HomeMy WebLinkAboutPermit Electrical 1996-5-9
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225 FIFTH STREET Dole .p) J
SPRINGFIELD, OREGON 97477 I
INSPECTION REQUEST: 726-~..l'_" ~ -....
OFFICE: 726-3759 '
ELECTRICAL PERMIT APPLICATION
~r .:-: 'J .lob Number q~ ,7#
3. COMPLETE FEE SCHEDULE BELOY
1. LOCA,TION OF INSTALLATION ~
:S~L\" ~T?~ 'DJc:...
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
LEGAL DESCRIPTION _hl ~
l.ur7z,.- l~tJ?.JXgJtr )IT/VV'
Items Cost
Sum
$ 85.00 !i21JV
$ 15.00 ~,QO
1000 sq.ft. or less
Each additional 500
sq. ft or portion 7
thereof
Each Manuf'd Home- or
Hodular'Dwelling
Service or Feeder
JOB DESCRIPTION
/V :$' rAC.
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
,B.
#.tbr..v p;/""d<::C.
3~ 50
Electrical Contractor
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
Address J..2 ...,. vU
Ci ty fi#J)J2.4<;
Phone. ).} 7 \- - ,.). J ) 'I
Number It!) e:>,.,( oS'
Supervisor License
Expiration Date /0 - / '. cF';-
Temporary Services or Feeders
Installation, Alteration or Relocation
C.
Constr Contr. Number 6$ 7~S-
Expiration Date '7 ~ '-/ -9 ,-
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
Signature of super~ing Electrician
tl~~A/ ~~~~~
- ~ -
Branch Circuits
D.
Owners Name .11 ""'t )))';A,./ Ed: ,;;:z:jvc-,
'r'77 5, '5.:2 d~,
"
Nev, Alteration or Extension Per Panel
Address
$ 35.00
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
Ci ty ~ 0 pi."
/ -
Phone 7J-JU -.69~
$ 2.00
OVNER INSTALLATION
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
Ovners Signature:
dt:i.1i1J
l:j.i '7
~lJq
1':),1./, trD
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
~~~~~-----------~~~t)\ts\r.~----------
RECEIPT #: \' -' ,_~ 2
RECEIVED BY:
SPRINOFIELD
~-
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(COMMERCIAL / RESIDENTIAL)
Name or Company: HAYDEN
Location: 3504 S
Developement Type: R
ENTERPRISES
REDWOOD DR
Building Size:
Job No,: 950734
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
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
l
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: 950734 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
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
TOTAL FIXTURE UNITS 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,)