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Home My WebLink AboutPermit Building 2004-9-2 - . CITY VI' ~rKlNljt<lJ!,L.D Building/Combination Permit PERMIT NO: COM2004-00774 ISSUED: 09/02/2004 APPLIED: 06/24/2004 EXPIRES: 03/02/2005 VALUE: $ 231,429.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 6718 Jacob Ln ASSESSOR'S PARCEL NO.: 1702341109600 Springfield .TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: Levi landing lot 63 - SFR Owner: JAMES PAULSON TRUST Address: CIO 8745 THURSTON ROAD SPRINGFIELD OR 97478 Phone Number: 541.954.1149 I CONTRACTOR INFORMATION I ~\~ . ~~e'l> '\~0'i:-\\'" ~~lcense ~eo..0- f'!,0<'\ \ \~l' . 6~682 ^ \e-tl...<> Ole ~,e "'~..,-''''I476I8 -..- -,... .......... "-' -, . , ~.OrBUII',DINGINFORMATIONI ~\O 7>ou, \ """",0"" 0'" ^e9\'~ \u\\ # of Units: t-~~ ~0'" c,e<,\\0 O-{f.Jf ~!.9rie~:{\e ,e i-..~\,,<>' . 2 Primary Occupancy Group: ,o\\o~.<..~{\ f::J~v(j :d-!eig'tlt8f,~:~~~ffi~\',.\, 29.50 Secondary Occupancy Group: ~o~~\'!l~?'2: 7>'1 0 J~e'h',,#eat.:I-''l-~o. Forced Air Gas Primary Construction Type ~ O,v.!'{ol,) ~ 0 v0~~ter'Jirype?i Gas Secondary Construction Type: ~ I;)~c?'~' ~\{\!::t> "S' \ ~a\!1g,,'1fype: Gas # of Bedrooms: C~ '1;)0\ \0 ~'\lfuergy Path: Path 1 ~I,)~ C,0 Sprinkled Building: nla Contractor Type Gimeral Electrical Contractor DENNIS R MINIUM STEVE HAUCK Expiration Date 12/1112005 04/3012005 Phone 541-747-8495 541-221.2665 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 19,206 1,785 693 609 Front yard Setbaek: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: REQUIRED PARKING Floodplain ~al: 2 3 ~~'j'ja~dicapped: Y es ,\Y:-~ S tSb~pact: 8.~ ~<' ';::)~ A..q,~\~~\y'Y "< . 1 PUBLIC IMPROVEME.NTS 1sY:-~"~~ ,\~~~~~\Jo Fully Improved :\\'V~~$' '\) '\)~~~~~. Type: . Yes ~t::;:, ~}y; ~'\..y; <:<-<::> <no~~poutsmrains: Storm sewer to curb and gutter via wee~Hol.f.lls.stfownlo'lt plans o ~\' ~V ~r ~ \:)~ ,'O~ <:..i~ ~ 1 DEVELOPMENTINFORMATION I 12.50 55_00 8.00 80.00 90,00 Overlay Dis!: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instruction: Curbside 5' Curb and Gutter Notes: I Valuation DescriDtion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa!!e I of4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line DwelIines Garaee V Wood Frame Garaee Fee Deseription Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 10% Administrative Fee + 7% State Surcharge + 7% State Surcharge 3 Baths One & Two Family Addressing Assignment Annexed 2000 Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Heat Pump Plan Review Major - Planning Plan Review Minor - Planning PW Mult Disc - 2nd Permit 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 Tran8po Improvement SDC Tran$po Reimbursement Sidewalk Permit Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan WlIIamalane Single Family Total Amount Paid - Amount Paid $646.52 $10.00 $20.10 $143.26 $14.07 $100.29 $306.00 $31.00 $-4.77 $994.65 $75.00 $6.00 $9.00 $12.00 $15.00 $4.00 $12.00 $103.00 $59.00 $-30.00 $106.00 $95.00 $499.09 $656.56 $10.00 $214.23 $314.63 $110.53 $53.30 $727.42 $164.89 $75.00 $694.55 $50.00 $24.00 $1,000.00 $7,321.32 $92.40 $24.30 Total Value of Project Fpp< PiilLI Date Paid 6/24/04 9/2/04 9/2/04 9/2/04 9/2/04 9/2/04 9/2/04 9/2/04 9/2/04 9/2/04 9/2/04 9/2/04 9/2/04 9/2/04 9/2/04 9/2/04 9/2/04 9/2/04 9/2/04 9/2/04 9/2/04 9/2/04 9/2/04 9/2/04 9/2/04 9/2104 9/2/04 9/2/04 9/2/04 9/2/04 9/2/04 9/2/04 9/2/04 9/2104 9/2/04 9/2/04 Paee 2 of 4 . LU r OF SPRIrljul'IELD Building/Combination Permit PERMIT NO: COM2004-00774 ISSUED: 09/02/2004 APPLIED: 06/24/2004 EXPIRES: 03/0212005 VALUE: $ 231,429.00 2,360.00 550.00 $218,064.00 $13,365.00 $231,429.00 06/2412004 06/24/2004 Receipt Number 1200400000000000975 1200400000000001306 1200400000000001306 1200400000000001306 1200400000000001306 1200400000000001306 1200400000000001306 1200400000000001306 1200400000000001306 1200400000000001306 1200400000000001306 1200400000000001306 1200400000000001306 1200400000000001306 1200400000000001306 1200400000000001306 1200400000000001306 1200400000000001306 1200400000000001306 1200400000000001306 1200400000000001306 1200400000000001306 1200400000000001306 1200400000000001306 1200400000000001306 1200400000000001306 1200400000000001306 1200400000000001306 1200400000000001306 1200400000000001306 1200400000000001306 1200400000000001306 1200400000000001306 1200400000000001306 1200400000000001306 1200400000000001306 - Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review Initial Review Plannin!! Review Plannin!! Review I Plan Reviews I 06/25/2004 APP 08/18/2004 APP 06/25/2004 08/18/2004 08/18/2004 06/25/2004 07/0212004 APP Plannin!! Review Public Works Review 08/26/2004 06/25/2004 08/26/2004 APP 06/30/2004 APP Public Works Review Structural Review Structural Review 08/18/2004 08/18/2004 06/25/2004 08/21/2004 09/01/2004 08/01/2004 APP OK DEN . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00774 ISSUED: 09/02/2004 APPLIED: 06/2412004 EXPIRES: 03/02/2005 VALUE: $ 231,429.00 LLH LLH EMM Lot has no build easement to north and east of house. 55 feet to easement from 80uth property line north and 65 feet to easement from west property line east. Revised plans reviewed for setbacks. 6/30/2004 - Waiting internal review from Ken Vogeney. - MAS -7/6/04. Review Completed & Returned to Building. - KJV TAJ MS MS RJB RJB Plan aetuaUy reviewed and denied on 7/7/2004, but entry was not made. The plans submitted were drawn under old code and new plans are required. To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. Curbcut - Standard: After forms are erected but prior to placement of concrete. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Erosion/Grading Inspection: After all erosion measures are in place. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor 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 Inspeetion performed prior to placement of conerete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building i8 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. Paee 3 of 4 - . CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2004-00774 ISSUED: 09/02/2004 APPLIED: 06/24/2004 EXPIRES: 03/02/2005 VALUE: $ 231,429.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Water Line: Prior to mling 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 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. 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 correet, 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 du' construction. ~~ Owner or Contractors Signature - l~~Y / Date Pal!e 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone _ "!!AlNqJ:1~, .~~. : ~ Job/Journal Number COM2004-00774 COM2004-00774 COM2004-00774 COM2004-00774 COM2004-00774 COM2004-00774 COM2004-00774 COM2004-00774 COM2004-00774 COM2004-00774 COM2004-00774 COM2004-00774 COM2004-00774 COM2004-00774 COM2004-00774 COM2004-00774 COM2004-00774 COM2004-00774 COM2004-00774 COM2004-00774 COM2004-00774 COM2004-00774 COM2004-00774 COM2004-00774 COM2004-00774 COM2004-00774 COM2004-00774 COM2004-00774 COM2004-00774 COM2004-00774 COM2004-00774 COM2004-00774 COM2004-00774 COM2004-00774 COM2004-00774 Payments: Type of Payment Check 9/2/2004 RECEIPT #: 1iiIIf. of Springfield Official Receipt ~Iopment Services Department Public Works Department 1200400000000001306 Date: 09/02/2004 Description Sidewalk Permit Curbcut Permit ' PW Mull Disc - 2nd Permit Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvemen1 SDC MWMC Adminislra1ion SDC SanilarylStorm Admin SDC Transpo Admin Annexed 2000 Addressing Assignmen1 WiJIamalane Single Family Temp Power 200 amps or less Plan Review Major - Planning Plan Review Minor - Planning Building Permit 3 Baths One & Two Family Furnace - up to 100,000 btu Ven1 Fan Exhaust Hoods Dryer Vent Gas Outlets 1-4 Gas Fireplace Heat Pump -Mechanical Issuance Fee- + 7% Slate Surcharge + 10% Administra1ive Fee + 7% State Surcharge + 10% Adminislra1ive Fee Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Paid By ReceIved By EVERGREEN LAND TITLE CO djb Page I of I Item Total: Check Number Authorization Bateh Number Number How ReceIved 26404 In Person Payment Total: 2:39:58PM Amount Due 75.00 75.00 (30.00) 694.55 656.56 499.09 164.89 727.42 314.63 214.23 10.00 110.53 53.30 (4.77) 31.00 1,000.00 50.00 103.00 59.00 994.65 306.00 12.00 24.00 9.00 6.00 4.00 15.00 12.00 10.00 100.29 143.26 14.07 20.10 106.00 95.00 $6,674.80 Amount Paid $6,674.80 $6,674.80 225 FIFTH STREET 0 SPRINGFIELD, OR 97477 0 PH:(54I)726-3753 0 FAX: (541)726-3689 ELECl'RlCAL PERMIT APPLICATION City Job Number ( Oil' ZoC(. C:X::>77'f Date I. 1t!i6~~i?ffl@~(pVsrr:"~T.t>4.t.I<<?NaIMI 1c7/g j/tt:.otJ UI LEGAL DESCRIPTION /762-'3'-f1/ D 9600 JOB DESCRIPTION SPR- Address (,0. (3w, 1-lslc i City ~ir ~\-~M.s; Q1'{ui Phone Supervisor License Number JST1S Expiration Date }o ~ I - o'-{ Constr. Contr. Number Address City Phone OWNER INSTALLATION The installation is being made on propeny I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 511,}>r' I 3. J!tt1MPiillT.E-lftEE1S€IiEjj&IiEfBEE6~ . ...j. .,.."i:iiiiIIiiili_"............o..-...._,-~........._--~ ' IJ-'-'--~ .t;g.D!:..-~~-'--'. A.~.L!!:!'!ille.n.~....Sin2Ie o. !\1ulti~F..amil~ p.e.i1~I!iI!.gi!!!.'$ . / S- $106.00 /c>b 9~ Service Included 1000 sq. ft. or less ATTENTI~~IY9ll~gryouto ....".. ruleS'll'a8~&rrnj the Oregon Utilily Permits are non-transferable and expire If worlNDtlfication <ilstIt~ Hlktll: ClF9 set fm not started within 180 days of Issuance or If wor!IRlOAR 952~O~~M52.oo11' Suspended Cor 180 days. 0090. You rrlil1~ta1n copies of the rules IY, ',' " "..,'."" ''''''". """'<"~lIIng~ r-".. ll'UjIf,111 " -~ 2. ~leOJoii!lRAGqJ(!)~fINSrp~'j!l\!Jl_.t~' '.' ~eSto if ; ""+-1 ta lon,W1tera~~~s(orJRe'loca.,.I,..i,.on.,,:i . I!Iiiii __ . _ . ...l".~.,., .., ,-.,;",----'- ber or . . Electrical Contractor S7PVF- 1113vc.1C- Ce~ ~-/3AA~2.2~ 201 Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsIVollS Reconnect Only $ 19.00 $50.00 $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 C.I!.~~~~rY1SL~c~F:;:d~" / so Inslallalion, Alteration or Relocation 200 Amps or less 14~f'd 201 Amps to 400 Amps 401 Amps to 600 Amps Expiration Date 4.-Jo'- O.s unTIL'J:. Iwvet llOO'Amps or 1000 Vol ';"~j"'/C'M ~~~..-: ;WA_SFOR 1 -j1~. M~){ Aifl~Q&~ t'iF&IP.P\vith $ 43.00 Owners Name .sA~Vln ~\~ \r",~t Service or Feeder Permit $ 3.00 I{r-' '\.11 {~'iIlIIll"""'''*~ .... 1-1:'1_'''-~!!I!'i.q.~_~ 1S7 \ ~tA,.r-b 'h\..-- ~ E. Miscellaneous (Sen'iceZfee(J~r~,~~!;~~~~u~~!p~~Ji!~~ S\:> Fh $ 50.00 $ 69.00 , $100.00 Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Mlulmum Eleetrie Permit Inspection Fee is $45.00 + Surcharges 4. ~~T.@"~YPM.Q~ ,z..s-:I 7% State Surcharge '-7 <;7 10% Administrative Fee '2-')10 b 'Z/i3..0.. I Shared Drive(T:)lBuilding FonnsIElectrical Permit Application 1-o3.doc TOTAL .' C'ITY OF S.GFIELD SYSTEMS DEVELOPMEN~RKSHEET JOURNAL OR JOB NUMBER: COM2004-00774 NAME OR COMPANY: James Paulson Trusl LOCATION: 6718 Jacob Lane TAX LOT NUMBER: 1703341 I Tax Lot 09600 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS I BUILDING SIZE (SF: 0 LOT SIZE (SF): 1 STORM DRAINAGE 19206 lri I~ 10 10 I~ IW .!- 15 gj , DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. I CHARGE I 2395.00 I $0.290 = I $694,55 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I I DISCOUNT 0.00 I I $0.290 I 50% I = I $0.00 ITEM I TOTAL - STORM DRAINAGE SDC '$694.55 2, SANITARY SEWER - CITY $694.55 I 11070 A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I COST PER DFU I 29 I $22.64 $656.56 1091 B. IMPROVEMENT COST: I NUMBE~~F DFU's I x COST PER DFU $17.21 $499.09 1092 ITEM 2 TOTAL - CITY SAN IT ARY SEWER SDC = , $1,155.65 3 TRANSPORTATION A. REIMBURSEMENT COST, I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEWTRlPFACTORI 9.57 I I I $17.23 I 100 5164.89 1093 B. IMPROVEMENT COST: I ADTTRIPRATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI I 9.57 I I I I $76.01 I 1.00 I 5727.42 1094 ITEM 3 TOTAL - TRANSPORTATION SDC ~ , 5892.31 4 SANITARY SFWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I I I I $314.63 = $314.63 1054 B. IMPROVEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I 1 I I $214.23 = $214.23 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) ($4.77) 1054 MWMC ADMINISTRATIVE FEE 510.00 I 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SD< = , 5534.09 ~ SUBTOTAL (ADD ITEMS I, 2, 3, & 4) ~ , $3,276.60 ---=:J ,~ AOMINISTRATIVE FEE' I I SUBTOTAL I x I ADM. FEE RATE I~ CHARGE I $3.276.60 I I 5% $163.83 TOTAL SANITARY ADMINISTRATION FEE: II 0.53 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $53.30 11078 Matt Stouder 6/30/2004 TOTAL SDC CHARGES =l $3,440.43 PREPARED BY DATE ---- - - ' . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTIJRES x UNIT EQUJV ALENT - DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS. CA1.ClILA TE ONL V TIlE NET ADDmONAL FIXTIJRES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS I BATHTUB 2 0 3 = 6 IDRlNKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 I INTERCEPTORS FOR GREASE lOlL I SOLIDS I ETe. 0 0 3 = 0 I INTERCEPTORS FOR SAND I AUTO WASH I ETC. 0 0 6 = 0 I LAUNDRY TUB 1 0 2 = 2 ICLOTIlESW ASHER I MOP SINK 1 0 3 = 3 /CLOTIlESWASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REFRlG I WATER STATION I ETC. 0 0 1 = 0 IRECEPTOR FOR COM. SINK I DISHWASHER I ETe. 0 0 3 = 0 ISHOWER. SINGLE STALL 1 0 2 = 2 ISHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0 ISINK: COMMERCiA0RESIDENTIAL KITCHEN 1 0 3 = 3 I SINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASINIDOUBLE LAVATORY 1 0 2 = 2 ISINK: SINGLE LAVATORYIRESIDENTIAL BAR 2 0 1 = 2 IURlNAL. STALL I WALL 0 0 5 = 0 ITOILET. PUBLIC INSTALLATION 0 0 6 = 0 ITOILET. PRIVATE INSTALLATION 3 0 3 = 9 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 29 .EDU (Equivalent Dwelling Unit) is a discl1arRe equivalent to a single family dwcllim~ unit (20 DFlfs) set at 167 J!;lIllons oer day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$I,OOO I ASSESSED VALUE $5.04 $5,04 54.95 $4,88 $4.75 $4,58 $4.41 $04.20 $3.88 $3,50 $3.07 $2.60 12,14 $1.71 11.52 $U8 $1.19 $L03 $0.87 $0.68 $0.46 $0.27 $0.09 $0.04 IS LAND ELGlBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR CREDIT FOR LAND (IF APPLICABLE) VALUE 11000 CREDIT RATE $53,03 x $0.09 - , $4.77 CREDIT FOR IMPROVEMENT (IF AFfER ANNEXATION) VALUE 11000 CREDIT RATE $0.00 x $0.09 ~ I = $4.77 TOTAL MWMC CREDIT o 2000 o ~ . . fl.. . . . . fI'lARt. . ''- ~~'Willamalane '"t ~'- j. Park & Recreation District . Job. No. nan!211D1:C1:rti4 ,.., SYSTEM DEVELOPMENT CHARGE WORKSHEET . . \'\ ,~'..Ot- PHONE: .a.~4c ,n~ . .! S-uuu~ ill.. STATE:~ZIP: Qi41~ NAME: ~ . \ /ry-a ADDRESS: -f--'" LOCATION OF PROPOSED BUILDING SITE: . Street Addre s: ., lo1.\9,c\t\t()t\ ~f\O...; , . ". .... . Tax Lot Number: \<\ot'M\t mldX> 1. DEVELOPMENT TYPE (Checl<appropciate dwe16ng(s). sec calculations and dwelfirig t ype definitions are on the back.) Plat Name: . A. Siwlp.-F::lmilv Dp.l::l~hp.d \ Single Family home NO. OF UNITS Manufactured home not in a park . .\ X $1,000 per unit = $ (noo... r;lJ .. B. Rin'olp.-F::lmilv Atl::l~hp.Q NO. OF UNITS X $924 per unit . _. $ C.Ml.!~ami1v Aoartment NO. OF UNITS ,X .$692 per unit - $ D. M::lnllf::lclllrp.d Home Paris. NO. OF UNITS ,'WILLAMALANE SDC X $699 per unit = $ $ \000,00 rj 2. SDC CREDIT (ll appncable) SDc-payer must lurnlsh proal 01 .' Willamalane Credit approval. See SOC Credit Worl<sheet $ 3~ TOTAL WILLAMALANE NET SDC ASSESSED $ . (,OnD' .00 (11 see reduced lor Credit) ~ ~~)\ . ( I 2. I oY Development Sa -. s Date City of Springfield