HomeMy WebLinkAboutPermit Electrical 1995-12-4
The following project as submitted hao tl10 followi
zoning, .'1nd does not roquiro sp3cifi..: land usa
apprEJ]cva~o inH cI ciJ ~
Dato f '/ ~
97477 { --/J
729!3'7,,&~Zed Slgnaluro ('! ~'".:. Job Number
3. COMPLETE FEE SCHEDULE
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
I. LQCAT;rON OF INSTALLATION '":'-..._
~tt3L\-' <01.>t'1,j..~~ L.-)6L
LEGAL DESCRI~JIOU "-
lq II'l (j'[..,0& I t7'
JOB DESCRIPTION
/V S'rZ
Permits are non-transferable and expire
if york is not started yithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
.4))2f.~ :R1Ad.~
3..s:.z2 :5 /'7'
Address / .2 ..... j/f~
Ci ty. ~J!j)RAt<;
Supervisor License
Phone .L/ 7 \- - .J..) } '1
Num be r / G> <::!::>./-. ~
Expiration Date /0 -/ ~ 5',""
Constr Contr. Number 675 7~S-
Expiration Date '7 ~ '-I -9 \-
Signature of superviJjng Electrician
/? ./'L _ ~A _,~-/ _dZ-t-->
-f v[ ~ - v - - D.
Oyners Name .1/~~A..u Fd I ~C",
Address 'r"i t 5, '5.J d S:/-.
Ci ty <;0 pi.,.,
I -
Ph~ne ~.J-JiJ -,49dC:
OVNER INSTALLATION
The installation is being made on
property I oyn yhich is not intended
for sale, lease or rent.
Ovners Signature:
D~~~~--------~---i----~~~.~ ---~-
RECEIPT #: W.-tA'\ ;~ '2 2/" "-
RECEIVED BY: (:))II_A.I\__/t#t1\..1...../
ELECTRICAL PERMIT APPLICATION
C160 7tf (
BELOll
A. Ney Residential-Single or
Multi-Family per dyelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular. .Dyelling
Service or Feeder
.B.
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to. 1000 amps
Over 1000 amps/volts
Reconnect Only
It ems Cos t
Sum
$ 85.00
S 15.00
$ 40.00
$ 50.00
S 60.00
SIOO.OO
$130.00
$300.00
S 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps. 'or less S 40.00
201 amps to 400 amps S 55.00
Over 401 to 60Q amps $ 80.00
Over 600 amps or 1000 vol ts see "B" above
Branch Circuits
.'
Ney, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or yith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
S 2.00
not included)
S 40.00
S 40.00
S 20.00
S 36.00
~~.o?
0" ~
1>."\0,
~.q ,re-
.
.-
- h_.
The. fOllowtng project ~. cubitl~~ed ~.an too t\lllQ\~~ll
zonlog, a~d dOO$ nol require cpeelac I~nd un\)
AJ' ap~rcval. . . ..J /J
r", ZOnlna I7\dlJ!2-.
AIJW ~~ Wilfamalane 1:J1 ;i/f)L; '.
~~""" Park & Recreation District . I~ _ /J
Authclnzed Signature ~ n c::.. T\ LA
· Job No. '-:'\'-,)U.n \
SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME: }?'0dffL.~'p V1~S
ADDRESS: ~ ~q 0D. 1JJ1J1-q hW./fJ
. ~ .
PHONE: -.-1.Ylf-- & q (; &
STATE:..cIi:. ~IP' Cf1lf71
'.
.' .
.". ,.'-..-
lOCATION OF PROPOSED BUILDING SITE:
-Street Address if Known: ~ 4~l\-
Platt Name: I ~ D 'V 6 (p I'l---
0m1Jrl. 0.dJ1JOfJd- 'lIr,V-t '
Tax Lot Number: Yp'(fD
1. DEVELOPMENT TYPE (Check appropriate dwellirig(sJ. SDC calculations and dwelling type
definitions are on the back.l . . . .' '. .... .
A. . Sinl!ie Famllv - Detached
I. Single Fa~lIy home
I
. NO OF UNITS
Manufactured home notin a park", ,I.... .
X $400 PER UNIT.F. '.. $' . '1(X) .OIJ
B. Sinide Familv -'Attached
..
t.\
NO OF UNITS
X $370 PER UNIT =
'$
.1
C. Multl-Familv Aoartment' .
NO OF UNITS
X $777 PER UN.IT =
$
D. ManufactUred Home Park
NO OF UNITS
X $280 PER UNIT = . . . $
WPRD SDC
. :.
:.. $t.MIJ .IJ()
2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit
approval. See SDC Credit Worksheet. .' . $
3. QTA' WPRD NET SDC ASSESSED '" SOc ,..~.. "" o~. .. ~ qs$ I/nB .fflJ
~ ~.
.
.. ,
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(COMMERCIAL / RESIDENTIAL)
Name or Company: HAYDEN
Location: 3434 S
Developement Type, R
ENTERPRISES
REDWOOD DR
Building Size:
Job No.: 950741
Lot Size: 0
1. STORM DRAINAGE
Impervious Sq Ft 0 X 0.209 Per Sq Ft =
2. SANITARY SEWER - CITY
Number Of PFUs 18 X 43.26 Per PFU =
(see Page 2)
3. TRANSPORTATION
Number Of Units
1 X
X Trip Rate
1. 010 X
X
Cost Per Trip
436.19
$440.55
Transportation Total
4. SANITARY SEWER - MWMC
Number Of PFUs
18
Per PFU +
17.190 +
MWMC Admin Fee
10.00
X
X
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SUBTOTAL - (Add Items 1, 2. 3 & 4)
5. ADMINISTRATIVE FEES
Base Charge (Subtotal Above) X
0.50
TOTAL SDC
Reviewed By: KIP BURDICK
Date: 07/03/95
Page 1
Sq Ft
$0.00
$778.68
$440.55
=
$319.42
$26.23
$293.19
$1,512.43
$75.62
$1,588.05
SPRINGFIELD
Job Number: 950741
Page 2
FIXTURE UNIT CALCULATION TABLE
Fixture Type
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/Oil/Solids/Etc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator/Water Station/Etc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single Stall
Shower, Gang
Sink, Bar, Commercial
Urinal, Stall/Wall
Wash Basin/Lavatory, Single
Water Closet, Public Installation
Water Closet, Private
Miscellaneous
Number of
New Fixture
Unit
Equivalent
Fixture
Units
2
o
o
o
o
1
o
o
o
o
o
1
o
2
o
2
o
2
1
2
3
6
2
6
1
3
2
4
o
o
o
o
2
o
o
o
o
o
2
o
2
o
8
o
2
2
1
6
4
TOTAL FIXTURE UNITS 18
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured
after annexation date, credits are calculated separately.
(calculations are by $1000)
Year Annexed: 1960
Credit For Parcel Or Land Only If Applicable:
Improvement (if after annexation date) :
7,580
X
3.46 =
26.23
o
X
3.46
0.00
CREDIT TOTAL =
$26.23
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)
.
. NO. C,50"J4-1
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: I-IAYOe.N E.,..rrE.R-f"{e..tSE.<=;. INC.
LOCATION: 7,4-=74- S. Re.vl'.I"oo DR.. l<go7-0~/2-- O')..IoO(J
DEVELOPMENT TYPE:. L-DR. - NE=.lN SFR
BUILDING SIZE:
LOT SI7F
SQ. Ft.
I. STORM DRAINAGE
IMPERVIOUS SQ. FT.
Ai.A.
X $0.209 PER SQ. FT. ~ -8- ~
2. SANITARY SEWER-CITY
NO. OF PFU'S
(See Reverse)
1<3
X $43.26 PER PFU
~778'!)
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
x
X $436.19
G 440~ ')
---- -------
$
$
x
X $436.19
X $436.19
1
X 1.01
4. SANITARY SEWER-MWMC
NO. OF PFU'S /(j/ x $17.19 PER PFU + $10 MWMC ADM FEE
(Use PFU Total From item 2 Above)
$ ?/q 4-3-
TOTAL-MWMC SDC
$ 2(,,1-2-
~
----------
$ /5/'2- 4-2-
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
SUBTOTAL (ADO ITEMS 1,2,3 & 4)
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE)
\~ ~ LJ....
~ Kip Burdick
SOC Coordinator
X .05
Date: S/'?D/.,5
. ,
TOTAL SDC
cC 75'0
$ /'5B804-
.....: :. . . - ~ .-". - ..--:"..:.- '.-'\:'. - "' '.. ... . "-.. .. '-.- .
FIXTURE UNI1;"<~~lCtJ~JI. T ~.Bi.E:~.~~~er ofN~W fixtures.it Equiv;lent = fixture Units
(NOTE: For remodels, 'calculate onlV the rM: addItIonal f,xtures)
FIXTURE TYPE
NUMBER OF
NEW FIXTURES
UNIT
EQUIVALENT
FIXTURE "
UNITS
Z-
2
1
2
3
6
2
6
6
1
.3
2
l/Head
2
2
1
6
4
4-
1.
Bathtub............................................................... .......
Drinking Fountain............................-.... 0...... .............
Floor Drain........................... .....................................
Interceptors For Grease/Oil/Solids/Ete.... .............
Interceptors.For Sand/Auto Wash/Ete...........;....... ...'
Laundry Tub/Clotheswasher ....................... ....... .......
Clotheswasher . 3 Or More'..:.......,...............,..........
Mobile Home Park Trap (1 Per Trailerl...............:..
Receptor For Refrigerator/Water Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall.................................................
Shower, Gang ........... ..... ...... ..... ... .... .,. ..... .... .....; .......
Sink: Bar, Commercial, Residential Kitchen........................
Urinal, Stall/Wall.................... .............. ............ ...;.....
Wash Basin/LavatorY, Single....:.............................
Toilet, Public Installation........... ......... .....................
Toilet, Private.............:... .... ............ ........ ....... ........
Miscellaneous:
.. .1.
2
z.
z.
"2--
8
TOTAL m:TUflE ul,ms
~
\8
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table,
calculate credits separales.
'I
Vear
Annexed
flate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
1979 or bcforc
1980
1981
1982
1:9.83
1984
1985
$3.46
3.38
3.32
3.21
3.06
2.92
2.73
1985
1986
1987
1988
1989
1990
1991
1993
$ 2.46
2.14
1.77
1.37
0.97
0.61
0.44
0.15
'2.(. 2.~
--..-----
Improvement (if after annexation datel
~ .4'" X $ ,. ? 8
(Rate X Assesscd Value)
X $
(Rate X Assessed Value)
=
Credit (or Parcel or Land Only If Applicable
CREDIT TOTAL = $ i.,,;z.~
. . ' . .