HomeMy WebLinkAboutPermit Electrical 1999-9-27
The following project as submitted has the following
zoning ana does not require specific land use
approval, L D
225 FIITH STREET . ZOning ~
SPRINGFIELD, OREGON IV;\Il>7: q , .41- qq
INSPECTION REQUEST: "Z~.~rrJ,7.~gnalulb ~
OFFICE: 726-3759 l)
3.
JOB DESCRIPTIO~ 1000 sq.ft. or less
~.. c.uu..., f Each addi tiR~~,t 500
, sq. IfJ:J'or- por.tlon
. f hI d' Ii.M Y f "to' .'1
Perml ts are non-trans era e an expne \ ,"J'cIIJ" t !!r;eo frC), . 101'\1
if york is not started yithin 180,daysIUN'dnQ,"'Each"Manuf"d"Home..or
of issuance or if york is suspen~n~wfo'r)Sa ~'s,.\IMO~l!~~R:,Dlielj~,~l)~~'1
180 days. ~~ ~\l'CllI\Or, G~,: .{\}~CServ~~_e0 o,r-;Feeder
.,,0 ~5"-O, . ccl' ," "rt'f'J\\e
. 01\'<".- - _"c\)'~',f' ....r'l('t .-I-':~""n
2. CONTRACTOR INSTALLATION ONLY;\OQO.'I0"~<B."t(~!!FV1C,e~, '?,li'o'.F.eeders .
o ' all)f\ctl1~CC dnstaHatlon,. Alteratlons
Electrical Contractor CZ"'';ltOltne. 6r~Rer8catron:
Address /,;.... C<-r>'c' '\~O amps or less $ 50.00
/ 201 amps to 400 a~\",~?t~ $ 60.00
City Phone 401 amps to 6,Q~Wmpw- . \\~~ $100.00
/' i1\r@1 am!!i, \te'f-Ii\JOO~\:> - $130.00
Supervisor Lic~ns7Nu Iler ~O"fi)(M9>~~~~~~ $300.00
",,\S~Ii.~cQwl~Q.it)'tOni'y~\)O~ $ 40.00
Expiration Date VlO'?\7):..v ~\SjI8~
/ ~. T.emll'lliQ~,:,,~vices or Feeders
Constr ,co~ntr /Number cOlJI~~~'t.'1'O'rl';" Alteration or Relocation
~'{ '\ ~()
Expiratiy D, ate. PI 200 amps' 'or less $ 40.00
/ 201 ,amps to 400 amps $ 55.00
Sign}ture of ,s.upervising Electrician Over 401 to 600 amps $ 80.00
/ Over 600 amps or 1000 volts see "B" above
1. LOCATION OF INSTALLAT:J;O~
'377 C, .J.K "l2.V' {L/
. QLEGAL DESCRIPTIQtl
loO'1-tJ(,IJ 6'1701..
ELECTRICAL.PERMIT APPLICATION
Ci ty Job Number en Or; tet - ;r
COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
$ 85.00
$ 15.00
. $ 40.00
toAl 1lE7 / D. Branch Circuits
Owners Name -
5771 J/f .r /JEft- /2/ New, Alteration or Extension Per Panel
Address --1- ~5""
t;!J // of One Circuit $ 35.00
City Phone Each Additional
i Circuit or yith Service (
OVNER INSTALLATION or Feeder Permit $ 2.00 1-
The installation is being made on
property I oyn which is not intended
for sale, lease or rent.
Owners Signature:
~ ----'~
~A~~~----1Jfz-7J''71----~----------------
RECEIPT 11: . /i{ ,9:J,.iJ ~ 7/
RECEIVED BY: p.y.,v P>o-f '
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Light~ng $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE '? 7. ~
7% State Surcharge 2-5:'1
3% Administrative Fee 1./1
TOTAL, 40' If)
/
I
. JOURN.OR JOB NO. q~ ~h 7<::7 - A
ATTACHMENT A .
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY:
J2nrJ Q 751 L.
LOCATION:
~ 77"7
\" A,S Pt:/L R. ().
DEVELOPMENT TYPE: N C<.,...; (:..""R.-4r_G
BUILDING SIZE:
LOT SIZE
SQ.Ft.
~"F {Qy4"f=
I. STORM DRAINAGE
IMPERVIOUS SQ. FT. c:; ~ ( X $0.232 PER SQ. FT.
s 2\'5'19
2. SANITARY SEWER-CITY
NO. OF PFU'S
(See Reverse Side)
X $48.27 PER PFU .
s
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER PM PEAK HOUR TRIP
X
X $486.73 PER TRIP
s
x
X $486.73 PER TRIP
s
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO. OF FEU'S
X
PER FEU
$
,
, B. IMPROVEMENT COST:
NO. OF FEU'S
.X
PER FEU
TOTALSDC
S
<$ >
S 10.00
S
$ 2-'l5.~<']
s /() .B 0
$ l2.'. '7 'I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
TOT AL-MWMC SDC
5: ADMINISTRATIVE FEES:
BAS.E C~GE (SUBTOTAL ABOVE) X .05
, , I},;)- Date: q lull"!
SDC Coordinator '
ATTACH'A.wPD
SUBTOTAL (ADD ITEMS 1,2,3 & 4)
FIXTURE UNIT CALCULA TION TABLE: Nwnber of New Fixtures X Unit Equivalent = Fixture Unils
(NOTE: For remodels, calculate only the ~itional fixtures) , .
, . NUMBER OF UNIT FIXTURE
FIXTIJRE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathrub......,..... ..... ........................................~.... ........ ,
Drinking F ounlain... ..................................................
Floor Drain..... ,.... .......................... ..... ....... ......... .......
Interceptors For GreaseJOiVSolids/Etc...............,.....
Interceptors For Sand/Auto Wash/ElC....................:.
Laundry Tub/ClolheswasherlMop Sink....................
Clotheswasher - 3 Or More......................................
Mobile Home Park Trap {I Per Trailer)....,....,......,..
Receplor For Refrigerator/Water StationlEtc...........
Receptor For Commercial SinklDishwasherlEtc......
Shower, Single Slall...,.............................................
Shower, Gang...... ....... ......,.... .................. ......,..........
Sink: Bar, Commercial, Residential Kitchen............
Urinal. S tall/W all.. ...................... ........... ,...... ...:... .....
Wash BasiniLavatory, Single........................,..........
Toilet, Public Installation.........................................
Toilet, Private..........................................................
Miscellaneous:
2
I
2
3
6
2
6
6
I
3
2
IlHead
2
2
I
6
4
TOTAL FIXTURE UNITS
=
CREDIT CALCULATION TABLE: Based on assessed value.
credits separately,
'I
If improvements occurred after annexation dale in table, calculate
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
L
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
$4.47
4,38
4.32
4,20
4,03
3.88
3.68
3,38
3.03
2.62
Credit for Parcel or Land Only If Applicable X $
(Rate X Assessed Value)
Improvement (if after annexation date) X $
(Rale X Assessed Value)
CREDIT TOTAL = $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Residential. ..... .....................
Commerical.........................
IndustriaL............................
GovemmentaL....................
0.4
0.9
0.5
.' 0,5
.1. .{'.'
FIXUNrr, WPO
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
Rate per $1,000
Assessed Value
2.18
1.75
1.35
1.17
1.03
0.86
0.71
'0.57
0.39
0.18
.
.
..
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