HomeMy WebLinkAboutPermit Electrical 1991-9-25
225 FIITH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 Ci ty Job Number q / /.tl ':::? ?
OFFICE: 726-3759
1.
LOCATIOti-Qf INSTALLATION
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LEGAL DESCRIPTION
I..dT#)9' K.,.;),..) I?r/"*r-';"'J. A.1J.-t_-,
JOB DESCRIPTION
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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 ~uA-1LP G..&:..
Address Ii:} 7 0"5 1)Eu,,~..., J Al.UC4 SC\\ ll&.
CityClrr"TA~j; G~~," ~hone q.h..-sCo7"L
Supervisor License Number '-70 li'S
Expiration Date 3/q'L
Constr Contr. Number "'2-0- 11 be:.
Expiration Date "3/9"l.-
:o~ofA~P~Qctrician
Owners Name
Address
City Phone
OWER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~~----(jf~~~-t-~-------~--~
RECEIPT I: . i JJ{;0IJ. \11 It'-.
RECEIVED BY: ~1 -
G:/
3. COMPLETE FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
A.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
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
Items Cost
Sum
l $ 85.00
9S.o0
3 $ 15.00
J::15. .00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
r~ /;?~ <-Y'/ LPr ~ ;;'a>
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
D. Branch Circuits
New, Alteration or Extension Per Panel
One Circui t
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
/ "31P. c>O
IG..SO
1~.6.St:>
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~
.
CITY OF SPRINGFIELD SYSTEMS DEVEL.NT CHARGE l:Fq (10 '2..3>
WORKSHEET
NAME OR COMPANY: h)-rVef?: 'b +-f.OM€..<;
LOCATION: ~'5 (p ~ IN T"fl.E.6. WA-'r'
OEVELOPMENT TYPE: LoR
BUILDING SIZE:
I. STORM DRAINAGE
IMPERVIOUS SQ. ~T. ~1~'2.. X SO.186 PER SQ. FT.
(See Reverse For Runoff Coefficients If Actual Imperv. Area
LOT SIZE
SQ. Ft.
~ ~qt.J (,;1
Is Unknown)
2. SANITARY SEWER-CITY
NO. OF PFU'S 'Z- ~ X S38.55 PER PFU
(See Reverse To Determine Total PFU'S)
s 66" ~
3. TRANSPORTATION
NO OF UNITS X TRI P RATE X COST PER TRI P
X
X 5388.51
s ~"o ~
s
/
x I,oo~ X S388,61
X X S388.5I
(See Attachment C To Determine Trip Rates)
SUBTOTAL (ADD ITEMS 1,2, & 3)
s
S fl.ill ~
4. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
5 ~3 '5)
TOTAL-CITY SOC iL7'5"S </f5
5. CREDITS
IF DEVELOPMENT IS PROFESSIONAL OFFICES OR INDUSTRIAL: .1,1,
TOTAL-CITY SDC X (50%) = ADJUSTED CITY SDC S I~/~
6. SANITARY SEWER-MWMC
NO. OF PFU'S "2-~
75
x S13.25 PER PFU + SID MWMC ADMIN. FEE $ ~It.f-
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
V' -~ L:.k
.'~ Kip Burdick
SOC Coordinator
<=7/"'/'1)
; ,
~~~
TOTAL-MWMC SDC $~~~:>
TOTAL SDC .$ 7~.3:::'. '3' '3!
.
FIXTURE UNIT CALCULA.N TABLE: Number of New Fixtures X Unit Equivalent = Fixture Units (NOTE:
For remodels, calculate only the NET additional fixtures)
FIXTURE TYPE
Bathtub.......... ............................................................
Drinking Fountain.....................................................
Floor Drain................................................................
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For Sand/Auto Wash/Etc..................
Laund ry Tub /Clotheswasher...................................
Clotheswasher - 3 Or More.....................................
Mobile Home Park Trap (1 Per Trailer)..................
Receptor For Refrigerator/Water Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall.................................................
Shower, Gang. .........................................................
Sink, Bar, Commercial.............................................
Urinal, StallfWall........... ...... ..... ...... ......... ..................
Wash Basin/Lavatory, Single..................................
Water Closet, Public Installation.............................
Water Closet, Private...............................................
Miscellaneous:
NUMBER OF
NEW FIXTURES
UNIT
EQUIVALENT
FIXTURE
UNITS
I.j..
"2-
2-
~
12..
2,3
CREDIT CALCULATION TABLE: Based on assessed vaiue. If improvements occurred after annexation date in table,
calculate credits separates.
Year
Annexed
Rate per $1,000
Assessed Vaiue
1979 or before
1980
1981
1982
1983
1984
$266
2.64
2.53
2.41
2.19
2.04
-z.
2
1
2
3
6
2
6
6
1
3
2
I/Head
2
2
1
6
4
I
~
.;
TOTAL FIXTURE UNITS
=
Year
Annexed
1985
1986
1987
1988
1989
1990
Credit for Parcel or Land Only If Applicable
Improvement (if after annexation date)
~~ ~E a..P- .cS;- ,-.
#PT Ye:FrC?'Y' ~ /JP'-r:',pS.
~ .fo{,p X $ /S- = ;::?'9_~
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL = $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Residential.... ............................................. 0.4
Commercial...................................................... 0.9
Industrial........................................................... 0.45
Governmental............................................. ...... 0.5
. '
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
Rate per $ 1 ,000 I
Assessed value-
~1 -,
... .');:-
1.35
1.15
0.92
0.59
0.23
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