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HomeMy WebLinkAboutPermit Electrical 2002-6-3 ,i, 225 FIFTH STREET . SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 ELECTRIePERMIT APPLICATION City Job Number OZ-o D I..{OO -0 I 3. COMPLETE FEE SCHEDULE BELOW 200 amps or less 20 I amps to,400 amps 40 I ar~p,s~t~~\60'0~mps 6p ~ aiil~s.toJ.O~~~mps ~ 0ver'l 000 'iiml!S!volts t~'" v rn.' ~...- r ~- ...,,?- '{Recon-nect:Oiily}0 0 ,,';'- '0'1 ~\)'- Or' '" '. o~ - - .oJ' ",0 r;"'.r!i' !\~ o~ 'i!,0~ . ,.~., "0~'I. ~'(\O,C()\.Tcmporaf'y'.Services or Feeders . \'.1 'l).v ,. \'" .-''C.I P." ~'\\" .<-,' ~",,,, ;<:o,-e !;)'-() Installation,'J\lteralion or Relocation \,,,, ~~ ~~ ~ G~()...<;j ::o'-~~ ~0,-0~~v.\~f)I><" Expiration Date ,~~o ,:",,-\0 b(IP ~'\ 0 :l.e'2~PI,a~ps 'Or less -L ~o"" ~<?o 9J oY> ~ e C.e~ (20 ~;~mps to 400 amps Signature of Supervising Electrician .,,0 ,,:-l ,,~,~'" '0~er 401 to 600 amps \" R>v .~..." ,0' ~' ()<:5 c.~\..e~ 0~,-0 Over 600 amps or 1000 volts see {\Y>~v G "B" above ^-'\- . ~v~ d 1 I f D. Branch Circui~~ .;@ Owners Name-r; d t.J c- '7 "I e...r-- New Alteration o....~~~~r Panel '7? ' L -(,~~<:o.((. .Do......... ,-(;' V One Circui~ <t~' _ $43.00 Phone 71(./;- b$7b EachA~~~~uitorwithservice orF~~~ . _$3.00_ ~..;:s 9:0 ~ ~ ~s (Service/feeder not included) ~~ - Ion ;...~ ~l;" of gation _ $50.00_ ;j;) ~ine Lighting - $50.00 ~d Energy/Res $25.00 Lllroted Energy/Comm $45.00 I. LOCA1'ION OF INSTALLATION ?:.l/7~ FALLOlo/ /)(l A. New Residential-Single or Multi-Family per dwelling unit. Service Included: LEGAL DESCRIPTION /702. 19 Lf3 037()C> JOB DESCRIPTION ;A -. ~~)l2.9h!goo,~uftwiJIgless SF rL. W,*,.r&l6fi[ 'u~t require)lPeclBadlllfllllllfo~al 500 zonlOg. a sq. ft or portIon Permits are non-transferable and'~~Pl~', vD,.t.. th ..~ if work is not started within 180 days zonlO~ .... ~ _ c> l. .Each MonnPq Wome or of issuance or if work is suspen<\9dtIC- -K~odular D~elli.ng 180 days. Authorized Signature ~". vIce or reeder 2. CONTRACTOR INST ALLA TION ONLY 8. Services or Feeders Installation, Alterations or Relocation: Electrical Contractor Address / ~ City Constr Contr. Number Address J 777 S f?FD City OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~~~ / Items Cost Sum $106.00 $ 19.00 $ 50.00 $ 63.00 $ 75.00 $125,00 $163.00 $375.00 $ 50.00 $50.00 SO $69.00 $100.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ;:;m 0~'6001 $ ;:;00;:; m Nnr 1ji;>~6000-1O:~N\i~1 4. SUBTOTAL OF ABOVE 7% State Surcharge 80/0 Administrative Fec TOTAL :>0 '3:>.;> '-{ou (iS7~ . 6(. , CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER: 20040001 NAME OR COMPANY: TODD WAGNER LOCATION: JJgL..<- u ~ ............... I TAX LOT NUMBER: i7=ul:19-43 TL:3700 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE I NEW DWELLING UNITS: 1 BUILDING SIZE: 2803 SF LOT SIZE: 6571 I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I I IMPERVIOUS S.F'I xl COST PER S.F. I. I 3096.18 $0.273 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS 1 IMPERVIOUS S.F. 1..1 COST PER S.F. 1 xl DISCOUNT RATE J L 0.00 $0.273 I 50% I ITEM 1 TOTAL. STORM DRAINAGE SDC 2, SANTTARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's 1..1 COST PER DFU I ~ ~137 B. IMPROVEMENT COST: I NUMBER OF DFU's I " I COST PER DFU I 29 $16.24 I ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3, TRANSPORTATIOI':! A. REIMBURSEMENT COST: I ADTTRIP RATE I "I NUMBER OF UNITS I xl COST PER TRIP I.INEWTRIPFACTORI I 9.57 I I $16.21 1.00 =1 B. IMPROVEMENT COST: I ADT TRIP RATE 1..1 NUMBER OF UNITS I x I COST PER TRIP J' I 9.57 _ I I $68.94 I ITEM 3 TOTAL - TRANSPORTATION SDC 4, SANTTARY SEWER - MWMC A. REIMBURSEMENT COST: I NUMBER OF FEU's 1 " I COST PER FEU I I $332.86 B. IMPROVEMENT COST: I NUMBER OF FEU's 1 x I COST PER FEU I I I $34.83 MWMC CREDIT IF APPLICABLE (SEE REVERSE) SUBTOTAL OF MWMC REIMBURSEMENT. IMPROVEMENT & CREDIT MWMC ADMINISTRATIVE FEE I ITEM 4 TOTAL - MWMC SANITARY SEWER SDC - I SUBTOTAL (ADD ITEMS 1.2.3. & 4) 5. ADMINISTRATIVE FEE: SUBTOTAL I'l ADM.FEERATE $3.109.66 5% :r1191.( ~A '~CtV 1\( I NEW TRIP FACTOR I 1.00 =1 =1 r.I) w Q o SF U '0:: ~I~ .:U r.I) $845.26 I S ~ I I 1070 =1 =1 =1 $0.00 $845<26 'Bj 1091 I l 1092 =1 $619.73 1093 $659.76 _L 1094 $814.89 I I l 4/23/2002 =1 $155.48 TOTAL SDC CHARGES =1$3,265.14 =1 =1 $470.96 $1,090.69 $155.13 =1 $332.86 = I $34.83 =1 ($18.87) = I $348.82 I 11055 =[ $10.00 I 1056 T$358.82 --n =1$\109.66 II I I I ~~ SDC COORDINATOR DATE 1073 . . :- . ,. . DRAINAGE }fIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW RXTURES x UNIT EQUlV ALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL RXTURES) NO. OF FIXTURES DRAINAGE ( # NEW # OLD ) x EOU~ENT = FIXTURE FIXTURE TYPE UNITS BATHTUB ( 2 0 ) x 3 = 6 DRINKING FOUNTAIN ( 0 0 ) x I = 0 FLOOR DRAIN ( 0 0 ) x 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. ( 0 0 ) x 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. ( 0 0 ) x 6 = 0 LAUNDRY TUB ( 0 0 ) x 2 = 0 CLOTHESW ASHER / MOP SINK ( 2 0 ) x 3 = 6 CLOTHESW ASHER - 3 OR MORE (EA) ( 0 0 ) x 6 = 0 MOBILE HOME PARK TRAP (I PER TRAILER) ( 0 0 ) x 12 = 0 RECEPTOR FOR REFRIG / WATER STATION / ETC. ( 0 0 ) x I = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. ( 0 0 ) x 3 = 0 SHOWER, SINGLE STALL ( I 0 ) x 2 = 2 SHOWER, GANG (NUMBER OF HEADS) ( 0 0 ) x 2 = 0 SINK: COMMERCIAURESIDENTIAL KITCHEN ( 1 0 ) x 3 = 3 SINK: COMMERCIAL BAR ( 0 0 ) x 2 = 0 SINK: DOMESTIC BAR ( 0 0 ) x I = 0 WASH BASIN ( 0 0 ) x 2 = 0 LAVATORY ( 3 0 ) x I = 3 URINAL, STALL / WALL ( 0 0 ) x 5 = 0 TOILET, PUBLIC INSTALLATION ( 0 0 ) x 6 = 0 TOILET. PRIVATE INSTALLATION ( 3 0 ) x 3 = 9 MISCELLANEOUS DFU TYPE NUMBER OF EDU's' ( 0 0 ) x 20 = 0 TOTAL DRAINAGE FIXTURE UNITS =1 29 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DAJ's) set at 167 gallons per day MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEP ARA TEL Y YEAR ANNEXED 1979 OR BEFO~ 1980 1981 1982 1983 1984 1985 1986 1987' 1988 1989 CREDIT RATE PER $1,000 ASSESSED VALUE $4.92 $4.83 $4.77 $4.64 $4.47 $4.30 $4.09 $3.78 $3.41 $2.98 $2.52 I CREDIT FOR LAND (IF APPLICABLE) CRED~FOR IMPROVEMENT (IF AFTER ANNEXATION) YEAR ANNEXED 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 CREDIT RATE PER $1,000 ASSESSED VALUE $2.06 $1.64 $1.45 $1.31 $1.13 $0.97 $0.82 $0.63 $0.41 $0.22 $0.04 VALUE /1000 CREDIT RATE 29.952 x $0.63 =1 0.000 x $0.63 =1 TOTAL MWMC CREDIT =[ $18.87 I $0.00 I .$18.8I--1