HomeMy WebLinkAboutPermit Building 2009-4-14
CITY OF SPRINGFIELD
, Building/Combination Permit
PERMIT NO: COM2009-00494
ISSUED: 04/14/2009
APPLIED: 04/14/2009
EXPIRES: 10/1412009
VALUE: $ 174,567.01
i;
1
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Une
SITE ADDRESS: 1032 S 40TH PI.
ASSESSOR'S PARCEL NO.: 1802061419800
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: New single family dwelling Filbert Meadows lot 90 SAME AS ]076 S 40th PI
^TTCI\ITlnf\I' f'lrpnrm I::lW reauires VQU to
,.".... _..,~~ o<l:Jntorl hv th,.'j~regon Utlilty
BRUCE WlECffE.I~T CUST,OM HOMES Ii> 1 f th
3073 SKYVIEW<DNilCatlon vemer. I nuse ,u, S are se or
EUGENE OR iJ7.fOSR 952-001-0010 through OAR 952-001- .
Mon Ym' mOil nhtain cooies of the rules by
calling the center. (Note: the telepnone
number for the.I:GONij'R!A0T0RIINF-ORMA TlON I
Center IS .'-dUU-"""-,,,,"t'T).
Confractor License
BRUCE WIECHERT CUSTOM HOMES INC ]0]7]7
L & E ELECTRIC INC ]05475
COMFORT FLOW 460
STEVE R JOHNSON 65065
Owner:
Address:
Contractor Type
General
Electrical
Mechanical
Plumbing
r BUILDING INFORMATION'
NOTICE:
# ~f Units: THIS DERMIT SHA'~ 0~~~'\lies1F THE WORK ]
Pnmary Occupancy Group: R-3 ]'relghtgf~tructur~~ NOT 17.50
Secondary Occupancy Group: AUTHUHIZED UNDETJ.prJr He~r:'VII' ifrrrceiI Ail' Gas
Primary Construction Type' CONl~,v.BICED OR IwU/l,~rrYi\~~ED F Gas
Secondary Construction Type:ANY 180 DAY PERIRli'nge Type: Electric
# of Bedrooms: 3 Energy Path:
Sprinkled Building: nla
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Real'}'ard Setback:
Solar Setbacks:
20.00
11.00
5.00
10.00
5.00
Overlay Dist:
# Street Trees Rqd:
.Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Residential
Expiration Date
09/16/20 I 0
03/30/20 I 0
06/27/2009
03/1212010
Phone
541-686-9458
541-933-2653
541-726-0100
54]-342-3765
Lot Size:
Sq Ftlst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
.7,554
1,698
426
2
Yes
26.80
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Fully Improved
Yes
Storm water to curb via weep hole
I
Sidewalk Type:
Downspouts/Drains:
Curbside 7'
Curb and Gutter
Notes:
Page] of 4
/07(, 'i) '-10+-'-- f\
Structural Permit Application_.
--
225 Fifth Street. Springfield, OR 97477 . PH(541)726-3753 . FAX(54 I )726-3689
~,
" CI.. i\^'<
~
{"~<;
.P~~
~-~
.~, ~.,......,. '.' _,_,">C,_c~"..",-.~_......~_._,.:."_.-,..,""r._,,... ~"''''~ f
~)pE.e~!nM~.~~~~~g.!;:!.~Y#J.1
Penmit no.:tJ1_ i9i
Date: tf / 1'1 /0 'i
This permit is issued under OAR 9]8-460-0030. Permits expire if work is not started within 180 days of'issua~ce or if work is
suspended for 180 days.
1~~~J1.Q:gA~'!G:9~B.N~tE.!'!:T~'(P.J!RQ:Y~~~~
I This project has final land-use approval.
Signature: . Date:
'1 This project has DEQ approval.
Signature: . Date:
I Zoning approval verified: 0 Yes 0 No
I Property is within flood plain: 0 Yes !LI No
1~~\M.'iil"'~~iirt"C"A".:;:-E-G'0'-R'-Y."'0".'r""C"O'.N...S..TR.'-U..C"'T..I.-0.N....';~~.il".~'i',,;i;cJ
~1b~~}J.!m:._.,~~~___..'_._.;~\~ ~,'.-':.___J'"..__.. ._;..~.._..::~.;. < .;:""i~ii:~ti.l,-:<~~'i-:
I ~ Residential j D Government I D Commercial
1~~.;)Q~l~!f~lIN)fQi3MAf!QNN'~P'[E"Qc;~TIQ[~~:4Ir:flj
I Job site address: I 0 3 2. 5 '1 0"" f I
I City:<;"""",;C :<-1'\ I State: 0 It l ZIP: q 7071
I Subdivision: F; I h""t f1)l<-!.OIoJ'.> I Lot no.: q 0
II ~~~$~\!'{ll1t"~tt~1!fP.Rop,.ERJ,;5~~ERR~qilj~4i~~:\)nn"i;1,~:!:,,;.,~,)
~~~ _,,~"rn,~.~f,~I.I___._.._ '_.._'.. ...__:x,__., ._,,___ . "T_w.c..,.. '^ ....~';iLf. ." _"".<~.~
I Name: G, ,IIC< IV;, c.h..t C"S+;:,,,, 11.:,,,,.,, ::tl\lC- I
I Address:3073 Sr...u;ew l-N I
I City: C)~c"-<- I' Statd) to- I ZIP:') 7t 0') I
I Phone: -bib - '1 '1',g Fax: -)fr- ~;3b z- I
I E-mail: W ;Cc,h..,t ho~5 Q..cor~o.S1 , ".Ie. t" 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 701.0 I O.
Sign here:
1il!~;1"!I:"~rt""CON"ffRli:CTOR\'JiN.SlfAili.!A:f10NljJ.1.;':;",.i€l!t'?I]i';;,~ljl
~~:;='::;i~~:~7~~~~~[~~ ~:..~,.:~ .;;;~. 'I
I Address: '3 073 .,; IL~ v; "vJ 1-"," I
ICity:~v:ie.~ IState:O{L IZIP:'17)OS-!
I Phone: -6J'& cl"IS? Fax: -3'1'1-336 l
I E-mail: Wi ed,,',~ \.-.0 I"\-<'<' @ CO"" (&..54 ~ .,..;",t
I CCB license no.: 1011 r "7
I Print n~e: ~ e"li"~dc We:) \-o.,l"v
I Signature: W W ___________.
:~~::~~V~lg.()cN~t~~;~~~:~~;r.Wt~~~n~~:;;~{~!1
1 Electrical t-..e" J05"17.< 1 5LI'I14&
1 Plumbing5fC.vd P~"~I:i.,< h50(,S' I> ~l-3' ("
1 Mechanical (FH I " 1./ b r) 17l11-0}oO
Ifi'i1i:~~~~r.i\!;:~".'.f ~'''..' ....,..,."."'.ll11iA~~4i,':.'i'~~
~~}~~~~~:~.fi;~,,:~,~!1.~p.,~.~,!=2f;{~~,,~~i~~..~~~}!i
1"fl'-;::.~V'..~I':;:.'I'I'''..'ffl'<1lt'~'Wf':;~~;~;;~,6:~l:!it\l'i.ViP'$:..:l'f.:l~~~~~~,~'~'
{\' _~3:;:.J~_J~_!-!!t~!!.!.l!!!.Qrm.~~~QI:tJ?7Jr.~'1:~ll?i'~;,:~~m'~~
I (a) Job description: "tJ6vJ sF/) - I
I Occupancy 'SF;) 1
I. Construction type: ;j$ 1
I Squarefeet! ftt'J-9.- 'k +-l.fou {,( 1 .
I Cost per square foot: I
I Other infonnation: I
I Type oCHeat: c'fJI, I
I Energy Path: I Pr I
I [}6ew 0 alteration 0 addition I
I (b) Foundation-only pennit? D.Yes []-No I
I Total valuation: 17'-/ )(,,7.0/1 $ I
1':~-2' B" i.':..'ld".;h'~.~,.i:':,""j::.i:i>.I,...1/lj\l;i"(5t:\'-~,:~,.:.:...';"i';;";'lh;'J'",:;""r!':');l41r.~"JZiil~~,\,,,.":r:1
: .:U!. }gg':l~<<~tS~::!!#~$''L,~~'i!'.~t~'''f-il~l, " t., ~:'; 1" :{:~~'~t'!~:'1fft~'ii{Qf!~~til:;7;I@;'~~~f
I (a) Pennit fee (use valuation table); I $$ (cJ''1
(b) Investigative Cee (equal to [2a]):
I (c) Reinspection ($ per hour):. I $
(number of hours x fee per hour)
!J;~~~;~~~~~~;~ii~~~{~~~~:~j
I (a) Plan review (65% x pennit Cee [2a]): $ Cor:;"'!!..! I
I (b) Fire and life saCety (40% x pennit fee [2a]): $ I
I (c) Subtotal of Cee. above (3a and 3b): $ I
f'~4;,:J'fi~~~,lI~Rep1fsTf~~W:~T~},~,~A~i~jr~;~;;};~',~~~M~lit~~ff~~~1]~,:1
(a) Seismic Cee, 1% (.01 x pennit fee [2a]): $
TOTAL fees and .urcharges (2e+3C+4a): S
I
I
I
_$ ~RIN.O.I!....I.m.o........ji..... " '.......
.I~ --- ~
~ i
..." .,
_' ' f'. ~
... .,. '..,
,....u...... .....,...
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
DescrhJtion
$ Per Sq Ft
or multiplier
$37.72
$96.83
Tvpe of Construction
CaragelMisc
SF/Duplex
U VB Utilitv
R-3 VB 1&2 Familv
Square Footage
or Bid Amount
400.00
1,647.00
Total Value of Project
l.Fpp< p.'w
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00494
ISSUED: 04/1412009
APPLIED: 04/14/2009
EXPIRES: 10/14/2009
VALUE: $ 174,567.01
Value
$15,088.00
$159,479.01
$174,567.01
Date Calculated
04114/2009
04/14/2009
Fee Description Amount Paid Date Paid Receipt Number
+ 12% State Surcharge $179.40 4/14/09 1200900000000000265
+ 5% Technology Fee $92,60 4/14/09 1200900000000000265
1st Appliance $79.00 4/14/09 '1200900000000000265
2 Baths One or Two Family $337.00 4/14/09 1200900000000000265
Addressing Assignment $38.00 4/14/09 1200900000000000265
Appliance Vent $9.00 4/14/09 1200900000000000265
Building Permit $1,014.00 4/14/09 1200900000000000265
Curbcut Permit $88.00 4/14/09 1200900000000000265
Dryer Vent $9.00 4/14/09 1200900000000000265
Exbaust Hoods $13.00 4/14/09 1200900000000000265
Fire SF Fee - Residential $106.20 4/14/09 1200900000000000265
Cas Ontlets 1-4 $7.00 4/14/09 1200900000000000265
Plan Review Major - Planning $211.00 4/14/09 1200900000000000265
Plan Review Residential $659.10 4114/09 1200900000000000265
PW Disc - 2nd Permit $-30.00 4/14/09 1200900000000000265
Refnnd CY. SDC Storm Improv $-944.31 4114/09 1200900000000000265
Sanitary Sewer - Improvement $483.84 4/14/09 1200900000000000265
Sanitary Sewer - Reimbursement $636.30 4/14/09 1200900000000000265
SDC MWMC Administration $10.00 4/14/09 1200900000000000265
SDC MWMC Improvement $1,009.17 4/14/09 1200900000000000265
SDC MWMC Reimbursement $97.90 4/14/09 1200900000000000265
SDC SanitarylStorm Admin $84.31 4/14/09 1200900000000000265
SDC Tran Reimburs-Residential $201.54 4114109 1200900000000000265
SDC Trans Improvement-Resident $888,98 4/14/09 1200900000000000265
SDC Transportation Admin $82.08 4114/09 1200900000000000265
Sidewalk Permit $88.00 4/14/09 1200900000000000265
Storm Drainage Impervious Area $944.31 4/14/09 1200900000000000265
Vent Fan $27.00 4/14/09 1200900000000000265
Willamalane Single Family $2,858.00 4/14/09 1200900000000000265
Total Amount Paid $9,279.42
Page 2 of 4
Status
Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
54] -726-3676 Fax
54 ]-726-3769 Inspection Line
Plannine: Review
04/14/2009
I Plan Reviews I
04/1412009 APP
Pnblic Works Revicw
Structural Review
04/14/2009
04/1412009
04/14/2009 APP
04/14/2009 APP
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00494
ISSUED: 04/14/2009
APPLIED: 04/14/2009
EXPIRES: 1011412009
VALUE: $ 174,567.01
DDK
Required street trees as shown.on
street tree plan attached to building
permit: species as shown. 2"
caliper, leave name tag on until
approved.
Storm water to curb via weep hole
As noted on plans and in conditions
letter
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.
Rpllllirprllosnections I
Erosion/Crading Inspectiun: Prior to ground disturbance and after erosion measures are installed.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrele.
Erosion/Crading Inspection: Prior to ground disturbance and after erosion measures are installed.
Ufer Electrical Cround: Install ground rod at footing and call for inspection in conjunction wilh footing and/or
foundation inspection.
Fooling: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with Iinish ma'terials.
Framing Inspection: Prior to COvt;f and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and lbe bnilding is complete.
Undernoor Plnmbing: Prior to insulation or decking.
Undernoor Drain: Prior to cover or placement of concrete.
Rongh Plumbing: Prior to cover and including required testing.
Water Line: Prior to Iilling trench and including reqnired testing.
Paee 3 of 4
-n~";" ~... ..1'.',
JIi:.. ,. I,
., I
!' "
. .
"". .~
.". . .. " .... ,_. ,~..'N'.
CITY OF SPRINGFIELD.
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-00494
ISSUED: 04/1412009
APPLIED: 04/14/2009
EXPIRES: 1011412009
VALUE: $ 174,567.01
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
Sanitary Sewer Line: Prior to tilling trench and inclnding reqnired testing.
Storm Sewer Line: Prior to filling trench.
Final Plnmbing: When all plnmbing work is complete.
Undertloor Mechanical. Prior to insnlation or decking and including required testing.
Undertloor Cas: After line is installed and required testing and capped if not attached to an appliance.
Rough Cas: After line is installed and required testing and capped if not attached to an appliance.
Cas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
Rough Mechanical: Prior to Cover .
Final Cas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company 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
information hereon is true 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 struetnre withont permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees ,,:ho are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspectiOl;sare requested at the proper time, that each address is readable from the
;::::;~::::::' ;, ,~".. ". "..". <0. ,ro,.""", ,", ";';?;;;;'~"' wm ..mo'" '" ..' ,'" "'."
Owner or Contractors Signature ;Gate
Page 4 of 4
f':: ?i Willamalane
t . Park & Recreation District
Job. No.
e f [(9Y'
SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2009
NAME: /11tJut-
. ADDRESS:<c.l! J S ~l./~
LOCATION OF PROPOSED BUILDING SITE:
Street Address: . /t?~~. _ S .M:JtJ...
PHONE:
STATE:~~ ~~
Plat Name: 1;;2> 1- o;:;,rlf
Tax Lot Number: 14fa?
. 1. DEVELOPMENT TYPE (Check appropriate dwellin'g(s). Dwelling type definitions are on the
back.)
A. Sinale-Familv Detached
NO. OF UNITS / X $2,858 per unit =
$ -;;;..gf
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. Sinale Room Occuoancv
NO. OF UNITS
X $1,321 per unit =
$
E. Accessorv Dwellina Uni~
NO. OF UNITS
X $1,550 per unit =
$
WILLAMALANE SDC $
2. SDC CREDIT (If applicable) SDC payer must furnish proofof.
Wiilamalane Credit approval.) $
3. TOTAL VVILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
~4fl-
$ "2d>O
Development Services Department
City of Springfield '
l-( I (<-' I cJ (
Date
5
:,
.... ", - ...'
:
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER: COM2009-00494
NAME OR COMPANY: Bruce Wiechert
LOCATION: 1032 S. 40th Place
TAX LOT NUMBER: 1802061419800
DEVELOPMENT TYPE: Single' Family Residence
NEW DWELLING UNITS I BUILDING SIZE (SF; 1627 LOT SIZE (SF):
1-'-
I~
10
o
U
I~
IW
,f-
[/)
5
W
~.
7405
] STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUSS.F, ,I', COSTPERS.F. CHARGE
I 2647.00 . 1 $0.357 I = I $944.31 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
1 IMPERVIOUS S.F. 1 , 1 COST PER S.F, I, 1 DISCOUNT RATE I I
1 0.00 I 1 $0.357 I I 50% ~ 1
ITEM 1 TOTAL - STORM DRAINAGE SDC I $0.00
2. SANITARY SEWFR - CITY
DISCOUNT
$0.00
A REIMBURSEMENT COST:
I NUMBER OF DFU's I ,
I 23 1
COST PER DFU
$27.67
R IMPROVEMENT COST:
1 NUMBER OF DFU's I ,I COST PER DFU
1 23 1 1 $21.04
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
~ ,
$1,120.14
3. TRANSPORTATION
$0.00
$636.30
1070
1091
I
$483.84 11092
J
= ,
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
\984
1985
1986
]987
\988
1989
1990
1991
1992
1993
1994
1995
1996
\997
1998
1999
2000
2001
IS LAND ELGlBLE FOR ANNEXATION CREDIT'?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGlBLE FOR ANNEX, CREDIT'?
(Enter I for Yes, 2 for No)
BASE YEAR
CREDIT FOR LAND (IF APPLl<:ABLE)
VALUE 11000 CREDI r RATE
$0,00 x $;,29
~ ,
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE 1 WOO CREDIT RATE
$0,00 x $:;.29 ~ I
TOTAL MWMc CREDIT
=
\.:
l, -t ...
2
2
1979
$0,00
o
$0,00
~I
. " .,
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER: COM2009-00494
NAME OR COMPANY: Bruce Wiechert
LOCATION: 1032 S, 40th Place
TAX LOT NUMBER: 1802061419800
DEVELOPMENT TYPE: Single Family Rcsidenee
NEW DWELLING UNITS I BUILDING SIZE (SF' 1627 LOT SIZE (SF):
] STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S,F, 'I COST PER S.F. CHARGE
1 2647,00 $0,357 = I $944,31 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANOARDS
I IMPERVIOUS S,F, I ' I COST PER S,F, I x I DISCOUNT RATE I I DISCOUNT
I 0,00 I 1 $0.357 I I 50% I = I $0.00
ITEM 1 TOTAL-STORM DRAINAGE,SDc I $944.31
2, SANITARY SEWER - r.rry
A REIMBURSEMENT COST:
I NUMBER OF DFUs I ,
I 23 I
R IMPROVEMENT COST:
I NUMBER OF DFU's I x
I 23 I
COST PER DFU
$27,67
COST PER DFU
$21.04
ITEM 2 TOTAL - CITY SANITARY SEWER SDc
I
I~
10
1'8
I~
[/)
5
gj
7405
$944.31
1070
=,
$1,120.14
3, TRANSPORTATION
A REIMBURSEMENT COST:
I ADT TRIP RATE I x
I 9.57 I
I NUMBER OF UNITS I x I
I I I i
B. IMPROVEMENT COST:
I ADT TRIP RATE I , I NUMBER OF UNITS I ' I
I 9.57 I I I I
ITEM 3 TOTAL - TRANSPORT A nON SDC ~ I
4, SANITARY SEWER - MWMr.
A, REIMBURSEMENT COST: '
INUMBER OF FEU's I ,
I I I
ICOST PER FEU
I $97,90
R IMPROVEMENT COST:
INUMBER OF FEU's I x
I I 1
I COST PER FEU
I $1,009,17
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMc SANITARY SEWER SDC ~ I
COST PER TRIP
21.06
, INEWTRJPFACTORI
I 1.00. I
= ,
$636.30 11091
I
$483.84 ' 11092
I
COST PER TRJP
$92,89
$1,090.52
, INEW TRIP FACTORI
I 1.00 I
$201.54
1093
I.
$888.98
1094
$4,272.04
CHARGE
$213.60
4/14/2009
TOTAL SDCCHARGES'
$1,117.07
Kaye Wilson
PREPARED BY
DAm
=
$97.90
I 1054
1
$1,009.17
$0.00
$10.00
11055
1054
1056
SUBTOTAL (ADD ITEMS 1, 2, 3, & 4)
~ ,
J, ADMINISTRATIVE FEE:
ISUBTOTAL , I ADM, FEE RATE 1=
i $4.272,04 I 5% I
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
I 139.77 !1079
I $73.83 p078
~ I $4,485.64 I
I
,
1,
\': ., ,.
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNlT EQUIVALENT = DRAINAGE FlXTUF:E UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FD:nJRES)
NO, OF FIXTURES DRAJNAGE
UNH FIXTURE
FIXTURE TYPE NEW OLD EQIJ1V ALENT UNITS
I BATHTUB 1 --
0 3 = 3
IDRINKING FOUNTAIN 0 0 1 = 0
IFLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE 1 OIL 1 SOLIDS 1 ETC 0 0 3 = 0
I INTERCEPTORS FOR SAND 1 AUTO WASH / ETC 0 O. 6 = 0
I LAUNDRY TUB 0 0 2 = 0
ICLOTHESWASHER 1 MOP SINK 1 0 3 = 3
ICLOmESWASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRJG / WATER STATION 1 ETC 0 0 1 = 0
RECEPTOR FOR COM. SINK 1 DISHWASHER 1 ETC, 1 0 3 = 3
SHOWER, SINGLE STALL 1 0 2 = 2
ISHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0
I SINK: COMMERCiALIRESIDENTIAL KITCHEN 1 0 3 = 3
ISINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASINIDOUBLE LAVATORY 1 0 ,2 '- 2
I SINK: SINGLE LA V A TORY IRESIDENTIAL BAR 1 0 1 = 1
IURJNAL, STALL 1 WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRJVATE INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 23
-EDU (Equivalent Dwellin~ Unit) is a discbarJ::e eauivalent to a sinRle family dwellinR unit (20 DFU's) set at 167 ~lIons per da..
1
I'
I
I
I
I
I
I
I
I
I
I
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
CREDIT RATEI$I,OOO
ASSESSED VALUE
,"'.$5.29
~ ' _$5.29
'" ,;,;~: $5:19",
;":":!,,1f:~5:12":'
->$498 '
'c- $4.80 "
.,;:g.f33'
~~$4:40 '
~~O? c"
} ~t~~ ;!""~~:;
$2,73
$2,25
$'1.80
;c $1.59
~,:" ,. ,~_~,,~1_,~4~ ,
~illr~!:!iiJ1~~':,_$) ';-~51:' ;
, ' ','$_',1~,iJ9'
~~.:'; ,- -
~CL~2
0.72 '"
'<c"';'"''''
0.48 "
. $(j:28 '
~~~ir;::;!:::~~i'~~~~~:i';!<(~ _
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 ELGlBLE FOR ANNEXATION CREDIT'? 2 ~
(Entcr I for Yes, 2 for '110) I
IS IMPROVEMENT ELGIBLE FOIl ANNEX, CREDIT'? 2
(Entcr I for Ycs, 2 for:No) I
BASE YEAR 1979
I
CREDIT FOR LAND (IF APPLICABLE)
VALUE 1 1000 CREDIT RATE
$0,00 x $5.2!! ~, $0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) I
VALUE 11000 CREDIT RATE
$0.00 x $5.2\J ~ , 0 I
I
TOTAL MWMc CREDIT = $0,00 ,I,
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-00494
COM2009-00494
COM2009-00494
COM2009-00494
COM2009-00494
COM2009-00494
COM2009-00494
COM2009~00494
COM2009-00494
COM2009-00494
COM2009-00494
COM2009-00494
COM2009-00494
COM2009-00494
COM2009-00494
COM2009-00494
COM2009~00494
COM2009-00494
COM2009~00494
COM2009-00494
COM2009-00494
COM2009-00494
COM2009-00494
COM2009-00494
COM2009-00494
COM2009-00494
COM2009-00494
COM2009-00494
COM2009-00494
Payments:
Type of Payment
CreditCard
cRcceintl
"
"
RECEIPT #:
Date: 04/14/2009
1200900000000000265
Description
Plan Review Major - Planning
Sidewalk Pennil
Curbeut Pennit
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
Refund CY - SDC Storm Improy
SDC Tran Reimburs-Residential
SDC Trans Improvement-Resident
SDC MWMC Reimbursement
SDC MWMC Administration
SDC MWMC Improyement
SDc SanitarylStonn Admin
SDC Transportation Admin
PW Disc - 2nd Permit
Plan Review Residential
Building Permit
Addressing Assignment
Willamalane Single Family
2 Baths One or Two Family
I st Appliance
Vent Fan
Appliance Vent
Exhaust Hoods
Dryer Vent
Gas Out leis 1-4
Fire SF Fee - Residential
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
BRUCE WIECHERT
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
cjc 02552d In 'Person
Payment Total:
Page J or I
1:26:18PM
Amount Due
211.00
88,00
88.00
944,31
636,30
483,84
(944.31)
201.54
888,98
97,90
10.00
1,009,17
84,31
82,08
(30,00)
659,10
1,014.00
38,00
2,858,00
337,00
79,00
27,00
9.00
13,00
9.00
7,00
106,20
92,60
179.40
$9,279.42
Amount Paid
$9,279.42
$9,279.42
411412009