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HomeMy WebLinkAboutPermit Building 2009-3-17 _~~JilIIII,q,F,'laU>.;.~~_,.j~,II,~., ;,,::' CITY OF SPRIN\Jf<lELD :1 Building/Combination Permit Status Issued PERMIT NO: COM2009-00349 ISSUED: 03/17/2009 APPLIED: 03h6/2009 EXPIRES: 09/17/2009 VALUE: . $ 1198,286.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4090 FILBERT MEADOWS Way' ASSESSOR'S PARCEL NO.: 1802064111800 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New i' PRO.lECT-DESCRIPTION: Single family residence - Filbert Meadows lot 47 SAME AS COM2008-01818 .1215 S40th PI Residential Owner: BRUCE WIECHERT CUSTOM HOMES INC Address: 3073 SKYVIEW LN EUGENE OR 97405 . I CONTRACTOR INFORMATION I Contractor Type General Contractor License BRUCE WIECHERT CUSTOM HOMES INC 101717 . BUILDING INFORMATION I Expiration Date 09/16tiO 10 Phone 54 I -686~9458 ,--.--..--. , " # of Stories: Lot Size:" Height ofStrnctnre 17.00 Sq Ft 1st Floor: Type of Heat: Forced Air Gas Sq Ft 2nd Floor: Water Type: Gas Sq Ft Basement: Range Type: ATI!'!!:~~r!c)N: cslf~~:Glir~g€ll1';\;,rP&rY~'~i~ 462 Energy Path: follow rules adSqI1/lt:'On\~P!3 Oregon ttfl Yth S . kl dB 'Id' 'f' I' Cero" :rho<~\J"ilr.s are se or pnn e nl mg: Notl ICn a)n ccnpann~ a "AR 952 001 . .......'.nr"l!:t')(H'\1_nn1(]throuahv -- I DEVELOPMENT INFORMKrIDN 'fU may obtain copies ot tne rUles uy , . ctlllli I\] the center. (NR~oti)ihtpW~~~NG . . number for the Oregon tJui'rtr;-..l1Mt c Front yard Setback: 18.00 Overlay Dist: Center is 1-80cr-litlit.2344). 2 Side I Setback: 14.00 ' # Street Trees Rqd: 4 HandicalJped: Side 2 Setback: 15.50, Paved Drive Rqd: Yes Compa,ct: Rearyard Setbac~~OTlCE' '5.00 % of Lot Coverage: 36.30 Solar Setbacks: . FR'MIT sAIAi'l EXPIRE IF THE WORK THIS p~ _ ___" AUTHORIZED UNOEK IlltW~qe1Mf~8vTEMENTS 1 r:OMMENCED OR IS AB,.,- " Street Improvements: 180 DAY prD~i"n d ANY .ll'.u ,yumprove Storm Sewer Available: Yes Special Instrnction: # of Units: Primary Occnpancy Gronp: Secondary Occnpancy Gronp: Primary Constrnction Type Secondary Constrnction Type: # of Bedrooms: I R-3 U VB 5,773 1,634 3 Sidewalk Type: Curhside 7' Curb and Gntter Do.wnspouts/Drain~: Notes: Driveway approached per variance appeal approval A Storm water to curb via weep hole I Valuation Descriotion I' Description Tvpe of Construction ~4 ~~. $ Per Sq Ft or mnltiplier Sqnare Footage or Bid Amonnt Value II Date Calcnlated Pa2e I of 4 _~!i'_~IN~ElI~~, ~" t . , Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Estimate Garal!e/Misc SFlDnplex Estimate U VB Utilitv R-3 VB 1&2 Familv Fee Description + 12% State Snrcharge + 5% Technology Fee I st Appliance 2 Baths One or Two Family Addressing Assignment Appliance Vent Bnilding Permit Cnrbcnt Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Fireplace (Listed) Gas Ontlets 1-4 Plan Review Maj~r; Planning Plan Review Same As PW Disc - 2nd Permit Refnnd CY - SDC Storm Improv Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 . Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbnrsement SDC Sanitary/Storm Admin SDC Tran Reimbnrs-Residential SDC Trans Improvement-Resident SDC Transportation Admin Sidewalk Permit Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan Willamalane Single Family Total Amonnt Paid CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00349 . ISSUED: 03/1712009 APPLIED: 03(16/2009 EXPIRES: 09iI 7/2009 VALUE: $ 198,286.00 $1.00 $37.72 $96.83 " $198,286.00 $17,426.64 " " $158,220:22 $373,932:86 03116/2009 03/16/2009 03/16/2009 198,286.00 462.00 1,634.00 Total Valne of Project F~I'" Pqir! 1 Amonnt Paid " Receipt:Nnmber Date Paid $226.16 $112.08 $79.00 $337.00 $38.00 $9.00 $1,11 1.68 $88.00 $9.00 $13.00 $104.80 $20.00 $7.00 $211.00 $250.00 $-30,00 $-1,159.43 $134.00 $75,00 $483,84 $636,30 $10.00 $1,009.17 $97.90 $84.31 $201.54 $888.98 $82.08 $88.00 $1,159.43 $63.00 $27;00 $2,858.00 3/17/09 3/17/09 3117109 3/17/09 3/17/09 3/17/09 3/17109 3/17/09 3117109 3/17109 3/17/09 3117109 3/17/09 3/17/09 3/17/09 3/17/09 3/17109 3/17109 3/17109 3/17/09 3/17/09 3/17109 3/17/09 3/17109 3/17/09 3/17/09 3/17109 3/17/09 3/17/09 3/17/09 3117109 3/17/09 3/17109 1200900000000000194 1200900000000000194 1200900000000000194 1200900000000000194 1200900000000000194 1200900000000000194 1200900000000000194 1200900000000000194 1200900000000000194 1200900000000000194 1200900000000000194 1200900000000000194 1200900000000000194 1200900000000000194 1200900000000000194 1200900000000000194 ,1200900000000000194 1200900000000000194 1200900000000000194 1200900000000000194 1200900000000000194 1200900000000000194 1200900000000000194 1200900000000000194 1200900000000000194 1200900000000000194 1200900000000000194 1200900000000000194 1200900000000000194 1200900000000000194 1200900000000000194 1200900000000000194 1200900000000000194 $9,324.84 I Plan Reviews ~ Pal!e 2 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00349 ISSUED: 03i17/2009 APPLIED: 03/16/2009 EXPIRES: 09ii 7/2009 VALUE: $ 1'98,286.00 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726"3769 Inspection Line Phmniu2 Review 03/16/2009 03/16/2009 APP TAJ Reqnire street trees as shown on the street tree plan attached to the permit: species as shown, 2" caliper, lea've name tag on until approval. location may be adjnsted somewhat to account for the locatiol1 of the driveway. Driveway approached p"er variance appeal approval A As noted oil plans and in conditions of approval letter Pnblic Works Review' 03/16/2009 03/16/2009 APP LKW Structural Review 03/1612009 03/1612009 APP CJC To Request an inspeCtion call the 24 hour recordi,!g 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 b'e made the following work day. I Oam.;ra<l Inon t' J ~prrl/lr~ UferElectrical Gronnd: Install gronnd rod at footing and call for inspection in conjnnction with footing andlor foundation inspection. Footing: After trenches are excavated. Fonndation: After forms are erected bnt prior to concrete placement. Post and Beam: Prior to iloor insnlation or decking. Floor Insnlation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rongh in inspections. have been approved. Wall htsulation: Prior to cover. Ceiling Insulation: Prior to cover: Drywall: Prior to taping. Final Bnilding: After all required inspections have been reqnested and approved and the bnilding is complete. "I Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of ,eon crete. Rongh Plnmbing: Prior to cover and inclnding reqnired testing. Water Line: Prior to filling trench and inclnding reqnired testing. Sanitary Sewer Line: Prior to filling trench and inclnding reqnired testing. Storm Sewer Line: Prior to filling trench. Final Plnmbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insnlation or decki~g and inclnding reqnired testing. Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. Paee 3 of4 _~,,"~'.'I.:!'I..~..!'l.r.I.Iil:...~..._~...;...,........... ...'....... ~~~ :'. 1- . '~ 1, -=: .....-" Ii -';, :A!;;." ri ~'," '. ~.,. i! CITY VI' ~rKlj~uFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-00349 ISSUED: 03/17/2009 APPLIED: 03/16/2009 EXPIRES: 09/1712009 VALUE: $ 198,286.00 225 Fifth Street, Springticld, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Rongh Gas: After line is installed and reqnired testing and capped if not attached to an appliance. Gas Service: After line is installed and line has been connected to a minimnm of one appliance inclnding reqnired testing. Presure test done at this point. Rongh Mechanical: Prior to Cover' Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete, Temporary Electric: Approval reqnired prior to Utility Company energizing pole, UfoI' Electrical Ground: Install ground rod at footing and call 'for inspection inconjuction with footing andlor foundation inspection. Rongh Electric: Prior to Cover Electric Service: Approval reqnired prior to ntility company energizing service. Final Electric: When all electrical work is complete. Erosion/Grading Inspection: Prior to gronnd distnrbance and'after erosion measures are installed, Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Curbeut - Standard: After forms are erected but prior to placement of concrete. By signatnre, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all information hereon is trne 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 describcd herein, and that NO' OCCUPANCY will be made of any strnctnre withont permission of the Commnnity Services Division, Building Safety. I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on this project. I fnrther agree toensure that all reqnired inspections are requested at the proper time, that each address is readable from the street, that thc permit card is located at the front of the property, and the approved set of plans will remain on the site at all "'c7;j'r~ Ow."., ~"'''~;'".."'' fr7/0 j Date Pa2e 4 of 4 ~ .~ Willal11alane t Park & Recreation District Job. No. C'9- .J~1 SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2009 ADDRESS:.M.Z? 5tC-v/{ff,w CITY ~u~ PHONE: ~fjI" 1Y.s- 6 STATE~ZIP: o/Yyq-- . ,NAME: R~tAU tJb~"kJ /:uf~h~} LOCATION OF PROPOSED BUILDING SITE: Street Address: ~70 !1t--8eit-1 ;1d4/~~ 1.,)1 Plat Name: Tax Lot Number: /,[/)2 a f't' /tI~cJ 1. DEVELOPMENT TYPE (Check appropriate' dwelling(s), Dwelling type definitions are on the. back,) . . A. Sinale-Familv Detached . NO. OF UNITS ) X $2,858 per unit = $ .J-Il5~ B. Sinale-Familv Attached NO. OF UNITS X $3,100 per unit = $ . C. Multi-Familv Aoartment NO. OF UNITS X $2,641 per unit = $ D._Sir:laleRoom_OcGuoaocll NO. OF UNITS X $1,321 per unit = $ E. Accessorv Dwellino '-'nit NO. OF UNITS X$1 ,550 per unit = $ $ WILLAMALANE SDC 2. SDC CREDIT (If applicable) SDC payer must fumish proof of Willamalane Credit approyaL) $ . 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDt reduced for Credit) $ :JJ)~ ' aMd~~ Development Services Department City of Springfield J I It. I CJ! Date 5 ZON INITIALS DATE SOURCE lGJL, lk\ 'b'n .cq P- ~(l.--' 225 FIFTH STREET. SPRlNGFtELD, OR 97477 . PH,(54t)726-3753 . FAX, (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number (01'1'1700 9 - C>O 5 <.{ ? JOB DESCRIPTION: ;Io",,~C' Permits are non-transftrable and expire if work is not started within 180 days of is~uance or if work is Suspended for 180 days. ,.' \0 f:-""'7-.Ji....:-~-:&;;::.~:..,'~;,:;r~~~...::~~lb;;:..;~~,,,~....?>";tl 'l':v "t !&..~ 1=. :.k~~~~1:~~f~W-~~"f,7~_ ~.~ f'J'plC:i- .... e..' . > ." -......" >>7>r'L~ J 2 ; ~9R~q!,QR...1N~T~'flq1Y ~Nl~~~\\)\\\'1\'(\B. ~1~eryi~e~~'~~ffedfr~~ !n~sJa,!,!a~i?'n.:t\lte!ation~:oJ~,!l!lo~€ltj9.ri.~r::1 . ,-_..J - -1t:........_Ji<~.,,.,_.~:G.:J..~,_"_~~.....,,!b..\).\~e'?,,'f0v ,at,\. ~t,~a:;~........-~.... ~.a..._\C,.... _""-"'- ~... }-..:t~.( __~ ___,. ..- ~._'ll:i$~,,~ . L +- c- ~'Oo:. 'OQ,O s'o\ RJ\' Electrica] Contractor \"'-~ e a~ _~\~'\':J'I:(J 'O'\!OO Amps or less $ 73,00 0\' '\.\' ''0'" 0. '" ~'os ...'0($ 0.'0'\ ~0\i?'r" '0\" ,,0201 Amps to 400 Amps $86,00 Address q L -g s 3 ~-2~<3 -<;\\J.t~$ 0\'" ~'O\>'(\O'O-\\"'lJ] Amps to 600 Amps $143.00 ~\ "' 'Q.v e\' \\" - ~'(j.f ...e S"v . :0<() ~~\e'i:> p'o'0'1 ~\'\l <.> cB\> ,,~'o v,o\\ 601 Amps to 1000 Amps $]86,00 City '3 oj) ~ \ 6 ~ 1\0~ ,\o'l',~llP~'~ ,~Q\~\4~1~1>.t>.\. Over 1000 AmpsNo]ts $426,00 . \O":i.\\\c;~"d':J'I: ~~'\ -'0\'o~' ~O\' ~'?l/: Recollllect Only $ 57,00 ~O aI>'" -{00 '0 C'o a~'O .'O'\l'\l' , ''0 RJ. ,,'is'' 119-00 ,(i)' " L'.",.'.,- ,.", '-..-;' :-" ." Supervisor License N'1l'i'ile~..\\'0":1I\(J.\~"j.,' C. ,: T.C1ilp~r.1'ry Ser\~i,ccsAr I'.criders, , C ~'Ov vf' Expiration Date ~ I 2/ I 0 / II Installation, Alteration or Relocation I ".....""..,,~"I-""....:1~ .'l(;,',' ~"'.'--"":<:""'l'~_.'~-I<-.'\--:"'~'~-_,__ <:' 1. "'LOCAirONOI~llVSTA1iMTjON!;' ';.: l:..c.'.i R;f'~~.. ,.~,,,.'t-"'iI.Y;{;..0.........,,-"'-";:"''''~';;'~",,1~~iVl'''';;:''''i- .~.. ',., 4D90 F,\be.vt /lIec...doWS LEGAL DESCRIPTION: ISOl 0641 1/800 I rewt t I 1 , Constr, Contr, Number / b S- '--17 y- 3)10 Expiration Date Signature of Snpervising Electrician fflJ2tM), NJL Owners Name \S,r vce LJ i ed,ed (,,'>10..... 5Ic....v;~W lrJ , Phone b"6b-9ltS"Z Address :, \;) 7 :5 City t: li JC'"'''-- OWNER INST ALLA nON The installation is being made on property [ own which is not intended for sale, lease or rent. Owners Signatnre: Inspection Reqnest: 726-3769 f-\cl ~ T eMf Date '-'~ ",-:; ~'""1:"I.r."~c "~.:',.'.'l-' ~~.,~"",;<-;:7r:--.~_"',,-~.~~,,,:; .,~";"";',,'.1::""':- .~-"'"".~.. .~._-~, or' -,'. ~'.. .~~.'.,,, 3. ." (XiMPLETE!FEESCHEDUl;EBELOwJt "i."'~ ,? 1,C,~ /., L; 'j '.\'i<.~~_'_""::" ";c,'...._;i\'--,j;\~" <I:.V: '~"''''''''JVt..-.i- ' ';-.'.~_ -;:;,~:. .-r..~~o.:_J; ';:"';": -::'L'.',. ~ >..)!'~, A. U~~tf~~_~!_~~~i};f~fif~}1~i{tt~]~fN~~jIjt;;:~J!~_-~~!t'~i~ti Service Included ~ ..m:Q0 rJq 7) 1000 sq, It, or less Each additional 500 sq, It, or portion thereof Each Mannfac!' d Home or Modular Dwelling Service or Feeder $57.00 , . ., :."-1 ~ :' :. ~ ... $p1JO $ 79,00 $] 14.00 b3 200 Amps or less 20] Amps to 400 Amps 40] Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" aMlve. . '.i"':"'~::f:.,.~,~:'~ . "'"\,:,:..;.,;r _>;"-:--:O~' ';,'f"7( '<:..':': . -'! t'\~~~ r~,.' ,;/;.'-". i'L:\;>~} ",y,~r'~ ~ ::',;-:! D. ~~8ranch'~lrclllts..4t>~. /,;;1"~kf,'" ,.,;""\\J."'t'\.~:;!f :';~[>~~C;t'l"'=''' ~ .....i'i' '.-. ''''; "'-'.'~-'~",.."" ,,",:', ..,'. ""'0<(,""~\J-'-' ,,1,-,; ,-," ,__, '," New Alteration or Exten~o.(l ~~'ll1l~ ' One Circuit ~~ ~<(' ~ 'X~ $ 50,00 Each Additional ~r&.il;~~~~~ ~""tS servl~~orF~~~~~~<S $5,00 \~~~. ~ .,,~<s c.,~', ... - -.-- -, n., .JO.~",' . !l\tX'i)11~'f~i~c(i~/~'~i~l@nil~(i)~F;"~~I~'/t~ii~l[o;t1 ~- f:> "~l-'v'"x..'V\)'~~\j", . ...., -. --.... '.. '.~, , "\~~ ~i# ~ $ 57,00 . Si-3~'Yghting $ 57,00 Lim~~nergylReSidential $ 29,00 Limited Energy/Commercial $ 52,00 Minimnm Electric Permit Inspection Fee is $52.00 + Snrcharges ..; ~_'''l:,;. ., ~,~_':~"'.~'::'_~'7i~. ~,:j".,;:"': ~_"':,':'::_'.' ;,"Co ~. 4. SUB'rO'I'AHOFABOVE' ,,' ,-' ; ,,' >~ ":";;" '.~ '.> ;: ;, - - .' ] 2% State Surcharge -I.G%t'I.J..j:..i;....u.~:..e Fee 5% Technology Fee z-7Z- "5 Zh'i TOTAL /160 J/8 Z;L Shared Drive(T:)lBuilding FormslElectrical Permit Application 7-08.doc 225 Fifth Street. Springfield, OR 97477. PH(54 1)726-3753 . FAX(541)726-3689 li;{D EkARTM ENiI'USE70'NilW4il . :/c,~". ''''~'.i'':'-''';h;~.;"..",",,~~.^~...ti<o;:'':t.'''''''~~~~_~1~~!-, ('OM ZOO 7 - Penn it no.: C> 01 4 '=t I Date ':1-16-01 This permit is issued nnder OAR 918-460-0030. Permits expire if work is not started within 180 days ofissnance or if work is suspended for 180 days. 5'-1r5r S S '-lot (I rg.tBiS Of' \~\ . 5C1..\'l'\c... o....S 123 Z Structural Permit Appljcatjon~- Ili~Rl.iI[~!l;l}G.QNjtR~9':t:~R}rNR(jRM~j;iQH~1~~jjr:;;{\)\;)1 [ Name CCB License Number Phone Number I IElectricall-+-e /05'17.< 5LI'iI'i& I I Plumbing5IL-voi Plv~~"< b50{'S- ). YZ-31f:,'-- I I MecbauicalLrH "4brJ 72.6-0100 I 1il':&~j!Ijge:~qQ,~~BNMgNifl4RgRQYJ\i3,~'f~l I This project has final land-use approvaL I I-l&.. .i,'~~t\i;.1illf;:<;~EE".lfS'CHEDmrE-'~J.l'.i!'~~1\itcWfll!iT,,~~~!,il SIgnature:. Date:;'~_~""-";"~"'~L-"~M'Af~,,*,,~_..,_",.,,,_...._.,~~, __.,_.__.,_~:Mt~~"t,;~..,~,';B;:"L 11,fd;~;nfi1rtloiiniff6~litilii:i:g~!j\i~~i~~l.{~~~It1!~t':~~'1 I ~;:~;e~ct has DEQ approvaL Date I. I(a;j;~~~~~ri;;i~;;:~'---'- ,%",,,"ffii,w;,,,,,,'1;!:!!>:,_"~\, I I Zoning approval verified: 0 Yes 0 No I I Occupancy I II :;~~.";::,~,;,,.it;~~.,~~~,~~~:".,O..'''.\t:::....._9,N._. .~'~"'"'.''''''' '.%.-'i~'_~."'?'<~...":~':i''-:~''",*:-'.'''). I. Construction type: I ~1ilI~1\,;llM:;t<,T~,GQ~YA\(')Ii'j)J.C;OI'j$:1jR_UC}I1QI:-I,,~1if;(';j,\';!;t~'L'in I Square feet: I l~m;J~~1~ft1~f~~Q~~~@~1~Bm!.JQ~~~~'Fii;i.;~~ I ~::::f:::t:::ot: I I Job site address: LjfJ9.0 F,/b"''''1- Yhec-..t.O WS (}fIr I I . Type of Heat: I City:<;9'-~"'l~:,,--ul State: 0 11. J ZIP: 17177 I Energy Path: I ISubdivision:F;lh..,-t (l\(&.!-ow~ I Lot no.: 47 I 10 0 ' I I j B I new alteratIOn 0 addition 1,~:=~~./"~~'?~~.~L,,..!,::,1~:.,._U"!iC'~~:'1I""""1 I (b) Foundation-only permit? O'Yes 0 No cQb ~;",~fjfJ;~"!tj;:RRQBJ:BIX0Q\I\IN.I::R",~);;lf!i':',-,~!:":i:";'Ci".:Jn I Total valuation: I $ I ( t>Z~ I Name:G{~l~ IV;, c~..t ("ski", \I(,,,,..s :tNC- I 1.'2.B' "."ld""';"-O""~"'""'!ii'f;'''''*:,jl'''.' I?, I .'.'.: Ul lDgJleeS<t~;t~->W?~~Ni't;.'.:."li.~ Address:.:>073 5lC"UI<=W I-N . ' .... _'__'<'~..L,".,'~.. ',,'. J ' /" I I '" 7 -- I I (al Permit fee (ase valuation table): CIty: , v'{I~ "-"-' Stateo t\- ZIP:, 10-, I " , b 'V . q '7 b' I I (b) Investigative fee (equal to [2a]): Phone: -b~ - 9'-/)0 Fax: -,f,- ::,3 ... .. I I (c) RemspectJon ($ per hour):' I E-mail:W;<coh.-.lr ~OI"e-5 Q.LD'-~l'S~. \\Je.t (number of hours x fee per hour) This installation is being made. on residential or farm property owned by I (d) Enter 12% surchar e (,12 x [2a+2b+2c]): me or a member of my ImmedIate famIly, and IS exempt from licenSing g requirements under ORS 7oi,010. I (e) Subtotal offees above (2a througb 2d): I $ ~t3~~~;PTa.tIWf!'eifir-W1feiS;;~k'I~~~J~JfW~f~'(ftffgr~~~E:~;J~}!'~t~*~ Sign here: '_.^",...._)._.,_"'~~.'c".."'>~.-A,._"_..~"Affi}t4-j.ji~t.."A~v;-~"':..~~J,l$L"J~J;;: I"J_~tIt~CO"NTRACTOFr'jNSTALlI2ATI0Ni(1\~W:ll-~i4ii\\';~,fl;jl (a) Plan review (6~0/." ~orl!lit fee [2a)):;;;-" In $ Z ~1> \1."~,, " !, .,~---,..",.. ....__~,_,...ll,,,.,____.,'~.,.__ -.,-,...." "I\... ,,,,,",m...'. . " I (b) Fire and life safety (40% x permit fee [2a)): $ I I Business name: \?:nvt.e W;ed"'J' C:u~b...., ~'^"" :five..-- I I (c) Subtotal of fees above (3a and 3b): $ I I Address: '3 07 '3 S iL ~ "' ~...J 1-", I 1,~~;l.~)J~~.iI~'~:#:~}I~~~10&;;fl'~~~~{f;~'~i~~~:~t!i\'~:~;~~~~t~lt~~:}I~~~1f5~}i) I City: Cv~ e,"'" I State:o<L I ZIP..: 0. 7~",1 I -- I I (a) Seismicfee, 1% (.01 x permit fee [2a]): $ I Phone: -6J'~ clc/5? Fax: ::s'l'l-::; 3 b 'l I E-mail: W;ed......\"...-..I..-..S@co....(h..4~.....Ie-\" I I TOTAL fees and surcharges (2e+3c+4a): $ I I CCB license no,: loll (-, I I Printn~e:~"'v~d" W,.,\oJV f' ~S I Signature W W _____________- I ~"'" 0... ';,1' 12>\ u C~,\ $ $ I I I I $ I $ Wi ~ ...;: ... CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: COM2009-00349 NAME OR COMPANY: Bruce Wiechert LOCATION: 4090 Filbert Mcadows Way TAX LOT NUMBER: 1802064111800 DEVELOPMENT TYPE: Single Family Residence NEW DWELLING UNITS I BUILDING SIZE (SF: 2100 LOT SIZE (SF): L STORM DRAINAGE 5773 II ~ 10 I~ IW-l ,I- m G ~ DIRECT RUNOFF TO CITY STORM SYSTEM 1 IMPERVIOUS S,F, x I COST PER S,F, CHARGE I 3250,00 I $0,357 I = I $1.159.43 J RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S,F, 1 x I COST PER S,F, I x 1 DISCOUNT RATE I 1 0,00 I I $0.357 I 1 50% I ~ I ITEM 1 TOTAL - STORM DRAINAGE SDC $0,00 , 2, SANITARY SEWER - f:ITY DISCOUNT $0,00 $0.00 I 1070 ~ -l ^- REIMBURSEMENT COST: I NUMBER OF DFU's I x 1 23 COST PER DFU $27,67 $636.30 I 11091 I 1 1092 I' B. IMPROVEMENT COST: I NUMBER OF DFU's I x COST PER DFU 1 23 $21.04 ITEM 2 TOTAL - CITY SANITARY SEWER SDC $483.84 = I $1,120.14 ], TRANSPORTATION A. REIMBURSEMENT COST: I ADTTRlP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI 1 9.57 I I I 1 1 21.06 I 1.00 1 $201.54 I 1093 B. IMPROVEMENT COST: I ADT TRIP RATE 1 x I NUMBER OF UNITS I x,l COST PER TRIP x I NEW TRIP F ACTORI 1 9.57 , I I 1 I $92,89 1.00 I $888.98 1094 ITEM 3 TOTAL- TRANSPORTATION SDC = , $1,090.52 J 4 SANITARY SEWER - MWMC ..... A, REIMBURSEMENT COST: INUMBER 7F FEU's 1 x ICOST PER FEU I $97,90 = $97.90 I 1054 B, IMPROVEMENT COST: INUMBER OF FEU's I x ICOST PER FEU 1 I I 1 $1,009.17 = $1,009,17 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054 MWMC ADMINISTRATIVE FEE $10.00 I 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC ~ , ,$t,1I7.07 I SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ I $3,327.73 J :\ AT1MINISTRATIVE FEE: L 1 SUBTOTAL x I ADM, FEE RATE 1= CHARGE I $3,327,73 5% I $166.39 TOTAL SANITARY ADMINISTRATION FEE: 84.31 TOTAL TRANSPORTATION ADMINISTRATION FEE: $82,08 11078 '-' Kaye Wilson 3/16/2009 TOTAL SDC CHARGES ~ $3,494.12 PREPARED BY DATE DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE .. ., .. .EDU (Equivalent Dwel]in~ Unit) is a discharue eQuivalent to a single family dwelling unit (20 DFlJ's) set at 167 gallons per day MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED CREDIT RATE/$I,OOO II ASSESSED V Ah!!.L..J .:~:= $5,29 ,C'l' $5,29 ~ 5,19 5,12 $4,9~~ $4,80 $4,63 $4,40 $4,07, _' $3,67 - _"';_ ~3.2~,.:.