HomeMy WebLinkAboutPermit Electrical 1992-5-7
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225 FIITH STREETl ,'., ".. '.'. '. :", , :r':'EtEttR~,CAii:.') PEIDiIT APPLICATION
SPRINGFIELD, OREGON 97477 1 ) n "} n n Dh \ D
INSPEC:ION REQUEST: 726-3769" ~:]"t'.~'q ~1~Ci.tx. Job Number -\ (-> '~\.Y \
OFFICE. 726-3759 .".0...
1. \-OCfdii1;ON OF IN~LLATIO~,...." t\(\il0,h;j ,;,j;:-' ,C~_~~:.~~.SCREDULE BELOV
\(J'-\\ \ 0 !~ "- ~ \...)0 ~ A. New Resident'ial~Srngle or
., . Multi-Family per dwelling uni t.
Service Included:
LEG~ ~~PTION ~
II 0<---\ (-)8,-~3 V\\o[)L
-To ~SCRI~O~ ~ \f_G f\ \\oCl.-4;
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. CONTRACTOR INSTALLATION ONLY
Electrical ContractorU') {J ~ \ C'\ ~
Address 8\05 \ J) cO,\'fl ~)Q...
City cc;~nQ. Phone 41:~-31r31
Supervisor License Number <90lor:t)
\ n . \..q ?
Constr Contr. Number ~~(~
\ ~L,~ {(/L~
'tit:1?7an
fwners Name~. \(~MS
Addressc!J CO ~)\~OJ*\\\\ftt 'D\ .
Ci ty ~ ~~(CJ~ -Phone
. l\3RJ
OVNER INSTALLATION
Expiration Date
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~~~----------~~'7~LZ~-=--~-----~---
RECEIPT it: -( ~ ~ . 5t~'1 \
RECEIVED BY: (Xl/Y~
- , -
Items Cost Sum
1000 sq.ft. or less \ $ 85.00 ~
Each additional 500
sq. ft or portion n ~O
thereof .$ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
Temporary Services or'Feeders
Installation, Alteration or Relocation
40.00 40
55.00
B.
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
C.
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
D.
Branch Circuits
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
l
$
$
$ 80.00
see "B"
above
volts
New, Alteration or Extension Per Panel
One Circu it
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE '5'5 .0 ()
5% S ta t e Surcharge I. I c:;
TOTAL { L~. IJ~
JOB NO. (;11...0 S(p '1
CITY OF SI ,fNGFIELD SYSTEMS DEVELOPML,t CHARGE
WORKSHEEf
(COMMERCIAL & RESIDENTIAL)
NM1E. OR CQf'lPANY: JSnr-.J 'Ro f3?€:.R-T?
LOCATIqN:~Cj,(o ~LU~P:>~~
Ilo-z. ~??? - 04lPO ~
DEVELOPHENT TYPE: L..D\2.. - t-.,Jf..v..l c:,FR
BUILDING SIZE:
LOT SIZE
SQ _ Ft.
1. STORM DRAINAGE
IMPERVIOUS SQ. FT. "2..'+10 X $0.186 PER SQ. FT. Is 4-S'9 if:!: I
(See Reverse For Runoff Coefficients If Actual Imperv. Area Is Unknown)
2. $ANITARY SEWER-CITY
NO. OF PFU'S I~ X $38.55 PER PFU
(See Reverse To Determine Total PFU'S)
Is G:..9'"2;, ~ I
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIr
. \
X t, oo'? X $388.61
Is. ~9o~I'
X'
X $388.61
s
x X $388.61 S
(See Attachment C To Determine Trip Rates)
SUBTOTAL '(ADO ITEMS 1,2, & 3) $ \?t~~2
4. ADMINISTRATIVE FEES
'BASE. CHARGE' (SUBTOTAL ABOVE) X ..05
Is 11 '.1\
TOTAL-CiTY SOCSlCo'2..\ oCp
5. SANITARY SEWER-MWMC
NO. OF PFU'S ' l~
x S13.25 PER PFU ,+ S1{) 'MWI~C ADMIN. FEE '$ Zt..f-~ ':;0
(Use PFU Total From Item 2 Above)
V'D~_L~
~ Kip Burdick
SDC Coordinator
4-/11/'7,-
I (
. s ?? 6~
TOTAL -MWMC SDC Is 'LIY {.,.9 !
TOTAL SDC S I e,?? ~
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
-- ~
FIXTURE UNIT CALCULA -'-' r') N TABLE: Number of New Fi:-.1.uresX Unit equivalent = Fi>-1ure Units (h!OTE:
For remodels. calculate only the NET ~""dilion21 fi>-1ures)
NUMBEB OF
NEW FIXTURES
UNIT
EQUIVALENT
FIXTURE
UNITS
FIXTURE TYPE
1.--
2
1
2
3
6
2
6
6
1
3
2
1/Head
2
2
1
6
4
y
1..-
Bathtub... ... ....... ........... ........... ....... ..-.'. ...........-... -......
o rinkin g Fou ntain..:...;... .........--..... ...,. ....." .-... ..........
A oar 0 rain..... ......:... .....:........ ............ ........ ...............
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For'Sand/Auto Wash/Etc..........:.......
Laund ry Tub / Ootheswasher................... ..... ...........
Ootheswasher - 3 Or More.....................................
Mobile Home Park Trap (1 Per Trailer}..................
Receptor For RefrigeratorjWater Station/Etc........
Receptor For Commercial Sink/Dishwasher /Ete.:
Shower, Single StaIL...-..:........................-............
S howe r. Gang... .........._..,...... .....e..._. ..--..---. .........
Sink. Bar, CommerciaL.:._...._-._._-_..........
U onal, Stall jWalL._..._........~........_.._..__...........
Wash BasinjLaVatory. Single._..--.--.-...........
Water Ooset. Public Installation..._.._.._......--....
Water Ooset. Private..-...m....-"--"---'-'-"
Miscellaneous:.
.'2.,..
'2-
?,
'2----
B
TOTAL RXTURE UNITS
\B
CREDIT CALCULATION TABLE:
calculate credits separates.
\
\
Based on assessed value. If.improvements occurred after annexation date in .table,
1979 or before
1980
1981
1982
1983
1984 '
Rate per $1.000
AssesSed Value
S2-66
2..64
2..53
2..41
2..19
2..04
Year
Annexed
1985
1986
1987
1988
1989
1990
Rate per $1.000,
Assessed Value
Year
Annexed
$1.69
1.35
1.15
0.92
0.59
0.23
Credit for Parcel or Land Only Ii Applicable "1... . t... c.:. X $ \ 2- ..., \ ?'? ~
(Rate X Assessed Value)
Improvement (If after annexation date) . X $
(Rate X Assessed Value)
CREDIT TOTAL = S ?~e.!-
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Resid enticL............__......__....__.... ..". ...........-.... 0.4
Commer cicC.......... ... ......_ ........... ......... -- ...... .... 0.9
IndustriaL...... ..__..... .......... ..__..." ...--.. ....... .......... 0.45
G overnm ent2L ....... ...__..,," .__.__.. -- -- ..., ....--...--. .--. 0.5
IMPERVIOUS AREA == TOTAL LOT SIZE X RUNOFF COEFFICIENT