HomeMy WebLinkAboutPermit Building 2007-6-15
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00634
ISSUED: 06/15/2007
APPLIED: 05/02/2007
EXPIRES: 01/26/2008
VALUE: $ 145,205.00
r
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6959 Main ST
ASSESSOR'S PARCEL NO.: 1702353309500
Springfield
TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence, Lot 2 Redwood Suhdivision
Owner: AADCO ENTERPRISES LLC
Address: 421 72ND ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Contractor
AADCO ENTERPRISES LLC
CRAFTSMAN
License
129873
170183
I BUILDING INFORMATION'
# of Units: '__~ \i ~~ ~oN1.ries: 1
Primary O~'brou,~ ~~~'tR~{t \'8~ of Structure: 15.50
Secondary '05~~;;;,,;jie.~~U~ 1\-\'tJ> ~ ~'!.t) ~",e of Heat: orced Air Electric
Primary Co ~ I ~ ~~ Water Type: Electric
Secondary cg/ P"fAW" te1~lil\tfi,@. Rauge Type: Electric
# of Bedroon(\O~\1l\\;~ ~ \:'1''''''''9 3 Energy Path: Path 1
~ ~~~ Sprinkled Buildiug: nla
I DEVELOPMENT INFORMATION I
Frontyard Sethack:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
10.00
10.00
31.00
18.00
7.50
Overlay Dist:
# Street Trees Rqd: 0
Paved Drive Rqd:
% of Lot Coverage: 19.50
Residential
Phone Number: 541-744-0428
Expiration Date
06/18/2008
05/30/2008
Phone
541-744-0428
541-954-7589
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2ud Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
10,335
1,280
495
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements: SIdewalk Type
Fullv Improved ':
Storm Sewer Available: Yes ~-~~&orm Sewer
Special Iustruction: C!l?~~~-~~._
NoilileG'llcm~. ~ ~~
Notes: Storm tied to desiguated storm system approved during PIItpEilMea2.~~Wl~""",~......."""
(lOOt). 'ii\n!WJtJ~~""'UJu""u_"iJI
dr.ne~ "",,"M. f'~0l3~~
Iilllmcr (1m taD lW,,"O,>"";'" ~ ~Sl1' ~ Not!',,_
~b~
Paee 1 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Dwellines
Garaee
V Wood Frame
Garaee
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
2 Baths One or Two Family
Addressing Assignment
Building Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Furnace - up to 100,000 btu
Plan Review Major - Planning
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC SanitarylStorm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Total Amount Paid
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00634
ISSUED: 06/15/2007
APPLIED: 05/02/2007
EXPIRES: 01/26/2008
VALUE: $ 145,205.00
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$103.00
$27.00
Square Footage
or Bid Amount
1,280.00
495.00
Value
Date Calculated
$131,840.00
$13,365.00
$145,205.00
05/0212007
05/0212007
Total Value of Project
Fpp< P\WiIJ
Amount Paid
$464.85
$10.00
$115.29
$63.11
$85.13
$254.00
$31.00
$715.15
$6.00
$9.00
$88.75
$12.00
$198.00
$474.97
$624.64
$10.00
$961.52
$91.61
$152.92
$67.59
$836.32
$189.58
$1,221.64
$50.00
$18.00
$2,303.00
$15.90
$7.95
$12.72
$117.00
$42.00
$9,249.64
Date Paid
Receipt Number
1200700000000000488
1200700000000000776
1200700000000000776
1200700000000000776
1200700000000000776
1200700000000000776
1200700000000000776
1200700000000000776
1200700000000000776
1200700000000000776
1200700000000000776
1200700000000000776
1200700000000000776
1200700000000000776
1200700000000000776
1200700000000000776
1200700000000000776
1200700000000000776
1200700000000000776
1200700000000000776
1200700000000000776
1200700000000000776
1200700000000000776
1200700000000000776
1200700000000000776
1200700000000000776
1200700000000001028
1200700000000001028
1200700000000001028
1200700000000001028
1200700000000001028
512107
6/15/07
6/15/07
6/15/07
6/15/07
6/15/07
6/15/07
6/15/07
6/15/07
6/15107
6/15/07
6/15/07
6/15/07
6/15/07
6/15/07
6/15/07
6/15/07
6/15/07
6/15/07
6/15/07
6/15/07
6/15/07
6/15/07
6/15/07
6/15/07
6/15/07
8/13/07
8/13/07
8/13/07
8/13/07
8/13/07
Paee 2 of 4
.
. CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-00634
ISSUED: 06/15/2007
APPLIED: 05/02/2007
EXPIRES: 01/26/2008
VALUE: $ 145,205.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Plannine Review
05/03/2007
05/03/2007
I Plan Reviews I
05/03/2007 APP
05/24/2007 APP
LLH
TAJ
As per Condition 5 of the tentative
approval for Redwood Lane
Subdivision: the address shall be
plainly visible and legible from Main
Street.
Rcvd 5/3/2007---Waiting in order
PW rcvd for rvw.JLP WI 5/9/07
Storm tied to designated storm
system approved during PIP
process. JLP APP 5/11/07
Public Works Review
05/03/2007
05/03/2007 WI
JLP
Public Works Review
05111/2007
05111/2007 APP
JLP
Structural Review
05/03/2007
05/09/2007
APP RJB
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.
~rI Tn~nections I
ErosionlGrading Inspection: Prior to ground disturbance and after erosion measures are installed.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to coucrete placement.
Post and Beam: Prior to l100r insulation or decking.
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 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 an required inspections have been requested aud approved and the building is complete.
Perimeter Foundation Drains: After gravel and filter cloth is iustalled but prior to backfill.
Underl100r Plumbiug: Prior to insulation or decking.
Underl100r Drain: Prior to cover or placement of concrete.
Rough Plumbiug: Prior to cover and including required testing.
Paee 3 of 4
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00634
ISSUED: 06/15/2007
APPLIED: 05/02/2007
EXPIRES: 01/26/2008
VALUE: $ 145,205.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and iucluding required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Underl100r Mechanical. Prior to insulation or decking and including required testing.
Rough Mechanical: Prior to Cover
Final Mechanical: When an mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
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 an 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 properly, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Paee 4 of 4
.
. .
22S Flfth'Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-00634
COM2007-00634
COM2007-00634
COM2007-00634
COM2007-00634
Payments:
Type of Payment
Check
cReceint 1
RECEIPT #:
~.
Wi:
. of Springfield Official Receipt
'llflrvelopment Services Department
Public Works Department
1200700000000001028
Date: 08/13/2007
Description
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
CRAFTSMAN ELECTRIC
Item Total:
l.:heck Number Authorization
Received By Batch Number Number How Received
djb 1469 In Person
Payment Total:
Page 1 of I
11:34:18AM
Amount Due
117.00
42.00
7.95
12.72
15.90
$195.57
Amount Paid
$195.57
$195.57
8113/2007
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
..CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00634
ISSUED: 06/15/2007
APPLIED: 05/02/2007
EXPIRES: 12/15/2007
VALUE: $ 145,205.00
SITE ADDRESS: 6959 Main ST
ASSESSOR'S PARCEL NO.: 1702353309500
Springfield
TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence, Lot 2 Redwood Subdivision
Contractor License Expiration Date
AADCO ENTERPRISES LLC 129873 .rll6/18/2008
, BUILDING INFORMA nON I 4.0~,$'''' ~
ro"" " ,0 ,.
~ oc;:. ~ ",,,,;'\
# of Stories: <.,ro<S. l,ro<0 <..<L"iiJi~i~~_:,'Q
Height of Structure: ,# l~j'SOro"" ~ ~g 'FI~s't t:JOor:
Type of Heat: orced Air RI~i:trt~ ~ o~,Ft 2iili' I\Iil~r:
R>.... ....'). ~ ...". . ,Q'< '()-.
Water Type: 0<"'0 ro~Electri<)<0 r.S Fdia'sement:
,,'\: $,\(....- <<J . Q).1 e" ..........'
Range Type: :<1" 00'< <...r;I~tric<)~~ . S.!l.I\"~~,:;,age/Carport
Energy pat~~'~ CO ~ ro~ro s:iPa~(1 o,ro,~q';F"'v(j!ther:
Sprinkle<!,~ull~iJt~: C; s:"S:S ~?il ~ o"O,c~Dpant Load:
...:.." ~~ .("\<:' ~ ,0 .(')~.. r-.:. _.~
, ,
. "..... """ '" '''-' ..... ~.... ~-
I DEVELOPMENHNFORMATION~I~O ,93
~- Ol ~- ~. ~ '" ~~
.~ p,"" ',c;:.Ci> <..,0 ~ro
Overlay Dist: ",<:5 c,l/l 'f:>'O 0ro
# Street Trees Rqd: c;:.v<$'
Paved Drive Rqd:
% of Lot Coverage:
"'~
~~v~~,
'\~ f.>
Street Improvements: Fullv Improved Sidewalk Type: ~ ~ # ~~
S S . . <"!~ <.<(' ,,<(
torm ewer Available: Yes Downspoutsmral'l~: 'Xv J'J'>Storm Sewer
Special Instruction: :x-."" '(, '\~S ~<\:>\:S
" . "oY:' iJx..~ ~"?'
Notes: Storm tied to designated storm system approved during PIP process. J~6tA'P~-S/11<g7. \"0 "?'
_,~,,\'i <,>~~~~y<\:> (\~ .,C\<\:>'
,. ~"O. ~,. ,<-v ~,.
I Valuation Descriotion I '\~ ~'\~~~x..~\) <\:>* 'X
"?' ~~ 'l>~
Square Footage \) ~ '\ V I
or Bid Amount "?' a ue
Owner: AADCO ENTERPRISES LLC
Address: 421 72ND ST
SPRINGFIELD OR 97478
Contractor Type
General
# 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:
10.00
10.00
31.00
18.00
7.50
Description
Tvpe of Construction
Residential
Phone Number: 541-744-0428
, CONTRACTOR INFORMATION I
Phone
541-744-0428
1
R-3
U
VB
10,335
1,280
495
3
o
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
19.50
I PUBLIC IMPROVEMENTS I
$ Per Sq Ft
or multiplier
Date Calculated
Paee 1 of 4
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00634
ISSUED: 06/15/2007
APPLIED: 05/02/2007
EXPIRES: 12/15/2007
VALUE: $ 145,205.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Dwellines
Garaee
V Wood Frame
Garaee
$103.00
$27.00
1,280.00
495.00
$131,840.00
$13,365.00
$145,205.00
05/0212007
05/0212007
Total Value of Project
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $464.85 512107 1200700000000000488
-Mechanical Issuance Fee- $10.00 6/15/07 1200700000000000776
+ 10% Administrative Fee $115.29 6/15/07 1200700000000000776
+ 5% Technology Fee $63.11 6/15/07 1200700000000000776
+ 8% State Surcharge $85.13 6/15/07 1200700000000000776
2 Baths One or Two Family $254.00 6/15/07 1200700000000000776
Addressing Assignment $31.00 6/15/07 1200700000000000776
Building Permit $715.15 6/15/07 1200700000000000776
Dryer Vent $6.00 6/15/07 1200700000000000776
Exhaust Hoods $9.00 6/15/07 1200700000000000776
Fire SF Fee - Residential $88.75 6/15/07 1200700000000000776
Furnace - up to 100,000 btu $12.00 6115/07 1200700000000000776
Plan Review Major - Planning $198.00 6/15/07 1200700000000000776
Sanitary Sewer - Improvement $474.97 6/15/07 1200700000000000776
Sanitary Sewer - Reimbursement $624.64 6/15/07 1200700000000000776
SDC MWMC Administration $10.00 6/15/07 1200700000000000776
SDC MWMC Improvement $961.52 6/15/07 1200700000000000776
SDC MWMC Reimbursement $91.61 6/15/07 1200700000000000776
SDC SanitarylStorm Admin $152.92 6/15/07 1200700000000000776
SDC Transpo Admin $67.59 6115/07 1200700000000000776
SDC Transpo Improvement $836.32 6/15/07 1200700000000000776
SDC Transpo Reimbursement $189.58 6/15/07 1200700000000000776
Storm Drainage Impervious Area $1,221.64 6/15/07 1200700000000000776
Temp Power 200 amps or less $50.00 6/15/07 1200700000000000776
Vent Fan $18.00 6/15/07 1200700000000000776
Willamalane Single Family $2,303.00 6/15/07 1200700000000000776
Total Amount Paid $9,054.07
I Plan Reviews I
Initial Review
Plan nine Review
05/03/2007
05/03/2007
05/03/2007
05/24/2007
APP LLH
APP T AJ
As per Condition 5 of the tentative
approval for Redwood Lane
Subdivision: the address shan be
plainly visible and legible from Main
Street.
Rcvd 5/3/2007---Waiting in order
PW rcvd for rvw.JLP WI 5/9/07
Public Works Review
05103/2007
05/03/2007
WI JLP
Paee 2 of4
.
. UIi' OF SPRINGFIELD-
Building/Combination Permit
PERMIT NO: COM2007-00634
ISSUED: 06/15/2007
APPLIED: 05/02/2007
EXPIRES: 12/15/2007
VALUE: $ 145,205.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Public Works Review
05/11/2007
05/11/2007
APP JLP
Storm tied to designated storm
system approved during PIP
pro~ess. JLP APP 5/11/07
Structural Review
05103/2007
0~/09/2007
APP RJB
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.
~rlf:tlrlll1(',111Iflolrtj,~
ErosionlGrading Inspection: Prior to ground disturbance and after erosion measures are installed.
Ufer Electrical Ground: Instan ground rod at footing and call for inspection in conjunction with footing andlor
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to l100r insulation or decking.
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 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.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Underl100r Plumbing: Prior to insulation or decking.
Underl100r Drain: Prior to cover or placement of concrete.
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.
Underl100r Mechanical. Prior to insulation or decking and including required testing.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Paee 3 of 4
-~
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00634
ISSUED: 06/15/2007
APPLIED: 05/02/2007
EXPIRES: 12/15/2007
VALUE: $ 145,205.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Temporary Electric: Approval required prior to Utility Company energizing pole.
By signature, I state and agree, that I have carefuny 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 tlfe permit card is located at the front of the property, and the approved set of plans will remain on the site at an
times dllons:? & _ /5 _ 0/
Ow~ or Contractors Signature Date
Paee 4 of 4
225 FIFI1I STREET. SPRINGFIE'" 97477 . PH:(541)72~37S3 . FAX: (541)72<>-3689
ELECTRICAL I:P.RMI~PLICATION
City Job Number L'}1~~,,\
I ' ' , ~ ..,. "A"""','" 1
',' -, . , ... """"'~:,~,~.<'l.',-_',~.~
1. ,LOCATIQNQ1"lN~TALP4r.!'Q1i{":"",,,,,,
loq~ \Nt ~ ('~ ~'r-
LE\G>t02sg~~~ m&x)
:;e~::~:=RIN*~1'Q~:1 B':=:~~~~:li~~~t~JL3Jj9~i~!~~.:r:~:J!~1f~1~:.~~1
/ ,;ilo'i2NrIOM01 Amps to 400 Amps $ 75.00
NrH'f.' ~ rUles lI61rA1m'tl l;g 600 Amps $125.00
in (JA,'Riltion Ce~1[Pklf"'~~~~'OOll~~~ $163.00
009n ,,952-001 lVer fC!<&/iftt,s'NQltso You to $375.00
'uu ~ "in.., 0JO r ,I & n lJ
C~IZ' rn~I' leaormect OitlyeS il- tllily $ 50.00
<<I. In Qr ObI ""uu ,e
nu 9 the c ilin ~_ 9h OA ~ Set 'A_.
rnber~ entEl'f~~~~"~,j,.",,,_w~, -",...r:r:,"~"(, "';;~, :!r-'."""".1l,,~~~~~~",,;{
_ Or Ihe C" ~!!!P..!!!;!!~~!h':ices..or.Ji.l:~.ers,,~~; 'i;.!ii~~!l,~'l1i1ib,i\iir.:~ .,.o;;tij
'-'enl . Orego ". lI)e I, ~ I' 'n "
ellS I n 1"./ I,' .
In~taUatioD:' Alteration'or Relocation DO ..r-.'
"'0;J2:o" ~
200 Amps or,less l $ 50.00 .
,
20 I Amps to 400 Amps $ 69.00
401 Amps to 600 Amps $100.00
The in.stallation is being made on property I own wtiic~MMEN ~~t\:fl@li'gy/Commercial $ 45.00
IS not mtended for sale, lease or rent. Jl,N'< 1A\'nP.num Electric Permit Inspection Fee is 545.00 + Surcharges
~"""--_...,."._~_. ..-.'.... r". " ", ,<< ""'am' A-7'I
S. . 4. iSUBm7:A'T"OJt:ABOVE,"';'~"~"'~;iI>{",;'lI;l ' (..,l../
rs 1 ature. ~:...""...",~.~,1;;.~"j~~'~,"":il'....,-r~...",;;",r,_..,,...'l,?':~...,dft.:1'i>\,'.",...'".".-o\.:c..:, A'.. .. _. _.
8% State Surcharge ~ r p
10% Administrative Fee ~ .I'L:2
5% Technology Pee .., "..so
(nt.&::>
JOB DESCRIPTION:
per~~~r~a~Q~:t:kiS
not started within 180 days of issuance or if work is
Suspended for 180 days.
City
Expiration Date
tlon Request: 726-3769
p;"~ " , "~~'"~",, uu.~~~
',. '....,-. ..... -: I...:',
"" ...: '<6s..':~< DATE
" J!f;.. IlJIU" " SOURCE
Date t.o \ 1<':') ( b 1
3. FCO~1!iiw~crri:ED~Bli'EQW4'~~;..t~,l,\~
't'~ ~'.,.. , -i .. .. " .. """"t.I'...~"" .. "-, .. ....,......1 t.."I_;. __ .. ",1/ .. _' .. ,"!OIl', .if''' "If'q
A. [$~~~~a~~gi~~V~l!Wr~~~ilyfP'yia'W~illi~~~
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Maoufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
$19.00
$50.00
Over 600 Amps or 1000 Volts see "B" above.
D r!lt""'<'"'H-,,-<~,~~~'t"'<~-;<;'J''':'1
.}~t<!P,~ll~ujf.~!'~ .. '~;' c '- ",. "",'_S'.~'i_ .. " ~t;f!~
New Alteration or ExtensIon Per Panel
One Circuit
Each Additional Circuit or with
Service or Peeder Permit
$ 43.00
$ 3.00
TOTAL
Shared Drive(T:)JBuilding FonnsIElectrical Pennit Application 8-06.doc
CITY OF _INGFIELD SYSTEMS DEVELOPME&ORKSHEET
JOURNAL OR JOB NUMBER:
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
COM2007-00634
AADCO ENTERPRISES
6959 Main St
1702353309500 Lot #2 Redwood Lane
SINGLE FAMILY RESIDENCE
I BUILDING SIZE (SF'
1854
tJ'J
~
Cl
o
U
l>::
10335 ~
-16
~
I. STORM DRAINAGE
LOT SIZE (SF):
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. CHARGE I
I 3640.00 I $0.336 I = I $1.221.64
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
! IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I I
I 0.00 I $0.336 I I 50% = I
ITEM I TOTAL - STORM DRAINAGE SDC '$1,221.64 I
2. SANITARY SEWER - CITY
A REIMBURSEMENT COST:
I NUMBER OF DFU's I x
I 24
B. IMPROVEMENT COST:
I NUMBER OF DFU's I x
I 24 $19.79
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
COST PER DFU
$26.03
DISCOUNT
$0.00
$1,221.64 1070
I
$624.64
1091
$474.97
11092
I
= ,
$1,099.61
J, TRANSPORTATION
A RE[MBURSEMENT COST:
I ADTTRlPRATE I x
I 9.57 I
I NUMBER OF UNITS I x I
I I I
B. IMPROVEMENT COST:
I ADTTRlPRATE I x I NUMBER OF UNITS I x I
I 9.57 I I I I
ITEM 3 TOTAL - TRANSPORT A nON SDC = ,
4, SANITARY SEWER - MWMC,
COST PER TRIP
$19.81
x INEW TRIP FACTORI
I 1.00 I $189.58 11093
I
x INEWTRlPFACTORI
I 1.00 I $836.32 . 1094
COST PER TRIP
$87.39
$1,025.90
A REIMBURSEMENT COST:
INUMBER 7F FEU's I x
B. IMPROVEMENT COST:
INUMBER 01 F FEU's I x ICOST PER FEU
I $961.52
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
ICOST PER FEU
I $91.61
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = ,
-
SUBTOTAL (ADD ITEMS 1,2, 3, & 4) = ,
5 ADMINISTRATIVE FEE;
I SUBTOTAL x I ADM. FEE RATE I~
I $4.4 10.28 I 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
=
$91.61
1054
= $961.52 [055
$0.00 1054
$10.00 1 1056
$1,063.13 I I
$4,4 I 0.28 J l
CHARGE
$220.5 I
152.92 11079
$67.59 ~1078
-----
TOTAL SDC CHARGES = , $4,630.79
u u_
Jeff Prociw
PREPARED BY
5/1112007
DATE
. .
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIX11JRES x UNIT EQUIVALENT - DRAINAGE FlX1URE UNITS 1
(NOTE, FOR REMODELS. CALCULATE ONLY THE NET ADDffiONAL FlX1URES)
NO. OF FIXTURES DRAINAGE I'
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
BATHTUB 2 0 3 = 6
DR1NKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE lOlL 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
ICLOTHESW ASHER I MOP SINK 1 0 3 = 3
ICLOTHESW 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. 1 0 3 = 3
SHOWER, SINGLE STALL 0 0 2 = 0
I SHOWER, GANG (NI!MBER OF HEADS\. 0 0 2 = 0
ISINK: COMMERCIALlRESIDENTIAL KITCHEN 1 0 3 = 3
ISINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASINIDOUBLE LAVATORY 1 0 2 = 2
ISINK: SINGLE LAVATORYIRESIDENTlAL BAR 1 0 1 = 1
IURlNAL. STALL I WALL 0 0 5 = 0
ITOILET. PUBLIC INSTALLATION 0 0 6 = 0
ITOILET. PRlV ATE INST ALLA TION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 24
.EDU (Equivalent DwellinJ!: Unit) is a discha:rJte equivalent to a sinJde family dwc:llinJ!: unit (20 DFU's) set at 167 J!llIlons per day
MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE
r---- YEAR
L ANNEXED
I BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
I 1998
I 1999
I 2000
,I 2001
CREDITRATElS1,000 J
ASSESSED VALUE
$5.29
$5.29
$5.19
$5.12
$4.98
$4.80
$4.63
$4.40
$4.07
$3.67
$3.22
$2.73
$2.25
$1.80
$1.59
$1.45
$1.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.05
IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2 'I
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 2
(Enter I for Yes, 2 for No)
BASE YEAR 1979
CREDIT FOR LAND (IF APPLICABLE) I
VALUE 11000 CREDIT RATE
SO.OO x S5.29 ~ , SO.OO
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) I
VALUE 11000 CREDIT RATE
$0.00 x $5.29 0
I
TOTAL MWMC CREDIT = SO.OO I
RECEIPT. 1200700000000000776 .ate: 06/15/2007 11:55:38AM
Job/Journal Number Description Amount Due
COM2007-00634 Addressing Assignment 31.00
COM2007-00634 Willamalane Single Family 2,303.00
COM2007-00634 Temp Power 200 amps or less 50.00
COM2007-00634 Fire SF Fee - Residential 88.75
COM2007-00634 Building Permit 715.15
COM2007-00634 2 Baths One or Two Family 254.00
COM2007-00634 Vent Fan 18.00
COM2007-00634 Exhaust Hoods 9.00
COM2007-00634 Dryer Vent 6.00
COM2007-00634 -Mechanical Issuance Fee- 10.00
COM2007-00634 Storm Drainage Impervious Area 1,221.64
COM2007-00634 Sanitary Sewer - Reimbursement 624.64
COM2007-00634 Sanitary Sewer - Improvement 474.97
COM2007-00634 SDC Transpo Reimbursement 189.58
COM2007-00634 SDC Transpo Improvement 836.32
COM2007-00634 SDC MWMC Reimbursement 91.61
COM2007-00634 SDC MWMC Improvement 961.52
COM2007-00634 SDC MWMC Administration 10.00
COM2007-00634 SDC SanitarylStorm Admin 152.92
COM2007-00634 SDC Transpo Admin 67.59
COM2007-00634 Plan Review Major - Planning 198.00
COM2007-00634 Furnace - up to 100,000 btu 12.00
COM2007-00634 + 5% Technology Fee 63.11
COM2007-00634 + 8% State Surcharge 85.13
COM2007-00634 + 10% Administrative Fee 115.29
Item Total: $8,589.22
Payments: Check Number Authorization
Type of Payment Paid By Received By Batch Number Number How Received Amount Paid
Check AADCO ENTERPRISES djb 2324 In Person $4,589.22
CreditCard JOHN GRESSER djb 015246 In Person $4,000.00
Payment Total: $8,589.22
cReceintl
Pa~e 2 of2
6/15/2007