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HomeMy WebLinkAboutPermit Building 2002-2-1 225 Fifth Street Springfield, OR 97477 ~~ X \~'t. ~~~~\ Location Of Proposed Site'1-~\~ \\~ @7~ard Ln Spr ASSeSSO{~~j1P#: S~~32~~~\~ ~'t: ~'t.~ ~~ f~i'ENTlOifi.'6 Lot #: 08600 Lot\\~_ 0~J.~~ \\~ffiN~t-.~~~ AdditiilJOtifi~~;UleS~~~,.r,~,~len owne},~~~~(J~~frWTi ~ \~~MES B'l.Q~~nt~ f'iJdP~~reg~~),UOt~/.to t-.\l \ ~\,\.f"':':'o~ flJiib. Yo VIlt-001H ifrUles Ilfy Addres~~~~ a.,I?~I8'oY7425 CityJ~?M~ obfcJllhre1ugij~tlFf18et fOrth ,.j \~~ n 9 thee I C,9Di ,..j119~fJ Scope Of~k: Single Family Residence Ne'JJ1R'lber fOr tJ.. enter. (NcYt~!{l8:of~fli /j01- C "eo~ a.thet I as by anter;" . ~on Utif;~. \~ epho!,o . uUU-332.i~{T/eation Registration # Expiration Date 36499 5/18/2004 FUTURE B HOMES PO BOX 7425, Eugene, OR 97401 Bob Fisher Electric Inc 180 Kingsbury Ave, Eugene, OR 97404 Jung Enterprises Inc Po Box 66, Dexter, OR 97431 Chapin Enterprises Inc 3248 Kentwood Dr, Eugene, OR 97401 Contractor Type General Contr Electrical Contr Mechanical Contr Plumbing Contr . . I Job# 02-00062-01 I Page 1 of 4 TRANS#:01-0007930 \~lo\~~Tng:FE8 01 2002 ~asH~nd \i~@: 2 $ 5525,18 CHANGE: CASHIER: 003 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 02-00062-01 Office: 726-3759 Inspection Line: 726-3769 Contractor Phone 541-744-2660 96275 1/25~ .4 ~OO\ 10/4/2002 541-937-2688 541-689-7973 102455 81994 5/6/2004 541-485-1146 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 Shear Wall Nailing Framing Wall Insulation Drywall Bolts installed in concrete Hold Downs Installed Vapor Barrier/lnsulation Final Building Required Inspections I Building I -Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation i -After trenches are excavated. -After forms are erected but prior to concrete placement. - Prior to floor insulation or decking. - Prior to decking. - Before covering sheathing with finish materials. - Prior to cover. - Prior to Cover - Prior to taping. - To be done by a State Certified Special Inspector. Provide inspection test reports to City Buildir - To be made after insulation and required vapor barriers are in place, but prior to any wall coveri -When all required inspections have been approved and the building is complete. Temporary Power Verify Ground Rod Rough Electrical Low Voltage Final Electrical Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Perimeter Foundation Drains Final Plumbing Underfloor Mechanical Rough Gas Rough Mechanical Gas Service Insert Final Gas Final Mechanical SW-5etback I Job# 02-00062-01 I Required Inspections I Electrical I -Approval required prior to SUB energizing pole. -Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation i -Prior to cover. . . Page 2 of 4 - When all electrical work is complete. I Plumbing -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. -After gravel and filter cloth is installed, but prior to backfill. -When all plumbing work is complete. I Mechanical -Prior to insulation or decking. - Prior to cover. -After line is installed and line has been connected to a minimum of one appliance. Pressure te~ -After installation. - When all gas work is complete. - When all mechanical work is complele. I Public Works I -After forms are erected but prior to placement of concrete Zoning: LDR FloodPlain? D Wetlands? D Journal numbers 1: 2: Comments: Planner: Sam Gollah Urban Growth Boundary?D Quantity Of Fill: Supplier: Drainage: Floodway FEMA: X-White Overlay District: # of Street Trees: 2 Land Use: Single Family Dwelling Pave Driveway? ~ 3: Additional Requirements: Glenwood Area? D Required Attachments: Source Locn: Material: Construction Types:(VN) Wood Frame Occupancy Groups:Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? D rArea (Sq. F., 1) Main: 1161 AccessoryFl58 Flood Plain FEMA: 1134 Of 2975 Private Garage/Carp/Stor # Of Stories: 1 Height (feet): 20 Current Units: Proposed Units:1 Census Code: New SF - detached Total:1619 . . Job# 02-00062-01 I Page 3 of 4 Fee Paid On Receipt# ValuelQuantity Fee Amount I Plan Check Additional Plan Check 02/01/2002 7930 10 $10.00 Hourly Plan Review 01/16/2002 7796 2 $90.00 Total Plan Check $100.00 Building Building Permit 02/01/2002 7930 123,911 $643.65 GaragelCarport 02/0112002 7930 8,977 $99.60 State Surcharge For Building Permit 02/01/2002 7930 $52.03 8% Building Administrative Fee 02/01/2002 7930 $59.46 Total Building $854.74 Electrical Minimum Electrical Permit Fee 02/01/2002 7930 $.00 Wiring Footage 1,000 Sq Ft or Less 02/01/2002 7930 1 $106.00 Wiring Footage Each Add'l 500 Sq Ft 02/01/2002 7930 3 $57.00 Temporary: 200 Amps or Less 02/01/2002 7930 1 $50.00 State Surcharge - Electrical 02/01/2002 7930 $14.91 8% Admin Fee - Electrical 02/01/2002 7930 $17.04 Total Electrical $244.95 Plumbing Minimum Plumbing Permit Fee 02/01/2002 7930 $.00 Two Bathrooms 02/01/2002 7930 1 $254.00 State Surcharge - Plumbing 02/01/2002 7930 $17.78 8% Administrative Fee - Plumbing 02/01/2002 7930 $20.32 Total Plumbing $292.10 Mechanical Hood and Exhaust 02/01/2002 7930 1 $9.00 One to Four Outlets 02/01/2002 7930 1 $4.00 Minimum Mechanical Permit 02/01/2002 7930 $.00 8% Administrative Fee - Mechanical 02/01/2002 7930 $4.64 Less than 100,000 BTU 02/01/2002 7930 1 $12.00 Vent Fan to One Duct 02/01/2002 7930 3 $18.00 Gas Fireplace 02/01/2002 7930 1 $9.00 Dryer Vent 02/01/2002 7930 1 $6.00 Mechanical Issuance 02/01/2002 7930 $10.00 State Surcharge - Mechanical 02/01/2002 7930 $4.06 Total Mechanical $76.70 Public Works New Sidewalk 02/01/2002 7930 56 $65.00 New Curbcut 02/01/2002 7930 1 $65.00 Total Public Works $130.00 System Development Residential - Single Family - Storm 02/01/2002 7930 2,877 $785.42 Residential Improvement MWMC 02/01/2002 7930 1 $34.83 MWMC Administrative Fee 02/01/2002 7930 1 $10.00 SDC Administrative Fee 02/01/2002 7930 $135.64 Property An nexed 1998 02/01/2002 7930 42 $-17.40 Residential Sanitary MWMC 02/01/2002 7930 1 $332.86 Sanitary Sewer SDC Reimbursement 02/01/2002 7930 20 $427.40 Sanitary Sewer SDC Improvement 02/01/2002 7930 20 $324.80 Transportation SDC Reimbursement 02/01/2002 7930 10 $155.13 . Job# 02-00062-01 . Page 4 of4 Fee Paid On Receipt# System Development 02/01/2002 7930 Value/Quantity Fee Amount Transportation SDC Improvement Total System Development 10 $659.76 $2,848.44 S.F. Residence - Wi llama lane Total Willamalane SDC Willamalane SDC 02/01/2002 7930 1 $1,000.00 $1,000.00 Planning Plan Review Total Planning Planning 02/01/2002 7930 1 $50.00 $50.00 Address Assignment Total Permits wlo Srchg Permits wlo Srchg 02/01/2002 7930 1 $8.00 $8.00 Photocopy Fees Total DepositlCopies/Mis Grand Total Plan Check Type DepositlCopies/Mis 02/0112002 7930 39 $10.25 $10.25 $5,615.18 Checked By Date Completed Comment Initial Review-Res Lisa Hopper Steve Templin Sam Gollah Engineering-Res Planning-Res Structural-Res Bob Barnhart 01/18/2002 02/01/2002 01/25/2002 01/29/2002 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 :~~'a~~ro,"ru~,". Da~;' /ok . oi<\f'9. 'O~o 0 . ~- ._.: ~mJ~z.r,:y';!JttP~ ~ .i<~ ~li1q~;'''''1if~\l~ ;'''',F.;'. E~.~.'...~..~~Ir.;,;.~~~......rJtfi,"A~1!I',?~..~~.~~'?,:. !i' ~ Sf~~,9r~~, ~~g,O~:7i\f ..~ . ,.p: .' ~iJ ~ ,'~: ~~V:Ji<~i. ~; .:)1.,'\'\$-:\ " :\~~i, -~ ~" ""'WfS:;l1I9~~PtJ.ES'1'I' 72.9;~~'\ ',.' . Ity-;J NU.!111i~Jf"'" '. ~ ',_it. ' '.i '. ';;.;r.iJ: 'i'ii1' ~. ~0EFI""""'!'1a"""l'1l:'1l' ~ ''tI '\ ..'" r........,".,,J,.""..Vl"'''''''.,,.~''';'''''..t'i.."i..~' ."*",,. 'i.j" . ""<;~ A' ~.r..;...;t':.1'.:i Q::'~ l X .:if: .~~ l:~"'~" '';;';''''''{>.~'''~;;''-'c''''':-H.c.,..,._>t;''-''~''r;~,'i'' .~ . '~:r lt~ ~~1 .,\ "oi< ,.' b. . C 7 ltETE FEJ:::S~UEE'BEjf(,\\V) -~,,;,";1";J/";~.:;";- ~ ii~ ~ I LO~'CA'~I · ~O'- " ~ ~ >_l'ol!,~:.~:,!,>',1 . f~,"r,,"::;.;?;,~t.:r~;;~iir..:j'>"?-:;,;~~.}i.:f,t<' ~ ~i. . ~.~, . #. ~. ~~~~denti!irsit~~;at*~;'.~1t~~,~;:7t*~t~f ~~~~. . ,{",oJ Mult.i-Family per ilwelling unit. &i~'!;;..: LEGAL DES~TION ~~' Service Inc1uileil: ~i jl();3Q. ~ O~. Items Cost . p~~~L.I ~U)~~ !~~:~oo \ ''''00 I..",.:.... Permits are Jon-tr lsferable anil~XPire thereof .3- $ 19.00 if work is ndtlstarteil within 180 ilays Each Manufil Home or ..".... ~ of issuancel~' work is suspenileil for Moilular Dwelling 180 ilays, Service or Feeiler ,0'.,: h .~- g 2. CO~ORINSTALLATIONONLY B. ServicesorFe.eilers .. '~"~.'~.'! ~.:'.", , . '. ~ ~ c'~ Installa~lOn, AlteraJ.iQ~~ttj ~,.'" . EleClncal' (1!Qntraclo fT'?W~ q,.c.... Relocation: 4~~~~' ~. i~ ~ (~. l;';.i~~;i"",~ ~l' t.."t;: kt lo!:',... ~ '''I ~ '" -,~tlf.it .. 1"'...... ~'''-;r~::"'''., , ......,.~ .~",: <fI\..., ". Aildres #",. I _ w l~~ 200ampsorless:'!:"'j'tt,'""'c",..t",,,-,"\:$l63,00 .pf' .... ',,~' Iili''1 ~....,~_..",: H;;.'_C,;t"...~."'c.~~}._.."".u...>1 ~."",. ..,"'~ ....~ ",".~',!,..'.$'., 20Iampst040.9:l!IIl~r..:;c".::.-',".'n:"$.a?!OQ'''''''-,,,,J , ~ "*~, J' ~.i.. "'-.'H.:,tit,,6:s; bJ; '~~...; ...._...,e.... '..;.,;-t.':,~ ~ ~ .-:;:::-~ ~ City' ~ . ...."Fhone..o ''-l~xt\;,'i'!'' 401 amps to 600'amp.?{'''.,': ".1f'l!'~$Ji25mO""~:,, i;;'~~ 1J\!:ifli';" ~"-: :i.iY} ~,!j.~...i'~H~"F,,' ~~~:i~~';...l", 60 I amps t~fO~o'aro'ils :~'l"I~,~",'.:l'~'~;$I'61:oo P:; .i~;:' N-.t.~1,( . ~'..,.......:..:.........1. -.~.\ ~~~e<~.!"~ .t-:"fl.)C",-'C .." .~~ I. - ".-:'V -"''l"o;%li"''~' <"~...., ""$?.'~--;:--~ ,!"l, Supervlsor.'Elcense Numlier "';U"'.. ~.\.' .>.'.' c'.':"r"" 0Ver,lOOO'ampSlvollS ~ 'ff\'" .It:'O., ',""7,$3:75(uO:--~.._ ~~ 1~1~:~?jj~~'~'~l D.,. ;to&f;:: ~-'~~. "'::~""~t..,~: . ,";/ ;~~\n::'c-o= l..t:r~lV.:-"':' ',:".: -;.; 'fJ:'~. ~'~:~~"$':50'''001''1-t, b-."..$1i-1 l. 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'~~~~~'1i..\;;\.", ~~J!~':':""'.;..r., .' .;.r '" ",-~;l>.h!f;,~~~r,'~;-:'-'~%:::".~;. "''':..J~1~''''>A~''('~-'':~. ".,~,:..~~f.\~'i~.~:-..,q"~ '.. (..~ "."~' .lC,.,,~tl~s::~.,- .,.10':';.. ~~::r"l?:' / !":l,lfO.t" r:"."'jt:..~.~. ~.~,.h <'-<- .~"b"\~'";b''' _'~~"'li..,",,,,~\ ~,-. ~~' ._ .' '~~ ~./l. '. 'Mt-~..' :;''''J'~~ q::.....,,~..... '....~.~~;:,.,,'" .~. " ;t'yN. J',"!. I' ,o.ot-t::';': ~:' '.., ,- , \' _'" xpirationDate . ...., ~_'!..~?,."~; ;;.::.t:~A:':~;:":i:~'ocl'::...~OO\amt:m:o:a~/ .. .~~:r:'7~...lP.t~\~$,S~PO:~..:. i ,~~ ~..... ~,r"';;f'l:~-,<:._1:"il.J!Sl';:,~,~.. ........ ...,A' ?~~.... ~ ~;t~C.'C'1'. -'::;;v;:O , '''''':i1:i,') . ~.", ,..:>. ..,' .,."",21}liamj;>S'tO::!1l0 i1inps~.' . - .~. ..~":'~ ."'$69.0.0 \~ ''C, \.. ,",)i:\':.o~~.~. ~.- 7'/1-,'0' 't?....~ . ..... .~ -,,\-~.' 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"'''':''1'''.- "', :'i:ii~,', IF:;S"::'~ .' . ~'''' '. ,~'1i' .\~. : :'Pi )..~':b"".\~::;;r:,~;-.,l."..,...... ,;:.~ .~, : ~.'i~.:; .}ti'':."''';.4~" .:::'t,,~";..rt"J~"'~~ 0 ,......,<:~.. . l~.;-. ~~A\.ailress . ,... '_ ... ~,~ on: CiIcuit.i" "-:;'i~>.'..~$4.:;.(jO,-,d. .,,' , ".7,~:~".~~; ..!'ij;.;;~ - U~~~'~71l"",~: 1, 2..1d/) H!l/('(;?...J;:" ": \t;;~ ...~:~j'i7-~:>.;.'~ ,;:.: .",:2,C'il-"';) .\'.,..~~iiM,\. Wft'~.'r'_~ I~, ~-I<i\.'''''rf''"'l\n :l'~~/:'~ii " . i . :;'. ,:\.1.. (~:p.lib'ne.~ft ;t~ Ea~~dam6naI!Oircuit or with Ser.vic~~~' ~wi~';; .'~?..-;.\ fi' ;~~l€-J;,~~~L'; ,*,E=r?~~:;D~'" ^, ~~;~$'3JOO;" :m:' ,~ .'.-0 ~'re mAr.UAti~~' . JjM:;:~",,;Jf~'Lf! ~-,;':IM';~~""~:1<lS ~ 'O;':.(;:;r'"-_....~~~.1)"'~~"it !J~~~~." '111.... t 1~~~i1.~4~...a ,',\iIlieinStalliition'iSl!ieing'made:OIi..l't E. Miscellaneous: eTVlcelfeener not inclu e'~~1,."f", \:""",,~';' , .. ~w- r~~~fb~':'~1fcji,1sft'6'6iffiefidi' 1 €"ri~l!\tn atf!mll~"'?t~-) ~~'I1~f':'~~','{ "'l;.,~,. ~ -"....,. .~. ~~~~ ~tk" ~~...~ ~~'...\ .. '7'silr '" <." ' i ,.,'t:~P.i- gatfo.*" ~!S5(ROO.,.....J;"':e1 . ~-'\. '",,':Jl.ii' '''';''''h''....' '$'5.~~?!:!0;.,.!<"~'"1i..''' 'l' L o-l~~ Ine:~lg ~~ . ~~J~ ~'!r. . l' ~''''''''''t-Ir~~'' -$"2"'s'00ZiF . . ..11m e ="a~ .... . ,." . L~ted' - """"/."01<;';"1>' - $4~'0~'':'.\' ,'Il!" Inn ~ n~. 0 ;g .)'~U:W"'I':r;. ..,\ ~4 iff!l;.'1~ ~f,i - '~1f.~i; Minimum.1EIeanThenilitrt1ff~ction Fee is $45.00 + Surch'~s W~~ I~f .^~,;~~ 4. SUBT.OT'AllJPFflABOYil.. <::x.J ,")'~ 7% Siat~f!'Ch~,Jf~., !::.Wi' _/4 ow- 8% A~'ffiftra[~Fce~' .1" .ty;f" ~ F- . TOTAL . . c:444. q). t ._ ,-, . 0"",... :, "\ ", ,'.. }:..,... .'\ ....: l i"~'. r'l ~~.' .:: l." ] (. ~ , ,., ..' " ..'T:'; i:',;~ ...(.., l ,. " . f' ~ ~.). r\' , ,., ., . ." . I" : " ." ~ ::'::1 \1'\'\ " .'. '::--;:', . ;... .', ..,\ .'. .'1' ~- '/ I .'.X .....-:1.."'... " .,,:......' . , '_. I , . '. ~\.~ . l . _ ;',', _. l"1rlt'\(f ~'I '} ,. \ ~\.. ....~. ~'- .... ,'. ~, ... "-. \ ~,,:......!J J~:_~'" : , ,: - ,::,'\ .. f::- _~ 6; ."l ~ i" :_' .. i'\' 1 , 'I; ~'k : ~'-" '.~ J I TRANS#:01-0007930 DATE:FEB 01 2002 AMT RECD:2 $ 5525.18 CHANGE: CASHIER:003 ~.'" :'c '. ".~ .. . .;::- r.",:..{.. .., .~'" ,., (" \~. ,'::'''1 \..: . ); . '. ,'" " i \) J< ~. ,'L (''.'\'' "', ." ) ,- l ...t,.'...., (:. .....! Y, 1.1' J ,; . . ,'It. ~ . " .lll \"'1.:' I:" ...,...... .:- u_., 'J ...~I", ;..' ... ,";.'~ l .. II...l .' ,-''!,...I.I',> ..1 . . 1 ,)." ; '. i. '. ' t./' ? .! - . , . -... ,.....1 . I ",..",. ,'. {.\ . . "-."""/" . . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET I JOURNAL OR JOB NUMBER: 02-00062-01 NAME OR COMPANY: Future B Homes LOCATION: 833 Old Orchard Ln. TAX LOT NUMBER: 17032343 TL: 8600 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS: 1 BUILDING SIZE: 2119 SF LOT SIZE: 1. STORM DRAINAGE DIRECf RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. I xl COST PER S.P. I 2877.00 $0.273 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS LIMPERVIouss.F.lxl COSTPERS.F. Ixl DISCOUNTRATE I 0.00 I $0.273 50%-1 lITEM 1 TOTAL - STORM DRAINAGE SDC 12. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's 1..1 COST PER DFU I 20 $21.37 B. IMPROVEMENT COST: I NUMBER OF DFU's I x I COST PER DFU I 20 I $16.24 I I ITEM 2 TOTAL - CITY SANITARY SEWER SDC ~. TRANSPORTATION A. REIMBURSEMENT COST: I ADTTRIPRATE I 'INUMBER OF UNITS I xl COSTPERTRIP I 9.57 1 I $16.21 t. IMPROVEMENT COST: I ADT TRIP RATE I, I NUMBER OF UNITS I x! COST PER TRIP L 9.57 _ 1 I $68.94 I ITEM 3 TOTAL - TRANSPORTATION SDC r SANITARY SEWER - MWMC I ,A. REIMBURSEMENT COST: I NUMBER OF FEU's I I COST PER FEU I t I XI $332.86 B. IMPROVEMENT COST: I NUMBER OF FEU's I x I COST PER FEU "I 1 I $34.83 MWMC CREDIT IF APPLICABLE (SEE REVERSE) I SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT MWMC ADMINISTRATIVE FEE lITEM 4 TOTAL - MWMC SANITARY SEWER SDC I SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~. ADMINISTRATIVE FEE: I SUBTOTAL lx' ADM.FEERATE $2.712.80 I 5% I 5t- ~ 2/112002 SDC COORDINATOR DATE 7423 SF CI) ~ Ci o U '~ l~ CI) ~ Cj ~ I '-11070 =1 $785.42 1091 I . 1092 I =1 $34.83 I =, ($17.40) I =1 $350.29 I 1055 =1 $10.00 I 1056 =1 '$360.29 II =1 $2,712.80 II 'I NEW TRIP FACfORI 1.00 =1 ,INEWTRIPFACfORI L !.,.OO =1 .:1 =1 TOTAL SDC CHARGES =1 =1 =1 $0.00 $785.42 I 1093 I I ,1094 ___U , I 1073 . I =1 $427.40 =1 =1 $324.80 $752.20 $155.13 $659.76 $814.89 =1 $332.86 $135.64 $2,848.44 . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION T~LE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIXTURES) NO. OF FIXTURES DRAINAGE ( #NEW # OLD ) x EQ=ENT = F1XTURE F1XTURE TYPE . UNITS BATHTUB ( 1 0 ) x 3 = 3 DRINKING FOUNTAIN ( 0 0 ) x 1 = 0 FLOOR DRAIN ( 0 0 ) x 3 = 0 INTERCEPTORS FOR GREASE / OIL I SOLIDS I ETC. ( 0 0 ) x 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH I ETC. ( 0 0 ) x 6 = 0 LAUNDRY TUB ( 0 0 ) x 2 = 0 CLOTHESW ASHER / MOP SINK ( 1 0 ) x 3 = 3 CLOTHESW ASHER - 3 OR MORE (EA) ( 0 0 ) x 6 = 0 MOBILE HOME PARK TRAP (1 PER TRAILER) ( 0 0 ) x 12 = 0 RECEPTOR FOR REFRIG I WATER STATION / ETC. ( 0 0 ) x 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER I ETC. ( 0 0 ) x 3 = 0 SHOWER, SINGLE STALL ( 1 0 ) x 2 = 2 SHOWER, GANG (NUMBER OF HEADS) ( 0 0 ) x 2 = 0 SINK: COMMERCIAURESIDENTIAL KITCHEN ( 1 0 ) x 3 = 3 SINK: COMMERCIAL BAR ( 0 0 ) x 2 = 0 SINK: DOMESTIC BAR ( 0 0 ) x 1 = 0 WASH BASIN ( 0 0 ) x 2 = 0 LAVATORY ( 3 0 ) x 1 = 3 URINAL, STALL I WALL ( 0 0 ) x 5 = 0 I TOILET, PUBLIC INSTALLATION ( 0 0 ) x 6 = -0 TOILET, PRIVATE INSTALLATION ( 2 0 ) x 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU's' ;,j ( 0 0 ) x 20 = TOTAL DRAINAGE FIXTURE UNITS =1 .EDU (Equivalent Dwelling'Unit) is a discharge equivalent to a single family dwelling unit (20 DAJ's) set at 167 gallons per day , CREDIT FOR LAND (IF APPLICABLE) l CREDIT FOR IMPROVEMENT (IF AFrER =XATION) MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE ~IMPROVEMENTS OCCURRED AFfER ANNEXATION DATE, CALCULATE CREDIT SEPARATELY I YEAR . I CREDIT RATE PER $1,000 I YEAR CREDIT RATE PER $1,000 ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE 1979 OR DcruAc $4.92 I 1990 $2.06 1980 $4.83 1991 $1.64 1981 $4.77 1992 $1.45 1982 $4.64 1993 $1.31 1983 $4.47 1994 $1.13 1984 $4.30 1995 $0.97 1985 $4.09 1996 $0.82 1986 $3.78 1997 $0.63 1987 $3.4\ \998 $0.41 1988 $2.98 1999 $0.22 1989 $2.52 2000 $0.04 VALUE/lOOO CREDIT RATE 42.448 X $0.41 =1 0.000 X $0.41 =1 TOTAL MWMC CREDIT =1 $17.40 $0.00 $17,40 ,I . . . . SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: ADDRESS: ~ "1\-1_~ PHONE: 144.W-i) STATE: \9f-. ZIP:ib1oL LOCATION OF PROPOSED BUILDING SITE: Street Address: --P)~3' ~r\. ~ ~ hsz....... Plat Name: \ ~~.or (~\er\ _ Tax Lot Number: \lD~~ORlcCr) 1.DEVELP.PMENT TYP.E. (Check appropriate dwelling(s). SDe calculations and dwelfirig t ype definitions are on the back.} A SJnnlA-FRmilv DAIRC'lllm \ Single Family home NO. OF UNITS Manufactured home not in a park X $1,000 per unit =$ \f){Y') ~ \ B. .SinnIA-FRmilv AIfRChAQ NO. OF UNITS X $924 per unit . _. $ C. Multi-Familv_Aoartment NO. OF UNITS X $692 per unit = $ D. MRnufRC\!JrAd \iQ.me Park NO. OF UNITS WILLAMALANE SDC X $699 per unit c $ $ \rm.CD 2. SDC CREDIT (If applicable) SOG-payer must furnish proof 01 rX WiUamalane Credit approval. See sac Credit Worksheet. $ \0 3. TOTAL WILLAMALANE NET SDC ASSESSED (II see reduced {or Credit} $ . \OCOPO \l.ffi I'~oe) Development Se~ic~ ~rtment City of Springfield -:? I D/ ! t1 2- Date