~.~I:,firj[!!,1::":9:\': $2,73 c',c'c,' u" $2.25' _- ',$ $1,80 '- 1.59 $1.45 $1,25 - '---$1'09 ' $0,92 '5.h ___,OA8, .. _:::- $0,28 . " ""-"$009, !,!;!i;;i;!";::!i':1!,~I!iJ.-,.;j,., ,..,' ',;1 '.~ :~~JO})~__ BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 IS LAND ELGIBLE FOR ANNEXA nON CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT? (Enter I for Yes. 2 for No) BASE YEAR CREDIT FOR LAND (IF APPLICABLE) VALUE 11000 CREDIT RATE $0,00 x $0.00 ~ I CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE /1000 CREDIT RATE $0,00 x $0,00 ~ I TOTAL MWMC CREDIT = 2005 $0,00 $0,00 I I , J 2 2 o - ~- ,,.. .... CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: COM2009-00349 NAME OR COMPANY: Bruce Wiechert . LOCATION: '4090 Filbert Meadows Wav' TAX LOT NUMBER: 1802064111800 . DEVELOPMENT TYPE: Single Family Residence ' NEW DWELLING UNITS I BUILDING SIZE (SF: 2100 ":, LOT SIZE (SF>: 1 STORM DRAINAGF, DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S,F, x I COST PER S,F, CHARGE I' I 3250,00 I $0,357 I = I $1,159.43 , RUNOFF ROUTED TO DR YWELLDESIGNED AND CONSTRUCTED TO CITY STANDARDS, I IMPERVIOUS S,F, I x I COST PERS:F, I, I DISCOUNT RATE 1 1 DISCOUNT I 0,00 I $0.357 I I 50% ~. I $0,00 ITEM I TOTAL" STORM DRAINAGE SDC I $1,159.43 2, SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFUs I x I 23 I B. IMPROVEMENT COST: I NUMBER OF DFU's I ' I 23 I , . COST PER DFU , $27,67 COST PER DFU : $2L04 ITEM 2 TOT AL - CITY SANITARY SEWER SDC ~ I $1,120.14 ~~-~I , , 3, TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRJP RATE. I ' I, 9,57 I I NUMBER OF UNITS I x I I 1 I COST PER TRIP 2106 x INEW TRJP FACTORI I LOO' .' - B, IMPROVEMENT COST: I ADT TRJP RATE'I x I NUMBER OF UNITS I x I I 9.571 I I I ITEM 3 TOTAL - TRANSPORTATION SDC , = , I x I I [NEW TRJP FACTORI [ LOO', COST PER TRIP $92,89 $1,090.52 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x [ I ,[ ICOST PER FEU 1 $97,90 B. IMPROVEMENT COST: INUMBER OF FEU's I x I I I ICOST PER FEU I $1,009,17 MWMC CREDIT IF APPLICABLE (SEEREVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC ~, -- SUBTOTAL (ADD ITEMS I, 2, 3, & 4) ~ , ) ADMINISTRATIVE FEE: I SUBTOTAL x [ ADM, FEE RATE [~ I $4,487016 I 5% I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: $1,t17.07 $4,487.16 5773 I~ 1m I~ 10 I~ [W ~I- ).a ~ $1,159.43 1070 $636.30 1091 . $483.84 11092 I I ! ,. , $201.54 : 1093 II $888.98 I 1094 j "I I = $97.90 I 1054 $1,009,17 $0.00 $10.00 1055 1054 1056 CHARGE $224.36 , :~ Kaye Wilson PREPARED BY 3/J 6/2009 TOTAL SDC CHARGES DATE . ' 151.76 11079 $72.60 11078 = I $4,711.52 fI' ,~, ,. DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIXTURES) NO, OF FIXTIJRES DRAINAGE UNIT FIXTURE FIXTIJRE TYPE NEW OLD EQUIVALENT UNITS I BATHTUB 1 0 3 = 3 [DRINKING FOUNTAIN 0 0 1 - 0 [FLOOR DRAIN 0 0 3 = 0 [INTERCEPTORS FOR GREASE I OIL I SOLIDS / ETe. 0 0 3 0 IINTERCEPTORS FOR SAND / AUTO WASH I ETe. 