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Home My WebLink AboutPermit Electrical 2005-11-2 . . .. I .. . SPRIN~~.."'~.' . ~~~,l 225 FIFTH STREET . SPRINGFlELD,OR97477. PH:(541)726-J753 .FAX:(54I)726--c\"~I'". ,~., """",\, . -:to"" 0' ~. " . i .' . 1 ~ ELECI'RlCAL pERMIT APPUCATION' ,.l'I'Q,Q O.~ I' " ;"'%i." , \0\\0 66 /., City Job Number C~ _() l:iJ>2- Date ,"i\'. ,I'Q,'''~ /"..;. 1,.0" o'>l-a: \{\C6 1. ~"'L"-"'TI~N"~Si.":':'7'T.WNfE'J'-'"~.>(\"'~ 3. g.OOM:Pfifjlrj.iili7~~;;i;~lDDi1>lW-:' .." :\'~~~'f,;l~::,:7 . ,QC4 1~,O,..:'oQ ..'H . ~~:T.~...,_.~..""~~f.,..,,...~ p", ''',,=' .....'"-.._u.."'-..--.......;.'h_...'._..-...""._~._... .~...:,i(.,.; - .).t~J' .f.,.......{ .~ ~.. _4.._..,___~_........... .............___.....~............-- "1 _._... . -----...........~ /'" ~\v..,..- h___ Ibe, /1+0 &41rvl c:r- R':,.,.,.v."""'~~~\.,.....,....."J''';~r~;"'''..,.,', ....".".",.,,;"";~ LEGAL DESCRIPTION A. l:J'l~,~~!!l~!1!!.itl.:;-.~ill\!!fi'""~,!'I!i::.~a!"ilY"Fi!Jl~~!M~.~\!;:'.;;~J t '+P1 .2 '+11 0 '!ZlV Service Included JOB DESCRIPTION 1000sq"ft. or less Each additional 500 sq. ft. or fl.u1J-ff'.)~y portion thereof '2- S 19.00 ~B.o" Permits are non-transferabIe and expire Ifwork Is \lI\O~M~~Ch Man' 'THE WORK not started whbln 180 days oflssttance or If work isotH~ ~ . ~lllS NO'T 55000 Susp~~d~,~rI80~~ ."~tAOR~\IIDE~l IS . __ . <.~--___.". tcoNtiiXcroR~IiiST...~ON'~~a~~~~~.,;~AAlt~;:;\'ti;;;'O~:R~lci~.tiOit:. .1 :~e~::;:tra~~:'.~~1{~~.7{;~'..El:~~~~~5b'"~-.;,'r..~'. ,....~~;:-~-~~.."". .' I r~' \. 3""'\ -r ' . Uf 1(. 201Ampsto400Amps S75.00 Address ''''\'-11 \ Un".bbl..-({ 401 Amps to 600 Amps SI25.00 _ L.. (l:~ f'r. t...6 'f\.e.. 601 Amps to 1000 Amps SI63 00 Ci~U Y\CnDY\U Phone '-'IC\~ -'\<6, Over 1000 AmpsIVolts S375:00 Recormect Only S 50.00 ,-!) DDlo S ID-I-bL? \~ \ q \ \ lD-2\- O~ '. . . . . Supervisor License Number Expiration Date Constr. Contr. Number Expiration Date Signature of Supervising Electrician ~(/~ ?~ own~ Name /' Addres~ / City Inspection Request: 726-3769 z. SI06.00 ~/Z.~ "~";r.!~~~ ,_ _; '"....;C'''?~-I'II!'KI'i.'l.=,~:~.'.:ni.;.;.~.~~'~''-~~:7''' - -, __..,...~~1';"""1 C ~'T'- 1,..Fl:7t~ .1<..,serVi. ,S ;'!'~'F'ted r.".<......)'~,..~ --~;,l"."i ~,....".::, ....., -, ~>.':)\'.. "'.. . .' ..~po.l1'ry. .., ~~.ses.o_r; . " en~l;~J~~::~~...tj't.;-1.~,...":!S;~!~~~~.1 Installation, AI!",,:, , or Relocation 200 Amps or less S 50.00 201 Amps to 400 Amps S69.00 401 Amps to 600 Amps SIOO.OO D O;B~l'W"-! J~:6~:~~;~:r~:~.~2'T...,v .,..'.",'r,-\ . ~~~::!1l~~~1~:~:.~~~~~~;;~. "';'~..~'~Lj oJre C\kiii!JS2 t,;enter. Thos e Oregon$(J.~;W E,Q,R'Mditi'lPaiQ:lkUlOor.J'Yill'o e . UI"S are Mt~' y s~elm'P1~Per/ni.llin" uOh OM "''?' ~.octh ~~f...'JJf!.!ifi!~w,g~i~~coW1e. ... :~to,QJ;."". --,,,'-;".'" E. M".scel1lliielrr=s. 'wi~'r;"'-..." ii 11.GS:.i.1....1i1.' "lint; , . ~:~.'""CeH{l;~s~8gefi'Uiiit71'Jlo~f "ghEi--~:.;;..~~. ...o? Pump or irrigation 00-332_,;>.,.. IICa!;'1511.00 Sign/Outline Lighting , :). S 50.00 Limited EnergyfResidentiaI S 25.00 Limited Energy/C "~~... .:J S 45.00 Minimum EJectrlc Permit Inspection Fee Is $45.00 + Snrchal'lles 4. ~~~;;J~rb#~dl1E'~~~~~~~~;~~~:~:i .. ~_:",...__",,>,.!:"~-t.:~...;b:..&-.,:.i:"f:.tt:',":2.'-, [1..t:~.1.JW::..1 2.. S-o ,00 \ '?-S'O ? ("".00 " ZttZ.$"O 7% State Surcharge 10"10 Administrative Fee TOTAL . _' _...... ..~,__..,.__te'A.......:....1 p_;, A.....lirJlf'inn 1-03.doc .. ' CITY OF SAGFIELD SYSTEMS DEVELOPMEN.RKSHEET JOURNAL OR JOB NUMBER: 'COM2005-01462 NAME OR COMPANY: Duane Kni~hts LOCATION: 168 Prasad Cl170 TAX LOT NUMBER: 1703271103200 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS 2 BUILDING SIZE (SF: 2640 LOT SIZE (SF): L STORM DRAINAGE 5331 tIl W Cl 18 ~ ~ tIl \3 ~ DIRECf RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S,F. x! COST PER S.F, CHARGE I I 3530,00 I $0.323 I = I $1.140,19 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 I $0,323 I I 50% = I ITEM I TOTAL- STORM DRAINAGE SDC $1,140.19 I DISCOUNT $0,00 $1,140.19 1070 - - 2 SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I 34 I COST PER DFU $25.07 $852.38 I 1091 B. IMPROVEMENT COST: I NUMBER340F DFU's I x $19,07 ITEM 2 TOTAL - CITY SANITARY SEWER SDC $648.38 1092 = , $1,500.76 J TRANSPORTATION A. REIMBURSEMENT COST: I ADTTRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI 9.57 I 2 I $19.09 I 1.00 I $365.38 1093 B. IMPROVEMENT COST: I I ADTTRIPRATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI I 9,57 I , 2 i $84,19 I 1.00 $1,611.40 I 1094 ITEM 3 TOTAL - TRANSPORT A nON SDC =1 $1.976.78 I - - l 4, SANITARY SEWER - '-1WMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I 2 I $82,03 = $164.06 I 1054 B. IMPROVEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I 2 I I $865.31 = , $1,730.62 11055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) , $0.00 ; 1054 MWMC ADMINISTRATIVE FEE = , $10.00 I 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , $1,904.68 11 SUBTOTAL (ADD ITEMS I, 2, 3, & 4) =, 56,522.41 ,LADMINISTRATIVE FEE: I SUBTOTAL x I ADM. FEE RATE 1= CHARGE $6.522.41 I 5% I $326,12 TOTAL SANITARY ADMINISTRATION FEE: 186.51 11079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $139.61 11078 Cheryl Slaymaker 10120/2005 TOTAL SDC CHARGES = , $6,848.53 I PREPARED BY DAn; I . . . , . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTIJRES x UNIT EQUIV AlBIT - DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY mE NET ADDmONAL FIXTIJRES) NO, OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EOYIV ALENT UNITS IBATIHUB 2 0 3 = 6 IDRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 1 INTERCEPTORS FOR GREASE I OIL I SOLIDS I ETe. 0 0 3 = 0 IINTERCEPTORS FOR SAND I AUTO WASH I ETC. 0 0 6 = 0 I LAUNDRY TUB 0 0 2 = 0 ICLOTIJESWASHER I MOP SINK 2 0 3 = 6 ICLOTHESWASHER - 3 OR MORE (EAl 0 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REFRlG I WATER STATION I ETe. 0 0 1 = 0 i RECEPTOR FOR COM, SINK I DISHWASHER I ETC, 0 0 3 = 0 SHOWER. SINGLE STALL 0 0 2 = 0 SHOWER. GANG IJ'lUMBER OF HEADSl. 0 0 2 = 0 SINK: COMMERCIAURESIDENTIAL KITCHEN 2 0 3 = 6 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASINfDOUBLE LAVATORY 0 0 2 = 0 SINK: SINGLE LAVATORYfRESIDENTIAL BAR 4 0 1 = 4 URINAL. STALL I WALL 0 0 5 = 0 TOILET. PUBLIC INSTALLATION 0 0 6 = 0 ,TOILET. PRIVATE INST ALLA TION 4 0 3 = 12 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 34 *EDU (EQuivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULA T10N TABLE: BASED ON COUNTY ASSESSED VALUE YEAR CREDIT RATE/$I,OOO ANNEXED ASSESSED V AWE IS LAND ELGlBLE FOR ANNEXATION CREDIT? 2 BEFORE 1979 $5.29 (Enter I for Yes, 2 for No) 1979 $5.29 IS IMPROVEMENT ELGlBLE 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 I toOO 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 VALUE I 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 1994 $1,25 1995 $1.09 1996 $0.92 1997 $0,72 1998 $0,48 1999 $0,28 I 2000 $0,09 ,I 2001 $0,05 [' . , l225 Fifth- Street '''Sj;rin"ofield, Oregon 97477 541-726-3759 Phone ~ JoblJouroal Number COM200S-0 1462 . COM200S-01462 . COM200S-01462 , COM200S-01462 COM200S-01462 COM200S-0 1462 dOM200S-01462 COM2005-0 1462 ! COM200S-01462 ~COM2005-01462 '..COM200S-0 1462 CbM200S-0 1462 COM200S-01462 . It , q>M200S-01462 COM200S-0 1462 COM200S-01462 COM200S-0 1462 COM200S-01462 , COM200S-01462 . COM200S-01462 - COM200S-01462 COM200S-0 1462 CbM200S.0 1462 C'bM200S-0 1462 COM200S-0 1462 I., COM200S-01462 ~COM200S-01462 '\..': J ,i ~ayments: , TyPe of Pajment , ~~eck ,I ~ ~ ~ ,l \i ': :, J $ 'i' 1II1I200S . ~ City of Springfield Official Receipt - .velopment Services Department ' Public Works Department RECEIPT #: 1200500000000001646 Date: 11/0112005 Description Addressing Assignment Willamalane Attached (duplex) Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl SOO 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 SDC Transpo Admin Building Permit 2 Baths One or Two Family Vent Fan Exhaust Hoods Dryer Vent -Mechanical Issuance Fee--- Plan Review Major - Planning + 7% State Surcharge + 10% Administrative Fee Paid By DUANE KNIGHTS Received By djb I of I Item Total: L:heck Number Authorization Batch Number Number How Received S96S In Person Payment Total: 10:S8:49AM Amou nt Due 62.00 1,848.00 212.00 38.00 80.00 80.00 (30.00) 1,140.19 8S2.38 648.38 . 36S.38 . 1,611.40 164,06 1,730,62 , 10,00 186,SI 0.13 139.48 838.6S S08.00 24.00 18.00 12.00 10.00 IS0.00 115.5S 16S.07 . $10,979.80 ' Amount Paid $10,979.80 ' $10,979.80