Loading...
HomeMy WebLinkAboutPermit Electrical 1991-8-27 225 FIITH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION Qll., INSTALLATION t') \ S ~'S\_Q f'l C'fltt \1(G)~~rgN \DCYn ~~<9L1' JOB ,ill:SQl.:(..PTION S . ~. \.?Q D.I Permits are non-transferable and expire if york is not started vi thin 180 days of issuance or if york is suspended for '180 days. $1-,IINGt:ltlLU 3. COMPLETE FEE SCnEDULE DELOV A. Nev Residential-Single or Multi-Family per dvelling uni to Service Included: Items Cost Sum 1000 sq.ft. or less , $ 85.00 -85 Each additional 500 sq. ft or portion ,~ ~ thereof $ 15.00 Each Manuf'd Home or Modular Dvelling Service or Feeder $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders ~~~r . {)~ Installation, Alterations or Electrical Contractor' \ \V( Q 1\~Relocation: Addres~ ~ \ \ l 200 amps or less . 1.1'v..\\'\'-':. 'II ' (\A-r-'IAiV\rJ 201 amps to 400 amps Ci ty\)J' '\.1.\L.Vn \ ~hone . f-\lO-"\U-'rO 401 amps to 600 amps ~l)~rr S 601 amps to 1000 amps Supervisor License Number ,~'-\~ Over 1000 amps/volts \r--. ,~\ . q f\ Reconnect Only Expiration Date \ J n.. 'Constr Contr. Number \ 0 c::{)ffi Expiration Date ~. \~ ,C\3 Signi~re of Supervising Electr~cian 'fr~ O__'1.J_ ,- - C._f.~~:....lJl(\ f) 1\ J ~\)'<II ~ \ d~ ~~\ - \ Address Phone \'\41 o,.qlo<(D City OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: - -i.----.---~-. ---------- DATE:\ ~ 1(\1 RECEIPT 1\:.t9~ ~' . RECEIVED BY: l_ IW~./ $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 "V 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 volts D. Branch Circuits $ 40.00 $ 55.00 $ BO.OO see "B" 1Cl~ above Nev, Alteration or Extension Per Panel , One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 1 rJD.CO 5% S ta te Surcharge f'i), p...() TOTAL \' \~ ,q(') Metropolitan Wastewater Managernent Commission . . CDr.'.r,',ISSIW r,~p:t:tt:,S R~~ Bf-~t~:l-(u;~n! Co:;r':i':~:~:;:) S:l",{' D~::y-fu~eile Lal :;f';:lrfw::~:i.e Seo:: E:l;$;::,.l1-S;....I;lieICllaj Repr(H~:,::;E C:-orisli.mn:-S;lrin;:ieldCr''Jn:.:-f:!;':l. Chl;~ :,:g;s,n-lar,( C{lU".~}' l~J' Rf:"f'~~A:a:;\'t Je;;y Rust-LiI'lC CClm:;- C~r;.;';'t!S':1E'r j.',a:~. \'.'estlin~-Eu'tne Lai' R~;.:e~u,:a:I;'e FIi'TH AND A STREETS - SPRII,GFIELD CITY G,"LL - ~i'i',::':Gi':ELO, OF-EGON 9i"77 TELEPHO:,E (503) i.:i.':5:1 IWMC COliNECTION CHARGE \';', '. Building Address: ru. J?, J?gC'?C:a.7T LJY. Reference Number: ,\\ [)~2:Pr\~ O\'ner: .t\\~ \. \)0 [)'\. 'd Cnf"Q.. Address: A43 (\;QJl Ci ty: C( A ~O X\Q. State: Tax Lot Number: If)~ N\r\. ~h~p&3.44tR ~ Q _~fJ7\- ziP:1J4DL ~Residential Fee ($222.00) $ :JM ,cP Commercial Fee (nev non-residential development/ remodel) Total fixture unit charge (see reverse of this form) $ SUBTOTAL $ Credit Due (see reverse of this form) <$ 3~,6f > TOTAL M~MC CHARGE $ IEb. 'II Date Received: 7-2v. -'J/ 2C>;f;,/'7 Received By: ~~ Number:3lridJ ~ Receipt Number: Building Job . . Fixture Unit Calculation Table: Number of new fixtures multiplied by unit equivalents. NOTE: For remodels, calculate only the NET additional fixt~res. Fixture Type 3a t h tub. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Drinking foun tain. . . . . . . . . . . . . . . . . . . . . . . . . Floor drain.......................... .'. . . . Interceptors for grease/oil/solids/etc:... Interceptors for sand/auto .ash/etc.... ... ,Laundry tub/clothes .asher......, ......... Clothes washer (3 or more)..... ...... ..... Mobile home park trap (1 per M.H.)... ..... Receptor for refrig/.ater station/etc.. ... Receptor for Com",~r sink/dish.shr/etc..... h . 1 '11' S o,,'er, slng e sta ~...................... Shower, gang (per' head).... .. ............ . Sink, bar, commercial........ ...... ....... Sink, commercial/industrial/etc........... Urnial, stall/wall........................ Vash basin/lavatory, single... ............ Vater closet, publie installation......... Vater closet, private........ ......... .... Miscellaneous: .......... ...... .... . ..... .... Total fixture units x $13.25 each of F xtures Unit Equivalents Fixture Units " 2 1 2 3 6 .2 6 6 1 3 2 1 2 3 2 1 6 4 Total Units: Total Charge: $ Credit Calculation Table: Based on total value of property at time of permit appli ca t i on. Year 'l..nne>:ed to the City - "' I '?c:o s 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 Credit q? ,h t:' Rate x S 1"34"2..0 , Assessed Value s 55--' 61' Total Credit Credit per $1,000 assessed value $2.66 $2.64 $2.53 $2.41 $2.19 $2.04 $1.69 $1.35 $1.15 $0.92 $0.59 $0.23