HomeMy WebLinkAboutPermit Building 2008-5-29
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1410 S 57th St 1412
ASSESSOR'S PARCEL NO.: 1802041401201
PROJECT DESCRIPTION: Duplex
Owner: GENE HIATT
Address: 55868 EKING RD
MCKENZIE BRIDGE OR 97413
Contractor Type
General
Electrical
Mechanical
Plumbing
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00560
ISSUED: OS/29/2008
APPLIED: 04/22/2008
EXPIRES: 11/29/2008
VALUE: $ 288,680.00
Springfield TYPE OF WORK: Duplex
TYPE OF USE: New
I CONTRACTOR INFORMATION I
Contractor
GENE B HIATT CONSTRUCTION INC
L & E ELECTRIC INC
COMFORT FLOW
VOS PLUMBING INC
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
12.00
26.00
5.00
12.00
0.00
License
68798
105475
460
41805
BUILDING INFORMATION I
2
R-3
U
VB
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building.
1
23.00
Wall Heat
Electric
Electric
Path 1
No
NOTICE: I PUBLIC IMPROVEMENTS.
Street Improvemeifllsl~S PERMIT SHALL EXPIRE IF THE WORK
Storm Sewer AvaiAYit~ORIZED UNDER THIS PERMIT IS NOT
Special InstructiOlGOMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Notes:
4
Residential
Phone Number: 541-822-3509
Expiration Date
10/09/2011
03/30/2010
06/27/2009
04/04/2010
Phone
541-822-3509
541-933-2653
541-726-0100
541-485-0551
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
8,544
2,600
560
I DEVELOPMENT INFORMATION ~
AT II:.N II N' Oregon law KJi.",imRElDJp}\RKING
. follow rules adopt-ed by the 018\;jon Litlllty
Overlay Dlst: NotificatIon Center. Those rt?~%l~re set forth 4
# Street ~rees Rqdin OAR 952-001-od1 0 throu~l,l~IS~BB~901-
~aved Drive Rqd: 0090. You may ~5'tatn cOPI~rnR~~:rules by
Yo of Lot Coverage: calling the cl<Wl~r. (Note' the telephone
number for the Oregon Utility Notification
- . . I ~ n ^ ,","'''' ,.,,., 11)
Vvll~cl'''' JoJ~ tlV_ ...eo .
Paee 1 of 4
Sidewalk Type:
Downspouts/Drains:
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00560
ISSUED: OS/29/2008
APPLIED: 04/22/2008
EXPIRES: 11/29/2008
VALUE: $ 288,680.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Dwellin2:s
Gara2:e
Tvpe of Construction
V Wood Frame
Gara2:e
$ Per Sq Ft
or multiplier
$105.00
$28.00
Square Footage
or Bid Amount
2,600.00
560.00
Value
Date Calculated
Description
Total Value of Project
$273,000.00
$15,680.00
$288,680.00
04/22/2008
04/22/2008
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $844.65 4/22/08 1200800000000000389
+ 5% Technology Fee $2.75 4/25/08 2200800000000000521
Overwidth Application Fee $45.00 4/25/08 2200800000000000521
-Mech Iss 2+ Appliances- $40.00 5/29/08 1200800000000000568
+ 10% Administrative Fee $216.65 5/29/08 1200800000000000568
+ 12% State Surcharge $241.02 5/29/08 1200800000000000568
+ 5% Technology Fee $117.17 5/29/08 1200800000000000568
2 Baths One or Two Family $560.00 5/29/08 1200800000000000568
Addressing Assignment $70.00 5/29/08 1200800000000000568
Building Permit $1,299.46 5/29/08 1200800000000000568
Curbcut Permit $85.00 5/29/08 1200800000000000568
Dryer Vent $14.00 5/29/08 1200800000000000568
Exhaust Hoods $20.00 5/29/08 1200800000000000568
Fire SF Fee - Residential $158.00 5/29/08 1200800000000000568
Plan Review Major - Planning $205.00 5/29/08 1200800000000000568
PW Disc - 2nd Permit $-40.00 5/29/08 1200800000000000568
Sanitary Sewer - Improvement $816.16 5/29/08 1200800000000000568
Sanitary Sewer - Reimbursement $1,073.33 5/29/08 1200800000000000568
SDC MWMC Administration $10.00 5/29/08 1200800000000000568
SDC MWMC Improvement $1,980.79 5/29/08 1200800000000000568
SDC MWMC Reimbursement $190.70 5/29/08 1200800000000000568
SDC Sanitary/Storm Admin $258.63 5/29/08 1200800000000000568
SDC Transpo Improvement $1,724.50 5/29/08 1200800000000000568
SDC Transpo Reimbursement $390.96 5/29/08 1200800000000000568
SDC Transportation Admin $144.95 5/29/08 1200800000000000568
Sidewalk Permit $85.00 5/29/08 1200800000000000568
Storm Drainage Impervious Area $1,885.12 5/29/08 1200800000000000568
Storm Sewer Each Addtll00' $32.00 5/29/08 1200800000000000568
Temp Power 200 amps or less $55.00 5/29/08 1200800000000000568
Vent Fan $28.00 5/29/08 1200800000000000568
Willamalane Attached (duplex) $5,452.00 5/29/08 1200800000000000568
Total Amount Paid $18,005.84
Pa2:e 2 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00560
ISSUED: OS/29/2008
APPLIED: 04/22/2008
EXPIRES: 11/29/2008
VALUE: $ 288,680.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Plan Reviews I
Initial Review 04/23/2008 04/2312008 APP LLH
Public Works Review 04/23/2008 04/25/2008 APP TSS
Planninl!: Review 04/23/2008 05/01/2008 APP TAJ
Structural Review 04/23/2008 OS/20/2008 APP DLM
Storm water routed to public
system.
4 Street Trees are required: 3 on S
57th and 1 on Mt. Vernon.
Need design for masonry porch
cloumn and fabricator for welded
column cap. Sent letter to owner
and designer 5/20/08dlm. See
documents for request letter.
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.
Uleouirer:ynsoections I
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Sidewalk - Setback: After forms are erected but prior to placement of concrete.
Curbcut - Overwidth: After forms are erected but prior to placement of concrete.
Vfer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
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.
Firewall: Located and constructed according to plans.
Final Building: After all required inspections have been requested and approved and the building is complete.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Pal!:e 3 of 4
CITY OF SPRINGFIELD -
Status
Issued
Building/Combination Permit
PERMIT NO: COM2008-00560
ISSUED: OS/29/2008
APPLIED: 04/22/2008
EXPIRES: 11/29/2008
VALUE: $ 288,680.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Water Line: Prior to filling 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.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
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 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 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.
~vcr{ lu~ b (c~Cif'~
Owner or Contractbrs Signature
(tb)) a y- () f
Date 0
Pae:e 4 of 4
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER
NAME OR COMPANY
LOCATION
TAX LOT NUMBER
DEVELOPMENT TYPE
NEW DWELLING UNITS
1 STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S F x COST PER SF CHARGE
544800 $0346 = I $1,88512
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S F I x COST PER S F I x I DISCOUNTRATE I
o 00 $0 346 I 50% = ,
ITEM 1 TOTAL - STORM DRAINAGE SDC $1,885.12
COM2008-00560
Gene HIatt
1410 & 1412 South 57th Street
1802041401201
SINGLE FAMILY RESIDENCE
2 BUILDING SIZE (SF:
o
LOT SIZE (SF)
o
$1,885.12
2 SANITARY SEWER - CITY
A REIMBURSEMENT COST
I NUMBER OF DFU's x
I 40
B IMPROVEMENT COST
I NUMBER OF DFU's x
I 40
COST PER DFU
$26 83
COST PER DFU
$20 40
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
If...
=,
$1,889.50
DISCOUNT
$000
$1,073.33
$816.16
3 TRANSPORTATION
A REIMBURSEMENT COST
I ADTTRIPRATE x
I 957
B IMPROVEMENT COST
I ADT TRIP RATE I
I 957 I
. NUMBER OF UNITS x
2
I NUMBER OF UNITS x I
I 2 I
= ,
x
ITEM 3 TOTAL - TRANSPORTATION SDC
4 SANITARY SEWER - MWMC
A REIMBURSEMENT COST
INUMBER OF FEU's x
I 2
COST PER FEU
$95 35
B IMPROVEMENT COST
NUMBER OF FEU's I x
2 ,
ICOST PER FEU
I $99039
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMlNlSTRA TIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = ,
5 ADMINISTRATIVE FEE
I SUBTOTAL x ADM FEE RATE
I $8,071 57 5%
TOTAL SANITARY ADMINISTRATION FEE
TOTAL TRANSPORTATION ADMINISTRATION FEE
'= I
Todd Singleton
4/24/2008
PREPARED BY
DATE
COST PER TRIP
2043
COST PER TRIP
$90 10
$2,115.46
$2,181.49
$8,071.57
CHARGE
$403 58
x INEW TRIP FACTOR
I 100
x INEWTRlP FACTORI
I 100 I =,'
$390.96
$1,724.50
=
$]90.70
r:n
J:L1
~
o
u
~
J:L1
~
[f}
>-<
o
~
1070
1091
1092
1093
I
1094
1054
1055
1054
1056
=
$],980.79
$0.00
$10.00
/
258 63
$144 95
TOTAL SDC CHARGES
- -_._-.-
- .'-- -
$8,475.15
P079
11078
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS
(NOTE FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
BATHTUB 2 0 3 = 6
DRINKING FOUNTAIN 0 0 1 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 = 0
LAUNDRY TUB 0 0 2 = 0
ICLOTHESWASHER/MOP SINK 2 0 3 = 6
ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRIG / WATER STATION / ETC 0 0 1 = 0
RECEPTOR FOR COM SINK / DISHWASHER / ETC 2 0 3 = 6
SHOWER, SINGLE STALL 0 0 2 = 0
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK COMMERCIAL/RESIDENTIAL KITCHEN 2 0 3 = 6
SINK COMMERCIAL BAR 0 0 2 = 0
SINK WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
SINK SINGLE LAVATORY/RESIDENTIAL BAR 4 0 1 = 4
URINAL, STALL/WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRIVATE INSTALLATION 4 0 3 12 J.."
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 40
*EDU (EqUIvalent Dwelling Urnt) IS a dIscharge eqUIvalent to a smgle faImly dwelhng umt (20 OFD's) set at 167 gallons per day I
"
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
]990
]991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$I,OOO
ASSESSED VALUE
$529
$529
$519
$512
$498
$4 80
$463
$440
$407
$367
$322
$273
$225
$1 80
$1 59
$145
$125
$109
$092
$072
$048
$028
$009
$005
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter 1 for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
2
2
2006
CREDIT FOR LAND (IF APPLICABLE)
VALUE /1000 CREDIT RATE
$000 x $000
~ ,
$000
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$000 x $000
o
TOTAL MWMC CREDIT
$000
=
~
ZON :AV
INITIALS - f) m
DA IE 6.... .2.Cl...o 'l{
SOURCE m~/~
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH'(541)726-3753 · FAX. (541)726-3689
ELECTRICAL PR~IT APWCATION
CIty Job Number ~- 5loLJ
, ~ ,.. "',-' '(" ," < f; v;' -.. ~ x ~ y
1. t LOCATION'OF INSTALLATioN: :: ,
1~~ffD;l41'L~ ~. ~~~^~"
LEGAL DESCRIPTION
\ <i> (j'U:J4. \ "\
o~\
JOB DESCRIPTION
\e~=\>rLon-l Q~~A
Permits are non-transferable and expire if work\'
not started within 180 days of issuance or if work is
susP~,~ded f:r ly~~ ~ays:_ , v ~''" "q",'_ / _
2. CONTR!iCTOR~~T44!- ON O~LY
~ ~ ~ "" ~ ~, .,..w" ,,_~;-. -" ,,~-"
rIcal Contractor
~,
City
""
Supervisor Llc7
ExpIratIOn Da e
Owners Name C1~J\-e-.. *"~. 0 \\\(~. '
Address 5~) C.\(\f'\~t lic\
C.ty ~lf, Phon, BZ'2.. ~
OWNER INSTAL~~
The InstallatIon IS beIng made on property lawn whIch
IS not Intended for sale, lease or rent.
Owners Signature.
Inspection Request: 726-3769
r
Date
3. ',COMPLETEFiE"SCHEDULEBEibw:~ ,'" "
~*;.<~ .J..~ ""' 'A ~'N....' ~.;I v""~ - "'''", -'$.'~,,,~/;:-' ~ '~"" -. ~-
..,>.t,~ y" ~ ""~'" ~~ '" .,..N~' Y .... ~
A. i'Ne~ Resid~~ti~(-=-S~ng!~ or l'JuIti-Family:per:.dwe\ling_u_ni~.____"
Service Included
1000 sq ft. or less
Each additIOnal 500 sq ft or
portion thereof
Each Manufact'd Home or
Modular DwellIng Service or
Feeder
$11 7 00
$ 21 00
$55 00
~, ? y >"v" ~-" <~ <;" A~" N ~{ ""^ -~, ~ -- ~ ~ ~~-: ~
B. ' Ser,vices or Feeder~ -install!lti~n, Alterations or Relocation:
<-X.,'''-... "'~k.~~ ~$'<""'''~
200 Amps or less $ 70 00
201 Amps to 400 Amps $ 83 00
401 inr~'1f~:~98~~9Qon !F\W ,p,:"irpc; ~$:i~&~0
601 ftfptW"to 1000~WPt1JL8d by 'll8 ' le~'o''"$1:~16~
Ov~@C!PQ:Am.ps;y,oltsJr. TrIose I L:\r;::; 2.~'8 Qlf~11>b~
Recmu5~ct.:O>>1~-OO l-oe1 0 llll ou~y, 'vr\.' I V$'5~6b -
OQ00 \Iou may obtain COules Ollll~ rules DY
C. \>'Te~~h~~ttlr~&fstgf'FWJe~::~!e tel;;l?ho~e
j .- number io'r ttre'Ore~{](1.UtHr{y No.lTlcatiOl"l
r..P.nYP.1 is 1-BOO-33.2-2344).
Installation, mreranon or Relocation l
200 Amps or less $ 55 00
201 Amps to 400 Amps $ 76 00
401 Amps to 600 Amps $11000
Over 600 Amps or 1000 Volts see "B" above
& Cifl!:t~ Circuits .. " - ,- .
T~rt~~~J~~J-itikC~~fF~r:fa1iW:- WORK-'^ ,
~ ~~ 2Jb~~rD UNDER THIS PERMIT IS ~(1'00
~ >",~~~d\ltqt~hailllr~wtft?B>':fmJ 0 NED Fa R
..SefVIQe~oL~t'~~J.>~rm'J. $ 4.00
5'Spd
~~ , '" ~"" ~"', "" ~ ~ , ~--:: v ~ ~_
E. '~Miscellaneous (S;;'vice/feeder not included) -Each Installation
'*' ~ , ~ ~j~:> > ~ ~ y ~
Pump or lITigatIOn $ 55 00
Slgn/Outhne Llghtmg $ 55 00
Limited Energy/Resldentlal $ 28.00
Limited Energy/Commercial $ 50.00
Minimum Electric Permit Inspection Fee is $50.00 + Surcharges
4. _~SUBTOiALO~ABp~ ~ 55~
\bb State Surcharge lQ. ' lpQ
10% AdmmlstratIve Fee ~ .Se)
5% Technology Fee ..:!t. .., "")_
\.O~.<6
TOTAL
Shared Dnve(T )/Bulldmg Forms/Electncal Pernut ApplicatIOn 7-07 doc
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00560
COM2008-00560
COM2008-00560
COM2008-00560
COM2008-00560
COM2008-00560
COM2008-00560
COM2008-00560
COM2008-00560
COM2008-00560
COM2008-00560
COM2008-00560
COM2008-00560
COM2008-00560
COM2008-00560
COM2008-00560
COM2008-00560
COM2008-00560
COM2008-00560
COM2008-00560
COM2008-00560
COM2008-00560
COM2008-00560
COM2008-00560
COM2008-00560
COM2008-00560
COM2008-00560
COM2008-00560
Payments:
Type of Payment
CredltCard
Check
cRecemt 1
RECEIPT #:
1200800000000000568
Date: OS/29/2008
DescriptIOn
Addressmg Assignment
WIllamalane Attached (duplex)
Temp Power 200 amps or less
Fife SF Fee - Residential
Curbcut Permit
SIdewalk PermIt
PW DIsc - 2nd Permit
Storm Dramage ImpervIOus Area
Samtary Sewer - Reimbursement
Samtary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC AdmmlstratlOn
SDC Samtary/Storm Admm
SDC Transportation Admm
Plan Review Major - Plannmg
BUlldmg Permit
2 Baths One or Two Family
Storm Sewer Each AddtI 100'
Vent Fan
Exhaust Hoods
Dryer Vent
~Mech Iss 2+ Appliances-
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmmlstratlVe Fee
Paid By
10 HIATT
GENE HIATT
Item Total:
Check Number AuthorIzatIon
Received By Batch Number Number How Received
nJm 035728 In Person
nJm 4457 In Person
Payment Total:
Page lof2
2:37:19PM
Amount Due
7000
5,452 00
5500
158 00
8500
8500
(4000)
1,885 12
1,073 33
81616
39096
1,724.50
190 70
1,980 79
10 00
258 63
14495
205 00
1,299 46
560 00
3200
2800
2000
1400
4000
11717
241 02
21665
$17,113.44
Amount Paid
$9,50000
$7,61344
$17,113.44
5/29/2008
Willamala'ne
Park & Recreation District
Job. No. ~9)-5.J)
SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2008
NAME: Gm( ~ c.'n \-\{cdt PHONE: f?J~2. ~SCJ1
ADDRESS: 5~?j..J> . ~ITY~~ STATE~P: Q.l413
LOCATION OF PROPOSED BUILDING SITE:~
Street Address: \L\\\J-t \L\V~ s. 51~ .~\-\e~
Plat Name; \\(J'M l(\CV^ w.) Tax Lot Number: \S~() L114 \4 0 \"20 I
1. DEVELOPMENT TYPE (Check appropriate dwelllng(s). Dwelling type definitions are on the
back )
A. Sinale-Familv Detached
NO. OF UNITS
X $2,513 per unit =
B. Sinale-Familv Attached
~
NO. OF UNITS
, X $2,726 per unit =
C. Multi-Familv ADartment
NO. OF UNITS
X $2,323 per unit =
D. Sinale Room OccuDancv
NO. OF UNITS
X $1,162 per unit =
E. Accessorv Dwellina Unit
NO. OF UNITS
X $1,257 per unit =
WILLAMALANE SDC
2. SDC CREDIT (If applicable) SDC payer must furnish proof of
Willamalane Credit approval.)
3. TOTAL WILLAMALANE NET SDC ASSESSED
Ubt:\reduced for Credt)
Development Service Date
City of Springfield
$
$B\Q1 ~CJU
$
$
$
$ ~Daf6
$rJ
tV
$ t?J1c~.
I
I
, 5
L E Elec'frlc Inc
9882598
08/18/08 08 16P P 001
. . . . . .
. . .
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. . . .
. . . .
. . . .
Fax Transmittal Form
~~N~-~
L " E Electric, Inc.
.
o Urgent
(J
(JPlea$e Reply
, .
,
Date sent: <o.A e, -D~
Time sent: 0 ~'W'\
Number of pages including
;)..
Message:
, .
"'~L.[\\: .
\ffi/v',v LJ-f(
~-
, ,
,
c. ~ \ ~\A--l(it,-tLen
1-:'.. ..
FI/O <; 57r4 sl-
C S - ShO
,.
92833 JONES ACRES RD.
sPRINGFIELD, OR. 97478
L E ElectriC:: Inc::
8882588
8. '-....~
08/18/08 08 is? ? 002
,
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