HomeMy WebLinkAboutPermit Building 2004-3-3
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3521 FRANKLIN BLVD
ASSESSOR'S PARCEL NO.: 1703343200200
Eugene
PROJECT DESCRIPTION: Lot lighting poles.
Owner: MOE SIG & KAY TR
Address: PO BOX 847 SPRINGFIELD OR 97477
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00181
ISSUED: 03/03/2004
APPLIED: 02/17/2004
EXPIRES: 09/03/2004
VALUE: $ 500.00
TYPE OF WORK: Office
TYPE OF USE:
Alteration
Commercial
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.1 CONTRACTOR INFORMATION I
Contractor Type
General
Engineer
Contractor
OWNER
K*A ENGINEERING
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
U-2
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
VN
License
Expiration Date Phone
541-684-9399
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Impervious Surface Area:
SETBACKS
I DEVELOPMENT INFORMATION I
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Frontyard Sethack:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Sethacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
~
~,
NOTICE:
THIS PERMllSHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Pa2e 1 of3
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
DownspoutslOrains:
ATTEr" l'iul'l:iJregO!l,aW re4u1rEi'; Y'-'''.:'''
follow rules adopted by the Oregon Utility .
Notification Center. Those rules are set fortt.
in OAR 952-001-0010 through OAR 952-001
0090. You may obtain copies of the rules b\
calling the center. (Note: the tele.~ho~e
number for the Oregon Utility Notification
Center is 1-800-332-2344).
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. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00I8l
ISSUED: 03/03/2004
APPLIED: 02/17/2004
EXPIRES: 09/03/2004
VALUE: $ 500.00
Status
Issued
';t.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuatioo Descriotion I
Estimate
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
500.00
Value
Date Calculated
Description
Tvpe of Construction
Total Value of Project
$500.00
$500.00
02/1 7/2004
Fppo, p"W
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Fee Description
Plan Review CommlIndlPublic
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Foundation Permit
Amount Paid
$29.25
$9.10
$6.37
$43.00
$3.00
$45.00
Date Paid
2/17/04
3/3104
3/3/04
3/3/04
3/3/04
3/3/04
Receipt Number
2200400000000000145
1200400000000000269
1200400000000000269
1200400000000000269
1200400000000000269
1200400000000000269
Total Amount Paid
$135.72
I Plan Reviews I
Initial Review 02/17/2004 02/17/2004 APP RJB
Planninl! Review 02/17/2004 02/26/2004 APP EMM Copy to DRC2002-08253
Structural Review 02/17/2004 02/1912004 APP JMP
SUB Review 02/17/2004 02/23/2004 APP JF
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.
"1
1 Foundation: After forms are erected but prior to concrete placement.
2 Rough Electric: Prior to Cover
3 Final Electric: When aU electrical work is complete.
Pa2e 2 of3
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. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00181
ISSUED: 03/03/2004
APPLIED: 02/17/2004
EXPIRES: 09/03/2004
VALUE: $ 500.00
Status
Issued
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 wllI 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 th\, permit card is located at the front of the property, and the approved set of plans will remain on the site at all
tim~::~ ? .7<)4
Owner or Contractors Signature
Date
Pa2e30f3
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (5~tF~~u~RssUbmittedhasthefolloWlng
ELECTRICAL PERMIT APPLICATION :3 _ ) -61:. . ':'."~:,,o:~b H009S not require specific lend use
City Job Number Co ~ 1.,(:O(\- -00 \9 I Date u:..:.., ~ 0 ~,,,~\UVQI, ~ .
~..,....,......., ",~~~'~';;""".;:J:nnf,:=:r.r..,~-::;,t~<;':,~~,....,~.., "!i.(~''',#'~r':(.~', "',~""""'.".."'""""~.=.,.._ ..~.o,n.:"c",,,,,,,=_..3:':.*-o~_ '" ..., ,:~~~
1. ilEOCATIO/ll;OFdNSTALI:fA110NI'",;'.'R"';>j, 3. *'COMPL:ETE,PEE,S€lIEDffLt!, DnLuw,~,;",.:t';~:..,,\, r.""''''''.'~
lk-~~-'04Ii.i('\o__~.:.o,.n;....,;~.J'.-,..... t.._.....:.:;.;.~~..~~' ___..I"[:,RJi,"'~'~,, . ~"'''-"'~~hiijf;ij{~1."",~~,.::.."A''io.li.\L~~,'Jj.'1;i1' -'."-' ~""-"'.~..~~~ ,_~,,~l.W.lr.:!~;,
30. / fY /l;JkL %1 t/d "".,,',,:00 Slgneture '
A. ~~?~:~fi~~nii~~?m11~Y5~i~~i~mili~~~~~illlig~tt~~it:::~::
~~.. ,,~_~ '.'"~''' ",:::,",.,_...,.,",.... _'.4,1,,-- ,.-. ~"."~""-"~' -. .,', C'" "-"..,v..1Il;~,toW;t.~
LEGAL DESCRIPTION
/7.0J.'3d-s:J.
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JOB DESCRIPTION
Lo, L..l<; \\;.Ttt-lC.. \:"Ot.-e-<;.
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 <lays.
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:'lec::=~;~~;l~~Q;;J
Address /: (). IJO.)( 2. 'ILl
City E ~cJ-.l..- Phone (PII) tft- JYVr
Expiration Date
t./ 711'1 S
(tJ ~o V
Supervisor License Number
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each ManufacCd Home or
Modular Dwelling Service or
Feeder
$106.00
$ 19.00
$50.00
B. tf,s'e:~k~i;~r1Fe~a~ts'~~.fnitaliitiO~;j\I'ft;atf6ri~"O-;';R~io'C1i.tiori:::;1
'W~,I,",.,,,,,,,.,....!w.,:...:.;...,.... ....r.....'''''... ~.,-,-"~,.I."','.-':>'7m~~~.~~:,,-_....!',~ ~1'~~
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpslV olrs
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
c. t:,T"1rr;"piif:ryiS'ef.\;k~s~r;F:e'rder~"{,:,fir/~:~:fr~~~',~~,~,~~:j;;.<<;tt.~,~: ~:j
l.i:l't;tI\;;.r;.....~~:t,~~~:...Ju,~:w~~- " \"'lE,$.;~;h~..:.,..;...;:..~
Installation, Alteration or Relocation
~Ln.C 200 Amps or less $ 50.00
Constr. Contr. Number I ~15Ill::.N/.1I0N:Uregon law requi1ep~iiIjl.<lb 400 Amps $ 69.00
0- fp)lpw);u~dopted by the OrEl(j!)lI1l.\J,U~\'il600 Amps $100.00
Expiration Date 'If -N'oii'f~aA Center. Those rUles~re I;f rth 1000 v I "B" b
. . ~:J:.. 10 ps or 0 ts see a ave.
. .. In OAR 952-001-0010 through g _' '~a ; ?tJiK'.' ..~.,,- ';'. ,.'''' il"",' .:~ '. ""~ ,,;,\".1
SIgnature of SupervlSlng 9!Rs!ro~"I'ou may obtain copies of tll JfJ\ID; ~ .' .~. .,,-, '" ..il;,.. ., i'l\'~"..,'it; .; ;," ,,,,,':'1
'--ft" -t- c.z:::.
callin~.the center. (Note: the tM!lplWBetion or Extension Per Panel
number for the Oregon Utility 1'Gll1litinlilMl I
Center is 1-800-332-234il1):h Additional Circuit orwith
Service or Feeder Permit
$ 43.00
$ 3.00
L.f3
. a:J
.~..,.
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited EnergylResidential $ 25.00
NOlIe,:.
The install tion is beinll.,ma(ie on property I own which Limited Energy/Commerclal $ 45.00
. 't dd' "I'I'Il-"F.l"-LTtSHA
IS not m e e lor Auet ease or,rcn II EXPIRE IF Thlfnil"um Electric Permit Inspection Fee is $45.00 + Surcharges
IIOR/ZED UNDER THIS Vf9.-Rr '-1-''''- ., "~,.",, < ," .. ,. .;t.' . ..,
Signature:C~M 'ENCED OR PERMIT 4Slfsrmr.OTAi!:OFtABOVEi,.' ~: '\i,'i-ii.: tt'! U
/.'IN I~O DAY PER,ISODA.BANDONED FOR~'3I'~-t!." t."",", ,::;;:.; '~d~l;l;<:..,..:\i"~m\
///, 7% State Surcharge
10% Admmistrative Fee
Owners Name A. ~SI
Address I!<J. tf0Y 1. '-17
City y{jd
7:JI7fP
Phone
OVVNERINSTALLATI0N
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Inspection Request: 726-3769
E. ~~I~;f[~n~9N~i~i6:I~~B~~!I~f~~~~;~jt~~Kc~;l!im~ill~
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TOTAL
'~ ,'t"L.
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53, ~L...
Shared Dlive(T:)IBuilding FonnslElectricnl Permit Application 1-03.doc
225 Fifth Street'"
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-00I81
COM2004-00181
COM2004-00181
COM2004-00I81
COM2004-0018I
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Receipt #: 1200400000000000269
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Foundation Permit
Payments:
Type of Payment Paid By
Check MOE PROPERTIES
Received By
dIm
t.:beck Number
Batch Number Authorization Number
8561
'"
City of Springfield Official Receipt'
Development Services Department -
Public Works Department
Date: 03/03/2004
Il:S2:37AM
Amount Paid'
Item Total:
43.00
3.00
6.37
9.10
45.00
$106.47
How Received
Amount Paid
In Person
Payment Total:
$106.47
$106.47 '
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