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = I 0 ICLOTHESWASHER/MOP SINK 1 0 3 = 3, \CLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0: ,... I MOBILE HOME PARK TRAP (I PER TRAILER) ,0 0 _12 = 0'" [RECEPTOR FOR REFRlG / WATER STATION i ETe. 0 0 1 = o " IRECEPTOR FOR COM, SINK I DISHWASHER I ETe. 1 0 3 = 3';', ISHOWER SINGLE STALL 1 0 '2. = 2 [SHOWER GANG Jl'<IUMBER OF HEADS) 0 0 2 = ,0 I [SINK: COMMERClALIRESIDENTIAL KITCHEN 1 0 3 = 3 'I I SINK: COMMERCIAL BAR 0 0 2 = :,:0 I I SINK: WASH BASIN/DOUBLE LAVATORY . 1 0 2 = 2 [ SINK: SINGLE LA V ATORYIRESIDENTIAL BAR 1 0 1 = "1 I I URINAL, STALL I WALL 0 0 5 = .; 0 , I TOILET, PUBLIC INSTALLATION 0 0 6 = 0 [ ITOILET, PRIVATE INST ALLA TION 2 0 3 = 6 I MlSCELLANEOUS DFU TYPE NUMBER OF EDU'S , ,I 20 = ". '0 , TOTAL DRAINAGE FIXTURE UNITS 23 I 1<EDU (Equivalent DwellingUnit) is: discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per daL I --' MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE ~ YEAR I ANNEXED I BEFORE 1979 [ 1979 I 1980 I 1981 I 1982 I 1983 [ 1984 I 1985 1986 _ 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 , IS LAND ELGlBLE FOR ANNEXA nON CREDIT? (Enter I for Y cs, 2 for No) IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? (Enter I for Y cs, 2 for No) BASE YEAR II 2 2 2005 CREDIT FOR LAND (IF APPLICABLE) . VALUE I 1000 CREDIT RATE $0,00 x $0,00 ~ , $0,00 . CREDIT FOR IMPROVEMENT (IF AFTER ANNEXA nON) VALUE I 1000 CREDIT RATE $0,00 x $0,00 ~ , o TOTAL MWMC CREDIT = $0,00 225 Fifth Street SpringfieId~ Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-00349 COM2009-00349 COM2009-00349 COM2009-00349 COM2009.00349 COM2009"00349 COM2009-00349 COM2009-00349 COM2009-00349 COM2009-00349 COM2009-00349 COM2009-00349 COM2009-00349 COM2009-00349 COM2009-00349 COM2009-00349 COM2009"00349 COM2009-00349 COM2009-00349 COM2009-00349 COM2009-00349 COM2009-00349 , COM2009-00349 COM2009-00349 COM2009-00349 COM2009-00349 COM2009-00349 COM2009-00349 COM2009-00349 COM2009-00349 COM2009-00349 COM2009-00349 COM2009-00349 Payments: Type of Payment Cred itCard cReceiotl RECEIPT #: 1200900000000000194 Date: 03/17/2009 Description Plan Review Same As Building Pennit _ Addressing Assignment Willamalane Single Family 2'Baths One or Two Family I st Appliance Vent Fan Exhaust Hoods Dryer Ven! Gas Outlets 1-4 Fireplace (Listed) 'Residence Wiring 1000 Sq Ft' . Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Fire SF Fee - Residential Plan Review Major - Planning Cnrbcut Permit PW Disc - 2nd Penn it Sidewalk Pennit Appliance Vent Storm Drainage Impervious Area Rcfund CY - SDC Storm lmprov Sanitary Sewer - Reimbursem~nt ,Sanitary Sewer - Improvement .SDC Tran Reimburs-Residential SDC Trans Improvement-Resident SDC MWMC Reimbu'rsement SDC MWMC Improvement SDC MWMC Administration SDC SanitarylStorm Admin SDC Transportation Admin + 5% Technology Fee + 12% State Surcharge , Paid By BWCH Item Total: Check Number Authorizat.ion Received By Batch Number Number now Received kr 02573D In Person Payment Total: , Page I of I 8:33:12AM Amount Duc 250,00 1,111.68 38.00 2,858.00 337,00 79,00 27.00 13.00 9,00 7.00 20.00. 134.00 75.00 63.00 104,80 211.00 88.00 (30,00) 88,00 9.00 1,159.43 (1,159.43) 636,30 483,84 201.54 888.98 97.90 1,009.17 10,00 84.31 82,08 112,08 226.16 $9,324.84 Amount Paid $9,324,84 $9,324.84 3/17/2009