HomeMy WebLinkAboutPermit Electrical 1994-3-22 (2)
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SPRINGFIELD
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 Zoning l t,p
OFFICE: 726-3759 Dale~~
1. ~CATION OF WTALLATI6fllhorizod Signalure. \~
4.L,4 -.s. /7/1~.S1ZZ:fT A A.
LEGAL DESCRIPTION
/t;?,,...., ') A ~ 2. 2
t?84~9
10B,DESCRIPT~, ..' \ <:"\
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Permits are non-traftsfe able and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.p
Ci ty Job Number CJ Y 03 S? I
COMPLETE FEE SCHEDULE BELOII
New Residential-Single or
Hulti~Family per dwelling unit.
Service Included:
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Ovelling
Service or Feeder $ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
, I /lJ ._#nstallation, Alterations
-E':t--",.-vc...i-'Contractor.Lf. V, C'..hllPl17,Q"V (J}t/;(.or Relocation:
Address ~(), ~ ')-;?3 I 200 amps or less
/) II - /,/@"'f 201 amps to 400 amps
City' :L<?5&)f Phone ~ - <-rlv( 401 amps to 600 amps
601 amps to lOOO amps
" !:l1r"" v; "nF-Ur"e,\",...-NWiriieL. Over 1000 amps/vol ts
Reconnect Only
Signature of Supe~~ng Electrician .
M~ .- :::r;:<' -
, / (:) ( c;,.D.;.. Branch Circui ts
Ovners Nam ~ S 1/--. I;q." 5<>N r. t..
Address 2-~O It). ......,-\ 1'1...-.1 s * '3
Phone C()~ 3 -"'6'1 s-7
Expiration Date
Constr Contr. Number
1~&:J-.1'
IJ'"
Expiration Date 1 - / '7 -
City ~<l';;-I../q,
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O\INER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~---------~}~\~~;---------------
RECEIPT, I: I;:lOde)
RECEIVED BY: 1>0\=2,
$ 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"
J:!i.dO
above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Servi"e
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 I__Woc)
5% State Surcharge ~ou
TOTAL ' j..J;:}Ov
y
I
JOB NO. "jf't'3,f'1
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CITY OF SPRINGFIELD S-YSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
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NM1E OR COMPANY: i7//Yl rAUl-56/'!
LOCATION: 4/-13 FoR<NTIIIA 5r,
DEVELOPMENT TYPE: SF R
BUILDING SIZE: /)89C-..v "mA'AO~"
LOT SIZE SA-/??8 q/#' A--S 'T+'d'??,fSQ. Ft.
I. STORM DRAINAGE
IMPERVIOUS SQ. FT. 25"'?/
X $0.203 PER SQ, FT.
~.23 r7-')
~
2. SANITARY SEWER-CITY
NO. OF PFU'S
(See Reverse)
IIr
X $42,08 PER PFU
~1-5 7 f'?)
'---- .-/
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
/
X /.tJ/~ X $424,31
X X $424.31
~ -f-2,yo~)
" ~
S
X
4. SANITARY SEWER-MWMC
X $424.31
s
2>
NO. OF PFU'S 17 x $15.125 PER PFU + $10 MWMC ADM FEE S J-.8"--2-
(Use PFU Total From Item 2 Above)
, MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ 4-/ 5"~
TOTAL-MWMC SDC ~~t:> t.!"1
'-- ~
SUBTOTAL (ADD ITEMS 1,2,3 & 4) S /&l,O d
5. ADMINISTRATIVE FEES
BdG~~BOVE)
~ \Kip Burdick 1
/' snc CoordinM-6r
X .05
0r~3~
TOTAL SDC S ~ <f.<;? IJ
I
FIXTURE ~NIT,CALCU LATION TABLE: Number of New Fi,,1uICS X Unit Equiv31cnt = Fixlure Units (NOTE:
For remodcls, C.1lcul~IC only thc .ddilion31 fi,,1urcs) .
I " ' t,Ut,'.GER OF UNIT' FIXTURE
FIXTURE TYPE NEW FIXTURES EOUIVALEtH UNITS
CREDIT CALCULATION TABLE: Based on assessed value, It improvements occurred after annexation date in table,
calculate credhs separates.
Bathtub...........!...... ",....,..'..,..
Drinking Fount3in.......... ............................
Floor Drain......!......, ....,........,......, ,..........................,
Interceptors For Greasc/Oil/Solids/Etc................,
Interceptors For Sand/Auto Wash/Etc..................
Laundl)' Tub /C1otheswasher"""""..."""....."..""",
Ootheswa~er,' 3 Or More.....................................
Mobue Home park Trap (1 Per Trailer}.................,
Recep!or F9r RerrigeratorfWater Station/Etc.......,
Receptor For Commercial Sink/Dishwasher /Etc..
Shower, Single', Stall.. ....,.. ...___..",..,..""....,....___,..,.."
. Shower, Gang,~..................,..___...."..,........,...,.....,..,'
Sink, Bar, Commercial..........",.."",...."".........,:...."
'. Urinal, Stall(Wall..---........"........"""......,."."'..,..""...
Wash Basin/uivatol)', Single......................,..........,
Water Oosel. ~ublic Installation................___..........
Water Ooset, Private....,.......""""..."..,.."..,.....,...",
Miscellaneous: '
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2.
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TOTAL FIXTURE UNITS
L
'Year
Annexed
1979 or before
1980
1981
1982
1983
1984
'1985
Rate per $1,000
Assessed Value
Year
Annexed
$3,21
3.13
3,08
2,96
2,82
2,68
2.51
1986
1987
1988
1989
1990
1991
1992
2
~
"
3
G
2
G
6
,
3
2
l/Head
2
2
,
6
4
=
'Z...
.
.
z
'L.
'7
2.
l?
/Y
Rate per $1,000
Assessed Value
I
II
S 2,24
1,93
1.57
L1.181
0,79
0.44
0.28
A $"~
,/ -
,..
CrOOh tor Parcel or Land Only If Applicable
5.2/ X $ /;{.9.,
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL
Improvement (rt after annexation date)
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
~
Residential...............................,........................ 0,4
CommerciaL.........................,......................... 0,9
I ndustrial..........................., ......,........... .....,....... 0.4 5
Governmental.........................,.....,..,................ 0,5
=
= $ "1/ ~4
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
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Job No. 9403f61
SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME:
~
PAdSQ_J
ADDRESS: 2~&I. ~('
Eu~.
PHONE:. tn~? -f!iJ.:!sr
STATE:.M, ZIP .!l..74~L
LOCATION OF IIROPOSED BUILDING SITE:
Street Address if Known: 4./4' .J
,FiM. S'l.77r/A
Platt Name: 41 /P:, 7in~A- fik. Tax Lot Number: / "*t:J 2. t!) 5 2...Z ~~
1. DEVELOPMENT TYPE (Check appropriate dwelling(sl. SDC Calculations and dwelling type
definitions are on the back,)
A. Sinl!le Familv - Detached
....--- Single Family home
Manufactured home not in a park
NO OF UNITS
/
X $400 PERUNIT or,
$ 4~-,
v
B. Sinl!le Familv - Attached
.
NO OF UNITS
X $370 PER UNIT =
'$
C. Multi-Familv Apartment
NO OF UNITS
X $277 PER UNIT =
$
D. Manufactured Home Park
NO OF UNITS
X $280 PER UNIT =
$
WPRD SDC
$
2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit
approval. See SDC Credit Worksheet.
3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit)
$
$~.tHJ
~C --. Se)' 0'
ommunlty rVlces I
City of Springfield
~\~/qq.
Date
TAX LO'L--- ()/l4o..&t
SUBDIVISION' \ I O~Q ,'\>OJ\...,tJ
OWNER' ,,\\ ffi \})(\{~lQ SR. n_ PHONE: lo50 ,~S~~r
ADORe"" 'c0. cp(j (\. \ CJ\n;f) ffi ~ r-\
CITY: h 'i0tJ'\O_, , STATE: (_\~\XO f'\~ ZIP:
~ nD.1Jl.) ~pjt11 ~Qn}o 0 flL".Q -;
REMODEL ~DDITION DEMOL~ " OTHER
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RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726.3759
LOCATION OF PROPOSED WORK:
ASSESSOR~ MAP'
LOT " \ r\'
DESCRIBE WORK:
NEW'/
-\
CONTRACTOR"S NAME
GENERA' '
PLUMBING'
MECHANICAl'
ELECTRICA' '
QUAD AREA: ,~\(s.r ,
\
OCCY GROUP: \\ ~-t- M
I
9./
. OF BLDGS:
. OF STORIES:
WATER HEATER:
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SPRINGFIELD
sf I.J>~
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'C:J403BI
,Fhw Sf 77f1A
BLOCI<"
JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
y 14()~ ___
ADDRESS
CONST,
CONTRACTOR'
PHONE
'- OFFICE USE -
LAN 0 USE: \ \ \ l
. OF UNITS" \
CONSTR, TYPE:..Y....AJ
H EAT SOU RCE: \==. e...
RANGE: y,
EXPIRES
FLOOD PLAIN:
ZONING CODE: ( D !d-
. OF BDRMS' ~
SECONDARY HEAT: f:' P
SQUARE FOOTAGE: 101 /
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To request an'lnspectlon, you must call 726.3769, This Is a 24 hour recording, 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.
D Temporary Electric
D Site Inspection - To be made
after excavation, but prior to
settIng forms.
D Underslab Plumblng/Electrlcal/
Mechanical - Prior to cover.
RFootlng - After trenches are
.......cavated.
D Masonry - Steel location, bond
,beams. grouting.
~ FoiJndatlon - After forms are
~erected.but, prior to concrete
placeme~t.
,
LJ Underground Plumbing - Prior
Jto filling trench,
REQUIRED INSPECTIONS
..J:::7I Rough Mechanl~~f'; Prior to
~ cover, %Q1(U) . r vf'.
r\7f Rough ElectrIcal - Prior to
~ cover.
fV'f Electrical Service - Must be
~ approved to obtain permanent
electrical power.
D Fireplace - Prior to facing
materials and framIng Insp.
~Framlng - Prior to cover.
~ Wail/Ceiling Insulation - Prior to
~cover.'
~ Drywall - Prior to taping,
'1;:7( Under!l6' Plum~~hanlcal":>
?Jt - Prior 10 ImiulCltlo.. e.,.. ..._.....,~ D Wood Stove - After l~stallat'lon.
~post and Beam - Prior to floor
~insulation or decking.
~Ioor Insulation - PrIor to
~ decking,
i"'IJ(Sanltary Sewer - Prior to filling
~trench.
rVr Storm Sewer - Prior to filling
~ trench.
IVtWater LIne - Prior to filling
~ trench.
K:;1-Rough Plumbing - pH or to
~cover. . . ,
D Insert - After fireplace approval
and Installation of unit.
1'\71 Curbcut & Approach - After
~forms are erected but prior to
placement of concrete. '
~ '.
Sidewalk & Driveway - After
excavation Is complete, forms
nd 8:ub-base material In place.
D Fence - Whe.n completed.
[AJ Street Trees - When all required
trees are planted, "
rv(Flnal Plumbing - When all
~plumbing work Is complete.
rs:7'T Final ElectrIcal - When all
~ electrical work Is complete.
K7'l Final Mechanical - When all
~mechanlcal work is complete.
~ Final Building - When all
~ required inspections have been
approved and building is
completed.
DOther
MOBILE HOME INSPECTIONS
D BlockIng and Set.Up - When all
blocking Is complete.
D Plumbing Connections --When
home has been connected to
water and sewer.
.
D Electrical Connection - When
blocking, set-up, and plumbing
Inspectlons have been approved
and the home Is connected to
the service panel.
,
D Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been Installed.
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Lot faces ',\ ~
.,. J
Leit Sq, Itg,~>
Lot coverage /s%
Topography LZ?o
Total height -lhi
(~i;' ')
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BUILDING PERMIT:
::1: \~~lo
.~\l 0
Lot Type . Setbacks (tit THE PROPOSED WORK IN THE
L Interior I P.L, HSE GAR ACC I -"HISTORICAL DISTRICT, OR ON
IN I~ 2,(::) I THE HISTORICAL REGISTER?
Corner Is I If yes, this appllcatlonmust be, signed
and approved by the Historical
Panhandle Iw Coordinator prIor to permit Issuance.
..7
Cul.de-sac
IE /1 , APPROVED:
"2-.1 <t',? 2-
:It:. 7- 4"0
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SB~# -SF
SYSTEMS DFVELOPMENT CHARGE (SDC)
. 17
i (B) ?A4J1J.
Garage
Carport
Total Val ue
Building Permit Fee
State Surcharge
I
Total Fee
X $I.~Q, FT, = !Vl/,ALfJ.ED n
'- ~l D.'dO "Ui '::;0' f
\4 i \()j /~I D
(A)
Mobile Home
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, MISCELLANEOUS PERMITS
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State Issuance
State Surcharge,
Sidewalk
70
2C:.
It
It
Cu rbcut
Demolition
2LI--{~
1-2.. '0
. State _Surcharge
~Ubu .i'LV/CW
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Total Mlscellan~ous Permits (E)
-~~
:??~ "S'
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C. D, and ~ Combined)
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BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express condition that the said
construction shall,ln all respects, conform to the Ordinance
adopted by the City of Springfield, Including the
Devalopment 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,
Plan Check Fee:
Date Paid:
j
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Receipt Number: 'OJ.!
Racelved~: . 't" '
~.?Z: ;;...../' cr-<
Plans'Revlewed By
~7~<1"
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved,
ADDITIONAL COMMENTS
~+T: \~,C\'\D
~V\1llx [)n.-t:OJ: \ C\.l rf:)
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mo. ,cAS - lp:5
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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'Clty 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 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 agrea to en'sure that all required Inspections are
requestad at the proper time; that each address Is readable
from tha street, that tha permit card Is located at the 'front
of the pro rty, and the approved set of plans will remain
on tha site all times dur g ructlon,
Xrgnat7
Date) ,,S//j'
\.-/7 /
VALIDATION: \(\ () I J\
RECEIPT NUMBER I 'r;.' J ~I
DATE PAID 5. \3q,
AMOUNT RECI'IVJD '::\ ! ~ _ C1 S'
RECEIVED BY ~
4.