HomeMy WebLinkAboutPermit Electrical 2003-4-3
,. .
~ ' CITY OF ~_~tiNGFIELD, OREGON ~
.
\0110'l'in9
as \I\e 0 \lSe
225 FrFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: 15~U~~t~acI\IC Ian
?fO\ec eC\U\f9
ELECTRICAL PERMIT APPliCATION iMIO\\O'l'lnloo.es nol' ~
City Job Number C3 - ~OIOS- Date ,on\n~~~n 'D- ()
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1. :.LOCATIONOFINSTAI.J:ATION'. I 3. ICOMPLETEFEIJ.S.ClHIDULE~
~ c:; /) . IOL oale - al\l,e --
==> / <<-t tr V LA """" L(. - r "",00 Sl9n
LEGAL DESCRIPTION A.I NewRcsrd'~ntjaI7Si~gle arl\1ulti-Fa,!,i1y per dwellingunit.
J 5?O LO 30-0 00' r; 70 Service Included
. . ',.InstaUation, Alteratian or Relocation
!/ '''h
" (1,200"'Amps or less
I,. Ur)
. . 20 I :.\,hps to 400 Amps
) . .;:- \~ ' ! '
" 40 I 'Amps to 600 Amps
, ':""~.:J I',
'~- P',. .~..: Qve(600'Amps or 1000 Volts see "B" above.
_ ~........ ....../ ~ - _ .... '.' I' '-'j. '.... '., .. '. ,- ., , , .;- \ .; ':..' "', ,~ :.::
~"'.~_~' "J_~"I~~r~~c~'GlrcUl~,.. '".1. -~; .' ',.
'A '. .,'....1. '.
. '. New. Alteration ar Extension Per Panel
One Circuit
Each Additional Circuit or with
SCIVice or Feeder Permit
Pump or inigation $ 50,00
Sign/Outline Lighting $ 50.00
OWNER INS"WULA nON Limited Energy/Residential $ 25,00
The insUilla'io~IJr;lmade on property lawn which Limited Energy/Commercial $ 45.00
is not intend'l4tJfill{tJi~~ rent. Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
~ORllED I'A~ALL ~^ ." \ ,'.
Owners Si '€,"C.'''D uIIID"/> ~l\rJIRt. I,. ,. 4, ,. SUBT(!)T.Irn OF:..~OVE
I 1 'u'.., 0 ......IHIS C/'-'HE ""., .."..>"" ..'
80 DAY PE';jff A8ANdo~:~/r ISWORI(
~. FOil Nor
JOB DESCRIPTION
;-h,~ S. e-
{/ I 'U::!""
Permits are non-transferable and expire if work is
not started within 180 days af issuance or if work is
Suspended for 180 days.
2. [CONTRACTOR INS1:AiLATIONOiifyl
Electrical Contractor rh1'"'; c: h~n.::::.nn Fl,:::o('" h"'i r
Address
l?QR Rptnpl nrivp
City Fl1~j:::ln~
Phone 5flHRR-hl2l.
Supervisor License Number '17 SQS
Expiration Date
. 10/01/04
Constr. Contr. Number
?h-,6.r:
Expiration Date
10/01/03
S_Of'"~~~1
1 ~l"'l"'V (1,,q
. ,. a
Owners Name ,~...lh'rl~ f:!~-I-
Address '?o (>6 ~ ~.3
sfFD Phone b?f{-790!
rl
City
[nspection Request: ~€>
~0uW~.'D~
1000 sq. ft. or less
Each additional 500 sq. ft, or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
I
I
I
lob
/"J
$106.00
$ 19.oa
$50,00
8, I' Serii~eso': Fe~ers ~ tnst~Uatio,~, Alteration; or Relocntion: .
200 Amps or less
20 I Amps to 400 Amps .
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsN olts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50,00
C. I'. T.emporli.,y'~ervicesar .Fe,eders '.
I
., . b
"'
$ 50.00
$ 69.00
$100.00
I
$ 43.00
$ 3.00
E.I"~~~~e~ilS;'(:S~c~lei:'d~r~ofin~lUd~d)-Ea"(:h InstaUntioi,'1
",: ';1. ..,.' ':~,'I
t ,.' . \. ~ ~
IZ$
<t7:J
1250
lLlb ~~
7% SUite Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)/Building FormslElcctrica1 Permit Application 1~3.dot
CITY OF _INGFIELD SYSTEMS DEVELOPME&ORKSHEET
JOURNAL OR JOB NUMBER: Com2003-00105
NAME OR COMPANY: Hayden Enterprises
LOCATION: 5948 Pumice PI.
TAX LOT NUMBER: 18020300- TL00670
DEVELOPMENT TYPE: DUPLEX
NEW DWELLING UNITS I BUILDING SIZE (SF) 0 LOT SIZE (SF):
I. STORM DRAINAGE
6402
r:g
Cl
o
U
0::
I~
ell
G
~
DIRECf RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. I I CHARGE
I 1808.00 I $0.282 = $509.86
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCfED TO CITY STANDARDS
I IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I I DISCOUNT
I 0.00 I I $0.282 50% I. = I $0.00
ITEM I TOTAL - STORM DRAINAGE SDC
$509.86
$509,86
11070
2. SANITARY SEWER, CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x L COST PER DFU
I 20 I I $22.09
B.IMPROVEMENTCOST:
I NUMBER OF DFU's I x I COST PER DFU
I 20 $16.79
ITEM 2 TOTAL. CITY SANITARY SEWER SDC = I
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS I
I 957 I
B. IMPROVEMENT COST:
I ADTTRIP RATE I x I NUMBER OF UNITS I
9.57 I I
ITEM 3 TOTAL. TRANSPORTATION SDC
=
$44 1.80
1091
=
$335,80
1092
$777,60
x I COST PER TRIP
I $16.81
x I COST PER TRIP
I $74.17
= , $870.68
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x I COST PER FEU
I I I $332.86
B. IMPROVEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I I I $34.83
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
lITEM 4 TOTAL. MWMC SANITARY SEWER SDC = ,
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = ,
5. ADMINISTRATIVE FEE:
ISUBTOTAL I x I ADM. FEE RATE 1=
I $2.535.83 5% I
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
SIeve Templin
PREPARED BY
2/28/2003
DATE
x I NEW TRIP FACTOR]
].00 =
$160.87
1093
x !NEWTRIPFACTORI
I 1.00 =
$709.81
1094
=
$332,86
1054
= $34,83 1055
= $0.00 1054
= $10.00 1056
$377.69
$2,535,83
CHARGE
$126,79
75.64 11079
$51.15 --.J 1078
---,
TOTAL SDC CHARGES = $2,662.62 I
I,
.
.
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW AXTURES x UNIT EQUIVALENT = DRAINAGE AXTURE UNITS 'I
(NOTE, RlR REMODELS. CALCULATE ONLY THE NET ADDITIONAL AXTURES)
NO. OF FIXTURES DRAINAGE I
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIV ALENT UNITS
BATHTUB 2 0 3 -- 6 -I
=
DRINKING FOUNTAIN 0 0 1 = 0 !I
FLOOR DRAIN 0 0 3 = 0
IJNTERCEPTORS FOR GREASE lOlL I SOLIDS I ETC. 0 0 3 = 0
IJNTERCEPTORS FOR SAND I AUTO WASH I ETC. 0 0 6 = 0
ILAUNDRY TUB 0 0 2 = 0
ICLOTHESW ASHER I MOP SINK 1 0 3 = 3
ICLOTHESW ASHER. 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
I RECEPTOR FOR REFRIG/WATER STATION IETC. . 0 0 1 = 0
IRECEPTOR FOR COM. SINK I DISHWASHER I ETC,I 0 0 3 = 0
ISHOWER, SINGLE STALL 0 0 2 = 0
ISHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
ISINK: COMMERciAURESIDENTIAL KITCHEN 1 0 3 = 3
ISINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASINIDOUBLE LA V A TORY 0 0 2 = 0
ISINK: SINGLE LAV ATORYIRESIDENTIAL BAR 2 0 1 = 2
IURINAL, STALL/WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIV ATE INST ALLA TION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 20
.EDU <EQuivalent Dwellinll. Unit) is a dischllr,ge equivalent 10 a single family dwelling unit (20 ORJ's) set at 167 ~:~.ns per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR CREDIT RATFJ$I,OOO
ANNEXED ASSESSED V AlOE IS LAND ELGlBLE FOR ANNEXATION CREDIT? 0
BEAJRE 1979 $4.92 (Enter I for Yes. 2 for No)
1979 $4.92 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 0
1980 $4.83 (Enter I for Yes. 2 for No)
1981 $4.77 BASE YEAR 1979
1982 $4.64 I
1983 $4.47 CREDIT FOR LAND (IF APPLICABLE)
1984 $4.30 I V ALUE I 1000 CREDIT RATE
1985 $4.09 I $0.00 x $4.92 = , $0.00
1986 $3.78 I
1987 $3.41 I CREDIT FOR IMPROVEMENT (IF AFfER ANNEXATION)
1988 $2.98 I V ALUE I 1000 CREDIT RATE
1989 $2.52 I $0.00 x $4.92 = 0
1990 $2.06 I
1991 $1.64 I
1992 $1.45 I TOTAL MWMC CREDIT = $0.00
1993 $1.31 I
1994 $1.13
1995 $0.97
1996 $0.82
1997 $0.63
1998 $0.41
1999 $0.22
2000 $0.04