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HomeMy WebLinkAboutPermit Electrical 2000-6-27 (2) r" ~ efOfl On/I} OWII] elJlJro g, ena 9 IJrOJe Va/ (JOes CI (l,s . '101 sUb o <: re'l ""ite 225 FIFTH STREET ele 0'11'11} ulre SIJ~"aSI" ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 974"m,,0 '1,0 fa: fOllo"" INSPECTION REQUEST: 726-37f?JSig auea.~ Job Number r10-()08+I-OI OFFICE: 726-3759 na~~ 1. LOCATION OF INSTALLATION 3'1(1 n+1k^.# LEGAL DESCRIPTION 110;;,0611 O~:;.oo JOB DESCRIPTION '11= r<. Permits are non-transferable and expire if york is not started vithin 180 days of issuance or if york is suspended for 180 days. 2. CONTRAcrOR INSTALLATION ONLY Electrical Contractor Philip~ Electric. Inc. Address l?qR Rpt~pl Orivp Ci ty EUQ"ene Phone(~411 fiRR-fi121 Supervisor License Number ?71q~ Expiration Date 10101/01 Constr Contr. Number 2D-17Qc Expiration Date 10/01/00 Signature of supervis~cian . 7atnan t'tuHps -1/ 1.M,j,~ .y~ . ~ Ovners NaJne v Address '?O( -H~Jd Ci ty '7"'1 lei Phone '1'"1"/- t'9.tr OYNER INSTALLATION The installation is being made on property I ovn vhich is not:intended for sale, lease or rent. owners Signature: --------------7r,---------------------- DATE: 'O~'u.(7'QC) . RECEIPT 11: " ""7--z.... RECEIVED BY: lJ'l.' JVi '_{ . FEE SCHEDULE BELOY v Re idential-Single or Mul . Family per dwelling unit. Service Included: 1000 sq.ff. or less I Each additional 500 sq. ft or portion thereof 2- Each Manuf'd Home. or Modular 'Dvelling .' Service or Feeder .B. Services or Feeders Installation, Alterations or Relocation: Items Cos t Sum 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 $ 85.00 tS.'e $ 15.00 30 .$ 4().00 $ 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 $ 40.00 $ 55.00 $ 80.00 see fiB" above " New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation .Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Add it i onal Circuit or with Service 'or Feeder Permit E. 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 not included) $ 40.00 -S 40. 00 $ 20.00 $ 36.00 ;,<;112 ?~ 1. "IS ,/.J.d".~~ . . < Job. No. DO. 006W ( SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME:.I_ tP~~ PHONE: 1~.lA.lo(O ADDRESS: M~ ~\.iJ fx\l1}i.o.(J STATE: ~IP: Qn'1(p LOCATION OF PROP~SED BUILDING SITE:RedMO(\d . Street Address: .~~\;t tJt1~~~ \Jr\UV Plat Name:~ \X\ 1\ r., _ Tax Lot Number: t %tfLDl.a\ 1 061 rt) 1. DEVELO~YPE (Check appropriate dwelling(s). SDC calculations and dwelling t ypc definitions are on the back.) . A. BinolA-Fflmilv DAtflr:hAO 1 Single Family home NO. OF UNITS \ Manufactured home not in a park X $1,000 per unit = $1D(Y). ou B. SinolA-Fflmilv Attflr:hAO NO. OF UNITS X $924 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. ManufR&1llrAo Home Pam. $ $ \ r{)() .00 1 NO. OF UNITS WILLAMALANE SDC X $699 per unit c 2. SDC CREDIT (II applicable) SDc-payer must furnish proof of Willamalane Credit approval. See SDC Credit Worksheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED . (IIS.~\~::-~.;re t \ I M'AQJ )[)Q1? ~ CQ , ~'7 ,00 ~~~nfent S'1ices Department Dale City of Springfield $ \ 000.00 - . ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPM,ENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER 00-00871-01 NAME OR COMPANY: HAYDEN ENT LOCATION: 3961 DOUGLAS DRIVE TAX LOT NUMBER 18-02-06-1 1-08700 DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE DWELLING UNITS: BUILDING SIZE: 1728 LOT SIZE: 6570 1. STORM DRAINAGE IMPERVIOUS SQ. FT. 2132.00 x $0,232 PER SQ. FT. 2. SANITARY SEWER-CITY NUMBER OF PFU's (SEE REVERSE SIDE) 18 x $48.27 PER PFU 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 $494.62 1 $868.86 I $491.60 I $0.00 I $491.60 I 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's $242.76 PER FEU x B, IMPROVEMENT COST: NUMBER OF FEU's $22.05 PER FEU x MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE TOTAL MWMC SDC SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5. ADMINISTRATIVIi FFFS~ BASE CHARGE (SUBTOTAL ABOVE) x 0.05 $242,76 I $22.05 I ($67.05)1 $10.00 1 $207,76 1 $2,062,84 I $103.14 I ~T~ SOC COORDINATOR 06/14/2000 DATE TOTAL SDC CHARGES I $2,165.981 . - PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIY ALENT = PLUMBING FIXTURE UNITS .!!"OTE: FOR REMODEL~. CAt.GJt.ATE ONLY THE NET ADDITIONAL FIXTURES) FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASE/OIUSOLlDSIETC, INTERCEPTORS FOR SAND/AUTO W ASHIETC. LAUNDRY TUB/CLOTHESW ASHERlMOP SINK CLOTHESW ASHER - 3 OR MORE MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIGERA TORIW A TER ST A TION/ETC. RECEPTOR FOR COMMERCIAL SINK/ DlSHW ASHERlETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URINAL,STALLAVALL WASH BASINILA V ATORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: FIXTURES NEW OLD 2 UNIT EQUIVALENT 2 I 2 3 6 2 6 6 1 3 2 1 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 IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEP ARA TEL YEAR ANNEXED 1979 or before 1980 1981 1982 1983 1984 1985 1986 1987 1988 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 $4.47 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 15.000 = CREDIT T9TAL $67,05 $0,00 $67.05