HomeMy WebLinkAboutPermit Electrical 2000-9-14
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The following project 8S submitted has' the followin
zoning. and does not require specific land use
approval, ,( p/Z
Zoning
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225 PIFTH STREET
SPRINGPIELD, OREGON
INSPECTION REQUEST:
OPPICE: 726-3759
97470ate
726~3769
Authorized Signature
1.
LOCATION OP INST~LATION
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LEGAL DESCRIPTION
iT()......~34" O~'O~
JOB DESCRIPTION
SF- R-
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Permits are non~transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
2. ,,~...,,^C'I'OR INSTALLATION ONLYB.
Electrical Coritrac tor BOb F.'~),e.t"C la.. rnc.
Addressj B 0 K, 'J1ff /'/'(I'l' I'lve...
Clty1u'j"-ne Phone ~S9'797j
Supervisor License Number 3 q 75'. S
Expiration Date
Constr Contr. Number 9t" 2 '7.5"" .
Expiration Date
Signature of Supervising Electrician
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Ovners Name ~_ AD,~
Address ..pC) B...u.. ~'-/a.5
Ci ty ~l'l~~PhOne 'fLjl./'- ~G
OVNER INSTALLATION
The installation is being made on
property I own vhich is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
t-.Lv.c..Lrl" if:
RECEIVED BY;
r......"uu."",L PERMIT APPLICATION
Ci ty Job Number ()(').~ () 13 10 - () 1
3. COMPLETE PEE SCHEDULE BELOll
A.
Nev Residential-Single or
Hulti-Pamily per dvelling unit.
Service Included: '
IteJJl.S Cost
1000 sq.ft. or less \
Each additional 500
sq. ft or ,portion L::..:.
thereof ;::../
Each Hanuf'd Home. or
Modular'Dvelling
Service or Peeder
Services or Peeders
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
Sum
$ 85.00 .E.S....~
$ 15.00 12-
$ 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
./ 201 amps ~o 400 amps
Dver 401 to 600 amps
Over 600 amps or 1000
D. Branch Circuits
, $ 40.00 LjO
$ 55.00
$ 80.00
VOlts see "B" above
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Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Peeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightinp
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
~ State Surcharge
3% Administrative Pee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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, SYSTEM DEVELOPMENT CHARGE
WORKSHEET
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Job. No. 6() - 0 /3/ () -OJ.
NAME: ~u..>lL er
ADDRESS: '(,0. ~ 71-1.7.-,:-
I
LOCATION OF PROPOSED BUILDING SITE:
Street Address: ~ I( ~ In-, _~ ,
Plat Name: ~ ~ Tax Lot Number: 11 03 23 .f.~ - O.;Lj 0 2-
PHONE: '14~ - L.[g~O
STATE: t)cz...ZIP:. '1'7L{.17
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.) .
A. Sinolp.-FRmilv Dp.fRr.hp.c!
Single Family home
Manufactured:home not in a park
NO. OF UNITS
X $1,000 per unit = $ IO"!>C.-
B. Sinole-FRmilv AftRr.h~
NO. OF UNITS
X $924 per unit = $
C. Mulli-Familv Aoartmenf
NO. OF UNITS
X $692 per unit = $
D. ManllfRdr.!Ifd Home PAris.
NO. OF UNITS
X $699 per unit c $
$ I ()1)l:> .
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WfLLAMALANE SDC
2. SDC CREDIT (If applicable) SDCi>ayer must fumlsh proof of .L
Willamalane Credit approval. See SDC Credit Worksheef. $ f/.)
3. TOTAL WtLLAMALANE NET SDC ASSESSED
l..--.rt\ . (J1)
(If SDC reduced for Credit) $ U U u
.K",.~ lv~
De~~ment Services Department
City of Springfield
q I 14 I Q{)
Date