HomeMy WebLinkAboutPermit Building 1998-05-05ATTOF
SPFIrlGFIELD
a
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
ilob Number: 980415
225 North Fifth streeE
Springfield, OR 97477
Location of Proposed Work: 1544 WALNUT RD
Assessors iutap #z 1-7032423
Lot: 35 Block:
Office:
Inspection Line:
725 -37 59
725-3759
Tax Lot #:
Subdivisi-on:
010 01
RIVERTRAILS
Describe Work: S.F. RESIDENCE
Phone #: 431-0550
city/srate/zip: EUGENE, oREGON 97404
NEW
General-:
Plumbing:
Mechanieal-
Electrical
QUAD AREA: 1RNW
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HE.A.TER: G
MARSHALLS
4110 OLYMPIC ST
ANTONE
27 51,4 SNYDER RD
SPRING
LAND
ZONING
# OF BDRMS
INSUL PATH
ConEracEor
BAILEY.TACOBS 0]-25785
PO BOX 41,407 EUGENE OR 974040000
DON LEWIS OO33O75
5OO GREENFIELD ST EUGENE OR 97404L6
Const.
ContracEor #
5'7
Expires
LO/2t/e8
o6/1.0/ee
L2 /23 / e8
os/Le/e8
Phone
431- 0550
688-1931
'7 47 -'7 445
688 - 4444
# OF BLDGS:
OCCY GROUP:
HEAT SOURCE:
9
'7
0
4'7
5
97
OF
FOOTAGE
1
R3
FG
2].25
To request an inspection, call the 24 ):ro:ur recordj-ng a 69.
A11 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.
--- REQUTRED TNSPECTTONS ---
SfTE - To be made after excavation but prior to setting forms.
FOOTING - Aft.er trenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placement..
ITNDERFIJOOR PLITMBING - Prior to insulation or decking.
ITNDERFIJOOR MECHANfCAL - Prior to insulation or decking.
POST AIiID BEA}I - Prior to floor insulation or decki-ng.
INSULATION - Floor; prior to decking Wa11/Ceiling; Prior to cover
WATER LINE - Prior to fill-ing trench.
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
ROUGH PLIIMBING - Pri-or to cover.
ROUGH MECHNiIICAL - Prior to Cover.
ROUGH EIJECTRICAI, - Prior To cover.
EIJECTRICAL SERVICE - Must be approved to obtain permanent. power.
SHEAR WALt NAILING - Before coveri-ng sheathing with finish materials.
FRAffING - Prior to cover.
INSUIJATION - Floor; prior to decking Wa11/Ceiling; Prior Eo cover
DRYWALL - Prior to taping.
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
Owner: BAILEY .JACOBS HOMES
Address: PO BOX 41-407
SPFINGF!ELE,
.fob Number: 980416
CITT OF SPruNGFTEID,
Page 2
FINAL PIJITMBING - When all plumbing work is complete.
FINAL MECHANICAL - When all mechanical work is complete.
FINAL ELECTRfCAL - When al-1 electrical work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Lot Faces: S
Topography: 2
Sol-ar Approved: Y
House
Garage
Lot Sq. Ft.: 4942
Total Height: 18
Lot Coverage: 42.992
Setbk From NPL: 35
N
1,2
Lot Type
Setbacks
SW
10
INTERIOR
E
55
5
Item
Main
Garage
Total Val-ue
Building Permit Fee
Surcharge/Admin
TOTAL FEE
--- BUII.DING PERMTT ---
Square Feet x
L594
531
$/Square Feet
64 .56
1,5.27
(A)
Value
103, 058.00
8, 539 . 00
111, 707 . 00
450.00
36.80
495.80
--- PLI'MBING PERMTT ---
Item
Residenti-al- Bath (s)
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
2
Fee
160.00
150
L2
00
BO
(c)L7 2 .80
--- MECHANICAI, PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
GAS & W/H
GAS F.P.
Mechanical- Permit
Issuance
Surcharge/admin
TOTAL PERMIT
3
L2
4
9
J
5
4
00
50
oo
00
00
50
38.00
10.00
3 .04
(D)s1.04
--- MISCELLANEOUS PERMITS ---
Surcharge/admin
Sidewalk
Curb Cut
WILLAMALANE SDC
CITY SDC
ELECT. PERMIT
TOTAL MISCEI,IJANEOUS PERMITS
0.00
18.8s
14.20
1, 000 . 00
2 ,638 .64
183.60
3 , 855 .29(E)
4 ,57 5 .93(Excluding EIect,rical )
unless otherwise noted
--- TOTAL AMOI'NT DUE ---
(A, B, C, D, and E combined)
SPFINGFIELEI
h,
.fob Number: 980416
qIY OF SPruNGFTEID,
Page 3
--- BUITDING VALUE, PLAN CHECK A.}ID BUILDING PERMIT ---
This permit is granted on the express condition that the said construction
sha11, in a1J- respects, conform to the Ordinance adopted by the City of
Springfield, including the Development Code, regulating Ehe construction and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
Plan Check Fee: 299.OO Date Paid:
Received By:
Plans Reviewed By: DON MOORE Date:
Building Site Reviewed By: LISA HoPPER
04/oe/ee
os/os/e8
Receipt Number:. 29379
--- ADDITIONAL COMMENTS ---
PATH 1
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
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 thaE any and all work performed
shal-I be done in accordance with the Ordinances of the City of Springfield,
and the Laws of the State of Oregon pertaining Lo the work described herein,
and that NO OCCUPANCY w111 be made of any strucLure without permissi-on 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.
f further agree to ensure that all required inspections are requested at the
prop er time, that each address is readable from the street, that the permit
card is 1 at front of the property, and the approved set of plans
wi-11 te 1 times during construction
9s-10
Date
r IDATION .--
Receipt Number
Date Paid
Amount Received
Received By
6
on
CITY OF
approval,
225 FIFTB STREET
SPRTNGFTEL,D, oREGoN 97 471
INSPECf,I0N REQUEST| 726-37
OFFICE: 726-3759
Da1e
1 OF INST TION
LEGAL ON
JOB DESCRI
Permits are non-transferable and expire
if vork is not started vithin 1B0 days
of issuance or if vork is suspended tor
180 days.
2. CONTRACTOR INSTALI.,ATION ONLY
Electrical Contractor
Address
City_ Phone
Supervi-sor License' Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
0vners Name
Address
OVNER TNSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sa1e,
DATE:
ua6
ELECTRICAL PBRHIT APPLICATION
City Jo
3. COHPLETE FEE SCEEDTILE BELOS
A Nev Residential-Single or
Multi-Family per dwelling unit.
Service Included:
I tems Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
-Modular Dvelling
Sertice or Feeder
$ 8s.00
s 1s.00
s 40.00
B Services or Feeders
Installation, Alterations
or Relocation:
The {ollowing proiect as tubmitted has tho
;ill il,;;Jt6es not requlre epecllic land
200 amps or
201 amps to
401 amps to
601 amps to
Over 1000
Reconnec t
sr FIELt,
amps/voI ts
0n1y
less
600 amps
1-000 amps
Sum
ee trBn aEorrc-
$ s0.00
s 60.00
s100.00
s130.00
s300.00s 40.00
c Temporary Services or Feeders
Installation, Alteration or Relocation
rte200 amps"or less 4 $
201 amps to 400 amps
-
$
over 401 to 6o0 amps
-
$
Over 600 amps or 1000l6lfls s
Branch Circuits
40.00
55.00
80.00
D
ciry Eil4&.8 Ynony(Ja!_-Q55O
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting-
Limited Energy/Res
Limited Energy/Comm
4oo200
$ 40.00
s 40.00
$ 20.00
$ 36.00
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTALRECEIVED
e or rent.
,zo-_________--J-!-4eP-
x*b", ?^Otb
CITY OF SPF"VGFIELD, OFEGOru
SPf. .iFIELO
D EV ELOP M ENT S ERVIC ES DE PARTM E NT
CTTY OF SPRINGFIELD
COHMI.INTTY SERVICES DTVISIOI{
BUILDING SAFETY
AUTHORTZATTON TO PROCEED AGREEHENT.
THIS AGREEHEI,II is entered into this t7
225 FIFTH STREET
SPRINGFIELD, OR 97477
(s41) 726-s7s3
FAX (541) 726-368s
betveen the City of Springfihereinafter called. City, and
the Applicant.'
a
day or 4*<r4
cor po t 10n r ahE
, D 78bv and
tate-6-f oregon,
einafter called
s
er
VHEREAS, the applicant has applied to the City Community Services BuildingDivision for issuance of ce rtain co ti ts r Iopmen timprovements to be located at Springfield,0regon or vithin the City 's Ur rov ,CountyAssessor's Hap and Tax Lot nutr,ber
the submitted materials for the
unable to confirm at this tirne
be approved, and uhether the
VEEREAS' _the applicant has asked the City to authorize the Appliclrnt toinmediately comnence development improvements vithout a compilted plan reviev orsubsequent apProval as requiSgd by the Springfield Buildlng- Safety'Code.Adurinistrative Code section 303(a)
IIEEREAST-the Applicant has subnitted to the City a completed perrnlt appllcation,
I (three).sets of 'coirstruct.lon dravings, specificaqioni, and ither dati requiredfor the clty to complete the necessarl iraii revlev-or it"-p;.;;;;a J"""ropi."timprovenent. , '
VHEPGAST the intendbd development inprovement is of a nature that requires noother reviev approval from other State or loca1 agencies and is'"xe.pt from thecriteria established by the Building Safety Division, attached as gxfiibit A ofthis Agreenent.
VHEREAS, the City has not revieved or approved
development improvement, the City is theleforevhether the permit applicatio.-': submitted vill_qequired construction permi'rs can be issued.
VH.EREAS, the Epplicant has requested thL City to.provide expedited authorizationto proceed vith certain phases of construction prior to the completion of theCity's reviev of the permit application.
IIH.EREAS, the City's fee for the administrative services r-.nder"d in providingexpedited authorization is S150.00.
NOIJ, THEREFORE, in consideration of the foregoing recitals and of the mutualpromises contained herein, the City authorizes immediate commencement of the
development improvement speeified in the. permit application subject to thefolloving terms and conditions:
Authorization to Proceed Agreement
Page 2.
1 City agrees that the Applicant may immediately commence vith thedevelopment i nProvements set forth in the permit application. City,sauthorizationto proceed is conditi one.d hovever, upon Appl
ed as set forth in the
icant's agreementthat the proj ect vill be construct attached submitteddravings and specifications except as may be modified by Cit v and vi11comply vith all applicable Iavs and ordinances.cantts iunediatecoonencenent of constructiou is at trs ovn noassurancetS vlfforcoEstructer
2' City agrees to reviev Applicant's. permit application in the normal revievprocess and to thereafter:
a) issue Applicant the appropriate construction permits; er
b) advise Applicant of deficiencies in the proposed construction vhichmust be renedied before permits can be issuld;'or
c).advise-{RRlicant of any statutes, ordinances or code provisions vithvhich Appllcant Eust conpiy vith beiore city can issue ti,;-p;;;i;: --"'
3.. Applicant agrees that if City f!n!s Appllcant,s pernit applicatlon andsubmitted naterlals-inadequate or deficiiirt in any lnanner iniludtng.but notllulted- to, tbe appllcatlon or the proposed constructlon do not coiliiy "iitarl appltcable statutes, ordlnances or code pr-vi"i."r,-appf"""i ;iii ----
expedlt1o9."ly_cure the deflclencles so that the clty uiy-_il"ue the ieturredpernl'ts- Should Appllcant fatl to-expedltlously "ori..i'",ruirtt"a:r"idii.i",or should correctlon-prove lnpossibll, ctty nay ln it,s discreiion, .a;k;-;;ior a1I of the folloviirg actlons:
?) stop all further construction of the project in the nanner prescribed.ll_!!: springfield Building Safety code idninistrative code (BlcAc),sEcTroN 201 (d)
b) order disconnection of serving utilities in a'manner as prescribed inBSCAC, SECTToN 201 (f)
c) issue a NOTfCE .tjD OPOER for renoval of alL such r.or!: in a nanner asprescribed in BSCAC, SECIION 204. ABATEHEI{T oF 1;NSAFE,-SUaitalrijaiiii-oa--.DAlGEROus BurLDrNGs, srRuqruREs oR BUTLDTNc sERvrcE Eourpuir.li.-iipin-''receipt of such no_tice, Applicant sharr imrnediat"rv i;;;ue. tte ,o.t<specified in the Notice and Order.
4- Applicant agrees, if the issuance of the permit is denied:
a) to remover Bt.the Applicant,s sore cost and expense, arl completedconstruction or improvementsl and
t or constnrC
b) to restore the site or structure io it's pre-agreement'"onaition,nafree of all hazards - r-- -o--Y"'s"
Authorization to proceed Agreement
Page 3.
5. Applicant agrees thatconstruction vi1l not toby the City,s Building 0f
until Applican t's permit applicatiori is approved
roceed beyond the point of authorization approvedct- App Ii camt's Point of Authorizati on Is
6. Applicant agrees that all vork peraccessible and exposed for inspectionOfficial nor City shall Ue tiaLte torreplacenent of. any Eaterial necessary
under this agreenent sha1l be
purposes and that neither the Buildingthe expense entailed in the removal oito allov inspection.
7' Applic"Tt "gT::s rhat-3nI or alr.deficiencies identlfied during thenecessarv inspections virr.Le pronptry r"r"ii"d; ;a-6;1i;i,s sore costand expense before-proceedir,g ;,ittrt"rri. il;;il; constrir;tion. Appricant alsoasrees that these inspectroni do not ielia""-it"-i:"ili;a-;i;-;;;i;-nIi-iothey inpry any approvir of the submittet-naieit.t".
8' Applicant agrees that no vork-shall-be done-on any part of the buildingor structure beyonl !h" polnt indicated tn eactr su"cisslrre inspectiontrithout first ol,t.rnins. it"--ipiroval of it" nurratng offictar. such approvalshall.be given only affer an iir"pectlon h;; d"" uade of each successtvestep in the cbnstruction as indic"t.a-on--6e-ittached Exhibit B.
11' The terEs of this Agreenent shaIl extend to and be binding upon theparties hereto and tireii heirs, successors and assigns.
L2' rf' any suit, action or other proceedingr oE an appeal therefrom, isinstituted to obtain, estabLish,. enfora;, ;; ionper any right or.obligationresulting from this Agreenent, i1," pi"""irire-party shall be entitled torecover from the adveise party, in aaaiai;;-;" costs and disbursenents,. suchadditional suns as the "oirii", both a;i;i-;"i apperlate, may judgereasonable attorney fees
Authorization to Proceed Agreement
Page 4
BEFoRESIGNINGTHISAGREE!{ENT,PI/EASE_READANDUNDERSTANDTUE
MEANING OF EACE PAR:AGRAPT-_OT THIS AGREE!'TENII' IT AFFECTS YOUR
INTEREST5 IN THE PR6PERTY AN;, IN TEE E_VENT OF. DEFAI,I,T, IT PI,ACES
YOU PERSONALT,Y A[ RISK AIIP. TXE SUBJE.T PROPERTY AT RISK OF
FoREcLosIrRE FoR cosrs AtID
- EXPENsFs iNcUnnpo BY TIIE cITY IN
ENFORCING THE TERUS OF TEIS ACT{NNUENIT' IN TEE EVENT TEAT YOU DO
NoT I,NDERSTAND A}rY TERMS on coNpITIoNs oF TEIS AGREEUENI, PI,EASE
SEEK ANY LEGAL OR OUESIDE OPINIONS YOU T'IAY DESIRE'
CITY
city of SPringfield
By:
fu.
suilding official
I,AND /PROPERTY OWNER ( 6I
rlwE EAVE RE:AD ITEE
T'NDERSTAIID
I'PON Ug A6
TERMS A}TD
k*.*"
o \rv
VALIDATION:\UCITY JOB i
RECEIPT N
DATE PAID
APPLICANT
Contr
Business N
Addres
CC Registration
ABOVE AUAEORIZA'IION
A}ID TEE
OWNERS I
TO PROCEED AGREET(ENI ' r/wE
nispoxsrBrr,rt[rEs rE Pr,AcEs
/ws AensE tto BE BOI,IID Br ar'r.,
S
1\{
\
a
27 o
Vo
5Oe ?lftws,ry7
43 2: vryl**z
{
AMOUNT RECEIVED
RECEIVED B
2
ya
E)rHrBIf A
Puroose
. The Purpose of this agreement is to allov'certain development improvements to'occur prior to.obtaining plan reviev approval from the Springfieid CommunityServices Division
Scope
The use of this agreement shaIl be limited to certain one and tvo-familydvellings not complex in nature as deternined by the Building gfficial andminor alterations or modifications to existing commercial and industrialbuildings_vhich are of a non-structural"type ind do not adversely affect anystructural member of the building or any pirt of the building having fireresistant construction.
One and tvo-fanily dvelling plans for structures that are complex in nature thathave been prepared-by an oregon licensed architect or engineei and accompanied.by a letter of reviev preparid by said architect or engiieer, stating thit thesubuitted material is in conpliance vith the One and Tio-Fari1y oweliingSpecialty code, nai be consldered eligibre for this agreenent.
The folloving iteos include but are not llnited to certain condltlons ofdevelopnent identlfied as lnellgible for tliis agreement:
a) developnent requiring slte approval vhtch.has not been obtilned;
b) nev development located on land vith over six-percent slope;
c) lots having expansive (clay) soil;
d) development located within flood hazard area.s; .
e) developnent located vithin vetland areas;
f) pole buildings or other such type of structure that is not of conventionalconstruction.
t
EXHIBIT B
Reguired Iuspectioas
To request an lnspection, you must call 726-3769. This La a 24 hour recording.
AIJ. inspectlons reguested before ?:00 a.m. will be made the same working day,
fnspectlons requested after 7:OO a.m. wlll be made the following work day.
J...t IeEporary Electric
!/-slt6 - To be made after excavatlon, but prlor to settlng forms
Footlng - After trenches ar6 exgavated
....':-
?'
E FoundatLoa - After formg are erected but prlor to concrete placerndnt
t ----Uaderfloor Pluublng'- Prior to fllllng trench
t//"'Uaderfloor Mecbaaical - Prl.or to lnsulatlon or decklng
Post & Beaa - Prlbr to floor lnsulatlon or decktng
Underfloor fasulatlon - Prlor to deckingL----
/./Sauitary seerer - Prlor to flIllng trench
// st6rn sewer - prlor to ftlllng trench
JZ wafer:Liue - Pr-!,or t3. fiIllng trench
F-
CITY OF OREGO'V
225 TIFTE STREEf,, .5-5-q
SPRINGFIELD,9
INSPEGTION
OFFICE: 726-3759
1
LEGAL
Pe s are non-transfera Ie
if vork is not started vithin
of issuance or if vork is suspended f
180 days.
2. CONItsACTOR INSTALT,ATION ONLY
Electrical Contractor
Address
Ci tv Phone
Supervisor License Number
Expiration Date /o ?r
constr contr. Number 2O - /5F
rs sr.romncd tp$oh!illE
(-..,. ,,,:)r require opocffio bnd ueg
/t
Ci ty Job Number
3. COHPI,ETE FEE SCEEDTILE BELOII
A Nev Residential-Sing1e or
Multi-Family per dvelling unit.
Service Included:Items Cost
SPRI!\GF!ELE,
BLBCTFJCAL PERI{IT
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
h Manuf'd Home- or
lar Dvelling
ice or Feeder
Services or Feeders
Installation, Alterations
Relocat ion:
r less
o 400 amps
-o 600 amps _o 1000 amps_
amps/vo1ts _
Only
ices or Feeders
nst teration or Relocation
L (
amps
t
$ 8s.00
$ 1s.00
$ 40.00
$ 40.00
$ ss.00
s 80.00
see lrBlt a6ove
I
2
=l
Sumffi
15
B.
amps
amps
o
t
t
t
$ s0.00
s 50.00
s1o0.0o
s130.00
$300.00
$ 40.00qL
cC,
Expiration Date
Signat of Supervising Electrician
Ovners
Addres
ci Phone
OVNER
The installation is being made on
property I ovn which is not intended
for sa1e, lease or rent.
ovners Signature:
DATE:
amps or
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
-Each installation
Pump or irrigation
-
S
sign/outline Lighting- q
Limited Energy/Res $
ampsr 401r 600
200
20L
0ve
0ve
to 600 amDS
1000 volts
N
D. Branch Circuits
New, Alteration or Extension Per Panel
One Circuit $ 35'00
Each Additional
Circuit or vith Service
or Feeder Permit
-
$ 2'00
E. Hiscellaneous (Service/feeder not included)
40.00
40.00
20.00
36.00
5
RBCEIVED
d)
ATTACHMENT A
ITY OF SPRINGFIELD SYSTEMS
I^JORKSHEET
Jots No. Qfi6 I 16,
DEVELOPMENT CHARGE
NAME OR COMPANY A'
LOCAIION / 544 h-/a Lx/t l'T
BUILDING SIZE
1. SIORM DRAI|\IAGI
IMPERViOUS SO. FT
2. SANITARY Sti^lER-CITY
NO. OF PFU'S
(See Reverse Side)
3. TRANSPORTATIOi\i
NO OF UNITS X TRIP RATE X COST PER TRIP
I x l.o/ X$472.49
x $472.49
x $472.49
A+
i'4I^JMC CRTDIT IF APPLiCABLE (SEE REVERSE)
SUBTOTAL (ADD ITEMS 1.2,3 & 4)
5. ADMiNISTRATIVE FEES
BASE CHARGE (SUBIOTAL ABOVE) X .05
SIZ
X $0.220 pE,D. SQ. FI $ -7 17. to
;Z:z-X $.16.86 PER PFU s lt O::.1 .qL
Ft
X
X
$ 477,U
$
$
SANiTARY SEWER-MIrJMC
DO'; Ot-l
N0. 0F fftti.s L x Z7^ >apER FEf + $10 l"lt^lMc/ADl.,l FEE $ 287,76
$^
TOTAL-MtdMC SDC $ 287, 76
$ 2.5-t2.11
--'$ tz,, er
SDC Coordi nator
Date: 4-t o-qg
rOTAL SpC $ 4G3E .A+
DTVELOPMENT TYPE' 5 {= lz--_
flr\lUnC, UlYll r.rALrrLrLAll\Jlu lAoLE.Numoerorl\ewFlxturesxUnrtEquivalenr = FixrureUnits
(NOTE: friilemiiO6ri, catcrilate.on' re NET additional fixtures)
Bathtub......
Drinking Fountain....
Floor Drain..................
lnterceptors For Grease/Oil/Solids,'Etc
lnterceprors For Sand/Auto Washi Etc...............
Laundry Tub/Clotheswasher.....
Clotheswasher - 3 Or More....
Mobiie Home Park Trap (1 Per Trailer) .........
Receptor For Refrigeralgr/Water Station/Etc....
Receptor For Commercial Sink,'Dishwasher/Etc.
Shower, Single Sta11..........
Shower, Gan9.........
Sink: Bar. Commer6ial, Resider-rtial Kitchen......
Urinal, Stall/Wall...
Wash BasiniLavatory, Single....
Toiiet, Pubiic lnstallation.
Toilet, Private.......
-z--
a-
HeaC
2
1
2
3
6
2
o
1
J
2
lt
2
2
1
o
4
4
7
T.
L
2_
--Miscellaneous:
TOTAL F|XTURE UNITS zz--
CREDIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table,
calculare ci'edits s rate s
2--
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
X$
(Rate X Assessed Value)
X$
(Rate X Assessed Value)
CREDIT TOTAL s
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,COO
Assessed Value
1979 or before
1 980
1 981
1982
1 983
1 984
1 985
1 986
$3.97
3.89
3.83
3.70
3.55
3.39
3.20
2.91
1 987
1 988
1 989
1 990
1 991
1 992
1 993
1 994
1 995
1 996
v z.co
2.17
1.73
1.31
o.92
o.74
0.61
0.45
o.31
o.1 7
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Fesroeniiai...:....
Commerical.......
lndustrial..........,
Governmental....
0.4
o.9
o5
o.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
Willamalane
Park & Recreation District Job. No.
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
HONE: -A3\c55cNAME:
ADDRESS:
.q
(.
LOCATION OF PROPOSED BUTLDING SITE:
Street Address:
srATE: [-,t- ,'tt
Plat Name:
1. DEVELOPMENT TYPE (Check
ype definitions are on the back.)
A. Single-Family Detachecl
t Single Family home
NO. OF UNITS
B. Single-Family Aftached
NO. OF UNITS
Tax Lot Number:
appropriate dwelling(s). SDC calculalions and dwelling t
Manufactured home not in a Park
3
COtX $1,000 per unit = $
X $924 per unit $
C. Multi-Familv Aoartment
NO. OF UNITS X $692 per unit $
$
D. Manufactured Home Park
NO. OF UNITS X $699 per unit
WILLAMALANE SDC
2. SDC CREDTT (it applicable) SDC+ayer must (umish proof of
Willamalane Credit approval. See SOC Credit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
. (if SDC reduced for Credit)
I'
oo$
$
$
/
D Do
b
City of
pment Department Date