HomeMy WebLinkAboutPermit Electrical 2003-3-21
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. CITY OF SJ...tUNGFlELD, OREGON . .
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225 FIFfH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: l$iIyn6.3 8
ELECTRICAL ~lil!'NlIBP.!J..f?RON ,6fv~ ,00l
City Job Number ~~~.'Date ,.~"'\00"
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1. [.LOCATIONOFINSTALLATION' 3, I'COIlfljW>..tEIj,~"C P
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A. i NewResifle.G~~iP~i\)gleor l\1ulti-Family per !Iwelling unit.
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Service IncludM
Supervisor License Number 17 SgS
Expiration Date '10/01/04 tOY/Ct:.
A f1/~ PERMIT 200 Amps or less \ $ 50.00
Constr. Contr. Number ?h_11(~THORIl-t[j. SHALL EXp 201 Amps to 400 Amps $ 69.00
:A.^, MMENCEO UNDER TH,dRiot'!'Trft 'W,600 Amps $100.00
E~Piration Date . lO/01/0eJoY 111O-~, I'~~:S A8AN:f~/jQOI~Qfa~ 1~00 Vol~ s~e ':B:' abov~:... i
Signature ofsupervls:]g Electnc . 00. D. 1,\BlA\l~II~<s,.. '. .' , . "
, /J New Alteration or Extension Per Panel
T ",..,.." n,,, (' Y One Circuit $ 43.00
, ~ Each Additional Circuit or with
Service or Feeder Permit $ 3.00
' Owners Nf\~ gfu rl QJ\
Address ~n \1~- ~~~ E,j :l\.'1b~~Ql1neous (Servic~fe'e{J~rnotiri~lud~d.l:-':!>~i:h InstaUatio!\ I
City ~Phone~
OWNER INST ALLA nON .... Limited Energy/Residential
All EN llLJI\I:Uregon law reqUJres Vr.lU In '
The installation is being mad~ . .T.AWlUwh,eh. th O'Llmltea t;I1ergy/Comrnerclal $ 45.00
. . O~"'t-"'i.=",...=vy e regon Utility
IS not mtended for sale, le~&f1I1e'.!Ition Center. Those lW,nJgtmTh ~lffffiftrermit Inspection Fee is $45.00 + Surcharges
Owners Signature: in OAR 952-001-001 ~ thro~g~ ~~?&TJMOFJ.1BOVE ." ..... : j \ A A cO
0090, You may obtain copies. ' .' '''fos I~M"'" ,''''''' '.' ""." .... ~.
.' C~II!ng ~he.?enter, (Note:,,~e t-;oJ.:~&It'1furc~arge \~. O~
.... "...., 'v. ,,,,, Cregon Ulihty I'IRJJ.f~iM\OD . \ AI'
C""lAr is 1.800-332-234~)~ mlstratlve Fee , .~
Inspect~~n~~st:,;[6.3769 \ D::> TOTAL 1lo'bA-~
~tJy ~S~ ~ E>' . Shared Drive(T:)lBuilding FonnslElcctrical Permit Application I-GJ.doc
LE~Ml)~n
JOB DESCRIPTION' ~ t"\ \CJ.;:;lo
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Permits e non r sferable~ ~xpire if work is
not started within 80 days of Issuance or if work is
Suspended for 180 days.
2, I CONTRACTO~ nvstALLATIiJ1vo~vl
Electrical Contractor (1.,1""; ct.onCf"\n li'.'.or"tr; ('
Address
l?qR Rpthpl nrivp
City
14'110pn.o
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Phone 56.1 -hRR-h 1 ?1
1000 sq. It or less
Each additional 500 sq, ft, or
portion thereof
Each Manufact'd Horne or
Modular Dwelling Service or
Feeder
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\ 'D\.o ft>
~~CX)
$106.00
$ 19.00
$50.00
B.I' Seiiicesor; Fe~del'~:' Irist~Uati,!ll, Alter~tion; or. Rel~cation' .
200 Amps or less
201 Amps to 400 Amps .
401 Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
$ 63,00
$ 75.00
$) 25.00
$163.00
$375.00
$ 50.00
c. I'Temp';~~ryservices o~Feeders.
Installation, Alteration or Relocation
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Pump or inigation
Sign/Outline Lighting
$ 50.00
$ 50.00
$ 25.00
CITY OF StiNG FIELD SYSTEMS DEVELOPMEAoRKSHEET
JOURNAL OR JOB NUMBER: Com2003,OO187
NAME OR COMPANY: Hayden Entererises
LOCATION: 5943 Pumice PI.
TAX LOT NUMBER: 1 8020300lL005 10
DEVELOPMENT TYPE:
NEW DWELLING UNITS BUILDING SIZE (SF) 0 LOT SIZE (SF):
I. SffiRM DRAINAGE
DIRECf RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. 'I COST PER S.F. I I CHARGE I
I 2256.00 $0.282 I = $636.19
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCfED TO CITY STANDARDS
1 IMPERVIOUS S.F. I 'I COST PER S.F. I, I DISCOUNT RATE I I DISCOUNT
I. 0.00 I $0.282 I 50% = $0.00
ITEM 1 TOTAL. STORM DRAINAGE SDC $636.19
5525
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$636,19
1070
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I , I COST PER DFU
I 21 I $22,09 = $463.89 1091
B.IMPROVEMENTCOST:
I NUMBER OF DFU's I , I COST PER DFU
I 21 I $16.79 = $352.59 1092
ITEM 2 TOTAL. CITY SANITARY SEWER SDC = , $816.48
.:J. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADTTRIP RATE I ' I NUMBER IOF UNITS: ' I COST PER TRIP , I NEW TRIP FACTORI
9.57 $16.81 1.00 = $160,87 1093
B.IMPROVEMENTCOST: I
I ADT TRIP RATE I ' I NUMBER IOF UNITS I ' I COST PER TRIP , I NEW TRIP FACTOR I 11094
9.57 I $74.17 I 1.00 = $709,81
ITEM 3 TOTAL - TRANSPORTATION SDC = I $870.68
4. SANITARY SEWER, MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's I , ICOST PER FEU
1 I I $332.86
B. IMPROVEMENT COST:
INUMBER OF FEU's I ' ICOST PER FEU
I 1 I $34.83
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM4TOTAL-MWMCSANITARYSEWERSDC = I
=
$332.86
I 1054
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5. ADMINISTRATIVE FEE:
ISUBTOTAL I ' I ADM. FEE RATE 1= I
I $2.701.04 I 5% .
TOTAL SANITARY ADMINISTRATION FEE:
= ,
= $34,83 1055
= $0,00 1054
= $10.00 1056
$377.69
$2,701.04
!
CHARGE
$135.05
84.44 1079
$50.61 1078
TOTAL SDC CHARGES = $2,836.09
TOTAL TRANSPORTATION ADMINISTRATION FEE:
D. Wright
3/3112003
PREPARED BY
DATE
. .
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW AXTURES x UNIT EQUIVALENT = DRAINAGE AXTURE UNITS l
(NOTE: FOR REMODELS. CALCUlATE ONLY THE NET ADDITIONAL AXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
BATHTUB 2 0 3 = 6 -I
DRINKING FOUNTAIN 0 0 1 = 0 I
FLOOR DRAIN 0 0 3 = 0 I
INTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC. 0 0 3 = 0 I
INTERCEPTORS FOR SAND I AUTO WASH I ETe. 0 0 6 = 0 I
LAUNDRY TUB 0 0 2 = 0 1
CLOTHESW ASHER I MOP SINK 1 0 3 = 3
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRIG I WATER STATION I ETe. 0 0 1 = 0
RECEPTOR FOR COM. SINK I DISHWASHER I ETC. I 0 0 3 = 0
ISHOWER. SINGLE STALL 0 0 2 = 0
ISHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
ISINK: COMMERCIAURESIDENTIAL KITCHEN 1 0 3 = 3
ISINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASINIDOUBLE LA V ATORY 1 0 2 = 2
ISINK: SINGLE LA V ATORY/RESIDENTIAL BAR 1 0 1 = 1
I URINAL, STALL/WALL 0 0 5 = 0
ITOILET. PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
.
TOTAL DRAINAGE FIXTURE UNITS 21
.EDU (Equivalent Dwelling Unit) is a discharge equivalent 10 a sin~e family dwelling unit (20 ~AJ's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
CREDIT RA TFJ$I ,000
ASSESSED VALUE
$4.92
$4.92
$4.83
$4.77
$4.64
$4.47
$4.30
$4.09
$3.78
$3.4)
$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!
(Enler I for Yes, 2 for No)
IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT!
(Enler I for Yes. 2 for No)
BASE YEAR
1979
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CREDIT FOR LAND (IF APPLICABLE)
VALUE/lOoo CREDIT RATE
$0.00 x $4.92
= I
SO.OO
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE/JOOO CREDIT RATE
$0.00 x $4,92 =
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TOTAL MWMC CREDIT
=
$0.00