HomeMy WebLinkAboutPermit Electrical 2003-3-6
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· I .. . as submitted has the following
d as not require specific land use
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FA~;~~iH'926-~689 L.:D~
ELECTRICAL PERMIT APPLICATION Zonin: I,-OJ
City Job Number ~ 2a)2,. -l)~~ Date :~/~? "ste .?- =K~
1. LOCATION OF INSTALLA110N 3. COMPLE1E Fl,;'E''S'l5'lfJtDV!flltlJELOW
~'1'3 PAes~Tr
200 A~or less
//';' 2~~~~ 400 Amps
& ~\ ~ lS to 600 Amps
9.~~ \#)~ ~ to 1000 Amps
Phone . \.-~:f' ~S '9. &.@ 1000 AmpslV olts
~"?-\; ~" ~~\))teconnect Only
~~. ~ S ~\)~S~<Q -
Supervisor License Number C\'\~ "Y':0~f\) \) C\~ '\ ~\). C. Temporary Services or Feeders
~~~'O' ~~ s:.,\." '9.'<,.~
" ,y..~,,,,~~ (\~ Installation, Alteration or Relocation
'\ -,,\)':'~ ,'O'V 200 Amps or less $ 50.00
~'i{'. 201 Amps to 400 Amps $ 69.00
401 Amps to 600 Amps $100.00
Over 600 Amp~,or~~800,Volts see "B" above.
..c,'i.:" ,~,\.. ,:'",
D. Branch GIrCUlts> '0" \
o..~,. 0" ro\.'" ~
N A'I"'t' t"c; -"'E t'~' '-'p P I
e"l' era 100),.01": x COSIOD er aue
\V e~ 'U'- ":!)J e'"
o.Ol;e ~i~ui~ec:, ~<?- ,~~ ~e
'9~0fval,E..:~ga~~~.l?~rc~Mr0wi!)1.)"
.J~ A I.. ~\O~ oO'Se,:,!,ce:-.qr.Fee:jer'Pe!hllt.{\,c.'3' $ 3.00
Owners Name __ __ ~J4:!!;J:';~ c:,'<>' ,,\.13' t\l:::l'" ~O~' ."$'13 ~o'"
/,/ /. ~v .,s,0 O""V R\\'I '.~v .13' ..:0\ ,[)).
Address ~ ~:1 \/.fU.oA ,.( ~~~~ ~ . 0" IS'\' ~~cel~n.o~\ISe!i;jcetfeeder not included) -Each Installation
rv:~ f.o"~. 'C,~ ~'l:~ ~o e~' 0" ~~
City <C i1~ Phone ~../ 1-?$i~~ >,) 4umt~Ci:R~~!iO~ $ 50.00
~~ +.- ,- """,0 ~f6 ,.c., 0\''''
\" f?j\)' . ~Q., 'l:SiJ!i'O'!,qine Lighting $ 50.00
OWNER INST ALLA nON l:::l" c.~~ :oe<~~jl~'a Energy/Residential $ 25.00
<0~~ Limited Energy/Commercial $ 45.00
LEGAL DESCRIPTION
/7//3 _Y-f /~ ~?S/Z.
JOB DESCRIPTION
S"r .A16:1/J~ I v/H.le~do1
,r
Permits are non-transferable and expire if \'\-'ork is
not startcd within 180 days of issuance or if work is
Suspended for 180 days.
2.
CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
City
Expiration Date
Sign
re of Supervising Electrician
The installation is being made on property I own which
is not intended fo sale, lease or rent.
\
^
owne~~ttlC
'm..~",,"'" no.J'~
A. New Residential- Single or Multi-Family per dwelling unil.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufacl'd Home or
Modular Dwelling Service or
Feeder
$106.00 /0"'-
$ 19.00 /I.f
t--
(,
$50.00
B. Services or Feeders - ]nstallation~ Alterations or Relocation:
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
$ 43.00
Minimum Electric Pcrmitlnspection Fee is $45.00 + Surcharges
4. SUBTOTAL OF ABOVE
'2-2-0. ~
J 5:4'0
Z2..~
25'7, -fJo
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drivc(T:)/Building Fonus/Electrical Permit Application 1-03.doc
. ,
CITY OF SINGFIELD SYSTEMS DEVELOPMEaORKSHEET
JOURNAL OR JOB NUMBER: Com2003-00066
NAME OR COMPANY: Jeff Noakes
LOCATION: 873 Prescott La.
TAX LOT NUMBER: 17033414-TL095]2
DEVELOPMENT TYPE: DUPLEX
NEW DWELLING UNITS ] BUILDING SIZE (SF) 0 LOT SIZE (SF):
I. STORM DRAINAGE
6534
'1
1[2
10
18
0::
~
en
6
~
DlRECf RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. 'I COST PER S.F. I CHARGE I
I ] 976.00 $0.282 = I ,"00 I .d
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCfED TO CITY STANDARDS
I IMPERVIOUS S.F. I ,I COST PER S.F. I' I DISCOUNT RATE I I DISCOUNT
I 0.00 I $0.282 I 50% = I $0.00
ITEM 1 TOTAL. STORM DRAINAGE SDC $557.23 ~
2, SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I ,I COST PER DFU
I 27 I $22.09
B. IMPROVEMENT COST:
I NUMBER270F DFU's I' COST PER DFU
$16.79
ITEM 2 TOTAL. CITY SANITARY SEWER SDC = I
$557.23
I 1070
=
$596.43
I
11091
I
=
$453.33
11092
$1,049.76
], TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE I ' I NUMBER OF UNITS I
I 9.57, " I I I
B.IMPROVEMENTCOST:
I ADT TRIP RATE I ' I NUM BER OF UNITS I
I 9.57 I I I
ITEM 3 TOTAL - TRANSPORT A nON SDC
, I COST PER TRIP I ' I NEW TRIP FACfORI
I $]6.81 I 1.00 =
, I COST PER TRIP I ' I NEW TRIP FACfORI
I $74.17 I 1.00 I =
= I $870.68 I
$160.87 1093
4, SANITARY SEWER - MW~
A. REIMBURSEMENT COST:
INUMBER OF FEU's I ' I COST PER FEU
I I I $332.86
B. IMPROVEMENT COST:
INUMBER OF FEU's I ' I COST PER FEU
I I I $34.83
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM4TOTAL-MWMCSANITARYSEWERSDC = ,
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = ,
" ADMINISTRATIVE FEE:
I SUBTOTAL I, ADM. FEE RATE 1= I
I $2.752.23 I 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
$709.81 11094
=11
=
$332.86
1054
DATE
= $34.83 I 1055
= ($103.13) I 1054
= $10.00 11056
$274.56 I
$2,752.2.1 I
CHARGE I
$137.6]
89.25 11079
$48.36 11078
TOTAL SDC CHARGES = $2,889.84 I
I
Steve Templin
PREPARED BY
2/21/2003
.
.
. . . 1
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FlXTURES , UNIT EQUIVAlENT = DRAINAGE FlXTURE UNITS
(NOTE: RlR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FlXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIV ALENT UNITS
BATHTUB 2 0 3 = 6
IDRINKING FOUNTAIN 0 0 1 = 0
IFLooR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE lOlL 1 SOLIDS 1 ETC. 0 0 3 = 0
IINTERCEPTORS FOR SAND 1 AUTO WASH 1 ETC. 0 0 6 = 0
ILAUNDRY TUB 1 0 2 = 2
ICLOTHESW ASHER 1 MOP SINK 1 0 3 = 3
ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRIG/WATER STATION 1 ETC. 0 0 1 = 0
IRECEPTOR FOR COM. SINK 1 DISHWASHER 1 ETC.I 0 0 3 = 0
ISHOWER. SINGLE STALL 0 0 2 = 0
ISHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
ISINK: COMMERCIAURESIDENTIAL KITCHEN 1 0 3 = 3
ISINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASIN/DOUBLE LA V ATORY 1 0 2 = 2
ISINK: SINGLE LA V ATORY/RESIDENTIAL BAR 2 0 1 = 2
IURINAL. STALL 1 WALL 0 0 5 = 0
ITOILET. PUBLIC INSTALLATION 0 0 6 = 0
ITOILET. PRIV ATE INST ALLA TION 3 0 3 = 9
,
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 27 I
-EDU (Equivalent Dwel]in~ Unit) is II dischar~e eQuivalent 10 a sin~]e family dwelling unit (20 DFUs) sel at 167 ~allons per day I
MWMC CREDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
CREDIT RA TI'J$I,OOO
ASSESSED V AlOE
$4.92
$4.92
$4.83
$4.77
$4,64
$4.47
$4.30
$4,09
$3.78
$3.41
$2.98
$2.52
$2.06
$1.64
$1.45
$1.31
$1.13
$0.97
$0.82
$0.63
$0.41
$0.22
$0.04
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enler I for Yes, 2 for No)
BASE YEAR
o
1979
CREDIT FOR LAND (IF APPLICABLE)
V ALUE I toOO CREDIT RATE
$20.96 x $4.92
= ,
$103.13
CREDIT FOR IMPROVEMENT (IF AFfER ANNEXATION)
VALUE 11000 CREDIT RATE
$0.00 x $4.92 =
o
TOTAL MWMC CREDIT
=
$103.13
J