HomeMy WebLinkAboutPermit Building 2006-3-20 (4)
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~; 'J 225 Fifth Street, Springfield, OR
~ [~541-726-3753 Phone
i@541-726-3676 Fax
~l; 541-726-3769 Inspection Line
.- CITY OF SPRINGFIELD
Building/Combination Permit;
',:
PERMIT NO: COM2005-01552 ~
ISSUED: 03120/2006
APPLIED: 11/02/2005
EXPIRES: 09/20/2006
VALUE: $ 282,900.00
SITE ADDRESS: 1060 Diamond Street
ASSESSOR'S PARCEL NO.: 1703342103000
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~ TYPE OF USE:
!' PROJECT DESCRIPTION: Single family residence- Aspen Park subd lot 13
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'" i Owner:
, ~ Address:
MICHAEL CUMMINGS
1265 W OLYMPIC ST ,
SPRINGFIELD OR 97477
't
~; .j Contractor Type
.; t.~
'!I !ll General
, iJ; Electrical
1 Mechanical
Plumbing
Springfield TYPE OF WORK: Single Family Residence
New
Residential
Phone Number: 541-302-4889
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!lOTIS::::
, CONTRACTORIINI1ORMi\iT"i6~;..l EXPIRE IF THE WORK
~Ul nunIL~t, J.lvttl THIS PERMIT IS NOT
Contractor COMME~mcMB IS /'JMl"i?lt'ii~.9DQre Phone
CONSTRUCTION CONSULTANTS I!IlI;)t1l'll!lDll2dSil9'ERIOD. 02124/2008 541-688-1907
JEM ELECTRIC INC 161235 09/0712006 541-729-1074
PACIFIC AIR COMFORT INC 39237 0312512006 541-672-9510
EUGENE EXCAVATION & PLUMBING INC 138003 0412712007 541-988-0868
BUILDING INFORMATION I
,
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I # of Units:
i: Primary Occupancy Group:
; Secondary Occupancy Group:
!} ll. Primary Construction Type
U , Secondary Construction Type:
. # of Bedrooms:
~.
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.,
~,
;\)I''$.,
"';1"2--
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~ ~ Frontyard Setback:
:' ~ Side 1 Setback:
~: Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
i
r
Street Improvements:
Storm Sewer Available:
{.', .. Special Instruction:
, .
21.00
5.00
8.60
10.00
0.00
~
1
R-3
U
VN
# of Stories: 2 Lot Size:
Height of Structure 27.00 Sq Ft 1st Floor: 1,715
Type of Heat: Forced Air Gas Sq Ft 2nd Floor: 974
Water Type: Gas Sq Ft Basement:
Range Type: Gas Sq Ft Garage/Carport 560
Energy Path: ^ TTF -'ent Path Sq Ft Other:
Sprinkled BulilIing: NTION: l~/agon laOC'tunp~~ti~~ti: to
follow rLJle~ <'ldnnfed hv the ()(Annn Iltilitv
I DEVELOPMENT INFORMATION'''' Those rules are set forth
... ~'" , w~ vv' v~1 0 through OIREQUIRED PARKING
. 0090, You may obtain copies of the rllles by
Overlay Dlst: {'ailing the center. (Nnte: the If,T~~''':'ne, 2
# Street Trees Rqd: I ,. Handicapped:
P d D i R"uil,,,uer for the Oreoy"" Utility N'C"'IIl:H<llt'"
ave r ve q: 'Q( e~ ompac :
% of Lot Coverage: Center IS 1'30~silJ32'234'1).
3
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Downspoutsmralns:
Fully Improved
Yes
Curbside 5'
Curb and Gutter
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, ,Notes: Storm drainage piped to curb face 11/812005 CAS
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PalZe I of4
Issued
\ 225 Fifth Street, Springfield, OR
t '.
~,541-726-3753 Phone
:;- 541-726-3676 Fax
. 541-726-3769 Inspection Line
Description
A.C. - Residen
DwelIinlZs
GaralZe
Tvpe of CODstruction
AC - Residential
V Wood Frame
GaralZe
J;i Fee Description
':' Plan Review Residential
-MechaDical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
3 Baths One & Two Family
Addressing Assignment
Appliance Not Listed
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
Gas Fireplace
~ Gas Outlets 1-4
, Plan Review Major - PlanniDg
, PW Disc - 2nd Permit (Street)
... Residence Wiring 1000 Sq Ft
~~ Residence Wiring Ea Addtl 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWI\1C AdmlnistratioD
SDC MWI\1C Improvement
SDC MWI\1C 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
i.'" WilIamalane Single Family
Total Amount Paid
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. CITY OF SPRIr~td'lJ!.LD
Building/Combination Permi(:
PERMIT NO: COM2005-01552
ISSUED: 03/20/2006
APPLIED: 11/02/2005
EXPIRES: 09/20/2006
VALUE: $ 282,900.00
I Valuatinn Descriotioo I
$ Per Sq Ft
or multiplier
$4.00
$96.00
$25.00
Square Footage
or Bid Amount
2,689.00
2,689.00
560.00
Value
$10,756.00
$258,144.00
$14,000.00
$282,900.00
Date Calculated
11102/2005
1110212005
11/0212005
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Total Value of Project
U'PP< P~ilIJ
Amount Paid
$754.26
$10.00
$180.54
$126.38
$306.00
$31.00
$18.00
$1,160.40
$80.00
$6.00
$9.00
$12.00
$15.00
$4.00
$150.00
$-30.00
$106.00
$95.00
$553.03
$727.03
$10.00
$865.31
$82.03
$159.03
$63.00
$805.70
$182.69
$80.00
$1,214.80
$50.00
$24.00
$1,000.00
$8,850.20
Date Paid
1112/05
3120/06
3/20/06
3/20/06
3/20/06
3/20/06
3/20/06
3/20/06
3/20/06
3/20/06
3/20/06
3/20/06
3/20/06
3/20/06
3/20/06
3120106
3/20/06
3/20/06
3120106
3/20/06
3/20/06
3/20/06
3/20/06
3/20/06
3/20/06
3/20/06
3/20/06
3/20/06
3/20/06
3/20/06
3/20/06
3/20/06
Receipt Number
1200500000000001664
2200600000000000352
2200600000000000352
2200600000000000352
2200600000000000352
2200600000000000352
2200600000000000352
2200600000000000352
2200600000000000352
2200600000000000352
2200600000000000352
2200600000000000352
2200600000000000352
2200600000000000352
2200600000000000352
2200600000000000352
2200600000000000352
2200600000000000352
2200600000000000352
2200600000000000352
2200600000000000352
2200600000000000352
2200600000000000352
2200600000000000352
2200600000000000352
2200600000000000352
2200600000000000352
2200600000000000352
2200600000000000352
2200600000000000352
2200600000000000352
2200600000000000352
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PalZe 2 of 4
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. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01552
ISSUED: 03/20/2006
APPLIED: 1110212005
EXPIRES: 09/20/2006
VALUE: $ 282,900.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
LDAP Review
11/03/2005
1212812005
I Plan Reviews I
1110412005 APP
12/2812005 10
LLH
VRJ
LDAP Review
01/09/2006
0110912006 APP
VRJ
Full review LDAP required. Mic of
Construction Consultants was
contacted 2:45pm, 12128/05 and
plans to come in before the end of
the year and submit LDAP plans.
$600.00 due at issuance. LDAP Is
ready to be issued and at the front
counter. Spoke with Mick Hoover
1-9-06,2:35 pm - permit Is ready to
be picked up a"d he "plans to pick it
up in a few weeks". ,-
PlanninlZ Review
" Public Works Review
11104/2005
11104/2005
1210612005
11/0812005
APP TAJ
APP CAS
,
Storm drainage piped to curb face
1118/2005 CAS
,
, Structural Review
11104/2005
11/23/2005
APP TCM
""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.
L....U.sr1 '-''''I'lrI ~
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.
Curhcut - Standard: After forms are erected but prior to placement of concrete.
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 sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have beeD 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.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
PalZe 3 of 4
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. CITY OF ~rKlj~ld'1J!.LU
Building/Combination Permit
PERMIT NO: COM2005-01552
ISSUED: 03/20/2006
APPLIED: 1110212005
EXPIRES: 09/20/2006
VALUE: $ 282,900.00
Status
Issued
,225 Fifth Street, Springfield, OR
541-726-3753 Phone
, 541-726-3676 Fax
541-726-3769 Inspection Line
,
UnderOoor 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.
UnderOoor Mechanical. Prior to insulatioD or decking and including required testing.
UnderOoor 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 MechaDical: 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 ail
times during construction.
i (#~ /LL/ ~r; Lo~/4J6s
Owner or Contractors Signature
J. zo-~
Date
PalZe40f4
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NM
cf assel;m;t
nOI'jG~{{'!) ,
m FIFfH STREET. SPRINGFIELD, 0/197477 . PH:(541)726-3753 . FAX7(541)7~~~~9 rifiJtl!:
ELECTRICAL PERMIT APPliCATION '1.""'oC;':::, "
Dale
City Job Number ...I-OMAWO' - 01 S'S" 7.... .Date _/Z.~":,~C~,
lI!'OOMPBETEFEE;SCiIEi5f)LE1ifEi()~~. " '?~'~I~~""'1li~
3. ~Ji",.<"~"""~..~;::;j.".v.~~~,__......__,",,,,n.d'~-"':'"\1>l:~lt~Jlij;n~~~
1. fLOC4.TIOMOR1NST:;in'li(TIdM~
~-. '~~"-''\;o~...'i&.:..:.:.n..i""."".~<-.~~.....,,,,,,"....~._...;'S;'~~
: 10 be;' ~WlON.;a
LEGAL DESCRIPTION
J70'3Jt.tl.I
JOB DESCRIPTION
StA.C, / t.r .c-. .I~ $ ~p fi.,t-iL
Permi~ are non-traDsf.{abll.:'nd expire if work is
;- not started withiD 180 days of issuaDce or if work is
Suspended for 180 days. . ' .
~oNTRW'CfO&~AliHATION70~
2. ~.lO~~;M~~L,,,,,,~,-,,,,,'''~~~A~~~_'''-~ .' .
Electrical CODtractor _ ~ T [ lJV\.
~ 7:d /1.~
PhODe 719-/07{
Address
t/J.9
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1
City
Supervisor License Number
Expirntion Date
Constr, Contr, Number
Expiration Date
I
S~7~~
r;ij/t~
~ress / .:t6
City S P p)..
OWNER INSTALLATION
sr:-
03u......~
t.{ 7 o~ ':)
If) -/ ':"07
80-59. 7 C
'7 - I - 00
Electriciao
......
r..,....."""', u c. (
- 7
Diy..., p, '- '
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Phone 5'02 -l/W '7
The installation is being made 00 property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request:
~
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726-3769 ~ \'0: t)o
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A. ~~~~!!!.t'ili!!;;'.l~i!!~,~J1l:pgs$~~m!1gl~~
Service Included
1000 sq, ft or less
Each additional 500 sq, ftor
p()rtion thereof
I
5:
lob
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Sl06,OO
S 19,00
Each Maoufact'd Home or
M~IiI~fi.Eelling Service or . .
, FCl\ckrS PERMIT SHALL EXPIR: I~ HH: Wl$iW\OO
- g' .f,_~f):_,. , .. '1l:IdICl~' \ !.ln~!llDl._.,.~,,,",,. .
B. n"", " .IMtiilllilt 'lJi"o ." ,..,-. !l5".' .-'~~"""R ~I""~-~ t' "~"'.-
. " . IC~ 'W' ~ I;"S~i9t' '~~~~s~r~.~o~a,IO~~~'..
20~pl~Pl~Y PERIOD. S 63,00
201 Amps to 400 Amps S 75,00
401 Amps.to 600 Amps SI25,OO
601 Amps to 1000 Amps SI63,OO
Over 1000 Amps/Volls S375,OO
Reconnect Only'S 50,00
c. Elif~~'OF:i':"!s~~~~r'fir.~'S"l'l1!j'il';'~;."S.~\i"'I!i.",;1;l'fll"J.1~
~ .,...~.It...nn..-ry.1."" ...~. '...~;l.........~-._...,. ~'" '_";"1':"..,,',.l:f~I.;\~~.. ~l!r'
Installation, Alteration or Relocation I
200 Amps or less S 50,00
201 Amps to 400 Amps S 69,00
4011Aii1j:i-SliOf/i00>Amps' law reqUires you.t'S100,OO
'~lIrw' "II"~ ador.t"rl hv tile Or"UUII ulI,l\y
O,:er 600 Aiiips!,r 1000yolls,sec;,:;B.:;.ab9Yijie; th
DNw'B''''=. "'/i''';c', .~llt'I~."~~. L!;i;""~'~"";':~'''~''.'' "E'<"'''f'VO,.+.!.',....-'~
. 1:.. ranc ' 'lrCUlu +..!': "~R~~~ I ,;q; " .~.~-:.,..:.rr.~~~.'~~~..:rtJ~
In~/".~"':.'t,~I..lt,~,n~..":\:.., , -~. ~l. "', ,~~'$", ."t,....... ..,........
ll'lew,Alteratio!1or:'Extensiii'Ji:Per'p,i'n1fu1es by
. t' , ,...
One Circuii'r f.<".t -r (;nt ,: ! 'r,' :'.1C'n S 43,00
Each AdditionaJ. Crrcuit or ~th". on
Service or Feeder Permit S 3,00
50
E. i~ill~~~(~t@.~ilf~1mE~j)!i€!~1~,~~~~1~~~ij~illfi1
Pump or irrigation S 50,00
Sign/Outline Lighting S 50,00
Limited EnersylResidential S 25,00
Limited Enersy/Commercial S 45,00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
\!("";;;'''''~'''''''''''''''',..:l1l~ili''''''''",~.,'i' .':rJ~_'~ ... ._~'." 2- or!
4. ~''SUBTOTAL';OE'ABO,lm !11J.t,",f~'\( '<,u -. ~
s:t;\/,\.~':'>t.'h~....~,f\~.~:;r~I.::F.~..<,' ;.t~~. ~"':'~.
17 f7
'ZS"o
2'7367
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)IBuilding FonnslElectrical Permit Application I.oJ.doc
'. ~. CITY OF SINGFIELD SYSTEMS DEVELOPMEaORKSHEET
JOURNAL OR JOB NUMBER: COM2005-01552
NAME OR COMPANY: Mike Cumminl!S
LOCATION: 1060 Diamond
TAX LOT NUMBER: 1703342103000
DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE
NEW DWELLING UNITS I BUILDING SIZE (SF' 3249 LOT SIZE (SF):
I. STORM DRAINAGE
II ~
10
IU
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7358 I-<
- Vl
a
~
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S,F, x I COST PER S,F, I CHARGE
3761.00 I $0,323 = I $1.214,80 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 $0.323 I 50% I ~ I
ITEM I TOTAL - STORM DRAINAGE SDC $1,214.80
DISCOUNT
$0,00
$1.214.80 I 1070
2, SANIT AR Y SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x COST PER DFU
I 29 I $25,07 $727.03 1091
B. IMPROVEMENT COST: I
I NUMBER OF DFU's I x
I 29 I $19,07 = , $553.03 11092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC =, $1,280.06 :1
), TRANSPORTATION
A. REIMBURSEMENT COST:
I ADTTRIPRATE I x , I NUMBER OF UNlTS I x I COST PER TRIP x INlOW TRIP FACTORI
I 9.57 I I 1 I I $19,09 I 1.00 ~, 5182.69 1093
B. IMPROVEMENT 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 I $84,19 I 1.00 $805.70 1094
ITEM 3 TOTAL - TRANSPORT A nON SDC =, 5988.39
4, SANITARY SEWER - MWMC
A, REIMBURSEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I I I $82,03 = $82.03 1 1054
B. IMPROVEMENT COST:
INUMBER 7F FEU's I x ICOST PER FEU
I I $865,31 = $865.31 11055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) SO.OO 11054
MWMC ADMINISTRATIVE FEE 510.00 1 JOS6
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I S957.34 I
SUBTOTAL (ADD ITEMS t, 2, 3, & 4) = , $4,440.59
5, ADMINISTRATIVE FEE' II
I SUBTOTAL x ADM, FEE RATE 1= CHARGE
I $4.440,59 5% I $222,03
TOTAL SANITARY ADMINISTRATION FEE: 159,03 ,11079
TOTAL TRANSPORTATION ADMINISTRATION FEE: $63,00 1078
Cheryl Slaymaker 11/812005 TOTAL SDC CHARGES =, $4,662.62 ,I
PREPARED BY DATE I
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DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUlV ALENT ~ DRAINAGE FIX11JRE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY TIlE NET ADDmONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EOUIV ALENT UNITS
I BATHTUB 2 0 3 = 6 'I
I DRINKING FOUNTAIN 0 0 1 = 0 I
I FLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE 1 OIL 1 SOLIDS / ETC. 0 0 3 = 0
I INTERCEPTORS FOR SAND 1 AUTO WASH 1 ETe. 0 0 6 = 0
I LAUNDRY TUB 1 0 2 = 2
ICLOTHESWASHER 1 MOP SINK 1 0 3 = 3
ICLOTHESWASHER - 3 OR MORE (EAl 0 0 6 = 0
IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRlG / WATER STATION / ETC, 0 0 1 = 0
RECEPTOR FOR COM, SINK 1 DISHWASHER 1 ETC, 0 0 3 = 0
SHOWER. SINGLE STALL 1 0 2 = 2
SHOWER. GANG (NYMBER OF HEADS\. 0 0 2 = 0
SINK: COMMERClAURESIDENTIAL KITCHEN 1 0 3 = 3
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASINIDOUBLE LAVATORY 1 0 2 = 2
I SINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 = 2
I URINAL, STALL 1 WALL 0 0 5 = 0
ITOILET. PUBLIC INSTALLATION 0 0 6 = 0
ITOILET. PRIVATE INSTALLATION 3 0 3 = 9
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 29
.EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 Rallons per day
MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR CREDIT RATE/$I,OOO r
ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2
BEFORE 1979 $5,29 (Enter I for Yes, 2 for No)
1979 $5,29 . IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT? 2
1980 $5,19 (Enter I for Yes, 2 for No)
1981 $5,12 BASE YEAR 1979
1982 $4,98
1983 $4,80 CREDIT FOR LAND (IF APPLICABLE)
1984 $4,63 VALUE/1000 CREDIT RATE
1985 $4.40 $0,00 x $5.29 ~, $0,00
1986 $4,07
1987 $3,67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXA nON)
1988 $3,22 VALUE / 1000 CREDIT RATE
1989 $2,73 $0,00 x $5,29 0
1990 $2,25
1991 $1.80
1m $1,59 TOTAL MWMC CREDIT = $0,00
1993 $1.45
1994 $1.25
1995 $1,09
1996 $0,92
1997 $0,72
1998 $0,48
1999 $0,28
2000 $0.09
2001 $0,05
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215 Fjfth SJr.l!et
Springf!eld, Oregon 97477
,541-726-3759 Phone
,..
Job/Journal Number
COM2005-0 1552
./
COM2005-0 I 552
"
COM2005-0 I 552
1 COM2005-01552
! COM2005-01552
1 t.,
I COM2005-01552
, CbM2005-01552
COM2005-0 1552
CbM2005-0 1552
CPM2005-0 1552
COM2005-0 1552
COM2005-0 1552
. COM2005-01552
COM2005-0 1552
COM2005-0 1552
~ COM2005-01552
, COM2005-01552
dbM2005-0 I 552
dbM2005-0 1552
COM2005-0 I 552
i COM2005-0 I 552
I COM2005-01552
, ,t:OM2005-0 I 552
. CbM2005-01552
cibM2005-0 1552
ctJM2005-0 1552
C6M2005-0 1 552
COM2005-0 1552
COM2005-0 1552
, COM2005-01552
COM2005-0 1552
Payments:
Tvpe of Payment
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RECEIPT #:
...ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
2200600000000000352
Date: 03/20/2006
Description
Stonn 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 SanitarylStonn Admin
SDC Transpo Admin
Building Pennit
3 Baths One & Two Family
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Gas Fireplace
Appliance Not Listed
-Mechanical Issuance Fee-
Plan Review Major - Planning
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 7% State Surcharge
+ 10% Administrative Fee
Addressing Assignment
Willamalane Single Family
Temp Power 200 amps or less
Sidewalk Pennit
Curbcut Pennit
PW Disc - 2nd Pennit (Street)
Paid By
CONSTRUCTION
CONSULTANTS LTD, INC
Received By
ddk
Page I ofl
Item Total:
Check Number Authorization
Batch Number Number
3935
How Received
In Person
Payment Total:
10:43:03AM
Amount Due
1,214,80
727,03
553.03
182,69
805,70
82,03
865,31
10,00
159,03
63,00 .
1,160.40
306,00
12,00
24,00
9,00
6,00
4,00
15,00
18,00
10,00 _
150,00 I
106,00
95,00 '
126,38
180,54
31.00
1,000,00
50,00
80,00
80,00
(30,00)
$8,095.94
Amount Paid
$8,095,94
$8,095.94 " .