HomeMy WebLinkAboutPermit Building 2009-6-5
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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
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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
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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'_~"~~_,~
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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