HomeMy WebLinkAboutPermit Electrical 1995-10-9
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Tile following project.. sUI ."""lflc Ie.nd use
z..:-ning. and does not roqu ro VJ"--
upprcV61. J /) JI) / ELECTRICAL PERMIT APPLICATION
97477 -' (;I..tIJf'--' (')5 '2 '8
726-:37691.00ln4_Q5 City Job Number ,'l:;)\Q
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. r ~ If} COMPLB+E FF.E SCHEDULE BELOV
1. L~ ~l~5Jr~tIb2Jr~'{:
~ OICD3 l
~e-~~))N
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759'
Permits are non-transferable and expire
if ~ork is not started ~ithin 180 days
of issuance 0. if ~ork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical Contractor ~o~ r,,,f..,..., lae'-M'-
7'-'''-
Address I f/1J 1/..( W," dA"""'" IIDc-
Ci ty /;;;v(, ~j Phone (o':;1/17? 7 3
Supervisor License Number ?, tj 7 ~
Expiration Date /(') -1- Cfs<
Constr Contr. Number q ['7_ 1s
Expiration Date J- 7') -ql...
Signature of Supervising Electrician
'!~f1~
O~ners Name
.. .", - --::.: (
-" "/I .AJ6) .~
'G...."'~, - .~-
Address I . f,;
L,.~ 4, . u~, . J
7 ,
-1 "
Ci ty ~,_~ Phone
OVNER INSTALLATION
c :.:r
The installation is being made on
property I o~n ~hich is not intended
for sale, lease or rent.
Owners Signature:
~~~~::-:~-~-~-----~r{jr.~~--~
RECEIVED BY: r~~
~-
Ne~ Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
1000 sq.ft, or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder
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
Cost
Sum
$ 85,00
55
~
$ 15.00
"T-~
.
$ 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 $ 40.00 -4-0
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps 0. 100U 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
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE l10,oo
5% State Surcharge ~...,......
3% Administrative Fee 5. l~
TOTAL I R" _ 10.0
.
.
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(COMMERCIAL / RESIDENTIAL)
Name or Company: FUTURE B HOMES
Location: 897 RIVER KNOLL WAY
Developement Type: R Building Size:
Job No.: 951368
Lot Size:
1. STORM DRAINAGE
Impervious Sq Ft 2296 X 0,210 Per Sq Ft
2. SANITARY SEWER - CITY
Number Of PFUs 23 X 43.43 Per PFU =
(see Page 2)
3. TRANSPORTATION
Number Of Units
1 X
X Trip Rate
1. 010 X
X
Cost Per Trip
437.93 =
$442,31
Transportation Total
4. SANITARY SEWER - MWMC
Number Of PFUs
23
X
X
Per PFU +
18,750 +
MWMC Admin Fee
10,00
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SUBTOTAL - (Add Items 1, 2, 3 & 4)
5. ADMINISTRATIVE FEES
Base Charge (Subtotal Above) X
0,50
TOTAL SDC
Reviewed By: TROY MCALLISTER
Date: 08/24/95
Page 1
Sq Ft
$482.16
$998,89
$442.31
=
$441. 25
$0.00
$441. 25
$2,364.61
$118.23
$2,482.84
.
Job Number: 951368
FIXTURE UNIT CALCULATION TABLE
Fixture Type
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/Oil/Solids/Etc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator/Water Station/Etc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single Stall
Shower, Gang
Sink, Bar, Commercial
Urinal, Stall/Wall
Wash Basin/Lavatory, Single
Water Closet, Public Installation
Water Closet, Private
Miscellaneous
TOTAL FIXTURE UNITS
CREDIT CALCULATION
Number of
New Fixture
1
o
o
o
o
1
o
o
o
1
o
1
o
3
o
3
o
TABLE: Based on assessed value,
after annexation date, credits
(calculations are by $1000)
Year Annexed:
Credit For Parcel Or Land Only If Applicable:
Improvement (if after annexation date) :
.
Unit
Equivalent
2
1
2
3
6
2
6
1
3
2
2
2
1
6
4
Page 2
Fixture
Units
2
o
o
o
o
2
o
o
o
2
o
2
o
3
o
12
o
23
If improvements occured
are calculated separately.
o
x
0.00 =
o
x
0.00 =
0,00
0.00
$0.00
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)
~\
CREDIT TOTAL =
.
.
Job. No.
~~\~\oC(
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: S;\~ ,~ \\iiffiOJ)
ADDRESS: ~~C\ ~~ QolKto ,
PHONE: 4-R~.~\l\ fL
STATE: 1l:::-ZIP: ct14D~
LOCATION OF PROPOSED BUc\LDING SITE:
Street Address: _~l 't\\\~\\ \l"lliA /
, Plat Name: ~ill.DA (,.\tX\, Tax Lot Number: \1~0...3(7) \~a..QtOO3
1. DEVELOPMENT TYPF: (Check appropriate dwelling(s), SDC calculations and dwelling t
ype definitions are on the back.)
A. Sinnle-Fllmilv net~
\
Single Family home
\
Manufactured home not in a park
X $1,000 per unit = $ \b\:l) fV
NO. OF UNITS
B. Sinnle-Fllmilv Attll,.,hAr!
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO, OF UNITS
X $692 per unit = $
D. ManufaCWred Home Pari<,
$
$
\.000 ,CO
~
NO. OF UNITS
WILlAMALANE SDC
X $699 per unit =
2. SDC CREDIT (if applicable) SDC"payer must furnish proof of
Willamalane Credit approval. See sac Credit Worksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
C' SDC """red '0< ~
D~~"~~~D.partm.", Da\~ I
City of Springfield
$ \nno po
q/C(S