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Home My WebLink AboutPermit Electrical 2005-9-26 , , CITY OF ~t-'RINGFIELD, OREGON . 1~?/~ - . ownersName~~ Address "0 ~Df.. B83 City~ahone ~.l~ OWNER INSTALLATION Limited EnergylResidential $ 25.00 Th .. t II-t.--t.."br.... "..~,~-~ I~", .!J?'C;ll'ir"~ 'mth' to Limited Energy/Commercial $ 45 00 e InS 8; ,~ 10n ISI emg maue;on propel LY own-w 01 . , . . is not intl(l',~s<!h!js,ale~lea~e'or~fen!: the Oregon wlty Minimum Electric Pefinit luspection Fee is $45.00 + Surcharges Nntlf,cation Center. Those rules are set fortH '> .. ".. Ownerl<<~,.(',t.,u'J~2_001.001 0 through OAR 952-001- 4.1 SUBTOTAL OF ABOVE I 0090, You may obtain copies of the rules by . . , '. " I", . .. .___~__ ftd.....tn.that~lp.phone 70/0 State Surcharge. , (')1.... '.... 1'(, G(:d'lll~ Ll,tj ..........--.. \- - ..' .',;,\ l '. ,'" '.",j I ' number for the Oregon Utility Notlhcatlon 10% Administrative Fee, "uu ..I. c."'"U r 'u "'1/ Inspection Reque~:Jri2&-3769800-332-2344). TOTAL ll/, . ~L\~5 ~+~ Permits are on-transferable and e\pire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 9--\ - 2. ! CONTRACTOR INSTALLATION ONLY I Electrical Contractor ~/?-ft /"ZT5 .;..) Address /J c!) dS&x.' -;;-0 <.J y City YI' ~/ Phone 9'5J-dCJ';;;7 Supervisor License Number ,5 C> ) 7 ..s Expiration Date /0 - /-)) (p. Constr. Contr. Number // h <;,;:2 9 Expiration Date //7,~ / --lJ I Signature of Supervising Elec \ 'L I \Olo.oO :3JB.CO $106.00 $ 19.00 Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 B. I Services or Feeders - Installation, Al~erations or Relocation:' !. 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only " $ 63.00 $ 75.UO' $125.00 $163.00 $375.00 $ 50.00 c. I Temporary Services or Feeders Installation, Alteration or Relocation 200 Amps or less \ 201 Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "8" above. D. I Branch Circuits $ 50.00 . $ 69.00 $100.00 "SD.OD New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Pennit . ., $ 43.00 $ 3.00 " E. I Miscellaneous (Service/feeder not included) -'Each Instalhllion I Pump or irrigation Sign/Outline Lighting $ 50.00 $ 50.00, Shared Drive(T:)lBuilding Forms/Electrical Permit Application I-03.doc CITY OF "INGFIELD SYSTEMS DEVELOPME&ORKSHEET COM2005-D1174 Hayden Homes 6046 9uartz 1802033400186 SINGLE F AMIL Y RESIDENCE I BUILDING SIZE (SF' 1635 r-- I~ 10 .0 'U I~ 5374 I i:: II~ DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. CHARGE I I 2177.00 I $0.323 I = I $703.17 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 I 0.00 I $0.323 I I 50% = I ITEM I TOTAL - STORM DRAINAGE SDC '$703.17 ~ JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS 1 STORM DRAINAGE LOT SIZE (SF): DISCOUNT $0.00 $703.17 I 1070 2. SANITARY SEWER - CITY " A REIMBURSEMENT COST: I NUMBE~IOF DFU's I x B. IMPROVEMENT COST: I NUMBER OF DFU's I x 21 I $19.07 ITEM 2 TOTAL - CITY SANITARY SEWER SDC 1, TRANSPORTATION A. REIMBURSEMENT COST: I ADT~~RATE : x I NUMBERIOF UNITS I x I B. IMPROVEMENT COST: I ADTTRlPRATE I x I NUMBERIOF UNITS I x II I 9.57 I ITEM 3 TOTAL - TRANSPORTATION SDC = , 4 SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x I I I B. IMPROVEMENT COST: INUMBER OF FEU's I x I I I COST PER DFU $25.07 = , $526.47 11091 $400.47 11092 = , $926.94 COST PER TRIP $19.09 I 11093 I 11094 I x INEW TRIP FACTORI I 1.00 $ 182.69 COST PER TRIP $84.19 $988.39 x INEW TRIP FACTORI I 1.00 I = , $805.70 ICOST PER FEU I $82.03 = $82.03 IIOS4 I ICOST PER FEU I $865.31 lOSS MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , 5 ADMINISTRATIVE FEE' IOS4 IIOS6 I I I I SUBTOTAL x I ADM. FEE RATE 1= $3.575.84 I I 5% I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: ~ 1079 $67.~ 1078 TOTAL SDC CHARGES Cheryl Slaymaker PREPARED BY 9/1 /2005 =, $3,754.63 DATE . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY TIJE NET ADDITIONAL FIXTIJRES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS IBATHTUB .-.-.-- 'I 2 0 3 = 6 I DRINKING FOUNTAIN 0 0 1 = 0 I IFLOOR DRAIN 0 0 3 = 0 I I INTERCEPTORS FOR GREASE 1 OIL 1 SOLIDS 1 ETe. 0 0 3 = 0 IINTERCEPTORS FOR SAND 1 AUTO WASH 1 ETe. 0 0 6 = 0 I I LAUNDRY TUB 0 0 2 = 0 ICLOTHESWASHER 1 MOP SINK 1 0 3 = 3 ICLOTHESWASHER - 3 OR MORE lEA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRlG 1 WATER STATION 1 ETC. 0 0 1 = 0 I RECEPTOR FOR COM. SINK 1 DISHWASHER 1 ETe. 0 0 3 = 0 ISHOWER- SINGLE STALL 0 0 2 = 0 ISIIOWER- GANG (NUMBER OF HEADS) 0 0 2 = 0 ISINK: COMMERCiAURESIDENTIAL KITCHEN 1 0 3 = 3 I SINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASINIDOUBLE LAVATORY 1 0 2 = 2 ISINK: SINGLE LAVATORYIRESIDENTIAL BAR 1 0 1 = 1 IURINAL. STALL 1 WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET. PRIVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 21 I .EDU (Equivalent Dwellinsl. Unit) is a discharge equivalent to a single family dwelliDJl. unit (20 DfUsl set at 167 wallons per day II MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR CREDIT RATE/$I,OOO r l ANNEXED ASSESSED V ALU~, IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2 BEFORE J 979 $5.29 (Enter I for Yes, 2 for No) 1979 $5.29 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 2 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 11000 CREDIT RATE 1985 $4.40 $0.00 x $5.29 ~, $0.00 1986 $4.07 1987 $3.67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) 1988 $3.22 V AWE 11000 CREDIT RATE 1989 $2.73 $0.00 x $5.29 0 1990 $2.25 1991 $1.80 1992 $1.59 TOTAL MWMC CREDIT = $0.00 1993 $1.45 1994 $1.25 1995 $1.09 1996 $0.92 1997 $0.72 1998 $0.48 1999 $0,28 2000 $0.09 2001 $0.05 '. 225 Fifth Street ( Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-01174 COM2005-01174 CpM2005-01174 COM2005-0 1174 COM2005-0 1174 COM2005-01174 COM2005-01174 GOM2005-01174 COM2005-01174 C'OM2005-01174 CbM2005-0 1174 CbM2005-01174 COM2005-01174 COM2005-01174 COM2005-0 1174 COM2005-01174 COM2005-0 1174 COM2005-01174 COM2005-01174 CbM2005-01174 CbM2005-01174 COM2005-01174 COM2005-0 1174 COM2005-0 1174 'GbM2005-01174 CbM2005-01174 COM2005-01174 CbM2005-0 1174 .' CbM2005-01174 COM2005-0 1174 COM2005-01174 Payments: Type of Payment CredilCard ;, :. ~ :i :', l .' :i 9/22/2005 . "'~R1N""'1ILO .,', " 1Itir' , , I .,_: RECEIPT #: 2200500000000001312 Description Building Permit Addressing Assignment WiIlamalane Single Family 2 Baths One or Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Gas Outlets 1-4 Gas Fireplace Appliance Not Listed -Mechanical Issuance Fee- Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less + 7% State Surcharge + 10% Administrative Fee Sidewalk Permit Curbcut Permit PW Disc - 2nd Permit (Street) Storm 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/Storm Admin SDC Transpo Admin Plan Review Major - Planning Paid By HAYDEN HOMES Check Number Batcb Number Received By llh Page I of 1 ~ity of Springfield Official Receipt .evelopment Services Department Public Works Department Date: 09/22/2005 Item Total: Authorization Number How Received 019535 Phone Payment Total: 7:35:S4AM Amount Due 659.90 31.00 1,000.00 254.00 12.00 12.00, 9.00 6.00 4.00 15.00 9.00 10.00 106.00 38.00 50.00 82.24 117.49 80.00 80.00 (30.00) 703.17 526.47 400.47 182.69 805.70 82.03 865.31 10.00 111.30 67.49 150.00 $6,450.26 Amount Paid $6,450.26 $6,450.26