HomeMy WebLinkAboutPermit Electrical 2001-2-8
The following projecl as submitted has the following
l:untng, and does not require specific land use
approval.
225 FIFTH STREET . .
SPRINGFIELD, .oREG.oN 9M
INSPECTI.oN REQUESm: 7?~_17~O
.oFFICE: 726-3759h d 51 t
Aut onze gna ure
LD(L
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1.
LOCATI.oN OF INSTALLATION
<K()4 Rn....nlrl.., .:),_
LEGAL DESCRIPTION
1-:).()",~-"'1I~ ()~J(l)~
J.oB DESCRIPTI.oN
SF-~
Permits are non~transferable and expire
if york is not started Yithin 180 days
of issuance or if york is suspended for
1B.o days.
2. CONTRACTOR INSTALLATION .oNLYB.
Electrical Contractor~~
Address /8() K,'1'lySbu,.v ~oP.
. I
City e,,:'1P."p, Phone ~~9-79'7j
Supervisor License Number ~7.~- S
Expiration Date /0 - V 1- t) 1
Constr Gontr. Number 1(;, Q 7 I)
Expiration Date /---.:2.<,-:.... D C2...-
Si~~~pe~~lectrician
Oyners Name H *~ n ~ ,R
.
Address "R"", "::IJ-1'd-..f5
City
fc~~ Phone
v
OVNER INSTALLATION
"}L{1{--::l(l:'0.
The installation is being made on
property I ovn Yhich is not intended
for sale. leas~ or rent.
Ovners Signature:
------------~---
DATE:
RECEIn I:
RECEIVED Bl:
City Job Number
ELECTRICAL PERMIT APPLICATION
0(- 0OO9()-GI
;).
cOMPLETE FEE SCHEDULE BELOV
A.
Ney Residential-Single or
Hulti-Family per dYelling unit.
Service Included: .
1000 sq.ft. or less
Each additional 5.0.0
sq. ft or portion p
thereof -b
Each Hanuf'd Home. or
Modular 'OIIelli ng
Service or Feeder
Services or Feeders
lnstallation, Alterations
or Relocation:
200 amps or less
201 amps to 4.0.0 amps
401. amps to. 60.0 amps
601 amps to 10.00 amps
.over 1.000 amps/volts
Reconnect Only
C.
Item.s Cost
Sum
de. 09
$ 85..0.0 ...iLl..-
$ 15,.0.0
'lG .p-
I
$ 40..00
S 5.0.00
$ 6.0.0.0
$100.00
$13.0..0.0
$3.0.0 ".0.0
$ 4.0..00
Temporary Services or Feeders
Installation, Alteration or Relocation
D.
200 amps-'or less
201 amps to 400 amps
.over 401 to 60.0 amps
aVer 6.0.0 amps or 1.0.0.0
Branch Circuits
$ 40..00
$ 55.00
$ 80.00
volts see "B" aDove
.~ ,.
", ,.
Ney, Alteration or Extension Per Panel
.one Circuit
Each Additional
Circuit or yith Service
or Peeder Permit
B.
Miscellaneous (Service/feeder
-BaCh installation
Pump or irrigation
Sign/Outline Lighting
Limited .Energy/Res
Limited Energy/Comm
5. SUBT.oTAL OF ABOVE
~% State Surcharge
3% Administrative Fee
TOTAL
$ 35..0.0
$ 2.00
1
not included)
LIO'"
$ 40..00
$ 4.0.00
$ 20.00
$ 36..0.0
'AIS '"
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CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
-
JOURNAL OR JOB NUMBER: 01-00090-01
NAME OR COMPANY: FUTUREB
LOCATION: 804 ROYAL DEL LANE
TAX LOT NUMBER: 17-03-23-43-02102
ANNEXATION YEAR 1998 LANE COUNTY ASSESSED VALUE (LAND) $50,998
I DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
DWELLING UNITS: 1 BUILDING SIZE: 3537 SF LOT SIZE: 11450 SF
1 <;TORMnR~INAr;F
I IMPERVIOUS S.F. II COST PER S.F.
4790.75 . $0.271
~EM 1 TOTAL - STORM DRAINAGE SDC
2 SANITARY SFWPR _ r:ITV
A. REIMBURSEMENT COST:
I NUMBER OF DFU's 1.1 COST PER DFU
30 $21.25
B. IMPROVEMENT COST:
I NUMBER OF DFU's 1.1 COST PER DFU
30 $16.15
lITEM 2 TOTAL - CITY SANITARY SEWER SDC
3 TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT~RATE HNUMBER~FUNITSH
B. IMPROVEMENT COST:
I ADTTRlPRATE IxlNUMBEROFUNITSlxl
9.57 I 1
lITEM 3 TOTAL - TRANSPORTATION SDC
4 SANITARY SFWPR - MWMC.
=1 $1,298.29 I
=1 $1,298.29 ~ I
=1 $637.50
=1 $484.50 I
-
=r $1.122.00 1
COST PER TRIP I x I NEW TRIP FACTOR I
$16.12 1.00 1=1 $154.27
COST PER TRIP
$68.55
I I NEW TRIP FACTOR I
x 1.00 1=1 $656.02
=J$810,29
---.lJ
r
A. REIMBURSEMENT COST:
I NUMBER OF FEU's 1.1 COST PER FEU
1 I $28591
B. IMPROVEMENT COST:
I NUMBER OF FEU's 1.1 COST PER FEU
1 I $24.33
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
lITEM 4 TOTAL - MWMC SANITARY SEWER SDC
!SUBTOTAL (ADD ITEMS 1,2,3, & 4) -
5 ADMINISTRATIVE FFE'
=1 $285.91
=1
=1
=1 $10.00
=15302.39
=l $3.532.97
$24.33
($17.85)
I
~
II
II
l SUBTOTAL II ADM. FEE RATE
$3,532.97 XI 5%
L s:t-1-;4 2/6/01
SDC COORDINATOR DATE
=1 $176.65
TOTAL SDC CHARGES =1 $3,709.62
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DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
( # NEW # OLD ) x EO=ENT = FIXTURE
FIXTURE TYPE UNITS
BA THTIJB ( 2 ) x 3 = 6
DRlNKING FOUNTAIN ( ) x 1 0
FLOOR DRAIN ( ) x 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. ( ) x 3 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. ( ) x 6 0
LAUNDRY TUB ( ) x 2 0
CLOTHESW ASHER / MOP SINK ( 2 ) x 3 6
CLOTHESW ASHER - 3 OR MORE (EA) ( ) x 6 0
MOBILE HOME PARK TRAP (1 PER TRAILER) ( ) x 12 0
RECEPTOR FOR REFRIG / WATER STATION / ETC. ( ) x 1 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. ( ) x 3 0
SHOWER, SINGLE STALL ( ) x 2 2
SHOWER, GANG (NUMBER OF HEADS) ( ) x 2 0
SINK: COMMERClAURESIDENTIAL KITCHEN ( ) x 3 3
SINK: COMMERCIAL BAR ( ) x 2 0
SINK: DOMESTIC BAR ( ) x I = 0
WASH BASIN ( ) x 2 0
LAVATORY ( 4 ) x I 4
URINAL, STALL / WALL ( ) x 5 0
TOILET, PUBLIC INSTALLATION ( ) x 6 0
TOILET, PRN ATE INST ALLA TION ( 3 ) x 3 9
MISCELLANEOUS DFU TYPE NUMBER OF EDO's'
( ) x 20 0
TOTAL DRAINAGE FIXTURE UNITS =1 30
.EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEP ARA TEL Y
YEAR CREDIT RATE PER $1,000 II YEAR CREDIT RATE PER $1,000
ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE
1979 OR BEFORE $4.74 1990 $1.96
1980 $4.65 1991 $1.55
1981 $4.59 1992 $1.36
1982 $4.46 1993 $1.23
1983 $4.30 1994 $1.05
1984 $4.14 1995 $0.90
1985 $3.93 1996 $0.75
1986 $3.63 1997 $0.57
1987 $3.26 I 1998 $0.35
1988 $2.85 I 1999 $0.15
1989 $2.40.1
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE/IOOO CREDIT RATE
50.998 X $0.35 =1
0.000 X $0.35 =1
TOTALMWMCCREDIT =1
$17.85
$0.00
$17.85
I
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Job. No.
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: 'h.r+uJ\.Q. b +~o>\^~
ADDRESS:
17, C'~ /
PHONE: 7.4 '-l- '?-(,00
STATE: OP. ZIP: 97 401
.":/1./').5
r: ~O ...,C-
o
LOCATION OF PROPOSED BUILDING SITE:
12 l"I" "'/ dpJ .10-
I
Street Address: ~nLf
Plat Name: R.l~" 131..0.-.. ~,.c{
It-O""\2~ If"
Tax Lot Number:
-z.. { Q, d-
1. DEVEL0PIylENT TYPE (Check appropriate dwelling(s). SOC calculalions and dwelling I
ype delinilions are on the back.)
A. SinQle-FRmilv DetRr:heQ
vSlngle' 'Family home' Manufactured home not in a park
NO. OF UNITS ) X ,$1,000 per unit = $ I ooo.~
'[ ~ If I '1 ' '.,1'. , ','
B. SinQle-FRmilv AtfRr:herl ,
, ,
NO. OF UNITS
, X $924 per unit = $
C. Mulli-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. ,ManufRr-tUrArl Homfl PRI"I\
NO. OF UNITS
X $699 per unit c $
WILLAMALANE SDC $
2. SDC CREDIT (II applicable) SOG-payer must lurnlsh prool 01
Willamalane Credit approval. See sac Credit Worksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(II SOC reduced lor Credil)
$ /(J()(]J,04i
-''''1; I
,
1,;.Mf\.!
Deveiopmeni -Shrvices Department
City of Springfi~ld
;'1
:2.,
Date
S , 01
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