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HomeMy WebLinkAboutPermit Electrical 1996-3-4 (2) . , :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{~ \ I \ \ 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) . . ~"!' ~ o Y.'Li!t~~,\:!!t\~t; 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' . 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 . . . , ~- 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: