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Home My WebLink AboutPermit Electrical 2005-9-21 " CITY OF SPRINGFIELD, OREGON ' ; ~~5 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(S41)726-3753 . FAX: (S#)~iJ;89 ,;,<'\)I ~' ", I ~ ~.ECTRICAL PERMIT APPLICATION 1-:QQ,a 1.0 ~~,: City Job Number (' f- 0 I /82- Date tJ~:. xi ~~ \,; n~ ..1, I. [LOCATIONOFINSTALuTION 3. I COMPLETEFEESCHEDUpJtBELOW [L)(30 QIJIJ.rl-z- ~L, A. I New Residential- Single or Mnlti-Family per dwelling unil. Service Included LEGAL DESCRIPTION J/x)2.. ()"1"1'1 tX>"M JOS DESCRIPTION I j /o~,~ n.~ 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof $106.00 Sl"~k. '-f !l,1l,U.,.. Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. _ *' 2. I CONTRACTOR INSTALLATION O,M>'t\JtIJ'\ m\' :\ \-' Electrical Contractor T/7'?JPA~,. ~.'# , \.~ S Y ~~\J Address ,M ~/Z;,~~~~~~tfv Ci~ ~~~\.~~~~~':u~~~ -a;1;?7 'b~-;.~'\J'("~~~ ~ ~ . - - ~ ~\}~ ~ '\J'f. Supervisor License.'Numb"~ 30 / 7 S; ~' Expiration Date.. l~..,- /- ~. Canstr. Cantr. NulRber /I~ ,"<.:2 9 Expiration Date / /J - /._ CJ 6 $ 19.00 Each Manufact'd Home or Modular Dwelling Service or Feeder , I' . B. Services or Feeders - Installation, Alterations or Relocation: $SO.OO 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 AfI1P3 601 Amps to 10~0{t\~p.s~ ~ Over 1000 A.Tps~oltse."O SJ" Rcconnect;.6nIYb~ ,e. <:; (~');\j ",-\ ~' u' 7>' C!)J e.<:> ,fl), ,,:eJ fI~ _ 0-. .~Q. c. J;.T~mp()t=arfSefVfces~o;' Fe'eder:S' . 0\ r:>~e.v-<,'('o<o~..},~<:> 6,~,~"~~,,f ,0";;:;" "Installation; Alteratiini oifRelocatiou _0.' c, v' .r:.,'Q' ,,'\" c,Y' e". .~~. I),l),y <<>- \,se.' c3uu~p~jlrle~$')'1 -\)~ :I-"J .::- . ~~ >>0" 20)) AniP1 to400cA"m!lS~ ":\' ro: ~,; """ ('\\.'V n'0 ....~_... ,0 J'v (). qj-40 1\'A"1.Ps to;.600<6mps $100.00 ~o ~--l.(\~ ",e. ",e. c.." .{::- 0 ~"'. .oYer 6PO~I1'ips or 1000 Volts see "S" above. ",1:5 8~t .~raQch:Circuits '" ,,'New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 63.00 $ 75.00 $125.00 $163.00 $37S.00 $ 50.00 ....J $ SO.OO $ 69.00 d::p~rv:a2:Q / -? - Owners Nap/e fuu~1\ ~ f) Address \l~ ~ ~ ~. City ~ Phone ~ OWNER INSTALLATION $ 43.00 $ 3.00 E. I Miscellaneons (Service/feeder not included) -Each Installation I Pump or irrigation $ 50.00 Sign/Outline Lighting $ SO.OO Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges The installation is being made on property I own which is not intended for sale, lease or rent. 4.1 SUBTOTAL OF ABOVE Il\.A (t) II;11 _ rr ~ \q~'1l Owners Signature: 7% Statc Surcharge 10% Administrative Fee Inspection Request: 726-3769 TOTAL Shared Drive{T:)lBuilding FonnsIElectrical Permit Application 1.o3.doc CITY OF S&GFIELD SYSTEMS DEVELOPME.ORKSHEET 4 JOURNAL OR JOB NUMBER: COM2005-01182 NAME OR COMPANY: Hayden Homcs LOCATION: 6080 Quartz TAX LOT NUMBER: 1802033400190 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS I BUILDING SIZE (SF: 2414 . LOT SIZE (SF): .. .n\\O~\'." ",as \~~t'\6 v~"" 9197 - I~ J~ JCI )8 j", ILLl .-.JE- CIl a ~ 1. STORM DRAINAC,E DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. CHARGE I 2206.00 I S0.323 I = I $712.54 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. 1 x I COST PER S.F. I x I DISCOUNT RATE I I 0.00 I S0.323 I I 50% = I ITEM I TOTAL- STORM DRAINAGE SDC S712.54 I ~. SANITARY SEWER. CITY A REIMBURSEMENT COST: I NUMBER OF DFU's I x I 25 I COST PER DFU S25.07 B. IMPROVEMENT COST: I NUMBER OF DFU's I x I 25 I S19.07 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $1,103.50 ] TRANSPORTATION A. REIMBURSEMENT COST: : ADTT:~~ RATE I x : NUMBER 10F UNITS I x I B. IMPROVEMENT COST: I ADTTRIPRATE I x I 9.57 1 COST PER TRIP S19.09 I NUMBER OF UNITS I x I I I I I COST PER TRIP S84.19 S988.39 ITEM 3 TOTAL - TRANSPORT AnON SDC = , 4. SANITARY SEWER - MWMC DISCOUNT $0.00 x INEW TRIP FACTORI 1.00 x I NEW TRIP F ACTORI I 1.00 I $712.54 $626.75 $476.75 S 182.69 $805.70 1070 I 11091 I 11092 1093 I 11094 I A. REIMBURSEMENT COST: INUMBER OF FEU's I x I I B. IMPROVEMENT COST: INUMBER OF FEU's 1 x ICOST PER FEU I I I S865.31 MWMC CREDIT IF APPLICABLE (SEE REVERSE) ICOST PER FEU I S82.03 MWMC ADMINISTRATIVE FEE ITEM 4TOTAL-MWMC SANITARY SEWER SDC = , SUBTOTAL (ADD ITEMS 1,2,3, & 4) = I 5 ADMINISTRATIVE FEE' I SUBTOTAL I x I ADM. FEE RATE 1= I $3.761.77 I 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Cheryl Slaymaker 9/2/200S PREPARED BY DATE = $82.03 1054 . . - I . . .DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FlXTIJRES x UNIT EQUIVALENT - DRAINAGE FlXTIJRE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDmONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS IBATHTUB 2 0 3 = 6 IDRINKlNG FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 I INTERCEPTORS FOR GREASE lOlL 1 SOLIDS 1 ETe. 0 0 3 = 0 I INTERCEPTORS FOR SAND 1 AUTO WASH 1 ETe. 0 0 6 = 0 I LAUNDRY TUB 0 0 2 = 0 ICLOTHESWASHER 1 MOP SINK 1 0 3 = 3 ICLOTHESWASHER - 3 OR MORE (EAt 0 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 fRECEPTOR FOR REFRIG 1 WATER STATION / ETe. 0 0 1 = 0 RECEPTOR FOR COM. SINK 1 DISHWASHER 1 ETe. 0 0 3 = 0 I SHOWER. SINGLE STALL 0 0 2 = 0 I SHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0 ISINK: COMMERCIAURESIDENTIAL KITCHEN 1 0 3 = 3 ISINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASINIDOUBLE LAVATORY 1 0 2 = 2 ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 = 2 IURINAL. STALL/WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 3 0 3 = 9 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 25 :.EDU (Equivalent Dwelling Unit) is 8 discharge equivalent to B single family dwelling unit (20 DFU's) set 81167 ~]ons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE I YEAR ANNEXED ! BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$I,OOO ASSESSED VALUE $5.29 $5.29 $5.19 $5.12 $4.98 $4.80 $4.63 $4.40 $4.07 $3.67 $3.22 $2.73 $2.25 $1.80 $1.59 $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.05 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Entcr I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter I forYcs, 2 for No) BASE YEAR CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0.00 x $5.29 =, CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE 1 1000 CREDIT RATE $0.00 x $5.29 = I TOTAL MWMC CREDIT = 1~~~ ~~O 2 2 1979 $0.00 o $0.00 ~., i Community Services Division - . , . DEVELOPMENT SERVICES DEPARTMENT ,'~" ).. . t:l~V""~"'._""-~ (547) 726-3753 FAX (541) 726-3676 Notice to Permit Applicant Soils stabilization required for subdivision sites Nameofowner~l\ ~ Address of Project: lPDID (~\ ~ Permit: (,r5-\.\~'2- Tax Map: \<60lO3~ Tax Lot.(,)()\C\Q Subdivision ~r ~l[)' ~ The building site at the above address is located on property that has soils prone to shrink-swell or other potential movement. Excavations, placement of fill materials and drainage for this site must be done under the direct supervision of a properly licensed Professional Engineer or Architect to verify the stability ofthe resulting building pad and the site. The. owner, or the owner's qualified agent, is responsible to obtain the services of the appropriate professional engineer or architect (design professional). The design professional shall provide direction for the stabilization methods to be used for the building pad (and surrounding site, when site stabilization is also necessary). The geotechnical report, which was prepared for this subdivision, may be utilized to provide appropriate guidance for the methods of stabilization and required compaction for the specific site. The engineer or architect shall prepare a report to be submitted to the City stating how the soil stabilization is being accomplished, including requirements not yet completed (if any). A signed and stamped report from the engineer or architect must be received and aooroved bv t/ris office before footinfl or foundation insoection aODroval will be flranted bv the Citv Buildinfl Insoector. ACKNOWLEDGEMENT: The undersigned acknowledges the forgoing requirements for soil stabilization, including excavation, fill, soil compaction and drainage, as provided in the geotechnical report for the subdivision. The stabilization will be accomplished under the direction of a licensed professional engineer or architect as noted above. Signature .- /_....-: ./JA.... L-- , V Date 7-a27-ao5 Name Affiliation to owner llif..ity of Springfield Official Rec~ .velopment Services Depart~~~~ I Public Works Department . I Date: 09/27/2005 12:01:14PM I i , 225 Fifth Stre~t . Springfleid, Oregon 97477 ! 541-726-3759 Phone . .P~RJN. QPlaG. '. 1Ii;:" . '-.- ..----, '--,~ 1 ...... ! -..._~.-., Jnb/Journal Number COM200S-01182 COM200S-01182 COM200S-0 1182 COM200S-01182 COM2005-01182 COM2005-01182 COM200S-0 1182 COM2005-01182 cOM2005-01182 COM200S-01182 COM200S-01182 ~bM2005-01182 COM2005-0 1182 COM200S-0 1182 COM2005-01182 GOM200S-01182 COM2005-01182 cOM200S-01182 COM200S-01182 cOM200S-01182 cOM200S-01182 COM200S-01182 cOM200S-01182 CbM2005-01182 COM200S-01182 COM200S-01182 cOM2005-01182 C;OM200S-0 1182 .( ~ayments: TYpe of Payment CreditCard , 'I ~, j ;i" J 9/27/200S RECEIPT #: 1200500000000001405 Description Addressing Assignment WiIlamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl SOO Sidewalk Permit 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 Building Pcrmit 3 Baths One & Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Gas Outlets 1-4 Gas Fireplace Heat Pump -Mechanical lssuance Fee- Plan Review Major - Planning + 7% State Surcharge + 10% Administrative Fee Paid By HAYDEN HOMES Item Total: Lheck Number AUll1orizaliou Received By Batch Number Number How Received jmp 067641 In Person Payment Total: 1 of 1 Amount Due 31.00 1,000.00 106.00 S7.00 80.00 712.54 626.75 476.7S 182.69 80S.70 82.03 86S.31 10.00 121.80 66.29 903.65 306.00 12.00 24.00 9.00 6.00 4.00 IS.OO 12.00 10.00 ISO.OO 101.83 14S.47 $6,922.81 Amount Paid $6,922.81 $6,922.81