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HomeMy WebLinkAboutPermit Electrical 1994-10-13 . SPRINcttLD - Th. following project.. .ubmItGd.has th. fo , . . 225 FIFTH STREET zoning, and does not require epecmc mhl!I1'rRICAL PERMIT APPLICATION SPRINGFIELD. OREGON 97477 approval. ('14 \~\ Lo INSPEctION REQUEST: 726-3769 Zonino L-D(2/ . Ci ty Job Number '-1. U OPPlCS: 726-3759 . 0eI.r.);\~A'-'-3. COHPLETE FEE SCHEDULE BELOV *' 1. I.OCA.TIOlf--PP \I~ST~tION .~ . I yT'i'-' 0' ) \..Q'f., ~h \ f'i\ ~ F\ """,rtllld $19"" yr'I\.. \".., l\eS10en tla~-Single or Hulti-Family per dvelling unit. . . LEGAL DESCRI",ION 02""" N'\ Service Included: . \ <f(())J-..;\ \'\ vLJJ....) Items Cost Sum ::1~ ~~k~~::'~~l~ if york is not started vithin 180 days of issuance or if york is suspended for 180 days. ! 2. CONTRACTOR INSTALLATION ONLY , Electrical Contractor ARC ELECTRIC Addres85783 HWY 99 SOUTH Ci ty FIIGENE Phone 741-0494 Supervisor License Number 20985 Expiration Date .. Constr Contr. Number -- ~ :..:.- 00603 Expira tion Da te Sign~e~f Supervising Electrician t7,{, hJ.-U~Crr.~ ovn~rs Name....... ~ f\ 0.11 t"6 m Address :~\)~, ~~\\\\)\ Ci ty 5;;~ ~ no-,- ;hon~ lo~ ' \ OVNER M-rALLATION The. installation is being made on property I ovn vhich is not intended for sale, lease or rent. Owners Signature: DATE: RECEIPT I: RECEIVED BY: In',I'~q4 '-f - . \c2: 4"V\ I C')(LY--.~'J' J l\.C.I 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd.Home or Modular Dvelling ~. IDc:D Service or Feeder $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps . $130.00 'Over 1000 amps/volts $300.00 Reconnect Only $ 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 $ 40.00 $ 55.00 $ 80.00 volts see "B" above Branch Ci rcui ts Nev, Alteration or Extension Per Panel E. One Circuit $ 35.00 Each Additional Circui t or vi th Service Il ,CD or Feeder Permit ~ $ 2.00 ~ not included) Hiscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. $ 40.00 $ 40.00 $ 20.00 $ 36.00 81.cj) - ~ \() c-<J ,<1 (/) 58. S kJ SUBTOTAL OP ABOVE 5% State Surcharge Tlli'AI, 3 '1'c) , . . D !!!i!I$!!!!~!~!!!; Job No. *1511 (J SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME:-&(\ ~1 ADDRESS: - I Y . d \- lOCATION OF "'ROPOSED BUILDING SITE: .K.I\\' ...... \ Street Address if Known: ~ r') lo ~ \) 1) tV\ If) I Platt Name: 'G~V1f. TaxlotNumber: \~N2J~\~ o36DJ PHONE: le-~C1.. 14115 STATE: ~IP ~ 1. DEVELOPMENT TYPE (Check appropriate dwelling(s), SDC Calculations and dwelling type definitions are on the back.! A. Sinl!le Familv - Detache1 Single Family home NO OF UNITS ( B. SimIle Familv - Attached NO OF UNITS C. Multi-Familv ADartment NO OF UNITS D. Manufactured Home Park NO OF UNITS WPRD SDC I Manufactured home not in a park X $400 PER UNIT .= $ 4tO.ro . X $370 PER UNIT = .$ X $277 PER UNIT = $ X $280 PER UNIT = $ $1[1) ,ro $# $ 400 po 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 Creditl ~~~~LV Din I \~ I _~"-_ _L r__:_~:~I.J q1 I . , . AlTACHMENT Bl .OB NO. 9.41'::>\<0 CITY OF SPRINGFIELD SYSTEMS' DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: ",:::>,Po.N C.~""I"-1It-..lC3I-\AM LOCATION' ?'0?-:> 1C"A.l--,,^'A. l'i,Oz.oy\'-\: -"2;0"';>06 DEVELOPMENT TYPE: \....Dl2- - t\)\A,t-..!u w'oM.e ~ C;,.,.~p,c"c H-oMe . .aop,w. G.-A(2.. BUILDING SIZE:'1.1i-o.l-'b.:!!.<>.<= 21-'(2~ tOT SIZ> SQ, Ft. NO OF UNITS X TRIP RATE X COST PER TRIP X 1,0 I X $436,19 X X $436,19 X X $436.19 $ 4-40 o::.So $ $ SUBTOTAL (ADD ITEMS 1.2, & 3) $ 4. SANTTARY S>WFR-MWMr, NO, OF PFU'S I~ x $17.19 PER PFU + $10 HWHC ADMIN,FEE $?I"I'4.1- (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ ?? ~ . IQIAI -MWMC SDC $ 2k.'4 ~ SUBTOTAl (ADD ITEMS 1.2.3 & 4) $ \9?~E'ti. 5. AQMTNTSTATTVF F>>S BASE CHARGE (SUBTOTAl ABOVE) X ,05 $ 9(..,9'-1 r r ~J...:.tk ~~ ~ry Hornig, P.E. $Dc Coordinator Date: IQIAI SOC. $ 'Z6 '?? '7:!- B2,SDC . _..--:.:....:.:-_~t..~,___. FIXTURE UNIT CALCULelON TABLE: Number 01 New FiXI:'x Unit Equivalent = Fixture Units lNOTE: For remodels, calculate only the tiE[ additional fixtures). , NUMBER OF NEW FIXTURES FiXTURE TYPE Bathtub"..,...:.. ,;.,.,.."",."....,..""..,.,.",..,..."......".."... Drinking Fountain. ....:.,....".,...""".,..,.."........"""..,.,. Floor Drain......."....,...,..""..."..,.......,........."..."" .,;", . Interceptors For Grease/Oil/Solids/Etc..,.............. Interceptors For Sand/Auto Wash/Etc...........,..,.... Laundry Tub/Clotheswasher,..........,...."."...,......".. Clotheswasher - 3 Or More....................:................ Mobile Home Park Trap (1 Per Trailer)..,......,........ Receptor For.Relrigerator/Water Station/Etc..,;.... Receptor For Commercial Sink/Dishwa~her/Etc.. Shower, Single StalL.,.....,.,.......,..:...........,..,..,.,....,... Shower, Gang........,...,.,.,. ,.......,...............,.............,. Sink: Bar, Commercial, Residential Kitchen,.........,............. Urinal, Stall/Wall..:."".,...,.,............,.."......,.,....".."". Wash BasinlLavatory, Single..,...............,............... Toilet, Public Installation...""...".",."....."..,..,....,... Toilet, Private......,.................................,....,......... Miscellaneous: ,TANI TDP'$ $.INk 'Z.. ,. -z. 'Z- TOTAL FIXTURE UNiTS UNIT EOUiVALENT 2 1 2 3 .6 2 6 6 1 3' 2 1/Head 2 2 1 6 4 ~ = FIXTURE UNITS 't 'Z- 'Z- 'Z- S? IB Based on assessed value. if improvements occurred alter annexation date in table, CREDIT CALCULATION TABLE: calculate credits separates. I Rate per $1,000 Assessed Value Year Annexed 1979 or before 1980 1981 1982 1983 1984 1985 $3.46 3,38 3.32 3.21 3,06 2.92 2.73 Year Annexed 1985 1986 1987 1988 1989 1990 1991 1993 s <;;, 7.,2: Credit for Parcel or Land Only If Applicable _?, '-1-'" X $ I? 9 '" (Rate X Assessed Value) Improvement (if after annexation date) X $ (Rate X Assessed Value) = = Rate per $1,000 l Assessed Value $2.46 2,14 1.77 1.37 0.97 0.61 0.44 0,15 CREDIT TOTAL = $ ??'2..!:: RESIDENTIAL PERMIT APPLICATION Inspections: '726'3769 OUlce: 726,3759 LOCATION OF PROPOSED WORK: /~O'L ASSESSORS MAP' /4. LOT: . "'..., (., It" ~ ~l.... /4- / BLOCK: OWNER' ADORES'" CITY' :5T~ G...A30.3.N b- ~ ''3~ k:'..,u(,,-!>'3u~'1' fu,~ ~\""A.) DESCRIBE WORK: NEW + REMODEL STATF' . 6llR.. 14:;" l>.EO"-lTI....'-- blll..l ~u..I"" \.r ADDITION DEMOLISH OTHER 1'. I rr. . 9~1 J/ (.' JOB NUMBER 225 Flflh Street Springfield, Oregon 97477 r;;>3?!'D TAX LOT: SUBDIVISION: c:;'",;7~(I&) ~A'7'"-~ I <''''4<11 PHONE: t-,ffl-/4-"IS ZIP' 0.",/:.::.,-\ M..bBlLEo k.l ~ ~ 9nnorp ~ CONTRACTOR'S N~ME ADDRESS. GENERAL: (,J'l>l'O"'- f.:~/..A.u""TI~ ~"_- .~ ~ CONST. .CONTRACTOR . qSI'Z~ PHONE ~-S7ZS- PLUMBING' MECHANICAl' ELECTRICAl . .A-~I'_ t:-"t=, c:-nu '- ~~ B;t" ,. EXPIRES " II)H.../qlf- \ I, l QUAD AREA: ~R~ I - OFFICE USE - LAND USE: \ \SlJ FLOOD PLAIN' . OF BLDGS:_~ . OF UNITS' \~,A) ZONING CODE: ~ OCCY GROUP: R, + fV\ CONSTR. TYPE: . OF BDRMS: ~ . OF STORIES: \ HEAT SOURCE: FS SECONDARY HEAT: y.-/ " U \8.r) ~ WATER HEATER' RANG'" SQUARE FOOTAGE: To request an Inspection, you must call 726.3769. This Is a 24 hour recording. Afllnspecllons requested before 7:00 a.m. will be made the same working day, Inspections requested after 7:00 a,m. ~1I1 be made the following work day, REQUIRED INSPECTIONS o Temporary Electric D Site Inspection - To be made after excavation, but prior 0 setting ~~CU-d . Underslab Plumbing lectrlcall . echanlcal - Prior r.nvpr o Rough Mechanical - Prior to cover. Waugh Electrical - Prior to r cover. q~ o Electrical Service - Must be approved to obtain permanent electrical power. o Final Plumbing - When all plumbing work Is complete. . . ~Inal Electrical - V\.I.hen alt r electrical work is ~mLtlj),Q....- o Final Mechanical ~ ~hen a~l- ~ mechanical work Is complete. ~nal Building - When all O FI~e~l,ac,_e :- :,r~o_r _to_ facln_9 required Inspections have been r:;i;de:r,a,., ai'la ..a,,;I"9 Ins.... D.ppio'..ed and bU~'1 t~ ~s, Masonry - ~teel location, bond .. completed. . wliJl1 () ___ .beams,9rou ng, [S2t1ramlng _ Prior to cOvrI'llrl----' ' y---~~ ~OUndatlOn - After forms are {~ qdA~~ D Other erected.but prior to cOan~ WalllCelllng Insulation _ Prior to placement. q~ =- -p~r ~ cover. o Underground Plumbing - prO Drywall - Prior to taping. to filling trench. F otlng - After trenches are cavated. o Underfloor Plumbing/Mechanical - Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or deckIng, . o Floor Insulation - Prior to decking. I r1'i'2anltary Sewer - Prior 10:f11l1ng ~rench. ~Storm Sewer - Prior to filling CP trench. ~ater Line - Prior to filling ~ trench, D Rough Plumbing - Prior to cover. D Wood Stovo - After I~sta"atlon. o Insert - After fireplace approvlll and Installation of unit. ~rbcut & Approach - After rms are erected but prIor to placemont of concrete, ~idewalk & Driveway - After excavation Is complete, forms and sub-base material In place. D Fen~e - When completed. ~treet Trees - Wh~n all required ~trees are planted. MOBILE HOME INSPECTIONS rtl6),klng and Sel'Up - When. all ,lOCkIng Is complete, r!lumbing Connections - When home has been connected to water and sewer. 74Jectrlca, Connection - When blocking, set.up, and plulQbing Inspections have been approved and the home Is connected to the service panel. ~I - After all required Inspectlons are approved and porches, skirting, decks, and ventIng have been Installed. Lot faces . : -i .:' 'J' . ,.... ': ~ ::,l;: ~~'~\f.;:~;' . Setbacks, I' P.L. HSE GAR ACe' I IN Is Iw IE Lot sq. Itg. Lot ~yp. .)(Interlor Lot coverage Corner Topography Totaf ~elght Panhandle Cul-de-sac BUILDING PERMIT ITEM SQ. FT. X $/SQ. FT. VALUE r>.1aln ,/#H ~,~ , ~') /1'-/0 '. ~(PFO Ga~age Carport J=bJJ (~~ 2 '2...S"c, Total Value '79.'7",,- Building Permit Fee ~9':, S" 0 State Surcharge ..7~ /tiM"'~ ).~::r .ss. Total Fee <A) ~-:;-.q<:=\ SYSTEMS DEVELOPMENT CHARGE (SDC) ~ .... '9 (B) ."..20'!><;. - PLUMBING PERMIT ITEM FEE Fixtures , Residential Bath(s) N' L\{\CD "\-{) .W 4,-0 pU Sanitary Sewer FT. FT. FT. Water Storm Sewer Mobile Home Plumbing Permit State Surcharge t :Ph Total Charge (C) laDPJ q , Gll. laq .lLD MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stovellnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuahce State'Surcharge _f?{ \DsCO ~l}CO ,.~.~ \ ~.\5 13.\5 --3., \ ~ Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ::J \ ft Curbcut ~ I ft 9. .. 80lo State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) C:J~L10 ,0] (A. B, C. D. and E Combined) _S THE PROPOSED WORK IN THE. ....HiSTORiCAL DISTRICT. OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical . Coordinator prior to permit issuance. 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. *4. ~.3 7'/-1' o/5'd. /4' tl (" ~~ Plan Check Fee: Date Paid: Receipt Number' Received By: Plans Reviewed By Date Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS "clTT~..\~\ CA.\Q(J ,i:A\'\\\UU.JTI ~: \ ~ 'lq 01l \ 'f\N III (L 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 on he site at all times durIng construction, h '" VALIDATION: .. RECEIPT .NUMBER ~ (~n4( /J DATE PAID-L~) '1'"=5~ AMOUNT REC~El" d ~ 'i; 'l.t &.~ RECEIVED Bye '/\/M ) / --