HomeMy WebLinkAboutPermit Building 2008-11-20
CITY OF SPRINGFIELD.
BuildingfCombination Permit
PERMIT NO: COM2008-0I66S
ISSUED: II12012008
APPLIED: III I7/2 008
EXPIRES:' OSi20/2009
VALUE: $ 194,320.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5724 Peridot Way
ASSESSOR'S PARCEL NO.: 1802041401213
Springlield TYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: Single family residence
TYPE OF USE: New,
Residential
Owner: LA WRENCE JAMES A & PAMELA S
Address: 624 V ST
'SPRINGFIELD OR 97477
Contractor Type
General
Electrical
Mechanical
Plumbing
. I CONTRACTOR INFORMATION .1
'Contractor License
JAMES LA WRENCE CONSTRUCTION INC 171303
LYNNS ELECTRIC . 102316
J COO INC 169209
DONALD CLEWIS 167921
BUILDING INFORMA TlO~ I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: I
Height of Strllcture 21.00
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: . Gas
Energy Path:
Sprinkled Building: n/a
I
R-3
U
VB
4
I DEVELOPMENT INFORMATION I
"-
"-Front yard Sethack:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
,
Overlay Dist:
# Street.Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
"
18.00
5.50
11,00
19.30
24.91
Expiration Date
07/30/2010
10/14/2011
04/1212010
01/16/2010
Phone
541-988-3549
541-726- 7895
541-746-7065
541-688-1931
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
,C
Sq Ft Other:
Occupant Load:
6,044
1,728
460
REQUIRED PARKING
2
Yes
36,20
Total:
:..!iandicapped:
Compact:
2
ATTi-",-r,,...,./
I PUBLIC IMPROVEMENTS I ~Ollow rUle-; ~d';;;t~~b'aw requires you to
.' otlt',?ation.s:;; " Th' Y the Oregon Uti/it
~treet Improvemellts: Fullv Improved Oln 0'~"~!l1Y~!1l0~~:1 0 those rules are aul1\!lj~ 5'
.' 090 Vn . rough ('..1\ 0 LlC IT
Stor"l~^ll'~r ~vallable: Yes ~ow~SPO'tttfOr.-aIJI~'o' '1C1lfl>'!iil<V~tter
Specil't i:MI~tt:on: Storm water to curb via weep hole n cal ing the cent~~~' (Nofe'et~ ofthe rules by
THIS PERMIT SHAll EXPIRE IF THE WORK .. . umber for the Oregon uiili e telephone
NotesAUTHORIZED UNDER THIS PERMIT IS NOT . Center is 1-800:332_~3~otlf'cation
COMMENCED OR IS ABANDONED FOR 4).
ANY 180 DAY PERIOD.
Pa2e 1 of 4
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541,726-37691nspection Line
Description
Tvpe of Construction
Dwellines
Garaee
V Wood Frame
Garaee
Fee Description
Plan Review Residential
-Mech Iss 2+ Appliances-
+ 10% Administrative Fee
+ 12% State Surcharge
+5% Technology Fee
2 Baths One or Two Family
Addressing Assignment
Appliance Vent
Building Permit
Curbellt Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential.
Fireplace (Listed)
Furnace - up to 100,000 btu
Gas Outlets 1-4
Plan Review Major - Planning
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimburs~merit
SDC MWMC Administration
SDC MWMC Improvemen!
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
SDC Transportation Admin
Sidewalk Permit
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
Total Amount Paid
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-01665
ISSUED: 11/20/2008
APPLIED: 11/1712008
EXPIRES: OS/20/2009
VALUE: $ 194,320.00
I v alua~Ion Oescrintion ~
$ Per Sq Ft
or multiplier
$105.00
$28.00
Square Footage
or Bid Amount
1,728.00
460.00
Value
Date Calculated
$18],440.00
$12,880.00
$194,320.00
11117/2008
11/17/2008
Total Value of Project
~er' f1iIU
Amount Paid
$646.77
$42.00
$17L94
$193.20
$99.85
$289,00
$37.00
$8.00
$995:03
$88.00
$8.00
$11.00
$109.40
$18.00
$15.00
$6.00
$211.00
$121.00
$66.00
$483.84
$636.30
$10.00
$1,009.17
$97.90
$148.91
$888.98
$201.54
$72.88
$88.00
$1,107.97
$57.00
$16.00
$2,513.00
$10,467.68
Date Paid
Receipt Number
11/17/08
11/20/08
11120/08
11120/08
11120/08
11/20/08
11/20/08
(1/20/08
11120/08
11/20/08
11/20/08
11/20/08
11120/08
11/20/08
11120/08
11120/08
11/20/08
11/20/08
11/20/08
11/20/08
11/20/08
11120/08
11/20/08
11/20/08
11/20/08
11120/08
11120/08
11120/08
11120/08
11/20/08
11/20/08
11/20/08
11/20/08
2200800000000001648
1200800000000001161
1200800000000001161
1200800000000001161
1200800000000001161
1200800000000001161
1200800000000001161
1200800000000001161
1200800000000001161
1200800000000001161
1200800000000001161
1200800000000001161
1200800000000001161
1200800000000001161
1200800000000001161
1200800000000001161
1200800000000001161
1200800000000001161
1200800000000001161
1200800000000001161
1200800000000001161
1200800000000001161
1200800000000001161
1200800000000001161
1200800000000001161
1200800000000001161
1200800000000001161
1200800000000001161
1200800000000001161
1200800000000001161
1200800000000001161
1200800000000001161
1200800000000001161
Paee 2 of 4
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2008-01665
ISSUED: ll/20/2008
APPLIED: 11/17/2008
EXPIRES: OS/20/2009
VALUE: $ 194,320.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Plannine: Review
Public Works Review
Structural Review
111)7/2008
11117/2008
1111712008
I Plan, Reviews I
11/17/2008 APP
11/17/2008 APP
11117/2008 APP
DDK
LKW
CJC
Approved as noted on plans.
Storm water to curb via weep hole
Approved as noted on plans
To Request an inspection call the 24 hour recording at 726-3769. 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
work day.
Ue(JlIire~nsnections I
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough;in inspections have been approved,
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Final Building: After all required inspections have been requested and approved and the building is complete.
Perimeter Foundation Drains: After gravel and filter cloth is installedbnt prior to backfill.
Underlloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Une: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench,
Final Plumbing: When all plumhing work is complete.
Undertloor Mechanical. Prior to insulation o'r decking:and including required testing.
Undertloor Gas: After line is installed and required testing and capped if not attached to an appliance.
Paee3 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2008"01665
ISSUED: 11/20/2008
APPLIED: 11/17/2008
EXPIRES: OS/20/2009
VALUE: $ 194,320.00
225 Fifth Street, Springfield, OR
54]-726.3753 Phone
54]-726.3676 Fax
54]-726-3769 Inspection Line
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Gas Service: After line is installed and line has been' connected to a minimum of one appliauce iuCludiug required
testing. Presure test done at this point.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete,
Temporary Electric: Approval required prior to Utility Company energizing pole.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Erosion/Grading Inspection: 'Prior to ground disturbance and after erosion measures are installed.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
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 701.005 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 dU"! :n7Jction. I ( / f< 6 / Ii 9
'ffl'_' rJ"M"'","~ ".. I I 0 "
Page 4 of4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone ,
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM200S-0 1665
COM200S-0 1665
COM200S-0 1665
COM200S-0 1665
COM200S-0 1665
COM200S-0 1665
COM200S-0 1665
COM200S-0 1665
COM200S-0 1665
COM200S-0 1665
COM200S-0 1665
COM200S-0 1665
COM200S-0 1665
COM200S-0 1665
COM200S-0 1665
COM200S-0 1665
COM200S-0 1665
COM200S-0 1665
COM200S-0 1665
COM200S-0 1665
COM200S-01665
COM200S-0 1665
COM200S-01665
COM200S-0 1665
COM200S-0 1665
COM200S-0 1665
COM200S-0 1665
COM200S-0 1665
COM200S-0 1665
COM200S-0 1665
COM200S-01665
COM200S-0 1665
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
1200800000000001161
Date: 11/20/2008
Description
Plan Review Major - Planning
, Building Permit
Addressipg Assignment
Willamalane Single Family
2 Baths One or Two Family
Furnace - up to 100,000 btu
Vent Fan
Appliance Vent
Exhaust Hoods'
Dryer Vent
Gas Outlets 1-4
Fireplace (Listed)
-Mech Iss 2+ Appliances-
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or Iess
Fire SF Fee - Residential
Sidewalk Permit
Curbcut Pennit
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - 1mprovement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Stonn Admin
SDC Transportation Admin
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
JAMES LAWRENCE
Item Total:
Cl1eck Number Authorization
Received By Batch Number Number How Received
njm
2470
In Person
Paymeni Total:
Page 1 of 1
8:1I:0SAM
Amount Due
211.00
995,03
37.00
2,513,00
2S9.00
15,00
16.00
S,OO
11.00
S.OO
6,00
IS,OO
42.00
121.00
66,00
57.00
1 09.40
SS,OO
SS,OO
1,107,97
636.30
4S3,S4
201.54
SSS.9S
97.90
1,009.17
10,00
14S,91
72.SS
99,S5
193.20
171.94
$9,820.91
Amount Paid
$9,S20,91
$9,820.91
11/20/200S
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER: COM2008-01665
NAME OR COMPANY: James Lawrence
LOCATION: 5724 Peri do!
TAX LOT NUMBER: 1802041401213
DEVELOPMENT TYPE: Single Family Residence
NEW, DWELLING UNITS I BUILDING SIZE (SF: 2180 LOT SIZE.(SF):
I. STORM flRAlNAGE '
COST PER DFU
$27,67
B. IMPROVEMENT COST:
I NUMBER OF DFU's I x
I 23 1
COST PER DFU
$21.04
ITEM 2 TOTAL - CITYSANlTARY SEWER SDC
~ ,
3, TRANSPORTATION
A REIMBURSEMENT COST:
I ADT TRIP RATE I x
9,57 I
B. IMPROVEMENT COST:.
1 ADT TRIP RATE 1
I 9,57 1
1 NUMBER OF UNITS I x I
i I I
I NUMBER OF UNITS I x I
1 I I
~ ,
x
ITEM 3 TOTAL - TRANSPORT A nON SDC
, $1,120.14
COST PER TRIP
21.06
COST PER TRIP
$92,89
$1,090.52
DISCOUNT
$0.00
x INEW TRIP FACTORI
I 1.00 I
x INEW TRIP FACTORI
I 1.00 I
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F, x I COST PER SF I I CHARGE
1 3105,75 I $0,357 = I $1,107,97 1
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. I x I COST PER S.F, I x.1 DISCOUNT RATE 1 I
1 0,00 I I $0.357 1 50% 1 ~ I
ITEM 1 TOTAL - STORM DRAINAGE SDC I $1,107.97
2, SANITARY SEWER - (;ITY
A REIMBURSEMENT COST:
I NUMBER OF DFU's I x
I 23 I
4 SANITARY SEWER - MWMC
A REIMBURSEMENT COST:
INUMBER OF FEU's 1 x
1 I I
ICOST PER FEU
I $97.90
B. IMPROVEMENT COST:
INUMBER OF FEU's I x
I II
ICOST PER FEU
I $1,009.17
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
SUBTOTAL (ADD ITEMS I, 2, 3, & 4)
. !,'
~ ,
~ I
$1,1l7.07
'~
10
10
I~
I~
E-<
r/l
a
gj
5663
$1,107.97
I 1070
-,
11091
I
'11092
_I
$636.30
, . $483.84
$201.54
. 11093
I
$888.98
1094
=
$97.90
11054
,I
=
$1,009.17
$0.00
I ]055
11054
$4,435.70
) Al1MINISTRATIVE FEE:
, ISUBTOTAL x I .ADM, FEE RATE I~ I,
1 $4,435,70 I 5% I 1
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
CHARGE
$221.79
148.91 11079
$72.88 11078
=, $4;657.49 i
II
Kaye Wilson
11/17/2008 .
PREPARED BY
DATE
TOTAL SDC CHARGES
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS 11
I .
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIXTURES)
NO. OF FIXTURES DRAINAGE I
I UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
[BATIlTUB 1 0 3 = 3 I
IDRJNKlNG FOUNTAIN 0 0 1 = 0 I
FLOOR DRAIN 0 0 3 = 0 \.~ I
IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC ,.0, 0 ,,3 . . 0 I
I INTERCEPTORS FOR SAND / AUTO WASH / ETC . 0 0 6 = o. I
LAUNDRY-TUB 0 ,0 2 = 0 . I
CLOTHESW ASHER I MOP SINK 1 0 . 3' = 3 I
CLOTHESW ASHER - 3 OR MORE (EAl 0 0 6 = 0 I
MOBILE HOME PARKTRAP (I PER TRAlLER) 0 I 0 12 = 0 I
RECEPTOR FOR REFRJG / WATER STATION / ETC 0 I 0 1 = 0 I
RECEPTOR FOR COM. SINK / DISHWASHER / ETC 1 I 0 3 = 3 1
SHOWER. SINGLE STALL 1 I 0 2 = 2
SHOWER. GANG (NUMBER OF HEADS\. 0 II 0 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 I 0 3 = 3 I
SINK: COMMERCIAL BAR 0 I 0 2 = 0 :1
SINK: WASH BASIN/DOUBLE LAVATORY 1 I 0 2 = 2
ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 I 0 1 = 1 I
I URINAL, STALL/WALL 0 II 0' 5 = 0 I
fTOlLET, PUBLIC INSTALLATION 0 II 0 6 = 0 I
TOILET; PRJV A TE INSTALLATION 2 II 0 3 = 6 I
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S . I
f: 20 = 0
TOTAL DRAINAGE FIXTuRE UNITS 23
,
.EDU (EQuivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
I
I
I
I
I
I
I
I
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I
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I
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I
.:' MWMC crown CALCULATION TABLE: BASED [ON COUNTY ASSESSED VALUE
YEAR I CREDIT RATE/$I,OOO I \
ANNEXED ASSESSED VALUE IS LAND ELGffiLE FOR ANNEXATION CREDIT?
BEFORE 1979 5 (Ente~ I for Yes, 2 for No)
'1979 IS IMPROVEMENT ELGlBLE FOR ANNEX, CREDIT?
I
1980 (Enler I for Yes, 2 for No)
1981 . ' IBASE YEAR
..1982 I
.1983 CREDIT FOR LAND (IF APPLICABLE)
1984 VALUE /1000 CREDIT RATE
1985 " $0,00 x $0.00
1986
. 1987 ".,~. ',;:.,"
1998
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
. 2001
.";
2-1
I
I
I
I
I
I
I
I
2
5663
~ ,
$0,00
j~- ...., ,. '.~ '
CREDIT FOR IMPROVEMENT (IF'AFTER ANNEXATION)
VALUE/1000 CREDIT RATE
$0,00 x $0.00
o
~ ,
.
I
TOTAL MWMC CREDIT
= "
$0,00
U.l! ~Il'! 'J'"
"'~ ..'.. ..,.. on, _n'" I,
'~","''''''','''''' ZON .-L;fY7-
~ ""Tl'll.S ~pv-
nAn _(I ~"'::5:?5
. SO\,illCB..:co"D..$ () <v
0./1-;76 ~(jri' "
'>OI,l>T/l STJltGT . SPIUliGI'IE1.D. OR 91''''' . 11l.:(S4I)_S1" . FlU:, (5'11__
E/.EC'l'RlCALPERMlTAPPUC\110N /_ .
elly lob N\WIbot Ct#17..t'Of'J ':: /) / lfl~ 5-_
""'~'Yi-''''',ti\ll'' ."~""~"""~I'"'-~,1f~:~~~~"";"" ~':!tI..'.,'~':t/".....",
1. ',," ,,:" , ,," ,~' 2a., '"Ht,",:'i:..&i:'
~'~:;4"~;J~~M;"'::"'~ ,,,",,,,k'
, ' f
LEGAl DESCRII'TJON:, ~
1~2.a-f/~- (!)(2/:'L-___
lOB DESClUPTION:
;5. F. fi1~ "
, '
ronnl" arc .oa-t1'Uff.nabI. .nd upl.. II '0'" is
DO' Aiortcd withla 180.,.)'1 or bl.."e. or if "or\< b
S..",,,,,\!od fo, ISO dlI~
q]rrol~l'&~IIf~~ii1 ~~~.
~ . ;\~~:i~i~ ..'~,~. ':':t::..~:,:.~.:;~:;.".".,..:-:';'.~ ~~(~
BlodricolCo""""'.... L'IAl1./S ~~.u,,,
...ddn:u _P.:.t1lt- A
ell)' .'HI- \I C tt e.K
I'booe
....,:(: 78'S"""
_ ~ '-st.",,,
S\Illorvi.or Lleense Numbet
;'~S"7" :)
Expin.tion Dale I 0 /( /1 0
t .
COfl.IT, COO1l", NWl\bor lot. "31\..
r<pitalion Date jO/'" f n
SigD&lll'" of SupeMSing Eloctrici."
~rf~O
(lWTllln Name JtIU-~~~-
Address _'5-t.~~/.Dt!'L.c...--
Cil)' ,~ phone
owr..-1:8 INSTALLATION
The instal!sli.ou ;1 being t11ade on propotty 1 JWJl whicb
is out intended for a)e:. lc&'it or -rent
OvIUlO Signature:
.,.-
l...ptdlOIl Roqutst: 726-3769
3. ~6i_~~Wili1:~~;:;;).~ilUi~rJF';~~~~%m::i1i~~,:~;F~ffi"a
.~..,..;~\.._~~~~:~ffM~"'i_~~~';h::lh!k-.#1",:....,.:..;l.l.~:;~~>'l..
':';'\'..,,~,.,-_.-.. ..~.., ""~'I--~'-"..'--"-'~'''" ..~.~.:.. '-'-~-"','."-;"-'"
",,",""'''' ..,.""',.."i:ll'....:""I'..lI\itii!"~""":i"',..,
Iu ;,:::,~C~;~~,:,~,,. . .~~...".:~~ftL".~-.:.~At-!:;~,~~~~.',~~.~..;:.'~.."'~~~~~~,'}~~2t~
&..... llI....dod
WOO sq" ft, or less
Roeh od4itional $00 sq, tI, Q!"
ponion lI1creof
--1----- ~ /2-144
2 ~ /-/_"6
.-LL--.- . ~
Each MaIIutaot'dHo"'. Of
Modular Dwelling s..'JVice or
Feeder .
$H,oo
~'.}!fi'"1".~:.:iis..:.?i~~'~~:rIif~~2;~~~Jl~;~r~.~:mi}!1.:._:,f~j~~::,~;~.P-t~i:;~.;,
lL !]/ . ,-....,,~ ,'. :~~t;,_..' ....:~,~:~~~~,~.~:.~. ',~ ~. ~.--- ;~rL,-,":.,..\,p.}:~~~:;
"" ,',. _. \ ',~:,.."" ~"iliQt.,~"...,';r......il.,ll:~_,O'li.",,;f"'....P',_~'1!::;i~....-.x-..'.~ ",,'ll~,""
zoo AlnpI or I...
ZO 1 AmpJ to 40C ......p.
401 "-'o600......pI
60 I Amp' III 1000 Amp.
O,.r 1000 AmpaIVollS
1Wconoec:t 9('I~-ENTION: 0'9q:'
S 70.00
S 83,00
$138.00
5110,00
5413.00
5 1~,I)(t
/
~ ~ " :
c. ;;;~.;;-r6,7~;;J'if~i;;rr~t~'tijT~!Y)~~~:?'~1!::!::;~::f
._'~...." ," l~ ..._.,"'t~'1<,....&:.,~~...."~,".....,..~"i..:"I.~..,.....I,... 01...., ,.I_~,;r.'l:jj.! ...-..'.,J...J;.;~.M'j',..'
in OAR 952-001-0010 three"I; (Ai', c:, ''-'.-
lu.Wlalitftl~~.'i'Sfl~l~!i'tl~WrDGo,pies &;~1125! #'f)
200 Amp' o'dlil~ng the centeL-\~ti,~ ,""Jph~ .
201 Alllp'1fitWll~r the Oreg~r l'tili~lM\l1i1iG.o'.'o~
401......'.to600~~nter is 1"pnn ~~0-~!lW41J'!
~'iiifJ'..O!~'y'~~.~~,::B.:.'~~~m"...'..'.>:ll'" '"c",,-,.',....
n. i.i~, ::~.., .:i~x~!1~.:~~jjfL,.L&-.:f~~~:5~':;;'g~~~;~~]~i;_~,~~~,1},'~11~~!:~~K~:tB~:lt~;4~
NOl"'.;l,'!en'IoD or [,;.e..10ll1'.r I'DDtI
OIIe C'll'cuit
Ba</l Add\tloo.al Cirouil Of witll
Se...;"" or F0e4er Pnmi\
$ 48,00
SUO
:.i.."t,'''l!~''~'',:, ;.f~~~":.'I::lf~':~::!i~F"~':"'l'"l~t~:'0';it?::;""0. ,1'C':';;;'~~I;':'~'.:7-7,;";.o;m;;::~;:-,.!~"{~.\~:.:.(-:::,,:-::i;'lt1t;~i~~:llt
.. ", .""~ "~.Vf.;,j,,; '. ":liOtlftd' ""4liiiiIiiQ""''''''',''
'."",' no-" "."..0. ,'....... ~.~ ,.... _ _,,,,, .,' .,."""_",..,..",,.' _" .'."',-,," ,.J~~
t~ . ,,,I,,J' ..~_,'y'...._.....,._..../,.~.~j.",.",'_"""""."~.":..t(;,,,-..,
P1lllll' or in~OO S '5,00
SigniOultiAo LiShtiot: S 55.00
LiJl1j~ EntrcrlRc.idcnli4l S 28,00
LilnilEd EllOllIYfCommuolal $ >0.00
Mln_Gal D=dri< Fermll J .., ' ,,;, , Foe;. $50.00+ Sur....rgu
4. W~G~,;.ei~fif~S~!:;p!$',lj't{:'!,'fi!r~j0f'f;i I 71. pI?
...___ "1\:.:t.-!..~.'i~".iI.' ...."..........", ...._.....".\..i~.'..~'.".' ,~..A.'^,.I...~".I",,,;l~.,..,,',' z:!..
",.. S_ S....horge
10'1'. Adminialnlllvt fa
.1% r_olollY F..
roT~ 2~~6
Sw1dl),;'o'C(T:V8wkUliJfonn'tllUtlC;U';c.J ~rmjl .,pplioMior. '!-ol.d~
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
i~UTHORIZED UNDER THIS PERMIT IS NOT
C<l:')iMf.i,!CED OR is ABANDONED FOR.
J\~' '.f ~ ,-,of p:".\' PerileD.
2~ WiUamal~ne
t"W Park & Recreation D/:tnet ,
Job~ No.. 6 ~.s-
SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2008 .
NAME: U4w4WCF
ADDRESS: ,?I'fI fl1ztDlr
CITY bft.P
PHONE: S"tt3 b'$S'1
STATE:~ZIP: 9?L/?,[
COCATION OF PROPOSED BUILDING SITE:
Street Address: . ':)72"1 ftlZl/XJr
Plat Name:
Tax Lot Number: JEO.2 0 Ifl,! () au '
1. DEVELOPMENT TYPE (Check appropriate dwelling(s), Dwelling type definitions are on the
back.) ,
A. Sinale-Familv Detached
NO. OF UNITS
X $2,513 per unit =
$ df:' t.3
B. Sinale.Familv Attached
NO. OF UNITS
X $2,726 per unit =
$
C. Multi-Familv Aoartment
.NO. OF UNITS
X $2,323 per unit =
$
D. Sinale Room Occuoancv
NO. OF UNITS
X$1,162 per unit =
$
E. Accessorv Dwellina Unit
NO. OF UNITS
X $1 ,257 per unit =
$
WILLAMALANE SDC $
2. SDC CREDIT (If applicable) SDC payer must furnish proof of
Willamalane Credit approvaL) . $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
!Jk,
Devel~rvjces Department
City of Springfield
$ .:2~/J ~
II I 17 I t'JJ
Dat~
5