HomeMy WebLinkAboutPermit Electrical 1993-4-2
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225 FIFTH STREET 08Ie__0'2._13- ---,--- ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON <f711{JJ7,zadr>, nQ fV,nQ
INSPECTION R.EQUEST: 726-3769sr'"'..J~-II C'ity Job Number ":"'k.JCA) 'r)
OFFICE: 726-3759 _________ '
3. COHPl:.KtE FEE SCHEDULE BELOY , ...b1'
1. ~~"'M'ITt't'tn~ S\ A. ::r,:~::::;:';:;S::::lii~ "H. ~, .
'1~~ION~ Service Included: Items Cost Sum
J()~E~ ' )~
b e and ixpire
in 180 days
suspended for
Permits are non-transfe
if vork is not started v
of issuance or if vork is
180 days.
2. CONTRACTOR INSTAL'f!(ON ONLY
Electrical Contractor 11\ I '\OS
Addre~~.' 1 'L N\tll~r\~\ , ij, u~
City n\ ',Id 'p~one Rq~,~q4~
Supervisor Licen.se Number J8 '7 (~ '
\f). \.OJ5
0'74r;~
13,qS
Expiration Date
Constr Contr. Number
Expiration Date 1 \
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
DATi~------~---;:~~~~C:{~--~-----
RECEIPT I: \.....!I - '/M'll /')
RECEIVED BYV"J. fV'),) '- ~
C-/)~
SPRINGFIELD
1000 sq.ft. or less
Each additional 500
sq. ft or portion,
thereof
Each Manuf'd Home or
Modular Dvelling
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
1
$ 85,00
8~
$ 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
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 40,00
$ 55.00
$ 80.00
see "B"
above
200 amps or less
201 amps to 400 amps
Signat,~, of Supe Over 401, to 600 amps
~, Over 600 amps or 1000 volts
V /'.' 1. Y.if'\ ..,k~C\.~D. Branch Circuits
I ~vners N~e L\\f:l.\l! 0 J! l ~~ .
\\')11"'\ ~\.:J ~/ t;;:::..D ew, Alteration or Extension Per Panel
Address ~ t ) ~x..) \. ),~
Ci ty 2f1fLrt. ~hone.:c1h.ff&1
OWNER I~STALLATION
$ 35,00
$ ,2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/CQmm
$
$
$
$ 36.00
'\"': 8!, cD
~ .w..~
Ci::. .,.Q "S
E.
5. SUBTOTAL OF ABOVE
", 5% State Surcharge
TOTAL '
not included)
40,00
40,00
20.00
"
.
. JOB NO. q~oo, B
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: Ro~Cft--r f?,
LOCATION: L/-C(L/b MA-IN 57.
I-IA-M I L. TON
/101- '?'l-4-( - 00&00
I
1A.1A-,CHMAiJ ~ &JAg TEt:.Sc.
DEVELOPMENT TYPE: C,.c.: ^IIGrHT
..
BUILDING SIZE: 1-0 I-?;m
LOT SIZE
SQ. Ft.
1. STORM DRAINAGE
IMPERVIOUS SQ. FT.
2. SANITARY SEWER-CITY
NO. OF PFU'S
(See Reverse)
3. TRANSPORTATION
fo(){') X $0.192 PER SQ. FT.
c;: 115~
~
~ X $39.78 PER PFU
(~8~
NO OF UNITS X TRIP RATE X COST PER TRIP
. " X. 1-(, X $401.05
c: foz50
-- --
X
X $401.05
X $401.05
$
$
X
$ 5",c:7h
SUBTOTAL (ADD ITEMS 1,2, & 3) "'7
4. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
($" Zt; 7?)
---------
TOTAL -CTTY SDC $ 5",'2 5.2
5. SANITARY SEWER-MWMC
NO. OF PFU'S ~(.L1 _ x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ --
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
~~f 1/1-7fS
SDC Coordinator
$
TOTAL-MWMC SDC~ ~ ~
..... ---
TOTAL SDC $ 5"-2.52.
FIXTURE UNIT CALCULATlA TABLE: Numbe~ of New Fixtures X .qUivalent = Fixture Units (NO~E~ '
For remodels, calculate only the NET additional fixtures)
FIXTURE TYPE
NUMBER OF UNIT FIXTURE
NEW FIXTURES EQUIVALENT UNITS
2
1
2
3
6
2
6
6
1
3
I 2 7-
l/Head
/ 2 2-
2
/ 1 J
6
I 4 '-f
Bathtub............ ............... ............. ...... ..........., ............
Drinking Fountain,........ ............,..,.....,..,.. ,....... .........
Floor Drain..,..,..,..,.. .............. ..........,..,..,.., .......,..,..,..
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For Sand/Auto Wash/Etc......,...........
Laund ry Tub /Clotheswasher.......,.....,........ ............,
Clotheswasher - 3 Or More.................,;..................
Mobile Home Park Trap (1 Per Trailer).................,
Receptor For RefrigeratorjWater Station/Etc,......,
Receptor For Commercial Sink/Dishwasher /Etc..
Shower, Single StalL..,..........,....,..,........,..,.....,....."
Shower. Gang....,.....,....,..,..........,..,...."..,."....,.....,..
Sink, Bar. CommerciaL..,.."....,..,..,....""......."........
Urinal, StalljWall.,.......,.....,...."....,..........,..,..............
Wash Basin/Lavatory, Single,..",.....,..,................",
Water Closet, Public Installation.............................
Water Closet, Private.........,.....,....,..,..,..,.............,..,
Miscellaneous:
TOTAL FIXTURE UNITS
=
q
CREDIT CALCULATION TABLE:
calculate credits separates,
I
I
l
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
'l
1979 or before
1980
1981
1982
1983
1984
$2,83
2,76
2,71
2,60
2.46
2,33
1985
1986
1987
1988
1989
1990
1991
$2,16
1,90
1.60
0,25
0,87
0,50
0,16
Improvement (if after annexation date)
X $ =
(Rate X Assessed Value)
X $ =
(Rate X Assessed Value)
CREDIT TOTAL = $
Credit for Parcel or Land Only If Applicable
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Residential.,........."..........",..,...........,.......,..,.... 0.4
CommerciaL..,....,......,...."..,.."..........,..,..,..,.... 0,9
Ind ustrial. ,..,.,..,....,...,....,.....'"..,..,..,..,.......,..".., 0,45
GovernmentaL,..",..,..,..,..",..,..,..,..,..",..,.."..", 0,5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT