HomeMy WebLinkAboutPermit Electrical 1995-7-21
The fol/owing project as s b itt
zoning, and does not reQ~":"p~~ryas, thde following
approval. ,;.) tile' an" use
Zonina t-l? t2-
225 FIFTH STREET "7 - ,
SPRINGFIELD, OREGON f97n7(-Z/ dO
INSPECTION REQUEST: Au7d9.'C~7&q _, ' , oj
OFFICE: 726-3759 , gn" ure IV IVI
I. LOCATION OF I~ALLATION ~
'33'3" ~ ket>()X)Ot) u::.1~
LEGAL DESCRr:-;-~ -~. ,
/p<t- q,b \ ~ 01.-01., I'd..
JOB DESCRIPTION
/LI $' F'K
Per~it$ are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor~""1j GL..!2u'cO
Address / -2 ...,. I/U 3.zz1 5>/-;
Ci ty, /t-t#h/2A~ Phone ,1.1 7. \- - ..:l..) 3 i'
Supervisor License Number /<:1) <::!:>....-:::: .f5
Expiration Date /0 -/ ~ '7,~
Constr Contr. Number t1::>7} 740
Expiration Date 7' - '-I -9 ,-
Signature of zuP rvising Electrician
/) #'1.,..... .....t/~~-
~LZ. _ D.
Owners Name ,.v.~~.A..u Fd, ~~<:",
Address 'r'71 S. 5.1d~,
Ci ty <;r:n~..l.,) Phpne '7)..JJ.J -,49~
I .. ..
OVNER INSTALLATION
The installation is being made on
property I own whi~h is not intended
for sale, lease or rent.
Ovners Signature:
~~~~~--------rr:~lI~~----~--~-~--
RECEIPT #: .~".. h\3#~
RECEIVED BY: { Ali 't A" ./~
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number qr;[)l?~
3.
COMPLETE FEE SCHEDULE BELOY
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modula~'Dwelling
Service or Feeder
$ 85.00 ~0../
I} .. /).,~, /
V $ 15.00 "IV
$ 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' 'or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
Branch Circuits
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with 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
not induded)
5.
$
$
$
$
/Iii). b l)
~. "II? '
~ '1J.L/'7
IfM/.';ff')'
40.00
40.00
20.00
36.00
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
SPRINGFIELD
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(COMMERCIAL / RESIDENTIAL)
Name or Company: HAYDEN
Location: 3331 S
Developement Type: R
ENTERPRISES
REDWOOD DR
Building Size:
Job No.: 950758
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: 950758
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
TOTAL FIXTURE UNITS =
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
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.)
. '. .....
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Job No. Qa1c7t
SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAM~ ~0dtA. ~.P nets
ADDRESS: ~ ~q 00. ?]1}1;-f{ w.{f}
. ~ .
""PHONE: -..J...lIl/v ~
STATE:..rk ZIP t11lf71 .
'.
. . .
_0 __
. .
Platt ~ame: I ~ D ~ D (p I'l---
0miJr/ _
Tax Lot Number: 'jjp(J/)
0.dJJJMd . W, V.t '
LOCATION OF PROPOSED BUILDING SITE:
-Street Address if Known: MIh ,
1. DEVELOPMENT TYPE (Check appropriate dwellirig(sJ. SDC calculations and dwelling type
definitions are on the back.>' " " " . ..."" .
A . Sineie Familv - Detached
!" Single Fart:lily home
. NO OF UNITS
Manufactured home not in a park... . I" " .
X $400 PER UNIT .:z=. $ '. '1tY) .OIJ
B. Single Familv -'Attac.he<!
."
.'--\
NO OF UNITS
X $370 PER UNIT = " "
. $
C Multi-Familv Aoartmen\' .
""'
NO OF UNITS
X$P7 PER UNIT =
$
D. ManufactUred Home Parle"
NO OF UNITS
X $280 PER UNIT = $
WPRD SDC
"" .
.. $J/lJIJ .{)f1
2. SDC CREDIT (If applicable) SDC-payer must fumish proof ofWPRD Credit
approval. See SDC Credit Worksheet.' $
OTAL WPRD NET SDC ASSESSED (If SDC reduced (or Creditl$ l/O~ .If/)
').. 2(.qs
~ I J0 It/I/) - . .