HomeMy WebLinkAboutPermit Electrical 1996-4-30
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JY"'o/J-cz'?.. ELECTRICAL PERMIT APPLICATION
97477o"te?f--:_ ~ q"-A ,f
726-3769! edSlgnatur& ~ -J J_b Number -::;x...;1'+O
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3. C MPLETE FEE SCHEDULE BELOV
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF ~STALLATIotl
3 C, 9;0 <:.., 0 U't"eI- I~Eoil.JO.:lb .DL
LEGAL DESCRIPTI9!l
LoTrR ll<fJZ-f)(fJ J~
JOB DESCRIPTION
/V .;.r=Z
Permits are non-transferable and expire
if york is not started within 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
//),hu J ~1Ad.cD
3.zz;? :5/;
Address / .2
......vu
Ci ty ~.#J)J2A<; Phone,l.1 '7 s- - .J..) } 'J
Supervisor License Number / t:!).a::>L ..h'
Expiration Date /0 - / '. '7,<;-
Constr Contr. Number tb~ /#S-
Expiration Date '7 ~ l./ -9 \-
Signature of Supervising Electrician
-/lj/~~ - ~/;, ~W'AI---~-=, D.
Oyners Name U ..,~ ~A-A.) Ed-. ~C",
~. I
Address "T"ft 5,3yds>t/.,
City -<:0 ~L.,) Phone 7.tJJ..J --.d.'1d,C
/ -
OVNER INSTALLATION
The installation is being made on
property I oyn whi~h is not 'intended
for sale, lease or rent.
Owners Signature:
~~~E~-------~3~~~--------------
RECEIPT 11:_ - z.r~=
RECEIVED BY: ~ ~
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A. Ney Residential-Single or
Multi-Family per dwelling uni t.
Service Included:
Items Cost Sum
1000 sq. ft. or less $ 85.00 q SIJ7J
Each additional 500
sq. ft or portion A ?;ti. rJO
thereof $ 15.00
Each Hanuf'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
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or yith 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)
40.00
40.00
20.00
36.00
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
116,1Jt>~
':2-7/,-
'1} , If?
I~I/. 'J1J
SPRINGFIELD
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(COMMERCIAL / RESIDENTIAL)
Name or Company: HAYDEN
Location: 3680 S
Developement Type: R
ENTERPRISES
REDWOOD DR
Building Size:
Job No,: 950740
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
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: 950740
.
. . ,
FIXTURE UNIT CALCULATION TABLE
Page 2
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
8
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
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,)