HomeMy WebLinkAboutPermit Electrical 1995-9-27
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225 FIFTH STREET . 20nln9_ ~ : 0
SPRINGFIELD, OREGON 9747(Jate q - ~ 7-J?
INSPECTION REQUEST: 726-3ng- ~
OFFICE: 726-3759 Authorized Signeture
3.
1. LOCATION OF INSTALLATION
.!RR;:) trJa/n 51.
LEGAL DESCRIPTION
/ )..0:2-- ~ ~- -:s- ~ /"::??> 5~
JOB DESCRIPTION
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Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number q~6/:;-
COMPLETE FEE SCHEDULE BELOV '*
Nev Residential-Single or
""Hi-paily pH ,.,1U" "~" - -
Service Included:
A.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Ovelling
Service or Feeder
Items
Cost
Sum
$ 85.00
$ 15,00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor.Sonitrol Security or Relocation:
\
Address P.O. Box 21009
City tuuene
Phone 461-5678
Supervisor License Number />1/ ;eq-
Expiration Date
Cons tr Con tr. Number 651 49
Expiration Date 6-28-96
Signature of Supervising Electrician
'/\./7 .
a/1,;l /. ~e
Ovners Nam~ t//J1;;'nf'<:: oPe
Address &Yne_
City Phone
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale. lease or rent.
Ovners Signature:
---------------------------------------
9-7?'9:>
/'7./"Y""=(
~--
DATE:
RECEIPT 11:
RECEIVED BY:
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
$100.00
$130.00
$300.00
$ 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 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
Nev, Alteration or Extension Per Panel
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm ~ $ 36.00 ,'Yn Ob
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
~ =34> (TO
J 80
/ 0;.1
.'3 1? x-X'
..
.OB NO. q'5oc.. t S
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
,-
NAME OR COMPANY: ~'.
.A_
LOCATION:
;:59;q2 Main S+--
DEVELOPMENT TYPE:
BUILOING SIZE:
l.OT SIZE
$Q. Ft.
1. STORM DRAINAGE
IMPERVIOUS SQ. FT.
X $0.209 PER SQ. FT. ~
)
----
2. SANITARY SEWER-CITY
NO. OF PFU'S l
(See Reverse)
~
(o.?) X $43.26 PER PFU
~
~~i)I~'~
........ _ H_ _____
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X
X
X
X $436.19
X $436. 19
X $436.19
c;-
-----
$
$
)
----
4. SANITARY SEWER-MWMC
NO. OF PFU'S x $17.19 PER PFU + $10 MWMC ADM FEE
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
$
BASE CHARGE (SUBTOTAL ABOVE)
~--jz ~-~
)-i~
SDC Coordinator
X .05
Date: '5/Z'Z/'i'S
TOTAL SDC
$
rJ
$~ l~\~
*
G~)1~
............ ..-/
$.:o/Pl~ +Ic;,~~
TOTAL-MWMC SDC
SUBTOTAL (ADD ITEMS 1,2,3 & 4)
5. ADMINISTRATIVE FEES
o'''"..:f','-... ';'_ ,....;.: .
,,<,... .
:-;-. -:--.~. .
~.i~ I. .
FIXTURE UNI~ C;;A!:~ULA TJjlN T A.BLE: Number of New Fixture'ilit.Unit Equivalent = Fixture Units
(NOTE: For remodels; calculate only th.-r addItional f,xtures) .
, NUMBER OF UNIT FIXTURE "
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Sa thtub......................................................................
Orinking Fountain............."".""...."...."............. ... ...-_....
Floor Drain.......................... ................................ ......
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For Sand/Auto Wash/Etc..................
Laundry T ub/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
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
'7
.. .
.',
'0 "".
TOTAL FIXTURE UNITS
7
CREDIT CALCULATION TABLE:
calculate credits separates,
r-- Year
I Annexed
Based on assessed value. If improvements occurred after annexation date in table,
----.-
_.-._,-
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
1985
1986
1987
1988
1989
1990
1991
1993
$2.46
2.14
1.77
1.37
0.97
0.61
0.44
0.15
1979 or before
1980
1981
1982
19B3
1984
1985
$3.46
3.38
3.32
3.21
3.06
2.92
2.73
Credit for Parcel or Land Only If Applicable
X $
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
=
'~~lprove~imqif..after annexation date)
CREDIT TOTAL = $
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