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Home My WebLink AboutPermit Electrical 2009-4-24 ,Electrical Permit Application "1l ~ ~"- ~; ~""'\l': ."' ".... . . ;- - ~ ,;CITS, OR-SPRINGFIELD, OREGON ~,,;,,;,"~,P!f"~/""'~"- _._....,...;::r,;~'..~ ~_.~,I . _, ' 225 Fifth Street. Springfield, OR 97477tPH(541)726-3753' FAX(541)726-36B9 ~ I:L~~~~~r;,1 I Date: l( ~Zl{ -0". I This permit is issued under OAR 918-309-0000, Permits are nontransferable, Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days, tl'Jil"(!;J;;~J;'k;;';tOtAl:'\G0VERNIVIENif. i!i!'A;riP..R^O.-VA. '[ffl':~;;"!iii!'1>'. ^>:",I ',,,,\;~...,..1."'" .. !!.. .,.C. ; ,:;. Iii 'Ii. _ -'... 'lf~",_;=.~.@,\.l..Ij.\~. I Zoning approval verified? 0 Yes 0 No 11Jl,1flCl.~&;~'&~A'liEGQB:(.'iOF,~C0NS"Rl!J.ttION-~!/i.~;m:i,:::;;;r~! ..Q(Residential I 0 Government I 0 Commercial "\::I:if'4^JOB.;tSlifE,;.INF,ORMAifIQN:J'l.NDj120CAifION;,', :." ,: I Job site address: (/6"T 3 C 5-r I City: S\>RJ::NbFULDI State:QR.. I ZIP: C17L11S,1 I;~~~~~.;':~~:";~~~~S~~R;; ~kF,t\~J~~1;;'~~~~~~~'~', r'~~,;;: ~- ,.. I ~a:.j!c04)~~weTh''''''''1 1 of (I \ ~ _ hfCby/\ 1 I 200 amps or less (2) . $ 81.00 r~~:f'~~~~~j6~WNERB~~~~~:::~}~tr l;~~. :~:;,;~;~::~~ .;:" :: :1::::: I Address: .69, T< r. $1 follow rules arlloJ .t~<!.l ,t,oJI;~Q.O~p.s.(~) Utilitv $205.00 . City: <~J)fU!Jr:;("~ELf)1 State: Ole.. 1 iW,~:;1,{l!;rS;:I'te. ',~v~r)11000J&i)PS1~i'y~ti:fS~r~ $469,00 ,... AlIfS? .,"" (rn:'il ,-u... '''~-''''.--~li.[?- OI)R)1I11UU~"r.J72),';:),.J&:_vvl I I Phone:::;.+\ ~ Cj5~--CXbi Fax: V-J 1-C1<}.l:,iJ,[JTIJi)V 0' t".',~qQq~S!..Bn,y,\,o ",10< hl' $ 63.00 $ I E-mail: calling the C€lntLrTe~P9r:afYlsenice~.or\feeJJers: Installation, alteratIOn. relocation h' IIUlIl;"'CI :Vl ~: I ; crI2001impstortU:s~I(-ijncatlon T ts ~sbtallatlOn IS bemgb madfe onresldednl1a1 J'r falrmTPhiroper&'entel i'11 ::;::;::; ::;::;: ::::: 1\. $ 63.00 $ owne ~ me or a mem er 0 my Imme late J.aITIl y. S 20 I to 400 amps (:1) S $ property IS not Intended for sale, exchange, lease, or rent. OAR I 87.00 479.540(1) and 473;..99(1)/ 401 to 600 amps (2) $126,00 $ Signature: 7' ~ j,- . lave: 600 amps or 1,000 volts, see services or feeders section above r;:~:~:~:~Nf~~sr;:NstrAI1~AT'~N'.!'~~4'.ljjj: ',~;iF.:!1 : :r;::~o:i:::~:: ~:~~:I:~~:n~r:::s:~na::~::~r feeder fee I Address: I I Each branch circuit I $ 6,00 I $ I City: I State: I ZIP: I I b. Fee for branch circ~its without purchase ofa service or feeder fee: I Phone: I Fax: ,I I First branch ci,cuit (2) I $ 55,00 I $ $)" I E-mail: NOTlCE:1 I Each additional branch circuit ($ 6,00 I. $ b I CCB license no,: I BCD license no,: ~ ~I,::; pl::Rlf'1r " I9WAl!ln5)WfflI!:Wfj'f+EoW641l?Cnol included I Sig.ning supervisor's license no,: ~~-''-1HOAI~tl ii'!\!~ifbl-l&i\l!iJ\lMnc~:NOT $ 63.00 . Jtr" MGJ Ell gg, H-.- - H__ . Print name of signing supervisor: A~IV111n Al.~~It\~,~IN.jj!!ll~~ $ 63,00 Signature of signing supervisor: I CUlt or a lImIted-energy panel, $ 63.00 $ , alteration, or extension (2) I Each additional inspection: (1) I $58,00 $ li'U:'f""~:""+"~~""';~v~~>A"'"P'.p"i"'I.C-A"N.T-" "ui;'J"'-,-:~ ",E.,'t;:.:,,,,., -.'"i ~~\~!f ~',"'''i,-~,I'1Li-~f.~t1,,<'+~k7'/ _ ." L _', .,-USEwif'f'~';)~.~?~~~i:r~;, ~/,:'<l' I I ~ . ~~,. 440-2584-J (9/08/COM) 1\l!r~~!1ltF~~t'f~JI..'F.EEKSc"fEDULJE:r.~~t't;~t\11,:;;;',~-'1 I~";: "''' . ."'i?" "-'W"!ti!$:\,,;;,:' "'1'11" .);".'1; q"'I~€ost""'I"' Total ril ~.Nu.mbe.r:ofi~sp.ecti.onSlper:itemi( Y.,;~t! .Qtv: ~f,~.'~ea' ". .~~ ;~. 't" ':" $!C'l..!t<>~,~'I;""'!'~";';;-'1~~.,;rl"L...... .A:t'fih..l:-.:;;.:Jr..~'I\.....";;l; JSi-?A .".,..,:;: :.!~,.cos 'J~ I Residential, per unit, service included: I 11,000 sq, ft. or less (4) $134,00 $ I I Each additional 500 sq. ft. or portion $ I thereof $ 25,00 I Limited energy (2) $ 32,00 $ I. , I Each manufactured home or modular I dwelling service or feeder (2) $ 63,00 $ I Services or feeders: installation, alteration, relocation $ $ $ $ $ $ $ I I I I I (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) I (B) Enter 12% surcharge (.12 x [A)) I (C) Technology Fee (5% of [A)) I TOTAL fees and surcharges (A through C): $ {,( $ 712 $ "50rr $ 7/37 Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6873 C ST ASSESSOR'S PARCEL NO.: 1702353203100 11 , n V .VI ~~'i;rv CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00551 ISSUED: 04/24/2009 APPLIED: 04/24/2009 EXPIRES: 10/24/2009 VALUE: . $ 2,000.00 Springlield TYPE OF WORK: Bathroom . TYPE OF USE: Remodel Residential PROJECT DESCRIPTION: Bathroom remodel I CONTRACTOR INFORMATION I ArrENT . . ., Contractor follow ru/ON. OregcI:Ji.~~S uir Expiration Date DONALD RAY GRANT ~'I1E~~~,~6fR1RNltcig$2a~3 gre;~ y~gt,q6/2011 OWNER b~ OAR 952-00~~~~1 J~ose rules are ~et f~':~ OWNER 90. You may obt. rough OAR 952-00 BARNES HIGH TECH PI.:iJNi:BfNcalS~tp.ra/~dJ1~j'.s of the ru'e.Q~Ji;7/2010 -:...~,...,t J:.'" 10::-"; : "-. ,"c t~lephone . BUILDlNOiNFORM'Allro~)l/ity Notitic t. - "vvv-""2-2344 a Ion # of Stories: ). Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: S'I Ft Other: Sprinkled Building: n/a Occupant Load: Owner: KNEPPER MARK & SARA Address: 6873 C ST SPRINGFIELD OR 97478 Contractor Type General Electrical Mechanical Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bed rooms: R-3 VB Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Phone 541-513-1600 541-726-9854 I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: Total: . # Street Trees Rqd: Handicapped:1 Paved Drive Rqd: Compact: I o/.N,OUJOEivcrage: I THIS PERMIT SHALL EXPIRE IF THE WORK I ~UBLI~A~~~;;~~v~~b~I~UI ANY 180 DAY PERIOD. Sidewalk Type: Downspouts/Drains: Notes: SUCs added for two new drainage lixtures for interior bathroom remodel. No new impervious. Pa2e I of 3 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Estimate Tvpe of Construction Estimate Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Building Permit Fixture Minimum/Adjustment Plumbing Sanitary Sewer - Improvement Sanitary Se"\'er - Reimbursement SDC Sanitary/Storm Admin Total Amount Paid Public Works Review CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00551 ISSUED: 04/24/2009 APPLIED: 04/24/2009 EXPIRES: 10/24/2009 VALUE: $ 2,000.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 2,000.00 Value Date Calculated Total Value of Project $2,000.00 $2,000.00 04/24/2009 Fpp<. p..~ Amount Paid Date Paid Receipt Number $30.72 $12.80 $79.00 $55.00 $6.00 $58.00 $57.00 $1.00 $105.18 $\38.33 $12.18 1200900000000000296 1200900000000000296 1200900000000000296 1200900000000000296 1200900000000000296 1200900000000000296 1200900000000000296 1200900000000000296 1200900000000000296 1200900000000000296 1200900000000000296 4/24/09 4124/09 4/24/09 4/24/09 4/24/09 4/24/09 4/24/09 4/24/09 4/24/09 4/24/09 4/24/09 $555.21 I Plan Reviews I 04124/2009 04/24/2009 APP TSS SDCs added for two new drainage fixtures for interior bathroom remodel. No new impervious. To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Rp(lII~ln~pflPt~ Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Plumbing: Prior to cover and including required testing. Shower Pan. Priur to covering and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Paee 2 of 3 By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times ~;llUC/~. _$'~.l'll~GlIr.'~........... .... iii.: .;i ... , ," .' ,,/ i ",e' .. ......".._..._,._". ,,' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. - On'oer or Contractors Signature Page3 of 3 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00SS1 ISSUED: 04/24/2009 APPLIED: 04/24/2009 EXPIRES: 10/24/2009 VALUE: $ 2,000.00 Date 4/1l-1ID~ ) I 225 Fifth Street Spl'ingfierd, .Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-00551 COM2009-00551 COM2009-0055I COM2009-0055I COM2009-0055I COM2009-0055/ COM2009-0055I COM2009-0055I COM2009-0055I COM2009-0055I COM2009-00551 Payments: Type of Payment CreditCard cRccciotl RECEIPT #: 1200900000000000296 Date: 04/24/2009 Description Sanitary Sewer" Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Stonn Admin Building Penn it Fixture Minimum/Adjustment Plumbing I st Appliance Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Paid By MARK KNEPPER ltem Total: Check Number Authorization . Received By Batch Number Number How Received djb 664966 In Person Payment Total: Page I of I 10:37:40AM Amount Due 138.33 105.18 12.18 58.00 57.00 1.00 79.00 55.00 6.00 12.80 30.72 $555.21 Amount P:tid. $555.21 $555.21 4/24/200.9 -. , . . , . . , . ", " . '. .' , ,. Construction Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.cch.state.or.us Pennit#:COY'Vl~ao 9- OOs:~ r Address: - b'J 7 ] ,C sk::r: I- Issued by: ."b{f Date: if /2;/01 7 . Statement: Information No.tice 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.requiredfor 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 ?ermit. Fill in the. appropriate blanks and ini~ial boxes 1 and 2, and either box 3A o~ 3B: ~ ~, )z1 1. I own, reside in,or will reside in the completed structure. , :' 2. I unoerstand that I must become licensed as aconstr\iction contractor ifthe structure is sold or offered for sale before or on completion. 3A. My general contra~or is ~u. A'('.f\ ~,' CbY\ G~+ (Name) \?:,S21Lf (CCB #) ." I will instruct my general contraclor that all subcontractors who work onthe structure must be . .licensed with the Construction Contractors Board. OR o 3B. I will be my own general contractor. If! 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 notifY the office issuing this building permit of the . nam,e 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 ofthis form. /)vf~. i . \ 4!2;/(fi (Signature of permit applicant) (Date) . (White copy to issuing agency permit file, pink copy to applicant.) Property_owner.doc 06-01-04 J _~ffi)nig)as Xopr Own' GeneJ:aLContractor?' "~ ~ . ) ." -\ ,.. . INFORMATION NOTICE. TO PROPERTY OWNERS . . :"..' J\ f~ \ \' ABOYT CONSTRUCTION ;RESPONSIBILlTIES . . -", .. \ \ ,. . ., I. . , NOTE: This Infonnation Notice to Property Owners about Construction' Responsibilities was developed by the Construction Contractors Board iil accordance with ORS 701.055(5), 'passed by the 1989 Oregon Legislature. ._' _ .' ':- ':' _' . _ -~ _ '.. :- . '. . . :. [f.,.. .1; ,;.... ...... _ _;.;;.. If you are actmg as your own .contractor to construct a new home or make a substantial Improvement to an eXlstmg structure, you can prevent many problems hy beir'gaware ofthe.following responsibilities'andconcerns. Employer Responsibiliti,es ~,. \' . . _". . ~\, . I ., .., .. . . .'. \ ."' '. '. . _ \ ' You will, in mpst insll!nc~~, b~ rule.d to be an.'.'em~loyer" 3!ld the'contractors;y!?u,co~tractwith will be."~mpl<?yees" jj . you use COI1tJ;actor~ n?t licfnsed will) tl?,,<;. Consl!uqtism Contpc~ors Bgard to do labo~ ,ip cOBstructi'!g 9r to. assist in the construction.or improvement ofa residential structure_ As the.employer,.you must comply with the.following: . .' . - - . ~ .... " ., .. - ".' -. .-', . '-,'. - ,.... :h~ '", _'; . ",.:, _ '_',.t.. '-". _ ~,. '..;: ' . ,',. . . ~', . .,', . 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 ~ven if you <:Ion't actually withhold the tax from your . .... ' " . r ....f ,'. ",~"" . . ~ _' . ' ~ . t ; .J . , t, t .. employees. For more information;--callthe Department of Revenue at 503-3'78-4988: .. :., .r. .;." \ . Unemployment Insurance Tax:.As aneinployer;Jyou'are'requited to:paY'~tlix for ui:temploymenrinsurance pUrPos~s ~.. on the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488. r ~'~~ ~.~;'.,.,~.{,.~. .~. r. ....):).ff....~i['. f!::. ~~,:.,~' ": .: J\":' -,', _.".. .....; '9;:-r>...:::~..'~~: '-: The Oregon Business Identification Number (BIN) is a cOD:1\JinCfl ~nJlll1ber. forb,9.th.: Qregon y.'it~holding arid' Unemploym.ent~~sur\IDce Tax. To file for a BIN, call 503-945-809~ or \vww.dor.state.or.uslformsnav,htmll for the . 'to>" - . \, I ,. .., \. I I i \ . c . - appropnaelo~:_'l____._+__. _:_'~~/l'~).l:)(;~-._ ~.... --',.1'1';\. ," _~ ..... .... .'t". ':.. '~1.,_:*+' ".. t~~ - ..,.\ .. -. Workers' .Compensation Insurance: As an employer~ you are subject to the Oregon Workers' Compensation Law, and must obtain wor~ers' comj><::nsation insur!llce for your eD:1ployees. If you fail to obtain workers' compensation insurance; you .66uld b~' subject to pen~IH~s imd oeliable.for all clitimcosts' if ~>ne of yoUr employee~ 'i~ irijured on the job. For more infomiation. call the Workers' Compensation Divisioi1'at the bepartment 6fC6nsumer and Business Services at 503-947-7815, . U.s. Internal Revenne Service: As an employer: you must withhold feoeral income .tax from empl<>yees'. 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.;jfrC800'829:<l93J'or'Visittheidveb siteatww.w.irs.<!ov. J.' . - - t \ I.: ,)",IR-;." ~'.. ......,;"..... 'f ,t '., ;., .l~-~::: .. _. I. ... ;~-:Other ~~sponsibilities3Illd ~r~as .Qf. Concerns . .~: '. . '.' . Code Compliance: As the permit holder f9r th'is proje~t, you are responsible forre;~I~ng any failure to meet code requirements that may be brought to Y9UI: ilttention through jnspections. . .' ~ ';t'~--' .:.')'J:....'t.:. Y;'r-.,..., .....,., '1t'-'-fj~'. ,..~.,~ " . ,."',.' < , ._ 't_ "'i:' . - ._ '-..',' " '. " '_ -". _-, " Liability and Prop"erty Damage. Insurance: Contact your insurance agent tosee"lf you have 'adequate Insurance coverage for accident's and omissions such as falling tools, paint over spray, water damage from pipe punctures, fire or workthat~ustb~re~6r~...:\!"'__ __ __ _'- _.____.-. ___-\<>, - , Time: Make sure you.have sufficient time to supervise your employees. ,. , :,,', .... . ~; .. f 1, \ ~ ,.'. " \'. . ,... ..... ", . r, . Expertise: Make sure you'!iave.lhe skills to act asy~ur ow,l general toritractor, to coordinate the work of rough.in. and finish trades, and to notify building officials as the appropriate limes 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, Sale1I!, OR 97309-5052. .'" " 'j',' ,. , Property_owner.doc 06-01-04 . . . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: COM2009-0055l NAME OR COMPANY: MARK AND SARA KNEPPER LOCATION: 6873 C STREET TAX LOT NUMBER: 1702353203100 DEVELOPMENT TYPE: Single Family Residence NEW DWELLING UNITS 0 BUILDING SIZE (SF: 0 LOT SIZE (SF): I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. I I CHARGE I 0.00 I $0.357 I = $0.00 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 l I I 0.00 I I $0.357 I I 50%. ~ I ITEM 1 TOTAL - STORM DRAINAGE SDC $0.00 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's I x , 5 I B. IMPROVEMENT COST: I NUMBER OF DFU's I x I 5 I COST PER DFU $27.67 COST PER DFU $21.04 ITEM 2 TOTAL - CITY SANITARY SEWER SDC ~ I 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE I x I 9.57 I I NUMBER OF UNITS I x I I 0 I I B. IMPROVEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I ~57 I 0 I ITEM 3 TOTAL - TRANSPORT A nON SDC x I I = r DISCOUNT $0.00 $243.51 COST PER TRIP 21.06 x INEW TRIP FACTORI I 1.00 I COST PER TRIP $92.89 $0.00 x INEW TRlP FACTORI I 1.00 I 4 SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x o I ICOST PER FEU I $97.90 B. IMPROVEMENT COST: INUMBER OF FEU's I x I 0 J ICOST PER FEU I $1,009.17 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC ~ , SUBTOTAL (ADD ITEMS 1, 2, 3, & 4) ~ I 5. ADMINISTRA TlVE FEE: I SUBTOTAL x I ADM. FEE RATE I~ I $243.51 I 5% I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Billy Curtiss PREPARED BY DATE $0.00 $243.51 CHARGE $12.18 TOTAL SDC CHARGES o $0,00 $138.33 $105.18 $0.00 $0.00 = $0.00 = $0.00 $0,00 r---- , CFJ Ll-l Cl o U I~ 1Ll-l ,r-- CFJ (3 .~ 109l , 11092 I II -I i I 1093 I " I 1094 J l i I 1054 I 1055 1054 $0.00 I 1056 II I 12.18 $0.00 = I $255.69 111079 j 1078 DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY TIlE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 0 0 3 ; 0 DRINKING FOUNTAIN 0 0 1 ; 0 FLOOR DRAIN 0 0 3 ; 0 I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETe. 0 0 3 ; 0 IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 ; 0 ILAUNDRY TUB 0 0 2 ; 0 ICLOTHESWASHER / MOP SINK 0 0 3 ; 0 ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 ; 0 fMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 ; 0 RECEPTOR FOR REFRlG / WATER STATION / ETe. 0 0 1 ; 0 I RECEPTOR FOR COM. SINK / DISHWASHER / ETe. 0 0 3 ; 0 I SHOWER. SINGLE STALL 1 0 2 ; 2 !SHOWER. GANG (NUMBER OF HEADS) 0 0 2 ; 0 ISINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 ; 0 ISINK: COMMERCIAL BAR 0 0 2 ; 0 SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 ; 0 SINK: SINGLE LA V ATOR Y /RESIDENTIAL BAR 0 0 1 ; 0 URINAL. STALL / WALL 0 0 5 ; 0 I TOILET. PUBLIC INST ALLA TION 0 0 6 ; 0 ,I TOILET. PRIVATE INST ALLA nON 1 0 3 ; 3 I MlSCELLANEOUS DFU TYPE NUMBER OF EDU'S I 20 ; 0 TOTAL DRAINAGE FIXTURE UNITS 5 "EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFlJs) set at 167 Rallons per day MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEfORE 1979 1979 1980 1981 1982 1983 1984 1985 ]986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 I I CREDIT RATE/$I,OOO II ASSESSED V ALUE ~ ~~:-:'~:,;~i',ii:~~~~,:,~~ ~l~'-lli'J;.:t.!.u; ._. -._-_$5.19 ~mJ~~!~,!!::j~i[li $5: 12 - H..;;",+-';" ;'__.c':':--- -. '$4:98 ~::':i:ii':~':':::~'~~~::~,..~Ti~:" __ $440 ~;C- ,-_'---, ' '-i' -c- .",'o_.:"i;;.:," ~~tj:}(.!i;".0~~f~~~.jl::;!~1i~~t; J' "":. - $:3.22 ,~~ IL.~E~' ~.f(i $1.80 $1..59...:,..,. $145 .-- .. .$1.25 ,r.-_. :il~"""'"--'" "::::;"~~~';:" :'~{~1~g9:.~~'~:!t ;;.1, ..iH~',)i::;J.. - $0.28 :~:, ,/",$0.09 ~~~:;;!~,:~,~; 1:(_ $~fb5 IS LAND ELGlBLE FOR ANNEXATION CREDIT? ,(Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter 1 for Yes. 2 for No) BASE YEAR 2 2 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0.00 x $5.29 ~ , $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0.00 x $5.29 o TOTAL MWMC CREDIT $0.00 ;