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Home My WebLink AboutPermit Building 2003-5-21 ~ CITY OF SPRIj~\d'l"'LU Building/Combination Permit PERMIT NO: COM2003-00330 ISSUED: 05/21/2003 APPLIED: 05/02/2003 EXPIRES: 11121/2003 VALUE: $ 192,605.00 . .,....Wtr8~!lI~A.,~, 1. ' ": , . ..... . .. I '-..-' --.... ~. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4689 Ivy St ASSESSOR'S PARCEL NO.: 1802051305500 Springfield TYPE OF WORK: Single Family Residence Yes 40.00 ~ _..~\o~ It i~t. ~~~1 I PUBLICvM~RQ.\;t!~~N"rS"l~{.1~IS ?t.RNI~1 io~' \ \"II" ' leI.) G,W~ . .,_"n[\N.t. Fully Improved /I.\li~ORI \IJ 0\-\ IS /l.Sld~atk.Type: No C.0w.w.t.~c. /I.'{ ?t.?lIO'Joownspoutsmrains: /I.~'{ ,a\) \) TYPE OF USE: PROJECT DESCRIPTION: SFR Owner: MARGOLIS F AMIL Y L TD PARTNERSHIP Address: PO BOX 5442 EUGENE OR 97405 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Owner Plumbing Contractor LARRY KENT COOPER DEANS ELECTRIC DEAN M SCHULTZ MARGOLIS FAMILY LTD PARTNERSHIP DENNIS SCOTT EGGERS 142776 License 109780 99579 133733 BUILDING INFORMATION I # of Buildings: I # of Stories: 1 Primary Occupancy Group: R-3 Height of Structure 19.00 Secondary Occupancy Group: U-I o\}\~~ype of Heat: Forced Air Elect Primary Construction Type WI~eS 'l1j\1\\Water Type: Electric Secondary Construction Type: '-0.'1"1 ~e Q~eQP~ ~e\'Rr.;ge Type: Electric 0" \ e ,e ~ E'" . # of Bedrooms: '0\e~ Ij \~ 3es -0.' 9S'2J nergy Path: Path I . <.1'-\ \ \0\:nO~\e~~.oSe ~~~ OJ>.~p. ~\}\e~~) ~^~\~'I"I ~.~~: ce~\~Q\Q \~~~;~e" fDEVELOPMENT INFORMATION , SE"f.BA€KSt..Q\J\ :o\-o.\~ ~'o\e"\" ~.o'" ~O"\"'~?9':l -0.'1 0 ~ ~,~ 1J\1\\\'1 /),/),\. Frontyar~\~e~back~o\} '" ce~\e 'eU~OO ~~.~~ Overlay Dist: Side I Setb~cJ:()' \~~ \~e \~e O~ 2!!i,f)0'~ # Street Trees Rqd: Side 2 Setback:C-o.\\ "'e~ \o~ e~\S \15.00 Paved Drive Rqd: ",' \"''' ce~\! Rearyard Setbacli: 11.00 % of Lot Coverage: Solar Setbacks: 5.00 Street Improvements: Storm Sewer Available: Special Instruction: Notes: Paee I of 4 New Residential Expiration Date 11/06/2003 06120/2004 02l23n005 Phone 541-302-5852 541-935-5303 541-767-0626 05/0512004 541-459-0110 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Impervious Surface Area: 7,784 2,420 616 4 REQUIRED PARKING 1rotal: 2 Handicapped: Compact: Curbside 5' Curb and Gutter Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description DweIlines Garaee Tvpe of Construction V Wood Frame Garaee . ~ CITY OF ~rK.ll'i\.d<IJ<.,LD Building/Combination Permit PERMIT NO: COM2003-00330 ISSUED: 05/2112003 APPLIED: 05/02/2003 EXPIRES: 11/2112003 VALUE: $ 192,605.00 I Valuation Descriotion I $ Per Sq Ft $74.60 $19.60 Square Footaee 2,420.00 616.00 Date Calculated 05/02/2003 05/0212003 Total Value of Project Value $180,532.00 $12,073.60 $192,60S.60 I Fpp< P.,i<l J Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $564.14 5/2/03 1200200000000001114 -Mechanical Issuance Fee- $10.00 5/21/03 1200200000000001278 3 Baths One & Two Family $306.00 5/21/03 1200200000000001278 Addressing Assignment $8.00 5/21/03 1200200000000001278 Annexed 2000 $-0.96 S/21/03 1200200000000001278 Appliance Not Listed $9.00 5/21/03 1200200000000001278 Building Permit $867.90 5/21/03 1200200000000001278 Curbcut Permit $75.00 5/21/03 1200200000000001278 Dryer Vent $6.00 5/21/03 1200200000000001278 Exhaust Hoods $9.00 5/21/03 1200200000000001278 Furnace - up to 100,000 btu $12.00 5/21/03 1200200000000001278 Plan Review - Planning $59.00 5/21/03 1200200000000001278 PW Mult Disc - 2nd Permit $-30.00 5/21/03 1200200000000001278 Residence Wiring 1000 Sq Ft $106.00 5/21/03 1200200000000001278 Residence Wiring Ea AddU 500 $95.00 5/21/03 1200200000000001278 Sanitary Sewer - Improvement $453.33 5/21/03 1200200000000001278 Sanitary Sewer - Reimbursement $596.43 5/21/03 1200200000000001278 SDC MWMC Administration $10.00 5/21/03 1200200000000001278 SDC MWMC Improvement $34.83 5/21/03 1200200000000001278 SDC MWMC Reimbnrsement $332.86 5/21/03 1200200000000001278 SDC SanitarylStorm Admin $117.08 5/21/03 1200200000000001278 SDC Transpo Admin $49.10 5/21/03 1200200000000001278 SDC Transpo Improvement $709.81 5/21/03 1200200000000001278 . SDC Transpo Reimbursement $160.87 5/21/03 1200200000000001278 Sidewalk Permit $75.00 5/21/03 1200200000000001278 Storm Drainage Impervious Area $1,026.48 5/21/03 1200200000000001278 Temp Power 200 amps or less $50.00 5/21/03 1200200000000001278 Vent Fan $24.00 5/21/03 1200200000000001278 WillamaIane Single Family $1,000.00 5/21/03 1200200000000001278 Total Amount Paid $6,735.87 Initial Review PIannine Review 05/05/2003 05/05/2003 I Plan Reviews I 05/05/2003 05/12/2003 APP LLH APP AID Paee 2 of 4 , - CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2003-00330 ISSUED: 05/21/2003 APPLIED: 05/02/2003 EXPIRES: 11121/2003 VALUE: $ 192,605.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Public Works Review Structural Review 05/05/2003 05/05/2003 05/19/2003 05/20/2003 APP APP DJW TCM 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~ I Sidewalk - Curbside: After forms are erected but prior to placement of concrete. 2 Curbcut - Standard: After forms are erected but prior to placement of concrete. 3 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 4 Footing: After trenches are excavated. 5 Foundation: After forms are erected but prior to concrete placement. 6 Post and Beam: Prior to noor insulation or decking. 7 Floor Insulation: Prior to decking. 8 Shear Wall Nailing: Before covering sheathing with finish materials. 9 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 10 Wall Insulation: Prior to cover. II Ceiling Insulation: Prior to cover. 12 Drywall: Prior to taping. 13 Final Bullding: After all required inspections have been requested and approved and the building is complete. 14 Undernoor Plumbing: Prior to insulation or decking. 15 Undernoor Drain: Prior to cover or placement of concrete. 16 Rough Plumbing: Prior to cover and including required testing. 17 Water Line: Prior to filling trench and including required testing. 18 Sanitary Sewer Line: Prior to filling trench and including required testing. 19 Storm Sewer Line: Prior to filling trench. 20 Final Plumbing: When all plumbing work is complete. 21 Undernoor Mechanical. Prior to insulation or decking and including required testing. 22 Rough Mechanical: Prior to Cover 23 Final Mechanical: When all mechanical work is complete. 24 Temporary Electric: Approval required prior to Utility Company energizing pole. 25 Rough Electric: Prior to Cover 26 Electric Service: Approval required prior to utility company energizing service. 27 Final Electric: When all electrical work is complete. Paee30f4 , ~ Ul :f OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2003-00330 ISSUED: 05/2112003 APPLIED: 05/02/2003 EXPIRES: 11121/2003 VALUE: $ 192,605.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 tbe permit card is located at the front of the property, and the approved set of plans will remain on the site at all times dnring constrnctlon. ~~ 19 ~ ~ t l\1QY\OJ 5" --"2.-1- UJD ~ Owner or Contractors Signature - Date Paee 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00330 COM2003-00330 COM2003-00330 COM2003-00330 COM2003-00330 COM2003-00330 COM2003-00330 COM2003-00330 COM2003-00330 COM2003-00330 COM2003-00330 COM2003-00330 COM2003-00330 COM2003-00330 COM2003-00330 COM2003-00330 COM2003-00330 COM2003-00330 COM2003-00330 COM2003-00330 COM2003-00330 COM2003-00330 COM2003-00330 COM2003-00330 COM2003-00330 COM2003-00330 COM2003-00330 COM2003-00330 Payments: Type or Payment Check 5/21/2003 City of Springfield Development Services Department" Public Works Departmen.t. Official Receipt- Receipt #: 1200200000000001278 Description Addressing Assignment Willamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Plan Review - Planning 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 Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Traospo Admin Annexed 2000 Building Permit 3 Baths One & Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent -Mechanical Issuance Fee- Appliance Not Listed Paid By MARGOLIS FAMILY L TD 1O:57:55AM Received By djb Date: 05/21/2003 Amount Paid Item Total: 8.00 1,000.00 106.00 95.00 50.00 59.00 75.00 75.00 (30.00) 1,026.48 596.43 453.33 160.87 709.81 332.86 34.83 10.00 117.08 49.10 (0.96) 867.90 306.00 12.00 24.00 9.00 6.00 10.00 9.00 $6,171.73 Check Number Confirm No Amount Paid How Received In Person Payment Total: 6,171.73 $6,171.73 Page I of I -- ~ cReceipt.rpl (Ft'E ?~~225,FIFTH..STI'EE.T :\- ,~~. ~. '~';'. l "'''if~ <f '*. ii, E~CtJ- rER;'vlIT AP~LICJ\TION, ",';'- ,<\"~~ 1.1';SPRlNGFIELD OREGON 97477 ~~' . '" ""~ <>'; ~~::lI[.':' 3',',. .",.~'tID~t\t~f"'- '-., . ' _,' '0,' '~~~:;:~:' ~~I~:SP~~~~~9~:REQ\rE'St.~72~~~7~~1-:~ \ ~, ~ ~ :, I ~Cit;:~oh ~~';~)e;~it~:Nl~~~.~@)~': ~~ '~~~4,~~~ ~.?M:; \:r-,~ 'OFFICE:'726-3759.."'~f?I' ~ c ~ ~ ';'< ~:,WIJ'~~~""';"'-; ^,..~.,y.'!~!/.~" ,,-;.,' ~ 1>1, '.' ~J)~IJ ~j ~,.- i~ li', . . ~_COMPL~TI: FEE 's'cHEDf.JiiBE'tO\~-' ~~ 'j~~ ~,,!j%JF, %fJf:~ ~~'] ~c~~'^,~il:\N11, ~" lIN"~ST"." N \'i'!lj;~,*~,,-g. 1<'<;1>0.' "~~ii' ",~';;" ::f~;,1i:t.'~i"f1j:>r'~ . ~~_" f' . ~ ~ ~~~ ~. ."~ ....- ,.;..;:. . ~r~ .; ,,,,,..., '.:-#1 r ~,:r~';.V ~ _. i: ~ '" - - ~~. 1?F'~~ ~~"i'!~ - '......1.. ill .~.\ ,. , -.r..;.''1,.~~rJ,.' ",' t ." .. .. -~.. A.: Ne"'~Rcsidcnt.ial-Si~glcor''''~ . ;-';'-'.'.~) w.~~~~... .~~. "._~~~~.~ Mult.I-Famlly per dwelling umt. . :'\11,,: I.F,(H\Lai)S513IJ3~'~ Sel'Vlce Included: 3~~ ' \ ~\) _~ _ ~_ Items Cost, SUm!<~ .\\"" - RlPTI~l'''~ \ .,$)~~ 1000sq,ft.orless -.L$106.00"~.,.~ta.' pD t l.nUJ~\( 0 11+- Each additional 500 ' ~;~,. \ sq, ft or portion -b ';~~ cO ermits are non-tran rable and ex ire thereof $ 19.00 ",:;> iL)- " ~., if work is 1I0t'started within 180 days Each Manufd Home or .<;, "'y,;;,;.., of issuance br'if work is suspended for Modular Dwelling , ,'i;,-.tWir;'~);h )?;h 180 days, 2~' " Smice or Feeder ':" '"\':\1;'>' $ 50.00 ~~~:' 2, CONTRACrOR~TALLATIONONLY B. F~'~~i, ,:'.~~. "'''ri'"t.~,"" 's ~erX";L~t~.. ~ Address 'f.~~~ ():,,-~ f)..:~n,~"",... 6".00 "~.:. ..J~t~\Vr 0.\1..:;# '6:> ""'~.~2.'''.j) .1.. . ,~~ ~ ~ i~~~t.\()'L \ . \:-1'" ef\1tNJ$t1.5;:oo;:;f}t'~~ Cit)' '1 fa:t~i~;ti~!tp.honeP.,q. ,~~}i~?~[gr,~~ ~" W;~' W ;r-:~:';ii$163'00'.':~6 sup~rvis~tmi'.itt~'ei'~11e_~.'I.;"i.~ber... '1'. '~~.. ,~~t::S$3[Jsro.0.~~i~ . ~I/:'. . ...,,- . '''''''-'''l...,'."..~..",,=> ~i .,." ~;.,,$ 50:00:','''''''''''' ~-~' ,,~~ ' .- ConstcContr:;Nu~;~, . EXPirati'~:='N;,' ~::"l,I-j:...". -'~~ 'i.~.~~", S~~'l. . '4.' .~ ,,1':',....- :'foI'J!1~.~~\. ,:::f.~~~~;.~ '. ~~ ..'2-:~ ":'.. llersN. '''\.,:. {!' -~~, ,- : ':-.a:t ~., ,:f,t;!~ I,;~, fo:" "- ddress . l -'1:" '-1 '", ..,.~'-' .. .~~t;>:";;'';''-''~r~j:''''f'~WBl- ~?. f:f,I:~;~j,.1%':~1.'}t:~~"::'~ilt'ho~~i\" . , . "; ~;;/,;;,~;OWflER I;, TALL1-TWN ;;~;'-',:c;f;" , .. ::'-'<l\,; The mstallatlOn IS bemg made on ,::'.':' . . ~ .' .' '.l..,....~ ,. .' '. . .. ,'. .,'..' __ : '. '5i ,~-:' ,property ] o~\'n whiCh ifnot intended: . .,,'i;:'~fzn:;~:::~'.~~:r:::~l::nt;;~,:;" '--S{[f.~~t~~;~.,. . ~,.. .' " .;, . . ',. .'.' ..... ".'i ?';: .~"H'_. ~ - ! ' ~ " . "., . .: :""~~...: . ;, . .'l,i:t:'~~"F:~ '^~:\:;'<' ~.~'$;;. ..~~;-~ ,.~""p 1_." . '".", )l,.~~~ ~~"_\ m !fl'c"" ':~~~~ "~'~J\ ~'-~ :.; ,m :' ':;'.~:').:' ',., /i.' ", >-i: . '~.' -~. ~lJJE~~~~/ .;" ., 201,anips,to 400 am .:r~..'13 '(~.ti!f"'-'''''~'I :O~r~4R),;,t~"~?R;~mgs Over 600 amps o,ffiooOvo "Bu above ." Ir, D. Branch Cij'diits ,. f.' ''''''':'~'~ . . ~. ' .I ~ _ Ne~~lI...t~ra,~on or pxtenslOn pe.r Pa :. i~.'ili" "i".. N01\Cw.'I~\'If:..l avpIRE \~\~ . .'f;~ Tu\S<1l1t'iRMtiiir . ~Jl^U\S PE<?lV\ll ii, ,-:0~~" ,n iibi';I" "~NO~li' n 1',\,' ~1,1i4'~'"' ;.>-',"i.i~' f:..Ul \1~~: .... ',; At., ,(<!i'r.I'l tl.NDOM'Cll:'!y.. "'....;;!.f:~.~:~.~{{~.I,i'(~~;t COt-.li\\l-i1!\'i\.~, lQ1laJ '(SlIfill! br WIth SefVlce;;~,,<, :,~,;'~"'t,;" 1',,{f~~~~~~l/eflUh\\~~';~f: "~:t:~:o~r:,'::, E.. Miscellaneoils (Servic~f~edcrnot included) ':', i'?," " -EPSh installationJ,+;,::' "'f' '. Pllpipor'irrigatiori::,,'.. $50,00 ~ . Sign/Outline Lighting: " $50,09_ Limited EnergylRes,',' $25.00 Limited Energy/Com", $.\5.00 ~. .. " " Minimum El,ectric permit;nsjlection Fcc b $.\5.00 + SnrchOl)S 4. SUBTOTAL OF ABOVE' ~S\. 7% State Surcharge .: . _ \ ~ -~ S% Administratire Fee -----6) ~. , 0 ~7 .' ,,:., .' .-<:. .~. ,. ,.'," . .." <;~~:~.~:r.~;::~~ :" "~'~:";~;:;\~::;~~F~~'; .' , .. , .~;. ~::~~~?:::tt~I:;~r( , ;' .'.""";-:.".' "';.. TOTAL ."'. ,,. j'" ~ . ,~ .~ " - "', '. '. CITY OF liNG FIELD SYSTEMS DEVELOPME'WORKSHEET JOURNAL OR JOB NUMBER: Com2oo3,00330 NAME OR COMPANY: Margolis Family LOCATION: 4689 Ivy, St. TAX LOT NUMBER: I 80205 I 3TL055oo DEVELOPMENT TYPE: NEW DWELLING UNITS BUILDING SIZE (SF) o LOT SIZE (SF): 7841 r-- I~ 10 I~ I~ '" 6 ~ 1. STORM DRAINAGE DIRECf RUNOFF TO CITY STORM SYSTEM I ,IMPERVIOUS S.F, x I COST PER S,F, CHARGE I I 3640,00 I $0.282 I = I $1.026.48 . 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 I 0,00 I $0.282 I I 50% = I '$0.00 ITEM] TOTAL. STORM DRAINAGE SDC $],026.48 2, SANITARY SEWER - CITY $1,026.48 1070 A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I COST PER DFU I 27 I $22,09 = $596.43 1091 B.IMPROVEMENTCOST: I NUMBER OF DFU's I x COST PER DFU I 27 $16,79 = $453.33 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $1,049.76 1, TRANSPORTATION A. REIMBURSEMENT COST: I ADTTRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x I NEW TRIP FAcroRI I 9.57 I 1 $16,81 I 1.00 I = $160.87 1093 B, IMPROVEMENT COST: I ADTTRIPRATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEWTRIPFAcroRI I 9,57 I I I $74,17 I .1.00 I = $709.8] 1094 ITEM 3 TOTAL - TRANSPORT A nON SDC = , $870.68 4, SANITARY SEWER, MWMC A, REIMBURSEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I I I $332,86 = $332.86 1054 B. IMPROVEMENT COST: INUMBER OF FEU's 1 x ICOST PER FEU I I I $34,83 = $34.83 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) = ($0.96) 1054 MWMC ADMINISTRATIVE FEE = $10.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , $376.73 SUBTOTAL (ADD ITEMS 1,2,3, & 4) = I $3,323.65 5, ADMINISTRATIVE FEE: ISUBTOTAL I x I ADM. FEE RATE 1= CHARGE I $3.323,65 I , 5% $166,18 TOTAL SANITARY ADMINISTRATION FEE: II 7,08 11079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $49,10 11078 D. Wright 5119/2003 TOTAL SDC CHARGES = $3,489.83 I PREPARED BY DATE 1- -.-- e , DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW AXTURES x UNIT EQUIVAlENT = DRAINAGE AXTURE UNITS (NOTE: RlR REMODELS. CALCUlATE ONLY THE NET ADDITIONALAXTURES) NO. OF AXTURES DRAINAGE UNIT FIXTURE AXTURE TYPE NEW OLD EQUIV ALENT UNITS I 'BATHTUB 2 0 3 = 6 IDRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE lOlL I SOLIDS I ETC. 0 0 3 = 0 IINTERCEPTORS FOR SAND I AUTO WASH I ETC, 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 ICLOTHESW ASHER I MOP SINK 1 0 3 = 3 ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (! PER TRAILER) 0 0 12 = 0 :1 IRECEPTOR FOR REFRIG I WATER STATION I ETC, 0 0 1 = 0 IRECEPTOR FOR COM, SINK I DISHWASHER I ETC. I 0 0 3 = 0 ISHOWER. SINGLE STALL 1 0 2 = 2 SHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0 ISINK: COMMERCIAURESIDENTIAL KITCHEN 1 0 3 = 3 ISINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASINIDOUBLE LAVATORY 1 0 2 = 2 ISINK: SINGLE LA V ATORY/RESIDENTIAL BAR 2 0 1 = 2 IURINAL. STALL! WALL 0 0 5 = 0 ITOILET. PUBLIC INSTALLATION 0 0 6 = 0 ITOILET. PRIV ATE INST ALLA TION 3 0 3 = 9 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 27 *EDU (Equivalent Dwellin.ll: Unil) is a discharJ!;c eauivalent to a sin.ll:le family dwellio!1: unit (20 DRJ's) sel al 167 gallons per day MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE L YEAR CREDIT RA TE/$ 1.000 ~I ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT'? I BERlRE 1979 $4,92 (Enter I for Yes. 2 for No) o 1 I 1979 $4,92 IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT'? I 1980 $4,83 (Enter I for Yes. 2 for No) I I 1981 $4,77 BASE YEAR 2000 I 1982 $4,64 I 1983 $4.47 CREDIT FOR LAND (IF APPLICABLE) I 1984 $4.30 VALUE I 1000 CREDIT RATE I 1981 $4,09 $23,88 x $0.04 = , $0,96 I 1986 $3,78 I 1987 $3.41 CREDIT FOR IMPROVEMENT (IF AFfER ANNEXATION) I 1988 $2,98 VALUE I 1000 CREDIT RATE I 1989 $252 $0.00 x $0.04 = 0 I 1990 $2,06 I 1991 $1.64 I 1992 $1.45 TOTAL MWMC CREDIT = $0,96 I 1993 $1.31 I 1994 $1.13 I 1991 $0,97 I 1996 $0,82 I 1997 $0,63 I 1998 $0041 I 1999 $0,22 I 2000 $0,04 .1 ... e ~?~ Willamalane '"t'-- "'1' Park & Recreation District "'V SYSTEM DEVELOPMENT CHARGE . WORKSHEET' NAME:lTh~ ~ Job. No. ~D.~.(}))3D ADDRESS: PHONE:~~.~t~ STATE: ()(LZIP: Q11CO .LOCATION OF PROPOSED BUILDING SITE: . Street Address:~ ~q ,\\1 ~tr:oot.l Plat Na~f\ \_ Lot Number: t 'Y-tf2lJf::X3 OSSDO 1~ 'DEVELOPMENT riPE (Check appropriate dwetrang(s). SOC calculations and dwelfirig t . yPe definitions are on the back.) A. SinolA-FAmilv DAtAched . \ Single Family home NO. OF UNITS l' Manufactured home not in a park . X $1,000 perunit=$ \DC:O,OO B. SinalA-FAmilv AtfA<;hArI NO. OF UNITS X $924 per unit . =. $ C. Multi-Familv Aoartment NO. OF UNITS X .$692 per unit - $ D. MAnllfAdllrAn HnmA PArl\ $ $ f'\n^. 00 \ U\.,," I. f/ $ \ nOO pD NO. OF UNITS .. WILLAMALANE SDC X $699 per unit == 2. SDC CREDIT (II appUcable)SOG-payer must furnish proof 01 Willamalane Credit approval. See SOC Credit Wotksheet. $ 3~ TOTAL WILLAMALANE NET SDC ASSESSED (If SOC reduced for Credit) ~ \~If\~V . Development~~~~epartment City of Springfield. . ,5' I Z ( ! Date ()'3 .. .