HomeMy WebLinkAboutPermit Building 2008-3-5
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00305
ISSUED: 03/05/2008
APPLIED: 03/04/2008
EXPIRES: 09/05/2008
VALUE: $ 119,455.00
Status 'Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax'
541-726-3769 Inspection Line
SITE ADDRESS: 1843 S 58TH ST
ASSESSOR'S PARCEL NO.: . 1802030009800
SPRINGFIETYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: Singl,efamily residence
SAME AS COM2008-00140 1633 s 58th
TYPE OF USE: New
Residential
Overlay Dist: . ,_'"
# StreefTtees Rqd: 1
Paved Drive Rqd: Yes
NO~~ot covera~~ EXl'lRE If T~~''WOR\(
TU'~ P1=R~l! ~~~"l\~ r[m~'T ,~ NOT
PUMt61611M1lNfJ~ NOONED fOR
, 'v PERlOO 'Sidewalk Type:
Fullv Improv&~y 180 D~l , .' .
. ,Yes ' Downspouts/Drains:
Pump station approval for Jasper Mea~9ws 5 & 6 plats granted on 2/25/2008
Owner: HA YDEN ENTERPRISES
Address: 2622 SW GLACIER PL #110
REDMOND OR 97756
. J.
,>/;'l , _
I CONTRACTOR INFORMATION.
Contractor License
HA YDEN ENTERPRISES 92208
M & W ELECTRIC INCORPORATED t067362
P ACI~€E>>R~NDF~,-.lNtrequires Y~.\'tt9237
DEN~~~~Om~ ~~~~ ~h_~"~~:~~~Pt;~rM2776
Notification v~1 ,., ll.v,::- I, . --,- '..
in OAR 952-001 IN ~~ ON
0090. You may obtam COPI~ .telephone .
# of Units: ca\liU9~he center. #(~.~~j. 'fi lion 1
Primary Occupancy Group: numtrer'for the OreI)~JUtDit~~u9~ 16.00
Secondary Occupancy Group: 'Center is 1.19~~~t~)~ Forced Air Gas
Primary Construction Type 'VB Water Type: ,',. Gas
Secondary Construction Type: Range Type: __H
# of Bedrooms: 2 Ene~gy P!ltll:", "
Sprinkled, Building:
., ,.,'
Contractor Type
General
Electrical
Mechanical
Plumbing
Path 1
iI/a
I DEVELOPMENT INFORMATION I ',.,
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
12.60
11.40
33.50
0;00
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes: Stormwater routed to public storm pipe.'
Pa2e 1 of 4
Phone Number: 541-228-6935
\
Expiration Date
07/29/2009
06/19/2011
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: 1,031
Sq Ft 2nd Floor:
Sq Ft Basement: .
Sq Ft Garage/Carport 400
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Curbside 7'
Curb and Gutter
Status
Issued
CITY OF SPRINGFIELD ·
Building/Combination Permit
PERMIT NO: COM2008-00305
ISSUED: 03/05/2008
APPLIED: 03/04/2008
EXPIRES: 09105/2008
VALuE: $ 119,455.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Dwellin2s
Gara2e
Type of Construction.
V Wood Frame \\
Gara2e
$ Per Sq Ft
or multiplier
$105.00
$28.00
Square Footage
or Bid Amount
1,031.00
400.00
Value.
$108,255.00
$11,200.00
$119,455.00
Date Calculated
Description
03/04/2008
,03/04/2008
Total Value of Project
~
Fee Description, Amount Paid Date Paid Receipt Number
~Mech Iss 2+ Appliances- $40.00 3/5/08 1200800000000000205
+ 10% Administrative Fee $131.90 ' 3/5/08 1200800000000000205'
+ 12% State Surcharge $149.69 3/5/08 1200800000000000205
+ 5% Technology Fee $81.12 3/5/08 1200800000000000205
2 Baths One or Two Family $280.00 3/5/08 1200800000000000205
Addressing Assignment $35.00 3/5/08 1200800000000000205
Appliance Vent $7.00 3/5/08 1200800000000000205
Building Permit $694.44 3/5/08 1200800000000000205
Curbcut Permit ($85.00 3/5/08 1200800000000000205
Dryer Vent $7.00 3/5/08 1200800000000000205
Exhaust Hoods $10.00 3/5/08 1200800000000000205
Fire SF Fee - Residential $71.55 J/5/08 1200800000000000205
Furnace - up to 100,000 btu $14.00 3/5/08 1200800000000000205
Gas Outlets 1-4 $5.00 3/5/08 1200800000000000205
Plan Review Major - Planning $205.00 3/5/08 1200800000000000205
Plan Review Same As ' $220.00 3/5/08 1200800000000000205
Residence Wiring 1000 Sq Ft $117.00 3/5/08 1200800000000000205
Residence Wiring Ea Addtl 500 $21.00 3/5/08 1200800000000000205
Sanitary Sewer - Improvement $469.29 3/5/08 1200800000000000205
Sanitary Sewer - 'Reimbursement $617.17 3/5/08 1200800000000000205
SDC MWMC Administration $10.00 3/5/08 1200800000000000205
SDC MWMC Improvement $990.39 3/5/08 1200800000000000205
SDC MWMC Reimbursement $95.35 3/5/08 1200800000000000205
SDC Sanitary/Storm Admin $120.72 3/5/08 1200800000000000205
SDC Transpo Improvement $862.25 3/5/08 1200800000000000205
SDC Transpo Reimbursement $195.48 3/5/08 1200800000000000205
SDC Transportation Admin $73.65 3/5/08 1200800000000000205 '
Sidewalk Permit $85.00 3/5/08 1200800000000000205
Storm Drainage Impervious Area $647.40. 3/5/08 1200800000000000205
Storm Sewer Each Addtll00' $16.00 3/5/08 1200800000000000205
Temp Power 200 amps or less $55.00 3/5/08 1200800000000000205
Vent Fan $21.00 3/5/08 1200800000000000205
Willamalane Single Family $2,513.00 3/5/08 1200800000000000205
Total Amount Paid $8,946.40
Pa2e 2 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone '
541-726-3676 Fax
541-726-3769 Inspection Line
Plannin2: Review
Public Works Review
I Plan Reviews I
03/04/2008 . APP
03/04/2008 APP
03/0412008
03/04/2008
Structural Review
03/04/2008 .
03/04/2008 APP
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00305
ISSUED: 03/05/2008
APPLIED: 03/04/2008
EXPIRES: 09/05/2008
VALUE: $ 119,455.00
TAJ
LKW
Stormwater routed to public storm
pipe. Pump station approval for
Jasper Meadows 5 & 6 plats
granted on 2/25/2008
Same-as review Approved as noted
on the plans.
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.
~eouiredJ nsoections.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Sidewalk - Curbside: After forms at;e 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.
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.
Pa2:e 3 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00305
ISSUED: 03/05/2008
APPLIED: 'Q3/04/2008
EXPIRES: 09/05/2008,
VALUE: $ 119,455.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
'541-726-3676 Fax
541-726-3769 Inspection Line
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.
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 setof plans will remain on the site at all
times during construction.
-~. ,a~
Owner or Contractors Signature
3-.r-og"
Date
Paee 4 of 4
~uuu t:J1 ;;:>;:> rrom:M & W ELECTRIC
. -- -r~tl-U4-'UUtllMUNJ Uti: 4~
5417541872
To: 15417412572 P.l/l
. (FAX)154174J2572 pi D01/DDI
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DAm Q R"
, ' . SOURC~, F7/
Date 3/0!oi
II
..
m ~U u..lmlElt't · SPRJNGnELD, OR !l7.77 . PII:(S41)'7U.J'l!3 . VAX: (541)72~
EtEl..iKlCAL PEJU..uJ APPLlCAnON
ChyJab~wnbar 0:fw..t2btJ~ -<9(),~~..J
L
/~4'?,t: ~~,~
LEGAL OBSclUmON~
/g(J)_FJ'~ ~9~a-v
lOB DESCRlPTION;
, "
r')F~t:J(" ,4~6
POfmlta are nOR-h'8ll1tcnblo Dad npJre JfttlOrkla
not .&ar1Dd wltbln 180 days of Is,uona! 0," "Wort IJ .
