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HomeMy WebLinkAboutPermit Electrical 1992-2-14 S...flINGr-IELU .~ , _d~~ 225 r~r.Q STRRBT ~~.- SPRINGFIELD, OREGON 97477 . .,;,~~ ' ,INSPECTION REQUEST: 726-3769 '..~\o OFFICE:,' '726-3759 . . , ~o\-:".\~. '1. LOCATION 'OlIN~iJP. ' , C;:J-[p , ~ ' . . .~ V' LEGAL DESCRIPTION ' . ,#'" 1""'.L.., /J.d[) _~,,, .i>~ , . ." iIF"- J~PTI~ flzt. , ELECTRICAL PERHIT APPLICATION G(\DlL,.. . 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. B. , Electrical cOrJ.-tractor'fb.JI.I'ft?f! ~f'ZUG Address f?So- It }/fil ddlb- . . CitY~Phone.:."")t/q'-,-i'51Y) . supe~nse Number CJ~')-- S Expiration Date . ./D/9/ . . . . . 'Constr Contr. Nu,mber /)()-':;)R'O (2 .J (j Jell ,Expi~ation Date Signature 'of Supervising,Electrician . /141<--, ,~ , 'Owners Name . Address' City Phone . OWNER INSTALLATION The.installation is being, made on .property I.own which is not. intended : .. for' sale j lease, or . ren t .. Owners Signature: ' ,'~K<~ 4 ' -- -- . I "DATE:_[{)'~' ~ . , RECEI... ,: ) _ : . ,~ RECEIVED BY: r::; j'~ - E FEE SCDEDULE BELOV New Residential-Single or Multi-Family per dwelling unit.. Service Included:. Items Cost Sum 1500 sq;ft. or less Each additional 500.. sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling 11 f\~ Service or Feeder .....a:,... $,35.00 :J!.L 200 amps or less 201 amps to 400 amps Over 401 to 600 amps. Over 600 amps or 1000 volts D. Branch Circuits $ 85.00 $ 15.00, Services or Feeders (10 Branch Circuits 'included). Installation, Alterations or. Relocation: One Circuit ,Two ,to ten Circuits Each Addt'l ten or portion thereof 5. SuilTOTAL OF ABOVE 5% State Surcharge TOTAL 100 amps or less 101 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $35.00 $ 60.00 $ 90.00 , $130.00 $300.00 $ 35.00 C. Temporary Services or Feeders Installation, Alteration or Relocation $ 35.00 $ 40.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel $ 35.00 $ 50.00 $ 15.00 E~ Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation. Sign/Outline Lighting , Signal Circui t or limited energy panel $ 36.00 $36.00 $ 36.00 ~O\CO _ 3,SO '1.-'!,5rJ Metropolitan . Wastewater Managernent Commission ( .:.'; ': : ~ :', '::.' :::: . ~.:: :~'.'~::-r..';:'~ C:".':': '!:" ~.:f'.i ~_"~'-~L;::f :... :,;:'l!:" r''.: f:~:: :~:.!./ ~.~~~.~.~;;:~~ ~,::~ ~~:~'.: ;:; ~:; :'~. (.-.'.~ ','i::!:'-.-L:'t c~::..'~ ~f! :t:,'t~~"::.: .:t~.)' ::';;~:-~~'( C:'~.,:, (:--.:! :';:r 1.',,:_, \','t:.::::.;-::.:;t",f Lii :.~:'t!::.::'.:; i=i;;jH A;'~D A SiP-EElS ~;:;:'::';SF:::LD CiTY ;;;',LL - ~;:;:':';Gr:ELD, C;:,EGC!~ .7"77 EL~,,,C:,:: i:::;) 7"7,;::, !'.i1KC COlil'ECTION CHARGE Building Address: (~f)[P~(tirJjJP;U R.f"',;':["b." tJ(),~{:{)J.3 "T.. ,,>< "",bon1JJ3{)r) O,'ner:, D(\!lCU) P {\. i /Yif,ti-np f_S Address~- \ \C\ C\\\ '~~>(\[\ \: .' Phone Number: lo~s<;-q\23 City: fAJC'60 JUL State: CC)J1Y1)~BY\ Zip: q fl4()'L- ~ Residential Fee ($222.00) $r0Q~ ~ ___ Commercial Fee (new non-residential development/ remodel) Total fixture unit charge (see reverse of this form) S Credit Due (see reverse of this form) SUBTOTAL $ <$ C)f) 46 > TOTAL KVMC CHARGE S 10l4.s5 Date Received: riJ ' \4. q~ Receipt Number: (~l44- 11 Received By: (j) ~ Building Job Number: Q(07Z7 " . . Fixture Uni t Calculatio;l Table; ::cc,~~, cf r,e'.' fi:':Hlres r,ulliplied by llni t equivalents. NuTS: For re",odels, calej!31e c,nl:? the ::ST aedi tio!1al ff:.:t~res. Fb:ture Type # of Fi:.:tures Unit Equi'.<alents Fixture L'ni ts , .' 3athttlb...............,..... ..'.."..",... Drinking fountain........." ....,',..,..;~ Floor drain::.. ",'. . ", :. . . . . . . .~. . . . . . ..~ . . . . . . Interceptors for.grease/oil/solies/etc"... Interceptors for sand/auto .ash/~:c...,.:. Laundry tub/clothes vasher.... ..,..~.,' '" Clothes ~asher (3 or more).....,.......... Mobile home park trap' (1 par ~,~.).....,.. ?'eceptor for refrig/vat~r static~/etc..... Receptor for Co~~er sink/dish~s~:;etc..... Sho.er, single stall....................., Sho~er, gang (per head). ..... ,....,...,.,. Sink, bar, com~ercial,., ,..", ,..,..,..... Sink, commercial/industrial/etc."....",. Urnial, stall/~all............,........... Vash basin/lavatory, siegle........,.,..., Vater closet, public installation.......,' Vater closet, private... ...........,....., Miscellaneous: ..,....... 2 1 2 3 6 2 6 6 1 o -' 2 1 2 3 2 1 6- 4 .......... .......... Total Units: Total fixture units x 513;25 each _ Total Charge: $ Credit Calculation Table: 3ased on total ,'alue of property at time of permit applica tion. Year "]..:Uie.:-:Ed to th2 City Credit per $1,000 2.55essed value , l'3lo<t ~. 1979 1950 1951 1952 1953 1924 1955 1966 1987 1988 1969 1990 $2.65 $2.64' $2.53 $2.41 $2.19 $2.04 $1.69 $1. 35 $1.15 $0.92 $0.59 ~O.23 Rate "s iO}"'?:.z..t> r.ss€-ssed Val t:e ~ s Credit Total Credit