HomeMy WebLinkAboutPermit Electrical 1995-7-21
I
I.'
I
The fOl/owin .
loning, and ~ project as submitted h
approval. oes not require specilicas, the fol/owing
and Use
Zoningt fY2.-
D~91- 2/-1
9747 , )
Pfsl,~...i},iJ.f,~lgnatu: -1i M
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFPICE: 726-3759
1. LOCATION OF INSTALLATION ~
-:s ~ 5"""3> ~ ~.JsoCil) U2.tvt?
LEGAL DESCRJ),;nCW_
_'.A'r q, /6 OWtQ /',}-
JOB DESCRIPTION
.N ~.FK
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Address /.2 -r I/U
Ci ty h#T)J2,)Je::;
t'/Lb,+l 2$1Ad.t::'o
3~ 5)/-;
Phone .Lj '7 \- - d.. J 3 'J
Electrical Contractor
Supervisor License Number /G> <::!;:>..-( ja.,
Expiration Date /6 -/ '- 9,'-
Constr Contr. Number tb"l? :?~..s-
Expiration Date '7 - Lj -9 ,-
Signature of Supervising Electrician
/?~A _ ~6-'v./--.:/-o-l---
~p '-' D.
Ovners Name "v.~!,~A..I Fd (;:Ej,~c",
Address "T'i 'f s,"5.J ~ ~I
City <(OP,1.."7'J Phone ':J)..JJ.J -b9d.C
I . .
OVNER INSTALLATION
.'
The installation is being made on
propeny I ovn vh'ich is not intended
for sale, lease or rent.
Ovners Signature:
--------------------rt-----------------
DATE: t'\.? \. .'-\S . c. ',."'T'\.
RECEIPT #: . -, \'h~~
RECEIVED BY: ~\~. --
.......,.,J"'-"'"'
-'--
ELECTRICAL PERMIT APPLICATION
City Job Number
Cf6l)16q
3 -:-Cvnr urE FEE SCHEDULE BELOII
A. Nev Residential-Single or
Multi-Family per dvelling uni t.
Service Included:
Items Cost Sum
1000 sq. ft. or less $ 85.00 q6/
Each additional 500
sq. ft or ponion '2- 'M/
thereof $ 15.00
Each Manuf'd Home. or
Modular. 'Dvelling
Service or Feeder $ 40.00
.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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
Branch Circuits
"
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
,Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
no t included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
U".OO
1'). .11)'
'h .10/"'"
~
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
. '. ," I
.
.
"!'..,. "1
@ Y.'!i!IR'!O':!!,i!!lI.l!~
"
Job No. qb01~
SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAM8 *0d(fL~.PV1~S
ADDRESS: ~ ~~ 00 ' ~'lft.J ?At.(/}
PHONE:
1l/:lfv (p q & &
'.
STATE:.u:. ZIP Cf1lf71
" .
Platt ~ame: I K D ~ ~ (p / 'l.--
t,miJr!, ru.dJJJMJ.' /Iv,V-t '
Tax lot Number:" 1Ap(JO
lOCATION OF PROPOSED BUilDING SITE:
-Street Address if Known: 1)0c??J
1. DEVELOPMENT TYPE (Check appropriate dwellirig(sJ. SDC calculations and dwelling type
definitions are on the back.l . " " "
A. Sinl1le Familv - Detached
/" Single Family home
" NO OF UNITS
Manufactured home not in a park . I " "
X $400 PER UNIT .:F. $ . '1fX) .O~
B. Sinl!le Familv - Attached
."
\
NO OF UNITS
X $370 PER UNIT =
'$
C. Multi-Familv Aoartment " .
NO OF UNITS
X $~77 PER UNIT =
$
O. ManufactUred Home Park
NO OF UNITS
X $280 PER UNIT =
$
WPRD SDC
. $J/!JIJ .()O
2. SDC CREDIT (If applicable) SDC-payer must fumish proof of WPRO Credit
approval. See SDC Credit Worksheet.' $
OTAl WPRD NET SDC ASSESSED (If SD~ reduced for Credill $ l/Oo .lfl)
. ~ . '2..\ .' qS
~/~/qtffJ .
r^ro-o........"t,.., <:f\,...,tr"t)"'"'l:"it'inn nMP--"
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(COMMERCIAL / RESIDENTIAL)
Name or Company: HAYDEN
Location: 3353 S
Developement Type: R
ENTERPRISES
REDWOOD DR
Building Size:
Job No.: 950759
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
Per PFU +
17.190 +
MWMC Admin Fee
10.00
X
X
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: 950759
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.)