HomeMy WebLinkAboutPermit Electrical 1997-1-15
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225 FIITH STREET Datal- 15-77
SPRINGFIELD, OREGON 97471 I I
INSPECTION REQUEST: h(i'..<3?693Ignature tv-fill
OFFICE: 726-3759
ELECTRICAL PERMIT APPLICATION
City Job Number Qln~\()~A
COMPLETE FEE SCHEDULE BELOV *
Nev Residential-Single or
Multi-Family per dvelling unit. '
Service Included:
3.
1. ~fdr; o~APd
1 '16~~f:tl;floN 00f) n
~.
A.
Items
Cost
Sum
....-+-;;~~D~.:;SYPTION .1111
~, IYl1.lX.J/
Permits are non-tra~erable and eXPi~e
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dvelling
Service or ~eeder
$ 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY
Electrical contract~~lQvt I fica
Addrt:.s \C\I\() ?...y,4-\t\ 8- ) . ,
Ci ty;;J(lij rL Phone\4"l. '21L3
supervis~J)License Number ~S
Expiration Date \D. \ . ~
Constr Contr. Number l ~('V\ ~ C.
Expira tion Da te ~. ~ ~. -'7--
Si~;t.:<<id~
ovr/ers Name ~rA-QJ' Wf11(0
AAress &/X'5 I/J~aO
Ci ty YJ nU'\.SL- Phone (0 ~0'd(Pr;j
OVNER IN~ALLATION
B.
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' '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 ItB" a~
D_
Branch Circuits
"
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit ~ $ 2.00 "'I. ~
The installation is being made on
property I ovn vhich 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
Ovners Signature:
5_ SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
" '( . 0-
3.2..
1.92-
6'f./z..
DAT~~----7~(~~-~-~-------------------
RECEIPT 11: ,.I...>ftS.:d'i
RECEIVED BY: ~
SPAINOFIELD
Page 1
COMMERCIAL/INDUSTRIAL PERMIT APPLICATION
CITY OF SPRINGFIELD Job Number: 961102A
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Office: 726-3759
''''0.''00 "00, "'-'~..
Tax Lot #: 00700 ~
Phone #: 686-2665
City/State/Zip: EUGENE, OREGON 97405
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: 2600 MAIN ST
Assessors Map #: 17033641
OWner: PETER KRYL
Address: 2185 WEST 29TH AVENUE
Description Of Work: TENANT INFILL
NEW
Contractor
Canst.
Contractor #
General: ORDELL 0063030
360 Shelley St Springfield OR 97477
Plumbing: ARPS PLUMBING 0038123
1120 Bailey Hill Rd #8 Eugene OR 97
Mechanical: HOME COMFORT & 0084164
85262 Peaceful Valley Rd Eugene OR
Electrical: ALERT ELEC 0012772
1970 N 28th St Springfield OR 97477
--- PLUMBING ---
NO.
9
Single Fixture
BACKFLOW DEVICE
TOTAL PERMIT
-- - MECHANICAL ---
No.
2
Furnace/burner & vent < 1000,000 BTUs
Vent Fan/Single Duct
3 UNIT HEATERS
AIR COND. UNIT
GAS PIPING
Permit Issuance
TOTAL PERMIT
HANDICAP ACCESS: Y
ZONING CODE: CC
-- OFFICE USE
QUAD AREA: 2CNW
LAND USE: 5300
Item
TENANT INFILL
Square Feet
x
TOTAL VALUE OF PROJECT
BUILDING
Surcharge/Admin
Value: 142,500.00
Expires Phone
01/02/97 747-8734
01/24/97 484-7246
06/25/97 345-2838
OS/22/97 747-2213
Fee
Charge
90.00
10.00
100.00
Fee
Charge
6.00
6.00
18.00
6.00
2.00
10.00
48.00
$/Square Feet
Value
17,000.00
17,000.00
122.50
9.81
SPRINGFIELD
~-
Job Number: 961102A
Page 2
MECHANICAL
Surcharge/Admin
PLUMBING
Surcharge/Admin
48.00
3.04
100.00
8.00
SUBTOTAL PERMITS
SYSTEMS DEVELOPMENT
291. 35
657.83
TOTAL PERMIT FEES EXCLUDING ELECTRICAL
.1.6~T~/~t!'f.L.
7:.7XL l?~
949.18
~ ./7(
/"/IJ. fie
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'Section 306 of the State Specialty Code
a special inspector shall be employed by the Owner/Contractor during
construction of any following "*" work. A copy of the special testing reports
shall be furnished to Building Safety.
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.
\.
ROUGH GAS - after line is installed and capped if not attached to an
appliance
FINAL GAS - When all gas work is complete.
GAS SERVICE - After line is installed and line has been connected to a
minimum of one appliance. Pressure test done at this point.
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
--- ADDITIONAL COMMENTS ---
PLEASE NOTE THE FOLLOWING ADDITIONAL REQUIRED INSPECTIONS NOT NOTED EARLIER
Plans Reviewed By: LORNE PLEGER
Building Site Reviewed By: LISA HOPPER
Date: 12/24/96
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
of plans will remain on the site at all times during construction.
.JJc-..;)~ ~P""
Signature'
II (r!1-~
Date
SPAINOFIELD
Job Number: 961102A
Receipt Number:
Date Paid:
Amount Received:
Received By:
- -- VALIDATION
'1v{?~1
He; ~.q 7
In 115, ?;>O
\;tV
Page 3
SPRINGFIELD
~.
,
I'
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(COMMERCIAL / INDUSTRIAL)
Name or Company: PETER KRYL
Location: 2600 MAIN ST
Developement Type: C Building Size:
1. STORM DRAINAGE
Impervious Sq Ft 1,0 X 0
2. SANITARY SEWER
Number Of PFUs
(see Page 2)
- CITY
1. 0 X 14
3. TRANSPORTATION
Number Of Units
X
Trip Rate
Transportation Total
4. SANITARY SEWER - MWMC
Number Of PFUs
o
Job No,: 961102A
Lot Size:
X
0.216
Per Sq Ft =
X
44.75
Per PFU =
X
Cost Per Trip
X
X
Per PFU + MWMC Admin Fee
20.690
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: 12/16/96
Page 1
Sq Ft
$0.00
$626.50
$0.00
$0.00
$0.00
$0.00
$626.50
$31. 33
$657.83
~-
SPRINGFIELD
Job Number: 961102A
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
o
o
o
o
o
o
o
o
o
o
o
o
o
2
2
o
o
2
1
2
3
6
2
6
1
3
2
o
o
o
o
o
o
o
o
o
o
o
o
o
2
12
o
o
2
2
1
6
4
14
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 =
$0.00
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)