPROVEMENT COST:
I NUMBER OF DFU's 1 x
I 25 I
B. IMPROVEMENT COST:
1 ADT TRJP RATE I x
1 9_57 I.
DISCOUNT
$0.00
8276
$0.00
r~
,0
IU
ltil
., I-<
rn
-
o
gz
11070
I
I
1
COST PER DFU
-$27.67
I COST PER DFU I
I. $21.04 I .
$1,217.54
I NUMBER OF UNITS I x 1
I 1 I 1
COST PER TRJP
21.06
,
ITEM 2 TOTAL.- CITY SANITARY SEWER SDC = ,
3_ TRANSPORTATION
A. REIMBURSEMENT COST:
1 ADTTRIP RATE I . x
I 9.57 I
I NUMBER OF UNITS I x I
I I, I
COST PER TRJP
$92.89
$1,090.52
ITEM 3 TOTAL - TRANSPORT A nON SDC ~ I
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's 1 x
1 I 1
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMJNISTRA TlVE FEE
ITEM 4 TOTAL-MWMC SANITARY SEWERSDC ~,
SUBTOTAL (ADD iTEMS I, 2, 3, & 4) ~ ,
5. ADMINISTRATIVE FEE:
I SUBTOTAL x I ADM. FEE RATE 1=
I $3,425.13 I 5% 1
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
B. IMPROVEMENT COST:
INUMBER OF FEU's I x
I 1. ,I
. 1 COST PER FEU
1 $97.90
ICOST PER FEU
I $1,009.17
$1,117.07
x INEW TRJP FACTORI
I 1.00 I
x INEW TRIP.FACTORI
I 1.00 I
~ I
$691.63
1091
,
i
11092
I
1
I
11093
I
i 1094
I
11054
I
I 1055
111054
1056
$3,425.13
$525.91
$201.54
$888.98
=, $97.90 .
= $1,009.17
$0.00
$10.00
CHARGE
$171.26
Ben Gibson
1/20/2009
PREPARED BY
90.34 11079
. $8992... 11078
DATE
TOTAL SDC CHARGES.
$3,596:39 -
DRAINAGE FIX!.URE UNIT (DFU) CALCULATION TABLE ( .
, ,. ", , . "~
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADOmONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
BA TIITUB 1 0 3 = 3
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
ILAUNDRY TUB 0 0 2 = 0
ICL011IESW ASHER / MOP SINK 1 0 3 = 3
ICLOTHESWASHER - 3 OR MORE lEA) 0 0 6 - 0
IMOBlLE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0
RECEPTOR FOR COM. SINK I DISHWASHER / ETC. 1 0 3 = 3
SHOWER, SINGLE STALL 2 0 2 = 4
ISHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
ISINK: COMMERCiAL/RESIDENTIAL KirCHEN 1 0 3 = 3
I SINK: COMMERCIAL BAR 0 0 2 = 0
I SINK: WASH BASIN/DOUBLE LA V A TORY 1 0 2 = 2
ISINK: SINGLE LAVATORYIRESIDENTlAL BAR 1 0 1 = 1
URINAL, STALL / WALL 0 0 5 = 0
TOILET. PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRIVATE INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 25 I
..:?DU (EQuivalent Dwellin~ Unit) is a discharge eouivalent to a single family dwellinl! unit (20 DFU's) set at 167 ~Ions per day _I
MWMC CREDIT CALCULATION TABLE: BASED ON COUN:ry ASSESSED VALUE
YEAR
ANNEXED
iBEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
199]
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$I,OOO II
ASSESSED V~
'$~
IS LAND ELGlBLE FOR ANNEXA nON CREDIT?
(Enter I for Yes, if or No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2 forNn)
BASE YEAR
2
2
2006
CREDIT FOR LAND (IF APPLICABLE)
VALUE/lOOO CREDIT RATE
$0.00 x $0.00
~ I
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE/lOOO CREDIT RATE
$0.00 x $0.00 ~ I
o
TOTAL MWMC CREDIT
=,
$0.00
'I
I
I
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER: COM2009-00081
NAMe OR COMPANY: BRUCE WIECHERT
LOCATION: 1102 SO_41ST. PL
TAX LOT NUMBER: 1802064110600
DEVELOPMENT TYPE: Sin~le Family Residence
NEW DWELLING UNITS I BUILDING SIZE (SF' 2616 LOT SIZE (SF):
1 STORM DRAINAGE
8276
1['
Iff)
U-l
IQ
10
I~
IU-l
f-
ff)
G
U-l
0::
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F_ x I COST PER S.F. 1 I CHARGE
I 4010.00 I $0.357 I = . $1,430.56 I
RUNOFF ROUTED TO DRY WELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
1 IMPERVIOUS S.F. I x I COST PER S.F. I x 1 DISCOUNT RATE I I
I 0.00 ,I I $0.357 I 50% I ~ 1
ITEM I TOTAL - STORM DRAINAGE SDC I $1,430.56 ,
2 SANITARY SEWER - CITY
A REIMBURSEMENT COST:
I NUMBER OF DFU's I x
I 25 I
B. IMPROVEMENT COST:
I NUMBER OF DFU's I x
I 25 I
COST PER DFU
$27.67
COST PER DFU
$21.04
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
~ ,
-.
, TRANSPORTATION
A REIMBURSEMENT COST:
I ADT TRJP RATE I x
I 9.57 I
B. IMPROVEMENT COST: .
I ADT TRIP RATE I
9.57 I
: NUMBER 101' UNITS I x I
1 NUMBER OF UNITS I x 1
I I I I
= ,
x
ITEM 3 TOTAL - TRANSPORT A nON SDC
$1,217.54
COST PER TRJP
2106
COST PER TRIP
$92.89
$1,090.52
DISCOUNT
$0.00.
x INEW TRIP FACTORI
I 1.00 I
x I NEW TRIP I' ACTORI
I - 1.00
4. SANITARY SEWER - MWMr.
A REIMBURSEMENT COST:
INUMBER OF FEU's I x
I I I
ICOST PER FEU
. $97.90
B. IMPROVEMENT COST:
INUMBER OF FEU's I x
I I ,
ICOST PER FEU
I $1,009.17
1
_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 I ADM. FEE RATE I~
I $4.855.69 I 5% I
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
$1,117.07
$4,855.69
CHARGE
$242.78
Ben Gibson
1/20/2009
$5,098.47
I
II
PREPARED BY
DATE
$1,430.56
I 1070
"
,_ $691.63 1 1091
I
$525.91 1 1092
I
$201.54
'j 1093
11094
I
$888.98
=
$97.90
I 1054
I
11055
=
$1,009_17
$0.00 1 1054
$10.00 11056
I
-II
,
I!
171.96 11079
$70_82 11078
TOTAL SDC CHARGES = ,
- ----
"--.--
DRAINAGE FIXTURE UNIT (DFU) C_ALCULATION TABLE
NUMBER OF NEW FIXTIlRES :It UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS. CALCULATE ONLY TIlE NET ADDITIONAL FIXllJRES)
NO. OF FIXTURES
FIXTURE TYPE
tBATHTUB
I DRINKING FOUNTAIN
I FLOOR DRAIN
IINTERCEPTORS FOR GREASE lOlL I SOLIDS I ETC.
I INTERCEPTORS FOR SAND / AUTO WASH / ETC.
I LAUNDRY TUB
ICLOTHESWASHER I MOP SINK
CLOTHESWASHER - 3 OR MORE (EAl
IMOBILE HOME PARK TRAP (I PER TRAILER)
I RECEPTOR FOR REFRlG/WATER STATION I ETC.
I RECEPTOR FOR COM. SINK I DISHWASHER I ETC:
ISHOWER. SINGLE STALL
I SHOWER. GANG (NUMBER OF HEADS)
ISINK: COMMERCiAiiRESIDENTIAL KITCHEN
ISINK: COMMERCIAL BAR
I SINK: WASH BASlNIDOUBLE LA V A TORY
ISINK: SINGLE LAVATORY/RESIDENTIAL BAR
I URINAL. STALL / WALL
ITOlLET, PUBLIC INSTALLATION
ITOILET, PRIVATE INSTALLATION
MISCELLANEOUS DFU TYPE
NUMBER OF EDU'S
TOTAL DRAINAGE FIXTURE UNITS
..
,
NEW
.---.
1
o
o
o
o
o
1
o
o
o
1
2
o
1
o
1
1
o
o
2
UNIT
OLD EQUIVALENT
0 3 =
0 1 =
0 3 =
0 3 =
0 6 =
0 2 =
0 3 =
0 6 =
0 12 =
0 1 ., =
0 3 =
0 2 =
0 _2 =
0 3 =
0 2 =
0 2 =
0 1 =
0 5 =
0 6 =
0 3 =
20 =
,.EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 ~llons per day
DRAINAGE
FIXTURE
UNITS
3
o
o
o
o
o
3
o
o
o
3
4
o
3
o
2
1
o
o
6
o
25
I
l
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
I YEAR
ANNEXED
I BEFORE 1979
1979
I 1980
I 1981
I 1982
I 1983
I 1984
I 1985
I 1986
I 1987
I 1988
I 1989
I 1990
I .1991
I 1992
I 1993
I 1994
I 1995
I 1996
I 1997
I 1998
I 1999
I 2000
I 200]
CREDIT RATE/$I,OOO
ASSESSED VALUE
"c, $5.29
.. $5.29
$1.59
$1.45
...-c".~,.~
1.25
.. A1.0S
$0.92
i~: 'r:i~::$O:72
-c'":; '~::~jp.48 _
;~:;::,-::~JH~~i"~~~;"
IS 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
CREDIT FOR LAND (IF APPLICABLE)
VALUE I 1000 CREDIT RATE
$0.00 x $0_00
2
2
2006
~ ,
$0_00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE I 1000 CREDIT RATE
.$0.00 x $0.00 ~ , 0
"
TOTAL MWMC CREDIT
=
$0.00
City of Springfield Official Receipt
. Development Services Department
Public WorkS Department
225 Fifth Street
Springfield, Oregon 97477 .
541-726-3759 Phone
Job/Journal Number
COM2009-00081
COM2009-0008l
COM2009.-0008l
COM2009-00081
COM2009-00081
COM2009-0008l
COM2009-00081
COM2009-00081
COM2009-00081
COM2009-00081
COM2009-00081
COM2009-00081
COM2009-00081
COM2009-00081
COM2009-00081
COM2009-00081
COM2009-00081
COM2009-0008l
COM2009-00081
COM2009-00081
COM2009-00081
COM2009-0008l
COM2009-00081
COM2009-00081
COM2009-00081
COM2009-00081
COM2009-00081
COM2009-00081
COM2009-00081
COM2009-00081
COM2009-00081
COM2009-00081
COM2009-0008l
COM2009-00081
Payments:
Type of Payment
CreditCard
cReceint I
.F
RECEIPT #:
1200900000000000026
3:02:44PM
Date: 01/20/2009
Description
Sanitary Sewer - Reimbursement
Sanitary Sewer" Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement.
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC SanitarylStorm Admin
SDC Transportation Admin
Curbcut Permit
Sidewalk Permit
Overwidth Application Fee
PW Disc - 3rd Permit
Plan Review Major - Planning
Plan Review Residential
Buitding Permit
Addressing Assignment
WiIlamalane Single Family
2 Baths One or Two Family
1st Appliance
Furnace - up to 100,000 btu
Vent Fan
. Appliance Vent
Exhaust Hoods
Dryer Vent
Gas Outlets 4+
Fireplace (Listed)
Residence Wiring 1000 Sq Ft
Residence Wiring Ea AddU 500
Temp Power 200 amps or less
Perm Serv/Fdr 200 amps or less
Fire SF Fee - Residential
+ 5% Technology Fee
+ 12% State Surcharge
Amount Due
691.63
525.91
201.54
888.98
97.90
1,009,17
10.00
90.34
80.92
88,00
88.00
40.00
(60.00)
211.00
341.27
1,2337&
38.00
2,858.00
337.00
79.00
17.00
36:00
9.00
13.00
9.00
4.00
20.00
134.00
50.00
63.00
81.00
148,75
122,64.
25.0.29
$9,808.12
Paid By
BRUCE WIECHERT CUSTOM
HOMES
Hem Total:
<"':heck Number Authorization
Received By Batch Number Number How Received
Amount Paid
njm
005220 In Person
$9,808.12
Payment Total:
$9,808.12
,
Page.] of!
1/20/2009