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Home My WebLink AboutPermit Electrical 1991-8-5 Sf>>'IINGF.ELD 225 ur u STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION !(!7c,/ .r=-A-:!LfI//t-/A.J fJkl. LEGAL DESCRIPTION .Ll~~ ~-7 _<J oLIJLJo JOB DESCRIPTION ' -;:::;~Az::rG B/.'M:;. Permits are non-transferable 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 Address City Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician Owners Na~e -1uL IU~ 4/Ji.. J Ft1r-/L:5 D. Address _J /) 5 / ,F;r,~t/IIiu~- City <;::;prJ Phone * - 112' OlINER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. /jn4;1::1J,~~ J~~:- _~tM~~,~ RECEIu I: ,L J., '\ IU RECEIVED BY: ( r , '-'" - Ci ty Job Number 110 ~0 "? 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts Branch Circuits Sum $ 85.00 $ 15.00 $ 40.00 $ 50.00 ~ $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder 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 Only $ 40.00 $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel . One Circuit Each Additional Circuit or with Service or Feeder Permit E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lightin~ Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35.00 $ 2~ ? :5 not included) $ $ $ $ ClJ,OO ...p ,F?~) ,P).!.j . c::i" ) 40.00 40.00 20.00 36.00 : 'CITY O.PI~INGFIElD SYSTEMS DEVElO.NT CHARGE .........r~ o~ .., , WORKSHEET- , ~.. \ C.J/O => NAME OR COMPANY: -:fULl t)<:" &/ ,F_t-l t==....ILS LOCATION: \o'?\ FP<\g.VIE:.v-.l O~, I(03Z.7~\ - OI'2>GO DEVELOPMENT TYPE: Lt>t2- - S-rOll-AbE 'P.>U'X... BUILDING SIZE: 1.<t-t?'l., I. STORM DRAINAGE IMPERVIOUS SQ. FT. 2>6 Y. X $0.186 PER SQ. FT. ~ I~o '70 (See Reverse For Runoff Coefficients If Actual Imperv. Area Is Unknown) LOT SIZE SQ. Ft. 2. SANITARY SEWER-CITY NO. OF PFU'S l) X $38.55 PER PFU (See Reverse To Determine Total PFU'S) 3. TRANSPORTATIOIi NO OF UNITS X TRIP RATE X COST PER TRIP X -.H,A X $388.61 S -A X X $388.61 S ....A- S X X $388.61 S (See Attachment C To Determine Trip Rates) _ SUBTOTAL (ADD ITEMS 1,2, & 3).S l~a~ 4. AOMINISTRATIVE FEES BASEcCHARGE (SUBTOTAL ABOVE) X .05 S Go, ':!:Z. TOTAL-CITY SDC .S \<o..,!2. 5. 'CREDITS IF DEVELOPMENT IS PROFESSIONAL OFFICES OR INDUSTRIAL: TOTAL-CITY SDC X (50%) a llQJUSTED CITY SDC.S N~ 6. SANITARY SEWER-MWMC NO. OF PFU'S o x $13.25 PER PFU + $10 MWMC ADMIN. FEE S ~ (Use PFU Total From Item 2 Above) , MWHC CREDIT IF APPLICABLE (SEE REVERSE) S ~/A ~~~7/~<I/'1" U kip Burdick SOC Coordinator TOTAL-MWMC SDC $ ~ TOTAL SD~ J. 11,,1 ~ FIXTURE UNIT CALCULA. TABLE: Number of New FIXtures X. Equivalent = FIXture Units (NOT~:: For remodels, calculate only the .MSI,additlonal fixtures) , " FIXTURE TYPE Bathtub.............,........................................................ Drinking Fountain"...........,....................................... Roor Drain....................................,........................... Interceptors For Grease/OD/SoIids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub/Ootheswasher................................... Ootheswasher - 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........................................,........ Shower, Gang,.,.,..................................................... Sink, Bar, Commercial............................................. Urinal, Stall;Wall,...................................................... Wash Basin/lavatory, Single.................................. Water Ooset, Public Installation............................. Water Oosel, Private............................................... Miscellaneous: NUMBER OF , NEW FIXTURES UNIT RXTURE EQUIVALENT UNITS 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6, 4 TOTAL AXTURE UNITS = o Based on assessed value. If Improvements occurred after' annexation date In table, CREDIT CALCULATION TABLE: calculate credits separates. r Rate per $1,000 Assessed Value $2.66 2.64 2.53 2.41 2.19 2.04 Year Annexed 1979 or before ,1980 1981 !' 1982 1983 1984 Credit for Parcel or Land Only If Applicable Improvement (if after annexation date) Year Annexed 1985 1986 1987 1988 1989 1990 X $ = (Rate X Assessed Value) X $ = (Rate X ,....,.,.od Value) CREDIT TOTAL = $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE ResidentiaJ........................................................ 0.4 COmmerciaJ...................................................... 0.9 InduSlrlal........................................................... 0,45 Governmental................................................... 0.5 Rate per $1.000 Assessed Value $1.69 1.35 1.15 0.92 0.59 '0.23 ,] IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT