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HomeMy WebLinkAboutPermit Electrical 1995-5-31 /I/P, . 225 FIFTH STREET SPRINGFIELD,. OREGON 97477 'INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 ,f'< 1. LOCATION OF INSTALLATI9N ..L9 S) A Jj." ffr"i,;;,,,,~.//Iltr.... A. 41tn LEGAL 'DESCRIPTION /~~~':Z?-:(!""" 6/~2::J , JOB DJ;SCRIPTION VD ItC/o~ 1>>lrZl rJt4 ~ COi..U./W8111 t!<NI2. Permits are non-transferable and expire if vork. is not started vi thin 180 days of issuance or if vork is suspended for 180 days. ' 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor 8us/Ne5S'TE.LEC5K, Address ) /t/if 6kn::'WAp U>trf' <# 110 Ci ty Sj>~AJG{:{(;ZJ) Phone 7'1 I - ?'3~O Supervisor License Number 5{.,1? REI , Expiration Date /0/1/96 Constr Contr. Number t'o7ZSq.. b/2-~jq(, ,Expiration Date ta ~'4L-/ Address 19s-1,.t:} j:;lPt. $f, City, .~f'jJ~ Phone 711-- 01.fl OIINER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Owners Signature: DATE: RECEIh If: RECEIVED BY: ~-.3.(' ?!? //">~~ . ~'...J. '/ :: .... . .'.: .:...... -,;/ :.:.,':: 'i~ ; ...:..~:.~:..;;~; ".; .;'.(;:i~~::~::.:::;:';' :;:.:~j,.'1::_':,..\ : ~,-.'., ~ " '.' ELECTRICAL PERMIT APPLICATION Ci ty Job Number 9"5C>?/5" 3. COMPLETE FEE SCHEDULE BELOV Nev Residential-Single or Multi-Family per dvelling unit. Service Included: It ems Cos t Sum \ 1000 sq. ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home, or Modular, 'Dvelling 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 On1:y 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 " Nev, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res - Limited Energy/Comm ~ One Circuit Each Additional Circuit or v1th Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE -'5% State Surcharge ~3% Administrative Fee TOTAL :.-.... .,~ '. ..:-.:......:......:.. . ~'.. ..:-:.; - .'." $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 ~v 1~~ I. e~ I. ,., J! 1~, s....d..- . ""... , ..B NO.:q5071~ ATIACHMENT B2 NAME OR.CQMPANY: '.,' LOCATION;,:'.')'151 T;)lJ/V..S-r',.,' "/7{)3~':'Z4"-'()7fotJD -, ~ . . .', DEVELOPMEiWTYPE; L.:M !_,C 1,),,/6I-1-T TNDtl${j{.'jAI-TMP~tfE.ft1E/Jr<;" , ,}, BUILDING SiZE: Z?11~<;.Q..F'f. ''lOT-SIZE feITY'OF SPRINGFIELD SYSTEMS DEvELOPMENT CHARGE WORKSHEET (PROFESSIONAl'OFFICES' &.INDUSTRIAL) ~:C.HAI<D 5c.H-oOLc.RAFT . . .....-.. 1.'.;- ~ .#" .;.~ ..?:...;, .J.~' ~'.. .~1'. '_.. ....;'. , " i- SO:/L' ,,:,:~ ., ~ ~~ .. ~ ~ ... . ~. -... .- ;: ,~. .' L STORM DRAINAGE . } . IMPERVIOUS SQ. FT..'.x 0.5 x' ~.. . . :.,.:, ~X $0.209' PER SO:, FJ(; ... ,. .......... ).., ---- 'IJ.A . ,. ..2. 'Sl!JllIARY SHJFR ,fT1:Y .. . NO. 'OF PFU' S x 0, 5 X' . ," .' (See Reverse) ~~ ", ' ~ . : ""4 " . . . . ,h" / '''''''3.'~ IIWJSPORTATloij . _, .,;:.: .. , . , ,-,.:.~:' Cot'E> '\0 -G.e>J.. L\Crl\-'f :I:..U>IlS.-r~IAl-"" o.9e./-rG,*" - :E NO OF uNITS X'TRIP RATE X,.COST PER TRIP ,.' ~ ',;1(7 X $43.26 PER PFU "~?J~nl?) "-" ./ '. , X $436.19 , ". ~OIOe,-z.~ .'--- ~ '$ $ ,- 0.5F'Z.l?:tI~ ,J. 6.~~ ,L' ..' '''-:, 0.5,'X ;'.rO.5 X x ,> "X $436'.,19 X $436.19 ,:-........ . ,'-." T~. .'. X~l ",. ',:;,.-,... "'.... ".'-.. .. :::;. ~ .p . 4.' Sl!JllIARy'SF\'JFR,~1b'tlC . :~- - NO. OF PFU'S 1I x"'$17 .19 PER PFU. + $10 MWMC ADMIN. FEE, . $ '?o'Z.. z.~ (Use PFU'Total From Item 2 Above) r:- '.-...,..;,,~ .~".. $ ?w G,E. . TOT~I .MWMr." ~n;._.~ 6 ~ "..,., .".,~ .~ MWMC CREDIT' iF. APPLICABLE (SEE REVERSE) 4..:.1',......, '. '" .~~ - ....:~ ~ " 1>'.\. '''!', . ~. SUBTOTAl (ADD ITEMS 1. 2.3 & 4) $ ?4?? ~. " :w, ,f" 5. AnMTNTSTRATTVF FFFS BASE OtARG('CSUBTOTAL ABOVE) X .05 ",", . I.~. "".:r, : ,.,.~ 1.11 "D~ ~:.~ '-- .,.-/ , . Cj k? /"i'i' (, . I IQIAI snr. $ 'S,o.'-' v: :.;. .:w,.-..... _~~5tt- B2.SDC Date: ;'r:. FlXTUREUNIT'CAlCULA.N. TABLE:,Nwnber.ofNew fixtUftt Unit Equivalent=.F.UttUfeU~its ,',~' (NOTE: for remodels/'calculate'onlytheMEI additional:fixturesl ',~ NUMBER OF ,..NEW fIXTURES, , UNIT C", FIXTURE " EOUIVAlENT UNITS ,::, fiXTURE TYPE 'Z- Z 2, 1 2.. 3'" 6 .., ";:"'0.2, '. ':._._'_, .... ,.-6 , .'.'", '.."" l>,: .:' ~ ", , .. ., .',"'''1 ,:' ....: '3,. . :" '...':;i:.- , ,'.' ":;..l/Head. ., . ~~:! : ...:...:,; .2 2 _.. ....", 1. 6 4 I 1 :;" Bathtub ._____._..._.._...__.'_._........_.._____._... r.~:~..,Drinking F.Qunta~____._..u...u...__.._un.".............. ;... , Floor Drain ........ .__ .____........... ....... ........-----......-.... :' ,'" ~ Interceptors for, Grease/Oil/SolidsJEtc-........___.....: '. . ' ': "" '" Interceptors 'for Sand/Auto Wash/Etc........__...__... .::".,',l.aundry Tuhlaotheswasher___..~_..____..'__:::~ '~""""~ '" . ,.' Clotheswasher - 3 Or, Mor~ __._____.,__.._ __' . _''', ..:' Mobile Home Park Trap, (1. Per.T..ailer~.....__.___... , ,.:,,: '., '. .. ,,;:o..Receptor for,RetriiieratortwaierStatioiIJEtc.~_.~ .:' ' ' ,J~:,: Receptor For Commercial Sink/Dishwasher/Etc.." :/' 'Shower. Single Stall..........._,__.._..__________.._............... ., ,,;: Shower. Gang........_..._____............__......__~..._. Sink: Bar. Commercial. Residential Kitchen.____..........._... . -<;'~Urinal. StallJWaI' ':,{:Wa:;hBasinllavatory. Single........_____.._.________.. .. j.. ;";::T oilet..PubJjclnstaUatiotl..__._._._._...____...__..__.. . ,~"...:.. ,', ....:. Toilel:. Private_____.____.____..._._.____....._____..-. "c~ .,;.-Miscellaneous: " . ".."..,,_ , "2- z- /Z .;, """- '.. '~''':-.,'~-.. .. .~ 'l: ',,: ~". ., -<'"....-. " .... _. . '. ..' ';,:,; ,."";,: TOTAL,FIXTURE Ur:JITS = '17 "'X CREDIT. CALCUlATION TABlE: " :,:" calculate credits separates.: I.. . ... ..' r'~I'.':'. .... Based on assessed value. :.If improvements occurred after annexation date in table. .~-. " ~,: ~ ..-1, Year ,. :, "Annexeti:,',~., . <i: .. Rate per $1,000 , ""':; :"c,.,".-Assessed Value .< . .~", . Vear. " AMexed - .::\" Rate per $1 .000 !'.!. ': Assessed Value ....... ..1979 or before ;,:' .~,:u , '; 1980 ' .... 1981 .' 1982 1983 1984 1985 " $3.46 3.38 3.32 3.21 3.06 ',2.92 2.73 .,., , .. 1985, . 1986 1987 1988 1989 1990 1991 1993 ; .$2.46 "c.: 2.14 .1_77 1.37 0.97 0.61 ,0.44 0.15 , ',. .:'\.. ;i/." '" r.....' . "'.., '..".. " -.';.. " l " . I...' ....... ;!>.4-G, "X '. Lq'lA" (Rate X Assessed Value) X $ (Rate X Assessed Value) ?40~ ,.... '. >'.'! 7. ':~ . :'", "" Credit fot Parcel or land Only If App6cab1e., 'T ~.,.~ . Improvement (if after annexation date) :..~.::.." 'r.'. "a_...... ,.;,. ~. ' ; '. ~ " \', '. ,~ . CREDIT. TOT At " = $ 34-0 5~ ;,' ~' _::,>~:'.:.~:'~ ..~ :-- '.~;~~ . ,,". .-..-J.:-..... . ---::~ ~ -- .--.' ".. . . ~ . . .