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Home My WebLink AboutPermit Electrical 1996-3-19 Tho, fOllowing Projoelllll oYllmltlotl IIM'~ IIlII zOning, and donG nol~U Vfi "OA approval, '.J ,""" Zonina /7{ ~ 225 FIFTH STREET Derle SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726_3~S/snalure OFFICE:' 726-3759 ~, . -_.~ ELECTRICAL PERMIT APPLICATION ~ ~; ty Tl1b Number q sa35,} 3. COMPLETE FEE SCHEDULE BELOY j ~ONr\)11!1ANfflO~ ~rS~~fEONnG.nv; ~e ~i1SPTIO~Cf,lR ~ A. New Residential-Single or Multi-Family per dvelling unit. Service Included: Permits are non-transferable and expire if york is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY ,B. Electrical Contractor t&lv ~ fleSI!\c. Address P. e. ~O~ '1 ~g ~ City f1l.1eiVt 91'lOl Phone 9'j ~ ~ C;-sO 5 Supervisor License Number ~Sl'l) Expiration Date 10-1-'lS' Constr Contr. Number 'lq 5'"l"l Expiration Date a - 20 - <II: Signature of Supervising Electrician \\, -1...) ovne~~ame 0J(ll1J1 B ~ D. Address .q.OO J.~ UIJ.u..J City ,Phone~~ '(141- O\INER The installation is being made on property I own vhich is not intended for sale, lease or rent. Owners Signature: DATE~-------~C5~~1-17------------ RECEIPT If: ~. IA tjI~ RECEIVED BY: ~'I "'~ ~'\I \ 1 \ \j \VJU- :~~:.:.r.... Items' 1000 sq.ft. or less 1 Each additional 500 sq. ft or portion _I) thereof " \y. Each Manuf'd Home, or Modular, 'Dvelling Service or Feeder 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 Onry C. Cost Sum $ 85.00 !!IE $ 15.00 ~ $ 40.00 $ 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 100u VOlts .",... . Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above Nev, 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 vlth 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 \\S:~~ . <:'..\7 "")."'t"7 \~.{.1{) .. . . ~.,. ., @ l!:'!iR~'!!,i!!l!m; " JobNO.~'7 , " SYSTBMSD~lOPMENTCHARGE WORKSHEET NAMC\.1~t)r~r .. PHON.~.R444 ADDRESS:.. ~ \ ~f_!:\)~STATE:~IP' Ql4ll , _ f\ . .. \:l . . '~ . " . . lq<:ATION OF PROPOSED BVllDING SI1f\. ~"",1 ,...:" Street Address if Known: ..LA ~ u u (\ D.lJlJ..\,.b..' .J - , Platt N e: Tax lot Number: ~# I '10~&1D--~ I)~ 1. ,DEVELOPMENT TYPE (Check appropriate dwellirig(sl. SDC calculations and dwelling type definitions are on the baclc.) . .' '" " , . ' A. jinl!ie Family - Detached ~ Single Family home' i - NO OF UNITS Manufactured home not in a park :, , (j) X $400 PER UNIT.3=. '.,.. $,4ro.. B. Sini!le Family - 'Attacheq .' \ \ NO OF UNITS X $370 PER UNIT = '$ C. Multi-Family Aoartmen~,' . NO OF UNITS X $777 PER UNIT = $ D. ManufactUred Home Parle' NO OF UNITS , , X $280 PER UNIT = $' . $400.aJ '. ': IY $--t:J $1fDOO ~ l\q '/~' WPRD SDC 2. SDC CREDIT (If applicable) SDC-payer must furnish proof ofWPRD Credit approval. See SDC Credit Worksheet. ' 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Creditl ~l~)~cDtweJ . .OB NO. 9r:;oM7 CITY OF SPRINGFIELD ~YSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: ':;--(C.4r-J 13 CofiLP LOCATION: (pz,,'!:> NIC-!-fCLA'> 1107;;.'2..-7.-/'2.. - O/?ol.-J DEVELOPMENT TYPE: lJJ/i!.. - ^-(~JIl/ Sf-{i( BUILDING SIZE: LOT S lZF SQ, Ft, I, STORM DRAINAGE IMPERVIOUS SQ. FT. '2. '5(.,0 X $0.209 PER SQ. FT, (r:;~?~ 2, SANITARY SEWER-CITY NO, OF PFU'S (See Reverse) I~ . X $43,26 PER PFU G J7B~ "'---- .-/ 3, TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP 1 X 1,01 X $436.19 X X $436,19 X $436, 19 G 44tJS;; ----- ~ $ X $ 4, SANITARY SEWER-MWM~ NO, OF PFU'S If{ x $17,19 PER PFU + $10 MWMC ADM FEE (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ ~rCf 4.? TOTAL -~'WMC SDC $' N/A <0r-;;4?) ---- .-/ $ 7..0,,,:> ,,~ SUBTOTAL (ADO ITEMS 1,2,3 & 4) 5. ADMINISTRATIVE FEE2 , , 'TOTAL SDC ~O~~ ) ---------- $ "Zlt-]"!>' BASE CHARGE (SUBTOTAL ABOVE) X .05 ~~L~ o Kip Burdick SDC Coordinator Date: "/1 /"l'? "' FIXTURE UNLT CALCULA TI~ TABLE: Number of New Rxturcs X Unit Equivalent =' Fixture Units (NOTE: For remodels, calculate only the. additional fixtures) . , NUMBER OF UNIT FIXTURE " FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Ba thtub" ,."",.""",.."".."".,."""",."","",.,',.,"""""" Drinking Fountain..................................................... Floor Drain,.....,.....,..... ,.......,...... .... ,. ,.,. ..". ..,. ...,.,. .,.,. Interceptors For Grease/Oil/Solids/Etc,.,..........,... Interceptors 'For Sand/Auto Wash/Etc........,...,..... laundry Tub/Clotheswasher..,.. ,. .".,.. ".,.,. ". ..,..... .,. Clothes washer ' 3 Or More.....,'.......,..........,..,...,.,... Mobile Home Park Trap (1 Per Trailer):.......,.,..:,... Receptor For RefrigeratorfWater Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall,...,.........,..............,.............,...., Shower, Gang,......,.... ......,....,..,....,..............,..,.: '".... Sink: Bar, Commercial, Residential Kitchen............."........., - Urinal, StallfWaIL......,.,. ......,..,.,.....,.....,..,.,.,...., ....,.... Wash Basin/l<i~atorY, Single..,.,..... ... ..,. ....,.,...,....,. Toilet, Public Installation................,....,...,.........,.... Toilet, Private..,.,.....,...... ..,.., ,... ,....... ..... ..,.,. .,..:..., Miscellaneous: z. 4- 2 1 2 3 6 2 6 '6 1 '3 2 l/Head 2 2 1 6 4 z. 'Z.- z.. 1.. g 2- TOTAL FIXTUf1E UNITS 1'3 CREDIT CALCULATION TABLE: Based on assessed value, If improvements occurred after annexation date in table, calculate credits separales, X $ (Rate X Assessed Value) X $ (Rate X Assessed Value) \ Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 1985 $3.46 3,38 3.32 3.21 3,06 2,92 2.73 '. Credit for Parcel or land Only If Applicable Improvement (if after annexation date) " = Year Annexed Hate per $1,000 Assessed Value 1985 1986 1987 1988 1989 1990 1991 1993 $2.46 2.14 1.77 1.37 0.97 0,61 0.44 0,15 J = CREDIT TOTAL = $NjA SPRINGFIELD . . . , Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 950857 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 623 NICHOLAS DR Assessors Map #: 17032212 Lot: 8 Block: Tax Lot #: 01306 Subdivision: NICHOLAS owner: SYCAN B CORP Address: 3405 BALDY VIEW Phone #: 746-8444 City/State/zip: SPRINGFIELD, OREGON 97477 Describe Work: S,F. RESIDENCE NEW Const. Contractor Contractor # Expires Phone General: CHARACTER HOMES 0097241 02/28/96 345-7369 3383 Honeywood Eugene OR 974080000 Plumbing: CONTRACTORS PLU 0101624 08/15/95 343-0975 1590 Bogart Lane Eugene OR 97401000 Mechanical: HARVEY & SON 0055682 02/26/97 746-7677 4680 Main St Springfield OR 9747860 Electrical: DEANS ELECTRIC 0089739 03/17/95 688-3070 1400 Candlelight Drive #171 Eugene QUAD AREA: 1RNW # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER: E SQ FOOTAGE: 1963 OFFICE USE -- LAND USE: 1111 ZONING CODE: LDR # OF BDRMS: 3 RANGE: E # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: FE INSUL PATH: P1 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 --- FOOTING - After trenches are excavated. FOUNDATION - After forms are erected but prior to concrete placement. UNDERFLOOR PLUMBING - Prior to insulation or decking. UNDERFLOOR MECHANICAL - Prior to insulation or decking. POST AND BEAM - Prior to floor insulation or decking. INSULATION - Floor; prior to decking wall/ceiling; Prior to cover SANITARY SEWER LINE - Prior to filling trench, STORM SEWER LINE - Prior to filling trench, WATER LINE - Prior to filling trench, ROUGH PLUMBING - Prior to cover, ROUGH MECHANICAL - Prior to cover. ROUGH ELECTRICAL - Prior to cover. ELECTRICAL SERVICE - Must be approved to obtain permanent power, FRAMING - Prior to cover. INSULATION - Floor; prior to decking wall/Ceiling; Prior to cover DRYWALL - Prior to taping. CURBCUT - After forms are erected but prior to placement of concrete. SIDEWALK - After excavation is complete, forms and sub-base material in place. FINAL PLUMBING - When all plumbing work is complete. FINAL ELECTRICAL - When all electrical work is complete. FINAL MECHANICAL - When all mechanical work is complete. FINAL BUILDING - When all required inspections have been approved and the building is complete. , Job Number: 950857 Page 2 Lot Faces: N Topography: 0 Solar Approved: Y Lot Sq. Ft.: 6092 Total Height: 17,5 Lot Type: INTERIOR Lot Coverage: 31 % Setbk From NPL: 51 Item Main Garage Total Value BUILDING PERMIT --- Square Feet x 1510 453.5 $/Square Feet 56.20 14.10 = Value 84,862.00 6,394.00 91,256,00 Building Permit Fee Surcharge/Admin 409.00 32.72 TOTAL FEE (A) 441. 72 --- SYSTEMS DEVELOPMENT CHARGE (SDC) --- (B) 2,177.37 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 Residential Bath(s) 2 Fee 160.00 Plumbing Permit Surcharge/Admin 160.00 12.80 TOTAL CHARGE (C) 172,80 - - - MECHANICAL PERMIT - - - Furnace Exhaust Hood Vent Fan Dryer Vent 2 6.00 4,50 6.00 3,00 Mechanical Permit Issuance Surcharge/Admin 19,50 10,00 1. 56 TOTAL PERMIT (D) 31,06 --- MISCELLANEOUS PERMITS --- Surcharge/Admin Sidewalk Curb Cut ELECTRICAL PERMIT WILLAMALANE SDC PLAN CHECK FEE 0,00 19,15 14,50 124,20 400,00 40.00 ~ TOTAL MISCELLANEOUS PERMITS (E) 603,85 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) .,J, .,.':'.i. 3"0'- 3~w.~\ _u 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. SPRINQFIELD . . ~- .J Job Number: 950857 --- ADDITIONAL COMMENTS --- SAME AS 631 NICHOLAS (950856) DRIVEWAY REQUIRED TO BE PAVED 2 STREET TREES REQUIRED , Page 3 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 ~~;" 0" ;;' ~' .""'" '"C'" CO""'C"C"O". '"'0 \./ - -- VALIDATION Receipt Number: Ml~ ~. \C\ q( /J \1~'~\ ~~ Date Paid: Amount Received: Received By: