HomeMy WebLinkAboutPermit Electrical 2003-4-3
~ . CITY OF '~.c'RINGFIELD, OREGON .'
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPIJCA~ON , b 'It d has the following
City Job Number /,,, m ZoO 'T - 0 D /0 Date The following prolect as su ml s.p.CifiC land use
LLJ ..J .__ and does not require
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3, ICOMPLETi(F,EEBj;ll,fiDlTT.P. RHO""'-_
/T- '::>-,' .-
r'ete CK(,( J
A, i NcwResidentiaJ.'i;Si~Ii!'ii""MuItFI<uUlIlY per dwelling unit
Expiration Date ' 10/01/..0.4 "c. IF ~"!~'IYA\i. Alteration or Relocation
\W S' PERM\1 S\11\Ll t"P\R~ERWH~ ~Ofr less . (
Constr, Contr, Number ~11h~.nl7~n \ INOER1\1IS OONIMIf&l\Ps to 400 Amps '
~u~'MENCED OR IS Aul\N '401 Amps to 600 Amps
Expiration Date 10/0:1lm~ \0(; ot,'f Dl=RIOD, Over 600 Amps or 1000 Vo!ts see "B" above,
s;.,.~ ~:~::;",,,"t:m 01 D~;=;:';:~L::~ ,:;~;< ::'0:
~ Each Additional Circuit or with
, / Setvice or Feeder Pennit $ 3,00
Owners Name H AYt>f-!'I EltI(
Address ,":::>0 13~)C 2s8 'J
City S?r~ Phone b'is8 7701
1. iLOCATION OF iNSTALLATION
S-9 7' 0 PV\,""" (,(-"
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LEGAL DESCRIPTION
I<6D2.6,3000
l50f,lO
JOB DESCRlPTION
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U/(Lf
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2. l'eOlVTRACn:m lNSfALLA,TIQ~'ONtITl
Electrical Contractor .,Cb,...; ctcncn" li'l c("' t-,......i!:.....-
Address
1?QR Rptnpl l),-i"p
City F"g,:ano
Phone 5l11-hRR-h1?1
Supervisor License Number 37 SQS
O\VNERINSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Service Included
1000 sq. ft, or less
Each additional 500 sq, ft, or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
/6b
J~
I
Z-
$ 19.00
$50.00
R l'Services 'or Fe~deJ.s.:: Jn~t~llati.on, A1teratiorf~of Relo~ation: ,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 AmpsN olts
Reconnect Only
$ 63,00
$ 75,00
$125.00
$163.00
$375.00
$ 50,00
I' .,. .
C. 1,'E.mporary,Ser\'i~es or Feeders
. I
$ 50,00
$ 69,00
$100,00
.s-o
, , ~l! . .
,', ;-j'
, "
E. k~sc~ri:ineolls (SerVic~/feed,er n~tincIUd~iJ)"":J<;ach'U;stallatioil-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
4: I Sr:iin;OOO()F'SwO,VE., ,..:; ',~.. <.,;:1
tJ,.\'.' ,..:'."~ ,- ':'-'..,..~',.~.j -. ......,.. '~'~'_;"'..f' ..1 ,~1
7% State Surcharge
10% Administrative Fee
/9'1
n 'S'~
/740
7..:2.. b 'i 8
TOTAL
Shared Drive(T:)IBuildi.ng Forms/Electrical Permit Application l-Q3.doc
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CITY OFalNGFIELD SYSTEMS DEVELOPM~WORKSHEET
JOURNAL OR JOB NUMBER: Com2003-00104
NAME OR COMPANY: Hayden Enterprises
LOCATION: 5990 Pumice PI.
TAX LOT NUMBER: 18020300-TLOO680
DEVELOPMENT TYPE: DUPLEX
'I
NEW DWELLING UNITS I
I
r
BUILDING SIZE (SF)
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LOT SIZE (SF):
6526
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1, STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F, x I COST PER S,F. I CHARGE
I 1920.00 ' 1 $0,282 = 1 $541.44 1
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCfED TO CITY STANDARDS
! IMPERVIOUS S.F, I x I COST PER S,F. I x 1 DISCOUNT RATE 1 I DISCOUNT
I 0,00 I $0,282 1 50% 1 = $0.00
ITEM I TOTAL - STORM DRAINAGE SDC $541.44
$541.44
1 1070
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST: I
I NUMBER OF DFU's I x I COST PER DFU
I 20 I $22.09 = $441.80 11091
B. IMPROVEMENT COST: I
I NUMBER OF DFU's I x COST PER DFU
I 20 $16.79 = $335,80 11092
ITEM 2 TOTAL. CITY SANITARY SEWER SDC = , $777,60 I
1. TRANSPORTATION I
A. REIMBURSEMENT COST:
I ADT TRIP RATE I x 1 NUMBER OF UNITS I x I COST PER TRIP x INEWTRIPFACfORI
I 9,57 I I $16,81 1.00 I = $160.87 I 1093
B.IMPROVEMENTCOST:
I ADTTRIP RATE I x I NUMBER IOF UNITS I x I COST PER TRIP x 1 NEW TRIP FACfORI
1 9.57 $74.17 1 1.00 = $709.81 11094
ITEM 3 TOTAL - TRANSPORT A nON SDC = , $870,68
4, SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x I COST PER FEU
I I I $332.86 = $332,86 1054
B, IMPROVEMENT COST:
INUMBER OF FEU's I x I COST PER FEU
I I I $34.83 = $34.83 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) = $0,00 1054
MWMC ADMINISTRATIVE FEE = $10,00 1056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I $377.69
l SUBTOTAL (ADD ITEMS 1,2,3, & 4) = I $2,567.41
5, ADMINISTRATIVE FEE: -
I SUBTOTAL I x 1 ADM, FEE RATE 1= CHARGE
I $2.567.41 I 5% $128.37
TOTAL SANITARY ADMINISTRATION FEE: 77.33 11079
TOTAL TRANSPORTATION ADMINISTRATION FEE: $51.04 111078
Steve Templin 2/28/2003 TOTAL SDC CHARGES = $2,695.78
PREPAREl? BY DATE
.
'.
.
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
[ NUMBER OFNEW RXTURES , UNIT EQUIVAlENT = DRAINAGE RXTURE UNITS
(NOTE: RlR REMODElS. CALCUlATE ONLY THE NET ADDITIONAL RXTURES)
NO, OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
BATHTUB 2 0 3 = 6
IDRINKING FOUNTAIN 0 0 1 = 0
IFLooR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
I!NTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
ILAUNDRY TUB 0 0 2 = 0
ICLOTHESW ASHER / MOP SINK 1 0 3 = 3
ICLOTHESWASHER - 30R MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRIG/WATER STATION / ETC. 0 0 1 = 0
IRECEPTOR FOR COM, SINK / DISHWASHER / ETC. I 0 0 3 = 0
ISHOWER. SINGLE STALL 0 0 2 = 0
ISHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0
ISINK: COMMERCIAURESIDENTIAL KITCHEN 1 0 3 = 3
ISINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
SINK: SINGLE LA V ATORY/RESIDENTIAL BAR 2 0 1 = 2
IURINAL. STALL! WALL 0 0 5 = 0
ITOILET. PUBLIC INSTALLATION 0 0 6 = 0
ITOILET. PRIV ATE INST ALLA TION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 20 I
.EDU (Equivalent DweJJin~ Unit> is a disch3rJ!:e equivalent to a sinJ!;le family dwelling unil (20 DRJ's) set at 167 p:allons per day .J
MWMC CREDIT C"LCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE
CREDIT RA TE/$I.OOO I
ASSESSED VALUE
_n... ._
$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
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
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enler I ,for Yes. 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enler I for Yes. Uor No)
BASE YEAR
o
o
1979
CREDIT FOR LAND (IF APPLlCABLE\
VALUE/100D CREDIT RATE
$0,00 x $4.92
=,
$0.00
CREDIT FOR IMPROVEMENT (IF AFfER ANNEXATION)
VALUE/lOOO CREDIT RATE
$0,00 x $4.92 =
o
TOTAL MWMC CREDIT
=
$0.00