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Home My WebLink AboutPermit Building 2008-6-11 ~WiC~ CITY OF SPRINGFIELD - Building/Combination Permit Status Issued 225 Fifth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn LlOe PERMIT NO' COM2008-00820 ISSUED 06111/2008 APPLIED 0610912008 EXPIRES I2f11/2008 VALUE: $ 176,995.00 SITE ADDRESS 1798 S 57TH PL ASSESSOR'S PARCEL NO 1802033209500 SPRINGFIETYPE OF WORK SlOgle Family ReSIdence PROJECT DESCRIPTION SlOgle family reSIdence SAME AS COM2008-00398 1791 S 58th PI TYPE OF USE New ReSIdential Owner HAYDEN ENTERPRISES Address 2622 SW GLACIER PL #110 REDMOND OR 97756 I CONTRACTOR INFORMATION I Contractor Type General Electncal MechaOlcal PlumblOg Contractor HA YDEN ENTERPRISES TOP NOTCH ELECTRIC INC PACIFIC AIR COMFORT INC PLUMBING PLUS INC LIcense 92208 172366 39237 90482 I BUILDING INFORMATION I # of UOIts Pnmary Occupancy Group Secondary Occupancy Group Pnmary ConstructIOn Type Secondary ConstructIOn Type # of Bedrooms I # of Stones I R-3 'lei ht OfA~%l\Br~ you to 2000 ATTENTION. ~~ Weill!! Orelfdlf'l!lrtltt-r" Gas f\1\Illw rules a 1~I~YUles are set forthGas Notification Ce'f!NBr 2~ ~u hOAR 952-001- In w.R 952-00~g! TV 9 ....th I 0090 You may. ~f; es of the rules wr . ~r. 'tw&elephone No calhno the c ' - - - - ",' __,,___ num~iii)pMmtThlNmftMAE()N1 Phone Number 541-228-6935 ExpiratIOn Date 07/29/2009 09/28/2008 03/25/2010 05/10/2009 Phone 541-228-1081 541-317-1998 541-672-9510 541-926-3190 Lot Size Sq Ft 1st Floor 1,579 Sq Ft 2nd Floor Sq Ft Basement Sq Ft Garage/Carport 400 Sq Ft Other Occupant Load REQUIRED PARKING Frontyard Setback 10 00 Overlay Dlst Total 2 Side I Setback 1520 # Street Trees Rqd I Hdodlcapped Side 2 Setback 12 20 Paved Dnve Rqd Yes Compact Rearyard Setback 1420 % of Lot Coverage 2530 Solar Setbacks 20.00 Street Improvements Storm Sewer Available Specl3llnstructlOD I PUB~GCJl\1fROVEMENTS I \H.... -- Fullv Improv{f<HIS PERMIT SHALL EXPIRFYf~fflfl< YAtJTHORIZED UNDER THIS PPRW11~~'N'gTalOs COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD, Notes Stormwater to curb Paee I of 4 CurbSide 7' Curb and Gutter Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769InspectJon LlUe Description Tvpe of ConstructIOn Dwelhnes Garaee V Wood Frame Garaee Fee DescriptIOn -Mech Iss 2+ Apphances- + 10% Admlmstratlve Fee + 12% State Surcharge + 5% Technology Fee 2 Baths One or Two Family AddresslUg Assignment Apphance Vent BulldlUg Permit Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Resldent..1 Fireplace (Listed) Furnace - up to 100,000 btu Gas Outlets 1-4 Gas Outlets 4+ Plan Review Major - Planmng Plan Review Same As Residence Wiring 1000 Sq Ft ResIdence Wiring Ea Addtl 500 Samtary Sewer - Improvement Samtary Sewer - ReImbursement SDC MWMC AdmlUlstratlOn SDC MWMC