HomeMy WebLinkAboutPermit Electrical 1996-9-6
.
SPRI"ELD
zoning. and doesl n;t requiro ~POCIf1c Ion
approval.
225 FIFTH STREET Zoning LD~ ELECTRICAL
SPRINGFIELD, OREGON 97477 D"to~ .(~ ,q.iQ.
INSPEctION REQUEST: 726~3769 ' -
OFFICE: 726-3759 Authorized Signature
3.
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Permits are non-transferable and expire
if york is not started yithin 180 days
of issuance or if york is suspended for
180 days,
!
2. CONTRACTOR INSTALLATION ONLY
,
Electrical Contractor JB Electric
Address 1786 Balboa Street
Ci ty Eaoene
Phone 687 - 5770
Supervisor License Number --1Bl2S
Expiration Date
1 n_ LQI;!
.,
PERMIT ~PLICATION
Ci ty Job Number lA\ 0 1Il ?./
""". *
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COHPLETE FEE SCHEDULE BELOV
A.
Nev Residential-Single or
Hulti-Family per dvelling
Service Included:
Cost
Sum
Items
1000 sq.ft. or less '-' $ 85.00 ~5,ao
Each additional 500
sq. ft or portion
thereof $ 15.00 ~o
Each Manuf'd Home or
Modular Dyelling
Service or Feeder $ 40.00
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
$ 50.00
$ 60.00
$100.00
'$130.00
$300.00
$ 40.00
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
--
Constr Contr. Number 84206~~
Expiration Date 6-22-cJ;'1
Sign~tur~f super~~ng Electrician
, >h l..fb tr~ .
Oyners N(.(e9YlslCU 2 i f'ttJen<<lu!tt D.
Address ~l 0 ~f1L'>t.I~Th AtJe....>
City (hJ4~ Phone 4f<4.Ctl11:
OVNER I~STALLATION
The. installation is beirig made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
--------~:-~:~~--------------
-:::?~?3
~/.__:::;.._1_7'
//
DATE:
RECEIPT I:
RECEIVED BY:
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "BU
above
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permi t
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
- T9TM. 3:;b M"/.()
$ 35,00
$ 2.00
not included)
$ 40,00
$ 40,00
$ 20.00
$ 36.00
/&:.0.00
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i
SPRINGFIELD
, I'
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(RESIDENTIAL)
Name or Company: ANSLOW AND DEGENEAUL
Location: 2579 WALNUT RIDGE DR
Developement Type: R Building Size:
Job No,: 961112
Lot Size:
1. STORM DRAINAGE
Impervious Sq Ft 4496 X 0,216 Per Sq Ft =
2. SANITARY SIlWER - CITY
Number Of PFUs 21 X 44,75 Per PFU =
(see Page 2)
3. TRANSPORTATION
Number Of Units
1 X
X Trip Rate
1. 010 X
X
Cost Per Trip
451. 26 =
$455,77
Transportation Total
4. SANITARY SEWER - MWMC
Number Of PFUs
21
Per PFU +
20,690 +
MWMC Admin Fee
10.00
X
X
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SUBTOTAL - (Add Items 1. 2, 3 & 4)
5. ADMINISTRATIVE FEES
Base Charge (Subtotal Above) X
0,50
TOTAL SDC
Reviewed By: TROY MCALLISTER
Date: 08/15/96
Page 1
"~
$971,14
$939,75
$455,77
$444,49
$0,00
$444,49
$2.811,15
$140,56
$2.951. 71
,
Job Number: 961112
I'
Page 2
FIXTURE UNIT CALCULATION TABLE
Fixture Type
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/Oil/Solids/Etc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator/Water Station/Etc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single Stall
Shower, Gang
Sink, Bar, Commercial, Residential Kitchen
Urinal. Stall/Wall
Wash Basin/Lavatory, Single
Water Closet, Public Installation
Water Closet, Private
Miscellaneous
TOTAL FIXTURE UNITS
Number of
New Fixture
Unit
Equivalent
Fixture
Units
2
o
o
o
o
1
o
o
o
1
o
1
o
3
o
2
o
2
1
2
3
6
2
6
1
3
2
4
o
o
o
o
2
o
o
o
2
o
2
o
3
o
8
o
2
2
1
6
4
21
CREDIT CALCULATION TABLE: Based on assessed value, If improvements occured
after annexation date, credits are calculated separately.
(calculations are by $1000)
Year Annexed:
Credit For Parcel Or Land Only If Applicable:
Improvement (if after annexation date) :
o
X
0,00
0,00
o
X
0,00
0,00
CREDIT TOTAL =
$0.00
(If land value is multiplied by 1 then the parcel/land credit is not accurate,)
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SPRINGFIELD
Page 1
RBSIDBNTIAL PBRMIT APPLICATION
CITY OF SPRINGFIBLD
COMMUNITY SBRVICBS DIVISION
BUILDING SAFBTY
Job Number: 961112
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 2579 WALNUT RIDGB DR
Assessors Map #: 17032300
Lot: 18 Block:
Tax Lot #: 01003
Subdivision: RIVER GLEN
~
Owner: ANSLOW AND DBGBNIlAUI:I
Address: 56 EAST 15TH AVENUE
Phone #: 484-007e
City/State/Zip.: EUGENE. OREGON 97401
Describe Work: S.F. RBSIDBNCB
NEW
Const.
Contractor Contractor # Bxpires Phone
General: ANSLOW & DEGENE 0049169 10/16/96 484-0070
56 E 15th Ave Eugene OR 974010000
Plumbing: ABSOLUTE PLUMBI 0067664 07/11/97 345-3055
2235 Arthur Court Eugene OR 9740500
Mechanical: MARSHALLS 0025790 12/23/96 747-7445
4131 E St Springfield OR 974780000
Electrical: JB ELECTRIC 0084200 06/22/97 687-5770
1786 Balboa St Eugene OR 974010000
QUAD AREA: 2RNW
# OF UNITS: 1
CDNSTR, TYPE: VN
SECONDARY HEAT: FP
INSUL PATH: PI
OFFICB USB --
LAND USE: 1111
ZONING CODE: LOR
# OF BDRMS: 4
WATER HEATER: G
SQ FOOTAGE: 2590
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FG
RANGE: E
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,
RBQUIRBD INSPBCTIONS ---
FOOTING - After trenches are excavated.
POUNDATION - After forms are erected but prior to concrete placement.
UNDBRFLOOR PLUMBING - Prior to insulation or decking,
UNDBRFLOOR MECHANICAL - Prior to insulation or decking.
ROUGH GAS - after line is installed and capped if not attached to an
appliance
POST AND BEAM - Prior to floor insulation or decking,
INSULATION - Floor; prior to decking wall/ceiling; Prior to cover
SANITARY SBWER LINE - Prior to filling trench,
WATBR LINE - Prior to filling trench,
STORM SBWER LINE - Prior to filling trench,
ROUGH PLUMBXNG - Prior to cover.
ROUGH MECHANICAL - Prior to cover,
ROUGH BLBCTRICAL - Prior to cover,
BLBCTRICAL SBRVICB - Must be approved to obtain permanent power.
FRAMXNG - Prior to cover.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
DRYWALL - Prior to taping,
CURBCUT - After forms are erected but prior to placement of concrete,
SXDEWALK - After excavation is complete, forms and sub-base material
in place,
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SPRINGFIELD
~.
Job Number: 961112
Page 2
GAS SERVICE - After line is installed and line has been connected to a
minimum of one appliance, Pressure test done at this point,
PINAL PLUMBING - When all plumbing work is complete,
PINAL ELECTRICAL - When all electrical work is complete,
PINAL MECHANICAL - When all mechanical work is complete,
PINAL GAS - When all gas work is complete,
PINAL BUILDING - When all required inspections have been approved and
the building is complete,
Lot Faces: N
Setbk From NPL: 40
Lot Sq, Ft,: 9690
Solar Approved: Y
Total Height: 24
Lot Type: CORNER
House
Garage
N
15
Setbacks
S W
14
E
6
18
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x $/Square Feet
Value
0,00
0,00
250,000,00
Building Permit Fee
Surcharge/Admin
772,75
61.82
TOTAL PEE
(A)
834.57
--- SYSTEMS DEVELOPMENT CHARGE (SDC) ---
(B) 2,951. 71
Systems Development Charge is due on all undeveloped properties within the City
limits and the Citys Urban Growth Boundry which are being improved,
PLUMBING PERMIT ---
Item
Residential Bath(s)
3
Fee
192,50
Plumbing Permit
Surcharge/Admin
192.50
15.41
TOTAL CHARGE
(Cl
207,91
- - - MECHANICAL PERMIT - - -
Furnace
Exhaust Hood
Vent Fan
Wood Stove/Insert/Fireplace Unit
Dryer Vent
GAS LINE & W/H VENT
4
6.00
4.50
9.00
15,00
3,00
5,00
Mechanical Permit
Issuance
Surcharge/Admin
42,50
10,00
3,41
TOTAL PERMIT
(D)
55.91
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
0.00
40.60
15.40
Job Number: 961112
Page 3
WILLAMALANE S/D/C'S
1,000.00
TOTAL MISCELLANEOUS PERMITS
(E)
1,056.00
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE - - -
(A, Bt C, 0, and E combined)
~(eA<:. /::'<'I~, IT
5,106.10
/72-,&0
52 tf!::>.9D
--- 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: 500,83 Date Paid: 08/13/96
Received By: LORNE PLEGER
Plans Reviewed By: BOB BARNHART Date: 08/28/96
Building Site Reviewed By: LISA HOPPER
Receipt Number: 22853
--- ADDITIONAL COMMENTS ---
REQUIRES SEPERATE ELECTRICAL PERMIT, REQUIRES APPLICATION FOR 2ND
DRIVEWAY SIGNED
DRIVEWAY REQUIRED TO BE PAVED
5 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.
'-...//~ ~//
~ ~~_/
Signature
ItJ-Y~7,
Date
--- VALIDATION
Date Paid:
2'3~?3
",-y-~c.
~?B. "?&>
r2~
'/-
Receipt Number:
Amount Received:
Received By:
'.
..
Job. No.
C\\otU~
NA~~)l- SYSTE:~f.'i c:::::.1Y,4roi . ~
ADDRESS'.~,-" 'l~~ STATE: fJrLZIP:fJJ1o/
LOCATION OF PROPOSED BUILDING SITE:
Street Address: r<J~t"Jq LJ~ Bar-:. ~) .
Plat Name:~)t1\e.n Tax Lot Number: 11031:So~CQ3
1. DEVELOPMENT TYPE (Check appropriate dwelling(s), sac calculations and dwelling t
ype definitions are on the back,}
A. ,S,inoIA-F8milv DAt8ChAq
l Single Family home
NO. OF UNITS l
B. Sinale-Familv Attached
NO. OF UNITS
C. Multi-Familv Aoartment
NO, OF UNITS
D. Manufl'jr;tured HomA P8rk.
NO. OF UNITS
WILLAMALANE SDC
Manufactured home not in a park
X $1.000 per unit =; $ -11)../JO. {D
X $924 per unit = $
X $692 per unit = $
X $699 per unit =
$
tOOO.OO
ff
lDf)D .00
'.
$
2. SDC CREDIT (if applicable) SDC-payer must tumish proof 01
Willamalane Credit approval. See sac Credit Worksheet. $
3. TOTAL WILLAMA
(il SDC reduced I r Credil)
--.~ \ {
Development Se
City of Springfiel
$
., I q
Date
I
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