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Home My WebLink AboutPermit Electrical 2002-12-10 ~'~- ~'Cr ~'O 0~ , . ~~ ~\\ '0C\'fi.~\0o:. ~O" ~O . 225 FIFrH STREET ""Q,\00~ .: , SPRINGFIELD, OREGO~~~ '. _' INSPECTION REQuoo1'ii~~\376~,,,~ OFFICE: 726-3759 1,:,.,.,0 ,11-0 , , ELACAL PERMIT APPLICATION City Joh Numher (OWl zoo l.- 6/ J s'I I 3.COtvIPLETE FEE SCHEDULE BELOW " - " A~ LEGAL DESCRIPTION 170Z) l.{ 1/ /()700 _omf [ (Us ~ \~ Permits arc non-transferable and expire ' if work is not staned within 180 days of issuance or if work is suspended for 180 days. JOB DESCRIPTION NetJ 2. CONTRACTOR INSTALLATION ONLY . I Electrical' ContractorL [E r:: { e (.':+1' I L New Rcsidcnti:tI-Single or Multi-Famil)' per dwelling unit. Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or ponion thereof Each Manufd Home or Modular Dwelling SeIVice or Feeder Items Cost Sum -L$106.00 ID(O~ '0 ZL $ 19.00 [i).o $ 50.00 B. Sel"vices or Feeders Installation, Alterations or Relocation: I\10nc F Temporar)' Sen'ices or Feeders "-HlS p E. Installation, Alteration or Relocation' , ERMIT SH~ \ W\ (j) ~UTHORIZED UN ~ ~, rl{8IjllQflrF't 'AI -..-L $50.00 s:..),l, VUlV/MENCED lbilS ID ",.ORK $69.00 ANY 180 DAyl8./o..l4f>>mJ i/S NOT $100.00 EfilOD;( 600 a I Df1llltj volts see tlB" above . , 5rj.ful (Rr J-I(Jli~ ~ 'Kef . r,. / . ", Phone lR.B 4 -qL.{ fl L{ Address R5 OIL{ City[:JeU fV) : . I , Supervisor License Number Lf I '7'-{- 5 Expirati~n Date 10/0/ /0 l.f / "Constr Contr. Number 10 Stf / s- ", ExPiratiOl~ ~~~e'- 3/-30/0:5 Signature of SUJlcn'ising Electrician (;-Q ~()tMJt 0/v1 200 amps or less 20) amps to 400 amps 40 I amps to 600 anips 60 I amps to 1000 amps Over 1000 amps/volts ReconneclOnly $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 Owners Name Rfvl..e ltJ;ee,.\-"e.,-\- D. Branch Circuits New' Altermion or Extension Per Panel . 'v.:.\\S/'"fEIV// One Circuit _ $43.00 VI/OW Uiv,U I. 8 b!/J-Nrk'l1t!oUlesad~j!if~'.NJ;fW'f.nal Circuit or with SeIVice 00 UllFi952n Cef1tel'~lt{dlfJres y, _ $ 3.00 90. YOU '001-00' 7h1J;;~E Orego o~ to Calling t'hTr1<J!,}' ~JL,~llthmi)iJ'(~J!di!itpot included) TlUmb e Ce ratnF.llJ~Qlil",';'e, Set 10 erfOrt.. f/tefJi>;:'''Pi~f1i;;~'I'f ~5~-" rtf $50.00 a Ileo" "olJlW~'" 'J17(f1'l V01. - ef/teri eg61i~J .mll~Eml~ by $50.00 S "80o.,~lj!.tY~~ ~e $25.00 Ll1nf(~ . $45.00 Address 317 ') ~~\l Cit). (J'1.t-L- Phone OWNER INSTALLATION The installation is being made on property I 0\\'0 which is not intended for sale, lease or rent. Owners Si~naturc: l\linimum Electric Pel-mit Inspection Fee is S45.00 + Surcharges ~ \~~{) \~~\ ll.~ M4~~ 4. SUBTOTAL OF ABOVE 7% State Surcharge 80/0 Administrath'c Fce TOTAL I . . . 225 5'" STREET, SPRINGFIELD, DR 97477 .'?!f\.r:. I j,j~Il)t-.:...~-~.,~}, 1 ' .... kl(< - ,,"""~ : _I.J~ '~~'_-t.:- ";[\1 (541) 726.3753 ,'I ~~ FAX(541)726.3676 ~'...J~'1:J:41"'ltJ~/=I....J:I=rt:t.l..' Estimated Base Flood Elevation & Disclaimer The calculated Base Flood Elevation (BFE) for lot#~, Levi Landing- Second Addition is -S-/lJ#~ feet above mean sea level, based on the current FEMA datum information. The floor level of the residence to be placed on the lot must be certified at least one foot above the Base Flood Elevation as indicated above, (Please note - the City's surveyed benchmark datum information and the FEMA benchmark datum are IlOt the same for this area. Add 0.30ft to the City's benchmarks to adjust to the FEMA benchmark elevations. ) The estimated base flood elevations in this area are based on interpretation of scientific and engineering evaluations known to the city at this time. Larger floods can and will occur on rare occasions. Flood heights may be increased by human-made or natural causes. The City's estimation of a base flood elevation does not imply that land within this area will be free from flooding or flood damages or that conformance with the requirements of the City will protect the property from flooding or flood damages. ~ The City, its officers, agents and employees shall not be liable for any flood damage that may result from estimation of base flood elevation or any other administrative decision made regarding administration of the City's Floodplain Development Code. The developer of this property may elect to perform additional scientific and engineering studies for consideration by the City to further refine the estimated base flood elevation for this property. The developer of this property may also elect to undertake additional development and construction measures in addition to those required in article 27 of the Springfield Development Code designed to avoid or minimize the potential for flood hazards and damage. Such additional measures are subject to City approval, Acknowledgment: I hereby acknowledge receipt of a copy of this document: )< Name (print# / / ~"y,n,~a.,/tf::::::~" '''''00 ,. c;,~~~0.1f~ I.. , CITY OF SiNG FIELD SYSTEMS DEVELOPMEAoRKSHEET " JOURNAL OR JOB NUMBER: Com2002-01354 NAME OR COMPANY: Bruce Wiechert LOCATION: 6651 Moses Pass TAX LOT NUMBER: 170234111110700 DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE NEW DWELLING UNITS I BUILDING SIZE (SF; 0 LOT SIZE (SF): I. STORM DRAINAGE 7961 VJ U.l o o U IX U.l f- VJ o U.l IX DIRECT RUNOFF TO CITY STORM SYSTEM 1 IMPERVIOUS S.F. x 1 COST PER S.F. CHARGE I 3035.25 1 SO.282 I = 1 $855.94 1 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS , IMPERVIOUS S.F. I x 1 COST PER S.F. 1 x 1 DISCOUNT RATE I I DISCOUNT I 0.00 1 SO.282 1 1 50% I ~ 1 $0.00 ITEM 1 TOTAL - STORM DRAINAGE SDC $855.94 2. SANITARY SEWER - CITY $855,94 1070 A. REIMBURSEMENT COST: I NUMBER OF DFU's I x 1 COST PER DFU 20 1 I $22.09 $441.80 1091 8. IMPROVEMENT COST: I NUMBER OF DFU's I x COST PER DFU 20 1 $16.79 $335.80 1092 ITEM 2 TOTAL - CITY SAN IT ARY SEWER SDC = , $777.60 J l TRANSPORTATION l A. REIMBURSEMENT COST: I ADT TRIP RATE I x 1 NUMBER OF UNITS 1 x 1 COST PER TRIP x INEWTRIPFACTORI 1 9.57 1 I 1 1 S16.81 1 1.00 I $160.87 I 1093 8. IMPROVEMENT COST: I 1 ADTTRIP RATE I x 1 NUMBER OF UNITS 1 x I COST PER TRIP x INEW TRIP FACTORI I 9.57 I I I , $74.17 I 1.00 $709.81 1 1094 ITEM 3 TOTAL - TRANSPORT A nON SDC = , $870.68 I 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x ICOST PER FEU 1 I I 5332.86 = $332.86 11054 B. IMPROVEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I I I $34.83 = $34.83 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) ($1.32) 1054 MWMC ADMINISTRATIVE FEE $10.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SD( = I $376.37 SUBTOTAL (ADD ITEMS 1,2,3, & 4) = I $2,880.59 J 5. ADMINISTRATIVE FEE: I ISUBTOTAL 1 x 1 ADM. FEE RATE 1= CHARGE 1 52,880.59 1 1 5% 1 5144.03 11079 TOTAL SANITARY ADMINISTRATION FEE: 93.95 TOTAL TRANSPORTATION ADMINISTRATION FEE: $50.08 11078 Steve Templin 1/9/2003 TOTAL SDC CHARGES = $3,024.62 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 I.J:IXTURE TYPE UNIT FIXTURE NEW OLD EQUIVALENT UNITS 1 BATHTUB 1 0 3 = 3 IDRINKING FOUNTAIN 0 0 1 = 0 1 FLOOR DRAIN 0 0 3 = 0 I INTERCEPTORS FOR GREASE / OIL! SOLIDS / ETC. 0 0 3 = 0 IIINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 ICLOTHESW ASHER / MOP SINK 1 0 3 = 3 ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAPJI PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0 IRECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 ISHOWER. SINGLE STALL 1 0 2 = 2 1 ISHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0 ISINK: COMMERCIAURESIDENTIAL KITCHEN 1 0 3 = 3 ISINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASIN/DOUBLE LA V ATORY 1 0 2 = 2 ISINK: SINGLE LA VATORY/RESIDENTIAL BAR 1 0 1 = 1 IURINAL. STALL! WALL 0 0 5 = 0 ITOILET. PUBLIC INSTALLATION 0 0 6 = 0 ITOILET. PRIVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 2D = 0 TOTAL DRAINAGE FIXTURE UNITS 20 :, .EDU (Equh.!Ient Dwellin~ Unit) is a discharAe equh'3.lent 10 a sin,:!;le family dwellinlt unit (20 DFU's) set at 167 ~allons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE C YEAR ANNEXED I .. BEFOREI~ 1979 1980 1981 1982 19S3 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 CREDIT RA TE/SI,OOO ASSESSED VALUE $4.92 $4.92 $4.83 $4.77 $4.64 $4.47 $4.30 $4.09 53.78 $3.41 $2.98 $2.52 S2.06 SI.64 SI.45 51.31 SI.13 50.97 SO.82 SO.63 $0.41 $0.22 50.04 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enler I for Yes, Hor No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enler I for Yes, 2 for No) BASE YEAR o 2000 CREDIT FOR LAND (IF APPLICABLE) VALUE/IOOO CREDIT RATE 533.10 x $0.04 = , $1.32 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0.00 x $0.04 = , o 1 TOTAL MWMC CREDIT = 51.32 -I