HomeMy WebLinkAboutPermit Electrical 2001-5-17
OEVELOPIIIENT SERVICES DB'IlRTMENT :o~\\\e oe\\,e
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22.5 FJFTH STREET ~o(\'''~~o\
SPBINGFIRLD, OREGON 974770\>~
IHSPEC'l'JON REQUEST: 726-3769 ",0
OPFICE: 726-3759 QO'" 0 '2>'9,1'0'
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1. LOCATION OF IHSTALLATIO~
~ ~.. QN\.~
LEGAL~~PTIO~
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. -
JOB DESCBIP.:l'~OIil
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Permits are ~n-transferable and expire
if vork is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTAJ..l..ATION ONLY
Electrical Contractor-J.ll,~ ":!-ECTRI.c INC
Address 85783 HWY 99 SOUTH
Ci ty EUGENE
Phone 741=0494
Supervisor License NulDber 4079S
Expira tion Da te 10/0 llD 1
Conser Conn. Number 20-403C
Expiration Date 10/01/01
'-~; .
of) Name ~4 (-'N'~
Address '1~~(")~
CitY_tJ~. Phone'tr:ftJO~\\
OVNER INS'l'AI.LATION
The installation is being made on
property I ovo which is not intended
for sale, lease or rent.
Owners Signature:
----------------------
DATE:
RBCBIPT I:
JU..."..."" B1':
Tn'"
22fi FIFTH STRFtT
SPRINGFlRO.00914/1
(.5411126-3753
FAX /54'.1 726.3('89
CTRICAL PERKIT APPLICATION
City Job Number()\ .N"Mtl...Q\
3.
COKPLKTE PEE SCHEDULE BELOV
A.
New Residential-Single or
Hulti-Pamily per dwelling unit.
Service Included:
Items
Cost
Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Hanuf'd Rome or
Hodular Dwelling
Service or Feeder ~ $ 40.00 ~
Services or Feeders
Installation, Alterations
or Relocationl
H.
200 amps or less
201 amps to 400 allps
401 amps to 600 amps
601 i.UllpS to l()()(l amps
Over 1000 amps/volts
Reconnec t Only
S 50.00
S 60.00
5100.00
$130.00
$300.00
$ 40.00
c.
Temporary Services or Feeders
Installation, Alteration or Relocation
D.
zoo amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 vo~ts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "8" above
Nev, Alteration or Extension Per Panel
(lne Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit l
B.
Hiscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighti~
Limited Energy/Res _____
Limited Energy/ComID
5. SUBTOTAL OF ABOVE
7~ State Surcharge
3% Administrati~e Fee
TOTAL
S 35.00
$ 2.00 ...a-
not included;
$ 60.00
$ 40.00
S 2.0.00
S 36.00
...a9. .dJ
r:; ,""'\.a..
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.. CITY OF SPRINGFI~SYSTEMS DEVELOPMENT C.E WORKSHEET
JOURNAL OR JOB NUMBER: 01-00492-01
NAME OR COMPANY: GOURLEY
LOCATION: 420 QUARRY ROAD
TAX LOT NUMBER: 17-03-35-34-06700
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS: I BUILDING SIZE: 0 SF LOT SIZE: 0 SF
I STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S'F'I "I COST PER S.F. I
'0.00 $0,271 =1 $0.00
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S,F. I x COST PER S,F. 1 x 1 DISCOUNT RATE
1906.00 $0,271 I 1 50% =1 $258,26
LITEM 1 TOTAL - STORM DRAINAGE SDC =r $258.26
2 SANITAIlV ~"wPll - ru:y
A, REIMBURSEMENT COST:
I NUMBER OF DFU's I .'1 COST PER DFU
I n I ~125
B, IMPROVEMENT COST:
I NUMBER OF DWs I "I COST PER DFU
22 $16.15
LITEM 2 TOTAL - CITY SANITARY SEWER SDC
3....IRA "'~P()IlT A nON
'.
=1
$467,50
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1070 ",..-
/'
1091'
=1
=1
/
$355.30 I 10920-
$822.80 ---L I
A. REIMBURSEMENT COST:
1 ADT TRIP RATE I" I NUMBER OF UNITS I" I
1 9,57 1
B. IMPROVEMENT COST:
1 ADTTRIPRATE IxlNUMBEROFUNITSlxl
I 9.57 1 1
I ITEM 3 TOTAL - TRANSPORT AnON SDC
U,ANTTARV ~"wPR _ MWMr
A. REIMBURSEMENT COST:
I NUMBER OF FEU's I" I COST PER FEU
I 1 $285,91 =1
B. IMPROVEMENT COST:
1 NUMBER OF FEU's I" I COST PER FEU
1 1 $24,33
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT
MWMC ADMINISTRATIVE FEE
rITEM 4 TOTAL - MWMC SANITARY SEWER SDC
, SUBTOTAL (ADD ITEMS 1,2,3, & 4)
Ii '~=::TIV'I,FIEF~M. FEE RATE
I $2,164,14 5% =1
I ~ ~ 5/25/01 TOTAL SDC CHARGES =1
I SDC COORDINATOR DATE
COST PER TRIP 1 xl NEW TRIP FACTOR I 1093'/
$16.12 1 1.00 =1 $154.27
COST PER TRIP 1 xl NEW TRIP FACTOR I /
$68.55 I 1.00 =1 $656.02 I 1094'
=1 $810.29 ~I
$285.91
=1 $24,33 I
=1 ($47.46) I
=1 $262,78 I 1055'/
=1 $10,00 I 1056
=r $272.78 I
=1 $2.164,14 1.1
I
$108.21 I 1073/
$2'~1
RE UNIT (DFU) CALCULA~BLE .' I
DRAINAGE F
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIX1lJRES DRAINAGE
( # NEW UNIT FIXTURE
FIXTURE TYPE # OLD ) x EQUIVALENT = UNITS
BATHTUB ( 2 0 ) x 3 6
DRINKING FOUNTAIN ( 0 0 ) x 1 0
FLOOR DRAIN ( 0 0 ) x 3 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. ( 0 0 ) x 3 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. ( 0 0 ) x 6 0
LAUNDRY TUB ( 0 0 ) x 2 0
CLOTHESW ASHER / MOP SINK ( 1 0 ) x 3 3
CLOTHESW ASHER - 3 OR MORE (EA) ( 0 0 ) x 6 0
MOBILE HOME PARK TRAP (I PER TRAILER) ( 0 0 ) x 12 0
RECEPTOR FOR REFRIG / WATER STATION /ETC. ( 0 0 ) x I 0
RECEPTOR FOR COM, SINK / DISHWASHER / ETC, ( 0 0 ) x 3 0
SHOWER, SINGLE STALL ( I 0 ) x 2 2
SHOWER, GANG (NUMBER OF HEADS) ( 0 0 ) x 2 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN ( I 0 ) x 3 3
SINK: COMMERCIAL BAR ( 0 0 ) x 2 0
SINK: DOMESTIC BAR ( 0 0 ) x I 0
WASH BASIN ( 0 0 ) x 2 0
LAVATORY ( 2 0 ) x 1 2
URINAL, STALL/WALL ( 0 0 ) x 5 0
TOILET, PUBLIC INSTALLATION ( 0 0 ) x 6 0
TOILET, PRIVATE INST ALLA TION ( 2 0 ) x 3 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU's'
( 0 0 ) x 20 0
TOTAL DRAINAGE FIXTURE UNITS =1 22
.EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
-
MWMC (!;REDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFfER ANNEXATION DATE, CALCULATE CREDIT SEPARATELY
YEAR
ANNEXED
1979 OR BEFORE
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
CREDIT RATE PER $1,000
ASSESSED VALUE
$4.74
$4.65
$4.59
$4.46
$4.30
$4.14
S3.93
S3.63
S3.26
S2.85
S2.40
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
YEAR
ANNEXED
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
CREDIT RATE PER $ I ,000
ASSESSED VALUE
SI.96
SI.S5
$1.36
SI.23
SI.05
SO.90
SO.75
S057
SO.35
SO.15
VALUE / 1000 CREDIT RATE
10,012 x $4.74 =1
0,000 x $4.74 =1
TOTAL MWMC CREDIT =1
$47.46
$0.00
$47.46
II
.
.
MORTER ENGINEERING P.C.
12<45 PEARL "I I\tt. I
EUGENE. Vo\O:.Uu,j
(541) .484-9080
(541) 484-6859-FAX
ClIENT:
&lIIl s~ ~.
w.o., nn,
DATE: '5/30101
REV:
I7NN BV: jwh
r.qc. BY: Afi!C-
Stm
Z OF
3
JOB LOCATION:
q..:20_ cfr' i.tf4 ~ g \1
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: N.ET PIPE
: /;['4)( 24" REBAR
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rmil~;~.o~~~~1
_ mS ' . 0 0 GOO 00 0 0 a 0 rtJ' oy~: 000 0 00000 0 oJl;) Q5 0 1'=
1-~lU-1i1-1ll- Co DO 0 OOOClO oOoOc OQ ~ "000 ,g.,. - ,.1L.1ER ~ 110 0 oooo~ 0Ei' 00' 00 0 0 c-
illll~iTl-~- :"00 0 oo~o_ OOIl~Oc> 00,,0 ::> 000 FABRIC 0::'0., 0'\,. o:'o::,oJJ<=:' OJcg -
illl=m ffiW-j 00&00 Ol)o&.oo~oo~oo..,:;,)OOO OQ aO&gOo~ob~cuObocJgll. =
"im ;;::;Jlt = oOoo~olb~'Jo'i: '0" Ooo~O_c 'lOOClOO~OO~.....o OoC~O_G ooooo~oo~o 0
, II=IIC -111- OOo:t!lo 0;"0,000 ~'C:oo'C::,'iooooo.o~:;''oo'C:Oo~_o~,~~o.oo.o ~
-'''-:111 m m_ III1L_-'II=1It'SII=i(~1I "111_111-1 1E:::rll=llr=llE=lIi~II-III=II( I.
I 1/2" ROUND ROCK
..~ .
.'- ~
~ SOIl
80f ROlL l,. 101 ~I .c
OR FD..TER FAIIllC
J HOI.I:
DlSI'RI8UlION ~
OR E:QlW.
1 1/2" UNIF'ORM
ROUND ROCK
LENCmt Of' ."",._J ft'FT.
DRYWELL ]RENCH
N.T.S.
SECTION A-A
· lOCATE ." ..,L 1RENCH
10' FROM BUILDINGS AND
S' FROM t''I''t....~'^. ~
t"_
\
OUll/01
11:40 FAX 541 485~7
WESTERN TITLE EUGENB
.
~002/00J
,
r----------------------------~
Division of Chief Deput.y Clerk 'IIl1I\ 1I1~1I~
Lane Count.y Deeds and Records 'VV .V~V~Vw
\ \\\\\\1\\\\\ 1\\\ \\ II \\\\\ \\\\\\ \\\"1\\1\ $3 t. 00
'01889002~~t0u~0b03~20025
06/29/2001 02:\4:31 pft
RPR-ES"T Cn\~1 St.~3 CASHIEA 07
$10.00 $10.00 $11.00
0; 00 V"z.- 01
If:0 a rJw"? ;lJ
! ~.~_ 0~91/01 11:40 FAX 541 485~__~STERN TITLE EUGENE _
After Recording Retum To: .. ·
"'~ Westem Title &. Escrow Company
290E.1BthAve" ~ugen..OR 97401 ADDENDUM TO
:'" t,.Y1'l:. 3D-~ 1311./01 PRIVATE SEWER AND DRAINAGE EASE~NT
THIS INDENTURE MADE and entered into thi~y of June, 2001, by and between
KARLA RAE SMITH. owner of the property at 333 S. Fourth Street, Springfield, Oregon, ltpOn
which this easement will cross, hereinafter referred to as the Grantor, and SCOTT M.
GOURLEY and JUDY CASSADY, purchasers of the property next door at 420 Quarry Road,
Springfield, Oregon, hereinafter referred to as Grantees. Tbis 5 foot Addendum to Private
Sewer and Drainage Easement is in addition to the original 3 foot Private Sewer and
Drainage Easement executed by Karla Rae Smith on May 17, 2001 and recorded May 18,
2001.
I4J 003/003
WITNESSETH: In consideration of the acceptance by Grantees and the use or holding of said
easement for present OT future usc by Grantees, GTantor hereby grants, bargains, sells and
conveys unto the Grantces a perpetual easement 5 feet in width, togetheT with the right to go
upon said easement area hereinafter described for the purposes of construction, Teconstruction,
maintenance, and utilization of sewer and storm drain cOlll1ections.
Beginning at a point being east341.l3 feet and south 0004' 00" East 105.32
Feet from the northwest comer of Block 42 of the Survey of Springfield, as
Platted and recorded in Book I, Page I, Lane County Oregon Plat Records,
Said point being on the easterly margin of 4th Street; thence along said
Easterly margin south 00 04' 00" east 16.00 feet to the true point of beginning;
thence leaving said easterly margin south 89. 55' 30" east 5.00 feet; thence
souLh 0004' 00" east 17.00 feet; thence north 89055' 30" west 5.00 feet to
the aforementioned easterly wargin of 4tl1 Street; thence along said easterly
margin 00 04' 00" west 17.00 feet to the true point of beginning in Lane
County, Oregon.
TO HAVE AND TO HOLD the above P dd
and assigns forever.
TN WlTNESS WHEREOF, Grantor abo '
June, 2001.
said tees, their heirs
d tills t5t1t of
1<1
ST A l"E OF OREGON
COUNTY OF LANE )
BE IT REMEMBERED that 011 thib of June, 2001, before me, the undersigned, a
Notary Public in and for said County and State, personally appeared the within named KARLA
RAE SMITH, known to me to be the identical individual described in and who executed the
witilln instrument and acknowledged to me that she executed the same freely and voluntarily.
IN TESTIMONY WHEREOF, I have he~t~hand and affixed my official seal the day
and year last above written, . ~, ~,. .
\ . OFRCIAlSEAL No blic fat Oregon n-h~
,,'.' S~E!\'IL WIl.K\NSON .. .
~..~~. NOTmpuauC.OREGON cOlI\I1l1S on expires: I
...' COMMISSION NO. 306S65
~+ --.-....................
.
.
O!QUSl!ONLY
UNDERGROUNO INJECTION CONTROL
REGISTRATION
Slngle-Famlly Sto "..r DlsctIarge &
G_._......al HeaUng Systems
~
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mE
ORgOa Deparlmeat or Eaviroameatal Qullly
(Me lIP- 2 fIlr _In&tnocIiono)
DI!QU~ONl"
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file"
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No",.
LeaalNune: ::J'1Ad.,,\ (!.,Ass; .1'1
3. FaciJil)'PhysicalAddreJs: ""/-2(:) qf4';;~
Cily. Stale, ZIp CGde: SR ~)cl . 01k-.
5. LaIitude:_dcpws _minUleS _ie_
&. Facilily CoaIIct Nunc:
CoDlICl T~"
Fuil:
4. Facilily M&iling Addreu:
CIl)', Stale, Zip Code;
Lcmgilllde: _ dopes _miUUICS _1lJCOllCb
7. Rcspomible OffJciaJ Nome:
Addless:
Cil)'. S-. Zip Cocle:
8 FACII.lTY DESCRIP1ION (ATTACH DOCur.'ENTSAS NEEDED)
I. t.ud use &OlIillgollKlUly. CI IacIuslriaI CI Commen:ia1 J?Raidenlial 0 Odlcr:
2. DriIIkiDa waIllr...uree: Montbly"ven&<...... (pLIday); _ 0 PullI'IC....... 0 Pri.... Wd\
3. Deptb III wi.... bill> wa1et rable; _ feet If "'" ...ilIl>le. .~ deptll III sroundw&ler: _ reet
4. Wha. Olbcr...... co diIpooe oflllo water ~ ....labl..o you? (e.l. oil)' ....... . ...leT)
5. DiswIce.o _ domesliclpubUe W_ well
~. So"",e of:-I....:._ waror (obeck one): jlQ R40f CI P......... (dri"<W8y or .....t)
7. WeD1)Ipe: .
o GeolIiemw Heot Dislrieu or S..1ding Orywon
D Cl..od Loop Hat Pwnp IteIlIm - hsidenlial UII
}ll(.SlIlnIl...... (ClIIllp. *>'well, roof dnrin)
8. Wen $laIus: CI Aoli.e CI Under ConslnIcdOll
9. losrallariodl.'<:
10. Wen DepIb: II Well DiaIIletcr.
1I.lr__IlIlll'I__w.1I.~.....expIain"""". .....'.
o Sbop/Garoge
o 0Ibe,
Cl Floor tlnin .
Cl5l'ecial Dnina&o W_
o QlIIerWclls
ClInacti..nlOl in use
D n .........:..'iODed (dosed)
l\
.. '... ~ : . .
':;.;.-,
. .t,. . ".~ ~..
12. List &11)' other DEQ .. pdllie _ _ill appliod r.... issuod co tills fadli!)':
....n'
that lIle.lnfotma~J~ registration la true ;'~=cl to the beat of my _no~edge and beller.
. '1lIlI ClaN8r..1Il. . .
OfLe:~~~epr _ ..(Tn>oor' 1)---:___ ~ .~. )
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Allin 01 Lqally .lborlzed Rep.....lalI.. Dn..!
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