HomeMy WebLinkAboutPermit Building 2004-10-18FIELD
Building/Combination Permit
F
Status use initials
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: 02-00967-01ISSUED: 1011812004APPLIEDz 0811212002EXPIRES: 04/1812005VALUE: $ 32,973.00
SITE ADDRESS: 2491 00016th St Spr TYPE OF WORK: Family Room
ASSESSOR'SPARCELNO.: 1703243400116
TYPE OF USE: Addition Residential
PROJECT DESCRIPTION: Land Use: Single Family Dwelling, Zoning: LDR, Family room and bedroom addition
Owner: Brian Jones
Address: 2491l6th Street Springfield OR 97477
Phone Number: (541) 726-6366
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
Brian Jones
Brian Jones
License Expiration Date
THE WOBK
Phone
(s4t)726-6366
(s4t)726-6366
(s4r)726-6366
541-8954423
Brian Jones
EDWARD L COOK SR ICE:
CONTRACTOR INFORMATION
EXPlB6s57 02nst2006
ED FOR
# 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:
E I
16.00
Type of Heat: Forced Air Elect
Water Type:
Range Type:
Energy Path: Path I
Sprinkled Building: nla
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
Vo ofLot Coverage:
Urban Fringe
3r.00
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
COM
ANY
RIOD 8,770
442R-3
VN
REQUIRED PARKING
Total:
Handicapped:
Compact:
Notes:
Page I of3
adopted bythe Utility
rules are set forttl
Building/Combination Permit
Status use initials
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: 02-00967-01ISSUED: 1011812004APPLIED: 0811212002EXPIRES: 04/1812005VALUE: $ 32,973.00
Description Tvpe of Construction
Fee Description
Residential PIan Check
87o Admin Fee - Electrical
87o Administrative Fee - Mechan
87o Administrative Fee - Plumbi
8% Building Administrative Fee
Alter/Add to ea Appl Unit or S
Branch Circuits WO Feeder or
Building Permit
Mechanical Issuance
Minimum Mechanical Permit
Number of Fixtures
Planning Plan Review
Residential - Single Family -
SDC Administrative Fee
State Surcharge - Electrical
State Surcharge - Mechanical
State Surcharge - Plumbing
State Surcharge For Building P
Storm Sewer Footage
Vent Fan to One Duct
+ l0o Administrative Fee
+ 7%o State Surcharge
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or Iess
Total Amount Paid
Total Value of Project
Date Paid
Value Date Calculated
Receipt Number
10261
10425
10425
10425
10425
10425
10425
10425
10425
10425
10425
1042s
10425
10425
1042s
10425
1042s
10425
10425
10425
1200400000000001717
1200400000000001717
1200400000000001717
1200400000000001717
Amount Paid
$ Per Sq Ft
or multiplier
$u6.28
$3.68
$3.60
$10.32
$21.70
$30.00
$46.00
$271.20
$10.00
$3.00
$84.00
$55.00
$175.97
$8.80
$3.22
$3.15
$9.03
$18.98
$45.00
$r2.00
$8.70
$6.09
$24.00
$63.00
$1,092,72
Square Footage
or Bid Amount
8n2t02
8t26t02
8t26t02
8t26t02
8t26t02
8t26t02
8t26t02
8t26t02
8t26t02
8t26t02
8t26t02
8t26t02
8t26t02
8t26t02
8t26t02
8t26t02
8t26t02
8t26t02
8t26t02
8t26t02
t2t9t04
t2t9t04
r2t9l04
t2t9t04
Fees Paid
Plan Reviews
Engineering-Res
Initial Review-Res
Plannins-Res
Structural-Res
08n9t2002
0811312002
08n5t2002
08t22t2002
Appr
Appr
Apnr
Appr
VJ
LH
AD
TM
Paee 2 of3
Calculated storm SDCrs only.
YaluationDeseription-l
Building/Combination Permit
Status use initials
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fa.x
541-7 26-37 69 Inspection Line
PERMIT NO: 02-00967-01ISSUED: 1011812004
APPLIEDz 0811212002EXPIRES: 04/1812005VALUE: $ 32,973.00
To Request an inspection call the24 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.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
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 Springlield 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.
/ Z- O?' oll
Owner or Contractors Date
Page 3 of3
Keourreo rnspecuons I
225FIFTHSTREET o SPRINGFIELD,OR97477 o PHz(541)726-3753 oFAX: (541)72G3689
E LE CTRI CAL P E RMIT APP LICATI O N
cityJobNumber C Z - e C 767-Clorr"Z-7- o
LEGAL DESCRIPTION A.
12o-3 Z q B./c>at tL
BPfttl\a{3Fr€LI}
$1
$ 63.00
$ 75.00
$12s.00
s163.00
$375.00
$ s0.00
$ 43.00
$ 3.00
JOB DESCRIPTION
1<.t Qer<c. c g {L
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
Electrical Contactor
Address
NoIl6E:
Phone
Supervisor License Number
Expiration Date
Constr. Cont. Number
Expiration Date
Signature of Supervising Electrician
i.
Owners Name Brron JorreS
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
S portionthereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
200 Amps or less
201 Amps to 400 Amps
"i+
B.
L3
City
401 Amps to 600 Amps
EYDfgE4Ff,+J6MMI!,,'
i,',' ; Qvff:t000\ $.ri$sh{6lts
o,lo\tl'mmm*
c.
Installation, Alteration or Relocation
200 Amps or less $ 50.00
201 Amps to 400 Amps $ 69.00
401 Amps to 600 Amps $100.00
or 1000 Volts see "B" above,
New Alteration or Extension Per Panel
D.
Address z(/1/ /6t\ ,sbtu"
cirv JrtfM.$,1
-
Phone ? Ll fil(
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
7o/o State Surcharge
l0% Administrative Fee
TOTAL
ZY
87
bon
E70
/ot 2Inspection Request: 72G37 69
4.
Shared Drive(T:/Building Forms/Electrical Permit Application l -03.doc
3.
SHALL
Over 600
Limited
Limited
Minimum Electric Permit Crpt0fih
8
E.
Pump or
Construction Contractors Board
700 Summer St I\E Suite 300
PO Box 14140
Salem OR 97309-5052
Phone: 503-3784621
WebAddress:ry[9!g1!4
permit#: OZ-O c* i67- C I
Address: Z Ll7 I /btL sl
Issued by:>E Date: lZ-)^ct'l
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. This 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 befiled with the permit.
Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 38:
Fv
tr
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.
3A. My general contractor is
(Name)(ccB #)
I $rill instrrct my general contractor that all subcontractors who work on the stnrcture must be
licensed with the Construction Conhactors Board.
OR
{rr.I will be my own general contactor.
If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors
Board. If I change my mind and hire a general contractor, I will contract with a contractor who is
licensed with the CCB and will immediately notiff the office issuing this building permit of the
name of the contractor.
I hereby certify that the above information is correct and that I have read and do understand the Information
Notice to Property Owners about Construction Responsibilities on the reverse side of this form.
/ 2<9 -?
(Sigpature applicant)@ate)
(White copy to issuing agenq) pennitfile, pink copy to applicant.)
Property_owner. doc 06-0 I -04
l. I own, reside in, or will reside in the completed structure.
i-
I
I
Acting as \ our Own General Contractor?
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CON$TRUCTION RESPON$IBILITIES
NOTE: This lnformation Natice to Property Owners abaut Construction Responsibilities H/as devetoped by ttte
Construction Contractors Board in accordance with ARS 701.055(5/, passed by the 1989 aregon Legislature.
If you are acting as your own contractor to conskuct a new home or make a substantial improvement to an existing
structure, you can prevent nuny problems by being aware of the following responsibiiities and conccrns.
Employer Responsibilities
You.will, in most instances, be ruled to be an "Enlployer" and &e contractors you contract with will be "enplo3ees" if
you t.l$e gontactors not licensed with the Construclioa Contractors Board to do labo1 in constructing or to assist in the
construction or improvement of a residential structure. As the employer, you must comply with the following:
Oregon's Withholding Tax Law: As an employer, you must withhold income taxes &om employee wages at the time
employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax frcm your.,.,-.employees. For rnore inlbrmation, call the Deparkneirt of Revenue at 503-378-4988.
Unmployment Insurance Tax: As an employer, you are.r€quirsd to pay a tax for unemplo3rment insurance purpose'o-. _
on the wages of all employees. Formore information, call the Oregon Employment Depaffinent at 503-947-1488.
.-. ,,i:\
The Oregon Business ldentific*tion Nurnber (BII.{) is a combined number for both. &egon lVithlrclding and
Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.or.us/fotrnsnay.htmll for the
appropriate forms.
lYorkerst Compensation fnsurance: As an employer, you are subject to the Oregon Workers' Compensation Law,
and rnust.obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensation
insuranCe, you could be subject to penalties and be liable for all claim costs if one of your employees is injured on the
job. For more informalion, call the Workers' Compensation Division at the Departrnent of Consrlmer and Business
Services at 503 -947 -7 81 5.
U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from enrployees',wageE).
You will be liable far the tax payment even if you didn't actually withhold the tax" h'or a Federal EIN number, call the
IRS at l-800-8294933 or visit their web site at wrvrv.irs.sov
Other Responsibilities and Areas of Concerns
Cade Compliance: As the permit holder for this project, yol! are responsible f*r resolving any failure to rneet code
requirernents that ni*y be brought to your atlentinn through inspections.
Liabitity and Property llamage fnsurance: Contact your insurance agent to see if you have adequate insurance
co!?rage for accidents ar:d omissions such as {alling tools, paint over spray, water damage from pipe punctures, fire or
Tixr*:: Make sure ycu have sui{icie*t time to supervise your empiriy*es.
Expertise: Make sure you have thd skills to act"as youf bwn general contractor, to coordinate the work of ro*gh-in
and finish trades, and to notify building officials as the appropriate times so they can perform lhe required inspections.
If you have additi*nal questions caii the Constmction Contractors Board (503-3784621) or write the agency at P{}
Box 14140, Salem, OR 97309-5052. ,,
Property_owner. doc 06-0 1 -04
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
SPBII{OFIIl.D city of Springfield Official Receipt
;velopment Services Department
Public'Works Department
RECEIPT#: 1200400000000001717 Date: 1210912004 2:21:58PM
Job/Journal Number
02-00967-01
02-00967-0t
02-00967-01
02-00967-01
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 7o/o State Surcharge
+ l0%o Administrative Fee
Amount Due
63.00
24.00
6.09
8.70
Item Total:$101.79
Payments:
Type ofPayment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
Check BzuAN JONES djb 1036 In Person Sl0l.79
Payment Total:
-STdIF
r2/9t2004 Page I of I
SPF|IN IELD
D EV ELO P M ENT S E RV I C E S D E PARTM ENT
August '1 1, 2003
Brian Jones
2491 16th Street
Springfield, Oregon 97477
Dear Mr. Jones
Your request for an extension of your permits for the construction of a family
room and bedroom addition to your residence located at2491 16th Street,
Springfield, Oregon, City Job 02-00967-01 has been reviewed and approved.
This extension may only be granted one time and will expire on February 11,
2004.
lf you have any questions, or if I may be of any assistance, please feel free to
phone me at 726-3790.
Sincerely,
Lisa Hopper
Building Safety Supervisor
225 FIFTH STREET
SPBINGFIELD, OR 97477
(541) 726-3753
FAX (541 ) 726_3689
www. ci. s p ri n gf t e ld. o r. u s
lh
l_-/
1-0oL- o0
Bct
a iu^'ct'o'^
lo
-l
AV-
uf n^fi',u4-
ltti Tr.f
_T
e\q rttpn$t\(
XXSI[th Street, Sprmgfr eld, OR gr4??
S4t-726-3759 phone
541-726-3676Fax
July 18,2003
Brian Jones
2491 l1thstreet
Springfield
Job Number:
Location:
Dear PermitHolder:
Project:
oR 97477
02-00967-01
2491 00016th st
ffirl$:j;ngre Famiry Dwelling , zonins:LDR, Famiry room and
The Springfierd Buirdingf*,v. code Adminy.1l". Code,provides rhat in order forthe work which has been uutr,o.i,.a u/o,#ffilff :;ffi'ffiit;,r,l,:T:_llla.permirto remain varid,inspection must be..qr.ri.a.rffi.'r$,t,Tffittm.ustbegin wthin 180 d.r;i#Lt. orisrunce, and an
According to our rcc
tn4?;6:;r*J{dl,ittHff
ry,H,.ti.ifl:,,il1ili,;fif ri,fl :,,[T*:::r,..expire.n
:ff:f il{el".,l;Ly.U,*,,"X*.m,[']Xlff ,.#.,;,f, *i:r-,,,i,,dil,#,il:[il[H*,.*,,pnor to the expiratior
comprete yo* prol..l.dats vourpt*irirj^*ilr;il;;;il;ddr '+1-726-3769' If vou do notpcr.rt an inspe.tionnat permit fees will be required ir;;fi:*
Ifyou have any questions, prease feer free to phone me at 541 -726_3790.
Sincerely,
Lisa Hopper
Building Safetv Supervisor
\
Job#02-00967-0 1
RESIDENTIAL PERMIT
City Of Springfietd
Community Services Division
Building Safety
Page 1 of 3
Job Number: 02-00967-01
Office:726-3T59
lnspection Line: 726-3769
225 Fifth Street
Springfield, OR9747T
Location Of Proposed Site: 2491 OOO16th St Spr
AssessorsMap#: 17032434
Lot: Btock: Addition:
Tax Lot#: 00116
Subdivision:
CITY OF SPRINGFI ELD, OREoON
Owner: Brian Jones
Address: 2491 16th Street
Scope Of Work: Family Room
Phone Number:
City/State/Zip:
Addition
541-726-6366
Springfield, OR97477
Value: $32,973
Family room and bedroom addition
Gontractor Type
GeneralContr
ElectricalContr
MechanicalContr
Plumbing Contr
Contractor
Brian Jones
2491 16th Street, Springfield, OR97477
Brian Jones
2491 16th Street, Springfield, OR97477
Brian Jones
2491 16lh Street, Springfield, OR97477
Brian Jones
2491 16th Street, Springfield, OR97477
Registration # Expiration Date Phone
541 -726-6366
541-726-6366
541-726-6366
541-726-6366
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
5RNW
(VN) Wood Frame
Office Use
Land Use: Single Family
Zoning Code: LDR
Bedrooms:
Range:
1
Dwelling
Air Electric
Sq
To request an inspection call the 24 hour recording at
a.m. will be made the same working day, inspections
working day.
a.m.will
.ot
Footing
Foundation
Post and Beam
Floor lnsulation
Geiling lnsulation
Shear Wall Nailing
Framing
Walllnsulation
Drywall
-Prior to cover.
-Prior to Cover
- Prior to taping
Heat
Required
-After trenches are excavated.
-After forms are erected but prior to
-Prior to floor insulation or decking.
-Prior to decking.
-Prior to cover.
1$
,*P
€
Final Building
Underfloor Plumbing
Rough Plumbing
Storm Sewer Line
FinalPlumbing
Underfloor Mechanical
Rough Mechanical
FinalMechanical
Job# 02-00967-01 Page 2 of 3
Required lnspections
Building
-When all required inspections have been approved and the building is complete
Electrical
-Prior to cover.
-When all electricalwork is complete.
Plumbing
-Prior to insulation or decking.
-Prior to cover.
- Prior to filling trench.
-When all plumbing work is complete
Mechanical
- Prior to insulation or decking.
-Prior to cover.
-When all mechanicalwork is complete
Zoning: LDR
FloodPlain? [ Wetlands? [
Journal numbers
1:
Comments:
Planner:
Urban Growth Boundary?
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA:
Overlay District: Urban Fringe
# of Street Trees:
Land Use: Single Family Dwelling
Pave Driveway? E
3:
Additional Requirements:
tr Gtenwood Area? l_] Required Attachments:
Source Locn:
Material:
Flood PIain FEMA:
2
Construction Types(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms:
Handicap Access?
Area (Sq.
Main:.442 Accessory
# Of Stories: 1 Height (feet): 16
Current Units: Proposed Units:
Census Gode: Does not apply
Total:442
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
Residential Plan Check
Total Plan Gheck
08t12t2002 10261 32,973 $176.28
$176.28
Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
Building
08t26t2002
0812612002
08t26t2002
10425
10425
10425
$271.20
$18.98
$21.70
$311.88
Minimum Electrical Permit Fee 08t26t2002 10425
32,973
$.00
Electrical
Rough Electrical
Final Electrical
Job# 02-00967-0'l Page 3 of 3
Fee Paid On Receipt# Value/Quantity Fee Amount
Electrical
Branch Circuits WO Feeder or Service
State Surcharge - Electrical
8% Admin Fee - Electrical
Total Electrical
08t2612002
08t2612002
08t26t2002
10425
10425
10425
2 $46.00
$3.22
$3.68
$52.90
Plumbing
Minimum Plumbing Permit Fee
Number of Fixtures
State Surcharge - Plumbing
Storm Sewer Footage
8% Administrative Fee - Plumbing
Total Plumbing
08t26t2002
08t26t2002
08t26t2002
08t26t2002
08t26t2002
10425
10425
10425
10425
10425
6
40
$.00
$84.00
$9.03
$45.00
$10.32
$148.3s
Mechanical
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Vent Fan to One Duct
Alter/Add to ea Appl Unit or System
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanical
08t26t2002
08t26t2002
08t2612002
08t26t2002
08t26t2002
08t26t2002
10425
10425
10425
10425
10425
10425
2
1
$3.00
$3.60
$12.00
$30.00
$10.00
$3.1 5
$61.75
System Development
Residential - Single Family - Storm
Residential - Duplex - Storm
SDC Administrative Fee
Total System Development
08t2612002
08t26t2002
08t2612002
10425
10425
10425
624 $175.97
$.00
$8.80
$184.77
Planning
08t26t2002 10425 1Planning Plan Review
Total Planning
$55.00
$5s.00
Grand Total
Plan Check Type
lnitial Review-Res
Engineering-Res
Planning-Res
Structural-Res6.+
Signature
Checked By
Lisa Hopper
Virginia Jurasevich
Ashley Deforest
Tom Max
Date Completed
0811312002
08t19t2002
0811512002
08t2212002
Comment
Calculated storm SDC's only
$990.e3
€45-{?
Date
FIFTH STREET
OREGO].I
LEGAL DES
Permits are llon'-transferable and
if rvork is not'sttrrted rvithin i80 da1's
Date
ullcn'ising E
OWNERINST
instailation is bei
I olvn rvhich is
suspended for 0 grqnat'lte
Drvelling
^utnuu'uu
Senice or Feeder
B. Services or Feetlers
Instirllirtion, AIt
Relocltion:
200 amps or
201 anips to
,101 amps
1 antps
Multi-Family per dn'elling unit.
Horne or
"B" above
ELEu,TIICAL APPLI
Items Cost
not inclutled)
$ I06.00
(
$ 50.00
D.B nnch Circuits
E. I\Iiscell
-Eaclt
Pump or irrigation
Sign/Outline Ligltting
Limited Energl',&.es
Limited Energr'/Comm
s50.00 '
s50.00
s25.00
$15.00
Nlinimunr Electric Permit Inspection Fec is s-15.0{) * Srtrchi'trgcs
1. SUBTOTALOFABOVE
7%o Stlte Surchitrge
87o Administlative Fce
,tL
Ol'ncrs Signature
TOTAL s7 ?9
sq.ft. or
of isstulnce
180 da1's.
One
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS O BUILDING SIZE: O SF LOT SIZE: O SF
Brian Jones
2491 l6th Street
17032434 tl 116
SINGLE FAMILY RESIDENCE - Addition
JOURNAL OR JOB NUMBER: 02-00967-0l
COST PER S.F DISCOUNT RATEIMPERVIOUS S.F
50%0.00 $0.282
IMPERVIOUS S.F
624.00
COST PER S.F
$0.282 $17s.97
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
x
xx
I. STORM DRAINAGE
DIRECT RI.]NOFF TO CITY STORM SYSTEM
75.97ITEM l TOTAL. STORM DRAINAGE SDC
NUMBER
$0.00$ 16.79
NUMBER OF DFU's
0
COST PER DFU
$22.O9 $0.00
B. IMPROVEMENT COST:
x
x
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
ITEM 2 TOTAL. CITY SANITARY SEWER SDC
COST PER TRIP NEW TRIP FACTORADT TRIP RATE NUMBER OF UNITS
1.00 009.57 $74.t7
ADT TRIP RATE
9.57
NUMBER OF UNITS
0
COST PER TRIP
$ 16.81
NEW TRIP FACTOR
1.00 $0.00
B. IMPROVEMENT COST:
x x x
xxx
3. TRANSPORTATION
A. REIMBURSEMENT COST:
ITEM 3 TOTAL - TRANSPORTATION SDC
$0.00
NUMBER OF FEU'S
0
COST PER FEU
$332.86 $0.00
NUMBER OF FEU's
0
COST PER FEU
$34.83 $0.00
$0.00
SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT
MWMC ADMINISTRATIVE FEE
$0.00
B.IMPROVEMENT COST:
x
x
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
$0.00ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
$17s.97SUBTOTAL (ADD ITEMS 1,2,3, &4)
SUBTOTAL
$t7s.9l
ADM. FEE RATE
5Vo $8.80
8.80TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
5. ADMINISTRATIVE FEE:
x
$1E4.77
Steve Templin 8/19/2002 TOTAL SDC CHARGES
SDC COORDINATOR DATE
CITY OF SPRINGTIELD-SYSTEMS DEVELOPMENT CHA}S,E WORKSHEET
ar!aoU
&HFa
(,
E]&
1070
1091
to92
1093
1094
1055
1056
t079
078
DRAINAGE FIXTURE UNIT CALCULATION TABLE
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
UTU
NUMBER OF NEW FXTURES x UNIT EQUTVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODEI.S, CATCULATE ONLY THE NET ADDIIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
FIXTURE
UNITSFIXTURE TYPE ( +r.rnw - #oLD ) x UNIT
EQUIVALENT
BATHTUB (
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
0 0 )x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
-)0
DRINKING FOUNTAIN 0 0 I 0
FLOOR DRAIN 0 0 J 0
INTERCEPTORS FOR GREASE I OIL ISOLIDS IE'IC.0 0 J 0
INTERCEPTORS FOR SAND / AUTO WASH IETC.0 0 6 0
LAUNDRY TUB 0 0 2 0
CLOTHESWASHER / MOP SINK 0 0 -1 0
CLOTHESWASHER - 3 OR MORE (EA)0 0 6
MOBILE HOME PARK TRAP (I PER TRAILER)0 0 t2
RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 I 0
0 0 -1 0
SHOWER, SINGLE STALL 0 0 2 0
SHOWER, GANG (NUMBER OF HEADS)0 0 2 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 -1
SINK: COMMERCIAL BAR 0 0 2 0
SINK: DOMESTIC BAR 0 0 I 0
WASH BASIN 0 0 2 0
LAVATORY 0 0 1 0
URINAL, STALL/WALL 0 - 0 )x0 - 0 )x0 - 0 )x
5 0
TOILET, PUBLIC INSTALLATION 6 0
TOILET PRIVATE INSTALLATION 3 0
MISCELLANEOUS DFU TYPE NUMBER OF EDU's*
( 0 - 0 )x 20 0
TOTAL DRAINAGE FXTURE UNITS =*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
0
OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEPARATELY
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
YEAR
ANNEXED
CREDIT RATE PER $I,OOO
ASSESSED VALUE
YEAR
ANNEXED
CREDIT RATE PER $I,OOO
ASSESSED VALUE
1979 OR BEFORE $4.92 1990 $2.06
1980 $4.83 l99l $1.64
198 I $4.77 1992 $1.45
t982 $4.64 1993 $1.31
I 983 $4.47 1994 $ l.l3
I 984 $4.30 1 995 $0.97
I 985 $4.09 1996 $0.82
I 986 $3.78 1997 $0.63
I 987 $3.41 1998 $0.41
I 988 $2.98 1999 $0.22
I 989 $2.52 2000 $0.04
$0.00
$0.00
TOTAL MWMC CREDIT
0.000 x $0.00
IF IMPROVEMENTS
VALUE/ IOOO CREDITRATE
0.000 x $0.00 =
0
0
0