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HomeMy WebLinkAboutPermit Electrical 2003-4-10 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726.3753 . FAX: (54I)7~~::..c>'I .;s:r ELECTRIC PE IT APPLICATION ,.J.:0~ '0V ~ City Job Number Date <l:~ ",0 ;$''() ~.p 3, I COMPLET!:;:'ft"B1f'SC.Ij!lfJ <..." ...~H ~(O' ",0' \~ 0' ~o '" ~\:j -t:: ...~ ~\:.''l> 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 \i~\:grtl~~%S 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 . . 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 ~n,~~~;ljt.We: i"Ci~':.o~f-l () 3 CITY OFttRINGFIELD SYSTEMS DEVELOPM_WORKSHEET I . .. 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 = $2,912.39 . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE, FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL AXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EOUIV ALENT UNITS BATHTUB 2 0 3 = 6 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 ICLOTHESW ASHER / MOP SINK 1 0 3 = 3 ICLOTHESWASHER. 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (! PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0 IRECEPTOR FOR COM. SINK / DISHWASHER / ETC.I 0 0 3 = 0 ISHOWER, SINGLE STALL 0 0 2 = 0 ISHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 ISINK: COMMERCIAURESIDENTlAL KITCHEN 1 0 3 = 3 ISINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASINIDOUBLE LA V ATORY 1 0 2 = 2 ISINK: StNGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1 IURINAL. STALL/WALL 0 0 5 = 0 ITOlLET. PUBLIC INSTALLATION 0 0 6 = 0 ITOtLET, PRIV ATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 , TOTAL DRAINAGE FIXTURE UNITS , 21 I "'EDU (EQuivalent Dwelli"lt Unit) is a dischaf2e eQuivalent to a sinRle family dweIlinR: unit (20 DRJ's) set at 167 Rallons per day I I I I I I ,I MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE r-- YEAR L-ANNEXED I BEFORE 1979 I 1979 I 1980 I 1981 I 1982 I 1983 I 1984 J 1985 I 1986 I 1987 I 1988 I 1989 I 1990 I 1991 I 1992 I 1993 I 1994 I 1995 I 1996 I 1997 I 1998 I 1999 I 2000 CREDIT RA Tf1$ 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