HomeMy WebLinkAboutPermit Electrical 1991-10-28
.SP'IING~IELD
225 flITS STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1.
L9CA:PlQli, OF~NST TION /'~
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.....~Oll, IlESqul'TION
U' \ N r::...'12 .nJ~~^.J
Permits are non-transfe b e and expire
if vork is not started w hin 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
12127/
Signature of Supervising Electrician
~ W. ~ 7cf5-~
Owners Nam~(IhOJ...JPf7 D.
Address /(C1Gi f1 -r:; .~~
Ci ty ft 1J..1l 11 Q __ Phone l&;~q ( 23
OVNER IN~ALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:-=-~---1ICJ~-rr;:):C1rT-----~------
RECEIPT 1I: , .11 . _ c91 uA4-
RECEIVED BY: HII.'. ~ ./
3. COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
8.
$ 40.00 <;$'0
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
$ 40.00
$ 55.00
$ 80.00
see "B"
above
Branch Circuits
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
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
40,00
40.00
20.00
36.00
not included)
5.
$
$
$
$
g[).OO
~.oD
~.m
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
Metropolitan
Wastewater , .
Managernent
Commission
C ~.',": : ~ -: '. ',':.' ~ ~ ::
-.
t:,:,~ ;~'.'\::-r~';:'t C:'.':': .~:.
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F;:::TH A:'~D A STP.EEIS - ~;:F.;:'~GF:~LD CTY !-:":,!...L - ~~::;;:""Gr:ELD. Ci=,EGC!J '::7.:.77 TELEr':-:c.,:,'E (:C::) 7':i.':::i
)',','Y.C CO!iNECTION CHARGE
Building Address: 60/3 c...J'eoW cl.~-'t-~ U,-,"v-e...
Refere;gumber: 1703z71..1-/ . " Tax Lot Number: 6.3S-0"\2)
O"ner: D01l0J) ,r (\ " i_ /\Jr1 Af.{1i.f.~') n
Address: \ \ C\ C\ \\ \~~){'f\ ~ ~ Phone Number: l Q9.~. -\\23
City: f'A')r~O XUL, . State: (()J~ .D~BY\ Zip: q f)4(YL
~ Residential Fee ($222,00)
$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 $
<$ cfJf) 4~
>
TOTAL Y.VY.C CHARGE
$Ig~.~
Date Received:
fO ,2-9> ,q(
c-O (0qt
Received By:
~,tD~
Receipt Number:
Building Job Number: Cj I () 7-3 ::z...,
.-
.
Fi:\tllre Uni t Calclllatio;) Table: ::'cc,t,r c;: r,e'.' fi:,:t\lres r,ultiplied by \!:1i t
equivalents, NOTE: For remodels, calc~l!le only the ~ET additional fixt~res,
Fh:ture Type
of Unit
F xtures Equivalents
Fi:\tllre
l'ni t s
3a t h t 1I b. . , . , . , , . . , , , . . , . . , , , . , . , , , , , , . , . . ,
Drinking fountain...,... .,." ",.,..,..".
Floo!: drain..."....."".,."",."."".
Interceptors for grease/oil/solids/etc..,.
Interceptors fo!: sand/auto .ash/e:c,.,.",
Laundry tub/clothes .asher.....""..,.".
Clothes .'asher (3 or more).,...,..",.""
Kobile home park tr'ap (l per !,L:;,)....,..,
~ecepto!: for refrig/.ater static~ietc" '"
Receptor for Cormer si~k/dish~sh::itc".,'
Sho;.'er, single stalL..........",.,.,.",
Shover, gang (per head).. . .. .. . .. .. .. . .. ..
Sink, bar, commercial., .".,.,."".,.",.
Sink, commercial/industrial/etc",..,."..
Urnial, stall/vall......,.......,.,....".
Vash basin/lavatory, si~gle.,.,....,.."..
Vater closet, public installatio~..,,"'"
Vater closet, private.... ,....,.,..,."",
!'.iscellaneous: ,."".,.,
2
I
2
3
6
, .2
6
6
I
3
2
I
2
3
2
1
6-
4
..........
..........
Total Units:
Total fixture units
x $13.25 each = Total Charge: $
Credit Calculation Table: 3ased C~ total value or property at time of permit
application.
Year 'J..nrie:.:s.d
to the Citv
Credit per $1,000
essess(;d value
19b4
1979
1950
1981
1982
1983
1924
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
,
~.
i'.ate
.. S Ib,'3'"Z..O
r.ssessed Val i.:e
= s
C!:edit
Total Credit