HomeMy WebLinkAboutPermit Electrical 1997-8-19
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974 j?JU\o'Ued Signature (\ r'Vl
726-3769
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. AOg,TION ,0fAWSTALLi\TI~ L f\v'
v.. ~~--l.MUO (\"':71 0 M,I'\\ \.M
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Permi are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
Si~~ of supe~ Electrician
, ~D
Ovners 1 ~_ug _ l X\ .
Address I R.t;.*I1:> I~ .
City~(\O _ Phone~S.~1')0
~TALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------
L\
$./':7 '7::>
""',,"Ul 11: 7?/2~
RECEIVED BY: ~
DATE:
ELECTRICAL PERMIT t{PLI1'lr}ON
-----Ci ty~ Job Number '-'\ ~ \ ~<6
3.
COMPLETE FEE SCHEDULE BELOW
Nev Residential-Single or */
Multi-Family per dvelling uni t. '. '
Service Included:,
Items Cost. Sum
A.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dvelling
Service or Feeder
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
C.
\
~
$ 85, 00 ~ ~
$ 15.00 -.TI
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAl.
200 amps' 'or less l
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00 .1:Q
$ 55.00
$ 80.00
see "B" above
Nev, Alteration or Extension Per Panel
"
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation 40.00
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical contract~'tJ-\;.\\'f\O( (\.oct-
Address \ ~C'J '{\(Y'~~ h~~
Ci ty f t'1 na..... , ~onel1~ .1:t1':)
Supervisor License Number '?lC\~~
Expiration Date \ () . \ . CVl
Constr Contr. Number C\\~f)~
Expiration ~ate \, ~~ .C\'t1
SPRINOPIELD
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 971128
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 955 MCKENZIE CREST DR
Assessors Map #: 17032344
Lot: 22 Block:
Tax Lot #: 06700
Subdivision, RIVER GLEN
~
Owner: .u.u~E B HOMES Phone #: 485-3176
Address: 3593 RIVER POINTE DRIVECity/State/Zip: EUGENE, OREGON 97408
Describe Work: S.F. RESIDENCE NEW
Const.
Contractor Contractor # Expires Phone
General: FUTURE B HOMES 0036499 05/18/98 485-3176
3593 River pointe Dr Eugene OR 9740
Plumbing: CUSTOM PLUMBING 0081994 05/06/98 485-1146
3248 Kentwood Dr Eugene OR 97401000
Mechanical: ROLFS HEATING 0102455 10/04/97 686-4927
PO Box 66 Dexter OR 974310000
Electrical: BOB FISHER ELEC 0096275 01/25/98 689-7973
180 Kingsbury Ave Eugene OR 9740400
QUAD AREA: 2RNW
# OF UNITS: 1
CONSTR, TYPE: VN
WATER HEATER: G
SQ FOOTAGE: 3154
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FG
INSUL PATH: Pl
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,
POST AND BEAM - Prior to floor insulation or decking.
UNDERFLOOR MECHANICAL - Prior to insulation or decking,
UNDERFLOOR PLUMBING - Prior to insulation or decking,
ROUGH GAS - after line is installed and capped if not attached to an
appliance
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
WATER LINE - Prior to filling trench,
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
ROUGH MECHANICAL - Prior to cover.
ROUGH PLUMBING - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power,
FRAMING - Prior to cover,
SHEAR WALL NAILING - Before covering sheathing with finish materials,
GAS SERVICE - After line is installed and line has been connected to a
minimum of one appliance. Pressure test done at this point.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
DRYWALL - Prior to taping.
SIDEWALK - After excavation is complete, forms and sub-base material
in place,
SPRINGFIELD
~-
Job Number: 971128
CURBCUT - After forms are erected but prior to placement of concrete.
FINAL PLUMBING - When all plumbing work is complete,
FINAL MECHANICAL - When all mechanical work is complete.
FINAL GAS - When all gas 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,
Page 2
Lot Faces: E
Setbk From NPL: 40
Lot Sq, Ft,: 8424
Solar Approved: Y
Total Height: 23
Lot Type: INTERIOR
House
Garage
N
9
Setbacks
S W
19
E
6
18
Item
Main
Garage
Total Value
BUILDING PERMIT
Square Feet x
2275
879
$/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 3
Wood Stove/Insert/Fireplace Unit
Dryer Vent
GAS LINE & W/H VENT
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
WILLAMALANE s/n/c's
s/n/c's
ELECTRICAL PERMIT
TOTAL MISCELLANEOUS PERMITS
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
(A)
= Value
147,102.00
14,301. 00
161,403,00
572.50
45,81
618.31
Fee
160.00
160,00
12,80
172.80
12,00
4.50
9,00
4,50
3.00
5.00
38.00
10,00
3,04
51. 04
0,00
24.25
14.50
1,000.00
2,777,93
216,00
4,032.68
4,874.83
(C)
(D)
(E)
SPRINGFIELD
Job Number: 971128
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: 372.13 Date Paid: 07/25/97
Received By: LISA HOPPER
Plans Reviewed By: BOB BARNHART Date: 08/19/97
Building Site Reviewed By: LISA HOPPER
Receipt Number: 26851
- - - ADDITIONAL COMMENTS - - -
PATH 1,
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 ORB 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,
i9~
fipJD
--- VALIDATION
Receipt Number:
-;::>? /~t::-
Date Paid:
B,/'?-9?
Y.8?y.g~
Amount Received:
Received By:
/2.~~....& e::=
//'
r-,
A JOB NO. q7N ?P.
~ ATTACHMENT A ~
CITY OF SPRINGFIELD SYSTEMS DEVELO~ENT CHARGE
WORKSHEET
NAME OR COMPANY:
F U/l1l?r.:: R I-LnMF.<;
LOCATION
Cf c:;c:; H (" I( ,1J? I;:: (' I2.G<(T
DEVELOPMENT TYPE:
"5 F, l2' ,
BUILDING SIZE:
lOT SIZE
SO, Ft,
1. STORM ORA H1P-r; F
IMPERV IOUS SO, FT, ~ 7 r:, ()
X $0,226 PER SO, FT, $ 8~~~
2. SANITARY SFWFR-crTY
NO, OF PFU' S :z. 2-
(See Reverse Side)
X $46,86 PER PFU
$ 1, 1)30,QL
3. TRANSPORTATION
'NO OF UNITS X TRIP RATE X COST PER TRIP
\
X 1,01 X $472.49
$ 477. 21
. X
X $472,49
$
X
X $472.49
$
4. SANITARY SFWFR.MWMC
. J2v
NO, OF H:tf S
oU
. X 271.7'- PER .fEij + $10 MWMCI ADM FEE $ 2 R7~
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
$ -b).-
TOTAl -MWMC "OC $-e-
SUBTOTAL (ADD ITEMS 1.2,3 & 4) 12..h4c;-,r_"
5, 8QtlU1ISTRATIVF FFJE2
BASE CHARGE (SUBTOTAL ABOVE) X .05
. $ 132. , 2~
f){J
Date: 7-2.9-9 "7
SDC Coordinator
TOTAL SOC $ 2, 777.Q3 '
. t Ii" VllL... vnu. \,.,ML,.\""V'4' 'VI'4 I MUL..&.... j~umoer or I~ew r~s X Unit Equivalent = t=ix[ur~.Unfts
(NOTE: For remodels, calculate he, NET additional fixturesl" '
, NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub,."""""".",..,.",."",.""""""""""""."..",..,.. .
Drinking. Fountain, ,....,,,..,,,, ,...,'.""" ".. ........,.", ,...,""
Floor Drain, ,.",:. ," ,.. ....... .....,..,.."., ,. ....,.. '.......,., ,......,
Interceptors For Grease/Oil/Solids/Etc........,.......,
Interceptors For Sand/Auto WashiEtc.....,...,..,.....
Laundry Tub/Clotheswasher, ,.."...." '..........,..,...,....
Clotheswasher . 3 Or More....,..,......,...........,.....,....
Mobile Home Park Trap (1 Per Trailer),.................
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 BasiniLavatory, Single..,.",..,...................."..
Toilet, Public Installation,.."."""...".. ,...... '...., "...' ,.
Toilet, Private.....,..............."".,....,.......,.......,.......
Miscellaneous:
'2-
2
1
2
3
6
2
6
6
1
3
2
1/Head
2
2
1
6
4
"2-
'Z..
Z-
TOTAL FIXTURE UNITS
=
CREDIT CALCULATION TABLE,
calculate credits separates,
I
.(..
4-
"-
z..
~
g
'2..7-
,-,...
Based on assessed value, If improvements occurred after annexation date in table,
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
1979 or before
1980
1981
19B2
1983'
19B4
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
Rate per $1 ,000
Assessed Value
$2,56
2,17 .
1.73
1.31
0.92
0.74
0.61
0.45
0.31
0,17
-r
Credit for Parcel or Land Only If Applicable
=
X $
(Rate X Assessed Value)
, X $
, (Rate X Assessed Value)
Improvement (if after annexation date)
=
CREDIT TOTAL = $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
"
ResidentiaL:.......".............. 004
CommericaL,............"......... 0,9
IndustriaL,.......................... 05
GovernmentaL..................." 0,5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
-
-
Job. No.
C\~\\~
SYSTEM DEVELOPMENT CHARGE
\ ~ \ . WORKSHEET ,
NAME: ~u..Q ~~l): PHONE: 4t'S .:)\1l1J
ADDRESS: ~~~~ \ .t11}fY\ r)iJ1t;STATE:\~X2...zIP: (\14{)~
LOCATION OF PRO'(frED BUILDING SITE: . (\
Street Address: \J\.CQ~ S'\\~t:iD, \- \0 It , \Jx- .
Plat NamE\.;~~loJ\1-~, ~ M.1t Tax LDt Number: ''l ()~!d..3L\4C'\d:\tb
.\
L
1. DEVELOPMENT TYPI". (Check appropriate dwelling(s), SDC calculations and dwelling t
ype definitions are on the back.)
A. f>inolp.-F~milv Dp.t~r.hp.rl
\ Single Family home
NO. OF UNITS \
, B. SinQlt>-Fl'lTliJlI Att~r.hp.rl
NO. OF UNITS
C. Multi-Familv Aoartment
NO. OF UNITS
D. M~nuf~cturP.rl Homp. P~rk.
NO. OF UNITS
WILLAMALANE SDC
Manufactured home not in a park
X $1,000 per unit = $ --!frO .~
X $924 per unit = $
X $692 per unit = $
X $699 per unit = $
$ \ DOD ,00
d
$ l CX1) ,00
2. SDC CREDIT (if applicable) SDC.payer must fumish proof of
Willamalane Credit approval. See SDC Credit Worksheet.
$
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
~~l f)
DevelDpme t Se I es'Department
City Df Springfield
.8 I /*3 I ~::>
Date