HomeMy WebLinkAboutPermit Electrical 1996-5-13
-.
SPa-FIELD
1\ I ,oiect no su m"'"' . ", , '. '."
Tho,fo OW ndadOp..J not require ~t)t.C"\IC 13./l0 I..'se
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97477 AuthOl1zedSlgnature ~r
72~-3769 '
,
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REOUEST:
OFPICE: 726-3759
1. LOCATION OP INSTALLATION 1).. J")
~~7 '2..- S\1i'H- RF"-:DwOl:.lD 1'),-
LEGAL DESCRIPTlAN
W>T- 75:' I '0 () Z-6~ I d-
JOB DESCRIPTION
.N ."1J"FK
Permits are non-transferable and expire
if work is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
/!L.JBV .7ffUd.~D
3,.ZZ2 .:> //
Address J ..2
..,.vU
Ci ty /t1~12.4<;
Phone
.1.1"7 \--::U}'J
Ie!) C>~ ~
Supervisor License Number
Expiration Date /0 -I ~ '7.;-
Constr Contr. Number 6$ 7#S-
Expiration Date '7 ~ '-/ -9 \-
Signature of Supervising Electrician
d?~& c- ~---~ ~-v\ D.
Ovners Name ,.v~,'J>~ F&!i:., Z.AJC"_
Address ~'i t ;5,"'5 ::rd d '
City <;!7~L.,,) Phone 'HltJ -.d.9d,C
I -
OVNER INSTALLATION
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
Owners Signature:
~~~~~-------~~-l:i~t25-------------
RECEIPT H: .-0 !~d0
RECEIVED BY: \ I
.
ELECTRICAL PERMIT APPLICATION
City Job Number
3. COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Hulti-Family per dwelling
Service Included:
It ems
1000 sq.ft. or less
Each additional 500
sq. ft or portion n
thereof cJ-'
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder
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
Q50'P)(
uni t.
Cost
Sum
~5
$ 85.00
$ 15.0000
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ "0.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over "01 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
no t included)
40.00
40.00
20.00
36.00
S
$
$
$
,II~OO
M.d-{)
','
'...,'-' .,:-:'",:< '. ",',-.., ,', )',<,..', ,"':",,: ; '" , :'.. ' ...,
, ,.- . NO'. 'J50f6~7..
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: !--IAYDEN E./JiE;.1Z..Pf?-ISE:.<3:> J:i.JC.
LOCATION: 3'5"" 2 5. fCcOWOOD DI2. /<6 ~;. D(,I'2.. - <1:2- "ao
DEVELOPMENT TYPE:' I-DI<.. - NE::.IN SPR
BUILDING SIZE:
~OT SIZE
~Q. Ft.
I. STORM DRAINAG~
IMPERVIOUS SQ. FT.
N,A.
X $0.209 PER SQ. FT. ~ -e- )
2, SANITARY SEWER-CITY
NO, OF PFU'S
(See Reverse)
1<6
X $43.26 PER PFU
(778~
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
1
X 1.01
X $436,)9
X $436,19
X $436.19
c- ~-55)
'- -------
$
$
X
X
4. SANITARY SEWER-MWMC
NO. OF PFU' S I ~ x $17. 19 PER PFU + $ I 0 MWMC ADM FEE
(Use PFU Total From Item 2 Above)
$ ?/"l4-3-
TOTAL-MWMC SDC
$ Z!,,:z.~
~
'-- ....--
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
SUBTOTAL (ADD ITEMS 1.2,3 & 4) Lf..2J'2.. 4-Z-
5. ADMINISTR~TIVE FEES
BASE CHARGE (SUBTOTAL ABOVE)
~~ '.k
. _ .t-.:
Kip Burdick
SDC Coordinator
X .05
Date: 6 /~ ('i'5
I '
'TOTAL SDC
( IS'S;
$ l'5ee04-
FIXTURE UI\IIJ:GA.-.!-CUlAT!- T ~.BlE: Nu~ber of N~w Rxwres ~it Equivalent = Rxture Units
(NOTE: For remodels; calculate only the m addItional ftxturesl .
, NUMBER OF UNIT FIXTURE "
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
z..
2
1
2
3
6
2,
6
6
1
,3
2
l/Head
2
2
1
6
4
4-
1-
Bathtub.....,..................,..,...,.. ....................................
Drinking Fountain....... ....... .........-....-.......... 0"" .........
Floor Drain,. ,.",.."""""""""",.,."..,,',.,',.,....,.,',...,..,'
Interceptors For Grease/Oil/Solids/Etc........... ..,..,
Interceptors 'For Sand/Auto Wash/Etc............,...,..
Laundry Tub/Clotheswashe;,..,..,.....,..,.....,....,........ '
Clotheswasher. 3 Or More..,..,'..,............'.....,',.,.....,
Mobile Home Park Trap (1 Per Trailerl'...,:..,...:......
Receptor For RefrigeratorIWater Station/Etc,......,
Receptor For Commercial, Sink/Dishwasher/Etc..
Shower, Single StalL....,,"..,.."........,.'.....'.........'.....'
Shower, Gang......., ,....... ........, .....,..,..,...... ...... ..:.,.....
Sink: Bar, Commercial, Residential Kitchen........................
Urinal, StaIlIWall.......,., ...."",.".,..,..,.".,..,...,. ...... .:.....
Wash Basin/LavatorY, Single........,.,......,................
Toilet, Public Installation....,.... ,........, ,.., ,.,............,.
Toilet, private......,..,......,.."............",....,......",.....,
Miscellaneous:
,
2
z.
z.
'2-
B
TOTAL m:TUfU, Ui,mS
;
\€.
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table,
calcul;]lC credits scpar3tcs.
Rate per $1,000
Assessed Value
'I
'\
Year
Annexed
Ilate per $1,000
Assessed Value
Year
Annexed
1979 or before
1980
1981
1982
1:983
1984
1985
$3.46
3,38
3.32
3.21
3.06
2.92
2.73
1985
1986
1987
1988
1989
1990
1991
1993
$2.46
2,14
1.77
1.37
0,97
0.61
0.44
0.15
Improvement (if after annexation date)
?,4(" X $ ,.<:>8
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
'2.,,2.2
Credit for Parcel or Land Only If Applicable
;
CREDIT TOTAL ; $ 2("-z.~
"