HomeMy WebLinkAboutPermit Electrical 1991-8-16
SP'IINCFI~LO
225 FIITH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 City Job Number
OFFICE: 726-3759
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Permits are no~-transferab~\ nd expire
if vork is not started Vit~180 days
of issuance or if vork is suspended for
'180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Heritaae Elect
Address 855 West 24th Avenue
Ci ty
Euaene
Phone 344-1500
Supervisor License Number 9455
Expiration Date
10/1/
Constr Contr. Number 63137
Expiration Date
12/27/
Signature of Supervising Electrician
~ U). ~ 7'f5-5
Ovners Name
Address
City Phone
mINER INSTALLATION
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
Owners Signature:
~ATE:\.~~~--=--~-~l~q-T-----
RECEIPT ll: I ,_ , 0..)f nhJ ""-
RECEIVED BY: J'( \ ) - -
3. COMPLETE FEE SCHEDULE BELOY
A. New Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cos t
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
Sum
$ 85.00
$ 15.00
$ 40.00 E.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
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
One Circuit
Each Addi tional
Circuit or vith Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OP ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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Metropolitan
Wastewater
Managernent
Commission
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FlriH A;'~D A 51P.EEi'S - Si=r:,::-~GF:=LD CiTY !-:;'.LL - ~::~;;:""Gr:ELD. OF,EGC!J 97.:.77 TELEr':-:C:\E (:C::) 7':7.':::i
HiiMC CO!\NECTION CHARGE
Building Address: r,;, 30 SC0 -tis Cf.vw/Vl_J
Refere;gumber: /'70.3;)... r; -:L. L{ , ' Tax Lot Number: o'f 3 0-0
'(1'") \).J ("
O."ner: D\ ~laLI,r {\ " i_ >t'nAT_~_,-:> 0
Address: \\C\C\ \\ \~:{\l\ \-' ,Phone Number: lQ~S<;- -\\23
City: fA ')(160 rUL State: CC)J~ .D~BY\,ziP: q '\4(")'2----
~ Residential Fee ($222,00)
$!Y~~ ~
___ Commercial Fee (new non-residential development/
remodel)
Total fixture unit charge (see reverse of this form) $
Credit Due (see reverse of this form)
SUBTOTAL $
<$ !In "4~
>
TOTAL MVMC CHARGE
$ \~4 .~~
Date Received~ Y)). (r I I qq I
Receipt Number:~()~
.
Received By:M(J)() )
Building Job Number: q J 0 '7 t-f )
.
.
Fi:,tme Unit Calculation Tabl~: ::lC~~l" cf H'.' u:.:ttll"es r,ultiplied by \::1it
equivalents. 1(OT;::: FOl: r~"od€ls, calnlzte c,nly the 1:;::T addi tienal fi:.;t~'r€s.
Fhtul:e Type
of Un i t
F xtufes Equivalents
Fhture
L'n i ts
3a t h t \l b. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Drinking fountain.........................
Flool: drain......................,........
Interceptol:s for grease/oil/solics/etc....
Interceptol:s for sand/auto ~ash/e:c.......
Laundl:Y tub/clothes ~asher..... ...........
Clothes ~asher (3 el: more)................
Mobile home park trap (1 per H.3.)........
~eceptor for refrig/~ater static~/:tc.....
Receptor for Co~~er sink/dish~s~:::tc.....
Sho,'H, single stalL.....................
Sho.er, gang (per head)..... ........... ...
Sink, bar, com~ercial..... ................
Sink, commercial/industrial/etc...........
Urnial, stall/.all........................
Vash basin/lavatory, siegle. ..............
Vater closet, public installaticn.........
Vater closet, private.... ........... ......
Miscellaneous: ..........
2
1
2
3
6
2
6
6
1
,
...
2
1
2
3
2
1
6-
4
..........
..........
Total Units:
Total fixture units
h S13.25 each = Total Charge: $
Credit Calculation Table: 3ased en total value of property at time of permit
application.
Year "]..;jr.e:.:~d
to the city
Credit per $1,006
assessed va1~e
(q"'4-
1979
1980
1981
1982
1983
1ge~
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
10) :''2..0
r.sS€ssed Value
= s
Rate
Total Credit