HomeMy WebLinkAboutPermit Building 2009-7-7
Status
Iss u ed
CITY OF SPRINCFIELD
Building/Combination Permit
PERMIT NO: COM2009-00978
ISSUED: 07/0712009
APPLIED: 07/02/2009
EXPIRES: 01/07/2010
VALUE: $ 185,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1933 S 58TH ST
ASSESSOR'S PARCEL NO.: 1802033305400
SPRINGFIETYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: NEW SrNGLE FAMIL Y DWELLING LOT 301 JASPER MEADOWS'
SAME AS 5752 MICA C9-406
Residential
Owner: HAYDEN HOMES LLC
Address: 2464 SW GLACIER PL STE 110
REDMOND OR 97756
Contractor Type
General
Electrical
Mechanical
Plumbing
ATTFNTION' Orp.non law reauires yOU to
11~~~NTRACT,@~I~FBRMNFWNl~IUtility
Notificalion Center. I nose rUles are set forth
Contractor in OAR 952-001-0010 throu(J1;icenseJ52-0Ekpiration Date
HAYDEN ENTERPlirSESYou may obtain copi'9:!tOShe rules by 07/29/2009
TOP NOTCH ELEC'FRi(iNNc9 center. (Note:t7"2J6%lephone 09/29/2010
PACIFIC ArR COMFORT'INC the Oregon Ut~~2fiotification 03/25/2010
STUTZMAN SERVICES rNEenter IS 1-800-331i1~74). 05/12/2010
BUlLDlNG INFORMATION I
Phone
541-228-1081
541-317-1998
541-672-9510
541-928-8942
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U
VB
# of Stories: Lot Size:
Height of Structure 16.00 Sq Ft 1st Floor:
Type of Heat: Forced Air Gas Sq Ft 2nd Floor:
Water Type: Gas Sq Ft Basement:
NOTIC~nge Type: Electric Sq Ft Garage/Carport
3 THIS PEf1ii.4j:lbS~aU;l EXPIRE IF THE WORKsq Ft Other:
AUTHOR1i!!:i!l"m!rn!J:il<!fl>IlS PERMllilf) NOT Occupant Load:
. '.'''''''''-''''....0 \'':"' .,~ ",;,':';!.f,,-.;;~;. FJf.
f pEY~~'?p'~~IlI~~fORMATlON I
6,213
1,235
406
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
5.00
15.00
35.60
0.00
Overlay Dist: .
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
2
Yes
20.00
Total:
Handicapped:
Compact:
2
Subdivision Not Accepted
I,PUBLIC IMPROVEMENTS I
Street rmprovements:
Sidewalk Type:
Fully rmproved Curbside 5'
No Downspouts/Drains: Curb 'and Gutter
For this parcel in Mt. Gate West, it is the recommendation to the Building Division, by the City
, Engineer: "that no connections shall be made to sanitary orstorm H20 systems, until the
Stormwatei to clSlbdiJd~te.-accepted by City Couucil". Storm to existing lateral. Architect to provide new Site
plan with storm H20 plan.
Storm Sewer Available:
Special Instruction:
Notes:
Page I of 4
_&rAI".IiiIJ"'~~,
'-
,
Status
Issued
CITY OF ~rtUl.Jljl'lJ!,LD I
Building/Combination Permit
PERMIT NO: COM2009-00978
ISSUED: 07/0712009
APPLIED: 07/0212009
EXPIRES: 01107/2010
VALUE: $ 185,000.00
225 Fifth Streel, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I, Valuation DescriDtio~ I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
L.fp~., P1W
Fee Description Amount Paid Date Paid Receipt Number
+ 12% State Surcharge $213.92 717/09 1200900000000000777
+ 5% Technology Fee $106.98 717/09 1200900000000000777
1st Appliance $79.00 717/09 1200900000000000777
2 Baths One or Two Family $337.00 717/09 1200900000000000777
Addressing Assignmeut $38.00 717/09 1200900000000000777
Appliance Vent $9.00 717/09 1200900000000000777
Building Permit $1,054.70 717/09 1200900000000000777
Curbcut Permit $88.00 717/09 1200900000000000777
Dryer Vent $9.00 717/09 1200900000000000777
Exhaust Hoods $13.00 717/09 1200900000000000777
Fire SF Fee - Residential $82.05 717/09 1200900000000000777
Gas Outlets 1-4 $7.00 717/09 1200900000000000777
Plan Review Majol' - Planning $211.00 717/09 1200900000000000777
Plan Review Same As $250.00 717/09 1200900000000000777
PW Disc - 2nd Permit $-30.00 717/09 1200900000000000777
Residence Wiring 1000 Sq Ft $134.00 717/09 1200900000000000777
Residence Wiring Ea Addtl 500 $50.00 717/09 1200900000000000777
Sanitary Sewer - Improvement $529.11 7/7/09 1200900000000000777
Sanitary Sewer - Reimbursement $695.83 717/09 1200900000000000777
SDC MWMC Administration $10.00 717/09 1200900000000000777
SDC MWMC Impl'ovement $1,146.50 717/09 1200900000000000777
SDC MWMC Reimbul'sement $101.97 717/09 1200900000000000777
SDC Sanitary/Storm Admin $158.78 717/09 1200900000000000777
SDC Transpo Reimbursement $211.21 717/09 1200900000000000777
SDC Tl'ansportation Admin $16.48 717/09 1200900000000000777
Sidewalk Permit $88.00 717/09 1200900000000000777
Storm Dl'ainage Impervious Area $810.55 717/09 1200900000000000777
Temp Power 200 amps or less $63.00 717/09 1200900000000000777
Vent Fan $27.00 717/09 1200900000000000777
Willamalane Single Family $2,858.00 717/09 1200900000000000777
Total Amount Paid $9,369.08
Page 2 of 4
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2009-00978
ISSUED: 07/07/2009
APPLIED: 07/02/2009
EXPIRES: 01107/2010
VALUE: $ 185,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Plannine Review
07/02/2009
I Plan Reviews I
07/02/2009 APP
DDK
Approved as shown on plans.
Access restricted to 1 driveway per
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". Storm to
existing lateral. Architect to provide
new Site plan with storm H20 plan.
As noted on plans / review letter
Public Works Review
, 07/0212009
07/02/2009 APP
TSS
Structural Review
07/02/2009
07/02/2009 APP
CJC
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. wiII be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
I, Rp'Wi,rp<! Tm,nections I
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are,installed;
UferElectrical 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 placement.
Post and Beam: Prior to floor insulation.or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sbeathing with finish materials.
Framing Inspection: Prior to cover and afte,- all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Underground Plumbing: Prior to filling the trench and including required testing.
Perimeter Foundation Drains: Aftergraveland tilter cloth is installed but prior to backfill.
Undertloor Plumbing: Prior to insulation or decking.
Paee 3 of 4
CITY OF SPRINt..r II',LD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-00978
ISSUED: 07/07/2009
APPLIED: 07/02/2009
EXPIRES: 01/07/2010
VALUE: $ 185,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Underfloor Drain: Prior to cover or placement of coocrete.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Pri,or to tilling trench and including required testing.
Storm Sewer Line: Prior to tilling trench.
Final Plumbing: When all plumbing work is complete.
Underfloor Mechanical. Prior to insulation or decking and inclnding required testing.
Underfloor Gas: After line is installed and 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 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.
Underground Electric: Prior to cover
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete. .
Final Building: After all required insp~ctions have been requested and approved and the building is complete.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete,
Curbcut - Standard: After forms are erected but prior to pla~ement of concrete.
By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 further certify that any and all work performed shall be, done in accordance with
the Ordinances of the City of Springlield 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 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.
--2. /2~~
Owner or Contr~ctors Signat~
7- 7- 0<7
Date
Page 4 of4
Date
~~1~
SOURCE ~ ...." \\ "
7/:2/0 7
{
, ,
225 FIFTH STREET. SPRINGFIELD, OR 97477 . Pl],(541)726-3753 . F,LX: (541)726-3689
ELECTRICAL PERMIT APPLIC~TION
City Job Number c!9 - '7 7 51 I .
I .
,I,T~f", il'$,k~~~I:w.i"~',j""_~")!.t""l, ~~r~flrilli!'i~1~(.:jI;,*,%foiiC"i~f~~~l!fi~9fr.~)~
J, "':E@@il"li'1l@1!1M:I;ln"'lrS'J:'~:m;01Yi:ii",.:~(,\'l;!i<i,
,l;i:,1.~JJ(!~.&~'Mrrl;';;3lii1'O!.&{~illitiM-\li".~i&:il~-.ti\;l;,~'&~4:~,:!;:'r.iful:Si;;j','.i~.{;';:;'f
Fi'33 .$ S-P:~ I
I
LEGAL DESCRIPTION:,
j%O?" 03 33oSYCJ0
JOB DESCRIPTION:
Permits are non-transfefable and expire if wo~k is
not started within 180 .ihs of issuance or ifw6rk is
1 .' I
----__ _ _Suspeuded-fow80_days_______ __nn~~_
I I
. - .. '~~;f~~~~'1t~~, ~~~~,f~\li1~,;:~.lij~ilt'I:;~!;~rim~7Jmi~~,:r.jt"::t'i'~~- - - - ~,)U:i~,'~E~jf~t!-l~i'(.~'!i1~i1~l!~~~~,.~t'!f~111~)K~riW1Gi~]~0~~~~i\tjt~~~l~~l'$~~i~,~~~r'7i
111"@@~R!:llI1ilaWl /.., $1\1.1 II 11111,4:mrli'i'lfv.{Wdiyi1!,'Jjf B. ,;;SeJ'\!'lces':,nFlJ\eeue.l'~I~nsllinatroTI'it1l0Miations,o'"RelocalJon,," I~
2. r~~~~$1j,i,~1,1&;P:i,;j.i';W(MMii~I~" \.~. I ;""it;!..-' ~~~;.\',~!;,~~,11\;,j,';,,;:).~ H;;:UjJ&:1i1j;~,t.\~9.~~'JJ~~/~~i\'.~~l0.~.l;';~W,WW"tI%~".~,!~i":l~I'f%if;;~'<:t;'''J.~1w'';ii~*\'<l~1~ll<
<;'"'~~:'i.'',\\';I",;&
-r,:,' k' 1c I ,^ ,er""I'Ar .'r," to
,J J / c- '.,..r....~IT.\(}"" O'P-0nn ''"''~ t .
Electrical Contractor 11,p/V~ V) L--leC 200 Amps'or'l.ess" , ".','_ I""" " -" ,$00.00
, I I 201l\.'i,\p~Vt&\.40i5.Ain~~.LC~ ,~:<~ lules arc Se$t83\0'0
Address ;;2o!ft't; ~AA Cf 401~Xlli~l~~Qo~~;s110 Ihr6ugr, OAh \:lO?$W8:tio
(I In \.,...~ "~ ';1' , r\htain ccpies VI 1IlG I Ule~ uy .
n I 601 rArnP,~to~I.?,OrO~P;r INote: ,,-:~ 'alo"rl18.0.00
.I')~ J:'uone 5*lt-3tiJ7'J'Jg-Over IlOOO'l\.mpsNolLsOregol1 Utili!" Nmlll~$'41310u
rlli 1....-:"1- ~r 'lor the ~ L ,
. , . Reco eet Oii&'enter is 1_800-332-2344). $ 55.00
Over 600 Amps or 1000 V olts see HB" above,
DI',B~~JJf'a';tf,u:~~,~,1J~J{lijr~rUJ,:~!ili~ill~~tlm~~~~1P~WW1~'I:DV'iBi,~;~l~'!!i'tr,i~~~,~~~~~~~lil"~~1!I:'~i!l~"lj~"'t~~,':1~I;~~l
. .." '1\ ,""ui~ ~'" :t'i;t::i~'I'~~~M:Wio1'Jl;W11.~iM",,'li~lj~~'d!i'f:,AlJ1\'" ~^g:K\T:ii"~Jlt";I~lll ~;;r:f.fl,\~ l'j~, "~I,'ik"~
'1,~,1~k\ii_';::lil!!l&il~~~: ~J:i~~,~~\\'J;'!.J,li, '~1'~~',~ ":I\'~I?:eI.~'ill!""JI'JJL"~~~;;I:!,!},,,'d:t?'tl;'.. "~\,\rr:;tf\,(.;!,;&1},Iit_~t>'t:Io'1!~id
New~~r~Jt~~p or Extension Per Panel
One'qir~uit'ERMIT SHALL EXPIRF IF THE.lI.1t?QK
I Each'AdditionaJl9ircuit!S'LwithHIS PERIV11T 'S 'lnT
/' - - r\._'. . Serv)~e ~~IE~~der~Re~t Lit 1_ _$ ;V:OB
Owners Name - 1f...\Ld.0 Jf;J:-'I~S) . vUlvd'llt:I~vtU UK IS ABANuUI~tU rOR
Address "1.// n 5'';; /-/.N/ f'f E. ~fJ*~iil~1lJ~~~1~1~~fl}~1a~~1~~IJ'l~dea!li!1f.1k~1R1ll1~~l!:.tmi~i
' <;>/ (1).., ~ ~J': '~~ ~!!ii",iii\'lW"".~ql!,,",IOO~!1i\7.,Ji"'"'!l!,"1:E!~,",""","'\1i' "'l<:l~",,,.f..o'",,",,">"'ml'liiii!
.City I?ro.~ Phone' ~),ll-~"1~,_,_ Pump or inigation $55.00
.1 Sign/Outline Lighting $ 55_00
. OWNllR-INSTALl;AT~ON i Limited Energy/Residential- - - .. --- -0 $28:00-
'-ne installation is heing inade oDf;ropeftY roWii'w!llch--''' - -- - Timited energy/Co=ercIaI $5U.00
is not intended for sale, Ibase or rent~.. Minjmum Electric Permit Inspection Fee is $50.00 + Surcharges
Il'ilJi!lm,. ":~'7J!~I""WI!!!IffiJr';;;:~~~"W'1'1l\\1rn1'-,lIlil"'" 'I'll -r7)
O~~,,_" ~~\\) '~"lMlIIllj,o);;:;:t~
f/ to."\v SF-D
--'-'---City
Supervisor License Num*er Lj oY 'f S
Expiration Date ; {2&7J '7
,
Constr. Contr. Number : /7 2 ~-(f c:,
Expiration Date
i~'1
Inspection Request: 726-3769
3.' h~f~a~~Jl.T~~lf~.~~r.?4t~~~f&mlillll
A. ~1N~.M~'ri~1~llti~~f'~~~~~riE~:f~J~~f~€1IWglliii~\jfij~_
~~i!:',,}dSl~'-'<il\~~li~1,,-:i"i1.:i?:.:;ri!"jj1i:1.&i:!.::oi't.~~:~~~~~iLL.J~:&..B.~ir,;.~i)h'~iii!.i.t.~;X~';!\.,!J\.'U~~~
Service Jncluded
/.i"i
, $J-J.+.OO-
,;)$
$ 21.00
/
/:?y
50
1000 sq_ ft. or less
Each additional 500 sq. ft. or
portion thereof
d
Each Manufac!' d Home or
Modular Dwelling Service or
_____Ee_e_der '
$55.00
c. ~~~!t~!*~W$~Iiw:&~t<Wla~"11~~ji~>>Ji:~1~1~~~t~1~~lj~~~~~!t~,t~i]
vM:ib-L~ti.~~>u:,!,~j:i?:''t:au~:m~~"u~~Jll!i1'-ctt,r..'J?I1~f'&m~!(i:,~\fJ:~:'"..".ii~,:!, :;It\~!Lw:~,~dt~l\! >.<i~ l'O Hi
Installation, Alteration or Relocation
200 Amps or less ' /
201 Amps to 400 Amps
401 Amps to 600 Amps
$ >>.00-
$ 76,00
$110.00
&3.' OC
TOTAL
8 ff/?: 91
Shared Drive(T:)/BuildingFonnslElectricaJ PennitApplication l-O&.doc
It ~ \N~I!!~o~l~~e
Job. No. a9- 9?Z
SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2009
NAME: M'-/ ~/ .' pHONE:
ADDRESS: )'-!t.LrCJ.L-/'rG{1=2L CITY Rt-,,{)v'l-.Ni) STATE:G fL-zIP:
LOCATION OF PROPOSED BUILDING SITE:
Street Address: JCf3?) ~ fY71-
Plat Name:~( ~ Tax Lot Number: \ '6D10~ ~~ O~
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling tYpe definitions are on the
back:) ,
A. Sinale-Familv Detached
NO. OF UNITS
/
X $2;858 per unit =
$ 2%5-J
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
WILLAMALANE SDC
X $1,550 per unit =
, $ .
$ 0/cR:~/6.aJ
fJ-
$ ;:;1JJ
$
, 2. SDC CREDIT (If applicable) SDC payer must furnish proof of
Willamalane ,Credit approval.)
3. TOTAL WILLAMALANE NET sob ASSESSED
"(if SDC reduced for,Credil)
&vz-
I I 2-- .d.f
Date
Development Services Department
City of Springfield
5
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER: COM2009-00978
NAME OR COMPANY: Hayden Homes
LOCATION: 1933 South 58th Street
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
I, STORM DRAINAGE '
Single Family Residence
I BUILDING SIZE (SF:
,1235
LOT SIZE (SF):
II rn
>.l.l
II Cl
il 0
u
il ~
6213 ii, r::
rn
6
gj
DIRECT RUNOFF TO CITY STORM SYSTEM
1 IMPERVIOUS S.F. x I COST PER S,F, 1 . 1 CHARGE
1 2168.00 I $0.374 1 ; 1 $810.55
RUNOFF ROUTED TO DRYWELL.DESIGNED AND CONSTRUCTED TO CITY STANDARDS
1 IMPERVIOUS S.F. I x I COST PER S.F. x I DISCOUNT RATE I 1 DISCOUNT
1 0.00 I I $0.374 1 50% I ~ 1 $0.00
ITEM 1 TOTAL-STORM DRAINAGE SDC ' I $810.55
2, SANITARY SEWER - CITY
$810.55 1070
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x
24 I
B. IMPROVEMENT COST:
I NUMBER OF DFU's I x COST PER DFU
24 _ I $22.05
ITEM 2 TOTAL - CITY SANITARY SEWERSDC
COST PER DFU
$28.99
'= , $695.83 11091
, $529.11 1092
~ , $1,224_95 .
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE I , I NUMBER OF UNITS I ' I COST PER TRIP x INEW TRJP F ACTORI
9.57 I I 1 I 22,07 I 1.00 I $211.21 11093
B. IMPROVEMENT COST: I
1 ADT TRIP RATE 1 x 1 NUMBER OF UNITS I ' I COST PER TRJP x INEWTRJPFACTORI
I 9.57 1 1 0 . I $97.35 1 1.00 I ~ I $0.00 1 1094
ITEM 3 TOTAL - TRANSPORT A nON SDC ~ I $211.21
4 SANITARY SEWER - MWMC
A. REIMBURSEMENT COST: I
INUMBER 7F FEU's I x ICOST PER FEU
1 $101.97 ; $101.97 1 1054
B. IMPROVEMENT COST: I
INUMBER OF FEU's 1 x ICOST PER FEU
I I 1 I ,$1,146.50 ; $1,t46.50 1055
MWMC CREDIT IF APPL1CABLE(SEE REVERSE) $0.00 11054
MWMC ADMINISTRATIVE FEE $10.00 11056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC ~ , $1,258.47 I
SUBTOTAL (ADD ITEMS Ii 2, 3, & 4) ~, $3,505.18 ]I
5, ADMINISTRATIVE FEE:
I SUBTOTAL , 1 ADM. FEE RATE I~ CHARGE
1 $3.505.18 I 5% $175.26
TOTAL SANITARY ADMINISTRATION FEE: 158,78 11079
TOTAL TRANSPORTATION ADMINISTRATION FEE: $16.48 p078
,
Todd Singleton 7/2/2009 TOTAL SDC CHARGES ;, $3,680.44 .
PREPARED BY DATE
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABIcE.
NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT'= DRAINAGE FIXTURE UNITS.
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES
UNIT
FIXTURE TYPE NEW OLD EQUIVALENT
rBATHTUB 2 0 3 =
IDRINKING FOUNTAlN 0 0 1 =
IFLOOR DRAIN 0 0 3 =
I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 =
INTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 =
ILAUNDRY TUB 0 0 2 =
ICLOTHESW ASHER / MOP SINK 1 0 3 =
ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 =
I MOBILE HOME PARK TRAP (! PER TRAILER) 0 0 I 12 =
IRECEPTOR FOR REFRlG / WATER STATION / ETC 0 0 I 1 =
I RECEPTOR FOR COM, SINK / DISHWASHER / ETC. 1 0 I 3 =
I SHOWER. SINGLE STALL 0 0 I 2 =
I SHOWER GANG (NUMBER OF HEADS) 0 0 I 2 = I
I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 1 3 = I
1 SINK: COMMERCIAL BAR 0 0 1 2 = I
1 SINK: WASH BASIN/DOUBLE LAVATORY 1 0 1 2 = I
I SINK: SINGLE LA V A TORY /RESIDENTIAL BAR 1 0 I .1 = I
IURlNAL. STALL / WALL 0 0 1 5 = 1
ITOILET. PUBLIC INSTALLATION 0 0 1 6 = '1
!TOILET. PRlVATE INSTALLATION 2 0 i 3 = 1
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 =
TOTAL DRAINAGE FIXTURE UNITS
.EDU (Equivalent Dwelling Unit) is a discharge eQuivalent to a si~Jll_~:~i]y dwelling.~it (20.:.,?Flrs) set at 167 gal1~~ per day
DRAINAGE
FIXTURE
UNITS
6
o
o
o
o
o
3
o
o
o
3
o
o
3
o
2
1
o
o
6
o
24
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
l
I
II
I
I
I
CREDIT RATE/$I,OO~
ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981 1
1982
]983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
IS LAND ELGIBLE FOR ANNEXATION CREDIT"
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT"
(Enter 1 for Yes, 2 for No)
BASE YEAR
CREDIT FOR LAND (IF APPLICABLE)
VALUE/1000 CREDIT RATE
$0.00' x $5.29
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0.00 x $5.29
TOTAL MWMC CREDIT
= ,
~ ,
I
:1
2
~
I
I
I
I
2
1979
$0,00
o
$0.00
",~"""""-"',,,'EI.D ',iii,"".,.,",..".".,
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
, C0M2009-00978
C0M2009-00978
COM2009-00978
C0M2009-00978
C0M2009-00978
C0M2009-00978
COM2009-00978
COM2009-00978
C0M2009-00978
C0M2009-00978
C0M2009-00978
COM2009-00978
C0M2009-00978
C0M2009-00978
C0M2009-00978
C0M2009-00978
C0M2009-00978
C0M2009-00978
C0M2009-00978
C0M2009-00978
C0M2009-00978
C0M2009-00978
, C0M2009-00978
COM2009-00978
C0M2009-00978
C0M2009-00978
C0M2009-00978
C0M2009-00978
C0M2009-00978
C0M2009-00978
Payments:
Type of Payment
CreditCard
cReceintl
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1200900000000000777
Date: 07/07/2009
8:16:43AM
Description
Plan Review Same As
Building Permit
Addressing Assignment
Willamalane Single Family
1st 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
2 Baths One or Two Family
Plan Review Major - Planning
Curbcut Permit
Sidewalk Permit
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Storm Admin
SDC Transportation Admin
PW Disc - 2nd Permit
+ 5% Technology Fee
+ 12% State Surcharge
Amount Due
250.00
1,054.70
38_00
2,858.00
79.00
27.00
9_00
13.00
9.00
7.00
134.00
50_00
63.00
82.05
337.00
211.00
88.00
88.00
810.55
695.83
529_11
211.21
101.97
1,146_50
10_00
158.78
16.48
(30.00)
106.98
213.92
$9,369.08
Paid By
TIM DREILING
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
cjc
071492 In Person
Payment Total:
$9,369.08
$9,369.08
Page I ofl
7/7/2009