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Home My WebLink AboutPermit Building 2009-4-20 Status Issued 225 Fifth Street. Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1168 S 40TH PL ASSESSOR'S PARCEL NO.: 1802064115400 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00520 ISSUED: 04/20/2009 APPLIED: 04/20/2009 EXPIRES: 10/20/2009 VALUE: $ 245,831.36 Springtield TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence - 'Flibert Meadows lot 83 Same as 1151 S 41st PI COM2008-01708 Owner: Address: BRUCE WIECHERT CUSTOM HOMES INC 3073 SKYVIEW LN EUGENE OR 97405 . eS 'IoU \0 _ Ie'" leC\UI! ~_~ \ l\ili\,! 1(lN.', un:;'d'"'~-p'\1 \\le VIV~:-'" c::.p'~,-,on\l 1\\\E.t-!''t;CJWJf-AAC:r.OR INFO'RMA'H0N-' 1\0'" \I:., , , "' " . " \0 "t 0(\ Gel "uO' 0 \\;\10\J\J" -\l\;\e lUle~ " ContractoHo\i\ica ~,,?-oo'\-OO~ai(\ cOllies Oe \e\W~c€n~e BRUCE Wli!'(5A"'fRili\C{()$T~'K)IH<<i>M'es~~~dtdi'-7't~O(\ L & E ELEcmt<AJ~<Dl~ ~;;'o;egOf\_~~~~Z344"}5475 COMFORT FIn~~EK'f{~GsemOO 460 STEVEN R JOHNSO~e(\ 65065 Contractor Type Geueral Electrical Mechanical Plumbing # of Units: Primary Occupancy Group: Secondary Occupllncy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U VB Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 20.00 ~ 6.50 5.00 24.26 11.00 Street Improvements: Storm Sewer Available: Special Instruction: BUILDING INFORMATION' 4 # of Stories: 1 Height of Structure 24.00 Type of Heat: Forced Air Gas Water Type:. Gas Range Type: Electric Euergy Patb: . Sprinkled Building: nla I DEVELOPMENT INFORMATION' Residential Expiration Date 09/16/2010 03/30/20 I 0 06/27/2009 03/1212010 Phone 541-686-9458 541-933-2653 541-726-0100 541-342-3765 Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Otber: Occupant Load: 7,214 2,300 614 REQUIRED PARKING Overlay Dist: # ~u-~et Trees Rqd: ;. NOTp.r~ Drive'~~J.XP\RE If THE W,\,JRK TH\S'4'ffiM\1dlt\!;l~:l~\lS PERMI1'16S5(}lOT AU1HORIZ~~_ U~~IC ARANDONED FOR . I p~W'i"'h "~~iFIlEMfs ',P;,I ~~ .,' I Total: Handicapped: Compact: 2 Fullv Improved No Storm water to curb & gutter Sidewalk Type: Downspouts/Drains: Curbside 7' Curb and Gutter Notes: Page 1 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Estimate Garaee/Misc SFlDuplex Estimate U VB Utility R-3 VB 1&2 Familv Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Addressing Assignment Buildiug Permit Curbcut Permit Dryer Veut Exhaust Hoods Fire SF Fee - Residential Gas Outlets 1-4 Plan Review Major - Plauning Plan Review Same As PW Disc - 2nd Permit Refund CY- SDC Storm 1mprov Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement, SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursemeut SDC Sauitary/Storm Admin SDC Tran Reimburs-Resideutial SDC Traus Improvement-Resident SDC Transportation Admin Sidewalk Permit Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan Willamalane Single Family Total Amount Paid I V aluation D~~cripti~n I $ Per Sq Ft or multiplier $1.00 $37.72 $96.83 Square Footage or Bid Amnunt 200,000.00 613.00 2,300.00 Total Value of Project J!pp<. P~irl I Amouut Paid $205.20 $103.35 $79.00 $38.00 $1,302.97 $88.00 $9.00 $ 13.00 $145.00 $7.00 $211.00 $250.00 $-30.00 $-1,123.29 $ 134.00 $75.00 $589.02 $774.62 $10.00 $1.009.17 $97.90 $163.18 $201.54 $888.98 $71.55 $88.00 $1,123.29 $63.00 $27.00 $2,858.00 $9,472.48 Date Paid 4120/09 4120/09 4120/09 4/20/09 4120/09 4/20/09 4/20/09 4120/09 4/20/09 4/20/09 4120/09 4120/09 4120/09 4120/09 4/20/09 4/20/09 4120/09 4120/09 4120/09 4120/09 4/20/09 4/20/09 4/20/09 4/20/09 4/20/09 4120/09 4/20/09 4/20/09 4120/09 4/20/09 Paee 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00520 ISSUED: 04/20/2009 APPLIED: 04/20/2009 EXPIRES: 10/20/2009 VALUE: $ 245,831.36 Value Date Calculated $200,000.00 $23,122.36 $222,709.00 $445,831.36 04/20/2009 04120/2009 04/20/2009 Receipt Number 1200900000000000280 1200900000000000280 1200900000000000280 1200900000000000280 1200900000000000280 1200900000~00000280 1200900000000000280 1200900000000000280 1200900000000000280 1200900000000000280 1200900000000000280 2200900000000000406 1200900000000000280 1200900000000000280 1200900000000000280 1200900000000000280 1200900000000000280 1200900000000000280 1200900000000000280 1200900000000000280 1200900000000000280 1200900000000000280 1200900000000000280 1200900000000000280 1200900000000000280 1200900000000000280 1200900000000000280 1200900000000000280 1200900000000000280 1200900000000000280 Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Plan Reviews , Planninl!.Review 04/20/2009 APP 04/20/2009 Public Works Review Structural Review 04/20/2009 04/20/2009 APP APP 04/20/2009 04/20/2009 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00520 ISSUED: 04/2012009 APPLIED: 04/2012009 EXPIRES: 10/20/2009 VALUE: $ 245,831.36 DOK 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 plaus /review 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. RPflllh'prlln~nectionl\ I Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Curbcut - Standard: After forms are erected but prior to placement of concrete. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Ufer Electrical Ground: Install ground rod at footing aud 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 to noor insuhition or decking. Floor Insulation: Prior to decking. Shea.. Wall Nailing: Before coveriug sheathing with finish materials. Framing Inspection: Prior to cover 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 inspectious have been requested and approved and the building is cnmplete. Undertloor Plumbing: Prior to' insulation or decking. Undertloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior io cover and includiug required testing. Water Line: Prior to filling trench aud including required testing. Sanitary Sewer Line: Prior to filling trench and iucluding required testiug. Storm Sewer Line:' Prior to filling trench. Paee 3 of 4 _~~~U~~,~I_!~e;,j fi' ~ CITY OF SPRINGFIELD Building/Combination Permit Status Iss u ed PERMIT NO: COM2009-00520 ISSUED: 04/2012009 APPLIED: 04/20/2009 EXPIRES: 10/20/2009 VALUE: $ 245,831.36 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Plumbing: When all plumbing work is complete. Undertloor Mechanical. Prior to iusulation or decking and including required testing. Undertloor Gas: After line is installed aud required testing and capped if not attached to an appliance. Rough Gas: After line is installed and reqnired testing and capped if not attached to au 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 this point. Rough Mechanical: Prior to Cover Final Gas: Wheu 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, 1 state and agree, that 1 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 described herein, and that NO OCCUPANCY will be made of any structure without permission of the 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. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plaus will remain on the site at all times during constrt>I/fl// '$ ~ Zo ) (j 9 V' ........ , Owner or Contractors Signature Date Paee 4 of 4 ~-:-~........ ~----% ~.. DATE A; o"Z.\.~ m FIYl1I STREET . SPRINGFIELD, OR 97477 . PH:(S41)72A>-3753 . FAX: (S41)72A>-J6l1!1. .... 'liD" SOURGE lli. (~\ \")..- ELECTRICAL PERMlTAPPUCATION A 1\ f\ 1" city Job Number COMA ZOO ~ - 0 0 oS" Z-O Date ~ I'W ~ . . I. ~iiNr !EOVS-IA'r!f''''.tiON~&~ 3. i11"""iMP~...~~;;-;:;j~'LEmP.ilOw~..~,'M;1I1 ~~~~,.,...~."..~~Qt...,."",-~-=,~~~~~ p.,....~~~--........ ~----- -~ /f/'''O SrcJ+'-P\ :'..., "CITY OF.SPR~NGI~,[ELD, OR,EG.bN.' ..' ~ 'l-' . , ' . J, ,'~. ~ " . ' 200 Amps or less _ 201 Amps to 400 Amps Address q 2 Z '3, s "J 0 1-\<: '::. Ac,,~ $ 401 Amps to 600 Amps e.'-""l.L w.. 000 'aW reqI601'^"!P.!'\W 1 Amps $180.00 City Sp{: \~ Ph~, ..5'i7.,/t '# rm;;~y the COVeF'jdRl!~olts $413.00 , '" )"1 rules "uv"--Tt1OSeru\e~ $55.00 , ,. n center. h OAH 'd::J . . ,).iflcaiO i nOiOlhro\Jg . Superviso~licenseNumber \~IiJP''Pq~~S~Jtain coPi:c.tn.~f,~~~~~ / O\J'JU ,v_ , r (Note. '\'c"t\on . VI '. Ihe ce(\ e ' Ul'lity Notl I ~ Expiration Date / Dol P8~1f~, ior the ore~o~_'3'3~~tlon, Alteration or Relocation 11 oJ 'I,v..'- center IS I vO 200 Amps or less . I $~ La,:), Constr. Contr. Number J 0 <;- LJ 7 S- 21n Amps to 400 Amps $ 76.00 ). . 401 Amps to 600 Amps $110.00 310 . . , Over 600 Amps or 1000 Volts see "B" above. Si~ofSupervisingElectrician D..,~~~'R. ~Q O~~~ LEGAL DEScRIPTION: IBDZOG,t{{ 15"'100 JO;;::;U'~,U_ 17eM1 PermIts are non-transferable aid expire if work is not started within 180 clays of issuance or if work is . Suspended for 180 clays. z. Iiti.-W~ml~~~1:I L+ ;;; E:...:..:...J c,_,,-,," L....:....:._ Date A. ~~. ,.s'._'JM.~'ml1a"tii.~;I';~jjr~.. . ~~~_~q,... "~"':J'-,,,~~_.tt<_ng, Service Included 1000 sq. ft. or less Each additional 500 sq, ft. or . ...:._ thereof Each Manu!iu:t'd Home or Modular Dwelling Service Or Feeder B..~~~~~. , ~ \ 34 .\ '2.J\ cz) s]J-7.tlo J""\ . ~ r"\ S.tP $55.00 $ 70.00 $ 83.00 $138.00 New Alteration or'Estensi(ln Per Panel One Circuit Each Additional Circuit or with OwuersName lSV'v~ I~; ,.~""'+- C,,<.-Io..... 1tvV'\-~ceorFeeder_:~G?-~ $ 4.00 J,,,-, sic' . E.~~~\tf~~~~i~'1r'il =- { "j ~~ ;;.:<t'&~~"\1 ~,o Wr---;"... .-"'" I \l1r\G?-\lf D . e lighting $ 55.00 OWNER INSTALLATION ~G\'-J\\'-J\t.~C\~~ergylResidential $28.00 ;'be ~on is being made on r--.-.j I own ~ '\ 'Oil D Limited EnergylCommercial $ 50.00 IS not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $50.00 + Surclulrgcs . 4. Ilbi;rAi~_n~ID~.. ~..'Ii1~. . .. - .'.. (\ nf) nd ~}JV 'N 1\91) :;~=~~~Fee .3~ .~~~~ 5% Technology Fee . . , '-DoLpC! Lr ,.;-DU ReqnesC 726-3769 \ t"-ri\b TOTAL "--~ \R 1 A ~ \?V\ _~:}'IIui1dingFormsIE1cclricaIPamitApplicati~ Owuers Si....._.: $ 48.00 JOURNAL OR JOB NUMBER: NAME OIl- COMPANY: LOCATION, " TAX LOTNUMB,ER: DEVELOPMENT; TYPE: NEW DWELLING UNITS 1. STORM DRAINAGE I: DIRECT RUNOFF TO CITY STORM SYSTEM IIMPERVIOUSS.F. x I COST PER S.F. CHARGE 3148.70' 1 $0.357 1= I $1,123.29 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS !IMPERVIOU,SS.F. I x 1 COSTPERS.F. Ix 1 DISCOUNTRATE I 1 . DISCOUNT 0.00 !. I I $0.357 I 1 50% I ~ I $0.00 I ITEM I TOTAL" STORM DRAINAGE SDC $0.00 I " A. REIMBURSEMENT COST: I NUMBER OF. DFU's I x I 28: 8. IMPROVEMENT COST: I NUMBER OF DFU's I x I 28 il I, ITEM 2 TOTAL'c CITY SANITARY SEWER sue . ~ i., ,.. \. 2. SANITARY SEWER - r.ITY CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET COM2009-00520 Bruce Wiechert Homes. 1 168 S. 40th Place 1802064 I 15400 Single Family Residence I BUILDING SIZE (SF; 2544 II ,rJ) ,~ ICl 18 loe: I~ I- rJ) ~ o ~ LOT SIZE (SF): 7213 '. $0.00 1070 ----.- . . -.. i I, 11091 I 11092 I! ' COST PER DFU. 1 $27.67 .1 $774.62 COST PER DFU $21.04 $589.02 . ~ , $1,363.65 J. TRANSPORTATION A REIMBURSEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I. x COST PER TRIP I x I NEW TRIP FACTORI 1 9.57 . I I I 21.06 1 1.00 .1 ~ $201.54. 11093 8. IMPROVEMENT COST: I I ADT TRIP RATE I x I NUMBER OF UNITS I x 1 COSTPER TRJP I x INEW TRJP FACTORI I 9.57 :i 1 I I I I $92.89 . I 1.00 I $888.98 11094 ITEM 3 TOTAL', TRANSPORT A nON SDC = , $1,090.52 I !I' 4. SANITARY SEWER - MWM( A REIMBURSEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I I ! 1 I $97.90 = $97.90 .1054 B. IMPROYEMENT COST: INUMBER OF FEU's I ,x ICOST PER FEU L ~~ I I $1,009.17 . = , $1,009.17 11055 MWMC CREDIT IF APPLICABLE (SEE. REVERSE) , $0.00 ,I 1054 , . , MWMC ADMINI:,TRA TIVE FEE I $ 10.00 11056 ITEM 4 TOTAL i MWMCSANITARY SEWER SDC ~ , $1,11 7.07 . I _I . ' ii I SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ I $3,571.24 r 5 ADMINISTRATIVE FEE; I SUBTOTAL x ADM. FEE RATE I~ I $3.571.24 5% 1 TOTAL SANITARY ADMINISTRATION FEE: IQTAL TRANSPORTATION ADMfNISTRATlQ,1:".J'EE: CHARGE $178.56 I 99.22 11079 $79.34 11078 =1 $3,749.80 I I - --- Kaye Wilson ': PREPARED BY 4/20/2009 TOTAL SDC CHARGES DATE " DRAINAGE FIXTURE UNIT (DFU) CALCULA nON T ABL~_ NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTIJRE UNITS . (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS. fBATHTUB, 2. 0 3 ~ 6 I DRINKING FOUNTAIN 0 '0 1 = 0 I FLOOR DRAIN 0 O. 3 = .0 I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETe. 0 0 3. = 0 IINTERCEPTORS FOR SAND / AUTO WASH / ETe. 0 0 6 = O. LAUNDRY 1lJB ' . .1 0 2 = 2 ICLOTHESWASHER / MOP SINK 1 O' 3 = 3 CLOTHESW ASHER - 3 OR MORE (EAl 0 0 6 = 0 MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 RECEPTORFORREFRlG/WATER STATION /ETe. 0 0 1 = 0 I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 1 0 3 = 3 [SHOWER, SINGLE STALL 1 0 2 2 I SHOWER, GANG (NUMBER OF IffiADS) 0 0 2 = 0 I SINK:COMMERCiALlRESIDENTIAL KITCHEN 1 0 3 = 3 I SINK: COMMERCIAL BAR 0 0 2 = 0 I SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = '2 I SINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1 IURlNAL, STALL / WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 '6 = 0' ITOILET, PRIVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE. UNITS , 28 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set a1.'67 gallons per day - - MWMC CREDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE 1- YEAR ANNEXED I BEFORE 1979 I 1979 I 1980 I 1981 I 1982 I 1983 I 1984 I 1985 I 1986 I 1987 I 1988 I 1989 I 199() I 1991 I 1992 I 1993 I 1994 I 1995 I 1996 I 1997 I 1998 I 1999 I 2000 I 2001 CREDlTRATE/$I,OOO j ASSESSED VALUE -- 529 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR 2 2 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0.00 x $5.29 ~ , $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)'. VALUE/1000 CREDIT RATE wm x ~m 0 TOTAL MWMC CREDIT $0:00 = ;i.' , ~ CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: " TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLlNP UNITS I. STORM DRAJNAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F: x 1 COST PER S.F. I I' CHARGE I 3148:70 I $0.357 I = $1,123.29 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS SF 1 x I COST PER S.F: I x 1 DISCOUNT RATE 1 I I 0.00" 1 I $0.357 I 50% 1 ~- 1 . ITEM 1 TOT AV:- STORM DRAINAGE SDC '$1,123.29 COM2009-00520 . Broce Wiechert Homes 1168 S. 40th Place 1802064115400 Single Family Residence 1 BUILDING SIZE (SF: 7. SANITARY SEWER - CITY A. REIMBURSEMENT COST: _ I NUMBER OF DFU's 1 X" COST PER DFU . 1 28 :i 1 1 $27.67 I~ B. IMPROVEMENT COST: I NUMBER OF. DFU's I 28 I' I x COS;2~~~ DFU I, ITEM 2 TOTAL.- CITY SANITARY SEWER SDC = I $1;363.65 2644 LOT SIZE (SF): 7213 ~Ii 10 I~ ILIl E- '" ~ o ~ DISCOUNT $0.00 I $1,123.29 i 1070 II I $774.62 II09i $589.02 1092 I 1 TRANSPORTATION I, A. REIMBURSEMENT COST: I ADT TRIP RATE I x I 9.57 I' I I NUMBER OF UNITS I x I I I I I " B. IMPROVEMENT COST: 1 ADT TRIP RATE I x I NUMBER OF UNITS I x 1 I 9.57" I . I I, 1 ITEM 3 TOTAL'.-TRANSPORTATION SDC = , 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x I ii I ICOST PER FEU $97.90 B. IMPROVEMENT COST: INUM~ER 7F rEUS: x I COST ~~~:~~ MWMC CREDlT,iF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM4TOTAL~MWMCSANITARYSEWERSDC ~ , \1 SUBTOTAL (ADp ITEMS 1,2,3, & 4) ~ , 5. ADMINISTRATIVE FEE; I SUBTOTAL I'x I ADM.FEERATE I~ '$4.694.53 I 5% I TOT AI. SANITARY ADMINISTRATION FEE: 1: TOTAL TRANSPORTATION ADMINISTRATION FEE: Kaye Wilson :1 PREPARED BY 4/20/2009 DATE COST PER TRIP 21.06 COST PER TRIP $92.89 $1,090.52 $1,II7.07 $4,694.53 CHARGE $234.73 x INEWTRlP FACTORI I 1.00 . I ~ , x INEW TRIP FACTORI 1 1.00 I $201.54 1093 $888.98 I 11094 I = $97.90 1054 = $1,009.17 1055 , $0.00 11054 $10.00 1056 -I I 1 163.18 1079 . $71.55 11078 $4,929.26 I ~I TOTAL SDC CHARGES "'EDU (Equivalent Dwelling Unit) is a discharge eq~ivalent to a single family dwellin~. unit (20 pros) set at 167 gallons per day MWMC CREDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE I I I I I I I I I I I I I YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 i983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997, 1998 1999 . 2000 2001 CREDIT RATE/$I,OOO ASSESSED VALUE 5 2 IS LAND ELGIBLEFORANNEXATION 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 APPLICABLE) VALUE / 1000 CREDIT RATE $0.00 x $5.29 ~ , CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE /1000 CREDIT RATE $0.00 x $5.29 TOTAL MWMC CREDIT = 2 1979 I I $0.00 o $0.00 e: {~Willamalane t~ Park & Recreation District Job. No. (!C;-s;;. D SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2009 ~AME:&{jLE UI'f-:Z-~' PHONE:QO'7 SC7~' I ADDRESS:$23 2>~'-lu'II::=-~_ e---u <:.. STAT~IPq '?Lf()/ I . I I LOCATION OF PROPOSED BUILDING SITE: J . - ~treet Address:. / (Co~ ((ItJ1i,fJh , - . . ' .- 81at Name:! So 2. 6;;:, L/ I Tax Lot Number: / rv))c) 1:. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the back.) . . A. Sinole-Familv Detached NO. OF UNITS / X $2,858 per unit = ~ $ ~b J' 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. AccessorvDwellina Unit NO. OF UNITS X $1,550 per unit = .$ $" WILLAMALANE SDC 2.' SDC CREDIT (If applicable) SDC payer ";ust furnish proof of . Willamalane Credit'approvaL) $ $~ .L(' 1.2e/. I cJ7' Date 3:, TOTAL WILLAMALANE NETSDC ASSESSED . ;;(i{ SDC reduced "credit) ~~ r \/11 Development Services Departr11ent r City of Springfield 5 225 Fifth Street Springfield, Ore~on 97477 541-726-3759 Phone ". ~:Jlt~!>.F1.....IlL... tij... .'...... ~ .' .': ~ . City of Springfield Official Receipt Development Ser,vices Department Public Works Department Job/Journal Number COM2009-00520 COM2009-00520 COM2009-00520 COM2009-00520 COM2009-00520 COM2009-00520 COM2009-00520 COM2009-00520 COM2009-00520 COM2009-00520 COM2009-00520 COM2009-00520 COM2009-00520 COM2009-00520 COM2009-00520 COM2009-00520 COM2009-00520 COM2009-00520 COM2009-00520 COM2009-00520 COM2009-00520 COM2009-00520 COM2009-00520 COM2009-00520 COM2009-00520 COM2009-00520 COM2009-00520 COM2009-00520 COM2009-00520 Payments: Type of Payment CreditCard eReccintl RECEIPT #: 1200900000000000280 Date: 04/20/2009 Description Sanitary Sewer - Improvement SDC Tran Reimburs-Residential SDC Trans Improvement-Resident SDC MWMC Reimbursement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transportation Admin SDC MWMC Improvement. Building Pennit Addressing Assignment Willamalane Single Family 1st Appliance Vent Fan Exhaust Hoods Dryer Vent Gas Outlets 1-4 Temp Power 200 amps or less Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Fire SF Fee - Residential + 5% Technology Fee + 12% State S~rcharge Plan Review Major - Planning Sidewalk Penn it Curbeut Pennit PW Disc - 2nd Penn it Stonn Drainage Impervious Area Refund CY - SDC Stonn Improv Sanitary Sewer - Reimbursement ~aid By BWCH Item Total:. Check Number Authorization Received By Batch Number Number. How Received djb 04562d In Person Paymeut Total: Page 1 of I 1:47:01PM Amount Due 589.02 201.54 888.98 97.90 10.00 163,18 71.55 1,009.17 1,302.97 38.00 2,858.00 79.00 21.00 13.00 9.00 7.00 63.00 134.00 75.00 145.00. 103.3 5 205.20 21 LOO 88.00 88.00 (30.00) 1,123.29 (1,123.29) 774.62 $9,222.48 Amount Paid $9,222.48 $9,222.48 ' 4/20/2009