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HomeMy WebLinkAboutPermit Electrical 1999-3-12 , . 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() / ' . , 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 . . . . 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