HomeMy WebLinkAboutPermit Electrical 1990-6-24
SP.IINGFIELO
225 FIITH STREET approv.l.
SPRINGFIELD, OREGON 97477 Z' a..Jd)(;1
INSPECTION REQUEST: 726-3769 OJ"IO
OFFICE: 726-3759 ;)ate "'_:J<-fI"o
",,'!'O'izoo slgnatureg:t.3 .
1. ~L~~l{N ~~~Or",\ ~ 0 (\) A.
\.-l~~ffiI~ [)3RC'O
\P::~:~?::~$ ~ :.""
if work is not started within 180 days
of issuance or if work is suspended for
'180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Heritaae Elect
Address 855 West 24th Avenue
City
Euaene
Phone 344-1500
Supervisor License Number 9455
Expiration Date
10/1/
Constr Contr. Number 63137
Expiration Date
12/27/
Signature of Supervising Electrician
~ I1J. ~'--' ~tf~-:S
/ "
Owners Name
Address
City Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
"""""'J.r! 11:
RECEIVED BY:
~ -;2y-",?=?-
<2.~
-.............-/~..
/j/
City Job Number
Cl1l'PT 1>'1''' "":g.. SCHEDULE BELOI/
q l("\'l:\ \
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
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 f\ ~~
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
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 Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
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. SUBTOTAL OF ABOVE M.W
5% State Surcharge '\-..f;( )
TOTAL ~ 1''15
Metropolitan
Wastewater ,.
Management
Commission
(':",": : ~ " ','::: ~ ~
.
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r.~,:;. \"h;:::,;-:~~t'.f Ltl =.:: 'E:~.::'.f
;::~iH A:~D A SiP-EElS - Srr=,::'~GF:::LD C!TY !-;;'.LL - ~~F=;;:\Gr::ELD. Cr=.EGC!J '::i.:.77 lElEr:-:G:,~ l:~::) 7':;'':::1
I',',')',C COKNECTION CHARGE
Building Address: ~ Lj / Seo.# C--CV...../1-t. ~,.I U-e-
Refere8umber: /7oJ;2. '/ :l,L{ ,Tax Lot Number: 03 (T{J-O
O,'ner: D0bClJ)p (\ ., i/~r1A+D.Lf_S , 0 '
Address: \ \ C\ C\ \\ \'---'-,m \., Phone Number: l O~~. .\\23,
City: f'J...J(ltO rUL State: C()~ .D~F7Y\, Zip: q fl4ryZ....
~ Residential Fee ($222.00)
t
$r0Q~ ~
Commercial Fee (nev non-residential development/
- remodel)
Total fixture unit charge (see reverse of this form) $
Credit Due (see reverse of this form)
SUBTOTAL $
<$ c9 f) . 4~
>
TOTAL MVMC CHARGE
$ Jq4.~~
Receipt Number: 52~
R~ceived By: ~~, _ _ ,.
0/
Building Job Number: 9/ (] '7 3 (
Date Received: c:; -2t/.92..
.
.
Fi:dllre Unit CalclIlatio:l Table: ::v~,::er cf r,e'.' rJ:-:tu::es c,ultiplied by \~:lit
equivalents. NOTE: For n",oa~ls. calC'Jl~te c,nly the ':ET aadi tienal fi:,:t"res.
Fixture Type
of Unit
F xtures EquivalEl1ts
Fixture
Llni t s
3a t h t lib. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Drinking fountain.........................
Flool: drain...............................
Interceptors for grease/oil/solids/etc....
Inteiceptors for sand/auto ~ash/E:c.......
Laundry tub/clothes ~asher................
Clothes I.'asher (3 el: more)................
Mobile home park trap (1 per ~.~.)........
Recepto~ for refrig/~at;r static~i:tc.....
:\eceptor for Corr.i;;er sir.k/dish-~'s:-;=/:tc.....
Shover, single stall......... .............
Shol.'er, gang (per head)...................
Sink, bar, commercial...... .... ...... .....
Sink, commercial/industrial/etc...........
Urnial, stall/~all........................
Vash,basin/lavatory, siegle...............
Vater closet, public installatic~.........
Vater closet, private........ .............
!'\iscellaneous: ..........
2
1
2
3
6
, .2
6
6
1
,
.J
2
1
2
3
2
1
6'
4
..........
..........
Total Units:
Total fixture units
h 513.25 each = Total Charge: $
Credit Calculation Table: 3ased O~ total value of property at time of permit
application.
Year "J..nr,exe.d
to the city
Credit per $1,000
s.?sess~d value
I';)~
1979
1950
1951
1982
1983
198~
1985
19B6
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
Rate
:< S 10 ,::o"Z...O
r.ssessed Val i.:e
= s
Credit
Total Credit