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Home My WebLink AboutPermit Mechanical 1999-8-24 AUg-~4-~~ U':UDA , RESIDENTIAL PERMIT APPLICATION . Inspections: 726-37611 Office: 726.3759 I' 2 <{ 00 -f f IE LOCATION OF PROPOSED WORK: ~ t1fJ3} "f.".,. OWNER:_S"A'''''' t>.y._R._,"A_Y =. / ~.' ADDRESS:' J{,;L 'I OA I( /"1~~;,l),A,/~ ?1A,C:C:fff?..l7 It^~~ >P/'/~ttetP' STATE: O~. DESCRIBE WORK:-A~d 0,0,/ ~L.f/c...,/l'I;O ~_._"""4NV.p,.qc../i;'/,<?'p NI;W,- RE'-lODl;~ ADDITION rX. DEMOLISH OTHER ASSESSORS MAP: W'f: CITY: CONTRACTOR'S NAME GENERAL: BWCK: .....U~ ~OB NUMBER '17 b "f 7 225 FilII' Street Springfield, Oregon 97477 SUBDIVISION: , PHONE: _~ '1/- q({O -./23'1 ZIP:!LZ l..lL'I___ /-k,.-,e. AO'fiRESS CONST. CONTRACTOR' ~XPIRES '.~ PHONE D Rough MochanlQQI ..... Prtor to cover. o Rough I::::htctrlcnl - PrIor to cover. U EfectrlcBl Seorvloe - Must be approved to obtaIn pormo;anAnt eliectrlcaf power. D Fireplace - Prior t~ facing material. a,.,d framing lnsp.. o Fr...m'n9 - Prior to cover. D Wall/Coiling 111&"latlon - Prior to cover. D Drywall ~ Prior to taping. o UndB,.Uoor PlumblnglMachan1caJ r-l L::.;.:J _ PrIor to Insulation or decking. ~ Wood Stovo '- After Installation. D Post and Beam - Prior' 10 froor Insulation or doe king. D ~nsert ~ After flte;Jlace Bpprov41 and tnSt4flatlOn of unit. PUlMBING: MECHANICAL;-5' A.~4j,. 2..eJJ ;.k~L~ f'D.!3r->Y. :-!fS /<~~ R.l.v(?/'jD~ ~ 7:>3 '} ..._ ibE:5i'FIJ9IIL: CClJd9'12.?J./.. G../J.: 10-"8- '1!_i'!'.""e:d:>....~/-~~2.-i{'!10 1~e;";'leE; " ''', ,,_. '-" -- THIS PERMIT SHALL EXPIRE IFTHEWOR!<OFFIC,," USE ATTENTION:Oregon law requires yo~ ~(j . QUAD AREA: - 0 - r-r -IllS PERM\.lllSCllOO' .. ..~^"^... ., ,Ios adoptro [miiloo.~llr,on Ut,llty AI ITHUHILl: u..u..." '. I t f rth . OF BLOGS:" " ....~'3ilBANDON~tTs: Notification Center.IB~~~GUco'b~ese 0 COIVIIVIt:N\.ol:U vn' in OAR 952-001-0010 through uJ.iR 95z-uu I - OCCY GROUP: '-_._'" CONSTn. TYPE: bt . OF. DORw::'!7e-f!fIe<:..... ANYltlUUAT rt:n,vu. U\;l:!U. YOlrmayo am'\,;o"".,.,,'VY,.. --, . OF STORIE;S; = .:- - HEAT SOURCE: _"n_~~1I;n~)h9 centersjtCl!llilrlJi).:NarF.ll.'i\o_n_E! " WATlfR HEATER: RANGE: numberfortheOrp'ooI;\,I,lWi~1;J~p..t~iE:a~ion . --- _ CAnter is 1-Bn~~??,~a4J. To request an Inspoctlon, YOU must call 726.376g. TIlls Is 8 24 hour recording. Alllnspeclfons requested borore 7:00 a.m. Will be made tho same working day. Inspl,tCtIQ". requested allo, 7:00 a.m. will bo made the following work day. m:aumC:I3 "~OI"~e"leNe o Final Plumbing - Whon all plumbing w~rk Is eomplet,e. D Final Electrical..... When 811 ~elec,t rlCat work Is eompfale. ,.. 81 MOCni:lnlOal - When aU . eehBnl~" work 19 eomprOle. He.... rIvAl' ."f.PeI 0"" D Plnol Building - WllOn ~I required Inspections have been approved land bulfdl ng hi completed. o Other o Temporary I!lschic O Site lnspectron;::;. "1"0 be msdo after exoavatron, but prlQr to ,,'Wno forme. o UlltoIQIOolall ..lulltuh.y/c.luuuJ......, - Mechanical - Prior to cover. D FootJng - After trenches aAt axeavatad. D M..onry - Stoo'l 10catlQn. 'bond treamsl grouting. D FOund.Uon - After forms aro erected but prIor to concrete placemont.. D Un.d~~gfO.und Plumbing - PrIor' 10 fillIng trench. MOBILE HOME INSPECTIONS o Blocking and Set-Up - Whon B"u blockl.~{) !@ f;ompfete. LJ Floor InsulaUan - Prior to dock! r\g. D Sanllwy Sowor - PrlQr to fill. trench, D Storm Sewer - Prior to frlUng Hench. o Water Line - Prior to fIIUng trench. D Rough Plumbing - Prior to cover. o Curbeul &. Approuol1 _ After forms afG c-mclr:d but prior to placement of concruLu. D Sidewalk & Driveway - After oxcavatlon Is completo. torms Bnd !Sub.base mate/lal III place. D Fonco - When eO"I'Ip1eted. o S.root Troos - WhYn all required tree8 arlt planted. D Plumbing ConneotJon5 - Whon homQ halj been connucted to water ....nd sew or. · Eloclrlca' Connection _ Whc:" ~ blooklng, set.up. tl.nd j)lvmbing InspaCIIDnlll have beon approved and the home 1& connected to the aervlco pAnel. o Final - AUer a1l required Inspections aro approve<J and porches. skirting, deck~ a.nd wantIng havo boan Instaffed. SotbackD : I P.L. '>lSElI GAR' Acc'l N . I ;---. I I __.1 BUILDING vh.UJE, PLAN CHECK AND BUILDING PERMIT -~~=,-=~~ -,._~ Lot (.ace:s u,t. " ; t.oC :sq. flU. Lot coverage loterlor Corner Panh:andl~ '/ Topography TotBI "eight Culodo.sac; _"Y.__ L- BUILDING PERMIT ITEM SQ. FT_ "! X S/5O. FT. - VALUE Main Garage " O"PIIAPI TOlal Value OLlUdlng Parmit Fee Stilt" $ulcluuue Total Foo (A) SYSTEMS DEVELOPMENT CHARGE (see) (B) PLUMBING PERMIT ITEM FEE Fixtures ACGldonllal Oath(Q) N' Sanili:!ry S~wer Water FT. FT_ Storm SowQr FT. Mobile Home Plumbing Permit Slahl Svn;harge Total Cherge (C) MECHANICAL PERMIT Furnaco Exhaust Hood Vent Fan ~."- Wood Stoveflnsert/Fireplaco Unll Cryor Vent I-IB"" r IJb1.... /J . I' Mechanical Pcrmlr Ir,-: !!~_ ./<!__J>..!!....._ 1_ {.V iI" ~. Issuanco Slate Surch3.rge Total Permit (0) MISCELLANEOUS PERMITS Mobile Homo State Issuanco t::..~~ ,,;'",~i~: ~,~~..:, , t..l " .5 THE PROPOSElD WORK IN THE. HISTOI'lICAL. OISTRICT, OR ON THE HISTOI'lICAt. RE<1ISTER? ,.._ II yes, 1hls e,pptldaUon mUGt be signed nod ::J:pprovod by the Historica.l Coordinator prior to permit ie&yanc;e. APPFlOVED: This permit is granted on the Q,.;preS5 eOr'ltJltlQn 11\0.1 tho sold eon:uructlon shall. In nil respects, conform to the Ordlnanee adopted by the City of Springfield. inoluding the Development Code. regulating the construction and use 01 1l1l1l~lnnR nn~ mnv h/l mlRnnMM nr rnvnKM nl nnv limn upon violation of any provl81onSJ of said ordinaliCG#.. Plan Check Fcc: ~,_ ,. Oalo Paid: Receipt Numbe" Received By: Plo.,;S"" AcviewCd 'S"y' ~. ....._~-- DalO Systems Developmont Charge Is duo on all undeveloped propvrtl08 within lhG City limits which arc baing Improved, ADDITIONAL COMMENTS /I '~-~OC~;" ;-:;;,----CLU7.u-P .m>n"",f _' /< ~<;,--,~I , , ( Abk Ek c7//<,..) - Ul/'e d[:Or{ E~ .21 re- c.eH.re..N~7- s::.-it, -:~ A 5Pe,../ k-P-r 7;..i(ell'l'? 12.~"r r- 04 k /If'~".!; By alQnature,1 state and agreo, Olat 1 have carefully examined the completed appllcatlon and do hereby cer1lfy that all Information horeon 1$ true a.nd 'CorreGtl and I furthor certify that ony and.all work performed sha.1I be dona In accoida.nee with tho Ot(finan=l"i~ of the City of SprlngrloJd, Me! the Lawe of tho SIDle of Oreqon pertaining to tho worl( described horoln. and that NO OCCUPANCY wUI be made of Bny strm::luftj! wllhQut penT1is&ion of the Building SafelY Otvl&ton. I further certily t"al only contractors ~d empluyees who ar4;f In oQmpllance with ORS 701,05~ will bff l"Ised on thIs project. I further 8(Jrao to ensure that all required Inspections are raquestvd at the proper time, that oach addreGS Iv reedable horn the street, that tho pormlt oard 1& located at tho frgnt or tho property, and the approved ~ct of plena will remain on the slto at all times during construction. ~~~4' Stato Surcharge Sidew;;llk ft . Slgn.ture _..",. Oate. IBfi:.i~qc; . . ClIrbcut It nArnnflllnn State SurcnargQ Total Mtece-lIaneoUv Permits (E) VAUOAT'ON, RECEIPT NUMBI;R n'3 5 '!> "7 '8 /2f, (H z &: $<J( d/(.),.,..y DATI; PAin TOTAL AMOUNT OUE (oxcludlng olectrlcal) (A, 8, G 0. and E CQrnblned) AMOUNT RECEIVED RECEIVI;D BY 225 FIFTB STREET SPRINGFIELD, OREGON 97477 INSPECTION REOUEST: 726-3769 OFPICE: 726-3759 1. LOCATION JF _~STALLA!IO~. #-~; /~ 2.SC ....(..:...~._', .4!l"" ~.o a 7/'~. ~GAL DESCRIPTION 1"1 tJ.f>. ,~.4." o-.?;.nrCJJiC'fieJjjfJ'S'}ou II.> , . " . -.. rl tAd by the Oregon U\lIllY .J~B1\b~eumONrhose rules are set tort\) .M6tj,itt;at!i"'~~n~. ~ ..,.__. ._h t"\AP Q'i2-001- .nU~t1"'O"'-UV'-vv'~''''--~ I b I p'l'"'' ~npiec 01 the ru es Y Perl1lj)OO.a1nu if6l\'-G:ra\\'sf<! sole ~tJh~~iU if v-or~I~'Sgoo:tCs\jtfft\l'do1.fHiI~A~1 9}jays of iSiillnm.!! I'mt!ili..'\I()l.'Rnj.Mil~\l~p~ lreli ufor 180 days. Centpr i< 1_fV'(\-33?-2Q44). 2. CONTRACTOR INSTALLATION ONLY Eloetrie"l Contraetor Able Electric Address 5511 MAIN C1ty~PRINGFIELD Phone 726-6701 Supervisor License Number 30238 Expiration Date 10101/99 Constr Contr. Number 92506 Expiration Date 7/16/03 Sianature of Supervisin~ Electrician At ~::?- ' OWners Name .f'./J/""?'~A /(&,cA/" . . oor~- Address/C.2. y~,; ,. ',.- #'/7 City 5r..c~ Phone '7?P-/;:l.}Y OVNER INSTALLATION The installation is being made on property r own vhich is not intended for ~ale, lease or rent. Ovners Signature: .. Di.TE~'(-perC7j~--~~--- RECEI: . _ cJJ-,~ RECEIVED Bt: 1 I' r' ! 1(ll'('lU (! ( ) 3. ELECTRICAL PERKIT ~PLICATION Ci ty Job Number . vlOi rJ"q I COMPLETE FEE SCHEDULE BeLOV . A. Nev Residential-Single or Multi-Family per dwelling unit. Service Included: NOTICE: Items Cost Sum 1000 sq .mS fll!RMSHALL EXP1~ ~1Jt\ij WORK E:~~ ~~d.wf~mt~<tJNOERTHIS PERMIT IS NU I thereofC&MENCED OR ISABANSlq~~ggOR Each Man' jl.y<pERIOO. Modular e g . Service or Feeder $ 40.00 B. Services or Feeders Installation, Alterations or Rcloe"tionl 200 amps or less 201 amps to 400 amps. ' 401 amps to 600 amps 601 amps to' 1000 amps Over 1000 amps/volts