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HomeMy WebLinkAboutPermit Building 2009-7-2 , Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00970 ISSUED: 07/02/2009 APPLIED: 07/01/2009 EXPIRES: 01/02/2010 VALUE: $171,105.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5775 MINERAL WAY ASSESSOR'S PARCEL NO.: 1802033302500 SPRINGFIETYPE OF WORK: Single Famil.y Residence TYPE OF USE: PROJECT DESCRIPTION: NEW SINGLE FAMILY DWELLING LOT 272 SAME AS 1995 S 57TH New, Resideotial ,1.1 Owner: HAYDEN HOMES LLC Address: . 2464 SW GLACIER PL STE 110 REDMOND OR 97756 I. CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plnmbing Contractor HA YDEN ENTERPRISES TOP NOTCH ELECTRIC INC PACIFIC AIR COMFORT INC STUTZMAN SERVICES INC License 92208 172366 39237 31747 Expiration Date 07/29/2009 09/29/2010 03/25/20 I 0 05/12/20 I 0 phone 541-228-1081 541-317-1998 541-672-9510 541-928-8942 3 BUILDING INFORMATION I . ATTENTION: Oregon law requires youto # o,rd;;,t9.r,i~s.Hes adopted by the CtregoI\Jt~il'e: Hf!gi!Xie{,~!!tntlg..eer. Thoser~J50; areSgl'fli\!t Floor: TXl!e':''l(II;I~litJ-001-lRii''''eb,r,.\1iVJl)RAR ~q-Ff%iI Floor: W@UJOTYIi-~ may obtain co pi l';'aSlt theS:~\F~B':Ysement: Ran~mY'Belhe center. (NeI8Ct~1@ teleS1 WtlCarage/Carport EnCll!gyrbthlor the,Oregon Utility Not~ ?rl'Bther: Sprinkled Bi'rilil\i\gis 1-800-3N6-2344)Occupa,nt Load: .4,590 1,148 # of Units: Primary Occupancy Gronp: Secondary Occupancy Group: Primary Constructioo Type Secondary Construction Type: # of Bedrooms: 1 R-3 U VB 400 I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 6.00 5.00 24.00 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I Yes 25.00 Total: , Handicapped: .. Compact: 2 Street Improvements: Storm Sewer Available: Special Instruction: I PUBLI<BIM'Pi{bvEMENTSI .. , ',: ,,~ , [, ....., v. "'~~ EXPIRE IF THE WORK Fully Improved AUTHORIZED UNDER THI~i<mlJ1lf~~NOT Ycs COMMENCED OR IS ABAQOO>>iiIM-'0ll1rains: ANY 180 DAY PERIOD. Curbside 5' Curb and Gutter Notes: STORM WATER DRAINS TO CURB AND GUTTER ~ Paee 1014 Status Issued 225 Fifth Street, Springfield,OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Use Bid Amonnt U VB Utilitv R-3 VA 1&2 Familv Bid Amonnt Garal!e/Misc SFIDuplex Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance 2 Baths One or Two Family Addressing Assignment Appliance Vent Building Permit Curbcut - 2nd Curbcnt Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Gas Outlets 1-4 Plan Review Major - Planning Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDCMWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Tran Reimburs-Residential SDC Transportation Admin Sidewalk Permit Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan Willamalane Single Family Total Amount Paid I. V~lu~tion DescriDtion I $ Per Sq Ft or multiplier $1.00 $37.72 $102.72 Square Footage or Bid Amount 171,105.00 400.00 1,148.00 Total Value of Project F.pp".~ Amount Paid Date Paid $207.57 $103.59 $79.00' $337.00 $38.00 $9.00 $1,001.79 $-45.00 $88.00 $9.00 $13.00 $77.40 $7.00 $211.00 $134.00 $50.00 $507.07 $666.84 . $10.00 $1,146.50 $101.97 $151.94 $211.21 $16.84 $88.00 $732.04 $63.00 $27.00 $2,858.00 7/2109 712/09 7/2/09 7/2/09 7/2/09 7/2/09 .7/2109 7/2/09 7/2/09 7/2/09 7/2/09 7/2109 7/2/09 7/2/09 7/2/09 7/2/09 7/2/09 7/2/09 7/2/09 7/2/09 . 7/2/09 7/2/09 7/2/09 7/2109 7/2/09 7/2109 7/2/09 712/09 712/09 $8,900.76 Pal!e 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00970 ISSUED: 07/02/2009 APPLIED: 07/0112009 EXPIRES: 01102/2010 VALUE: $,171,105.00 Value Date Calculated $171,105.00 $15;088.00 $117,922.56 $304,115.56 07/01/2009 07/01/2009 07/01/2009 Receipt Number 1200900000000000768 1200900000000000768 1200900000000000768 1200900000000000768 1200900000000000768 1200900000000000768 1200900000000000768 1200900000000000768 1200900000000000768 1200900000000000768 1200900000000000768 1200900000000000768 1200900000000000768 1200900000000000768 1200900000000000768 1200900000000000768 .1200900000000000768 1200900000000000768 . 1200900000000000768 1200900000000000768 1200900000000000768 1200900000000000768 1200900000000000768 1200900000000000768 1200900000000000768 1200900000000000768 1200900000000000768 1200900000000000768 1200900000000000768 CITY OF SPRINGFIELD. Status Issued Building/Combination Permit PERMIT NO: COM2009-00970 ISSUED: 07/02/2009 APPLIED: 07/01/2009 EXPIRES: 01/02/2010 VALUE: $ 171,105.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Plan Reviews I Plannine Review 07/0112009 07/01/2009 APP DDK Approved as shown on plans. Access restricted to I driveway per lot. Follow street tree plan. Pnblic Works Review 07/01/2009 07/01/2009 APP BJG Storm to curb and gntter. Structural Review 07/0112009 07/0112009 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. ~eollireCUn'\nec~ions I , Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Ufer Electrical Ground: Install gronnd 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 1100r insulation or decking. Floor Insnlation: Prior to decking. Shear Wall Nailing: Before covering sheathing with linish materials. Framing Inspection: Prior to cover and after all rough in inspections have heen approved. . Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Undergronnd Plumhing: Prior to filling the trench and inclnding required testing. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to hackfill. Underl100r Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumhing: Prior to cover and inclnding required testing. Water Line: Prior to filling trench and inclnding required tcsting. Sanitary Sewer Line: Prior to lilling trench and inclnding required testing. . Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plnmbing work is complete. Underl100r Gas: After line is installed and required testing and capped if not attached to an appliance. Pa2e 3 of 4 -s(i,il;!!!,~~;!RI'!:.9;' ~~. " Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00970 ISSUED: 07/02/2009 APPLIED: 07/01/2009 EXPIRES: 01/02/2010 VALUE: $171,105.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Underfloor Mechanical. Prior to insulation or decking and inclnding required testing. Underslab Mechanical. Prior to insnlation or decking and including required testing. Underlloor Gas: After line is installed and reqnired testing aod capped if not attached to an appliance. Rough Gas: After line is installed aud required testing and capped if not attached to an appliance. . , Rough Gas: After line is installed and required testing and capped if not attached to.an appliance, Gas Service: After Iinc is installed and line has been connected to a mioimum 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. Ufor Electrical Grouud: Install ground rod at footing and call for inspection in conjuction with footing and/or foundation inspection. Uoderground Electric: Prior to cover Underslab Electric: Prior to cover Rongh Electric: Prior to Cover Electric Service: Approval reqnired prior to utility company energiziug service. Final Electric: Wheu all electrical work is complete. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Curbcut - Staodard: After forms are erected but prior to placemeut of coucrete. By signa lure, I state aud agree, that I have carefnlly 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 hereiu, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Divisiou, Building Safety. 1 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 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. ~Q 7-e2-<7'l. Owner or Contractors Sign' Date Pa2e 4 of4 I J SpnlNG'Fr~CD tw~T.lP) ZON _~ ~ 1 ,j, "",,,1 " IN ITlilLS I \-1 ~Ii&h:"~/(l ~~~~~CE ~~( 2i Dale 17;1/~? ) t'l' 22S FWITI STREET 0 SPRINGFIELD, OR 97477 oPII,(S'Il)726-37S3 . FAX, (5'1,1)726-3689 ELECTlUCAL PERMTT APPLJCATTON Cily Job Number /'11- Q70 '~~:~~l.'B A H"~"il';;~~(B~~;rM"'I~~ll~'~r~f'I'~;\:.'!]~@H::PJ' '.~~':};,d:n?"\R~"tR~~;~,!~'~'0;,,:;W',!,~+~{~\I:';;;;I.'M''''J?:r.Fm;;;;^I'fji;l!.<:pIi7,;:;";, . .:ft~~.~~,y~;~;-:_g$,ltellJt~.,~7i"A'y:mgc.!6Jr!m.u)li::;Fa nljlyi )}CWtlW"c,fiW ~~;-('{\{i't;;~W,':r'r'} II,"."!" ll"fl.."...,.,r,"."".;l':'~"~: J)~r_~,l ,t~1c'" :"\""0'a":lI,;!,~,!,,,,,\~Y,]M.1.i';"';;lt~1:;{.A".~-~'.~':.},::".\("It';;,i:, ~'(U;;'I ~",i,~?iS~:J Scrviie Included \~. 1000 1~ ~: or less \ $;,I11l0 lM.<;W Eaeh ao 111lOnal 500 sq. fi. or r"\ _. _ ') Alcw SIN~U rl'f~o })Wl.i> portioj1tbereof . 0-... $~O . 5lj,LV Permits arc non~transferah!e and expire if work is Ea~h VI~~ufacfcl Home or I ~.ci) not starled wlthm 180 days of Issuance or If work 1S Modular Dwcllmg Scrvlce or I _ ,Susp_~~,de~~:~~I.~~,d~YS:- _ _~'.:~ ~,~,:-:: =::::-:=,::,:-:--:--_':-:~~~id~tL:':,::=::-:::-.u--',::I:,:-__ ___ $55.00 ___--= . 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II c.xplratJon. a c (/ Ov.cr .600 Amps or 1000 Volis,scc "B" above. '1'1~'~'{t1!tJf.!r(4-!'i'~PI'~:C'"8P~. ~ lli!:u'.m~",.,i\~l'~r,r,J rit] 1"~f'i'i=i:":;PI'I;;;''J.!n1~11Tlli1I1Jl lr.i;:Ii1TI~"Ir1i\IT;i'!c,f'i'<:;]f""I:I:;J"ih' , I - D ^'BJ;an~M: rtt' '~I~~lllt(~'\~I~ "~~ 'l~~j' '''~'J~,,~~I O\'i"'I~~'"[,~ 'riri,J" 1'\'1"'J:l~{,1 S 19nat Te 0 f Sl!pcrv,JSlIlg F ectncmll . iiL,<!,W~'ftt!r. ,~ ~j"lJ! Iln~~,bu~HI11i;~tJ~:' ,<j.i!",;,~(i ~bt(}'~il\~;l~U;'ilt:~:~:.l:~\'~&~rl\7J.j_~~~~,~,~.j '~'7'\. () (\ c.l r' - "\ A~(rt\C~--'~"f\LL \:';\?lm:t~\tr:\6.MQ.1 ExtenslOnipel Panel 1-.' ~\~~~~?\I,fR 1\-1lfoRh~~~I\lOR I AU1\-10f\\IXU JOR IS f\\)f\\E:\;\;~n}:(jdltional ClrCl\1t or With wnersNa;nc /6-an L 'fC~~~~ pE-RIO\). se;-viriorrecderpenmt I $ 4,00 o jc, p.t::1 f'ti E :~~!<~~":~Wr~lill'il'~~:~~f;m,;~~[W,r[~rm~~~r~~:f:\~~~~~1.\1~~~~j;~i1J!~~\';lli\';::wrI1;}i:l,~~.?~~r.3~:lrJj~r..i~;~1~it-j~l~ft;:,I~ . .,.c7 c ~ . I. ~,,;,rw'~SlZt,; ,;-l~l~.on.t/bcli,r)CcJ.ieC(t~r;~:rlo'UmH':!.u{e --1~J';;;l}){jc ltr1.lst~H:1tiOilJ Aclclress ~ (; () 7 n~ \(!;~~~?l:(Iii,tl1'D::;!i.lif:::!J!l<Ptli1"1~'MU::r.:fiIV'IIi\':'1~1i1f.!l\~'J:~~:<J:!dlFj'&~'iIl:!iji::ii!!:l~.:li'lt'IJt:I'l;,FK,jt~,(i.\ii'l(.,~~lj~::;l;klJ!::~IUifi:':'1;~: ~1C.1~ City I>,,~."'l Pboue s:41 "FIIi 2tJ7( Pllm~ ~rilTigalion $ 55.00 Sign/e~ltliDc Lighting $ 55.00 Limited EnergyfResidential $ 28,00 , I I' HHUTimi}eii EnergyIColninc'icTar-j---'---$ 5lfOo---m- Minimu,m rE!c,ctric Permit Inspecqon Fce is $50.00 -I- Surcharges . ~,~m~~,-ift~;I\!iu' 1.~'!.:m:m:miINfi'~Illi1~~~i~~lli!!'~~~~:~~1S H;i'M:;i~~if:i1~i~' ~1,.~:j,.I:~~p:;il!; ~r,i~.~'~Hr.;~~1~7!cQ41 .~/.) 4. .'~' t} ~. (; ,.rUiW~ff@1~im~n(l),l ',(. ,I ,~~t:il'1. :, ,'fu!}"i8)'~ ~t%'I~.:~i~'\~J1~iftirl l)L./ rJi,:~~lm: ~:! ,1:~1l~ur.ili:tift'l~mU~[I:tlMli:i;~i~~J~t'hThh'ilj~!~1,!~\(i:1:.)~~1~i:t~ &1lli&t::lJfJ;~:l~it&i,!j;::!~~~l!1,1;f,~ ". -ri%lsia'tc Surcharge' n! ~~. 10% A1dministrativc Fcc I' 5% Tetno!ogy Fee -19. .55 TO'FNL .' t?A.qq . II 1 ' : Shared Drivc(T:)/DlliIJing,Forms/ElcclricaJ PcnnitApplication ]-O&.doc - F~'~P;-l!.1f-JJ:!:lT;';,;rl~l:~:lJ'!;l'~~"'~~I~.1W:lIi07!JmV\'i-~.iJ;\18lAP'',,''''!Jr}V:~;':: i' 8~;):;~:,~.~r;~~';n; 1. Bi~:':~fJ?:~m~i1~t.~~1~J~~~~~~~,~~1.~{l~t~i~j;~~(~.i\.~t;:;h;~~/;1h J7'7.J MI,v~7r.AL WY LECiAL DESCRIPTION: 1,%02- c?3?3. ,,~~ JOB DESCRIPTION: Address E;<pin1tion Date a&iJ1 Constr. Con LT. Number /72 ":J0G OWNER INSTALIoATION -fflC='lllStaIJalionls being madc'on'-proJ)Cl:ty rOwn~wi-lrCli is not intended for sale, lease or rent. Owners Signall1re: clo ~~>\) Inspcction Requcst: 726-3769 $ 48.00 II . Job. No. I?r - 970 . SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2009 NAME: !f.AVf)e;v PHONE: .:22i r; 73'5 . ADDRESS:2'-((J'f rJrA-C-I/.-L\rttJirAMNO STATEmYIP: '7 LOCATION OF PROPOSED BUILDING SITE: " Street Address: )l?')S- m ~ {\ 0 en C1 . 'oro2.Y ~ - Plat ~ I Y2l <-- CJ s~"5 Tax Lot Number: 2' .5-00 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type d~finitions are on the back.) . A. Sinole-Familv Detached NO. OF UNITS / X$2,858 per unit = B. Sinale-FamilvAttilched 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 2. SDC CR.EDIT (If applicable) SDC payer must fumish proof of Willamalane,Credit approval.) . 3. TOTAL WILlAMALANE NET SDC ASSESSED (if SDC reduced for Credit) $.. .'?F~ $ $ $ , '$ $ :A6cc&.oO . $' y/ Qxj~ $?tf'E;.5 '7 I / l,jJ7 Date Development Services Department City cifSpringfield 5 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: COM2009-00970 NAME OR COMPANY: HA YDEN HOMES LOCATION: 5775 MINERAL TAX LOT NUMBER: 1802033302500 DEVELOPMENT TYPE: Single Family Residence NEW DWELLING UNITS I BUILDING SIZE (SF: 1652 LOT SIZE.(SF): 4590 1 :rJ:l .~ jCl 10 I~ I~ rJ:l G l:! I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM. I IMPERVIOUS S.F. x 1 COST PER SF. 1 I CHARGE I I 1958.00 1 $0374 = $732.04 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I x I COST PER SF 1 x I DISCOUNT RATE I I I 0.00 1 I $0374 50% ~ I ITEM I TOTAL- STORM DRAINAGE SDC '$732.04 ~ 2. SANITARY SEWER - r.JTY A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I 23 I DISCOUNT $0.00 COST PER DFU $28.99 13. IMPROVEMENT COST: I NUMBER OF DFU's I x I 23 I COST PER DFU $22.05 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I $1,173.91 3 TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRJP RATE I x 1 NUMBER OF UNITS I x I COST PER TRJP x INEW TRIP FACTORI I 9.57 I. I I I 1 22.07 I 1.00 1 B. IMPROVEMENT COST: I ADTTRIP RATE I x I NUMBER OF UNITS 1 x 1 COST PER TRIP x INEWTRIPFACTORI I 9.57 1 I I I I $9735 I 1.00 I ITEM 3 TOTAL- TRANSPORTATION SDC = , $211.21 $732.04 11070 ~ I $666.84 11091 I $507.07 11092 I I' I $211.21 11093 I ['1094 ..._~ = , 4 SANITARY SEWER - MWMC A REIMBURSEMENT COST: INUMBER OF FEU's. 1 x 1 I I ICOST PER FEU I $101.97 B. IMPROVEMENT COST: INUMBER OF FEU's 1 x I I 1 1 COST PER FEU I $1,146.50 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL-MWMC SANITARY SEWERSDC = I SUBTOTAL (ADD ITEMS ],2,3, & 4) ~ I 5. ADMINISTRATIVE FEE: I SUBTOTAL x I ADM. FEE RATE 1= I $3.375.63 1 5% I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: $],258.47 I $3,375.63 I CHARGE $168.78 Ben Gibson. 711/2009 TOTAL SDC CHARGES PREPARED BY DATE = I $101.97 11054 = $1,146.50 lOSS $0.00 1054 $]0.00 11056 1 i I I 151.94 11079 $16.84 11078 =1 $3,544.41 II DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIX1lJRES) NO. OF FIXTURES DRAINAGE UNIT FIXTIJRE FIXTURE TYPE NEW .. OLD EOUIV ALENT UNITS BATIlTUB 2 0 3 = 6 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 - 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 = 0 ,INTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 = 0 I LAUNDRY TUB .0 0 2 = 0 ICLOTHESWASHER / MOP SINK 1 0 3 = 3 !CLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0 'I RECEPTOR FOR COM. SINK / DISHWASHER / ETC 1 0 3 = 3 I SHOWER, SINGLE STALL 0 0 2 = 0 I SHOWER, GANG ()'lUMBER OF HEADS) 0 0 2 = 0 i SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 , I SINK: COMMERCIAL BAR 0 0 2 = 0 I SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 I SINK: SINGLE LA V A TORY /RESIDENTIAL BAR 2 0 1 = 2. URINAL, STALL / WALL 0 0 5 = 0 I TOILET, PUBLIC INSTALLATION .0 0 6 = 0 " ITOILET, PRIVATE INSTALLATION 2 0 3 = 6 I MISCELLANEOUS DFU TYPE NUMBER OF EDO'S _;, J 20 = TOTAL DRAINAGE FIXTURE UNITS .*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwe!!ing ~~ (20 .~FU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE L YEAR . ANNEXED I BEFORE 1979 I 1979 I 1980 I 1981 , 1982 I 1983 I 1984 I 1985 I 1986' I 1987 I 1988 I 1989 I 1990 I 1991 I 1992 I 1993 I 1994 t 1995 r 1996 I 1997 I 1998 I 1999 II 2000 2001 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? (Enter I for'y es, 2 for No) BASE YEAR II I 2 2 2005 CREDIT FOR LAND (IF APPLICABLE) VALUE /1000 CREDIT RATE $0.00 x $0.00 ~ , $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE /1000 CREDIT RATE $0.00 x $0.00 ~ , o TOTAL MWMC CREDIT $0.00 = 225 .Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ~. City of Spri,!gfield Official Receipt Development Services Department . Pub'lic Works Department Job/Journal Number COM2009-00970 COM2009-00970 COM2009-00970 COM2009-00970 COM2009-00970 COM2009-00970 COM2009-00970 COM2009-00970 COM2009-00970 COM2009-00970 COM2009-00970 COM2009-00970 COM2009-00970 COM2009-00970 COM2009-00970 COM2009-00970 COM2009-00970 COM2009-00970 COM2009-00970 COM2009-00970 COM2009-00970 COM2009-00970 COM2009-00970 COM2009-00970 COM2009-00970 COM2009-00970 COM2009-00970 COM2009-00970 COM2009-00970 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 1200900000000000768 Date: 07/02/2009 Description Plan Review Major - Planning Sidewalk Penn it Curbcut Pennit 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 Pennit 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 Paid By HA YDEN ENT Item Total: Check Number Authorization Received By Batch Number Number How Received djb 007189 In Person Payment Total: Pa.ge I of I 9:07:55AM Amount Due 211.00 88.00 88.00 (45.00) 732.04 666.84 507.07 211.21 101.97 1,146.50 10.00 151.94 16.84 1,001.79 38.00 2,858.00 337.00 79.00 27.00 9.00 13.00 9.00 7.00 134.00 50.00 63.00 . 77.40 103.59 207.57 $H,900.76 Amount Paid $8,900.76 $8,9UO.76 7/2/2009