HomeMy WebLinkAboutPermit Electrical 1994-10-24
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225 FIFTH STREET ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 City Job Number "9Y/7..c-",
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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3. COMPLETE FEE SCHEDULE BELOIl
A. New Residential-Single or
Multi~Family per dwelling unit.
Service Included:
LEGAL DESCRIPTION
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JOB DESCRIPTION
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. CONTRAClOR INSTALLATION ONLY
Electrical Contractor Philip~ Fl~rtr;r Inc.
Address 3170 M~~nn~ r~n~
Ci ty F",:':l:'~
Phoneg740?
, Supervisor License Number ?71 ac::
Expiration Date 10/95
Constr Contr. Number 20-179C
Expiration Date 10/95
Signature of Supervising Electrician .. .
.r ~ -6' D..
owners Na,me r7r~e~Cf~,on-r
I. Address ~, ~ ,
CitY,Z;Z:>..A..z:,/ 'Phone,?~/~?/~
01lNER INSTALLATION
The. installation is being made on
property I own which, is not intended
for sale, 'lease or rent.
Ovn~rs Signature:
DATE:
RECEIPT I: '
RECEIVED BY:
M ~Z '(--3lf
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Items Cost Sum
1000 sq.ft. or less $ 85.00
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
200 amps or less
201 amps to 400 amps
Over 401 to '600 amps
Over 600 amp?or 1000 volts
Branch Circuits
New, Alteration or
$ 40.00
$ 55.00
$ 80.00
see "B" above
Extension Per Panel
-S 35.00 ~-
One Circuit'
Each Additional
Circui.for' with Service,
or 'Feeder.Peimi t '--L' $
Miscellaneous (Service/feeder
-Each installation
Pump or, irr;gation~
Sign~Outline Lighting
,~imited Energy/Res
.Limited' Energy/Com~
E.
5,.
SUBTOTAL OF' ABOVE
5% State surcharge . ",
,,' .,T()TAL, ' ,.; .,'. ,.r ~
.. '.
2.00.
7,--'
not included)
$ 40.00
$ 40.00
$20.00
$.36.60
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'39.9&
. NO. '14\ ?Z-l
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
.-.
AlTACHMENT B1
NAME OR COMPANY: MI'<R.Y E: LLt:::tJ 'f:>IZA.Y
LOCATION' \ OIl ?Le.""c:.A.r-.1-r
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I ,o'?"2..(.,'-H - 07000
DEVELOPMENT TYPE: l-D~ - ('.,.A-ItP,c,E:.
BUILDING SIZE: '2"",1-Z- ... / ejl,\Ie..!:>
LOT SI7F
SQ. Ft.
1. STORM ORA TillAGE
IMPERVIOUS SQ. FT. t77Z-
2. S8MlIARY SFWFR-rTTY
NO. OF PFU'S
(See Reverse)
X $0.209 PER SQ. FT.
$ t \ '" "'3.
X $43.26 PER PFU
$
3. IEl\NSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
x
X
X
X $436.19
X $436.19
X $436.19
$
$
$
SUBTOTAL (ADD ITEMS 1.2. & 3) $
4. S8MlIARY SFWFR-MWMC
NO. OF PFU'S x $17.19 PER PFU + $10 MWMC ADMIN.FEE $
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $
IQIAI -MWMC SOC $
SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ t\'\ ~
5. AOMTNTSTATTVF FFFS
BASE CHARGE (SUBTOTAL ABOVE) X .05
$ S~
o ,,~L..t...
~ary Hornig, P.E.
sac Coordinator
Date: I 0 . IS - "I '-\-
IQIAI snc
$ lZ?~
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