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Home My WebLink AboutPermit Building 2007-8-17 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01220 ISSUED: 08/17/2007 APPLIED: 08/17/2007 EXPIRES: 02/17/2008 VALUE: $ 237,819.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1236 S 41ST PL ASSESSOR'S PARCEL NO.: 1802064109900 SPRING FIE TYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: Single family residence TYPE OF USE: New Residential NOTICE: Sidewalk Type: Curbside 5' THIS PERMIT SHAlt~ittMblbsWORK Curb and Gutter AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Owner: BRUCE WIECHERT Address: 3073 SKYVIEW LN EUGENE OR 97405 I CONTRACTOR INFORMATION I Contractor Type General Contractor License BRUCE WIECHERT CUSTOM HOMES INC 101717 BUILDING INFORMATION I # of Units: 1 # of Stories: 1 Primary Occupancy Group: R-3 Height of Structure: 27.00 Secondary Occupancy Group: U Type of Heat: Forced Air Gas Primary Construction Type VB. Water ftiy e: 0 Gas Secondary Construction TmENTtON~ Oregon ta"U'I~1 J!~ti:ity Gas # of Bedrooms: follow rutes idopted byMnQ{gf J~JP-r!h Path 1 Notification Center. ThOS~pM~m:~~:. n/a '11~k:-IUL.99~ .^n1~('Jh_" 0090. You may C10talfVW~K1A TION I calling the cen,,;,: \~~~~ity NotiiioaUon numbe~' the Oregon I n11ll1lll.. tar is 1-8~~"'ID'pt: . n # Street Trees Rqd: 5.00 Paved Drive Rqd: 20.00 % of Lot Coverage: 25.00 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Fully Improved Yes Notes: Stormwater to weep hole in curb. I Valuation Description I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Pa!!e 1 of 4 Phone Number: 541-686-9458 Expiration Date 09/16/2008 Phone 541-686-9458 Lot Size: Sq Ft 1st Floor: 2,013 Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport 644 Sq Ft Other: 252 Occupant Load: 2 Yes 38.30 REQUIRED PARKING Total: 2 Handicapped: Compact: Value Date Calculated Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2007-01220 ISSUED: 08/17/2007 APPLIED: 08/17/2007 EXPIRES: 02/17/2008 VALUE: $ 237,819.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line A.C. - Residen Dwellinl!s Gara!!e Patio/Porch AC - Residential V Wood Frame Gara!!e Use Bid Amount $4.00 $103.00 $27.00 $1.00 2,013.00 2,013.00 644.00 5,040.00 $8,052.00 $207,339.00 $17,388.00 $5,040.00 $237,819.00 08/17/2007 08/17/2007 08/17/2007 08/17/2007 Total Value of Project ~ Fee Description Amount Paid Date Paid Receipt Number -Mech Iss 2+ Appliances- $40.00 8/17/07 1200700000000001062 + 10% Administrative Fee $185.43 8/17/07 1200700000000001062 + 5% Technology Fee $106.19 8/17/07 1200700000000001062 + 8% State Surcharge $136.71 8/17/07 1200700000000001062 2 Baths One or Two Family $280.00 8/17/07 1200700000000001062 Addressing Assignment $35.00 8/17/07 1200700000000001062 Appliance Vent $7.00 8/17/07 1200700000000001062 Boiler/Comp Up To 100,000 btu $14.00 8/17/07 1200700000000001062 Building Permit $1,116.88 8/17/07 1200700000000001062 Curbcut Permit $85.00 8/17/07 1200700000000001062 Dryer Vent $7.00 8/17/07 1200700000000001062 Exhaust Hoods $10.00 8/17/07 1200700000000001062 Fire SF Fee - Residential $145.45 8/17/07 1200700000000001062 Fireplace (Listed) $17.00 8/17/07 1200700000000001062 Furnace - up to 100,000 btu $14.00 8/17/07 1200700000000001062 Gas Outlets 1-4 $5.00 8/17/07 1200700000000001062 Overwidth Application Fee $40.00 8/17/07 1200700000000001062 Plan Review Major - Planning $205.00 8/17/07 1200700000000001062 Plan Review Residential $725.97 8/17/07 1200700000000001062 Residence Wiring 1000 Sq Ft $117.00 8/17/07 1200700000000001062 Residence Wiring Ea Addtl 500 $84.00 8/17/07 1200700000000001062 Sanitary Sewer - Improvement $489.70 8/17/07 1200700000000001062 Sanitary Sewer - Reimbursement $644.00 8/17/07 1200700000000001062 SDC MWMC Administration $10.00 8/17/07 1200700000000001062 SDC MWMC Improvement $961.52 8/17/07 1200700000000001062 SDC MWMC Reimbursement $91.61 8/17/07 1200700000000001062 SDC Sanitary/Storm Admin $84.19 8/17/07 1200700000000001062 SDC Transpo Admin $78.54 8/17/07 1200700000000001062 SDC Transpo Improvement $862.25 8/17/07 1200700000000001062 SDC Transpo Reimbursement $195.48 8/17/07 1200700000000001062 Sidewalk Permit $85.00 8/17/07 1200700000000001062 Storm Sewer Each Addtll00' $16.00 8/17/07 1200700000000001062 Vent Fan $21.00 8/17/07 1200700000000001062 Willamalane Single Family $2,303.00 8/17/07 1200700000000001062 Total Amount Paid $9,218.92 Pa!!e 2 of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2007-01220 ISSUED: 08/17/2007 APPLIED: 08/17/2007 EXPIRES: 02/17/2008 VALUE: $ 237,819.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone .541-726-3676 Fax 541-726-3769 Inspection Line Plannin!! Review 08/1712007 I Plan Reviews I 08/17/2007 APP TAJ Survey required because of minimum side setbacks. Plant street trees as shown on the attached street tree plan": species as shown, 2" caliper, leave name tag on until approval. Stormwater to weep hole in curb Approved as submitted Public Works Review Structural Review 08/17/2007 08/17/2007 08/17/2007 APP 08/1712007 APP BRC DLM 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. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Curbcut - Standard: After forms are erected but prior to placement 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 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. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. 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. Shower Pan. Prior to covering and including required testing. Pa!!e 3 of 4 CITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: cOM2007-01220 ISSUED: 08/17/2007 APPLIED: 08/17/2007 EXPIRES: 02/17/2008 VALUE: $ 237,819.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. 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 0 are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspection a e requested at the proper time, that each ~s-readable from the street, that the permit c~:r 10C]ted a the fron of e property, and the approved set of ans will remain on the site at all tim" dudug ,uu"~ct;oi . Y /; ) / () -; Owner or Contractors ~e V U" Date / I Pa!!e 4 of 4 L-IY2- N f'-^ (S'" ~ z.,. - (; -"\ ~5r{)-J ZON INITIALS DATE SOURCE / I ~~/Ijlo 7 COMPUlb FEE SCHEDULE BELOW 225 FIFTH STREET. SPRINGFIELD, OR 97477 · PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number COIAA. ~C> -,- O'''Z.- "2--0 Date 1. LOC4.TION OF INSTALLATioN: /2565 Ljr,>r.p) 3. A. New Residentia.I- Si~lgle orJ\iiult~-FamilY per dwelling unit. . LEGAL DESCRIPTION: lRDZ- c>6~1 JOB DESCRIPTION: I~O,,^~ & o 7 7D"~ / / 7,DO ~oo Z/ t1'tJ $ .l-9:t10 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 * /J7tH B~ Ik) U I rJ...c Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. CONTRACTOR'INSTALLATION ONLY 2. Electrical Contractor L ~ e $50.00 ",' '< ' ,,'-' .. . B. Services or ~eeders.,- Installati~n, Alterations or Relocation: $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only Address q 2.g 3 3 City \$p ~ Id- 'JOh~5 ~we) E ZI, VI , '8 Phone ./ .' . . . ~ryS::~~::~iHEWORK 1.\lJ!i.\:~\JNDER THIS PERMIT IS ~q~.oo MlWIN'tffl ORQS ABANDONED fUK$ 69.00 46~~1~bt<O~Qf ~Kt\JD.. $100.00 6\.er 600 Amps or 1000 Volts see "B" above. . D. Branch Circuits' Supervisor License Number '1/ ') '1- 5 (0 / ()lID 7 I Constr. Contr. Number 105 't 7S" ?/o ~ I Signature of Supervising Electrician C, --\ '\ rr', (Q.Y L./-9M~L7A1 I Expiration Date Expiration Date New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with LJ...... . Service or Feeder Permit rj.J~'). . E. Mjscel~"an~ous (Service/feeder not included) -Each Installation $ 43.00 $ 3.00 Owners Name \S'fV L~ W'\ ed,.../liYt- Cv:.~ Address 3073 .s /L'1 V ~c W / Phone (, Z 6 - 7 L{ ) <g City e. \oJ J ~\o-.. e..- Pump or irrigation $ 50.00 Sign/Outline Lighting $' 50.00 OWNER INSTALLATIoATTENTfON: Oregon Jaw f Limited Energy/Residential $ 25.00 f.gIjowti!~!:U:I requ re~ Y.9YIJ The installation is being ~()~pn'J~q~@di-hiylthe Oregdtft:Jffl Energy/Commercial $ 45.00 is not intended for sale, lem'~i:If~ed.gn Center. Those rul~ / j tric Permit Inspection Fee is $45.00 + Surcharges 000 A. ;;)2-001 ~001 0 through OAR 0E;.?.aA Owners Signature: vO,. You may obtain copies orfh ~'C1'JIYJ:lI ~AL OF ABOVE ~ ./ 4IH) callmg the ce t (N e ru as by , · - . --. --, - 'o'll:r:lber f~i tlpn~r' ote:. ~he tele~~te Surcharge /~,t/ a C;nt .... 1tl!:lon UtilIty Notifl~j~ministrative Fee ~1./ 0 aT IS ~800~332-2344). 5% Technology Fee ,( /1 . ~r TOTAL' 247, 2.., Shared Drive(T: )/Building FonTIs/Electrical Permit Application 8-06.doc Inspection Request: 726-3769 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 . IMPERVIOUS S.F. x COST PER S.F. CHARGE 0.00 $0.346 - I $0.00 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. x COST PER S.F. x DISCOUNT RATE I I I 0.00 $0.346 50% I I ITEM 1 TOTAL - STORM DRAINAGE SDC $0.00 I 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's x I 24 B. IMPROVEMENT COST: NUMBER OF DFU's x 24 - CITY OF SPRINGI=IE_LD SYSTEMS DEVELO~M.ENT WORKSHEET COM2007-01220~-.No Charges for Stonnwater-- Wiechert Custom Homes. - 1236 South 415t Place 18-02-06-41 09900 Single Family Residence 1. BUILDING' SIZE (SF: 6970 LOT SIZE (SF): 4021 rf1 ~ Q o u p::: ~ r-< rf1 >-< (; ~ DISCOUNT $0.00 $0.00 1070 COST PER DFU $26.83 $644.00 1091 COST PER DFU $20.40 , $489.70 1092 = , ITEM 2 TOTAL - CITY SANITARY SEWER SDC $1,133.70 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS x I COST PER TRIP x INEWTRIPFACTORI I 9.57 I I 1 I 2D.43 I 1.00 I l $195.48 1093 B. IMPROVEMENT COST: I ADT TRlP RATE I x I NUMBER OF UNITS x I COST PER TRlP I x I NEW TRlP FACTOR/ I 9.57 I I 1 , $90.10 ; I , 1.00 I' = I $862.25 11094 ITEM 3 TOTAL - TRANSPORTATION SDC = , . $1,057.73; I I 4. SANITARY SEWER - MWMC I A. REIMBURSEMENT COST: INUMBER OF FEU's x COST PER FEU I 1 $91.61 = $91.61 1054 B. IMPROVEMENT COST: 'NUMBER OF FEU's I x ICOST PER FEU 1 I. I $961.52 = , $961.52 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) =, $0.00 1054 MWMC ADMINISTRATIVE FEE = , $10.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , $1,063.13 SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , $3,254.56 5. ADMINISTRATIVE FEE: I SUBTOTAL x ADM. FEE RATE 1= , $3,254.56 5% I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: CHARGEl $162.73 ; 84.19 $78.54 1079 . 1078 Billy Curtiss . 8/17/2007 , TOTAL SDC CHARGES =, $3,417.29 PREPARED BY DATE DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS IBATHTUB 2 0 3 6 I DRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH J ETC. 0 0 6 = 0 I LAUNDRY TUB 0 0 2 = 0 I CLOTHES WASHER / MOP SINK 1 0 3 = 3 I CLOTHES WASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRIG /WATER STATION JETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK J DISHWASHER / ETC. 1 0 3 = 3 SHOWER, SINGLE STALL 0 0 2 = 0 I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 SINK: COMMERCIAL BAR 0 0 2 = 0 I SINK: WASH BASIN/DOUBLE LA V A TORY 1 0 2 = 2 ISINK: SINGLE LA V ATORY/RESIDENTIAL BAR 1 0 1 = 1 IURINAL, STALL / WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 24 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$I,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 ELGlBLE FOR ANNEXATION CREDIT? (Enter 1 for Yes, 2 for No) IS IMPRO~EMENT ELGlBLE 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 = I $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0.00 x $5.29 o TOTAL MWMC CREDIT $0.00 = CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET ~ COM2007-01220 Wiechert Custom Homes 1236 South 41st Place 18-02006-41 09900 Single Family Residence 1 BUILDING SIZE (SF: 6970 JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: . TAX LOT NUMBER: . DEVELOPMENT TYPE: NEW DWELLING UNITS 1. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. . CHARGE I 4021.00 I $0.346" = I $1,391.35 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F. x I COST PER S.F. I x I DISCOUNT RATE I 0.00 I $0.346 . I 50% I ITEM 1 TOTAL - STORM DRAINAGE SDC '$1,391.35 I LOT SIZE (SF): DISCOUNT $0.00 4021 $1,391.35 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: NUMBER OF DFU's . x 24 B. IMPROVEMENT COST: I NUMBER OF DFU's x I 24 I . COSTPERDFU I. I $26.83 I COST PER DFU '1 $20.40 I ITEM 2 TOTAL - CITY SANITARY SEWER SDC =, $1,133.70 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADTTRIPRATE x NUMBER OF UNITS x I 9.57 1 COST PER TRIP I x NEW TRIP FACTOR 20.43 I 1.00 B. IMPROVEMENT COST: I ADTTRIp RATE I x NUMBER Of UNITS x I COST PER TRIP I 9.57 I 1 I $90.10 ITEM 3 TOTAL - TRANSPORTATION SDC = , $1,057.73 x NEW TRIP F ACTOR I 1.00 I ! i I TOTAL SDC CHARGES .--- - ... -- . i 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x. I 1 I 'ICOST PER FEU I $91.61 B. IMPROVEMENT COST: INUMBER OF FEU's I 1 x ICOST PER FEU I $961.52 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMCSANITARY SEWER SDC =, SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , 5. ADMINISTRATNE FEE: I SUBTOTAL x I ADM.FEERATE I $4,645.91 I 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: $1,063.13: $4,645.91' CHARGE $232.30 Billy Curtiss 8/1 7/2007 PREPARED BY DATE $644.00 $489.70 $195.48 $862.25 = $91.61 = $961.52 $0.00 $10.00 163.72 $68.58 ~, $4,878.21 r:n ~ Cl o u ~ ~ r:n ...... o ~ 1070 1091 1092 1093 1094 :1 I 1054 ii :; '11055 1054 11056 1079 1078 DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FlXTIJRE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FlXTIJRES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 2 0 3 = 6 DRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 IINTERCEPTORS FOR SAND / AUTO WASH /ETe. 0 0 6 = 0 \LAUNDRY TUB 0 0 2 = 0 I CLOTHESW ASHER / MOP SINK 1 0 3 = 3 ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 I MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I RECEPTOR FORREFRlG / WATER STATION /ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 1 0 3 = 3 SHOWER, SINGLE STALL 0 0 2 = 0 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2 I SINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1 IURINAL, STALL/WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRlV ATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 24 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE BEFORE 1979 1979 ]980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$I,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 YEAR ANNEXED 2 1979 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 Job/Journal Number COM2007-01220 COM2007-01220 COM2007-01220 COM2007-01220 COM2007-01220 COM2007-01220 COM2007-01220 COM2007-01220 COM2007-01220 COM2007-01220 COM2007-01220 COM2007-01220 COM2007-01220 COM2007 -01220 COM2007-01220 COM2007 -01220 COM2007-01220 COM2007-01220 COM2007-01220 COM2007-01220 COM2007-01220 COM2007 -01220 COM2007-01220 COM2007-01220 COM2007-01220 COM2007-01220 COM2007-01220 COM2007-01220 COM2007 -01220 COM2007-01220 COM2007-01220 COM2007-01220 COM2007-01220 COM2007-01220 Payments: Type of Payment CreditCard cReceintl RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 1200700000000001062 Date: 08/17/2007 Description Overwidth Application Fee Curbcut Permit Sidewalk 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 Plan Review Residential Building Permit Addressing Assignment WilIamalane Single Family 2 Baths One or Two Family Storm Sewer Each Addtl 100' Furnace - up to 100,000 btu Boiler/Comp Up To 100,000 btu Vent Fan Appliance Vent Exhaust Hoods Dryer Vent Gas Outlets 1-4 Fireplace (Listed) -Mech Iss 2+ Appliances- Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Fire SF Fee - Residential + 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 05530B In Person Payment Total: Page 1 of I 2:54:18PM Amount Due 40.00 85.00 85.00 644.00 489.70 195.48 862.25 91.61 961.52 10.00 84.19 78.54 205.00 725.97 1,116.88 35.00 2,303.00 280.00 16.00 14.00 14.00 21.00 7.00 10.00 7.00 5.00 17.00 40.00 117.00 84.00 145.45 106.19 136.71 185.43 $9,218.92 Amount Paid $9,218.92 $9,218.92 8/17/2007