HomeMy WebLinkAboutPermit Electrical 1996-4-30
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Zonina L D
974770.10 Lf -30..?fk
726-3769 ' Sf)
" Authorizocl Signature \
3. COMPLETE FEE SCHEDULE
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INST~LATION ~
3(" 4iP ~O~ k'ebwoat> IR.
LEGAL DESCRIPTI9P t"L
1Pr 1/ IKO'lA)(o Iff'
JOB DESCRIPTION
AI :S" F'-<-
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
.4)~'M.l J!UA4.C-D
3A:Z2 .57
Address / .2
-,- J;U
Ci ty h~J2,4<; Phone.l.1 7 \- - .J..} } 'T
Supervisor License Number /G>~,..(.s-
Expiration Date /0 - / '- 7,'
Constr Contr. Number tb"z; :?~$
Expiration Date
9 ~ '-I -9 c
Signature of Supervising Electrician
U/!&&4 ' . J;;;f!, -~-' A>-->/1 D.
Ovners Name ,.y'~1)~A..l .lFd. ,~c-,
Address <g'''Jt :5, -::;:1 d ~.
Ci ty .c::::,? ~L.,)
I -
Phone ,J-JU -/-"9dC:
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Owners Signature:
~A~~~--I(~~7?-~~-------------------
RECEIPT #:~ Zl~ _ ,
RECEIVED BY: \'u\~
ELECTRICAL PERMIT APPLICATION
Ci tv J;ob Number
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
{;J9)1?ti
BELOV
uni t.
Cost
ftS?
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home, or
Hodular 'Dwelling
Service or Feeder
Items
t
Z
$ 85.00
$ 15.00 ~D
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
,B.
Services or Feeders
Installation, Alterations
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
.-
Nev, Alteration or Extension Per Panel
$ 35.00
$ 2.00
E. Hiscellaneous (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
5. SUBTOTAL OF ABOVE i/ejAfD
57. S ta te Surcharge '7, "7 c;,
37. Administrative Fee 3,~~
TOTAL iVf.70
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
Branch Circuits
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(COMMERCIAL / RESIDENTIAL)
Name or Company: HAYDEN
Location: 3646 S
Developement Type: R
ENTERPRISES
REDWOOD DR
Building Size:
Job No,: 950739
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 PEES
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: 950739
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
B
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
3,46
X
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,)