HomeMy WebLinkAboutPermit Building 2002-5-3 (2)
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New printed permit copy for file - Plumbing
contractor change to Home Comfort. See original
permit for validated original. Change made 5/23/02
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I Job# 02-00394-01 I
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Page 1 of 4
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00394-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 5961 Obsidian Ave Spr
Assessors Map#: 18020300
Lot: 23 Block: Addition:
Tax Lot #: 00507
Subdivision: Jasper Meadows
Owner:
Address:
Hayden Enterprises
2622 SW Glacier Place #110
Phone Number: 541-923-6607
City/State/Zip:
Redmond, OR 97756
Value: $84,827
Scope Of Work: Single Family Residence
same as 1672 s 60th 02-00300-01
ATTENTIOW" NO SANITARY SEWER CONNECTION UNTIL THE SUBDIVISION IS
ACCEPTED BY THE CI Y
Contractor Type Contractor
General Contr Hayden Enterprises
2622 SW Glacier Place #110, Redmond,
OR 97756
New
Registration #
92208
Expiration Date
7/29/2003
Phone
541-923-6607
Electrical Contr
Christenson Electric Inc 458
111 SW Columbia St Ste 480, Portland,
OR 97201-5886
Mechanical Contr Home Comfort Heating & Air Conditioning 184164
Po Box 24205, Eugene, OR 97402
Plumbing Contr Home Comfort Heating & Air Conditioning 184164
Po Box 24205, Eugene, OR 97402
5/1/2003
503-241-4812
6/25/2003
541-345-2838
6/25/2003
541-345-2838
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
4RSE
1
(VN) Wood Frame
Electric
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
LDR
3
Electric
# Of Buildings: 1
Occupancy Group: Dwelling
Heat Source: Forced Air Electric
Sq. Footage: 1420
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
working day.
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor Insulation
Ceiling Insulation
Shear Wall Nailing
Required Inspections
I Buildinq I
-Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation ir
-After trenches are excavated.
-After forms are erected but prior to concrete placement.
-Prior to floor insulation or decking.
-Prior to decking,
- Prior to cover,
- Before covering sheathing with finish materials,
.
Framing
Wall Insulation
Drywall
Final Building
Temporary Power
Rough Electrical
Electrical Service
Final Electrical
Underfloor Plumbing
Underfloor Drain
Rough Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Final Plumbing
Underfloor Mechanical
Rough Mechanical
Final Mechanical
SW-Curbside
CC-Standard
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I Job# 02-00394-01 I
Required Inspections
Buildin!!
Page 2 of 4
- Prior to cover.
-Prior to Cover
-Prior to taping,
-When all required inspections have been approved and the building is complete,
I Electrical I
-Approval required prior to SUB energizing pole,
- Prior to cover.
- Must be approved to obtain permanent power.
-When all electrical work is complete.
I Plumbin!!
- Prior to insulation or decking,
- Prior to cover or placement of concrete,
- Prior to cover,
- Prior to filling trench,
- Prior to filling trench.
- Prior to filling trench,
-When all plumbing work is complete,
I Mechanical
-Prior to insulation or decking,
- Prior to cover.
- When all mechanical work is complete.
I Public Works I
-After forms are erected but prior to placement of concrete
-After forms are erected but prior to placement of concrete
Street Improvement: Fully Improved
Curb Cut?0 Improvement Agr.?D
San Sewer Depth (Ft): 6 4
Storm Sewer Available? 0
Special Req,:
Security Required:
Bond Begin DateTime: 00/00/0000 00:00:00 '
Special Instructions:
Other Utilities:
Project Supervisor:
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
Curbside - 5'
o
8
To Curb and Gutter
6
00/00/000000:00:00 '
Types Of Warning Devices Reqd.
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i.-j
Zoning: LDR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 2000-01-0015 2:
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I Job# 02-00394-01 I
Overlay District:
# of Street Trees: 1
Comments:Wetland Conservation Easement on rear portion of property
3:
Planner:
Urban Growth Boundary?D Glenwood Area? 0
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: Zone X White
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? 0
rArea (Sq. Feet)
Main: 1420 Accessory:400
Fee
Same As Plan Review
Total Plan Check
Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
Minimum Electrical Permit Fee
Wiring Footage 1,000 Sq Ft or Less
Wiring Footage Each Add'l 500 Sq Ft
Temporary: 200 Amps or Less
State Surcharge - Electrical
8% Admin Fee - Electrical
Total Electrical
Two Bathrooms
State Surcharge - Plumbing
8% Administrative Fee - Plumbing
Total Plumbing
Hood and Exhaust
Minimum Mechanicai Permit
8% Administrative Fee - Mechanical
Less than 100,000 BTU
Vent Fan to One Duct
Dryer Vent
Mechanical Issuance
Additional Requirements:
Required Attachments:
Source Locn:
Material:
.
Page 3 of4
Land Use:
Pave Driveway? 0
Flood Plain FEMA: Panel 1166 of 2975
Private Garage/Carp/Star
# Of Stories: 2 Height (feet): 16
Current Units: Proposed Units:1
Census Code: New SF - detached
Total:1820
Paid On Receipt#
Plan Check
04/05/2002 8534
Building
05/03/2002 8845
05/03/2002 8845
05/03/2002 8845
Electrical
05/03/2002 8845
05/03/2002 8845
05/03/2002 8845
05/03/2002 8845
05/03/2002 8845
05/03/2002 8845
Plumbing
05/03/2002 8845
05/03/2002 8845
05/03/2002 8845
Mechanical
05/03/2002 8845
05/03/2002 8845
05/03/2002 8845
05/03/2002 8845
05/03/2002 8845
05/03/2002 8845
05/03/2002 8845
Value/Quantity
1
84,827
1
2
1
1
1
1
3
Fee Amount
$100,00
$100.00
$507,15
$35,50
$40,57
$583.22
$,00
$106,00
$38,00
$50,00
$13,58
$15,52
$223.10
$254,00
$17,78
$20,32
$292.10
$9,00
$6,00
$3,60
$12,00
$18,00
$,00
$10,00
J
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Job# 02-00394-01
Page 4 of 4
Value/Quantity Fee Amount
Fee
Paid On Receipt#
Mechanical
05/03/2002 8845
State Surcharge - Mechanical
Total Mechanical
New Sidewalk
New Curbcut
Multiple Permit Discount - 2nd Permit
Total Public Works
Public Works
05/03/2002 8845
05/03/2002 8845
05/03/2002 8845
25
1
1
Residential - Single Family - Storm
Residential Improvement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Residential Sanitary MWMC
Residential - Improvement
Residential - Reimbursement
Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC Improvement
Total System Development
System Development
05/03/2002 8845
05/03/2002 8845
05/03/2002 8845
05/03/2002 8845
05/03/2002 8845
05/03/2002 8845
05/03/2002 8845
05/03/2002 8845
05/03/2002 8845
1
1
1
20
20
1,936
1
1
S,F, Residence - Willamalane
Total WilIamalane SDC
WilIamalane SDC
05/03/2002 8845
1
Planning Plan Review
Total Planning
PlanninQ
05/03/2002 8845
1
Address Assignment
Total Permits w/o Srchg
Grand Total
Permits w/o SrchQ
05/03/2002 8845
1
Plan Check Type
Checked By
Date Completed
Comment
Initial Review-Res
Engineering-Res
Lisa Hopper
Bob Kettwig
04/08/2002
04/17/2002
NO SANITARY SEWER CONNECTION
UNTIL THE SUBDIVISION IS ACCEPTED BY
THE CITY,
Planning-Res
Structural-Res
Liz Miller
Tom Marx
04/15/2002
04/18/2002
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 701,055 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,
$3,15
$61.75
$75.00
$75,00
$-30,00
$120,00
$528,64
$34,83
$10,00
$123,67
$332,86
$659,76
$155,13
$427.40
$324,80
$2,597.09
$1,000,00
$1,000,00
$55.00
$55,00
$8. 00
$8,00
$5,040.26
.",
,.
~Ob# 02-00394-01 I
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Page 1 of4
(RANiL O1':JCO!:Jl:~,1
~,AY 03 ~Oll'
$ '.44).1,6;'
03~
Location Of Proposed Site: 5961 Obsidian Ave Spr
Assessors Mapf#: 18020300
HI I 1::1\11 ".;Il~.UI~~\."', r':\',j 1~4Ulld~ lUll tv
LotisRJW rules adoote~!l.9~~ie Oreaon Utilitv
o l\lotification CI:'f.1tA~ ThH~A rr lies are set forih
"tr~~AR 952-00 f-'GYu Itrtnr%'ll~~ OAR 952-001-
Adllress:You ma~P0)B6x 88~ies of the rules by
S c~O"}"wth~ csnter /~nt!r t~A t!(/Anhone
cOR~lIlut:or ?S, ihtP~~(~gJhnr,YiIJl~~~orNI%~tiOr.
Cen!::sa!f1,elas,,167:2'~;9.9.\~. 02-00300-01
ATTENTION". NO SANITARY SEWER CONNECTION UNTIL THE SUBDIVISION IS
ACCEPTED BY THE CITY
Contractor Type Contractor
Glilne~.c.9ntr Hayden Homes
lIlunUlil?:: PO Box 883, Springfield. OR 97478
E~~~ SH~ rWJ~I~IJtlk\1HtRK 458
COMMENCED ~~D~~~i~~R ~Q~80, Portland,
rvfe~~aA~gII2!ciXtfERlQI;\,e Comfort Heating & Air Conditioning 184164
Po Box 24205, Eugene, OR 97402
Brenda Marlene Currier
648 W Oregon Ave, Creswell, OR 97426
225 Fifth Street
Springfield, OR 97477
Plumbing Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00394-01
Office: 726-3759
Inspection Line: 726-3769
Addition:
Tax Lot #: 00507
Subdivision: Jasper Meadows
Phone Number: 541-501-4332
City/State/Zip:
Springfield, OR 97478
Value: $84,827
New
Registration #
92208
Expiration Date
7/29/2003
Phone
541-501-4332
5/1/2003
503-241-4812
6/25/2003
541-345-2838
103570
12/15/2002
541-895-3758
4RSE
1
(VN) Wood Frame
Electric
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings: 1
Occupancy Group: Dwelling
Heat Source: Forced Air Electric
Sq. Footage: 1420
LDR
3
Electric
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
working day,
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor Insulation
Ceiling Insulation
Shear Wall Nailing
Framing
Required Inspections
I Buildin!! I
-Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation il
-After trenches are excavated,
-After forms are erected but prior to concrete placement.
- Prior to floor insulation or decking,
- Prior to decking,
- Prior to cover,
- Before covering sheathing with finish materials,
- Prior to cover.
'H
,.
Wall Insulation
Drywall
Final Building
Temporary Power
Rough Electrical
Electrical Service
Final Electrical
Underfloor Plumbing
Underfloor Drain
Rough Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Final Plumbing
Underfloor Mechanical
Rough Mechanical
Final Mechanical
SW-Curbside
CC-Standard
~Ob# 02-00394-01 I
Required Inspections
Buildin!!
. Page20f4
- Prior to Cover
- Prior to taping,
- When all required inspections have been approved and the building is complete,
I Electrical I
-Approval required prior to SUB energizing pole,
- Prior to cover,
- Must be approved to obtain permanent power,
-When all electrical work is complete,
I Plumbinq
-Prior to insulation or decking,
- Prior to cover or placement of concrete,
- Prior to cover.
-Prior to filling trench,
-Prior to filling trench,
- Prior to filling trench.
-When all plumbing work is complete,
I Mechanical
- Prior to insulation or decking,
- Prior to cover.
-When all mechanical work is complete,
I Public Works :
-After forms are erected but prior to placement of concrete
-After forms are erected but prior to placement of concrete
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
Street Improvement: Fully Improved
Curb Cut?0 Improvement Agr,?D
San Sewer Depth (Ft): 6 4
Storm Sewer Available? 0
Special Req.:
Security Required:
Bond Begin DateTime: 00100/0000 00:00:00 '
Special Instructions:
Other Utilities:
Project Supervisor:
Curbside - S'
o
8
To Curb and Gutter
6
00/00/0000 00:00:00 '
Types Of Warning Devices Reqd,
, ,
,
~Ob# 02-00394-01 I
Zoning: LDR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 2000-01-0015 2: 3:
Comments:Wetland Conservation Easement on rear portion of property
Overlay District:
# of Street Trees:
1
Planner:
Urban Growth Boundary?D Glenwood Area? 0
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: Zone X White
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? 0
rArea (Sq. Feet)
Main: 1420 Accessoryl400
Fee
Same As Plan Review
Total Plan Check
Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
Minimum Electrical Permit Fee
Wiring Footage 1,000 Sq Ft or Less
Wiring Footage Each Add'l 500 Sq Ft
Temporary: 200 Amps or Less
State Surcharge - Electrical
8% Admin Fee - Electrical
Total Electrical
Two Bathrooms
State Surcharge - Plumbing
8% Administrative Fee - Plumbing
Total Plumbing
Hood and Exhaust
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Less than 100,000 BTU
Vent Fan to One Duct
Dryer Vent
Mechanical Issuance
Additional Requirements:
Required Attachments:
Source Locn:
Material:
. Page30f4
Land Use:
Pave Driveway? 0
Flood Plain FEMA: Panel 1166 of 2975
Private Garage/Carp/Stor
# Of Stories: 2 Height (feet): 16
Current Units: Proposed Units:1
Census Code: New SF - detached
Total:1820
Paid On Receipt#
I Plan Check
04/05/2002 8534
Buildinq
05/03/2002 8845
05/03/2002 8845
05/03/2002 8845
Electrical
05/03/2002 8845
05/03/2002 8845
05/03/2002 8845
05/03/2002 8845
05/03/2002 8845
05/03/2002 8845
Plumbin!l
05/03/2002 8845
05/03/2002 8845
05/03/2002 8845
Mechanical
05/03/2002 8845
05/03/2002 8845
05/03/2002 8845
05/03/2002 8845
05/03/2002 8845
05/03/2002 8845
05/03/2002 8845
Value/Quantity
1
84,827
1
2
1
1
1
1
3
Fee Amount
$100,00
$100,00
$507,15
$35,50
$40,57
$583.22
$,00
$106,00
$38,00
$50,00
$13,58
$15.52
$223.10
$254.00
$17,78
$20,32
$292,10
$9,00
$6,00
$3,60
$12,00
$18,00
$,00
$10,00
.A .
~Ob# 02-00394-01
Paid On Receipt#
Mechanical
05/03/2002 8845
. Page 4 of4
Value/Quantity Fee Amount
I
~'
Fee
State Surcharge - Mechanical
Total Mechanical
New Sidewalk
New Curbcut
Multiple Permit Discount - 2nd Permit
Total Public Works
Public Works
05/03/2002 8845
05/03/2002 8845
05/03/2002 8845
25
1
1
Residential- Single Family - Storm
Residential Improvement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Residential Sanitary MWMC
Residential - Improvement
Residential - Reimbursement
Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC Improvement
Total System Development
System Development
05/03/2002 8845
05/03/2002 8845
05/03/2002 8845
05/03/2002 8845
05/03/2002 8845
05/03/2002 8845
05/03/2002 8845
05/03/2002 8845
05/03/2002 8845
1
1
1
20
20
1,936
1
1
S,F, Residence - Willamalane
Total Willamalane SDC
Willamalane SDC
05/03/2002 8845
1
Planning Plan Review
Total Planning
Planning
05/03/2002 8845
1
Address Assignment
Total Permits w/o Srchg
Grand Total
Permits w/o Srchg
05/03/2002 8845
Plan Check Type
Checked By
Date Completed
Comment
Initial Review-Res
Engineering-Res
Lisa Hopper
Bob Kettwig
04/08/2002
04/1712002
NO SANITARY SEWER CONNECTION
UNTIL THE SUBDIVISION IS ACCEPTED BY
THE CITY,
Planning-Res
Structural-Res
Liz Miller
Tom Marx
04/15/2002
04/18/2002
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 701,055 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,
~ AJ~t1wi.P./l.l-t.
$3,15
$61,75
$75,00
$75,00
$-30,00
$120,00
$528,64
$34,83
$10,00
$123,67
$332.86
$659,76
$155,13
$427.40
$324,80
$2,597,09
$1,000,00
$1,000.00
$55,00
$55.00
$8,00
$8,00
$5,040,26
S/3/0~
CITY OF SPRINGFIELD SylMS DEVELOPMENT CHARGE LHEET
JOURNAL OR JOB NUMBER: 02-00394-01
NAME OR COMPANY: HAYDEN HOMES
LOCATION: 5961 OBSIDIAN AVE
TAX LOT NUMBER: 18-02-03-00 TL: 00507 JASPER MEADOWS LOT #23
DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE
NEW DWELLING UNITS: I BUILDING SIZE: 1432 SF LOT SIZE: 6380 SF
.. ~TORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEN
I IMPERVIOUS S,F, 1'1 COST PER S,F, I
I 1936.40 $0.273 I =1 $528,64
I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUSS,F, I) COSTPERS,F, 1,1 DISCOUNTRATE I
I 0,00 1 $0,273 I I 50% I =1 $0,00
I ITEM 1 TOTAL. STORM DRAINAGE SDC =1 $528.64
2 SANITARY ~FWFR. - CITY
A, REIMBURSEMENT COST:
I NUMBER OF DFU's I "I COST PER DFU
20 $21.37
B. IMPROVEMENT COST:
I NUMBER OF DFU's I 'I COST PER DFU
20 $16,24
I ITEM 2 TOTAL - CITY SANITARY SEWER SDC
J...IRe N" POll T &Illlli
A, REIMBURSEMENT COST:
I I ADT TRIP RATE III NUMBER OF UNITS 1,1 COST PER TRIP I, I NEW TRIP FACTOR I
I 9.57 I I I $16,21 I 1.00 =1
B, IMPROVEMENT COST:
I ADT TRIP RATE I, I NUMBER OF UNITS 1,1 COST PER TRIP
! 9,57 I I I $68,94
I ITEM 3 TOTAL - TRANSPORT AnON SDC
4 SANITARY ~FWFR - MWlill::
A, REIMBURSEMENT COST:
I NUMBER OF FEU's 1'1 COST PER FEU
I I $332,86
B, IMPROVEMENT COST:
I NUMBER OF FEU's 1'1 COST PER FEU
I I $34.83 I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT
MWMC ADMINISTRATIVE FEE
=1
C/.l
~
Cl
o
u
-~
~
C/.l
......
c:>
~
.L
I 1070
$427.40 1091
=1
=1
$324,80 I 1092
$752,20 I I
$659,76 I 1094
$814.891 I
I
=1 $34,83 I
=1 $0,00 I
=1 $367,69 I 1055
=1 $10,00 I 1056
=1 $377.69 I
=[ $2,473.42 I I
-
$155.13
1,1 NEW TRIP FACTOR I
I I 1.00 =1
=r
=1
$332.86
I ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
I SUBTOTAL (ADD ITEMS 1,2,3, & 4)
~nM1N1STRATIVE FEE'
I SUBTOTAL 1,1 ADM. FEE RATE 'I
L_,.. $2,473.42 5%
Snwe.- TempLi-n,; 04/17/2002
I' SDC COORDINATOR DATE
I 11093
=1 $123.67 I 1073
TOTAL SDC CHARGES = $2,597.09
. .
DRAINAGE FIXTURE UNIT (DFU) CALCULA nON TABLE
I NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
( # NEW #OLD ) UNIT -- FIXTURE
FIXTURE TYPE x EQUIVALENT -- UNITS
BATHTUB ( 2 0 ) x 3 6
DRINKING FOUNTAIN ( 0 0 ) x I = 0
FLOOR DRAIN ( 0 0 ) x 3 0
INTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC. ( 0 0 ) x 3 0
INTERCEPTORS FOR SAND I AUTO WASH I ETC, ( 0 0 ) x 6 0
LAUNDRY TUB ( 0 0 ) x 2 0
CLOTHESWASHER I MOP SINK ( I 0 ) x 3 = 3
CLOTHESW ASHER - 3 OR MORE (EA) ( 0 0 ) x 6 = 0
MOBILE HOME PARK TRAP (I PER TRAILER) ( 0 0 ) x 12 0
RECEPTOR FOR REFRIG I WATER STATION I ETC, ( 0 0 ) x 1 = 0
RECEPTOR FOR COM, SINK I DISHWASHER I ETC, ( 0 0 ) x 3 0
SHOWER, SINGLE STALL ( 0 0 ) x 2 = 0
SHOWER, GANG (NUMBER OF HEADS) ( 0 0 ) x 2 0
SINK: COMMERCIAURESIDENTIAL KITCHEN ( I 0 ) x 3 = 3
SINK: COMMERCIAL BAR ( 0 0 ) x 2 0
SINK: DOMESTIC BAR ( 0 0 ) x I 0
WASH BASIN ( 0 0 ) x 2 0
LAVATORY ( 2 0 ) x I 2
URINAL, STALL I WALL ( 0 0 ) x 5 0
TOILET, PUBLIC INSTALLATION ( 0 0 ) x 6 0
TOILET, PRIVATE INST ALLA TION ( 2 0 ) x 3 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU's'
( 0 0 ) x 20 = 0
TOTAL DRAINAGE FIXTURE UNITS =1 20
$EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
MWMC CREDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEP ARA TEL Y 1
YEAR CREDIT RATE PER $1,000 IL YEAR CREDIT RATE PER $1,000
ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE
1979 OR BEFORE $4,92 f- \990 $2,06
\980 $4,83 I 1991 $1.64
198\ $4,)7 I 1992 $\.45
1982 $4,64 I 1993 $1.3\
1983 $4.47 I 1994 $1.13
\984 $4,30 1995 $0.97
1985 $4,09 \996 $0,82
1986 $3.78 1997 $0,63
1987 $3.41 1998 $0,4\
1988 $2,98 1999 $0,22
1989 $2.52 I 2000 $0,04
VALUE I 1000 CREDIT RATE
0,000 x $0.00 =1
0,000 x $0.00 =1
TOTAL MWMC CREDIT =1
$0,00
$0,00
$0,00
.
.
Job. NO.m.m3'i~~()1
NAME~
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
\~IJ PHONE: ffi~'5':Q.(),
.~ Fjffi J~STATE:BLzIP:Q'14.11
LOCATION OF PROPOSED BUILDING SITE:
Street Address: 50, I.a I Of? S ,. f.); ~
PIal Nam~~Q~_ Tax Lot Number: \, m~l
1. 'PEVEL~ENT TYPE (Check appropriate dwelling(s). SOC calculations and dwelling t
YIle definitions are on the back.)
ADDRESS:
A. Rinole-F::!milv Det::!cheQ
\ Single Family home
NO. OF UNITS \
Manufactured home not in a park
X $1,000 per unit =$ \ C:CO.C:()
B. Rinole-F::!milv Atf::!chen.
NO. OF UNITS
X $924 per unit
$
C. Mulli-Familv Aoartment
NO. OF UNITS
X ,$692 per unit = $
D. fv'I::!nuf::!cturerf Home P8~
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit c $
$ \CXX),cXJ
e5
$ \COO~
-' (~ I D~
$
2. SDC CREDIT (II applicable) SOc-payer mustlumlsh proof 01
WiUamalane Credit approval. See SDC Credit Worl<sheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(If SOC reduced for Credill
~.~~2.'s.~J
City of Springfield
.5
Date