HomeMy WebLinkAboutPermit Building 2006-6-23
:ITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2006-00433
ISSUED: 06/23/2006
APPLIED: 04/12/2006
EXPIRES: 12/23/2006
VALUE: $ 331,331.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6188 Fernhill Lp
ASSESSOR'S PARCEL NO.: 1702343405500
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence - Mt Gate subd lot 47
Owner: REGAL CUSTOM HOMES INC
Address: PO BOX 489
ELMIRA OR 97437
I CONTRACTOR INFORMATION I
Contractor License
REGAL CUSTOM HOM~SJ~uires '10U,~~ 109306
MAG E~~~I<OI~n ,3: tne Oregon Ut\1 rt\\49834
cdMF \l~~pted by rules are set 0 fJiO
Dd~~~~; J.~~r. 1~~::\ Inn OAR 95~~~On3~076
l~u6;R'95'2.-001 ~t'olNG ~tb~'bN I
In O. '(ou may ~Note', till;; ,~. ." ation
# f U 't . 009 . ~e center. J:.lI1"";''''AI.NotlflC
o Ul s. aIling III e 8n'U\1rh;~.
Primary Occupancy Group: C um~3\or tne.or ll.\~~t!,Gijf~uL\kure
Secondary Occupancy Group: n 'tenter IS 1--'fype of Heat:
Primary Construction Type VN Water Type:
Secondary Construction Type: Range Type:
# of Bedrooms: 3 Energy Path:
Sprinkled Building:
Contractor Type.-
General
Electrical
Mechanical
Plumbing
2
29.00
Heat Pump
Gas
Gas
Path 1
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
14';00
32.00
8.00
55.00
32.50,
.~ .~.
Overlay Dist: ~~\t(~
_tt.~treet Trees R9~ \~t. W 'n~t. 0'\
"01\\Ji\a~'V~eE fS\,\~8'q& p\S ?t.~~\\ \S ~es
\\-\\S ~\1;t'\ ~~tir1tgJ:\ DO~t.D fCl'0.60
1\\.n\-\O~\lt. fI O~ \S 1\'O1\~
~f.J(;:i\~< ..I w,'~,.
l\<9,~OV'EMENTS .
Residential
Phone Number: 541-935-8825
Expiration Date
01111/2007
12/13/2009
06/2712007
06/10/2007
Phone
541-935-8825
541-461-0387
541-726-0100
541-688-1931
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
,Occupant Load:
11,710
1,935
1,094
744
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fullv Improved
Yes
Sidewalk Type:
Curbside 5'
To Storm Sewer
DownspoutslDrains:
Notes: Storm drainage piped to stub provided rear of lot 4/18/2006 CAS
Paee 1 of 5
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
A.C. - Residen
Dwellin2:s
Gara2:e
AC - Residential
V Wood Frame
Garaee
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 8% State Surcharge
3 Baths One & Two Family
Addressing Assignment
Boiler/Comp Up To 100,000 btu
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire Fee - Residential
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Gas Outlets 4+
Mountaingate Impervious Area
Plan Review Major - Planning
PW Disc - 2nd Permit (Street)
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
Sanitary Sewer Each Addtll00'
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
Storm Sewer Each Addtll00'
Temp Power 200 amps or less
I Valuation Description I
$ Per Sq Ft
or multiplier
$4.00
$99.00
$26.00
Square Footage
or Bid Amount
3,029.00
3,029.00
744.00
Total Value of Project
~
Amount Paid
$857.77
$10.00
$222.73
$163.09
$306.00
$31.00
$12.00
$1,319.65
$80.00
$6.00
$9.00
$188.65
$12.00
$30.00
$4.00
$4.00
$1,204.14
$150.00
$-30.00
$106.00 '
$114.00
$553.03
$727.03
$14.00
$10.00
$865.31
$82.03
$158.46
$63.04
$805.70
$182.69
$80.00
$14.00
$50.00
Date Paid
4/12/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
6/23/06
Paee 2 of5
'=:ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00433
ISSUED: 06/23/2006
APPLIED: 04/12/2006
EXPIRES: 12/23/2006
VALUE: $ 331,331.00
Value
Date Calculated
$12,116.00
$299,871.00
$19,344.00
$331,331.00
04/12/2006
04/12/2006
04/12/2006
Receipt Number
2200600000000000449
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
1200600000000000939
Status
Issued
2ITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2006-00433
ISSUED: 06/23/2006
APPLIED: 04/12/2006
EXPIRES: 12/23/2006
VALUE: $ 331,331.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Vent Fan
Water Line - Each Addtll00'
WiIlamalane Single Family
$24.00
$14.00
$1,000.00
6/23/06
6/23/06
6/23/06
1200600000000000939
1200600000000000939
1200600000000000939
Total Amount Paid
$9,443.32
I Plan Reviews'
Initial Review
LDAP Review
04/17/2006
04/27/2006
04/17/2006
04/27/2006
APP SKG
APP VRJ
LDAP is at the front counter and
ready to issue.
Fence Conservation Easement with
orange construction fencing and
keep all construction activity out of
this area.
The 8" oak in the front may be
counted as one of the 3 required
street trees. Place orange
construction fencing to the dripline
and follow the other tree
preservation guidelines attached to
the street tree handout.
Storm drainage piped to stub
provided 4/18/2006 CAS
Plan nine: Review
04/17/2006
05/12/2006
APP T AJ
Public Works Review
04/17/2006
04/18/2006
APP CAS
Structural Review
04/17/2006
OS/23/2006
OK
RWC
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.
I ReouireCU'nsnections I
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
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.
Pae:e 3 of 5
2ITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2006-00433
ISSUED: 06/23/2006
APPLIED: 04/12/2006
EXPIRES: 12/23/2006
VALUE: $ 331,331.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underground Plumbing: Prior to filling the trench and including required testing.
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.
Shower Pan. Prior to covering 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 Gas: After line is installed and required testing and capped if not attached to an appliance.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Ufor Electrical Ground: Install ground rod at footing and call for inspection in conjuction with footing and/or
foundation inspection.
Underground Electric: Prior to cover
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Low Voltage: Prior to cover.
Pae:e 4 of 5
Status
Issued
':ITY OF SPRINGFIELD C
Building/Combination Permit
PERMIT NO: COM2006-00433
ISSUED: 06/23/2006
APPLIED: 04/12/2006
EXPIRES: 12/23/2006
VALUE: $ 331,331.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 permi~,c rd is located a!:the front of the property, and the approved s7t f Plan7will remain on the site at all
tin(es during construc on;!11 , ;
, ..---"'/ I ; ./ It!
------- ' J Ii
., C-~A~-h'~" ---- L, I ~ / tJf:::,
Owner okontrac-tor; Signature . Dahl J
Paj!e 5 of 5
225 Fjfth Street .
Springfield, Oregon 97477
541-726-3759'Phone
CH-" "If Springfield Official Receipt
D~ ,opment Services Department
Public Works Department
Job/Journal Number
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
Payments:
Type of Payment
Check
Cred itCard
cReceintl
RECEIPT #:
1200600000000000939
Date: 06/23/2006
Description
Addressing Assignment
WiIlamalane Single Family
Residence Wiring 1000 Sq Ft
Temp Power 200 amps or less
Fire Fee - Residential
Sidewalk Permit
Curbcut Permit
PW Disc - 2nd Permit (Street)
Mountaingate Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Storm Admin
SDC Transpo Admin
Plan Review Major - Planning
Building Permit
3 Baths One & Two Family
Sanitary Sewer Each Addtl 100'
Water Line - Each Addtll 00'
Storm Sewer Each Addtl 100'
Furnace - up to 100,000 btu
Boiler/Comp Up To 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Fireplace
~Mechanical Issuance Fee~
Residence Wiring Ea Addtl 500
Gas Outlets 1-4
Gas Outlets 4+
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
REGAL CUSTOM HOMES
PAUL WITT
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
djb
7718
In Person
077856 In Person
Payment Total:
Page 1 of2
9:11:59AM
Amount Due
31.00
1,000.00
106.00
50.00
188.65
80.00
80.00
(30.00)
1,204.14
727.03
553.03
182.69
805.70
82.03
865.31
10.00
158.46
63,04
150.00
1,319,65
306.00
14.00
14,00
14.00
12.00
12,00
24.00
9,00
6,00
30.00
10.00
114.00
4.00
4.00
163.09
222.73
$8,585,55
Amount Paid
$585.55
$8,000.00
$8,585.55
6/23/2006
225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689
ELEc..;lHlCALPERMIT APPliCATION
City Job Number COMUXJ<:O - 00 t.f' J.3 Date
_;..,.,....'t"'; c,_ :..-~/'_:":'?.,.- .. ;-, "": ~-.... "":'~ -,:.- ^ '~t. ~:~:'-'.:~;:i'. '. :..,..: "'~:y"':i-?:~,:fCc -: "~;,,-::---L'- ''':'''~~-:.;'?''
1. 'LOCATioN OEINSTi.uAnON.<;L
,,',. '...' _,_ ..~___'_' >.' _,._.. '_0' : ',:' .;C' :~"_ .. ,'__'__>;,.".~-:.';;"; ::;:-~'.--.. : .,>,'/- ._:..~,>";~,_.,,.. ".;..;.:.~ )....-__./:;,i,:<-..,:).;t;.".:~.:'t~.::
t; /136 kin h) i ( /-00,1'1
p
LEGAL DESCRIPTION
I'-:to 2:s'1?'-t c sTco
JOB DESCRIPTION
~).".,I::.- fa P1 /1../ r6 :&UL lid rkry<<?o/ C((
Permits are non-fransferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
';}',~,7;J::~;_-I'Cr';':::'f,-~::~:~0-("7,:;cj/:-;~'::-tS!,::{r<1-:<7':..-;;::' ":.--_--~_~:---::--~-:;'f{j:;-._-;>-,:\'1':.:.~.:t!>:~;if}J'?~.1~;~}:~:~
2. ..,~Olf[l'gA'YJ.t/JJ.)N$TAL1.ATlQli(.f1N1.;y;.t
:=;;;~~~
City ~ Phone !iik.1J3~L
I
Supervisor License Number A.17 '-1:1 5
10-1 -D7
. .
Constr. Contr. Number 119 Y 31
Expiration Date
Owners Ignature:
,/
/
/
i
Inspection Request: 726-3769
'Wf"i'V ';'~:"?f.'''':.n~~.~':~-?':'-'-'''':''''''f~:J':~7':,~~':'!1r~:'' ';""""~'i-:Y;:t:'-- -. -'c_"
3. .",COMP.fu;.l.l!.L:J!..l!..S,., CH.EIJ..P, ,LE . BELOW
n'fy;: .i'<. ,,-_"~'_~_' _","'"-:'\'.."'{,~i<:.i" U";Y~';_.~,,;~.i,;;~'k;c'_,'___,-;,,~"_>;_,,;::, b;.~,'>:" _ , " ,.-..... "_ ,.,;.;1_::-.-::""_f__,;;':"
A.
?(~':'_'q~~;,.~_'i' -~i't/!;~:"''',y.':--:j-'''''-,,~;~c'1~~+:'':Y._;-''"'7'_. ~"-?:~'!>'f7::~1,*W"~~;o'~~?',;":-7~:,/~
gle or Multi-F~miil}' per dwelling'unit. ::,;
.;,~,_.._;.~e,,,,,,,;;,,,_,,,,,,>".O!"\;_F"."~,"';_;'.'-.".,,'_'>! '~'C.. "",""'" ..,....;.. '."..,,___ ~'.'.'. ."""..... ,-, ..-.:...-.,........ "
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft, or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
i
(;,
$106.00
/00tOU
i I tj-{OD
$ 19,00
$50.00
B.
$ 50.00
$ 69.00
$100.00
So,CV
200 Amps or less $ 63.00
201 A~ t0400 Amps $ 75.00
l ,', , ' 0
401 A~~to~9~~mps ~l~~9'b(,
601 Amps ,~lO~'O~ltI.P~t,," /) (, Jtli!,0'9,~%/o
Over 1000 ARtns/volts" -', ('/", ,'j/c$'t~n- :y
~~f)f '-.0" I' "'>"f '; D Yo
Reconnect Only <f)ric> 'co"\ '"'L,"': I' Vf!h~~~CI(1f
"7 VIJ/)! . -J. t!-i, CJ. I
c. FT~iliij~t~~~~i~~~fq~~<::{!{~~,tj?AWst~"~ I.
"',, '..'",".." ,k,.,',"" ""... ,,'A", ~att1).ftIJ0Ett/o:"
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
4011mps to 600 Amps
Expiration Date --.I,;} /.13,/109 Over 600 Amps or 1000 Volts see"B':above.
Signature of Supervising Electrician ~ ,/'1tPrl. B;';;~h~ir~:ii{:'~~.w,;",~" '.- ,.
'--1A/\ " -L' A c. /jU1t~~'A~i:. ., Exle.,io. p" P.." . $ 4300
. -, c7\ /Otl1tl1[;~~~O'with ,
~'" Name ~ A I (LA.' J-,..... B.,.:,/lN 80:S 0& /'/j.,.#;& 'hI:;' , $ 3,,00
AdQ(ess :Pc> -g~)t' lI~7 / E. l1e~l"e(1Jf!.1Se~feeYl.:M"")Wduded)-Ea
, t> ~.. "irrllJb:-:mVf3o .. Wf/'t}~ 'Wlil(' ..
City ~/U1iR-A Phon 9JS" -382)' pumporirrig~tion 'lvfDFO%tvO, $50.00
"". Sign/Outline Lighting $ 50.00
OWNER INS Limited Energy/Residential $ 25.00
Limited Energy/Commercial.~ $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4.
11>% State Surcharge
10% Administrative Fee
TOTAL
2i-{),oo
2...1 ~/pO
Z. 7-,00
/1 i&.i..L)
Shared Drive(T:)lBuilding FonnsIElectrical Pennit Application l..o3.doc
CITY OF S~NGFIELD SYSTEMS DEVELOPMEN~"ORKSHEET
JOURNAL OR JOB NUMBER:
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x COST PER S.F. CHARGE
I 3728,00 $0.323 I = , $1,204.14
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F. x I COST PER S.F. I x DISCOUNT RATE I
0.00 I $0.323 I 50% = I
COM2006-00433
Regal Custom Homes
6188 Felnhill Loop ,
1702343405500
SINGLE FAMILY RESIDENCE
1 BUILDING SIZE (SF: 3999
LOT SIZE (SF):
DISCOUNT
$0,00
ITEM 1 TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER - CITY
$1,204.14
11710
I
$1,204.14
if)
~
Cl
o
U
~
~
E-<
if)
>-<
o
~,
1070
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x COST PER DFU 1"1091
I 29 $25.07 $727.03
B. IMPROVEMENT COST:
NUMBER OF DFU's x
29 '$19.07 $553.03 1092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
= I
$1,280.06
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE I x
I 9.57 I
NUMBER OF UNITS x I COST PERTRIP
1 I $19.09
x I NEW TRIP FACTOR
I 1.00
B. IMPROVEMENT COST:
ADT TRIP RATE x NUMBER OF UNITS
9.57 1
ITEM 3 TOTAL - TRANSPORTATION SDC
x I. COST PER.:TRIP
I $84.19
= , $988.39,
x NEW TRIP F ACTORI
1.00 I
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's x
I 1
ICOST PER FEU
I $82,03
B. IMPROVEMENT COST:
INUMBER OF FEU's I x COST P~R FEU
I 1 $865.31
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =,
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = ,
5. ADMINISTRATIVE FEE:
SUBTOTAL x I ADM. FEE RATE
$4,429.93 I 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
$957.34
$4,429.93
CHARGE
$221.50
Cheryl Slaymaker
4/18/2006
TOTAL SDC CHARGES
PREPARED BY
DATE
$182.69
$805.70
=
$82.03
=
$865.31
$0.00
. $10.00
158.46
$63.04
=, $4,651.43
1093
1094
1054
1055
1054
1056
1079
1078
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FlXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
I BATHTUB 2 0 3 = 6
IDRlNKING FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
LAUNDRY TUB 1 0 2 = 2
CLOTHESW ASHER / MOP SINK 1 0 3 = 3
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
I SHOWER, SINGLE STALL 1 0 2 = 2
I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
ISINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASHBASINIDOUBLELAVATORY 0 0 2 = 0
ISINK: SINGLE LA V ATORY/RESIDENTIAL BAR 4 0 1 = 4
IURINAL, STALL! WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 3 0 3 = 9
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 29
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at ]67 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE] 979
]979
]980
]981
1982
1983
]984
1985
]986
1987
1988
]989
]990
]99]
1992
]993
]994
1995
1996
]997
]998
]999
2000
200]
CREDIT RATE/$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 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
=
. .
Job/Journal"Nuniber
COM200o-00433
COM2006.-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
COM2006-00433
Payments:
Type of Payment
Check
CreditCard
cReceintl
RECEIPT #:.1200600000000000939
Description,
Addressing Assignment
Willamalane Single Family
Residence Wiring 1900 Sq Ft
Temp Power 200 amps or less
Fire Fee - Residential
Sidewalk Permit
Curbcut Permit '
PW Disc - 2nd PerI1)it (Street)
Mount'aingate Impervious Area
Sanitary,Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/StorlTJ Admin
SDC Transpo Admin
Plan Review Major c Planning
Building Permit
3 Baths One & Two!' Family
Sanitary Sewer Each Addtl 100'
,I
Water Line- Each A,ddtll 00'
Storm Sewer Each 1}ddtl 100'
Furnace - up to 1 OO~OOO btu
Boiler/Comp Up To 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Fireplace
-Mechanical Issuance Fee-
Residence Wiring Ea Addtl 500
Gas Outlets 1-4
Gas Outlets 4+
+ 8% State Surcharge
+ 10% Administrative Fee
te: 06/23/2006
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 7718 In Person
djb 077856 In Person
Payment Total:
Paid By
REGAL CUSTOM HOMES
PAUL WITT
Page 2 of2
9:H:59AM
Amount Due
31.00
1,000,00
106,00
50,00
188.65
80,00
80.00
(30.00)
1,204.14
727.03
553.03
182.69
805.70
82,03
865.31
10.00
158.46
63.04
150.00
1,319.65
306.00
14.00
14.00
14.00
12.00
12.00
24,00
9.00
6.00
30.00
10.00
114.00
4.00
4.00
163.09
222.73
$8,585.55
Amount Paid
$585,55
$8,000,00
$8,585.55
6/23/2006