HomeMy WebLinkAboutPermit Electrical 1996-5-9
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225 FIFTH STREET "'0' '1v ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97?J I, /) /7
INSPECTION REQUEST: 7""" I" J''''~ ,/'1' J Job Number t?""7~;2.
OFFICE: 726-3759 "" - . " I r :'~'J "1'JU '.Y7
I. LOCATION OF IN~LATION . ~..
?, ~D ~~.~- lK~ ti(1'D L;<r~
,'LEGAL DES~TI911
I..D-r ,\ ('b C)"l--(){P I:r-
JOB DESCRIPTION
.N~.F' .K
Permits are non-transferable and expire
if work is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
4L1->>v :&I...&d.c'o
3Zl2 5/:
Add ress / ..2
......vu
Ci ty b.#))R~<;_ Phone )./ 7 C - .J..) } '1
Supervisor License Number /G>.:1::>~ c;
Expiration Date /0 -/ ~ 7,'
Constr Conn. Number &:>$ 7J'.1S-
Expiration Date '7 - LI -9 ,-
Signature of superv21ing Electrician
/} cJfJU _._ _ _,__~
~ ,~ D.
Ovners Name J.I ~"T>)';..u Rd. I ~<::",
Address '6'7 f 5,"5;;' d d,
City -<:r::n::::i.,) Phone "1-JU-..t..9dC
I -
OVNER INSTALLATION
The installation is being made on
property I ovn vhi~h is not intended
for sale, lease or rent,
Owners Signature:
~~~E~----------~-~()(=L5t{j?----~~-
RECEIPT ~: . \...1 ; _ ,.~114..)-->
RECEIVED BY: \.., ~~'l t-.:..: -
3. COMPLETE FEE SCHEDULE BELOY
A. Nev Residential-Single or
Multi-Family per dwelling uni t.
Service Included:
Items Cost Sum
1000 sq. ft. or less l S 85.00 ~'J
Each additional 500
sq. ft or portion t, 3D
thereof $ 15.00
Each Manuf'd Home, or
Hodular 'Dwelling
Service or Feeder $ 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
.'
Nev, Alteration or Extension Per Panel
One Circuit
Each Addi tional
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
S 40.00
$ 20.00
$ 36.00
\ Ie; cV
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
~
, ~,
.
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(COMMERCIAL / RESIDENTIAL)
Name or Company: HAYDEN
Location: 3500 S
Developement Type: R
ENTERPRISES
REDWOOD DR
Building Size:
Job No,: 950733
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 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
MWMC Admin Fee
10,00
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: 950733
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,)