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HomeMy WebLinkAboutPermit Electrical 2005-3-8 I .. 225 FIFTH STREET. SPRINGFIELD, OR ')7477 . PH:(54I)726-3753 · FAX: (541iS~ ELECTRICAL PERMIT APPUCATION . 0 0,.,,/ ""0'''.9.0" ~ __ " 0'0 '3-~ City Job Number L-'> -CCDC-,<.f. Date . t~ ~ ,,~"/ '- o^. "'" Vfi<., ....... -'//') 0, ",$', 3. lr!eoMi>1iETEiEEE' '-'-"'rEE~<?f ~,^"..,.........~. "~",,,,~_.' '"'' "_"'" _ J'lSi (9, .s'.o -1... ~q~" &~~Q Each Manufact'd Home or Modular Dwelling Service or Feeder 2 ~€Oi\TTMCTORi1NST~;:ifT!!4.?fioN1om.~~ B. iSi1f~~~ififtiiIititJ1i,wAit~6~~tiRei~tigfli.);i . ifii.!!.._!~.....~....,.t'-ov..~,tr.~:'::~"'I.tJJIiII!ol.""';""clI."':N' .,l-_~,'..,.~""",,r:;!.?:J 1!*':'r.~~"'''';;<h-T"o;._...,-....~,,~.~~-&;,l;;.''''''''_if,~'tJ,.;;.t;.,~<....!..;I'....,.~ ElectricalContractor ~(\t{YY\(LI'\ 8eCmL, 200Ampsorless $63.00 ~ I l Y\C, 201 Amps to 400 Amps $75.00 Address ~1L\ \ ~ i Ill. y- n 'oC:\,,~ \....e~ 'f\..L, 401 Amps to 600 Amps $125.00 . C W 601 Amps to 1000 Amps $163.00 City! h('(J'\D'I iJhone C\q(<,- 'lt~l Or\'(9,y~J9PP~~bU to $375.00 , 1\ ,. ",I"" OdOltLRe~ect'Ori\y';;'''' U" $50,00 " .'." .' " vU uy "'" Cflegon tllity I) \~,. f~ltl()" Center. "j;) l.:..c"f~ .et.~t:n" >e-i""""~ ~4.: ,,~.." f<'~~'''.Y. ~~ll~ Supervisor License Number - ,--x( Ai;!,\nA-QJj'i::>-001-06r~tt~lY~~w'ir;fjIerstt"i!'.;J~,~,,~~~~Jf~.i:;.":1l Expiration Date i lJ _ \ _ l) ~~ii~~~h~ay o~ta.i';l~i\Pjll~n~wnA-&"\ml~lkeloeation .. cen er. 8 ~ thme telephone I $ 000 <::'0,00 Constr. Contr. Number .ii \ "::> \~re~~~~~elso; n UII~ s~. $ ~9:00 t r. -'7/ C' q 401 Amps 0 ~mps $100.00 . 0 1,'1-, - } ExpIration ate .... Over 600 Amps or 1000 Volts see ''B'' above. D !.I'i"''''''''''Ii"~'''''''"'''''''''''_~_~~'~,,~Ilil1!;!'i1\\li'~'''''l'i1\J . . d,rn.nS,,_~~~.~~~~~~~~.2tIr~~ New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Pennit r2/!F Owners Name !Io~ ~MkJ Address ,. 7 7 I ",- _- . .1"'lICE' E.~Mi~~IUilieo.""J~f(s~!1>-'W.-Ie<\cl>.)""""M''''>ihir~1ifd~..",)c;'tE1'cJ:i,'f~~o~~ ;..). _ LM I<-~ <..:!IITI RM\T~"'t'XP\Wlffi:.L'I'/uA%-"';~"'~'-"'~''N=''"-~'~".il City t-:"UJ::st:7l/t:.. Phone h 'b 3 - l~ERIZE~WJm!~[*,~ PERMIT IS NOT $ 50.00 /-IU Iii MENC ~?fI~nl\BillM\!1@NED FOR $ 50.00 OWNER INSTALLATION COM 60 0 . ~u~y/Residential $ 25.00 ANY 1 t. dE IC . I The installation is being made on property I own which Imlte nergy ommerCla $ 45.00 is not intended for sale, lease or rent. I. !lJEoCiiTiON:Oit.iNST,4\rii;4.TI:ON:~~ilt~j !Z:i'- .._. ...,............1-,~.~'.w'._...:..~,UUili~~..."~.......... - ~,ritt..... 1'-14 /N~ !Ln.r t..~ ur- LEGAL DESCRIPTION 1'1-o-r, 21-H G>11.oo JOB DESCRIPTION !!.es\/b"U", LJLI' c,.,v DWl.III"5 Permits are non-transferable and expire If work IS Dot started wlthiD 180 days of Issuanee or if work Is Suspended for 180 days. Signature of Supervising Electrician /~h~-?~..L- / Owners Signature: Inspection Request: 726-3769 ~ $50.00 $ 43.00 $ 3.00 MIDlmum Electric Permit Inspection Fee Is $45.00 + Surcharges i)."~ '- >~ .;~'>4.~:;:-.:...l"~~ii{'~~"~j".'i:;..".. ""'mt,~"",~;.~. '- ;Ji'I>t~.'i! -""-t.iN.~.'~.'~ 4. "SlJB'n)TAI.-OF'A:BOVE.~,;;h , ' .'.~",,_.ti.\' '" ~I~ -i;~i'l::i"~_.,~.(.:::;.~,"iJ-:~"""'t-f':.;f:4~,~'''r~~!''_, :,,,~~t-~--, _ ......;t S Do ..x:> 2.-1 ,00 ,e>. 00 11 ~,oo 7% State Surcharge 10% Administrative Fee TOTAL ~ CITY OF sAG FIELD sys!EMs DEVELOPMEN"RKsHEET JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS . COM2005-00064 Duane Kni~t 144 146 Kaylee Ct 1703271103300 SINGLE FAMILY RESIDENCE 2 BUILDING SIZE (SF; 2340 LOT SIZE (SF): 5331 .4 1. STORM DRAINAGE '" ~ Cl o I~ '" G ~ DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. CHARGE I I 2960.00 I $0.3 10 I = , $917.60 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I I 1 0.00 . I $0.310 I 50% I = I ITEM I TOTAL - STORM DRAINAGE SDC '$917.60 I DISCOUNT $0.00 $917.60 1070 I. 2 SANITARY SEWER. CITY A. REIMBURSEMENT COST: I NUMBE~40F DFU's I x COST PER DFU $24.04 $817.36 11091 B. IMPROVEMENT COST: I I NUMBE~~F DFU's I x $18.28 $621.52 . 11092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $1.438.88 I 3. TRANSPORTATION A. REIMBURSEMENT COST: 1 ADT TRlP RATE 1 x I NUMBER OF UNITS I x 1 COST PER TRIP x INEWTRlPFACTORI I 9.57 I I 2 I $18.30 I 1.00 I $350.26 11093 B. IMPROVEMENT COST: I I ADT TRIP RATE I x I NUMBE\OF UNITS I x I COST PER TRlP x I NEW TRlP FACTORI 9.57 I I $80.72 I 1.00 I $1,544.98 1094 ITEM 3 TOTAL - TRANSPORTATION SDC = I $1,895.24 4. SANITARY SEWER - MWM( A. REIMBURSEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I 2 I $82.03 = $164.06 1054 B. IMPROVEMENT COST: INUMBER OF FEU's 1 x ICOST PER FEU I 2 1 $865.31 = $1,730.62 11055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054 MWMC ADMINISTRATIVE FEE $10.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , $1,904.68 SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ I $6,156.40 _I 5. ADMINISTIl A riVE FEE: I SUBTOTAL x I ADM. FEE RATE 1= CHARGE I I $6.156.40 1 5% I $307.82 1 TOTAL SANITARY ADMINISTRATION FEE: 170.61 11079 TOTAL TRANSPORTATION ADMINISTRA nON FEE: $137.21 11078 Cheryl Slaymaker 1/21/2005 TOTAL SDC CHARGES = , $6,464.22 PREPARED BY DATE -.--...........-..- . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTIJRES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY THE NET fuJUJ J IV1~AL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS I BATHTUB 2 0 3 6 DRINKING FOUNTAIN 0 0 1 = 0 iFLOOR DRAIN 0 0 3 = 0 I INTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC 0 0 3 = 0 I INTERCEPTORS FOR SAND I AUTO WASH I ETC. 0 0 6 = 0 LAUNDRY TUB 0 0 2 = 0 CLOTHESW ASHER I MOP SINK 2 0 3 = 6 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRlG I WATER STATION I ETC 0 0 1 - 0 RECEPTOR FOR COM. SINK I DISHWASHER I ETC 0 0 3 = 0 I SHOWER, SINGLE STALL 0 0 2 = 0 I I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 :1 I SINK: COMMERCiALiRESIDENTIAL KITCHEN 2 0 3 = 6 I SINK: COMMERCIAL BAR 0 0 2 = 0 I SINK: WASH BASINIDOU8LE LAVATORY 0 0 2 = 0 I SINK: SINGLE LAVATORYIRESIDENTlAL BAR 4 0 1 = 4 I URINAL. STALL I WALL 0 0 5 = 0 I TOILET. PUBLIC INSTALLATION 0 0 6 = 0 I ITOILET. PRIVATE INSTALLATION 4 0 3 = 12 I MISCELLANEOUS DFU TYPE NUMBER OF EOU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 34 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE i-:YEAR CREDIT RATE/$I.OOO ~ LAND ELGlBLE FOR ANNEXATION C~DlT? ANNEXED ASSESSED VALUE 2 I BEFORE 1979 $5.29 (Enter I for Yes, 2 for No) I 1979 $5.29 IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? 2 I 1980 $5.19 (Enter] for Yes, 2 for No) 1981 $5.12 BASE YEAR 1979 1982 $4.98 1983 $4.80 CREDIT FOR LAND (IF APPLlCABLE)- 1984 $4.63 VALUE I 1000 CREDIT RATE I 1985 $4.40 $0.00 x $5.29 ~ I $0.00 I 1986 $4.07 I 1987 $3.67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) I 1988 $3.22 VALUE I 1000 CREDIT RATE I 1989 $2.73 $0.00 x $5.29 ~, 0 1990 $2.25 1991 $1.80 1992 $1.59 TOTAL MWMC CREDIT = $0.00 1993 $1.45 1994 $1.25 1995 $1.09 1996 $0.92 1997 $0.72 1998 $0.48 1999 $0,28 2000 $O.Og 2001 $0.05