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Home My WebLink AboutPermit Electrical 2003-8-20 ~"". '~:W.03" en 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number ~ q~. al1<bate /1M 7Z ?-- Owners Name til',L ~uid:ts '"11:\. " \ f"\ .u.. A.LJ 1 \-A-n E. 1~&~e1lliili,'gifsl(S~~~~/f~'e\l&;il~i~iii~jit1f~ii)91Eachfrl~;i~ii~tiiih~ Address n ';)' / - l "l r, I x, MJ.l \' J ti.~-..... .,--"""....""-~._-"",..,.;"~"""-'.".,,}.;.,..-.;'.f.;...--- ......~,..~_-+-_,.+"'..~.~.'r,.~_...'..-.....-l:._""'...""__.,..~ City \'\/\ I \ a+I-P') Phone ~<i<.b+~l418 ~\\, Ie . OWNER lNST ALLA nON 1. C, 'LO,'GA, ::", :YiONO,EINSrALYAij(j)j.j}"j), ti{,',.;;'~'" . f ..".""""""....'..<o...r..".."~,.."-1J i}.Wla ..~ iO) LEGAL DESCRIPTION - . \' \, n^Il-~\~ O'L~ JOB DESCRIPTION ~de;i:~~ not slarted wilhin 180 days of issuance or if work is 'Suspended for 180 days. . ~1cONTkWcrO.RflNSTAri' T{@NiQNLytl'l 2. ~s'~:"'_\'~l<~"': :, r" ,-"f. """'~'>!t-'t't:1'7c~";lftL~~-~'0">NfWfl';:..i't,''''''~'m,.,J~~,l Electrical Contractor f!ohS t:lu-fh~ Address :2- I 5"" S- 0/1' 0 J I.. City G",'l~(.. Phone t f(,- ;,/'1 V Supervisor License Numbef t.j I tf I.f S' /"'-0' / - OL( Expiration Date U Constr. Conll". ~umbef '.- / '/6 1'-1'1 f-2-,)- 6'1 Expiration Date Signatufe of Supervising Electrician The installation is being made on property I own which is nol intended for sale, lease or rent. Owners Signatufe: Inspection Requesl: 726-3769 .. Lt~q~irn.tL:;;'F.EE,SCiiEjjlfi;E;B,EE"'Ol1~,,j,>~,'i'-''''.';~;~J', 3. .'''' ....L"__."",..__..,...~.,,.....-.' 0,.._, ~_>'>~..'-"'" ''''..",....'....,.,_.... .:_"'.... '. --c.;,:_ ,___ -1.0. .,.;?'....;;~~. ". , A. ~.~~~~a~~ti~T~~.:s.iiigf~1f46r~1~11i~~~~:9)~;€f:~~.~,'lfri~'@U Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thefeof Each Manufact'd Home or Modular Dwelling Service or Feedef $106.00 $ 19.00 ''1- . cD $50.00 ~ B. bsml~~J~1?~td~i'(~';jfi~t511~~'i'3~}~~~~ti~n:~~&fR~lb~:iii~,r:~~. ~'fl~~Ph'I4't>4;;1~,,,,*."'i&'4^"fC;I.i' _','~'""_ . ',-w.:-, '!\<', ,"",",,-,,' _.',:" r'jv,;-~";';;~~ M"~1\ 200 Amps Of less 201 Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 Amps/Volts Reconnecl Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 ~'''''''''..r'~".'''~..!'=il~' .~~___'-",;t,.":th.-.'\?T..;:':<':.,...,1'\! f" f'" iJ1';-',''''.t''''''...~,.)..on.-..~il\;~;:,-..~.t:.1' C. f:~~I1.lP..QP;1JD~~rIY!~~.~I!tl'j~~wiil~r:uS{~~~t~,ItJ"~~~,~.e".J:i?~~~f~~~ Installation, Alteration or Relocation 200 Amps Of less 201 Amps 10 400 Amps 401 Anlps 10 600 Amps $ 50.00 $ 69.00 $100.00 Over 600 Amps or 1000 Volts see "B" above. D., ff$]I9~m~1~s~!'.~Sl~Am~~t$;~)~~~!~~~~~~;~1~jt~t1 New Alteralion or Extension Per Panel One Circuit Eaoh Mditional Circuil Of with Service Of Feedef Permit $ 43.00 1- $ 3.00 to pc) Pump Of irrigalion Sign/Outline Lighting Limited EnefgylResidential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permil Inspeclion Fee is $45.00 + Surcharges b~'r~ -;~',:!._"",e~~:.*"".'r;:' ~ """CW'''~b:''-~~,,~' .",'-c~~-:_..t;t~~;l \Ol9 ...,,, 4. 'SrJB'1if)rr1lli:OE:ABOJ1EI'l>\;"J'ifl~';, :.~{~t,fZi~ . .U-/ . _ "i:O:"&._ .",',~""':Li'i~..'1tii!ifitl,,~,;; ,~~;.~:~_,-"c~t\iN!lX,.ct4,'! """.;~"'__.>:1"ll'~ 1.41..- LO .leO \1~4.O'L 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)lBuilding FonnsIElectrical Permit Application 1--93.doc CITY OF S!GFIELD SYSTEMS DEVELOPMEN'-ORKSHEET JOURNAL OR JOB NUMBER: Com2003-00780 NAME OR COMPANY: Dick Suitts LOCATtON: 2306 Maia Loop TAX LOT NUMBER: 17032513 t12400 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNtTS I BUILDING SIZE (SF' 0 LOT StZE (SF): I. STORM DRAtNAGF, DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. ,I COST PER S.F. I I CHARGE I I 3454.00 I $0.290 I = $1.001.66 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I tMPERVIOUS S.F. , ,! COST PER S.F. I' I DISCOUNT RATE I I DISCOUNT I 0.00 I I $0.290 50% = I $0.00 Iii 1[2 10 10 I~ 1>Ll E-< CJl (3 ~ 6422 ITEM I TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER - CITY $1,001.66 $1,001.66 I 1070 I $452.80 I 1091 I $344.20 I 1092 I l $164.89 I 1093 I A. REIMBURSEMENT COST: , NUMBER OF DFU's' ,I COST PER DFU I 20 I I $22.64 B. IMPROVEMENT COST: I NUMBER OF DFU's I, COST PER DFU I 20 I $t7.2t ITEM 2 TOTAL - CITY SANITARY SEWER SDC =, 1. TRANSPORTATION $797.00 A. REIMBURSEMENT COST: I ADTTRIPRATE I , I NUMBER OF UNITS I ' I I 9.57 I I 1 , I COST PER TRIP $17.23 , I NEW TRIP F ACTORI I 1.00 B. IMPROVEMENT COST: I ADT TRtP RATE I ' I NUMBER OF UNtTS I I 9.57 I I I ITEM 3 TOTAL - TRANSPORTATION SDC COST PER TRtP $76.01 $892.31 , I NEW TRtP F ACTORI I 1.00 $727.42 1094 = , 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I ' ICOST PER FEU I t I I $332.86 B. IMPROVEMENT COST: INUMBER OF FEU's I , ICOST PER FEU I I I I $34.83 MWMC CREDIT tF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER So( = , SUBTOTAL (ADD ITEMS I, 2, 3, & 4) = , = $332.86 1054 I' = $34.83 I 1055 ($]51.8]) I 1054 , $]0.00 1056 $225.88 .1 $2,916.85 I CHARGE $145.84 , 97.48 1079 I I $48.36 1078 TOTAL SDC CHARGES , $3,062.69 I 5. ADMI"JISTRATIVE FEE' 'SUBTOTAL , , I ADM. FEE RATE I~ I $2.9t6.85 I I 5% I TOTAL SANITARY ADMINtSTRATtON FEE: TOTAL TRANSPORTATION ADMtNtSTRATION FEE: I Virginia Jurasevich 8/29/2003- PREPARED BY 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 BATHTUB 2 0 3 = 6 IDRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 ItNTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 ICLOTHESW ASHER / MOP SINK 1 0 3 = 3 ICLOTHESWASHER - 3 OR MORE (EAl 0 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REFRtG / WATER STATION / ETC. 0 0 1 = 0 IRECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 ISHOWER, SINGLE STALL 0 0 2 = 0 ISHOWER, GANG (NUMBER OF HEADSL 0 0 2 = 0 IStNK: COMMERCtAURESIDENTtAL KtTCHEN 1 0 3 = 3 ISINK: COMMERCIAL BAR 0 0 2 = 0 IStNK: WASH BAStN/DOUBLE LAVATORY 0 0 2 = 0 I IStNK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 = 2 IURINAL, STALL / WALL 0 0 5 = 0 TOILET, PUBLIC tNSTALLATION 0 0 6 = 0 I ITOILET. PRIVATE INSTALLATION 2 0 3 = 6 I MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 20 .EDU {Equivalent Dwel1in~ Unit} is a dischar~e equivalent to a sin~le family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULA nON 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 ]999 2000 CREDIT RA TE/S 1.000 ASSESSED VALUE $4.92 $4.92 S4.83 $4.77 $4.64 S4.47 $4.30 $4.09 $3.78 $3.41 $2.98 $2.52 S2.06 SI.64 SI.45 Sl.3t SI.13 SO.97 SO.82 SO.63 $0.41 SO.22 $0.04 . II IS LAND ELGlBLE FOR ANNEXATION CREDIT? (Enter t for Yes, 2 for No) tS tMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter t for Yes. 2 for No) BASE YEAR o 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE /1000 CREDIT RATE S30.86 x S4.92 . ~ , SI51.81 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE /1000 CREDIT RATE $0.00 x $4.92 o TOTAL MWMC CREDIT = SI51.8t ~ 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number . COM2003-00780 COM2003-00780 COM2003-00780 COM2003-00780 COM2003-00780 COM2003-00780 COM2003-00780 COM2003-00780 COM2003-00780 COM2003-00780 COM2003-00780 COM2003-00780 COM2003-00780 COM2003-00780 COM2003-00780 COM2003-00780 COM2003-00780 COM2003-00780 COM2003-00780 COM2003-00780 COM2003-00780 COM2003-00780 COM2003-00780 COM2003-00780 COM2003-00780 COM2003-00780 . Paymenls: Type of Payment Check " ii_I Receipt #: 1200200000000002160 City of Springfield Official Receipt Development Servic'es Departmenf Public Works Department Date: 09/18/2003 9:02,20AM Amount Paid Description Addressing Assignment Willamalane ManufHome Private Manufactured Home Feeder Manufactured Home Service Add, Alter, Extend Circ Ea Add Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvemenl SDC MWMC Adminislration SDC Sanitary/Storm Admin SDC Transpo Admin Annexed 1979 or Before Plan Review - Planning Building Permit Manufactured Home Placemenl Manuf Home State Issuance Sanitary Sewer - 1st 50 Feet Water Line - 1st 50 Feet Storm Sewer - 1st 50 Feet Manufactured Home Connection + 7% State Surcharge + 10% Administrative Fee Paid By GOODEN HARRISON 8.00 1,000.00 50.00 50.00 6.00 1,001.66 452.80 344.20 164.89 727.42 332.86 34.83 10.00 97.48 48.36 (151.81) 59.00 230.25 160.00 30.00 45.00 45.00 45.00 45.00 47.34 67.63 $4,950.91 Item Total: i ! Received By .lkw ! : t Check Number Batch Number Amount Paid Authorization Number How Received In Person Paymenl Total: 8423 $4,950.91 $4,950.91 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00780 ISSUED: 09/18/2003 APPLIED: 08/18/2003 EXPIRES: 03/18/2004 VALUE: $ 25,458.00 Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Public Works Review. 08120/2003 08/29/2003 APP VRJ The manufactured home is being placed upon the EWER easemenl pursuant to a letter from EWER. Please read the easement, it has been attached. The City of Springfield does not provide any legal advice regarding the effecl of the easemenl or the effect of EWEB's permission. Slandard M.H. comments plus see documenls for plan review commenls for garage. Structural Review 08/20/2003 09/15/2003 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. Ueouire'Unsnections I 1 Ufer Electrical Ground: Install ground rod al fooling aud call for inspection in conjunclion with fooling and/or foundation inspeclion. 2 Fooling: After Irenches are excavaled. 3 Foundation: After forms are erecled but prior 10 concrete placement. 4 Framing Inspeclion: Prior to cover and after all rough in inspections have been approved. 5 Drywall: Prior 10 laping. 6 Manuf Home Sel Up: When inslallalion of all piers or slands is complele. 7 Final Manuf Home Set Up: After all required inspections are requesled and approved and porches, skirting, decks, venling, slreel address numbers, Irees, driveway, elc. have been installed. 8 Final Building: After all required inspections have been requested and approved and the building is complete. 9 Waler Line: Prior to filling trench and including required lesling. 10 Sanitary Sewer Line: Prior to filling Irench and including required testing. 11 Slorm Sewer Line: Prior to filling Irench. 12 Manuf Home Plumbing: After home has been connected 10 water and sewer. 13 MH Electric: When blocking, setup and plumbing inspeclions have been approved and Ihe home is connecled 10 Ihe panel. 14 MH Service: Approval required prior 10 utility company energizing service. 15 Rough Eleclric: Prior to Cover 16 Final Electric: When all eIeclricaI work is compIele. Paee 3 of 4 Status Issued 225 Fifth Slreel, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Foundalion Onlv Garaee Manuf Home Use Bid Amounl Garaee Manufactured Home Fee Description Plan Review Residenlial + 10% Administrative Fee + 70/0 State Surcharge Add, Alter, Extend Circ Ea Add Addressing Assignmenl Annexed 1979 or Before Building Permil Manuf Home Stale Issuance Manufactured Home Connection Manufaclured Home Feeder Manufactured Home Placement Manufaclured Home Service Plan Review - Planning Sanilary Sewer - 1 st 50 Feel Sanilary Sewer - Improvement Sanilary Sewer - Reimbursemenl SDC MWMC AdministratIon SDC MWMC Improvemenl SDC MWMC Reimbursement SDC Sanitary/Slorm Admin SDC Transpo Admin SDC Transpo Improvemenl SDC Transpo Reimbursemenl Storm Drainage Impervious Area Storm Sewer - 1st 50 Feel Waler Line - 1st 50 Feel WiIlamaIane Manuf Home Privale Tolal Amounl Paid Initial Review Plannine Review 08/20/2003 08/20/2003 . . CITY OF ~rK11'l'..d'1J<.,LJJ Building/Combination Permit PERMIT NO: COM2003-00780 ISSUED: 09/18/2003 APPLIED: . 08/18/2003 EXPIRES: 03/18/2004 VALUE: $ 25,458.00 I Valuation Descrintion I $ Per Sq FI or multiplier $1.00 $23.80 $1.00 Square Footage or Bid Amounl 2,700.00 960.00 45,000.00 Value Date CaIculaled $2,700.00 $22,848.00 $45,000.00 $70,548.00 08/18/2003 08/18/2003 08/18/2003 TolaI Value of Project Fpp< PiLILI Amounl Paid $149.66 $67.63 $47.34 $6.00 $8.00 $-151.81 $230.25 $30.00 $45.00 $50.00 $160.00 $50.00 $59.00 $45.00 $344.20 $452.80 $10.00. $34.83 $332.86 $97.48 $48.36 $727.42 $164.89 $1,001.66 $45.00 $45.00 $1,000.00 $5,100.57 Dale Paid Receipl Numher 8/18/03 9/18/03 9/18/03 9/18/03 9/18/03 9/18/03 9118/03 9/18/03 9118/03 9/18/03 9118/03 9118/03 9118/03 9118/03 9118/03 9/18/03 9/18/03 9/18/03 9/18/03 9/18/03 9/18/03 9/18/03 9118/03 9/18/03 9/18/03 9118/03 9118/03 1200200000000001973 1200200000000002160 1200200000000002160 1200200000000002160 1200200000000002160 1200200000000002160 1200200000000002160 1200200000000002160 1200200000000002160 1200200000000002160 1200200000000002160 1200200000000002160 1200200000000002160 1200200000000002160 1200200000000002160 1200200000000002160 1200200000000002160 1200200000000002160 1200200000000002160 1200200000000002160 1200200000000002160 1200200000000002160 1200200000000002160 1200200000000002160 1200200000000002160 1200200000000002160 1200200000000002160 I Plan Reviews I 08/20/2003 09/10/2003 APP LLH APP TAJ Paee 2 of 4