HomeMy WebLinkAboutPermit Electrical 7-7-22
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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
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- \-/
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
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SPRINGFIELD
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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
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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