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Home My WebLink AboutPermit Building 2008-11-24 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01697 ISSUED: 11/24/2008 APPLIED: 11/21/2008 EXPIRES: OS/24/2009 VALUE: $ 95,200.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line .SITE ADDRESS, 1921 S 57TH PL ASSESSOR'S PARCEL NO.' 1802033301500 Springfield TYPE OF WORK, Single Family Residence TYPE OF USE, New PROJECT DESCRIPTION: Single family residence SAME AS COM2008-01484 I DEVELOPMENT INFORMATION I ATTENTION: Oregon law requires yB1J:9:,VIRED PARKING Overlay ~i1I;?W rules adopted by the Oregon t~mi\' 2 # Street T'm~'R~~",:n Center. Those njles are si'iJnlfRapped, P d D'~ uR"Hd"t>2-001-001O thro'y'''b OAR 9"~.()()j- aye rive, q : . es ." ompact: ., f L tUlltlU. you. may obtam C"2t:119000 of the ru es oy 10 0 0 Cover .lge. '.. ca/llng me center. (Now: me telephone number for the Oregon Utility Notification I PUBLIC IMPROVEMENT~~j IS H;I,JU-,j,j~.~,j44). Sidewalk Type, Owner: HA YDEN HOMES LLC Address: 2464 SW GLACIER PL REDMOND OR 97756 ICONT~CTOR INFORMATION I Contractor License HA YDEN ENTERPRISES 92208 NOTICErop NOTCH ELECTRIC IN~"ORK 172366 THIS PEP.t;'}.q:I~ll!1\bllR:K'(j~lfuTF1lNt'Y 39237 ^'ITumd~1:o1:1~~ffiUS.iN.iRMIT IS NOT 90482 COMMENCED OR IS ABAI'l~'1nlli6lM; INFORMATION I ANY 180 DAY PERIOD. .. 1 . # of Stories, R-3 Height of Structure 14.50 U Type of Heat, Forced Air Gas VB Water Type, Gas Range Type, Electric Energy Path, Sprinkled Building: Contractor Type General Electrical Mechanical Plumbing # of Units, Primary Occupancy Group, Secondary Occupancy Group, Primary Construction Type Secondary Construction Type: # of Bedrooms, 2 n/a Front yard Setback: Side 1 Setback, Side 2 Setback, Rearyard Setback, Solar Setbacks, 10.00 14.00 36.00 14.00 0.00 Street Improvements: Storm Sewer Available, Special I nstruction, Fully Improved Yes Storm water to tie into curb via weep hole Downspouts/Drains,. Curbside 7' Curb and Gutter Notes: Page 1 of 4 Residential Expiration Date 07/29/2009 09/29/2010 03/25/2010 05/10/2009 Phone 541-228-1081 541-317-1998 541-672-9510 541-926-3190 Lot Size, 5,062 Sq Ft 1st Floor, 832 Sq Ft 2nd Floor, Sq Ft Basement, Sq Ft Garage/Carport 280 Sq Ft Other, Occupant Load: -~~!lI!~~!1l1!~.' lll..~', .., - - 11', " Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Dwellines Caraee V Wood Frame Caraee Fee Description -Mech Iss 2+ Appliances- + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee 1 Bath One & Two Family Addressing Assignment Appliance Vent Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Furnace - up to 100,000 btu Cas Outlets 1-4 Plan Review Major - Planning Plan Review Same As Residence Wiring 1000 Sq Ft . Residence Wiring Ea Addtl 500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement 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: COM2008-01697 ISSUED: 11/24/2008 APPLIED: 11121/2008 EXPIRES: OS/24/2009 VALUE: $ 95,200.00 I Valuation Descriution ~ $ Per Sq Ft or multiplier $105.00 $28.00 Square Footage or Bid Amount 832.00 280.00 Value. $87,360.00 $7,840.00 $95,200.00 Total Value of Project F'~p~, P'liriJ Amount Paid $42.00 $111.04 $126.58 $72.09 $165.00 $37.00 $8.00 $625.81 $88.00 $8.00 $11.00 $55.60 $15.00 $6.00 $211.00 $227.00 . $121.00 $22.00 $378.66 $497.97 $10.00 $1,009.17 $97.90 $104.58 $888.98 $201.54 $78.47 $88.00 $576.86 $57.00 $16.00 $2,513.00 $8,470.25 Date Paid Receipt Number 1200800000000001169 1200800000000001169 1200800000000001169 1200800000000001169 1200800000000001169 1200800000000001169 1200800000000001169 1200800000000001169 1200800000000001169 1200800000000001169 . 1200800000000001169 1200800000000001169 1200800000000001169 1200800000000001169 1200800000000001169 1200800000000001169 t200800000000001169 1200800000000001169 1200800000000001169 1200800000000001169 1200800000000001169 1200800000000001169 1200800000000001169 1200800000000001169 1200800000000001169 1200800000000001169 1200800000000001169 t200800000000001169 1200800000000001169 1200800000000001169 1200800000000001169 1200800000000001169 11/24/08 11/24/08 11/24/08 11/24/08 11/24/08 11/24/08 11/24/08 11/24/08 . 11/24/08 11/24/08 11/24/08 11/24/08 11/24/08 11/24/08 11/24/08 11/24/08 11/24/08 11/24/08 11/24/08 11/24/08 11/24/08 11 /24/08 t 1/24/08 11/24/08 11 /24/08. 11 /24/08 11/24/08 11/24/08 11 /24/08 11/24/08 11/24/08 11/24/08 Paee 2 of 4 Date Calculated 11/21/2008 11/21/2008 --~,~~l~,e~~~~';-:~!~..~..~.:.!. '. ~~. J(,f. Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01697 ISSUED: 11/24/2008 APPLIED: 11/21/2008 EXPIRES: OS/24/2009 VALUE: $ 95,200.00 225 Fifth Street, Springfield, OR 54t-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Plannine: Review 11121/2008 Plan Reviews I 11/21/2008 APP DDK Access restricted to one drivewayllot. Follow Street Tree plan. Public Works Review Structural Review 11121/2008 11121/2008 11121/2008 11121/2008 APP LKW APP CJC 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. ~irp'" In~,npptioll<.. 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 Iloor 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 heen requested and approved and the building is complete. Perimeter Foundation Drains, After gravel and filter cloth is installed but prior to backfill. Underlloor Plumbing, Prior to insnlation 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 Line, Prior to filling trench and including required testing. Storm Sewer Line, Prior to Iilling trench. Final Plumbing: When all plumbing work is complete. Underlloor Mechanical. Prior to insulation or decking and including required testing. Paee 3 of 4 CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2008-01697 ISSUED: 11/24/2008 APPLIED: 11/21/2008 EXPIRES: OS/24/2009. VALUE: $ 95,200.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Underlloor Gas, After line is installed and reqnired testing and capped if not attached to an appliance. Rongh 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 minimnm of one appliance including required testing. Presnre test done at this point. Rough Mecbanical, 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 Electric Service, Approval required prior to ntility company energizing service. Final Electric, When all electrical work is complete. Erosion/Grading Inspection, Prior to ground disturbance and after erosion measures are installed. Sidewalk - Curbside, After forms are erected but prior to placement of concr~te. Curbcut- Standard: 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 prop,"r time, that each address is readable from the I 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. o=-::::~:LCj 1/- :F/- C7 g" .' Date Paee 4 of 4 225 Fifth Street Springfield: Oregon 97477 541-726-3759 Phone !.'