HomeMy WebLinkAboutPermit Electrical 1999-3-12
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T~e following project8s submitted has Ihe !ollowing
zoning, and dOGS not require specific iandrj'f.e
approval. L j) (L ~7"'CIE:
Zonln" _
-:)-, d- - c{ ~ "1"4ITSH
'2~~ nnl1 S'tKEET J.Jl.d ;'- -.., " 'ALL eXPIRE ELECTRICAL
~l'1PllIlllllyr8()~~QtI 974+: ~'''I:-." IF THE WOR
INSPECTION REQUEST: 726",'(769 - HISPERMITISHy'KJOb Number
OFFICE: 726-3759 ~y I&~~y I>JI>, ~AI\uJI\:,-.- _ NUT
6F11O. I 3. COHFIiE,\,E FEE SCHEDULE BELOY
T 0
PERMIT APPLICATION
C\(\fiJll\
-1Q(f~.o~~&cccJ
~.w1 .Q~~KT;'ON.....--: II~/' '\ 1000 sq. ft. or less
/ i'O.L1UYUl10 '+ wroj) liJJ...) Each additional 500
P its are non-tra~sferable an~ expire ~~~r:~for portion ~
if work is not started within 180 days ATTE~~nq Manuf'd Home, or
of issuance or if work is suspended for' follow rd;IP.'<i~~filij;)[QjI,E!.!ling
180 days. .Notificatiol!ff!:}firceegfcJy~peae:i!res Vn"._ '
'11 OAR 9~ ellter. Thos", Ie OregOI1 Utili- ,
2. CONTRACTOR INSTALLATION ONLY 009<Jl.yo; e2<Jl'lfes Q<lr, Fe'e'd'el'se Set t ty
cal/il1 \'i1$'t'a'fialt.\oR~gin::teli~s~0610$1h
Electrical contractorJ3.a,.h F<:hpr' ~/ecftuirffreg/i'~<R'<l<~.~~:Sfo'tif!SOftherUI- VI_
1/ . . '''$4 e.r or the Or~ ' ore: the teleph es by
Address /ff () /), 'nC/~)J/:J 1"1-/ jJJ(~ , CCZOOr.<\lIJp.loocfrUtjfi;!>SJOtific_ol1e
, I' ' 201 amps (fa3li0Ql4~T.PS-"u"
City ~u~.p h..e Phone....s-,L//-r.:;Y9-'(9Y 401 amps to 600 amps
/ ~. 601 amps to 1000 amps
Supervisnr License Number 3'17, -5 Over 1000 amps/volts
O Reconnect Only
Expiration Date /~ (I//c;f?
AI~ C. Temporary Services or Feeders
Constr Contr. Number VJ () - 56 d ~ Installation, Alteration or Relocation
Expiration D. ate //)//)//.t?9 200 amps"oT less l $$ 40.00 40
I' . i' . 201 amps to 400 a~ps 55.00
Si~~ture of sUP1r::/~lectrician ___ g~:~ :g6 ~~p:o~/~g~o volts ~e:O;,~? above
~ D ;:J l.-v.." '" /"\ ') D. Branch Circui ts "
Owners Nam 'jft"D Y'(JlJJUL/.L,./
n/iO.lJA...r f"'l<1 t)C New, Alteration or Extension Per Panel
Address,tT 'I. VJ. . /TC;""'CS .
/l...-l. /1 . /' ) One Circuit $ 35.00
City -- Phone' /y4 ZlfJ( CL/ Each Addi tional
Circuit or with Service
or Feeder Permit
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
1.
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
The installation is being made on
property I own which is not intended
for sale, lease or rent.
E.
Owners Signature:
---------------------------,---Q-------
DATE: 3/fyf If
RECEIPT #:, O~ H i'j ~
RECEIVED BY: d W~
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
uni t.
Items
I
Cost Sum
$ 85.00 eg
$ 15.00 ~U
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$
2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
Iffi.~
L:t ".L_J
C r..J
i) J 9()
/ '
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ATIACHMENT A .. qqo ~
CITY OF SPRItlfIELD SYSTEMS DEVELOP~T CHARGE
WORKSHEET
NAME OR COMPANY:
'Fufwll B
/luM.
l<-ho// ~
o
LOCATION: 810,
OEVELOPMENT TYPE:
Sf'D
2550
LOT SIZE
SQ. Ft.
BUILDING SIZE:
1. STORM DRAINAGE 5-201- :i(4(,+ 57.5)./- ~(30)+ /8 (;;IO) -I- /5t.t:J;
IMPERVIOUS SQ. FT. ':4Z-ZI, X $0.227 PER SQ. FT. $ 732.30
2. SANITARY SEWER-CITY
NO. OF PFU'S ~
(See Reverse Side)
X $47.14 PER PFU
$ /'2.2 5. C:, t::f
3. TRA,NSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X Lei
X $475.32
$ 4eO.O'1-
X
X $475.32
$
4. ~ANITARY SEWER-MWMC
A, REIMBURSEMENT COST:
NO. OF FEU'S
X 211,#PER FEU
$ 2"11,44-
B. IMPROVEMENT COST:
NO. OF FEU'S
X Z"5. 20 PER FEU
~ 25.2n
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
< $
$
.--
.>
1000
TOTAL-MWMC SDC $ ":31,?-,,,,1-
SUBTOTAL (ADD ITEMS 1.2.3 & 4) $;275(J,(o.S
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05 $ /.-::<,7-53
fJ?5 L-
SDC Coordinator
ATTACH' A. WPD
Date: fJb8/91
I I
TOTAL SDC $2ff!, /0'
I''1V I~. rur r~moaels. calculate only the NET additional fixtures)
. NUM8ER OF .
FIXTURE TYPE NEW FIXTURES
UNIT
EQUIVALENT
Bathtub. ..................... ................ ...... .................... ......
Drinking Fountain......................... ..................,.........
Floor Drain..... .......................,........................... ......... '
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For Sand/Auto Wash/Etc..................
Laundry Tub/Clorheswasher...:...... .........................
Clothes washer - 3 Or More.....................................
Mobile Home Park Trap (1 Per Trailer)..................
Receptor For Refrigerator/Warer Station/Etc........
Rece~tor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall.....:...........................................
Shower, Gang............................... ............................
Sink; Bar, Commercial. Residential Kirchen........,...............
Urinal. Stall/Wall.......................................................
Wash Ba'sin/Lavatory, Single..................................
Toilet. Public Installation.................................... ....
Toilet, Private...................... .................................
Miscellaneous:
II
2
1
2
3
6
2
6
6
1
3
2
l/l-!ead
2
2
1
6
4
I
I
I
//1/
/11
TOTAL FIXTURE UNITS
=
. '^~Ult: units
, .
FIXTURE
UNITS
\
~
~
I
'k...
z.
~
LJ~
~2h
CREDIT CALCULATION TABLE: Basec on assessed value. If improvements occurred after annexation date in :eble.
C?alc:;late credits .separates.
Rate per $1,000
Assessed Value
,i
Year
Annexeri
Year
Annexed
(
1979 or before
1980
1981
1982
1983
1984
L1985
1986
1987
1988
$4.27
4.18
4.12
3.99
3.83
3.68
3.48
3.18
2.82
2.42
1989
1990
1991
1992
1993
1994
1995
1996
1997
Credit for Parcel or Land Only If Applicable
X $ =
(Rate X Assessed Value)
X $ =
(Rate X Assessed Value!
CREDIT TOTAL = $
Improvement (if after armexation date I
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
ResidentiaL......................... 0.4
CommericaL........................ 0.9
IndustriaL........................... 05
GovernmentaL..................... 0.5
FIXUNIT.WPO,
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
Rate per $1 ,OOC
Assessed Value
$1.98
1.55
1.15
0.96
0.83
0.67
0.52
0.38
0.21
J
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.
.
Job. NO.jqOH'R
SYSTEM DEVELOPMENT CHARGE
~) WORKSHEET
NAME: ,--. 0 ~J
;\ fJ
~r--
PHONE: l4.4.2..ldiJ
STATE: [iJL,ZIP: J:tr1o I
ADORES:
LOCATION OF PROPOSED BUILDflG SITE:
Street Addr~s: _R 1!l E. i.LuJL
Pial Narrlts~_\\)~ax Lot Number~_
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SOC calculations and dwelling t
ype dellnitions are on the back.)
A. Sinalfl-F::lmilv Dflt::lchflQ
\. Single Family home ,"
NO. OF UNITS I
Manufactured home not in a park ()
X $1,000 per unit = $ \f1f) p.
B. .s.inalfl'-F::lmilv Att::lchf!(f
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. Mamtf::lcllJrArf Home PsIDi
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit c $
$ \ [XX!) cO
3. TOTAL WILLAMAL NET SDC ASSESSED
.. L ;'.~cUOOd ,0romO ) ;, I
~llpn\ent sf;~~ !partment Date
City of SPringfierrroe
$
j2f
I nnn pi)
11
2. SDC CREDIT (If applicable) SOc-payer must furnish proof of
Willamatane Credit approval. See SDC Credit Worlcsheet.
$
(2-
I