HomeMy WebLinkAboutPermit Building 2004-09-03Status Issued
225Fifith Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2004-01025ISSUED: 0910312004APPLIED: 08/1812004EXPIRESz 0412012005VALUE: $ 21,621.00
SITE ADDRESS: 193 S 46TH ST
ASSESSORTS PARCEL NO.: 1702324201300
PROJECT DESCRIPTION: Addition to existing sfr
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition Residential
License Expiration Date Phone
Owner:
Address:
POCHOLEC LISAMARIE
193 S 46TH ST SPRINGFIELD OR 97478
Contractor Type
General
Contractor
OWNER
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
%o ofLot Coverage:
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$92.40 234.00
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
R-3
\rN
234
nla
35.00
6.00
REQUIRED PARIflNG
Total:
Handicapped:
Compact:
Description
Dwellings
Type of Construction
V Wood Frame
Storm sewer shall be directed to existing
22.80
Sidewalk Type:
Downspouts/Drains:
Value
s21,627.60
$21,621.60
Date Calculated
08/18/2004
PUBLIC IMPROVEMENTS
Total Value of Project
\-\r1\ I. ILrrL r (rI( rL.t _t! \rILlvlA I -t \JN _l
11 U ILI-rlN rJ rN I Ur(1vrA! {2N_.]
Lrr-vEL(rrrYtt r\ I il\t'(rl(YlAl l(J]\ r
Valuation Description I
Status Issued
225 Fifth Street, Springfield, OR
54l-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2004-01025ISSUED: 0910312004APPLIED: 08/1812004
EXPIRESz 0412012005VALUE: $ 21,621.00
Fees Paid
Fee Description
Plan Review Residential
+ l0o/o Administrative Fee
+ 7oh State Surcharge
Building Permit
Plan Review Minor - Planning
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
+ l0oh Administrative Fee
+ 7%o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Amount Paid
$130.6s
$20.10
$14.07
$201.00
$59.00
$4.4s
$88.97
$4.90
$3.43
$43.00
$6.00
$575.57
Date Paid
8i18/04
9t3t04
9t3t04
9t3t04
9t3t04
9t3t04
9t3104
t0t2U04
t0t2u04
t0tzu04
t0tzu04
Receipt Number
1200400000000001228
1200400000000001308
1200400000000001308
r200400000000001308
1200400000000001308
120040000000000r308
1200400000000001308
1200400000000001489
1200400000000001489
1200400000000001489
120040000000000r489
Plan Reviews
Initial Review
Planning Review
Public Works Review
Structural Review
08fi812004
08n8t2004
08n8t2004
08/18/2004
08t27t2004
08t2u2004
APP
APP
APP
SKG
TAJ
MS 812112004 - Storm drainage shall be
directed to existing. -MS
08/18/2004 09t0U2004 APP RJB
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.
Footing: After trenches are excavated.
Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
Floor Insulation: Prior to decking.
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.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
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.
Reorrired fnsneefions
Page 2 of3
L t:
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Rax
541-726-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2004-01025ISSUED: 0910312004APPLIED: 08/1812004EXPIRESz 0412012005VALUE: $ 21,621.00
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.
Owner or Contractors Signature Date
Pase 3 of3
r L rL
225 fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
^i1y of Springfield Official Receipt
-.-evelopment Services Department
Public Works Department
RECEIPT #: 1200400000000001489 Date: 1012112004 8:24:53AM
Job/Journal Number
coM2004-01025
coM2004-01025
coM2004-01025
coM2004-0102s
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7o/o State Surcharge
+ 10Yo Administrative Fee
Amount Due
43.00
6.00
3.43
4.90
Item Total:$s7.33
Payments:
Type ofPayment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
Check LISA POCHOLEC ddk I 820 In Person 557.33
Payment Totd:
-55ffi
1012112004 Page I of I
anmf-n
225 FIFTH STREET . SPRINGFIELD, OR97477 o PtI:(541)726-3753 o FAX: (5al)726'3689
E I,E CTRI CAL P ERMTT AP P LI CATT ON
lo o
City Job Number Cfu^Zfio +- 0 toZs;Date 7D
3.
A.
Service
1000
Each
Each
400 Amps
600 Amps
601 Amps to 1000 AmPs
Over 1000 AmPs/Volts
Reconnect OnlY
to 400 Amps
to 600 Amps
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
Oregon
adopted b
1-0010
-
sl
obtain copies of the rules b
$ 63.00
$ 75.00
SPFtlIttGtlELD
$125.00
$163.00
s375.00
$ s0.00
$ 69.00
$100.00
'L-----S 43.00
Z $ 3.oo
,/3"o
LEGAL DESCBJPTION\\w'bu
JOB DESCRtrTION
3
Permits are non-transferable and expire
i not started within 180 days of is4i|Bce
Suspended for 180 daYs.
2.
Electical Contractor
Address
Supervisor License c.
Expiration
Constr.Number I'l
Expiratiou Date
TH
AU
Signanrre of Supervising Electrician D.
AN
Installation' Alteration or Relocation
200 Amps or less $ 50'00
ae
City
Owners
Address
Ut(
OWNERINSTALLATION
' The installation is being made on propcrty I own which
is not intended for sale, lcase or rent.
Signature:
E.
Pump or irrigation $ 50'00
Sign/Outline Lighting $ 50'00
Limited Energy/Residential $ 25'00
Limited Energy/Commercial $ 45'00
MinimumElectricPermitlnspectionFeeis$45.00*Surcharges
'7%Srztp Surchargc
10% Administrative Fee
TOTAL 3
City 1 \) ^Sf, ( / Phoo"T Ab - qfd)
oo
Inspection Request 726'37 69
4.
Sharcd Drive(T: VBuilding Forms/Electrical Permit Appl ication l'03'doc
n3 <. q/"SI
\\
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: COM2004-01025ISSUED: 0910312004APPLIED: 08/1812004EXPIRES: 03/0312005VALUE: $ 21,621.00
SITE ADDRESS: 193 S 46TH ST
ASSESSOR'S PARCEL NO.: 1702324201300
PROJECT DESCRIPTION: Addition to existing sfr
Springlield TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition Residential
License Expiration Date Phone
Owner:
Address:
POCHOLEC LISAMARIE
193 S 46TH ST SPRINGFIELD OR 97478
Contractor Type
General
Contractor
Owl\ER
CONTRACTOR INFORMATION
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Rearyard Setback: I'lvlg
Solar Setbacks: 4N Y
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Y,riLLot Coverage:
rHE
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
R-3
VN
234
nla
Frontyard Setback:
No r/cF.ss.oo Overlay Dist:
Side I Setback:THIS # Street Trees Rqd:
Side 2 Setback:Tq,Paved Drive Rqd:
REQUIRED PARIflNG
Total:
Handicapped:
Compact:
RIOD,
Storm sewer shall be directed to existing
22.80
Sidewalk Type:
Downspouts/Drains:
Value
$21,621.60
$21,621.60
EXpI
rHIS I)
Description
Dwellings
Type of Construction
V Wood Frame
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$92.40 234.00
Date Calculated
08/18/2004
DEVELOPMENT INFORMATION
Total Value of Project
T
IrUllJl-rll\(, 11\I U-r(lvlA l. l(rl\ |
s are set tortl
nh oAR 952'001
er. (Note:the t
rules b;
otificationtt
Valuation Description I
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: COM2004-01025ISSUED: 0910312004APPLIED: 08/1812004EXPIRES: 03/0312005VALUE: $ 21,621.00
tr'eps Peid
Fee Description
Plan Review Residential
+ l0Yo Administrative Fee
+ 7%o State Surcharge
Building Permit
PIan Review Minor - Planning
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Total Amount Paid
Amount Paid
$130.6s
$20.10
$14.07
$201.00
$s9.00
$4.4s
$88.97
$518.24
Date Paid
8n8t04
9t3t04
9t3t04
9t3t04
9t3t04
9t3t04
9t3t04
Receipt Number
1200400000000001228
1200400000000001308
1200400000000001308
120040000000000r308
1200400000000001308
r20040000000000r308
r200400000000001308
Plan Reviews
Initial Review
Plannins Review
Public Works Review
08/18/2004
08t18t2004
08n8t2004
0811812004
0812712004
08t2u2004
APP
APP
APP
SKG
TAJ
MS 812112004 - Storm drainage shall be
directed to existing. -MS
Structural Review 08n8t2004 0910U2004 APP RJB
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.
Footing: After trenches are excavated.
SIab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
Floor Insulation: Prior to decking.
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.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
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.
Reouired Insnections
Paee 2 of 3
L L]LI
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: COM2004-01025ISSUED: 09t03t2004APPLIED: 08/18t2004EXPIRES: 03/03t2005VALUE: $ 21,621.00
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that allinformation hereon is true and correct, and I further certify that any and all woik 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 OCCTIPANCY 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.
n7-
Owner or Contractors Signature Date
Pase 3 of3
E-m
225 Fifth Street
Springfreld, Oregon 97 477
541,-726-3759 Phone
Job/Journal Number
coM2004-01025
coM2004-01025
coM2004-01025
coM2004-01025
coM2004-01025
coM2004-01025
RECEIPT #: 1200400000000001308
rtty of Springfield Official Receipt
.velopment Services Department
Public Works Department
Date: 0910312004 e:35:34AM
Description
Storm Drainage Impervious Area
SDC Sanitary/Storm Admin
Plan Review Minor - Planning
Building Permit
+ 7Yo State Surcharge
+ l0Yo Administrative Fee
Amount Due
88.97
4.45
59.00
201.00
14.07
20. l0
Item Total:$3E7.59
Type of Payment Paid By Received By Batch Number Number How Received Amount Paid
Check JOHN KLINCHOK djb 109 In Person $387.59
Payment Totat:
-S3EB
91312004 Page I of I
Construction Contractors Board
700 Summer St IYE Suite 300
PO Box 14140
Salem OR 97309-5052
Phone: 503-3784621
Web Address: www.ccb.state.or.us
CPyrrzpoq -o lozfPermit #:
Address:l?3 S. L(/,rL 3r
Issued by:l<Date:or\
Statement: lnformation Notice to Property Owners
About Gonstruction Responsibilities
Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not
Iicensed with the Construction Contractors Board to sign thefollowing statement before a building
permit can be issued. This statement is requiredfor residential butlding, electrical, mechanical and
plumbing permits. Licensed architect and engineer applicants, exemptfrom licenstng under
ORS 701.010(7), need not submit this statement. This statement will be fi,led with the permit.
Fill in the appropriate blanks and initial boxes I and 2, and either box 3,A' or 38:
-h,1. I own, reside in, or will reside in the completed structure.
2. I understand that I must become licensed as a construction contractor if the structure is sold or
offered for sale before or on completion.
3A. My general contractor is
(Name)(ccB #)
I will instruct my general contractor that all subcontractors who work on the stnrcture must be
licensed with the Construction Conftactors Board.
ORr-?
,ZS 38. I will be my own general contractor.
If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors
Board. If I change my mind and hire a general contractor, I will contract with a contractor who is
licensed with the CCB and will immediately notiff the office issuing this building permit of the
name of the contractor.
I hereby certify that the above information is correct and that I have read and do understand the Information
Notice to Property Owners about Construction Responsibilities on the reverse side of this form.
6 -tx -oy'
(Signature of permit applicant)(bate) /
('White copy to issuing agency permilfile, pink copy to applicant.)
A
Property_owner.doc 06-0 1 -04
Acting as Your Own General Contractor?
}NFORMATION NOTICE TO PROPERTY OWNERS
ABOUTCON$TRUCTION RE$PONSIBILITIES .
If you are acting as your own contractor to construct a new home or make a substantiil improvement to an existing
$tructure,you can prevent many problems by being aware of the following responsibilities and concsrns.
Employer Responsibilities
you wi[ in most instancoq be ruled to be an "employer" and the contractors yqu conf.act with wilibe "ernployees" if
you..u$&contragtors not licen$ed with the Constuction Contractors Board to do iabor in coastructisg ol t asiist in the
coni'truction oiimprovement of a residential structure.. As the employer, you must comp{y with the followini:
Oregonrs Withhotding Tax Law: As an employer, you must withhold income taxes from employee wages at tfre time
"*ploy"*r are paid. You will be liable for the tax payments even if you don't actually withhold the tax frorn your
"*lloy""r. For more information, call the Departmentof Revenue at 503-3784988. j
Unemploynaent Insurance Tax: As an employer,'you aro'required to pay a tax for unemployment insurance puqpo;f*.
on the wages of all ernployees. For urore information, call the Oregon Employment Department at 503-947-1488. \. ,
..i:,\.
The Oregon Business Identification Number AII.0 is a combined number, for bsth Oregon nfl,i$]nlding and
UnernploymffltInsuranceTax.Tofi1eforaBIN,cai1503-945-809lorlforthe
1:appropriate forms.
't ,
lVorkers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law,
and must obtain workers' cqmpensation insurance for your employees. If y9u fail to obtain workers' compansation
insurance, you could be subject'to panalties and be liable for all claim costs if one of your employees is injured on the
job. For more information, call the Workers' Compensation Division at the Department of Consumer arrd Business
Services at 503-947 -7815. ,
.....
U.S. tnternal Revenue Service: As an employer, you rnust withhold federal income tax from employ€es' wage*{T'-
You will be liable for the tax payment even if you didn't actually withhotd the tax. For a Federal EIN number, call the
Other Responsibilities and Areas of Concerns
Code Compliance: As the permit holder for this project, you are responsible for resolving'any faiiure tdmeet code
requirements that may be brought to your attention through inspections.
Liability and Property Dafurage fnsurarce: Contafi your insurairie agent to'see if you have adeqtlSte instiraiilL'
coverage for accidents and omissions such as faliing tools, paint olrer spray, water damage from pipe punctures, fire or
work that must be reclone
Time: Make sure you have sufficient time to supervise your emplolees.'- :' - i. .
Expertise: Make sure you have the skills to act as your own general contractor, to cooidinafe the work of rough-in
and finish trades, and to notity building officials as the appropriate tirnes so they can perform the required inspections.
If you have additional questions call the Construction Conkactcrs Board (503-3784521) or write the agency at P0
Box14140,$aiem.OR 97309-5052. .i- ,,. r.r,
Properfy_owner.doc 06-0 1 -04
Construction Contractors Board in accordance with ORS 7U.A55(5), passed by the 1989 Aregon Legislature.
was theaboutOwnersCanstructionlnformationIhist0NolicedevelopedbyNATE:Property
JOURNAL OR JOB NUMBER:
NAME OR COMPANY
LOCATION:
TAX LOTNUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
I. S'I-ORM DRAINACE
DIRECT RUNOFF TO CITY STORM SYSTEM
CITY OF SPRINGFIELD SYSTEMS DEVELOPMEN] .TORKSHEET
025
Lisa Pocholec
193 S 46th Street
17023242 Tax Lot 01300
Addition to SFR
0 BUILDING SIZE 0 LOT SIZE (SF):6099
IMPERVIOUS S.F. x
287.00
RT]NOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CIry STANDARDS
IMPERVIOUS S.F
0.00
NI-IMBER OF DFU's
0
B. IMPROVEMENT COST:
NUMBER OF DFU's
0
ADT TRIP RATE
9.57
B. IMPROVEMENT COST:
ADT TRIP RATE
9.57
COST PER S.F
$0.3 l0
COST PER S.F
$0.3 r 0
COST PER DFU
$24.04
$r 8.28
NUMBEROF UNITS
0
NUMBER OF LINITS
0
CHARGE
$88.97
DISCOUNT RATE
50y"
$88.97
DISCOTINT
$0.00
x
x
x
x
x
x
ITEM I TOTAL - STORM DRATNAGE SDC
2. SANITARY SEWER. CIry
A. REIMBTIRSEMENT COST:
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3. TRANSPORTATION
A. REIMBURSEMENT COST:
s0.00
COST PER TRIP
$r 8.30
COST PER TRIP
$80.72
$0.00
NEW TRIP FACTOR
1.00
NEW TRIP FACTOR
1.00
xx
xx
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A REIMBURSEMENT COST:
NUMBER OF FEU's
0
x
x
B. IMPROVEMENT COST:
NUMBER OF FEU's
0
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
SUBTOTAL (ADD ITEMS I,2,3, & 4I
5. ADMINISTRATIVE FEE:
SLIBTOTAL
$88.97
TOTAL SANITARY ADMINISTRATION FEE
TOTAL TRANSPORTATION ADMINISTRATION
Matt Stouder 812012004
$0.00
$88.97
CHARGE
$4.45
COST PER FEU
$82.03
$88.97
$0.00
$0.00
$0.00
$0.00
4.45
s93.42
I 070
l09t
1092
1093
1094
I 054
1055
1054
1056
1079
I 078
a
rrlo
l^)o
r!Fa
E]&
COST PER FEU
$865.31
ADM. FEE RATE
5Yo
PREPARED BY DATE
TOTAL SDC CHARGES
x
DRAINAGE FIXTURE UNIT
NUMBER OF NEW FD(TURES x UNIT EQUIVALENT = DRAINAGE FXTURE UNITS
FOR CALCUI.A.TE ONLY THE NET ADDITIONAL
NO. OF FIXTURES
UNIT
TYPE NEW OLD
MISCELLANEOUS DFU ryPE NUMBER OF EDU'S
TOTAL DRAINAGE FD(TURE UNITS
lsa toa unit set at I 67
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
DRAINAGE
FIXTURE
T]NITS
0
0
1979
TEDU
BEFORE 1979
1979
I 980
l98t
1982
1983
I 984
1985
1986
1987
I 988
1989
1990
l99l
1992
1993
1994
I 995
1996
1997
1998
1999
$5.29
$5.1 I
$5.12
$4.98
$4.80
$4.63
$4.40
$4.07
$3.67
$3.22
$2.73
$2.25
$1.80
0
x
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FORANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
CREDIT FOR LAND (IF APPLICABLE)
VALUE / IOOO
$0.00
CREDIT RATE
$s.29
CREDIT FOR IMPROVEMENT (IF A.FTER ANNEXATION)
VALT]E i IOOO CREDIT RATE
$0.00 x $5.29
TOTAL MWMC CREDIT$1.59
$1.45
$1.2s
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.05
0BATHTUB003
0 1 0DRINKING FOTINTAIN 0
0 0 3 0FLOOR DRAIN
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0
0 0 6 0INTERCEPTORS FOR SAND / AUTO WASH / ETC.
0LAT]NDRY TT-IB 0 0 2
0 0 3 0CLOTMSWASHER/ MOP SINK
CLOTHESWASHER - 3 OR MORE (EA)0 0 6 0
12 0MOBILE HOME PARK TRAP (I PER TRAILER)0 0
0 0 1 0RECEPTOR FOR REFRIG / WATER STATION / ETC.
RECEPTOR FOR COM. SINK / DISHWASTIER / ETC.0 0 3 0
0SHOWER SINGLE STALL 0 0 2
SHOWER GANG TNUMBER OF HEADS)0 0 2 0
SINK: COMMERCTAL/RESIDENTTAL KITCHEN 0 0 3 0
SINK: COMMERCTAL BAR 0 0 2 0
SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 0
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 0
TruNAL, STALL / WALL 0 0 5 0
TOILET, PTIBLIC INSTALLATION 0 0 b 0
TOILET, PRIVATE INSTALLATION 0 0 3 0
0
YEAR
ANNEXED
CREDIT RATE/$I,OOO
ASSESSED VALTIE
2000
2001
CALCULATION TABLE
20