HomeMy WebLinkAboutPermit Electrical 1994-5-10
The following project es submitted has the followl
zoning, and does not require specific land use
epprovaL
Zoning UL
225 FIFTD STREET
SPRINGFIELD, OREGON 97477
INSPEctION REQUEST: 726-0.169 'S-IO-Ql(
OFFICE: 726-3759 ' ~I
Authorized Signature "-. t:'--
1. \ tO~ ~F_~~fZxe~'l~ i ')
\~~~~~ O\~
'----T-JOB DESCRI~ON { (\ \
\~ ~"<'.. ~ Vr1. ~ ~)~\l.y
Permits are non-transferable and expir~
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
!
C,ONTRACTOR INSTALLATION ONLY )
Elect cal Contractor ~
/
Address
City
Supervisor
Expiration
..
~'
'..
.-
Expira t on Da te
'ture1of Supervisi~g Electr~
Owners Name.:i:J'yJVO r C!hJ [)1JJ >'
Addressj)((), fui 1)34/
City.s :q,c? f1 0 ,f90pone~40"l ~3 \9'
OVNER ~STALLATION
The, installation is being made on
property I own which is not intended
for sale, lease or rent.
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RECEIPT I: 'C Ii _ \:U 0:1 . }
RECEIvED BY: (/\/ /y~ ./
'-"l
'City Job Number
~~~~~ ~BE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cos t
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 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
4f).cO
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
\
$ 40.00
$ 55.00
$ 80.00
see "B"
above
volts
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with 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
49,~~
/\G:II~
+~,'3-0
-f- 3P'o /,')..1)
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME~Q\tfJ\t Q e _, Qmtlt\\.X't-l N\
ADD'''' C P & ~~ f\7A \ J t11l
_ LOCATION OF "'ROPOSED BU711pIN'p"SI"It:, D. '1'\/ '-fl h~ D " f\n\l' n
Street Address if Known: l/) ( J<t \. ~ I I .>l)1.. I ""-) U) J..Y.
Tax Lot Number: V\()~1\4ao 1C'f:f5 '
.
@ lL'!}!I.!!!!!!~!!!
Platt Name:
..
Job No. Cf 400 '\
~~4-~'33\O
PHONE:
STATE:OCzIP~
1. DEVELOPMENT TYPE (Check appropriate dwelling(sl. SDC Calculations and dwelling type
definitions are on the backJ
A. SinQle Familv - Detached
\ Single Family home
NO OF UNITS (
B. SinQle Familv - Attached
NO OF UNITS
C. Multi-Familv Aoartment
NO OF UNITS
D. Manufactured Home Park
NO OF UNITS
WPRD SDC
Manufactured home not in a park
$ 4CO pO
X $400 PER UNIT _=
.
X $370 PER UNIT =
-$
X $277 PER UNIT =
$
X $280 PER UNIT =
$
$4CD ,cD
$ /:!1 _/ '1
$tW~
2. SDC CREDIT lIf applicable) SDC-payer must furnish proof of WPRD Credit
approval. See SDC Credit Worksheet.
3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit)
~f'QyJ!~~ iJ
City of Springfield
~ / l'D l)l~
Date