HomeMy WebLinkAboutPermit Electrical 1992-1-17
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225 FIFTH STREET ELECTRICAL PERMIT APPLICATION
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OFFICE: 726-3759 z~~.:'. ", ,j ~~~o,' r.c; ,",.:1;0 "1',,:,1::, ;:."C UOQ
o,r., . "1~{Yr.OHPLETE FEE SCHEDULE BELOY
1. IpC~9N OFL WSillIATIOty' ,r.',,\)_, ,\L/
(QJ)( 0 ,-' X'NT~ (",,/, \1--- ib New Residential-Single or
.. ..- I' rilt Multi-Family per dwelling uni to
ILWn~SCRIl}J~N ~Z1{)n ~~_.:_~ :;:..,,';'uded: Items Cost Sum
---1.!.1 A - .3 - "..
f Jf/AS~r;j) of~rilG
Permits are non-transfe a Ie and expire
if work is not started lthin 180 days
of issuance or if work is suspended for
'180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Heritaqe Elect
Address 855 West 24th Avenue
City
Euqene
Phone 344-1500
Supervisor License Number 9455
Expiration Date
10/1/
Constr Contr. Number 63137
Expiration Date
12/27/
Signature of Supervising Electrician
~v W. ~ 9f~-S
~ ..
Owners Name
Address
City Phone
OIINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~E: --r~-rrr~ .---- ----
,-- -~
RECEIn lI: _ J l DiLY,)
RECEIVED BY:( '-:){ l<.~' / -=-
-.......... -
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
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
$ 85.00
$ 15.00
A $ 40.00 ~)
$ 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
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
~:~
P4JY)
r
Metropolitan
Wastewater
Managernent
Commission
.
.
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rl~IH A:-~D A SiP-EElS - Si=t=.::<GF:=LD ClTY !-;;".LL - ~FR::..;Gr:ELD. CF.EGC!J f:7:.77 TELEr':-:c,:\~ ;:C'::) 7':7.":::i
!WKC C(I),NECnON CHARGE
Building Address:
(Pof.o ~ Oibtvn :])r\u(:,
,"-
Refere;;~umber: '10~2'713 ,Tax Lot Number: 05 qoo
O..ner:,__ D0Jl0J).r n " i. AJn Ai-;Opf._S (1' .
Address: \ \ C\ C\ \\ \~.m ,L Phone Number: l O<?55: - .{\231
City: fA ')r~o JLL State: (()ltc~BY\ Zip: q '\4()'L- .
~ Residential Fee ($222.00)
$r0Q~ ~
Commercial Fee (new non-residential development/
remodel)
Total fixture unit charge (see reverse of this form) $
Credit Due (see reverse of this form)
SUBTOTAL $
<$ r00 ,'tf)
>
TOTAL KVMC CHARGE
$ 1Cf4. 55
Receipt Number:
{:./ '7 -q?J-
(553)<:"
R",'",' BY~~.:;
Building Job Number: qlo 105
Date Received:
.
.
~~
Fi:nure Uni t CalculatiO;l Table: ::c~,:~r cf r,e'.. u;.:tures r..ultiplied by I!ni t
equivalents. NOTE: For remodels, calcu!!te Dnly the ~ET additional fixt~res.
Fb:ture Type
3a t h t II b. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Drinking fountain.........................
Floor drain............................,..
Interceptors for grease/oil/solids/etc....
Interceptors for sand/auto ~ash/e:c.......
Laundry tub/clothes _asher..... ...........
Clothes ,asher (3 Dr more)................
Mobile home park tiap (1 per ~.~.).......,
Receptor for refrig/',,'ater static::/-2tc.....
Receptor for Co~cer sick/dish~sh=:etc.....
Shover, single stall......................
Shover, gang (per head)... ..... ........ '"
Sink, bar, commercial.... ...... ...........
Sink, cOmmercial/industrial/etc...........
Urnial, stall/vall........................
Vash.basin/lavatcry, si~gle. ..............
" t' 1 t bl" t-l' t;
.a er c ose , pu lC lns c _a _en.........
Vater closet, private........ .............
:\iscellaneous: ..........
..........
..........
Total fixture units
.:.: ~
':;' OJ..
Fi;.; tures
Unit
Equbalents
Fixture
l'ni ts
2
1
2
3
6
. ,2
6
6
1
"
.J
2
1
2
3
2
1
6-
4
Total Units:
x $13.25 each = Total Charge: $
Credit Calculation Table: 3ased on total value of property at time of permit
application.
Year ']..nrle:':Scd
to the Citv
l~b4-
1979
1980
1981
1982
1983
1924
1985
1986
1987
1988
1989
1990
Credit per $1,000
2.ssessed val~e
$2.66
$2.64'
$2.53
$2.41
$2.19
$2.04
$1. 69
$1. 35
$1.15
$0.92
$0.59
$0.23
Rate
.. S 10/320
r.ssessed Val \.le
Credit
= S
Total Credit