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HomeMy WebLinkAboutPermit Electrical 2004-8-3 , ,"" \ . '\ .. ~', .........-.<., 't ./,:~. "'~:.'i: CI~~ OF '~~~~Il':JGfIELD,: 9.~~~9~L. ~.(,) ': :... 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (54,l),7Q>>o-3689 "l I)' ~ ELECTRICAL PERMIT APPLICATION . / '.O,or;:>- ~O~~{) City Job Number ~B.&o4 - OOG 83 Date $, "", -o~ /) <1/ 1)0' O':r% -, ' <)t. ~ &.5' 1:'/ ...... -'---n-'i;~'~'TTQ~"'i.2Q.' ~.~. 3. i<(Jp}JlJI:J3'l'lJ.r:l!~~>b' ~~~,1l. <'IS) 0' .$>.' 45S6-5S A571it ,J'r, LEGAL DESCRIPTION 17.02. .32 . 43. O~C:;Db ::"'''':'fC:~::'")~l''1j)'7'-:, ~,~:;:",,~r 1. A. ew Res,identilil- .::.;~i~;(;;:_0..,..ki::" d~i;;';'-' ,~,*.' , . JOB DESCRIPTION Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Ea'ch Manufact'd Home or Modular Dwelling Service or Feeder ' $50.00 ~ Permits arJnon-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. B. .OWNER INSTALLATION 2. Electrical ContractorEv eN--'oTXw CLzJ ~ ct lv--e...,)OO Amps or le~O\1 \0 . I I J 20~~e~\\~>>\'J Address P/YlB I 32 b5W-I JJIVI SloJJ.~fego~m~~'~~~g~~p~. ~\\~~o\1\eO~d~~~t~~pqO'O'J City E ~N? 97'1cH Phone b~~~f"(~~\5~f\\et. ~~~GQ~~\~~~g,'Il\~~e '\\Ca\\O (\0"\.00 ~ec8~a~)~e\e\1~ . n ~O\\ gf;)2-v ~\a\f\ . \\,\e . \ca'U.O Li / 0 ~ Q~~ OU {(\a'l 0 'J~G\e: '\~\f 'l Supervisor License Number -, b D~~C\.'{ ~ece~tL :~~ / (') 1// V - ~\\f\g); \\,\e Qte O~. , Expiration Date .4ir1(YY-1 ~~'oet~~{\\e' \t.n\t~ation, Alteration or Relocation. 200 Amps or less I "3 b 3 r; ) 20 I Amps to 400 Amps 1// 1/ JOG :;- 401 Amps to 600 Amps I ~v~r~88~,~~~,~,\1000 Volts see "B~' abov,e. Signature of Supervising Electrician D. b!ll~~~:.~lt~~it' /7 / -/ #/"'-) New Alteration or~~sTO~~er\P~f- ~~J1<. ..z....AL/R#.::t:zr ~\~rre.Cir\Cfit,\\r>-\\. ~~\S?t: \~D rG\"\ $ 43.00 ,. ~Q c.~S~dditie?~U<u~ui~0r\wfA~ Owners Name .~_ W I /. ~......,. \\\\~~~~l\oPFe~~'f~I~ii{' $ 3.00 ,~~ I\~ ~.~~C.\L'~Q.l(\t\. ..~~.. _,.._..,,~~ .. t"' ii\;""'tt'\~'\'~~ ~r 0" J_~~;' o"'" '~"'~" :1; -.. ,,"-''',;f "$ , ~&'l*"~''i{ '" "'P~f.t....}~~ Address p{J ,~I'~ ~, ~ ~\~~~{)eMi\~!l}~. ~~rviC,ll"fe~~e~ nott~n~!pd~d),~~~~:~,n!~~~ti,~f.1:.~ City ~uL Phone 5l~-;J~ ~~ump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 , Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 Constr. Contr. Number L--' $ 50.00 $ 69.00 $100.00 5"D Expiration Date . ~ The installation is being made on property I own which is not intended for sale, lease or rent. 7% State Surcharge 10% Administrative Fee :S3~ Z5~~ ~ (. ~() ~c:r~~~ 0/ I ..., , Shared Drive(T:)/Building FonnsIElectrical Penn it Application I-03,doc Owners Signature: 4. Inspection Request: 726-3769 TOTAL ~ CITY OF SPRINGFIELD SYSTEMS DEVELOPME~~ORKSHEET JOURNAL OR JOB NUMBER: COM2004-00983 NAME OR COMPANY: RW Homes LOCATION: 4556/58 Aster Street TAX LOT NUMBER: 17023243 Tax Lot 02900 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS 2 BUILDING SIZE (SF: 0 LOT SIZE (SF): 1. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM IMPERVIOUS S.F. x COST PER S.F. CHARGE 3984.00 $0.310 = $1,235.04 RUNOFF ROUTED TO DRY WELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. - x COST PER S.F. x I DISCOUNT RATE I I 0.00 $0.310 I 50% = I ITEM 1 TOTAL - STORM DRAINAGE SDC '$1,235.04 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: NUMBER OF DFU's x 34 B. IMPROVEMENT COST: NUMBER OF DFU's 'x 34 COST PER DFU $24.04 $1 &.28 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $1,438.88 . I 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE . x I 9.57 I NUMBER OF UNITS I x L 2 I COST PER TRIP $18.30 B. IMPROVEMENT COST: I ADT TRIP RATE x NUMBER OF UNITS x I 9.57 2 COST PER TRIP $80.72 $1,895.24 ITEM 3 TOTAL - TRANSPORTATION SDC = I 4, SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's x COST PER FEU I 2 $82.03 B. IMPROVEMENT COST: INUMBER OF FEU's x I 2 ICOST PER FEU $865.31 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =, SUBTOTAL (ADD ITEMS 1, 2,3, & 4) = I 5. ADMINISTRATIVE FEE: I SUBTOTAL x I ADM. FEE RATE I $6,473.84 I 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: $1,904.68 $6,473.84 CHARGE $323,69 DISCOUNT $0.00 x NEW TRIP FACTOR 1.00 x I NEW TRIP FACTORI I 1.00 I o $1,235.04 $817.36 $621.52 $350.26 $1,544.98 = $164.06 r:/) P-1 Q o U p::: I~ r:/) ..... C> ~ 1070 109] 1092 I I' ]093 1094 1054 = $1,730.62 1055 $0.00 I ]054 $10.00 1056 I I 189.43 $134.26 11079 11078 Matt Stouder 8/16/2004 PREPARED BY DATE TOTAL SDC CHARGES =, $6,797.53 :,1 DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY TIlE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 2 0 3 = 6 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 LAUNDRY TUB 0 0 2 = 0 CLOTHESWASHER / MOP SINK 2 0 3 = 6 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (l PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 SHOWER, SINGLE STALL 0 0 2 = 0 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 2 0 3 = 6 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLE LA V A TORY 0 0 2 = 0 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 4 0 1 = 4 URINAL, STALL / WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 TOILET, PRIVATE INSTALLATION 4 0 3 = 12 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 34 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 199] ]992 ]993 ]994 ]995 ]996 1997 ]998 ]999 2000 200] CREDIT RATE/$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? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter 1 for Yes, 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 / 1000 CREDIT RATE $0.00 x $5.29 TOTAL MWMC CREDIT = 2 2 1979 = , $0,00 o $0.00