HomeMy WebLinkAboutPermit Building 2008-2-6 (2)
CITY OF SPRINli~IELD -
Building/Combination Permit
PERMIT NO: COM2008-00156
ISSUED: 02/06/2008
APPLIED: 02/04/2008
EXPIRES: 08/06/2008
VALUE: $ 95,200.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5787 CINDER ST
ASSESSOR'S PARCEL NO.: 1802030007900
SPRINGFlETYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: Single family residence
TYPE OF USE: New
Residential
Owner: HA YDEN ENTERPRISES
Address: 2622 SW GLACIER PL #110
REDMOND OR 97756
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
HA YDEN ENTERPRISES
M & W ELECTRIC INCORPORATED
PACIFIC AIR COMFORT INC
DENNIS SCOTT EGGERS
License
92208
67362
39237
142776
BUILDING INFORMA nON I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U
VB
# of Stories: 1
Height of Structure 15.00
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 I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
17.00
7.00
8.00
44.40
0.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Subdivision Not Accepted
I PUBLIC IMPROVEMENTS I
Phone Number: 541-228-6935
Expiration Date
07/29/2009
06/1912011
03/25/2010
05/05/2010
Phone
541-228-1081
541-754-6171
541-672-9510
541-459-0110
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
832
280
I
Yes
20.50
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Street Improvements: Sid.el\:alk.. T.vng
Fully Improved ~T 'r ENlIOI'r. u;egon law regUlre~'W\'Oe 7'
Stor.... Sewer A~ailable: . Yes fO~tI~wDta~~:by the g1l'5gC\Y<!J{XH~ter
SpeCIal InstructIon: NotifIcation Center. Those rules are set forth
tM'TI~r:. In OAR 952-001-0010 through OAR 952-001-
Notes: N('Pfrftl'lI' b'~fi'p'afcX.&l1lJIL~M~1fPr\!fE twfiR'l{lpproval for pumpQM4hpYou may obtain caples of the rules by
THIS PERlVIl "HAL calltng the center. (Note' the telephone
AUTHORIZED UNDER THIS PERMIT IS NOT number for the Oregon UtIlity Notification
COMMENCED OR IS ABANDONED FOR Center is 1-800-332-2344).
.\~N i 80 DAY PERIOD.
Pa2e I of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00156
ISSUED: 02/06/2008
APPLIED: 02/04/2008
EXPIRES: 08/06/2008
VALUE: $ 95,200.00
225 Fifth Street, Springfield, OR
541 -726-3753 Phone
541 -726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
DwelIin2s
Gara2e
Type of Construction
V Wood Frame
Gara2e
$ Per Sq Ft
or multiplier
$105.00
$28.00
Square Footage
or Bid Amount
832.00
280.00
Value
Date Calculated
Description
Total Value of Project
$87,360.00
$7,840.00
$95,200.00
02/04/2008
02/0412008
~
Fee Description Amount Paid Date Paid Receipt Number
+ 10% Administrative Fee $108.73 2/6/08 1200800000000000099
+ 12% State Surcharge $123.80 2/6/08 1200800000000000099
+ 5% Technology Fee $70.33 216/08 1200800000000000099
I Bath One & Two Family $160.00 2/6/08 1200800000000000099
Addressing Assignment $35.00 2/6/08 1200800000000000099
Appliance Vent $7.00 2/6/08 1200800000000000099
Building Permit $605.68 2/6/08 1200800000000000099
Curbcut Permit $85.00 2/6/08 1200800000000000099
Dryer Vent $7.00 2/6/08 1200800000000000099
Exhaust Hoods $10.00 2/6/08 1200800000000000099
Fire SF Fee - Residential $55.60 2/6/08 1200800000000000099
Furnace - up to 100,000 btu $14.00 2/6/08 1200800000000000099
Gas Outlets 1-4 $5.00 2/6/08 1200800000000000099
Plan Review Major - Planning $205.00 2/6/08 1200800000000000099
Plan Review Residential $393.69 2/6/08 1200800000000000099
Residence Wiring 1000 Sq Ft $11 7.00 2/6/08 1200800000000000099
Residence Wiring Ea Addtl 500 $21.00 2/6/08 1200800000000000099
Sanitary Sewer - Improvement $326.46 2/6/08 1200800000000000099
Sanitary Sewer - Reimbursement $429.33 2/6/08 1200800000000000099
SDC MWMC Administration $10.00 2/6/08 1200800000000000099
SDC MWMC Improvement $990.39 2/6/08 1200800000000000099
SDC MWMC Reimbursement $95.35 2/6/08 1200800000000000099
SDC Sanitary/Storm Admin $95.44 216/08 1200800000000000099
SDC Transpo Improvement $862.25 2/6/08 1200800000000000099
SDC Transpo Reimbursement $195.48 216/08 1200800000000000099
SDC Transportation Admin $77.42 2/6/08 1200800000000000099
Sidewalk Permit $85.00 216/08 1200800000000000099
Storm Drainage Impervious Area $548.01 2/6/08 1200800000000000099
Storm Sewer Each Addtll00' $16.00 2/6/08 1200800000000000099
Temp Power 200 amps or less $55.00 2/6/08 1200800000000000099
Vent Fan $14.00 2/6/08 1200800000000000099
WiIlamalane Single Family $2,513.00 216/08 1200800000000000099
Total Amount Paid $8,336.96
Pa2e 2 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00156
ISSUED: 02/06/2008
APPLIED: 02/04/2008
EXPIRES: 08/0612008
VALUE: $ 95,200.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Plan Reviews ,
Plannin2 Review 02/04/2008 02/04/2008 APP TAJ There is only space for one street
tree because of the location of the
street light and driveway.
Public Works Review 02/04/2008 02/04/2008 APP LKW No final occupancy shall be granted
prior to PW approval for pump
station.
Structural Review 02/04/2008 02/04/2008 APP DLM Approved as submitted
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.
~eouiredJnsnections I
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: 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.
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.
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.
Pa2e 3 of 4
Status
Issued
CITY OF SPRINGFIELD C
Building/Combination Permit
PERMIT NO: COM2008-00156
ISSUED: 02/06/2008
APPLIED: 02/0412008
EXPIRES: 08/06/2008
VALUE: $ 95,200.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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
testmg. Presure test done at this point.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
---"2 ;2 ~
/ . /'
Owner or Contractors Signature
~-G --6'R
Date
Pa2e 4 of 4
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER C0M2008-00156
NAME OR COMPANY Hayden Homes
LOCATION. 5787 Cmder
TAX LOT NUMBER 1802030007900 l
DEVELOPMENT TYPE Smgle Family ResIdence
NEW DWELLING UNITS 1 BUILDING SIZE (SF: 1112 LOT SIZE (SF)
1 STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S F x I COST PER S F. CHARGE
1583 75 I $0346 = I $54801
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS SF x COST PER SF. x I DISCOUNT RATE I
o 00 $0 346 I 50% = I
ITEM 1 TOTAL - STORM DRAINAGE SDC I $548.01
2 SANITARY SEWER - CITY
A REIMBURSEMENT COST
NUMBER OF DFU's x
16
B IMPROVEMENT COST
I NUMBER OF DFU's I x
I 16 I
5663
VJ
~
(::j
o
u
~
~
r-<
VJ
>-<
d
~
DISCOUNT
$000
$548.01
1070
COST PER DFU
$26 83
$429.33
11091
COST PER DFU
$20 40
$326.46
1092
=1
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3 TRANSPORTATION
A REIMBURSEMENT COST
I ADT TRIP RATE x
I 957
B IMPROVEMENT COST
I ADTTRIPRATE x
I 957
$755.80
NUMBER OF UNITS I x
1 I
x /NEWTRIPFACTOR
I 100
COST PER TRIP
2043
$195.48
1093
I NUMBER OF UNITS x
I 1
x NEW TRIP F ACTORI
100 I
ITEM 3 TOTAL - TRANSPORTATION SDC
= 1
COST PER TRIP
$90 10
$1,057.73
4 SANITARY SEWER - MWMC
A REIMBURSEMENT COST
INUMBER OF FEU's x
I 1
B IMPROVEMENT COST
INUMBER OF FEU's x
I 1
$862.25
1094
ICOST PER FEU
) $95 35
$95.35
1054
ICOST PER FEU
I $990 39
= $990.39 1055
$0.00 1054
$10.00 1056
= I $1,095.74
=1 $3,457.28
I,
CHARGE
$172 86
9544 1079
$77 42 1078
-..,., $3':~.1~
TOTAL SDC CHARGES = ,
-
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
SUBTOTAL (ADD ITEMS 1, 2, 3, & 4)
5 ADMINISTRATIVE FEE
SUBTOTAL x ADM FEE RATE
$3,457 28 5%
TOTAL SANITARY ADMINISTRATION FEE
TOTAL TRANSPORTATION ADMINISTRATION FEE
Kaye Wilson
2/4/2008
PREPARED BY
DATE
DRAINAGE FIXTURE UNIT (DFU) CALCULA nON TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE FOR REMODELS, CALCULATE ONLY TIlE NET ADDITIONAL FIXTURES)
NO OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
BATHTUB 1 0 3 = 3
