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HomeMy WebLinkAboutPermit Building 2008-2-15 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2008-00184 ISSUED: 02/1512008 APPLIED: 02/07/2008 EXPIRES: 08/15/2008 VALUE: $ 222,440.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 951 S 56TH ST ASSESSOR'S PARCEL NO.: 1802041108900 SPRINGFIETYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: Single family residence TYPE OF USE: New Residential NOTICE: I PUBLIC IMPROVEMENTS I THISIJX9\JmlP6t+Atl EXPIRE IF THE WORK Sidewalk Type: AUTH9RJ~eD UNDER THIS PERMIT IS NOT Downspouts/Drains: StoredM>>i~l{fd~ \1lfffiP~JmObN~amAutter For this parcel in (La4lP!){ H\Q~YiPJ;ijAQPecommendation to the Building Division, by the City Engineer: "that no connections shall be made to sanitary or storm H20 systems, until the subdivision is accepted by City Council". Owner: DENNIS R MINIUM Address: 8745 THURSTON RD SPRINGFIELD OR 97478 I CONTRACTOR INFORM A TION I Contractor Type General Electrical Mechanical Plumbing License 62682 147618 84164 Contractor DENNIS R MINIUM STEVE HAUCK HOME COMFORT HEATING & AIR CUSTOM PLUMBING I BUILDING INFORMATION. # of Units: 1 # of Stories: 2 Primary Occupancy Group: ATTfR.J.TION: Oreg~iIdW9fi~tfl~"f8u to 27.00 Secondary Occupancy Group: fOll,ow IWlles adoptelbiPy ~lIJOt9gon tJilt~d Air Gas Primary Construction Type NotrflcVlIDn Center. WKlIe iIQIpe:are set forth Gas Secondary Construction Type:in OAR 952-001-001dR~AR 952-001- Gas # of Bedrooms: 0090. YQU may obtalnI;~EIWllthe rules by Path 1 calling the center. SfNotBldb8~one n/a number fnr thp n'Dgnn Iltility t..1otifiglUo'- . Cel"'BJjw~JbORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 10.00 12.00 23.00 10.00 33.75 Overlay Dist: -- # Street Trees Rqd: _ Paved Drive Rqd: % of Lot Coverage: Subdivision Not Accepted Street Improvements: Storm Sewer Available: Special Instruction: Notes: Pa2e 1 of5 Phone Number: 541-954-3067 Phone Number: 541-747-8495 Expiration Date 12/11/2009 04/09/2009 06/25/2011 Phone 541-747-8495 541-221-2665 541-345-2838 Lot Size: Sq Ft 1st Floor: 740 Sq Ft 2nd Floor: 1,160 Sq Ft Basement: Sq Ft Garage/Carport 480 Sq Ft Other: Occupant Load: REQUIRED PARKING 2 Yes 16.30 Total: Handicapped: Compact: 2 Curbside 5' Curb and Gutter Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Descriotion Tvpe of Construction A.C. - Residen Dwellin2s Gara2e AC - Residential V Wood Frame Gara2e Fee Descriotion Plan Review Residential ~Mech Iss 2+ Appliances~ + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee 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 Furnace - up to 100,000 btu Gas Outlets 1-4 Plan Review Major - Planning Plan Review Residential Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Improvement SDC Transpo Reimbursement SDC Transportation Admin Sidewalk Permit Storm Drainage Impervious Area Storm Sewer Each Addtl100' Temp Power 200 amps or less Thermal Unit Vent Fan Willamalane Single Family I Valuation Description I $ Per Sq Ft or multiplier $5.00 $105.00 $28.00 Square Footage or Bid Amount 1,900.00 1,900.00 480.00 Total Value of Project ~ Amount Paid $684.09 $40.00 $164.42 $185.90 $96.21 $337.00 $35.00 $7.00 $14.00 $1,063.18 $85.00 $7.00 $10.00 $95.00 $14.00 $5.00 $205.00 $6.98 $571.31 $751.33 $10.00 $990.39 $95.35 $131.87 $862.25 $195.48 $72.28 $85.00 $606.92 $16.00 $55.00 $10.00 $21.00 $2,513.00 Date Paid 2/11/08 2/15/08 2/15/08 2/15/08 2/15/08 2/15/08 2/15/08 2/15/08 2/15/08 2/15/08 2/15/08 2/15/08 2/15/08 2/15/08 2/15/08 2/15/08 2/15/08 2/15/08 2/15/08 2/15/08 2/15/08 2/15/08 2/15/08 2/15/08 2/15/08 2/15/08 2/15/08 2/15/08 2/15/08 2/15/08 2/15/08 2/15/08 2/15/08 2/15/08 Pa2e 2 of5 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00184 ISSUED: 02/15/2008 APPLIED: 02/07/2008 EXPIRES: 08/15/2008 VALUE: $ 222,440.00 Value Date Calculated $9,500.00 $199,500.00 $13,440.00 $222,440.00 02/11/2008 02/11/2008 02/07/2008 Receipt Number 2200800000000000176 1200800000000000138 1200800000000000138 1200800000000000138 1200800000000000138 1200800000000000138 1200800000000000138 1200800000000000138 1200800000000000138 1200800000000000138 1200800000000000138 1200800000000000138 1200800000000000138 1200800000000000138 1200800000000000138 1200800000000000138 1200800000000000138 1200800000000000138 1200800000000000138 1200800000000000138 1200800000000000138 1200800000000000138 1200800000000000138 1200800000000000138 1200800000000000138 1200800000000000138 1200800000000000138 1200800000000000138 1200800000000000138 1200800000000000138 1200800000000000138 1200800000000000138 1200800000000000138 1200800000000000138 CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: cOM2008-00184 ISSUED: 02/15/2008 APPLIED: 02/07/2008 EXPIRES: 08/15/2008 VALUE: $ 222,440.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Amount Paid $10,041.96 I Plan Reviews I Plannin2 Review 02/11/2008 02/11/2008 APP TAJ Public Works Review 02/11/2008 02/11/2008 APP LKW Structural Review 02/11/2008 02/11/2008 WE DLM Structural Review 02/14/2008 02/14/2008 APP DLM Survey required because of minimum front/rear setbacks. For this parcel in (Lauren Estates) , it is the recommendation to the Building Division, by the City Engineer: "that no connections shall be made to sanitary or storm H20 systems, until the subdivision is accepted by City Council". Need lateral engineering for front wall of garage and calcs for OHD header due to girder trusse loads, including uplift at header. Truss layout is for another project. 2/12-08dlm. Received revised truss drawigs with higher heels over the bonus room. Still waiting for revised bldg. elevation dwgs & engineering 2/13/07dlm. Received requested revised drawing and engineering. See documents for Plan review comments. 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. Pa2e 3 of5 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: cOM2008-00184 ISSUED: 02/15/2008 APPLIED: 02/07/2008 EXPIRES: 08/15/2008 VALUE: $ 222,440.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 testmg. 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. 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. Pa2e 4 of 5 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2008-00184 ISSUED: 02/15/2008 APPLIED: 02/07/2008 EXPIRES: 08/15/2008 VALUE: $ 222,440.00 225 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 descnbed 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, th~~~~~;t card is located at the front of the property, and the approved set of plans will remain on the site at all t{:2 ~liO~ _ /< -/5 B J-' Owner or Contractors Signature Date Pa2e 5 of5 ZON INITIALS DATE SOURCE 2251'11' In STREET. SPRINGFIELO, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number t;~7J~D~ - OLJ /fJ4 200 Amps or less 201 Amps to 400 Amps --,- r-il 0- e- I!:!.'!'_requires t~lJ~ps to 600 Amps AI I t:.1\lllv 'II. g.. "" . A 'tl~lt" follow rules opted by the OregolOu-l rorgs to 1000 Amps "1~tifMlbn enter. Those rules are 0o/e~bq~o AmpsNolts in OAR 9 -001-0010 through OAR ~iO~l(~t Only 0090 u may obtain caples of the ru es ,y . th enter (Note' the tele - ~~ Supervisor License Numberca n9 e Ct _ ""r~M lltiltty N61L1f mUl;Il iv. i h.. ~- - - Center is 1-800-332-2344). ExprratIon Date Installation, Alteration or Relocation / 200 Amps or less ~ $ 55.00 S;.s~ Constr. Contr. NumISer 201 Amps to 400 Amps $ 76 00 / 401 Amps to 600 Amps $110.00 Expiration Date' / Over 600 Amps or 1000 Volts see "B" above SIgnature of Supervising Electrician D. ~"i~" -- ~i:~Uit;:-~;:;::;i1i~:sf7::~i~~~!t::::~,:;;i'st~\.;~:~~ NO'T'CE: ;~: AltE;~~~tfnlldii WP~-e~' 1\1\S PERMb"t ~~ S PERM\1 \S NOT AU1HOR\1taBh~lli . GUttN!YJ:!,if:lOR 'f\ ~_.. _0 PJA. MMEN~~Br\ie YMli'- $ 4.00 Owners Name . ()~Lf,////.b/~~y 18p rr;;A'tl: - ;/:'.- . Address g~r-;Jtiu~') ~ ~A . ~~\_"'''''-.~, ~L:m,-~~,~~t_~c~., City ..f'fJfj Phone ,74'CWs rzw~.t;H""V" ~~-// 0;~ ~-"~" ,,"'"%.,'\illwmWi< A"" "'~ "T'" "'\'''\Ml~W,ftA 1. f;rLQCAT:(QNOE , J1'lOl"?:K44;c+:' ';'-'"{ '9 S-:I" ..s, ~t; ~ ,0'-' ~ LEGAL DESCRIPTION' !$oZ~i/1 ~~/~ JOB DESCRIPTION: IT~/~_ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ~~>-~~~~;rm~> kGfii<-=~Y:::~; ::;A~ ; -~ ~ ~H:~V v~:= Hq~'47WWL;; T CONTRAt:lff.)R:INS LS~'ON-ONL 2. h-,," _k___ / ~> , )_ p / ,,~ yV ~ {"Y. ;..../l))ff~~ >~ ~ ? t~ftN, bW +:tk ~~~V "" A_~ ~~,",,-- ~_~-.,- /#<':;~ c, { ~y*,,*N ., ,., " Electrical Contractor Address City OWNER INSTALLATION The installatIon is being made on property I own which /S. S Hntended forsale, lease or reo!. 7Si~~_ '- ---- ~ Inspection Request: 726-3769 Date 3. i '^', - ~ ~VI-;r.~"~'~"~ ~N ~ ":'~r <W ~/'l"W~~-- Y.<i,~ ", .'p----. y ,l'~c_nk ~Y'<'~"*, ~'1.:l!. 'J<J!-lt,,,se.t11:J1JULEiiJJEW. -P" .<<< 8~ : ~';,@,~1~~~'~~~ w'; A<< ~ ,~"",,-'<.'tlM$.<<i. i.o'... " , "" "~,,_~=ww=~ ... .. ..""' miI~,:der"*d~~UiBg7ri~it.:{i&'~ y/~.rh~~fuU::""",,,,^,, <~ ~ ~Z" ..(...:&ti2~ ?Wf8", A.1@;N >'-~'''{'''''',..,.,...,>>~- !rq~~f:,:iI~ingk; :q ,"_ Awn~, _,~ , _, 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 $117.00 $ 21.00 $55 00 '>i';""~*iWJM" ~~ ~loCil..til').. :'('11\1 "'~,j~d.,<:'< "<-"--4~W. .,w. B. ~)I ~;rli' ~~';...<,..0;;,/n",/ -... $ 70.00 $ 83.00 $138.00 $180.00 $413.00 $ 55 00 $ 48 00 Pump or irrigation $ 55.00 Sign/Outline Lighting $ 55.00 Limited Energy/Residential $ 28.00 Limited Energy/Commercial $ 50 00 Minimum Electric Permit Inspection Fee is $50.00 + Surcharges 4. ~11BroTAi6F';BoVRf1::"h'1I~1':; ~ ~~ W~^ ., ":' ,;:':;::;~2~>;k,;<}0;;\J5"lft:;:;%%Wl' ,"i~' ~ ~ ~A >l < 5:-~.~ 0.~O S-;:J-I/J $/ 2-.7.r TOTAL / L:Jt#8-S Shared Dnve([ )/BUlldmg Fonns/Electncal Permit ApplicatIOn 1-08 doc 12% State Surcharge 10% Administrative Fee 5% Technology Fee CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER C0M2008-00184 NAME OR COMPANY DenniS MInIUm LOCATION 951 S_ 56th TAX LOT NUMBER 1802041108900 DEVELOPMENT TYPE Smgle Farruly Residence NEW DWELLING UN1TS 1 BUILDING SIZE (SF: 2345 LOT SIZE (SF) 1 STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S F x I COST PER S F CHARGE / 1754 00 I $0346 = I $606.92 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUSSF I x COSTPERSF x I DISCOUNTRATE I o 00 I $0 346 I 50% = I ITEM 1 TOTAL - STORM DRAINAGE SDC '$606.92 DISCOUNT $000 o $606.92 VJ ~ Cl o u ~ ~ E-< " VJ I: I--( o ~ 1070 2 SANITARY SEWER - CITY A REIMBURSEMENT COST I NUMBER OF DFU's x I 28 B IMPROVEMENT COST NUMBER OF DFU's x 28 COST PER DFU $26 83 COST PER DFU $20 40 , ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $1,322.65 3 TRANSPORTATION A REIMBURSEMENT COST I ADT TRIP RATE x I 957 I NUMBER OF UN1TS' x I 1 1 I COST PER TRIP 2043 x INEWTRIPFACTOR I 100 B IMPROVEMENT COST ADT TRIP RATE x I NUMBER OF UNITS I x 1 COST PER TRIP 9 57 I 1 I I $90 10 ITEM 3 TOTAL-TRANSPORTATIONSDC = , $1,057.73 4 SANITARY SEWER - MWMC A REIMBURSEMENT COST INUMBER OF FEU's x I 1 x INEWTRlPFACTOR I 100 $751.33 $571.31 $195.48 $862.25 1091 1092 1093 1094 ICOST PER FEU I $95 35 B IMPROVEMENT COST INUMBER OF FEU's x I 1 ICOST PER FEU I $99039 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =, SUBTOTAL (ADD ITEMS 1,2,3, & 4) = I $1,095.74 = $95.35 1054 1055 11054 1056 $4,083.04 5 ADMINISTRATIVE FEE I SUBTOTAL x ADM FEE RATE 1= I $4,083 04 5% I TOTAL SANITARY ADMINISTRATION FEE TOTAL TRANSPORTATION ADMINISTRATION FEE CHARGE $204 15 Kaye Wilson 2/11/2008 TOTAL SDC CHARGES PREPARED BY DATE = $990.39 $0.00 $10.00 131 87 1079 $72 28 h 078 I =, $4,287.19 I DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUN ALENT ~ DRAINAGE FIXTURE UNITS (NOTE FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS IBA THTUB 2 0 3 = 6 IDRlNKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 = 0 IINTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 ICLOTHESWASHER/MOP SINK 1 0 3 = 3 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 IRECEPTOR FORREFRlG /WATER STATION /ETC 0 0 1 = 0 RECEPTOR FOR COM SINK / DISHWASHER / ETC 1 0 3 = 3 SHOWER, SINGLE STALL 0 0 2 = 0 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 SINK COMMERCIAL BAR 0 0 2 = 0 SINK WASH BASIN/DOUBLE LA V A TORY 1 0 2 = 2 SINK SINGLE LAVATORY /RESIDENTlAL BAR 2 0 1 2 URINAL, STALL / WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 TOILET, PRIVATE INSTALLATION 3 0 3 = 9 MISCELLANEOUS DFU TYPE NUMBER OF EDD'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 28 *EDU (Eqwvalent Dwelhng Umt) IS a dIscharge eqwvalent to a smgle farruly dwelhng umt (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RA TE/$I,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 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 $0 00 x $5 29 = , $000 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0 00 x $5 29 o = $000 TOTAL MWMC CREDIT 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00184 COM2008-00 184 COM2008-00 184 COM2008-00 184 COM2008-00 184 COM2008-00 184 COM2008-00 184 COM2008-00 184 COM2008-00184 COM2008-00 184 COM2008-00 184 COM2008-00184 COM2008-00 184 COM2008-00 184 COM2008-00 184 COM2008-00 184 COM2008-00 184 COM2008-00184 COM2008-00 184 COM2008-00 184 CO M200 8-00 184 COM2008-00184 COM2008-00 184 COM2008-00 184 COM2008-00 184 COM2008-00184 COM2008-00 184 COM2008-00 184 COM2008-00 184 COM2008-00 184 COM2008-00 184 COM2008-00 184 COM2008-00 184 Payments: Type of Payment CredltCard cRecemtl RECEIPT #: 1200800000000000138 Date: 02/15/2008 DescriptIOn Plan RevIew Major - Plannmg SIdewalk PermIt Curbcut Permit Storm Dramage ImpervIous Area SaDltary Sewer - Reimbursement SaDltary Sewer - Improvement SDC Transpo ReImbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC AdmmlstratlOn SDC Samtary/Storm Admm SDC TransportatIOn Admm Plan RevIew ResIdentIal BUlldmg Permit Addressmg AssIgnment Wtllamalane Smgle Famtly 3 Baths One & Two Family Storm Sewer Each Addtl 100' Furnace - up to 100,000 btu BOller/Comp Up To 100,000 btu Vent Fan ApplIance Vent Exhaust Hoods Dryer Vent Gas Outlets 1-4 Thermal UDlt ~Mech Iss 2+ ApplIances- Temp Power 200 amps or less Fire SF Fee - ResidentIal + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee Paid By DENNIS MINIUM Item Total: Check Number AuthorizatIOn Received By Batch Number Number How Received dJb 124351 InPerson Payment Total: Page 1 of 1 10:44:38AM Amount Due 205 00 8500 8500 606 92 751 33 571 31 195 48 862 25 9535 99039 10 00 131 87 72 28 698 1,063 18 3500 2,51300 33700 1600 1400 1400 21 00 700 10 00 700 500 10 00 4000 5500 95.00 96.21 18590 16442 $9,357.87 Amount Paid $9,35787 $9,357.87 2/15/2008 WiJlamalane Park & Recreation District Job. No. ~.7LLJa JOD/~f SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2007 NAME' PHONE: 717 -~~7~ STATE~ZIP: ~ .WfJ "J)8tJP/J nt,(Jltt/11 ADDRESS' ~lfS~CITY ,~ ~ LOCATION OF PROPOSED~LDING SITE. }~- / ('j~ .S-~ ~ srI . . f Plat Name' J...1f~.7lrfl!!:1 Tax Lot Number: .J~281// tJe?/tO Street Address: 1. DEVELOPMENT TYPE (Check appropriate dwelling(s) Dwelling type definitions are on the . back.) A. Sinale-Famllv Detached NO. OF UNITS 2-5/ ~ X $2.003 per Unit = $ 25/.~ B. Smale-Family Attached NO. OF UNITS X $2,426 per unit = $ C Multi-Family Apartment NO OF UNITS X $2,032 per unit = $ D Slnale Room Occuoancy NO OF UNITS X $1,016 per unit = $ E. Accessorv Dwellma UnIt NO. OF UNITS' , X $1.151.50 per unit = $ WILLAMALANE SDC $ 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) -y~ 2 Development Services Department Date City of Springfield $ Z513 I /); 6;/ 5 DEVELOPMENT TYPE DEFINITIONS1 ." ,.'t..\ :" :~~nf!.~'llriI~Ertached Dwelling Unit .... ",", A bLllidlngor 'a''p611:ion 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 not attached to any other dwelling unit or building. -T~s detin!!!on.i~51w.des manufactured housir}g. " " / ' ' ~ rto: ','- '. .'~.~',\~ \., ,t ..,,""~ ~""I .. ~. ~ ...-, " :,\........ 4"'-..J' \ ~....~ i '\ ...^\ "" . ~~;t:lg~.e~i1y AttR<;l1ed Dwelling UR.!. . " ". ~ ._ -""A, p'ortion of- a bUlI~ consisting ohme Qr'3qlore room~ClT'0\&J\s!el~9'~OOklng, . and plumbing facilities arranged and design~d as permWr:fE::nt IIvlng'quarters for one family or household; and which IS attached to one or mOre dwelling units by one or more common vertical wa!ls,;,,-TJ:ijs defi~iYor::\ al~ InclI7des, but IS not limited to "duplex", "zero lot line dwelling", "townhduse", anct'"ro!# nousQ"'. With the~:fc'eption of duplexes, ~._SJfJQIEi,Fa[Ril~.LW~l;l.eel. ~welling Units typically are,s!~ra~ owned. '-"'':'-\~ , '.. ..;;,)..-,.~Y-5 > 't-,...." \~ ... \.~~,..~ \ ,;,.-.. "\'".:lJ\,,,.\a-, Multi-Family Dwelling Unit . 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 mor~~~I1-"'ertlcal walls Typi~1Y~!3~unlts are In an apartment building or compte)(, 'afl~~r€ not separately owned., ... , , Single Room Occupancy Dwelling Unit A portion of a bUilding consisting of one or more rooms 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 SDC 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 Within, attached to, or detached from the primary single-family dwellIng. Accessory dwelling units shall be charged at one-half the Single family detached dwelling unit SDC rate. ~.\ ....r r.. ~,; , ',. '-- Updated 2/20/07 1 From the WPRD Parks and Recreation SDC Resolution No 06-07-6, October 10. 2006 6