HomeMy WebLinkAboutPermit Electrical 1996-3-19
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225 FIFTH STREET " OaIo3JJ!1i!1b
SPRINGFIELD, OREGON 97477A.;;;.k'~~ _
INSPECTION REQUEST: 726-3769
OFFICE:' 726-3759
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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 INSTALLATION ONLY ,B.
Electrical Contractor \)&lv ~ fleS,ol:.
Address P. D. \So;t '1.;g ~
Ci ty (/.\'j~.i"t "111(01 Phone 't'3 ~ . ".130 ~
Supervisor License Number ~glq 5
Expiration Date /Cl-I-'lS'
Constr Contr. Number "l'l ".II"!
Expiration Date C - 20 - "1(;
Signature of Supervising Electrician
b-L
~ 'D D
Owners Name ' n ^ --\., .
Address,CfflJ, ~()G.d.v LAo J 0
City ~Jd.. Phonel4H,W1
OllNER~Ns\.L.LATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE;------~~:~C3[JCttzJ------~
RECEI". iI:. - ~'" f,' r%=l 1/7
RECEIVED BY: \ 'I), J '-'.t-
\V-
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,1210 ELECTRICAL PERKIT APPLICATION
Ci ty Job Number q ~
3. COMPLETE FEE SCHEDULE BELOY
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items' Cost Sum
1000 sq.ft. or less $ 8S.00 <?S
Each additional SOO
sq. ft or portion :l 3D
thereof $ 1S.00
Each Manuf'd Home. or
Modular, 'Dwelling
Service or Feeder $ 40.00
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:
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 lOOu volts
..,.... .
$ 40.00
$ 55.00
$ 80.00
see liB" above
Branch Circuits
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 3S.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36 '~l
\\~W
~
SUBTOTAL OF ABOVE
S% State Surcharge
3% Administrative Fee
TOTAL
", ~~: )~\~~": " .
'.'
.
.
~'f .,
~?.... Willamalane
't-g' Park & Recreatio~ District
"
Job No. QSOEf5(p
, '
SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME:.,-)~0n[\ 5 0flP.l' PHONE:~#_
ADDR"" ~~ \ b~~!_~ \ )~STAle. ~pq-1'}ll
LqaTION OF PROPOSED B~~G SIlfs.. . f\~" "" . f\ n
Street Address if Known: I u U.UIDf') [\ J ~.
'.
PI~tt~~NllJ)J
Tax Lot Number: I f)O'?li&l~ I)~
1. DEVELOPMENT TYPE (Check appropriate dwellirig(sl. SDC calculations and dwelling type
definitions are on the back.l ' " ',,', , ' , '
A. Sinl!le Familv - Detached
+ Single Fa~i1y home'
. NO OF UNITS ;
Manufactured home not in a park:, . (j)
X $400 PER UNIT.r. ....' $ 4ro. .
B. Sini!le Familv -'Attached
\ \
NO OF UNITS
.'
X $370 PER UNIT =
. $
C. Multl-Familv Aoartment,' .
NO OF UNITS
, '
X $~77 PER UNIT =
$
D. Manufactured Home Park
, $
" 4oo.aJ
... $
2. SDC CREDIT (If applicable> SDC-payer must furnish proof of WPRD Credit . : IY
approval. See SDC Credit Worksheet.' $ --t:J
$1LO ()()
NO OF UNITS
, ,
X $280 PER UNIT =
WPRD SDC
3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced (or Credit>
~~.)~~eJ
~/ \C\
I C{ lo'
\
~ ,
.
.B NO. 'fs"er;c..
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR CmlPANY: 5-fCAI-J 16 u/Z.P
LOCATION: I.."?/ !<..ltcHOLAS 17037-7-/'2- - 0/30c'
DEVELOPMENT TYPE: J./JIZ - NEW ?F;Z
BUILDING SIZE:
lOT SIZF
1. STORM DRAINAGE
SQ. Ft.
IMPERVIOUS SQ. FT.
"2.1;,0':)
X $0.209 PER SQ. FT. ~44 ~,)
2. SANITARY SEWER-CITY
NO. OF PFU'S
(See Reverse)
I'll
X $43.26 PER PFU
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
/ X 1.01 X $436.19
X
X $436.19
X $436.19
X
4. SANITARY SEWER-MWMC
NO. OF PFU'S x $17.19 PER PFU + $10 MWMC ADM FEE
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
TOTAL-MWMC SDC
SUBTOTAL (ADD ITEMS 1,2,3 & 4)
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
~1.'~" ,h-.k.. Date: fo 1 I I"IS
'J Kip Burdick '( 'TOTAL SDC
SDC Coordinator
(II~~V
G44D~)
'-- ---
$
$
$ ~\9 "'".::
$ NIA
0\~
--- ---
$Zof>? I~
C 1 04-';)
'-- ........
$ 'Z I e-(ZS
FIXTURE UNIT ~!\~CULA TI~ TABLE: Number of New Fixtures X Unit Equivalent =' Fixture Units
(NOTE: For remodels, calculate only the. additional fixtures) .
, NUMBER OF UNIT FIXTURE "
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub......... ..................................................... ........
Drinking Fountain........... .-.............................-...........
Floor Drain.......................................,........................
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors 'For Sand/Auto Wash/Etc..................
Laundry Tub/Clotheswasher .....,.. ... ," .... ." .......... ....
Clotheswasher. 3 Or More...:.......".........................
Mobile Home Park Trap (1 Per Trailerl..................
Receptor For RefrigeratoriWater Station/Etc........
Rcceptor For Commercial Sink/Dishwasher/Etc..
Shower, Single StalL................................................
Shower, Gang........... .......................... ..... ........ .:.......
Sink: Bar, Commercial, Residential Kitchen........................
Urinal, StalliWall;o<........ ................................ .......;.....
Wash Basin/Lavatory: .Sing1e...... ........ ....................
Toilet. Public Installation........................................
Toilet, Private..................................................:.... '
Miscellaneous:
I
(
/
2-
'1-
TOTAL FIXTURE UNITS
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
=
2-
7.
'Z
'2-
'2..
'i?
IV.
CREDIT CALCULATION TA8LE: Based on assessed value. If improvements occurred after annexation date in table.
calculate credits scpamtcs.
Year
Annexed
Rate per $1.000
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
1985
1986
1987
1988
1989
1990
1991
1993
- ----
-.-- -, ..- -. - -
Credit far Parcel or land Only If Applicable
X $
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
Improvement (if after annexation date)
$2.46
2.14
1.77
1.37
0.97
0.61
0.44
0.15
J
CREDIT TOTAL
=
= $
AI /A
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 950856
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 631 NICHOLAS DR
Assessors Map #: 17032212
Lot: 6 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
Canst.
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: lRNW
# 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 BLOGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
INSUL PATH: PI
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: 950856
Page 2
Lot Faces: W
Total Height: 17.5
Lot Type: INTERIOR
Lot Sq. Ft.: 6004
Setbk From NPL: 51
Topography: 0
Solar Approved: Y
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) 2,187.26
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
16.75
14.50
124.20
400.00
40.00
..... Be
TOTAL MISCELLANEOUS PERMITS
(E)
598.45
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
'~.\1.~~{q
--- 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.
SPRINGFIELD
Job Number: 950856
Page 3
--- ADDITIONAL COMMENTS ---
SAME AS 650 NICHOLAS DRIVE (950408)
DRIVEWAY REQUIRED TO BE PAVED
1 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.
\~~~-
Date
\
Date Paid:
am?[;TION
?1.\L\ .C{lp
(, Q~~R,~
~\~
Receipt Number:
Amount Received:
Received By: