HomeMy WebLinkAboutPermit Electrical 2003-9-23
,','-',.. i':~225FIF'fH,STREET .,.". ~> i,~~j;~m) ~;,~:,.,g ;'': ;;~;,;f EL~CALPERMIT APPLICATION,....,
:t'1~~ ~~: SPRl)'lGFg;;LD, OREGON 97'\77 ~?~~ Ne ~ ',';f~[f;';~:; ,c';~;:~~.mr~f;'-"'~~1 Ii;;
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Mult.i-Family per dwelling unit. '~~\,
Service Included: ""~:J";;'
Items Cost SutiJ':'!-
..y:,~~:,
L $106,00 \t!o.()O
",;"ciJ
.J.a $ 19,00 \l~t
L~~R~C.neTION ,
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Permits are rion-tm crclble an expire
if work is not'started within 180 days
of issuance 'Irif work is suspended for
180 days,""1:
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.. .',' Owncrs Signature:
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"
1000 sq,[t. or less
Each additional 500
sq, ft or portion
thereof
Eaclt Manui'd Home or 4"
B s'm:~:::::~ j'h~;,' '""":~
Installation, Alterations' ''''is':;'',,,':');,, '}T22,;:;'
Relocation: ::~t,i;~:~f~:1~~,,~,c ;~~t~
,-,.,fA:).( '3:'$ 6'" 00--' ~-~'", _::.\
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- ..,~;;:
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qJ;a,!I1pi;t~,409,~I]}p
Ov,<;r3:0},;t2,[~00,illh.p
Over 600 amps oiIO vo ts
liB II aboye 4~~~t~~r~-
""c. ~!
#;.fy i';-
,"';(,,,,~ ~: '~._-
D. Branch Circuits o,,:{:;~\<r
, ,'..'c'._.." ""'.iA;.",_
Ne\\;'Alteiation or Extension Per Pan~] "
O~~Elr~~~[;f' ~3it~'~~ii~~;r~9?~;.~tt!;
Each Additional Circuit or with Service' , . ",'" ,.,,:
or Feeder Permit "":; "'$ 3 ,OO;~:,
, ~-.",. " ' ' ". -. '"
00
.,
~ ;(
.,:,
E.
l\liscell'1I1eous (Service/feeder not inc\uu-ed)
-Each installation ,:" ' '
, Pump or irrigation'"
Sign/Outline Lighting'
Limited Euergy/Res ,
Limited Energy/Comm
,f'
;;.
,.,
$50,00
$50.00
$25,00
$45,00
I\linimum Elcctric Permit Inspection Fcc is S~5.00 + SurchargcoS
t~:;
.~\ c;)pl)
4. SUBTOTAL OF ABOVE
70/0 State Surcharge
8% Administrative Fce
TOTAL
".
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.
.~"..~ WiIlamalane
t, j Park & Recreation District
"W SYSTEM DEVELOPMENT CHARGE
. WORKSHEET
NAME: ~-\u.Re ~'\\we<)
ADDRESS: ~~t) "
Job. No, ~J]fiQaJ~.DQCr1\
PHONE: -M. . r1JJJJ
STATE: D{l.zIP: ~Ol
LOCATION OF PROPOSED B ILOING SITE:
Street Address: ~?J," , U \ '
Plat Name:~\\'~(L~,",Tax Lot Number: \\rrf)
1 ~ 'DEVELOPMENT TYPE (Check appropriate dwelling(s). SOC calculations and dwemrigt
, )'l)e definitions are on t~e bacl<.)
A. SiwIA-F~milv OpfR~hAd.
\ Single Family home
NO. OF UNITS . \
Manufactured home not in a park' '
X $1,000 perunit=$ \CfD~O
B. Sin'alfl-FRmilv_Attachfld'
NO.,OF UNITS
. X $924 per unit ,-' $
C. Multi-Familv Aoartment
NO. OF UNITS
X .$692 per unit = $
l? Maol.!1ilcfurArl HomA PRrk
NO. OF UNITS
WILLAMALANE SDC
X $699 per unlt
= $
$ \fl1'\. aD
$ r;(
,
$ .JDIj).00
2. SDC CREDIT (ll appficable) SOG-payer must lumlsh prool 01
WillamaJane Credit approval. See sac Credit Worksheet.
3; TOTAL WILLAMALANE NET SDC ASSESSED
01 SDC reduced lor Credit)
~(1\
Developmenl Se~c s Department
City of Springfield .
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Application For a Second Driveway or Overwidth Driveway
Applicant (Property Owner!: ~ 13 ~.a..-- Date: ~Jt>_.~
Address of Property Owner: 111.. ~~~ 1 Lj- ~5 .. '
Address of Property for Driveway Permit: 8 r A R~~)\J IV-\.
, f-"~ t t," (,,[)'~:.:r I ~
Building Permit N~~~"i. '0 ,c) .. () I 0 Second driveway ~verwidth
ApplicatIon Fee:
$35.00
I,' I
Received By: fl :;,
, /
(Max, 30') 1D ~.
))C.e.t!- w /
Receipt No: dt.f
Please sketch the proposed driveway, Include the foilowing applicable items: house or building, proposed driveway, and street names.
Include dimensions and measurements to property lines, road intersections and bordering driveways. (See attachment
for an example),
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All applications outside the city limits of Springfield that are within the Urban Growth Boundary require a Lane County Permit.
Note: The City of Springfield will not grant a second driveway permit on an Arterial or Colledor Street.
Over width driveways up to 30ft. may be approved by the transportation planning engineer provided that safety and traffic guidelines are met.
Driveways over 30' In width require a Land Use Decision and are not handled on this appllcation,(Contact the Planning Depl)
The application fee Is not refundable,
.
.
,.
.'
"
1, Property type: Single Family Dwelling ~Plex _ Other
2. _The proposed driveway will take access from which street? 1{~ ~ W ~
3, The distance from the edge of the driveway to the nearest comer (measured to the curb return) Is 2.2.l:; feet.
4. The second driveway will give access to: Garage_ Carport _ Side yard_ Other 'R, V, Y ~ Sf> ~ .. ~ -
5. The distance from the property line to the garage, carport, fence, wall or other (where the vehicle is to be pari<ed) is '2/) feet.
6._WiII the proposed parking I storage area create a vision obstruction to adjacent property driveways or to any vehicular
movement on a public street? (See vision clearance attachment) 1--1,R'j
A permit will require that the epplicant meet city andlor county standards, speclficetions, end codes, Generelly this means that the
area behind the sidewalk shall be surfaced to the property line and also a minimum of 18 feet behind the property line.
When this application is approved by the City, the applicant must obtain a curbcutldriveway permit from the Public Works Depart-
ment, Engineering Division within 60 days or reapply,
Property owner' sslgneture: h ~..>V~
Dete: q/~+(() ~
- 7-
Approved by:
~ W/~__ _.
(Traffic DMslon)
Date:
, / Zq /0 '5
,
Staff Comments:
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CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER: COM2003-00971
NAME OR COMPANY: Future B INC
LOCATION: 818 River Knoll Way
TAX LOT NUMBER: 17032343 Tax Lot 11000
DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE
NEW DWELLING UNITS 1 BUILDING SIZE (SF: 0 LOT SIZE (SF):
I. STORM DRAINM1F
10487
J-
en
W
18
0:
w
f-
en
o
~
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S,F. x I COST PER S.F, CHARGE I
I 4476,00 I $0.290 I = I $1.298,04
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S,F, I x I COST PER S.F, I x r DISCOUNT RATE 'I I DISCOUNT
I 0,00 I $0,290 I I 50% = I $0,00
ITEM I TOTAL - STORM DRAINAGE SDC SI,298,04 ,
2, SANITARY SEWER _ CITY
SI,298.04
11070
I
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x I COST PER DFU
I 32 I I $22.64
B, IMPROVEMENT COST:
I NUMBER OF DFU's I x COST PER DFU
I 32 I $17,21
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = ,
3, TRANSPORTATION
A. REIMBURSEMENT COST:
I ADTTRIPRATE I x I NUMBER OF UNITS I
I 9,57 I I I
B, IMPROVEMENT COST:
I ADTTRIPRATE I x I NUMBER OF UNITS I
I 9,57 I' I
ITEM 3 TOTAL - TRANSPORT A nON SDC
S724.48
11091
5550.72
1092
SI,275.20
x I COST PER TRIP x INEW TRIP F ACTORI
I $17,23 I 1.00 I
x I COST PER TRIP x INEWTRIPFACTORI
I $76.oJ I 1.00 I
= , $892.31
SI64,89
11093
I
S727.42
11094
4, SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I I I $332.86
B. IMPROVEMENT COST:
INUMBER 01 F FEU's I x ICOST PER FEU
I $34,83
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SD<
=
$332.86
1054
DATE
= $34,83 11055
SO.OO 11054
SIO.OO 1056
= , $377.69
= , $3,843,24 J
CHARGE
$192,16
, 142.68 1079
I $49.48 [1078
TOTAL SDC CHARGES =1 $4,035.40 I
_L
SUBTOTAL (ADD ITEMS 1,2, 3, & 4)
5 ADMINISTRATIVE FEE:
I SUBTOTAL I x I ADM, FEE RATE 1=
i $3,843.24 I 5% I
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Matt Stouder
I, PREPARED BY
9/29/2003
. .
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT - DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS. CALCUlATE ONLY TIlE NET ADDITIONAL FIXTURES)
NO, OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
IBATHTUB 2 0 3 = 6 I
I DRINKING FOUNTAIN 0 0 1 = 0 1
I FLOOR DRAIN 0 0 3 = 0 I
IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 .I
IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
ILAUNDRY TUB 1 0 2 = 2
ICLOTHESW ASHER / MOP SINK 1 0 3 = 3
.CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
ISHOWER. SINGLE STALL 2 0 2 = 4
ISHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0
I I SINK: COMMERCiALiRESIDENTIAL KITCHEN 1 0 3 = 3
I SINK: COMMERCIAL BAR 0 0 2 = 0
I SINK: WASH BASINIDOUBLELAVATORY 2 0 2 = 4
ISINK: SINGLE LAVATORYIRESIDENTIAL BAR 1 0 1 = 1
IURlNAL. STALL / WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRIVATE INSTALLATION 3 0 3 = 9
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 32
.EDU (Equivalent Dwelling Unit) is a discharge eQuivalent to a sin!Ve family dwellinJ!: unit (20 DFU's) set at 167 nllons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
CREDITRATE/$I,OOO I
ASSESSED VALUE I
I
I
1
I
I
I
I
I
I
I
$4.92
$4,92
$4,83
$4,77
$4.64
$4.47
$4.30
$4.09
$3,78
$3.41
$2,98
$2,52
$2,06
$1.64
$1.45
$UI
$1.13
$0,97
$0,82
$0,63
$0.41
$0.22
$0.04
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enler I for Yes, 2 for No)
BASE YEAR
o
o
1998
CREDIT FOR LAND (IF APPLICABLE)
VALUE /1000 CREDIT RATI~-
$0,00 x $0,41 = ,
$0,00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE/1000 CREDIT RATE
$0,00 x $0,41
o
TOTAL MWMC CREDIT
=
$0,00
,..'
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-0097I
COM2003-0097I
COM2003-0097I
COM2003-00971
COM2003-00971
COM2003-00971
COM2003-0097I
COM2003-0097I
COM2003-00971
COM2003-0097I
COM2003-00971
COM2003-0097I
COM2003-0097I
COM2003-0097I
COM2003-0097I
COM2003-00971
COM2003-00971
COM2003-00971
COM2003-00971
COM2003-0097I
COM2003-0097I
COM2003-0097I
COM2003-0097I
COM2003-0097I
COM2003-0097I
COM2003-0097I
COM2003-0097I
COM2003-00971
COM2003-00971
C0M2003-0097I
COM2003-0097I
COM2003-0097I
Payments:
Type of Payment
CreditCard
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Receipt #: 1200200000000002663
Description
Sidewalk Permit
Curbcut Permit
PW Mult Disc - 2nd Permit
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
Curbcut - Overwidth Appl
Plan Review - Planning
Building Permit
3 Baths One & Two Family
Furnace - up to 100,000 btu
Boiler/Comp 3-15 HP
Vent Fan
Appliance Vent
Dryer Vent
Gas Outlets 1-4
Gas Fireplace
-Mechanical Issuance Fee-
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Backflow Device
+ 7% State Surcharge
+ 10% Administrative Fee
Plan Review/Residential Hourly
Received By
Check Number
Batch Number Authorization Number
Paid By
JERRY BRAUNBERGER
Jmp
000259 011560
City of Springfield' Official Receipt
Development Services Department
Public Works Department
Date: 12/24/2003
1:37:48PM
Amount Paid
Item Total:
75.00
75.00
(30.00)
1,298,04
724.48
550,72
164,89
727.42
332,86
34,83
10,00
142,68
49.48
35.00
59,00
1,173.40
306,00
12,00
22,00
30,00
6,00
6,00
4,00
15,00
10,00
106.00
114.00
50.00
14.00
130.09
185.84
45.00
$6,478.73 '
.
.
How Received
In Person
Payment Total:
Amount Paid
$6,478,73
$6,478.73