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HomeMy WebLinkAboutPermit Electrical 7-7-22 r ,.. ,~- . .- The, following project as submi~13r! h"? th-, HI ""hO. zoning, and does not roq"ip , . ,~.:~ I _ ' . th'_.. , approval. '. '" - ".-'''''h'y,,':~Ju,;o 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 Zoning m tir 9747tJ,ate"2:::.rl-.), rCO 726-3769 ' AuthoriZed Slgnature_b..M 3. 1. LQCATI9r OF I. ~~TALLATION ,u/\ I ~ ^ "-\;\0'-'\+ 4\\\ +tJfS\ S'''''-2 LE~ DES~PTION \ <i 0 ~OS~>' c:\... 02>\00 f'\. JO~ 9ESCRIPTION " >-)tlJ 'n 0 V) - \-/ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. Owners Signature: ~AT~~----------------~~~~~z{1----~--- RECEIPT #: f 1 ", rJ(\ RECEIVED BY: \)'\V('}O-> U \j,.IUJ ELECTRICAL PERMIT APPLICATION City Job Number C\f}\Cl~ COMPLETE .ft:E SCHEDULE BELO\l A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 1000 sq. ft. or less r4 Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder One Circuit Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative. Fee TOTAL 2. CONTRACTOR INSTALLATION ONLYB. Services # Feeders f'l . - n" ,,-f- Instal;t:t.c:tSlg, Alterations Electrical Contract~~)\'\\l\~ ClJLC) or R~~~~n: Address rO \0 lJ..n t l L:"l ~ Q; 2~~~~<tO~ess $ 50.00 ~'J It r r1 n \ ,0 n \-:2.1 r/L ~'~'<f;~Vo 400 amps $ 60.00 Ci ty U ~ t~ Phone ~~. J' 0JJ 'v~qO~~ to 600 amps $100.00 o 10A\ 0 ~ s to 1000 amps $130.00 Supel'visor License Number ~ .....) ~',. ~i!. ~ ~~ 000 amps/volts $300.00 Expiration Date \ (), \ C\~ _~:~~~.;;j ~ ~~ct Only $ 40.00 "J..- I JJ~~ -&>' oq:c ~~~orary Services or Feeders Constr Contr. Number l0lLVL----,,~.j.~ ~ ~stallation, Alteration or Relocation \ ~ lo (\1 ~. ~ !S> Expiration Date \.J2' ''-1, va ~~ 200 amps"or less $ 40.00 J ~. 201 amps to 400 amps $ 55.00 Signature of Supervising Electrician Over 401 to 600 amps $ 80.00 ~ ;I, ~ Over 600 amps or 1000 volts see "B" above . () 1 \...n" - ~ D. Branch Circui ts AOdWdnreersSsNt~p~_ ~ \\\ )~~l\(\,t'Q,_" ~_ 'l~ '~ ~~~ \ ~A\ New, Alteration or Extension Per Panel Ci t~n. (\ \U ~~. Phone <&()~ SL\:~ )~ INSTAL~TION 40\1 The installation is being made on property I own which is not intended for sale, lease or rent. Items Cost Sum 100~ $ 85.00 $ 15.00 $ 40.00 $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 -1!lO .C() ~:Yf{ [ 'i ~ . (,,/) - SPRINGFIELD ~~ .:tl'~ Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 971037 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 4109 FORSYTHIA ST 4111 Assessors Map #: 18020522 Lot: 92 Block: Tax Lot #: 03100 Subdivision: WYATT 2 Owner: RON HOLLAND Address: 1220 MARSH STREET Phone #: 805-543-4071 City/State/Zip: SAN LUIS OBISPO, CA Describe Work: DUPLEX NEW Contractor Const. Contractor # Expires Phone General: R NEUHARTH 0066019 6343 C Street Springfield OR 974780 Electrical: BINNS ELECTRIC 0073762 210 Wallis Str Unit #C Eugene OR 97 06/19/98 747-3846 06/06/98 687-1362 QUAD AREA: 3RSC # OF UNITS: 2 CONSTR. TYPE: VN WATER HEATER: E SQ FOOTAGE: 1606 OFFICE USE -- LAND USE: 1120 ZONING CODE: MDR # OF BDRMS: 2 RANGE: E # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: WH INSUL PATH: PI I o~~ ,'>.<y ~ ~O'\ To request an inspection, call the 24 hour ~~~~~~ at 726-3769. ~~ R-~ <<.0 All inspections requested before 7:00 ~~~~~~ made the same working day, inspections requested after 7:pO a~~w~~~~ade the following work day. tJ<t. ~ s ~<() ~~ ~~~~I}~~~~IONS - -- FOOTING - After trenche~r~ ~X~2~ ~a . FOUNDATION - After forms ~ ~c ~~<()prior to concrete placement. UNDERFLOOR PLUMBING - Prior ~ ~ ul~~lon or decking. POST AND BEAM - Prior to flo~l~~ation or decking. INSULATION - Floor; prior to d~~ng 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. SHEAR WALL NAILING - Before covering sheathing with finish materials. FRAMING - Prior to cover. INSULATION - Floor; prior to decking 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. FINAL PLUMBING - When all plumbing work is complete. FINAL MECHANICAL - When all mechanical work is complete. FINAL ELECTRICAL - When all electrical work is complete. FINAL BUILDING - When all required inspections have been approved and the building is complete. Wall/Ceiling; Prior to cover Lot Faces: N Total Height: 26 Setbk From NPL: 32 SPRINGFIELD Job Number: 971037 Page 2 Solar Approved: Y Lot Type: INTERIOR Setbacks S W E 83 11 11 11 11 N House 20 Garage 20 BUILDING PERMIT Square Feet x 1306 300 104 $/Square Feet 64.66 16.27 8 Item Main Garage ELEVATED DECKS Total Value Value 84,446.00 4,881.00 832.00 90,159.00 Building Permit Fee Surcharge/Admin 397.00 31.76 TOTAL FEE (A) 428.76 --- SYSTEMS DEVELOPMENT CHARGE (SDC) --- (B) 3,045.45 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) Fee 182.40 2 Plumbing Permit Surcharge/Admin 182.40 14.59 TOTAL CHARGE (C) 196.99 MECHANICAL PERMIT --- Exhaust Hood Vent Fan Dryer Vent 9.00 6.00 6.00 2 Mechanical Permit Issuance Surcharge/Admin 21.00 10.00 1. 68 TOTAL PERMIT (D) 32.68 --- MISCELLANEOUS PERMITS --- Surcharge/Admin Sidewalk Curb Cut WILLAMALANE SDC ELECTRICAL PERMIT PLAN REVIEW FEE 0.00 20.20 17.95 1,848.00 183.60 60.00 TOTAL MISCELLANEOUS PERMITS (E) 2,129.75 TOTAL AMOUNT DUE (A, B, C, 0, and E combined) (Excluding Electrical) unless otherwise noted 5,833.63 SPRINGFIELD Job Number: 971037 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. Received By: Plans Reviewed By: DON MOORE Date: 07/17/97 Building Site Reviewed By: LISA HOPPER --- ADDITIONAL COMMENTS --- SAME AS 970898 PLANS REVIEWED BY MICK NOLTE, MORTIER ENGINEERING 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. ~U ~ ~ 7-,:J..;J...-?? Signature Date Date Paid: - - - V,LIDATION ~\o~ ~. 'L'L C() \ O~c{3 ~.IvJ'}) Thl1)~ ~ Receipt Number: Amount Received: Received By: !.., CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE (RESIDENTIAL) Name or Company: RON HOLLAND Location: 4109 FORSYTHIA ST 4111 Developement Type: R Building Size: Job No.: 971037 Lot Size: l. STORM DRAINAGE Impervious Sq Ft 2221 X 0.226 Per Sq Ft 2. SANITARY SEWER - CITY Number Of PFUs 22 X 46.86 Per PFU (see Page 2) 3. TRANSPORTATION Number Of Units 2 X X Trip Rate 1. 010 X X Cost Per Trip 472.49 $954.43 Transportation Total 4. SANITARY SEWER - MWMC Number Of PFUs 22 X X Per PFU + 20.690 + MWMC Admin Fee 10.00 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: 07/15/97 Page 1 Sq Ft $501.95 $1,030.92 $954.43 $465.18 $52.05 $413 .13 $2,900.43 $145.02 $3,045.45 \... Job Number: 971037 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 o o o o o 2 o o o 2 o 2 o 2 o 2 o Page 2 Unit Equivalent Fixture Units 2 1 2 3 6 2 6 1 3 2 o o o o o 4 o o o 4 o 4 o 2 o 8 o 2 2 1 6 4 22 CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured after annexation date, credits are calculated separately. (calculations are by $1000) Year Annexed: 1969 Credit For Parcel Or Land Only If Applicable: Improvement (if after annexation date) : 15,000 X 3.47 52.0S o X ,3.47 0.00 CREDIT TOTAL = $52.05 (If land value is multiplied by 1 then the parcel/land credit is not accurate.) (\~\1J'?Il ... SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: \ ~ ~\\~<<\ . PHONE: -3[10" fj\~ <\\)l"' ADDRESS:]jJ) ~\MJJf\ }.J::-, I . ST~TE: rA ZIP: LOCATION OF PROPOSED BUILDING SIT~ ~ ~ro ' Street Address: 4. \1)C\ -t- 4\\\ ~(S\\~ {(L; ~ Plat Name\t}\f.\ tt. ; cQ Ni . Tax L:t Nu,.),e,; -/1;n2DCW2 D3100 1. .DEVELOPMJ~IT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t ype definitions are on the back.} \, - A. Sinale-Familv Detached Single Family home Manufactured home not in a park , NO. OF UNITS X $1,000 per unit = $ B. ,Sinale"-Familv Attached cQ NO. OF UNITS X $924 per unit = $ J8~ciJ C. Multi-Familv Aoartment NO. OF UNITS X. $692 per unit = $ D. Manufactured Home Park NO. OF UNITS X $699 per unit = $ $ (~43.cfJ ff $ (~+~ ,a) ~'Lt C\f} $ WILLAMALANE SDC 2. SDC CREDIT (if applicable) SDC-payer must furnish proof of Willamalane Credit approval. See sac Credit Worksheet. 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) \~v~JS~i~~~nt City of Springfield ~/ Date