HomeMy WebLinkAboutPermit Electrical 2008-7-2
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225 rIl'TH STREEf . SPRlNGFThLD, OR 97477 . PH (541)726-3753 . f,LX (541)726-3689
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ELECTRICAL PERMIT APPLICATION
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INI1IALS
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LEGAL DESCRIPTION
/4J02. 07 ~ 2- OVe,tX)
J-OB DESCRIPTION I
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Permits are non-transferable and explJ e If work IS I Each Manufact'd Horne or
not started wltbm 180 days of IssnJIlCC or If workllS Modular Dwellmg ServIce or
__~___ _ _SuspeUde(1-f0l:J80 days__~--_~~_ __~ ~ ____ --'---- ___Xeeder ----- --
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~IArq~~r.t.tftt;.i,~~~.rI~~.il1J,'Wi:. ~f~t~ fr~Jfjlt~'iil&~n:r'Pf./\~i> ::(@Jl'lf ft1,~ B- ~~;#@;jJ(f,i~~,^~1~Cl$1:(\i1('~1~~I't~t>~~fil'I~~l~~{I':,~\tJ~tk-h-<~7~1~)~iIDf1iI'~~I~A~i
~t'tq!JS~4'rl\~1
2 11~t](!)NJ!AJl fJna'l.iJffi'f)'R~J~S1.t)\:jTiJ;:i~/.FI2~\tU, I, >1/, ~~~e.m"lces,OFt'.L,_ee:gel~=, USw a IOU\iA1 ela OllS~Oh,-e oca IO,Q 1 I
h1~.."tf "f '. .i:'H;':i'''r~iff;tJ>j;l ~"2~ %w.i,tGaJ Jii.\b'tf('~1~ ..i\\t.j~) "'.J'J~ \ If1!.Ulk"-".. Rf;;" 1. ~'~iW6l~~r.dL~>j,~{'W111"> j' /i . ~.r_ r'l5;~.,.,.i1:~'~.J':il~ iln~.ht'~"t'J1:..';.
.._'l~ J:!.. rr j4
Electrical Contractor -r;,f))~1v4 .r-/ec I: 200 Amps or less $ 70 00
201 Amp5 to 400 Amps $ 83 00
AdcIress ;;Lo8i'? ~AA (f- 401 Amps to 600 Amps $13800
() I ( I 601 Amps to 1000 Amps $18000
,n~P'( Pnone .Y<1/--3nTj"!'Jg--Over IOOo-AIDpsNOhs $41TOO
, , Reconnect Only $ 5S 00
w~
A ~~t):~~{~~gati\~~ffi;:i~~1Jf.:Mti'g~Fd~)r1' :;trJKIiiJJJgtJ,~\t:J~
I,,, ,dl\'I.J"",,-" 1'~t5_,.nL"',1i .....),!,~l.v;.!..~..b.~I..L1." ....t~"J ...;J.,. , ~ IL.r- :Y,~B~...,,~. ,~J~... r&.....' Jl.U\........~~ .
ServIce Included
ft or
I
3
$ 2100
1000 sq ft or less
Each addItIOnal 500 sq
porbon thereof
$1 J7 00
//7tffJ
b3Cl'r?
~55 00
uty
ExprratlOn Date
Lfo)-t( S
/2rJ1J7
n 2- ~~G.
(Jet) 'i
c ~~?t~~f~~n~n~~~~ml.rJ~w:;rr~~\1tw~~~1n~'~fl~~.tiNt,}r;rt;i~'-HI~ "J.nt~I~~~'~)'t1j~~~'I\.\';\"''' 1
~~I!LIl, ,~).3.m'!~~JX15,~~8fu,*,'lbYm7~~l'l1~IL(1~lthJ'tl\:.li il111{~~8~L~ll,:j~1~ld
Supcrv]sor License Number
Exprratlon Date
Install..1hon, Alteration 01 RelocatwD
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
/
SS-g.e)
Constr Contr Number
$ 55 00
$ 76 00
$110 00
Over 600 Amps or 1000 Volts see "B" above
f S D b1B1rJ~J?}1];~/91 /jr:1],'1~ f~~~IIJ:rli~W~1\r1~Th~qi lli],~ ~'!lW\~;7rIIV.~~~I"I~;:,,~~r~J~: #7tW tl,I:~\~ WI [1,';~'
Slgnal re 0 t;pervJslllg,Eleclncmn ~~U5kli.~~~~1l.J',~r~'~~~kl.r(~.~I~{'\'I',~i:...~~lli::c"th;"~~J~~~iLLLJ.:.L~&~~~~
C0i2> ~'- ~ ~.-~ :/\ ~~_ New AlteratIOn or ExlenslOn Per Panel
_ ~ ~~0 '1, One Crrelllt $ 48 00
o ' 7 ~TTENTION 81ffirtlIH!iWII~tYGU'1tP $ 4 00
Owners Name i/;ft;..iJfuL lV r-,lpllow rules ad8\J{IiB 'NltIW<e>~ Utility
-7-,&.:/i- ~' ,';,'1/ / 11 .P.I,\/lllluatlOn ?:rm'!"~~Bt~!~1'~7,ff1\e'"~"",!1:~IW:r;1;;I'F,;:';':;:;";':'~'",ll'U:.lj.''""ili"J!h'
Address _~ ~ "-----'..J./A/ "",,6,AC/b-c. .~AR 952-Utr1R!tm~1l~~rl~I' ~~'lt~A~~~qf~J~~~(.~\'ti~~1fJl~t~)Ja~R}~~l
yJ _ - , otlilO You may obtain copies 0 tne rUles uy ,
CIty _JleNn&//i ~Pbone 2.'2.!a,'-v.~~The Cel\lW!'l qNmgalllMl telephone t 5S 00
- number for tt'&Jgi\YiJ)ji[]fu~Jh\W.t~'&tlflcatlOn $ 55 00
OWNER-INSTALLATION CenteUfu~e~qpri~r~iR~i:a'entJal $ 28 00
Tbe mstallatlOn ]s bemg made on propertY ro;;.m-'vhlch LlIDiieCll:Cnergy/Co=ercl-ar - - --~ ---$ 50 UO
IS not,mtended for sale, lease nr rent v M EI
1'1] n \;1: WOR" IlllmUffi ectrlc PermIt InspectIOn Fee IS $50 00 c Surchargcs
~ ~ C \.l ^ll EXPIRE IF THE ~'l'14"~'"' n,rlr",~'f""~~"'~I"",H'I\'\'il'M&1~'I'l"" ""<~"'J''''''I'',''''ri'l
lft'1t~ 4 rl.ol!.J,:li!rcoWA 0. ~WMEd~ 'll t.r;.1 ~,~ ,i~i~~IW:;i l~r 0,,' 00
T\ \Q;vJi\ffi\1i' a e ER TH\S~MIT IS NOT 'w'l!:'IU"'''!Jnw_w,,,,,,.,:!ll'''''lll.ll~'Jll~''JlI)IikJli~~I",'l'l'~:!~tr''111//1 /,35"
AIITHOP,IZED UND ')fl.ft:'l..f"lI)M~1i FOR - 12% State Surcharge 2ftJ ,,:2-0
COMMENCED UK I::> ,,,-. 10% Aclnurnstratlve Fee :2~.S-O
ANY 180 DAY PERIOD 5% Technology Fee / / ."P
29~,,-ir
Shared Dnve(T )fBmJdmg formslEleClncal Pemllt Application 1-08 doc
InspectIOn Reqllest 726-3769
TOTAL
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CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER COM2008-00946
NAME OR COMPANY Havden Homes
LOCA nON 5748 MlOeral Way
TAX LOT NUMBER 1802033209800
DCVELOPMENT TYPE SIO~le Famllv ResIdence
NEW DWELLING UNITS I BUILDING SIZE (SF 5088 LOT SIZE (SF)
1 STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S F x I COST PER S F CHARGE I
247902 I $0346 I = I $85779
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
000 I I $0346 II 50% ~I
ITEM I TOTAL - STORM DRAINAGE SDC
2 SANITARY SEWER - CITY
A REIMBURSEMENT COST
I NUMBER OF DFUs I
I 23 I
B IMPROVEMENT COST
r NUMBER OF DFUs I
I 23 I
x
COSl PER DFU
$26 83
COST PER DFU
$20 40
x
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
DISCOUN r
$000
$857 79
~ ,
$t,08646
3 TRANSPORTATION
A REIMBURSEMENT COST
I ADTTRIP RA1E I x
I 957 I
B IMPROVEMENT COST
I ADI I RIP RATE I
I 957 I
I NUMBCR OF UNITS I x I
I I I
COST PER TRIP
2043
x I NEW TRIP F ACTORI
I 100
I NUMBER OF UNITS I x I
I I I I
~ ,
x
ITEM 3 TOTAL - TRANSPORT A nON SDC
COST PER TRJP
$90 10
$1,05773
, INEW1RlPFACTORI
I 100 I
2059
$857 79
$61717
$469 29
$19548
$862 25
4 SANITARY SEWER - MWMC
A REIMBURSEMENT COST
INUMBER OF FEU's I
I I
ICOST PER FEU
I $9535
x
B IMPROVEMENT COST
INUMBER OF Feu's I
I I
x
ICOST PER FEU
I $990 39
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL. MWMC SANITARY SEWER SDC
~ , $1,095 74
~ I $4,097 72
,~ CHARGE
$204 89
=
$95 35
Ii
I~
10
10
U
II ~
[/J
a
gj
!11070
11091
I
11092
I
1093
11094
1
I
I
I 1054
I,
I 1055
I
~j 1054
I 1056
J
,
SUBTOTAL (ADD ITEMS I, 2, 3, & 4)
5 ADMINlSTRA1IVE FEE
[SUBTOTAL x I ADM FEE RATE
I $4,097 72 I 5%
TOTAL SANITARY ADMINISTRATION FEE
TOTAL TRANSPORTArJON ADMINISTRATION FEE
Kaye Wilson
PRLPARCD BY
7/1/2008
DATE
=
$990 39
$000
$10 00
...---..
---.-
TOTAL SDC CHARGES
132 70
$72 19
= I $4,302 61
II
11079
11078
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXl1JRE UNITS
(NOTE FOR REMODELS CALCULATE ONLY TIlE NET ADDITIONAL FIXTURES)
NO OF FIX rURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPF NEW OLD EQUIVALENT UNITS
I BATHTUB 2 0 3 = 1-- 6
IDRINKING FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE I OIL I SOLIDS I E I C 0 0 3 = 0
I INTERCEPTORS FOR SAND I AUTO WASH I ETC 0 0 6 = 0
!LAUNDRY rUB 0 0 2 = 0
ICLOTHESWASHER I MOP SINK 1 0 3 = 3
ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRlG I WATER STATION I ETC 0 0 1 = 0
IRECEPTOR FOR COM SINK I DISHWASHER I ETC 1 0 3 = 3
I SHOWER. SINGLE STALL 1 0 2 = 2
I SHOWER. GANG ~ER OF HEADS).. 0 0 2 = 0
ISINK COMMERCIALIRESIDENTIAL KITCHEN 0 0 3 = 0
ISINK COMMERCIALBAR 0 0 2 = 0
ISINK WASHBASINIDOUBLELAVATORY 1 0 2 = 2
ISINK SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1
IURINAL, STALL I WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INST ALLA nON 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS L 23 I
*EDU (EQUivalent Dwelling Urut) IS a dlsch~e eqUivalent to a smgle fmmly dwellmg umt (20 DFU s) set at 167 gallons per day JI
MWMC CREDIT CALCULATION TABLE BASED ON COUNTY ASSESSED VALUE
YEAR CREDIT RATE/$I,OOO II
ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT' 2
BEFORE 1979 -$5-29-- (Enter I for Yes, 2 for No) ,I
1979 $529 IS IMPROVEMENT ELGIBLE FOR ANNEX CREDIT? 2
1980 $519 (Enter I for Yes, 2 for No)
1981 $512 BASE YEAR 2005
]982 $4 98
1983 $4 80 CREDIT FOR LAND (IF APPLICABLE)
1984 $463 VALUE I 1000 CREDIT RATE
1985 $440 $000 x $000 ~I $000
1986 $4 07
1987 $367 CRLDl r FOR IMPROVEMENT (IF AFTER ANNEXATION)
1988 $322 VALUE I 1000 CREDIT RATE
1989 $273 $000 x $000 0
1990 $225
1991 $180
1992 $159 TOTAL MWMC CREDIT = $000
1993 $145
1994 $125
1995 $109
1996 $092
1997 $072
1998 $048
1999 $028
2000 $009
2001 $005
225 FI.fth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
~.~;~
"'J
JIIIL'
CIty of Sprmgfield OfficIal ReceIpt
Development ServIces Department
PublIc Works Department
Job/Journal Number
COM2008-00946
COM2008-00946
COM2008-00946
COM2008-00946
COM2008-00946
COM2008-00946
COM2008-00946
COM2008-00946
COM2008-00946
COM2008-00946
COM2008-00946
COM2008-00946
COM2008-00946
COM2008-00946
COM2008-00946
COM2008-00946
COM2008-00946
COM2008-00946
COM2008-00946
COM2008-00946
COM2008-00946
COM2008-00946
COM2008-00946
COM~008-00946
COM2008-00946
COM2008-00946
COM2008-00946
COM2008-00946
COM2008-00946
COM2008-00946
COM2008-00946
COM2008-00946
COM2008-00946
Payments
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
2200800000000001008
Date: 07/0212008
DescnptlOn
Plan RevIew Same As
Plan Review Major - Plannmg
BUlldmg Penmt
Addressmg Assignment
Wlllamalane Smgle Family
2 Baths One or Two Family
Storm Sewer Each Addtl 100'
Furnace - up to 100,000 btu
Vent Fan
Appliance Vent
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
-Mech Iss 2+ Appliances-
Residence Wifing 1000 Sq Ft
Residence Wifing Ea Addtl 500
Temp Power 200 amps or less
FIre SF Fee - ReSldenllal
Curbcut PermIt
SIdewalk Permit
Storm Dramage ImpervIOus Area
SaDltary Sewer - Reimbursement
SaOltary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC AdmmlStratlOn
SDC TransportatIOn Admm
SDC SaDltarylStorm Admm
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdministratIve Fee
Paid By
TIM DREILING
Item Total
l;heck Number AuthOrization
Received By Batch Number Number How Received
ddk
005291 In Person
Payment Total
Page J of 1
10 08 31AM
Amount Due
220 00
205 00
909 24
3500
2,51300
280 00
1600
1400
2100
700
1000
700
500
4000
11700
6300
5500
10295
8500
8500
857 79
617 17
469 29
19548
862 25
9535
99039
10 00
72 19
13270
9396
18051
t6072
$9,52799
Amount PaId
$9,52799
$9,527 99
7/2/2008
,
~~ Willamalane
t~ Park & Recreation DIstnct
Job No ~2/7tJ ~ -0(25'1(,
SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2008
NAME ~ j')& ) E/)'OWA1/(t:rr PHONE 22-3 - (09:1..s-
f
ADDRESS 24&fSf/..!t;jt;.c/tR,cITY )J~Q1)A STATEaeZIP '777S-6
t:J-t, ~ - -
LOCATION OF PROPOSED BUILDING SITE
Street Address h749J~N&ki it/~
Plat Name ~~ jJ'1~l1U.lTTax Lot Number I~0.203? 2- o'letJo
1 DEVELOPMENT TYPE (Check appropnate dwelling(s) Dwelling type definitions are on the
back)
A Slnole-Famllv Detached
NO OF UNITS J
B Slnale-Famllv Attached
NO OF UNITS
C Multl-Famllv Aoartment
NO OF UNITS
D Slnale Room Occuoancv
NO OF UNITS
E Accessorv Dwellina Unit
NO OF UNITS
WILLAMALANE SDC
X $2,513 per Unit =
$ 2G/?
X $2,726 per unit =
$
X $2,323 per Unit =
$
X $1 ,162 per Unit =
$
X $1,257 per Unit =
$
$ A.S\-o
o
2 SDC CREDIT (If applicable) SDC payer must fumlsh proof of
Willamalane Credit approval)
$
3 TOTAL WILLAMALANE NET SDC ASSESSED
(If SDC reduced for Credit)
~ OO)t{O.
Development Services Department
City of Spnngfield
$ 'ZS /3
1 I.A 11leJ
Date
5