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HomeMy WebLinkAboutPermit Electrical 1995-7-6 ~ ,~~' oWing proJ~ct as submhted h..s the fdiowin, zon",g, ~nd does not require sneclfb '''nd'u''e> .g approval. " .. ''''',. " . Zoninp L D t? Dtrte,/-C,-q )- 225 FIFTH STREET . , SPRINGFIELD, OREGON IVfmcpd SIgnature kJ ~ INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. ~~ M~lcj ~~ffiTI~. OCCU) - - -, - ~~B~~~K~__ \\riX:)g Permits ~re non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. r- CONTRACTOR INSTALLATION ONLY < '.. ;.. ....., <:~. o~t C I '_ BILL'S ELECTRIC 31,70 W 11TH AVE EUGENE O~'974-62 I /' I -~~ ' I L, d. SUPERVISOR Lie. #.980S " EXP. DATE 10/30/95' E' CCB.#21351 I EXP. DATE4/28/9~ .- (,v&-aw~...-A.-_~ ..-,"-..-~.-:--&-.,......:..;."':--_,_"'~----.-' -~ Expiration Date . . ~7re ~ sUPHr)ectrician "1:5 - R..t \ V J.1...".. _ D. Owners Name ""')\ lJ.UL) Address 4C\~. ~\~J . City ~)\{)~P_. Phone ~Af\-.62fo 7 OVNER INSTALLATION The installation is'being made on property I own which is not intended for sale, lease or rent. Owners Signature: -------------------71------~-- -------- DATE: . I. t.o. RECEIPT #: ~' f f'_~ -, K W~/? RECEIVED BY: V V'----/ - J - ELECTRICAL PERMIT APPLICATION Ci,ty Job NUmber C\ ~D 3. COMPLETE FEE SCHEDULE BELOY A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cos t Sum 1000 sq.ft: or less I $ 85.00 Each additional 500 sq. ft or portion thereof -2 _ $ 15.00 Each Manuf'd Home, or Modular Dwelling Service or Feeder $ 40.00 ~ .sD 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/lOOO 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, Al~eration or Relocation 200 amps"oT 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 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 Limite~ Energy/Res Limited Energy/Comm 40.00 40.00 20.00 36.00 not included) 5. $ $ $ $ ~~ ~:L"- ~ ~"" 'CJ~.U2 SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL .","!~ " fi Y.,\;{ilIR~cr;m~!g!!i~ > > Job No. C\QMO SYSTEMS DEVELOPMENT CHARGE \\'ORKSHEET . . NAME:0).\~f\~ ~\llJ PHONE:\'\~ .~'llo_ . , ADDRESS: lo~n \)\ ~. ~l'\1.rl:1 b. ~ STATE:~ ZIP Q11tit. '. tqCATION OF ~ROPOSED BU1L9J~g SIlE:r-"....... . l..~' Street Address if Known: ~ 't\~ 'tt j\S\.A\ t a I . . ~ .. PlattName: ~~ TaxLotNumber: \~1fj\{X) ~o'Ozqcp 1. DEVELOPMENT TYPE (Check appropriate dwellingCs). SDC Calculations and dwelling type definitions are on the back.) . .. . A. Sim~le Family - Detached l . Single Fan:tily home .. NO OF UNITS Manufactured home not in a park" , ciJ X $400 PER UNIT _=.. ... $ ,.@. .. '. B. SinQ'le Family - Attached . NO OF UNITS X $370 PER UNIT = . $ . C. Multi-Family Aoartment. . NO OF UNITS D. Manufactured Home Park X $777 PER UNIT = $ NO OF UNITS X $280 PER UNIT = $ 3. TOT At WPRD NET SDC ASSESSED (If SDC reduced for Credit> ~ \ t,\~d) r"n-\..,,,,,.,,:t-., <:;':~~~~('i"n . rJjcD . $~ . 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit, . ff approyal. See SDC Credit Worksheet.' $ AtOPU (L ~Jq') WPRD SDC n;1tp v '. . .. 1 NO. C(5{)roqO ' / CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE ,WORKSHEET (COMMERCIAL & RESIDENTIAL), NAME OR COMPANY: f0v6/Zr3etJDI-!-oNJeS LOCATION: 4QE;S FOfZ-~Y{t-IIA ' / Y: () "2- ()4 () 0 -0 ~'1 00 DEVELOPMENT TYPE: LOt<: - NEW '5:?F1?- , BUILDING SIZE: LOT SIZE SQ. Ft. 1. ~TORM DRAINAGE IMPERVIOUS SQ. FT. '2-444 X $0;209 PER SQ. FT. 010~ 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) IB X $43.26 PERPFU cG1B V 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP / X /, () f X $436.19 X. X $436.19 X 4. SANITARY SEWER-MWMC NO. OF PFU'S _ \8 x $17.19 PER PFU + $10 MWMC ADM FEE $3tq42: (Use PFU Total From Item 2 Above) , MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ 1.'3 5?4- . TOTAL~MWMC SDC ~ SUBTOTAL (ADD .ITEMS 1,2,3 & 4) $'1....o? 5~ X "$436.19 G~5~ '---- ~ : $ $ 5 ..ADMIN iSTRATIVE FEES, BASE CHARGE (SUBTOTAL ABOVE) k~Lt.k' . , (f Kip Burdick . SDC Coordinator X .05 Date: 5/'2:3/1'5 ;' / ' TOTAL SDC C;:OI ~) "-- ----- $ 2., ~ 1 ?~ ... .. ."' .....". ..'~C:~,,";, ;',: ..... .,. - ~'. . ~ . , F()(TURE UNJJ CALGULA-. _ dN'T ABLE: Number of New Fixture~Unit Equivalent =. Fixture Uni~s .,.:' (NOTE: For remodels, calCulate only th< \:: additional fixtures) NUMBER OF UNIT FIXTURE " FIXTURE TYPE NEW FIXTURES EQU\V ALENT UNITS 1.. 2 1 2 3 6 2 6 6 -, 1 3 2 1/Head 2 2 1 6 4 4 Bathtub.................................................................... eo 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, Gang.. .................................................. ....... Sink: Bar, Commercial, Residential Kitchen........................ Urinal, Stall/Wall.......... ...................................... ..'..... Wash Basin/lavatory, Single... ......... ......... .... ......... Toilet, Public Installation................... ......... ........-.. Toilet, Private............. .... ...............................,..,... Miscellaneous: 1.. "Z ~ z. 'Z.. ~ TOTAL Fl>:TURE UN!TS \8 ~-, . CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, J calculate credits separates. Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000, Assessed Value ", 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 ;i ,\ Improvement (if after annexation date) 3 . +'- X $ 4 ,6 (Rate X Assessed Value) X $ (Rate X Assessed Value) /~r4 Credit for Parcel or land Only If Applicable CREDIT TOTAL = $ /:3 164 y RESIDENTIAL PERMIT APPLICATION DESCRIBE WORK: NEW ~ REMODEL CONTRACT~~_ J\ GENERAL: V \~ (\0 PLUMBING: ~~ MECHANICAL: Q~Lt)t\..u ELECTRICAL: ~,,\\~, ~ / .3 - ~1, \. JOB NUMBER qr:{) loC\CJ 225 Fifth Street.. Springfield, Oregon 97477 , \j \0--:X LO]' V{ ) ORD SUBDIVISION:\~\ ~'r\tJ? PHONE:-m 62Jo 1 STATE: .~ ZIP: C{,'\1-\JJ OWNER:\\~}\ltJ ~~()., ~~. 0 S ADDRE~: \_O\'CJ \~\XS\L ~.t\Jj)J CITY: \,~\QJ:)Llu Q Q ~ ~ \~.t~\ruN'o ./ ADDITION DEMOLISH OTHER .CONST, . . C2\'3~/I ,EXPI~ES~_, P~NE ._g__,_~_..- .,.\\:).\\$ C\3 .~ \7~.2\ .QS ~ q }2.~( ~~\ ' ?J<\!4S 10~. \xSI LZJ Rough Mechanical -Prior to cover, '; [~ Rough Electrical - Prior to cover, ADDRESS 1\)~~ 'A~\~S\ 3~ - OFFICE ,\E - QUAD AREA: LAND USE: ~\\ FLOOD PLAIN: /I OF SLOGS: \ /I OF UNITS: , ZONING CODE: LD~ OCCY GROUP\\~+ tJ\' CONSTR, TYPE: VAl /I OF SDRMS: ~ \ ~f / ---- /I OF STORIES: HEAT SOURCE: SECOtyDARY HEAT: lid!) WATER HEATER: C(> RANG E: U SQUARE FOOTAGE: To request an inspection, you must call 726-3769, This is a 24 hour recording, All inspections requested before 7:00 a,m, will be mad~:the same working day, Inspections requested after 7:00 a.m, will be made the following work day, REQUIRED INSPECTIONS [:;KJ Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumbing I Electricall Mechanical - Prior to cover, r\/t Footing - After trenches are ~ excavated, " o Masonry - Steel location, bond beams,- grouting, Q Foundation - After forms are erected but prior to concrete placement. D Underground Plumbing - Prior to filling trench. '~ Underlloor Plumbing! Mechanical - Prior to insulallon or decking, IVl Post and Beam', - p.rlor to floor (-"e Insul~tlon or de'cking>"-. '" .,',' ~ - ----,----':.; ':, :.:) - ~~ i . \ '.,.' "} ~ i.'> M Floor Insulafion -::'Prlor to '----F decking, M SanitarY'oSewer - Prior to filling I trench, rv\l Storm Sewer ~ Prior to filling L,L::{ trench. ~ []I Water Line - Prior to. filling trench, , !, . -', I . f'l!l ROUgh, i?lumbI'Jg .-:..: Pr.ior t'o LpJ cover, . fV1 Electrical Service - Must be LN approved to obtain permanent electrical power, o Fireplace - Prior to facing materials and framing Insp, ~ Framing - Prior to cover, I'Jl Wall/Ceiling Insulati9n - Prior to Lf'J cover, IX) Drywall - Prior to tapin'g, " o Wood Stovo - After Installallon, o Insert - After fireplace approv&1 ". and installation of unit. m Curbcut & Approach - After' ~ forms are erected but prior to placement of concrete, '. IYl Sidewalk & Driveway - After' '--f'.J. excavation is complete, forms and sub.base material In place, o Fence - Whe,n comp!eted, f\ll. Street Trees - When all required ~ trees are planted, ",'.', M Final Plumbing - When all ~ plumbing worl< is complete, f\7l Final Electrical - When all Lf>J electrical work Is complete, rYl Final Mechanical - When all / mechanical work Is complete, I'll Final Building - When all ~ required Inspections have been approved and building is completed, D Other MOBILE HOME INSPECTIONS D Blocking and Set. Up - When all blocking Is complete, o Plumbing Connections - When home has been connected to water and sewer, o Electrical Connection - When blocking, set.up, and plumbing Inspections have been approved and the home Is connected to the servic~ panel. Cd Final ~, After all required inspections are approved and porches, skirting, decks, arid venting have been installed, / .~ / .' ~ '; ," l'.\ ~ '.'1' <. Lot Type, Setbacks ~Interior I p.L. HSE GAR ACC' Corner IN \R I Is - I Panhandle tD Cul.de,sac Iw 5 I IE \S I Lot faces t--! (00 (b S.:J. Lot sq. Itg. Lot coverage Topography Total height t~' , (~'-) BUILDIN~ PERMIT \\~S <\~ ITEM Main Garage Carport Total Value Building Permit Fee Xfu~W =lfi~ \'\.\0 " \.Q ,4l~ 11,~-Ho,~8 (A) State Surcharge Total Fee PLUMBING PERMIT ITEM Fixtures Resident!al Bath(s) NO Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge FEE ~ \ "Cj ,00 (C) \ (()(J. SO- \bl.~ \ l.~. ~ '3.~ ~J..\.~' Total Charge MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan Wood Stove/lnsertl Dryer Vent Mechanical Permit Issuance State Surcharge ~s -\- .S" Total Permit :l. ~,~ 4. S.-9 C:. _ C.Jb 3.~ Mobile Home MISCELLANEOUS PERMITS (D) \'\. SO la. ~ \,~ ~ l .b~t State Issuance State Surcharge Sidewalk ~~ ft ~ft Curbcut Demolition State Surcharge \~,~S v-\. &6 ~~,b; ~~~~~S~ Total Miscellaneous Permits (E) ~ TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) ,03 THE PROPOSED WORK IN THE, . HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit iJ,suance, J . APP.ROVED' 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 c.ol)struction and uS,e of buildings, and may be suspended or revoked at any time. upon violation of any pr?{if{ons of said ordinances. Plan Check Fee: ()f~4 ,qO ' , . e:. .2-2 . t 1,~ Date Paid: _\-) -U ReceIpt N"mb__-- \l~lo.- - 0 Received By, ruM ~~ - ( Plans Reviewed By Date Systems Development Charge is due on all undeveloped properties within tho City limits which are being improved, A~~~l COMMENTS _ \ ~+T'. L\~[)() (~) \_~.f\9^l '0().T o}. \ q Ld) (jJ ~~\dJL.; -~~~ -l::\<:>n ).~~ \ ~ ~ ~:ti:u :J. 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 Building Safely Division, I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. ~:~::~ON:MBER _ _ ~,~W(p . DATE PAID '7 .ft? ~Lf..S I, , -l .-' 1 I :;::'~;DR:~gJ~">0;4r6i.~ '-".J - -- J "