HomeMy WebLinkAboutPermit Electrical 1992-5-15
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225 FIFTH STREET , ' \,to\'~~~u\te'\> ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 9747.7. i"\\O:,,,';;:l~O_\" . ,
INSPECTION REQUEST: 726~\'316ct-..~' .~~~ City Job Number 92/J?'/5
OFFICE: 726-3759 o,v?'V' 7.0"\l\~ .
. .1;1 3. CO FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATI,QMo.-----:-.:\ute
2/ S-o L,4u,eA' .-..d5\g"" A. New Residential-Single or
P.U\'" Multi-Family per dwelling unit.
Service Included:
LEGAL DESCRIPTION
J 70 1 ::>. 7 L/'J
4.!jotJ f'-S'()'D,~O
, .
JOB DESCRIPTION
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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. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
/
/
City
Phone
Supervisor License
Expiration Date
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
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 lOOO amps
Over 1000 amps/volts
Reconnec t Only, , ~
'*
Cos t Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00 -f/ItXJ
C. Temporary Services or'Feeders
Installation, Alteration or Relocation,
Signature 0 Supervising Electrician
Owners Name M(f~ Ln.tA- /tI.1-!. ~
!.Au.I'QA Sr.
Phone :S.(.f - 92-17'
Address
21"50
~;=j
Ci ty
OYNER INSTALLATION.
The installation is being made on
property I own which is not intended
for sale, lease or rent.
.X:~f~____________
5"' -/2 -7'2.
4t:, .~ .5
d/~/
DATE:
RECEIPT I:
RECEIVED BY:
.~
260 amps or less .
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch ,Circuits
$ 40.00
$ 55.00
$ 80.00
see "Bit
above
Ney, Alteration or Extension Per Panel
One,Circuit
Each Add it i ona'l
Circuit or with Service
.or Feeder Permit /
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE .
5% State Surcharge
TOTAL
$ 35.00
$ 2: 00 z!.!:
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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JOB NO.
CITY OF aINGFIELO SYSTEMS OEvELopAtr CHARGE
. WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAHEOR COMPANY: $/Jl//vTm,tJ ~/)7'/y'\ r
LOCATION: 2/ SnlA/J,tJA-
DEVELOPMENT TYPE:
8UILDING SIZE:
1. STORM DRAINAGE
IMPERVIOUS SQ. FT. N. 4 ' X $0.186 PER SQ. FT. h
(See Reverse For Runoff Coefficients If Actual Imperv. Area Is Unknown)
C;:::;7;M>~6 4(J~ W/TO/L/ ~
LOT SIZE SQ. Ft.
2. SANITARY SEWER-CITY
,
NO. OF PFU'S 5 X $38.55 PER PFU
(See Reverse To Determine Total PFU'S)
ls /Q-z..!3!-1
3. TRANSPORTATION
.'
NO OF UNITS X TRIP RATE X COST PER TRIP
X X $388.61
Is "-
~
$
& 3) S /1"2..~
X' X $388.6l
X X 5388.61
(See Attachment C To Determine ~rip Rates)
" SUBTOTAL '(ADD ITEM.S 1,2,
4. ADMINISTRATIVE FEES
'BASE. CHARGE' (SUBTOTAl ABOVE) X .QS
Is q~ I
TOTAL-CITY SDC S '2-07..-~.!-
5. SANITARY SEWER-MWMC
NO. OF PFU'S
-6-
x S13.25 PBM'FU .+ S!OMI,no\C ADMIN. FEE $'-- '! '!..2~
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
~'p~i... O.
\l Ki p Burdi ck
sac Coordinator
eslt'l--h-y
f I
S
TOTAL-MWMC SDC Is -e- ,
"Y'I
TOTAL SDC s: "Zo'Z-
FIXTU RE UNIT CALCU LA. N T AS LE: Number of New Fi,1ures Wi EQu~'3Ient " Fi,1ure Units (NOTE:
For remodels, calculate only the NET ado",on21 f"1ures) .
NUMBEj1,OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Batht ub........................................ ............ ...... .......... ". ..
Drinking Fountain.......:.............................................. \.
Floor Drain...........:........:.................................. .........
Interceptors For Grease/QiIjSolids/Etc.................
Interceptors For'Sand/ Auto. Wash/Etc..........:.......
Laundry Tub/Clotheswasher...................................
Clotheswasher .. 3 Or More.....................................
Mobile Home Park Trap (1 Per Trailer)..................
Receptor For RefrigeratorjWater Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc.:
Shower. Single Stall..................................................
Shower. Gang.........................................._...............
Sink, Bar, COmmerclaL.:...................._._.............
Urinal. StalljWall........_........:..........-.......__...........
Wash Basinjl.avatory. Single.___....._.__...........
Water Closet, Public Installatioll...._...-...-.............
Water Closet,' Pnvate.-..............__..__
Miscellaneous:.
\' .'
2
1
2
3,
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
I
/
I,
..j..
TOTAL FIXTURE UNITS
<5
CREDIT CAlCULATION TABLE:
i~earo~;:t~
1979 or before
1980
1981
1982
1983
. 1984'
Based on assessed value. If .lmprovements occurred after annexation date in .table.
Rate per $1.000
Assessed Value
52.66
2.64
2.53
2.41
2.19
2.04
Year
Annexed
1985
1986
1987
1988
1989
1990
Rate per 51.000.
Assessed Value
S1.69
1.35
1.15
0.92
0.59
0.23
".
x S
(Rale X Assessed Value)
X 5 =
(Rate X Assessed Value)
CREDIT TOTAL = s
Credit for Parcel or Land Only Ii Applicable
Improvement (If after annexation date)
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Residentic.L......................................:..,........... 0.4 ..
Commercial..................................................... 0.9
Industria!.......................................... ................. 0.45
GovernmentaL................................................ 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT