HomeMy WebLinkAboutPermit Electrical 1996-7-17
.
zoning, and does not require specific land use
approval.
Zoning I _ ~
Det.j 'J1'q Ie
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
974worlZed Signature
726-3769
1. LO~TION\Or~NSTAL~H~t
rt\mo 'M.U..d\-;,~
V\~~s~PTI~~<ffiD
~~"pESCRIf\IO~. C\_ ':J$!:
\ ^ \ \\\ \llIJ \ ,~~(\O. .::i) lI:D-
Permits are n~-transferable an~ e re'
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
CONTRACTOR INSTALLATION 0
Contractor
City
Supervisor
Expiration
ELECTRICAL PERMIT APPLICATION
C\\D~~
New Residential-Single or ~
:::::::.:: ::~:::'::~:'i< ~
Service Included:
'XVI
Ci ty Job Number
3.
A.
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home, or
Modular 'Dwelling A- 9\{)
Service or Feeder $ 40.00
B.
Services or Feeders
Installation, Alterations
or Relocation:
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
ure of. Supervising Elec~
Owners Name&\Q~CL rb,Y:\m cD
Address \\iJ\~ ~ ~~~
Ci ty ~~~ ~ ~ Phone\L\-\ ,l?i.Ol
O\INER \~TALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
<hrners Signa7~
~$/
-------~-----~-----------------------
DATE: '/-/6 .~
RECEIPT II: 2 ::7~?
RECEIVED BY: :~~.
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
200 amps' 'or less
201 amps to 400 amps -----
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "Bft above
"
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
'6Q.~
cO A-r )
~ln 4i..)
.
.
SYSTEM DEVELOPMENT CHARGE ~
. ..' WORKSHEET .'1~.
NA~E: ~nQ~l1~ ObM~ PHONE: ~ ('~Jlo1' '.
ADDRESS: IDC/3 (.-~!Jtn- STA~E:!JL.. ZIP: q74ti
J / /l
LOCATION OF PROPOSED BUILDING SI~: k
Street Address: ....!lJOlo ~vv.AJffr
f\ f().j Tax Lot Number: -'7 ();J. 3511 (X3P(J)
I
1. DEVELQPMENT TYPE (Check appropriate dwelling(sl. SDC calculations and dwelling t
ype definitions are on the back.)
Plat Name:
A. SinoIA-F::Jmilv DAt::JchAc1
Single Family home
{ Manufactured home not in a park
/ X $1,000 per unit = $ I rm .ctJ
NO. OF UNITS
B. SinaIA-F::Jmilv ~achAd
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. M::Jnuf::JctllrAd HomA P::Jrk
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit =
$
rotJO,cD
p
$ 1000 ,dJ
$
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)
kiLo I - '-8 .
eve opment eNI e
City of Springfield
I
I
Date
.
,
I'
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(RESIDENTIAL)
Name or Company: SHERYL OFENHAM
Location: 7106 MAIN ST
Developement Type: R Building Size:
Job No.: 960854
Lot Size:
1. STORM DRAINAGE
Impervious Sq Ft 2332 X 0.210 Per Sq Ft =
2. SANITARY SEWER - CITY
Number Of PFUs 18 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
18
X
X
Per PFU
18.750
+ MWMC Admin Fee
+ 10.00
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: DENNIS ERNST
Date: 07/01/96
Page 1
Sq Ft
$489.72
. $781.74
$442.31
$347.50
$71.34
$276.16
$1,989.93
$99.50
$2.089.4~
Job Number: 960854
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
o
o
1
o
2
o
2
o
2
1
2
3
6
2
6
1
3
2
4
o
o
o
o
2
o
o
o
o
o
2
o
2
o
8
o
2
2
1
6
4
18
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured
after annexation date, credits are calculated separately.
(calculations are by $1000)
Year Annexed: 1969
Credit For Parcel Or Land Only If Applicable:
Improvement (if after annexation date) :
20,560
x
3.47
71. 34
o
x
3.47
0.00
CREDIT TOTAL =
$71. 34
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)
.
DEVELOPMENT SERVICES DEPARTMENT
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
MANUFACTURED HOME SET-UP AGREEMENT
As required by the City of Springfield Development Code, I understand and agree that with the approval of
tJ.!!'l'!!!,ched permits, one of the following manufactured homes will be placedJ.!..!l.1D..Lo_
JIll' 0 f\ ~ QJ..J . Springfield, Oregon, City Job Number ~() ~ ~ .
Type I Manufactured Home:
A multi sectional (double wide or wider) unit with an enclosed floor area of not less than 1,000 square feet,
that has a nominal roof pitch of ~ feet in height for each 12 feet in width, that has no bare metal siding or
roofmg, and that has been certified by the manufacturer to have an exte~ermal envelope meeting
performance standards which reduce heat loss to levels equivalent to e \:~;o ...ance standards required
for single family dwellings at the time of construction. _ \ '. initials
Type II Manufactured Home:
A unit of not less than 12 feet in width enclosing a minimum floor area of 500 square feet, that has a
nominal roof pitch of2 feet in height for each 12 feet in width, that has no bare metal siding or roofmg,
and thaI has been certified by the manufacturer to have an exterior thermal envelope meeting performance
standards which reduce heat loss to levels equivalent to the ..... fv....ance standards required for single
family dwellings at the time of construction. . initials
I further state, by my signature below, that I have been provided with the following information:
Manufactured Home Blocking, Water Line Connection, Street Tree Standards, Sanitary Sewer Connection,
Electrical Connection, and Minimum requirements for permanent steps.
I also understand that the manufactured home shall be placed on an excavated and backfilled foundati<ll1
not to exceed 6 percent slope within 10 feet of the perimeter enclosure, enclosed at the perimeter with
stone, brick or other concrete or masonry materials approved by the Building Official and with no more
than 24 inches of the enclosing material exposed above grade.
vdl~
~ // <::: /c;':C::
Signature
Date
SPRINGFIELD
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 960854
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 7106 MAIN ST
Assessors Map #: 17023531
Lot: Block:
Tax Lot #: 03800
Subdivision:
Owner: SHERYL OFENHAM
Address: 1093 57TH STREET
Phone #: 741-2367
City/State/zip: SPRINGFIELD, OREGON 97478
Describe Work: MANUFACTURED HOME
NEW
Contractor
Const.
Contractor #
Expires
Phone
Plumbing:
TOBIN & DON
5164 D STREET
OWNER
0077414
SPRINGFIELD OR
03/29/97
747-4090
General:
Electrical: OWNER
QUAD AREA: 4RNE
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
OFFICE USE --
LAND USE: 1150
ZONING CODE: LOR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
SQ FOOTAGE: 1456
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
PEDESTAL - Prior to cover.
FOOTING - After trenches are excavated.
FOUNDATION - After forms are erected but prior to concrete placement.
WATER LINE - Prior to filling trench.
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
MANUF HOME/MOBILE HOME SET UP - When all blocking is complete.
MANUF. HOME/MOBILE HOME ELECTRICAL - When blocking, setup, and
plumbing inspections have been approved and home is connected to panel
MANOF. HOME/MOBILE HOME PLUMBING - After home has been connected to
water and sewer.
FINAL SET UP - After all required inspections are approved and porches
skirting, decks, venting, house numbers, etc. have been installed.
Lot Faces: S
Solar Approved: Y
Total Height: 15
Lot Type: INTERIOR
Setbacks
S W E
48 5 17
Setbk From NPL: 25
N
House 11
Item
Main
Garage
FTG/PERIM FOUNDATION
BUILDING PERMIT
Square Feet x
$/Square Feet
Value
39,000.00
0.00
4,100.00
SPRINGFIELD
Job Number: 960854
Page 2
Total Value
43,100.00
Building Permit Fee
Surcharge/Admin
50.50
4.05
TOTAL FEE
(A)
54.55
--- SYSTEMS DEVELOPMENT CHARGE (SDC) ---
(B) 2,089.43
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
Sanitary Sewer
Water
Storm Sewer
48
48
48
Fee
25.00
25.00
25.00
Plumbing Permit
Surcharge/Admin
75.00
6.00
TOTAL CHARGE
(C)
81.00
--- MISCELLANEOUS PERMITS ---
Mobile Home
State Issuance
Surcharge/Admin
WILLAMALANE SDC
ELECTRICAL PERMIT
105.00
20.00
8.40
1,000.00
86.40
TOTAL MISCELLANEOUS PERMITS
(E)
1,219.80
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, 0, and E combined)
3,444.78
--- 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: 32.83 Date Paid: 06/25/96
Received By: LORNE PLEGER
Plans Reviewed By: LISA HOPPER Date: 06/28/96
Building Site Reviewed By: LISA HOPPER
Receipt Number: 22225
--- ADDITIONAL COMMENTS ---
MINIMUM 32 SQUARE FOOT STORAGE STRUCTURE REQUIRED
PRIOR TO OCCUPANCY
SPRINGFIELD
~-
Job Number: 960854
Page 3
PREVIOUS RESIDENCE DEMOLISHED 1978
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 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.
///G./~L
Date
--- VALIDATION
Receipt Number:
22~~?
Date Paid:
?-/,-~I/F.
=s ~v'T'. ?:1lf:.
~----
:/V
Amount Received:
Received By: