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HomeMy WebLinkAboutPermit Electrical 1994-3-22 . . SPRINGFIELD 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 Zoning l t,p OFFICE: 726-3759 Date~~ 1. ~CATION OF WTALLATI6fllhorizod Sign.ture. \~ 4.L,4".S .hM..'irZZ:fT A A. LEGAL DESCRIPTION /t;?,,r,., A ~ 2. 2 t?84~9 10B,DESCRIPT~, ..' \ r;--., ~r'e- :::/1 --+-.J'~"^ ~v . r 1 Permits are non-traftsfe able and expire if work is not started within 180 days of issuance or if work is suspended for 180 days.p Ci ty Job Number CJ Y 03 S? I COMPLETE FEE SCHEDULE BELOY New Residential-Single or Multi~Family per d~elling unit. Service Included: Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular ~elling Service or Feeder $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders , I /lJ ._#nstallation, Alterations "E,:!-.",.,.,.-..i-'Contractorb, V, C'..hllPl17,o,A) (J}t/;(,or Relocation: Address ~(), ~ ')-;?3 I 200 amps or less /) II - /,/@""f 201 amps to 400 amps City' :L<?5&)f Phone ~ - <-rlv( 401 amps to 600 amps 601 amps to 1000 amps " !:l1r'" v; ",nF-Ur"e,\",...-NWiriieL. Over 1000 amps/vol ts Reconnect Only Signature of Supe~~ng Electrician , M~ .- :::r;:<' - , / (:) ( "=oD.;.. Branch Circui ts Owners Nam ~ S 1/--, I;q." 5<>"-' r, t.. Address 2-~O It). .......-\ A.M S * '3 Phone C()~ 3 -"'6'1 s-7 Expiration Date Constr Contr. Number 1~&:J-.1' IJ'" Expiration Date 1 - / '7 - City ~<l';;-Vq... I OllNER INSTALLATION The installation is being made on property I own ~hich is not intended for sale, lease or rent. Owners Signature: DATE~---------~}~\~~;--------------- RECEIPT, I: I;:lOde) RECEIVED BY: 1>0\=2, $ 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 $ 40.00 $ 55.00 $ 80.00 see "B" i!l.d() above Ne~, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Servi"e/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 I_Woc) 5% State Sur"harge ~ou TOTAL ' W;:}Ov y I J08 NO. "jf't'3,f'/ . . CITY OF SPRINGFIELD S'YSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) . NM1E OR COMPANY: i7//Yl rAUl-56/'! LOCATION: 4/-13 FoR<NTIIIA 5T. DEVELOPMENT TYPE: SF R BUILDING SIZE: /)89C-..v "mA'AO~" LOT SIZE SA-/??8 q/#" A-S 'T+'d.??A'SQ. Ft. I. STORM DRAINAGE IMPERVIOUS SQ. FT. 25"7/ X $0.203 PER SQ. FT. ~.23 r~ ~ 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) /Ir X $42.08 PER PFU ~15 7 f'?) '-- .-/ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP / X /,tJ/~ X $424.31 X X $424.31 ~ -f.2,yo~) " ..,.-./ S X 4. SANITARY SEWER-MWMC X $424.31 s 2> NO. OF PFU'S /7 x $15.125 PER PFU + $10 MWMC ADM FEE $ 1-8"--2- (Use PFU Total From Item 2 Above) , MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ 4/ 5~ TOTAL-MWMC SDC ~~t:> t.!"1 '-- ~ SUBTOTAL (ADD ITEMS 1,2,3 & 4) S N,O d 5. ADMINISTRATIVE FEES BdG~~BOVE) ~ \Kip Burdick 1 /" snc CoordinM-6r X .05 0r~3~ TOTAL SDC S ~ <f.<;? IJ I FIXTURE ~NIT,CALCU LATION TABLE: Number of New Fi,,1uICS X Unit Equiv31cnt = Fixlure Units (NOTE: For remodcls, C.1lcul~IC only thc .ddilion31 fi,,1urcs) . I " ' t,Ut,'.GER OF UNIT' FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALEtH UNITS CREDIT CALCULATION TABLE: Based on assessed value. It improvements occurred after annexation date in table, calculate credhs separates. Bathtub...........!...... ",..,....'..,.. Drinking Fount3in.......... ............................ Floor Drain......!,...... ....,..........,...., ................'.........., Interceptors For Greasc/Oil/Solids/Etc................, Interceptors For Sand/Auto Wash/Etc.........,....,... Laundl)' Tub /C1otheswasher.,.,..."...".".,......,..""". Ootheswa~er,' 3 Or More..................................... Mobne Home park Trap (1 Per Traile'}.................. Recep!or F9r RerrigeratorfWater Station/Etc........ Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single', Stall.. ....... ..........,.......,.............,..,..'. , Shower, Gang.~..................,....."...............,',.......,..,. Sink, Bar, Commercial............,..".,......,..........":....,, '. Urinal, Stall(Wall.............,............,........,.".,.,..,..,.",.. Wash Basin/uivatol)', Single.................................. Water Oosel. ~ublic Installation..................,.......... Water Ooset, Private....,.........,.."".".......,........"..." Miscellaneous: ' 1 I ( I " 2. ,- I TOTAL FIXTURE UNITS L 'Year Annexed 1979 or before 1980 1981 1982 1983 1984 '1985 Rate per $1,000 Assessed Value Year Annexed $3.21 3.13 3.08 2.96 2.82 2.68 2.51 1986 1987 1988 1989 1990 1991 1992 2 ~ " 3 G 2 G 6 , 3 2 l/Head 2 2 , 6 4 = 'Z.. , . z 'L. '7 2. l? /Y Rate per $1,000 Assessed Value I II S 2.24 1.93 1.57 Ll.18 I 0.79 0.44 0.28 A s-~ ,/ - ,.. CrOOh tor Parcel or Land Only If Applicable 5..2/ X $ /;{,9., (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL Improvement (rt after annexation date) RUNOFF COEFFICIENTS FOR STORM DRAINAGE ~ Residential........................................................ 0.4 Commercial...................................................... 0,9 I ndustrial............................ .................. ............. 0.4 5 Governmental.........................,......................... 0.5 = = $ "1/ ~4 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT . . o !L'!i!I'!'I!!!!t\!!! Job No. 9403f61 SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME: ~ PAdSQ_J ADDRESS: 2~&I. ~(' Eu~, PHONE:. tn~? -f!iJ.:!sr STATE:.M, ZIP -2-74~L LOCATION OF IIROPOSED BUILDING SITE: Street Address if Known: 4./4' J ,FiM. S'l.77r/A Platt Name: 41 /P:, 7in~A- fik, Tax Lot Number: / f*t:J 2. t!) 5 2...Z ~~ 1. DEVELOPMENT TYPE (Check appropriate dwelling(sl. SDC Calculations and dwelling type definitions are on the back.) A. Sinl!le Familv - Detached ....--- Single Family home Manufactured home not in a park NO OF UNITS / X $400 PERUNIT or, $ 4~-, v B. Sinl!le Familv - Attached . NO OF UNITS X $370 PER UNIT = '$ C. Multi-Familv Apartment NO OF UNITS X $277 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. 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit) $ $~.tHJ ~C --. Se)' O' ommunlty rVlces I City of Springfield ~\~/qq- Date TAX LO'L--. ()/l4C1.&! SUBDIVISION' \ I O~Q ,'\>OJ\...tJ OWNER' ,,\1 ffi \})(\{~lQ SR. n_ PHONE: lo50 ,~S~~r ADORe"" . c0. cp(j (\. \ CJ\n;f'a ffi ~ r\ CITY: h 'i0tJIO_. , STATE: (_\~\XO f'\~ ZIP: ~ nC),lJl.) ~pjt11 ~Qn}o 0 flL"Q -; REMODEL ~DDITION DEMOL~ " OTHER I ~. RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726.3759 LOCATION OF PROPOSED WORK: ASSESSOR~ MAP' LOT " \ r\' DESCRIBE WORK: NEW'/ .\ CONTRACTOR'.S NAME GENERA' ' PLUMBING' MECHANICAl' ELECTRICA' ' QUAD AREA: ,~\(S0 , \ OCCY GROUP: \\ ~-t- M I 9./ . OF BLDGS: . OF STORIES: WATER HEATER: . SPRINGFIELD sf LJ>~ . " 'Q403BI .Fhw Sf 77f1A BLOCI<" JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 y 14()~__ ADDRESS CON ST. CONTRACTOR' PHONE '- OFFICE USE - LAN 0 USE: \ \ \ l . OF UNITS" \ CONSTR, TYPE: ~AJ H EAT SOU RCE: \==' e... RANGE: y, EXPIRES FLOOD PLAIN: ZONING CODE: ( D !d- . OF BDRMS' ~ SECONDARY HEAT: f:' P SQUARE FOOTAGE: 101 / . ,- To request an'lnspectlon, you must call 726.3769, This Is a 24 hour recording, Allln.pections requested before 7:00 a,m, will be made the same working day. Inspections requested. after 7:00 8.m. will be made the followIng work day. D Temporary Electric D Site Inspection - To be made after excavation, but prior to settIng forms. D Underslab Plumblng/Electrlcal/ Mechanical - Prior to cover. RFootlng - After trenches are .......cavated. D Masonry - Steel location, bond ,beams. grouting. ~ FoiJndatlon - After forms are ~erected.but. prior to concrete placeme~t. , LJ Underground Plumbing - Prior Jto filling trench, REQUIRED INSPECTIONS ..J:::7I Rough Mechanl~~f'; Prior to ~ cover, %Q1(U) . r vf'. r\7f Rough ElectrIcal - Prior to ~ cover. fV'f Electrical Service - Must be ~ approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framIng Insp. ~Framlng - Prior to cover. ~ Wail/Ceiling Insulation - Prior to ~cover.. ~ Drywall - Prior to taping, '1;:7( Under!l6' Plum~~hanlcal":> ?Jt - Prior 10 ImiulCltlo.. e.,.. ..._.....,~ D Wood Stove - After l~stallat'lon. ~post and Beam - Prior to floor ~insulation or decking. ~Ioor Insulation - PrIor to ~ decking, i"'IJ(Sanltary Sewer - Prior to filling ~trench. rVr Storm Sewer - Prior to filling ~ trench. IVtWater LIne - Prior to filling ~ trench. KA'Rough Plumbing - pH or to ~cover. . . . D Insert - After fireplace approval and Installation of unit. 1'\71 Curbcut & Approach - Afte' ~forms are erected but prior to placement of concrete. ' ~ '., Sidewalk & Driveway - After excavation Is complete, forms nd 8:ub-base material In place. D Fence - Whe." completed. [AJ Street Trees - When all required t,ees are planted. " rv(Flnal Plumbing - When all ~plumbing work Is complete. rs:7'T Final ElectrIcal - When all ~ electrical work Is complete. K7'l Final Mechanical - When all ~mechanlcal work is complete. ~ Final Building - When all ~ required inspections have been approved and building is completed. DOther MOBILE HOME INSPECTIONS D BlockIng and Set.Up - When all blocking Is complete. D Plumbing Connections --When home has been connected to water and sewer. . D Electrical Connection - When blocking, set.up, and plumbing Inspectlons have been approved and the home Is connected to the service panel. , D Final - After all required inspections are approved and porches, skirting, decks, and venting have been Installed. , I I I I Lot faces ',\ ~ .,. J leit Sq, Itg,~> lot coverage /s% Topography LZ?o Total height .\.hi (~i;' ') I BUILDING PERMIT: ::1: \~~lo ,~\l 0 lot Type . Setbacks (tit THE PROPOSED WORK IN THE L Interior I P.l, HSE GAR ACC I -"HISTORICAL DISTRICT, OR ON IN I~ 2,(::) I THE HISTORICAL REGISTER? Corner Is I If yes, this appllcatlonmust be, signed and approved by the Historical Panhandle Iw Coordinator prIor to permit Issuance. .7 Cul.de-sac IE /1 , APPROVED: "'2,1 <t',? 2- :It:. 7- 4"0 \ \.0\ /!J"r SB~# -SF SYSTEMS DFVELOPMENT CHARGE (SDC) , 17 i (B) ?A4J1J. Garage Carport Total Val ue Building Permit Fee State Surcharge I Total Fee x $1. ~Q, FT, = IVll\A LfJ.ED n ... ~l D.'dO 'IUi -:::0' f \4 i \()j /~I D (A) Mobile Home i , MISCELLANEOUS PERMITS I State Issuance State Surcharge, Sidewalk 70 2C:. It It Cu rbcut Demolition 2LI.-{~ 1-2.. '0 . State _Surcharge ~Ubu .i'LV/CW , I Total Mlscellan~ous Permits (E) -~~ :??~ "S" TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, end ~ Combined) I I BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the express condition that the said construction shall,ln all respects, conform to the Ordinance adopted by the City of Springfield, Including the Development Code, regulating the const,uctlon and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances, Plan Check Fee: Date Paid: j '/ " Receipt Number: 'OJ.! Recelved~: . 't" ' ~.?Z: ;;..../' cr-< Plans'Revlewed By ~7~<1" Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved, ADDITIONAL COMMENTS ~+T: \~,C\'\D ~V\1llx [)(tt:OJ: \ C\.l rf:) I b l-rY'\ I' r' . ~'J~JLu..'Y1 a t"' 1) / - - PAtH- 1 !1(t~ ~~r/~ mo. ,cAS . lp:5 , (q40333 " ... 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'Clty 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 Building Safety DivisIon. I further certify that only contractors and employees who a'e In compliance with ORS 701,055 will be used on this project, I further agree to en'sure 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 pro rty, and the approved set of plans will remain on the site all times dur g ructlon, Xrgnat7 Date) 'S//j' \.-/7 / VALIDATION: \(\ () I .1\ RECEIPT NUMBER I 'r;.' J ~I DATE PAID 5. \3q, AMOUNT RECI'IVJD '::\ ! ~ _ C1 S" RECEIVED BY ~ .4