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Permit Building 2002-11-19
.. Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1064 Darl'ene Ave ASSESSOR'S PARCEL NO.: 1703272201000 e- CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: 02-01141-01 ISSUED: 11/19/2002 APPLIED: 09/24/2002 EXPIRES: 05/19/2003 VALUE: $ 58,188,00 Spr TYPE OF Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Solar approved - 35 feet required Owner: David Kimelman Address: PO Box 70444 Eugene OR 97401 Contractor Type General Electrical Owner Phone Number: (541) 988-0888 I CONTRACfOR INFORMATION I Contractor Robert Eugene Laroe BUILDERS ELECTRIC INC David Kimelman Expiration Date Phone (541) 895-4776 12/10/2003 541-485-0922 (541) 988-0888 Overlay Dist: Q~v... Total: # Street Trees W \\-\t. \N Q\ Handicapped: Pl>>'.!Id Drive Rqd,: t.'j..'?\~t. r:o~\\'; Compact: Q\\v~' ~~t>.\.\. \S ,?t:.t'. ~\O ~ ~~~Cu~'\fg'f:\\-\ ~UQ~t.U . ~,es':lOU\\~'\':1 ~ \~~'n-\Q~\l~? n (\~ \'2> ~'O~ . \\\.~ ,e~,e~O~ c,e\ \~~'\' , . . . IPUBt,~'iM!'RQ~Nfs'l \...U\e~;6 'O':I:~~~W~I>-~ 9<j~\~s 'O'l ~N' ,- . ~\\0 r'C)~ ...~O" '\~"'" \.....e' O~e AC M r \ \ 'C- ~e",Slde~alk Type:. S 0\ \e~~ . O~ a po ~,~ r,e~' "r;o,'1(Y'" . 01<;),0 \e'.~ C'3-\~ No \0\\0 ,?>\,O~Do~nspou~raillS.....e ~o\\~ Connect roof drain to existing system if it i~!yliftio'!.,al~\l '3-'l 0'0'\0',. ~o" U\~.\\':I 'b~~,\. ~ \~ o\>-; '{oll;e ce~~,e~~~.'b'b~'2: \)\)9 ,,\~,~Q, \O,\.....e.c. ",'?l c... ~e' \e' \- ~Il~ Ce~ # of Buildings: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Constrnction # of Bedrooms: R-3 VN SETBACKS Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 20.00 10.00 13.00 68.00 84.00 Street Storm Sewer Available: Special Instruction: Notes: Lot Size: 10,680 Sq Ft 1st Floor: 780 Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: License 4296 BUILDING INFORMATION I # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: 2 26.00 Forced Air Gas Path I I DEVELOPMENT INFORMATION I REQUIRED PARKING 2 o I of 3 -lk.~~'~~----Y) :~~ , . :-,_,~ .... t "'.... . ~'-" , Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Desc ription Dwellings Type of Construction V Wood Frame Fee Description Residential Plan Check Dryer Vent Appliance Nt Listed Mechanical -Mechanical Issuance Fee-- Vent Fan SDC Administrative Fee Plan Review - Planning Fixture SDC Sanitary Improvement SDC Sanitary Reimbursement Building Permit + 7% State Surcharge + 8% Administrative Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Total Amount Engineering-Res Initial Review-Res Planning-Res Structural-Res . . CITY OF ~rKll'il"<l)<'LU Building/Combination