HomeMy WebLinkAboutPermit Electrical 1992-3-31
SP'IINGFII.:.LD
. . "owin tIr.
~onlrlg . g Pro' "'!'
lIpprov~,.nd cioe/~~:9 Submit! ELECTRICAL P'ERHIT APPLICATION
squira ,eC/ has th 45
6paciffc fa a fO/lolltin,. n \ r- -,
Ci trC/JjJb Nl!fIlber '--\ l) l
225 FIITH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 ~
OFFICE: 726-3759 Q
Al.iurClril .
1. LOCAT10~ ~~~na:"raA:
\ ~m~~ONrin~fD
~~D1T~~10~ lt1^ _ ~
Permits are non-trans~able 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
Heritaqe Elect
Address 855 West 24th Avenue
Ci ty
Euoene
Phone 344 -1500
Supervisor License Number 9455
Expiration Date
10/1/
FEE SCHEDULE BELOV
Residential-Single or
Multi . er dwelling
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
uni t.
Cost
Sum
$ 85.00
$ 15.00
11- $ 40.00 9.,0
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 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Constr Contr. Number 63137.
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
12/27/
Signature of Supervising Electrician
4e~ tJ. ~
,#5-5
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:
~~~~-:;~r~~ z 'c1~;~--~--------
RECEIVED BY: (_AI ~(~ . -1
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 liB"
above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation.
Sign/Outline Lighting
Limited Bnergy/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)
$
$
$
S
~:~
40.00
40.00
20.00
36.00
Metropolitan .
Wastewater
Management
Commission
.
(-:,': ',' - ~!. ','::.' :. ~ :
r.:,~ ::~...~::-[::;t~,:. :'.'~:.': .~:.
S:t'.f D_~~"-!L;t:,t :;.~ '::l!f" i",~
~;;::~: ;!:": 7,-~:' '.;'.~.; tc. t:'t::";".!
c.,,:: ~i '!:..-~;-:. ;'~~''.: .~:~.: ::'::-,
(:-."! ,,',C:.~~:''':-l:'t C~.~.:.~~ :..?-] =.r:"!!~-'::'~
,:;.::1' :;:.:~!-tc:"'( (,"l'".:,. C:--.:! :-;1
r.~i.:.. \';H::::-;;-::~;:-.! ti,' =.~: 'r:i::,,' .f
ri~:!-i A:'~D A. Sif.EEIS
~~r:,::'~GF::.LD C1TY !-;;'.~L - ~;:~;::..;Gr:ELD. C;:,EGC!J &7:..77 TELEr':-:C:,E i:~'::) 7.:7-..:::;
J'.\"MC C(t!i]<ECTION CHARGE
Building Address: r:; 3.3l~r/'r:.U-€.'-) c:rUc.-
Refered.,umber: I /f 63;:L 7 l..- c( . Tax Lot Number: (1) to %" /5-Q
O\'ner: D0bO,I) r n . i. /~() Af~J1f,S .
Address: \\C\. C\\\ '\~~)('{\ \: . Phone Number: lQ~5(;"q\23
City: fJ.. ')060 ilL . State: (()J~ 1)~BY\ziP: q f\4ry2~
~ Residential Fee ($222.00)
$r0Q~ ~
___ Commercial Fee (new non-residential development/
remodel)
Total fixture unit charge (see re~erse of this form) $
-Credit Due (see reverse of this form)
SUBTOTAL $
<$. cI} f) .4~
>
TOEL l'.i1r.C CHARGE
$
lQ4,ob
Building
BY:Utl'DJ
0) u --
Job Number: '1/0 7 -( -5
Date Received:.' 4.-1l.:~.,';~
Receipt Number~~'~4(C?4 ~.,-~.
- -
Received
.
.
Fi:<t\lre Uni t Calculatio:1 Tabl~: ::UC,t-H CI r,u u:-:tures r.ul tiplied by \!:li t
equivalents. NOTE: For rE~odels, calc~!2te onl; the ~ET additional fixt~rEs.
Fixture Type
of Unit
F xtures Equivalents
Fixt'Jre
L'ni IS
3athtub.................................. .
Drinking fountain...,.....................
Floor drain...............................
Interceptors for grease/oil/solics/etc....
Interceptors for sand/auto .ash/e:c.......
Laundry tub/clothes .asher................
Clothes ~asher (3 or ~ore)................
Mobile home park trap. (1 per ~.3.)........
Receptor for refrigh:ater static::/::!c:.....
Receptor for Coc~er sink/dish~s~::etc.....
Shover, single stall........,.............
Shover, gang (per head)...... .......... '"
Sink, bar, comrr'ercia1...,.................
Sink, commercial/industrial/etc...........
Urnial, sta11l'.-al1............. ...........
Vash. basin/lavatory, si~gle...............
Vater closet, public installation.....,..,
Vater closet, private........ .............
!".isce11aneous: ..........
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
applica tion.
Year 'l..nne:.::d
to t1:e Citv
Credit per $1,000
Esses sed value
Credit
1979 $2.66.
1950 $2.64
1981 $2.53
1982 $2.41
1983 . '\ ~ ': \ $2.19
1984 ''\.'\ $2.04
1985 !- ":<\ H'. $1.69
19E6 ( $1. 35
1987 , ~ -,j $1.15
1988 $0.92
1989 $0.59
1990 $0.23
.. S (01'3Z-0 s
r.ate Assessed Va 1-.: e Total Credit
l'764-