HomeMy WebLinkAboutPermit Electrical 2003-4-10
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726.3753 . FAX: (54I)7~~::..c>'I
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ELECTRIC PE IT APPLICATION ,.J.:0~
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City Job Number Date <l:~ ",0
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3, I COMPLET!:;:'ft"B1f'SC.Ij!lfJ
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A. I New Reside~tial-:t>. gl\i,<SI'j!'^'ulti.Family per dwelling nnit.
<:fr!- \j""
Service Included >~'
,-
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
200 Amps or less $ 63.00
201 Amps to 400 Amps $ 75.00
401 Amps to 600 Amps $125.00
601 Amps to 10006mps $163.00
Over 1000 -i"l~\~'f' . $375.00
Rec~IIJ).~\'681YU" \0(-.\ $ 50.00
~ \~'ll ~ ()~eg ,(' se\ '),,\
_~\\J~0~~~lO.lJl'~iRl).(ljo~f.\I(S$li~~,!,'l1 Feeders
~'\ yJ. ~60~\e i.X\O'o~' ~q,X\ v, \X\0 \'';'0'(\0 ......
p..-0~, (~\0'<> r 0~0~' '\ ~n5t~Ja(!9nP~~~lft~glj'Reloeation
\0\~~~~\\0\~~0'\.()~\e.oo<AO~~~1S"f\0\\'~ \ $ 50.00 c;:{) ~D
~O\\,~ 0.9'0 ~~'l 0 ~e.01~!W~U}"9~~ps $ 69.00
\'(\V~O."O\) \X\ece'(\ @I~9<~Bs:t?'?6do Amps $100.00
00-" \\\<'~ ~\"e \.~\)
,,-::. Il~ \0 ~e/;Yver 600 Amps or 1000 Volts see "B" above.
'(\~~'O Ce'(\D. I Branch Circuits
New Alteration or Extension Per Panel
One Circuit $ 43.00
Each Additional Circuit or with
Service or Feeder Permit ~d~
._.('~: -'A.r'n~ \~ ,.Hl: 1
E. I ~ll~~lw.re~~'i(sp~fYef\~ry>tI\MIM'iil.\:i'1tach Installation I
1\ ,\- RI2EO U\~lh..\I ' I'iOOI'it.U rJ;1
punljU,W~g~{IO~O OR IS 1\131\ $ 50.00
Signf&Jilil,t,~~R~lRERIOO. $ 50.00
Limi{e~I'inWgylResidential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45,00 + Surcharges
I, l2:.0CA1'10N OF INSTALIA170N
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LEGAL DESCRIPTION
\"1 t\f)_?A\\ \ C)'&X)
~DRIPO~rL
Permits ate noX.t~ansferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
I CONTRACTOR INSTALIATION ONLY I
City
.
~ \. ...J-
Owners Name . . \l ~rl .I
Address ~ \ \C . A\\ \ ~
City ~Q. Phone lilli.q4-~
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
$106.00
$ 19.00
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$50.00
B,I Services or Feeders - Installation, Aller"tioJls OJ" Reloc"tion:
4.1 SUBTOTAL OF ABOVE
I ~\) DO
:'-. :SO
~.QO
~~.$O
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T,)lBuilding FormslElectrica1 Permit Application \.()3.doc
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SPRINGFIELD ...". "
I1J~!JKa~1ill{iJ'I~;JI~JI'M61;{~L'f6l.1'e!lmj, -AA ~lfr1;~f~"'jf.t~M
~ (541)726.3753
2255" STREET, SPRINGFIELD, DR 97477 ~ FAX(541) 726.3676
Estimated Base Flood Elevation & Disclaimer
For property located at (,b S' I tUOSc~ p/JS S , Springfield OR
The calculated Base Flood Elevation (BFE) for lot#..::z!i, Levi Landing -
Second Addition is S 1/, D 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 not the same for this area. Add O.3Oft 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 dpproval.
Acknowledgment:
I hereby acknowledge receipt of a copy of this document:
N'm, (p"nt) , -"" ~ Iz
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CITY OFttRINGFIELD SYSTEMS DEVELOPM_WORKSHEET
I .
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JOURNAL OR JOB NUMBER: Com2003.00251
NAME OR COMPANY: Bruce Wiechert
LOCATION: 6659 Moses Pass
TAX LOT NUMBER: 17023411 TLlO800
DEVELOPMENT TYPE: I
NEW DWELLING UNITS I BUILDING SIZE (SF) 0 LOT SIZE (SF): 5663
1, STORM DRAtNAGE
DIRECf RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. , I COST PER S.F. : = I CHARGE I
I 2518.00 $0.282 $710.08 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCfED TO CITY STANDARDS
I IMPERVIOUS S.F. I , I COST PER S.F. : ' I DISCOUNT RATE I = : DISCOUNT I
I 0.001 $0.282 50% $0.00
ITEM I TOTAL. STORM DRAINAGE SDC , $710.08 I , $710.08
FfsANtTARY SEWER. CtTY -
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I ' I COST PER DFU I
I 21 $22.09 I = , $463.89
B. IMPROVEMENT COST:
I NUMBER OF DFU's I , I COST PER DFU I
I 21 I $16.79 1 = , $352.59
ITEM 2 TOTAL. CITY SANITARY SEWER SDC = , $816.48 ,
1 TRANSPORTATION
A. REtMBURSEMENTCOST:
I ADTTRIPRATE I ' I NUMBER10F UNITS I ' I COST PER TRIP I ' I NEW TRIP FACTOR I
9.57 I $t6.81 I 1.00 = I $160,87
B. IMPROVEMENT COST:
I ADT TRIP RATE I ' I NUMBER10F UNtTS l ' I COST PER TRIP 1 ' I NEW TRtP FACTORI
' 9.57 I $74.17 I 1.00 = I $709.81
ITEM 3 TOTAL. TRANSPORT A nON SDC = I $870.68 I
4. SANITARY SEWER. MWMC
A. REIMBURSEMENT COST:
INUMBER ~F FEU's I , ICOST PER FEU I
I $332.86 I = I $332.86
B. IMPROVEMENT COST:
INUMBER ~F FEU's I , ICOST PER FEU I
I I $34.83 I = , $34.83
MWMC CREDIT tF APPLICABLE (SEE REVERSE) = , ($1.23) I
MWMC ADMINtSTRATIVE FEE = , $10.00
ITEM 4 TOTAL. MWMC SANITARY SEWER SDC = I $376,46 I
ell
"-l
Cl
o
U
0::
~
ell
-
Co?
~
1070
1091
t092
1093 '
1094
1054
1055
1054
t056
~UBTOT AL (ADD ITEMS I, 2, 3, & 4)
1. ADMINISTRATIVE FEE:
= ,
$2,773.70
I SUBTOTAL 1 ' I ADM. FEE RATE 1=
I $2.773.70 I 5%
TOTAL SANtTARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMtNISTRATtON FEE:
II D. Wright 4/17/2003
~ PREPARED BY DATE
CHARGE
$138.69
88.32
$50.37
,1079
11078
TOTAL SDC CHARGES
=
$2,912.39
.
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DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE, FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL AXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EOUIV ALENT UNITS
BATHTUB 2 0 3 = 6
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
ILAUNDRY TUB 0 0 2 = 0
ICLOTHESW ASHER / MOP SINK 1 0 3 = 3
ICLOTHESWASHER. 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (! PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
IRECEPTOR FOR COM. SINK / DISHWASHER / ETC.I 0 0 3 = 0
ISHOWER, SINGLE STALL 0 0 2 = 0
ISHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
ISINK: COMMERCIAURESIDENTlAL KITCHEN 1 0 3 = 3
ISINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASINIDOUBLE LA V ATORY 1 0 2 = 2
ISINK: StNGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1
IURINAL. STALL/WALL 0 0 5 = 0
ITOlLET. PUBLIC INSTALLATION 0 0 6 = 0
ITOtLET, PRIV ATE INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
,
TOTAL DRAINAGE FIXTURE UNITS , 21 I
"'EDU (EQuivalent Dwelli"lt Unit) is a dischaf2e eQuivalent to a sinRle family dweIlinR: unit (20 DRJ's) set at 167 Rallons per day I
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MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
r-- YEAR
L-ANNEXED
I BEFORE 1979
I 1979
I 1980
I 1981
I 1982
I 1983
I 1984
J 1985
I 1986
I 1987
I 1988
I 1989
I 1990
I 1991
I 1992
I 1993
I 1994
I 1995
I 1996
I 1997
I 1998
I 1999
I 2000
CREDIT RA Tf1$ I ,000
ASSESSED VALUE
$4.92
$4.92
$4.83
$4.77
$4.64
$4.47
$4.30
$4.09
$3.78
$3.41
$2.98
$2.52
$2.06
$1.64
$1.45
$I.3t
$1.13
$0.97
$0.82
$0.63
$0.41
$0.22
$0.04
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes. 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
o
2000
CREDIT FOR LAND (IF APPLICABLE)
VALUE /1000 CREDIT RATE
$30.65 x $0.04
= I
$1.23
CREDIT FOR IMPROVEMENT (IF AFfER ANNEXATION)
VALUE/lOOO CREDIT RATE
$0.00 x $0.04 =
o
TOTAL MWMC CREDIT
=
$1.23