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