HomeMy WebLinkAboutPermit Building 2007-5-4
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: COM2007-00513
ISSUED: 05/04/2007
APPLIED: 04/09/2007
EXPIRES: 11/04/2007
VALUE: $ 174,944.00
SITE ADDRESS: 4064 FILBERT MEADOWS Way SPRINGFIE TYPE OF WORK: Single Family Residence
ASSESSOR'S PARCEL NO.: 1802064114400
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Single family residence- Filbert Meadows lot 73. SAME AS COM2006-00512 1264 S
41st St
Owner: BRUCE WIECHERT
Address: 3073 SKYVIEW LN
EUGENE OR 97405
Contractor Type
General
Electrical
Mechanical
Plumbing
Phone Number: 541-686-9458
I CONTRACTOR INFORMATION I
License
101717
105475
460
65065
Contractor
BRUCE WIECHERT CUSTOM HOMES INC
L & E ELECTRIC INC
COMFORT FLOW
STEVEN R JOHNSON
Overlay Dist: .(PPBc-cSE-OUli- t> ~." _. , Total:
# Street ~f1!~'-I' .\ON ^l!mn uo5e~da4l JOJ M~h~pped:
Paved Dr~fi ~Ie. 91.n :elON) .J'ao e4. ~ct:
% of Lot rove age:, 24 0 L .
~ S91nJ 84. JO se!doo ural 10 /\ew nOA 0600
lno-7.CR ~wn U6nOJUl OlOO-LOo-~S6 ~'IO UI
I PUBLIC IMPftmEME1'f l'~JnJ eS04.L 'Je~e~ uoneO!JnOf\
fl.!!!.1 I ...vOg.. 94l ^q pSldape S91nJ MOIIO~
Fully Improved O~ nO^ sSJmbaJ M~leaml~:~e>I.iN311~ Curbside 5'
Yes Downspoutsillrains: Curb and Gutter
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U
VB
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
11.00
20.00
11.00
16.50
Subdivision Not Accepted
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes: Storm H20 to curb & gutter.JLP
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
3
BUILDING INFORMATION I
# of Stories: 'OOllJl3d Al6iJ~~ AN\f
Height of~[;b.MlfJ\JOON\f8~~Q<<HO ~11~~~9f:
Type UWe, kid:llllil~csfH1iB~~fNn It I d''I<'1'cYor:
Wate~~w~: 3Hl :11 3WdX3 -P.y p hlllnt:
Range Type: (jasHS 1$ iiltid:&/Ilgg[Carport
Energy Path: Path 1 Sq:!jlt~ITN
Sprinkled Building: n/a Occupaift'Load:
452
8,270
1,580
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
2
Page 1 of5
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54] -726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Dwelline:s
Garae:e
V Wood Frame
Garae:e
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
Curbcut Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Fireplace (Listed)
Furnace - up to 100,000 btu
Gas Outlets 1-4
Heat Pump
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
Sidewalk Permit
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$103.00
$27.00
Square Footage
or Bid Amount
1,580.00
452.00
Total Value of Project
~
Amount Paid
$200.00
$10.00
$145.40
$87.52
$108.19
$254.00
$31.00
$809.40
$40.00
$80.00
$6.00
$9.00
$101.60
$15.00
$12.00
$4.00
$12.00
$198.00
$106.00
$57.00
$554.14
$728.74
$10.00
$961.52
$91.61
$158.30
$67.12
$836.32
$189.58
$80.00
$1,136.57
$50.00
$18.00
$2,303.00
Date Paid
4/9/07
5/4/07
5/4/07
5/4/07
5/4/07
5/4/07
5/4/07
5/4/07
5/4/07
5/4/07
5/4/07
5/4/07
5/4/07
5/4/07
5/4/07
5/4/07
5/4/07
5/4/07
5/4/07
5/4/07
5/4/07
5/4/07
5/4/07
5/4/07
5/4/07
5/4/07
5/4/07
5/4/07
5/4/07
5/4/07
5/4/07
5/4/07
5/4/07
5/4/07
Pae:e 2 of 5
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00513
ISSUED: 05/04/2007
APPLIED: 04/09/2007
EXPIRES: 11/04/2007
VALUE: $ 174,944.00
Value
Date Calculated
$162,740.00
$12,204.00
$174,944.00
04/09/2007
04/09/2007
Receipt Number
1200700000000000375
1200700000000000503
1200700000000000503
1200700000000000503
1200700000000000503
1200700000000000503
1200700000000000503
1200700000000000503
1200700000000000503
1200700000000000503
1200700000000000503
1200700000000000503
1200700000000000503
1200700000000000503
1200700000000000503
1200700000000000503
1200700000000000503
1200700000000000503
1200700000000000503
1200700000000000503
1200700000000000503
1200700000000000503
1200700000000000503
1200700000000000503
1200700000000000503
1200700000000000503
1200700000000000503
1200700000000000503
1200700000000000503
1200700000000000503
1200700000000000503
1200700000000000503
1200700000000000503
1200700000000000503
Building/Combination Permit
PERMIT NO: COM2007-00513
ISSUED: 05/04/2007
APPLIED: 04/09/2007
EXPIRES: 11/04/2007
VALUE: $ 174,944.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Amount Paid
$9,471.01
I Plan Reviews I
Initial Review
Plannin!! Review
04/10/2007
04/10/2007
04/10/2007
05/02/2007
APP
APP
NJM
TAJ
Public Works Review
04/10/2007
04/10/2007
WI
JLP
Public Works Review
04/16/2007
04/16/2007
APP
JLP
Public Works Review
04/23/2007
04/23/2007
10
JLP
Structural Review
04/10/2007
05/0112007
APP RJB
CITY OF SPRINGFIELD -
Plant street trees as required by
Street Tree Plan attached: 4 either
Autumn Purple Ash or Oct Glory
Maple and 1 either London Plane or
Ornamental Pear; 2" caliper, leave
name tags on until occupancy.
Rcvd 4/10/2007---Waiting in order
PW rcvd for rvw.JLP WI 4/10/07
For this parcel in Filbert Meadows,
it is the recommendation to the
Building Division, by the City
Engineer: "that final occupancy
should not be given until the
subdivision is accepted by City
Council". Storm to curb & gutter.
Storm H20 SDC's added, as no
resolution has been met to date
between Ken/Les and Weichert
Homes on repayment methods for
storm system. (Adjustments to be
made at later date). JLP APP4/16/07
Rcvd overwidth approval from
Traffic Dept. JLP 10 4/23/07
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.
[JeouireCUnsnections I
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 - Overwidth: 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.
Pa!!e 3 of 5
CITY OF SPRINGFIELD -
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-00513
ISSUED: 05/04/2007
APPLIED: 04/09/2007
EXPIRES: 11/04/2007
VALUE: $ 174,944.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
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 taping.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Final Building: After all Conditions have been completed as required on Development Agreement.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underground Plumbing: Prior to filling the trench and including required testing.'
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Underfloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
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.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Underfloor 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 Mechanical: When all mechanical work is complete.
lIemporary 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.
Pa2e 4 of 5
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00513
ISSUED: 05/04/2007
APPLIED: 04/09/2007
EXPIRES: 11/04/2007
VALUE: $ 174,944.00
225 Fifth 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 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 f~Qnt of the property, and the approved set of plans will remain on the site at all
Hm" ~:i/;"CHOV/ sj r/o;2-
Owner~ ~ntractors Signature Da;e I
Pal!e 5 of 5
ZON 1.TY2
INITIALS l\. 'J y\/\
DATE ~- 'l{- 07
SOURCE - rY1z
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689
ELECTRICAL PERMIT APPliCATION
City Job Number t. c::> vV"'.? ere:::> 7 - 0 ~ S-,.3
200 Amps or less
20 I Amps to 400 Amps
"J' on~5' ,A-we) 401 Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsN 0118
Reconnect Only
Su_ism Lkenso Numb.. iii ") '1- 5 c, }e~~~ orf~ede";'" ," ','
J '~\J\~'3 ~S~IJ~1 \.\\'4
(0 0 I / D 7 <6.J'!s\t'lli~tlC{1~~h\l~~~ Relocation
I ' ~()~~~ 2{\~~~s ~~~~c\ S ~ I
Constr. Contr. Number /O.s 't 7S""'~\)~ ~~~1a S\~?.{>\~~t040€l,~~t)
?/D 0 ~\)~ c;\ ~~ \ \. j\ 1'd\O <r01 Amps to 600 Amps
Expiration Date ./, a ~U\J~\\. ~\\ Over 600 Amps .or .1~qo :r~~!S .see "B" above.
Signature of Supervising Electrician D. . ~~~~~~Sir~~~~~~},;~:,'::,;'::.:?'. " .',
~> ~ (\/1 ,0 f'A 171 ~ . , New Alteration or Extensio&\\lUi Panel
L...~ 'lJ.. v.:t\. ) v'(jUVVl One Circuit - . )~~~'0':))
Eac~ ~8Qjtion~~~ wv::::..o~O\J :-.
() I '\ ~-~~l1e~~,*~~~ ~o)o.. ~c~ $ 3.00
Owners Name D....v Le. w\ e~e-..;~ C\.f->~ ~\j ~\'~\\p 'O~\~~~'l ~o~'0 ':1FJ'O~':)\~)f~~, ' .
Address 3073 .s Ie. '1 V ~<:: W. -nO\\\\~.. ~~'f!:~'s~~:P.qjf~1l'PA\\olcIUded) -Each Installation
/ ~~).'u ~o0\0..- o-s-e~:\i\O\~;e9~e\(\" ""... - ~ ^' . . -
Phone b '8 b - 'j l{ )9~\{\) e~~~~Qti~ 0\6oQ~ O\~~~~ $ 50.00
\ S ..'?Jf:J'O ~i~@~~~~~O'~ _ $ 50.00
OWNER INST ALLA TION O~\ \eS t~~~~esidential $ 25.00
The installation is being made on property I own which V f,.\\\\\(\ ~~tt~nergY/Commercial $ 45.00
is not intended for sale, lease or rent. , Mir~um Electric Permit Inspection Fee is $45.00 + Surcharges
-'d/J.qp
V 1.0]
~
'Llo\,qt\
1. ,LOC4.TION OFINSTALUTION:.":::';':'
',_ ,,/ ,'_. _'"".\'''':'..' ~...:/J.-'" "C"';' -1. "":,:'''~',l_.'', ..;.:-.. ',,;;Z-_ ",:,j~;j'i:J~':<C::':_j) -~~
Y D b Y F,'/ bvt VV\ ~1-.J.o...JS
LEGAL DESCRIPTION:
) 80 Z bb4 ( /4 'tOD
JOB DESCRIPTION:
5~
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
""-.<<".'r"),.'":~:~",,,~;, .;~ /."-'i'-"~"""'. ; .:"'- ...........' '::''0-- ",I; ~' ~,,' "'.'1> ,,,....' ".'
2.C9N!RAC;Tq"flJV~t40~~?~ o!4Y':'.
Electrical Contractor L ~ e
Address q 2.g 3 :3
City tS'p y JJ,
Phone
& II ,. VI , 3
Expiration Date
City ~VJ ~h.. e...
Owners Signature:
Inspection Request: 726-3769
Date
3. ;~~O~fL1f_!~{~E,~f!tl!R~TI:EJ!EpC!~,:
.'., ,......
". -;
- " "'y., ,,' ,', '/ - ..-~. "",",." --~, -->"Y_' . Y. ". .. < -, ,. .
A. ':.l'T~wj~~s~~~~t,jal'':' Si~gl~'~~MUI!i~Famiiyper'~~ellil1g~nit."
".'_. ....,..,._........ ...,.; ........H..... .., _., ..~ ..~,.,,,, ,.,,,. ,. ",.". ......._.J..L,"~.;;. ,...- .' .-
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
I
10(;
57
$106.00
3
$ 19.00
$50.00
~"",'?"W'_~,:?::;'~'~.:':_\_;~""': '<"~7~~:~":_~~': >--;,~~"~'~i'_~','" ',', "~_','_, " ":~':. .:.' -'1 ", ,',
B. ': Ser\.ites~;_Feed~~s;'::.. install~ti.on',.Alt~i~tioi1s o~,'Rel~~atio~:i\ '.
~. . '""-s.<- ~.-~<\;-^.:",. '-'<'~"':"'.} ,... ':'-!.:..':';:.;:':.: ;'. >.:'-:.'. "'" .,'
.' ./
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
$ 50.00
$ 69.00
$100.00
6() .
()V
$ 43.00
4. :'~S'iJBTOTAL'OFABOVE'!,:
.'.' .m', :'.,,';d'.:,:~I.'_ :~,~':--..j!/?' H:::;;~:_ :'; <-.\f.,;;,,: )J:.,;' .:.,".. j " ,
8% State Surcharge
] 0% Administrative Fee
5% Technology Fee
TOTAL '
Shared Drive(T:)/Building Fonns/Electrical Permit Application 8-06,dOc
CITY OF 51 ~GFIELD SYSTEMS DEVELOPMEN~
JOURNAL OR JOB NUMBER: C0M2007-00513
NAME OR COMPANY: weichert
LOCATION: 4064 filbert meadows dr.,
TAX LOT NUMBER: Lot #73 filbert meadows
DEVELOPMENT TYPE: SINGLE F AMll.. Y RESIDENCE
NEW DWELLING UNITS 1 BUILDING SIZE (SF: 2545
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.F. x I COST PER S.F. CHARGE
3386.50 I $0.336 = $1,136.57 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F. x I COST PER S.F. x DISCOUNT RATE I
0.00 I $0.336 50% = I
ITEM 1 TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER - CITY
A REIMBURSEMENT COST:
NUMBER OF DFU's x
28
)RK5HEET
LOT SIZE (SF):
8270.1
rI)
~
o
o
u
~
~
jr-<
rI)
......
Co?
ga
$1,136.57
DISCOUNT r
$0.00 I
COST PER DFU
$26.03
B. IMPROVEMENT COST:
I NUMBER OF DFU's I x
I 28 $]9.79
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
= !
3. TRANSPORTATION
A REIMBURSEMENT COST:
I ADTTRIPRATE I x
I 9.57 I
B. IMPROVEMENT COST:
I ADT TRIP RATE x
I 9.57
$1,282.88
NUMBER OF UNITS x, COST PER TRIP
1 I $19.8]
- NUMBER OF UNITS I x
1 I
ITEM,3 T:OTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A REIMBURSEMENT COST:
INUMBER OF FEU's x
I 1
=!
ICOST PER FEU
I $91.61
B. IMPROVEMENT COST:
. NUMBER OF FEU's x
1
ICOST PER FEU
I $961.52
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I,
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = 1
5. ADMINISTRATIVE FEE:
SUBTOTAL x ADM. FEE RATE 1=
$4,508.48 5% I
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Jeff Prociw
4/16/2007
PREPARED BY
DATE
x NEW TRIP FACTOR
1.00
, COST PER TRIP
$87.39
$1,025.90
x NEW TRIP FACTOR
1.00
$1,063.13
I
I
$4,508.48
CHARGE
$225.42
TOTAL SDC CHARGES
$1,136.57
$728.74
$554.14
$189.58
$836.32
=
$91.61
=
$961.52
$0.00
$10.00
158.30
$67.12
=" $4,733.90
1070
1091
1092
1093
1094
1054
1055
111054
11056
"
1079
111078
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDffiONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUlVALENT UNITS
IBATIITUB 2 0 3 = 6
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / On.. / SOLIDS / ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
ILAUNDRY TUB 1 0 2 = 2
I CLOTIIESW ASHER / MOP SINK 1 0 3 = 3
ICLOTIIESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBn..E HOME PARK TRAP (1 PER 1RAILER) 0 0 12 = 0
I RECEPTOR FOR REFRJG / WATER STATION / ETC. 0 0 1 = 0
RECEPTOR FOR COM SINK / DISHWASHER / ETC. 1 0 3 = 3
SHOWER. SINGLE STALL 1 0 2 = 2
SHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
SINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASINIDOUBLE LAVATORY 1 0 2 = 2
SINK: SINGLE LAVATORY /RESIDENTIAL BAR 1 0 1 = 1
URINAL, STALL / WALL 0 0 5 = 0
ITOn..ET, PUBLIC INSTALLATION 0 0 6 = 0
ITOn..ET, PRIVATE INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 28
"EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons peT day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$],OOO
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
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter 1 for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
2
2
]979
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE
$0.00 x $5.29
= I
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0.00 x $5.29
o
TOTAL MWMC CREDIT
$0.00
=
225 Fifth Street
'Springfield, Oregon 97477
541-726-3759 Phone
C:+v of Springfield Official Receipt
elopment Services Department
Public Works Department
Job/Journal Number
COM2007-00513
COM2007-00513
COM2007-005l3
COM2007-005l3
COM2007-00513
COM2007-00513
COM2007-005l3
COM2007-005l3
COM2007-00513
COM2007-00513
COM2007-00513
COM2007-005l3
COM2007-00513
COM2007-00513
COM2007-005l3
COM2007-005l3
COM2007-00513
COM2007-005l3
COM2007-00513
COM2007-00513
COM2007-005l3
COM2007-00513
COM2007-00513
COM2007-00513
COM2007-005l3
COM2007-00513
COM2007-00513
COM2007-00513
COM2007-005l3
COM2007-005l3
COM2007-00513
COM2007-00513
COM2007-00513
Payments:
Type of Payment
Cred itCard
cReceint 1
RECEIPT #:
1200700000000000503
Date: 05/04/2007
Description
Fire SF Fee - Residential
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
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
Curbcut Permit
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)
Heat Pump
-Mechanical Issuance Fee-
Plan Review Major - Planning
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
BWCH
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
00578B In Person
Payment Total:
Page 1 of 1
9:08:28AM
Amount Due
101.60
31.00
2,303.00
106.00
57.00
50.00
80.00
80.00
1,136.57
728.74
554.14
189.58
836.32
91.61
961.52
10.00
158.30
67.12
40.00
809040
254.00
12.00
18.00
9.00
6.00
4.00
15.00
12.00
10.00
198.00
87.52
108.19
145.40
$9,271.01
Amount Paid
$9,271.01
$9,271.01
5/4/2007