HomeMy WebLinkAboutPermit Building 2002-03-28SPRTNGFIELD
Job# 99-00696-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 3
Job Number: 99-00696-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot #: 00305
Subdivision:
225 Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1865 00008th St Spr
AssessorsMap#: 17032613
Lot: Block: Addition
Owner: Steve & Shari Hiatt Phone Number: 541-736-0302
Address: 663 Northridge City/State/Zip: Springfield, OR97477
Scope Of Work: Unfit For Use - Single Family Resid New Value: $55,000
$107,4s9.00
Declared unfit for use by State because of illegal methamphetamine manufacture and/or use as
storaoe sile oer letter dated 2l15l12 Addecl nermits for renair of strrrctrrre drre to meth lah
Gontractor Type Contractor Registration # Expiration Date Phone
General Contr Ehlers Construction lnc 4231 1111912004 541-689-6177
2066112 Roosevelt Blvd, Eugene, OR
97402-2536
GeneralContr Barbara Gore
Electrical Contr
ElectricalContr
MechanicalContr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
589 32nd St, Springfield,
Chinook Electric
PO Box 42016, Eugen
Crow Valley Electric
PO Box 21705, Eugen
Ehlers Construction ln,
2066 112 Roosevelt
97402-2536
138121
9591 0
4231
Use
-
e,oo
e
&
C{s'
402
541-334-7208
541-461-2590
541-683-8373
541-689-6177
541-461-4714Plumbing Contr RS Plumbing
2234 Dakota St,
e, OR
cC
La '6r",
Zoning Code:
Bedrooms:
Range:
o6
=
U)
,-{Idings: 1
Group:
Heat Source:
Sq. Footage:
2RNW
1
clTY oF SPRiNGFTELD, OREGOTV
To request an inspection call the 24 hour 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 Inspections
Transfered Records
Gurbcut
Temporary Power
-After forms are ereceted but prior to placement of concrete
-Approval required prior to SUB energizing pole.
e
,?
1011
Footing
Sidewalk
Underfloor Plumbing
Verify Ground Rod
Foundation
Rough Mechanical
Underfloor Drain
Rough Plumbing
Post and Beam
Water Line
Floor lnsulation
Sanitary Sewer Line
Shear Wall Nailing
Storm Sewer Line
Framing
Walllnsulation
Drywall
Bolts installed in
concrete
Ceiling lnsulation
Framing
Walllnsulation
Drywall
FinalBuilding
Rough Electrical
Final Electrical
Final Plumbing
Rough Mechanica!
FinalMechanical
Construction Types:
Occupancy Groups
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq.
Main:
Job# 99-00696-01 Page 2 of 3
Required lnspections
Transfered Records
-After trenches are excavated.
-Prior to insulation or decking.
-lnstall ground rod at footing, and call for inspection in conjuction with footing and/or foundation i
-After forms are erected but prior to concrete placement.
-Prior to cover.
-Prior to cover or placement of concrete.
-Prior to cover.
-Prior to floor insulation or decking.
-Prior to filling trench.
-Prior to decking.
-Prior to filling trench.
-Before covering sheathing with finish materials.
- Prior to filling trench.
- Prior to cover.
-Prior to Cover
-Prior to taping.
-To be done by a State Certified Special lnspector. Provide inspection test reports to City Buildir
Buildi
- Prior to cover.
- 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.
-When all electrical work is complete.
Plumbi
-When all plumbing work is complete.
Mechanical
- Prior to cover.
-When all mechanicalwork is complete.
# Of Stories: Height (feet):
Current Units: Proposed Units:1
Census Code: New SF - detached
Total:
1
Accessory
Fee Paid On Receipt# Value/Quantity Fee Amount
Transfered Records
Plan Check Fee
Building Permit
Plumbing Permit
Mechanical Permit
SDC-Storm Sewer
05t2111999
07t1411999
07t14t1999
07 t14t1999
07 t14t1999
34128
34834
34834
34834
34834
293
451
160
23
609
$293.15
$451.00
$160.00
$22.50
$608.81
Job# 99-00696-01 Page 3 of 3
Fee Paid On Receipt# Value/Quantity Fee Amount
Transfered Records
SDC-Sanitary Sewer
SDC-Transportation
SDC-MWMC
SDC-Administrative Fee
SDC-Willamalane
Sidewalk
Curbcut
Temporary Electric
Mechanical lssuance
Total Transfered Records
07 t14t1999
07 t14t1999
0711411999
07114t1999
0711411999
0711411999
0711411999
07 t14t1999
0711411999
34834
34834
34834
34834
34834
34834
34834
34834
34834
849
480
284
111
1,000
60
60
40
10
$848.52
$480.07
$283.69
$1 1 1.06
$1,000.00
$60.00
$60.00
$40.00
$10.00
$4,428.80
Building
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
0312812002
03t28t2002
0312812002
8433
8433
8433
55,000 $298.00
$20.86
$23.84
$342.70
Electrical
Wiring Footage 1,000 Sq Ft or Less
Wiring Footage Each Add'l 500 Sq Ft
Miscellaneous Electrical
State Surcharge - Electrical
State Surcharge - Electrical
Administrative Fee - Electrical
Administrative Fee - Electrical
Total Electrical
0B/1 6/2000
08/1 6/2000
03t28t2002
08/1 6/2000
0312812002
0B/16/2000
03t28t2002
2943
2943
8433
2943
8433
2943
8433
1
1
45
$85.00
$15.00
$45.00
$7.00
$3.15
$3.00
$3.60
$161.75
Plumbing
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Miscellaneous Plumbing
Administrative Fee - Plumbing
Total Plumbing
0312812002
0312812002
03t28t2002
0312812002
8433
8433
8433
8433
45
$.00
$3.1 5
$4s.00
$3.60
$51.75
Mechanical
Minimum Mechanical Permit
Administrative Fee - Mechanical
Vent Fan to One Duct
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanical
03t28t2002
03t28t2002
0312812002
03t28t2002
03t28t2002
8433
8433
8433
8433
8433
3
$.oo
$3.60
$45.00
$10.00
$3.1 5
$61.75
75
o z
I
John A. Kitzhaber, M.D., Govemor
FEBRUARY I5,2OO2
Department of Consumer and Business Services
Building Codes Division
1535 Edgewater Street NW
POBox74470
Salem, OR 97309-0404
(503) 378-4133
FAX (503) 378-2322
rTY (s03) 373-1.358
http: // www.oregonbcd.org
regon
\11Tlblv Do30f
DAVID PUENT
BUILDING OFFICIAL
225 FIFTH ST
SPRINGFIELD OR 97477
RE: DRUG LAB REGISTRATION
We have received notification from the Health Division that the following property was
declared "unfit for use" because of illegal methamphetamine manufacturing and/or use as a
storage site:
Address:1865 8th Street
Springfield OR
County:Lane
Property owner:Shari Hiatt
663 Northridge Avenue
Springfield OR97477
lLtt
LOUANN RAHMIG
Administrative Specialist
Louann Rahmig
Interested Parties
County Assessor
Lane Co Environ Health
c
.{aJ.sd
ilr*-
FD_16
@ot
11o3 Z 6t 3 oo 3oS
FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
(qq.friAUoU
DATE:Z 0L
TO:
FR0t"1:
SUBJECT:
Building Department
Springfield Fire Department
Structural Damage to Buildino
Address or I ocation of bu'i1di ng qs /h
Name of or.Jner Sho., /-/,^tt
Type of buiiding ll; .
(Dwel I i [9'Store, l,,rarehouse, etc. )
Estimated value of buildinq O
Estimated loss to buildinq $ 65. ooc)
Date of fire
Location of damage in bujlding
Z OZ
/L/w ' ,ut /ru
1"N € 15" /no,-
(Roof , l,la'll , Exterior, Interior, etc. )
Structural weakness as a result of the fire
(Burned rafters, Beams, "loists, etc. )
Additionai pertinent information
cc
?ur 'lUloz -ah
Siqned
1cElectrical Hazard .1
(lrli ri nq , 0utl ets , etc. )
q, 0,1- n lnLl
OREGO'VCITY OF
sP,:!ELE,
The following project as submitted has thezoning, and does not require specific landapproval
Zoning r> rL-
PERHIT APPLICATION
City Jo b Nunber q q- 006q S-
DATE:AUE 16 ?OOO
Ai',lT RECD:2 $ 110.00. IHANGE:
IASHIER:059
s 8s.00
40.00
55. O0
80. o0
ee rrBrr a6ovE-
Date U- 6a
225 FIFTE STREET
SPRINGFIELD, OREGON 97477 Authorizedsignature
INSPECTiON REQIIESTz 726-3769
0FPICE: 726-3759
1 0r TION
I.,EGAL DESCRTPTION
COHPIJTE FEE SCEEDUrc BELOS
Nev Residential-Single or
Multi-Family per dvelling unit'
Service Included:Items Cost
3
A
Sum
z5JOB DESCRT
SP,P--
PTION 1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelli
Ser qise'
the
the r
200 amps'
\(Q s1s.oo&_LS
$ 40.00
Permits are non-transferable and expire
if vork is not started vithin 1B0 days
of issuanee or if vork is suspended for
180 days
2. COMRACT0R INSTALLATION 0NLY ro\lot^B.
You
ons
Electrical Contractor
u090 $ s0.00
s 60.00
s100.00
$130. 00
s300.00
$ 40.00
Address o the
amps
Ci ty Phon o 600 amps
to 1000 amps
Supervisor License Number amps/vo1 ts
Only
Expiration Date
Constr Contr. Number 2a-{r'3L C. TemporarY Services of'Feeders
Insiallaiion, Alteration or Relocation
Expir:ation Date o
s ture of SuPervising Electrician
Owners Name_
Address t o 5#
Ci ty Phone
DATE:
401,
600
SUBTOTAL OF ABOVE
7% State Surcharge
32 Administrative Fee
TOTAL
'or less $
to 400 amps -- $
to 600 amps
_-_
$
amps or rb0o-ToT[s s
oTlc 201
0ve
amps
A\
t
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 3s.00
$ 2.00
E Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation _-
Sign/0utJ-ine Light ing--
Limited EnergY/Res
-
Limited EnergY/Comm
$
$
$
s
00
00
00
00
40
40
20
36
5
RECEIYED
6 _=-
l) o
_L
60r.
0ver
amps
1000/s<,,3 s
Erg.t o-
OSNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent'
0vners Signature:
Reconnec t
THIS
i ts
ANY I
l
GPRTNGFIELD
RESIDENTIAI, PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
o
Page 1
ilob Nu.mber: 990595
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: 1855 8TH ST
Assessors lrtap #: l'l 0326a3
Lot: 4 Block: 2
Office:
Inspection Lj-ne:
726 -37 59
7 26 -37 59
Tax Lot #
Subdivision
00305
MIMOSA PARK
SPilNGFIELI',
owner: STEVE/SHARI HrATT
Address: 663 NORTHRIDGE
Describe Work: S.F. RESIDENCE
Phone #: 735-0302
ciry/state/zip: SPRTNGFTELD, OREGON 97477
NEW
Const.
ConEractor #Expires PhoneConEractor
Generaf:OWNER
QUAD AREA: 2RNW
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: ]-932
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
INSUL PATH: P1
To request an inspeccion, call the 24 hour recording aL'126-3769.
AJ-1 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 foll-owi-ng work day.
--- REQUIRED INSPECTIONS ---
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placement.
ITNDERFLOOR PLITMBING - Prior to insulation or decking.
TNDERFLOOR DRAIN - Prior to cover or placement of concrete.
ITNDERFLOOR MECIIAIiIICAL - Prior to insulation or decking.
POST AIiID BEA!{ - Prior to f loor insulation or decking.
INSULATfON - Floor; prior to decking Wa11/Ceiling; Prj-or to cover
WATER LINE - Prior to filling trench.
SATiIITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
ROUGH PLtndBING - Prior to cover.
ROUGH MECHANICAL - PriOr TO COVET.
ROUGH ELECTRICAL - Prior to cover.
SIIEAR WAI/L NAILING - Before covering sheathing wj-th finish materials.
FRAITING - Prior to cover.
INSULATION - Floor; prior to decking Wa11/CeiJ-ing; Prior to cover
DRYWALL - Prior to taPing.
ETECTRICAL SERVICE - Must be approved to obtaj-n permanent power.
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in p1ace.
FINAL PLITMBING - When all plumbing work is complete.
FINAL MECHATiIICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When all- efectrical- work is complete.
FINAL BUILDING - When all required inspections have been approved and
the buildi-ng is complete.
LoL Faces: S Lot Sq. Ft.: 11850 Lot Coverage: L5 Z
4iPRINGFIELD
Job Number: 990696
SPruNGFIELI',
Page 2
Topography: 2
Sofar Approwed: Y
House
Garage
Total Height: l7 .5
Lot Type: INTERIOR
Setbk From NPL: 63
N
45
Setbacks
SW
a9
25
E
5
Item
Main
Garage
Total Value
Building Permit Fee
Surcharge/admi-n
TOTAIJ FEE
--- BUILDTNG PERMIT ---
Square Feet x
l-404
528
$/Square Feet
69 .64
18.34
Value
97 ,775.OO
9 ,684 . OO
L07,459.0O
451
35
00
08
(A)487.08
--- PLIIMBING PERMIT ---
ftem
Residential Bath(s)
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
2
Fee
150.00
150.00
12.80
L7 2 .80(c)
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
Mechanical Permit.
Issuance
Surcharge/admin
TOTAI, PERMIT
3
5.00
4.50
9.00
3.00
(D)
22 .50
10.00
1.81
34.31
--- MISCELLAI{EOUS PERMITS ---
Surcharge/admin
Sidewalk
Curb Cut
CITY SDC
TEMP ELECT
WILLAI\iU\LANE
TOTAI, MISCETTAIiIEOUS PERMITS
0
60
60
2 ,332
43
1,000
00
00
00
15
20
00
(E)3,495.35
(Excluding Electrical )
unless oEherwise noted
--- TOTAL AMOI'NT DUE ---
(A, B, c, D, and E combined)4,L89.54
--- BUILDING VALUE, PLA}iI CHECK AND BUILDING PERMIT ---
This permit is granted on the express condj-tion that the said construction
shal1, in all respects, conform t.o t.he ordinance adopted by the City of
Springfield, including the Development Code, regulating the construcLion and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
APRINGFIELE,
Job Number: 990596
SPilNGFIELq o
Page 3
Plans Reviewed By: AL WARD
Building Site Reviewed By:
Plan Check Fee:
Received By:
293 .1,5
LISA HOPPER
Date Paid: 05/2L/99
Date: 06/2e/99
Receipt Number 34L28
--- ADDITIONAL COUMENTS
A SEPERATE ELECTRICAL PERMIT IS REQUIRED
DRIVEWAY REQUIRED TO BE PAVED
3 STREET TREES REQUIRED
By Eignature, I Etate 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 al-l- work performed
shall be done in accordance wit.h 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 certj-fy that only
conLractors and employees who are in compliance with ORS 701.055 wj-11- be
used on this project.
f further agree to ensure that all required inspections are requested at the
proper time, that each address is readabl-e from the street, that the permit
card is located at the fronL of the property, and the approved set of plans
will remain on t.he site at all times during construction.
1-\\-1?
Signature Date
--- VALIDATION ---
Receipt Number
Date Paid
Amount Received
Received By
03{ tr 7L/
7 /,{
t{/fq
?1
CITY OF
225 TIFTB
INSPECTION
OFFICE: 726-375
1
ntStl f,TXTtthcs
Permi ts are on- t ransferabl nd expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
COMRACTOR INSTALI..ATION ONLY
S VGFIELC,
ELECTRICAL PBRHIT
City Job Number
COHPI,ETE FEE SCEEDIII.,E BELOV
Nev Residential-Single or
MuIti-Family per dvelling unit.
Service Included:Items Cost
6'
A
B
Sum
AII LI\iI I
1000 sq.ft. or less $ 85.00
'3:l ?t'X{ffit+dfl'
'i'l;l.lffii.ffitrffiF
s.'ri""ftYr'8P"?{Installation, Alterations
o'
'1"r3.1d*1,7,"'
E1 ical Contractor
Address'
Ci ty
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _
601 amps to 1000 amps_
Over 1000 amps/volts
-
Reconnect 0n1y
Temporary Services or Feeders
Installation, Alteration or Relocation
rlotific s s0.00
s 60.00
s100.00
s130. 00
s300.00s 40.00
00
00
00
Brt
0. Yo
Supervisor Lic
Expiration Date
Constr Contr. N er
Expiration e
Signatu o f Supervising clan
Ovners Name
Address
cir Phone
OVNER ON
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Osners Signature
a56ve
Branch Circuits
Nev, Alteration or Extension Per Panel
one rcircuit $ 35'oo
Each Additional
Circuit or vith Service
or Feeder Permit
-
$ 2.00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/0utline Lighting-
Limi ted Energy/Res _Limited Energy/Comm
SUBTOTAL OF ABOVE
52 State Surcharge
32 Administrative Fee
TOTAL
200 amps"or
201 amps to
0ver 401 to
0ver 600 amp
less I S
400 amps -- $
600 amps $s or 1000-ilts se
40
55
BO
:€il
D
I
E
s 40.00
s 40.00
s 20.00
s 36.00
00
DATE:
Phone
se Num
RECEIVED
[,( ,
:
\
5
JouRNAr-oR JoB No. T1 o uq.6
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME oR .,MPANY ' l-f ia'tl
L0CATiON : t$G% <4L S+
DEVELOPMENT TYPE:SFD
NO. OF PFU'S 6 x $47.14 PER PFU s&4<.sz
(See Reverse Side)
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X t.ot X$475.32 $ 48a,o1
x $475.32 '$
4, SANITARY SEWER-MI,IMC
A. REIMBURSEMENT COST:
A
L :14
NO. OF FEU'S I X 21744 PER FEU
B. IMPROVEMENT COST:
N0. 0F FEU',S I X z5,zo PtR FEU
Mi,'lMC CREDIT iF APPLICABLE (SEE REVERSE)
MI,JMC ADMINISTRATIVE FEE
ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
6(-
$ 10.00
TOTAL-MI^JMC SDC 3
SUBTOTAL (ADD ITEMS 1,2,3 & 4)zzzl ocl
$ 2,9.20
$ z{?,f ,
$ rll . o(o
SDC
.! ' A. I,JPD
i nator
Date:
TOTAL SDC $7v72, t5
BUILDING SIZE: I47Z LOT SIZE SQ. Ft.
IMPERVIOUS SQ. FI . 2L8 ?- X $0.227 PER SQ. FI . $ OO?,gI
2. SANITARY SEWER-CITY
s zt1 .#
e141fr
FIXTURE UNIT CALCULA - 'ON TABLE: Number of New Fixtur
(NOTE: For remodels, calculate only fflv-NET additional fixtures)
NUMBER OF
FIXTURE TYPE NEW FIXTURES
: Unit Equivalent = Fixture Units
UNIT
EOUIVALENT
FIXTURE
UNITS
Bathtub....7_
Drinking Fountain....
Floor Drain.
lnterceptors For Grease/Oil/Solids/Etc.................
lnterceptors For Sand/Auto Wash/Etc..................
Laundry Tub/Clotheswasher......
Clotheswasher - 3 Or More.....
Mobile Home Park Trap (1 Per Trailer)......
Receptor For Refrigerator/lvater Station/Etc
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Sta11..........
Shower, Gan9......,..
Sink: Bar, Commercial, Residential Kitchen....
_--/
Urinal, Stall/Wa11........
Wash Basin/Lavatory, Single........
^Toilet, Public lnstallation.-TrToilet, Private............
Miscellaneous
TOTAL FIXTURE UNITS
CREDIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table,
calculate credits se arates.
.2
-z-
2*
3,
/Head
2
1
2
3
b
2
6
6
1
3
2
1
2
2
1
6
4
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
4.21 x $- 6Xg =2G.15
(Rate X Assessed Value)
X$
(Rate X Assessed Value)
CREDIT TOTAL = g
Year
Annexed
Rate per $1,OOO
Assessed Value
Year.
Annexed
Rate per $1,OOO
Assessed Value
1979 or before
1 980
1 981
1982
1 983
1 984
1 985
1 986
1 987
1 9BB
$4.27
4.18
4.12
3.99
3.83
3.68
3.48
3.1 I
2.82
2.42
1 989
1 990
1 991
1 992
1 993
1 994...r995
1 996
1 997
$1.98
1.55
1.15
0.96
0.83
0.67
o.52
0.38
o.21
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating purposes Ontyl
FIXUNIT.WPD lMPERVlous AREA = TorAL Lor stzE x RUNOFF coEFFtctENT
I
--r-
I
U
I
I
Willamalane
Park & Recreation District
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
Job- No.
PHONE:
a
NAME
ADDRESS:
LOCATION OF PROPOSED BUILDING SITE:
Street Address:
Plat Name:Tax Lot Number:
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
A. Single-Family Detached
-l- single Family home Manufactured home not in a park
NO. OF UNITS X $1,000 Per unit = $
p
B. Single-Family Attached
NO. OF UNITS X $924 per unit = $
C. Multi-Familv Aoartment
-
NO. OF UNITS X $692 Per unit = $
D. Mant,fac{ured Home Park
X $699 Per unlt = $
$00
2. SDCCREDTT (f applicable) SDO+ayermustfurnishproof of
Wtlamalane ireOiiapproval. See SOC CreAt Wortcsheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced forOredit) $
6
N
Develo
City of
-7 ,-/Y , 77
Date
\s\cA Nfr{nnirtnf srArE&zrp'Ltil]
NO. OF UNITS
WILLAMALANE SDC
eld
Department