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.)