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Home My WebLink AboutPermit Building 2009-12-15 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01777 ISSUED: 12/15/2009 APPLIED: 12/14/2009 EXPIRES: 06/15/2010 VALUE: $184,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5762 ORCHID LN ASSESSOR'S PARCEL NO,: 1802033304600 SPRINGFIETYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence - SAME AS COM2009-01356 Residential Owner: HA YDENHOMES LLC Address: 2464 SW GLACIER PL STE 110 REDMOND OR 97756 I CONTRACTOR INFORMATION I Contractor Type Contractor License Expiration Date Phone BUILDING INFORMATION' 3 # of Stories: ' Height of Structure 16,00 Type of Heat: Fnrced Air Gas Water Type: Gas Range Type: Electric Energy Path: Sprinkled Building, n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 1,235 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Cnnstruction Type: # of Bedrooms: I R-3 U VB 400 ! DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: Total: # Street Trees Rqd: I Handicapped: Paved Drive Rqd: Yes" Compact: % of Lot Coverage: - 36,30 t , \ w requires you 0 " , A,TTENTION: Ore?o~ ...~ ,~o ,nreaon Utility I PUBLIC IMPRo.{im~iit~~t;r:-Those ru~e~:~ :;~~~b~: Streetlmpro'3{rr,.trlis: E""iR&'~J~E~OKt\ InOAR952-001-0PdP~e~~ltherUleSbY " _ ~: " '''\1~'\1 SHAll ,^,u, mp I~e - NOl 0090. You may 06 ~jlw. telephone Curbstde 7 Storm SewerIXv,Rlable; \J~DER 11-1\S PERM te calling the cen1Jl\,w~!ili{{A'8t'IticaUon Curb and Gutter Specia"ns(i:wi1iibIiRIZED S r'l?:, W~~'i{I~eJg!f@ili~ephole number tor the Orego~ "J~_2344). COMMENCED 0 Center Ie 1.so~ Note~: ANY 180 DAY PERIOD, ' Frolltyard Setback: Side I Setback: Side 2 Setback: RearyardSetback: Solar Setbacks: 18,00 5.00 5,00 22.00 10.40 2 ,Iyaluation Descriotion I . "..~.l."-_".A.Jv~"" Description Type of Construction $ Per Sq Ft - or multiplier Square Footage or Bid Amount Value Date Calculated Page I of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Fee Description + 12% State Surcharge + 5% Technology Fee + 5% Technology Fee 1st Appliance 2 Baths One or Two Family Addressing Assignment Appliance Vent Building Permit Credit - Trans Improv SDC Corbeut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Gas Outlets 1-4 Plan Review Major - Planning Plan Review Same As PW Disc - 2nd Permit Residence Wiriug 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 Tran Reimburs-Residential SDC Trans Improvement-Resident SDC Transportation Admin Sidewalk Permit Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan Willamalane Single Family Total Amount Paid Total Valne of Project ,~ CITY OF SPRINGFIELD Building/CC?mbination Permit PERMIT NO: COM2009-01777 ISSUED: 12/15/2009 APPLIED: J:Z/14/2009 EXPIRES: 06/15/2010 VALUE: $ 184,000,00 Amount Paid Date Paid Receipt Number $213,44 12/15/09 1200900000000001330 $7,30 12/15/09 1200900000000001330 $106,78 12/15/09 1200900000000001330 $79,00 12/15/09 1200900000000001330 $337,00 12/15/09 1200900000000001330 $38.00 12/15/09 1200900000000001330 $9,00 12/15/09 1200900000000001330 $1,050,63 12115/09 1200900000000001330 .., ," 1200900000000001330 $-931.65 ' 12/15109 $88,00 ' 12/15/09 1200900000000001330 $9.00 12/15/09 1200900000000001330 $13.00 12/15/09 1200900000000001330 $81.75 12/15/09 1200900000000001330 $7;00 12/15/09 1200900000000001330 $211.00 12/15/09 1200900000000001330 $250,00 12/15/09 1200900000000001330 $-30.00 12/15/09 1200900000000~01330 $134,00 12/15/09 1200900000000001330 $50.00 12/15/09 1200900000000001330 $529.11 12/15/09 1200900000000001330 $695.83 12115/09 ]200900000000001330 $10.00 12115/09 1200900000000001330 $1,044.54 ]2/15/09 1200900000000001330 $101.97 12/15/09 1200900000000001330 $153.18 12/15/09 1200900000000001330 $211.2] 12/15/09 120~900000000001330 $931.65 12/15109 1200900000000001330 $16.04 12/15/09 1200900000000001330 $88,00 12/15/09 1200900000000001330 $791.67, 12/15/09 1200900000000001330 $63,00 _.J'. 12/15/09 1200900000000001330 " $27,00. 12/15/09 1200900000000001330 $2,858,00 12/15/09 1200900000000001330 $9,244.45 Plan Reviews I Paee 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-01777 ISSUED: 12/15/2009 APPLIED: 12/14/2009 EXPIRES: 06/15/2010 VALUE: $ 184,000,00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54]-726-3676 Fax 54 ]-726-3769 Inspection Line Plan nine: Review ]2/14/2009 ] 2/i'4/2009' APP DDK Access restricted to ] driveway/lot. Follow street tree plan. ]s at minimum side setbacks, Inspector to lield verify placement. Contractor to provide a copy of the survey at time of site inspection. Storm water to curb via weep hole As noted on plans Public Works Review Structural Review 12/] 4/2009 12/14/2009 12/14/2009 ] 2/1 4/2009 APP APP LKW CJC 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, L..Reo Ilireq.J n~npt,ioNJ Erosion/Grading 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. Ufer Electrical Ground: Install ground rod at,footiQg ~nd call for inspection in conjunction,with footing and/or found3tion inspection. , t ; Footing: After trenches are excavated, >Foundation: After forms are ere~ted but prior to concrete placement. Post and Beam: Prior to 11001' 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 laping, Masonry: Final Building: After all required inspections have been requested and approved and the huilding is complete. Perimeter Foundation Drains: After gravel and IiIter cloth is installed but prior to backfill, Underlloor Plumbing: Prior to insulation or decking, Underlloor Drain: Prjor to cover or placement of concrete, Rough Plumbing: Prior to cover and includinii'reqtiired testing, Water Line: Prior to filling trench and including required testing, Sanitary Sewer Line: Prior to IiIling trench and including required testing, Pa2e 3 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01777 ISSUED: 12/15/2009 APPLIED: 12/14/2009 EXPIRES: 06/15/2010 VALUE: $ 184,000.00, 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Storm Sewer Line: Prior to filling trench, Final Plnmbing: When all plumbing work is complete, Underfloor Mechanical. Prior to insulation or decking and including required testing, Underfloor Cas: After line is installed and required testing and capped if not attached to an appliance, Rough Cas: After line is installed and required testing and capped if not attached to an appliance, Cas 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 Cas: 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 company energizing service. Final Electric: When all electrical work is complete, 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 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. o2:rQ:.:.-j- ~) '. kJ-/s-OC} Date Pa!!e 4 of 4 5AME As s 7 C; 0 f\.1,COt; C1., H-c,. StrUl ' Permit Application - 225 Fifth Street. Springfield, OR 97477 . PH(54 ])726-3753. FAX(54 1)726-3689 ~PRINGF11!"O ~l~;.o,<,~:,.,,\ LJ~ii,:;~~c-~dfj~~ "h",- b6 --" ~~~~ 'o7JIJI ~~ I tiEPARTMENTUSEONL~ COIMZOO '1- 01 , ? 7 Permit no.: I Date / Z'- ICf-C> '7 This permit is issued under OAR 918-460-0030, Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days, 1-" ',' -!;,:IlQ(;'A~:(;'95t~@iViEN.tj;I,(F?,RRQV;.;li';;i'::,::,,~jjj;;j::!i:';:I 1 ~~~~;~O;e~ct has final land-use approval. Date: 1 I- -." " . :_',~.:'.;. ';":~:::';.F~~ >s'cHfpUL~:~::";:~:_. ::,:,'.~'_:'":f':"'!.''-:'-,'~'''' ;",: 1 . I T~is project has DEQ approval.. "I 1-'~i:<Y.~tfi.,~:'~Tbff::"I.~.to'~i#~~tr9W;:~~:::~~'.'i(1~j;:i;1':}}:~:}~f-;)');W,~:;,}~::~;.:f;:~':~:1':':r/,;{a~;,;.i~I Signature, ' Date; I (a) Job description, s.,...,/, ~.I rzcr..:. I I Zoning approval verified, 0 Ves 0 No 1 I Occupancy Ii ') /LA ' 1 I, I Property is within flood plain' 0 Ves 0 No 1 I Construction type' f V /'J. I, 1~;t~t~~~~j!.7l(,~~'Gi\t~9-9BY~~9.5~.GJ~iN.$jiB~,G~rt(~~~t~~:llU~\:;~';'tiLi~~1\~i,'1 1 Square feet; 1)3S- hClv~r ~"'fC -0/00 I I ~ Residential I D Government J 0 Commercial' I 1 Cost per square foot: 1 l!i\~;j;;',;"~i8giB]\;SIIET.iNi;:0RI\ifA1;fEjN~f,\@~'~6,CA,j'.rQNi~!8;~f;';l~\1 1 Other information. I I Job site address; .-.;7(,,';] OrChitA L~,)". I 1 Type of Heat: (""""" 2'l'i I 1 City, "~r,' .(."/,,1 1 State; O~ I ZIP, 97'17'if. I 1 I } ~ Encrg)' Path: ,:).A.. 1 Subdivision, ;b,e>-r, I Lot no,; "J'13 1 1 "" 0 ' 0 I - l.AJ new alteratIon addition I Reference/8oZ.03:S=~ 1 Taxlot blf bc",Cb, 1 1 " I I ' 1 (b) Foundation-only permit? 0 Ves ~ . '.. P.ROPERTY OWNER'. I I I I ' 1 Total valuation: $/8'/:,000 I ~:;r:ss :;2t: f-Iow,.~, f-:/a',y( , 1 1{7,B'iiil#iitg'te~si1i~t:!j!{i-";;ih~:~ii1)j.i;'1;';';\\i'$:i',!'c',),y,t;:;,'!!,;,{,i'f::,:.':il I' fL (W 1 I 1 (a) Permit fee (use valuation table), $ City' t'l"J .MMr.A State; 0 Q ZIP:<177,(" I I ' ' _ "' I (b) Invesligativefee (equal to [2a)); $ Phone, ~I .:l2R t.:;q..,~ Fax; , I (c) Reinspection ($ per hour), I E-mail: I (number of hours x fee per hour) $ This installation is bein? made. on resi~ential o~ farm property ~wne? by 1 (d) Enter 12% surchar e (.12 x [2a+2b+2cl)' $ me or a member of my ]mmedlate family, and ]s exempt from IIcensmg g requirements under ORS 701.010, 1 (e) Subtotal of fees above (2a through 2d): . $ I ~/2 L 1~'3"'1'R';"I"-i':c'\'1"~i''')''-;~':''''''7P'''''i'''''Ji'nr~<fDi;~::;;:Jtt!l~~!H,'I~::';'~",}:~\W;:it<t:~. ," ~;';!l:;3'{f,;~~rJ!~'(~tfi}tiw_~:f'l S. 'J ,; i an,revle_WiJeeSY,iv~,'l':'",.J,~;,-,~~\",.~;/l't::j_1','"",;..oo~, . ,"';:-S'.Z"'l~'<:""'\~~J~?{.;."13;,,,,., Ign here. .,. ,.. ._" ,.."..... ".-. __"_r~' .,. ,~,-,- " ..f.__,<-. . --,. .-_,.. ", ...._. " ._.'..,."...J. ':')',.;r,i:I'. '."_"',~ '~_d' : ~-:C',' /1'/", ""', i l.' ,'.' " ' " : 'I 1 (a) Plan review (65% x permit fee [2a)), JO 1 $ C~ Q 1 , ' CONTRACIOR dNS:r,,,,,,LATION.,,, , I Business na~e' I-/..'{A;~ -, !-b:~;<- ,,'.'-" 1 : (b) Fire and life safety (40% x permit fee [2aD' $ : : ~i:ress'i::;:n;rtv /.;;" a-' ~a;e; ~R 1 ZIP&f7)-,<- :' IRf~M~;l:;;~~~~~~~;;;~~f!~ai,;;~~:~1~~\tiF.,i;;'S':;~2~'J{H:\;:Vi~;;.~,:1 I , - 1 (a) Seismic fee; 1% (,01 x permit fee [2a]), $ Phone;54I-~-t,q,,\~ Fax;~/-~1 ~,;l5n I I TOTAL fees and surcharges'(2e+3c+4a): $ E-mail: 1 CCB license no,; 1;U of? \ Print name: I Signature: I:~~~'~Y ~l~q~~~~S.Q.~:~G~Nm~A~illbf{ilr~ff,OR_M.At!Qr;t~~%~~&l~f;~W~~~:~l Name Electrical Plumbing Mechanical ceB License NumberDnJ)~ 3/71(} 3Q:;J,37 Phone Number Electrical Permit Application D 225 Fifth Street+Springfield, OR 97477tPH(541)726-375HFAX(541)726-3689 SPRINGFIELD ~ !~.mf{~R,~r~R~-~~~jl~1{~~.~1 i '~~,'~ I (o.lMZ:OO"~O/777 I ~ ~'~ PenTIlt no,; I Date; (Z-li/~O' I This permit is issued under OAR 918-309-0000. Permits are nontransferable, Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days, I1;tJll1!"~r~I!'Q:G"Kl!;[(tQgJ;@Mi:Nifl9f~e!ifR.QVl(~~~1 I Zoning approval verified? 0 Yes 0 No I 1~~\ij[%.m.I;!:>]QRy(iQf,&jQJiir:t$j]iB!!.!'G.lij(I~:r~i~4f;;~~ ~;;J~~~~fjt;~iIJ!i~;~~~~;~N~!~~G~;~~~J I Job site address; 57{PJ. Orczh.cl, I>,~.. I I City: 'Yx"",C:~ iot I State; oK I ZIP: '17'178. I ~;~~;.,l!h~~~~JF,j~wJ~~~~~~TI I J..Ii.u~ I Jir~fr~" - I 1~~~BJ~lili'A.0~li~~~~~~1itJ I ~:~ ::;oo~:: ;~; : ::::: : I Name; l-L'-/J~V\ Kevr-t' <;, I I 401 to 600 amps (2) $158,00 $ I Add ,,/1ft r ' I I 601 to 1,000 amps (2) $205.00 $ ress: ,./~'Ct../ Sw (-)1"0'; Ins f') I "'77'<'" I lOver 1,000 amps or volts (2) $469,00 $ City: I< ,,01 VVlCOVl vf tate: 0\ 1<' ZIP: I "><0, I Phone:5'!i-.2>8-1O'))5' I Fax:9'/1-7'11-,;!57;;', I I Reconnect only (2) I $ 63,00 $ I E-mail:' I I Temporary services or feeders: installation, alteration, relocation This installation is being made on residential or farm property I 200 amps or less (2) $ 63,00 $ owned by me or a member of my immediate family, This I 201 to 400 amps (2) $ 87.00 $ property is not intended for sale, exchange, lease, or rent. OAR 479,540(1) and 479,560(1). I 401 to 600 amps (2) $126,00 $ SignahIre: lOver 600 amps or 1,000 volts, see services or feeders section above 1~~G:0NJii~Gjjf:OBmU~S)Jj1gJ!I!'.(X1'-IlI~JIj~{i;w1i'il1 I Branch circuits: new, alteration, extension per panel I Business name; 7;;p \\},,~(~ F I pC I I a, Fee for branch circuits with purchase ofa service or feeder fee, I Address; ~O~ A (ovt?-( (-\-, I I Each branch circuit I I $ 6,00 I $ I City: &. ",,), I State; oR. I ZIP: I I b, Fee for branch circuits without purchase of a service or feeder fee, I Phone:.9II'-3fi-19'1'6' I Fax; I I First branch circuit (2) I I $ 55,00 I $ I E-mail: I I Each additional branch circuit $ 6.00 I $ CCB license no.: -IY- 3roC 1 BCD license no.: {.1.2r1. I ,I Miscellaneous fees: service or feeder not included Signing supervisor's license no.: 4 0 S' 4. .5' I I Each pump or irrigation circle (2) $ 63,00 I Print name of signing supervisor; \ I ,~.r-l s-h.. (c. k. W I Each sign or outline lighting (2) $ 63,00 I Signature of signing supervisor:' , /? /? I - n ,.-,' ~ L I Signal circuit or a limited-energy panel, I $ 63,00 I $ . . 'U, ~ r~~..x \.L.~ ~ alteration, or extenSIOn (2) \~~ C\ \)J \~.O ('l A ~. \ c[).. 'f/ ~ ~ ' I TOTAL fees and surcharges (A through C): 440-2584-1 (9/08/COM) $134,00 I I I I I I I I I I $ $ 25.00 $ $ 32,00 $ $ 63.00 $ Services or feeders: instal/ation, alteration, relocation $ $ $ $ $ f'l ~. Willamaiane 't-w ,Park & Recreation District Job. No, {!1~ /'l?'7 SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2009 NAME: HA'--j- DEN' H-oM.E:.5 " .., ----- ----~DD~~~~:;~,,4:5~ &~,f~l!:"EIn' ,z.pMIJD PHONE: ?-'2...0 (j;~JS- . .,- "~---~._-_.,.-----_._._------ -.:-_. - -. STATEM-zIP: q '74?'i ,LOCATION OF PROPOSED.BUILDING SITE: Street Address: S:-7f4.2.' cJ~NJ ' :Plat Name: Tax Lot Number: /;"2- (::r~.r:3 7'6a:;:J , 1: DEVELOPMENT TYPE (ChecK appropriate dwelling(s), Dwelling'type definitions are on the, back.)'. " ,A Sinale-Family Detached , 'NO. OF UNITS ( , X$2;858 per unit = . $ :l-r:T6 B. Sinale-Familv Attached - . - . NO, OF UNITS , >\ $3,100 p,er unit = $ , ' C. 'Multi-Familv Abartment .' . . , , '. NO. OF UNITS X $2,641 per unit = ,$ D. Sinole Room Occuoahcv NO: OF UNITS X$1 ,321 perunit~ $' , E. Accessorv Dwellina Unit NO. OF UNITS WII:'LAMALANE SDC X$1 ,550 per u'1it = .. $ $ .-.- ---- 2,' SDC CREDIT (Ifapplicable) SDC payer must furnish proof of , WillamaJane Credit approvaL) , " $ '3, TOTAL WILLAMALANE NET SDC ASSESSED (if SDC ,reduced for Credit) ~ $ ~SlT 12/~ ~/ . Date "'\'~' , , ,,~ "Deveiopment SeNices De-paitmerit CitY of Springfield ' " , 5 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER, COM2009-01777 NAME OR COMPANY; Hayden Homes LOCATION; 5762 Orchid TAX LOT NUMBER: 1802033304600 DEVELOPMENT TYPE, Single Family Residence NEW DWELLING UNITS I BUILDING SIZE (SF: 1635 LOT SIZE (SF); ) STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S,F, x I COST PER S,F, CHARGE I 2117,50 I $0.374 I = I $791,67 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 $0.374 I 50% I = ITEM 1 TOTAL - STORM DRAINAGE SDC I $791.67 2 SANITARY SEWER -r.JTY f/J U-1 a o u ~ U-1 --' f-. f/J G gj DISCOUNT $0,00 $791.67 1070 A. REIMBURSEMENT COST; I NUMBER OF DFU's I x I 24 I B. IMPROVEMENT COST, I NUMBER OF DFU's I 1 24 I COST PER DFU $28,99 $695.83 ,11091 I 11092 I x COST PER DFU $22,05 \. $529.11 ITEM 2 TOTAL - CITY SANITARY SEWER SDC ~ , $1,224.95 1 3, TRANSPORTATION A, REIMBURSEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP. x INEWTRIPFACTORI I 9,57 I ') I 22,07 I 1.00 $211.21 11093 B. IMPROVEMENT COST; I I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP I" x INEW TRIP FACTORI i 9,57 I I I I $97.35 I I 1.00 I $0,00 11094 ITEM 3 TOTAL-TRANSPORTATION SDC . ~ I $211.21 I I 4, SANITARY SEWER - MWMC A. REIMBURSEMENT COST, INUMBER OF FEU's I x I I ICOST PER FEU I $101.97 = $101.97 '. I 1054 .1 B. IMPROVEMENT COST: INUMBER OF FEU's I x I I I ICOST PER FEU I $1,044.54 = $1,044.54 1055 $0.00 i 1054 $10.00 11056 ____I _ji MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMlNlSTRA TIVE FEE ITEM 4 TOTAL-MWMC SANITARY SEWERSDC = , SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ , 5 ADMINISTRATIVE FEE, 1 SUBTOTAL x I ADM, FEE RATE I~ I $3.384,34 5% I TOTAL SANITARY ADMINISTRATION FEE; TOTAL TRANSPORTATION ADMINISTRATION FEE; $1,156.51 $3,384.34 CHARGE $169,22 153,18 11079 $16,04 11078 =, $3,553.56 I I' ,- Kaye Wilson 12/14/2009 TOTAL SDC CHARGES PREPARED BY DATE D~INAGE FIXTURE UNIT (DFlJ) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTIJRE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY TIffi NET ADDITIONAL FIXTURES) NO, OF FIXTURES UNIT FIXTURE TYPE NEW OLD EQUIVALENT BATHTUB 2 0 3 = DRINKING FOUNTAIN 0 0 1 = FLOOR DRAIN 0 0 3 = [INTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC, 0 0 3 = I INTERCEPTORS FOR SAND I AUTO WASH I ETC, 0 0 6 = [LAUNDRY TUB 0 0 2 = ICLOTHESW ASlffiR I MOP SINK 1 0 3 = ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = [MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = RECEPTOR FOR REFRlG I WATER STATION I ETC. 0 0 1 = RECEPTOR FOR COM, SINK I DISHWASHER I ETC, 1 0 3 = SHOWER- SINGLE STALL 0 0 2 = SHOWER- GANG <)'lUMBER OF HEADS) ,0 0 2 = SINK; COMMERCIAURESIDENTIAL KITCHEN 1 0 3 = SINK; COMMERCIAL BAR 0 0 2 = SINK: WASH BASINIDOUBLE LAVATORY 1 0 2 = SINK, SINGLE LA V ATORY/RESIDENTIAL BAR 1 0 1 = IURINAL, STALL I WALL 0 0 5 = ITOILET, PUBLIC INSTALLATION 0 0 ,6 = ITOILET, PRIVATE INSTALLATION 2 0 3 = MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = TOTAL DRAINAGE FIXTURE UNITS *EDU (Equivalent Dwelling Unit) is a discharge equivalent t.o a singl,~ f~~y dwe~!i!lS unitS:.~..DFU's) set at 167 gallons per day f I DRNNAGE FIXTURE UNITS 6 0 0 0 0 0 3 0 0 0 3 0 1 0 1 3 I 0 2 1 1 0 1 0 1 6 11 0 1 , 24 _IJ MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE CREDIT RATEI$I,OOO ASSESSED VALUE I $5,29' ,",,' '!:;:~!li:,~~,'"$""5""~,2'-"9"." ~;'H' "",-~$519 ~;'c~(l~~;~~ C $'1:80. t2~ ~ '$2,73 ~~:':,,, "I" $2,25 _ $:1'80 $1,59 - $1'~45 '1.25 1:09 '0:92 6:72 ' 0,48 ~0:28 _, ,,$0,09: ~, i~~;C :-.~r~Q;~Q5,,;~i~!@"~1;.:1!i~' YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 t9&4 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 199' 1999 2000 2001 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 CREDIT FOR LAND (IF APPLICABLE) VALUE I 1000 CREDIT RATE $0,00 x $0,0'0 2 I II 2 2005 I ~ , $0,00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE I 1000 CREDIT RATE $0,00 x $0,00 TOTAL MWMC CREDIT o = $0,00 I, i 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1777 COM2009-0 1777 COM2009-0 1777 COM2009-0 1777 COM2009-0 1777 COM2009-0 1777 COM2009-0 1777 COM2009-0 1777 COM2009-0 1777 COM2009-0 1777 COM2009-0 1777 COM2009-0 1777 COM2009-0 1777 COM2009-0 1777 COM2009-0 1777 COM2009-0 1777 COM2009-0 1777 COM2009-0 1777 COM2009-0 1777 COM2009-0 1777 COM2009-0 1777 COM2009-0 1777 COM2009-0 1777 COM2009-0 1777' COM2009-0 1777 COM2009-0 1777 COM2009-0 1777 COM2009-0 1777 COM2009-0 1777 COM2009-0 1777 COM2009-0 1777 COM2009-0 1777 COM2009-0 1777 Payments: Type of Payment CrcditCard cRcceintl RECEIPT #: Description Sidewalk Perniit Curbcut Penn it PW Disc - 2nd Penn it + 5% Technology Fee Stonn Drainage Impervious Area' Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Tran Reimburs-Residential SDC Trans Improvement-Resident Credit - Trans Improv SDC SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Stonn Admin SDC Transportation Admin Plan Review Major - Planning Plan Review Same As Building Penn it Addressing Assignment Willamalane Single Family 2 Baths One or Two Family I st 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 + 5% Technology Fee + 12% State Surcharge Paid By HA YDEN HOMES it~ City of Springfield Official Receipt Development Services Department Public Works Departinent 1200900000000001330 Date: 12/15/2009 8:36:08AM , i. Amount Due 88,00 88,00 (30,00) 7,30 791.67 695,83 529,11 211.21 931.65 (931.65) 101.97 1,044,54 10,00 153,18 16,04 211,00 250,00 1,050,63 38,00 2,858,00 337,00 79,00 27,00 9,00 13,00 9,00 7,00 134,00 50,00 63,00 81.75 106,78 213.44 $9,244,45 " Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid njm 051455 In Person Payment Total: $9,244.45 $9,244.45 ~: Page I of I 12/15/2009