HomeMy WebLinkAboutPermit Electrical 1992-12-21
. b 'tted h<:'lr- the tOllOVlIUg .
The 10110i"1~19 project as SU, mh ", "'~13nd u"'a
. 'oes no' re."wre SI)3CllIC ~
lCr\lng" . ...., .
appre,a,:. . ( ELECTRICAL P
97477 L',mnC! C
726-3769 1" _'I I - q ~ Ci ty Job Number -r:;?c::BF-=-~ /
Date -l..,;< ',""
Aulhorized Signatura~.--€ettPl:E'fr. rr.r. SCHEDULE BELOII
1. LOCATION OF INSTALLATION
3'-/DJ; C.ATew~ SaPd
LEGAL DESCRIPTION
/?-rt?'3--;Z ~-~;, ~/~~
225 FIITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
JOB DESCRIPTION ~ /J
/-7dd !:it L7! ~,p t,1 ~/Y
;
Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical contractor.B~ f/<-d
I1lcJ K:.tJ ~
Pbone 19.5 - of? "-
License Number :L9? CJ 5
Expiration Date / tJ - I - f' 3
Address
.J.. 9L~
Ci ty r:n. ~~
/
Supervisor
Constr Contr. Number () SI ;l7~
Expiration Date/:2. -' /t:J;9 3
SignllLsuP~f~cian
fi
Ovners Name
Address
.iT?jIJ
/~71
1llA-?J1emu:t- D.
~lLl '
Phone iff tj. 7')..1(,5
Ci ty ~~
v
OIlNER INSTALLATION
The 'installation is being made on
property I ovn vbich is not intended
for sale, lease or rent,
Ovners Signature:
DATE: /2-/8,-:;2.'
RECEIPT jj: 7~ /.-=>
RECEIVED BY: /Z ttb~-
tV/,
A.
Nev Residential-Single or
Multi-Family per dvelling unit,
Service Included:
Items
Sum
Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Eacb Manuf'd Home or
Modular Dvelling
Service or Fe~der
$ 85,00
$ 15,00
$ 40,00
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less $ 50,00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100,00
601 amps to 1000 amps $130,00
Over 1000 amps/volts $300,00
Reconnect Only $ 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
$ 40.00
$ 55.00
$ 80.00
volts see,"B" above
Branch Circuits
Nev, Alteration or Extension Per Panel
One Ci rcui t I
Each Additional
Circuit or vith Service
or Feeder Permi t
/
$ 35,00
$ 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 $ 36,00
S. SUBTOTAL OF ABOVE . :<,5" t>-"
St State Surcharge / 7~
TOTAL ,,<: /., ,"?S
JOB NO, Cf2-o g~ I
CITY OF SptNGFIELD SYSTEMS DEVELOPME' CHAHGE
WORKSHEET I
, (COMMERCIAL &. RESIDENTIAL)
NANE OR Cor1PANY:
~I\:c... PO~ Pd...-!> I~ c.otaPO,,"-Pr' lOIo.l
LOCATION: ~o.{.fl S GP<Tff:.v.J.I>cY Srr,
DEVELOPHENT TYPE: c,c.: An.., """-. " "_'
l"1 0 ~"1.-"2- '2--0 - 0 \ 0.+00
BUILDING SIZE:
1 , STORI1 DRA I NAGE
IHPERVIOUS SQ. FT. - X SO.186 PER SQ. FT. ,~ ~
(See Reverse For Runoff Coefficients If Actual Imperv. Area Is Unknown)
LOT SIZE
SQ, Ft.
2, SANITARY SEWER-CITY
NO. OF PFU'S - X S38,55 PER PFU
(See Reverse To Oetermine Total PFU'S)
s; .-6-
3. TRANSPORTATION
NO OF UNITS X'TRIP RATE X COST PER TRIP
X
X
X $388.61
X $388.61
S -8-.
s
X X $388.61 ~ '
(Se~ Attachment C To Determine Trip Rates) ,
.. . SUBTOTAl(AOD ITEMS 1.2. &. 3) 1.:
--'
-6-
4, ADMINISTRATIVE FEES
BASE. CHARGE (SUBTOTAl ABOVE) X ,05'
s -&-
TOTAL-CITY SDCS -'!)-
5, SANITARY SEWER-MWMC
NO. OF PFU'S
.--
x S13.25 PER PFU + S!O'~iC ADMIN. FEE S
-
(Use PFU Total From Item 2 Above)
-
~-
, - -(/ Kip Burdick
SDC Coordinator
~ /-;." /q2.-
f /
s;
TOTAL-MWMC SDC S ~
TOTAL SDC S ~
HWHC CREOIT IF APPLICABLE. (SEE REVERSE)
FIXTU R E UNIT CALCU ~ N T AS LE: Number of New Fi,1ures .it Equ~'alenl = Fi'1ure Unils (h!OTE
For remodels, calculate only the NET oJodilional fi'1ures) ,
NUMBEfl OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS
~
Bathtub........,...,..........,..................,..,.....,......,..........,
Drinking Fountain......,~...........,....................,....,..,...., '.
Aoor Drain....,..,..,:,.......:.."..........,..."..,..,....,..,.....,...
Interceptors For Grease/Oil/Solids/Etc,:...............
Interceptors For'Sand/Auto Wash/Etc.......,..:......,
Laundry Tub/Clotheswasher...........,..",......."".,..".
Clotheswasher .. 3 Or More..........,...,.......,...........,..
Mobile Home Park Trap (1 Per Trailer)..,........,......
Receptor For Refrigerator fWater Station/Etc..,.....
Receptor For Commercial Sink/Dishwasher /Etc,:
Shower, Single Stall....,..,....,.....:........"................,.,.,
Shower. Gang,..".....................,....".."..,....._......",
Sink, Bar. COmmerciaL.._,................,.......,............,
Urinal. StallfWall..................;........,...............,.....,.....
Wash BasinfLavatory. Single._.._....,_...........,..,
Water Closet, Public Installation...,...,..................,..
Water Closet. Pnvate_......,........,......,..
Miscellaneous:,
2
1
2
3
6
2
6
6
1
3
2
I/Head
2
2
1
6
4
TOTAL AXTURE UNITS =
r
CREDIT CALCULATION TABLE:
calculate credits separat~
I
Based on ?<-<""""OO value. If, improVements ~rred after annexation date in ,table.
, Rate per 51.000. ,I
Assessed Value
1979 or before
1980
1981
1982
1983
1984.
Rate per $1.000
~..J Value
S2.66 ,
2.64
2.53
2.41
2.19,
2.04
Year'
Annexed
Year,
AnnexecJ
1985
1986
1987
1988
1989
1990
51.69
1.35
1,15
0,92
0,59
0,23
I
I
if
It
Improvement (If after annexation date) ,
x s =
(Rate X Assessed Value)
X 5 =
(Rate X Assessed Value)
CREDIT TOTAL = 5
Credit for Parcel or Land Only Ii Applicable
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
If
, Residential..,..........:........................,.."....,.......~ 0.4
COmmerci2L.........,............................,......,..... 0,9
IndustriaL.... ,....... ................... ........ ,... ............, 0,45
GovernmentaL......................................,.......... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT