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HomeMy WebLinkAboutPermit Electrical 1994-12-9 (2) r , . 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLA'J1I~_ ""'33/0 ~~/'>>-<.,z:>R, ~JjION o34rfj JOB DESCRIPTION \ l. _n -:J ~ L,/ S .e:-}~ 'TL I Permits are non-transferable and ex~he if work is not started within 180 days of issuance or if work is suspended for 180 days. I,J'J . 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor ~\~HJ IJ.,-c-kIC:. Add ress I ~ ,<:'1.0 ~ ~ S--.L Ci ty j'f\r\rl..eA'- Phone l}1 S;....J1'?,g Supervisor License Number I ('){)(o :'\ Expiration Date 10-I-q,:;- Constr Contr. Number ~g7i..J~ Expiration Date q-4- q'S' Signature of Supervising Electrician t1/~~1-- ~~----- Owners Name 11 ~ J li!..u'T: ~~. r / / - Address "897 .-<; -=:' .!:l...P ~ Ci ty 5;:J~L-,..., Phone 7AL/-tb9hC., . . OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: .' DATE~--------------'\14=~~--~---- RECEIPT 11: . .,,2.-.1 - ) \<::""1/ ~ RE~EIVED BY: Q '\L~ J) Iv ELECTRICAL PERMIT APPLICATION City Job Number q4Ig~) ., 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling ~it. Service Included: Items Cost Sum 1000 sq.ft. or less ( $ 85.00 .85 Each additional 500 sq. ft or portion .sL 3D thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 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 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation ~ $ 40.00 . $ 55.00 $ 80.00 volts see "B" above 200 amps 201 amps Over 401 Over 600 or less to 400 amps to 600 amps amps or 100u 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 -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL ~.~ ----3. 9-~ ~.!Jb " .6 NO. '1 f/i' 5' 0 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) -. ATTACHMENT B1 .; ". NAME OR COMPANY: . /~.-..A ~- j7i1 I LOCATION: $,/0 j)~L /,1 3"3 . ,p DEVELOPMENT TYPF' '7;:= D BUILDING SIZE: 1. STORM DRAINAGF IMPERVIOUS SQ. FT. I OT SIZE SQ. Ft. .23GIS X $0.209 PER SQ. FT. (;:77 1Z. ~ '7) -~ 2. ~ANTTARY SFWFR-rTTY NO. OF PFU'S . (See Reverse) /'6 X $43.26 PER PFU '~~:0 3. TRANSPORTATTON NO OF UNITS X TRIP RATE X COST PER TRIP / X /, tJ ( X $436. 19 $~. .>-~ ) - X X X $436.19 X $436.19 $ $ SUBTOTAL (ADD ITEMS 1.2. & 3) $ 4. ~ANTTARY SFWFR-MW]( NO. OF PFU'S IF x $17.19 PER PFU + $10 MWMC ADMIN.FEE $ 7yj".~ 2 (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ 3-1:' 0 IQIAI-MWMr snc $c2.'34.V SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ /?9?-9~ 5. AnMTNTSTATTVF FFFS .-- ~ B~E.~ (SUBT~' ABO~E) X .05 ~ AU Date: /.2-'?--?9 /Mary or i9, P.E SDC Coo dinator ~1'?: c0 IQIAI snr; $ 20 r "i. q/ B2 . SDC . FIXTURE UNIT CALCULJaON TABLE: Number of New FixteX Unit Equivalent = Fixture Units (NOTE: For remodels, calculate only iW'liEI additional fixtures) NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS Bathtub..................................................................... . Drinking Fountain.... ................................................. Floor Drain................................................................ Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub/Clotheswasher................... ........,.. ,.,.. Clotheswasher . 3 Or More............,........................ Mobile Home Park Trap (1 Per Trailer).................. 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 BasinlLavatory, Single.................................. Toilet, Public Installation........................................ Toilet, Private....................................................... Miscellaneous: ,TANI ra.l'~ SoI/oIJc '2 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 .). <1-. '.L '2... '2. y /? CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. I / 2. :2. TOTAL FIXTURE UNITS = Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 1985 . $3.46 3.38 3.32 3.21 3.06 2.92 2.73 Credit for Parcel or Land Only If Applicable Improvement (if after annexation date) Year Annexed Rate per $1,000 Assessed Value l 1985 1986 1987 1988 1989 1990 1991 1993 = ~4. G tJ J. ~~ X $ /CJ. trnj (Rate X Assessed Value) X $ (Rate X Assessed Value) = $2.46 2.14 1.77 1.37 0.97 0.61 0.44 0.15 .- CREDIT TOTAL = $ ~~ 6 cl