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Home My WebLink AboutPermit Electrical 1996-1-12 . Tl'e following project as eubmltted has the followl . . , 1'"19, and does not require spociflc land use "'I-I"ovel, oning /-1 d) ~ 225 FIFTH STREET J"to~'7? SPRINGFIELD, OREGON 97 4 ~7.".Qrkod SIgnature ...f!-rf) INSPECTION REQUEST: 726:~'f69 ' V OFFICE:' 726-3759 -' 1. \2~~0~~ ~X\m.KTr\ \\~1'W~I~")rrow - - , ~~3~CRIPTIo,q S~ ~ 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 teo..lv ~ [' leS'tlc Address F. c, ~o;t '1.;g ~ Ci ty f!l.1elVt 91'lD'l Phone 9'3 S'". S"30 1 Supervisor License Number ~~Iq 5 Expiration Date 10 - I - eft , Constr Contr. Number 9q S"IQ Expiration Date a -20 - <II: Signature of Supervising Electrician b-~. '~~ U\j D\ Owners Ci ty Phone The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: =;::-~-~~=-~);,- RECEIVED BY: % ",- ~ - - '.:'!:;'....,. ',' ELECTRICAL PERMIT APPLICATION Q501\()1 Clty Job Number 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum $ 85.00 B5 $ 15.00 3Q $ 40.00 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof . Each Manuf'd Home, or Modular 'Dwelling Service or Feeder ( ~ ,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 Onry $ 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 1000 volts ...,... . $ 40.00 $ 55.00 $ 80.00 see "B" above D. Branch Circuits " New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with 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 Il~~ l&~~~ SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL .. '.- :.;,',;." , I' . . . 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: 643 NICHOLAS DR Assessors Map #: 17032212 Lot: 2 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: 1959 OFnCE 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, INSOLATION - 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, CORBCOT - 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, SPRINGFIELD 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 WILLAMALANE SDC ELECTRICAL PERMIT 2 6,00 4,50 6,00 3,00 0,00 0,00 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) 3,373.71 --- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT u_ 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: 950855 Page 3 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 will remain on the site at all times during construction, ,~ \~gnature AU~~ r Date \ -- - VALIDATION JJ:J:YSYJ Date Paid: \ . \7 .c~Jn, Amount ReceivedW pL\\'6 . \S Received BY:U)\'[fr. 1_ Receipt Number: SPRINGFIELD . ~- , CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE (RESIDENTIAL) Name or Company: SYCAN B CORP Location: 643 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 (see Page 2) x 43,26 Per PFU = 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 1, 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 TOTAL FIXTURE UNITS 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 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 CREDIT TOTAL = $0.00 (If land value is multiplied by 1 then the parcel/land credit is not accurate,) . . NO. '1'50767 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: <;;'YC-AN '8 LOCATION: '("4-~ 1J1C.HOLA-~ DRIVe. DEVELOPMENT TYPE: L.Og - Ne-w S~R- BUILDING SIZE: 17 ()?~ '2-1 '2- - 0 I? 0 Co P /0 LOT SIZE SQ. Ft. I. STORM DRAINAGE IMPERVIOUS SQ, FT. 'Z-?-:Z-"l X $0,209 PER SQ, FT. 0'2-l!>60 2, SANITARY SEWER-CITY NO, OF PFU'S (See Reverse) {'to X $43,26 PER PFU (~n~~ 3, TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP I X 1,0 J X $436,19 X $436.19 X $436,19 G 440 ~?J ----- ------ $ X X $ 4. SANITARY SEWER-MWMC NO, OF PFU'S 1"6 x $17,19 PER PFU + $10 MWMC ADM FEE (Use PFU Total From Item 2 Above) $ ~'94-~ TOTAL-MWMC SDC SUBTOTAL (ADD ITEMS 1,2,3 & 4) (-~::~ -----------r $ 200'=>7'2-_ MWMC CREDIT IF APPLICABLE (SEE REVERSE) 5. ADMINISTRATIVE FEES ., BASE CHARGE (SUBTOTAL ABOVE) k::S, ""F - k..L , -U Kip Burdick SOC Coordinator X .05 Date: ?/"l-?/i15 , TOTAL SDC G/C3?;;') ---- .-/ $ 20 170 51 ....~ . ',_" ....~..., -1'....,' -_...~ FIXTURE UNIT ~A.,,",CULA T~ TABLE: Number of New Rxtures~nit Equivalent = Rxture ~';its'" ',' :.',' (NOTE: For remodels, 'calculate only th-= additional fixtures) ~ ' ,',', NUMBER OF UNIT FIXTURE " FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS f 2 1 2 3 6, ',2 6 6, 1 3 2 1/Head 2 2 1 6 4 "1- Bathtub"""."",.,.""""""""".".,."."..,..,",.,"',.,..,"'" , Drinking Fountain...................................-................. Floor Drain,.,..""""""".. ,."""""..""""""..",......,...., Interceptors For Grease/Oil/Solids/Etc................, Interceptors 'For Sand/Aula Wasl1/Etc.................. laundry Tub/Clotl1eswasl1er""" ,"" ," ,."", ",., ".., ,.,. Clotl1eswasher - 3 Or More,:..'..,:.-,...-............,...,.,,'.., Mobile Home Park Trap (1 Per Trailer)....,..,.:...-,..,.. Receptor For Refrigerator/Water Station/Etc..,...., Receptor For Commercial Sink/Dishwasher/Etc., Shower, Single Stall",..",.....",.........,."....,..........,..,. Shower, Gang..,..,....""",..,.."..",.., ...".. ,..........,: ~..... Sink: Bar, Commercial, Residential Kitchen,..................,..,.. Urinal, StalliWall.. ,...., ,...,. ,.,..",..., ,..., ,.,.., ,...,... .....-..." Wash Basin/lavatory;' Single....,......,....,..,....,......,.. Toilet, Public IlIstallation,.............".............."..,...... Toilet, Private............"..,..,......"..",....,..,....",..:".. Miscellaneous: 1.- '2.- '1-- .2- '1-- '1-- .g TOTAL FI:<TURE UNITS l'b CREDIT CALCULATION TABLE: Based on assessed value, If improvements occurred after annexation date in table, calculntc crcd~: _ ~cparatcs. ~Year I Annexed nate pei $1,000 u_'1 Assessed Value Rate per $1,000 Assessed Value Ycar Annexed 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 $2.46 2,14 1.77 1,37 0,97 0,61 0.44 0.15 Improvement (if after annexation date) X $ (Rate X Assessed Value) X $ (Rate X Assessed Value) = Credit for Parcel or land Only If Applicable CREDIT TOTAL = $ j;,/A " ' ., j, J , , . . '!", "1 ~ Y:'!.ilIR~or;!!~!~,,!!~ " lob No. C\m lto 1 - ' SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME: ~\ ~ ~ " . PHONE: f\4\() .l1\ 4- ADDRES~ }~ ,~~ \l\\lil ~ M- STAre 00.. 2lP 0.,'1-11 Lq<:ATION Of PROPOSED BUILD1~G SITE: ,\~'~ 1', '" ._ Street Address jf Known: \.o\~ \ ~\(\, \l ,\(\ C\ \.J'\ - . Platt Name: \\ \(\'00 \."t\ f\ TaxLotNumber:\\()~'1VL O\3D~D6 ' - t 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling type definitions are on the back.l ' ' , A. Single Familv - Detached , Single family home NO Of UNITS ( B. Single familv - Attached \ NO Of UNITS C. Mulfi-Familv ADartment ' , NO Of UNITS D. Manuf.actured Home Park NO Of UNITS WPRD SDC Manufactured home not in a park" , cf) X $400 PER UNIT .;=, $ 4-GO . , .' X $370 PER UNIT = , $ ,I X $777 PER UNIT = $ X $280 PER UNIT = $ $ 4DO,aJ .., If $ -- $4ro~ 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 (or Credit) \ ~JSA\J ~' r""...........,.~..,;~, (~,.:-,;,..I"\: \ / l ~/-3k- n~rf'