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HomeMy WebLinkAboutPermit Building 2001-04-18SPRINGFIELD Job# 00-00330-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 4 h, 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 3472 Watermark Dr Spr AssessorsMap#: 17021943 Lot:52 Block: Addition: Job Number: 00-00330-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 01200 Subdivision : Ambleside ctTY oF SPRiNGFiELD, OREGO^ Owner: Greg Larkin Address: Po Box 2041 Scope Of Work: Single Family Residence same as 000201-01 3415 watermark dr Phone Number: City/State/Zip: New 541-726-0330 Corvallis, OR Value: $128,127 Contractor Type GeneralContr Electrical Contr Mechanical Contr Plumbing Contr Contractor Cochran lnc Po Box 33524, Seattle, WA 98133-0524 G&EElectriclnc Po Box 1686, Albany, OR 97321-0529 Midway Mechanical X, X, OR Midway Plumbing lnc 2428Fhree Lakes Rd Se, Albany, OR 97321-9781 Registration # 72942 Expiration Date 5t10t2001 Phone 503-367-1 900 541-967-8627 541-928-2423 541-928-7927 54468 04687 4687 911512001 1t2412000 7t25t2000 Quad Area: # Of Units: Constr. Type: Water Heater: 3RNC 1 (VN)Wood Frame Gas # Of Buildings: 1 Occupancy Group: Dwelling Heat Source: Forced Air Gas Sq. Footage: 1695 To request an inspection callthe 24hour 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 Building Verify Ground Rod Footing Foundation Post and Beam Floor lnsulation Ceiling lnsulation Shear Wall Nailing Framing - lnstall ground rod at footing, and call for inspection in conjuction with footing and/or foundation i -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. Office Use - Land Use: Single Family Dwelling Zoning Code: LDR Bedrooms: 3 Range: Electric Walllnsulation Drywall FinalBuilding Temporary Power Rough Electrical Electrical Service Final Electrical Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line FinalPlumbing Underfloor Mechanical Rough Gas Rough Mechanical Gas Service FinalGas FinalMechanical Curbcut Sidewalk Street lmprovement: Fully lmproved Curb Cut?f lmprovement Agr.? San Sewer Depth (Ft): 6 - 4 Storm Sewer Avaitable? f SpecialReq.: Security Required: Bond Begin DateTime: Special lnstructions: Other Utilities: Project Supervisor: Job# 00-00330-01 Page2 of 4 Required lnspections Building -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 electricalwork is complete. Plumbin -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. Mechanicat - Prior to insulation or decking. - Prior to cover. -After line is installed and line has been connected to a minimum of one appliance. Pressure ter -When all gas work is complete. -When all mechanicalwork is complete. Fublic Works I -After forms are ereceted but prior to placement of concrete. I I 00/00/0000 00:00 AM Sidewalk Type: Additional ROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: Curbside - 5' tr B To Curb and Gutter 6 00/00/0000 00:00 AM Types Of Warning Devices Reqd. Zoning: LDR FloodPlain? [ Wetlands? [ Planner: Urban Growth Boundary? Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a 3: Additional Requirements: LDAP Required tr Glenwood Area? [ Required Attachments: Source Locn: Material: Flood Plain FEMA:nla Job# 00-00330-01 Page 3 of 4 Land Use: Single Family Dwelling Pave Driveway? g Overlay District: # of Street Trees:3 Journal numbers 1: 2: Comments2 paved 9xlB parking spaces are required Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? ! Area (Sq. Main: 1695 AccessoryS50 Accessory Structure # Of Stories: 1 Height (feet): 23 Gurrent Units: Proposed Units:1 Census Code: New SF - detached Total2245 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check 03/01/2000 781 2Hourly Plan Review Total Plan Check $80.00 $80.00 Building Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 03t2712000 0312712000 03t2712000 1 048 1 048 1 048 128,127 $498.25 $34.88 $14.95 $548.08 Electrical Wiring Footage 1,000 Sq Ft or Less Wiring Footage Each Add'l 500 Sq Ft Temporary: 200 Amps or Less State Surcharge - Electrical State Surcharge - Electrical Administrative Fee - Electrical Administrative Fee - Electrical Total Electrical 0st2512000 05t2512000 04t13t2000 04t13t2000 0st25t2000 0411312000 05t2512000 1 897 1 897 1232 1232 1897 1232 1 897 1 3 1 $85.00 $45.00 $40.00 $2.80 $9.10 $1.20 $3.90 $187.00 Plu Minimum Plumbing Permit Fee Two Bathrooms State Surcharge - Plumbing Administrative Fee - Plumbing Total Plumbing 0312712000 0312712000 03t27t2000 03t2712000 1 048 1 048 1 048 1 048 $.00 $160.00 $11.20 $4.80 $176.00 Hood and Exhaust One to Four Outlets Minimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU Mechanical 0312712000 03t2712000 03t2712000 03t27t2000 0312712000 1 1 $4.50 $2.00 $.00 $.65 $6.001 1 048 1 048 1 048 1 048 1 048 1 Job# 00-00330-01 Page 4 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Vent Fan to One Duct Dryer Vent Mechanical lssuance State Surcharge - Mechanical Total Mechanica! Mechanical 03t27t2000 0312712000 03t27t2000 03t27t2000 1 048 1 048 1048 1 048 2 1 $6.00 $3.00 $10.00 $1.51 $33.66 New Sidewalk New Curbcut Tota! Public Works Public Works 03t2712000 03t2712000 1 048 1 048 50 1 $60.00 $60.00 $120.00 System Development Residential- Single Family - Storm Sanitary Sewer Residential Transportation Residential Sanitary MWMC Residential lmprovement MWMC MWMC Administrative Fee SDC Administrative Fee Property Annexed 1998 Tota! System Development 03t27t2000 0312712000 03t27t2000 03t27t2000 03t2712000 03t27t2000 0312712000 0312712000 3,311 22 $768.09 $1,061.94 $491.60 $242.76 $22.05 $10.00 $129.69 $-2.70 $2,723.43 1 048 1 048 1 048 1 048 1 048 1 048 1 048 1 048 15 S.F. Residence - Willamalane TotalWillamalane SDC Willamalane SDC 0312712000 1048 $1,000.00 $1,000.00 Renew Permit - Building Renew Permit - Electrical Renew Permit - Plumbing Renew Permit - Mechanical Total Permits w/o Srchg Permits w/o Srchg 04t18t2001 04t18t2001 0411812001 04t18t2001 249 85 80 11 $249.13 $85.00 $80.00 $10.75 $424.88 Grand Total Plan Check Type Checked By Date Completed Comment lnitial Review-Res Lisa Hopper 03/06/2000 Engineering-Res Steve Templin 0311312000 Planning-Res Al Ward 03/13/2000 Structural-Res Wendy Stanley 03/15/2000 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. $5,293.05 Signature Date 1 SPFIi|GFIELD BACKFLOW PREVENTION DEVICE PERMIT APPLICATION CITY OF SPRINGFIELD COMMI,]NITY SERVICES DTVISION . BI]ILDING SAFEry 275 FlfrSt Street Springf,el4 Oregon 97 477 Office: 72.6-3759 INSPECTION LINE: 726-37 69 l/t/*/.. rryla' kJob Assessors Map J.l. 1+. Owner:r Address Tax q/'I t-1 ZO a r State: BACKFLOW PERMIT IS $51.75 (includes Permit Fee, State Surcharge & Administrative Fee) Address: Construction C ontractors By signing this permiVapplication, I agree been instatled and is visible 1S Signature to call for an inspection once the backflow prevention device has (726-3769). I alio state that all information on this permit/application c <)//) Date FOR OFFICE USE Date of Application:1o 3/ Checked for Deiinquencies VALIDATION: Job #: Uo -ou=1d<>1ol /6. {c Checked for Historical Status: CITY OF OFEGO'U 5r'r arra(.t-tl]LU -l 225 ETFTB SItsEEf, SPRINGFTBID, ORBGoN IIISPBCIION RBQTIBSI: OPEICE: 726-3759 1 974 726-37 Duto E;1,,1:W' Air t $ Bs.oo 2) s 15.00 EIJCTRICAL PERHIT APPLICATION Job Nunber COHPI.STE FEE SCEEDULE BELOV idential-single orItily per dvelling unit. Srgaatrrre 'CJ'r) JOB n CX Pernits are non-transferabl ea nd expirelf vork is not started vlthin 180 daysof lssuance or if vork ls suspended for 180 days. 2. CONTRACTOR INSTALI^ATION ONLY Electrical Contractor t tf a-&tc Q0 bor I b Included: Items Cost 1000 sq.ft. or less Each additlonal 500 sq. ft or portion thereo f Sum MO 115.00 B Each Manuf,d Home or -Modular Dve1llng Service or Feeder Services or Feeders Installation, Alterations or Relocation: $ 40.00 40.00 55. OO 80. oo ee tB,, aEifrE Expiration Date /0 /-oo Constr Contr. Number Expiration Date -0 Slgnature of Supervlsing Blectrlcian Ovners Name Address Ct ty e OUNER INSTALI.ATION The installatlon is being made onproperty I ovn vhlch is not intendedfor sale, lease or rent. 800 Sltgp.rSignature: ]5NUHX 200 amps or less 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps- Over 1000 amps/volts Reconnect Only 200 amps or less 201 amps to 400 amps -over 401 to 600 amps -Over 600 anps or 10008[, Temporary Services or FeedersInstallatlon, Alteration or Relocation Address ci $l?,AL S(t I 7 86274a $ s0.00 $ 60.00 $100.00 $130.00 $300.00 s 40.00 c s $ $ss D. Branch Clrcults Nev, Alteratlon or Extension Per Panel One Circuit S 35.00 Each Additional Circuit or vith Service or Feeder Permit S 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/OutIine Light Limited Energy/Res 1ng_ Limited Energy/Comm $ 40.00 $ 40.00 $ 20.00 s 36.00 00 $tDrorAL oP ABorrB l3A,rO 7lZ state Surcharge m TOTAL 3b eoh^+* Fm- vt& lq3" CORECEIVED 5 !.h vlA I Supervisor License Ntimber eqq, 5 lrt: CITY OF OPEGO'U Th€ tollowlng zOtlrrlg arlo I apploval SPFllh.cFlELl, SUBTOTAL OF ABOVE 7% State Surcharge 32 Administrative Fee TOTAL Al'lT RECD:2 $ 44.00 IHANGE:- IASHIER:Q59 225 FTVIfl STREET SPRINGFTELD, oREGoN 97 INSPECf,ION REQ{IEST: 7 OFPICE: 726-3759 1. Zonrng ** ,3u/,r6ot s'guut"u DESCRIFTIONJ-1-4-0C o.3 ao e) PERHIT APPLICATTON Ci ty Job Nurnber o"j 3. COHPIIETE FEE SCEEDT'LE BBLOV A. Nev Residentj.al-Single or MuIti-Family per dvelling unit. Service Included:Items Cost -t?-f) r. Ll'.1 L I,EGALl?o 1000 sq.ft. or less Each additional 500 sq. ft or portion d Home. or e11ing Feeder Feeders n, Alterations on: Sum $ 8s.00 $ 1s.00 s 40.00 40.00 55.00 80. 00 ee rrBrr aSove DESCRTPTION Permi ts are non if vork is not of issuance or 1B0 days. CO}{TRACTOR Elec Addr Ci ty Supe Expi Cons ical Cont ess rvisor Lice Number ration Date tr Contr. Nrrmber Signature of Supervising Electrician ress o 200 amps or less $ SO.gq 201 amps to 400 amps - $ OO.g9 40L amps to 600 amps - q100.99 601 amps to 1000 amps- 5130.99 Over 1000 amps/vo1ts - S300.00 Reconnect o.,iy --f- S 40.00 t C. Temporary Services or Feeders Installation, Alteration or Relocation s $ $ss 200 amps''or less 20L amps to 400 amps _ Over 401 to 600 amps Over 600 amps or 1000-toIT Phone Expiration Date ovners n^ 6 [s"L)',-D. Branch Circuits NOTICE'"'IRE rEtHB\frrflHnon Per Panel Add cit (Phon .74d'4<7 Alteration PERMIT TSNOT S 3s.oo ce ermi t Miscellaneous (Service/feed -Each install-ation Pump or irrigation - Sign/0ut1ine Lighting- Limited Energy/Res - Limited EnergY/Comm $ 2.00 er not included) OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent Ovners E. $ $ $ $ 40.00 40.00 20.00 36.00 D5 RBCEIVED ture: -T\- PEBrryUl ANY BI: SPRINGFIELD Job# 00-00330-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of4 TRANSfi:01-0001CI48 DffTE:HflR ?? TOilO AHI RECD:I $ 4601.17 IHflNEE: IASHiER:059 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 3472 Watermark Dr Spr AssessorsMap#: 17021900 Lot:52 Block: Addition Job Number: 00-00330-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 03200 Subdivision: Ambleside crTY oF SPRTNGFIELD, OREoON Owner: Greg Larkin Address: Po Box 2041 Scope Of Work: Single Family Residence same as 000201-01 3415 watermark dr Phone Number: City/State/Zip: New 541-726-2222 Corvallis, OR Value: $128,127 Gontractor Type GeneralContr Gontractor River Valley Builders PO Box 2041, Corvallis, OR 97339 ElectricalContr G& E Electric lnc Po Box 1686, Albany, OR 97321 MechanicalContr MidwayMechanical X, X, OR Plumbing Contr Midway Plumbing lnc 2428Three Lakes Rd Se, Albany, OR 97321-9781 Registration # Expiration Date ANY ffionv 4687 PER\oD' 1r.4t2ool 712512000 Phone 541-740-4370 541-967-8627 541-928-2423 541-928-7927 NOT fielz .tHIS Office Use - hYthe are set Single Fa tol Quad Area: # Of Units: Constr. Type: Water Heater: 3RNC 1 (VN) Wood Frame Gas Land Use: Zoning Code Bedrooms: Range: b L Dwelling Air Gas3 E To request an inspection call the 24 hour recording at 726-3769. All 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 Building I Verify Ground Rod Footing Foundation Post and Beam Floor lnsulation Ceiling lnsulation Shear Wall Nailing Framing -lnstallground rod atfooting, and callfor inspection in conjuction with footing and/orfoundation i -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. \S ISNOl . ,^nrrtl9SY9Y.l'-, lov ' lot Wall !nsulation Drywall FinalBuilding Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line FinalPlumbing Underfloor Mechanical Rough Gas Rough Mechanical Gas Service FinalGas FinalMechanica! Curbcut Sidewalk Street lmprovement: Fully lmproved Curb Cut?lmprovement Agr.?[] San Sewer Depth (Ft): 6 - 4 Storm Sewer Available? f Special Req.: Security Required: Bond Begin DateTime: 00/00/0000 00:00 AM Special lnstructions: Other Utilities: Project Supervisor: Job# 00-00330-01 Page 2 of 4 Required lnspections Build -Prior to Cover - Prior to taping. -When all required inspections have been approved and the building is complete. Plu - 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. -After line is installed and line has been connected to a minimum of one appliance. Pressure ter -When all gas work is complete. -When all mechanicalwork is complete. Public Works -After forms are ereceted but prior to placement of concrete. 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 o 00/00/0000 00:00 AM Types Of Warning Devices Reqd Zoning: LDR FloodPlain? ! Overlay District: # of Street Trees: 3 Land Use: Single Family Dwelling Pave Driveway?Wetlands? Journal numbers 1: 2: Comments2 paved 9x18 parking spaces are required 3: Additional Requirements: LDAP Required tr Gtenwood Area? [ Required Attachments: Source Locn: Material: Planner: Urban Growth Boundary? Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a Flood Plain FEMA:nla Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? [ Area (Sq. Feet) Main: 1695 AccessoryS50 Job# 00-00330-01 Accessory Structure # Of Stories: 1 Height (feet): 23 Current Units: Proposed Units:1 Census Code: New SF - detached Total2245 Page 3 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check 03/01/2000 781 2Hourly Plan Review Total Plan Check $80.00 $80.00 Building Permit State Surcharge For Building Permit Building Administrative Fee Tota! Building Buildinq 0312712000 0312712000 03t27t2000 1 048 1 048 1 048 128,127 $498.25 $34.88 $14.95 $548.08 Plumbing Minimum Plumbing Permit Fee Two Bathrooms State Surcharge For Plumbing Permit Plumbing Administrative Fee Total Plumbing 0312712000 03t27t2000 03t27t2000 03t27t2000 1 048 1 048 1 048 1 048 $.00 $160.00 $11.20 $4.80 $176.00 Mechanica! Hood and Exhaust One to Four Outlets Minimum Mechanical Permit Mechanical Administrative Fee Less than 100,000 BTU Vent Fan to One Duct Dryer Vent Mechanical lssuance State Surcharge For Mechanical Permit Tota! Mechanical 03127t2000 03t27t2000 0312712000 03t27t2000 0312712000 0312712000 03t27t2000 03t27t2000 03t27t2000 1 048 1 048 1 048 1 048 1 048 1 048 1048 1048 1 048 1 2 1 $4.50 $2.00 $.00 $.65 $6.00 $6.00 $3.00 $10.00 $1.51 $33.66 New Sidewalk New Curbcut Total Public Works Public Works 0312712000 03t27t2000 1 048 1 048 50 1 $60.00 $60.00 $120.00 System Development Residential - Single Family - Storm Sanitary Sewer Residential Transportation Residential Sanitary MWMC Residential lmprovement MWMC MWMC Administrative Fee SDC Administrative Fee Property Annexed 1998 Total System Development 0312712000 03t2712000 03t2712000 03t27t2000 0312712000 0312712000 03t27t2000 0312712000 3,311 22 1 1 1 1 $768.09 $1,061.94 $491.60 $242.76 $22.05 $10.00 $129.69 $-2.70 $2,723.43 1 048 1048 1 048 1 048 1 048 1 048 1 048 1 048 15 1 1 1 Job# 00-00330-01 Page 4 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount S.F. Residence - Willamalane TotalWillamalane SDC Willamalane SDC 0312712000 1048 1 $1,000.00 $1,000.00 Grand Total Plan Gheck Type lnitial Review-Res Engineering-Res Planning-Res Structural-Res $4,681.17 Ghecked By Lisa Hopper Steve Templin AlWard Wendy Stanley Date Completed 03i06/2000 03t13t2000 03/13/2000 0311512000 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 inspections are requested at the proper time, that each address is from the the card is located at the front of the property, and the of at alltimes during construction re Date PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE NUMBER OF NEW FIXTURES X UNIT EQUTVALENT = PLUMBING FIXTURE UNITS FIXTURES UNIT FIXTURE FIXTURE TYPE NEW OLD ALENT LTNITS BATHTUB DRINKING FOTINTAIN FLOORDRAIN INTERCEPTORS FOR GREASE/OIL/SOLIDS/ETC. INTERCEPTORS FOR SAND/AUTO WASH/ETC. LATINDRY TUB/CLOTHESWASHER/MOP SINK CLOTHESWASHER - 3 OR MORE MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIGERATOR/WATER STATION/ETC. RECEPTOR FOR COMMERCIAL SINIV DISHWASHER/ETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URINAL, STALLAYALL WASH BASIN/LAVATORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: 0 0 0 TOTAL PLUMBING FIXTURE LNITS:22 CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATEL 42 0 2 1 2 J 6 2 6 6 I J 2 I 2 2 I 6 4 0 0 0 42 0 0 0 0 2I 0 2 0 2 0 8 2 2 YEAR ANNEXED RATE PER $1,OOO ASSESSED VALUE YEAR ANNEXED RATE PER $1,OOO ASSESSED VALUE $4.47 $ 4.38 s 4.32 $4.20 $ 4.03 $ 3.88 $ 3.68 $ 3.38 $ 3.03 $2.62 1989 1990 l99l 1992 t993 t994 t99s 1996 1997 1998 $ 2.18 $ l.7s $ 1.35 $ l.l7 $ 1.03 $ 0.86 $ 0.71 $ 0.57 $ 0.39 $ 0.18 1979 or before 1980 1981 1982 1983 1984 1985 1986 1987 1988 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE $0.18 IMPROVEMENT (IF AFTER ANNEXATION DATE) x x 15.000 $2.10 $0.00 $2.70CREDIT TOTAL ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER NAME OR COMPANY: LOCATION: TAX LOTNUMBER DEVELOPMENT TYPE: GREG LARKIN 00-00330-01 3412WATER MARK DRIVE I 7-02- l 9-00-03200 SINGLE FAMILY RESIDENCE DWELLING LTNITS I BUILDING SIZE: 2245 LOT SIZE: 6625 I. STORM DRAINAGE IMPERVIOUS SQ. FT.3310.75 x $0.232 PER SQ. FT $768.09 2. SANITARY SEWER-CITY NUMBER OF PFU's (SEE REVERSE SIDE) 22 x $48.27 PER PFU 1.94 3. TRANSPORTATION NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOI.IR TRIP I x 1.01 x $486.73 PER TRIP x x $486.73 PER TRIP $491.60 $0.00 TOTAL TRANSPORTATION SDC $491.60 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's I B.IMPROVEMENT COST: NUMBER OF FEU's I x x 16 PERFEU 522.05 PER FEU TOTAL MWMC SDC $242.76 $22.0s ($2.70) $10.00 $272.11 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE 74$2SUBTOTAL (ADD ITEMS 1,2,3, &4) 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE)x 0.05 $129.69 $2,723.43 SDC COORDINATOR DATE TOTAL SDC CHARGES t NAME: ADDRESS: Willamalane Park & Recreation District SYSTEM DEVELOPMENT CHARGE WORKSHEET k; Job. No. 0-b cT 330 - c PHONE: 7at"'f,>a>- STATE: CR_ ZTP: 1 LOCATION OF PROPOSED BUILDTNG SITE: Street Address:.3 {r I t^J Plat Name:A*Uu", d-t*_ Tax Lot Number:l-1 0> lqo-1) 0 3 )-tt'b DEVELOPMENT TYPE (Check ype definitions are on the back.) A. Single-Family Detaehed ./-/ Single Family home appropriate dwelling(s). SDC calctrlations and dwelling t Manufactured home not in a Park NO. OF UNITS X $1,000 per unit = $| 0-rD . B. Single-Family Attached NO. OF UNITS X $924 per unlt $ C. Multi-Familv Aoartment NO. OF UNITS X $692 per unlt D. Manufac.tured Home Park NO. OF UNITS X $699 Per unlt WILLAMALA,NE SDC 2. SDC CREDTT ([ applicable) SDOaayer must (umlsh proo( of Witlamalane Credit approval. See SOC Credil Wotksheot. 3. TOTAL WILLAMALANE NET SDC ASSESSED (l( SDC reduced torCredit) .T lo-D-n Deve I $ $ _lrl t3 $ lYt-o.- - $ $ City of Department Date 0-ts a--