Reconnect Only $ 50.00 $60.00 5100.00 $130.00 $300.00 S 1.0.00 C. Temporary Services or Feeders .Installation, Alteration or Relocation 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts S 40.00 S 55.00 $ BO.OO see "B" above D. Branch Circuits .' Nev, Alteration or Extension Per Panel One Circuit / $ 35.00 }5ClO Each Add i ti onal Circuit or vith Service or Feeder ~ermit S 2_00 B. Miscellaneous (Service/feeder ~Each installation Pump or irrigation Sign/Outline Lightin~ Limited Energy/Res Limited Energy/Comm not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 5. SUBTOTAL OF ABOVE 761% State Surcharge 3% Adminigtrative Fee TOTAL 35" vtl ~Y.5; /0;1 -l ..P ,Ij Cl n:m.,,~~$;,?f'p.~~k-1.i,;;:";'W~:~~":;:'l:".t::'-i'-~;S-"""~",,'i~.,.V~;'::~C;;",~.>.~p;:r;;;J~'K';'-'.<~'3~'":;;-;',-.:J:::;':'~~y;::'i~c,'~~;;!t,<;f:..$~'#~;:'~~';""'ffi"'-""'"";::.;;",,,.:->~;~~:: :",,,*l,\,:>3:',,-"".~;;K"<?:t:.1l<.;'W';;~4~m%t~.ifu"";'!we~'"'m',* \ Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 990697 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 1624 DOTTIE DR Assessors Map #: 17033422 Lot: 17 Block: Tax Lot #: 06700 Subdivision: OAKBREEZE Owner: FRED HAMPLE Address: 3426 BROOKVIEW Phone #: 484-7076 City/State/zip: EUGENE, OREGON 97401 Describe Work: MANUF HOME & GARAGE NEW Contractor Canst. Contractor # Expires Phone General: GOODEN HARRISON 0066447 1441 HWY 99N EUGENE OR 974020000 Plumbing: GOODEN HARRISON 0066447 1441 HWY 99N EUGENE OR 974020000 Electrical: HERITAGE INV 0063137 1042 HARN LANE EUGENE OR 974040000 05/07/00 689-7762 05/07/00 689-7762 12/27/99 688-1600 QUAD AREA: 1RNW # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER: E OFFICE USE -- LAND USE: 1150 ZONING CODE: LDR # OF BDRMS: 3 RANGE: E # OF BLDGS: 2 OCCY GROUP: R3 HEAT SOURCE: FE SQ FOOTAGE: 1759 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. REQUIRED INSPECTIONS --- FOOTING - After trenches are excavated. FOUNDATION - After forms are erected but prior to concrete placement. MANUF HOME/MOBILE HOME SET UP - When all blocking is complete. MANUF. HOME/MOBILE HOME ELECTRICAL - When blocking, setup, and plumbing inspections have been approved and home is connected to panel MANUF. HOME/MOBILE HOME PLUMBING - After home has been connected to water and sewer. PEDESTAL - Prior to cover. FRAMING - Prior to cover. FINAL BUILDING - When all required inspections have been approved and the building is complete. CURBCUT - After forms are erected but prior to placement of concrete. SIDEWALK - After excavation is complete, forms and sub-base material in place. FINAL SET UP - After all required inspections are approved and porches skirting, decks, venting, house numbers, etc. have been installed. Lot Faces: S Topography: 2 Solar Approved: Y Lot Sq. Ft.: 5156 Total Height: 15 Lot Type: INTERIOR Setbacks S W E 7 5 Lot Coverage: 41 % Setbk From NPL: 14 N House 14 Garage 18 Item Main BUILDING PERMIT --- Square Feet x $/Square Feet Value 0.00 . SPRINGFIELD . r ~I . . r Job Number: 990697 Page 2 Garage FTG/FDN MANU/ HOME Total Value 312 18.34 5,722.00 2,574.00 48,000.00 56,296.00 Building Permit Fee Surcharge/Admin 74.50 5.97 TOTAL FEE (A) 80.47 PLUMBING PERMIT Item Sanitary Sewer Water Storm Sewer Mobile Home 50 50 50 Fee 25.00 25.00 25.00 15.00 Plumbing Permit Surcharge/Admin 90.00 7.20 TOTAL CHARGE (C) 97.20 --- MISCELLANEOUS PERMITS --- Mobile Home State Issuance Surcharge/Admin Sidewalk Curb Cut CITY SDC WILLAMALANE ELECT. PERMIT 105.00 30.00 8.40 60.00 60.00 2,415.57 1,000.00 88.56 TOTAL MISCELLANEOUS PERMITS (E) 3,767.53 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 3,945.20 --- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT --- This permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plan Check Fee: 48.43 Date Paid: OS/21/99 Received By: Plans Reviewed By: AL WARD Date: 06/11/99 Building Site Reviewed By: LISA HOPPER Receipt Number: 34129 --- ADDITIONAL COMMENTS --- A & T DEFAULT AMOUNT USED FOR SDC CREDIT PURPOSES , , ~, . Job Number: 990697 Page 3 DRIVEWAY REQUIRED TO BE PAVED 1 STREET TREES REQUIRED 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 701.055 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. U fi}1~ &:; . / '-1- Q'1 Signature Date - -- VALIDATION Date Paid: '9qY'l1 L./Y '''7~ . - -=3 9.,..,,<;;"". '< c::> ~~~~ Receipt Number: Amount Received: Received By: , *. ~ . Page 1 ENGINEERING DIVISION DEVELOPMENT PLAN REVIEW RESIDENTIAL IMPROVED STREET Developer: FRED HAMPLE Mail Address: 3426 BROOKVIEW Tax Lot #: 1703342206700 Subdivision: OAKBREEZE EUGENE, OREGON 97401 Project Address: 1624 Lot: 17 Blk: Eng. Job No.: 990697 Phone #: 484-7076 DOTTIE DR Rev. No.: Book: Street Gravel Ac Mat 1624 DOTTIE DR EXISTING IMPROVEMENTS Curb Full Imp SW Width Curbside Setback Y 5 FEET 12:1 FLAIRS Existing Curbcut: ENGINEERING REQUIREMENTS Additional Right of Way: N Improvement Agreement: N Easements: N SANITARY SEWER CALL THE UTILITIES NOTIFICATION CENTER BEFORE YOU DIG 1-800-332-2344 Available: Y Size of Line: 8 Location From N, Make Connection: Stubbed Out To Property Line: Y Depth: 4-6 In. Tee: 6 In. S, E, W Property Line: AS SHOWN ON DRAWING OR AS-BUILT PER PLUMBING CODE Ft STORM SEWER Available: Y Pipe Downspouts And Drains To: CURB & GUTTER Pipe Parking Lot Drainage To: N/A New Curbcut Appr. : Sidewalk Permit: Y Curbcut Permit: Y Y Width: Width: SIDEWALK AND STANDARD 5 Ft 36 Ft DRIVEWAY INFORMATION Width: 24 Ft Flairs: 6 Length: 52 Ft Ft ENCROACHMENT AND ASSESSMENT Encroachment Permit Required: N Sanitary Sewer In Lieu Of Assessment: N SPECIAL NOTES AND REQUIREMENTS All work within the public right of way shall be in conformance with the City of Springfield standard specifications for construction. All existing unused curbcuts or portions thereof shall be restored to full curb height as directed by the City. The owner/developer is responsible to relocate any utilities and establish private or public easements when the utilities conflict with the development, at their expense. Reviewed By: DENNIS ERNST Date: 06/09/99 SEE DRAWINGS ON SPECIAL REQUIREMENTS FOR FURTHER IMPORTANT INFORMATION The following project as submitted has the !ollowing zoning, and does not require specific land use approval.. \[)~ ZOning 225 FIFTH STREET ....:2.., .~\1 SPRINGFIELD, OREGONla91i"~: .-.) ,"rl.' INSPECTION REQUEST,1>.uth6~Bro4:il~ture '^ \ OFFICE: 726-3759 ; " 1\\ ~~O~{}~~~~~~)~ LEG4I. pE~WPTION r-or" n.o0~~ No'\l.LI ~~;S~~0~ Permits are~n-transferable and expire if york is not started vithin 180 days of issuance or if york is suspended for 180 days. i , , 2. CONTRACTOR INSTALLATION ONLY B. Electrical Contractor ~~ ~ Address /tJrZ- ~ ,;':- ~. , <-' ~I"'_";- Ci ty (:::-c-......,....,- t7 Supervisor License Number , , Phone 7,;l.9-/~oO '1'1.5'-..5 IV o( Constr Contr. Number b 3./~7 is&~ I!$: /2/'1'1 ( Signatur~ of Supervisin~ Electrician kp-./ ~ Ovners Name fI~u\. \<\~ Address?:A~ ~'\t()'L\" flit,) City ~I Phone~4 -!"'QllP 01lNER I~TALLATION Expiration Date 'Expiration Date The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Owners Signature: DATE: ~//./~ RECEIPTT -?, ~'Yi7/ RECEIVED BY: - /'/ .....~ r /f~J- ~ ELECTRICAL PERMIT APPLICATION City Job Number ~()lo::\1 3. COMPLETE FEE SCHEDULE BELOII A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Borne. or Modular "Dvelling ~ Service or Feeder ~ Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to, 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect" Only Items Cos t Su, $ 85.00 $ 15.00 . $ 40.00 ~ $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 100v D. Branch Circui ts $ 40.00 $ 55.00 $ 80.00 volts see "B" above " Nev, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or vith servicer or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00'~ not included $ 40.00 $ 40.00 $ 20.00 $ 36.00 ~90 e~.~1~ .. rP q,~ ' f\ . JOURN.R JOB NO. ~ .qcq 0 G:. '1 ,. ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY: H/AWlv J-e. " LOCATION: \((')24- l2tI-1e Dv, DEVELOPMENT TYPE: SF' 0 BUILDING SIZE: \1~ LOT SIZE 5 l (.,? SQ. Ft. 1. STORM DRAINAGE n5'1 +- 1'8 {Z4-} + Z4-(/~) IMPERVIOUS SQ. FT. 2..C::;o'3 X $0.227 PER SQ. FT. $ g~~. r<ii! 2. SANITARY SEWER-CITY NO. OF PFU'S 20 , (See Reverse Side) X $47.14 PER PFU $ 14- Z . R'O 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X l.01 X $475.32 $ 4.8r).07_ X '$ X $475.32 4. SANITARY SEWER-MWMC A. REIMBURSEMENT COST: NO. OF FEU'S $ '2."1/.44 X 277.+4- PER FEU B. IMPROVEMENT COST: . NO. OF FEU'S X 2.6.:20 PER FEU $ 25.:20 MWMC CREDIT IF APPLICABLE (SEE REVERSE) < $ :3. / S- > MWMC ADMINISTRATIVE FEE $ 10.00 TOTAL-MWMC SOC $ ~ .4CJ SUBTOTAL (ADD ITEMS 1.2.3 & 4) 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 $'2. 3CV. ~ 4- $ 1/5.03 / IMSL..... SDC Coordinator ATTACH'A.WPD Date: ::fZ7/Ofj TOTAL SDC $ 24/ss+ FIXTURE UNIT CALCUL~N TABLE: Number of New Fixtur.unit Equivalent = Fixture Units (NOTE: For remodels, calculate only the NET additional fixtures) .' NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub..................................................................... . Drinking Fountain...... .......... ...... ........ ....................... Floor Drain.... ............... .......... .:............................ ..... Interceptors For Greas~/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub/Clotheswasher.. ........ .... ....... .............. Clotheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator/Water Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall................................................. Shower. Gang. ... ..,.. .................. ..... ................ ..... ..... Sink: Bar, Commercial, Residential Kitchen........................ Urinal, Stall/Wall....................................................... Wash Basin/Lavatory, Single.................................. -Toilet, Public Installation............. ........................... Toilet, Private....................................................... Miscellaneous: II " 4 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 J 2- ~ 7 , /I '2.. '^ J f TOTAL FIXTURE UNITS zj) = Based on assessed value. If improvements occurred after annexation date in table, . CREDIT CALCULATION TABLE: calculate credits separates. I I I Year Annexed Rate per $1,000 Assessed Value $4.27 4.18 4.12 3.99 3.83 '3.68 3.48 3.18 2.82 2.42 l 1979 or before 1980 1981 1982 1983 1984 1985" 1986 1987 1988 Year Annexed Rate per $1,000 Assessed Value 1989 1990 1991 1992 1993 1994 ..... .1995 1996 1997 $1.98 1.55 1.15 0.96 0.83 0.67 0.52 0.38 0.21 = '3. IS; ~.21 X$'./S- (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL , .. Credit for Parcel or Land Only If Applicable Improvement (if after annexation date) = = $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Residential........................... 0.4 Commerical......................... 0.9 Industrial............................ 05 . Governmental...................... 0.5 FIXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT '. . . SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: ~('\ \\t\S(\~ ' PHONE: ~A<lDl \..0 ADDRESS:~ ~M){')tl\oJi)\ Y~STATE:~ZIP:O:l4{)l LOCATION OF PROPOSED BUILDING SITE: Street Address: \\lL~ ~-e.. \:J,\\1.e.; Plat Name: ~f~~:t..~ Tax Lot Number: \-, rY6?M-'L.n1..o1f)O . C\C\b\o~1 1. DEVELOPMENT TYPE (Check appropriate dwelling(s).SOC calculations and dwelling t ype definitions are on the back.) Ii' A. Sinqle-Fl'Imilv Detl'lchen Single Family home NO. OF UNITS \ { Manufactured home not in a park X $1,000 per unit = $ JOOn .~ B. Sinole'.Fl'lmilv Attl'lched NO. OF UNITS X $924 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. Mam!f,ectured Home PlllIs. NO. OF UNITS WILLAMALANE SDC X $699 per unit c $ $ t()OO.CO '0 $ l()()O.OO 2. SDC CREDIT (If applicable) SOc-payer must furrlsh proof of Willamalane Credit approval. See SOC Credit Worksheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (If SDC reduced for Credit) ~d~ 6epartmen, City of Springfield ~ Date I I Lj I ~'1