HomeMy WebLinkAboutPermit Electrical 2007-3-21
ZON
INITIALS
DATE
SOURCE
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ZZ5 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 .' .,,~
ELECTlUCAL PEW'W' 4R,Pl:;ICATION
City Job Number ( 'Y /. I~ Dale :.) )'2-1 I UfOl
1. LOCATION OF INSTALLATION: .~.~. ..:. 3, ~^(:Oii1Puiri FEE SCHEDULE BELOiv'
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LEGAL DESCIUPTlON: <)() / ...rP'\
;-/"M~ .' \ f)n:.;,,~23c:VlL.UU
JOB DESCRIPTION:
A-JrI, "j.,"cJ1'l
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
~..':"""'- .~.- ~.'-: ..~ ... "Y;:--',--. ~?"- -
2. ; ~ONTRACTOtIN~!A.!~~~ON o~r ':
Electrical Contractor
Address
/
City
Expiration Date
Constr. ContrLber
EXPiratio~te
Signature of Supervising Electrician
Owners Name ~ Dc"", A,,,- d
Address {, r; c; It .. dv ~6> . .
;
City tj>,.."r::l-eJd. Phone s:tC...7'fl1'1f1'J..J-
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
~!itur~
,,/
Inspection Request: 726-3769
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A.' New Residential- Single or Multi-Fnmilv pcr dwelling unit.
____. _ .__.:. ..__ ... _ h.... _ 'I-,~.. .,. .... ._.
Service Included
\000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
$\06.00
$ 19.00
Each Manufact'd Home or
...,..J JVU ,U
Modular Dwelling Service or , L~'h'OO
F d "",..nnnn oIl;)\}.
ee er J.ChJie.10~' t\.., -"-~resetto;
._~ ~\:.-;,.- .1.;\GF;;' "'d ~ I'" "i'I~I.fo:\1"9$ a ~ .~.., 6.G -'.-
B. Services or. ef ers'h nsta atIo'~l~~e"atlOns Or RelocatIon:
L_1t\11"-""=~ "Y'.. Cf\{),hIOUy> ",' ' ules ..
".\8, LJ"2-00~-U . , ieS ottt'.e r
200 Amps. 9r'l~ss,aV 00t3111 cOp .\_ _ .n\~'6it0()3
20IJAOn\'ps}.?lo~ Amps\t~r. {Not,,:..~;:~ .....".flu;Olj:>1)
t""~\\.,10 \\1.... "" 0 -""oOn t.;u".J
401 Amps to 600.Amps "" ...~~ .)q.1.~$125.00
601 A.J,~rPo"YQ~~',A"mpif \.,,\,,)....u_ $163.00
Over 1000 AmpsNolts $375.00
Reconnect Only $ 50.00
,c. ~.~~e~po!.a-'2..~,et~v~c~s ~r !~.e~er~
Inst%'ePl'lt~!erationor Reloention 11'\1.'. WORK
200 ~\lII'5~'1!~M\T SHALL EXPIRE \~ 'ylWi~l/n
201 'J\ t~tffi:mR}NOER TH\~ rc.nMI $ ~~OO
401 AI'~~~~aR IS t>.B.ANDUNtU $\Bo.oo
Over ~CWf'l'€6$~~~p\W>\QQee "B" above.
D. 1. Branch Circuits. .
New AIteration or .Extension Per Panel
One Circuit I
. Each Additional Circuit or with
Service or Feeder Pennit I
~3.L";)
';tY
$ 43.00
$ 3.00
~
~-y.."........"...- ,"
E. : l\1iscelIaneo"its '(S~rvice/feeder not included) -Each "IlIst"lIatioll .'.
"/--- ... - - ~- "'.- - - ~_.
Pump or irrigation $ 50.00
Sign/Outline Lighting $50.00
Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45.00
. l\1in::.num Electric Permi.tl~speetion ~fe is $45.00 + Surch)rges .-€"J
4. :-SUBTOTALOFABOYE .',. ~lo ~
--..... _.~ - ..~.' ..... - "~._~. -'
8% State Surcharge :.:? \Of)
10% Administrative Fee L\: .l A
5% Technology Fee 1.. 2l (..1
TOTAL B Q$
Shared Drive(T:YBuilding Fonns/Electrical Pennit Application 8-06.doc
. .
DRAINAGE FIXTURE UNIT (OFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVAlENT - DRAINAGE FIXlURE UNITS II
(NOTE: FOR REMODELS. CALCULATE ONLY mE NET ADDmONAL FIXTURES) I
NO. OF FIXTIJRES DRAINAGE
UNIT FIXTIJRE
FIXTIJRE TYPE NEW OLD EQUIVALENT UNITS
IBATIITUB 1 0 3 = 3
IDRINKING FOUNTAIN 0 0 1 = 0
IFLOOR DRAIN 0 0 3 = 0
jINTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC. 0 0 3 = 0
!INTERCEPTORS FOR SAND I AUTO WASH I ETe. 0 0 6 = 0
I LAUNDRY TUB 0 0 2 = 0
ICLOTHESWASHER I MOP SINK 0 0 3 = 0
ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = D
IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRlG I WATER STATION I ETC. 0 0 1 = 0
I RECEPTOR FOR COM SINK I DISHWASHER I ETe. 0 0 3 = 0
ISHOWER. SINGLE STALL 1 0 2 = 2
ISHOWER. GANG ~ER OF HEADS), 0 0 2 = 0
I SINK: COMMERC\AlJRESIDENTIAL KITCHEN 0 0 3 = 0
I SINK: COMMERCIAL BAR 0 0 2 = 0
I SINK: WASH BASINIDOUBLE LAVATORY 1 0 2 = 2
ISINK: SINGLE LAVATORYIRESIDENTIAL BAR 0 0 1 = 0
IURINAL. STALL I WALL 0 0 5 = 0
ITOILET. PUBLIC INSTALLATION 0 0 6 = 0
ITOILET. PRIVATE INSTALLATION 1 0 3 = 3
MlSCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 10
-EDU (Equivalent Dwelling Unit) is a discharge equivalent to a sinWe family d'o\l'ClIing unit (20 DFU's) Sd at 167 gallons ocr day
-
II
II
I
I
I
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATflSI,OOO
ASSESSED VALUE
$5.29
$5.29
$5.19
$5.12
$4.98
$4.80
$4.63.
$4.40
$4.07
$3.67
$3.22 '.
$2.73
$2.25
$1.8D
$1.59
$1.45
$1.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.05
]
IS LAND ELGlBLE FOR ANNEXATION CREDIT?
(Enter 1 for Yes, 2 for No)
IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
2
2
1979
. CREDIT FOR LAND (IF APPLICABLE)
VALUE 11000 CREDIT RATE
SO.OO x S5.29
= I
SO.OO
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE 11000 CREDIT RATE
$0.00 x $5.29 = ,
o
TOTAL MWMC CREDIT
=
SO.OO
CITY OF SP"ELD SYSTEMS DEVELOPMENT &KSHEET
JOURNAL OR JOB NUMBER: C0M2007-00125
NAME OR COMPANY: Vincent Crawford
LOCATION: 66 Shady Lp
TAX LOT NUMBER: 1703262300608
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNlTS 0 BUILDING SIZE (SF' 0 LOT SIZE (SF):
I. STORM DRAINAGE
o
1
I'"
ICl
10
I~
'"
G
~
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. I I CHARGE I
322.00 1 $0.336 I = $108.07
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
1 IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I I
I 0.00 1 $0.336 I I 50% = 1
ITEM I TOTAL - STORM DRAINAGE SDC 'SI08.07
2. SANlT1RY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's 1 x
I 10 1
DISCOUNT
$0.00
S108,07
1070
COST PER DFU
$26.03
$260,27 11091
I I
I $197.91 11092
=, $458.17 I
B. IMPROVEMENT COST:
I NUMBER OF DFU's I x
I JO 1 $19.79
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
l...IRANSPORT A TlON
A. REIMBURSEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNlTS I x I COST PER TRIP x 1 NEW TRIP FACTORI
I 9.57 I I 0 I I $19.81 I 1.00 I = SO,OO 1093
B. IMPROVEMENT COST: I
1 ADT TRIP RATE 1 x I NUMBER OF UNITS I x I COST PER TRIP x I NEW TRIP FACTORI
I 9.57 I i 0 1 I $87.39 I 1.00 I SO.OO 11094
ITEM 3 TOTAL - TRANSPORTATION SDC = r SO.OO I
4 SANlTARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
1 0 1 I S91.61 = SO.OO 11054
B. IMPROVEMENT COST: I
INUMBER OF FEU's I x ICOST PER FEU
I 0 1 I $961.52 = SO.OO 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) SO.OO 1 1054
MWMC ADMINISTRATIVE FEE SO.OO 1056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , SO.OO
_I
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , $566.24 I
,iJ.DMTNISTRATIVF. FEE:
I SUBTOTAL x I ADM. FEE RATE 1= CHARGE
I S566.24 1 5% 1 $28.31
TOTAL SANITARY ADMINISTRATION FEE: 28.31 .11079
TOTAL TRANSPORTATION@MlNISTRATIONFEE: $0.00 11078
Jeff Prociw 2/28/2007 TOTAL SDC CHARGES =, $594.55
PREPARED BY DATE
nn______._
225 Fifth Street
Spri~gfield, Oregon 97477
541-726-3759 Phone
.
'~",""'d.o,',. '
11;:'-><,'''''' .. :
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........ . . -.J ..
<& of Springfield Official Receipt
.Iopment Services Department
Public Works Department
Job/Journal Number
COM2007-00125
COM2007-00125
COM2007-00125
COM2007-00125
COM2007-00125
COM2007,OOl25
COM2007-00125
COM2007-00125
COM2007-00125
COM2007-00125
COM2007-00125
COM2007-00125
COM2007-00125
COM2007-00125
COM2007-00125
COM2007-00125
COM2007-00125
Payments:
Type of Payment
CreditCard
cRcceinll
RECEIPT #:
3200700000000000161
Date: 03/21/2007
Description
Fire SF Fee - Residential
Stonn Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Sanitary/Stonn Admin
Building Pennit
Fixture
Stonn Sewer - 1st 50 Feet
Vent Fan
Miscellaneous Mechanical
Minimum! Adjustment Mechanical
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 8% State Surcharge
+ 10% Administrative Fee
Plan Review Minor, Planning
+ 5% Technology Fee
Paid By
VINCE CRAWFORD
Item Total:
l..:heck Number Authorization
Received By Batch Number Number How Received
njm 015058 In Person
Payment Total:
Page I of I
I: 11 :49PM
Amount Due'
22.80
108.07
260.27
197.91
28.31
353.10
70.00
45.00
6.00
12.00
27.00
43.00
6.00
44.97
58.49
112.00
33.71
$t,428.63
Amount Paid
$1,428.63
$1,428.63
3/21/2007