HomeMy WebLinkAboutPermit Building 1996-03-28SPFTi.GFIELE,
h,
RESIDEMTIAL PERMIT APPLICATION
CITY OF SPRINGFIETD
COM}TI'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
ilob Nunber: 950312
225 North Fifth street
Springfield, OR 97477
Location of Proposed $Iork: 707 N 21ST ST
Assessors ttap #: 1-70336L2
Lot: Bfock:
office:
InspecEion Line:
726-3759
726 -37 69
Tax Lot #: 10400
Subdivision:
O\,vner: WAYNE SIHITE
Address: L820 WEST 28TH STREET
phone #:
city/state/zip: EUGENE, OREGON 97405
Describe Work: S.F. RESIDENCE NEW
ConEractor
Corrst.
Contractor #Expires
o5/02/s6
02 /22 / e6
os/23/e6
Phone
586 -827 5
588-3385
7 44- 06L9
General:
Plumbing:
Electrical:
HOMELAND BUILDE OO5O854
1872 Willomette S! Eugene OR 974010
DOUGS PLI]MBING OO39O15
29503 Awbrey Ln Eugene OR 974029535
DIXON ELECTRIC 0066894
1130 Bailey Hill- Rd #24 Eugene OR 9
QUAD AREA: 2RMI
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 1604
-- OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: WH
INSUL PATH: P1
To requegt an inspecEion, call the 24 hour recording at 726-3769.
A11 inspections requested before 7:00 a.m. will be made the same working day,
inspections requested after ?:00 a.m. wil-I be made the fol-lowing work day.
--- REQUIRED INSPECTIONS ---
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placement.
ITNDERFTOOR PLTMBING - Prior Eo insulation or decking.
ITNDERFLOOR MECIIANICAL - Prior to insulation or decking.
PosT At{D BEA}I - Prior tso floor insulation or decking.
INSULATION - Floor, prior to decking Wall/Ceiling; Prior to cover
STORI{ SEWER LINE - Prior to fiLling trench.
SAIIITARY SEWER LINE - Prior to filling trench.
WATER LINE - Prior to filling trench.
ROUGH PLITMBING - Prior to cover.
ROUGH ITIECIIAIIICAL - Prior to cover.
ROUGH ETECTRICAL - Prior to cover.
FR,AIIING - Prior Lo cover.
INSULATION - Floor,' prior to decking Wall/Ceiling; Prior to cover
DRYWALL - Prior to taping.
FINAL PLTMBING - When all plumbing work is complete.
FINAL MECIINiIICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When alL electrical work is complete.
FINAL BUILDING - When all reguired inspections have been approved and
the building is complete.
Lot Faces: W
Tota1 Height: r3
Lot Type: INTERIOR
Lot Sq. Ft . : 81,25
Setbk From NPL: 20
Lot Coverage: 20 Z
Solar Approved: Y
N
20
20
E
Setbackssw
L2 25House
Garage
64
SPFINGFTELD
h,
Job Number: 9503L2
SPruNGFIELD,
Page 2
Item
Main
Garage
Tota1 Value
Building Permit Fee
Surcharge/admin
TOTAI, FEE
--- BUII,DING PER}TIT ---
Square Feet x
1_L20
484
$/Square Feet
64.t6
L6.27
(A)
Value
71, 859 . 00
7 ,875.00
79 ,734 .00
373.00
29.84
402.84
--- SYSTEMS DEVEI.OPMENT CIIARGE (SDC)
(B)1, 985 . 10
Systems Development Charge is due on all undeveloped properties within the City
limits and the Citys Urban Growth Boundry which are being improved.
PLI'MBING PERMIT ---
Item
Fixtures
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
2
Fee
150.00
150.00
L2 .80
L72.80(c)
--- MECHAI{ICAL PERMIT ---
Exhaust Hood
Vent Fan
Dryer Vent
Mechanical Permit
fssuance
Surcharge/eamin
TOTAL PERMIT
2
5.00
6.00
3.00
15.00
10.00
1, .20
(D)26.20
--- MISCELTA}IEOUS PERMITS ---
Surcharge/eamin
WILLAMALANE SDC
ELECTRICAL PERMIT
TOTAL MISCELLANEOUS PERMITS (E)
0.00
1, 000 . 00
1,67 .40
L,L67.40
,w"
--- TOTAI AI{OI'NT DUE ---
luding Electrical) (A, B, C, D, and E combined)3,755.34
--- BUILDING VAIJUE, PLAI{ CHECK AI{D BUILDING PERMIT ---
This permit is grant.ed on the express condition that the said construction
shaIl, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Development Code, regulating the construction and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
unleEs otherwiEe noted
SPFIT'GFIELD
h,
Job Number: 9503l-2
SPf,INGFIELD,
Page 3
Plan Check Fee: 2L9.05
Received By: LORNE PLEGER
Plans Revj-ewed By: DON MOORE
Building Site Reviewed By: LISA HOPPER
Date Paidt 03/07/96
Date: 03/25/96
Reeeipt Number: 20622
.-- ADDITIONAL COMMENTS ---
PATH 1 USE EXISTING DRIVEWAY APRON AI{D SIDEWALK
DRIVEWAY REQUIRED TO BE PAVED
3 STREET TREES REQUIRED
By aignature, I Etate and agree, that I have carefully examined
the completed application and do hereby certify that all information hereon
is true and correet, and I further cerEify 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 sEructure 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 Ehis project.
I further agree to ensure thaE all required inspections are requested at the
proper time, that each address is readable from Ehe street, Ehat the permit
card is located aE the fronE of tshe properEy, and the approved set of plans
witL remain on the siEe at all t,imes during construction.
V- zv-7-e
Signature Date
--- VALIDATION ---
Receipts Number:
Date Paid:
AmounE Received:
Received By:
7r'o.V
3-ea
,Zl2z*-z
'Job Number: 95O3L2 Page 2
FIXTT'RE I'NIT CALCUI,ATION TABLE
Number of
New Fixture
Unit
Equivalent
Fixture
UnitssFixtsure Tlpe
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/Oil/Solids/Et.c
Inteceptors For Sand/Auto Wash/EEc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator/Water Station/etc
Receptor for Commercial Sink/Dishwasher/EEc
Shower, Single Stall
Shower, Gang
Sink, Bar, Commercial, Residentsial Kitchen
Urinal, Stall/wa11
Wash Basin/Lavatory, Single
water Closet, Public Installation
water Closet, Private
Miscellaneous
TOTAL FIXTURE UNITS =16
CREDIT CALCIILATION TABLE: Based on assessed va1ue. If improvements occured
after annexation date, credits are calculated separately.
(calculations are by $1ooo)
Year Annexed: ]-969
Credit For Parcel or Land only If Applicable: L5,440 x 3.47 = 53.58
Improvement (if after annexatsion date): 0 x 3.47 = 0.00
CREDIT TOTAL = $53.58
(If land value is multiplied by 1 then the parcel/Iand credit is not accurate.)
1
0
0
0
0
L
0
0
0
0
0
l_
0
2
0
2
0
2
L
2
3
6
2
6
1
3
2
2
2
l_
5
4
2
0
0
0
0
2
0
0
o
0
0
2
0
2
0
8
0
Page 1
CITY OF SPRINGFIETD SYSTEITTS DEVETOPMENI CIIARGE
(RESIDENTIAIJ)
Name or Company: WAYNE WHITE
Locatsiont 70'7 N 21ST ST
Developement T)pe: R Building Size:
Job No. : 96031-2
Lot Size Sq Ft
1. STORM DRAINAGE
Impervious Sq Ft
2. SA.}IITARY SEWER - CITY
Number Of PFUs
(see Page 2)
3. TR,A}ISPORTATION
Number Of Units
1X
2371 X 0.2L0 Per Sq Ft =
15 X 43.43 Per PFU =
X Trip Rate
1.010 x
Cost Per Trip
437.93 $442 -3L
s497.9L
$594.88
$442.31,
$3L0.oo
$s3 . s8
$2s6 .42
s1, 891 . 52
$94. s8
TransporLation Total
4. SAI.IITARY SEWER - MWMC
Number Of PFUs
L5
x
x
Per PFU +
18.750 +
MWMC Admin Fee
r_0.00
MIMC CREDIT If Applicable
TOTAL - MI^IMC SDC
(see Page 2)
SITBTOTAL - (Add Items 1, 2, 3 & 4)
5. ADMINTSTRATIVE FEES
Base Charge (Subtotal Above) X 0"50
TOTAL SDE
Reviewed By: DENNIS ERNST Dat.e: 03/12/9G
$1,985.10
Job Number: 9603L2 Page 2
FIXTURE I'NIT CALCULATION TABLE
Number of
New Fixture
Unit
Eguivalent
Fixtsure
UnitsFixture Type
BaEhtsub
Drinking Fountain
Floor Drain
InEerceptors For Grease/oiI/SoIids/Ptc
InEeceptors For Sand/Auto Wash/Egc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator,/Water Station/Etc
Receptor for Commercial Sink/Dishwasher/Etsc
Shower, Single Stall
Shower, Gang
Sink, Bar, Commercial, Residential Kit.chen
Urinal, Stall/WalI
Wash Basin/Lavatory, Single
watser Closet, Pub1ic Instsallatsion
Water Closet, Private
Miscellaneous
TOTAL FIXTI'RE UNITS =
CREDIT CAICITLATION TABLE: Based on assessed vaIue. If improvemenEs occured
after annexaEion date, credius are calculated separately.
(calculations are by $1000)
Year Annexed: 1969
Credit For Parce1 Or Land Only ff Applicable: L5,440 X 3.47 = 53.58
Improvements (if after annexation date): 0 X 3-47 = 0.00
CREDIT TOTAL = $53.58
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)
2
L
2
3
5
2
6
1
3
2
2
2
1
6
4
1
0
0
0
0
1
0
0
0
0
0
1
0
z
0
2
0
2
0
0
0
0
2
0
0
0
0
0
2
0
2
0
8
0
16
DATE ISSUED:
D
D DI E oAPBI}lO'IELD
t
o
22 5 FIFTH STREET
PERMIT NUMBER:INSPECTION LINE SEE INSPECTIONS ON BACK SIDE
APPLtgATtoN DATE:
[uRfr?t:HMENT PERMTT
SPRINGFIELD, OREGON 97477ENGINEERING DIVISION
oFFtCE TELEPHONE (503) 726-3753
PHONE
ZIP:
STATE:
EXPIRATION DATE:
ZIP:
PHONE
F-r OL
?4n\A/
ADDBESS;54
AorvtAU+eo 6<r,^,
6
t9 6" 6'CONTRACTOR:
CONTRACTOR BEGISTRATTON NO: € b
ADDRESS:
PBOJECT SUPERVISOR:sz5-
APPLICANT
SITE ADDRESS
CITY;STATE:
TAX MAP:
TAX LOT:
PHONE:
oA-CITY
PHONE: 6tL-A6
SUBDIVISION
OWNER:
INSPECTIONS REOUIRED:APPLICATION FEE / OEPOSIT ACCOUNT NOr
REOUESTED PERMITS:
CITY OF SPRING IT APPLIGATIONLD
suRilTY BOND E CASH / CHECK
.. FTlNsPFcrtoN: CURB / APPROACH AFTER FORMS ARE ERECTED BUT PRIOR TOVALIO FOR 180 OAYS FROM DATE OF ISSUANCE.o SECOND ORIVEWAY (SEE SEPARATE APPLICA'tr SIDEWALK PERMIT NO:FT.VAIID FOR 180 OAYS FBOM OATE OF ISSUANCE.o NEW E REMOVE / BEPAIR E PAVE PLANT STRIPtrSETBACK l] cunasror Q leruornlluqpFaTroN. StDEWALK / DRIVEWAY FOR ALL CONCRETE PAVING WITHIN THE STREET RIGHT OF WAY, TO BEMAOE AFTER ALL ExcAVAnNG rs coupleri ANO FORM WORK ANO SU8.8ASE MATERIAL IS IN PLACE.f, saruraRy sEWER c ONNECTION PERMIT:
VALID FOB SIXTY 160) OAYS FROM DATE OF ISSUANCEtrTo STUB o MAIN LINE (EASEMENT-B/W) E oTHERtrSTORM SEWER CONNECTION PERMIT:
VALIO FOR SIXTY 160I OAYS FSOM OATE OF ISSUANCEtrcArcH BAstN / BUBBLER e sruB I laAtruutrue
TYPE OF SECUBITY DEPOSIT
Q sururer sunEry BoND tr
Wcuae cur pERMrr No:....
PROOF OF INSI.tRANCE. $5OO,OOO MINIMUM
Q arracxeo O REoutBED AMouNT
tr ENCROACHMENT PERMIT NO
VALID FOR SIXTY (60I OAYS FROM DA'TE OF ISSUANCEtrcur srREEr I aone E orHER
I ousr coNTRoL (TypE oF coNTRoL)
Q corusrnucloN, sroRAGE, srAGlNG
p orxen
-
I asnxaur DEpostr
DESCRIPTION OF PROJECT:
AREA: LENGTH
TYPE OF WORK; CUT:
OTHER;
EXISTING SUBFACE MATERIAL:
E $20.00 /
E$
tr
tr
tr
E$
$
$
$
fl $ 10.0o + $.1 s/Fr,
E $1o.o0+$.1S/FT.
/.
PERIOD OF USE OR TIME OF CONSTRUCTION:Q emrus (TWo sETs) ATTACHED
FROM DATE
TO DATE;
E $s.00 /
E $5.oo /
TOTAL DUE: S
TOTAL DUE WITH PERMIT $
TIME;
TIME
HEIGHT:
-
WIDTH DEPTH;
BORE:
BACKFILL MATEBIAL IO BE UTILIZED
SURFACE REPLACEVTTNT MATERIALS TO BE UTILIZED
TYPE OF DUST CONTROL TO BE UTILIZED:
NAME OF OTHER UTILITIES IF THIS IS A JOINT PROJECT
WARNING DEVICES TO BE UTILIZED:
"DESCRIPTION
Advanco signing and work zone protoction to be in compliance with th8 Manual on Uniform Traffic Control Devices (MUTCD)
WORK SHALL COMPTY WITH CHAPTER X ARTICLE
REVTSTONS 8t24t95 FORM ,116
5 OF THE CITY CODE. CONTRACTOR TO COMPLY WITH MUTCD
LOCA TION OF WORK
PLAN REV IEW COMMENTS /INSTRUCTIONS:
BFiL"THBgB#Prffo?Td*'b,'&8'E?X'-oi$#8""'Yt'"il'
EXISTING CITY CODES AND JCTUPIIAruCE WITH CU RRENT
001
002
003
004
005
006
007
008
009
010
01 1
012
013
014
015
016
017
018
Backfill with %" minus rock.
Compact everY 1 8" loose dePth'
Requires compaction with a stesl rolller'
A.C. to match the greater ol existing depth or 4"'
All cuts sealed for final inspection'
Temporary patch may be used at the end of the day'
Signing and Zone protection to comply with MUTCD
Cut concrete only on score lines or cold joints'
Sidewalks and driveways min. 3,Oo0psi'
Curbing min 3,500psi / No patchwork less than 3"
Mest min. requirements on curb cuts' Spfd' code'
Restore planted areas, Spfd' code 206'3'05
Spec. to Bore / Jack / No A'C' cuts'
Mechanical comPacting required'
No patchwork allowed.
Lateral cuts to have control density fill'
Cuts to bs polymerized crack sealed for final inspection'
Mininum 2" crushed rock %" minus'
Minumum 4' clearance at any point, swing'away
Concrate minimum 4" depth, 3,Ooopsi'
Trench to be "T" cut'
Neads Stato / CountY Permit'
No above ground enclosings in sidewalk orhandicap ramps'
Diamond cut A.C./Concrste value boxos to grade'
Fresh Oil signs / Graded.
Comply with Americans with Disabilities Act'
Concrets slabs, 72hrs. curing time, 4Soopsi'
Concrete slabs require joint seal material'
Driveway requires dowels every 18"'
Submit traf f ic control plan prior to excavation'
Notily Tralf ic Division before excavatiPn'
Core drill main line, insert tee, 2% min' grade
fuu.,.o.ptv with the provisions of ORS 757 541 to 757'571
6" Circular hole/H2O'Vac'
019
020
021
o22
o23
o24
025
o26
o27
028
029
030
031
032
033
343
Comments I
YOU ARE REOU IRED TO CALL
NG COUNCIL'STHE LANE U TILITIES coo RDINATI
"ONE CAL L NUM BER"1-800 -332-2344
48 HOURS BEFORE D]GGING
INSPECTIONS:
SANITARY SEWER, STORM SEWER, ENCROACHMENT PEBMIT AND OTHER INSPECTIONS CALL CITY MAINTENANCE AT
726-3761tr
JTY OBTEDINAcDESGATETYOURSER)(RECORD726-3769NSoCALLINSPECTILKAIDEW DY FORANDCUTtlEABECURBoWILLUNNDWHEASTEEDOURESPECTIONNFoTYPERESS,AD D BELUMJOBWILNBER,IT .M00MBER/PERMNU RBEFO 7EECEIVEDRUESTSER.REOPHOENUMNANEDNAMSSOWNERORRNTACTOR BEoECTICONSoTOAREINSPN,ECTIINSPGNDAEXTNWORKIEETHWIBELLMADA.M7:00RAFTEREOUESTSDASAMEETHMADE RNC EETRINU\-G oPOTOBEPRIORUTISKPLACNFRowoRMEMADDANNSoAREEXCATIAFTERINALLEDCA
SIGNATURE:
RL:iH'13\yL? l,ii,:"",.?ss,:gi,Ti liffiLi?I?,i?i'?illltsilxfit ili,il#nffid3Rii'13!.sis-i"":st?Exfe:J-'[Y, ',i'.:8li,',fil'.1'l? ,n"
iif"l[i]f,lpJnr,r,tni::iB!"ltfl^Trbflff{ilr,"#ti?:Y##HffJivll';r.s11il: :mn:]!: :,ltF""l'6iwitt3'ri,?'33 l?J5%rtrl:
project.
Iif;"::{iii;iif,ii:ei,:.3'st[sri'E"ti,Ti?."3|{?Pf'.ffj?[,*iH{,l,irsiJffi.,f[iintl{{{l"lli,'-'T:e lii.i$-1ft*X?:tfr:i,^"
[it ji]lJit:]"t3'l ],.,i{flo]'i:l.3jff.tlidi:81y,.1"&&?T+t?i
I',it i5,.iip,"i'e"i ii tr,ij'ijn"o iitiii6 irl'tv'iiG -*itirje ieiioimeo bv tne
lfurthor agree to.ensure that all required inspections are requested at the properlime, that project address is readable from the street'
;;Aih; ap-prov;d .et oidiini-*itiiJmiln oti the site at alltimes during constructron'
Z-?b
DateSignature3
7-L€7 aAMOUNT RECEIVED:
RECEIPT NO RECEIVED BY
DATE PAID
VALIDATION:
DATE:f, rnerrtc REVIEWED BY:
DATE:f runtrureNANcE:
FOR SIDEWALK AND CURB CUT PERMITS PLACE A COPY (COMPLETED) IN PERMIT DRAWER'
INSPECTION:
t
INSPECTION:
WORK IN PROGRESS
AT TIME OF COMPLETION:
ELEVENTH MONTHI
f nrnutr tssuED BY DATE:
DEPOSIT RETURNED
DATE:
DATE:
DATE:
DATE:
DATE:
DATE:
f eructrueEntNc REVIEWED BY DATE:
C/,TY OF SPR OREG O'U
225 TIFTE STREET
SPRINGFIEI,,D OREGON 97 47
INSPECf,ION REQUEST:726-3769
OPPICE: 726-3759
SP}TI}{GFIELO
BLE TRICAL PBRHIT APPLICATION
Ci tY Job Nunber 0 / z-'
s300.00s 40.00
coHPi;TE FEE SCUEDUI.^E BELOU
Nev Residential-Single or
MuIti-FamilY Per dvelling unlt'
service rncludedt ,a.r" cost sum
Looo sq.rt. or less L $ B5'oo 85!0
trach additional 500
ifl;'llr"'Portion L $ ls'oo 3o'il7
Each Hanuf'd Home' or
Hodular'DveIIingi;;li;; or reeder S 4o'oo
Services or Feeders
Installation, Alterations
or Relocation:
The lollowing P
.oning, and does
approval.
not requ e^
Or-
1 LOCATION)o )OPly INSTALLAf:ION.2J>
3
A.
.B
C
?
Permits a[e non-transferable and expire
ii vortc is not started vithin 180 days
;i i;;;."ce or if vork is susPended for
JOB DESCRIPTION
180 days.
2. C0f.tTRACf,OR INSTALLiTION ONLY
Electrical Contractor
Address
Ct ty n"54 t-s+l -ssl{
Supervi License Number 3t t4 -S
Explration Date -19lo'
Constr Contr. Number Lb sq4
Expiration Date {-z3q.
s ture of Supervising Electrician
0vne Name
Address 3
Ciry Bzt4 ?ZktS Phon"--
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
Omers Signature:
DATE:
200 amps or less
201 amps to 400 amPs
-
401 amps to.600 amPs
-
501 amps to 1000 amPs-
0ver 1000 amPs/volts
-
Reconnect OnIY
Temporary Services or Feeders
Insiallaiion, Alteration or Relocation
s s0.00
s 60.00
$100.00
s130.00
200 amps"or less
201 amps to 400 amPs
-
Over 401 to 600 amPs
Over 600 amPs or 1000 voT[
D. Branch Circuits
' Nev, Alteration or Extension Per Panel
oo +0,0i)
oo
0oBO
s see trBtr aEove
$ 3s.00
$ 2.00
s
$
$
40
55
b
One Circui t
Each Additional
Circuit or vith Service
or Feeder Permi t
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation -- S
sign/outline Lighting- $Limited Energy/Res $
40.00
40.00
20.00
36.00
5. SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTALRECEIVED
-z
:o e5:ocific land r'lss
Willamalane
F"?r. a-n-eEeation District Job. No.
sYSrEM rfi[t*,?s,if# cH AR G E
[r D0
NAME:
ADDRESS:
LOCATION
Street Add
PIat Name:
VC
PHONE:
srni=' &=,r,{-HCD
OF PROPOSED BU ILDING SITE:
rESS:1 &\s# s\
Tax Lot Number:,\L
1. DEVELOpMENT TypE (Check appropriate dwelling(s). sDC calculations and dwelling t
ype definitions are on lhe back.)
A. Single-Family Detached
\ Single Family home Manufactured home n
$1,000 per unit = $NO. OF UNITS t;
B. Single-Family Attached
NO. OF UNITS X $924 per unit = $
C. Multi-Family APartment
NO. OF UNITS X $692 per unit = $
D. Manufactured Home Park
NO. OF UNITS X $699 per unit
WILLAMALANE SDC
2. SDC CREDIT (if applicable) SDC-payer must furnish proof of
Willamalane Credit approval. See SDC Credit Worksheet.
3. TOTAL WTLLAMALANE NET SDC ASSESSED
oti
t
na
$
$
$
\cco"6
a
oo
(if SDC reduced for
lopment Se
City of Springfield
DepaIment
$
oof
t
tl
Date
Page 1
CITY OF SPRINGFIELD SYSTEMS DEVEI,OPMEMT CITARGE
(RESIDENTIAL)
Name or Company: WAYNE WHITE
Location: 7O7 N 21ST ST
Developement Tlpe: R Building Size:
ilob No. : 9603L2
Lots Size:Sq Ft
1. STORM DRAINAGE
Impervious Sq Ft
2. SAI'IITARY SEWER - CITY
Number Of PFUs
(see Page 2)
3. TRAI{SPORTATION
Number Of UniLs
1X
237L
L5
x Trip Rate
1.010 x
X 0.210 Per Sq Ft =
X 43.43 Per PFU =
x CosE Per Trip
437.93 $442.3L
$497.9L
$694.88
$442.3L
$310.00
$s3 . s8
s2s6.42
s1, 891.52
$94 . s8
Transportation ToEal
4. SA}IITARY SEWER - }TWUC
Number Of PFUs
L5
5. ADMINISTRATIVE FEES
Base Charge (Subtot.al Above)
x
x
Per PFU
1_8.750
+ MWMC Admin Fee
+ 10.00
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MhMC SDC
SITBTOTAL - (Add Iteme 1, 2, 3 & 4)
x 0.50
TOTAL SDC
Reviewed By: DENNIS ERNST Date: 03/L2/96
$1, 985 . 10