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HomeMy WebLinkAboutPermit Electrical 2004-7-26 " V SPRINGFIELD <="""'''''''1'\ 225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 f'fNNna&4fiJi~~9t639IJb ,f:,.ji;;;z;::?-;(~ 'il', re ""J~<'}"b ~w'~ ELECTRICAL PERMIT APPliCATION .~o " qlJire '-'''il$1h~ - . Dale n1ng sPeCili e 1011 City Job Number C4 -0-0 ''is IODate A, , ' 7 _ ' fL c lana 1J~:lng "^'oriz ~ 1. ~L-~"O~CA...''"l''T'-I''O'''~"liO-~F~'-;;';S''''T.;;:r~r~'T~Al''''''O'~A7,';_{~".""L.i"""""~~,:;;?,",~,,, F-:""\?""'\,..~'"..",r.'-''' .,~cJ S;iil:.~t/~ c. -V '."",..~.' ...~..('i?r....~f'."-..I~~ ...~'*""'..''''- r_ H, .u., H' -.. .'- 3. O:-:9QMP.WE;'FEE.. "~_~Q. LQl.\~ :''''~', :Pf:"'...:+{~.;/" 1$.:c..~.~.~:..:.:...t.ii:;v_",.J;.~.1J':c'~~>iOli'=;~,=....:.~~12 ~L:~'C.."if_,;..,Lil..,...,)b..,:t..,........_.,-.t~. .<....J.'_~" "~ u.oi.J......M_ . ~.../w..:,....l...J L./Obl-t 5> i2e~WDaJ , ,. . - ... . .' -,- '":' -:';;'.'.'cltydF~ .d:NGFIELD 'dREG-b~t.:.. .':',': ,r' "~~'" . 3:,' ", . ~. .... ....; '. ..' - 1.'. ~ ..'. .- ....., ..': .:.t" . . . .- LEGAL DESCRIPTION I <60 l. Db t I JOB DESCRIPTION /3go-o 1'1n A. ~~~~;~it~~i~1~'K;;i ~:~fn~i~~~/M-~li1i:F~1~ilyi;::F~~liiri~.~~f~1~'1':. ;'.'ftJ.".::'~~';$-~K'4...r.'J:-":::';;:'-...;.;;:...4...;,~..t4i".a'.A"~. .:....~..""-'t. ;4),\:........:1:..\-'\.. Service Included A/ELi M I- 'IvY\. P 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof I L $ 19.00 job 3f $106.00 , Permits are non-transferable and expire if work is Each Manufact'd Home or not started within 180 days of issuance or if work is Modular Dwelling Service or $5000 Suspended for 180 days. Fe~~~\\ 'IOU \@ , l{toNtRACf6lf iN~iAi.iATfOf,[:"~'" ".,~; \a'l'l ~M~~\\\\W~~~Iit7f;(;i:if;';;1~lt~iYti~~s'6tReioc1tfJ~:~~ ~ 2. ~""'~""'''';;;'''''''~''''''''''''~' ,.~i!,~;Jl""'-" -. O? d"":lU~Il'-e.te'~~V~;::;i1'i"U.""''''''''':'? """" _,-",";;-.:;.~:::o.c;~J Electrical Contractor L €. E \a. ' .!~d....r.At. "{\'\~toll~lI(lO,.'t~ \\)\~'qJ $ 63.00 Q ~.Q\\1\C!1~~O~.()~~ CO?~ rArll&'il~.AmPS $ 75.00 Address ~ f d-.5 :3 3 ,lOt \r6~~"~~o\~O~~M?~g(h,ps $125.00 C Qo@,~ou ~~~\'I\et'egO\'l~\\i~~~'/l1000AmPS $163.00 City "0 r ~ I d Pbone ~~t-~g~.e\)\)~~f800 AmpsIV01ts $375.00 ~\)\\I"'~' (ie\'l\8t \5 Reconnect Only $ 50.00 Supervisor License Number Lj-lr!.t-S 10 - 0 I - (94 ?~Y5~~'"T' ,~",;:,;;~p'J~'" '-t'..,~-,- ,'.~ ,': ", ,":,.{.,\.Jjj!:" ~,-' ~ll.~" '..l c. r:!o~inpPr.aJYJ$~~~~~f~~o-ti!..~M.~-:'~}~;~~)~ ~ .'~~;';~~'~~'l.jt.~~; ~;;~-r}~~ Expiration Date InstaHation, Alteration or Relocation Expiration Date 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps , Over 600 Amps or 1000 Volts see "B" above. S,'gnature ofSuperv,'sm' g Electn'c,'an D. ~Bi-'1i'.i~K:ci;,~iti!i~~i",,:::) 5~i~~(~~~~~;~'1~~::~~;J":.::t?!; ~~i:....~~, .__~_". ......n""i':u..... i:'i ,. ..,::i1-:f-Zt..",~ ',,::Jl' -..,.~..;.;o.J.".l.T"'- 11'1..' ,- \ F n [), n,~ 0 n <2A.. New Alteration or Extension Per Panel H- '-JVloVl .J\.liiI. _ '- One Circuit $ 43,00 Each Additional Circuit or with I I I Service or Feeder Permit $ 3.00 Owners Name -g r oI\..c.../F ' VII 1cc.kL.-.vr , ''''V0\-'''''-'~~-:;:u!::I~~''-~-'---o,"-"-'''' T'\J ''">"" I c... . ',-li~\rc' E. 1:M.iSJ,u;~",;\f(se.rnc / oo;,r~~ot i1r~l;iHeiir:'Eiich'iri~i~Uitioi('1 VII ,... ~ l'" f"~' :.L~' t-J\\i S\-\'f'.\:~t"~Vt'I';'Mti' \:l~"-=ctt"''''--"'-''t:'_''''':'''''''''''"'' ..... ~ Phone .b 'tb 'tl~~lH) ~%~iN~\~tO fOR $ 50.00 f\ t-J\E~CEO ~j'gn\'QJl1'yn'e'rrghting $ 50.00 OWNER INST ALLA nON ,COt-J\ '\ 8Q Ol\'i JtililitlfdltnergylResidential $ 25.00 The installation is being made on property I own Ml Limited Energy/Commercial $ 45.00 is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ID5l-t'15 ~ - 30 - nU, I $ 50.00 ,$ 69,00 $100.00 ~'O Constr. Contr, Number Address 337 S- City ~C Inspection Request: 726-3769 '--~-"'.""'l(...~,:.-",~~'~~r ' f<....)..,~-~~_......~ ~...'l:f 4. ,~:SUBTOT;4L{)F~O'Vi-t{~/,*,j.:;';:~f?\;:"l , 9 1.1 t~-:-.."I----:"'ZLk\~~-~~,"-~..:.7J,,~"1 .:,.~..-...~: '!:t'..e'_:i2J~ 7 7% State Surcharge r> ~ 10% Administrative Fee I If ~ 7/Zb ~ TOTAL Owners Signature, , Sh3I"Cd Drive(T:YBuilding Forms/Electrical Pennit Application 1..Q3.doc CITY OF SiNG FIELD SYSTEMS DEVELOPMEN'-ORKSHEET JOURNAL OR JOB NUMBER: COM2004-00810 NAME OR COMPANY: Bruce Weichert LOCATiON: 4064 S Redwood Drive TAX LOT NUMBER: 18020611 Tax Lot 13800 DEVELOPMENT TYPE: SINGLE F AMIL Y RESiDENCE NEW DWELLiNG UNITS I BUILDiNG SIZE (SF' 0 LOT SIZE (SF): 7294 [ '0:: ,~ en 6 ;;2 - - 1 STORM DRAINAGE DiRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x, COST PER S.F. CHARGE I '3030.00 '$03 I 0 I = , $939.30 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S,F.' x , COST PER S.F. I x, DiSCOUNT RATE I ' 0.00 I , $0.310 I I 50% = , ITEM I TOTAL- STORM DRAINAGE SDC $939.30 I 2, SANITARY SEWER - CITY DiSCOUNT $0.00 A. REIMBURSEMENT COST: , NUMBER OF DFU's I x i 20 I B. IMPROVEMENT COST: I NUMBER OF DFU's I x , 20 I COST PER DFU $24.04 $18.28 $939.30 $480.80 $365.60 , 1010 1091 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC =, $846.40 1 TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE I x , NUMBER OF UNITS' x , COST PER TRIP x 'NEW TRIP FACTORI I 1093 9.51 , I , , $1830 , 1.00 $115.13 B. IMPROVEMENT COST: I ADTTRIPRATE I x I NUMBER OF UNITS' x , COST PER TRIP x 'NEW TRIP FACTORI 9.51 I I , , $80.72 , 1.00 $112.49 1094 ITEM 3 TOTAL - TRANSPORTATION SDC = , $941.62 4, SANITARY SEWER - MWMr. A. REIMBURSEMENT COST: INUMBER ~F FEU's I x B. IMPROVEMENT COST: [NUMBER 01 F FEU's I x 'COST PER FEU , $214.23 MWMC CREDiT IF APPLiCABLE (SEE REVERSE) ICOST PER FEU , $314.63 MWMC ADMINISTRATiVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ , 0; ADMINISTRATIVE FEE: $538.86 $3,212.18 'SUBTOTAL x , ADM. FEE RATE 1= '$3.212.18 '5% I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: CHARGE $163.61 Matt Stouder 7/912004 TOTAL SDC CHARGES PREPARED BY DATE .-...-.-. - --., -.-..-..... = $314.63 = $214.23 $0.00 $10.00 106.89 $56,72 =, $3,435.79 1054 1055 1054 1056 ] 11019 1018 . . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTIJRES x UNIT EQUIVALENT - DRAINAGE FIXTIJRE UNITS (NOTE: FOR REMODELS, CALCULATE ONL V 11ffi NET ADDmONAL FIX1lJRES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS I BATHTUB 1 0 3 = 3 I DRINKING FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 I INTERCEPTORS FOR SAND / AUTO WASH / ETG. 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 ICLOTHESWASHER / MOP SINK 1 0 3 = 3 ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (l PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REFRlG / WATER STATION / ETG. 0 0 1 = 0 IRECEPTOR FOR COM, SINK / DISHWASHER I ETG. 0 0 3 = 0 I SHOWER. SINGLE STALL 1 0 2 = 2 I SHOWER. GANG (NUMBER OF HEADSl. 0 0 2 = 0 I SINK: COMMERCIAURESIDENTIAL KITCHEN 1 0 3 = 3 ISINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASINIDOUBLE LAVATORY 1 0 2 = 2 ISINK: SINGLE LAVATORY/RESIDENTiAL BAR 1 0 1 = 1 IURINAL, STALL I WALL 0 0 5 = 0 ITOILET. PUBLIC INSTALLATION 0 0 6 = 0 TOILET, PRIVATE INSTALLATION 2 0 3 = 6 I, , MISCELLANEOUS DFt] TYPE NUMBER OF EDU'S I 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 20 -EDU (Equivalent Dwelling Unit) is D discharge eq!!-ivalent to a single family dwelling unit (20 DFU's) set 01167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR CREDIT RATE/$I,OOO ANNEXED ASSESSED VALUE IS LAND ELGlBLE FOR ANNEXATION CREDIT? 2 BEFORE 1979 $5.29 (Enter I for Yes, 2 for No) 1979 $5.29 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 0 1980 $5.19 (Enter I for Yes, 2 for No) 1981 $5.12 BASE YEAR 1979 1982 $4.98 1983 $4.80 CREDIT FOR LAND (IF APPLICABLE) 1984 $4.63 VALUE /1000 CREDIT RATE 1985 $4.40 SO,OO x S5.29 - , SO.OO 1986 $4.07 1987 $3.67 CREDIT FOR IMPROVEMENT (IF AITER ANNEXATION) 1988 $3.22 VALUE / 1000 CREDIT RATE 1989 $2.73 $0.00 x $5.29 0 1990 $2.25 1991 $1.80 1992 $1.59 TOTAL MWMC CREDIT = SO.OO 1993 $1.45 199' $1.25 1995 $1.09 1996 $0.92 1997 $0.72 1998 $0.48 1999 $0.28 2000 $0.09 II 2001 $0.05