HomeMy WebLinkAboutPermit Electrical 1996-3-19
~". '."-wlng project as submitted has tho followl
,J does not r~eql IfIc land U80
3h~ ~
225 FIFTH STREET '2. ELECTRICAL PERlfIT APPLICATION
SPRINGFIELD, OREGON 97477 _../,' /") /) ~f'\Q~
INSPECTION REQUEST: 726;,-a7.a~adSlgne1u", ~ City Job Number \l1J~~.)
OFFICE: 726-3759 ' /
3. COHPLETE FEE SCHEDULE BELOY
l.~T~t~'t~ ~
C\Ifflfi~~IOOO()lo
~~B~~8I~J\C2.. A~q
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
Elec trical Con trac tor bea.1v ~ [leS'lIc.
Address f. D, ~O;t '1.;9 ~
Ci ty fwV"" 91'10'2. Phone 'B ~ ~ 5"305
Supervisor License Number s~lq 5
Expiration Date IO-I-qS"
Constr Contr. Number 911 S"'IQ
Expiration Date a - 20 - <Ie
Si~ture of Supervising Electrician
'L --:L
Owners Name~}J\l'o f\~ _ D.
Address C3\t"\~\)J2:<\~lJ\D'~
City ~ ,Phone 74:&.(41f
oVNER'rhslrALLATrON
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
:~~:-:~3~\~~~ ~91~
RECEIVED BY: U - ,~J'{
7~:::.~'....-
, "
A.
New Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
Items
1000 sq. f t. or less A
Each additional 500
sq. ft or portion
thereof' ~
Each Hanuf'd Home, or ~
Hodular'Dwelling
Service or Feeder
Cost Sum
$ 85.00 fiS
$ 15.00 &:;
$ 40.00
,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 OnIy
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00:
C.
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
$ 40.00
$ 55.00
$ 80.00
see "Bit aDove
..''!'-
Branch Circuits
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or wfth Service
or Feeder Permit
$ 35.00
$ 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
$ 36.00
\\rs~
S.t~
, ~~~
\d..4~
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
'. :>~~~(.",
,'" I
.
.
~~ .,
~,... Willamalane
~g Park & Recreatio~ District
"
Job No. q~
- '
SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAM~,h.1 (In[\ 5 0PrPr . .. PHON~ J:\kP414_
ADDRESX ~-s \~~~JtAo~STA"'~P ~ll
lqaTION OF PROPOSED BUY.QING SI1f\ ~ ~^ 1 . f\ I')
Street Address if Known: l~ \ U U. (\ V \ f\\ f') (\.J \.....U-L..
Tax lot Number: I f)O'?li&l9-iJ D~
,
. . . ~ .
','
PI~tt ~"e)\ i(\ hrlruV
1. DEVELOPMENT TYPE (Chedc appropriate dwellirig(s). SDC calculations and dwelling type
definitions are on the back.) , " " " , ' '
A. Sinll'le Family - Detached
+ Single Fan:'i1y home'
, NO OF UNITS i
Manufactured home not in a park" . (j)
X $400 PER UNIT.:;=, '..,' $,4ill.
B. Single Family -IAttached
.'
, '
\
NO OF UNITS
X $370 PER UNIT =
. $
C" Multi-Family Aoartmenl;',
NO OF UNITS
X$~77 PER UNIT =
$
D. ManufactUred Home Park
NO OF UNITS
X $280 PER UNIT =
$
, 400.aJ
" $
$':g
$1fX)OQ
WPRD SDC
2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit
approval. See SDC Credit Worksheet. , .
3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced (or Credit>
\~~ )~J'WeJ
\~
I \C\ >C\la '
~ .
SPRINGFIELD
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(RESIDENTIAL)
Name or Company: SYCAN B CORP
Location: 641 NICHOLAS DR
Developement Type: R Building Size:
Job No,: 950855
Lot Size:
1. STORM DRAINAGE
Impervious Sq Ft 2506 X 0,209 Per Sq Ft
2. SANITARY SEWER - CITY
Number Of PFUs 18 X 43,26 Per PFU
(see Page 2)
3. TRANSPORTATION
Number Of Units
1 X
X Trip Rate
1. 010 X
X
Cost Per Trip
436.19 =
$440,55
Transportation Total
4. SANITARY SEWER - MWMC
Number Of PFUs
18
Per PFU +
17.190 +
MWMC Admin Fee
10,00
X
X
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SUBTOTAL - (Add Items I, 2, 3 & 4)
5. ADMINISTRATIVE FEES
Base Charge (Subtotal Above) X
0,50
TOTAL SDC
Reviewed By: KIP BURDICK
Date: 06/07/95
Page 1
Sq Ft
$523,75
$778,68
$440,55
$319,42
$0,00
$319.42
$2,062.41
$103,12
$2,165.53
SPRINGFIELD
Job Number: 950855
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
Number of
New Fixture
Unit
Equivalent
Fixture
Units
2
o
o
o
o
1
o
o
o
o
o
1
o
2
o
2
o
2
1
2
3
6
2
6
1
3
2
4
o
o
o
o
2
o
o
o
o
o
2
o
2
o
8
o
2
2
1
6
4
TOTAL FIXTURE UNITS 18
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured
after annexation date, credits are calculated separately.
(calculations are by $1000)
Year Annexed: 1995
Credit For Parcel Or Land Only If Applicable:
Improvement (if after annexation date) :
4,400
X
0.00 =
0.00
o
X
0.00
0.00
I
,I
CREDIT TOTAL =
$0.00
(If land value is multiplied by 1 then the parcel/land credit is not accurate,)
.
, ~,
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 950855
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 641 NICHOLAS DR
Assessors Map #: 17032212
Lot: 3 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: lRNW
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 1959
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
INSUL PATH: Pl
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: 950855
Page 2
Lot Faces: E
Topography: 0
Solar Approved: Y
Lot Sq. Ft.: 7465
Total Height: 16.5
Lot Type: INTERIOR
Lot Coverage: 14 \
Setbk From NPL: 18
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
1510
425
$/Square Feet
56.20
14,10
= Value
84,862,00
5,993.00
90,855.00
Building Permit Fee
Surcharge/Admin
412,00
32.96
TOTAL FEE
(A)
444.96
--- SYSTEMS DEVELOPMENT CHARGE (SDC) ---
(B) 2,165.53
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. 57
TOTAL PERMIT
(D)
31. 07
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
WILLAMALANE SDC
ELECTRICAL PERMIT
0.00
20.65
14.50
400.00
124.20
TOTAL MISCELLANEOUS PERMITS
(E)
559.35
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
3,373.70
Job Number: 950855
Page 3
--- 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.
Received By:
Plans Reviewed By: DON MOORE Date: 07/31/95
Building Site Reviewed By: LISA HOPPER
- - - ADDITIONAL COMMENTS - - -
DRIVEWAY REQUIRED TO BE PAVED
2 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
~::'~ ~~~." ,,"'. do,'o, "0"'"""'0 0",
J
Date Paid:
--- VAL:IDAT:ION
A tn C5S
?),~q ,({lo
f.~rlj .1V
~)
Receipt Number:
Amount Received:
Received By: