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Home My WebLink AboutPermit Electrical 1994-11-4 The following project as submitted has the followl zoning, and does not require specific land use approval. 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, Alterations Electrical ContractorOl1ct ~ff{,'<.K ci- 501/ E1ecPr Relocation: . , . d Address lit $ S2/V 5f City 5~f2J Phone 7Y7- 2 0 g' f Supervisor Licens~ Number ]~..l~,1 10 -- 9l 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 97477 Zonin\l LP? 726~'911-I-f-qT , / Authorized Signature 1. LOCATION OF INSTALLATION ClS2 . ~ J'T- LEGAL: DESCRIPTION )703 2.C:? I_~ (J 5$6>-0 JOB DESCRIPTION , ''5~ tY?~ AJ~GJl!.A7C-J Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. Expiration Date Constr Contr. Number 770S's Expi~ation Date to - 15' Signature of Supervising Electrician ~d~fl~ Owners Name 7t5e~ A.A?crw ~ ) t' Address City Phone OYNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: D~TE~----------;~~j79;t-------------- RECEIPT #: . /5:3 5'"13 RECEIVED BY: . _~~~ ELECTRICAL PERMIT APPLICATION City Job Number Cf4/ 5"3.3 . ~ r ~ . _ ':~ I'EE SCHEDULE BELOY A. New Residential~Single or Multi-Family per dwelling unit. Service Included: .... It ems Cost Sum 1000 sq. ft. or less $ 85.00 Each additional 500 sq. it or portion thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 200 amps o'r 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 '5"& ,~ i---- .. C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less 201 amps to 400 amps. Over 401 to 600 amp~ Over 600 amps or 1000 $ 40.00 $ 55.00 $ 80.00 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 :2 ~ 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. 5"-:2- ~, SUBTOTAL OF .ABOVE 5% State Surcharge 2.,r.?o 3% Administrative Fee I~>~ TOTAL t=) r:~ ,I p ......--..- l i/ JOB NO. _9' ~/)~ 3> CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) . ATTACHMENT B1 ,. 'NAME OR COMPANY: ~.-?~ ~~ LOCATION: . 9'5- 2 12 )S~ DEVELOPMENT TYPE:. AU . BUILDING SIZE: '1. SIORM DRAINAGE IMPERVIOUS SQ. FT. LOT SIZE SQ. Ft. ~ uti:! I X $0.209 PER SQ. FT. $ (tf 2. SANITARY S~ER-CITY NO. OF PFU'S (See Reverse) '1 X $43.26 PER PFU $ 3o..Z tl2. 3. IRMlSPORT M.lilli NO OF UNITS X TRIP RATE X COST PER TRIP X ~6.19 $ ;5 / X $436.19 $ /, X X $436.19 $ . ~ . SUBTOTAL (ADD ITEMS 1.2. & 3) $ 4. SANITARY SEW(R-MWMC NO. OF PFU'S --- x $17.19 PER PFU + $10 MWMC ADMIN.FEE $----/ (Use PFU Total From Item 2 Above) ~ MWMC CREDIT IF APPLICABLE (SEE REVERSE) $$ ~ . IQIAI-MWMC SDC (// SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ / , 5. ADMINISTATIVEFEES 'BASE ~RGE (SUBTOT~~BOVE) X .05 ~.. .. /Ir.~ Date: ./cJ-/r-9~ / Mary rn~g. P.E.U 'SDC C rdlnator . . /f $/ S-' TOTAL SDC $S/f.tf(P B2.SDC . " FIXTURE UNIT .CALCULA TIQAfJ ABLE: Number of New Fixtures X 'I....it Equivalent::::: Fixture Units lNOT9'= .For~remodels, calculate only the ~n~dditional fixtures) , . . NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT 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 ...... 7............................... ....................... Sink: Bar, Comm'erCial, Residential Kitchen.......... .............. Urinal, Stall/Wall..:.................................................... Wash Basin/lavatory, Single.. .................;........ ...... foilet, Public Installation........................................ f oilet , Private........................................ ................ Miscellaneous: I 2 . 1 2 '.3 6 '2 6 6 1 3 2 1/Head 2 2 1 6 4 . .~ I I J ~ TOTAL FIXTURE UNITS ::::: 7 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 $3.46 3.38 3.32 3.21 3.06 2.92 2.73 1985 1986 1987 1988 1989 1990 1991 1993 $2.46 2.14 1.77 1.37 0.97 0.61 0.44 0.15 " Credit fo~ Parcel or Land Only If Applicable Improvement (if after annexation date) X $ (Rate X Assessed Value) X $ (Rate X Assessed Value) ::::: ::::: CREDIT TOTAL ::::: $ Li .' . - ":':':.~T:~.~.~.:'.'..'.'..".'-..~-'~-'" ' "'(' _ _,~_,_."._____._ v'" !. - ..-\1 . I t' :--' ?rO' -.'.,'---- - '.J [ c, SJ' --- ------- h ~r ~'-- 0 /' -'-'''.' r-:- ::;~I / "- ~._ s=- ~',! 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