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Home My WebLink AboutPermit Building 2004-11-18Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2004-01349ISSUED: llll8l2004APPLIED: 11/0112004EXPIRES: 05/181200sVALUE: $ 172,644.00 SITE ADDRESS: 1416 8th St ASSESSOR'SPARCELNO.: 1703264307000 PROJECT DESCRIPTION: SFR w/ attached garage Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential Owner: Address: BRANDT-DR PO BOX 1473 SHA LL EXPI lT lS l{07 OR 97477 HIS PERM ED t0R COMM ANY 1 BO DAY Contractor Type General Electrical Mechanical Plumbing Contractor BLUE POOL CONSTRUCTION INC THOMAS LEE BALCOM JR MARSHALLS INC TOMS PLUMBING SERVICE INC License 122607 138121 25790 ts942S Expiration Date 05/05/2006 10n9t2007 12t23t2005 05112t2006 Phone 541-913-8039 54t461-2590 54t-747-7445 s41-607-8879 BUILI # 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: Street Improvements: Storm Sewer Available: Special Instruction: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Center. Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I R-3 u-1 VN s0.00 6.00 I 17.00 Heat Pump Electric Electric Path I 9,202 1,748 440 4 OAR calling Sidewalk Type: Downspouts/Drains: REQUIRED PARI(NG Total: 2 Handicapped: Compact: Curbside 5' Curb and Gutter Fully Improved Yes PUBLIC IMPROVEMENTS Notes: Pase 1 of4 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: COM2004-01349ISSUED: llll8l2004APPLIED: 11/0112004EXPIRES: 05/1812005VALUE: $ 172,644.00 Description Dwellings Garage Tvpe of Construction V Wood Frame Garage $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 1,748.00 458.00 Value $161,515.20 $11,129.40 $172,644.60 Date Calculated tu0u2004 1U0u2004 Amount Paid Total Value of Project Date Paid Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0o/o Administrative Fee + 7oh State Surcharge 2 Baths One or Two Family Addressing Assignment Building Permit Dryer Vent Exhaust Hoods Minimum/Adj ustment Mechanical Plan Review Major - Planning Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 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 Vent Fan Willamalane Single Family Total Amount Paid Receipt Number 1200400000000001s39 320040000000000034s 3200400000000000345 3200400000000000345 3200400000000000345 3200400000000000345 320040000000000034s 3200400000000000345 3200400000000000345 320040000000000034s 320040000000000034s 3200400000000000345 3200400000000000345 3200400000000000345 3200400000000000345 3200400000000000345 3200400000000000345 320040000000000034s 3200400000000000345 3200400000000000345 3200400000000000345 3200400000000000345 3200400000000000345 320040000000000034s 320040000000000034s $s21.89 $10.00 $126.49 $88.54 $254.00 $31.00 $802.90 $6.00 $9.00 $18.00 $103.00 $r06.00 $s7.00 $347.32 $4s6.76 $10.00 $865.31 $82.03 $114.95 $64.60 $772.49 $175.13 $882.03 $r2.00 $1,000.00 tuu04 rut8t04 tut8l04 tUt8t04 rUtBt04 tUt8l04 tut&t04 tut&t04 tut8t04 tut8t04 tut8t04 tut8t04 tU18t04 tut8t04 tut8t04 tut8l04 tut8l04 tut8t04 tut8t04 tut&l04 rut8l04 tut8t04 tut&t04 tut8l04 tut8t04 s6,916.44 Fees Pcid Plan Reviews Initial Review Planning Review tU02t2004 LU0212004 lil02t2004 tUt6l2004 APP APP SKG TAJ Paee 2 of4 Partition Plat recorded llll5l04. [3 Valuation Descrintion I 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: COM2004-01349ISSUED: llll8l2004APPLIED: 11/0112004EXPIRES: 05/1812005VALUE: $ 172,644.00 Public Works Review Structural Review Lu02t2004 1u04t2004 APP cAS ru02t2004 1U0512004 APP RJB Partition under review-no permits until plat is recorded for case status contact James Donovan. lll4l2004 CAS Reouired Insnections 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. Erosion/Grading Inspection: After all erosion measures are in place. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Foundation: After forms are erected but prior to concrete placement. SIab: To be made after all inslab buitding service equipment, conduit piping and other equipment items are in place but prior to concrete. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Hold Downs Installed: Speciat Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Underslab Plumbing: Prior to filling the trench and including required testing. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. 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 Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Page 3 of4 -L Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Ftx 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-01349ISSUED: llll8l2004APPLIED: 11/0112004EXPIRES: 05/1812005VALUE: $ 172,644.00 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 construction. ,La1rr or Date Page 4 of4 225 Fifth Street Springfield, Oregon 97 477 511-726-3759 Phone Crty of Springfield Official Receipt velopment Services Department Public Works Department RECEIPT #: 3200400000000000345 Date: llll8l2004 2:05:31PM Job/Journal Number coM2004-01349 coM2004-01349 coM2004-01349 coM2004-01349 coM2004-01349 coM2004-01349 coM2004-01349 coM2004-01349 coM2004-01349 coM2004-01349 coM2004-01349 coM2004-01349 coM2004-01349 coM2004-01349 coM2004-01349 coM2004-01349 coM2004-01349 coM2004-01349 coM2004-01349 coM2004-01349 coM2004-01349 coM2004-01349 coM2004-01349 coM2004-01349 Description Addressing Assignment Willamalane Single Family 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 Vent Fan Exhaust Hoods Dryer Vent Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- Plan Review Major - Planning Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 7oh State Surcharge + l0% Administrative Fee Amount Due 31.00 1,000.00 882.03 456.76 347.32 I 75. l3 772.49 82.03 865.31 10.00 fi4.9s 64.60 802.90 254.00 12.00 9.00 6.00 18.00 10.00 103.00 106.00 57.00 88.54 t26.49 Item Total:$6,394.55 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid CreditCard JESS BRANDT djb 074427 In Person $6,394.55 PaymentTotal: ffi tUt8l2004 Page I of I aDUrlEa s"sol??TMPRovEME!,"'?#55I"!|l;Hf ,lYFn?i#fr 'XLIf,"""'#S.tsrRArETHIS IMPROVETUENT AGREETVIENT is an alternative to imposing a condition on development approval that the applicant make.any public improvement that the developmeni necelssitates. The objective'is to prcimote efficiencyand spread. costs by ha.ving a di.strict wide improvement mechanism instead of requiring improveri, ent in connection with each development application. INC D N SS rein recited, th herein e City of Spri after referred h a ngfield, hereinafter referred to as Ci ty , and to as Applicant (current property owne (s)), covenan AS OTHER II\4PROVEMENTS lJ LEGAL DESCRIPTION ADDITIONAL I NFORMATION SEE ATTACHED EXHIBIT'A" /naiit s+! *'TREET Property Address zg*gJUL. 35' 97fl oSPFUND t7 03 26 q3 # Tuoo S WHEREAS Applicant desires Development Approval from City, and WHEREAS, any future development within City or within City's Urban Growth Boundary located in Lane County willcausebothanimmediateandlong-termdemandonthevariouspublicfacilitiesofCityand[aneCounty; NOW THEREFORE, Applicant and City agree to the following schedule of public facility improvements and respectivecost assumption policy: STREET IIVPROVEMENTS atong the frontag " o1 " t4" SfEEEf fi syrfagg paving; (>{ storm sewSrs; ( ) sanitary spr) street lights; (2<) sidewalks. TRAFFIC SIGNALS at the intersection of ,t/A to include: street trees; i0"00 10.oil lr lS UNDERSTooD that this agreement is enforceable by the State of oregon, Lane County or City. lr ls FURTHER UNDERSTooD that Aoplicant agrees to siqn any and all waivers, petitions, consents and all otherdocuments necessary to obtain the aborEtiJteo iriiro*'iJ;iJ [.gd ,11, il.,irio,ierent act oi proceeoing or the stateor oreson, Lane couhtv, or,citv as mly-uJp*roil!il; alipteo uv th6 SiSi;;l ffibi"n,-i#ItE[lltv or city andto waive all right to remonstrat'e aga.indt ;u;hlhp-;;"r;;tr, out -nbi i[e i,gh'tib protest the amount or manner ofspreading the assessment thereol, irthe same str.jti ipp""i'to Apblri"r'i't'd8'b'e'Jr inequitably or unfairly upon saidproperty of Applicant' Applicant's acceptance of the n5fi-rEronstlance condition rs in consideration for the citv,swaiver of the requirement for the immediate-"onliirciion,or tne 1ilqi""ir*irorur"nts that 1.," iIrIiJ#N"inecessitates' The improvement agreementwirveitrre p"]p"+v..o*nliJrig[t io'ir" , written remonstrance. lt doesnot waive a property owner's riglit to ipeak on t e'pro,l,.iJ"o'ii.iii.i;; ;X;'r;jJied matters oralty or in writing. NoW THEREFORE, C-ity agrees that Applicant's execution and performance of the terms of this Agreement will bedeemed to be in compliahcd wittr ciiv's bliiiiv p-"rt-ii,iiil''io'iilp,civement r"rqriiun.,Jnt-r,'i|i'iinpfrBa=nt compties in3:"JX,liff5?3t#J[ilfl!fi[iEBT:?|f#H. bi tnJSiat"e or biieson, L;;e i;rj;iy ;;ii'ciiy; il;!:fiippric;fii ;[;ri lN ADDlrloN' it is the intention of the parties hereto that the covenants herein contained shall run with the landherein described, ano shjil 6" oinoinilpon tre rreirr,'eiLiuior;;;;isft,ljrini.trrtors, and successors of theparties hereto' and shall be conitiuet tb-ue a-oe-n"iit ii"J a uui'oen i6; ti.,'" property herein described. ThisAgreement shail be recorded iri tne l-ri" countv o"6o'iuEoro. Tax Lot No 1 there personally a ppeared before me the above WHEREFoRE,thepartieshavesettheirhandandseal16;5r4t[ayofL,1996 B U B Da N E. Bsorud can By Applicant I Property Own er) d STATE OF OREGON) couNTY OF LANE) On this t4rh day ofnamed applicant(s) -and July gned e above ocument. ry u tc My Commission Expires June 28 2001 TINA ON. OREG RETURN TO: CtTy O F SPRINGFIELD PUBLIC WORKS DEPT. -225FIFTHSTREET, SPRINGFIELD, OR, 97477 fr 97s01"7 EXIIIBIT A Beginning at a 518" iron rod on the north line of, and 18.00 feet from the NE corner of,Lot28, Block 4, hunts addition to Springfield, as recorded in Book 3, page 6,Lane County Oregon Plat Records, thence S0o01'43"E 156.08 feet to a point o, th. south lineof said Lot 28; thence along said south line S89"46'06"W 181.84 ieet to a point 122.00 feet frorn the SW corner of said Lot28; thence leaving said south line N0"04,0g,,W 156.02 feet to a 5/8" iron rod on the north line of saidiot 28, said iron rod being 122.00 feet from the NW corner of said Lot28; thence along said north line Ng9o4 4,53uE l gl.95 feet to the point of beginning. State of Oregon County of [-ane - ss. I the County Clerk, in and for the saidCounty, do hereby certify that the withinrnstrument was received for record at 'g? JUL 25 nntg:l5 Ree 231gR Lane County OFFICIAL Records Lane County Clerk By,/-/2 ,r'J County Clerk STATE OF OREGON) couNTY oF LANE) On this t4th 6sy named applicant(s) a of July 1 , there personally appeared before me the abovend signed the above document. ry U My Commission Expi res June 28 2001 SS I . OREGON MY TINA K NOTARY RETURN TO: CITY OF SPRINGFIELD PUBLIC WORKS DEPT. -225FIFTH STREET, SPRINGFIELD, OR. 97477 {--ft '/t/ - .: #::.ffi:r?rn'*-* c6 rsr 6a-vis"- -l ::-JY{--4.7! r '4 -?'J1 ,eC +6 o'E ,r ,.,1 t ) {I'Yd 'vJ ) I I I I't "- l3r'"r ' t6A. a,,\ I I I I I I IA IA 4 3 O.cate tAfttt'l'il+4 VAC oqo ',62 t I ! i B ! I e I .i o N\ lA 2 ,1, ! I t. r )' i1. I I I ll t- -i- q)v4tiortera HUNT S ADDI"!ollra SPRINGTIELD l ,llsIrt ,| It tt I Srtt*br al*Qgs, Lrti Cbtrl, J i ;*b ntt- frt-- t ,#'{{W:il qdY Ck*, Zlr. ..r-'.."'- ""' ;.;i' YlueD ,lt.-...,' orcloct """' H-"' ."' A' tt 'eo'. Eg't" CoY AU* Drc/o,;7!$*t -: tta a tq l'tguii'lsoz 6.T.Clrisno't - Ccu'lr 'ldt: . , t/.P. zl*rttt- CotaY Ctsst'tta-r t/,.U.'*rice --- Cnr! Coant'i"'a ltpnucl - C.,tt. Co(er' @' o"n!"nfr'-" , Gtr wggocrDt"" ? ..'-r_ :-r" FJ: t :j. -:; rr-..- ,"";,.,,,,:=., .l .. :?r - -=a a:"-'.ii-: l!,lttt A tlgA .e, lts A c. /$A 7 rr'll:lI Jlqt {IH 1tt-{4 30l!t[A t'sItsA'tslsA,o $sllfirt I )tttA ltt A llgrl NqA Itgrt t .ro .tn . tryA :l t\ th \I ...i..* - t- I IA, T / 'f\ t'-,, . t'. .i 't' It u0f t), i? 'r.:'t 6 lat".. Ea - lttsA 2e t L , t / /L--n /r u .3rl,6 S r/s. ''1:d JYf -) m. n-.t-: , t'. ;; . t,,i tl,, b,.t :I ll I ,i ' , -l rr . i., .1, ,I --'! .4.._rl "J )' -;!, 'i ; ..t.?;aU'!'. t..... T. i-., . '' '{'r ' ,-' 9' i .!,i. l ', I J =a'{ t_4 -t., ?'*'-^/{L.O G'l ,n P9r6 o "ttater lerc's ,.1 :,1 \ I\ I I I I I'l /^s2\q terA ,,I I i1 I 1 I IAI d)cale raofr*-li*A VAc ano 'je1 cza'Q.:*- !tI IA : I1t!{1 .20 t.\ ltlJA2, ss Itgrl E {iOo, lts,l ,c- ltttA ,IJ :, t\ th i\I F----r--. - - I I I I I I t I I I ! ! t i i B iIlsI.t Y. . '. ;' t I B I I'I 1 HU N? s ADDtfloll 1 ' sPRtNGrf TlueD .At,.,.... orcloc*,.. -, " H A2 tJ tlnz E'OI'itat Ca7 C/** Decta,;g!$*t t 6 t!9, at/!{A .12/8. A.'7 ,P.H / 225 FIFTH STREET . SPRINGFIELD,cjn glqlt o PE:(541)726-3753 r FAX: (541)726-3689 ELECTRICAL City Job Number I ,.;&.#ffffim t4\t o Bvn s\r.q=f LEGAL DESCRIPTIONb rION Date 3. A. Service L\&1000 sq. ft. or less Each additional 500 sO.$"cr $106.00 $ 19.00 JOB DESCRIPTION \!Dh_palx) Permits and work ls not started within 180 days of issuance or if work is Suspeuded for 180 daYs. 2. Electrical Contractor portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 200 Amps or less $ 63-00 201 Amps to 400 Amps $ 75.00 401 Amps to 600 Amps $125.00 lfi,r r]F tr, ^ ,.,$ 50.00 ffi$so.oo ffiszs.oofft-- $ 45.00 B. Address P 1}ox 4zrstrt City eyg, (u- QHffi""4 k lLscio Supervisor License Number 45 53 t c. Expiration Date Constr. Cont. Number L Expiration Date Si gnature of Supervising Electrician es Y Over 600 or 1000 Volts see'8" above. D. Pump or irrigation Sign/Outline Lighting Limite d Energy/Residantial Limited Energy/Commercial lVlinimum Electric Permit Iuspectiou Fee is 545.00 * Surcharges 7% State Surcharge l0% Administrative Fee TOTAL Shared Drive(T:/Building ForrnVElecrical Permit Application I -03.doc ft ft $IBfff tRft.{Nelr ;ltnloloEho n e 401 Amps to 600 Amps $100.00 v v\--- New Alteration or Extenslon Per Panel One Circuit $ 43.00 Each Additional Circuit or with Service or Feeder Permit $ 3'00 ,N\Owners Name Address City OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signahre:@ Inspection Request: 72G37 69 4. Not num E. in call AU] CO ANY CITY OF SPxTNGFIELD SYSTEMS DEVELOPMEN'I JRKSHEET JOURNAL OR JOB NUMBER: COM2004-01349 NAME ORCOMPANY: LOCATION: TAX LOTNUMBER: DEVELOPMENT TYPE: NEW DWELLING TINITS J.M. l4l6 N 8th 1703264307000 BUTLDTNG Sz,E (SF" 2272 LOT SZE (SF): CHARGE $882.03 Residence 0 I. STORM DRAINAGE DIRECT RLNOFF TO CITY STORM SYSTEM IMPERVIOUS S.F 2845.25 RTINOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CIry STANDARDS IMPERVIOUS S.F 0.00 NUMBER OF DFU's 19 B. IMPROVEMENT COST: NIIMBER OF DFU's 19 ADT TRIP RATE 9.57 B. IMPROVEMENT COST: ADTTRIP RATE 9.57 COST PER S.F $0.3 r 0 COST PER S.F $0.3 r 0 COST PER DFU s24.04 $ 18.28 NIJI\4BER OF TIMTS I NLA,IBER OF LINITS I ADM. FEE RATE 5Yo DISCOI.]NTRATE 5lYo $882.03 DISCOTINT $0.00 x x x x x x x x x ITEM 1 TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3. TRANSPORTATION A. REIMBT]RSEMENT COST: s804.08 COST PER TRIP $r 8.30 COST PER TRIP $80.72 $947.62 xx xx NEW TRIP FACTOR 1.00 NEW TRIP FACTOR 1.00 ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A. REIMBURSEMENTCOST: NUMBER OF FEU's I B. IMPROVEMENT COST: NLIMBER OF FEU's I MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATTVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC SUBTOTAL (ADD ITEMS I, 2, 3, & 4) 5. ADMINISTRATIVE FEE: $9s7.34 $3,591.07 CHARGE sr 79.55 SUBTOTAL $3,591.07 TOTAL SANITARY ADMINI STRATION FEE: TOTAI ADMINISTRATION FEE: CherylSlaymaker t|412004 COST PER FEU $82.03 $882.03 $4s6.76 $347 $175.I3 $772.49 $82.03 $0.00 114.95 $3,770.62 1 070 I 091 1092 r 093 1094 I 054 I 055 1054 1056 1079 I 078 a E] t-.1oQ & rqFa H& COST PER FEU $86s.31 PREPARED BY DATE TOTAL SDC CIIARGES x I DRAINAGE FIXTURE UNIT CALCULATION TABLE NUMBER OF NEW FXTURES x UMT EQUryALENT: DRAINAGE FXTURE UNTTS FOR CALCUI-ATE ONLY TTIE NET ADDITIONAL NO. OF FIXTURES UNIT FIXTURE TYPE NEW OLD ALENT MISCELLANEOUS DFU TYPE NUMBER OF EDU'S TOTAL DRAINAGE FD(TURE T]NITS lsa toa unit set at 167 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE 20 DRAINAGE FIXTURE UNITS 0 2 1979 *EDU BEFORE I979 1979 I 980 l98t 1982 I 983 I 984 1985 I 986 1987 l 988 I 989 I 990 t99l 1992 1993 1994 1996 1997 1998 1999 $5.29 $5.19 $5.12 $4.98 $4.80 $4.63 $4.40 $4.07 $3.67 $3.22 $2.73 $2.25 $1.80 VALUE / 1000 $0.00 CREDITRATE $5.29 IS LAND ELGIBLE FOR ANNEXATION CREDIIY (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR CREDIT FOR LAND (IF APPLICABLE) 2 x CREDTT FOR IMPROVEMENT (IF AFTER ANNEXATTON) VALUE/ IOOO CREDITRATE $0.00 x $5.29 TOTAL MWMC CREDIT 995 $1.59 $1.45 $1.25 $1.09 $0.92 $o.72 $0.48 $0.28 $0.09 $0.05200t BATHTUB 1 0 3 3 DRINKING FOTINTAIN 0 0 1 0 FLOOR DRAIN 0 0 3 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0 INTERCEPTORS FOR SAND / AUTO WAS[] / ETC.0 0 6 0 LATINDRY TUB 0 0 2 0 CLOTHESWASHER / MOP SINK 1 0 3 3 CLOTI{ESWASHER - 3 OR MORE (EA)0 0 b 0 MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0 RECEPTOR F'OR REFRIG / WATER STATION / ETC.0 0 1 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0 SHOWE& SINGLE STALL 1 0 2 2 SHOWE& GANG (NT]MBER OF HEADS)0 0 2 0 SINK: COMMERCTAL/RESIDENTIAL KITCHEN 1 0 3 3 SINK: COMMERCIAL BAR 0 0 2 0 SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 0 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 2 URINAL, STALL/WALL 0 0 5 0 TOILET, PUBLIC INSTALLATION 0 0 6 0 TOILET, PRIVATE INSTALLATION 2 0 3 b YEAR ANNEXED CREDIT RATE/$I,OOO ASSESSED VALUE 2000