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Home My WebLink AboutPermit Electrical 1995-5-31 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION'REQUEST: 726-3769 OFFICE: 726-3759 ,f'. l.l~oOt~~f} ) LEGAL DESCRI~N ELECTRICAL PERMIT APPLICATION City Job Number C\Sffi~ 3. COMPLETE FEE SCHEDULE BELOY Items A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: ~~:~~l' .,d "pi" if vor~ is not started vi thin 180 days of issuance or if vork is suspended for 180 days. CONTRACTOR INSTALLATION ONLY /' / Contractor Phone/ OYNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. /fer;t}fJ!l- J ~ (~-;~~-~-----~~~7~~- -. ------ DATE: .C)'lJ . RECEIFT I: I I, ~ _ ). n~..:..- RECEIVED BY: (-./)~' )(~ ....,.. .' .. .:' :". i :'::-;,;:~':\'.:..":<:~k~~.':';"~' ~:Ji,:~:: '.;W. ,.... .. .~. : Temporary Services or Feeders Installation, Alteration or Relocation .11J 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular. 'Dvelling 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 C. 200 amps"or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 ....,.. D. Branch Circui ts $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 volts $ 40.00 $ 55.00 $ 80.00 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 vIth 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 - 40.00 ~.:tM.. . . , . o YYJ!la'!!~!~,!~,2 Job No. , q~~4-C;S SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME: ti\'\\ffi\C X- +~C){\~ PHONE: (t~3.2.qlt ADD"'" Q'2Q)'L- tnM~ ~ ~mj~;:'~ ~p q-~ lq<:ATION OF PROPOSED BUI~DI~.s.llo \' '. Street Address if Known: IDl...\ l ) U Q ~\(\ 1'>.. _ J Platt Name: ~~ ~\~S Tax lot Number: \ ~rwI.?3 O~ \CO '. 1. DEVELOPMENT TYPE (Check appropriate dwelling(sJ. SDC Calculations and dwelling type . definitions are on the back'>' . '. . . A. Sinl'1le Family - Detached, \ Single Family home NO OF UNITS Manufactured home not in a park , . ciJ $400. X $400 PER UNIT r_ '. B. Sinl!:le Family - Attached . NO OF UNITS X $370 PER UNIT = '$ C. Multi-Family Aoartment . NO OF UNITS X $~77 PER UNIT = $ D. Manufactured Home Park NO OF UNITS X $280 PER UNIT = $ WPRD SDC . $4rf),CO 'ff $ $ L\{1)clJ 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approval. See sac Credit Worksheet . 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit> r,....,..................:..., ",..,.,,;,.,..,. ri\"i~nn 7 '-../"3 I Y'.r n~IP ~ . .B NO. gSag4e CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: D/I1I1N1IC~ i SOUS> LOCATION: toqo t. ;T.E'.4SICA l'3o-z.c'Z-'2-~ - ()g/OO DEVELOPMENT TYPE: L.PR. - 1>.lF::.Kl SF-fZ BUILDING SIZE: I,.OT SIZE SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. 'Z...<? '2-'0 X $0.209 PER SQ. FT. ~. 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) Z4 X $43.26 PER PFU ~O?~iJ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X X $436.19 X $436.19 X $436.19 G 44b5~~ ----- ------ $ / X /.01 X $ 4. ~ANTTARY SEWER-MWMC NO. OF PFU'S ~~ x $17.19 PER PFU + $10 MWMC ADM FEE (Use PFU Total From Item 2 Above) $ 4'2 2. E>~ TOTAL-MWMC SOC SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ B142.- ~\~ '- ,.-/' $ Z~4'B ~ MWMC CREDIT IF APPLICABLE (SEE REVERSE) 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 (I n~ ~ ~L~ Date: t../?/cri:j \J Kip Burdick ' 'TOTAL SDC $ ZA-t.."::>(o~ SOC Coordinator ~{~4'~~~~;'~!"":,~.~.', ,< .. .. .,' ,,'- -',-': ..,.:' FIXilJRE U!}1!!;, <;;~l,CUlA TI~ T l\BlE: Number of New Fixtures X Unit Equi~~len~-':: F.~t~'~;:y~{~!f?' (NOTE: For remodels, calculate only the. additional ftxtures). . . NUMBER OF UNIT FIXTURE " FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS z Bathtub..................................................................... . Drinking Fountain..................................................... Floor Drain.......... ........................................... n......... Interceptors For Grease/Oil/Solids/Etc...... u......... Interceptors 'For Sand/Au to Wash/Etc... u............. laundry Tub/Clotheswasher.... ......... ........ ..... ,........ Clothes washer - 3 Or More.....................,................ Mobile Home Park Trap {1 Per Trailer).................. Receptor For RefrigeratoriWater Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall................................................. Shower, Gang........ ............... .......... .., .......... ......,. .... Sink: Bar, Commercial, Residential Kitchen........................ Urinal, Stall/Wal.!..,...... .............................. ......... ....... Wash Basin/LavatorY, :single............. ...................... Toilet, Public Installati"n..........,............................. Toilet, Private...............,....,.. .,..,........ ..............:.... Miscellaneous: ,( \ 4- ., TOTAL FIXTURE UNITS 2 1 2 3 6 2 6 '6 1 '3 2 l/Head 2 2 1 6 1\ 4- 'Z- z 4 ~ 1.1... Z4 CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. Year Annexed Year Annexed Rate per $1,000 Assessed Value 1979 or before 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 Rate per $1,000 Assessed Value $2.46 2.14 1.77 1.37 0.97 0.61 0.44 0.15 , ...: <:614'5 :; 4-/.. X $ 2? '5~ (Rate X Assessed Value) X $ (Rate X Assessed Value) " Credit for Parcet or land Only If Applicable Improvement (if after annexation date) CREDIT TOTAL = = $ q, I A.S . . SPRINGFIELD e 0 awl as 0 0 zoning. and dOS9 not roquiro specific land use approval. 225 FIFTH STREET Zonino GD /Z.- ~~:~~~;;>img~~~ 9~~~~3i!6(7""/ 5 Aii" OFFICE: 726-3759 Authorized Signatura 1-.1 M . -.:>. \..unrWHr. rr.r. SCHEDULE BELOV 1. LOCATION OF INSTALLATION h7eC- r I~S Ir A. A. LEGAL DESCRIPTION I fB D2. 0'''2.. :2- ~ JOB DESCRIPTION <ii. ':.. ~...-?-:-f_ . ( Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days, ~ ~,!.f::I:P ELECTRICAL PERHIT APPLICATION City Job Number 7'50 ~~B New Residential-Single or Hulti-Family per dwelling Service Included: uni t. Items Cost Sum 1000 sq.ft. or less ~$ 85.00 9.S 'f'C Each additional 500 sq. ft or portion + ~~ thereof $ 15.00 Each Hanuf'd Home or Modular Dwelling Service or Feeder $ 40.00 2. CONTRACfOR INSTALLATION QNLY B. Services or Feeders iJ f': I ,;() Installation, Alterations Electrical Contractor On II n'7IA}-vc:yJ2..'1;~ 4.u- or Relocation: Address) S<[) IL 111 ~ hI/>' l{ J!,I/><- 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 Ci ty I:::v'\",,~'- Phone);>~ 4 777~ 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Supervisor License Number /,l 97, S- Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 Expiration Date 10-1 -'7'> Constr Contr. Number 41.- J--7~ Expiration Date f - ')..$--9<; Signature of Supervising Electrician 1~fJ :r~J~ rtlAlJI J7/Jv ~ . ,. D' Owners Name~ ~/~..6Y""'C-<'- . Address Ci ty Phone q S '3 -2- 57f OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE: RECEIPT 11: RECEIVED BY: -~~~~-~---- 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 volts Branch Circuits $ 40.00 $ 55.00 $ 80.00 see liB" above New, Alteration or Extension Per Panel One Circui t 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 ~"u"......- '3~iJ ~"',-<).. $ 35.00 $ 2.00 not included) $ $ $ $ 14-~ tH) 2~.. , ~ 15~. 40.00 40.00 20.00 36.00