HomeMy WebLinkAboutPermit Electrical 1996-3-4 (2)
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:he. following project as submitted has the following
on lng, and does not require specific land u......
approval. / "/) oq
Zoning d;/JU
225 FIFTH STREET :2 / / u / ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Oete. ./-'7-{U?
INSPECTION REQUEST: 72~-3A6lhortzed S1gnawrll -rztJ Ci ty Job Number 0,< O{D C(c;:'
OFFICE: 726-3759 ..
1. LOCATI~ OF INSTALLATION
-..,AJ\ B bltH) b.t..#>.-S "L>R
LEGAL DES~PTION
L01"'" <;""1 I '6 D 2--~ If W
JOB DESCRIPTION
/V ~ F"Z
~.tfLD
IlRC{~
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Permits are non-transferable and expire
if york is not started within 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
3. COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling uni t.
Service Included:
It ems Cost Sum
1000. sq. ft. or less 1 $ 85.00 S&:.U1J
Each additional 500
sq. ft or portion ~ ~~ .17;
thereof $ 15.00
Each Manuf'd Home. or
Modular.Dvelling
Service or Feeder S 40.00
.B.
Services or Feeders
Installation, Alterations
or Relocation:
Electrical Contractor
t'/LJ.B-V ~Ud.<::"D
3..v.2 :';>/;
Address / .2
-r JA./
I
I
I
Ci ty,b.#DJ2A1<;
Phone
.1./7\--..).) 3'1
I <f) <::::>~ .f;
Supervisor License Number
Expiration Date /0 -/ ~ '7.<;-
Constr Contr. Number tb"'fJ /#S"
Expiration Date '7 - L; -9 ,-
Signature of Supervising Electrician
t/!~,- ~/~y~
l!:O' v D.
Owners Name -.v ~.'b)';.A.) Ed. (:::E'~c:-,
Address 'l'1 t 5, 3".J. -d d '
City <:o~L-,.!
/
Phone 7.t1U --.d,9~
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
~~~~~-:~--?>~:~r--;();1-'-~
RECEIVED BY: ~\.\ r:D-) .18
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 am~s to. 1000 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, Alteration or Relocation
200 amps. 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
Branch Ci rcui ts
.'
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 not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting S 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm S 36.00
5. SUBTOTAL OF ABOVE 1/.o.tfO,
5% S ta te Surcharge '? 71::>
3% Administrative Fee ~. Loft:;
TOTAL I a. iJ . ')t)
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Job No. 4Q~qc;
SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME:\. cJ\C't J. ~n C f\ ~ n+, . PHONE: fy-\4 {cA loLD
ADO~ S~~ m. ~?~~&J~ STATejLpGli15
. .
Lq<:ATlON OFPROPOSED BUILDING)ITE:~". ., li'\. r-.. )
Street Address if Known: 1Jt.ff~ \. A 11\ '['tAn D/
. ~ ~ ..
LotNumber.~ n9Jo()()
.. o2JcO 1
Platt Nam~
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type
definitions are on the back.l . . . .
A. Sinl!le Family - Detached
\ . Single Family home
. NO OF UNITS \
Manufactured home not in a park
$4DO~
X $40.0 PER UNIT _=.
B. Sinl!le Family - Attached
..
NO OF UNITS
X $370 PER UNIT =
'"$
C. Multi-Family Aoartment . .
NO OF UNITS
X $777 PER UNIT =
$
D. Manufactured Home Park
NO OF UNITS
X $280 PER UNIT =
$
\
$ 41Jq)
.$ 0
(;^l=~:~J("SDC~~~~1 '\ ,q:OU
WPRD SDC
2. SDC CREDIT (If applicable) SDC-payer must furnish proof ofWPRD Credit
approval. See SDC Credit Worksheet. .
.
. NO. 350h"l.5-.
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME o.R Co.~lPANY: I-IAY"Oe.N EI-lTE::.f?Ff?...tSE::.':::> INC.
LOCATION: 3+"l~ DtJu(.../..-Pr".:> 1;)f.L
DEVELo.P~lENT TYPE: /....!)f?. - NE=.W SFR
l<6tJ7.-()cD/'2- - '2-{P()O
BUILDING SIZE:
1.00T SIZE
SQ. Ft.
1. STo.RM DRAINAGE
IMPERVIo.US SQ. FT.
N.A.
X $0.209 PER SQ. FT. ~
2. SANITARY SEWER-CITY
NO. OF PFU'S
(See Reverse)
f<g
X $43.26 PER PFU
C;:77E>/')
3. TRANSPo.RTATIo.N
NO OF UNITS X TRIP RATE X COST PER TRIP
X
X $436.19
X $436.19
C440s0
s
1
X 1.01
X $436.19
X
4. SANITARY SEWER-MWMC
NO.. o.F PFU'S If{ x $17.19 PER PFU + $10 MWMC AD~1 FEE
(Use PFU Total From Item 2 Above)
s
$ ?/"J4-.!:..
To.TAL-~1W~1C SDC
Z' z.;!.
$ ...-
~
........ ----
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
SUBTOTAL (ADD ITEMS 1,2,3 & 4) U.2J'2..4-Z-
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTo.TAL ABo.VE) X .05
k,i ~tLt.L Date:5h:; /15
V . Kip Burdick f I' .To.TAL SDC
SDC Coordinator
( 75'0
$ Isee04-
FIXTURE UNIT <;~LCULA TI~ TABLE: Number of New Fixtures X Uoit Equivaleot = Fixture Units
(NOTE: For remodels: calculate only the. additional fixtures) .
. NUMBER OF UNIT FIXTURE ,.
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
1..
Bathtub..................................................................... .
Drinking Fountain... ..-......... -..... -......-.-. -....................
Floor Orain......-............ - -........... -...-. -.. -.. -...... -.."... -. - _.-
Interceptors For Grcasc/Oil/Solids/Etc.. --.... -. -- --..-
lntcrccptors"For Sand/Auto \Nash/Etc................--.
Laundry Tub/Clothcswashcr..- ..--........ ....-. -.... ...- -..-.
Clothcswashcr - 3 Or MOf.c......--.--..........--....--........
Mobile Home Park Trar (1 Pcr Trailer).........,........
Receptor For Refrigerator/Watcr Station/Etc........
Roceptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall................................... ..............
Shower, Gang ....... ... ................................. ....... .:.......
Sink: Bar. Commercial, Residential Kitchen........................
Urinal. StalliWatl......... .............................. ................
Wash Basin/Lavatory, Single...... .... ....... ........... ......
Toilet. Public lostallation............... .... .......... ...........
Toilet, Private................. ..... .... ........... .... .... ..........
Misccll<3ncous:
z.
Z-
TOTAL fT<rUnE Ui'!ITS
2
1
2
3
G
2
G
G
1
3
2
l/Head
2
2
1
G
.4
4-
2
z.
"2-
8
\B
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table,
calcul;]tc credits SC[Elfatcs.
L
Year
Annexed
lIate per $1,000
Assessed Value
1979 or before
1980
1981
1982
1983
1984
1985
$3.4G
3.38
3.32
3.21
3.06
2.92
2.73
Credit tor Parcel or Land Only If Applicable
Improvemeot (if after annexation date)
YC;)(
!.:...nncxcd
1985
193G
1937
1983
1989
1990
1991
1993
~ .4(" X $ /.<:>8
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
~
Rale per $1,000-1
/..sscsscd V<Jluc
$2.46
2.14
1.77
1.37
0.97
0.61
0.44
0.15
'2." 1.2.
CREDIT TOTAL ~ $ 2.(" z.~
, I'
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CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(RESIDENTIAL)
Name or Company: HAYDEN ENTERPRISES
Location: 3498 DOUGLAS DR
Developement Type: R Building Size:
Job No.: 950695
Lot Size: 0
l. STORM DRAINAGE
Impervious Sq Ft 0 X 0.209 Per Sq Ft
2. SANITARY SEWER - CITY
Number Of PFUs 18 X 43.26 Per PFU
(see Page 2)
3. TRANSPORTATION
Number Of Units
1 X
X Trip Rate
1. 010 X
X
Cost Per Trip
436.19
$440.55
Transportation Total
4. SANITARY SEWER - MWMC
Number Of PFUs
18
X
X
Per PFU +
17.190 +
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: KIP BURDICK
MWMC Admin Fee
10.00
Date: 07/03/95
Page 1
Sq Ft
$0.00
$778.68
$440.55
$319.42
$26.23
$293.19
$1,512.43
$75.62
$1,588.05
Job Number: 950695
Page 2
FIXTURE UNIT CALCULATION TABLE
Fixture Type
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/Oil/Solids/Etc
Inteceptors For Sand/Auto Wash/Etc
Laundry TubjClotheswasher
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
Unit
Equivalent
Fixture
Units
2
o
o
o
o
1
o
o
o
o
o
1
o
2
o
2
o
2
1
2
3
6
2
6
1
3
2
4
o
o
o
o
2
o
o
o
o
o
2
o
2
o
8
o
2
2
1
6
4
18
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured
after annexation date, credits are calculated separately.
(calculations are by $1000)
Year Annexed: 1960
Credit For Parcel Or Land Only If Applicable:
Improvement (if after annexation date) :
7,580
x
3.46
26.23
o
x
3.46
0.00
CREDIT TOTAL =
$26.23
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)
SPRINOFIELD
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Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 950695
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 3498 DOUGLAS DR
Assessors Map #: 18020612
Lot: 51 Block:
Tax Lot #: 02600
Subdivision: HAYDEN GARDENS 1
Owner: HAYDEN ENTERPRISES
Address: 899 SOUTH 32ND STREET
Phone #: 744-6966
City/State/zip: SPRINGFIELD, OREGON 97478
Describe Work: S.F. RESIDENCE NEW
Const.
Contractor Contractor # Expires Phone
General: HAYDEN ENTERPRI 0092208 07/29/96 923-6607
1511 SW 33rd Redmond OR 977560000
Plumbing: EMERALD VALLEY 0051737 09/19/96 683-5116
2727 N 20th Springfield OR 97477000
Mechanical: HAYDEN ENTERPRI 0092208 07/29/96 923-6607
1511 SW 33rd Redmond OR 977560000
Electrical: ALLEN ELECTRIC\ 0000968 09/24/90 475-2139
201 N 3rd Madras OR 977410000
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 1693
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: WH
INSUL PATH: PI
To request an inapection, 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.
UNDERFLOOR PLUMBING - Prior to insulation or decking.
POST AND BEAM - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking 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.
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.
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.
SPRINQFIELD
Job Number: 950695
Page 2
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Total Height: 15
Solar Approved: Y
Lot Type: INTERIOR
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
1133
560.
$/Square Feet
56.20
14 .10
Value
63,675.00
7,896.00
71,571.00
Building Permit Fee
Surcharge/Admin
349.00
27.92
TOTAL FEE
(A)
376.92
--- SYSTEMS DEVELOPMENT CHARGE (SDC) ---
(B) 1,588.05
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)
2
Fee
160.00
Plumbing Permit
Surcharge/Admin
160.00
12.80
TOTAL CHARGE
(C)
172.80
-- - MECHANICAL PERMIT ---
Exhaust Hood
Dryer Vent
4.00
3.00
Mechanical Permit
Issuance
Surcharge/Admin
16.00
10.00
1.28
TOTAL PERMIT
(D)
27.28
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
PLAN REVIEW
WILLAMELANE SDC
ELECTRICAL PERMIT
FENCE/VALUE $400.00
0.00
20.50
13.90
40.00
400.00
124.20
5.00
TOTAL MISCELLANEOUS PERMITS
(E)
603.60
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, 0, and E combined)
2,768.65
Job Number: 950695
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: 07/07/95
Building Site Reviewed By: LISA HOPPER
--- ADDITIONAL COMMENTS ---
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 ORB 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.
D:i~.5
-- - VALIDATION
&.Qs'1D
Date Paid:\ '0 A .C\\o
Amount Received: !:J.f\\.Jj,. .\Q~
Received By: ~J~-
Receipt Number: