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Home My WebLink AboutPermit Electrical 1999-9-21 , The foliowing projeet as submitted has the following zoning, and does not require specific land use approval.. L D R 225 FIFTH STREET ZOning SPRINGFIELD, OREGON 0}l\4~~ Gl - cl \ - q 9 INSPECTION REQUEST: Au&'?'~ze??~8nature ry; OFFICE: 726-3759 COMPLETE FEE SCHEDULE BELOY 1. LOCATION OF INS~Af.LATION 4:7tA 14hn &J.Cf-bIAS ~ . A. LEGAL DESCRIPTION / 'i /"J 2, :Z-~ 12- n/fbo-D . JOB DESCRIPTION :;; , iJul~ ~/ p7AV~ D-fJo/) 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 Electrical Contractor Address City Phone Supervi.sor License Number Expiration Date ELECTRICAL PERMIT APPLICATION City Job Number New Residential-Single or Multi-Family per dwelling Service Included: 1000 sQ.ft. or less Each additional 500. sQ. ft or jbrtion thereof Each Manuf'd Home. or Modular'D\leiiing 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 Cj'q//47 uni t. Items Sum Cost $ 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 Constr Contr. Number Expiration Date Signature of Supervising Electrician Owners Name -F~ /CA-%.,/ Address..2-~z.;tJ(2C,JL. R/J~('-., (3--; Ci ty!if c;r. "l..Zdt'J.<:; Phone 72.9 :.... Ds-I2- OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature! ~-A :[() ~ --------------~~---~----------------- DATE: 9/2-1/ l' J RECEIPT II:: 'i? 5 c../ ~ ,RECEIVED BY; ..:{'/.>"1""..-.:, 200 amps' 'OT less t..-- 201 ,amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40.00 "i:t2, CJ 0 $ 55.00 $ 80.00 see liB" above " New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL 40.00 40.00 20.00 36.00 $ $ $ $ 4rJ ,00 /.:80 1,20 41 CX) . JOURN.R JOB NO. 99//4,7 ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET . NAME OR COMPANY: ~ 10;<-1 ~'{-r LOCATION: 4n t 4f!x:) /l/;CHOt.A,S .Die.. DEVELOPMENT TYPE: DupL.EiX BUILDING SIZE: LOT SIZE SQ.Ft. 1. STORM DRAINAGE t-kv E'''''r z)(zlY'z7:::/O'~ <f'y":!/ -:.11..+0 ~ " 0/1..>< S'-a.-- /'L'}C-r, ~ ~'-U '!y+o;; 6Co~ I()",(;GJ - 'J51'Z- Il'v1PERVIOUS SQ. FT. 3Q4<.. X $0.232 PER SQ. FT. $ 9/5:. 1-7 2. SANITARY SEWER-CITY NO. OF PFU'S 2. ~ (See Reverse Side) X $48.27 PER PFU $ l;OC,I,C;4-. 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER PM PEAK HOUR TRIP 7 X I. 0 1_ X $486.73 PER TRIP L-9,n, /9 X X 5486.73 PER TRIP s 4. SANITARY SEWER-MWMC A. REIl'v1BURSEMENT COST: NO. OF FEU'S 2. X 74-2,7& PER FEU S 4-&5.52..- B. Il'v1PROVEMENT COST: NO. OF FEU'S 7_ X 22.M"PER FEU $ 44, 10 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE <$ &.7,0.5"' > $ 10.00 TOT AL-MWMC SDC ~72,57 SUB'roTAL (ADD ITEMS 1,2,3 & 4) $ ~, 4-33 .17 5. ADMINISTRATIVE FEES: BASl\ CHARGE (SUBTOTAL ABOVE) X .05 J...)~o/::7 Vate: ~- 27- qq SDC Coordinator ATTACH'A.wPD $ J71. M.. TOTALSDC L3.,. 1'_ ()f..!,3 FIXTURE. UNIT CALCULATION TABLE: NwnberofNew FixtureJ.i.Unit Equivalent = Fixture Units (NOTE: For remodels, calculate only the NETAtional fixtures) .. ---. NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub....... .... ..... .......... ........ ........ ........ ........ ............ Drinking Fountain........ ............. ...... ....... ................... Floor Drain.................. ........................... ........... ........ Intereeptors For Grease/OiI/Solids/Ele...............:..... Interceptors For Sand/Auto Wash/Ete...................... Laundry Tub/ClotheswasherlMop Sink.................... Clotheswasher.3 Or More...................................... Mobile Home Park Trap (I Per Trailer)................... Receptor For RefrigeratorlWater Station/Etc........... Reeeptor For Commercial SinklDishwasherlEte...... Shower, Single StalL.............................................. Shower, Gang............. ............... ....... .... .................... Sink: Bar, Commercial, Residential Kitchen............ Urinal, Stall/Wall...................................................... Wash Basin/Lavatory, Single................................... Toilet, Public Installation......................................... Toilet , Private.......................................................... Miseellaneous: 7- 2 I 2 3 6 2 6 6 I 3 2 IlHead 2 2 I 6 4 Z- "Z.- z.. z-- TOTAL FIXTURE UNITS = 4- 4- 4- z 8 2-2-- CREDIT CALCULATION TABLE: Based on assessed value. If improvements oeeurred after annexation date in table, ealculate credits separately. I - - "II Year Rate per $1,000 Year Rate per $1,000 I Annexed . '.:;sessed..Y.aJue Annexed Assessed Value I ~fore $H~ 1989 2.18 1980 4.38 1990 1.75 1981 4.32 1991 1.35 1982 4.20 1992 1.17 1983 4.03 1993 1.03 1984 3.88 1994 0.86 1985 3.68 1995 0.71 1986 3.38 1996 0.57 1987 3.03 1997 0.39 1988 2.62 1998 0.18 J Credit for Parcel or Land Only If Applicable 4,4-7 X $ 1'-"'0<) = (Rate X Assessed Value) Improvement (if after annexation date) X $ (Rate X Assessed Value) Co 7. 0:> CREDIT TOTAL = $ t:, 7. o~ RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Residential........................... 0.4 CommerieaL...................... 0.9 IndustriaL........................... 0.5 GovernmentaL................... 0.5 FIXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT . . . Job. No. '\9. tt L{ "7 SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: LP\JJ ~,~ PHONE: 1a<;~OSq':l. ADDRESS: &~~ 'R-.r.~ 1~~ Gy'~~iSTATE: (0<1\ ZIP: q l~OS LOCATION OF PROPOSED BUILDING SITE: Street Address: ~ 1 <c3 (it coo ~\.u_~JU.- ~. Pial Name: t10~~\~ Tax Lol Number: n \ ~U) 1. DEVEL9PMENT TYPE (Check appropriate dwelling(s). SOC calculalions and dwelUng t ype dellnitions are on the back.) , A. Si1WIA-F~mifv DAtached Single Family home " NO. OF UNITS Manufactured home not in a park X $1,000 per unit = $ B. ,SinoIA'-FRmilv Attached NO. OF UNITS ~ X $924 per unit = $ \ ~l{ ~ ~ C. Multi-FRmilv Aoartment NO. OF UNITS X $692 per unit = $ D. Ml:ml/factured t10mR PR~ NO. OF UNITS X $699 per unit = $ WILLAMALANE see $ 2. SDC CREDIT (ll appllcable) SOc.payer must furtqSh proof of WiUamalane Credit approval. See SOO Oredit Worksheet. $ 3. TOTAL WILLAMALANE NET SDe ASSESSED (If SOC reduced for Credit) $ ~~1., ' D'e"Qlopment Services Department City of Springfield '1 I 21 I 9''1 Dale ~,