The URL can be used to link to this page

Home My WebLink AboutPermit Building 2002-05-06crTY oF SPRTNGFTELD, OREGO^' SPRINGFIELD RESIDENTIAL PERMIT Caty Of Springfield Community Services Division Building Safety Page 1 of 4 Job Number: 02-00387-01 Office: 726-3759 lnspection Line: 726-3769 Tax Lot #: 00507 Subdivision: Jasper Ridge €h, 225 Ftfth Street Springfield, OR97477 Location Of Proposed Site: 5906 Montclaire Ln Spr AssessorsMap#: 18020300 Lot:3 Block: Addition Owner: Hayden Enterprises Phone Number: 541-923-6607 Address: 2622 SW Glacier Place #110 City/State/Zip: Redmond, OR 97756 Scope Of Work: Single Family Residence New Value: $161,692 same as 1455 South 59th 02-00319-01 NO HOOK-UP FOR SANITARY & STORM UNTIL INFRASTRUCTURE IS ACCEPTED BY THE CITY. Contractor Type Contractor Registration # Expiration Date Phone GeneralContr Hayden Enterprises 92208 7129t2003 541-923-6607 2622 SW Glacier Place #110, Redmond, oR 97756 Electrical Contr Christenson Electric lnc 458 5l1t2OO3 503-2414912 l'11 SW Columbia St Ste 480, Portland, oR 97201-5886 Mechanical Contr Home Comfort Heating & Air Conditioning I 84164 6l2St2OOg 541-g4:5-Zg3g Po Box 24205, Eugene, OR 92402 Plumbing Contr Home Comfort Heating & Air Conditionlng I 84164 6l2St2OO3 s41-345-2g3g Po Box 24205, Eugene, OR 97402 To request an inspection callthe 24hour recording at726-3769. All inspection a.m. will be made the same working day, inspections requested after 7:00 a.m. working day. s requested before 7:00 will be made the following Verify Ground Rod Footing Foundation Post and Beam Floor lnsulation Geiling lnsulation Shear Wall Nailing Framing Walllnsulation Drywall Fina! Building Required lnspections -lnstall ground rod at footing, and call for inspection in conjuction with footing and/or foundation ir -After trenches are excavated. -After forms are erected but prior to concrete placement. -Prior to floor insulation or decking. -Prior to decking. - Prior to cover. -Before covering sheathing with finish materials. - Prior to cover. -Prior to Cover - Prior to taping. -when all required inspections have been approved and the building is complete. Rough Electrical - Prior to cover Electrical .loA* OZ-00387-01 Building Job# 02-00387-01 Required lnspections Electrical -Must be approved to obtain permanent power. -When all electricalwork is complete. Plumbing - Prior to insulation or decking. -Prior to cover or placement of concrete - Prior to cover. - Prior to filling trench. -Prior to filling trench. - Prior to filling trench. -When all plumbing work is complete. Mechanical - Prior to insulation or decking. - Prior to cover. -When all mechanicalwork is complete Public Works -After forms are erected but prior to placement of concrete -After forms are erected but prior to placement of concrete Page2 of 4 Electrical Service Final Electrical Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Final Plumbing Und"erfloor Mechanical Rough Mechanical Final Mechanical SW-Curbside CC-Standard Street Improvement: Curb Cut?f San Sewer Depth (Ft): Storm Sewer Available? SpecialReq.: Security Required: Bond Begin DateTime: Special lnstructions: Other Utilities: Project Supervisor: Fully lmproved lmprovement Agr.?[ 6-4 00/00/0000 00:00:00 Sidewalk Type: Additional ROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit San Sewer Tee (in): Bond End DateTime: Curbside - 5' 8 To Curb and Gutter 6 00/00/0000 00:00:00 Types Of Warning Devices Reqd. Zoning: LDR FloodPlain? [ Wetlands? ! Journal numbers 1: 2: Gomments: Planner: Sam Gollah Urban Growth Boundary?[ Quantity Of Fill: Supplier: Drainage: Floodway FEMA: X-White 4 3: Add itional Req uirements: Required Attachments: Source Locn: Material: Land Use: Single Family Dwelling Pave Driveway? g Overlay District: # of Street Trees: Gtenwood Area? [ Flood Plain FEMA:1166 ot 2975 Construction Types:(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 4 Handicap Access? [ Area (Sq. Feet) Main:2060 Accessory:409 Job# 02-00387-01 Private Garage/Carp/Stor # Of Stories: 2 Height (feet): 24 Current Units: Proposed Units:1 Census Code: New SF - detached Total2469 Page 3 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Same As Plan Review Additional Plan Check Hourly Plan Review Total Plan Check 04t05t2002 05t06t2002 05t06t2002 8534 8851 88s1 1 399 I $100.00 $398.65 $45.00 $54s.65 Building Permit State Surcharge For Building Permit 8% Building Administrative Fee Total Building Building 05t06t2002 8851 05t06t2002 8851 05t06t2002 8851 161,692 $767.1 5 $53.70 $61.37 $882.22 Minimum Electrical Permit Fee Wiring Footage 1,000 Sq Ft or Less Wiring Footage Each Add'l 500 Sq Ft State Surcharge - Electrical 8% Admin Fee - Electrical Total Electrical 05t06t2002 05t06t2002 05t06t2002 05t06t2002 05t06t2002 8851 8851 BB51 8851 8851 1 3 $.00 $106.00 $57.00 $11.41 $13.04 $187.45 Minimum Plumbing Permit Fee Three Bathrooms State Surcharge - Plumbing 8% Administrative Fee - Plumbing Total Plumbing Plumbing 05t06t2002 05t06t2002 05t06t2002 05t06t2002 8851 8851 8851 8851 $00 $306.00 $21.42 $24.48 $351.90 Mechanical Hood and Exhaust Minimum Mechanical Permit 8% Administrative Fee - Mechanical Less than 100,000 BTU Vent Fan to One Duct Dryer Vent Mechanical lssuance State Surcharge - Mechanical Total Mechanical 05t06t2002 05t0612002 05t06t2002 05106t2002 05t06t2002 05t0612002 05t0612002 05t06t2002 8851 8851 8851 8851 8851 8851 8851 8851 1 $9.00 $.00 $4.08 $12.00 $24.00 $6.00 $10.00 $3.s7 $68.65 1 4 1 Public Works New Sidewalk New Curbcut Multiple Permit Discount - 2nd Permit Total Public Works 05t06t2002 05t06t2002 05t06t2002 8851 8851 8851 03 1 1 $75.91 $75.00 $-30.00 $120.91 Residential- Single Family - Storm Residential lmprovement MWMC 05t06t2002 05t06t2002 2,023 1 $552.22 $34.83 8851 8851 1 1 qlstem ilevelgprneat Job# 02-00387-01 Page 4 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount MwtvlC Administrative Fee SDC Administrative Fee Residential Sanitary MWMC Residential - lmprovement Residential - Reimbursement Sanitary Sewer SDC Reimbursement Sanitary Sewer SDC lmprovement Total System Development 05t0612002 05t06t2002 05t06t2002 05t0612002 05t0612002 05t06t2002 05106t2002 8851 8851 885'l 8851 8851 8851 8851 1 $10.00 $134.25 $332.86 $659.76 $155.13 $534.25 $406,00 $2,819.30 1 1 I 25 25 Willamalane SDC 05t06t2002 8851S.F. Residence - Willamalane TotalWillamalane SDC $1,000.00 $1,000.00 05t06t2002 8851Planning Plan Review Total Planning $55.00 $55.00 Permits w/o Srchg 05t06t2002 8851 1Address Assignment Total Permits w/o Srchg $8.00 $8.00 Grand Total Plan Check Type lnitial Review-Res Engineering-Res Planning-Res Structural-Res $6,037.08 Checked By Lisa Hopper Bob Kettwig Sam Gollah Tom Marx Date Gompleted Gomment 04108t2002 04t18t2002 04t17t2002 0411712002 By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card rs located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Signature Date System Oevetopment 1 1 ELEC^.-CAL Citl'Job Multi-F amily per drvellingThe following project as submitted has theLEGAL DESCRIPTION zoning and does n require specific lanotigizo'bi 1@8U1 Zoning DESCRJPTION Date 180 days 2 ONLY B. Services or Feeders Electrical'fnc Installation, Relocation: Address 200 amps or 201 amps to 401 arups 1 amps tion Date S up ervising Electrician Over r$&ryhe Inclutlerl d use unit. Items or less 500 thereof Each Manufd Home or Moduiar Dwelling Sewice or Feeder Cost $ 106.00 $ 19.00 $ 50.00 or with not inclu 9. nn 0 rBI D. Branch 1. SUBTOTAL E 5r.5o : 1.,, ; 1;.r; Fee is S45.00 + Surcharges : :1 .: .' .::: t;,. rl 5D'oo'l ' 3Sn Permits are if work is and expire within 180 days work is suspended for 7%o State.Surehtrge 8 %o Administrative Fee' TOTAL 225Fifth Street Springfield, OR97477 Location Of Proposed Site: 5906 AssessorsMap#: 18020300 Lot:3 Block: Job# 02-00387-01 RESIDENTIAL PERMIT City Of Springfield Page 1 of 4 -01 ctTY oF SPRINGFiELD, OREGO^I Owner:Hayden Homes Address PO Box 883 Scope Of Work: Single Family Residen same as 1455 South NO HOOK-UP FOR SANIT CITY ContractorType Contractor I 541-501-4332 oR 97478 sel $161,692 of INF RE IS ACCEPTED BY THE ration Date 0 GeneralContr ElectricalContr MechanicalContr Plumbing Contr Hayden Homes 92208 PO Box BB3, Springfield, OR 97478 Christenson Electric lnc 458 111 SW Columbia St Ste 480, Portland, oR 97201-5886 Home Comfort Heating & Air Conditioning J84164 Po Box 24205, Eugene, OR 97402 Brenda Marlene Currier 103570 648 W Oregon Ave, Creswell, OR 97426 712912003 51112003 6125t2003 12t15t2002 Phone 541-501-4332 503-241-4812 541-345-2838 541 -895-3758 To request an inspection call the 24 hour recording a1726-3769. 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 working day. Required lnspections Buildinq Verify Ground Rod Footing Foundation Post and Beam Floor lnsulation Geiling lnsulation Shear Wall Nailing Framing Wal! lnsulation Drywall Final Building Rough Electrical Electrical Service - lnstall ground rod at footing, and call for inspection in conjuction with footing and/or foundation ir -After trenches are excavated. -After forms are erected but prior to concrete placement. -Prior to floor insulation or decking. -Prior to decking. - Prior to cover. -Before covering sheathing with finish materials. - Prior to cover. -Prior to Cover -Prior to taping. -When all required inspections have been approved and the building is complete. Electrical - Prior to cover. -Must be approved to obtain permanent power SPRINGFIELD Community Division 726-3759 726-3769 Jasper Ridge4.Tt Addition: Required lnspections Electrical -When all electricalwork is complete Plumbing - Prior to insulation or decking. - Prior to cover or placement of concrete. - Prior to cover. -Prior to filling trench. -Prior to filling trench. - Prior to filling trench. -When all plumbing work is complete. Mechanical - Prior to insulation or decking. - Prior to cover. -When all mechanicalwork is complete. Public Works -After forms are erected but prior to placement of concrete -After forms are erected but prior to placement of concrete Page 2 of 4 Final Electrical Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Final Plumbing Underfloor Mechanical Rough Mechanical FinalMechanical SW-Gurbside GC-Standard Street !mprovement: Gurb Cut?f, San Sewer Depth (Ft): Storm Sewer Available? SpecialReq.: Security Required: Bond Begin DateTime: Special lnstructions: Other Utilities: Project Supervisor: Fully lmproved lmprovement Agr.? 6-4 00/00/0000 00:00:00 Sidewalk Type: Additional ROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: Curbside - 5' B To Curb and Gutter 6 00/00/0000 00:00:00 Types Of Warning Devices Reqd. Zoning: LDR FloodPlain?Wetlands? Journal numbers 1: Comments: Planner: Sam Gollah Urban Growth Boundary?f] Quantity Of Fill: Supplier: Drainage: Floodway FEMA: X-White Overlay District: # of Street Trees: Land Use: Single Family Dwelling Pave Driveway? Z 2: Glenwood Area? ! 4 3: Additional Req uirements: Required Attachments: Source Locn: Material: FIood Plain FEMA:1166 ot 2975 I Job# o2oo38?{.-l Gonstruction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 4 Handicap Access? f__l Area (Sq. Feet) Main: 2060 Accessory409 Job# 02-00387-01 Private Garage/Carp/Stor # Of Stories: 2 Height (feet): 24 Current Units: Proposed Units:1 Census Code: New SF - detached Total2469 Page 3 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Same As Plan Review Additional Plan Check Hourly Plan Review Total Plan Check 04t05t2002 0510612002 0510612002 8534 BB51 BB51 1 399 1 $100.00 $398.65 $45.00 $543.65 Building Building Permit State Surcharge For Building Permit B% Building Administrative Fee Total Building 05t06t2002 05t0612002 0510612002 8851 8851 BB51 161,692 $767.1s $53.70 $61.37 $882.22 Minimum Electrical Permit Fee Wiring Footage 1,000 Sq Ft or Less Wiring Footage Each Add'l 500 Sq Ft State Surcharge - Electrical B% Admin Fee - Electrical Total Electrical Electrical 05t0612002 05t06t2042 05t06t2002 0510612002 0510612002 BB51 8851 BB51 BB51 8851 1 3 $.00 $106.00 $57.00 $11.41 $13.04 $187.45 Minimum Plumbing Permit Fee Three Bathrooms State Surcharge - Plumbing 8% Administrative Fee - Plumbing Total Plumbing Plumbing 0510612002 0510612002 05t06t2002 0510612002 BB51 8851 8851 8851 1 $.oo $306.00 $21.42 $24.48 $351.90 Mechanical Hood and Exhaust Minimum Mechanical Permit 8% Administrative Fee - Mechanical Less than 100,000 BTU Vent Fan to One Duct Dryer Vent Mechanical lssuance State Surcharge - Mechanical Total Mechanical 0510612002 0510612002 05t0612002 0510612002 0510612002 05t0612002 0510612002 0510612002 8851 8851 8851 8851 8851 8851 8851 8851 1 $9.00 $.00 $4.08 $12.00 $24.00 $6.00 $10.00 $3.s7 $68.6s 1 4 1 Public Works New Sidewalk New Curbcut Multiple Permit Discount - 2nd Permit Tota! Public Works 05t0612002 05t0612002 0510612002 8851 8851 8851 1 03 1 1 $75.91 $75.00 $-30.00 $120.91 Deve Residential- Single Family - Storm Residential lmprovement MWMC 05t0612002 0510612002 8851 8851 2,023 1 $552.22 $34.83 Job# 02-00387-01 Page 4 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Devel MWMC Administrative Fee SDC Administrative Fee Residential Sanitary MWMC Residential - lmprovement Residential - Reimbursement Sanitary Sewer SDC Reimbursement Sanitary Sewer SDC lmprovement Total System Development 05t06t2002 05106t2002 0510612002 05t06t2002 05t0612002 05t06t2002 0510612002 8851 8851 8851 8851 BB51 8851 8851 1 1 1 25 25 $10.00 $134.25 $332.86 $659.76 $1 s5.1 3 $534.25 $406.00 $2,819.30 S.F. Residence - Willamalane Total Willamalane SDC Willamalane SDC 05t06t2002 8851 1 $1,000.00 $1,000.00 Planning 05t06t2002 8851 1Planning Plan Review Total Planning $55.00 $55.00 Address Assignment Total Permits w/o Srchg Permits w/o Srchg 0510612002 8851 1 $8.00 $8.00 Grand Total Plan Check Type Checked By Date Gompleted Gomment lnitial Review-Res Lisa Hopper 0410812002 Engineering-Res Bob Kettwig 0411812002 Planning-Res Sam Gollah 0411712002 Structural-Res Tom Marx 0411712002 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 will remain on the site at all times during construction. $6,037.08 5-l.o'Oa-'No *to^nn*r*uArri0rNW Date 1 ob per drYelling unit. LEGAL DESCRIPTION /*,'tltt 3 0A - dOS 0.7 " Included 0 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manufd Home or Modular Dwelling Service or Feeder ^r 09 a,,i):"oo.U\Items Cost -L$106.oo $ 19.00 (DESCRIPTION Permits are non-tralsferable and if work is not started lvithin 180 of issuance if lvork is suspended 180 days 2. CO Electrical' INSTALLATION ONLY ng Electrician B. Service.s or Feeders Installation, ctric, Inc. Relocation: -'vt2AQ amps or l"*ad,'ilrarp' to 401 amps 1 pmps Over IVIinimum 4. SUB 10/I /O 8v, Date not inclu _ $45. spection Fee is S.15.00 + TOTAL Ig7,Ytr ELECTRICAL PERMIT FEE SCI{EDT]LE $ 50.00 726-3'7.69 a-mps .:::: :: 600 : 11.!::= $100,00 Orvners "B" abovg ::. Energy/Comm Circuit or uith Service $ 3.oo _ ::: $50.00' , $50.00 s25.00 _ CITY OF SPRINGFIELD SYSTEMS DEYELOPMENT CIIARGE WORKSIIEET NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UMTS I8-02-03-OO TAX LOT #OO5O7 JASPER MEADOWS LOT #03 I BUILDING SIZE: 2425 SF LOT SIZE: 5155 SF IIAYDENHOMES 5906 MONTCLAIRE LN SINGLE FAMILY RESIDENCE JOURNAL OR JOB NUMBER: 02-00387-01 COST PER S.F DISCOUNTRATEIMPERVIOUS S.F 50o/o $0.00.273 IMPERVIOUS S.F 2022.80 COST PER S.F $0.273 $ss2.22 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS x x x I. STORMDRAINAGE DIRECTRUNOFF TO CITY STORM SYSTEN s552.22ITEM 1 TOTAL - STORM DRAINAGE SDC NUMBER OF DFL]'S COSTPERDFU 125 NUMBER OF DFU's 25 COST PER DFU $21.37 $s34.2s A. REIMBURSEMENT COST: B.IMPROVEMENT COST: x x $940.25ITEM 2 TOTAL. CITY SAI\ITARY SEWER SDC NEW TRIP FACTORNUMBEROF UNITS COST PER TRIPADT TRIP RATE $6s9.76I1.00 ADTTRIP RATE 9.57 NUMBER OF UNITS I COST PER TRIP sl6.2l $ 1 55.13 NEV/ TRIP FACTOR l.00 A. REIMBURSEMENTCOST: B.IMPROVEMENT COST: x xx x xx $814.89ITEM 3 TOTAL - TRANSPORTATION SDC 10.00 NUMBER OF FEU's I COST PER FEU $332.86 $332.86 NUMBER OF FEU's I COST PER FEU s34.83 $34.83 $0.00 SUBTOTAL OF MWMC REIMBURSEMENT,IMPROVEMENT & CREDIT MWMC ADMINISTRATIVE FEE 69 A. REIMBURSEMENT COST: B.IMPROVEMENT COST: x x MWMC CREDIT IF APPLICABLE (SEE REVERSE) $377ITEM 4 TOTAL - NIWMC SANITARY SEWER SDC .05SI_IBTOTAL (ADD ITEMS 1,2,3, &.4) ADM. FEE RATESUBTOTAL $134.2s5% x $2,819.30 aHaoO & 14Fa or!& 1070 l09l t092 1093 1094 10s5 1056 1073 StensTovnpl,in o4ll8l2oo2 TOTAL SDC CHARGES SDC COORDINATOR DATE DRAINAGE FIXTURE UNIT (ITU) CALCULATION TABLE MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE FIXTURE UMTSFXTURE TYPE (#NEW - #OLD ). UNIT EQUIVALENT BATHTUB ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( 2 0 ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) x x x x x x x x x x x x x x x x x x x x x J 6 DRINKING FOUNTAIN 0 0 0 FLOORDRAIN 0 0 J 0 INTERCEPTORS FOR GREASE IOIL ISOLIDS /ETC.0 0 J 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 0 LAUNDRY TUB 0 0 2 0 CLOTHESV/ASHER / MOP SINK I 0 3 J CLoTHESWASHER- 3 ORMORE (EA)0 0 6 0 MOBILE HOME PARK TRAP (I PER TRAILER)0 0 t2 0 RECEPTOR FOR REFRIG / WATER STATION IETC,nrcpp c. 0 0 I 0 0 0 0 SHOWER, SINGLE STALL 0 0 2 0 SHOWER, GANG (NUMBER OF HEADS)0 0 2 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 SINK: COMMERCIAL BAR 0 0 2 0 SINK: DOMESTIC BAR 0 0 1 0 WASHBASIN 0 0 2 0 LAVATORY 4 0 I 4 URINAL, STALL/WALL 0 0 5 0 TOILET, PUBLIC INSTALLATION 0 0 6 0 TOILET, PRIVATE INS TALLATION J 0 J 9 MISCELLANEOUSDFUTYPE NUMBEROFEDU's* ( 0 - 0 )x 20 : TOTAL DRAINAGE FIXTT'RE UIIITS = 0 25 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day $0.00 YEAR ANNEXED CREDIT RATE PER $1,OOO ASSESSED VALUE YEAR ANNEXED CREDIT RATE PER $I,OOO ASSESSED VALUE 1979 OR BEFORE $4.92 1990 s2.06 I 980 $4.83 199t $1.64 l98l $4.77 1992 $ 1.45 1982 s4.64 1993 $1.31 1983 $4.47 1994 $1.13 1984 $4.30 I 995 $0.97 1985 $4.09 1996 s0.82 1986 $3.78 1997 $0.63 1987 $3.41 I 998 $0.41 I 988 s2.98 1999 s0.22 1989 $2.52 2000 $0.04 CREDIT FOR LAND (IF APPLICABLE) CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) $0.00 $0.00 IF IMPROVEMENTS ANNEXATION DATE, CALCULATE CREDIT SEPARA TOTAL MWMC CREDIT 0.000 x $0.00 VALUE / IOOO CREDIT RATE 0.000 x $0.00 I llUillamalane Park & Recreation District Job. No.t PHONE:b. srArE: D(2 zrp'Qfilf I SYSTEM DEVELOPMENT CI{ARGE WORKSHEET ADDRESS: LOCATION OF PROPOSED BUILDING SITE: Street Address:Sqou ,/.a-i\g-- )pe are on the _ Tax Lot Number:\Plat Nam 1. A $ingle-Family Detached \ Single Family home NO. OF UNITS X $1,000 per unit = $ B. Single-Family Attached NO. OF UNTTS X $924 per unlt $ C. Multi-Family Apartment D. Manufaeft,red Home Park NO- OF UNITS X $699 Per unlt WILLAMALANE SDC 2. SDC CRED[T ([ applicable] SDCaayer must (umlsh proo( of Willamalane Credit approval. See SOC Credit Workshoet' 3. TOTAL WILLAMALANE NET SDC ASSESSED (Check appropriate dwelling(s). SDC calculations and dwelling t back.) a $ $ oo$ 6$ $ 6) J-r -L , eL (l( SDC reduced (or partment Date \ City of