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Home My WebLink AboutPermit Building 2003-6-3 Building/Combination Permit PERMIT NO: COM2003-00253 ISSUED: 06/02/2003 APPLIED: 04/09/2003 EXPIRES: 12/0212003 VALUE: $ 154,224.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2967 Hayden Bridge Rd ASSESSOR'S PARCEL NO.: 1702193200206 CITY OF SPRINGFIELD' Springfield TYPE OF WORK: Single Family Residence REQUIRED PARKING Total: 2 y,3 ~~~:::ped: es ~,\\' !\~ ~--, " 4;00 '\\ ~'\ . ~ ~~y~~~ ~ ~\j .; ~ ~ .,'~ f'~~ . I PUBLIC IMPROV~~~ ~~~~~~ ~~~\\V- AC Mat .*:~ ~S ~~f(..~~~ ~ ~~.Type: No "\~ Ky..\) i~~ ~~nspoutS/Drains: DryweU - Provide Land Use Decision Journal Number 29tlt~r' ~~at roof area shall drain DrJwe~wmgineering Minimum drywell capacity shall be 243:~ c t of volume, for possible downsize, perform a Perk test by a Geologist. . . ~ TYPE OF USE: PROJECT DESCRIPTION: Single Family Residence Owner: RAY & MARY MCCLELLAN Address: i 2426 17TH PLACE SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type General Electrical Owner Contractor RAY & MARY MCCLELLAN MITCHS ELECTRIC INC RA Y & MARY MCCLELLAN BUILDING INFORMATION I License 146745 SETBACKS # of Stories,s."-O 1 Height,ot~t;ril!.~~thr~ 21.00 ,'f"I6- ~. 1.0' U-l Ty.Il'(, of Weat:~\."' ~J{orced Air Gas .c-~'\- ~N '0'" ~\.r VN ~Wa3r T,yipe: b7: r:., v:;)) Gas O~ \'0- ~~~.~ttrYfJ,9) <..~e 0 Electric 3",,\<..0t::$ 0 'O~ Ei!lhg~\<FaJh>;\0 <r'O~' O~ Path 1 _'\:v ~e o'=' ~. " " ;~" ~ ,"\.\O\....;",OO~,,<..:.~ ~(,,0~\0'b ~p. "-0:~~\\v'O- ~~~-(,,~~~ v~[JDJ!l~vi~<-fiM,R~Th1Ni(i)RMA TION I 'o"~"O. f]).~0('..,7:(:)\! ~O'" ~0(,," O~~ ~cz:v ~\V ..... OJ"..) ~'O- 0~ ~(0<}) ^\"~ ~O \-S0~~1b-..). eO 0 Ov~r;~y-Dlst: ,\<,0 Ai,Q.~~~~~ O(,,~ ~,Street Trees Rqd: (:)~5'B90'\ '\,00<" 6e~"-epaved Drive Rqd: ~ 67<:90 0.00 # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: % of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Pal!e 1 of 4 New Residential Phone Number: 541-746-5317 Expiration Date Phone 541-746-5317 0111812005 541-747-4483 541-746-5317 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq'. Ft Garage/Carport Sq Ft Other: Impervious Surface Area: 33,872 1,926 538 CITY OF SPRINGFIELD Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2003-00253 ISSUED: 06/02/2003 APPLIED: 04/09/2003 EXPIRES: 1210212003 VALUE: $ 154,224.00 I Valuation Descriotion , Description Dwellin!!:s Gara!!:e Tvpe of Construction V Wood Frame Gara!!:e $ Per Sq Ft $74.60 $19.60 Square Foota!!:e 1,926.00 538.00 Value $143,679.60 $10,544.80 $154,224.40 Date Calculated 04/09/2003 04/09/2003 Total Value of Project ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $483.86 4/8/03 1200200000000000957 -Mechanical Issuance Fee- $10.00 6/2/03 1200200000000001390 + 10% Administrative Fee $111.84 6/2/03 1200200000000001390 + 7% State Surcharge $78.29 6/2/03 1200200000000001390 2 Baths One or Two Family $254.00 6/2/03 1200200000000001390 Addressing Assignment $8.00 6/2/03 1200200000000001390 Appliance Vent $6.00 6/2/03 1200200000000001390 Building Permit $744.40 6/2/03 1200200000000001390 Dryer Vent $6.00 6/2/03 1200200000000001390 Exhaust Hoods $9.00 6/2/03 1200200000000001390 Furnace - up to 100,000 btu $12.00 6/2/03 1200200000000001390 Gas Fireplace $15.00 6/2/03 1200200000000001390 Gas Outlets 1-4 $4.00 6/2/03 1200200000000001390 Plan Review - Planning $59.00 6/2/03 1200200000000001390 Refund - SDC Storm $-415.10 6/2/03 1200200000000001390 SDC Sanitary/Storm Admin $24.31 6/2/03 1200200000000001390 SDC Transpo Admin $43.53 6/2/03 1200200000000001390 SDC Transpo Improvement $709.81 6/2/03 1200200000000001390 SDC Transpo Reimbursement $160.87 6/2/03 1200200000000001390 Storm Drainage Impervious Area $901.26 6/2/03 1200200000000001390 Temp Power 200 amps or less $50.00 6/2/03 1200200000000001390 Vent Fan $18.00 6/2/03 1200200000000001390 Willamalane Single Family $1,000.00 6/2/03 1200200000000001390 Total Amount Paid $4,294.07 I Plan Reviews I Initial Review 04/07/2003 04/09/2003 APP LLH Delay in initial review due to tracking partition numbers on lot from initial partition in 1995 then through 1999. Journal Number 99-02-042 Tree Felling permit required if more than 5 trees 5" caliber dbh are going to be removed Plannin!!: Review 04/09/2003 04/17/2003 APP AID Pa!!:e 2 of 4 CITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: COM2003-00253 ISSUED: 06/0212003 APPLIED: 04/09/2003 EXPIRES: 12/0212003 VALUE: $ 154,224.00 225 Fifth Street, Springfield, OR. 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Public Works Review 04/09/2003 04/22/2003 APP DJW Land Use Decision Journal Number 99-02-042 states that roof area shall drain to a drywell. Minimum drywell capacity shall be 243.4 cubic feet of volume, for possible downsize, perform a Perk test by a Geologist. Drywell required for storm drainage. Septic system is approved by Lane County. See Documents for additional plan review comments. Structural Review 04/09/2003 05/05/2003 APp. DLM 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..ReouireCUnsnections I Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 2 Footing: After trenches are excavated. 3 Foundation: After forms are erected but prior to concrete placement. 4 Post and Beam: Prior to tloor insulation or decking. 5 Floor Insulation: Prior to decking. 6 Shear Wall Nailing: Before covering sheathing with finish materials. 7 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 8 Wall Insulation: Prior to cover. 9 Ceiling Insulation: Prior to cover. 10 Drywall: Prior to taping. 11 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. . 12 Final Building: After all required inspections have been requested and approved and the building is complete. 13 Undertloor Plumbing: Prior to insulation or decking. 14 Undertloor Drain: Prior to cover or placement of concrete. 15 Rough Plumbing: Prior to cover and including required testing. 16 Water Line: Prior to filling trench and including required testing. 17 Sanitary Sewer Line: Prior to filling trench and including required testing. 18 Storm Sewer Line: Prior to filling trench. 19 Drywell: Engineered Drywell is Required. Provide the City with a copy of the DEQ application to keep on file. 20 Final Plumbing: When all plumbing work is complete. 21 Undertloor Mechanical. Prior to insulation or decking and including required testing. 22 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 23 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. 24 Rough Mechanical: Prior to Cover 25 Final Gas: When all gas work is complete. 26 Final Mechanical: When all mechanical work is complete. ' 27 Temporary Electric: Approval required prior to Utility Company energizing pole. 28 Erosion/Grading Inspection: After all erosion measures are in place. Pae:e 3 of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00253 ISSUED: 06/02/2003 APPLIED: 04/09/2003 EXPIRES: 12/02/2003 VALUE: $ 154,224.00 225 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 appl.cation 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 t~e permit card is located at the front of the property, and the approved set of plans will remain on the site at all times ;Z~:~~ti1 ~ tt ~o:3 Owner or €ontractors Signature Date Pa\?:e 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Development Services Department Public Works Department Official Receipt Receipt #: 1200200000000001390 Date: 06/02/2003 Job/Journal Number COM2003-00253 COM2003-00253 COM2003-00253 COM2003-00253 COM2003-00253 COM2003-00253 COM2003-00253 COM2003-00253 COM2003-00253 COM2003-00253 COM2003-00253 COM2003-00253 COM2003-00253 COM2003-00253 COM2003-00253 COM2003-00253 COM2003-00253 COM2003-00253 COM2003-00253 COM2003-00253 COM2003-00253 COM2003-00253 Description Addressing Assignment Plan Review - Planning SDC Transpo Reimbursement SDC Transpo Improvement SDC Sanitary/Storm Admin SDC Transpo Admin Refund - SDC Storm Storm Drainage Impervious Area Building Permit 2 Baths One or Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Appliance Vent Dryer Vent Gas Outlets 1-4 Gas Fireplace -Mechanical Issuance Fee- Willamalane Single Family + 7% State Surcharge + 10% Administrative Fee Temp Power 200 amps or less Amount Paid Item Total: 8.00 59.00 160.87 709.81 24.31 43,53 (415.10) 901.26 744.40 254.00 12.00 18.00 9.00 6.00 6.00 4.00 15.00 10.00 1,000.00 78.29 111.84 50.00 $3,81O.2r Payments: Type of Payment Check Paid By RAYFORD MCCLELLAN Received By djb Check Number Confirm No How Received In Person Payment Total: Amount Paid 3,810.21 $3,810.21 6/2/2003 10:13:19AM Page 1 of 1 cReceipt.rpt 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3~fOIIOwin, 9 bmittedna d use ELECTIU~NtTl\t:t~~~TION II wing proiec\ as s~uire specifiC Ian 1\16 fo 0 does not fe", I r--../l_ City Job Number , ,Date 7C'll'lin9 and ~ roval, ,.i) 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmPS~~ Reconn~\~~ ,S ~\)\ ~ ~~~ ~~, \~ ,,~\ \ CO ~\Jt: ~~ \~\S ?~ \,~1~\J \) \)~ I.Us~~ation, Alteration or Relocation t>-.\j\\\~~\:.~~\:.\J ?~'Q~~ps or less . \ \;\)~\\j~ ~\) \J~ 201 Amps to 400 Amps \>-.~'{ \ 401 Amps to 600 Amps Expiratio ate Over 600 Amps or 1000 Volts see "B" above. re of Supervising Electric\.a: D. New Alteration or Extension P6{}~~nel One Circuit v.\'{eS ~ 0'\\\'1.\~,,,, _ $ 43.00 Each Additional 9iff~,~I1{\ e\ \0\ \ f)/\. ~\ N\f\ T\. ~'\ 1\" \" \ 1\ i\ 7 Service or ~~e..ae~'P~iP '3-'{e S ~ r\Q $ 3.00 :;:r:SsNM~1.~1.1u..\~~^~\~~~~-(\~, .O{ ~i' s 9"~ ~: ~ ~~ '..,A. - ~I) \..... IX 0\\'1 '{ :(\ Ce 0" O'Q'I. \0. . C'().\'I. City ~ Phone nlO' c...AJ-\- \O\~. cgvmPr/~8'!Pn.rat~S\{\ C ~0..\~0 ~o\\\\I $ 50.00 o..\c)\.\\\ .Sici'/Outline ~'?ghtJiJgNO \ \\~\\~ ~,.. b:,. $ 50.00 \'" OJ)\' .l!>UJ \,.-. :( ""'. {\ V r[,;,;1J: OWNER INSTALLATION \{\ nrLitf.R~d\Efitfr0gv)R..esi'&~tial1.'?>~' $ 25.00 C\'d;;;)' (\ \" Je ..... UV :1 Q\J T,.\\\!'I.~a"'-~\'('I.!.", '1,C() . 1 $ ~1I1l1te e"nergy'\~0mmerCla 45.00 ~'Oe . :(\\.e" MinimUm Eleltfi'c Permit Inspection Fee'is $45.00 + Surcharges 50 JO . ~.SO ~_'OU '5<6.50 1. ~ l LEGAL DESCRIPTION I'] D9.fq :i~_ ()C4iJf.t; _J,oB DESCRIPTION ~ ~,;.~Jand exPirJwork;, not started within 180 days of issuance or if work is Suspended for 180 days. City Expiration Date The installation is being made on property I own which is not intended for sale, lease or rent. o;iQS Signature: I~t~~, Z~I'.&AI I t /r ~ ->-",- Inspection Request: 726-3769 Service Included 1 000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 B. $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 $ 50.00 ~~ -\- $ 69.00 $100.00 4. 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T: )/Building FormslElectrical Permit Application 1-03.doc Construction Contract".-sBoard 700 Summer St NE Suite 300 PO Box i4140 Salem OR 97309-5052 Phone: 503-378-4621, Web Address: www.ccb.state.or.us Permit #:lttn!l.f - ~ . ,..., ' Add<e"LC\tdl ffl~~_ fu\ '. Issued by: Date: Statement:.lnformation Notice to Property Owners About Construction Responsi bi lities Note:, OregonLaw, ORS 701.055(4) requires residential construction permit applicants who are not lice1J,sed 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, ~xempt from licensing unqer o RS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill i~ the appropriate bl~s and initial boxes 1 and 2, and eIther box 3A or 3B: 3( 1: I own, reside in, or will reside in the complete<i structure. M' 2. I understand that fmust become licensed as a construction contractor if the structure is sold or offere<i for sale before or on completion. ~, 3A. My general contractor fs (Name) (cCB #) . '. I will instruct mygeneral.contractor that all subcontractors who work on the structure must be . licensed with the Construction Contractors Board. ' , . . OR ~ 3B. I will be my own general contractor. If I 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 offic~ issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information . Nn,',~,i to proper;:.?WDers a~.oDt Co DstrD eli, OD ResPODslbU;ties o~ tbe reverse side of this form, ~4({/ fy;J!ctli. ...., . ~1-7~o 3 , dP . (Signature of permit applicant) (Date) (White copy to issuing agency permit file, pink .copy toapjJlicant.) prop-own.doc OS/22/00 1:\~-~'I~":~:~~~t~~.+i~!W~: d,", : . , "., i .,j.4, '-~"I-J'~lC,tt)1:g.J1t,S.);Y Q U;Jff, ,OwD,.General f ," ' . ~:', . INFORMATION ~. .... - .. ~ ~~QUT ." ....~.; ... l~ .;, .: _, " " , ';\,-.1 NOTE: This Information Notice to Properly Owners Construction COf'Jtra.ctors Board in,c:ccqrdance ~ Construction Responsibilities was developed by the passed by th~ Oreg~,! Lefli~/ature. ,..., J If you are as yourQwn, cQntractox:.tQ'COnstfllpt .' ". _. ,I. :__ . ,. ; strucrure, you can man)' problems by fleinga\v'are . a substa~tiaLi~nprRyement to an existing responsibilities and concerns. .' .. .. ..\ ~.. .: .~~., "--. '-" ....... :.;- ~ You wjii,in if you the be ruled to b6.,&n ':employe(" licensed with the Construction , of'~- ri~idential'structuie. ~ . ~ :'. L.... _.\ . , ., , you~ contract withwill be "employees" to'do labor !n constructing or t~ assist in .. must "tvith'tlu.>fQUowing: -~ ~'~'. ". taxes fromeJnployee wages atthe time YOil don't 'actually whhhold''the tax from your Center at 503-986-2222, , As an employer, you must wilJ be liable fot the tax even Business IDnumber, caB the ..." . Tax: As an employer; For more information, can . , - - '; -, ~ . . < . '. - . j .' '. a tax iUlemployment irts'utance purposes Employment Department at 503-378-3524. . .: - ;. .. .;' _ ". ",' . _. '.. "r: ' the Oregon Workers' Comp'ensation Law, .qf':'you fail'to-6btain w6;k-ers"coinpensation costs if one of your employees is inj),lred on the at De?artm~t of Consumer and BusinGss . " I', '\ federal income tax f~.om employees' wages., :tmc.FoBaFederahElN tiumber, fax the 99M,,:.Qgd~D;~,lrI~,84409:,.,- :.7'';.:" '.....- . ,-'~., -'C':"<".., " -~. )'t. ~_i': := Insu'ra:m~e-: As ~employer, and must cVlUvensation insunince for insurance, you could be subject to penalties and be liable for job. For more information, caH the Workers' Senricesat.503":947 -78,10. ; , ,.,.... '"'dO"- Internal Service: As an employer, you You will be. liallle forthe:,tax ;payfuent e.v~'if yo.u:4iGn:t ms at 81 O~620-7115 or'vvTite to them at IRS, Mail, Stop' .. ' Other Code As the permit holder f(~r this project1 you are requirements that may be brought to your attention tl1roughCinsrections. . '....>:\ "~ fOr resolving any. failure :to Irieet. code, >",;...::.:}.,.....:: ., (,' "., ....'~._~._: .:..,::.~-1;:~1.~~'. (n. Lia~mty . ~n~ . Pr,l?~.ertJT;})~m~~e_tn~~~~uH:~:, :Sor;~c;t; cover~.ge for- acciq~ntq' al1~ omission~ s~rh ~;~;fam,!g t<?ol~, work that Inust be t~-done. As any' emp]oyqr, you may be ,. - ~ . , . ~ ... agentto see if you have adequate insurance " "\vat~i: ci~magefrom, pipe punchuies, fire or , s~stai~e4 py YQur emp.lo'yt?es. . ..' ;.;(:C. ..' _ t ~.,. ',.,:. Time: Make have ,sufficient time to supervise yo,ur ;t..;; .-~ ;<., ".:;! " " -i "'." ~_" ":_1 ~ : {. ..:"', . . j:" ~- . . . ~ ~ . :Expertise: Make'~ufeYbidiavethe's(kiUs act<as your o\\'n and finish traqes, and. to notjfy building officials as ~-_....._.~_......~ :..:."" ......\.-.... ..""- ' .'.: tocoordinaiethe \vor!(of tough.:jn can perforndhercquired inspections'. " ".'. I ) If you at PO Box additiohaiqu.estions caB the Construction Salem, QI~, ,Q73N9,-:5f)~),< ....: . o' '.,...._ . -."" BoatdT5()3-378'4621 ext: 490G} or write the agency ',.<, r. .~;t '~".\ ": prop-ov\ITl.doc OS/22/00 ,. .. CITY OF SPRINGFIELD SYSTEMS DEVElOPMEr.nlovoRKSHEET 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 , IMPERVIOUS S.F.. x I COST PER S.F. I I CHARGE I 252.00 $0.282 = $71.06 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. x COST PER S.F. x DISCOUNT RATE I DISCOUNT I 2944.00 $0.282 50% = I $415.10 Com2003-00253 Ray & Mary McClellan 2967 Hayden Bridge Rd. 17021932TL00206 BUILDING SIZE (SF) ITEM 1 TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: NUMBER OF DFU's x o $486.16 '" COST PER DFU $22.09 B. IMPROVEMENT COST:' , NUMBEROOF DFU's I x COST PER DFU I $16.79 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , 3. TRANSPORTATION A. REIMBURSEMENT COST: ADT TRIP RATE x NUMBER OF UNITS x 9.57. 1 B. IMPROVEMENT COST: I ADT TRIP RATE x NUMBER OF UNITS' x I 9,57 1 $0.00 COST PER TRIP $16.81 COST PER TRIP $74.17 . $870.68 ITEM 3 TOTAL - TRANSPORTATION SDC = I = $0.00 1055 = $0.00 1054 $0.00 1056 = , $0.00 , = , $1,356.84 t. = CHARGE $67.84 24.31 1079 $43.53 11078 I TOTAL SDC CHARGES = I $1,424.68 , .., 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's x COST PER FEU o $332.86 B. IMPROVEMENT COST: NUMBER OF FEU's x COST PER FEU o $34.83 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 I x I ADM. FEE RATE $1,356,84 , 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: o LOT SIZE (SF): 33977 $486.16 $0.00 $0.00 $160.87 $709.81 = $0.00 , x NEW TRIP FACTOR 1.00 = x I NEW TRIP F ACTOR I I 1.00 = 4/22/2003 D. Wright PREPARED BY DATE CIl ~ Q o l:J 0::: ~' r-< CIl ....... o ~ j' 1070 1091 1092 1093 1094 1054 . . . 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 EQUIV ALENT UNITS BATHTUB '0 0 3 = 0 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0, IINTERCEPTORS FOR GREASE / OIL / SOLIDS I,ETC. ,0 ' 0 3 = 0 IINTERCEPTORS FOR SAND / AUTO WASH / ETC. ' 0 ' 0 6 = 0 I LAUNDRY TUB 0 0 2 = 0 ICLOTHESW ASHER / MOP SINK 0 0 3 = 0 ICLOTHESW ASHER - 3 OR MORE (EA) ;;0 0 6, = 0 MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRIG / WATER STATION / ETC. ' '0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC.I 0 0 3 = 0 SHOWER, SINGLE STALL 0 O. 2 = 0 I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 ISINK: COMMERCIAURESIDENTIAL KITCHEN 0 0 3 = 0 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASINIDOUBLE LA V A TORY 0 0 2 = 0 SINK: SINGLE LA V A TORY/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 MISrJ'U T A.NEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 0 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day 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 CREDIT RA TE/$1 ,000 I' ASSESSED VALUE $4.92 $4.92 $4.83 $4,77 $4,64 $4.47 $4.30.' $4.09 $3.78 $3.41 $2.98 $2.52 $2.06 $1.64 $1.45 $1.31 $1.13 $0.97 $0.82 $0.63 $0.41 $0.22 $0,04 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR o o 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE /1000 CREDIT RATE $0.00 x $4.92 = t $0.00 CREDIT FOR IMPROVEMENT (IF MlbK ANNEXATION) VALUE /1000 ' CREDIT RATE $0.00 x $4.92 o TOTAL MWMC CREDIT = $0,00