HomeMy WebLinkAboutPermit Electrical 1995-7-17
I
,l25 FIFTH STRmrr Zoning (V
~srRINGFIELD' OltEGON,97t177 Dele]; 11-'1,
INSPECTION REQUEST: 726-3769- -
OFFICE: 726-3759 Authorized Sign8luro---.!L"".
3. COIiI'WlII; 1'1;...' scnEDULE DELaV
1. ;'Ow.Jf.cm O~N!i'f./lLLATION , '
-.J 'Q\~ \.:::rIcm 1.L JC\.t.!,
,l&,GAL R~~ON (j
I'\O~,,\'L-L.LU CD\C)\
~D~~.:rrrON
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if vork is suspended for
100 days.
2. CONTRACTOR INSTALLATION ONLY
Inectri~al Contractor" \\(G
~1'lllr..(;,I:IEI.U
Ci ty Job Number_
A.
Nev Residential-Single or
Hulti-Family per dvelling
Service Included:
un it.
Items
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manu f' d Home or
Hodular Dvelling
Service or Feeder
$ 05.00
$ 15.00
$ /,0.00
B.
Services or Feeders
Installation, Alterations or
Relocation:
Addl'eSs~r') \)m 3bwt 200 amps or less \ $ 50.00 -5D
Ci ty ~(d Phone 'l4b-1lo~1o 201 amps to 400 amps I $ 60.00 ltJD
401 amps to 600 amps $100.00
~\43S 601 amps to 1000 amps $130.00
Supervisor License Number Over 1000 amps/volts $300.00
\l,). \ .q~ Reconnect Only $ /,0.00
Expiration Date
Cons t r Con t r. Numbe l' 4~ \ 2.. q"
Expiration Date
4. :J4.g~
Signature of Supervising Electrician
C)(o 111 ;,~tJ t'_
Owners Name \..l:J. i ~O ~
Address \at)\ \'
Ci ty ~O~Phon~-:.\l\.
OVNF~ INSTALLATION
The installation is being made on.
property I ovn which is not intended
for sale, lease or rent.
Owners Signature:
D~;;~-~----'T~7?J~~~-~-:~~---------
RECW'l' 8:______ _~__._\'h~J\W
HECETVEIl BY:. ~~
C.
Temporary Services or Feeders
Ins~allation, 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
$ 00.00
volts see "D"
above
D.
Branch Ci rcuits
Nev, Alteration or Extension Per Panel
One Ci.rcui t
Each Add it ional
Circuit or with Servi;';.A
or Feeder Permi t UI"1
$ 35.00
$ 2.00 128
E.
Miscellaneous (Service/feeder
-Each installation
Pump 01' irrigation
Sign/Ou tline Ligh t inl!'
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$
$
$
$
cO~po
h .'lO
.'1- '2.
&q~ .C\1-
40.00
40.00
20.00
36.00
.::slO
SUBTOTAL OF ADOVE
5% State Surcharge
~.@.b
\b\o.Q...
"'-
~
-
~B NO. 9501'2.1
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCiAL & RESIDENTIAL)
NAME OR COMPANY: W EE.S -r"'~.K-..tJ 'bANK.
LOCATION: ?S4C, GA-reWAY 1703'2.-'2.-7..-6 - 00/0/
DEVELOPMENT TYPE: c.c.: NfE;W DIZ--,ve. - /1-.1 'fZJANK
BUILDING SIZE: G.~'5o 'SQ,Pr. '-.OT SIZE SQ. Ft.
1. STORM DRAINAGE
IMPERVIOUS SQ. FT. ~..loo X $0.209 PER SQ. FT. ~OOI~
2. SANITARY SEWER-CITY
NO. OF PFU'S '1-'1 X $43.26 PER PFU GllloB~
(See Reverse) '-- .......-
3. TRANSPORTATION
c.,,,e"\l'Z:t:>\E.l""-=~M"-" '2.0.0 /-r~s.r
NO OF UNITS X TRIP RATE X COST PER TRIP
X
X $436. 19
G?~~
'-- . ~
$
$
(n.'ht? X 7-0.0 X $436.19
X X $436.19
4. SANITARY SEWER-MWMC
NO. OF PFU'S 7.:1 x $17.19 PER PFU + $10 MWMC ADM FEE
(Use PFU Total From Item 2 Above)
MWMC,CREDIT IF APPLICABLE (SEE REVERSE)
$ 4lo4-~
TOTAL-MWMC SDC
$ fo4'Oi~
~0 / -~\
$~(~t'9
SUBTOTAL (ADD ITEMS 1,2,3 & 4)
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
~\~~.L.c.k Date: rsh? I&fS
V Kip Burdick ' {TOTAL SDC
SDC Coordinator
- -PoI<:-';' 1-101' =t::McU,)Pe..11tDPo<;.~P OFFlCE.~"",
_ -:I:Mc..UJDIE:-S Au.. '1M/>U.VIOlJS ~ E.xten'
f'~f'o~~p "F"flU<- &u:>6-
.'\\~~
r
FIXTURE UNIT .CAhCULA Tli TA.BLE: Numberof New Fixtures X Unit Equivalent =. Fixture Units
(NOTE: For remodels, calculate onlv the additlonal flxturesl ....
, . NUMBER OF .UNIT FIXTURE "
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
.~
Bathtub.. -................................. -.................................
Drinking Fountain."..,"...,..-..." n.....'. .nO....... n...........
Floor Drain.........".......,..,..... ......................... ............
Interceptors For Grease/Oil/Solids/Etc.................
Intcrccptors.For Sand/Auto Wash/Etc..................
Laundry Tub/Clothcswashcr, ,. "....... " ,. ... ,.., ,........."
Clothcswashcr - 3 Or Morc.,............-.................-...... ,
Mobilc Homc Park Trap (1 Pcr Trailcrl.............:.....
Rcccptor For Refrigcrator/Watcr Station/Etc....,..,
Roceptor 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...................................._..
Toilct , Private........... ,.................... ..................:,...
Miscellaneous:
I \
2
1
2
3
6
2
6
6 ..,
1
3
2
. '1 ifhiad
2
2
1
6
4
4,.
7.-
'L
19.
',"
'L
\
1.-.
.",
TOTAL FIXTURE UNITS
?--1
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after aMexatiol1.dqtil,m table,
calculate credits separates,
~.4-<. X $ J'il;1.'7~
(Rate X Assessed Value)
X $
(Rate X Assessed Valuel
Year
Annexcd
Ratc pcr $1,000
Asscssed Value
1979 or before
1980
1981
1982
1983,
1984
1985
$3.46
3.38
3.32
3.21
3.06
2.92
2.73
'." ,'.'
Credit for Parcel or Land Only If Applicable
'. Improvement'(if after annexation datel
, "',
. .
':'
','
.:,~. j 7,
',.,.! \
,
".. ." ,.
, . " . ~ '.',
=
..---~--"
Year
Annexed
-~-'-
Rate per, $1,000 .1
Assessed Value
1985
1986
t987
1988
1989
1990
1991
1993
$2.46
2.14
1.77
1.37
0.97
0.61
0.44
0.15
&-,4-1'> '!S
JI
=
CREDIT TOTAL = $ G.AB~2.
"
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