HomeMy WebLinkAboutPermit Building 2003-5-28
.
Status
Issued
.
. LI1 t" OF SPRINGNJ<..L1J
Building/Combination Permit
PERMIT NO: COM2003-00294
ISSUED: OS/28/2003
APPLIED: 04/22/2003
EXPIRES: 11/28/2003
VALUE: $ 12,908.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2278 MAlA LP
ASSESSOR'S PARCEL NO.: 1703251302300
Springfield TYPE OF WORK: Manufactured Home w
Garage/Carport on Private
TYPE OF USE: Now Residential
PROJECT DESCRIPTION: MH on private lot with garage
Owner: MAXINE SCOTT
Address: 1264 ADELMAN EUGENE OR 97402
Contractor
HARRISON JACOBSON INC
RALPH W BROWN
MAXINE SCOTT
HARRISON JACOBSON INC 66447
, BUILDING'INFORMATION I
0.\)\\-,,0<<- - "'\. \Vo
# of Buildings: 1 ~ ,0 O.!ljo!.-~ii~J.!~:~ Co '0 . 1
Primary Occupancy Group: R_3~\\'cl' ,,<,0 ,Helght,ofStr;ucture
cO "... .,.~ ",\ . (\) ~.
Secondary Occupancy Group: O-li-l .\'0' 0,vType ofJleat:)~ Forced Air Elect
" aV S ,- t,'" ~" '0'
Primary Construction Type O~. r~ -<,,<,0 o\)(Water Type:. o~ Electric
Secondary Construction Typi:~ <:,~CVN.)" ~\:)"S'\ o<..Rlii.g~Hypj;'~ Electric
# of Bedrooms: :0"<;-' ,.s.0 v~P3.\:)\:) ?y<<- c; &.nefgy.'J'ath:\.
~ ~. 0<<- ,,\:)'\ '$)" \~ \:),-,. 7,'?:r
,d1-o.r~~.G.7:\J ^-..\ 0 .,e""^o<<- ^",'1:
~o'\;~~ ~o\) ~0 0i.DEVEEOPMENT INFORMATION I
SETBACKS \<<- Rl"P' ~\<<-~ ,\,0' . ~e' v
lJ o'cl' .~(>. Oe<<-
,)(20:00 Overlay Dist: Total:
~ 17.00 # Street Trees Rqd: 1 \j\l~dicapped:
8.00 Paved Drive Rqd: ~AS;. \~t. ~ei\1pact:
c.'j..'?\?'{] "" ,~\\ \S "
12.00 % OfLo~~~rage: ~t>.\..\.." \~~\,' to"
10.00 \\~,c \J't."\otI~:, ~\~\)'t." :~r,,~\)\)~'t.\)
I PUBLIC IM\!iQiVfl~ii~l? ~~G~'
O~N" ~ p.~ ~t.\,
C '\ 'OIJ \) Sidewalk Type:
t>.~'l Downspoutsillrains:
Contractor Type
General
Electrical
Owner
Plumbing
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Phone Number: 541-461-3967
I CONTRACTOR INFORMATION I
License
66447
63137
Expiration Date
05/07/2004
02/15/2004
Phone
541-689-7762
541-729-1500
541-461-3967
541-689-7762
05/07/2004
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
6,153
1,400
480
REQUIRED PARKING
2
Private infrastructure.
Paee 1 of4
.
..
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Garaee
Manuf Home
Tvpe of Construction
Garaee
Manufactured Home
Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ Ea Add
Addressing Assignment
Annexed 1979 or Before
Garage/Carport
Manuf Home State Issuance
Manufactured Home Connection
Manufactured Home Feeder
Manufactured Home Placement
Manufactured Home Service
Plan Review - Planning
Sanitary Sewer - Ist 50 Feet
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
Storm Sewer - Ist 50 Feet
Water Line - Ist 50 Feet
WilIamalane Manuf Home Private
Total Amount Paid
Initial Review
Plan nine Review
04123/2003
04/23/2003
.
I Valuation Descriotion I
$ Per Sq Ft
$19.60
$1.00
SQuare Footaee
480.00
3,500.00
Total Value of Project
I 1<0'0'< PiWU
Amount Paid
Date Paid
$85,02
$57.38
$40.17
$3.00
$8.00
$-149.40
$130.80
$30.00
$45.00
$50.00
$160.00
$50.00
$59.00
$45.00
$335.80
$441.80
$10.00
$34.83
$332.86
$75.70
$47.96
$709.81
$160.87
$596.71
$45.00
$45.00
$1,000.00
4/22103
5/28/03
5/28/03
5/28/03
5/28/03
5/28/03
5/28/03
5/28/03
5/28/03
5/28/03
5/28/03
5/28/03
5/28/03
5/28/03
5/28/03
5/28/03
5/28/03
5/28/03
5/28/03
5/28/03
5/28/03
5/28/03
5/28/03
5/28/03
5/28/03
5/28/03
5/28/03
$4,450.31
I Plan Reviews I
04/23/2003
04/29/2003
APP LLH
APP AID
Paee 2 of4
. CITY OF ~rK1r'HJt<lt<.LJJ
Building/Combination Permit
PERMIT NO: COM2003-00294
ISSUED: OS/28/2003
APPLIED: 04/22/2003
EXPIRES: 11128/2003
VALUE: $ 12,908.00
Value
$9,408.00
$3,500.00
$12,908.00
Date Calculated
04/22/2003
04/22/2003
Receipt Number
1200200000000001048
1200200000000001334
1200200000000001334
1200200000000001334
1200200000000001334
1200200000000001334
1200200000000001334
1200200000000001334
1200200000000001334
1200200000000001334
1200200000000001334
1200200000000001334
1200200000000001334
1200200000000001334
1200200000000001334
1200200000000001334
1200200000000001334
1200200000000001334
1200200000000001334
1200200000000001334
1200200000000001334
1200200000000001334
1200200000000001334
1200200000000001334
1200200000000001334
1200200000000001334
1200200000000001334
.
.
CITY OF ~rK11'\jljl'1J!,LU
Building/Combination Permit
Status
Issued
PERMIT NO: COM2003-00294
ISSUED: OS/28/2003
APPLIED: 04/22/2003
EXPIRES: 11/28/2003
VALUE: $ 12,908.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Public Works Review 04123/2003 05/0112003 WE VRJ Subdivision plat shows a 10 ft Eweb
easement through the property.
Dave Puent requested a letter from
EWEB releasing the easement prior
to bp issuance. I contacted Ms
Scott, who refered me to her
nephew, Michael Page, who refered
me to Brad of Gooden-Harrison.
Brad was planning to contact Ms.
Harlow for easement
documentation. I have the permit
on hold until have something in
writing from EWEB.
Public Works Review 05/06/2003 05/06/2003 WE VRJ Received fax from Brad Harrison
regarding EWEB easement,
5/5/2003. The tille document shows
"The Plat states that this pipeline
has been abandoned. tt, it does not
show a release of the easement. I
contacted Mr. Harrison 5/6/2003,
Building Permit is on hold until we
receive a easement release from
EWEB.
Public Works Review OS/27/2003 OS/27/2003 APP VRJ The manufactured home is being
placed upon the EWEB easement
pursuant to a letter from EWEB.
Please read the easement, It has been
attached. The City of Springfield
does not provide any legal advice
regarding the effect of the easement
or the effect of EWEB's permission.
Structural Review 04/23/2003 05/15/2003 APP RJB
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.
~prlln<n~
1 Erosion/Grading Inspection: After all erosion measures are in place.
2 Vfer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
3 Footing: After trenches are excavated.
4 Foundation: After forms are erected but prior to concrete placement.
5 Shear Wall Nailing: Before covering sheathing with finish materials.
6 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
7 Drywall: Prior to taping.
8 Firewall: Located and constructed according to plans.
9 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Paee 3 of 4
-'
.
.
CITY OF SPRINul'lJ<.LU
Building/Combination Permit
Status
Issued
PERMIT NO: COM2003-00294
ISSUED: OS/28/2003
APPLIED: 04/22/2003
EXPIRES: 11128/2003
VALUE: $ 12,908.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
10 Manuf Home Set Up: When installation of all piers or stands is complete.
11 Final Manuf Home Set Up: After all required inspections are requested and approved and porches, skirting,
decks, venting. street address numbers, trees, driveway, etc. have been installed.
12 Final Building: After all required inspections have been requested and approved and the building is complete.
13 Sanitary Sewer Line: Prior to mling trench and including required testing.
14 Storm Sewer Line: Prior to filling trench.
15 Manuf Home Plumbing: After home has been connected to water and sewer.
16 Water Line: Prior to filling trench and including required testing.
17 MH Electric: When blocking, setup and plumbing Inspections have been approved and the home is connected to
the panel.
18 MH Service: Approval required prior to utility company energizing service.
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.
Uc!l~ ~-Z8-a3
Owner or Contractors Signature
Date
Paee40f4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00294
COM2003-00294
COM2003-00294
COM2003-00294
COM2003-00294
COM2003-00294
COM2003-00294
COM2003-00294
COM2003-00294
COM2003-00294
COM2003-00294
COM2003-00294
COM2003-00294
COM2003-00294
COM2003-00294
COM2003-00294
COM2003-00294
COM2003-00294
COM2003-00294
COM2003-00294
COM2003-00294
COM2003-00294
COM2003-00294
COM2003-00294
COM2003-00294
COM2003-00294
Payments:
Type of Payment
Check
5/28/2003
City of Springfield
Development Services Department
Public Works Departmenl'
Official Receipt
.'
"
Receipt #: 1200200000000001334
Description
Addressing Assignment
Willamalane ManufHome Private
Manufactured Home Feeder
Manufactured Home Service
Add, Alter, Extend Circ Ea Add
Plan Review - Planning
Garage/Carport
Manufactured Home Placement
Manuf Home State Issuance
Sanitary Sewer - 1st 50 Feet
Water Line - 1st 50 Feet
Storm Sewer - 1st 50 Feet
Manufactured Home Connection
+ 7% State Surcharge
+ 10% Administrative Fee
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 1979 or Before
Paid By
GOODEN HARRISON
1O:20:16AM
Received By
djb
Date: OS/28/2003
Amount Paid
Item Total:
8.00
1,000.00
50.00
50.00
3.00
59.00
130.80
160.00
30.00
45.00
45.00
45.00
45.00
40.17
57.38
596.71
441.80
335.80
160.87
709.81
332.86
34.83
10.00
75.70
47.96
(149.40)
$4,365.29 '
.
.
l:heck Number Confirm No
Amount Paid'
How Received
In Person
Payment Total:
4,365.29
$4,365.29
Page I of t
cReceipt.rpt
,.!~.
:>;";~~ :.~:~
"
~w ,..
b'<:"&-v
;}225,FlFTH STREET :. .,> :'::>;"ft~~0<J'
.... <'~~ :;'SP.RlNGFIELD, OREG. ON97477~.0f'}'-':~ij~0't,';,
, ;?, .~ INSPE,qION REQl%ST:.: 726~~(0 ~"
'"",'n" /', OFFICE' '726 3759 ...~,. ',s-Q, t,,p... ~J
,"'1-lt..~/\.:.,>.' ~t',':'-.';'-': . ?<..i'/o~,"b' F~y.~;i"
*';~ ~~\ ~:'~ '":,.'''I!....,~ .~. :';\ '.s ~ .-;'.1.1 . ~ 0>~;t '.;.. ..tlio
':"~J.~'t;jL W,tft\II~O~~. .
; ::r? t'" ~_:.t.:;t..'\''f-. n'\}<[1J.j;I-)t,
. 0 l>
Lf9fn~{~t'L~
, fR~RE~C.~, ' ~ I1'~D 1000 sq.ft. or less
WWUJ.. \.,\ C/ Each additional 500
I \ sq. ft or portion
PermilS arc lior ansferable and exp'lreJ thereof
j
if work is not started within 180 days Each Manllfd Home or ..'
~~g~,,~~.~ce or if work is sllspellded for ~~~~;~~r ~;~~~~~ ,lit:".. it. $ 50.00 IrID.CO
. .:;...,.. ..'.
:_~: .,,~.',. ~.",..
2. CONTRACTOR INSTALLATION ONLY B. Sel'"ices 01' Feeders . <'i'i. ',:~
';:;::"'" ....'
",' " ;,,-1f. ':A- ~/J....4-, Installation, Alteration{ot..:- .' ~'.'.. ."
<.:' : Electrical'C~'~'~'~actor ~"i~ ~ Relocation: ~li~': 'i0~1';~i. '<',~ :'" , .~., ,"~. \.~,;~ .
;; ".i ,')".i d :~:\i ~ ~, .i:'~i..":~~fWi,::t.ri/:^'~:~i::;,.. i,~:~':Y
t:',,:\, Address .'/f7 Zf~, ,:":J},{~'";, 200 amps or less::.',~:i'\::,~~~';S::i: :;~\'$6~.0,0.: :'
',.::i:;::.~. q;..,,;....,:.'):<i -r7q./.'./Glf?'tl~<':~;"!" 201 amps to 400 amps"$"."':'~'.'." ,. .",$0-7}.go "'."'>'i
~. ;;.""' City ,.~;' '~'?p'hone / ~";,0':;;;':~5r)>~D;\i\ 40 I amps t~,6~~!'#J~,,{():;.-i'i.':;',.; $ 1.25;~R .' ~;:.:'
I ~,. .' :,\."j' " .'.1,' '".1, ::.\;.,;,.~2,'f..:".,,;.;.(j::,'601 amps ti"lV'G1t~lD~V'ir.';,-'o"'" " 1,$163.00 ',., :
;...",;,",....'.:,.:.....,,'.:,.:.. S'" 'L:~'"'' 'N "'b ,0/1/-,",,;1.::5"1'/'< '.hc~,'';'~,.: C'O ~"t;." (<( . '~'t'~ ".t"':""':",;,~ $' 3'7" >0'0',,,,. ..'
.. ~' , lIper\'ls'~~:1 oI~_en:c, '.~t~~~~r ,...( ~~~':~" ;,.~":s:~.~~~:~~~~.{:.:0.~t.~ ver ~1.~,~~;~~,::>'~:(:;~ ,;"::, ~": ~' y' ~:., ,,'.-:;;'\";;:.,:
~",;~~.!:~j .. ,~",'."\:':'~'c;'?""",'.,~,.{;::-;;,,:.:..'"j~f~'.-~~i;t;;:,:P~;,.~,,~Ci:ii~%~ . ~\)~.<;,;:<{;f::...,,/: '. -~'~1q.9D.,,";:...'
~"l.""~i}{(- Explr.~tIOn,:I?a~e . .-' ,f "~?o/~:~'l ~ \f.1. :~.. ,"t'f.;-~~tt.~~:.S~: ~~~~ '~~~ ' ";~iL.-~-'f,\~~;it{~~,,.~'{!~ :.:~\~~~ ~'1Y ,)~~' \'# ~~'i:
?<,; t.Cl;2iiltj:'td~~~~ul~b,Mi3ri7~li$j:~~1~~~~~~~;~~1f1ii~~:r~~~;Jf\t;\~:~;~%#)~{lf~.i~)~~nt:
; ~. ,t:' .~ .. .:....-:.;~.,'.' .: ':';1'" ,,:;, ,'~ ,," .,,-":.... ;:.,~~,.:~,~ l'i\\":': ';6~\J."~'-a...\\J'!-.{. ...'~.-... ~.~ .~___..::4"~;.~~..,:f..,L~;~t.4'"J~,):f~.,."-::..
"'~~~.~
,; \_. ~....t :..~ . ,c.~ -:"".- "~~".. 'c,'" _ j . "'.'''''. '.' .".. '~l~,l-J.f\:"~ ~v"-\o;.\\j~,"', <~ ..\' "~ :~1 t'<J' . ,,:x' ''1;. ..' ~ \ ~'t:J,. .:t'.' i--t-~\ '.t', I. ....".;6;
f.i' -;v:":1'~'" ~'.~ tv'.:...
':. ./_ 'I" ::.r.., ---IQ' . 'rf):'~ , ;....,"S;:'.::t.:. ""'\\.t>' 'w :;t1\~'" '~..a: ~ "'~~..."" '>l~. . '; -~. ;'-'.. '--.r'";.",:/" ,"'u,.";,,',,r', '.~ ";~\' ',.,..-\.;, Of .,.,.u'';,t''''r':
;,{: "'f-t;;:\"!3;"Expiration Date (' (J..,.~....:. :,'~;..":\...;,..,";$'\\~)j~'.K("\"." O.oamps'or less' ;; .;';, ..'7t,J:i' ;,"'. ',/d:': ";$50:00:-;',' \;
,.'';', . ,....I'l''-t{. ~ 'I ~, ""--' ,.' "~~\.'" iV'V, ~'< '.' .').;' " " . ";,)'/'~':"I-"'(' ~",...,,,.:-- '~;'-__~&~""1i'~J'r-"'- '"
"~;~:: ~!::~.1Wt~r~;~,:,'-::, . '~:':L~,tM~'::{t~ ":';'~~lfl~201 arilps to 400 rimps'~.:'~7:;;"';,i:. '.i;'..:. .:\\\;"'$69.00':<:'~;: ~:~!
~';....,.);'..l.."..~....:.. ",~'\""'':;'.-I;\J.';;1>.' y. .', ..,: . ...t;;"r- ~,-;.,,--:'t.:~t'.'" ..,';~. t, ,<" ~
,,'r:\; i~!:'!.,~ignahireyf SUjlervising Electrician r ".".;", Oi',r 401,to,600)tinp~;.,</.'{;,.(:':'. ;~; '>';"$10.0,00"" .;;'
;:':~~.:.':;:~~fl~ r"j:~":'::' ...... .;~., (.'_ Over 600~a'mp's or~l()Ob"-.volis'see .:~..'~(~.....-r.~.'(..."-'f!J..~,::.~~~k.;!=;:!,j
.."",.,~':;',~(~.,J ,.,....;."t;-~: '," '," ......'".,., ,..~,.. '....-. ,~,,'1:""t':;-'-."~' _.'......,~Jl.
.,. .......:,1,:f,>:.'-t ::: .'. " ."~.; '~~""'.Z-.) 1J ~ . _ _. ~ "B" above .......<~i.."l'r.,.,'..:'" .!~;'..~\::~.,il..i:..;lJ~~,\"'.,/.'
i:j;:~;;'1:t1f:D<\::'.'. ,:..:P'?:W",~- . . .J:;,.. "\~~?fj~~~:~';.:;tt;):(f
, ....; ~..t' '__i'.' .., , _ ',:' ,C 1\ ~ . D. Branch CIJ'CUIts '. " ~..".,!~~\~ .'t,,~i~: .-; -', .
':. '"'-.""':~irc..~,'l'O;Vllers Na . e ~.\,:~ ll) Nc\\ Alter~tiolbor~E~tension Per Pan~'l' 'f"..~ ':;'. <, \t':" ",'"}.
'/' ~'..;'.~".,...: .-,~'.,' "+" ~':' ,,\ ''''';e'=>'-:.\\~\\'l' .',' .~:. ....".c:~.;.. "
."'.--:.~ "1. "~.; 'I";' ,..~ ."" , ~\" ~0 O~ .- ........;,...". '.'
.', '"i,,.:.,;. Address ,\L')' ...... Orle,Circui~~O ;;'e\\ ,,-", "'," $43.00~.:
'.. ;-.;., . - '~..' U' e:~ t'\\J - ~ ;.'
"",i' . ~. ','. :'.Ai;;;\ llnr.J) o{\\ '\('-e ''f;;'3-~ '6~v '0 "','. ,
, . '\.' ;" Cit)' '1 no:,. Phon~~ J~.0~e~ecfji\~~bdam~pj(e~rc,ujtlQ?~ith s~~';r :,':"0.. f:/)
.,. , , . " . . ~ \\'0 '3-00'Y 'Cif\Fee~r-:.r0'er~it~e ~O{\. ~ ' $ 3.00 .~
mVNERIN ALLATION' .: p-\\~ ~v\e'=>c,e{\\e~f::,\O'\('-~ ~\e'=> e\e\e~,\\c'3-\\O '.
'The installation is being made on \o\\o>ll '!..\O{\ E.;)l\Ii:,ccllancli\'~..(S~;.ic~/f~liler not included)
,."" 'property I oim which isnot llltended O'!..\'\\~:o: '?J':J~IJ '3-'1 O'O~Ep.ch~fltst2)lJit~n"c.t:-'1'
, . for sale. lease or rent. ' ' . ~ Ol'-?> .IOV (\\ re{P~mp';or'lJ'niga1io'ii $50.00
. '{\ " X\ev '\\ -- n'~
\ O'?JO. \{\Q, "\ \,\\/Siii.il{OJlthne Lighting $50.00
() C~~ '/i:>e~\O~ ~\!!inllted Energ\'lRes $25.00
{\v(\\ Ce{\ Linllted Energy/Comm $-15 00
.;. .' E6ctf:~E::;-IIT APPLICATIO~, .;,
. <Cit)"JOh ~umher.iUll\YWb:tm.~~.:'~ .
1 ~/.. ~.: . ;;. t'r .;;;,:~ 1-"? ~;~~ ,~.~~ ',-'~~:'~ ? -:', ~
x~,:ii". ,3.:.,,~R~~ETE FEE SCHEelJLE,~~.tO{Y ~ ~.: ,~:C4::',' . i:~ """
t, '. '~I~ ~~~~5:, ~.:~)', ", i'~., i'~:;;'~.-'- '.:\:;':;~.:,~,:.:~:r'~'; \;,'~<1'~i'I~. ~,; .:~. I.; C
:..> ""~..:t A~' Nc,,;'Rcsidcntial-Singic or' '..~,,~>. ....:-::....,.. : -': '"':x' -~ .'.'..
Multi-Famil)' per dwelling unit.
Ser\'ice Included:
...
Items Cost
SUt;i)' ,
.,,'~\.,'
$106.00
"
.,.'"
.,
'~:;,.;:;.~.'"
.\,;:.,. .
".' ..
."
$ 19.00
"',.;/',,"
'.,;.'
Owners Sign:ltllrc:
.:, .", ,
I\-linimlll11 Electric Permit Inspection Fcc is S;.f.5.00 + Sllrc~'1c.li
4. SUBTOTAL OF ABOVE .LD?l J5l..I
7% State Surcharge '"1 . ~ I
8% AlIministratire Fcc l ('). ':>.1"'\
TOTAL \12.[').'5\
, J
,
, , ..
CITY OF IINGFIELD SYSTEMS DEVELOPMEtvORKSHEET
JOURNAL OR JOB NUMBER: Com2003-00294
NAME OR COMPANY: Maxine Scott
LOCATION: 2278 Maia Loop
TAX LOT NUMBER: 17032513 tl 2300
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS I BUILDING SIZE (SF:
o
LOT SIZE (SF):
6153
,...../.. -
~ ",d\Jse
CIl
"-l
Cl
o
u
I~
(3
gj
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. I I CHARGE
I 2116.00 I $0.282 = I $596.71 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I I DISCOUNT
I 0.00 I $0.282 I I 50% I = I $0.00
ITEM I TOTAL - STORM DRAINAGE SDC $596.71
....
5596.71
1070
I
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x I COST PER DFU I
I 20 I $22.09 5441.80 1 1091
8. IMPROVEMENT COST: I
I NUMBER OF DFU's I x COST PER DFU
I 20 $16.79 5335.80 '11092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , 5777.60
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADTTRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x I NEW TRIP F ACTORI_
I 9.57 I I I $16.81 1.00 5160.87 1093
B. IMPROVEMENT COST: 1'1094
I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI
I 9.57 I I $74,17 1.00 I . 5709.81
ITEM 3 TOTAL" TRANSPORT A nON SDC = , 5870.68 I
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I I I $332.86 = 5332.86 1054
8. IMPROVEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I 1 I $34.83 = $34.83 11055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) - (5149.40) 1 1054
r MWMC ADMINISTRATIVE FEE 510.00 I 1056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , 5228.29
I
SUBTOTAL (ADD ITEMS I, 2, 3, & 4) ~ I $2,473.28 J
5. ADMINISTRATIVE FEE:
I SUBTOTAL I x I ADM. FEE RATE I~ CHARGE
I $2.473.28 I I 5% I $123.66
TOTAL SANITARY ADMINISTRATION FEE: 75.70 1079
TOTAL TRANSPORTATION ADMINISTRATION FEE: $47.96 11078
Virginia Jurasevich 5/27/2003 . TOTAL SDC CHARGES =, $2,596.94
PREPARED BY DATE -1_
. . .
.
.
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR CREDIT RA TE/$I,OOO II
ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT?
BEFORE 1979 $4.92 I (Enler I for Yes, 2 for No)
1979 $4.92 I IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDITI 0
1980 $4.83 I (Enter I for Yes, 2 for No)
1981 $4.77 BASE YEAR 1979
]982 $4.64 I
1983 $4.47 CREDIT FOR LAND (IF APPLICABLE)
1984 $4.30 VALUE / 1000 CREDIT RATE
1985 S4.09 $30.37 x $4.92 = , $149.40
t986 $3.78
1987 $3.41 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
1988 $2.98 VALUE / 1000 CREDIT RATE
1989 $2.52 $0.00 x $4.92 0 I
1990 $2.06 ,I
1991 $1.64
1992 $1.45 I TOTAL MWMC CREDIT = $149.40
1993 $1.31
1994 $1.13
Ii 1995 $0.97
1996 $0.82
1997 $0.63
I 1998 $0.41
I 1999 $0.22
I 2000 SO.04
.