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Home My WebLink AboutPermit Building 2007-5-15 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00590 ISSUED: 05/15/2007 APPLIED: 04/23/2007 EXPIRES: 11/15/2007 VALUE: $ 210,727.00 SITE ADDRESS: 4082 FILBERT MEADOWS Way SPRING FIE TYPE OF WORK: Single Family Residence ASSESSOR'S PARCEL NO.: 1802064111900 TIENTlnNire9.9!:' law reqUIres you. t.o p., TYP fhf~g.~ tlX~Jregon Utih1ltesidential PROJECT DESCRIPTION: Single family residence - Filbert MeadIi\USlll{tr4~.E'~ {}~'tRM.2q\!'~<.QJ4Jl9Jm9lifQrt Delrose-lotification emOeO'. 0 t'h;;ugh OAR 952-001 ~ ^u:,oo::?..I'\n1-", l' '0000. You may 9bta~R~PW~f~';.54bii~i-9458 I\' 9 the center. (Note. I f'1I ca In Utility Notification number for the. o~eJ~~ """.?MIl\ Owner: Address: BRUCE WIECHERT 3073 SKYVIEW LN EUGENE OR 97405 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor BRUCE WIECHERT CUSTOM HOMES INC L & E ELECTRIC INC COMFORT FLOW STEVEN R JOHNSON License 101717 105475 460 65065 Expiration Date 09/16/2008 03/30/2008 06/27/2007 03/1212008 Phone 541-686-9458 541-933-2653 541-726-0100 541-342-3765 # of Units: Primary Occnpancy Gronp: Secondary Occnpancy Gronp: Primary Constrnction Type Secondary Constrnction Type: # of Bedrooms: Froutyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instrnction: Notes: Storm to cnrb & gntter.JLP 18.00 6.50 5.00 20.00 26.50 I BUILDING INFORMATION I 1 R-3 U VB 5,852 1,817 3 # of Stories: 1 Lot Size: Heigbt of Structure: 23.00 Sq Ft 1st Floor: Type of Heat: Forced Air Gas Sq Ft 2nd Floor: Water Type: Gas Sq Ft Basement: Range Type: ~IOTI CE' Gas Sq Ft Garage/Carport Energy Patb: . Path 1 Sq Ft Otber: Sprinkled BnTllllfgPERMIT fiiMLL El&dali>aliiflblfad\lORK .'l;~UJ~~-fr; ;lr~uLll l;;;~ ~~~I;V~;~;~ ;~~~ I DEVELOPMENT INRORMATJONnl IS ABANDONFn mp REQUIRED PARKING ANY 180 DAY PERIOD. Overlay Dist: Total: 2 # Street Trees Rqd: 2 Handicapped: Paved Drive Rqd: Yes Compact: % of Lot Coverage: 41.30 604 I PUBLIC IMPROVEMENTS I Sidewalk Type: DownspoutslDrains: Paee 1 of4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line Description A.C. - Residen Dwellines Garaee Tvpe of Constrnction AC - Residential V Wood Frame Garaee Fee Description Plan Review Same As -Mechanical Issuance Fee- + ".00/0 Administrative Fee + 5% Tecbnology Fee + 8% State Snrcbarge 2 Baths One or Two Family Addressing Assignment Building Permit Curbcut Permit Dryer V en t Exbanst Hoods Fire SF Fee - Residential Fireplace (Listed) Furnace - up to 100,000 btu Gas Outlets 1-4 Heat Pump Plan Review Major - Planning PW 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 Temp Power 200 amps or less Vent Fan Willamalane Single Family . .CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00590 ISSUED: 05/15/2007 APPLIED: 04/23/2007 EXPIRES: 11/15/2007 VALUE: $ 210,727.00 I Valuation Descrintion J $ Per Sq Ft or mnltiplier $4.00 $103.00 $27.00 Sqnare Footage or Bid Amount 1,817.00 1,817.00 604.00 Value $7,268.00 $187,151.00 $16,308.00 $210,727.00 Date Calculated 04/23/2007 04/23/2007 04/23/2007 Total Value of Project Fpp< p"W Amount Paid \ $200.00 $10.00 $159.04 $89.87 $117.55 $254.00 $31.00 $926.40 $80.00 $6.00 $9.00 $121.05 $15.00 $12.00 $4.00 $12.00 $198.00 $-30.00 $106.00 $57.00 $554.14 $728.74 $10.00 $961.52 . $91.61 $93.68 $74.92 $836.32 $189.58 $80.00 $50.00 $18.00 $2,303.00 Date Paid Receipt Number 1200700000000000451 1200700000000000573 1200700000000000573 1200700000000000573 1200700000000000573 1200700000000000573 1200700000000000573 1200700000000000573 1200700000000000573 1200700000000000573 1200700000000000573 1200700000000000573 1200700000000000573 1200700000000000573 1200700000000000573 1200700000000000573 1200700000000000573 1200700000000000573 1200700000000000573 1200700000000000573 1200700000000000573 1200700000000000573 1200700000000000573 1200700000000000573 1200700000000000573 1200700000000000573 1200700000000000573 1200700000000000573 1200700000000000573 1200700000000000573 1200700000000000573 1200700000000000573 1200700000000000573 4/23/07 5/15/07 5/15/07 5/15/07 5/15/07 5/15/07 5/15/07 5/15/07 5/15/07 5/15/07 5/15/07 5/15/07 5/15/07 5/15/07 5/15/07 5/15/07 5/15/07 5/15/07 5/15/07 5/15/07 5/15/07 5/15/07 5/15/07 5/15/07 5/15/07 5/15/07 5/15/07 5/15/07 5/15/07 5/15/07 5/15/07 5/15/07 5/15/07 Paee 2 of 4 . Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amount Paid $8,369.42 Initial Review Plannine Review I Plan Reviews I 04/26/2007 05/1112007 04/24/2007 04/26/2007 APP APP Pnblic Works Review 04/26/2007 04/26/2007 WI Pnblic Works Review 04/27/2007 04/27/2007 APP Structnral Review 04/26/2007 05/04/2007 APP RJB .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00590 ISSUED: 05/1512007 APPLIED: 04/23/2007 EXPIRES: 11/15/2007 VALUE: $ 210,727.00 LLH TAJ Delay due to required project Plant street trees as required by the street tree plan attached, London Plane or Ornamental Pear, 2" caliper, keep name tags on until occupancy. Rcvd 4/26/2007---Waiting in order PW rcvd for rvw.JLP WI 4/26/07 For tbis parcel in Filbert Meadows, it is tbe recommendation to the Building Division, by tbe City Engineer: "that final occupancy should not be given until the subdivision is accepted by City Council". Storm H20 SDC fees havl been omitted per agreement between Weichert Homes and City of Springfield. A copy of the SDC spreadsheet with the fees included has been supplied with the permit for information only. JLP APP4/27/07 JLP JLP 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. UeouirerUnsnections I Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Curbcut - Standard: After forms are erected but prior to piilcement of concrete. Sidewalk - Curbside: 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 fonndalion 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 sbeathing with finish materials. Paee 3 of 4 . .CITY OF ~rK11~td'1J<.L1J ' Building/Combination Permit PERMIT NO: COM2007-00590 ISSUED: 05/15/2007 APPLIED: 04/23/2007 EXPIRES: 11/15/2007 VALUE: $ 210,727.00 Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Framing Inspection: Prior to cover and after all rongh in inspections have been approved. Wall Insnlation: Prior to cover. Drywall: Prior to taping. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. 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. Undertloor Plnmbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rongh Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and inclnding required testing. Sanitary Sewer Line: Prior to filling trench and including reqnired testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. U ndertloor Mechanical. Prior to insulation or decking and including required testing. Undertloor 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. Presnre test done at this point. Rough Mecbanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mecbanical work is complete. Rougb 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, tbat I have carefully examined the completed application and do hereby certify tbat all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance witb tbe Ordinances of tbe City of Springfield and the Laws of tbe State of Oregon pertaining to tbe work described berein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I furtber certify tbat only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I furtber agree to ensure tbat all required inspections are requested at the proper time, tbat eacb address is readable from tbe street, tbat the permit card is located at the front of the property, and the approved set of plans will remain on the site at all timesdur72J'/U S//r/OT '--" - F f Owner or Contractors Signature Date Paee 4 of 4 SPAI ZON r f1J 'J. \ INITIA~~S ., DATE .' .u J SOURCE 51//:; 107 225 FIFTH STREET. SPRINGFIELD. OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERHfl\~P)l~TION City Job Number \. '~ I · J..-\ lJ ' Date , , ,...... " ',., __."..,'" "...., ". ~:'~,~v;;.I'~" i1?".-'......t'. .'~.,;,.. .'..;..... :..,~".._-~:....,.""~.v'.~.~ '".",V':-~" "-"~'?>,.,".,,:....,.,...._..!tJ. 1.@.OC4.TION.OF:INS,T...' . :fIbN::<~'(~r;~ 3. ~:CdA1PLETEtr;E $Cf[EDr;tE BELO}Y';:" ';';1~~it,f;~:Yr~'i;~t . ":_~~.~..""...~ ,.__;"",0\!, <, ..,..._~,.,., .."..M~_.=_'~....._~"._.v.~_.....__~~..,"'_""~~.,...\t~.~".,' S "," . i"C' ''''''?'~'''''' 'q .. "C':;" ,"'C".,.",;-,,~ "","'<~"";''''''';''',''';:' :'''''''''':~'ii'1;t' LE~Ai PN'~f1pn)N' A. ?l'yw,Residential ~ SingI"oi'IVIulti-F~milyper dwelling"unit.'::t:c \'f,lJLU.1rt \ . \\ OSJl. - ; S::;..~:~;~;~;'-" .. -'" .. ~..<..~..._..,,~,. ",.~.. _.=.,.~, ,~"." J~O..B~DeSCRIPTI,~' _ ~ ~QJJ:o{-~mfu\Q' 1000 sq:ft:or Icss ~\ $106.00 1D(mlo~,1Y' ~ Each additional 500 sq. ft. or W portion thereof $ 19,00 Permits are n-transferable and expire if work is Each Manufact'd Home or not started wIthin 180 days of issuance or if work is Modular Dwelling Service or Suspended for, 180 days. Feeder .... '7i-'t':--'-'~ ,-<:..~j:~:.~, , '_',~,~. .', ;,.~'~~~ .S.....,~'::-/~' '''i~ ~I,!~~.'~'t ~~,)~,~~;~a!~~~-~-)-'t'-,,~:t~.p~~.;'~..~\-~~-511:'_"::":t:;:$~~tX_~~"".;:.~--- '~-:"'~,.;-:.~::?;-~::,.1 :i' i,CONTR.4.CTOR'INSTALIATIONONLY:~ B. ~ ServiCes or, Feeders'::InstallatiilD; Alterations or'Relocntioh:\ii;' 2.'!..:Ut1;.J:s..-:1'~'-1;."""':'E".,-,;e..~,,'j.~.liti:j...:;!:,~':iQ::"":'\"~',i~~-~~"'~ ~~._.w~~"\1i.~";-r:-'.;{l-,-,!t\ :.t.~-~],.~~~'".;~_:..~'.(i;s.-I:;",.'i.ct:'>-4.:ol.~~A"ii~:~~ Electrical Contractor L (. E E ~CW\ <- Address C{ ~CO')3 ~6'I\Jl.~A<JO Rd, City 'S'o ~ \ <l Phone 5~ \ - Y \ ~ 8 " Expiration Date 1..\111.\-.5 \bh /01 \ 05LJ 15 3 / ?o/ 58 Supervisor License Number Constr. Contr. Number Expirat.ion Date Signature of Supervising Electrician C;;Q O~~L 'ownersNa~h~ Addre?: Q) \;., Y11~ ~ 0_ . ~ City '( ~l\D..--- Phon~lO~ O~ OWNER L'lST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: , Inspection Request: 726-3769 $50.00 200 Amps or less A TT $ 63,00 201 Amps to 400011.1 m~sNT,ION: Olegon law$eI5;9!les ''''" 'n I lOW ru es ad - 0". 401 Amps to 600,Amps, 'c opted by thSI~:s,ooon IIWit" . . "vllllL.:cI.ClOn enter I h I '-' # 601 Amps to H)!l!!i.A,P.1e'52.001.0C',. ose r$~~~.ooe set forth '" IV lI11Uual.-. f"\"D 952 Over 1000 AmpsiXQlt,s.)u may ot:.:.;" .~315!?0' -001- Reconnect Only calling thece t ~ WfJl€$' 50.60e rules bv ~ n b., \"u[e: the telephone ' "~ " ,?