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Home My WebLink AboutPermit Building 1997-05-06SPF!NGFIELD 225 NorEh Fifth Street Springfield, OR 97477 a RESIDENTIAI, PERI,TIT APPI.ICATION CITY OF SPRINGFIELD COMMI'NITY SERVICES DIVISION BUILDTNG SAFETY :t office: Inspection Line: 0r_8 00 9s-10-183 Page 1 ilob Number: 970475 7 26 -37 59 726-3769 Location of Proposed Work: 4751 ITNION TERRACE ST Assessors Map #: L80205L2 Tax Lot, #: Lot:2 Block: Subdivision: aSPruNGFIEI.O, Owner: CAT.IDI RODRIGUEZ Address: 700 1ST STREET #32 Describe Work: MAI{UF HOME & GARAGE Phone #: 895-3151 city/stare/zip: SPRINGFIELD, OREGON 97477 NEW Cont,ractor ConEt. Contractor #Expiree 02/1-7 /ee Phone 998- 6904General:LORENS CONSTRUC 0104523 26916 HI^rY 35 SP 52 CHESHIRE OR 9741- QUAD AREA: 3RSC # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER: E -- oFFrcE usE -- LAND USE: 1150 ZONTNG CODE: LDR # OF BDRMS: 3 RANGE: E # OF BLDGS: 2 OCCY GROUP: R3 HEAT SOURCE: FE To request an inapecEion, call t,he 24 hour recording aL 725-3769. A11 inspectj-ons requested before 7:00 a.m. will be made the same working day, inspections requested afEer 7:00 a.m. wil-L be made the following work day. --- REQUTRED TNSPECTTONS --- SITE - To be made aft,er excavation but prior to setting forms. FOOTING - After trenches are excavated. FOIIIIDATION - After forms are erected but prior to concrete placement. WATER LINE - Prior to filling Lrench. SN{ITARY SEWER LINE - Prior to filling trench. STORM SEWER LINE - Prior Lo filling Erench. ldAlIuF HollE/MoBILE HOME SET UP - When all blocking is complete. MNiIUF. HOME/MOBILE HOME PLI,I{BING - After home has been connected to water and sewer. MAI{UF. HOME/}IOBILE HOME ELECTRICAL - When blocking, seEup, and plumbing inspections have been approved and home is connected to panel ELECTRICAL SERVfCE - Must be approved to obtain permanent power. FINAL SET UP - After all required inspecLions are approved and porches skirting, decks, venting, house numbers, etc. have been insLalled. SHEAR WALL NAILING - Before covering sheathing with finish materi-als. FR.N{ING - Prior to cover. FINAL ELECTRICAL - When aII electrical work is complete. FINAL BUITDING - When al1 required inspections have been approved and Ehe building is compl-ete. Lot Faces: N Topography: 3 Solar Approved: Y House Garage LoE Sq. Ft.: 4937 Tota1 Height: 15 Lot T]t)e: flillIERIOR SetbacksswE L77 346 Lot Coverage: 28 Z Setbk From NPL: 20 N 20 20 --- BUII,DING PERMIT --- Sguare Feet xItem Main Value 0.00 $/Square Feet SPR!NGFIELE, 'Job Number: 97O475 a a a Page 2 SPilNGFTEI.D, Garage M.H. FOI]NDATION Tota1 Value Building Permit Fee Surcharge/eamin 336 16.27 5,467 .00 5, 483 . 00 10, 950 . 00 86.50 6 .93 TOTAI. FEE (A)93 .43 --- SYSTEI{S DEVELOP}TENT CIIARGE (SDC) (B) 2,L55.57 Systems Development Charge is due on aII undeveloped properties within the City l-imits and the Citys Urban Growth Boundry which are being improved. --- PIJITMBfNG PERIIIIT --- Item Sanitary Sewer Wat,er SEorm Sewer MobiIe Home Fee 25.00 25.O0 25.00 15.00 Plumbing Permit Surcharge/aAmin TOTAL CHARGE (c) 90.00 7 .20 97 .20 --- MISCELLA}IEOUS PER}IITS --- Mobile Home State Issuance Surcharge/edmin CITY ADMIN, SURCHARG ELECT. CONNECTION WILLAI,IALANE SDC TOTAL MISCELLA}IEOUS PERMITS 105.00 20.00 5.25 3.15 43.20 l_, 000 . 00 (E)L,L7 5 .60 (ExcludLng Electrical ) unlesg otherwiee noted --- TOTAL AIIOT'NT DUE --- (A, B, C, D, and E combined)3 ,522 .80 Pt/60c Wa<ks da<S4a4ro, /&**f 20 oo ? S/z,eo --- BUILDING VALIE, PLAII CHECK AIID BUILDING PERMIT --- This permiE is granted on the express condition that the said constructj-on shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any t,ime upon violation of any provisions of said ordinances. Plan Check Fee: 56.23 DaLe Paid: Received By: Plans Reviewed By: DON MOORE DaEe: Building Site Reviewed By: LISA HOPPER 04/04/e7 04 /28 / e7 ReceipE Number: 25a43 - -. ADDITIONAL COII}TEMIS - - - SEPARATE ELECTRTCAL PERMIT IS REQUIRED FOR THE ELECTRICAL SERVICE PANEL SPFINGF!ELD ilob Number : 97 O47 5 a i a Page 3 2 STREET TREES REQUIRED By eignature, I Etaue and agree, Ehat I have carefully examined the completed application and do hereby cerEify that all information hereon is true and correct, and I further certify that. any and af] work performed shall be done in accordance wit,h the Ordinances of the City of Springfield, and t.he Laws of Ehe SLate of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Divi-sion, 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 furt,her agree to ensure Ehat all reguired inspections are reguested at the proper time, that each address is readable from Lhe street, that the permit card is }ocated the front of the property, and the approved set of plans will rema the ite at all times during construcLion ture Date --- VAIJIDATION --- 15b30Receipt Number: Amount Received: Received By: Dare Paid , 7-b-q1 4s q2fi \M., 225 FTFTE SPRTNGFTELD, oREGoN 97477 INSPECTION REQUESTT 726-3769 OFFICE: 726-3759 :;T3FT ]I.IGFIELE, ELECTRICAL PERHIT APPLICATION 1 ry Job Nunber 4 7o ?7 r 3. COHP1JTE FEE SCBEDTILE BELOV Nev Residential-Sing1e or Multi-Family per dvelling unit. Service Included:Items Cost s 8s.00 1. LOCATTON OF INSTALI,ATIONy7r/(/.EIZAL l/A t8b , AA /?zA(,t1 JOB DESCRIPTION + /; f 4: n,z, cz'i ? Ooana'* Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALT,ATION ONLY B Electrical Contractor D Oo. /r'L Address ,Po 3c,/* z(< City /--Zzn if?,A Phone Supervisor License Number qtr - 54D2---19.74' /7t Expiration Date C) - 1000 sq.ft. or less Each additional 500 sq. ft or portion t hereo f Each Manuf'd Home. or Modular Dvelling Sertice or Feeder Services or Feeders Instaffation, ALterations or Relocation: 2oo amps or less -/201 amps to 400 amps _40L amps to 600 amps _601 amps to 1000 amps_ Over 1000 amps/voIts Reconnect Only SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL /9, '/,t'P s s0.00 s 60.00 $100.00 s130.00 s300.00 $ 40.00 $ 1s.00 s 40.00 not 40. 40. 20. 36. Sum A!-* f'a '9 included ) Constr Contr. Number /r7 Expiration Date f- 7' 7? Signature of Supervising Electrician Ovners Name fiimm ./'LA Temporary Services or Peeders Installation, Afteration or Relocation 200 amps''or less $ 40.00 201 amps to 400 amps - $ 55.00 over 4b1 to 600 amps - $ 80.00 0ver 600 amps or 1000-voITs see rrgrr .f,[rl- Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Addi tional Circuit or vith Service or Feeder Permit 3 $ 2.00 C D E 5 Address 4 7 f'///,/r't Or/ City fflrL2 Phone OVNER TNSTALT,ATION The installation is being made on property I ovn vhich is not intended for sa1e, lease or rent. 0vners Signature: DATE: Miscellaneous ( Service/feeder -Each installation Pump or irrigation $ sign/outline Lighting- $ Limited Energy/Res - S Limited Energy/Comm $ -ooz_a 00 00 00 BRECEIVED z L/1i 00 0s^ l] lancj r Willamalane Pait< & Recreation District Job. No. SYSTEM DEVELOPMENT CHARGE WORKSHEET PHONE:NAME: ADDRESS:tf+ 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) 5 lo pmeht fl 5.3\51 srArE: L r'r' QltlJ LOCATION OF PROPOSED BUILDING Street Address: Plat Name:Tax Lot Number 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t ype definitions are on the back.) A. Single-Family Detached Single Family home I Manufactured home not in a park NO. OF UNITS X $1,000 per unit = $tD00,@ B. Single-Family Attached NO. OF UNITS X $924 per unit = $ C. Multi-Family Apartment NO. OF UNITS X $692 per unit = $ D. Manufactured Home Park NO. OF UNITS X $699 Per unit = $ WILLAMALANE SDC $ 2. SDC CREDIT (if applicable) SDO-payer must lurnish proof ol \Mllamalane ireOit approvat. See SDC Credit Worksheet. $ coI / I I City of Springfield Department Date $ q oo mut-15 Noti: 225 FIFTE STREET SPRINGFTELD, OREGON 97477 INSPECTI0N REQUEST: 726-3769. S IGFIELc, P(ELECTRICAL PERHIT APPLICATION Sm+++fE @v/e/ per"f *ir 15 XqU//@ ru ,ffinirilreE oFFICE: 726-3759 1 ON OF I.,EGAL DESCRIPTION Permits are non-transferable and expire if vork is not started vithin 180 days of issuance oL'if vork is suspended for LBO days. Z. CONTIUCTOR INSTALLATTON ONLY Electrical Contracto, /OrAt 3 f^'57; Address L Ci ty.zAE&f/rc; Phone, q?947o/ Supervisor License Number Expiration Date -Consrr Contr. nunber /0/fi,2-7 Expiration Da te ? - / -1 7 Signature of Supervising Electrician Ovners Name e*\/b Add ress cityfuvnone 45-3/5/ OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: DATE: ,i:. : *:. , , - .JN Ch&r,61n .r,EE- -s_cHEDULE BELor{ Ci ty Job Nurnber 7zo./7f A. Nev Residential-Single or MuIti-Family per dvelling unit. Service Included:Items Cost S-v- L000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home. or -Modular Dve!li-n6--- Service oy'Feede), t/ S 40.00H1LV-- Services or Feeders' Installation, Alterations or Relocation: Sum &* B C D. Branch Circui ts SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Admini.strative Fee TOTAL 200 amps or less 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps_ Over l-000 amps/voIts Reconnect Only 200 amps''or less 201 amps to 4OO amps - 'Over 40L to 600 amps -Over 600 amps or 1000-7ofTs s s0.00 s 60.00 s100. 00 s130.00 s300.00 $ 40.00 40. 00 55. O0 80.00 Temporary Services or Feeders Installation, Alteration or Relocation $ $ $ a6overtBilee Nev, Alteration or Extension Per Panel One Circuit S 35.00 Each Addi tional Circuit or vith Service or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/outline Lighting- Limited Energy/Res Limited Energy/Comm n Lf s40 s40 $20 $36 00 00 00 00 RBCEIVED B 5 /'LP13*e- a i I I /&oLrf,t z r,t \' 225 FIFTH STREET 'PRINO FI ELO SPBINGFIELD, OREGON 97477 ENGINEERING DIVISION oFFtcE TELEPHONE (503) 726-3753 INSPECTION LINE SEE INSPECTIONS ON BACK SIDE APPLICATION DATE: 'LOCATION OF WORK APPLICANT SITE ADDRESS CITY:STATE SUBDIVISION: OWNER: ADDRES S CONTRACTOR: CONTRACTOR REGISTRATION NO: PROJECT SUpERV|SORT ENCROACHMENT PERMIT NUMBER: PERMIT NUMBER: DATE ISSUED: PHONE ZIP: crcv; 6y'41t/zf/*/.) srArE: ADDRESS: TAX MAP: TAX LOT: PHONE: OTHEB: EXISTING SURFACE MATERIAL: BACKFILL MATERIAL TO BE UTILIZED: SURFACE REPLACETVfTNT MATERIALS TO BE UTILIZED: TYPE OF DUST CONTROL TO 8E UTILIZED: NAME OF OTHER UTILITIES IF THIS IS A JOINT PROJECT: WARNING DEVICES TO BE UTILIZED: DESCBIPTION WORK SHALL COMPLY WITH -&,--zp: PHONE EXPIRATION.DATE PHONE INSPECIIONS BEOUIRED:APPLICATION FEE / OEPOSIT ACCOUNT NO: g€o.oo r fr Es E $10,00+$..1s/FT E $10.00+$.1slFT E 55.00 / E $5.00 / TOTAL DUE;. $ TOTAL DUE WITH PERMIT $ TIME: TIME: DEPTH HEIGHT: hr{ Advanco signing and work zone protection to bB in complianco with lhe Manual on Conrrol Oovic6s (MUTCOL CHAPTER X ARTI REOUESTED PERMIT S: {eNc ROACHMENT PERMIT NO VALIO FOR Q cur s' Q ousr, Q coNsrnucloN, sroRAGE, srAGtNG tr tr a tr Es $ $ $ Q asrualr oEpostr.......... TYPE OF SECURITY DEPOSIT Q auruxer sunEry BoNo e sunrtrv aoruo E casu / cHEcK I cune cur pERMtr No: INSPF'TION. CURS / APPROACH AFTER FORMS ARE ERECTEO FT 8UT PRIOR TO POUR|NG COr.rCRere.VALIO FOR ,I80 OAYS FROM OATE OF ISSUANCE.o SECOND ORIVEWAY ISEE SEPARATE APPLICAtrSIDEWALK PERMTT NO:... VALID FOR 180 OAYS FROM OATE OF ISSUANCE. FT.-- E Q ruew D REMoVE / REPAIR E PAVE PLANT STRIP Q sereacx ll cunasroe I leruorH INSPF'TION. SIOEWALK / OR IVEWAY FOR ALL CONCRETE PAVING WITHIN THE STREET RI6HT OF WAY,TO 8E tr MADE AFTER ALL EXCAVATING IS COM PLETE , ANO FORM WORK ANO SUB.BASE MATERIAL IS IN PLACE. SANITARY SEWER CONNECTION PERMIT VALIO FOA SIXTY (60I OAYS FROM OAT€ OF ISSUANCE tr 0 Q sro VALIO ro STUE Q MAIN LINE (EASEMENT.R/W) o oTHER RM SEWER CONNECTTON pERMtT: .................... r-lFoA srxry (B0r oAys FRoM 'ATE oF rssuANcE '' '''- '-r Q cnrcH BAstN / BUBBLER E srue e rraetruutrue PROOF oF INSttRANCF: $SOO,OOO M|N|MUM Q rrracxeo e REoutBED AMouNT DESCRIPTTON OF PROJ ECT: PERIOD OF USE OR TIME OF CONSTRU CTION:FROM DATE:E PTANS (rwo sETS) ATTAcHED AREA: LENGTH: TYPE OF WORK: CUT: WIDTH: EORE: D D Di Di I .. ti REVtStoNs 8t24t95 FORM , 116 CLE 5 OF THE CITY CODE. CONTRA CTOR TO COMPLY WITH MUTCD. I BACKFILL MATERIAL: '.PLAN BEVIEW COMMENTS / SPEC' -' INSTRUCTIONS: LL BE tN coNFo-nlvlANcE wlTH ExlsTlNG clTY coDEs AND hyCoMPLlANcE wlTH CURRENT EXCEPT AS NOTED BELOW. 001 002 003 004 005 006 007 008 009 010 01 1 012 013 0]4 015 016 017 018 Bsckfill with l(" minus rock. Compact every 1 8" loose dePth. Requires compaction wlth a steel rolller' A.C. to match tho gra8ter of existing depth ot 4". All cute sgalsd lor final lnspection. Temporary patc\may be ussd 8t the end ol the day. Slgnlng and Zone piolection to complY with MUTCO Cul concrete only qldscoto linos or cold ioints. Sldewalks and drivdwiays min, 3,OOOpsi' Curblng min 3,500ps1 / No patchwork less than 3'. Moot min. requirements on curb cuts, Spfd' code. Rsstore planted areas, Spfd. cods 206.3.05 Sp6c. lo Bore / Jack / No A,C' cuts' Mschanlcal comPacting required' No patchwork allowed. Lateral cuts to havo control density fill' Cuts to bs polymerized crack sealed for final inspection. Mininum 2' crushed rock 7.'minus' 019 020 021 o22 023 024 025 026 o2'l 028 029 030 031 032 033 343 Minumum 4' clearance at any point, swing'away. Concroto minimum 4" depth, 3.000psi. Tronch to be 'T' cut. Nesds Stato / County permit, No abovo ground enclosings in sidewalk or handicap ramps. Oiomond cut A.C./Conctete value boxss to grade. Fresh Oil slgns / Groded' Comply with Ameticans with Oisabilities Act. Concrste slabs, 72hrs. curing time, 4500psi. Concrato slabs require ioint seal matsrial' Oriveway requires dowels everY 18", Submit traflic control plan prior to excavation. Notity Trallic Division belore excavatigrl. Core drill main linE. insert tee, 2olo min. grade. Must comply with the provisions of ORS 757.541 to 757,571 6" Circular hole/H2O.Vac' YOU ARE REOUIRED TO CALL THE LANE UTILITTES COORDINATING- COUNCIL'S 'oNE cALL NUMBER" 1-Boo-332-2344 48 HOUBS BEFORE DIGGING INSPECTIONS: r-] CUBB cUT AND SIDEWALK INSPECTIONS CALL 726.3769 (RECORDER) STATE YOUB DESIGINATED CITY JOBtJ ilUiri'ain]liiCrviiilrtuMBER, Joa aoonESS, TypE oF lNSpEcroN BEoUESTED, ANDWHEN You wlLL BE READY FoB lNSpEcloN, coNTRAaioR;s on owNEA;s NnrvrE nruo pHoNE NUMBER. REoUESTS RECEIVED BEFORE 7:00 A.M. wlLL BE MADE THE 5AME DAi;nEourifs nrlen z:oo A.M. wrLL BE MADE THE NEXT woRKlNG DAY. lNSPEcrloNS ARE To BE cA[r-Eo rrI AFTER E'cAvnrior.rs ARE MADE AND FoRM WoRK IS IN PLACE BUT PBIOB TO POURING CONCRETE. 4t:;xsEWER, sroRM sEWEB, ENcRoAcHMENT PERMIT AND orHER INSPECTIoNS CALL clrY MAINTENANcE AT SIGNATURE: RJ,:iH'lS,,yl? l;i":'#33,:Bl,"o"i ill{.Li?}?,i?i'?'1;[%;.)'#[:fl ff.t"#l''"",H1{38,1i';3?,3# rt"e!8l?Blr''qg *i,rll,:[.:$lll""j[.1'1"& ,nu $lif.irtrue*fri,{ifltiBL%fiUifj#bf,ffi;nnt#'m*,ffit'I';r.a*l[;'lxxin#Fi,itluo"Jsoi"otBts'riiiss '::J5%riil:project. i.:{fi,t',':,n{itr'.'t+nff;l[t1qt:rghl.piliii,l:ffiFrlthT''#itftfii'ffinffiJ{i+iflffi'"*,pffi;ru;-gitr,,. City and the costs will be billed to the permlttee' lfurthor agree to.ensure that all required inspections are requested a.t the proper^time, that project address is readable from the street' bna- in6'ip'iioved set oi diini wiil iemain ori the site at all times during construction. 5'b'qa I DateSignature IRECEIVED BY: DATE PAIDAMOUNT RECEIVED: RECEIPT NO: VALIDATION: DATE: E uatrurENANcE, I eentrlttr lssuED BY: FOR SIDEWALK AND CURB CUT PERMITS PLACE A COPY (COMPLETED) IN PERMIT DRAWER . WORK IN PROGRESS AT T]ME OF COMPLETION: ELEVENTH MONTHI DEPOSIT BETURNED; DATE: I eructnelntuc REVTEWED BY: INSPECTIONT INSPECTION: DATE: DATE: DATEI DATE: DATE: DATE: DATE: DATE: OREGONCITY OF SPF, ,FIELO D EV ELOP M ENT S ERVI C ES D E PARTM E NT MANUFACTURED HOME SET-UP AGREEMENT As required by the City of Springfield Development Code, I understand and agree that the of at y'Type I Manufactured Home: A multi sectional (double wide or wider) unit with an enclosed floor area of not less than 1,000 square feet, that has a nominal roof pitch of 3 feet in height for each 12 feet in width, that has no bare metal siding or roofing, and that has been certified by the manufacturer to have an exterior thermal envelope meeting performance standards which reduce heat loss to levels equivalent to the performance standards required for single family dwellings at the time of construction.initials Type II Manufactured Home: A unit of not less than 12 feet in width enclosing a minimum floor area of 500 square feet that has a nominal roof pitch of 2 feet in height for each 12 feet in width, that has no bare metal siding or roofing, and that has been certified by the manufacturer to have an exterior thermal envelope meeting performance standards which reduce heat loss to levels equivalent to the performance standards required for single family dwellings at the time of construction.initials I further state, by my signature below, that I have been provided with the following information: Manufactured Home Blocking, Water Line Connection, Street Tree Standards, Sanitary Sewer Connection, Electrical Connection, and Minimum requirements for permanent steps. I also understand that the manufactured home shall be placed on an excavated and backfilled foundation not to exceed 6 percent slope within l0 feet of the perimeter enclosure, enclosed at the perimeter with stone, brick or other concrete or masoffy materials approved by the Building Official and with no more thanz4 inches of the enclosing material exposed above grade. afr,225 FIFTH STREET SPRINGFIELD, OR 97477 (s41 ) 726-37s3 FAX (541 ) 726-368e Date SPFINGFIELE, a o CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE (RESIDENTIAL) Page 1 SPilNGFIEI.D, Name or Company: CANDI RODRIGIIEZ Location z 4751 UNION TERRACE ST Developement T)pe: R Building Size ,Job No.: 970475 Lot Size:Sq FE 1. STORI{ DRAINAGE Impervious Sq Ft 2. SATiIITARY SEWER - CITY Number Of PFUs (see Page 2) 3. TRATiISPORTATION Number Of Units l_x 15 98 X 0.21-5 Per Sq Ft. = X 44.75 Per PFU = s4ss.77 i365.77 $984. s0 #4ss.77 $45s.18 $2r-9.30 $24s.88 $2 ,052 .92 $r-02.5s Transportation Total 4. SA}IITARY SEWER - MW}TC Number Of PFUs 22 5. ADMINISTRATIVE FEES Base Charge (Subtotal Above) X Trip Rate 1.010 x x Per PFU + 20.690 + Cost Per Trip 45L.26 x x MWMC Admin Fee 10.00 MWMC CREDIT If Applicable (see Page 2) TOTAL - MI'MC SDC SI'BTOTAIJ (Add Items 1, 2, 3 & 4) x 0.50 TOTAL SDC Reviewed By: DENNIS ERNST Date: 04/08/97 $2, 155.55 a SPFINGFIELD ilob Number : 97 047 5 a FIXTIIRE T'NIT CALCULATION TABI,E o Page 2 SPruNGFTELD, FixLure Tlpe Number of New Fixture Unit Equivalent Fixture Units Bathtub Drinking Fountain Floor Drain Int,erceptors For Grease/Oil-/Sol-ids/Btc Inteceptors For Sand/Auto Wash/Etc Laundry Tub/Clotheswasher Clotheswasher - 3 Or More Receptor For Refrigerator/Water Station/ntc Receptor for Commercial Sink/Dishwasher/Etc Shower, Sing1e Sta1l Shower, Gang Sink, Bar, Commercial, Residential Kltchen Urinal , Sta11,/Wa11 Wash Basin/Lavatory, Single water Closet, Public Installation water Closet, Private Miscellaneous TOTA], FIXTURE UNITS =)) CREDIT CALCIILATION TABLE: Based on assessed value. If improvemenEs occured after annexation date, credits are calculat,ed separately (calculations are by $1000) Year Annexed: L969 Credit For Parce1 or Land Only If Applicable: 63,200 x 3.47 = 21"9-30 Improvement (if after annexation date): 0 X 3.47 = 0.00 CREDIT TOTAL = $219.30 (If land vaLue is multiplied by 1 then the parcel/land credit is not accurate.) 4 0 0 0 0 0 6 0 0 0 0 2 0 2 0 8 0 ) 1 2 3 6 2 6 L 3 2 2 2 1 6 4 0 0 0 0 0 1 0 0 0 0 1 0 2 0 z 0 a