HomeMy WebLinkAboutPermit Electrical 2000-5-8
225 FIFTH STREET
SPRINGFIELD. OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
are' non~transferab1e an expire
work is not started yithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLYB.
Electrical Coritractor&b F.'sJ.~" t:1t.t..J:"IIG.
Address / B 0 KJ'nrs fUJ"'Y $IJ.e..
City P.. I,( 9'"" e Phone;;' B 9. '197 j
Supervisor License Number 3 q 75'. S
Expiration Date
Constr Contr. Number q6, 2 '7.s-
Expiration Date
, Oyners
The installation is being made on
property I own which is not intended
for sale, 1eas~ or r:ent.
Owners Signature:
~;;~::::;~;;~---------
ELECTRICAL PERMIT APPLICATION
City Job NWI1berIf).l11{~&:()l
3. COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Hu1ti-Family per dwelling
Servi ce Included: '
ItelllS
1000 sq.ft. or less I
Each additional 500
sq. ft or portion A
thereof ~'
Each Manuf'd Home. or -
Modular 'Dwelling
Service or Peeder
$ 40.00
unit.
Cost
Sum
en.
~
$ 85.00
$ 15.00
Services or Peeders
Installation, Alterations
or Reloca tion I
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 :::::
$ 50.00
S 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps-'or less -L $ 40.0,0 1El-
201 amps to 400 amps _ $ 55.00 _
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000-vorts see "B" asove-
Branch Ci rcui ts
.....
,"
New, Alteration or Extension Per Panel
One Circ:ui t
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
S 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res -
Limited EnergyJComm -
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Pee
TOTAL
...
"
.
.
,
Job. NO.(1). ti'1M~C1'
SYSTEM DEVELOPMENT CHARGE
ORKSHEET
PHONE: ~4 .'2.lolcD
STATE:~IP:Q:l:16L
LOCATION OF ~ROPOSED B~ DING roE: ~ ~f1R.f-/ '
Street Address: -rr5~ \0. rQro 1\
Plat Name: ~ \,\)~r~ _ Tax Lot Number: Jj()3 234 3 D~(~
NAME:
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SOC calculations and dwelling t
ype dellnilions are on the back.)
.
A. SinQle-Family Detached
(I Single Family home
NO. OF UNITS J
Manufactured home not in a park
X $1,000 per unit = $ I CC{) . C()
B. SinQle-Family Attached
NO. OF UNITS
X $924 per unit = $
C. Multi-Family Apartment
NO. OF UNITS
X $692 per unit = $
D. Manufactured Home Park
NO. OF UNITS
WILLAMALANE SDC
$
$
t(f{) ,cO
fi
l O()();CO
.
X $699 per unit '"
2. SDC CREDIT (II applicable) SOG-payer must furnish proof of
Willamalane Credit approval. See SDC Credit Worksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(II SOCreduced for Credit) $
~ At -rP
Date
Development Se
City of Springfield