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Home My WebLink AboutPermit Electrical 1997-8-28 . . The fOllowing project '" b ' ' zoning, and dees not ~~q.~jremEtttp~:'~'Cesl.ti"d'O foifoWIr.g approval.. If n u~o ELECTRICAL PERMIT ~ICATION City Job Number ~\\ \~~ 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726S3'7-6 1- OFFICE: 726-3759 Authoriz 81 IrI ft.l gnature J 1 , 1. LOCATION OF INSTALLATJO)l <: ...,t- ~/5"2 ..,;:::;;",..- sw'7fiJJ ~ ...:J/. ' A. (/ \~~~O~//O/ -b.SfcSMB~01L~ permits'are ~~n~nsfera~le ,an~XPire if ~ork is not started ~ithin 160 days . of issuance or if ~ork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders, , NQT\~: . , :lns.~!_~ Alterations ~:lectrical Contractor (\M-+"'<;~~ALLE)('P~jfel'of\'S~m: P -'-t I t1 OER ,HIS PERMI Address ,D. (So"/.. I ~3.;l~ITI-\OR\2EO UN ,ZQOO~!M'OO- less ('1 ~ f'J"IIJ.I.I\SblCliO Oll IS ABPfm amps to 400 amps City DoILVV\ Phone~~"\n.,'l-48~c;{f\IOO. /,01 amI's to,600 amps , ANY 180 Ul\l 601 amps to 1000 amps Supervisor License Number .22 ;?,;; -;l!, Over 1000 amps/volts , -- Reconnect Only Expiration Date ID-I -qg CQHPLETE FEE SCHEDULE BELOII Ne~ Residential-Single or Multi-Family per dwelling 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, 'Dwelling Service or Feeder S 40.00 S 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C.,nstr Conn. Num~er ()~o5q3 C. Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date ;J,-I~-qtj Signature of Supervising Electrician ~~#h7~~ Owners Name~'~ ,l-lDrvu~ ~ Address ,~q s. f6.6fic.. Au.\Ui / p() ~ox LJSl \...j Ci ty mOYlYYlnlJ'!.h Phone, F;~-~3%-OOCfIo OYNER INSTALLATION The'installation is ~eing made on prcperty I own ~hich is not intended for sale, lease or rent. Owners Signature: DATg~~---------------~~~~~~~, RECEIPT 11: l \\,. '; .,~. . . RECEIVED BY: ~ 'l(f'^S.- D. 200 amps' "or less, I 201 amps to 400 amps Over 401 to 600 amps 'Over 600 'amps or 1000 volts Branch Circuits $ 40.00 $ 55.00 S 80.00 see.- "B" above " Ne~, Alteration or Extension Per Panel One Circuit Each Additional Circuit ,or ~ith Service or Feeder Permit E. Miscellaneous (Service/feeder -Each installation . Pump or irrigation' Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE SX State Surcharge 3% Administrative Fee TOTAL S 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 ?#J c:-.D ~.""'" / ;>'0 Y'~, .;;zo .. .' .\ I I, ~?"WiUamalane '"t ..I,,""f' Park & Recreation District , (V SYSTEM DEVELOPMENT CHARGE , WORKSHEET , NAM~:~~~U.Q..J\~Q[.JJ' 'PRONE:5D~.~~~~ ADDRES~ \~ ~. \n"~E~)\\tl1~_ STATE:Q'1L.ZIP: (\l~\ , ' '-'-~ ' ,,\ot\~' ' LOCATION OF PROPOSED BUILDING S E:' , ' Street Address: L\ \'?J~ ~~Aa.J ,", ' , , . ' ^ rt") 'Plat Name:, \0UnJt) \ ,~ Tax Lot Num~er: ~~D"J....O~~~o~'W 1. DEVElOPME~ T'ypg (Check appropriate dwelling(s). SDC calculations and dwelling t ' ype definitions are on the back.) , 'Job. NO.(\f\\\~r) . , Manufactured home not ina park X $1,000 peru nit = '$ \ tf[)~~) B. .f>innIA'-FRmil'LAItR~hp.rl ' , NO. OF UNITS X $924 per unit = $ C. Multi-Familv Aoartmp.nt NO. OF UNITS X $692 per unit '= $ D. Manufactured Romp. Pa~ , . NO. OF UNITS WILLAMALANE SDC X $699 per unit' = $ '. $ \ ('ff)~ ,yj ,$ tbCOPO , 'g/,-dL, qt\ , Date, . , ' , , I' - . ' . "( "." . 2. SDC CREDIT (if applicable) SDC-payer must fumish proof of " , ,Willamalane Credit approval. See SDC Credit Worksheet. : $ , ' , , , , 3. TOTAL WILLAMALANE ,NET SDC ASSESSED (if SDC reduced for Credit) ~~_Partme't . City of Springfield , \ ~BUILDING DIVISION JOB# 9741f7 -ADDRESS- -LEGAL- 4132 FORSYTHIA ST LOT 101 BLOCK WYATT MEADOWS 2 DESCR:S.F. RESIDENCE 1802052202200 ACTIVE -VALUE- 73283 970731 / 970825 -OWNER- YORKSHIRE HOMES 503-838-0096 189 SOUTH PACIFIC HWY MONMOUTH, OREGON 97361 -ENERGY- HEAT1-WH 2- H20- E RANGE-E INSULATION PATH-TPC -STATS- BLDG ZONE MDR STORIES FLOODPLAIN BEDRM OCC GRP R3 UNITS SQ FEET 1419 CONST TYPE VN -CONTRACTORS- GENL-YORKSHIRE HOMES CONTRACTOR PHONE-838-0096 PLMB-MEIER PLUMBING ELECT-NORTHSIDE ELECT MECH-SALEM HEATING DESGN- 1 1 3 1 -INFO- NEW RESIDENTIAL 1111 QUAD AREA 3RSC SEQ-REQUIRED PERMITS----------------FEE--SURCHARGE--DATE--RECPT--CAT-------VALUE 001-002-BUILDING PERMIT 355.00 17.75 970821 27144 101 73,283 002-005-PLUMBING 160.00 8.00 970821 27144 510 0 003-006-MECHANICAL 15.00 0.75 970821 27144 520 0 004-013-SIDEWALK 17.50 0.00 970821 27144 613 0 005-012-CURBCUT 14.80 0.00 970821 27144 612 0 006-061-RES PLAN CHECK 60.00 0.00 970821 27144 0 007-074-SDC/WILLAMALANE 1,000.00 0.00 970821 27144 0 008-070-SDCjSTORM 457.20 0.00 970821 27144 0 009-071-SDC/SANITARY 843.48 0.00 970821 27144 0 010-072-SDC/TRANSP 477 .21 0.00 970821 27144 0 011-055-REGIONAL SEWER 200.42 0.00 970821 27144 0 012-073-SDC/ADMIN 98.92 0.00 970821 27144 0 013-087-MECHANICAL ISSUAN 10.00 0.00 970821 27144 0 SEQ-MINIMUM INSPECTIONS + REQUIREMENTS--------------------EXP DATE---ACT DATE- 001-002-FOOTING 002-003-FOUNDATION 003-021-UNDERFLOOR PLUMB 004-005-POST & BEAM 005-009-INSULATION FLOOR 006-026-SANITARY SEWER 007-027-STORM SEWER 008-024-WATER LINE 009-023-ROUGH PLUMBING 010-031-ROUGH MECHANICAL 011-042-ROUGH ELECTRIC PERMIT REQUIRED 012-044-ELECTRIC SERVICE 013-104-SHEAR WALL NAILIN 014-006-FRAMING 015-009-INSULATION 016-011-DRYWALL 017-090-DRIVEWAY/CURBCUT 018-091-SIDEWALK 019-029-FINAL PLUMBING 020-039-FINAL MECHANICAL 021-049-FINAL ELECTRICAL SEQ--INSPECTIONS---------COMMENTS----------------------------DATE---RSLT--INSP 001-003-FOUNDATION 002-047-SPECIAL GROUND ROD ONLY 970825 WIR 970825 OK 59 59 , -' JOB NO. ' , .' ATTACHMENT'A' . CITY OF :S~NGFIELDSYSTEMS DEVELOPMENT CHARGE' WORKSHEET ' NAME OR COMPANY: 'y....~j("S"'II?r=: f-It'JM~4 " . LOCATION: 4/.<')F=oR-SYTUfA (Ld'r'AlT H6A1X>wo; LOT/O') " DEVELOPMENT TYPE:, ~.F.R . BUILDING SIZE, lOT SIZE SO, Ft, , 1. STQRM ORA! NAGF IMPERVIOUS 5.0 FT: - ,2P2 ~ 2. SANITARY SF4FR~rITY X $0,226 PER SO, FT. $ ,4'\7, Z 0 , ' ' NO, ,OF PFU' S I 1, , (See Revecse Side) X $46,86 ,PER PFU $ 81-3.48 3. TRANSPORTATiON , , 'NO OF UNITS X TRIP RATE,X COST PER TRIP " r .X 1.'01 X $472,49 $ 477.2../ x X $472.49 $ x X $472.49 $ , . 4. ,<;ANTTARYSFWFR-M~JMr ( , , D~ "DV NO. OF -FEtt"S I', X 277.7" PER F8:J + $10 MWMClADM .FEE $ ') R7. 7("" . MWMC CREDIT IF APPLICABLE (SEE REVERSE)' $ -87.14 TOTAL-MWMr SOt:.' $ 2.00.42... SUBTOTAL (ADD'ITEMS 1.2.3 & 4) 1.4Q7!1.3{ , , , "5. AOMINTSTRATlVF FFFS BASE CHARGE (SUBTOTAL ABOVE) X .05 '$ '9'8.CfL-. "f)l' , , , '. . , , , Date: fj-+-Q 7 , TOTAl sor $2.077.2..3 . sac Coordi na tor .1 , ' , . ." I VII... 'VI~" ....,...........V ...u.~ I ~,U"'C', '",urnper or '"ew rrxtures,^ unot ~Quivalent =, Fixture: Units, (NOTE; For rernodels, calculate on''Pe NET additional fixtures) , . I " ' . , ' , ' - NUMBER OF UNIT FIXTURE' " FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub.........,..........,.,.,......".....,...., :.,..,......;............. Drinking: Fountain..,....... ,..,..,."'.,..".,..............",, :..... Floor Drain".... :...........,.....,....,...,...,..... ........... .........,... Interceptors For Giease/OiI/Solids/Erc.;.. ~............ Interceptors For Sand/Auto Wash/Erc..:...:........... laundry Tub/Clotheswasher........... .................... ',... Clotheswasher . 3 Or More......................:.............. Mobile Home Park Trap (1 Per Trailerl.................. Receptor,For RefrigeratorfWater Station/Etc......... , l3eceptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Srall............... ,:,..'".,......................,~. Shower, Gang.... ...............,..,."....,.,........... ....,.....,.... Sink: Bar, CommerCial. Residential Kirchen......................... Urinal, Stall/Wall.. .:......;... ..'...."....... ..c..... ......, ........... Wash Basinilavarory, Single.."".".,.~................,.... Toilet, Pubiic Installation,.,...., ,.,....,'..,...........,.....", Toilet" Private. .............."..,.,..,:........ ....................... Miscellaneous: I "2 ''2, TOTAL FIXTURE UNITS 2 .1 2 3 6 2 6 6 , 1 3' 2 i/Head 2' 2 1 6 4 = ~ 7_ I " ?- .... "2- B 18 CREDIT CALCULATION TABLE: Based'on assessed value. If improvements occurred after annexation date in table, calculate credits separates, Year Annexed Rate per $1,000 Assessed Value ~' 3.89 . 3.83 i' 3.70 3.55 3.39 3.20 2.91, 1987 1988 ' 1989 1990 :1991, 1992 1993 1994 1995 ',1996 Year Annexed 1979 or before 1980, 1981 1982 1983' 1984 1985 1986 /60( , Rate per $1 ,000 Assessed Value l $2.56 2.17 , ,1.73 1.31 0.92 0.74 0.61 0.45 0.31 0.17 I Credit for Parcel or land Only If Applicable oR 7 '?4- Improvement (if after annexation date) ,3 q.2-x $ 77 tJoo (Rate X Assessed V,alue) X $ : ' (Rate X Assessed Value) = = 'CREDIT TOTAL = $ " , ' . RUNOFF COEFFICIENTS FOR STORM DRAINAGE , (For Estimating Purposes Only) . Fiesidenti"I..,:,........... .:. ......., 0.4 Commerical......................... 0.9 IndustriaL....,..................... 0' 5 Gover~mimt1;I"......:........:..,.. 0.5 " ( , , IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT 87. 34: