The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 1994-7-6 . . SPRINGFIELD Tho. followln~ P;Oj'lct as aubm;;ed hao the f~1 zOning, and does not require specific tand use e.pproyal. cY29/' f!, 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Address City Phone Supervisor License Number Expiration Date Constr Contr, Number Expiration Date Signature of Supervising Electrician Owners Name~/.#VJ ~..15/~ Address ?~ LJ. ~/h< ?~ I L , . Ci ty r:u< 97-Mhone 7..(/P -/'5Si; 2..2- OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. owners S~ X94~- -----------k~!----------- I ~ DATE: 7/ c../5'd. RECEIPT 11: 'f 1 '/:.s "7/.::+- RECEIVED BY: J/7Y . ~;Y""--l, ELECTRICAL PERKIT APPLICATION A. New Residential-Single or Multi-Family per dwelling ~nit. Service Included: 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 It ems Sum 225 FIITH STREET L 1'\/7 SPRINGFIELD, OREGON 97477 Zoning UJ'- INSPECTION REQUEST: 726-3~ 7-v.r.9t.1- City Job Number 9' ~ 'J-;i"5 OFFICE: 726-3759 . -f I' ' , Authorized Signa1uro ''1: TV'tOHPLETE FEE SCHEDULE BELOII 1. LOCATION OF INSTALLATION /~7 ~CfJdl"l/A . LEGAL DESCRIPTION / /7""3 27 21' JOB DESCRIPTION /~ b7.;w~ /7:Ik. GJ>Uf!: ~ Permits are non-transferable and exJire if work is not started within 180 days of issuance or if work is suspended for 180 days. Cost $ 85.00 $ 15.00 $ 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 c.-- $ 40.00 40 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above D. Branch Circuits New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 A' /r") '" T'2.. ~ /,';1..0 A?4a { "'( .17''-''77"..5 CITY .SPRINGFIElD SYSTEMS DEVEl~ENT CIIMGE WORKSHEET (COMMERCIAL! RESIDENTIAL) NAI'lE OR COMPANY: LOCATION: ;;z.4 "1 DEVELOPMENT TYPE: BUILDING SIZE: ~ !."..l"AI"Y7/J I,;~ ~";.I~,, 5~ 5~F' "~")/tHvU ~ LOT SIZE SQ. Ft. .1. STORM DRAINAG~ IMPERVIOUS SQ. FT. ;J.1!'~" X 50.203 PER SQ. FT. ~~ ~s:;;;y '- ---- 2. SANITARY SEWER-CITY NO. OF PFU'S /~ X 542.08 PER PFU ~ -rS"l.#) (See R.everse) '------'" 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP / X /d)J X 5424.31 ~423...r~ <.....:... ---- X X 5424.31 s X X 5424.31 S 4. SAN ITARY SEWER-Mlmc NO. OF PFU'S ; 8" x SI5.125 PER PFU + 510 MWMC ADM FEE S 2.'if:2..:2) (Use PFU Total From Item 2 Above) SUBTOTAL s 31.5'- TOTAL-MWMC SDC ~ '-. ------- (ADD ITEMS 1,2,3 & 4) S ~o/t;..S-~ MWMC CREDIT IF APPLICABLE (SEE REVERSE) 5. ADMINISTRATIVE FEES . - BA.:!~GE wfBTJ0. ABOVE) X .05 y~ /I~' /.. -2.F-9~ / ~~~~~i~or GJ{;1Z'. ~ '-- .-/ TOTAL SDC ~I r.y'L r . III I" 1 _. y- -- For lcmodcfso.c:lICUI!J:"O only Ihe NET :\ddi:i~~I1:ll fi\1\l1'-'~.) . I~l".'.r,[n OF l,:,'lr r IXTURE NEW F1X1UnEe 1:01'1\,i,1.I:rH UNITS 2. ., f- Oo 3 6 / 2 '2.. 6 6 1 3 2 ,/Head I 2 '1.. 2 '2.. 1 '2. 6 '2. . 'l .. FIXTURE noPE BJlhtub..........................,...."..,..,., ",.."..........' Drinking F oU/ll~i/l.....................,...,.."...... ....,..... '..,... Floor Dr.lin.,.........:.................. .,... '......... ,......... .... ...,. Interceptors For Grcase/Oil/SolldsjEIC................. . Interceptors For Sandf/,uto Wash/Etc.................. La undry Tub /0 otheswasher...........,......,................ Clotheswa!\her . 3 Or More..................................... Mobne Home Park Trap (I Per Trailer).................. Recep!or Fgr RerrigeratorfWater Station/Etc........ . Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single.Slall................................................. Shower, Gang..................................,:,..................... Sink. Bar, Commercia!......................................:...... . Urinal, Stallf\VaIL...................,................................ Wash Basin/Lavatory, Single.................................. Water Close~ Public Installation............................. Water Closet, Prr..ate............................................... Miscellaneous: TOT;.L FIXTURE UNITS = n. CREDIT CALCULATION TABLE: Based on assessed value. If imp~ovements occurred after annexation date in table, calculate creat-s. separates. Year Annexed 1979 or before 1980 1981 1982 1983 1934 '1985 Rate per $1,000 Assessed Value Year Annexed Rate per $1.000 Assessed Value Ii I I $3.21 3.13 3.03 2.90 2.82 2.63 2.51 1986 1987 1988 1989 1990 1!?31 1992 S 2.24 1.93 1.57 1.18 0.79 0.44 0.28 , ' .. Credit for Parcel or Land Only If Applicable Improvemenl [rt alter annexation date) 3,.21 X $ If, 70-0 (Rate X Assessed Value) X $ (Rale X Assessed Value) CREDIT TOTAL = 31st. ~. = = $ 31,56 '. RUNOFF COEFFICIENTS FOR STORM DRAINAGE Resid ential..... ....... ............................................ 0.4 CommerciaL.................................................... 0.9 IndustriaL...... ..................................... ............. O. ~ 5 Governmental.................,....,............................ 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT