HomeMy WebLinkAboutPermit Electrical 1992-1-17
SPIIINGPIELO
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225 FIITH STREET . ^"",,, "r(~:1:.t';^: :'.I~'~c;;:c'i:i, :",; ,'U~O ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97~:1"^!"",\';',:"r.o:r',"'" , n .,.,... Nl
INSPECTION REQUEST: 7~~,;:~769' __ City Job Number '-'\ \t 5lUJ
OFFICE: 726-3759 7'J":cc ~
~~ 3. COMPLETE FEE SCHEDULE BELOII
1. LpCA1;I~ Olt ~~T~~UO
'--0\ C\ ,-'1.'.nu'B:'^';;:U ,iOc*\o-r A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
~~I~~~Ff~4 ()4&J)()
JOB QE~CRI1E~ON \rl
\. XY\ 'r\ .:. )lX\) "'i:-uA
Permits are non-transferabl~and expire
if work is not started within 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
Euaene
Phone 344-1500
Supervisor License Number 9455
Expiration Date
10/1/
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling A ?D
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
Constr Contr. Number 63137
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
12/27/
Signature of Supervising Electrician
~v tJ ~ 'l'fS-S
~ "
Owners Name
Address
City Phone
mINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
------------Erfl- ---- '-----
DATE: - - Cf-::
RECEIrr li: . t ,_ ...6~-T>~1
RECEIVED BY: ( V(_r~
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 liB"
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
M,OO
<\- .r )f )
'K.4 .iX)
Metropolitan
Wastewater
Managernent
Commission
.
.
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!r..'~C W'l,ECTION CHARGE
Building Address: ~ I g s,Qo-\ts 9iUvn :hy\\)c.
"'"'"8'.b'" I '1 03 2 '12 4 . Tox "', N,.b,,, Q 4200
Omer: D0J1CU) ,f (\ " i. /\JnAf~1Lf~~') , Q
'dd"", \ \C\ C\ \\ \d....m \: _ "0.' Noob,,, l O'? 'K. 1 \23
City: F-^')r~o .I'LL State: (()l~ ~qBY\ 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 $
<$ IYJ flP')
>
Date Received:
J-/7 -q~
\~~~Ol
Received
s ,Q4,QS
)
By:FR~
TOTAL MVMC CHARGE
Receipt Number:
Building Job Number:
QI0'700
.
.
Fi:nure Uni t Calculation Table: ::uc,~~,- cf nE-.' IJ:-:turES "ulti~liEd by llni t
EquivalEnts. M,l::: For rEe,ode);:, calnlHe e,nly the ::::T addi tio:1al fi:.:t,:rES.
Fixture Type
.;.: ~
';; QJ..
Fi:.:tures
Unit
Equi -,alEn ts
Fi:\ture
l'ni t s
'3a t h tub. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Drinking fountain.........................
Floor drain...............................
Interceptors for grease/oil/solics/ete....
Interceptors for sand/auto ,ash/E:e.......
Laundry tub/clothes ,asher... ....... ......
Clothes vasher (3 or ~ore).... ............
Mobile home park trap (1 per ~.~.)..... '"
?'eceptor for refri6/~ater static~ietc.....
Receptor for Co~~er sink/dish~s~::etc.....
Shover, single stall.......... ............
Shover, gang (per head)... ..... ........ '"
Sink, bar, commercial...... .... ........ ...
Sink, cOmmercial/industrial/etc...........
Urnial, stall/vall........................
Vash,basin/lavatory, si~gle. ..............
Vater closet, public installation.........
Vater closet, private..... .... ............
!'\iscellaneous: ..........
2
1
2
3
6
, .2
6
6
1
o
.J
2
1
2
3
2
1
6-
4
..........
..........
Total Units:
Total fixture units
x $13.25 each = Total Charge: $
Credit Calculation Table: 3ased on total ,'alue of property at time of permit
applica tion.
Year "]...nrle:-:e.d
to t~e Citv
Credit per $1,000
g.ssessed value
19~(\
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
$2.66
$2.64'
$2.53
$2.41
$2.19
$2.04
$1.69
$1. 35
$1.15
$0.92
$0.59
$0.23
Credit
.. S
I ~ ) ~')..O
;'ssessed Val'Je
= S
r:ate
Total Credit