HomeMy WebLinkAboutPermit Electrical 1993-2-17
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225 FIFTH STREET approve,1. L f\ D
SPRINGFIELD, OREGON 97477 ZC,1'~c_ --:cG-p:>....-
INSPECTION REQUEST: 726l~l~9;;J- 1_(- <t3 City Job Number
OFFICE: 726-3759 ~r-
Au,horizod Sign~\ure "') J-;--COIII'LETE FEE SCHEDULE BELOV
1. IA<;A'\'~ OF ~TALLATION ,\
, lL..1 '() \ 1-< J\ o~ \) (\ l=)\ .I.. ./
LEGAL D~qu;~ON I~ f"\ r-::?"\
1'1 n?i, '"'T-\-\ I-:\,..j l I .J
. - 13'
cJQlI ~CRIPTION -.-- p~l&S
......., \- l< <:l ~ --+ \. II >/'"'l'...
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 contrac5or~ \1(\-.~~
Address \ ~c{L~CttllL
City rl Ut [UZ ~honeffi~- ~15
Supervisor License Number ~~
(f). I.Q5
Constr Contr. Number '49~
La. \cs.Cl~
Expiration Date
Expiration Date
Signature of Supe
~A7~~
""...1 N'''~ 9 i c\ 9.f\ \ ~ D.
Address 3\ Q \ 0 ,~ . '\f)% A\..:R..-/
City n~ Phone LD~b-0131
OVNER INSTALLATION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~~~---J:l-~rco--:-q~:---.--~--=----
RECEIPT #: \ 0, ' J...:2.L?)
RECEIVED BY: f:J')liY. -A'--.-I
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
uni t.
-,
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
-L
~
Cost Sum
$ 85.00 CD
$ 15.00 15
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
ii!:;~ii';i.i:i:;;;;".. ., i.ii'iii'~
Over 600 amps or 1000 volts see "B" abbve
New, Alteration or Extension Per Panel
$ 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 d;{j/) \ lon.~
5% Sta te Surcharge ,f( ) 71.-
TOTAL -Z(I t"I:> .~
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
C.
Branch Circuits
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
. . JOB NO. q~010?
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: t31<JE.t::.o8N 1)RbS, :LNc...
LOCATION: 7Q'if pR.t=-SUJr-r LANE. /7033411-- - 152-00
DEVELOPMENT TYPE: LP/z - t-JE-iN 5FR
BUILDING SIZE:
LOT SIZE
SQ. Ft.
1. STORM DRAINAGE
IMPERVIOUS SQ. FT. 'Z-o'-f-z. X $0.192 PER SQ. FT. c: Yl2-~
--- -
2. SANITARY SEWER-CITY
NO. OF PFU'S ?O X $39.78 PER PFU (;,1?€:)
(See Reverse) -- -
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
1 X 1,005 X $401.05
c: L/03~
-- -
X
X $401.05
$ -
x
X $401.05 .$
SU 8TOT AL (ADD ITEMS 1, 2 , & 3) Ll:..'n g ~
4. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
~)
TOTAL-CITY SDC $ "ZC51~
5. SANITARY SEWER-MWMC
,/ ~o
NO. OF PFU'S ?o x $13.62 PER PFU + $10 MWMC ADMIN. FEE $ ,/S-
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
$ '-I-o~
TOTAL-MWMC 5DC677?!)
- .-
TOTAL SDC $ 1.'-I-cP??:!:
~ ~Je. l/h'l!93 .
l! Kip Burdick
SDC Coordinator
FIXTURE UNIT CAlCULA Tlcf.r ABLE: Numbe~ of New Fixtures X un.uivalent = Fixture Units (NOTE:
For remodels, calculate only the NET additional fixtures)
FIXTURE TYPE
NUMBER OF
NEW FIXTURES
UNIT
EQUIVALENT
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 jWater Station/Etc"......
Receptor For Commercial Sink/Dishwasher /Etc..
Shower, Single Stall..,,,....,,....,,...,,.....,...,,..,,..........,,
Shower, Gang"...."..."........,,,,,...,,...,,,...................,.
Sink, Bar, CommerciaL.,.."....".....,..,..,.,,,....,...,.,..,
Urinal, StalljWall....."...............".........",...."........,",.
Wash Basin/Lavatory, Single"...",..,,,,..,,,..,,..,,,,,,,,,
Water Closet, Public Installation"....."....""..."....".
Water Closet, Private........,,,,...,,...........,,,,,,.,,,,.,.,,...
Miscellaneous:
?
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
~
<./-
..r
TOTAL FIXTURE UNITS
=
FIXTURE
UNITS
(".
"2...
...z'
'Z..
--f
1'-'
?>o
Based on assessed value. If improvements occurred after annexation date in table,
CREDIT CALCULATION TABLE:
calculate credits separates,
II
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
1979 or before
1980
1981
1982
1983
1984
$2.83
2.76
2,71
2.60
2.46
2.33
1985
1986
1987
1988
1989
1990
1991
Rate per $1,000
Assessed Value
$2.16
1.90
1,60
0.25
0.87
0.50
0.16
Credit for Parcel or Land Only If Applicable
=
";'0 &l..
'2.'B X $ /4-..(.2-
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL
=
Improvement (if after annexation date)
= $ '-/-0 '!-.
RUNOFF COEFFICIENTS FORSTORM DRAINAGE
Residential............ "................. ......................... 0.4
CommerciaL................................................... 0.9
IndustriaL... ..."................................ ................. 0.45
GovernmentaL................................"..........,.... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT