HomeMy WebLinkAboutPermit Electrical 1996-2-5
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T:-. '" following projoct as submitted hills tho following
:: "9, and does not requirE> epoclflc land uee
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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 =