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Home My WebLink AboutPermit Building 2002-05-14SPRINGF!ELD RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of4 Job Number: 02-00466-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot #: 00507 Subdivision : Jasper Meadows 225 Ftflh Street Springfield, OR97477 Location Of Proposed Site: 5905 Montclaire Ln Spr AssessorsMap#: 18020300 Lot:S Block: Addition ctTY oF SPRTNGFIELD, OREGON Owner: Hayden Enterprises Address: 2622 SW Glacier Place #1 10 Scope Of Work: Single Family Residence Brighton SFR same as 02-00313-01 Phone Number: City/State/Zip: New 541-923-6607 Redmond, OR 97756 Value: $161,692 Contractor Type GeneralContr Electrical Contr Mechanical Contr Plumbing Contr Contractor Hayden Enterprises 2622 SW Glacier Place #110, Redmond, oR 97756 Christenson Electric Inc 111 SW Columbia St Ste 480, Portland, oR 97201-5886 Registration # 92208 Expiration Date 7t29t2003 Phone 541-923-6607 503-2414812 541 -345-2838 541-345-2838 458 Home Comfort Heating & Air Conditioning 184164 Po Box 24205, Eugene, OR 97402 Home Comfort Heating & Air Conditioning 184164 Po Box 24205, Eugene, OR 97402 5t1t2003 6t25t2003 6t25t2003 Quad Area: # Of Units: Constr. Type: Water Heater: 4RSE 1 (VN)Wood Frame Electric Office Use - Land Use: Single Family Dwelling Zoning Code: LDR Bedrooms: 4 Range: Electric # Of Buildings: 1 OccupancyGroup: Dwelling Heat Source: Forced Air Electric Sq. Footage: 2060 To request an inspection call the 24hour recording at726-3769. 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 Buildin Verify Ground Rod Footing Foundation Post and Beam Floor !nsulation Geiling lnsulation Shear Wal! Nailing - 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. Job# 02-00466-01 02-00466-01 Required lnspections Build - Prior to cover. -Prior to Cover - Prior to taping. -When all required inspections have been approved and the building is complete Electrical -Approval required prior to SUB energizing pole. -Prior to cover. -Must be approved to obtain permanent power. -When all electrical work 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 Sidewalk Type: Curbside - 5' AdditionalROW? tr Size Of Line (in): 8 Downspouts/Drains: To Curb and Gutter Enchroachment Permit: San Sewer Tee (in): 6 00/00/0000 00:00:00 Bond End DateTime: 00/00/0000 00:00:00 No connecetion to infrastructure until subdivision complete and accepted. Types Of Warning Devices Reqd. l Page 2 of 4 Framing Wall lnsulation Drywall Fina! Building Temporary Power Rough Electrical Electrical Service Final Electrical Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line FinalPlumbing Underfloor Mechanica! Rough Mechanical Final Mechanical Street lmprovement: Curb Cut?! San Sewer Depth (Ft): Storm Sewer Available? Special Req.: Security Required: Bond Begin DateTime: Special lnstructions: Other Utilities: Project Supervisor: Fully lmproved lmprovement Agr.? 6-4 Z Zoning: LDR Overlay District: FloodPlain? [ Wettands? ! # of Street Trees: 3 Journal numbers 1: 2000-01-0015 2:2002-04-0121 3: Comments:Subdivision and LDAp Land Use: Single Family Dwelling Pave Driveway? n Planner: AdditionalRequirements: LDAp Required urban Growth Boundary?! Glenwood Area? ! Required Attachments: Quantity Of Fill: Source Locn:Supplier: Material: Drainage: Floodway FEMA: Zone X White Flood Plain FEMA: Panet 1166 of 2975 Construction Types(VN) Wood Frame Occupancy Groups: Dwelling Private Garage/Carp/Stor # Of Buitdings: 1 # Of Stories: 2 Height (feet): 24 # Of Bedrooms: 4 Current Units: Proposed Units:1 Handicap Access? ! Census Code:New SF - detached Area (Sq. Feet) Main:2060 Accessory:409 Total2469 Page 3 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check 04t22t2002 8686Same As Plan Review Total Plan Check $100.00 $100.00 Building Permit State Surcharge For Building Permit B% Building Administrative Fee Total Building 05t14t2002 05t14t2002 05t14t2002 9031 9031 9031 161,692 $767.1 5 $53.70 $61.37 $882.22 Electrical Minimum Electrical Permit Fee Wiring Footage 1,000 Sq Ft or Less Wiring Footage Each Add'l 500 Sq Ft Temporary: 200 Amps or Less State Surcharge - Electrical 8% Admin Fee - Electrical Total Electrical 05t1412002 05t14t2002 05t14t2002 05t14t2002 05t14t2002 05t14t2002 9031 9031 9031 9031 9031 9031 1 3 1 $.00 $106.00 $57.00 $50.00 $14.91 $17.04 $244.95 Minimum Plumbing Permit Fee Three Bathrooms State Surcharge - Plumblng 8% Administrative Fee - Plumbing Total Plumbing Plumbing 05t14t2002 05t14t2002 05t14t2002 05t1412002 903'1 9031 9031 9031 1 $.00 $306.00 $21.42 $24.48 $3s1.90 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 Mechanica! 0511412002 05t14t2002 05t14t2002 05t14t2002 05t14t2002 05t14t2002 0511412002 05114t2002 903'1 9031 9031 9031 9031 9031 9031 9031 $9.00 $.00 $4.08 $12.00 $24 00 $6.00 $10.00 $3.57 $68.65 1 1 4 1 Public Works 05t14t2002 9031 80New Sidewalk Total Public Works $75.00 $75.00 I-_sy@ Residential - Single Family - Storm Residential lmprovement MWMC MWMC Administrative Fee SDC Administrative Fee Residential Sanitary MWMC 05114t2002 05t14t2002 05t14t2002 05t14t2002 05t14t2002 9031 9031 9031 9031 9031 ,094 1 1 2 $571.66 $34.83 $10.00 $133.34 $332.861 Job# 02-00466-Ol 1 Page 4 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Residential - lmprovement Residential - Reimbursement Sanitary Sewer SDC Reimbursement Sanitary Sewer SDC lmprovement Total System Development System Development 05t14t2002 05t14t2002 05t1412002 05t14t2002 9031 9031 9031 9031 1 1 24 24 $659.76 $1 55.1 3 $512.88 $389.76 $2,800.22 Willamalane SDC S.F. Residence - Willamalane TotalWillamalane SDC 05t14t2002 9031 1 $1,000.00 $1,000.00 Planning 05t14t2002 9031Planning Plan Review Total Planning $55.00 $5s.00 Address Assignment Total Permits w/o Srchg Permits w/o Srchg 05t14t2002 9031 1 $8.00 $8.00 Grand Total Plan Check Type lnitial Review-Res Engineering-Res Planning-Res Checked By Lisa Hopper Dennis Ernst Liz Miller Date Completed 04t25t2002 05t02t2002 0510112002 $5,585.94 Comment No occupancy until subdivision complete and accepted. Minimum setback verification letter enclosed. 5 foot interior + 36'building plus 10'street setback = 51. Lot is 49.16 Structural-Res Tom Marx 0412912002 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. Signature Date JoU* OZ-00466-01 1 225 FIF,TH STREET ' SPzuNGFIELq OREGON APPLI Multi-Family per dlelling unit. Service Included: items LEGAL DESCRIPTIONtgaz03oo psryl DESCRIPTION Permits are non-transferable and expire within 180 days work is suspended for TALLATION ONLY B. Ser-vices or Feeders if work is of issuance 180 days. 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manufd Horne or Modular Dwelling Service or Feeder Cost $ r06.00 $ r 9.00 $ 50.00 .00 + 2 Electrical' Address Date Supervising Electrician Installation, ctrlc, lng. Relocation: 200 amps or 201 amps to 4 I amp sto 1 amps Over D. Branch 8%o Administrative Fee. 5cl.oo-3-s.- t-l 6D TOTAL 57.5D 4.S or r,vith "s!?eEryeFtELS Report lD : SPRA103 Voucher lD : 00049666 Handling Code : RE Christenson Electric 1298 Bethel Drive Eugene, OR 97402 'Description City of Springfre.J Voucher Account Fund 9g SubGlass BY Accounting Date : Vendor Number: lnvoice Date : lnvoice # : Approver: Operator: Gross Amount : Proi/Grant June26,2002 0000008202 June26,2002 6-4-2002 Puent,David wtLSs940 115.00 Amount 7.00 100.00 8.00 215004 426102 426605 821 100 100 2002 2002 2002 Comments: Express Check Refund of duplicate permit per Lisa Job number 02-00466-01 fftog ll'to**d*;r,.- l+t* ffi, &**FrELm City of Springfie.J Voucherffi, Report lD : SPRA103 Voucher lD : Handling Code : 00048997 IN Accounting Date : Vendor Number: lnvoice Date : lnvoice # : Approver: OPerator: Gross Amount : Proi/Grant June 10, 2002 0000003872 June 10, 2002 5-14-2002 Puent,David wlLS5940 1,179.32 Amount 93.60 915.32 170.40 Hayden Enterprises, lnc. 2622 SW Glacier Place,Suite 110 Redmond, OR 97756 Descriotion resubmittal Account Fund qrg SubGlass BY 215004 425602. 426102 821 100 100 2002 2002 2002 Comments: Express Check House plans changed for job number 02'00466-01 Refund ok"d by Lisa Hopper/resubmittal for new plan bo{ [hn"ed.e;br* SPRINGFIELD 225 Fifth Street Springfield, OR97477 Job# 02-00466-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of4 Job Number: 02-00466-01 Office: 726-3759 lnspection Line: 726-3769 Location Of Proposed Site: 5905 Montclaire Ln Spr Assessors Map#: 18020300 Tax Lot #: 00507 Lot:S Block: Additbn: Subdivision:Jasper Meadows crTY oF SPRINGFIELD, OREGON Owner: Address Scope Of Work: 541-923-6607 Redmond, OR 97756 Value: $161,692 Gontractor Type GeneralContr 3.Registration # Expiration Date 7t29t2003 511t2003 6125t2003 12115t2002 Phone 541-923-6607 503-241-4812 541-345-2838 541-895-3758 ElectricalContr 111 OR MechanicalContr Home Po Box 24205, Eugene Plumbing Contr Brenda Marlene Currier 648 W Oregon Ave, Creswell, OR 97426 Place #110, Redmond, Portland, /tr 92208 458 t84164 1 03570h46I Quad Area: # Of Units: Gonstr. Type: Water Heater: 4RSE 1 (VN) Wood Frame Electric Office Use - Land Use: Single Family Dwelling Zoning Code: LDR Bedrooms: 4 Range: Electric # Of Buildings: 1 Occupancy Group: Dwelling Heat Source: Forced Air Electric Sq. Footage: 2060 To request an inspection callthe 24hour recording at726-3769. 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 Buildi Verify Ground Rod Footing Foundation Post and Beam Floor lnsulation Ceiling !nsulation Shear Wal! Nailing - 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. Hayden 26225W Glacier Brighton SFR same as 02-00313-01 bu Framing Walllnsulation Drywall Final Building Temporary Power Rough Electrica! Electrical Service Final Electrical Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Final Plumbing Underfloor Mechanical Rough Mechanical Final Mechanical Job# 02-00466-01 Page2 of 4 Required lnspections Buildins - Prior to cover. -Prior to Cover -Prior to taping. -When all required inspections have been approved and the building is complete Electrical -Approval required prior to SUB energizing pole. -Prior to cover. -Must be approved to obtain permanent power. -When all electrical work is complete. Plumbinq -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. Street lmprovement: Fully lmproved Curb Cut?[ tmprovement Agr.? San Sewer Depth (Ft): 6 - 4 Storm Sewer Available? f SpecialReq.: Security Required: Bond Begin DateTime: 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' I To Curb and Gutter 6 00/00/0000 00:00:00 Special lnstructions: No connecetion to infrastructure until subdivision complete and accepted. Other Utilities: Types Of Warning Devices Reqd. Project Supervisor: Zoning: LDR Overlay District: FloodPtain? ! Wetlands? [] # of Street Trees: 3 Journal numberc 1: 2000-01-0015 2: 2002-04-0121 3: Comments:Subdivision and LDAP Planner: Urban Growth Boundary?! Glenwood Area? [1 Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Zone X White Land Use: Single Family Dwelling Pave Driveway? g Additional Requirements: LDAP Required Required Attachments: Source Locn: Material: Flood Plain FEMA: Panel 1166 of 2975 Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 4 Handicap Access? _ Area (Sq. Main: 2060 Accessory:409 Job# 02-00466-0{ 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 Gheck 04t22t2002 8686Same As Plan Review Total Plan Check $100.00 $100.00 Building Permit State Surcharge For Building Permit 8% Building Administrative Fee Total Building 05t1412002 05t14t2002 05t14t2002 903'1 9031 9031 161,692 $767.1 5 $53.70 $61.37 $882.22 Electrical Minimum Electrical Permit Fee Wiring Footage 1,000 Sq Ft or Less Wiring Footage Each Add'l 500 Sq Ft Temporary: 200 Amps or Less State Surcharge - Electrical 8% Admin Fee - Electrical Total Electrical 05t14t2002 05t14t2002 05t14t2002 05t14t2002 05t1412002 05t14t2002 9031 9031 9031 9031 9031 9031 1 3 1 $.00 $106.00 $s7.00 $50.00 $14.91 $17.04 $244.9s Minimum Plumbing Permit Fee Three Bathrooms State Surcharge - Plumbing 8% Administrative Fee - Plumbing Total Plumbing Plumbing 05t14t2002 05t14t2002 05t14t2002 05t14t2002 9031 9031 9031 9031 1 $.oo $306.00 $21.42 $24.48 $351.90 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 Tota! Mechanical 05t14t2002 05t14t2002 05t14t2002 05t14t2002 05t14t2002 05t1412002 05t1412002 05t14t2002 9031 9031 9031 9031 9031 9031 9031 9031 1 $9.00 $.00 $4.08 $12.00 $24.00 $6.00 $10.00 $3.57 $68.6s 1 4 1 Public Works 05t14t2002 9031 80New Sidewalk Total Public Works $75.00 $75.00 System Development Residential- Single Family - Storm Residential lmprovement MWMC MWMC Administrative Fee SDC Administrative Fee Residential Sanitary MWMC 05t14t2002 05t14t2002 05t14t2002 05t14t2002 05t14t2002 9031 9031 9031 9031 9031 094 1 1 2 $571.66 $34.83 $10.00 $133.34 $332.861 1 Buildinq Mechanical Job# 02-00466-01 Page 4 of 4 Paid On Receipt# Value/Quantity Fee Amount Residential - lmprovement Residential - Reimbursement Sanitary Sewer SDC Reimbursement Sanitary Sewer SDC lmprovement Total System Development System Development 05t14t2002 05114t2002 05t14t2002 05t14t2002 9031 9031 9031 9031 1 1 24 24 $659.76 $1 55.1 3 $512.88 $389.76 $2,800.22 S.F. Residence - Willamalane TotalWillamalane SDC Willamalane SDC 0511412002 9031 1 $1,000.00 $1,000.00 05t14t2002 9031 1Planning Plan Review Total Planning $55.00 $55.00 Address Assignment Total Permits Wo Srchg Permits Wo Srchq 05t14t2002 9031 1 $8.00 $8.00 Grand Total Plan Check Type lnitial Review-Res Engineering-Res Planning-Res Checked By Lisa Hopper Dennis Ernst Liz Miller Date Completed 04t25t2002 05t02t2002 05t01t2002 $5,585.94 Gomment No occupancy until subdivision complete and accepted. Minimum setback verification letter enclosed. 5 foot interior + 36'building plus 10'street setback = 51. Lot is 49.16 Structural-Res Tom Marx 0412912002 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 Sn^nnhru Nst {rrrri0 ffil Signatud" -'5-t+0L Date Fee I Ptanning _=1 225 FIFTH STREET SPRINGFiELD, OREGON 974 INSPECTION REQUEST OFFICE: 126-3759 I LOCATION OF 5qo5 PERMIT APPLICATiON -rcCro .soasE Jo A. Nerv Residentiirl-Single or Multi-Family per drvelling unit. Service Included: Items Cost 1000 sc1.ft. or less \ s too.oo THIS PERMIT SHALT EX Each additional 500 B{nfidrftt6w0RK h Numbe,' OA - Q) {bb- or FEE SC}IEDI'LE BELOW ,,o6 .ott"LEGAL DESCRTPTION-o oc' JOB DESCRTPTION sum Ldofr s 19.00 a OTICE:gPermits are non-transferable and e6qirypl6RlTFU tlNDER Tt+lSfmMlT lS NQT :i'i:',:ff :l',iT::-Tli:,,:*ShMiliNcrlonls-lBmP,WmmF,*"' 11J 2. CONTRACTOR INSTALLATION ONLY Electrical' Contractor-.10hr-is fgngo4-E.!ectric, Inc . Relocation 200 amps or less 201 amps 401 amps 601 amps Expiration Date 01 0rrer "B" a ranch Circuits B. Services or Feeders . Installation, Altcrations or bove a .00 Sen ice _$ $375.00 s 50.00 .o I tS-*.!/O 3€;i59" OWNER INSTALLA The installation is being made on properry" I olvn which is not intended Orvncrs Signlture: One Circuit .:-' Each Additional Circuit or uith or Feeder Permit E. Nliscellaneous (Ser-vice/feeder not included) -Each installation Puutp or irrigation $50.00 Sign/Outline Lighting $50.00 Limited Energr'/Res $25.00 Limited Energy/Comm $+5.00 I\Iinimum Electric Permit Inspcction Fee is s{5'00 * Surchargcs s oo i TOTAL J{+.q5 Sr $ 5o.oo _ $43.00 Supen'isor License Number .271o5 Expiration Scrvices or Constr Contr.Alteration amps or less anps to 400 amps Over i000 amps/volts Reconnect Only 401 to 600 anrps 600 amps or 1000 r,olts see Alteration or Extensiou Per PanelOrvnerso a(o(nNIo? =o 6 t.D 5 4. SUBTOTALOFABOVE 77o State Surcharge 8 7, Atlministrative Fee JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOTNUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS:I BUILDING SIZE: 0 SF LOT SIZE: 4917 SF 5905 Montclaire Ln SINGLE FAMILY RESIDENCE 0 02-00466-01 Hayden Homes DISCOI.INT RATECOST PER S.FIMPERVIOUS S.F $0.0050%0.00 $0.273 IMPERVIOUS S.F 2094.00 COST PER S.F $0.213 s571.66x xx RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM $s71.66ITEM 1 TOTAL - STORM DRAINAGE SDC PERNUMBER $389.7616.24 NUMBER OF DFU's 24 COST PER DFU $21.37 $512.88 B. IMPROVEMENT COST: x x 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: $902.64ITEM 2 TOTAL - CITY SANITARY SEWER SDC NEW TzuP FACTORCOST PER TRIPNUMBER OF LINITSADT TRIP RATE $659.761.00.94I9.57 ADT TRIP RATE 9.57 NUMBER OF LINITS I COST PER TRIP $ 16.21 $ 1 55.13 NEW TRIP FACTOR 1.00 B.IMPROVEMENT COST: xxx xxx 3. TRANSPORTATION A. REIMBURSEMENT COST: $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 $34.83 $34.83 $0.00 SUBTOTAL OF MWMC REIMBURSEMENT,IMPROVEMENT & CREDIT MWMC ADMINISTRATIVE FEE s367.69 B.IMPROVEMENT COST: x x MV/MC CREDIT IF APPLICABLE (SEE REVERSE) 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: s377.69ITEM 4 TOTAL - MWMC SANITARY SEWER SDC suBTorAL (ADD ITEMS 1,2,3, & 4) ADM. FEE RATESUBTOTAL $ 133.345%666.88 5. ADMINISTRATIVE FEE: x $2,800.225t212002Slr4oTu-l^l;"'- SDC COORDINATOR TOTAL SDC CHARGES DATE CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET a trl Ro O & rI]tia oI!& 070 091 092 1 I 093 094 1 I 1055 1056 I 073 NUMBER OF NEW FIXTURES X UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: F'OR REMODELS, CALC ULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES FIXTURE TYPE ()#NEW - #OLD x UNIT EQUIVALENT DRAINAGE FIXTURE I-INITS BATHTUB DRINKING FOT]NTAIN FLOOR DRAIN INTERCEPTORS FOR GREASE I OIL ISOLIDS / ETC. INTERCEPTORS FOR SAND / AUTO WASH I gTC. LALTNDRY TUB CLOTHESWASHER / MOP SINK CLoTHESWASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (I PER TRAILER) NTCBPiON TON NBPNIC / WATER STATION / ETC. RECEPTOR FOR COM. SINK / DISHWASHNN T BTt. SHqWEs, SINGLE STALL sHowE& GANG (NUMBER OF HEA!q) SNK: COMMERCIAL/RESIDENTIAL KITCHEN SINK: COMMERCIAL BAR SINK: DOMESTIC BAR WASH BASTN LAVATORY URINAL, STALL / WALL TOILET, PUBUC INSTALL,A.TION TOILET, PRIVATE INISTALLATION MISCELLANEOUS DFU TYPE NUMBER OF EDU'S* 6 3 ( 0 - 0 )x 20 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 0 0 I 0 0 0 3 0 0 0 0 0 0 J 0 0 0 0 0 0 0 6 0 2 0 I 3 3 0 6 0 0 12 0 0 I 0 0 3 0 0 0 0 2 0 0 0 0 0 01 0 00 03 00 2 0 J J 2 0 0 2 0 I 3 5 0 0 0 0 J 0 9 0 TOTAL DRAINAGE FIXTURE UNITS =24 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day DRAINAGE FIXTURE, UNIT CALCULATION TABLE MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE $0.00 ANNEXATION DATE, CALCULATE CREDIT SEPARATELY CREDIT FOR LAND (IF APPLICABLE) CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) $0.00 $0.00 YEAR ANNEXED CREDIT RATE PER $I,OOO ASSESSED VALUE YEAR ANNEXED CREDIT RATE PER $I,OOO ASSESSED VALUE 1 991 1992 I 993 1994 I 995 1996 199'7 1 998 1999 2000 $1.64 $115 $1.31 sr.: $0.97 $0.82 so.o: $0.41 $04 $0.04 I979 ORBEFORI 1980 lgst 1982 I 984 I 985 --1988 --1989 - s4.92 i4 sr $4.77 $4.64 sc.ltj+.:o $4.09 qlra $3.41 $2.98 $2.52 TOTAL MWMC CREDIT : x 0.000 x $0.00 IF IMPROVEMENTS OCCURRED AFTER CREDIT RATE $0.00 VALUE / IOOO 0.000 ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( 1 €$UUillamalane Park & Recreation District Job. No. OA .OA.tLt" :Ol SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME ADDRESS: PHONE:5. srArE: s(2 zrp'Qflilf LOCATION OF PROPOSED BUILDING SITE: Street Address: _ Tax Lot Number:\ 1 ype de0nitions are on the (Check appropriate dwelling(s). SDC calcttlations and dwelling t. back.) A Single-Family Detached \ Single Family home NO. OF UNITS X $1,000 Per unit = $\cDo-co Plat B. Single-Family Attached NO. OF UNTTS X $924 Per unlt C. Multi-Family Apartment D. Manufactured Home-Park NO. OF UNITS X $699 Per unlt WILLAMALANE SDC $ 2. SDC CREDIT (l( applicable) SDCaayer must (umlsh proo( ol Willamalane ireoit-upproval. See SDC Credit Workshoot. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (l( SDC reduced (or $ =$ =$ E$ @ 6 6) 5l-02 Date City of c4n^' I^n a*l- " \o i.