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HomeMy WebLinkAboutPermit Electrical 1992-1-7 ~' ~~~f>' ~ 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 ",~:,,,,.,,.:-,/~. /' /7~~;~~~~~~(l~~ , ,.d,] ..,,/ JOB DESCRIPTION v~' ~","_.n ?~ '~'1 e--,,';'" 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 ~.-<:> ...~ 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