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HomeMy WebLinkAboutPermit Electrical 2004-2-5 as submitted has the following t reqUIre specific land Use ' 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (54Il!bf/ina689 L.-"Dt2- ELECTRICAL PERMIT APPLICATION Date 4.:S ~l><f \ City Job Number CIItI~fuate !J. - J./ - () t-f ,."thunzed Signature ~ 200 Amps or less $ 63.00 201 Amps to 400 Amps $ 75,00 401 Amps to 600 Amps $125,00 601 Amps to 1000 Amps $163,00 '" ') S- - 5S0?J;jENTIIQr,r:'dPlJ~6,qIR~WOItS]UIres you to $375.00 /"\' I ~ecB'815f.\l9'l!~ the Oregon UtllllY $ 50,00 follow ~u e~~1 . Tt.IC'''A lilIes are set ton' "ot',ficatlC\1\ """,."er.-+.. ...-;;;..,., 00' I " _ t,;, ~!!,lp.\>r~~t'L1;jgel<\~e.lIef.s . ," J I C)ARy95~- av"obtain copies of tnerurllfs-r-----.~-~ 0090. . ou t'PlS[;~lttMl'!,(M.t.'tIJl.tlbmdl'.lRliI.tcan6'n "ailing t 2~O..A"""'n"'I~'S Utility Notificatio2.,../ $ 50,00 5D ,00 number fon""''''''__ ("20.lni\mps t6Vfro:b,.~344). $ 69.00 401 Amps to 600 Amps $100.00 1. ! LOCATIONOFINSTALLATION , .1 ~35"~~A'~ LEGAL DESCRIPTION /7/)32. ~ 4~ //MJO JOB DESCRIPTION sf?l_ IA{/ 4M~1=. Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2, I CONTlMCtOR iiYSTALLATIONO['lLr I Electrical Contractor ~~Q,,\I\I (- 'LIe ;}r:l..\C. Address t. ~, ~O1'-- 0- ~ g ~ City J' ~'1L{D.i- l...e11:IN e., Phone Supervisor License Number SQ\1 <; Expiration Date IC .. D j - 200L1 Constr, Contr, Number 0, ~ ~. 7 ~ Expiration Dale C. - ^ 0 - ').. 6 oL1 Si~U;ing ,~leCtriCian Owners Name -!iirt<<e A .4we:r Address ---/!.D ~ 7-1.2. ~ City ,i!U~avi! Phone 111-01/(, r?~1 OWNER INSTALLATION The installation is being made 00 property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 3. i .COMPLETE FEE SCHEDULEBELOW I - - ,,", .,".- , , i 'I i'''''--''---'"'~-~--''' -,- t"_-">'-"i'T;-"'-"~-f--""""'""-"_.- '-'''-<~'''-''i''-~"-''--'''~''"",,,,,--":,,,-,-'''-'-,,;'-''''''''"''r~""'"''"'~'.'''''"'-.--'''-''"'''''''''''''1 A. i New Residential ~-Singie orlVlulti-Family' per d"'elling unit. I ~------~ ---~ Service Included 1000 sq, ft. or less Each additional 500 sq, ft, or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder L---- $106,00 If)~~ $19.00 7tbt>-4 4- , $50,00 B. !:S-et~jces'-or'Feeders -_installaiion,,~terati~i1s'orRelocation:'"' J" ~ _ . Over 600 Amps or 1000 VallS see "B" above, ~'-------"~ --- D, : Branch Circuits I _J New A..lteration or Extension Per Panel ~~~I~J:&lab.h~~~!\1E,JfthTHE 'NOnK $ 43.00 AUTH~i.~[9rUidali:RP1:H.\li PERMIT IS NOT $ 3,00 COMM~NGEIHlR-1S-A6ANDONEo.EOR, , -- , ......, AN'f1~~~p.W{fer\'icfJfeeder'not included) :"'~~cll'Ii1stall~tion i Pump or irrigation Sign/Outline Lighting Limited EnergylResidential Limited Energy/Commercial $ 50,00 $ 50,00 $ 25,00 $ 45,00 Minimum Electric Permit Inspection Fee is $45,00 + Surcharges 4. f SUBTOTALOFABql!Y --'-~ 2.3?,DO r I b.Z.1- 2'Z.2.0 2. ii.# 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)lBuilding Fonns/Eleclrical Pennit Application }.03.doc . . CITY OF SPRINGFIELD SYSTEMS DEVELOPME'WORKSHEET JOURNAL OR JOB NUMBER: Com2004-00031 NAME OR COMPANY: Future B Homes LOCATION: 835 River Glen TAX LOT NUMBER: 17032343 tl 11800 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS I BUILDING SIZE (SF' 2668 LOT SIZE (SF): I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S,F. x I COST PER S,F, CHARGE 1 3134.50 $0,290 I = I $909.01 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS 1 IMPERVIOUS S.F. 1 x I COST PER S,F, I x I DISCOUNT RATE I I DISCOUNT I 0,00 I $0.290 I 50% I = I $0.00 ITEM I TOTAL - STORM DRAINAGE SDC 5909.01 2, SANITARY SEWER - CITY A, REIMBURSEMENT COST: I NUMBER OF DFU's I x I COST PER DFU I 22 1 $22,64 B. IMPROVEMENT COST: I NUMBER OF DFU's 1 x I COST PER DFU 22 I $17.21 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I 3, TRANSPORTATION 5876.70 ~- 1[1 10 10 I~ 6000 ,I ~ Is ga 5909.01 I 1070 I I 5498,08 I 1091 I 5378.62 I 1092 I A, REIMBURSEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I I 9.57 1 I 1 B, IMPROVEMENT COST: I ADTTRIPRATE I x I NUMBER OF UNITS I 1 9,57 I I 1 ITEM 3 TOTAL - TRANSPORTATION SDC x I COST PER TRIP 1 $17,23 x 1 COST PER TRIP I $76,01 = I 5892.31 x INEW TRIP F ACTOR I 1.00 x INEWTRlPFACTORI 1.00 5164.89 1093 5727,42 1094 I I 1054 I 1055 1054 I 1056 I J , 1079 1078 4, SANITARY SEWER - MWMC = 5214.23 ($16.58) 510.00 5522.28 $3,200,30 CHARGE $160,02 , 106,70 J $53.32 TOTAL SDC CHARGES = , $3,360.32 A. REIMBURSEMENT COST: INUMBER OF FEU's I x ICOST PER FEU 1 I $314.63 B. IMPROVEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I I $214,23 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SD< = , SUBTOTAL (ADD ITEMS t, 2, 3, & 4) 5, ADMINISTRATIVE FEE: ISUBTOTAL I x I ADM, FEE RATE 1= I $3,200,30 I I 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: = I = 5314,63 Virginia Jurasevich PREPARED BY 1113/2004 DATE . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUN ALENT ~ DRAINAGE FIXTURE UNITS (NOTE, FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO, OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EOUIV ALENT UNITS I BATHTUB 2 0 3 = 6 IDRINKING FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 I LAUNDRY TUB 1 0 2 = 2 ICLOTHESWASHER / MOP SINK 1 0 3 = 3 ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0 I RECEPTOR FOR COM, SINK / DISHWASHER / ETC. 0 0 3 = 0 I SHOWER. SINGLE STALL 0 0 2 = 0 I~HOWER. GANG (NUMBER OF HEADSl.. 0 0 2 = 0 ISINK: COMMERCIAURESIDENTIAL KITCHEN 1 0 3 = 3 ISINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0 ISINK: SINGLE LAVATORYIRESIDENTIAL BAR 2 0 1 = 2 IURINAL. STALL! WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET. PRIVATE INST ALLA TION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 22 . .EDU (Eauival.:!!t Dwelling Unit) is a discharJtC equivalent to a sincle family dwellin2 unit (20 DRJ's) set at 167 Jt3.11ons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE C YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1981 1988 1989 1990 1991 1992 1993 1994 1995 1996 1991 1998 1999 2000 2001 CREDIT RATE/$I,OOO II ASSESSED V AWE I $5,O4~ $5,04 I $4,95 $4,88 $4,15 $4,58 $4.41 $4.20 $3,88 $3.50 53.07 S2,60 $2,14 SI.11 I S1.52 I $1.38 '1 SI.I9 I $1.03 I SO,87 I $0,68 I $0,46 I $0.21 I $0,09 I $004 II IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT? (Enter I for Yes, 2 for No) BASE YEAR o 1998 CREDIT FOR LAND (IF APPLICABLE) VALUE/1000 CREDIT RATE $36,04 x $0.46 ~ , $16.58 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) V AWE /1000 CREDIT RATE $0.00 x $0,46 o TOTAL MWMC CREDIT = $16.58