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Home My WebLink AboutPermit Electrical 1996-2-5 (2) . . .:, and doe. no( require .peen!c land use , oval.. 4/Je Zon:no ~ ,,'ate d./ 5/1~ I /1 /) <J'7'lN'F SIgnature ~ / 72~-3769 I 225 FIITB STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LOCATION OF INSTAL~TION 3/0 IlD L>ou,,",t..-""';' ..Dtat vG- LEGAL DESCN.PTION I'\,.- rw , /...01"' 5"~ I ~ () 1/0fR I L ffJltJD JOB DESCRIPTION AI $" rK Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor A').b"LJ 7E1Ad.<::D 3A2? 5/'; Address / .2 -r vU Ci ty M#1>f2Ac::; Phone.l-I 7. \- - ;l..) 3 'I Supervisor License Number /GJ <:!::>~ ~ Expiration Date /b - / ~ 7.'- Cons tr Con t r. Number .1:> <j; 7~.) Expiration Date '9 - '-/ -9 ,- Signature of Supevising Electrician ~ / (/ ....--v '\ D. Ovners Name -1/~.-n~ ff>>f, I~<:"' Address '8"'7 t S,"5;1-:z::# s>/- ' Ci ty <;'0 ~L.,) I . Phone ':Jl-ItJ -,,d,9dC; OIlNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Owners Signature: -------------i\-----rM----------------- 5. DATE: N.~.,-,\\Il ~ RECEIPT If: . ' ;I-- t RECEIVED BY: ~l~ ELECTRICAL PERMIT APPLICATION City Job Number_ Ct0D16D 3. COMPLETE FEE SCHEDULE BELOII .A. Nev Residential-Single or Multi-Family per dvelling uni t. Service Included: Items Cost Sum 1000 sq. ft. or less $ 85.00 Cl6.t7D Each additional 500 sq. ft or portion IV ~~. 0lJ thereof $ 15.00 Each Manuf'd Home. or Modular'Dvelling Service or Feeder $ 40.00 .B. 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 $ 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 volts $ 40.00 $ 55.00 $ 80.00 see "B" above Branch Circuits .' Nev, Alteration or Extension Per Panel One Circuit Each Add i ti onal Circuit or vith Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL II ~ t1V 1?/1? ~.Ll'5 Id-i./'.~) . . -., "Y fi ~ilIR~o~5!!g~~ " Job No. u.661(Jo . . SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME:\ <)\(', ~ ~n c f\ ~ n+, PHONE: fJL\4 {61101o AOOR~ S~~ ~. O?~ ~I~ STAleJJLp q1BB LqallON Of PROPOSED BUILDING SITE: "'...... ~ r-.. ) Street Address if Known: 'hilly \ ^ 1 ~-"Y Platt Nam~ 9\c\ ~ (' ~ Lot Number: 1COill Ot?- O?JoOr) \~ AQCl . O2JcO 1 1. DEVELOPMENT TYPE (Check appropriate dwelling(sl. SDC calculations and dwelling type definitions are on the back.) , . '. . A. Sine-ie Familv - Detached \ ' Single family home . NO Of UNITS \ Manufactured home not in a park $400~ X $400 PER UNIT _=, B. Sine-Ie Familv - Attached .' NO Of UNITS X $370 PER UNIT = - . $ C. Multi-f;\milv Aoartment ' . NO Of UNITS X $~77 PER UNIT = $ D. Manufactured Home Park NO Of UNITS X $280 PER UNIT = $ WPRD SDC . $ 4.\1) p:) '$' QJ $4m ocJ 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approval. See SDC Credit Worksheet. ~:~~:;;:::;J ,"roc,ro~ro~;W, ~ >Cfla SPRINGFIELD , . ~, CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE (RESIDENTIAL) Name or Company: HAYDEN ENTERPRISES Location: 3616 DOUGLAS DR Developement Type: R Building Size: 1. STORM DRAINAGE Impervious Sq Ft o 2. SANITARY SEWER - CITY Number Of PFUs 18 (see Page 2) 3. TRANSPORTATION Number Of Units 1 X X Trip Rate 1. 010 X 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 X X 0.209 43.26 Job No.: 950700 Lot Size: 0 Per Sq Ft Per PFU X Cost Per Trip 436.19 $440.55 MWMC Admin Fee 10.00 Date: 07/03/95 Page 1 Sq Ft $0.00 $778.6'1 $440.55 = $319.42 $26.23 $293.19 $1,512.43 $75.62 $1.588.05 SPRINGFIELD Job Number: 950700 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 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 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 1.8 CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured after annexation date, credits are calculated separately. (calculations are by $1.000) Year Annexed: 1.960 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.) Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 950700 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 3616 DOUGLAS DR Assessors Map #: 18020612 Lot: 56 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 u 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 ELECTRICAL - When all electrical work is complete. FINAL MECHANICAL - When all mechanical work is complete. FINAL BUILDING - When all required inspections have been approved and the building is complete. SPRINGFIELD ~- , I' Job Number: 950700 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 Vent Fan Dryer Vent PLAN REVIEW WILLAMALANE SDC ELECTRICAL PERMIT FENCE/VALUE $400.00 3 4.50 9.00 3.00 0.00 0.00 0.00 0.00 Mechanical Permit Issuance Surcharge/Admin 16.50 10.00 1.33 TOTAL PERMIT (D) 27.83 --- MISCELLANEOUS PERMITS --- Surcharge/Admin PLAN REVIEW WILLAMALANE SDC ELECTRICAL PERMIT FENCE/VALUE $400.00 0.00 40.00 400.00 124.20 5.00 TOTAL MISCELLANEOUS PERMITS (E) 569.20 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 2,734.80 --- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT --- This permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. SPRINGFIELD Job Number: 950700 Page 3 Received By: Plans Reviewed By: DON MOORE Date: 07/03/95 Building Site Reviewed By: LISA HOPPER --- ADDITIONAL COMMENTS --- DRIVEWAY REQUIRED TO BE PAVED 2 STREET TREES REQUIRED By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. -$~y~ Signature v - ;I' Date Date Paid: ~ ~a~"OO l~ I~?A .~O ~~-) Receipt Number: Amount Received: Received By: