HomeMy WebLinkAboutPermit 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
~
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<:(~ 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
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.~:~~/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