DRINKlNG FOUNTAIN 0 0 1 = 0
FLOORDRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 = 0
LAUNDRYTUB 0 0 2 = 0
CLOTHESW ASHER / MOP SINK 1 0 3 = 3
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRIG / WATER STATION / ETC 0 0 1 = 0
IRECEPTOR FOR COM SINK / DISHWASHER / ETC 1 0 3 = 3
ISHOWER., SINGLE STALL 0 0 2 = 0
I SHOWER., GANG (NUMBER OF HEADS) 0 0 2 = 0
I SINK COMMERCIALIRESIDENTIAL KITCHEN 1 0 3 = 3
I SINK COMMERCIAL BAR 0 0 2 = 0
ISINK WASHBASINIDOUBLE LAVATORY 0 0 2 0
ISINK SINGLE LAVATORYIRESIDENTIAL BAR 1 0 1 1
IURINAL, STALL/WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRIVATE INSTALLATION 1 0 3 = 3
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 16
*EDU (Eqwvalent Dwelling Urut) IS a dIscharge eqwvalent to a smgle famIly dwelling urut (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$l,OOO
ASSESSED VALUE
$529
$529
$519
$512
$4 98
$4 80
$463
$440
$407
$367
$322
$273
$225
$180
$159
$145
$125
$109
$092
$072
$048
$028
$009
$005
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
CREDIT FOR LAND (IF APPLICABLE)
VALUE /1000 CREDIT RATE
$000 x $000
= I
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$000 x $000
TOTAL MWMC CREDIT
=
2
2
2005
$000
o
$000
To: 15417412572 P.1/1
(FAl015417412572 I. PI'OOI/OOI
~.~ ZON Uile-
lNITIALs ( .
DATE () Y .
... '~'M IlIlW<t · -_OR ,,'" · PH'l'411"""" . VAX: l'4~_ ~ SOUAC~ {) .r .
&ECl7UCA.LPERlWT APPLlCAn'ON J (" '~
:hyJ~bNWU_ ~~~ao~.~~ ,';..
/7'~1j" ,f, 5$ ~ sr; _ ~1.~.\1'11.'1iI_i
UlGALDIlSCIUPnON: A. _
/$.f2.2.~ ~7<t" t) Service Included
.
JOB DESCRIPTION: 1000 sq. it. or leas
Each IIddhloalll SOO sq. f1:. or
portion tbcroof
Each M~~1hct'd HOtna gr
Modular Dwelllns Satvlcc or
Feeder
uuu 10. .;:);:) rrom:M &, W ELECTRIC
-- ~~~l!':U4-'UUtllMUN) Uti: 4~
5417541872
<S:~,{Ci1/~~ W/h~
.
Pormlt. are nOI-h'iblfcnble Dad npJre Jf1tlOr'k La
Qot .&ar1Dd within 180 days of Isluoltal Dr'lrwork fa .
SU'P<<ndcd for 180 day..
Elcctrfcal Conrrnctor . l'\1 fw fl~t
Addrl.'JW ~'isi("1 H......t.( ~ .~
City -~\~lI\i .. PbDno 5Jl1.'7~"HJI71
SUpcMsor licoWlO Number 4.)'71/ 5
Expiri1tfOll Dnro 10 ... J()
Coastr. eonb'. Number (Q 7~~
EKpntiODDlltp ~ -Ie; *.::Jo11
Slsn8luro ofSuporvlO1g Electrician
\1
OwnCTSNlUDC ~81 ~L'::f
Address *1' ~5~/1"H. PL ",
city ~c;lIHIPI) PbollC ~Zi::.l#'3j
0/1(
OWNER mST4LLAnON
The inataIllJlion Is bclDg mode on property 1 OWl1 "'hich
Is DOt lnr.ondmd for PUle, JClISC or leOL
Ownom SJg.aShlte:
~, .....---
lupoctIon ReqUM: 71603769
I
. $117.0 , 1/7/!!
I
$ 21.00 2../.1!Je)
I
$55.00
B.
20~M/~' $ 70.00
2CJb~~~i~M}2~on raw. aq!-lfres y~~o
4'o'bA~It'to 6~~e~ by the-e. \;:~VI i 1J~~iO
. '~'-' -.t ~~ I hose ru~.-; ~effQff
dI11~~~~iO through1)A~"'Q5mlo
8~~~Qja;n copies of thA nJtWMO
Re&il I &~enter. (Note: the t~l~ptlCfnV-:6o
number for the Ore on Utili 'f!.
c..
lDIWlltfon, AJtclratfou or .Rc1()CDtIon ,
200~ft2&a l tl ,~~~O
201 ~ ~~liJP8HALl EXt'/hc"W4' ~ .
4Dl _~~NDER TH.!!!. ~thM Ii Of! _
0. " 6lBIloll1iJi. Q,ij,CJllQ,II.l'!~D FO J
D. B_~
NIW AJterauoa cu' ExttlllloD l'er .PDllaI
ODe Circuit .
Each AddldoImL CmlUft ar with
ServIce or Feeder 'Permit
$ 48.00
.$ 4.00
-
I
)
~
Eo
Pump orfrrfamfon $ 55.00
SfgqlOlnl.lM 1..f8hti118 $ 55.00 ~I
LfmlIcd J!ncrayfRotidrmtflLl S 28.00 I
LImIted BneTS)'/CommorcJiJ _ S 50.00 r
Minimum Electric Permit Tn,pcctfon FeD II SSG.no + Surcllor alll
4. J19:t~OO
12" Srato Sun;bnrgo 12 ~,/ (i-
IQ% AdmlDfBlrotlvc Fcc =:J ~/ 4' t1J!!
5% ToclmoloS)' Fee . ., '7 -tI,C
TOTAL ?Jf.s,/t
ShlIrod Dri.a(l':)IB.d1dJng FOrmalUleC\riaoJ Permit AIlPII~ : J.oI.doo
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00156
COM2008-00156
COM2008-00156
COM2008-00156
COM2008-00 156
COM2008-00 156
COM2008-00156
COM2008-00 156
COM2008-00 156
COM2008-00 156
COM2008-00156
COM2008-00 156
COM2008-00156
COM2008-00156
COM2008-00 156
COM2008-00156
COM2008-00 156
COM2008-00 156
COM2008-00 156
COM2008-00 156
COM2008-00 156
COM2008-00156
COM2008-00 156
COM2008-00156
COM2008-00156
COM2008-00156
COM2008-00156
COM2008-00 156
COM2008-00 156
COM2008-00156
COM2008-00 156
COM2008-00 156
Payments:
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
1200800000000000099
Date: 02/06/2008
DescrIptIOn
Plan Revtew ResIdentIal
Plan RevIew Major - PlannIng
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 TransportatIon AdmIn
Curbcut PermIt
SIdewalk PermIt
BuIldIng PermIt
AddreSSIng AssIgnment
Wlllamalane SIngle FamIly
I Bath One & Two FamIly
Storm Sewer Each Addtl 100'
Furnace - up to 100,000 btu
Vent Fan
ApplIance Vent
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
ResIdence WIrIng 1000 Sq Ft
ResIdence WirIng Ea Addtl 500
Temp Power 200 amps or less
FIre SF Fee - ResIdential
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInIstratIve Fee
Paid By
HA YDEN HOMES
Item Total:
Check Number AuthOrIzatIOn
ReceIved By Batch Number Number How Received
DLM
099504 In Person
Payment Total:
Page 1 of 1
9:54:17AM
Amount Due
393 69
205 00
548 01
429 33
326 46
195 48
862 25
9535
990 39
10 00
9544
77 42
8500
8500
605 68
3500
2,51300
16000
1600
1400
1400
700
10 00
700
500
11700
21 00
5500
5560
7033
123 80
108 73
$8,336.96
Amount Paid
$8,336 96
$8,336.96
2/6/2008
Willamalane
Park & Recreation District
Job. No. cg.. \sp
SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2008
NAME: J\.\U~ r*~l(\5.V:) PHONE: ~ 1-~#~
ADDRES~ldA~ swCihtiurTY ~STATd~IP: C\,\Slo
LOCATION OF PROPOSED BUILDING SITE:
Street Address: 5Sft0\ 0lldQV
Plat Name~D-..- Tax Lot Number: \ ~D~O mOf{)
1. DEVELOPMENT TYPE (Check appropnate dwelllng(s) Dwelling type definitions are on the
back)
A. Sinale-Familv Detached
\
NO. OF UNITS
X $2,513 per unit =
$ ~~\~pU
B. Sinale-Familv Attached
NO. OF UNITS
X $2,726 per unit =
$
C. Multi-Familv Aoartment
NO. OF UNITS
X $2,323 per unit =
$
D. Sinale Room Occuoancv
NO. OF UNITS
X $1,162 per unit =
$
E. Accessorv DwelIina Unit
NO. OF UNITS
X $1,257 per unit =
$
WILLAMALANE SDC
$ ~~\5,(X?
if
$ ~5\B ~
2. SDC CREDIT (If applicable) SDC payer must furnish proof of
Willamalane Credit approval)
$
3. TOTAL WILLAMALANE NET SDC ASSESSED
(If SDC reduced for Credit)
~~~
Development Services Department
City of Springfield
2.. I LD I Cf!j
Date
5