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Home My WebLink AboutPermit Electrical 1992-7-22 SPIlINGFIl,;LO I . " The fOf/ow;", '. ~ 225 FIFTH STREET :~n;'1g. 8nd'~~r~j~ct as SIJb I ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 p,O\'aJ. Gv..otreqUire~~:~~asthefolJo qf\T"<"\ INSPECTION REQUEST: 726-3769 ZOnil'lg .... 1/f9d 11Gb WW~mber NLJ4 ~:) OFFICE: 726-3759 Da~ . l-CO 1. ~OCATION OF INSTALIj\TION A1.zt.~-19ignature' \;:\~ \ '\)C\ LC'\A t-.. or J ' \-l~3~ 0lD~~ ~B DESCRI f\\ , " I~:\~C\ (' Permits are non- ansferable 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 Heritaqe E1 ect Address 855 West 24th Avenue City Euqene Phone 344-1500 Supervisor License Number 9455 Expiration Date 10/1/ q/~ Constr Contr. Number 63137 Expiration Date 12/27/ qg.- Signature of Supervising Electrician IltPv tJ. ~ rt6"-s Owners N~~e~\\11'1J. J\<} ~ Addres[:J[) ~ \\\~ ) City ~ fd Phone l Lb' 217/ OVNER NSTALLATION The installation is being made on E. property I own which is not intended for sale, lease or rent. Owners Signature: ~ATE~---f);j;JJ- q~-~~~/;-"i/'>2- 5. RECEIPT ... ;, ,,'. .~ L-.//' . '.......L..- - '....~~4J RECEIVED BY: (~( '- ..-J "~~ ~. - E FEE SCHEDULE BELOV w Residential-Single or Multl- . er dwelling Service Included: unit. Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular Dwelling f\ $ 40.00 Gnr\ Service or Feeder ~ ~ B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 C. 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 volts $ 40.00 $ 55.00 $ 80.00 see "B" above D. Branch Circuits New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Servic~ or Feeder Permi t I $ 35.00 $ 2.00 ~ Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 f3f( i~ ~(().ln e _OB NO. 92-D9?~ CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: /V\~ ~ M~s. SCA-\WA1<-.-r'"L LOCATION: Y-~~ ~ \::)A;\SY S-r. DEVELOPMENT TYPE: L-P~ - }./\,t...t-.lur-~c..\. H-cME:. '\[\.[1 CA~o~ T 1-\oME- Cf\1l.f'ul\-1' t);,w. ( BUILDING SIZE: '2.q~y.<l ,'2oY-~''--' \'Z.O~\'~ LOT SIZE SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. bZ,~Y. . X $0.192 PER SQ. FT. C- '-b?~ '?i) ~ 2. SANITARY SEWER-CITY NO. OF PFU'S \e> X $39.78 PER PFU ~ \<00;) (See Reverse) -- ---- 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP l X \ ,ODe? X $401.05 X X $401. 05 cGO?~) $ - X X $401.05 $ - SUBTOTAL (ADD ITEMS 1,2, & 3) $ l&;~-' ~~ 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 <C'I~ TOTAL-CITY SDC $ \(o'?'? ~ 5. SANITARY SEWER-MWMC NO. OF PFU'S 15 x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ -z...0~~ (Use PFU Total From Item 2 Above) ~~L~ \ - - G Kip Burdick SDC Coordinator I /'~/c~v $ '2.-1 ?~ TOTAL-MWMC SDC~1 ~ '- ------ TOTAL SDC $ \ ~(P? !.l. MWMC CREDIT IF APPLICABLE (SEE REVERSE) e e FIXTURE UNIT CALCULATION TABLE: Number of New Fixtures X Unit Equivalent = Fixture Units (NOTE: For remodels, calculate only the NET additional fixtures) FIXTURE TYPE NUMBER OF NEW FIXTURES UNIT EQUIVALENT Bathtub.......,..............................,...,...............,..."..... . . k' F . Dnn Ing ountaln. ........... ........... ..................... ......... Floor Drain.... .... ........ ....... ......,....... ..... ..... ........ ......... Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub /Clotheswasher.,..... ....................... ..... Clotheswasher - 3 Or More........,............................ Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator /Water Station/Etc........ Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single StalL.... ,......."..,.."...., ..............."..... S hower, Gang...,.....,... .... ...,.., ,..,.. ............ ..... ..... ...... Sink, Bar, Commercia!..............,......,.................,..... Urinal, Stall /WaiL...,..., ....,..",..,..".. ..... ...................... Wash Basin/Lavatory, Single...,.....................,........ Water Closet, Public Installation..,.......................... Water Closet, Private..."....,..""".... .... .......,..., ......... Miscellaneous: -?~ 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 1 \ 2. z.. TOTAL FIXTURE UNITS = FIXTURE UNITS '-f -z..- '2- 7.. B '\~ CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table. calculate credits separates. Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 $2,83 2,76 2,71 2.60 2.46 2.33 1985 1986 1987 1988 1989 1990 1991 $2,16 1,90 1,60 0,25 0.87 0.50 0.16 .- _.- .- .- ._~ . - .. -- --,. -. -. = 'l.. '1 ~ Credit for Parcel or Land Only If Applicable "2,<6~ X$q.,tf (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL -- =$ 'ZI?~ Improvement (if after annexation date) = - RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential........................................................ 0.4 Commercial...................................................... 0.9 Industrial................,............................,............. 0.45 Governmental...................,. ,............................. 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT