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HomeMy WebLinkAboutPermit Building 2006-6-26 . ecITY OF ~rt(ll~GFIELD . Building/Combination Permit PERMIT NO: COM2006-00656 ISSUED: 06/2612006 APPLIED: 05/31/2006 EXPIRES: 03/21/2007 VALUE: $ 252,107.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 443 Mountaingate Dr ASSESSOR'S PARCEL NO.: 1702343403500 _ _ I...... ........n'nr,;lc:. VOl' \0 Sprinf~t~:1~I~.~&'tiQBijy!{Illl!Ie)F<l1Jfi1Y litililtence ., .; n [;p.. ter. Those rules are set fort~ NO~"C y ~V -Hero th~f"~h OAR 952-0ll&sidential PROJECT DESCRIPTION: Single family residence - Mt.Gate SjJb&'I~~b2 btaln copies of the rules b\ 0090 You may 0 '.. ". -~_.-- I,..n.... thAteleDhone Owner: RIVER V ALLEY BUILDERS n~~;;~:r f~; th~ 6r02RhllhltNllhtl\~~\fIC51t\g~6-0330 Address: PO BOX 832 Center is 1-800-332-2344). SWEET HOME OR 97386 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor RIVER VALLEY BUILDERS INC G & E ELECTRIC INC MIDWAY MECHANICAL INC ALAN DOUGLAS HAlMA License 134566 54468 154166 163929 Expiration Date 04/15/2007 09/15/2007 01/30/2007 03/29/2007 Phone 541-760-7881 541-967-7045 541-928-2423 541-967-7686 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I R-3 U VN BUILDING INFORMATION I # ofSto,I}WTlCE: 2 Lot Size: Height ilffig~tl'l{fAl 28.50 Sq Ft 1st Floor: Type om'f't!io~ "IIMJa4\ir {!In)IR~:E;t~~!!d Floor: Water e: flED UNDERG~ tif li.~Mlm~ Range ~~MENCED OR I~ l;~,1S p M/tJ8'lla'farport Energ~UM~:80 DAY p '1'll1J.4NDOSJEEtRJlr.r: Sprinkled Building: ERIOIri/a Occupant Load: 10,049 1,563 714 676 5 I DEVELOPMENT INFORMATION I REQUIRED PARKING Front)'ard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.70 18.70 16.20 42.50 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Hillside 3 Yes 27.40 Total: Handicapped: Compact: 2 I PUBLIC IMPROVEMENTS I Slreet Improvements: Storm Sewer Available: Special Instruction: Fully Improved Yes Sidewalk Type: DownspoutslDrains: To Storm Sewer Notes: Stnrm drainage piped to stub provided 6/4/06 CAS Pa2e I of 4 -u....N~_.'~~ ~. Status Issued 225 Fifth Street, Springfield, OR 541- 726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Descriplion Tvpe of Construclion A.C. - Residen Dwellines Garne.e AC - Residential V Wood Frame Caraee Fee Description Plan Review Residential -Mechanical Issuance Fee- + 100/0 Administrative Fee + 8% State Surcharge 3 Baths One & Two Family Addressing Assignment Appliance Vent Boiler/Comp Up To 100,000 btu Building Permit Curbcut - Additional Driveway Curbcut Permit Dryer Vent Exhausl Hoods Fire SF Fee - Residential Furnace - up to 100,000 btu Mountaingate Impervious Area Plan Review Major - Planning Plan Review Residential Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Vent Fan Willamalane Single Family + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Residence Wiring 1000 Sq Ft Residence Wiring Ea Addll 500 . I Va,luation Descriotion I II IIII I $ Per Sq Ft or mulliplier $4.00 $99.00 $26.00 Square Footage or Bid Amount 2,277.00 2,277.00 676.00 Total Value of Project Fpp< PIiaJ Amount Paid $669.76 $10.00 $157.96 $114.55 $306.00 $31.00 $6.00 $12.00 $1,062.90 $40.00 $80.00 $6.00 $9.00 $147.65 $12.00 $1,093.36 $198.00 $21.13 $610.24 $802.24 $10.00 $865.31 $82.03 $159.62 $62.96 $805.70 $182.69 $18.00 $1,000.00 $22.00 $11.00 $17.60 $106.00 $114.00 Date Paid 5/31/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 9/22106 9/22106 9/22106 9/22106 9/22106 Paee 2 of 4 .ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00656 ISSUED: 06/26/2006 APPLIED: 05/31/2006 EXPIRES: 03/21/2007 VALUE: $ 252,107.00 Value Date Calculated $9,108.00 $225,423.00 $17,576.00 $252, 107.00 06/01/2006 05/31/2006 05/31/2006 Receipt Number 1200600000000000755 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 2200600000000001331 2200600000000001331 2200600000000001331 2200600000000001331 2200600000000001331 . ecITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00656 ISSUED: 06/26/2006 APPLIED: 05/31/2006 EXPIRES: 03/21/2007 VALUE: $ 252,107.00 Status Issued 225 FifthStreel, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspeclion Line Total Amount Paid $8,846.70 I Plan Reviews I Initial Review 06/01/2006 06/01/2006 APP LLH Plan nine Review 06/01/2006 06/2112006 APP TAJ Choose hillside species for streel Irees. See street tree handout. Public Works Review 06/01/2006 06/04/2006 APP CAS Storm drainage piped to stub provided 6/4/06 CAS Slructural Review 06/01/2006 06/14/2006 APP RWC To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. IRp~ Erosion/Grading Inspection: Prior 10 ground disturbance and after erosion measures are installed. Curbcut - Overwidth: After forms are erected but prior to placemenl of concrete. Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Rough Electric: Prinr to Cnver Final Electric: When all electrical work is complete. Curbcut- Standard: After forms are erected but prior to placemenl of concrele. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunclion with fooling and/or foundation inspection. FootiJ.1g: After trenches are excavated. Foundation: After forms are erected but prior to concrele placement. Post arid Beam: Prinr tn noor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Final Building: After all required inspections have been requested and approved and the building is complete. Perimeter Foundation Drains: After gravel and filler c10lh is installed but prior to backfill, Undernoor Plumbing: Prior to insulation or decking. Undernoor Drain: Prior to cover or placement of concrete. Paee 3 of 4 -[;.:;~ ~.. . a:ITY OF ;:)YKIJ'1t.rmLD Building/Combination Permit PERMIT NO: COM2006-00656 ISSUED: 06/26/2006 APPLIED: 05/31/2006 EXPIRES: 03/21/2007 VALUE: $ 252,107.00 Status Issued 225 Fifth Streel, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspeclion Line Rough Plumbing: Prior 10 cover and including required lesting. Shower Pan. Prior to covering and including required testing. Water Line: Prior to filling trench and including required testing. Sanilary Sewer Line: Prior to filling trench and including required testing. Final Plumbing: When all plumbing work is complete. Undertloor Mechanical. Prior tn insulation or decking and including required testing. Undertloor 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 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 thaI 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 wilhout permission of the Community Services Division, Building Safety. I further certify that only conlraclors and employees who are in compliance with ORS 701.005 will be used on Ihis 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. Owner or Contractors Signature Date Paee 4 of 4 .CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00656 ISSUED: 06/26/2006 APPLIED: 05/31/2006 EXPIRES: 12/26/2006 VALUE: $ 252,107.00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 443 Mountaingate Dr ASSESSOR'S PARCEL NO.: 1702343403500 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence - MI.Gate subd lot 24 Owner: RIVER VALLEY BUILDERS Address: PO BOX 832 SWEET HOME OR 97386 Residential Phone Number: 541-726-0330 REQUIRED PARKING 2 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor License E~pj'il!.tidJI Date RIVER VALLEY BUILDERS INC 134566 ".equ ~ 04/l5J'2007 G & E ELECTRIC INC 54468 . ,:J 0[Og~9/J5J20'llVl ulcs al...~- MIDWAY MECHANICAL INC 154166,. J [ p., 01/30/20b;- ALAN DOUGLAS HAlMA 163929 "OUgh S "Q~/iiilOO"1/ BUILDING INFORMATlONII\~~~~~~he telephone '." . ,c;, ,,~.. Uti\iW No\ilica\IOn # of Stories: ., Ivl \\1e Oregon ,2.32_2!;.<lt1liize: Height Jr'Sir~ct!!J!.1\er is 1-8:2'lsli Sq Ft 1st Floor: Type of Heat: Forced Air Gas Sq Ft 2nd Floor: Water Type: Gas Sq Ft Basement: Range Type: Gas Sq Ft Garage/Carport Energy Palh: Path I Sq Ft Other: Sprinkled Building: n/a Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Conslruction Type Secondary Conslruction Type: # of Bedrooms: 1 R-3 U VN 5 I DEVELOPMENT INFORMATION' Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.70 18.70 16.20 42.50 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lol Coverage: Hillside Total: . 3 Handicapped: Yes Compact: 27.40 Q\\ It 1\'1t. 'NOn t,n"i'\r.E'. .... t:'lPIRt._ \~ "n1 I rUDL'C IMPROVE~~~~N\\~ UNDER 1\'115 Pt~~O'fOR /l.ufnu.\\lt. . ~a'&WAl:400 Fully Improved CO~WIH~C~,~I' IO\). . Yes Ml'l ~80 OIDownWoutslDrains: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Storm drainage piped to stub provided 6/4/06 CAS Paee I of4 Phone 541-760-7881 541-967-7045 541-928-2423 541-967-7686 10,049 1,563 714 676 " " To Storm Sewer , -~~"~~.,-' . " , :' .., "--'- ..-, . c.,,,, Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction A.C. - Residen Dwellines Garaee AC - Residential V Wood Frame Garaee Fee Description Plan Review Residential -Mechanical Issuance Fee- + 100/0 Administrative Fee + 8% State Surcharge 3 Baths One & Two Family Addressing Assignment Appliance Vent Boiler/Comp Up To 100,000 btu Building Permit Curbcut - Additional Driveway Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Furnace - up to 100,000 btu Mountaingate Impervious Area Plan Review Major - Planning Plan Review Residential Sanitary Sewer: Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Vent Fan WiIlamalane Single Family Total Amount Paid . I Valuation Descrintion I , , $ Per Sq Ft or multiplier $4.00 $99.00 $26.00 Square Footage or Bid Amount 2,277.00 2,277.00 676.00 Total Value of Project FpP~, P':I\IiU Amount Paid $669.76 $10.00 $157.96 $114.55 $306.00 $31.00 $6.00 $12.00 $1,062.90 $40.00 $80.00 $6.00 $9.00 $147.65 $12.00 $1,093.36 $198.00 $21.13 $610.24 $802.24 $10.00 $865.31 $82.03 $159.62 $62.96 $805.70 $182.69 $18.00 $1,000.00 $8,576.10 Date Paid 5/31/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 6/26/06 Paee 2 of 4 .\....11 l' OF ~rKlr~t.t<lELD' Building/Combination Permit PERMIT NO: COM2006-00656 ISSUED: 06/26/2006 APPLIED: 05/31/2006 EXPIRES: 12/26/2006 VALUE: $ 252,107.00 Value Date Calculated $9,108.00 $225,423.00 $17,576.00 $252,107.00 06/01/2006 05/31/2006 05/31/2006 Receipt Number 1200600000000000755 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 1200600000000000966 . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00656 ISSUED: 06/26/2006 APPLIED: 05/3112006 EXPIRES: 12/26/2006 VALUE: $ 252,107.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Plan Reviews I Initial Review 06/01/2006 06/01/2006 APP LLH Plan nine Review 06/01/2006 06/21/2006 APP TAJ Choose hillside species for street trees. See street tree handout. Public Works Review 06/01/2006 06/04/2006 APP CAS Storm drainage piped to stub provided 6/4/06 CAS Structural Review 06101/2006 06/14/2006 APP RWC To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. Rpnllirpl'l 'n~nections I Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Curbcut - Overwidth: After forms are erected but prior to placement of concrete. Final Gas: When all gas work is complete. Final Mechanical: Wben all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Curbcut - Standard: After forms are erected hut prior to placement of concrete. Ufer Electrical Ground: Install ground rod at footing and call for inspeclion in conjunction with footing andlor foundation inspection. Fooling: After trencbes are excavated. Foundation: After forms are erected but prior 10 concrete placement. Post and Beam: Prior to Iloor insulation or decking. Floor Insulation: Prior to decking. . Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Final Building: After all required inspections have been requested and approved and the building is complete. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. Underlloor Plumbing: Prior to insulation or decking. Underlloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Paee 3 of 4 -iiIi . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00656 ISSUED: 06/26/2006 APPLIED: 05/31/2006 EXPIRES: 12126/2006 VALUE: $ 252,107.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Shower Pan. Prior to covering 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. Final Plumbing: When all plumbing work is complete. Underl100r Mechanical. Prior to insulation or decking and including required testing. Underl100r Gas: After line is installed and required lesting 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 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 he 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 ofany 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 requir . ections are requested at the proper time, that each address is readable from the street, that the perm' ard is locat at the fr nt of the property, and the approved set of plans will remain on the site at all times durin c:on. ~ ~ -Z~ _ 6(, I r Owner or Contractors Signature Date Paee 4 of 4 CITY OF sllNGFIELD SYSTEMS DEVELOPMEAORKSHEET DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. CHARGE I I 3385.00 I $0.323 I = I $1.093.36 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I I I 0.00 I I $0.323 I I 50% ~ I ITEM I TOTAL - STORM DRAINAGE SDC $1,093.36 1 2. SANITARY SEWER - CITY JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS 1. STORM DRAINAGE A REIMBURSEMENT COST: I NUMBER OF DFU's I x I 32 I B. IMPROVEMENT COST: I NUMBER OF DFU's I x I 32 I COM2006-00656 River Val1e~\ 443 MountainGate 17023434003500 SINGLE FAMILY RESIDENCE I BUILDING SIZE (SF: 2538 LOT SIZE (SF): 10049 VJ U.l Cl 10 I~ 16 ~ DISCOUNT $0.00 $1,093.36 I 1070 I COST PER DFU $25.07 $802.24 11091 I $19.07 $610.24 11092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $1,412.48 3. TRANSPORTATION A REIMBURSEMENT COST: I ADTTRIPRATE , x I NUMBER OF UNITS I x I COST PER TRIP x INEWTRlPFACTORI I 9.57 , I I I I $19.09 1.00 $182.69 1093 B. IMPROVEMENT COST: I ADTTRlP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x I NEW TRIP F ACTORI , 9.57 i I I $84.19 1.00 $805.70 1094 ITEM 3 TOTAL - TRANSPORTATION SDC = , $988.39 4. SANITARY SEWER - MWMC A REIMBURSEMENT COST: INUMBER ?F FEU's I x ICOST PER FEU I I $82.03 = $82.03 1 1054 B. IMPROVEMENT COST: I INUMBER OF FEU's I x ICOST PER FEU I I I I $865.31 = $865.31 1 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054 MWMC ADMINISTRATIVE FEE $10.00 I 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I $957.34 SUBTOTAL (ADD ITEMS I, 2, 3, & 4) = I $4,451.57 'i AOMINISTRATIVE FEE' !SUBTOTAL x I ADM. FEE RATE 1= I $4.451.57 I I 5% I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Cheryl Slaymaker PREPARED BY CHARGE $222.58 159.62 1079 $62.96 J 1078 . 6/4/2006 =, $4,674.15 TOTAL SDC CHARGES DAm . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT - DRAINAGE FlXTIJRE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY TIlE NET ADDmONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS I BATHTUB 2 0 3 = 6 IDRINKING FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETe. 0 0 3 = 0 IINTERCEPTORS FOR SAND / AUTO WASH / Ere. 0 0 6 = 0 I LAUNDRY TUB 1 0 2 = 2 ICLOTHESWASHER / MOP SINK 1 0 3 = 3 ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REFRIG / WATER STATION / ETe. 0 0 1 = 0 I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 1 0 3 = 3 ISHOWER. SINGLE STALL 1 0 2 = 2 ISHOWER. GANG (Nl}MBER OF HEADSl. 0 0 2 = 0 ISINK: COMMERCIAURESIDENTIAL KITCHEN 1 0 3 = 3 ISINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASINIDOUBLE LAVATORY 1 0 2 = 2 ISINK: SINGLE LAVATORYIRESIDENTlAL BAR 2 0 1 = 2 URINAL, STALL / WALL 0 0 5 = 0 TOILET. PUBLIC INSTALLATION 0 0 6 = 0 TOILET. PRIVATE INST ALLA TION 3 0 3 = 9 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 32 .EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling Wlit (20 OFlrs) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE rr- YEAR CREDlTRATEJ$I,OOO L- ANNEXED ASSESSED VALUE IS LAND ELGlBLE FOR ANNEXATION CREDIT? 2 r BEFORE 1979 $5.29 (Enter 1 for Yes, 2 for No) I 1979 $5.29 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 2 I 1980 $5.19 (Enter 1 for Yes, 2 for No) I 1981 $5.12 BASE YEAR 1979 I 1982 $4.98 I 1983 $4.80 CREDIT FOR LAND (IF APPLICABLE) I 1984 $4.63 VALUE/1000 CREDIT RATE I 1985 $4.40 SO.OO x S5.29 ~ I SO.OO 1986 $4.07 1987 $3.67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) 1988 $3.22 VALUE/1000 CREDIT RATE 1989 $2.73 $0.00 x $5.29 0 1990 $2.25 1991 $1.80 t992 $1.59 TOTAL MWMC CREDIT = $0.00 1993 $1.45 1994 $1.25 1995 $1.09 19% $0.92 1997 $0.72 1998 $0.48 1999 $0.28 2000 $0.09 2001 $0.05 225 Fifth Street SpJ:ingfield, Oregon 97477 541-726~3'759 Phone . ~..~... ~~ .... '. ...... ''''..i .' <aof Springfield Official Receipt _Iopment Services Department Public Works Department Job/Journal Number COM2006-00656 COM2006-00656 COM2006-00656 COM2006-00656 COM2006-00656 COM2006-00656 COM2006-00656 COM2006-00656 COM2006-00656 COM2006-00656 COM2006-00656 COM2006-00656 COM2006-00656 COM2006-00656 COM2006-00656 COM2006-00656 COM2006-00656 COM2006-00656 COM2006-00656 COM2006-00656 COM2006-00656 COM2006-00656 COM2006-00656 COM2006-00656 COM2006-00656 COM2006-00656 COM2006-00656 COM2006-00656 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 1200600000000000966 Date: 06/26/2006 Description Plan Review Residential Addressing Assignment Willamalane Single Family Fire SF Fee - Residential Curbcut Permit Curbcut- Additional Driveway Mountaingate Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transpo Admin Plan Review Major - Planning Building Permit 3 Baths One & Two Family Furnace - up to 100,000 btu Boi1er/Comp Up To 100,000 btu Vent Fan Appliance Vent Exhaust Hoods Dryer Vent -Mechanical Issuance Fee- + 8% State Surcharge + 10% Administrative Fee Paid By RIVER V ALLEY BUILDERS Item Total: Check ~umber Authorization Received By Batch Number Number How Received djb 157072 In Person Payment Total: Page I of 1 1:51:18PM Amount Due 21.13 31.00 1,000.00 147.65 80.00 40.00 1,093.36 802.24 610.24 182.69 805.70 82.03 865.31 10.00 159.62 62.96 198.00 1,062.90 306.00 12.00 12.00 18.00 6.00 9.00 6.00 10.00 114.55 157.96 $7,906.34 Amount Paid $7,906.34 $7,906.34 6/26/2006