9Ulp<<ndcd for 180 day..
Z.
Ercarfcal Conl1'llctor VL1 f~ eldwt(;
Adr.trClW ~'6~"1 tl"ui{ YI .~
City -!\ ~lI\r ~Dno ..tP1J.. -7..,\I.tltJ1./
SUPervisor licolUlO Number 4..':>"71[ 5
~ililtfon Dal~ I() ~ 10
CoI1BD'. Centr. Number
to 7~)..
j;'Vi *:Jo11
EqJirztion DDtp _
Slgnsluro ofSuporviCng Electrician .
l jL- ___.,_,
OMlmlN"am~ ~m" CCrl \ .
Addrcss~_ ?/7 - ~0 ~ PL-fb}{D
city~_ PhODC
QtV
OWNER lNSTALLAnON
The installl1tionls beIng mDde on ..' "'I'crty 1 OWll "'hil:b
Is nOt Intended ror PUla, lClllSc or l'eftL
Ownem Sfgll8turc:
InspectIon 1lequm: 72603769
3.
A.--"~&l1II
Service Included
1000 1tJ. it. or leas
Each BdliWoallJ SOD IQ. It. or
portion tbCl'DOf
Each MIU1\1fhct'd Hornc or
Modular DwelUns Scrvlcc or
Focdor
/
I
$JJ7.0( //7 (Yd
$21.00 2/ tNJ
B.
$5$.00
I
200.Amps or leu $ 70.00
201 MDp8 to '400 Amps , _ S 83.00 1<1
40J AmplI to 600 AmPII $J38.00 I
601 AmPlto',OOOAmps -, S180.00 /,
Over Aqqtt~PWM()Jfiregon law reqUlr~s $lA~,.~ J
R~llJYes adopred by tne urego$ .bj)oY
. " nter. Those rUles are set forth
C. . ,
0090. ou m Y I I'
lD8&81IMiJj~%r A!f~ t.,be tel~~ho~e
200 rom, h~lr the Oregoii~~~~tflcatlon' ..e-.....- tH)
4WjJ1rDt"1 snter is 1-800-3 .S 55.00 _ D::::::' ~
201 Amps Lo 'Ampa $ 76.00 I
401A1npI to ~OO Amps .. S110.00 : I '
~~~~,~~_~~.YO!rs lICe "B" abo\lc, . ' ,
0.'-' ,11l1li1
Nnr A'leraUoD 01' &t:telllloD l'et heal
ODe Cin:Ult $ 48.00
Each AddltfolUll ClIouil Qr with
Se:rvJCD or FDcdct 'P01mft $ 4.00
Eo
IIlJ npum~ f-' ..+I__
I'. ;..' . . ,~J!..~ UIIlMWUa _. $ 5~l.OO
THI~f~S'~trra EXPIRE IF l.HE WOj1~.oO. ]
!~U1Ir~j1z~~h"'~ PERfv1IT ISNGlfs.oo
,~or*~~WWaA~91DONED FOR S 50.00 _I
~m'~. I 'rcr-jj!"Pcctfon FeD ra 550.00 + Sorcbnl act
4.:' '", '., 'It 9 s .6V
12% Stato Sun;bmgo -l.....e 2, ./6
1011 AdIllfals1mt!vo Fcc . r ~ 0
S% T~chnology Fee I , ~.r
TOTAL 2.'~.s- /1'
ShlltedDriwa(1":)/8lllldrnll FOrmalUlllCltiaal Permit AppllaatIl" . J.{)I.doo '
225 Fifth Street
.
SpriIlgfield, Oregon 97477
541-726-3759 Phone
.\,:' :'
City of Springfield Official Receipt
Development Services Department
Public Works Department.
Job/Journal Number
COM2008-0030S
COM2008-0030S
COM2008-0030'S
, COM2008-0030S
COM2008-0030S
COM2008-0030S
COM2008-0030S
COM2008-0030S
COM2008-0030S
COM2008-0030S
COM2008-0030S
COM2008-0030S
COM2008-0030S
COM2008-0030S
COM2008-0030S
COM2008-0030S
COM2008-0030S
COM2008-0030S
COM2008-0030S
COM2008-0030S
COM2008-0030S
COM2008-0030S
COM2008-0030S
COM2008-0030S
COM2008-0030S
COM2008-0030S
COM2008-0030S
COM2008-0030S
COM2008-0030S .
COM2008-0030S
COM2008-0030S
COM2008-0030S
COM2008-00305
Payments: .
Type of Payment
CreditCard
cReceintl
\ '
RECEIPT #:
1200800000000000205
Date: 03/05/2008
Description
Plan Review Same As
Plan Review Major - Planning
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo,Reimbursement
SDC Transpo)mprovement
SDC MWMC Reimbursement
SDC MWl'viC Improvement
SDC MWMC Administration
SDC Sanitary/Storm Admin
SDC Transportation Admin
Sidewalk Permit
Curbcut Permit
Building Permit
Addressing Assignment
Willamalarie Single Family
2 Baths One or 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
~Mech Iss 2+ Appliances~ .
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl SOO
Temp Power 200 amps or less
Fire SF Fee - Residential
+ S% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Item Total:
Check Number Authorization
Received By Batch Number' Number' How Received.
djb 07S027 In Person
Payment Total:
Paid By
HAYDEN ENT
Page I of 1
2:39:50PM
Amount Due
220,00
20S,OO
647.40
617,17
469,29
19S.48
862,2S
9S,3S
990.39
10,00
120,72
73,6S
8S.00
8S.00
694.44
3S,OO
2,S13,OO
280,00
16,00
14,00
21.00
7,00
10,00
7,00
S,OO
'40,00
117,00
21.00
SS.OO
71.5S
81.12
149.69
131.90
$8,946.40
Amount Paid
$8,946.40
$8,946.40
3/S/2008
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER: COM2008-00305
NAME OR COMPANY: Hayden Homes if)
D:.1
LOCATION: 1843 S. 58th Street Q
TAX LOT NUMBER: ]802030009800 0
U
DEVELOPMENT TYPE: Single Family Residence . ~
NEW DWELLING UNlTS ] BUILDING SIZE (SF 1431 LOT SIZE (SF): 5962 ~ r
if)
], STORM DRAINAGE >-<
tJ
DIRECT RUNOFF TO CITY STORM SYSTEM gz
IMPERVIOUS S,F, x COST PER S.F, CHARGE
]871.00 $0.346 = $647.40 .
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F. x COST PER S.F. x DISCOUNT RATE I 'DISCOUNT
0.00 $0.346 50% =. I $0.00 .
ITEM 1 TOTAL - STORM DRAINAGE SDC $647.40 $647.40 1070
2, SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's x COST PER DFU
I 23', $26.83 1 $617.17 11091
B, IMPROVEMENT COST: I
NUMBER OF DFU's I' x COST PER DFU
23 $20.40 $469.29 11092
ITEM 2 TOTAL: CITY SANITARY SEWER SDC = 1 $1,086.46 I
3, TRANSPORTATION
A. REIMBURSEMENT COST:
1 ADT TRIP RATE x I NUMBER OF UNITS x I COST PER TRIP I x 'NEW TRIP FACTOR
1 9.57 I ] 1 20.43 I 1.00 $195.48 1093
B. IMPROVEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNlTS 1 x COSTPER TRIP x !NEW TRJP FACTOR'
1 9.57 . I 1 I $90.]0 1 1.00 $862.25 1094
ITEM 3 TOTAL - TRANSPORTATION SDC =1 $1,057.73 I
4. SANITARY SEWER - MWMC I,
A. REIMBURSEMENT COST:
INUMBER OF FEU's x ICOST PER FEU 11054
I ] I $95.35 = $95.35
B. IMPROVEMENT COST:
INUMBER OF FEU's 1 x ICOST PER FEU
I ] I I $990.39 $990.39 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054
MWMC ADMINISTRATIVE FEE $10.00 11056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = 1 $] ,095.74 I
--,.-
SUBTOTAL (ADD ITEMS 1,2,3, & 4) =; 1 $3,887.33 I I
5, ADMINISTRATIVE FEE: "
SUBTOTAL x I ADM. FEE RATE 1= CHARGE
$3,887.33 I 5% I $] 94.37
TOTAL SANITARY ADMIN~STRATION FEE: ]20,72 1079
TOTAL TRANSPORTATION ADMlNJSTRATION FEE: $73,65 1078
---.~
-3 l.fl D6 - ,.- j
Kaye Wilson TOTAL SDC CHARGES =1 $4,081. 70 '
PREPARED BY bAm
'-
t. .. ;~.''':
."',, DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
:..
>
NUMBER OF NEW ~IXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCuLATE ONLY THE NET AuUII IONAL FIXTURES)
NO. OF FIXTURES
UNIT
FIXTURE TYPE 'i:;' NEW OLD EQUNALENT
I BATHTUB 2 0 3 =
I DRINKING FOUNTAIN 0 0 1 =
I FLOOR DRAIN 0 0 3 =
IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 =
IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 O. 6 =
ILAUNDRY TUB 0 0 2 =
CLOTHESW ASHER / MOP SINK 1 0 3 =
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 =
IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 =
I RECEPTOR FOR REFRIG / WATER STATION /ETC, 0 0 1 =
I RECEPTOR FOR COM, SINK / DISHWASHER / ETC. 1 0 3 =
I SHOWER, SINGLE STALL 0 0 2 =
I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 =
SINK: COMMERCIAL/RESIDENTIAL KITCHEN l' 0 3 =
SINK: COMMERCIAL BAR 0 0 2 =
I SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 =
I SINK: SINGLELAVATORY/RESIDENTIAL BAR 2 0 1 =
IURINAL, STALL/ WALL 0 0 5 =
, ITOILET, PUBLICINSTALLATION 0 0 6 =
ITOILET, PRIVATE INSTALLATION 2 0 3 ,-
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 -
TOTAL DRAINAGE FIXTURE UNITS
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
CREDIT RATE/$I,OOO
ASSESSED VALUE
2
BEFORE 1979
1979
]980
]981
1982
1983
1984
1985
1986
1987
]988
1989
1990
1991
1992
.1993
-1994
1995
1996
1997
1998
1999
2000
2001
- ,-
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
$0.00 x $5.29 _ ;.'
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE /1000 CREDIT RATE
$0.00 x $5:29
TOTAL MWMC CREDIT
=
~ ,
DRAINAGE
FIXTURE
UNITS
6
o
o
o
o
'0
3
o
o
o
3-
o
o
3
o
o
2
o
o
6
o
23
2
2
1979
$0.00
o
$0,00
, ,
Job. No. ('/ ~ '- _-SO("""
SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2008
NAME: .;..fry b~) ~ ,PHONE: Z2-$-t:,Cj3..r
ADDRESS:Z4'b~JU) 4MC/8tJTY_.I1~~ STATE~ZIP: 97rr6
. . PL..
, . LOCATION 'OF PROPOSED BUILDING SITE:,
Street Address: ! 5~ 3 S , .<;~ 7!:1 ,\r;,
Plat Name: JA$I&.>>1e!>>~ Tax Lot Number: JS/}2.<J~~ti~~
. ,
. 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the
'back.)
A. Sinale-Familv Detached.
NO. OF UNITS
I
X $2,513 per unit =
$ ? ~/.J
B. Sinale-FamilvAttached
NO. OF UNITS
X $2;726 per unit =
$
C. Multi-Familv Aoartment
NO. OF UNITS
X $2,323 per unit =
$
D. Sinale Room Occuoanc't
NO.OFUNITS
X $1,162 per unit =
$
E.Accessorv Dwellina Unit
NO. OF UNITS
, X $1',257 per unit ~
'$
$
, WILLAMALANE SDC
2. SDC CREDIT (If applicable) SDC payer must furnish proof of
Willamalane Credit approval.)
$
3. TOTAL WILLAMALANE NET SOC ASSESSED
(if SDC reduced for Credit)
.$ 2-~/-1
y~.
Development Services Department
CitY of Springfield '
, .:s, 5, ZOD!'
Date
5
.",