HomeMy WebLinkAboutPermit Electrical 2002-2-28
'. 225 FIITH 1'TREET ,l -\ j" 'I" I ' , i EL~CAL PERMIT APPLICA nON
, ',SPRINGFIELD, OREGON 974771 I I, ,
, 'I C=-: I I " ' '2 Of/ ,., I
, !INSPECTIqNRE,QUEST: 7i6-~7.69 i: I I' i ; CityJoh~umber ()/-()/~o':rv
, 'Q.~F\CE 726,3,\,9' : i .:' I '.' ,I ii", J I! ., ' ,,;, ' ,
", 'i!,':, i\.., i :',' ',I \~SSUb~i\\~lm\~~SCHEDULEBELOW
L LOCATION 'OF wstA"M1AlIp~l'6~~e~O\ ,equire spe~'hC a., ' '
5727-- '- 1L;09'@!"ng<:-~,-, "-p.New'Re;identi;,I-Single or' ,,',
'aw'~'- zoning-Lo\) Multi'F,!!mily per dwelling unit.
LEGAL DESCRlPTIOrt!~ ,,/~.it\)L "ervlce Included:
180Z0411 oafe) (/7" - - Items Cost SUI)1
Authorized 'Signature - --
JOB DESC;:RlPTION r 1000 sq,ft, or less
YJI H, J/'Is tlliL l.I: 6-Nl/t6e Each additional 500
sq, ft or portion
Permits are non,transferable and expire thereof
If work is not started within 180 days A, i"r€ Each Manufd Home or ;
of issuance or if work is suspended forlOllO IV/'IO/V Modular Dwelling
180 days, .1V0/llle Ii- rUles :Oreg, Service or Feeder
, ; II) O~Of/ C <l(j01J~ Of/I<lllt '
2, CONTRACTOR ~NST ALLA T-1tl1}iJ~Pn~"<-oO ef/~'f. ~1-q,~{~PJrs ." , '
, I ,\ , Cillll. Ou rn '-00, hOsl"f.tafil~8n;S~f,tions or
Electrical Contractor, 1)11..., f/IJthe q)lObf<l.Ofhro!h'lt:lJelJwrlf/Ufil/,.~
; ", ' ). '''6r lo,.,le'lfer II) COPi 'llh 0--4;13 Sef 10 'Y .
Address,' ~ C~~ 'h~0r. '(I\!O/e.2%Ro}1llY.S~~hnl'fh
; \, (/ fllf'ts 1. '9g0f/,U,,: rro fjJ~' ~ Cll'4l11famps
Cltv 'PllOne r -' 80o..as;lt!jjJIVrp! fYlD~bO~ps
; \ \ V" ~lffr:~Pid~OO amps
SupervIsor Licens,e:Numbe~ --:\ Ove1"lOO,O a~sI\'olts
I V I;' V, Reconnect Only
Expiration Date (I \:J ~ i
{~' , " / - I · r!eft"; c. TemJlon~ry Services, or Feeders , .
Constr,!:?-"-~ l%mber nf( 1: ~', ' Installation, AlteratIOn or RelocatIOn
',- -'-~-_____ ,I/lirf!. R4?/r
'~Expiration Date ---~~PBI!I':' Sf/ALL 200 amps or less
" " . ", AA1~C "V'liI'lDr-,fJ(PIP 20lampst0400amps ,
Signature of Supervising ItYtc~~ 'ED OR elf rit;:dc..If:JJ.401 to 600 amps '
, " "",~..... '.4J1' p~ /S 1/8/1 S PfMd$~s,o[!O()O volts see,
, '" elf/o." "'IVDflA;~Iff/~~,;,rrl( ----~
, , , ," , v. Vll/fD ;;JiI(Or \
["7' ". , 1 _' D. Branch af-cuits. I
O~vners Nam~ /A efl'--I "tEtZ. 't>-JO\?ST New/A1ter~tion or,Extension Per Panel
. . ' _ ,,' f' ~ \ ,/;/ \ i'
Address (Bro~ 7 \ OIie',Circuit i $43,00
, City~,~111d Phone .1t17~ 36 3:J E~~AdditionaI ~ircuit or with S~rvice " f1 ci)
or Feeder P,~mlt., ~$ 3,00 ......:.L.::,
>"/ .f _"~ '::; :". '\. .
E. ' Miscellaneous (Service/feeder not included)
: .EacliinstallatioIi' \
. ?tunp 'orirngatioh , ' ----.i $50',00
Sign/Outline Lighting , _$50.00
Limited Energy/Res $25,00
, 'Liinited Energy/Comm' $45,00
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OWNER INSTALLATION
, The .installation is being made ,on
, propeny I o,vn which is not intended
" for saie. lease or rent... '
'OO'"I~;;Om'''
: 39N\;IH:J
91'2Z89 $ Z:a:J3~ 1W\;I
6003,82: 83.:1:31(70
6818000-10; #SN(7iU
$106,00
$ 19,00
" cf)
R- $ 50.00 lCD.
,
~,:, .: ','\,;.
$63,OO~
~ $ 75.00
$125,00
$163,00,
$375.00
_ $ ,50,00
$50,00
$69.00
$100,00.2.-
Minimum Electric Permit Inspection Fec is 545.00 + Surchargcs
, "
tt)~ ~
'l-'L.l
~.'L--\
lL~A,5
4. SUBTOTAL OF ABOVE
7% State Su~charge
8% Administrative Fcc,
" ,
TOTAL
_.,0'. .....
-
,
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
-
JOURNAL OR JOB NUMBER: 01-01384,01
NAME OR COMPANY: HORST
LOCATION: 5727 RIDGE COURT
TAX LOT NUMBER: 18-02,04-11,07000
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS: 1 BUILDING SIZE:
I 1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S,F. I 'I COST PER S.F. I
I 2839,50 $0.273
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
1 IMPERVIOUS S.F. , ,I COST PER S,F. J' I DISCOUNT RATE I
III 0.00 $0,273 I 50%
I ITEM I TOTAL. STOR~ DRAINAGE SDC
2, SANITARY SEWER. CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I "I COST PER DFU
22 $21.37
B. IMPROVEMENT COST:
I NUMBER OF DFU's I 'l COST PER DFU J
II 22.-J $16,24
r ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3. TRANSPORTATION
A. REIMBURSEMENT COST:
1 ADTTRIPRATE I'INUMBER OF UNITS I ,I COST PER TRIP 1,1 NEW TRIP FACTOR I
I 9.57 I I $16.21 1.00 =1
B. IMPROVEMENT COST:
I ADT TRIP RATE J ,I NUMBER OF UNITS I ,I COST PER TRIP
I 9,57 I $68.94
~EM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER, MWMC
o
SF
LOT SIZE:
o SF
=1
$775,18
=1
=r
$0,00
$775,18
=1
II
C/)
~
o
,10
U
~
I~
C/)
"'"'"
I tI
J II ~
1070
$470,14 1091
=1
=1
$357.28 J 1092
$827,~1 I
I 'I NEW TRIP FACTOR I
1.00 -----=1
=1
A. REIMBURSEMENT COST:
I NUMBER OF FEU's I 'I COST PER FEU
1 $332.86
B. IMPROVEMENT COST:
I NUMBER OF FEU's 1 "I COST PER FEU
1 1 , $34,83
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT
MWMC ADMINISTRATIVE FEE
II ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
I SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5, ADMINISTRATIVE FEE:
SUBTOTAL 1..1 ADM, FEE RATE
$2,795.18 5%
~ T~ 12/21/2001
$155.13 1093
$659.76 I 1094
-'-'
_~~,14,~
=1
$332.86
I
I
I
I
I 1055
-.L 1056
I
I
I
I
DATE
TOTAL SDC CHARGES =
SDC COORDINATOR
=1
=1
=1
=1 $10,00
=C-$37W
=f $2,795.18
$34,83
$0.00
$367,69
=1
$139,76
$2,934.94
11073
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DRAINAGE FIXTURE UNIT (DFU) CALCl}LATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT; DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO, OF FIXTURES DRAINAGE
( # NEW # OLD ) UNIT FIXTURE
FIXTURE TYPE x EQUIVALENT = UNITS
BATHTUB ( 2 0 ) x 3 = 6
I DRINKING FOUNTAIN ( 0 0 ) x 1 = 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 ( 1 0 ) x 3 = 3
CLOTHESW ASHER, 3 OR MORE (EA) ( 0 0 ) x 6 : " .:;::. ......0
MOBILE HOME PARK TRAP (I PER TRAILER) ( 0 0 ) x 12 = 0
I RECEPTOR FOR REFRIG 1 WATER STATION 1 ETC. ( 0 0 ) x I = 0
RECEPTOR FOR COM. SINK 1 DISHWASHER 1 ETC. ( 0 0 ) x 3 = 0
SHOWER, SINGLE STALL ( 1 0 ) x 2 = 2
SHOWER, GANG (NUMBER OF HEADS) ( 0 0 ) x 2 = 0
SINK: COMMERClAURESIDENTIAL KITCHEN ( I 0 ) x 3 = 3
SINK: COMMERCIAL BAR ( 0 0 ) x 2 = 0
SINK: DOMESTIC BAR ( 0 0 ) x I = 0
WASH BASIN ( 0 0 ) x 2 = 0
LAVATORY ( 2 0 ) x I = 2
I URINAL, STALL! WALL ( 0 0 ) x 5 = 0
TOILET, PUBLIC INSTALLATION ( 0 0 ) x 6 = 0
TOILET, PRIVATE INST ALLA TION ( 2 0 ) x 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU's'
( 0 0 ) x 20 = 0
l TOTAL DRAINAGE FIXTURE UNITS =1 22
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set all67 gallons per day
MWMC CREDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFrER ANNEXATION DATE, CALCULATE CREDIT SEPARA TEL Y
YEAR CREDIT RATE PER $1,000 II YEAR . CREDIT RATE PER $1,000
ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE
1979 OR BEFORE $4,92 1990 $2,06
1980 $4,83 1991 $1.64
1981 $4,77 1992 $1.45
1982 $4,64 1993 $UI
1983 $4.47 1994 $1.13
1984 $4.30 1995 $0,97
1985 $4,09 1996 $0,82
1986 $3,78 1997 $0,63
1987 $3.41 1998 $0,41
1988 $2,98 1999 $0,22
1989 $2,52 2000 $0,04
VALUE 1\000 CREDIT RATE
0.000 x $0,00 = I
0.000 x $0.00 =1
TOTAL MWMC CREDIT =1
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
$0.00
$0,00
$0,00
....-:' "'..41
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