<""~:",,.~,QklJ):~j;l.WjWr\BI',.er.~l!J:~il',tfJ""''''''''1ff''<!%.:;tI';;'' C. " T emporan- iServlcesrQL;"eede.rsC:b~><'" ,},,,;;Wl[~~\1tl;'!l!!.Qft"i~:li . ;1,i,;:o.. '"d.,_,~~.n.;"","~.~....~....r.jt~c-'~F-outJ"'3S2'~3Zj:it):"""'':'--''''>>c:'''~~~-@_,,-,--,,-:'or~' Installation, Alteration or Relocation 200 Amps or less' \ 20 I Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D. ~~~*,i~.~',~~,fi,~E:~~~~~~~i~~y;fti~~~t%~~,~~-~t~~~e~ti&~~~~. $ 50.00 $ 69.00 $100,00 5)JV New Alterntion or Extension Per Panel O C' ["." "rIC;':' $ 00 . ne Ir,cUlt.. &... 43. Each Additici!ial'@~.'I,i~,05i'Y,i\h EXPIRE IF TI oft 'VOR' K ServIce or Feeder:PenmtUNDE - $ 3.00 "~' OMIIL~U , B I M1~t'tKMIT IS NOT E. "~'iil~~11~~~~~~'(~~~!~~}~~d'iriW{Y1IJ[J[lJiI)'~~12h i;;~i~II~;i(;~~ -:i._,_~....,~;., l.t'\' "~(}~?Tl'- fl.'2'rtitJ f1...,...C><O/L...... ,,~__"~~ih:;~' ,....d:;~~.. .-....-'--',,. Pump or irrigation $ 50,00 Sign/Outline Lighting $50,00 Limited EnergylResidential $ 25,00 Limited Energy/C~mmercial $ 45,00 Minimum Electric Permit Inspection Fee is $45.00 + Sur t.S"un" T'~0'''T.;.;''~'.101<'F' :', "O<VE' '~{.,:;':<~!f"i'",.~';{: 4. , .('1.I..J AB '1L"~,_-,,~,~,:>,,~",:;;l,,,~.~~.,,:..- f~::'r.:a.~ .l:x::r..,.:,:,..:I:U:~:..i ~~;';';:''':'i;:,,'{>;..'';iJ;.;:;.":;-':JL':~:L~':~-.:.t.;:.:;.~~;' 8% State Surcharge 10% Administrative Fee ~ ' l ,~)' 5% Technology Fee ~ ~S TOTAL ~ 'lla\..l\(A . Shared Drive(T:YBuilding FonnsJElectricnl Permit Application 8-06~dl " '\;. ~ . , CITY OF SttNGFIELD SYSTEMS DEVELOPME~ORKSHEET JOURNAL OR JOB NUMBER: C0M2007-00590 / No Stonn H20 fees per 'mement. NAME OR COMPANY: Weichert LOCATION: 4082 Filbert Meadows TAX LOT NUMBER: Lot # 48 Filbert Meadows DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS I BUILDING SIZE (SF' 2604 LOT SIZE (SF): 5852 en UJ o o U 0:: UJ Eo-< en o g;l 1 ~ STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM 1 IMPERVIOUS S,F. x I COST PER S.F, CHARGE I 1 0.00 I $0.336 1 = 1 $0.00 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S,F. I x I COST PER S.F, I x 1 DISCOUNT RATE I 1 1 0.00 I $0.336 1 1 50% = I ITEM I TOTAL - STORM DRAINAGE SDC $0.00 ~ 7~ SANITARY SEWER - CITY DISCOUNT $0,00 $0.00 11070 A REIMBURSEMENT COST: I NUMBER OF DFU's I x COST PER DFU 1 28 $26,03 $728.74 11091 B. IMPROVEMENT COST: 1 NUMBER OF DFU's I x 1 28 $19,79 $554.14 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDe =, $1,282.88 3, TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE 1 x 1 NUMBER OF UNITS 1 x I COST PER TRlP x INEW TRlP F ACTORI , 9.57 I 1 I 1 $19,81 I 1.00 1 $189.58 1093 B. IMPROVEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS 1 x I COST PER TRJP I x INEWTRIPFACTORI 9.57 I I I 1 $87.39 I 1.00 I $836.32 1094 ITEM 3 TOTAL-TRANSPORTATION SDC = , $1,025.90 I 4 SANITARY SEWER - MWMr. A. REIMBURSEMENT COST: INUMBER OF FEU's 1 x leOST PER FEU I I 1 $91.61 = $91.61 I 1054 B. IMPROVEMENT COST: I INUMBER OF FEU's I x leOST PER FEU 1 I I i $961.52 = $961.52 ,I 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 11054 MWMC ADMINISTRATNE FEE $10.00 I 1056 ITEM 4 TOTAL - MWMe SANITARY SEWER SDC =, $1,063.13 SUBTOTAL (ADD ITEMS I, 2, 3, & 4) = , $3,371.91 5 ADMINISTRATIVE FEE: 1 SUBTOTAL x ADM, FEE RATE 1= CHARGE 1 $3.371.91 5% 1 $168.60 TOTAL SANITARY ADMINISTRATION FEE: 93,68 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $74,92 ' )1078 Jeff Prociw 4/27/2007 TOTAL SDC CHARGES = , $3,540.51 I PREPARED BY DATE J . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTIJRES x UNIT EQUIVALENT - DRAINAGE FIXTIJRE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY TIlE NET fuJlJl J IVl.AL FIXTURES) NO, OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EOUIV ALENT UNITS IBATHTUB 2 0 3 = 6 DRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE 1 OIL 1 SOLIDS 1 ETe. 0 0 3 = 0 1 INTERCEPTORS FOR SAND I AUTO WASH 1 ETC. 0 0 6 = 0 ILAUNDRY TUB 1 0 2 = 2 ICLOTHESW ASHER 1 MOP SINK 1 0 3 = 3 ICLOTIIESWASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 !RECEPTOR FOR REFRlG 1 WATER STATION 1 ETe. 0 0 1 = 0 RECEPTOR FOR COM. SINK I DISHWASHER I ETe. 1 0 3 = 3 SHOWER. SINGLE STALL 1 0 2 = 2 SHOWER. GANG (NUMBER OF HEADS\. 0 0 2 = 0 SINK: COMMERCIAURESIDENTIAL KITCHEN 1 0 3 = 3 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASINIDOUBLE LAVATORY 1 0 2 = 2 SINK: SINGLE LAVATORYIRESIDENTIAL BAR 1 0 1 = 1 URINAL. STALL 1 WALL 0 0 5 = 0 TOILET. PUBLIC INSTALLATION 0 0 6 = 0 TOILET. PRIVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 28 *EDU (Equivalent DwellinR; Unit) is a discharRe equivalent to a sinAle familv dwellinR unit (20 DFlTs) set at J671l:811ons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 199' 1999 2000 2001 L C, REDlT RATFJ$I,OOOII 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 = $0,00 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter I fnr Yes, 2 fnr No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for Nn) BASE YEAR 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE 1 1000 CREDIT RATE $0,00 x $5.29 ~ , $0,00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE 1 1000 CREDIT RATE $0,00 x $5.29 TOTAL MWMC CREDIT ./' ",) . -I I I I I I I I I I I I I I I :1 2 2 o 225 Fift~ Street Springfield, Oregon 97477 541-726-3759 Phone . ~~;~ lM..., _,' ~. ~. Cial.Pf Springfield Official Receipt ~opment Services Department Public Works Department Job/Journal Number COM2007-00590 COM2007-00590 COM2007-00590 COM2007-00590 COM2007 -00590 COM2007-00590 COM2007-00590 COM2007-00590 COM2007-00590 COM2007-00590 COM2007-00590 COM2007-00590 COM2007-00590 COM2007-00590 COM2007-00590 COM2007-00590 COM2007-00590 COM2007-00590 COM2007-00590 COM2007-00590 COM2007-00590 COM2007-00590 COM2007-00590 COM2007-00590 COM2007-00590 COM2007-00590 COM2007-00590 COM2007-00590 COM2007-00590 COM2007-00590 COM2007-00590 COM2007-00590 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 1200700000000000573 Date: 05/15/2007 Description Addressing Assignment Willamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Fire SF Fee - Residential Curbcut Permit Sidewalk Permit PW Disc - 2nd Permit Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC SanitarylStorm Admin SDC Transpo Admin Building Permit 2 Baths One or Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Gas Outlets 1-4 Fireplace (Listed) Heat Pump -Mechanical Issuance Fee- Dryer Vent Plan Review Major - Planning + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By BRUCE WEICHERT HOMES Item Total: Check Number Authorization Received By Batch Number Number How Received ddk 03509B In Person Payment Total: Page I of 1 9:31:34AM Amount Due 31.00 2,303,00 106,00 57.00 50.00 ]21.05 80,00 80,00 (30,00) 728,74 554,14 189.58 836,32 91.61 961.52 10,00 93,68 74.92 926.40 254,00 12,00 18,00 9,00 4,00 15,00 12.00 ]0,00 6.00 198,00 89,87 ]] 7,55 ] 59.Q4 $8,169.42 Amount Paid $8,169.42 $8,169.42 5/15/2007