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Home My WebLink AboutPermit Electrical 1994-5-10 225 FIITH STREET SPRINGFIELD; OREGON 97477 Zoninp LDI2. INSPECTION REQUEST: 726-37~91 'S-\D-qil OFFICE: 726-3759 .a T Authorized Signatura ~: .......COHPLETE FEE SCHEDULE BELOll 1. ~.lQN 10X\ WST1A~LA\ ~. 51, Q . ~-;.~ r-\( \ JL, ~y ~\/ A. Nev Residential-Single or Multi-Family per dvelling unit. 1I)O:\~~~P'rI<~X:FB~ Service Included: approval. C JS!Jt D~~IQ n f\/1 <.:'- \- ,1..1.'t'QJ t OIl} v ./ 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. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Palmer/Philips Address 3170 Meadow Lane Ci ty . Eugene Phone 688-6121 Supervisor License Number ?71q<; Expiration Date 10/95 Constr Contr. Number 20-179C "H4:i< Expiration Date 10/93 q. ff.<11 Signature o(P:~ctrician ._/ N<ltilan t'hHA>i' . Owners Name f.. 11 ~~ {Jln.~~ Address;2.3. 0fLr.U.'&J--k~ f\1OY' City hUe..Dr. Phone~4..~? OI/NER- I~TAL~TION . The installation is being made on property I ovn vhich is not intended for sale, lease or rent. OlolTIers Signature: --------------------------------------- DATE: S"'7~~_ RECEIPT #: r- '? RECEIVED BY: /./"a- ~ _ ~ 'v;p Ci ty Job Number Items Cost Sum 1000 sq.ft. or less L--- Each additional 500 sq. ft or portion .J thereof 4- Each Manuf'd Home or Modular Dwelling Service or Feeder $ 85.00 ~S:DO $ 15.00 ~ 0';) $ 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 c..----s 40. 00 $ 55.00 $ 80.00 volts see "B" above 7'e:> D. Branch Circuits New, Alteration or Extension Per Panel One Ci.rcui t Each Additional Circuit or vith Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 5. SUBTOTAL OF ABOVE I ~'5:'- r 5% State Surcharge &f":<~' TOTAL _/'7 'T. '2~ 7"??~~i.;y, ->'-5.) . e- fI\' . ~e !!!in,!!!!!!l,\!l~ Job No. Cft~ (l SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME: 1) J '"oSfJ1\ s+ ~IM fY(J PHONh TJftD-'\ ~(\ 'I ADDRESS: 2-?J lC:;(\l\J..l~~9J\nl \(" STATE: /(',0 IP C{l1()! (j J' lih-Z LOCATION OF ~ROPOSED B\J.!.b9.1~ SITE2...J' "",-".. Street Ad~ress if Known: L-\l""J:,) m 1 J\ Q t ~ ~ Platt Name: W~ Tax Lot Number: \f){)~?@'d~ 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type definitions are on the back,) A. Sinl1le Familv - Detached '\ Single Family home ( Manufactured home not in a park $4tiJ~ NO OF UNITS X $400 PER UNIT ? B. Sinl1le Familv - Attached . NO OF UNITS X $370 PER UNIT = '$ C. Multi-Familv Aoartment NO OF UNITS X $277 PER UNIT = $ D. Manufactured Home Park NO OF UNITS X $280 PER UNIT = $ $ 4tO pO $Rf $ 4bfJpeJ WPRD SDC 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approval. See sac Credit Worksheet. 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit) \.;~~~~ City of Springfield ':) i\ D Date /~4- . .JOB NO. Q";03QZ CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: El.-l.-fSON Ei Pl.-A'? CONS,kuL-r(ON LOCATION: q,?,? FA-IRWAY PL-PrGE DEVELOPMENT TYPE: L.DR - /JEW SFR. 1707:>?'-I22..- 00637 BUILDING SIZE: LOT SIZE SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. I-h. to 5 X $0.203 PER SQ. FT. ~Bfo?~ '-- /' 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) fq X $42.08 PER PFU ~ '-- ./ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X X $424.31 X $424.31 ~'-I)'Bt;,~ ') '-- .-/ $ $ I X 1.0/ X $424.31 X 4. SANITARY SEWER-MWMC NO. OF PFU'S /q x $15.125 PER PFU + $10 MWMC ADM FEE $ -ZCf7?8 (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ N. A . TOTAL-MWMC SDC ~ .......... ~ SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ 2-'?"l \ ~ 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 V. .:-'13 . .L,*-- "?::> /1..f':; 10...<+ '~ Kip Burdick ' SDC Coordinator ~ TOTAL SDC $ -z.'S I 0 ~ FIXTUREUNIT,CALCULA.N TABLE: Numb~r of New FixlUres X . Equivalent ~ Fixture Units (NOTE: For remodels, calculMe only the NET additional fixtures) NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS 1-- 2 1 2 3 6 2 6 6 1 3 2 I/Head 2 2 1 6 4 Bathtub....................... .................. ................... Drinking Fountain........................... ......................... Roar Drain...................,................. ,.... ... .... ."...,. ....... Interceptors For Grease/Oil/Sollds/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub /Clotheswasher................................... Clotheswa~er ' 3 Or More..................................... Mobile Hdme Park Trap (1 Per Trailer).................. Receptor F9r RefrigeratorfWater Station/Etc........ Receptor For Commercial Sink/Dishwasher /Etc.. Shower, Single' StalL.............................,...,.....,....... Shower, Gang.............................................,............. Sink, Bar. COmmerclal.............................,...,........,.. Urinal. StallfWall.......................,.................,..,.......,.. Wash Basin/Lavatory, Single......................."......... Water Close~ Public Installation............................. Water Closet. Private.............................."..,.........,.. Miscellaneous: .", "'2- TOTAL FIXTURE UNITS '-f 2- 2- ? S /9 CREDIT CALCULATION TABLE: Based on assessed value, If improvements occurred af1er annexation date in table, calculate credits separates. i Year Annexed Rate per $1,000 Assessed Value Year Annexed 1979 or before 1980 1981 1982 1983 1984 '1985 $3.21 3.13 3.08 2.96 2.82 2.68 2.51 1988 1987 1988 1989 1990 1991 1992 Credit for Parcel or Land Only If Applicable A1.A X $ (Rate X Assessed Value) X $ = (Rate X Assessed Value) CREDIT TOTAL = $ Improvement (If after annexation date) Rate per $1,000 Assessed Value $ 2.24 1.93 1.57 1.18 0.79 0.44 0.28 .\ RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential............................. ............. ..... ......... 0.4 Commercial...................................................... 0.9 I nd ustrial........... ........... ..... ....... ......... ." ...... ....... 0.45 Governmental.................................................,. 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 . . Ja.. tip ?d~ Ph,,/? - I LOCATION OF PROPOSED WORK:_~~"7, ASSESSORS MAP' \ I\O?''6<\~ 'r\ LOT: ~5" , TAX LOT: ()cPJ, ~7 SUBDIVISION:.-iJ!iL 7..I!J./L- - BLOCK' OWNER:~-{>.u- ~ ADDRESS'~~ ~ CITY: . ~./.A/I.O- ,r STATE: ())~- DESCRIBE WOR!" ,lkI.J .ALW"' J~ NEW x REMODEL ADDITION DEMOLISH OTHER CONTRACTOR'S NAME .' IJ A~RESS GENERAL:~ ,,-PMCVlvUT , PLUMBING~~ i;wd,cL1}lAr MECHANICAL: ~ +- ~ ' ELECTRICAL J?~1-/ Pl,I1f~ CONST, CONTRACTOR # ,,,7);<4 . ~~.23(..;' t;<:;'/n 9" d.. ,;to - /7 <t c.. "'A- 4:~~ QUAD AREA: \ R\\}.D # OF BLDGS: . \ OCCY GROUP: '.J.;6=T \J\. # OF STORIES' '\ WATER HEA":'ER: _r './ ~ OFFICE USE - \\\ \ ,LAND USE: \ CONSTR. TYPE: V U HEAT SOUR"'~' t,:'& V RANGE: _ # OF UNITS' . q'403QL JOB NUMBER 22~ Fifth Street Springfield. Oregon 97477 PHONE: 34,t;""-1.{ 'Z,lf7 ZIP:lltfol EXPIRES 7...q-i ';'-q'i Jl. - q.s- !()-qt.{ c!"H,Y"'t PHONE '{l/t;-'13tf 1 t,iX"-lq~( 7% - 71:> 77 b&'O - to lOll FLOOD PLAIN: ZONING CODE:.l I"lP L~ # OF BDRMS: SECONDARY HEAT: SQUARE FOOTAG~3L) To request an inspection, you must call 726-3769, Th!s is a 24 hour reco~dirrg. Alllnspec~ions 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. o Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. o Undcrslab Plumbing I Electricall Mechanical - Prior to cover. . ~ Footing ~ AftN trenches are ~excavated. D Masonry - ~tcct location, bond beams, grouting. . r\:/f Foundation - After forms are I ~ erected but prior. to concrete placement. o Underground Plumbing - Prior to filling trench. . REQUIRED INSPECTIONS I'\A Rough Mcchanlcjlt - Prior to ~ cover.~ aA. F,;t? ~ Rough Electrical - Pri~r t~' ~ cover. 'fVf Electrical Service - t'/....Jst be ~ approved to obtain permanent electrical power. o Fircpl:lce - Prior to facing materials and framing Inso. ~.Framing - Prior to cover. '1':/fWall/Ceiling Insulation'- Prior to ~ cover. ~DrYWC111 - Prior to taping. rv( Undc~flod\...Plumbi~cchanic:i::' ~ _ Prior to "'oJ....'c.o"...,rl VI ut..:~Klng. r I Wood Stove - After installation. \ \ ~ Pos1 and Beam - Pri.or to flour ~nsul3tion or dcckinfJ. 1'.7"1 Floor Insulation - Prior to ~ decking. fQf Sanitary Sewer - Prior to filling ~trench. . rVl Storm Sewer - Prior to filling ~trench. ~ Water Line - Prior to filling ~trench. " ~ ROU9~ PI'u~bing -' Prior to ~ovcr. o Insert - After fireplace <ioprovai and iflstallation of unit. ~C"rbcut & Approach - After ~ forms are erected b'ut prior to placement of concrete. . , rv1' S1dewalk & Driveway - After ~exr::avation Is complete. forms and sub-base matfHiai in place. ~F.nce - When co.mPlcte,j. ~Strcet Trees --:: When .;,.11 re'qulred ~tmcs arc planted..... .'. IZJ Final Plumbing - When all plumbing work 15 complete. ~ Final Electrical - When all electrical work !s complete. f':'7l Final Mechanical - When all ~ mechanical 'Norl" Is complete. -.c71 Final Building - When all ~ required Inspections have been approved and building Is jlQ :~~.~ t't~ 0 .MOBILE HOME INSPECTIONS o Blocking and Set-Up - When all blocking is complete. o Plumbing Connections - Wtlen home has been connected to water and sewer. o Electrical Connection - When blocking, set.up. and plumbing Inspections have been approved and the home is connected to the service panel. o Final - After ail required inspections are approved and porchc5, skirting, decks. ana venting have been in5talled. Setbacks I P.L. HSE GAR ACC I ~~~M ~io~ ,:.<f1 ~ W I I E I ~'- Lot sq. Itg. \~/9U. Lot coverage 1.;"~ Topography ~ );lt5~h/tf) Lot Type. -.1.. Interior Lot faces Corner Panhandle Cul.de.sac BUILDING PERMIT so. FT, I ~?q q<)1 X $/50. FT, t:;l..ZO 1,,\,(0 VALUE /0>-; lalX2> 134~ ITEM Main Garage 'r-"'''~<;?rt ill ()(')'? 4.7~ C1() II-}<f "- 2-~,'Cl 5/4:>:4' ':1) (~ SYSTEMS DEVELOPMENT CHARGE (SDC) tf3 (B) ~2SID~ Total Value Building Permit Fee State Surcharge Total Fee PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' Z. /~.~O Sanitary Sewer FT. Water FT. Storm Sewer FT. /60 L7S~ State Surcharge 'O.2r i- ~.7S" Total Charge (C) I~r-fl;;r."'<:' MECHANICAL PERMIT c. ;ro "'" ~a q,tHJ /G~ 3.t:J-O Furnace Exhaust Hood Vent Fan N' ~ Wood Stovel Inscr~CPlace ~ Dryer Vent ~7.St:J /~ . r)-r) 1/3 -r /.B~ (D) SO:>~ .-~~ MISCELLANEOUS PERMITS Mechanical Permit Issuance State Surcharge Total Permit Mobile Home State Issuance State Surcharge Sidewalk ~ ft Curbcut 75 2.. It -LCJ."IfJ /7.90 Demolition Surcharge ~ \ f\N~ rsu ~ 5.00 4270 ~'7 iU. 6'''1 ~ ..... iscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combinod) 'i. THE PROPOSED WORK IN THE HISTORICAL DISTRICT. OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved -by the Historical Coordinator prior to permit issuance. APPROVED' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on.the express condition that the said construction stlall, in all respects, conform 10 the Ordinance adopted by the City of. Springfield, including the Development Code, reuulatir;;lg the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plan Check Fcc: ~~~O Dale Paid: U::L3~,",,- Receipt Number:_(D 2.-L} i:1 ""~=--; . Plans eviewed By -- --fl:P1 Systems Development Charge is due. on all undeveloped properties within the City limits whic:h arc qeing improved. ADDITIONAL COMMENTS , ~ )01@JJJj)f ) Sht\\ \ \ ~\\.~Q~ L,)o.X_v: \C\~ ~~ '. --.)\,{.tCVJ By !;lgnaturc,1 state and agree, that I have carefully examined' the completed application a,nd do hereby certify that all I.nformation 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 tile 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 Building Safety Division. J further certify that only contractors and employees who are in compliance with OAS 701.055 will be used on thIs project. I further a,gree to ensure that all required inspectio(1s 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 allJilJ- dnJl'nstruction. Signature /:. I - M" V ( Date 2~ ~'2,-"ftj. VALIDATION: RECEIPT NUMBER /'2IGK';::> ?-/~~ ' AMOUNT RECEIVED ~S).W (+-I2!!2 ~I__.. _.- - 7<..'n'7) RECEIVED BY ,.., /' - _ - -" DATE PAin