HomeMy WebLinkAboutPermit Electrical 1996-5-6
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225 FIFTH STREET / I '
SPRINGFIELD, OREGON 97477J.:r., 3. tY f?
INSPECTION REQUEST: 726-;JI~J!tz9js\gnirture /J - City Job Number
OFFICE: 726-3759 . '
1.
LOCATION OF I]ISTALLATION
. ''1/7 ~,;eC-St?h(T
LEGAL DESCRIPTION
/7~~ ~ 4' //
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~~/4.
JOB DESCRIPTION
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor t€C\.1v S freS,tlC
Address P,D. ~o;t '1<;g~
Ci ty fll'VlVt "Il1l0'l. Phone cr'3 ~ ~ '5"30 ~
Supervisor License Number s~l~ 5
Expiration Date 10 -1 - ~g
Constr Contr. Number 'lq '5"1"1
Expiration Date (;: -20 - <tl:
Signature of Supervising Electrician
~~
Owners Name '~~ ~~
Address
City Phone
OIINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale. lease or rent.
Owners Signature:
DATE~-------------~L;{.-~~z?(;;---------
RECEIrI 11: I I. "':.W';/!l17
RECEIVED BY: ~~0~ _ )
. ',~::;"~.:,:.-' .... .:::. ....... ','
ELECTRICAL PERKIT APPLICATION
3. COMPLETE FEE SCHEDULE BELOV
A.
9 5/7-:;' 3.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq.ft. or less t--
Each additional 500
sq. ft or portion ~
thereof ' ...:l::.-
Each Manuf'd Home. or
Modular 'Owelling
Service or Feeder
.B.
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
C.
Items' Cost
Sum
$ 85.00
i!15.&
1
$ 15.00
~oo
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00:
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"OT less
201 amps to'400 amps
Over 401 to 600 amps
Over 600 amps or 1000
.:"" ~
D.
Branch Circui ts
""'--$ 40.00 ..,ta 6-0
$ 55.00
$ 80.00
volts see "B" above
New, Alteration or Extension Per Panel
"
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
'. ::.: .:~~.~.:...,.
$ 35.00
$ 2.00
not included)
$
$
$
$
/$5.tXJ
,.2.5
C;.:;~.r '
/Q'I'9IO
. f
40.00
40.00
20.00
36.00
..
.
,
Job. No.
q ~\l'L~
. SYSTEM DEVELOPMENT CHARGE
. WORKSHEET
NAME~A\'(\-\ ~~ l""dO ~1)\fO.f~
ADDRESS: \4 ~V> ~"')() (\ ~
LOCATION OF PROPOSED BUILDING SITE:
Street Address: q \1 \_1) XON'rlt
. Plat Name: ~r-\)\.l1OlJ - Tax Lot Number: \I().':~;~\\ ()\n.Lo..\4
1. DEVElPPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
PHONE: J21() . ()Sl3-
STATE:~ZIP:~
A. ~inolp.-FRmilv Dp.tR~hp.rl
\ Single Family home
. NO. OF UNITS l
Manufactured home not in a park
X $1,000 per unit = $ - \ N'f). cD,
, . ,
B. ~inCJIA-FRmilv AttR~hp.rl
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv -1oartment
NO. OF UNITS
X $692 per unit = $
D. f',ARnlJfRc!lJrAO Homp. Pluk
NO. OF UNITS
WILLAMALANE SDC
X $699 per 'unit =
$
$ \ (jfD.CO
,
@
2. SDC CREDIT (If applicable) SDC-payer must furnish proof of
Willamalane Credit approval. See SDC Credit Worl<sheet.
$
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
\ili~ ~,\\\QQ J ~)
Development SeNic&s Department Date
City of Springfield
$ \\~DO.cx)
I \Q I O\V
.. .
.
.
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(RESIDENTIAL)
Name or Company: TOM/LINDA NORED
Location: 917 PRESCOTT LN
Developement Type: R Building Size:
Job No., 951723
Lot Size:
1. STORM DRAINAGE
Impervious Sq Ft 1980 X 0.210 Per Sq Ft
2. SANITARY SEWER - CITY
Number Of PFUs 27 X 43.43 Per PFU =
(see Page 2)
3. TRANSPORTATION
Number Of Units
1 X
X Trip Rate
1. 010 X
X
Cost Per Trip
437.93
$442.31
Transportation Total
4. SANITARY SEWER - MWMC
Number Of PFUs
27
Per PFU +
18.750 +
MWMC Admin Fee
10.00
X
X
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: TROY
I
MCALLISTER
I
Date: 12/11/95
Page 1
Sq Ft
$415.80
$1,172.61
$442.31
=
$516.25
$62.60
$453.65
$2,484.37
$124.22
$2,608.59
{o( .~tl
.
Job Number, 951723
FIXTURE UNIT CALCULATION TABLE
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
3
o
o
o
o
1
o
o
o
1
o
1
o
3
o
3
o
.
Page 2
Unit
Equivalent
Fixture
Units
2
1
2
3
6
2
6
1
3
2
6
o
o
o
o
2
o
o
o
2
o
2
o
3
o
12
o
2
2
1
6
4
27
CREDIT CALCULATION TABLE, Based on assessed value. If improvements occured
after annexation date, credits are calculated separately.
(calculations are by $1000)
Year Annexed: 1960
Credit For Parcel Or Land Only If Applicable:
Improvement (if after annexation date) :
18,040
o
CREDIT TOTAL =
X
3.47
62.60
X
3.47
0.00
$62.60
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)
SPRINGFIELD
~-
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 951723
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work. 917 PRESCOTT LN
Assessors Map #: 17033411
Lot: 7 Block:
Tax Lot #: 06614
Subdivision: UPPERVIEW
OWner. TOM/LINDA NORED
Address: 1436 SEQUOIA
Phone #: 345-6789
City/State/Zip: SPRINGFIELD, OREGON 97477
Describe Work, S.F. RESIDENCE
NEW
Contractor
Const.
Contractor #
Expires
Phone
General:
CHRISTOPHER CON 0068993
56895 Besson Rd Bend OR 977070000
08/29/96
302-4936
QUAD AREA: 1RNW
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 2649
OFFICE USE --
LAND USE, 1111
ZONING CODE: LDR
# OF BDRMS, 3
RANGE, E
# OF BLDGS, 1
OCCY GROUP, R3
HEAT SOURCE: FE
INSUL PATH: P1
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 7,00 a.m. will be made the following work day.
REQUIRED INSPECTIONS ---
SITE - To be made after excavation but prior to setting forms.
FOOTING - After trenches are excavated.
FOUNDATION - After forms are erected but prior to concrete placement.
UNDERFLOOR PLUMBING - Prior to insulation or decking.
UNDERFLOOR MECHANICAL - Prior to insulation or decking.
POST AND BEAM - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
ROUGH PLUMBING - Prior to cover.
ROUGH MECHANICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
WATER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
SANITARY SEWER LINE - Prior to filling trench.
FRAMING - Prior to cover.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
DRYWALL - Prior to taping.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
CURBCUT - After forms are erected but prior to placement of concrete.
FINAL PLUMBING - When all plumbing work is complete.
FINAL MECHANICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When all electrical work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Lot Faces: W
Topography: 15
Lot Sq. Ft., 6209
Total Height: 24
Lot Coverage: 19 %
Solar Approved: Y
SPRINGFIELD
~-
/::tl'~
Job Number: 951723
Lot Type: INTERIOR
House
Garage
Item
Main
Garage
Total Value
Building Permit Fee
Surcharge/Admin
TOTAL FEE
N
5
Setbacks
S W
9 22
9 27
E
Page 2
= Value
111,445.00
9,673.00
121,118.00
482.50
38.61
(A)
521.11
BUILDING PERMIT ---
Square Feet x
1983
686
$/Square Feet
56.2
14.1
(B) 2,608,59
Systems Development Charge is due on all undeveloped properties within the City
limits and the Citys Urban Growth Boundry which are being improved.
Item
Residential Bath(s)
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
Surcharge/Admin
Sidewalk
Curb Cut
WILLAMALANE SDC
ELECTRICAL PERMIT
ADD'L PLAN REVIEW
--- SYSTEMS DEVELOPMENT CHARGE (SDC) ---
PLUMBING PERMIT ---
3
- - - MECHANICAL PERMIT - - -
3
--- MISCELLANEOUS PERMITS ---
TOTAL MISCELLANEOUS PERMITS
(Excluding Electrical)
unless otherwise noted
(E)
TOTAL AMOUNT DUll
(A, B, C, 0, and E combined)
Fee
192.50
192.50
15.41
(C)
207.91
6.00
4.50
9.00
3.00
22.50
10.00
1. 81
(D)
34.31
0.00
19.00
14.80
1,000.00
199.80
80.00
1,313.60
4,685.52
SPRINGFIELD
~~
Job Number: 951723
Page 3
--- 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.
Plan Check Fee: 313.63 Date Paid: 10/30/95 Receipt Number: 19437
Received By:
Plans Reviewed By: DON MOORE Date: 01/24/96
Building Site Reviewed By: LISA HOPPER
- -- ADDITIONAL COMMENTS ---
SOLAR APPROVED BY DON MOORE
PATH 1; SEPARATE ELECTRICAL PERMIT IS REQUIRED.
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 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 701.055 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
"r1;:p;j1~' '"d'~ oO,"'MHo.. S _ ,_ q c
~,.."'"".
Date
- -- VALIDATION
Date Paid:
cOI4n( 0
t). \() .ql 0
A-\o ~ s .c:sru
~\0O--J
Receipt Number:
Amount Received:
Received By: