HomeMy WebLinkAboutPermit Building 1998-5-26
,
.'
SPAINQFI~LD
/.:tI'tS'}{(~h'4
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT 1~"jjENTIAL PERMIT APPLICATION
COMMENCED OR IS ABANDONED FOR CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
ANY 180 DAY PERIOD. BUILDING SAFETY
Page 1
Job Number: 980443
225 North Fifth Street
Springfield, OR 97477
Office, 726-3759
Inspection Line, 726-3769
Location of Proposed Work: 6888 IVY ST
Assessors Map #, 18020223
Lot, 27 Block,
Tax Lot #, 09600
Subdivision, SOUTH HILLS NO
Owner: LESLIE POLIFRONI
Address, 303 CROCKER LANE
Phone #, 607-6148
City/State/Zip: EUGENE, OREGON 97404
Describe Work, S.F. RESIDENCE
NEW
Contractor
Cons t .
Contractor #
Expires
Phone
General:
OWNER
QUAD AREA, 4RSE
# OF UNITS, 1
CONSTR. TYPE, VN
WATER HEATER, G
SQ FOOTAGE, 2189
OFFICE USE --
LAND USE, 1111
ZONING CODE, LDR
# OF BDRMS, 4
RANGE, E
# OF BLDGS, 1
OCCY GROUP, R3
HEAT SOURCE: FG
INSUL PATH, P1
-
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.
UNDERFLOOR PLUMBING - Prior to insulation or decking.
UNDERFLOOR MECHANICAL - Prior to insulation or decking.
ROUGH GAS - after line is installed and capped if not attached to an
appliance
POST AND BEAM - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
WATER LINE - Prior to filling trench.
ROUGH PLUMBING - Prior to cover.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
ROUGH MECHANICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
GAS SERVICE - After line is installed and line has been connected to a
minimum of one appliance. Pressure test done at this point.
FRAMING - Prior to cover.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
DRYWALL - Prior to taping.
FINAL PLUMBING - When all plumbing work is complete.
FINAL MECHANICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When all electrical work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Lot Faces: S
Lot Sq. Ft., 7125
Lot Coverage: 30 %
SPRINQFIELD
Job Number: 980443
Page 2
Topography: 10
Solar Approved: Y
Total Height: 22
Lot Type: INTERIOR
Setbacks
S W E
6 13
Setbk From NPL: 28
N
House 13
Garage
20
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
1776
413
$/square Feet
64.66
16.27
Value
114,836.00
6,720.00
121,556.00
Building Permit Fee
Surcharge/Admin
482.50
38.61
TOTAL FEE
(A)
521.11
PLUMBING PERMIT ---
Item
Residential Bath(s)
2
Fee
160.00
Plumbing Permit
Surcharge/Admin
160.00
12.80
TOTAL CHARGE
(C)
172.80
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
GAS LINE/WH
GAS FP
3
6.00
4.50
9.00
3.00
5.00
4.50
Mechanical Permit
Issuance
Surcharge/Admin
32.00
10.00
2.56
TOTAL PERMIT
(D)
44.56
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
SDC
WILLAMALANE
> LAM7 At-TEAA710/AI I'';;~M'' ~
TOTAL MISCELLANEOUS PERMITS
(E)
0.00
19.60
14.80
2,371.56
1,000.00
30.~
3,4115.96
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
-4-r: ~ ~ . . J,.
4/71'-/J
--- 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.
SPRINGFIELD
~-
Job Number, 980443
Page 3
Plan Check Fee,
Received By,
Plans Reviewed By, TOM
Building Site Reviewed
313.63
Date Paid, 04/14/98
Receipt Number, 29436
MARX Date: 05/11/98
By, LISA HOPPER
--- ADDITIONAL COMMENTS ---
ELECTRICAL PERMIT REQUIRED
DRIVEWAY REQUIRED TO BE PAVED
2 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
c~ ~ "' en n~" '"nO, COOO'~CnO". S; .2b"1'6
S~gnature Date
--- VALIDATION
Date Paid:
03oolL/
r/2& 178"
l{~:~_
Receipt Number:
Amount Received:
Received By:
,'".,.., I
" -C/ . J .Jty of Springfield
This Side To Be Filled Out by Applicant
\ ~ This permit is required for any site activity in the flood plain and everywhere site ~Iteration consists of
~.;~ fifty (50) cubic yards of material or more and/or if a drainageway is affected, within City limits and
f-
-
~
~
UJ
c...
Z
o
-
~
UJ
~
<(
UJ
LJ
<(
Z
-
~
o
o
z
<(
o
z
::;
Date of Application
Permit Expiration Date:
Property Owner LfS LIC fJt11- / J=kol\f7
Address: .~,,~ aftl1 e.KeJe. M.
Phone: CELL q/2--/q~,-
City ftJl?c-"',F State:M...Zi~
Site Address: tgfl~
IVY
,Springfield, Oregon
o
Tax Lot:,19.1m
UGB Tax Map No: J ff 15 2/'0 2 2..- ~
Journal number applicable Land '(Ise Application
o
FILL, Quantity 5;0 yp) b6 YfJ.$ Source Location' '
Supplier ClA..4EAE <Vt-tVD 4:: fj'I?AVa- . Material ?,fq. -Rod<.. /
GRADING, Quantity rz Y{)S -
( ~'-,
EXCAVATION, Quantity ---o.>i.I'~ )
Supplier:
Address
72>P ~jG.
o
o
Destination:
Project Supervisor
, Phone
)(
SITE PLAN Required DBtB:Quantity of material, Property lines and descriptions, Tax map and
lot number, Site address, Existing contour lines, Proposed contour lines, Existing drainage
ways, Proposed drainage ways, Significant trees and foliage, Ground cover, Soil types,
Buildings, Septic systems, Sewers, Areas subject to flooding, Utilities, Areas subject to land
slides, Proposed site improvements. '. .
o
o
~
o
o
CROSS SECTIONS,
SOILS & GEOLOGY PLAN,
DRAINAGE, POLLUTION AND EROSION CONTROL PLAN
REPLANTING PLAN
ADDITIONAL INFORMATION,
COMPANY NAME:
PROJECT SUPERVISOR:
ADDRESS:
COMPANY NAME:
PROJECT SUPERVISOR:
ADDRESS:
, PHONE
CITY
STATE
. PHONE
CITY
STATE
.CONTRACTOR NAME: ()WA' E~
.PROJECT SUPERVISOR:
Registration Number:
ADDRESS:
STATE: , ZIP:
MOBILE PHONE:
"
PHONE
, Expiration Date:
, CITY:
OFFICE PHONE FAX
EMERGENCY PHONE:
1 understand that I. or my successors may have future plans for my property which may be anticipated or unanticipated at
this time. I understand that such future plans may require permits and developement approvals from the City of Springfield.
I understand that notwithstanding any approval of this land and Drainage Atteration Permit (lOAf), that at the time of
application of future permits or approvals the City may review and reconsider all actions which I or my successors have
undertaken persuant to this lOAP. I understand that the City may as a condition of any future approval, require the
undoing, changing, or modification of any actions which I have undertaken as a result of the City's approval of this LOAP.
,
. . , . .' '::-.... "l "';:"':' \~,
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information herein 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, applicable City Standard specifications and Drawings, and the laws of the
State of Oregon penaining to the work described herein. I further certify that only contractors and employees who are in
compliance with ORS 701.055 will be used on this project. .
The City may inspect the work site described in this permit at any time during a one year period following the receipt by
the City of notice of completion of the described work and spocify, at the City's sole desecration, any additional restoration
work required to return the site to a standard acceptable to the City. The permittee will be notified in writing of any work
required and will have thirty (30) days from the date of the notice to complete the work. Work not completed at the end of
the thirty days will be performed by the City and the costs will be billed to the permittee.
I further agree to ensure that all ired inspections are requested at the proper time, that project address is readable from
the street, and/he avoyed s t of 1 sill remain.....on the site at all times during construction"
Slgnatur. y. /, c ' I ,,' Oat. $'-'7 ~ 1_<1
r-
-
~
~
UJ
0-
Z
o
-
~
UJ
r-
....J
<(
UJ
LJ
<(
Z
-
~
o
o
z
<(
o
z
::s
1/6/1998
o
o
o
o
,]
DRAINAGE, 0 SIOnn, 0 Ditch, 0 Culvert, 0 Natural
WETLANDS, Description ;1/cno.-<-
FLOOD PLAIN, Zone: C , FEMA Community Panel No.: ?//<,-:'>'1'2 a::w /'1
FLOODWAY, FEMA Community Panel No.: L//..,~2 OOq . Dat~; ~ /J-7 /8'S""
PLAN CHECK FEES:
UP TO 100 CUBIC YARDS
101 TO 1,000 CUBIC YARDS
1,001 TO 10,000 CUBIC YARDS
10,000 TO 100,000 CUBIC YARDS
100.001 TO 200.000
200,001 CUBIC YARDS OR MORE
$20.00
$30.00
$40.00
$40.00 For the first 10,000 cubic yards, plus
$20.00 for each additional 10,000 cubic yards or fraction thereof.
$220.00 For the lirst 100.001 cubic yards, plus
$20.00 for each additional 10,000 cubic yards or fraction thereof.
$340 For the first 200,001 cubic yards, plus
$6.00 for e8ch additional 10,000 cubic yards or fraction thereof.
GRADING PERMIT FEES:
UP TO 100 CUBIC YARDS
101 TO 1,000 CUBIC YARDS
1,001 TO 10,000 CUBIC YARDS
10,000 TO 100.000 CUBIC YARDS
100,001 TO 200.000
$30.00
$30.00 For the first 100 cubic yards. plus
$14.00 for each additional 100 cubic yards or fraction thereof.
$'156.00\For the first 1,000 cubic yards. plus
$12.00 for each additional 1,000 cubic yards or fraction thereof.
$264.00 For the first 10,000 cubic yards, plus
$54,00 for each additional 10,000 cubic yards or fraction thereof.
$750.00 Fo. Ihe li.sll00,001 cubic yards. plus
$30.00 for each additional 10,000 cubic yards or f~action thereof.
"
I.- ~
Estimated Volume:
Plan Check Fee:
/V/M
Date:
Receipt No:
Received By:
Date:
Grading Permit fee:
'2,,t'"1 O.p
Date:
Receipt No:
-
Received by: Date:
e:;J:;.~ tl.-rTaoI..e/J &JNn/~N5 / b-INNC-o'/Pb )
P d (,.~;:/
(3-Engineering (fl' ~1!t
~ Building: , ~~~
o Maintenance:
Date:
Date:
Date:
Date
0jAJ
~ )/#.v [
5;" /Zl[ j,. IJ
/ /'
~
Planninll
Permit Number
Issued by:
'Date:
RAqllirAn F.inRI Inc:::n~,..tinnc:::'
Planning:
Date
Engineering:
"
,
I
Date
,-
-,
Building:
Date
_':).
~--."
Maintenance:
'.
,
Date:
o
o
o
Land and Drainage activity as outlined in this permit has been completed in accordance with
the provisions ofthis permit.
Lllnd and Drainlllle a~tivitv as outlined in this permit has not been completed in accordance
With the provlslCihS ot thiS permit.
Land and Drainage activity was performed prior to application for this permit.
. ,
." . 1
'~ccepted by"': 1".- r;~ - ~ - }..+ ~ro :.- . .~' ",.. Date:
I \ I ":.' - ~
t .' ,~.
. , ,
~
~
Permit #: ~"'?"~
Issued by:
~~ /V7'
/2:~Iaz. -( -
/y
~
.
Addfess:
Date:
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4), requires residential conslruction permit appli-
cants who are not registered with the Construction Contraclors Board to sign the
following statement before a building permit can be issued. This statement is required
for residenlial building, electrical. mechanical, and plumbing permits. Licensed
architect and engineer applicants, exempt from registration under ORS 701.010(7),
need not submit this statement, This statemenl will be filed with the permil.
Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B:
D
D
1. 1 own, reside in, or will reside in the completed structure.
2. I understand that I must register as a construction contractor if the structure is sold or offered for sale
before or upon completion.
D
3A. My general contractor is
(Name) Contractor regis. #
I will instruct my general contractor that all subcontractors who work on the structure must be
registered with the Construction Contractors Board.
OR
cz;l 3B. I will be my own general contractor.
If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors
Board. 1f1 change my mind and hire a general contractor, I will contract with a contractor who is
registered with the CCB and will immediately notify the office issuing this building permit ofthe
name of the contractor.
I hereby certify that the above information is correct and that I have read and do understand the Information
Notice to r~o~: o~:rt:t:.onstruction Responsibilities on the reverse Si~ :f;~~f~~
(Signature of permit applicant) (Date)
(White copy to issuing agency permit file.
pink copy to applicant)
~
~
llnformCl~ion Notice ~o Propeiiy Owners
Aroou~ Cons~ruction Responsibilities
No/e: This Informa/ion No/ice /0 Properly Owners aboll/ Cons/mctioll Responsibilities
was developed by the Conslrllction COil/rae/aI's Board in accordance with ORS 701.055(5).
If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure,
you can prevent many problems by being aware of the following responsibilities and areas of concern.
EMPLOYER RESPONSIBILITIES:
If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the
construction or improvement of a residential structure, you will, in most instances, be ruled to be an employcr and the people
you hire will be employees. As the employer, you must comply with the following: '
Oregon's withholding tax law: Asan employer. you mustwithhold income taxes from employee wagesallhetimeemployees
are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more
infonnation. call the Oregon Depl. of Revenue at 945-8091. ..
UDemployment insurance tax: As an employer, you are required to pay a tax for unemployment insurance purposes on the
wages of all employees. For more information, call the Oregon Employment Department at 378-3524.
Workers' compensation insurance: As an employer. you are subject to the Oregon Workers' Compensation Law. and must
obtain workers' compensation insurance for your employees. I I' you fail to obtain workers' compensation insurance, you may
be subjecllo penalties and will be liable for all claim costs if one of your employees is injured on the job. For more information.
call the Workers' Compensation Division at the Department of Consume I' and Business Services at 945-7888.
U.S. Internal Revenue Service: As an employer. you Illustwithhold federal incomc tax from employees' wages. Y Oll will be
liable forthctax payment even if you didn't actually withhold the tax. Formore information. call the Internal Revenue Sen;ice
at 1-800-829-1040.
OTHER RESPONSIBILITIES AND AREAS OF CONCERN:
Code compliance: Asthe permit holderforthis project, you are responsible for resolving any failureto meet code requirements
that may be brought to your attention through inspections.
Liability and property damage insurance: Contact your insurance agent to see if you have adequate insurance coverage for
accidents and omissions such as falling tools, paint overspray, water damage from pipe punctures. fire. or work that must be
re-done.
Time to supervise employees: Make sure you have sufficient time to supervise your employees.
Expertise: Make sure you have theexpertisetoactas your own general contractor,to coordinate the work of rough-in and finish
trades. andlo notify building officials at the appropriate times so they can perform the required inspections.
I I' you have additional questions. write or call the Construction Contractors Board (PO Box 14140, Salem, OR 97309-5052.
503/378-4621). The Board is located at 700 Summer SI. NE Suite 300, in Salem.
prop-owll.pm4
1/94
CITY OF
, JUB NO. C'lIfO 44-3,,,
SPIGFIEL~~A~~~~~S A DEVELOINT CHARGE" ,':
WORKSHEET
'. .
NAME OR COMPANY: I E"iLlc P,.., I I' ,::"'J2.o N I
LOCATION: /-., f' 1<.8 T,/'1" 'Sf, .
DEVELOPMENT TYPE: c..., . F. R.., .
BUILDING SIZE LOT SIZE <;Q. Ft.
l. STORM ORA HIAGF
IMPERVIOUS SO. FT. 2.q~ X $0.226 PER SQ. FT. $ ~G.1-7
2. SANITARY SFWFR-CfTY
NO. OF PFU' S 2..0
(See Revecse Side)
x $46.86 PER PFG
$ q~7.2cJ
3. TRANSPORTATION
,NO OF UNITS X TRIP RATE X COST PER TRIP
X 1.01 X $472.49
$ 477, '2-1
X
X $472.49
$
x
X $472.49
$
4. SANTTARY SFWFR-MwMC
DJ
NO. OF-fftj-' S X 2.77. 7~PER FEU + $10 MWMClADM FEE j! -z. 'il7. 7'-
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ _110. 0 I
,TOTAI-MWM( snc $ - /77. 7~
SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ 7,.70?b.3
5. ADMINTSTRATTVF FFFS
BASE CHARGE (SUBTOTAL ABOVE) X .05
$
/ /7... .C;3
19t.
Date: 4.- z.1-qg
SDC Coordinator
TOTAL SDC $ 7 ~ 7/ ,t;""t:;
/ . - -
. riA I un!: unlll. "'I::\L""ULJ:\NVlll,,,,H;\[)a,,~~.N.umoer,:or<New.,.t:I!'tures'!,-.unlt t:qulvalent,,=, Rx,ure~Units'-
. ...--------- : '''i',_~d -'~.?':.; '," W" ,.,t.;r. ';~"'-"">~~,''''';; .""',""'''' '!'>~~,~ "',_.f/' .'<:;;1. ~~'"'i'~.>''t!W'\':'}i;,~ l~-:~,it',_~i"'" ~' -,',',:s1:~'''-~~'''',-'{U'lIi.l-r'~,'
,---,~. ',':j.[1ii,S;' ,.'. ;iYI;"' ,
(NOTE: For remodels, ,calculate'Clnl ';NET:~ddi!iCill~Nixtl.!'~s)$jjj!!ilr&~]it~~; '\~{":~4~.'I:~S:~'f:r~:i;:-',:<,,, _ : .""' ','. ,
, .' -:e',: ';' ..'-" h.' ,;"'i"4'I,,,-,~,,,,\t\~\!I!N"U'MS'ER-OF.i!:.~':, ,';'i"UNIT':Wi\',\>:!.~' FIX' TURE" ,
~. ~ ," ' "I';': ''-.-4./,';.._:;... ~ '~';.{.i"'"'''';''I';;1<.,:'5''9:;;;':~''~9X~:':- '.' .~... " '-;\li~\, -"'> , ''''"j , ,";1"",.,\
FIXTURE TYPE .,' .~' ';,: ,./ ..I';'{l1,J':"'J -:d'Cf'!!.y~~,>dNEWIFIXTURES:'r."ic EQUIVALENT: UNITS
. '
Bathtub............. ............................... ........ .........:.::'.~.:': ,i
Drinking. Fountain.............. ...................... ........ .........
Floor Drain......:.........................................................
Interceptors For Grease/OiI/Solids/Etc.................
Interceptors For SandlAuto Wash/Etc.........~.......
laundry TublClotheswasher ......... .... ...'... ..,...........,.
Clotheswasher - 3 Or More...............................:.....
Mobile Home Park Trap (1 Per Trailer)..................
Receptor For Refrigerill9'IWater Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower. Single StalL...........;....................................
Shower, Gang........ ................................... .... ...........
Sink; Bar. CommerCial. Residential Kitchen........................,
Urinal, StaII/Wall..... ........... .......... ........... ...... ...... ......
Wash Basinilavatqry, Sing.le..................................
Toilet. Pubiic Installation................... ........... ..........
Toilet, Private......................................,;...............
Miscellaneous;
-:>
I
?-
"2_
TOTAL FIXTURE UNITS
2
t
2
'3
6
2
6
6
1
3
2
i/Head
2
2
1
6
4
=
4-
:z..
"'2--
~
"'Z-
l5'
-zo
Based on assessed value. If improvements occurred after annexation date in table,
CREDIT CALCULATION TABLE:
calculate credits separates,
"
Rate per $1,000
~essedXalue
$3,90
".oJ
3.83
3.70
3.55
3.39
3.20
2.91
Year
Annexed
Year
Annexed
-~ or before
19&u
1981
1982
1983'
1984
1985
1986
19B7,
1988
1989
1990
1991
1992
1993
1994
1995
1996
Rate per $1,000
Assessed Value
$2.56
2.17
1.73
1.31
0.92
0.74
0.61
0.45
0.31
0.17
J
Credit for Parcel or land Only If Applicable
-.:;Q7 X $ 2-;;:'7/0
(Rate X Assessed Value)
X $
, (Rate X Assessed Value)
Improvement (if after annexation date)
=
=
/ j,O o(
CREDIT TOTAL = $ / / 0, ",'1
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Fiesidenclai...:...... ... .... .......... 0.4
Commerical......................... 0.9
Industrial............................ 05
GovernmentaL..................... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
, , '.
-
.
.t\~ Willamalane
'"t'-l Park & Recreation District, Job. No.
"V SYSTEM DEVELOPMENT CHARGE
NAME: ~ ~~ Jk.J)cli S::~HEET
ADDRESS: ~ I)rf~ 0AD~ W - r/t;"
~<ID44-:)
PHONE: _\om '\o\~
STATE: ~IP: a11lY1
LOCATION OF PROPOSED BUI~ING SIT5.:. '
Street Addrefs: I oR.KR ~Vy- vv.l1PT
Plat Name~ft\ fu\~~ax Lot Number: \<?!J11YlJ;) r:Atorf)
..
.'
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
A. Sinolp.-F~milv Dp.t~chp.d.
\ Single Family home
, NO. OF UNITS \
, Manufactured home not in a park
X $1,000 per unit = $ \000 ,or)
. .
B. Sinale'-F~milv_Att~ched.
NO, OF UNITS
X $924 per unit = $
C. .Multi-Familv Aoartment
NO. OF UNITS,
X $692 per unit = $
D. Manufacturecl Hnme PRrk,
NO. OF UNITS
WILLAMALANESDC
J
X $699 per unit =
.$
2. SDC CREDIT (if applicable) SDG-payer must fumlsh proof of
Willamalane Credit approval. See SOC Credit WotKsheet. $
3~TOTAL WILLAMALANE NET SDC ASSESSED
~\~'~l"~ :> I
De"'0pm'nt~ Department Date
City of Springfield
$
2.LoI
$
I nm .00
g
tDOO .00
QS