HomeMy WebLinkAboutPermit Electrical 1994-10-12
.
.
Tho tol owang proJB as su m
zoning, and does not require specific land use
approval.
225 FIFTH STREET Zoning L-DIZ--
~~~~~:fiEg~~~ 9~;~~ 10-11--'1'-( City Job Number
OFFICE: 726-3759. Authorizod Signature. fJ fV-'
-'. '-VII>'L.Hr. ~r.'; SCHEDULE BELOII
1. rt~\~~ ~~~~~'t\~ 10?
IftDO&~~~ Wl2cO
;;::~~~f~'=:i"
if work is not started within 180 days
of issuance or if work is suspended for'
180 days.
CONTRACTOR INSTALLATION ONL~
Elect 'cal Contractor ~
/
Address
City
~
~ne
Constr
"'"
Supervisor
Expiration
Number
Expir ion Date
S. ature of Supervising Electri~
Temporary Services or'Feeders
Installation, Alteration or Relocation
1(LcD
A.
New Residential~Single or
Multi-Family per dwelling
Service Included: .
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular 'Dwelling
Service or Feeder
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
C.
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
~-.0- \^ _A\ \ \ . D. Branch Circui ts
Owners Name U I'--)~ , l J. 1'\ l ~D.,,(\~
~..I\7'lr'1 m~" . . New, Alteration
Address _<-J J ~ l ~ R /\
Ci ty ~LN Phone
O\INER \NiTALLATION
The installation is being made on E.
property I own which is not intended
for sale, lease or rent.
s Signa:7!~, )
:CE~:-f,--~~~l?-~r i -~--:~ 5.
RECEIVED By:I:2lVJ~./ \~\) J U
uni t.
Items
Cost
, Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
volts
$ 40.00
$ 55.00
$ 80.00
see "B"
above
"
or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$35.00
$
2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Eneigy/Comm
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
4()~
rY.UU
{,:-UJ
"t~/~
40.00
40.00
20.00
36.00
SYSTEMS DEVElOPMENT CHARGE
WORKSHEET
r['\~rl ~ ~ PHONE:!ill . t)(Jf) /
. ~~ 0 ot:J::if-cQlI_ STATE: QfzIP ~
.
~,... Willamalane
'tg' Park & Recreation District
NAME:
ADDRESS:
.
Job No. q4/~/ 01
LOCATION OF Ii'ROPOSED B~Wl"lG SITF,O "2 \. f\
, Street Address if Known: -1.UU T" . "1 6 ()f' ,l ~ l) r\ l'eJ
Tax Lot Number: \ ~a?(Jf) 0 ~ fJJld'fj
Platt Name:
C MIl l0
1. DEVELOPMENT TYPE (Check appropriate dwelling(sl. SDC Calculations and dwelling type
definitions are on the back'>
A Sinele Familv - Detache<:!
Single Family home
NO OF UNITS
B. Sinele Familv - Attached
NO OF UNITS r!J
C. Multi-Familv Aoartment
NO OF UNITS
D. M~nufactured Home Park
NO OF UNITS
WPRD SDC
Manufactured home not in a park
X $400 PER UNIT _=
$
X $370 PER UNIT =
. $ 140 ,en
X $277 PER UNIT =
$
X $280 PER UNIT =
$
$!}j{) .C()
$ kfcJ
$14(),
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 Creditl
~~*TI1~V
r:..... ~L c__:.......(:.....I...I
~~~ / ~ /Of\
'1'
.
ATTACHMENT B1
.B NO. 94/5-' 7
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: ~ A"'~
LOCATION: -:;0// d 7/0/3 (;.~ P/1,
DEVELOPMENT TYPE' .(?~~
I '
BUILDING SIZE: 31' x 7.2 (/iAIIES) 10T SIZE
" P/kI~2 d 7);.(2.01C2'-)
1. ~TORM nRATNAGE '.
SQ, Ft,
IMPERVIOUS SQ. FT, 39;t'i
2. SANTTARY SFWFR-CTTY
NO, OF PFU'S 1/
(See Reverse)
3, TRANSPORT AT! ON
X $0,209 PER SQ. FT,
$~
X $43,26 PER PFU
, t(irn.,,~
NO OF UNITS X TRIP RATE X COST PER TRIP
x
X
X $436.19
X $436,19
$(j8' ~)
$
.2
X /.0/ X $436.19
$
SUBTOTAL (ADD ITEMS 1.2. & 3) $ ~ ~K""./r
4, ~ANTTARY SFWFR-MWMC
NO. OF PFU'S -?-/ x $17.19 PER PFU + $10 MWMC ADMIN,FEE
'~', (Use PFU Total From item 2 Above)
HWMC CREDIT IF APPLICABLE (SEE REVERSE),
TOTAl -MWMC snc
SUBTOTAL (ADD ITEMS 1.2,3 & 4)
$ '11 -;t. n'
.
$ ;r,zr.t;o
10"!"'~
$ "'/2"..1 b
5. ,An~TNTSIATlVF FFFS
BASE CHARGE (SUBT~T~VE) X ,05
~. #~. Date: /o-;z.s-9~
~ary or i9. P,E. \ }
SDC Co di nator \../ .
(2~
IQIAI sor
1> "1-33.:<,(,1"
B2,SDC .
. .
FIXTURE UNIT CALCULAION TABLE: Number of New FiaS X Unit EQu;valen; c Fixture Units
(NOTE: For remodels. calculate onl~C IiEI additional fixtures)
. NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS
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 11 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/\"'all..: ...':,......,...,. ,.....,.... .....,... ..... ,.,.....,.
\^lash Basin/Lavci:ory, Single.....,............................
Toilet. Public Installation..,..........".,...... .....,..,..,....,
Toilet, Private,....,...................."..".......,..,..,......,..
t-.1iscellaneous: ,TANI TCR'.s ,$./",,'):'
~
1
2
1
2
3
6
2
6
6
1
3
2
1/Head
2
2
1
6
4
...1
..20
,.<
4-
.:<
4
2.
4
s-
s-
s
TOTAL FIXTURE UNITS
-1/
c
CREDIT CALCULATION TABLE: Based on assessed value, If improvements occurred after annexation date in table,
calculate credits sc~arates.
II
Year
Annexed
Rate per $ 1 ,000
Assessed Value
1 9i9 or before
1930
i9S1
i~c2
$3.46
3,38
3,32
3.21
3,06
2.92
2,i3
1923
1984
1985
Year
Annexed
Rate per $ 1 .000
Assessed Value
1985
1986
i987
1988
iSS9
1990
1991
1993
$2.46
2,14
1.n
1.37
0,97
0,61
0.44
0,15
";t9. C; 0
s,-'f(;, X $ :2.1.56.0 c
(Rate X Assessed Value)
X $ =
(Rate X Assessed Value) ,
Credit for Parcel or Land Only If Applicable
Improvement (if after annexation date)
---
CREDIT TOTAL
1'/, ~ 0
= $