HomeMy WebLinkAboutPermit Electrical 2000-8-16
, ubmitted ha~ the toll owing
The following prOlect as 5 Ore specific lanO use
zoning, and does not requl
approval.. /,,)) (Iv
225 FIFTH STREEtomng <<_ It.. n;J ELECTRICAL PERMIT APPLICATION
SPRINGFIELl}~I.oJU;:GQ!l 974,7 tM)
INSPECTION ~Q~~gna7.u; 17~9 City J~b NW11ber.i2I7-~E33S-~
OFFICE: 7~~~1~9
D:J,AOJ. "
. lOll . c., .' ". .
JOB DESCRIPTION JO' rUle:" ~ .. )000 sq, f t. or less
C:;h~ A-"",~ ~/,I\/ER ""~ tlOne aOODle&ach additional 500
'. ' -DI ~ enre, r ~qil)~fh:or- portion
~ermi ts ,:,re non-transfer,:,bl: a ~~Iill 07-00/0 h%et,~o}''lao. 'I.
If \/ork IS not started \/1 thlnn l~aYObtal t~f!ll.I?1r!fanuf' d .~ome. or .
of issuance or if work ~s susp fJJ'foft,{?e11te, (~;~iM,,~liring
180 days .r..., Cen' 'I1eO",:,,'Yol6i'fhVlfc!~sq.liif([eder
. . . .... """si"liOt)l.1t;l ete~'81J eSt
2. CONTRACTOR INSTALLATION ONLY f/!".....f~!f!YtiJ.;, ~eeders
Iri~at ; Alterations
or Relo'ca tion:
200 amps or less
r _ 201 amps to 400 amps
'_ . r'l''-' 401 amps to. 600 amps
',..,1<' '" -. 601 amps to 1000 amps
..4!1"'~... 'f.f.t1vl''''co" Over 1000 amps/volts
COlVi' 'uHIZE:c, .4lJ F;)(/':JI Reconnec t Only
, 11iAf:^,~.. Uf'vDE:r, _ .l1r Ir-....
"IVY/80 '~C:UOAl' C':II~ re.mpora'ry,~ervices or Feeders
DAYo~_ SABAN/,IRfi,t.a,l,latioh, Alteration or Relocation
. . '-,",100 LJONF:O;:. "/~...! '
. 200 a~p-s' 'or less $ 40,00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
1.
LOCATI9N OF.INST~~TION
0.4<0 ~HUy ,p"LYD
LEGAL DESCRIPTION
) 7/)7.. 27 4-d,
Electrical Contractor
----
/
Address
City
Supervisor
.Expiration Date
Constr co~Number
E ../" D
xplratlon ate
Signature of Supervising Electrician
Owners Nameg'!-G1)GJ,,') If\. ~W D.
Address t %4.0 -k6u.-u 'B.-uJY??
Ci ty C?:::RPLO Phone<7'iid'3l.{C:,~
OVNER INSTALLATION
The installation is being made on
property I own \/hich is not intended
for sale, lease or rent.
Owners Signa ture: .____.___..
-X~~> om. ~
I ---------------------------------------
DATE:'
RECEIPT 11:
RECEIVED BY:
, 5.
3. COMPLETE FEE SCHEDULE BELOll
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
Branch Circui ts
uni t.
Items
Cost
Sum
$ 85.00
$ 15.00
.$40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
"
New, Alteration or Extension Per Panel
One Circuit J
Each Addi tional
Circuit or with Service
or Feeder Permi t ~
$ 35.00 :s5:oa
$ /~ .t:>&>
2,00 co
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
~I DO
---f-IzJ7-
(.J. .,
~5/0
.
.
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER 00-00835-01
NAME OR COMPANY: ANDERSON
LOCATION: 1340 KELLY BLVD
TAX LOT NUMBER 17-03-27-44-03001
DEVELOPMENT TYPE: REMODEL
DWELLING UNITS:
BUILDING SIZE:
LOT SIZE:
1. STORM DRAINAGE
IMPERVIOUS SQ. FT.
0.00
x
$0.232 PER SQ. FT.
$0.00 I
2. SANITARY SEWER-CITY
NUMBER OF PFU's
(SEE REVERSE SIDE)
2
x
$48.27 PER PFU
$96.54 1
3. TRANSPORTATION
NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP
TOTAL TRANSPORTATION SDC
$0.001
$0.001
$0.00 I
o
.x
x
1.01
x $486.73 PER TRIP
x $486.73 PERTRIP
=
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's
o
x
$242.76
PER FEU
$0.00 I
B. IMPROVEMENT COST:
TOTAL MWMC SDC
$0.00 I
$0.00 I
$0.00 J
$0.00 I
$96.54 I
NUMBER OF FEU's
o
x
$22.05 PER FEU
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
i. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) x
0.05
$4.83 ,
~T~
SDC COORDINATOR
06/07/2000
DATE
TOTAL SDC CHARGES I
$101.371
.
.
pLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS
(NOTE, FOR REMODEL~. CAI.C1l1.ATE ONLY THE NET ADDITIONAL FIXTURES)
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OIUSOLIDS/ETC.
INTERCEPTORS FOR SANDI AUTO W ASHIETC.
LAUNDRY TUB/CLOTHESW ASHERlMOP SINK
CLOTHESW ASHER - 3 OR MORE
MOBILE HOME PARK TRAP (1 PER TRAILER)
RECEPTOR FOR REFRIGERA TORIW A TER ST A TIONIETC.
RECEPTOR FOR COMMERCIAL SINK! DISHW ASHERlETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URINAL,STALUWALL
WASH BASINILA V A TORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
FIXTURES UNIT
NEW OLD EQUIVALENT
2
1
2
3
6
2
6
6
I
3
2
1
2
2
1
6
4
PLUMBING
FIXTURE
UNITS
o
o
o
o
o
2
o
o
o
o
o
o
o
o
o
o
o
.0
o
o
TOTAL PLUMBING FIXTURE UNITS~I 2
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEP ARA TEL
YEAR
ANNEXED
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
RATE PER $1,000
ASSESSljP VALUE
$4.47
$4.38
$4.32
$4.20
$4.03
$3.88
$3.68
$3.38
$3.03
$2.62
YEAR
ANNEXED
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AFTER ANNEXATION DATE)
RATE PER $1,000
ASSESSED VALUE
$2.18
$ 1.75
$ 1.35
$1.17
$1.03
$0.86
$0.71
$0.57
$039
$0.18
x
x
$0.00
$0.00
CREDIT TOTAL $0.00