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Home My WebLink AboutPermit Building 2009-3-25 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2009-00377 ISSUED: 03/25/2009 APPLIED: 03/23/2009 EXPIRES: 09/25/2009 VALUE: $ 172,821.37 225 Fifth Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2007 S 57TH ST ASSJ';SSOR'S PARCEL NO.: 1802033301000 Spriugfield TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: New single family dwelling Lot 250 Jasper Meadows SAME AS 5750 PUMICE Residential Owner: Address: HA YDEN HOMES LLC . u to 2464 SW GLACIER PL STE Ijl.QTENTION: Oregon law reqUires yo Tt REDMOND OR 97756 /OI.I.~,W_~~~~~~~?Ete~h~~hr~I~~ea~~~~~~rih . .- ''';;';';'C''M1_nn1.Q throuah OAK "o,,-VV 1- ~0~J'GONtRAGT,OR11NI'O,RMl-\iI1I~~el by calling the center. (NOle:ln" ':"~~,,v..,e Contractor nurnber for the Oregon UtilityJf;ic~lis~t'on Expiration Date HA YDEN ENTERPRISEJSenter is 1-800-332-292108 07/29/2009 TOP NOTCH ELECTRIC INC 172366 09/29/2010 PACIFIC AIR COMFORT INC 39237 03/25/2010 PLUMBING PLUS INC 90482 05/10/2009 Phone 541-228-1081 541-317-1998 541-672-9510 541-926-3190 Contractor Type General Electrical Mechanical Plumbing I BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Gronp: Primal'y Construction Type Secoudary Construction Type: # of Bedrooms: I # of Stories: I R-3NOTlCE' Height of Structure _ 15.50 U ER~T.rf't;~Me.:*tXP?:ft,,-e\l;:A'jrIEle'l!GitK VB THIS P W, ateI'I II .vpe:THIS PERMIT ISGaS1T 001""1111"'1 Ii .- AUT\-! "LRange Tl:p'e~\BA!"DONED Electric ~ Ncrn (\1:'~"" ':\ \I lUll 3:,OMME IEnergy Path: ^O S'" r.k~l r-d'rBl'1.ld. l\NY 1 ti '_ pJjID e i UJ 109: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor:1 Sq Ft Basement: Sq Ft Garage/Carpol t Sq Ft Other: Occupant Load: 5,372 1,031 40U ~ DEVELOPMENT lNFORMATlO~ I REQUIRED PARKlNG Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 10.00 14.00 23.52 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I Yes 19.20 Total: Handicapped: Compact: 2 I PUBLIC IMPROVEMENTS I Street Improvemeuts: Storm Sewer Available: Special Instruction: Fullv Improved Yes Storm water to curb via weephole Sidewalk Type: Downspouts/Drains: Curbside 7' Curb and Gutter Notes: Pa2e I of 4 Status Issued 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Caraee/Misc SFlDuplex U VB Utilitv R-3 VB 1&2 Familv Fee Descriptiou + 12% State Surcharge + 5% Technology Fee 1st Appliauce 2 Baths One or Two Family Addressing Assignmeut Appliance Vent Building Permit Cnrbcnt Permit Dryer Vent Exhaust Hoods Fire SF Fee ~ Resideutial Cas Ontlets 1-4 Plan Review Major - Planning Plan Review Residential PW Disc - 2nd Permit Refund CY - Trans Improv SDC Resideuce Wiring 1000 Sq Ft Resideuce Wiring Ea Addtl 500 Sanitary Sewe.r - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Tran Reimburs-Residential SDC Transpo Improvement SDC Transportation Admin Sidewalk Permit Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan WiIlamalane Single Family Total Amount Paid I y alu~tion D~scrintion ~ $ Per Sq Ft or multiplier $37.72 $96.83 Square Footage or Bid Amount 400.00 1,031.00 Total Value of Project J;'pp~ P'liti I Amount Paid $205.06 $103.29 $79.00 $337.00 $38.00 $9.00 $1,005.86 $88.00 $9.00 $13.00 $71.55 $7.00 $211.00 $653.81 $_30.00 $-888.98 $134.00 $25.00 $483.84 $636.30 $10.00 $1,009.17 $97.90 $141.01 $201.54 $888.98 $15.66 $88.00 $694.59 $63.00 $27.00 $2,858.00 $9,285.58 Date Paid 3/25/09 3/25/09 3/25/09 3/25/09 3/25/09 3/25/09 3/25/09 3/25109 3/25/09 3/25/09 3/25/09 3/25/09 3/25/09 3/25/09 3/25/09 3/25/09 3/25/09 3/25/09 3/25/09 3/2 5/09 3/25/09 . 3/25/09 3/25/09 3/25/09 3/25/09 3/25/09 3/25/09 3/25/09 3/25/09 3/25/09 3/25/09 3/25/09 Paee 2 of 4 I CITY OF SPRINGFIELD Building/CombinatiJn Permit I I PERMIT NO: COM2009-00377 ISSUED: 03/25/2009 I APPLIED: 03/23/2009 EXPIRES: 09/2512009 VALUE: $ 172,821.37 Value Date Calculated $15,088.00 $99,831. 73 $114,919.73 03123/2009 03/23/2009 Receipt Number 3200900000000000185 3200900000000000185 3200900000000000185 3200900000000000185 3200900000000000185 3200900000000000185 3200900000000000185 3200900000000000185 3200900000000000t85 3200900000000000185 3200900000000000185 . 3200900000000000185 3200900000000000185 3200900000000000185 3200900000000000185 3200900000000000185 3200900000000000185 3200900000000000185 3200900000000000185 3200900000000000185 3200900000000000185 3200900000000000185 3200900000000000185 3200900000000000185 3200900000000000185 3200900000000000185 3200900000000000185 3200900000000000185 3200900000000000185 3200900000000000185 3200900000000000185 3200900000000000185 CITY OF SPRINGFIELD Building/Combination Permit . Status Issued PERMIT NO: COM2009-00377 ISSUED: 03/25/2009 APPLIED: 03/23/2009 EXPIRES: 09/25/2()09 VALUE: $ 172,821.37 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Plannin2 Review 03/23/2009 I Plan Reviews I 03/23/2009 APP DDK Access restricted to 1 driveway/lot (condition 19). Follow approved street tree plan. Storm water to curb via weephole As noted on plans and in conditous letter Public Works Review Structural Review 03/23/2009 03/23/2009 03/23/2009 APP 03/23/2009 APP LKW CJc 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. ~eollire1Jnsnections I Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Ufer Electrical Gronnd: Install ground rod at footing and call for inspection iu conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Fonndation: After forms are erected but prior to concrete placemeut. Post and Beam: Prior to floor insnlatiou or decking. Floor Insnlation: Prior to decking. Shear Wall Nailing: Before covering sheathing witb finish materials. Framing Inspection: Prior to cover and after all rough in iuspections have been approved. \Vall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Final Building: After all reqnired inspeCtions have been requested and approved and the building is complete. Uuderground Plumbing: Prior to filling tbe treuch and inclnding required testiug. Underfloor Plumbing: Prior to insulation or deckiug. Underl100r Drain: Prior to cover or placement of concrete. Rough Plnmbing: Prior to cover and inclnding required testing. Water Line: Prior to filling trench and inclnding required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: PriOl.to filling trench and including reqnired testing. Storm Sewer Line: Prior to filling trench. Final Plnmbiug: When all plumbing work is complete. Pa2e 3 of 4 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-00377 ISSUED: 03/25/2009 APPLIED: 03/23/2009 EXPIRES: 09/25/2009 VALUE: $ 172,821.37 225 Fifth Street, Springfield, OR 54 I- 726~3753 Phone 541-726-3676 Fax 541- 726-3769 Inspection Line Undernoor Mechanical. Prior to,insulation or decking and including required testing. Undertloor Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Gas: After line is iustalled and reqnired testing and capped if not attached to an appliance. Gas Service: After line is installed aud line has been connected to a minimum of one appliance includiug reqnired testing. Presn~e test done at this point. Rough Mechani~al: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechauical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Undergronnd 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. Erosion/Gradiug Inspe.ction: Prior to ground disturbance and after erosion measures are installed. Sidewalk - Curbside: After forms are erected but prior to placement of coucrete. Curbcut - Staudard: After forms are erected bnt prior to placement of concrete. 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 correctl and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Spriugfield and the Laws of the State of Oregon pertaining to the work described hereiu, and that NO OCCUPANCY will be made of any structure withont permission of the Commnnity Services Division, Bnilding 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 iuspectious are reqnested at tbe 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 plaus will remaiu on the site at all :~7~/1~ . 5-;)0-01 Owner or Contractors Signature.~ Date Page 4 of4 't ~ !~I!!!!o~l:!;~e Job.No~~/-aJJ7) SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 20.0.9 NAME: jf,q-(Il)p./ I/-r:rrnFJ PHONE: c?-f 65 7' .3 ') ADDRESS,2'&15i.J tL&ra-----!l#ITY ,eOndpVr> STATEV?ZzIP:1??S0 LOCATION OF PROPOSED BUILDING SITE: StreetAddress:;2QQ?.5. 5'.'/*! Si. Plat Name: Tax Lot Number: /,m2. oJ3'3 O/a:0 1. . DEVELOPMENT TYPE .(Check appropriate dwelling(s). Dwelling type definitions are on the back.) A. Sinale-Familv Detached NO. OF UNITS I . X $2,858 per unit = is ..:;;R. 5700 B. Sinale-Familv Attached NO. OF UNITS X $3,1 DO per unit = $ C. Multi-Familv Aoartment NO. OF UNITS X $2,641 per unit '= '$ D. Sinale Room Occuoancv NO. OF UNITS X $1,321 per unit = $ E. Accessorv Dwellina 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.) $ $d-5S-Z~ 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) /P{O~ Development S~rvices Department City of Springfield 3 1.:23 1.!!..'7 Date 5 ZON u:>t.. . INl11AL, ~. .DATE.. cA SOURCE V 3/.2- 3/D f1 22S FIFTH STREET. SPRINGFIELD, OR 97477 . PH,(541)726-37S3 . FA),' (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number . C}'j' - 3717 Signal ~:re ofSl}pervjsing}nectrician afi)\~; .'~~' . ~~., Each Addltlona] Circuit orwitl:i _ , Service or Feeder Permit $ 4.00 Owners Name ~ ~ _ . 11 A I..A rf P-LJJ~ln..rJ.uL> #'{1\F.. ~~i~~I~rtl;l:i~\~!flff~lillr"j.tf'!&r\i!iI~1;.1,t'~''i~\,~,"1~;U''''! Address ?".-:LU( \ 'Sti591(J..C((. II if .."" ,,"" . '"-""'~1~~"i!t!~~~.i~I"",~"""~~oy",'~'''1ii1,jlI,,~I1<Mo\~;)jj.,,,'lJl City J2JLd~hone .dMlt/M3 1. ..~~l~I.~~~tJ~t~l!ii! drYY? s. '~i\-W\~"'''' 'u' LEGAL DESCRIPT10N: 1802D~Do O\CCC) JOB DESCRIPTION:. \-\~\ a ~ 't m\A.U1Y'Q... -\- T~ Permits are non-transferable and expire if work is' not started within 180 days of issuance or jfwork is .____ _ .SuspendeiLfow&O.days-.--------- .- -.- '~%.-;r~;~<;ita!~~~i~,&.;';:!;:*1it.~'!~Iil"W;W~il~1J;;ij!n\?~.t>\'''?1i.l[{1.t~~w{~n ('@i(i)~"'" " ifEll!i/lX1l*'.. $: ,~. OO:-~'1"'.v.f.\!~~\l'~!,l 2. ~J.ffi~,~Wb'-_':4l~,~'U~iJf.B1,;';;-it!j%~Jm-~~~lt~~l$~~ Electrical Contractor -r;"fd)~/c...4 .r-/ec ;;2.08{'1 Cv,.,~ (+ i -, Pnone 5*tl~r7'Jo ,. Address L.lty n. ,; ,0 '0-LVf Expiration Date , LfoY"lS ~1 Supervisor LiCense Numher Constr. Contr. Number J7;2 ~I#(. (k-r)<i Expiration Date SPRINGFIELD r-".~_~ . _ -' n _A.b.,-,,~f~~~ ~I Date 3. l~~~mi{.[@~m~.lI~iJl~.lliJ! A. ilJitlr~l!l~l~lIi~'iJ~)]I~iVm~iml1ia~J!f! Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact' d Home or Modular Dwelling Service or __..Eeeder 1 I r.wrOO I '?-A ~ $)1'110 ~~.cV $55.00 - 'B" ~1W?i~~~~~~~~%~~rai.-J~;~~I'i"'f~~~,t~~:tIifi~r~W)~h\!E~~i~4fJ~J1~~~4{h'{P~~~(ii1[t'ij . ~_~;o.~,:I%:~mi:-es~QJrc,.:t:l;ee... ~1?S-'!~ ':ns,LaJlallionl';i!~telianOnS'Or>i'l{(elnc~'fjon'~ .~'"::Jff"'.I\"''*'''''-,!1:'''''''~:!_"F,'~1~i11k~~;J~~~i'''":"l~~e",".~t,;,m.:r.:p;:/t:rnt>~1,m{j/'~t!!ill;~~,~r~::~'i.tl;:@.m:;~ 200 Amps or less 20] Amps to 400 Amps 401 Amps to 600 Amps 601 Ampsto"1000-Amps OVefTOOo-lill'ijlS!V01G Reconnect Only $70.00 $ 83.00 $138.00 $-]80,00- '" t'm-:o" $ 55.00 !mi' " ::r.~l."f,';;rn.-:OO":W;::JI\.;Th,..~""'!,A'Mli?$hW:li~"'~.;'liffll"""-"1'~!f,,w.~-.- ;'<;\'. '-~""""!l!lll .- C tit. :-~R"'fIJ!\""'~j'lD.~.\)OJh'1lk,1.~~~"!'.j.;;_4~~f,~'h'j&~~lk'l','d-'~"M~tlfi~' l~" ~7i1'~~;,~~-l,iWff!;~"i'~'IDo,1','J.!~t!'i_il$."~r.1f#R~2~~ . fu'll,1Il' ,'ka ", /',;);em-e;sVQ,"U,!ee;m ]it'-Biii!''(;\",'' .';I;;',r'lt "i'1;~...::,;'ff;', "~/ d;.ci~~~lfli~UU~lI~..;.j~~~\il\itI~~m~~'E.fcl~~,~;.l'~~ii\[~~I~~Ir~i:lll\'r,:rJ'"~~illf~~~9;~ ,\ InstaU~tion, Alteration or RelocatiDn' 200 Amps or less 201 Amps to 400 Amps 40] Amps to 600 Amps I ~ lC&.cV . $ 76.00 $110.00 Over 600 Amps or 1000 Volts see "B" above. .1~'~::.~'J',;;r.I~~";""r'!lliil'II~""~w!!l "'}M;w,"""''''''''', r.1~n>","1~~1;;t" '!Im-='~=""""f D !i.,~a,,~n' *Ii'~!?.bJiiM'..',;;:;.UJ",tS',~ii~:lli~~;jl1;.t'~'''tlliHr,,~,!I~j~l:~j!:fJWi1\.'i(iJim~'!"lJI~~~~~-"'iIh~~~t~"","<i<l, ~~'1~0''i~'!~~ . ,'J!>>D-"a '" i W l'" ,l1'!~f:$l1ti" ~ IL(jR.,,~t>I";"'-iliI:'.(,','I(f:tr.;'.t'" '" !'ffi"","" l:,".f";I;,\"",",~r,,,",;!;" ~, r. ~1l:, ,,""oil >~".i:dF-"lL,~waJ(j "~'L'" ..~~L~"l:k~" J?"I """""~~s!t:i!~-"~>1'~ ,,~[ 'i",::<ill;~M New Alteration or Extension Per Panel One Cucmt $ 4&.00 Pump or irrigation $ 55.00 Sign/Outline Lighting $ 55'.00 OWN'ERINST:Al.I,ATlON- LiroitedEnergyfResid,ntial- '.... .,.......,.. .. 1>'28,00", . 'The,instaUation is being made on propertY Town which ....... LlIDlted Energy/Co=ercJaJ ~ so.ou ::::t::::::s~e'l~~nt~~ M:.n~i~~!~iiiiliii~.: C\\ fl,. <\ \\\) ~~~i~~l~:;~~ ~"!: Inspection Request: 726,3769 nlP\ Il.in TOTAL . I '. , ~.ffU)1 Shared prive(T:)/Bmldmg FonnslE1ectrical Permit Application] -0&.1 " .."""\. ,_i:t Com2009-00377 Hayden Homes 2007 S. 57th SI 1802033301000 Single Family Residence I BUILDING SIZE (SF: 1541 LOT SIZE (SF): 5227 'I"" 1 ell I~ 10 I~ I~ 'ell G gz I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I. COST PER S.F. 1 . CHARGE I 194700 I $0.357 I =.1 $694.59 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I x 1 COST PER S.F. I x I DISCOUNT RATE I 1 I 0.00 1 $0.357 I' I 50% ~ I ITEM I TOTAL - STORM DRAINAGE SDC I $694.59 2, SANITARY SEWER - CITY. A. RErMBURSEMENT COST: 1 NUMBER OF DFU's I x 1 23 ' I 1 COST PER DFU .1' $27.67 B. IMPROVEMENT COST: I NUMBER OF DFU's 1 1 23 I x I' COST PER DFU .1 $21.04 ITEM 2 TOTAL - CITY SAN'ITARY SEWER SDC ., TRANSPORTATION A. REIMBURSEMENT COST: I ADTTRIP RATE I x I 9.57 B. IMPROVEMENT COST: I ADT TRIP RATE 1 1 9.57 1 I NUMBER OF UNITS I x 1 1 I 1 1 I NUMBER OF UNITS I x I I 1 I I ~ I x ITEM 3 TOTAL - TRANSPORTATION SDC DISCOUNT $0.00 ~ , $1,120.14 $694.59 j! 1070 I I $636.30 1 1091 I $483.84 1 1092 J I $201.54 $0.00 4. SAN[T ARV SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x I 1 1 COST PER FEU I $97.90 B. IMPROVEMENT COST: INUMBEROF FEU's I x 1 I 1 ICOSTPER'FEU 1 $1,009.17 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC ~, COST PER TRIP 21.06 x INEW TRIP FACTOR I 1 1.00 I = $97.90 1093 I 11094 _I 1 [054 = $1.009.17 1055 $0.00 1054 $]0.00 _11056 , J 141.01 $15.66 = I $3,290.01 COST PER TRIP $92.89 $201.54 x INEW TRIP FACTORI I 1.00 I ~ , SUBTOTAL (ADD ITEMS I, 2, 3, & 4) ~ , 5 ADMINISTRA TlVE FEE: ' I SUBTOTAL I x I ADM. FEE RATE I~ I $3,133.34 I I 5% I TOTAL SANITARY ADMINISTRATION FEE: . TOTAL TRANSPORTATION ADMINISTRATION FEE: '$].117.07 $3,133.34 CHARGE $156.67 ]079 3/23/2009 1078 Kaye Wilson PREPARED BY DATE TOTAL SDC CHARGES ~ , DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBEROF NEW FIXTURES x UNIT EQUIVALENT. = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTIJRES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE -NEW OLD EQUIVALENT UNITS BATHTUB 2 0 3 = 6 II DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETe. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 '6 = 0 !LAUNDRY TUB 0 0 2 = 0 ICLOTHESWASHER / MOP SINK 1 0 3 = 3 ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAPJI PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRIG/WATER STATION /ETe. 0 0 1 = 0 IRECEPTOR FOR COM. SINK / DISHWASHER / ETe. 1 0 3 = 3 SHOWER. SINGLE STALL 0 0 2 = 0 I SHOWER. GANG (NUMBER OF HEADS) 0 0 2. = 0 I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 - 3 ISINK: COMMERCIAL BAR 0 0 2 0 I SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 I SINK: SINGLE LA V ATOR Y /RESIDENTIAL BAR 2 0 1 = 2 I URINAL, STALL / WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 23 .EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE I~^:ED - BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 . 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$I,OOOJ ASSESSED VALUE W? 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 2 2 2005 CREDIT FOR LAND (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 ~ I o TOTAL MWMC CREDIT $0.00 . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: Com2009-003 77 NAME OR COMPANY: Havden Homes LOCATION: 2007 S. 57th St TAX LOT NUMBER: 1802033301000 DEVELOPMENT TYPE: Single Familv Residence. NEW DWELLING UNITS I BUILDING SIZE (SF: 1541 . .. I STORM DRAINAGE LOT SIZE (SF): 5227 DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. CHARGE I I 1947.00 I $0.357 I ,= I $694.59 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 2. SANlTARV SEWER - CITY A. REIMBURSEMENT COST: . I NUMBER OF DFU's I 'x I I 23 II COST PER DFU I $27.67 I ' B. IMPROVEMENT COST: I NUMBER OF DFU's I x I 23 I COST PER DFU $21.04 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , 3. TRANSPORTATION A. RErMBURSEMENT COST: I ADTTRIPRATE I x I 9.57 I I NUMBER OF UNITS I x I . I I I B. IMPROVEMENT COST: I ADT TRIP RATE I x I 9.57 I I NUMBER OF UNITS I I I I ITEM 3 TOTAL - TRANSPORT.-\ nON SDC 4. SANITARY SEWER - MWMr; A. REIMBURSEMENT COST: INUMBER OF FEU's I x' I II ICOST PER FEU I $97.90 I I B. IMPROVEMENT COST: INUMBER OF FEU's I I I I x ICOST PER FEU I $1,009.17 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC .~ I SUBTOTAL (ADD ITEMS 1,2,3, & 4) I $636.30 I 1091 I $483.84 I 1092 I' I DISCOUNT $0.00 $694.59 $694.59 $1,120.14 COST PER TRIP 21.06 I x INEW TRIP FACTORI I 1.00 I I x INEW TRIP FACTORI I 1.00 I I~ I if] 10 10 I~ ~~ en G gj 11070 $201.54 1093 x I I ~ , COST PER TRIP $92.89 $1,090.52 $888.98 I 1094 ~ = $97.90 = $1.009.17 $0.00 $10.00 $1,117.07 ~, $4,022.32 5. AT1MTNISTRATIVE FEE: I SUBTOTAL x I ADM. FEE RATE I~ I $4.022.32 I 5% I TOTAL SANlTARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: CHARGE $201. 12 125.63 $75.49 I 1054 ,I I 1055 I 1054 1056 I I '1079 11078 3/23/2009 Kaye Wilson PREPARED BY DATE TOTAL SDC CHARGES =, $4,223.44 .' . ,- DRAINAGE F~TURE UNIT (DFU) CALCULATION TABLE NUlv1BER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS 'I (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIX1lJRES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS rBATHTiJB- 2 0 ~ 3 6 = DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE lOlL I SOLIDS I ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND I AUTO WASH I ETC. 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 ICLOTHESW ASHER I MOP SINK 1 0 3 = 3 ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0 I MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRIG I WATER STATION I ETC. 0 0 1 = 0 I RECEPTOR FOR COM. SINK I DISHWASHER I ETC. 1 0 3. = '3 I SHOWER, SINGLE STALL 0 0 2 = 0 I SHOWER, GANG (NUMBER OF l'IEADSt 0 0 2 = 0 I ISINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 I ISINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLE LAVATORY. 0 0 '2 = 0 I SINK: SINGLE LA V A TORY IRESIDENTIAL BAR 2 0 1 = 2 I URINAL. STALL I WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDD'S 20 - 0 TOTAL DRAINAGE FIXTURE UNITS 23 *EDU (Equivalent Dwellin.l!: Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set al167 gallons per day " [ I I II MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE BEFORE 1979 1979 1980 1981 1982 1983 1984 ]985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$I,OOO ASSESSED VALUE YEAR ANNEXED ,-I 2 ' IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Ente, I for Yes, 2 forNn) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter I for Yes. 2 for Nn) BASE YEAR 2 2005 CREDIT FOR LAND (IF APPLICABLE) VALUE 11000 CREDIT RATE $0.00 x $0.00 ~, $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE 11000 CREDIT RATE $0.00 x $0.00 o 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 . COM2009-00377 COM2009-00377 COM2009-00377 COM2009-00377 COM2009-00377 COM2009-00377 COM2009-00377 COM2009-00377 COM2009-00377 COM2009-00377 COM2009_00377 COM2009-00377 COM2009-00377 COM2009-00377 COM2009-0037.7 COM2009-00377 COM2009-00377 COM2009-00377 COM2009-00377 COM2009-00377 COM2009-003 77 COM2009-00377 COM2009-00377 COM2009-00377 COM2009-00377 COM2009-00377 COM2009-00377 COM2009-00377 COM2009-00377 COM2009-00377 COM2009-00377 COM2009-00377 Payments: Type of Payment CreditCard cRcccintl RECEIPT #: 3200900000000000185 2:30:37PM Date: 03/25/2009 Description Plan Review Major - Planning Sidewalk Permit Curbcut Penn it PW Disc - 2nd Permit . Stann Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Tran Reimburs-Residential SDC Transpo Improvement Refund CY- Trans Improv SDC SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Stonn Admin SDC Transportation Admin Plan Review Residential Building Penn it Wi llama lane Single Family 2 Baths One or Two Family I st Appliance Vent Fan Appliance Vent Exhaust Hoods Dryer Vent Gas Outlets 1-4 Residence Wiring] 000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Fire SF Fee - Residential Addressing Assignment + 5% Technology Fee + 12% State Surcharge Amount Due 211.00 88.00 88.00 (30.00) . 694.59 636.30 483.84 201.54 888.98 (888.98) 97.90 1,009.17 10.00 ]41.01 15.66 653.81 1,005.86 2,858.00 337.00 79.00. 27.00 9.00 13.00 9.00 7.00 134.00 25.00 6300 71.55 38.00 103.29 205.06 $9,2M5.5M ~-..'," Paid By TIM DRIELlNGER Item Total; Check Number Authorization Received By Batch Number Number How Received Amount Paid cJc 076436 In Person Payment Total: $9,285.58 $9,2M5.5M Page I of I 3/25/2009