HomeMy WebLinkAboutPermit Building 2003-08-15Building/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: COM2003-00662ISSUED: 08/15/2003
APPLIEDz 0712412003
EXPIRESz 0211512004VALUE: $ 27,180.00
SITE ADDRESS: 1001 S 45TH ST
ASSESSOR'S PARCEL NO.: 1802052405900
PROJECT DESCRIPTION:Addition to existing SFR
Oregon UtilitY
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition Residential
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
IS ABANDONED FOR
A NY 1 Lq.?JllJ
t * i
$*pi,ution Date Phone
the
Owner:
Address:oft ru ES
44\
General
Electrical
Plumbing
OWNER
OWNER
OWNER
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
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:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
R-3
VN
REQUIRED PARKING
Total:
Handicapped:
Compact:
8.00
0.00
30.00 24.00
Sidewalk Type:
Downspouts/Drains:
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Notes:
Pase I of3
ral
calling the center . (Note:
nurnber torthe Oregon UtilitY
l, u lLurl\ u l-t\ r urilvr.{llvl\_l
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: COM2003-00662ISSUED: 08/1512003APPLIEDz 0712412003
EXPIRESz 0211512004VALUE: $ 27,180.00
Description
Dwellinss
Type of Construction
V Wood Frame
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$90.60 300.00
Total Value of Project
Amount Paid Date Paid
Value
$27,180.00
$27,180.00
Date Calculated
07t24t2003
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ 7oh State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Building Permit
Not Covered Mechanical
Plan Review - Planning
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Storm Sewer - lst 50 Feet
Total Amount Paid
$157.27
$10.00
$38.r0
$26.67
$43.00
$6.00
$241.95
$4s.00
$s9.00
$5.09
$101.79
$4s.00
$778.87
7t24t03
8/1s/03
8/15/03
8/15/03
8/15/03
8/1s/03
8/15/03
8/15/03
8/15/03
8/15/03
8/r5/03
8/15/03
Receipt Number
2200200000000001301
2200200000000001399
2200200000000001399
2200200000000001399
2200200000000001399
2200200000000001399
2200200000000001399
2200200000000001399
2200200000000001399
2200200000000001399
2200200000000001399
2200200000000001399
['ees Paid
Plan Reviews
Initial Review
Planning Review
Public Works Review
Structural Review
07t25t2003
07t25t2003
07t28t2003
07t2512003
07125t2003
08/08/2003
07t30t2003
08/r3/2003
RJB
AJD
MS
TCM
APP
APP
APP
OK
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.
1 Footing: After trenches are excavated.
2 Foundation: After forms are erected but prior to concrete placement.
3 Post and Beam: Prior to floor insulation or decking.
4 Floor Insulation: Prior to decking.
5 Shear Wall Nailing: Before covering sheathing with finish materials.
6 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
7 WaIl Insulation: Prior to cover.
8 Ceiling Insulation: Prior to cover.
Paee 2 of 3
Reouired Insnections
J
Valuation Descrintion I
OF
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: COM2003-00662ISSUED: 08/15/2003
APPLTED. 07t24t2003
EXPIRES: 0211512004VALUE: $ 27,180.00
9 Drywall: Prior to taping.
10 Final Building: After all required inspections have been requested and approved and the building is complete.
1l Rough Electric: Prior to Cover
12 Final Electric: When all electrical work is complete.
13 Rough Mechanical: Prior to Cover
14 Final Mechanical: When all mechanical work is complete.
15 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 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.
r/r;Z=
Owner or Contractors Signature Date
Pase 3 of3
225 FIFTH STREET . SPRINGFIELD, OR97477 o PH:(541)726-3753 o FAX:
E L E C:T RI CAL P E F.frrlT AP P LI CATON Date
Ciry Job Number zacj.-crc> b6Z Date 7- 2 - qtA@'snzeo Signature
ubmitted has the following
specific land use
3. COMPLET-E I'EE SCHETILILE BELOI4.
A. Neu'Residential - Singte or lVlulti-Farnily per drvelling unit.
1. LOCAT'ICIN AF INST'ALI-AION
lcot S q5+( :'l
LEGAL DESCRIPTION
i gDL O tZ'(o 57dA
JOB DESCzuPTION
aAfmer r oru,umn r"r,rlaa(,.,,,-
0090.obtain
I
Electrical
nurnberforthe Or egon Utility Notification
Address
Phone NQf
IHIS
Supervisor License Number v AUTI
Expiration Date
Constr. Contr. Number
Expiration Date
Si gnature of Superwising Electrician
Owners Name
Address lOo, 7d t/Sr, ?r
cirvS-(*yl,65f:gp- vhone 7.VG -? %7
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
'tFE. Over 1000 Amps/Volts
'jui,'fiff"smlPt{pr
q r r F Tlr F !,/rrr-
inLr l'-f) !i.1i,i,-: r,.ri
I Y.r-C ' +[il,h!'d slHr"oslr ,subtdr"l T
.fii l:.:.,- ;,. .: ',.;*,,,.,.-."jt.,,1
Iiiitallation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
Over 600 Amps or 1000 Volts see "B" above.
D. Branch Circuits
New Alteration or Extension Per Panel
$s0.00
B.Services or Feeders - Installation, Alteratiorts or Relocatiou:
$ r 06.00
$ r9.00tL)
Perrnits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
OIYII'
City
$ 63.00
$ 75.00
$ 125.00
$ 163.00
$37s.00
$ s0.00
^
$ 43.00
z $ 3.00
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
4. SI]BTOTALOFABO\TE
7Yo State Surcharge
l0% Administrative Fee
TOTAL
$ 50.00
$ 69.00
$ 100.00
i).oo
6 "o.
E.nliscellaneous (Service/feeder trot included) -[ach Installatiott
OWNBR INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.Minimum Electric Permit Inspection Fee is $45.00 * Surcharges
$ s0.00
$ s0.00
$ 2s.00
$ 45.00
Lfcl,o o
3.v g
57.9iInspection Request: 7 26-37 69
Shared Dive(T: )/Building Forrns/Electrical Perrnit Application I -03.doc
t
It
0-
4 ?rt
CITY OF SPRINGFIELD SYSTEMS DEVELOPMEN ! WORKSHEET
JOURNAL OR JOB NUMBER: COM2003-00662
NAME OR COMPANY Roberta Miller-Chamberlin
LOCATION:1001 S 45th Street
TAX LOTNUMBER:18020524 Tax Lot 05900
DEVELOPMENTTYPE:Addition to SFR
NEW DWELLING UNITS 0 BUILDING SIZE (SD 3OO LOT SIZE (SF)1 0037
U)t!o
Q
ilr!FU)
oH
1070
l09l
1092
1093
1094
1054
1055
r054
1056
1079
r078
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY
t TMPERVToTJS s-F.| :s r.oo
SYSTEM
x
R DRYWELL AND CITY
x COST PER S.F.
$0.290
x DISCOUNT RATE
50Vo
DISCOUNT
$o.oo
ITEM l TOTAL. STORM DRAINAGE SDC I $tot.zs
PER S.F
01.79
IMPERVIOUS S.F
0.00
2. SANITARY SEWER - CITY
A. REIMBURSEMENTCOST:
NUMBER OF DFU's
0
x COST PER DFU
$22.64 = I $0.00
B.COST:
x COST PER DFU
$t7.21 = I $0.00
ITEM 2 TOTAL - CITY SANITARY SEWER SDC $0.00
NUMBER OF DFU's
0
3. TRANSPORTATION
A. REIMBURSEMENTCOST:
ADTTRIP RATE
9.57
x NUMBER OF UNITS
0
x COST PER TRIP
$17.23
x NEW TRIP FACTOR
1.00 l-$oro-
B. IMPROVEMENT COST:
ADTTRIP RATE
9.s7
x NUMBER OFUNITS
0
x COST PER TRIP
$76.01
x NEW TRIP FACTOR
r.00 = ffo.qq
ITEM 3 TOTAL - TRANSPORTATION SDC ;0.00
A.COST:
NUMBER OF FEU'S
0
x
= I $0.00
B. IMPROVEMENT COST:
NUMBER OF FEU'S
0
x
= I $0.00
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL. MWMC SANITARY SEWER SDC =
= I $o.oo
= F$O.0O
$0.00
COST PER FEU
$332.86
COST PER FEU
$34.83
SUBToTAL (ADD ITEMS t, 2, 3, & 4);101.79
5. ADMINISTRATIVE FEE:
SUBTOTAL
$101.79
x ADM. FEE RATE
5Vo
CHARGE
$5.09
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
! s.oe
I so.oo
Matt Stouder 7t29/2003
PREPARED BY DATE
TOTAL SDC CHARGES
4. SANITARY SEWER - MWMC
DRAINAGE FIXTURE UNIT CALCULATION TABLEl",li u
NUMBER OFNEW FXTURES x UNIT EQUIVAI FNT = DRAINAGE FD(TURE UNITS
DRAINAGE
FIXTURE
UNITS
NO. OF FIXTURES
FIXTURE TYPE NEW OLD
(NOTE: FOR REMODELS, CALCUT-A,TE ONLY THE NET ADDITIONAL FIXTURES)
UNIT
EQUIVALENT
0 0 3 0
0 0 1 0
DRAIN 0 0 3 0
FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0
FOR SAND / AUTO WASH / ETC.0 0 6 0
Y TUB 0 0 2 0
ASHER / MOP SINK 0 0 3 0
.3 OR MORE 0 0 b 0
MOBILE HOME PARK TRAP I PER 0 0 12 0
RECETTOR FOR REFRIG / WATER STATION /0 0 1 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0
SINGLE STALL 0 0 2 0
OFGANG 0 0 2 0
SINK:0 0 3 0
SINK: COMMERCIAL BAR 0 0 2 0
SINK:0 0 2 0
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 0
0 0 5 0
PUBLIC INSTALLATION 0 0 6 0
0 0 3 0
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
0
TOTAL DRAINAGE FD(TI]RE UNITS
*EDU isa toa set at 167
MWMC CREDIT CALCT LATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
CREDIT RATU$I,OOO
ASSESSED VALUE
BEFORE I979 94.92
t979 $492
1980 $4.83
l98l 94.77
t982 s4.64
1983 $4.47
1984 $4.30
1985 $4.09
1986 s3.78
1987 $3.41
r98E $2.98
I 989 92.52
1990 $2.06
l99l $ 1.64
1992 $1.4s
1993 $1.31
1994 $1.13
1995 $0.97
1996 $0.82
t997 $0.63
1998 $0.41
1999 s0.22
2000 $0.04
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENTELGIBLE FOR ANNEX. CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1OOO CREDIT RATE
$0.00 x $4.92
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
TOTAL MWMC CREDIT
0
0
0
=l
I so.oo
1979
VALUE/ 1OOO CREDITRATE
$0.00 x $4.92
IU
20
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date:
coM2003-00662
coM2003-00662
coM2003-00662
coM2003-00662
coM2003-00662
coM2003-00662
coM2003-00662
coM2003-00662
coM2003-00662
coM2003-00662
coM2003-00662
Storm Drainage Impervious Area
SDC Sanitary/Storm Admin
Plan Review - Planning
Building Permit
-Mechanical Issuance Fee-
Not Covered Mechanical
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Storm Sewer - lst 50 Feet
+ 7o/o State Surcharge
+ lUYo Administrative Fee
Item Total:$621.60
101.79
s.09
59.00
24t.95
10.00
45.00
43.00
6.00
45.00
26.67
38. l0
Type of Payment Paid By Received By Batch Number Authorization Number lfow Received Amount Paid
Check RALPH CHAMBERLIN njm 2595 In Person
Payment Total:
s621.60
-$6-t1Jd'-
iFrFa*cr3.&
!IL8
Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-726-37 69 Inspection Line
PERMIT NO: COM2003-00662ISSUED: 08/15/2003APPLIEDz 0712412003EXPIRES: 0211512004VALUE: $ 27,180.00
SITEADDRESS: 1001S45THST
ASSESSORTSPARCELNO.: 1802052405900
PROJECT DESCRIPTION: Addition to existing SFR
OWNCT: ROBERTA KMILLERREV TRUST
Address: 1001 S 45TH ST SPRINGFIELD OR 97478
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition Residential
License Expiration Date PhoneContractor Type
General
Electrical
Plumbing
Contractor
owr[ER
owNER
OWI\ER
CONTRACTOR INFORMATION
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
# of Stories:
R-3 Height
{o'J
VN
Floor:
FIoor:
Other:
Surface Area:
REQUIRED PARJ'TNG
Total:
Handicapped:
Compact:
\n
8.00
0.00
30.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
Vo ofLot Coverage:24.00
IHE \I{ORK
\S NO-t
t0R
Notes:
Page I of3
l, Urr-rrrl\ u l1\ r uI(rYrA,! {2N_l
1H\S
Au'i
ANY 180 DhY
rrIL.O
Building/Combination Permit
Status Issued
225 Fifth Street, Spring{ield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-00662ISSUED: 08/15/2003APPLIEDz 0712412003EXPIRES: 0211512004VALUE: $ 27,180.00
Description
Dwellings
Type of Construction
V Wood Frame
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$90.60 300.00
Total Value of Project
Amount Paid Date Paid
Yalue
$27,180.00
$27,180.00
Date Calculated
07t24t2003
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ lYo State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Building Permit
Not Covered Mechanical
Plan Review - Planning
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Storm Sewer - lst 50 Feet
+ l0o/o Administrative Fee
+ 7Yo State Surcharge
Fixture
Minimum/Adj ustment Plumbing
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
Total Amount Paid
Receipt Number
2200200000000001301
2200200000000001399
2200200000000001399
2200200000000001399
2200200000000001399
2200200000000001399
2200200000000001399
2200200000000001399
2200200000000001399
220020000000000r399
2200200000000001399
2200200000000001399
2200200000000001412
2200200000000001412
2200200000000001412
2200200000000001412
2200200000000001412
2200200000000001412
$157.27
$10.00
$38.10
$26.67
$43.00
$6.00
$241.95
$45.00
$59.00
$5.09
$101.79
$4s.00
$4.50
$3.1s
$28.00
$17.00
$17.21
$22.64
7t24t03
8/15/03
8/15/03
8/1s/03
8/1s/03
8/15/03
8/15/03
8/15/03
8/1s/03
8/15/03
8/1s/03
8/1s/03
8t20t03
8t20t03
8t20t03
8120t03
8t20t03
8t20103
$871.37
['pps Peid
Plan Reviews
Initial Review
Planning Review
Public Works Review
Structural Review
07t2st2003
07t25t2003
07t28t2003
07t2512003
07t25t2003
08/08/2003
07t30t2003
08/13/2003
APP
APP
APP
OK
RJB
AJI)
MS
TCM
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.
I Footing: After trenches are excavated.
2 Foundation: After forms are erected but prior to concrete placement.
Paee 2 of3
Renrrired Insneefions
rL
Valuation Description I
Building/Combination Permit
Status Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-00662ISSUED: 08/15/2003APPLIED: 0712412003
EXPIRESz 0211512004VALUE: $ 27,180.00
3
4
5
6
7
8
9
10
l1
t2
13
t4
15
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with linish 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.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work 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 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.
--
t/* 1o>
Owner or Contractors Signature Date
Page 3 of3
rlrfo
I
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Spring{ield Official Receipt
Development Services Department
Public Works Department
#: 220020000000000 1 4 I 2 Date: 0812012003 9:46:52AM
coM2003-00662
coM2003-00662
coM2003-00662
coM2003-00662
coM2003-00662
coM2003-00662
+ 7Yo State Surcharge
+ lo%o Administrative Fee
Fixture
Minimum/Adj ustment Plumbing
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
3.15
4.s0
28.00
17.00
22.64
17.21
Item Total:$92.50
Payments:
Type of Payment Paid By Received By
Check Number
Batch Number AuthorizationNumber lfowReceived Amount Paid
Check RALPH CHAMBERLIN djb In Person
Payment Total:
$92.50
$92.s0
CITY OF SPRINGFIELD SYSTEMS DEVELOPMEN I ,JORKSHEET
JOURNAL OR JOB NUMBER: COM2003-00662
NAME OR COMPANY Roberta Miller-Chamberl in
LOCATION 1001 S 45th Street
TAX LOTNUMBER:18020524 Tax Lot 05900
DEVELOPMENTTYPE: Addition to SFR
NEW DWELLING UNITS 0 BUTLDTNG SrZE (SF. 300 LOT SIZE (SF):I 0037
ar!
t-JoQ
r!FV)
()r!&
1070
1091
1092
1093
1094
I 054
1055
1054
I 056
1079
1078
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEMI rMPERVrous sr.
J :s t.oo
x COST PER S.F
s0.290
CHARGE
$101 .79
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F
0.00
x COST PER S.F
$0.290
x DISCOUNTRATE
50%
DISCOUNT
$0.00
ITEM I TOTAL - STORM DRAINAGE SDC $101.79
2. SANITARY SEWER - CITY
A. REIMBURSEMENTCOST:
NUMBER OF DFU's
1
x COST PER DFU
s22.64 = | s2z^f4
B. IMPROVEMENT COST:
NUMBER OF DFU's
I
x COST PER DFU
$17.21
ITEM 2 TOTAL - CITY SANITARY SEWER SDC $39.85
3. TRANSPORTATION
A. REIMBURSEMENT COST:
ADT TRIP RATE
9.57
x NUMBER OF UNITS
0
x COST PER TRIP
st7.23
x NEW TRIP FACTOR
1.00 : I $o.oo
B. IMPROVEMENT COST:
ADTTRIP RATE
9.57
x NUMBER OF UNITS
0
x COST PER TRIP
s76.0r
x NEW TRIP FACTOR
1.00
ITEM 3 TOTAL - TRANSPORTATION SDC $0.00
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's
0
x
= | $0.00
B. IMPROVEMENT COST:
NUMBER OF FEU's
0
x
= I $0.00
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINTSTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SD( =
= I $o.oo
$0.00
COST PER FEU
s332.86
COST PER FEU
$34.83
SUBTOTAL (ADD ITEMS 1,2,3, & 4)$141.64
5. ADMINISTRATIVE FEE:
SUBTOTAL
$141.64
x ADM. FEE RATE
5%
CHARGE
$7.08
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:I so.oo
Matt Stouder 8n9t2003
PREPARED BY DATE
TOTAL SDC CHARGES
: I $o.oo
l-o'8-
DRAINAGE FIXTURE UNIT CALCULATION TABLE
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
DRAINAGE
FIXTURE
TINITSNEW
LTNIT
ALENTOLDTYPE
NUMBER OF NEW FXTLTRES x UNIT EQUIVALENT :DRAINAGE FIXTUREUMTS
FOR REMODELS, CALCUIA'TE ONLY TIIE NET ADDITIONAL
NO. OF FIXTURES
000BATHTUB
10DRINKING FOUNTAIN 0300DRATN000FOR GREASE / OIL / SOLIDS / ETC.
006WASHETC.SAND AUTOFORINTERCEPTORS 020LAUNDRY TUB
0 30CLOTHESWASHER / MOP SINK
006CLOTHESWASHER - 3 OR MORE
0120HOME PARK TRAP I PER
0 10FORREFRIG / WATER STATION / ETC.
0030FOR COM. SINK / DISHW ASHER / ETC.
020SINGLE STALL
0020GANGOF
00SINK:COMMERCIAL/RESI DENTIAL KITCHEN
2 00COMMERCIALBAR
0020WASH BASIN/DOUBLE LAVATORY
101SINK: SINGLE LAVATORY/RESIDENTIAL BAR
50STALL / WALL
00bPUBLIC INSTALLATION
000PRIVATE INSTALLATION
set at 167toa
020
uni t
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
TOTAL DRAINAGE FIXTURE UNITS
+EDU rsa
EI
YEAR
ANNEXED
CREDIT RATE/S1,OOO
ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
0
0
t9'79
CREDIT FOR LAND (IF APPLICABLE)
VALUE / IOOO
s0.00
CREDIT RATE
s4.92x I so.oo
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / IOOO CREDIT RATE
$o.oo x $4.92
TOTAL MWMC CREDIT
BEFORE 1979 $4.92
1979 $4.92
1980 $4.83
l98l $4.77
1982 $4.64
1983 s4.47
1984 $4.30
1985 $4.09
1986 $3.78
1987 $3.41
r988 $2.98
1989 $2.s2
1990 $2.06
199 I $r.64
1992 $1.45
1993 $1.31
1994 $1.13
1995 $0.97
t996 s0.82
1997 $0.63
1998 $0.41
t999 $0.22
2000 $0.04
utr u
FIXTURE
3
0
3
0
0
0
0
0
3
0
1
00
0
3
!--
l-$u-o-b-