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Home My WebLink AboutPermit Building 2006-4-5 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: COM2005-01709 ISSUED: 04/05/2006 APPLIED: 12/09/2005 EXPIRES: 10/05/2006 VALUE: $ 271,920.00 SITE ADDRESS: 737 SHASTA BV ASSESSOR'S PARCEL NO.: 1803021204900 SPRINGFIETYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence - Willamette heights lot 8 .- Owner: THOMAS FREEMAN Address: 840 VIRGIL AVE EUGENE OR 97404 Contractor Type General . Electrical Mechanical Plumbing Contractor OWNER OWNER OWNER OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Group: ... Primary Construction Type Secondary Construction Type: # of Bedrooms: ~ Front yard Setback: Side 1 Setback: , Side 2 Setback: Rearyard Setback: Solar Setbacks: 33.00 5.60 55.00 36.00 0.00 Street Improvements: ,Storm Sewer Available: Special Instruction: Residential Phone Number: 541-345-0249 Alre~.lWiMIC(I)~mlF~1iI~Nvlu to follow rules adopted by the Oregon Utility Notification Center. Those rufa~~n.~~et foIDxpiration Date in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone nllmhAr fnr the Oreaon Utilitv Notification I BUIWIN(J1 iNF~RM~:fl'6rfI4). Phone 616-455-2223 1 R-3 # of Stories: 2 Height of Structure 30.00 Type of Heat: orced Air Electric Water Type: Electric Range Type: Electric Energy Path: Path 1 Sprinkled Building: n/a 1,008 VN Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 2,570 1 I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Hillside 1 Total: Handicapped: Compact: 2 10.70 l\\nl'H~F' - - \r l\1c \^'()~\( I PUBLIC 1~~N~"i~ ~HISPERMI{ IS NOl AU HU\iILt:U Jli . ~~fJ)R Gravel COMMENCED OR \S A'afll . No ANY 180 DAY PERIO[))ownspoutslDrains: DrywelI - Provide DrywelI Engineering Notes: Improvement Agreement required for street, survey required, storm drainage into Engineered DrywelI need cales from owner Paee 1 of5 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction V Wood Frame Garal!e Dwellinl!s ;';:;' Garal!e Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 8% State Surcharge 1 Bath One & Two Family Addressing Assignment Air Handling Unit Up to 10,000 Building Permit Dryer Vent Exhaust Hoods ,;; Heat Pump Pellet Stove/Insert Plan Review Major - Planning Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 SDC Sanitary/Storm 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 Total Amount Paid I Valuation DescriDtion I $ Per Sq Ft or multiplier $96.00 $25.00 Square Footage or Bid Amount 2,570.00 1,008.00 Total Value of Project ~ Amount Paid Date Paid $731.02 $10.00 $161.07 $112.75 $145.00 $31.00 $8.00 $1,124.65 $6.00 $9.00 $12.00 $30.00 $150.00 $106.00 $114.00 $59.62 $49.42 $805.70 $182.69 $1,192.45 $50.00 $6.00 $1,000.00 12/9/05 4/5/06 4/5/06 4/5/06 4/5/06 4/5/06 4/5/06 4/5/06 4/5/06 4/5/06 4/5/06 4/5/06 4/5/06 4/5/06 4/5/06 4/5/06 4/5/06 4/5/06 4/5/06 4/5/06 4/5/06 4/5/06 4/5/06 $6,096.37 I Plan Reviews I Pal!e 2 of 5 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01709 ISSUED: 04/05/2006 APPLIED: 12/09/2005 EXPIRES: 10/05/2006 VALUE: $ 271,920.00 Value Date Calculated $246,720.00 $25,200.00 $271,920.00 12/09/2005 12/09/2005 Receipt Number 1200500000000001794 3200600000000000164 3200600000000000164 3200600000000000164 3200600000000000164 3200600000000000164 3200600000000000164 3200600000000000164 3200600000000000164 3200600000000000164 3200600000000000164 3200600000000000164 3200600000000000164 3200600000000000164 3200600000000000164 3200600000000000164 3200600000000000164 3200600000000000164 3200600000000000164 3200600000000000164 3200600000000000164 3200600000000000164 3200600000000000164 CITY OF SPRINGFIELD' Building/Combination Permit. Status Issued PERMIT NO: COM2005-01709 225 Fifth Street, Springfield, OR ISSUED: 04/05/2006 541-726-3753 Phone APPLIED: 12/09/2005 541-726-3676 Fax EXPIRES: 10/05/2006 541-726-3769 Inspection Line VALUE: $ 271,920.00 Fire Department Review 03/2912006 03/31/2006 OK GRG Residential Sprinklers, Fire Protection. (Pending revisions below: ) Plans Review: Single family residential sprinkler system per NFP A 13D. Job #COM2005-01709. .~ Designer: Justin Roberts. Contractor: Harvey and Price. Provide sprinkler coverage in large "closet. " Initial Review 12/1312005 12/13/2005 WI LLH Notified Al Gerard, Fire Marshal of proposed construction in Willamette Heights. Waiting for information from Fire Marshal before plan can be approved by me. Initial Review 12/16/2005 12/16/2005 WE LLH Per Al Gerard, Fire Marshal... Cannot start construction or assemble combustible materials on site until they have an approved water supply that has been reviewed and approved by the Fire Marshals Office. PlanniD!! Review 12/13/2005 01/23/2006 APP TAJ Tree felling permit DRC2005-00058 was approved on 9/2/05 for the removal of 13 trees. These trees are marked on the plot plan. No other trees 5" dbh or greater may be felled. The native trees shown on the plot plan may be used for street trees. One addtional street tree will be required. It's approximate location is marked on the plot plan. Choose from the species listed under "Native Trees in Hillside Development" in the street tree handout. Public Works Review 12/13/2005 12/21/2005 APP CAS All documents required completed 12/21/2005 Improvement Agreement required, survey ROW, Drywell Cales needed from Engineer 12/15/2005 Called Tom today CAS Structural Review 12/13/2005 01/10/2006 APP DLM PENDING Septic Approval and Fire Flow Plan required by Fire Marshals Office. Paee 3 of5 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-01709 ISSUED: 04/0512006 APPLIED: 12/09/2005 EXPIRES: 10/05/2006 VALUE: $ 271,920.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. l..ReolliredJnsnections I Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Fire Department Water Supply. Inspection to assure water supply is available on site for construction. This inspection is required prior to any combustible construction. Site Inspection: To be made after excavation but prior to setting forms. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Post and Beam: Prior to floor 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. 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. Underfloor Plumbing: Prior to insulation or decking. Underfloor 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. Underfloor Mechanical. Prior to insulation or decking and including required testing. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Freestanding Pellet Stove: After installation. Paee 4 of5 CITY OF SPRINGFIELD, Status Issued Building/Combination Permit PERMIT NO: COM2005-01709 ISSUED: 04/05/2006 APPLIED: 12/09/2005 EXPIRES: 10/05/2006 VALUE: $ 271,920.00 225 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. 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, 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 during construction. _~-H O~ Owner or Contractors Signature - 4/~/)~ { / Date ., Paee 5 of5 GonstructioilContractors Board" 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.ccb.state.or.us Address: Permit #: (;b Mz...o-(... - 0 J 70 9 <;>h ~ M. Date: '-I Is- /0 b / I 737 "b1' 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 bejiled with the permit. . . Fill in the appropriate blanks and initial boxes 1 and i, and either box 3A or 3l{ . . N'1. ~i. ~ I own, reside in, or will reside in the completed structure. . I understand that lmust 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 (Nam~) (CCB #) I will instruct my general contractor that all subcontracto~s who work on the structure must be licensed with the Construction Contractors Board. . OR . a-. 3B. I will be my.o\\lll general contractor. IfI 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 ofthe name of the contractor. I hereby certify that the above information is correct and that I.have read and'do understand the Information Notice 10 p::erty ::;-. ab~etiOn Responsibllities.onlbe reverse side of Ibis form. 4'~ LL-j"2~ ~0~~ (Signature of permit applicant) (n~te) . (White c;opy to issuing agency permit file, piflk copy to applicant.) Property- owner. doc 06-01-04' Acting as '\ our Own General Contractor?" ' INFORMATION NOTICE TO PROPERTY OWNERS ABOUT 'CONSTRUCTION RESPONSIBILITIES , .f! t' . ;..'~ 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. Employer Responsibilities You will, in most instances, ~e ruled to be an "employer" and the 90ntractors 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 resid~ntial 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, can 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. 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.usJfonnsoav.htmll for the y' . 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' cVUl}->ensation 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 Deparrinent 'of Consumer and Business Services at 503-947-7815. U.S. Internal Revenue 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 1-800-8294933 or visit their web site at www-irs.l!ov. OtherResponsibilitie~ ,and Areas of Concerns Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements t~at m~y be brought to your attention through inspections. . Liability and Property Damage Insurance: 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 s~e you' have the skills t~ act as your own general c6~tractor, to coordinate the work of rough-in arid 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 06-01-04 225 Fifth Street ~p~in~ti~ld, Oregon 97477 541-'Y26-3759 Phone ~ Wy of Springfield Official Receipt '~elopment Services Department Public Works Department \i; ;{ Job/Journal Number LDP2005-00228 C0M2005-01709 'J CbM2005-0 1709 COM2005-01709 CQM2005-0 1709 COM2005-0 1709 COM2005-0 1709 COM2005-0l709 COM2005-0 1709 COM2005-0 1709 COM2005-0 1709 COM2005-0 1709 COM2005-0 1709 cOM2005-0 1709 COM2005-0 1709 COM2005-01709 COM2005-01709 COM2005-0 1709 CbM2005-0 1709 dbM2005-0 1709 CbM2005-01709 d~M2005-01709 'r COM2005-01709 RECEIPT #: 3200600000000000164 Date: 04/05/2006 Description LDAP Short Form Impacted New Addressing Assignment Willamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Storm Drainage Impervious Area SDC Transpo Reimbursement SDC Transpo Improvement SDC Sanitary/Storm Admin SDC Transpo Admin Building Permit I Bath One & Two Family Air Handling Unit Up to 10,000 Vent Fan Exhaust Hoods Dryer Vent Pellet Stove/Insert Heat Pump -Mechanical Issuance Fee- + 10% Administrative Fee + 8% State Surcharge Plan Review Major - Planning Payments: Type of Payment Paid By Check THOMAS A FREEMAN Item Total: Check Number Authorization Received By Batch Number Number How Received vrJ 6959 6959 In Person Payment Total: '. ~, :, ( j,f" " ~e ;~ :l :~t~ ii'" ~~1! " ;i, ;") !l~i, ~f{ 4/5/2006 Page I of I 10:06:23AM Amount Due 300.00 31.00 1,000.00 106.00 114.00 50.00 1,192.45 182.69 805.70 59.62 49.42 1,124.65 145.00 8.00. 6.00 9.00 6.00 30.00 12.00 10.00 161.07 112.75 150.00 $5,665.35 Amount Paid $5,665.35 $5,665.35 L-[)(L-- roject as subr~tl ~:~ttJ~OOJ...p "q",,,~ i:P::=~';~'}::i:);~ :) 225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . F A~iJ541)726-3689 ~;i,"';;:';:~",'.';~I"i'i::'~~~ <' ,; ELECTRICAL PERMIT APPLICATION .'k,~~""i;~,~~:;~~;i~~;~)~'~ <cd City Job Number ~t:O. \\CF\ ALl\)~~~et5I~~l)'5'- ~ LEGAL DESCRIPTION A. \ ~ O~1....\L ~(O~ Service Included 1/ JOB DESCRIPTION ~ 5 '1~ 1000 sq. ft. or less C'. - ~ _ ~ _... C\ ~ ~. -- Each additional 500 sq. ft. or c:.>~~.t.\.)\..1 ~+\-e~ portion thereof Permits -~ non-transferable and }xpire if work is Each Manufact'd Home or not started within 180 days of issuance or if work is Modular Dwelling Service or Suspended for 180 days. Feeder o\,\ \0 B. 0(\ \ e ::> 1\ . o~eg \';\" \\\ \r>C; 'O.~e c..~JJv ~\f"\~' ~e6 ~OO &-{lJPs'orl~s,Sj'J oS '0"1 ~~ \ \~c, '0.609 ~ \'2&r Amlts,Q~4~0?A1i1\PS(\e n ~\}\' (\\e . ,'<.\~v~' 0\' . ~'(\o ~\\o\l'l . -f\ ce f"$)\ 1401 Aomps'=to 60(lA:mp~ \\0(\ \~ .' a"\v' ()\.v ,..:.(\ C '" . ,\,e' ~'.\\co. ....\o\\\\c n.S~-() 0'O'\16"OlI"AWPS tb)JO!)Q)Amps \'"' F\.~ ':) ,r(\a~ .A. ~'"' . \\'\\\.' ^\ "0 Or ,'n\},'" e(\'\fuveo;T ~p.oO ~11]p~I-Vb1"ts . ~$' v-.e C - <~ "," ) I.... ()O':) '. ""n \\, v-.e \Rec'o~(}~ct)0fi y C'(}.\\\ ,':) \O~ \\, . S \-'0 "'e~ 'e~ '\ (\\}\i'lV Ce(\\.C. 1. City Expiration Date I Constr. Contr. Nu ber \ \ ~ " Owners Nam~"O\Y'~ "t' ~rJ\\.ex$\-e. Address ~ $(im\L ~~ City 7..J::rene..- Phon~ S .Ol..<\.~ \ OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. ;Z:9ft~ Inspection Request: 726-3769 3. \ ~ $106.00 $)~ $ 19.00 \\49 $50.00 $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 Installation, Alteration or Relocation 200 Amps or less l 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 D. $ 50.00 $ 69.00 $ I 00.00 tJJrV -I "~ i.,U New Alteration or Extension Per Panel \~ "\\\'t. f~ ~C)\ One Circuit "''i~~~\-!\\\ "\jQ,. Each Additional Circuit o~\Vith ~'?-\..\. \~\S ~ ~'X:.$ \ ' Service or Feeder P{)~C'C.~~\\ S ~.v',\;.Q,. ~~~\) E. Pump or irrigation (JC)~~ 'Or;:) \)~ Sign/Outline Lighting '?-~'\ Limited Energy/Residential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges lL ~~.CD l~.q~ It f1 SJU ~\S.qO 4. 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building FormslElectrical Permit Application 1-03.doc , · CITY OF S~#t1NGFIELD SYSTEMS DEVELOPME~~ORKSHEET JOURNAL OR JOB NUMBER: COM2005-01709 NAME OR COMPANY: Tom Freeman LOCATION: 737 Shasta Blvd TAX LOT NUMBER: 1803021204900&5000 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS 1 BUILDING SIZE (SF: 3875 LOT SIZE (SF): 1, STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM r IMPERVIOUS S.F. x COST PER S.F. CHARGE I 2054.00 $0.323 I = I $663.44 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS - IMPERVIOUS S.F. x COST PER S.F. x I DISCOUNT RATE I 3275.63 $0.323 I 50% = , ITEM 1 TOTAL - STORM DRAINAGE SDC I $1,192.45 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's x I 0 B. IMPROVEMENT COST: I NUMBER OF DFU's' x l 0 COST PER DFU $25.07 ITEM 2 TOTAL - CITY SANITARY SEWER SDC $19.07 3. TRANSPORTATION. A. REIMBURSEMENT COST: I ADTTRlPRATE x I 9.57 B. IMPROVEMENT COST: I ADTTRlPRATE x I 9.57 I NUMBER OF UNITS I x I 1 I I NUMBER OF UNITS x I 1 ITEM 3 TOTAL - TRA..NSPORT A nON SDC = , 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's I x o ( ICOST PER FEU , $82.03 B. IMPROVEMENT COST: NUMBER OF FEU's x COST PER FEU o $865.31 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I SUBTOTAL (ADD ITEMS 1, 2, 3, & 4) = I 5. ADMINISTRATIVE FEE: SUBTOTAL x ADM. FEE RATE $2,180.84 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Cheryl Slaymaker PREPARED BY 12/l 5/2005 DATE 19440 DISCOUNT $529.01 $1,192.45 if] ~ Q o U ~ ~ E-< if] >-< o ,ga I 1070 .L --1', $0.00 i: 1091 r $0.00 = , $0.00 COST PER TRIP $19.09 x INEW TRlP FACTOR' I 1.00 $182.69 L COST PER TRlP $84.19 $988.39 x I NEW TRlP FACTOR I 1.00 L $805.70 = $0.00 1092 1093 11094 Ii "I I 11054 = $0.00 1055 $0.00 1054 $0.00 1056 $0.00 $2,180.84 CHARGE $109.04 59.62 1079 $49.42 1078 TOTAL SDC CHARGES =1 $2,289.88 . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS I BATHTUB 0 0 3 = 0 I DRINKING FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 /INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 0 LAUNDRY TUB 0 0 2 = 0 CLOTHESW ASHER / MOP SINK 0 0 3 = 0 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (l PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 SHOWER, SINGLE STALL 0 0 2 = 0 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = 0 I SINK: COMMERCIAL BAR 0 0 2 0 SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 = 0 URINAL, STALL/WALL 0 0 5 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 TOILET, PRIVATE INSTALLATION 0 0 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 -I TOTAL DRAINAGE FIXTURE UNITS 0 'EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 OFD's) set at 167 gallons perday I " MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$I,OOO 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? (Enter I 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 =