HomeMy WebLinkAboutPermit Electrical 1999-9-15
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2.2.5 FIFTH STREET NO ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 TlCE" t::JOJ' (,
INSPECTION REQUEST.: 726-3il}-i/SPERM" Ci ty Job Number I II 'J..l-
OFFICE: 726-3759, Al.JTH ITSHA1..J.. '
ORIZEDU ~PI/({,gltJ'-I.ETE FEE SCHEDULE BELOII
1. LOCATION OF INST~LAT~gMMENCED NDERTHI'<:;OJ:",'HEVvORIf
S'rffl'l f/II r 1I1T/l~1D!I{J' ORISAAAN "Ne-.n~M~ial-Single or
. - "y PERIO l:tnf.JLt6J,i,m'HY per dwelling uni t.
LEGAL DESCRIPTION 0 .D. SerVl'2e'l'1Included:
Ig02..0~J.j ()(}SOO Items Cost Su
$ 85.00
1000 sq.ft. or less
Each additional 500
sq. ft or portion
Permits are non-transferable and expire thereof
if work is not started within 180 days Each Manuf'd Home. or
of issuance or if WOI'k is suspended for Modular.'Dwelling
180 days. ATTENTIOI\!:Orsgor/ law le~ulre~ ySer.vice or Feeder
, "'A~JlfIlC!r\"I"'."'rlnoted bytheOreoon Ul ',.y
2.. CONTRACTOR INSlQOtmlfffi9JK~mr!:r. Tho~;crule!!:lre~!m..i!les ~r Feeders .
. In nA'1.oo:;?-:' '1-00~..,o.~~2~R lfJ!.s~e~la tl~n I . Al tera tlons
Elec trleal Con trac t8fiJ!"~'\oI~ ;,",::.: ;..::~:::-: _::j""'.v.......,: ~11E;'?51f.l~,e....lpca tlon.
Address ......,dZ- ~ceISO(:(!\!.;lt:::thetelertonO'1e or less
/ (; 7 .. '7-- "j'J'''y Not'li ic.amps
nUIIIUtfllUI 1llO "",.uO';;;t-:........... 1 b. 20-t amps to 400 amps
Ci ty ~ PhoneC7P'9'i>..y,g:i'fc;32-')<l44)'401 amps to. 600 amps
~ 601 amps to 1000 amps
Supervi.sor License Number 9'15-S Over 1000 amps/volts
Reconnect' Only
/l/ o{
Constr ContI'. Number b 3./~7 ISJ;~ $-
12.../ if "l
I
Signat~~rvis~ian _
Owners Nam/ CtIJ- WfU:J /'II.P
'Address Sb Jo/ ,<)!&\,,.J V-
Sott~
JOB DESCRIPTION
MalulA tht:/ E
6NPe..r,';;'"
Expiration Date
Expiration Date
Ci ty
Phone 7~6. u 71
O\INER INSTALLATION
The installation is being made on
property I own which is not intended
for sale. lease'or rent.
Owners Signature:
---------f--r.--------------------------
DATE: Clf//rI11 .
RECEIPT II: IJsS'><;, 7- /l If
RECEIVED BY: ~ (,J I-'\.
$ 15.00
2- . $ 40.00 rO
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
c.
Temporary Services or Feeders
Installation, Alteration or Relocation
2.00 amps' 'or less
2.01 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
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New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit jl
$ 35.00
$' 2.00
~'t
E. Miscellaneous (Service/feeder not include,
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 2.0.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE ~9. #
.2BY. State Surcharge C:.81/
3% Administrative Fee !.jr&
TOTAL (n,&./o
.
. p.'?J, Willamalane
t, l Park & Recreation District Job. No. qq tQ&.~
f" SYSTEM DEVELOPMENT CHARGE
WORKSHEET
\. ~f\.JU} \Sl'h.t ~ '\
ADDRESS: S~L/'~~_~WJ.~.t\
.
NAME:
PHONE: "1&C,-;ll1\
STATE: (J~ ZIP:.11=LL~
LOCATION OF PROPOSED BUILDING SITE:
Street Address: . S ~ <2':)4 \R ~ .\1 ~ .
Plat Name: \ ~C'!!::l r\ ~"3.
Tax Lot Number: CYl\~ c.m
1. OEVEL0Pf/lENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelfing t
ype definitions are on the back.) .
A. SinnlA-Fl'lmilv DAIl'l~hAr!
Single Family home ,.
NO. OF UNITS L
'( Manufactured home not in a park
X $1,000 per unit = $ l Q'(Jt\ ~
B. 8innIA'-Fl'lmilv Attl'l~hArl
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoarfmenl
NO. OF UNITS
X $692 per unit = $
D. MRnllfRr.lllrArl HQ!T1A PIJI:k
NO. OF UNITS
X $699 per unit c $
WILLAMALANE SDC $
2. sec CREDIT (II appncable) SDC-payer must {UrtqSh proof of
WiUamalane Credit approval See SOC Credit Wot1csheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(If SDC reduced for Credit) $
R"R_ .. .
D~tfpment Services Department
City of Springfield
Q,17,17
Date
. JOURNAL OillOB NO. Ci'1 /2 z.~
ATTACHMENT A .
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY:
~R.I2.'( TlZ..""},,,,<,c;
LOCATION:
&::;q~4
M-r \ /7=IlAJnA I
DEVELOPMENT TYPE:
VI ~~_ /1....
BUILDING SIZE:
LOT SIZF
SQ.Ft.
I. STORM DRAINAGE
t1~~, ~r2.go
G~Gll'(".o.c\ ~ ~ 7'-
Za,v&.6 ~a..r.J
W.....rl1' '='" ~
- .
, ''''
IMPERVIOUS SQ. FT. 3.4-% X $0.232 PER SQ. FT.
$ 7""1 7 .I r;-
2. SANITARY SEWER-CITY
NO. OF PFU'S I~
(See Reverse Side) .
X $48.27 PER PFU
$ ~(",~~
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER PM PEAK. HOUR TRIP
X I. rl/
X $486.73 PER TRIP
$ 4<=!I.{;,o
X
X $486.73 PER TRIP
.
$
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO. OF FEU'S I
X Z4Z.76 PER FEU
$ 742..,7'"
. B. IMPROVEMENT COST:
NO. OF FEU'S
X 77 .o.,.PER FEU
,$ ?? Q~-
MWMC CREDIT IF APPLICABLE (SEE REVERSE) < $ -" 7. a- >
MWMC ADMINISTRATIVE FEE $ 10.00
TOTAL-MWMC SDC $ cO?,76
I .
5. ADMINISTRATIVE FEES:
BASE ~E (SUBTOTAL ABOVE) X .05
Vf.--. _ Date: c;-/o-9'3'_
SDC Coordinator
ATTACH'A,WPD
SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ 2.. ?rda: .37
$ II? Z.7
TOTALSDC
i...2;. 4,B.~
FIXTURE UNIT CALCULA TION TABLE: Number of New Fixrures X Unit Equivalent = Fixrure Unils
(NOTE: For remodels, calculate only th~ additional fixrures) . .,
. NUMBER OF UNIT FIXTURE'
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Balhtub........................... ........................... ........ ........
Drinking Fountain.......... ....................... .......... ..........
Floor Drain..................... ............................ ...............
InlerceplOrs For Grease/Oil/Solids/Etc.....................
Interceptors For Sand/Aulo Wash/Etc......................
Laundry Tub/Clotheswasher/Mop Sink....................
Clotheswasher - 3 Or More......................................
Mobile Home Park Trap (1 Per Trailer)...................
Receplor For Refrigerator/Water Station/Etc...........
Receptor For Commercial Sink/Dishwasher/Etc......
Shower, Single Sial!.................................................
Shower, Gang.......... ......... ..............:....... ............. .....
Sink: Bar, Commercial, Residential Kitchen............
Urinal, S tail/W all.......................................... ............
Wash Basin/Lavalory, Single...................................
T oilel, Public Installation.........................................
Toilet, Private.................. ........................................
Miscellaneous:
'2--
2
I
2
3
6
2
6
6
I
3
2
l/Head
2
2
I
6
4
"'1..
2...
TOTAL FIXTURE UNITS '. =
CREDIT CALCULATION TABLE:
credits separately.
II
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'2..
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R
115
Based on assessed value. If improvements occurred afJer annexation dale in table, calculate
Year
Annexed
Rale per $1,000
Assessed Value
$4.~
~.)~
4.32
4.20
4.03
3.88
3.68
3.38
3.03
2.62
Year
Annexed
CJ979 or before
~-9S(l
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
Credit for Parcel or Land Only If Applicable 4.4-7 . X $ It;, ##0
(Rale X Assessed Valne)
Improvement (if afJer annexalion dale) X $
(Rale X Assessed Value)
= _67 n,
'I
Rale per $1,000
Assessed Value
2.18
1.75
1.35
1.17
1.03
0.86
0.71
0.57
0.39
0.18
CREDIT TOTAL =$ t:.7.os-
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Residential........................... 0.4
Commerica!......................... 0.9
Industrial.............................. 0.5
GovernmentaL................... 0.5
FlXUNIT. WPD
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT