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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