HomeMy WebLinkAboutPermit Electrical 2000-6-19
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The following project as submitted has the following
zoning, and does not require specific land use
approval. (l...-.J
Zoning L D
225 FIITH STREET " - ('i - o-z>
SPRINGFIELD, OREGON Q#I." K.t.....J
INSPECTION REQUEST: AJ~Ili\lnature
OFFICE: 726-3759
~....IACATIO<<-"OF ;ms~~d~ '
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LEGAL DESCRIPTION
JOB "DESCWPTIO~ I
.6; (l.O!e, ~~l l reslnlPI/\C,~
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Permits are non-trans erable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor Philins Electric, Inc.
Address 1?qR R~rn~1 nr;~~
Ci ty Eul!en"
Phone(~41~ nRR-n121
Supervisor License Number -221q~
Expiration Date 10101/01
Constr Contr, Number 2Q-17Q('
Expiration Date 10/01/00
,~~,gnature of s~rv.isi~ ~lectrician
" ~ '-....-J,.--/
j J ~ r Na~nan l'lU.ll.pS
Owners Nai:Je NCJ..Y(J{en c:r-r}erpY'i.ses
Address 'f<O~ 'JJaz/enLrf . La n~
City~~Phone ?'i'-/-~9t.C,
O'\INER IfsTALLATION
The installation is being made on
property I own which is not,intended
for sale, lease or rent,
mo ~j>igna ture:
: 39NtJH3
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~~~~~~~~~--------------------------,
RECEIVED BY:
ELECTRICAL PERMIT APPLICATION
City Job Number OO:-0080Q ~ 0 I
3. COMPLETE FEE SCHEDULE BELOY
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
1000 sq,ft. or less I'
Each additional 500
sq. ft or portion J J.
thereof ...J '/P
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
Cost
Sum
$ 85. 00 fS.()t)
45,~
$ 15, 00 ?tl:I~I, Il'
,$ 40.00
S 50, 00 .
$ 60,00
$100,00
$130.00
$300.00
$ 40,00
C. Temporary Services or Feeders
Installation, Alteration or Reloca t ion
200 amps' 'or less .-L $ 40.00 </-O.'CD
201 amps to 400 amps S 55.00
Over 401 to 600 amps S 80.00
Over 600 amps or 1000 volts see ItB" above
D.
Branch Circuits
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with 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
7% State Surcharge
3% Administrative Fee
TOTAL
/
S 35 . 00
S 2.00
no t included)
S 40,00
-$ 40,00
S 20,00
S 36.00
o
/ -:; ::7
5 10
II: qo
16-::;",
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TRANS#:01-0002203
DATE:JUN 16 2000
AMT RECD:2 $ 4539.33
CHANGE:
CASHIER:003
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SYSTEM DEVELOPMENT CHARGE
, 'c WORKSHEET
NAM . r\ 0 f\ r 1\-t . . ' PHONE"lL\A. \J\\e2k
ADDRESS:RCJ -<x~~.f\l.rt STATE: ~IP:9:l1J8
LOCATION OF PROPOSED BUILDING SITE: "'....._-11
Street Address: AJJ\c\ .....~w.fu,M\.~I L
Plat Na : - fuJ\G _ Tax Lot Number: \tot;iDlol3n\Q[)0
,
Job. NO.tb.. rtfflDp{
1. DEVEL. _ _ ENT TYPE (Check appropriale dwelling(s). SDC calculations and dwelling l
ype definitions are on the back.)
A. RinolA-Familv DAlached
NO. OF UNITS I
Manufactured home not in a park
X $1,000 per unit = $ taT).oO
\ Single Family home
B. IDnolA-Familv AltachAd
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. ManllfRr.lllrAn Hnme PI1di
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit c $
$ tOOO.Cb
0'
$ l.oot), 00
$
2. SDC CREDIT (Il applicable) SDc-payer must furnIsh proof of
Willamalane Credit approval. See SDC Credit Wotksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
\~~~"'c-u
DevelopmelWSe~partment
City of Springfield
I
I
Date