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Home My WebLink AboutPermit Building 2006-8-24 , . .ITY OF ~rK11~ljl'lJ<.,LD Status Issued Building/Combination Permit PERMIT NO: COM2006-00263 ISSUED: 08/24/2006 APPLIED: 03/03/2006 EXPIRES: 02/2412007 VALUE: $ 273,112.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6868 Ivy St ASSESSOR'S PARCEL NO.: 1802031400500 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence, lot 25, South Hills North Residential Owner: ANTHONY ANTONE Address: 27492 2ND PL JUNCTION CITY OR 97448 I CONTRACTOR INFORMATION' Contractor Type Contractor License Expiration Date Phone General JEFFERY D TYNDALL 94572 12/29/2007 541-343-3598 Electrical EVERYDA Y ELECTRICAL SERVICE 136371 08/12/2007 541~607-6908 Mechanical OWNER Plumbing DAVID EDWARD RICHARDSON 157134 09/22/2007 541-606-1588 BUILDING INFORMATION I 4 # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: 2 32.00 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: 1,249 1,249 # of Units: Primary Occupancy Gronp: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U VN Gas Gas Path 1 nla 452 I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 15.00 12.00 15.00 45.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Hillside 2 Yes 35.00 Total: Handicapped: Compact: 2 I PUBLIC IMPROVEMENTS I Street;lmprovements: F II I d A....5idewalk ,TY~:gon law requiresCvoubt9d 5' u y mprove Tr t:,,, IIUI'4. -' v ur SI e . . _ .1 ,,j.,,.... hy the Qrog"11 UllltlY Storm Sewer AvaIlable: Yes foll<PownspoutsIDrains: To StormfSewer . . . ' Those rules are sel v,l'l SpeclallnstrnctlOn:'E' " Notification Center. 001 ~~~ '~ERMIT SHALL EXPIRE IF THE WORK . in OAR 952-001-0010 through OAR 952- - Notes: Connect to~elxisting storm stub:ST>AoJ,-t,3'ITNiirth)ide of lot adjacent to,7:0PUE 3110/06JCRin copies of the rules by AUl HUn LtU UI~ULn """ , ~'"'' ,." liv~ . 'Iv," ,,,-, -,'~ hone COMMENCED OR IS ABANDONED FOR calling the center. (NO~;i~~; ~e~~~cation ANY 180 DAY PERIOD, number~~~~:~i~~~~~~332_2344). ~ Paee 1 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Dwellines Dwellines Garaee V Wood Frame V Wood Frame Gara2e Fee Description Plan Review Residential -Mechanical Issuance Fee- + 100/0 Administrative Fee + 10% Administrative Fee + 8% State Surcharge + 8% State Surcharge 3 Baths One & Two Family Addressing Assignment Building Permit Building Permit Copies - Ea Addtl @ 50 Cnts Ea Copy 6th @ 75 cents Curbcut Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Heat Pump Piau Review Major - Planning Plan Review Residential 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 SanitarylStorm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Temp Power 200 amps or less l', .. _ITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00263 ISSUED: 0812412006 APPLIED: 03/03/2006 EXPIRES: 02/24/2007 VALUE: $ 273,112.00 I Valuation Descrintion I $ Per Sq Ft or multiplier $99.00 $99.00 $26.00 Square Footage or Bid Amount 2,498.00 142,00 452.00 Value Date Calculated $247,302.00 $14,058.00 $11,752.00 $273,112.00 03/03/2006 06/05/2006 03/03/2006 Total Value of Project I<r"<' PiiaJ Amount Paid $705.67 $10.00 $4.55 $170.57 $3.64 $136.45 $306.00 $31.00 $45.50 $1,085.65 $11.00 $0.75 $80.00 $6.00 $9.00 $12.00 $15.00 $4.00 $12.00 $150.00 $29,58 $106.00 $76.00 $572. I 0 $752.10 $10.00 $865.31 $82.03 $143.24 $64.24 $805.70 $182.69 $879.61 $50.00 Date Paid Receipt Number 1200600000000000242 1200600000000001331 1200600000000001331 1200600000000001331 1200600000000001331 1200600000000001331 1200600000000001331 1200600000000001331 1200600000000001331 1200600000000001331 1200600000000001331 1200600000000001331 1200600000000001331 1200600000000001331 1200600000000001331 1200600000000001331 1200600000000001331 1200600000000001331 1200600000000001331 1200600000000001331 1200600000000001331 1200600000000001331 1200600000000001331 1200600000000001331 1200600000000001331 1200600000000001331 1200600000000001331 1200600000000001331 1200600000000001331 1200600000000001331 1200600000000001331 1200600000000001331 1200600000000001331 1200600000000001331 3/3/06 8/24/06 8/24/06 8/24/06 8/24/06 8/24/06 8/24/06 8/24/06 8/24106 8/24/06 8/24/06 8/24/06 8/24/06 8/24/06 8/24/06 8/24/06 8/24106 8/24/06 8/24/06 8/24/06 8/24/06 8/24/06 8/24/06 8/24/06 8/24/06 8/24/06 8/24/06 8/24/06 8/24/06 8/24106 8/24/06 8/24/06 8/24/06 8/24/06 Pa2e 2 of 4 . _ITY OF SPRll"l/lJl' l~LD Building/Combination Permit PERMIT NO: COM2006-00263 ISSUED: 08/2412006 APPLIED: 03/03/2006 EXPIRES: 02/24/2007 VALUE: $ 273,112.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Vent Fan Willamalane Single Family $24.00 $1,000.00 8/24/06 8/24/06 1200600000000001331 1200600000000001331 Total Amount Paid $8,441.38 Public Works Review I Plan Reviews I 03/06/2006 03/07/2006 APP LLH 03/07/2006 03/28/2006 APP TAJ Property Line Adjustment SUB2005-00018 approved. Plot rellects adjusted line. 03/07/2006 03/10/2006 APP JLP Storm drainage connect to stub @ N. side propertly STA 1+31 3/IO/06JLPNeed storm information 3/912006 CAS 03107/2006 04/03/2006 OK RJB Initial Review Plan nine Review Structural Review 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. IRp~ ErosionlGrading Inspection: Prior to ground disturbance and after erosion measures are installed. 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 andlor foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Post and Beam: Prior to Iloor 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, Final Building: After all required inspections have been requested and approved and the building is complete. Underlloor 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 . .ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00263 ISSUED: 08/24/2006 APPLIED: 03/03/2006 EXPIRES: 0212412007 VALUE: $ 273,112.00 Status Issued 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. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Underlloor 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. Drywall: Prior to taping. Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Water Line: Prior to filling trencb and including required testing. Underlloor Mechanical. Prior to insulation or decking and including required testing. Rough Electric: Prior to Cover Final Gas: Wben all gas 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 sball 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 during construction. <:' ~r' o~~~actors ignature 9' l'8-L+ I l\Lo Date Paee 4 of4 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL WtRMI,'[ ~PfJ.lCATION City Job Number -SJ_O .lllJl ~ 1. l~o\~tf;jN!X\rTI~:p"'1 ,Gt,mm:~~ <\ o~::oo ~~QID +--f~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. Installation, Alteration or Relocation ctJ 200 Amps or less \ $ 50.00 ..5J ~ A nt::N~dLA~~ to 400 Amps $ 69.00 follow rul9E> ~rl'l'" ~r1~ Arnp,aqul/ l:l:; yc ._ $100.00 "otificatio1.1V!'l' 688RIljp"s 'till It too Q61lgsee '!B!II*."ve. in OAR ~j~~~\-~~itie.~.lSll,are seWrrtr :!H:::"J' \'~1('~;(.i;>i':.i' -- I U t~ v 1I11\.Ju!ih uAA 95? nn 0090. YOuNe~}'\lteration.or Extension Per Panel 1 calling fOne(~~i';'("NvvP'."o. VI me rules b~ $ 43.00 ,-.. ote. thetel9ph number fEac!i~d!!iii9m!ryk)~\'I,l or.'Y1tli. VI.'''' f\... Cllffiti9'1grl~8O'Ij~33~~3~~:~flcatlon $ 3.00 (- E. I.Mis~~II:inetuS'(~rvXt~/f~e'de'ri~ci(i1ifl~p~e~)~E~~h.lii~t~fJ~MrlJ . ~ump or irrigation $ 50.00 ~ Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited EnergylCommercial $ 45.00 Minimum Electric Permit Inspection Fee Is $45.00 + Surcharges 4.1::SUBTOTALOFABO-Pi/,'< '., '.. J ^ dn cO . '''- - "", .', '-' .,...... -, l,' .,;-.' ,..:.- ,~':'\'~/~".1.;t..:.JJ,-. ~:~ 2.r13~ 2. i,i::6NfRACrO~iN.STALi;A1'JON ONLY 1 Electrical Contractor ~J h krJv-i( ~ Address ~t.-\6 (&.C.<=) W-1.0;ut<;i"V\ 'A.\K.. City ~Q~L , J Phone ~O('-<il1'6~ Supervisor License Number &/(0(')1:'{ S Expiration Date I() II 17RX'>'l , Constr. Contr. Number 1~C;-:l\11 Expiration Date "ii' / I?, /,.,Cl I Si~"l~i;h City The installation is being made on prop is not intended for sale, lease or rent. Owners Si~alure: Af.!T@,{/<f_ h,0ytJl/JO :i- '/"7'7 L.. ~,dJ Pc' , 'ns~1r:fiJ,:/lif/J 9'7#8 SPRINGFIELD ~~.",-,)",.' , ~',~~.~~:~ '. ~'J . ""', I '.... ,....,.. 1 ~~ ~/O~ -/ 3. 1.:CQMj>tEf'!i,FEt.Sql~iifJtEBELiJl-f'i,'.'o'.'. ',' ,'f' "I Date A. E;N~.'Y,j~;e~i,<!~n~i~r';~~$,i'l!gl~6ri'~:I.~hi~f~:!ii(1y1p'eH(h<~!!fi1g,~i!'~f.' ~1rt1 Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion ihereof \ 4 If)(o;3 ~(q. '$106.00 $ 19.00 Each Manufact'd Home or Modular Dwelling Service or Feeder NOYlCE: $50.00 ~,..;: .~'I ftI'.' "'''li<t!llI''~S''''"t''' ~'Y.l'IQ"'~c,,,,,t" "'nln','" 'j B. r Se!vJc~ pr~f:io~et: [g ~~~~,~t.IO~;'A.I er.t!~'ts~~';I{~lo~al!~n ::';:, hu I L ulwcn I nl" r-t Ii (vII I I:' NU I 200 Amps:'oi)le's~lENCED OR IS MlHlnl)~JHPPOD 201 Amps'!9J40q~.l"e.s,W PERIO['. $ 75.00 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163.00 Over 1000 Amps/Volts $375.00 Reconnect Only $ 50.00 c, I, :1;e~poi~r,ySkr~:ic'esorFee4ers,:, ':'t'- . "'trj." . ", . ,~'! , " '^ l ,.. " - ';'...\ . -', .....1' . '.,~~' ._' .(. 8/f"lo State Surcharge I 0% Administrative Fee TOTAL Shared Orive(T:)/Building FormslElectrical Permit Application 1.o3.doc CITY OF S.GFIELD SYSTEMS DEVELOPMENaRKSHEET JOURNAL OR JOB NUMBER: COM 2006-00263 NAME OR COMPANY: Jake Martin LOCATION: 6868 Ivv SI TAX LOT NUMBER: 0 DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE NEW DWELLING UNITS I BUILDING SIZE (SF: 2000 LOT SIZE (SF): L STORM DRAINAfiF. o 1- I~ 10 10 I~ IW E- U'l a ~ DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. I CHARGE I 2723.25 I $0.323 = I $879.61 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 I 0.00 I I $0.323 I 50% I = I ITEM 1 TOTAL- STORM DRAINAGE SDC '$879.61 I 2 SANITARY SEWER - CITY DISCOUNT $0.00 $879.61 1070 A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I 30 B. IMPROVEMENT COST: I NUMBER OF DFU's I x I 30 $19.07 ITEM 2 TOTAL - CITY SANlT ARV SEWER SDC COST PER DFU $25.07 $752.10 1091 $572.10 11092 , = , $1,324.20 ] TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRJP RATE I x I NUMBER OF UNITS 1 x I COST PER TRIP 1 x INEW TRJP FACTORI I 9.57 I I I $19.09 I 1.00 I $182.69 1093 B. IMPROVEMENT COST: I ADT TRJP RATE 1 x I NUMBER OF UNITS I x I COST PER TRIP 1 x INEW TRIP FACTORI I 9.57 I I I I $84.19 I 1.00 I $805.70 11094 ITEM 3 TOTAL - TRANSPORTATION SDC = , $988.39 I .. ---- n_______ 4, SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I I I $82.03 = $82.03 11054 B. IMPROVEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I I I i $865.31 = $865.31 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054 MWMC ADMINISTRATIVE FEE $10.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , $957.34 SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , $4,149,$4 5 ADMINISTRATIVE FEE: I SUBTOTAL x I ADM, FEE RATE _1= CHARGE $4.149.54 I 5% $207.48 TOTAL SANITARY ADMINISTRATION FEE: , 143.24 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE: ----1 $64.24 11078 Cheryl Slaymaker 3/1 012006 TOTAL SDC CHARGES = , $4,357.02 PREPARED BY DATE _I . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT - DRAINAGE FIX11JRE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDmONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 2 0 3 = 6 I DRINKING FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 I INTERCEPTORS FOR GREASE I OIL I SOLIDS I ETe. 0 0 3 = 0 I INTERCEPTORS FOR SAND I AUTO WASH I ETe. 0 0 6 = 0 I I LAUNDRY TUB 0 0 2 = 0 I ICLOTHESWASHER I MOP SINK 1 0 3 = 3 I ICLOTHESWASHER - 3 OR MORE (EAl 0 0 6 = 0 ,[ MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRIG I WATER STATION I ETC. 0 0 1 = 0 I RECEPTOR FOR COM. SINK I DISHWASHER I ETe. 0 0 3 = 0 I I SHOWER. SINGLE STALL 1 0 2 = 2 I I SHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0 I ISINK: COMMERCiAuRESIDENTIAL KITCHEN 2 0 3 = 6 I I SINK: COMMERCIAL BAR 0 0 2 = 0 II ISINK: WASH BASINIDOUBLE LAVATORY 1 0 2 = 2 ISINK: SINGLE LA V A TOR YIRESIDENTIAL BAR 2 0 1 = 2 I URINAL. STALL I WALL 0 0 5 = 0 I ITOILET. PUBLIC INSTALLATION 0 0 6 = 0 I ITOILET. PRIVATE INSTALLATION 3 0 3 = 9 I MISCELLANEOUS DFU TYPE NUMBER OF EDO'S I 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 30 -EDU (EQuivalent OwellinR Unit) is a disc~ eQuivalent to a sinRle familv dwellinll: unit (20 DFU's) set at 167 n110ns per day c MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR CREDIT RATE/SI,OOO ANNEXED ASSESSED VALUE IS LAND ELGlBLE FOR ANNEXATION CREDIT? 2 BEFORE 1979 $5.29 (Enter I for Yes, 2 for No) 1979 $5.29 IS IMPROVEMENT ELGlBLE FOR ANNEX, CREDIT? 2 1980 $5.19 (Enter I for Yes, 2 for No) 1981 $5.12 BASE YEAR 1979 1982 $4.98 1983 $4.80 CREDIT FOR LAND (IF APPLICABLE) I 1984 $4.63 VALUE I 1000 CREDIT RATE I 1985 $4.40 $0.00 x $5.29 ~, $0.00 I 1986 $4.07 I 1987 $3.67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) . ..../ I 1988 $3.22 VALUE I 1000 CREDIT RATE I 1989 $2.73 $0.00 x $5.29 0 I 199" $2.25 I 1991 $1.80 I 1992 $1.59 TOTAL MWMC CREDIT = SO.OO I 1993 $1.45 I 1994 $1.25 I 1995 $1.09 I 1996 $0.92 I 1997 $0.72 I 1998 $0.48 1999 $0.28 2000 $0.09 2001 $0.05 225 ,Fifth Street .. .. Springfield, Oregon 97477 541-726-3759 Phone ~ Ci_Springfield Official Receipt D~ment Services Department Public Works Department Job/Journal Number COM2006-00263 COM2006-00263 COM2006-00263 COM2006-00263 COM2006-00263 COM2006-00263 COM2006-00263 COM2006-00263 COM2006-00263 COM2006-00263 COM2006-00263 COM2006-00263 COM2006-00263 COM2006-00263 COM2006-00263 COM2006-00263 COM2006-00263 COM2006:00263 COM2006-00263 COM2006-00263 COM2006-00263 COM2006-00263 COM2006-00263 COM2006-00263 COM2006-00263 COM2006-00263 COM2006-00263 COM2006-00263 COM2006-00263 COM2006-00263 COM2006-00263 COM2006-00263 . COM2006-00263 COM2006-00263 COM2006-00263 Payments: Type of Payment Check cReceiTlll RECEIPT #: Date: 08/24/2006 1200600000000001331 Description Addressing Assignment WiIlamaIane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea AddtI 500 Temp Power 200 amps or less Copy 6th @ 75 cents Copies - Ea Addtl @ 50 Cnts Ea Curbcut Permit Storm Drainage Impervious Area . Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transpo Admin Plan Review Major - Planning Building Permit 3 Baths One & Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Gas Outlets 1-4 Gas Fireplace Heat Pump -Mechanical Issuance Fee- + 8% State Surcharge + 10% Administrative Fee Plan Review Residential + 8% State Surcharge + 10% Administrative Fee Building Permit Paid By ANTHONY ANTONE Item Total: Check Number Authorization Received By Batch Number Number How Received dim 106624 In Person Payment Total: Page I of I 1 :38:26PM Amount Due 31.00 1,000,00 106,00 76.00 50,00 0,75 11.00 80,00 879.61 752,10 572,10 182,69 805.70 82.03 865.3 I 10.00 143,24 64.24 150.00 1,085,65 306.00 12,00 24,00 9.00 6,00 4,00 15.00 12.00 10.00 136.45 170.57 29.58 3.64 4,55 45.50 $7,735.71 Amount Paid S7,735,7I $7,735.71 8/24/2006 . . - ft"'~ WiUamalane ~ '- j Park & Recreation District Job. No. ~. ." SYSTEM DEVELqpMENT CHARGE .AN'7fr1..,utj ~~!ir . . . NAME: '~~~ C::j\L~. _ z:c. PHONE:~,\p~.~l(ffi ADDRESS: ~'_, ",- -' STATE:D~ ~ZIP: q~ .' . . LitlA.lC77"AJ C) '7744(3, ,-' '.,LOCATIQN Of PROPOSeD SUI G siTE~ ' . Street Address: . \ o~'o9-:J ~,"')\ \ S;\ . ~ " T~ Lot Number. \9.r'OCB \~OO~) ~ . tto.7.~ Plat Name: . . . 1 ~ '0 EVELP.PMENT TYPE", (Ched<" appropriate dwelfing(s). sac calculations and dwelfirig t ype definiUons are on the bac!<..) , . " A Sioolp.-F::lmilv Def::!cr..,ad , \single 'Family home 'NO. OF UNITS " Manufactured home not in a park x $1,000 per unit = .$' \DriJ,OO \. . . 8. .sIlli1lA~F~mifv Att::lr'JieQ , NO..OF UNITS X .$924 per unit "=. $. c. I0tJlfi~F::,mi1v Anartment NO. OF UNITS X .$692 per unit -' $ . D. ltI::lollf::ldllrp.ri Home Paris. . . NO. OF UNITS . WILLAMALANE SDC X $699 per unit = $ $ \{)rD.~ et $ \C)nDr? 2. SOC CREDIT (II appficable) sac-payer musllumlsh prool 01 WiUamalane Credit approvaL See sac Credit Worksheet $ 3. TOTAL WILLAMALAH:JN SDC ASSESSED ~l SDC reduced lor Credit) ~ 1_~1 r\J 8 Development SelVices~partment Date City of Springfield . . I 24- I ()~