HomeMy WebLinkAboutPermit Electrical 1995-12-12
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ZO~in~ R.J ELECTRICAL PERllIT APPLICATION
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225 FIFTH STREET.
SPRINGFIELD, OREGON 97477 0"'.
INSPECTION REQUEST: 726-~769
OFFICE: 726-3759 uthorlz!!d SIgnature
/')~ City Job Number
~~uMru.l'E FEE SCHEDULE BELOII
1. Cf~ 1:f"~1Yf?ij) ~.
LEGAL DESCRIPTION
~ ~B l~~~ ,'l8.'lLoEf
Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor BOB FISHER
Address 1 RO IllMGSRfTRY r.VFNTTF
Ci ty -EL'''''>!''
Phone fiR9- 7..9.71
Supervisor License Number -3915~
Expiration Date lO_l_QQ
Constr Contr. Number 96275
Expiration Date
1_7"_QI;
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The installation is being made on
property I own vhich is not intended
for sale, lease or rent,
Owners Signature:
---------------------------------------
DATE:
RECEIPT ~:
New Residential-Single or
Multi-Family per dvelling
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dvelling
Service or Feeder
unit.
Items
Cost Sum
$ 85.00 ~
$ 15.00 15
$ 40.00
5
.B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amI's to 600 amps $100.00 ..
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Miscellaneous (Service/feeder
-Each installation
Pump or irrigatioo
Sign/Outlioe Lighting
Limited Energy/Res
Limited Energy/Comm
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
E.
5.
SUBTOTAL OF A~OVE
5% State Surcharge
3% Administrative Fee
Signature of Supervising Electrician
~4-p. :f-.ML
\ \l '\. \\l.. ~""'" /\ ~ Branch Circui ts
Owners Name ~~~~~,.~
'1' nr.:L \\..,., _-\- New Alteration or Extension Per Panel
Address C)~~ -,"1 \ ' \)..ClJ: ':{ ~ \.;\Q..J ,
City_ r\<)~I\Q. Phone ~~'~\llo ~~~hC~~~~~~onal
Circuit or vith Service
OIlNER IN LATION or Feeder Permit
$ 40.00
$ 55.00
$ 80.00
see "Bft
above
$ 35.00
$
2,00
no t . included 1
$ 40.00
$ 40.00
$ 20.00
S 36,00
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. SYSTEM DEVELOPMENT CHARGE
. WORKSHEET .
NAME: ~1-HlO)l ~,~l~9,Lv_PHO'NE: 4~C:)'~\llo
ADDRESS: --D ~C\ ~ '- ~\lil( \-h\n1tsTATE: lle.ZIP: Gl4f2'
Job. No.
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LOCATION OF PROPOSED BUILDING SITE: . (\. _.\-
Street Addres(-Z C\t691 ~'i.nl\11~ ~ .
Plat Name:~~~U.)(NU1'-.. Tax Lot Number: 4f')O'3Q.?1X)(j\(X;6
1. DEVELPPMENT TYPE (Check appropriate dwelling(s), SDC calculations and dwelling t
ype definitions are on the back,)
A. ~inIJIA-Fllmilv DAtllr.hAn
Single Family home
Manufactured home not in a park
X $1,000 per unit = $ \ fYf) ~
. NO. OF UNITS
B. ,Sj,ngIA-l=l'lmilv ...Att~"hA1
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartrnent
NO. OF UNITS
X $692 per unit = $
D. t.A;:mlJfllc!lJrArI HornA Park
$
$
UYD~
o
$ ~\(() po
NO. OF UNITS
WILLAMALANE SDC
X $699 per 'unit =
2. SDC CREDIT (if applicable) SDC-payer must furnish proof of
Willamalane Credit approval. See SDC Credit Worksheet.
$
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit
I I
Date
SPRINGFIELD
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Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 951849
225 North Fifth Street
springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 958 MCKENZIE CREST DR
Assessors Map #: 17032300
Lot: 9 Block:
Tax Lot #: 01003
Subdivision: RIVER GLEN
~
owner: FUTURE 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 HOME 0036499 05/18/95 485-3176
3593 River pointe Dr Eugene OR 9740
Plumbing: CUSTOM PLUMBING 0081994 05/06/96 485-1146
3248 Kentwood Dr Eugene OR 97401000
Mechanical: ROLFS HEATING 0102455 10/04/96 741-0002
PO Box 66 Dexter OR 974310000
Electrical: BOB FISHER ELEC 0096275 01/25/96 689-7973
180 Kingsbury Ave Eugene OR 9740400
QUAD AREA: 2RNW
# OF UNITS: 1
CONSTR, TYPE: VN
SECONDARY HEAT: FP
INSUL PATH: PI
OFFICE USE --
LAND USE: 1111
ZONING CODE: LOR
# OF BDRMS: 4
WATER HEATER: G
SQ FOOTAGE: 3276
# 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 ---
POOTING - 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.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
ROUGH GAS - after line is installed and capped if not attached to an
appliance
GAS SERVICE - After line is installed and line has been connected to a
minimum of one appliance. Pressure test done at this point.
FRAMING - Prior to cover.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
DRYWALL - Prior to taping.
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,
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Job Number: 951849
Page 2
Lot Faces: W,
Topography: 2
Solar Approved: Y
Lot Sq. Ft,: 11894
Total Height: 20
Lot Type: CORNER
Setbacks
S W E
15 33
18
Lot Coverage: 27,54%
Setbk From NPL: 45
N
House 14
Garage
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
2769
507
$/Square Feet
56.2
14.1
Value
155,618.00
7,149,00
162,767,00
Building Permit Fee
Surcharge/Admin
574,75
45,98
TOTAL FEE
(A)
620.73
--- SYSTEMS DEVELOPMENT CHARGE (SDC) ---
(B) 3,393.37
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
(C)
207.91
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
4
6,00
4.50
12.00
3,00
Mechanical Permit
Issuance
surcharge/Admin
35,00
10,00
2.80
TOTAL PERMIT
(D)
47.80
--- MISCELLANEOUS PERMITS ---
surcharge/Admin
Sidewalk
Curb Cut
WILLAMALANE SDC
ELECTRICAL PERMIT
PLAN REVIEW FEE
0.00
41. 05
17,20
1,000,00
172,80
80,00
TOTAL MISCELLANEOUS PERMITS
(E)
1,311.05
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
5,580.86
- -- 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.
SPRINGFIELD
Job Number: 951849
Page 3
Received By:
Plans Reviewed By: DON MOORE Date: 12/11/95
Building Site Reviewed By: LISA HOPPER
- - - ADDITIONAL COMMENTS
PATH 1
DOUBLE DRIVEWAY PERMIT APPROVED BY TRAFFIC
DRIVEWAY REQUIRED TO BE PAVED
5 STREET TREES REQUIRED
By signsture, 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.
~~
~~...~V.o...i",,, 12. ~IL.- 'ir
Sig~atG ~ Date
--- VALIDATION
Date Paid:
1-:9~/
/'2_/2.9-5"
? 5' i$CJ..fit6
.//r~ - .oz
~// .
Receipt Number:
Amount Received:
Received By:
4 ...0:-....
SPRINGFIELD
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CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(RESIDENTIAL)
Name or Company: FUTURE B HOMES
Location: 958 MCKENZIE CREST DR
Developement Type: R Building Size:
Job No,: 951849
Lot Size:
1. STORM DRAINAGE
Impervious Sq Ft 5241 X 0.210 Per Sq Ft =
2. SANITARY SEWER - CITY
Number Of PFUs 27 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 - MWMC
Number Of PFUs
27
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 FEES
Base Charge (Subtotal Above) X
0.50
TOTAL SDC
Reviewed By: TROY MCALLISTER
Date: 12/04/95
Page 1
Sq Ft
$1,100,61
$1,172.61
$442,31
=
$516,25
$0,00
$516.25
$3,231. 78
$161. 59
$3,393.37
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Job Number: 951849
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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
5
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
5
o
12
o
2
2
1
6
4
27
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 c
$0.00
(If land value is multiplied by 1 then the parcel/land credit is not accurate,)