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Home My WebLink AboutPermit Building 2009-2-27 CITY OF SPRINGFIELD Building/Combi'nation Permit PERMIT NO: COM2009-00253 ISSUED: 02/27/2009 APPLIED: 02/23/2009 EXPIRES: 08/27/2009 VALUE: $ 206,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726'3676 Fax 541-726'3769 Inspection Line SITE ADDRESS: 5719 MINERAL WA Y ASSES~OR'S PARCEL NO.: 1802033300200 Springlield TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single Family Residence, Jasper meadows, Lot 242 Residential Owner::' Address: HA YDEN HOMES LLC ATTENTION: Oregon raw requires you to 2464 SW GLACIER PL STIfojl.~ rules adopted by the Oregon Utility REDMOND OR 97756 ~o,!!~~a!I?~ C..e~t:!.Those rules are set forth -!- e.:-:: _'":.... I~ LlIIVUYII VAN ~o~-UU1. 0090.. ~"~(?IMN'I"ORI\IIIA.TlIl1)llI ~ ca"I~.:'",'.m 'f ~IU,~!,M'ro:o","611"'iiJ'" . C . number for the Oregon Utility N~ilil'",li= on tractor Center is 1-800-3:32-234 L'et1'!Ie' HAYDEN ENTERPRISES 2208 TOP NOTCH ELECTRIC INC 172366 PACIFIC AIR COMFORT INC 39237 PLUMBING PLUS INC 90482 Contractor Type General' Electrical Mechallieal Plnmbing . BUILDING INFORMATION' # of Units: NO ~ # of Stories: 1 Primary Occnpancy Gronp: TJ~E: Height ofStrncture . 19.50 Secondary Occnpancy Group: THIS FUtRMIT SHAtWEXPlJmtlF THE"WMlf\ir Gas Primary Constrnction Type AUTfilmlZED UNDMtnr~I/!ERMIT IS NOT Gas Secondary Construction Type: COMMENCED OR fSdlWAlilml'5NED FOR Gas # of Bedrooms: . ANY 1 ab DAY PER~rgy''Jlatll: ~'trnkled Building: n/a I DEVELOPMENT INFORMATION' Front yard Setback: Side I S.~tback: Side2 Sbtback: Rearyar" Setback: Solar Se'tbacks: Overlay Dist: #'Street Trees Rqd: Paved Drive Rqd: 'Yo' of Lot Coverage: 10.00 13.64 5.00 12.60 0:00 I PUBL1~ IMPROVEMENTS' Street Irhprovements: Storm Sewer Available: Speciallnstructioll: Expiration Date 07/29/2009 09/29/2010 03/25/20 I 0 05/10/2009 Phone 541-228-1081 541-317-1998 541-672-9510 541-926-3190 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 5,273 1,579 480 REQUIRED PARKING 3 Yes 39.00 Total: Handicapped: Compact: 2 Sidewalk Type: Curbside 7' Curb and Gutter Fully Improved Yes Storm water to drain via weep hole to curb DOWllspoU ts/Oraills: , Notes: Pagel of 3 CITY OF SPRINGFIELD Status .. Issued Building/Combination Permit PERMIT NO: COM2009-00253 ISSUED: 02/27/2009 APPLIED: 02/23/2009 EXPIRES: 08/27/2009 VALUE: $ 206,000.00 225 Fifth Strcet, Springfield, OR 541-726,3753 Phone 541-726,3676 Fax 541-726:3769 Inspection Line 1 Val~~tion Descrintiotl I Bid Amonnt Use Bid Amount $ Per Sq Ft or multiplier $1.00 Square Footage ol'Bid Amount 206,000.00 Value . Date Calculated Descriotion Tv De of Construction Total Value of Project $206,000.00 $206,000.00 02/23/2009 Fpp< P'j',j . I' ,.... Fee Description Amount Paid Date Paid ReceipfNumber Total Amount Paid $0.00 Plan Reviews , Initial Review Plannin{! Review 02/23/2009 02/23/2009 02/23/2009 02/23/2009 APP APP LLH TAJ Public ~orks Review Structural Review 02/23/2009 02/23/2009 02/23/2009 0212312009 APP APP LKW CJC 3 street trees required: 1 on Mineral, 2 on S 57th. follow Strect Tree Plan , Storm water to curb via weephole As noted on plans/ Conditions letter 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 .R1,>I1";"P,j Im'rpptiono . ,,1,"~lr ~ Erosion/Grading Inspection: Prior to ground disturbance and after .erosion measures are installed. Sidewalk - Curbside: After forms are erected bnt prior to placement of concrete. C;urbcnt - Standard: After forms 'are erected but prior to placement of concrete. Ufer Electrical Gronnd: Install gronnd rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. p;ost and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Framing Inspection: Prior to cover and after all rongh in inspections have been ~pproved. Wall Insulation: Prior to cover. Pa~e 2 of 3 CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2009-00253 ISSUED: 02/27/2009 APPLIED: 02/23/2009 EXPIRES: 08/27/2009 VALUE: $ 206,000.00 225 Fifth Street. Springlicld, OR 541-726,3753 Phone 541-726-3676 Fax 541-726c3769 Inspection Line Ceiling Insulation: Prior to cover. D,rywall: Prior to taping. Final Bnilding: After all required inspections have been reqnested and approved and 'the bnilding is complete. Perimeter Foundation Drains: After gravel and Iilter cloth is installed but prior to backlill. Underlloor Plumbing: Prior to insnlation or d~cking. ~ndernoor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including reqnired testing. Water Line: Prior to Iilling trench and inclnding required testing, S'anitary Sewer Line: Prior to tilling trench and including required testi':1~. Storm Sewer Line: Prior to filling trench. Final Plnmbing: When all plumbing work is complete. Underlloor Cas: After line is installed and required testing alidcapped 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 minimum of one appliance including required testing. Presure test done at thi~ point. . Rough Mechanical: Prior to Cover Final Gas: When all gas wo'rk is complete. Final Mechanical: When all me('hanical work is conlplete. Temporary Elcctric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior.to Cover Electric.Service: Approval required prior to utility comp~lOY 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 informa,~ion hereon is true all~ correct, and I fur.ther certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springlield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made orany structure without permission of the Community Services Division, Building Safety. I furthe;' 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 d~ring construction. . ~~ 4/!/4- ~r-)7--d1 Owner ~r Contractors Signature, U Date Pa~e 3 of3 ZON L.d.f WITIALS rY1~)0 I2j DATE g '1.)- SOURCE 215 FJFTH STREET. SPRINGFIELD, OR 97477 . PH,(54l)726-3753 . FAX, (541)726-3689 "~nc.. \IOu, ..... - - - -B- ~1~t~;~~:~lli~~J~t~i~~i0MPi';\Alt}~11W~~~I' r:i~)!,~1f&1J,~-o!;'''''~~;'iii'91m.>;0',,~.uJ _ ""><liIItces.,oF,~:eeuec>',*,hstliJmtion'" "rJ('m 1" "WO'I ,. ..m!l8' '.,,, .-:""'\O~' p.d.0,]&'E~~::'l~~"~~"]t~lll'swil.~~~!:.!:,[~,!Iilir;'"'';"t".,.r,.~li-':,;[;r:).~ OJ: "~~~~~h~~~~~"l~~ri;~, D..J.}\ir'" :I <-"I c\ I)'e~-' \ S '1"-' _.~ -- - po. , Il'e~ a 0 ' -noSO\ll0 ". 952..00'- \0110'<'1 I \ ~vr20,0.'AIDp's\or,lessl 01\1'1 'llles 'o~ $ 70 00 . s.\\O"V- \I\iltl"v-~ \\\1e, . . .' Na\l1\Co 9S2..\20'1'l!ill:ips,toc400 Whps\un'wre $ 83.00 /1 /'.J . 0/'." ." QI)tCl" - : -' \"e Ie, v~' t' n . l,'J've7 '--T ' \n_~O '{all t'40IArnp's,fo(600 Arnp'so\ihca '0 $138.00 vv,-,. \\-.p.; cent\:J. , r. \Jl\\\l'J ,. mm.. mo'''' "ailing "601 AID's'W 1 OOO,Aill',(t) , $'18000,- -]'A_~ _ C _hot "\Ol \.11...." ~ .RUU-.)v-. P . Pnone 7<t! .>( I f'Ji'J$" ce\\X<;l IGO()AIi'ipSfVOi" ",413:Ou Reconnect Only $ 55.00 New Alteration or Extension Pe-rPn:nel One Circuit Eaoh AI ddI110n~1 Circu.it or with . IV.~ '7"',. . ServIce o:fEe.eder Perrrut TJ-II'<',,-:":' . E '~i~If,~\r~~,W~~ii1)t:~~~~~r'?~j11J:~~]~11:c~,~;:t:'~~~'i~ij'!i',~'W'd'i!,,'iffli,;i:"".qW~~T~..r ;1~.k."".~1~S$? . - C~1:~!~~w,~~~J't":~t~!Vm~~'I~l1,,1i.,<,,~~~~&J~~~;!JlMi*~ fPp;npJ.'rlinig~tiei)r ER THIS p ! THE IIiIcrFfR'OO . S~goJd&lt1i11,rT irt'Nf.J A8MJDO~~IVI/T IS 'Vb 15.00 . OWNERlNSTALbkTION bJIuted Energy/Resl1{JntIal- ..--U-F{)R ..'$'2.8cOO- ... _..... -The mstaUation is being made on pr~- erfY ]"0-- which ..- .... . -- Lnnited Energy/CammercJa! --- $ 50.00 IS not intended for sale, lease or ren . Minimum E,Jectric Permit Inspection Fe~ is $50.00 + Surcharges ~ "'~ii"\i'~.,;'-'l:m,":!i'ill~T''''''''''''I''I'-rmm",""",''''''''''''''''~",",'=","''"'' ~'I I' ",' ,'c. ..",'. :-".,.~..:~L,""",,;,,,,,_'''[iimJ'';Ui '''''!If.!~!.i':f ':"";.l;"'li'ik!!1;':;I'~"''''-.'< v""'~.' i~.'.l!I.'.;~C','''. "".i'~,' ~.'~;11iP~'."rJ, ";"~Jg,;!.{1),'" " O S tor 4 1i,SQi:7fRfTb'ffi,'- J,i',1,1iJf.w.~I' f~1JRt11il1~'i~i{i'~~~~I~~~lWj;lii!ll!ti't;i,;~";;;' wners igna e: ' . r['~ifaVi~ij":,-~rliiicltti'~~~~_~r~~~~J]~~rn~l8ri~~~l " '(', ~ _, '\) - 12% State Surcharge (\ '-.J 1\ U\.: .... 10% AcJ:mlliistrative Fee \....-' ()( \...., 5% Tecbnology Fee. ELECTRICAL PERMIT APPLICATION m--'l.-s3 City lob Nlllllber ,1. ~'!~~~~~~~I LEGAL DESCRIPTION: . . \ "t(;070 333c[)fJ.DO . ". q;~\.:'%./V\Qg.J) +~~ ~e non-transferable anil expire if work is not started within 180 days of issuance or if work is ___'_~ ~ _Slispended.JOl:_180_da)tS____..:..._~--- , 2. Electrical Contractor -r;,,;:dJ~!r:A .r-/ec Adclress ;)0879 LIty (). I .n :f>>-J'r Expiration Da\e . LfoYf( S :2n7 ,Supervisor LiCense Number Canstr. Contr. Number n;2 "3<#(" ~7 Expiration Date Signal Te of ~BpervAsing plectrician -~. Owners Name ~,-'~ - .J\. '. AddreSs~. 510.> ~~. , City ~ Morv!- . Phone . '2JfIJ.. (~5 . \ \ \ Inspection Request: 726-3769 Date '8-\1..-1 l()~ 3. !~~1I~pl@~II:l~~~m!~ri~~4r-i!llti:!f~Jl A. .J~1"~'1~ll~"Iftlm~jJ?Jlillrl~1111~I~Wi1~ Service Included t 000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Mailllfact'd Home or Modular Dwelling Service or __L"-e_der . I ~ ~ ~r.Q0 $55.00 C. b.~~A~~~~J%"!jffiTI~BJW~1"~Et~$ft;t~~lf~J"'lf~w.;{4r~~~!lBJ,..~'~jJi'J;~~11~~ . ~rfl4te-m: OFa -1,<~e"ftYtlGesl~-o -,ifJjL~'e\' ---" %r~'":Ji1%"' If;;".:, ',";"'.,;~ "i1~"; t!"Ji;'I'!i~!i'tj;N,~r.o;-;-,j ,:!pg1S~~"[;ij&.'i!irt"~~!l:l:i~M,~.,''"~~"j,'"~~(iMl'ig,l~l~~trct./~~~'i1~{j~'%;tfj~J!91.lJ1~;~Rf!i?@~~~ Installation, Alteration or R~)ocatio~ 200 ~ps 01; less 201 Amps to 400 Am]1s. 40] Aoips to 600 Amps \ $~ $ 76,00 $110.00 C?v~~~~O Amps or 1 000 Volts see "E" above. , . ~!~~~~1J'~~-;ilIr~e~1ili~~1?)~ffillii:12~~~t~~,'q,1i1i;F~ili~j~~\"'<';fu(~~:Nl~iJ~.IIJ[~~m'!" m ""'h'"''',"j\~~~ D. [~J,;#~_~~lk<f,ll:L~~~w,~~m~~~~~~l~-:f2J~:\~~~~~1fk.fJ~~jt~~~,ii{~fJ~~~t;~~$4L.~i ;_ =". ~ m _. _ -.,..,...1<1.'= -" ''''"_''''.,.",_""~,"n._ ....''"-'.___.'"' ,..,,,- - -_-._~ $ 48.00 $ 4.00 TOTAL Shared Drive(T:)lBuil~ing FonnsfElecmcaJ Permit A.pplicai,ion 1-08.( 'Willamalane Park & Recreation District Job. No. 0, q-'2..S3 SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2009 NAME: \_~th\d..O(\ l~ PHONE:'L1-B.lo(:\5<:> ADDREss:.2.M lP.Gt~ ~~~bil)~IP: C\llS0 LOCATION OF PROPOSED BUILDING SITE: 5\ \ q ffiJ.MrnD . . - ~~ax Lot Number: \ 9,(rGD~~3 rff2f;O Street Address: 1. Plat Nam . NT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the A. Sinole"Familv Detached NO. OF UNITS \ X $2,858 per unit = B. Sinole-Familv Attached NO. OF UNITS X $3,100 per unit = C. Multi-Familv Aoartment NO. OF UNITS X $2,641 per unit = D. Sinole Room Occuoancv NO. OF UNITS X $1,321 per unit = E. Accessorv Dwellino Unit NO. OF UNITS . X $1,550 per unit = WILLAMALANE SDC 2. SDC CREDIT (If applicable) SDC payer must furnish proof of Willamalane Credit approval.) 3. TOTAL WILLAMAt:~N!:t~SDC ASSESSED ~DGS' ed for credi~(u Development Services e~artment City of Springfield $ 2vt>CO.oeJ $ $ $ $ $ ttC?-ffi ~tJ $ kY $ f)2F8&/!J d /21/ :;2deJ/ Date 5 JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS '.1, STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM 1 IMPERVIOUS S.F. x 1 COST PER S.F. I CHARGE] 1 2894.50 1 $0.357 = I $1,032.61 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS'. I IMPERVIOUS S.F.! x 1 COST PER S.F. I x I DISCOUNT RATE 1 1 DISCOUNT 1 0.00 1 1 $0.357 I I 50% I ~ I . $0.00 ITEM I TOTAL - STORM DRAINAGE SDC $1,032.61 1 ., CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET LOT SIZE (SF): '" l:l 0 U P: 5273 ~ l '" - 0 ~ I $1.032.61 1070 7 SANITARY SEWER - r.JTY A. REIMBURSEMENT COST: I NUMBER OF DFU's I _ x I 24 I B. IMPROVEMENT COST: I NUMBER OF DFU's 1 x I 24 1 COST PER DFU $27.67 $663.96 ,1091 COST PER DFU $21.04 I. I ,~ I I 11092 I $504.88 ITEM 2 TOTAL - CITY SANITARY SEWER SDC B. IMPROVEMENT COST: r ADT TRIP RA TEl: x I NUMBER OF UNlTS I x I COST PER TRIP I 9.57 I I I . I I $92.89 ITEM 3 TOTAL-TRANSPORTATIONSDC ~ I $201.54 4 SANITARY SEWF.R.- MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x II 1 J TRANSPORTATION A. REIMBURSEMENT COST: 1 ADT TRIP RATE 1 x 1 9.57 I B..IMPROVEMENT COST: INUMBER OF FEU's 1 .x 1 1 1 $1,168.84 I NUMBER OF UNITS I . x I I 1 I x !NEW TRJP FACTORI 1 1.00 I $201.54 .11093 COST PER TRIP 21.06 x !NEW TRIP FACTOR! 1 1.00 1 I . $0.00 11094 1 COST PER FEU I . $97.90 $97.90 1054 = ICOST PER FEU' I $1,009.17 = $1,009.17 1055 $0.00 11054 . , . $10.00 11056 = , $1,117.07 I I ~ , $3,520.06 I I I~ CHARGE I $176.00 11079 161.24 $14.76 '11078 TOTAL SDC CHARGES = , . $3,696.06 II MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY-SEWER SDC SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~. ADMINISTRATIVE FEE: I SUBTOTAL x I ADM. FEE RATE I $3.520.06 I 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Kaye Wilson PREPARED BY 2/23/2009 DATE DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE - NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTIJRE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY TIlE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW' OLD EQUIVALENT UNITS I BATHTUB 2 0 3 = 6 IDRINKlNG FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS 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 ICLOTHESWASHER / MOP SINK 1 0' 3 = 3 ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 .12 = 0 I RECEPTOR FOR REFRIG /WATER STATION / ETe. 0 0 1 = 0 I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 1 0 3 = 3 ISHOWER, SINGLE STALL 0 0 2 = 0 I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK: COMMERCiAL/RESIDENTIAL KITCHEN 1 0 3 = 3 .1 I SINK: COMMERCIAL BAR 0 0 2 0 I I SINK: WASH BASINIDOUBLE LAVATORY 1 0 2 = 2 I 1 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1 I I URINAL. STALL / WALL 0 0 5 = 0 I \TOILET. PUBLIC INSTALLATION 0 0 6 = 0 I TOILET. PRIVATE INSTALLATION 2 0 '3 . - 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 24 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFlJs) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 ]981 1982 1983 1984 1985 1986 1987 i988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 I . 2001 " CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET DIRECT RUNOFF TO CI'f.Y STORM SYSTEM' I IMPERVIOUS S.F. x' I COST PER SF' 1 I' CHARGE I 2894.50 I $0.357 = I $1,032.61 RUNOFF ROUTED TO DRY WELL DESIGNED AND CONSTRUCTEDTO CITY STANDARDS 1 IMPERVIOUS S.F. 1 x I COST PER S.F: 1 x I DISCOUNT RATE I 1 1 0.00 1 1 $0.357 I' I 50% I 1 ITEM 1 TOTAL-STORM DRAINAGE SDC $1,032.61 f 2. SANITARY SEWER - Dry A. REIMBURSEMENT COST: 1 NUMBER OF DFU's I x 1 24 I JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELpNG UNITS L STORM DRAINAGE B. IMPROVEMENT COST: I NUMBER OF DFU's 1 x I 24 1 Com2009-00253 Hayden Homes 5719 Mineral Wav 1802033300200 Single Family Residence I BUILDING SIZE (SF' 1579 -- r-:- ilfJ '0 o u ,pt, 5273 .' ~ ~I-< ~~a 'Ig] LOT SIZE (SF): DISCOUNT $0.00 I . $1.032.61 1070 COST PER DFU I' $27.67 I . $663.96 11091 \ I 11092 COST PER DFU I. $21.04 I $504.88 1 TRANSPORTATION ITEM 2 TOTAL - CITY SANITARY SEWER SDC ~ , I $1,168;84 A. REIMBURSEMENT COST: I . ADT TRJP RATE I x I NUMBER OF UNITS I x I COST PER TRlP I x INEW TRJP FACTORI 1 9.57 1 I I I 21.06 1 1.00 I '$201.54 11093 B. IMPROVEMENT COST: 1 ADT TRJP RATE I . x I NUMBER OF UNITS I x I COST PER TRIP I, x INEW TRJP FACTORj I I 9.57 I I I I I $92.89 1 I 1.00 1 $888.98 1 1094 ITEM 3 TOTAL - TRANSPORT A nON SDC = , $1,090.52 I 'I 4 SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x ICOST PER FEU 1 1 1 I $97.90 = . . $97.90 1 1054 B. IMPROVEMENT COST: jNUMBER OF FEU's I x 1 COST PER FEU I I I 1 $1,009.17 = $1,009.17 1055 MWMC CREDIT IF APPLlCAB).-E (~EE REVERSE), $0.00 1054 . . , MwMC ADMINI~TRA TIVE FEE $10.00 11056 ITEM 4 TOTAL -'MWMC SANITARY SEWER SDC = I . $1,117.07 ~ I - -I SUBTOTAL (ADD ITEMS 1, 2, 3, & 4) ~ , $4,409.04 I' - 5 ADMINISTRATIVE FEE: I SUBTOTAL x 1 ADM. FEE RATE I~ CHARGE I $4,409.04 1 5% , $220.45 TOTAL SANITARY ADMINISTRATION FEE: 147.42 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $73.03 1078 -- Kaye Wilson 2/23/2009 TOTAL SDC CHARGES =! $4,629.49 PREPARED BY DATE - --.----" . .. DRAINAGE FIXTURE UNIT (DFU) CALCULA nON TABLE -- 11 .NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDffiONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT uNITS . . . ~ BATHTUB 2 0 3 6 I DRINKING FOUNTAIN 0 0 1 = 0 [ FLOOR DRAIN 0 0 3 = 0 [ I INTERCEPTORS FOR GREASE! OIL / SOLIDS / ETC 0 0 3 = 0 I IiNTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 = 0 I I LAUNDRY TUB O. 0 2 = 0 [ ICLOTHESWASHER / MOP SINK 1 .0 3 = 3 [ ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0 I IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = O. I I RECEPTOR FOR REFRIG / WATER STATION / ETC 0 0 1 = 0 I IRECEPTOR FOR COM. SINK / DISHWASHER / ETC. 1 0 3 = 3 I SHOWER. SINGLE STALL 0 0 2 0 ISHOWER. GANG~ER OF HEADS) 0 0 2 = 0 ISINK: COMMERCIAL/RESIDENT1AL KITCHEN 1 0 3 = 3 [SINK: COMMERCIAL BAR 0 0 2 = 0 [SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2 [SINK: SINGLE LA V ATOR Y /RESIDENTIAL BAR 1 0 1 = 1 IURINAL. STALL / WALL 0 0 5 = 0 TOILET. PUBLIC INSTALLATION 0 0 6 = 0 !TOILET. PRIVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 24 I' *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 ~lons per day I MWMC CREDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE ~ YEAR CREDIT RATE/$l,OOO ~ ANNEXED ASSESSED VALUE IS LAND ELGlBLE FOR ANNEXATION CREDIT? 2 1\ BEFORE 1979 (Enter I for Yes, 2 for No) 1979 IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? 2 [ 1980 (Enter 1 for Yes, 2 for No) II 1981 BASE 'YEAR 2005 1982 [ 1983 CREDIT FOR LAND (IF APPLICABLE) I 1984 VALUE 11000 CREDIT RATE II' I 1985 $0.00 x $0.00 ~, $0.00 [ [ 1986 I [ 1987 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) I 1988 VALUE / 1000 CREDIT RATE I 1989 $0.00 X $0.00 '= , 0 [ I 1990 I [ 1991 I 1992 TOTAL MWMC CREDIT = $0.00 [ [ 1993 [ 1994 I 1995 [ 1996 [ 1997 [ i998 [ 1999 [ 2000 I. I 2001 City of Springfield Official Receipt DevcIopmentServices Department" Public Works Department 225 Fifth Street Springfield, Oregon 97477 541-726"3759 Phone Job/Journal Number COM2009-00253 COM2009-00253 COM2009-00253 COM2009-00253 COM2009-00253 . COM2009-00253 COM2009-00253 COM2009-00253 COM2009-00253 COM2009-00253 COM2009-00253 COM2009-00253 COM2009-00253 COM2009-00253 COM2009-00253 COM2009"00253 COM2009-00253 COM2009-00253 COM2009-00253 COM2009-00253 COM2009-00253 COM2009-00253 COM2009-00253 COM2009-00253 COM2009-00253 COM2009-00253 COM2009-00253 COM2009-00253 COM2009-0Q253 COM2009"00253., COM2009.00253 COM2009.00253 COM2009-00253 Payments: Type of Payment Check cReceiotl RECEIPT #: 2200900000000000209 Date: 02/27/2009 10:07: II AM Description Plan Review Same As Building Penn it Addressing Assignment Willamalane Single Family 2 Baths One or Two Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Plan Review Major - Plapning 1st Appliance Exhaust Hoods Dryer Vent . Gas Outlets 1-4 Credit - Trans Improv SDC Curbcut Permit Sidewalk Permit PW Disc - 2nd Permit Stann Drainage Impervious,Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement ~ SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transportation Admin Vent Fan Appliance Vent Fireplace (Listed) Fire SF Fee - Residential +5% Technology Fee + 12% Slate Surcharge ,Amount Due 250.00 1,140.17 38.00 2,858.00 337,00 134.00 50.00 63.00 211.00 79.00 13.00 9.00 7.00 (888.98) 88.00 88.00 (30.00) 1,032.61 663.96 504.88 201.54 888.98 97.90 1,009.17 10.00 161.24 14.76 27.00 9.00 20.00 102,95 112.26 226.58 $9,529.U2 Paid By : HA YD~N HOMES LLC Item Total: Check Number Authorization Received By Batch Number Number, How Received Amount Paid 12671 In Person Payment Total: $9,529.02 $9,529.U2 KLK Page ] of] 2/27/2009