HomeMy WebLinkAboutPermit Electrical 1995-3-28
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SPRINGFIELD
The followIng project aa Qubmttted h;$ the !oHcw;ng
zoninQ. Bnd doa& not require spfJ,::ific k:nd use
approval.
ZoniM L.OIL
OO~" S ~'2c -~-)
97 :',(,7,~,~oct S'gna",,,, fV Y'A.
726-3769
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
'1. LOCATION OF ~TALLATION
b69~ 4::> t:.AZc/.E,;;q
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LEGAL DESCRIPTION
J62J!?2~2 -..<:2 _e::J Y 7'-.-'
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~OB DESCRIPTION ~__
j".JC/'77? ,~?~~
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.
ELECTRICAL PERMIT APPLICATION
City Job Number
3. COMPLETE FEE SCHEDULE BELOV
9-S-~.::<'5?3
, ~
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cos t
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof 5 15.00
Each Manuf'd Home, or
Modular Dvelling
Service or Feeder 5 40.00
~ CONTRACTOR INSTALLATION ONLY ,B.
,-,~r~::'\ontractor ~l::-J ? .7). 't-;..;>
f I~.,
Address /2 f.Z2 h;D::n p ~ '
City~ ~Phone ?n-~q&'
r -?/sr;n . -.
Supervisor Licens'e -r-rumber .~;~ .
Expiration Date
Constr Contr. Number ~,~~~
Expiration Date ~~~
. ryjJf ~;,;j?.
;gn#J~~
, ~
Ovners Name
Address
City Phone
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
DATE: ~"'''26.'?~
RECEIPT 11: /~?~
IlRf:RTVF.n RY:' --L"'--"-.
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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
5100.00
5130.00
5300.00
5 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
D. Branch Circuits
~5 40.00 #
$ 55.00
5 80.00'
volts see lIB" above
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Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
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E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation 5 40.00
Sign/Outline Lighting 5 40.00
Limited Energy/Res 5 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
L/e? .",,-
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L'~
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Job No. C15D2S3
SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME: ~\\f\ '\ ~n~ .~^nr
ADDRESS: ~ ~ . ~J)< ~ ~r1i\ Du _"[1 ~
PHONE:
STATE: -'oc"ZIP {LI4Zl {)
LqCATION OF PROPOSED BUILD~';lX S)...,TE: (, " )
, Street Address if Known: l.Q ~y'( _ ) \.. \. " 6' l 0 Jf
M'" N,m" 01\ N.\I\rk ~ T~ lot N"m"", ~ rf{J.{fJ_
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type
definitions are on the back.)
A. Sinl!le Familv - Detached
\ Single Family home
NO OF UNITS {
B. Sinl!le Familv - Attached
NO OF UNITS
C. Multi-Familv Aoartment
NO OF UNITS
D. Manufaoured Home Park
NO OF UNITS
WPRD SDC
Manufactured home not in a park
$4m.oO
X $400 PER UNIT .="
.
X $370 PER UNIT =
'$
X $277 PER UNIT =
$
X $280 PER UNIT =
$
$ 400?O
$9
s.4.(xJ. ()()
2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit
approval. See sac Credit Worksheet.
3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for CrediO
~V
com~u.nity~ivision
~ I L <t; I<\~_
Date
".. NO.',9S~i?3
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
.
AlTACHMENT Bl
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NAME OR COHPANY: SoHN J, NAoMA 1A-f2..f2..
LOCATION: t. <;( "f 0 GLA L.16.1!... 1<6 () 7- 0 'l- "2-7- - 04'100
DEVELOPMENT TYPE: L f)g - 1...(EI/I.{ SFf2.
BUILDING SIZE:
1. STORM nRA.INAGE
IMPERVIOUS SQ. FT,
2. S8NlIARY SFWFR-r.TTY
NO, OF PFU'S ZS
(See Reverse)
3, mSPORTATTON
l.OT S IZf
SQ. Ft.
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X $0.209 PER SQ, FT. ~
?.-"14S '
X $43.26 PER PFU
~o€>\c,;;-;
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NO OF UNITS X TRIP RATE X COST PER TRIP
I X /. 0 { X $436, 19
X X $436,19
~M05~
$
X
X $436.19
$
SUBTOTAL (ADD ITEMS 1.2. & 3) $ "Z...14-B~
4, S8NlIARY SFWFR-MWM[
NO. OF PFU'S ~~ x $17.19 PER PFU + $10 MWMC ADMIN,FEE
(Use PFU Total From Item 2 Above)
$ 4Y'1'2,
MWMC CREDIT IF APPLICABLE (SEE REV.ERSE)
IQIAI -MWMr. snr.
SUBTOTAL (ADD ITEMS 1.2.3 & 4)
$ '3'b~
($ ..,0; \ ...2.- )
$ -z..49'l "3
5, ADMINISTATTVF FEES
BASE CHARGE (SUBTOTAL ABOVE) X ,05
(;l 'lA- "Ie.;)
$ -aA~ U1
. , J<P
---- ---
~ ~Lut_
, ~ .;....--&-C-
S\)( Co:di~ato;'='
Date: ?:J/IS /"1S
MAl snr.
$ '2-Co'Z4-~
B2,SOC .
F1XTU RE UI'! IT, C~LCU Lt}iilON TABLE: Number of New Fixt. Unit Equivalent =, Fixture Unit;
(NOTE: For remodels, calculate onlyWriEI additional fixtures)
NUMBER OF UNIT FIXTURE "
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
..,
2
1
2
3
6
2
6'
6
"1
3
2
lIHead
2
2
1
6
4
4
Bathtub.,........,.."..,.....,..."....,......."."."'.........:......... ,
Drinking Fountain.....................................................
Floor 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/Water Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall.................................................
Shower, Gang.................... ........... ................... .;.,....
Sink: Bar, Commercial. Residential Kitchen........................
Urinal. Stall/Wall.......,.... .... ..... ......... ....................;....
Wash Basin/Lavatory; Single,...........,....,................
Toilet, Public Installation........................................
Toilet, Private................,...,."".........,.....,...,.....:;..
Miscellaneous;
'Z.
\
2.
t..
5
s
\'Z.
TOTAL FIXTURE UNITS
'Zi?
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table,
calculate credits separates,
'I
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1.000
Assessed Value
1979 or before
1980
,19,81
1982
1983
1984
1985
.
$3.46
3.38
3.32
3.21
3.06
2.92
2.73
1985
1986
1987
1988
1989
1990
1991
1993
$2.46
2,14
1.77
1.37
0,97
0.61
0.44
0,15
Improveme~t (if after annexation date)
~ A,," X $ "V:..4-1
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
=
.,.,e, Iz..
Credit for Parcel or Land Only If Applicable
CREDIT TOTAL
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= $ <6~-
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