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Home My WebLink AboutPermit Electrical 1996-7-22 . . zoning, and doeD not r&qu re spec Ie approval. <;JLD 225 FIFTH STREET Zonino r SPRINGFIELD, OREGON 97 ~lil1 JUt' Ii { , INSPECTION REQuEsT: 726-~' OFFICE: 726-3759 Author1zed Signature 'mI\ 3. 1. LOCATION OF INSTALLATION 7~~05" MA/n ~. '1 ~~B1rPTg~"'~1 . JOB DESCRIPTION Permits are non-transferable and expire if work is not started 'within 180 days of issuance or if,vork is suspen~ed for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor ~ric:..SOfl E/ec1r'(I]"c., Address P.O. fJJD'}(, ,1.7 Ci ty Jundion eN Phone , Supervisor License Number qQW -S~t./.8 3~.;!1 S 1{)~I-(:r7 Cops tF Con t r. Number q 'iq a ~ 1-(,,- 'tq Expiration Date Expiration Date Signature of Supervising Electrician ~ ' );;Z"F-~\' r~~, Owners Name. c-:'- / 6~...'l""""'/~/~ Address ~.c:: ........-- __n.eO<t ~~ . City~ ~~ne ~ ~-/A~V mINER INSTALLA IdN The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ---------------------------- DATE: 7~/?' "'/'t:::: RECEIPT II: 2"2~''':l "5J RECEIVED BY: ~/ --2.---' . 7- S'''u ELECTRICAL PERMIT APPLICATION City Job Number C,liD119 COMPLETE FEE SCHEDULE BELOV * New Residential-Single or ' c Hulti-Family per dvelling unit. " Service Included: Items Cost Sum A. 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Hanuf'd Home or Modular Dvelling 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 ..5.iE 200 amps or less --L-- 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only C. Temporary Services or Feeders Installation, Alteration or Relocation 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 "B" above New, Alteration or Extension Per Panel 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permi t /2 $ 2.00 '2 'I E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 SignlOutline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 ? ,-/, -" '~~~ 7.~ 7q . 9:? . . ' JOB NO, C{lt;o 7/5 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET . NAME OR COMPANY: 6CI- L~1-1 t:.ifl e,r-:s. LOCATION: 73D5" - M AII..f, ST', DEVELOPMENT TYPE: CHAf'E.1.. AOOrneM AN'; ,,\-OO''''G PAfCkfiV(, BUILDING SIZE: LOT SIZE SQ, Ft., IMPERVIOUS SQ, FT, (M\;~ ii iBo , b,,;icli"'j ~ p....~ki"j 1, STORM ORATNAGE 5.~' X $0,21 PER SQ. FT. GZ,'3'f7~ "- . ...-/ 2, SANITARY SFWER-CTTY NO. OF PFU'S (See Reverse) X $43.43 PER PFU (- -; ~ '. '3, TRANSPORTATTON ~ tier MDi"'G v5€.AI3Lf. 1-/#-'0 Il~A (C'...... ;!'u"'-.:l J<....J...J<@ 3Yz.-ez.e,) NO OF UNITS X TRIP RATE X COST PER TRIP , ., , X X $437,93 G-) ------ 5 X , X $437.93 X X 5437.93 s ,4, SANTTARY SFWFR-MWMr NO, OF PFU'S X $18,75 PER PFU + $10 MWMC ADMIN,FEE (Use PFU Total From Item 2 Above) s MWMC CREDIT IF APPLICABLE (SEE REVERSE) TOTAl -MWMr sor SUBTOTAL (ADD ITEMS 1.2.3 & 4) s 6' '-... <10 S Z,347- ) 5, AOMINTSTATTVF FFFS BASE CHARGE (SUBTOTAL ABOVE) X .05. (1/735- :> -rteC~1 ",t.{J.U..I.s~ Troy MeA 11 i ster SDC Coordinator Date: 7/;-1/"" TOTAl sor ,/ ,s '2} 4fo5 0.- FIXTURE UNIT' CALCULelON TABLE: Number of New Fixt. X Unit Equivalent (NOTE: For remodels, calculate only the NET additional fixtures) NUMBER OF NEW FIXTURES = Fixture Units FIXTURE TVPE UNIT EQUIV ALENT FIXTURE UNITS Bathtub..."".... ,.........,....,' :..........,..,..,......., ........." ...... Drinking Fountain, .............. ................, ........ ........,..,. Floor Drain,.., ..... ....... c....... ............... .................. ....... Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. laundry T ub/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 Basin/lavatory, Single.................................. Toilet, Public Installation....,................................... Toilet, Private..............,.,..... .'.........,...................... Miscellaneous: 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 TOTAL FIXTURE UNITS = CREDIT CALCULATION TABLE: BaSed on assessed value. If improvements occurred after annexation date in table, ..." c, alculate credits, separates. Vear Annexed I I I 1 979 or before 1980 1981 1982 1983 '1984 1985 1986 l " Rate per $1,000 Vear Rate per $1,000 I Assessed Value Annexed Assessed Value $3.47 1987 $2.13 3,39 1988 1'.76 3,33 1989 1 :35 3,21 ' 1990 0.95 3,06 1991 0.58 2,92 1992 0,41 2.74 1993 0.29 2.46 1994 0.14 " ,J- Improvement (if after annexation date) X $ (Rate X Assessed Value) , X $ (Rate X Assessed Value) = Credit for Parcel or land Only If Applicable CREDIT TOTAL = $ SPRINGFIELD Page 1 COMMERCIAL/INDUSTRIAL PERMIT APPLICATION CITY OF SPRINGFIELD Job Number: 960715 COMMUNITY SERVICES DIVISION BUILDING SAFETY 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 7305 MAIN ST Assessors Map #: 17023500 Tax Lot #: 03702 * Owner: ECI CEMETARIES Address: 306 CORDER ROAD Phone #: City/State/zip: WARNER ROBINS, GEORGIA Description Of Work: OFFICE ADDITION ADDITION Value: 0,00 Contractor Const. Contractor # Expires Phone General: OWNER -- - MECHANICAL --- No. Fee Charge 6.00 2.00 10.00 Furnace/burner & vent < 1000,000 BTUs GAS PIPING Permit Issuance TOTAL PERMIT 25.00 HANDICAP ACCESS: Y - - OFFICE USE QUAD AREA: 4CSE LAND USE: 5300 Item Sq. Ftg Main Square Feet 2696 x $/Square Feet Value 130,000.00 TOTAL VALUE OF PROJECT 130,000.00 Plan Check Fee: 339.95 Rec #: 21744 Date: 06/03/96 Rec By: LISA HOPPER BUILDING Surcharge/Admin MECHANICAL Surcharge/Admin PAVING VALUE PLUMBING Surcharge/Admin ELECTRICAL PERMIT CREDIT FOR PLAN REVIEW OVERPAY 500,50 40.05 25.00 1. 20 8,600.00 74.50 0,00 0,00 79,92 0,00 -14.62 SUBTOTAL PERMITS SYSTEMS DEVELOPMENT 706.55 .&2:.52 "':/%~.~ r; SPRINGFIELD ~~ Job Number: 960715 Page 2 TOTAL PERMIT FEES EXCLUDING ELECTRICAL 1,398.97 1) 171.7'1 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. Special Inspections: In accordance with a special inspector shall be employed by construction of any following 11*" work. shall be furnished to Building Safety. Section 306 of the State Specialty Code the Owner/Contractor during A copy of the special testing reports In addition to the inspections specified, the Building Official may make or require other inspections of any construction work to ensure compliance with the Building, City or Development Code, FOOTING - After trenches are excavated, FOUNDATION - After forms are erected but prior to concrete placement. SLAB - To be made after all inslab building service equipment, conduit piping, and other equipment items are in place but prior to concrete ROUGH MECHANICAL - Prior to cover, ROUGH ELECTRICAL - Prior to cover, FRAMING - Prior to cover. INSULATION - Floor; prior to decking DRYWALL - Prior to taping. CEILING GRID FINAL MECHANICAL - When all mechanical work is complete. FINAL ELECTRICAL - When all electrical work is complete. FINAL FIRE - When all Fire Department requirements have been met. been met. INSUL-V.B./sUB: TO BE CALLED FOR AT SAME TIME AS SUB FRAMING INSPECT MECH/sUB: FOLLOWING ROUGH MECHANICAL APPROVAL, PRIOR TO COVER FINAL/SUB FINAL BUILDING - When all required inspections have been approved and the building is complete. Wall/Ceiling; Prior to cover J -- - ADDITIONAL COMMENTS - - - REFERRED TO JULIA POWELL FOR MINIMUM DEVELOPMENT STANDARDS Plans Reviewed By: LORNE PLEGER Building Site Reviewed By: LISA HOPPER Date: 07/15/96 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 project address is readable from the street, that the permit card is located at the front of the property, and the approved set an will remain on the site at all times during construction. ..~ ature 7J - DC::/?/4't?6 SPRINQFIELD Job Number: 960715 Receipt Number: Date Paid: Amount Received: Received By: - -- VALIDATION :z..::z "57 ~ ?-/?-~ ~/7/. ?C/ p.~ Page 3