HomeMy WebLinkAboutPermit Electrical 1996-1-23
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The 101l0wlng project as submlttad J::~~ ~':'
zoning. and does not reqUire spec
225 FIFTH STREET approval. (? ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 z' \- \) a -/
INSPECTION REQUEST: 726-3769 \ O;'~.q ~ City Job Number / S/ S S- I
.oFFICE: 726-3759 Dale - -
. . . ad S.\g Iura -:9 () C,OHPLETE FEZ SCHEDULE BEWV
1. ~TI'oN'oP IN51~T_onz . na - \'
~'). 7 ~ ~2/~ ('}N1hC A. New Residential-Single or
. . Hulti-Family per dwelling unit.
Service Included:
~
Sum
. ~ DESCRIPTI,ON
J'lt93 ::2-~"Q
Cost
~/ob~
Items
$ 85..0.0 915" eo
1.0.0.0 sq. f t. or less t.--
Each additional 5.0.0
sq. ft or portion J/
thereof. . '7- .
Each Hanuf'd Home or '
Hodular Dwelling
Service or Feeder
J,OB DESCRIpog;,ON .
<, t A"~-
- I. - " .
Permits are non-transferable and expire
if work is not star.ted within 18.0 days
.of issuance or if work is suspended for
18.0 days.
2. CONTRACTCR INSTALLATI,ON ,ONLY B.
Electrical Contractor~AJ Ai~. fLEci'i/!/C-
Address '2-( 0 ( ,u II--L-L-I S
City pO [.. thJ & Phone b 'if 7 - r 3 C:. Z-
. Supervisor Licen.se Number 3 () c..{ I Ai
Expiration Date 10 -/- '9 r:;-
Constr Contr. Number 7 37 (, 2-
Expiration Date (;,.-[.-:'7 c:;--
$ 15..0.0 ~~.
$ 4.0..0.0
Services or Feeders
Installation, Alterations
or Relocation:
$ 5.0..0.0
$ 6.0.00
$1.0.0..0.0
$13.0..0.0
$3.0.0..0.0
$ 4.0..0.0
2.0.0 amps or less
2.01 amps to 4.0.0 amps
4.01 amps to 6.0.0 amps
6.01. amps to 1.0.0.0 amps
Over 1.0.0.0 amps/volts
Reconnect .only
Temporary Services or'Feeders
Installation, Alteration or Relocation
2.0.0 amps or less V $ 4.0..0.0 40
2.01 amps tQ4CO amps $ 55.00 1
.over 4.01 to 60.0 amps . $ 80..00
Over 6.0.0 amp~,or 1.0.0.0 volts' see "B" above
C.
SigDa~)7of s~ervising Electrician
~/ ~J'" --
D., Branch Circuits
.~
.owners N8f1e.
Address
, .
New, Alteration' or' Extension Per Panel
One Circuit
Each Addi tional . .'
Circui.f.or w.ith Service.
. or Feeder.Pe.rmi t
$ 35..00
. Phone'
City
$ 2..0.0
OVNER INSTALLATI.oN
E. . Hiscellaneous (Service/feeder not included)
~~ach installation .
Puinp or. irrigation $40..00
Sign(Outline Lighting' $ 4.0..0.0
Limited Energy/Res $2.0. .0.0
. . Lillii tedEnergy/Comm $36.60
SuBTOTAL.oP'ABOVE . . pJ.S ~
5% State Surcharge ' .,.... ~f,' '.
..T()T~ ..'... . . ...-----r. (J?,o
." .... ..... .... ...., c .
+'~PhM~\{\'te-~ ". . . -'
The installatiohis beirig made on
property.I own ,which is not intended
for sille, lease or ren t .
lMt,ers Signature:
185"
"f,7t
.;'.~
.199.86
5..
DATE: I /2.. "l~' .
RECEIPT I: . '...'2b/~/
RECEIvED BY: ~.i5J::r'._ .
If .--.. -.
.. .
.
.
CITY OP SPRINGPIELD SYSTEMS DEVELOPMENT CHARGE
(COMMERCIAL / RESIDENTIAL)
Name or Company: ANSLOW & DEGENEAULT
Location: 927 MCKENZIE CREST DR
Developement Type: R Building Size:
Job No.: 951551
Lot Size:
1. STORM DRAINAGE
Impervious Sq Ft 3708 X 0.210 Per Sq Ft =
2. SANITARY SEWER - CITY
Number Of PFUs 25 X 43.43 Per PFU =
(see Page 2)
3. TRANSPORTATION
Number Of Units
1 X
X Trip Rate
1. 010 X
X
Cost Per Trip
437,93
$442,31
Transportation Total
4. SANITARY SEWER - KWHC
Number Of PFUs
25
Per PFU +
18,750 +
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 PEES
Base Charge (Subtotal Above) X
0,50
TOTAL SDC
Reviewed By: TROY MCALLISTER
Date: 09/29/95
Page 1
~
Sq Ft
$778,68
$1,085.75
$442.31
=
$478.75
$0.00
$478.75
$2,785.49
$139.27
$2,924.76
.
.
Job Number: 951551
.
FIXTURB UNIT CALCULATION TABLB
Page 2
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
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
3
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
12
o
2
2
1
6
4
25
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured
after annexation date, credits are calculated separately.
(calculations are by $1000)
Year Annexed: 0
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.)
SPRINGFIELD
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 951551
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 927 MCKENZIE CREST DR
Assessors Map #: 17032300
Lot: 19 Block:
Tax Lot #: 01003
Subdivision: RIVER GLEN
-<<
,\
Owner: ANSLOW & DEGENEAULT
Address: 56 EAST 15TH AVENUE
Phone #: 484-0070
City/State/Zip: EUGENE, OREGON 97401
Describe Work: S.F. RESIDENCE
NEW
Canst.
Contractor Contractor # Expires Phone
General: ANSLOW & DEGENE 0049169 10/16/95 484-0070
56 E 15th Ave Eugene OR 974010000
Plumbing: ABSOLUTE PLUMBI 0067664 07/11/96 345-3055
2235 Arthur Court Eugene OR 9740500
Mechanical: MARSHALLS 0025790 12/23/95 747-7445
4131 E St Springfield OR 974780000
Electrical: BINNS ELECTRIC 0073762 06/06/96 687-1362
210 Wallis Str Unit #C Eugene OR 97
QUAD AREA: 2RNW
# OF UNITS: 1
CONSTR, TYPE: VN
SECONDARY HEAT: FP
INSUL PATH: Pl
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
WATER HEATER: G
SQ FOOTAGE: 2800
# 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,
~~~~ ~~~~ REQUIRED INSPECTIONS ---
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,
ROUGH PLUMBING - Prior to cover.
ROUGH MECHANICAL - Prior to cover,
ROUGH ELECTRICAL - Prior to cover,
FRAMING - Prior to cover.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
ROUGH GAS - after line is installed and capped if not attached to an
appliance
DRYWALL - Prior to taping,
ELECTRICAL SERVICE - Must be approved to obtain permanent power,
FINAL GAS - When all gas work is complete,
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place,
* No oCCP~ t1VTI? IIi/~Cf!lde If ~ 470172f
*' ;10 Ja:v~ ~-vjJ 4#71C- /tCe.4I;t!I ~r (;'11
Job Number: 951551
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
Topography: 2
Solar Approved: Y
Lot Sq, Ft,: 9267
Total Height: 21
Lot Type: INTERIOR
Setbacks
S W E
6
Page 2
Lot Coverage: 30 \
Setbk From NPL: 48
N
House
Garage 20
12
Item
Main
Garage
Total Value
BUILDING PERMIT
Square Feet x
2250
550
$/Square Feet
56,2
14,1
Building Permit Fee
Surcharge/Admin
TOTAL FEE
(A)
--- SYSTEMS DEVELOPMENT CHARGE (SDC) ---
Value
126,450,00
7,755,00
134,205,00
511,75
40,94
552.69
(B) 2,924.76
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
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
(C)
- - - MECHANICAL PERMIT - - -
Furnace
Exhaust Hood
Vent Fan
Wood Stove/Insert/Fireplace Unit
Dryer Vent
o
Mechanical Permit
Issuance
surcharge/Admin
TOTAL PERMIT
(D)
--- MISCELLANEOUS PERMITS
Surcharge/Admin
Sidewalk
Curb Cut
ELECTRICAL PERMIT
WILLAMALANE SDC
TOTAL MISCELLANEOUS PERMITS
(E)
Fee
192,50
192,50
15,41
207.91
7,50
4,50
12,00
15,00
3,00
47,00
10,00
3,76
60.76
0,00
23,80
14,50
..l56, 68 1~.1iIc
1,000,00
1,194.90
Job Number: 951551
Page 3
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
4.!.?11.ez....
'I1g ~ 22
--- 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: 332,64 Date Paid: 09/28/95
Received By:
Plans Reviewed By: DUANE HUSSEY Date: 10/18/95
Building Site Reviewed By: LISA HOPPER
Receipt Number: 19151
- - - ADDITIONAL COMMENTS - - -
PATH 1
DRIVEWAY REQUIRED TO BE PAVED
3 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.
~
~
//QJ/76
Date
Signature
--- VALIDATION
Date Paid:
2-0 I ~ I
J/.2.':3/1~
, I
~~1,':2-2-
~~
- i. -
Receipt Number:
Amount Received:
Received By:
.
f:
~. ,
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: .,-",.1f\~\tlIJJ4 ~ (~(\.ru('\II O:l PHONE: M-A.f'l1J()
ADDRESS: ftJ) ,~O.. \tnff\. t\t -Q.1 EalsTATE:~2JP: C{1401
LOCATION OF PROPOSED BUILDING SITE:
Street Address: q?...D ^,^-Q,fuJ\:t-io, ~J10nt-J DtiD€-
Plat Name: ~\\)~1{(1\~r\ u Tax Lot Number: \'"\(,\302CO n\fY'J3k.a.
1. DEVELOPMENT TYP~ (Check appropriate dwelling{s). SDC calculations and dwelling t
ype definitions are on the back.)
,
Job. No.
ct~\~~I'
.
A. Sinnle-Familv DetacheQ
\ Single Family home
, NO. OF UNITS \
Manufactured home not in a park
X $1,000 per unit = $ ~
B. Sinale-Familv Attached
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
.. "
. .
NO. OF UNITS
. X $6~2 per unit = $.
" .'
. .:.:. '-
"':: D. Manufactured Home Pads ' , '. .,' '.
. . ';,:<,{>~..,:.._" ..... - ....:: / .\~(>~ ~'. .;~." ::... , . '".
,c . .'::',;<~/.' NO. OF UNITS .'X: $699 pel"i.mif"";;; . . $. .
. .:;:<':'~fL"L~~ALANESDC ":.' .':;" ',. .,..,.< $ \N\.D',DO
'. .,',..,:;:;.;.',.. .' ..... 'g'
. .~ .
2. shc CREDIT (il applicable) SDC-payer must iumfsh 'prool oi: ~.'
" . "'c': "WiUamalane Credit approval. See SOC Credit' Worksheet. "'. $
. ~ ~'. " '. ",.. . .; ":':." .' \~' ",., ,,' ';'. .!' ,
_ 3:'Tc9~A~WILLAMALANE NET SDC ~~~E'$.5.*'t?,: ..'.~, .: .,., T'VY\ (])
: . (II SDC reduced lor Credit) . .' '.. ,. $' \, \Jut}. .
\\:* -) ~\2t(7'" . ">i ; 3/ 7(;;'
. Development\ervice~ ~epartment Date
City of Springfield
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