HomeMy WebLinkAboutPermit Electrical 2001-8-22
zoning, and does not require specific land use
approval.
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Date
225 FIFTH STREET Authorized Signature
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST.: 726-3769
OFFICE: 726-3759
1.
LOCATION OF INSTALLATION
Z6{C; J/J1AIA Loor
LEGAL DESCRIPTION
! 76 S 'Z-'::> (J L>
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JOB DESCRIPTION ~
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Permits are non-transferable and expire
if york is not started yithin 180 days
of issuance or if york is suspended for
180 days. .
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2. CONTRACTOR INSTALLATION ONLY .B.
Electrical Contractor ~~ ~.
Address /tJrZ- ~ ~ .
City ~~
p7
Supervisor License Number
Phone 7.;2 9 - / ~OO
?f5-.s
/1.( 0/
Cons tr Con tr. Number b ~/'$7 f5l;,. _ _
LI/$/t51
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Signature of Supervisin~ Electrician
."/,I'.~~
oYners~'N~:~- --P~vt~ ~rc,b-fL
"
Address J 3KI '3 -Z ( S-I- ~ r
Ci ty S"'^VV'-,^~ltJA-Phoney;t> ~91-- 2037
Expiration Date
Expiration' Date
OVNER INSTALLATION
The installation is being made on
property I own whi~h is no~ intended
for sale, lease or rent.
Ovners Signature:
DATE:
RECEIPT fl::
RECEIVED BY:
ELECTRICAL PERMIT APPLICATION
City Job Number ()(-oo'g'Od-O/
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 ~01 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
3. COMPLETE FEE SCHEDULE BELOY
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost Su
1000 sq.ft. or les$. $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular.'Dyelling -=-:-$
Service or Feeder 40.00
$ 40.00
$ 55.00
$ 80.00
see "B" above
,.
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit (
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited EnetgylComm
5. ~YBTOTAL OF ABOVE
7 fI. State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$' 2.00
.'
not include(
$
$
$
$
CZZ-
40.00
40.00
20.00
36.00
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Job# 01-00800-01
Page 1 of 4
225 North Fifth Street
Springfield, OR 97477
CITY OF SPRINGFIELD, OREGON
TRANSI:OI-0006501
DATE=AUG 22 2001
AMT RECD:2 $ 4240.78
CHANGE:
CASHIER:061
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00800-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 2679 Maia Lp Spr
Assessors Map#: 17032500
lot: 46 Block: Addition:
City/State/Zip: Sumner, WA 98~j:l0
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VaLue;> 1 ~5's:135
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\'<5- '00 V. 9J<07: s '0'\
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. U' 0 ' 10 - "'...... "'''' 0' '
^~. ,:-.,e oS .\~' ~~' ()~ 'o~
Registrati6h #"\'\'E~piration Date,,\v'30'" Phone
~~. s-o.- :\'0" \)"\.\' ~\"(J' '0"- ~\'
~ ~ <.J:.e G'O~\,'\)\J\ \~ vO :\.e'~",\ ~o ~,. 541-689-7762
\0\\0 'i\o~ ,\JO 0'O''?J. ~o '0'''~ rz,,!>bc
~\\v~ 9J<0?; ~'30'\ {\,'O~' ~o~ Q,,!>7:
~o O~'f,'.J"o\} ,eve O~e R>\J\J'
\~ ~. (\ '(~ .;s..'O. r: \'
\)d?> ~\~~ \O~ '0'<. '\"
r~ ._P,~ _(\'\l
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Office Use ~,):
Quad Area: 2RNW land Use: Single Family Dwelling # Of Buildings: 1
# Of Units: 1 Zoning Code: LDR Occupancy Group: Dwelling
Constr, Type: (VN) Wood Frame Bedrooms: Heat Source:
Water Heater: Range: Sq. Footage: 1188
-,
~\'
To request an inspection call the 24 hour recording at 726-3769. All inspections requested b~~a;~~
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be ma~~'Re~~wing
working day. ~{(..~ (y<(-~ 0<(-
R . d I t' , \ ~~ "Co. <:? _ ,<,'V X
. equlre nspec lon~. Sy..'t-y ~'\{t. ~\J"
I Building \n,,\\v'I~~'\ ~~'V~ ~<:o~
-Install ground rod at footing, and c~I"lord~e~~~ In&n1oc~on with footing and/or foundation i
-After trenches are excavated. ''\~'";) ~O~ v r,;y"''V '~9 .
-After forms are erected but prior to con~e .R.{~..c~me~f?'?
- Prior to cover. . C.p~\\ "r:o\j-VV'
-When all required inspections have been a'?Rtoved and the building is complete.
I Electrical I
-When blocking, setup, and plumbing inspections have been approved and the home is connect
~ Prior to cover.
Owner:
Address:
Tax lot #: 00204
Subdivision: Maia Park
Deanna Barger
Phone Number: 360-897-2039
13813 215th E
Scope Of Work: Manufactured Home on Private Lot
New
Contractor Type
General Contr
Electrical Contr
Verify Ground Rod
Footing
Foundation
Framing
Final Building
MH Electrical
Rough Electrical
MH Service
Final Electrical
Underfloor Drain
MH on private lot
Contractor
Gooden-Harrison Construction
1441 hwy 99n, Eugene, OR 97402
Heritage Electric
1042 Horn Lane, Eugene, OR 97404
541-729-1500
- When all electrical work is complete.
I Plumbing
- Prior to cover or placement of concrete.
~
MH Set Up
MH Final
I Job# 01-00800-01 I
Required Inspections
I Plumbing I
-After home has been connected to water ana sewer.
- Prior to filling trench.
- Prior to filling trench.
- Prior to filling trench.
- When all plumbing work is complete.
I Manufactured Home
- When all blocking is complete.
-After all required inspections are approved and porches, skirting, decks, venting, house numbel
Page 2 of 4
MH Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Final Plumbing
Zoning: LDR
FloodPlain? D Wetlands? D
Journal numbers
1: 2:
Comments:
Overlay District:
# of Street Trees: 2
land Use: Single Family Dwelling
Pave Driveway? D
3:
Planner: Liz Miller
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: n/a
Additional Requirements:
Glenwood Area? D Required Attachments:
Source locn:
Material:
Flood Plain FEMA: n/a
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms:
Handicap Access? D
-Area (Sq, Feet)
Main: 1188 Accessory280
# Of Stories: 1 Height (feet):
Current Units: Proposed Units:1
Census Code: New SF - detached
Total:1468
Fee
Paid On Receipt#
Plan Check
07/30/2001 6280
Value/Quantity
Fee Amount
Residential Plan Check
Total Plan Check
10,135
$56.23
$56,23
Building Permit
Foundation Only
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Building
08/22/2001 6501
08/22/2001 6501
08/22/2001 6501
08/22/2001 6501
5,135
5,000
$56.50
$50.50
$7.49
$3.21
$117,70
Manufactured Home Service\Feeder
Branch Circuits With Feeder or Service
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
Electrical
08/22/2001 6501
08/22/2001 6501
08/22/2001 6501
08/22/2001 6501
2
1
$80.00
$2.00
$5.74
$2.46
$90,20
)
t/ . . ;.
DRAINAG~ XTURE UNIT (DFU) CALCULA r:,,~;; TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
( # NEW - UNIT FIXTURE
# OLD ) x EQUlV ALENT ~
FIXTURE TYPE UNITS
BATHTUB ( 2 0 ) x 3 6
DRINKING FOUNTAIN ( 0 0 ) x 1 0
FLOOR DRAIN ( 0 0 ) x 3 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. ( 0 0 ) x 3 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. ( 0 0 ) x 6 0
LAUNDRY TUB ( 0 0 ) x 2 0
CLOTHESW ASHER / MOP SINK ( 1 0 ) x 3 3
CLOTHESW ASHER - 3 OR MORE (EA) ( 0 0 ) x 6 0
MOBILE HOME PARK TRAP (1 PER TRAILER) ( 0 0 ) x 12 0
RECEPTOR FOR REFRIG / WATER STATION / ETC. ( 0 0 ) x 1 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. ( 0 0 ) x 3 0
SHOWER, SINGLE STALL ( 0 0 ) x 2 0
SHOWER, GANG (NUMBER OF HEADS) ( 0 0 ) x 2 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN ( 1 .0 ) x 3 3
SINK: COMMERCIAL BAR ( 0 0 ) x 2 0
SINK: DOMESTIC BAR ( 0 0 ) x 1 0
WASH BASIN ( 0 0 ) x 2 0
LAVATORY ( 2 0 ) x 1 2
URINAL, STALL/WALL ( 0 0 ) x 5 0
TOILET, PUBLIC INSTALLATION. ( 0 0 ) x 6 0
TOILET, PRIVATE INSTALLATION ( 3 0 ) x 3 9
MISCELLANEOUS DFU TYPE NUMBER OF EDU's*
( 0 0 ) x' 20 0
TOTAL DRAINAGE FIXTURE UNITS =1 23
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXA TION DATE, CALCULATE CREDIT SEPARATELY
YEAR CREDIT RATE PER $1,000 YEAR CREDIT RATE PER $1,000
ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE
1979 OR BEFORE $4.92 1990 $2.06
1980 $4.83 1991 $1.64
1981 '$4.77 1992 $1.45
1982 $4.64 1993 $1.31
1983 $4.47 1994 $1.13
1984 $4.30 1995 $0.97
1985 $4.09 1996 $0.82
1986 $3.78 1997 $0.63
1987 $3.41 1998 $0.41
1988 $2.98 1999 $0.22
1989 $2.52 2000 $0.04
VALUE / 1000 CREDIT RATE
0.000 x $0.00 =1
0.000 X $0.00 =1
TOTAL MWMC CREDIT =/
$0.00
$0.00
$0.00
CITY OF SPRINGFIELl 'STEMS DEVELOPMENT CHAk. -' WORKSHEET
JOURNAL OR JOB NUMBER: 01-00800-01
NAME OR COMPANY: BARGER
LOCATION: 2679 MAJA LOOP #46
TAX LOT NUMBER: 17-03-25-00-00204
DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE
NEW DWELLING UNITS: 1 BUILDING SIZE: 1188 SF LOT SIZE: ~914 SF
=1 $34.83 l
=1 $0.00 ,
=1 $367.69 I 1055../
=1 $10.00 I 1056
=1 $377.69 II
=1 $2,607.98 II
J. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM .
IMPERVIOUS S.F. x COST PER S.F. I
2016.00 $0.273 =,
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F. x COST PER S.F. I x DISCOUNT RATE
0.00 $0.273 50%
I ITEM 1 TOTAL - STORM DRAINAGE SDC
2....SANITARY SEWE~ - rTT\:::
A. REIMBURSEMENT COST:
NUMBER OF DFU's I COST PER DFU
x'
23 , I $21.37
B. IMPROVEMENT COST:
NUMBER OF DFU's COST PER DFU
X
23 $16.24
I ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3. TRaNSPORTATION
A. REIMBURSEMENT COST:
ADT TRIP RATE NUMBER OF UNITS I COST PER TRIP 1 NEW TRIP FACTOR
X X X
9.57 1 I $16.21 , 1.00 ,=1
B. IMPROVEMENT COST:
I ADT TRIP RATE NUMBER OF UNITS
X
I 9.57 1
X
COST PER TRIP
$68.94
NEW TRIP FACTOR
1.00 =1
=1
X
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SFWFR - MWMC.
A. REIMBURSEMENT COST:
NUMBER OF FEU's I X COST PER FEU
1 $332.86
B. IMPROVEMENT COST:
NUMBER OF FEU's COST PER FEU
X
1 $34.83
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT
MWMC ADMINISTRATIVE FEE
I ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
I SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5. ADMINISTRATIVE FEE:
SUBTOtAL
$2,607.98
~T~
SDC'COORDINATOR
, I ADM. FEE RATE
Xj 5%
$550.37
=,
=1
$0.00
$550.37
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· 1070';/
l 10911/
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I 1092~/
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10931
I
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1094~/
=1
$491.51
8/17/01
=1 $130.40 I 1073
TOTAL SDC CHARGES = -;;::;38.38 .J
DATE
=1
=1
$373.52
$865.03
$155.13
$659.76
$814.89
=\ $332.86