HomeMy WebLinkAboutPermit Electrical 1997-1-29
'.........~.+ .....l. .
:-..
The foHc;\rving prQject a-s subrnrtlsd,t?f.;tS th~ foHoVf~i
z'c:ning, r:~nd does not f,equire ~~;ceC!~iC lc;;;,.:: u:,:,',;?~
225 FIITH STREET f"pprova~.. Loe- ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477' ZOI1In"J.._ Q
INSPEctION REQUEST: . 726-p;Z6_~-! -}jL~ . 'City Job Number L. ra082..1
OFFICE: 726-3759 !\uthorizad Signatl.Jre-1\.M..-,-eeH.p.I::ETE--FEE SCHEDULE BELO\l
1.L~~TION OF INSTALLATION
~ q CQ5Ct;lcU, Dr-A. New Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
, LEGAL DESCRIPTION 0 0'
l70~35~3 030
~SCRIPTION
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 Contractor BUILDERS
Address
293 MONROE
Ci ty EUGENE
Phone_ 485-0922
Supervisor License Number ?970S....
Expiration Date . lO/l/9B
Constr Contr. Number 04296' ~{.
.r
Expi'ration'Date
12110/~+
.
Signatur~rv,ij21'~'{<f"
, (/ I ~~
Owners Name A-t-..k./A.J2r
\'
Address
Ci ty.
Phone ~11 ~ - 272.0
OVNER INSTALLATION
The'installatioh is beirig made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
---------------------~----------------
DATE: / /?'7 ('j?
RECEIPT f: ~/(1' "4'- ~
RECEIvED BY: ,. /t"...:;,'"
A,- "1 '
Items Cost Sum
1000 sq. ft. or less $ 85.00 '85
Each additional 500.
sq. ft or portion 3 'fb
thereof $ 15.00
Each Hanuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
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.
$ 50.00
$ 60.00
$100.00
. $130.00
$300.00
'$ 40.00
Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B"
above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Hiscellaneous (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 (~. 00
5% State Surcharge ~. SO
~.3iDMmm~ ,:?,qo
10~ ( I 'f{).l.(6
DI'"~ Willamalane (\, f\Q(\\
"~n' Park & Recreation District Job. No. '.1\ lilJC>cM
... , SYSTEM DEVELOPMENT CHARGE
, , . ..: ' WORKSHEET . ..' " .
NA~E:t .~ G.. \Z.i~ PHONE: C. ~3. {fJj)[).. ..
ADDRESS: ~() G:J::i C\'OC\ ,}Ja(rI1uATE&'e-zIP: q~1-
LOCATION OF PROPOSED 8l!ILDING SITE: '. f\. ~
Street Address: o~0l1D(\OflO-. ~\).QJ
Plat Name: (\~L t\O~x Lot N~mber: (7()g~ar()
1. DEVELOPMENT TYPE (Check ~prop'riate dwellir:-Jg(s). SDC calculations and dwelling t
ype definitions are on the back.)
A. ,Sinale-Familv Detached.
\ Single Family home
NO. OF UNITS l
Manufactured home not in a park
X $1,000 per unit = $ \ rffJ.eX)
8. Sinale-Familv.Attached
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. Manufactured Home Park
NO. OF UNITS
X $699 per unit = $
$ l (YlJ ,CO
f)J
$ ffJJ po
( /Jia Iq(~
/
$
WILLAMALANE SDC
2. SDC CREDIT (if applicable) SDC-payermust furnish proof of
Willamalane Credit approval. See SDC Credit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED '
(if SDC reduced for Credit)
\J.M JrC""')OoP ___
[jevelopme~~~partment
City of Springfield
Date
:l~,'~.Jif:t.~~
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(RESIDENTIAL)
Name or Company: ALONSO KING
Location: 559 CASCADE DR
Developement Type: R Building Size:
Job No.: 960821
Lot Size:
l. STORM DRAINAGE
Impervious Sq Ft, 2354 X 0.210 Per Sq Ft
2. SANITARY SEWER - CITY
Number Of PFUs 25 X 43.43 Per PFU
(see Page 2)
3. TRANSPORTATION
Number Of Units
1 X
X Trip Rate
1. 010 X
X
Cost Per Trip
437.93
$442.31
Transportation Total
4. SANITARY SEWER - MWMC
Number Of PFUs
25
Per PFU +
18.750 +
MWMC Admin Fee
10.00
X
X
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SUBTOTAL - (Add Items 1, 2, 3 & 4)
5. ADMINISTRATIVE FEES
Base Charge (Subtotal Above), X
0.50
TOTAL SDC
Reviewed By: DENNIS ERNST
Date: 06/20/96
Page 1
Sq Ft
$494.34
$1,085.75
$442.31
$478.75
$96.88
$381.87
$2,404.27
$120,21
$2,524.48
SPRINGFIELD
Job Number: 960821
Page 2
FIXTURE UNIT CALCULATION TABLE
Fixture Type
,Number of
New Fixture
Unit
Equivalent
Fixture
Units
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/Oil/Solids/Etc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator/Water StationjEtc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single Stall
Shower, Gang
'Sink, Bar, Commercial, Resid.ential Kitchen
Urinal, Stall/Wall
Wash Basin/Lavatory, Single
Water Closet, Public Installation
Water Closet, Private
Miscellaneous
2
o
o
o
o
1
o
o
o
1
o
,1
o
3
o
3
o
2
1
2
3
6
2
6
1
3
2
4
o
o
o
o
2
o
o
o
2
o
2
o
3
o
12
o
2
2
l'
6
4
TOTAL FIXTURE,UNITS 25
CREDIT CALCULATIoN TABLE: Based on assessed value. If improvements occured
after annexation date, credits are calculated separately.
{calculations are by $1000f
Year Annexed: 1969
Credit For Parcel Or Land Only If,Applicable:
27,920
x
3.47
96.88
Improvement (if after annexation date) :
o
x
3.47
0.00
CREDIT TOTAL
$96.88
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)