HomeMy WebLinkAboutPermit Building 2004-3-1 (2)
a- CITY OF ~rI<.ll~u1'lJ!.LU
Building/Combination Permit
PERMIT NO: COM2004-00131
ISSUED: 03/0112004
APPLIED: 01130/2004
EXPIRES: 09/0112004
VALUE: $ 148,320.00
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.
Status
Issued
*
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 3840 Long Ridge Dr
ASSESSOR'S PARCEL NO,: 1802061310005
Springfield TYPE OF WORK: Single Family Residence
I DEVELOPMEN;r INFORMATION I
SETBACKS ,~~'Nv!~\
Frontyard Setback: 20,00 j..V\~~ \\ij~lNa~ist:
Side 1 Setback: . *~ ~c;,. V~ ~~furees Rqd:
Side 2 Setback: ~~'\\t,~~~\\ ~~Ut'" ,~~~~ ved Drive Rqd:
Rearyard Setbac,,\~\':l V ~~\t~~ ~dlP ~ % of Lot Coverage:
Solar Setbacks: \,-\i'i~ c.~C~~ ~rt"..'\:)'v' ,
_. .IJ.\. _ ,-.I
\.o~~i \CO\l V, I PUBLIC IMPROVEMENTS I '
Street Improvements: ^-rTENTICl!i_l!iIwal~(Fype':V reqUIreS YOU'I~o(l b'd 5'
Fully Improved ", I ,n"ntAd b" the Oregon Ubi ,ur Sl e
Yes follow IUleS])ownspoutslDrains;,s are Curb,and Guller
. nt lnose,ul~ :r~..~.
\!otificatl~~_~g1_g~1 0 through OAR 952-00
n OAR 9 obtain copies of the rules l
0090, :ou ma~enter. (Note: the telepho~e
Call~g ~~~ the Oregon Utility Notification
num er"__'M;_ 1_"nn-~~2-2344).
TYPE OF USE:
PROJECT DESCRIPTION: Single Family Residence
Owner: THOMAS KIDDER
Address: 2823 LAURA STREET SPRINGFIELD OR 97477
...
"
, CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor License
OWNER
BINNS ELECTRIC CO 73762
MARSHALLS INC 25790
EUGENE EXCAVATION & PLUMBING 138003
BUILDING INFORMATION I
# of Unlls:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U-I
VN
# of Stories: 1
Height of Structure 23.00
Type of Heat: Forced Air Elect
Water Type: Electric
Range Type: Electric
Energy Path: Path 1
3
~
Storm Sewer Available:
Special Instruction:
Notes:
'"
Paee 1 of3
New
Residential
Phone Number: 541-741-3276
Expiration Date
Phone
06/06/2005
12/23/2005
03/0712005
541-687-1362
541-747-7445
541-988-0868
Lot Size:
Sq Ftlst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
6,689
1,500
400
2
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Yes
28,70
Status Issued
225 Fifth Street, Springfield, OR
541-726--3753 Phone
541-726--3676 Fax
541-726--37691nspection Line
.!~
Description
Dwellines
Garaee
Tvpe of Construction
V Wood Frame
Garaee
1~
Fee Description
Plan Review Residential
-Mechanical Issuance Fe.....
+ 10% Administrative Fee
+ 7% State Surcharge
2 Baths One or Two Family
Addressing Assignment
Appliance Not Listed
Building Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
Plan Review - Planning
Residence Wiring 1000 Sq Ft
Residence Wiring Ea AddtI 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
WiUamalane Single Family
'.
Total Amount Paid
Initial Review
Plannlne Review
01130/2004
01130'2004
.
. UJ. f OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00131
ISSUED: 03/01/2004
-APPLIED: 01/30/2004
EXPIRES: 09/01/2004
VALUE: $ 148,320.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$92.40
$24,30
Square Footage
or Bid Amouot
1,500.00
400.00
Value
Date Calculated
$138,600.00
$9,720.00
$148,320.00
0113012004
0113012004
Total Value of Project
Fpp< PiWIJ
Amount Paid
$471.19
$10.00
$122,69
$85,88
$254.00
$31,00
$9.00
$724,90
$6.00
$9,00
$12.00
$71.00
$106,00
$38.00
$344,20
$452,80
$10,00
$214,23
$314.63
$93,48
$54.54
$727,42
$164.89
$732.25
$50,00
$18,00
$1,000,00
$6,127,10
Date Paid
Receipt Number
1129/04
3/1104
3/1104
3'1/04
3/1104
3/1104
3/l/04
3/1/04
3/1/04
3/1104
3/1/04
3/1104
3/1104
3/l/04
3/1104
3/1104
3/1104
3/1104
3/1104
3/1104
3/1104
3/1104
3/1104
3/1104
3/1104
3/1104
3'1/04
2200400000000000070
1200400000000000254
1200400000000000254
1200400000000000254
1200400000000000254
1200400000000000254
1200400000000000254
1200400000000000254
1200400000000000254
1200400000000000254
1200400000000000254
1200400000000000254
1200400000000000254
1200400000000000254
1200400000000000254
1200400000000000254
1200400000000000254
1200400000000000254
1200400000000000254
1200400000000000254
1200400000000000254
1200400000000000254
1200400000000000254
1200400000000000254
1200400000000000254
1200400000000000254
1200400000000000254
I Plan Reviews I
01130/2004
02120/2004
APP LLH
APP TAJ
Paee 2 of3
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00131
ISSUED: 03/01/2004
APPLIED: 01/30/2004
EXPIRES: 09/01/2004
VALUE: $ 148,320.00
.'<f
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Public Works Review
01130/2004
02/0712004
APP VRJ
Site plan shows sidewalk and
curbcut existing.
Structural Review
01130/2004
0211 0/2004
APP TCM
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.
I Rp.~snp.~ti'W
~
I Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor
foundation inspection,
2 Footing: After trenches are excavated,
3 Foundation: After forms are erected but prior to concrete placement,
4 Post and Beam: Prior to floor insulation or decking, ,
5 Floor Insulation: Prior to decking.
6 Shear Wall Nailing: Before covering sheathing with finish materials,
7 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
8 Wall Insulation: Prior to cover.
9 Ceiling Insulation: Prior to cover,
10 Drywall: Prior to taping.
II Final Building: After all required inspections have been requested and approved and the building is complete,
12 Underfloor Plumbing: Prior to insulation or decking,
13 Underfloor Drain: Prior to cover or placement of concrete,
14 Rough Plumbing: Prior to cover and including required testing.
IS Water Line: Prior to filling trench and including required testing,
16 Sanitary Sewer Line: Prior to filling trench and including required testing,
17 Storm Sewer Line: Prior to filling trench,
18 Final Plumbing: When all plumbing work is complete.
19 Underfloor Mechanical. Prior to insulation or decking and including required testing.
20 Rough Mechanical: Prior to Cover
21 Final Mechanical: When all mechanical work is complete,
22 Temporary Electric: Approval required prior to Utility Company energizing pole,
23 Rough Electric: Prior to Cover
24 Electric Service: Approval required prior to utility company energizing service,
25 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 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.
r---3' ~ i/'/''I
"
Owner or Contractors Signature
Date
Pa!!e30f3
-.
. .
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.
Construction Contractors Board
700 Summer St NE Suite 300
PO Box 14140
Salem OR 97309-5052
Phone: 503-378-4621
Web Address: www.ccb.state.or.us
. .
Permit #:~_? ~-I?OI3 /
Address: ",1/.,40 / ru./4 ~)p~ /JA',
Issued by: - . ucs, , Date: '3-//0 LJ
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701,055(4) requires residential construction permit applicants who are not
licensed with the Construction Contractors Board to sign the following statement before a building
permit can be issued, This statement is required for residential building, electrical, mechanical and
plumbing permits, Licensed architect and engineer applicants, exempt from licensing under
ORS 701,010(7), need not submit this statement, This statement will befiled with the permit,
Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B:
~l.
}&2.
I own, reside in, or will reside in the completed structure.
I understand that I must become licensed as a construction contractor if the structure is sold or
offered for sale before or on completion,
o 3A. My general contractor is
(Name)
(CCB #)
I will instruct my general contractor that all subcontractors who work on the structure must be
licensed with the Construction Contractors Board,
OR
)& 3B, I will be my own general contractor,
If! hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors
Board. Ifl change my mind and hire a general contractor, I will contract with a contractor who is
licensed with the CCB and will immediately notify the office issuing this building permit of the
name of the contractor.
I hereby certify that the above information is correct and that I have read and do nnderstand the Information
Notice to Property Owners about Construction Responsibilities on the reverse side of this form.
(~ ' 71./~Y
(Signature of permit applicant) (Date)
(White copy to issuing agency permit file, pink copy to applicant.)
Property_owner.doc 03/11103
\~",.. ,- .
, A-~~!~g" as ~y oj!! :'9wn General Contractor?
\ .;'-.:..,. ~'.-'~ ~.' I.'" ~ '\ " "..
~ INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
. .
NOTE: This Information Notice to Property Owners about Construction Responsibilities was developed by the
Construction Contractors Board in accordance with ORS 701,055(5), passed by the 1989 Oregon Legis/ature,
If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing
structure, you can prevent many problems by being aware of the following responsibilities and concerns.
Employer Responsibilities
You will, in most instances, be ruled to be an "employer" and the contractors you contract with will be "employees" if
you use contractors not licensed with the Construction Contractors Board to do labor in constructing or to assist in the
construction or improvement of a residential structure, As the employer, you must comply with the following:
Oregon's Withholding Tax Law: As an employer, you must withhold income taxes from employee wages at the time
employees are paid, You will be liable for the tax payments even if you don't actually withhold the tax from your
employees. For a State Business ill number, call the Business Information Center at 503-986-2200, '. ,,-
,,'
"
Unemployment Insurance Tax: As an employer, you are required to pay a tax for unemployment insurance purposes
on the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488. , .
Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law,
and must obtain workers' compensation insurance for your employees, If you fail to obtain workers' compensation
insurance, you could be subject to penalties and be liable for all claim costs if one of your employees is injured on the
job. For more information, call the Workers' Compensation Division at the Department of Consumer and Business
Services at 503-947-7815,
U.S, Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages,
You will be liable for the tax payment even if you didn't actually withhold the tax, For a Federal EIN number, call the
IRS at 866-816-2065 or fax them at 801-620-71 15. ' "
/'""
Other Responsibilities and Areas of Concerns
Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code
requirements that may be brought to your attention through inspections, .
Liability and Property Damage Insurance: Contact your insurance agent to see if you have adequate insurance
coverage for accidents and omissions such as falling tools, paint over spray, water damage from pipe punctures, 'fire or
work that must be redone,
"
Time: Make sure you ,have sufficient time to supervise your employees,
. -
Expertise: Make sure you have the skills to act as your own general contractor, to coordinate the work of rough-in
and finish trades, and to notif'y building officials as the appropriate tithes so they can perform the required inspections.
If you have additional questions call the Construction Contractors Board (503-378-4621) or write the agency at PO
Box 14140, Salem, OR 97309-5052,
PropertLowner.doc 03/11/03
225 Fifth Street l'
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-00131
COM2004-00131
COM2004-00131
COM2004-00131
COM2004-00131
COM2004-00131
, COM2004-00131
COM2004-00131
COM2004-00 131
COM2004-00 131
COM2004-00131
COM2004-00131
COM2004-00131
COM2004-00 131
COM2004-00 131
COM2004-00 131
COM2004-00 131
COM2004-00131
COM2004-00 131
COM2004-00 131
COM2004-00 131
COM2004-00 131
COM2004-00 131
COM2004-00 131
COM2004-00 131
COM2004-00 131
. Payments:
Type of Payment
CreditCard
Description
Addressing Assignmenl
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
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
Building Permit
2 Baths One or Two Family
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
-Mechanical Issuance Fee-
Appliance Not Listed
+ 7% State Surcharge
+ 10% Administrative Fee
Plan Review - Planning
Willamalane Single Family
Paid By
THOMAS KIDDER
~Wi:~"""",~",,F'J"~,'~-,"''''~' "'".,:.,'
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Receipt #: 1200400000000000254
Received By
djb
l.:heck Number
Batch Number Authorization Number
000310 080576
City 01 Springfield Official Receipt
Development Services Department ~
Public Works Department:
"
Date: 03/0112004
Item Total:
How Received
In Person
Payment Total:
9:38:36AM
Amount Paid
31.00
106,00
38.00
50.00
732.25
452.80
344.20
164.89
727.42
314,63
214.23
10.00
93.48
54.54
724,90
254.00
,12.00
18.00
9.00
6,00
10,00
9,00
85,88
122,69
71.00
1,000,00
$5,655,91
.
.
Amount Paid
$5,655.91
$5,655,91
. 0'- ~":)-
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225 FIFTH STREET. SPRINGFIELD, OR 97477.' PH:(541)726-3753 . FAX: (541)7~~~0\ .'
ELECTRICAL PERMIT APPLICATION \0\\0"':~1; 1;0
City Job Number ~i ......~nn;v\ N---.I':1. Date <.'(\e<i-\~Q,~..\. i-\~Q,
~ .~o ~o 1.0
.0"1
3, I COMPLE1"E FEE SCHEb!ft.1; ~1'Jw
Q0-....~ ~\1,0v
:\.1..,0
A. I: New Residential- Singlc'~r Multi-Family per dwelling ,unit.
. oCiTY OF Sr'rUNGFIELD, OREGON 'U
,. .
Installation, Alteration or Relocation
200 Amps or less t $ 50.00
7.3 76 z.. 201 Amps to 400 Amps 1\" $ 69.00
t- _ I., _ 5' c Ill.> 40 I Amps to 600 A~\\\~ \f- i\\~ V'l\J<.:;:{ $100.00
o ~01\~~~~(i1l~~~~~~ove.
Signature of Supervising Electrician i\\\~~~Il\\t.l-~"OO~'r.U i.., "
/;j /J p" / / ~C~\'1I\~~~r\l~~~wxtension Per Panel
~ A /8 /,- -..;/ ~'i lV~~1tt:
~ Each Additional Circuit or with
'rt. I.. AAel'7l Service or Feeder Permit $ 3.00
Owners Name \l\CIrC'\C\.S"\... ...>> V A l..--:' . ,,\0
Address ~ 'L9,1'1.. V '^. . "r1 CJ Kl ]\1is~ellal;eOnS~~'8'.jfe*"€\\iI~~lJlt~l\ll1ed) ~E~ch Inst~lIation I
~R' .~~:;,- Ni\O\'l',u''''.~ \:) \nEl u.-l1 e se\lllll
City ,Orf)Phone l"\\. c 1L...J.l..O ~-rrPn~Weqg W-i,gi\t1&'ci 'ise IUleS e.r.., "\!,,,AlO$ 50.00
. ~o\\O'Sigl,ZOutliae.'lligh1i);'~IOUgn Ol'~ _v:. .tA!\ $ 50.00
.\."'tWon v nQ.~O' 0\ \,,~ '
OWNER INSTALLATION ~O\\ \Limiled.Eile'\-gy/KeS\'~entialeS '^l'nOne$ 25.00
OP:B~o" - or-la\ ~-, \ne\;:"-' 'on
['\ I:imiled\En--eTgy/Commeroiiil t'^\ilica\\-) 't5.00
_no90, 1V~ n cen\e', '" U\iliW ' . '
Mm\m<!1ml{!!,lk!l-i.'hPeQl!il\Jnrp!'.~li9!\'Fee\iS$45.00 + Surcharges
... In.' uj~ ...^"...-.....-.,_
4, r~W~:rA'i:<?~A1Jq~'
1. I LOCATION OF INSTALLATION
~~ H-fm ~ir\~P. Dr)
LEGAL DESCRI1'Tio~
\ ~oz.()(n\3 lJYDS,
JOB ~ESCRIPTlON , \~
~lf'(\to. 6\0 tfl ( ~ Y. ~O.D ~1 0 M f\
permits~ non-transferable ~ expire ifwor~'
not started within 180 days of issuance or if work is
Suspended for 180 days.
2, I CONTRAcTOR o/STALrATIONONFl
Electrical Contractor :j;, 1J/IJs F t..G:-Ci7/t,( L..
Address
~'o {;J"", ...
<70 4t L.
City c.d"";' Vb
Phone I!. rr7 -/ >.J &.2.
Supervisor License Number
,\D t.f l.f
Expiration Date
/0-/-0'-1
Constr. Contr. Number
Expiration Date
\-"
The installation is being made on property I own which
is not intended for sale, lease or rent.
OWllers Signature:
Inspection Request: 726-3769
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
I
lao r;fJ
'!!6.(X)
t
~
$106.00
$ 19,00
$50,00
8, ['Services orF~e~.el's ~ i"stall~tiOl.;,XJtcrations 01' Reloca;iori:
200 Amps or less
201 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
$125,00
$163.00
$375,00
$ 50.00
C. I Temporary Services orFeeders
I
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I
$ 43,00
\0."\ c;n
\~~
} u.. :.i\()
Q...~...W ~
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)lBuiJding FormslElectrical Permit Application I-D3.doc
.." ., A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMEN~ORKSHEET
JOURNAL OR JOB NUMBER: Com2004-00131
NAME OR COMPANY: Thomas Kidder
LOCATION: 3840Long Ridll.!' Drive
TAX LOT NUMBER: 18020613 II 10005
DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE
NEW DWELLING UNITS I BUILDING SIZE (SF' 1900 LOT SIZE (SF):
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
1 IMPERVIOUS S.F. x I COST PER S.F. CHARGE
1 2525.00 $0.290 I = I $732,25 I
RUNOFF ROUTED TO DRY WELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
1 IMPERVIOUS S.F. 1 x I COST PER S.F. 1 x I DISCOUNT RATE 1 I DISCOUNT
1 0.00 1 $0.290 1 50% 1 ~ I $0.00
ITEM 1 TOTAL - STORM DRAINAGE SDC , $732,25
2, SANITARY SEWER, CITY
A. REIMBURSEMENT COST:
1 NUMBER OF DFU's 1 x I
1 20 I
I
COST PER DFU
$22.64
B. IMPROVEMENT COST:
1 NUMBER OF DFU's I x
1 20 I
COST PER DFU
$17.21
ITEM 2 TOTAL - CITY SANITARY SEWER SDC ~ ,
3, TRANSPORTATION
A. REIMBURSEMENT COST:
1 ADT TRIP RATE I x I NUMBER OF UNITS 1
1 9.57 I I 1
B. IMPROVEMENT COST:
1 ADTTRIPRATE I x I NUMBER OF UNITS 1
1 9,57 I I 1
ITEM 3 TOTAL - TRANSPORTATION SDC
$797,00
x I COST PER TRIP x 1 NEW TRIP F ACTOR I
$17.23 1 1.00 .=
x I COST PER TRIP x 1 NEW TRIP F ACTORI
,
I $76.01 1 1.00 1
= I $892,31
,.i\"Q,
.\\0 .
6689
$732,25
$452,80
$344.20
$164,89
$727,42
:1 en
~
10
I~
~
E-<
18
~
1070
I
1091
1092
1093
1094
4, SANITARY SEWER, MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's 1 x ICOST PER FEU
1 I 1 $314,63
B. IMPROVEMENT COST:
INUMBER OF FEU's 1 x ICOST PER FEU
1 I 1 $214.23
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SD< = I
SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ I
5, ADMINISTRATIVE FEE:
$538,86
$2,960,42
ISUBTOTAL 1 x ADM. FEE RATE 1=
1 $2.960.42 I 5% 1
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
CHARGE
$148.02
Virginia Jurasevich
PREPARED BY
2/7/2004
TOTAL SDC CHARGES
DATE
=
$314.63
1054
1055
11054
$10,00 11056
_I
I
1079
1078
=
$214,23 '
$0,00
93.48
$54.54
$3,108,44
. . ' , . .
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE AXTURE UNITS -I
(NOTE, FOR REMODELS. CALCUU. TE ONLY THE NET ADDITIONAL RXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
lBATHTUB 1 0 3 = 3
IDRINKING FOUNTAlt\' 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
!iNTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
I LAUNDRY TUB 0 0 2 = 0
ICLOTHESW ASHER / MOP SINK 1 0 3 = 3
ICLOTHESW ASHER, 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
I RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
ISHOWER, SINGLE STALL 1 0 2 = 2
ISH OWER, GANG (NUMBER OF HEADSl. 0 0 2 = 0
ISINK: COMMERCIAURESIDENTIAL KITCHEN 1 0 3 = 3
ISINK: COMMERCIAL BAR 0 0 2 = I 0
IS INK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = I 2
ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = I 1
I URINAL, STALL/WALL 0 0 5 = I 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = I 0
ITOILET. PRIVATE INSTALLATION 2 0 3 = I 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 20
.EDU (EQuh'3.1enl Dwellinlt Unit) is a disc~ equivalent to a sinwe family dwelling unit (20 Dills) set at 167 j:!,allons 'JeT day
MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE
I YEAR I CREDIT RA TE/$I ,000
ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT" 0
I BEFORE 1979 55.04 (Enter I for Yes, 2 for No)
1979 $5.04 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT" 0
1980 $4,95 (Enter 1 for Yes, 2 for No)
1981 $4,88 BASE YEAR 1979
1982 $4.75
1983 $4.58 CREDIT FOR LAND (IF APPLICABLE)
1984 54.41 VALUE /1000 CREDIT RATE
1985 $4.20 $0.00 x $5.04 ~ , 50,00
1986 $3,88
1987 $3.50 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
1988 $3.07 VALUE /1000 CREDIT RATE
1989 $2.60 $0.00 x $5.04 0
1990 $2.14
1991 $1.7\
]992 $1.52 TOTAL MWMC CREDIT = $0,00
]993 $U8
1994 $1.19
1995 $1.03
1996 SO.87
1997 $0,68
L 1998 $0.46
1999 $0.27 I
2000 $0.09
2001 $0,04 I.