HomeMy WebLinkAboutPermit Building 2007-8-31
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01196
ISSUED: 08/31/2007
APPLIED: 08/14/2007
EXPIRES: 02129/2008
VALUE: $ 371,550.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6021 Fernhill Lp
ASSESSOR'S PARCEL NO.: 1702343406700
Springfield
TYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: Single family residence - Mt Gate lot 59
TYPE OF USE: New
Residential
Owner: GREG LARKIN
Address: PO BOX 832
SWEETHOME OR 97386
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
RIVER VALLEY BUILDERS INC
G & E ELECTRIC INC
MIDWAY MECHANICAL INC
ADH PLUMBING INC
License
134566
54468
154166
175077
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U
VB
# of Stories: 2
Height of Structure: 41.00
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Gas
Energy Path: Path 1
Sprinkled Building: n/a
2
I DEVELOPMENT INFORMATION.
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
23.50
5.00
5.00
61.00
0.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Phone Number: 541-726-0330
Expiration Date
04/15/2011
09/15/2007
01130/2009
04/0312009
Phone
541-760-7881
541-967-7045
541-928-2423
541-967-7686
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
10,000
1,975
1,005
1,556
562
REQUIRED PARKING
Hillside
2
Yes
34.42
Total:
Handicapped:
Compact:
2
Fully Improved Sidewalk Type: Curbside 5'
. Yes', DownsJ2!l_uts/Drf~WleqU'reslfo6tt@m Sewer
Storm drainage should be directed to the stub PAA\pIt~MeWpg~ b the Oregon Utility
toUow rules adopte Y e rutes are set forth
Notification Center. Thos hOAR 952-001-
tn OAR 952'()()1-og~~~~~~i~S of the rules by
0090.. You may 0 (Note: the telepho~e
calling the center. Utility NotificatIon
number for tthe 'lsor1e~g~_332-2344).
Cen er -
Notesc' E
NOTI : K
THIS PERMIT SHAll EXPIRE 1F THE WOR
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Pae:e 1 of 4
....~....;.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Type of Construction
AC - Residential
Deck
V Wood Frame
Garae:e
A.C. - Residen
Deck/Balcony
Dwelline:s
Garae:e
Fee Description
+ 5% Technology Fee
Oyerwidth Application Fee
Plan Review Residential
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
3 Baths One & Two Family
Addressing Assignment
Appliance Vent
Boiler/Comp Up To 100,000 btu
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Fireplace (Listed)
Furnace - up to 100,000 btu
Gas Outlets 1-4
Plan Review Major - Planning
Plan Review Residential
PW Disc - 2nd Pe'rmit
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
Storm Sewer Each Addtll00'
I Valuation Description I
$ Per Sq Ft
or multiplier
$4.00
$19.00
$103.00
$27.00
Square Footage
or Bid Amount
2,980.00
562.00
2,980.00
1,556.00
Total Value of Project
~
Amount Paid
$2.00
$40.00
$984.27
$232.25
$120.63
$165.41
$337.00
$35.00
$7.00
$14.00
$1,596.60
$85.00
$7.00
$10.00
$254.90
$17.00
$14.00
$5.00
$205.00
$53.52
$-30.00
$591.72
$778.17
$10.00
$961.52
$91.61
$156.82
$69.15
$862.25
$195.48
$85.00
$1,028.72
$32.00
Date Paid
8/14/07
8/14/07
8/14/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
8/31/07
Pae:e 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01196
ISSUED: 08/31/2007
APPLIED: 08/14/2007
EXPIRES:, 02/29/2008
VALUE: $ 371,550.00
Value
Date Calculated
$11,920.00
$10,678.00
$306,940.00
$42,012.00
$371,550.00
08/15/2007
08/15/2007
08/14/2007
08/14/2007
Receipt Number
1200700000000001036
1200700000000001036
1200700000000001036
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
lio0700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
1200700000000001135
Status
Issued
CITY OF SPRINGFIELD"
Building/Combination Permit
PERMIT NO: COM2007-01196
ISSUED: 08/31/2007
APPLIED: 08/14/2007
EXPIRES: 02/29/2008
VALUE: $ 371,550.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Vent Fan
Willamalane Single Family
$28.00
$2,303.00
8/31/07
8/31/07
1200700000000001135
1200700000000001135
Total Amount Paid
$11,349.02
I Plan Reviews I
Initial Review
Plannin2 Review
08/15/2007
08/15/2007
08/1512007
08/30/2007
APP
APP
LLH
TAJ
Survey required because of
minimum side setbacks.
Follow LDAP approval for tree
preservation.
Plant native street trees chosen from
the list for Hillside Development in
the street tree handout.
Storm drainage to be directed to
storm sewer stub provided. -MS
8/1612007
Took in an overwidth application.
Routing to traffic. BC
Approved as noted
Public Works Review
08/15/2007
08/16/2007
APP
MS
Public Works Review
08/14/2007
08/14/2007
10
BRC
Structural Review
08/15/2007
08/3012007
APP
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.
~eouireCUnsnections I
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.
Vfer 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.
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.
Pa2e 3 of 4
CITY OF SPRINGFIELD -
Status
Issued
Building/Combination Permit
PERMIT NO: COM2007-01196
ISSUED: 08/31/2007
APPLIED: 08/14/2007
EXPIRES: 02/29/2008
VALUE: $ 371,550.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Shower Pan. Prior to covering 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.
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 who are in compliance with ORS 701.005 will be used on this project. I
further agree to ensur. that all requir' ctions are requested at the proper time, that each address is readable from the
street, that the per t card is loc at the fr. nt of the property, and the approved set of plans will remain on the site at all
Hmesdnrin Hon. ~ g:- '7/- c ;7
I'
Date
Pal!e 4 of 4
~
Application Fora Second Driveway or Overwidth Driveway
Applicant (Property Owner): Z> vt:::.--'" J/&::t lie- l,,/ ;!5u,. / ~.f"')
Address of Property owner;;: ~ 3~ ~i z ?~~e-I- /ft,rrte
Address of Property for Driveway Permit: ~ It) ~ J ,/ir P1 h. / / Loo i"/
. D~te: i?,... /3 ..-cJ 7
0/ 775~~
$40.00
o Second driveway ~rwidth (Max. 30' )
Received BY~~C--
'2c)/
'7 FT.
Building Per~it No: COf/Q,<:X:fl-O\ 19 G,
Application Fee:
Receipt No:
Please sketch the proposed driveway, Include the following applicable items: house or building, proposed driveway, and street names,
Include dimensions and measurements to property lines, road intersections and bordering driveways, (See attachment
for an example)
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applications outside the city limits of Springfield that are within the Urban Growth Boundary require a Lane County Permit,
Note: The City of Springfield will not grant a second driveway permit on an Arterial or Collector Street.
Over width driveways up to 30ft. may be approved by the transportation planning engineer provided that safety and traffic guidelines are met.
Driveways over 30' in width require a Land Use Decision and are not handled on this application.(Contact the Planning Dept.)
The application fee is not refundable.
.
'~~
:'t,
1. Property type: Single Family DWellingi' Duplex Other
2, -,The. propo~e~ driv~way will take acces: from whic~ str~et?' . kr.f"1 j,'~ ://, /00 D
""... '~....' -~. l.""I<\ ,_ ,,, '\ \1 '"1,~...~' ',- "':-.1,
3. Th~ dis,tancefromJl:le edge.of the driveway'tQ',the nearest corner (measur:~d'tQ the curb return) is 400 feet..
'.~~(.~:'" - ".'. ""'..~ ':"'tt~-............-=\\~,..,. \ .. ',\.~ "'~.. _'~""'-."><) ""c~.".:...' ,,'- " ....
4. The second driveway will give access to;.J3arage..;L C,,!rport ___ Side yard_ OtlJer
.~ \ ,.~"~'~\ .~'\ \."" '-:'\. \::..... -"'.......... '\.. ....:-:. .'';.
