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Home My WebLink AboutPermit Building 2007-5-22 ,:';, Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1280 S 40TH PL ASSESSOR'S PARCEL NO.: 1802064114600 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00633 ISSUED: OS/22/2007 APPLIED: 05/02/2007 EXPIRES: 11/22/2007 VALUE: $ 231,495.00 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence - SAME AS COM2007-00444 1221 S 41st St Contractor License Expiration Date Phone BRUCE WIECHERT CUSTOM HOMES INC 101717 09/16/2008 541-686-9458 L & E ELECTRIC INC 105475 03/30/2008 541-933-2653 COMFORT FLOW 460 06/27/2007 541-726-0100 STEVEN R JOHNSON ATTENTPAQ\~5 03/12/2008 541-342-3765 BUILDING I~~iMMI1{9~'~~;:~~ law reqUires y , \,dUon Cent y the OregO ou ~o # of Sto.;\,~?A~ 952-00 1_08qr. T~OS8kQ,t!~~ir n Utl/lty Height oi~%Q.dlfag{. mey 0 ~q,thro~At~l~~: fgrt Type of H&trtJJ;ng tfiw&ed ~iWn.~OP;~8 f)?~i!";t m1G()1 Water Tfii~ber for th enterQNote:~Ri'f!!'el'AtI~ t Range Type: ~ OrergQ;lf) Uti~'F. ~~~lf(prport Energy Path: ~ <lpit1r)l~.~,~ W~tfi.eation Sprinkled Building: n/a - ~t1~ant Load: Fully Improved ,Yes Owner: BRUCE WIECHERT Address: 3073 SKYVIEW LN EUGENE OR 97405 Contractor Type General Electrical Mechanical Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 5.00 7.00 26.00 25.00 Subdivision Not Accepted Street Improvements: Storm Sewer Available: Special Instruction: Residential Phone Number: 541-686-9458 I CONTRACTOR INFORMA nON I 1 R-3 U VB 7,918 2,013 644 3 I DEVELOPj~NT INFORMATION I . 111.,"[, . REQUIRED PARKING ovI(:(~ a~R~, Total: 2 # ~/'/If/f{Jf!-riR~c6HALL 'EX 1 Handicapped: ~f).fJfiMrlt(f-'ilitlYNDER PIRE (r~b.J Compact: ~<<JW ~oh~~~ I THIS P!R.51J IE WORK 80 DAY PF~/%lABAIVDnN:~'J1S Nor I PUBLIC IMPROVEMENTS' UH Sidewalk Type: Downspouts/Drains: Curbside 5' Curb and Gutter Notes: For this parcel in Filbert Meadows, it is the recommendation to the Building Division, by the City Engineer: "that no connections shall be made to sanitary or storm H20 systems, until the subdivision is accepted by City Council". Storm H20 SDC fees Page 1 of 5 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction AC - Residential V Wood Frame Gara2e A.C. - Residen Dwellin2s Gara2e Fee Description Plan Review Same As -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 5% Technology Fee + 8% State Surcharge + 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 Temp Power 200 amps or less Vent Fan I Valuation Description I $ Per Sq Ft or multiplier $4.00 $103.00 $27.00 Square Footage or Bid Amount 2,001.00 2,001.00 644.00 Total Value of Project ~ Amount Paid $200.00 $10.00 $168.95 $77.83 $97.73 $124.53 $124.53 $254.00 $31.00 $994.65 $40.00 $80.00 $6.00 $9.00 $132.85 $15.00 $12.00 $4.00 $12.00 $198.00 $106.00 $76.00 $554.14 $728.74 $10.00 $961.52 $91.61 $93.68 $74.92 $836.32 $189.58 $80.00 $50.00 $18.00 Date Paid 5/2/07 5/22/07 5/22/07 5/22/07 5/22/07 5/22/07 5/22/07 5/22/07 5/22/07 5/22/07 5/22/07 5/22/07 5/22/07 5/22/07 5/22/07 5/22/07 5/22/07 5/22/07 5/22/07 5/22/07 5/22/07 5/22/07 5/22/07 5/22/07 5/22/07 5/22/07 5/22/07 5/22/07 5/22/07 5/22/07 5/22/07 5/22/07 5/22/07 5/22/07 Pa2e 2 of 5 CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-00633 ISSUED: OS/22/2007 APPLIED: 05/02/2007 EXPIRES: 11/22/2007 VALUE: $ 231,495.00 Value Date Calculated $8,004.00 $206,103.00 $17,388.00 $231,495.00 05/02/2007 05/02/2007 05/02/2007 Receipt Number 1200700000000000487 1200700000000000601 1200700000000000601 1200700000000000601 1200700000000000601 1200700000000000601 1200700000000000601 1200700000000000601 1200700000000000601 1200700000000000601 1200700000000000601 1200700000000000601 1200700000000000601 1200700000000000601 1200700000000000601 1200700000000000601 1200700000000000601 1200700000000000601 1200700000000000601 1200700000000000601 1200700000000000601 1200700000000000601 1200700000000000601 1200700000000000601 1200700000000000601 1200700000000000601 1200700000000000601 1200700000000000601 1200700000000000601 1200700000000000601 1200700000000000601 1200700000000000601 1200700000000000601 1200700000000000601 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-00633 ISSUED: OS/22/2007 APPLIED: 05/02/2007 EXPIRES: 11/22/2007 VALUE: $ 231,495.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Willamalane Single Family $2,303.00 5/22/07 1200700000000000601 Total Amount Paid $8,765.58 Initial Review Planninl! Review I Plan Reviews I 05/02/2007 05/02/2007 APP LLH 05/02/2007 05/18/2007 APP TAJ Plant street trees as required by Street Tree Plan attached to permit: keep name tags on until approved. 05/0212007 05/03/2007 WI JLP Rcvd 5/3/2007---Waiting in order PW rcvd for rvw.JLP WI 5/9/07 05/11/2007 05/11/2007 APP JLP For this parcel in Filbert Meadows, it is the recommendation to the Building Division, by the City Engineer: "that no connections shall be made to sanitary or storm H20 systems, until the subdivision is accepted by City Council". Storm H20 SDC fees have 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 APP5/11/07 05/02/2007 05/07/2007 APP RJB Public Works Review Public Works Review Structural Review 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. ~eouiredJnsDections . 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 been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Pal!e 3 of 5 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2007-00633 ISSUED: OS/22/2007 APPLIED: 05/02/2007 EXPIRES: 11/22/2007 VALUE: $ 231,495.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. 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. 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. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Curbcut - Overwidth: After forms are erected but prior to placement of concrete. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Pae:e 4 of 5 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00633 ISSUED: OS/22/2007 APPLIED: 05/02/2007 EXPIRES: 11/22/2007 VALUE: $ 231,495.00 225 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 cated at the front of the property, and the approved set of plans will remain on the site at all times during con, 'it Dcf D. 1= ""7 / _ f jJ. 7' '2f/ t.-~{J--::;-- ~~ L~ I . Owner "Or Contractors Signature Date Pa2e 5 of 5 , , , A .:::' . , CITY OF sY'JINGFIELD SYSTEMS DEVELOPMEf'fI.0RKSHEET JOURNAL OR JOB NUMBER: NAME OR.COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS I, STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S,F, x 'I COST PER S,F, CHARGE I . 0,00 I' $0,336 I = I $0,00 RUNOFF ROUTED TO DRYWELL DESIGNED AND 'CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S,F, x I COST PER S,F, I x I DISCOUNT RATE I 0.00 I $0.336 I I 50% ITEM 1 TOTAL - STORM DRAINAGE SDC '$0.00 C0M2007-00633 _Weichert -~ No Storm H20 per agreement . 1280 S 40th PI' , Lot #75 Filbert Meadows SINGLE FAMILY RESIDENCE I BUILDING SIZE (SF: ,",;c. 2938 LOT SIZE (SF): 7918,1 r:/) IJ.l Q o U ~ IJ.l t-< r:/) >-< o ~ DISCOUNT $0,00 I' $0.00 1070 2, SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFD's x COST PER DFU I 28 $26,03 $728.74 1091 B. IMPROVEMENT COST: I NUMBER OF DFD's x 11092 . I 28 $19.79 =.1 $554.14 ITEM 2 TOTAL - CITY SANITARY SEWER SDC =, $1,282.88 3, TRANSPORTATION A. REIMBURSEMENT COST: I I ADT TRIP RATE , I NUMBER OF UNITS' , x. COST PER TRIP NEW TRIP FACTOR x x I 9,57 I I $19,81 1.00 $189.58 1093 B, IMPROVEMENT COST: I ADT TRIP RATE x I NUMBER OF UNITS x I COSTPER TRIP x I NEW TRIP FACTORI I 9,57 ,I I I $87,39 I 1.00 I $836.32 1094 ITEM 3 TOTAL - TRANSPORTATION SDC = I $1,025.90 J 4, SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FED's x COST PER FEU I I $91.61 = $91.61 \ 1054 B, IMPROVEMENT'COST: INUMBER OF FEU's I x ICOST PER FEU I I I I $961.52 = $961.52 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054 MWMC ADMINISTRA TfVE FEE $10.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I $],063.13 I SUBTOTAL (ADD ITEMS 1,2,3, & 4) =" 1 $3,371.91 J 5. ADMINISTRATIVE FEE: I SUBTOTAL ' x I ADM, FEE RATE 1= CHARGE I $3,371.91 ' I 5% I $168.60 TOTAL SANITARY ADMINISTRATION FEE: 93.68 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $74,92 1078 I Jeff Prociw 5/1 ] /2007 TOTAL SDC CHARGES =, $3,540.51 PREPARED BY DATE DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 2 0 3 = 6 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC, 0 0 6 = 0 LAUNDRYTUB 1 0 2 = 2 ICLOTHESWASHER/MOP SINK 1 0 3 = 3 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0 RECEPTOR FOR COM, SINK / DISHWASHER / ETC, 1 0 3 = 3 SHOWER, SINGLE STALL 1 0 2 = 2 I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2 ISINK: SINGLE LA V ATORY/RESIDENTIAL BAR 1 0 1 = 1 URINAL, STALL! WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 TOILET, PRIVATE INSTALLATION 2 0 3 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 0 TOTAL DRAINAGE FIXTURE UNITS 28 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at ]67 gallons per day " MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR CREDIT RATE/$I,OOO ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2 BEFORE 1979 $5,29 (Enter] for Yes, 2 for No) 1979 $5,29 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 2 ]980 $5,19 (Enter 1 for Yes, 2 for No) ]981 $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 = I $0.00 1986 $4,07 1987 $3,67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) 1988 $3,22 VALUE/IOOO CREDIT RATE 1989 $2.73 $0,00 x $5,29 = I 0 1990 $2,25 1991 $1,80 1992 $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 .;., , . ,;. CITY OF Si'l'i,.GFIELD SYSTEMS DEVELOPMEN'~j~''5)RKSHEET JOURNAL OR JOB NUMBER: C0M2007-00633 NAME OR COMPANY: Weichert LOCATION: 1280 S 40th PI TAX LOT NUMBER: Lot #75 Filbert Meadows DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS I . BUILDING SIZE (SF: 2938 LOT SIZE (SF): I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S,F, x I COST PER S,F: CHARGE I 3744,00 I $0.336 I = $1,256,55 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S,F, x I COST PER S,F, I x DISCOUNT RATE '0,00 I $0.336 I 50% 7918,1 r/) ~ ~ o u ~ E-< r/) ...... o gz DISCOUNT $0,00 ITEM 1 TOTAL - STORM DRAINAGE SDC 2, SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's x I 28 $1,256.55 $1,256.55 1070 COSTPERDFU $26.03 $728.74 1091 B. IMPROVEMENT COST: NUMBER OF DFU's. x 28 $19,79 $554.14 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SD~ = I $1,282.88, 3, TRANSPORTATION A. REIMBURSEMENT COST: ADT TRIP RATE x I NUMBER OF UNITS x I COST PER TRIP x I NEW TRIP FACTOR 9.57 I I I $19,81 I 1.00 $189.58 1093 B, IMPROVEMENT COST: I ADT TRIP RATE x I NUMBER OF UNITS x COST PER TRIP x NEW TRIP FACTOR I 9.57 I 1 $87.39 1.00 $836.32 1094 ITEM 3 TOTAL - TRANSPORTATION SDC = I $1,025.90 4, SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's x COST PER FEU I 1 $91.61 = $91.61 1054 B. IMPROVEMENT COST: INUMBER OF FEU's x ICOST PER FEU I 1 I $961.52 = , $961.52 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) , $0.00 11054 MWMC ADMINISTRATIVE FEE , $10.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , $1,063.13 SUBTOTAL (ADD ITEMS 1, 2, 3, & 4) = I $4,628.46 I 5. ADMINISTRATIVE FEE: I I SUBTOTAL x I Al)M, FEE RATE CHARGE I $4,628.46 I 5% $231.42 TOTAL SANITARY ADMINISTRATION FEE: 164,83 ' 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $66,59 11078 I . Jeff Prociw 5/11/2007 TOTAL SDC CHARGES =1 $4,859.88 I PREPARED BY DATE I . ' DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY TIIE NET ADDmONAL FIXTURES) NO, OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTIJB 2 0 3 = 6 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETe. 0 0 6 = 0 LAUNDRY TUB 1 0 2 = 2 CLOTIIESW ASHER / MOP SINK 1 0 3 = 3 CLOTIIESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETe. 1 0 3 = 3 SHOWER, SINGLE STALL 1 0 2 = 2 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2 SINK: SINGLE LA V ATORY/RESIDENTIAL BAR 1 0 1 = 1 URINAL, STALL / WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 TOILET, PRIVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 28 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$l,OOO ASSESSED VALUE $5.29 $5,29 $5.19 $5,1.2 $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 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0,00 x $5.29 =1 $0,00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RA IE $0,00 x $5,29 o = $0,00 TOTAL MWMC CREDIT ZON L-l:::J2-- INITIALS N M DATE ,5"~::J- 0, SOURCE . m ~ -/ 2f:?Jl . . 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTlUCAL PERJ.\IIIT A/'PL~ATION City Job Number ~ f\ . \ 0'J)6 1. LOCA.TION OF INST.4LLATION: ..' .' ' \tL~OS. 4D~ ?V LEGAL DESCRIPTION: \ 4,.' ~, \~D21JIA: \ \ \ La .l ) JOB DESCR1P~ ~'+.-- ~i:':C ~on-t';n~b~C ~~X~:k~~ not started within 180 days of issuance or if work is Suspended for 180 days. r::- .-... C)/",~ , Date CO~lPLETE FEE SCHEDr.TLE BELOlV 3. A. New Residential- Single or Multi-Family per dwelling unit. \ Dta~ ~Lo, 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 \ 4r $106.00 $ 19.00 $50,00 B. Services or Feeders - Installation, Alterations or Relocation: CONTR4..CTOR INSTALLATION ONL'Y 2. Electrical Contractor l r. E ~ ~ C~\ ~ Address ~ d.. '6 ~3 jQY\..Q <> kre) \Q<L City <)D~\d, Phone 5~\-Y\~8 \ ~ $ 63.00 $ 75.00 $125.00 $163.00 $375,00 $ 50.00 200 Amps or less. ~C' 20 I Amps to 400 Amps ,,;,y.j yJ 401 Amps to 600 1\.mps.\\a:S~,...j~\\I,\. ~'~ ,,'. ..c:t\\ ~o,. 601 ~p~,to;IOO~4mPS;~ ',. .'. '. ,ove~{OQQ~~~Jv olrs A} \ ~' ' \ \ ~ci0rh1ect Only ',' \,'.,:t\ \j\~' ., _\..... ~',"".- ,'. (~'t~c)' ,:~,.c~ -. _ ,c'..,'r'.,o"u ) ~~~,'~~~.hr.,sJf~,~,'~s '(),,'T%,' ~~~,~fst,"6\\\)\ \ v ..~...-.~ t i~<~ ~ ...-'''' ;",,~;~dli.""--" ,>, 'c 'fY'~V I' ,,..,.' , ,-.f"' . \i '.'i ^", ",' d.' _,"'. t', \ ".,:\,~ '. __:~~f1st<\lta!i?~~t~ tiOfl"6i- [{eloca tion . \',2Q(i)Afups oriess t ",~" ~ r. ' 201 Amps to 400 Amps 401 Amps to 600 Amps Y\l~-S \b/\ I 01 . \D5Yi5 3 / ?o/ 68 Supervisor License Number C- ~O.aJ Expiration Date $ 50,00 $ 69,00 $100.00 Constr. Contr. Number Over 600 Amps or 1000 Volts see "B" above. .1 \N\\\\t\ D. B,ra" nch Circuits' , ,', -." ~,\,',\\".\, f~~"~~lte~a\iQIl,~};\Extehsion Per p.ariel " .', _I \\~\\ - -, I. \ .- :- ,Qn-eO.ifCUlt ". " ',.i . . ,'. \ '. \ \ \EachAdd~tion~1 CirCUit orwlfu '.,' ., .'gen:-ice or,.f~der'Pennit . \, ;" ,.,-,;",," 5,,0\\ II f\\ ' E. ~\\\\liscelraneous (Service/feeder not included) -Each Installation Expiration Date Signature of Supervising Electrician (' (" .,\ t'" I {( :;./ \ ,,1k."k'\ , )C\.l\j~\ Owners Nam. C W~ ~Qo l\\\OI,t- Address ...~ ~ , City ~~";-P:~ IQ~P.(;l5:? OWNER INSTALLATION $ 43.00 $ 3,00 Pump or irrigation $ 50,00 Sign/Outline Lighting $ 50,00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45,00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. Sf.IBTOTAL OF ABOVE . ~p? 8% State Surcharge ~.~ 10% Administrative Fee ~; tJ. 5% Technology Fee ^ l ~ ( TOTAL ~~{O Shared Drive(T:)/Building Fanus/Electrical Permit Application 8-06.doc The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 , . 'y of Springfield Official Receipt _ .:velopment Services Department Public Works Department 225 Fifth Street . .. Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-00633 COM2007-00633 COM2007-00633 COM2007-00633 COM2007-00633 COM2007-00633 COM2007-00633 COM2007-00633 COM2007-00633 COM2007-00633 COM2007-00633 COM2007 -00633 COM2007 -00633 COM2007-00633 COM2007-00633 COM2007-00633 COM2007-00633 COM2007-00633 COM2007-00633 COM2007-00633 COM2007-00633 COM2007-00633 COM2007-00633 COM2007-00633 COM2007-00633 COM2007-00633 COM2007-00633 COM2007-00633 COM2007-00633 COM2007 -00633 COM2007-00633 COM2007-00633 COM2007-00633 COM2007-00633 Payments: Type of Payment CreditCard cReceint I RECEIPT #: 1200700000000000601 Date: OS/22/2007 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 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- + 5% Technology Fee + 8% State Surcharge Sidewalk Permit Curb cut Permit Curbcut Permit 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 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 02550B In Person Payment Total: Page 1 of I 8:26:49AM Amount Due 31.00 2,303.00 106.00 76.00 50.00 132.85 994.65 254.00 12.00 18,00 9.00 6.00 4.00 15.00 12.00 10.00 77,83 124.53 80.00 80.00 40.00 728.74 554.14 189.58 836.32 91.61 961.52 10.00 93.68 74.92 198.00 97.73 124.53 168.95 $8,565.58 Amount Paid $8,565.58 $8,565.58 5/22/2007 ;..I \ '" WiJlamalane Park & Recreation Oistrict Job. NO.