HomeMy WebLinkAboutPermit Building 2007-5-25
.ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00358
ISSUED: OS/25/2007
APPLIED: 03/12/2007
EXPIRES: 11/25/2007
VALUE: $ 189,027.00
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5787 MT VERNON RD
ASSESSOR'S PARCEL NO.: 1802030006100
SPRING FIE TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence -lot 195. SAME AS COM2007-00354 5773 Mt Vernon
Owner: HA YDEN ENTERPRISES
Address: 2622 SW GLACIER PL #110
REDMOND OR 97756
Residential
Phone Number: 541-228-1081
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor License Expiration Date
HAYDEN ENTERPRISES 92208 07/29/2007
M & W ELECTRIC INCORPORA TED 673~~es )'OU \0 06/19/2007
PACIFIC AIR COMFORT INC on la~ {f9'2J~ on U'(IliW 03/25/2010
DENNIS SCOTT E<:i-G~~!'nON..O{~~rl '0'/ \n'i'J7]J~{e set t~~05/05/2010
~:'B\JI1mINd' iNfORfliTlor.t I>/l-P> 'd~~;:s- \
\ \\liCa\\UI' - (\~ .001\01 to' . ies 0\ ,,,Q one
I 'l0 p.cpll-Of~r',')so'O\ail'l coP. \"e \eI9?~ ,!,w,Size:
R-3 In OgO. ~tigh:!,8'?Stl\'1S\u~wo\~~\\li~ t5cSOhCl!Sq'Ft 1st Floor:
U 00 a~elof~~:O{egffi1r'ce~l~9~). Sq Ft 2nd Floor:
VB C ~~((Il~e:' . 0""'<\<\ Gas Sq Ft Basement:
nU~a~ge Type: . - Gas Sq Ft Garage/Carport
Energy Path: Path 1 Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
3
Phone
541-228-1081
541-754-6171
541-672-9510
541-459-0110
2,919
729
999
409
I DEVELOPMENT IMvM1ATION I:VG Oil ~ kNIJ
UUIO:lU,^ "''''0:1 REQUIRED PARKING
. 51 \:10 G3:1Nj"i'
Overl~IQiYlmGNIJ\W \;\O\.U.('\IJTotal:. 2
# St~~T.F~~.RA'~\l-Il \:IjGN('\ Gj~\1 d 5\1-I1Hand,capped:
fM~dlDrW~'R~i1~\d)G 11'111-15 1\\\i~1 Compact:
)\"tl<<dI~O!'~bv~~igt. 38.9.Oj~\lO\l\
Fullv Improved
Ves DownspoutslDrains: Curb and Gutter
For this parcel in Jasper Meadows 3 & 4th Add., it the recommendation to the Building Division,
by the City Engineer: "that final occupancy should not be given until hte subdivision is accepted by
City Council"
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
12.00
7.00
5.00
10.90
0.00
r PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Notes: Private Street
Pa2e I of4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Dwellin2s
Gara2e
V Wood Frame
Gara2e
Fee Description
Plan Review Same As
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
2 Baths One or Two Family
Addressing Assignment
Building Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Fireplace (Listed)
Furnace - 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 - Reimbursement
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
.
.ITY OF ~rKm,-,...ELD'
Building/Combination Permit
PERMIT NO: COM2007-00358
ISSUED: OS/25/2007
APPLIED: 03/12/2007
EXPIRES: 11/25/2007
VALUE: $ 189,027.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$103.00
$27.00
Square Footage
or Bid Amount
1,728.00
409.00
Value
Date Calculated
$177,984.00
$11,043.00
$189,027.00
03/1 2/2007
03/1 2/2007
Total Value of Project
Fpp< P~i<l .
Amount Paid
$200.00
$10.00
$142.10
$75.61
$105.13
$254.00
$31.00
$858.15
$6.00
$9.00
$106.85
$15.00
$12.00
$4.00
$198.00
$106.00
$38.00
$554.14
$728.74
$10.00
$961.52
$91.61
$130.71
$69.80
$836.32
$189.58
$638.34
$12.00
$2,303.00
$8,696.60
Date Paid
Receipt Number
2200700000000000327
1200700000000000629
1200700000000000629
1200700000000000629
1200700000000000629
1200700000000000629
1200700000000000629
1200700000000000629
1200700000000000629
1200700000000000629
1200700000000000629
1200700000000000629
1200700000000000629
1200700000000000629
1200700000000000629 .
1200700000000000629
1200700000000000629
1200700000000000629
1200700000000000629
1200700000000000629
1200700000000000629
1200700000000000629
1200700000000000629
1200700000000000629
1200700000000000629
1200700000000000629
1200700000000000629
1200700000000000629
1200700000000000629
3/12/07
5/25/07
5/25/07
5/25/07
5/25/07
5/25/07
5/25/07
5/25/07
5/25/07
5/25/07
5/25/07
5/25/07
5/25/07
5/25/07
5/25/07
5/25/07
5/25/07
5/25/07
5/25/07
5/25/07
5/25/07
5/25/07
5/25/07
5/25/07
5/25/07
5/25/07
5/25/07
5/25/07
5/25/07
Pa2e 2 of 4
.
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Plannin2 Review
I Plan Reviews I
03/13/2007 APP
04/26/2007 APP
03/1 3/2007
03/13/2007
Public Works Review
03/13/2007
04/03/2007 APP
Structural Review
03/13/2007
03/27/2007 APP
.CITY VI' ~rKI1'l'-'1'lJ'..LD
Building/Combination Permit
PERMIT NO: COM2007-00358
ISSUED: OS/25/2007
APPLIED: 03/1212007
EXPIRES: 11125/2007
VALUE: $ 189,027.00
LLH
TAJ
Per letter from Hayden Homes
dated 4/25/07, each house shall have:
I. 3' walkway from porch to stre~t;
2. Windows in tbe garage door.
For this parcel in Jasper Meadows 3
& 4tb Add., it the recommendation
to the Building Division, by the City
Engineer: "that final occupancy
should not be given until hte
subdivision is accepted by City
Council"
Same as 5739 Mt Vernon reviewed
by Don Moore
MS
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.
Rpnllirpli ~
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 floor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheatbing witb finish materials.
Framing Inspection: Prior to cover and after all rough in inspections bave 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.
U nderfloor Plumbing: Prior to insulation or decking.
Rough Plumbing: Prior to cover and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Water Line: Prior to filling trencb and including required testing.
Storm Sewer Line: Prior to filling trench.
Pa2e 3 of 4
-fiE
.
.CITY VI' ~rKll'i'-'l'mLD c
Building/Combination Permit
PERMIT NO: COM2007-00358
ISSUED: OS/25/2007
APPLIED: 03/12/2007
EXPIRES: 11/25/2007
VALUE: $ 189,027.00
Status
Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspection Line
Final Plumbing: Wben all plumbing work is complete.
Underl100r Mecbanical. Prior to insulation or decking and including required testing.
Underl100r 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.
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.
I.
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 tbe 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 furtber 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 tbat all required inspections are requested at the proper time, tbat eacb address is readable from the
street, that tbe permit card is located at the front of tbe property, and tbe approved set of plans will remain on the site at all
times during construction.
.{~.
'S /zr!rJ-=r
Owner or Contractors Signature
Date
Pa2e 4 of 4
'-~.,,,j, ,-';':. Gl ,.17\ '~r~ ,'TET'D - g' ,- ; -! -(])~ ;J' :;~~ ; '{
_It:..:!;..."l,', _: 0\.:.1 ," ~'LJ:D:.L I '1.~' ,'-1 .,-.
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,:i"~?'i'I}.~''''- .1 ;~,"~'.-_r:';"-:..;",~~ . . ~"...~-= '.I . i. ~ 1'" .... . 1
ZON 10(2-
INITIALS...iJsA .
DATE . ~.'IV\./) (
SOURC~
__ __~___ ._.I:....:.-.'i::)'\.___ __-:-__
22S FlnH srREIIT . SPRINGFIELD. OR 97477 . PH:(541)726-J7SJ . FAX: (541)716-3689
- - ELECTRICAL P~~...!~CATION .. ~
. City Job Number l \I .r \ :;") ~
1. ",'L'.' ...O:':...tf........'_..,..O.;:J:;;...:..Q-~~..,7i.......',c;....'~f:(;4.."'n...".;TJ:;;;.:",'..;!!'...!i)?.;-.!.....~:...~,...-..,'t'...... . 3. H ,.. ".",. -.. '''~~D''
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'~';"-'~i~~':'~~~'Q~~Y\ ~~;\~~~~L;;.,Jf~:~ii:!i;i~J.~i~lti~~i~~~j~}
llG\1)~1J5~oo O\Ot/) . A. g~it~Ji\l~)i[:i€~~t~~~~~~!f?G~i'i
. J8.B.D::C~O~. &\~ .;..
.2:)l~~~U.~ u
. Permi!S ar~on-tran~ferable a~d exWt, if work Is .
not started within 180 days of issuance or if work is
Suspended for 180 days.
Dale
$106.00 .\Olo~
S 19.00 mcO
Each Manuf8ct'd Home or
Modular Dwelling Service or
Feeder .... '
$50.00
2. ~;~~lI~i,;~~i'.l. a ~I~~.I!i~Wit~~~i~i~1~'iA1![Ci
Electrical Contractor ~ftU fl<<!-vIl;t~~,0, I'"I~~ ",:f!:13~OO ~9!'i~as S 63.00
'1'#ificf!!fj{#j-Ct,-~Pte22i1'Amim @MS~ ~o S 75.00
~q'6j\'1 H"<l<{ 1L( iJg.!U),~IJl'i?~017;; 14ojl~ps;~:9Q!!~Rl :,ty S125.00
'1gg0. .'(QIl mGy obta~6W~~P~t6)!OOp~~rt s163.oo
City Alk.c..,^,\ Phone .sf{pl~{tlr,b7fenter ~~~~!l/;V.<tlIbs I $375.00
. "'ltf1Oer for the Or~ f{l!2o~~:oltIi'aPhon . S 50.00
. gon UtIlIty Notifi 0 ,
If S "c"~~t"~'''''T=~~-&.~~;';~''';~~~' ~"""'I!~j1ffi.J;;?:'"
"7'1 ,-)'.1:-1: p'o/Jce'i9.H~:a:uef$:~~I'~ tt;~,!r.:i\r,- ,,,,iffdr,&,< - . :r..:.;;f
-< "1 . j;" ",_ -~< ...7l!!1~,..;~,,,~...,,.,,,,,..G',""X;,,~,"(,,,,,~,,"', ,'=!t!I!oI:'. m~~
/0/01
Address
Supervisor License Number
InstaUation, Alteration or R2Jocatlon
200 Amps or lesS S 50.00
CaosO'. ConO'. Number {p 73,(P -:z... 201 Amps to 400 A1):1ps S 69.00
Expiration Date {p!J:,/ ~7; ~~f/~:~3'1(JNlt8~aNfti'~1 ;&:~s:~~~o: ~~.?~:,~.;~~,~,~.~:~::,.~~~'"'~~,..
S. f .. El . o. \ILIa "0 d SIH g ,. g. . - -....~.!.r::.1i..~,.~oi;1~l.!?~L::i:I\.\t:;: ,<ro'~,\:.:.j,~~;l:~JL~;:m.~,~~~~:i
Igoatureo SupervlSlDg ectnc1aJtlu 'AI 3H'" :,!ii;... .... .' d..,."","',".,,;;,;,;;".'~,;I",,;"'.,,;)!,,il'.,"'...;>.',....jt,;7,,;""'".}''"'
trl. ..l..::I1 ..l.. .:Ja7vn"l".... =,,1~;;:)_.;o:.......=_=l_"":~"""'r"OlI~' ~'f".ri~Il':i...'tr.~~
1'/(----. 3tJ1cJ.X3 77~~.>r~tYatjt'\'-J'I ensionperpanel. .
/ L.----- 07,~'e_3d" $43.00
L\~ IJ ~~A~~~~~~~~ili
,~t ~\\ SeMceor~t
0J
Expiration Date
$ 3.00
E." f~i;~~t@~!E~~l!~[~!~f;l~l~1t~!1
/
Pump or irrigation $ 50.00
Sign/Outline Lighting S 50.00
Umited EnergylResidential $ 25.00
Umited Energy/Commercial $ 45.00
Minimum Electric Perrolt Inspection Fee Is $45.00 + Surcharges
4. ~$~if&tli~Q'~Vil.~~~~~~~~~1i~t.~. . rJJ
..~l "., _._", '"',,~,':"'~" r.;'4'.L':'-~~.,;,:',,: ..~,,,. \::''''~:''L~-.;".';.".I']ifj.~,", !,~~" ~'..:.l.\' '. .
'!~. !.".t=jl<<,...,........'~.,.-'i_<_~.~r::-'...~~l'...../',".~:!i:....-.~,~:..,.#,,~ "."'l. ..', .-.....'J'.... to-
. 8% State Surcharge 11101
. \l~
13.\5
't^PPl~M
10% Adminislrative Fee
City
OWNERINSTALLATlON
The installation is being made on """"-;J 1 own which
is not intended for sale, lease or rent
Owners Signature:
Irnpection Request: 726-3769
.....u.AL-., ~
Shared Driv~~ding
lOOIiJl
O1!Ild~N[lIdS "0 XID
.
€~ Willamalane
'. t~. Park & Recreation District
.
Job. No.
~fl.~
NAME:
SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2007
f\ ~ _) PHONE: Q,. 'lItr lDC2> \
Q.edW)CanATE:mzIP: a-\15.0
ADDRESS:
LOCATION OF PROPOSED BUILDING SITE:
Street Address: ~\~\ ~-\- \lernon \2d
Plat Name: ~o.svrWO- 4~ax Lot Number: \ ~01.03CDOlolCO
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the
back.)
A. Sino Ie-Family Detached
NO. OF UNITS
\. X $2,303 per unit =
$
'l!!JO'!J,OU
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
NO. OF UNITS
X $1,151.50 per unit = $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
\ili&) J\
Development servjce~~
City of Springfield
:;- I-Z::I
$ 0 .~C5 ,tIJ
g
$ Q/?'l~ ,DO
D7
WILLAMALANE SDC
2. SDC CREDIT (If applicable) SDC payer must furnish proof of
Willamalane Credit approval.}
$
Date.
5
.
.
DEVELOPMENT TYPE DEFINITIONS1
Sing-n;'e!l'ln!IYl)~fi1ched Dwelling Unit
A buiJl:Jingor a portion of a building consisting of one or more rooms including sleeping,
cooking, and plumbing facilities arranged and designed as permanent living quarters
for one family or household; and not attached to any other dwelling unit or building.
This ~fi1'1itionliflcl\Jdtls manufactured housing., /"'ry,-l' i : r. ''-
; 1)'- . --r"(. '.. . ( 1'," .' " "1-1' " . ./1, .
. ...... \... ". J '. '.... , I "l/';i \ I I.", " ., ...
~_a,..-:"'..U '.' '.. \.:. ~... .
('\ Sloglet~1'trlily Atta~ed D~~!iI.:\Q,lJ-~:) ~ ,. " f f~ 1 \; .:-~. J!~ : i." . .
'~~pdrtiOr:l' of a bUlIbIJ:lg consl&lIGl@,ofl()ne.or more.tQo~Il]~Jn9'udlog,sJe~ptrg, ~cooklng,
. and plumbing facilities arranged and designed as permanent living quarters for one
family or household; and which is attached to one or more dwelling units by one or
more common vertic<1''<<8Ns. -This,cj~finilionJ~l~JnclfJde~1 pU!-is not limited to "duplex",
"zero lot line dwelling-";:t6wrihJuSe"4 snfil"row.h-Qusa". Wl1h tbe: exception of duplexes,
"{'J' ,Sihgle .F.artliky.-AGUqlC~e.Dwelling Units typicaIlYf'~re sep'a~a~fy_oWD~e, ,....
'-J' iQ} l~...iC JJc.. 1_\ ~ J~/' j - / 1)-" ....(J)/'l\ I'.~. t.(~, ,',,,'i. '.
Multi-Family Dwelling Unit . .
A portion of a building consisting of one or more rooms including sleeping, cooking,
and plumbing facilities arranged and designed as permanent living quarters for one
family or household; and which is attached to two or more dwelling units by one or
m,9\e ~fl:l~~I}.vertical walls. Typically, the units a~e in an apartment building or
C~"'lP-.L~,.AI}IiI.:~re not separately owned. ./
Single Room Occupancy Dwelling Unit
A portion of a building consisting of one or more rooms including sleeping facilities with
a shared or private bath, and shared cooking facilities and shared living/activity area.
This definition also includes, but is not limited to "assisted living facility." Single room
occupancy dwelling units shall be charged at one-half the multi-family dwelling unit
SDC rate.
Accessory Dwelling Unit
A secondary, self-contained dwelling that may be allowed only in conjunction with a
detached single-family dwelling. An accessory dwelling unit is subordinate in size,
location. and appearance to the primary detached single-family dwelling. An accessory
dwelling unit generally has its own outside entrance and always has a separate
kitchen, bathroom and sleeping area. An accessory dwelling unit may be located
w,itb.i(1, fI!~ct:\ed to, or detached from the primary single-family dwelling. Accessory
dw~IUr@ju-),.~ s'lIall be charged at one-half the single family detached dwelling unit
u'~...>
SDC rate.
\r:.."
,J
..."J.
to"" ~,.... . 1\
\..J\,j C".j' lct'llo ~l
. ~.J "',\
'1\ -.. ~'"\
" I J
i~.f-:;'
I ,- i
.-- - 9x:;j400~d_?t~d,3~~l9iJ
,/ !I
1 From the WPRD Parks and Recreation SDC Resolution No. 06-07-6. October 10. 2006
6
CITY OF ANGFIELD ~YSTEMS DEVELOPME.ORKSHEET
JOURNAL OR JOB NUMBER: COM2007-00358
NAME OR COMPANY: Hav_den Homes
LOCATION: 5787 Mt Vernon
TAX LOT NUMBER: 0
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS I BUILDING SIZE (SF' 1728 LOT SIZE (SF):
1. STORM DRAINAGE
I~
2919
'"
t.Ll
CI
o
U
~
~ ~
'"
a
~
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. CHARGE
,I 1902.00 I $0.336 I = 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 I DISCOUNT RATE I I
! 0.00 I I $0.336 I I 50% = I
ITEM I TOTAL - STORM DRAINAGE SDC $638.34 I
2 SANITARY SEWER - r.ITY
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 11091
B. IMPROVEMENT COST: I
I NUMBER OF DFU's r x
I 28 I $19.79 $554.14 11092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $1,282.88 I
J. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI
I 9.57 I I I I $19.81 I 1.00 I $189.58 1093
B. IMPROVEMENT COST:
I ADTTRlPRATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEWTRlPFACTORI I
I 9.57 I I I I $87.39 1.00 I $836.32 11094
ITEM 3 TOTAl. - TRANSPORTATION SDC = , $1,025.90 I
4. SANITARY SEWER - MWMc;
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I I I $91.61 = $91.61 i 1054
B. IMPROVEMENT COST: I
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 ADMlNISTRA TIVE FEE $10.00 11056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =, $1,063.13 I
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , $4,0 I 0.25 I
5 ADMINISTRATIVE FEE'
I SUBTOTAL x I ADM. FEE RATE 1= CHARGE
$4.010.25 I 5% I $200.51
TOTAL SANITARY ADMINISTRATION FEE: 130.71 1079
TOTAL TRANSPORTATION ADMINISTRATION FEE: $69.80 11078
Billy Curtiss 4/312007 TOTAL SDC CHARGES = , $4,210.76 I
PREPARED BY DAn; II
. .
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIX11JRES x UNIT EQUIVALENT-DRAINAGE FIXTIJRE UNITS
(NOTE: FOR REMODELS. CALCULATE ONLY TIlE NET ADDITIONAL FIX11JRES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
I BATHTUB 2 0 3 = 6
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
LAUNDRY TUB 0 0 2 = 0
CLOTHESW ASHER / MOP SINK 1 0 3 = 3
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0
I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 1 0 3 = 3
ISHOWER. SINGLE STALL 0 0 2 = 0
I SHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0
ISINK: COMMERCiALIRESIDENTIAL KITCHEN 1 0 3 = 3
ISINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASINIDOUBLE LAVATORY 1 0 2 = 2
ISINK: SINGLE LAVATORYIRESIDENTIALBAR 2 0 1 = 2
IURlNAL. STALL/WALL 0 0 5 = 0
ITOILET. PUBLIC INSTALLATION 0 0 6 = 0
ITOILET. PRIVATE INST ALLA TION 3 0 3 = 9
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 28
;,.EDU (Equivalent DwellioR Unit) is a disc~ eauivalent to a sin21e familv dwellinR unit (20 DFU's) set at 167 ~lons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$I,OOO
ASSESSED V AWE
$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
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
2
2
2005
CREDIT FOR LAND (IF APPLICABLE)
VALUE /1000 CREDIT RATE
$0.00 x $0.00
= I
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE /1000 CREDIT RATE
$0.00 x $0.00
o
=
$0.00
TOTAL MWMC CREDIT
225 Fifth Street
Spriitgflt;'ld, Oregon 97477
541-726-3759 Phone
.
-~. ~~...... .J
Wi:. .:
, ,
,.. ,..... .-
c.l* of Springfield Official Receipt
_elopment Services Department
Public Works Department
Job/Journal Number
COM2007-00358
COM2007-00358
COM2007-00358
COM2007-00358
COM2007-00358
COM2007-00358
COM2007-00358
COM2007-00358
COM2007-00358
COM2007-00358
COM2007-00358
COM2007-00358
COM2007-00358
COM2007-00358
COM2007-00358
COM2007-00358
COM2007-00358
COM2007-00358
COM2007-00358
COM2007-00358
COM2007-00358
COM2007-00358
COM2007-00358
COM2007-00358
COM2007-00358
COM2007-00358
COM2007-00358
COM2007-00358
Payments:
Type of Payment
, Cred itCard
cReceintl
RECEIPT #:
1200700000000000629
Date: OS/25/2007
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Fire SF Fee - Residential
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
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
HAYDEN ENT
Item Total:
t:heck Number Authorization
Received By Batch Number Number How Received
djb 031953 In Person
Payment Total:
Page I of I
10:46:35AM
Amount Due
31.00
2,303.00
106.00
38.00
106.85
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
75.61
105.13
142.10
$8,496.60
Amount Paid
$8,496.60
$8,496.60
5/2512007