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Home My WebLink AboutPermit Electrical 1991-10-9 ~ 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECfION REQUEST: 726-3769 OFFICE: 726-3759 3 . COHP~E FEE SCHEDULE BELOV , A. New Residential-Single or Hulti-Family per dwelling unit. Service Included: 1. LOCATION OF INSTALLATION 7.?9~ ,.K.?#'/h" ~r . LEGAL DESCRIPTION /702 3S3yC)t, '511 ~OB DESCRIPTIQN ,{/t?rZotk(Ld ff CAM~ /0 ~~Avl- Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Modular Dwelling Service or Feeder $ 85.00 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. $ 15.00 .' '~.'. r j .&: . ',. '\l $ 40.00 2. CONTRACfOR INSTALLATION ONLY B. ,Services or Feeders -Installation, Alterations or Relocation: Electrical Contractor IN~/LA'-"/,",) BE?::? Address 'J C:;S W:2~ City f ALf'/.o Phone Ll5?5-3~3'~ Supervisor License Number -zS6~ "'i 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 Expiration Date 1,7) '- ) - '1 2- Constr Contr. Number 5"? 6 c:?J = / - 2-.7 -7 "2- C. Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see "8" dl~/~ ;Cners Nallie --J~)11't -I-I~ ~e - /(/'0 J./ 7 ~ Address " I UI above ' D. Branch Circuits New, Alteration or Extension Per Panel One Circui t / Each Additional Circuit or with Service or Feeder Permit ~ $ 35.00 "),S- Ci ty ~I"-"- Phone ;')'('(.0 JOY . OWER INSTALLATION $ 2.00 /@.-=> The installation is being made on property I own which is not intended for sale, lease or rent. E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 Owners Signature: 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL ~ o,,:s. Z4:;S"" 5:'~.hS- DATE:__ . /.CJ-7-?( !lr."".ll'.l I: --::2'/.s:fr"2.... _ RECEIVED BY: ./ ~ ~---~4}" ....~. ,.. ---r:' . t .r ,.. ~ . ffi(\li\ . COMM ERCIALlI N DUSTRIAL PERMIT APPLICATION 225 Fifth Street, Springfield, Oregon 97477 LOCATION OF PROPOSED WORK:. fl.DQ ~ ASSESSORS MAP \,(Y)":'~n~4 . JOB NUMBER q\f'Q 2.'2... INSPECTION LINE: 726,3769 OFFICE: 726.3759 ~~Qot . TAX LOT CSl cd \ \ OWNER: \< \.. f\J) - C:\- \~ " PHONE \4: 1-8.4~ ADD~ESS:' (!J d ~ - l~ \.1}tJlQ..QI 0 CITY: Qf))\ill() -1,-{' 0 Q.f"1 STATE: (_1") ZIP: -.0.4 II, \ ,. ~\ \ . - . ~ DESCRIPTION OF WORK: \" X Q [)fl\)({ i"\()(\ ~ (' V n J:'.I:Vl ()~~ \} t NEW REMODEL~- A~;ITION DEMOLISH - OTH~; VALUE' ~'YJ: NAME ADDRESS PHONE ~~2 ARCHITECT' CONST. 0JiADD42\1I\t:& NoUOtt)Rt~5iA~ 4~~q~ lo~~~OO. f\ ~ \()() 0JI{'\ J Dl"\ S '?-l3..~1l ~)'2.~o,q2..{ d~,q 4-ln MECHANICAl: \\ o..J . ELECTRICAL:lD 111 \0 f1(1) BlrlS~u2~:f\r ~ 6<?;lrffi '.7.3.qQ.. I PLUMBING NO. FEE CHARGE I 7 Single Fixture /~ ~ C't> I Relocated Bld9. (new fix. addtl) I Water Service ft. I Sanitary Sewer ft. I Storm Sewer ft. I Backflow Device I TOTAL PERMIT 7~- MECHANICAL ..n ~.. ("U.oDf.!C Furnace/burner & vent < 100.000 BTUs Furnace/burner & vent > 100,000 BTUs I Floor furnace and vent I Suspended wall or floor mounted unit heater I Appliance Vent separate I Stationary evap. cooler I I Vent Fan/Single ?-- duct I Vent System apart from AC or htg. I I Mechanical exhaust 4t. :SO hood and duct I ,,/ An-s-:r.:t P~-.:nA.~ G.- I Permit Issuance $10,00 --I I TOTAL PERMIT ;47/# . , -:>...;-. - I QUAD AREA 4Q... CSF . - OFFICE USE - LAND USE: F=) 2, (}() FLOOD PLAIN' (I (\ , . OF BLDG~' . OF UNITS' OCCY GROUP: CONSTR. TYP~' . OF STORIES: HEAT SOURCF' SQ. FT. $/SQ, FT, SQ. FTG MAIN X SQ. FTG ACCES~ X SQ. FTG OTHER .il.v.'=7i'/~ ";t?~=a.,,..t:... PLAN CHECK m \ \ . ~3... RCPT' _~ \ Or) v~ I BUILDING PERMIT l/o.5'c ' PLUMBING 15% State ~S::> 5% State Surcharge Surcharge I MECHANICAL '2 ~ t>-O FENCE VALUE $ 15% State Ie :2 S- SIDEWALK Surcharae FT. I PAVI NG I CURBCUT FT. HANDICAP ACCESS: ZONING' LIGHTING POWER BUDGET: WATER HEATER' VALUE TOTAL VALUE OF PROJECT \~O('() DATE A\AZ;~~{\BY DJ)OJ 7~ ..... '3:"S-0 , DEMOLITION I I I ...........,__,..7~ I i-J..C "A-I>.L,'C fJd2, I SUBTOTAL PERMITS I SYSTEMS DEVELOPMENT TOTAL PERMIT FEES I EXCLUDING ELECTRICA' -;;::/5:. 78 r , . REQUIRED INSPECTIONS It Is the responsibility of the permit holder to see that all inspections are made at the proper time. To request an inspection, call 726.3769 (recorder), state your City designated job number, job address, type of inspection requested and when you will be ready for inspection. Requests received before 7:00 a.m. will be made the same working day, requests made after 7:00 a.m. will be made the following work day. SITE INSPECTION: To be made after excavation, but pri or to setu p of forms. x ROUGH PLUMBING. ELECTRICAL & MECHANICAL: No work is to be covered until these inspections have been made and approved. PAVING: After gravel is In place but prior to placing asphalt or concrete. )( FOOTINGS & FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel In place, but prior to placing concrete. FIREPLACE: Prior to placing facing materials and before framing Inspectlon. SPECIAL INSPECTIONS: In accordance Section 306 of the State Specialty Code a special Inspector shall be employed by the Ownerl Contractor during construction of the following work. A copy of the special testing reports shall be furnished to the Building DIvision. UNDERSLAB PLUMBING, ELECTRICAL & MECHANICAL: To be made before any work is covered. ATTIC DRAFT STOPS & CURTAIN WALLS )f FRAMING: To be made after the roof, all framing, fire blocking and bracing are in place and all pipes, chimneys and vents are complete and the rough electrical, plumbing and mechanical are approved. STRUCTURAL CONCRETE: In excess of 2500 P.S,I, (306 a,1) CONCRETE SLAB: To be made after all inslab building service equipment, conduit, piping, accessories and other ancillary equipment items are In place but before any concrete is placed. STRUCTURAL WELDS: Performed on the job, (2722 f) UNDERGROUND: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines. To be made prior to covering or filling trenches. INSULATION & VAPOR BARRIER: To be made after all insulation and required vapor barriers are in place but before any lath or gypsum board interior wall covering Is applied, HIGH STRENGTH BOLTING: During all bolt installation and tightening operations. (306 a.6) SPRAYED ON FIREPROOFING: U,B.C. Standards 43.8. .x FIRE & SEPARATION WALL: Located and constructed according to plans. SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork. (306 a.11 & Chapter 29) UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to Installation of floor insulation, decking or floor sheathing. ~ LATH AND/OR GYPSUM BOARD: To be made after all lathing and gypsum board. interior and exterior, is in place but before any plastering Is applied or before gypsum board joints and fasteners are taped and finished. GLU,LAM BEAMS: Inspection Certificate by an approved agency, furnished to the City's Building Division before beams are placed. (2501 U,B.C, STDS. 25.10,11), POST & BEAM: To be made prior to installatlon of floor Insulation, decking or floor sheathing. STRUCTURAL MASONRY: (306 a.7) FLOOR INSULATION & VAPOR BARRIERS: To be made prior to Installation of decking or floor sheathing. SIDEWALK & DRIVEWAY: Required for all concrete paving within street right of way, to be made after all excavating complete and form work and sub.base material in place. .'n addition to the inspec- tions specified, the Building Official may make or require other Inspections of any construction work to ensure compliance with the Building, City or Development Code. MASONRY: Steel location. bond beams grouting or verticals in accordance with UBC 2415. ROOF SHEATHING AND NAILING: Prior to Installing any roof coverIng. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. ^ )t / SITE PLAN REVIEW BOARD: Must be requested 2 days In advance of the date you wish inspection. All project conditions such as landscaping, parking lot striping, etc. must be completed before requesting this Inspection. Mo0'/~""~ LJ.:!o Y.<9!6P_'-;?:?'"" 1I~R'f'-7J~ . FINAL BUILDING: Requested after the linal plumbing, electrical. mechanical and Fire Department inspections are made and approved. No occupancy of the premises can be made until a CertIficate of Occupancy has been issued by the Building Division and posted on the premises. ~ FINAL PLUMBING f FINAL ELECTRICAL FINAL MECHANICAL FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS' )C ~ ...--:=-. PLANS REVIEWED BY //~ -"" DAT~ "3-/tt:"-t:7/ //? ~ ~--~ By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all Information herein 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 Building Safety DIvision. 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 project address is readable from the street, that the permit card is locat~d at the ont of the property, and the approved set of plans will remain on the site at all times during connctlon. Signatur~ ~ t:- t. . " Date 9- /7- 9/ / VALIDATION: AMOUNT RECEIVED: --:<,,'2$'" .7oe -:z../~ ~ /' . F,lECEIPT .' DATE PAID: RECEIVED BY' &::)-- /':)-Gj I' ./"7 _ , _ r~,. " ;' -... . 9 \09 1-- '2--- i'2_\J\OU s \):,e:. CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE \" ~ WORKSHEET ' NAME OR COMPANY: V:' J --" ,~. ~ LOCATION: I ~ "I C; MA-uJ S-r DEVELOPMENT TYPE: Cc. - CLA~U>01J\. ~ BUILDING SIZE: "l.cf-~ So....F T . LOT SIZE SQ. Ft. I. STORM ORAINAGE IMPERVIOUS SQ. F.T. tJo ~'..H7E X $0.186 PER SQ. FT. i- (See Reverse For' Runoff Coefficients If Actual Imperv. Area Is Unknown) 2. SANITARY SEWER-CITY NO. OF PFU'S ~ X $38.55 PER PFU (See Reverse To Determine Total PFU'S) 3. TRANSPORTATION Qo,..l.lIeN, S"t'o~E:.. -= "Z-O \""'" ....6-Sf- NO OF UNITS X TRIP RATE X COST PER TRIP $'z.:~\~ .z. ....f X vO X .. X $388.61 .X$388.61 $ \'b"S~2-8 s X X $388.61, (See Attachment C To Determine Trip Rates) .,. _.~~c",_ ....,.. '.' '~~"~"SUBTOTAL (ADD ITEMS 1;2; & 3) - ..._" . ... ,.... . $... S \ 'b'b~4 ~ - ' 4. ADMINISTRATIVE FEES 8ASE'CHARGE (SUBTOTAL ABOVE) X .05 ". ..~ .j _.~ TOTAL-CITY SDC s ""1'-14- "0 s ~"\~~~ 5. CREDITS, IF DEVELOPMENT IS PROFESSIONAL OFFICES OR INDUSTRIAL: . " ~ TOTAL-CITY SDC X (50%) = ADJUSTED CITY SDC $ ~~ 6. SANITARY SEWER-MWMC NO. OF PFU'S G:, x $13.25 PER PFU + $10 MWMC ADMIN. FEE S ~"So (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) t:::" ~L,A, - P,h~/'i I . t1 Ki p Burdick !'Dc Coordinator ff.av. St>c: Vt". New <?t:>G ~ ('1'11 <i~ - IO'IO~ '= (q\q'i!. '2.4) ~ 'kr () $ ~ TOTAl-MWMC SOC $ ~1 l?.:.- TOTAL SOC. $ \4C) lCZS"li ~ . . ~- , FIXTURE UNIT CALCULATION TABLE: Number of New Fixtures X Unit Equivalent = Fixture Units (NOTE:: For remodels, calculate. only tl)e NET additional fixtures) NUMBER OF NEW FIXTURES UNIT EQUIVALENT FIXTURE UNITS FIXTURE TYPE \ 2 1. 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 "2- .~ ',i Bathtub...................................................................... Drinking Fountain.., ........ ..;.. ..... .............. .... ............:, Roor Drain.......,...............,;....,................,................. Interceptors For Grease/Oil/Sollds/Etc................. Interceptors For Sand/Auto Wash/Etc................., Laundry Tub/Ootheswasher................................... Ootheswasher . 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer)................., Receptor For RefrigeratorfWater Station/Etc,......, Receptor For Commercial Slnk/Oishwasher/Etc.. Shower. Single StalL......,.........................,............. Shower, Gang..................................,....................,.. Sink, Bar, Commercial".....,.............,............,....,..,.. Urinal. StallfWall..................,..................,.........,..,.... Wash Basin/Lavatory, Single.................................. Water Closet, Public Installation,.............,.............. Water Closet. Private..............................,..............., Miscellaneous: l " .,J " " '-f 1 . '. ~ - t.' TOTAL FIXTURE UNITS = <0 . ~...... '.i , P 1 ~ CREDIT CALCULATION TABLE: calculate credits separates. I Based on assessed value, If improvements ,occ.urred after annexation date in table. Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value 'I , k ii 1 S-7~ -:'~ bef')i~ .52.E'3 ~:..::=. -' -,-- ~ ~ ;:.:: 1.35 'I 1.15 J 0.92, , 0,59 0,23 I I" ,1980 L',,~: " 1983 1984 ....-. 2,64 2,53 2.41 2,19 2,04 t986 . 19Si' 1988 1989 t990 Credit for Parcel or Land Only If Applicable X $ = (Rate X Assessed Value) X $ = (Rate X Assessed Value) CREDIT TOTAL = $ Improvement (d after 'annexation date) RUNOFF COEFFICIENTS FOR STORM DRAINAGE ResidentiaL.....,.....,.......,............",......,....,.....,., 0." CommerciaL.................................................... C.S ' I nd ustrial..... ,............,...,.............,..,...".............. 0.45 GovernmentaL,..,..,.................".... ............,....." 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT NE:.W lk CITY O~PRINGFlElD SYSTEMS DEVElOIENT CHARGE WORKSHEET ' . .,. .,.. ~ NAME OR COMPANY: LOCATION: DEVELOPMENT TYPE: BUILDING SIZE: 1. STORM DRAINAGE IMPERVIOUS SQ. ET. ~o ~mCt-F X SO.186 PER SQ. FT. ~-' (See Reverse For Runoff Coefficients If Actual Imperv. Area Is Unknown) \~J~ LOT SIZE SQ. Ft. 2. SANITARY SEWER-CITY NO. OF PFU'S \ <6. X S38.55 PER PFU (See Reverse To Determine,Total PFU'S) 3. TRANSPORTATION .{ t>...o ~ = 10 r^ "Tl:>:<;'r NO OF UNITS X TRIP RATE ,X COST PER TRIP ID ~tA X ~ X S388.61 . <,\0 s ,c.,"i?- s ""'J'L-~!d. x X $388.61 s X X $388.61, " S . (See Attachment C To Determine Trip Rates;- ",., .~ . " ..2:i" . ----,. . ',,- 'u..". '" ,.... "'SUBTOTAL' (ADD ITEMS 1"2-.'-& 3) .. \oo~, .. ._..~ - . ..____"_.., .~_ . - _._' - - . _, ,_' ~ - '--'0- 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 , '. . --. _ _ -.--- --- '.+. ~ ---- -- -- s ?o\~ ~, TOTAL-CITY SOC s\oS....l ---" 5. CREDITS IF DEVELOPMENT IS PROFESSIONAL OFFICES OR INDUSTRIAL: ~I J'A TOTAL-CITY SDC X (50%) = ADJUSTED CITY SDC S ~ 6. SANITARY SEWER-MWMC NO. OF PFU'S \<'6 <;0 x S13.25 PER PFU + S10 MWMC ADMIN. FEE s2-Y-~- (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) Kip Burdick SDC Coordinator s -- TOTAL-MWMC SOC S -Z+'b sO TOTAL SOC S 10" 0 02 . ' .. .. .... " .': ~ ~ . FIXTURE UNIT CALCULATION TABLE: Number of New Fixtures X Unit Equivalent = Fixture Units (NOTE: For remodels. cilculate only the NET additional fixtures) NUMBER OF NEW FIXTURES UNIT EQUIVALENT FIXTURE UNITS FIXTURE TYPE Bathtub.......................................,....,........,..............., Drinking Fountain,:......... ,. ,........, ............ ....... ,.. ,....... Roor Drain.................................,....,......................... Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc................., Laundry Tub/Ootheswasher........,.....,........,..,....,." crotheswasher - 3 Or More,........................,........... Mobile Home Park Trap (t Per Trailer).................. Receptor For RefrigeratorfWater Station/Etc......., Receptor For Commercial Sink/Dlshwasher/Etc.. Shower, Single StalL......,.............,.......,..............,.. Shower, 6ang...................,....................................., Sink, Bar, Commercial,.......,.............,.............,..,...., Urinal, Stall fWalL............... ........................ ,.. ........., Wash Basin/lavatory, Single.................................. Water Closet, Public Installation............................. Water Closet. Private...................................,........." Miscellaneous: {,! , 2 1 2 3 6 2 6 6 1 3 2 1/Head .[ 2 "1- 2 <+ 1 4 -z.- 6 \"2- 4 " j .". ". , TOTAL FIXTURE UNITS ,= \'6 CREDIT CALCULATION TABLE: ~culate credttsy:rates, I ' Annexed Based on assessed value, . If impro~ements occurred after annex~ti~n date In table. Rate per $ 1,000 -, Year Rate per $1,000 I Assessed Value Annexed Assessed Value ~ " S2.E~- 1';'=": S1.'3~ 2.64 1986 1.35 I 2,53 1SSi' 1.15 . 2.41 1986 0.92 t 2,19 1989 0.59. 2,04 t900 0,23 11 , 1979 -:;r before I :'~1980 . 1981 -' I, ='->1982 . 0, -1983 1984 , ,. .11 .\.. X $ = (Rate X Assessed Value) X $ = (Rate X Assessed Value) CREDIT TOTAL = $ Credtt for Parcel or Land Only If Applicable Improvement Cd after annexation date) RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential........................................................ 0,-' CommerciaL....,.. ,. ..' ..., ........ ...,......... .,....:...,..... 0,9 IndustriaL,.....,..........,..........,.."..,....., ,............... 0,45 GovernmentaL....,......,..........,.........,..,.,............ 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT