HomeMy WebLinkAboutPermit Building 2009-4-29
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00511
ISSUED: 04/29/2009
APPLIED: 04/16/2009
EXPIRES: 10/29/2009
VALUE: $ 140,744.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5389 I ST
ASSESSOR'S PARCEL NO,: 1702283403100
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: New single family dwelling and finish existing garage into habitable space
Residential
Owner:
Add ress:
DA VIS SCOTT D
PO BOX 72435
EUGENE OR 97401
DAVIS KEVIN
PO BOX 72435
EUGENE OR 97401
Owner:
Address:
,I CONTRACTOR INFORMATION I
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Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Contractor Type Contractor
General OWNER
Mechanical SUNSET HEATING & AI~(JN.\'s 171706
Plumbing . _..-,('t. JOHN~ P,M<\l1SI01??tWlijU"{G LLC 158279
~~\S' t'E\'I~\I ~'~:r;E\'I 1\-\IS \'~~,~BlHlI1'D1NG INFORMATION I
I \-10\'1\ LEO IS f',\)f',~O '-
# of Units: f',U nNlE~CEO 0\'1 On, I # of Stories:
Primary occtiJi.~c~ 2l:'B':R1 ?E\'II "R-3 Height of Structure 16,00
Secondary Oc~~'~nc~ Group: U Type of Heat: orced Air Electric
Primary Construction Type VB Water Type: Electric
Secondary Construction Type: Range Type: Electric
# of Bedrooms: 3 Energy Path:
Sprinkled Bu~l!i'!ll:
.,,\."s ~ .....,
"-10l'l,l1lJ}}:.vri;i'\\iMENT-fN:i0RMATlON I
-r"t"E.~ \ . F.. \ \ I r
{>" , ules adOI-"~1\'10se (UI"O ~'" 95'2'UU ,-
\oIlOW _~2;Oocefllel, 0 1'e\le\f1~ ODiSt;l (\lIes '0,/
l'l01\\\C~- 00\-00\ ("eWe, " -"Dfle
'0,,,,5:00 o'olaifl~Street,1ireeS1~g.o: on
fn r- roa)' t-:.\n\e \1 ,'it\( at\
0090 22:80 e~\et. '1"aveo -Dri-:e'Rqd:
" 'he C" o71fl \.l\''''} . ^\ .
ca\\U;50 l\'1e o(e~Vo o,~~2tJ;overage,
~'o'oJ,O( 's \_800
flU'" . r,efllel \
License
Expiration Date
Phone
08/18/20 I 0
01113/2010
541-988-3181
541-736-8690
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
1,294
634
n/a
REQUIRED PARKING
2
Yes
19.40
. Total:
Handicapped:
Compact:
2
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Partially Improved
Yes
Sidewalk Type:
Downspouts/Drains:
Curbside 5'
Curb and GuileI'
Notes: Storm drain tu curb and guller.
Paee I of 4
-Wi"'
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Bid Amount
Garaee/Misc
SF/Duplex
Tvpe of Construction
Use Bid Amount
U VB Utilitv
R-3 VB 1&2 Familv
Fee Description
+ 12% State Surcharge
+ 5% Tech no logy Fee
1st Appliance
2 Baths One or Two Family
Building Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Heat Pump
Plan Review Major - Planning
Plan Review Residential
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer w Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Tran Reimburs-Residential
SDC Trans Improvement-Resident
SDC Transportation Admin
Storm Drainage Impervious Area
Vent Fan
Willamalane Single Family
Total Amount Paid
I Valuatio~ Descriotion I
$ Per Sq Ft
or multiplier
$1.00
$37,72
$96.83
Square Footage
or Bid Amount
140,744.00
634.00
1,294,00
Total Value of Project.
L.F..... P\ilL.l
Amount Paid
Date Paid
$184.99
$87.63
$79.00
$337.00
$875,62
$9,00
$13,00
$31.70
$17,00
$211.00
$569,15
$134.00
$50.00
$525.91
$691.63
$10,00
$1,009.17
$97.90
$115,13
$201.54
$888,98
$76,89
$415.25
$27.00
$2,858.00
4/29/09
4/29109
4/29109
4/29/09
4/29/09
4/29/09
4/29/09
4/29/09
4/29/09
4/29/09
4/29/09
4/29/09
4/29109
4/29/09
4/29109
4/29/09
4/29/09
4/29/09
4/29/09
4/29/09
4/29/09
4/29/09
4/29/09
4/29/09
4/29/09
$9,516.49
I Plan Reviews I
Paee 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00S11
ISSUED: 04/29/2009
APPLIED: 04/16/2009
EXPIRES: 10129/2009
VALUE: $ 140,744.00
Value
Date Calculated
$140,744.00
$23,914.48
$125,298.02
$289,956.50
04/16/2009
04/16/2009
04/16/2009
Receipt Number
2200900000000000452
2200900000000000452 .
2200900000000000452
2200900000000000452
2200900000000000452
2200900000000000452
2200900000000000452
2200900000000000452
2200900000000000452
2200900000000000452
2200900000000000452
2200900000000000452
2200900000000000452
2200900000000000452
2200900000000000452
2200900000000000452
2200900000000000452
2200900000000000452
2200900000000000452
2200900000000000452
2200900000000000452
2200900000000000452
2200900000000000452
2200900000000000452
2200900000000000452
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CITY OF SPRINGFIELD
Building/Combination Permit
,
Status
Issued
,
PERMIT NO: COM2009-00511
ISSUED: 04/29/2009
APPLIED: 04/16/2009
EXPIRES: 10/29/2009
VALUE: $ 140,744.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
Planninl! Review
04116/2009
04116/2009
APP DDK
Existing t.rees may be utilized to
meet street tree requirement. Deed
restriction may be lifted upon
issuance of tinal occupancy. Owner
to contact inspector requesting letter
verifying"final occupancy then must
submit letter requesting that deed
restriction be lifted,
Storm water to curb and gutter.
Public Works Review
04/16/2009
04/16/2009
APP BJG
Structural Review
04/16/2009
04/17/2009
APP CJC
As noted,on plans/review letter
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a,m. will be made the same working day, inspections requested after 7:00 a.m. will 'be made the following
work day.
R\:>I1\lirprUnsnections I
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed,
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction:!with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking,
Shear Wall Nailing: Before covering sheathing with finish materials,
Framing Inspection: Prior to cover and aftcr all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping,
Final Bnilding: After all required inspections have been requested and approved and the building is complete,
Underlloor Plumbing: Prior to insulation or decking,
Rough Plumbing: Prior to cover and inclnding required testing,
Water Line: Prior to tilling trench and including required testing,
Sanitary Sewer Line: Prior to filling trench and iuclnding required testing,
Storm Sewer Line: Prior to Iilling trench.
Fiual Plumbiug: When all plumbing work is complete,
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete,
Paee 3 of 4
_~~INOF'IW.~.
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CITYiOF SPRINGFIELD
"
,
Building/Co;mbination Permit
Status
Issued
,
PERMIT NO: COM2009-00SIl
ISSUED: 04/29/2009
APPLIED: 04/1612009
EXPIRES: 10/29/2009
VALUE: $ 140,744.00
"
225 Fifth Street, Springtield, OR
541-726-3753 Phone '
541-726-3676 Fax
541-726-3769 Inspection Line
Rough Electric: Prior to Cover
Electric Service: Approval reqnired prior to utility company energizing service.
Final Electric: When all electrical work is complete,
By signature,. I state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 further certify that any and all work performed shall!"e done in accordance with
the Ordinances of the City of Springtield 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 a~dress is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction. Ii
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"-/ /2'7 (oft
Owner or Contractors Signature
Date
rl'
Page 4 of 4
,R~ Willamalane
t~ Park & Recreation District
Job. No. ~ ~~
NAME: ~S
ADDRESS: f?.6' ?l.l{J ~
SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2009
PHONE: ~J" ~ 2 ~
STATEat ZIP: ~1kr1
CITY t:lA.~
LOCATION OF PROPOSED BUILDING SITE:
Street Address: (;? P'i J
Plat Name:
Tax Lot Number:
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-3"
B, SinalecFamilv Attached
NO, OF UNITS
X $3,100 per unit =
$
C, Multi-Familv Aoartment
NO. OF UNITS
X $2,641 per unit =
$
D, Sinale Raam 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 fumlsh proof of
Willamalane Credit approval.} $
3. TOTAL WILLAMALANE NET SDC ASSESSED
~*~it}
Development Services Department
City of Springfield
$ ;2fs"f
l.(
//1/ tJj
Date
5
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53'6 '1 ~ S.
~
Date:
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Constru.ctionContractors Board.
700 Summer St NE. Suite 300
PO Box 14140 '
Salem .oR. 97309-5052
Phone: 503"378-4621
Web Address: www.ccb.state.or.us .
, Permit #:
Address:
Issu~d by:
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Sta.terrient: lr,if6rmation Notice fQProperty Owners
. About Construction Responsibilities'
.' ; .... - .
Note: Oregon Law,ORS 701.055(4) requires residentiatconst7'J1ction permit applicants who are not
. . . ~- ,"
licensed with -the ConstrUction Contractors Board tosign.thefollowing stat~ment before a'building .
permit can be issued.' This'statement is requiredfor.residential building, electri'cal, mechanical and'
. " . -'. -'_ "':. t.. ,,' . ,"
plumbing permits, Licensed 'archttect and engineer apjj[icants, exempt frolii;1icensing under
ORS 701..010(7), need not submit this statement, This statement will befiled:with thepeT:l1}it,
"
FilliIi. the appropriate blanks and initial box~s I and 2, and either box 3Aor 3B:
tJl' ,1.
~,2,
.r\ ~,
I own, reside in, or will reside in the compl~ted structure,
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I understand that I must become licensed as a construction contractor if the structure is sold or
~ffen;d for sale before or on completion, ,,; ,
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o 3A, My general contractor is
, (Na.me)
(CCB #)
I will instruct I)1Y general contractor tIiat all sub~ontractors who work on t~estructure ~ust h.e'
. .... .. .
licensed with the Construction Contractors ~qard, ; ,
OR
~,.,3R' I win belny own general contrac.tor. .,' , . ;'. > , '
. 10 hire subcontractors, Iwill hire only subcontractors licensed with the Construction Contractors .-
Board, If! change my mind and hire a general contractor, I will contract with a contractor who is
,.licensed with the CCBand will immediately notify the'office issuing this building permit of the
name of the contractor.
, ,- .' .
I hereby certify that the above information is correct and that I have read and do understand ,the Information
Notice to Prop'erty Own~rs about Construction Responsibilities on the reverse sid~ o,qhis form~
. ",' /:
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(Signatu 'e of permit applicant) ,
LI/7-Cf!O'q
,. ,
, (Date)
(White copy to issuing agency permit file, pink copy to applicant.)
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PropertLowner.doc 06.01.04
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Acting as Y'our Own- General Contractor?~'~
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INFORMATlON'NOTICE TO PROPERTY OWNERS " : ':
->_' ,,}.,' \ \' ~~OU'CC9N~T.RU~TI9N 'RESPON~IBILlTIES,' .~ ' '..
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NOTE: This Information Notice to Property Owners about Construction Responsibiiities was developed by the
Construction Contractors Board in accordance with ORS 701.055(5), passed by the 198!,! Oregon Legislature,
. .' '.-, . ~_ . .' ;, .- '. " . ,- ~ . ," . - ,', ... ,'," ; .: /i . .-.,;....:c_
If you are acting as your ownco~tractoi to constru~f aneW horn" or ma~e a substantial' improv~merit tdan existing
structure, you can prevent,m::U;y problems by being awareoHhe, followiiig .res'jionsibilities and 'concerns,
Employer Responsibilities
h.i. --;'i ,::' .,,; - :_~.. .'.,;' , .I\i:~' :-~,~ .... . ~. ". +.~', ,-~~.-.:. .:\ "_;;" ~_.;\,' tf ,
You 'Yill; ill most.iE~ll\I1c"s, ~e'f!!I~d, yrbe,ar: ~'e!11pl<?Y~;' a!1~:ltjlecon1fa.ct~rs'you~onl\'actw.ith,will be'~'eJ1lplc;>yees" if
you lfSe c~nlra~t<>.r~,~qt l!c~f\~'7~ ~iih th~ rOU~tr,uRtiOI! C;o,ntraetors 130arq tp d~, 1l\b9r~ in cot1?tructi)}g or,to,ll~sist in the
construction ?rjp!pr(l~~~ent ?r.~::,\e~~eB~i~I, ~F:~f~~" As.,~~~,~mp'o~e,r,'y?~ '~iis~ ~o~ply'w.it~ tb,e f~~owi~g:
'_.3I','<"\-':';.{'~: Ii,::...., ,,' ',,\... ;: ."....;_~ ~'. ',. " '"" ,;; .,' '; '\._'j, ~,~ _ ' ;.,', 4;
Oregon's Withholding Tilx Law': 'As an employe~, you must withhold income,taxesfrom employee' w'ages at t1ie time
employees are paid, You will be ,liable fQr the tax payments even)fyou don't actualIy withhold the tax from your
employees, For more information; call'th'eIOepilrirrlehhifRe-Jenue at 503c3ry84988: ' -,:,,,,'. c'," ';. ,~;." :,., . , .
, .-
Unemployment Insnrance Tax:,As an elllployef;youiare:required't(fpaya tax for-\1nemploytnent.insurance piIrposps ;
on the wages of all employees, For more mformal1on, call the Oregon Employment Department at 503-947-1488, i
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The 'Oregon Business Identification Number, (BIN) is' a combinegnull1.ber f,!r b.o!h . 9reg0l1 'Yjt!.lhp'!ding and j
.Unemployment Insurance Tax, To file for a BIN, call 503-945-8091 .or www,dor,state.oLus/formsnav.htmll for the
appropriate forms, , , . , , " , .
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Workers' Compensation Insurance: As an employer, you' are subject to the Oregon Workers' Compensation Law,
and ,mu~~~Pt3;\n ~~r!<e!s' c~J~J.~l:',~u~!lti.~n .ip~urJLnce,. f~rx~.w_. e~p~o:y.e;~: ~~Yr:ou f~i~ t~~ ob~~i? r~~r~;rs? 9..<?~p'ensation
insurance, 'you 'coulO be subject to penalties ana be liable for .all' c1aimcosts if one 'ofyo!,lr employees isinjl!fed on the
job, For l)1ore infomiaJion, call the Workers' CompensaiiohDivision at the BepartrUen't6(Consunier'imd Business
Services at,503-947,7815, ( "
U.S. Internal Revenue Service: As an employer, you must wlthholClifideraJ^incomeJax...from empldyees'.,wages, ;'J
You "vill be liable for the tax payment even if you didn't actually withhold the tax, For a Federal EINnumber, can the .'
IRS at 1-800-829-'4933 oPJisit'their,web site;at,www,irs,gQY}: k ,':_: ,,~'.' ,,' ';f'inG~:-"t,....f;, ; ,
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t:_ . ., ,Other>~~spoI!Sibmtie~ an~,1\I1~a,S ,of C~nicerQ~ " v. ,', ,!.'
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Code Compliance: As the pemiit holder for this proj~ct, .you are responsible for resolving aily -failLire'tb meet ,code
requirements jhat Il1'ly be brought to y,our !lttention through inspections,
,....i,J.<. :!.....-:',.~.{l:l;...!"')11,'..-_.;.t.:.H.:-.i.:~;;:';": . _....~\.,'.. jr'(;3i:\':" ..;{",.~. ".f!.":- J'.~-~.::"~;~-':':
Liability and -Pro~erty Damag~~l:it~iir;mce: Contact Y6~Hnsur~~ce ~geni to' ~ed if you 'na~e'adequllfeihsurance ,,;
coverage for accidents and omissions such as falling tools, paint.over spray, water damage from pipe punctures, fire or
work that must be redone, '
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Time: Make sure you have sufficienllime to supervise your employees,',~:'~ , ), I:
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Expertise: Make sure you fiave tlie skills'to act as your' oWn generafc6nlraCtor, 't6 coordimite the work of rough-in
and finish trades; and to notify building officials as the appropriate times so they can perform the required inspections,
If you have additional questions call the Construction Contractors Board (503-378-4621) or write the agency at PO
Box 14140, Salem, OR 97309-5052.
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Properly _ owner.doc 06.01.04
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CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER:
NAME OR COMPANY'
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
1. STOR.M DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F, x 1 COST PER S,F, CHARGE I
1 1164,00 .1 $0.357 1 = 1 $415.25
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
1 IMPERVIOUS S,F, 1 x, I, COST PER S,F, 1 x 1 DISCOUNT RATE I I
1 0,00. I ,I $0.357 1 I 50% ~ I
COM2009-005 II
DAVIS CONSTRUCTION
5389 I ST. _
1702283403100
Siii1deFamily Residence
1 BUILDING SIZE.(SF:
ITEM I TOTAL - STORM DRAINAGE SDC
2 SANITARY SEWER - f:!TY
A, REIMBURSEMENT COST:
I NUMBER OF DFU's 1 x
I 25 I
B. IMPROVEMENT COST:
I NUMBER OF DFU's 1 x
I 25 I
1164
$415,25
'~j
LOT SIZE (SF):
DISCOUNT
$0,00
6970
I -$415,25
1'-
I~
Iq
10
u
r:r.
~
f-
[/)
6
'~
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1070
I
COST PERDFU
$27.67
COST PER DFU 1
$21.04 I .
3. TRANSPORTATION
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
A REIMBURSEMENT COST:
I ADTTRlP RATE I x
I 957 1
B. IMPROVEMENT COST:
I ADTTRlP RATE 1 x
1 957 I
I NUMBER OF UNITS 1 x 1
I I 1 1
I NUMBER OF UNITS 1
I I 1
x 1
1
,= I
ITEM 3 TOTAL - TRANSPORT A nON SDC
4 SANITARY SEWER - MWMC
A REIMBURSEMENT COST:
INUMBER OF. FEU's I x
II I
B. IMPROVEMENT COST:
INUMBER OF FEU's 1 x
1 II
1 COST PER FEU
1 $97,90
ICOST PER FEU
I $1,009,17
MWMC CREDIT IF APPLICABLE (SEE REVERSE).
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = ,
SUBTOTAL (ADD ITEMS 1,2,3, & 4) , = ,
5. ADMINISTRATIVE FEE:
I SUBTOTAL x I ADM, FEE RATE I~
I $3,840.38 1 5% I
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
~ " $1,217.54
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COST PER TRIP
21.06
x INEW TRIP FACTORI
I 1.00 1
;I~
COST PER TRIP
$92.89
$1,090,52
I x INEW TRIP F ACTORI
I I 1.00. I 1
I
$1,117,07
$3,840,38
CHARGE
$192,02
Ben Gibson
1079
1078
PREPARED BY
4/16/2009
DATE
I:
~ ,
$691.63 '
TOTAL SDC CHARGES
j\'
" $525,91
$201.54
$888;98
=
$97,90
=
$1,009,17
$0,00
$10.00
115.13
$76,89
. $4,032.40
1091
11092
11093
1094
11054
I
Ig_55
1054
:1 .
1056
DRAINAGE FIXTURE uNiT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTIJRES x UNIT EQUlV ALENT =0 DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO, OF FIXTURES
l
pRAINAGE
FlXTURE
UNITS
-,-
6
0
0
0
0
2
" 3, .
^
~ 0 il
,~. 0',
0 1
3, ,I
0 I
0 I
3 1
0 I
0
2 ;.;....-
0
0,
..6
,
.:,t. ,
0
25 I
1
-=
UNIT
FIXTURE TYPE NEW OLD ' EQUIVALENT
IBA THTUB 2 0 3 =
1 DRINKING FOUNTAIN 0 0 1, -
1 FLOOR DRAIN 0 0 3 =
IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC, 0 0 3 =
1 INTERCEPTORS FOR SAND / AUTO WASH I ETC. I 0 0 6 =
1 LAUNDRY TUB ,I 1 0 2 =
ICLOTHESWASHER / MOP SINK' I 1 0 3 =
ICLOTHESWASHER - 3 OR MORE (EA) 1 0 0 6 =
IMOBILE HOME PARK TRAP (I PER TRAILER) 1 0 0 12 -
1 RECEPTOR FOR REFRIG / WATER STATION / ETC, I. 0 0 1 =
1 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 1 1 0 3 =
ISHOWER. SINGLE STALL 1 0 0 2.
ISHOWER. GANG (NUMBER OF HEADS) I 0 0 2 =
1 SINK: COMMERCiAL/RESIDENTIAL KJ'rCHEN 1 1 0 3 =
1 SINK: COMMERCIAL BAR ,I 0 0 2 =
I SINK: WASHBASIN/DOUBLE LAVATORY I 0 0 2 =
ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 =
IURINAL, STALL/WALL 0 0 5 =
ITOILET, PUBLIC INSTALLATION 0 0 I 6 =
ITOILET, PRIVATE INSTALLATION 2 0 1 3 =
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 =
TOTAL DRAINAGE FIXTURE UNITS
_*EDU (Equivalent DwellinR Unit) is a discharRe equivalent to a sin.l!:le family dwelling unit (20 DRYs) set at 167 Rallons per day
I
I
1
I
I
r
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE,'
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997.
1998
1999
2000
2001
CREDIT RATE/$I,OOO
ASSESSED VALUE
5.2
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter 1 for Yes, 2 for No) 'I:
IS IMPROVEMENT ELGlBLE FOR ANNEX, CREDITI
(Enter 1 for Yes, 2 for No) ~i
BASE YEAR
2
,2
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE
$0,00 x $5,29
,
,"
,I
$0,00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXA \ION)
VALUE/1000 CREDIT RATE
$0,00 x $5,29
, 0
TOTAL MWMC CREDIT
=
$0,00
J'O
.
:
Division of C,..ef Depuly Clerk
Lane Counly Deeds and Records
2~~1.~~~~~J
l,
After recording return to:
Olson & Morris
380 Q Street, Suite 200
Springfield, OR 97477
11111111111111111111111 111111111111111111111111 $31.00
009165602JJ700405430020020.
06/14/2007 10:38:36 AM
RPR-REST Cnl=1 Sln=1 CRSHIER 05
$10.00 $10,00 $11,00
NOTICE OF DEED RESTRICTION
Declarant, Scott Davis is the owner of Lots 23 and 24 of THURSTON PLACE, as platted and recorded
LY" ['./""",.. .2oo.?>- ,Reception NO,,2at::17- Y"o52r9 Lane County Official
Records, Lane County, Oregon,
Declarant hereby declares that said Lots shall be held, sold and conveyed subject to the following
development requirement ,
The provisions herein shall be binding upon and inure to the benefit of the Successors, Heirs, and Assigns
of the Owner and all Lot Purchasers, Users and Owners,
Development Requirement:
1, Ownership of Lots 23 and 24: Lot 23 may not be sold separately from Lot 24,
2, Expiration: This restriction shall cease to exist if either condition 23A or 23B below are satisfied,
Condition 23A - Final Occupancy is issued for aprimary dwelling on Lot 23.
Condition 23B - The accessory structure is removed,
3, Amendment: This restriction may only be amended by the written approval of the City of
Springfield, Oregon, Planning Director,
In the case of any conflict between this requirement and any zoning ordinance or code of any governmental
body, the more restrictive shall prevail.
F:\PROlECTSIJ348 Mallard - Highbanks SublCorrespondencelOeed Restriction.doc
Page 1 of2
1
)
Dated th is
} JdaYOf t) l'--n p~
.2007. ..
Scott Davis
LilA l\ .
:.itt ' I vI.)
l
STATE OF OREGON )
) ss,
County of Lane) I
Personally appeared Scott Davis , this I ~y of I) ~ . 2007, who,
being first duly sworn, acknowledged the foregoing instrument to be his volunlaIy act and deed,
~~Jd~~f?, ~
NolaIy Public of Oregon /
My Commission Expires: _ /// Y' c::7 / ~.P
, /' .
F:\PROJEcrS\3348 Mallard - Highbanks Sub\Correspondence\Deed Restriction,doc
Page 2 of2
Job/Journal Number
COM2009-00511
COM2009-00511
COM2009-00511
COM2009-00511
COM2009-00511
COM2009-00511
COM2009-00511
COM2009-00511
COM2009-00511
COM2009-00511
COM2009-00511
COM2009-00511
COM2009-005] ]
COM2009-00511
COM2009-00511
COM2009-00511
COM2009-00511
COM2009-00511
COM2009-00511
COM2009-00511
COM2009-00511
COM2009-0051I
COM2009_00511
COM2009-00511
COM2009-00511
Payments:
Type of Payment
CreditCard
Cred itCard
cRcceintl
RECEIPT #:
2200900000000000452
Date: 04/29/2009
Description
Plan Review Major - Planning
Stonn Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Tran Reimburs-Residential
SDC Trans Improvement-Resident
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Stonn Admin
SDC Transportation Admin
Plan Review Residential
Building Pennit
Willamalane Single Family
I st Appliance
Vent Fan
Exhaust Hoods
Dryer Vent
Heat Pump
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Fire SF Fee - Residential
2 Baths One or Two Family
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
SCOTT DA VIS
SCOTT DA VIOS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
cjc
cjc
07261 c ]n Person
545338 In Person
Payment Total:
Page2of2,
II :24:24AM
Amount Du~:
211.00
415,25
691.63
525,91
201.54
888,98
97.90 ·
1,009,17
10,00
115,13
76,89
569,15
875,62.
2,858,00,
79,00
27,00
13,00
9,00
17,00
]34,00
50,00
3 1.70
337,00
87,63'
184,99
$9;516.49
Amount Paid
$9,491.49
$25,00
$9,516.49'
4/29/2009