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HomeMy WebLinkAboutPermit Electrical 1996-2-5 __.fjtJile )~U ~~L ~~ 13 ~.'1M!};L~ T:-. '" following projoct as submitted hills tho following :: "9, and does not requirE> epoclflc land uee ~~Ojl;lffV . 9;}~~~~ SIgnature ,0 p 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LOCATION OF INSTALLATION . I~ 9. 9 /97 ~A.r fl"lMd"Otd ~ A. LEGAL DESCRIPTION ,/?n3 7- '3 tJn ~//JEJ '3 JOB. DESCRIPTION 5. r; ~e5,- , - Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor BOB FISHER Address 180 KINGSBURY AVENTTF. City RTT~F.Nj:;' Pho.ne 689-7973 Supervisor License Number 1975S Expiration Date 10-1_qR Constr Contr. Number 96275 Expiration Date l-?C)-Qf) Signature of Supervising Electrician y ~p+~ I O",ners Name -;:::::U7U;f.c A ..J L -- {' ~ ~ Address Ci ty Phone ~f65 -:--11Lh OVNER INSTALLATION The installation is being made on property I o",n ",hich is not intended for sale, lease or rent. Ovners Signature: ---------------~--~-------.---------- DATE:, ~:S; 7~ _ RECEIPT #: 'ZO ~ .~ - ' 77' . ~ ~ ELECTRICAL PERMIT APPLICATION (;1 ty Job Number_ 3. COMPLETE FEE SCHEDULE BELO~ qs/{,// Ne'" Residential-Single or Multi-Family per d",elling unit. Service Included: 1000 sq. ft. or less Each additional 500 sq. ft or _portion thereof ~ Each Manuf'd Home or ModularD",elling 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 Items Cost Sum S 85. 00 ~5.(1.0 S 15.00 75'.tnJ S 40.00 S 50.00 S 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"oT less ~ $ 40.00 ~O.co 201 amps to. 400 amps - S 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above D. Branch Circuits ,. 'Ne"', Alteration or Extension Per Panel S. 'SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each ~nstallation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 One Circuit Each Additional Circuit or ",ith Service or Feeder Permit ,~~.fJO - /0., Qf;) " . <Hl1 ~/Ct?Qp '......" ft- ~ Job. No. C\~\\Q\\ SYSTEM DEVELOPMENT CHARGE \- ~ WORKSHEET ' , NAME: ~kHo~~O.f1, ~ PHONE: ~C6S '~\~lo ADDRESS: W~ \< \ill It lliJIbJle- ST A Ti: 9Q.", ZIP: ql{)~ LOCATION OF PROPOSED BULLDING SITE: ,,\,~ , ' , StreetAddress: C\ \CZ ~~ ~~ C\ tlUlU , Plat Name: ~~W (;}Qj\... , - T~X Lot, Number: \~()?/l1D() {)lm~ , 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t ype definitions are on the back.) - A. .Sinale-Familv Detached t Single Family home - NO. OF UNITS , Manufactured home not in a park X $1,000 per unit = $ \DW 90 , B. f)inale-FAmilv Attached NO. OF UNITS X $924 per unit =$ C. Multi-Familv Aoartment , NO. OF UNITS X $692 per unit = $ D.' ~anufactured Home Pa~ X $699 per 'unit $ lff)(J CD ' $. 'fl rf.1J po . $ $ 2. SDC CREDIT (if applicable) SDC~payer must furnish proof of Willamalane Credit approval. See SDC Credit Worksheet. 3. " TOTAL WILLAMALANE NET SDC ASSESSED \ . _~: SD:~reduce~d for Cr . ~\ .:?--/ DevelopmenCSe i 's Department Date City of Springfield ' ' c;- / ?~_ .' "::It'.. tI'I~'";-r. I. V. I.~ CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE (RESIDENTIAL) Name or Company: FUTURE B HOMES Location: 9i8 M~NT MEADOW WAY Developement Type: R' Building Size: Job No.: 951611 Lot Size: l. STORM DRAINAGE Imper,,!,ious Sq Ft 2882 X 0.210 Per Sq Ft 2. SANITARY SEWER - CITY Number Of PFUs .26 X 43.43, Per PFU (see Page 2) 3. TRANSPORTATION Number Of Units 1 X X Cost Per T:dp 437,93 X. Trip Rate 1. 010 X $442.31 Transportation Total 4. SANITARY SEWER - MWMC Number Of PFUs 26 X X Per PFU + 18,750 + MWMC Admin Fee 10.00 MWMC CREDIT If Applicable (see Page 2) TOTAL - MWMC SDC SUBTOTAL - (Add Items I, 2, 3 & 4) 5. ADMINISTRATIVE ,FEES Base Charge (Subtotal Above) X 0.50 TOTAL SDC Reviewed By: TROY MCALLISTER Date: 10/09/95 Page 1 Sq Ft $605.22 $1,129,18 $442.31 $497,50 '-......-. $0.00 ----, $497,50 $2,674.21 $133.71 $2,807.92 SPRINGFIELD Job Number: 951611 , ::t~'M.Jrf=ttt.)j't FIXTURE UNIT CALCULATION TABLE Fixture Type Bathtub Drinking Fountain Floor Drain Interceptors For Grease/Oil/Solids/Etc Inteceptors For Sand/Auto Wash/Etc Laundry Tub/Clotheswasher Clotheswasher - 3 Or More 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 Water Closet, Public Installation Water Closet, Private Miscellaneous TOTAL FIXTURE UNITS Number of New Fixture Unit Equivalent Page 2 Fixture Units 4 o o o o 2 o o o 2 o 2 o 4 o 12 o 26 CREDIT CALCULATION TABLE: Based on assessed value, If improvements occured after annexation date, credits are calculated separately, (calculations are by $1000) Year Annexed: Credit For Parcel Or Land Only If Applicable: Improvement (if after annexation date) : 2 o o o o 1 o o o 1 o 1 o 4 o 3 o 2 1, 2 3 6 2 6 1 3 2 2 2 1 6 4 0,00 0,00 (If land value is multiplied by 1 then the parcel/land credit is not accurate.) $0.00 o X 0.00 o X 0.00 CREDIT TOTAL =