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Home My WebLink AboutPermit Building 2007-05-16Building/Combination Permit PERMIT NO: COM2007-00413Status Issued 225 Fifth Street, Springfield, OR 541-126-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line SITE ADDRESS: 1436 WALNUT RD ASSESSOR'S PARCEL NO.: 1703342302300 PROJECT DESCRIPTION: Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential Foundation and Framing Only - All Interior and finish Work will Require Additional Permits ISSUED: APPLIED: EXPIRES: VALUE: 05n612007 03t20t2007 tUt6t2007 $ 86,520.00 Owner: Address: JOHNSON TERRY & SUSAN 1436 WALNUT RD SPRINGFIELD OR 97477 PhoneNumber: 541-668-3314 License Expiration Date PhoneContractor Type Contractor # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: RearyfiO$18&x' solar spffigcftnrrt I I sHALL EXp RIZED UNDER THIS PERMI Notes: # of Stories: I Height of Structure: Type of Heat: Forced Air Gas Water Type: Electric Range Type: Energy Path: Path I Sprinkled Building: nla Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 840 72.00 26.00 16.00 58.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: 9s2-001 -oolo through oAR 952-00 0090. Yotddnepq$tsin copies of the rules I the telephone REQUIRED PARKING Total: Handicapped: ou tu Utility lity Notilication - ^^ ooo-D\l4 st,u.t f,glJA{,Eilp,t0 0R ts ABAND 0NE D at'I./ 180 DAY PERI0D Storm Sewer Available: Special Instruction: Compact: ;\fTElJTlONIOregon law requlres Y tollow rules adopted DY the Oregon l$ffiflf,ftF*'AUfrrli $ Per Sq Ft or multiplier call nLlrn Square Footage or Bid Amount DEVELOPMENT INFORMATION Valuation Descriotion Description Tvpe of Construction Pase I of3 Value Date Calculated \-rJr.\ t.ItAt- r \Jfi, rr\I ut{,rYrA r r(,N ] f, u [,Lrrl\ (, rL\ r uKlYrA_!_!!2].u Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007 -00413ISSUED: 0511612007APPLIEDz 0312012007 EXPIREST 1111612007VALUE: $ 86,520.00 Structural Review Structural Review 03t2U2007 03t26t2007 03t26t2007 03t30t2007 IO APP LLH LLH Forwarded to the Building Department for review Plans reviewed by Dave Mortier with the Building Department under contract with the City of Springfield is located To Request an inspection call the 24 hour recording at 726-3769, All inspections 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. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all required inspections have been requested and approved and the building is complete. Storm Sewer Line: Prior to filling trench. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover 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 inspections are requested at the proper time, that each address is readable from the the front of the property, and the approved set of plans will remain on the site at allstreet, that the times during Owner or ature Pase 3 of3 Date l6 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007 -00413ISSUED: 0511612007 APPLIED: 0312012007 EXPIRESz 1111612007VALUE: $ 86,520.00 Dwellinss V Wood Frame Fee Description Plan Review Residential + l0%o Administrative Fee + 57o Technology Fee + 87o State Surcharge Building Permit Fire SF Fee - Residential Plan Review Minor - Planning Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - lst 50 Feet -Mechanical Issuance Fee- + l0oh Administrative Fee + 57o Technology Fee + 87o State Surcharge I Bath One & Two Family Air Handling Unit Up to 10,000 Appliance Vent Minimum/Adjustment Mechanical Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl500 Total Amount Paid $103.00 840.00 Total Value of Project Date Paid $86,520.00 $86,520.00 03t20t2007 Amount Paid Receipt Number 2200700000000000380 1200700000000000413 1200700000000000413 1200700000000000413 r200700000000000413 r200700000000000413 r200700000000000413 1200700000000000413 1200700000000000413 1200700000000000413 1200700000000000413 1200700000000000413 22007000000000007s7 22007000000000007s7 2200700000000000757 2200700000000000757 2200700000000000757 2200700000000000757 2200700000000000757 2200700000000000757 2200700000000000757 2200700000000000757 s334.72 $60.20 $33.60 $44.80 $514.95 $42.00 $112.00 $138.s3 $r82.19 $36.s8 $4r0.79 $45.00 $10.00 $34.00 $17.00 s27.20 $145.00 $8.00 $6.00 $37.00 $106.00 $38.00 3t20t07 4n3t07 4n3t07 4n3t07 4lt3t07 4/13t07 4n3/07 4n3t07 4/13t07 4n3t07 4/13t07 4n3t07 sn6t07 5n6/07 5/16t07 5/16t07 5n6t07 5/16t07 5n6/07 5/16t07 5lt6t07 5lt6t07 $2,383.56 Fees Peid Plan Reviews Initial Review Planning Review Public Works Review Public Works Review 03/2U2007 0312U2007 03/2u2007 03/21/2007 04/09t2007 04t05t2007 NJM EMM JLP APP APP APP 04n0/2007 04n0/2007 ro JLP PW Rcvd 3121. JLP 3l2ll07 *** Storm tied to existing system ending @ curb & gutter.JLP 415107 Rcvd email from David B. I then spoke w/Steve G. Storm H2O sytem does not end at curbline. New system to be installed to building code rules, not to create a nuisance for adjacent properties.Building inspectors will direct in field. I spoke with Susan via telephone today @ 12:lOpm to explain situation and notes in tidemark.JlP lO4/10/07 Pase 2 of3 zoN t*Dr1 225 FTFTH STREET e SPRINGFIELD, OR97477 o PH:(541)726-3753 r FAX: (541)726-3689 ELECTRICAL PERMIT APPIT CATI ON Cify Job Number u 4-o 4 3 Date 5^ tb -O rl 3. CO\ITPLETE FEE SCHEDLLE BELOV' A. Nerv Residential - Single or N'{ulti-Famil;" per dwelling unit' 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 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsA/olts $ 63.00 $ 7s.00 Reconnect Onlv I T E:,I'IT ION:Oreg on INITIALS T\) DATE o SOURCE $106.00 n(e , - A- $ re.oo 39, - $s0.00 $125.00 $163.00 $375 u{t- the 10th of tn* rules \ one $ 43.00 $ 3.00 $ s0.00 $ 50.00 SPRT NGFT ELO iJi'{';'t-; ;',:i;:l 1': -- .,''it .. i!: ,',ii;-.;,,.,. @, '"i+ I o2-3oo JOB DESCRIPTION l,1i tlr- Vlnee- Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 1 Electrical Contractor Address Phone AUTHORIZED TINDE conggffif1l6E'S€ABANDONED R AY PERIOD Signature of Supervising Electrician ?2NTIL4CTOR INSTALLITION ANLY B. Services or Feeders - Installation, Alterations or Relocation: -a City *'ii6Tifigense Number Expfrhtl&Date EXPIREJT THE WORK C. Over 600 Amps or 1000 Volts see "8" above. D. Branch Circuits : : 200 201 401 New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit loti Pump or irrigation Sign/Outline Lighting 5o AOwners Name Address l\36 utif E \ Phone 1'tl:Pa$ OWNER INSTALLATION The installation is being is not intended for E. N{iscellaneotm (Service/feeder not included) -Each Installation Limited Energy/Residential $ 25'00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit lnspection Fee is $45.00 + Surcharges q. |slfxiroret op enouE ' '.', , . ,.,. , ( ,44, - 8% State Surcharge ?. ZO E?' l0%AdministrativeFee it S?-dZ, 5%TechnologyFee t4, 1o to/ l?--lnspection Request: 726-3769 I own which TOTAL Shared Drive(T:)/Building Forms/Elettrical Permit Application' 8-06.doc INSTALLATION: LEGAL DESCRIPTION: the center' the I s PtHNI I lD rru r City 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Cir" of Springfield Official Receipt D lopment Services DePartment Public Works DePartment RECEIPT #: 2200700000000000757 Date: 0511612007 t0:27:244M Job/Journal Number coM2007-00413 coM2007-00413 coM2007-00413 coM2007-00413 coM2007-004 r 3 coM2007-004 r 3 coM2007-00413 coM2007-00413 coM2007-00413 coM2007-00413 Description I Bath One & Two Family Air Handling Unit Up to 10,000 M in imum/Adj ustment M echanical Appliance Vent -Mechanical Issuance Fee- Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 5% Technology Fee + 8% State Surcharge + llYo Administrative Fee Amount Due 145.00 8.00 37.00 6.00 r 0.00 106.00 38.00 17.00 27.20 34.00 Item Total: -$,D8.20 Type of Payment Paid By Received By Batch Number Number How Received Amount Paid Check TERRY JOHNSON lkw 2026 In Person $428.20 PaymentTotal: Ti7Bff cReceint I Page I of I 511612007 t${tllLrl*S Construction Contractors Board Permit #:C*r,.-00 Address: t43L b*,.ar* RtJ 113 700 Summer St IrlE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-3784621 Web Address: www.ccb.state.or.us Issued by:Date: 5-/b-o 7 Statement: lnformation Notice to Property Owners About Gonstruction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign thefollowing statement before a building permit can be issued. Thts statement is requiredfor residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, exemptfrom licensing under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 38: 4tr {rB tx 1. I own, reside in, or will reside in the completed structure. 2. I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion. tr 3A. My general contractor is (ccB #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR 38. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and will immediately notiff 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 understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. T.E4 L IohKS,\J <,, permit applicant)t 6"t (White copy to issuing agency permitfile, pink copy to applicant.) Property_owner.doc 06-0 I -04 Acting as Your Own General Cdntractor? ' tNpoRrtnnnoN lrtgrtcE To PRoPERTY owNERS ABOUT G0J\IflTRUCTION RESpON SlBl LITIE$ Ifyou are acting as Your oxryr confracior to construct a new home or make a substantial improvement t0 an exrstmg structure, You can Prevent mary problems by being aware of the folldwing responsibili Employer Responsibilities you will; in.most instances, be ruled to be an "ernployer" and the contractors you-confact wrth will be "employees" if you.u* p.q{rtactgr:rot licensed with the consruction contlactors Prd to do labor in constructingor to assist in the construction * *pr.'1."6;;; *f u r"g**rrrial skucture. As the u*pioy*, you rnust lomply with th' folowliig: oregon,s witbholding Tax Law: As an empioyer, you must withhold incomd taxes from employeewages at the time "-pty*"* are paid. fou wili be liable for the tax paymenrs even if you don't actuaily $tt*ro]f the tax from youl ernployees. For rnore inforrnation, eall the Deparhnant of R*r"ru* at 503-378-4988. .' :' ::.' " '' r' ;r \,/ Unemployment rnsurance Tax: As an emplcyer, you ae required to pay a tax for urnmplovnrul* irl$rdfce nurooserli' -l 'I: on the wages of all employees. For more iniormation, call ,i,. or*gon Lmptcyment Department at 503-pcr-t iga. \- '' t - . - : ., ,...,r'- -. . {{'\; The0regorBusinessIdentificationNumber(BIb}isacomb!gedrlrrmberforbcthopegon1Vi&}rqldin.gand. Unemployment krsurance Tax. To file for a BIN, call 503-945-8091 or w$'w.dor.state.oJllsi:lb(I!.spsy.hrtm[ for the 'i. .. .,appropriaie forms w,orkers, compensation Insurance: As an employer, you are subject to the oregon vy'orkers' Compensation Law, and mugt,obtain-workers' compensation ipsurani" io1 your eryployees. If you fail_to obtain workers' oompensation *r**i,-, y"u cr:uld be subjecr to penatties u"J u* liabie for alicliim costsif one of your employd'bs is t iYld on the job. F.or more information, catt ttre Wcrkcrs' Compensation Divisioir'at the Department of Consumsr and Business Services at 503'947-78 15. U.S. Internal Revenue Service: As aa employer. you must wilhirold federal income t*x ftom enrployeds' *l*D(S; you will be liable fbr the tax paymenr even if you didn'i aetually \&,ithhold the tax. For a Federal SIN number, call tl{e "'., rcS*rA.AO0;829-4$33orvisittheirwebsiteatElu'vJls-,S.o.y , " - )' Other Responsibilities and Area$ of Concerns i Code Coxn'rlixxee: As tl-l* permit h*lder for this pr$Jflet,.vorr are responsrble lbr resolving any fhilure tomeet ccde requiremlfts that may be brought t* your attention tlxor:gh inspections, ,i , t I .. Liatrillty and Fropert-v Darnage lnsurance: C*ntac{ your insurance agent to see if you have idequate insuranc'e coverage tbr accidents iind orrrissions sucir as fallmg tools, p*int over spr&y" water damage triorn pipe puncturei, flre or wr-rrk that musl ht. redone. \ Time:Makesureyouh*.rrtsuf,hcienttimetosuperviseyouremployees..:1l:i...- Expertise: Make sure you'have the skrlls to act as your own generaf con8actor, to coordiriate the work of rough-in and finish trades, and to ;rorify building officials as the appropriate times so they can perform the required inspections' If you have additional quesiions call the Constr-uction Contractors Board (503-37S4621) or write the agency at PO Box 14140, Salem, OR 97309-5052. ; ,, , \ , ,ir,,, ., , Property_owner.dcc 06-0 i -04 Nor5j This lnformation Natice to property Awners abaut Consfrucfrbn Responsibilifias i,vas developed by tha Canstruction Contractors Board in ac*ardanc* wittt ARS 701.055f5), passed by the 1989 Aregan Legislature. F Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2007 -00413ISSUED: 0411312007 APPLIEDz 0312012007 EXPIRES: 10/1312007VALUE: S 86,520.00 SITE ADDRESS: 1436 WALNUT RD Springfield TYPE OF WORK: Single Family Residence ASSESSOR'SPARCELNO.: 1703342302300 TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Foundation and Framing Only - All Interior and finish Work will Require Additional Permits Owner: Address: JOHNSON TERRY & SUSAN 1436 WALNUT RD SPRINGFIELD OR 97477 t{()TICE:PhoneNumber: 541-668-3314 THIS PERMIT SHALL EXPIRE IF THE WORK ED OR IS ABANDONED FOR uyJ;i,gg DAY;rBI0&on Date PhoneContractor Tvpe Contractor CONTRACTOR INFORN # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: # ofStories: I Height of Structure: Type of Heat: Forced Air Gas Water Type: Electric Range Type: Energy Path: Path I Sprinkled Building: nla Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 840 72.00 26.00 16.00 s8.00 58.00 Overlay Dist: # Street Trees'Rqd: Paved Drive Rqd: 7o of Lot Coverage: , .r J- REQUIRED PARKING Total: Handicapped: Compact: 1-U vot 11.00 Street Improvements: Storm Sewer Available: Special Instruction: Notes: Sidewalk Type: Downspouts/Drains: $ Per Sq Ft or multiplier Square Footage or Bid Amount DEVELOPMENT INFORMATION Valuation Descrintion Description Type of Construction Page I of3 Value Date Calculated *: lI U fIrLrlI\ U 11\ r (r.F(1YlA I I\Jlf G Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -726-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2007-00413ISSUED: 0411312007APPLIED. 0312012007EXPIRES: 10/1312007VALUE: $ 86,520.00 Dwellinss V Wood Frame Fee Description Plan Review Residential + lOoh Administrative Fee + 57o Technology Fee + 87o State Surcharge Building Permit Fire SF Fee - Residential Plan Review Minor - Planning Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - lst 50 Feet Total Amount Paid $103.00 840.00 Total Value of Project Date Paid $86,520.00 $86,520.00 03t20t2007 Amount Paid $334.72 $60.20 $33.60 $44.80 $514.95 $42.00 $l12.00 $r38.53 $r82.19 $36.58 $410.79 $4s.00 $1,955.36 3/20t07 4n3t07 4n3t07 4n3t07 4t13t07 4n3t07 4n3t07 4/13t07 4n3t07 4n3t07 4fi3t07 4/13t07 Receipt Number 2200700000000000380 1200700000000000413 12007000000000004r3 1200700000000000413 1200700000000000413 1200700000000000413 r200700000000000413 1200700000000000413 1200700000000000413 1200700000000000413 1200700000000000413 1200700000000000413 tr'ees Peid Plan Reviews Initial Review Planning Review Public Works Review Public Works Review Structural Reyiew Structural Review 03t?u2007 03t2u2007 03t2u2007 03t2u2007 03t26/2007 03t2u2007 04t09t2007 04t0st2007 03t26t2007 03t30t2007 NJM EMM JLP LLH LLH 04fi0/2007 04n0t2007 ro JLP PW Rcvd 3121. JLP 3l2ll07 *** Storm tied to existing system ending @ curb & gutter.JLP 415107 Rcvd email from David B.I then spoke w/Steve G. Storm H2O sytem does not end at curbline. New system to be installed to building code rules, not to create a nuisance for adjacent properties.Buildin g inspectors will direct in field. I spoke with Susan via telephon e today @ 12:lOpm to explain situation and notes in tidemark.JLP l04ll0/07 Forwarded to the Building Department for review Plans reviewed by Dave Mortier with the Building Department under contract with the City of Springfield APP APP APP IO APP To Request an inspection call the24 hour recording at 726-3769, All inspections 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. Page 2 of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Buildin g/C ombination Permit PERMIT NO: COM2007-004I3ISSUED: 0411312007 APPLIEDz 0312012007EXPIRES: 10/1312007VALUE: $ 86,520.00 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all required inspections have been requested and approved and the building is complete. Storm Sewer Line: Prior to filling trench. 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 are requested at the proper time, that each address is readable from the the property, and the approved set of plans will remain on the site at allstreet, that the permit times during (-t )'o"7 Owner or re Date at the of Page 3 of3 h t(equlreo lnsDectrons I 225 Fifth Street Springfield, 0regon 97 477 541-726-3759 Phone Cit .of Springfield Official Receipt D ,lopment Services Department Public Works Department RECEIPT #: 1200700000000000413 Date: A4ll3.l2007 1l:57:50AM Job/Journal Number coM2007-00413 coM2007-00413 coM2007-00413 coM2007-00413 coM2007-00413 coM2007-00413 coM2007-00413 coM2007-00413 coM2007-00413 coM2007-004 r 3 coM2007-00413 Description Fire SF Fee - Residential Building Permit Storm Sewer - 1st 50 Feet Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Plan Review Minor - Planning + 57o Technology Fee + 8% State Surcharge + llYo Administrative Fee Amount Due 42.00 514.95 45.00 410.79 182.19 13 8.53 36.58 112.00 33.60 44.80 60.20 Item Total:$1,620.64 Payments: Type of Payment Paid By rc Received By Batch Number Authorization Number How Received Amount Paid Check TERRY JOHNSON ddk In Person Payment Total: $1,620.64 -$-i;6tffi4' 2017 cReceintl Page I of 1 411312007 CITY OF SPT...TGFIELDSYSTEMSDEVELOPMENT RKSHEET 0 DIRECT RLNOFF TO CITY STORM SYSTEM JOI"IRNAL OR JOB NTIMBER: NAME ORCOMPANTY: LOCATION: TAX LOTNUMBER: DEVELOPMENT TYPE: NEWDWELLING LIMTS 13 Johnson 1436 Walnut Rd 0 SINGLE FAMILY RESIDENCE BTIILDING SZE LOT SZE (SF): DISCOUNT $0.00 0 IMPERVIOUS S.F. x 1224. RTINOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CIry STANDARDS IMPERVIOUS S.F 0.00 B. IMPROVEMENT COST: NUMBER OF DFU's 7 ADT TRIP RATE 9.s7 COST PER S.F $0.336 COST PER S.F $0.336 CHARGE $410.79 DISCOUNTRATE 50o/o $410.79 x x x x x x x ITEM 1 TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER- CITY A COST: x COST PER DFU $26.03 s19.79 NIIMBER OF TNITS 0 NI.IMBER OF T]NITS 0 ADM. FEE RATE 5o/o COSTPER TRIP $19.8r COST PER TRIP $87.39 $0.00 NEW TRIP FACTOR 1.00 NEW TRIP FACTOR 1.00 ITEM 2 TOTAL. CITY SANTTARY SEWER SDC $320.72 3. TRANSPORTATION A REIMBTIRSEMENTCOST: xx xx B. IMPROVEMENT COST: ADT TRIP RATE 9.57 ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER. MWMC A REIMBURSEMENTCOST: NUMBEROF FEU's 0 x B. IMPROVEMENT COST: NUMBER OF FEU's 0 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATNTE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC SUBToTAL (ADD rTEMS 1,2,3, & 4) 5. ADMIMSTRATIVE FEE: SUBTOTAL $73 I .51 TOTAL SANITARY ADMINISTRATION FEE TRANSPORTATION Jeff Prociw $0.00 $731.51 CHARGE $36.58 FEE: 4t6t2007 DATE NUMBER OF DFU's 7 19 $138s3 $0.00 $768.09 l 070 l09l 1092 1093 1094 1054 I 055 t 056 079 078 a rI) o() &HFa r! IET -UreTL COST PER FEU $9r.61 COST PER FEU $961.52 PREPAREDBY !..)0, b* TOTAL SDC CHARGES DRATNAGE FD(TIJRE TII\IIT CALCT]LATION TABLE NUMBER OFNEWFD(TURES X UNTT EQUTVAI.ENT = DRAINAGE FDffURE L]NITS CALCUI.A,TE ONLY TIIE NET ADDITIONALFOR NO. OF UMT FXTTIRE TYPE NEW OLD MISCELLANEOUS DFTJ TYPE NUMBER OF EDU'S TOTAL DRAINAGE FXTT]RE I.INITS isa toa uit set at 167 MWMC CREDIT CALCULATION TABLE: BASED ON COLTNTY ASSESSED VALUE BEFORE 1979 IS LAND ELGIBLE FORANNEXATION CREDIT? (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR CREDIT FOR LAND GF APPLICABLE) DRAINAGE FD(I.JRE 0 0 +EDU 1979 1980 1984 x1985 1986 1987 1988 1989 l99l 199? 1993 1994 1996 r998 0 l98l 1983 1982 1979 $4.63 $4.40 $4.07 $3.67 $3.22 $2.73 $2.25 $1.80 VALUE / IOOO $0.00 CREDITRATE $5.29 CREDTT FOR TMPROVEMENT (IF AFTER ANNEXAIO)0 VALUE / IOOO CREDIT RATE $0.00 x $5.29 TOTALMWMCCREDIT 1995 1997 t999 $1.59 $1.4s $1.25 $1.09 $0.92 $o.72 $0.48 $0.28 $0.09 $0.05 0030BATTMiB 0001DRINKING FOTNTAIN 0 3 00FLOORDRAIN 0030INTERCEPTORS FOR GREASE / OIL /SOLIDS / ETC. 0006INTERCEPTORS FOR SAND / AUTO WASH / ETC. 2 000LAUNDRY TUB 0030CLOTT{ESWASHER / MOP SINK b 000CLoTHESWASFIER - 3 OR MORE (EA) 12 000MOBILE HOME PARK TRAP (I PER TRAILER) 0010RECEPTOR FOR REFRIG / WATER STANON / ETC. 0003RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 2 210SHOWER, SINGLE STALL 0020SHOWER. GANG (\UMBER OF HEADS) 000JSINK: COMMERCIAURESIDENTIAL KITC}IEN 2 000SINK: COMMERCIALBAR 0 2 21SINK: WASH BASINIDOUBLE LAVATORY 0001SINK: SINGLE LAVATORY/RESIDENTIAL BAR 5 000URINAL. STALL /W/J,L 0 b 00TOILET, PUBLIC INSTALLATION 3103TOILET, PRTVATE INSTALLAT]ON 7 YEAR ANNEXED CREDIT RATE/$I,OOO ASSESSED VALLIE 00 2000 r IU 2001 20