HomeMy WebLinkAboutPermit Electrical 1994-12-9
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
-;>25?'~ C'''r R/M""~ ~
~~ DE~UTION (/ -.;' )
l)<c )'I.()\ n \ rl_,..
JOB/DESCRIPTION ~
A/ p.,.,L/ c: .J!f:=.-K
\\cA..~
,
Perm1ts are non-transferable and exp1re
1f work 1S not started w,th,n 180 days
of 1ssuance or 1f work 1S suspended for
180 days
2. CONTRACTOR INSTALLATION ONLY
E1ectncal Contractor ~\\7~ ~Irf'~
Address I;::) ~l Q") 3, >;d 'S-,+
C1ty ~R"'C,
Phone _ '4,S..;) f ?,~
SuperV1sor L1cense Number I nDio S
ExpHat10n Date ll2-f-4r
Constr Contr Number I 0'2, llf.~
ExpHat10n Date q-L./-qr::
S1gnature of Superv1s1ng Electr1c1an
~~-~~ ----~
Owners Name Al7:Z>,R.-iJ 731 )-1. _ 71?or,
, /
Address ~ '71 '5'. 3::J oJ % _
C1 ty ">DJrL"
Phone /..tJLI-b9c:.t:
,
OVNER INSTALLATION
The 1nstallat1on 1S be1ng made on
property I own Wh1Ch 1S not 1ntended
for sale, lease or rent
Owners S1gnature'
~ATE-~------------7T---r~~C{~C{~---~
RECEIPT It. hI ('\, - l5-~
RECEIVED in: \~ 1'1\1\ (\) I
ELECTRICAL PERMIT APPLICATION
C1ty Job Number Q4l8S I
3.
COMPLETE FEE SCHEDULE BELOY
A. New Res1dent1al-S1ngle or
Mult1-Fam1ly per dwell1ng un1t
SerV1ce Included
1000 sq ft or less \
Each add1t1onal 500
sq ft or port1on f\
thereof r;..
Each Manuf'd Home or
Modular Dwell1ng
Serv1ce or Feeder
B.
SerV1ces or Feeders
Installat1on, Alterat10ns
or Relocat1on
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
Items Cost
Sum
$ 85 00 as.
$ 15,00 ~
$ 40 00
$ 50 00
$ 60 00
$100 00
$130.00
$300.00
$ 40.00
C.
Temporary Serv1ces or Feeders
Installat1on, Alterat10n or Relocat1on
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch CHCU1 ts
$ 40 00
$ 55.00
$ 80 00
see "B" above
New, Alterat10n or Extens10n Per Panel
One C1rcUl t
Each Add1t1onal
C,rcu,t or w1th Serv1ce
or Feeder Perm1t
$ 35 00
$ 2.00
not wcluded)
M1scellaneous (Serv1ce/feeder
-Each 1nstallat1on
Pump or 1rr1gat1on
Slgn/Outl1ne L1ght1ng
L1m1ted Energy/Res
L1m1ted Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Adm1n1strat1ve Fee
TOTAL
$
$
$
$
11~.cO
~........ J..!'L
,":l."t~
.M,) 4. !Jf:l
40,00
40.00
20.00
36.00
.,
ATTACHMENT B1
j NO 1'7'/ O'S /
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY )/~k u..
,- ,/
LOCATION s2:?3 ~ hi> 7'
DEVELOPMENT TYPE ~~/)
BUILDING SIZE I nT SIZE SQ Ft
1 STORM ORATNAGF
IMPERVIOUS SQ FT 23 0 15 X $0 209 PER SQ FT ~~, 7 i,',
2 SANTTARY SFWFR-rTTY
NO OF PFU'S /"6 X $43 26 PER PFU G71~'(;~
(See Reverse) - .~
3 TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X l 0 I X $436 19
X
X
X $436 19
X $436 19-.
~
'- ~
$
$
SUBTOTAL (ADD ITEMS 1,2 & 3) $
4 )ANTTARY SFWFR-MWMr
NO OF PFU'S /~ x $17 19 PER PFU + $10 MWMC ADMIN FEE
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (StE REVERSE)
IQIAL-MWMUOC
SUBJOTAL (ADD ITEMS 1,2.3 & 4)
5 ~TNTSTATIVE FEES
~ '7!tVEl X 0::'
/HarY H()fn4t~ I )
SDCfuordl nator \...../
B2 SDC .
/,,2 - ?-'7-fL
TOT AI SOC
$ yr,/2
$ "7 .fJ~ C)
$~'l~
$ /1'1 'iJ, 9h
~y
$ 2015.r/
FIXTURE UNIT CALCUL" ""ION TABLE: Number of New Flx\~ &S X Un't EquIvalent = F,xture UOIlS
(NOTE For remodels, calculate only the N.EI additional frxturesl
, NUMBER OF
NEW FIXTURES
FIXTURE TYPE
Bathtub
Dronkrng Fountain
Floor Drarn
Interceptors For Grease/Oll/Sohds/Etc
Interceptors For Sand/Auto Wash/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
MobIle Home Park Trap (1 Per Trailer) . ... .
Receptor For Refrrgerator/Water Statlon/Etc
Receptor For CommercIal Srnk/Dlshwasher/Etc
Shower, Srngle Stall
Shower, Gang
Srnk Bar, Commercial, ReSidential Kitchen
Urrnal, Stall/Wall '
Wash Basin/Lavatory, Single
TOilet, Public InstallatIOn
Toilet, Provate
Miscellaneous ,TAN/ TOR'.> .s.-//,e
-z.
I
2
2.
TOTAL FIXTURE UNITS
UNIT
EOUIV ALENT
.
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
-'
FIXTURE
UNITS
4
2..
2-
2.
~
/'t
CREDIT CALCULATION TABLE Based on assessed value If Improvements occurred after annexation date rn table,
~alculate credits separates
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
1979 or before
1980
1981
1982
1983
1984
1985
$346
338
332
321
306
292
273
1985
1986
1987
1988
1989
1990
1991
1993
Cred.t for Parcel or land Only If Applicable
~.-Ir;, X $ /O.~
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
Improvement (If after annexation date)
=
=
Rate per $1,000
Assessed Val ue
$246
214
177
137
097
061
044
015
5~~ CJ
-------
CREDIT TOTAL = $ 5:f': ~ 0