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Home My WebLink AboutPermit Building 2004-4-28 _~, R~N, G,.~pt.ljU;jD,",,',"".,',',','.'~ .,."". ','."',,, WIL'=-' "', :~ . .~. '. ':Ij , ,- , , ".~.~,,~""~",.', " .~. .L CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2004-00398 ISSUED: 04/28/2004 APPLIED: 04/09/2004 EXPIRES: 10/28/2004 VALUE: $ 181,368.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 848 S ST ASSESSOR'S PARCEL NO.: 1703261309500 SPRINGFIE TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: New SFR Owner: GARY KONOLD Address: 3169 WOLF MEADOWS EUGENE OR 97408 Phone Number: 342-3762 I CONTRACTOR INFORMATION' Contractor Type General Mechanical Plumbing Contractor OWNER PACIFIC AIR COMFORT INC RS PLUMBING CONTRACTING License Expiration Date Phone 39237 103816 03/25/2006 01/04/2006 541-672-9510 541-461-4714 BUILDING INFORMATION. # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS # of Stories: 1 Height of Structure 17.00 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Electric Energy Path:\NO~'t\ Path 1 c \f l\-\E '{ -. r.~' '\ (")'P\R~ ;\"1" ,Co NO ~\\~~~~~\1 S\ \1~n.i6.~~i~\WORMATION . 1\-\ L1G~\lt.O U\~\e ~\) ~ue ~U\P :".U'J:.1I O~ u . co~\'J\~ PtJ\\OO.Overlay Dlst: 10.\:-( "\8(1.\9~'{ # Street Trees Rqd: ~\~ 5.50 Paved Drive Rqd: 1 R-3 U-l VN 4 Lot Size: 7,950 Sq Ft 1st Floor: 1,824 Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport 528 Sq Ft Other: Impervious Surface Area: 39.00 12.50 % of Lot Coverage: Yes 31.20 REQUIRED PARKING Total: 2 Handicapped: Compact: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 2 Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS l t \ w requII t:l ' yOU ~o FU~'1\!\I~l\q~U1:0regonb a the Oragon U!M~alk Type: All w rul~<Bdopted 'I rules are SeDW}.spoutslDrains: fo 0 . center. Those APt 952-00' \Iotificatl~;_001_0010th~~~~~:~ the rules l 10 OARy9 u may obt~in COPI~the telephone 0090'II'nOg the center. tNotuetilit\1 Notification ca I Oregon' number for ~h~,~ '" ..P,v,_~I),?-2344)' , Curbside 5' Curb and Gutter Notes: Pal!e 1 of 4 Status Issued CITY OF SPRINGFIELD · Building/Combination Permit PERMIT NO: COM2004-00398 ISSUED: 04/28/2004 APPLIED: 04/09/2004 EXPIRES: 10/28/2004 VALUE: $ 181,368.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Dwellinl!s Garal!e Tvpe of Construction V Wood Frame Gar3:l!e $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 1,824.00 528.00 Value Date Calculated Description Total Value of Project $168,537.60 $12,830.40 $181,368.00 04/09/2004 04/09/2004 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $540.90 4/9/04 1200400000000000455 -Mechanical Issuance Fee- $10.00 4/28/04 1200400000000000555 + 10% Administrative Fee $121.22 4/28/04 1200400000000000555 + 7% State Surcharge $84.85 4/28/04 1200400000000000555 2 Baths One or Two Family $254.00 4/28/04 1200400000000000555 Addressing Assignment $31.00 4/28/04 1200400000000000555 Building Permit $832.15 4/28/04 1200400000000000555 Curb cut Permit $75.00 4/28/04 1200400000000000555 Dryer Vent $6.00 4/28/04 1200400000000000555 Exhaust Hoods $9.00 4/28/04 1200400000000000555 Furnace - up to 100,000 btu $12.00 4/28/04 1200400000000000555 Gas Fireplace $15.00 4/28/04 1200400000000000555 Gas Outlets 1-4 $4.00 4/28/04 1200400000000000555 Heat Pump $12.00 4/28/04 1200400000000000555 Plan Review - Planning $71.00 4/28/04 1200400000000000555 PW Mult Disc - 2nd Permit $-30.00 4/28/04 1200400000000000555 Sanitary Sewer - Improvement $344.20 4/28/04 1200400000000000555 Sanitary Sewer - Reimbursement $452.80 4/28/04 1200400000000000555 SDC MWMC Administration $10.00 4/28/04 1200400000000000555 SDC MWMC Improvement $214.23 4/28/04 1200400000000000555 SDC MWMC Reimbursement $314.63 4/28/04 1200400000000000555 SDC Sanitary/Storm Admin $97.19 4/28/04 1200400000000000555 SDC Transpo Admin $54.27 4/28/04 1200400000000000555 SDC Transpo Improvement $727.42 4/28/04 1200400000000000555 SDC Transpo Reimbursement $164.89 4/28/04 1200400000000000555 Sidewalk Permit $75.00 4/28/04 1200400000000000555 Storm Drainage Impervious Area $800.98 4/28/04 1200400000000000555 Temp Power 200 amps or less $50.00 4/28/04 1200400000000000555 Vent Fan $18.00 4/28/04 1200400000000000555 WiIlamalane Single Family $1,000.00 4/28/04 1200400000000000555 Total Amount Paid $6,371.73 Pal!e 2 of 4 CITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: COM2004-00398 ISSUED: 04/28/2004 APPLIED: 04/09/2004 EXPIRES: 10/28/2004 VALUE: $ 181,368.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review PlanniDl:~ Review Public Works Review Structural Review 04/09/2004 04/09/2004 04/09/2004 04/0912004 I Plan Reviews I APP APP APP APP 04/23/2004 04/19/2004 04/14/2004 RJB TAJ DJW RJB 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. 1 Erosion/Grading Inspection: After all erosion measures are in place. 2 Vfer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 27 Electric Service: Approval required prior to utility company energizing service. 28 Final Electric: When all electrical work is complete. 29 Sidewalk - Curbside: After forms are erected but prior to placement of concrete. 30 Curbcut - Standard: After forms are erected but prior to placement of concrete. 3 Footing: After trenches are excavated. 4 Foundation: After forms are erected but prior to concrete placement. 5 Post and Beam: Prior to floor insulation or decking. 6 Floor Insulation: Prior to decking. 7 Shear Wall Nailing: Before covering sheathing with finish materials. 8 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 9 Wall Insulation: Prior to cover. 10 Ceiling Insulation: Prior to cover. 11 Drywall: Prior to taping. 12 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. 13 Final Building: After aU required inspections have been requested and approved and the building is complete. 14 Vnderfloor Plumbing: Prior to insulation or decking. 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 Final Plumbing: When aU plumbing work is complete. 20 Vnderfloor Mechanical. Prior to insulation or decking and including required testing. 21 Vnderfloor Gas: After line is instaUed and required testing and capped if not attached to an appliance. 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 Mechanical: When aU mechanical work is complete. 26 Rough Electric: Prior to Cover Pa2;e 3 of 4 _1aIL~eAI!~EI~' . ".'-..--.'""'-'....'.'. ..- . . . CITY OF SJiKlNGFIELD . Building/Combination Permit PERMIT NO: COM2004-00398' ISSUED: 04/28/2004 APPLIED: 04/09/2004 EXPIRES: 10/28/2004 VALUE: $ 181,368.00 Status Issued 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 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. ~ f-'\~ Owner or c:~ctors Signature ~\\ zs 04- Date Pae:e 4 of 4 225 Fifth. Street Springfield, Oregon 97477 541-726-3759 Phone n~::ji WIt. r:ty of Springfield Official Receipt relopment Services Department Public Works Department Job/Journa' Number COM2004-00398 COM2004-00398 COM2004-00398 COM2004-00398 COM2004-00398 COM2004-00398 COM2004-00398 COM2004-00398 COM2004-00398 COM2004-00398 COM2004-00398 COM2004-00398 COM2004-00398 COM2004-00398 COM2004-00398 COM2004-00398 COM2004-00398 COM2004-00398 COM2004-00398 COM2004-00398 COM2004-00398 COM2004-00398 COM2004-00398 COM2004-00398 COM2004-00398 COM2004-00398 COM2004-00398 COM2004-00398 COM2004-00398 Payments: Type of Payment CreditCard 4/28/2004 RECEIPT #: 1200400000000000555 Date: 04/28/2004 Description + 10% Administrative Fee Plan Review - Planning Building Permit Willamalane Single Family Addressing Assignment 2 Baths One or Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Gas Outlets 1-4 Gas Fireplace Heat Pump -Mechanical Issuance Fee- Sidewalk Permit Curbcut Permit PW Mult Disc - 2nd Permit Storm Drainage 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 Temp Power 200 amps or less + 7% State Surcharge Paid By GARY KONOLD Item Total: Check Number Authorization Received By Batch Number Number How Received djb 000368 161990 In Person Payment Total: Page 1 of I 9:29:19AM Amount Due 121.22 71. 00 832.15 1,000.00 31.00 254.00 12.00 18.00 9.00 6.00 4.00 15.00 12.00 10.00 75.00 75.00 (30.00) 800.98 452.80 344.20 164.89 727.42 314.63 214.23 10.00 97.19 54.27 50.00 84.85 $5,830.83 Amount Paid $5,830.83 $5,830.83 Construction Contractors 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 #: COV'Vl"2..c!:. . --003 9 ~ 'gt1 8' S <s; >r "br:x Date: Y/Z-8/d~ I Issued by: Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are 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 be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: ~l. ~2. I own, reside in, or will reside in the completed structure. I understand that I must 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 (Name) (CCB #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR ~ 38. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If! 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 of the name ofthe contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. J\ ~ ~Y\ \ '"Z.~ c4- ~gnature of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant.) PropertLowner.doc 03/11/03 < " <\10 Acting INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES as'~our Own Contractor? 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 fonowing responsibilities and concerns. Employer Responsibilities You win, in most instances, be ruled to be an "employer" and the contractors 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 residential structure. As the employer, you must comply with the following: Oregon's Withholding Tax Law: As an.employer, you must withhold income taxes fromemployee 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 a State Business ID number, caU the Business Information Center at 503-986-2200. Unemployment Insurance Tax: As an employer, you are required to pay a tax for unemployment insurance purpos~,s on the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488, 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' compensation insurance, you could be subject to penalties and be liable for.aU claim costs if one of your employees is injured on the job. For more information, call the Workers' Compensation Division at the Department 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 866-816-2065 or fax them at 801-620-7115. .~ Other Responsibilities and Areas of Concerns . . Code Compliance: As the permit holder for this project, you are responsible -for resolving any failure to meet code requirements that may 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. ' .. 'I . Time: Make sur.e you havesu.'fficient time to sup<;:rvise your employees. _. . .,<:: ,. ' Expertise: Make sure y~u have the skills to act a~ your own generalcon'tractor, to coordinate the work of rough-in . . . (~ . . -. ., .. and 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 03/11/03 ;::1PW{ti0nCJ.?~~LQ , ,'>, 225 FIFTH STREET. SPRINGFIELD, OR 97477 · PH:(541)726-3753 · FAX: ~~:~~~;~i~g~roject~$<$U:bmitted h, ELECTRICAL PERMIT APPLICATION zoning, and does not require speC! City Job Number ~.... ttJ.5f.2, Date approval., L'DVC , ZOning 1. ;;;;O:;:'INS~~~lTON 3. . COMPLETEFEE~~~:::,:~;;:OW .. +2q~ LEGAL DESCRIPTION / 7/J3 2-h /3 o'1'!ilYO JOB DESCRIPTION /~/ Aial~ Permits are non-transferable and expire if work is nl't started within 180 days of issuance or if work is Suspended for 180 days. CONTRACTOR INSTALLATIONONLY 2. Electrical Contractor Address City Supervisor License Number Expiration Date Expiration Date Signature of Supervising Electrician Owners Name &ho/. ~~~tJ Address -Y ~ 5'rJU1L,r_/lf/!)(:/)bkL( City ~ Phone ~..~/, . ?7.(-O~ - OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~ KondD Inspection Request: 726-3769 following d us~ A. New Residential":" Single or Multi-Family per dwelling unit. Service Included 1000 sq, ft, or less Each additional 500 sq. f1. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106,00 $ 19,00 $50,00 B. Services or Feeders - Installation, Alterations or Relocation: 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 63,00 $ 75,00 $125,00 $163,00 $375,00 $ 50,00 c. Temporary ServiCe~ or Feeders Installation, Alteration or Relocation 200 Amps or less . ," ~ , _ " ,,/y.', \;~:.u, ,~\.; 201 Amps to 40Q,~ps.,,'<I v. .:.",;., ",'.,.,', ,- _ ,:..~I,-. .." "J,_\/:-,"l/.:":~~ _:/".~~.'; " ,4W.)~,mp~to 6pOAipp$.~<: :.<, ,~,:':'OVir"660Amps (it IOOO'V< . -\ \';'- .'" "-.:,"" _.__\-~::;.::',- . '. _ ..... . _ .c"",(' (~J~ ,,,,,~,: :- ", ,,,,.';1). ., 'Br.aJl(:4..Cu'~uit~,' ...% " \- ""':.':;'-h ,'" 'i..';;? <:".: ....,c,-, (~:' ~,_,,;,:'>.,.,';:~'t~% ", /,' ~ '~.New\Nterad~n:or..ExteRsluti~~l' ~~J;\~ ,;:;;,~ ~.: O~ 'Grrcutt'" .: ....,;::~"~~~;:.'.'::~t..".:ul .::. \: "Ea~h-Agdilion<lf~i~2iji~'~:w:i~" .' ':'.~ ,~;.; 'Sel-vice or Feede~ Permit $ 50,00 $ 69,00 $100,00 SD $ 43,00 $ 3,00 E. :Mjseellaneous (Service/feeder not included) -Each Installation Pump or irrigation $ 50,00 Sign/Outline Lighting' $ 50.00 4{W'~."illJi,~rgy" IR, e~, ide,nti, 1, nn,'!!"' Ir i'PE \~}~~.f~i)0 ~l qn rl~-:-]1.'. ~ry ~.~.~ rd t -J{F~lt1t . 1. ~ ~ . iv1..L:~K Utn, 1m,' a.1td, ,,' t!, ,I'g, ',Yf,dOH',;i1,,\\?,~C;: ~ ;,,.; 'P''''~'~' ~IT is ~tffiOO 1\1 :~,.t-jr:r,:lr:!J U~~lUt.t\ l~lt~ L~~ld! .' .. Minim~ ~f,AA1~:~~:rHI}\~ 1w;OOt\t.i()I1'~N~i}f-(JFJ + Surcharges f', .'\li"J""'" ,"I..: 1Jr',I~'M.Ul"'HlJU V\.,J iV-" 1.'\I~....... '4- 'o,i/: 4-. / .' -,-.' .. .... 4. SMW'~A.1wlW~ilE ~t),CrD 3~O - ()-lJ 5 5~,~O 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building FOIms/Electrical Pellnit Application I-03,doc . . CITY OF SPifi'NGFIELD SYSTEMS DEVELOPMEN-pY'~RKSHEET JOURNAL OR JOB NUMBER: COM2004-00398 NAME OR COMPANY: GARY KONOLD LOCATION: 848 S STREET TAX LOT NUMBER: 170326I3tlO9500 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS I BUILDING SIZE (SF' o 7524 LOT SIZE (SF): 1. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S,F, x I COST PER S,F, I CHARGE I 2762,00 I $0,290 = $800,98 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S,F, x I COST PER S,F, I x I DISCOUNT RATE DISCOUNT 0,00 I $0,290 I I 50% $0.00 ITEM 1 TOTAL - STORM DRAINAGE SDC I $800.98 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's x COST PER DFU I 20 $22,64 B, IMPROVEMENT COST: I NUMBER OF DFU's , 20 $800.98 $452.80 x I COST PER DFU I $17,21 $344.20 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I 3, TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE x NUMBER OF UNITS x I 9.57 I B. IMPROVEMENT COST: I ADT TRlP RATE - x I NUMBER OF UNITS x '9,57 I 1 $797.00 x INEWTRlPFACTOR I 1.00 COST PER TRIP $17,23 $164.89 x NEW TRlP F ACTORI 1.00 I ITEM 3 TOTAL - TRANSPORTA nON SDC = I COST PER TRlP $76,01 $892.31 $727.42 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's x ICOST PER FEU I I I $3 14,63 = $314.63 . B. IMPROVEMENT COST: INUMBER OF FEU's x COST PER FEU I I $214,23 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SD( = $214.23 1055 $0.00 11054 $10.00 1056 = , $538.86 ...--- =1 $3,029.15 _H ....-~.. CHARGE $151.46 97,19 1079 $54,27 1078 , TOTAL SDC CHARGES =1 $3,180.61 SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5, ADMINISTRATIVE FEE: SUBTOTAL x ADM, FEE RATE $3,029.15 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Denny Wright 4/19/2004 PREPARED BY- DATE VJ ~ Q o U ~ ~ E-< '" en 6 ~ 1070 l 1091 11092 1093 1094 1054 DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO, OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUlV ALENT UNITS IBA THTUB 1 0 3 = 3 IDRINKlNG FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 I INTERCEPTORS FOR SAND / AUTO WASH / ETC, 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 ICLOTHESW ASHER / MOP SINK 1 0 3 = 3 I CLOTHES WASHER - 3 OR MORE (EA) 0 0 6 = 0 I MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRIG / WATER STATION / ETC, 0 0 1 = 0 I RECEPTOR FOR COM, SINK / DISHWASHER / ETC, 0 0 3 = 0 I SHOWER, SINGLE STALL 1 0 2 = 2 I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 I SINK: COMMERCIAL BAR 0 0 2 = 0 I SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2 I SINK: SINGLE LA V A TORY /RESIDENTIAL BAR 1 0 1 = 1 URINAL, STALL / WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 TOILET, PRIVATE INSTALLATION 2 0 3 = 6 . MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 20 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$I,OOO ASSESSED VALUE $5.04 $5.04 $4.95 $4.88 $4.75 $4.58 $4.41 $4.20 $3.88 $3.50 $3.07 $2.60 $2.14 $1.71 $1.52 $1.38 $1.19 $1.03 $0.87 $068 $0.46 $0.27 $0.09 $0.04 ISLAND ELGIBLE 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 o o 1998 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0,00 x $0,46 =l $0,00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0,00 x $OA6 o TOTAL MWMC CREDIT $0,00 =