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Home My WebLink AboutPermit Building 2003-04-10Building/Combination Permit PERMIT NO: COM2003-00022ISSUED: 0411012003 APPLIEDT 0111412003 EXPIRES: 10/1012003VALUE: $ 91,819.00 SITE ADDRESS: 191 35th St ASSESSOR'S PARCEL NO.: 1702313101500 PROJECTDESCRIPTION: SFR Owner: NEDCO Address: 775 MONROE EUGENE OR 97402 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Residential Phone Number: 541-345-7106 Contractor TYpe General Electrical Owner Plumbing Contractor RAINBOW VALLEY DESIGN & CONSTR L&EELECTRICINC NEDCO DOUGS PLUMBING INC License s6107 105475 110163 Expiration Date 04t04t2006 03t30t2004 Lu24t2003 Phone 541-342-4871 541-933-26s3 541-34s-7106 541-688-3385 # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: 4,292 576 576 300 I R-3 u-1 VN YN 3 1 25.00 Wall Heat Electric Electric Path 1 10.00 22.00 15.00 14.00 34.00 , Yes 20.00 Sidewalk Type: REQUIRED PARJ(NG Total: 2 Handicapped: Compact: Setback 5' Sewer are set tort has l h oAR 952-001 Street Improvements: Storm Sewer Available: Snecf,ffigption: xot.JHlS PERfv4lT SHA AUTHOR|ZED UND Fully Improved Yes Storm sewer to private line. Sidewalk both house demo ( 1 THIS PERMIT IS NOT burb E COMMENCED OR IS ABANDONED FOR ANY 1BO DAY PERIOD. 0090..You may obtain copios of the rules b) calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1 -900-33 Z-Zg44l. PUBLIC IMPROVEMENTS Page I of4 L [J Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line UUN lNt(JrflYrArruN I lJUlLt lN G rN! lrr(IvrA r ruNl t_[,vt L(rrlv[[N r rl\ryJ 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: COM2003-00022ISSUED: 0411012003 APPLIEDz 0111412003 EXPIRES: 10/1012003VALUE: $ 91,819.00 Description Dwellings Garage Tvpe of Construction V Wood Frame Garage Value $85,939.20 $5,880.00 $91,819.20 Date Calculated 0u14t2003 0u14t2003 $ Per Sq Ft Square Footase $74.60 1,152.00 $19.60 300.00 Total Value of Project Amount Paid Date Pai Receipt Number 1200200000000000544 1200200000000000743 1200200000000000743 1200200000000000743 1200200000000000743 1200200000000000743 1200200000000000743 1200200000000000743 1200200000000000743 1200200000000000743 1200200000000000743 1200200000000000743 1200200000000000743 1200200000000000743 1200200000000000743 1200200000000000743 1200200000000000743 1200200000000000990 1200200000000000990 1200200000000000990 1200200000000000990 Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0o/o Administrative Fee + 77o State Surcharge 2 Baths One or Two Family Addressing Assignment Building Permit Curbcut Permit Curbcut Repair Dryer Vent Exhaust Hoods Minimum/Adj ustment Mechanical Plan Review - Planning SDC Sanitary/Storm Admin Storm Drainage Impervious Area Vent Fan Willamalane Single Family + l0Yo Administrative Fee + 7%o State Surcharge Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl500 Total Amount Paid $347.39 $10.00 $83.3s $s8.34 $2s4.00 $8.00 $534.45 $7s.00 $30.00 $6.00 $9.00 $18.00 $s9.00 $1.42 $28.34 $12.00 $1,000.00 $12.50 $8.75 $106.00 $19.00 ut4t03 2t24t03 2t24t03 2t24103 2t24t03 2t24t03 2t24t03 2t24t03 2t24t03 2t24t03 2t24t03 2t24t03 2t24t03 2t24t03 2t24103 2t24t03 2t24t03 4n0t03 4n0t03 4n0t03 4n0t03 $2,680.54 tr'ees Paid Plan Reviews Initial Review 0,/16t2003 0u17t2003 APP LLH Paee2 of 4 T L}. Valuation Descriotion I Status Issued 225 Fifth Street, Springfield' OR 541-726-3753 Phone 541-726-3676Fax S4l-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2003-00022ISSUED: 0411012003 APPLIEDz 0111412003 EXPIRES: 10/1012003VALUE: $ 91,819.00 Planning Review Public Works Review Structural Review 0il17t2003 02t20t2003 APP EMM 0u1712003 0212012003 APP VRJ 0u1712003 02t2u2003 APP TCM On hold. Called Rainbow Valley Design and left message. Driveway needs to be relocated to the southwest corner of property and other curbcut closed as per the Notice of Decision for approval of Doria Subdivision. Revised plan. Gary McKenney and Ron Sather have approved new driveway location as per Subdivision Journal 2001-01-0019. Curb replacement must meet City specs. Curb must be doweled into the curb both directions. Contact Ron Sather #726-2240 ifcontractor has questions. SDC Credit for demo ( ground floor 1430 sq ft and 2 bathroom home). Original for same as plans 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 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to coyer. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. Underground Plumbing: Prior to filling the trench and including required testing. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Page 3 of4 2 3 4 5 6 7 8 9 10 11 t2 13 t4 15 16 17 18 t9 20 2t ,,1 {r! Reouired Insnections Status Issued 225 Fifth Street, Springfield' OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2003-00022ISSUED: 0411012003APPLIED: 0111412003 EXPIRES: 10/1012003VALUE: $ 91,819.00 23 Curbcut - Close & Repair: After forms are erected but prior to placement of concrete. 24 Curbcut - Standard: After forms are erected but prior to placement of concrete. 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 perforrned 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 wiII be used on this project. I further agree to ensure that alt 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 during construction. a-to o Owner or Contractors Signature Date Page 4 of 4 ll \ 4/t012003 2:34:49PM City of Springfield Development Services I)epartment Public \ilorks Department Official Receipt 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Receipt #z 1200200000000000990 Date: 0411012003 - re Items: Job/Journal Number Description Amount Paid coM2003-00022 coM2003-00022 coM2003-00022 coM2003-00022 Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 7o/o State Surcharge + llYo Administrative Fee Payments: 106.00 19.00 8.75 12.50 Line ltem Total:$146.2s Type ofPayment Paid By Received By Check Number Confirm No How Received Amount Paid Check RAINBOW VALLEY CONSTRUCTION lkw 6021 In Person 146.25 Total:$146.25 Page t of I cReceipt.rpt *F,*lilg#ffiffi*e 22s FrFrrr srREEr . SPRiNGFIELD, oRs7477 r PH:(54r)726-37s3 .d$n"Q#,?i?rfalffl*:,n,gt:fi;,L""t'1",:'"n ELECTRICAL PERMIT APPLICAruON zanrns and does approval LD(LCityJobNumber fa\ 7OO1*pOO?L Dare 1. LACAT'ION OF INSTALI-A'fiON . .3 Ailthorized Signature Service Included 1000 sq. ft. or less Each additional500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder B. 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only C. Pump or irrigation Sigr/Outline Lighting Limited Energy/Residential Limited Energy/Commercial Minimum Electric Permit Inspection Zoning LEGAL DESCRIPTION JOB DESCRIPTION Permits if work is not started within I days of issuance or if work is Suspended for 180 days. ) Electrical Conffactor Address DI n r la *, pr,o,,e t{8S- JoV Z Supervisor License Number 4fa_5_ $106.00 $ 19.00 $50.00 $to@ @ Ciry s 63.00 $ 75.00 $125.00 $ 163.00 $375.00 $ 50.00 Expiration Date to/t'oY Installation, Alteration or Relocation 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600 or 1000 Volts see "B" above. or Extension Per Panel Circuit or with $ 43.00 $ 3.00 --1 Constr. Contr. Number +J Y Expiration Date 3a Signature of Supervising Electrician Owners Name Address *115 City A)b Phorc 5I*5 1lo lo OWNER INSTALLATION The installation is being made on properry I qwn is not intended for sale, Iease or rent. ,,... Owners Signature: E. $ 50.00 $ 50.00 $ 2s.00 $ 4s.00 Fee is $45.00 * Surcharges a €r Fee Ilrspection Request: 726-3769 Shared Drive(T:/Building Fonns/Electrical Pennit Application l-03.doc lb A. i Ne; ileiitlentiat - Single or Mriti-r'amity per drvellin$ unit.' ' : .,1 I not iucluded) -EaCh Installation t'a- CITY OF S FIELD Status: Issued 225 Fifth Stree( Springfield, OR 541:726-3753 Phone 541-726-%76 Fax 541:726-37 69 Inspection Line Buildin g/C ombinatio n Per mit PERMIT NO: COM2003-00022ISSUED: 0212412003APPLIEDz 0111412003E)PIRESz 0812312003VALUE: $ 91,819.00 SITE ADDRESS: 19135th St ASSESSOR'S PARCEL NO.: 1702313101500 PROJECTDESCRIPTION: SFR Owner: NEDCO Address: 775 MONROE EUGENE OR 97402 Springfield TYPE OF TYPEOF USE: License 56107 105475 110163 Single Family Residence Residential PhoneNumber: 541-345-7106 Phone Number: 541-345-7106 Contractor Type General Electrical Owner Plumbing Contractor RAINBOW VALLEY DESIGN & CONSTR L&EELECTRICINC NEDCO DOUGS PLUMBINGINC Expiration Date 04t04t2006 0313012004 11124t2003 Phone 541-342-4871 541-933-2653 541-345-7106 541-688-3385 CONTRACT OR INF ORMATI ON BUILDING INFORMATION # of Buildings: Primary Occupancy Group: Secondary Occupancy Frimary Construction Type Secondary Construction # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I R-3 u-1 \rI{ VN 3 # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Overlay Dist: # Street Trees Paved Drive Rqd: oh ofLot Coverage: ) 2s.00 Wall Heat Electric Electric Path I Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: 4,292 576 576 300 10.00 22.00 15.00 14.00 34.00 ) Yes 20.00 REQUIRED PARKING Total: 2 Handicapped: Compact: Street Fullv Improved Setback 5' Storm Sewer Available: Yes DownspoutVDrains I , ., ,Tq Storm Sewer Special Instruction: Storm sewer to private line. Sidewalk existing. Curb replacement must meetGity"qpe,cs. Curb lT,:lT,:."[X,1ii'[T,1f,1x'*ff "lTf#H:f; ."u',,',ro"copttactorhas Sidewalk Type: PUBLIC IMPROVEMENTS lof4 L,ll, V rrr-(JrlvrrrN r. tl\ { q5lYrA _1lLlN_l Status: Issued 225 Fifth Street, SpringfieH, OR 541:726-3753 Phone 541-726-3676 Fax 541:726-37 69 Inspection Line Buildin g/C omb ination Permit PERMIT NO: COM2003-00022ISSUED: 0212412003APPLBDz 0111412003E)PIRES: 0812312003VALUE: $ 91,819.00 Descrbtion Dwellings Garage Type of Construction V Wood tr'rame Garage $ Per Sq Ft Square Footage $74.60 1,152.00 $19.60 300.00 Total Value of Project Value $85,939.20 $5,880.00 $91,819.20 Date Calculated 0y14t2003 0u14t2003 Amount Paid Date Receipt Number 1200200000000000544 1200200000000000743 1200200000000000743 r200200000000000743 1200200000000000743 1200200000000000743 1200200000000000743 1200200000000000743 1200200000000000743 1200200000000000743 1200200000000000743 r200200000000000743 1200200000000000743 1200200000000000743 1200200000000000743 1200200000000000743 1 200200000000000743 Fee Description Plan Review Residential -Mechanical Issuance Fee- + l0o/o Administrative Fee + 7Yo State Surcharge 2 Baths One or Two Family Addressing Assignment Building Permit Curbcut Permit Curbcut Repair Dryer Vent Exhaust Hoods Minimum/Adj ustment Mechanical Plan Review - Planning SDC Sanitary/Storm Admin Storm Drainage Impervious Area Vent Fan Willamalane Single Family Total Amount $347.39 $10.00 $83.35 $s8.34 $254.00 $8.00 $534.45 $75.00 $30.00 $6.00 $9.00 $18.00 $s9.00 $1.42 $28.34 $12.00 $1,000.00 ut4t03 2t24t03 2t24103 2t24103 2t24t03 2t24t03 2t24103 2t24t03 2t24t03 2t24103 2t24t03 2124t03 2t24t03 2t24t03 2t24t03 2t24t03 2t24103 $2,534.29 Plan Reviews Initial Review Planning Review 0Ut6t2003 0ur712003 0u17t2003 02t20t2003 APP APP LLH EMM On hold. Called Rainbow Valley Design and left message. Driveway needs to be relocated to the southwest corner of property and other curbcut closed as per the Notice of Decision for approval of Doria Subdivision. Revised plan. Gary McKenney and Ron Sather have approved new driveway location as per Subdivision Journal 2001-01-0019. 2of4 Valuation Description I r{ell.f!!!q_l Status: Issued 225 Fifth Street Springfield, OR 541:726-3753 Phone 541-726-3676 Fax 541:726-37 69 Inspection Line SPRINGFIELD Buildin g/C ombination Permit PERMIT NO: COM2003-00022ISSUED: 0212412003 APPLIEDz 0111412003E)?IRES: 08/2312003VALUE: $ 91,819.00 Public Worls Review Structural Review 0u17t2003 02t20t2003 APP VRJ 0y1712003 02t2u2003 APP TCM Curb replacement must meet City specs. Curb must be doweled into the curb both directions. Contact Ron Sather #726-2240 if contractor has questions. SDC Credit for demo ( ground floor 1430 sq ft and 2 bathroom home). Original for same as plans 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. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. 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. Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. Underground Plumbing: Prior to filling the trench and including required testing. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Curbcut - Close & Repair: After forms are erected but prior to placement of concrete. Curbcut - Standard: After forms are erected but prior to placement of concrete. I ) 3 4 5 6 7 8 9 l0 11 12 r3 t4 15 t6 t7 18 t9 20 2t 22 23 24 3 of 4 Keqrilreo lnspecuons I Status: Issued 225 Fifth Street, SpringfieH, OR 541:726-3753 Phone 541-726-3676 Fax 541:1 26-37 69 Inspection Line Buildin g/C ombin ation Permit PERMIT NO: COM2003-00022ISSUED: 0212412003APPLIED: 0111412003E)PIRES: 08/2312003VALUE: $ 91,819.00 By signature, I state and agree, that I have carefully examined the completed application and do hereby certi$ 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 certiff 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 front of the property, and the approved set of plans will remain on the site L'Lq- 03 Owner or Contractors Signature Date 4of4 2/24/2003 l:01:39PM City of Springfield Development Services Department Public Works l)epartment Oflicial Receipt 225 Fifth Street Springfieldo Oregon 97 477 541:726-3759 Phone Receipt #: 12002000000000 007 43 Date: 0212412003 re ltems: Job/Journal Number Description Amount Paid coM2003-00022 coM2003-00022 coM2003-00022 coM2003-00022 coM2003-00022 coM2003-00022 coM2003-00022 coM2003-00022 coM2003-00022 coM2003-00022 coM2003-00022 coM2003-00022 coM2003-00022 coM2003-00022 coM2003-00022 Addressing Assignment Willamalane Single Family Building Permit 2 Baths One or Two Family Vent Fan Exhaust Hoods Dryer Vent Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- Plan Review - Planning Curbcut Permit Curbcut Repair + 7Yo State Surcharge + l0o/o Administrative Fee Storm Drainage Impervious Area 8.00 1,000.00 534.4s 254.00 12.00 9.00 6.00 18.00 10.00 59.00 75.00 30.00 s8.34 83.35 28.34 Page I of2 cReceipt.rpt 2/24/2003 l:01:39PM City of Springfield Development Services Department Public Works Ilepartment Official Receipt 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Receipt #: 12002000000000 007 43 Date: 0212412003 SDC Sanitary/Storm Admin 1.42 Line Item Total: How Received Amount Paid RAINBOW VALLEY 2,186.90 $2,186.90 $2,186.90 Payments Check lkw 5699 coM2003-00022 Received By Check Number Confirm NoTlpe of Payment Paid By In Person Payment Total: Page 2 of 2 cReceipt.rpt CITY OF SPRINGFIELD SYSTEMS DEVELOPME]VT WORKSHEET JOURNAL OR JOB NUMBER: Com2003-00022 NAMEORCOMPANY: NEDCO LOCATION 191 35th Street TAX LOTNUMBER:17023131 tt7400 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS 0 BUILDING SIZE 1452 LOT SrZE (SF)4292 ar! L.l u)U &H3a r!& 1070 1091 t092 1093 1094 1054 1055 1054 1056 079 078 1. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM COST PER S.F s0.282 CHARGE $28.34 DESIGNED AND CONSTRUCTEDTO CITY STANDARDS IMPERVIOUS S.F 0.00 x COST PER S.F s0.282 x DISCOUNTRATE 50% DISCOLINT $0.00 ITEM 1 TOTAL - STORM DRAINAGE SDC $28.34 $28.34 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: NUMBER OF DFU's 0 x COST PER DFU s22.09 B. IMPROVEMENT COST: NUMBER OF DFU's 0 x COST PER DFU s 16.79 ITEM 2 TOTAL - CITY SANITARY SEWER SDC $0.00 3. TRANSPORTATION A. REIMBURSEMENTCOST: ADT TRIP RATE 9.57 x NUMBER OF UNITS 0 x COST PER TRIP $ 16.81 x NEW TRIP FACTOR 1.00 : I $o'oo B. IMPROVEMENT COST: ADT TRIP RATE 9.57 x NUMBER OF TINITS 0 x COST PER TRIP $74.17 x NEWTRIP FACTOR 1.00 = I $o.oo ITEM 3 TOTAL - TRANSPORTATION SDC $0.00 4. SANITARY SEWER - MWMC A. REIMBURSEMENTCOST: NUMBEROFFEU's 0 x B. IMPROVEMENT COST: NUMBER OF FEU's 0 x MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SD( = = I $o.oo : I so.oo $0.00 COST PER FEU $332.86 COST PER FEU s34.83 SUBTOTAL (ADD ITEMS I,2,3, & 4)$28.34 5. ADMINISTRATIVE FEE: SUBTOTAL s28.34 x ADM. FEE RATE 5% CHARGE $1.42 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE I so.oo Steve Templin 2t24t2003 PREPARED BY DATE TOTAL SDC CHARGES x 76 DRAINAGE FIXTURE UNIT CALCULATION TABLElrtr u NUMBER OF NEW FIXTURES x T]NIT EQUVATENT : DRAINAGE FIXTURE UNITS DRAINAGE FIXTURE UNITS NO. OF FIXTIIRES FIXTURE TYPE NEW OLD (NOTE: FOR REMODELS, CATCULATE ONLY TIIE NET ADDITIONAL UNIT EQUIVALENT BATHTUB 0 0 3 0 DRINKING FOUNTAIN 0 0 1 0 FLOORDRAIN 0 0 3 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6 0 LAI-]NDRY TUB 0 0 2 0 CLOTHESWASHER / MOP SINK 0 0 3 0 CLOTHESWASHER - 3 OR MORE (EA)0 0 6 0 MOBILE HOME PARK TRAP (1 PER TRAILER)0 0 12 0 RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0 SHOWER, SINGLE STALL 0 0 2 0 SHOWER, GANG (NUMBER OF HEADS)0 0 2 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 0 SINK: COMMERCIALBAR 0 0 2 0 SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 0 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 0 I,'RINAL, STALL / WALL 0 0 5 0 TOILET, PUBLIC INSTALLATION 0 0 6 0 TOILET, PRIVATE INSTALLATION 0 0 3 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 0 TOTAL DRAINAGE FIXTURE UNITS +EDU lsa toa unit set at 167 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED CREDIT RATE/$I,OOO ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR 2 0 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1OOO $0.00 CREDITRATE s4.92x CREDIT FOR IMPROVEMENT OF AFTER ANNEXATION) VALUE/ lOOO CREDITRATE $0.00 x $4.92 TOTAL MWMC CREDIT BEFORE I979 $4.92 1979 s4.92 1980 $4.83 198 I $4.77 1982 $4.64 1983 $4.47 1984 $4.30 I 985 $4.09 1986 $3.78 1987 $3.4r I 988 $2.98 1989 $2.52 1990 $2.06 1991 $1.64 t992 s1.45 1993 $r.31 1994 s l.l3 1995 $0.97 1996 s0.82 1997 $0.63 1998 s0.41 1999 s0.22 2000 $0.04 20 l-$d:6b- 1-d-