HomeMy WebLinkAboutPermit Electrical 1992-11-23
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225 FIFTH STREET
SPIUNGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
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ThetQ..~~ ~ .t.~:'~~\1.q~CA PERMIT APPLICATION
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ll\,~~ L r'\O City Job Number
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97/,77
726-3769
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tl.OB DESCRI
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(L :1P!) of
Permits are n
if work is no t
of issuance or
100 days. .
-transfernble and e re
started within 100 days
if work is suspended for
Ci ty ~. ~a-.-SL-
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Supervisor License
Expiration Date
Expiration Date
2. CONTRACTOR INSTALl.ATION ONLY
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Ovners Nameftf10 i k) (JvCl1lefL
^ddress~(). fA )
C I t y '-.j " Phone IlIi //\,-f) IV
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O\1NEl. . 'l'ALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Ovncrs Signature:
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, ' I' / VI, 1'7 '
DATE:: I'.,' r.'.-- 1.//_ ;- / ,-
~~g~~~1J D 1; Y Uft2J(,L? ~/.7(5 b!1_____
B.
Electrical contractor~.L ~
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^ddrcss ?Ss tJ z.~
Phone 3 'TV -(5d?J
Number 7t.f5 - s
/0/ /./rs
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Constr Contr. Number 63/37 /313
/0/1/93.
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Signature of Supervising Electrician
COMPLETE FEE SCnEDULE BELOV
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. ~e\lResfdenti~i':'Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
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1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling I)
Service or Feeder J('J $ 40.00
00
,
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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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
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Ci.rcui t
Each ^dditional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
P~mp or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limit~d Energy/Com~
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not included)
5. .
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SUBTOTAL OF ADOVE
5% State Surcharge
TOT AI.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
p;J),00
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CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: G'f2.ep.." \NE-S,-e:.eN \-\-OME:.S
LOCATION: Y-?'2-PJ tJA\S,'< S" \10'2.- ,:?'2..-Y ~ - O,-\:'-\: (),
DEVELOPMENT TYPE: Lp~ - NE:\'.\ MANur-AL,. \-\-()~t -k ~/)e...l
~l,.,p(, ~i'9olU' t>~~A"
BUILDING SIZE: '2-~-t.4-0; \l.,~l," . 1'2..-t. \IP LOT SIZE SQ. Ft.
1. STORM DRAINAGE
IMPERVIOUS SQ. FT. \ 1"2- ~ X $0.192 PER SQ. FT. c;-~? \ '.!)
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2. SANITARY SEWER-CITY
NO. OF PFU'S l~ X $39.78 PER PFU cG\~00
(See Reverse)
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
\ X \. ODS X $401.05
X
X
X $401.05
c00?~
$ -
X $401.05 $ --
SUBTOTAL (ADD ITEMS 1,2, & 3) $ \4 F?O ~
4. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
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TOTAL-CITY SDC $ I?~?;,~
5. SANITARY SEWER-MWMC
NO. OF PFU'S IE, x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ ?-?Sl~
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
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(j Kip Burdick
SDC Coordinator
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$'1CU
TOTAL-MWMC SDC~~~
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TOTAL SDC $ l"llDlQ Co.:!...
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FIXTURE UNIT CALCUJION TABLE: Numbe~ of New Fixtures.nit Equivalent = Fixture Units (NOTE:
For remodels, calculate only the NET additional fixtures)
FIXTURE TYPE
NUMBER OF
NEW FIXTURES
UNIT FIXTURE
EQUIVALENT UNITS
'2-
2 0.+-
1
2
3"
6
2 2-
6
6
1
3
2
1/Head
2 "2-
2
1 Z
6
4 8
Bathtub......................................................................
D ri n king Fountain..... .:..............................................
Floor D rai n................................................................
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For Sand/Auto Wash/Etc..................
Laundry Tub jClotheswasher....... ........... ......... ........
Clotheswasher - 3 Or More.................,~,.................
Mobile Home Park Trap (1 Per Trailer)..................
Receptor For Refrigerator jWater Station/Etc........
Receptor For Commercial Sink/Dishwasher /Etc..
Shower, Single StalL.................... ....... ...................
S hower, Gang.........................,.............".................
Sink, Bar, Commercial.... '.. ..........,..................... ......
Urinal, Stall jWall.. ............... ...... .., .....',.. ..',.....,.... ......
Wash Basin/Lavatory, Single....... ........... ................
Water Closet, Public Installation.............................
Water Closet, Private................................. ..............
Miscellaneous:
'2,..
-z.
TOTAL FIXTURE UNITS
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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
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Improvement (if after annexation date)
-z . ~? X $ ?::>.Soo
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL
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Credit for Parcel or Land Only If Applicable
=
= $ q q~
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
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Residential.,........................................,............, 0.4
Com mercial...................................................... 0,9
I nd ustrial............................,....,....,..",.............,. 0,45
GovernmentaL......... ......................,..,............,' 0,5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT