HomeMy WebLinkAboutPermit Electrical 1991-12-5
SP'IINGFIELD
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF.-+NSTALLATION
f'1/ ~ 7'<(;"',./-.......
LEGAL DESCRIPTION
l-.-t tt~Ji.. R",.."-.> R~f../..~ (~.JAJl.tooJ)
JOB DESCRIPTION
S',:~
Permits are non-transferable 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 ~AAO &L6::...
Address7CI7o'J DC<-lc,lYT I1A~ SC\\., <W.
City CcrnA~'" G/l.e..... Phone 9</'l..-3C..,-z..
Supervisor License Number 7..-70 r S
Expiration Date "3/92-
Constr Contr. Number "'2-0- 17 b c..
Expiration Date :?~1,-
r
SignalL:f Supervising Electrician
- r+.~,
- . ?- - D.
Owners Name ~J- ; /' ~. tf? 410, ,- "-
Address ,,) f j'.J.... 1'1~JlJ<.... r'
_ 4) qui
City I::'-'-")c..v'{.. Phone (,ff)-",r/7r
v
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE: 1';_ 5'.:;J /
RECEIPT II: ~~.=<5'4'
RECEIVED BY: //~~ ,
, '/-
City Job Number
q 1 1~3.S?
3. COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less ~ $ 85.00 ~,()()
Each additional 500
sq. ft or portion
thereof .l $ 15.00 4S,(f)
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 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 ~ $ 40.00 ~~
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Addi t ional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin~ $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
. r1h OV
~ ,,'$'0
/~.5"'0
.
. . JOB NO. q \\?'?8
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY:
\ I. I
rl.l,0f:-E. e. HOUE-S
LOCATION: e \I "RA\~.,.~E.'E:. WI".'<
DEVELOPMENT TYPE: '~O~ - ~E:.W
BUILDING SIZE:
1. STORM DRAINAGE
IMPERVIOUS SQ. FT. "?y<-t? X $0.186 PER SQ. FT. ~ Co,*o~
(See Reverse For Runoff Coefficients If Actual Imperv. Area Is Unknown)
\10?"?'-\\"'c:. -
l-O."?~
I!.A...._'" Eo.....
'ZLJ.D A.DO.
LOT SIZE
SQ. Ft.
2, SANITARY SEWER-CITY
NO. OF PFU'S ,~ X $38.55 PER PFU
(See Reverse To Determine Total PFU'S)
S(d::'1?~
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X I,oo? X S388.61
X X S388.61
X X S388.61
(See Attachment C To Determine Trip Rates)
SUBTOTAL (ADD ITEMS 1,2, & 3)
$ ~Ds~
$
S
S I'12.R gS
4. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
S <;c{..,-z.~
TOTAL-CITY SDC S l'bISoj.
5. SANITARY SEWER-MWMC
NO. OF PFU'S
IS
x S13.25 PER PFU + S10 r'lW~lC ADHIN. FEE S'ZA'6 c;,..!-
(Use PFU Total From Item 2 Above)
Kip Burdick:
SDC Coordinator
S ??~
TOTAL-MWMC SDC S 2-IS"Z5
TOTAL SDC i.'Zo11b?::i-
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
FIXTURE UNITCALCU~ON TABLE: Number of New FiX1ure.nit Equivalent = Fix1ure Units (NOE '.
For remodels. calculate only the NET additional fix1ures)
FIXTURE TYPE
NUMBER OF
NEW FIXTURES
UNIT FIXTURE
EQUIVALENT UNITS
Bathtub..........................................om....................... .
Drinking Fountain.....................................................
Floor Drain................................................................
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For Sand/Auto Wash/Etc..................
Laundry Tub/Clotheswasher...................................
Clotheswasher - 3 Or More.....................................
Mobile Home Park Trap (1 Per Trailer)..................
Receptor For RefrigeratorjWater Station/Etc........
Receptor For Commercial Sink/Dishwasher /Etc..
Shower, Single Stall....................."..........................
Shower, Gang..........................................................
Sink, Bar,' CommerciaL...........................................
Urinal, StalljWaIL......................................................
Wash Basin/Lavatory, Single..................................
Water Closet, Public Installation.............................
Water Closet. Private...............................................
Miscellaneous:
2-
2 ~
1
2
3
6
2 "2-
6
6
1
3
2
l/Head
2 2-
2
1 Z.
6
4 8
2-
2-
TOTAL FIXTURE UNITS
=
,~
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table,
calculate credits separates.
Year
Annexed
1979 or before
1980
1981
1982
1983
1984
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1.000
Assessed Value
$2.66
2.64
2.53
2.41
2.19
2.04
1985
1986
1987
1988
1989
1990
51.69
1.35
1.15
0.92
0.59
0.23
II
iJ.o '\.\-. "X:.NF'O E.'$.T. VAl-Oe.. :::''&l,,~c()
Credit for Parcel or Land Only If Applicable 2- , (., (., X $ 1'2-. S
(Rate X Assessed Value)
Improvement [~ after annexation date) X $
(Rate X Assessed Value)
CREDIT TOTAL
~? '2-,.2.
= $ ??~
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Resid entiaL ........................ .... .............. ............. 0.4
CommerciaL.................................................... 0.9
Industrial.. .................... ........... .......................... 0.45
Governmental................................................... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT