HomeMy WebLinkAboutPermit Electrical 2000-6-27
r"
~ efOfl
On/I} OWII]
elJlJro 9. ena 9 IJroJe
va/ (Joes CI (l,s
, '101 sUb
o <: re'l ""/fe
225 FIITH STREET ele on'n!} u're SIJ~"aSI" ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 974"m,,0 '1,0 fa: fOliO""
INSPECTION REQUEST: 726-37f?tJSig auea.~ Job Number r10-()08+I-OI
OFFICE: 726-3759 na~~
1. LOCATION OF INSTALLATION
3'1(1 n+1k^.#
LEGAL DESCRIPTION
110;;,0611 O~:;.oo
JOB DESCRIPTION
'11= r<.
Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor Philip~ Electric. Inc.
Address l?qR Rpt~pl Drivp
Ci ty EUQ'ene
Phone('i411 fiRR-fi121
Supervisor License Number ?71Qq
Expiration Date 10101/01
Constr Contr. Number 2D-17Qc
Expiration Date 10/01/00
Signature of
superVis~cian ,
7atnan J:'hlHpS
-II1.M,j,~ -tl1>rota .
~
Owners N,,:me
v
Address
'?O( -H~Jd
Ci ty '7"'1 lei Phone '1'"'1"1- t'9.tf'
0\lNER INSTALLATION
The installation is being made on
property I own which is not:intended
for sale. lease or rent.
owners Signature:
--------------7r,----------------------
DATE: 'O~'u.(7'QC) .
RECEIPT 11: " ""7--z....
RECEIVED BY: lJ'lr' JVi ',1 .
FEE SCHEDULE BELOY
w Re idential-Single or
Mul . Family per dvelling unit.
Service Included:
1000 sq.ff. or less I
Each additional 500
sq. ft or portion
thereof 2-
Each Manuf'd Home, or
Modular 'Dwelling "
Service or Feeder
.B.
Services or Feeders
Installation, Alterations
or Relocation:
Items Cos t
Sum
200 amps or less
201 amps to 400 amps
401 amps to, 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 85.00 tS.'e
$ 15.00 'J 0
.$ 4().00
$ 50.00.
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see fiB" above
"
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
.Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Add it i onal
Circuit or with Service
'or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
-$ 40. 00
$ 20.00
$ 36.00
j,<; 12
?,~
'J."ls
,/.J.d".~~
.
.
<
Job. No. DO. 006W (
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:.I_ tP~~ PHONE: 1~.lA.lo(O
ADDRESS: M~ ~\.iJ fx\l1}LotJ STATE: ~IP: Qn'1(p
LOCATION OF PROP~SED BUILDING SITE:RedMO(\d .
Street Address: .~~\;t tJt1~~~ \Jr\UV
Pial Name:~ \X\ 1\ r., _ Tax Lol Number: t %tfLDl.a\ 1 061 rt)
1. DEVELO~YPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
.
A. BinolA-Fflmilv DAtflr:hAO
1 Single Family home
NO. OF UNITS \
Manufactured home nol in a park
X $1,000 per unit = $1D(Y). ou
B. SinolA-Fflmilv Attflr:hAO
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. ManufR&1llrAo Home Pam.
$
$
\ r{)() .00
1
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit c
2. SDC CREDIT (II applicable) SDc-payer must furnish proof of
Willamalane Credit approval. See SDC Credit Worksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
. (IIS.~\~::-~.;re I
\ I M'AQJ )[)Q1? ~ CQ I ~'7 lOG
~~~nfent s'1ices Department Dale
City of Springfield
$
\ 000.00
-
.
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPM,ENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER 00-00871-01
NAME OR COMPANY: HAYDEN ENT
LOCATION: 3961 DOUGLAS DRIVE
TAX LOT NUMBER 18-02-06-1 1-08700
DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE
DWELLING UNITS:
BUILDING SIZE:
1728
LOT SIZE:
6570
1, STORM DRAINAGE
IMPERVIOUS SQ, FT,
2132,00
x
$0.232 PER SQ. FT.
2, SANITARY SEWER-CITY
NUMBER OF PFU's
(SEE REVERSE SIDE)
18
x
$48,27 PER PFU
3_ TRANSPORTATION
NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP
x
x
1.01
x $486,73 PER TRIP
x $486,73 PER TRIP
TOTAL TRANSPORTATION SDC
$494.62 1
$868,86 I
$491.60 I
$0,00 I
$491.60 I
4_ SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's
$242,76
PER FEU
x
B, IMPROVEMENT COST:
NUMBER OF FEU's
$22,05
PER FEU
x
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
TOTAL MWMC SDC
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5_ ADMINISTRATIVIi FFFS~
BASE CHARGE (SUBTOTAL ABOVE) x
0,05
$242.76 I
$22,05 I
($67,05)1
$10,00 1
$207,76 1
$2,062,84 I
$103,14 I
~T~
SDC COORDINATOR
06/14/2000
DATE
TOTAL SDC CHARGES I $2,165.981
.
-
PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIY ALENT = PLUMBING FIXTURE UNITS
.!!"OTE: FOR REMODEL~, CALGJLATE ONLY THE NET ADDITIONAL FIXTURES)
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OIUSOLIDSIETC,
INTERCEPTORS FOR SAND/AUTO W ASHIETC.
LAUNDRY TUB/CLOTHESW ASHERlMOP SINK
CLOTHESW ASHER - 3 OR MORE
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRIGERA TORIW A TER ST A TION/ETC.
RECEPTOR FOR COMMERCIAL SINK! DISHW ASHERlETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URINAL,STALLAVALL
WASH BASINILA V ATORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
FIXTURES
NEW OLD
2
UNIT
EQUIVALENT
2
I
2
3
6
2
6
6
I
3
2
I
2
2
I
6
4
PLUMBING
FIXTURE
UNITS
4
o
o
o
o
2
o
o
o
o
o
o
2
o
2
o
8
o
o
o
TOTAL PLUMBING FIXTURE UNITS=I 18
2
2
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEP ARA TEL
YEAR
ANNEXED
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
RATE PER $1,000
ASSESSED VALUE
$4.47
$4,38
$4,32
$4.20
$4,03
$3,88
$3,68
$3,38
$3.03
$2,62
YEAR
ANNEXED
1989
1990
1991
1992
1993
\994
1995
1996
1997
1998
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE $4.47
IMPROVEMENT (IF AFTER ANNEXATION DATE)
RATE PER $1,000
ASSESSED VALUE
$2,\8
$ 1.75
$ 1.35
$1.17
$1.03
$0.86
$0.71
$0,57
$0.39
$0,18
x
x
15.000
=
CREDIT T9TAL
$67.05
$0,00
$67.05