HomeMy WebLinkAboutPermit Electrical 1996-5-13
.
SP.<GFIELD
The following profoel no oubmlllll(lllMl t~ ,_
zoning, and does not "'<lut,.. I\llll<l~l<l ~1Id Illl(\
approve!., .t1 /1/7 ,
Zonl'!9.-~/L/
225 FIFTH STREET Dote 5j (.S/q / ~
SPRINGFIELD, OREGON 97477 'I ~ /)
INSPECTION REQUEST: 726-376!lthorlzed Signature .::'"\-A /
OFFICE: 726-3759' I
3. COMPLETE FEE SCHEDULE
1. LOCATION OF INST,A1.LATION '" _
-z, <;'" "Sq;;, ~u-n+ \::::"~v.>aii:> ~
LEGAL DESCRIPJION fY'J1 N\
1...0,.... I~ /b tJ1-D(P l~ lJ(~\(JUU
JOB DESCRIPTION
/1/ '11' rK
\ ~;jq S
Permits are non-transferable and expire
if work is not started vithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
,4).):Hn 7UAd-.<::"o
3~ 5/-.
Address / .2 ....,. vU
Ci ty At#n%!.4<;
,
<, ,
SupervIsor License
Phone .1./ 7 \- - .).. } } 'I
Number / <:!) C>~ $
Expiration Date /0 -/ '. 7,>-
Constr Contr. Number tb'7J 7~S-
Expiration Date '7 ~ 4 -9 ,-
Signature of Supervising Electrician
t?~,~0-. ~4~_ D.
Owners Name )/ ~ 7l?f,..v lFvi: ;:E'-U<:"',
, f
Address '8"'7 t '5. 5'.J -d -y,/ ,
City <;.?J~.i", Phone 7).JU -69~
I -
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent,
Owners Signature:
D~~~~--------------------~-\~CJUr27-
RECEIPT #: . I ~ 1,- J" ')- ~ ...C~:J-
RECEIVED BY: t1\\b~_'~
ELECTRICAL PERMIT APPLICATION
r;"" Inh Number
Q61nYJ
BELOII
A. Nev Residential-Single or
Multi-Family per dvelling uni t.
Service Included:
Items Cost Sum
1000 sq.ft. or less \ $ 85.00 ~
Each additional 500
sq. ft or portion 'L. DD
thereof $ 15.00
Each Manuf'd Home. or
Modular, '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
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 Addi tional
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
no t included)
5.
SUBTOTAL OF ABOVE
57. State Surcharge
37. Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
\\S~
~ ."1S
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.
. NO. 550.l~??
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: 4AYOeN E./-.1,E:.R..f"IZISE:.<:::> L.ic,
LOCATION: "35'?B S. RF30IA!OOD OIL.
DEVELOPMENT TYPE:' '-DR. - NE::.lN SFR
I q, 0 7.- 0 (,. /1.. - 0 'J-(p ~ 0
BUILDING SIZE:
1..0T SIZE
SQ. Ft.
1. STORM DRAINAGE
IMPERVIOUS SQ. FT.
N.A.
X $0.209 PER SQ, FT. ~ -8- ~
2, SANITARY SEWER-CITY
NO, OF PFU'S
(See Reverse)
1"6
X $43,26 PER PFU
(77f/'i)
3, TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP G 44-a~ ')
I X 1.01 X $436,19
'- ----
X X $436.19 $
X X $436.19 $
4. SANITARY SEWER-MWMC
NO. OF PFU'S ~'i{ x $17.19 PER PFU + $10 MWMC ADfl FEE
(Use PFU Total From Item 2 Above)
$ 31"14-3...
TOTAL-flWf1C SDC
$ Zc.,Z!>
G~
'-.. "
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ 15/2. 4-Z-
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE)
~~L~
~ Kip Burdick
SDC Coordinator
X .05
Date: '5/'x> /Cf 5
/ I
TOTAL SDC
G: 75~
$ ISeBo~
FIXTURE UNI.T.,((~!-,CULA TI_ TABLE: Number of New fixtures ~it Equivalent = fixture Units
(NOTE: For remodels>caiculate only the ~ additional fixtures) .-
NUMBER OF UNIT FIXTURE "
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub...............................,..................................... .
Drinking Fountain"."..""",.." ,...,.,..,.,..".,.,.........,."..
Floor Drain........................ ......... ...............................
Interceptors For Grease/Oil/Solids/Etc,.,..,...........
Interceptors 'For Sand/Auto Wash/Etc.,.......,'........
Laundry Tub/Clotheswasher........................,......,... '
Clotheswasher - 3 Or More..,....,........................,...,
Mobile Home Park Trap (1 Pc; Tiailer),.,..~:..:........,'
Receptor For Relrigerator!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:
1-
4-
2
1
2
3
6
2
6
6
1
,3
2
l/Head
2
2
1
6
4
,
2
z.
z..
'2-
B
z..
TOTAL FIXTURE UNITS
\€,
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred alter annexation date in table,
calcul~Hc credits separates.
Year
Annexed
Rate per $1,000
Assessed Value
1979 or belore
1980
1981
1982
1:983
1984
1985
$3.46
3.38
3,32
3,21
3.06
2.92
2.73
--'-'--\
Rate per $1,000
Assessed Value
Ycm
Annexed
1985
1986
1987
1988
1989
1990
1991
1993
$2.46
2,14
1.77
1.37
0.97
0.61
0.44
0.15
--'-.-- ---,~
---..-.--.-. - -" -- -
Credit (or Parcel or land Only If Applicable
'Z-~ 2.2.
?4'" X $ ,."3>8
(Rate X Assessed Valuel
X $
(Rate X Assessed Value)
L
Improve~~nt (if after annexation date)
=
CREDIT TOTAL = $ ZG. 2~