HomeMy WebLinkAboutPermit Electrical 1992-1-7
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225 FrITH STREET .,,{~;~,~'
SPRINGFIELD, OREGON 97477 " :.~,:.;/
INSPECTION REQUEST: 726-376~<:~f
OFFICE: 726-3759 .,..<~~:,,::~W'"
1. LOCATION OF INSTAL4:it~ /~~ ,.
-85 0 /l-7q~~dT7 '-,~1Y11 l A
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JOB DESCRIPTION v~'
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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.
7k=~qy~~
Electrical Contractor ~"'5c~'//7-C'
Address-t""~ l(p<'~E'r,71"'~ ~r-
Ci ty E ~~E....G Phone -;;>'Y"')--=?-_:::-
Supervisor License Number
Expiration Date
:/::1.
City Job Number q/I/~ /
COMPLETE FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cos t
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
Sum
S 85.00
S 15.00
S 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Constr Contr. Number ~~
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date S<-:2 -"......? '<
, ~'...., ~,,-,-,
. ~/-'~j.~ ,......, ..
s~ :e~';l:1C~'M
Owners Name
Address
City Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
S 40.00
S 55.00
$ 80.00
see liB"
above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permi t
$ 35.00
S 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
Ovners Signature:
---------------------------------------
DATE: '-?:..9~
RECEIPT 11: -~~,c?
RECEIVED BY: /Z_~.
'1"
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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...~
2/. ","p
. _. JOB NO. cqlll-:l,\
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: ~I W. H ()<St-\E.. S
LOCATION: B?o ~"'(..o,.,- l..ANE:
DEVELOPMENT TYPE: L-D ~ - \o..\e.w
no~"1;,'4\"2.. - CACoOO
BUILDING SIZE:
1. STORM DRAINAG~
IMPERVIOUS SQ. FT. <-toC,9 X $0.186 PER SQ. FT. ~ 1'.:>"t 91
(See Reverse For Runoff Coefficients If Actual Imperv. Area Is Unknown)
LOT SIZE
SQ. Ft.
2. SANITARY SEWER-CITY
NO. OF PFU'S "2..1..{ X $38.55 PER PFU
(See Reverse To Determine Total PFU'S)
3. TRANSPORTATIO~
NO OF UNITS X TRIP RATE X COST PER TRIP
X l,coS X $388.61
X X $388.61
$ 9"Z..?~
$ ~~D S.z.
$
X X $388.61 $
(See Attachment C To Determine Trip Rates)
SUBTOTAL (ADD ITEMS 1,2, & 3) $ '2-0-;072=
4. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
$ \O~?...
TOTAL-CITY SDC S "2.-\1't't~
5. SANITARY SEWER-MWMC
NO. OF PFU'S "2..~
x $13.25 PER PFU + $10 MWMC ADMIN. FEE S :'2--'Oo~
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
~. ~i---:J..
\J Ki P Burdi ck
SDC Coordinator
." - ~ -'1 \
S ?f.l ~
TOTAL-MWMC SOC ~ ~"'I '1-
TOTAL SDC $"2.-'1"'?~
I
FIXTURE UNIT CALCU.ION TABLE: Number of New Fixtur. Unit Equivalent = Fixture Units (NOTE:
For remodels, calculate only the NET additional fixtures)
FIXTURE TYPE
NUMBER OF
NEW FIXTURES
UNIT
EQUIVALENT
FIXTURE
UNITS
Batht ub.............. .......................................................,
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, Stall/WaIL,.,..,.,.,.,...,.,.,.,.,..,.,.".,.",."."..,.", '"
Wash Basin/Lavatory, Single..................................
Water Closet, Public Installation.............................
Water Closet, Private,...,...........,.,....,.,..,..".".".""".
Miscellaneous:
2.
2
1
2
3
6
2
6
6
1
3
2
1 /Head
2
2
1
6
4
y
2..
"'2..
~
~
?
\"'2..
TOTAL FIXTURE UNITS
=
'Z~
CREDIT CALCULATION TABLE:
calculate credits separates.
I
Based on assessed value. If improvements occurred after annexation date in table,
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
II
1979 or before
1980
1981
1982
1983
1984
$2,66
2,64
2,53
2.41
2,19
2,04
1985
1986
1987
1988
1989
1990
$1,69
1,35
1,15
0,92
0.59
0,23
Credit for Parcel or Land Only If Applicable
-z. .(.,(.. X $ \-+. b1-
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL
=
7:lb ~~
Improvement (if after annexation date)
= $ ?~ e..:[
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
ResidentiaL.,..".".",.",.".""""""""",."."."."." 0,4
Commercial,.."."."" ",.",.".".", ",.".',.".", '" ,'.', 0.9
I nd ustrial".".".",.""".",."."""."."."."..".".".". 0,45
Governmental.,.."..",.".",."."."."",..".".",.""., 0,5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT