Loading...
HomeMy WebLinkAboutPermit Building 2009-6-5 _~.Ij!~N... ~~...I...il.~'iij':". ~II.~. i;....... Wiri~i 1 .,,_ . ....>...."r~ ~ '(' ...... . .. " - . \: ,.,,,.... ,~ ',.,.: "'"',',"",,, ," .... .... ,...",~.. .. Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00786 ISSUED: 06/05/2009 APPLIED: 06/04/2009 EXPIRES: 12/05/2009 VALUE: $ 142,000.00 225 Fifth Street, Springfield, OR 54] -726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: ]852 S 58TH ST ASSESSOR'S PARCEL NO.: 1802033302200 SPR]NGFIETYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: New Single Family Dwelling SAME AS ]92] S 57th Residential Owner: Address: I CONTRACTOR INFORMATION I Contractor Type Contractor License Expiration Date Phone Applicant HAYDEN HOMES LLC General HAYDEN ENTERPRISES 92208 07/29/2009 54]-228-1081 Electrical TOP NOTCH ELECTRIC INC ] 72366 09/29/20]0 54]-3]7-1998 Mechanical PACIFIC AIR COMFORT ]NC 39237 03/25/2010 54]-672-9510 Plumbing STUTZMAN SERVICES BU]LDING INFORMATION I 2 # of Stories: 1 Height of Structure ] 6.00 Type of Heat: Fo'rced Air Gas Water Type: Electric Range Type: Electric Energy Path: Sprinkled Building: n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupa~t Load: 5,85] 832 # of Units: Primary Occupancy Group: Secondary Occnpancy Gronp: Primary Construction Type Secondary Construction Type: # of Bedrooms: ] R3 U VB 280 I DEVELOPMENT INFORMATION I . C' ~nu to Fl'untyard Set'Bck~on laW reQulre'\t;ll9,iliW ~~'l\t\Sel6a'~k. re ted by the Oreg~2slbq forth ~&.,~.i71Set'li':i'c~fr,o~r. Those rules ~r2'l,;g!!_001- .Rpa('yaid)Seifi~ac~:,'o through 0, t~\ O'~I '''es bY f.;u..... r.-:''1_Cl l-UV 1 . 0 \t:: \Yo MI!lf,SetIiack :" obtaIn caples te~-t~~one _....'" '1"1\ may l..l....tA. the ." _..:....n suv~i\1iSi;;/l?o;of~.f~~,e.!l)f\ Ut~t~~~~;'."v- I PUBLIC IMPROVEMENTS I . c \NO?>'(.. number or t~ , 1-800-33 - '. . .~~ \1' ,\\<. ~O' Street Imp\JUlfmelrts. F II. I d . Sldewalk~pe.- ",-f \S C h'd 5' u v mprove . 'C~:.' I-\f:t,\.\. \:." c p\'.?>I"" t ur Sl e Yes ~O\, ~?>~\, D<:.\\WI.'I'1iHYl?ral\li!.'c.\) rO?> For this parcel in Jasper Meadows, it is.\~~\'i'egom\'le'fl!a'iil,Wi',; W-slB~liIlI'i'ng Division, by the City Engi?e,e~: "~hat no connecti~ns shall ~e '1l-'I.,di';\\;\~Wit\JtOP,s\'il6\j.H20 systems, until the subdiVISIOn IS accepted hy City CouncIl". CO~~t.W.! f:t,'/ pt.?>\ . . "'~'/ ~'O\) \) Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: . 3 Yes ]8.00 REQU]RED PARKING Total: 2 Handicapped: Compact: Storm Sewer Available: Special Instruction: Notes: Page] of 4 -~O;:;'?..iii.' . :.l.,... 1Ia:....." ) . . ," ~ : i .i .:...."..> ....., ...~....."T~. ".,." .,..,...,,,.." '. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phonc 54]-726-3676 Fax 541-726-3769 Inspection Line Description Bid Amount Garage/Misc SF/Duplex Tvpe of Construction Use Bid Amount U VB Utilitv R-3 VB ]&2 Familv Fee Description + 12% State Surcharge + 5% Technology Fee I Bath One & Two Family ]st Appliance Addressing Assignment Building Permit Curbcut Permit Exhaust Hoods Fire SF Fee - Residential Gas Outlets ]-4 Plan Review Major - Planning Plan Review Same As PW Disc - 2nd Permit Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimhursement SDC Sanitary/Storm Admin SDC Transpo Reimbursement SDC Transportation Admin Sidewalk Permit Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan WillamaIanc Single Family Total Amonnt Paid I Valuation Descriotion I $ PerSq Ft or multiplier $1.00 $37.72 $96.83 Square Footage or Bid Amount 142,000.00 280.00 832.00 Total Value of Project Fpp, pqitil Amount Paid $] 72.64 $89.78 $220.00 $79.00 $38.00 $879.69 $88.00 $]3.00 $55.60 $7.00 $211.00 $250.00 $-30.00 $134.00 $25.00 $378.66 $497.97 $]0.00 $],009.17 $97.90 $122.46 $201.54 $]6.82 $88.00 $590.42 $63.00 $]8.00 $2,858.00 $8,184.65 Date Paid 6/5/09 6/5/09 6/5/09 6/5/09 6/5/09 6/5109 6/5/09 6/5/09 6/5/09 6/5/09 6/5/09 6/5/09 . 6/5/09 6/5/09 6/5/09 6/5/09 6/5/09 6/5/09 6/5/09 6/5/09 6/5109 6/5/09 6/5/09 6/5/09 6/5/09 6/5/09 6/5/09 6/5/09 Paee 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00786 ISSUED: 06/0512009 APPLIED: 06/04/2009 EXPIRES: 12/0512009 VALUE: $ ]42,000.00 Value Date Calculated $] 42,000.00 $]0,561.60 $80,562.56 $233,] 24.16 06/04/2009 . 06/04/2009 06/04/2009 Receipt Number 3200900000000000426 3200900000000000426 3200900000000000426 3200900000000000426 3200900000000000426 3200900000000000426 3200900000000000426 3200900000000000426 3200900000000000426 3200900000000000426 3200900000000000426 3200900000000000426 3200900000000000426 3200900000000000426 3200900000000000426 3200900000000000426 3200900000000000426 3200900000000000426 3200900000000000426 3200900000000000426 3200900000000000426 3200900000000000426 3200900000000000426 3200900000000000426 3200900000000000426 3200900000000000426 3200900000000000426 3200900000000000426 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00786 ISSUED: 06/05/2009 APPLIED: 06/04/2009 EXPIRES: 12/05/2009 VALUE: $ 142,000.00 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 54] -726-3676 Fax 54 ]-726-3769 Inspection Line Plan nine: Review 06/04/2009 I Plan Reviews I 06/04/2009 APP DDK Access restricted to one driveway/lot. Follow street tree plan. For this parcel in Jasper Meadows, it is the recommendation to the Building Division, by the City Engineer: "that no connections shall be made'to sanitary or storm H20 systems, until the subdivision is accepted by City Council". As noted on plans Puhlic Works Review 06/04/2009 06/0412009 APP TSS Structural Review 06/04/2009 06/04/2009 APP 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. Rpnllirp1In~n,rrtio~ Erosion/Grading Inspection: Prior to ground distu~hance and after erosion measures are installed. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Curbcut - Standard: After forms are erected bnt 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 but prior to concrete p1acelllent. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Fram.ing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling ]nsulation: Prior to cover. Final Building: After all required inspections have been requested and approved and the building is complete. Underground Plumbing: Prior to tilling the trench and including required testing. Perimeter Foundation Drains: After gravel and tiIter cloth is installed but prior to backfill. Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Page) of 4 _G_...~I'lIN..G....I'!I_ ....Diil-...... :.'~ ........ Itr'~ '. :. :.:. ....; :~ II ...,. , ~ ".~' . -,- , '<-, -""""'';;','''''''' "" ""~" CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-00786 ISSUED: 06/05/2009 APPLIED: 06/04/2009 EXPIRES: 12/05/2009 VALUE: $ 142,000.00 225 Fifth Street, Springfield, OR 54 ]-726-3753 Phone 54]-726-3676 Fax 541-726-3769 Inspectiun Line Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. UnderIloor Mechanical. Prior to insulation or decking and including required testing. UnderIloor Gas: After. line is installed and required testing and capped if not attached to an applian'ce. Rough Gas: After line is installed and required testing and capped ifnot 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 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] have carefully examined the completed application and do herehy certify that all information hereon is true and correct, and] 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 contl"actors and employees who arc 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 plans will remain on the site at all times during construction. .- ~~n~ ~.3--~~7 Owner or Contractors Signature. U . Date Page 4 of4 I -I , 225 FIFlll STREET. SPRINGFIELD. OR 97477 . PH,(541)726-3753 . F,\X, (541)726-3689 ELECTRICAL PERMIT APPLICA110N City Job Number eO; - ?'i' h Date ,,,,,,,,,,,,,,, """"""",n ",',"...,...~=-no'_~"~~_,~ ,.."'.'r,,...,.""..,rt"j"".--'-....,:;H",~...',-.<;f..;O:'''''''~. ,."'-' r. . .:r,!lV~"".':"'-'~'fl;.",'h''':;;.'''.j'".;~ ", 1 ~~'t((jj'(~mKI,1f(f)Nt.w:19itliN'd.i1,r' ..\;>( 'fl'U:@L"'i:*~~~'~?!rf.~,';~~ /;rS~~'"~~;" ;"'=JJ'''-''~'''\~~'' LEGAL DESCRIPTION; \fiD~?{~ Cf)JLCD JOBDESCRrPnONi\\'2? . ~ AJ~-vJ S'FO dr~ .Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is __~___._ _Suspended.Jor.-180_days_____ ------ ------ .. .- .~.,-.'I"<<(,1ol:li..-:',~-.'-.Ju.~.',~o.mh~~~li.\\l~llr"'\'!(,.:;:.:~~!.!:1Y$~~. _'~~~I.:;;~_;'t 6,(!)'MrrIRINVWI!1Jf:lilflilSfll, "' =->.<'j.'{0N.<@NJl) , 2. h~h~.~l~~~~~ i", ", .~~~\l'ii~,~l"~t:;".I.i...."~~ Electrical Contractor 7,;fA/b!v4 .r-/ec Address ;;2.0879 ~1 L1- Poone 'ZYf3177'1'Jg city n / n'tm..Pl Expiration Date Lfo:7C; S (2e-u '7 J7 Z )1#(. ~'i Supervisor License Number Constr. Contr, Number' Expiration Date Signal 're of Supervjsing ,Electrician ~..- n / .Js Owners Name .' J/J + Address :;J.Lr. <: Ln~ (.. City. 15~ Phone ')'{( "Pig ~77 Ow.NErt-rnSTALbA-TJON' . . 'The installation is being made onpropefiY roWii-:Wil'lch- is not intended for sale, lease or rent. I . Owners Signature: # id\\~, l\~\J '-, W ~ C\.~C\.\\.; Inspection Request: 726-3769 ZON ~ lNlTIALS \)A DATE 1Q.' ~0-1. SOURCE ]-A ~ \ . G/'/Ic'J I I N'~~O)''\1('~~~:ITI~!r{l1,..n~~S'''~''''.~~'I'~~~~~T;:}lf~'..~''":,~:!'w~:;i~jj:,f~'a~:\.I:I'Ei~I:rJIV""""""~ 3. ~~;G. 'J.r.a,-Jt.0'ffifEU1:EE:' ," eFJ.il1,:mtiJiLJ1!/~B1t.1l(ljlmJ~1if!!;~,:-.;.:f:(~'!f;~p~t:)~"i'r;"\{;'4~;~ ""'i"".""'!l""''''''"''*''i''''''''".,...~''''''''""':'~'"''''''''"''''''''.''''';'I''.ill:!:lt~<ci~~1L''j;>& A. .IJ~~~\tml~...~sr~~1it\l..&,'\"Ji~\\Ff~~11!J;p.:&'j!t(j~~iJifl'gWfilj~1it~f.I. t.f,'f"'li~}1f.ilbU"'!;'i.U~'i<li.'!.~,~~..tll~j.;!)i~,l.;ti[~:.i5fj~l.'ii.ii.v.i:}I\lt!1'C;.).[j~~"".".',i.!\','..";,,,.,,' ,", ",' "r:""",,::.w~,.,\, I .. ,~ "".... -... ,. ,<< ........." ~_.,)". Service 'Included ' / 3~"/.rD . 1000 sq) ft. or less . / $J.l.'r:00 Each ad~itional 500 sq. ft. or /' :;) \" eN portion fereof $ 21.00 .. Each Manufact'd Home or .: Modulaf Dwelling Service or I ___ __Fe.eder I - , ! i I - -B- I{~S'~;i,!~~~lil.~i'l'-l'~il'!fi1,"~;t~;l;Jiiltr!it..liJ\'fifl.'''''''~''''''''''rr~"....~ . ~'1t e.qv\mes...oF,::J._~eeder>>1~fiIsllinafion!'i,.WI. cratl'ons~on; c1llcahon .?1ii~' ~::ifl;\j\j~I'....~';':":9)".\j.H!n~~1'tijl.....j'''';;.r....;.-l'~1\:O;'i'3'.~i:~~!!'J~('iI. ~~nr~...'ltllli:'X;;;:t':~~it:LI ! 200 Amps or less' $ 70.00 I 201 Amps to 400 Amps $ 83.00 , 401 Amps to 600 Amps $138.00 601 Amps to 1000 Amps '. ,I"., $180.00 Over ro,og:;:~p,s(JI'P.tS)1 ~ :'c I' , -$'413:0" Reconnlct OrilYJ\es adOP,-. $ 55.00 ,_?\\~~ "\'/"\1\ cen~')C I :. . _ " .; c. ~!"lffu~~f~f[~~t.~'11i~~1l\!lf.l-~&~ff1~~~j ~~L't..x';.,,.::',.....\..-"fcl""~~--gy-'l,,",,,,n;....:>..1'I -. .~rJt~;~'l~'I":^\'t~~&.~. .. ,\ "!lill~M 0090. '101;:;C~e~\~r. " . " Instalhiti<\l\;I\I,:](eration or'Relocation '_, I JO(\"" v,-. 6 0'-' 200 AmP*"l~s~lcel1\el is\-b0'J ~-1" $ 55.00 g~ I 201 Amps to 400 Amps, $76.00 I 401 Amps to 600 Amps I $110.00 I . I Over 600 Amps or 1000 Volts see "B" above. D i:~~P~. .ill'W,,''"' I'" '~;;.' iI:m;'lfJ''''IX.!i!W,;1'lit''~,i'I~:!1(ll!'''.~,,'''',lVi,;'rc''.'''''' . .!!P~,~u:-I~,::,r' ....J!f'f,1Uf$l .1 ~rf. .'l ;I,l~1m.1il;-~1";,j~~~~[~:~m"~~';1;t'i~i%~fi~~ rNe"'A1.teration or Exteosion 'Per Panel 'PH r,-..,:. One Circuit ! $ 48.00 TE'dfhfJ&'di'tibha1C;}bilitroXWIHE I~ I Ht vvuRK AServic<for:f~d,erJP.e:rii'!i(HISPEprlnIT l~ ~!OT4.00 C(\f,M'I;d~il_r'r:'f"'\,nnjC' ^-f' "~fL~~E:~ ,nn E~r.Il1'li:~~~fi'tJ\lIl\lli1fu~.Wifg~;r..~~~ti~.d~\\1jll~hJ~\~WJttWj'fl ' , .. ~~'i!iat.~!t-'Jti~::rl~it~iiiiii~~:I~till::i ' '1,~~~tl~J:l!kWl~!~,~,i~'",'n"'..lll.,.."~\filiml! Pu.m~ J'm;gation i $ 55.00 SignlOhtIine Lighting I $ 55:00 I Limite1Energy/Residential-'1 - $18,00- ...... -"LimiieaEnergy/CommercIal ;....--- $ 50.00 I : MioiOlum E]e,ctric Permit lnspecti,on Fee is $50.00 + Surcharges 4. PdIsm~'@m'~'f@~IIA1B~1;~14mr~~t~~~1l 4 "') -., 6D l~i~~il'l_u~~~'~JM~~~~~;t~m~.~::@~::Y eX -< " t.' I - 12% State Surcharge 10% Administrative Pee ,. 5% Technology Pee I I "I, C- 0, 71" TOTAL ()I'---' / I Sh.ared Drive(T:)lBuilding:FormslElectrical Permit Application l-O&.doc I $55,00 ~ ~ Willamalane . t . Park & Recreation District . Job. No. i!CJ- q l()lo SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2009 r NAME:lIAVtilJl AJM['f PHONE:l1LP)- : rP '?--~. ADDRESS~. <..\ili~ !CONI//) . STATE/1ZZIP: LOCATION OF PROPOSED BUILDING SITE: Street Address: I g:~2 ..s. .> I!f' Ie I n(\. . Plat N am6\. , .x,1 1.D. ~e.... \\,Q C'- -1" ax Lot Number: / ~, 0~'? 6.2.2.0 0 1. DEVEL~ENT \YPE (Check appropriate dwelling{S). Dwelling type definitions are on the back.) . A. Sinale-Familv Detached NO. OF UNITS I X $2,858 per unit = $ 2-6' s-r . 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 Unit NO. OF UNITS X $1,550 per unit = .$ WILLAMALANE SDC . I) 0=.0 cCJ $ 'U...X.X? f3 . 2. SDC CREDIT (If applicable) SDC payer must fumishproof of Willamalane Credit approval.) $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) !?LOvt $ ;2r:~o (/,7'/i// Date' Development Services Department City of Springfield 5 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: CO!~0H:-00786 NAME OR COMPANY: Il,y <;.~ ~I1]iI' LOCATION: ISS: S th St TAX LOT NUMBER: I ~020333Q~;1QO DEVELOPMENT TYPE: Smale Farmfy ll.esidence NEW DWELLING UNITS I BUILDING SIZE (SF; 1112 LOT SIZE (SF): I. STORM ORAINM,E 4792 DI mer R {~PJ'~ T? CITY STORM SYSTEM 1MPH 61 S S.F. x I cO~J l'lill- S.F. I _ I CHARGE 6 5. I l~.m I - $590.42 I RvNQff ~~IIT~ TO DrYWELL DG.ilJGtlE~D AN]) CONSTRU\;'[ED ~ITY STANDARDS I rM~lill\l1{5us S.F. x I ~MT' loR s.t:'. I x I fllsco rtATE I I D1ScPUNT I 0.00 I I SO. ;!7 I I 5 Yo I = ~tr.oo ITEM I TOTAL - STORM DRAINAGE SDC I S590,42 I 2. SANITARY SEWER - CITY 5590,42 A. ft:~~SE~~NT COST: I .._..._E,?F!WlJ'S: x B.i'~JS:I~~e(r x CO\\~~ DFU 5497.97 COST l'ER DFU ~2 \.04 5378.66 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $876.63 3. TRANSPORTATION A. RE~~SI;~~ COST: I T'~l I x I NUMBER r UNITS 1 x I COS\\E~ TRJP x INEWTRJ'J;"ACTORI I . 7 I I I I. I 520].54 .: 1093 B. lM~R~,!IT COST: I 0 TE I x I NUMBER ?F UNITS I x I COSIl~ TRIP x INEWT~\1ACTORI I . '1 I I I I I . I = ll:-S888.98.....J 1094 ITEM 3 TOTAL- TRANSPORTATION SDe = , 51,090.52 .~~- 4. SANITARY SEWER - MWMC A. ~d~:~~~~irJ. CrT~ ICOST PilUU B.llrm~~~r~;m: ~os S'II": x f ~.(,u\ ICOST fER fEU I I I ~1.6b9.17 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL-MWMC SANITARY SEWERSDC = , SUBTOTAL (ADD ITEMS ],2,3, & 4) = , 5. AOMINISTRATIVE FEE: = 597.90 = 5],009.]7 50.00 510.00 5],117.07 53,674.64 ISUBTQTAL x I ADM. FEE RATE 1= I ~3.674.64 I 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: CHARGE S183.73 , 105.39 1079 I S78.34 1078 =I~ -.,.- Todd Singleton 6/4/2008 TOTAL SDC CHARGES PREPARED BY DATE r-- I'" ~ 10 10 I~ (3 ~ e>:: 11070 11091 I 1092 1054 I 11055 il1054 11056 I DRAINAGE FIXTURE UNIT (DFU) C~LCULATION TABLE II NUMBER OF NEW FlXlURES x UNIT EQUIVALENT - DRAINAGE FlXTIJRE UNITS (NOTE FOR REMODELS. CALCULATE~;;: 1iWi~St,~T10NAL FIXTURES) DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS IB T 1 0 3 = 3 ID G FOfTAlN 0 0 1 = 0 IFL)( D I 0 0 3 = 0 I~ ' ~ F8~ GREASE / OIL ~OL\~S / ETC. 0 0 3 = 0 : ",1 '~~' ~D,^mo '" ITC 0 0 6 = 0 1 0 2 = 2 12r~ ASHER / MOP SINK 1 0 3 = 3 I ASHER - 3 O~~i 0 0 6 = 0 IMOB OME PARK T ILER} 0 0 12 = 0 I!;: 0 '0 'E G / ATER 0 ETC. 0 0 1 = 0 :1\1 ~\L1~"D"" ~'ITC. 1 0 3 = 3 0 0 2 = 0 I 'DI D' "'^"'~ 0 0 2 = 0 ~INK: ~ ~~~ J DENTIAL Kl CHEN 1 0 3 = 3 0 0 2 = 0 SINK:W SI BA ~~LAVATORY 0 0 2 = 0 SINKa~~'Al LA SIDENTlAL BAR 1 0 1 = 1 URlN. L/W L 0 0 5 = 0 +Zll~t' ~11J,IC INSTALLATION 0 0 6 = 0 ( . ATE INSTALLATION 1 0 3 = 3 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 18 -EDU (Equivalent DwellillJt Unit) is a discharJze equivalent to a sin~de familv dwellin~ unit (20 OAfs) set at~67 ~Ions per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR CREDIT RATflS1,000 ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2 BEFORE 1979 $5.29 (Enter 1 for Yes, 2 for No) 1919 $5.29 IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? 2 1980 $5.19 (Enter I for Yes, 2 for No) 1981 $5.12 BASE YEAR 2005 1982 $4.98 1983 $4.80 ~nr rPo~ LAND (IF APPLICABLE) 1984 $4.63 o CREDIT RATE 1985 $4.40 SO.OO x SO.OO = I SO.OO 1986 $4.07 1987 $3.67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) 1988 $3.22 V AWE /1000 CREDIT RATE 1989 $2.73 $0.00 x $0.00 0 t990 $2.25 1991 $1.80 t992 $1.59 TOTAL MWMC CREDIT = L SO.OO 1993 $1.45 1994 $1.25 t99S $1.09 19% $0.92 t997 $0.72 t998 $0.48 t999 $0.28 2000 $0.09 2001 $0.05 ~ City of Springfield Official Receipt Developmcnt Services Department Public Works Department 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00786 COM2009-00786 COM2009-00786 COM2009-00786 COM2009-00786 COM2009-00786 COM2009-00786 COM2009-00786 COM2009-00786 COM2009-00786 COM2009-00786 COM2009-00786 COM2009-00786 COM2009-00786 COM2009-00786 COM2009-00786 COM2009-00786 COM2009-00786 COM2009-00786 COM2009-00786 COM2009-00786 COM2009-00786 COM2009-00786 COM2009-00786 COM2009-00786 COM2009-00786 COM2009-00786 COM2009-00786 Payments: Type of Payment CreditCard cReceiol1 RECEIPT #: 3200900000000000426 Date: 06/05/2009 ]:40:]7PM Description Sidewalk Permit Curbcut Pennit PW Disc - 2nd Permit Storm Drainage Impervious Area Sanitary Sewer - Rcimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transportation Admin Plan Review Major - Planning Plan Review Same As Building Permit Addressing Assignment WiUamalane Single Family I Bath One & Two Family I st Appliance Vent Fan Exhaust Hoods 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 Surcharge Amount Due 88.00 88.00 (30.00) 590.42 497.97 378.66 201.54 97.90 1,009.17 10.00 122.46 16.82 211.00 250.00 879.69 38.00 2,858.00 220.00 79.00 18.00 13.00 7.00 63.00 134.00 25.00 55.60 89.78 172.64 $8,]84.65 Paid By HA YDEN HOMES/ TIM Item Total: Check Number Authorization Received By Batch Number Number How ~eceived Amount Paid 022764 022764 In Person Payment Total: $8,184.65 $8,184.65 NJM Page I of I 6/5/2009