HomeMy WebLinkAboutPermit Building 2009-7-2
CITY OF SPRINGFIELD
Building/Com bination Permit
PERMIT NO: COM2009-00969
ISSUED: 07/02/2009
APPLIED: 07/01/2009
EXPIRES: 01/02/2010
VALUE: $ 165,000.00
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Status
Issued
225 Fifth Street, Springfleld, OR
541-726-3753 Phone
.541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5759 MINERAL WAY
ASSESSOR'S PARCEL NO.: 1802033302300
SPRINGFIETYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence - lot 270
SAME AS COM2009-00534 5764 mineral way
Owner:
Address:
HAYDEN HOMES LLC
2464 SW GLACIER PL STE 110
REDMOND OR 97756
,.
I CONTRACTOR INFORMATION I
Contractor Type Contractor License
General HAYDEN ENTERPRISES 92208
Electrical TOP NOTCH ELECTRIC INC 172366
,,",oU \0
Mechanical PACIFIC AIR COMFOB,I'.'\\IN", , '1'1iW 39237
Plumbing STUTZl\1AN,~IilRV'tQ~S;'H~(;pn~, ~()\\\"I 3 I 747
.. p.,-ftE.N ~~~~-adoPte~;;heBeilWIN<ioINF'tlRMA TlON I
'o\lO~ ~I'\on cen\e~1O \\"1\0",0' 01\\"19 rU,J- e .
# of Units: t-\O~~R 9S'2.-00~-0/ \ain eoP\e~li~>&tQ~\J~~on I
Primary Occupancy GrouP.: ,/oU roa~~e\. ~l'\o\6' .\\~1l41>'of1Structnre 16.00
Secondary Occupancy~fi,'lip.:\g \\"Ie eel' Olegon \.l3W\'r.ynSili~Heat: .Forced Ail' Gas
. ~aJ,\! th" 0 S ".
Primary Construction Ty erobe\ \01 vBis ~-BO - ater Type: Gas.
Sccondary Construction ~pe: cen\el Range Type: Electric
# of Bedrooms: 3 Energy Path:
Sprinkled Building: n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00 Overlay Dist:
10.00 # Street Trees Rqd: I .
5.00 Paved Drive Rqd: ~O,,~ Yes
24.00 % of Lot Cover~\T ~"t. \'C ~f:j' 31.20
0.00 .' ~\ \. ~~:~ ,,~?\-l\~ d'\~
\\U \ (:f: 1U.';i ;-i\ - ~tm:,,*~ '
IS ~~S:,\~. ~~"'l~ I
,\-'II G~\i.."'- G~ \",! .. .
FUII"Ii;t.)}~~t.\) ?t.?\G\)'
ca'N\~~\)~
r>.~'{'\
Residential
Expiration Date
07/29/2009
09/29/2010
03/25/2010
05/12/2010
Phone
541-228-1081
541-317-1998
541-672-9510
541-928-8942
Lot Size:
Sq Ft 1st Floor: 1,031
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport 400
Sq Ft Other:
Occnpant Load:
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Sidewalk Type:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Curbside 5'
Curb and Gutter
Downspouts/Drains:
Notes:
Storm water to curb and gutter.
d
Paee I of 4
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
. I V ~'II,Jation D~scrinti?n. ,
Descriotion
Tvpe of Constrnction
Estimate
$ Per Sq Ft
or mnltiplier
$1.00
Square Footage
or Bid Amouut
165,000.00
Estimate
Total Value of Project
L.FI'P~ flW
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009c00969
ISSUED: 07/02/2009
APPLIED: 07/0112009
EXPIRES: 01/02/2010
VALUE: $ 165,000.00
Value
$165,000.00
$165,000.00
Date Calculated
07/01/2009
Fee Description Amount Paid Date Paid Receipt Number
+ 12% State Snrcharge $201.16 7/2/09 1200900000000000767
+ 5% Technology Fee $100.92 7/2/09 1200900000000000767
1st Appliance $79.00 7/2/09 1200900000000000767
2 Baths One or Two Family $337.00 7/2/09 1200900000000000767
Addressing Assignment $38.00 7/2/09 1200900000000000767
Appliance Vent . $9.00 7/2/09 1200900000000000767
Building Permit $973.30 7/2/09 1200900000000000767
.Cu,'bcut - 2nd Curbcut $-45.00 7/2/09 1200900000000000767
CUl'bcut Permit $88.00 7/2/09 1200900000000000767
Dryer Vent $9.00 7/2/09 1200900000000000767
Exhaust Hoods $13.00 7/2/09 1200900000000000767
Fire SF Fee - Residential $71.55 7/2/09 1200900000000000767
Gas Ontlets 1-4 $7,00 7/2/09 1200900000000000767
Plan Review Major - Planning $211.00 7/2/09 1200900000000000767
Plan Review Same As $250.00 7/2/09 1200900000000000767
Residence Wiring 1000 Sq Ft $134.00 7/2/09 1200900000000000767
Residence Wiring Ea Addtl 500 $25.00 7/2/09 1200900000000000767
Sanitary Sewer - Improvement $507.07 7/2/09 1200900000000000767
Sanitary Sewer - Reimbursement $666.84 7/2/09 1200900000000000767
SDC MWMC Administration $10.00 7/2/09 1200900000000000767
SDC MWMC Improvement $1,146.50 7/2/09 1200900000000000767
SDC MWMC Reimbursement $101.97 7/2/09 1200900000000000767
SDC Sanitary/Storm Admin $150.00 7/2/09 1200900000000000767
SDC Tran Reimburs-Residential $211.21 7/2/09 1200900000000000767
SDC Transpol'tation Admin $16.95 7/2/09 1200900000000000767
Sidewalk Permit $88.00 7/2/09 1200900000000000767
Storm Drainage Impervious Area $695.49 7/2/09 1200900000000000767
Temp Power 200 amps or less $63.00 7/2/09 1200900000000000767
Vent Fan $27.00 7/2/09 1200900000000000767
Willamalane Single Family $2,858.00 7/2/09 1200900000000000767
Total Amount Paid $9,043.96
Pa2e 2 of' 4
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-00969
ISSUED: 07/02/2009
APPLIED: 07/01/2009
EXPIRES: 01/02/2010
VALUE: $ ]65,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Lioe
Plan Reviews I
Plan nine: Review 07/01/2009 07/01/2009 APP DDK Approved as shown on plans.
Access restricted to I driveway per
lot. Follow Street tree plan.
Public Works Review 07/01/2009 .07/01/2009 APP BJG Storm water to curh and gutter.
Structural Review 07/01/2009 07/02/2009 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.
Re'\ll.irPlI In<,nections I
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Ufer Electrical Gronnd: Install gro.und rod at footing and call for inspection in conjunction with rooting and/or
foundation inspection.
Footing: After trenches are excavated.
Fonndation: 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 fioish materials.
Framing Inspection: Prior to cover and after all rough in inspections have, been approved.
Wall Insnlation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Underground Plumbing: Prior to tilling the trench and including required testing.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
\
Underfloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plnmbing: Prior to cover and including required testing.
Sanitary Sewer Line: Prior to tilling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Water Line: Prior to filling trench and including required testing.
Final Plnmbing: When all plumbing work is complete.
Page 3 or 4
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00969
ISSUED: 07/02/2009
APPLIED: 07/01/2009
EXPIRES: 01/02/2010
VALUE: $ 165,000.00
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
54]-726-3769 Inspection Line
Underfloor Mechanical.. Prior to insulation or decking and including required testing.
Uuderfloor Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Gas: After Iiue is iustalled and reqnired testing aud capped if uot attached to an appliance.
Gas Service: After line is installed and line has been connected to aminimnm of one appliance including required
testing. Presure test done at this point.
Rongh Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval reqnired prior to Utility Company energizing pole.
Ufor Electrical Ground: Install ground rod at footing and call for inspection in conjuction with footing and/or
foundation inspection.
Underground Electric: Prior to cover
Rough Electric: Prior to Cover
Electric Service: Approval reqnired prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Final Building: After all required inspections have been requested and approved and the bnilding is complete. .
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbellt - Standard: After forms are erected but prior to placement of concrete.
By signature, I state and agree, that I 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 withont permission of the Community Services Division, Building Safety.
] fnrther certify that only contractors and employe~s who are in compliance with ORS 701.005 will,be nsed.on this project.
] further agree to ensure that all reqnired 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."
~L2/
72-c9 .
=
Owner 0.1' Contractors Signature
Date
Paee 4 of4
ZON \ fWL.
INITIALS-t.u.. _
DATE .......J .t:P\
SOURCE ----}A-~
~~?
, ,
225 FIFTI.J STREET. SPRlNGFIELD,OR 97477 . PH:(541)72~3753 . FA,X: (541)726-3689
ELECTiuCAL.PERMIT APPLIC~TION .
. . 1
City Job Number r6tM?C)O 5'- oD 96 7-
. i
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. i'~"-,"".... '".,' "''''A''''''li<~~ . '<'l"' ,. ~"""""", "."" ,,' 'A'". '.,1\ i~'r."I,(",,'"
1 .~1tID@A~'F:f(i)~~(tl ',>>i 1. 'Svx, t., JiIl'-. .fffI0 '. i:i )";~'f1!,.~~.1tlt
. it::\l.~"fI~l'i,l!rllZ~",~i\'.:r>dii~~d!"';-. 'J!i"'.:::\i~!i!Lili-J~~"~",;~';:.r'1r~ij'i;~..l;;i;~;)i}ii@'.S1if
5 7 5 i J/l1 ,.,( 6ttt1 lJt\- y
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Date
3. m~l[1It~tl.~~!.;gl~~WPil~i~i!~~[liII{~i~
LEGAL DESCRIPTION:'
, /6020"533.
A.t~flfat~ia'jn~~~S1it~~tl~~~~'~Wi~rm~fflfi~~l;~t\~~m~~glli~J1~~~1'~1~i~
!i~~L.'ili1rLW-""~Iii~;~':iJ';Uw:zmj~~~;~l;;:'Ji:':'\~i.'!';1i.;H'i'''''h~~''' ,~j,''''''~':>'"",)\ .g";"-.'~"':j"o:~,\!WJl~a:,!t'ji:mS~J
Service Included
I
/JfI
5000
?-
~oo
1"54
z')"
JOB DESCRll'TION:
Hov. se V, Q"e I r~ t
Pe~mits arc non-transfe;'~ble lnd expire if wotk is Each Manufact'd Home or
not started within 180 d3ys of issuance or ifwbrk is Modular DweJling Service or
__~~___ __ -Suspended,foI:--180-days.,- __ __ _~__ __ ____-.1_ ___Ee,e.dcr_
I .
.- fii'i[/i!!WE\lIilli1i(ij.il!!i/~.I1g,l~I' ~llgl!!1l',~iFii"l!l::''',"., iIif~~"i'1iW~ . - - - M~;-"~~.I%.~.'""1~~. ,'i'l'''~~~I~Ji'"Iil'''''''''''f,\~f~Il\!;Y'~~''1ll'~.'\~,*~.;..
..''1;~W~~r.'''li
'l'~'@@~RMrmrm(l.): , Jr,! B~~~!nJ~mrQl~~\; asmM~ B. l'fi~~~(~lty'ICes~Or,~' .e!eue.lfS'l~nsffination~t<erati'Qn~f(jlt{1RlfjociH;joh:j:l~m
2. t!.1ft~~,:;lit<..\..1;E~e;"\.I,i1il1,.'17i:rr:' ~l '~""~:"E(.fJli!i/.~~~\~il~' jSi~1hI. ~~Ii:~lt""~~t~:J!!\"$'B~l1jl(ijjm,w,:..,",j~;'.\;~o:;~ti!~"1.i~.'\,~';r)i~iI!:;:i<\('!:'1O:~~~~\t~tllilitl~f
fi~~,J)~rta'i
Electrical Contractor tf!:!~/E+-:f{~c: t:., '~1'lires yd.o9~Amps or less $ 70.00
. ":'0'5. .'ules adonted dY the Oregon 1~?Ht:"Ps to 400 Amps $ 83.00
Address ;;2081'7",,,,, : r..f.(if,;. Those rules are Se40lrAinps to 600 Amps $138.00
in OAR 952 001-001 0 t~rough OAR 95%oQOAn,ps to 1000 Amps $180.00
o J ~M'^ "_" vy",,,_~}:taL~nip~.r)fthe rUles Uy_
n'/:!rJ'( vv.vv..l'fionenJ 71/f,i/-t79,'78teleph9Xl!! 100a-AmpSNoltS- $413:0u
Calling the vvl El....... \' .~._. . ,t R On!
number for .the oregor Utility Notific_~S'lpnect y . . $ 55,00
C2!}';N-~~-S8001 -332-2344), c. ~~"llI~&lwl>rl~1\'~~~A~'~0~t~~'8le"~~~1)ji1tt~ \1,~'!'i~!\?itl!h~II:~,_l't~
Supervisor License Num]?er -l- v./ 1 ~~~. ~~~,.ci'~i&~~jil'.:lih~~~WlLII~1i:~,~~:?m~llli~.~" ,~l;i'i:;W~~~j~;\~~~~.Qll!~
Expiration Date an '7 ' I InstaUation, Alteration or Relocation bJ.
. I I 200 Amps or less ($fioo b :5
Constr. Contr, Number /72 ').0(.,>. 201 Amps to 400 Amps f 76.00
'. /)~ c I 40] Amps to 600 Amps $] 10,00
Expiration Date oLV 0 f
Over 600 Amps or 1000 Volts see "B" above. .
. f S . , D. ~,i'~~~~R~1~!~n~~~,':~~r,';~~I~ji~[f~I'~ll~~~~~1~~~~%1~j~~I,'~'~.~li~Y.l
Slgu~:re 0 gperv,JslD,~'~:ectrician lIlB~~~II:Jt'lii;!",.""~",ij!1i!i,,,~.'r':,,1'iIl .,". . ',I. ;"I"<;J,~-!",:",'I~~L;"~"7;!"''''''''.~~~~w;~-t~,;, :N"',f"l'<;';,~
(t\ ~ I :.. - ',~ . New~tljlj'ffi\l~ or Extension Per Panel
-?'-\: ... -I\~\-\.,\~I l=XP\REJIi,J ~~i~OT . $ 48,00
I T\-\\S Pthl"l iliNOER T\-\\S PEWj dklwona1 Crrcuit or with
OwnersN";;'e / 6-a' ~~~~~R IS I\BI\NO@~waJMlfeederpenmt $ 4.00
Address "(yJ7~ ~ /) ~f~::l-DI\YIPER\CiO. E. ~~~!l>~~))'lifll~rili~~i;ji~~mW~~m~I)~~~.~'.01lWl!~.;"ll'1ilr'."~;V'p.."'.".rlt~ll
~ J -/ L",\ 'u qJjll)! ~:ri~!t1.\i8'li.S~:~,u"'l",ij'll,\l'i'l,"l~~;i:' I',J\I,,,,~~.~,,,~J.,']"""""'~ln~,,,,..'h;~!,U'!'J]l'""'ir'l.~'L;~~~W7,,~;;!...(,~J
City 2>~ Phone .N( 14'% 2bn
. I
_~WNER-INSTALLATION . - j
Tbe installation is being inade onprciperty rciWI[wIllch-- .-.
is not intended for sale) lease-or rent I.
.. ~~.
~*~~.\\)
(\:v
. 1000 sq, ft. or less
Each additional 500 sq. ft. or
portion thereof
I
$55.00
City
:.:f";."l,,~
Pump or inigation $ 55,00
Sign/Outline Lighting $ 55.00
. LimitedEnergyfResidential- - $28:00
..... -.Timited Energy/Co=ercml $ 5U.UU
Minimum.Electric Permit Inspection Fee is $50,,00 + Surcharges
4 ~~~~1I)_m1li.m1JD~<<lllrl~i~1ill.~'.'ilrJ).~~,~,.'~ "f\ I'l c.:V
. ~J.ili~::J.~l!..~feu~~~~~fi~~W'It~~;:i~1~~~~~j~~!~IRi 'j 1 L:-1- .
- 12% State Surcharge i.(p~lp4.
10% Administrative Fee g
5% Tecbno10gy Fee \ t. \()-
?..~.1~
Shared Drive(T:)lBuildingFonns/Ele~tricalPennit Application I~O&.doc
TOTAL
Owners Signature:
Inspec.tion Request: 726-3769
f".: ~ Willamalane
. t Park & Recreation District
Job. No.
~PtJ\\.A
SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR2009
NAME: r14vf)F,V ~ PHONE:;2;2f C;; '1 J' r
ADDRESS: 2-n~y hC,..l!a&it.JJJtCITY ,?DJ'"vtPD STAT~IP:
LOCATION OF PROPOSED BUILDING SITE:
_- Street Address: ';-'7~ /h/1./t lL.+L-- W Y
Plat Name: /%D~~~~TaxLotNumber:l~~I)j}::,~~ O~WJ.
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the
back.)
A. Sinole-Familv Detached
NO. OF UNITS. I
X $2,858 per unit:
$" :::!-dSg-
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. Sinole Room Occuoancv
NO. OF UNITS
X $1,321 per unit:
$
E. Accessorv Dwellina Unit
NO. OF UNITS
X $1,550 per unit:
.$
$ 1).--f!/c6. CO
jY
$
- WILLAMALANE SDC
2. SDC CREDIT (If applicable) SDC payer must fumish proof of
. Willamalane Credit approval.) .
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
$ .d6S-c:f'
;fJ~
Development Services Department
City of Springfield
7 I I' 109
Date
5
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
-
- -
JOURNAL OR JOB NUMBER: C~~OO~-OP.J.
NAME OR COMPANY: I E OJ J;~
LOCATION: ~ MI l WAY
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
I
r-
Ig]
I~
Itl.l
b
tIl
(3
~
1~02PJ330pOO
Smgfe FaImly Residence
I BUILDING SIZE (SF:
1536.25
LOT SIZE (SF):
4590
I. STORM DRAINAGE
DIRE~T R.UN9ff T9 CITY STORM SYSTEM
I fMPEltVf6us S.F. x I COSJ PIi~ S.F.. CHARGE
I 1860.25 I fOJ'~ I = I $695.49 I
Rl/l'\Off ~Q\In;V T~ DjlYWELL DJ;,~IQ~~~ 1\~ CONSTRUqED ~ClTY STANDARDS
I lMf>\!ft.V lrtJS ~.F. I x I ebS'1'P R Sl. I x I Disco IHATE I I DlS}:OjJNT
I 0.00 I I 50.3 4 I I 0 V. ~ I !6.oo
ITEM I TOTAL - STORM DRAINAGE SDe '$695.49 I
2. SANITARY SEWER - CITY
A. ffl~IJ.llf.SEMllll{T COST:
1..tlMng~OPI'>FtJ.s I x
B. (\1~~l~;'Me(r x
5695.49
1070
COSf2tE~ DFU
5666.84 11091
COST fER DFU
~i~.05
I
5507.07 I 1092
I
l
I 1093
I
= ,
51,173.91
~. TRANSPORTATION
ITEM 2 TOTAL-CITY SANITARY SEWER SDe
A. rt~~~rax~ C~ST~ I NUMBE) OF UNITS I x I COS\~~~ TRIP x INEWiPFACTORI
I . I I I I .00 I ~ , 52t1.21
B.(M7i?t~r:ITfjSr x : NUMBE) OF UNITS I x I COSI~)~ TRIP x INEW TRIP FACTORI
I 9.57 I I I 1.00 I ~ , 5931.65
ITEM 3 TOTAL - TRANSPORT A nON SDC ~ I 51,142.86 ~
1094
4. SANITARY SEWER - MWMr.
J."",,l:'~.~~
B.IW~~h;~{~~Sr x ICOST fER FEY
I I I ~I,146.56
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMe SANITARY SEWER SDe = ,
SUBTOTAL (ADD ITEMS t, 2, 3, & 4) - I
~. ADMINISTRATIVE FEF.;
lSUBTOTAL x I ADM. FEE RATE I~
54.270.73 I 5% I
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
A. ~~:U:v~~~ erT~
Ben Gibson
PREPARED BY
~.tL~_~~i)
ICOST flil\ FEU
I $161.97
=, 5101.97
1054
51,258.47
I
= 51,146.50 I 1055
50.00 111054
510.00 11056
I
I
"
54,270.73
CHARGE
$213.54
132.52 11079
$8LO~ 1078
7/112009
=, $4,484.27
TOTAL SDC CHARGES
DATE
-- - DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUlV ALENT = DRAINAGE FIXTIJRE UNITS
(NOTE: FOR REMODELS. CALCULATE SF:: ~;'I~~rONAL F!X11JRES) DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
1sA~~ 2 0 3 = 6
I( ~ jr'" 0 0 1 = 0
0 0 3 = 0
I ~: i~2 I ~ FOt ~S!; f OIL ~~~f ETe. 0 0 3 = 0 II
~ ( d I FO D AUTO A ~e. 0 0 6 = 0
>A1.J TLh 0 0 2 = 0
2tOTI~S~ASHER T~~~ 1 0 3 = 3 I
Mbl~) AS~;R - I ~l~lILER 0 0 6 = 0 I
0 0 12 = 0 I
: ~ ,T ~'t~~~~ ~~l\1~O~YETC. 0 0 1 = 0 I
Ijl~~ O'f~ E TALL KI IS Sill fETC. 1 0 3 3 I
0 0 2 = 0 I
II ~ ~o; ''''''''''''\ 0 0 2 = 0 I
~ : 0 .'~ i ~ . ENTlAL K1 CHEN 1 0 3 = 3 I
~~~ ~ -l. L i~ F.LAVATORY 0 0 2 = 0 I
0 0 2 = 0 :1
SINK:JINp~ d: ~hlDENTlAL BAR 2 0 1 = 2
URIN . ALLf L 0 0 5 = 0 I
't~n ~~LIC I~IALLATION 0 0 6 = 0 I
r . V TE lALLA nON 2 0 3 = 6 I
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S I
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 23 I
.EDU (EQuivalent Dwellin~ Unit) is a discharp:e equivalent to a sin~le family dwellin~ unit (20 DfU's) set at 167 ~l1ons per day I
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
~
I
I
I
I
f
I
I
f
I
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 RA TE/SI,OOO
ASSESSED VALUE
$5.29
$5.29
$5.19
$5.12
$4.98
$4.80
$4.63
$4.40
$4.07
$3.67
$3.22
$2.73
$2.25
$1.80
$1.59
$1.45
$1.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.05
r- IS LAND ELGIBLE FOR ANNEXATJON CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
II
I
I
2
2
2005
~\J~ !Po~ LAND {IF w~\~ttiJ
SO.OO x SO.OO
~ ,
SO.OO
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE f 1000 CREDIT RATE
$0.00 x $0.00
o
TOTAL MWMC CREDIT
SO.OO
=
City of Springfield Official Receipt
Development Services Department
Publie Works Department
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00969
COM2009-00969
COM2009-00969
COM2009-00969
COM2009-00969
COM2009-00969
COM2009-00969
COM2009-00969
COM2009-00969
COM2009-00969
COM2009-00969
COM2009-00969
COM2009-00969
COM2009-00969
COM2009-00969
COM2009-00969
COM2009-00969
COM2009-00969
COM2009-00969
COM2009-00969
COM2009-00969
COM2009-00969
COM2009-00969
COM2009-00969
COM2009-00969
COM2009-00969
COM2009-00969
COM2009-00969
COM2009-00969
COM2009-00969
Payments:
Type of Payment
CredilCard
cReceintl
RECEIPT #:
1200900000000000767
Date: 07/02/2009
9;OS;39AM
Description
Plan Review Same As
Plan Review Major - Planning
Sidewalk Penn it
Curbcut Penn it
Curbcut - 2nd Curbcut
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Tran Reimburs-Residential
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Stonn Admin
SDC Transportation Admin
Building 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
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Fire SF Fee" Residential
+ 5% Technology Fee
+ 12% State Surcharge
Amount Due
250.00
211.00
88.00
88.00
(45.00)
695.49
666.84
507.07
21 L21
JOl.97
1,14650
10.00
150.00
16.95
973.30
38.00
2,858.00
337.00
79.00
27.00
9.00
13.00
9.00
7.00
134.00
25.00
63.00
71.55
100.92
201.16
$9,U43.96
Paid By
HAYDEN ENT
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
djb
0688 I 9 In Person
Payment Total:
$9,043.96
$9,U43.96
>
Page I of I
7/2/2009