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Home My WebLink AboutPermit Electrical 2005-8-31 CITY OF SPRINGFIELD, OREGON . Supervisor License Number 3C:;; I 7 S Expiration Date I c:J - /.... ~ 6 Installation, Alteration or Relocation "7 A')l:f1NTION: oregortqM7ll'd8~~rgyOU to $ 50.00 Constr. Contr. Number Rh . ~ 1S'!~,(1 :Wes-adopted b<l) rt\W'l5lg, 89;1mmy $ 69.00 . . / /...- iJ Motification Center. Th"8$mMoa~o~Y'mrth $100.00 ExpIratIOn Date -Ld ~: """"-"""1 0010"'-'-<<'''~'''''''''''-'MM'' I "B" b I" .....-, ,; t ..,...h.. JO - W.'-IVUJ.",,\;, QI\IW~.ytU.~\!J 1":.0 18 see a ove. Signature of Supervising Elecnician 0090. You may obtaD19c1!rancbliJJrcultSeS by tJ6 ~a!lin the center. (~g~Aia~J<<J.~r.,?('E1tension Per Panel ~ I 7L>-.__ um rforthe Oregnn '!lilv.Notlficatlon A ....\ ;r7~ . Qns: lrcu.~t. V' A Center IS 1-8C'1i!.~ ttdlbti7,ft~1 Circuit or with t/ . ':II~\J ~ _ _ _ _ Service or Feeder Permit Owners Name l7i, J'D'{1 UUJ Address ~O \b 6.3 E.I Miscellaneous (Scn'ice/feeder not included)-Each Installntion I City ~ Phone !2:2.P>.~1 Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimnm Electric Permit Inspection Fee is $45.00 + Surcharges 4.1 SUBTOTAL OF ABOVE I \ 4A (j) -' 7% State Surcharge \ 0 ~ " '- ' , Hid I ~IiALL EXPIRE IF T:JE iO%Aaministrative Fee '4 _ l) ." ;. llLtlJ UlwlR THiS PEril!l] 1<:: ;,..H ILl Inspectiou Request:,7.26.,376~vCfO OR IS Af:jr\;~UUli~D FJ~TAL --"'Lq. 4 ~ \1'. r I v J DAY PlrlIOD. Shared Drive(T:)lBuilding FonnsfElectrical Permit Application I-03.doc I. I LOCATION OF INSTALLATION ~\J~ LE~AL DESCRIP1J.O~ \Y:-IL03~ ()Q\~3 JOB DESCRIPTIO ~ . . perm~-transferable and pire if work is not started within 180 days of issuance or if work i, Suspended for 180 days. 2. I CONTRACTOR INSTALLATION ONLY I Electrical Contractor T~.K' -<) TZJ N Address ~~ /2.... -'l ! " ~ .-- City &0" -.... '70YI/ 9S-3 -I} cJ...2 7 Phone OWNER INSTALLATION The installation is being made on property 1 own which is not intended for sale, lease or rent. Owners Signature: 3. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder I ~ S<6p1 \ Q... $106.00 $ 19.00 $50.00 B.I Services or Feeders - Installation, Alterations or Relocution: 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNohs Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 c. I Temporary Services or Feeders $ 43.00 $ 3.00 CITY OF S_NGFIELD SYSTEMS DEVELOPME~ORKSHEET JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS COM2005-01176 Hayden Homes 6004 Quartz 1802033400183 SINGLE FAMILY RESIDENCE I BUILDING SIZE (SF: 1900 LOT SIZE (SF): 6203 I I~ 10 10 I~ I~ VJ G ;:l I STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. I I CHARGE I I 24 15.00 I $0.323 I = $780.05 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I I 0.00 I I $0.323 I 50% I = ITEM I TOTAL - STORM DRAINAGE SDC '$780.05 I DISCOUNT $0.00 S780.05 11070 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's I x 21 I COST PER DFU $25.07 =, S526.47 1091 B. IMPROVEMENT COST: I NUMBER OF DFU's I x I 21 I $19.07 ITEM 2 TOTAL - CITY SANITARY SEWER SDC $400.47 1092 I = , S926.94 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADTTRIP RATE I x I NUMBER OF UNITS r x I COST PER TRIP x INEW TRIP FACTORI I 9.57 I I I I I $19.09 I 1.00 I S182.69 11093 B. IMPROVEMENT COST: I I ADTTRlPRATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI ! 9.57 I I I I I $84.19 I 1.00 I 5805.70 11094 ITEM 3 TOTAL - TRANSPORTATION SDC =1 S988.39 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER ?F FEU's I x ICOST PER FEU I $82.03 = 582.03 1054 B. IMPROVEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I I I $865.31 = 5865.31 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) SO.OO 11054 I MWMC ADMINISTRATIVE FEE SIO.OO 11056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , S957.34 I SURTOT AL (ADD ITEMS 1.2,3, & 4) = , $3,652.72 I ~. AOMINISTRATIVE FEE; I I SUBTOTAL x I ADM. FEE RATE 1= CHARGE I $3.652.72 I 5% I $182.64 TOTAL SANITARY ADMINISTRATION FEE: 115.67 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $66.97 11078 Cheryl Slaymaker 8/3112005 TOTAL SDC CHARGES =, $3,835.36 PREPARED BY DATE . . DRAINAGE FIX!,~RE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW AXTIJRES x UNIT EQUlV ALENT' DRAINAGE FIXTIJRE UNITS II (NOTE: FOR REMODELS. CALCULATE ONLY TIlE NET ADDmONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS !BATHTUB 2 - 0 3 6 = IDRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 !INTERCEPTORS FOR SAND / AUTO WASH / ETC. 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 (I PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRIG / WATER ST A nON / ETC. 0 0 1 = 0 rRECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 SHOWER, SINGLE STALL 0 0 2 = 0 ISHOWER, GANG (!'lUMBER OF HEADS\. 0 0 2 = 0 ISINK: COMMERCWJRESIDENTIAL KITCHEN 1 0 3 = 3 ISINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2 ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1 I URINAL. STALL / WALL 0 0 5 = 0 ITOILET. PUBLIC INSTALLATION 0 0 6 = 0 ITOILET. PRIVATE INST ALLA TION 2 0 3 = 6 MISCELLANEOUS DFU lYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 21 .EDU (Equivalent Dwelling Unit) is a discharRC equivalent to a single family dwelling unit (20 DRJ's) set at 167 n110ns per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR CREDIT RATFJSl,OOO II I ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2 BEFORE 1979 $5.29 (Enter I for Yes, 2 for No) I 1979 $5.29 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 2 1980 $5.19 (Enter 1 for Yes, 2 for No) II 1981 $5.12 BASE YEAR 1979 1982 $4.98 I 1983 $4.80 CREDIT FOR LAND (IF APPLICABLE) 1984 $4.63 VALUE/1000 CREDIT RATE 1985 $4.40 $0.00 x $5.29 =1 $0.00 I 1986 $4.07 I 1987 $3.67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) 1988 $3.22 VALUE/1000 CREDIT RATE I 1989 $2.73 $0.00 x $5.29 =1 0 I I 1990 $2.25 I I 1991 $1.80 I 1992 $1.59 TOTAL MWMC CREDIT = SO.OO I I 1993 $1.45 I 1994 $1.25 I 1995 $1.09 I 1996 $0.92 I 1997 $0.72 ,I 1998 $0.48 I 1999 $0.28 I 2000 $0.09 I 2001 $0.05 "- ./ 225 Filth Street 'springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-0 1176 COM2005-0 1176 COM2005-01176 COM2005-0 1176 COM2005-01176 COM2005-01176 " COM2005-0 I 176 COM2005-0 1176 COM2005-0 I 176 .. COM2005-0 I 176 COM2005-0 I 176 COM2005-01176 COM2005-01176 COM2005-01176 COM2005-01176 COM2005-01176 COM2005-01176 COM2005-01176 CbM2005-01176 COM2005-01176 COM2005-0 1176 COM2005-01176 GOM2005-0 I 176 c!OM2005-0 1176 COM2005-01176 ct>M2005-01176 c!6M2005-01176 COM2005-01176 COM2005-01176 Paymenls: Type of )l:lymcnt CreditCnrd .. ;. 'il I. ~: . !l 'f :. 9/22/2005 . .j:Q~~~ Wir: ~ty of Springfield Official Receipt .velopment Services Department / Public Works Department RECEIPT #: 2200500000000001314 Date: 09/22/2005 DescrIption Building Pennit Addressing Assignment Wittamalane Single Family 2 Baths One or Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Gas Outlets 1-4 Appliance Not Listed -Mechanical Issuance Fee-- Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 7% State Surcharge + 10% Administrative Fee Sidewalk Pennit Curbcut Pennit PW Disc - 2nd Pennit (Street) Stonn Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Stonn Admin SDC Transpo Admin Plan Review Major - Planning PaId By HAYDEN HOMES Item Total: Check Number Authorization Received By Batch Numher Number How Received tth 021615 Phone Payment Total: Paj1,e I of I 7:42:2IAM Amount Due 744.40 31.00 1,000.00 254.00 12.00 18.00 9.00 6.00 4.00 18.00 10.00 106.00 38.00 84.66 120.94 80.00 80.00 (30.00) 780.05 526.47 400.47 182.69 805.70 82.03 865.31 10.00 115.67 66.97 150.00 $6,571.36 Amount Paid $6,571.36 $6,571.36