HomeMy WebLinkAboutPermit Electrical 1991-9-27
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ELECTRICAL PERMIT APPLICATION
City Job Number ,'G\ \ Dl07
225 ~~~.u STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: ,726-3759
3. COMPLETE FEE SCDEDULE BELOV
A. New Residential~Single or
, Multi-Family per dwelling unit.
Service Included:
'1. LOCATION OF INSTALLATION
, ...... ~U' Ln,. f,A IP,u
LEGAL DESCRIPTION
'"/. L J 5ZJi)
Items Cost Sum
1500 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling 70
Service or Feeder "); $35.00
JOB D,RS,qp:mON, ..p () ...4-
YVI.(7hJi.l 'kfJvwJ ~~.-
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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 da!s.
2. CONTRACTOR INSTALLATION ONLY B.
, ,
Electrical contractor~A/~d -t kfu6
" 0.
' ,Address >?,~() If J 0/ ::Jdl&.- ' ,
CitY~d/r/, ,Phone :Jt/tJ/S7Jn
Supervisor License Number ~<Ii~~ - ~
Expiration Date, ' . /0/9/
Constr Contr. Number dlJ-,;(f(() (7,
Services or Feeders (10 Branch Circuits
included). Installation, Alterations
or,Relocation:
$35.00
$ 60.00
$ 90.00
$130.00
$300.00
$ 35.00
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
C. Temporary Services or Feeders
Installation, Alteration or Relocation
j() 19/
,Expi~ation Date
200 amps or less $ 35.00
201 amps to 400 amps, $ 40.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D. Branch Circuits
Signature 'of Supervising Electrician
~"~
'Owners Name '
New, Alteration or Extension Per Panel
Address'
One Circuit
, ,Two, to ten Circui ts
Each Addt'l ten or
portion thereof
$ 35.00
$ 50.00
$ 15.00,
, City
Phone
,OWER INSTALLATION
, The installation is being, made on
property, I ,own 'which is not intended
· for' sale, lease or rent.
E~ Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation,
Sign/Outline Lighting
, Signal Circuit or
limi ted energy panel
$ 36.00
$36.00
OWners Signature:
$ 36.00
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5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
DATE:
, RECEIPT I:
RECEIVED BY:
Metropolitan .
Wastewater
Managernent
Commission
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Fi:=iH A!'~D A SiF.EEiS - ~;:r:.;:<GF:~LD CliY r,":'.LL - ~FR::\Gr:ELD. C;:,EGC!J ';;7:.77 lEU:r';-.:C:,E (:C:;) j':i.':::i
l1ilMC CO!~NECTION CHARGE
Building Address:
5so ko~bYv,4ul/rVAL
Refere;~j.'umber: 1'7032/1',:;,. . T:;' Lot Number: 01500
O.'ner: D0AJO 1) r {\ . i /~r1.A+~-,,__~ ~
Add",,, \\ C\ C\ \\ '\~~'01\ \: _ Pho.. ""b." l o? IS" - q \23
City: f'J...')060 niL. State: (()JlY .D~BY\ Zip: q f\4()'L--
~ Residential Fee .($222.00)
$r0Q~ ~
Commercial Fee (new non-residential development/
remodel)
Total fixture unit charge (see reverse of this form) $
SUBTOTAL
$
<$ d f) ,4:3
>
Credit Due (see reverse of this form)
TOTAL KV~C CHARGE
$
\C\4 .55
-
Date Received:
q.21J'l/
a\4~
Received By: ~1~
Building Job Number: Q/o1(Jrr
Receipt Number:
~
.
Fi:<ture Unit Calculatioa Table: ::cc,~€r cr r,e',' fi:-:tllres r,ultiplied by t1!1it
equivalents. NOYS: For remodels, cllc~!3Ie Dnl~ the ~ST additional fixt~res,
Fixture Type
of Unit
F xtures Equivalents
Fi:-:ture
L'l1i IS
3athtub..................,.....,..".,... .
Drinking fountain.,.....,......,...,.,.,..
Floor crain...............,..".,..,..,...
Interceptors for grease/oil/solies/etc"..
Interceptors for sand/auto .ash/e~c,......
Laundry tub/clothes vasher.." ,.,..,.,.,..
Clothes ~asher (3 or more).......,.....",
Hobile home park trap (1 per ~.~.)..,.",.
?eceptor for refrig/vater static~i~tc"..,
Receptor for COc.rr.er sink/dish~s~=/:tc.....
Sho.er, single stall........., ,.,.,..,.".
Shover, gang (per head).., .....,.,..,."..
Sink, bar, com~erclal..., .... ,.,....,.",.
Sink, commercial/industrial/etc.......,...
Urnial, stall/~all.......................,
Vash basin/lavatory, single.....""......
Vater closet, public installatio~.,....,"
Vater closet, private.... ........."...."
Kiscellaneous: ,'..,...,.
2
1
2
3
6
, ,2
6
6
1
3
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
application.
Year .l-.rljje:.:ad
to t~~ citv
Credit per $1,000
e.ssessed value
>
1979
1980
1981
1952
1953
1ge4
1985
1926
1987
1968
1969
1990
$2.55
$2.64'
$2.53
$2.41
$2.19
$2.04
$1.69
$1. 35
$1.15
$0.92
$0.59
$0.23
\ 9'4..
Rate
"S I O,'3>z..o
;'.ssessed Val \.:e
= S
Credit
Total Credit