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HomeMy WebLinkAboutPermit Electrical 1996-4-2 (2) . . .' , bmlttod hns tho fe!lewi Tho following prOleeolt as sUire specl11c 'and use z.oning, and does n requ approval. ~ Zoning~- \> Onto '-\ - :l - q. l,o n 97477 5 i 72~-liiMIjiZod SignatUre \ ELECTRICAL PERMIT APPLICATION C(~&ql 225 FIITH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 City Job Number 3. COMPLETE FEE SCHEDULE BELOY 1_ LOCATION OF INSTALJd'TION 35'S'S> 1>ou(t-l..A-S ~fZ,.t vE:: Nev Residential-Single or Multi-Family per dvelling Service Included: A. uni t. ~~tES~f)~O\ ~ O?lli) \\cA2)0" Sum R5 ~D Items 1000 sq.ft. or less I Each additional 500 sq. ft or portion " thereofCX ' Each Manuf'd Home, or Modular Dvelling Service or Feeder Cost $ 85.00 JOB DESCRIPTION .N ~ FK.. $ 15.00 Permits are non-transferable and expire if vork is not started vi thin 180 days of issuance or if vork is suspended for 180 days. $ 40.00 Services or Feeders Installation, Alterations or Relocation: ,B. 2. CONTRACTOR INSTALLATION ONLY .4LJ.B1.,) ;;ud;~ 3~ 5/: Electrical Contractor $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only Address / .2 .....vu Ci ty /<t4T>J2.4~ ,L.j 7 \--;)..) 3'1 /G) -=~ 1; Phone ~, Supervisor License Number Expiration Date /0 - / ~ 5',<;- Temporary Services or Feeders Installation, Alteration or Relocation C. Constr Contro Number tf:>"l? 7~S- Expiration Date '7 ~ L/ -9 ,- 200 amps"oT less $ 40,00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above Signature of Supervising Electrician II ~..A_ G~--M.rl4J,.d""" D. Ovners Name 1I~J>A.A.J Ed, ~<::", Address 'g"'7 t 5, '5.J d s:>/ I Branch Circuits " Nev, Alteration or Extension Per Panel $ 35,00 One Circuit Each Additional Circuit or vith Service or Feeder Permit Ci ty <;:0 pi.,,} I - Phone ':J)..JiJ -'b9~ $ 2.00 OYNER INSTALLATION E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ Sign/Outline Lighting $ Limited Energy/Res $ Limited Energy/Comm $ The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: ;;~:--_.zt~~:!Jt\l!~--- RECEIPT #: - l . 'ill RECEIVED BY: - - 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL , . . "'!'.,. ., @ !!.'!iRl;!o'<!!~!t\!!~ " Job No. g.SO vcr K SYSTEMS DMLOPMENT CHARGE WORKSHEET NAME:\ Q\('u)c1C f\ <f n+, .' '. PHONE:fY\4 {cAloLo ADDRFSS, S~~ m. '6?~~I~ STAreJLpClcDB . ' Lq<:ATION OF PROPOSED BUILDING SITE: ,""",. ',~ 0\.' r-.. ) Street Address if Known: 1JI1C1~ \ ^ ll~n~ ~',' ~ Plan ~am~ A\f'\ . .A 01\ C ~ Lot Number. ~ GiloO() Y\\ '-l\), \ ~ Ad.d" o2JcO ! 1. DEVELOPMENT TYPE (Check appropriate dwelling(sJ. SDC calculations and dwelling type definitions are on the back.l ' . , , A. SiMle Family - Detached \ ' Single Family home . NO OF UNITS \ Manufactured home not in a park $400 9) X $400 PER UNIT _=. B. SiOl?le Family - Attached . NO OF UNITS X $370 PER UNIT = . . $ C. Multi-Family Aoartment ' , NO OF UNITS X $~77 PER UNIT = $ D. Manufactured Home Pa~ NO OF UNITS X $280 PER UNIT = $ ,$A\l)oJ '$' QJ ~:Al:;;:~J ("SOC'OO~OO~;",_? / I~:OV WPRD SDC 2. SDC CREDIT (If applicable> SDC-payer must furnish proof ofWPRD Credit approval. See SDC Credit Worksheet. . . ( tffiJ SPRINGFIELD ~- CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE (COMMERCIAL / RESIDENTIAL) Name or Company: HAYDEN ENTERPRISES Location: 3558 DOUGLAS DR Developement Type: R Building Size: Job No.: 950698 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 Per PFU + 17.190 + MWMC Admin Fee 10.00 X X 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 Date: 07/03/95 Page 1 Sq Ft $0.00 $778.68 $440.55 $319.42 $26.23 $293.19 $1,512.43 $75.631 $1,588,05 Job Number: 950698 FIXTURE UNIT CALCULATION TABLE Page 2 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 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.) . , I' Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 950698 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726.3769 Location of Proposed Work: 3558 DOUGLAS DR Assessors Map #: 18020612 Lot: 54 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 Canst. 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 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. 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. SPRINGFIELD ~- , ~I . . , . Job Number: 950698 Page 2 Total Height: 15 Lot Type: INTERIOR Setbk From NPL: 75 Solar Approved: Y 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 4.50 3,00 Mechanical Permit Issuance Surcharge/Admin 16,50 10,00 1. 32 TOTAL PERMIT (D) 27,82 --- MISCELLANEOUS PERMITS --- Sidewalk Curb Cut PLAN REVIEW WILLAMELANE SDC EL CTRICAL P~ MISCEl~EOUS PERMITS (E) 20.50 13.90 40,00 400,00 124.20 t~..~f (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 2,764.19 9-t'uf\ .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. Job Number: 950698 Page 3 - - - 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 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 . w;;; '~O. '""~,;::~)';.". ,",;., 0""'"0';00 Da~e~~ ~~~ "Q..,"," r '/ ; \ - -- VALIDATION Receipt Number: c-9C'A~ \ Date Paid: 4, L .C\la Amount Received: rf)f)1 ()CI.?D Received ~1~LD~ '\.-.:::::9