HomeMy WebLinkAboutPermit Building 2003-11-24
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)7
ELECI'RICALtf.!iJ!.Af.J7:.APKM9pON
Ciry Job Number \lJ\'\~WU()- U\\\QJ\. Date
LEGAL DESCRIPTION
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JOB DESCRIPTION - 1. \p~'::>
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Permits are non-t a sferable nlri~ifwork is Each Manufact'd Home or
not started within 80 days o' liI5Rwli~ is Modular Dwelling Service or ' $50 00
Susp~nded for 180 days. . AUTHORI!~QJJ D LL EXPIRE W"FffE . _ ' _~_____ , . __..
. ,,~- ,MT'" ..~,C~_ )( ER]THIS P.J:RA4'f;"YWO~l'1i'.". ': ,,!1" , , ",," ", :S'rC",. .' "c :" ~~
iCONTRACTOR:INS ' , 'B: ,lrI~F' e .eeders''': Inst"lIation''A\te~alion's'or;Reloc,ition::'\ i
:'lec:al'~:::~~:r~'i~ ~o:tAyjlr;ANDO~~~I!:r"I:ss"" ',' ,~ :~Jtd=~~-L~A>"'~~~~~~:'a\'~.a.~'~
201 Amps to 400 Amps $ 75.00
401 Amps to 600 Amps $125.00
601 Amps to 1000 Amps $163.00
Over 1000 AmpsNolts $375.00
Reconnect Only $ 50.00
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1. .; LOCATION, OEINSTALIATION~,l.;c:,' , :
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Address c3~5<1 ;-Io..4d.e.u f:?... Rei.
Ciry S"..{' I ci.
Phone/4 1- 2;)'9 {,
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A. ;&~ ~w:R'~~i~eritjaL':';_.S!!igJe':hf!Y1 ~l ti~F~niily;' per::d\3'~e.lling~u~i~;:,~,~J
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Service Included
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1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
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4:
$ 19.00
$106.00
':J /5 d .ATTENTION f.'...' . "J"", ""." "J- '. ,;. ".' " :'1
Supervisor License Number cJ b l: .tb/~te (Qr..fifliJllX{fJ.,j Ser,;ces or Fe~d~rs: "L,;..\. ~ "'OS - .:' ~)
'Jotif/car s adOPted b eqUlres yO~
Expiration Date /0 "/ -0 </ ) 04Q ~'Oll Centeln'l,uaYiJ~PA'il~'1eJtt Mocation \ W,I'"Yl
O . '''r2.q01 . lOSe ru/",,, Ilty V"
090. You '. ,1, ~qQ~QJ~B'ipi"l= are seffort $ 50.00
Constr. Contr. Number g 7' 'I S CB"'~ !/ may Ob20ih~~1\6M>Ifu1i\52-o0 $ 69.00
LI IlUrtlber ,det cellterof~rf. i~63M~ii\!llJ/es I $100.00
Expiration Date // - /6 - 0, ~ r!:.~ Or8{]grr,60iilim~8t~i~~&@1.;I61ts see "B" above.
.~ f-RmF'''~''Y',~otl''car''''''''''''-''''''- .'-""---. ,
Signature of Supervising Electrician D'lBrl!'i\~~~." Ion;.. ',,'; . -;,,,,::t:-/. ..':"::...::
New Alteration or Extension Per Panel
One Circuit $ 43.00
Each Additional Circuit or with
Service or Feeder Permit $ 3.00
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726.3769
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Pump or irrigation
Sign/Outline Lighting
Limited EnergylResidential
Limited Energy/Commercial
$ 50.00
$ 50.00
$ 25.00
$ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
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7% State Surcharge
10% Administrative Fee
,
TOTAL
Shared Drive(T:)/Building FonnslElectrical Pennit Application l-03.doc
CITY OF SPIGFIELD SYSTEMS DEVELOPMEN-AlRKSHEET
JOURNAL OR JOB NUMBER: Com2003-0 1169
NAME OR COMPANY: Mike Blankenship
LOCATION: 662 72nd Street
TAX LOT NUMBER: 17023524 tl 9700
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS I BUILDING SIZE (SF' 0 LOT SIZE (SF):
1. STORM DRAINAGE
DIRECf RUNOFF TO CITY STORM SYSTEM
1 IMPERVIOUS S.F. x 1 COST PER S.F. I CHARGE
1 3156.00 1 $0.290 = I $915.24 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. I x' 1 COST PER S.F. I x I DISCOUNT RATE I 1 DISCOUNT
1 0.00 I 1 $0.290 . I 50% I = 1 $0.00
ITEM I TOTAL - STORM DRAINAGE SDC $915.24 ~
2. SANITARY SEWER - Cl'f'(
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x 1 COST PER DFU
I 27 I 1 $22.64
B. IMPROVEMENT COST:
I NUMBER OF DFU's 1 x COST PER DFU
I 27 1 $17.21
ITEM 2 TOTAL - CITY SANITARY SEWER SDC =,
$1,075.95
6032
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$915.24
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1070
$611.28
1091
5464.67
1092
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE 1 x I NUMBER OF UNITS I
I 9.57 1 I I I
B. IMPROVEMENT COST:
I ADT TRIP RATE 1 x I NUMBER OF UNITS 1
9.57 I 1 1
ITEM 3 TOTAL - TRANSPORTATION SDC
x 1 COST PER TRIP x 1 NEW TRIP F ACfORI
1 $17.23 1 1.00 I
x 1 COST PER TRIP x 1 NEW TRIP F ACfORI
1 $76.01 1 1.00 1
~ , $892.31
$164.89
11093
$727.42 1094
I
.1
= $314.63 1054
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's 1 x ICOST PER FEU
I 1 $314.63
B. IMPROVEMENT COST:
INUMBER OF FEU's 1 x ICOST PER FEU
I I 1 $214.23
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SD<
SUBTOTAL (ADD ITEMS I, 2, 3, & 4)
5. ADMINISTRATIVE FEE:
1 SUBTOTAL I x 1 ADM. FEE RATE I~
1 $3.263.13 1 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Virginia Jurasevich
PREPARED BY
12/4/2003
DATE
.
.
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW RXTURES x UNIT EQUIVALENT - DRAINAGE RXllJRE UNITS
(NOTE, FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL RXllJRES)
NO. OF FIXTURES
FIXTURE TYPE
I BATHTUB
IDRINKING FOUNTAIN
IFLOOR DRAIN
IINTERCEPTORS FOR GREASE lOlL I SOLIDS / ETe.
IINTERCEPTORS FOR SAND / AUTO WASH I ETe.
I LAUNDRY TUB
ICLOTHESWASHER/MOP SINK
ICLOTHESW ASHER - 3 OR MORE (EA~
IMOBILE HOME PARK TRAP P PER TRAILER)
IRECEPTOR FOR REFRlG I WATER STATION / ETe.
IRECEPTOR FOR COM. SINK / DISHWASHER / ETe.
ISHOWER, SINGLE STALL
ISHOWER. GANG (NUMBER OF HEADS)
ISINK: COMMERCiAURESIDENTIAL KITCHEN
ISINK: COMMERCIAL BAR
ISINK: WASH BASINIDOUBLE LAVATORY
ISINK: SINGLE LAVATORYIRESIDENTIAL BAR
IURINAL, STALL! WALL
ITOILET, PUBLIC INSTALLATION
ITOILET, PRIVATE INSTALLATION
NEW
2
o
o
o
o
o
1
o
o
o
o
1
o
1
o
1
2
o
o
3
UNIT
OLD EQUIVALENT_
~-~----;--
01=
o 3 =
o 3 =
o 6 =
o 2 =
03=
06=
o 12 =
o 1 =
o 3 =
o 2 =
o 2 =
o 3 =
02=
o 2 =
01=
05=
06=
o 3 =
MISCELLANEOUS DFU TYPE
NUMBER OF EDU'S
20
=
TOTAL DRAINAGE FIXTURE UNITS
*EDU (Eauivalent OwellinR: Unit) is a dischar~ equivalent to a sincle family dwellinll: unit (20 OFD's) set at 167 ~Ilons per day
DRAINAGE
FIXTURE
UNITS
6
o
o
o
o
o
3
o
o
o
o
2
o
3
o
2
2
o
o
9
o
27
-I
I
II
I
I
I
I
I
I
I
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
'I YEAR CREDIT RA TEf$ 1,000
ANNEXED ASSESSED V AWE IS LAND ELGIBLE FOR ANNEXATION CREDIT?
BEFORE 1979 S5.04 (Enler I for Yes, 2 for No)
1979 55,04 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 0
1980 $4,95 (Enter I for Yes. 2 for No)
1981 $4.88 BASE YEAR 1979
1982 $4.75
1983 $4.58 CREDIT FOR LAND (IF APPLICABLE)
1984 $4.41 V AWE I 1000 CREDIT RATE
1985 $4.20 $31.59 x $5.04 ~ , $159.23
1986 53.88
1987 S3.50 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
1988 S3.07 V AWE / 1000 CREDIT RATE
1989 S2,6O $0.00 x $5.04 0
1990 S2.14
1991 SI.7I
1992 S1.52 TOTAL MWMC CREDIT = I. $159.23
1993 SI.38
1994 $1.19
1995 SI.03
1996 SO.87
1997 SO.68
1998 SO.46
1999 50.27
2000 SO.09
2001 SO.04