Loading...
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