HomeMy WebLinkAboutPermit Building 2004-2-4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
'.
e- CITY OF ~rKl!~\;o-t<l~L1J
Building/Combination Permit
PERMIT NO: COM2003-01295
ISSUED: 02/04/2004
APPLIED: 12/31/2003
EXPIRES: 08/04/2004
VALUE: $ 169,724.40
SITE ADDRESS: 6790 Jacob Lane
ASSESSOR'S PARCEL NO.: 1702341109100
TYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: SFR
TYPE OF VSE:
Owner: DENNIS R MINIUM
Address: 8745 THURSTON RD SPRINGFIELD OR 97478
".
Contractor Type
General
Electrical
Mechanical
Plumbing
I CONTRACTOR INFORMATION I
Contractor
DENNIS R MINIUM
STEVE HAVCK
MARSHALLS INC
DON CLEWIS
# ofVnits:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
18.00 Overlay Dist:
17.00 # St'\.~t Trees Rqd:
5.00 I\@\~~rive Rqd:
~0'" .S~ \l~.
95.21 ~0o."I>\ 0~~\Q.~t'ooverage:
83.2~~ 0 O~ e.~0 6'1; \.
.....(\ ..~ . .....; """ g ~_o.Cb
~p~0f00 ~~"", ~Q~~iPtIM~RO"I';MENTS I
~,O (j)9~" ~" ~ - 0'V' 'C>o
Street Improveme~iC.~ J.0'" ll' 0~~t~IVl.~r'ii~~(\0 ~~o\\~\c
Storm Sewer Avait~~ll ~ . 0(\ (1)1)'\- :o\.~(\ ~Oy~~~\~ fbt>.t>.'1'
Special InstructiollP 'i.~\c0-\.~'::.?; 0-'\ 0 ~e~' 0(\ ~?;?;
:-,.0 t-~ ~ ~ cfi!F' O~0Cj, C\C\_'?i
Notes: . (\090'~O r:;,'iS'-0~'iS'-0 .c,...._'?!
')fJ ~\~ ~,o ,,,,,
C f:''00 ,r<'
(\\S
SETBACKS
't
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
"
License
62682
147618
25790
33076
BUILDING INFORMATION I
1
R-3
V-I
.VN
# of Stories: 2
Height of Structure 27.00
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Electric
Energy Path: Path 1
4
I DEVELOPMENT INFORMATION I
Floodplain
2
New
Residential
Phone Number: 541-747-8495
Expiration Date
12/1112005
04/30/2005
12/23/2005
06/10/2005
Phone
541-747-8495
541-221-2665
541-747-7445
541-688-1931
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
9,904
836
872
462
259
Yes
13.00
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Sidewalk Type:
DownspoutslDrains:
Curbside 5'
Curb and Gutter
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Paee 1 of 4
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CITY OF SPRlNGFmLu
Status
Issued
Building/Combination PerInit
PERMIT NO: COM2003-01295
ISSUED: 02/04/2004
APPLIED: 12/31/2003
EXPIRES: 08/04/2004
VALUE: $ 169,724.40
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion I
Description Tvpe of Construction $ Per Sq Ft Square Footage Value Date Calculated
- or multiplier or Bid Amount
Dwellines V Wood Frame $90.60 1,708.00 $154,744.80 12131/2003
Garaee Garaee $23.80 452.00 $10,757.60 12/31/2003
PatiolPorch Use Bid Amount $1.00 4,222.00 $4,222.00 01/30/2004
Total Value of Project $169,724.40
l..Fppo P~W
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $507.10 12131/03 1200200000000002673
-Mechanical Issuance Fee- $10.00 2/4/04 1200400000000000162
+ 100/0 Administrative Fee $134.72 2/4/04 1200400000000000162
+ 7% State Surcharge $94.30 2/4/04 1200400000000000162
3 Baths One & Two Family $306.00 2/4/04 1200400000000000162
Addressing Assignment $8.00 2/4/04 1200400000000000162
,. Annexed 2000 $-3.20 2/4/04 1200400000000000162
Appliance Vent $6.00 2/4/04 1200400000000000162
Building Permit $793.15 2/4/04 1200400000000000162
Curbcut Permit $75.00 2/4/04 1200400000000000162
Dryer Vent $6.00 2/4/04 1200400000000000162
Exhaust Hoods $9.00 2/4/04 1200400000000000162
Furnace - up to 100,000 btu $12.00 2/4/04 1200400000000000162
Gas Outlets 1-4 $4.00 2/4/04 1200400000000000162
Plan Review - Planning $59.00 2/4/04 1200400000000000162
Plan ReviewlResidential Hourly $112.50 2/4/04 1200400000000000162
PW Mult Disc - 2nd Permit $-30.00 2/4/04 1200400000000000162
Residence Wiring 1000 Sq Ft $106.00 2/4/04 1200400000000000162
Residence Wiring Ea Addtl 500 $57.00 2/4/04 1200400000000000162
Sanitary Sewer - Improvement $395.83 2/4/04 1200400000000000162
Sanitary Sewer - Reimbursement $520.72 2/4/04 1200400000000000162
SDC MWMC Administration $10.00 2/4/04 1200400000000000162
SDC MWMC Improvement $214.23 2/4/04 1200400000000000162
SDC MWMC Reimbursement $314.63 2/4/04 1200400000000000162
SDC Sanitary/Storm Admin $93.87 2/4/04 1200400000000000162
SDC Transpo Admin $54.45 2/4/04 1200400000000000162
SDC Transpo Improvement $727.42 2/4/04 1200400000000000162
SDC Transpo Reimbursement $164.89 2/4/04 1200400000000000162'
Sidewalk Permit $75.00 2/4/04 1200400000000000162
Storm Drainage Impervious Area $621.83 2/4/04 1200400000000000162
Vent Fan $18.00 2/4/04 1200400000000000162
Wmamalane Single Family $1,000.00 2/4/04 1200400000000000162
Wood Stove/Insert $30.00 2/4/04 1200400000000000162
Paee 2 of 4
~iir.
.
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CITY OF SPKll'ltJt<lJ<..LU
Building/Combination Permit
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2003-01295
ISSUED: 02/04/2004
APPLIED: 12/31/2003
EXPIRES: 08/04/2004
VALUE: $ 169,724.40
Status
Issued
Total Amount Paid
$6,507.44
Initial Review
I Plan Reviews I
01/2612004 APP
LLH
01/26/2004
Plannine Review
01/26/2004
01/28/2004 APP
EMM
Public Works Review
01/2612004
01/27/2004 WI
VRJ
Public Works Review
Structural Review
01/27/2004
01126/2004
01/2912004
01/30/2004
DON
APP
KJV
DLM
Received plan for review from Don
Moore today. Plans were submitted
on 12/31/2004 and placed in the
reviewed drawer and filed with the
active plans. Plan review will be
completed immediately
Lot Contains no build no fill line
with 5', easement to the south.
Buildable area is 55' in length. 2nd
curb needs to be installed.
SDC, sidewalk and curbcut permit
fees added. PW's review and
approval to be completed by Ken
Vogeney. Permit passed on to Ken,
1/27/2004 2: 10pm.
This application was lost on the shell
for several weeks without our
knowledge. Submitted plans were
incomplete and with conflicts
between the drawings. I contacted
the applicant several times for
clarifications. dim
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
Ue()lIiretUn~np.~tions I
I Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
2 Curbcut - Standard: After forms are erected but prior to placement of concrete.
3 Site Inspection: To be made after excavation but prior to setting forms.
4 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
5 Footing: After trenches are excavated.
6 Foundation: After forms are erected but prior to concrete placement.
7 Post and Beam: Prior to floor insulation or decking.
8 Floor Insulation: Prior to decking.
9 Shear Wall Nailing: Before covering sheathing with finish materials.
10 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
11 Walllnsulation: Prior to cover.
12 Ceiling Insulation: Prior to cover.
13 Drywall: Prior to taping.
Paee 3 of 4
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2003-01295
ISSUED: 02/04/2004
APPLIED: 12/31/2003
EXPIRES: 08/04/2004
VALUE: $ 169,724.40
225 Fifth Street, Springfield, OR
541-726-3753 Phone
-541-726-3676 Fax
541-726-3769 Inspection Line
14 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
15 Final Building: After all required inspections have been requested and approved and the building is complete.
16 UnderOoor Plumbing: Prior to insulation or decking.
17 UnderOoor Drain: Prior to cover or placement of concrete.
18 Rough Plumbing: Prior to cover and including required testing.
19 Water Line: Prior to filling trench and including required testing.
20 Sanitary Sewer Line: Prior to filling trench and including required testing.
21 Storm Sewer Line: Prior to filling trench.
22 Final Plumbing: When all plumbing work is complete.
23 UnderOoor Mechanical. Prior to insulation or decking and including required testing.
24 Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
25 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.
26 Rough Mechanical: Prior to Cover
27 Final Gas: When all gas work is complete.
28 Final Mechanical: When all mechanical work is complete.
29 Wood Stove: After Installation.
30 Temporary Electric: Approval required prior to Utility Company energizing pole.
31 Rough Electric: Prior to Cover
32 Electric Service: Approval required prior to utility company energizing service.
33 Final Electric: When all electrical work is complete.
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 t mit card is located at the front of the property, and the approved set of plans will remain on the site at all
times d ng const uction.
- '~~ ~-------,
Z. ~7'-&Y
/
Owner or Contractors Signatu!e
Date
Paee 4 of 4
225 Fifth Street .,.
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-0l295
COM2003-0l295
COM2003-0l295
COM2003-0l295
COM2003-0l295
COM2003-0 1295
COM2003-01295
COM2003-01295
COM2003-0l295
COM2003-01295
COM2003-01295
COM2003-01295
COM2003-0l295
COM2003-01295
COM2003-01295
COM2003-0l295
COM2003-01295
COM2003-01295
COM2003-0 1295
COM2003-0 1295
COM2003-0 1295
COM2003-01295
COM2003-01295
COM2003-01295
COM2003-01295
COM2003-01295
COM2003-01295
COM2003-01295
COM2003-0l295
COM2003-01295
COM2003-01295
COM2003-01295
Payments:
Type of Payment
Check
~,
~,~1"")
Receipt #: 1200400000000000162
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Plan Review - Planning
Sidewalk Permit
Curbcut Permit
PW Mult 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
Annexed 2000
Plan ReviewlResidential Hourly
Building Permit
3 Baths One & Two Family
Furnace - up to 100,000 btu
Vent Fan
Appliance Vent
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
-Mechanical Issuance Fee-
Wood StovelInsert
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
DENNIS MINIUM
Received By
djb
<':heck Number
Batch Number Authorization Number
3083
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date; 02/04/2004 8:59:4IAM
Amount Paid
Item Total:
8.00
1,000.00
106.00
57.00
59.00
75.00
75.00
(30.00)
621.83
520.72
395.83
164.89
727.42
314.63
214.23
10.00
93.87
54.45
(3.20)
112.50
793.15
306.00
12.00
18.00
6.00
9.00
6.00
4.00
10.00
30.00
94.30
134.72
$6,000.34
.
.
How Received
In Person
Payment Total:
Amount Paid
$6,000.34
$6,000.34
. .
(\ U
CITY OF SLdNGFIELD, OREGON
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: 1541l726-J36R9s submltled has the following
\ Thefol oWing pro eors. "
ELECTRlCAL1&RMIT APPLICATION lonmg, and does not require specific land use '
City Job Number 3 . Dl'ZAS Date approval, L.,\>VZ-- ,
, Zoning,
I. I LOCA110N OF INSTALLAl'ION 3. I. COMJ>LETEE~E ..r~~'nI.;,tEBUe:;-:: <:~,
--.La1.40 . 01JI 1)'0 ~ hU"Mlzaa Signature '
LEGAL DESCRIPTION A. I NO'w R~sidcntial- Single or Multi-Family pcr d'w~lIing unit.
\1 rrz:~\\ D:U()O
JOB DESCRIPTION J \10
- ~n-transfcra~le a expire if work is
not startcd within 180 days of issuance or if work is
Suspended for 180 days.
Signature of Supervising Electrician
all~
v -
Owners Name ~ ~\ U1'I\.- '
Address ~A.~ \b.l1J\.~1:Qj\ ~
City _ (l. Phone \:4.1 ~ ,Puinporirrigation $SO.OO
- \ 'ATTEf'.JTioN:oregOSi~6Ri7M,[1lg'hfut}1 to $ SO,OO
OWNER INST ALLA nON follow rules adople~~~i\~Jl~~~a&'),Jl ~m& $ 2S,00
".'" >lolificalion Celller. TI;1\,>se rUles'ilre se lOI!
.' The installation is being made on propeHtI~~'9~lEreo1.001 0'r'n'Vg5~fi~gJt;~tpf}OOlal $ 4S,00
.s not mtended for sale, lease or rent. :>090. You may cM!!!!!,!,!..!!~EI.e!;t(icl.Permitl'lnspection Fec is $45.00 + Surcharges
calling the cerilr.'l;ls'l-9l"'':'cr.p}~~l;!!I'"'''' ;", 'I ~
Owners Signature: number for the orEl:Qo'll-:ut" lIIWWo,ifi&dIerfE, ..Y~ll!(!J c .
"-~'''';'' 1.ROofl'S332-?34h4). / I .1/
TYo tate$urc arge (, f
10% Administrative Fee }&,.3 () Q,.,', .~
lio~
Shared Drive(T:)/Building FonnslElectrical Permit Application 1-03.doc
2. I pONTRACTORINSTALiAnON omYl
Electrical Contractor S7W [ HfJUcJ'-
Address 8~g S YIot:J .s+
City 5{Jr;.,,,, .f\.1d Phone ~/- ;;?(,bS
v
Expiration Date
SS1'f ..5
10 - I - 0'-/
fltH I 8
t( - 10 - 0 S
Supervisor License Number
Constr, Contr, Number
Expiration Date
,
\::.
Inspection Request: 726-3769
.1
Service Included
I
\l1o.00
5\.CO
\
~
$106.00
1000 sq. ft. or less
Each additional SOO sq. ft. or
portion thereof
$ 19,00
Each Manufact'd Home or
Modular Dwelling Service or
Feeder '
$SO.OO
8.1 ~e~.ices or Feeder~'~ Instili~'tion, Alteration~ or~Relocation: ,"I
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
$ 63.00
$ 75.00
$12S.00
$163.00
$37S.00
$ SO.OO
C. Ifempoj-~ryScrYices or Feeders,
, " ':"1
'';'
,
,
Installation, Alteration or Relocation
200 Amps or less" . ' , ~ $' SO,OO
201 Amps to 400 Amps $ 69.00
N1Ytoo : to 600 Amps $100.00
T' e::'~6 Amps or 1000 Volts see "B" above.
RU i,~tJAJ..LE~PiRE'IFTII~: '
C~~\>l~\SW I~U~JMUbi\lf~lUHK
ANI6~y Z1:;,~BANDONEO FOR NO~ 43,00
Each Addillonlll'~t or with
$ 3.00
~
',' ,.,
Service or Feeder Permit
E. I Mis~eua,ne.o;;~(Sefyi~e/f~ed;~'n?tfllclud';d):"E,!~hinst.ilatio~l
TOTAL
.
I SPRINGFIEL
pl/Jllf~JJJIiI.'J;Jb,"1:J.fJA tt1iL.iJ'II'Ji/:tl.et.6N_ "
225 5" STREET, SPRINGFIELD, OR 97477 ~ ~
Estimated Base Flood Elevation & Disclaimer
For property located at . Springfield OR
The calculated Base Flood Elevation (BFE) for lot# , Levi Landing -
Second Addition is feet above mean sea level, based on the current
FEMA datum information. The floor level ofthe residence to be placed on
the lot must be certified at least one foot above the Base Flood Elevation as
indicated above. (Please no/e - the City's surveyed benchmark datum informa/ion and
the FEAfA benchmark datum are not the same for this area. Add O.30ft to the City's
benchmarks to adjust to the FEMA benchmark elevations. )
The estimated base flood elevations in this area are based on intelpretation
of scientific and engineering evaluations known to the city at this time.
Larger floods can and will occur on rare occasions. Flood heights may be
increased by human-made or natural causes. The City's estimation of a
base flood elevation does not imply that land within this area will be ji'ee
from flooding or flood damages or that conformance with the requirements
of.the City will protect the property from flooding or flood damages.
The City, its officers, agents and employees shall not be liable for any flood
damage that may result from estimation of base flood elevation or any other
administrative decision made regarding administration of the City's
Floodplain Development Code. The developer of this property may elect to
perform additional scientific and engineering studies for consideration by
the City to further refine the estimated base flood elevation for this property.
The developer of this property may also elect to undertake additional
development and construction measures in addition to those required in
article 27 of the Springfield Development Code designed to avoid or
'minimize the potential for flood hazards and damage. Such additional
measures are subject to City approval.
Acknowledgment:
I hereby acknowledge receipt of a copy of this document:
Name (print) )~~tV'{~ yV!ll./t<..( V\./'..
Signatur0L'~ Date 2 - V - 0 ~
(fhiscopy to be);-giled'OyOwner's authorized agent and retained in City address file) . '
. . ,
CITY OF SINGFIELD SYSTEMS DEVELOPMENloRKSHEET
JOURNAL OR JOB NUMBER: Com2003-01295
NAME OR COMPANY: Dennis Minium
LOCATION: 6790 Jaeob Lane
TAX LOT NUMBER: 17023411119100
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS I BUILDING SIZE (SF' 1708 LOT SIZE (SF):
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S,F. x I COST PER S,F. I I CHARGE
I 2144.25 I $0,290 = I $621.83 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUSS.F. I x I COSTPERS.F. I x I DISCOUNTRATE I I DISCOUNT
I 0.00 I I $0,290 I 50% I ~ , $0.00
o
I
I~
'10
I~
I~
E-
{/)
G
~
. . .
. .
DRAINAGE FIXTURE UNIT (DFU) CALCUL.ATION TABLE -=;t
NUMBER OF NEW FIXTURES, UNIT EQUIVALENT - DRAINAGE AXTURE UNITS
(NOTE' FOR REMODELS. CALCULATE ONL V THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIV ALENT UNITS
. .
BATHTUB 1 0 3 = 3 i
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
IiNTERCEPTORS FOR GREASE lOlL 1 SOLIDS 1 ETC. 0 0 3 = 0
IINTERCEPTORS FOR SAND 1 AUTO WASH 1 ETC. 0 0 6 = 0
ILAUNDRY TUB 0 0 2 = 0
ICLOTHESW ASHER / MOP SINK 1 0 3 = 3
ICLOTHESWASHER.3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
I RECEPTOR FOR REFRIG / WATER STATION 1 ETC. 0 0 1 = 0 r
RECEPTOR FOR COM. SINK / DISHWASHER 1 ETC. 0 0 3 = 0 I
SHOWER. SINGLE STALL 1 0 2 = 2
SHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAURESIDENTIAL KITCHEN 1 0 3 = 3
SINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0
ISINK: SINGLE LAVATORYIRESIDENTIAL BAR 3 0 1 = 3 I
I
I URINAL. STALL / WALL 0 0 5 = 0 I
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 1
ITOILET, PRIV ATE INSTALLATION 3 0 3 = 9
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 1
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 23
.EDU (Equivalent Dwel1in~ Unit) is a dischar~ equi\'al~ sinl!;1e family dwellinl!; unit (20 OFU's) set al 167 gallons per day
f
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
L
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/51,000
ASSESSED VALUE
S5M
S5.04
$4.95
S4.88
S4.75
$4.58
S4.41
$4.20
S3.88
13.50
$3.07
S2.60
12.14
11.71
$1.52
SI.J8
$1.19
$1.03
10.87
SO.68
10,46
10.27
SO,09
SO.04
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enler I for Yes, 2 for No)
BASE YEAR
I'
I
I
I
I
o
2000
CREDIT FOR LAND (IF APPLICABLE)
VALUE/1000 CREDIT RATE
535.61 x 50.09
~ ,
$3.20
I
1\
I
I
I
I
J
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 . CREDIT RATE
$0.00 x $0.09
o
TOTAL MWMC CREDIT
=
$3.20