HomeMy WebLinkAboutPermit Electrical 2003-3-10
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"'., CITY OF S... _JNGFIELD, OREGON
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: ~~W:.~0368
ELECTRICAL 'ERMIT APPU TION ,)0"": <P'f\
C:;i$'.:,W \
City Job Number ,Date ,,,," ,0(;$, .
0'/ (ioU
1. rLOCATION,RF INSlAI.;LAJl.,ON . I 3, I 'CO~.FE1}5Cl}EDTjLE BELOW' .
~~1 f)'\lmi~J y~ ""e~~~~:~~<>~~/ /".(. '
LEGAL DESCRIPTION A. 11ij.li* Resid~lto:Smgle or Multi-Family per ~welling unit.
\ q,()tl..t)'3ro ~ aJS\D Service Iptl~~o'"
. . \ 1..1.:z.. Q" 0'
JOB DESCRIPTION I u..1...- 1000 sq. ft"ciness
~utd 0 l ~rn Ju 00 -+ T~ :~:o:d:~r~~~ 500 sq. it or
perm~ts An-tr~~~I; an~ ~Pire if work is Each Manufact'd Home or
not started within 180 days of issuance or if work is ' Modular Dwelling Service or
Suspended for 180 days. Feeder
Phone ~6.1 -h3R-h 1 ?1
A./)t:
fOllow /lJIIU/IJ'()
N~", rl.1lrL..' renO C I'''' 's' F cd ".
Supervisor License NuMfjeiicatiF~q~d1la." n I"", '. ",.,('mporary .erVIces or e ers
mOAF1 '~"i.:e ....".."'ab raqu,~
Expiration Date Of!&.foii6.%<'007~e;: "'ho,~:~~ Orag~~tystap.J1tion, Alteration or Relocation
Calling u; nay Ob; ',U thrOugh es are s20tiliqnps or less l $ 50.00
Constr, Contr. Numb1'1171tJJi,~3'fr;ant").,l}tn Com>:;; OAF19;~MCkrnps to 400 Amps' $ 69.00
CPo ,me Ora' (IVOte: th uf the rutiflO>.:mps to 600 Amps $100,00
Expiration Date 10/011'1J3~ri. '{JOn III" e talf' h as b,
U , ". ClIU. ',Iily,,,, ~~ o,p-v,er.600 Amps or 1000 Volts see uB" above,
3a;?"J Ot'fle ,r Dr .>.h'C...' '." ,"- ,,"
Signature of Supervising EleC]'c' . '<344). m.'J''' ane .rcUlts: I ':', '
, f.I () New Alteration or Extension Per Panel
T "'-'-)1 r.h~n Y,:J. ( J,V One Circuit $ 43.00
. , \" _ ~ ":'\ Each Additional Circuit or with
010'f\\Q;QJ Service or Feeder Pennit $ 3.00
2. I' 9qJyT~CT()RINSTALLATION'O~Y, J
Electrical Contractor ..rhl"'; ~rQn~('\n Rl t:!f' t1"'; f"
Address
1?qR Rptnpl Drivp
City
F)lgP~c.
Addres
City
Phone ~9fl. f1ili)I'
OWNER INS ALLATlON
The installation is being made on propeny I own which
is not intended for sale, lease or rent
I
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1
\alo ,cO
tClPO
$106,00
$ 19.00
$50,00
B. 1,'Service~o~Fe~d~rs~ I!1staUatio~Alter4tion~ or.ll.elocarion: ' I
200 Amps or less
20 I Amps to 400 Amps '
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
$ 63,00
$ 75.00
$125.00
$163,00
, $375.00
$ 50,00
,~
,...,' 'I
E, L~.~~~~lleOllS.~~,~ic~!ieed~rh...t,inel~,~~d)7E:!lch ~1!,sta'~nti~!I' 1
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
$ 50.00
$ 50,00
$ 25.00
$ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
Owners Signature: 4, !' srJiii(fr;jE'OF.:ABOVE ',.', ,I,. J tlc.. ex)
NOTICE: '.,'" '. ~","/"':I v.
TI:m:: PFRMIT ~H&LEXPIRE IF THE wt:;~lt'te Surcharge ~ ',~
AUTHORIZED UNDER THIS PERMIT 1St ~1\dministrative Fee iT1::lJ
I t' R t~CED OR IS ABANDONED FORoTAL .1J{). 4 ,0 ~
nspec IOn e~': A' DAY PER!O,D. T LX- . W
~ ~ \Jf"j ~ \ \J 0 Sbarod Drivc(f:)IBuilding FonnslE1cctrical Permit Applicatioo I ~l.doc
CITY OF !INGFIELD SYSTEMS DEVELOPME'WORKSHEET
JOURNAL OR JOB NUMBER: Com2003-00145
NAME OR COMPANY: Hayden Enterorises
LOCATION: 5987 Pumice
TAX LOT NUMBER: I 802030OTL0051 0
DEVELOPMENT TYPE:
NEW DWELLING UNITS BUILDING SIZE (SF) 0 LOT SIZE (SF):
5325
~
I~
CIJ
6
~
=
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S,F. x 1 COST PER S.F. I = I CHARGE I ,
I ' 2288,00 I $0.282 $645.22
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
1 IMPERVIOUS S,F. I x I COST PER S,F. I x I DISCOUNT RATE I = : DISCOUNT I
I 0.00 I $0.282 50% $0.00
ITEM I TOTAL - STORM DRAINAGE SDC , $645.22 I , $645.22 I
2, SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x I COST PER DFU I
I 20 1 $22,09 1 = , $441.80 I
B, IMPROVEMENT COST: I
I NUMBER OF DFU's I x ~ COST PER DFU 1
1 20 $16,79 I = , $335,80
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I $777.60 , I
3 TRANSPORTATION
,
A. REIMBURSEMENT COST:
I ADTTRIPRATE I x I NUMBER IOF UNITS I x I COST PER TRIP I x I NEW TRIP FACTOR!
1 9,57 I $16.81 1.00 I = , $160.87
B. IMPROVEMENT COST:
I ADTTRIPRATE I x I NUMBER OF UNITS I x I COST PER TRIP I x I NEW TRIP FACTOR I
9,57 1 I I I $74.17 1.00 = , $709.81
ITEM 3 TOTAL - TRANSPORTATION SDC = , $870.68 I
4, SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU I
1 I I $332.86 = , $332.86
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B. IMPROVEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU I
I 1 I $34.83 = , $.W,83
-
MWMC CREDIT IF APPLICABLE (SEE REVERSE) = , $0,00
MWMC ADMINISTRATIVE FEE = , $10,00
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , $377.69 I I
l SUBTOTAL (ADD ITEMS 1,2,3, & 4) "
= , $2,671.19 I I
5, ADMINISTRATIVE FEE:.
ISUBTOTAL I x I ADM, FEE RATE 1= I CHARGE 1
I $2.671.19 5% I I $133.56 I
TOTAL SANITARY ADMINISTRATION FEE: , 82,86
TOTAL TRANSPORTATION ADMINISTRATION FEE: I 50,70 I
1070
1091
1092
1093
1094
1054
1055
1054
1056
1079
$ 1078
3/24/2003
TOTAL SDC CHARGES
=
$2,804.75
PREPARED BY
DATE
. . . .
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
["",,, IT"' NUMBER OF NEW AXTURES x UNIT EQUIVAlENT = DRAINAGE AXTURE UNITS
(NOTE: RlR REMODELS. CALCULATE ONLY THE NET ADDITIONAL AXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
NEW OLD EOUIV ALENT UNITS
BATHTUB 2 0 3 = 6
IDRINKING FOUNTAIN 0 0 1 = 0
IFLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETe. 0 0 3 = 0
IINTERCEPTORS FOR SAND / AUTO WASH / ETC, 0 0 6 = 0
ILAUNDRY TUB 0 0 2 = 0
ICLOTHESW ASHER / MOP SINK 1 0 3 = 3
ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRIG/WATER STATION /ETe, 0 0 1 = 0
IRECEPTOR FOR COM. SINK / DISHWASHER / ETC. 1 ' 0 0 3 = 0
ISHOWER, SINGLE STALL 0 0 2 = 0
ISHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
ISINK: COMMERCIAURESIDENTIAL KITCHEN 1 0 3 = 3
ISINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
ISINK: SINGLE LAV ATORY/RESIDENTlAL BAR 2 0 1 = 2
IURINAL. STALL! WALL 0 0 5 = 0
ITOILET. PUBLIC INSTALLATION 0 0 6 = 0
IToILET, PRIVATE INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 20
*EDU (Equivalent Dwellinjl Unit) is a discha~e equivalent to a sin~le family dwellin~ unit (20 DFtfs) set at 167 J!:allons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
I! YEAR CREDIT RATFJ$I.OOO
ANNEXED ASSESSED VALUE IS LAND ELGlBLE FOR ANNEXATION CREDIT? 0
BER>RE 1979 $4,92 (Enler I for Yes, 2 for No)
I 1979 $4.92 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 0
I 1980 $4.83 (Enter I for Yes. 2 for No)
I 1981 $4.77 BASE YEAR 1979
1982 $4.64
I 1983 $4.47 CREDIT FOR LAND (IF APPLICABLE)
I 1984 $4.30 V ALUE I 1000 CREDIT RATE
I 1985 $4.09 $0.00 x $4.92 = , $0,00
I 1986 $3.78
I 1987 $3.41 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
I 1988 $2.98 VALUE/lOOO CREDIT RATE
I 1989 $2.52 $0.00 x $4.92 = 0
I 1990 $2.06
I 1991 $1.64
I 1992 $1.45 TOTAL MWMC CREDIT = $0.00
1993 $1.31
I 1994 $1.13
I 1995 $0.97
I 1996 $0.82
I 1997 $0.63
I 1998 $0.41
I 1999 $0.22
I 2000 $0.04