HomeMy WebLinkAboutPermit Electrical 1996-1-2
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The following project
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225 FIFTH STREET O<lto 1,1... ,~
SPRINGFIELD, OREGON 97477 (f.-
INSPECTION REQUEST: n~~'3769Signatura fJ (1A
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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LEGAL DESCRIf.TIpN I, ", 'W,
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JOB DESCRIPTION
/1.1 ~ FK
Permits are non-transferable and expire
if work is not started vithin 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
ELECTRICAL PERMIT APPLICATION
City Job Number
3. COMPLETE FEE SCHEDULE BELOY
4'i0101
A. New Residential-Single or
Multi-Family per dwelling uni t.
Service Included:
Items Cost Sum
1000 SQ. ft. or less $ 85.00 ~OV
Each additional 500
sq. ft or portion '1,... ?;o.rm
thereof $ 15.00
Each Manuf'd Home. or
Modular. Dwelling
Service or Feeder $ 40.00
Electrical Contractor-.diJ7'!f..L~ ~.l ~'~~D
Address / .2 ~ vU 3~ ~:>/-;
Ci ty .A-t.#D.PA/<;
Phone .LJ"7 \- -..:tJ } 'I
Supervisor License Number It:!) ~~ .~
Expiration Date 10 -/ '. 7,'-
Conser Contr. Number tb"ff) 7~S-
Expiration Date <7 ~ 4 -9 ,-
Signature of Supervising Electrician
ch~ ~ ~- a--'-\
~ .. 0 /- D.
Owners Name J./ ~7>A,u FAIt, ZAYc-,
Address 'r1 f 5. 5;1 d s>/ '
City <:'o~L.,) Phone '7)..jJ.J -b9~
/ .
OYNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale. lease or rent.
Owners Signature:
-------------------------J1~t~-------
DATE: \.....U'\\(J
RECEIPT #:_ l L", ., \(IJAJ A
RECEIVED BY:~ \ ~
.B.
Services or Feeders
Installation, Alterations
or Relocation:
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 55.00
$ 80.00
volts see "Btt above
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
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
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Branch Circuits
One Circuit
Each Additional
Circuit or with Service
or Feeder Permi t
Ilh'07J
1?7?
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SPRINGFIELD
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 950707
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 3553 DOUGLAS DR
Assessors Map #: 18020612
Lot: 63 Block:
Tax Lot #: 02600
Subdivision: HAYDEN GARDENS 1
Owner: HAYDEN ENTERPRISES
Address: 899 SOUTH 32ND STREET
Phone #: 744-6966
City/State/Zip: SPRINGFIELD, OREGON 97478
Describe Work: S.F. RESIDENCE NEW
Const.
Contractor Contractor # Expires Phone
General: HAYDEN ENTERPRI 0092208 07/29/96 923-6607
1511 SW 33rd Redmond OR 977560000
Plumbing: EMERALD VALLEY 005173 7 09/19/96 683 - 5116
2727 N 20th Springfield OR 97477000
Mechanical: HAYDEN ENTERPRI 0092208 07/29/96 923-6607
1511 SW 33rd Redmond OR 977560000
Electrical: ALLEN ELECTRIC 0000968 09/24/90 475-2139
201 N 3rd Madras OR 977410000
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR, TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 1693
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: WH
INSUL PATH: P1
To request an inspection, call the 24 hour recording at 726-3769.
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 ---
FOOTING - After trenches are excavated,
FOUNDATION - After forms are erected but prior to concrete placement.
UNDERFLOOR PLUMBING - Prior to insulation or decking,
POST AND BEAM - Prior to floor insulation or decking,
INSULATION - Floor; prior to decking wall/Ceiling; Prior to cover
SANITARY SEWER LINE - Prior to filling trench,
STORM SEWER LINE - Prior to filling trench,
WATER LINE - Prior to filling trench,
ROUGH PLUMBING - Prior to cover,
ROUGH MECHANICAL - Prior to cover,
ROUGH ELECTRICAL - Prior to cover,
ELECTRICAL SERVICE - Must be approved to obtain permanent power,
FRAMING - Prior to cover,
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
DRYWALL - Prior to taping,
CURBCUT - After forms are erected but prior to placement of concrete,
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
FINAL PLUMBING - When all plumbing work is complete,
FINAL MECHANICAL - When all mechanical work is complete,
FINAL ELECTRICAL - When all electrical work is complete,
FINAL BUILDING - When all required inspections have been approved and
the building is complete,
SPRINGFIELD
Job Number: 950707
Page 2
Total Height: 15
Lot Type: INTERIOR
Setbk From NPL: 35
Solar Approved: Y
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
1133
560,
$/square Feet
56.20
14,10
Value
63,675,00
7,896,00
71,571.00
Building Permit Fee
Surcharge/Admin
349,00
27,92
TOTAL FEE
(A)
376.92
--- SYSTEMS DEVELOPMENT CHARGE (SDC) ---
(B) 1,588.05
Systems Development Charge is due on all undeveloped properties within the City
limits and the Citys Urban Growth Boundry which are being improved,
PLUMBING PERMIT ---
Item
Residential Bath(s)
2
Fee
160,00
Plumbing Permit
Surcharge/Admin
160,00
12,80
TOTAL CHARGE
(C)
172.80
--- MECHANICAL PERMIT ---
Exhaust Hood
Dryer Vent
PLAN REVIEW
WILLAMELANE SDC
ELECTRICAL PERMIT
FENCE,VALUE $450,
4,50
3,00
0,00
0,00
0,00
0,00
Mechanical Permit
Issuance
Surcharge/Admin
16,50
10,00
1. 33
TOTAL PERMIT
(D)
27.83
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
PLAN REVIEW
WILLAMELANE SDC
ELECTRICAL PERMIT
FENCE,VALUE $450.
0,00
20,50
13,90
40,00
400,00
124,20
5,00
TOTAL MISCELLANEOUS PERMITS
(E)
603.60
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
2,769.20
--- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ---
This permit is granted on the express condition that the said construction
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Development Code, regulating the construction and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
Job Number: 950707
Page 3
Received By:
Plans Reviewed By: DON MOORE Date: 07/07/95
Building Site Reviewed By: LISA HOPPER
- -- ADDITIONAL COMMENTS ---
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify 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 Springfield,
and the Laws of the State of Oregon pertaining to the work described herein,
and that NO OCCUPANCY will be made of any structure without permission of the
Community Services Division, Building Safety, I further certify that only
contractors and employees who are in compliance with ORS 701,055 will be
used on this project,
I further agree to ensure that all required inspections are requested at the
proper time, that each address is readable 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 times during construction.
Date
- -- VALIDATION
Receipt Number: ~OA\o
Date Paid: \.1...'\\0 _
Amount Received: J... ....^lJ..'I.tf\.'2lJ
Received By: ~)l....--'"
.
.
-.,. ~
fi ~n~'!!~j,l"!;~
"
Job No. q{;61D1
SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME:\ 0\" ~ kc1 C f\ ~ f\+, PHONE: ,y\1\ ~ cA loLo
ADD""" Bo,~ OJ, 0?~ a,~ STA",JILp Clli15
. '
lqaTlON OF PROPOSED BUilDING SITE: "'-....._
Street Address if Known: IJJ~ \ ^ 1 'j
Platt Nam~
lotNumber:~ 09JonO
. OVQO!
1. DEVELOPMENT TYPE (Check appropriate dwelling(sl. SDC calculations and dwelling type
definitions are on the back.l . . .. .
A. SiMle Familv - Detached
\ . Single Fa!1)i1y home
. NO OF UNITS \
Manufactured home not in a park
$400~
X $400 PER UNIT _=.
B. Sim~le Familv - Attached
.
NO OF UNITS
X $370 PER UNIT =
"$
C. Multi-Familv Aoartment,. ,
NO OF UNITS
X $777 PER UNIT =
$
D. Manufactured Home Park
NO OF UNITS
X $280 PER UNIT =
$
WPRD SDC
2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit
approval. See SDC Credit Worksheet. '
$ 4\1) q)
$' 0
$4mOcJ
3. .TOTAl WPRD NETSDCASSESS~ (lfSDCredUCedfOrCred\~ i- q'e
~t\\ .)\. 9\.\n0,~ Vr -~f) { '6'
_', ~_ - - ._. ,__ ~ - I
SPRINGFIELD
,
.
~,
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(RESIDENTIAL)
Name or Company: HAYDEN ENTERPRISES
Location: 3553 DOUGLAS DR
Developement Type: R Building Size:
1. STORM DRAINAGE
Impervious Sq Ft
o
2. SANITARY SEWER - CITY
Number Of PFUs 18
(see Page 2)
3. TRANSPORTATION
Number Of Units
1 X
X Trip Rate
1. 010 X
Transportation Total
4. SANITARY SEWER - MWMC
Number Of PFUs
18
X
X
Per PFU +
17,190 +
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SUBTOTAL - (Add Items 1, 2, 3 & 4)
5. ADMINISTRATIVE FEES
Base Charge (Subtotal Above) X
0,50
TOTAL SDC
Reviewed By: KIP BURDICK
X
X
0,209
43.26
Job No,: 950707
Lot Size: 0
Per Sq Ft
Per PFU
X
Cost Per Trip
436,19
$440,55
MWMC Admin Fee
10,00
Date: 07/03/95
Page 1
Sq Ft
$0,00
$778,68
$440,55
=
$319,42
$26,23
$293,19
$1,512.43
$75,62
$1,588.05
Job Number: 950707
Page 2
FIXTURE UNIT CALCULATION TABLE
Fixture Type
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/Oil/Solids/Etc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator/Water Station/Etc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single Stall
Shower, Gang
Sink, Bar, Commercial, Residential Kitchen
Urinal, Stall/Wall
Wash Basin/Lavatory, Single
Water Closet, Public Installation
Water Closet, Private
Miscellaneous
TOTAL FIXTURE UNITS
Number of
New Fixture
Unit
Equivalent
Fixture
Units
2
o
o
o
o
1
o
o
o
o
o
1
o
2
o
2
o
2
1
2
3
6
2
6
1
3
2
4
o
o
o
o
2
o
o
o
o
o
2
o
2
o
8
o
2
2
1
6
4
18
CREDIT CALCULATION TABLE: Based on assessed value, If improvements occured
after annexation date, credits are calculated separately.
(calculations are by $1000)
Year Annexed: 1960
Credit For Parcel Or Land Only If Applicable:
Improvement (if after annexation date) :
7,580
X
3.46
26,23
o
X
3.46 =
0,00
CREDIT TOTAL =
$26.23
(If land value is multiplied by 1 then the parcel/land credit is not accurate,)
.
. NO. C,50'iJO 7
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: !-/AYOEN El-lrE.R..FIZISE.'5:> INC.
LOCATION: -;'';::''''--7?Olj'''~1 AS 'DR..
DEVELOPMENT TYPE:_ L-1/IC. - AfE=.1AI SFR
BUILDING SIZE:
!.2..Q"L tJ Co } '2. - 7.Jp 0 CJ
LOT SIZE
1. STORM DRAINAGE
IMPERVIOUS SQ. FT. N.A. X $0.209 PER SQ. FT.
2. SANITARY SEWER-CITY
NO, OF PFU'S 1"6 X $43,26 PER PFU
(See Reverse)
3, TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
/
X /,01
X $436.19
X $436.19
X $436. 19
X
X
4. SANITARY SEWER-MWMC
NO. OF PFU'S /)( x $17.19 PER PFU + $10 MWMC ADM FEE
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
TOTAL-MWMC SDC
SUBTOTAL (ADD ITEMS 1,2,3 & 4)
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE)
Y;f~j,-,).
V ' Kip Burdick
SDC Coordinator
X .05
Date: 5-;~.3A'5
I {
TOTAL SDC
SQ. F t.
(-B-~
G778'J:)
'-- ....-/
C~5~
'-- -------
$
$
$ ~/"I4-.!:-
z!!>
$ Ze" -
~
---- ~
1-1.2/2. 4-Z-
C 75';:;
.......... -----
$ /5 e 8 04-
F1XTU RE UNIT, GALCU LA TI 0 N TABLE: Number of New fixtures X Unit Equivalent = fixture Units;
(NOTE: For remodels, c~lc~iate only the. additional fixturesl A .. ....,' ..
, NUMBER OF WUNIT FIXTURE .'
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub,..,...".,.".",.""""""",.,.,',.".,',.,...,......,......... ,
Drinking Fountain.................. -... -..............................
Floor Drain........................... -... - -......... -.....................
Interceptors For Grcasc/Oil/Solids/Etc.................
Interceptor:; "For S.:md/Auio W<3sh/Etc...................
Laundry Tub/Clothcsw3shcr... H__H........ ..-...... ....u... .
Clothes washer - 3 Or k1orc....................--...............
Mobile Home Park Trap (1 Per Trailer).................,
Receptor For Refrigerator/Watcr Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single StalL.......................,.......................'
Shower, Gang.. ....".."".."""..,',...".. ," ....,. ..,.....: .,..-..
Sink: Bar, Commercial, Residential Kitchen........................
Urinal, StallJW all, ...."...",..",..""".."..,',..,......".., :.....
Wash Basin/Lavatory, Single......,....,..,...................
Toilet, Public Installation..,..,...,..................,...........
Toilet, Private................ ......................................
Miscellaneous:
z.
,
z.
z..
TOTAL FI:-:TUflE UNITS
2
1
2
3
6
2
6
6
1
3
2
1/Head
2
2
1
6
4
~
4-
2
z.
'2-
B
\B
nille per $1,000
Assessed Value
1979 Of before
1980
1981
1982
1983
1984
1985
$3.46
3,38
3_32
3,21
3.06
2.92
2,73
CREDIT CALCULATION TABLE: Based on assessed value, If improvements occurred after annexation date in table,
calcul~HC credits s~p<;~Jt.(;s.
'I-A;':~~~:--
Credit (or Parcel or Land Only If Applicable
Improvement (if after annexation date)
'I
I
Rate per $1,000
Assessed Value
YC.1f
{.;..nncxcd
1985
1986
1987
1988
1989
1990
1991
1993
$2.46
2,14
1,77
1.37
0.97
0,61
0.44
0.15
'2.." 2-~
?4G" X $ 1,,=>8
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL = $ Z'" Z~