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HomeMy WebLinkAboutPermit Electrical 1997-3-6 (2) . . . :""~lng; .and does' not require specific land use approval. 225 FIFTH STREET Zoning L.-f}z... SPRINGFIELD, OREGON 97477 ne'_ 2Y{, ,en INSPECTION REQUEST: 726-376~ OFFICE: 726-3759 Autnorlzod Signature 1. LO~!f2f(Y ND.1M \ LEGAL DESCRIPTION ~DLJ")(n7 .\ c:::.JQB ~ESqqPTION u\.- \'p.Q\r1a.f\'l'o. ld-/&2- \\A.~ Permits are non-traftsferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days.' ELECTRICAL PERMIT APPLICATION G\~ll7-- P r"I'--'" City Job Number 3 . COHPLETE FEE SCHEDULE BELOII A. New Residential-Single or Multi-Family per dwelling Service Included: un'it. Cost Sum Items 1000 sq.ft. or less I Each additional 500 sq. ft or portion ~ thereof ex Each Manuf'd Home or Modular Dwelling Service or Feeder $ 85.00 B5 $ 15.00 ~~h $ 40.00 2. CONTRACTOR INSTALLATION ONLY n. Services or Feeders Installation, Alterations Electrical Contractor Allen Electric or Relocation: Address 12 SW 3rd Sf:. City M;Hlr"" Phone 475-2139 , Supervisor License Number 1006S Expiration Date 10-1-95 Constr Contr. Number 6R74~ Expiration Date 9-4-95 Signature of Supervising Electrician ,t?~&:-VL- _i~__'-< ~-, Owners Nam AddreSS~ '" l-=?2.t1d City ~ Phone]j1!rf!lD0 OIINER :hISTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Ovners Signature: DAiE~----------~---------n:~r~-t\'i---- , :')~) -~ RECEIPT 11: \ .' ' !' RECEIVED ny: & ~~J 0-'L\ \ ,I) 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 D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 volts see "B" above New, Alteration or Extension Per Panel liiscellaneous ,(Service/ feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Lind ted Energy/Comm One Circuit Each Addi tional Circuit or with Service or Feeder Permit E. 5. S~TOTAL OF ABOVE 5% State Surcharge ........... 3.Cfo ~ $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 [15.00 , =:>. '1"'-. (~ 1.13 ---=-- Page 1 RBSIDENTIAL PBRMIT APPLICATION CITY OF SPRINGFIBLD COMMUNITY SBRVICBS DIVISION BUILDING SAFBTY Job Number: 950772 225 North Fifth Street Springfield, OR 97477 Office: 726.3759 Inspection Line: 726-3769 Location of Proposed Work: 3770 DOUGLAS DR.v Assessors~ap #: 18020612 Tax Lot #: 02600 ~ Lot: 102 Block: Subdivision: HAYDEI<i ~1LVd,u\ !Y Owner: HAYDBN ENTBRPRISB Phone #: 744-6966 Address: 899 SO. 32ND STREET City/State/Zip: SPRINGFIELD, OREGON 97478 Describe Work: S F RBSIDBNCB Contractor Canst. Contractor # NEW Expires Phone 07/29/~1 923-6607 09/19/(11 683 - 5116 07/29/'11 923-6607 ~/1lct1 475-2139 General: HAYDEN ENTERPRI 0092208 1511 SW 33rd Redmond OR 977560000 Plumbing: EMERALD VALLEY 0051737 2727 N 20th Springfield OR 97477000 Mechanical: HAYDEN ENTERPRI 0092208 1511 SW 33rd Redmond OR 977560000 Electrical: ALLEN ELECTRIC 0000968 201 N 3rd Madras OR 977410000 QUAD AREA: 3RSC # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER: E OFFICB USB -- LAND USE: 1111 ZONING CODE: LDR # OF BDRMS: 3 RANGE: E # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: WH SQ FOOTAGE: 1693 \ \ 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. / RBQUIRBD INSPBCTIONS --- FOOTING - After trenches are excavated. FOUNDATION - After forms are erected but prior to concrete placement. UNDBRFLOOR 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 SEWBR LINE - Prior to filling trench, STORM SBWER LINB - Prior to filling trench. WATBR LINE - Prior to filling trench. ROUGH PLUMBING - Prior to cover. ROUGH MECHANICAL - Prior to cover, ROUGH ELBCTRICAL - Prior to cover. BLBCTRICAL SBRVICB - 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. SIDBWALK - After excavation is complete, forms and sub-base material in place. FINAL PLUMBING - When all plumbing work is complete. FINAL BLBCTRICAL - 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. SPRINOFIELD Job Number: 950772 Page 2 Total Height: 15 Lot Type: INTERIOR Setbk From NPL: 64 Solar Approved: Y Item Main Garage Total Value BUILDING PBRMIT --- 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 FBB (A) 376.92 --- SYSTEMS DBVBLOPMENT CHARGB (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 PBRMIT --- Item Residential Bath(s) 2 Fee 160.00 Plumbing Permit Surcharge/Admin 160.00 12.80 TOTAL CHARGB (C) 172.80 -- - MECHANICAL PBRMIT --- Exhaust Hood Dryer Vent 4.50 3.00 Mechanical Permit Issuance Surcharge/Admin 16.50 10.00 1. 33 TOTAL PBRMIT (D) 27.83 --- MISCBLLANBOUS PBRMITS --- Surcharge/Admin Sidewalk Curb Cut ELECTRICAL PERMIT PLAN REVIEW FEE 0.00 20.50 14.80 124.20 40.00 TOTAL MISCBLLANEOUS PBRMITS (B) 199.50 (Bxcluding B1ectrica1) unless otherwise noted TOTAL AMOUNT DUB (A, B, C, D, and E combined) ~ 2,365.10 ~,co ~.?F7D. I() --- BUILDING VALUE, PLAN CHBCK AND BUILDING PBRMIT ___ 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: 950772 Received By: Plans Reviewed By: DON MOORE Date: 07/26/96 Building Site Reviewed By: LISA HOPPER --- ADDITIONAL COMMENTS --- DRIVEWAY REQUIRED TO BE PAVED 2 STREET TREES REQUIRED Page 3 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 r~h~t ae: during con:U:iO:~__~-cr'0 f Signature Date --- VALIDATION Receipt Number: M-11lo ~'\n CD ~~~1l).\D ~\)VL) Date Paid: Amount Received: Received By: SPRINGFIELD ~- CITY OF SPRINGFIELD SYSTEMS DBVBLOPMENT CHARGB (RBSIDENTIAL) Name or Company: HAYDEN ENTERPRISE Location: 3770 DOUGLAS DR. Developement Type: R Building Size: Job No.: 950772 Lot Size: 0 1. STORM DRAINAGB Impervious Sq Ft 0 X 0.209 Per Sq Ft 2. SANITARY SBWER - 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 Admin Fee 10.00 MWMC CREDIT If Applicable (see Page 2) TOTAL - MWMC SDC SUBTOTAL - (Add Items 1, 2, 3 & 4) 5. ADMINISTRATIVE FBBS 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.~ $1,588.05 SPRINGFIELD ~~ Job Number: 950772 FIXTURB UNIT CALCULATION TABLB Page 2 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 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 CRBDIT TOTAL = $26.23 (If land value is multiplied by 1 then the parcel/land credit is not accurate.)