HomeMy WebLinkAboutPermit Electrical 1996-5-9
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97477 ~ "./) t1/;I.;f'2."
72fJ-:'R.J)' .. , I v~',y "ob Number VfJO J'JI/
3. COMPLETE FEE SCHEDULE BELOV
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LQC!,TION Qf INSTALWI9N . '"\"\_
31f'72.-- C:::>Ol.r'lW kiSDt.-JooD ~
JEiA76S9f6~~{J I:Y
JOB DESCRIPTION
.N ~.FK
Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
#lJB1~ zud-.co
3..i22 S/';
Address / .2 ~ vU
Ci ty,h#DJ2.4c:;
Supervisor License
Phone-4J 7. C-..:J..) } i
Number /G> <:!:>~ g;-
Expiration Date /0 -/ ~ 5',~
Constr Contr. Number tb$ 7~S-
Expiration Date '7 - 4 -9~-
Signature of Super~ing Electrician
!/rl2.A/l.xf /3_14 -' ..-.--/ _G.-' ~.~ D.
Ovners ,Name J./~A ..,,;;,..u Fd :::r ~C",
---r I
'6'77 ~,~:J -d s;Y'-,
Phpne ~1-Ji.I -69~
Address
Ci ty <;r:n:::::.l':J')
i
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
~~~~~----------------~~~~C\T~-------
RECEIPT #: ( L-':' -, (\ ';"J'\LlVl
RECEIVED BY: t~ a:\\T 1_
ELECTRICAL PERMIT APPLICATION
A. Nev Residential-Single or
Multi-Family per dvelling uni t.
Service Included:
Items Cost Sum
1000 sq.ft. or less I $ 85.00 <<Y;. /!1
Each additional 500
sq. ft or portion }- tJ;~ .1fV
thereof $ 15.00
Each Manuf'd Home. or
Modular. 'Dvelling
Service or Feeder $ 40.00
.Il.
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
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 Add i ti onal
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
not included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
/ft2-D!./
V). ./i!'
'J, .&.(':1
, 14. 8V
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(COMMERCIAL / RESIDENTIAL)
Name or Company: HAYDEN
Location: 3472 S
Developement Type: R
ENTERPRISES
REDWOOD DR
Building Size:
Job No.: 950732
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
SPRINGFIELD
~-
Job Number: 950732
Page 2
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
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.)