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Permit Electrical 2002-2-28 (2)
.', ;:,225 FIFTH STREET ,,-. ','; ,,' ~;'. SPRINGFIELD, OREGON 97477,>:, '" " ~ ,,'", ",.. {,INSPECTION REQUEST: 726,376?c ,;. . OFFICE' 726,3759 ,., " ,,," ,;";',' ;'--..", ' '.. " ,:;, '>.:~' ',", "",', . ,.. \ y ,,;,' ~> L LOCATIO,N OF WSTALLATIQN :, _ {;7Z7 jL;-dC, ~.. c."r LEGAL DESCRJJ>TIOV0 180204/ ( () 'f7OC ;:;i ~;~~~: ~'::; '" E~CAL PE~T ~P~ICATION_ ".-. ~~7~'-" ;\-1 J, OtJ" ;:z; i;.:." ;" .CityJohNumhel":'{)(- OI507-,Oj ,:,' ~.::>~ b;~r'-:,i r:~ ~,>~, ' ".~'.':. -.< <', -' '.-.-~" ;:'. .' I:, ",.r:', :f::COMPLETEFEE'SCHEDulEBELOW, ' :~) F':~~~-", ~~;:;,f,: . '~' ,'~" ~ ~,~:.-, ','. ~ . -, . " ",::::. 'A>Ne;YRe'idential'Sjl1gl~ol' . , ' - ,'.' Multi,Family pel' dwelling unit. Senice Included; "'.... Items Cost Sum ,'1" ., ":': JOB DES<;:RJJ>TION ;I 1000 sqJt. or less .,..' ntH JI'I5itIiL l./, GA{l..,4.6-e Each additional 500 ,'." :f;r ."~I':r:' sq. ft or portion "', Permits are non-transferable and expire thereof $ 19,00 ,:-.- ' if work is not staned withm ISO days ,'-il'/" Each Mallufd Home or ' of issuance or if work is suspended farfo//O frv-'iO Modular D\\elling () , cf) ISO days, , VOti!,c I1tru/es lV,'Oreg Semce or Feeder '. d+- $50,00 roo . . ". ' ,.' . '"104. fltion C i'JdOPt OT//Ei ' . ' . 2, CONTRACTOR INST ALLA T1~o~<'QOen.Q'r Sf'n\ccs 't~~el's ,', . . , :, " '.' , 'y;'~' T ,n;. In", r.-. GS " :~;, :, "c Ceil/,' U fI) -007 Os!n,.stIllUt;!i,qn, A~Jf,tionsor~, , " : :~ ".. " Electrical Contractor 171:"1' fng ffJe i'Jy OOt", ,0 ffJ'o!})!r'6~~lir1f.n Uti;." 0 ::', " " c", , . ",,'. ' '.- ';'.. vGrt. Cen' '-<fnc 'gI)O..qrti~ fly ~ .. . .,:;.,', "'" > . , ' ,,' \. .-'" Ot;t.'fj" ~ ler / 'Opis. . ,,!'I ~Gt '0 '-;" ..' " " , .,'. .', "l-/';-;' Address'" , ':i C'e~{. ./fJ.'6" 'I^,Ote,L1fu::l)lJWs'&i~.~ I'fft,':"",' ,',.:, ':-""'(63,OO"~, 1"'" ',' , .\, / -'If:Jl." ego . /h,. 'II'>, 19. n,. . ,'.. ''',' $ 7"0'0 ",:~\ ';,-:, :.' /".,..,'s'T,..nU",~ttJ,6JI1~'(v amps' "":..,.'~, -',~ ~..,,' " ... .j <~' '.. f;; ..ell l\ ell' \WI, ~h'" ~-,-. '-t'f<;,. City"':. '.~" "Phone r f',' J-.;;':,';\;<, '10'3 J4D)vB~), ~/j, 'l\il)ps" '. '. ..~'$125:00 ~": ~"::',-:,D ... ,,'. ',: y :.01," '. ':"';::,'::,3<-</j~-J41tn~P;d ObamjJs:,- ,', ',' '$163.00~' :;l:~'r:... Supernsor Lj~ei1~e Numbev1 :\. -,' ,.~::.';,": ,Over'IOOp ali'fPslv~l.ts' " .. ' .' ..' $375,9.o~' ",., " . ,'I ',', ';.'" .\8\1, ,- .. ..' "',;,' ,. ,.., :ReconnectOnly" ,~':'. '.,' , ',$ ,50,00 .,.' ;';;~."',':;' ..':" ;;'. "//"'" ~ "'-'~ . ~. . " . ~ ,'j '.:: .... " -",~. -; '.---:--:-. ; ~.~ .:f..' ExpiratiOn Date~(l .' ..' ~~" r<. J:l' . "". ,/ .-f' -,.... ' '.:., .. - ..' ~ ' :: ~. '';.- ~ .:.. ?f.~ ~:='> (~~ "\ Y~:-' ~..."'" ,:;,): - -:;..~)V :~ :' ,*, -. !Iel"}" ;<> -~;r{~,,(:L::rcn;I}Orar~ Services' or Fcede~'-s, ~ { ',1~ \ 5:' ,~. :'- '.... : ~z,:i}: ""Cori;l; Contr.l%l)jb.e{" ':; tNI_ \, ,.~ ':.:'~ :.<:~':' '{nsinllatio~;-"-Ite'..aiion ~or Reloc'a;ion~.. :;": .': ':",{.~ ',;'~:t,.. ''''':',..:..,;,4UrH,'/jl,fjf'';'':'':'' ,,". "~-:, .,,', ";,, ,'~.'" "".::: ...:"..,'.. :"l}~,~~,;:ExPiratlonDatc . ~'~i' ORI,?,::;/8NAi/ .".~',200a'11ps'ofless.~'."':':' ..:':'".' ,..+,:-:-,$5'0,00,,: ..~: r;~i~~i.;:h:' . .. AAI 7M{NC 'UND;:; :f-rP!.D 2QI amps to 400 m~ps, . ;>~ ~ '~. . '~':. $~9.00 ~, ~''','-,~''o''.::,SI??a~u..cyl,~upc..ns,"g ~r'rc~'\ll 'ED OR R rHi fJC'If:Jj,40Il0 600 a!,lps ':" '"'''' ,~~~oo,.oo~' ,:,}::,-:,,!?::,:. .. ;':,;,-, U4y,o 1848. 8PE~dS~}\Ii~o,~0~OY9.'ts~ee ;':".:: -'. .' t: '.0" .',- ' ," ", . > !. 'ER/D.'O \qNDO'A;!'11/'l'rio.M ITIf -- ,-<, I,:, , {... ". ,4 "':'."',,'.. ' ,'. " ."', . I'IFo ;'11)' Or ,.,.., >' ' , ", 'J>.t':':l' 1 ,," "., '''l' "'-J rJ ' ., ~ . " t".;;....:s..:/: ~.....' ,: ,.:" .: 'J :, ' e.<<. t'. ... oj;. " .....,.,..:';~ ;jz,!.~~:, :O~~~~I;S~:;~ {ifi iz~t.J &l..~kS 'L D. Bra~~:y A1~:r~~on orExtension pe/~~ei:, ,,~:.:,:,.. . \,::. ~~;?;'i!,:-;~..~:,::,;7,'~:;"~,~:,~"~:',:'.'{<,:0.Ci,:7~'I~i,~T7~,"~!-: . :/:"~~ ".! ':,f:; .,~ :;;;':,;:..""i'" .:'/ "', :"~",':' ~,,,":,,,'~'~;"Addl'ess''-, CJ\~)'''> ~,,:,( :.'. ':," On~Cir~uit' " .,' "$43.00, '",: f'~:'~Y"::~~~~'":','""~~"'n,~.,x-J"" .".':"',,', .. i' ,';> . --~-"t,((. ~'r~'~" ~f:~~\ f.( ':Sii/ji i'~'o,c.~ W;'Phone ,:'*' 7-36 SJ Eaci; Additi9n~1 Ci~cuit or with se~\~~ ~\;.',':: : i'~ ';,.,,""" ' .,,,' ..;,', , ' ..' or Feeder PermIt ' '--\,$3.00 ,.' ," :";,:::,~..~,:OWNERiNSTAL,Li,!:ION,.' " ',; .,' ,. ~"-;"'<;::: ,c. ',:, '"):';,The:installa~oi1 is being made <i~:. E.l\Iiscellaneous (Service/f~ede.. not includ~dl., "--' '. ",...:, ,property I own winch IS not mtende( 'EacIiinstallation /,. :\' -- . " '<,'~' for sale, lease or rent.:, ::' ' Pump 'or irrigation';' ',$50:00_ , . ".'t.',' '~". Sign/Outline Lighti(lg $50,00' , ',' ',:fi7~:'.:: 0, \VI ~1"~'Sign~~/lu.---;r' I -, " " Limited EnergylRes'. $25.00 .AY'i 1 ' , ' Limited Energy/Co.nnll $~5,OO ,',',-': "3THc" -I ~ ..' ~~. 1..J ... :..f \. / - I\linimum Electric Permit)nsflcction Fec is 5"'5.00 + Sl.lrcha,i'gcs : j~]N~H8, ...;: . . '. :il' 3Z8y:t Z: (m~. Hi\f ;:3002 80 81j: 31 tj(j ,~E'T:jOOO~ Tn; #8N!Jdl : $106,00 , .t'",' TOTAL \\)~ ~ '1.. ILl ~4. Jl~.A5 4. SUBTOTAL OF ABOVE 7% State SUl'charge S% Administratiye Fee r~' ~ - ~ '. CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET =1 $332,86 =1 $34,83 =1 $0.00 =1 $367.69 1055 =1 $10,00 1056 =1 $377;69 =1 $2,795.18-.J II I 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: I BUILDING SIZE: I, STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM 1 IMPERVIOUS S.F. 1..1 COST PER S.F. I I 2839.50 I $0,273 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS 1 IMPERVIOUS S,F. 1 xl COST PER S,F. I xl DISCOUNT RATE I 0.00 I $0,273 50% I ITEM I TOTAL - STORM DRAINAGE SDC 2, SANIT AR Y SEWER - CITY A, REIMBURSEMENT COST: I NUMBER OF DFU's I I COST PER DFU I 22 I $21.37 B. IMPROVEMENT COST: I NUMBER OF DFU's I" I COST PER DFU I 22_ $16,24 I liTEM 2 TOTAL - CITY SANITARY SEWER SDC 3, TRANSPORTATION A. REIMBURSEMENT COST: 1 ADTTRIPRATE IxlNUMBER OF UNITS I xl COSTPERTRIP I xl NEW TRIP FACTOR I I 9.57 I 1 $16,21. 1.00 =1 B, IMPROVEMENT COST: I ADTTRIPRATE IxlNUMBEROFUNITSlxl I 9,57 I I I ITEM 3 TO:~L - TRANSPORTATION SDC 4. SANITARY SP.WPR, MWMC A. REIMBURSEMENT COST: I NUMBER OF FEU's I x I COST PER FEU I 1 I $332.86 B. IMPROVEMENT COST: 1 NUMBER OF FEU's I x 1 COST PER FEU I 1 I $34,83 MWMC CREDIT IF APPLICABLE (SEE REVERSE) SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT MWMC ADMINISTRATIVE FEE o SF LOT SIZE: COST PER TRIP JxlNEW TRIP FACTOR I $68.94 1.00 .J=I =1 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC SUBTOTAL (ADD ITEMS 1,2,3, &4) 5, ADMINISTRATIVE FEE: SUBTOTAL J "I ADM, FEE RATE I $2,795.18 5%_J ~~ o SF =1 $775,18 =1 =1 $0,00 $775,18 =1 $470.14 =1 =1 I $827.42 "\ $357.28 $155.13 $659.76 $8 I 4,89 12/21/2001 =L $139,76 TOTAL SDC CHARGES = $2,934.94 SDC COORDINATOR DATE CI) ~ Q o U P::: ~ CI) - o gz I 111070 II 1091 1092 1093 I T 1094 1073