HomeMy WebLinkAboutPermit Electrical 1992-3-24
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SPRINCFIELD
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, ,
2Z5 ,m' ,,,,;.,. ::I~'~k~:==CAL ""KIT "PLICATION
SPRINGFIELD, OREGON 97477' '-I L/'
INSPECTION REQUEST: '726-3769AU!hor'.:!sdSlgnal~ro 'r U City Job Number QJ()300
OFFICE: 726-3759 ' ~ ~
3. . COHPLETE FEE SCHEDULE BELOll,
1.
LOCATION OF INSTALLATION
4479 Kalmia Springfield, OR
97478
LEGAL DESCRIPTION,
i8 02 05 2 4 TL 5400,
JOB DESCRIPTION
5 F Residence
\ 1] C\ Q_ 8'
Permits are non-transferable and expire
if work is not started within 180 day~'
of issuance or if work is ~uspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor Rose Corp.
)
Address 89976 Day Lane
Ci ty Eugene,
Phone 686-0905
Supervisor License, Number 15685
Expiration Date 10-1-92
Constr Contr. Number 54431
Expiration Date
9-30-92
Signatu~, upervising Electrician
~./R~ '
mINER INSTALLATION
Name Capstone Homes, Inc, of Oregon-
Address P,O, Box 22636
'Ci ty Eugene, OR 9740;Phone 689-'5567
The installation is being made on
property I o"n' "hich is not intended
for sale, lease or rent.
Ovners Signature:
-----------t:r--
DATE: . \ ~J .
RECEIPT I: -
RECEIVED BY:
- tt-~ItA~-
A. ' New Residential-Single or
Multi-Family per dwelling
Service Included:
!..fkX>
+5eO sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Modular Dwelling
Service or Feeder
uni t.
*,
Items
Cost
SUIn
\ $ 85.00 E!3'
~, $ 15.00 3C)
$ 35.00
B. Services or Feeders (10 Branch Circuits
included). Installation, Alterations
or Relocation: '
100 amps or less
101 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only ,
$ 35.00
$ 60.00
$ 80.00
$130.00
$300.00
$ 35.00
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
D. Branch Circuits
$~'~
$ 40.00
$ 80.00
volts see "B"' above
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Two to ten Ci rcu'i ts $ 50.00
Each Addt'l. ten or
pordon thereof $ 15.00
'E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 36.00
Sign/Outline Lightin~ $ 36.00
Signal, Circuit or
limited energy panel $ 36,00
5. SUBTOTAL OF ABOVE
5% State Surcharge'
TOTAL
J ~ '5". r-I
'1.7>
----K .?' .7 S
JOB NO. <-)'2-0:'00
t
CITY OF S~INGFIELD SYSTEMS DEVELOPM~
WORKSHEET I
. (COMMERCIAL &. RESIDENTIAL)
CHARGE
NAME OR COMPANY: ~Af5Iot-JE f-IoMES :I:fJc... OF me&otJ
LOCATION: 4'-17" KALMIA
DEVELOPMENT TYPE: LoR. - NeW SrI<.
BUILDING SIZE:
1. STORM DRAINAGE
IMPERVIOUS SQ. FT. 1.'-f8,? X $0.186 PER SQ, FT. ~ t./(p{ 7:J..
(See Reverse For Runoff Coefficients If Actual Imperv. Area Is Unknown)
If\ 0 7.- ot; 2-'-1- - 5i.foo
LOT SIZE
SQ, Ft.
2. SANITARY SEWER-CITY
NO. OF PFU'S {'O X $38.55 PER PFU
(See Reverse To Determine Total PFU'S)
3. TRANSPORTATION
$ c:.."'f?q~.
NO OF UNITS X TRIP RATE X COST PER TRIP
I
X 1,005 X S388.61
.,. ~.' ",...550 .
.. '7,0..-
.r'
X
X $388.61
$
$
...
. ...-,--.
,,~'-'~.- .... ,'.:. X-~ :.:.--:.;-~ X $388.61 .' .
(Se~ Attachment C To Determine Trip Rates)
." . SUBTOTAL (ADD ITEl-IS 1,2,
&. 3)' s/f,of{P7:!!'"
4, ADMINISTRATIVE FEES
BASE CHARGE. (SUBTOTAL ABOVE) X .05
S 77 "'Zl
TOTAL-CITY SDC $ /(.,.2-? ~
5. SANITARY SEWER-MWMC
NO. OF PFU'S
If'>
x S13.25 PER PFU + S!OMWHC A..ll!4IN. FEE S 1-'-16 ~
(Use PFU Total From Item 2 Above)
1/....,-::;.> 11'
t . ." ~CJ--<L
\J Kip Burdick
SDC Coordinator
Z/ 'l-B /ct-z.
} ~I WI
TOTAL-MWMC SDC $ 217 ~
TOTAL SDC S / B'-Io ~
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
FIXTURE UNIT CALCUlJ\iilON TABLE: Number of New Fi'1ures-.nit Equivalent = Fi,1ure Units (NOTE:
For remodels. calculate only the ~ditional fj'1ures) .
NUMBE~ OF UNIT FIXTURE
..FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub....................................................:.................
Drinking Fountain......:.......... ....................................
Aoor Drain...........;,....,..:.......,......,:........,.........,........
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For-Sand/Auto Wash/Etc........;,;.......
Laundry T ub/Ootheswasher...................................
Ootheswasher . 3 Or More..,............................,.....
Mobile Home Park Trap (1 Per Trailer)..................
Receptor For Refrigerator fWater Statlon/Etc........
Receptor For Commercial Sink/DishwasherfEtc.:
Shower, Single Stall,.........:,.,..,................,..........,....
Shower, Gang,..,...............,.,.......,..........................,..
Sink, Bar, Commercial......"...............,...,.......,........,
Urinal, StaIlfWaJl...........,..,..,:................................,...
Wash Basin/Lavatory, Single.....................,.....,..,...
Water Ooset, Public Installation.............................
Water Ooset, Private................................._,.......
Miscellaneous:.
?
I
7_
'2.
TOTAL FIXTURE UNITS
2
1
2
3
6
2
6
6
1
3
2
1 /Head
2
2
1
6
4
=
'-I
-z.
-2
'Z
B
18
,
CREDIT CALCULATION TABle: Based on <.."".J value. (flmprovements <>ccurred after annexation date in.table,
calculate credits separates.
Year
AnneXed .
1979 or before
1980
1981
-1982'
1983
,.1984
Rate per S1,1YJO
~..J Value
52.66
2.64
2.53
2.41
2.19
2.04
Year'
Annexed
1985
1986
1987
1988
1989
1990
.. Rate per $1,000
Assessed Value
51,69
1,35
1.15
0,92
0.59
0,23
Credit for Parcel or land Only If Applicable -z. ' (,. '- X $ 11 ,1"> '3 ~ I ...1
(Rate X Assessed Value)
Improvement (If after annexation date) X 5 =
(Rate X Assessed Value)
CREDIT TOTAL = s ~1-I-2
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
RESIDENTIAL
PERMIT. APPLICATION
Inspections: 726.3769
Office: 726,3759
.
SPRINGFIELD
ASSESSORS MAP'
48
LOCATION OF PROPOSED WORK' 4479 Kalmia
18 02 05 2 4
Springfield, .OR
nLOT:
BLOCK'
ADDRESS'
P,O. Box 22636
OWNER' Capstone Homes, Inc. of Oreqon
CITY'
Eugene,
STATF'
OR
NEW
xx
<.
Single Family Residence
OTHER
DESCRIBE WORK'
REMODEL
ADDITION
DEMOLISH
#SP 38
.
JOB NUMBER C1:J{)-=<'aJ
225 Fifth Street
Springfield, Oregon 97477
97478
TAX LOT:
SUBDIVISION'
5400
Lucerne Meadows
PHONF'
689-5567
ZIP:
97402
CONST.
CONTRACTOR'S NAME ADDRESS CONTRACTOR'
GENERAL Capstone Homes, Inc. of OR P.O.B. 22636 Eug.,OR 97402 62018
PLUMBING' Frid1und Plumbing 85628 Dilley Lane Eug.,OR.9740551835
MECHANlr^,.Garibay Heating 4207 W. 5th Ave. Eug.,OR 97402 70545
ELEcTRICAI.Rose Corvo 89976 Dau Lane Euaene, OR 97402
QUAD AREA' . ~ R.~
\
OCCY GROUP: R ~.:t)v\
\
. OF BLDGS'
'- OFFICE USE -
\ \l t
. OF UNITS- \
CONSTR. TYPE:....JL./I./
~~
LAND USE:
HEAT SOURCE:
7.-?
RANGE:
EXPIRES PHONE
10-18-92 689-5567
12-14-92 746-9433
12.:"'21.92 344-2481
9-10-92 hRh-llql)~
54417
FLOOD PLAIN:
ZONING CODE: \ D \::-,
. OF SDRMS: :-::s.
SECONDARY HEAT: (I[ rOof)fl fi-
SQUARE FOOTAGE: - /r;qa
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, inspections requested after 7:00 a.m. will be made the following work day.
~ Temporary Electric
D Site Inspection - To be made
after excavation, but prior to
setting forms.
o Underslab Plumbing/Electricall
Mechanical - Prior to cover.
K71" Footing - After trenches are
~ excavated.
o Masonry - Steel location, bond
beams, grouting.
;;:::::;;(Foundation - After forms are
'~erected but prior to concrete
placement.
f'\7( Underground Plumbing - Prior
~ to filling trench,
REQUIRED INSPECTIONS
IVf' Rough Mechanical - Prior to
~ cover,
'R7l Rough Electrical - Prior to
J.OJ...cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
~ Framing - Prior to cover.
~ Wall/Ceiling Insulation - Prior to
~cover.
~ Drywall - Prior to taping.
~ Underfloor ~PiL!lC~~nlcav
I,c,I. - Prior toc,;,SUlatiOn or decking. 3 W~to~tF:)h~n.
r\7T Post and Beam -:- Prior to floor
~Insulation or decking.
~ Floor Insulation ~ Prior to
~decklng,
rvr Sanitary Sewer - Prior to filling
~ trench.
r\:'7f' Stor~' Sewer - Prior to filling
. l,.6J trench.
r'\If Water Line - Prior to filling
~ trench,
rv1 Rough Plumbing 1- Prior to
~ cover.
D Insert - After fireplace approval
and Installation of unit.
fC;(" Curbcut & Approach - After
~orms are erected but prior to
placement of concrete.
~ Sidewalk & Driveway - After
~excavation is complete, forms
and sub-base m'aterial In place.
D Fence - When completed,.
/@treet Trees ~ When all required
~rees are planted,
1'91 Final Plumbing - When all
~ plumbing work is complete.
I'cA' Final. Electrical - When all
~ electrical wO,rk is complete.'
~ Final Mechanical - When all
~ mechanical work is complete.
I'\:7r Final Building - When all
~ required Inspections have been
approved and buifding is
completed.
o Other
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking Is complete,
D Plumbing Connections - When
home has been connected to
water and sewer.
o Electrical Connection - When
blocking, set-up, and plumbing
Inspections have been approved
and the home is connected to
the service panel.
o Final - After all required
inspectlons are approved and
porches, skirting, decks, and
venting have been Installed,
Lot faces ---N-- Lot Type. Setbacks I .. THE PROPOSED WORK IN THE
Lot sq. ftg. ItJ~ '-/l Interior PL. HSE GAR ACC I HISTORICAL DISTRICT, OR ON
2,l)' THE HISTORICAL REGISTER?
/EQo N
Lot coverage Corner Is If yes, this application must be signed
~ and approved by the Historical
Topography Panhandle Coordinator prior to permit issuance.
r0- W 'V' ,
Total height Cul-de-sac
E 12.' (2' APPROVED:
BUILDING PERMIT
SQ. FT.
,~qq
-.~&
X $/SQ. FT.
~.10
-L4fP
VALUE
5'~ e;4n.-
551.L''1J
ITEM
Main
Garage
Carport
Total Value
.~.l")(/I./.! "
3fr,fJO
/59$"
7..7.,1. . 9~
Building Permit Fee
State Surcharge
Total Fee
(Al
SYSTEMS DEVELOPMENT CHARGE (SDC) 1<8
. '. (B) 11> I ""'-fa ~
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s)
N'
~
--Lf-..ot$l()
Sanitary Sewer
FT.
FT.
FT.
Water
Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge
StfO
Jc'~
Total Charge
(C)
MECHANICAL PERMIT
&,(900
~<;~
q~D
.
/S".dO
5.00
Furnace
Exhaust Hood
Vent Fan
N'
'2.
Wood Stovellnsert':!;!:eplace.J!.!llV
Dryer Vent
Mechanical Permit
37.!:"O
JO,()O
J.B?a
.$3. '3 -.
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
P.>2..
24
2.2.. }> tJ
/~~o
ft
Curbcut
ft
Demolition
State Surcharge
pf.NJ,fH/lFi... ,
2/Y1.J>
. '-L-
.2.43, ?os"
~.?I-/(p
Total Miscellaneous Permits (El
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
BUII,.DING 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:,,6 ~ 7.35
Date Paid: _ <'&.r .liJd IJW1
Receipt Number.
\
Received By:
, ~/C~~
Pia-'\" Reviewed By . -
J"/'2?9 .2-
. , ~ate
- .. .
.Systems Development Charge is due on all undeveloped
properties within the City limits which are being Improved.
ADDITIONAL COMMENTS
~Q\r .6\rio, Q110Lc0
\ ~-+ Tl)o.() u..Q ~ \\53U
" ~J\O X rntL
71f~ ~~~.A'!E ;?N'~)tJ
?1f>n I / /J\f::rJ
I',
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 Building Safety Division,
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
, -..:1'. "" tJ;r~ '""~ """,,"",,".
~natur"V:l_;~~~
. Date'S)?L/ h 2-
/. /'
VALIDATION: 4"V') M
RECEIPT NUMBER ..~
DATEPAID_tt~. ~~- . --
AMOUNT REC- ,~~ , ~q'f;. Lf C--
RECEIVED B ( I )
- , -