HomeMy WebLinkAboutPermit Building 2009-3-11
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
, PERMIT NO: COM2009-00302
ISSUED: 03/11/2009
APPLIED: 03/05/2009
EXPIRES: 09/1112009
VALUE: $ 300,000.00
225 Fiftb Street, Springfield, OR
541-726.3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6032 Graystone Lp
ASSESSOR'S PARCEL NO.: 1702343301900
Springfield TYPE OF WORK:Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence. MtGate West 1013
Residential
Owner:
Address:
~ITPI\!Tln~I' nregon law requires you to
BRUCE WEICHERT CUSTOMIHOMESJNC pled by the Oregon UI'ility
3073 SKYV1EW LN fol uw rWI:" duO ,
EUGENE OR 97405 Notification Center, Those rules are set forth
, in OAR 952-001-0010 throuqh OAR 952-001-
0090, You may obtain caples at me rUles DY
cltl00NIfRA:ClIfOR IIN.RORM'~<I'110Nclle
'numoer lOr lne un~y'v'll ulIlh'y I\lVllllt..a.~lon
Contractor ' Center,is 1-800-332-2~jS~nse Expiration Date
BRUCE WIECHERT CUSTOM HOMES INC "t01717 09/16/2010
L & E ELECTRIC INC 105475 03/30/2010
COMFORT FLOW 460 06/27/2009
STEVEN R JOHNSON 65065 03112/2010
I BUILDING INFORMATION I
Phone
541-686-9458
541:933-2653
541-726-0100
541-342-3765
Contractor Type
General
Electrical
Mechanical
Plumbing
,# of Units:
Primary Occupancy Group:
Secondary Occnpancy Group:
Primary Construction Type
Secondary Construction Type:
#01' Bedrooms:
NOTICE: # of Stories: 1
R-3rHIS PERrJ.tl'iffil,!l[~tE9--qt~lI1~ IF THE \~(llK
Ui\UTHORlzifPi~~I~n~f{'t-HIS P~RK~ft1!r ~~
VBcOMMEWl"~I~rd'~'7iBANDONED maGas
URan e Tr('le: I Gas
3\NY 180 Diri'e I5Pp\rt!il: '
Sprinkled Bnilding: ' n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basemeni:
Sq Ft Garage/Carport
Sq Ft Other: ,
Occnpant Load: ,
2,000
1,209
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
15.00
9.00
56.00
, 52.50
, Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Hillside
3
Yes
26.00
Total:
Handicapped:
Compact:
2
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Speciallnstrnction:
Fully Improved
Yes
Sidewalk Type:
Downspouts/Drains:
Cnrbside 5'
To Storm Sewer
Notes: Stm and San sewer to private drainage ntility at north property line.
Page 1 of 4
Status
lss u ed
225 Fiftb Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541~726-3769Inspection Line
Descrintion
Tvpe of Construction
Estimate
Garae:e/Misc
SF/Dulllex
Estimate
U VB Utility
R-3 VB 1&2 Familv
Fee Description
Plan Review Residential
'+ 12% State Surcharge
+ 5% Tecbnology Fee
1st Appliance
2 Baths One or Two Family
Addressing Assignment
Appliance Vent
Bnilding Permit
Curbcnt - 2nd Curbcut
Curbcut Permit
Dryer Vent
Exbaust Hoods
Fii'e SF Fee - Residential,
Fireplace (Listed)
Gas Outlets 1-4
Mountaingate Impervious Area
Overwidtb Application Fee
Plan Review Major - Planning
Residence Wiring 1000 Sq'Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer -Improvement
Sanitary Sewer - 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
Temp Power 200 amps or less
Vent Fan
WiIlamalane Single Family
I Valuation Oescril]tion I
$ Per Sq Ft
or multiplier
$1.00
$37.72
$96.83
Square Footage
or Bid Amount
300,000.00
1,200.00
2,000.00
Total Value of Project
FpP~ P'1iii I
Amount Paid
$989.79
$281.49
$136.64
$79.00
$337.00
$38.00
$9.00
$1,522.75
$-45.00
$88.00
$9,00
$13.00
$160.45
$20.00
$7.00
$1,455.53
$45.00
$211.00
$134.00
$125.00
$589.02
$774.62
$10.00
$1,009.17
$97.90
$181.23
$888.98
$201.54
$70.11
$88.00
$63.00
$27.00
$2,858.00
Date Paid
3/5/09
3/11/09
,3/11/09
3/11/09
'3/1l/09
3/ll/09
3/11/09
3/1l/09
3/11/09 '
3/1l/09
3/1l/09
3/11/09
3/1l/09
3/11/09
3/11/09
3/11/09
3/11/09
3/11/09
3/t l/09
3/1l/09
3/1l/09
3/1l/09
3/11/09
3/11/09
3/1l/09
3/11 /09
3/1l/09
, 3/11/09
3/t l/09
3/1l/09
3/11/09
3/11/09
3/11/09
Paee 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00302
ISSUED: ' 03/11/2009
APPLIED: 03/05/2009
EXPIRES: 09/11/2009
VALUE: $ 300,000,00
Value
Date Calculated
$300,000,00
$45,264.00
$193,660.00
$538,924.00
03/05/2009
03/09/2009
03/09/2009
Receipt Number
1200900000000000161
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000]74
]200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
1200900000000000174
]200900000000000174
1200900000000000174
1200900000000000]74
1200900000000000174
]200900000000000]74
1200900000000000]74
1200900000000000]74
]200900000000000174
]200900000000000174
1200900000000000]74
1200900000000000174
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00302
ISSUED: 03/ll/2009
APPLIED: 03/05/2009
EXPIRES: 09/11/2009
VALUE: $ 300,000.00
225 Fifth Street, Springfleld, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Amount Paid
$12,475.22
I Plan Reviews I
Initial Review 03/05/2009 03/0512009 APP
Public Works Review 03/0512009 03/06/2009 APP BJG
Plannill1?: Review 03/05/2009 03/0912009 APP OOK
Structural Review 03/05/2009 03/0912009 APP CJC As noted on plans and in 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.
, Rpnllirprlln~,nections 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 - Overwidtb: After forms are erected but prior to placement of concrete.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Ufer Electrical Ground: 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.
Post and Beam: Prior toiloor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sbeathing with tinish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall tnsulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Orywall: Prior to taping.
Masonry:
Final Building: After all required inspections bave been reqnested and approved and the building is complete.
Perimeter Foundation Orains: After gravel and f1Iter c10tb is installed but prior to backflll.
Underfloor Plumbing: Prior to ins~lation or decking.
.Undertloor Drain: Prior to cover or placement of concrete.
Paee 3 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-00302
ISSUED: 03/1112009
APPLIED: 03/05/2009
EXPIRES: 09/] 1/2009
VALUE: $ 300,000.00
225 Fiftb Street, Springfield, OR
541-726-3753 Pbone
54]-726-3676 Fax
541-726-3769 Inspection Line
Rougb Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trencb arid including required testing.
Sanitary Sewer Line: Prior to filling trencb and including required testing.
Storm Sewer Line: Prior to IiIling trencb.
Final Plumbing: When all plumbing work is complete.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Underfioor Gas: After line is installed and required testing and capped if notattacbed to an appliance.
Rougb Gas: After line is installed and required testing and capped if not attacbed 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 tbis point.
Rough Mechanical: Prior to Cover
Final Gas: Wben all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Rougb Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: Wben all electrical work is complete.
By signature, 1 state and agree, tbat 1 have carefully examined tbe completed application and do bereby certify tbat all
information bereon is true and correct, and I furtber certify tbat any and all work performed sball be done in accordance with
tbe Ordinances of the City of Springfield and tbe Laws of tbe State of Oregon pertaining to tbe work described berein, and
that NO OCCUPANCY will be made'of any structure without permission of tbe 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.
1 further agree to ensure tbat all required inspections are requested at tbe proper time, tbat eacb address is readable from the
street, that tbe permit card is located' at tbe front of the property, and the approved set of plans will remain on the site at all
times during construction. .
lJ-M//
~. ,
___ :@1
,Date _______~_
. --~.
Owner or Contractors Signature
Paee 4 of4
. h?;, Willamalane
t"W Par.k& Recreation Distri,ct "
Job. No:~q / 2iJ2-
SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2009
NAME8furb h)S)~ f~M 'PHONE:
ADDRESs120E 'E.:i61\11~4'lC;TYfu(}Ox1<?~STATEcJtUIP:"CJ7 '-fUS
6
LOCATION OF PROPOSED BUILDING SITE:
StreetAddressl~, (=:>y(Op-~0P5 Li?, ,,' " " ' ,
Plat Name:IDnOrkt J')(\ r~ Tax Lot Number: \iO'd.0.4- ;:;G'O \ '9 aD
" ," , , VV'\S&\. ',,' .
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the
back.) " ,','
i.
A:'Siflale-Family Detached'
NO. OF UNITS
x $2,858 per unit =
d~C,'OO'
$ \ "
B. Sinale-Family Attached
NO. OF UNITS
X $3,100 per unit = ,
$'
C. Multi-Family Aoartrilent ,
NO. OF UNITS
X $2,641 per unit =
$
, .
[".' Sinale-Roam_Occuoai'icy
, NO. OF UNITS
x $1,321 per unit =
$
E. Accessorv Dwellina Unit
NO. OF UNITS
X$1,550 per unit '':'
$
" c:rU
W\~5~. '
WILLAMALANE SDC
2." SDC CREDIT (Ifapplicable) SDC payer must furnish proof of
Willamalane Credit approval.) , $
,
.... '
() J
$d 85!\.c50
, I ,
/// 109
3. TOTAL WILLAMALANE NET SDC ASSESSED
,(if SDC reduced for Credit)
ent Services Department
S ringfield
. Date
)
5
SPRINGFIELD
!~DE'PAR11MEN,'r~uSEr0t'.m~~1
,'Jrr""",';'=d"";,0:i!':~;;-",",,;~'ii"?~~A~,'<l'-g,~
(aM z..oo9 - 00502;
Permit no.:
Structural Permit Application
-
225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689
Tbis permit is issued under OAR 918-460.0030. Permits expire if work is not started witbin 180 days of issnance or if work is
suspended for 180 days.
I
1~!@,~~~'i~~RNMg~Il'@EBQY'A~t~_l\:~1
I This project has final land-use approval.
Signature: . Date:
'I This project has DEQ approval.
Signature:. Date: I (a) Job description:
I Zoning approval verified: 0 Yes 0 No 1 Occupancy
I Property is withmflood plain 0 YesONo , ','. ',' "I I, Construction type
I~G~~J3~O[itQ'F.I:t:;Q~~'ffi~IJg)'i0.NE~~~~~;1 1 Square feel
I 111 Residential 1 D Government I D Commercial I 1 Cost per square foot:
1_4r.:"""^'~'~'"~'- ''''"~'''''''~~''~-''''''''''''''''~-'~'~'"--I
,~~~!(Z)J2~~13Jj!;~.Lr'!,JjJ.:.U~tyIj;~'!J!Q~~~NDJl~,0G~TIQNj$l:2;t,;;~.ifA~ I Other infonnation:
1 Job site address: t, 0 .;: z.: 1: vt...' <Ju""'--" I t
) Type of Heat:
I City:<;""';"'lf::d~lsfute:Oi1.. 1 ZIP:'1]Y77_ 1
I Subdivision~1M}~ 'i1tM&J>1. lLotno,: f!I)( 'tOO
I 0 new 0 alteration
-i~~R,efer,';;'C~~~~~~'-:~j5::_,~J~~I.otI6!C~, ~,"",,"""",~P~,': """""'''')1 1 (b) Foundation-only permit?
I ," , , 'i'i'",rl",~," ""F!R0F!ER'f?(!lf0WNER",""_'4'''i'''''..'i?,,..,,~'',(.f'
" Nam~;~~~:;'tJi';-cl;'~:tC ~~;;"~;~~'~;'~.:"'''h''''''''1 Total valuation:,
I Address:30'n St.",vic::w L.N I
I City: t U~fu<- ' I StateN- I ZIP:"} 71 05'" I
I Phone: -hib. 'J'1',X Fax: '-;,yy- ~'-3b~ I
I E-mail: W;~C....N~\-..;~SQ.Co".c~S-\...ve.-r- I
This installation is being made on residential or farm property. owned by
me or a member of my immediate family, and is exempt from licensing
requirements under ORS 70J-0~O';J ~'
Sign here: ('/I /l (;1/ c/Y _
~~=9:~:~~e~~~~~A~ffi~!~N~7.;:~.
1 Address::5073 <;IL~ _icvoJ "'-.,-.. I
I City: or", e.K- I State,o.(L I zip:'17~oll
I Phone '.6J b cf<75 Y Fax::,'I1{ ,"5'3 b z I
I E-mail: Wi ec-\..t',t \-..0'''-''' €2 CO"" u.s4 ~v..kt I
I CCBlicenseno,: /011(1 I
I Printname:~-e,v~<oIc W"slt.",./ I
I Signature W W ...___' I
1__~~1$.:.i}B',C:@~mR~gm.CJ:r.{II~1t6B.M~illJ.@N~~'l:il
I Name CCB License Number Phone Number I
I Electrical p..e" 1054 7,< 5~1 '11'i& I
IpIUmbing5tc.",,'PI"~~"j h5o,,~ :;YZ-3"J(,o;" I'
I Mechanical CFH Y b V ,72,b-OIOO
I Date: "j-S-2QC 9
Energy Path:
I
I
1
I
I
1
I
I
I
I
$ 3'cc.t:.j
o addition
D'Yes
ONe
(a) Permit fee"'(use valuation table):
I (b) Investigative fee (equal to [2a]):
I (c) Reinspection ($ per hour):
(number 9fhours x fee per hour)
I (d) Enter 12% surcharge (,12 x [2a+2b+2c]):
(e) Subtotal of fees above (2a through 2d):
$
1 (a) Plan review (65% x permit fee [2a]):
I (b)'Fire and life safety (40% x permit fee [2a]): $
I (c) Subtotal of fees abuve (3a aud 3b): $ I
/'!~,l""''";.''''~'y.'S.~~''''.y/';'''~~~Ja{r~-,.'i'',''';~c~-tc:'~~''''~-~~~,.$''~~~':']'ili'-I
\;~h~ls~!H~!t~Q.1,Is,$ft;e.~Ijt;J1JO Th'~)i~i~:-:!-';Wl:~1~~~6~~~~~~~t;~
I (a) Seismicfee, 1% (.01 x permit fee [2a]): $ I
I TOTAL fees and surcharges (2e+3c+4a): $ 'I
,H . _ ~ WN \j)ll,-,
: Ala _..~. INITlAr.~ I .IC'
~ ~ DATE n-\''1..-00
!lil!IllIIIIIo. IJiII' SOURGE \~ ~ '
, ' " \ '
3-S--z001
.." ,cp'Y."QF SP.RINGF,IELD, ,0 REG 01(' ..
_, ,. '., ,.1 . . ,. I _ ' .",
mFlFl1h.....~. 0 SPRINGFIELD,OR97477 0 P8:(54I)'71&-3753 oFAX:(54I)7U-31ill9,
ELECI'lUCAL PERMIT APPUCATION
City Job Nwnber COM ZOO 9- 00 s.OZ
New Alteration orEItensiqn Per Panef
One Circuit
Each Additional Circuit or with
o ' ' Service or Feeder Permit
OwneISName D"\i~ LJ; t"d-",,-l- DJc,4n.... ttoV\-~f
~~~~,."".~'.'L---_-=._~.'..m.
t:> ' E. -." 'eoUS:'SKflWreid'orilioFili'Ci=,':g "iiStiIll'tioil,
Address 1> '") 1, S Ie; '" 1;\ ~ u.J , ',' , '~"""'~'N"'''''~'''''''''J!'i!!P, "..__~N". .
,
1. '!ij"i:im.i, ,:.::[~.~m.;i1\iNI:Nrn;jNifibN1.l'~
~,",!'l;~~~"._~"._"~M~'M'_""1'1""_'~
(o03Z f,vCo,.,-lu'N..-- }OCAP, "
i
LEGAL DESCRIPTION:
170 Z. '3 L{ 3. 3. O( '700
JOB DESCRIPTION: "
~Sl"'. t.//(te .I ~I'
Permits are non-transfe~ble and 4ire if work is
Dot started within 180 days of issuance or if work is '
Suspended fnr 180 clays.
2.1i~~~_
L+~
Electrical CoDlractor
Address q 2 Z'3 "s "J Oh.c':::. Ac.g ~
City~~\~ Phone 67/- L/17 V
L....t':.~DD Date
4J7'1-S
ID/o//oq
~'''T''' :sor License NWnber
Constr. Contr. Number I 0 S- LJ 7 S-
r....:....::._Date 3)/0
S~ ofSl.,..., :":"'g Electrician
&Q ~~\~
Phone ~of:,-tj l.f~~
City ("J c-.........
OWNER lNSTALLA'J:ION
The installation is being made on r--r-':; I own which
is not intended for sale, lease or rent I ~ \W>' 0
OwneIS Si."..,,-.: ~ \ ,,(
~& @\~~,
,~ '
Inspection Reqnest: 726-3769
Date
3. I't'OO--'jf<1'I-i\SI(tiliiSt'iffl?nfJEEiRm!QW~~~
~,g__~~~."..,..;_..-=." _~l~
A. mB,''''''"''~siil'~-':''~I;''''''''iiillY' "~il-, ~r.':"""-~
1 ew..Kesl '''''''=-! ;OJEInU lrF,ZI ~ . W'cwB lUB...
, ___.~__,~ ,.....~_..,.,_'- ' J'~S",_._,g,",.,
Serviee Included I ~ 't . v~. 0"""
1000 sq. ft. or less sw.oo _ 113 <-{ ;
Each additional 500 sq. ft. or ~5 . rr- flV
,..,:.. thereof $ft60 I ;)5"
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$55.00
B. .~i&i!lii!Iit~..u~-~iiI'
- _ "EllM' ,a~<><<'--.,~,...."U\..~,~-, -. ,
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Auips
601 Amps to 1000 Amps
Over 1000 AmpsIVolts
Reconnect Only
C. ~"\."",,,..~~JfFeeaen
~_~~~,r;..,."",-.""",~,,-,,-,",,,~
$ 70.00
$ 83.00
$138.00
$180.00
$413.00
$ 55.00
IDstanation, Alteration or Relocation .-Ll
("S,,'" -
200 Amps or less ' ~
201 Amps to 400 Amps $ 76.00
401 AI1lps to 600 Amps $110.00
Over 600 Amps or 1000 Volts see "B" above.
D..~it~~...~
$ 48.00
$ 4.00
Pump or irrigation $ 55.00
SigiJIOutline Lighting $ 55.00
Limited EnergylResidential $ 28.00
Limited Energy/Cominercial $ 50.00
Minimnm Eleetric PenD!t luspeetion Fee is $50.00 + Snn:barges
~~~m _~_'~"~', .':) , .,.-, "'\ '
4. ,'., " ''10F,;~'' ::::,"" -, CI '-'
,- -~1it~'.~" "..., ~-
12% State Sun:harge
10"10 Administrative Fee
5% Technology Fee
roTAL
Shan:d DriYe(T:)lBuildlng FOIII&'EIcclrica I'amit AppU_ 1.08.cIoc
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
------
--
JOURNAL OR JOB NUMBER: COM2009-00302
NAME OR COMPANY: BRUCE WEICHERT CUSTOM HOMES
LOCATION: 6032 GREYSTONE LP
TAX LOT NUMBER: 1702343301900
DEVELOPMENT TYPE' Single Family Residence
NEW DWELLING UNITS ' 1 BUILDING SIZE (SF; 3480 LOT SIZE (SF):
1 STORM DRAINAGE
-
12389
DIRECT RUNOFF TO CITY STORM SYSTEM
1 IMPERVIOUS S,F, x-I' COST PER S,F: I, I CHARGE I
1 4080,00 1 $0:357 I =, $1,455,53 '
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
1 IMPERVIOUS S,F, I x I COST PER S,F, I x 1 DISCOUNT RATE 1 1
1 0,00 I $0,357 I 1 50% I ~ 1
ITEM 1 TOTAL - STORM DRAINAGE SDC $1,455.53 ' I
2 SANITARY SEWER - r:JTY
A. REIMBURSEMENT COST:
1 NUMBER OF DFU's I x
1 28 1
B. IMPROVEMENT COST:
I NUMBER OF DFU's I
I 28 I
-'--'~l
I liJ91
I
1 1092
I-
I
DISCOUNT
$0,00
$1,455.53
COST PER DFU
$27,67
$774.62
x 'I
1
1
,~ ,
COST PER DFU
$21.04
$589.02
$1,363.65
I"
3, TRANSPORTATION
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
A. REIMBURSEMENT COST:
I ADTTRIPRATE I x
I 9,57
B. IMPROVEMENT COST:
1 ADT TRIP RATE 1 x
1 9,57 1
I NUMBER OF UNITS 1 x I
I 1 1
COST PER TRIP
2106
x INEW TRIP FACTORI
I 1.00 I
$201.54 1093
1 NUMBER OF UNITS I
i I I
xl
1
= I
COST PER TRIP 1 x INEW TRIP FACTORI
, $92,89 I 1 1.00 1" $888.98
$1,090.52 ,,'
ITEM 3 TOTAL - TRANSPORT A nON SDC
4 SANITARY SEWER - MWMr
B, IMPROVEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
1 I ' I $1,009,17
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY' SEWER SDC ~ I
SUBTOTAL (ADD'lTEMS 1; 2, 3, & 4) ~ I
5, ADMINISTRATIVE FEE'
I SUBTOTAL x I ADM, FEE RATE I~
I $5.026,77 1 5% 1
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
A. REIMBURSEMENT COST:
INUMBER OF FEU's I, x
1 I I
= $1,009.17 1055
$0.00 11054
$10.00 11056
-,.-
j
ICOST PER FEU
I $97.90
I
1
= ,I $97.90
$1,117,07
$5,026.77
CHARGE
$251.34
181.23
$70,1 I
Ben Gibson
TOTAL SDC CHARGES
PREPARED BY
3/6/2009
=, $5,278.11
DATE
-'~'
I~
10
10
u
I'~
1"-1
'I ~
16
gj
11070
I
II'
I 1094
I
I
1054
11079
11078
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTIJRES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIX1lJRES)
NO, OF FIXTURES ,DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
I BATHTUB 2 0 3 = 6
IDRINKlNG FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0' 3 = 0
IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 = 0
I INTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 = 0
I LAUNDRY TUB 1 0 2 = 2
CLOTHESW ASHER / MOP SINK 1 0 3 = 3
CLOTHESWASHER- 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (l PER TRAILER) 0 0 12 = 0
RECEPTOR FORREFRlG / WATER STATION / ETC 0 0 1 = 0
IRECEPTOR FOR COM, SINK / DISHWASHER / ETC 1 0 3 = 3
SHOWER. SINGLE STALL ' ' 1 0' 2 = 2
I SHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0
I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 '0 3 = 3
I SINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASINIDOUBLE LAVATORY 1 0 2 = 2
ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1
IURINAL, STALL/WALL 0 0 5 = 0
ITOILET. PUBLIC INSTALLATION 0 0 6 . = 0
ITOILET, PRIVATE INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNiTS 28
~.EDU (Equivalent DwellinJ!:Unit)'is a discharge eQuivalent to a sinJ!;le family dwelling unit (20 DFU's) sel at 167 ,gallons per day
MWMc CREDIT CALCULATION T ABLE: BASED ON COUNTY ASSESSED VALUE
~EAR
I ' ANNEXED
I BEFORE 1979
I 1979
I 1980
I 1981
i 1982
I 1983
I 1984
I 1985
I ' 1986
I 1987
I 1988
I 1989
I 1990
I 1991
1992
1993
1994
1995
1996
1997
. 1998
1999
2000
2001
-'
CREDIT RATE/$I,OOO
ASSESSED VALUE
$5
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
2
2
1979 II
I!
II
,
$0,00
CREDIT FOR LAND (IF APPLICABLE)
VALUE/WOO CREDIT RATE
$0,00 x $5,29
~ I
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE /1000 CREDIT RATE '
$0,00 x $5,29
o
TOTALMWMC CREDIT
$0,00
=
I'
225 Fifth Street
Springfield, OregoJ:l 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-00302
COM2009-00302
COM2009-00302
COM2009-00302
COM2009-00302
COM2009-00302
COM2009:00302
COM2009-00302
COM2009-00302
COM2009-00302
COM2009-00302
COM2009-00302
COM2009-00302
COM2009_00302
COM2009-00302
COM2009-00302
COM2009.00302
,COM2009-00302
COM2009-00302
COM2009-00302
COM2009-00302
COM2009-00302
COM2009-00302
COM2009-00302
COM2009-00302
COM2009-00302
COM2009.00302
COM2009-00302
COM2009-00302
COM2009-00302
COM2009-00302
COM2009-00302
Payments:
Type of Payment
CreditCard
Check
cReceil111
RECEIPT#:
1200900000000000174
Date: 03/11/2009
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft '
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Fire SF Fee - Residential
Overwidth Application Fee
Sidewalk Permit
Curbcut Permit
Curbcut - 2nd Curbcut
Mountai~gate Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer" Improvement
SDC Transpo Reimbursement
SDC Transpo Improveme~t
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Storm Admin
SDC Transportation Admin
Building Permit
'2 Baths One or Two Family
I st Appliance
Vent Fan
Appliance Vent
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Fireplace (Listed)
Plan Review Major - Planning
+ 5% Technology Fee
+ 12% State Surcharge
raid By
BWCH
BWCH
Item Total:
. Check Number 'Authorization
Received By Batch Number Number How Received
cJc
cjc
18319
04534d In Person,
In Person
Payment Total:
Pa,ge I of 2
8:44:34AM
Amount Due
38,00
2,858,00
134,00
125,00 '
63,00
160.45
45,00
8800
88,00
(45,00)
1,455,53
774,62
589,02
201.54
888,98
97,90
1,009,17
10,00
181.23
70,11
1,522,75
337,00
79,00
27,00
9,00
13,00
9,00
7,00
20,00
211.00
136,64
281.49
$11,485.43
Amount Paid
$9,500,00
$1,985.43
$11,485,43 '
3/11/2009