Permit PERMIT NO: 02-01141-01 ISSUED: 11/19/2002 APPLIED: 09/2412002 EXPIRES: 05/19/2003 VALUE: $ 58,188.00 I Valuation Descriotion I $ Per Sq Ft $74.60 Square Footage 780.00 Total Value of Project Value $58,188.00 $58,188.00 Date Calculated 10/14/2002 Fees Paid I Amount Paid Date Receipt Number Received By $263.74 9/24102 10701 djb $6,00 10/17/02 1200200000000000092 djb $9.00 10/17/02 1200200000000000092 djb $10.00 10/17/02 1200200000000000092 djb $12.00 10/17/02 1200200000000000092 djb $23.33 10/17/02 1200200000000000092 djb $55.00 10/17/02 1200200000000000092 djb $98.00 10/17/02 1200200000000000092 djb $201.48 10/17/02 1200200000000000092 djb $265.08 10/17/02 1200200000000000092 djb $405,75 10/17/02 1200200000000000092 djb $5.67 11/19/02 1200200000000000263 djb $6.48 11/19/02 1200200000000000263 djb $18.00 11/19/02 1200200000000000263 djb $63.00 11/19/02 1200200000000000263 djb $1,442.53 I Plan Reviews I 10/14/2002 APP DPE 09/25/2002 Appr LH 10/03/2002 APP EMM 10/11/2002 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. I Reauired InsoectioosJ 1 Footing: After trenches are excavated. 2 Foundation: After forms are erected but prior to concrete placement. 3 Shear Wall Nailing: Before covering sheathing with finish materials. 4 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 5 Wall Insulation: Prior to cover. 6 Ceiling Insulation: Prior to cover. 2 of 3 . . CITY V!' M'ldNGFIELD Building/Combination Permit PERMIT NO: 02-01141-01 ISSUED: 11/19/2002 APPLIED: 09/24/2002 EXPIRES: 05/19/2003 VALUE: $ 58,188.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 7 Drywall: Prior to taping. 8 Epoxy Anchors: To be done by Certified Spcial Inspector. Provide Inspection results to City Building Inspector. 9 Final Building: After all required inspections have been requested and approved and the building is complete. 10 Rough Plumbing: Prior to cover and including required testing. II Final Plumbing: When all plumbing work is complete. 12 Rough Mechanical: Prior to Cover 13 Final Mechanical: Wben all mechanical work is complete. t4 Rough Electric: Prior to Cover IS Electric Service: Approval required prior to utility company energizing service, 16 Final Electric: When all electrical work is complete. 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 times during construction. Owner or Contractors Signature Date 3 of 3 .;'" .$.,<(';:.. ~2t~5,F,:~l~f?-EET ~~." V:~< t.i} ~l(,\~ ,t:j i)".". EL&C,AL PERMlT AP~LICATlqN, ;, f;,\,.'~f'>:' ~1' SPRINGFIELD OREGON 9747.7 ~ >: .,: ~~1 ,~?'1,'\:l-ll '" I(~'.'~"';\ '- 'r', :"~:;'"'," . .: '.'!M",:,;: ''''1..::. I,.. ~r~~ ~; !~,S.Pfq.I.9lfRs9!JE..:, ~#y72~~j-i'~...~";Wi '~,., 'm" .fl ~!KCi1}:joh ~b~'h~~:ijtD.(..g.;,'OIJ;/;;.tA'f. ~Q.'~f\;~:<~i.!' ~~~'~ . 'OF.FIC. E7i!i.726i37.,59<~..1i t~ ~ti(l w;~ ~. ('if.~ r;;.~ ~~ ~}'.' .t,.~?,.,,~f.~';'?""':':~"'" . ,.')!\"rs.t.~ '.:.";:..: t.. \\l~.0ru' t1'''''iiUHrv~ ~i..:;1 pr \;<"'~l~. 3>~,COMPL.ETE FEE SCHEQULEBELO\V. .J. .,t'I~"..: '>f:..: ';" . ~,~~\ {:11. ~dCATIQ.N OF:msTALCATION ~.~ ~~:?~~~~'{~!.~:W !>''- ;c'~~:{li::i;0.,~~l.':"'" "".~:?"';';I:'\" {.;,:'::. ".:l~: ;:ill~, H' , (9 (p"tf! l'J f')(1 yl;p'K P ~" '''''''''''' ~~'Nh;,~'ifcs;denl;ill:Singf~~r""'I':" ..' . ,,'. :<" . '<i,".' .'\;' Mulli-Famil)' per dwelling IInit. .. ...'r. S~~ee Included: ;~,,: ~\o'" IIellls Cost Sun{: \'fI.0 \0 use . ;':\1' '~$M"':.'S\: 'fI.?J.r::, \'l;.f\O ~'.\,' 11')""\1 JOB DESCRIPTION, b ~ :o-^\\\eoee,\\C 1000 s. r less $IOG.OO " ~(VJ;;, 5 /] , ,,',.. ,Q iw,r-i@, . ~ If c... c., e.,-,^ \ " ' ^,s\,e Ea, ddili al 500 f:it'J.~I::P~ . e'" ,e~ L./ ' . ~'. :'\:h~~it~ Q'o~ (\0\ 14/ ortio .:\ ::' ~k~i Permils are ion.transferable and,'i:,~~ ooe' ,. eof $ 19.00 ~ ~%i~1,'~ if work is u9~;slarted withiulg(l'.~,i~\)5~~. ,. anurd Home or , ~;;~ of issuance Rpifwork is suspeRi~~1Ill'l 1.-0"'"'''' odular Dwelling t . ': ,;.':'.,' r~~~f,' ] 80 days. ~\j:~~ ""e Service or Feeder '..'.' .'..~..;,'.,., ':~. $ 50.00 .' ~-~~ I"~" ~ i~~:'~~J~' ,~,\!tt;~,~. \e S,Q: h . . 1"1 " "::i~'::':~ 2. CONTAACrOR INSTALLA Tl5N O~~ B. Sel',,;ces or Feeders ....,,..... ,.,: ~.. Jr:~:'\:?'!.~~ t~!e..~;': {~r.)\\\ '." "t.. > ' ., .," .... ~';~.~:!S (.'?,'h/'A . ....., . . Installation, Altcra.tI?ns;or "I :',.,." L.' \~~~;\7.( Electrical'(jJ~lractor'lPu i Icier<.:::. E 1ec....\-y.,.C . Relocation: '.( \ .....,. . :. , '. . ThO}'" :b~,1"/*!i~ ..~-;~ , ~'!-;..i:.',,;,', . ',,'.:\,.> '. '.' ;,'Mt:,,: 1i'0!!t;., 1~'iJJi:t.J' ~~~l\ ."''.:/ ~{,;". ~ 1':' ' .... . I ~ ~3' .'_ e~ii$, Address~O<"1 ~1/S0(\"':";;~r:'L. 200 "1111'S or less.'~:>1\'<i'i...;; '" '$ 63.00 ~ t.:~~t~{ . }~\~ ~Jk?# . ,tif.{Y~>1~~r~~;it I 201 <1l1lpS to 4~~ ~~ps\.}~~~,~::~' . ,~t :;-::$ .?5.00 ~ I~. ~~ CIty r-::l}1,~l7le'5'..l,!,.hone 4g3",.Y~/~~;"":''''", 401 "1111'S to600:a~!p,~i;.7Ji~'~~r,. ~~1~5:(}0 ~ y~~ '-.'V~....~.~ m...,~yt~~ Af(~r~:'''' ... J'J~t, ;:.- .. ...,_"",>~:01;_ ...';-..,........,..1:0;. l' ..." fl' t ~1~:1 COr15tt7-~,_' ." '; g'I~:,~ 4f~~.i\'i1~~f>. ;.~4~4'hj.~Ol <1l1lpS t?~_~oqO,,~t~.lJ~,Si:.:t'~:,.l.~,.. ': I..~':\. $Ifi~;OO.~~ :r<.,~ ... . -'Jf....::. N "b' ,-.n,,~,ii. ~..,~'fO' 1000"'s/' 1"~.,,,.t..,\.J. '~..r-""$375' , ~8,~~ ~'. f" ,",..;Llc.ense ",~-!ir '''':'';J~:' .~..\ d~~~,,v~!:. k,'jHPP,,JJIi'~;.,*.~'i,,)1;~l\": t,,~,,~;,:: ,.,.00.. <.,d f~~~'. .~ ".- 'j""~Ip.t,~$i~~~~~;,,_\- :1~'\:.l}lc;..c~n.n~c"~,91)1,Yi~~~~,,~;" '_~:/.~~~r\!~ ~ ,i:...~:$'~~"~~O.~9.~. fr,W Expirat~o~ Dat~..-t: ;-~. ,'t~ ~ 'J.f~ltYf,~fi~~I,~ . '}~f~Nf~f4~~1t:~f1-:~,L\~l~~~~~~S~~~'~t'.~?~~~~.!:ts~'~:~r',',~'I~"..:.!t:): '~; "'fti'''''''''H "';;pH:t.{:'!'~I~ l".:.'-~' ..~~,"r~'~,-'~~J:t:"'~I.lffi"".:,ltt.~t" ,-l:i"'l":::j~'.' '. ~~S-"'~ .~. ~',O; "'F~'~~I-'d'''"' ..-,I;....:\'~,.\ ,"'~,.."~t.~\t"tv,.'.,;'"',("" ' .....,. ~ tIt) ~"'t':',~~:-';f;" l1/!\ ..~; !."t:~IM~"-"" -'-":~~"'':lK(JV'''''''''''~'~'~f\4/'''~li cmporary. CrvICCSOT' ce el'S:;.:1}~' ""';:~'~I~>>..." 'J;'I.J.~~.!-<i't.~'. ',:. . :.;'~J 47:>,':"11;.~!1~~~it ''Y.'~' p! . . H~~~" ,,( ~ -',' , ~ ~h_ '..",Ii;'!,., ~\.,~~~",1:'l.(''(~I~'! ',;r:lir.. ".':-;r~' .~'''~_'".'.:,''-'' ....", '\~'; ',' ,,'SJi~'~~'i:~~\~ilJ:"'\';V,'\~ :'" "':j'~ \~, \;JJ~~~ ~;'GQn!I.1N,u~ge~,'t.,.<. . .,' "~!~' 1. ~'-,h:~:,::: .,~1-!t:,l~' :;1~I~s;t_:~!'a.~lo.n;'Al.t.~~.1!tJO~..ot:",:Rcloc~t.~on,~:1:';'",:\.'~1> ~'~~:?'~'."-1~i ' 1,~^,J~... ~ .. \ ~ .~f.l!1~J:i~~~;fi'ilcrW3;~tI,""'.:irff.i}g~.~. ~:. rct':4Ii\'4J"'"~-_: rl~:tJM!-?\iH'\:'4.'~~f~~'wt';n"~\S:l.\~~"'~'.::.{t~,i'fl:-i;-t;~,t, :-:'!.;.i...~" .~' I .1'. "~::I.r1t "l'-~.i/\l\ '~:~ ;...~. ..' ~t\';:l~: ..~". {)":'1.t'.!.'J,'I,:l."'O'- '.-~'A~~~l?l~;:r;~'.::,:.o:''i,,~ H(t~0j.kl..\~:r'~:i;i~1.~'k..,~-fl~:\.t',j;,~yt\'\t'Ji.i:I~'l"";'~:I,~~.t..'4' ','~\_P!' . "tr't ",;,"-~'" ;.Yl.t(~4~~.~liI~'" '. ~xpir(Jtion Date J - 1 - ''fS;'~~F~t~;:i~a.:~-(,;~,.~. .;,~r:~>;(:';'2.o0:liI)p~'9.r,:1~~)~I~I;:~~:~.:,:.~~,;:~,J :"~ .' ~\Vr;~'~:::~}5q.OO\ ".~;~' ~' . ...~l.,.y.~ " ,;l.i.'!' ,. .",.4; 1<t. '" :'~ ..,'.1<'201' '., .' . ., 400 " ,~- "\','H',..:.... I, :\.~ 'l!1 $6 . . l~~~"",ii...1o. ~t ';l\.'l:s:.\I.:fl)O-~_ . " ~~~1t:... ,.~~;.;. '>:-;:: ~ ..amps to" amps. ..;;...-'~~ ':,!.....:-. ".'''''',1,'' 9,00, '..' riJt:r::~': i,tl:rSi'gl;~'''urc,of IIJJcl'"ising Electrician - ,.: "", Ovcr 401 to'606 ainpst~:; ~(:, ~ ":-?$100.00- ':'~.ri"~"'it.. ;-;tf l~"'\"p-"''j' 4. 0 '00'( ,,- ~'I ~.. "'- ~1'''~''lrf:~ " t 1I..:h.~-it. .,..'~t?;r;:tn vcr 6 amps or 1000 vo ts see :' 7,:tt.,' "If "'J ~r~fl{l''':,l!' ~. 'Aw,.\rjj.-:!~~ii~...~~t>l/! "B" nbo\'c " 4;- '. "~~,t;,;~t...~~'l :'l.: : ~. , ~~:t~-r ~ .')3f'~2.';fi.:5/~4f;?~" "~Af~.I\ .." I ~~~ .,; '.~;!:',,{I:. 1." \ ~'~gt1it:.. i:' ~ . . T \. ,,~ ,.,r J ('" ....\' I'P' . .'\. V . \ Iii'~' . -\!'" . - . -. - - -." G'I' i\ ' 'J ,.1 .;." ','- "i ~~:'i>:~~~f,4':,!~\f~~~~,&'~~s:r~~:4~~~1:~:'-,'(I'"',,,:~~ ,) D. nranch Circ.~~\.. ~O . 'H,'~~; (' ,.,", i: .