HomeMy WebLinkAboutPermit Building 2007-6-4
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00401
ISSUED: 06/04/2007
APPLIED: 03/16/2007
EXPIRES: 12/04/2007
VALUE: $ 310,796.00
\.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3255 Aster St 3257
ASSESSOR'S PARCEL NO.: 1702313109500
Springfield
TYPE OF WORK: Duplex
TYPE OF USE: New
PROJECT DESCRIPTION: Duplex, Lot 7, RW Subdivisionsame as 4158/60 Glacier View Drive
I DEVELOPMENT INFORMATION I
~~UlRED PARKING
Overlay Dist: ~t. \~t. ~~~Qj1; 4
# Street Trees Rqd: 't.'fSW\t.l \\~\\ \~andicapped:
Paved Drif~od: S~t\\-'- \\\\~~ ~\) t~mpact:
% of ~\)~O"tt~~\ ~\)'t.\\ \3~\)~
\~\~, \(\?SL't.~~ (\\\ \S ~'tl
I PUBLIC IMPRiJ~~~~1'~' \''t.WUv'
~ '\ \j1@J .
F II I d f\ ~\'{ Sidewalk Type:
u y mprove 1"''\
Yes Downspouts/Drains:
Owner: RW HOMES
Address: BOX 395
CRESWELL OR 97426
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor .0 License
RAKOCZY WELKER ENTERPRIS~~6; 56636
EVERYDA Y ELECTRICAL SE~~~~ \o~~ 136371
SUNSET ELECTRIC INC \00...'0 eC00 coe\.~~~\~8859
RS PLUMBING CONTI3-~l~~c, ~~ C!)~ ;\eCO'?~3816
O~Di~G~~~~~'
~" <l'(' \~ OV e" v
0"-- Cp'<: '\ _ !l~'\ \eCO e "\) ~"
~<d c:- ro: ~e\' ~QJ~~1es:_><S' ~o .
~,\y,R~e ~ (;e0 ':\ ~<fiKfgfi\\$~~ft~!J,<~
~ ~o~~o ~~~ ~\ <ij$.o)r~a~~~'
\0 .~ ,C!)~ <$''0-''. w:a)er.. .h\'
~,o~ ~<0 ~ C; O' tY'
,~ or- -.l,0 %S'e !\~,~~;l\ype:
,'0- f\)~~';1\'0-C0 '\ \cE~y Path:
(;'0' ~'Oe cSPrinkled Building:
.f'\V
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
2
28.00
Wall Heat
Electric
Electric
Path 1
n/a
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
5.00
5.00
27.00
0.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes: PW Rcvd 3/20.JLP 3/20/07 *** Storm H20 to Curb & Gutter.JLP 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: 5,250
Sq Ft 1st Floor: 1,450
Sq Ft 2nd Floor: 1,450
Sq Ft Basement:
Sq Ft Garage/Carport 418
Sq Ft Other:
Occupant Load:
Curbside 5'
Curb and Gutter
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00401
ISSUED: 06/04/2007
APPLIED: 03/16/2007
EXPIRES: 12/04/2007
VALUE: $ 310,796.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Dwellin2:s
Gara2:e
Tvpe of Construction
V Wood Frame
Gara2:e
$ Per Sq Ft
or multiplier
$103.00
$27.00
Square Footage
or Bid Amount
2,900.00
448.00
Value
Date Calculated
Description
Total Value of Project
$298,700.00
$12,096.00
$310,796.00
03/19/2007
03/19/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Same As $200.00 3/15/07 1200700000000000279
-Mechanical Issuance Fee- $10.00 6/4/07 1200700000000000680
+ 10% Administrative Fee $215.14 6/4/07 1200700000000000680
+ 5% Technology Fee $114.07 6/4/07 1200700000000000680
+ 8% State Surcharge $172.11 6/4/07 1200700000000000680
2 Baths One or Two Family $508.00 6/4/07 1200700000000000680
Addressing Assignment $62.00 6/4/07 1200700000000000680
Building Permit $1,251.40 6/4/07 1200700000000000680
Curbcut Permit $80.00 6/4/07 1200700000000000680
Dryer Vent $12.00 6/4/07 1200700000000000680
Exhaust Hoods $18.00 6/4/07 1200700000000000680
PW Disc - 2nd Permit $-30.00 6/4/07 1200700000000000680
Residence Wiring 1000 Sq Ft $212.00 6/4/07 1200700000000000680
Residence Wiring Ea Addtl 500 $76.00 6/4/07 1200700000000000680
Sanitary Sewer - Improvement $831.20 6/4/07 1200700000000000680
Sanitary Sewer - Reimbursement $1,093.11 6/4/07 1200700000000000680
SDC MWMC Administration $10.00 6/4/07 1200700000000000680
SDC MWMC Improvement $1,923.04 6/4/07 1200700000000000680
SDC MWMC Reimbursement $183.22 6/4/07 1200700000000000680
SDC Sanitary/Storm Admin $206.29 6/4/07 1200700000000000680
SDC Transpo Admin $146.54 6/4/07 1200700000000000680
SDC Transpo Improvement $1,672.64 6/4/07 1200700000000000680
SDC Transpo Reimbursement $379.16 6/4/07 1200700000000000680
Sidewalk Permit $80.00 6/4/07 1200700000000000680
Storm Drainage Impervious Area $964.23 6/4/07 1200700000000000680
Temp Power 200 amps or less $50.00 6/4/07 1200700000000000680
Vent Fan $24.00 6/4/07 1200700000000000680
Willamalane Attached (duplex) $4,852.00 6/4/07 1200700000000000680
Total Amount Paid $15,316.15
I Plan Reviews I
Initial Review
Plannin2: Review
03/19/2007
03/19/2007
03/19/2007
04/10/2007
APP NJM
DON SJS
Survey 5' minimum setbacks
Pa2:e 2 of 4
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-00401
ISSUED: 06/04/2007
APPLIED: 03/16/2007
EXPIRES: 12/04/2007
VALUE: $ 310,796.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Public Works Review 03/19/2007 04/06/2007 APP JLP PW Rcvd 3/20.JLP 3/20/07 ***
Storm H20 to Curb & Gutter.JLP
4/8/07
Structural Review 03/19/2007 03/26/2007 APP LLH Same as 4158 and 4160 Glacier Vie,"
Drive approved by Robert Castile
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.
l..ReouireCUnSDections .
Ufer 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.
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.
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
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.
Pa!!e 3 of 4
CITY OF SPRINGFIELD -
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-00401
ISSUED: 06/04/2007
APPLIED: 03/16/2007
EXPIRES: 12/04/2007
VALUE: $ 310,796.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Site Inspection: To be made after excavation but prior to setting forms.
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
times dUrin~B Ldn- 4/'/07
Owner or Contractors Signature
Date
Pa2e 4 of4
spp 'FIELD
ZON f^ UV"
INITIALS NiV\
DATE G - Y -l,.,rf
SOURCE, rn (~
~
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number ~ ')...40\
Each Manufact'd Home or
Modular Dwelling Service or $50.00
Feeder 0
0<}() rJ;JJ.(\
CONTRACTOR INSTALLATION ONLr B. Servic.e~'9fF~~ ...,.\lTh~alhltion, Alterations or Relocation:
2. r\f2; \. 0\.\\ :\ \')\). '\'. r(~\)
C, T\~ n -l ' S-\J'- ~<))O , ') 0\'\ Gr, \J' 0\
Electrical Contractor T::- V e.:{l/.L{l'v/ 121 eC--\ (j L\S \'\'1-' 1~P\ A~~s.~~~S~~0 \', r, \.~;~ C',n\ '- $ 63.00
I I . ~;,\ \'\261~s0'~~ ~~;';:i\'C')'\"\~G\ $ 75.00
Address 7MB 1.1'2 b5w-l DI\l,S/0~ 1~(~,~'~>~\<}~d~~JU9~M~~;~PE~~\~~!'t'~~~ $125.00
, r.f;2"', '~\) ~\>> ~o\\~'rl?R~cQ,'lD~~~~SO\))-\;> $163.00
Phone foD 7 (g ~~~:_Cf,'S~~oo~o~p~~\'@s~ $375.00
\"ryc,;.,c ~.~lZ.e.c""'tO:~ noW $ 50.00
,.' ,<,:J rc ':)P'- ~'e\
0\>0\ \' '00')' ~;:>'O)
, (. \.\\0 c.r;ti\ ,.
1\.\\' ~ -"Temporary SerVIces or Feeders
~~~. '
Installation, Alteration or Relocation
200 Amps or less \. $ 50,00 ~r;o
201 Amps to 400 Amps ~'f-. $ 69.00
401 Amps to 600 A~S\}\\J \j\ $100.00
Over 600 ~~ "dr ~~O 'Vol?s see "B" above.
. (' \:.' D....\ ~luitl Citi&iit\}~\'5\)~
\), \'-" \\ S\ I c9- \\\\ \)~\
'It-\ -:., \,\:\\\~\.~\ ~~\\o\~~~e~~l\k\'h~r Extension Per Panel
\'0\", \I\~!,\I' ' OIll';\Cli"CUit
~\\' \:' .\ \"'" ~a~)tional Circuit or with
r. \j\'i.1 1'1' ~. .;\ ~~rvice or Feeder Permit
\J I 'c~ \'; ,
"\.''-J D
\\\-l. .
1. LOCATION OF INSTALLATION
~/^/)}f:J;;0 + o'2.5fl A~
LEGt~(fEO~U
JOB DESCRIPTION
pe~~nSfmble nnd expi" if wo,k is
not started within 180 days of issuance or if work is
Suspended for 180 days.
City tc~pr.e,
Expiration Date
qbO~S
/0/11 :200'1
J
/]bj~71
~ /12 / 0'9
Supervisor License Number
Constr, ContL Number
Expiration Date
Signature of Supervising ElectIician
~LIA--nr
~0~
Address \) n ~ 2AS
City r ~ i1 -. 'Phone . n"\?l.. 'l.228
Owners Name
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
~
Date C - '-I - 0r
3.
COJ.l.iPLETE FEE SCHEDULE BELOHT
A. New Residential- Single or Multi-Family per dwelling unit.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
'llQ!P
'1lo~
1)....
A
$106.00
$ 19.00
$ 43.00
$ 3.00
E. Miscellaneous (Service/feeder not included) -Each Installation
Pump or irrigation
Sign/Outline Lighting
Limited EnergylResidential
Limited Energy/Commercial
$ 50.00
$ 50.00
$ 25.00
$ 45,00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4. SUBTOTAL OF ABOVE
- -o,~D~
~3N)
'I lP .C1{)
8% State Surcharge
10% Administrative Fee
'FEff~
S'.b
Shared Driv";(~.E~I111S/Electrical Pennit AP40\ ~,lo~~
CITY OF Sf;~GFIELD SYSTEMS DEVELOPMEN~rlt~ORKSHEET
JOURNAL OR JOB NUMBER: C0M2007-00401
. NAME OR COMPANY: Rakoczy Welker
LOCATION: 3255/57 Aster St
TAX LOT NUMBER: Lot #7 -- Rakoczy-Welker.
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS 2 BUILDING SIZE (SF' 2048 LOT SIZE (SF):
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x COST PER S.F. CHARGE
I . 2873.00 $0.336 I = I $964.23
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F. x I COST PER S.F. I x I DISCOUNT RATE I I
0.00 I $0.336 I I 50% I = I
ITEM 1 TOTAL - STORM DRAINAGE SDC ,. $964.23 I
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's I x
42 I
DISCOUNT
$0.00
COST PER DFU
$26.03
B. IMPROVEMENT COST:
I NUMBER OF DFU's x
I 42
$19.79
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
~,
$1,924.32
3. TRANSPORTATION
A. REIMBURSEMENT COST:
ADT TRIP RATE I x'
9.57
B. IMPROVEMENT COST:
I ADTTRIP RATE
I 9.57
I NUMBER OF UNITS I x
I 2 I
COST PER TRIP
$19.81
x I NEW TRIP FACTOR
I 1.00
I NUMBER OF UNITS x I
I 2 I
=1
COST PER TRIP
$87.39
$2,051.80
x /NEW TRIP F ACTORI
, 1.00 I
x
ITEM 3 TOTAL - TRANSPORTATION SDC
5250
$964.23
$1,093.11
$831.20
$379.16
,
$1,672.64
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's x
2
ICOST PER FEU
I $91.61
B. IMPROVEMENT COST:
INUMBER OF FEU's I x 'COST PER FEU
I 2 I I $961.52
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =, $2,116.26
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , $7,056.61
=
$183.22
.~ --.
"- ,
=
$1,923.04
$0.00
$10.00
5. ADMINISTRATIVE FEE:
I SUBTOTAL x I ADM. FEE RATE CHARGE
I $7,056.61 I 5% $352.83
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
~,. ~....
...- ,..
Jeff Prociw
4/8/2007
TOTAL SDC CHARGES
PREPARED BY
DATE
. ,
I
206.29
$146.54
=, $7,409.44
TJ)
~
Q
o
U
~
~
iE-<
TJ)
.......
o
~
l1070
1109]
1092
1093
]094
! ~
"
111054
,11055
1054
]056
1079
I
1078
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUTV ALENT ~ DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY TIlE NET AuuJ J JONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
IBATHTUB 2 0 3 = 6
I DRINKING FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
I LAUNDRY TUB 0 0 2 = 0
ICLOTHESW ASHER / MOP SINK 2 0 3 = 6
ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
I MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
I RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 2 0 3 = 6
SHOWER, SINGLE STALL 0 0 2 = 0
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 2 0 3 = 6
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASIN/DOUBLE LAVATORY 2 0 2 = 4
I SINK: SINGLE LA V A TORY /RESIDENTIAL BAR 2 0 1 = 2
IURINAL, STALL / WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 4 0 3 = 12
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 42
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons peT day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$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 I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter I 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
TOTAL MWMC CREDIT
$0.00
=
.
225,}?iftb. Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-0040 I
COM2007-00401
COM2007-0040 I
CO M2007 -0040 I
COM2007-00401
COM2007-00401
COM2007-00401
COM2007-00401
COM2007-0040 I
COM2007-00401
COM2007-00401
COM2007-0040 I
COM2007-00401
COM2007-00401
COM2007-00401
COM2007-00401
COM2007-0040 I
COM2007-00401
COM2007-00401
COM2007-0040 I
COM2007-00401
COM2007 -0040 I
COM2007-0040 I
COM2007-00401
COM2007-0040 I
COM2007-00401
COM2007-00401
Payments:
Type of Payment
Check
cReceint 1
Cjf... of Springfield Official Receipt
L lopment Services Department
Public Works Department
RECEIPT #:
1200700000000000680
Date: 06/04/2007
Description
Building Permit
Addressing Assignment
Willamalane 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
Sidewalk Permit
Curbcut 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
+ 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
8109
In Person
Payment Total:
Page I of I
1 :29:39PM
Amount Due
1,251.40
62.00
4,852.00
508.00
24.00
18.00
12.00
10.00
212.00
76.00
50.00
80.00
80.00
(30.00)
964.23
1,093.11
831.20
379.16
1,672.64
183.22
1,923.04
10.00
206.29
146.54
114.07
172.11
215.14
$15,116.15
Amount Paid
$15,116.15
$15,116.15
6/4/2007
Willamalane
Park & Recreation District
Job. No.
~0 .LlQI
SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2007 '
NAME: \<10 ~0\\\.Qf) . PHONE: 5 \3. '2. L-.lf;
ADDRESS: ~() i;;P'x ~':) CITy1J~. STATE(Xt;:IP:~~Up
LOCATION OF PROPOSED BUILDING SITE:
Street Address: J2..~~-\- ?:/2..::::f) A 6~
Plat Name: Rtu ~U\C)i~x Lot Number:
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 =
$
B. Sinale-Familv Attached
r9.
NO. OF UNITS
X $2,426 per unit =
$ 4~S2..0()
C. Multi-Familv Aoartment
NO. OF UNITS
X $2,032 per unit =
$
D. Sinale Room Occupancy
NO. OF UNITS
X $1,016 per unit =
$
E. Accessorv Dwellina Unit
NO. OF UNITS
X $1,151.50 per unit = $
$ 466tP::>
WILLAMALANE SDC
2. SDC CREDIT (If applicable) sac payer must furnish proof of
Willamalane Credit approval.)
$
p
~5'2-cf.J
07
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SOC reduced for Credit)
~uO) 1~V\()Q(2 /
Development ~~~artment
City of Springfield
bl
Date
$
tfl
5