HomeMy WebLinkAboutPermit Electrical 1999-3-29
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~ '101,"'<0",. Ill.l\C'['lnCAI. 1'lmHrrd~T1LCAQTrolON
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"',4..~) ly Joh Number
,~ 101..
~I. I.
HPLE'~YV~ SCIIEDULE BELOI/
.... 'I",
R idential-Siugle or
ul t' -Fa 'ly per dwelling
S 'vic lucluded:
()
"I..
225 1'.11''1'11 STllI.:I\T '/<00/01
Sl'lnNt;I'U:I.IJ, OltEl;ON ':J'/I,n o..,~..
.lNSI'Et~rl0N ItE()lmST: rJ.6-:lU,':J O'.s'~
~~I'I:~:"I\~~s'~~
\O~~ '\-YJ\x:i\. \n. > ~\ reflY
,
1-1\ (~?-'~4C~~ON ()~ ~
'" I .dim DE~6.rl.lON A t\f\n
~l L:\..,.-;" '-\.1I'/~
Perm i lS are 1101:-l [ailS ~erable and ex pi re
if work is 1I0t started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTMCTOR INSTALLATION ONLY B.
Elect dc~l COlllt'~ctor1?cr.:;~ C:(HfJor-ah;07\....
^ddress 8'qC17<o])~ Lan~
Ci ly E:uC/e.l/Je Pholle ~ -0'10.5
~
Supervisor Liceuse Number /5fn8 .5
Expiratiun Dale /oj (/00
Cunslr Conll'. Number 51/-t.J..3/
Expiratiun Dale
9/3.0/00
Signatur~~pervising Electrician
h~./'/ ~
uWllers -Nam~~ \>~ ~
Address 4.?-.;?-A ~~~~ \~
Ci ty ~~'" {\~~ n~Phon~'~\Z
.0I/NEll .INSTALLATION
'--
-------.
The instalHtt'ioll is being made on
property I UWII which is not intended
for sale, lease or reut.
Owners Signature:
--------------------~-7----------------
DATE: ~//~/ r 1
RECEIl'T ii: - / ./ ;}t4 ffJ1
RECEIVED IIY: Jr! /;}}l" .P'U?AA'l 1
P(/<--' /. - - ~
[UOU sq.fl. or less
Each addilional 500
sq. ft or portion
thereof
Each Mallll [' d Home or
Modular Dwelling
Service or Feeder
Services or Feeders
Installation, ^lteratiolls
or Relocation:
7.00 amps or less
lU1 amps to /,00 amps
401 amps to 600 amps
601 amps to 1000 amps
Uver 1000 ampslvo1ts
Reconnect Only
Items
~
,~
L1ni t.
Cost Sum
$ 85.00 J!1D~
$ 15.00 j5~1
$ 40.00
$ 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 amps or 1000
D.
Branch Circuits
New, Alteratioll or Extensioll Per Panel
$ 35.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Lind ted Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ^BOVE
5% State Surcharge
:1% Administrative F.ee
TOTAL
$ 40.00
$ 55.00
$ 80.00
voJ.ts see "BI' above
$ 2.00
no t included)
$
$
$
$
_'2, 4-5.(70
'} "7:;-:)
'j I'J.'SS'
372 ;0
40.00
40.00
20.00
36.00
. JOURNAL OR JOB NO. c?9ozo:?
ATTACHMENT A . .
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY: P61'7f301J'f
LOCATION: 6tS- !Jt,.T4,/A
DEVELOPMENT TYPE: tbtJl.-GY
BUILDING SIZE:
3?3(;,s~
LOT SIZE ~Q. Ft.
5Q(;, ~/c, ~ 3&4'
;z,(GJ-f 37)c:2 -f- .?~(dY) t- /4(Z-b)
X $0.227 PER SQ. FT. $ 1~')7J,.;(o
1. STORM DRAINAGE
4-31'2. 1-
IMPERVIOUS SQ. FT. <)q~~
2. SANITARY SEWER-CITY
NO. OF PFU'S 4-t-
(See Reverse Side)
X $47.14 PER PFU
$ ,20 74-. 1(0
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
2-
X 1.01 X $475.32
$ q~O./5'
X
X $475.32
$
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO. OF FEU'S Z. X Z774f- PER FEU
$ tj '74 J?\?"
B. IMPROVEMENT COST:
l
NO. OF FEU' S '2- X zs. mER FEU
$ 50.40
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
< $ /;;J,O. 93 >
$ 10 00
TOTAL-MWMC SDC
$ m.,qr;-
$ 187'(, '8,0
$ 5<.13.91-
SUBTOTAL (ADD ITEMS 1.2.3 & 4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X ,05
/YISL-
SDC Coordinator
ATTACH' A. WPD
Date: -4-!-1/qc;
TOTAL SDC $ 5/Jd., YO
.'
FIXTURE UNIT CALCULJalION TABLE: Number of New Fixt~Unit Equivalent = Fixture Units
(NOTE: For remodels, calculate only.NET additional fixtures)" .-
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub..................................................................... .
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 Trailerl..................
Receptor For Refrigerator/Water Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single StalL.... ............... .... ....... ..... .............
Shower, Gang..... ............ ....... ..... .... ...... .......... .........
Sink: Bar, Commercial, Residential Kitchen........................
Urinal, Stall/Wall. ... .................... ........... ... .............. ...
Wash Basin/Lavatory, Single.............. ....... .... .........
Toilet, Public Installation................... ....:. .... ...........
Toilet, Private.. .... ......... ............ .......... ..... ... ..........
Miscellaneous:
1/
1-
2
1
2
3
6
2
6
6
1
3
2
1/Head
2
2
1
6
4
-:::J,.D
/1
4-
J-
II
-1.;
_ 1J-{-r III
-1/.,1 /1
q-
S?"
TOTAL FIXTURE UNITS
4f'
=
Based on assessed value. If improvements occurred after annexation date in table,
CREDIT CALCULATION TABLE:
calculate credits separates.
II
Rate per $1,000
Assessed Value
Year
Annexed
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
$4.27
4.18
4.12
3.99
3.83
3.68
3.48
3.18
2.82
2.42
Year
Annexed
Rate per $1,000
Assessed Value
1989
1990
1991
1992
1993
1994
1995
1996
1997
$1.98
1.55
1.15
0.96
0.83
0.67
0.52
0.38
0.21
Credit for Parcel or Land Only If Applicable
Improvement (if after annexation date)
4,21 X $ zg.3;;Z = I~O,93
(Rate X Assessed Value)
X $ =
(Rate X Assessed Value)
CREDIT TOTAL = $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimatin9 Purposes Only)
ResidentiaL.......................... 0.4
CommericaL........................ 0.9
IndustriaL........................... 05
GovernmentaL..................... 0.5
F'XUN'T .wPD
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOrF COEFFICIENT
.
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: ~'\)-\--\)~ ~~ . PHONE:~L\-\n'~\~lQ
ADDRESS: L\-~ ~~ \~~ STATE:~ZIP:.QJf6
LOCATION OF PROPOSED BUILDING SITE: . I
Street Address: l~ ~ \J()\ \f\ \ YL ~\\C'eJ~ \~ \ \J'amOfOl
Plat Name:\~~ \\\~~, Tax Lot Number:J....20~~4 ~-~OII2.Y)
1. DEVELOPMENT TYPE, (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
.
QQO?10
A Sinolp.-F::Jmilv Dp.t::J~hp.rl
Single Family home
NO. OF UNITS
Manufactured home not in a park
X $1,000 per unit =
$
B. .sin.tth:i-F::Jmilv Att::J~hp.rl
NO. OF UNITS cO
X $924 per unit =
$ \-~~~
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. Manufrapturerl Home Pari<
X $699 per unit c $
$ ~.CD
xi
3. TOTAL WILLAMALANE NET SDC ASSESSED I D..A fl..cD
~'~oodIO'CV S II; ,\;;n
Dev"opme~epartme", Dele '
City of Springfield .
NO. OF UNITS
WILLAMALANE SDC
2. SDC CREDIT (If applicable) SDC-payer must furrtsh proof of
Willamalane Credit approval. See SOC Credit Worksheet. $