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Home My WebLink AboutPermit Building 2003-12-24 (2) .' ; Status Issued . .- CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-01195 ISSUED: 12/24/2003 APPLIED: 12/02/2003 EXPIRES: 06/24/2004 VALUE: $ 151,388.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4046 Douglas Dr ASSESSOR'S PARCEL NO.: 1802061111700 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residen tial PROJECT DESCRIPTION: SFR Owner: BRUCE WIECHERT Address: 3375 PARK HILLS EUGENE OR 97405 Contractor License BRUCE WIECHERT CUSTOM HOMES 101717. L & E ELECTRIC INC 105475 COMFORT FLOW 460 STEVE R JOHNSOl'io...*-. 65065 ,","--:, -::'l ~~""1-_]\l:IILDlNG INFORMATION' 0 &'" ~\-~ ~~,~ # of Units: ~&.l ~~ ~ '<.~ # of Stories: !';, -f -0~f2>t:Size: Primary Occupancy Group: ;'$"1., -9.~ ~~ Height of Structure ~-j.~.gg:- ~-~I~t Floor: Secondary Occupancy Group~ <.:,; '\~ :1~~ Type of Heat: Force~~\GlIs,0 f:j ~:l<'~nd Floor: Primary Construction TYI!~~ ~~ v.jf Water Type: ,~~ 0 O,~ ~ ~'l..vi'_Wlsement: Secondary Constr~.io'!..(l:YP-S:~ {:> ~<;)' Range Type: 0<:' ~>i$' <:'~;O~ ~~I(';!tfll~e/Carport # ofBedrooms:~~ f<..~'~ ~~ ~<:;)'3 Energy Path: 0\0<$ 00'9 ,f:J0p~~1 d< \,~~-d1'her: _,,(::, ~ 'X. ~~ <;.;,<S>. \ <<<i; a~' '. A'I: ~ ~o il'':> '$'0 I~~.ious Surface Area: V", ,(J.~ ,,", '.' .($''.;.... -l\' ~O -' -f\, tl>< '~'~'~<r:o<::;, -J , DEvELOP~rnmotllil.li6N\'tO~-0':')!):P SETBACi& ~ ~t o~ ~d- P ~ u ~0' r/bO ~f"- ~ ~~ Ib1 f.I' ~~ J1t~ 0<:' cr'" Frontyard Setback: 18.00 Ove'lo'ra ~qj.~ eV' 0 ...- Side 1 Setback: 11.00 # Str ~~:R~~>i$',O\~";'(; 5 Side 2 Setback: 16.86 Paved Ur~ .~ 0'" ..r .., ~_,~'9- rYes Rearyard Setback: 20.00 % of Lot Cov~e: 30.80 Solar Setbacks: 12.50 Contractor Type General Electrical Mechanical Plumbing Street Improvements: Storm Sewer Available: Special Instruction: Notes: "j Phone Number: 541-686-9458 I CONTRACTOR INFORMATION' Expiration Date 09/16/2006 03/3012004 06/27/2005 03/12/2004 Phone 541-686-9458 541-933-2653 541-726-0100 541-342-3765 6,439 1,558 430 REQUIRED PARKING Total: 2 Handicapped: Compact: I PUBLIC IMPROVEMENTS I Sidewalk Type: Fullv Improved Curbside 5' Yes Downspoutsmrains: Curb and Gutter NO HOOKUP TO SANITARY SEWER UNTIL APPROVAL OF PUBLIC IMPROVEMENT PLANS. -MS Page 1 of4 r/, Status Issued 225 Fifth Strcct, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspcction Line Dcscription " Dwellings Garage Tvpe of Construction V Wood Frame Garage Fec Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 70/0 State Surcharge 2 Baths One or Two Family Addressing Assignment Appliance Vent Building Permit Curbcut - Overwidth Appl Curbcut Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Plan Review - Planning PW Mult 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 Sanitary/Storm 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 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-01195 ISSUED: 12/24/2003 APPLIED: 12/02/2003 EXPIRES: 06/24/2004 VALUE: $ 151,388.