HomeMy WebLinkAboutPermit Electrical 2002-7-1
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225 FIFTH STREET ' ",0
SPRINGFIELD, OREGON 97477 ~~, '
INSPECTION REQUEST: 726-3769,ci\00\~\~. -.
OFFICE: 726-3759 "\"~~00~f I I
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LEGAL DESCRIPTION Q&\0 ~1-00 '1>'
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JOB DESCRIPTION
P..,'t'J~='-'\ c.\t1'\.et
Permits arc non-transferable and expire
if work is not'started within 180 days
of issuance or if work is suspended for
180 days,
/
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Expiration Date
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Owners NameRrtert ~)~
Addrcs~ \ Qr\ C\(\ ~- Dnoe..
Cit)'~'l\~Phone "1t1.3D1
OWNER INSTALLATION '
The installation is being made on
property I 0\\'11 which is not intended
for sale, lease or rent.
Owners Signature:
mO:1:J3IHS\1::i
jlO'8 $:39N\!H3
OO'Ojl~ $ ~:aJ31:J !W\!
lOOl 9~ lnr:31\!G
jlg66000-~0:#SN\!I:J!
ELaCAL PERMIT APPLICATION
, , Joh ' mherIA .O)\C\~ .n\
TE FEE SCHEDULE BELOW
New Residential-Single or
Multi-Family per dwelling unit,
Service Included:
Items Cost
Sum
1000 sq,ft. or less
Each additional 500
sq, ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
$106,00
$ 19,00
$ 50,00
B. Services or Feeders
Installation, Alterations or
, Rclocation:
200 amps 0' less
20 I amps to 400 amps
40 I amps to 600 amps
,
60 I amps 10 1000 amps
Over 1000 amps/volts
Reconilect Only
$ 63,00
$ 75,00
$125,00
$163,00
$375,00
$ 50,00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
20 I amps to 400 amps
"- . -- ,Over 40 I to 600 amps
Over 600 amps or 1000 volts see
IIBu nbove .
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D, Branch Circuits
New'Alteration or Extension Per Panel
$50,00
$69,00
$100,00
One Circuit
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-'- $43,00 ..i3.
Each Additional Circuit or with Service
or Feeder Permit
$ 3,00
E, !\Ii~cellaneous (Sen'ice/feeder not included)
, -Each installation
Pump 'Of' irrigation
Sign/Outline Lighting
Limited Ene'gylRes
Limited Energy/Comm
$50,00
$50,00
$25,00
$45,00
I\'1inimulll.Elcctric Permit Inspection Fcc is 6"5,~ Surcharges
4. SUBTOTAL OF ABOVE ~ q)
7% State Surcharge ,~. ~'=\
8'}'0 Administratiye Fee ~ - '_0()
TOTAL ~\.~~
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CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER: 02-00792-01
NAME OR COMPANY: Robert Buss
LOCATION: 2421 Ranch Dr,
TAX LOT NUMBER: 17-03-24-43 Tax Lot #03900
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS: 0 BUILDING SIZE: 0 SF LOT SIZE:
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S,F, 1..1 COST PER S,F, I
192,00 $0.282
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUSS,F.I..I COSTPERS,F. IXI DISCOUNTRATE
0,00 $0.282 I 50%
I ITEM 1 TOTAL -~ORM DRAINAGE SDC
2 SANITARY SEWER - CITY
o SF
=1 $54.14
= 1 $0,00
=C$S4,14
A, REIMBURSEMENT COST:
I NUMBER OF DFU's I 'I COST PER DFU
o ' $22.09
B. IMPROVEMENT COST:
I NUMBER OF DFU's 1..1 COST PER DFU
, 0 , $16,79
I ITEM 2 TOTAL - CITY SANITARY SEWER SDC
1. TRANSPORTATION
A, REIMBURSEMENT COST:
I ADT TRIP RATE 1..1 NUMBER OF UNITS I x I
9,57 0 I
B, IMPROVEMENT COST:
II ADTTRIPRATE 1..1 NUMBER OF UNITS I xl
U 9,57 ~ 0 ,
I_ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
=1 $0,00
= I $0.00
=r-- $0.00
1,1 NEW TRIP FACTOR I
1.00 1=1
I
COST PER TRIP
$16,81
$0,00
'I NEW TRIP FACTOR I
1.00 1=1
=1
COST PER TRIP
$74,19
$O,QO
$0.00
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JJ 1070
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1091
1 11092
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1093
1094
=1 $0,00
I
=1 $0.00 I
=1 $0,00 I
=1 $0,00 , 1055
=1 $0,00 ---.J 1056
=1 $0.00 I
=1 $54,14 II
A, REIMBURSEMENT COST:
I NUMBER OF FEU's 1..1 COST PER FEU
o $332,86
B, IMPROVEMENT COST:
I NUMBER OF FEU'S' ,I COST PER FEU
I 0 $34,83
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT
MWMC ADMINISTRATIVE FEE
lITEM 4TOTAL: MWMC SANITAR_YSEWER SDC
I SUBTOTAL (ADD ITEMS 1,2,3, & 4)'
[5. ADMINISTRATIVE FEE:
I SUBTOTAL J..l ADM. FEE RATE
I $54,14 5%
Steve Templin 7/1512002
SDC COORDINATOR DATE
=1
TOTAL SDC CHARGES =[
$2,71 ----.L 1073
$56.85 II
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DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIV tJENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO, OF FIXTURES DRAINAGE
( # NEW ) UNIT FIXTURE
FIXTURE TYPE # OLD _ x EQUIVALENT = UNITS
BATHTUB ( 0 0 ) x 3 = 0
DRINKING FOUNTAIN ( 0 0 ) x I = 0
FLOOR DRAIN ( 0 0 ) x 3 = 0
INTERCEPTORS FOR GREASE 1 OIL 1 SOLIDS 1 ETC. ( 0 0 ) x 3 = 0
INTERCEPTORS FOR SAND 1 AUTO WASH 1 ETC. ( 0 0 ) x 6 = 0
LAUNDRY TUB ( 0 0 ) x 2 = 0
CLOTHESW ASHER 1 MOP SINK ( 0 0 ) x 3 = 0
CLOTHESW ASHER - 3 OR MORE (EA) ( 0 0 ) x 6 = 0
MOBILE HOME PARK TRAP (I PER TRAILER) ( 0 0 ) x 12 = 0
RECEPTOR FOR REFRIG 1 WATER STATION 1 ETC. ( 0 0 ) x I = 0
II RECEPTOR FOR COM, SINK 1 DISHWASHER 1 ETC. ( 0 0 ) x 3 = 0
SHOWER, SINGLE STALL ( 0 0 ) x 2 = 0
SHOWER, GANG (NUMBER OF HEADS) ( 0 0 ) x 2 = 0
SINK: COMMERClAURESIDENTIAL KITCHEN ( 0 0 ) x 3 = 0
SINK: COMMERCIAL BAR ( 0 0 ) x 2 = 0
SINK: DOMESTIC BAR ( 0 0 ) x I = 0
WASH BASIN ( 0 0 ) x 2 = 0
LAVATORY ( 0 0 ) x I = 0
URINAL, STALL 1 WALL ( 0 0 ) x 5 = 0
TOILET, PUBLIC INST ALLA nON ( 0 0 ) x 6 = 0'
TOILET, PRIVATE INSTALLATION ( 0 0 ) x 3 = 0
MISCELLANEOUS Dru TYPE NUMBER OF EDU's'
0 0 ) x 20 = 0
TOTAL DRAINAGE FIXTURE UNITS =/ 0
II *EDU (Equivalent ~elling 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 AFfER ANNEXATION DATE, CALCULATE CREDIT SEP ARA TEL Y
YEAR CREDIT RATE PER $1,000 YEAR CREDIT RATE PER $1,000
'I ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE
-----r9h ~~ iinN~ $4,9Z 1990 $2,06
1980 $4,83 t99t $1.64
t98t $4,77 t992 $1.45
t982 $4,64 1993 $1.3t
t983 $4047 t994 $1.13
t984 $4,30 t995 $0,97
t985 $4,09 1996 $0,82
t986 $3,78 t997 $0,63
t987 $3,4t 1998 $OAt
t988 $2,98 t999 $0,22
t989 $2.52 2000 $0,04
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFfER ANNEXATION)
VALUE 11000 CREDIT RATE
0,000 x $0,00 =1
0,000 x $0,00 =1
TOTAL MWMC CREDIT =1
$0,00
$0,00
$0,00
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