HomeMy WebLinkAboutPermit Electrical 1999-12-9
The. following project as submitted has the following
zomng. and does not require specific land use
approval.
Zoning
225 FIFTH STREET
SPRINGFIELD, OREGON 974f7'te
INSPECTION REQUEST: 72~691d Signature
OFFICE: 726-3759
(Dre.
1'1.- q - Ic;1'1 ~w.CTRICAL PERMIT APPLICATION
oK.,)
1 ~ L?CATION OF INSTALLArION ,
"'R. "" c, ~ C "" ~.:> \- .s"1 $ '2 A.
LEGAL'DESCRIPTION /;;02064-1/ 0(700
'-r \- .. :' -; t .. ~, w-..l, -c h ~ 4;- J.
JOB DESCRIPTION
J 00 i'\~ P .5;.<,1'1 .J~c.~ ~"""''-:,- \)
Permits are non-transferable and expire
if york is not started yithin l80.days
of issuance or if york is suspended for
180 days.
Ci ty Job Number
3. COMPLETE FEE SCHEDULE BELO'II
'7 ) rJ S _~ <)
. .
Nev Residential-Single or
Multi-Family per dyelling unit.
Service Included:
Items Cost Sum
1000 sq.ft. or less S 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home,or
Modular, 'Dyelling
Service or .Feeder 2- . $ 40.00 ~O
2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders
. I _ Installati~n, Alterations
Electrical Contractor ra -........ "..if to )--1-,,>., or Relocatlon:
Address <6 ~ c) 8 '!. ~""":5 1:-c L"... ~
City F/o~_,^,,'-<
PhoneS~))- C\~1'36,,\
Supervisor License Number 3o?3) - _ <;"'
Expiration Date
IU--:JI-Oe:.
Constr Contro Number :::J 0-3'16 .-C
Expiration Date
~o- j-", 0
. Signatu~e of supe~ectrician
!3,'(1 -TE/-r..~~
Oyners Name ~ A., W
Address
'1 '7"
J-.J '-' ~
53 ,_~. ,.,. ~ .,.J
71 ,Jo
t,.ri-'g8'j7
Ci ty
.
E,,/ q....'~.....
Phone
O'IINER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
ovner~ture:
'- .... ~:-- J. ")
~ATE~------------/~-~)'~-5'f~---------
RECEIPT ~: "/ (i, (' e.. &
RECEIVED BY: ;t?/"7C.-..
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
S 60.00
$100,00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relo~ation
200 amps' '01" less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
"
$ 40,00
$ 55.00
$ 80.00
see "Bit
above
One Circuit $ 35.00
Each Addi tional
Circui t or yith Service -' ~
or Feeder Permi t ~ $ 2,00 '9-
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation .
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
1'loState Surcharge
37. Administrative Fee
TOTAL
$ 40,00
$ 40.00
$ 20.00
$ 36.00
'MU
c;". .!l
.., .~2.
%10
. JOURN~ OR JOB NO.
ATTACHMENT A .
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
~
NAME OR COMPANY: 'JFrz N &,\j~f,.j
LOCATION: 1,01 '1--
1Z,o.:;;~ (T
DEVELOPMENT TYPE: SF 0
BUILDING SIZE: LOT SIZE SQ, Ft.
l. STORM DRAINAGE (~>'2'?>) + \<(-'[.30) -r }'1(1
IMPERVIOUS SQ. FT. 'Z"'fKO X $0.227 PER SQ. FT. $ (.., 7iL.:.. 4<0
..
2. SANITARY SEWER-CITY
NO. OF PFU'S 2.0 X $47.14 PER PFU $ "I4Z .8'0
(See Reverse Side)
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X t.Ol. X $475.32
$ 480.01-
X
X $475.32
,
'$
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO. OF FEU'S
X 277.',+ PER FEU
$ 2..1.44
B. IMPROVEMENT COST:
I
NO. OF FEU'S
X 2.5.20 PER FEU .
$ 25.20 .
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
< $ >
$ 10.00
TOTAL-MWMC SDC $ 31'2.(.,4-
SUBTOTAL (ADD ITEMS 1.2.3 & 4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
$ 2411.97
$ /,;((J.0(J
/
f\Il'SL-
SDC Coordinator
ATTACH'A.WPD
Date: ~ 121- Icr<J
.
TOTAL SDC
$ :2?32.~?-
....
FIXTURE UNIT CALCUL_ION T j\BLE: Number of New FixteXUnit Equivalent = Fixture Un~ts
(NOTE: For remodels, calculate only" NET additIonal fIxtures) .
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub................................................................,..,. .
Drinking Fountain..,. ............. ...... ....... ... ............ ........
Floor Drain...... ... ...... ...............:.. ......., .......,...............
Interceptors For Grease/OiI/Solids/Etc.................
Interceptors For Sand/Auto Wash/Etc..................
Laundry Tub/Clotheswasher....... ... .... ... ... ....... .........
Clotheswasher. 3 Or More.....................................
Mobile Home Park Trap (1 Per Trailer)..................
Receptor For Refrigerator/Water Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall...,.............................................
Shower, Gang.,....,..,................................................
Sink: Bar, Commercial, Residential Kitchen..........................
Urinal, Stall/Wall......"......,..,....... ..... .................... .....
Wash Basin/Lavatory, Single......................,.......,...
-Toilet, Public Installation..., ....,.... ...... ................. ....
Toilet, Private...,.....................................,.............
Miscellaneous:
2
1
2
3
6
2
6
6
1
3
2
1/Head
2
2
1
6
4
TOTAL FIXTURE UNITS
=
. CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table,
calculate credits separates.
I
I
Rate per $1,000
Assessed Value
Year
Annexed
Year.
Annexed
$4.27
4.18
4.12
3.99
3.83
3.68
3.48
3.18
2.82
2.42
1989
1990
1991
1992
1993
1994
"", .1995
1996
1997
1979 or before
1980
1981
1982
1983
1984
1985'"
1986
1987
1988
-I
'I
Rate per $1,000
Asse'ssed Value
$1.98
1.55
1.15
0.96
0.83
0,67
0.52
0.38
0.21
Credit for Parcel or Land Only If Applicable
Improvement (if after annexation date)
X. $' =
(Rate X Assessed Valuel
X $ =
(Rate X Assessed Value)
CREDIT TOTAL = $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Residential........................... 0.4
Commerical......................... 0.9
Industrial............................ 0 5
Governmental....................... 0.5
F1XUNIT.WPD
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
. ,
.
.
Job_ No. ~C\b~~
. SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: '\\&~1\ SOf\ PHONE\O~~'~\C\~
ADDRESS:Df\() 'AQ~STATE: ~IP: Q14lY2--
LOCATION OF PROPr2~D B.L~.I~~~SI:rE: ^....... +-
Street Address: 0 \ t[) 'l;: \-<..1<\(\ Q / UJJ.J\ A
Plat Name~ \{~x ~o~mber: JIDaDtII MlOO
1. DEVELOPMENT TYPE, (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
.
A. f'inoIA-Familv DAtachAQ
Single Family home
NO. OF UNITS \
\ Manufactured home not in a pari<
X $1,000 per unit = $lO..O.O .C{J
B. Sinole'-Familv Attached
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. ManufacllJrAcf Home Pa~
$
$
I DO() .ct'
(j
1000.CO
NO. OF UNITS
WlLLAMALANE SDC
X $699 per unit =
2. SDC CREDIT (if appficable) SDc-payer must ful"(llsh proof of
Willamalane Credit approval. See SOC Credit Worl<sheet. $
3. TOTAL WlLLAMALANE NET SDC ASSESSED
.jlf SDC reduce':! for Credit)
~) \~
Development Service
City of Springfield
$
I'L I
Date
') I
'75'