HomeMy WebLinkAboutPermit Electrical 2004-3-9
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225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-36~~\~ .
ELECI1UCALPERMITAPPliCATION O\eG,~~,eo.\l ' ~
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City Job Number (C>>1-zool( - "Ol.O t . Date O'Z1 '70 II ",\<:-Q,toe'"
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Service Included ~..
CITY OF SP1~1\JGFfELD, OREGON, _ ...; ,
Su"..,..,;sor License Number '-I. J:J '-1-5 c. f~iftrii'~rii""lQ;lc~j~el'lii'iF.e~;~~';\.",."' ..;~r' ~ ~;; ,<:~.. ; :Jt?" ''iO:;;, :' J
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10 - 0 /1VotJP;~. UIGa ado~on 'aw ~Uatlon, Alteration or Relocation
In OAR" 'VI, <.;enter. r~ by tllf1l,(JJ{;;J(OllUO I $ 50.00
Consb". Contr. Number 1Q9~_~'~I-Dfl1.o :se flJ2.9A fFr!/tbi4b9 Amps $ 69.00
C~iAAih"aYObtain /l)ugh4g~'lb~f1\mps $100.00
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Signi:t0ture 0 i1'Sin EleCtriC]' Center~s~~~on IJti/Pi ",. :~. ~.;J\!.ti~r[ ',' -:-Pl,i;{" : 'i'it'JJ:" ~);;;.. ;-.\: '; ,Ji:J
. I.. A I ' . / OO-a:32-2~r. iWfitlon or Extension Per Panel
/ J (j/Uf 'L~~ Olie Circuit $ 43.00
- '- Each Additional Circuit or with
n ,/J W- . \^_ L /' I_A lL... ServiceorFeederPermit
Owners Name''''' IV <-<::.. \ e. V'V'e yT L v'O>n:f" ITVI~"
Address'3~ '75- P 0-...- IG 1+; II!> E. ~~k~l\fs':i~~~i!~~i'f~lili~jfi~~>'}.E,,~lqns~~~;i!I{)p;1
Phone b ~h-9'1{"~
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited EnergylResidential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is 545.00 + Surcharges
. nJiOTICE: J\'....,...'c.".....",",'~--;.'y"'.."'_.,......",.~,. "'9f-~:"!ilIj I ell
Owners SIgna THIS PERMIT SHALL EXPIRE IF THE wt3~!t~W,r~~9-Fo'~9~~;:"::}.:..1,~:~;?~',.~ 7 7
AUTHORIZED UNDER THIS PERMIT IS N01% State Surcharge' /3 Sl3
COMMENCED OR IS ABANDUNED FOR IO%AdministrativeFee 1 940
Inspection Req.M!tY ;~gJt~ PERIOD. TOTAL 2zb 98
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LEGAL DESCRIPTION
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10'-(00
JOB DESCRIPTION
"SFt.
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Snspended for 180 days.
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Electrical Contractor li eEl fJ r)n c..
Address flgJ'J J<JiUJ Aue:> ed
City So (2..1 d
Phone '13.3 -JS'1f3
Expiration Date
City t= vr.pl'l P,
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OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent
1000 sq. ft. or less
Each additional 500 sq. It. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
I
$106.00
job
3g
2.-
$ 19.00
$50.00
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B. ti '%YL~~i!~f~:'7;~!~I/l 9.,%.~ti!~~ !J!~Jl(~~"!iynl~
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsIV01ts
Reconnect Only
$ 63,00
$ 75.00
$125.00
$163.00
$375,00
$ 50.00
50
$ 3.00
Shared Drive(T:)/Building FonnsIElectrical Permit AppticatioD 1"(}3.doc
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CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT4lRKSHEET
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JOURNAL OR JOB NUMBER: Com2004-00201
NAME OR COMPANY: Bruce Wiechert
LOCATION: 4044 S. Redwood
TAX LOT NUMBER: 18020611 II 10400
DEVELOPMENT TYPE: SINGLE F AM1L Y RESIDENCE
NEW DWELLiNG UNITS I BUILDING SIZE (SF' 1635 LOT SIZE (SF):
I, STORM DRAINAGE
DiRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x 1 COST PER S,F. I I CHARGE
1 3606,00 1 $0.290 = 1 $1.045.74 1
RUNOFF ROUTED TO DRY WELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
1 IMPERVIOUS S.F. I x 1 COST PER S,F. I x I DISCOUNT RATE 1 1 DiSCOUNT
I 0,00 1 $0.290 I 50% I = 1 $0.00
ITEM I TOTAL - STORM DRAINAGE SDC $1,045.74
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$1,045.74
11070
2, SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x 1 COST PER DFU
1 20 I $22.64 $452.80 11091
B. IMPROVEMENT COST: I
I NUMBER OF DFU's I x COST PER DFU
I 20 $17.21 $344.20 11092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $797.00 I
], TRAN~"uKIATION
A, REIMBURSEMENT COST:
1 ADT TRIP RATE I x 1 NUMBER OF UNITS I x 1 COST PER TRIP x I NEW TRIP F ACTORI
1 9.57 1 I 1 $17.23 1 1.00 1 $164.89 1093
B. IMPROVEMENT COST:
1 ADTTRIP RATE I x 1 NUMBER OF UNITS I x 1 COST PER TRIP x INEW TRIP FACTORI
1 9.57 I I I $76,0\ I 1.00 1 $727.42 11094
ITEM 3 TOTAL - TRANSPORTATION SDC = , $892.31
4, SANITARY SEWER - MWMC
A, REIMBURSEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
1 1 1 $314.63 = $314.63 1054
B.IMPROVEMENTCOST:
INUMBER OF FEU's I x ICOST PER FEU
I I I $214,23 = $214.23 1055
MWMC CREDiT IF APPLiCABLE (SEE REVERSE) $0.00 1054
MWMC ADMINISTRATIVE FEE $10.00 11056
ITEM 4 TOTAL - MWMC SANITARY SEWER SD< = , $538.86
SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ , $3,273.91
5, ADMINISTRATIVE FEE:
ISUBTOTAL I x I ADM. FEE RATE r CHARGE
1 $3.273,9\ I 5% $163,70
TOTAL SANITARY ADMINISTRATION FEE: 110,29 11079
TOTAL TRANSPORTATION ADMINISTRATION FEE: $53.4\ 1078
Virginia Jurasevich 2/21/2004 TOTAL SDC CHARGES $3,437.61
PREPARED BY 'DATE
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.
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS
(NOTE, FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
I BATHTUB 1 0 3 = 3
IDRINKING FOUNTAIN 0 0 1 = 0
IFLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE / OIL / SOLiDS / ETC 0 0 3 = 0
I INTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 = 0
I LAUNDRY TUB 0 0 2 = 0
ICLOTHESW ASHER / MOP SINK 1 0 3 = 3
ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRIG/WATER STATION / ETC 0 0 1 = 0
I RECEPTOR FOR COM. SINK / DISHWASHER / ETC 0 0 3 = 0
ISHOWER, SINGLE STALL 1 0 2 = 2
ISHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0
ISINK: COMMERCIAURESIDENT1AL KITCHEN 1 0 3 = 3
Is INK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
ISINK: SINGLE LA V A TORY/RESIDENTIAL BAR 3 0 1 = 3
I URINAL, STALL / WALL 0 0 5 = 0
ITOILET. PUBLiC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 20 I
.EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day 'I
MWMC CREDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR CREDIT RA TEI$I ,000 'j I
ANNEXED ASSESSED VALUE IS LAND ELGlBLE FOR ANNEXATION CREDIT? 0
I BEFORE 1979 $5,04 (Enler I for Yes. 2 for No)
I 1979 $5,04 IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? 0
I 1980 $4.95 (Enter 1 for Yes, 2 for No)
I 1981 $4.88 BASE YEAR 1979
I 1982 $4.75
I ]983 $4.58 CREDIT FOR LAND (iF APPLiCABLE)
I 1984 $4.41 VALUE /1000 CREDIT RATE
I 1985 $4.20 I $0.00 x $5,04 = , $0,00
I 1986 $3,88 I
I 1987 $3,50 I CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
I 1988 $3.07 I VALUE /1000 CREDiT RATE
I 1989 $2,60 I $0.00 x $5,04 0
I 1990 $2.14 I
1991 $1.71 I
I 1992 $1.52 I TOTAL MWMC CREDIT = SO.OO
I 1993 $1.38 I
I 1994 $1.19 I
I 1995 $1.03 I
I 1996 $0,87 I
I 1997 $0.68 I
I 1998 $0.46 I
I 1999 $0.27 I
I 2000 $0,09
,I 2001 $0.04 II
" 225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-0020 1
COM2004-0020 1
COM2004-0020 1
COM2004-0020 1
COM2004-0020 I
COM2004-0020 1
COM2004-0020 1
COM2004-0020 1
COM2004-0020 1
COM2004-0020 1
COM2004-0020 1
COM2004-0020 I
COM2004-0020 1
COM2004-0020 1
COM2004-0020 1
COM2004-0020 1
COM2004-0020 1
COM2004-0020 1
COM2004-0020 1
COM2004-0020 I
COM2004-0020 1
COM2004-0020 I
COM2004-0020 1
COM2004-0020 1
COM2004-0020 1
COM2004-0020 1
COM2004-0020 1
COM2004-0020 1
COM2004-0020 1
COM2004-0020 I
COM2004-0020 I
COM2004-0020 I
Payments:
Type of Payment
CreditCard
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Receipt #: 1200400000000000285
Description
Building Permit
Addressing Assignment
Willarna1ane Single Family
Sidewalk Permit
Curbcut Permit
Curbcut - Overwidth Appl
PW Mult Disc - 2nd Permit
Storm Orainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SOC Transpo Reimbursement
SDC Traospo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SOC MWMC Administration
SOC Sanitary/Storm Admin
SOC Transpo Admin
2 Baths One or Two Family
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Gas Fireplace
Heat Purnp
-Mechanical Issuance Fee-
Plan Review - Planning
Temp Power 200 amps or less
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 7% State Surcharge
+ 10% Administrative Fee
Received By
ddk
Check Number
Batch Number Authorization Number
Paid By
BRUCE WEICHERT
000317 027207
City of SpringGeld Official Receipt
Development Services DepartmeIlt
Public Works Department
Date: 03/08/2004
10:49:31AM
Amount Paid
767.15
31.00
1,000.00
75.00
75.00
35.00
(30.00)
1,045.74
452.80
344.20
164.89
727.42
314.63
214.23
10.00
110.29
53.41
254.00
12.00
18.00
9.00
6,00
4.00
15.00
12.00
10.00
71.00
50.00
106.00
38.00
90.38
129.12
$6,215.26
.
.
Item Total:
How Received
In Person
Payment Total:
Amount Paid
$6,215.26
$6,215.26