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Home My WebLink AboutPermit Electrical 1994-6-20 . 225 FIFTH STREET SPRINGFIELD, OREGON INSPEctION REQUEST: OFFICB: 726-3759 1.~~ _/Pt5~rtft1~ ~~) V\Motr;~ Permits are -transferable and expire if work is not started within 180. days _. of issuance or if work is suspended for 180 days. ! 2. CONTRACTOR INSTALLATION ONLY , Elec~rical Contractor ROSE CORP Address Rqq76 DAY I AN. City Phone nAn-OqO~ "11r..N. Supervisor License Number -156ES Expiration Date Constr Contr. Number 1011/95 5443 i ~{. " C. Temporary Services or'Feeders Installation, Alteration or Relocation Expfration Date qno/q~ Signatu~:erViSing Electrician . /?!~,~~- Owner; N- e Q OTlrJ uko ~ D. Address T...~ City~ 1ft.. p;onej1:/()?rfl o~Lr ISTALLATION The. installation is being made on property I own which is not intended. for sale, lease or rent. Owners Signature: DATE: (Q:...9LJ.Q4- ._~_ RECEIFT I: !51~ "'~I-CJ. RECEIVED BY: ..- . ~ It ems , .. .' he fol1owrng pI'oject ~. lonlng, GIld doea not at aubmllt8d heo the ~ ~ requIre 8pec/(/c land uee 97477 Zoning L.OO ELECTRICAL PERMIT APPLICATION 726-376lJte 0-20-z.y 'City Job Number q4fl~ ~~~OHPLETE FEE SCHEDlJLE BELOII N - A. New Residential-Single or Multi-Family per dwelling unit. Service Included: 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 .Re10ca t ion: 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 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 Branch Circuits Cost $ 85.00 $ 15;00 r9. $ 40.00 9xJ $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 $ 40.00 $ 55.00 $ 80.00 volts see "Bit above New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 {REE4c9Ao -c::'AO ....y) . . I DEVELOPMENT[ SERVICES DEPARTMENT I , 225 FIFTH STREET SPRINGFIELD, OR 97477 (503) 726.3753 FAX (503) 726-3689 . , I I I MANUFACTURED HOME. SET-UP AGREEMENT , As required by the City of Springfield Develop~ent that with the approval of the attached pe 0 manufactured homes will be placed at Springfield, Oregon, City Job Number understand and agree following , , Type I Manufactured Home. A multi-sectional (double wide or wider) unit with an enclosed tloor area of not less than 1,000 square feet, that has a nominal roof pitch of 3 feet in height for each l2 feet in width, that has no bare metal siding or roofing, and that has been c~rtified by the manufacturer to have an exterior thermal envelope m~eting performance standards which reduce heat loss to levels equivalent to the performance standards required of single family d~ellings constructed under the State Specialty Codes. , I Type II Manufactured Home. A unit of not less than 12 feet in width with an enclosed floor area of not less than 500 square feet, that has a1nominal roof pitch of 2 feet in height for each 12 feet in width and tnat has no bare metal siding or roofing. ! I I further state, by my signature below, that I have been provided with the following information: - Manufactured Home blocking - Yater lihe connection - Street tree standards ! I also understand that if I am installing a Type I l1anufactured Home. the home shall be ehclosed at the perimeter with stone, brick or other masonry materials, and with no more than 12 inches of the enclosing material exposed above grade. i - Sanitary sewer connection - Electrical connection - Minimum requirements for permanent steps v16~~ Date t! ~/~ . vvu nu. . . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CIlMGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COI1PANY: _-p;f~ cJ - /.Le.. / ~. LOCATION: ~9?? /'aLu:... DEVELOPMENT TYPE: ~~~~ ~~ ; . 9~o '8'305- NO OF UNITS X TRIP RATE X COST PER TRIP X X 5424.31 ((;.zr.s;) '-- .-/ S S I X /,()/ X $424.31 X X $424.31 4. SANITARY SEWER-11WI1~ NO. OF PFU'S /l( x S15.125 PER PFU + S10 MWMC ADH FEE S Z,f'2.Z <) (Use PFU Total From Item 2 Above) MWI1C CREDIT IF APPLICABLE (SEE REVERSE) S S/, 2. 3 TOTAL-MWMC SDC~. ............ ../ SUBTOTAL (ADD ITEMS 1,2,3 & 4) S / ~ 'US. 9/ 5. ADllINISTRATIVE FEES B~ ~rE) X .05 / I Ki, Btlrdie:k U 's6f: Coordinator ~ ~fZn ......... ...-/ TOTAL SDC $ / 3'1' '8,,3.6 ,.. FIXTURE UNIT CAlCU1:lOTONIAUlc: r~IJf11~;~'rUCliNr\y FhllJl('S X Un;1 (l,uiv;llCIlI = Fix1lHC unns I"V'''. - For remooels. C,'lcl"~lle only Iltc llJliiIi."d\'i:iClIl;llli""JI"',) . .. r~L'I,~[,En OF L':m' FIXTURE FIXTURE TyPE NEI'I FiXlUnES EQL'I\'/,L1:IJT W.II IS l3alhlul>......................................... ............................ Drinking FoUnlJil1......................... ........................... Floor Dr.lin. .............................. \................................ Inlerceplon; For Grcasc/Oil/So1ids/Elc................. Inlerceplon; For Sand/',uIO Wash/Elc.................. Laundry TubjOotheslYasher....... ........... ......... ........ OOlheswa~er . 3 Or More..................................... Mobue Home Park Tr.lp (1 Per Trauer).................. Recep!or F9r RerrigeralorjWater Slalion/EIC........ Receptor For Commerclal Sink/DishwasherIElc.. Shower. Single.Stall................................................. Shower, Gang....................................................:..... Sink. Bar, Commercial............................................. . Urinal. StalllWall....................................................... Wash Basin/Lavatory, Single....:...:............,............ Water Oosel, Public Installation............................. Water Oosel, Privale............................................... Miscellaneous: 2 .z.. / '<, 3 6 2 6 6 1 3 2 I/Head 2 2 1 6 4 'Z.. .J ~ ~ .2. 'i? TOT;'.L FIXTURE UNITS = /y CREDIT CALCULATION TABLE: calculate crej~s separates. I r~~x~ 1979 or before 1980 1981 1982 1983 1934 '1geS Based on assessed value. If improvemenls occurred after annexation date in table, Rate per S 1,000 Assessed Value Year Annexed Rate per SI,OOO Assessed Value r $3.21 3.13 3.06 2.95 2.82 2.63 2.51 1936 1987 1988 1939 1993 1991 1992 S 2.24 1.93 1.57 1.18 0.79 0.44 0.28 .. Credit for Parcel or Land Only If Applicable 3..2/ X s IS'. 7~O (Rale X Assessed Value) X S (Rate X Assessed Value) CREDIT TOTAL = .s-1..z.3> Improvement (If after annexation date) = -----. = $5/.~3 '. RUNOFF COEFFICIENTS FOR STORM DRAINAGE Resid enl lal........................................................ 0.4 CommerciaL.................................................... 0.9 . Ind ustrial................ ..................... ...................... 0.45 GovernmentaL................................................. 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT . fi !!!i!I!!!!!!~!!~ . )obNo. q~ SYSTEMS DEVELOPMENT CHARGE NAM~roJ~Zf.~E~ ADDRESS: 141fS T &orl) ~ PHONE: -11J-f)~ I STATE:{Qf.,ZIP W2 LOCATION OF ~ROPOSED BUILDIN~IfE\ (T')., \ ) - ~ - -) Street Address if Known: ~~V'\ V 9<{UJ'YULl . 1 ____u_. Platt Name: Go\fuJ\ \ (\X)(Tax Lot Number: \ 9l'J9()?fl3 ()miJ 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type definitions are on the back.! A. Sinl!le Familv - Detached. t Single Family home NO OF UNITS , . B. Single Familv - Attached NO OF UNITS C. Multi-Familv Aoartment. NO OF UNITS D. M~nufactured Home Park NO OF UNITS WPRD SDC 1 Manufactured home not in a park $4(f)rfJ X $400 PER UNIT _= X $370 PER UNIT = $ X $277 PER UNIT = $ X $280 PER UNIT = $ $c4rD.CD $~ $400f9 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 Community Services Div't;i n City of Springfield lo / Wliti Date