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Home My WebLink AboutPermit Building 2006-09-22CITY OF SPRINGFIELD Building/Combin ation Permit Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-7264676Fax 541 -7 26-37 69 I ns pe ction Line PERMIT NO: COM2006-00371ISSUED: 0912212006APPLEDz 0312912006E)PIRES: 0312212007VALUE: $ 28,080.00 SITE ADDRESS: 305 36TH ST ASSESSOR'S PARCEL NO.: 1702314203600 PROJECTDESCRIPTION: Shop Springfield TYPE OF TYPE OF USE: Shop New Owner: Address: Contractor IYpe General Contractor OWNER Expiration Date 12n8t2006 Residential Phone 616-455-2223 JOHN EGLI 305 36TH ST SPRINGFIELD OR 97478 Phone Number: S4l-741-6615 License 08699 )RMATION # of Uni6: Primary Occupancy Group: Secondara Occupancy Prim ary Construction Type Secondary Construction # of Bedrooms: Frontyard Setback Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 5.00 r0.00 Street Storm Sewer Available: Special Instruction: Notes: U VN # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Patt: Sprinkbd Overlay Dist: # Street Trees Paved Drive Rqd: "h of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Sq Ft Other: Occupant Load: 1,080 nla Sidewalk Type: Downspouts/Drains REQT]IRED PARIilNG Total: Handicapped: Compact: $ Per Sq Ft or muftipfier Square Footage or Bll Amount DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Descrbtion Type of Construction l of 3 Value Date Calculated Valuation Description I CITY OF SPRINGFIELD Building/Combination Per mit Status: Issued 225 Fifth Streeto Springfield, OR 541-7263753 Phone 541-7263676Fa'x 541-7 2637 69 Inspe ction Lin e PERMIT NO: COM2006-00371ISSUED: 0912212006 APPLIEDz 0312912006 E)PIRESz 0312212007VALUE: $ 28,080.00 Garage Garage Fee Descriptbn Plan Review Residential + l0oh Administrative Fee + 8olo State Surcharge Building Permit SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - lst 50 Feet Storm Sewer Each Addtl 100' Sidewalk Repair Permit Total Amount $26.00 1,080.00 Total Value of Project Date Paid Receipt Number 1200600000000000366 2200600000000000545 220060000000000054s 2200600000000000s45 2200600000000000545 2200600000000000545 220060000000000054s 2200600000000000545 3200600000000000478 $28,080.00 $28,080.00 03t29/2006 Amount Paid $r61.07 $30.68 s24.s4 $247.80 $7.87 $157.30 $4s.00 $14.00 $10.00 $698.26 3t29t06 5t2to6 5t2to6 5l2l06 5t2106 5t2to6 5t2t06 5t2t06 9t22t06 tr'ees Peid Plan Reviews Initial Review Planning Review Public Works Review Structural Review 03t30t2006 03/30/2006 03t30t2006 03t30t2006 04fi0t2006 04t03t2006 APP APP APP SKG TA.J CAS No Planning issues. Credit given for demo 33x20.Storm drainage piped to curb face 41312006 CAS Possible encroachment permit required if digging in ROW 03t30t2006 04n8/2006 APP RWC To Request an inspection call the24 hour recording at 7263769. All inspection requested before 7:00 a.m. \ililIbe made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Footing: After trenches are excavated. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all required inspections have been requested and approved and the building is complete. Storm Sewer Line: Prior to fiIling trench. Reouired Insnections 2of3 Status: Issued 225Fifth Street, Springfiel4 OR 541-726-3753 phone 541-726-3676Fax 541 -7 26-37 69 I nspection Lin e By signature, I state and agree,frat I have carefully examined the completed application and doinformation hereon is true and correct, and I further certi$trat any and all workwith the Ordinances of lfre City of SpringfieH and the Laws of the State of Oregonand thatNO OCCUP AIICY witl be made ofany structure wi{tout permission of the CommBuildingSafety. I further certi$that only contractors and employees who are inon this p roject. Owner or Contractors Signature Date I further agree to ensure- ftat aII required inspections are requested at the proper time, that each address is readable froml?:ffi:Jllt I:; ffiIlff": located af the front or tne p=rofirtv, and the approved set of prans win remain on the site /)5 (*^.61 /( 9/>-1ao; <e.-,. *// 1', ,/'o"- L /- Po..^: { fr,k /5 off /.,. 3 of 3 . CITY O F SPRIN Building/Co mbin ation permit P^E_RMIT NO: COM 2006-0037 IISSUED: 09t22/2006APPLED: 03/29/2006E)PIRESz 03/22/2007VALUE: $ 28,080.00 hereby certify that allperformedshall be done in accordance pertaining to fte work described herein unity Serwices Division, compliance with ORS 701.005 will be used nD t D D -r D Dtr D I I o 225 FIFTH STREET SPRINGFIELD, OREGON 97477 ENGINEERING DIVISION oFFlcE TELEPHONE (503) 726-3753 Iffi vzz-ab PERN/IT NUMBER DATE ISSUED:APPLICATION DATE: V.Z_AO SITE INFORIVATION LOCATION OF WORK: APPLIcANT -)arrr.r FAu PH]NE 7 L// -1:, Z r-<- 7?'/ z* STATE: 4' ZIP PHONE: CITY:ZIP: -1 76rt s1x11. 6EdZ,t*Fctry: SUBDIVISION ADDRESS: TAX MAP TAX LOT: ADDRESS: 3e{ il, 31s11 S owNER: S*"uC RE TED PERIVITS E IvIULTIPLE PERIVIT DISCOUNT EA: ...,.....(MAX 2) ........ . ...............$ 30.00 (MULTI PERIVIT DISCOUNT GOOD FOR ONE SITE AND ONE SITE TNSPECTION ONI Y APPLIES TO 2nd AND 3rd PERIUITS ONLY. NOT SIDEWALK REPAIR) OF INSURANCE: $500,000 tVlNlN/UN/ lF WORK lS DONE BY PROPERTYOWNER :$ $ 80.00 :$_(- -y * 6{*oo, /:$ fl CURB CUT/DRIVEWAY: NUIr/BER OF DRIVEWAYS X :$ TOTAL DUE WITH PERTVIT $ fl SIDEWALK:,........... AMouNroF sro.weLx ir.r rx;il;; r;;, (srorwnlK REPATR:.. .........$ 80.oo @$0.08 sF. .........$ 10.00 CONTRACTOR INFORN/ATION EXPIRATION DATE PHONE PHONE: CONTRACTOR: ADDRESS: CONTRACTOR REGISTRATION NO: PROJECT SUPERVISOR: INSPECTIONS AN INSPECTION REOUEST SHOULD BE IUADE PRIOR TO POURING CONCRETE, AFTER THE PROPOSED WORK HAS BEEN FO RIUED AND N/ADE READY TO POUR. CURB CUT AND SIDEWALK INSPECTIONS CALL 726-3769 (RECORDER) STATE YOUR DESTGTNATED Ctry JOB NUMBER/PERMIT NUN/BER, JOB ADDRESS, ryPE OF INSPECTION REQUESTED, AND WHEN YOU WILL BE READY FOR INS PECTION, CONTRACTOR'S OR OWNER,S NAME AND PHONE NUMBER, REQUESTS RECEIVED BEFORE 7:OO A,M. WILL BE MADE THE SAME DAY, REOUESTS AFTER 7:OO A,M. WILL BE N/ADE THE NEXT WORKING DAY. INSPECTIONS ARE TO BE CALLED IN AFTER EXCAVATIONS ARE N/ADE AND FORM WORK IS IN PLACE BUT PRIOR TO POURING CONCRETE. YOU ARE REQUIRED TO CALL THE LANE UTILITIES COORDINATING COUNCIL'S"ONE CALL NUlvlBER" i -800-332-2344 48 HOURS BEFORE DIGGING SIGNATURE Bv sionature. I state and aoree. that I have carefullv examined the comoleted aoolication and do he rebv certifu that all intormation herein is true and c6rrett. and I lurlher certifu-that anv and all work o'erformed shall be ddne in aicbrdance with the Ordin'ances'of the Citv of Sprinqfield, applicable City Standard specilications and Drawinqs, and the laws ot the State ol Oreqon pertaining to the work described herein. I further cerlify f hat ohly dontractbis and employees who Are in compliance with OHS'701 .055 will be used on this project. The Citv mav rnsDect lhe work site described in this oermit at anv time durino a one vear oeriod fo llowino the receiot bv the Citv of notice of comoletion of the described viork And doecifu, at the Citu's sole discretion.'anv additiohal restoratiSn workieouired to return th"e site to a'stan',Card ac'ceptable to the Cifu. The permittee will be notifibd in Writinq of ahy work required and'will have thirtv daVS {30) from th'e date of the notice to complete the work.'Work not completed at the end bf the thirty days will be performe'ti by tlie City and the costs will be billedlo tiie permittee. I lurther agree to ensure that all required inspections are requested at the proper time, that proi ect address is readable from the street. and lh6 approved set ot plans will remain on the site at all times during'cohstructioh. 1D ^"- DateSignature / / 1 er/t----" AMOUNT RECEIVED: RECEIPT NO:RECEIVED BY: DATE PAID: CiE of dpringfinld ICATIONDRIVEWAY/S!EWALK P RMIT AP Si*-n'-n ) / 05122/2006'14:06 FAN 541607548'l ALICE EOYLES IHSURAHCE E 00 1 /002 1- rec-^.\r-) CC.-x: rbp ' \Cfa-\ Customer VlewNarne or # JX33tr4r4Ar8ldr8ifiibitri'1t44ffiffiffiffiffi -.'ldd-asz6ran'ffirsBf ,ifr lHome summary . .. ... .El [1B Household I nsu rBd t PW.gf !j.l g .l . .f:g-9 glt+ructlg.l -cgfl I H.-o.!c#q{ Bound; 305 N ?6TH ST lHH, r#iii;:,; siH l, .iur;ttl g9: Active eoe199277 ilF 73-t5-322 Renewal Date: L211O12006 IncePtlon Dat€: r2l10/1990 Inforce Dater 12l10/r.e96 Homeowners SPECIAL FORM/TOWNHOUSE SPECTAL , 4TH edltion OWNER OCCUPIED (PRTMARY REs.) ..- 305 N 36TH ST, SPRINGRELD, oR 97478-s711 FARMERS INSURANCE EXCHANGE PPC: o3 oqog6J2619, Year Built: 1941 struction Cost 21000 out Status; iled Date: 1o/18/200s Status Oate: Who Pavs: INSURED Endorsenenlg Security Devlc€s Dlscounts & Surcharges F"4l--PEv Fuil Ierm Premium: 6r6.23 A-.- - --H+geseg.-..---.- .**r ffi Lplin! EEnlel l:lipl' tYjj Ui# f'Cetiiii'icti;; t#l ffi DWELLIN-G-! 140000 PERS UA.FTLIW: s00.0..40 GUEST MEAISAII il)09 all Perlls: 250 MOre Covgrges eos199277' I.,,,,,t,'r'!'r iliimEi:gs-ggti*-_i{ ffi-iffi:J.1"r --Iffiffi ffiffiffiffi ffiffi EGLIr 40 L2/2L17965 SELF MALE :Marrled :FPRAO 0s/2212006 14:07 FAX 54'16075481 ALICE BOYLES IHSURANCE @ 002/002 cuStomer viewor Poli # ffiffiffi Househord I In9y1e.a..1. . q!.v'gll!n9.l .899919-t1Lrctl91 -c9:!.!.. 99y9.fige I.' ffiffi ,,,,,., ;,gi111 na"w : FI\RMERS It'IFliRAllGE' EXCHANG E: ftiffcy Type: + DWELLING ( Estimated Reconstruction c96!i $12r0o0 ) ,,. SEP STRTJCTURES + PERSONAI. PR9H T LO55 OF USE Iliqee: <i"--"+qtt !,qggg-o-, . . iAoooo $492:6e ncluded tncludedMEDICAL * Eaft hquake, YllSPnrYi, " CONTEITTS BEFL * Roof ACV .P@./.-.# lY": .. ird f "q . #a;, Not cover.d so.0( $0.00 . $o:00 ffiW $99.54,,+ Modltied $0.00 + E1-DG ORDINANCE ts.arffil1O ,!:t?..:lt-............. .... .......N....,.". :: " : :"',.'"': ::: "':i"."'-"":',;;n;):;;;;;i;;; ,i RE5IDENCE GL&SS. I ffi $o.00 :l, * AD91 PREMIsES '-..,.l]ii..i:iii:.i:..............'.'l1...'l'..:..i:'''.i'.'.'........l..'l.,...,.....,..... ,.,',;.;",:l.;i;''.., ;, ::$010g,,,,,,1,,w4+e6tnnrr,''.; ;.;.,,., .'' ..,,:;:::' ...i i,. 1" 'l:.... 1., .. iffil ffiffiffiffi p9 jigy : Nurn ter r 9bH 199 2zz Included 0S/22l2006 I2:00 FAX 5416075481 ffi. ETJ6ENE, OREEON 97402 Fhone; (54t) 6OVl l N I fa* (541) sOV548, FAX: P1IONE: - , -- crE, i_;t0Mt9lENl6: t#oN: &4TE q -a+-c>6 P4GE8: o5 ( (NOr ALICE BOYLES INSURANCE @ 00 1 /003 t6 'fitt. CC: {z 0S/22/2008 1 2 : 00 FAH 54 1 607548 1 JOHN M EGLI AND TAM] EGLI 305 N 36TH ST SPRINGT.IELD OR 97478-57I I (Spccid fornr) Ll Broad (Broarl lorm) {-l Firc, E.C' (BasicIrorm).------.......... E v8.MM Polky linit ol lidility: Dwelling Building or Mobile Honre Proreffion Deducrible Appticablc to Dwelling or Mobilc Homc Wind / Hail Deductiblc (if applicable) Evidence of Insurance for Mortgagee fntercsts (overup olforded by the polity ir provided by: [-l Firc Insurence Fxchange E Mid-Cerrury Insurancc Compa:ry . Thc (,t:rrrpany dcsignarcd orr d:e sec<,rnql page as nunrbcr l5 Sr,Dirt i7J Furmers Insurancc Exchangc lst Morgagcc Loan# 0509163658 2nrl Mortgagcc Loa.o #: Policy Numbcn 909t99277 Sccoud Morrgagcc: Thwnhoruc Ownec DI'-3 Condominiurrr O',r,neri DP-2 I Ad di tio nal tixtcnrlcd Covcragc $140,000.00 $250 Z All Insurcd Perils fi _ ALICE BOYLES IHSURAHCE @ 002/003 FARMERS, 32273 Agr. Morrgagr:c Namc alrd Address Nnmed Insurcd Ad&ces lacntion of Prcmises (lf,rrhr:r t hrn shown :rbovc) This frrm is not the €ontract of inourencc. [t is a merrrorsndunr of coveragc limitcd to rnortgagec ineresrs end appLicablc to thc dwslling building or mobile home ar rhc location above, Thc prvovisiuns of dre policy will prcvail in all rcspects. Effcctive Datc ovBl2aa6 trxpiration Darc tarcDo06 Pxtnplce ofTl,pes of Folicies Policy lype: Ll Acciclcnrel Dircct physical [.oss .... Spccial Form Horncowner - I'r<rtcclo! Plus Homeowncr; LandlonrJs Ptotccror; Totsl tutnual Policy Prcmir- $ ilq'?3 B'irl,lrce duc: $5.40 tormr ond lndorsenleiltr Applkoble ol lntcplion 542,U4{J40A lsTED,El+20? I ST IiD, Ii6Od4^ 3RD ED, E6I ZO ZND FD, E526EA IST ED, 116104A 2ND EDN $B BFU NS H6t06 ISTED, 11627l^ lsTF.D. ORoIoA IsTED's73 l r 4TH ED. 254219 905 ED, 25?87E 203 ED, 2585.10 1002 L,D' 14 Inss of Usc I Exrended Rcplaccmcnt Cosc This policy in,;ludes covcregc of up co 725oh of rhe dwdling covcragt- Ag*, Natuc and Adrltcss 'Alico V Boylct I925 Ernpire I'ark Dr F,ugene OR 97402 Autlurianj Rcpunmtiw Pn*idear I III' 09t2u2006 25-1160 lr.0J topy Distdbuthn: l,lortgogeot (opy, ilhrtgogBtt lwoke (ony, Ssnks ftftr Gpy,lgsnl frpy I)arc 'OCWEN LOAN SERVICING LLC ISAOA PO BOX 5723 SPRINGFIELD OH 4550I-6723 0s/22/2006 12:00 FAX 54'18075481 ,qLICE BOYLES INSURANCE Farmers fnsurance Group of Companies Designations ' 4. Illir:ois Fermers Insurancr Company Aurora, Illinoi* " 5, I?arrners Insuraace Company, Inc. Sh:rwncc Mission, Kinsas ' 6, Farmcrs Insurance Company of ldaho pocatcllo, Idaho* 7, Farnrets Insurancc Compan;r of Arizrna phoenix. Arizona ' 8. Fsrmcrs Insurancc Cornpany of Washington Vansouv,:r, Vashingron+ 9, Fzu'rners In.turtnce Comgany of Orcgon 'f g1rd, Orcgon* 19, Faurrtrs lnsurancc of Columhus, Inc. Cotumbus. Ohio ' Nor licensctl r.rr opcmring in thc srares of lGnsas and Coloradr.r +* Nor licenscd or opcrarilg in the sure of Coloqdo @ 003/003 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Buitding/C ombination Permit PERMIT NO: COM2006-00371ISSUED: 0510212006APPLIED: 0312912006 EXPIRESz 1110212006VALUE: $ 28,080.00 SITE ADDRESS: 305 36TH ST ASSESSOR'S PARCEL NO.: 1702314203600 PROJECTDESCRIPTION: Shop Owner: Address: Contractor Tvpe General JOHN EGLI 305 36TH ST SPRINGFIELD OR 97478 calling the .1umberfor Residential t-741-6615 Expiration Date Phone 6t6-455-2223 Contractor OWNER License CONTRACTOR INFORMATION BUILDING INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: # of storl{0llGE: Lot Size: gtffifl:ff#i s HA L L ExP R8tdlil.frt;" ilil,:-Lfl$,1** g^ i ,,i,j, ^ I X -"ffi ffi#*nt U VN rport 1,080 5.00 10.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Sidewalk Type: Downspouts/Drains: $ Per Sq Ft or mulfiplier Square Foofage or Bid Amount V Description Type of Construction Pase 1 of3 Value Date Calculated Utility Notification Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00371ISSUED: 0510212006 APPLIED: 0312912006 EXPIRES: 1110212006VALUE: $ 28,080.00 Garage Garage Fee Description Plan Review Residential + lLoh Administrative Fee + 87o State Surcharge Building Permit SDC Sanitary/Storm Admin Storm Drainage ImPervious Area Storm Sewer - lst 50 Feet Storm Sewer Each Addtl100' Total Amount Paid Initial Review Planning Review Public Works Review $26.00 1,080.00 Total Value of Project Date Paid Receipt Number 1200600000000000366 2200600000000000545 2200600000000000545 2200600000000000545 2200600000000000545 2200600000000000545 2200600000000000545 2200600000000000545 $28,080.00 $28,080.00 03t29t2006 Amount Paid $161.07 $30.68 s24.s4 $247.80 $7.87 $157.30 $4s.00 $14.00 $688.26 3t29106 5t2106 5t2106 5t2t06 st2l06 5t2t06 5t2t06 st2l06 03/30i2006 03/30/2006 03/30/2006 03/30/2006 0411012006 0410312006 APP APP APP SKG TAJ CAS No Planning issues. Credit given for demo 33x20.Storm drainage piped to curb face 4/312006 CAS Possible encroachment Permit required if digging in ROW Structural Review 03/30/2006 0411812006 APP RWC To Req uest an insPection call the 24 hour recording at 726-3769'All inspectio n 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 Footing: After trenches are excavated' Framinglnspection:Priortocoverandafterallroughininspectionshavebeenapproved. Finar Building: Atler arl required inspections have been requested and approved and the building is complete' Storm Sewer Line: Prior to filling trench' F ees Paid Plan Page 2 of 3 ,'hh, Issred 25 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line B u ildt ng/Co m bin a tio n perrn i t PERMIT NO: COM2006-00371ISSUED: 0510212006APPLIED: 0312912006EXPIRES: 11102/2006VALUE: $ 28,080.00 Owner or Contractors 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 .rrr.* thut 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. 5-;'-0( Date Pag,e 3 oI3 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Ci+., of Springfield Official Receipt L _.;lopment Services Department Public Works Department RECEIPT #: 2200600000000000545 Date: 0510212006 e:56:37AM Iob/Journal Number coM2006-00371 coM2006-00371 coM2006-00371 30M2006-00371 loM2006-00371 loM2006-00371 loM2006-00371 Description Storm Drainage Impervious Area SDC Sanitary/Storm Admin Building Permit Storm Sewer - lst 50 Feet Storm Sewer Each Addtl 100' + 8% State Surcharge + 1jYo Administrative Fee Amount Due 157.30 7.87 247.80 45.00 14.00 24.54 30.68 Item Total:$527. I 9 Payments: lype of Payment Paid By Received By Batch Number Number How Received Amount Paid Uheck Number A lreditCard TAMI G EGLI dlm 002826 In Person $527.19 Payment Total: -.........Mif Page 1 of \ 51212006 CITY OF SFr{NGFIELD SYSTEMS DEVELOPMEN, .VORKSHEET JOURNAL OR JOB NUMBER: COM2006-00371 NAME OR COMPANY:John LOCATION:305 36th Street TAX LOTNUMBER:1702314203600 DEVELOPMENT TYPE SINGLE FAMILY RESIDENCE NEW DWELLING UNITS 0 I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM COST PER S.F $0.323 BUTLDTNG SrZE (SF) 1080 LOT SIZE (SF): CHARGE $157.30 1 0700 asl l-.1 O &HFa o rq& IMPERVIOUS S.F. x 487.00 RLINOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F 0.00 NUMBER OF DFU's 0 B. IMPROVEMENT COST: NUMBER OF DFU's 0 ADTTRIP RATE 9.57 B. IMPROVEMENT COST: ADTTRIP RATE 9.s7 SUBTOTAL $ 157.30 COST PER S.F $0.323 COST PER DFU $25.07 $ r 9.07 NUMBER OF UNITS 0 NUMBER OF TNITS 0 ADM. FEE RATE 5'/o DISCOUNTRATE 50o/" $15730 DISCOLTNT $0.00 x x x x x x x x ITEM 1 TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I 070 1091 1092 I 093 I 094 1 054 1055 1 054 1056 ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3. TRANSPORTATION A. REIMBTIRSEMENT COST: $0.00 COST PER TRIP $ r 9.09 COST PER TRIP $84. I 9 $0.00 NEW TRIP FACTOR 1.00 NEW TRIP FACTOR 1.00 xx xx ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A. REIMBURSEMENTCOST: NUMBER OF FEU's 0 B. IMPROVEMENT COST: NUMBER OF FEU'S 0 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATTVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC SUBToTAL (ADD mEMS 1,2,3, & 4) 5. ADMINISTRATIVE FEE: $0.00 $r57.30 CHARGE $7.87 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: CherylSlaymaker 4t3/2006 COST PER FEU $82.03 COST PER FEU $865.31 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 7 r@il DATE TOTAL SDC CHARGES 079 x PREPARED BY DRAINAGE FIXTURE UNIT CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT: DRAINAGE FXTURE UMTS FOR CALCULATE ONLY THE NETADDITIONAL NO. OF FIXTURES T]NIT FIXTURE TYPE NEW OLD IVALENT MISCELLANEOUS DFU TYPE NUMBER OF EDU'S TOTAL DRAINAGE FIXTURE UNITS lsa toa unit set at I 67 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE 20 DRAINAGE FlxruRE LTNITS 0 2 1979 *EDU BEFORE I979 1979 1980 1981 1982 1983 1984 I 985 1986 1987 1988 I 989 1990 l99l 1992 1993 1994 1995 1996 1997 1998 1999 $5.29 $5.29 $5.1 9 $5.12 $4.98 $4.80 $4.63 $4.40 $4.07 $3.67 $3.22 $2.73 $2.25 $1.80 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 CREDIT FOR LAND (IF APPLICABLE) 2 VALUE/ 1000 $0.00 CREDITRATE $5.29x CREDIT FOR IMPROVEMENT OF AFTERANNEXATION) VALUE/ IOOO CREDITRATE $0.00 x $5.29 TOTALMWMC CREDIT$1.59 $1.45 $1.25 $1.0e $0.92 $0.72 $0.48 $0.28 $0.09 $0.0s BATHTUB 0 0 3 0 DRINKING FOTJNTAIN 0 0 1 0 FLOOR DRAIN 0 0 3 0 INTERCEPTORS F'OR GREASE / OIL / SOLIDS / E'tC.0 0 3 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6 0 LALINDRY TUB 0 0 2 0 CLOTTIESWASHER i MOP SINK 0 0 3 0 CLoTHESWASITER - 3 OR MORE (EA)0 0 6 0 MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0 RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0 SHOWE& SINGI-E S'TALL 0 0 2 0 sHowE& GANG ($A,IBER OF HEADS)0 0 2 0 SINK: COMMERCIAL/RESIDENTTAL KITCTIEN 0 0 3 0 SINK: COMMERCIAL BAR 0 0 2 0 SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 0 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 0 TIRINAL, STALL / WALL 0 0 5 0 TOILET, PUBLIC INSTALLATION 0 0 6 0 TOILET, PRIVATE INSTALT,ATION 0 0 3 0 YEAR ANNEXED CREDIT RATE/$I,OOO ASSESSED VALUE 0 2000 2001