HomeMy WebLinkAboutPermit Electrical 1994-2-17
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The. following project as submitted has the followi ~
225 FIITH STREET ;~~~~~efnd does not require specmc lanm~CAL P.ERIlIT APPLICATION
SPRINGFIELD, OREGON 97477 .. .
INSPECTION REQUEST: 726-3769 ZOning t-nQ,
OFFICE: 726-3759 [).Jte~n I tjt..{
AlJthorizad Signature t.~
1. LOCATION OF INSTALLATION L
"1fSg- J//JI/r LJ~ () ,</-LG
LEGAL DESCRIPTION
Lnr ':2 t' _ t!JAK 7;it1, '; Z
JOB DESCRIPTION
T CWf/Jtl S ~ It.l/ I C. t..:
Permits are non-transferable and'expire
if vork is not started within 180 days
of issuance or if work is suspended for
180 days.
2. . CONTRACTOR INSTALLATION ONLY. B.
Electrical Contractor L. H. /1MttflS e/u/..
Address 4e~ C,H~LL.... C,712.
J
City C,PFI? Phone,47 - OKI'
Supervisor License Number 3DCJ~ .<:.
Expiration Date
S,loIIINCr-ICLD
City Job Number_9~O 9')( 7
COMPLETE FEE SCHEDULE BELOV
A.
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
uni to
Cost
Sum
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dve1ling
Service or Feeder
Servi ces 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
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Constr Contr. Number h J e z,~.
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
Signature of Supervising Electrician
J~A.~t?n' ~ ·
owners~am~ - ~//"'""",P.'7'/./) .4a' /ZJce.r D.
Address
City Phone
OVNER INSTALLATION
The .insta11ation is being made on
property I own vhich is not intended
for sale, lease or rent.
Owners Signature:
--------------------~-- ~-~J'-----------
OATE: 2. /~7 5'"7-
RECEIPT II: II,., '(<J
RECEIVED BY: .~~
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "Bit
4o"S<-..
above
Nev, 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 $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
40
"l. 0;"
4 L.. "'~
- :,
REsIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
s(we
.LoT
7Rl
ASSESSORS MAP:
LOT. 1.. ("
OWNER:----A-;J.J!J},-e.. J/~~
ADDRESS: I t..J. 91 M ocI 0 C'.-
CITY: <:(~""5 ~L~J
DESCRIBE WORI<".
(/ .Q..A " 1'\
NEW "I
REMODEL __._ ADDITION
.
SPRINGFIELD
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OQ 1.(. h<.t= E
7..9
M.4P
BLOCK'
STATF.
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DEMOLISH
OTHER
~OB NUMBE~~l)\ ~
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225 Flfth.Street
Springfield, Oregon 97477
4DO,'..J-,.o,J q'j)if FAIRwa.."
I
TAX LOT: _I"ln 8:?-tl
SUBDIVISION: (')~. 1L...i./E' E r;:;
PHONE:
""74ct 6'1/1"
ZIP: qrlfTl
CONTRACTOrl'S NAME ADDRESS
GENERAL: S--'LU_~_f2.e:_LG.U _t5IJ. ~ L t"J.Q.r S
PLUMBING: _G:R.\.oJ.,..lA-\Jr--..
MECHANICA'. (( 0 L\C..-" ~(/'Cl.....-\-~ tU C.
ELECTRICAL: -tJf /;Jf'~<<- /iJAo/4hci_ii./C;
CON ST.
CONTRACTOR'
~l.o4-11
1tJ -:2.M~
.1.~-RqO
le, 3 9/.
EXPIRES PHONE
/0 -q 3 14~ MIlo
~ -q 3, 74-6 qc.j.JJ
~-q4- 741 Mot
tb=&,-"l~' 7"1'7-06(( .
QUAD AREA J RJL2u )
. OF BLDGS: \
OCCY GROUP_~o.-=r \~
. OF STORIES: l
WATER HEATER:
"
- OFFICE ~SE -
LAND USE: I( r I
I )
CONSTR. TYPE: V N
HEAT SOURCE: ~G
. OF UNITS:
RANGE.
FLOOD PLAIN: - c.. ')
ZONING CODE: I j )f---../
. OF BDRMS: - ~ .
SECONDARY HEAT: Lf-J
SQUARE FOOTAGE: -;:::J:jf3 /
To request an inspection, you must call 726-3769. This Is a 24 hour recording. All Inspections requested before 7:00 a.m. will be
made HIC same working day. Inspections requested after 7:00 a.m. will be made the following work day,
REQUIRED INSPECTIONS
~TcmpOrary Electric
o Site Inspection - To be mado
to,;; after excavatlon, but prior 10
, setting forms.
o Underslab Plumbing/Electrical!
Mechanical - Prior to cover.
191 Footing - After trenches arc
~ excavated.
o Masonry - Steol location, hond
beams, grouting.
rvlFoundatlon - After forms are
~erected but prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench.
'C7f Underlloorcrlumoll.!J~chanlr;J>
~ - Prior to tr.;)UIClll....n or llccKlng.
1Y1' Post and Beam - Prior to 1I00r
~lnsulatlOn or decking.
~ Floor Insulation - Prior to
~decklng. .
~ Sanitary Sewer - Prior to filling
? trench. ~
KA"Stor~ Sewer - Prior to filling
}.A.l trench. .
rd Water Line - Prior to filling
~ trench.
d Rough Plumbing - Prior to
p-cover.
l"v( Rough Mechanical - Prior to
~ cover.
~ Rough Electrical - Prior to
~covcr.
'tVr'Electrlcal Service - Must be
~approved to obtain permanent
electrical power.
C-, FIreplace - Prior to facing
- materials and framing Insp,
~ Framing - Prior to cover.
K7fWell/Celllng Insulation - Prior to
~ cover.
~ Drywall - Prior to taping.
D Wood Stove - Arter I~stallatlon.
o Insert - After fireplace approval
and Installation of unit.
'IVf Curbcut & Approach - After
~ forms ar~ erected but prior to
placement of concrete.
1"\71' Final Plumbing - When all
~ plumbing work Is complet.e.
~ Final Electrical - When all
~electrlcal work 15 complete.
T"57f Flnel Mechanical - When all
~mechanlcal work Is complete,
~ Final Building - When all
~equlred Inspections have been
approved and building Is
completed.
o Other
MOBILE HOME INSPECTIONS
.~~ ' , . : '. , '
o Blocking/and Sat.Up - When all
blocking Is complete.
.
o Plumbing ,Connections - When
home has been connected to
water an9 sewer.
o Electrical Comiectlon - When'
.. blocking: set.up,;and plumbing
. :' Inspections have 'been,approved
:. ~. and the. home Is :connected to
.> . ti'e service p,a".~I.. ...
" ~:. ,', ,., ~~ . -.:~' .~" . "~'::';:: ' '
[J'Flnal - After all required
@), . . . .. ...Inspectlons.arefapp'roved and.
treet Trees ~ Whim 'all re'qulrecr' ..... '" p6rche8~sklrtlng:,Clecks'~ ahd ""
rees are planted. venting have' been. Installed.
~Sldewalk & Driveway - After
~excavatlon Is complete, forms
and sub-base material In place.
o Fence - When completed.
l.rHE PROPOSED WORK IN ;rHE.),,,,'
. HISJ..q~ICAl:DI.Sr,RICT, OR ON t1J ~
THE HI~TORICAL REGISTER? )"11,
. .... ... ;,f"1
If yes, thIs application must be signed ,~.
an(j .approved by the Historical
Coordinator prior to permit Issuance.
Setbacks
Is"!!li...... ~r,~, .J" .
A>.~.., .HSE. G'W ACC
Tolal height
BUILDINGPERlv(rr;, :
c. . -'" ,..,f'.
ITEM. SQ.FT,;"''I:?<
_~~f,:-
$/S.?: FT.
= \i~Ul~ \ L\
1.~~
Main
a.C(-10
S-/ (
I Garage
. .
Carport
\l.\C:{J\j
53~,7r
2/"" .94-
(A) 5(p.').t.q
SYSTEMS '[IEV.ELQ~.~~r-J:r~~~~F\f1E'(SDC~~$
(B) YI 'tlP2f> -
Total Value
Building Permit Fee
State Surcharge
Total Fee
PLUMBING PERMIT'
ITEM
FEE
Fixtures
Residential Bath(s) NO ~
Sanitary Sewer FT.
Water FT.
Storm Sewer FT.
Mobile Home
/~~o
Plumbing Permit
9,(,)
202/5
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
~ .ct)
4.05"'0
/2,0-0
/5.<H
~a-o
z.f'"O
4-2.. -:eJ
-,
( /? tU)
2/3
c:;~~3
Furnace v
Exhaust Hood (./
4
Vent Fan '-
NO
W"Q~ ",\g"ellnser~Place un~
Dryer Vent ~
/';A,...l L/A J~
Mechanical Permit
Issuance
State Surcharge
Total Permit '." " :' . (D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surchargo
Sidewalk ~ 2. <) It
Curbcut 2.9 It .
4.3.7"-
-L4pO
Demolition
State Surcharge
Total Miscellaneous Permits
.(E) .
C::'7' .95
3501.22.
,". .,'
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C. 0, and E Combined)
APPROVED:
:BUILDINGVALUEH~~LAN CHECK
.ANDBUILDING' PERMIT. .
'" ,,- . . >i,.-.
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 O,~y l!..~lo~f said ordinances.
Plan Check Fee: 0 ,-k.."J. '"""'\
Date PaId: (- - \ (j -C\.)
Receipt Numbor:~_
~.
Received By. ~~
Pla2~4x
_?:-'lh-L
/D~te
Systems DevelC?l~ment Charge Is due on al/ undeveloped
properties within the City !Imlts which are being Improved.
ADDITIONAL COMMENTS
klPTr# -1
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 !'iprlngfiefd, 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 Building Safety Division.
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.
Signature ~/<.. -
Date _I. .4 A..3.
;' ,
VALIDATION:
\\'2,';;>'1
DATE PAID ' 1.126..~,J
AMOUNT REC~IVE~ ^ $ 2....c,(:i1 ~2
RECEIVED BV))...JJ,.U &~.J) ./i'lh'l
RECEIPT NUMBER
-..,.,JI
/
':.
. ..JOB NO. Q3oB17
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
...
NAME OR COMPANY: A",.jSL.e.e: KRItN'::>
LOCATION: Q88 FAIR-1liiA-V 11... SL../VE. 7'3/- MAP 73 - t')tI~~g-
DEVELOPMENT TYPE: LI/ R - New SF-.R..
BUILDING SIZE: LOT SIZE SQ. Ft.
1. STORM DRAINAGE
IMPERVIOUS SQ. FT. 12(17 X $0.192 PER SQ. FT. C; B~5O?)
...... --
2. SANITARY SEWER-CITY
NO. OF PFU'S 2'-1 X $39.78 PER PFU <:CfSt.f€'J
(See Reverse) ...... --
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
x
X $401.05
c; Lf()~~ ')
~
$
/
x /.O()5 X $401.05
X
X $401.05$
SUBTOTAL (ADD ITEMS 1,2, & 3) $ Z li'Z- '8~
4. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
~/ 0 Cf 11.)
...... --
TOTAL-CITY SDC $ 'b'2-"'I/~o.J
5. SANITARY SEWER.MWMC
NO. OF PFU'S 7...<-1- x $13 .62 PER PFU + $10 MWMC ADMIN. FEE $ ??Co ~
(Use PFU Total From Item 2 Above)
PF~LJv
1I Kip Burdick
SDC Coordinator
~ //I!e:,3
$ ~.It,
TOTAL-MWMC SDC~~b~
........ .-
TOTAL SDC $ Z,,"'2-f> Sz.
MWMC.CREDIT IF APPLICABLE (SEE REVERSE)
,
. FiXTURE UNIT CALCULATIA TABLE: Number of New Fixtures X ueqUivalent = Fixture Units(NOTE:
.,
For remodels, calculate only the NET additional fixtures) . ..
FIXTURE TYPE
NUMBER OF
NEW FIXTURES
UNIT FIXTURE
EQUIVALENT UNITS
LI-
2 ~
1
2
3
6
2 "2-
6
6
1
3
2
l/Head
2 2-
2
1 <+
6
4 12
Bathtub..... ...... ................. .... ......................................
Drinking Fountain.... .................................................
Floor Drain................................................................
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For Sand/Auto Wash/Etc.:.:..:...:.......
Laundry Tub /Clotheswasher...................................
Clotheswasher - 3 Or More.....................................
Mobile Home Park Trap (1 Per Trailer)..................
Receptor For Refrigerator fWater Station/Etc........
Receptor For Commercial Sink/Dishwasher /Etc..
Shower, Single StalL................................................
Shower, Gang:........,"..............................................
Sink, Bar, CommerciaL..........................................
Urinal, StallfWall.......................................................
Wash Basin/Lavatory, Single..................................
Water Closet, Public Installation..............................
Water Closet, Private...............................................
Miscellaneous: . . . .
z
?
TOTAL FiXTURE UNITS
'2.'-1
CREDIT CALCULATION TABLE:
calculate credits separates.
II
Based on assessed value. If improvements occurred after annexation date in table.
- ---
- ..
Year
.' Annexed
Rate per $1.000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
1979 or before
1980
1981
.1982
.1983
1984
$2.83
2.76
2.71
2.60
2.46
2.33
1985
1986
1987
1988
1989
1990
1991
$2.16
1.90
1.60
0.25
0.87
0.50
0.16
Improvement (if after annexation date)
tlA, X $ -
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL
=
Cred~ for Parcel or Land Only If Applicable
-
=
= $ .AI.,A
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
ResidentiaL..................................................... 0.4
CommerciaL.................................................... 0.9
IndustriaL........................................................ 0.45
GovernmentaL................................................ 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT