HomeMy WebLinkAboutPermit Building 2004-10-7
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Status
Issued
-' CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2004-01057
ISSUED: 10/07/2004
, APPLIED: 08/25/2004
EXPIRES: 04/07/2005
VALUE: $ 42,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3878 Aster St
ASSESSOR'S PARCEL NO.: 1702314102800
Springfield TYPE OF WORK: Manufactured Home on
Private Lot
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Manufactured Home on Private Lot
Owner: SHEDRICK JUAN
Address: 1357 RIVER RD EUGENE OR 97404
Phone Number: 541-554-3275
I CONTRACTOR INFORMATION I
Contractor Type Contractor License Expiration Date Phone
General OWNER
Mechanical RONS HEATING AND AIR COND 159648 04/29/2006 541-343-6829
Manuf Home Inst FATHER & SONS OF OREGON INC 100726 06/29/2005 541-689-5090
Plumbing FATHER & SONS OF OREGON INC 100726 06/29/2005 541-689-5090
I BUILDING INFORMATION.
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
3
# of Stories: .
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
1
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
1,350
1
R-3
VN
Heat Pump
Electric
Electric
n/a
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
10.00
5.00
12.00
30.00
0.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
2
Yes
31.20
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fully Improved
Yes Downspouts/Drains:
Storm drainage to weephole to curb via privat easement provided.
Sidewalk Type:
Curbside 5'
Curb and Gutter
Notes:
Pae:e 1 of3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01057
ISSUED: 10/07/2004
APPLIED: 08/25/2004
EXPIRES: 04/07/2005
VALUE: $ 42,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description '
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $29.25 8/23/04 1200400000000001252
-Mechanical Issuance Fee- $10.00 10/7/04 1200400000000001447
+ 10% Administrative Fee $4.50 10/7/04 1200400000000001447
+ 10% Administrative Fee $39.70 10/7/04 1200400000000001447
+ 7% State Surcharge $3.15 10/7/04 1200400000000001447
+ 7% State Surcharge $27.79 10/7/04 1200400000000001447
Addressing Assignment $31.00 10/7/04 1200400000000001447
Curbcut Permit $75.00 / 10/7/04 12004000000QOOO1447
Foundation Permit $45.00 10/7/04 1200400000000001447
Heat Pump $12.00 ./ 10/7/04 1200400000000001447
Manuf Home State Issuance $30.00 ~ t 10/7/04 1200400000000001447
Manufactured Home Conn - Plmb $45.00 10/7/04 1200400000000001447
Manufactured Home Placement $160.00:/ 10/7/04 1200400000000001447
Minimum/Adjustment Mechanical $33.00 10/7/04 1200400000000001447
Plan Review Major - Planning $103.00 10/7/04 1200400000000001447
PW MultDisc - 2nd Permit $-30.00 10/7/04 1200400000000001447
Sanitary Sewer - Ist 50 Feet $45.00 -/ 10/7/04 1200400000000001447
Sanitary Sewer - Improvement $365.60 10/7/04 1200400000000001447
Sanitary Sewer - Reimbursement $480.80 10/7/04 1200400000000001447
SDC MWMC Administration $10.00 10/7/04 1200400000000001447
SDC MWMC Improvement $865.31 10/7/04 1200400000000001447
SDC MWMC Reimbursement $82.03 10/7/04 1200400000000001447
SDC Sanitary/Storm Admin $97.72 10/7/04 1200400000000001447
SDC Transpo Admin $66.82 10/7/04 1200400000000001447
SDC Transpo Improvement $772.49 10/7/04 1200400000000001447
SDC Transpo Reimbursement $175.13 10/7/04 1200400000000001447
Sidewalk Permit $75.00 10/7/04 1200400000000001447
Storm Dniinage Impervious Area $539.40 10/7/04 1200400000000001447
Storm Sewer - Ist 50 Feet $45.00 ./ 10/7/04 1200400000000001447
Water Line -Ist 50 Feet $45.00 j 10/7/04 1200400000000001447
Willamalane Manuf Home Private $1,000.00 10/7/04 1200400000000001447
Total Amount Paid $5,283.69 ,
Pa!!:e 2 of3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01057
ISSUED: 10/07/2004
APPLIED: 08/25/2004
EXPIRES: 04/07/2005
VALUE: $ 42,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Plannin~ Review
Public Works Review
08/25/2004
08/25/2004
08/25/2004
I Plan Reviews I
08/25/2004 APP
09/01/2004 APP
08/26/2004 APP
SKG
TAJ
MS
8/26/2004 - The work to be done
under the public improvement
project has not been completed yet.
There shall be no hookup allowed to
City services until the PIP work is
complete. - MS
8/26/2004 - No portion of the
proposed structure shall encroach
into any PUE located on site. - MS
Structural Review
08/25/2004
10/07/2004
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.
LReouired Insoections .
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Footing: After trenches are excavated.
Manuf Home Set Up: When installation of all piers or stands is complete.
Final ManufHome Set Up: After all required inspections are requested and approved and porches, skirting,
decks, venting, street address numbers, trees, driveway, etc. have been installed.
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.
Manuf Home Plumbing: After home has been connected to water and sewer.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical 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 Commu~ity 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.
Owner or Contractors Signature
Date
Pa~e 3 of3
225 Fifth Street
SprJngfield, Oregon 97477
.541"726-3759 Phone
Job/Journal Number
\;"i:C;OM2004-0 1 057
" COM2004-01057
COM2004-0 1057
COM2004-01057
I
COM2004-0 1057
COM2004-0 1057
COM2004-0 1 057
COM2004-01057
COM2004-0 1 057
COM2004-0 1057
COM2004-0 1057
, COM2004-0 1 057
COM2004-0 1057
COM2004-0 1 057
COM2004-0 1057
COM2004-0 1057
'... COM2004-0 1 057
! ;'~
;~;COM2004-0 1 057
COM2004-0 1057
COM2004-01057
COM2004-0 1057
COM2004-0 1057
COM2004-0 1057
COM2004-0 1 057
COM2004-0 1057
COM2004-0 1057
COM2004-01057
COM2004-0 1057
COM2004-0 1057
COM2004-01057
Payments:
Type of Payment
\ >~,Check
~::
10/8/2004
RECEIPT #:
""ty of Springfield Official Receipt
..:velopment Services Department
Public Works Department
1200400000000001447
Date: 10/07/2004
1:08:56PM
Description
Manufactured Home Placement.
Manuf Home State Issuance
Addressing Assignment
Willamalane ManufHome Private
Heat Pump
Manufactured Home Conn - Plmb
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
Plan Review Major - Planning
Foundation Permit
Sanitary Sewer - 1st 50 Feet
Water Line - 1st 50 Feet
Storm Sewer - 1st 50 Feet
+ 7% State Surcharge
+ 10% Administrative Fee
+ 7% State Surcharge
+ 10% Administrative Fee
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
JUAN SHEDRICK
Received By
djb .
Page 1 of 1
Item Total:
Check Number Authorization
Batch Number Number How Received
Amount Due'
160.00
30.00
31.00
1,000.00
12.00
45.00
75.00
75.00
(30.00)
539.40
480.80
365.60
175.13
772.49
82.03
865.31
10.00
97.72
66.82
103.00
45.00
45.00
45.00
45.00
27.79
39.70
3.15
4.50
33.00
10.00
$5,254.44
Amount Paid .
5942
In Person
Payment Total:
$5,254.44
$5,254.44
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: COM2004-01057
ISSUED: 10/07/2004
APPLIED: 08/25/2004
EXPIRES: , 04/07/2005
VALUE: $ 42,000.00
SITE ADDRESS: 3878 Aster St
ASSESSOR'S PARCEL NO.: 1702314102800
Springfield TYPE OF WORK: Manufactured Home on
Private Lot
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Manufactured Home on Private Lot
Owner: SHEDRICK JUAN
Address: 1357 RIVER RD EUGENE OR 97404,
,NOTICE: I CONTRACTOR INFORMATION .
cEiaotllVERMIT SHAll EXPIRE IF THE License
o ORIZED UNDER_HI PERM WORK
RON Mk1frN~ IT IS OO~48
FATIMW &OO:>BA'A"~ ED FORI00726
FATHER & SONS OF-ORl.!tON INC ' 100726
I, BUILDING INFORMATION I
REQUIRED PARKING
~;~.'ee' R~:OreoOfttaw___':IT:~~~capped: 2
P~ijtf~ ,doptedbylhe~1Jon. 'ompact:
o/1R'6;TA~ er. 'R1O$e~setf-d..
;A:1I952 1-ootOthroufthQ ."'1fJ
f1Q,.9f) ~ .....~~- tf'. AA952.oot.
I PUBLIC IMPk~ ~iNC:'::;:: turesbf
...., II..,,,, lor me regon ~tl r ephone. '
Fully Improved Center Is f.-800...'t.q~~ '
Yes - -mhvnsp~ts/Drains:
Storm drainage to weep hole to curb via priya~ ease~ent provided.
Contractor Type
General
Mechanical
Manuf Home Inst
Plumbing
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
S~orm Sewer Available:
Special Instruction:
Notes:
10.00
5.00
12.00
JO.OO
0.00
Phone Number: 541-554-3275
'.
........
Expiration Date
Phone
04/29/2006
06/29/2005
06/29/2005.
541-343-6829
541-689-5090
541-689-5090
1
R-3
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
n/a
1
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
1,350
VN
Heat Pump
Electric
Electric
3
I DEVELOPMENT INFORMATION.
Curbside 5'
Curb and Gutter
',i~ .~.........
.~...
l"" .,,, '."'i"
Pae:e 1 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description
. Tvpe of Construction ' $ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
~
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01057
ISSUED: 10/07/2004
APPLIED: 08/25/2004
EXPIRES: 04/07/2005
VALUE: $ 42,000.00
Value
Date Calculated'
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $29.25 8/23/04 1200400000000001252
-Mechanical Issuance Fee- $10.00 10/7/04 1200400000000001447
+ 10% Administrative Fee $4.50 10/7/04 1200400000000001447
+ 10% Administrative Fee $39.70 10/7/04 1200400000000001447
+ 7% State Surcharg~ $3.15 10/7/04 1200400000000001447
+ 7% State Surcharge $27.79 10/7/04 1200400000000001447
Addressing Assignment $31.00 10/7/04 1200400000000001447
Curbcut Permit $75.00 10/7/04 1200400000000001447
Foundation Permit $45.00 10/7/04 1200400000000001447
Heat Pump $12.00 10/7/04 1200400000000001447
ManufHome State Issuance $30.00 10/7/04 1200400000000001447
Manufactured Home Conn - Plmb $45.00 10/7/04 1200400000000001447
Manufactured Home Placement $160.00 10/7/04 1200400000000001447
Minimum/Adjustment Mechanical $33.00 10/7/04 1200400000000001447
Plan Review Major - Planning $103.00 10/7/04 1200400000000001447
PW Mult Disc - 2nd Permit $-30.00 10/7/04 1200400000000001447
Sanitary Sewer - 1st 50 Feet $45.00 10/7/04 1200400000000001447
Sanitary Sewer - Improvement $365.60 10/7/04 1200400000000001447
Sanitary Sewer - Reimbursement $480.80 10/7/04 1200400000000001447
SDC MWMC Administration $10.00 10/7/04 1200400000000001447
SDC MWMC Improvement $865.31 10/7/04 1200400000000001447
SDC MWMC Reimbursement $82.03 10/7/04 1200400000000001447
SDC Sanitary/Storm Admin $97.72 10/7/04 1200400000000001447
SDC Transpo Admin $66.82 10/7/04 1200400000000001447
SDC Transpo Improvement $772.49 10/7/04 1200400000000001447
SDC Transpo Reimbursement $175.13 10/7/04 1200400000000001447
Sidewalk Permit $75.00 10/7/04 1200400000000001447
Storm Drainage Impervious Area $539.40 10/7/04 1200400000000001447
Storm Sewer - 1st 50 Feet $45.00 10/7/04 1200400000000001447
Water Line -1st 50 Feet $45.00 10/7/04 1200400000000001447
Willamalane Manuf Home Private $1,000.00 10/7/04 1200400000000001447
Total Amount Paid $5,283.69
Pa!!:e 2 of3
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2004-01057
ISSUED: 10/07/2004
APPLIED: 08/25/2004
EXPIRES: 04/07/2005
VALUE: $ 42,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Planning Review
Public Works Review
08/25/2004
08/25/2004
08/25/2004
I Plan Reviews I
08/25/2004 APP
09/01/2004 APP
08/26/2004 APP,
SKG
TAJ
MS
8/26/2004 - The work to be done
under the public improvement
project has not been completed yet.
There shall be no hookup allowed to
City services until the PIP work is
complete. - MS
8/26/2004 - No portion of the
proposed structure shall encroach
into any PUE located on site. - MS
Structural Review
08/25/2004
10/07/2004
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 Reouired Insoections I
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Footing:. After trenches are excav!lted.
ManufHome Set Up: When installation of all piers or stands is complete. ~
Final Manuf Home Set Up: After all required inspections are requested and approved and porches, skirting,
decks, venting, street address numbers, trees, driveway, etc. have been installed.
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.
Manuf Home Plumbing: After home has been connected to water and sewer.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical 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 I required 1iiSpectio~re requested at the proper time, that each address is readable from the
J street, that the permit card is loc d at the front Oftl1e~)roperty, and the approved set of plans will remain on the site at all
7' u lugeousleuelion. - ~ ~ It!), '1,191
(~::
~ne;;r Contractors Signature Date
Page 3 of3
225 Fifth Street'
Springfielil, Oregon 97477
541':726-3759 Phone
:ity of Springfield Official Receipt
Jevelopment Services Department
Public Works Department
Job/Journal Number
COM2004-01057
~tCOM2004-01057
,\'1
. COM2004-01057
COM2004-0 1057
COM2004-01057
COM2004-0 1 057
COM2004-01057
COM2004-01057
COM2004-0 1057
COM2004-0 1057
COM2004-0 1057
COM2004-0 1 057
COM2004-0 1057
COM2004-01057
COM2004-01057
COM2004-0 1 057
COM2004-0 1 057
COM2004-0 1057
~COM2004-0 1 057
COM2004-0 1057
COM2004-0 1 057
COM2004-0 1 057
COM2004-0 1057
COM2004-01057
COM2004-0 1 057
COM2004-0 1057
COM2004-0l057
COM2004-0 1057
COM2004-0 1057
COM2004-0 1057
Payments:
Type of Payment
Check
Y;
it-.
~f
t,
10/7/2004
, RECEIPT #:
1200400000000001447
Date: 10/07/2004
Description
Manufactured Home Placement
ManufHome State Issuance
Addressing Assignment
Willamalane Manuf Home Private
Heat Pump
Manufactured Home Conn - Plmb
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
Plan Review Major - Planning
Foundation Permit
Sanitary Sewer - 1st 50 Feet
Water Line - 1st 50 Feet
Storm Sewer - 1st 50 Feet
+ 7% State Surcharge
+ 10% Administrative Fee
+ 7% State Surcharge
+ 10% Administrative Fee
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
JUAN SHEDRICK
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 5942 In Person
Payment Total:
Page 1 of 1
2:59:25PM
Amount Due
160.00
30.00
31.00
1,000.00
12.00
45.00
75.00
75.00
(30.00)
. 539.40
480.80
365.60
175.13
772.49
82.03
865.31
10.00
97.72
66.82
103.00
45.00
45.00
45.00
45.00
27.79
39.70
3.15
4.50
33.00
10.00
$5,254.44
Amount Paid
$5,254.44
$5,254.44
DEVELOPMENT SERVICES DEPARTMENT
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
MANUFACTURED HOME LAND USE AGREEMENT
As required by the City of Springfield Development Code, I agree that with the approval of the attached
pennits, one of the following manufactured homes will be placed at ~ ~ 7 f, A 5..TM ~
Springfield, Oregon, City Job Number.t!J:lpf~ - O(.tJ57 -
V' Type I Manufactured Home. A multi-sectional (double wide or wider) unit with an enclosed
floor area of not less than 1,000 square feet, that has a nominal roof pitch of3 feet in height for each 12
feet in width, that has no bare metal siding or roofing, and that has been certified by the manufacturer to
have an exterior thel111al envelope meeting perfol111ance standards which reduce heat loss to levels
equivalent to the perfonnance standards required of single family dwellings constructed under the State
Specialty Codes.
Type II Manufactured Home. A unit of not less than 12 feet in width with an enclosed floor area
of not less than 500 square feet, that has a nominal roof pitch of2 feet in height for each 12 feet in width
and that has no bare metal siding or roofing.
The manufactured home shall be placed on an excavated and back-filled foundation not to exceed 6
percent slope within 10 feet of the perimeter enclosure. The perimeter foundation wall surrounding the
home shall be constructed of stone, brick or other masonry materials, and with no more than 24 inches of
the enclosing material exposed above grade.
I further agree to meet all land use and City Code requirements of the above mentioned parcel within 60
days of the date of Issuance of the manufactured home set up pennit These requirements may include, but
are not limited to the items listed below. Specific land use requirements regarding your parcel are noted on
your approved set up plans and/or pel111it and your partition approval if applicable:
. Street Trees
. Paving Driveway
. Minimum 32 square foot storage structure
. Completion of partition approval
. Removal of any existing structures as noted on your partition approval
. Signing and recording of any required partition, easement, improvement agreements, etc.
. Fmallot grading
. City Sidewalk and curb cut installation
. Any outside agency approval as required i.e., Division of State Land approvaL
Y sign.tu" bele: to complete )bove mentioned hmd use requirements.
/tJ 107. oy
Date
~
Contractor Signature
Date
CITY OF~INGFIELD SYSTEMS DEVELOPMEhl WORKSHEET
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. CHARGE
1740.00 I $0.310 = I $539.40 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. x I COST PER S.F. x I DISCOUNT RATE
I 0.00 I $0.310 I 50%
ITEM 1 TOTAL - STORM DRAINAGE SDC '$539.40
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's x
20
COM2004-01057
Juan Shedrick
3878 Aster Street
17023141 Tax Lot 02800
SINGLE F AMlL Y RESIDENCE
1 BUILDING SIZE (SF:
COST PER DFU
$24.04
R IMPROVEMENT COST:
NUMBER OF DFU's I x
20 $18.28
, ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE x NUMBER OF UNITS x
I 9.57 1
RIMPROVEMENT COST:
I ADT TRIP RATE
I 9.57
x
NUMBER OF UNITS x I
1 I
= I
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's x COST PER FEU
I 1 $82.03 '
R IMPROVEMENT COST:
'NUMBER 7F FEU's I
x
ICOST PER FEU
I $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) = I
5. ADMINISTRA TNE FEE:
I SUBTOTAL x I ADM. FEE RATE
'$3,290.76 I 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
o
en
f.I.l
Cl
o
U
p:::
I~
en
......
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~
LOT SIZE (SF):
6715
DISCOUNT
$0.00
I ~
11070
$539.40
$480.80
1091
$365.60
1092
= ,
$846.40
COST PER TRIP
$18.30
x NEW TRIP FACTOR
1.00
$175.13 1093
$772.49 '11094
I,
r
COST PER TRIP x INEW TRIP FACTOR'
$80.72 I 1.00
$947.62 J
=
$82.03
1054
=
$865.31
$0.00
$10.00
1056
11055
1054
$957.34
$3,290.76
CHARGE
$164.54
Matt Stouder
TOTAL SDC CHARGES
97.72 rJ79
$66.82 1078
!
=1 $3,455.30
PREPARED BY
8/26/2004
DATE
~
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
IBA THTUB 2 0 3 = 6
I DRINKING FOUNT A1N 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETe. 0 0 3 = 0
I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
ILAUNDRY TUB 0 0 2 = 0
ICLOTHESWASHER/MOP SINK 1 0 3 = 3
ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
I RECEPTOR FOR REFRJG / WATER STATION /ETe. 0 0 1 = 0
I RECEPTOR FOR COM. SINK / DISHWASHER / ETe. 0 0 3 = 0
ISHOWER, SINGLE STALL 0 0 2 = 0
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASIN/DOUBLE LA V A TORY 0 0 2 = 0
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 = 2
URINAL, STALL / WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
'TOILET; PRIVATE INST ALLA TION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 20
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$I,OOO
ASSESSED VALUE
$5.29
$5.29
$5.19
$5.12
$4.98
$4.80
$4.63
$4 AO
$4.07
$3.67
$3.22
$2.73
$2.25
$1.80
$1.59
$1A5
$1.25
$1.09
$0.92
$0.72
$0 A8
$0.28
$0.09
$0.05
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter 1 for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
o
o
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
=