Improvement SDC MWMC ReImbursement SDC Samtary/Storm AdmlU SDC Trdnspo Improvement SDC Transpo ReImbursement SDC TransportatIOn AdmlU SIdewalk Permit Storm Dramage ImpervIOUs Area Storm Sewer Each Addtl 100' Temp Power 200 amps or less Vent Fan Wlllamalane SlUgle Family I ValuatIOn DescrmtlOn I $ Per Sq Ft or multlpher $10500 $28 00 Square Footage or B,d Amount 1,57900 400 00 Total Value of Project Fp:p\', P'lu;LI Amount PaId $40 00 $16065 $18090 $9413 $280 00 $35 00 $700 $898 50 $85 00 $700 $1000 $98 95 $1700 $1400 $500 $200 $205 00 $220 00 $11700 $42 00 $489 70 $644 00 $10 00 $990 39 $95 35 $13722 $862 25 $19548 $7169 $85 00 $891 00 $32 00 $55 00 $2100 $2,513 00 Date Paid 6/11/08 6/11108 6/11108 6/11108 6/11108 6/11108 6/11108 6/11108 6/11108 6/11108 6/11/08 6/11108 6/11108 6/11108 6/11108 6/11108 6/11/08 6/11108 6/11108 6/11108 6/11108 6/11/08 6/11/08 6/ I 1108 6/ I 1108 6/11108 6/11/08 6/11108 6/11108 6/11/08 6/11/08 6/11108 6/11108 6/11/08 6/11108 Paee 2 of 4 CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2008-00820 ISSUED 0611112008 APPLIED, 0610912008 EXPIRES 1211112008 VALUE: $ 176,99500 Value Date Calculated $165,79500 $11,20000 $176,995 00 06/09/2008 06/09/2008 Receipt Number 1200800000000000633 1200800000000000633 1200800000000000633 1200800000000000633 1200800000000000633 1200800000000000633 1200800000000000633 1200800000000000633 1200800000000000633 1200800000000000633 1200800000000000633 1200800000000000633 1200800000000000633 1200800000000000633 1200800000000000633 1200800000000000633 1200800000000000633 1200800000000000633 1200800000000000633 1200800000000000633 1200800000000000633 1200800000000000633 1200800000000000633 1200800000000000633 1200800000000000633 1200800000000000633 1200800000000000633 1200800000000000633 1200800000000000633 1200800000000000633 1200800000000000633 1200800000000000633 1200800000000000633 1200800000000000633 1200800000000000633 -Iik CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO' COM2008-00820 ISSUED, 0611112008 APPLIED 0610912008 EXPIRES: I2/1112008 VALUE: $ 176,995.00 225 F,fth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Total Amount PaId $9,612 21 Plan Reviews , Public Works RevIew 06/09/2008 06/09/2008 APP LKW Stormwater to curb & gutter Planum!! Review Structural Review 06/10/2008 06/10/2008 06/10/2008 06/1012008 APP APP TAJ DLM Approved as noted To Request an IDspectlon 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, Rpn~tJ'ln'l EroslOn/Gradmg InspectIOn Pnor to ground dIsturbance and after erosIOn measures are mstalled SIdewalk - CurbsIde After forms are erected but pnor to placement of concrete Curbcut - Standard After forms are erected but prIOr to placement of concrete Ufer Electncal Ground Install ground rod at footmg and call for mspectlOn 10 conjunctIOn wIth foot 109 andlor foundatIOn lDspectlOn Footmg After trenches are excavated FoundatIOn After forms are erected but pnor to concrete placement Post and Beam Pnor to 1I00r msulatlOn or deckmg Floor InsulatIOn Pnor to deckmg Shear Wall Nadmg Before covermg sheathmg wIth fimsh matenals Frammg lnspechon Pnor to cover and after all rough 10 mspectlOns have been approved Wall InsulatIOn Prior to cover CeJlmg Insulation Prior to cover Drywall Pnor to tapmg Hold Downs Installed SpecIal InspectIOn performed pnor to placement of concrete ProvIde report to CIty BUlldmg Inspector Fmal BUlldmg After all reqUIred mspectlOns have been requested and approved and the buddmg IS complete Underlloor Plumbmg PrIOr to msulahon or deckmg U nderlloor Dram Pnor to cover or placement of concrete Rough Plumbmg Pnor to cover and mcludmg required testmg Water Lme Pnor to filling trench and mcludmg reqUIred teshng Samtary Sewer Lme Pnor to filling trench and mcludmg reqUIred testmg Paee 3 of4 -ti:~ CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO' COM2008-00820 ISSUED, 06/1If2008 APPLIED. 0610912008 EXPIRES' 12/1112008 VALUE $ 176,995,00 225 F,fth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Storm Sewer Lme Pnor to filhng trench Fmal Plumhmg When all plumbmg work IS complete Underlloor Mechamcal Pnor to msulatlOn or deckmg and mcludmg required testmg Underlloor Gas After hne IS mstalled and required testmg and capped If not attached to an apphance Rough GdS After hne IS mstalled and required test 109 and capped If not attached to an apphance Gas ServIce After hne IS mstalled and hne has been connected to a mmlmum of one apphdnce mcludmg reqUIred testmg Presure test done at thIs pomt Rough Mechamcal Pnor to Cover Fmal Gas When all gas work IS complete Fmal Mechamcal When all mechamcal work IS complete Temporary Electnc Approval reqUIred pnor to Utlhty Company energIZIng pole Rough Electnc Pnor to Cover Electnc ServIce Approval reqUIred pnor to utlhty company energlzmg servIce Fmal Electnc When all electncal work IS complete By sIgnature, 1 state and agree, that 1 have carefully exammed the completed apphcatlOn and do hereby cerMy that all mformatlon hereon IS true and correct, and I further certIfy that any and all work performed shall be done 10 accordance wIth the Ordmances of the CIty of Spnngfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and that NO OCCUPANCY will be made of any structure wIthout permISsIOn of the Commumty ServIces DIvISIOn, Bulldmg Safety 1 further certify that only contractors and employees who are 10 comphance wIth ORS 701 005 will be used on thIS project I further agree to ensure that all reqUIred mspectlOns are requested at the proper time, that each address IS readdhle from the street, thdt the permIt card IS located dt the front of the property, and the approved set of plans will remam on the SIte at all times durmg constructIOn ~~:.VJ ~_/(-O( , . Owner or Contractors Signature Date Paee 4 of 4 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER COM2008-00820 NAME OR COMPANY HalCden Homes LOCATION 1798 S 57th TAX LO I' NUMBER 0 DEVELOPMENT TYPE Sm~le Farmlv ReSIdence NEW DWELLING UNITS 1 BUILDING SIZE (SF 1979 LOT SIZE (SF) 1 STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S F x I COST PER S r CHARGE I 2575 00 I $0 346 I = I $891 00 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 o 00 I I $0 346 I I 50% = I ITEM I TOTAL - STORM DRAINAGE SDC $891 00 ~ 2 SANITARY SEWER - CITY A. REIMBURSEMENT COST I NUMBER OF DFU's 1 x I 24 I B IMPROVEMENT COST I NUMBbR OF DFU's I x I 24 I COST PER DrU $26 83 COST PER DFU $20 40 ITEM 2 TOTAL- CITY SANITARY SEWER SDC = , $1,13370 DISCOUNT $000 7796 $891 00 $644 00 $489 70 r/J LI.l .0 o u ~ LI.l _..J t; G ~ 1070 11091 II 11092 I I 3 TRANSPORTATION A REIMBURSEMENT COST I ADTTRJPRATE 1 x I NUMBER OF UNITS I x I COST PER rRJP x INEW TRIP FACTORI I 957 I I I I I 2043 I 100 B IMPROVEMENT COST I ADl TRJP RArE I x I NUMBER OF UNITS I x I COST PER TRIP x I NEW TRIP F ACTORI I 957 I 1 I I $90 10 I 100 ITEM 3 TOTAL - TRANSPORTATION SDC = , $1,05773 4 SANITARY SEWER - MWMC A REIMBURSEMENT COST INUMBER OF FEU', I x Icosr PER FEU I 1 I I $9535 B IMPROVEMENT COST INUMBER OF FEU's I x ICOST PER FEU I 1 I $990 39 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 roTAL - MWMC SANITARY SEWER SDC = , $1,09574 SUBTOTAL (ADD ITEMS I, 2, 3, & 4) ~ I $4,17817 5 ADMINISTRATIVE FEFc $19548 1093 $862 25 11094 = $95 35 1105' I I = $990 39 I 05~ i $000 I 10541 I $10 00 1056. I -'1 I SUBTOTAL x I ADM FEE RATE 1= I $4.17817 I 5% I TOTAL SANITARY ADMINISTRATION FEE TOTAL TRANSPORTATION ADMINISTRATION FEE CHARGE $208 91 13722 $71 69 Kaye Wilson 61912008 =, $4,387 08 PREPARED BY DATE TOTAL SDC CHARGES 11079 11078 .,.,---..-. --------- DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTIJRES x UNIT EQUIVALENT = DRAINAGh FIXTURE UNITS (NOTE FOR REMODI:LS CALCULATE ONt Y THE NET ADDmONAL FIXTIJRES) NO OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD [QUIV ALENT UNITS IBA rHTUB 2 0 3 = 6 I DRINKING rOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 = 0 I INTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 = 0 I I LAUNDRY TUB 0 0 2 = 0 I ICLOTHESWASHER / MOP SINK 1 0 3 = 3 I ICLOTHESWASHER - 3 OR MORE (EAt 0 0 6 = 0 I I MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I IRECEPTOR rDR REFRIG / WATER STATION / ETC 0 0 1 = 0 IRECEPTOR FOR COM SINK / DISHWASHER / ETC 1 0 3 = 3 I SHOWER, SINGLE STALL 0 0 2 = 0 I ISHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 I ISINK COMMERCi.i.iJRESIDENTIAL KirCHEN 1 0 3 = 3 I iSINK COMM[RCIAL BAR 0 0 2 = 0 ISINK WASH BASIN/DOUBLE LAVATORY l' 0 2 = 2 SINK SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1 URINAL. SrALL / WALL 0 0 5 = 0 TOILET. PUBLIC INSTALLATION 0 0 6 = 0 TOILET. PRIVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 24 .EDU (Equivalent Dwelhn~ Umt) IS a discharge eqUivalent to a smAle falmly dwelling umt (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE BASED ON COUNTY ASSESSED VALUE I YEAR CREDlTRATE/$I.OOO J ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT" 2 I BEFORE 1979 $529 (Enler I fnr Yes, 2 fnr No) I 1979 $529 IS IMPROVEMENT ELGIBLE FOR ANNEX CREDIT" 2 I 1980 $519 ([nler I for Yes. 2 for No) I 1981 $512 BASE YEAR 2005 I '982 $498 I 1983 $4 80 CREDIT FOR LAND (IF APPLICABLE) I '984 $463 VALUE / 1000 CREDIT RATE I 1985 $440 $000 x $000 ~I $000 1986 $407 1987 $367 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) 1988 $322 VALUE / 1000 CREDIT RATE 1989 $2J3 $000 x $000 ~ I 0 1990 $225 I 1991 $180 1992 $159 TOTAL MWMC CREDIT = $000 1993 $145' 1994 $125 1995 $1-09 1996 $092 1997 $072 1998 $048 1999 $028 2000 $009 2001 $005 SPRINGFIELD ~ ZON L ~ ~-'~^~O'"''''''''~h~ lNITlALS (0f../,' / I~~ ~'t ,':~ DATE(n-11 ~OO '.h'')' ~ -rAY' ""<<J SOURCE!i'0 -{>"'YT1z.J 225 FIFnl STIlliET . SPRINGFIELD. OR 97477 . PH (541)726-3753 . FAX (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number CD..... zoo1"--r 00 OwnersN~e tfJJ:t~cr; ~/SC:f Address W:L.s.JL4/.Ac/cYl A-, City 1l.{'-glt4l1K/c) Cl-(, Pbone-:2-2-t, - cP.? 3S- Pump or rrngatlon $ 55 00 i! L1ghtmg $ 55 00 ~WNER INSTALLATION~.. .. ~~\?~ \~ ~lrgyfRes]dent,"1 $ 28 00 The mstallatlOn IS bemg mJN !;l'8.~I~~'l{"V\'\\'S ?~?; 'nergy/Commercliir - -- -$-5001r---- 's not mtended for sale, Je~\,\1S \./Q,F-~\l~~ \I~~ \'S r:.?lp..~Q~mum Electnc PermIt Inspecl10n Fee IS ~50 00 + SurehJrges p..\l1" C~~ Q? F~r-1i:&~".~,r,~:;'.' ,'" <, "\ <,1111 '-"'! Owners S'gnature CQ\o!I\o!I~~ p..'/ ~~?\QQ. 4 1:~!i{!,,i,,U,,,ii,gJjJ\~WiJ.Ii1Y,fJ~~iJ~~~l~:b~~~~ 2.14- ---...........,. ~t\" '\ '00 Q - 12% State Surcharge 7 (;- t,~ 10% Adrmmstral1ve Fee 2/.40 5% Technology Fee J /) ,70 ""....ql"l\l"'I;I"l'"+II'~"I1:..'l'~h~~r11l'1INmr"lr.:::.c,lI;.'t.J'-!-T'~n\ l ~"I'" j"'''l '..r,OCNFIo'{ft.t/P'JNSJ'JW.LA(ITON .. ,<,,' I ' (~~_ ~......d....;_~11~.ui.l--\.........'.}'" .----~ ~ ~. /71B > S7t~ pL LEGAL DESCRIPTION JOB DESCRIPTION ;-10......5 f: ( Tt= vIA. t' Permits are Don-transferable and expire If work I~ not started wJthm 180 days of Issuance or If work IS Suspended f01:.l80 days____ nO --- - - l'fr~~J:m,J::~'dnl<1t~\,,:w~I.OII..I(, .....~~!~,'''- "ll'wl-,r,.,I'J~!.....1 "'!ll ,COlVWR!if1!l'J,;1!) iJlfIS+,<;I't;iJ!1AfIION OJVIJY,> 2 ~!~.J!.'..ltl'..LLl.. ,1.1 .1'1, _tl''I\.~~,,,t ",I;~, "~..."",,,.~L. ~"\\u.. __.._i.....-fl Electncal Contractor -r;f))~kJI .c/ec Address ;;2.0879 Crv.e.A C + I Pilooe 70/! 3n-/9'Jg- --City () I .n tm...P'1 uires, ypu to _ SURe\"ilS~ Klc~~~~'eaOJl&1.Jll1tr 5 r , .l.d~pH..d bV ~s are S8\ ,'01'\1< , ,,~ "'SDn'.1 lhose 1 "",,1<11952-001- ,-,^yll"atJou. ,"[e_"..h'''' OUfJ" r j^_.... I "A 001-0~ es01t[\"....~--J I \,~ " J'- bta'[\ cop' \ = c.v:om~t9~'e~l!f1l~ote~o~ n calling tror the OlegO[\ ~~234.4). nl1X1l\J.~!t5'llrRetels 1.BOO-~-'1 SIgnal re ofSupervJsrng,ElectnclUn %M .- InspectlOu Request 726-3769 6- [- elf Date [' '~'i'1 '" "<I, 'H'"'1.""'J'"' '-.1"l'i"<",~ ~\J:)I"'<"1'~'~i""'" ~ "If ,1 I' 3 ,COMPIillTE FEE .scrIEnl:fuj; BELQW,'1,' :,', ,"', " 1__. ~ _ <4.l_ l , -....._~ ._~ 1.. ~_ ~~'o....i." ..~_,~";....,:: _!.--...t --' ,~p ;vl.lf"W{t)IJ,rr~~ i?~:S'~I(";Wf"lJqH"'lilt.~~'i'''' i'Wtw:;r J~"'"11 ~""~I~\\r ~ ~-T 1 A '"NewRes,denua .f",SmgJe Or MllIP,F"m)I~'pe)" dwelling umt" ,I ,,"c .. 1... _ ... .wJ.l_..-'-,.....~~ _"" ~~ l., ~l_..l..j...-""'"'.1. ~_ ~,_.. _~ ... ~..l - -- ~ Serv,ce Induded 1000 sq ft or less Each additIOnal 500 sq ft or portIOn thereof [ach Manufact'd Home or Modular DwellUlg ServIce or feeder _ _ _________ II $11700 117 L! Z- 7.. $ 2100 $55 00 B [.'S":- '''1' rF'-- .;;Tl~ F\ ~~1J..~dw~:W41JVI~;'f~[-n\~"t~!0J"ht'J~t,{;t~j1~~~JrR'<'flf:~t<'" :rmt'II.!, "'I"'I't;"'j ervlCes or, le-e ~rSiT" nSLll a lOn,?:AIleranon~ol e Dca Ion ~~t ~11-,::"'_'_~.~.~.LI!"~Gl.w~........."... 1"',_~.,.,. ........,~,~~..............\ .--1:.... 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps - OvenOOO-AillpslVoltS- Reconnect Only $ 70 00 $ 83 00 $13800 $180 00 --$413-00-- -- $ 5500 ~,.,1.t"1~'l~1, ira'l..~ 11il.rl~~,'tr'~m'I~li'11.liJ'\~l1rry;\,'t''''''''''t~?'1i' I' ,JlI~{(';"")ir..I,.""-l.. r, C &Jf~m R~L1..W~~f~~.2.r1f~~Hs.~~1,~lJb~~~t:1t~ ?:;;~tifl]~>l.~~h,'i~l~I~I~~L' Installation, AlteratIOn or Relocation I t 55 00 $ 76 00 $11000 sr 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above i~""f":.rit~:rTr:,,-->"1 J.tW,];::.f'''T,I~;tjl''ft,1'fi!\~-;-- J - :;.,~""I"l'7 T"( r IT j , , D I Blanchf~JtetutS'i[il~~11~lh'l?i{ d,11rl.~/'" 1~,~,,,i" ,o,t,'-j ""'~'~ I \ I i ~'u...4:.ol..IJ".....ol,.!l.,'" ~"'",.,.",.m,."""_' I....,l ,,:; l,,,...~.l.-_ New Alterallon or ExtenSIOn Per Paoel One Ctrcmt Each AddItIOnal CIl"ClUt or wIth ServIce or reeder PefIDJt $ 48 00 $ 400 ~ ;ljJi'I'fi'\~l';;:~",~.~r.R'r'('rj'~~\/',(--'.l ,TI<r~i1 1," 1) 7"!\ ~ - I!. ~~!fR~!~;g5.g~g~I~~~~~e{~~f~,~~~~L~~l.M~~F,:IJi~&i5,~!~,~,s~~,9~tJ2~ TOTAL 27/.7fJ Shared Dnve(T )/Bmldmg formslElectncal Pemllt ApplicatIon 1-08 doc 2~ Willamalane t'lii Park & Recreation District. Job. No (4v!-2LJlJfJ - ;JQ$2{) SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2008 NAME J-It+y !liv S~, jf~/Se-r PHONE 77 9, -{o '7 :rJ' ADDRESS '241 JIV GLA.Ctq,cITY /!t..~~~ STATE}6ZIP q71~t, ,Pi, LOCATION OF PROPOSED BUILDING SITE Street Address / 7 '7 ~ ;::. C; '/ 1JJ ~ i, PlatName JA<.i/L3( J1fM-1dU1raxLotNumber /002...;10;; =?2-- 695tJO , . 1, DEVELOPMENT TYPE (Check appropnate dwelllng(s) Dwelling type definrtlons are on the back) A Smale-Famllv Detached NO OF UNITS / B Smale-Famllv Attached NO OF UNITS C Multl-Famllv Aoartment NO OF UNITS D Smale Room Occuoancv NO OF UNITS E t-ccessorv Dwelhna Unit NO OF UNITS WILLAMALANE SDC X $2,513 per Unit = $ 25/~ X $2,726 per unit = $ X $2,323 per Unit = $ X$1,162 per Unit = $ X $1,257 per Unit = $ $ 2. SDC CREDIT (If applicable) SDC payer must furnish proof of Willamalane Credrt approval) $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (If SDC reduced for Credit) $ 2-5/.~ //1 ?Dc:>t? \ /;> b I Development Services Department Date City of Spnngfield 5 225 FIfth Street Sprmgfield, Oregon 97477 541,726-3759 Phone ~J:~;4t4 M;:,-~ - CIty of Sprmgfield OffiCial ReceIpt Development Services Department PublIc Works Department Job/Journal Number COM2008-00820 COM2008-00820 COM2008-00820 COM2008-00820 COM2008-00820 COM2008-00820 COM2008-00820 COM2008-00820 COM2008-00820 COM2008-00820 COM2008-00820 COM2008-00820 COM2008-00820 COM2008-00820 COM2008-00820 COM2008-00820 COM2008-00820 COM2008-00820 COM2008-00820 COM2008-00820 COM2008-00820 COM2008-00820 COM2008-00820 COM2008-00820 COM2008-00820 COM2008-00820 COM2008-00820 COM2008-00820 COM2008-00820 COM2008-00820 COM2008-00820 COM2008-00820 COM2008-00820 COM2008-00820 COM2008-00820 Payments Type of Payment Cred ,tCard cRecemtl RECEIPT # 1200800000000000633 Date, 06/11/2008 DescriptIOn Plan Rev,ew Same As Storm Dramage ImpervIOus Area Samtary Sewer - Re,mbursement Samtary Sewer - Improvement SDC Transpo ReImbursement SDC Transpo Improvement SDC MWMC ReImbursement SDC MWMC Improvement SDC MWMC AdmmlstratlOn SDC Samtary/Stonn Admm SDC TransportatIOn Admm Sidewalk Perm,t Curbcut Penmt BUlldmg Penmt Addressmg Assignment W,llamalane Smgle Family 2 Baths One or Two Fam,ly Stonn Sewer Each Addtl 100' Furnace - up to 100,000 btu Vent Fan Appilance Vent Exhaust Hoods Dryer Vent Gas Outlets 1-4 Gas Outlets 4+ Flfeplace (L,sted) -Mech Iss 2+ Appilances- ResIdence Wifing 1000 Sq Ft Residence Wifing Ea Addtl 500 Temp Power 200 amps or less Fife SF Fee - ResIdential Plan Rev,ew Major - Plannmg + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee PaId By HA YDEN HOMES Item Total Check Number AuthOrization Received By Batch Number Number How ReceIVed dJb 024258 In Person Payment Total Page I of I 9 36 49AM Amount Due 220 00 89100 644 00 489 70 19548 862 25 9535 99039 1000 13722 7169 8500 8500 898 50 3500 2.51300 280 00 3200 1400 2100 700 10 00 700 500 200 1700 4000 11700 4200 5500 9895 205 00 9413 18090 16065 $9,61221 Amount Paid $9,61221 $9,612 21 6/11/2008