HomeMy WebLinkAboutPermit Electrical 1992-6-17
SI.IIINt;r-IELD
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225 FIITH STREET 'Tho !Q:l~...i"g projeel as 8ubmlltad _lIiii.,.........", AL PERKIT APPLICATION \
SPRINGFIELD, OREGON 97477 zonin\J,endd(;(j3n~ulWllh" O'? ('""(:LA
INSPECTION REQUEST: 726_3M(01iel. Ci ty Job Number - \ ...LJ C{)
OFFICE: 726-3759 Zon!!!q ..',
\ ,~X \. O. COHPLETE FEE SCHEDULE BELOV ~
1. LOCATION OF INSTAL~TI~. . '~
<::? ~ t::;" Jvfl,}.rA/ AIIll\C;izGl:S:gn.tu~l\\ No" lI^rillllRtial-Single or .
Hulti-Family per dwelling unit.
\I~~:~ION t\.~\n() Service Included: Items Cost ' Sum
~OA. DESCRIPTIOlj
( .J \. '\ i\\,\. \ ,-t:5:\)
"
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor rJIX-O!Ll Fi.F:/.
Add ress ,,< l-/ / L/ D E:.i _ MANa (''-...-'
City ~I/I,&l/i;' Phone 7Lfl/-o!rlJ
Supervisor License Number :5 iPfl.f6
o
Expiration Date 1(9-1- 9' 7.
Constr Contr. Number J.f. ~ 0/ L/
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Modular Dwelling
Service or Feeder
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
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Signature of Supervising Electrician
,.,}/JM ~j
ow:ers Qame t\ X" . ~ \.In.\\
Address ~G ~> V\-\.aR
CityRr-\\-\n ;hone 1~\O:\()~~~:~hC~~~~~~onal '
~t\ -. . Circuit or with Service
OIINER INSJALLATION or Feeder Permi t '1 $
The'installation is being made on E. Miscellan'eous (sertce~der
property I own which is not intended -Each installation
for sale, lease or rent. Pump or irrigation
Sign/Outline Lighting
Limi ted Energy/Re's
Limited Energy/Comm
Expiration Date
t: /z--.; 9'~
;
Owners Signature:
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
New, Alteration or
volts
$ 40.00
$ 55.00
$ 80.00
see "Bn
above
Extension Per Panel
$ 35.00 ~
~~;~~--~-~-l-[-;;-:~~~----------J-~~/';~~~~~;~; ~~r~~~~e
RECEIPT #: ~ ~r.:::>.- \5\'ll"")J 7f!fl-::: TOTAL
RECEIVED BY: \.~ I J ,p'/!h.~~
~ ~ I -r:..;e-tvrp? .
2: 00 \~
+'000
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
~ ~~ I~;:
-~~ f . ~1 ~~;~
.. .. JOB NO. '1:1.0701
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(PROFESSIONAL OFFICES & INDUSTRIAL)
NAME OR COMPANY: ~ 'De... l) Ut-l~
LOCATION:
'5T2..<? MA-l t-l ,,:::>, ,
\,Q"2-?'=?4 \ - O~\OO
DEVELOPMENT TYPE: c..c. ~ Q.oIVlf'L-E--q::. U::~S~ c,.PA-c..~
BUILDING SIZE:
LOT SIZE
SQ, Ft.
1. STORM DRAINAGE
,
IMPERVIOUS SQ, FT. 0.5 x ~ X $0.186 PER SQ, FT,$ ~
(See Reverse For Runoff Coefficients If Actual Imperv. Area Is Unknown)
2. SANITARY SEWER-CITY
NO. OF PFU'S 0.5 X ~ X $38,55 PER PFU
(See Reverse To Determine Total PFU'S)
}-~
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
0.5 X
X
X $388.61
$
-e-
0.5 X
X
X $388.61
$
$
0.5 X X X $388.61
(See Attachment C To Determine Trip Rates)
TOgL-CiT" SOC
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$,.-z. l-,t -
'Zroz So
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4. ADMINISTRATIVE FEES
SUBTOTAL (ADD ITEMS 1,2, & 3)
I. s1-1v 'If '7,~
3ASE C~~RG~ (S05~OT~L A5JV~)
'-' ,.:-
.", . \,)J
5. SANITARY SEWER-MWMC
NO. OF PFU'S \ I x $13.25 PER PFU + $10 MWHC AOf1IN. FEE S IS;' '2-
(Use PFU Tot~l From It~m 2 AboV2)
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
Ie::::' r :B. L vk.. "5/W/ 'h.
, 'lfi p Burd i ck
SDC Coordinator
S
TOTAL-HWHC SDC S ISS ,""
TOTAL SDC $ ~
t(-IS ~ ~
FIXTURE UNIT CALCU~" TABLE: Number of New Fixture.Wquivalent = Fixture Units (NOTE:
For remodels, calculate only the NET add'lrional fixtures)
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
'"
2
1
2
3
6
2
6
6
1
3
2
1 /Head
2
2
1
6
4
:z..
Bathtub..................................................................... .
Drinking Fountain.....................................................
Floor Drain.... ........................ ........... .........................
Interceptors For Grease/Oil/Soiids/Etc.................
Interceptors For Sand/Auto Wash/Etc..................
Laundry Tub /Clotheswasher...................................
Clotheswasher - 3 Or More.....................................
Mobile Home Park Trap (1 Per Trailer)..................
Receptor For Refrigerator jWater Station/Etc........
Receptor For Commercial Sink/Dishwasher /Etc..
Shower, Single StaIL.......................:......<.................
Shower, Gang..........................................................
Sink, Bar, Commercial.............................................
Urinal, StalljWall.......................................................
Wash Basin/Lavatory, Single..................................
Water Closet, Pubiic Installation.............................
Water Closet, Private...............................................
Miscellaneous:
'"
c...
TOTAL FIXTURE UNITS
1\
CREDIT CALCULATION TABLE:
calculate credits separates.
I
I
Based on assessed value. If improvements occurred after annexation date in table,
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
1932
$2.66
2.64
2.53
2.41
2.19
2.04
1985
1986
1987
1988
1989
1990
$1.69
1.35
1.15
0.92
0.59
0.23
.1
) ~
1979 or before
.,1980
1981
1983
1984
Improvement (if after annexation date)
X $.
(Rate X Assessed Value)
X $ =
(Rate X Assessed Value)
CREDIT TOTAL = s
Credit for Parcel or Land Only If Appiicable
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Resid entiaL...................................................... 0.4
CommerciaL............................................. ......- 0.9
I nd uslriaL.......................................................... 0.45
GovernmentaL......... ... ... ... ........ ........... ......... .... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT