HomeMy WebLinkAboutPermit Electrical 1994-10-10
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
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97477
726-3769
1. ~c;/I:\I~ OF~STALLA. TION
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ELECTRICAL PERMIT APPLICATION
%/:-\
City Job Number
3.
COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
JOOE_SCRIP1Wt!j .
\~""'~
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspeftded for
180 days,
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contrac~\\\A2,r~flo&
AddressriC1 ~ \'\'<'1<\n~ .
Cityr,'1)Q'!l_(k Phone~S.ffi'da
supe~cense Number ~ct~~
\(). \.<=\5-
Constr Contr. Number (ry\'2..C\ La
\~.\D,Q\
Expiration Date
Expiration Date
s;'"'e;;{.'e2::;'~
Owners N:me \l\\.')\c\ \...~~.
Address cQ~\a.a Sr~J) l
Ci ty ~~'n Q{'Q. Phone \.083, ~
OVNER INS~LLATION
The installation is being made on E.
property I own which is not intended
for sale, lease or rent,
OWners Signature:
D~~E~--------------~~~~-~-------
RE9EIPT 11:~\ 1'\... )'u I 5B
RECEIVED BY: .\~ J
-. -
1000 sq.ft, or less
Each additional 500
sq, ft or portion
thereof
Each Manufld Home or
Modular Dwelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less 4
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps I
Over 1000 amps/volts
Reconnect Only
Items Cost
Sum
$ 85.00
$ 15.00
$ 40,00
$ 50,00 'Lf:i)
$ 60,00
$100.00
$130,00 l3U
$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 ~(J
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit. or with Servi~"
or Feeder Permit ~ $
2,00 ~t)
.
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40,00
$ 40.00
$ 20,00
$ 36,~
,5~. .
~1L~
JOB NO, 9L/ I '?LI-:?
CITY OF4ItRINGFIELD SYSTEMS DEVELO~NT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: "DAvID At-JDr2-E;\l.1S
LOCATION: 9'(Jo K.'fl..-LlS~ \/JAY 1107:>2.2'1.0 - 9\2.
DEVELOPMENT TYPE: c..c ~ 1Ce,,:>-rP.UrL.A~"" i; ~€;y.JE-Il.Y
BUILDING SIZE: LOT SIZF SQ, Ft.
1. STORM ORA [NAG[
IMPERVIOUS SQ. FT. \ "I b~1..
2. SANTTARY SFWFR-rITY
NO. OF PFU' S . 1\
(See Reverse)
3. TRANSPORT A TT ON
X $0.209 PER SQ. FT, $ l.flO~O'l
X $43.26 PER PFU
. .' $ -=70' , o.j.~
:..ooe. ~~l
~vAl. ,~.,.~~.,.
:0010 140
>l\A oll) l=-p.(:.,.~~t-l"""
'-f ,(Y'O
-Z.IIO
..Q..JE .
X -"I. 10 b X $436, 19
0,1':;'
X ~1 X $436.19
X X $436.19
@
"~'.~ o~~t~~
$ I09~ \~~'V,
$
NO OF UNITS X TRIP RATE X COST PER TRIP
SUBTOTAL (ADD ITEMS 1,2. & 3) $
"""'--1'
4. SANTTARY SFWFR-MWM(
NO. OF PFU'S 11 x $17.19 PER PFU + $10 MWMC ADMIN.FEE
(Use PFU Total From Item 2 Above)
$ I Z 2 0 L\q
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
IQIAI -MWMr sor
SUBTOTAL (ADD ITEMS 1,2.3 & 4)
~
J. 40 \ 8J ~f)'?-A
$ P,1P,~ ~ /1",-\\
\'Vi? .
$ZLj?b'~ \~~\ .
I
5. AOMTNTSTATTVF FFFS
BASE CHARGE (SUBTOTAL ABOVE) X ,05
$ \Z'2.e~~
~'~L~
~ ~ry Hornig, P.E.
$'Dc Coordinator
Date: 10 /10 /a,~
, I
TOTAl sor
$ 'Z.I?,'I? c;e.
B2.S0C .
FIXTURE UNIT CALCULATION TABLE: Number of New Fixtures X Unit Equivalent = Fixture Units
(NOTE: For remodels, calculate only ttaEI additional fixtures)
,., NUMBER OF . UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub,.................................................................,.. .
Drinking Fountain.... ...... ........ ........ ...... ... ...... ..... .......
Floor Drain.........,......................................................
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For Sand/Auto Wash/Etc..................
Laundry Tub/Clotheswasher ... ... ............ ......... ........
Clotheswasher - 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, Residential Kitchen........................
Urinal, Stall/Wall.,:.....,...................".......,...,.............
Wash Basin/Lavatory, Single..... ........... ........ ..........
Toilet, Public Installation.............. .......... .... ............
Toilet, Private.......... ................. ................... .........
Miscellaneous: ,TAHI TORS $.'/VK
....,
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
~
14
("
~o
4
j
~()
"'11
'Z
'5
'2..
..,
C,
TOTAL FIXTURE UNITS
=
, CREDIi: CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table,
calculate credits separates.
Year
Annexed
Rate per $1,000
Assessed Value
Rate per $1,000
Assessed Value
~ ,y" X $ II k.. \"""
(Rate X Assessed Value)
X $
(Rate X 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
~
.
'Credit for Parcel or land Only If Applicable
Improvement (if after annexation date)
,
Year
Annexed
1985
1986
1987
1988
1989
1990
1991
1993
=
=
$2.46
2.14
1.77
1.37
0.97
0.61
0.44
0.15
4o\~
,. .
CREDIT TOTAL = $ 40 I ~