The URL can be used to link to this page

Home My WebLink AboutPermit Building 2007-6-6 I. . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00451 ISSUED: 06/06/2007 APPLIED: 03/27/2007 EXPIRES: 12/06/2007 VALUE: $ 169,533.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5725 MT VERNON RD ASSESSOR'S PARCEL NO.: 1802030005900 SPRINGFIE TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence lot 193. SAME AS COM2007-00360 5783 Mt Vernon Residential Owner: Address: HA YDEN ENTERPRISES 2622 SW GLACIER PL #110 REDMOND OR 97756 Phone Number: 541-228-1081 ~ ~\:)<<:: "- "-'0\- ,Cc,;~\:) ~~ -"",'.~ <:(~ YCO~:rRACTOR INFORMATION I <S ~' ~". ,0., Contractor Type Contract~r" ,\'0 ....~<::s License)~,~~Exjliration Date '-^, /'<' ............ R:I) v 0' , General ~..HAKDEN.,:i.ENTERPRISES 92208\ 0'" ;;;.~ \:)~07/29/2007 Electrical ""~'V~~~W;ELj.c:;\f~tG'INCORPORA TED ~7.3~.,,<:$ .(0 <; ~'0'l: Ai;'ii 9/2007 ~~ ~S 'X~\:)i:-'v~,,\-<V - q,\-'<:'-' I BUILDING INFORMA'TioN'iy0'" ~~:..:<:.c '''''~o''':o''' "' ~'0 ~~ <v~ Q,O;~ 0'0' cJ' ?f & ~ i?l~'i;.'v'lf # of Units: ~ ......~~ c.\:) 1 # of Stories: .0' C'o,,,, -<..,<:-0 ~o.s '~Q,'" 2".0~.:.!;ot Size: ~') ~ .~.~ ~ ~ -, ,- 0- Primary Occupancy Group:~ R-3 Height or~ri1.ctur~.. ,~ vC24.!l0.~-\ ~!I,tl 1st Floor: Secondary Occupancy Grollp: U Type of:Hl,at:. <>()<97ceiPAi6EleCi~ic~ n rSq Ft 2nd Floor: ~',......... ,. ~u -...:: <'- :tlv Primary Construction Type VB Water. Txpe:ol':- \:)\;) ~ Q," S;as ~ Sq Ft Basement: t-...' ~~~ ~~ 0' \:\ ~ x:" r,.\J Secondary Construction Type: Range~Type: h- ",'i!- Q," 0' G~s Sq Ft Garage/Carport ....u ., ~ '-J ,... c; €I '" # of Bedrooms: 3 EnergYJ.~th::. ..J.o~ ",,0 '$' ~J1th 1 Sq Ft Other: Sprinkled.Building; ,0' ~Q} nla Occupant Load: .~~ r,~" .", n\ _0<;' Phone 541-228-1081 541-754-6171 2,884 641 898 408 , DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 14.00 7.00 5.00 11.00 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I Yes 36.30 REQUIRED PARKING Total: 2 Handicapped: Compact: Subdivision Nor Accepted Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS I Notes: Private Street Fully Improved Yes DownspoutslDrains: Curb and Gutter For this parcel in Jasper Meadows 3rd & 4th Add, it is the recommendation to the Building Division, by the City Engineer: "that final occupancy should not be given until the subdivision is accepted by City Council". Sidewalk Type: ~) Paee I of4 , -iIi;- Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769.lnspection Line Description Tvpe of Construction Dwellines Garaee V Wood Frame Garaee Fee Description Plan Review Same As + 10% Administrative Fee + 5% Technology Fee + 80/0 State Surcharge Temp Power 200 amps or less -Mechanical Issuance Fee- 2 Baths One or Two Family Addressing Assignment Building 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 - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC SanitarylStorm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Vent Fan Willamalane Single Family Total Amount Paid ~, . I Valllation Oescriotion I $ Per Sq Ft or multiplier $103.00 $27.00 Square Footage. or Bid Amount 1,539.00 408.00 Total Value of Project Fpp~ Amount Paid $200.00 $5.00 $2.50 $4.00 $50.00 $10.00 $254.00 $31.00 $793. I 5 $6.00 $9.00 $97.35 $15.00 $12.00 $4.00 $198.00 $106.00 $38.00 $554.14 $728.74 $10.00 $961.52 $91.61 $128.41 $70.06 $836.32 $189.58 $597.40 $12.00 $2,303.00 $8,317.78 Date Paid 3/27/07 4/26/07 4/26/07 4/26/07 4/26/07 6/6107 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 6/6/07 Paee 2 of 4 . CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-0045I ISSUED: 06/06/2007 APPLIED: 03/27/2007 EXPIRES: 12/06/2007 VALUE: $ 169,533.00 Value Date Calculated $158,517.00 $11,016.00 $169,533.00 03/27/2007 03/2712007 Receipt Number 1200700000000000335 1200700000000000464 1200700000000000464 1200700000000000464 1200700000000000464 2200700000000000921 2200700000000000921 2200700000000000921 2200700000000000921 2200700000000000921 2200700000000000921 2200700000000000921 2200700000000000921 2200700000000000921 2200700000000000921 2200700000000000921 2200700000000000921 2200700000000000921 2200700000000000921 2200700000000000921 2200700000000000921 2200700000000000921 2200700000000000921 2200700000000000921 2200700000000000921 2200700000000000921 2200700000000000921 2200700000000000921 2200700000000000921 2200700000000000921 . CITY OF ~"'Ku~l>FIELD - Building/Combination Permit PERMIT NO: COM2007-00451 ISSUED: 06/06/2007 . APPLIED: 03/27/2007 EXPIRES: 12/06/2007 VALUE: $ 169,533.00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review Plan nine Review I Plan Reviews I 03/29/2007 APP 04/30/2007 APP LLH TAJ 03/28/2007 03/29/2007 Public Works Review 04/06/2007 APP 03/29/2007 MS Structural Review 03/29/2007 03/29/2007 APP LLH Per letter from Hayden Homes dated 4/25107, each house shall have: 1. 3' walkway from porch to street, 2. Porch extend at least 4' from the garage facade, 3. Windows in the garage door. For this parcel in Jasper Meadows 3rd & 4th Add, it is the recommendation to the Building Division, by the City Engineer: "thaI final occupancy should not be given until the subdivision is accepted by City Council". Same as 5783 Mt Vernon reviewed hy Don Moore 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 Rp'\IIirlil',ri 11'~,11111Jo4...tin-.l Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction 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 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. Final Building: After all required inspections have been requested and approved and the huilding is complete. Underfloor 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. Paee 3 of 4 I ~\ . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-00451 ISSUED: 06/06/2007 APPLIED: 03/27/2007 EXPIRES: 12/06/2007 VALUE: $ 169,533.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Undertloor Mechanical. Prior to insulation or decking and including required testing. 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 Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Temporary Electric: Approval required prior to Utility Company energizing pole. 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 1 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 descrihed 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 during construction. 2-~ ~/&/f,7 Owner or Contractors Signature Date Paee 4 of 4 . ' " . CITY OF S_NGFIELD SYSTEMS DEVELOPMEAoRKSHEET JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS COM2007-o045I Hav.den Homes 5725 MI Vernon 18020300 TL 05900 SINGLE FAMILY RESIDENCE I BUILDING SIZE (SF' 1539 LOT SIZE (SF): 2884 If I~ I!=: 'en a I~ I STORM ORAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. I I CHARGE I 1780.00 50.336 I = $597.40 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 50.336 I 50"10 I = I DISCOUNT $0.00 ITEM I TOTAL - STORM DRAINAGE SDC $597.40 $597.40 1070 2 SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's I x COST PER DFU I 28 I 526.oJ =, $728.74 1091 B. IMPROVEMENT COST: I NUMBER OF DFU's I x 28 I 519.79 5554.14 1092 ITEM 2 TOTAL - CtTY SANITARY SEWER SOC = I $1,282.88 3 TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE I x I NUMBER IOF UNITS I x I COST PER TRIP x I NEW TRIP F ACTOR I I 9.57 I I 519.81 1.00 I $]89.58 11093 B. IMPROVEMENT COST: I I ADTTRlPRATE I x ! NUMBER OF UNITS I x I COST PER TRIP x I NEW TRIP F ACTORI I 9.57 I I I I 587.39 I 1.00 = 5836.32 11094 ITEM 3 TOTAL - TRANSPORTATION SOC = , $1,025.90 4 SANITARY SEWER - MWMC A. REIMBURSEMENT COST: I INUMBER OF FEU's I x ICOST PER FEU I I I I 591.61 = $91.6] 11054 B. IMPROVEMENT COST: I INUMBER OF FEU's I x ICOST PER FEU I I I I 5961.52 = $961.52 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054 MWMC ADMINISTRATIVE FEE $10.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SOC = , 51,063.13 SUBTOTAL (ADD ITEMS t, 2, 3, & 4) ~ , $3.969.31 -- - ---..-..--..- ......_.---- 5 AOMINlSTRA TlVE FEE: I SUBTOTAL x I ADM. FEE RATE 1= CHARGE $3.969.31 I 5% I 5198.47 TOTAL SANITARY ADMINISTRATION FEE: 128.41 -1'079 TOTAL TRANSPORTATION ADMINISTRATION FEE: 570.06 107~ -.....--- I Matt Stouder 4/6(2007 TOTAL SDC CHARGES =, $4,167.78 PREPARED BY DATE I MWMC CREDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE YEAR CREDIT RATE/$I,OOO ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXA nON CREDIT? 2 BEFORE 1979 $5.29 (Enter I Cor Yes, 2 Cor No) 1979 $5.29 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 2 1980 $5.19 (Enter I Cor Yes, 2 Cor No) 198t $5.12 BASE YEAR 2005 1982 $4.98 1983 $4.80 CREDIT FOR LAND (IF APPLICABLE) 1984 $4.63 VALUE 11000 CREDIT RATE 198.5 $4.40 SO.OO x SO.OO - , $0.00 I, 1986 $4.07 1987 $3.67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) 1988 $3.22 VALUE 11000 CREDIT RATE 1989 $2.73 $0.00 x $0.00 0 1990 $2.25 1991 $1.80 I 1992 $1.59 TOTAL MWMC CREDIT = SO.OO 1993 $1.45 I 1994 $1.25 I 1995 $1.09 I 1996 $0.92 I 1997 $0.72 I 1998 $0.48 I 1999 $0.28 I 2000 $0.09 I 2001 $0.05 ~-:ji" ~~IALS 4J%lVt L& .... DATE ~ 'ktr7 .-..... 'l!iU' SOURCE c:'~G-O~ '= 3p~~1i . ~. - 'D",!' ',j (J)"N' ',.;,t.'. ,'," 9 I '",-' ',,' '-' r:, 'j'-' ..' ", "''',>"..,' ,- j ~i>' "r . ,! .~:~~/t:>~:.~.~. ~.I :;!;'.::-[~~~,t~:.~ ns FIJiTII StREET. SPRINGFIELD. OR 97477 . PH:(S41)7::6-37S3 . FAX: (541)726-3689 200 Amps or less 201 Amps 10 400 ~~ ~ 401 Am s 10 600~~ is' p .<.Q,- , \,,0. '( 601 Amps 19?)D0.9,~i,,~<:) v;-\ ,C ~~" .11. SV ~v Over \000 4irijlsIVoll!:<l,sc C $375.00 R.ecoJigeef&ur o~'(' c ~ 0<:' !::- $ 50.00 ~fQf0v 0. 'O......r-.'?e '. ,0; (v::s'- .-.'0~ 0Sl>(' 8. "=,",,,.~- ~'~'''''_'~'''~~'~_'='"'''''o.....;o._" . ''''''jIi " m"~''''''''''-'~~m'' ~_'\'r."c~",-,""~ """",, ~""'~"""W~"'''''~' ""'~"'" . .. em .~. ~" r:: e ''r;;~i;.:.'': ~~ '~:;;;a-' '" :J;:r,;~G> ,. ~~ ,O~ J "'';'''I.'~'''ii~:J:i'Ir''''' J.;:.r......:'.....1t...._,!U.':"\Ci,....;,lJ,.2~~;~~~ ~~,....":r.~~:.~~~ ~" _0. Co ~"s::.' ^ v- ~c. .~,'\ ",t.~ /,..... ~e;. "C ~ ",," _,-0 ",<, 'l.J A'V ~v ^ Iiislllllillion, A1teration~or Relocallon . .-\" ...\ '0'" \::)"" u~ :\. 0'~.,J t- ~\) ~ 2'00 .-;\..~ .11, I -.;$ sy "0' . r'li r<r <<'......,s or, ess "," ". .~,v ~J" v.' lJV \.J .,.}J '0'<' -!!-' -l.,~OI ~.mp~1O 4!),O-^,!,ps $ 69.00 ',~ 0 ,,<:)"401~ 10:'600 Amps $100.00 <:)<:)0 ~" c' c~'- . v Oy& 600' Amps or 1000 Volls see "B" above. ,--';:.. - '~'''G'''' -~=-,-~,'I!"c._...._--.~........ ."~.........__...,,,..,.."'~..--.H.'..__.~_..._......_..... "'Y...........~..~,..' i1._..r",f4,.~~~n'''::'t:I.mlJ.''''''''''.;''''''~::-'.JSl,' ~'rJ_'~~''''~~.:r... ..~~~.. ,'>~:""N1r~.,"'".~..}~~... D".;:i'.B....o.. rn;;~," .i"'=~,.._..~'~:x1'~....i'if..;. .':.:.~l\~ii:".,..:W.A: ,:;6.!'~:~JL;;jf,,!'~~+~~. _~"i . <j!. ~,"r." 1,~,1l..:.. II ~r..": "~il:....,,~'~..;.;i"~'_'i!"}';"!O:"i"~~:;!-~..,;,~\:i'.l"i=;"":'"J.%,.,. .. ..;...... r.":r.~,.;...n....:-.....;~, .--. . ._~"}~.......=-u!=<oli.i~.r:iili\R,G,iIlil!.lfl!l:ri~. '~ ELECTRICAL PERA1fl' APPliCATION CilyJob Number . l ~ n . 4~ \ 1. '~.io~A.:;~~~:~QFJNSf;rt~r~~~~r;bi~~r~~~~~.. . 'wrt\l[~~-~~'..\Jer1\5f\~ . LEQr~())tBCO O~C{) . lOB DESCRIPTION \nA1 _~ . . - . \<~j)' T' Permi!5 ar on-transferable ~ expb-e if work 11 . not started within 180 days oJ issuance or if w'ork is Suspended for 180 days. . ~ 2. ~i;gz~~~~~E Electrical Contractor MfCl.)"eiJ~~(Q)~ '. \-1'-' XV ~\)' ~\- <(.{o \\~ Address _ .~'ilS1!!",,~ff.~ ~H~'5w . :\\\,"". ~\ - \)~\)\S ~'O'. Cityt.~Al~~,,:\\~ ~ \J~ E~' 5'11- 7S'{-(i17{ "\\',. ~\)". ~'Vv 'V.,<-Y:' ' .. - . ~\)"\ ~\-~ \)~ supervisof.&:'se~u.mber if ~ 7t..f 5 . ~~' . Expiration Dale 10 /01 ConSIt. Conlr. Number 10 73,(P""2... &!Jc,/XxJ7 fupiration Date Signature of Supervising Electrician I/~ ...... ~ OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent Owners Signature: Inspection Request: 726-3769 / 1001i'1 Dale ir.,",~ l~..!i~.u/lEt;t;..':'~...;r":i:~;;t~WI:-,r.:' ~1iilflj-:"::'.."I;i'';c.~r,:.::~!B;J~.~''"~(?:.-ii!- 3. ff!!).l~~~~~~_;,~'~~~~k~..::.!,~~~i;(:..~.z~.;;,.~~~t~l~Jt~t1t~r~ ~ &i?l~~13~~~~lti~~i[ijl~1~~~JI Service Included 1000 sq, ft. or less Each additional 500 sq. ft. or portion thereof Each ManufDct'd Home or Modular Dwelling Service or Feeder .,-,' ; l $106.00 \Dfo~ ~ S 19.00 e:,&" , $50.00 . . ~xl'.~:::.;~~~;::;J.il~:~!'~Fi~.r;r.!l".':iF.i',:,'l.1~~J{'J~r~;.l.N,~~;~;~~~~'t1i-..:%i:'~;;c,",'f~;'1.~~~.(...~3'~~ B. l;'S~I'~: at.!;!.: teifen:""i~lWiiln~:;u4t8.tio:ns~i"'.ReI<ic'illi!i'1i:"".':i,: ,... ;,.,,~.,..,_-....r,:>.'.. ,..::u....a~ .4,,-1:1:~_.,.....,,...fr...""".......-~"' ,.......~fl'-,. ....,.::..J"......:l. '~'. t.."'"d~.' .""~. ...........~'""............._..~_ ~ ..~".._~,...,...'...=n...-..uo.".IOz..~"......."" ,,-\,~_ ~._...'MU"I\'...,'...t.-..,~:lI~ $ 63.00 $ 75.00 $125.00 $163.00 $ 50.00 New Alteration or E:rtension Per Panel One Cin:uit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 E:.~~~i~~t~~1J~~~~[~f[f~~l~~i!~ . Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 LiIirited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee Is $45.00 + Surcharges \*~ \\.~ . \4~O . 1.'L0 ~~~~.:'lf::.r,'~f~~~~i~~r'?:ifi~~;'i..t'~~$T~~~r..~~1.Q~~~~~~.: 4 "SL'HT"'.LAL-oF.A.BOVE'"""""",'l'"",,.,~...,T,,- c,. .' if4:::l!~i.!-ii.~'~f.::l;::'i.;A3.i,~~~~}.[..;{~~~1J:},t.t:lif~~~i$m:!:~"P;~4t~~~~t.. 8% Stale Surcbarge 10% Administrative F~ ~V."'^ ,6-70\eO\. SharedDriVc(T:~lP,""iIAPPli\~ .~V 689g9ZLltS YVd 60:01 Hill 90/11/LO a1ald~NIHdS dO XLI~ . . )2S F.ifth'Street . Spriogfield, Oregon 97477 . 541-726-3759 Phone Job/Journal Number COM2007-00451 COM2007-0045 J COM2007-0045I COM2007-0045I COM2007-0045 J COM2007-0045 J COM2007-0045I COM2007-0045I COM2007-0045I COM2007-0045I COM2007-0045I COM2007-0045I COM2007-0045I COM2007-0045\ COM2007-0045I COM2007-0045I COM2007-0045 i COM2007-0045 J COM2007-00451 COM2007-00451 COM2007-00451 COM2007-0045I COM2007-0045I COM2007-0045I COM2007-0045I Payments: Type of Payment Cred itCard cReceint 1 · iIti~ ~ of Springfield Official Receipt .elopment Services Departmeot Public Works Department RECEIPT #: Date: 06/06/2007 2200700000000000921 Description Building Permit Addressing Assignment Willamalane Single Family 2 Baths One or Two Family Furnace - up to J 00,000 btu Vent Fan Exhaust Hoods Dryer Vent Gas Outlets J-4 Fireplace (Listed) -Mechanical Issuance Fee- Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Fire SF Fee - Residential Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Administration SDC SanirarylStorm Admin SDC Transpo Admin SDC MWMC Improvement Plan Review Major - Planning Paid By ERIC HENDRICKSON Item Total: Check Number Authorization Received By Batch Number Number How Received Jmp 016044 In Person Payment Total: Page I of I 2: II :25PM Amount Due 793.15 31.00 2,303.00 254.00 12.00 12.00 9.00 6.00 4.00 15.00 10.00 106.00 38.00 97.35 597.40 728.74- 554.14 189.58 836.32 91.61 10.00 128.41 70.06 961.52 198.00 $8,056.28 Amount Paid $8.056.28 $8,056.28 6/6/2007 .. .. . . I/~ Willamalane. t~ Park & Recreation Dlstnct . Job. No. rn-4~\ SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2007 NAME: ~f\ \\O\1'\t' . PHONE: ''L'19r\CB( ADDRESS:~ h.MdTY~STATm..zIP: Q.T5? LOCATION OF PROPOSED BUILDING SITE: . ....... 1) . Stre~t Address: ~~q ~ \-Xt \lerC\lX\ \CJY... Piat Name:~c. Dfr ~ Tax Lot Number: . \~DlJj~rf) D~ \" . 1. DEVELOPMISNTTYPE (Check appropriate dwelling(s). Dwelling type definitions are on the back.) A. Sinale-Familv Detached NO. OF UNITS L X $2,303 per unit = $ ~ 'ffi.3 pu 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 $1,151.50 per unit = $ $ n'hD2J.CO C:?" $!J.'!JJ~fiJ WILLAMALANE SDC 2. SDC CREDIT (If applicable) SDC payer must fumish proof of Willamalane Credit approval.) $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) . \lliv \ ~\~C\^ 0) Development Services D~~ City of Springfield G I ~I 0'\ Date 5