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HomeMy WebLinkAboutPermit Electrical 1995-12-4 The following proj:>ct es .ui)m:ttadl~S th31~1i0 zoning, and doea no.t requIre spcctfh.. land u",e approval~onin ~JJ ~ Data I ;;l14\ 4 :> ELECTRICAL PERMIT APPLICATION 97477 .J\lIlh rtzodSlgoc1u;o ~ 729-3/0':1 0 I Ci ty Job Number 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LOq,TION OF INS~LATION ~ ~ c.. t.}- <:;ovnt- k::'6o w~ l)~ LEGAL DESCRJ,PiJ;l;OJj _, ,.., l-e<l B3 I 'IS ()'IAJJ I ~ -'JOB DESCRIPTION /1,1 $' .F ;;Z 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 3. COMPLETE FEE SCHEDULE BELO\l 15rJ16 A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular. .Dvelling Service or Feeder .B. Services or Feeders Installation, Alterations or Relocation: Electrical Contractor #~~~ .lE1Ad.cO 3.Zl2 5/, Address /.2 ~vU C i t y Jt.t.#'J)J2,4<; Phone .LJ ::7\- - .:U 3 'J /<1) <::::>~ S Supervisor License Number Expiration Date Jb -/ '- 9,~ Conser Contr. Number &:>7i 7~0 Expiration Date 9-Lj-9c Address Ci ty <;0 ;::::..L-,) I . O\INER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: ~A~~~---------~--,-----l~-:zt:~<)--- RECEIPT U:~'\.1 \,.1\ ~ '" RECEIVED BY: I J 11,WU./ >- -...j 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 It ems Cos t Sum $ 85.00 '117. (Jl) ~ $ IS. 00 '?~ . trb $ 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 "B" above " Nev, 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 Additional Circuit or vith Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 51. State Surcharge 31. Administrative Fee TOTAL $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 , JI~' OD '1,.(4 _ ~.'-!.? I "LI.~ . . T" . '.-':')wl~g project"",;> 'lUbm~lod has 1M following .' CCod doc. not roqulre specfflo land usa . .cl. f'\.... _ ~Oning . I/IIW rt'... Wlllamalane '".. 'tg Park & Recreation District 1'.,,1;'0';'00 Slgnoture '. !obNO. If.9J1tL SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAM~ lfa0dtfL. ~.P V1~S ADDRESS: ~ ~q 0D . ?]1)1,/~ w.ffl . ~ . . . PHONE: JlIl/- (pJidL STATE:.Ii:. ZIP 6(1Lf71 . '. . . . ..'- _0 _._ Platt Name: I K b ~O(p I'l--- 0mi5h1. fU.dJJJoori' /)V, V-t ' Tax Lot Number: 'licdJD .' LqCATION OF PROPOSED BUI~DING ~.- ",f Street Address if Known: 'iflJft'f 1. DEVELOPMENT TYPE (Ch~ appropriate dwellirigCs). SDC Calculations and dwelling type definitions are on the back.)' . .'. '. ". . A. . siril!ie Familv - Detached (. Single Family home . NO OF UNITS Manufactured home noUn a par\. . I A " . X $400 PER UNIT..? '" $' '. /.f.{J) .bl) B. Single Familv -'Attached .' ."\,\: NO OF UNITS X $370 PER UNIT = . $ C. Multi-Familv Aoariment . NO OF UNITS D. ManufactUred Home Park X $~77 PER UNIT = $ NO OF UNITS X $280 PER UNIT = $ , . '. $ tJ/JIJ .IJ() WPRD SDC 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} $ ljlJ() .lfl) . 1c9 .4.C{S .~ ~.~, (/!.'- -. ~~'-'/,\- - I C---.-; I SPRINGFIELD CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE (COMMERCIAL / RESIDENTIAL) Name or Company: HAYDEN Location: 3364 S Developement Type: R ENTERPRISES REDWOOD DR Building Size: Job No.: 950745 Lot Size: 0 1. 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: 950745 I' . 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 = Number of New Fixture 2 o o o o 1 o o o o o 1 o 2 o 2 o Page 2 Unit Equivalent Fixture Units 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 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.)