HomeMy WebLinkAboutPermit Electrical 1992-2-10
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-376~;"
OFFICE: 726-3759 \~~
~(\\(\\l.l)fI .
1., -:t~t7~ ~!?~.~ON, \ ]/
-.L1fflt"fEj5'ON ~
cf'(\tfjtfl~PT~ 0 )
Permi ts are 'In-transferable and expire
if work is n,t started within lBO days
of issuance or if work is suspended for
'180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Heritaae Elect
Address 855 West 24th Avenue
Ci ty
Euoene
Phone 344-1500
Supervisor License Number
945S'
Expiration Date
10/1/
Constr Contr. Number 63137
Expiration Date
12/27/
Signature of Supervising Electrician
.~ fA), ~ <J'f5-S
Owners Na'~e \N. QillQ I V 0 x-Yl V D.
Address l /)fA ~ 0 (\,n 0 .~'ll\J 0
City Q'\tlff"L Phone \4;I-~~2.---
-, \ .
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
------------------------~-r\-----------
DATE: ~,\O . ON... _
RECEIPT II: - \.n _' ~ .1:,' \ \~)
RECEIVED BY: ( ~\\"J _ )( :l ~
City Job Number
q!)nIO~
COHPLETE FEE SCHEDULE BELOV
ew Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
Items Cos t
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular Ovelling
Service or Feeder
S 85.00
S 15.00
..cL s 40.00 Ao
B. 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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 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 1000 volts
S 40.00
$ 55.00
$ 80.00
see "B" above
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with service,
or Feeder Permit
$ 35.00
S 2.00 d
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
5. SUBTOTAL OF ABOVE B!}. C:::CJ
5% State Surcharge -4 1(')
TOTAL B(,c> .If)
-,
lo._ . .'
.. . - - ..
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Ol/Ice: 726.3759
LOCATION OF PROPOSED WORt<'
ASSESSORS Mftt /702-
LOT' l '../
.
SPIUNGFIELD
t=" } /./1') T
- , I
'S/
BLOCK:
OWNER:~ffi2.b \..rhl\\QV./r ). Q Q x\\ Y
ADDRESS -8~ 1\ (~~ OJ!) ~<==Jr\ (\
CITY: -6~ t ~ 0L ~ (j STATE: (~J If 0
DESC~I BiI WOR;~- mC)J\ ~ \ L. C'{J\'(\ 0 _ C\ \.' 1\ '\\
NEW ~ REM;~:: "ADDITId0 DEMOLISH' OTHER
.
920/tJ2-.
JOB NUMBER
225 Fifth Stroot
Springfield, Oregon 97477
TAX LOT: (Q? 4~.
SUBDIVISION: mC> ~ 2-'2J..')
PHONE: "':14,- ~h~_
~\'\ n '\.Ll.:\ 'f\
t\;)L\, ZIP: ~\_L..\
} . "
~
CONTRACT~ ~~~' ,~~ ADDRESS
CENERAL: ~1 Qf\ 4 \.-'J. \'l')l\...sffi
" \'
CONST,
CONITR~C)p~N
\ P rft"\ I
\,'-
61'.RqzJ~~17ttz2- '
" I,
PLUMBING'
MECHANICA' '
ELECTRICAl' \r4., 0')\ i.'VO. 0,;2-
\ ~~ l:l
OUAD AREA: .~\( S~
. OF BLDGS:"':,_\ .
OCCY CROUP: J~':'3-t" ~.
. OF STORIES: \
WATER HEATER:i_9./
- OFFICE USE -
LAND USE: ,\ e) (")
I
it OF UNITS: \.,
CONSTR, TYPE: \) IV
F=''2.>
HEAT'SOURCE:
y)
RANGE:
FLOOD PLAIN:
ZONING CODE: illJU
. OF BDRMS: 4.
SECONDARY HEAT:
~ SOUARE FOOTAGE:_IJ:J_&
To roque::;t an inspection, you must call 726-3769. This Is a 24 hour recordIng. AI/Inspections requested before 7:00 a,m, will be
rnildc the same working day. Inspections requested after 7:00 a,m. will be made the following work day.
o Temporary Electric
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover,
o Site Inspecti.on - To be made D Rough Electrical - Prior to
after excavation, but prior to cover.
Tbnng ~~CQj) _.k. (L
t<d-J u..c~_. PI.' " n~\1f0~D Electrical Service - Must be
tpJ J\fesRA,Risfll - Prior to cover. approved to obtain permanent
. electrical power.
r\:':If Footing - After trenches are
L,2SJ excavated.
o
Masonry - Steel location, bond
beams, grouting.
o
Foundation - After forms arc
erected but prior to concrete
placement.
o
Underground Plumbing - Prior
to filling trench.
o
Underlloor Plumbing/Mechanical
- Prior 10 Insulation or decking.
o Post and Beam - Prior to floor
insulation or decking.
o Floor Insulation - Prior to ' .
decking, .
Bsanilary Sewer - Prior to filling
trench.
~ Storm Sewer - Prior to filling
trench,
~Water Llno - Pr,lor to fillIng
~ tronch.
o Rough Plumbing - Prl~" to
cover.
o
Fireplace - Prior to facing
materials and framing Insp.
[}(l Fr.ming~~
o WalllCeiling Insulation - Prior to
cover.
o Drywall - Prior to tap~ng,
/
D Wood Stove - After Installation.
,
I
o Insert - After fireplace approval
and Installation of unit.
, ,
o
Curbcut & Approach...;... After
forms arc erected but prior to
placement of concrete.
, .'
D Sidewalk & Driveway - After
'excavatlon Is complete, (orms
and sub-base material In place.
o Fence - When completed.
o Street Trees - When all required
trees are planted. "
o
Final Plumbing - When all
plumbing worl< Is complete.
D Final Electrical - When all
electrical work Is complete.
D Final Mcchanical - When all
mechanical work is complete,
rv1 Final Building - When nil
Ip required Inspections have been
approved an building i.~
completed. '{ V
DOthcr
MOBILE HOME INSPECTIONS
~ Blocking and Sot.Up - Wllcn all
blockIng Is complete, .
i'
'f')lj Plumbing Cooneclio.ns - When
~home has been connected to
water and sewer,
1':ZfElectrlcal Conncction - When
~ blocking, set-up, and plumbing
inspections have been approved
and the home Is connected ,to
the service panel.
~inal - Arter all required
T~nspectlons are approved and
porches, skIrting, decks, and
venting have been Installed.
Lot (aces'
Lot Type
Lot sq, ftg,
Interior
Lot coverage
Corner
TopograptlY
Panllandlc
Tolal hciglll
Cui-de-sac
"
BUILDING 'PERMIT
ITEM
SQ, FT,
X ,:I;/SQ, FT.
Main
Garagri~ ., .
Carport
C\,~
Tolal Value
Building Permit Fee (02.04
Slate Surch:u'uc
Total Fcc
(A)
...... J
. IS THE PROPOSED WORI< IN 'THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTEr1?
If yes, Ihis application must be signed
and approved by the Historical
Coordinator prior 10 permit i~suance.
Setbacl<s
~ HSE GAR ACC
..tI- ____
.L.-___
W,"_ ,:1
_~ _ _----..J
, r
:~lV~~
lq~Q1
3!l!1~
(J1_2~
:...:l3~L3
lc2~.lo3
SYSTEMS DEVELOPMENT CHARGE (SDC)
It ..~ ~
(B) lP IMt!.-
PLUMBING PERMIT
ITEM
Fixtures
Residential Battl(s)
N'
Sanitary Sewer
FT.
, .
Water' -,
FT,
FT.
Storm Sewer
Mobile Home
Plumbing Permit
Slale Surcllarge
Total Char{IC
(e)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood StovellnscrtlFireplace Unit
Dryer Venl
Mecllanical Permit
Issuance
Stale Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance.
State SurcllLuue
Sidewalk
It
Curbcut
It
Dernoll tion
Slate Surclwroc
FEE
I
~~.CV.
~~.CD
t4 ~.CO
r)5,oO
8'15
~~,fJ5
nlL0
\m,CO
(-90,a:J
~.~:)
Total Miscellaneous Permits (E).
TOTAL AMOUNT DUE (excluding electrical&l9,~.~~
(A, B, C, D, and E Combined)
,APPROVED'
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
..This permit is granted on the'express condition IIl'at tile said
", ' 'I . .
construction~shall. in all respects, conrorm to th:o Ordinance
adopted by Ihe Cily of Springfield, including the
Development Code. rC~JLJlating the construction and use of
buildings, and may,be suspended or revoked at any time
uP,on ViO~ali?n of an4~ions of-:1ld ordinances,
Plan Check Foe: _ l )/, t Q.:,.;)...
Date Paid: j--,-~-' ,q2-._
Receipt Number: 3lo ~~_
_\)oo.ffi~ O..J
Received By:
Plans Reviewed By
Dale
Systems Devcloprl1enl Charge is due on all un(Jcvclopcd
properties within the City limits which arc being improved.
i :
ADDITIONAL COMMENTS
\ 1\c\-\\-X'Q\) l LQ~: RY tel
___cAnf\Q)L \\Q'to): IgLnCj
~ DO B. ()J\ Q {\\)' -, ('~ uUJ
~ ql i1to f.:n ~ f.J hl ~ .
~ 6ccr\ lIO()ts-~
By signature, I slale and agree, that I have carc(ully eXilmined
the compleled application and do hereby certify that all
Information 11creon is lrue and correct, and I further cenify.
that any and all work performed shall be done in accordance
with tile Ordinances of lhe City of Springfield, and lhe Laws
of the State of Ore{)on pertaining 10 the worl< described
herein, and thaI NO OCCUPANCY will be made of any
structure Witllout permission of the Building Safcty Division.
I further certify Ihat only conlractors 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 oach address is rcad.1ble
from the streot, that the permit card is located at the fronl
of the p~operIY, and the approved set of plans will remain
on the site al ",limos during construction.
Signature f:4... ). fJ-jJ
//:;/ / &;'2-
Oat'"
VALIDATION: n \~
nECEIPT NUM'JI'{l:,,{), .?--l7"--
DATE PAID r-J --;-q N
AMOUNT RE~. ~!A~C1. ~g,
RECEIVED B1< :7)/ (j') _ )
9,J, >~
.
SPRlalELD
DEVELOPMENT SERVICES
PUBLIC WORKS
METROPOLITAN WASTEWATER MANAGEMENT
225 FIFTH STREET
SPRINGFIELD, OR 97477
(503) 726-3753
MANUFACTURED HOME SET-UP AGREEME~7
As required by the City of Springfield
that with the approval of the attached
manufactured homes will be placed at
Springfield, Ore~on, City Job Number
o
o
Development Code, I understand
pe~~~ ~e ~tttif~o.wing
q Hh\rY} .
"
and agree
Type I Manufactured Home. A multi-sectional (double wide or wider)
unit with an enclosed floor area of not less than 1,000 square feet,
that has a nominal roof pitch of 3 feet in height for each 12 feet in
width, that has no bare metal siding or roofing, and that has been
certified by the manufacturer to have an exterior thermal envelope
meeting performance standards which reduce heat loss to levels
equivalent to the performance standards required of single family
dwellings constructed under the State Specialty Codes.
Type II Manufactured Home. A unit of not less than 12 feet in width
with an enclosed floor aiea of not less'than 500 square feet, that has
a nominal roof pitch of 2 feet in height for each 12 feet in width and
that has no bare metal siding or roofing.
I further state, by my signature below, that I have been provided with the
following information:
- Manufactured Home blocking
- Vater line connection
- Street tree standards
- Sanitary sewer connection
- Electrical connection
- Minimum requirements for permanent steps
I also understand that if'I am installing a Type I Manufactured Home, the home
shall be enclosed at the perimeter with stone, brick or other masonry materials,
and with no more than 12 inches of the enclosing material exposed above grade.
\
~J f}CUu~
2-/0-'1?
Da te
"Zigna ture
\
, . ' ".-'.. JOB NO. 9.2..0IC?.
CITY OF SPRINGFiELD -S~STEMS'DEVELOpAT CHARGE
WORKSHEET I
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: Mfv\E-'7 :Pc>""~L.L. ~ !)A:Rl.-EoNtS tt::RP-Y
LOCATION: "?'?"'I'2- EL.L\C, 110"?.?\?<..\- - 07-'-\-0"2-
DEVELOPMENT TYPE: L.QR. - MANuF-A:(;t'Utl:E'.P \-\.oM I":
I/.lN CAttPolr ~"
BUILDING SIZE: ~,,\~: 1:2."u" 7.1'. -.( u.. . '-i_LOT SIZE
1.' $TORM DRAINAGE
IMPERVIOUS SQ. FT. 27'+0 X $0.186 PER SQ. FT. ~ ?oc:" ,,~
(See Reverse For 'Runoff Coefficients If Actual Imperv. Area Is Unknown)
SQ. Ft.
2. SANITARY SEWER-CITY
NO. OF PFU'S 1~ X $38.55 PER PFU
(See Reverse To Determine Total PFU'S)
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X' I .ens X $388.61
X X $388.61
._"MO': ..'.., ......._._,.........,.:-, .,:.'~..,._._.,...-'_._.......... ,....~;.- :.... " .. ...:.
" ., ,"",.."" X .---'. '--X $388.61', ,
, (See.. Attachment C To Determine Trip Rates) ,',
. ,,' , ' , SUBTOTAL (ADD, ITEMS 1,2,
'10
$ <"9"'.:>-
$ '2-0" ,..s~ -
OJ ,0'-
$"
.' .,....
""
$ -
'.. .10"1
& 3) $ :1"=>"'1" - ,.
.... --.-.
. '''-..'-'
4. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
, ""0
S 1"'1-
TOTAL-CITY SDC S\<oTo".!..
5. SANITARY SEWER-MWMC
NO. OF PFU'S
Ie,
x S13.25 PER PFU+ S10 MWMC ADMIN. FEE ~ ZLf-B ~
(Use PFU 'Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
V'_~j?_'~
'---cJ Kip 'Burdick
SDC Coordinator
2- 1(, 14-z.
,
s -z.->;, '"1~
TOTAl-MWMC SOC S Zz.c..JBo
TOTAL SDC $ \ e,4 B ~
FIXTURE UNIT CALCULtII,ION TABLE: Number of New Fix1ure.nil Equivalent = Fixture Units (NOTE:
For remodels, calculate only the ~dditional fixtures)
NUMBEfl OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub..............,............-...........................................
Drinking Fountain..........:............... .......................-.:..
Floor Drain...,.;,..,.............,.......;........;......;.............:..
Interceptors For Grease/OU/Sollds/Etc.................
Interceptors For Sand/Auto Wash/Etc.......;..........
laundry Tub/Ootheswasher.........,.........................
Ootheswasher - 3 Or More................................:....
MobUe 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, StallfWall.:.....................................................
Wash Basin/lavatory, Slngle.........._.......................
Water Ooset, Public Installation.............................
Water Ooset, Private.......................................__...
Miscellaneous;,
2-
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
-z.
'2..
....-
TOTAL FIXTURE UNITS
=
o..f
-z.
2.
'Z
~
"
\8
Based on assessed value. !f ,Improvements oc:curred after an~exation date in table,
CREDIT CALCULATION TABLE:
~culate Cfed~Sy:;arates.
I Annexed
1979 or before
1980
1981
1982
1983
1984
Year' '...:
Annexed '
~ Rate per $1,000
, Assessed Value
"
Rate per $1,000
Assessed Value
$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
f ....",-, X $, B."'\ ..,......,,~
Credit or Parcel or Land Only If Applicable ... ~ ' , "" .J
(Rate X Assessed Value)
Improvement elf after annexation date) X $ =
(Rate X Assessed Value) "- "10
CREDIT TOTAL = $ 'Z...J -
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Residential.................. ...................................... 0.4
CommerciaL................................................... 0.9
IndustriaL........... ............................................. 0.45
Governmental................................................... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT