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HomeMy WebLinkAboutPermit Building 2007-6-1 -ii"J'I' . .1Ii.OF I)t'Kll~\.JNJ<.,LD , Building/Combination Permit PERMIT NO: COM2007-00325 ISSUED: 06/01/2007 APPLIED: 03/05/2007 EXPIRES: 12101/2007 VALUE: $ 188,784.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5733 MT VERNON RD ASSESSOR'S PARCEL NO.: 1802030005700 SPRING FIE TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: Single family residence -lot 191 Owner: HAYDEN ENTERPRISES Address: 2622 SW GLACIER PL #110 REDMOND OR 97756 Phone Number: 541-228-1081 Contractor Type General Electrical Mecbanical Plumbing . ~~~ I CONTRACTOR INFORMAnOl1l~" \)\ ~t. II" . :\ \"6 ,~ Contractor . ~\.. t.i-\l~ \l~i'c~ns~\\ Expiration Date HA YDEN ENTEl\'\~ ~I\ S\\\X (.R \\\\'0 Pt,t~'jjI '\" 07/29/2007 M & W ELEci\h.\'!t,l~~~P8~nD t>.\)t>.~'i)67362 06/19/2007 PACIFIC AIR CQM{08t1\INC\) \)\\\'0 'i) 39237 03/25/2010 MASTER PLUMtt{N~..(."c,~ .0(.\\\10 . ~'~Bui19D1NG' INFORMATION I 1>-'" # of Stories: Heigbt of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Phone 541-228-1081 541-754-6171 541-672-9510 3 2 28.00 Gas Gas Gas Path 1 nla Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: 729 999 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U VB 400 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 12.00 23.00 5.00 11.00 0.00 I ."" ~ J!,LOPMENT INFORMATION I \0 JUIQ~'!{WD PARKING ~\,6" \)\\ ~ Overlay Dist: \oa.'I'I ,'O~,'O~Thl'e\ \O~ . # Street Trees Rqd: \'o~O(\ N \'\"\'0 'O.Jt3~<ij~~d' Paved Drive Rqd: \O~. 0 ~'O"'~so~'o ,~\ ~!lRlp~~'" '0"1 % of Lot covera~e.~~\ '&~ oa.60~~.~ ....\ov.~'\"\ 0\\'\"\'0 '1<;10(\0 !>' ,I)I C'o(\~ \0 \\, ~'O"" '0\'09 ~\o(\ \0\\0'1'1.\\0(\ _,,\ .00 -"" c09 _' \'\"\'0 ~ '~'I~\C'O- I PUBLIC IMPRu ~ J!,IVl1';I~T~:I"':':"~oa.'1 o~;,. ~V;~\\i'\l~AA'\' \.. 9'0 -:tol) -srnt(\ fJf,,~0 ~.~~'l.: Fully Improved 00 c~'i'\I~ \0\ ~{I.l ''iI {.Il.~ No -<,<'Oeb,owft8j!outslDrains: (\V'" ...." 2 Street Improvements: Storm Sewer Available: Special Instruction: Curbside 5' Curb and Gutter Notes: Storm to curb & gutter. JLP APP Re-entered 5/24/07 Paee 1 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction V Wood Frame ,Garaee Dwellines Garaee Fee Description Plan Review Residential -Mechanical Issuance Fee- 3 Batbs One & Two Family Addressing Assignment Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Furnace - up to 100,000 btu Gas Outlets 1-4 Plan Review Major - Planning 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 Reimbursement SDC SanitarylStorm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan Willamalane Single Family Total Amount Paid . I Valuation Oeserintion , $ Per Sq Ft or multiplier $103.00 $27.00 Square Footage or Bid Amount 1,728.00 400.00 Total Value of Project I?pp~ P"=lI\IjU Amount Paid $555.68 $10.00 $306.00 $31.00 $854.90 $80.00 $6.00 $9.00 $106.40 $12.00 $4.00 $198.00 $-30.00 $106.00 $57.00 $554.14 $728.74 $10.00 $961.52 $91.61 $130.92 $69.78 $836.32 $189.58 $80.00 $642.03 $50.00 $18.00 $2,303.00 $8,971.62 Date Paid 3/5/07 6/1/07 6/1/07 6/1/07 6/1/07 6/1/07 6/1/07 6/1/07 6/1/07 6/1/07 611/07 '611/07 611/07 6/1/07 6/1/07 6/1/07 6/1/07 6/1/07 6/1/07 6/1/07 6/1/07 6/1/07 6/1/07 6/1/07 6/1/07 6/1/07 6/1/07 6/1/07 6/1/07 Paee 2 of 4 tJ=ITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00325 ISSUED: 06/01/2007 APPLIED: 03/05/2007 EXPIRES: 12/0112007 VALUE: $ 188,784.00 Value Date Calculated $177,984.00 $10,800.00 $188,784.00 03/05/2007 03/05/2007 Receipt Number 1200700000000000235 1200700000000000672 1200700000000000672 1200700000000000672 1200700000000000672 1200700000000000672 1200700000000000672 1200700000000000672 1200700000000000672 1200700000000000672 1200700000000000672 1200700000000000672 1200700000000000672 1200700000000000672 1200700000000000672 1200700000000000672 1200700000000000672 1200700000000000672 1200700000000000672 1200700000000000672 1200700000000000672 1200700000000000672 1200700000000000672 1200700000000000672 1200700000000000672 1200700000000000672 1200700000000000672 1200700000000000672 1200700000000000672 . .ITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00325 ISSUED: 06/01/2007 APPLIED: 03/05/2007 EXPIRES: 12/01/2007 VALUE: $ 188,784.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspec1ion Line Initial Review Plan nine Review 03/05/2007 03/05/2007 I Plan Reviews I 03/05/2007 APP 05/01/2007 APP NJM TAJ Structural Review 03/15/2007 03/20/2007 APP LLH Per letter from Hayden Homes dated 4/25107, each home shall have: I. a 3' walkway from the porch to the street and 2. windows in the garage door. storm to curb&gutter. Plans forwarded to The Building Department for Structural Review. Plans reviewed and approved by Shawn Eaton with The Building Department under contract with the City of Springfield Public Works Review Structural Review 03/05/2007 03/05/2007 04/05/2007 APP 03/15/2007 10 JLP LLH 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. I RpollirprlT'Osnections I Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunctiou with footing andlor 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 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. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Underl100r Plumbing: Prior to insulation or decking. 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. Final Plumbing: When all plumbing work is complete. Underl100r Mechanical. Prior to insulation or decking and including required testing. Paee 3 of 4 . ~ITY OF SPRIN\.Jr IJ<..LD . Building/Combination Permit PERMIT NO: COM2007-00325 ISSUED: 06/01/2007 APPLIED: 03/05/2007 EXPIRES: 12/01/2007 VALUE: $ 188,784.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54 I -726-3676 Fax 541-726-3769 Inspection Line 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 Mecbanical: 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 comp~ny energizing service. Final Electric: When all electrical work is complete. ErosionlGrading Inspection: Prior to ground disturbance and after erosion measures are installed. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Curbcut - 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 auy 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 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. - ~ r# &-I-v'~ Owner or Contractors Signature Date Pace 4 of 4 ~ ~~<sl X\Y;,:: .. DATE l,qA .O-J- __22H1ITHSTREET' SPRING"'ELD.OR97477' PH:(S41)716-J7SJ . FAX: (541)716-3689 . -.,. SOURCE" ~ r~p..Q ELECTRICALPERAfflARPJ,lCATION - - ----- - _,,_....\'!-...L -- .-- , City Job Number ' l.:,} l . 0 'e;:::> Date 1. :{~~~Cj'W~m1,~rUi 3. [~Ei~~]~'![~"[tg;K~f~~V:g~i~~:wlit~ri~~ ..,....-."~ l'~~~:i.r"~\f ttrut\ LEWD~) , J~ DESC r ;;~;;''''"''''':''''C-=S' ,;:.;;;t""'~'.''''''''':''''"'','''')l>,''~'''';"'~-$.II''"'' '''''-llIl-i\I c. ~~~'~~~b~_~_;'~J..~;~tx~~-.e~iji~r~1~il~ii:~t,~~~.;t~ ~ ;~\~.!B~.,' ~~... ......c b.-, !:~ .~;i'...!i~_............-........_-,=,."'l><'~"'O .-__~.._ ..IZf __ . ...~~ ::o:a /0 /01 'l-I ((InS6\~ti'o~\AilEration or Relocation \ '~ 1-# '\ 0(\\3 Nf'l\OI' .n{\\'I W N' 01 e9 'o~ \\'1'200 Arilps'or1less \ S 50.00 L- Constr. Contr. Number -1.0 ISfp~N\\O :'\()o\e~"'o~e '20PA~p~;jo,'400\)koPS S 69.00 , (\}\\:i" - (,\\ ,- ()i'"\' '-"',0'1 ~ jO\\O'l-l ce\l\e, O,,\~(oi.40l'Xmp~tto,600Amps , SIOO.OO Exp. , D I )",' \\0(\ 0\" 0' ,,' (\e iration ale UI -, ::JCxJ713 ~",.O, CO~O''3~ 6OO1"n""O 1""0 V lIlT "B" bo \........_ g.....'-_....._ \",\('\ Il VeT, ~"\.W~ ot- yv 0 see ave. ,,, ~ on v ,\"", '6\"~-rn.......~~.~<tI:",:u"'-"""!~;m~~.""lR"';.;'.~,..."',o;,a"'''::''~\r.'II~--:;.~~ir'~''\o\!lt . Qt-\f"\ 13.\.1 I'tD~ ~R -, il:-tNr~~~~7\Ou.'!-W.'~~"~'f'~~lH"t.i#.-~-,',1i'j~.~rn;,'I=:~:<i'2'~"'~~',,~ Signature of Supervising Electriciao~090, '/0\.1 \~e~el'\e(, ~00 ~;J~~3A~~i;'!\i.ty'~;;")ljl~G!'sfii'~~~~~lilif.1.~~~~ , / ____ c.;::.~~\O( \\'Ie O\~ \)o0'l~w?Aiteration or Extension Per Panel . 1/ ~ ,~..('(\'oe ~_~\e\ \~ OoeCirtuil $43.00 , , ~ - Each Additional Circuit or with Owners N e _ WtJifOf) S~,"';t::.'"i::'.::,'~,,:-':~i:.;;.r~::~., ~1i:;Jl'.' ~!,i~r!;'f!i:f~'~~~'Y~,' S~~f ;"""';li.'~1",:;~J.6'~;;' . . ,'mceJI1iiieouV 'tMtt/feede't ",' 'in'clit eG'" ," ,Iris ati81i'j: S' . -~. 'i)<';'\\ "'i,)\l' $ 50.00 OWNER INSTALLATION , Ilq~ ~~'Eh~~~i~\S t>.\)\> $ 25.00 . U' Limi' ,\~\\\) ,,.,-S:-IJ..__:o.\'U'i). $ 4 ' The installation is being made on property I own which tFQ,t:Jler~,.""ww.~"Y" 5.00 , . , dcdr I I ~(\w.~ ~I't>..'\ , IS not mten lor sa e. ease or rent Minimum EleCtric.~rrillt Inspection Fee Is $4S.00 + Surcharges ' Owners Signature: 4. [~t1it~1i.~rABO~f.f~li~~~~1~~~ n 1l1tp , ;~'";'~:~:::::::":iIT~c;~,},~t'r'''''''~'i'['>'~'~';'<l~''~_~) ~.' 01 10% Administrative Fee ' t-l. ~ , ~O '1eCh- ,\ l'").l.t7~ ()S'1(1).. " . J \,Ji) , ;tTtnf Permi~ are on-transferable expire if work Is , not started within 180 days 01 issuance or if work is Suspended for 180 days. 2. ~;S2~~?i~~l!g~WI~ Electrical Contractor Met.V tlJV/~ ~(.. Address .=I.'i'6\!>'1 H'-tJ<( 1'{ Sv.J City A I k.c.",~ Phone Sl.f/-7S'{-(i17{ Supervisor License Number LJ :), 71./ S Expiration Date Inspection Reqnest: 726-3769 J Toolill .~ &~~jj~l~~~tillti[~~]t~?~~i Service Included 1000 sq, it. or less Each additional 500 sq. it. or portion thereof ' \ ~ , (J) S106.00, J..ok.Q()0 S 19.00 5'1 Each Manuf8ct'd Home or Modular Dwelling Service or ' Feeder "... " $50.00 \~~"S\..;.::.;..,;:-~~,,\J...;;;'Ft~~ti'~~p~~j;,".ita.:.;~:::?SW'~.W:G~~5K, ~~'t1';-",,1{~;:~;Ii,.;:,~-;:r~~ifl~f~.~,\~ G B. ,:Si!J:.Yites'OIq;eeilen:"".... ". Ji':Al~,t1o'its'Qr',ReI<i ~'''ri::''''i ~:?:~;!:.i.,;'.;tm~~~:-;i..:i;t"~~",~'.~;l:,"~~~:;'~l.:.?o:.is;::....;;i~.:::(.>-:1,'a~~~~...I":IU~i'.;.-~ 200 Amps or less 201 Amps 10 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps'Volts , Reconnect Only $ 63.00 $ 75.00 SI25.00 $163.00 $3 75.00 $ 50.00 I.VI..tl..1J . Shored DriVc(1';)/BulJdin~PPlic~1d~q <rI!lIIi~NllIdS .:\0 XLI:> 689g9.LltS XVii 60:0T!Illl gO/IT/La CITY OF SINGFIELD SYSTEMS DEVELOPMEN&RKSHEET JOURNAL OR JOB NUMBER: COM2007-00325 NAME OR COMPANY: Hayden Ent LOCATION: 5733 Ml Vemon Rd TAX LOT NUMBER: 1802030005700 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS I BUILDING SIZE (SF: 1238 LOT SIZE (SF): 4343 [/) '" CI o u e><: ---.!~ G ~ I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S,F. x I COST PER S.F, CHARGE I 1913.00 $0.336 I = I $642.03 I 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 S0.336 I I 50"10 = I ITEM 1 TOTAL - STORM DRAINAGE SDC $642.03 I 2. SANITARY SEWER - CITY DISCOUNT $0,00 $642.03 11070 I A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I 28 I B. IMPROVEMENT COST: I NUMBER OF DFU's I x I 28 I COST PER DFU S26,03 $19,79 $728.74 11091 I $554.14 11092 J ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $1,282.88 3 TRANSPORT UION A. REIMBURSEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEWTRIPFACTORI 9.57 I I I I $19.81 I 1.00 I B. IMPROVEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEWTRIPFACTORI 9.57 I I I I S87.39 I 1.00 I ITEM 3 TOTAL - TRANSPORTATION SDC = , $1,025.90 4 SANITARY SEWER - MWMC: $189.58 11093 I $836.32 11094 I A. REIMBURSEMENT COST: INUMBER ~F FEU's I x ICOST PER FEU , S91.61 = $91.61 1054 B. IMPROVEMENT COST: I NUMBER OF FEU's I x ICOST PER FEU I I I $961.52 = $961.52 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054 MWMC ADMINISTRATIVE FEE $10.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I $1,063.13 SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ , $4,013.94 5 AOMIN1STR'\TIVE EE~ I SUBTOTAL x I ADM. FEE RATE I~ CHARGE I $4.013,94 I 5% I S200.70 TOTAL SANITARY ADMINISTRATION FEE: 130.92 11079 TOTAL TRANSPORTATION ADMINISTRATION FEE: S69,78 1078 I Jeff Prociw 4/5/2007 TOTAL SDC CHARGES = , $4,214.64 PREPARED BY DATE . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIX11JRES x UNIT EQUIVALENT - DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIX11JRES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EOUIV ALENT UNITS IBAltITUB 2 0 3 = 6 IDRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE 1 OIL I SOLIDS I ETe. 0 0 3 = 0 I INTERCEPTORS FOR SAND 1 AUTO WASH I ETe. 0 0 6 = 0 I LAUNDRY TUB 0 0 2 = 0 ICLOltIESWASHER I MOP SINK 1 0 3 = 3 ICLOTUESWASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REFRIG 1 WATER STATION I ETe. 0 0 1 = 0 IRECEPTOR FOR COM, SINK 1 DISHWASHER 1 Ere. 1 0 3 = 3 SHOWER. SINGLE STALL 0 0 2 = 0 I SHOWER. GANG (NYMBER OF HEADS~ 0 0 2 = 0 I SINK: COMMERCIAURESIDENTlAL KITCHEN 1 0 3 = 3 I SINK: COMMERCIAL BAR 0 0 2 = 0 I SINK: WASH BASINIDOUBLE LAVATORY 1 0 2 = 2 I SINK: SINGLE LAVATORY/RESIDENTIALBAR 2 0 1 = 2 I URINAL, STALL 1 WALL 0, 0 5 = 0 I :rOILET, PUBLIC INSTALLATION 0 0 6 = 0 I :rOILET. PRIVATE INST ALLA TlON 3 0 3 = 9 I MISCELLANEOUS DFU TYPE NUMBER OF EDU'S [' 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 28 II .EDU (Equivalent Dwelling Unit) is a discharge equivalent to a sinl!:le family dwellinll: unit (20 DFU's) set at 167 ~lons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE - YEAR CREDIT RATElSI,OOO J I ANNEXED IS LAND ELGlBLE FOR ANNEXATION CREDIT? 2 ASSESSED VALUE BEFORE 1979 $5.29 (Enter I for Yes, 2 for No) I 1979 $5.29 IS IMPROVEMENT ELGffiLE FOR ANNEX, CREDIT? 2 1980 $5.19 (Enter I fnr Yes, 2 for No) I 1981 $5,12 BASE YEAR 1979 1982 $4,98 I 1983 $4,80 CREDIT FOR LAND (IF APPLICABLE) 1984 $4,63 VALUE 1 1000 CREDIT RATE 1985 $4,40 SO.OO x S5.29 = , SO.OO 1986 $4,07 I 1987 $3,67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) 1988 $3,22 VALUE 1 1000 CREDIT RATE 1989 $2.73 $0,00 x $5,29 0 I 1990 $2.25 I 1991 $1.80 1992 $1.59 TOTAL MWMC CREDIT = $0.00 I 1993 $1,~5 1994 $1,25 199' $1,09 1996 $0,92 i 1997 $0,72 I 1998 $0,48 I 1999 $0.28 I 2000 $0.09 ,I 2001 $0.05 . . . . If~ Willamalane t\P Park & Recreation District Job. No. Q () ,<./)(l5 . S~S~M DEVELOPMENT CHARGE WORKSHE~T FOR 2007 NAME, "~~ 0(\ ~ ,0\ PHONE. ADDRESS:i*~~~ -\Co~:~:~ LOCATION OF PROPOSED BUILDING SITE: '5rY!J~ k;\t l1~mm W Tax Lot Number:1~011)?i.X)D6l(::XJ Street Address: Plat Name, 1. DEVELOPMENT TYPE (Check appropriate dwelling{s). Dwelling type definitions are on the back.) A. Sinale-Familv Detached NO. OF UNITS \ X $2,303 per unit = $ 'lJJ03~{)t) B. Sinale-Familv Attached , NO. OF UNITS X $2,426 per unit = $ C. Multi-Familv Aoartment NO, OF UNITS X $2.032 per unit = $ D. Sinale Room Occuoancv NO, OF UNITS X $1,016 per unit = $ E. Accessorv Dwellina Unit NO. OF UNITS X$1,151.50perunit= $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for'Crellft}., \ . 11\ ) l ~\(mnf) ~opment serv~artment City of Springfield ' I 01 \ Date- . $ O~'!JDS. fX) ;/ $ ~.eJ)3r;xJ I~rol $ WILLAMALANE SDC 2. SDC CREDIT (If applicable) SDC payer must furnish proof of Wlllamalane Credit approvaL) 5 . ~,. ~ ~ -. ." <A of Springfield Official Receipt _Iopment Services Department Public Works Department 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-00325 COM2007-00325 COM2007-00325 COM2007-00325 COM2007-00325 COM2007-00325 COM2007-00325 COM2007-00325 COM2007-00325 COM2007-00325 COM2007-00325 COM2007-00325 COM2007-00325 COM2007-00325 COM2007-00325 COM2007-00325 COM2007-00325 COM2007-00325 COM2007-00325 COM2007-00325 COM2007-00325 COM2007-00325 COM2007-00325 COM2007-00325 COM2007-00325 COM2007-00325 COM2007-00325 COM2007-00325 , Payments: Type of Payment Cred itCard cReceintl RECEIPT #: 1200700000000000672 Date: 06/01/2007 Description Fire SF Fee - Residential Building Permit Addressing Assignment Willamalane Single Family 3 Baths One & Two Family Furnace - up to 100,000 btu Ven1 Fan Exhaust Hoods Dryer Vent Gas Ou11ets 1-4 -Mechanical Issuance Fee- Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Plan Review Major - Planning Sidewalk Permit Curbcu1 Permit PW Disc - 2nd Permit Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursemen1 SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sani1arylStorm Admin SDC Transpo Admin Paid By HA YDEN ENT Item Total: Check Number Authorization Received By Batch Number Number How Received djb 086052 In Person Payment Total: Page I of I I :57:25PM Amount Due 106.40 854,90 31.00 2.303,00 306,00 12,00 18,00 9,00 6,00 4,00 10,00 106,00 57,00 50,00 198,00 80,00 80,00 (30,00) 642,03 728,74 554,14 189,58 836,32 91.61 961.52 10,00 130,92 69,78 $8,415.94 Amount Paid $8,415,94 $8,415.94 6/1/2007