HomeMy WebLinkAboutPermit Electrical 1996-3-13
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SPRINGFIELD
The.ioIlOwi"d9 'por.i~~~ ~:~ui7~'~';;ifi'~ lend
zoning, an c .
approvalz'. L D(L _ELECTRICAL PERMIT AP~PLMICrfJATIO~N l
97477 on1""
726-3769D.ta~~ Cj {,:t City Job Number
Authortzed Signalur~ ~LETE FEE SCHEDULE BELOII
1. ~~~~~ I~~l)~~~QQ~
\~'~~ON Cfl1rO
'--i JOB DESCRIP'fION. ~ ~ vl'.db ~
~l (\, i\(\~\1) ,,\&\ \oAlJ..)()\.Ul )
- - - -
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Permits are non-tra~sferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.'
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
un'i t .
Items
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor Allen Electric or Relocation:
Address
12 5W 3rd 5t.
City M"dr"",
Phone 475-2139
, Supervisor License Number 1 0065
Expiration Date
IO-I-95 /()-t')I-f8
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
Constr Contr. Number nR74~
Expiration Date
h-Z'-t1./
9-4-95 7 ., /t.-
,
'i..,'"" of '"~.. Si.""","
(l/tf:,~- ~~ -
Owners Name ~~~ t:\ S~ Q \ ~ ~
Address <~\\S \4\fumf\ f\ )
Ci ty t0iUlli..-Phone Yl1-O ')
O\INER INSTALLATION
The installation is being made on E.
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~~~~~ 5
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
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$ 40.00
$ 55.00
$ 80.00
see "B" above
or Extension Per Panel ~
/ $ 35.00 ..J~---
New, ~lteration
One Ci rcui t
Each Additional
Circuit or with Service
or Feeder Permit ~ $
I:e-
2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res .
Limited Energy/Comm
SUJlTOTAL OF ABOVE
5% State Surcharge
. WPitL 3~ c\,
\&~
S 40.00
S 40.00
$ 20.00
~~CQ
\ ,VI",,2-
\. .\\
L\~,\~
..
. . JOB NO. Cjf.t, 0261
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPA'NY:
SOI-iH ~/CIL,- rZILt-/
LOCATION:
33'> L :5. /Z.IZ:DwccO
DEVELOPMENT TYPE:
/111)01..",
('LIi/-ll',iN("
BUILDING SIZE:
LOT SIZE
SQ. Ft.
1. STORM ORATNAGt;
IMPERVIOUS SQ. FT.
2. SANTTARY SFWFR-r.TTY
NO. OF PFU'S ..
(See Reverse)
3. TRANSPORTATTON
X $0.21 PER SQ. FT.
~---,
'- ./
X $43.43 PER PFU
c;- 304(c..l.. ")
'- -----
NO OF UNITS X TRIP RATE X COST PER TRIP
X X $437.93 ~- ~
"- ----
X X $437.93 $
X X $437.93 $
4. SANTTARY SFWFR-MWMr.
NO. OF PFU'S .. x $IB.75 PER PFU + S10 MWMC ADMIN.FEE
(Use. PFU Total From Item 2 Above)
$ l'il~
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
TOTAL-MWMr. Sor.
~fC'.. c.~ld. ,"'..' '~"";"l'i-
SUBTOTAL (ADD ITEMS 1.2.3 & 4)
$
,("1':*1 ~~
'-.. ../
$ 4'f5 ~
5. AOMTNTSTATTVF FFFS
BASE CHARGE (SUBTOTAL ABOVE) X .05
C'n~)
---- ----.
~ rv-Awsrf:1-l...
Troy MeA 11 i ster
sac Coordinator
Date:
"J/ll'!ro
TOTAl SOr.
/
$ L{~ 7 5!:;.
~
FIXTURE UNIT CAL<4U-A TION TABLE: Number of Ne.tures X Unit Equivalent = Fixture U"its
(NOTE: For remodels, calculai_ly the NET additional fixtures), ' ,
NUMB'ER OF UNIT' FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
2..
Bathtub..........................................,.......................... .
Drinking Fountain........... ..... ...... .................... .... .......
Fioor Drain............. ....,.. .:................... _. ........................
Interceptors For Grease/Oif/Solids/Etc.................
Inten:eptors For Sand/-?<uto Wasp/Etc..................
Laundry T ub/Clotheswasher....... ............. ....... ........
Clotheswasher - 3 Or More.....................................
Mobile Home Park Trap (1 Per Trailer)..................
Receptor For Refrigerator/Water Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall.................................................
Shower, Gang..........................................................
Sink: Bar, Commercial, Residential Kitchen........................
Urinal, Stall/Wall. ................................... ...................'
Wash Basin/Lavatory, Single..................................
Toilet, Public Installation........................................
Toilet, Private......................:................................
Miscellaneous:
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
'I
TOTAL FIXTURE UNITS
=
/:,"'"\
1'./
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table,
calculate credits separates.
'I
II
L
,
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
1979 or before
1980
1981
1982
1983
1984
1985
1986
$3.47
3.39
3.33
3.21
3.06
2.92
2.74
2.46
1987
1988
1989
1990
1991
1992
1993
1994
$2.13
1.76
1.35
0.95
0.58
0.41
0.29
0.14
,I
.-JI
,Credit for Parcel or land Only If Applicable
Improvement (if after annexation datel
X $
(Rate X Assessed Value)
X $
(Rate X Assessed Value I
=
=
.su. "iJ..~
CREDIT TOTAL = $ cuv,..:-I-