HomeMy WebLinkAboutPermit Electrical 1995-7-7
The following project as submitted has the following
zoning, and t1.~-{lot require specific land use
approval. JR--
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Zonino - /"
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974JJe ,;
726-j/b'J kl f'"
t:uthorized Signatufe
1. LOCATION OF INSjALLATION
_~ Uxr.LfJ!1llpJ Avlr
LEGAL DESCRIPTION
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JOB DESCRIPTION ~
E,?A,./D ~ IJ9nJ = &4: &w
Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Ovners Name #/.c:::~~-~ .Z/. ~~
Address ~5'.:::O ~~ ~.
City$~ 4P2?Phone2Y/-~<;
mINER IN~~N'
The installation is being made on
property I own which is not intended
for sale, lease,or rent.
O~~/
---------------------------------------
DATE:
RECEIn ii:
RECEIVED BY:
7-'7--_';;S-
/$';;;uS
'/ / :.IL&>
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ELECTRICAL PERMIT APPLICATION
City Job Number
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3.
COMPLETE FEE SCHEDULE BELOY
A.
Nev Residential-Single or
Multi-Family per dwelling
Service Included:
Items
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular, 'Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
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
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
D.
Branch Circuits
0'
New, Alteration or Extension Per Panel
One Circuit ~ $ 35.00 ~<;:,ero
Each Additional
Circuit or vith Service y~
or Feeder Permit '2 $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm S 36.00
5. SUBTOTAL OF ABOVE 9"9.--
5% State Surcharge /.9">"
3% Administrative Fee /./"7
TOTAL ~7 ./"2
.
.B NO. q-:'oqz+
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: M I 0-' A- ~ Lt>. RC:.E..-D
LOCATION: {{So Lt>C--HA-VE:..N .AVE.
DEVELOPMENT TYPE: L.DIL. - At>D 1-r10 N
/7()~'Z-,i-1 - D~o
BUILDING SIZE:
lOT SIZE
1. STORM DRAINAGE
SQ. Ft.
IMPERVIOUS SQ. FT.
X $0.209 PER SQ. FT. ~
2. SANITARY SEWER-CITY'
NO. OF PFU'S
(See Reverse)
z.
X $43.26 PER PFU
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X
X
X
X $436.19
X $436.19
X $436.19
4. SANITARY SEWER-MWMC
NO. OF PFU'S x $17.19 PER PFU + $10 MWMC ADM FEE
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
TOTAL-MWMC SDC
SUBTOTAL (ADD. ITEMS 1,2,3 & 4)
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
V. ~A.--\L-~ Date: fD /'fo/t1C,
(J Ki P Burdi clc "TOTAL SDC
SDC Coordinator
G'?>(,,"'~ )
'- .-/
G - ')
'- ----
$
$
$
$
~)
.. -----------
$'~"'5~
( 4~~ ~
$ qo~
FIXTURE UNIT CALCULATION TABLE: Number of New Fixtures X Unit Equivalent = Fixture Units
(NOTE: For rem~de'I;, c~i';ulate only the. additional fixturesl ' .
. NUMBER OF UNIT FIXTURE "
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
(
2
1
2
3
6
2
6
6
1
,3
2
1/Head
2
2
1
6
4
2.-
Bathtub......... ................................................... ..........
Drinking Fountain............- .... ." ......- ."- .....................-
Floor Drain............ ......... ... ...... ... ...-.- ..-.. ....--- ..... .....- -.
Interceptors For Grease(Oil/Solids/Etc.................
Interceptors'For Sand/Auto Wash/Etc..................
Laundry T ub(Clotheswasher...................................
Clotheswasher. 3 Or More......................,.:.....:.........
Mobile Home Park Trap (1 Per Trailerl.......:........:.
Receptor For RefrigeratoriWater Station/Etc........
Receptor For Commercial Sink/Dishwasher(Etc..
Shower, Single Stall.................................................
Shower, Gang............... ..... ................. ..............:.: ....
Sink: Bar, Commercial, Residential Kitchen........................
Urinal, StalliWall.......................................... ..,... ........
Wash Basin/Lavatory, Single...................................
Toilet, Public Installation........................................
Toilet , Private..................................................:....
Miscellaneous:
TOTAL FIXTURE UNITS
=
"1-
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table,
calculate credits separates.
I .--,-;.---.-. "--.--'.------ -----"-- ------~-'~
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
-'
1985
1986
1987
1988
1989
1990
1991
1993
$2.46
2.14
1.77
1.37
0.97
0.61
0.44
0.15
1979 or before
1980
1981
1982
1983
1984
1985
$3.46
3.38
3.32
3.21
3.06
2.92
2.73
Improvement..(if after annexation date)
X $
(Rate X Assessed Valuel
X $
(Rate X Assessed Value)
=
Credit for Parcel or Land Only If Applicable
=
CREDIT TOTAL = $
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