HomeMy WebLinkAboutPermit Electrical 1995-10-16 (2)
The following proj&ct aa submlttod hall the 0 OWlO.
zoning, and doeo not roquiro op"otllc land usa
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225 FIFTH STREET Octo La- \(0- 9 \' . '\ ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 9747 Authonzod S<gneturo (\J I\.A. .
INSPECTION REQUEST: 726-3769 City Job Number ~~I
OFFICE: 726-3759 '
1.
LOCATION OF I~TALLATION",-
"2A'57<P ~lffI,(. \~.t:> . VR
'_I;~L DE1<g'g~8~ ,:r ')v(fO
JOB DESCRIPTION
AI S'.F~
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
#LlJ!;~ :&144.cO
3.222 5r;
Address /.2 ....,. 0.J
Ci ty.h#l)J2A<;
Supervisor License
Phone .l.J"7 \- - .J.. J ) i'
Number It!) a:>~ B:;
Expiration Date /0 -/ ~ 9,S-
Constr Contr. Number 67J 7~0
Expiration Date '7 ~ LI -9 \-
Signature of super~ing Electrician
;;;:~J ~ rJ::1~~ _~e---
D.
Ovners Name J,I~l>}';,A..J Ed ,ZA./.C',
'6'7 t 5. '5.J d Y'/-,
Address
Ci ty -<:0 pI.,)
I -
Ph~ne "))..)J.J -/-"9~
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signa ture:
---------------------------------------
DATE: (fl-~."'7"!>
RECEIPT : /42.'-'" '7'
RECEIVED BY: -~~.
//
3. COMPLETE FEE SCHEDULE BELOY
A.
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular. Dvelling
Service or Feeder
$ 85.00 ~0.0t>
Y $ 15.00 'bb."J
$ 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 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
Branch Circuits
"
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
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
$ 40.00
$ 20.00
$ 36.00
If ':)- ~ ,.
101.T'7 ~
,;o:~
.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
.
.
"!., .,
o lL'!i!t~m,f!!g!!,!;
'.
Job No. 4.'5.611] (
SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME: }7.10affL. ~.PV1~S PHONE: 1lfl{v(pqj}(f)
ADDRESS: ~~c1 06. 1J)1)1---~ hW.ff1 STATE:.ti:. ZIP 01lf71
'.
. .
. .
Platt ~ame: I ~ D 1,.- D (p I'l---
C,miJr/ _ ru.dJJJ~()ti '!Ir,v.t '
Tax lot Number: 1Jp()1)
lqaTION OF PROPOSED BUI~DING SITE: .I,/}.
Street Address if Known: 'hl{V)lp
1. DEVELOPMENT TYPE (Check appropriate dwellirig(s). SDe <:akulations and dwelling type
definitions are on the back.). . . ...... .
A. Sinl!ie Family - Detached
..(. Single Fa~i1y home
. NO OF UNITS
Manufaaured home not in a park... ,.' ^ ^
X $400 PER UNIT.i=. ... . $'" '1l)') ,()I)
.. .
. .
B. Sini!le Family - Attached
..
",/.\.;
.
NO OF UNITS
X $370 PER UNIT =
. $
. . ". .
Co Multi-Family Aoartment .
" ..
NO OF UNITS
X $777 PER UN.IT =
$
D. ManufactUred Home Park
NO OF UNITS
X $280 PER UNIT =
. $
WPRD SDC
....
. $ @IJ.{)()
2. SDC CREDIT (If applicable> SDC-payer must fumish proof of WPRD Credit
approval. See SDC Credit Worksheet. .
OTAl WPRD NET SDC ASSESSED (If SDC reduced {or Creditl
. 11f4i,Y
- . ~ . 1.... ..
, "'.........."".....,.,' ....,..n"r^v. ,,\11('11"(\
n~IP
SPRINGFIELD
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(COMMERCIAL / RESIDENTIAL)
Name or Company: HAYDEN
Location: 3456 S
Developement Type: R
ENTERPRISES
REDWOOD DR
Building Size:
Job No.: 950731
Lot Size: 0
l. 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
~-
SPRINGFIELD
Job Number: 950731
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
S1nk, 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.)