HomeMy WebLinkAboutPermit Electrical 2003-4-3
CITY OF SrJ:UNGFIELD, OREGON .
. ~s tne tollowing
225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-1,\~Il~~~X5ll1~~W- IC land usa
The tl not requae
ELECTRICAL PERMIT APPliCATION lomng, and doas ,,' .
approval -~ L-I...I\--"
City Job Number COVlAZO"3- 00100 Date 7nn;nQ~ 0 "2 _ }
3, ~'!COJWitIoJff.E'l'J:.-:fSCHEDiJLE BP,m~1iY
ALlthOflzed :::t19' lO,l... - -
Supervisor License Number,7~gS n,
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10/01/04 A~1it8 :~e.. Installation, Alteration or Relocation
C~v rlia qill1/1 200 Amps or less I $ 50.00
Consn-o Conn-. Number ?..._ 'fRill ~A1.5~/<f"() .8li4(( 201 Amps to 400 Amps $ 69.00
r '80' CEO VIVOEt9 E..r,oiOI Amps to 600 Amps $100,00
10/01/03 OAv ,:; ~f( ':: 'li18 ~6t4Q0 Amps or 1000 Volts see "B" above.
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vl' ,~l)"1 r.. Q~an"" CUlts, ~ \, , ' ' .
~ 0(,' 'J~"{' .r' .
1\ /J ~ .A&~~4ti.o;''r.,r Extension Per Panel
l jt' One C~it
Each Additional Circuit or with
Service or Feeder Permit
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
OWNER INSTALLATION Limited Energy/Residential $ 25,00
The installation is being made' on property [,own which' ""t- <,:~,~imited Energy/Commercial $ 45,00
is not intended for sale, lease or rent., , , , . ~im';;m Electric Permit Inspection Fee is $45,00 + Surcharges
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"'" ._-:......' ":]%,State Surcharge
"")"J_ '.. '..: ''''lIO%(Administrative Fee
'M'.... R"''i\'r w':;.~tf;,t!.w -1J . 'I\OTAL
\." m ~ -"I Shared Drivc(T:)/Building Forms/Electrical Permit Applieatioo 1~3,doe
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days,
2. kCONTRAcTO~ lNStAIiEATIOl:/O'fir;r .1
Electrical Contractor 0,,...; c::h::l.n~nn F_lj:::l.("'tti.c.-
Address
l?qR RAt],pl Tn-ivp
City Fl1~j:::I.no
Phone S~l-hRR-hl?l
Expiration Date
Expiration Date
Signature of Supervising Electn~'Ci
TJ:1,...,...v n,:1rmJ:1n
.
Owners Name #A-ll\,;S JV 0'V;-
Address It) ($.; y 'iS8 J
City 5(J r I)
Phone
Owners Signature:
I
A. I New Residential-.Si!lgle'of'i\1ulti-Family per dwelling unit.
Service Included
1000 sq. ft, or less
Each additional 500 sq, ft. or
ponion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106,00
lOb
Jg
I
2-
$ 19.00
$50,00
B. I' Sen'ices'o!Fe~ders:: 1~~t~lIati~.", Alteratiori~or Relocation:
200 Amps or less
20 I Amps to 400 Amps .
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsIV olts
Reconnect Only
$ 63,00
$ 75,00
$125,00
$163.00
$375.00
$ 50,00
C. I :rempo~iiry'Services or.Ee,eders
..'
5""0
I
$ 43,00
$ 3.00
E. I ~~~i,Hl~~I.s .(SerV!~f{feed!'t .1I~t ,btcl~dedj,-Each il1stall~ tio,~
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CITY OF SPRINGFIELD SYSTEMS DEVELOPM!:WWORKSHEET
JOURNAL OR JOB NUMBER: Com2003.00 I 00
NAME OR COMPANY: Hayden Enterprises
LOCATION: 6082 Pumice PI.
TAX LOT NUMBER: 18020300-TLoono
DEVELOPMENT TYPE: DUPLEX
NEW DWELLING UNITS I ' BUILDING SIZE (SF) 0 LOT SIZE (SF):
L STORM DRAINAGE
10491
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Cl
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DIRECf RUNOFF m CITY STORM SYSTEM
I IMPERVIOUS S.F. ,I COST PER S.F. I I CHARGE I
I 2376.00 I $0,282 = I $670.03
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. I ,I COST PER S.F. I' I DISCOUNT RATE J I DISCOUNT
I 0.00 I $0.282 I 50% l = I $0.00
ITEM I TOTAL - STORM DRAINAGE SDC $670.03 I
2, SANITARY SEWER - CITY
$670,03
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I ' I
I 21 I
B.IMPROVEMENTCOST:
I NUMBER OF DFU's I '
I 21 I
COST PER DFU
$22,09
=
$463.89
1 1091
COST PER DFU
$16.79
=
$352,59
t092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = ,
3. TRANSPORTATION
$816.48
A. REIMBURSEMENT COST:
! ADT TRIP RATE I ' I NUMBER OF UNITS I
I 9.57 I I
B.IMPROVEMENTCOST:
I ADTTRIP RATE I ' I NUMBER OF UNITS I
I 9.57 I I
ITEM 3 TOTAL - TRANSPORTATION SDC
, I COST PER TRIP , I NEW TRIP FACTOR I
$16.81 I 1.00 =
, I COST PER TRIP , I NEW TRIP FACfORI
I $74,17 I 1.00 I =
= I $870,68
$160.87
1093
$709,81
t094
4, SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's I ' ICOST PER FEU
I I $332.86
B. IMPROVEMENT COST:
INUMBER OF FEU's I ' ICOST PER FEU
I 1 I $34.83
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = ,
~TAL(:DDITEMSI,2,3,&4) = ,
5, ADMINISTRATIVE FEE:
ISUBTOTAL I ' I ADM. FEE RATE 1=
I ' $2,734.88 I I 5% I
mTAL SANITARY ADMINISTRATION FEE:
mTAL TRANSPORTATION ADMINISTRATION FEE:
=
$332.86
I 1054
= $34.83 1055
= $0,00 1054
= $10.00 1056
$377,69
$2,734.88
CHARGE
$136,74
86.23 11079
$50.51 1078
TOTAL SDC CHARGES = $2,871.62 I
Steve Templin
2/2812003
PREPARED BY
DATE
. .
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS 'I
(NOTE: RlR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EOUIV ALENT UNITS
-
I BATHTUB 2 0 3 = 6
IDRINKING FOUNTAIN 0 0 1 = 0
IFLooR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE I OIL I SOLIDS I ETe. 0 0 3 = 0
I INTERCEPTORS 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, 310R MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK'TRAP (1 PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRIG I WATER STATION IETe. 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 I
ISINK: COMMERCIAURESIDENTlAL KITCHEN 1 0 3 = 3 ,
ISINK: COMMERCIAL BAR 0 0 2 = 0 I
ISINK: WASH BASINIDOUBLE LA V ATORY 1 0 2 = 2 I
ISINK: SINGLE LA V ATORY/RESIDENTIAL BAR 1 0 1 = 1
,"URINAL. STALL I 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 21
*EDU( uivalent DwelJin Uriit) is a dischar e e uivalent 10 a sin Ie rami! dwellin unit (20 DFU's) sel at 167 gallons per day
,
MWMG CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
!
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
19%
1997
1998
1999
2000
CREDIT RA TE/$1.0oo
ASSESSED VALUE
$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_
IS LAND ELGlBLE FOR ANNEXATION CREDIT?
(Enter I for Yes. 2 for No)
IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT?
(Enter I for Yes. 2 for No)
BASE YEAR
~
o
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE 11000 CREDIT RATE
$0.00 x $4,92
= ,
$0.00
CREDIT FOR IMPROVEMENT (IF AFfER ANNEXATION)
VALUE I 1000 CREDIT RATE
$0,00 x $4,92 =
o
TOTAL MWMC CREDIT
=
$0.00