HomeMy WebLinkAboutPermit Electrical 1991-12-5
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 City Job Number 911.3 39
OFFICE: 726-3759
3. COMPLETE FEE SCHEDULE BELOI/
1. LOCATION OF INSTALLATION
&''1).. Rti'N'/~ A. New Residential-Single or
Multi-Family per dwelling unit.
LEGAL DESCRIPTJ,ON I J JJ. / Service Included:
t..o..L I,J.. J,f' !(,r,..,IbAU.J/;,,/.1t.--,).; 4 .Yr."" Items Cost Sum
/
JOB DESCRIPTION
SP'V\
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~~~ ~
Address'717o'$ Veul.W7 lll'tu..e... SC~. e&,
Ci tyC077A!.G- G~Je Phone 9l/1--"3(, 71-
Supervisor License Number L-70~ S
Expiration Date 3;f~z-
,
1000 sq.ft. or less ~ $ 85.00 ~~O
Each additional 500
sq. ft or portion
thereof ~ $ 15.00 ~,~
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
Constr Contr. Number "2-o-/7f.:,C.
Expiration Date ~J&}Z-
,
Sign~ of supervi~{ng Electrician
\ cK'~,. A. ~J.
Owners Na~e ~ IJ ~
Address rJ--ftl)... iJ1.tt..I:. ._ /.J... .
/? /) q 7l.fV/
Ci ty ~ ~ Phone L)d'~--.1'/ 7h
d (/
OIINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE: ~-=;-2~ t,,~
RECEIPT I: n. -~ -?/'
RECEIVED BY: ~_"~_
200 amps or less --L-- $ 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
D. Branch Circuits
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
~Each installation
; Pump or irrigation
Sign/Outline Lightin~
. hind ted Energy/Res
Limited Energy/Comm
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
no t included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
---La 5, ""
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-I~4J.zL
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JOB NO. QU??'1
CITY OF tRINGFIELD SYSTEMS DEVELOplNT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
,
NAME OR COMPANY: FUTu ~E:. :e:, ~o MES
LOCATION: 9.-+"1- ~'~~E:.
DEVELOPMENT TYPE: L-De. -l-lE.W
1't- ~l~~ \::..:'''I'<,E'>
\...O~ '2-~ . (-z.-Mb AoD\."I'\ow.')
BUILDING SIZE:
LOT SIZE
SQ. Ft.
1. STORM DRAINAGE
IMPERVIOUS SQ. FT. "2.'00"1 X SO.186 PER SQ. FT. ~ '72-"1--t1
(See Reverse For Runoff Coefficients If Actual Imperv. Area Is Unknown)
2, SANITARY SEWER-CITY
NO. OF PFU'S ~~ X S38.55 PER PFU
(See Reverse To Determine Total PFU'S)
$ "6'is<..c..z.
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
x
X S388.61
$'7-:Ac ~
$
I
X I.~~ X $388.61
x X S388.61 $
(See Attachment C To Determine Trip Rates)
SUBTOTAL (ADD ITEMS 1,2, & 3) $ n"l"l~
4. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
s 9,q "i1.-
TOTAL-CITY SDC S 1~9.q t,~ .
5. SANITARY SEWER-MWMC
NO. OF PFU'S
"2..-".::>
x SI3,25 PER PFU + SIO MWMC ADMIN. FEE $ ~\'-l~
(Use PFU Total From Item 2 Above)
V -~J..... .
() Kip Burdick
SDC Coordinator
II - \"6-9 \
$ .~:,.?~
TOTAL-MWMC SDC $ '2-~ I ~
TOTAL SDC S 211 \ ~
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
FIXTURE UNIT CAlCUL.4IIiION TABLE: Number of New Fixture_nit Equivalent = Fi>.1ure Units (NOTE> -.
For remodels. calculate only the ~dditional fixtures)
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtubuu u u ... .um. u u .uu...... .......... u. mu mu u............
Drinking Fountain............................................... u....
Floor Draln........m..............................................u...u
Interceptors For Grease/Oll/Solids/Etc..............u.
'1nlerceptors For Sand/Auto Wash/Etc..................
Laundry Tub/Clotheswasher....................mm...m...
Clotheswasher - 3 Or More.....................................
Mobile Home Park Trap (1 Per Trailer)m...............
Receptor For RefrlgeratorjWater Station/Etc...uu.
Receptor For Commercial Sink/Dlshwasher/Etcu
Shower. Single StaIL............................uu.............u
Shower, Gang........ ............:....:....................... u.u...u
Sink. Bar. Commercia!.........................u..uu..u..uu..
Urinal, Stall jWal!. ..................... ..... .......... ........u uu uu
Wash Basin/lavatory, Single..................................
Water Closet, Public Installation....u..m.u...uu....u..
Water Closet. Private...............................................
Miscellaneous:
'2..-
2
1
2
3
6
2
6
6
1
3
2
I/Head
2
2
1
6
4
\
"":>
?
TOTAL FIXTURE UNITS
-+
'2..
'2.
~
1'2.
'Z-!:>
Based on assessed value. If Improvements occurred after annexation date in table.
CREDIT CALCULATION TABLE:
calculate credits separates.
I
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1.000
Assessed Value
Year
. Annexed
1979 or before $2.66
1980 2.64
19~ ~~
1982 2.41
1983 2.19
'1984 2.04
14<> -r. \...::t:MFo e~. VAu,)(::; '=' .u;\.z.~<:,oo
Credit for Parcel or Land Only If Applicable
1985
1986
1987
.1988
1989
1990
$1.69
1.35
1.15
0.92
0.59
0.23
=
~?-z.~
"2.("(,, X $' I-z..S
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL.
Improvement (if after annexation date)
=
= S ~?'2-'"
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
ResidentiaL...u.......... m u'u" ..:............u u. u. u uu 0.4
CommerciaL........uu........umm.......uu............. 0.9
Industria!. m. m......u u u.... U' '''U' u........u muu..u... 0.45
GovernmentaL uu........u u uu u u.. u............ u. u u.. 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT