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Home My WebLink AboutPermit Electrical 1997-11-5 v . The following project as submUt:d ~ "l tll'1 ~l" ,.";,"I,rJ zoning, and does not requlro opeci'hc Icmd Utsv approval. tG 225 FIITH STREET Zonino SPRINGFIELD, OREGON 97;fh7JP n(X) ot( INSPECTION REQUEST: 726 3769 ~ OFFICE: 726-3759 Authorlzed Slgn8lUre f \ ~ 3. 1. LOCATION OF INSTALLA~ON sp<''^'j4dJ 5 7 7Z 1?1Aw Sf; G-7d'>LC. ' A. LEGAL DESCRIPTION 17D ;;)3-::'410 I Cjo--tl JOB DESCRIPTION (/ L/I..ur3- 0 A71/111 IOo.Se:. Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTAL1f5~N ONLY ,B. Elec trictt,con trac tor f1'JiAA{\(JJIJ /f!Jpe, Address tu, $ox.. l~ Sz. .... City~\(, Ph~q/f;.7' {., /..., Supervisor License Number Expiration Date ~h"~ ~!77'-p C. Cons t r Con t r. Numb~-~ ~: -I .:J:58t? Exp~ration Date "-f'/:~ t:-."t-:,'Cj8 Sigjl~W~i(~~ian, \.;.:, ".,[aYf'!t 'Pol~ Address ~f"iO fJl~ Ci ty ...spVI (\ 1 MJ-tJ Phone ~ ~ ~ - 3 3~1 OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. j Owners ,Signature: --------------------------------------- DATE: 5' k.l~ ~~ \Ot9/ RECEIPT II: .;i7Q;;m RECEIVED BY: "'l-<'W ~\ ELECTRICAL PERMIT APPLICATION Ci ~y Job Number 0; 1/ z ~8 COMPLETE FEE SCHEDULE BELOV * New Residential-Single or Multi-Family per dwelling unit. , Service Included: Items Cost 1000 sq.ft. or less $ 85.00 Each additional 500 sq. f t or port ion thereof $ 15.00 Each Manuf'd Home, or Modular 'Dwelling Service or Feeder $ 40.00 Sum 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 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'OT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see "B"~~' ;r:,. ., D. Branch Circuits New, Alteration or Extension Per Panel $ 35.00 .!.S 00 x One Circuit Each Addi tional Circuit or with Service or Feeder Permit $ 2.00 ~. not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 40.00 40.00 20.00 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ $ $ $ Z~,OO I 7", I.IJ) ':)." >so r;~ lPRINQFIELD . Page 1 COMMERCIAL/INDUSTRIAL PERMIT APPLICATION CITY OF SPRINGFIELD Job Number: 971258 COMMUNITY SERVICES DIVISION BUILDING SAFETY 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 '""'"0"0" H"", "'-n",~ Tax Lot #: 01900 , ~ Phone #: 988-3369 City/State/Zip: SPRINGFIELD, OREGON 97477 Location of Proposed Work: 5772 MAIN ST Assessors Map #: 17023341 owner: LARRY POLEN Address: 2190 OLYMPIC STREET Description Of Work: ATM KIOSK NEW Value: 0,00 Contractor Const. Contractor # Expires Phone General: df/~ DRAKE & COMPANY <i/"\]"i':'-:Q 91411 COBURG RD, EUGENE, OR, 97401 . 02/13/98 344-5906 QUAD AREA: 3 CNC -- OFFICE USE -- LAND USE: 5300 Item Sq, Ftg Main FOUNDATION & SITE Square Feet 33 x $/Square Feet Value ,"07UO .;J. C:;;;, (J?rl> . 800,00 TOTAL VALUE OF PROJECT 800.00 Plan Check Fee: 154,70 Rec #: 27180 Date: 08/25/97 Rec By: DON MOORE BUILDING SurCharge/Admin MECHANICAL Surcharge/Admin PLUMBING Surcharge/Admin PREFAB SETUP SDC FEES 15,00 1. 20 0,00 0,00 0,00 0,00 40,00 515,96 'SUBTOTAL PERMITS 572,16 TOTAL PERMIT FEES EXCLUDING ELECTRICAL 572.16 r '\PAINOPIELD . ~. Job Number: 971258 Page 2 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 1l*1I 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, UNDERGROUND ELECTRICAL - Prior to Cover, SLAB - To be made after all ins lab building service equipment, conduit piping, and other equipment items are in place but prior to concrete FINAL ELECTRICAL - When all electrical work is complete, FINAL BUILDING - When all required inspections have been approved and the building is complete, --- ADDITIONAL COMMENTS --- REFERRED TO KAREN FOR ANY MDS REQUIREMENTS 8/28/97 Plans Reviewed By: LORNE PLEGER Building Site Reviewed By: LISA HOPPER Date: 10/01/97 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 of plans will remain on the site at all times during construction. (h Sir:jjature 4 )) I Date/ I:J J tj"") , --- VALIDATION Receipt Number: 2..~6DO Date Paid: -LfII';V~)? Amount Received: 572. /0 Received By: ~~~I CITY . JOB NO,,5L7/2{;fI.. ATTACHMENT A ~ OF SPRINGFIELD SYSTEMS DEVELO~NT CHARGE WORKSHEET ~, NAME OR COMPANY: L",eRY Pt'"JLcrJ LOCATION: ,C; 772 MA IN 6T DEVELOPMENT TYPE: A TM It 'o",/( BUILDING SIZE: 8\(ID =Ro lOT SIZE SO, Ft, 1. STORM ORATNt-GF LotA-r"O ON CY/,1'iN& ;:>",//, A,o&A No CJI",,,,G,6 l,u IM/,~V'''<J$ 4ac:"A. IMPERVIOUS SQ, FT, X $0,226 PER SQ, FT, $ ~ 2, SANITARY SF~FR-CITY NO, OF PFU'S (See Reverse Side) X $46,86 PER PFU $ ~ 3: TRANSPORTilTTON FROI-1 Il7TAOI";/3 T~FPc 1>T'VJ>y=/J 1~,1'":> 'NO OF UNITS X TRIP RATE X COST PER TRIP 6,O~ X 1-:>' X $472. 49 ~ X X $472,49 $ X X $472,49 $ 4, SANTTARY SFWFR-MWMC NO, OF FEU'S x PER FEU + $10 MWMC/ADM FEE $ ~ MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ TOTAl-MWMC SOC $ SUBTOTAL (ADD ITEMS 1.2,3 & 4) $ 4"TI,~ 5, AOMTNTSTRATTVF FFFS BASE CHARGE (SUBTOTAL ABOVE) X ,05 $ 24.5'7 Date: Cj-/z-9c. SDC Coordinator TOTAl SOC $ 5/5,9b . .-I^ I vnc unit I '-"M.........,UL~ IIUI" I t-u.:u.c. l\1umOer or New t-leS x. UOIt t:quivalent = Fixture Units ~ (NOTE: For remodels, 'calculate oehe NET additional fixtures), ... , , NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub..,.. ,..,..,.., ......'"......'",..",...., ....,..'..',..",....,.... Drinking. Fountain....,............""..,....,.. '....,..,..',....".., Floor Drain, ....,:, ,.. ......,.... ....,.."....', ....,.., ..........,......" Interceptors For Grease/Oil/Solids/Erc..,........,..,.. Interceptors For Sand/Auto Wash/Erc......,..,....,.., Laundry Tub/Clotheswasher "'" ,,',' ,." """,..".".. "'" Clotheswasher. 3 Or More....,..,..,......,..............,.... Mobile Home Park Trap (1 Per Trailer)..,..,..........., Receptor For Refrigerator/Water Sration/Erc,..,.... Receptor For Commercial Sink/Dishwasher/Erc.. Shower, Single Stall.......,........"""",....,....,..,....,...... Shower, Gang""".""""""""""""""""""""""""", Sink: Bar, CommerCial, Residential Kitchen,............,.......... Urinal, Stall/Wall..,.. ....,.."..,.."""",..,.... ,..,....,..", ...." Wash Basin/Lavatory, Single,....,..",..,......,..,....,..,.. Toilet, Pubiic Installation, ,...."" """,......,..,.."........, Toilet, Private..........,...., ,..,..,..".... ................., ,...., Miscellaneous: ' 2 1 2 3 6 2 6 6 1 3 2 i/Head 2 2 1 6 4 TOTAL FIXTURE UNITS = CREDIT CALCULATION TABLE: rCUlate cre::~~;::rates, Based on assessed value, If improvements occurred after annexation date in table, Rate per $1,000 Assessed Value Year Annexed 1979 or before 1980 1981 1982 1983' 1984 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 Credit for Parcel or Land Only If Applicable X $ (Rate X Assessed Value) X $ , (Rare X Assessed Value) = = Improvement (if after annexation date) CREDIT TOTAL = $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) FiesideiiriGI. ..:.. .... ................. 0.4 Commerical............."....,...., 0,9 Industrial.,....,........,............ 05 Governmental.,....,..........,.... 0,5 IMPERVIOUS AREA = TOTAL lOT SIZE X RUNOFF COEFFICIENT 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