HomeMy WebLinkAboutPermit Electrical 1991-11-15
225 FrITH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1.
LOCATIONJl,F INSTALLATION
J?j(. 1"'lAr/~CL
LEGAL DESCRIPTION
1-,,+-I4.t,j trQ,-"bouJ ks~*r
JOB DESCRIPTION
sF6<
~..d A.I Jfr...-
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 B.
Electrical Contractor )+~~(to ~
Address Jq 703 'DEuc.!t7 Jltt.J..€u S<:.~ QJ.
City00'17At.l? GII4Jt Phone Cit./<..- ~ (,71-
Supervisor License Number "2- 7 0 R S
Expiration Date
"3/q~
,
Constr Contr. Number '2-0-/7" C.
Expiration Date '3/ q4.-
,
signa~of supervisi,g Electr~cian
U~~ A.~
1-.
Owners Name t:k n ,g 4-
Address ,;. YY.J.- yz,u~",I2.. <-'
City
r...~tJ ..
- d / V
Phone
~F.i') IcJ
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
-------------- -~T--
DATE: Il-I~-q
RECEIPT I: . ':7I7/U?
RECEIVED BY: a ,\A~
City Job Number C) J /';).7/
3. COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
It ems 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 ~c=
'-~
$ 15.00
YS c.6-
$ 40.00
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less t $ 40.00 t:Y',b. ...~
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
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 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
/7~- --
;!;.S--
/ /~.~
JOB NO. q \ \ G. 1'1
CITY OF tRINGFIELD SYSTEMS DEVELOpln CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
\ '
NAME OR COMPANY: ~'\1.l1U: ~ +-\-oMS'>
LOCATION: ~'l.. ~AIl~'\e.E.E.. - ~t-le.Gv.J .E.SIA'T€:.S ~ '2.0.10 A-t>o' Lo..- 'R-Z-S
DEVELOPMENT TYPE: l-1)2.. - N€:.I'J
BUILDING SIZE:
LOT SIZE
SQ. Ft.
I. STORM DRAINAGE
IMPERVIOUS SQ. FT. '?2.-\O X $0.186 PER SQ. FT.
(See Reverse For Runoff Coefficients If Actual Imperv. Area
.,/
$. s.'1"'1 b,=.
Is Unknown)
2. SANITARY SEWER-CITY
NO. OF PFU'S \ ~ X $38.55 PER PFU
(See Reverse To Determine Total PFU'S)
$Ca""~"I~..,
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
\
X \. ooS X $388.61
$ ?"'O~ ./
X
X $388.61
$
X X $388.61 $
(See Attachment C To Determine Trip Rates)'
. SUBTOTAL (ADD ITEMS 1,2, & 3) $ \r..'6' 'S-L
4. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
S <6~o~/
. TOTAL-CITY SDC S l"'1IoSC;;"I
5. SANITARY SEWER-MWMC .
NO. OF PFU'S
,~
x 513.25 PER PFU + S10 MWMC ADMIN. FEE $'Z.y.t!. ~
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
$ "?::, <-~
TOTAL-MWMC SDC $ '2-1? z~ v
TOTAL SDC $ \'1 f>D ~
~'",~L~ 1\/1/41
. \l Kip Burdick
SDC Coordinator
FIXTURE UNIT CALCU~ON TABLE: Number of New Fixture.nit Equivalent = Fix1ure Units (NOTE:
For remodels, calculate only the NET additional fixtures)
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub... uu'" ....... ............ ....... ......... ...... ........ ...........
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 Refrigerator fWater Statlon/Etc........
Receptor For .Commerclal Sink/Dishwasher /Etc..
Shower, Single Stall............::...........:.......................
Shower, Gang......................................................,u.
Sink, Bar. CommerciaL...................uuu................:
Urinal. StallfWaIL............u......................................
Wash Basin/Lavatory, Single...............................u.
Water Closet. Public Installation........u.u................
Water Closet, Privateu...........................................u
Miscellaneous: ..
2-
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
\
'2--
'1--
TOTAL FIXTURE UNITS
=
'-{
'1.-
"2-
-:2-
'b
\"'1$
Based on assessed value. If Improvements occurred after annexation date in table,
CREDIT CALCULATION TABLE:
rculate cred::~;:rates.
Rate per $1,000
Assessed Value
Year
Annexed
..; ..
1985
1986
1987
1988
1989
1990
1979 or before $2.66
1980 2.64
19~ ~~
1982 2.41
1983 2.19
1984 2.04
No . \. L... ~f'o ~ e<;.'T. VA'-""- - s. t... '?oo
,
Credit for Parcel or Land Only If Applicable '2.., "" to X $ \ 'Z. ,S
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL.
Rate per Sl,O;-l'
Assessed Val~~ I
$1.69
1.35
1.15
0.92
0.59
0.23
..".,~~
. Improvement (if after annexation date)
=
= S ??~
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
ResidentiaL.......u...........u.uu.......................... 0.4
CommerciaL................................................... 0.9
IndustriaL.......... ................. ......... ................ ..... 0.45
GovernmentaL....... ................ u' u u' u U"u.u.u u. 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT