HomeMy WebLinkAboutPermit Electrical 1994-3-22
Thafo!!owing project GS submitte-c! hso 'lhG 1"""'.':"-
225 FIFTH STREET zon",f;j, and does not n,qlliro sp0ci1ic land w'J!.EC'l'RICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477".o~')roval.
INSPECTION REQUEST: 726-3769 Zoning L-...Qf City Job Number t/lw o~~ 9
OFFICE: 726-3759 3/-~ -- -
De.":(:~Lq..!:L 3 . COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATTp~ ,.. ,I 0' n 1(\0..
y j to ~ t:o ~~~Ign",ture~a... Ne,W-Resid.e.n.tial-Single or
a Mul ti-Family per dwelling uni t.
LEGAL DESCRIPTION Service Included:
l ~ b~OS~~ {)()I./ Of Items Cost Sum
.....JJlB _DESCIUPTIOti' ~ / 1000 sq. ft. or less
.k'.~{e.- ",/~.."..n.../~ _ +~~ {)ovV,{y-Each addi tional 500
. / t1 / sq. ft or portion
Permits are non-tra~sferable and expire thereof .
if work is not started within 180 days Each Manuf'd Home or
of issuance or if work is suspended for Modular Dwelling
180 days.' Service or Feeder
$ 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
. I -I A Jnstallation, Alterations
o-l__",~~Contractor A,v..CJAfV}~/tI\J liJIV5I,0'r Relocation:
Address _() ~ ~ s-f 3 200 amps or less
~ 1/ __ 40'7 201 amps to 400 amps
City J ';e~5I;{If'!t Phone r;?.5 - tlld ' 401 amps to 600 amps
- 601 amps to 1000 amps
Supervisor License Number Over 1000 amps/volts
Reconnect Only
Expiration Date
Constr Contr. Number /0 (J 7f'
v
Expiration Date /'- I)"-~ 1'7 r-
to
Signat;;::.:;re f Supervising Electrician
/,/" /I'/'
(~~l-- ~ (_~
Owners Name ':S-A-M~s / A-" P~~IU
,
IJ. MIt-n1 "? #: 3
Phone fp<i:3 ,- ~L( )-(
Address 2- <{; 0
".,.-,
City ~?f~/tI..z
I
OVNER INSTALLATION
The installatiori is beirtg made on
property I own which is not intended
for sale, lease or rent.
OWners Signature:
---------------------------------------
DATE: 0 J ;).:;)-1 C} Lf
RECEIPT #: I :l.o:J.. 'X
RECEIVED BY: '6--,~
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less ) $ 40.00 YOoi)
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D. Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL '
WOOO
:J .00
H-:J ,00
JOB NO. 9t..fO?'?8
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: ~IM. ?AUL-C7E:/'J
LOCATION: 4 (<e:, ~ Fo f?- ~ Y ,1-\-1 A
DEVELOPMENT TYPE: L DR.. - t-..l€:-w Sr:-tz.
I €>O-z..oS 2 L.. - Y- 0-'
NO OF UNITS X TRIP RATE X COST PER TRIP
X I c)!:>O I X $424.31
X X $424.31
X X $424.31
4. SANITARY SEWER-MWMC
NO. OF PFU'S \~ x $15.125 PER PFU + $10 MWMC ADM FEE $ -z,~n..~
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ L{\'54-
TOTAl-MWMC SDC 0<+0'0
SUBTOTAL (ADD ITEMS 1,2,3 & 4) ,$ \ q t? 0 r..&..\-
~2-~~?) ,
'-- ~
$
$
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
~. /1~" Lul.. ?/1,1 /a,Li;
'--~ Kip Burdick I
SDC Coordinator
C 91~
"
TOTAL SDC $ 'ZOY B --
FIXTURE UNITCALCULJ ON TABLE: Number of New Fixtures
, ,
For remodels. ca'cul~te only the NET additional fixtures)
lit Equivalent = Fixture Units (NOTE:
FIXTURE TYPE
NUMBER OF
NEW FIXTURES
UNIT FIXTURE
EOUIVALENT UNITS
Bathtub..,......,... ,.. ,..,.....""...""",",., "",...'""".,....'..,
Drinking Fountain........" ,.",.""""""",.".",.","""",..
Floor Drain'...........,.....'... ....., ,.., ,.'"""",....,.." ,..........
Interceptors For Grease/Oil/Sollds/Etc.................
Interceptors For Sand/Auto Wash/Etc..,.........,....,
Laundry Tub /C1otheswasher... ...".,."."......" ,....'"".
C1otheswa~her - 3 Or More.....................................
Mobile Home Park Trap (1 Per Trailer)..................
Receptor F9r Refrigerator /Water Station/Etc........
Receptor For Commercial Sink/Dishwasher /Etc,.
Shower, Single' StalL.............,......,..".....,.. ..............
Shower, Gang......................,.... ....... .......,.', ...... .:... ,.
Sink, Bar, CommerciaL........ ,..,..............,......' .........
Urinal, Stall /WaiL......., ............,. ,....',..,.."..,.........., ,.
Wash Basin/Lavatory, Single.,................................
Water Closet, Public Installation,..,....,..,.......,........,
Water Closet, Private............. ......, ,........."... ...........,
Miscellaneous:
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
2.
"Z..-
TOTAL FIXTURE UNITS
L-
,.,.
"2-
'2-
'7-
5
{5-
CREDIT CALCULATION TABLE: Based on assessed value, If improvements occurred after annexation date in table,
calculate credits separates.
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
1979 or before
1980
1981
1982
1983
1984
.1985
$3.21
3.13
3.08
2.96
2.82
2.68
2.51
1986
1987
1988
1989
1990
1991
1992
$ 2.24
1.93
1.57
1.18
0.79
0.44
0.28
Credit for Parcel or Land Only If Applicable ~ .7-1 X $ 17.. C{ 'f Y \ '?~
(Rate X Assessed Value)
Improvement (if after annexation date) X $
(Rate X Assessed Value)
CREDIT TOTAL = $ L..\ \ i?Y
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Residential..................... ......,.... ,............,."".,... 0.4
Commercial...................,...,.....,..,.,.........,."."... 0, 9
I nd ustrial.....................................",........,."" ,.". 0,45
G overnme ntal,.......,.,.". ,.......,.....""........"",.,... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT