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Home My WebLink AboutPermit 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