5, The distance from the property line to the ga.rage, carport, fence, wall or other (where the yehicle is to be pa~ked).is
. ",::i \"":. . :< \ 'I; . \ -, ..j
6._Will the proposed parking / storage area create'a vision obstruction to adjacent property driveways or to any vehicular
movement on a public street? (See vision clearance attachment)
'..
feet.
.. ......":",
A permit will require that the applicant meet city and/or county standards, specifications, and codes. Generally this means that the
area behind the sidewalk shall be surfaced to the property line and also a minimum of 18 feet behind the property line.
When this application is approved by the City, the appl'
ment, Engineering Division Withi"::T or reapp,
Property owner' 5 Signat~ ./ -; c::;
:V"-' ,
. ust obtain a curbcut/driveway permit from the Public Works Depart-
,..
Date: 75~1 ?-cJ 7
Approved by:
'1lM~' tJ:hv
- I
(Traffic Division)
Date:
g (/ 1.4::.../ (9 '1
Staff Comments:
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Community Services Diy, Building Safety
CITY OF SPRINGFIELD, OREGON
2255'11 Street, Springfield, OR 97477 Ph. 726-3759
Mountaingate Subd. Lot # 59
~~
~-
Mountaingate Subdivision
Site Investigation Questionnaire for Consulting Design Professionals
SITE ADDRESS: 6021 FERNHILLLoop CITY JOB#COM2007-01196
Foundation reauirements - new structures on residential lots
This form may be used as a verification to allow construction to continue on the job
site until the stamped ' AFFIDAVIT For Site Investi{!ation Ouestionnaire' is
submitted to the City. This form must be completed by a licensed design
professional (engineer or architect) or his/her authorized representative, and
submitted to the building inspector prior to requesting City inspections or placfng
. foundation concrete. It is important that all questions be answered completely for
the foundation site to be approved for construction.
Owner: River Vallev Builders. Inc.
Contractor: River Vallev Builders. Inc.
. A. Date(s)ofthe design professional's site evaluation?
Auaust 2007
B. Has the design professional reviewed a copy of the geotechnical mformation
that was prepared for the subdivision relating to this site? Yes ~ No_
If not, please contact this office for a copy of the report. . The design professional
must be familiar with the geotechnical information before completing this form.
C. In which Geotechnical Investigation category is this site located?
Level I !
Level II
Note: Level II requires a site-specific geotechnical investigation & reoort
Were any site conditions identified that would change the category? YES_
NO! .
(For criteria detennining category, see the specific Geotechnical Report for the correct phase of the subdivision)
If"yes", explain (use the reverse side of this sheet or an added sheet if necessary)
Note that this lot was revised to a Levell status based on an area-wide geotechnical investigation
and report dated June 6, 2005
lof5
Community Services Div, B.uilding Safety
CITY OF SPRINGFIELD, OREGON
225 5'h Street, Springfield, OR 97477 Ph, 726-3759
Mountaingate Subd, Lot # 59
Was a geotechnical engineer involved at the site to verify that conditions are
suitable for construction of the proposed building(s)? Yes! No
Name of geotechnical engineer
D. What was the nature of the excavation and lor fill?
Foundation Dad construction included excavation of a sinale bench into the hillside. Cut heiahts
ranoed from aDDroximatelv12-feet at the north side to 12-feet alona the south side. Soils eXDosed
in the cut consisted of aDoroximatelv 1 t02-feet of dark brown silt over tan/brown/oranlle
decomoosed sandstone with zones of "Dillow" basalt. Groundwater or seeDaae was nol observed in
the excavation.
Was existing.non-structural fill or expansive soil encountered on the lot?
Yes_ No.,! Tf"yes", what types, depths and locations, and how does it affect
the building foundation? None reauired. We noted that the east edoe of the excavation was
alono a storm drain and the crushed aaoreaate trench liII and DiDe was Dartiallv exoosed in Ihe
excavation, The Dioe was nol disturbed,
What measures were taken to rem~dy the soil condition (include type of
engineered fill used to stabilize the soil)?
None reouired. ADoroximatelv 6 to 12-inches of %-inch minus dense-oraded crushed aooreaate
was Dlaced on the undisturbed sandstone subarade to raise the loundation Dad to the desired
lootina arade.
Is the site as prepared adequate! inadequate 0 to maintain constant
moisture conteIftin the sub grade? Note: Verification ofmoisture stabilization in
the sub grade is a requirement for site preparation, and must be affirmed before
construCtion can Continue.
If inadequate, what measures are to be taken to provide constant moisture content
in the sub grade?
Is the site, as prepared, adequate !. inadequate[] to support the proposed
structure? An affirmative answer is requisite to proceeding with construction.
If inadequate, what additional work is ne.eded to provide. adequate
foundation support?
E; Did the design professional witness placement and compaction o{the
engineered fill, or is' there a specialinspe.ction report forthcoming from a
qualified agency? I witnessed Placement ~ Special Jnsp/compaction report X
20f5
Community Services Div, Building Safety
CITY OF SPRINGFIELD, OREGON
2255'11 Street, Springfield, OR 97477 Ph, 726-3759
Mountaingate Subd, Lot # 59
Acoov of the field test results for in-Dlace densitv and water content of the crushed aaareaate fill is
. attached to this reDort.
F. The design professional intends to use the following method for installation
of perforated perimeter footing drains: '
The design on the, attached drawing provided by the design professional. , " 0
The method shown on the original construction drawings. ,. ,. . ., , . . . . . " 0
The typical 'Foundation Drain' drawing attached to permit ....................1
Perforated perimeter drains' are not required.... ......",.,.."."",.,.., ,.. 0
Comments: Additional footina drainaoe is not reouired due to the drainaoe svstem constructed at
the toe of the cut sloDe. The drain consists of a 3-inch diameter Derforated PVG DiDe surrounded bv
drain rock,
G. Low-point crawl space drains are required to prevent the build,;,up of excess
. moisture inside the foundations during (and after) construction. This drain
may be installed after foundation placement onlv with the exoress oermission
of the desi2"n orofessionaI.
a. The design professional has determined the following:
The crawl space drain is required when the foundation is installed..... 0
The low-point drain can be installed after foundation placeme,nt without a
significant moisture build-up problem within the foundation ,.. .., ... .... 0
(The low-point drain may be installed at the stage
of construction) .. post & beam,jraming, roofing, etc.
b. Has the design professional observed and approved the installation of the
required low point drain?.. ... ... ... ... ...... ... ... ... ..... Yes, No
if''yes'', where is the low point drain located under the building and
where does it terminate at this time? (Must be an approved location, i.e.
street gutter, storm sewer, sump pump and discharge line to the street,
etc.) A low-Doint crawls Dace drain is not reauired for this foundation"
The d~sign professional must determine whether the approved permit drawings have
adequate foundation steel. Is any additional foundation steel required that is not
shown on the foundation drawings for the building?
Yes No !. If 'yes H, describe additional steel required (or provide drawing).
30f5
Community Services Div, Building Safety
CITY OF SPRINGFIELD, OREGON
225 5'h Street, Springfield, OR 97477 Ph. 726-3759
Mountaingate Subd. Lot # 59
The individual doing the observations and providing direction for the excavation and site.
preparation work on the property must sign the following statement. .
The undersigned design professional (or authorized employee) attests that he/she
observed required moisture stability procedures on this site, and that such procedures
were accomplished before any'changes occurred in the moisture content of the sub-
grade under and around the building (where expansive soils were encountered). Tite
undersigitedfur.ther attests that the sub-grade, as prepared, is adequate to support the
building proposed for this site.
Additional comments:
(Note): A copy of this report shall be kept 'on s~te with the approved plans at all
times.
This report shall be followed by an affidavit, signed and stamped by the design
professional under whose auspiCes this report was completed, affirming the information
herein~ The signed/stamped affidavit together with a copy of this report shall be
submitted to this office prior to requesting framing inspection for the building.
. <:' -
Signature .~~
Name Michael Remboldt Title PrinciDle Geotechnical Enaineer
Company K & A Enoineerino. Inc.
Phone 684-9399
Licensee Michael Remboldt
License # 19474 expires 12/30/2008
The geotechnical report for each phase of the Mountaingate Subdivision makes
recommendations for placement of building construction on each site. The report also
recommends that site preparation during wet weather conditions be avoided unless
special measures are. taken to mitigate soft soil conditions and moisture collecting in or
around the foundation areas during and after the construction process. Positive site
drainage must be provided.
40f5
Community Services Div, Building Safety
CITY OF SPRINGFIELD, OREGON
225 5'h Street, Springfield, OR 97477 Ph, 726-3759
Mountaingate Subd. Lot # 59
SITE ADDRESS: 6021 FERN Hill Loop
AFFIDAVIT
For Site Investigation Questionnaire
Foundation Sub-Grade Approval for
Residential Building Site in Mountaingate Subdivision
The undersigned hereby affirms that the excavation, structural fill and moisture
stabilization methods for the building site at the address shown above were observed by
me or an authorized employee of my firm and that the following is true:
1. The geotechnical information for the subdivision, specific to this site, was utilized
as part of the determination for foundation preparation and drainage requirements.
2. The foundation sub-grade is capable of supporting a minimum of 1500 psf, and is
adequate to support the building proposed for this site.
3. The moisture content of the excavation was adequately maintained during the site
preparation process and the site is adequately graded and drained for discharge to
an approved location in order to maintain stable moisture content throughout the
construction process and thereafter.
4. The accompanying report titled "Site Investillation Ouestionnaire for Consulting
Desilln Professionals" containing field observations and instructions made on
(dates) Auaust 2007 for this building site was completed either by me or by an
authorized representative under my supervision. To the best of my lrnowledge,
the information contained in that report is complete and accurate.
Signature ~\
Date F/~/w""'7
Name of Licensed Professional (print) Michael Remboldt. P.E.
EXPIRES
r .
Density of Soil and Soil-Aggregates In-Place
ASTM 02922 and 03017
Project: 169.07 I
Site Address: 6021 Graystone Loop I
Permit No: LDAP2007 -00152 . I
Date: 18/28//07.
DensitY Test Typel: OT-6
Operator: SS
Material Type:13/4-inch minus dense graded crushed aggregate - Springifled quarry
I Maximum Dry Denstiy, pcf1128.0 .
Standardization and Reference Gheck,Ll Density Ll Moisture, I
(Standard Deviations) (S.D.) 0.94 (S.D.) 0.53
1 Direct Transm'ission (DT) (specify depth, in.) or Air Gap Backscatter (AGB) (specifiy(T)ouchable or (U)ntouchable
mode
-Testperformed-using-SeamancNuClear-Corp-modeIC=300;-SN-21113~-----------
Client: River Valley Builders, Inc.
Project: 169.07
K & A Engineering, Inc.
8/29/2007
. ---- -
.Il'
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER:
'NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
]. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIo.US S.F.. x ,. COST PER S.F: CHARGE
2973.00$0.346 = I $1,028.72
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS, .
IMPERVIOUS S.F. x I. COST PER S.F. x I DISCOUNT RATE DISCOUNT
, 0.00 I $0.346 '50% $0.00
ITEM 1 TOTAL - STORM DRAINAGE SDC I $~,028.72
COM2007-0l ]96
River Valley Builders
602] Femhill Loop
17023434 TL 06700
SINGLE FAMlLY RESIDENCE
] BUILDING SIZE (SF
o
. LOT SIZE (SF):
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's x
29
B. IMPROVEMENT COST:
I NUMBER OF DFU's x
I 29
COST PER DFU
$26.83
COST PER DFU
$20.40
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
=1
$1,369.88
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADTTRIPRATE x
I 9.57
B. IMPROVEMENT COST:
I ADT TRIP RATE
, 9.57
I NUMBER OF UNITS I x I
I I I I
COST PER TRIP
20.43
x I NEW TRIP FACTOR
, 1.00
I NUMBER OF UNITS I x I
I . I I I
= ,
COST PER TRIP . I x 'NEW TRIP FACTOR
$90.10 . I 1.00
$1,057.73 I
x
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's x
]
ICOST PER FEU
I $91.61
B. IMPROVEMENT COST:
INUMBER OF FEU's x COST PER FEU
'I $961.52
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM'4 TOTAL - MWMC SANITARY SEWER SDC = 1 $1,063.13
... -~.
SUBTOTAL (ADD ITEMS 1,2,3, & 4) == , $4,519.46
5. ADMINISTRATIVE FEE:
10000
$1,028.72
$778.17
$591.72
$195.48
$862.25
=
$91.61
=1
1
1
$961.52
$0.00
$10.00
I SUBTOTAL x ADM. FEE RATE
I $4,5]9.46 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
CHARGE
$225.97
r/J
~
Cl
o
u
~
~
t-<
r/J
>-<
o
gj
1]070
I '
1091
1092
1093
]094
1054
1055
]054
1056
Matt Stouder
TOTAL SDC CHARGES
156.82 1079
I
$69.]5 11078
-,
= I $4,745.43
8/16/2007
. PREPARED BY
DATE
- - -~. --- _.
-- - ---
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUlV ALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
BA TIITUB 1 0 3 = 3
DRINKING FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
I LAUNDRY TUB 1 0 2 = 2
ICLOTHESW ASHER / MOP SINK 1 0 3 = 3
/CLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (l PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 1 0 3 = 3
I SHOWER, SINGLE STALL 1 0 2 = 2
I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
/SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2
SINK: SINGLE LA V ATORY/RESIDENTIAL BAR 2 0 1 = 2
URINAL, STALL / WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRIVATE INSTALLATION 3 0 3 = 9
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 29
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$l,OOO
ASSESSED VALUE
$5.29
$5.29
$5.19
$5.12
$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 I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
2
2
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE
$0.00 x $5.29
= ,
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0.00 x $5.29
o
TOTAL MWMC CREDIT
$0.00
=
i llama lane
Park & Recreation District
Job. No. ~ ,\\~J)
~SrSTEM D~VELOPMENT CHARGE WORKSHEET FOR 2007
NAME: }.Uer \a\tfu ~s PHONE: \~32D
ADDRESS:~ ~p;3IL ~ITY~~EO~P:~~
LOCATION OF PROPOSED BUILDING SITE:
Street Address: \~\)'L\ ~\\, \\ \nr(J
Plat Name: \1.t G(rle Tax Lot Number: t"1O'2M3t- D\o lOJ
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the
ba~k. )
A. Sinale-Family Detached \
NO. OF UNITS
X $2,303 per unit =
$ fLClJ3 oJ
B. Sinale-Family Attached
NO. OF UNITS
X $2,426 per unit =
$
C. Multi-Family Aoartment
NO. OF UNITS
X $2,032 per unit =
$
D. Sinale Room Occuoancv
NO. OF UNITS
X $1,016 per unit =
$
E. Accessorv Dwellina Unit
3. TOTAL WILLAMALANE NET SDC ASSESSED
~~ reduced for Credit]
Development ervlc
City of Springfield
X $1,151.50 per unit = $
· '".2 cD
$ 'J-.3D c:J.
jJ
$ '1.00& d)
~/ 3 \/0']
Date
$
NO. OF UNITS
WILLAMALANE SDC
2. SDC CREDIT (If applicable) SDC payer must furnish proof of
Willamalane Credit approval.)
5
DEVELOPMENT TYPE DEFINITIONS1
Sin'~I,eJ ~trJI}' J1"'~hed Dwelling Unit
A bu1.JdiflgJor a portion of a building consisting of one or more rooms including sleeping,
cooking, an'd plumbing facilities arranged and designed as permanent living quarters
for one family or household; and not attached to any other dwelling unit or building.
TpiS.s!~.l'i~n in~I~. smanufactured h~.~~n.@; lq; .~!'.(\:!il ."1(\,1' /.';J
-- -.X.JlJ.t),....)J ( lJu..(.II .t.~'J~I/.~J 4.~<fd" 7
~~~~fJlyh~.tlt1t\1ed ~~~~foC~Nt.r1l D.Ao ) ~~.c~.~-.i~..c...;...! k'
~);l0ri1&n 0 a ~I d.h~ C0RSiSlln{l~ .c9'"OW...f-fttlle roums,If1~Q~~;h~~~ln,~" '~oo lng,
. and plumbing facilities arranged and designed as permanent living quarters for one
family or household; and which is attached to one or more dwelling units by one or
more co~mon ve~ical wafSfr;h~ ,defi?ifiqn--?IH~~l~e~, but(if/ryo~ fi~ited to "duplex",
.... "zero lot line dwelling", "towntiG\~e", al7l~ ''A;oiilio6se'l. Wlth/tb.e ~1<c.~ptlon of duplexes,
<. '(")' r'" Sfr;1g!e~~t~_ett'OOt.\,~lDw~lIing Units typically are separat@!~~ow..~ ~'e.d..l. ! I
.'- ~ (J;\, i iU: G-i U" ! " /t- P V- I . 'l.t.
. '-.- JJ. ~ (, I:
Multi-Family Dwelling Unit "\I - .
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
,[11S(~ ~Qru~~ r'\ertical walls. Typically, the units are'in an apartment building or
com~I~C~(i.9~~'~ not separately owned. .I
. Single Room Occupancy Dwelling Unit
A portion of a building consisting of one or more roqms 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
SOC 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
.~i,thinG"'etWq.b.ed to, or detached from the primary single-family dwelling. Accessory
"aWEj;I~'ng~il~.~~all be charged at one-half the single family detached dwelling unit
SOC rate.
. ('Ill"
,.
... I
'.~.,"
ffi ~f\~ ~
· ',.J""}"; .....\.
-.
cf' i"
" -"t /"'- , r ('\ .. 1
\ ~ J J' (~ ,-...., .~~. ~(} }~~;date'<t 2lcq'/di /
1.;.11- /1' " ,J - '.. _J...~
1 From the WPRD Parks and Recreation SDC Resolution No. 06-07-6, Octob~/10, 2006
6
225 Fifth S.treet
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01196
COM2007-01196
COM2007-01196
COM2007-01196
COM2007-01196
COM2007-01196
COM2007-01196
COM2007-01196
COM2007-01196
COM2007-01196
COM2007-01196
COM2007-01196
COM2007-01196
COM2007-01196
COM2007-01196
COM2007-01196
COM2007-01196
COM2007-01196
COM2007-01196
COM2007-01196
COM2007-01196
COM2007-01196
COM2007-01196
COM2007-01196
COM2007-01196
COM2007-01196
COM2007-01196
COM2007-01196
COM2007-01196
COM2007-01196
COM2007-01196
COM2007-01196
Payments:
Type of Payment
CreditCard
Check
cReceintl
RECEIPT #:
1200700000000001135
Date: 08/31/2007
Description
Plan Review Residential
Addressing Assignment
Willamalane Single Family
Fire SF Fee - Residential
Sidewalk Permit
Curbcut Permit
PW Disc - 2nd 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
Building Permit
3 Baths One & 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)
Plan Review Major - Planning
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
RIVER VALLEY BLDRS
RIVER VALLEY BLDRS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
IIh 034717 In Person
IIh 13367 In Person
Payment Total:
Page I of2
8:52:36AM
Amount Due
53.52
35.00
2,303.00
254.90
85.00
85.00
(30.00)
1,028.72
778.17
591. 72
195.48
862.25
91.61
961.52
10.00
156.82
69.15
1,596.60
337.00
32.00
14.00
14.00
28.00
7.00
10.00
7.00
5.00
17.00
205.00
120.63
165.41
232.25
$10,322.75
Amount Paid
$9,500.00
$822.75
$10,322.75
8/31/2007