HomeMy WebLinkAboutPermit Electrical 2003-3-21
LEGAL DESCRIPTION
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JOB QESCRIP't ON' . r-----'"'.- \'yu)
~ ~on-transferab ~dOe~rr~:~k~
not started within 180 days of issuance or if work is
Suspended for 180 days,
225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 :Jf.~: 5
ELECTRICAL PERMIT APPUCATIONi;'~: <0&
~ DN\"';1 f'v'\.lQC:.. o~ <:-0
City Job Number ~ Dale ."Q<~0~
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.. j 3. J~~Q~.q*}tF)?E ~
-<\ ~.' o~ y. / $-
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A. I NC~~SJi!!..fu~iaI,7 .Single or Multi..~amily perdw~lIing unit.
v "
Service,fficluded
1000 sq. ltorless l $106,00 ~
Each additional 500 sq, It or 9 11 0 00
pornon thereof ~ $ 19.00 . _:1/\.
1. !.'LOCATIONOF7NSTALLATION'
5\\\ \M~.J\.\X
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$50.00
2, 1:"CQ}yTRAcro~ INStALtA,TION o.Nirl
B. l S";';j~';'~~ F~ers:: 'rnsbllation, AlteratiliriJ hr Relocarlon:
. ..
Electrical Contractor (1,1'"; ~tpnc:;:nn Fl PC" h-i r
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
.~
200 Amps or less
20 I Amps to 400 Amps .
1?qR RPtn"l J),-i"" 401 Amps to 600 Amps
_ ,q 0-. 60 1 Amps to 1000 Amps
oL ~e~;;41-,hRR-h121. Over 1000 AmpsNolts
vo,. * "U'A, R to I
Ii) O"~C<1 ."0/& '~'O econnec n y
OOQ "'1ty ot/OI).d. <1% r&.90-" . .
Supervisor License NumbeP L.17:SQy &/),_ :0/&,., 71<1* C. ! 'Temporary !!ervices or Fe,eders
1)1 C<1IIti} 'T1ft 'l} ~U;'a ~'r: )-1) OYII) /"&9l1
Expiration Date 1()70jJ,/04~., <ly 01..'0'0 1< OS&. & 0,,: l/"ElPstaUation, Alteration or Relocation
, r. ~& '<I "0 -11& &.90 yo~.. \
C 0/"11) '1)1& II) C "'Ilh 'S <1 12~ ~s or less $ 50.00
Constr. Contr. Number ?F,"!.'1W'. & O,,} (,,/^.O.oi&~ O,q,{& ~~t/~ps to 400 Amps $ 69.00
"s '.e.l:IOI)lj,"':lh& '-'llh& .9S~%ps to 600 Amps $100,00
10/01/03 '00'''';:iIt~'I:&I&.o;lJIEri)v.~!600 Amps or 1000 Volts see "B" above.
'<3. Oli". Ot> I . ".j..., .
Signature OfsuperviSing3JleCtri . <;14J. 1"<1116;;' Branc~>ClrcUl~s', .".' ,',.' '.-" '" "
(1 () New Alteration or Extension Per Panel
T ",.,.v rh"nm L' :JI One Circuit $ 43.00
- tf~ Each Additional Circuit or with
r'\ ,V, SeNice or Feeder Permit $ 3.00
Owners Nam 1 . '\:
Address ~ lJl ~ E,I'~eril1i1~oitS (~e~~eifeed,eril,~finc\,!d~il):-Each'lltstaUat!on 1
city~~\;f\~Cid ~ti Phone ~ Pump or irrigation S50.00
~: Sign/Outline Lighting $ 50.00
OWNER INST AIH1~Pl!~MIT SHAll EX Limited Energy/Residential $ 25.00
The installation is~b'i];~WldtIDa 1lt~(lM If/~~~HE WO(!ijjnited Energy/Commercial $ 45.00
is not intended fol}{iltelM~#B>EO''!ffi IS ABANDO~EciT ~^l.Q"[;m Electric Permit Inspection Fee is $45,00 + Surcharges
. Owners signatur~NY 180 DAY PERIOD. FO~ i:~~T;l?~'~f,~,()~'< . ,';'; ':..;,")". '.1 ~ rxJ
7% State Surcharge \ 'fJ. ~
(L... ~?11 0% Administrative Fee \ e(R:)
Inspection Request: 726-37R~~\..~"tJ 0\'W TOTAL 2~Jo.o.p,
'()J" ~ ~ Shared Drive(T:)lBuilding FonnslElcctricaJ Permit Application I-OJ.doc
Address
City ....Eugpn"
I
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Expiration Date
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CITY OFtRINGFIELD SYSTEMS DEVELOPM_ WORKSHEET
JOURNAL OR JOB NUMBER: Com2003-00188
NAME OR COMPANY: Hayden Enterprises
LOCATION: 5911 Pumice PI.
TAX LOT NUMBER: 1802030OTL00510
DEVELOPMENT TYPE:
NEW DWELLING UNITS BUILDING SIZE (SF) 0 LOT SIZE (SF):
I. STORM DRAINAGE
DlRECf RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. CHARGE I
I 1603.00 I $0,282 I = I $452.05
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 $0.282 I 50% = I $0.00
ITEM I TOTAL - STORM DRAINAGE SDC '$452,05 I
2. SANITARY SEWER - CITY
6001
ffj
Cl
o
U
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~
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5
~
$452.05
I 1070
='
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x I COST PER DFU
I 24 I $22.09 = $530, I 6 11091
B. IMPROVEMENT COST:
I NUMBER OF DFU's I x COST PER DFU
I 24 $16.79 = $402,96 1092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $933.12
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADTTRIPRATE I x I NUMBER OF UNITS I x I COST PER TRIP x 1 NEW TRIP FACfORI
I 9.57 1 I I $16.81 I 1.00 = $160,87 1093
B. IMPROVEMENT COST:
I ADT TRIP RATE I x 1 NUMBER OF UNITS 1 x I COST PER TRIP x INEWTRIPFACfORI
I 9.57 I I I I $74.17 I 1.00 = $709,81 1094
ITEM 3 TOTAL - TRANSPORTATION SDC = , $870,68
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER ~F FEU's I x ICOST PER FEU
I $332.86 = $332.86 1054
B. IMPROVEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I I I $34.83 = $34,83 1055
I MWMe ","IT" ,~~.~,,~ "'''''' = $0.00 1054
MWMC ADMINISTRATIVE FEE = $10.00 11056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , $377.69 I
SUB TOT AL (ADD ITEMS I, 2, 3, & 4) = I $2,633.54 -I
5. ADMINISTRATlV~ "':P.; I
ISUBTOTAL I x I ADM. FEE RATE 1= CHARGE
I $2,633.54 5% I $13 1.68
TOTAL SANITARY ADMINISTRATION FEE: 80.86 1079
TOTAL TRANSPORTATION ADMINISTRATION FEE: $50.82 11078
D,Wrighl 3/31/2003 TOTAL SDC CHARGES = $2,765.22
PREPARED BY DATE
. .
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FlXTURES , UNIT EQUIVAlENT = DRAINAGE FlXTURE UNITS
(NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FlXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIV ALENT UNITS
BATHTUB 2 0 3 = 6
IDRINKING FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE lOlL I SOLIDS I ETC. 0 0 3 = 0
IINTERCEPTORS FOR SAND I AUTO WASH I ETC. 0 0 6 = 0
ILAUNDRY TUB 0 0 2 = 0
ICLOTHESW ASHER I MOP SINK 1 0 3 = 3
ICLOTHESWASHER, 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRIG I WATER STATION I ETC. 0 0 1 = 0
IRECEPTOR FOR COM. SINK I DISHWASHER I ETC. I 0 0 3 = 0
ISHOWER, SINGLE STALL 0 0 2 = 0
ISHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
ISINK: COMMERCIAURESIDENTIAL KITCHEN 1 0 3 = 3
ISINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASINIDOUBLE LA V A TORY 0 0 2 = 0
ISINK: SINGLE LA V ATORY/RESIDENTIAL BAR 3 0 1 = 3
IURINAL, STALL/WALL'" 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET. PRIVATE INSTALLATION 3 0 3 = 9
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 24
*EDU( uivalcm Owellin Unit) is a dischar e e uiv~~!!l to ~ single family dwellinEt unit (20 DRJ's) set al 167 gallons per day
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MWMC CREDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE
I
I
I
I
I
I
I
YEAR CREDIT RA TE/$I.000
ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 0
BERJRE 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
1983 $4.47 CREDIT FOR LAND (IF APPLICABLE)
1984 $4.30 V ALUE I 1000 CREDIT RATE
1985 $4.09 $0.00 x $4.92 = , $0.00 "
1986 $3.78
1987 $3.41 CREDIT FOR IMPROVEMENT (IF AFI'ER ANNEXATION)
1988 $2.98 VALUE I 1000 CREDIT RATE
1989 $2.52 $0.00 x $4.92 = 0
1990 $2.06
1991 $1.64
1992 $1.45 TOTAL MWMC CREDIT = SO.OO
1993 $1.31
1994 $1.13
1995 $0.97
1996 $0.82
1997 $0.63
1998 $0.41
1999 $0.22
2000 $0.04
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