HomeMy WebLinkAboutPermit Electrical 1998-3-6
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SPRIFIELD
. ,
DEVELOPMEN~ SE~~:ES D9PPA~~~7~;h~ ~.~ 225 FIFTH STREET
~~~ .t~~ ~ SPRINGFIELD,OR97477
"' C ~ ~ .' (541) 726.3753
Alllhotized -?1-J-a~~ V~~ ~)o& FAX (541) 726.3689
225 FIFTH STREET ~ ~O ~C'<<:; <> ~ ~( ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ".... <>Q e>~ ~ (\ C^1At1
INSPECTION REQUEST: 726 3769 '~:S>,h '9-~City Job Number '-'\ liJ/J..r I
OFFICE: 726-3759 ~().. -?\9:~~".
-~. ~;:~~~ SCHEDULE BELOV ~
1. ~ATION OK INSTALLAT}:.ON L.r\v' ' l?1: ~;:<"~
4CO 1Y\('YOf1?-ru.- l')\pJ)1 .ur A. New~sl'b~n~l-Single or .'
Multi~m~:rer dwelling unit." .
ServicelInClUded: ,
Items Cos t
LEGAL D):SCRIPTION ~ ~7\
lil-Brie 7A3 Oh....<=-.vJ
\. .~BrPESCRIPTION .f '1':2""
..L:'J... t'O[)~\oJY\.. ' ctJt
/ -
Permi s are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
___.180 days.
2. CO~CTOR INSTALLATION ONLY
. i!J1. f!,':,J..~ !?;lu1-/d,c.. :j;v~
E1ectr caY tontractor
Addres~/~/.J JL.^"7~hu"1
Ci ty P.::ut>. ~ Phone
I
Supervisor License
.4J J-e...;
b9 q 7t1V
Number ~ 97S- S
Jb-I-~f/.
Expiration Date
Constr Contr. Number '1 h ')..15
Expiration Date )-').-5-9't
~;pvr:;ztrician
Owners Name l(L,111 '" Q J:>
Address. Q c9 ~ 'lflS
Ci ty ~ 9-- Phone l4-4'1.1..d.L)
O~ -I~TALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~~-----~=-~-=-~-i------------------
RECEIPT II: '1.A(\;J../,
RECEIVED BY: -KJAJ I
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
Sum
1
5
$ 85.00 RS
$ 15.00 15
$.40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less l
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circui ts
$ 40.00 1L2....-
$ 55.00
$ 80.00
see "B" 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
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
"W.W
Ii) .00
(p.OO
".{I I/o _00
. ,
SPRINQFIBLD
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Page 1
Job Number: 980209
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 900 MCKENZIE CREST DR
Assessors Map #: 17032343
Lot: Block:
Tax Lot #: 05500
Subdivision: RIVER GLEN/2ND 2N
~
Phone r
Owner: FURTURE B
Address: P.O. BOX 7425
Phone #: 744-2660
City/State/Zip: EUGENE OR,97401
Describe Work: S/F/R
NEW
Contractor
Const.
Contractor #
Expires
General: FURTURE B 0071761
3555 SE 63 Portland OR 972060000
Plumbing: CUSTOM PLUMBING 0058006
4894 Newtown Ave SE Salem OR 973020
Mechanical: ROLF'S HEATING 0033601
5678 NW Broadway West Linn OR 97068
Electrical: BOB FISHER ELEC 0096275
180 KINGSBURY AVE EUGENE OR 9740400
02/19/92
777-2647
11/26/93
362-5233
07/09/92
656-0339
01/25/98
689-7973
QUAD AREA: SRNW
OCCY GROUP: R3
SQ FOOTAGE: 3341
OFFICE USE --
LAND USE: 1111
CONSTR. TYPE: VN
# OF BLDGS: 1
# OF BDRMS: 3
To request an inspection. call the 24 hour recording at 726-3769.
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.
REQUIRED INSPECTIONS
TEMPORARY POWER
FOOTING - After trenches are excavated,
FOUNDATION - After forms are erected but prior to concrete placement.
UNDERFLOOR PLUMBING - Prior to insulation or decking.
UNDERFLOOR MECHANICAL - Prior to insulation or decking.
POST AND BEAM - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking Wall/ceiling; Prior to cover
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
WATER LINE - Prior to filling trench,
GAS SERVICE - After line is installed and line has been connected to a
minimum of one appliance. Pressure test done at this point.
ROUGH GAS - after line is installed and capped if not attached to an
appliance
ROUGH PLUMBING - Prior to cover,
ROUGH MECHANICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
FRAMING - Prior to cover.
INSULATION - Floor; prior to decking wall/Ceiling; Prior to cover
DRYWALL - Prior to taping.
CURB COT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
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SPAINQFIELD
Job Number: 980209
FINAL PLUMBING - When all plumbing work is complete.
FINAL MECHANICAL - When all mechanical work is complete,
FINAL ELECTRICAL - When all electrical work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Lot Faces: N Total Height: 22
Lot Type: INTERIOR
Setbacks
N S W E
House 64 9 6
Garage 19 7
Page 2
Solar Approved: Y
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
2612
729
$/Square Feet
64.66
16.27
Building Permit Fee
Surcharge/Admin
TOTAL FEE
PLUMBING PERMIT ---
Item
Residential Bath(s)
2
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
-- - MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan 2
wood Stove/Insert/Fireplace Unit
Dryer Vent
GAS LINE & APPL
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
WILLAMALANE SDC
CITY SYSTEM DEVEL
ELECTRICAL PERMIT
TOTAL MISCELLANEOUS PERMITS
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
(A)
= Value
168,892.00
11,861,00
180,753,00
615.25
49.22
664.47
Fee
160.00
160.00
12.80
172.80
6,00
4.50
6.00
4.50
3.00
2.50
26.50
10.00
2.13
38.63
0.00
22.75
15,40
1,000.00
2,906.07
216,00
4.160.22
5.036.12
(C)
(0)
(E)
SPRINOPIELD
/~I'~
Job Number: 980209
Page 3
--- 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: 399.91 Date Paid: 02/18/98
Received By: LORNE PLEGER
Plans Reviewed By: DON MOORE Date: 03/05/98
Building Site Reviewed By: BOB BARNHART
Receipt Number: 28840
--- ADDITIONAL COMMENTS ---
PLANS REVIEWED AND APPROVED BY MORTIER ENGINEERING
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
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
Community Services Division, Building Safety. 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 the site at all times during construction.
~L~
(.~=~ e
~D;!'/1V
-- - VALIDATION
Date Paid:
)~ Dd I
3-&r '7 t
.j S, b 3( (). \ ')---"
"'KiJ
Receipt Number:
Amount Received:
Received By:
.
.
Job. No. S<?,nQ.O'1
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: lf ~),51 ):'='_1_.0 .~
ADDRESS: ~...n'Il. 1.1..\.&1;.
PHONE: _ ll{L\.-~b~()
STATE: ~, ZIP: ""'"11-1.('\'
..
LOCATION OF PROPOSED BUILDING SITE:
9.. Cj'l \Jl C/ ~ &A.A \ ,,~
"
Tax Lot Number:
Plat Name: \.1 () ~&'3.l...l.~
c ). u:t-
OSSCJD
..
Street Address:
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling I
ype definitions are on the back.)
A. SinQIA-Fllmilv DAtllchAd
l Single Family home
, NO. OF UNITS
Manufactured home not in a park
c:.o
X $1,000 per unit = $ \, C~\.
~,.\....
B. ,SinoIA'-Fllmilv Affllched
NO. OF UNITS
X $924 per unit = $
C. ,Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. 1JIIIlnufllcfured Home PIlr:!i
$
$
\\ffi,ED
1
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit =
2. SDC CREDIT (if applicable) SDC-payer must furnish proof of
Willamalane Credit approval. See SOC Credit Worksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit) ,
<:;so
$ \, Ul..l''l
R~R
Development Services Department
City of Springfield
A.. I f}. C\ I <1.. ~
Date
:IXTURE UNIT .CALGULA TIO~TABLE: Number of New Fixtures X U_quivalent = Fixture Units
JOTE: For remodels. calculate only the .ditlOnal fixtures) .
. NUMBER OF UNIT FIXTURE
;XTURE TYPE NEW FIXTURES EOUIVALENT UNITS
athtub..................,....".,..,....,.,.,.,..,.......,........",..." ..
,inking. Fountain,.,......,......"".......,.,.....,.. ............,..
,oor Drain......................................-...... ....................
llerceptors For Grease/OiI/SolidsiEtc.................
lerceplOrs For Sand/Auto WashiEtc..................
lUndry Tub/Clotheswasher..,..,.,.,........,. ....., .., ..,...
,otheswasher - 3 Or More.....................................
10bile Home Park Trap (1 Per Trailerl..................
eceptor For RefrlgeratoriWater StationiEtc........
eceptor For Commercial Sink/Dishwasher/Etc..
~ower, Single Stall.................................................
,ower, Gang..,...,' ".", ..... ,., ....... .........,.".".............
nk: 8ar. Ccmmereial. Residential Kitchen........................
'inal. StalliWall..,......"",.."..""."".,.,......,..."...",...,
ash Basin:Lavatory, Single.....:.~..........................
Jiiel. Pubiic Installation...,.................,..................
Jile! I PriVa!9.......................................... .............
iseel/aneous:
2--
"2....
2-
Z-
TOTAL FiXTURE UNITS
2
1
2
3
6
2
6
6
1
3
2
i/Head
2
2
1
6
4
=
. .. .
-4-
~.
2.:...
~
'2-
9.
2-Z--
,EDIT CALCULATION TABLE: 8ased on assessed value. If improvements occurred after annexation date in table.
iculate credits separates.
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
1 979 or before
1980
1981
1982
1983'
1984
1985
1986
$3,97
3.89
3.83
3,70
3.55
3.39
3.20
2.91
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
Credit for Parcel or Land Only If Applicable
=
Improvement (if after annexation date)
X $
(Rate X Assessed Value)
X $
. (Rate X Assessed Valuel
=
CREDIT TOTAL = $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
hclSidend.3L..:. ..... .......... ....... 0.4
Commerieal.....,....,............., 0.9
Industria/............................ 05
Governmental...................... 0.5
Rate per 51.000
Assessed Value
$2.56
2.17
1.73
1.31
0.92
0.74
0,61
0.45
0.31
0.17
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
. .
. . JOB NO. "1 R6 2.00;
ATTACHMENT A .
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY.
Fu -r {J J2.15
R J.!OMG'''?
LOCATION:
C;oo 1'1 C. K'GIU '2:.16 (' JfU?r. f
DEVELOPMENT TYPE.
S. F, )2. ,
BUILDING SIZE
LOT SIZE
SO. Ft.
1, . STOR,"1 ORA T ,\L~GF
IMPERVIOUS SO FT. 4--"00
x SO. 226 PER SO. FT. s q 71 , BD
2, SA,N IT ARY <; F:~f'R - CITY
NO, OF PFU'S ~~ X 516.86 PER PFU
(See Reverse Side)
$ J.b30,'7z....
,
3. TRANSPORTc;TON
'NO OF UNITS X TRIP RATE X COST PER TRIP
X /, D ( X $472.49
$ .4. 77.2./
X
X $472.49
$
X
X $472.49
$
4. SANITARY SFWFR-MWM(
Dt.l'~
NO. OF r:[j':3 X 27/. 7'- PER FEU + $10 MWMCI ADM FEE $ 2$ 7. 7"-
M~!MC CREDIT IF APPLICABLE (SEE REVERSE) $
TOTAl -MWMC SDC $
SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ 2;7 c, 7.~
5. ADMINISTRATIVF FFFS
BASE CHARGE (SUBTOTAL ABOVE) X .05
$ I 3/?}'l'
LCft
Date: Z. -Z.I-:-""JfJ
SDC Coordi na tor
TOTAl SOC: $ 2, '1",,-, C>7