HomeMy WebLinkAboutPermit Electrical 1995-7-21
The. following project as submitted has .
zonmg, and does not require specific IEl~~ ufos~~owrng
approval. ......
Zoning~O ./
97~=W:7-/.lI-~
776-3769 . , ~^
A:,lllhorized Signature_'V IVl
3.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
I. LOCATION OF INSTA4kATION ~_
_ .,~ ~ -:;oun+\:::t;1)~D D1'-
LEGAL DESCRIPTI1~~ ~
Lo-r rac;:; MWCo I""
JOB DESCRIPTION
.- -1.1 $' .F K
Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
#LJ:a1J :IN.&d.CO
3AZl .:;,'/
Address /.2
...,.J/f..)
Ci ty ~~P4<; Phone.l;/ '7 \- - .J..) } 't
Supervisor License Number /<!) <::!;:>,..,( G;
Expiration Date /0 -/ ~ 9"
Constr Contr. Number tb$ 7~S-
Expiration Date '7 - '-1-9 \-
Signature of superv~ing EI. ectrician
t?~~~-.;. ~VA--J_~,.4 fi--,_ D.
Ovners NameJ~"r.>~A...1 2m-. ,:::rIVe",
Address '6'71 5.5:1-d".'9/-,
Ci ty <;r:n:::'i-:J) Ph~ne ")1-JiJ -,I,,9d,C
/ -
OVNER INSTALLATION
The installation is being made on
property I ovn vhi~h is not intended
for sale, lease or rent.
Ovners Signature:
!jj]j;:::::'T:]f~~;-~~~;;:
ELECTRICAL PERMIT APPLICATION
City Job Number
COMPLETE FEE SCHEDULE BELOY
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
t16D1t.JJ
It ems Cas t
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular.Dvelling
Service or Feeder
7.---
.B.
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
$ 85.00
9 b- fIT)
'?tJ. OV
$ 15.00
$ 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 to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see liB" above
.'
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
at" Feedet" Permit
E.
Miscellaneous (Set"vice/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
no t included)'
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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Job No. q~,M11
SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAM~ *0dm, ~.P V1~S
ADDRESS: ~ ~Cf 06 . 1J]1fl-~ W-ttJ
. ~ .
PHONE: Jlf~ (Pj &&
STATE:..Dt. ZIP' Cf1lf71
'.
. . '
_0 _ ~
. .
PI~tt ~ame: I ~ D ~ 6 (p (t--
Tax Lot Number:
0.WMtf . IK, V-t '
1Ja(f{) .
lq<:ATIONOFPROPOSEDBUI~DINGSITE: .'/ I. '././.11
Street Address if Known: %d1 VJ/fU':if'1/ .
1. DEVELOPMENT TYPE (Check appropriate dwellirig(sl. SDC calculations and dwelling type
definitions are on the back.)' , ' , ,,', '
A. 'Sinl!ie Familv - Detached
I, Single Farl)i1y home
. NO OF UNITS
Manufactured home not in a park.,. . I .. " '
X $400 PER UNIT .s=. ' $'" Jf.()') .OIJ
B. Sinille Familv -'Attached
.'
'..\
, "
NO OF UNITS
X $370 PER UNIT = ,
'$
C, Multi-Familv Aoariment'.
NO OF UNITS
D. Manuf.u:tured Home Park
X$~77 PER UN.IT =
$
NO OF UNITS
X $280 PER UNIT =
"$ ,
WPRD SDC
, '
, . $ t./IJIJ. ()()
2. SDC CREDIT (If applicable) SDC-payer must furnish proof ofWPRD credit
approval. See SDC Credit Worksheet. " , $
3. OTAl WPRD NET SDC ASSESSED (If SDC reduced (or Credit> $ lj!J() ,111)
'} . 2-l .qs
. ~ <'7 I 10 /l/vT'
, .
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(COMMERCIAL / RESIDENTIAL)
Name or Company: HAYDEN
Location: 3328 S
Developement Type: R
ENTERPRISES
REDWOOD DR
Building Size:
Job No.: 950747
Lot Size: 0
l. STORM DRAINAGE
Impervious Sq Ft 0 X 0.209 Per Sq Ft
2. SANITARY SEWER - CITY
Number Of PFUs 18 X 43.26 Per PFU
(see Page 2)
3. TRANSPORTATION
Number Of Units
1 X
X Trip Rate
1. 010 X
X
Cost Per Trip
436.19
$440.55
Transportation Total
4. SANITARY SEWER - MWMC
Number Of PFUs
18
X
X
Per PFU +
17.190 +
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: KIP BURDICK
Date: 07/03/95
Page 1
Sq Ft
$0.00
$778.68
$440.55
$319.42
$26.23
$293.19
$1,512.43
$75.62
$1,588.05
Job Number: 950747
FIXTURE UNIT CALCULATION TABLE
Page 2
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
Number of
New Fixture
Unit
Equivalent
Fixture
Units
2
o
o
o
o
1
o
o
o
o
o
1
o
2
o
2
o
2
1
2
3
6
2
6
1
3
2
4
o
o
o
o
2
o
o
o
o
o
2
o
2
o
8
o
2
2
1
6
4
TOTAL FIXTURE UNITS 18
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured
after annexation date, credits are calculated separately.
(calculations are by $1000)
Year Annexed: 1960
Credit For Parcel Or Land Only If Applicable:
Improvement (if after annexation date) :
7,580
X
3.46
26.23
o
X
3.46 =
0.00
CREDIT TOTAL
$26.23
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)