HomeMy WebLinkAboutPermit Electrical 1991-10-4
225 FrITH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. ~~T~~~)
\ ~~Q3~~5.~N ()~otoro
~O~ESN~r ~ V'\Jl/
Permits are non-transfe~le 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
Heritaae Elect
Address 855 West 24th Avenue
City
Euaene
Phone 344-1500
Supervisor License Number 9455
Expiration Date
10/1/
Constr Contr. Number 63137
Expiration Date
12/27/
Signature of Supervising Electrician
.~ tJ.~ 9~5-[;,
Owners Name
Address
City Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
:~~n ~~-~~1i(-~~:;;;j---
RECEIVED BY: .7 JlS<..JJ.A.-.> I
~
ELECTRICAL PERMIT APPLICATION
City Job Number Cl \()L4~
"'". *
3.
COMPLETE FEE SCHEDULE BELOV
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular DveIling --& W
Service or Feeder $ 40.00
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
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
$ 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 Lightin~
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Add it i onal
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
not included)
$
$
$
$
R{\CO
4~.
'<(:A.~
40.00
40.00
20.00
36.00
Metropolitan .
Wastewater
Managernent
Commission
.
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ri:=iH A!'~D A SiF.EEIS - S~r,::-:SF:::LD CiTY r:;'.!..L - ~;:;:;;;\Gr:ELD. Cr:.EGC!J ~7':'77 l:LEr':-:C:,,~ {:C'::) 7":7...:::'i
"'Wo. Add"", ~<~~c C~;;;JPA)
R.f"'tf.b'" 1,)()c"YX) q.4. . Tax Lot Number:_Olo[oP'O
O,,'ner: .()C~nQJ) p {\ . i_ /Pr1Ainxx-,~) .
Address: \\C\. C\ ,{\ '\~>(\0 \: _ Phone Number: lo<?~J~\23
City: fA ')r~o JLL . State: (()J~ .D~BY\ Zip: q f\4('YZ...-
~ Residential Fee ($222.00)
$r0Q~ ~
___ Commercial Fee (new non-residential development/
remodel)
Total fixture unit charge (see reverse of this form) $
SUBTOTAL
$
Credit Due (see reverse of this form)
<$
c9f) .45 >
TOTAL HVHC CHARGE
$ \q4,~
Date Received: 1D. 4.Q{
Receipt Number: <Q l~
.
.
Fi:\ture Uni t Calculatioll Tabl,,: ::uc,~"r cf r,e'" fi:.:tures l7.ultiplied by \!:li t
equivalents. NOTE: For r"models, calculate only the ~ET additional fixt~res.
Fixture Type
3a t h t \I b. . . . . . . . . . . . . . . . . , . . . . . . . . . . . . , . . . .
Drinking fountain........ ................:.
Floor drain..... .t....... .'.......~.........
Interceptors for grea~e/otl/soli~s/etc....
Interceptors for sand/alito '.'~sh/€:c:.....:.
Laundry tub/clothes \'asher.....:....,.....
Clothes ~asher (3 or more)................
Mobile home park trap' (1 per ~.3.)........
Receptor for refrig/.ater statio~/:tc.....
Receptor for Co~~er sink/dish~5~:!etc.....
Shover, single stall.........,........,...
Sho~er, gang (per head)., .............. '"
Sink, bar, com~ercial... ..................
Sink, commercial/industrial/etc...........
Urnial, stall/.all...................,....
Vash basinllavatory, sir:gle, ..............
Vater closet, public installatio;].........
Vater closet, private,.. ..................
~iscellaneous: ..........
..........
..........
Total fixture units
of Unit
F xtures EquivalEnts
Fixture
L'ni t s
'i
2
1
2
3
6
.2
6
6
1
3
2
1
2
3
2
1
6-
4
Total Units:
x $13.25 each = Total Charge: $
Credit Calculation Table: 3ased 0;] total ..alue of property at time of permit
application.
Year 'l..nJjejo:~d
to the city
19104-
1979
1980
1981
1982
1983
19a~
1985
1986
1987
19E8
1989
1990
Credit per $1,006
i!ssessed value
$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
to/5"LO
Total Credit
r:ate
= S
;'.ssessed Val;..:e