HomeMy WebLinkAboutPermit Mechanical 1999-8-26
AUg-~4-~~ U':UDA
.
RESIDENTIAL
PERMIT APPLICATION
.
Inspections: 726-37611
Office: 726,3759 I' 2 <{ 00 t f IE
LOCATION OF PROPOSED WORK: ~
t1fJ3} "f.,..,.
OWNER:_S"'A'''''' t>.y._R._,"A'li =. / ~.'
ADDRESS:' 1t.;L 'I OA I( /"1~~;,l).-v~ ?1A,C:C:fff?.l7
It^~~ >P//~ttetP' STATE: O~.
DESCRIBE WORK:..A~d 0 'v ~.L.f/c..,,/l'I;O ~_,_"""4NV.p,.qC-/i;'/<?.P
NI;W,- RE'-lODl;~ ADDITION rX. DEMOLISH OTHER
ASSESSORS MAP:
Wl:
CITY:
CONTRACTOR'S NAME
GENERAL:
BWCK:
.....U~
~OB NUMBER '17 b "f 7
225 FilII' Street
Springfield, Oregon 97477
SUBDIVISION:
,
PHONE: _~ '1/- q({O -./23'1
ZIP:!LZ "I.L'I__.
/-k,.-,e.
AO'fiRESS
CONST.
CONTRACTOR'
~XPIRES '.~ PHONE
D Rough MochanlQQI ..... Prtor to
cover.
o Rough I::::htctrlcnl - PrIor to
cover.
U EfectrlcBl Seorvloe - Must be
approved to obtaIn pormo;anAnt
eliectrlcaf power.
D Fireplace - Prior t~ facing
material. a,.,d framing lnsp..
o Fr...m'n9 - Prior to cover.
D Wall/Coiling 111&"latlon - Prior to
cover.
D Drywall ~ Prior to taping.
o UndB,.Uoor PlumblnglMachan1caJ r-l
L::.;.:J _ PrIor to Insulation or decking. ~ Wood Stovo '- After Installation.
D Post and Beam - Prior' 10 froor
Insulation or doe king. D ~nsert ~ After flte;Jlace Bpprov41
and tnSt4flatlOn of unit.
PUlMBING:
MECHANICAL:-5' A.~4j,. 2..e,}J ;.k~L~ f'D.!3r->Y. :-!fS /<.~~ R.l.v(?/'jD~ ~ 7:>3 '} ..._
ibE:5rFIJ9IIL: CCLJd9'12.?J./ __ G.../J.: 10-"8- '1!_i'!'.""e:d5....~/-~~2.-i{'!'10
1~e;";'leE; .' '''. .... '-- --
THIS PERMIT SHALL EXPIRE IFTHEWOR!<OFFIC,," USE ATTENTION:Oregon law requires yo~ ~(j .
QUAD AREA: - 0 - r-r -IllS PERM\.lllSCllOO" .. _~^"^... ., ,Ios adoptro [miiloo.~llr,on Ut,llty
AI ITHUHILl: u..u..." ." I t f rth
. OF BLDGS:" .. ....~'3ilBANDONt=lJ"f\ffims: Notification Center"IB~~~Guco'b~ese 0
COIVIIVIt:N\.ol:U vro' in OAR 952-001-0010 through uJ.iR 95z-uu I -
OCCY GROUP: . --.-'" CONSTn. TYPE: bt . OF. DOR""""!7e-f!fIe"'.....
ANYltlUUAT rt:n,vu. U\;l:!U. YOlrmayo alr,.t;O"".,.,,'VY,.. --,
. OF STORIE;S: = "C' - HEAT SOURCE: _..___~~lI:n~)h"l centersjtCl!llilrlJi).:NarF.ll.'i\o_n_E! ..
WATlfR HEATER: RANGE: numberfortheOrp'ooI;\,I,lWi~1;J~p..t~iE:a~ion
. --- _ CAnter is 1-Bn~~??,~a4J.
To request an Inspoctlon, YOU must call 726.376g. TIlls Is 8 24 hour recording. Alllnspeclfons requested borore 7:00 a.m. Will be
made tho same working day. Inspl,tCtIQ". requested allo, 7:00 a.m. will bo made the following work day.
m:aumC:I3 "~OI'~e"leNe
o Final Plumbing - Whon all
plumbing w~rk Is eomplet,e.
D Final Electrical..... When 811
~elec.t rlCat work Is eompfale.
,.. 81 MOCni:lnlOal - When aU
. eehBnl~" work 19 eomprOle.
He", rIvAl' ."f.PeI 0""
D Plnol Building - WllOn ~I
required Inspections have been
approved land bulfdl ng hi
completed.
o Other
o Temporary I!lschic
O Site lnspectron;::;. "1"0 be msdo
after exoavatron, but prlQr to
"'Wog forme.
o UlltoIQIOolall ..lulltuh.y/c.luuuJ......,
- Mechanical - Prior to cover.
D FootJng - After trenches aAt
axeavatad.
D M..onry - Stoo'l 10cat'Qn. 'bond
treamsl grouting.
D FOund.Uon - After forms aro
erected but prIor to concrete
placemont..
D Un.d~~gfO.und Plumbing - PrIor
10 fillIng trench.
MOBilE HOME INSPECTIONS
o Blocking and Set-Up - Whon Bh
blockl.~{) !@ f;ompfete.
LJ Floor InsulaUan - PrIor to
dock! r\g.
D Sanllwy Sowor - PrlQr to fill.
trench.
D
Storm Sewer - Prior to frlUng
Hench.
o
Water Line - Prior to fIIUng
trench.
D Rough Plumbing - Prior to
cover.
o
Curbeul &. Approuol1 _ After
forms afG c-mclr:d but prior to
placement of concruLu.
D Sidewalk & Driveway - After
oxcavatlon Is completo. torms
Bnd !Sub.base mate/lal III place.
D Fonco - When eO"I'Ip1eted.
o S.root Troos - Whan all required
tree8 arlt planted.
D Plumbing ConneotJon5 - Whon
homQ halj been connucted to
water ....nd sew or.
· Eloclrlca' Connection _ Whc:"
~ blooklng, set.up. tl.nd j)1"",bing
InspaCIIDnlll have beon approved
and the home 1& connected to
the aervlco pAnel.
o Final - AUer a1l required
Inspections aro approve<J and
porches. skIrting, deek~ a.nd
wantIng havo boan Instaffed.
SotbackD :
I P.L. '>lSElI GAR' Acc'l
N . I
;---. I
I
_,.1
BUILDING vh.UJE, PLAN CHECK
AND BUILDING PERMIT
-~~=,-=~~ -,._~
Lot {.ace:s
u,t.
.. ;
t.oC :sq. flU.
Lot coverage
Inturlor
Corner
Panh:andl~ '/
Topography
Totsl "eight
Culodo.sac;
_"Y._.
L-
BUILDING PERMIT
ITEM SQ. FT.
"!
X S/5O. FT. -
VALUE
Main
Garage
'.
O"PIIAPI
TOlal Value
OLlUdlng Parmit Fee
Stilt" $1,I1cluuue
Total Foo
(AI
SYSTEMS DEVELOPMENT CHARGE (sec)
(B)
PLUMBING PERMIT
ITEM
FEE
FIxtures
ACGldonllal Oath(Q)
N'
Sanili:!ry S~wer
Water
FT
FT.
Storm SowQr
FT
Mobile Home
Plumbing Permit
Slahl S"rcharge
Total Ch,prge
(C)
MECHANICAL PERMIT
Furnaeo
Exhaust Hood
Vent Fan
~."-
Wood Stoveflnsert/Fireplaco Unll
Cryor Vent
UE;"" r 1Ji,1.... /J
. I'
Mechanical Pcrmlr
;r,;: !!~_
./<!:..o..!!.....,
I. {.V
iI" ~.
Issuaneo
Slate Surch3.rge
Total Permit
(0)
MISCELLANEOUS PERMITS
Mobile Homo
State Issuanco
t::..~~
,,;'",~i~: ~,~~..:,
, t..l "
.S THE PROPOSED WORK IN THE.
HISTORICAL. DISTRICT, OR ON
THE HISTORICAt. RE<1ISTER? ..,_
II yes, 1hls e,pptldaUon mUGt be signed
nnd ::J:pprovod by the Historica.l
Coordinator prior to permit ie&yanc;e.
APPROVED:
This permit is granted on the Q,.;preS5 eOr'ltJltlQr'l 11\0.1 tho sold
eon:uructlon shall. In nil respects, conform to the Ordlnanee
adopted by the tity 01 Springfield. inoludlng the
Development Code. regulating the construction and use 01
rtllll~lnnR nn~ mnv h/l mlRnnMM nr rnvoKM 01 nov limn
upon violation of any provl81onSJ of said ordina.nCG#..
Plan Check Fcc: ~,_ ,.
Oalo Paid:
Receipt Numbe"
Received By:
Plo.,;S"" AcviewCd 'S"y' ~. ....._~--
Doto
Systems Developmont Charge Is duo on all undeveloped
propvrtl08 within thG City limits which arc baing Improved,
ADDITIONAL COMMENTS
/I '~'~OC~;" ;-:;;'''-'CLU7.u-P
.m>n"",f " /< ~<;I.,~1
,
,
( Abk
Ek c7//<,..)
-Ul/ed[:Or{E~ ..2I1e.-
c.eH.re..N~7- S::.-it, .:~ A 5Per-f
k-P-r 7;,.i(ell'l'? 12.~"r r- 04 k -""f'~".!;
By alQnature,1 state and agreo, that 1 have ca,efully examIned
the complclcd applleatlon and do hereby certlly that all
Information horeon 1$ t'ue a.nd 'CorreGtl and I furthor certify
thot ony and.all work pe,formed sha.1I be dona In accoida.nee
with tho Ot(finan=l"i~ of the City of SprlngrloJd, Me! the Lawe
of tho SIDle of Oreqon pertaining to tho worl( described
ho,oln. and that NO OCCUPANCY wUI be made of Bny
strm::luftj! wllhQut penT1is&ion of the Building So;a'ely OIVI&ton.
I (",ther certily tout only contractors ~d empluyees who
ar4;f In oQmpllance with ORS 701,05~ will bff vsed on thIs
project.
I further 8(Jrao to ensure that all required Inspections are
raquestvd at the proper time, that oach addrOGG Iv reedable
horn the street, that tho pormlt oard 1& located at tho front
or tho property, and the approved ~ct of plena will remain
on the slto at all times during construction.
~~~4'
Stato Surcharge
Sidew;;llk ft
.
Slgn.ture _......
Date. IBfi:.i~qc;
. '
ClIrbcut It
nArnnflllnn
State SurcnargQ
Total MteceUa'l'eOUv Permits (E)
VAUOAT'ON,
RECE.IPT NUMBE.R n'3 5 '!> "7
'8 /2f, (H
z &: $<J(
d/(.),.,..y
DATE PAin
TOTAL AMOUNT OUE (o.cludlng olectrlcal)
(A, 8, G 0. and E CQrnblned)
AMOUNT RECEIVED
RECEIVED BY
225 FIFTB STREET
SPRINGFIELD, OREGON 97477
INSPECTION REOUEST: 726-3769
OFPICE: 726-3759
1. LOCATION JF _~STALLA!IO~, #-~;
/~ 2.SC ....(..:...~._,. .4!l""
~ L?a 7"/~.
~GAL DESCRIPTION
1"1 tJ:f>. .~.4." (7,?;'''1 GJiC'fieJjjfJ'S'}OU II.> .
. .. ,_.. rl tAd by the Oregon U\lIllY
.J~B1\b~eumONrhose rules are set forth
.M6tj.itt;at!i"'~~n~. ~ ,.,.__. ._h t'"\AP Q'i2-001-
'nU~t1"'O"'-Uv"vv'~''''--~ I b
I p.l'"'' ~npiec 01 the ru es Y
P"rl1lj)OO.a1nu if6l\'-G:ra\\'sf<! AI>.!" ~tJh~~iU
if v-or~I~'S90o:tCS\jtfft\l'd01.fHiI~A~1 9}jays
of iSiillnm.!! f'mt!ili.."'\I()l.'Rnj.Mil~\l~p~ lreli ufor
180 days, Centpr i< 1_fV'(\-33?-2Q44),
2. CONTRACTOR INSTALLATION ONLY
Eloetrie"l Contraetor Able Electric
Address 5511 MAIN
C1ty~PRINGFIELD Phone 726-6701
Supervisor License Number 30238
Expiration Date 10101/99
Constr Contr, Number 92506
Expiration Date
7/16/03
Sianature of Supervisin~ Electrician
At ~::?- .
OWners Name .f'./J""-?'~A /(&,cA/"
. . oor~'
Address/C.2. y~,; ,. -..- #/7
City 5r./.'~
Phone '7?P-/;:l.}Y
OVNER INSTALLATION
The installation is being made on
property r own vhich is not intended
for ~ale, lease or rent.
Ovners Signature:
..
Di.TE~'(-perC7j~--~~---
RECEI: '_ cJJ-.~
RECEIVED Bt: 1 I, ,. ! 1(ll'('lU (! ( )
3.
ELECTRICAL PERKIT ~PLICATION
Ci ty Job Number . vlOi rJ"q I
COMPLETE FEE SCHEDULE BeLOV
. A,
Nev Residential-Single or
Multi-Family per dwelling unit,
Service Included:
NOTICE: Items Cost Sum
1000 sq .mS fll!RMSHALL EXP1~ ~1Jt\ij WORK
E:~~ ~~d.wf~mt~<tJNOERTHIS PERMIT IS NU I
thereofC&MENCEO OR ISABANSlq~~ggOR
Each Man' jl,y<pERIOO.
Modular e g .
Service or Feeder $ 40.00
B.
Services or Feeders
Installation, Alterations
or Roloe"tionl
200 amps or less
201 amps to 400 amps. .
401 amps to 600 amps
601 amps to' 1000 amps
Over 1000 ampsfvolts
Reconnect Only
$ 50.00
$60,00
SlOO.OO
$130.00
$300.00
S 1.0.00
C. Temporary Services or Feeders
.Installation, Alteration or Relocation
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
S 40.00
S 55.00
$ BO.OO
see "B" above
D. Branch Circuits
"
Nev, Alteration or Extension Per Panel
One Circuit / $ 35.00 }5ClO
Each Add i ti onal
Circuit or vith Service
or Feeder ~ermit S 2.00
B. Miscellaneous (Service/feeder
~Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
not included)
$ 40,00
$ 40.00
$ 20.00
$ 36.00
5. SUBTOTAL OF ABOVE
761% State Surcharge
3% Adminigtrative Fee
TOTAL
35"' vtl
~Y.5;
/0;1
-l ..P ,Ij Cl
n:m.,,~~$;,?f'p.~~k-1.i,;;:";'W~:~~":;:'l:".t::'-i'-~;S-"""~",,'i~.,.V~;'::~C;;",~.>.~p;:r;;;J~'K';'-'.<~'3~'":;;-;',-.:J:::;':'~~y;::'i~c,'~~;;!t,<;f:..$~'#~;:'~~';""'ffi"'-""'"";::.;;",,,.:->~;~~::
:",,,*l,\,:>3:',,-"".~;;K"<?:t:*W';;~4~m%t~.ifu"";'!we~'"'m',*
\
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 990697
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line, 726-3769
Location of Proposed Work: 1624 DOTTIE DR
Assessors Map #, 17033422
Lot: 17 Block:
Tax Lot #, 06700
Subdivision: OAKBREEZE
Owner: FRED HAMPLE
Address: 3426 BROOKVIEW
Phone #: 484-7076
City/State/zip, EUGENE, OREGON 97401
Describe Work: MANUF HOME & GARAGE
NEW
Contractor
Canst.
Contractor #
Expires
Phone
General: GOODEN HARRISON 0066447
1441 HWY 99N EUGENE OR 974020000
Plumbing: GOODEN HARRISON 0066447
1441 HWY 99N EUGENE OR 974020000
Electrical: HERITAGE INV 0063137
1042 HARN LANE EUGENE OR 974040000
05/07/00
689-7762
05/07/00
689-7762
12/27/99
688-1600
QUAD AREA: 1RNW
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
OFFICE USE --
LAND USE: 1150
ZONING CODE: LOR
# OF BDRMS, 3
RANGE: E
# OF BLDGS: 2
OCCY GROUP: R3
HEAT SOURCE, FE
SQ FOOTAGE, 1759
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 ---
FOOTING - After trenches are excavated.
FOUNDATION - After forms are erected but prior to concrete placement.
MANUF HOME/MOBILE HOME SET UP - When all blocking is complete.
MANUF, HOME/MOBILE HOME ELECTRICAL - When blocking, setup. and
plumbing inspections have been approved and home is connected to panel
MANUF, HOME/MOBILE HOME PLUMBING - After home has been connected to
water and sewer.
PEDESTAL - Prior to cover.
FRAMING - Prior to cover.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
FINAL SET UP - After all required inspections are approved and porches
skirting, decks, venting, house numbers, etc. have been installed.
Lot Faces: S
Topography: 2
Solar Approved: Y
Lot Sq. Ft.: 5156
Total Height: 15
Lot Type: INTERIOR
Setbacks
S W E
7 5
Lot Coverage: 41 %
Setbk From NPL, 14
N
House 14
Garage
18
Item
Main
BUILDING PERMIT ---
Square Feet x $/Square Feet
Value
0.00
.
SPRINGFIELD
.
r
~I
.
. r
Job Number: 990697
Page 2
Garage
FTG/FDN
MANU/ HOME
Total Value
312
18.34
5,722.00
2,574.00
48,000.00
56,296.00
Building Permit Fee
Surcharge/Admin
74.50
5.97
TOTAL FEE
(A)
80,47
PLUMBING PERMIT
Item
Sanitary Sewer
Water
Storm Sewer
Mobile Home
50
50
50
Fee
25.00
25.00
25.00
15.00
Plumbing Permit
Surcharge/Admin
90.00
7.20
TOTAL CHARGE
(C)
97,20
--- MISCELLANEOUS PERMITS ---
Mobile Home
State Issuance
Surcharge/Admin
Sidewalk
Curb Cut
CITY SDC
WILLAMALANE
ELECT. PERMIT
105.00
30.00
8.40
60.00
60.00
2,415.57
1,000.00
88.56
TOTAL MISCELLANEOUS PERMITS
(E)
3.767,53
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
3,945,20
--- 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, 48.43 Date Paid, OS/21/99
Received By:
Plans Reviewed By: AL WARD Date: 06/11/99
Building Site Reviewed By: LISA HOPPER
Receipt Number, 34129
--- ADDITIONAL COMMENTS ---
A & T DEFAULT AMOUNT USED FOR SDC CREDIT PURPOSES
,
,
~,
.
Job Number: 990697
Page 3
DRIVEWAY REQUIRED TO BE PAVED
1 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 fi}1~
&:; . / '-1- Q'1
Signature
Date
- -- VALIDATION
Date Paid:
'9qY'l1
L./Y '''7~
. .
-=3 9.,.",<;;""". '< c::>
~~~~
Receipt Number:
Amount Received:
Received By:
,
*.
~
.
Page 1
ENGINEERING DIVISION DEVELOPMENT PLAN REVIEW
RESIDENTIAL IMPROVED STREET
Developer: FRED HAMPLE
Mail Address: 3426 BROOKVIEW
Tax Lot #: 1703342206700
Subdivision: OAKBREEZE
EUGENE, OREGON 97401
Project Address: 1624
Lot: 17 Blk: Eng.
Job No.: 990697
Phone #: 484-7076
DOTTIE DR
Rev. No.: Book:
Street Gravel Ac Mat
1624 DOTTIE DR
EXISTING IMPROVEMENTS
Curb Full Imp SW Width Curbside
Setback
Y
5 FEET
12:1 FLAIRS
Existing Curbcut:
ENGINEERING REQUIREMENTS
Additional Right of Way: N
Improvement Agreement: N
Easements: N
SANITARY SEWER
CALL THE UTILITIES NOTIFICATION CENTER BEFORE YOU DIG 1-800-332-2344
Available: Y
Size of Line: 8
Location From N,
Make Connection:
Stubbed Out To Property Line: Y Depth: 4-6
In. Tee: 6 In.
S, E, W Property Line: AS SHOWN ON DRAWING OR AS-BUILT
PER PLUMBING CODE
Ft
STORM SEWER
Available: Y
Pipe Downspouts And Drains To: CURB & GUTTER
Pipe Parking Lot Drainage To: N/A
New Curbcut Appr. :
Sidewalk Permit: Y
Curbcut Permit: Y
Y
Width:
Width:
SIDEWALK AND
STANDARD
5 Ft
36 Ft
DRIVEWAY INFORMATION
Width: 24 Ft Flairs: 6
Length: 52 Ft
Ft
ENCROACHMENT AND ASSESSMENT
Encroachment Permit Required: N
Sanitary Sewer In Lieu Of Assessment: N
SPECIAL NOTES AND REQUIREMENTS
All work within the public right of way shall be in conformance with the City
of Springfield standard specifications for construction. All existing unused
curbcuts or portions thereof shall be restored to full curb height as directed
by the City. The owner/developer is responsible to relocate any utilities and
establish private or public easements when the utilities conflict with the
development, at their expense.
Reviewed By: DENNIS ERNST
Date: 06/09/99
SEE DRAWINGS ON SPECIAL REQUIREMENTS FOR FURTHER IMPORTANT INFORMATION
The following project as submitted has the following
zoning, and does not require specific land use
approval.. \[)~
Zonrng
225 FIFTH STREET .....:2.., .~\1
SPRINGFIELD, OREGONla91i"~: --.),'ri.'
INSPECTION REQUEST,1>.uth6~Bro4:il~ture '^ \
OFFICE: 726-3759
;
"
1\\ ~~O~{}~~~~~~)~
LEG4I. pE~WPTION r-or"
n.o0~~ NO\l.LI
~~;S~~0~
Permits are~n-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days,
i
,
,
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor ~~ ~
Address /tJrZ- ~.t:- ~, ,
<.> ~I"'_~-
Ci ty (:::-c-......,....,-
t7
Supervisor License Number
. ,
Phone 7,;l.9-/~oO
'1'1.5'-..5
IV 01
Constr Contr. Number b 3./~7 is&~ I!$:
/2./'1'1
(
Signatur~ of Supervisin~ Electrician
kp-./ ~
Ovners Name fI~u\. \<\~
Address?:A~ ~'\t()'L\" flit,)
City ~I Phone~4 -!"'QllP
01lNER I~TALLATION
Expiration Date
'Expiration Date
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent,
Owners Signature:
DATE: ~//./~
RECEIPTT -'S, ~'Yi7/
RECEIVED BY: - // .....~
r /f~J-
~
ELECTRICAL PERMIT APPLICATION
City Job Number ~()lo::\1
3. COMPLETE FEE SCHEDULE BELOII
A.
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Borne. or
Modular 'Dvelling ~
Service or Feeder ~
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
Items Cos t
Su,
$ 85.00
$ 15.00
,$ 40.00
~
$ 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 401 to 600 amps
Over 600 amps or 100v
D.
Branch Circui ts
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
"
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or vith servicer
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00'~
not included
$ 40.00
$ 40.00
$ 20.00
$ 36,00
~90
e~.~1~
..
rP
q,~ '
f\
. JOURN.R JOB NO, ~ .qcq 0 G:. '1 :or
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY: H/....W\v J-e.
"
LOCATION: \((')2.4- l2tI-1e Dv,
DEVELOPMENT TYPE: SF' 0
BUILDING SIZE:
\1~
LOT SIZE 5 l (.,?
SQ. Ft.
1. STORM DRAINAGE n5'1 +- 1'8 {Z4-} + Z4-(/~)
IMPERVIOUS SQ. FT. 2...C::;o'3 X $0.227 PER SQ. FT, $ g~~. r<ii!
2. SANITARY SEWER-CITY
NO. OF PFU'S 20
, (See Reverse Side)
X $47.14 PER PFU
$ 14- Z . R'O
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X l.01 X $475.32
$ 4.8r).07_
X
'$
X $475.32
4. SANITARY SEWER-MWMC
A, REIMBURSEMENT COST:
NO, OF FEU'S
$ 2-71.44
X 277.++ PER FEU
B. IMPROVEMENT COST: .
NO. OF FEU'S
X 2.6.:20 PER FEU
$ 25.:20
MWMC CREDIT IF APPLICABLE (SEE REVERSE) < $ :3. / S- >
MWMC ADMINISTRATIVE FEE $ 10,00
TOTAL-MWMC SOC $ ~ .4CJ
SUBTOTAL (ADD ITEMS 1.2.3 & 4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
$'2. 3CV. 5;'4-
$ 1/5.03
/
IMSL.....
SDC Coordinator
ATTACH'A.WPD
Date: ::fZ7/Ofj
TOTAL SDC $ 24/ss+
FIXTURE UNIT CALCUL~N TABLE: Number of New Fixtur.unit Equivalent = Fixture Units
(NOTE: For remodels, calculate only the NET additional fixtures) "
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub..............................,...................................... .
Drinking Fountain...... ..,....... ...... ............ ...................
Floor Drain.... ............... .......... .:.................................
Interceptors For Greas~/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:
II
"
4
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
J
2-
~
7
,
/I
'2..
'^
J f
TOTAL FIXTURE UNITS
zj)
=
Based on assessed value. If improvements occurred after annexation date in table,
, CREDIT CALCULATION TABLE:
calculate credits separates.
I
I
I
Year
Annexed
Rate per $1,000
Assessed Value
$4,27
4.18
4.12
3.99
3.83
'3.68
3.48
3.18
2.82
2.42
l
1979 or before
1980
1981
1982
1983
1984
1985"
1986
1987
1988
Year
Annexed
Rate per $1,000
Assessed Value
1989
1990
1991
1992
1993
1994
..... .1995
1996
1997
$1.98
1.55
1.15
0.96
0.83
0.67
0,52
0.38
0.21
=
'3. IS;
~.21 X$'./S-
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL
. ..
Credit for Parcel or Land Only If Applicable
Improvement (if after annexation date)
=
= $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Residential. ..,..................,..,. 0.4
Commerical......................... 0.9
Industrial................,........... 05
.
Governmental........,......,...... 0.5
FIXUNIT.WPD
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
'. .
.
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: ~('\ \\t\S(\~ . PHONE: ~A<lDllo
ADDRESS:~ ~M){')tl\oJi)\ Y~STATE:~ZIP:O:l4{)l
LOCATION OF PROPOSED BUILDING SITE:
Street Address: \\lL~ ~-e.. \:J,\\1.e.;
Plat Name: ~f~~:t.~ Tax Lot Number: \-, rY6?M-'Lf)1..o1f)O
.
C\C\b\o~1
1. DEVELOPMENT TYPE (Check appropriate dwelling{s).SDC calculations and dwelling t
ype definitions are on the back.)
Ii'
A. SinqIA-F::Jmilv DAt::JchAn
Single Family home
NO, OF UNITS \
{ Manufactured home not in a park
X $1,000 per unit = $ JOOn .~
B. SinoIA'.FRmilv Att::JchAQ
NO, OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. Mam!1eclured Home PlllIs.
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit = $
$ t()OO.CO
'0
$ l()()O.OO
2. SDC CREDIT (If applicable) SO<rpayer must furrlsh proof of
Willamalane Credit approval. See SOC Credit Worksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(If SDC reduced for Credit)
~d~ 6epartmen,
City of Springfield
~
Date
I I Lj I ~'1