HomeMy WebLinkAboutPermit Electrical 1998-11-16
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ZQ"'ng, and does not ~ hae IhG following
appoval, &peclIo Illnd UllO
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Zoni"ll
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1.
LOCATION OF INSTAL~TION
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LEGAL DESGJq:PTION L: 1..,."
/10 ? ).l Lf 'f - tJ 0 ov'-'
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,
JOB DESCRIPTION
~ /:l-t:c. r
;
Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
2.
CONTRACTOR INSTALLATION ONLY
Electrical
contracto~
/Phone
, ~
I
I
I
Address
City
!
Supervisor
Expiration
Cons tr
Sign ure of Supervising Electrician
Ovners Name.J ~I''''' 1 "L;;/.u" <':r /?
Address 7/}. 5' tc/r I ( Il--it:-?; / ~
Ci ty Ec,4?v' Phone.9fr. 3<1~:?Y20
OYNE~NSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signa~
~~~-~~-~------------
RECEIPT II: h g 'U:>,~ /J
RECEIVED BY: J: j! r-J-.f/
J..JY2-
ELECTRICAL PERHIT APPLICATION
City Job Number Cf~"/ ]oS
COMPLETE PEE SCHEDULE BELOY
.,(H)
3.
200 amps' 'or less I
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100U volts
D.
Branch Circuits
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
ArrENT; Items
fO~IJQ l'ON:O~i;O 10.."
Noti EP !Iii Clff€lme rh:~qUir9S $ 85.00
, 19~ t. ct1Y lll:lilQ::) }vu to
In 0 52~ t<J~. regOn Uti/'Iy
0090 . "v1'tlO les a I
calu';~~~Oht ' through OA~e selfol$h 15.00
l\"~lh~l\tIillfl ~~s~i . tlSc-001.
nUmblil~ hM (Rtr'{IJ!aJ!a1lfhe t the rUles b
~fft~r~ ~WQle~fltYNe/ephone ~ 40.00
s 1'800-332_2 Om/cation
B. Services or Feede~).
Installation, Alterations
N,,'T',t' or Reloca t i on:
7i 'w~'
HIS PER . 200 amps or less
~U,~' ~112~~ amps to 400 amps
('In, ORI.('cD ,ioi L~niIlPIp. 0 600 amps
-"''"',ENC 'fJ0'l,;/1"lPS 1f&1t:1fJ.Q0 amps
'Nt; III '1:) CfI/t,e,r 10b,O,llamp'S'A,lttwk
? t;Jt , "r tt..Jurrr,rwiJ 'fM\J!W IS ^'
fflrJl). ONe/) ~ ,.0,
C. Temporary Serv~~es or Feeders
Installation, Alteration or Relocation
Cost
Sum
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$40.00 Yo
$ 55.00
$ 80.00
see "B" above
.'
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin~ $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE '(0. a.>
5% State Surcharge 'l..O<l
3% Administrative Fee ~ ~
TOTAL l..f1. z-.
.
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY O~ SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 981305
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 1243 DELROSE DR
Assessors Map #: 17032344
Lot: 6 Block:
Tax Lot #: 08800
Subdivision: ORCHARD VIEW
Owner: LANCE FORSYTH
Address: 3125 WILLAKENZIE
Phone #: 345,5820
City/State/Zip: EUGENE OR,97401
Describe Work: S.F. RESIDENCE
NEW
Contractor
Cons t .
Contractor #
Expires
Phone
AREA: 5RNW
GROUP: R3
SOURCE: FG
FORSYTH CONST, 0061108
14460 NW Orchard View McMinnville 0
CONTRACTORS PLU 0101624
1590 BOGART LANE EUGENE OR 97401000
HOME COMFORT 0081757
2074 SW 4TH AV~~<<8~ OR 97914000
LYNNI ELECTRIC ,. 1).+923.).6 lo.JRlt/98
PO BOX A FALL cWEC)f~'aMh~~8'6bto"'I"'IAE IF THE VVUI
AUTHORIZED UNDER THIS PERMIT IS NOT
- -C8rvIi\.Tg~Cg~lbRiS ABANDONEO FOR
LAND USE: 1111
I\N\' ~ n!) .....1\'1 Mrtt'U.'1f"l,
CON~TR; TYP~: VN
INSUL PATH: PI
08/18/90
472-5033
General:
Plumbing:
08/15/98
343-0975
Mechanical:
04/30/98
889,6427
Electrical:
726,7895
QUAD
OCCY
HEAT
# OF BLDGS:
# OF BDRMS:
SQ FOOTAGE:
1
3
2627
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 ---
SITE ' To be made after excavation but prior to s.ettin:ill15wr~&\:IireS you to
FOOTING - After trenches are excavated. ATIENTION.Oreg~ by.the Oregon Utility
FOUNDATION - After forms are erected b~I~~~~gdgg~fiosar~~~~fOrth
UNDERFLOOR PLUMBING - Prior to inSUlat:b10IitiQJitIQfi,QI1I:1 0 through OAR 952-001-
UNDERFLOOR MECHANICAL - Prior to insulilntGAIiI ~-9Q~ {'1iI1i copies of the rules by
ROUGH GAS ' after line is installed anaOalilp~€!lj. "lIfY R I! 1NOtw.lH!@tetepilOne
appl iance calling the cen ;r. on Utility Notification
POST AND BEAM - Prior to floor insulatic!tl.U8\le!J.lA!~q~i! ~~gOQ-332-2344).
INSULATION - Floor; prior to decking Wall/~~~g; ~r1or to cover
WATER LINE - Prior to filling trench,
SANITARY SEWER LINE - Prior to filling trench,
STORM SEWER 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.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
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.
SPRINGFIELD
Job Number: 981305
Page 2
FINAL PLUMBING - When all plumbing work is complete,
FINAL MECHANICAL - When all mechanical work is complete,
FINAL ELECTRICAL' When all electrical work is complete,
GAS SERVICE - After line is installed and line has been connected to a
minimum of one appliance. Pressure test done at this point.
FINAL BUILDING ' When all required inspections have been approved and
the building is complete.
N
Lot Sq. Ft,: 7330
Total Height: 23
Lot Type: CORNER
Setbacks
S W E
10 10
5
Lot Coverage: 35.8 \
Setbk From NPL: 30
Lot Faces: NE
Topography: 2
Solar Approved: Y
House
Garage 18
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
1996
631
$/Square Feet
64,66
16,27
Value
129,061. 00
10,266,00
139,327,00
Building Permit Fee
surcharge/Admin
523,00
41,84
TOTAL FEE
(A)
564.84
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
GAS LINE & W/H
2
6,00
4.50
6,00
3,00
5.00
Mechanical Permit
Issuance
Surcharge/Admin
24,50
10,00
1. 97
TOTAL PERMIT
(D)
36.47
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
WILLAMALANE SDC
CITY SDC
0.00
25,60
14.20
1,000,00
2,506,28
TOTAL MISCELLANEOUS PERMITS
(E)
3,546.08
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
4,320.19
'f J. 1--0
~
Y,1(,1"3'i
SPRINGFIELD
Job Number: 981305
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.
Plan Check Fee:
Received By:
Plans Reviewed By: DON
Building Site Reviewed
339,95
Date Paid: 10/19/98
Receipt Number: 031776
MOORE Date: 11/13/98
By: BOB BARNHART
--- ADDITIONAL COMMENTS ---
PATH 1; SEPARATE ELECTRICAL PERMIT IS REQUIRED,
DRIVEWAY REQUIRED TO BE PAVED
5 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 fe S~ll times du ',ng;,onstruction,
~~~~ ;:h;f/ /1- /~ - 9'7'
Si~re v / c? Date
.. - VALIDATION
Date Paid:
o P..6(P5
(I /1r,lq~
lf3t?J11l
dtJ~
Receipt Number:
Amount Received:
Received By:
JOU~ OR JOB NO.
. ATTACHMENT A . qglsos
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY: _~ '--~ Fors~
,
LOCATION: 17.43 W(l!J".,;e, lDv
DEVELOPMENT TYPE: ~'I- D
BUILDING SIZE:
'2G?:::7
LOT SIZE
SO, Ft,
1. STORM DRAINAGE _ _ .__.,
-2f,2.+ t i~(Z..) i- 5t(z) -<<!:8~ 22)
IMPERVIOUS SO, FT, 37J3S" X $0,227 PER SO, FT, $ 145.70
2, SANITARY SEWER,CITY
NO, OF PFU'S
(See Reverse Side)
IK
X $47.14 PER PFU
$ K<f-g,~z
3, TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X I,hl X $475.32
$ ~O. 6+
X
X $475,32
$
4, SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO. OF FEU'S
X 1.77,44-PER FEU
$ '2..:17, 44-
B, IMPROVEMENT COST:
~
NO, OF FEU'S
Xz..5:2O PER FEU
$ 2.-5.-z.rj
<$ <Zf
$ '10 , 00
>
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
TOTAL-MWMC SDC $ S! 2, C?4-
SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ 2.~~.?
5, ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05 $ /I Cf . 35'
MSI,
SDC Coordinator
ATTACH' A, WPD
Date:
1O!~6
TOTAL SDC
$ 25::>0. ?X
FIXTURE UNIT CALCULfta)N TABLE: Number of New FixtU. Unit Equivalent = Fixture ~nits
(NOTE: For remodels, calculate only t~ET 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 Trailer),.......,.........
Receptor For Refrigerator/Water Station/Etc,....,..
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall.,..,:....,.,....,..,.,."..,.,.,....".,........
Shower, G,allg,.......,.........,"~cm'"''"'.,..,.,.......,..,'',.,. __
Sink: Bar: Commercial, Residential Kitchen,..;.......,....,......,..
Urinal, Stall/Wall,.....,..,..... ,. ,..'........,..,..................,...
Wash Basin/Lavatory, Single.....,.,..,..,..".,....,......."
Toilet, Public Installation.................,...."................
Toilet, Private..............,............,.........,.......,.........
Miscellaneous:
II
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
I
~'I
II
TOTAL FIXTURE UNITS
=
4-
'2...
'2...
'Z...
lC-
If(
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table,
calculate credits separates.
Year Rate per $1,000 Year Rate per $1,000 II
Annexed Assessed Value Annexed Assessed Value I
1979 or before $4.27 1989 $1.98
1980 4.18 1990 1.55
1981 4.12 1991 1.15
1982 3,99 1992 0.96 i
1983 3.83 1993 0.83 I
1984 3.68 1994 0.67
~; 1985 3.48 1995 0.52 J
1986 3.18 1996 0.38
1987 2.82 1997 0.21
1988 2.42
-
Credit for Parcel or Land Only If Applicable
X $ =
(Rate X Assessed Value)
X $ =
(Rate X Assessed Value)
CREDIT TOTAL = $
Improvement (if after allnexation date)
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purpo'ses Only)
Residential........................... 0.4
Commerica!......................... 0.9
Industria!............................ 05
Governmental...................... 0.5
FIXUNIT,WPD
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
\,
.
, SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: \^,,~lr:~
ADDRESS: ~I~~ \...)--\.1 ~h~....:o
- Ii
l.OCATION OF PROPOSED BUILDING SITE: ~
Street Address: \& l{ S lhs&, \l '(~ \ l.l:>Jl,
Plat Name: \ l r\"A,~qL(
.
Job. No. c; ~ \ ~t5
PHONE: 3,qS-S~O
STATE: 001- ZIP: <t l'-tOI
..\
Tax Lot Number: ()~~ut)
,
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
A. lli1l!T1p..FRmilv DP.tRr.hp.rf
~ Single Family home
NO. OF UNITS t-.
Manufactured home not in a park , . ,
. <:1=
X $1,000 per unit = $ _ \, CJbt\ -:-
B.,Sinolp".FRmilV..1illRr.hp.ri '
NO. OF UNITS
X $924 per unit = $
C. Multi.Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. !l.WnufRr:!urP.ri Homp. Pm"
, NO. OF UNITS
X $699 per unit = $
WILLAMALANE SDC $
2. SDC CREDIT (if applicable) SDC-payer must fumish proof of
Willamalane Credit approval. See SDC Credit Worksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
t>'lb
$ \.(JUr)-
UR
Dev~opment Services Department
City of Springfield .
lO I ,1 \ I ~I':l
Date