HomeMy WebLinkAboutPermit Building 2002-5-3 (2)
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'JOb# 02-00307-01 I
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225 Fifth Street
Springfield, OR 97477
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00307-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 5975 Obsidian Ave Spr
Assessors Map#: 18020300
Lot: 22 Block: Addition:
Hayden Homes. . ,_ ",~,,-'~~lrd31UU P-honeNumber: 541-501-4332
rl t- 'I .'. I. ,,~ } 0 on Utilihl
Address: PO.Box'883 .":'jNlOrl oy the reg t City/State/Zip:
tOllu.' 1l'.L , . lhose rules are se lUH,'
Scope Of Work: !3.ingle Filliiily' R'e~idence rough OAR S:New')1-
n'I' "'''UOllJUIVIIl I by
Brookfield'" 0'\11 o\1t(\ln r.opies 01 the n.: es
SFROs~iri~ '~s 02-00300'-O';1l: the '\ele.~ho~e
NOI"'HO'bi(:\Up.t'i;,'O'R\SANlw.6:Ff1f<J&\!s;;cfRM'.'UNTlL INFRASTRUCTURE IS ACCEPTED BY THE
"''1lTlnJI \JI I v.. ...) 344)
Contractor Type 'Contrap'~r!r;i~ 1_1'!"".<l<l??,. Registration # Expiration Date Phone
General Contr Hayden Homes 92208 ~ 7/29/2003 541-501-4332
PO Box 883, Springfield, OR 97478.o~"
Christenson Electric Inc 458
111 SW Columbia St Ste 480, Portland,
OR 97201-5886
Mechanical Contr Home Comfort Heating & Air Conditioning 184164
Po Box 24205, Eugene, OR 97402
Brenda Marlene Currier
648 W Oregon Ave, Creswell, OR 97426
="_II:.J~ ~q~'.'\V.
To request an inspection Calljthe:.~,hour !'ilFI'rm'-~I1\Zb'U'j7~I~pections requested before 7:00
a.m. will be made the sanie\wbr~~\ll'!t!iy. 'IriS I 'o(V\I~~ f5'<< 7:00 a.m. will be made the following
working day. 11'1\~ O?\lE.D \l~ Br>.~\)O~E.\) f
/I.\lI1'1 _,I rd'lR ~ p. , ,
CONlWl""t:r: ~~\llred Inspections
M~'{ ,eO QP.'{ ~. Building I
-After trenches are excavated.
-After forms are erected but prior to concrete placement.
-Prior to floor insulation or decking.
- Prior to decking.
.Prior to cover.
- Before covering sheathing with finish materials.
- Prior to cover.
- Prior to Cover
- Prior to taping.
-When all required inspections have been approved and the building is complete.
Owner:
Electrical Contr
Plumbing Contr
Footing
Foundation
Post and Beam
Floor Insulation
Ceiling Insulation
Shear Wall Nailing
Framing
WaUlnsulation
Drywall
Final Building
Rough Electrical
Electrical Service
Tax Lot #: 00507
Subdivision: Jasper Meadows
Springfield, OR 97478
Value: $113,772
5/1/2003
503-241-4812
6/25/2003
541-345-2838
103570
12/15/2002
541-895-3758
Electrical
- Prior to cover.
- Must be approved to obtain permanent power.
,
Final Electrical
Underfioor Plumbing
Underfloor Drain
Rough Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Final Plumbing
Underfloor Mechanical
Rough Mechanical
Final Mechanical
'JOb# 02-00307-01 I
Required Inspections
I Electrical I
-When all electrical work is complete.
I Plumbing
- Prior to insulation or decking.
- Prior to cover or placement of concrete.
- Prior to cover.
- Prior to filling trench.
- Prior to filling trench.
- Prior to filling trench.
-When all plumbing work is complete.
I Mechanical
-Prior to insulation or decking.
- Prior to cover.
- When all mechanical work is complete.
Zoning: LDR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 2:
Comments:
Street Improvement: Fully Improved
Curb Cut?D Improvement Agr.?D
San Sewer Depth (Ft): 6 4
Storm Sewer Available? 0
Special Req.:
Security Required:
Bond Begin DateTime: 00/00/000000:00:00'
Special Instructions:
Other Utilities:
Project Supervisor:
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Page 2 of 4
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
o
8
To Storm Sewer
4
00/00/0000 00:00:00 .
Types Of Warning Devices Reqd,
Overlay District:
# of Street Trees: 0
Land Use: Single Family Dwelling
Pave Driveway? 0
3:
Additional Requirements:
Glenwood Area? 0 Required Attachments:
Source Locn:
Material:
Planner: Sam Gollah
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: X-White
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? 0
rArea (Sq, F, ,:)
I Main: 1420 Accessory:400
Flood Plain FEMA: 1166 of 2975
Private Garage/Carp/Stor
# Of Stories: 2 Height (feet): 26
Current Units: Proposed Units:1
Census Code: New SF - detached
Total:1820
'JOb# 02-00307-01 . Page 3 of 4
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
Same As Plan Review 05/03/2002 8832 1 $100.00
Total Plan Check $100,00
Building
Building Permit 05/03/2002 8832 113,772 $611.15
State Surcharge For Building Permit 05/03/2002 8832 $42.78
8% Building Administrative Fee 05/03/2002 8832 $48.89
Total Building $702,82
Electrical
Wiring Footage 1,000 Sq Ft or Less 05/03/2002 8832 1 $106.00
Wiring Footage Each Add'l 500 Sq Ft 05/03/2002 8832 2 $38.00
State Surcharge - Electrical 05/03/2002 8832 $10.08
8% Admin Fee - Electrical 05/03/2002 8832 $11.52
Total Electrical $165,60
Plumbing
Three Bathrooms 05/03/2002 8832 1 $306.00
State Surcharge - Plumbing 05/03/2002 8832 $21.42
8% Administrative Fee - Plumbing 05/03/2002 8832 $24.48
Total Plumbing $351,90
Mechanical
Hood and Exhaust 05/03/2002 8832 1 $9.00
8% Administrative Fee - Mechanical 05/03/2002 8832 $4.08
Less than 100,000 BTU 05/03/2002 8832 1 $12.00
Vent Fan to One Duct 05/03/2002 8832 4 $24.00
Dryer Vent 05/03/2002 8832 1 $6.00
Mechanical Issuance 05/03/2002 8832 $10.00
State Surcharge - Mechanical 05/03/2002 8832 $3.57
Total Mechanical $68,65
System Development
Residential - Single Family - Storm 05/03/2002 8832 1,726 $471.09
Residential Improvement MWMC 05/03/2002 8832 1 $34.83
MWMC Administrative Fee 05/03/2002 8832 1 $10.00
SDC Administrative Fee 05/03/2002 8832 $128.32
Residential Sanitary MWMC 05/03/2002 8832 1 $332.86
Residential - Improvement 05/03/2002 8832 1 $659.76
Residential - Reimbursement 05/03/2002 8832 1 $155.13
Sanitary Sewer SDC Reimbursement 05/03/2002 8832 24 $512.88
Sanitary Sewer SDC Improvement 05/03/2002 8832 24 $389.76
Total System Development $2,694,63
Willamalane SDC
S.F. Residence - Willamalane 05/03/2002 8832 1 $1,000.00
Total Willamalane SDC $1,000.00
Planning
Planning Plan Review 05/03/2002 8832 1 $55.00
Total Planning $55.00
Fee
~ Job# 02-00307-01
Paid On Receipt#
Permits w/o Srchg
05/03/2002 8832
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Page 4 of4
Value/Quantity Fee Amount
Address Assignment
Total Permits w/o Srchg
Grand Total
1
$8.00
$8,00
$5,146,60
Plan Check Type
Checked By
Date Completed
Comment
Initial Review-Res
Lisa Hopper
Bob Kettwig
Sam Gollah
04/04/2002
04/16/2002
04/10/2002
04/12/2002
Engineering-Res
Planning-Res
Structural-Res
Tom Marx
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 701.055 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 properly, and the
approved set of plans will remain on the site at all times during construction.
~ \\at- ~ ~ ) LiT c:;--=?~
Date
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225 FIFfH STREET ~.~..O 'I/Io~. '
,~ ,.:\ . "
SPRINGFIELD, OREGON 97477 . ,~'Q . .
rNSPECTIONREQUEST: 726,3J1l't~<~~~" ,"
~o'\t (\0
OF,FICE: 726-3759 .>~~o0'j c'i
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I. LOCATION OO"~LAi~ '
c;9 '1<:''' Q iP i1;f;() - .:::
. ./' ~\\,
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LEGAL DESCRIPTION 0..\0 (Ii' <:i
\<l O'l.-"~ 00 Oo.~"7
....
lIiIPLETE FEE SCHEDULE BELOW
ELECTRlC.EMfiT APPLICA nON
ob N~mj,~r 01 ~ (m (?01-:n:)';liS#:OHJ008832
OATE:MAY 03 2002
. AMT RECD:
. . CHANGE:
CASHrER:001
....'::: ">":'"- ". .:; - -
" :-'New Rcsidential"Single or' , . :
Multi-Family per dwelling unit.
Sen'ice Included:
Items Cost
Sum' ,
~ '. '
-1.$106.00.IDiQ,oO
..' , 0
~ $ 19.00 ~p
JOB DESCRIPTION \COI)f) 1000 sq,ft. or less
'5,1='. e.~;~ ~~ mU;[' Each additio~al500
. I. sq. ft or portIOn
Permits are rion-transferable llilIS,qlItBMIT SHALL EXPIREtlle~ WORK
., lfwork is not started within W!l~RIZED UNDER THIS PS<lWlllfIffll~flllfome or
.:' - of issuance ~: if work is suspm;~rffl:NGED OR IS ABAND(m~.tt~r,1flveTIing
.c'.', 180 days, '~:; , ANY 180 DAY PERIOD. c~\:lf1Feeder
O' 2. CONTRAcrOR rNSTALLATION aNi.. Y B. Sen'ices or Feeders
,:'~.:":. ChristenS?D Elest.ric, Inc. D.B.A. Installation, Alterationsiir. .'. ,
"'.;.'s',..: ElectricalContractor :": PhiHns F.l,,~tric Relocation:.. '-::".,., "'~""". ":~.
.... ,..,~..'" ....') Ai''',- ' . ."," .,'
Address lZqS'B"th"l Oriv" /;'0" " 200 amps or less ..:" '" $:63.00'
.' " ',",< :........1; /,':",.~,~,',~, 20Ialllpsto400amps.,',',; '$}5.00-'
'.~, '., CilJEu,""""! 1)11 Phone (~L.,,) '';RR':';121 ',,401 amps to, 600 amps ' ~$125,00
::'.,.'! '. - ~9740Z '.: /,,:; ,':', ',"601 alllpsto:IOOOalllps $16~.00,---"-"
c'_, Supervisor License'N'~b~r ..2.:71 Q<:.' ,.. ;...',' e' . u' Over 1000 amps/volts _$~75.00
'\- ' r'. .-:.1 ~.,'4. . ~/.::~,", .~~.. ", ' ," ~ --,' ; -.~'Reco~nectOnlY' ", " . ,'''', : $. 50.00" \
i.~.;!,;',.."...'.'\; E' ,. D ~ 10/"'''/0'' . ". , .
.. _' Xplrat10n'_ate'~~),:: :,' ~'. :~:';";"~'~'j; ,-, ,,,,,'j"\,, ;.~-':'.'l. ';(' . ."~' 'l
. . ." , -.- f- ' . ,. . "', '. ' "~' 'f'-' -. ..'~'
, .~. t'(~~:. ~ '--~.' :',: :. !~;.,' ,'":., ~.: ~~,_:,,; : .j..<': -,:.;:} ,~JL \.t l'.:<;~Ternp.~rM!Y.A_~~Djs~ 9!: Feede~; _ _'
~.~~:' 't '-Constr'f~n~~~.'!1ber- .?~'- ~z:n\i;II',:Kn't::'<; 'lClopt~~t~n~t!!jI'.iiC-!\~'al~q~orRelo~ati;n > ':'. ,':i
'!""";'''' ., -.. -_.,;,'" 'o,"O.\IlICj;itlon,qentel.,!hqserule8are~SlrO'J, . '. '.: ' :: .-
" r", "';EXplratlOnDate 10/01'I()?"'n,,~.n52'nO"'i>{);""'ll""m,amn~,0IlessJ"'" . """:""": $50,90 ~,
" 't: ~" _ _. _ ~ -1U ~ ,rVl, t!'-' l r Unf.. "'\ t..: f , .
"';',:f:'''',.'o, .~""... , , QQ90, vooniay.bbtamCOp2 J'BIl'I1~i.l~ Os".wP~, . .' . ~ - ,$69,00' ,":
1,;' '.; ':: :;. Slg~:I\u.re, ~f~upen'ls,"g Electncl(%IIing the center. ((NOONo e', Ifj~14()n8noR~mJlS . " . .~ ~100.00 ~
d. ,>,.', .' ~ . '. . ",,: ",,"- Qy,er 6eamp~.or 1000 volts see., . :.. ' , ,,.. l
~\'\1" ~'?l;,.L,' ,. <::''''':-. numberfortheOregonlJBIIT~b ,~tlllcal101"":-"_-0:- ..:," .. "". , .
::.\;....:~t~(;,..,~t::'.;, ,,,.- "'~" CenteriS1-800-:'I32-23~~. ":"';"::'.. '"I
, ".... l< . .., .. Natnan unlJ.lps h C: ". ..,.~~ .:
:' . ~l~' ,,~,~~:.,.~I,.."'''~'~ . ':.-;::'~..:. :':t. -.: ,;',_ ,:-::-F D. Branc lrcUlts " . t""J';>
;,,; ,:}:; "~o\~~,;rS Ni\\:ne-~iio.:.:.A b';"::'~ . New.Aileration orE.i,1ension Per Pa~el ',' .'
.,'~ . _ . '", ~~ ",:.": '.~:\:'-':.:;JJ-:'-~ ~ ~::> -' ~'-:,..:~'~\ ;'./,: "i,-~\ .:<:'! . .:.:' ,- "I~~.::.,
, . ': . Address~(j>?.b1C.'&i3"'" \'0 One Circ~i! . \' $43.00 ,;
. '- ~'_' 'w';;-'.. ,I:
. l~':': ~ '. ';' . :. . '." " ~
.', Phone~'l~-53Zo
w'" .,',.
.' '
~ ""., >~
. ( .{~
',,:
$ 50.00
f'
'''. ..
. ~J
"
Each Additional CirCuit or with Service
or Feeder Permit. _.~ 3,00
:- "f'
, .;I.. , .~
E, Miscellaneous (Se;..icelfeedcr not included)
-Each installation
Pump'or imgation
. Sign/Outline. Lighting
Limited EnergylRes.
LilllitedEnergy/Comm
$50.00
$50.00_.
$25.00
$45.00 "
2,
'-. ; c.
::. ,'. ~-
',\.
,,',
.,'
."
Minimum:Electric Permit Inspection Fec is 545,00 + Surch",'!:cs
TOTAL
M!X'
, W.cl:-
JJo.S.\oO
'r\k~ '.' . ~'b
. ~~ S':\ .
."~~.
~,'. .
4, SUBTOTAL OF ABOVE
7% State Surcharge
S%'Adminisll'atil'e Fee
=1 $34,83 ,
=1 $0.00 ,
=1 $367,69 , 1055
=1 $10.00 I; '1056
=1 $377,69 l
-
=1 $2,566,31 -.11
CITY OF SPRINGFIELD StEMS DEVELOPMENT CHARGEt,RKSHEET
JOURNAL OR JOB NUMBER: 02-00307-01
NAME OR COMPANY: HAYDEN HOMES
LOCATION: 5975 OBSIDIAN AVE
TAX LOT NUMBER: 18-02-03-00 TL:00507 JASPER MEADOWS LOT #22
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS: I BUILDING SIZE: 1820 SF LOT SIZE: 6043 SF
.L...S.IQRM OR AINAGE
DIRECT RUNOFF TO CITY STORM SYSTE~
I IMPERVIOUS S,F'I.I COST PER S.F. I
I 1725.60 $0.273 =1 $471.09
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUSS.F'I'I COSTPERS.F. Ixl, DISCOUNTRATE I
I 0.00 $0.273 50% =1 $0,00
I ITEM 1 TOTAL - STORM DRAINAGE SDC =1 5471.09
2 SANITARY SI'WI'R - CITY
A, REIMBURSEMENT COST:
I NUMBER OF DFU's 1 x 1 COST PER DFU
I 24 1 $21.37
B. IMPROVEMENT COST:
I NUMBER OF DFU's II COST PER DFU
I 24 $16,24
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3 TRANSPORTATION
A. REIMBURSEMENT COST:
I ADTTRIPRATE I 'INUMBER OF UNITS I xl COSTPERTRIP IxlNEWTRIPFACTORI
I 9.57 I I $16.21 I 1.00 =1
B. IMPROVEMENT COST:
I ADTTRlPRATE I'INUMBEROFUNITSI.I COST PER TRIP I,INEWTRIPFACTORI
I 9.57 I L_$68,94 1.00 =1
I ITEM 3 TOTAL - TRANSPORT AnON SDC
4 SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
I NUMBER OF FEU's 1.1 COST PER FEU
1 I I' $332.86
B. IMPROVEMENT COST:
1 NUMBER OF FEU's 1,1 COST PER FEU
I I $34.83
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
SUBTOTAL OF MWMC REIMBURSEMENT. IMPROVEMENT & CREDIT
MWMC ADMINISTRATIVE FEE
IITEM4TOTAL-MWMCSANITARYSEWERSDC
I SUBTOTAL (ADD ITEMS 1,2,3,&4)
5 ADMINISTRATIVE FEE'
SUBTOTAL 1,1 ADM, FEE RATE
$2,566,31 ~ 5%
l SteNe-Temp/i,w 04/16/2002
SDC COORDINATOR DATE
=1
$512.88
=1
$389.76
=~02,64
$155,13
=1
$659,76
$814,89
=1
$332,86
=1
TOTAL SDC CHARGES =1
$128.32
$2,694.63
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J J 1070
I
1091
1 1092
1:1
1093
I, 1094
11
-'-11073
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DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRArNAGE
( # NEW # OLD ) UNIT FIXTURE
FIXTURE TYPE x EQUIVALENT = UNITS
BATHTUB ( 2 0 ) x 3 6
DRINKING FOUNTArN ( 0 0 ) x 1 0
FLOOR DRAIN ( 0 0 ) x 3 0
INTERCEPTORS FOR GREASE 1 OIL 1 SOLIDS / ETC, ( 0 0 ) x 3 = 0
INTERCEPTORS FOR SAND 1 AUTO WASH 1 ETC. ( 0 0 ) x 6 0
LAUNDRY TUB ( 0 0 ) x 2 = 0
CLOTHESW ASHER 1 MOP SINK ( 1 0 ) x 3 3
CLOTHESW ASHER - 3 OR MORE (EA) ( 0 0 ) x 6 0
MOBILE HOME PARK TRAP (I PER TRAILER) ( 0 0 ) x 12 0
RECEPTOR FOR REFRIG / WATER STATION / ETC. ( 0 0 ) x I 0
RECEPTOR FOR COM, SINK 1 DISHWASHER / ETe. ( 0 0 ) x 3 0
SHOWER, SrNGLE STALL ( 0 0 ) x 2 0
SHOWER, GANG (NUMBER OF HEADS) ( 0 0 ) x 2 0
SINK: COMMERCIAURESIDENTIAL KITCHEN ( 1 0 ) x 3 3
SINK: COMMERCIAL BAR ( 0 0 ) x 2 0
SINK: DOMESTIC BAR ( 0 0 ) x I 0
WASH BASrN ( 0 0 ) x 2 = 0
LAVATORY ( 3 0 ) x I 3
URrNAL, STALL 1 WALL ( 0 0 ) x 5 0
TOILET, PUBLIC rNSTALLATION ( 0 0 ) x 6 0
TOILET, PRIVATE rNSTALLATION ( 3 0 ) x 3 9
MISCELLANEOUS DFU TYPE NUMBER OF EDU's'
( 0 0 ) x 20 0
TOTAL DRArNAGE FIXTURE UNITS =1 24
.EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 OFU's) set at 167 gallons per day
-"
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEP ARA TEL Y
YEAR CREDIT RATE PER $1,000 II YEAR CREDIT RATE PER $1,000 I
ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE
1979 OR BEFORE S4.92 1990 S2,06 I
1980 S4.83 1991 SI.64
1981 S4.77 1992 SI.45
1982 S4.64 1993 SI.31
1983 S4.47 1994 SI.I3
1984 S4.30 1995 SO.97
1985 S4.09 1996 SO.82
1986 S3.78 1997 SO.63
1987 S3.41 1998 SO.41
1988 S2.98 1999 SO,22
1989 S2.52 2000 SO.04
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE/lOOO CREDITRATE
0,000 x $0.00 = 1
0,000 x $0.00 = I
TOTAL MWMC CREDIT =1
$0.00
$0.00
$0,00
I
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1'-'''' Willamalane
t, "1' Park & Recreation District Job. No. C!l.:ro.3D1:n I
. fW SYSTEM DEVELOPMENT CHARGE
. ' WORKSHEET
NAME" _ ~ \ ldu\~ PHONE: ffi~. 5:Q()_
ADDRESS: Q.~ .~l B~ J ~ STATE:.Ef...z. ZIP:Q-t\.11.
LOCATION OF PROPOSED BUILDING SITE:
Street Address: ,'::;'1 ';'5 06 s .. D; A,J ~ tV ..LJ
~ _ Tax Lot Number: \
1. DEVELO ,ENT TYPf": (Check appropriate dwelllng(s). SDC calculations and dwelUrig t
YJle definitions are on the back.)
A S.inole-FRmilv DelRc.lmd
\ Single Family home
NO. OF UNITS \
Manufactured home not in a park
X $1,000 per unit=$ .U::CO.cO
B. .Sinole-FRmllv AtfRcmeQ
NO. OF UNITS
X $924 per unit . -, $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. Manuf.a.Qtjlreci Home P'llk
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit .. $
$ \cro. eX)
o
$ \COO~
2. SDC CREDIT (II appUcable) SDCilayer must fumlsh proof of
WiUamalane Credit approval. See sac Credif Wodcsheet. $
3~ TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for ~n
\\~~~ j
Development SelVices~partment
City of Springfield
6
1
\SI
D~
Date