HomeMy WebLinkAboutPermit Building 2007-6-4
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-00409
ISSUED: 06/04/2007
APPLIED: 03/19/2007
EXPIRES: 12/04/2007
VALUE: $ 309,986.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3270 Aster St 3272
ASSESSOR'S PARCEL NO.: 1702313109100
Springfield
TYPE OF WORK: Duplex
TYPE OF USE: New
PROJECT DESCRIPTION: Duplex, Lot 3 RW Subdivision, same as 4158 & 4160 Glacier View Drive
Owner: RAKOCZY WELKER ENTERPRISES INC
Address: PO BOX 395
CRESWELL OR 97426
Contractor License
RAKOCZY WELKER ENTERPRISES INC 56636
EVERYDA Y ELECTRICAL SERVICE 136371
SUNSET ELECTRIC INC ,0 158859
RS PLUMBING CONTRACTIN~,\O~>\~{cl;,,'(\ 103816
I BUI}~~Ri~~TION I
\'():l ~ f:J 'O-\~ <?) f:J \>~
# of Units: 2 e~O~ 'O-tMf ~~<(-. e '<...s-eo~e 2
Primary Occupancy Group: R-~.O~ '&,eO ~~~~~~~~~:iYO~ 26.00
Secondary Occupancy Group: ~,,\\(iT 'O-OO'\!e'<..'~J...~~ ~~1\.e O~\V Electric
Primary Construction Type ~"\<c; ~ro ve~~ ~\)'\~~dt ~~.~'\ ~ ~. . Electric
Secondary Construction Type~ ~O~ ~O~ ,\)\)\' o'01t~n~or..w~'\ fl,'O~ Electric
# of Bedrooms: \0 ~\\Gro: ~~~ ~'C-'\ ~e~~&~~ Path 1
~O O"r<(-. '-l,0v- e ve ~iQ~ Building: n/a
'.(\ _C\ F\$" /"''('\ .c..'\
\)~-J G~~i~~t>PMENT INFORMATION'
~'->
18.00
5.00
5.00
16.00
35.00
Contractor Type
General
Electrical
Mechanical
Plumbing
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
......~~
." \ "$
~ ~;': ~'->'
. ~~1-~
REQU~D~~~\~G
T9~~ ~<v~~<v~ 4
1 I{a)i\~1~
Yes S~~~p~~V
~~70# '0~<0 ~~
~~'\~ <:<<v<<:\'\<;.,~,<\ \0~~\0~'
. ~~\:.. ~\:J\" ~\.J'v ~ '< v
~~ ~<(; ~~
Side~~~..\.I\~\:)
Downsp~~/Drains:
I CONTRACTOR INFORMATION I
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Fully Improved
Yes
Notes: PW rcvd 3/20.JLP 3/20/07 *** Storm H20 to curb & gutter.JLP APP 4/8/07
Pa2e 1 of 4
Residential
Phone Number: 541-513-2228
Expiration Date
OS/22/2008
08/12/2007
02/27/2008
01/04/2008
Phone
541-895-8606
541-607-6908
541-915-4883
541-461-4714
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
4,700
1,450
1,450
418
Curbside 5'
Curb and Gutter
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Description
$ Per Sq Ft
or multiplier
$103.00
$27.00
Tvpe of Construction
Dwellin2s
Gara2e
V Wood Frame
Gara2e
Square Footage
or Bid Amount
2,900.00
418.00
Total Value of Project
~
CITY OF SPRINGFIELD I
Building/Combination Permit
PERMIT NO: COM2007-00409
ISSUED: 06/04/2007
APPLIED: 03/19/2007
EXPIRES: 12/04/2007
VALUE: $ 309,986.00
Value
$298,700.00
$11,286.00
$309,986.00
Date Calculated
03/19/2007
03/26/2007
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Same As $200.00 3/19/07 1200700000000000278
-Mechanical Issuance Fee- $10.00 6/4/07 1200700000000000681
+ 10% Administrative Fee $231.41 6/4/07 1200700000000000681
+ 5% Technology Fee $123.81 6/4/07 1200700000000000681
+ 8% State Surcharge $171.85 6/4/07 1200700000000000681
2 Baths One or Two Family $508.00 6/4/07 1200700000000000681
Addressing Assignment $62.00 6/4/07 1200700000000000681
Building Permit $1,248.15 6/4/07 1200700000000000681
Curbcut Permit $80.00 6/4/07 1200700000000000681
Dryer Vent $12.00 6/4/07 1200700000000000681
Exhaust Hoods $18.00 6/4/07 1200700000000000681
Fire SF Fee - Residential $165.90 6/4/07 1200700000000000681
Plan Review Major - Planning $198.00 6/4/07 1200700000000000681
PW Disc - 2nd Permit $-30.00 6/4/07 1200700000000000681
Residence Wiring 1000 Sq Ft $212.00 6/4/07 1200700000000000681
Residence Wiring Ea Addtl 500 $76.00 6/4/07 1200700000000000681
Sanitary Sewer - Improvement $831.20 6/4/07 1200700000000000681
Sanitary Sewer - Reimbursement $1,093.11 6/4/07 1200700000000000681
SDC MWMC Administration $10.00 6/4/07 1200700000000000681
SDC MWMC Improvement $1,923.04 6/4/07 1200700000000000681
SDC MWMC Reimbursement $183.22 6/4/07 1200700000000000681
SDC Sanitary/Storm Admin $205.72 6/4/07 1200700000000000681
SDC Transpo Admin $146.62 6/4/07 1200700000000000681
SDC Transpo Improvement $1,672.64 6/4/07 1200700000000000681
SDC Transpo Reimbursement ' $379.16 6/4/07 1200700000000000681
Sidewalk Permit $80.00 6/4/07 1200700000000000681
Storm Drainage Impervious Area $954.49 6/4/07 1200700000000000681
Temp Power 200 amps or less $50.00 6/4/07 1200700000000000681
Vent Fan $24.00 6/4/07 1200700000000000681
Willamalane Attached (duplex) $4,852.00 6/4/07 1200700000000000681
Total Amount Paid $15,692.32
Pa2e 2 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00409
ISSUED: 06/04/2007
APPLIED: 03/19/2007
EXPIRES: 12/04/2007
VALUE: $ 309,986.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Plannine Review
03/19/2007
03/19/2007
I Plan Reviews I
03/19/2007 APP
04/13/2007 DON
NJM
SJS
Survey for 5' and 18' minimum
setbacks
PW rcvd 3/20.JLP 3/20/07 ***
Storm H20 to curb & gutter.JLP
APP 4/8/07
Same as 4158/4160 Glacier View
Drive reviewed by Robert Castile
Public Works Review
03/19/2007
04/06/2007 APP
JLP
Structural Review
03/19/2007
03/26/2007 APP
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.
Vfer 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 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 building is complete.
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 filling trench.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required 'prior to Utility Company energizing pole.
Rough Electric: Prior to Cover
Paee 3 of 4
CITY OF SPRINGFIELD -
Status
Issued
Building/Combination Permit
PERMIT NO: COM2007-00409
ISSUED: 06/04/2007
APPLIED: 03/19/2007
EXPIRES: 12/04/2007
VALUE: $ 309,986.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Erosion/Grading Inspection: Prior to ground distu.rbance and after erosion measures are installed.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Sidewalk - Curbside: After forms are erected but prio~ 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 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
tjmesd1d:;t~)~ _ , f,LL/!o7
Owner or Contractors Signature
Date
Paee 4 of 4
22~'Fjfth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-00409
COM2007 -00409
COM2007 -00409
COM2007-00409
COM2007-00409
COM2007-00409
COM2007-00409
COM2007-00409
COM2007 -00409
COM2007-00409
COM2007-00409
COM2007-00409
COM2007-00409
COM2007-00409
COM2007-00409
COM2007-00409
COM2007 -00409
COM2007-00409
COM2007-00409
COM2007-00409
COM2007-00409
COM2007-00409
COM2007-00409
COM2007-00409
CO M2007 -00409
COM2007-00409
COM2007-00409
COM2007-00409
CO M2007 -00409
Payments:
Type of Payment
Check
cReceint]
0...... of Springfield Official Receipt
L Jopment Services Department
Public Works Department
RECEIPT #:
1200700000000000681
Date: 06/04/2007
Description
Building Permit
Addressing Assignment
WilIamalane Attached (duplex)
2 Baths One or Two Family
Vent Fan
Exhaust Hoods
Dryer Vent
~Mechanical Issuance Fee~
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Fire SF Fee - Residential
Curbcut Permit
Sidewalk Permit
PW Disc - 2nd Permit
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Storm Admin
SDC Transpo Admin
Plan Review Major - Planning
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
COMMERCIAL ESCROW
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 8113 In Person
Payment Total:
Page 1 of I
1:32:19PM
Amount Due
1,248.15
62.00
4,852.00
508.00
24.00
18.00
12.00
10.00
212.00
76.00
50.00
165.90
80.00
80.00
(30,00)
954.49
1,093.11
831.20
379.16
1,672.64
183.22
1,923.04
10.00
205.72
146.62
198.00
123,81
171.85
231.41
$15,492.32
Amount Paid
$15,492.32
$15,492.32
6/4/2007
$P'
,FIELD ;
ZON M I J-z...
INITIALS N f\-A.
DA TE Co -::J -- U 7
SOURCE In \~
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number r .fl... 4~
~
/ i.J _ LdUr
Date \.L) - 1
1. LOCATION OF INSTALLATION
~ 10 +~'2.. "11- ~'tf'X
L~~E;ffI,tr~ ,,-/J
\' I V l,.. ~V'1\ \ .JV\\U/ ServiceIncluded
v- n
JOB DESCRlPTION 1000 sq. ft. or less {...
~!: ,- Each additional 500 sq. ft. or .A
~ \~ portion thereof -,
Permits a-e non~tr'ansferable and eXPi:\ if work is Each Manufact'd Home or
not started within 180 days of issuance or if work is Modular Dwelling Service or $50 00
Suspended for 180 days. Feeder .
t.ln,~-'. ,f. 1\ \ \-It \:\lOR\'..
2 CONTRACTOR INSTALLATIOWO l~~M\ SH.l!..l L ~~H~~s o~r_~~~~~ w{)11;tallation, Alterations or Relocation:
. ~S Ii 'rL~ 'n\\C, ptPM
[i T\~ - -ti~.\'1tD \lNUr 1\ - - r-~)K
Electrical Contractor V'Cfll .LXJ.,\,! d:~).lI!' /t.~_ '\8 ~~~NQkj~ksll $ 63.00
I, I CO~1\VENGtO ~t~W\Amps to 400 Amps $ 75.00
Address 7mB 1.72 b5W-l DI\J1SiW hJfiDA.'{ 401 Amps to 600 Amps $125.00
601 Amps to 1000 Amps $163,00
Over 1000 AmpsNolts $375.00
Reconnect Only $ 50.00
3.
CO~MPLETE FEE SCHEDULE BELOW
A. New Residential- Single or Multi-Family per dwelling unit.
$106.00
~J2.
YJLo
$ 19.00
City t(,~ pr. e.
Phone
foOl (gag
Expiration Date
Installation, Alteration or Relocation
200 Amps or less $ 50.00
201 Amps to 400 Amps $ 69.00
401 Amps to 600 Amps f'\ $100.00
st \::)1\.18,J II
9ver .1ill<t~e~~r ~ OOO,}" q~ $a~,1.!f0 above.
D ,1i,v5?J iwiAfs!O 8-.\l 8 16U\\\B()
Signature of Supervising Electrician 0' '~"~1\rjSffAAn,q,O"\\ 'l,:'l1U8() \.\ o' 'OC::,OO
~ U t" "eli I'll ~, ill D ~ L
%v "\j"O\\eY~WWlI:~\ahun..ltl\~xl('hg'?on Pex )1lm>.lU\
t.. a J 7~ c., \ \0 SB\OUJ, _ 00-'(,90 JV'l.:::r
Ifrt ,7~ ,- .J.JJ- f.l \';t.I\\i1)Be\~tlcu~\lOJ\--\\ 0 ~OO ~ UO\i~::J\\\\Oi'~ $ 43.00
/ ~~_-c.~Qli\JGMtlOra~&i~ti!A\Y~~\~l MOI\O}
f), . '"'\ ~,......, ~ -~, ,) _~~il:'e,,*I~~ea'~r_p~pB 9 - l~- $ 3.00
Owners Name ~ )..;r' l\i)(j\ \ ; '0 ,0 8l\\ I\'\.{ 0 ',NO\l.N::ll .
f'. 1\\ \,(\UO'-' '. i\B\u068\
Address vO~)( ~qS / ofr~l)~'ljsd~fl~[;ius (Service/feeder not included) -Each Installation
City ~ JJJ:::u 10 ~ Phone ". &) R.?2.2iJ Pump or irrigation $ 50,00
Sign/Outline Lighting $ 50.00
Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45.00
4b0<6S
/0/11 JOO'1
J
1]6:1"71
~ //1 /09
C. Temporary Services or Feeders
Supervisor License Number
Expiration Date
::1). ct:J
Constr. Contr. Number
OWNER Il';'STALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
8% State Surcharge
10% Administrative Fee
333.CO
~ 'J.O<f
~350
TOTAL fto RD
Shared Drive(T)/BuiJding Fonlls/EJectlical Pennit APPlic4l~~:-11
Owners Signature:
4. SUBTOTAL OF ABOVE
Inspection Request: 726-3769
CITY OF ~~NGFIELD SYSTEMS DEVELOPME~~ORKSHEET
JOURNAL OR JOB NUMBER: COMl007-00409
NAME OR COMPANY: Rakoczy Welker
LOCATION: 3270/72 Aster St
TAX LOT NUMBER: Lot #3 -- Rakoczy-Welker
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS 2 BUILDING SIZE (SF 2048 LOT SIZE (SF):
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. ' x I COST PER S.F. CHARGE
I 2844.00 I $0.336 I = I $954.49 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. x I COST PER S.F. x DISCOUNT RATE
I 0.00 'I $0.336, 50%
4700
1J)
P-l
Cl
o
u
~
P-l
f-<
r:/J
a
~
DISCOUNT
$0.00
ITEM I TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER - CITY
$954.49
$954.49
i 1070
A. REIMBURSEMENT COST:
I NUMBER OF DFU's x COST PER DFU
I 42 $26.03 $1,093.11 1091
. B. IMPROVEMENT COST:
NUMBER OF DFU's I x
42 I $19.79 $831.20 1092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $1,924.32
3. TRANSPORTATION II
A. REIMBURSEMENT COST:
I ADTTRIPRATE x I NUMBER OF UNITS x I COST PER TRIP x INEW TRIP FACTOR 11093
I 9.57 I 2 I $19.81 I 1.00 $379.16
B. IMPROVEMENT COST:
I ADTTRIPRATE x NUMBER OF UNITS x I COSTPER TRIP x INEW TRIP FACTORI
I '9.57 2 I $87.39 I 1.00 I $1,672.64 1094
ITEM 3 TOTAL - TRANSPORTATION SDC = , $2,051.80
4. SANITARY SEWER - MWMC
~
, A. REIMBURSEMENT COST:
INUMBER OF FEU's x ICOST PER FEU
I 2 I $91.61 = $183.22 1054
B. IMPROVEMENT COST:
INUMBER OF FEU's x ICOST PER FEU
I 2 I $961.52 = $1,923.04 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054
MWMC ADMIN1STRA TIVE FEE $10.00 J 1056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , $2,116.26
SUBTOTAL (ADD ITEMS 1, 2, 3, & 4) =1 $7,046.87
5. ADMINISTRATIVE FEE~
I SUBTOTAL x I ADM. FEE RATE 1= , CHARGE
I $7,046.87 I 5% I $352.34
TOTAL SANITARY ADMINISTRATION FEE: 205.72 1079
TOTAL TRANSPORTATION ADMINISTRATION FEE: $146.62 11078
Jeff Prociw 4/8/2007 TOTAL SDC CHARGES =1 $7,399.21 i
PREPARED BY DATE I
,. ...
DRAINAGE FIXTuRE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW fIXlYREs x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
I BATHTUB 2 0 3 = 6
IDRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
LAUNDRY TUB 0 0 2 = 0
CLOTHESW ASHER / MOP SINK 2 0 3 = 6
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 2 0 3 = 6
SHOWER, SINGLE STALL 0 0 2 = 0
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 2 0 3 = 6
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASIN/DOUBLE LAVATORY 2 0 2 = 4
SINK: SINGLE LA V ATORY/RESIDENTIAL BAR 2 0 1 = 2
IURINAL, STALL! WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 4 0 3 = 12
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 42
.EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
]987
1988
1989
1990
1991
1992
1993
1994
1995
]996
1997
1998
1999
2000
2001
CREDIT RATE/$I,OOO
ASSESSED VALUE
$5.29
$5.29
$5.19
$5.12
$4.98
$4.80
$4.63
$4 .40
$4.07
$3,67
$3.22
$2.73
$2.25
$1.80
$1.59
$1.45
$1.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0:05
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter 1 for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
2
2
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE
$0.00 x $5.29
= I
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0.00 x $5.29
o
=
$0.00
TOTAL MWMC CREDIT
Willamalane
Park & Recreation District
Job. No.
c.fl. ~tf1
NAME:
SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2007
\liQ r\rmeb . PHONE: '6(3. 2.218
90 R:>ox 3{:J CITY ~TATE~IP:~
ADDRESS:
LOCATION OF PROPOSED BUILDING SITE:
Street Address: < !lfl- fj D -r-3'L'l '2. ~
Plat Name:~9U.MitJis~ax Lot Number:
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the
back. )
A. Sinale-Family Detached
NO. OF UNITS X $2,303 per unit = $
B. Sinale-Familv Attached $ '1f;fJL.(J)
NO. OF UNITS A X $2,426 per unit =
C. Multi-Family Apartment
NO. OF UNITS X $2,032 per unit = $
D. Sinale Room Occupancy
NO. OF UNITS X $1,016 per unit = $
.
E. Accessory Dwellina Unit
NO. OF UNITS X $1,151.50 per unit = $
.
WILLAMALANE SDC $ 4651. .co
2. SDC CREDIT (If applicable) SDC payer must furnish proof of j;Y
Willamalane Credit approval.) $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit) )
\~) lJ\rf'fy)I2
Development servicescte~~nt
City of Springfield
$ 4051 ~
b/L(/07
Date
5