HomeMy WebLinkAboutPermit Electrical 1997-8-1
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THIS PERMIT SHALL EXP/R t@
225 FIFTB STREET AUTHORIZED UNDER THIS E IF THE WORKELECTRICAL PERMITctPLIC~ION
SPRINGFIELD, OREGON ~7lI.7~ PERMIT IS NOT 1N ~
INSPECfION REQUEST: 12'id~~gD OR IS ABANDONED FOR Ci ty Job N'P"~er U '-AJ
OFFICE: 726-3759 ANY 180 LMrf~~/l'ln
zonind' o~~rod.~~3..""miCOrn'LETE FEE SCHEDULE BELOII
1. ~~IJltl O/i:.. INS'l;~TIQll,prov;'" o<;~.eqUlro .;;:/lic"r t";,fOllowing
'O::)~ \ \T'\f\\ \'(f}.(\ ';:....( ~ I A. Ne\l R~siJ8'/,ntial-Single or
: ~- \~v""'ll.[ Multi-Family per d\lelling unit.
\1fo~~~\~ ()~7 - ~".-,'ice Included:
~_ PTI~~JU<>19natura_ N^1
Permits are~~Iransferable and expire
if \lork is n~~~arted \lithin 180 days
of issuance or if'\lork is suspenaed for
180 days.
2..' CONTRACfOR INSTAL~TION ONLY B.
Elec~rical ContractQ..r1\QX\\~....~
Address \~C) .~\{)\t\\ ~Y'\.\:cL..
City r l'"nRt"\Q., Phonel1g. \~rl'\
r:fJ - ,~
Supervisor ~cense~~er ctL\:Jt)
\1). \ .
Expiration Date
Constr Contr. Number \ ~\~
Expiration Date \'d..~.,
Sign~Upe~~ician
I ___ ~ D.
O\lners Name----\&..ro..ll - \ rn V\ S_
AddrbBS SOry;'\ ".M() ;~1\ .
City . ~- ~hon~12J01J11
O\INE TALLATION
The installation is being made on
property I O\ln \lhich is not intended
for sale, lease or rent.
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Ovners Signature:
---------~----------------------------
DATE: 1J ' [-q 7 .
RECEIl'T II: .{ t, If If 7
RECEIVED BY: . U./-
Items
19GO ~Q.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular D\lelling .- 11
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 Only
Cost
Sum
$ 85.00
$ 15.00
$ 40.00 '. xO
$ 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 100U volts
Branch Circui ts
$ 40.00.
$ 55.00" "
$ 80.00
see "B" above
Ne\l, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or \lith Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
S 40.00
$ 40.00
$ 20.00
$ 36.00
CD
SPRINGFIELD
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NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS~!w.!:IAL PERMIT APPLICATION
CO r1:::nre't~ ~T SPRINGFIELD
MMENCED OR IS ABAND0/ji[j";\ff;" SERVICES DIVISION
ANY 180 DAY PEA/OO. BUILDING SAFETY
Page 1
Job Number: 970835
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 833 NORTHRIDGE AVE
Assessors Map #: 17032612
Lot: Block:
Tax Lot #: 01200
Subdivision:
Owner: TERRY TRAVESS
Address: 5024 MAIN STREET
Phone #: 726-2171
City/State/zip: SPRINGFIELD, OREGON 97478
Describe Work: MANUFACTURED HOME
NEW
Contractor
Const.
Contractor #
Expires
Phone
General: GREAT WESTERN 0046472
5024 Main Street Springfield OR 974
Plumbing: GREAT WESTERN 0046472
5024 Main Street Springfield OR 974
Electrical: HERITAGE INV. 0063137
1042 Harn Lane Eugene OR 974040000
11/12/97
726-2171
11/12/97
726-2171
12/27/97
688-1600
QUAD AREA: 2RNW
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
OFFICE USE --
LAND USE: 1150
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
SQ FOOTAGE: 1280
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.
SLAB - To be made after all inslab building service equipment, conduit
piping, and other equipment items are in place but prior to concrete
WATER LINE - Prior to filling trench.
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
MANOP HOME/MOBILE HOME SET UP - When all blocking is complete.
MANUF. HOME/MOBILE HOME ELECTRICAL - When blocking, setup, and
plumbing inspections have been approved and home is connected to panel
MANUF. HOME/MOBILE HOME PLUMBING - After home has been connected to
water and sewer.
MANUFACTURED HOME SERVICE
FINAL SET UP - After all required inspections are approved and porches
skirting, decks, venting, house numbers, etc. have been installed.
Lot Faces: E
Lot Type: PANHANDLE
Setbacks
S W E
17 30
House
N
14
Item
Main
Garage
FTG/PERIM FOUNDATION
BUILDING PERMIT
Square Feet x
$/Square Feet
= Value
42,000.00
0.00
5,000.00
SPRINGFIELD
Job Number: 970835
Page 2
Total Value
47,000.00
Building Permit Fee
Surcharge/Admin
50.50
4.05
TOTAL FEE
(A)
54.55
--- SYSTEMS DIlVIlLOPMIlNT CHARGE (SDC) ---
(B) 2,428.50
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
Sanitary Sewer
Water
Storm Sewer
180
180
180
Fee
60.00
60.00
60.00
Plumbing Permit
Surcharge/Admin
180.00
14.40
TOTAL CHARGE
(C)
194.40
--- MISCELLANEOUS PERMITS ---
Mobile Home
State Issuance
Surcharge/Admin
WILLAMALANE SDC
ELECTRICAL PERMIT
105.00
20.00
8.40
1,000.00
86.40
TOTAL MISCELLANEOUS PERMITS
(E)
1,219.80
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DOll
(A, B, C, D, and E combined)
3,897.25
--- BUILDING VALOIl, 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: LISA HOPPER Date: 05/30/97
Building Site Reviewed By: LISA HOPPER
ELECTRICAL PERMIT
INSTALLATION.
- - - ADDITIONAL COMMENTS _- - -
REQUIRED PRIOR TO ELECTRICAL ~
\D.C().O;1
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SPRINGFIELD
Job Number: 970835
Page 3
DRIVEWAY REQUIRED TO BE PAVED
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 readableyrom the street, that the permit
card is located at the front of the property, d the approved set of plans
'{ <O=L'd;~' H=. '"dng 00 <O=OHOO_/ _ /_ '7)
11- / v-,--~c...../- V5- ,
Tignature ~ ~~
Date Paid:
-- - VALIDATION
2&ql{ '7
rY r~q7
$f3gq7~S
W
Receipt Number:
Amount Received:
Received By:
SPRINGFIELD
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CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(RESIDENTIAL)
Name or Company: TERRY TRAVESS
Location: 833 NORTHRIDGE AVE
Developement Type: R Building Size:
Job No.: 970835
Lot Size:
1. STORM DRAINAGE
Impervious Sq Ft 3316 X 0.216 Per Sq Ft
2. SANITARY SEWER - CITY
Number Of PFUs 18 X 44.75 Per PFU =
(see Page 2)
3. TRANSPORTATION
Number Of Units
1 X
X Trip Rate
1. 010 X
X
Cost Per Trip
451. 26 =
$455.77
Transportation Total
4. SANITARY SEWER - MWMC
Number Of PFUs
18
Per PFU +
20.690 +
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: DENNIS ERNST
Date: 06/02/97
Page 1
Sq Ft
$716.26
$805.50
$455.77
$382.42
$47.09
$335.33
$2,312.86
$115.64
$2,428.50
Job Number: 970835
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, StalllWall
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: 1972
Credit For Parcel Or Land Only If Applicable:
Improvement (if after annexation date) :
13,570
X
3.47
47.09
o
3.47 =
X
0.00
CREDIT TOTAL =
$47.09
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)
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DEVELOPMENT SERVICES DEPARTMENT
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
MANUFACTURED HOME LAND USE AGREEMENT
As required by the City of Springfield Development Code, I agree that with the approval ofthelltached
permits, one of the following manufac~ homes will be placed at .B?:l~ (\DV'\:h I'd r\()p
Springfield, Oregon, City Job Number u."1 j)~ . 0
Type I Manufactured Home. A multi-sectional (double wide or wider) unit with an eadosed
floor area ofnot less than 1,000 square feet, that has a nominal roof pitch 00 feet in height for each 12
feet in width, that has no bare metal siding or roofing, and that has been certified by the manulildurer to
have an exterior thermal envelope meeting performance standards which reduce heat loss to le\ds
equivalent to the performance standards required of single family dwellings constructed under1be State
Specialty Codes.
- Type II Manufactured Home. A unit ofnot less than 12 feet in width with an enclosedfIoor area
of not less than 500 square feet, that has a nominal roof pitch of2 feet in height for each 12 fed in width
and that has no bare metal siding or roofmg.
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The manufactured home shall be placed on an excavated and back-filled foundation not to exceed 6
percent slope within 10 feet of the perimeter enclosure. The perimeter foundation wall surrounding the
home shall be constructed of stone, brick or other masonry materials, and with no more than 24 inches of
the enclosing material exposed above grade.
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I further agree to meet all land use and City Code requirements of the above mentioned parcel within 60
days of the date of issuance of the manufactured home set up permit. These requirements may include, but
are not limited to the items listed below. Specific land use requirements regarding your parcel are noted on
your approved set up plans and/or permit and your partition approval if applicable:
. Street Trees
. Paving Driveway
. Minimum 32 square foot storage structure
. Completion of partition approval
. Removal of any existing structures as noted on your partition approval
. Signing and recording of any required partition, easement, improvement agreements, etc.
. Final lot grading
. City Sidewalk and curbcut installation
. Any outside agency approval as required i.e., Division of State Land approval.
By my signature b~low, I agree to complete the above mentioned land use requirements.
Owner Signature
Date
Contractor Signature
Date