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Home My WebLink AboutPermit Electrical 2004-10-25 'I ~ ""'Ill " 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (5~~1i689 ELECTRICAL PERMIT APPLICATION <'I.o.ol"~~ ~~/~.{).o City Job Number C Y - 0 II C; .;- Date 10 - Z<::; - O'-t <il. cr %;%"/ oS I') <i..s- 1000 sq. ft. or less Each additional 500 sq. ft. or -r.flwI. {J ?61..4 ~E' ~P.iOrtiPl}lt1ri~W ' ~IU i au . l EXPIRE Ir tit;, \1'1 -- Permits are non-transfer ~~Efmi;~litSW>.M.1S ~f ~tN~lt'd Home or not started within 180 day ~ :,.~~~ \!i~~ 1HIS PE~~l1t~tPwel1ing Service or Suspended for 180 days. All I 0 OR IS ABANDO~~~der . B. 1. LEGAL DESCRIPTION JOB DESCRIPTION 2. Electrical Contractor Address / / City Phone Expiration Date 'I' " Constr. Contr. Number # f/ Expiration/Date / Signawre of Supervising Electrician Owners Name r rlQ.,~ Jk~t?~ Address 2Y7/7 wolf Go- ~cd City if C-1Il EtA Phone C; 79 - <b g <77 OWNER INST ALLA nON The instalIation is being made on property I own which is not intended for sale, lease or rent. JJ;;fiJA);vz- Inspection Request: 726-3769 3. $50.00 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 c. s-o E. Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. S;C> ].>0 7% State Surcharge 10% Administrative Fee 'SOD I 58 [2.. TOTAL Shared Drive(T:)/Bui!ding FonnsIE!ectrica! Permit Application !-03,doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01195 ISSUED: 10/25/2004 APPLIED: 09/27/2004 EXPIRES: 04/25/2005 VALUE: $ 182,505.00 SITE ADDRESS: 777 Aspen Street Springfield TYPE OF WORK: Single Family Residence ASSESSOR'S PARCEL NO.: ASPEN PARK SUB LOT' TYPE OF USE: New Residential PROJECT DESCRIPTION: Aspen Park lot 7 - SFR Owner: PARKER HOMES Address: 24717 WOLF CREEK RD VENETA OR 97487 Phone Number: 935-7984 Contractor Type General Electrical Mechanical Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Subdivision Not Accepted Street Improvements: Storm Sewer Available: Special Instruction: Notes: 1 R-3 U-l Vlhr 18.00 8.00 5.00 61.00 30.00 Expiration Date 09/07/2006 06/21/2008 06/25/2007 06/25/2007 Phone 541-935-7984 541-995-4757 541-345-2838 541-345-2838 3 # of Stories: 1 Lot Size: Height of Structure 24.00 Sq Ft Ist Floor: Type of Heat: Forced Air Elect Sq Ft 2nd Floor: Water Type: Electric Sq Ft Basement: Range Type: Electric Sq Ft Garage/Carport Energy Path: Path 1 Sq Ft ~: Sprinkled Building: n/a, ~~~(~\~ ..t>.~ .' ~f''(\ . H'{': I DEVELOPMENT INFORMATI9AO,-\~"~\\e O':~e ~~~~'\; O~.v 1\.eo'O'i r;,~:.~\0 O~'i\ ~~rlu!,D PARKING ~,,~ a.ooty ,,'(\0 ~9J'(\ \'(\0 (\0 Overlay D~~ \J.WS ~\e'<. (,)\'(\,<0 'eSO\ ~~o(\ 2 # Street Tfi~~d:o'(\ (i0 ~#(,)(,)\ .~ ccJ;'\ . \'(\e :,~_apped: Paved Drivt~~\~S'2:(,)() 0'O\~ ~1\.~~\\\'i ,~w}\pact: % of Lot ~~"" ~ ({\a."l 0'(\\e'26 6'(\ o.,'l:'l..~ \'(\ ~ ,0 ~0 C 010 O~~'" (,)(,)9 "\\\~9J ~ '''~ ~e .,. V'O(j I PUBLIC IMPROVEM~' ~e'(\\0' ,- Sidewalk Type: 9,205 1,825 571 Fully Improved Yes Downspouts/Drains: Curbside 5' Curb and Gutter Pa2e 1 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01195 ISSUED: 10/25/2004 APPLIED: 09/27/2004 EXPIRES: 04/25/2005 VALUE: $ 182,505.00 I Valuation Description I Description DwelJinl!s Garal!e Tvpe of Construction V Wood Frame Garal!e $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 1,825.00 571.00 Value Date Calculated Total Value of Project $168,630.00 $13,875.30 $182,505.30 09/27/2004 09/27/2004 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $543.01 9/27/04 1200400000000001396 -Mechanical Issuance Fee- $10.00 10/25/04 1200400000000001505 + 10% Administrative Fee $122.14 10/25/04 1200400000000001505 + 7% State Surcharge $85.50 10/25/04 1200400000000001505 2 Baths One or Two Family $254.00 10/25/04 1200400000000001505 Addressing Assignment $31.00 10/25/04 1200400000000001505 Appliance Vent $6.00 10/25/04 1200400000000001505 Building Permit $835.40 10/25/04 1200400000000001505 Curbcut Permit $75.00 10/25/04 1200400000000001505 Dryer Vent $6.00 10/25/04 1200400000000001505 Exhaust Hoods $9.00 10/25/04 1200400000000001505 Furnace - up to 100,000 btu $12.00 10/25/04 1200400000000001505 Gas Fireplace $15.00 10/25/04 1200400000000001505 Gas Outlets 1-4 $4.00 10/25/04 1200400000000001505 Heat Pump $12.00 10/25/04 1200400000000001505 Plan Review Major - Planning $103.00 10/25/04 1200400000000001505 PW Mult Disc - 2nd Permit $-30.00 10/25/04 1200400000000001505 Sanitary Sewer - Improvement $475.28 10/25/04 1200400000000001505 Sanitary Sewer - Reimbursement $625.04 10/25/04 1200400000000001505 SDC MWMC Administration $10.00 10/25/04 1200400000000001505 SDC MWMC Improvement $865.31 10/25/04 1200400000000001505 SDC MWMC Reimbursement $82.03 10/25/04 1200400000000001505 SDC Sanitary/Storm Admin $130.92 10/25/04 1200400000000001505 SDC Transpo Admin $62.92 10/25/04 1200400000000001505 SDC Transpo Improvement $772.49 10/25/04 1200400000000001505 SDC Transpo Reimbursement $175.13 10/25/04 1200400000000001505 Sidewalk Permit $75.00 10/25/04 1200400000000001505 Storm Drainage Impervious Area $871. 70 10/25/04 1200400000000001505 Temp Power 200 amps or less $50.00 10/25/04 1200400000000001505 Vent Fan $18.00 10/25/04 1200400000000001505 Willamalane Single Family $1,000.00 10/25/04 1200400000000001505 Total Amount Paid $7,306.87 Pal!:e 2 of 4 CITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: COM2004-01195 ISSUED: 10/25/2004 APPLIED: 09/27/2004 EXPIRES: 04/2512005 VALUE: $ 182,505.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review Planninl! Review Public Works Review 09/28/2004 09/28/2004 09/28/2004 I Plan Reviews' 09/28/2004 APP 10/12/2004 APP 09/30/2004 APP SKG TAJ CS No hook-up to Sanitary Sewer until Public Improvements have been accepted by the City. Storm Drainage to curb. CS Structural Review Structural Review 09/28/2004 10/25/2004 10/25/2005 APP TCM To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. ~e01."!iredJ nsnections I Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Curbcut - Standard: After forms are erected but prior to placement of concrete. Dfer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to fIlling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Pal!e 3 of 4 -U;;._~ji..'.'..'..'..: ......i -.:..' t .."~""",<-,..,-,-_.-,--~,.,.".-,." ,. Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01195 ISSUED: 10/25/2004 APPLIED: 09/27/2004 EXPIRES: 04/25/2005 VALUE: $ 182,505.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 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 Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 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 ti~~::onV)OD' /. . CLJt /0/ Id A/fIf/( 10- ,as ,-I) 4 Owner or Contractors Signature Date Pal!e 4 of 4 . 225' F.ifth Street . Springfi~ld, Oregon 97477 541-726-3759 Phone rity of Springfield Official Receipt ,velopment Services Department Public Works Department Job/Journal Number COM2004-01195 COM2004-01195 COM2004-0 11 95 COM2004-01195 COM2004-0 11 95 COM2004-0 11 95 COM2004-01195 COM2004-01195 COM2004-01195 COM2004-01195 COM2004-01195 COM2004-01195 COM2004-01195 COM2004-01195 COM2004-01195 COM2004-01195 COM2004-01195 COM2004-01195 COM2004-01195 COM2004-01195 COM2004-0 1195 COM2004-01195 COM2004-01195 COM2004-0 11 95 COM2004-01195 COM2004-01195 COM2004-01195 COM2004-01195 COM2004-01195 COM2004-01195 Payments: Type of Payment Check 10/25/2004 RECEIPT #: 1200400000000001505 Date: 10/25/2004 Description Vent Fan Appliance Vent Exhaust Hoods Dryer Vent Gas Outlets 1-4 Gas Fireplace Heat Pump -Mechanical Issuance Fee- Temp Power 200 amps or less + 7% State Surcharge + 10% Administrative Fee Addressing Assignment Willamalane Single Family Sidewalk Permit Curb cut Permit PW Mult Disc - 2nd Permit Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transpo Admin Plan Review Major - Planning Building Permit 2 Baths One or Two Family Furnace - up to 100,000 btu Paid By PARKER HOMES Item Total: Check Number Authorization Received By Batch Number Number How Received djb 5177 In Person Payment Total: Page 1 of 1 11:21:17AM Amount Due 18.00 6.00 9.00 6.00 4.00 15.00 12.00 10.00 50.00 85.50 122.14 31.00 1,000.00 75.00 75.00 (30.00) 871.70 625.04 475.28 175.13 772.49 82.03 865.31 10.00 130.92 62.92 103.00 835.40 254.00 12.00 $6,763.86 Amount Paid $6,763.86 $6,763.86 CITY OF S~NGFIELD SYSTE.r~S DEVELOPMEN~i~ORKSHEET JOURNAL OR JOB NUMBER: C0M2004-0] ]95 NAME OR COMPANY: Parker Homes LOCATION: 777 Aspen Street TAX LOT NUMBER: 0 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS ] BUILDING SIZE (SF' 2396 LOT SIZE (SF): 1. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM IMPERVIOUS S.F, x COST PER S.F. CHARGE 28] 1.95 $0,310 = I $871.70 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS ,I IMPERVIOUS S.F. x I COST PER S.F. I x 1 DISCOUNT RATE I I 0.00 I $0.310 I 50% ITEM 1 TOTAL - STORM DRAINAGE SDC I $871.70 I 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: NUMBER OF DFU's I x 26 I B. IMPROVEMENT COST: NUMBER OF DFU's x 26 COST PER DFU $24.04 $]8.28 ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3, TRANSPORTATION A. REIMBURSEMENT COST: 1 ADT TRIP RATE I x I 9.57 I B. IMPROVEMENT COST: I ADT TRIP RATE x I 9.57 I NUMBER OF UNITS x I I ] I I NUMBER OF UNITS I ] ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's x COST PER FEU I] $82,03 B. IMPROVEMENT COST: INUMBER OF FEU's 1 I ] I xlCOST PER FEU I $865,3] MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , SUBTOTAL (ADD ITEMS 1, 2, 3, & 4) = , 5, ADMINISTRATIVE FEE: I SUBTOTAL x I ADM. FEE RATE I $3,876.98 I 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Matt Stouder 9/30/2004 PREPARED BY DATE =1 $1;100.32 x I, I = I COSTiPER TRIP $]8.30 I COST!PER TRIP $80.72 $947.62 I $957.34 I $3,876.98 DISCOUNT $0.00 x INEW TRIP F ACTORI 1 1.00 I x NEW TRIP FACTOR 1.00 9205 $871.70 $625.04 $475.28 $175.13 $772.49 = $82.03 C/) W ~ o u ~ ~ C/) >--< t:l ~ 11070 1091 1092 1093 1094 1054 i: 1055 1054 1056 ~.~ I CHARGE $]193.85 = $865.31 $0.00 $10.00 TOTAL SDC CHARGES , __,,~ $4'07:~~J 130,93 $62.92 1079 1078 DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FlXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FlXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS I BATHTUB 2 0 3 = 6 I DRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 I LAUNDRY TUB 1 0 2 = 2 ICLOTHESWASHER/MOP SINK 1 0 3 = 3 I CLOTHES WASHER - 3 OR MORE (EA) 0 0 6 = 0 I MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 SHOWER, SINGLE STALL 1 0 2 = 2 I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLE LAVATORY 2 0 2 = 4 SINK: SINGLE LA V ATORY/RESIDENTIAL BAR 0 0 1 = 0 IURINAL, STALL/WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDD'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 26 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED CREDIT RATE/$l,OOO ASSESSED VALUE $5.29 $5.29 $5.19 $5.12 $4.98 $4.80 $4.63 $4 .40 $4,07 $3.67 $3.22 $2.73 $2.25 $1.80 $1.59 $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0,05 BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 200] IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR 2 2 2004 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0.00 x $0.00 = , $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE /1000 CREDIT RATE $0,00 x $0,00 o TOTAL MWMC CREDIT $0,00 =