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HomeMy WebLinkAboutPermit Electrical 1994-11-2 -. SPRINttELD . , . \ The following project as c"bmmcd,has the follow zoning, and dees not requiia epe~ific land uso 225 FIFTH STREET approval, ELECTRICAL PERKIT APP4\~ON SPRINGFIELD, OREGON 97477 ZOnin\l!.-De.-- q \ \ INSPECTION REQUEST: 726-r:il.7.69 11_ 2--4,0 City Job Number _ _ ' OFFICE: 726-37 9 ". .1 IJro-. COMPLETE FEE SCHEDULE BELOV 1. LOCATION OF '?Alf'h ~ l~GAL DESCRIPTION 't')()'U)~ f(,ln ~cO ,J9~ DESCRIPTION ,.MI?~ 5~~ 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 \\\\7u t:lE.MR;~ s,+. Phone l..\l S-J..I?' 9 l !lD{o ." Electrical Contractor Address \;:), >,tD <.,(;;. Ci ty ~eA( Supervisor License Number Expiration Date \ 1,- I -q~ Constr Contc Number ~.,^lLj.S- Expiration Date '1-'-J - ~~ Signature of Supervising Electrician ~-4__~-''''''''- ~ D. Owners Name ;.,L~", ~) %:1~Y, ~ , I- ' " , Address "ri 9 'T - ~_ _ 3~ J~ City~~~L0' a Phone 7LJtI-&.?:66 O~ INS;(LLATI~N The installation is being made on property I own which is not intended for sale. lease or rent. Owners Signature: " ~~~~~-:~---7~7~;-~---------- RECEIVED BY: , /Y'=-- _ . ""{-.-;:- , A. Nev Residential-Single or Multi-Family per dvelling ~nit. Service Included: Items Cost Sum 1000 sq.ft. or less \ $ 85.00 Ef2 Each additional 500 sq. ft or portion "L ~ thereof $ 15.00 Each Manuf'd Home or Modular Dvelling Service or Feeder $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 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 100U volts $ 40.00 $ 55.00 $ 80.00 see "B" above Branch Circuits 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 Lightin~ $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE \\S~ 5% State Surcharge ~.~~ 3% Administrative Fee ~-{."'c-~ TOTAL 1;..\4.?.!L- ,.,;~.........._._. - .. ATTACHMENT Bl ~. WOB NO. q~/6// CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) . N/>J'1E OR COMPANY: J! aA-oh ~ 'i ' LOCATION: ~ 4-1C. j)~-t/1 DEVELOPMENT TYPE' 'SP /) BUILDING SIZE: 1- STORM DRATNAGE IMPERVIOUS SQ. FT. 23~~ 2. ~ARY SFWFR-CTTY NO, OF PFU'S /7 (See Reverse) 3, TRANSPORTATTON lOT 5171= SQ, Ft. X $0.209 PER SQ. FT, C?-9~~ X $43,26 PER PFUC T ?:!) NO OF UNITS X TRIP RATE X COST PER TRIP / X 1,0/ X $436. 19 X X $436.19 ~o'0 $ -- X X $436,19 $ SUBTOTAL (ADD ITEMS 1.2. & 3) i/ '1/f,/f2 4. ~ANTTARY SFWFR-MWMC NO, OF PFU'S /i' x $17.19 PER PFU + $10 MWMC ADMIN,FEE $ 3/9,"/.2 (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ "3-1. Co 0 , TOTAl -MWMC Sac. $(2l1"4.y~ SUBTOTAL (ADD ITEMS 1.2.3 & 4) $/q'J?9~ 5. p,nMTNTSTAT1VF FFFS. r~OORG~~B ABOVEl X .05 ~ /1'-' Date: /' KilrY\Hornig. P E. ' SD6=-toordinato 0??S) /0-.2 7-~~ TOTAl snr $ ~ 09 e>. 9/ B2,SDC ' . . FIXTURE UNIT CALCU.ION TABLE: Number of New FiaS X Unit Equivalent = Fixture Units (NOTE: For remodels, calculate only the l'!fI additional fixtures) NUMBER OF NEW FIXTURES FIXTURE TYPE Bathtub"".,"'."."."""'.".""..,.,.,..""'."."'..,..,."."'..,. . Drinking Fountain."."".,."".,."""",.,...",..,.""""""" Floor Drain,.. ..,.............................,....,.. ...................., Interceptors For Grease/OiI/Solids/Etc......,....:..... Interceptors For Sand/Auto Wash/Etc...............,.. Laundry Tub/Clotheswasher".......................,...."". Clotheswasher. 3 Or More................,....,..,......,..... Mobile Home Park Trap 11 Per Trailer)................., Receptor For Refrigerator/Water Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall......,................,.....................,... Shower, Gang. ..........,....'..... ....... ,'.,... '..... ......", ". .,.. Sink: Bar, Commercial, Residential Kitchen........,..,..........., Urinalo Stall/Wall:.:.".,.,."..,...,.,.".".,.,..,.,...,...,.,.,..,... Wash Basin/Lavatory, Single...,......,............,..,..,..., Toilet, Public installation........................................ Toilet, Private..................,.....................,.............. Miscellaneous: ,ToIoNI TrlP:S $.INK' z / I 2 2. TOTAL FIXTUClE UNITS UNIT EOUIVALENT 2 1 2 3 6 2 6 6 1 3 2 llHead 2 2 1 6 4 ..1. = FIXTURE UNITS +- 2. z. 2. l? /P CREDIT CALCULATIDN TABLE: Based on assessed value. if improvements occurred after annexation date in tableo calculate credits separates, Year Annexed Ra:e per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 1985 $3.46 3.38 3.32 3.21 3.06 2,92 2,73 Year Ar.nexed 1985 1986 1987 1988 j9S9 1990 1991 1993 Credit for parcel or Land Only If Applicable '> ,4-(, X $ /0, o-tro (Rate X Assessed Value) X $ (Rate X Assessed Value) Improvement (if after annexation date) ."-. "- Ra:e per $1,000 Assessed Value II $2.46 2,14 1,77 1,37 0,97 0,61 0.44 0.15 II = 31f.C, 0 = -- CREDIT TOTAL = $ 5 fl. 60 SPRINGFIELD ~t@ LOCATION OF PROP'AE~ WORI<' 3'\ '\ \ D '\"'nl X\ \ C\ 1\ ASSESSORS~N'~ h::::o'd-O\.oC'1:) " " ' \ ,TAX LOT:\llD ry-p,rx:) LOT: aJ\V " BLOCI<" , SUBDIVISIO~~~l~f\~ OW~EP: cr\\\.iD 0)\ r !\>:lJ '(\\~ \ L\Q1) 'l~(\(' <'HONE: t \0/\ . \d4 Lr:lo ADDREP~:~~(;:J ~~:JNi \"lJtl\OO]-1 CITY:U\\ 1\ t ri I ~; (j (V - , STATE:!ll.9 rzpf\ ZIP: Ol~ --, ?) DESCRIBE WORK: ~ f\'r\^ Q, ~() N\.lV, { \ ~O t\\O Qf\C'L NEW ~ REMODEL ,tADDITION' DEM~ISH OTHER RESIDENTIAL PERMIT APPLICATION Inspections: 726,3769 Office: 726.3759 -. . JOB NUMB~R full 0 I \ 225 Fifth Street Sprlnglleldo Oregon 97477 CONTRACT~o~ NAM~E J ADDRESS' GENERA"l...)'l'u..lOQ{\ 1\\,\., " PLUMBIN; ~JrC\Q.(\ \. "pj,llo~ \ MECHANICM.' ~ ct 0 J\ Y -N-). ELECTRICA;\o~\ \ 0 fA f 1~)\l' ~ ) CON ST. CONTRACTOR' ~ ll\C\ c:=) 5 \'\?tr") B\.'\C\~ \ ()~f')~ qa~t1~ \o~ :~\ \ lo q 'A"?,.lclrW .- L\(l~.A\Xl To request an Inspectlono you must call 726-3769, This Is a 24 hour recording. All Inspections requested before 7:00 a,m, will be made the same working day, Inspections requested after 7:00 a,m, will be made the following work day, , , , REQUIRED INSPECTIONS r\7\ R~ugh Mechanical ...; Prior to LAJ.. cover. QUAD AREA: ~ ~Q " . OF BLDGS' \ OCCY GROUP', ~?, -\ tv\ \ r ~ . OF STORIES' WATER HEATER: -- o Temporary Electric o Sfte Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. f'VI Footing - After trenches are ~ excavated. o Masonry - Steel location, bond .beams, grouting. ~Fou"datlon - After forms are erected but prior to .concrete placement. o Underground Plumbing - Prior to filling trench, rc7I Underlloor Plumbing/Mechanical ~ -,Prior to Insulation or decking. I'D Post and Beam - PrIor to floor ~ Insulation or decking, C8:l Floor Insula~tion, - Prior to dacklng. IVl Sanitary Sewer - Prior to filling L..O.I.. trench. ~ Storm Sewer - Prior to filling trench. ~ Water Line - Prior to filling ~trench. ~ Rough PlumbIng - Prior to ~ cover. - OFFICE USE - LAND USE: ,\ \ \ · OF UNITS' \, \ CONSTR. TYPE: 'IV TV HEAT SOURCE: \ l IT\ RANGE: r:.....- f'ViI Roug'tiElectrlcal - Prior to I..AJ. cover. ~ Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. ~ Framing - Prior to cover. ~ Wail/Ceiling Insulation - Prior to cover. rzlDryWall - Prior to taping, o Wood Slove - After I~stallatlon, o Insert - After fireplace approvzal and Installation of unit. ~ Curbcut & Approach - After forms are erected but prior to placement of concrete. ~ Sidewalk & Driveway - After excavation is completo, forms and'sub-base material In place. o Fence - When completed. o Stroet Trees - When all requIred trees are planted. EXPIRES ~.\';\, q. \.l\. fl:\Q.. Q4 FLOOD PLAIN' ZONING CODE:.ID1C..., · OF BDRMS: . .3 SECONDARY HEAT: SQUARE FOOTAGE: ~ ~ Final Plumbing - When all - plumbing w9rk Is complete, ~ Final Electrical - When all ~ electrical work Is complete. @Flnal Mechanical - When all mechanical work Is complete. r=tl Final Building - When all L..Z:t'-requlred Inspections have been approved and building Is completed, o Other MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is complete, o Plumbing Connections - When home has been connected to water and sewer. o Electrical ConneclIon - When blocking, set-up. and plumbing Inspections have been approved and the home Is connected to the service panel. o Final - After all required Inspections are approved and porchos, skirting, decks, and venting have been Installed. Lot faces ,_r. L~t ~pe. K Interior Lot sq. Itg. Lot coverage Topography Total height Corner Panhandle ~ Cul.de,sac BUILDING PERMIT \~T, J~lcO ITEM x s/SQi) &. 14,/0 Main Garage Carport Total Value Building Permit Fee State Surcharge Tolal Fee :~~,( \'.~::f: , "'t':'~: ~r.j ~.;,"~:e-i:,(,r.;.. ';." . " Setbacks, '.. ' P.L HSE GAR ACC' N' Is Iw IE :1jt SYSTEMS DEVELOPMENT CHARGE (SDC) (B) 1.2091'.91 ~5'IO 1 jr dJ 1-. ""I. /0:41+ ~~ (A) ~'J-! PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' ~ Sanitary Sewer FT. Water FT, Storm Sewer FT, Mobile Home FEE lLoO.CO Plumbing Permit State Surcharge Total Charge 0/\ I (ouro 4.ctJ ~ B.a; (C) 172,~U MECHANICAL PERMIT Furnace Exhaust Hood Venl Fan N' ~ Wood StovellnsertlFlreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit . '5Of (D) MISCELLANEOUS PERMITS Mobile Home State issuance State Su rcharge Sidewalk ~ It Curbcut 2J.J1 It Demollllon Sft Surch'R~ \)_ \ }<~ k\ V\~ t\. u.u 4.m q.CO '(~.oo f(o.5U 10.00 .A~ ~ ?>r:s.7D ~.C\O ' ~9J. Total MIscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) Ol'J{O~ (Ao B, C. Do and E Combined) '_S THE PROPOSED WORK,tN THE.. ' '''HISTOJ;lICAL DISTRICT, OR ON THE HISTORICAL REGISTER? II yes, this appllcallon must be signed and approved by the Historical Coordinator prior to permit Issuance. APPRov"n. ' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the express condlllon that the said construcllon shall, In all respects, conform to the Ordinance adopted by the City ,of Springfield, Including the Development Codeo regulating the construcllon arid use of bulldlngso and may be suspended or revoked at any lime , upon violation of any provIsions of saId ordinances, Plan Check Fee: 'L\f-\ J ./ Date Paid: oJ ~ Receipt Numberu Y Received By: ~ ~S!\~ltti '/, \'2:> ~ - ~ Date Systems Developmenl Charge Is due on all undeveloped properlles within the City limits which are being Improved. ADDITIONAL COMMENTS ~Q tt-o. ~d Q h 'Yl \i~ , ~~-\,\" \~11J (~) \ _~~: \ VI. 00 J)~ \ I.' ~ By signature, I atate and agree, that I have carefully examined the completed appllcallon and do hereby cerllfy that all Information hereon Is true and correct, and I further certify that any and all work performed shall be done In accordance with the Ordinances of the City of Sprlngfleldo and the Laws of the State of Oregon perlalnlng to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division, I further certify that only contractors and employees who are In compliance with ORS 701,055 will be used on this project. J further agree to ensure that all required Inspections are requeated at the proper time; that each address Is readai?le from the street, that the permit card Is located at the front of the property, and the approved set of plans will remain on the site at all times during const~UCtl '>( a ,/') /2- .. , Signature ,,4?A:td/'--{, l:/V3A S:::> , Date' 11- t -c?d r _ I VALIDATION: RECEIPT NUMBER DATE PAir, AMOUNT RECEIVED RECEIVED BY IS:J, :2;? ///~/7'4 .' ~yt,a.. ().L:1.t> -7,"~ AYflI.