HomeMy WebLinkAboutPermit Electrical 1992-4-30
,
!In,fIo'1l. ~
zoning, ~~~ ~
225 FIITH STREET a.cPtot'atll<l~snOl~~CAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Z . ~1J?'~ec,1itjI~i\<1.'P!Ia\~ n \O~\1
INSPECTION REQUE.ST: 726-3769 Dd:e~m ~ City j'8b Number ~\ . \
OFFICE: 726-3759 I ~--... '*
AI.I1.~ork8d SI . PLETE FEE SCHEDULE BELOII
1. LOf:4TIOlf qp,,~WM+'lTWli/1 , Ilne/vr,. i
\ 0 \. \ ~{..2J..:JJU I Jt' J U A.. si!l.!!ntial-Single or .
- ... Multi-~"'per dwelling unit. .' .
1.!:f~~1~ ()\ctm Service Included: Items Cost Sum
UJ:L1t~~m at rL 1/L
Permits are non-transf-Zalle and expire
if work is not started~hin 180 days
of issuance or if work is suspended for
.180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Heritaae Elect
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:
$ 85.00
$ 15.00
;!l
/ (") ,,\
$ 40.00 ill..
,
Address 855 West 24th Avenue 200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
Ci ty Euoene Phone 344-1500 401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Supervisor License Number 9455 Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
Expiration Date
10/1/
Constr Contr. Number 63137
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
12/27/
Signature of Supervising Electrician
~ u) _.~ tJfs-s
, .'
Owners Name
Address
City Phone
mINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~i~------~-~~-~~----------
RE\.r;.u'f I: ~( ^rtf6D I
RECEIVED BY: La ./
~
200 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 "Bn
above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
Y:) .cD
~4:~
Metropolitan ..
Wastewater
Managernent
Commission .
.
( .:.':. ~,': ~ . , .: . : ~ ~
C.:~ ~~"".::_[~'~:~! .__. ..
~:r.t L'M:~\'-!l;t:-f :'! ::n!-' i':.:
~:~::~: ;!:": 7.-~:' ";"f': ~t, t:':~:' ,:.~
~'.':: ~;'!:~.-~;':~;';~: '::.': ::'~:-.
(:,',! "};;~,-'~~~~~~~:.'ra.~~~: ~~~::.~:~.~~;~
l.:~:., \':t:.::~:,;-:::,;;t:.,t L;,' =.~~'::::;.:i:.~
rl:=iH A:'~D A SiP-EElS - Sr:?::-:GF:::!..u C!TY !-:.:'-~L - ~::2;:\Gr:ELD: Cr:,EGC!J &7:.77 T::LE,';-,:C::,:: (:C::) 7':;.':::i
!~~'~C Ce'!,NECnON CHARGE
Building Address:
(p II lo~ W\ Au E/NA1:..
Refere8umber:.lrr032.'113 Tax Lot Number: 6\QOO
O\:ner: D0bOJ) r n . \_ /\J(Lt:f~')
Address: \ \ C\ C\\\ '\,--~)(I[: \: Phone Number: l o~Y; - q \23
City: . f'A')(l60 J"lL . State: CQ1~ 1)~BY\ZiP: q '\4('Yl--
~ Residential Fee ($222.00)
$J0Q~ ~
___ Commercial Fee (new non-residential developmentl
remodel)
Total fixture unit charge (see re~erse of this form) $
Credit Due (see reverse of this form)
SUBTOTAL $
<$ ~ f) 4 :)
>
TOTAL y.~Y.C CHARGE
$ \~4 ,SS
Recei'pt Number:
4,~~n, rt!L
'~~I
Received
f\ "-., .
BYf91lutJ)
.Date Received:
Building Job Number: Cj 10'7/ rt
.
.
Fixture Uni t CalculatiO:l Tabl~: ::'Jc,~~r" r,E'.' fi;.:tures ,.ultiplied by \,ni t
equivalents. NOT2: For r~model" calcJllte only the ~ET additional fixt~res.
Fixture Type
of Un it
F xtures Equivalents
Fixture
l'ni t s
3atht\lb.................................. .
Drinking foun tain. , . . . . . . . . . . . " '" . " .. . .
Floor drain.........,.....................
Interceptors for grease/oil/solics/e[c....
Interceptors for sand/auto .ash/e:c.......
Laundry tub/clothes .asher.................
Clothes ~asher (3 or more)... .~...........
Kobile home park trap (1 per ~.3.)........
?eceptor for refriii;/',ater static~/;tc....,
Receptor for Co~~er si~k/dish~s~:!!tc.....
Sho....er, single stall......................
Sho~er, gang (per head)...... .....,.......
Sink, bar, com~ercial.. .0..... ............
Sink, commercial/industrial/etc...........
Urnial, stall/~all........................
Vash basin/lavatory, si~gle...............
Vater closet, public installation.........
Vater closet, private.....................
!'Iiscellaneous: ..........
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 value of property at time of permit
application.
Year 'l..nIie::.:ed
to the Citv
Credit per $1.000
2:ssessed value
19104-
1979
1980
1981
1982
1983
1924
1985
1926
1987
1988
19C9
1990
$2.66
$2.64"
$2.53
$2.41
$2.19
$2.04
$1.69
$1.35
$1.15
$0.92
$0.59
$0.23
Credit
x s IO,3L.o
r:ate ;'.ssEssed Valt:e
= s
~\
Total Credit