~r · to~ SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2007 NAME: QJ\)~e. \J\fC'Atrr PHONE: \lblo.q<\ej) : ADDRESS: &:fJ.5 ..s ~TY flX{fO~TATE~IP: q 1407 LOCATION OF PROPOSED BUILDING SITE: Street Address: \ QEi) s. 4fJ ~h ~ L Plat Name: \\ \~ertj u.eadrw5>ax Lot Number: . \ cr,r:flI).fJA. \ \4;lcCD 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the back,) , A. Sinale-Familv Detached NO. OF UNITS \. X $2,303 per unit = $ Q2:D3.ex:) B. Sinale-Familv Attached NO. OF UNITS X $2,426 per unit = . . $ C. Multi-Familv Aoartment NO. OF UNITS X $2,032 per unit = $ D. Sinale Room Occuoancv NO. OF UNITS X $1,016per unit = $ E. Accessorv Dwellina Unit NO. OF UNITS X $1,151.50 per unit = $ $ Q.303 ~ d $ Q;&EPO Y\ / ill/ U Date ' $ WILLAMALANE SDC 2. SDC CREDIT (If applicable) SDC payer must furnish proof of Willamalane Credit approval.) 3. TO.TAL WILLAMAL,AN:~C ASSESSED \ . (: SDe re'l1~ for ere(" \ ~ ~~~' U Development Services 15 - merl'-..-/I City of Springfield 5 DEVELOPMENT TYPE DEFINITIONS1 Singt,; ~~m~iLyDktached Dwelling Unit " ,. , A building 'or a 'portion of a building consisting of one or more rooms including sleeping, cooking, and plumbing facilities arranged and designed as permanent living quarters for 9ne .family or household; and not attached to any other dwelling unit or building. This:detin.iion. inCludes manufactured housing.: ',;' r . ,', \ ..' ,,' ". '. I ,', ,. to . i. 0', ~, . . ShiQI~ Family Attached Dwell'ir,lg,Upjt. . ',- " '" .1' r,." . A p'Grtron,of a bl1ilcHng consisting of lQf1e.or more roortiS,' jnClbltling sle~ping,~cooking, : and plumbing facilities arranged and d~signed as permanent living quarters for one family or household; and whic.h is attpched to one or more dwelling units by one or more common vertical walls.:This'~efinitiol) also includes, b'ut!s i1lot limited to "duplex", . . :l~er:o lot line dwelling", "townhouse", and~lrow Mouse". With the~~eption of duplexes, S4rlgle Farpily Attocfl'le,d Dwelling Units typically are separat.~IY' owned,,~ '. . . .. . ..:J. I .. ,." ~ ... . ,I , , . -:'" , . Multi-Family Dwelling Unit A portion of a building consisting of one or more rooms including sleeping, cooking, and plumbing facilities arranged and designed as permanent living quarters for one family or household; and which is attached to two or more dwelling units by one or morecOrf1rT1o(i\ ~rtical walls. Typically, the units are in an apartment building or compl€x,'and ~re not separately owned. Single Room Occupancy Dwelling Unit A portion of a building consisting of one or more rooms including sleeping facilities with a shared or private bath, and shared cooking facilities and shared living/activity area. This definition also includes, but is not limited to "assisted living facility." Single room occupancy dwelling units shall be charged at one-half the multi-family dwelling unit SDC rate. Accessory Dwelling Unit A secondary, self-contained dwelling that may be allowed only in conjunction with a detached single-family dwelling. An accessory dwelling unit is subordinate in size, location, and appearance to the primary detached single-family dwelling. An accessory dwelling unit generally has its own outside entrance and always has a separate kitchen, bathroom and sleeping area. An accessory dwelling unit may be located wittii,n;'.@tta6!JeCl. to, or detached from the primary single-family dwelling. Accessory dwelling unit~ shall be charged at one-half the single family detached dwelling unit SDC rate. ; F .. ,~ , .. .. ~ . \ .. , .. .' L )- t' . i /I' . , r Updated ~/?-O/07 . - .." ~ ~ 1 From the WPRD Parks and Recreation SDC Resolution No. 06-07-6, October 10, 2006 6