HomeMy WebLinkAboutPermit Electrical 2000-3-8
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",.aFIELD
The, following projecl as submitted has the following
zoning, and does not require specific land use
approval /.,... /7
Zoning ^' I) r '-'
225 FIFTH STREET Datp ? -'is -01) \
SPRINGFIELD, OREGON 97l/VJ}horized Signalure *cJ
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1.
LOCATION OF INSTALLATIQN
511 /" tJ ; c.lu L..-,..- 0vi; t.L-"-"
LEGAL DESCRIPTION
liD"?' '1'2..11- O\t;D'1)
JOBp DESCRIPTION
<;7~
Permits are non-transferable and expire
if vork is not started yithin l80 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Elec trical contracto'iS ~ I( ~ :?!,L ~1Y'1' C.
-
Address 3! 70 IA) / ( "i:: '
- .
City~lJ.:lt q.u c... Phone3.:L/ 8'1 ~
supervilor License Number q 8:..0 S
Expiration Date 10-1- 200/
Constr Contr. Number ::J.. / 3~ /
Expiration Date /D -1- ~ V (JI'],
~:;; pg E::rician
Oyners Name Cn-z.~....- ~
Address -Po, PmrO ~'1
City ~ Phone 141; <6'7iJt.j
OVNER INSTALLATION
The installation is being made on
property I ovn yhich is not intended
for sale, lease or rent.
OWners Signature:
---------------------------------------
DATE:
RECEIPT I:
RECEIVED BY:
3 -<i....ob
"l'lczO
<Ku..I
, A.
ELECTRICAL PERMIT APPLICATION
;lity Job Number qq 1410+
3. COHPLETE FEE SCHEDULE BELOV
Ney Residential-Single or
Multi-Family per dyelling unit.
Service Included:
Items Cost
Sum
lOOO sQ.ft. or less $ 85.00 ~'S,-
Each additional 500
sq. ft or portion
thereof ~ $ 15.00 80,--
Each Hanuf'd Home, or
Modular'Dyelling
Service or Feeder ,$ 40.00
B,
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
S 40.00
S 55.00
$ 80.00
see "B" above
"
NeY, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or yith Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5,
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
S 2.00
not included)
S 40.00
$ 40.00
S 20.00
$ 36.00
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ATTACHMENT A
CITY OF SPRINFFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
- -
JOURNAL OR JOB NUMBER 991464
NAME OR COMPANY: COZY HOMES
LOCATION: 566 NICHOLAS DRIVE
TAX LOT NUMBER 17032212-01900 LOT 4
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
BUILDING SIZE:
1606
LOT SIZE
4740
I. STORM DRAINAGE
INPERVIOUS SQ, IT,
2361.3
x
$0,232 PER SQ. IT,
$547,8 I I
2, SANITARY SEWER-CITY
NUMBER OF PFU's
(SEE REVERSE SIDE)
18
x
$48,27 PER PFU
$868,86 I
3. TRANSPORTATION
NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP
x
x
1.01
x $486,73 PER TRIP
x $486,73 PER TRIP
TOTAL TRANSPORTATION SDC
$491.60 I
$0,00
$491.60 I
4. SANITARY SEWER - MWMC
A, REIMBURSEMENT COST:
NUMBER OF FEU's
x
242.76
PER FEU
$242,76 I
B, IMPROVEMENT COST:
NUMBER OF FEU's
x
22,05
PER FEU
$22,05 I
$0,00 I
$10,00 I
$274,8 I I
$2,183,08 I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
TOTAL MWMC SDC
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5, ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) x
0,05
$109.15 I
"
~- ct:'~,
S~NAroR
/i?/~~9
DATE v
TOTAL SDC CHARGES I $2,292.231
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PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS
(NOTE, FOR RFMODEIS CAIDllATE ONLY THE NET ADDITIONAL FIXTURES)
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OILlSOILDS/ETC,
INTERCEPTORS FOR SAND/AUTO WASHlETC,
LAUNDRY TUB/CLOSTHESW ASHER/MOP SINK
CLOTHESW AHER - 3 OR MORE
MOBILE HOME PARK TRAP (l PER TRAILER)
RECEPTOR FOR REFRIGERA TORIW A TER ST A TION/ETC.
RECEPTER FOR COMMERICAL SINK! DISHW ASHER/ETC.
SHOWER, SIGNLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR, COMMERICAL, RESIDENTIAL KITCHEN
URINAL, ST ALLlW ALL
WASH BASIN/LA V A TORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANIOUS:
FIXTURES
NEW OLD
2
UNIT
EQUIVALENT
2
I
2
3
6
2
6
6
I
3
2
I
2
2
I
6
4
PLUMBING
FIXTURE
UNITS
4
o
o
o
o
2
o
o
o
o
o
o
2
o
2
o
8
o
o
o
TOTAL PLUMBING FIXTURE UNITS=I 18
2
2
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPERA TEL Y
YEAR
ANNEXED
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
I RATE PER $1,000
ASSESSED VALUE
$4.47
$4.38
$4,32
$4,20
$4,03
$3,88
$3,68
$3,38
$3,03
$2,62
YEAR
ANNEXED
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AFTER ANNEXATION DATE)
RATE PER $1,000
ASSESSED VALUE
$2,18
$ 1.75
$ 1.35
$1.17
$1.03
$0,86
$0,71
$0,57
$0,39
$0,18
x
x
I
I
$0,00
$0,00
CREDIT TOTAL $0,00
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'.- ~... 'Willamalane . ,~'.?:~"
-~tV-P." & Rac<::::'::~~~~~CHA~:: No.- QQ.\41 cl. .
, 'WORKSHEET ' , '.
NAME:ln~.~'~;~\"" ,PHONE:t-\, R'1D4 '
ADDRESS:\.1) t~~~ cO~q'~''': "", STATE: (Qf 1l1~:!Jjj!l1
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LOCATION OF PROPOSED BUILD(~G~~~: ;:. f\.~.' , ,
Street Address: ' t)\olo\. nJ~ .urlU.J-J',
PIal Name/YiV n , ~~f, ~~;::~~~ber:'\f1~i1)~. 0L~~ '
1. OEVELPP(J;NT TYPJ; eel< appropriate dwelRng(s). SDC calculations and dwemn~t :1 ,~ "
ype definitions are on the back.) :., "':' ' , ','
.
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A. s.im'le-FRmllv Detached
~ Single Family home
, '
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[~:., .,"J',;,- ""
NO. OF UNITS
, '
" , Manufactured home not In a park
\ ,;; ~.)(t~..~oo per unit = $1CD'J.C~:)~"
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"0..'-
. ';":f ::'f'" ~: i"'~
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B. ,~Innle'-Famllv Atta~hQQ
NO. OF UNITS
. .
" X $924 per unit = $
C. ,Mulll-Familv Anartment
NO. OF UNITS
X $692 per unit = ' $
,D. Manufactured Hnmp P.~rk
NO. OF UNITS
W(LLAMALANE SDC
X $699 per unit
=$
$.ICXX).CO
o
2. SDC CREDIT (II appncable) SDC-payer must furnish proof of
Winamalane Credit approval. See SOO Otedit Wodcsheet. $
3. TOTAL WlllAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
\ ~ )\ (}. "-r-r-.O r' )
Development ~~artment
City of Springfield
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Date
$ l(Y)O.OO'
rb I o1l
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