~;i;i:/..~~O'i"lie..,~~'a.II!~'~1ji)()\~~l \:0'\''';:'" " r'Y1 el. "^Q ".., New\f{\!ernlJ.wi\1~ .tension Per Pallel' .' . ,.' -. ,-'""ll:' \'lit~;1!'.<- ~"<. .i""','\<.,..- "" . ." , I I r, ,,!?\'(' G'i'~' c.~ .".. \f-:tt3f ':(.ff(#I;i_~~!'t}'()"'?1:-:':,,(,...j~i;:~~~;lJ'(l.~~t~'I";;i;'V'1 1:> .....\)~~~\lS~,'\l'" ...\~\)' '. . ." , i.PIf(~~~"'~~lfMd.res~~f'l .,?'-ry'~'~~:I,C;'), .:"]', l ",... t;~'r ~~fJ ~\' _ $4,3,00_ ~~::,;,~1'i' \~~\Yr,~\t{j\'~;.1:(~t~'.ex,..r;,:.,~.; "~,, :., ~\IV". ~~" ~\)~ : 10 ' . - ~\o..'. '. l::2~y;: '~~\\c:it)}Spr-.' (1oy("flr~hOli.e':' ~'\) I.s'l-.~'\li. 'M-~\) ~ \J'\l>lf.1~dditional Circuit or with Se"Yi,5'~~~'\ ~ 0- :':-,:';;.;'i; ~~pi;';V:4f;'!: '-!."<;'~",., -. :.:)f'. W ~,.'(-.\)'\li. ~,,~\) ~~~ederPermil o.~\\~~).qj~~ '.~;~';". J~i{)Wt'ERI~STALLATlON"'r" \>.\) ~~~ ~~. 'l>~\e O\eY>",\e b'/:'\:J '0'\ '.': ":, .;~t~T!'e\p_stall~!ip.n is'beip!: made on, ,,\J ~ \'0\).:. 1\lisccllaneous (8cn'icc/fCSd'c~'t(,'i"!g!'.'il(le~l)tl \,s,e'i> 13 , ;;.'; ;~Vi>rop,~,rtY 1 ,P'~~ wl)ichj~ npt int~nded \>.~ -Each installatj8'e~ 130'0 ;:,13\ t<,\O~~e ",<:<0"". O{;\ : ;\,.;; .;~0:!.9: s~le',.',l~?~.e ~fFe~\'3'v.::' '.~: 'f' : Pump or i\,~g~t!re)'V~ ~,<:<O t<,\\0~~c-C. 0 "!$W,Q.9L . ~".:'~" l~'t'i~~:,A"\','!i,~'~' -";,,;::,:.; . H':, Sigu/Outlinel!'ightinl ~'U~ O'V~ ,,<:<0,$50'00 , I) \,It: . ':',;, ' .' " ',;.(u,., ,\. -:'\" ~\: -0... t'\.C\j :(\0 ~-...~......"). _ , : ,., :i:p.O)nt~..s'~ignalure,:.~'~:". .:; . Li1\li'ed,!';n,rgY/Res~'" ~iP ~O~ j~~1$Z,,()0_ ":~>;t:;;''''f't~~~,~Y~'i ~~'::'1t-it~, ~-:~ ;.~i~ti;.,I.(,.. '~~..' Limj~'d~~le}~j'ledW1JnO'0100\'~ O~ ~f)!$~5,OO ....".,'i.1iS:< '1\,::"::,..,, yI"fi:\ ,.,....,' '~'~!(-.'?J~'~(}'e{;\'~0<::$r;::,;"~- ,:::.:~.:': "-';~:':' . ,:...,~-';....:L".: ..,'.. 1\1" E~I.Olr.'<~n....0>>I'I^00 "OF.""~ 8'-1111+8 I ,,"-.- -{1:;::L.1"T, ....~\:\(: \:;::2.-,*},~ <1:-:'\;,',,"' .:~,;. ,..~..( Immum ec NC,-\.el"nll nSllcCuon ,eelS -t:'\, IIl'cHll'ges '", r k\,~. '~':g.r-(+-f.'\).-;;:'~, 'Jr, '" ","!,;,>. _!, '\"'t'\.('t..'V',\.~'!J "to\" ..\-:; "~"""'ifi,~~l"/!"'()'~"~,~",:~,,,v"(" ,'.: I \}~-.;~\.. ~, ~e\. I """" '~~',"'..,\~J "'..-,:~ . :""; ., SUBTOTALOFCM"v""Er,0'0 <Q " i,;J'.....} I u,z. ,l." ,.. ,',;. , 1."t. ':{CI V 0 . ...f" ..1'( ",:"" ,,',\]:",. ":"" :(. ('\: ~ :-"~ ...~ ,;) "".''i.. .' .f.-", '", .,;;-i;,.: 70/0 StateSurch:lrgc ,-67 ':.~\':~:' ~~':f;:~?" ~~l' . I. ,~' ',.il'. ":,' . ~": '. ..t~..,,; S% Administrali\'c Fce i., Y' ~ .. ~ ,'f .. , .....\. ~.. " _. ..":'. .~\~ t;,:: \' ,.' . '~ ': :I'~,!' I':;~, '. :...:': . LEGAL DESCRIPTION 0 170~ 27Z1 1000 ,\., , .... TOTAL q~~ . t3 ; "