HomeMy WebLinkAboutPermit Electrical 1992-11-09..J--
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225 FIFTE STPAET
sPRINGFIELD, ORBGON gV477 vDg
INSPECf,I0N REQIBSTt 726-3769 '
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ELECTRICAL PER}IIT APPLICATION
City Job Nunber ?Zly'Z'q,
OFFICE: 726-3759 Y9b2-PEE SCEEDULE BBLOV
Nev Residential-Single or
HuIti-Family per dwelling unit.
Service Included:
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Hodular Dvelling
Service or Feeder
I s 8s.00
$ 1s.00
$ 40.00
Services or Feeders
Installation, Alterations or
Relocation:
1. LOCATION OF INSTALI.ATION':
BB2 S- 44th Street
IJGAL DESCRIPTION18 02 05 2 7 TL 5700
JOB DESCN,IPTION
SingTe FamiTg Residence
Permits are non-transferable and expire
if vork is not started vlthin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACf,OR INSTALT.ATION ONLY
Electrical Contractor Rose Cotporation
Address 89976 DaV Lane
Ci ty Eugene,phone 686-0905
Supervisor License Number 7568 S
Exp iration Date 10-1-93
Constr Contr. Number 54431
Exp iration Date 9-30-95
Signat pervrs Electrician
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _
601 amps to 1000 amps-
0ver 1000 amps/vo1ts
Reconnect oniy
A
Sum
+5
B
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
c Temporary Services or Feeders
Installation, Alteration or Relocation
2oo amps or less v $ 40.00 CO
201 amps to 400 amps $ 55.00
0ver 600 amps or 1000 volts see I'B'r above
0vners Name Capstone Homes, Inc. of Oregon
Address P.O. Box 22636
CityEugenet oR 97402 Phone 6 89-5557
OSNER INSTALI.ATION
The installation is being made on
property I ovn which is not intended
for sa1e, lease or rent.
Ovners Signature:
DATE:
RECEI
D. Branch Circuits
Nev, Alteratlon or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit S 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
sign/outline Lighting-
Limi ted Energy/Res
Limited Energy/Comm :
STETOTAL OP ABOVE
5Z State Surcharge
TOTAL
$
$
s
s
00
00
00
00
40.
40.
20.
36.
5
RECEIVED B
OC
FIXTURE UNIT CALCULATTON TABLE:
For remodets, catcutatJi"[tn" Ug additional lixtures)
Number of New FMures X Unit Equivatent = Fixture Units (NOTE:
FIXTURE
UNITSNUMBER OF
NEW FIXTURES
UNIT
EQUIVALENT
FIXTURE TYPE
Urinal,
Wash
Water
Water Closet, Private"""""""
Miscellaneous
CREDIT CALCULATION TABLE
calculate credits s
Z
b
TOTAL FIKIURE UNITS
t
2
1
2
3
6
2
6
6
1
3
2
1l
2
2
1
6
4
Head
Based on assessed value' lf improvements occurred after ann exation date in table'
Credit for Parcel or Land Only lI Applicable
lmprovement (if after annexation date)
,bv x$I l.o zt'2
(Rate X Assessed Value)x$
(Rate X Assessed Value)
CREDIT TOTAL = $3t'2
RAINAGERUNOFF COEFFICIENTS FOR STOBM D
Assessed Value
Rate Per $1'000Year
Annexed
Assessed Value
Rate Per $1,000Year
Annexed
1 985
1986
1987
1988
1989
1 990
1991
$2.16
1.90
1.60
o.25
0.87
0.50
0.16
1979 or before
1980
1981
1982
1 983
1984
$2.83
2.76
2.71
2.60
2.46
2.33
IMPERVIOUS AREA : TOTAL LOT SIZE X RUNOFF COEFFICIENT
Drinking
Floor
lntercePtors For
lntercePtors For Sand/Auto Wash/Etc.--
4
2
z
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NAME OR COMPANY:
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(C0MMERCTAL & RESTDENTTAL)
f^tc. oFe
LOCATION:qbz ,. .4+ t+Sr. lf<oz o9?-l - 5 -7oo
DEVELOPMENT TYPE : LDP- - Ne.w 9re
BUILDING SiZE:T SIZ F
1. STORM DRAINAGE
IMPERVIOUS sQ. FT. Zt+ t- X $0.192 PER SQ. FT.
2. SANITARY SEI,JER-CITY
NO. OF PFU'S Z?X $39.78 PER PFU
(See Reverse)
3. TRANSPORTATiON
NO OF UNITS X TRIP RATE X COST PER TRIP
x _ x $40r.05
x _ x $401.05
4. ADMINISTRATIVE FEES
BASE CHARGE (SUBT0TAL AB0VE) X .05
5. SANITARY SEWER_MI^,MC
NO. OF PFU'S Z9
(Use PFU Tota'l From Item 2 Above)
Mt^lMC CREDIT IF APPLICABLE (SEE REVERSE)
!^-,).- / o
Kip Burdick
SDC Coordinator
TOTAL-CITY SDC $ lBtu c>v
$13.62 PER PFU + $10 M[,.TMC ADMIN. FEE $7ZZZ9
bt'2
sQ. Ft.
s
$
SUBToTAL (ADD ITEMS 1,2, & 3)$ llbo
TOTAL-Mt^lMC SDC
I X /,oo9 X $40r .0s
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TOT AL SDC zlo