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Home My WebLink AboutPermit Building 2001-02-05Job# 00-01147-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 4 SPRINGFIELD 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 2301 00035th St Spr AssessorsMap#: 17021943 Lot:7 Block: Addition Job Number: 00-01 147 -01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 00700 Subdivision : Ambleside ctTY oF SPRTNGFIELD, OREGOTV Owner: Steve Nyburg Address: 115 Woodlane Scope Of Work: Single Family Residence Phone Number: Gity/State/Zip: New 541-746-7646 Springfield, OR97477 Value: $122,502 Contractor Type GeneralContr ElectricalContr Landscape Contractor Madison Home Builders Po Box 7582, Eugene, OR 97401 DarrylBodhaine 89608 Hill Road, Springfield, OR 97478 Thompson Landscape Co PO Box 11562, Eugene, OR 97440 Registration # Expiration Date 21351 4t28t2000 6381 il,I*T!ff8: 6/30/2001 Phone 541-741-3003 541-988-3204 541-686-3469 Quad Area: # Of Units: Constr. Type: Water Heater: 3RNC 1 (VN) Wood Frame Gas Office Use - Land Use: Single Family Dwelling # Of Buildings: 1 Zoning Code: LDR Occupancy Group: Dwelling Bedrooms: 3 Heat Source: Forced Air Electric Range: Gas Sq. Footage: 1580 To request an inspection call the 24 hour recording at726-3769. 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 working day. Required Inspections Building -To be made after excavation but prior to setting forms -lnstall ground rod at footing, and call for inspection in -After trenches are excavated. -After forms are erected but prior to concrete placement. -Prior to floor insulation or decking. -Prior to decking. - Prior to cover. -Before covering sheathing with finish materials. - Prior to cover. -Prior to Cover -Prior to taping. Site Verify Ground Rod Footing Foundation Post and Beam Floor lnsulation Ceiling lnsulation Shear Wall Nailing Framing Walllnsulation Drywall )Ii0t)e i,;ation footing and/or foundation i Job# 00-01147-01 Page 2 of 4'-i Special Final Building Temporary Power Rough Electrical Electrical Service Final Electrical Underfloor Plumbing Underfloor Drain Rough Plumbing Shower Pan Water Line Sanitary Sewer Line Storm Sewer Line Perimeter Foundation Drains Backflow Device FinalPlumbing Underfloor Mechanical Rough Gas Rough Mechanical Gas Service FinalGas FinalMechanical Curbcut Sidewalk SW-Curbside CC-Standard Street Improvement: Fully lmproved Curb Cut?f lmprovement Agr.? San Sewer Depth (Ft): 6 - 4 Storm Sewer Available? f Special Req.: Security Required: Bond Begin DateTime: Special lnstructions: Other Utilities: Project Supervisor: Required Inspections -SeePlann"ri"*# -When all required inspections have been approved and the building is complete. Electrica! -Approval required prior to SUB energizing pole. - Prior to cover. -Must be approved to obtain permanent power. -When all electrical work is complete. Plumbin -Prior to insulation or decking. -Prior to cover or placement of concrete -Prior to cover. -Prior to filling trench. -Prior to filling trench. - Prior to filling trench. -After gravel and filter cloth is installed, but prior to backfill -After device is installed but before backfilling trench -When all plumbing work is complete. Mechanical - Prior to insulation or decking - Prior to cover. -After line is installed and line has been connected to a minimum of one appliance. Pressure ter -When allgas work is complete. -When all mechanicalwork is complete. Public Works -After forms are ereceted but prior to placement of concrete -After forms are erected but prior to placement of concrete -After forms are erected but prior to placement of concrete Sidewalk Type: AdditionalROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Curbside - 5' 00/00/0000 00:00 AM Bond End DateTime: 00i00/0000 00:00 AM ALL ROOF & FOOTING DRAINS CONNECT TO STORM SEWER STUB Types Of Warning Devices Reqd. B To Storm Sewer o Job# 00-01147-01 Page 3 of 4 Land Use: Single Family Dwelling Pave Driveway? V Zoning: LDR FloodPlain? ! Wetlands? [ Journal numbers 1: 2: Comments: Planner: AlWard Urban Growth Boundary? Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a Overlay District: # of Street Trees:4 Additional Requirements: LDAP Required tr Glenwood Area? [ Required Attachments: Source Locn: Materia!: Flood Plain FEMA nla Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? [ Area (Sq. Main: 1580 Accessory680 Accessory Structure # Of Stories: 1 Height (feet): 19 Current Units:0 Proposed Units:1 Census Code: Does not apply Total2260 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check 0712412000 2653Residential Plan Check Total Plan Check 122,502 $315.09 $31s.09 Building Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 08t28t2000 08t28t2000 08t28t2000 3039 3039 3039 122,502 $484.75 $33.93 $14.s4 $s33.22 Wiring Footage 1,000 Sq Ft or Less Wiring Footage Each Add'l 500 Sq Ft Temporary: 200 Amps or Less State Surcharge - Electrical Administrative Fee - Electrical Total Electrica! Electrical 08t28t2000 08t28t2000 08128t2000 08t28t2000 08t28t2000 3039 3039 3039 3039 3039 1 3 1 $85.00 $45.00 $40.00 $11.90 $5.10 $187.00 Plumbi Minimum Plumbing Permit Fee Minimum Plumbing Permit Fee Two Bathrooms State Surcharge - Plumbing State Surcharge - Plumbing Backflow Prevention Device Administrative Fee - Plumbing Administrative Fee - Plumbing Total Plumbing 08t28t2000 0210512001 0812812000 0812812000 02t05t2001 0210512001 08t28t2000 0210512001 3039 4374 3039 3039 4374 4374 3039 4374 1 1 $.00 $s.00 $160.00 $11.20 $1.05 $10.00 $4.80 $.+s $192.50 Mechanical Hood and Exhaust One to Four Outlets Minimum Mechanical Permit 08128t2000 08t28t2000 08t28t2000 3039 3039 3039 1 1 $4.50 $2.00 $.oo 3: nq Job# 00-01147-01 Page 4 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Administrative Fee - Mechanical Less than 100,000 BTU Vent Fan to One Duct Dryer Vent Mechanical lssuance State Surcharge - Mechanical Total Mechanical New Sidewalk New Curbcut Total Public Works Mechanical 08t28t2000 0812812000 08t28t2000 08t28t2000 0812812000 0812812000 Public Works 3039 3039 3039 3039 3039 3039 1 3 1 $.74 $6.00 $e.00 $3.00 $10.00 $1.72 $36.96 $63.00 $60.00 $123.00 0812812000 0812812000 3039 3039 140 1 Residential- Single Family - Storm Sanitary Sewer Residential Transportation Residential Sanitary MWMC Residential lmprovement MWMC MWMC Administrative Fee SDC Administrative Fee Property Annexed 1997 Total System Development System Development 08t28t2000 08t28t2000 08128/20a0 0812812000 0812812000 0812812000 0812812000 08t28t2000 3039 3039 3039 3039 3039 3039 3039 3039 3,246 20 1 1 1 1 29 $778.92 $997.20 $507.82 $242.76 $22.05 $10.00 $127.11 $-16.53 $2,669.33 S.F. Residence - Willamalane TotalWillamalane SDC Willamalane SDC 0812812000 3039 $1,000.00 $1,000.00 Grand Total Plan Check Type lnitial Review-Res Engineering-Res Planning-Res Structural-Res Checked By Date Completed Comment Wendy Stanley 0712712000 Steve Templin 08/03/2000 AlWard 08/03/2000 Don Moore 0810712000 $5,057.10 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 Springfleld 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. f,J*Wt.*a e< Signature Date bl 1 SiPtr*.(iFIELD BACKFLOW PRBVBNTION DBVICB PERMIT APPLICATION CITY OF SPRINGFIBLD BUILDING SAFBTY DIVISION 225 FIFTH STREET SPRINGFIELD OR 97477 OIIFICE: INSPECTION LINE: 726-3759 726-3769 JOB LOCATION:Z3or B6+u :\T ASSESSORS MAP *:taoL t7q3 TAX LOT #: OO7 O - OVNER: ADDRESS z ?O t?.ov- -15 [} z PHONE *: s?q *1213 CITY:STATE:zwzQlttOl BACKFLOLI PERMIT IS $15.00 + $.75 (STATB SURCHARGE) + $.45 (ADMIN. PEE) = $16.20 CONTRACTOR: ADDRESS, ?O f*x ttsTa?-PHoNE *, GU, - 3VG7 CITY:srArE:. o a ztp: .1711t O CoNSTRUCTTON CONTRACTORS RBGTSTRATTON *, (.sfr EXPIRES hl* BY SIGNING THIS PBRHIT/APPLICATION, I AGRBB TO CALL FOR AN INSPECTION ONCE THB BACKFLOII PREVENTION DEVICE HAS BBEN INSTALLED AND IS VISIBLB FOR INSPECTION (726-3769). r ALSO STATE THAT ALL TNFORMATToN ON THrS PERMTT/APPLTCATToN rS CORRECT. Z S-ot FOR OFFICE USE DATE OF APPLICATION: oZ o f O I RECEIPT {}: t( 3-/ L{ JOB {I :Do*Olll/7-al TSSUED BY: ((= J1-' -{E'NlDX> m Erf"**-n..mc)ffiu I(3 C:}(J1O(: l.J *"C) L']C} -JP.t-\, 73rrtr]3 hJ f1-f.+-:f,>Hza\ T>3-t TOTAL AHOUNT COLLECTED: brs 0.ts El.m(Jl.. c3 sep-o6-oo r1:20A Mort{er Eng & Buirding De (54r )4u,4_6A59 MORTIER ENGINEERING, PC. P. ol STRUCTURAL BUILDING DESIGN . FIHE PROTECTION CODE CONSULTANT . PI*{N CHECKING CONSTRUCTION INSPECTION 1245 PEAFIL STREET EUGENE, OREGON 97401 PHONE (541) 464-9080. FAX (541) 484-6859 TOLL FREE tN OREGON 1-877-66'l-99s9 $eptember 6, 2000 Jeremy Madison Box 7582 Eugene, OR 97401 RE: 2301 35rh. Sprinqfield - Sitelsoils - W.O. #13107-RDR As you requested, a site inspection was performed on August 29. 2000 during excavation by Express Co. The site consists of 2" to 3" of imported fill over 12" to 24" ol silty clay loam over highly expansive clay soils, Based on these observations the following recommendations are made. - A minimum of 18" of cover should be maintained over the expansive clay. This cover can either be 12" of compacted crushed rock over 6" of the silty clay loam or 18" of compacted crushed rock over the expansive clay. The subgrade should also be sloped to facilitate the movement of any subsurface water to the driveway. Based on inspections during and after the excavation these recommendations were followed. On August 5, 2000, a compaction inspection was performed and the compacted surface of the crushed rock is adequate for a foundation bearing capacity of 1500 psf, which is adequate to support the proposed conventional wood framed residence. The compacted surface of the gravel surface is greater than g5% of a standard proctor per ASTM D698-91. I hope you find this report adequate for your purposes at this time. Thank you for this opportunity to be of service. lf you have further questions, please do not hesitate to contact me at 484-9080. Very truly yours, IN t90e4PE Bslrps: t- h tlut -r1- Bradley R. Myers, P.E. RDRlmm SPRTNGFIELD Job# 00-01147-01 RES!DENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of4 IftftN$Sr 01*000t0I9 DAIE:AUE ?B TOOO flllT RE[D:2 $ 4?55.5]. CHANEE: IASHIER:018 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 2301 00035th St Spr AssessorsMap#: 17021943 Lot:7 Block: Addition: Job Number: 00-01 147-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot #: 00700 Subdivision : Ambleside GITY OF SPRINGFiELD, OREGOTV Owner: Steve Nyburg Address: 1 15 Woodlane Scope Of Work: Single Family Residence Phone Number: City/State/Zip: New 541-746-7646 Springfield, OR97477 Value: $122,502 Contractor Type GeneralContr Electrical Contr Contractor Madison Home Builders Po Box 7582, Eugene, OR 97401 Bills Electric 3170 West 11th Avenue, Eugene, OR 97402 Registration # Expiration Date 21351 4t28t2000 Phone 541-741-3003 541-341-8426 Quad Area: # Of Units: Gonstr. Type: Water Heater: 3RNC 1 (VN)Wood Frame Gas Office Use - Land Use: Single Family-Qvyqllng.rrdQfrEttrltli{Unrs$outo Zoning Gode: LDR,Jlow rutesadoptQd$tnhgolegpotltinyelling Bedrooms: 3 ctifioattorrOentertlfutHulAearEsethfrltrElectricRange: Gas r oAR952-001 To request an inspection call the 24 hour recording at726-3769 a.m. will be made the same working day, inspections requested working day. Site Verify Ground Rod Footing Foundation Post and Beam Floor lnsulation Ceiling lnsulation Shear Wall Nailing Framing Walllnsulation Drywall Final Building after 7:00 '^pnlPr ie r -ann-Qaa-2344 Required lnspections Build -To be made after excavation but prior to setting forms. - lnstall ground rod at footing, and call for inspection in conjuction with footing and/or foundation i -tfi :l[:["J::"T;ffi 111"1;,",to"oArBiEl$Eament -Prior to floor insulation or decking. THls PERMITSHALLEXPIRE IFTHEWoHK -Prior to deckins. AUTHoRtzED UNDEHTHts PEHMITIg No,t'-Prior to cover. - Before coverins sheathins with finish FfiUhm{CED 0H lS ABANDQNED F$B -Prior to cover. ANY 180 DAY PEH|0D, -Prior to Cover -Prior to taping. -When all required inspections have been approved and the building is complete. Underfloor Plumbing Underfloor Drain Rough Plumbing Shower Pan Water Line Sanitary Sewer Line Storm Sewer Line Final Plumbing Underfloor Mechanical Rough Gas Rough Mechanical Gas Service FinalGas Final Mechanical SW-Curbside CC-Standard Job# 00-01147-01 Page2 of 4 Required lnspections -Priortoinrutrtioffi - Prior to cover or placement of concrete. - Prior to cover. - Prior to filling trench. -Prior to filling trench. - Prior to filling trench. -When all plumbing work is complete. Mechanical - Prior to insulation or decking - Prior to cover. -After line is installed and line has been connected to a minimum of one appliance. Pressure te: -When all gas work is complete. -When all mechanicalwork is complete. Public Works -After forms are erected but prior to placement of concrete -After forms are erected but prior to placement of concrete Street lmprovement: Fully lmproved Sidewalk Type:Curbside - 5' Curb Cut?f lmprovement Agr.?[Additional ROW? San Sewer Depth (Ft): 6 - 4 Size Of Line (in): 8 Storm Sewer Available? f Downspouts/Drains: To Storm Sewer Special Req.: Enchroachment Permit: Security Required: San Sewer Tee (in): 6 Bond Begin DateTime: 00/00/0000 00:00 AM Bond End DateTime: 00/00/0000 00:00 AM Special lnstructions: ALL ROOF & FOOTING DRAINS CONNECT TO STORM SEWER STUB Other Utilities: Types Of Warning Devices Reqd. Project Supervisor: Zoning: LDR FloodPlain? [ Wetlands? [ Journal numbers 1: Comments: Planner: AlWard Urban Growth Boundary? Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a Overlay District: # of Street Trees: Land Use: Single Family Dwelling 4 Pave Driveway? 2:3 Additional Requirements: LDAP Required tr Glenwood Area? [ Required Attachments: Source Locn: Material: Flood Plain FEMA:nla Construction Types:(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? [ Area (Sq. Main: 1580 Accessory680 Job# 00-01147-01 Accessory Structure # Of Stories: 1 Height (feet): 19 Current Units:0 Proposed Units:1 Census Code: Does not apply Total2260 Page 3 of4 Fee Paid On Receipt# Value/Quantity Fee Amount Residential Plan Check Total Plan Gheck 122,502 Buildinq Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 0812812000 0812812000 0812812000 3039 3039 3039 122,502 $484.75 $33.93 $14.54 $s33.22 Wiring Footage 1,000 Sq Ft or Less Wiring Footage Each Add'l 500 Sq Ft Temporary: 200 Amps or Less State Surcharge For Electrical Permit Electric Admin istrative Fee Total Electrical Electrical 0812812000 08t2812000 0812812000 08t28t2000 0812812000 3039 3039 3039 3039 3039 1 3 1 $85.00 $45.00 $40.00 $11.90 $5.10 $187.00 Minimum Plumbing Permit Fee Two Bathrooms State Surcharge For Plumbing Permit Plumbing Administrative Fee Total Plumbing Plumbing 08t2812000 0812812000 0812812000 0812812000 3039 3039 3039 3039 1 $.00 $160.00 $11.20 $4.80 $176.00 Hood and Exhaust One to Four Outlets Minimum Mechanical Permit Mechanical Administrative Fee Less than 100,000 BTU Vent Fan to One Duct Dryer Vent Mechanical lssuance State Surcharge For Mechanical Permit Total Mechanical Mechanical 08t28t2000 0812812000 0812812000 0812812000 0812812000 08t28t2000 08t28t2000 08128t2000 0812812000 3039 3039 3039 3039 3039 3039 3039 3039 3039 1 1 1 3 1 $4.50 $2.00 $.00 $.2+ $6.00 $9.00 $3.00 $10.00 $1.72 $36.96 New Sidewalk New Curbcut Total Public Works Public Works 08t28t2000 08t2812000 3039 3039 140 $63.00 $60.00 $123.00 1 System Development Residential - Single Family - Storm Sanitary Sewer Residential Transportation Residential Sanitary MWMC 08t28t2000 0812812000 0812812000 0812812000 3039 3039 3039 3039 3,246 20 1 1 $778.92 $997.20 $507.82 $242.76 I Ptan ctrecr l 07t24t2000 2653 $31s.09 $315.09 Job# 00-01147-01 Page 4 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Residential lmprovement MWMC MWMC Administrative Fee SDC Administrative Fee Property Annexed 1997 Total System Development System Development 08t28t2000 0812812000 0812812000 08t28t2000 3039 3039 3039 3039 1 1 $22.05 $10.00 $127.11 $-16.53 $2,669.33 29 S.F. Residence - Willamalane TotalWillamalane SDC Willamalane SDC 0812812000 3039 1 $1,000.00 $1,000.00 Grand Total Plan Check Type Checked By Date Completed Comment lnitial Review-Res Wendy Stanley 0712712000 Engineering-Res Steve Templin 08/03/2000 Planning-Res AW 08/03/2000 Structural-Res Don Moore 0810712000 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 701.055 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 roved set of plans will remain on the site at all times during construction nature Date $5,040.60 (. \ Street Address: Plat Name: Witlamalane Park & Recreation District Job. No. tr'1it 0 I I SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME:PHONE 7\++6 ,{7 ADDRESS: -t l5 l,r,b*Clo^ <,D^,'STATE: OA ZIP: l7c1 6 z-/ LOCATION OF PROPOSED BUILDING SITE: o *5t _ Tax Lot Number: DEVELOPMENT TYPE (check ype detinitions are on the back.) A Single-Family Detachecl \\ Single Family home NO. OF UNITS appropriate dwelling(s). SDC calculations and dwelling t Manufactured home not in a Park X $1,000 Per unit = $t00o B. Single-Family Attached NO. OF UNTTS X $924 per unit $ 1 C. Multi-Family Apartment NO. OF UNITS X $692 per unlt D. Manufac{ured Home Park $ NO. OF UNITS WILLAMALANE SDC X $699 per unlt $ 2. SDC CREDIT ([ applicable] SDOaayer must funrlsh proof of Willamalane Credit approvat. See SOC Credit Wotkshoet. 3. TOTAL WILLAMALANE NET SDC ASSESSED (l( SDC reduced (or Credit) $ $ $ _" r_72 t Date City of oo o t CITY OF OREGON approval Zoning The following project as submitted has the following zonrng, and does not require specific land use Lt>{1- q3'zgfl 5PRt,-.iFlELO 1-000 sq.ft. or less Each additional 500 sq. ft or Portion thereof Each Manuf'd Home- or Modular Dvelling Sertice or Feeder 225 FIFTE STREET Date SPRINGFIELD, OREG0N 97 A&ilolzeo Signature INSPECTION REOIESTz 726-3769 0FFICE: 726-3759 1 { Permi ts non- t ransfe e and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. PERHIT APPLICATION ty Job Nunber COHPI,BTE FEE SCEEDT'LE BELOS Nev Residential-Sing1e or Multi-Family per dvelling unit. Service Included:Items Cost 3 A Sum Services or Feeders Installation, Alterations or Relocation: 200 amps or less 20L amps to 400 amps -401 amps to 600 amps _ 601. amps to 1000 amps- Over 1000 amps/volts Reconnect 0niy $ 8s.oo w g 1s.oo 'lr, ,@ $ 40.00 W ee rBr aEE I J_ 2. COMRACTOR INSTALI,ATION ONLY Electrical Contractor (i {/.,t' Address 3 t u) /lz Ci ty Phone 3 s/z 4 Supervisor License Number Expiration Date 1D*/2ao Constr Contr. Number Exoiration Date /,/) - / -2 o aO Signatuqe of Supe Electrician Temporary Services or Feeders Installation, Alteration or Relocation 200 amps''or less I 201 amps to 400 amps - Over 401 to 600 amps Over 600 amps or fOOO voTIs ( I B c $ s0.00 $ 60.00 $100. 00 $130.00 s300.00 $ 40.00 $ $ s s $ 40.00 $ 40.00 $ 20.00 $ 36.00 t?0.* 40.00 55.00 80.00 0vners Address cit one INST The installation is being made on property I ovn vhich is not intended for sa1e, lease or rent. Ovners Signature: DATE: Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation - Sign/0ut1ine Lighting- Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 7% State Surcharge 3Z Administrative Fee TOTALRECEIVED B I: 5 2-/C/ ffi ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOLIRNAL OR JOB NUMBER NAME OR COMPANY: LOCATION: TAX LOT NUMBER DEVELOPMENT TYPE: 23OI 35TH STREET 00-01147-01 NYBERG t7 -02-19-43-00700 SINGLE FAMILY RESIDENCE DWELLING UMTS:I BUILDING SIZE: 2260 LOT SIZE: 8603 I. STORM DRAINAGE IMPERVIOUS SQ. FT.x $0.240 PER SQ. FT3245.50 $778.92 2. SANITARY SEWER-CITY NUMBER OF PFI.]'S (SEE REVERSE SIDE) x $49.86 PER PFU20 $997.20 3. TRANSPORTATION NUMBER OF TRIPS X TRIP RATE X COST PER PM PEAK HOI.]R TRIP I x l.0l x $502.79 PER TRIP x x $502.79 PER TRIP $s07.82 $0.00 TOTAL TRANSPORTATION SDC $507.82 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBEROF FEU's I B.IMPROVEMENT COST: NUMBEROF FEU's I MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMIMSTRATIVE FEE x 5242,76 PER FEU x $22.05 PER FEU TOTAL MWMC SDC $242.76 $22.0s ($ 16.53) $10.00 $2s8.28 ,542.22SUBToTAL (ADD ITEMS 1,2,3, & 4) $t27.tt 9la,oTut+l;wffi $2,669.330810312000 DATE TOTAL SDC CHARGES 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) x 0.05 PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS (NOTE: FOR REMODELS.TE ONLY THE NET ADDITIONAL FIXTURES) FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOORDRAIN INTERCEPTORS FOR GREASE/OIL/SOLIDS/ETC. INTERCEPTORS FOR SAND/AUTO WAS}YETC. LAUNDRY TLIB/CLOTHESWASHERATOP SINK CLOTHESWASHER - 3 OR MORE MOBILE HOME PARKTRAP (I PERTRAILER) RECEPTOR FOR REFRIGERATOR/WATER STATION/ETC. RECEPTOR FOR COMMERCIAL S INK/ DISHWASHER/ETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) S[NK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URINAL, STALLAilALL WASH BASIN/LAVATORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: TOTAL PLUMBING FIXTURE CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATEI FIXTURES NEW OLD UNIT EQUIVALENT 28.996 PLUMBING FIXTURE I.INITS $16.s3 42 0 2 I ) 3 6 2 6 6 I J 2 I 2 2 I 6 4 0 0 0 2 0 0 0 2 0 2 0 2 0 8 2 2 0 0 0 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) x x CREDIT TOTAL 20 YEAR ANNEXED RATE PER $I,OOO ASSESSED VALUE YEAR ANNEXED RATE PER $I,OOO ASSESSED VALUE 1979 or before 1980 198 I t982 1983 1984 1985 1986 t987 1988 1989 $4.74 $ 4.6s $ 4.s9 $4.46 $ 4.30 $ 4.14 $ 3.e3 $ 3.63 $3.26 $ 2.8s $ 2.40 1990 l99l r992 1993 1994 1995 1996 1997 1998 1999 $ 1.96 $ l.ss $ 1.36 $ 1.23 $ 1.05 s 0.90 $ 0.7s $ 0.57 $ 0.3s $ 0.15 $ 16.s3 $0.00 $0.57 0