HomeMy WebLinkAboutPermit Electrical 2007-5-15
ZON
INITIALS
DATE
SOURCE
SPR' "ELD
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (54])726-3689
ELECTRICAf PERMIT APPLICATION
City Job NumberCJlrl1 215Dl-(r~S Ie)
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Permits are non-transferable and expiret)Vo~~ \:)~
not started within 180 days of issuan~w %~~~'X
Suspended for 180 days. <.>'\-. '\~') ''Nr....)~\.,
2. CONTPvtCrpl- ~$,~~~ONLY
:\\v, ~~ ~,~'\m' r
Electrical Cor$~tot.. {g^,i~\)G;,;.)' ~!e'c- Tr Ie.. I (C 200 Amps or les.:)
,\0" -J...,,~\L~,:'v-:. \(' 201 Amps t~~~~s
Address 3l.( <../ # ~.fr;~~'0~11 e 5 i ' 40 I Am~o~ ~R6..
\..) '-> ~\ \.\ 60 Iii?:." ~ {ti)fJ~'" ,
City 5.9 -C.J , ~\ Phone 7'1 Z{ ?f r;!f C ~'r <h~icA~~ ~~~flJ ~
U ,()\'K~-r~~1i~e, ~"" ~o
0\:$ 0.'0 00,)<0 0 ~0 ''i-,:\CJ
O',~ ~~ 0'0~0~ O'\.'
? LI5' LI S')~. o.o"L<),,~~~ePr~~e~rFeeders
:\. ,- tlf ^,0 ~" . ^ v 0,0 #' ^~
/0 . e!? 0'- c.-, rii-'.~ - ,'i ();r
/6 - D ( - 07 ,z,\'<r ,<v-'\ ('. (j ~,'r~~tw!b<<I.tfration or Relocation
\>. ~O~v~~0.-? ",1t10~~Uss I $ 50.00
Constr. Contr. Number J'5 t, c; 2 ?f 1\~4~~";'<' ..J...o'> ~~ps to 400 Amps $ 69.00
,0 _C\' ,~~ '4P~ Amps to 600 Amps $100.00
&" () Tl 7 '\ ~~.,~ Q;~
-,., - {4 U N vtlf ~~ Over 600 Amps or 1000 Volts see "B" above.
,'i
{\ D. Branch Circuits
/7 Jt"/ /7 --A- New ~te~ation or Extension Per Panel
~ 17\.-, (' ~ <7 . One Circuit
d - - Each Additional Circuit or with
(1 /;',<,:4"\1\ (I. I ........r:- Ir\._ . Service or Feeder Permit
Owners Namt X70u6 II W......J/O'(J) Lx )fYIY~
,- ~ (
i ~ ,-, 1) Vi:) ~I nY\ O/.AJ2..,. \ 53 E. Miscellaneous (Service/feeder not included) -Each Installation
Pho~/rl~- 0/151-1
1. LOCATION OF INSTALLATION
CXdq, ~\{~/I ~Al~
LEGAL DESCRIPTION
\-1 'J' "InC' ,- -,
I [J,,,> ,~ 10... U_J ~ CJl)
JOB DESCRIPTION
Supervisor License Number
Expiration Date
Expiration Date
Signature of Supervising Electrician
Address (,[I c:;
Cityf~ a,LVlO j
(Olla (p [)Y\.,
O\VNER INST ALLA nON
The installation is being made on property I own which
is not intended for sale, lease or rent
Owners Signature:
Inspection Request: 726-3769
5~lS-6-Z
Date
3. CO~MPLETE FEE SCHEDULE BELO~-tT
A. New Residential- Single or Multi-Family per dwelling unit.
Service Included
I
$106.00
/()&
45'
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
-6
$ 19.00
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$50.00
B. Services or Feeders - Installation. Alterations or Relocation:
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
~
00.
$ 43.00
$ 3.00
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
$ 50,00
$ 50.00
$ 25.00
$ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
A:)\ .r1J
\;10.Cb
~~-k> :\12
\a.SS
4. Sl.IBTOTAL OF ABOVE
8% State Surcharge
10% Administrative Fee
~a C'
....J 10 wC:\1
.e--rAL :
Shared Drive(T:)/Building Fonns/Eleclrical Peimil Application I-06,doc
, . CITY OF SF JGFIELD SYSTEMS DEVELOPMENT
- \;
JOURNAL OR JOB NUMBER: C0M2007-00519
NAME OR COMPANY: Oregon Custom Homes
LOCATION: 2291 Clear Vue Ln
TAX LOT NUMBER: Lot #6 clear vue estates
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS 1 ' BUILDING SIZE (SF: 2440
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.F. x COST PER S.F. CHARGE
3115.00 $0.336 = $1,045.45
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F. x COST PER S.F. x DISCOUNT RATE I
0.00 $0.336 50% I
I
ITEM 1 TOTAL - STORM DRAINAGE SDC
,
I~
2, SANITARY SEWER - CITY
A REIMBURSEMENT COST:
I NUMBER OF DFU's I x
I 28 I
B. IMPROVEMENT COST:
I NUMBER OF DFU's x
I 28
COST PER DFU
$26.03
$19.79
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
)RKSHEET
LOT SIZE (SF):
r/)
W
Cl
,0
U
p:::
I~
~
8842
DISCOUNT
$0.00
$1,045.45
$1,045.45
1070
$728.74
109]
$554.14
1092
=,
$1,282.88
:1
3, TRANSPORTATION
A REIMBURSEMENT COST:
ADT TRIP RATE ' x NUMBER OF UNITS x
9.57 I
B. IMPROVEMENT COST:
I ADT TRIP RATE "
I 9.57
x
I NUMBER OF UNITS' x I
I 1 I
=,
." ,
, ITEM 3 TOTAL - TRANSPORTATION SDC
COST PER TRIP
$19.81
x I NEW TRIP FACTOR
I 1.00
1093
$189.58
COST PER TRIP
$87.39
$1,025.90
x I NEW TRIP FACTORI
I 1.00 I
1094
$836.32
4, SANITARY SEWER - MWMC
A REIMBURSEMENT COST:
NUMBER OF FEU's x COST PER FEU
1 $91.61
I:I; IMPROVEMENT COST:
INUMBER OF FEU's I x
I 1 ,
ICOST PER FEU
I $961.52
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = ,
SUBTOTAL (ADD ITEMS 1,2,3, & 4) , = ,
5. ADMINISTRATIVE FEE:
I SUBTOTAL I x ADM. FEE RATE
, $4,417.36' 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
=
$91.61
I
I ]054
$1,063.13 '
= $961.52 ]055 '
$0.00 1054
$10.00 ]056
j'
"
'j-
153.32 1079
$67.55 1078
=1 $4,638.23
~
$4,417.36
CHARGE
$220,87
Jeff Prociw
4/16/2007
TOTAL SDC CHARGES
PREPARED BY
DATE
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
BATIIT1JB 1 0 3 = 3
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE / OD.. / SOLIDS / ETe. 0 0 3 = 0
IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
LAUNDRY TUB 0 0 2 = 0
CLOTHESW ASHER / MOP SINK 1 0 3 = 3
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
I MOBD..E HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
I RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 1 0 3 = 3
SHOWER., SINGLE STALL 1 0 2 = 2
I SHOWER., GANG (NUMBER OF HEADS) 0 0 2 = 0
I SINK: COMMERCw.lRESIDENTIAL KITCHEN 1 0 3 = 3
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
SINK: SINGLE LA V ATORY/RESIDENTIAL BAR 5 0 1 = 5
URINAL, STALL / WALL 0 0 5 = 0
TOD..ET, PUBLIC INSTALLATION 0 0 6 = 0
TOD..ET, PRIVATE INSTALLATION 3 0 3 = 9
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 28
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family d,~~ing unit (20 DFU's)"~,!~167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR CREDIT RATE/$I,OOO
ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2
BEFORE 1979 $5.29 (Enter I for Yes, 2 for No)
1979 $529 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 2
1980 $5.19 (Enter 1 for Yes, 2 for No)
1981 $5,12 BASE YEAR 1979
1982 $4.98
1983 $4.80 CREDIT FOR LAND (IF APPLICABLE)
1984 $4.63 VALUE/I000 CREDIT RATE
1985 $4.40 $0.00 x $5.29 =1 $0.00
1986 $4,07
1987 $3.67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
1988 $3.22 VALUE / 1000 CREDIT RATE
1989 $2.73 $0.00 x $5.29 0 !I
1990 $2.25
1991 $1.80
1992 $1.59 TOTAL MWMC CREDIT = $0.00
1993 $1.45
1994 $1.25
1995 $1.09
1996 $0.92 >.:t,'
1997 $0.72
1998 $0.48
1999 $0.28
2000 $0.09
2001 $0.05
225 Fifth Street
SprirJgtidtl, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007 -00601
COM2007 -00601
COM2007-00601
COM2007-00601
COM2007-00601
COM2007-00601
COM2007-00601
COM2007-0060 I
COM2007-00601
COM2007-0060 I
COM2007-0060 I
COM2007 -0060 I
CO M2007 -0060 I
COM2007-00601
COM2007 -0060 I
COM2007-0060 I
COM2007-00601
COM2007-00601
COM2007-00601
COM2007-00601
COM2007-0060 I
COM2007-00601
COM2007-0060 I
COM2007-00601
COM2007-0060 I
COM2007 -0060 I
COM2007-0060 I
COM2007-00601
COM2007-00601
COM2007-0060 I
COM2007 -0060 I
COM2007-00601
COM2007-00601
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
1200700000000000579
Description
Fire SF Fee - Residential
Temp Power 200 amps or less
Willamalane Single Family
Addressing Assignment
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Storm Admin
SDC Transpo Admin
Building Permit
3 Baths One & Two Family
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Fireplace (Listed)
-Mechanical Issuance Fee-
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Plan Review Major - Planning
Heat Pump
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
C Jf Springfield Official Receipt
Development Services Department
Public Works Department
Date: 05/15/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
OREGON CUSTOM HOMES,
INe.
jmp
4772
In Person
Payment Total:
\!~eGttd ~m?\ Ar<<JUft:
~ 50~ Ofe~6 ~""
l~
Page I of I
1 :37:50PM
Amount Due
113.30
50.00
2,303.00
31.00
1,105.52
780.80
593.72
189.58
836.32
91.61
961.52
10.00
161.60
66.85
890.65
306.00
12.00
18.00
,9.00
6.00
4.00
15.00
10.00
106.00
95.00
75.58
120.93
162.50
198.00
12.00
86.08
121.89
163.70
$9,707.15
Amount Paid
$9,707.15
$9,707.15
5/15/2007
WilJamalane
Park & Recreation District
Job. No.~2.0D7 -C0619
SYSTEM DEVELOPMENT CHARGE WORKSHEET FOR 2007
NAME~1)~ C1~ tJofY)i~ PHONE:(~vC13.~'- <qqS<{
ADDRESS!.n}1l1 -I DliA5LeJ:~~<<lV STATE:t!&tIP:O,7<!OL(
,LOCATION OF PROPOSED BUILDING SITE:
Street Address: a 2Cf \ CJJ2(]J.JL, Vu..u ~
Plat Name:
Tax Lot Number:
1. DEVELOPMENT TYPE (Check appropriate dwelling{s). Dwelling type definitions are on the
back.)
A. Sinole-Familv Detached
NO. OF UNITS
X $2,303 per unit =
$ ~~()3 .0'0
B. Sinole-Familv Attached
NO. OF UNITS
X $2,426 per unit =
$
C. Multi-Familv Aoartment
NO. OF UNITS
X $2,032 per unit =
$
D. Sino Ie Room Occuoancv
NO. OF UNITS
X $1,016 per unit =
$
E. Accessorv Dwellino Unit
NO. OF UNITS
X $1,151.50 per unit = $
WILLAMALANE SDC
$
$0
$ ;)W3. oV
2. SDC CREDIT (If applicable) SDC payer must fumish proof of
Willamalane Credit approval.)
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
f\ /I /\"~ .V wj)a OJ)
~' ~~men\ Seryices Department
cty of \:rd \ .
~
:5 / lS/ 0'1.
Date
5
DEVELOPMENT TYPE DEFINITIONS1
Single Family Detached Dwelling Unit
A building or a portion of a building consisting of one or more rooms including sleeping,
cooking, and plumbing facilities arranged and designed as permanent living quarters
for one family or household; and not attached to any other dwelling unit or,building.
This definition inCludes manufactured housing.
Single Family Attached Dwelling Unit
A portion of a building consisting of one or more rooms including sleeping, cooking,
: and plumbing facilities arranged and designed as permanent living quarters for one
family or household; and which is attached to one or more dwelling units by one or
more common vertical walls. This definition also includes, but is not limited to "duplex",
"zero lot line dwelling", "townhouse", and "row house". With the exception of duplexes,
Single Family Attached Dwelling Units typically are separately owned.
Multi-Family Dwelling Unit
A portion of a building consisting of one or more rooms including sleeping, cooking,
and plumbing facilities arranged and designed as permanent living quarters for one
family or household; and which is attached to two or more dwelling units by one or
more common vertical walls. Typically, the units are in an apartment building or
complex, and are not separately owned.
Single Room Occupancy Dwelling Unit
A portion of a building consisting of one or more rooms including sleeping facilities with
a shared or private bath, and shared cooking facilities and shared living/activity area.
This definition also includes, but is not limited to "assisted living facility." Single room
occupancy dwelling units shall be charged at one-half the multi-family dwelling unit
SDC rate.
Accessory Dwelling Unit
A secondary, self-contained dwelling that may be allowed only in conjunction WITh a
detached single-family dwelling. An accessory dwelling unit is subordinate in size,
location, and appearance to the primary detached single-family dwelling. An accessory
dwelling unit generally has its own outside entrance and always has a separate
kitchen, bathroom and sleeping area. An accessory dwelling unit may be located
within, attached to, or detached from the primary single-family dwelling. Accessory
dwelling units shall be charged at one-half the single family detached dwelling unit
SDC rate.
Updated 2/20/07
1 From the WPRD Parks and Recreation SDC Resolution No. 06-07-6, October 10, 2006
6