HomeMy WebLinkAboutPermit Electrical 1996-3-29
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225 FIFTH STREET' apprO\fa'~OningAlJV. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 1-,4145'. (\ \ DrLrc.....
INSPEctION REQUEST: 726-37({i,,9.e ?IO('-~~ 'City Job Number , \A\O;].:..J
OFFICB: 726-3759' ,I 51 natura .---
, . . Authonzed 9 3.' OHPLETE FEE SCHEDULE B~LO\l
1.. c~~t) ~:~fMr ,-~iPt
'MGn~~~mON -fffiCl'3
~B DES1~AA n ~
. Jf\ ,t) , ()L IU.Y Yl~ c:t l1~o. II
, Permits are l~~transferable and expire
if work is n~'started within 180 days
of issuance or if work is suspended for
180 days.
I
2. CONTRACfOR INSTALLATION ONLY
,.
Electrical Contractor ARC ELECTRIC
Addres~5783 HWY 99 SOUTH
\, Ci ty EUGENE
Phone 74'1-0494
Supervisor License Number 20985
(0.,.Q1
Expiration Date
"
"
Constr Contr. Number 006'03
If) .IIY .Q1'
Expiration Date
Si~ure, of Supervising~lectrician
'/r~lJ~~O(h~-"'"
Owners Na~e ,;'rl~.. \'\&on.ihlln
Address. A~~fJ ()-~
Ci ty ~~ Ph:ne \~. D ~~2-
O~ ~~LATION
The installatioh is beirig made on
property I own which is not intended
for sale, lease or 'ren t.
Owners Signature:
DATE~-----------~---;e):~~l{,k?--!~---
RECEIPT t: l.~P' I ;..) 'J~? //.
RECEIVED BY: rf\ \ J')'f'>-/ ,.,-", - 'o.J - '
\./ -oo
A.
New Residential-Single or
Multi~Family per dwelling unit.
Service Included:
Items
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd 'Home or
Modular Dwelling
Service or Feeder
B. Services or Feeders
Installation, Alterations
or Relocation:
Cost
Sum
$ 85.00
$ 15.00
,Q
2f)
$ 40,00
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100,00,
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40,00
C.
Tempo~ary 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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
I '
see "B" above
New, Alteration or Extension Per Panel
One Circui ~
Each Additional
C1rcuit or with Service
or Feeder Permit I
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
~ 3/1) ,
70
$ 35.00
$ 2.00
~
not i~cluded)'
$ 40.00
$ 40.00
$ 20.00
$ 36.00
AI} lei)
- 4- \0
rO~4 b
~ ~ .510
f '....
~~ Willamalane r\\(\r,r\tl~
't~ Park & Recreation District Job. No. '--'\ \)\) ~ --../
,..., SYSTEM DEVELOPMENT CHARGE
\." " ____ ~WORKSHEET
NAME: J~~ \)J\OOl 1\\\0 PHONE: f\M-.sr6f:tb
ADDRESS: \~~ ~ ~~1Jt STA~E:~ZIP: C\t4;--n
LOCATION OF PROPOSED 8UILDIN~ ~ITE: ,,-, )
Street Address: ~C\,2[') \ Q\\iQj~rl _
Plat Name: ~ \'6) Tax Lot Number:. V\()2~M- o:ADS
1. PEVELOPMENT TYPE (Check appropriate dwelling(s). sac calculations and dwelling t
ype definitions are on the back.)
A. Sinale-Familv Detached.
Single Family home
NO. OF UNITS '\
8. Sinale-Familv Attached
NO. OF UNITS
C. Multi-Familv Aoartment
NO. OF UNITS
D. Manufactl)red Home Park.
NO. OF UNITS
WILLAMALANE SDC
\ Manufactured home not in a RaID
X $1,000 per unit = $ \ \J~U ~
X $924 per unit = $
X $692 per unit = $
X $699 per unit = ,$
$ \\",m ,CO
f1
$ t~'f)~OD
!3J/ 2-CC q ~
Date ,
2. SDC CREDIT (if applicable) SaC-payer must furnish proof of
Willamalane Credit approval. See SDC Credit Worksheet.
$
3. TOTAL WILLAMALANE NET SDe ASSESSED
(if sac reduced for
llii\-- ----.
','
\ .
) \
Developmen Servic
City of Springfield
225 FIFTH STREET
SPRINGFIELD, OR 97477
(547) 726-3753
FAX (547) 726-3689
MANUFACTURED HOME SET-UP AGREEMENT
As required by the City of Springfield Development Code, I understand and agre~~tAVith, the\approval ol )
the attached permits, one of the following manufactured homes will be placed at 0~'L() \, ~\...CCf'\u...J
,Springfield, Oregon, City Job Number C\ \O[)~' \~ .
Type I Manufactured Home:
v
A multi sectional (double wide or wider) unit with an enclosed floor area of not less than 1,000 square feet,
that has a nominal roof pitch 00 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 tlJe';performance standards required
for single family dwellings at the time of construction. (--C-- 1- L) _ initials
I if ~--..
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 hare 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
I further state, by my signature below, that I 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.
I also understand that the manufactured home shall be placed on an excavated and backfilled foundati<1n
not to exceed 6 percent slope withiIi 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.
~--
(/ /( 4
i Signa
<:/ /
A' ~ L
5
Ll-'1t
Date
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(RESIDENTIAL)
Name or Company: JOSE DELGADILLO
Location: 3920 ALCONA ST
Developement Type: R Building Size:
Job No.: 960375
Lot Size:
1. STORM DRAINAGE
Impervious Sq Ft 2280 X 0.210 Per Sq Ft
J
2. SANITARY SEWER - CITY
Number Of PFUs 18 X 43.43 Per PFU
(see Page .2)
3. TRANSPORTATION
Number Of Units
1 X
X
Cost Per Trip
437.93
$442.31
X Trip Rate
1. 010 X
Transportation Total
4. SANITARY SEWER - MWMC
Number Of PFUs
18
X
X
. .
Per PFU. of'
18.750 +
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
0.50
TOTAL SDC
Reviewed By: DENNIS ERNST
MWMC Admin Fee
10.00
Date: 03/21/96
Page 1
Sq Ft
$478.80
$781.74
$442.31
$347.50
$16.03
$331.47
$2,034.32
$101.72
$2,136.03
Job Number: 960375
FIXTURE UNIT CALCULATION TABLE
Fixture Type
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/Oil/Solids/Etc
Inteceptors For Sand/Auto WashjEtc
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
2
o
o
o
o
1
o
o
o
o
o
1
o
2<
o
2
o
Unit
Equivalent
2
1
2
3
6
2
6
1
3
2
2
2
1
6
4
Page 2
Fixture
units
4
o
o
o
o
2
o
o
o
o
o
2
o
2
o
8
o
18
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) :
4,620
o
X
3.47
X
3.47
16.03
0.00
$16.03
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)
CREDIT TOTAL =
SPR'NGF'ELD ~ .
___...AI...- .".. ,1/Jrfh'LrjJ/:ll'~.)rf.:l..~~
Ia..- '
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 960375
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 3920 ALCONA ST
Assessors Map #: 17023144
Lot: Block:
Tax Lot #: 00903
Subdivision:
Owner: JOSE DELGADILLO
Address: 1530 Q STREET
Phone #: 744-5582
City/State/Zip: SPRINGFIELD, OREGON 97477
Describe Work: MANUF HOME & GARAGE
NEW
Contractor
Const.
Contractor #
Expires
Phone
General: HARDACKER & OLE 0079496
83278 N 6th St Creswell OR 97426000
Plumbing: VOS PLUMBING 0041805
PO Box 2189 Eugene OR 974020000
Electrical: ARC ELECTRIC 0000603
85783 Hwy 99 South Eugene OR 974050
02/19/97
895-4307
04/04/96
485-0551
12/16/96
741-0494
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
OFFICE USE --
LAND USE: 1150
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 2
OCCY GROUP: R3
HEAT SOURCE: FE
SQ FOOTAGE: 1344
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 7:00a.m. will be made the following work day.
REQUIRED INSPECTIONS
PEDESTAL - Prior to cover.
FOOTING - After trenches are excavated.
FOUNDATION - After forms are erected but prior to concrete placement,
WATER LINE - Prior to filling trench.
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
ROUGH ELECTRICAL - Prior to cover.
FRAMING - Prior to cover.
CURB CUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
MANUF HOME/MOBILE HOME SET UP - When all blocking is complete.
MANUF. HOME/MOBILE HOME ELECTRICAL - When blocking, setup, and
plumbing inspe~tions have been approved and home is connected to panel
MANUF. HOME/MOBILE HOME PLUMBING - After home has been connected to
water and sewer,
FINAL ELECTRICAL - When all electrical work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
FINAL SET UP - After all required inspections are approved and porches
skirting, decks, venting, house numbers, etc. have been installed.
Lot Faces: S
Setbk From NPL: 10
Lot Sq. Ft.: 5009
Solar Approved: Y
Total Height: 15
Lot Type: INTERIOR
SPR'NO""LO ~
~ .. .. .. '!limNiJl.(1."Jf.Jj(:(~t;Jj'.
Job Number: 960375
Page 2
House
Garage
N
10
Setbacks
S W
43 7
18
E
16
5
Item
Main
Garage
FTG/PERIM FND
Total Value
BUILDING PERMIT ---
Square Feet x $/Square Feet
528
Value
38,000.00
8,976.00
4,040.00
51,016,00
Building Permit Fee
Surcharge/Admin
104.50
8.37
TOTAL FEE
(A)
112.87
--- SYSTEMS DE~ELOPMENT CHARGE (SDC) ---
(B) 2,136.04
Systems Development Charge is due on all undeveloped properties within the City
limits and the Citys Urban Growth Boundry which are being improved.
--- PLUMBING PERMIT ---
Item
Sanitary Sewer
Water
Storm Sewer
Fee
25.00
25.00
25.00
Plumbing Permit
Surcharge/Admin
75.00
6.00
TOTAL CHARGE
(C)
81. 00
--- MISCELLANEOUS PERMITS ---
Mobile Home
State Issuance
Surcharge/Admin
Sidewalk
Curb Cut
WILLAMALANE SDC
ELECTRICAL PERMIT
105,00
20,00
8.40
14.20
14.20
1,000.00
88.56
TOTAL MISCELLANEOUS PERMITS
(E)
1,250.36
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
3,580.27
--- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ---
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.
SPA'NGFOELD ~
~. .-.. . , .' , · , "1i1nh;l~i/:t~I".)i1:i It.)~
~~. , . ,
~JI ,
job Number: 9603'75
Page 3
PlanCheck~ee: 95.23 Date Paid:, 03/19/96
Received By: LORNE PLEGER
Plans Reviewed By: LISA HOPPER bate: 03/21/96
Building Site Reviewed By: LISA HOPPER
Receipt Number: 20755
--- ADDITIONAL COMMENTS
GARAGE PLANS REVIEWED BY DON MOORE
DRIVEWAY REQUIRED TO BE PAVED
1 STREET TREES REQUIRED
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 Df 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 bivision, Building Safety. I further certify that only
contractors and employees who are in compliance with ORS 701.055 will be
'u~ed 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
(-J-ll)remjam I o~ tIe sitea~all times during construction.
~//'-0 ~~~Y- 5~d-l_ft
signa#e
Date
--- VALIDATION
{;~2fqt;
'Amount Received:.\.l~. 'b.5~.7-1
Received By, . (J ,~-'
Receipt Number:
Date Paid:
,.', .,