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Home My WebLink AboutPermit Electrical 2007-4-5 S~:II~ ~~IA~m . '"i;' . H_ ':;:!k-1I. DATE 2...J ~ o-c.:,~(") 7 .t'"t,~.,,", ....,. "" SOURCE ..to <:,. - ~ Date 04-0S-0l 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541).726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPUCATION City Job Number (eN\;>\ 200"7 . ~ 00 I L( 7 1. ;'iOCATiONOFINSTA1J.ATION-;;;'\;'.>>~} 3. If'COJi1PiiITEH:E'SCHED~Ufi:BELOW;$;i~;~';:f'. .:q;;:~ i.'\1~" "'.' . -. -"'''.::-' , ., ,'-.'....,.:.;:;............'~...;~;.:l,;.l~r,.""f.'.;.:J . . b4~ro._".. ~~).,-~... ,.--'."",,.,;,, Cr"' ..,..,_......i.O:';:..-~.".."< '1-.,t'_~.:.t~" - ..~: . (";-iO/) Z S-, 2. MMcJl..)IL . .. . .' '. L'EGALI.ESCCl)IJPTION' . . A: ~~;~~e~'i~~~:[j~\:Si~~~~:~i~Ea'J1ii~~p?~i1f~:Iih ~ urn'. v' -et ( /r, c ;; 170 52333 S~:;c: 1:~:~~" .__~,-=~""~~;"_,,,,,"'~'_",d 01 boD JOB DESCRIPTION: {&~y + Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. I"\' ."q'Il""~::O;!....\~.-.'~C ..1,-" .7r:-"'i';';~~'0~ , ~CONTRAcrOR'INSTALLATION.ONLY~' . 2. b~'~~....c;;~ -;', ..-:'(.,.....:... :t.J'..;'"......'.'.'>_. ",,,,",,,,,,";r.,.~~ Electrical Contractor Address City Phone Constr. Contr. Number Supervisor License Number /(\, ,\b ~ Expiration Date . -" ~ Expiration Date Signature of Supervising Electrician Owners Name ~"'V 4/~ )" - Addres~ J \,0"'7 &fl/II.f)y' Ur-. City ~ ,lY\.~ Phone f)1.[(-qlt../~C;Dfj1 OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. . . ...---:> 0S~/. /~ ---- Inspection Request: 726-3769 / 1000 sq. ft. or less Each additional 500.sq. ft. or portion thereof $106.00 $ 19.00 Each Manufact'd Home or Modular Dwelling Service or .Feeder $50.00 B. ltcsew;fi'~~f~~,:.Fi~'d~s~~~~~ililliii&~~:Ait~rtHb~~"~}j{:lI~~~ti6~~?;~~ L4~"::.";':: -,,,.,.,. ,,,"~',"',,~''''' '.~"'4"",J- .",--_1':M:~~i:,;,jJ~~:"~,..:,;;.;..J,..~.sl.c. 200 Amps or less 201 Amps to 400 Amps. 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsN olts .Reconnect Only Z- IL~ $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 ..,- _.: ,to '''':<~~:'-'~''~_1',l-.\.,....:.i'~~~.~''':-,,,,;. ~'>::'-<',~<, ,'..:'!~'''''~ F~ . ..''-'-. ~'!1::t1 C. Li-Temporan"ServlceSOr'~!de.. r. s< <:~~;,;.':.i ~:;'. '~:',~~'it\f~j'::,"':.\'\\"";::'\"":' ;h . ~i\JJ..'~""";~...o...:;;~,~M...-'I.""';::'t-'-" '."' ~-'....~~~-'-.-" ,-~ ATTE ~ri()I-"::0.~;::,.... j. 1;\1. ...Jv;,c-:;, . fOIIO\lnSllillation\-A1teration.or_Relocation ' ... ..-;..-._-I"'........IJj' d'd\,.JfeC'cn '. ~Otlilc2'00)AmpS'6r'lessThose rules <i'r~ __. $ 50.00 InOA~~-I"'\"""-{' ........""Ll......l r20PAmps (Q(400~iitp'!Jugh OAn "~n __ $ 69.00 0090. ~OrJA'ii\pslt&600;Amp-sjJies of }~~-~~:.:;~~, $100,00 Call'One It;;B<FA"'''r 'rOoO'V'.hs"- '''B.'' b numJ.: vef ..c.. mp.s or,,_ ~~. ~"","',s,~~~~',_,~~~a~,..2~e.. _ _' -.;.,.. . '0' IJ~B.l~r,"'h'''''''C.'lr....~ts. ..l'tqk'lmr"'c"'''~lr~,,",;~>. t~~~,\\wl<':ic,..,,""'''"7.'''' . t.:' rane -lfeUI 'CJ:!'!>-~~~~"~it;.'-~f:1~aJ'- ;:.,~",-,~~ft~~:";>PJ.:'<"J':','I;;:,;1.4'/- ,'[ r'~R~t.Ooo'~;;>;~ - -....\.'A.~.;r''''.~' -- , ....."..~:~:J.;;~~...:.;.,':.;_ . LIJI 103 j"UUll-,J ~~~~..!.-,1.) . New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 ICf fit $ 3.00 TOTAL .~ Shared Drive(T:YBuilding Forms/Electrical Permit Application S-Q6.doc . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00147 ISSUED: 04/02/2007 APPLIED: 01/30/2007 EXPIRES: 10/05/2007 VALUE: $ 13,824.00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone. 541-726-3676 Fax 541,726-37691nspection Line SITE ADDRESS: 2592 MANOR DR ASSESSOR'S PARCEL NO.: 1703233301600 Springfield TYPE OF WORK: Garage PROJECT DESCRIPTION: Detached shop huilding TYPE OF USE: New Residential Owner: SIMHI ZIV Y Address: 2592 MANOR DR SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type General Electrical Contractor OWNER OWNER License "ill fOIt. C:/. \/_. Ot1,... '0,,-_ ,11/ 6:;;~C;BUIi:D1NG tNFORMA nON I 0090 I:IS~ ~e,?t(},-.C':t b '.'. ^~ . Yo,. 'WofStofies:, .I' tl/^ -~".'" 1 "'<ilt.' v Il1 -'.1') '10 " 0 .:-., .']IU .!"I,.... II. 'Heigtit of'StruCture:, reoo 19.00 "'i'}I. '" "IQ . ,-,,!). . 1/1" . vie ~ 1/ <Jar f. q):pe of.!"!eat:OUn.. S qr. '0,.; I~"'" c') .~fIO 9a VB c.,. "~i!'...)ter. T.y"~::Oles ~ ~It U~i. Giller Rang~.Type:~:t.,.. Oft'h 9S'?'Qvd r~ ~ ,..~ ~J '/61 e 0 Energy)'atb.'il; . ".'e,!.. rUle Sprinkled1,!Juililiilg:,,:-''(1)0,, ~/a <;. ...~)-:;,. '-'(lIb... . Ie II!. I DEVELOPMENT 1NFO~MAiI6NII 7; Olic. . /tIS PI:" c" Overlay Dist: e,1!1J1/t03'.i/6f111 # Street Trees Rqd: 04t, 'RIlE: 8/t1! Paved Drive Rqd: I!/ty ~f41,OQO 1J,t,'{) II ~...ofLot Coverage: 78012'grP 'fIT -1PI,9, U.do, OIT I" I;Y/n 'f II:"... ~tlttJi~BbliJj\1pl;}-ci\!'EJ\oil,m.~" I . -/ft/)." ,t, '. FOIT 01 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Sethack: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Urban Fringe Street Improvements: Storm Sewer Available: Special Instruction: Phone Number: 541-463-1441 Expiration Date Phone Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 512 256 REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: DownspoutslDrains: Notes: No perminaut bldg removed, SDC's calculated on new 16X16 ft Bldg. Storm H20 to tie to existing system.JLP 2/27/07 Paee 1 of 3 Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Garaee Tvpe of Construction Garaee Fee Description Plan Review Residential + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Fire SF Fee - Residential Garage/Carport Penalty Fee - BWOP Building Plan Review Minor - Planning SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Paid Initial Review Plannine Review 01/31/2007 02/02/2007 Pnblic Works Review 02/02/2007 . Public Works Review 02/28/2007 Structural Review 03/26/2007 . I Valuation Descriotion I $ Per Sq Ft or multiplier $27.00 Square Footage or Bid Amount 512.00 Total Value of Project Fpp~ Amount Paid Date Paid $90.09 $36.06 $21.71 $14.69 $38.40 $138.60 $138.60 $112.00 $4.30 $85.92 $45.00 $16.80 $8.40 $13.44 . $42.00 $126.00 1/30/07 4/2/07 4/2/07 4/2/07 4/2/07 4/2/07 4/2/07 4/2/07 4/2/07 4/2/07 4/2/07 4/5/07 4/5/07 4/5/07 4/5/07 4/5/07 $932.01 I Plan Reviews I 02/02/2007 03/19/2007 APP LLH APP T AJ 02/02/2007 WI JLP 02/27/2007 APP JLP 03/30/2007 APP LLH Paee 2 of3 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00147 ISSUED: 04/02/2007 APPLIED: 01/30/2007 EXPIRES: 10/05/2007 VALUE: $ 13,824.00 Value Date Calculated $13,824.00 $13,824.00 01/30/2007 Receipt Number 1200700000000000092 3200700000000000195 3200700000000000195 3200700000000000195 3200700000000000195 3200700000000000195 3200700000000000195 3200700000000000195 3200700000000000195 3200700000000000195 3200700000000000195 1200700000000000366 1200700000000000366 1200700000000000366 1200700000000000366 1200700000000000366 3' side and rear setbacks are OK for an accessory building that does not have garage doors. Eaves cannot extend into the 3' setback area. This is not approved for an additional dwelliog unit. Rcvd 2/2/2007---Waiting in order PW rcvd for rvw.JLP SDC's based on new DFU's and Impervious areas. Storm system to tie to existing system.JLP 2/27/07 Plans reviewed by Dave Mortier with the Building Department under contract with the City of Springfield . . CITY OF ~rK11~lJJ<1J!,L1J Status Issued Building/Combination Permit PERMIT NO: COM2007-00147 ISSUED: 04/02/2007 APPLIED: 01/30/2007 EXPIRES: 10/05/2007 VALUE: $ 13,824.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural Review 02/0212007 03/26/2007 10 LLH Forwarded to the Building Department for review To Request an inspection call the 24 hour recording at 726-3769. All inspections 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 R~ouir~rl u~"tions I 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. Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. 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 filling trench. Shear Wall Nailing: Before covering sheathing witb finish materials. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. By signature, 1 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 ofthe 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 tbe permit card is located at the front of the property, and the approved set of plans will remain on the site at all d..,.d',,,",~ct;.. ~~. 7)/0 :J- r or re Date ? Pa2e 3 00 e. . . . . \, .1 " " " " " .' . Construction Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Pbone: 503-378-4621 Web Address: www.ccb.state.or.us Permit #: Col,v\..A7- CO (L.[ 7 -Z S- '7 Z /IJ;1 A-N <rIL iO-L. bll . Date: l{ / J / (:) 7 l- Address: Issued by: Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants whoare not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010(7), need not submit this statement. This statement will befiled with the permit. Fill in the a.......v....;ate blanks and initial boxes 1 and 2, and either box 3A or 3B: ~1. ~2. I own, reside in, or will reside in the completed structure. I understand that I must become licensed as a construction contractor if the structure is sold or . offered for sale before or on completion. o 3A. My general contractor is (Name) (CCB#) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR ~B. I will be my own general contractor. If! hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If! change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and will immediately notifY the office issuing this building permit of the name of the contractor. ~ / (;:)) hat I have read and do understand the Information OW.... ... ""',,.... ;;;~;z- .permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant.) P._.-_.;,_owner.doc 06-01-04 A~~ninrg ~l~ .~1l!lll" ((J)wnn CGenneIr'~ll ccl~Ir'~~~([J)Ir'? ,J' J ., 'iNFORMATION N'OTICE TO PROPERTY OWNERS ABOUT 'CONSTRUCTION RESPONSIBILITIES .... \ NOTE: This Information Notice to Property Owners about Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature. If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and concerns. lEmjplloyer Resjpollllsilbillities You will, in most instances, .be ruled to be an "employer" and the contractors you contract with will be "employees" if you use contractors not licensed with the Construction Contractors Board to do labor in constructing or to assist in the construction or improvement of a residential structure. As the employer, you must comply with the following: . . '. Oregon's Withholding Tax Law: As an employer, you must withhold income taxes from employee wages at the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more information, call the Department of Revenue at 503"378-4988. Unemployment Insurance Tax: As an employer, you are required to pay a tax for unemployment insurance purposes-- on the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488. ,.~ .01. ~'-': The Oregon Business Identification Number (BIN) is a combine,d number for both Oregon Withholding arid Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.or.us/forrnsoav.htrnll for the ap....vp.:ate forms. Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensation insurance, you could be subject to penalties 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 Departrrlent.of Consumer and Business Services at 503-947-7815. U,S. Internal Revenue Service: As an employer, you must withhold federaJ"inconie tax from employees' w~~ You will be liable for the tax payment even if you didn't actually withhold the tax. For a Federal EIN number, call the IRS at 1-800-829-4933 or visit their web site at www.irs.l!ov. . OtllneIr Resjpollllsnbnlln1tnes 3l1lll.rlI Areas of COIrllcerllllS Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements that may be brought to your attention through inspections. Liability and Property Damagefnsurance: Contact your insurance agent to see if you have adequate insurance.' coverage for accidents and omissions such as falling tools, paint over spray, water damage from pipe punctures, fire or work that must' be redone\.: ' Time: Make sure you have sufficient time to supervise your employees. , - - , Expertise: Make sure you have the skills to act as your own general contractor, to coordinate the work of rough-in and finish trades, and to notify building officials as the appropriate times so they can perform the required inspections. If you have additional questions call the Construction Contractors Board (503-378-4621) or write the agency at PO Box 14140, Salem, OR 97309-5052. Property _ owneLdoc 06-01-04 22~ Eifth.street Springfield, Oregon 97477 541-726-3759 Phone . ~ of Springfield Official Receipt _elopment Services Department Public Works Department Job/Journal Number COM2007-00147 COM2007-00147 COM2007-00147 COM2007-00147 COM2007-00147 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 1200700000000000366 Date: 04/05/2007 Description Perm ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By ZIV SIMHI Item Total: Check Number Authorization Received By Batch Number Number How Received djb 110220 In Person Payment Total: Page I of I 2:05:52PM Amount Due 126.00 42.00 8.40 13.44 16.80 $206.64 Amount Paid $206.64 $206.64 4/5/2007 -. . . \, .1 '. .' '. " . .. . . Construction Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Pbone: 503-378-4621 Web Address: www.ccb.state.or.us Pennit#: ti-tO) "i7 Address:~5t?d, f)tt'LY"lrJ '2~ Issued by: /l aJnf.,(~ f'IL/ Date: V D2. -'l, (J.) - 07 Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants whoare not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010(7), need not submit this statement. This statement will befiled with the permit. Fill in the al'l"VI',;ate blanks and initial boxes 1 and 2, and either box 3A or 3B: ~ 1. o 2. I own, reside in, or will reside in the completed structure. I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion. o 3A. My general contractor is (Name) (CCB #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR ~ 3B. I will be my own general contractor. If! hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If! change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and will immediately notifY the office issuing this building permit of the name of the contractor. I bereby certify tbat tbe above information is correct and tbat I bave read and do understand tbe Information Notice to Property Owners ab uction Res .. ities on tbe reverse side of tbis form. :2.",", ~li,mt) {(~ ~ /" (White copy to issuing agency permit file, pink copy to applicant.) Property_owner.doc 06-01-04 A~~Jirnig ~~ !1illIr Owrrn G~rrn~Ir~ll C!~Ir~~~((j)Ir? INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES NOTE: This Information Notice to Property Owners about Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature. If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and concerns. JEmlPnoyer .!Respolllsibilities You will, in most instances, be ruled to be an "employer" and the contractors you contract wi~ will be. "employees" if you use contractors not licensed with the Construction Contractors Board to do labor in constructing or to assist in the construction or improvement of a residential structure. As the employer, you must comply with the following: Oregon's Withholding Tax Law: As an employer, you must withhold income taxes from employee wages at the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more information, call the Department of Revenue at 503-378-4988." Unemployment Insurance Tax: As an employer, you are required to pay a tax for unemployment inslirallce purposes. on the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488. The Oregon Business Identification Number (BIN) is a combined number for. both .Oregon Withholding and Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.or.us/formsnav.htrnll. for the appropriate forms. Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensation insurance, you could be subject to penalties 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 and Business Services at 503-947-7815. U.s. Internal Revenne Service: As an employer, you must withhold federal income. tax from employees' wages. You will be liable for the tax payment even if you didn't actually withhold the tax. For a Federal EIN number, call the IRS at 1-800-829-4933 or visit their web site at www.irs.l!ov. " <Otl!nell" ResjpolllsilbmHes ~md All"e2S of <Conicell"ItlS Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements that may be brought to your attention through inspections. Liability and Property Damage Insurance: Contact your insurance agent to see if you have adequate insuranee coverage for accidents and omissions such as falling tools, paint over spray, water damage from pipe punctures, fire or work that must be redone. Time: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you have the skills to act as your own general contractor, to coordinate the work of rough-in and finish trades, and to notify building officials as the appropriate times so they can perform the required inspections. If you have additional questions call the Construction Contractors Board (503-378-4621) or write the agency at PO Box 14140, Salem, OR 97309-5052. Property_owner .doc 06-01-04 CITY OF SaGFIELD SYSTEMS DEVELOPMEN"RKSHEET JOURNAL OR JOB NUMBER: COM2007-00147 NAME OR COMPANY: Ziv Simhi LOCATION: 2592 Manor Dr TAX LOT NUMBER: 1703233301600 DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE NEW DWELLING UNITS 0 BUILDING SIZE (SF: 0 LOT SIZE (SF): L STORM nRAINAc,& o 11- 'I ~ 10 18 10:: IUJ f- 113 ;;J DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I. COST PER S.F. I CHARGE I 256.00 I $0.336 = I $85.92 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I I 0.00 I I $0.336 50% = I ITEM I TOTAL- STORM DRAINAGESDC $85.92 DISCOUNT $0.00 $85.92 1070 2. SANITARV SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I 0 . B. IMPROVEMENT COST: I NUMBEROOF DFU's I x $19.79 ITEM 2 TOTAL - CITY SANITARY SEWER SDC COST PER DFU $26.03 $0.00 1091 = , $0.00 $0.00 11092 _I J TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRiP x INEW TRiP FACTORI I 9.57 I 0 I I $19.81 I 1.00 $0.00 I 1093 B. IMPROVEMENT COST: I I ADTTRIP RATE I x 1 NUMBER OF UNITS I x I COST PER TRIP x I NEW TRIP FACTOR! I 9.57 I 0 I I $87.39 I 1.00 I $0.00 1094 ITEM 3 TOTAL - TRANSPORTATION SDC = I $0.00 4 SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I 0 I $91.61 = $0.00 I 1054 B. IMPROVEMENT COST: I INUMBER OF FEU's I x ICOST PER FEU I 0 I 1 $961.52 = $0.00 11055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 11054 MWMC ADMINISTRATIVE FEE $0.00 JlI056 ITE\VI4 TOTAL - MWMC SANITARY SEWER SDC = , $0.00 SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , $85.92 l 5. AnMINISTRA,TIVE FEE: I I SUBTOTAL x I ADM. FEE RATE 1= I CHARGE I $85.92 I 5% $4.30 TOTAL SANITARY ADMINISTRATION FEE: 4.30 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $0.00 11078 Jeff Prociw 2/28/2007 TOTAL SDC CHARGES = I $90.22 PREPARED BY DATE .I . . DRAINAGE t<l1\1 liRE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FlXTI1RES x UNIT EQUIV ALENT ~ DRAINAGE FIXTIJRE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY mE NET ADDmONAL FIX11JRES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EOUIV ALENT UNITS BATHTUB 0 0 3 = 0 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0.. 3 = 0 INTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC 0 0 3 = 0 INTERCEPTORS FOR SAND I AUTO WASH I ETC 0 0 6 = 0 LAUNDRY TUB 0 0 2 = 0 CLOTHESW ASHER I MOP SINK 0 0 3 = 0 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRlG I WATER STATION I ETC 0 0 1 = 0 RECEPTOR FOR COM. SINK I DISHWASHER I ETC 0 0 3 = 0 SHOWER. SINGLE STALL 0 0 2 = 0 SHOWER. GANG ~ER OF HEADS~ 0 0 2 = 0 SINK: COMMERClAURESIDENTIAL KITCHEN 0 0 3 = 0 SINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0 ISINK: SINGLE LAVATORYIRESIDENTIAL BAR 0 0 1 = 0 IURINAL. STALL I WALL 0 0 5 = 0 ITOILET. PUBLIC INSTALLATION 0 0 6 = 0 ITOILET. PRIVATE INSTALLATION 0 0 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 0 *EDU (Equivalent Dwcllinlt Unit) is a dischar~ equivalent to a sirmle familv dwellinl!; unit (20 DFlfs) set at 167 ~l1ons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR CREDIT RATE/$I,OOO ~ LAND ELGlBLE FOR ANNEXATION CREDIT? -'1 ANNEXED ASSESSED VALUE 2 BEFORE 1979 $5.29 (Enter I for Yes, 2 for No) I 1979 $5.29 IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? 2 1980 $5.19 (Enter I for Yes, 2 for No) I 1981 $5.12 BASE YEAR 1979 1982 $4.98 1983 $4.80 CREDIT FOR LAND (IF APPLICABLE) 1984 $4.63 VALUE I 1000 CREDIT RATE 1985 $4.40 so.oo x S5.29 ~ , SO.OO 1986 $4.07 1987 $3.67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) 1988 $3.22 VALUE I 1000 CREDIT RATE 1989 $2.73 $0.00 x $5.29 0 .1 1990 $2.25 I 1991 $1.80 1992 $1.59 TOTAL MWMC CREDIT = $0.00 I 1993 $1.45 1994 $1.25 1995 $1.09 1996 $0.92 1997 $0.72 1998 $0.48 1999 $0.28 2000 $0.09 2001 $0.05