HomeMy WebLinkAboutPermit Electrical 1996-2-29
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225 FIFTH STREET ~~~i\lY'f!" - f----/ ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ;1'\'(l, rt'\ _"'1 ()~
INSPEctION REQUEST: 726-3769 d::1:'~ P42' ity Job Number V\ OU :'/....'-.J
OFnCR: 726-3759' \P.\\! _ .
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1. LO~i\\~ ~ r~~~r-t- ~( A. Nev Residential-Single or
\ Hulti-Family per dvelling unit.
\~~~~PTION ()\~() Service Included: Items Cost
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Permits ar~n-transferable and expire
if york is not started'vithin 180 days
of issuance or if york is suspended for
180 days.
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2. CONTRACfOR INSTALLATION ONLY
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Electrical Contractor 8UILDERS
Address' '293 MONROE
City EUGENE
Phone 4R~-n92?
Supervisor License Number ~,
Expiration Date 10/1/95
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Constr Contr. Number 04296'~"
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Expi'ration'Date
12/10/95
Signature of Supervising Electrician
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Owners Name~\ "-1(\.D.. _ .
Address ~ ~-\1l)()ro
Ci ty CL Phone <~.?9trt
The. installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
------------~--7--~-~------------
DATE: '.J-/2.1('P~
RECEIPT I: 'z;, 5' ff'- /
RECEIvED BY: .1(21)1"...-1 _
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Modular Dvelling
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
.1
Sum
$ 85.00
$ 15.00
~
ffi
$ 40.00
$ 50.00
$ 60.00
$100.00
. $130.00
$300.00
. $ "0.00
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
D.
Branch Circuits
$ "0.00
$ 55.00
$ 80.00
see "D"
above
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service n
or Feeder Permit I $ 2.00 ~
Hiscellaneous (Service/feeder
-Each' installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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88 .~io
.
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Job. No.
~\oNJ9~
NAME: ~\r(\ ~ \~ 0 __
ADDRESS: - ~\)~ -'-~Il.f\\u.lrrf1
"-~\ -\
LOCATION OF PROPOSED BUILDING SITE:
Street Address:' ~\\\ \ ~\r\flQ.. 0k~ tJ1- ~ .
Plat Name: ~~A~~. <(A.Q_~ ~~XLo~Number: lID~N\\~ ~\3tO
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
PHONE: <;~. fLCVli
STATE: f1t,.zIP: c{r\b \
A. Binnle-Familv Detached
Single Family home
\
\ Manufactured home not in a park
X $1,000 per unit = $ \rtf) ~
NO. OF UNITS
B. .Sinnle-Familv Attached
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit, = $
D. .ManufaQIured Home Park
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit = $
$ \ t)()[) ~
6
$
2. SDC CREDIT (if applicable) SDC-payer must furnish proof of
Willamalane Credit approval. See sac Credit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
\ \~ SDcre"~fO:J
D","pm~q Df,artme",
City of Springfield :\5
$ lOOD pO
I
1
Date
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CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(RESIDENTIAL)
Name or Company: JIM RICE
Location: 5711 RIDGE CREST DR
Developement Type: R Building Size:
Job No.: 960225
Lot Size:
1. STORM DRAINAGE
Impervious Sq Ft 2576 X 0.210 Per Sq Ft
2. SANITARY SEWER - CITY
Number Of PFUs 18 X 43.43 Per PFU
(see Page 2)
3. TRANSPORTATION
Number Of Units
1 X
X Trip Rate
1. 010 X
X
Cost Per Trip
437.93
$442.31
Transportation Total
4. SANITARY SEWER - MWMC
Number Of PFUs
18
Per PFU +
18.750 +
MWMC Admin Fee
10.00
X
X
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: TROY MCALLISTER
Date: 02/23/96
L,
Page 1
Sq Ft
$540.96
$781.74
$442.31
=
$347.50
$34.70
$312.80
$2.077 . 81
$103.89
$2,181. 70
, -
... ,......
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Job Number: 960225
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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, Residential Kitchen
Urinal, Stall/Wall
Wash Basin/Lavatory, Single
Water Closet, Public Installation
Water Closet, Private
Miscellaneous
TOTAL FIXTURE UNITS
Number of
New Fixture
Unit
Equivalent
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
2
2
1
6
4
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured
after annexation date, credits are calculated separately.
(calculations are by $1000)
Year Annexed: 1979
Credit For Parcel Or Land Only If Applicable:
Improvement (if after annexation date) :
10,000
x
3.47 =
Fixture
Units
4
o
o
o
o
2
o
o
o
o
o
2
o
2
o
8
o
18
34.70
0.00
$34.70
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)
o
x
3.47
CREDIT TOTAL =
.
SP.GFIELD., I I II
DEVELOPMENT SERVICES DEPARTMENT
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726.3753
FAX (541) 726.3689
MANUFACTURED HOME SET-UP AGREEMENT
As required by the City of Springfield
that with the approval of the attached
manufactured homes will be placed at
.- Springfield, Oregon, City Job Number
Development Code, I understand
permits, one of the f~wing
~~~~.~
and agree
'I.
Type I Manufactured Home. A multi-sectional (double wide or wider)
unit with an enclosed tloor area of not less than 1,000 square feet,
that has a nominal roof pitch of 3 feet in height for each 12 feet in
width, that has no bare metal siding or roofing, and that has been
certified by the manufacturer to have an exterior thermal envelope
meeting performance standards which reduce heat loss to levels
equivalent to the performance standards required of single family
dwellings ~~,,~,~j ....j~. :L. ::.i-k. :;.'-~~.
~~~GQ
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Type II Manufactured Home. A unit of not less than 12 feet in width
with an enclosed tloor area of not less than 500 square feet, that has
a nominal roof pitch of 2 feet in height for each 12 feet in width and
that has no bare metal siding or roofing.
I further state, by my signature below, that I have been provided with the
following information:
- Manufactured Home blocking
- Vater line connection
- Street tree standards
- Sanitary sewer connection
- Electrical connection
- Minimum requiremants for permanent steps
I also understand that if I am installing a Type I Manufactured Home, the home
shall be enclosed at the perimeter with stone, brick or other masonry materials,
and with no more than 12 inches of the enclosing material exposed above grade.
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