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Home My WebLink AboutPermit Building 2002-8-13 " f · 1 .. , ~ ,'" . I Job# 02-00881-01 I . Page 1 of4 TRANSfi:Ol-00l0598 DA TE : SEF 13 2002 ANT RECD:2 $ 4415.01 CHANGE; CASHIER: 032 CITY OF SPRINGFIELD, OREGON COMMERCIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 02-00881-01 225 Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 110 International Way Spr Assessors Map#: 17031540 Lot: Block: Addition: Tax Lot #: 00100 Subdivision: Owner: Pacific Source Health Plans Phone Number: 541-686-1242 Address: 250 Country Club Road Scope Of Work: Office Pacific Source Foundation & sitework for new office bldg. Buildino olans submitted for oermits 8/8/02 dim Contractor Type Contractor Registration # Architect Robertson Sherwood Architect 132 E. Broadway Suite 540, Eugene. OR City/StatelZip: Eugene, OR 97401 Value: $837,000 New Expiration Date Phone 541-342-8077 General Contr 1996 LLC 114258 5/30/2003 541-687-9445 2295 Coburg Rd, Eugene, OR 97401-7482 Electrical Contr Builders Electric Inc 4296 12/10/2003 541-485-0922 195 Madison St, Eugene, OR 97402-5030 Mechanical Contr Comfort Flow Heating Co 00460 6/27/2003 541-726-0100 1951 Don Street, Springfield, OR 97477 Plumbing Contr Twin Rivers Plumbing 17695 3/11/2003 541-688-1444 PO Box 40397, Eugene, OR 97404 ^..,.....,..,....'" I,.... ,.~... ., . .. . -... ......, ............l:1v,j IQVl 1t;l4Ulft::f~ you ( Office Use);;vw 'u;"'<> adopted bl/ the Oregon UtTtL t' ... .. ' II Y Land Use: . Pi'6fessiOnalf0fficeIBlilg)~#, Of,Buildings,:fo1ti Zoning Code: ICPAR 952-001-0010 thr OCJ:upancYi,Gro.up:. Office/Profession, (IIN) Conc-No Fire Rqn Bedrooms: 0090. ,You may obtain CCHliat Source:lles by Range: calling the center. (No'Sq!IFootage:on60928 nil", hl':"l r '^.....k.... 1""\._ _. '...... ...... . . - ...- _.....~j..."t .....'llHy I\lULlln..aUUll To request an inspection call the 24 hour recording at 726-3769. AiiIi-i1tpe2tions:requeisteClbefore 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following working day. Quad Area: # Of Units: Constr. Type: Water Heater: 11NW Footing Foundation Bolts installed in concrete Required Inspections I Buildinll I -After trenches are excavated. -After forms are erected but prior to con~Q'ijG&menl. - To be done by a State Certified Speciallf(lU$clfQ,RlWqVta~MJpid{f6~~Jfr~~~^I&l~ Buildin! AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. , ~ . . , . . Page 2 of 4 Curbcut CC-Second I Job# 02-00881-01 I Required Inspections I Plumbinll I -Prior to insulation or decking. - Prior to filling trench. - Prior to filling trench. - Prior to filling trench. I Public Works I -After forms are ereceted but prior to placement of concrete. -After forms are erected but prior to placement of concrete Underfloor Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Rough Grading Final Paving I Permits wlo Srchll I -After gravel is in place but prior to placing concete. -After paving is complete. Zoning: CI FloodPlain? 0 Wetlands? 0 Journal numbers 1: 2002-03-95 2: Comments:Needs LDAP prior to issuance Overlay District: Urban Fringe # of Street Trees: Land Use: Professional Office Bldg Pave Driveway? 0 3: Planner: Sarah Summers Urban ,Growth Boundary?D Glenwood Area? 0 Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Additional Requirements: Required Attachments: Source Locn: Material: Flood Plain FEMA: Construction Types:(IIN) Conc-No Fire Rqmnts Occupancy Groups: Office/ProfessionaVRest # Of Buildings: 1 # Of Stories: 2 # Of Bedrooms: Current Units: Handicap Access? 0 Census Code: Does not apply ,Area (Sq. Feet) I Main: 60928 Accessory: Total:60928 Height (feet): Proposed Units: Fee Paid On Receipt# Plan Check 07/23/2002 10019 08/08/2002 10241 07/23/2002 10019 08/08/2002 10241 Value/Quantity Fee Amount 'I Commercial Plan Check Commercial Plan Check Fire & Life Safety Plan Review Fire & Life Safety Plan Review Total Plan Check 837,000 6,182,000 837,000 6,182,000 $1,924.59 $13,215.90 $1,184.36 $8,132.86 $24,457.71 Foundation Only State Surcharge For Building Permit 8% Building Administrative Fee Total Building Buildinll 09/13/2002 10598 09/13/2002 10598 09/13/2002 10598 291,000 $1,186.40 $83.05 $94.91 $1,364.36 Minimum Electrical Permit Fee Temporary: 201 to 400 Amps Electrical 09/13/2002 10598 09/13/2002 10598 1 $.00 $69.00 ,. " . Fee State Surcharge - Electrical 8% Admin Fee - Electrical Total Electrical Minimum Plumbing Permit Fee Number of Fixtures State Surcharge - Plumbing Water Service Footage Sanitary Sewer Footage Storm Sewer Footage Backflow Prevention Device 8% Administrative Fee - Plumbing Total Plumbing New Curbcut Additional Driveway Total Public Works Planning Plan Review Total Planning Address Assignment Paving Total Permits w/o Srchg Grand Total Plan Check Type Checked By Initial Review-C/I/P Lisa Hopper Initial Review-CII/P Lisa Hopper Engineering-C/I/P Pam Ownby Engineering-C/I/P Pam Ownby Engineering-C/IIP Pam Ownby Planning-C/I/P Ashley Deforest PJanning-C/I/P Ashley Deforest Structural-C/I/P Tom Rogers Structural-C/I/P Tom Rogers Fire Marshal-C/IIP AI Gerard Fire Marshal-C/I/P AI Gerard Job# 02-00881-01 I Paid On Receipt# Electrical 09/13/2002 10598 09/13/2002 10598 . Page 3 of 4 Value/Quantity Fee Amount $4.83 $5.52 $79.35 Plumbinn 09/13/2002 10598 09/13/2002 10598 09/13/2002 10598 09/13/2002 10598 09/13/2002 10598 09/13/2002 10598 09/13/2002 10598 09/13/2002 10598 16 $.00 $224.00 $47.67 $115.00 $73.00 $255.00 $14.00 $54.48 $783.15 524 212 1,482 1 Public Works 09/13/2002 10598 09/13/2002 10598 1 1 $75.00 $35.00 $110,00 Planninn 09/13/2002 10598 1 $55.00 $55,00 Permits w/o Srchn 09/13/2002 10598 09/13/2002 10598 1 546,000 $8.00 $2,015.15 $2,023.15 $28,872,72 Date Completed Comment 07/24/2002 08/09/2002 08/29/2002 09/11/2002 Plans for structure submitted Foundation & Site only Wailing for foundation plan to be issued 07/24/2002 Needs LDAP prior to issuance of foundation permit. 08/26/2002 Foundation and site only Fed Ex'd plans and specs for building Foundation & site only 09/11/2002 . . ~ . , . . Job# 02-00881-01 I Plan Check Type Checked By Date Completed SUB - Comm/lnd Jack Foster 08/20/2002 . Page 4 of4 Comment Building envelope and hvac pass. Lighting currently has failed. Calculations appear to indicate that the planned interior lighting load exceeds the budgeted allowable wattage by 2,697 watts. Have placed a call with Builders Electric to work out the lighting situation. Will notify building when matter is resolved. J. Foster SUB - Comm/lnd Jack Foster 08/21/2002 Lighting issues have been resolved for now and can pass the lighting portion of review By signature, I state and agree, that 1 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 Ordinance~ 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 701.055 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. 7)1-~-'-- q---/~-61 ~~ ~ ",.. ~ FIETH STRE ., . . '." .>c.. . r'-' .. PE T C (~.:;;, "'p5. ..,.:. ET ;:. ~.;" \<'?!~!t! t;j;'.l,"t~\t.' ~',) fA;)b E~_C~. ~ AP~L.I ~Tl~N. ,:;:. !;;~'".r.~ 'JSPRlNGFIELD. OREGON 9747c7 t, ;',,,;,.) ;.'), ...'it'/';~ .~. 1$"""'l':,~ :.. :.. '. ....,..' .',. . '. : . .:,!~'ij': ',.-;. ,':';:;'. ~~...... .,.11, ",j "....".., .". ..... "," ~. 'iI-'" .. &','i ..~-, ':r'l1 '" '.' .' ," ..'to. _~,~~. \~.: '" ",:' ~l.' 'r,' 'J' \,1,.', ..\.~ " Ili\1T,~~, 1 1.J:'!,~'pg::;:,19l';J,!,-~q!!E~1,:,,:72(i.;n69.';'!li ~~ ~ ~j'Cily.;Joh ~u!,!\J~ri{. (/hA)~ ~/,7~~'-;:O.x<d< \(:~J!!!~\ " <?)jFI~F~r:2~6..jm9,\~~ ~~J! ~'lfi.'~ i\~>> ~ ~~. ti~' ~'~!i:,':i~)%,.~~.:;~v:.~.~;': ....'\(i;~\!~'j\~.,f,;".i~J,: !7~.. w,;~.;' - \t("'i!frP',Ir:;:;VJii!~f'.J!~q;l t',;{.. ;~~,COMPLETEFEESCHEDiJLEBELOW:;j?\j;~'J'<l::",>~f.Y. i'~":l. . l.l .'] f' " ''''', ,""'. ifl'~"'i:?if~""rll':['\\" r' .,' "I..".... ."" .,. ''$",,,..,,,,, '... \'Clt'!, ~:ll. LQ. CATW.N~"~;-hriBT!ON ~::h~~li;1\'J'.li f.h:r.,;,.,~ <{:,~;'''',I~<lt'<<; ,,:.::.,~t')':<j/,,:,,".'.r,~,. '...'.;:.'..... ~?;~I' .w I Tnn~~. r-::, ~. ,.'r Jf'H(lr.fJv~ ~ . .~"NC'l;~~rdcntir.'I:'Sirigte~rft-'I~,.~' .:;.' .';~j>'.~i.' ~:"'",'..;~J)l;:,. ~.. ' - \0'\ 0 : ~\lt- ~e ~o "'~ Multi-Family pcr dwclling unit. .. ::0;1;.. LEGAL DESCRIPTION eO'<'~~\~ \~ Sc ee Included: ;::;i,':~ 1"7. ..- .AI "'01 ~ \\' e~\ . . ,. ...~....~.../t7:5 1,';:"1'7 {.J .....Y'c.....~~:"~e~~ Items Cost SUI)J( .,j~~\;',~; . er} 'l> 1,eo.'V .:, :.,. ~':'\2.:'i JOB DESCRIPTI~ '. ~W\O\ ~o\ 00 S ...or less $106.00 ~~~".J;.~~ :/:":.,~ P I! on,.....,.L - I\.~YJ E dd 1500 \lfjt~'\ - rVVl v !!-LVI ~~V~ '--'. .' .." '" a IlIoua 'I;\~t'....l.. . - \,; '3>,... ,.....,\;,. .,,\l.\Jr...~or;, "'In'~"" . t.,':t,IliN.:e-i'. l -<..,v:.0 .(\~, '~"II I" ~.... sq. or-portion . ~i)(~4ii Permits arc rion-transferable~~~~rr~o,,\".Wes ,,-,opt,,_ O~I{I\erc'Of"gon Uti:i:" ~~W':l; if work is nOl'slarted withinlgS d'~\~~T,~atr::.: c;~ie'"r. ThoSE'iClllManurdoHoin~,or' ..i. 'jl~,.'_;.;..~::,~.;.l,..:. ofissllancc or if work is suspeuded'WOA : ;{~\~<';,U1-0b010 thtrvlbS!lIl5'rIDi\'cllij)g)o t'. ; --.. 180 days. "'<':".' Q.<1 W1',-,umayo taincoServiceorlFeeders' "i'~'''''~;'i-' $50.00 .,:. ~.i~':.~f !q;,,~ 5.).\'f'uingth t . - J ....,.- ~" ..' \..'j I.. .~ ;fi.,t:,.:';'.:'i;.' !'~.,' ecener.(Note:thetelephone r"~':': '.'~{:, ... [i!"'':;' 2. CONT~srOR \~F ALLA TI0N'ONby.or the Br(~,cn:i<<:.c,~I!!~ f.J'S!!~,'~'ation."', .~:';.., .,.i':~~;f'i4\:';. :..;" ~:t.~'+! k~,.., . t',:" de E r--,ts'.'~ 1-8aO:'InSlall:!ljon,Altcralionsor,; " .\"1:,,,;'>' .;. f~~~;~: Electrical"iS~~t.~.~IClor"~U i J. ~ la.+ (I C . ~Rc'oc~tioh: t'.t {~:~_:..;. . "<'.r.:.",~~,~.',:: :.'.'.:;.",.:,.,-" ,'. ~.~J{.: ?~:\<...;: ;~>{:. . A<l;~: : "~;~' _ ~ . ~(,'~i< AddressJLq..&.;). &l0.P'''';(')Y\ ",;,11!t.t~ 200 amps or less :~1:: ~:;"i:';i ;; ',' $6HO .......:.:.- ~:A~: ";;;ijf",~~ ~'1J/r;. ,,,:J,;t,;1';,,.,.'I\"', 201 amps 10 400 amps:' ,'; ~'$'75 00 ~ 1~1j.*i:(: City r-::~. '~fe'~B.~';),'l'llOne 4g5'{oa~~F'(' ~;":. 40 I amps loAOO"~.n)p,~, ;.i:i':,f,; .;,.;. $125',QO ~ ' ~~'Ji "'V"" U'""".'J. h." '";1\1.1"1;\1 " ",., ""\"11,., , ,", _ .' H. ". ,-' COl15ti;"'~~'!~ ,,~;>&1\\~ '~"'I:',,"I!Ij'l\\ '~1,ji601 amps 10'1000 illllpSi ,: ;,,",,-, '.t:":l';~'::$163,00. . >:: : I'. ,.;~,"'~t,'1" :..1'-' ~ ~~~~-Jti~ei[s.ctN\;ftl~~r. *~~r YOI': '~r;~'~}~Qver.looo'ampSl~~ltA'f'~~...,~\~.{-~t ::.~':;~~! ,:.5.'~ $375~6o::' '.:" ~~ .:;: C~''''''''itlL<''~'''''''''''''''"''~' "",' ~i1:J'''''''R'' ,..'.. '''0'1 ,..-1.t".....,;~',.,..--~$'5.0.0.0..~ .,.. ;. ~.~~4-;' m~;-f.!."': :'-:.;.i;J,t1;.";," .;;" :.0$' .t:, j$J~~:~ econnect n Y'.if~"";-q,.",,,'~;.i 1 ,I ~, . '... ~ ~~.: ~j . Expiratidn\b~ie-~ .,..."- ~.~;ttJ:~1~Ar~,)i{~~ \~~~li~~~~~~~~!~:~~ ~~, t~~.?:>~m~\t';!~~;'\' '.~"i:;:.:; :':':l:"l~::t,~~~::.$;,:.: ':'.\. " ~;~!ti "'. ..' ,~;I':~'~i~:i(W~"":;i:\';;tl"I;;'"'IV;''.\\;,l''' < :RTcr;ij;;;fii~.' 'y' S~;:';i;e~ 07F~edei.s~;~: : /~..'ip' . ,.k, '~"':". . C':' ~~;t t 1l:-;:>~r;~':A.l,'f';~t;",~.~C$~\,,"';1'~~n,;,"7;\'~~~ h;!~.~.-t;\,...r'j ..,~... :'IlT \~'I.~;-.,',,~ :'~~/'::-,:".::'r.:~e,~t'<;;;'-"~':\'I :',.:'~~. ~3t' ~ q~.!C?41f:;(~~~qei-~~'~!t1'['~Jh..~~ _. " ~I~~.tiH"~.~io.~,~f:~.I~~plH~.n;;~r~~,!?<<;,~~t.io"l~ :,~!~,~~.t~~;f::':l?:.~,.-:,' ~.~~:. ~~~1~= " I ...~, _...."'rt;.[.:(,~;!.~<...~~..;~~~'~~-u-'p:-}..t!?c~ '~"''''~'J ~,:vt!t';{~'l-'("~~'<';'I' ,.~tt,,:o... ,)l.:r .".1\\. ;;{1" (!:,'....' ~ 'I \ .;1...... ;...~._'~. ,""., { "_t, :\~. ~lt.t:~,;:~~ '<()l ~i\~.!..if.~~10~'-/t-/7.~\otJ'\~W,,'-;::'1;. ,:<i t~Y~;'~Ij.,~. . ~ll[~:,'t!i~~~:~f~~~ ~'~,:~ '\~f.Nf:i~. \'~~~l :.,~ ~> .: .t:'-;;~~;' ;:'f~. ,:7.).. :. ~ ~<. ' ;~I~r:~~~~ Expirlltion Date J - 1-- ,~:/~~}.,.:'-;""'"_:..'l:'~"\';:,: l~.~;~r.'ff~\~~ ~'200'3rilps '6?less\::i~';~~t:~.:~ ~'~!'"\. '.' '~;~;'? ~~.:"$SO.OO': '; 'l'tl.'o"l..,~;.t~...~ -- ~[I'~1')l ~,:t\ ~. \" '.... '>-.. " ,_ _~ "{;I..".~ ..${f~:u" . .'''''~'I>..I.' ".', .1"'201' 400 ..\._. ,I ~~$6900 ./'9,,., ~~~.;I;:"'!'~1.s!'" .\1t' . .".i",.t:..,i';....:Nt ...all\ps,l~ ~,m~s.,..,.;:... ,,':.~ '.,~ 'i,~~::;;.'t~ 'i.Signalu ofS IcrvisingElcctl'ician '"". "'Over401 to 600 amps:!, :.., .: '''''~$100.00 tJ~"_"'''''~ ':;"1.~ ~.,.. ';."'.,.. j"" \. ,~ .. . _ ~ .... _ >t::l,,'!",tr:~ ~ ~J.' ,~1r~t~~..., l.~ Nor O\'er 600 mnps or 1000 volts see :\~~''I~' ~," ' ~~"""( '.1 ~ ' ,.. ! J t!.:l'" ~'''I r;.~ . '" '" ~ ' ~ #- , 1"~';I"'i'~";-l' fl"I"l'~ 4\.!t\'~,~,'~~(b;t.. "B""bo\'c I _ ".l.I':'.I' ':", 1 , , (") \t;., ~i1"'''''~~'' N , " . ,( ,.'\. ,~, '," '..../ It \.II if \' r'{i,'~'t~~t~:" I", ,'. '. ,i'; t.~....~ ..'" ",' ".,..Efl',~ :J "," . ~,," , ",., \..._ ~~l.~~!il' ~ . ~ ;'t-r .. 'J, \ " '., \.~ .~~.\ \' ~~k:}~-1.,~,t...i\t'~iA\~!?1.J~~,':i?'~. TfJjj819 IlcJ!!I4.L-lrrf; D. Branch Circuits ." ~~.',;".. ,~. '. ;~?;ji:~'J'~~: ~\,,!i'c}:;<'l1'l.m~,~;~' ~'..' , .1!ift?,~fD ~J~/RE IF rl!t\' Allera.l!on or !?~Iension Pcr Paij,el ;:^.' .;,'.;. k~-01';\~';i~N~~,~\y~,:;,~,,\."lANt'f' JJ.!it~ OR I~ HIS PER f WOR~'''' [ " ".. ,"'; '.:,; ".' ?ijifJl~1~~ AdJr~ss;~';'\: ' .. '::;~'I:-"" 8!J.!DAy 3,.. S ABANDOI' .Mlo~ Nj~ it. . . $43.00 _ ...";M;','t11~""~~~'fl<.'~.')"., ""'.' ,., ", -~.?/UU "EOr-O \I - " -, . j'hXI'Z,:\!".;:t.i~' It:" .... """-'0:'';;- >.>-, ..:{...~- r. '1!::'!: I'. Ii ~ ' ., . . "\.......0;>:> -l?!-,' . .'.. 1"',....., 'I,.. J'" , ,\;:: ~tl:: ;-~,",!"'Gjh::'. ".;:'\ .',' ". Phone ;... Eac 1 Additionnl Circuit or with Service -':'-..)-":. . ~~~}." 'r:: ~"h !I',.,~.;; , ...:::: ,', >.,i~: '. '. or Feeder Permit $ 3.00 ~ -~..." ,~ - " ,', \ .' ..:., ','; ;~i qW,t:I:ERINSTALLA,!,ION :"~.:: ,'.' ; - .'Xl" The installation is being made on ,'1; .... {,':-'*'~,' prop.ertYI:o~;n~vhicl(is}iot intended ,,?',' '.'''.}~~:f6r sale, . leas'e ofrenL,.".t. '~_>. ',:~:~: . '. :'_j:~}~~:Lr~.:, .~~~: ';~~I'~"'~:i:~' .~.:\ ~ ~.~~~. .;:,~,~ ." ,:, ;~:.:.~' . ' , . . --:- ....~'!~ On'lIcrs'Signature: ,"" '-. 7tQ :;~~!:~~~~tj '~': :!::'::~.>::t~Hi~i?'::i"':: W .', -. _' )f."~':." ,;',1;','-:',<.:,;".\;-.-,.:...,. ". :39~HJ., },~~.,\, .~,~ . ~l,.:;..;.~:.~/..t;:t:,.. ...,' TO' r'T';.. $'.~';' cr':]' 3'v:'l"IU' '. ' '..;.1;.,.:. .';' .,' ~:I.~'t-'/n'~u.': Q..,nv ._.,..,., GooG'n; d3S:::ll\1G" . . '. " 86~O 11)d:';'lO,::#8N\1~1;;.. '1 ";.: ,;:::~t~l:\:' .:.' ... ;<,' ';;.: :', ; \ .~.; J'~' '. $ 19.00 .', E. Miscellancous (Sen'ice/fccder nlll includcd) -Each instnllation Pump 'or irrigation Sign/Outlinc Lighting Limited Energy/Res Limited Energy/Comm $50.00 $50.00 $25.00 $45.00 \ \,~'~':., -': I\Iinimulll Electric P~rl11ifInspcctilll1 Fce is S45.0n + Surcharges TOTAL ~;J !:""\'L '7 '7, l.r ,. :-:":". ~ \' ~. . 4. SUBTOTAL OF ABOVE 70/0 State Surch;lrgc 80/0 Administratiye Fcc . . . ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER 02-00881-01 NAME OR COMPANY: PACIFIC SOURCE HEALTH PLANS LOCATION: 250 COUNTRY CLUB ROAD MAP& TAX LOT NUMBER: 17-03-15-40 00100 DEVELOPMENT TYPE: SINGLE TENANT OFFICE BUILDING - FOUNDATION ONLY NEW DEVELOPED AREA (S.F.): EXISTING DEVELOPED BUILDING AREA (S.F.): TOTAL IMPERVIOUS SURFACE (S.F.): ITE: ITE: LOT SIZE (S.F.): ]. STORM DRAINAGE TO BE PAlO WITH BUILDING PERMIT IMPERVIOUS SQ. FT. x $ 0.282 PER SF TOTAL STORM DRAINAGE SOC: , $ 715 ') SANITARY SEWF.R.CITY TO BE PAlO WITH BUILDING PERMIT A. REIMBURSEMENT COST: NUMBER OF DFU's 0 x $ 22.09 PER DFU B. IMPROVEMENT COST: NUMBER OF DFU's 0 x $ 16.79 PER DFU (SEE REVERSE SIDE) TOTAL LOCAL WASTEWATER SOC: , $ TO BE PAlO WITH BUILDING PERMIT 3. TRANSPORTATION BLDG AREA TGSF x TRIP RATE x COST PERADT x NEW TRIP FACTOR NEW A. REIMBURSEMENT COST: 0.00 x 11.57 x $ 16,81 PER TRIP x B. IMPROVEMENT COST: 0.00 x 11.57 x $ 74.17 PER TRIP x 0,9 NTF 0.9 NTF TOTAL TRANSPORTATION REIMBURSEMENT SDC: TOTAL TRANSPORTATION IMPROVEMENT SDC: TOTAL TRANSPORTATION SDC: , $ , $ 1$ 1$ $ $ $ ".,.1 o ~~;': kf;:; ,'ifJ"-I', ;fI093,~ ; II,""'Y:"o; ~~?S.~f TO BE PAlO WITH BUILDING PERMIT 4_ SANITARY SEWER - MWMC NEW: A. REIMBURSEMENT COST: NUMBER OF FEU's B. IMPROVEMENT COST: NUMBER OF FEU's $190.20 0.00 PER FEU x $19.90 0.00 PER FEU x MWMC CREDIT IF APPLICABLE (SEE REVERSE) TOTAL MWMC REIMBURSEMENT AND IMPROVEMENT FEE: MWMC ADMINISTRATIVE FEE: TOTAL MWMC SDC: SUBTOTAL (ADD ITEMS 1,2, J. & 4) 1$ 1$ 1$ ~ ~ , $ , $ 5 ADMINISTRATIVE FEES, BASE CHARGE (SUBTOTAL ABOVE) $ x 5% $ TOTAL TRANSPORTATION ADMINISTRATION FEE: TOTAL SEWER ADMINISTRATION FEE: p~",,-,t~J. OWVl.b '11 SDC COORDINATOR August 29. 2002 DATE TOTAL SDC CHARGES ~ ~ , $ (yvc rCL'5 WILL M ctfM.4C1J wi 13t1ILo~) 02-00881-01, PACIFIC SOURCE, 110 INTERNATIONAL WAY.xls I;~ J~i~t\(l JULY 2001 . e DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT'"' DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES) FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASElOIUSOLlDS/ETe. INTERCEPTORS FOR SAND/AUTO WASH/ETC. LAUNDRY TUB CLOTHES WASHER/MOP SINK CLOTHES WASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIGERA TOR/WATER ST A TlON/ETe. RECEPTOR FOR COMMERCIAL SIN.K/ DISHW ASHER/ETe. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK, COMMERCIAL, RESIDENTIAL KITCHEN SINK, COMMERCIAL BAR SINK, WASH BASINIDOUBLE LAVATORY SINK: SINGLE LA V A TORY/RESIDENTIAL BAR URINAL, ST ALUW ALL TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INST ALLA TlON MISCELLANEOUS: NUMBER OF EDU'S' , ' . FIXTURES NEW OLD UNIT EQUIVALENT 3 I 3 3 6 2 3 6 12 1 3 2 2 3 2 2 I 5 6 3 TOTAL DRAINAGE FIXTURE UNITS= "EDU (Equivalent Dwellin~ Unit) is a dischar~e equivalent to a sin}!:]e family dwelling (20 DFU) set at 167 ~l1ons E:,T day DRAINAGE FIXTURE UNITS o o o o o o o o o o o o o o o o o . o o o o o o o CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATELY YEAR ANNEXED 1979 or before 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 RATE PER $1,000 I ASSESSED VALUE $ 4.92 $ 4.83 $ 4.77 $ 4.64 $ 4.47 $ 4.30 $ 4.09 $ 3.78 $ 3.41 $ 2.98 $ 2.52 YEAR ANNEXED 1990 1991 1992., 1993 1994 1995 1996 1997 1998 1999 2000 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) 02-00881-01, PACIFIC SOURCE, 110 INTERNATIONAL WAY.xls RATE PER $1,000 ASSESSED VALUE $ 2.06 $ 1.64 $ 1.45' $ 1.31 $ 1.13 $ 0.97 $ 0.82 $ 0.63 $ 0.41 $ 0.22 $ 0.04 x x CREDIT TOTAL =1 ~I 50.00 50.00 50.00 JULY 2001