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Home My WebLink AboutPermit Building 2007-11-29 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01689 ISSUED: 11/29/2007 APPLIED: 11/15/2007 EXPIRES: OS/29/2008 VALUE: $ 181,264.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4134 FILBERT MEADOWS Way ASSESSOR'S PARCEL NO.: 1802064109700 SPRINGFIETYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence - SAME AS COM2007-00667 1285 41st PI REQUIRED PARKING Overlay Dist: Total: 2 # Street Trees Rqd:ATT . 4 Handicapped: Paved Drive Rqd: f II ENTION. Ol\?ies:>n law r~Iilnact!""U to o ow i' i - -,-...",,;; yv % of Lot Covera~btificat~ es ac2%.60d by the Oregon Utility in OAR ~~2~OcOe1ntoeor'1 nThthose rules are set forth - rnllnh,",An""''''''e- f~ GTh CE: I PUBLIC IMPROVEMiiii.~~iIYgO~h may obtain copies of th~ ~r~les vd.; -- e center. (Note' the teleph Street ImpH)v~m~~J!H SHALL EXP~~RE THE W~RK number fOISUlev<ilJlsg(>fPUtility Notif ot~e C b'd 7' \ I r-Hn R 17j:D lJ NDER TH I . ,{Qp,rQ~e OT Cente ' 1 RI loa Ion ur Sl e Storm SewJr ~-v:Hhifjfe. IVIII IYeDo\J~spOlIqPtiJAA~44). Curb and Gutter Special hfsliihP.Jfi~ED ORtJS ~~fd~ffinveway Apron Curbside Sidewalk Standard( Standard drawing 3-19) must ,\NY 180 DAY PEB~OOintained in the driveway approach as submitted with no variations due to the existing storm Notes: Storm Fee agreeI6eaih inlet. The spokesperson for Bruce Wiechert Homes, Derrick Westover has submitted a building site plan that shows the storm drain inlet to remain and the standard curbside sidewalk will be installed. If the Standards cannot be met or built, narrowing of driveway will be required. Any variations to the site plan or modifications to the existing inlet will not be permitted. Owner: BRUCE WIECHERT CUSTOM HOMES INC Address: 3073 SKYVIEW LN EUGENE OR 97405 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor BRUCE WIECHERT CUSTOM HOMES INC L & E ELECTRIC INC COMFORT FLOW STEVEN R JOHNSON License 101717 105475 460 --........(}5065 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: 1 Height of Structure 22.00 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Gas Energy Path: Path 1 Sprinkled Building: n/a 1 R-3 U VB 3 I DEVELOPMENT INFORMA TlO~ Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 15.00 8.70 9.00 15.00 18.00 Page 1 of 5 Residential Expiration Date 09/1612008 03/3012008 06/27/2009 03/1212008 Phone 541-686-9458 541-933-2653 541-726-0100 541-342-3765 Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 1,580 452 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 Garal!e A.C. - Residen DwelIinl!s Garal!e Fee Description Plan Review Same As -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge 2 Baths One or Two Family Addressing Assignment 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 Overwidth Application Fee Plan Review Major - Planning Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Sewer Each Addtll00' Vent Fan WiIlamalane Single Family CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01689 ISSUED: 11/29/2007 APPLIED: 11/15/2007 EXPIRES: OS/29/2008 VALUE: $ 181,264.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $4.00 $103.00 $27.00 Square Footage or Bid Amount 1,580.00 1,580.00 452.00 Value Date Calculated $6,320.00 $162,740.00 $12,204.00 $181,264.00 11/15/2007 11/15/2007 11/15/2007 Total Value of Project ~ Amount Paid $220.00 $20.00 $158.20 $94.77 $118.43 $280.00 $35.00 $7.00 $14.00 $916.40 $85.00 $7.00 $10.00 $101.60 $17.00 $14.00 $5.00 $40.00 $205.00 $117.00 $63.00 $530.51 $697.67 $10.00 $990.39 $95.35 $90.84 $78.24 $862.25 $195.48 $85.00 $16.00 $14.00 $2,303.00 Date Paid Receipt Number 11/15/07 11/29/07 11/29/07 11/29/07 11/29/07 11/29/07 11/29/07 11/29/07 11/29/07 11/29/07 11/29/07 11/29/07 11/29/07 11/29/07 11/29/07 11/29/07 11/29/07 11/29/07 11/29/07 11/29/07 11/29/07 11/29/07 11/29/07 11/29/07 11/29/07 11/29/07 11/29/07 11/29/07 11/29/07 11/29/07 11/29/07 11/29/07 11/29/07 11/29/07 Pal!e 2 of 5 1200700000000001408 1200700000000001446 1200700000000001446 1200700000000001446 1200700000000001446 1200700000000001446 1200700000000001446 1200700000000001446 1200700000000001446 1200700000000001446 1200700000000001446 1200700000000001446 1200700000000001446 1200700000000001446 1200700000000001446 1200700000000001446 1200700000000001446 1200700000000001446 1200700000000001446 1200700000000001446 1200700000000001446 1200700000000001446 1200700000000001446 1200700000000001446 1200700000000001446 1200700000000001446 1200700000000001446 1200700000000001446 1200700000000001446 1200700000000001446 1200700000000001446 1200700000000001446 1200700000000001446 1200700000000001446 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amount Paid $8,497.13 Plan Reviews I Plannin{! Review 11/15/2007 11/15/2007 APP T AJ Structural Review 11/15/2007 11/15/2007 APP DLM Public Works Review 11/15/2007 11/27/2007 WE Plannin{! Review Public Works Review 11/28/2007 11/28/2007 11/28/2007 11/28/2007 APP APP CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-01689 ISSUED: 11/29/2007 APPLIED: 11/15/2007 EXPIRES: OS/29/2008 VALUE: $ 181,264.00 Plant street trees as shown on street tree plan attached to permit: specie! as shown, 2' caliper in size, leave name tag on until inspected. Same-as permit. Approved as noted on Plans Waiting for new site plan, or plans describing what they are going to do regarding inlet in driveway. TAJ LKW Revised site plan is OK. The Residential Driveway Apron Curbside Sidewalk Standard ( Standard drawing 3-19) must be maintained in the driveway approach as submitted with no variations due to the existing storm drain inlet. The spokesperson for Bruce Wiechert Homes, Derrick Westover has submitted a building site plan that shows the storm drain inlet to remain and the standard curbside sidewalk will be installed. If the Standards cannot be met or built, narrowing of driveway will be required. Any variations to the site plan or modifications to the existing inlet will not be permitted. 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. ~eouiredJnsDectiQns . 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. Post and Beam: Prior to floor insulation or decking. Pa!!:e 3 of5 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2007-01689 ISSUED: 11/29/2007 APPLIED: 11/15/2007 EXPIRES: OS/29/2008 VALUE: $ 181,264.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all 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. 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. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Sidewalk - Curbside: After forms are erected but prior to placem~nt of concrete. Curbcut - Standard: After forms are erected but prior to placement of concrete. Curbcut - Second: After forms are erected but prior to placement of concrete. Pal!:e 4 of5 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01689 ISSUED: 11/29/2007 APPLIED: 11/15/2007 EXPIRES: OS/29/2008 VALUE: $ 181,264.00 225 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 e ployees who are in p iance with ORS 701.005 will be used on this project. I further agree to ensure that all require spections are uested at the proper time, that each address is readable from the street, that the permit card is located at e front of property, and the approved set of plans will remain on the site at all times?ng7'mc"( J . ///2~/6J- own~tors ~gnatur#" Date Pa2e 5 of 5 ZON LlY'~ INITIALS N IV\. . DATE \ \ -?!;o -u 7. ~ SOURCE 'fY\ ~-; ('I ~ Date ///21/0-r I 3. : COMPLETE FEE SCHEDULE BELOW 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number COIAA ZOO 7 - Of b g I 1. LOCA.TION OF INSTALLATION: 'i) 5LJ t" fbev-.\- \1I)c,^~C?w 5 LEGAL DESCRIPTION: 1802064 ( C> 9700 JOB DESCRIPTION: ;/o1A.. ~ ". W, tl-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..r- e Address q 2.g 3 3 City \$p t- J~ 3on~5 Phone 5 l/ ' VI '1 -a Supervisor License Number Lt I '") '1- 5 (o/()/) D9 ( Constr, Contr. Number 1'0 .s 't 7 ~ 5/0 ? f Signature of Supervising Electrician t2-0 t'j YN\ q- -), .I{J~ Expiration Date Expiration Date Owners Name g'(v Le.. L,,}\ e~ev'r C\.P~ Address 3073 .s Ie. '1 V ~c W .- Phone '6' 6 - 'i L{ ) <g City ~ v J <<..h. ~ OWNER INST ALLA TlON The installation is being made on property I own which is not intended for sale, lease <1I' rent. Owners Signature: Inspection Request: 726-3769 A.' New Residential- Singleo~ Multi-Family per dwelling unit. 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 117~ $;.etrOO 2f8tJ ~o ( 3 $50.00 B. Services o( Feeders,- Installati()n,Alterations or Relocation: 200 Amps or less rr"~.'\","'r"'1>.f. r>"<'l~-- r $ 63.00. -' ',: j , ,: :\. ~. ,,~':r. law requrrt:t! yuu 10 201 Amps to 400 A1,np'~:'::,.:,~'. 'rar'!'TP~: hy$,R~'~~egon Utiiity 401 Amps to 600 MnPS:"'.h., 1 '- Sf,8:'. I hos~~'2deware ~At fnrth 11' ! '/.. r.. ", An,' "010' , r 601 Amps to 1000~s', v~';~~'.u I-,i , ' 'l(1:TSlifi)3.w,n 952-001- Ov 1000 Am sN~rts~:,/OL"lllla.~, U:_'lt,lI:ICO.;;;lJ.eoS crofthe rUles by er p "'C" C the C~I-'~' I~:b.:!f.)&,.u t ' 1 &\,...1., "....~.. \.'U~ '~ell;1'.;llurJe Reconnect On y number for th~ "r~= ~i~' 1 l':' -. - -- -s=n \JlldlY I U il1\;c;UlUn . ", ,. _,.... . .'centsr.is 'h?OO-332-2344). C..TemporaryServ~ces or Feeders '. , t.:\- we) Installation, Alteration or Relocation 200 Amps or less $ 50.00 201~~~90 Amps $ 69.00 40 ~gs 'to"'6'00 Amps . $100.00 OV1{;~~WkMi/Tl~~bItf~~'I!b~Hf WORK D. ~~nth~{;t~~1Jl UNDE,R'THIS PERMfT IS NOT :\J-~JI\!f~g!l..':I\JUt OFUS ABANnON _. . New;-Mt~f~<<!MV ~F.~fO~~ pler1>ane~D FOR One Circuit $ 43.00 Each Additional Circuit or with LL ' Service or Feeder Pennit fj...)~'5 E. Miscellaneous (Service/feeder not included) -'-Each Installation , '/,A $ 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. . Slf!JTOTALl?F ABOVE . " /lr(J , UO 8% State Surcharge 7'. ()l) 10% Administrative Fee J Vi. t.I 0 5% Technology Fee 'fC{ , '(5"0 · I liO TOTAL. J'/::2-::;z _ "'f Shared Drive(T:)/Building Fonns/Electrical Pe~pj)Iicatlon 8-06,doc 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 ST x' COST PER S.F. CHARGE I 0.00 .$0.346 1 = $0.00 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F. x I COST PER S.F. x , DISCOUNT RATE 0:00 '$0.346 50% ITEM 1 TOTAL - STORM DRAINAGE SDC 2, SANITARY SEWER - CITY A. REIMBURSEMENT .COST: I NUMBER OF DFU's x , 26 B. IMPROVEMENT COST: NUMBER OF DFU's I x 26 I CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET Com2007-0I689 Bruce Wiechert Homes 4 I 34 Filbert Meadows 1802064109700 Single Family Residence I BUILDING SIZE (SF: 2198.96 7405 r:/) ~ Cl o U ~ ~ .f-< r:/) >-< o ~ LOT SIZE (SF): DISCOUNT $0.00 . I $0.00 $0.00 1070 COST PER DFU $26.83 $697.67 1091 I COST PER DFU .1 $,20.40 I $530.51 1092 = I ITEM 2 TOTAL - CITY SANITARY SEWER SDC $1,228.17 3. TRANSPORTATION A. REIMBURSEMENT COST: ADT TRIP RATE x I NUMBER OF UN]TS I x I COST PER TRiP l' INEW TRiP F ACTORI . 9.57 I ] I I 20.43 I 1.00 I $195.48 1093 B, IMPROVEMENT COST: I ADTTRIPRATE I x NUMBER OF UN]TS x I COST PER TRIP x NEW TRiP FACTOR I 9.57 I I I $90.10 1.00 $862.25 1094 ITEM 3 TOTAL - TRANSPORTATION SDC = , ' $1,057.73 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's x ICOST PER FEU I ] , $95.35 = $95.35 1054 B. IMPROVEMENT COST: NUMBER OF FEU's I x ICOST PER FEU I I I $990.39 = I $990.39 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) I $0.00 . 1054 MWMC ADMINISTRATIVE FEE , $10.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , $1,095.74 SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , $3,381.64 -, --., '- "'. 5. ADMINISTRATIVE FEE: SUBTOTAL x ADM. FEE RATE CHARGE $3,381.64 5% $]69.08 TOTAL SANITARY ADMINISTRATION FEE: 90.84 1079 TOTAL TRANSPORTAT]ON ADMINISTRATION FEE: $78.24 1078 Kaye Wilson 11/] 5/2007 TOTAL SDC CHARGES =, $3,550.72 PREPARED BY DATE DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 2 0 3 = 6 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 LAUNDRY TUB 0 0 2 = 0 ICLOTHESW ASHER / MOP SINK 1 0 3 = 3 ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 I MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0 I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 1 0 3 = 3 I SHOWER, SINGLE STALL 1 0 2 = 2 I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 ISINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 ISINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1 I URINAL, STALL! WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 26 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set ~~ 167 gallons per clay MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED CREDIT RATE/$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 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 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter I 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 $QOO 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 = 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01689 COM2007-01689 COM2007-01689 COM2007-01689 COM2007-01689 COM2007-01689 COM2007-01689 COM2007 -01689 COM2007-01689 COM2007 -01689 COM2007-01689 COM2007-0 1689 COM2007-01689 COM2007-01689 COM2007-01689 COM2007-01689 COM2007-01689 COM2007-01689 COM2007-01689 COM2007-01689 COM2007-01689 COM2007-01689 COM2007-01689 COM2007-01689 COM2007-01689 COM2007-01689 COM2007-01689 COM2007-01689 COM2007-01689 COM2007-01689 COM2007-01689 COM2007-01689 COM2007-01689 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 1200700000000001446 Date: 11/29/2007 Description Plan Review Major - Planning Curbcut Permit Sidewalk Permit Overwidth Application Fee 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 Addressing Assignment Willamalane 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) -Mechanical Issuance Fee- 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 BRUCE WEICHERT CUSTOM HOMES Item Total: Check Number Authorization Received By Batch Number Number How Received nJm 035358 In Person Payment Total: Page 1 of I 1:35: 13PM Amount Due 205,00 85.00 85,00 40.00 697,67 530.51 195.48 862,25 95.35 990,39 10,00 90.84 78.24 916.40 35,00 2,303.00 280.00 16.00 14.00 14,00 14.00 7,00 10.00 7,00 5,00 17.00 20.00 117,00 63.00 101.60 94.77 118.43 158,20 $8,277.13 Amount Paid $8,277,13 $8,277.13 11/29/2007 '\ Willamalane Park & Recreation District Job. No. ~2NJ7-0/~S57 SYSTEM DEVELOPMENT CHARGE WORKSHEETFOR 2007 NAME: /J~r~. uJ/~r ~ONE: u,.~ -'4S~ ADDRESS:.2{J7..? )k"?/ltJCITY We.. STATE:tJ!ZIP: 97~S ; - . I . ' LOCATION OF PROPOSED BUILDING SITE: Street Address: . -if 34- At/(tj(.r /1/M-fltJze,lJ .. ... . - - - . - Plat Name: . Tax Lot Number: I JtJ2L>t?4./ tJ97c90 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwellingtype definitions are on the back.) . ' A. Sinale:..Familv Detached NO. OF UNITS / X $2,303 per unit = $~3 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 $1,016 per unit = $ E. Acce~sorv Dwellina Unit NO. OF UNITS WILLAMALANE SDC X $1,151.50 per unit = $ $ 2. SDC CREDIT (If applicable) SDC payer must furnish proof of Willamalane Credit approval.) $ 3. TOTAL WI LLAMALAN E NET SDC ASSESSED (if SDC reduced for Credit) $-2'?OL Development Services Department City of Springfield Date 5