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