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HomeMy WebLinkAboutPermit Electrical 1986-11-18 .. . Tho fOI;"y;lng project as submitted has tho foliow! zoning, and does not requiro specific land use approval. Zoning LO(2. Deld{'/f:,-~ 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 974 77Jll1orizod Slgnaturo 726-3769 1-J/vo, 3. 1. ~~ ~~) A. ~E~~P7)~'1rd M)Zll~~? + tcillro Permi ts ar~ non-transfera lle ~d expire . if york is not started vi thin 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALI..ATION ONLY Electrical contractornll3 PAlYl\.U; ~ Address P,D. ~ 45/2.- City~ r1bf-- Phone~-11)~1 Supervisor License Number .~~z,~ Expiration Date io-qfb Constr Co~tr. Number 2D-1~0 Expiration Date 10 -'1f Si,""":~~~'i" V- '7 v I..---- \ Owners Na f\ If\ Address '1~_ - J . Ci ty v~rM ~ Phone \~W\lot O~ I\1TALI..ATION The installation is being made on property I own which is not intended for sale, lease or rent. Ovners Signature: ~~TE~---------\\:,"~f\~--1\/'~----- RECEIPT *: , ~l~ (}.~ RRr.RTVF.O BY: \\ ~ ELECTRICAL PERMIT APPLICATION Ci ty' Job Number q \~ ~~ COMPLETE FEE SCHEDULE BELOY New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less S 85.00 Each additional 500 sq. ft or portion thereof S 15.00 Each Manuf'd Home. or Modular 'Dwelling Service or Feeder S 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 \ tJO S 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installa.tion, Alteration or Relocation 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 $ 40.00 $ 55.00 $ 80:00 volts see "B" above D, Branch Circuits Nev, Alteration or Extension Per Panel One Circuit S 35.00 Each Addi tional Circuit or with Servic~ ~ or Feeder Permi t IJI $ 2.00 ~ E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm no t. included) 5. $ 40.00 S 40.00 $ 20.00 ~laz . ~ J!4- . J.?1 (din ,L. n SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL JOB NO. 7G>0 685 ATTACHMENT B ... CITY OF S~NGFIELD SY9TEMS DEVEL~MENT CHARGE WORKSHEET NAME OR COMPANY: M€.L MAt-ifi / CArH ~ , ,e.cJS<'1:LI.. LOCATION: "'?"Io 5IMSrA DEVELOPMENT TYPE: ADOI r(~N BUILDING SIZE: lOT SI7F SQ. Ft. 1. ~mRM ORAT~ IMPERVIOUS SQ. FT. Z59 2. SANTTARY SFWFR-r.TTY NO. OF PFU'S (See Reverse Side) 3. TRANS PORTATT ON 9'/ X $0.216 PER SQ. FT. $ 55 - X $44.75 PER PFU $ NO OF UNITS X TRIP RATE X COST PER TRIP X X $451. 26 $ X X $451. 26 $ X X $451. 26 $ 4. ~ANTTARY SFWFR-MWMr. NO. OF PFU'S x$20.69 PER PFU+$lO MWMC/ADM FEE (Use PFU Total From Item 2 Above) $ MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ TOTAl -MWMr. 'lOr. $ $ 5"5!!.- SUBTOTAL (ADD ITEMS 1.2.3 & 4) 5. AOMTNTSTRATTVF F8ES BASE CHARGE (SUBTOTAL ABOVE) X .05 $ z~ {IZP) ~(Al.u;~1'- Troy MeA 11 i ster SDC Coordi nator Date: ~("d<J<O TOTAl 'lOr. 74 $ 56 -- I ."". VI ,.... Villi' "'1"'\L.vVLI"'\ IIVI~ I MCL..c:~ Number ot New Fixtures X Unit Equivalent = Fixture Units (NOTE: For remodels. calculate oi' the HfI additional fixtures) NUMBER OF , UNIT FIXTURE FIXTURE TYPE. ' NEW FIXTURE EQUIVALENT UNITS Bathtub..................................................................,.. . Drinking Fountain....... .:................ ............................ Floor Drain............. ............... ........................... ......... Interceptors For Grease/Oil/Solids/Etc............ ..... Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub/Clotheswasher ............ ............ ...... ..... Clotheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator/Water Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall................................................. Shower, Gang. ................................................ ......... Sink: Bar, Commercial, Residential Kitchen.................'....... Urinal, Stall/Wall....................................................... Wash Basin/Lavatory. Single.................................. Toilet, Public Installation................. ....................... Toilet, Private....................................................... Miscellaneous: 2 , 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 TOTAL FIXTURE UNITS = CREDIT CALCULATION TABLE: calculate credits seoarates. 'I " " " Based on assessed value. If improvements occurred after annexation date in table, Year Annexed Rate per $1,000 Assessed Value Year Annexed 1979 or before 1980 1981 1982 1983 1984 1985 1986 $3.72 3.64 3.58 3.45 3.30 3.15 2.96 2.68 1987 1988 1989 1990 1991 1992 1993 1994 1995 Rate per $1,000 Assessed Value $2.34 1.95 1.53 1.11 0.73 0.56 0.44 0.27 0.13 Credit for Parcel or Land Only If Applicable X $ (Rate X Assessed Value) X $ (Rate X Assessed Value) = Improvement (if after annexation date) CREDIT TOTAL = $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Residential........................... 0.4 Commerical......................... 0.9 Industrial............................ 0 5 GovernmentaL..................... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT