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HomeMy WebLinkAboutPermit Electrical 1992-5-5 '7]-,d lOllo'io';nQ pro'O<;t " tI~ ::::min(J. end du!;:"I.- as S~bmit'od has the...toUo . . ~ 225 FIFTII STREET i)ppr,..",i." not reqUIre epecific 'end~~CAL PERIlIT APPLICATION SPRINGFIELD, OREGON 97477 z' r1 I) r----,r::...'D\ INSPECTION REQUEST: 726-3769 SI;J:-:l ~ Ci ty Job Number~~I~( Fe ) OFFICE: 726-3759 Dale ' Authorized ~gnlll iG"'" 3 . ('\ COMPLETE FEE SCHEDULE BELOV 1 LOCATION OF -+~STALLATION Ure ,-1:0 2!;\lI_~~, ( 0 n..e::; ,X\ . c:.vN,e 14 Ol7J..l. A. New Residential-Single or L-) Mult~-Family per dwelling unit. J::l(l~N n'lcrco SerVlce Included: Items Cost Sum ~B DESCRIPTI~" rP ) \ I. 0 m f'\ ~\ A'J.. ')E' 't-- Permits are n~n-transferableand expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Address Ci ty Phone Supervisor License Number Expiration Date 1000 sq.ft. or less' Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder 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 $ 85.00 $ 15,00 $ 40.00 S 50.00 S 60.00 $100.00 $130.00 $300.00 S 40.00 Constr Contr. Number C. Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date Signature of Supervising Electrician Owners Nallie \\\ ~ ~\ y-\ \N\O. nJ D. Address~o()\ e~~< ~.Q.Q.)) City ~~Ph:e~Io-3137 OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. ~rs/Z~~ 1~~~;~-~--~~:~C)~~~~~-----7-~-~--~ _,RECEIPT It: ~ ~}.-:..., , RECEIVED BY: GU~7'0- ~} 200 amps or less \ 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts Branch Ci rcui ts $ 40.00 $ 55.00 $ 80.00 see linn 10 above New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lightinr Limited 'Energy/Res Limited Energy/Comm One Ci.rcuit Each Additional Circuit or with Service or Feeder Permit E, 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL S 35,00 $ 2.00 not included) $ 40,00 S 40.00 S 20.00 S 36,00 4D,'~ Li-CZ .UQ I JOB NO. q7,..()So/ CITY OF S.INGFIELD SYSTEMS DEVELOPMa CHARGE WORKSHEET J , (COMMERCIAL & RESIDENTIAL) NM1EOR COHPANY: Jv1'C-H~f;.L I-/UDN'A/'o..' LOCATION: CooS L-u>vE-12LE.AF' 17~3-Z-7.-<-f7-- - 07'1()O DEVELOP~lENT TYPE: MlJ/i!.. - ApUl-T CA-iLE:. t:-A-t-/UTY BUILDING SIZE: LOT SIZE . SQ. Ft. I. ~TORH DRAINAGF. IMPERVIOUS SQ. FT. t.f?'-f~ X $0.186 PER SQ. FT. I~ ~<I(,!.!.. (See Reverse For Runoff Coefficients If Actual Imperv. Area Is Unknown) 2. SANITARY SEWER-CITY NO. OF PFU'S I-M X $38.55 PER PFU (See Reverse To Determine Total PFU'S) 3, TRANSPORTATION Is /t.."I(, ~ I NO OF UNITS X TRIP RATE X COST PER TRIP UP!::. ~c;,-z.... ./1 X, 17? X $388.61 Is ,?;,q ~2:j X X $388.61 s X X $388.61 i (Se~ Attachmen~ C To Determine Trip Rates) .' . ' SUBTOTAL (ADO ITEl1S 1.2. & 3)' $ ';2-515,2. 4. ADHINISTRATIVE FEES BASE, CHARGE (SUBTOTAl ABOVE) X ,05 Is 1"'</ ~ TOTAL-CITY SDCS-;o../'f'? if;; 5. SANITARY SEWER-MWMC NO. OF PFU'S ' <./-</ t::.a....~ X S13.25 PER PFU + SlOMWl1C ADMIN. FEE S -:;> 1/ (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) s 2-'?!:.. TOTAL-MWMC SDC Is 51..('~ I , /~ TOTAL SDC L'-I-o/'2.- K:- ~.L. J.....' ?I/~' /"'I'l-- ~ Kip Burdick SDC Coordinator ( ( FIXTURE UNIT CALCULA~N TABLE: Number of New Fi>.1uresX Unit Equivalent = Fi>.1ure Units (r~OTE: For remodels, calculate only the NET.itional fi>.1ures) , . NUMBEfl OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS oJ. 2 1 2 3 6 2' 6 6 1 3 2 l/Head 2 2 1 6 4 'J-. I Bathtub..............................................................,......, Drinking Fountain.......:........................ ...................... Floor Drain....... ....:........:.......................,................,.. Interceptors For Grease/Oil/Solids/Etc.........,:...... Interceptors For'Sand/Auto Wash/Etc..........:,...... Laundry Tub /Ootheswasher......,.......... ......,....,...... Ootheswasher - 3' Or More...............................,..... Mobile Home Park Trap (1 Per Trailer}.....,............ Receptor For Refrigerator fWater Stalion/Etc........ Receptor For Commercial Sink/DishwasherfEtc.: Shower, Single Stall.........................,......................, Shower, Gang.................,.:........................_....,.... ' Sink, Bar, COmmerclaL_.........-..........__......-.... Urinal, StallfWalL......:...........:......................_.......... Wash BasinjLavatory, Single ....-....... Water Ooset, Public Installation.............._......... Water Ooset. Private_..___......__.. MiscellaneouS:. J '2- '~ 1- L/ ~ (", ,<I /'-f It. TOTAL AXTURE UNITS = 4-4 CREDIT CALCULAllON TABLE: Based on assessed value. If.lmprovements occurred after annexation date in.table calculate credits separates. I 1985 1986 1987 1988 1989 1990 . Rate per $1,000 Assessed Value $1.69 1.35 1.15 0.92 0.59 0.23 'I \ 1979 or before 1980 1981 1982 1983 1984 ' Rate per $1,000 AssesSed Value 52.66 2.64 2.53 2.41 2.19 2.04 Year ' A...,~..loi.j Year AnneXed " Credit for Parcel or land Only If Applicable '2 . (" " X S If:>. 0 (., '2-G. 7.=. (Rate X AssesSed Value) Improvement (If after annexation date) . X $ = (Rate X AsseSsed Value) CREDIT TOTAL = 5, '2" 7~ RUNOFF COEFFICIENTS FOR STORM DRAINAGE ResidentiaL.........................................,..........., 0.4 CommerciaL..............................,.....,....,......... 0.9 I ndustrial................:............................. ............. 0.45 GovernmentaL................................................. 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT . ~ JOB NUMBER ..~ 225 Filth Street ~!' ,Springfield, Oregon 97477 LOCATION OF PROP~SED WgB,K' l QD~ (\ ~ 0\ \ Q x1..Qr\ ,...... _ ASSESSOf3S MAP' C1D.,\)~N4~, '.. TAX L9"~ ,L..mq(~ ') LOT- ' ~'1 BLOCi<' SUBDIVISION: (-W\...'\)'\t\ r\ fL.1l- o V ~t:\\)d...ffi(\ \r\ PHoNE:_:IRJo.=..en 'Ft.) , \ 0 f'" K \ Q Q fl \-.).f\\ L '. - - ~ .. '-'-, STATF' ~ 'ZIP:~ l'[) \Q ~Jrt , ADDITION 'DEM;)~S~ OTHER ,j CONST. CONTRACTOR' RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 OWNEUJ\i -" ADDRESS: ,CoO. CITY: ) DESCRIBE WORK( r:A(\t t O'{- NEW REMODEL . SPRINGFIELD CONTRACT~~ NAME (\ & L ~DRES~ GENERA" U \ \. ~~)L ~. -~ . O-,-f:,) PLUMBING' ' ' MECHANICAl' . ELEGr~ICA' . '- ~\f\ f\J... ) QUAD AREA:' ~.'{\ 1 [') . OF BLDGS: . )\' . :;;s U._ I '\ OCCY ~ROUP: ~ ~ '<4 ' ?.... . OF STORIES: WATER HEATER: - OFFICE USE - . tAN 0 USE~ '. 'OF UNITS' ~ CONSTR. TYPE: ~ HEAT SOURCE: - ~ f=l TJ' RANG~' q (Yy~jj l EXPIRES PHONE '! FLOOD PLAIN: ZONING CODE: ,"~\;:' . p ) . OF BDRMS' . \ 4' SECONDARY HEAT: SQUARE FOOTAG E: ~:O4-\ To request an Inspection, '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, Inspectlons requested after 7:00 a.m. will be r:nade the following work day. REQUIRED INSPECTIONS lKl Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing/Electrical I Mechanical - Prior to cover. rvl Footing - After trenches are L..AJ excavated. . o Masonry '- Steel rocation, bond , . beams, grouting. rVl Foundation - After forms are ..14-J erected but prior to concrete placement. (Kl Underground Plumbing - Prior to filling trench. [Xl Underfloor Plumblng/Machanical - Prior to insulation or decking. l4J Post and Beam - Prior to floor Insulation' or decking. lZl Floor Insulation - Prior to decking. fVl Sanitary Sewer - Prior to filling ~ trench. ~ Storm Sewer - Prior to flll1ng l,.LLJ trench. IVl Water Line - Prior to 1IIIIng L4-J trench. rV'l 'ROUgh Plumbing - Prior to JL!-J cover. r7l Rough Mechanical - Prior to ~ cover. . rI.Yl Rough Electrical ....; Prl~r. to. ~ cover. n7l Electrical Service - Must be ~ approved to obtain permanent electrical power. . D Fireplace - Prior to facIng materials and framing Insp. [l] Framing - Prior to cover. rx1 Wall/Ceiling Insulation - Prior to L,LJ cover. [XI Drywall - Prior t.o taping. D Wood S'tove - Ait~r Installation. D Insert - After fireplace approval and Installation of unit. [Xl Curbcut & Approach - After forms are erected but prior to placement of concrete. r\7l Sidewalk & Driveway - After I,.A.J excavation Is complete, forms ~nd sub-base material In place. I2J Fence - When completed. 1lJ. Street Trees -..When all r'equl red trees are planted. . , . ~ Final Plumbing - When all plumbing work Is complete. [2] Final Electrical - When all. electrical work Is, complete. r\7l Final Mechanical - When all LAJ mechanical work Is complete. n7l Final Building - When all ~ required Inspections have been approved and building is completed. gJ Other.;:;~f'L-:5~ .0{;~L ~5 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 Co~nection - When blockIng, set-up, and plumbing inspections have been approved and the home Is connected to the se~l.ce panel. D Final - Alter all required Inspections are approved and , porches, skirting, decks, and venting have been Installed. Lot faces lot Type. Interior I PL. IN E- L _ Lot coverage ~ ~ Corner Topography ~ ~ Panhandle I S -L'/!/#O ..' ,..., , ,I W Total height ~'Y:>.' ~ Cui.de.sac" . _'I' "lg~f:Y~'M'?#-~~?;~. E ~ . THE PROPOSED ~ORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to perm'it issuance. Setbacks ~ I HSE "GAR I ACC I I I I 1 / II I ~AW. 4:S~~.I;' , /9/' Lot sq. Itg. BUILDING PERMIT, ' SQ, FT, X $/SQ, FT. VALUE /'177/3.22 .$2P95: Y'6 ITEM Main/aC ::2"C>~ <f:r?~ -,?392.23 721 6G. 41'2, ~ ~Z~ Carport Total Value , /79:~.6'8 CD/~ 7S- ""5".0.09 6~/. ~~ Building Permit Fee State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC)~ (B) IJ <lol'J. '.!;.. PLUMBING PERMIT ITEM FEE Fixtures ':::(~ ~//d ~. Residential Bath(s) N' Sanitary Sewer FT. -::<57 Water FT. A> Storm Sewer FT. ::2S Mobile Home ~FLL:x::'-> .bkwCG /C> Plumbing Permit 5~ -~-?. ~ State Surcharge I/.. 7~ ,!-7' 75 Total Charge, (C) '551.7$ q ~:::'.7? MECHANICAL PERMIT Furnace h.~ 9.-=- 9.- Exhaust Hood --;;;> ~''/.~ N' -q)\ -:? Vent Fan Wood Stove/ Insert/Fireplace Unit Dryer Vent ~-- R~,,;- _.. v' ,. " ~e>- "'2, -= '::7G:.""'::> .... 7, -'- I.,/>. Ot:> G/.. -'J' ---... ',~ " /."?II!!> /'t'~, 'OIC......-::2~ ,I" ",-= lD)....'. _ ->J..:'"'' ~ MechanIcal PermIt Issuance State Surcharge Total Permit MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk /7"3 It Curbcut /'1 It ~ 5",95" /2./.0 Demolition State Surcharge tzl:/k"'~ 1f M5:...... c:;: ~ Ii? P-:5" Total Miscellaneous PermIts (E) ""-z. '""'? b ---,.-. TOTAL AMOUNT DUE (excluding electrical) ~~_ ..t.....'....c.-..J (A, B, C, D, and E Combined) 1i'2'1~.1t!> APPROVED' , . 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. Plan Check Fee: ~Ai'~ .... /~ =-0 . J Date Paid: Receipt Number' Received By: 4~z,- ~~-'7 , p('..,fs Reviewed lBy , ~-/6-"9~ Date Systems Development Charge is due on all undeveloped properties within the City limits which are bein.g improved. ~ITIONAL COMMENTS r,,-1-7#=-/ _ ~1Cl~ OD. Yn'/~ c<1\\\\\ Q >(l ll-h,,: \J(\O~ \ :A-T'C \ \t)\l )\OC ) By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that alt 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 Building Safety Division, I further certify that only contractors and employees who are In compliance with ORS 701.055 witt 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 -:-tn_the sit~rin co ruction. . \~natur""v Date VALIDATION: A r--',.... Q RECEIPT NUMBER '"l ~"'--) t:::.. L.:::::;:~jf~ OATE PAIr' ,r -----J' AMOUNT RECEI~ ' _ _:3 (3 , I RECEIVED BY lL.X 1:. ) l':>