HomeMy WebLinkAboutPermit Electrical 2003-4-3
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. ' CITY OF ( lNGFIELD, OREGON . h
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as submitted has'tho following
t require specific land use
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAf~~~4i'j~26:3689 /..J.'){L
ELECTRICAL PERMIT APPliCATION [1010 ontng 4, 5 --0.3
City Job Number CO "'" wo 3 - 00 j" I Date 0 'L i '1 0 :> , --J..-, \
n....ll!ullZiW Slgnalure I ")U,J
, I 3, iC;OMPLEFE,FEESCREDULE BELOW
~
J. I:LOCATION OFiNSTALLATION '
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JOB DESCRIPTION
A. \ NewReSidenti~I-Si!1gle or Multi-Family per dwelling nnit
, .'
/-k;",-se
WIlLe:
Senice Included
1000 sq, ft, or less
Each additional 500 sq, ft, or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
"
3.
$ 19,00
$106,00
/06
57
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, I; 9()NTRACT~~lNStALMTION'ONr.~~j
$50,00
B, l S~ice~'o~ i<'.;~~rs':' in~tdllatioit,: Alteration;or Relocation: '
Electrical Contractor r:hl"i ~ t ~nc:nn Fl Pro tl"'; ('
200 Amps or less
201 Amps to 400 Amps'
40 I Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
$ 63,00
$ 75,00
$125,00
$163,00
$375,00
$ 50,00
Address 1 ?QR.J3ptnp 1 Dr; VP
City ...Eugpnp Phone ~RR-h,1?1,
Supervisor License Number
'tll'
.17SgS I"",
C. r'T(:inporiiry'~erVi!,es or Feeders
'.,'
, I
";/J'I "'t,
G. "/1,., , I',
10/01/04 ".. -.', ,h' ""'1'('1 lnstallation, Alteration or Relocation
;'-,1;;, ;0/,-: 'If, '11"1 f}"J;20Q*psl~rless
Constr, Contr, Number ?h-'[,(':, '!,," "'" .f, h.20IAInps:!.'),400Amps
" r,:,_,_ '''-, _ 401 Amps)'1.,600 Amps
, . . . , ~.. '
" .... ~.",;-, ' Over 600 Amps:or 1000 Volts see "B" above,
;, iJJ Btl!~(;~iC)':~tii!S": ',,'. , '. '.
Expiration Date
$ 50,00
$ 69,00
$100,00
Expiration Date
10/01/03
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, , New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43,00
$ 3,00
Owners Name
Address
po
-S{}Pi)
ffJ / 883
E, t:~risc';,lli~eous,(S~c./feed_.~ .ri~t.b,cl~i1~df"'~:ii:h:Installation:1
Pump or irrigation $ 50,00
Sign/Outline Lighting $ 50,00
OWNER INST ALL"Nlffl Limited Energy/Residential $ 25,00
The installation is beih{r~~ property I own which Limited Energy/Commercial $ 45,00
is not intended for s.A4J'Pfffjifb~/if. SHA Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
Owners SignalUre'lI~9v'M,A1EJg~oUNDM !~Z'PS~RE IF r,WI'~I&f~l,eTA:L'dF~O,VE " ::' "'" :. . 'I /
.,,'u 80 r;u 'filS 'n. PE, '7t: "","..,,' ',,',,""., "e,,': ',lIb>
DAV PEitJn~8ANDDN~~/J. IS NVJf1 \tate Surcharge 1/ l.( I
OR 10% Administrative Fee It, ') 0
1 'to 1!-
Phone
City
Inspection Request: 726-3769
~ ~~fb~ ~.Vll)C6
TOTAL
Shared Drive(T:)IBuilding Forms/Eloctricn1 Permit Application l..o3.doc
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CITY OFtRINGFIELD SYSTEMS DEVELOPM" WORKSHEET
JOURNAL OR JOB NUMBER: Com2003-00 10 1
NAME OR COMPANY: Hayden Enterprises
LOCATION: 6068 Pumice PI.
TAX LOT NUMBER: 18020300-TLOO71O
DEVELOPMENT TYPE: DUPLEX
NEW DWELLING UNITS I
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BUILDING SIZE (SF)
o
LOT SIZE (SF):
10835
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. 'I COST PER S,F. I CHARGE I
I 1868.00 $0,282 = I $526.78
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCfED TO CITY STANDARDS
I IMPERVIOUS S.F. I 'I COST PER S,F. l' I DISCOUNT RATE I I DISCOUNT
I 0,00 $0.282 I 50% = I $0.00
ITEM I TOTAL. STORM DRAINAGE SDC $526,78 I
$526,78
1070
2, SANITARY SEWER - CITY
A, REIMBURSEMENT COST:
I NUM8ER OF DFU's I , I COST PER DFU I
I 21 I $22,09 I = I $463.89
B.IMPROVEMENTCOST:
I NUMBER OF DFU's I , I COST PER DFU I
I 21 I I $16.79 = , $352.59
ITEM 2 TOTAL. CITY SANITARY SEWER SDC = , $816.48 I
-
3, TRANSP()RTATION
A, REIMBURSEMENT COST:
I ADT TRIP RATE I ' I NUMBER OF UNITS I ' I COST PER TRIP I , I NEW TRIP FACTOR I
9.57 I I $16.81 I 1.00 = , $160,87
B. IMPROVEMENT COST:
I ADTTRIPRATE I ' I NUMBER OF UNITS I ' I COST PER TRIP J ' I NEW TRIP FACTOR I
9.57 I I $74,17 1.00 I = , $709.81
ITEM 3 TOTAL. TRANSPORT A nON SDC = , $870.68 I
4, SANITARY SEWER - MWMC
A, REIMBURSEMENT COST:
INUMBER ~F FEU's I ' I COST PER FEU I
I $332.86 I = , $332,86
B,IMPROVEMENTCOST:
INUMBER OF FEU's I , ICOST PER FEU I
I I I $34.83 = , $34,83
MWMC CREDIT IF APPLICABLE (SEE REVERSE) = I $0.00
MWMC ADMINISTRATIVE FEE = , $10,00
ITEM 4 TOTAL. MWMC SANITARY SEWER SDC = I $377.69 I
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , $2,591.63 I
'i, ADMINISTRATIVE FEE:,
ISUBTOTAL I , I ADM. FEE RATE 1= I CHARGE I
1 $2.591.63 I 5% I I $129.58 I
TOTAL SANITARY ADMINISTRATION FEE: , 78,62
TOTAL TRANSPORTATION ADMINISTRATION FEE: I $50,96
Steve Templin 2/28/2003 TOTAL SDC CHARGES = , $2,721.21
PREPARED BY DATE
1091
1092
1093
11094
1054
1055
1054
1056
II
I
1079
11078
. . .
.
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW AXTURES x UNIT EQUIVAlENT = DRAINAGE AXTURE UNITS
(NOTE: RlR REMODELS, CALCULATE ONLY THE NET ADDITIONAL AXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIV ALENT UNITS
BATHTUB 2 0 3 6
IDRINKING FOUNTAIN 0 0 1 = 0
IFLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETe. 0 0 3 = 0
IINTERCEPTORS FOR SAND / AUTO WASH / ETC, 0 0 6 = 0
'LAUNDRY TUB 0 0 2 = 0
ICLOTHESW ASHER / MOP SINK 1 0 3 = 3
ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
(RECEPTOR FOR REFRIG/WATER STATION /ETe. 0 0 1 = 0
,(RECEPTOR FOR COM, SINK / DISHWASHER / ETC. I 0 0 3 = 0
ISHOWER. SINGLE STALL 0 0 2 = 0
ISHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0
ISINK: COMMERCIAURESIDENTlAL KITCHEN 1 0 3 = 3
ISINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASIN/DOUBLE LA V A TORY 1 0 2 = 2
ISINK: SINGLE LA V ATORY/RESIDENTlAL BAR 1 0 1 = 1
I URINAL. STALL/WALL 0 0 5 = 0
ITOILET. PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIV ATE INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 21
.EDU (Equivalent Dwelling Unit) is a dischal}!e equivalent to a sin)tle family dwel1in~ unit (20 DRJ's) set at 167 ~l1ons per day
MWMC CREDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE
L YEAR CREDIT RA TFl$I,QOO
ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 0
I BEFORE 1979 $4,92 (Enter I for Yes. 2 for No)
I 1979 $4.92 IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? 0
I 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 VALUE I 1000 CREDIT RATE
1985 $4,09 $O,oo x $4.92 = , $O.OO
t986 $3,78
1987 $3.41 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
1988 $2,98 VALUE /lOoo CREDIT RATE
1989 $2.52 $0,00 X $4.92 = 0
1990 $2.06
1991 $1.64
1992 $1.45 TOTAL MWMC CREDIT = $O.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