HomeMy WebLinkAboutPermit Electrical 1995-2-21
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The following projact as submltled he. tho lo1fi)Wii\'g-."'" '.
zoning, and does not require spGcnic lend uoo:
. approv~I, , /)
. Zoning ~ rJU'f2-/
225' FIFTH STREET. ' 'I 6415
SPRINGFIELD, OREGON 9747~ Dmo ~ 1
INSPECTION REQUEST: 726-376~ut' 'ed I, I ~/"\ Ci ty Job Number
OFFICE: 726-3759 nonz ,Ggnaura ( /
3. HPLETE FEE SCHEDULE BELOII
1. }..OCjATIAN.. OF INSifJU:.LA;IlION
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Permits are non-transferable and expire
if york is not started yithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor BOB FISHER
Address 1 AO KHIGS."UTRV lWJ;'1\lTW
Ci ty j,rTr.J;'~",
Phone fiR9- 7..9.,73
Supervisor License Number 397,~
Expiration Date ,n_,_QQ
Constr Contr. Number 96275
Expiration Date
l_?~_Qh
Signature of Supervising Electrician
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;yners ~ame )..\\r\n9~r~~
Address 0~?J "\\l,()( \DK~ _
f'l ~ ~hone 4R5-3\llo
O\INRR IN~ALLATION
Ci ty
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Oyners Signature:
DA~E~--------~~;l/~~~-------------
RECEIPT~: -:;;z.~5Z. /''>-'-1
ELECTRICAL PERMIT APPLICATION
C\\ffilq
A"
New Residential-Single or
Multi-Family per dwelling
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home, or
Hodular 'Dwelling
Service or Feeder
,B.
Services or Feeders
Installation, Alterations
or Relocation:
uni t.
Items
\
L\:
Cost
Sum
$ 85.00
95
kO
$ 15.00
$ 40.00
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00 .'
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
, In~~
Temporary Servlces or Feeders ~/llt~
Installation, Alteration or Relocati~
200 amps' 'or less' I $ 40.00 C::s:ll
201 amps to 400 amps . $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" abov,"
C..
D.
Branch Circuits
Ney, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% AdmInistrative Fee
$ 35.00
$ 2,00
no t included)
$ 40,00
$ 40.00
$ 20.00
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Job. No.~)()l~
SYSTEM DEVELOPMENT CHARGE
~ ~ WORKSHEET '
NAME: ~11)O_ b~~ PHONE:6r~:)'3\llo
ADDRESS: 0~~ ~\\}() ~~ iUo=<...... STATE: ~ ZIP: ~<6
LOCATION OF PROPOSED BUIL~~ SITE:
Street Address: Q\\o \ ~\\~ W~ It.)(oLA
Plat Name: ~\}.Q,r (='_\.a..A Tax Lot Number: ~bO~C:Q3
1. DEVELPPMENT TYPE, (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back,)
A. Sinolp.-F8milv Detached
\ Single Family home
NO. OF UNITS \
Manufactured home not in a park
X $1,000 per unit = $ JOon ,CD
B, .sinalp.-Familv Attached
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. .M8nufacturp.o Homp. Pari<,
3. TOTAL WILLAMALANE NET SDe ASSESSED
(if SDC reduced for Credit)
\~J'~~~rtm'"'
City of Springfield
X $699 per unit = $
$ \trD ,CD
2. SDC CREDIT (if applicable) SDC-payer must furnish proof of r/
Willamalane Credit approval. See SDC Credit Worksheet. $ ~
$ \ GOD rfJ
NO. OF UNITS
WILLAMALANE SDe
Z I 2../ I 5')"
Date