HomeMy WebLinkAboutPermit Electrical 1997-1-3 (2)
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225 ""l'~" "STREET ( ,L,..-. ELECTRICAL PERKIT APPLICATION.
SPRINGFIELD, OREGON 97477':J;,!.' 7' ,
INSPECTION REQUEST: 726-3769 ~'/'City Job Number
OFFICE: 726-3759 Author ad Sign.tur. . ~
3. KPLETE FEE SCHEDULE BELOV
A. New Residential-Single or ~
Kulti-Family per dwelling unIt
Service Included:
Items '~ost Sum
1. LOCATION OF INSTALLATION
3.0>"" ffi"',,, ~.
LEGAL DESCRIPT);Of{.
EM<;I~p,,< no3~'J 3 If ~b () I
JOB DESCRIPTION
Alarm Install~.tion
Per~its are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
.180 days.
1000 sq,ft, or less
Each additional 500
sq. ft or portion
thereof
Each Kanuf'd Home or
Kodular'Ovelling
Service or Feeder
~
$ 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B, Services or Feeders
Installation, Alterations
Elect~ical GontractorADT ~ectirlt~ Systems or Reloc~tion:
Address 1501 Pearl Street. Suite B
Ci ty EUQene. OR
Phone 541-147-111 J
Supervisor License Number q"q JLE
Expiration Date 10/01/96
Constr Contr. Number 59944
Expiration..Date . 04/2'1/97
Signature of Supervi~ing Ele~trician
C-L( If---
Owners Name~^ Tc;\t:nA T(l.~C>o
..__..__^-~~~.E!ss 3a~ Jl\n',^ a. .
:...(;.~-~y'<::T~:~\'PU . Ph9"-~j~g~qCji?3
OWER INSTALLATION
200 amps or less
201.amps to 400 amps
401 amps to 600 amps
601 amps to' 1000 amps
Over 1000 ampslvolts
Reconnect Only
S 50.00
S 60.00
$100,00
$130.00
$300,00
$ 40,00
.'
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
$ 40,0'0
$ 55,00
$ 80.00
see "Bft above
"
New, Alteration or Extension Per Panel
$ 35',00 h . .. ._._..h.__.......... ..
$ 2;00
,.- .. ....
200 amps'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D. . Branch circuits
. ...---.One.ci'rcuft ......_.......
Each Additional.
_M - -- -'CTrcui t orvlt'ii"S'ervi'c:e"
or Feeder Permit
:The 'installation is being made on E. Kiscellaneous: (Service/feeder
'.",'", :iproper.tY.iI"own;.,which is not intended"','~":,,,;--,:","'""-Each' installation'.'~ ..'
~'__for".sale,: lease or rent.' . ,', '-:.;! ,., Pump or irrigation
SignlOutline Lighting
Limited Energy/Res
Limi ted EnergylComm .....L-
Owners Signature:
not included) .
- ',.,"." .. .~ ..." "'''-' ." ...1.....,...,.
,':........'....,~....'. ~.l.l. ........~.t"l,";.. ...
.. J
............. '1'
,
,
!
$ 40,00.. -.:'
$ 40,00
$ 20,00
$ 36,00 16.00
5. SUBTOTAL OF ABOVE
DATE: /1- :J 1, .Lfj/l 5% State Surcharge
RECEIPT ,:. -a..-<,ct'ri 3% Administrative Fee
. RECEIVED B.Y: Jj;' f TOTAL
.,....,."..L-,' '.'
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3{i.QQ
LBO
1.08
38..88.
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JOB NO. 't to 08(., 'f
. ATTACHMENT B .
CITY OF SP~INGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY:
S-olZ- S'''lIfl-/
LOCATION:
:32-3 J.A.A-1tJ 5T/2.(:f:;r
DEVELOPMENT TYPE' 1100/"1(, r""'" He t.J SlJ.Jk5
BUILDING SIZE:
I ()T SIZE
C;Q. Ft.
1. STORM DRATNAGF
IMPERVIOUS SQ. FT.
2. SANITARY SFWFR-r.ITY
NO. OF PFU'S "Z--
(See Reverse Side)
3. TRANSPORTATTON
X $0.216 PER SQ. FT. $
X $44.75 PER PFU
$ 8'f~
NO OF UNITS X TRIP RATE X COST PER TRIP
X X $451. 26 $
X X $451. 26 $
X X $451. 26 $
4. SANTTARY SFWFR-MWMr.
NO. OF PFU'S x$2o.69 PER PFU+$1o MWMC/ADM FEE $ -
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
$
TOTAl -MWMr. SDr.
$
SUBTOTAL (ADD ITEMS 1,2.3 & 4)
or. 50
$ """--
5. 8QtlTNISTRATTVF FFE.S.
BASE CHARGE (SUBTOTAL ABOVE) X .05
$
~e
'f-
ntc'j ("t y:)LLlsfl;/2...
Troy MeA 11 i ster
SDC Coordi nator
Date: --;/aJch
I I
TOTAl SDr.
Q 'l!t-
$ 13
FIXTURE UNIT CALCU~ TION TABLE: Number of New Fixles X Unit Equivalent = Fixture Units
(NOTE: For remodels, calculate o.he tiEl additional fixtures)
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT 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 (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:
2--
TOTAL FIXTURE UNITS
CREDIT CALCULATION TABLE:
calculate credits separates.
r
2
1
2
3
6
2
6
6
1
3
2
1/Head
2
2
1
6
4
=
'Z..
'7..
Based on assessed value. If improvements occurred after annexation date in table,
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
1979 or before
1980
1981
19B2
1983
1984
1985
1986
$3.72
3,64
3.58
3.45
3.30
3.15
2,96
2,68
1987
1988
1989
1990
1991
1992
1993
1994
1995
Rate per $1,000
Assessed Value
$2,34
1.95
1.53
1.11
0,73
0.56
0.44
0.27
0.13
Credit for Parcel or land Only If Applicable
Improvement (if after annexation date)
X $
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
=
=
CREDIT TOTAL = $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
ResidentiaL........................ 0.4
CommericaL......................,' 0,9
IndustriaL........................... 0 5
GovernmentaL..................... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
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