.~~~7,~~E}Datl ~.I'."'~..'...'..'..., ".1 AN -,: ......' .. . ..., . "' , - __....,".,."",.,.,.,.....~". __,.~:C ' City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number . COM2008-0 1697 COM2008-0 1697 COM2008-0 1697 COM2008-0 1697 COM2008-0 1697 COM2008-0 1697 COM2008-01697 COM2008-0 1697 COM2008-0 1697 COM2008-0 1697 COM2008-0 1697 COM2008-0 1697 COM2008-0 1697 COM2008-0 1697 COM2008-0 1697 COM2008-0 1697 COM2008-0 1697 COM2008-0 1697 COM2008-0 1697 COM2008-0 1697 COM2008-0 1697 COM2008-0 1697 COM2008-0 1697 COM2008-0 1697. COM2008-0 1697 COM2008-0 1697 COM2008-0] 697 COM2008-0 1697 COM2008-0 1697 COM2008-0 1697 COM2008-0 1697 COM2008-0 1697 Payments, Type of Payment CreditCard cReceintl RECEIPT #: 1200800000000001169 Date: 11/24/2008 Description Temp Power 200 amps or less Fire SF Fee - Residential Curbcut Permit Sidewalk Permit Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reiinbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transportation Admin Vent Fan + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Plan Review Same As Plan Review Major - Planning Building Permit Addressing Assignment Willamalane Single Family I Bath One & Two Family Furnace - up to 100,000 btu Appliance Vent Exhaust Hoods Dryer Vent Gas Outlets 1-4 -Mech Iss 2+ Appliances- Residence Wiring 1000 Sq Ft Residence Wiring Ea AddU 500 Paid By HA YDEN HOMES LLC Item Total: Check Number Authorization Received By Batch Number Number How Received 055384 055384 In Person Payment Total, nJm Page I of I 9,29,S2AM Amount Due 57.00 55.60 88.00 88.00 576.86 497.97 378.66 201.54 888.98 97.90 1,009.17 10.00 104.58 78.47 16.00 72.09 126.58 111.04 227.00 211.00 625.81 37.00 2,513.00 165.00 15.00 8.00 11.00 8.00 6.00 42.00 ]21.00 22.00 $H,47U.25 Amount Paid $8,470.25 $H,47U.25 11/24/2008 225 FIFTH STREET. SPRlNGFIELD, OR 9'7477 ;PHo(541)726-3753 ;F,LXo (541)726-3689 . . it.r ELECTRICAL PERMIT APPLICATION City Job Number ,C"'>W\?_<so,Jr ,. 0/60, 7 ZON l.512- n.I1TIALS J'! M , DATE '/ -2.--+~X SOURCE'('y") .pSp<..J Date \,. '" XL/--'-O '!( 1. tllrf~,rWI:~Sl~!I'~1 3. ttQ~~~fmiW~NJlgl~1~~~~~}~~iit~ LEGAL DESCRIPTION: J 807 D:n"3, . . . A.',~~{.1r'i~Jlit~I~~:[~li\~Iwl~itVK~R~'ifl Of)OO JOB DESCRIPTION: 1000 sq. ft. or \ess II . .. J..". __ ' Each additional 500 sq. ft. or . fiD.....s. (..,. L.'" I ~ 'k.. I ~ portion thereof .. '" . I .. . . Permits ore non-transferable a~d expire if work is .. ~rIe~'?fitif~'2gd Home or not start. ed within 180 days of issuance or.d~~on \e.w.re oi1\Jllm DW!lJWg Service or . ____~_ _Suspended.JOl:..l&lLda)'s~----A"t!.EllI'_~~\'1! ~_~t lort . $55.00 . .r\.lleS . 1\'1OS.e_r ,.o~~,\!u~ _ , -- 0 thfo~'fiiI~~*~~1~1t~1( ~a" 'J~~~~1li~iif,1~%\~1'.:J~~t%1l!f:;~i.!;f1.W!r1E':,W~i]~;~fi~ .Jt'~ 2 ,II 1)':',~ ;:~\\t~es' OF'" ...e <;:::tS~-\:lnSutllatJonl\iW!J era.'tiou-".fot'n:e oea on-'?]' . . n COn\e~~'lif:I~~;r;~",~1. ~Jb'i]b5.~g"'l~ h-~~i""'~' ~1'O ~ I'\~" 1 ~Ai,"; <'" "r? w;t:::"'w", i\.\t..,\i,,;,<,'-,\j,J,,~o,'jl\~,~~,r-?* \ ah, t' te,et'"vTI . .~." .,,--",~- Electrical Contractor Z1f';Vb~~;JP:~a~e~tel" ,~~tG~~~~~j,i~W~ $ 70.00 ..... Ca\\lel 101 \\'1e"v\e~Oo_33IDI'~bs to 400 Amps $ 83.00 Addr\,ss oLOffl''1 CveJ''E'1- center \S - 401 Amps to 600 Amps $138.00 -... .,.,... 601 Amps-to'"IOOO"A:mps':"'- . $-180';00", . rilone 5"1;--g!/ r77iJ Liver JOOo-AIilj5SlVollS t41TOv .Reconn'tct Only $ 55.00 ( , It! ~o ~O Service Included ..i.., Llty g f/>.-J'/ Expiration Date LfoY 0/ 5 /20111 200 Amps or less /7 2~f# G. .201 Amps to 400 Amps 401 Amps to 600 Amps Expiration Date ().e-z) c:; .. . ,.. . . Over 600 3" 1000 Volls see "E" above. Signal ore ofSgpervAsing,Electrician . " ~?J~~~1lJiIJ~'iBil.:!\lI:~'Ji;~j,~(.~~if~~~~'l~ cc;r" ^ ~ ~I ~ .\ t\ .- .0.. . C~:. ,~\.\.~'j.?~~~1a~ or Extensio~ Per Panel ~'~~~ "':\\~\, S~':;Jt.\l- ,\\~ ~~~\) $ 48 00 . ",\\\S '('t.' \7..'t.\) \,)\" \S \>.'OJI( ch AddItional Crrcuit or with OwnersN";;'e -fl/r-1(')f;7'-(~:U~~\) ()\l- \l-d;J. S.:~~:',~~~::der~:~: ""'" $ 4.00 ~111 .., ., J W vi) "j aI:I.1i1\>.if~ E. II\ml*~'Mm~"f"NrJ~t~i1ilr~~d~l:!1,;[~!!'!)!j1i~~h~iSt'il!ll'~lf.~"~\~1 Address __J C1"1 U r'\ f"'J...... ,~K~~~'~w~~fln~';E1~.a:~1't~U:(~~:'.i~i~.rJit[I,;~;.;~dtt-dJ@)~~:1JJi8~. "S~i:<i'~ City ~cJ,v~ Phone Z-N-6 '.:Jr ~!,!J-"_._".,"""w-,~."",_.~..."~-.-,,...,~.., .... C 7" :'''iITe.fiW m" ,~>\\)ii~!~!tl1i: ~;",;:iie~~,,~i;:',.,"~ir;:ii~~m',:\~"~lJ0~~~~'jhJ,l;1f~~1,;';;l1k,\N~~!':~,"3j:~\~(()'i~~'k~-:r. '~~~J>~s:flrJ~;J . ,.~". , .' .na:-, '.11>', ... , ' "... '1' .. ,_''; ;" .' .. 0 ."": ..; 'i'l~",.... <'. ';;je" ,. ,'.):,-:, ~.f': i;~':"""","~'-' d;;~~~it;~~iJ~~~~~Ei~jj~~~J~~;iu~~ffi~!l~j~*~~~I:.a~~~1iW~Jillf~{~~1~~~ Supervisor License Number / ..)1 $ <Loo .17600 $110.00 , Installation, Alteration or Relocation, Constr. Contr. Number OWN:ER.INSTA:LbkTION- The installation is being made on propertY Town whlch- .-. is'not intended for sale, lease o~ rent. . Pump or irrigation Sign/Outline Lighting Lirnited.Energy/Residential- . Lnmted cilergy/ComlDerclal $ 55.00 $ 55.00 n --$'28,00-, $ 5U.UU Owners Signature: Minimum Electric Permit ]nsp~ction Fee is $50.00 + Surcharges . ,"'pih'[mt~_~~m:m~~[ID'!!~1fu~li~~~~ -,~~~..ji[W.b\.~i~&~~..'i."fll'iml~~.~il'.~' . ~ 4. e~,;~m.IDll[~,\~~j8~mlW.m)!~~!~'Ml~i~lj~~r~j!1~:i!fml;$~~~I~ili~{ ~ ~~.iW~~[llif;~m~~~'\!.Ii!:ili:j~fJ~"i~~~~~~m"~i~~~:i~1:~'~~~ ~l - 12%.State Surcharge. ; - -z.y 1 0% Administrative Fee - 2-u- 5% Technology Fee , ',-U Inspection Reqnest' 726-3769- TOTAL _.. z 5L( Shared. Drive(T:)/Building Forms/Electrical Permit Applical;ion"l '-0&.( CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER, COM2008-01697 NAME OR COMPANY: Hayden Homes LOCATION: 1921 S. 57th Place. TAX LOT NUMBER, 1802033301500 DEVELOPMENT TYPE: Single Family Residence NEW DWELLING UNITS I BUILDING SIZE (Sf' 1112 LOT SIZE (SF): 4792 r-- I~ 10 18 10:: I~ .[/) ,~ '0 ~ J. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. I. CHARGE I 1617.00 1 $0.357 I = 1 $576.86 1 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS ! IMPERVIOUS S.F. I x 1 COST PER S.F. I x 1 DISCOUNT RATE I 1 I 0.00 I I. $0.357 . 1 50% 1 = 1 DISCOUNT $0.00 ITEM I TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER - CITY $576.86 . $576.86 1.1070 -' A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I 18 1 . B. IMPROVEMENT COST, 1 NUMBER OF DFU's 1 x 1 18 1 COST PER DFU $27.67 \ $497.97 I 1091 I I 1092 I I' COST PER DFU $21.04 $3 78.66 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I $876.63 3. TRANSPORTATION A. REIMBURSEMENT COST: 1 ADT TRIP RATE I x 1 NUMBER OF UNITS 1 x I COST PER TRIP x INEW TRIP FACTORI I 9.57 . I I 1 21.06 1 1.00 1 $201.54 ' 1093 B. IMPROVEMENT COST: I I ADTTRlPRATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRlPFACTORI I 9.57 I I I I $92.89 I 1.00 1 $888.98 11094 ITEM 3 TOTAL - TRANSPORT A nON SDC = I $t,090.52 -~ 4 SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER?F FEU's I x ICOST PER FEU I I $97.90 = $97.90 11054 B. IMPROVEMENT COST, INUMBER OF FEU's 1 x ICOST PER FEU I I I I $1,009.17 = $1,009.17 1055 I MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 11054 MWMC ADMINISTRATIVE FEE $10.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I $1,1l7.07 SUBTOTAL (ADD ITEMS 1,2,3, & 4) = I $3,661.08 5. Af)MINISTRA T1VE FEE: 1 SUBTOTAL x I ADM. FEE RATE 1= I $3.661.08 1 5% 1 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: CHARGE $183.05 104.58 $78.47 11079 1078 Kaye Wilson PREPARED BY 11/2112008 TOTAL SDC CHARGES $3,844.13 DATE DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTIJRES x UNIT EQUIVALENT l' DRAINAGE FIXTIJRE UNITS (NOTE:.FOR REMODELS, CALCULATE ONLY TIlE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS [BATHTUB 1 0 3 = 3 IDRJNKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE lOlL I SOLIDS I ETC 0 0 3 = 0 I INTERCEPTORS FOR SAND I AUTO WASH I ETC 0 0 6 = 0 LAUNDRY TUB . .1 0 2 = 2 ICLOTHESWASHER I MOP SINK 1 0 3 = 3 CLOTHES WASHER - 3 OR MORE (EAl 0 0 6 = 0 MOBILE HOME PARK TRAP (I PER TRAILER) O. 0 12 = 0 RECEPTOR FOR REFRJG I WATER STATION I ETC 0 0 1 = 0 RECEPTOR FOR COM. SINK I DISHWASHER I ETC 1 0 3 = 3 SHOWER, SINGLE STALL 0 0 2 = 0 SHOWER, GANG (NUMBER OF HEADSl 0 0 2 = 0 SINK, COMMERCIAURESIDENTIAL KITCHEN 1 0 3. = 3 ISINK: COMMERCIAL BAR 0 0 2 = 0 I SINK: WASI.I BASINIDOUBLE LAVATORY 0 0 2 = 0 ISINK: SINGLE LAVATORYIRESIDENTIAL BAR 1 0 1 = 1 URINAL, STALL I WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 TOILET, PRIVATE INST ALLA TION 1 0 3 = 3 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS t8 .EDU (Equivalent Dwelling Unit) is a dischar~e eQuivalent to a sinJ!:le familv dwellinll: unit (20 DFU's) sb at 167 gallons per day MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE i ' r--- YEAR I ANNEXED I BEFORE 1979 I 1979 I 1980 I 1981 I 1982 I 1983 I 1984 I 1985 I 1986 I 1987 1988 , 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATEI$I,OOO ASSESSED VALUE i;';':lj;;~!!~~~ $5~._;2_~,;!:!-'i'ij' !!:~r;~~ . . ~- $5.29 ~ . :.1 ;~,~:,!~t~~'~O;i,'J .,.i~~~ ~:~~~ . :.:>.-',$4.63_c. :'-~~6~~~~:il!:t7ii~;~i: -- $3.67 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR 2 2 2005 CREDIT FOR LAND (IF APPLICABLE) VALUE I 1000 CREDIT RATE $0.00 x $0.00 ~ ,1 $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE I 1000 CREDIT RATE $0.00 x $0.00 ~ I o TOTAL MWMC CREDIT $0.00 = Job. No. ali - Ie, 'f':; SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2008 NAME: /h.YD~.A./ PHONE:~ ~9J) ADDRESS;2'fV( StJJ ~L~~~ITYRm~ STATEmLlIP: 1'7?r?- LOCATION OF PROPOSED BUILDING SITE: Street Address: 1'1;J../ S 5:?fI... Plat Name: Tax Lot Number: ff6:2 o~;J.] OIS&>> 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 = $;2.5/'3 B. Sinale-Familv Attached NO. OF UNITS X .$2,726 per uriit = $ . 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 fumish proof of Willamalane Credit approval.) $ 3. TOTAL WILLAMALANE NET SDC ASSESSED. (if SDC r uced for Credit) ~ ~. Development ervices Department City of Springfield $ .J.)I~ /1 I :2-( I di Date 5