HomeMy WebLinkAboutPermit 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