HomeMy WebLinkAboutPermit Electrical 1995-4-20
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The following project as submitted has the followin
z.~:,~in9. and does not require specific land use
approval. \
Zoning L- Db
-
D.te 4--1...:l~
97477' ,I,u
726'!-'171l~ed Signalur8~'-'
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION Or IN~TALLATION
3~8C; IJDo/1LC !Jt,;.,:,.., .si;:;/'17';JB
4, I s~AL ?~?f~ OJ (Jl) Cj' [j)
,/J JOB .QESCRIFflIpN
IV'I? W/I/'a l-/ucYin $'v.<f...........
,
Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical Contractor -rt..., 51"',/''-0 ,<)/zw.,
Address 107Q U 11..-./ 13,,'u. LJay
/
Ci ty -4""'" "'_. Phone J l/J--=-;Jooo
Supervisor License Number
Expiration Date
Constr Contr. Number ()7S-C,SQ
Expiration Date 8'/Z3 h.s-
SignatZ7~ Electrician
Ovners Name tt4..k f? ~~tL.
Address 3&1 LJ ~~
Phone, r:,g& :"'<j.?Ck
Ci ty L?....""p
, ,
OllNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
"
"
--------------------lI~---------------
DATE: 4--7.,0- D
RECEIFT I: I I~A O}t-j
RECEIVED BY: . {~
ELECTRICAL PERMIT APPLICATION
CfLjI7L{>S
"ny Job Number
3. COMPLETE FEE SCHEDULE BELOV
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
It ems 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, 'Dvelling
Service 'or Feeder $ 40.00
. .
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
S 50.00
S 60,00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
S 40.00
$ 55.00
$ 80.00
see "B" above
D.
Branch Circuits
-'
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
$ 40.00
S 40.00
S 20.00
S 36.00
71') .DD
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
1..0.60
!.l'jU
. rn 0
'Ll . r" ()
AITACHMENT Bl 0;-:-
. ~OB NO. "I +-/'7 9/J
CITY OF SPRINGFIELD SYSTEMS DEVELOPME~ CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NN1E OR COMPANY: ,~+ ~
LOCATION: ~ 2 6"" f)~r A.
DEVELOPMENT TYPE' ~r D
BUILDING SIZE:
LOT SIZE
Sf). Ft.
1. STORM ORA IlJAGE ~0
IMPERVIOUS SQ. FT. 2?~V X $0.209 PER SQ. FT.
2. SANITARY SFWFR-rITY
NO. OF PFU'S /7 X $43.26 PER PFU $~
(See Reverse) ( _/
3. TRL,NSPORT.l>TION
NO OF UNITS X TRIP RATE X COST PER TRIP
I X /,0/ X $436.19
X X $436.19
$~
$
X
X $436.19
$
SUBTOTAL (ADD ITEMS 1.2. & 3) $
4. SANITARY SFWFR-M~!Mr
NO. OF PFU'S / <if x $17.19 PER PFU + $10 t'1~111C ADtllN.FEE $ <,1",~2
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE) L~~. (; 0
TOlAI -MWMr. SOr; Q-21f"-;(. 'fr,V
SUBTOTAL (ADD ITEI1S 1.2.3 & 4) $ J"'J7'i. 'it::
5. [\OMINTSTATlVF FFFS
BASE CHARU~L ABOVE) X .05
~// '.
~ /IJL . . . Date: //-/C; - 9j1'
Mary Hornigl P.~
SDC Coordinatt5r
~
. ,
IQIAI sor
$ ;z.o '? 8'. ""/
B2 . SDC .
~
"~I',
FIXTURE UNIT CALCULAT~ TABLE: Number of New Fix;ur.Jnit Equivalent = Fixture Units
(NOTE: For remodels, calculate only th~ additional fixtures)
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS
Z-
2
1
2
3
6
2
6
6
1
3
2
1/Head
2
2
1
6
4
..?
Bathtub..................................................................... .
Drinking Fountain.....................................................
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 11 Per Trailer)..................
Receptor For RefrigeratorlWater Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall.................................................
Shower, Gan9..........................................................
Sink: Bar, Commercial, Residential Kitchen........................
Urinal, StaIlIWall..:....................................................
Wash Basin/Lavatory, Single..................................
Toilet, Public Installation..................... ...................
Toilet, Private............. ....................................... ...
Miscellaneous: ,TANI"'R~ S/NK
I
z..
2-
TOTAL FIXTURE UNITS
=
4
z..
:2.
'2...
'i
/F
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table,
calculate credits separates.
'\ Year Rate per $1,000 Year Rate per $1,000 I
Annexed Assessed Value Annexed Assessed Value 1
1979 or before $3.46 19B5 $2.46 .1
1980 3.3B 1986 2.14 "
1981 3.32 1987 1.77 \
1982 3.21 1988 1.37
1983 3.06 1989 0.97
1984 2.92 1990 0.61 \
1985 2.73 1991 0.44
1993 0.15
-,
Credit for Parcel or Land Only If Applicable ).~C X $ /tJ, "....".." = ~~':;l:f
(Rate X Assessed Value)
Improvement (if after annexation date) X $ = --
(Rate X Assessed Value)
CREDIT TOTAL = $ ?~Ca