HomeMy WebLinkAboutPermit Building 1991-12-16
..,.
<<
{~ESIDENTIAL
PERMIT APPLICATION
.; "
Inspections: 726.3769
Office: 726.3759
.
SPRINGFIELD
LOCATION OF PROPOSED WORK: 0;;;-
ASSESSORS MAP' N/A 'IDR~iJ t~
LOT: C] BLOCK' --' '?
v
OWNER'
ADDRESS'
CITY'
Lochaven Partners
1199 N. Terry St.
Eugene
DESCRIBE WORK' Mobile Home set UD
NEW X REMODEL ADDITION
CONTRACTOR'S NAME
Ernie & Son's
GENERA' .
STATE:
OR
.
ql~
JOB NUMBER
225 Fifth Streel
Springfield, Oregon 97477
A(/~.
, TAX LOT:
SUBDIVISION'
N/A ()~
Lochaven
PHONE:
688-9123
'*
ZIP' 97402
.- Concrete strinllers - Accessorv Value $ t7lh-
DEMOLlSH- OTHER M. H. Value $ l~ >. i\
I..~~
ADDRESS
CON ST.
. CONTRACTOR .
41497
EXPIRES
2f2/92
PHONE
484-650';
689-7762
484-6505
144-]1500
87922 LaPorte Dr.. EU2.
PLUMBING: Harrison Construction 1441 N. Hwv. 99 20-236PB
MECHANICAl' Ernie & Son's 87922 LaPorte Dr.. EUll. 411,97
ELECTRICAl' Heritalle Electric 855 \~. 24th '. 20-280C/63137
2/2/92
\~~J\O - OFFICE USE -
QUAD AREA: LAND USE: '\Sb FLOOD PLAIN'
. OF BLDGS: . OF UNITS' ,- ZONING CODE: ~Q~
OCCY GROUP: VS CONSTR. TYP~' . OF BDRMS'
. OF STORIES' tJ HEAT SOURCE: ~r.7 SECONDARY HEAl'
WATER HEATER: RANG~' pj SQUARE FOOTAGE:
~
To request an Inspection, you must' cafl 726.3769, This Is a 24 hour recording. Alllnspecllons requested before 7:00 a,m. will be
made the same working day, Inspections requesled afler 7:00 a.m. wlfl be made the foflowlng work day,
REQUIRED INSPECTIONS
D Temporary Electric
D SlIe Ins pee lion - To be made
after excavation, but prior to
setting forms.
rt9 Underslab Plumbln lectrlcall
~ Mechanical - PrJ to cover.
..-4 Footing - After trenches are
l::{:::J excavated.
D Masonry - Steel location, bond
beams, grouting.
D Foundation - After forms are
erected but, prior to concrete
placemen t.
D Underground Plumbing - Prior
to filling trench.
D Underfloor Plumbing/Mechanical
- Prior to Insulation or decking.
D Post and Beam - Prior to floor
Insulation or decking.
D Floor Insulation - Prior to
decking,
.-/) Sanitary Sewer - Prior to filling
~ trench.
. rI) Storm Sewer _ Prior to filling
EfJ trench.
,
~Waler Line - Prior to filling
~ trench.
D Roug~ Plumbing -~rlort;
cover. . ~ . ,
D Rough Mechanical - Prior to
cover. .
D Rough Electrical - Prior to
cover.
~
D Electrlca' Service - Must be
approved 10 obtain permanent
electrical power.
D Fireplace - Prior to facing
materials and framing Insp.
D Framing - Prior to cover.
D Wail/Ceiling Insulation - Prior to
cover.
D Drywall - Prior to taping.
D Wood Stove - After Installallon.
D Insett - After fireplace approval
and Installallon of unit.
D Curbcul & Approach - After
forms are erected but prior to
placement of concrete.
~Idewalk &'Drlveway - After
LE:: ~xcavatlon Is complete, forms
.and sub.base material In place,
D Fence - When completed.
D Streel Trees"": When all required
trees are planted. ...:
,'1 J'
D Final Plumbing - When all
. plumbing work Is complete,
D Final Electrical - When all
electrical work Is complete.'
D Final Mechanical - When all
mechanical work Is complete.
D Final Building - When all
required Inspections have been
approved and building Is
completed.
D Other
MOBILE HOME INSPECTIONS
rn. ocklng and .Set.U~ - When all
,/ ulocklng Is complele.
rlumb,ng Connections - When
home has been connecled to
water and sewer. .
rElectrlcal Connection - When
blocking, set.up, and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
~Inal - Alter all required
, n"pectlon" are approved and
porches, skIrting, decks, and
venllng have been Installed.
..oil
Setbacks
I P.L HSE GAR Accl
IN I
S -~
W
IE " ; I (
Lot faces
,
.
Lot Type
Lot sq. fig.
Interior
Lot coverage
Corner
Topography
Total height
.. '
Panhandle
Cul-de-sac
BUILDING PERMIT
ITEM sa. FT,
X $/SO, FT. a VALUE'K
IENif'....J
Main
Garage
Carport
(-.. .
. ".
IS THE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
, .
.
.If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
.J
APPROVED'
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 01 Springfield. Including the
Development Code, regulating the construction and use or
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordlna.nces.
1
1!1!J{l Plan Check Fee'
<9~~ Date Paid:
Totar Value'
.fD Receipt Number'
Building Permit Fee
I.~ Received By:
State Surcharge
Total Fee (A) ?3n, Plans Reviewed By Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B) '3~' . 7,if!,
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s) N'
Sanitary Sewer
FT.
~~
AS
I~'S.
Water
FT.
FT.
Storm Sewer
Mobile Home
Plumbing Permit
l)t:::,,OO
';?) ,'1'::>
'l 't) , 'IS
State Surcharge
Total Charge
(e)
MECHANICAL PERMIT
Furnace
ExhaUl't Hood
Vent Fan
N'
Wood StovellnserllFlreprace Unit
Dryrjr Vent
Mechanical Per:nlt
Issuance
State Surcharge
Total Permit
(D)
0'
MISCEI.LANEOUS PERMITS
Mobile Hume
~q.~~
i5,~
f),Cd
\q. -
Stale Issuance
Stale Surcharge
Sldewal< \_()() fI
Curbcut
fI
Demolition
State Surch2rge
Total Mlscel,anec"s Permits (E)
TOTAL AMOUNT OUE (excluding electrical)
(A, B, Co 0, and E Combined)
:?~/. 76
~
Systems Development Charge Is due on all undeveloped
properties within the City limits which are, being Improved.
, ADDITIONAL COMMENTS
By signature, I state and agree, that I have carefully examlnccJ
the completed application and do hereby certify that all
Information hereon Is true and correct, and I further certify
that any and all work perlormed shall be done In accordance
with the Ordinances or 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 Building Safety Division.
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, thai 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 constru~t1o~. A_^
Signature ~ 4.A.-~A.. ;1j'.A..tf d. . ~ l'~
/2., de, I
Date
I
VALIDATION:
RECEIPT NUMBER 7 ':? Z "7
DATE PAID 12-/,C.-~/ .
AMOUNT RECEIVED~&2?>. ?/
. RECEIVED BY ~~~~.
,,/
MetroRolitan
Wastewater
Managernent
Commission.
.
.
:: .:.....: ~ ~ . :.'. ..': .': ~ : ::
:.:~ ~~"'.::-f~';:'~ C:'.::.'::'~:'
~:f.i i:l~..~.-:~;!:~t ~'! =.;.::!!:":,';,:
~:::::' ;::.: 7,-~:' -.;',f': ~c. =r:':::".:.~
:',': ~.'!:..-~;':';',t': .~:~.: :::'::-,
(~,' ,! "~c;~ :)~.;~~~~ ~ ::,'~~~,~:':~:1,_ ~~:: ::_~: .!. ~~ ~ ~
l.~':'. '\':u::i,.;-::.:; t-.t t.,' :.~~ "r:::.:::'.f
rlF7H A;..;O A SiP.EE"iS - ~~~,::<GF:~LD CITY !-;':-.l..L - ,SFR:;..;Gr::ELD, Cr:,EGC!J Si.:.77 i~LEt':-:C:,= i':C.:::) 7.:7.':::i
!'.i,'KC CO!\'NECTION CHARGE
Building Address: 5~S JtJ<Y1\.O..V~ A-vVrtM..L
Refe~.e;9,umbe:: / '70 ~ 2.r'/ (3 . Tax Lot Number: 02000
O~ner: D\,AlCU), r (\ . i_ ~f)A.fXl1K~.:\
Address: \\C\C\ '\\ '\~;m tL- Phone Number: lQ~<6-q\23
City: fA ')r~o Jl,L, State: CC)~ 1l~BY\ Zip: q f\4rY2---
~ Residential Fee ($222.00)
$r0Q~~
Commercial Fee (nev non-residential development/
remodel)
Total fixture unit charge (see reverse of this form) $
SUBTOTAL
$
<$ ~'l ,~:s >
Credit Due (see reverse of this form)
TOTAL KVY.C CHARGE
s \0\4.55
Receipt Number: ~~2?
Received By: ~.
Building Job Number: q I () '7/ &.
Date Received: .12.-g-A/
1
.
.
I
"
Fi:<ture Unit Calcu1atio:1 Table: ::cc,~~r cr r,e'.' fi:.:tures r,ulliplied by t:nit
equivalents. "OTS: For re::-.odels, calC'J!3te c'!11y the ,:ET acdi tional fi:n~:res.
Fb:ture Type
of Unit
F xtures Squivale!1ts
Fixlure
L'ni ts
3a t h tub. . . . . . . . . . . . . . . , . . . . . . . . , , , . , , . , , . .
Drinking fountain.......,..",...,..,...,.
Floor drain.............,...."....".....
Interceptors for grease/oil/solies/etc..,.
Interceptors for sand/auto .ash/e:c..,.".
Laundry tub/clothes vasher." ,.""....",
Clothes ~asher (3 or more)..., ,..,..,.,..,
Kobile home park trap (1 par M,~.)..,...,.
Receptor for refrig/.ater static~/etc.. .,.
Receptor for COCL.er sir.k/dish~s~=.';tc.....
Sho.er, single stall.........,.""..,.,..
Shover, gang (per head)......, ,.....,.,..,
Sink, bar, com~.ercial.....................
Sink, commercial/industrial/etc.....,.,...
Urnial, stall/,..all............,.......,...
Vash basin/lavatory, si~gle.....""......
Vater closet, public installatio~"....".
Vater closet, private.., ..." ,.....,.,....
Kiscellaneous: ",....".
2
1
2
3
6
, ,2
6
6
1
o
-'
2
1
2
3
2
1
6-
4
..........
..........
Total Units:
Total fixture units
x 513.25 each _ Total Charge: $
Credit Calculation Table: 3ased on total ,'alue of property at time of permit
application.
Year ']..nr.e:.:~d
to t~e citv
Credit per $1,000
2!.ssessed val~e
19104-
1979
1980
1981
1982
1983
1964
1985
19C6
1987
1968
1969
1990
$2.55
$2.64'
$2.53
$2.41
$2.19
$2.04
, $1. 69
$1. 35
$1.15
$0.92
$0.59
$0.23
,
. .
Rate
x s IO)"3'LC
r.ssessed Vali.;e
= s
Credit
Total Credit
./'
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
LO~EeN~ I~~J\h ! ~Jl)
I~Gfi~~~,~N OtJCX;6
m~ES~~J)crJdiL
L - 1 J
Permits are non-transfe~le and expire
if work is not started within 180 days
of issuance or if work is suspended for
-180 days.
1.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Heritaae Elect
Address 855 West 24th Avenue
City
Euoene
Phone 344-1500
Supervisor License Number 9455
Expiration Date
10/1/
Constr Contr. Number 63137
Expiration Date
12/27/
Signature of Supervising Electrician
.Au u) ~ <jtfE;-S
I -'
Owners Name
Address
City Phone
OllNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
71::atur.~: .
- -------~~~~----------
DATE: _ _ J;2-I.J'?{
""'.....Ui 11: -::s:..,?7'7
RECEIVED BY: ~~__
,
SPIIINGr.-I~LO
City Job Number
3. COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling uni t.
Service Included:
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling 'G. ~
Service or Feeder $ 40.00
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary 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
$ 40.00
$ 55.00
$ 80.00
volts see "B"
above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Ci rcui t
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
W)CD
~:r,0
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL