HomeMy WebLinkAboutPermit Electrical 2003-4-3
: . CITY OF Sl...JNGFIELD, OREGON "
225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: 1541 \726-JhR8mitled has the following
The following prolect a~ 'SU . .
ELECTRICAL PERMIT APPliCATION wiling and does not require specIfic land use
City Job Number c.... S ,- DO (0 J. Date apPlOvai I h(1....-
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3, I'COMPLE"rr1j:;l?PP <:I('l'{EIJUI:.B BEL(j,l'~ (
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Supervisor License Number .1759SI ^
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10/oQ,jf;~r::f;?I!~, Installation, Alteration or Relocation
"f1lf"4.1f'-i/?f'O / clN..1 200 Amps or less $ 50.00
Constr. Contr, Number -26-'~&. ~.f'", 0/~ 1(1. 201 Amps to 400 Amps ' $ 69,00
W1;.-- O;Yt~~-9 J.;<':.f',o;,.r, 401 Amps to 600 Amps $100.00
Expiration Date 10/01/03, Pf''Su~ 10--1:5' ,o/:/:' l:.<?:er ~o~ ~ps or 1000 Volts see "B:', abov~,. '
Signature of Supervising EleCtri~i (\ / V01l~~~!i;:::~:::U:~~~t~ns;o~ ~er ~:n:I " . . " .
T ...rrv n,"nrT1"n \. 'j ~O;r.,itircuit $ 43,00
Each Additional Circuit or with
)' / / /_ Service or Feeder Permit $ 3.00
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City ~c::L.-o--l Phone ~/ - <Xl '7/
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1. I' LOCATIONOFJNSTAJ;LATION
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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. 1:(;oivTRACTORrNSTALiAiIoNO~Y.'
Electrical Contractor rhl"'; Q t pn~nn Fl pr tl.,,; ('_
Address
1?QR Rptnpl firivp
City Fl1~,::lIT1P
Phone S41-688-6121
Expiration Date
Owners Name
Address
OWNER INSTALLATION
J.
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
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l'\Jlllortzed SIgnature
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A. !.New RCsid';nii~I-,Sjilgleorj\'iulti-FiJmily per dw~'ling nnit.
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
B. I ser.vlc';'or Feeders;:" liist~lIatiol1, A1tei-ation~ ot Relocation: .,
~ "- " " . .. ", ' ..
$106,00
$ 19.00
$50,00
200 Amps or less
201 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
c. I. 'f,empoiiu;Y'Servites or .F~eders '
-
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E, L~~~apeo\ls,.(~~iCeJfeed~rn~finclu~~),~Eachlnst~lInrion: I
Pump or inigation
Sign/Outline Lighting
Limited EnergylResidential
Limited Energy/Commercial
$ 50.00
$ 50.00
$ 25.00
$ 45.00
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~nimum Electric Permit Inspection Fee is $45.00 + Surcharges
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"4. ),;'~,!D~'P'.rJw<?-f.~O~ 0,. .' ..';',' " "
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, ,"':-': 7~.State Surcharge
'" 1 0% Administrative Fee
jf.{tf
IOO~
/'1'10
/63tt5:-
TOTAL
Shared Drive(T:)lBuilding FormslElectrical Permit Application 1~3,doc
CITY OFalNGFIELD SYSTEMS DEVELOPM_WORKSHEET
JOURNAL OR JOB NUMBER: Com2003-00103
NAME OR COMPANY: Hayden Enle,!,rises
LOCATION: 60 I 0 Pumice PI.
TAX LOT NUMBER: 18020300-TLOO690
DEVELOPMENT TYPE: DUPLEX
NEW DWELLING UNITS I BUILDING SIZE (SF) 0 LOT SIZE (SF):
L STORM DRAINAGE
DIRECf RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F, x I COST PER S,F. I I CHARGE I
I 2080,00 I $0.282 = $586.56
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F, I x I COST PER S,F. I x I DISCOUNT RATE J I DISCOUNT
I 0.00 I I $0.282 50% 1 = $0.00
ITEM I TOTAL. STORM DRAINAGE SDC '$586.56 I
.
2, SAN IT AR Y SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x I COST PER DFU
I 21 I I $22.09
B. IMPROVEMENT COST:
I NUMBER OF DFU's I x COST PER DFU
I 21 I $16.79
ITEM 2 TOTAL. CITY SANITARY SEWER SDC =,
3. TRANSPORTATION
A, REIMBURSEMENT COST:
I ADTTRIP RATE 1 x I NUMBER OF UNITS I x r
I 9.57 I I I I
B.IMPROVEMENTCOST:
I ADTTRIPRATE I, I NUMBER OF UNITS I x I
I 9.57 I I I I
ITEM 3 TOTAL . TRANSPORTATION SDC = I
4, SANITARY SEWER. MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I I 1 $332.86
B. IMPROVEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I I I $34,83
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM4TOTAL-MWMCSANITARYSEWERSDC = ,
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = ,
5, ADMINISTRATIVE FEE:
ISUBTOTAL I x I ADM. FEE RATE 1= I
I $2,651.41 I 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Steve Templin
PREPARED BY
2/28/2003
DATE
$816,48
COST PER TRIP
$16,81
x I NEW TR::ACTORI =
COST PER TRIP
$74.17
$870,68
, I NEW TRIP FACTOR I
I 1.00 =
$377.69
$2,651.41
CHARGE
$132.57
TOTAL SDC CHARGES
6572
~
o
o
U
0::
~
ell
G
~
$586,56
1070
=
$463,89
1091
=
$352,59
1092
$160,87
1093
$709,81
1094
=
$332.86
1054
=
$34.83
$0,00
$10,00
1056
1055
=
1054
=
I
=
81.80
$50.77
$2,783.98
11079
, 1078
. .
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW AXTURES x UNIT EQUIVALENT = DRAINAGE AXTURE UNITS I
(NOTE, R)R REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
BATHTUB 2 0 3 = 6 -I
IDRINKING FOUNTAIN 0 0 1 = 0 I
IFLOOR DRAIN 0 0 3 = 0 1
IINTERCEPTORS FOR GREASE lOlL 1 SOLIDS 1 ETC. 0 0 3 = 0 I
IINTERCEPTORS FOR SAND 1 AUTO WASH 1 ETC. 0 0 6 = 0 ,I
ILAUNDRY TUB 0 0 2 = 0
ICLOTHESW ASHER 1 MOP SINK 1 0 3 = 3
ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRIG 1 WATER STATION 1 ETC, 0 0 1 = 0
RECEPTOR FOR COM, SINK 1 DISHWASHER 1 ETC.I 0 0 3 = 0
SHOWER, SINGLE STALL 0 0 2 = 0
SHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAURESIDENTlAL KITCHEN 1 0 3 = 3
ISINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASINIDOUBLE LAV AmRY 1 0 2 = 2
ISINK: SINGLE LA V A mRY IRESIDENTlAL BAR 1 0 1 = 1
I URINAL, STALL! WALL 0 0 5 = 0
ImILET. PUBLIC INSTALLATION 0 0 6 = 0
ITOILET. PRIV ATE INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
,
TOTALDRA~AGEFDITVREUNITS 21
.EDU (Equivalent Dwelling Unit) is a discharp:e equivalent to a sinp:le family dwellinp: unit (20 DfU's) set at 167 Jt8.lIons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR CREDIT RATEJ$\.OOO _I
ANNEXED ASSESSED VALUE IS LAND ELGlBLE FOR ANNEXATION CREDIT'? 0
BER)RE 1979 $4,92 -I (Enter I for Yes. 2 for No)
1979 $4,92 I IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT'? 0
1980 $4,83 I (Enter \ for Yes. 2 for No)
1981 $4,77 I BASE YEAR \979
1982 $4,64 I
1983 $4,47 I CREDIT FOR LAND (IF APPLICABLE)
1984 Souo I VALUE 11000 CREDIT RATE
1985 $4,09 I $0.00 x $4.92 = , SO.OO
1986 $3,78 I
1987 $3.41 I CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
1988 $2.98 I VALUE 1 1000 CREDIT RATE
1989 $2,52 'I $0.00 x $4,92 = 0
1990 $2.06
1991 $1.64 I
1992 ; $1.45 I TOTAL MWMC CREDIT = $0.00
1993, $1.3\ I
1994 $1.13 I
1995 $0.97 I
t996 $0,82 I
1997 $0,63 I
1998 $0.41 I
1999 $0,22 I
L 2000 $0,04 I