HomeMy WebLinkAboutPermit Electrical 2005-3-8
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225 Fll' uI STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726~3689'06',0/c,
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1.4~1ll5f~~!J~ e!2-- 3. fS9.~1!:!!:!J'!~HY~~~~.. .
1000 sq. ft. or less $106.00
~ ~ Each additiona1500 sq. ft. or tl f1 a. (J)
ow. -\ portion thereof ' i/ $ 19.00,().
, Pe;mits a ~~n~~ansfe;abl~ and expo if work is Each Manufact'd Home or
." not started within 180 days of issuance or if work is Modular Dwelling Service or
Suspended for 180 days. ' Feeder
2. mF~~~~iJi{' B. ~~!~ll~iiI~~i!1![~,r~~%r~~
Electrical Contractor FVe(lLDaJ..I BeJ, ~cQ,)~C200AmPsorless $63.00
r } 201 Amps to 400 Amps $ 75.00
Address f1nB1J2 ~~~~-i DIV1S'16N 401Ampst0600Am~~\\() $125.00
City fj)(~P~, Phone bOrrb9o~ ~~1;m.l0~~t:~;~~\\\. ~~~~:~~
J ,.,1 t'("\~l '" 'O~'~ f') Ov $ 0
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\\1 O~'. \~o0 "''O~~~ltijtlti~~~e't\{;ti~l\ty: Relocation I
aCl';j\J' , \~e2(lD A()f~910;,.t$'2.;Z \
z,:~\(\9 t 't\'~ ~~\J
c ",'oe~ \02~e~ s to 400 Amps
""- C~O 1 Amps to 600 Amps
Over 600 Amps or 1000 Volts see "B" above.
D. [i[~~~'Sitg~~
$50.00
Supervisor License Number
/0/1/200'1
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Constr. Contr. Number I 16 3 '7 I
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Signature of Supervising Electrician
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Expiration Date
2f),aJ
$ 50.00
$ 69.00
$100.00
Expiration Date
Owners Name R\G llin10P
Address ~ ~~
City ~)&fuJtll Phone V\~~ ~~1l8
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
S 43.00
$ 3.00
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E. ':;l\lJs.~(!l,l~rie()Iis'(S~iyj~effeea,e,Ii,no'~1;rlclil~ed).7"EachJDs~l!'tion,~
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OWNER INSTALLATION
Pump or Urigation
SignlOutl~e L!ghting .
Lithiteci'1nergyfResidential
Limited Energy/Commercial
$ 50.00
$ 50.00
$ 25.00
$ 45.00
The installation is being made on property I own which
is not intended for sale, lease or rent.
Inspection Request: 726-3769
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
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4.~'~_~t~tfi_~ti1~~~~:~g,:~~wh~;1;t~.2~W ~~ --
7% State Surcharge -rr.OY ,
10% Administrative Fee ~) ,,0.-:
_0J~\ 00
TOTAL
Owners Signature:
Shared Drive(T:)!Building Forms/Electrical Permit Application l-03.doc
4870.32
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$1,185.62
1070
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COST PER DFU
$24.04
$817.36
1091
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's 1 x ICOST PER FEU
2 I I $82.03 = $164.06 1054
B. IMPROVEMENT COST:
INUMBER OF FEU's x ICOST PER FEU
, 2 $865.31 = $1,730.62 11055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054
I
MWMC ADMINISTRATIVE FEE $10.00 11056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =, $1,904.68 I
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , $6,424.42 I
5. ADMINISTRATIVE FEE: II
1 SUBTOTAL x I ADM. FEE RATE 1= CHARGE
I $6,424.42 I 5% $321.22
TOTAL SANITARY ADMlNlSTRATION FEE: 186.52 11079
TOTAL TRANSPORTATION ADMINISTRATION FEE: $134,70 i 1078
Cheryl Slaymaker 11/1512004 TOTAL SDC CHARGES =, $6,745.64
PREPARED BY DATE
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
BATHTUB 2 0 3 = 6
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
ILAUNDRY TUB 0 0 2 = 0
CLOTHESW ASHER / MOP SINK 2 0 3 = 6
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
I RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0
I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
ISHOWER, SINGLE STALL 0 0 2 = 0
I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 2 0 3 = 6
I SINK: COMMERCIAL BAR 0 0 2 = 0
I SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
ISINK: SINGLE LA V ATORY/RESIDENTIAL BAR 4 0 1 = 4
'IURlNAL, STALL/WALL 0 0 5 = 0
, ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 4 0 3 = 12
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 34
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFD's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR CREDIT RATE/$l,OOO '
ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2
r BEFORE 1979 $5.29 (Enter I for Yes, 2 for No)
I 1979 $5.29 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 2
I 1980 $5.19 (Enter I for Yes, 2 for No)
I ]981 $5,12 BASE YEAR 1979
I ]982 $4.98
I 1983 $4.80 CREDIT FOR LAND (IF APPLICABLE)
I ]984 $4.63 VALUE / 1000 CREDIT RATE
I 1985 $4 .40 $0.00 x $5.29 = , $0.00
I 1986 $4.07
I 1987 $3.67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
I 1988 $3.22 VALUE /1000 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
]994 $1.25
1995 $1.09
1996 $0.92
1997 $0.72
1998 $0.48
1999 $0.28
2000 $0.09
2001 $0.05