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $90.60 $23.80 Square Footage or Bid Amount 1,558.00 430.00 Value Date Calculated $141,154.80 $10,234.00 $151,388.80 12/02/2003 12/02/2003 Total Value of Project lip~~, P"JW Amount Paid $477.52 $10.00 $125.27 $87.69 $254.00 $8.00 $6.00 $734.65 $35.00 $75.00 $6.00 $9.00 $12.00 $15.00 $4.00 $59,00 $-30.00 $106.00 $38.00 $344.20 $452.80 $10.00 $214.23 $314.63 $112.39 $53.28 $727.42 $164,89 $75.00 $1,085,18 $50.00 $18.00 $1,000.00 $6,654.15 Date Paid Receipt Number 1200200000000002524 1200200000000002662 1200200000000002662 1200200000000002662 1200200000000002662 1200200000000002662 1200200000000002662 1200200000000002662 1200200000000002662 1200200000000002662 1200200000000002662 1200200000000002662 1200200000000002662 1200200000000002662 1200200000000002662 1200200000000002662 1200200000000002662 1200200000000002662 1200200000000002662 1200200000000002662 1200200000000002662 1200200000000002662 1200200000000002662 1200200000000002662 1200200000000002662 1200200000000002662 1200200000000002662 1200200000000002662 1200200000000002662 1200200000000002662 1200200000000002662 1200200000000002662 1200200000000002662 12/2/03 12/24/03 12/24/03 12/24/03 12/24/03 12124/03 12/24/03 12/24/03 12/24/03 12/24/03 12/24/03 12/24/03 12/24/03 12/24/03 12/24/03 12/24/03 12/24/03 12/24/03 12/24/03 12/24/03 12/24/03 12/24/03 12/24/03 12/24/03 12/24/03 12/24/03 12/24/03 12/24/03 12/24/03 12/24/03 12/24/03 12124/03 12124/03 Pal!e 2 of 4 . . CITY OF I)t'Kll"l'-SnJ!;LU Building/Combination Permit Status Issued PERMIT NO: COM2003-01195 ISSUED: 12/24/2003 APPLIED: 12/02/2003 EXPIRES: 06/24/2004 VALUE: $ 151,388.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review Planning Review Public Works Review 12/03/2003 12/03/2003 12/03/2003 Plan Reviews I 12/03/2003 APP 12/22/2003 APP 12/08/2003 APP LLH TAJ MS 12/8/2003 NO HOOKUP TO SANITARY SEWER UNTIL APPROVAL OF PUBLIC IMPROVEMENT PLANS. -MS Structural Review 12/03/2003 , 12/23/2003 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. IRp~ 1 Sidewalk - Curbside: After forms are erected but prior to placement of concrete. 2 Curbcut - Overwidth: After forms are erected but prior to placement of concrete. 3 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunetion with footing and/or foundation inspection. 4 Footing: After trenches are excavated. 5 Foundation: After forms are erected but prior to concrete placement. 6 Post and Beam: Prior to floor insulation or decking. 7 Floor Insulation: Prior to decking. 8 Shear Wall Nailing: Before covering sheathing with finish materials. 9 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 10 Wall Insulation: Prior to cover. 11 Ceiling Insulation: Prior to cover. 12 Drywall: Prior to taping. 13 Final Building: After all required inspections have been requested and approved and the building is complete. 14 Underfloor Plumbing: Prior to insulation or decking. 15 Underfloor Drain: Prior to cover or placement of concrete. 16 Rough Plumbing: Prior to eover and including required testing. 17 Water Line: Prior to filling trench and including required testing. 18 Sanitary Sewer Line: Prior to filling trench and including required testing. 19 Storm Sewer Line: Prior to filling trencb. 20 Final Plumbing: When all plumbing work is complete, 21 Underfloor Mechanical. Prior to insulation or decking and including required testing. 22 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 23 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, 24 Rough Mechanical: Prior to Cover 25 Final Gas: When all gas work'is complete. 26 Final Mechanical: When all mechanical work is complete. 27 Temporary Electric: Approval required prior to Utility Company energizing pole. 28 Rough Electric: Prior to Cover 29 Electric Service: Approval required prior to utility company energizing service, 30 Final Eleetrie: When all electrical work is complete. Page 3 of 4 [' . . U 1 f OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-oi195 ISSUED: 12/24/2003 APPLIED: 12/02/2003 EXPIRES: 06/24/2004 VALUE: $ 151,388.00 Status Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information bereon is true and correct, and I furtber certify tbat 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 erny~gyees who are in compliancewith ORS 70ui05 will be used on this project. I further agree to ensure that all rfquired i,%jlections are requeS'led at the proper time, that each address is readable from the :::"i:~?7}:~" Tii .., ff.., .,..~,~. ,.. .., ,,,,;~;;;;:;~m......, '"'''' Owo..", '&.f.rn.'f...".:. D.,,' / Page 4 of 4 , ' , CITY OF S1\ )NGFIELD, OREGON \ j ~.D3 (t{ 225 FIFtH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPliCATION City Job Number C0l'>1z,003 ~ 0 II '1:) , Date 1. rJillo&f!i.oN!6FJiji{&t:::I"iI.. .:0:& ~_.IJ:..o..I...I_..\l. 40Lfh r>Ovc;lc-<; cl.,... v LEGAL DESCRIPTION 180206/1 I '700 JOB DESCRIPTION \C\<W NeerJ ~at~ Permits are non-transferable and expire if work is not started within 180 days of issuanee or if work is Suspended for 180 days. 2 wetiiVi-f.R'!4'Glfb~I~":j;'A.ii.r1A.'" "'mJlYi'h'MlH~ . _t!.tt!ir{.ti.rJ!II-~.'~ Electrical Contractor !..i c f I P /,)(/ c.. Address If;Ji5\ JCJlU.J A-u-e3 ed City <Sf \?-, d Phone q3J -J59f3 3. ~~Ers~lJ.k.z.>>iiE(j~ .: .~... ''''"''I::!f6I.....-~:;-~. , \DLQ.d) ~<6..o0 \ 'L 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106,00 $ 19.00 $50.00 B. ~~!.i!F~~\l"~tllii8'ti.~~tli. .rmi~~~h~ ~ }I...~ ......'i.1I1._ I ..:iiLl., .2.IJ..1 .-, 200 Amps or less 20 I Amps to 400 Amps 40 i Amps to 600 Amps 601 Amps to iooO Amps O~er 1000 AmpsIVolts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 t;; 71.(-5 Supervisor License Number 10-01 ~Olf Expiration Date Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above, '''lI6k':.ioJ1\,;.~ ':..:l\"'~; D. r;ancli.mrCUI ~.OC> \ $ 50.00 $ 69.00 $100,00 1054 'LS 3-3Q-olf Constr. Contr. Number Expiration Date .. ':.).. "~" w r: ",. I'" ~ _~;J};~~'Fi~:~' ,::~,l<'~ .,,~~i~~~" "i.~Y:_I. :~~~.j~~l,t~ Signature of Supervising Electrician fi1Jnb<-{)wL New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with n W.. \ ^ ~ Service or Feeder Permit Ownen Name \,"') I\) ~ \ e ~~ vt C. vS~ /t-vI'-. ~ AddressS1:.) 5- P "'" 1(. 1+; \\~ E. ~i!ll'~~~~,;';~trill&~).~~Iitst~iit.i~ --- B_.i_KIL,IC;."lll fl,', .."_..._1".;t';_,,,(.,~'':1I Phone b g{,-9Y5\1 $ 43,00 $ 3.00 City E V(.p" p, J Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy!Residential $ 25,00 Limited Energy/Commercial $ 45,00 Minimum Eleetrie Permit Inspection Fee is 545.00 + Surcharges OWNER INSTALLATION The installation is being made on property I own which =Cjjz;=' \Q4.cV \~~ ,~ IL1JJo. B 4. 7% State Surcharge ' 10% Administrative Fee Inspeetlon Request: 726-3769 TOTAL Sbar<d Drive(T:)IBuilding FormslEleclrical Pmnit Amolicatioo l-il3,doc . . " ([""11:. WiIlamalane n""",nM:2 " t, "'f1 Park & Recreation District 'Job. No. ~\ \qS "V SYSTEM DEVELOPMENT CHARGE WORKSHEET PHONE: 1.tAo ~ STATE:t)R. ZIP: q1tQ5 NAME: Ao6RESS: ~~f\~~j ~\l.S ,LOCATION OF PROPOSI:U BUILDING SITE: '\\Y\\o \::Q\'PlQ ~ 'UnUCL \0 ' Tax Lot Number: ~lo l \ Street Aodress: Plat Name: ' \ \lOO 1 ~ -0 EVELOPMENT TYP E (Ched<appropriate dwetrrng(s). sac calculations and dwetrrrig I , yt:>e definitions are on t~e back.} A flioQle:tllmilv Detached. \ Single Family home NO. OF UNITS Manufactured home not in a park ' X $1,000 perunit,=$ \rY:D.OO' \ B. ,Rioqle-F;>!Dl&..Attacheo NO.,OF UNITS X $924 per unit . =, $ C. Multi-Familv Aoartment NO. OF UNITS X .$692 per unit -' $ D. Mantlfactllrp.rf Home PAns. NO. OF UNITS , WILLAMALANE SDC X $699 per unlt = $ $ ~rYf) . ro {j 2. SDC CREDIT (ll appUcable) sac-payer must furnish proof of Willamalane Credit approvaL See sac Credit Worksheet $ 3; TOTAL WILLAMALANE NET SDC ASSESSED Qf sac reduced for Credit} $ l (yx) .00 \H~\J \.j\(\~O f?'-:> Development Ser~;;U;p;:rtment City of Springfield ,-z.. / '2-~ / C> '3 Date ')' ~ Application For a Second Driveway or Overwidth Driveway Applicant (Property Ownerl: BfU (-e- LJ: {>ok.-\- ('''' I "k,,- ~~ OS Date: ~klc... \-;..\\-:> I..j (:) '-/ ~ Oov:JI ~'S , Building Per~it No: COlA'l Zdo:3 - 0 II '1 S- Address of Property Owner: < '3 7 ~ Address of Property for,Driveway Permit: Jy Application Fee: 035.00 ) o Second driveway ~verwidth Received By: ~ Ij)( b"P (Max. 30') "5 0 FT, Receipt No: Please sketch the proposed driveway. Include the following applicable items: house or buiiding, proposed driveway, and street names. Include dimensions and measurements to property lines. road intersections and bordering driveways. (See attachment for an example) 'rrrr-;~nT~~':-rTnllTrTrr:-'~:'::-'T'.JTTn 1i tJrrJ-tT-:!I~l'- 'I i ' i I ,illl-t-li-+llq! -:r , I 11--+H---.iTT!-.t--h-j--n-----'--1- ,.t--trn+-+--'-1----ri--;+-r-I,-L1 i 'I ' , i t-I-rJI--T _'I~_______L.._-.. ~-r------- -1'-'-- -'.---1- . -- ,_.I : ' I _+.L_ -- ---'I'-T- -+- -+-11-.J.- -1-~---- --,.+.l-i.+--l-f,- --- +---1'-!--[--t- j : I -1-1-- -r.l I I :) ::-+ --j--+- T-!-- I , ,--,--- --r -+--h-1-l----t- ,-,-I--L:- -Lf-J---!--Tt, TTr --li-,-- -, , I 1-,i---rT-T ..--j-'-r,,+Ll11-j""r+,--,--i-l 1 i [-j i I I; ,..J[Tt- T"TI1rrt-_jL, I ! I I I' I -.---;- ,-r--r-'i-j'-:T(-n--T"ml IJ , " ' '" I ,- Tj: ,T',Tl--, 1 ! -it'r-T III iii i I! ITr-1 J) :! 'j I-I'! IlI'1 ill, -I' '++"]" ..,1 t---.t--r-:TI I I I-- c1'---'- ~- -n---'l-l-rl : I I 1 I ! I ,,", ~ . 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I:.J:::: J'--, -- ---Trni I i- [ l ! I 1111 I Jj , 1'1 ~I I I' ( I .1 ! II ! Ii! '1 : I ~ I I" I I'll L--!.,L.--;:t-:+---I:-Ll.' i,:j, I: 4-1..:.:--+"1"' II:i'J i-I! _L.:!:.. ::.1-- ,-, 'I. "I -~: :'l"I'... ".1 l!il~," 1!i,IIIII. III! I ,II " I! '. 1 'i' 'I " 'I" 'U f- I" I.J "l I I I '--1 1 " I 'I' I I' , ii" I ' F,1'-f:ii -it: ~l-lf -I+-H--c:i.+.:::f-~.+~-.F: =::-i H..+b:~i::::=i::F :::t:: ::rf~ll:::i+++ --j:= =f+f.f'l-i- I' : II : I II 'I I +++- _L'.JL -, , II: - _.~--- -+ I I ! ' I, [' : ! : - .-t I ' i ' I: ,--+..II--h- --i--' -- -1---1.-+ 1 ii' I I' 'L I I" J' I 1---'- !.: Iii: · i ., i: I i Ii ; 'I ; i ;: :: : ,: I I-t-~J~-,:~ -:: .~-f.-..,...i..-~ .+-i-;:'::. ", !-! !~-~j:- -l::wlr-U--, ': ~ I', i ! -,--t--I--~t+--l- i ! ,[ 'I' A-l:.J.l.:.. - J. Ail applications outside the city limits of Springfield that are within the Urban Growth Boundary require a Lane County Permit, Note: The City of Springfield will nol grant a second driveway permit on an Arterial or Collector Street Over width driveways up to 30ft may be approved by the transportation planning engineer provided that safety and traffic guidelines are met Driveways over 30' In width require a Land Use Decision and are nol handled on this application.(Contad the Planning Depl) The application fee Is not refundable. . . fI- .- ..... .... 1, Property type: Single Family Dwelling )Z. Duplex _ Other_ \')OJo\>..') 2. _The proposed driveway will take access from which street? 3. The distance from the edge of the driveway to the nearest corner (measured to the curb return) is If 0 feel 4. The second driveway will give access to: Garage_ Carport _ Side yard!:::. Other 5, The distance from the property line to the garage, carport, fence, wall or other (where the vehicle is to be parked) is 5 feet. 6. Will the proposed parking / storage area create a vision obstruction to adjacent property driveways or to any vehicular , - movement on a public street? ISee vision ciearance attachment} A permit will require that the applicent meet city and/or county standards. specifications. an odes. Generally this means that the area behind the sidewalk shall be surfaced to the property line and also a minimum of eet behind the property line. When this application is approved by the City. the applicant m ment, Engineering Division within 60 days or reapply. __...JAl ~ ~ - I curbcutldriveway permit from the Public Works Depart- ~..Io/~O J Approved by: JUd- LJ 110 Date: 17--1 I () / iH (Traffic Division) Staff Comments: ~ ;j . . ;;. . , c-oW'lzoi-o/l q s- .' ~e\\4W N <::',..(e....lH-=co' \ t !(~1I 7 Z ,%G,i ~'O" 1, . ~~.~~~ ,1 " { ~~ '11 ~U , '\11 '~'I\ '~ ,'t. l~~ '-,\ - /'" "" V .,- . ~\- {( ~'lI.U\~\ FlarrE:.w. 2'~~ ~ 7~ t V\ r ~ , 't-S ~ 1\ (\ r y ~. qO' .,,;z;.. 110 I' '. , \<.\1 ~ -zz 14, 1<( ,1 , ",1 , -\~ - 1_' ~"'t: " -~.~ I '"2\" · "5\-o~J;../ , ~" b~1I'( \AI~ 1 "" 1<I~'f. O;t 0 I ) · o'oq. (O~ ,"'~f~c~ \ J. , ' ' to\j ~ ~:~ . . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: COM2003-01195 NAME OR COMPANY: Bruce Weichert Custom Homes LOCATION: 4046 Doug!as Drive TAX LOT NUMBER: 18020611 Tax Lot 11700 DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE NEW DWELLING UNITS I BUILDING SIZE (SF' 0 LOT SIZE (SF): I, STORM DRAINAGE tIl tLl CI o u :1 ~ I~ o ~ 6439 DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F, x I COST PER S,F, I I CHARGE I 3742.00 $0.290 I = $1.085,18 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 DISCOUNT I 0,00 I $0,290 I 50% I ~ $0,00 ITEM 1 TOTAL - STORM DRAINAGE SDC '$1,085.18 $1,085.18 1070 2, SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's 1 x 1 COST PER DFU 1 1 20 I I $22,64 $452.80 11091 B, IMPROVEMENT COST: I 1 NUMBER OF DFU's I x COST PER DFU I 20 I $17,21 $344.20 '11092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $797.00 I 3. TRANSPORTATION A. REIMBURSEMENT COST: 1 ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEWTRIP FACTORI I 9,57 1 I 1 I $17,23 I 1.00 I $164.89 1093 B, IMPROVEMENT COST: 1 ADT TRIP RATE I x 1 NUMBER OF UNITS 1 x I COST PER TRIP x INEWTRIPFACTORI I 9,57 I I I I $76,01 I 1.00 I $727.42 1094 ITEM 3 TOTAL - TRANSPORTATION SDC = , $892.31 4, SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x ICOST PER FEU 1 I 1 $314,63 = $314.63 1054 B. IMPROVEMENT COST: INUMBER OF FEU's 1 x ICOST PER FEU I I I I $214,23 = $214.23 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054 MWMC ADMINISTRATIVE FEE $10.00 11056 ITEM 4 TOTAL - MWMC SANITARY SEWER SD( = I $538,86 I SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ I $3,313.35 J 5, ADMINISTRATIVE FEE: l 1 SUBTOTAL 1 x I ADM, FEE RATE 1= CHARGE 1 $3.313,35 I 5% 1 $165,67 TOTAL SANITARY ADMINISTRATION FEE: 112.39 11079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $53.28 .J 1078 , Matt Stouder 12/8/2003 TOTAL SDC CHARGES = , $3,479.02 I PREPARED BY DATE I. . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT - DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS. CALCULATE ONL V TIlE NET ADDmONAL FIXTURES' NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EOUlVALENT UNITS I BATHTUB 1 0 3 = 3 I DRINKING FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC, 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETe. 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 ICLOTHESW ASHER / MOP SINK 1 0 3 = 3 ICLOTHESWASHER - 3 OR MORE (EAl 0 0 6 = 0 IMOBILE HOME PARK TRAP (l PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REFRlG / WATER STATION / ETC, 0 0 1 = 0 IRECEPTOR FOR COM, SINK / DISHWASHER / ETC, 0 0 3 = 0 I SHOWER. SINGLE STALL 1 0 2 = 2 I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK: COMMERCiALiRESIDENTIAL KITCHEN 1 0 3 = 3 I SINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASHBASINIDOUBLE LAVATORY 1 0 2 = 2 ISINK: SINGLE LAVATORYIRESIDENTIAL BAR 1 0 1 = 1 iURlNAL. STALL/WALL 0 0 5 = 0 ITOILET. PUBLIC INST ALLA nON 0 0 6 = 0 ITOILET. PRIVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 20 .EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single fam.i1~..dwelli~J. unit (20 OFD's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE I YEAR CREDIT RA TE/$ I ,000 I ANNEXED ASSESSED VALUE IS LAND ELGIDLE FOR ANNEXATION CREDIT? 2 I BEFORE 1979 $5,04 (Enter I for Yes, 2 for No) I 1979 $5,04 IS IMPROVEMENT ELGIDLE FOR ANNEX, CREDIT? 0 1980 $4,95 (Enter 1 for Yes, 2 for No) I 1981 $4,88 BASE YEAR 1979 I 1982 $4,75 I 1983 $4,58 CREDIT FOR LAND (IF APPLICABLE) 1984 $4,41 VALUE /1000 CREDIT RATE 1985 $4.20 SO,OO X S5,04 = , SO.OO 1986 $3,88 1987 $3,50 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) 1988 $3.07 VALUE/IOOO CREDIT RATE 1989 $2,60 $0,00 x $5,04 0 1990 52.14 1991 $1.71 1992 $1.S2 TOTAL MWMC CREDIT = $0,00 1993 $1.38 1994 SI.I9 1995 $1.03 1996 $0,87 1997 $0,68 1998 $0.46 1999 $0,27 2000 $0,09 J 2001 $0,04 ,I 225 Fifth Street .;' Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-01195 COM2003-0 1195 COM2003-01195 COM2003-01195 COM2003-01195 COM2003-01195 COM2003-01195 COM2003-01195 COM2003-01195 COM2003-0 1195 COM2003-01195 COM2003-01195 COM2003-01195 COM2003-01195 COM2003-01195 COM2003-0 1195 COM2003-01195 COM2003-01195 COM2003-0 1195 COM2003.01195 COM2003-01195 COM2003-0 1195 COM2003-01195 COM2003-0 1195 COM2003-0 1195 COM2003.01195 COM2003.01195 COM2003-01195 COM2003-0 1195 COM2003-01195 COM2003-01195 COM2003-01195 Payments: Type of Payment CreditCard -,.,J':"~.,!!"~'Li,',"", Wit," , .~-. 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" .,....0' Receipt #: 1200200000000002662 Description Addressing Assignment Willamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Sidewalk Permit Curbcut Permit Curbcut - Overwidth Appl PW Mult Disc - 2nd Permit Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC T ranspo Admin SDC Transpo Improvement Plan Review - Planning Building Permit 2 Baths One or Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Appliance Vent Dryer Vent Gas Outlets 1-4 Gas Fireplace -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Received By Check Number Batch Number Authorization Number Paid By BRUCE WIECHERT Jmp 000259 060140 ,City of Springfield Official Receipt Development Services Department Public Works Department Date: 12/24/2003 1:07:12PM Amount Paid Item Total: 8.00 1,000.00 106,00 38,00 50,00 75,00 75,00 35,00 (30,00) 1,085,18 452,80 344,20 164,89 314.63 214.23 10.00 112.39 53.28 727.42 59,00 734,65 254,00 12,00 18,00 9,00 6.00 6.00 4.00 15.00 10,00 87,69 125,27 $6,176,63 . . How Received In Person Payment Total: Amount Paid $6,176.63 $6,176.63