HomeMy WebLinkAboutPermit Building 2007-6-1
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.1Ii.OF I)t'Kll~\.JNJ<.,LD
,
Building/Combination Permit
PERMIT NO: COM2007-00325
ISSUED: 06/01/2007
APPLIED: 03/05/2007
EXPIRES: 12101/2007
VALUE: $ 188,784.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5733 MT VERNON RD
ASSESSOR'S PARCEL NO.: 1802030005700
SPRING FIE TYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Single family residence -lot 191
Owner: HAYDEN ENTERPRISES
Address: 2622 SW GLACIER PL #110
REDMOND OR 97756
Phone Number: 541-228-1081
Contractor Type
General
Electrical
Mecbanical
Plumbing
. ~~~
I CONTRACTOR INFORMAnOl1l~" \)\
~t. II" . :\ \"6 ,~
Contractor . ~\.. t.i-\l~ \l~i'c~ns~\\ Expiration Date
HA YDEN ENTEl\'\~ ~I\ S\\\X (.R \\\\'0 Pt,t~'jjI '\" 07/29/2007
M & W ELEci\h.\'!t,l~~~P8~nD t>.\)t>.~'i)67362 06/19/2007
PACIFIC AIR CQM{08t1\INC\) \)\\\'0 'i) 39237 03/25/2010
MASTER PLUMtt{N~..(."c,~ .0(.\\\10 .
~'~Bui19D1NG' INFORMATION I
1>-'"
# of Stories:
Heigbt of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Phone
541-228-1081
541-754-6171
541-672-9510
3
2
28.00
Gas
Gas
Gas
Path 1
nla
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
729
999
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U
VB
400
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
12.00
23.00
5.00
11.00
0.00
I ."" ~ J!,LOPMENT INFORMATION I \0
JUIQ~'!{WD PARKING
~\,6" \)\\ ~
Overlay Dist: \oa.'I'I ,'O~,'O~Thl'e\ \O~ .
# Street Trees Rqd: \'o~O(\ N \'\"\'0 'O.Jt3~<ij~~d'
Paved Drive Rqd: \O~. 0 ~'O"'~so~'o ,~\ ~!lRlp~~'" '0"1
% of Lot covera~e.~~\ '&~ oa.60~~.~ ....\ov.~'\"\ 0\\'\"\'0 '1<;10(\0
!>' ,I)I C'o(\~ \0 \\, ~'O"" '0\'09 ~\o(\
\0\\0'1'1.\\0(\ _,,\ .00 -"" c09 _' \'\"\'0 ~ '~'I~\C'O-
I PUBLIC IMPRu ~ J!,IVl1';I~T~:I"':':"~oa.'1 o~;,. ~V;~\\i'\l~AA'\'
\.. 9'0 -:tol) -srnt(\ fJf,,~0 ~.~~'l.:
Fully Improved 00 c~'i'\I~ \0\ ~{I.l ''iI {.Il.~
No -<,<'Oeb,owft8j!outslDrains:
(\V'" ...."
2
Street Improvements:
Storm Sewer Available:
Special Instruction:
Curbside 5'
Curb and Gutter
Notes: Storm to curb & gutter. JLP APP Re-entered 5/24/07
Paee 1 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
V Wood Frame
,Garaee
Dwellines
Garaee
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
3 Batbs One & Two Family
Addressing Assignment
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Furnace - up to 100,000 btu
Gas Outlets 1-4
Plan Review Major - Planning
PW Disc - 2nd Permit
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 SanitarylStorm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
Total Amount Paid
.
I Valuation Oeserintion ,
$ Per Sq Ft
or multiplier
$103.00
$27.00
Square Footage
or Bid Amount
1,728.00
400.00
Total Value of Project
I?pp~ P"=lI\IjU
Amount Paid
$555.68
$10.00
$306.00
$31.00
$854.90
$80.00
$6.00
$9.00
$106.40
$12.00
$4.00
$198.00
$-30.00
$106.00
$57.00
$554.14
$728.74
$10.00
$961.52
$91.61
$130.92
$69.78
$836.32
$189.58
$80.00
$642.03
$50.00
$18.00
$2,303.00
$8,971.62
Date Paid
3/5/07
6/1/07
6/1/07
6/1/07
6/1/07
6/1/07
6/1/07
6/1/07
6/1/07
6/1/07
611/07
'611/07
611/07
6/1/07
6/1/07
6/1/07
6/1/07
6/1/07
6/1/07
6/1/07
6/1/07
6/1/07
6/1/07
6/1/07
6/1/07
6/1/07
6/1/07
6/1/07
6/1/07
Paee 2 of 4
tJ=ITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00325
ISSUED: 06/01/2007
APPLIED: 03/05/2007
EXPIRES: 12/0112007
VALUE: $ 188,784.00
Value
Date Calculated
$177,984.00
$10,800.00
$188,784.00
03/05/2007
03/05/2007
Receipt Number
1200700000000000235
1200700000000000672
1200700000000000672
1200700000000000672
1200700000000000672
1200700000000000672
1200700000000000672
1200700000000000672
1200700000000000672
1200700000000000672
1200700000000000672
1200700000000000672
1200700000000000672
1200700000000000672
1200700000000000672
1200700000000000672
1200700000000000672
1200700000000000672
1200700000000000672
1200700000000000672
1200700000000000672
1200700000000000672
1200700000000000672
1200700000000000672
1200700000000000672
1200700000000000672
1200700000000000672
1200700000000000672
1200700000000000672
.
.ITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00325
ISSUED: 06/01/2007
APPLIED: 03/05/2007
EXPIRES: 12/01/2007
VALUE: $ 188,784.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspec1ion Line
Initial Review
Plan nine Review
03/05/2007
03/05/2007
I Plan Reviews I
03/05/2007 APP
05/01/2007 APP
NJM
TAJ
Structural Review
03/15/2007
03/20/2007 APP
LLH
Per letter from Hayden Homes
dated 4/25107, each home shall have:
I. a 3' walkway from the porch to
the street and 2. windows in the
garage door.
storm to curb&gutter.
Plans forwarded to The Building
Department for Structural Review.
Plans reviewed and approved by
Shawn Eaton with The Building
Department under contract with the
City of Springfield
Public Works Review
Structural Review
03/05/2007
03/05/2007
04/05/2007 APP
03/15/2007 10
JLP
LLH
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.
I RpollirprlT'Osnections I
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunctiou with footing andlor
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to 1100r 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.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underl100r Plumbing: Prior to insulation or decking.
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.
Final Plumbing: When all plumbing work is complete.
Underl100r Mechanical. Prior to insulation or decking and including required testing.
Paee 3 of 4
.
~ITY OF SPRIN\.Jr IJ<..LD .
Building/Combination Permit
PERMIT NO: COM2007-00325
ISSUED: 06/01/2007
APPLIED: 03/05/2007
EXPIRES: 12/01/2007
VALUE: $ 188,784.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspection Line
Undertloor Gas: After line is installed and required testing and capped if not attached to an appliance.
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 appliance including required
testing. Presure 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 utility comp~ny energizing service.
Final Electric: When all electrical work is complete.
ErosionlGrading Inspection: Prior to ground disturbance and after erosion measures are installed.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
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 auy 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 hereiu, 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 during construction. -
~ r# &-I-v'~
Owner or Contractors Signature
Date
Pace 4 of 4
~ ~~<sl X\Y;,::
.. DATE l,qA .O-J-
__22H1ITHSTREET' SPRING"'ELD.OR97477' PH:(S41)716-J7SJ . FAX: (541)716-3689 . -.,. SOURCE" ~ r~p..Q
ELECTRICALPERAfflARPJ,lCATION - - ----- - _,,_....\'!-...L -- .--
, City Job Number ' l.:,} l . 0 'e;:::> Date
1. :{~~~Cj'W~m1,~rUi 3. [~Ei~~]~'![~"[tg;K~f~~V:g~i~~:wlit~ri~~
..,....-."~ l'~~~:i.r"~\f ttrut\
LEWD~)
, J~ DESC
r
;;~;;''''"''''':''''C-=S' ,;:.;;;t""'~'.''''''''':''''"'','''')l>,''~'''';"'~-$.II''"'' '''''-llIl-i\I
c. ~~~'~~~b~_~_;'~J..~;~tx~~-.e~iji~r~1~il~ii:~t,~~~.;t~ ~ ;~\~.!B~.,' ~~...
......c b.-, !:~ .~;i'...!i~_............-........_-,=,."'l><'~"'O .-__~.._ ..IZf __ . ...~~ ::o:a
/0 /01 'l-I ((InS6\~ti'o~\AilEration or Relocation \ '~ 1-# '\
0(\\3 Nf'l\OI' .n{\\'I W
N' 01 e9 'o~ \\'1'200 Arilps'or1less \ S 50.00 L-
Constr. Contr. Number -1.0 ISfp~N\\O :'\()o\e~"'o~e '20PA~p~;jo,'400\)koPS S 69.00
, (\}\\:i" - (,\\ ,- ()i'"\' '-"',0'1
~ jO\\O'l-l ce\l\e, O,,\~(oi.40l'Xmp~tto,600Amps , SIOO.OO
Exp. , D I )",' \\0(\ 0\" 0' ,,' (\e
iration ale UI -, ::JCxJ713 ~",.O, CO~O''3~ 6OO1"n""O 1""0 V lIlT "B" bo
\........_ g.....'-_....._ \",\('\ Il VeT, ~"\.W~ ot- yv 0 see ave.
,,, ~ on v ,\"", '6\"~-rn.......~~.~<tI:",:u"'-"""!~;m~~.""lR"';.;'.~,..."',o;,a"'''::''~\r.'II~--:;.~~ir'~''\o\!lt
. Qt-\f"\ 13.\.1 I'tD~ ~R -, il:-tNr~~~~7\Ou.'!-W.'~~"~'f'~~lH"t.i#.-~-,',1i'j~.~rn;,'I=:~:<i'2'~"'~~',,~
Signature of Supervising Electriciao~090, '/0\.1 \~e~el'\e(, ~00 ~;J~~3A~~i;'!\i.ty'~;;")ljl~G!'sfii'~~~~~lilif.1.~~~~
, / ____ c.;::.~~\O( \\'Ie O\~ \)o0'l~w?Aiteration or Extension Per Panel .
1/ ~ ,~..('(\'oe ~_~\e\ \~ OoeCirtuil $43.00
, , ~ - Each Additional Circuit or with
Owners N e _ WtJifOf) S~,"';t::.'"i::'.::,'~,,:-':~i:.;;.r~::~., ~1i:;Jl'.' ~!,i~r!;'f!i:f~'~~~'Y~,' S~~f ;"""';li.'~1",:;~J.6'~;;' .
. ,'mceJI1iiieouV 'tMtt/feede't ",' 'in'clit eG'" ," ,Iris ati81i'j:
S' . -~. 'i)<';'\\ "'i,)\l' $ 50.00
OWNER INSTALLATION , Ilq~ ~~'Eh~~~i~\S t>.\)\> $ 25.00
. U' Limi' ,\~\\\) ,,.,-S:-IJ..__:o.\'U'i). $ 4 '
The installation is being made on property I own which tFQ,t:Jler~,.""ww.~"Y" 5.00 ,
. , dcdr I I ~(\w.~ ~I't>..'\ ,
IS not mten lor sa e. ease or rent Minimum EleCtric.~rrillt Inspection Fee Is $4S.00 + Surcharges '
Owners Signature: 4. [~t1it~1i.~rABO~f.f~li~~~~1~~~ n 1l1tp
, ;~'";'~:~:::::::":iIT~c;~,},~t'r'''''''~'i'['>'~'~';'<l~''~_~) ~.' 01
10% Administrative Fee ' t-l. ~
, ~O '1eCh- ,\ l'").l.t7~
()S'1(1).. "
. J \,Ji)
, ;tTtnf
Permi~ are on-transferable expire if work Is ,
not started within 180 days 01 issuance or if work is
Suspended for 180 days.
2. ~;S2~~?i~~l!g~WI~
Electrical Contractor
Met.V tlJV/~ ~(..
Address
.=I.'i'6\!>'1 H'-tJ<( 1'{ Sv.J
City A I k.c.",~
Phone Sl.f/-7S'{-(i17{
Supervisor License Number
LJ :), 71./ S
Expiration Date
Inspection Reqnest: 726-3769
J
Toolill
.~ &~~jj~l~~~tillti[~~]t~?~~i
Service Included
1000 sq, it. or less
Each additional 500 sq. it. or
portion thereof '
\
~
, (J)
S106.00, J..ok.Q()0
S 19.00 5'1
Each Manuf8ct'd Home or
Modular Dwelling Service or '
Feeder "... "
$50.00
\~~"S\..;.::.;..,;:-~~,,\J...;;;'Ft~~ti'~~p~~j;,".ita.:.;~:::?SW'~.W:G~~5K, ~~'t1';-",,1{~;:~;Ii,.;:,~-;:r~~ifl~f~.~,\~ G
B. ,:Si!J:.Yites'OIq;eeilen:"".... ". Ji':Al~,t1o'its'Qr',ReI<i ~'''ri::''''i
~:?:~;!:.i.,;'.;tm~~~:-;i..:i;t"~~",~'.~;l:,"~~~:;'~l.:.?o:.is;::....;;i~.:::(.>-:1,'a~~~~...I":IU~i'.;.-~
200 Amps or less
201 Amps 10 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 Amps'Volts
, Reconnect Only
$ 63.00
$ 75.00
SI25.00
$163.00
$3 75.00
$ 50.00
I.VI..tl..1J
.
Shored DriVc(1';)/BulJdin~PPlic~1d~q
<rI!lIIi~NllIdS .:\0 XLI:>
689g9.LltS XVii 60:0T!Illl gO/IT/La
CITY OF SINGFIELD SYSTEMS DEVELOPMEN&RKSHEET
JOURNAL OR JOB NUMBER: COM2007-00325
NAME OR COMPANY: Hayden Ent
LOCATION: 5733 Ml Vemon Rd
TAX LOT NUMBER: 1802030005700
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS I BUILDING SIZE (SF: 1238 LOT SIZE (SF):
4343
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~
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S,F. x I COST PER S.F, CHARGE
I 1913.00 $0.336 I = I $642.03 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F, I x I COST PER S.F. I x I DISCOUNT RATE I I
I 0,00 I I S0.336 I I 50"10 = I
ITEM 1 TOTAL - STORM DRAINAGE SDC $642.03 I
2. SANITARY SEWER - CITY
DISCOUNT
$0,00
$642.03
11070
I
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x
I 28 I
B. IMPROVEMENT COST:
I NUMBER OF DFU's I x
I 28 I
COST PER DFU
S26,03
$19,79
$728.74 11091
I
$554.14 11092
J
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $1,282.88
3 TRANSPORT UION
A. REIMBURSEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEWTRIPFACTORI
9.57 I I I I $19.81 I 1.00 I
B. IMPROVEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEWTRIPFACTORI
9.57 I I I I S87.39 I 1.00 I
ITEM 3 TOTAL - TRANSPORTATION SDC = , $1,025.90
4 SANITARY SEWER - MWMC:
$189.58 11093
I
$836.32 11094
I
A. REIMBURSEMENT COST:
INUMBER ~F FEU's I x
ICOST PER FEU
, S91.61
=
$91.61
1054
B. IMPROVEMENT COST:
I NUMBER OF FEU's I x ICOST PER FEU
I I I $961.52 = $961.52 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054
MWMC ADMINISTRATIVE FEE $10.00 1056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I $1,063.13
SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ , $4,013.94
5 AOMIN1STR'\TIVE EE~
I SUBTOTAL x I ADM. FEE RATE I~ CHARGE
I $4.013,94 I 5% I S200.70
TOTAL SANITARY ADMINISTRATION FEE: 130.92 11079
TOTAL TRANSPORTATION ADMINISTRATION FEE: S69,78 1078
I
Jeff Prociw 4/5/2007 TOTAL SDC CHARGES = , $4,214.64
PREPARED BY DATE
. .
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIX11JRES x UNIT EQUIVALENT - DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIX11JRES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EOUIV ALENT UNITS
IBAltITUB 2 0 3 = 6
IDRINKING FOUNTAIN 0 0 1 = 0
IFLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE 1 OIL I SOLIDS I ETe. 0 0 3 = 0
I INTERCEPTORS FOR SAND 1 AUTO WASH I ETe. 0 0 6 = 0
I LAUNDRY TUB 0 0 2 = 0
ICLOltIESWASHER I MOP SINK 1 0 3 = 3
ICLOTUESWASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRIG 1 WATER STATION I ETe. 0 0 1 = 0
IRECEPTOR FOR COM, SINK 1 DISHWASHER 1 Ere. 1 0 3 = 3
SHOWER. SINGLE STALL 0 0 2 = 0 I
SHOWER. GANG (NYMBER OF HEADS~ 0 0 2 = 0 I
SINK: COMMERCIAURESIDENTlAL KITCHEN 1 0 3 = 3 I
SINK: COMMERCIAL BAR 0 0 2 = 0 I
SINK: WASH BASINIDOUBLE LAVATORY 1 0 2 = 2 I
SINK: SINGLE LAVATORY/RESIDENTIALBAR 2 0 1 = 2 I
URINAL, STALL 1 WALL 0, 0 5 = 0 I
:rOILET, PUBLIC INSTALLATION 0 0 6 = 0 I
:rOILET. PRIVATE INST ALLA TlON 3 0 3 = 9 I
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S ['
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 28 II
.EDU (Equivalent Dwelling Unit) is a discharge equivalent to a sinl!:le family dwellinll: unit (20 DFU's) set at 167 ~lons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
-
YEAR CREDIT RATElSI,OOO J I
ANNEXED IS LAND ELGlBLE FOR ANNEXATION CREDIT? 2
ASSESSED VALUE
BEFORE 1979 $5.29 (Enter I for Yes, 2 for No) I
1979 $5.29 IS IMPROVEMENT ELGffiLE FOR ANNEX, CREDIT? 2
1980 $5.19 (Enter I fnr Yes, 2 for No) I
1981 $5,12 BASE YEAR 1979
1982 $4,98 I
1983 $4,80 CREDIT FOR LAND (IF APPLICABLE)
1984 $4,63 VALUE 1 1000 CREDIT RATE
1985 $4,40 SO.OO x S5.29 = , SO.OO
1986 $4,07 I
1987 $3,67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
1988 $3,22 VALUE 1 1000 CREDIT RATE
1989 $2.73 $0,00 x $5,29 0 I
1990 $2.25 I
1991 $1.80
1992 $1.59 TOTAL MWMC CREDIT = $0.00 I
1993 $1,~5
1994 $1,25
199' $1,09
1996 $0,92
i 1997 $0,72
I 1998 $0,48
I 1999 $0.28
I 2000 $0.09
,I 2001 $0.05
. .
.
.
If~ Willamalane
t\P Park & Recreation District
Job. No. Q () ,<./)(l5
. S~S~M DEVELOPMENT CHARGE WORKSHE~T FOR 2007
NAME, "~~ 0(\ ~ ,0\ PHONE.
ADDRESS:i*~~~ -\Co~:~:~
LOCATION OF PROPOSED BUILDING SITE:
'5rY!J~ k;\t l1~mm W
Tax Lot Number:1~011)?i.X)D6l(::XJ
Street Address:
Plat Name,
1. DEVELOPMENT TYPE (Check appropriate dwelling{s). Dwelling type definitions are on the
back.)
A. Sinale-Familv Detached
NO. OF UNITS \
X $2,303 per unit =
$ 'lJJ03~{)t)
B. Sinale-Familv Attached
, NO. OF UNITS
X $2,426 per unit =
$
C. Multi-Familv Aoartment
NO, OF UNITS
X $2.032 per unit =
$
D. Sinale Room Occuoancv
NO, OF UNITS
X $1,016 per unit =
$
E. Accessorv Dwellina Unit
NO. OF UNITS
X$1,151.50perunit= $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for'Crellft}.,
\ . 11\ ) l ~\(mnf)
~opment serv~artment
City of Springfield '
I 01 \
Date- .
$ O~'!JDS. fX)
;/
$ ~.eJ)3r;xJ
I~rol
$
WILLAMALANE SDC
2. SDC CREDIT (If applicable) SDC payer must furnish proof of
Wlllamalane Credit approvaL)
5
.
~,.
~
~ -. ."
<A of Springfield Official Receipt
_Iopment Services Department
Public Works Department
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-00325
COM2007-00325
COM2007-00325
COM2007-00325
COM2007-00325
COM2007-00325
COM2007-00325
COM2007-00325
COM2007-00325
COM2007-00325
COM2007-00325
COM2007-00325
COM2007-00325
COM2007-00325
COM2007-00325
COM2007-00325
COM2007-00325
COM2007-00325
COM2007-00325
COM2007-00325
COM2007-00325
COM2007-00325
COM2007-00325
COM2007-00325
COM2007-00325
COM2007-00325
COM2007-00325
COM2007-00325
, Payments:
Type of Payment
Cred itCard
cReceintl
RECEIPT #:
1200700000000000672
Date: 06/01/2007
Description
Fire SF Fee - Residential
Building Permit
Addressing Assignment
Willamalane Single Family
3 Baths One & Two Family
Furnace - up to 100,000 btu
Ven1 Fan
Exhaust Hoods
Dryer Vent
Gas Ou11ets 1-4
-Mechanical Issuance Fee-
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Plan Review Major - Planning
Sidewalk Permit
Curbcu1 Permit
PW Disc - 2nd Permit
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursemen1
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sani1arylStorm Admin
SDC Transpo Admin
Paid By
HA YDEN ENT
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 086052 In Person
Payment Total:
Page I of I
I :57:25PM
Amount Due
106.40
854,90
31.00
2.303,00
306,00
12,00
18,00
9,00
6,00
4,00
10,00
106,00
57,00
50,00
198,00
80,00
80,00
(30,00)
642,03
728,74
554,14
189,58
836,32
91.61
961.52
10,00
130,92
69,78
$8,415.94
Amount Paid
$8,415,94
$8,415.94
6/1/2007