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HomeMy WebLinkAboutPermit Electrical 1992-7-15 SI'fIINt,;.r-I~LU tt~q"4,' 225 FIITH STREET /tti,ro'!: l11"J;11q t:>ro' SPRINGFIELD, OREGON 97477 lII, o'oo~~~,,~ c;l / INSPECfION REQUEST: 726--'J7,6~ <>",,~ '09 C"~"itt"rr Ci ty Job Number 72D < r.:; ~ OFFICE: 726-3759 'I, "i-!.../c.-o ~.cifj~'!!,/'T-n -." ~ - CUM"d':''''' FEE SCHEDULE BELOV * 1. 4. O~ION OF ;It!STALLATION"\\; .-...... "_.Oly'i)g "..,. C:::.7 .k"'~/A "',.:,. ew Residential-Single or '" . ...., Multi-Family per dwelling uni t. LEGAL DESCRIPTION Service Included: .Ja~ 2.. ~ ~ 2J<f ~~3bV Items Cost Sum JOB DESCRiPTION ~. .P.R;:K _ {- ~~,c:. 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. CONTRACfOR INSTALLATION ONLY Electrical Contractor Address City Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician Owners Name 7AN'~ "~/!'&4 M~' Address,,?g.:j. Ai. 52..~ sr Ci ty 5.;::1;==;> Phone ?U ~ 2V / OVNER INSTALLATION The 'installation is being made on property I own which is not intended for sale, lease or rent. yo~gn:r~ --------L--------;7-----.l-------------- DATE:_ 7LIS/'L2.. RECEIPT I: ,.t;;~S~ RECEIVED BY: _~~~ 1000 sq.ft. or less 1./ $ 85.00 ~~ Each additional 500 sq. ft or portion thereof ~ $ 15.00 4:::: (){) Each Manuf'd Home or Modular Dwelling 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 Only $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 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 .:i.t2~ $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lightin~ Limited Energy/Res Limited Energy/Comm One Circuit Each Addi tional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35,00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 /7n~ 0' -s-o J~'$"(lJ / / t JOB NO, CfJ..o 310 '-I-- CITY OF S.NGFIELD SYSTEMS OEVELOPM. CHARGE WORKSHEET I . (COMMERCIAL & RESIDENTIAL) NANE OR CONPANY: 7RAC-f3Y I ~Nl~LA .T. tNlt-lPOtv1 LOCATION: 1./-<1-1", t<AL.MIA- /~()7-()57..o.i -o'5,!>oo DEVELOPMENT TYPE: I-Dfl- ~ NEW SFf{ BUILDING SIZE: LOT SIZE SQ. Ft. I. STORM DRAINAGE IMPERVIOUS SQ. FT. "2-1"", X SO.186 PER SQ. FT. ~ '5H"~ (See Reverse For Runoff Coefficients If Actual Imperv. Area Is Unknown) 2, SANITARY SEWER-CITY NO. OF PFU'S '2.'5 X $38.55 PER PFU (See Reverse To Determine Total PFU'S) 75 S CJf, 3 - . 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP r X $388.61 ~. ~90-S-5 $. . I X 1.005 X $388.61 x . . ..,..". .... "" X~ ~~=. X $388.61 ... (Se~ Attachmen~ ~ To Determine Trip Rates) '-. . SUBTOTAl(AOD ITEMS 1.2. .'. ',. .. , - . ---.--.. $ -. '.. r. 3): $ :./&"''0 q~::--- 4. ADMINISTRATIVE FEES 'BAsE CHARGE' (SUBTOTAl ABOVE) X ;05 $ '7;' +~ TOTAL-CITY SDC S ICfC,,'2. 't!..... 5. SANITARY SEWER-MWMC .' NO. OF Pfu'S "Z.'7 '1-"> x 513.25 PER PFU .+ S!O MWMC A.."MIN. fEE S 3"" - (Use PfU Total From Item 2 Above) V. .~..L.L U Kip Burdick SDC Coordinator ? I" 1"t1- . , . S ~,<f7 78 TOTAL-MWMC SDC S 30"1- ,,, TOTAL SDC S 7..2,72 - MWMC CREDIT IF APPLICABLE (SEE REVERSE) , FIXTURE UNIT CALCULATION TABLE: Number of New Fi'1ures X Unit Equ~'alenl = Fi,1ure Units (NOTE: For remodels, calculate only the N.dit;onal fj'1ures) . . NUMBEfl OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS , 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 ,J Bathtub...................................................................... Drinking Fountain..:...:...,.......................,.........,........ Roor Drain.,........,:.."...,~,.,........,........,....................., Interceptors For Grease/Oa/Solids/Etc...,............. Interceptors For'Sand/Auto Wash/Etc..,.......:......, Laundry Tub/Ootheswasher....,.....,...,.................... Ootheswasher - 3 Or More...............................,...., Mobne Home Park Trap (1 Per Traner).................. Receptor For RefrigeratorjWater Station/Etc........ Receptor For Commercial Sink/DismYasher/Etc.: Shower, Single StalL..,....:..................................,... Shower, Gang:...._...._...............,.....,_..,...._...... Sink, Bar, Commercia' Urinal. StaUjW31L... ...--. Wash BasinjLavatory, Single. Water Ooset. Public InstaUation..._,_..,__,....., Water Ooset. Private........,......___ Miscellaneous:. '2.. I '2.. 7_ 2. 3 ~ '? /1- TOTAL AXTURE UNITS = -ZS ,- CREDIT CALCULAT10N TABLE: calculate crecfdS separates. I Based on ""'~,,< 1 value. If.;..................;.. ~ after.annexation date in.table. Year .., Annexiid Rate per $1.000 ~OJ~";x t Value Year' .. A..o<.o..oJ . Rate per SI,ooo. A.....o.,.,"'1 Value 1979 or before 1980 1981 .1982 .. "1983 1984 $2.66 2.64 2.53 2.41 2.19 2.04 1985 1986 1987 1988 19s9 1990 S1,69 1.35 1.15 0,92 0,59 . 0,23 'I Credit for Parcel or Umd Only If Applicable 2,c..c.. X SL,.q:, (Rate X Assessed Value) X S (Rate X P~~"':"'""'1 Value) . CREDIT TOTAL = 3''-+.1 Improvement (If after annexation date) = =$ 7,1-+,] RUNOFF COEFFICIENTS FOR STORM DRAINAGE ResidentiaL......................u.............................. 0,4 COmmerciGL....,.........,.............."..........,.....,... 0,9 I ndustrial..._..............................,....................... 0,45 Governmental................................................... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT