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Home My WebLink AboutPermit Building 2009-5-19 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00680 ISSUED: 05/19/2009 APPLIED: 05/18/2009 EXPIRES: 11119/2009 VALUE: $ 165,190.37 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspeetion Line SITE ADDRESS: 1010 S 40TH PL ASSESSOR'S PARCEL NO.: ]80206]4]9900 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: New Single family dwelling filbert meadows Residential Owner: Address: 'les ~Uu .- BRUCE WIECHERT CUSTOM HOMES INC , Olegon laW le~t\egon Ulili\'{ 3073 SKYVIEW LN :rn:NlI0N, ted bY tne e sel 1011\'1 EUGENE OR 97405 talloW ru~:sr~~~~l. "nos~,~~~e~~~ 952-0?::, NOUI\I.J~~'-. ~ -ou \ v ~." - ,- 1 \ne 1\,0.....- - I CO!',\TRAC.T'OR~I~H0RM~jiON'\." lelepno~~l\ UUov',' Ihe cell'V'" UlilltY No\l\lca Contractor ~all\~~l lot t\'leO\~~~se"se-234tExPiration Date BRUCE WIECHERT CUST6]\q'HQMEI!;3fN"t 101717 09/16/2010 L & E ELECTRIC INC 105475 03/30/2010 COMFORT FLOW HEATING CO. 460 06/27/2009 STEVEN R JOHNSON 65065 03112/2010 , , Contractor Type General Electrical Mechanical Plumbing Phone 541-686-9458 54 I -933-2653 541-726-0100 541-342-3765 I BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I R-3 U VB # of Stories: I Lot Size: Height of Structure ]~.p~ '{.. Sq Ft 1st Floor: Type of Heat: For~d-AI;- Gas'" Sq Ft 2nd Floor: c~'Yater TYIl~'L E~?I"'E I \~\~ VJls-lO\ Sq Fl Basement: "01\ t~M'ge~iN(:", \\,\1'0 ?E"'~~e~\lji,c. Sq Ft Garage/Carport 2 1\'\IS? ~&:'WI.I',~rn~ 1\~\)0~'t- Sq Ft Other: 1\\)1\,\0 riD!Ue~\8.1'ilJi\f>g: n/a Occupant Load: _/A"n.t:\\ut -.....,("\\""\ ,'vli;v~l'dllmM{ i~FORMATION I 1,519 480 Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 23.00 5.00 ]0.50 19.00 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd:, . % of Lot Coverage: 6 Yes 21.10 REQUIRED PARKING Total: 2 Handicapped: Compact: I PUBLIC IMPROVEMENTS I Slreet Improvements: Storm Sewer Available: Speciallnstruclion: Fully Improved Yes Storm water to curb via weep hole Sidewalk Type: Downspouts/Drains: Cu rbside 7' Curb and Guller Notes: Paee I of 4 hO<... .~lrj _~~AIN.G"';Ifl!,l)i Status Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description TYlleof Construction Garaee/Misc SFlDuplex U VB Utility R-3 VB 1&2 Familv Fec Description + 12% State Surcharge + 5% Technology' Fee ]st Appliance 2 Baths One Or Two Family Addressing Assignment Appliance Vent Building Permit Curbcut Permit Dryer Vent Exhaust Hoods . Fire SF Fee - Residential Gas Outlets]-4 Plan Review Major - Planning Plan Review Residential Refund CY- SDC Storm Improv . Sanitary Sewer - 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 Sidew:llk Permit Storm Drainage Impervious Area Vent Fan WiIlamalane Single Family Total Amount Paid CITY OF ~rKIJ"t.FIELD Building/Combination Permit PERMIT NO: COM2009-00680 ISSUED: 05/19/2009 APPLIED: 05/18/2009 EXPIRES: 11119/2009 VALUE: $ 165,190.37 I Valuation DescriDtion , , $ Per Sq Ft , 1'1' o~ mu tip IeI' $37.72 $96.83 Square Footage or Bid Amount 480.00 1,519.00 Value Date Calculated $18, I 05.60 $147,084.77 $165,]90.37 05/] 8/2009 , 05/18/2009 Total Value of Project J{pp<, Pqjrl I. Amou~t Paid , $197.08 I $101.47 , ~79.00 $337.00 $38.00 1$9.00 $977.37 $88.00 1$9.00 $13.00 $100.00 '$7.00 $211.00 $635.29 $-841.92 $504.88 $t!63.96 $10.00 $1,009.17 $97.90 $136.75 $201.54 $888.98 $74,17 $88.00 $841.92 $27.00 $2,858.00 , $9,362.56 , I Plan Reviews I Paee 2 of 4 Date Paid Receipt Number 5/]9/09 5/19/09 5/19/09 5/19/09 5/19/09 5/]9/09 5/]9/09 5/]9/09 5/]9/09 5/] 9109 5/19/09 5/19/09 5/19/09 5/]9/09 5/19/09 5/]9/09 5/]9/09. 5/19/09 5/19/09 5/19/09 5/19/09 5/19/09 5/19/09 5/19/09 5/19/09 5/19/09 5/19/09 5/19/09 ]20090000000000050] ]20090000000000050] 1200900000000000501 1200900000000000501 1200900000000000501 1200900000000000501 1200900000000000501 1200900000000000501 120090000000000050] 1200900000000000501 120090000000000050] ]200900000000000501 120090000000000050] ]200900000000000501 1200900000000000501 ]20090000000000050] 1200900000000000501 1200900000000000501 1200900000000000501 1200900000000000501 1200900000000000501 ]200900000000000501 i200900000000000501 1200900000000000501 120090000000000050] ]200900000000000501 ]200900000000000501 ]200900000000000501 CITY OF SPRINGFIELD' Building/Combination Permit Sta tus Issued PERMIT NO: COM2009-00680 ISSUED: 05/19/2009 APPLIED: 05/18/2009 EXPIRES: 11/19/2009 VALUE: $ 165,190.37 225 Fifth'Street, Springfield, OR 541-726-3753 Phone 54]-726-3676 Fax 541-726-3769 Inspection Line Plan nine: Review 05/] 8/2009 05/1812009 APP DDK Require street trees as shown on street tree plan attached to permit: species as shun'n. 2" caliper, leave name tag on until approved. Public Works Review Structural Review 05/18/2009 . 05118/2009 05/18/2009 05/1812009 APP APP LKW 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. ' Up..,_ 1n<\1Pl'liorU Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Sidewalk - Curbside: After forms are erected bnt prior to placement of concrete. i; Curbcut - Standard: After forms are erected but prior to placement of concrete. 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 out prior to concrete placement. Post and Beam: Prior to noor insulation or decking. II Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing witb finish materials. Framing Inspection: Prior to cover a~d after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Masonry: Final Building: After all required inspections have been requested and appruved and the building is complete. " , Undernoor Plumbing: Prior to insulation Or decking. , Ylldertloor Drain: Prior to cover or p~acement of concrete. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trencb an,d including required testing. I' Sanitary Sewer Line: Prior to filling trench and including required testing. , Storm Sewer Line: Prior to liIling trench. Final Plumbing: When all plumbing work is complete. Undernoor Mechanical. Prior to insulation or decking and including required testing. Undernoor Gas: After line is installed and required testing and capped if not attached to an appliance. Paee 3 of' 4 ,S.:I'!!lIN.c:il......m.......\ft.D.... ....... .,1.. 1rIL~ -' ,- :: ...-' I .. . / . ( . .,-_.-.. ."._.'-'-- CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2009-00680 ISSUED: 05/19/2009 APPLIED: 05/18/2009 EXPIRES: 11/19/2009 VALUE: $ 165,190.37 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 54]-726-3769 Inspection Line Rough Gas: After line is installed and ~equired testing and capped if not attached to an 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: When all gas work is complete. Final Mechanical: When nIl mechanical work is complete. 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, lhat I have ca~efully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify thaI any and all work performed shall be done in accordance with the Ordinances of the City of Springlield andi the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUP ANCY will lie 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 furlher agree to ensure that all required inspections are reqnested at the proper time, that each address is readable from the street, that the permil card is located at tbe front of the property, and tbe approved set of plans will remain on the site at all ';m"'"ri"~~ ' Owner or Contractors Signature ~;/01 Date Paee 4 of 4 I}~ Willa~alane ,t~ Park & Remfation District Job. ,No. Cq-~,jZJ II SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2009 NAME: g~c..E tV+-~~"'- PHONE: ADDRESS:.MJ .s~c{v'lt::!1/ C'TYgj./f~?--t-- STATE~ZIP: 7?7~ II LOCATION OF PROPOSED BUILDING SITE: ';.f Street Address: j?> /01 .. f.. 4'0_ --fL Plat Name: Tax Lot Number: 1. DEVELOPMENT TYPE (Check appropriate dw'elling(s), Dwelling type definitions are on the back,) i A. Sinale-Familv Detached NO. OF UNITS: / X $2,858 per unit = $ 2uF 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 Roam Occuoancv NO. OF UNITS II E. Accessorv Dwellina Unit X $1,321 per unit = $ NO. OF UNITS' X $1,550 per unit = .$ , WILLAMALANE SDC $ 2. SDC CREDIT (If applic~ble) SDC payer must furnish proof of Willamalane Credit approvaL) $ ,j 3. TOTAL WILLAMALANE NET SDC ASSESSED ,/) SD,/lduce~,r C:,!edit) I I~(f--.. D~pment Services Dep~rtment City of Springfield $ 26~ ( j,-/ (~/ 0/ Date 5 ~ "'~ " .. .' CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: COm2009-00680 NAME OR COMPANY: Bruce Wiechert Homes LOCATION: 1010 S, 40th Place TAX LOT NUMBER: 1802061419900 DEVELOPMENT TYPE: Single Family Residcnce NEW DWELLING UNITS I BUILDING SIZE (SF: 2000 LOT SIZE (SF): J, STORM ORAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S,F, x I COST PER S,F, I I CHARGE I 2360.00 I $0.357 I = $841,92 1 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 1 DISCOUNT I 0.00 I 1 $0.357 I I 50% I ~ I $0.00 ITEM I TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER - CITY 1).. REIMBURSEMENT COST: I NUMBER OF DFU's I x ! 24 B. IMPROVEMENT COST: I NUMBER OF DFU's I x 1 24 I COST PER DFU $27.67 COST PER DFU $21.04 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $841.92 $1,168.84 9583 $841.92 $663.96 $504.88 !.- en w.1 Cl o U ~ w.1 I- en 5 ~ ,11070 1 1091 I 1092 ,I J TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE 1 x I 9.57 I B. IMPROVEMENT COST: I ADT TRIP RATE 1 x I 9,57 1 I NUMBER OF UNITS 1 x I I I I I I NUMBER OF UNITS I x I I I 1 1 ITEM'3 TOTAL-TRANSPORTATION SDC ~ , 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x 1 I I B. IMPROVEMENT COST: INUMBER OF FEU's I x I I I COST PER TRIP 21.06 x INEW TRIP FACTORI I 1.00 I COST PER TRIP $92,89 ' x INEW TRIP FACTORI I 1.00 1 $1,090.52 ICOST PER FEU I $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 = I SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ , 5. ADMINISTRATIVE FEE: /SUBTOTAL x I ADM. FEE RATE I~ $4.218.35 I 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Kaye Wilson PREPARED BY 5/18/2009 DATE $1,117.07 $4,218.35 CHARGE $210,92 TOTAL SDC CHARGES 1 1056 j 'I -=, i' 11079 111078 $201.54 $888.98 = $97.90 = $1,009.17 $0.00 $10.00 136,75 $74.17 = I $4,429.27 1 1093 I; 11094 " I 1054 lOSS 1054 ~. . ~ ~... DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE fIXTURE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO, OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EOUIV ALENT UNITS I BATHTUB 2 0 3 = 6 IDRINKING FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 I LAUNDRY TUB 0 0 2 = 0 ICLOTHESW ASHER / MOP SINK 1 0 3 = 3 ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRJG / WATER STATION / ETC: 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC, 1 0 3 = 3 I SHOWER SINGLE STALL 0 0 2 = 0 I SHOWER GANG (NUMBER OF HEADS) 0 0 2 = 0 I ISlNK: COMMERCiAi..tRESIDENTIAL KITCHEN 1 0 3 = 3 SINK: COMMERCIAL BAR 0 0 2 = 0 I Sl1\'K: WASH BASlN/DOUBLE LAVATORY 1 0 2 = 2 SINK: SINGLE LAVATORY/RESIDENTlAL BAR 1 0 1 1 URINAL, STALL! WALL 0 0 5 = 0 [TOILET. 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 24 *EDU (Equivalent Dwelling Unit) is a dischar~e 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 2 I 2 I 2006 I I $0,00 YEAR , ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 \984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 C:;~iis~T~~~O II--~AND ~LGlBLE FOR A~XATION CREDIT? ,d<''''' $5,29 ." '.'. ,_ (Enter I for Yes, 2 for No) "":!:4,~~:.~:cr"iii" IS IMPROVE~~:~ ;~rG~~~; ~~~~X, CREDIT? BASE YEAR l I I [ I I I I [ [ [ I: CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0,00 x $0,00 ~ , CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0,00 x $0.00 ~ I o Jjr = $0.00 TOTAL MWMC CREDIT ~ _.r ~ CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET - .- ,-_. COm2009-00680 Bruce Wiechert Homes 1010 S, 40th Place 1802061419900 Single Family Residence I BUILDING SIZE (SF: 2000 DIRECT RUNOFF TO CITY STORM SYSTEM lIMPER VIOUS S,F, 'I COST PER S.F, CHARGE I 2360.00 $0.357 I = I $841.92 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUSS.F, I ' I COSTPERS_F. I, 1 DlSCOUNTRATE I 1 'DISCOUNT I 0,00 I $0.357 I 1 50% I ~ 1 $0,00 ITEM 1 TOTAL - STORM DRAINAGE SDC $0.00 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's I. , I 24 I, JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS I STORM DRAINAGE B. IMPROVEMENT COST: I NUMBER OF DFU's I , 1 24 I - I~ 18 .U Ie<:: 9583 1 ~ '" 6 ~ LOT SIZE (SF): $0.00 ./1070 COST PER DFU $27.67 $663.96 1091 COST PER DFU $21.04 $504.88 1092 = , ITEM 2 TOTAL - CITY SANITARY SEWER SDC $1,168.84 __'I 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRJP RATE I x 1 NUMBER OF UNITS I x r COST PER TRJP I x INEW TRJP FACTORI , 9.57 I I I ' 1 21.06 I I 1.00 I $201.54 11093 B, IMPROVEMENT COST: I ADT TRJP RATE I x 1 NUMBER OF UNITS I x 1 COST PER TRJP x INEW TRJP FACTORI I 9.57 I 1 I I 1 $92,89 1 1.00 1 $888.98 1094 ITEM 3 TOTAL - TRANSPORT A TJON SDC = , $1,090.52 MWMC CREDIT IF APPLICABLE (SEE REYERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ J 5. N1MINISTRATIVE FEE: 1 SUBTOTAL x I ADM, FEE RATE 1= I $3,376.43 I 5% I TOTAL SAN/T ARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: _..~- 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER-OF FEU's I x 1 I B. IMPROVEMENT COST: INUMBER OF FEU's I x I I 1 Kaye Wilson PREPARED BY ICOST PER FEU I $97.90 = $97.90 11054 ICOSTPER FEU I $1,009.17 $1,009_17 $0.00 $10_00 = 1055 I I 1054 11056 I I $1,1I7.G7 $3,376.43 CHARGE $168,82 87,34 1079 $81.48 11078 -; 5/18/2009 = I $3,545.25 TOTAL SDC CHARGES DATE r' .'c ., DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNfT EQUlVALENT =' DRAINAGE FlXTYRE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS fBATHTUB 2 0 3 = 6 I IDRlNKING FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 I IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC, 0 0 3 = 0 I INTERCEPTORS FOR SAND / AUTO WASH / ETe. 0 0 6 = 0 I ILAUNDRY TUB 0 0 2 = 0 I ICLOTHESWASHER / MOP SINK 1 0 3 = 3 il ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 I I RECEPTOR FOR REFRlG / WATER STATION / ETe. 0 0 1 = 0 I I RECEPTOR FOR COM, SINK / DISHWASHER / ETe. 1 0 3 = 3 ISHOWER, SINGLE STALL 0 0 2 = 0 I ISHOWER, GANG (N1JMBER OF HEADS) 0 0 2 = 0 I ISINK: COMMERCIAL/RESIDENTIAL KlTCHEN 1 0 3 = 3 I I SINK: COMMERCIAL BAR 0 0 2 - 0 I I SINK:' WASH BASINIDOUBLE LAVATORY 1 0 2 = 2 I ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1 I IURINAL. STALL / WALL 0 0 5 = 0 I ITOILET. PUBLIC INST ALLA TION 0 0 6 = 0 " ITOILET. PRIVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 24 =-"'EDU (Equivalent Dwelling Unit) is a discharge equivalent to a sin~le family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE F" YEAR ANNEXED BEFORE 1979 1979 ]980 1981 1982 1983 1984 1985 ]986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$\'OOO 11 ASSESSED VALUE IS LAND ELGlBLE FOR ANNEXATION CREDIT? 2 5 (Enter I for Yes, 2 for No) I IS IMPROVEMENT ELGlBLE FOR ANNEX, CREDIT? 2 (Enter I for Yes, 2 for No) I BASE YEAR 2006 CREDIT FOR LAND (IF APPLICABLE) I VALUE / 1000 CREQIT RATE $0,00 x $0,00 ~ , $0.00 I CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) I VALUE / 1000 CREDIT RATE $0.00 x $0,00 ~ , 0 I I TOTAL MWMC CREDIT = $0.00 I 225 Fifth Strcet Springficl,d, Oregon 9747} , 541-726-3759 Phonc Job/Journal Number COM2009-00680 COM2009-00680 COM2009-00680 COM2009-00680 COM2009-00680 COM2009-00680 COM2009-00680 COM2009-00680 COM2009~00680 COM2009-00680 COM2009-00680 COM2009-00680 COM2009-00680 COM2009-00680 COM2009-00680 COM2009-00680 COM2009-00680 COM2009-00680 COM2009-00680 COM2009-00680 COM2009-00680 COM2009-00680 COM2009-00680 COM2009-00680 COM2009-00680 COM2009-00680 COM2009-00680 COM2009-00680 Payments: Type of Payment CreditCard cReceintl RECEIPT#: ~,~~I;H~f!I~ iij...', t At. 1Ill . ~--:- .... ...... . 1200900000000000501 Description Plan Review Major - Planning Sidewalk Penn it Curbcut Penn it ' Storm Drainage Impervious Area Refund CY - SOC Stonn .'mprov Sanitary Sewer - Reimbursement . Sanitary Sewer - Improvement SOC Tran Reimburs-Residential SOC Trans lmplOv~ment-Resident SOC MWMC Improvement SOC MWMC Administralion SOC Sanitary/Stoml Admin SOC Transportation Admin SOC MWMC Reimbursement Plan Review Residential B.uilding Permit Addressing Assignment Willamalane Single Family 2 Baths One or Two Family I st Appliance Vent Fan Appliance Vent Exhaust Hoods Dryer Vent 'Gas Outlets 1-4 Fire SF Fee - Residenlial + 5% Technology Fee + 12% State Surcharge Paid By BRUCE WIECHERT CUSTOM HOMES Received ~y CJC . t:heck Number Batch Number , Page I of I City of Springfield Official Receipt DeyeIopmcntServiccs Department Public Works Department Date: 05/19/2009 2:41 :04PM Item Total: Amount Due 211.00 88,00 88,00 841.92 (841,92) 663,96 504,88 201.54 888,98 1,009.17 10:00 136,75 74,17 97,90 635,29 977.37 38,00 2,858,00 337,00 79,00 27.00 9,00 13,00 9,00 7,00 100,00 101.47 197,08 $9,362.56 Authorization Number How Received Amount Paid 045070 In Person $9,362,56 Payment'Total: $9,362.56 5/19/2009