HomeMy WebLinkAboutPermit Electrical 1997-3-26
.
.
225 FIFTIl STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1.
LOCATION 0);. IN~T~TI9N
. \ ~If\ \ ~('~'-UiL~
LEGAL DESCRIPTION
nD?l~c) ~ ()\"\t()
JOB DESCRIPTION
\ X\!\.I', nlJ,...b""l'lIJl(l d (~t\.()~
Permits are non-transferabl)) and expire
if work is not started 'within 180 days
of issuance or if,work is suspenaed for
180 days.
2..' CONTRACTOR INSTAL~TION ONLY B.
Elec~rical ContractQr0\Ox\\()~ ~~~0
Address \~f) . '\00'\ ~\'\.~
City Y{OI~ Phonel1g.\~
t\""IA(fJ - .
Supervisor ~cense -~umEer ctLt~
\0. \ . C\ ~
Constr Contr. Number \ ~\~
Expiration Date \'d.'~'1.'~l
Signature of Supervising Electrician
~~
V;
Owners Name :..\(\ no ~,o ~ ~
Address ~.\~~+1~ A-\,e ~
City~~A1... Phone ~ 1'6~ llDlo\
o mER INSTALLATION
Expiration Date
The installation is being made on
property I own which is not intended
for sale, lease or rent.
.
Ovners Sicnature:
----------------------I?------~-----
DATE: ,i"Llo 'j I '
RECF.Il'T II: I V ~ I} c:.~
RECEIVED BY: o\DJCL.; U\.J
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number q~{)1l{ 0 \
3.
COHPLETE FEE SCIlEDULE BELOY
A. New Residential-Single or
Hulti-Family per dwelling uni t.
Service Included:
Items Cost Sum
1000 sq. ft. or less $ B5.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Halluf'd Home or
Hodular Dwelling \ 4(')
Service or Feeder $ 40.00
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 100U volts
$ 40.00,
$ 55.00 "
$ 80.00
see t1B" above
D.
Branch Circui ts
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00 L
E.
Hiscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
:4f~~
. .!i. \I)
~LP.
SUBTOTAL OF ABOVE
57. State Surcharge
37. Administrative Fee
TOTAL
DEVELOPMENT SERVICES DEPARTMENT
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726.3753
FAX (541) 726.3689
MANUFACTURED HOME SET-UP AGREEMENT
As required by the City of Springfield Development Code, 1 understand and agree that ~ill1. the ~Ilproval of
the attached permits, one of the following manufactured homes will be placed at \~':) ,N.'.nt1')
_ ~ cY1.C'\. . . Springfield, Oregon, City Job Number q-,D3~;" .
Type 1 Manufactured Home:
A multi sectional (double wide or wider) unit with an enclosed floor area of not less than 1,000 sqUllI"e feet,
that has a nominal roof pitch of 3 feet in height for each 12 feet in width, that has no bare metal siding or
roofmg, and that has been certified by the manufacturer to have an exterior thermal envelope meeting
performance standards which reduce heat loss to levels equivalent to the performance standards required
for single family dwellings at the time of construction. ' initials
Type II Manufactured Home:
A unit of not less than 12 feet in width enclosing a minimum floor area of 500 square feet, that has a
nominal roof pitch of2 feet in height for each 12 feet in width, that has no bare metal siding or roofing,
and that has been certified by the manufacturer to have an exterior thermal envelope meeting performance
standards which reduce heat loss to levels equivalent to the performance standards required for single
family dwellings at the time of construction. initials
1 further state, by my signature below, that 1 have been provided with the following information:
Manufactured Home Blocking, Water Line Connection, Street Tree Standards, Sanitary Sewer Connection,
Electrical Connection, and Minimum requirements for permanent steps.
1 also understand that the manufactured home shall be placed on an excavated and backfilled foundaticrn
not to exceed 6 percent slope within 10 feet of the perimeter enclosure, enclosed at the perimeter with
stone, brick or other concrete or masonry materials approved by the Building Official and with no more
than 24 inches of the enclosing material exposed above grade.
~~w.~~~
Signature
~-'2-I-q I
Date
.'
.. 'I
.
.
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(RESIDENTIAL)
Name or Company: JANE
Location: 1851
Developement Type: R
NELSON
SCOTT RD
Building
1. STORM DRAINAGE
Impervious Sq Ft
960
2. SANITARY SBWBR - CITY
Number Of PFUs 7
(see Page 2)
3. TRANSPORTATION
Number Of Units
x
Trip Rate
Transportation Total
4. SANITARY SBWBR - MWMC
Number Of PFUs
7
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
TOTAL SDC
Reviewed By: DENNIS ERNST
Size:
X
X
x
0.216
x
44.75
Job No.: 970361
Lot Size:
Per Sq Ft =
Per PFU
X
Cost Per Trip
Per PFU +
20.690 +
0.50
MWMC Admin Fee
10.00
Date: 03/17/97
Page 1
Sq Ft
$207.36
$313.25
$0.00
$154.83
$152.68
$2.15
$522.76
$26.14
$548.90
.. . I. .
.
Job Number: 970361
.
Page 2
FIXTURB UNIT CALCULATION TABLB
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
1
o
o
o
o
o
o
o
o
o
o
o
o
1
o
1
o
2
1
2
3
6
2
6
1
3
2
2
2
1
6
4
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured
after annexation date, credits are calculated separately.
(calculations are by $1000)
Year Annexed: 1969
Credit For Parcel Or Land Only If Applicable:
Improvement (if after annexation date) :
44,000
X
3.47 =
Fixture
Units
2
o
o
o
o
o
o
o
o
o
o
o
o
1
o
4
o
7
152.68
0.00
$152.68
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)
o
x
3.47
CRBDIT TOTAL =