HomeMy WebLinkAboutPermit Building 2007-6-1
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
.ITY VI' ~rKJl"lJl' IJ!,LD .
Building/Combination Permit
PERMIT NO: COM2007-00357
ISSUED: 06/01/2007
APPLIED: 03/1212007
EXPIRES: 12/01/2007
VALUE: $ 189,027.00
SITE ADDRESS: 5739 MT VERNON RD
ASSESSOR'S PARCEL NO.: 1802030005500
SPRINGFIE TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence -lot 189. SAME AS COM2007-00354 5773 Mt Vernon
Owner: HAYDEN ENTERPRISES
Address: 2622 SW GLACIER PL #110
REDMOND OR 97756
Contractor Type
General
Electrical
Mechanical
Plumbing
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
23.00
. 5.00
12.60
21.00
5.00
Subdivision Not Accepted
Street Improvements:
Storm Sewer Available:
Special Instruction:
Residential
Phone Number: 541-228-1081
, CONTRACTOR INFORMATION I
I
R-3
U
VB
3
Phone
541-228-1081
541-754-6171
541-672-9510
54t-459-0110
4,017
729
999
409
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
I PUBLI!lt:IMPR,OY~MENTS I
Sidewalk Type:
Fully Improved
Yes DownspoutslDrains: To Culvert- Provide
For this parcel in Jasper Meadows 3rd & 4th Add, it is the recommendation to the Blltctill3ge Plan
Division, by the City Engineer: "that final occupancy should not be given until the suhdivision is
accepted by City Council".
Contractor License Expirati~'\t-.Q.~e
HA YDEN ENTERPRISES . 92208 \\\t. '67H9noo~Q\
M & W ELECTRIC INCORPOR\\'CB))C~. .~~\6}\\.\. t.'f..'? ,?~!iI;f9hlj'01.
PACIFIC AIR COMFORT INC "-I-\\S '?t.\\~\ 39t~Ot.\\ ,I-\\S ,,\~*~fo:rlP
DENNIS SCOTT EGGERS I. . ,.,-C\[\\l.ll\:'!\27:Z6 Ie:. p..\)p..~v 05/05/2010
, BUILDING INiiORM:Aq,io~ h\\\()D.
- :'{ ~'O\l VC"
# of Stories:t>..1'I 2 Lot Size:
Height of Structure: 25.50 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 Path: Path I Sq .Ft Other:
Sprinkled Building: n/a \, Occupant Load:
. 1"\\\ \.0
I DEVELOPMENT INFO~MA T-16N.:i)~ \l\\\\\~(\n
~I' u' -" ,\\10 - set 10
"\'1"~iIO\~' \eO b'j \lIeS ale 2-00'\-
f>.i OV,\aj\l)6I5i~g91 i\'lOSa I n Op..~ 95 \eS b'j
lo\l#~tre\\~ f.fe~1e.\-!Id: \nlo\lg 01 \ne 1\l0 a
\"~""- .n' 'tfu . - n,es -nO"
~o l'a~egc.Q.rive Rm~i\" CO,.. . \ne \elex ~s \iO"
i" @/;:;O~LOll<'overage: ~~o\e, .~\'! ~28)J0'3-
OO:~;\i:;\ne :~:'~;eg~~ ~~~ 2'344).
Notes: Private Street
Paee I of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
V Wood Frame
Garaee
Dwellines
Garaee
Fee Description
Plan Review Same As
-Mechanical Issuance Fee--
2 Baths One or Two Family
Addressing Assignment
Building Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Fireplace (Listed)
Fnrnace - up to 100,000 btu
Gas Outlets 1-4
Plan Review Major - Planning
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbnrsement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Storm Drainage Impervious Area
Vent Fan
Willamalane Single Family
Total Amount Paid
Initial Review
03/13/2007
.
I Valuation Deserintion I
$ Per Sq Ft
or multiplier
$103.00
$27.00
Square Footage
or Bid Amount
1,728.00
409.00
Total Value of Project
F'pp~ Pf.llirU
Amount Paid
Date Paid
$200.00
$10.00
$254.00
$31.00
$858. I 5
$6.00
$9.00
$106.85
$15.00
$12.00
$4.00
$198.00
$106.00
$57.00
$554. I 4
$728.74
$10.00
$961.52
$91.61
$130.71
$69.80
$836.32
$189.58
$638.34
$12.00
$2,303.00
3/12/07
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
6/1/07
6/1/07
6/1/07
6/1/07
6/1/07
6/1/07
6/1/07
6/1/07
6/1107
$8,392.76
I Plan Reviews I
03/13/2007 APP LLH
Paee 2 of 4
.11 r OF ~rKmlJ..IELD -
Building/Combination Permit
PERMIT NO: COM2007-00357
ISSUED: 06/01/2007
APPLIED: 03/12/2007
EXPIRES: 12101/2007
VALUE: $ 189,027.00
Value
Date Calculated
$177,984.00
$11,043.00
$189,027.00
03/12/2007
03/1212007
Receipt Number
2200700000000000326
1200700000000000673
1200700000000000673
1200700000000000673
1200700000000000673
1200700000000000673
1200700000000000673
1200700000000000673
1200700000000000673
1200700000000000673
1200700000000000673
1200700000000000673
1200700000000000673
1200700000000000673
1200700000000000673
1200700000000000673
1200700000000000673
1200700000000000673
1200700000000000673
1200700000000000673
1200700000000000673
1200700000000000673
1200700000000000673
1200700000000000673
1200700000000000673
1200700000000000673
.
-=ITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00357
ISSUED: 06/01/2007
APPLIED: 03/1212007
EXPIRES: 12/01/2007
VALUE: $ 189,027.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspection Line
Plan nine Review
03/13/2007
05/11/2007
APP TAJ
Structural Review
03/13/2007
03/28/2007
APP LLH
Per letter from Hayden Homes
dated 5/5/07, each house shall have:
I. a 3' walkway from porch to drive
(in this case) and 2. windows in the
garage door.
For this parcel in Jasper Meadows
3rd & 4th Add, it is the
recommendation to the Building
Division, by the City Engineer: "thai
final occupancy should not be given
until the subdivision is accepted by
City Council".
Same As 5787 Mt Vernon reviewed
by Don Moore
Public Works Review
03/13/2007
04/02/2007
APP MS
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 Rpnnirpti In~nections I
Ufer Electrical 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 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.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Underl100r Mechanical. Prior to insulation or decking and including required testing.
Paee 3 of 4
.
.11 t 01< ~rKmlJFIELD
Building/Combination Permit
PERMIT NO: COM2007-00357
ISSUED: 06/01/2007
APPLIED: 03/12/2007
EXPIRES: 12/01/2007
VALUE: $ 189,027.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Undernoor 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.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
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 without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliauce 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.
~- ~.
p
Owner or Contractors Signature
{rl~ 07-
Date
Paee 4 of 4
'.'~'" ..~','" ZON ~
~ INITIALS l-i't\. .
. , .... DATE' w.4 o(} r-
, . \1JiD' SOURC~
.. - -....---~. .._. - ..- ---..-
, .
Dati: '
225 FIITII STREET. SPRINGFIELD. OR 97477 . PH:(541)726-37SJ . FAX: (541)72(;,3689
ELECTRICALPE;lUWT4l'W.QAll0N - --.- ---~-.
City-Job Number . l' n ~ ~~..si I )
1. 'iio~JffoN1>E;INSf)f:f::g'i'WffZ\rt:tt~~t, 3.
"';5)~--'"'tlf\rpffi'~~~r'
LEqAL. DESCRIPTION 'rv- ~f"-o../ \
\ ~rD ( l'e;J04J'
JOBDESC~~r^\. &\~'1
~ ~ ULL^wf\ro J
Installation, Alteration O\~ocllt1on
. o\)
200 Amps or less. e'" '\ ~~\\'l, $ SO.OO
201 Amps to\tQ~p1';;E>'I\0 \ \O~'f>. ,$ 69.00
'401 Am :fb w>~ ~ ",e J:FJ\ $100.00
rv.~060\,1'IlO~AL:~_ .\a'" R\'.'o"~v' '!i~~~c,~': I" b
, 'bv"'J.~ , . \~,'dt 1 0 see a eve.
ON P' ...~.lj.'l., i~ ,...........~" . fiiii ".]l:N~1 ...~ro.."....,.."ij,t.">>"''''''.'''~1r~',:lr;;,.~~'t,,
.,.,,,\'\ D:"l.~Br;n~~~'(-:." .~:.'.~ r. "!i1c~;'~:;~~~'i'~'i!!I~~~"..'l~;i~i~;~L.~:~.~jQ,~';~~~t~~';~:
:\'\'(;..\... ~e~ "Y:;-0Z00:<;~SS' ~. ~~?\\:'.~~(~~J:;~'I<il!;-~'r;.~r,;I~'M.ll~lf:;j;i'''~'!i01rr.~~
I'- ~o~ I\) 0" ~ew\ Alter~~6Ji'~{$ite~pil\Per Panel . .
\0 , 'c"'\\ con"\) C"""?>'t t~O. \\~\\'l 1l.1l.\'. $.4300
.\\\ "S. ; '~,." "v n?, .
""v'~ '" ,Ei'cJ11ddi'tin.l'C' ':"dlorwith .
O. ,\0- v., ~r-"j !I:~' $ 300
.' B)' S~c,\!\cF~tii:Pbnnit . .
N l_i<\\~:...'4~~, '~,~~~-;:;'T,i:~~:~~~.2~']::;jI.~'TI'QI:,g.1. ie=.if.;~j.'l~';":;~~:'1~.':;'j:~~...~:i";~~~~,,,,,/~~,i'i'
;Ei"i,'MiR'eUliIi'" u,?~et.mC/f..rrebiO.rinclii'ded} ,i.;1ilaJ'fn :a:uati;\i6:
{\\,; ~J-"'~~'::I~,"'~:;:,;.~,;;;~m'>:'~J:,-;;~,~;~,,:,~:'>'~~::=:;"':;.:::..v..c:.;\~'~'K~~~'~~~~"'~,",;!~"';':'
Pump or irrigation -..\l\~\.\MO\~)) (,.<::)~
Sign/Outline Ligh~. c.v.~\ \,'~"",v.\'O J\~;OO)
Limited Energy~~,\ ~\ ~<'(), ~~$'25.00
Limited En~~OI~;^~ial<::) '0 n {:l "''': $ 4S.00
~y.,\'o' ~\L-\- .'<;'\ \;;. \.\IV '
Minimum Electrie permit2hisp~liD Fef\.G-J4S.00 + Surcharges . ,
4. ~B]~~!_:~"~i~~h:i~ \W~cV
. 8% State Surcharge ~ \ ~ M
;:::'dminiS~tiveF~ ~qo ~\~
Shared Driv<(T:VBuDdIDg~1$:"(q
a13Id~NIHdS dO XLI~ 68UgU.LltS YVd 60:01 3a1 UO/ll/LO
Permi!S are non-transferable and expire if work Is,
Dot started within 180 days oJ issuance or if ,.ork is
Suspended for 180 days.-
:.\:':..~.~..,~c;'i:~...,;.."r:~p~;,l~"':':::TS'!.i.:.~'?B::~..;~.'.=~.i!.)."!'~.~ :'!..;;.~'~
,''COJll'fAACTOR,INSTA:LD1T10l!i:U,N.Lr,1f
2. }"".>;l'.}"';l.i;;'.;l.t;:<i.,,,:s\~.~.t~~l:::;4FJ:,.:~";.I~I,,,.:~,...:::;~~rd,$:>!,:;';'.;.~:~!~:
ElectriCll! Contractor
Mew) aJ-",l ~(...
Address
~'i'6\\'1 HvvC{ "!,'-{ SvJ
City A\k",~
Phone 54/-7S'H/17(
Expiration Date
LJ~7L/ S
10/01
Supervisor License Number
Constr. Contr. Number
{o73k2-
&J..c,/xxrr
Expiration Date
Signature of Supervising Electrician
iJ_______
City
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or mil
Owners Signature:
Inspection Request:, 726-3769
/
IOO~
',.",. "'",~ . '~"'.'~"-"'i'#~D'-"""".""'\o<''''''''''''-_.'.~'~''r',,~''''' .,...-,. .-.
I" "-"';.;f:;;"O\.'~'.'" .'.,...,.,....".._r~.._ . .........~.'rir.;~:^....-..f':'l.-;,::.,~~!R..~..!it.~ ~
;~~~~~~~~~~~~.~~t<~~~f!.?~~~E~t~~~~~~
A. (j~f~Qm~~~~!i~~lir"!f~M~t~i~
Service Included
1000 sq. ft. orless
Each additional 500 sq. ft. or
portion 1hereof '
Each Manuf8ct'd Home or
Modular Dwelling Service or .
Feeder .,.... :'
$106.00,
td,o(V
n~
I
:3
$ 19.00
$50.00
:::"-:."'?''::';.~'~;:~R=-~~~~=~.~1f...,.~~~.~1;.l:';*:;~~'',~~::t,.:'f!~J:i'~:.:~~;.::.:e;~~~~~.'::"':i:
B. ';,Ser<.Yje!iS: Di.l1iiecr~,;o:'~lI:iti(In~~.ti6l!sJir'.Relcjf:iiililri~"~~
:t:.;~:~...,;,~;",,,,,'i;.~:::!:..~..6~~...~:l.G.r.;.t.;,~"{Zt;1:t'Joio.7.~i;:'-O:;!a.:;....;.,y.'=';!."-.:.;...a~~~!',l~~f~:-;:.Q;:~
200 Amps or less
201 Amps to 400 Amps
401 Amps 10 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsI\' oils
.. Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$3 75.00
$ 50.00
!i:.?;;;r'-:<~~"";.'"!:'~l""'j'~l!t'l~.4"""':"'l'.;?-~!'~~~""i\l~:!.~~\'f.~'j~~1'._.i~~!'Ol~_.1l:I'\!j
C ""',,..,....., ..".S~',~"~ ."-.."tF"r~,",,,~, "!"~..",.,-"",~",,,,,~:; ""111"'" "'f"lb>;'
. ,...-.Lem"""S!."'" 9!!i~ l!r.. ....eu-->."""""'-'",- ,..""....~,.> '!:itl...-
"'"....._, .~I _I ~~....~_...;,~.._. '" _.,.".~t~"""~".,>-t"~~":::'-'-I>f~...",,.~rn.'.":'""';;:"''.:~.,i!-:' ~ ,. nu.~p>'
f.r-... .'.r...., ~ ,-",".~ _...~~""",._-.....,.=, "'\,>ou ,....--,..0:.."'='=..'" _... i'"., ~ ~:a
CITY OF SINGFIELD SYSTEMS DEVELOPMEN&RKSHEET
JOURNAL OR JOB NUMBER: COM2007-00357
NAME OR COMPANY: Havden Homes
LOCATION: 57839 Mt Vernon Road
TAX LOT NUMBER: 18020300 TL 05500
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS I BUILDING SIZE (SF' 2156 LOT SIZE (SF):
4017
:/ ~
10
10
I~
I~
'en
(3
~
1 STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. CHARGE
1902.00 $0.336 I = ! $638.34 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. I x I COST PER S.F. I x! DISCOUNT RATE I I
0.00 I $0.336 I I 50% I =
ITEM I TOTAL - STORM DRAINAGE SDC $638.34 I
2 SANITARY SEWER. CITY
DISCOUNT
$0.00
$638.34
11070
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x COST PER DFU
28 I $26.03 $728.74 1091
B. IMPROVEMENT COST:
I NUMBER OF DFU's I x
28 I $19.79 $554.14 11092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC =1 $1,282.88
3 TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE I x I NUMBER IOF UNITS I x I COST PER TRIP x INEW TRIP FACTORI
I 9.57 I I $19.81 I 100 I $189.58 11093
B. IMPROVEMENT COST: I
I ADT TRJP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI
9.57 I , I I . $87.39 I 1.00 I $836.32 11094
ITEM 3 TOTAL - TRANSPORT A nON SDC = 1 $1,025.90 I
4, SANITARY SEWER - MWMC I
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I I I I $91.61 = $91.61 1054
B. IMPROVEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I I I I $961.52 = $961.52 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054
MWMC ADMINISTRATIVE FEE $10.00 11056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , $1,063.13 I
SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ , $4,010.25 I
), ADMINISTRATIVE FEE:
I SUBTOTAL x I ADM. FEE RATE 1= CHARGE
I $4.010.25 I 5% I $200.51
TOTAL SANITARY ADMINISTRATION FEE: 130.71 1079
TOTAL TRANSPORTATION ADMINISTRATION FEE: $69.80 1078
Matt Stouder 4/3/2007 TOTAL SDC CHARGES =, $4,210.76
PREPARED BY DATE
.
.
, ,
D~AGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTIJRES x UNIT EQUIVALENT - DRAINAGE FIXTURE UNITS
(NOTE, FOR REMODELS. CALCUlATE ONLY TIlE NET ADDmONAL FIXTIJRES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
[BATHTUB 2 0 3 = 6 -I
I DRINKING FOUNTAIN 0 0 1 = 0 I
I FLOOR DRAIN 0 0 3 = 0 I
I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 I
I INTERCEPTORS FOR SAND / AUTO WASH / ETe. 0 0 6 = 0 I
ILAUNDRY TUB 0 0 2 = 0 I
ICLOTHESWASHER / MOP SINK 1 0 3 = 3 I
ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 I
IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I
RECEPTOR FOR REFRIG / WATER STATION / ETe. 0 0 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 1 0 3 = 3
SHOWER. SINGLE STALL 0 0 2 = 0
ISHOWE~ GANG Q'lUMBER OF HEADS\. 0 0 2 = 0
SINK: COMMERCIAURESlDENllAL KITCHEN 1 0 3 = 3
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASINIDOUBLE LAVATORY 1 0 2 = 2
SINK: SINGLE LAVATORYIRESlDENTIAL BAR 2 0 1 = 2
URINAL. STALL / WALL 0 0 5 = 0
TOILET. PUBLIC INSTALLATION 0 0 6 = 0
TOILET. PRIVATE INSTALLATION 3 0 3 = 9
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 28
-EDU (Equivalent DwellinR Unit) is a djsc~ equivalent to B sinRle family dwellin{!; unit (20 OFlrs) set at 167 gallons ocr day
MWMC CREDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
,CREDIT RATE/$ I ,000
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
~
I
II
I
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Eater I for Yes, 2 for No)
BASE YEAR
2
2
2005
CREDIT FOR LAND (IF APPLICABLE)
VALUE 11000 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
.
.
N~ .
~'"~ Willamalane
t~., Park & Recreation ~istrict
Job. No.
~n 'oCO'}
SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2007
NAME: ,-~u(~m J\(){'{\Qf) PHONE: 11J1..lb. \02>1
ADDRESS:-9..~\.o4 S\0 6\~ J ~MMSTATE:~IP: Ctl15lt:>
LOCATION OF PROPOSED BUILDING SITE:
Street Address: ~1-:zA }.l-t'0et"nOC\. ~
Plat Name: ~~rM..o~ ,~Tax Lot Number: \'6:01...{)~OoC>~Y")
1. DEVELOPMENT TYPE (Check appropriate dwelling(si. Dwelling type definitions are on the
back.)
A. Sino Ie-Family Detached
NO. OF UNITS (
X $2,303 per unit =
B. Sino Ie-Family Attached
NO. OF UNITS
X $2,426 per unit =
C. Multi-Family Aoartment
NO. OF UNITS
X $2,032 per unit =
D. Sinale Room Occuoancy
NO. OF UNITS
X $1,016 per unit =
E. Accessorv Dwellina Unit
$ '2.:~O~,ex:>
$
$
$
X$1.151.50 per unit = $
$ '1-'bre.OO
NO. OF UNITS
WILLAMALANE SDC
2. SDC CREDIT (If applicable) SDC payer must furnish proof of
Willamalane Credit approval.)
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
~~t ~~fc~p~ent
City of Springfield
v/\
-
Date
$
&!Y
$ 1..300.cp
,0\
5
225 Fifth Street , .
Springfield" Oregon 97477
541-726-3759 Phone
.ii~
C&of Springfield Official Receipt
_lopment Services Department
Public Works Department
Job/Journal Number
COM2007-00357
COM2007-00357
COM2007-00357
COM2007-00357
COM2007-00357
COM2007-00357
COM2007-00357
COM2007-00357
COM2007-00357
COM2007-00357
COM2007-00357
COM2007-00357
COM2007-00357
COM2007-00357
COM2007-00357
COM2007-00357
COM2007-00357
COM2007-00357
COM2007-00357
COM2007-00357
COM2007-00357
COM2007-00357
COM2007-00357
COM2007-00357
COM2007-00357
Payments:
Type of Payment
CreditCard
cReceinl1
RECEIPT #:
1200700000000000673
Date: 06/01/2007
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Fire SF Fee - Residential
Residence Wiring Ea Addtl 500
Building Permit
2 Baths One or Two Family
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Fireplace (Listed)
-Mechanical Issuance Fee-
Storm Drainage 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
Paid By
HAYDEN ENT
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 036139 In Person
Payment Total:
Page I of I
,
I
2:01:5IPM
Amount Due
31.00
2,303.00
106.00
106.85
57.00
858.15
254.00
12.00
12.00
9.00
6.00
4.00
15.00
10.00
638.34
728.74
554.14
189.58
836.32
91.61
961.52
10.00
130.71
69.80
198.00
$8,192.76
Amount Pllid
$8,192.76
$8,192.76
6/1/2007