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--