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Home My WebLink AboutPermit 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 s: S Go r\'. ,A/ -i " <-<- I::l- LEGAL DESCRIPTION I..dT#)9' K.,.;),..) I?r/"*r-';"'J. A.1J.-t_-, JOB DESCRIPTION ~ ,,,4/c: Lr h-r'/4 Rr rl t.r~Lt U J 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:> I ~ . 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 J