HomeMy WebLinkAboutPermit Building 1993-07-22u67
SPN!NGFIELE'
RESIDENTIAL
PERMIT APPLICATION
!nspections: 726'3769
Off ice: 720-3759
LOCATION OF PROPOSED WORK
ESSORS MAP:l1 o3
C}
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BLdC ?? /a?a
JOB NUMBER ?:e
225 Fifth Street
Springfield, Oregon 97 477
TAX LOT:oo
SUBDIVISION:
-
t
PHONE:
ZIP:
ft
STATE:
2/2-87o r
?2
CITY:
OWNER: -
ADDRESS:
r.reW _IZ FEIIODEL ADDITION DEMOLISH OTHER
JIIQ-L!'-orscnler woRK
PLUMBTNC: .19rft9 fr- JlWtru--
PHON E
bEb-teJz
w
-
_frt*ADDRESS
MF-CHANICAL
ELECTRICAL:
CONST.
CONTRACTOR 'CONTNACTOR'S] NAME
GENEnn L 30-'tr
.4ts
I
g fl. /rl C
l'4
il
_ OFFICE USE -
p-oF Ul.!l'l-S:
LAND USE:
FiANGE.
ZOI{ING CODE:
, OF BDRMS:
r OF STORIES: -
WATER HE,ATEI-I:
OUAD AREA: --
r OF BLDGS: -
OCCY GROUP:
SECONDARY HEAT:
SGUARE FOOTAGE:
CONSTR. TYPE:
HEAT SOURCE:
To request an inspection, you must call 726-3769. This is a24hcur recording' All inspections reques
made the same working day, inspectrons !'equeste(J atter 7:00 a'm' will be rnade tne following work
REQUIRED INSPECTIONS
ted before 7:00 a.m. wlll be
day.
fi'o*oorarY Electric tr
x.
Rouoh Mechanical - Pric.' tc.oui,.{6Aa F,F.
Rough Eleclrical - "r*
t.
cover.
x Electrical Service - Must be
approved to obtain Permanent
electrical power.
DZI Fireplace - Prior to facingG( maieriais and framing lnsp.
Krtr-i"g - Prior to.cover'.
ffi wrttlceiling Insulaliotr - Prior to
H cover.
FUZ Drvwall - Prior to taning.l\
Nf,/rinal Elecirical - V,/hen all
Aetectrical work is comPietc.
K
]9 Final Buildinq - When allAlrequired insplctions have been
'approved and building is
comoleted.
Final Plumbing - When all
plumbing worl< is cr.lmPlete.
Final Mecltanical '- Vr'hen all
mechanical rvork is comPletr"'.
Site tnsPection - To be made
af ter evC;rvation, but Prior to
setting {orms.
Underslab Plumbing/ Eleclrical /
Mecl-ranical - Prior to cover.
Footing - After trenches are
excavated.
Masonry - Steel location, bond
bearns, grouting.
Foundation - After forms are
erectecl but prior to concrL'te
placement.
Posl and Beam - Prior to flo('r
insulation or deck'ing.
Floor lnsulalion - Prior trr
decki na.
Sanitary Sewer - Prior lo f illirrg
tren ch.
Slorm Server - Prior.to fiiling
trench.
Water Line .- Prior to fillirrg
t rench.
Rough Plurnbing - Prior io
cover.
X
[I Underground Plumbing - Prior
L---l to lilling trench
y'r:t,l:m Tl wcod stove - 'Arter instailation'
X
X.
,X
,K
Fx
K
,K
R
t_l inserl - Aftcr f ircplacc' approvai
ar C instatlatron of unit.
Curbcut & ApProirch -'- A'ter
forms are erected but Prior to
pl :rcetttt:rrt of concrete.
Srtle'*;alx & Dritrev.ray - A.iter
"r.;:1y3tici-r
is c<.rrnplete, forms
ar d sitb'base maicrial iii Place'
[__ | ron.. - When comFleted'
i '-! Sirr:el lices -- V,'lle'i'r'l required
1 - -J t r :..J: i:i,j pr:i nt.'(:
Other
MOBILE HOME INSPECTIONS
Blockir.rg and Se t'UP - When all
blocking is comPlete'
Plumbinq Conncctions - When
home has treen connected to
water arld sewer.
Electrical Connection - When
blocking, set:LrP. ano Piumbing
inspections have been aPProved
and the home is connected to
rhe service Panel.
r- "--'1
L_i Final - Aiter all required
inspcctiorrs are aPProved and
pori:ht:s, skirtin0, decks, and
vcntirl(; have ber.:n insta!led.
7
#" ---
.t f
I
I
4"
FLOOD PLAIN.
E
fl
Lot {aces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type-
,X-* lnterior
-
Corner
-_ Panhandle
-
Cul-de-sac
Se t bac ks
HSE ACCP.L.GAR
N
S
47'
&Ao
1 2?o
24,
iS THE PROPOSED WORK IN THE
HITITORICAL DISTRICT, OR ON
THE HISTOHICAL REGISTER? --'lf y,es, this application must be signed
and, approved by the Hrstorical
Coordinator prior to permit issuance.
APPROVEDE
/z)
/o
3b2G__
733L
(A)
X $i SQ. FT,
sa?o
: VALUE
=,^178/?778
Total Value
Building Pe-rmit Fee
State Surcharge
Total Fee
219//7oz*3sE- a:6
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction slrall, in all respects, conform to the Ordinance
adopteci by the Cily of .Sprlngfield, including the
Development Code, requlating the construction and use of
buildings, and may be suspendeC or revoked at any time
upon violation of any provisions of said orcl;nances.
Date Paid:
-
6-zz-9 3
?4?b'
4sa"
1,f /,'oPlan Check Fee: --
1O
--Jqe 5,93Receipt Numbt.'r:-_
Receive
Plan Reviewed By
SYSTEIIJIS DEVELOPM ENT CHARG E (SDC)(B) -uab
S-vstenis Development Charge is due on all undeveloped
croperties within the City limits whicii are being improved.
ITEM
Fixtures
Residential Balhis)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
F:::E
No.3.
FT,
FT.
FT.
(c)202,/3
a3
l9zlo
PLUMBING PERMIT
Plumbing Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTSfueL-Z-6f-ZE 9Z:1,
44e,(a p apsrvrzqM,
-M-da*gt) /uaQe 4,ot&),
*?EZ
Fu rnace
Exhaust Hood
Vent Fan
Wooci Siove/lns
Dryer Vent
/ Fireplace Unii
4AS -*-so
,AO
/.4s
3DIS
6 r= L'/e
(D)
Noa aqo
OQ O'O
MECHANICAL PERMIT
2tu
@
,/ eo- (z)-__
4,€o
Mechanicai Permit
lssuance
State Surcharge
Total Permit
By signature, I state and agree, that I have caref ully examined
the completed application and do hereby certify that all
information hereon is true and correct, and I f urther certif y
that any and all work pr:rformed shall be done in accorcjance
with the Ordinances ol the City of Springfietd, and rhc Laws
of the State of Oregon pertaining to the work cjescribed
herein. and that NO OCCUPANCY v;ill be macJe of any
structure without pernrission of the Building Safety Division.
I f urther certify that only (;orttractors and erngrloyees who
are in compliance lvith ORS 701.055 will be used on tl.ris
pro,jcct.
I f urther agree io ensure th;it all requirecl inspectio.ns are
requested at the prepgr tinre, that each address is readable
from the street, that the pcrmit card is located at the front
of the property, and tlle approved set of plans will remain
z / ---/r3
on the site at all times during c nstruction
Date
ig natu re
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
--
ft
Curbcut
---
ft
€€. +riry P/*\r RgtaD AJUST 5,0s
State Surcharge tSeZ-
Total Misceiianeous Permits (E)
';At-.iD.4-l ION
HECEiP i N
N^I'E PAiD
ATIOUNT RE D._TOTAL ItMOUNT DUE (excluding ciectrical)
(A, B. C, D, ano E Combi'red)//%26-s
FECEIVl:L1 L1Y
EI
_i
PE:TH--Z
OFEGO'UCITY OF
SPRINGF!ELO
The foliowin
zon!ng, anel
as sub mitte,C has the lollowingg proiect
dca$ rirJt roquiro specific lsnd uss
225 TIFTE STRBEf,
SPRINGFIBLD, OREGoN
INSPBCTION REQTIBST:
OPFICE: '726-3759
1
BLEETRTCAL PERHIT APPLICATION
City Job Nunber
3 COHPIATE TEB SCEEDTII,B BBLOV
A Nev Residential-Single or
HuIti-Family per dvelling unit.
Service Included:Items Cost
t
974
726-3
'y*v)
Sum
JOB
Permits are non-transferable and expire
if work is not started vithin 180 days
of lssuance or If vork is suspended for
180 days.
2. CONTRACTOR INSTALI,ATION ONLY
Electrical Contractor
Address I lxa B*/bo 4 )t
Ci ty €r?."r*'Phone 6f '7 -{a7a
Supervisor Licen-se Number SrzzS
Expiration Date
Con'str Contr. Number
Exp iration Date b
Signa of s Electrician
.-?/aA*
Ovne
1000 sq.ft. or Iess
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular Dvelling
Servlce 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-
0ver 1000 amps/volts
Reconnect Oniy
D.
SIIBTOTAL OP ABOVB
5Z State Surcharge
TOTAL
u g 8s.oo ar.N
# g ls.oo &@
$ 40.00
60.00
100.00
130.00
300.00
40.00
50.00C
$
$
$
$
$
c Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00-Or
"ri" to 400 amps
-
$ 55.00
over +br to 6oo amps
-
$ 8o.oo
0ver 600 amps or tbOOEfts see uB* a56F
Branch Circuits
Nev, Alteration or Extension Per Panel
a
A-
N i?b lcAddress
Ci ty
OITNER INSTALI,ATION
The installation is beirig made on
property I ovn vhich is not intended
for sa1e, Iease or rent.
Orners Signature:
DATE:
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
B. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/0utIine Light ing-
Limited Energy/Res
Limited Ener[y/Comm :
$ 40.00
$ 40.00
$ 20.00
$ 36.00
RBCBIVBD
5 2tr-@/rH?, f'os
OP
)
fz,n
C'TY OF SPR OFEGO'U
225 FIFTE STRBEf,
SPRTNGPIELD, oRBGoN 97477
1
Permits arelf vork is I
of lssuance
Autirrrriaeci
non- t ferable and exPi
not started vlthln 180 daYs
or lf vork is susPended fo
an
5PR!,tGr....D
ae submltted hE
require sPeoific land uss
EIJCTRICAL PERI{IT APPLICATION
Ci ty Job Nunber
SCEBDTII;B BELOIT
A. Nev Residential-Single or
MuIti-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular Dwelling
Servlce or Feeder
$ Bs.oo
$ 1s.00
The followlng Proiect
Z'it';'lr.'. and dOeS nOt
app:':.'" a!.
INSPBGTIoN RE0UBST: 726-3L92 '7 '|L44
OPPICB: 726-3759 '-r-**".--
Sum
r
180 days.
!
CO}It'R.ACTOR INSTALI.ATION ONLY
rlcal Contractor
Addres
Ci ty
Supervisor
Expiration Date
Constr Contr.
Expiratl
Address
Cl ty Phone
OSNER
B. Services or Feeders
Installation, Alteratlons
or Relocation:
200 amps or less
201 amfs to 400 amps
-401 amps to 600 amPs
-
601 amps to 1000 amPs-
0ver 1000 amps/volts
Reconnect 0niy
c
SUBTOTAL OF ABOVB
5Z State Surcharge
TOTAL
Temporary Services or'Feeders
Installation, Alteration or Relocation
$ 40.00
$ s0.oo
$ 60.00
$100.00
$130.00
$300.00
s 40.00
z/
a6oF
D Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuiq $ 35.00
Each Additional
Circuit or with Service
or Feeder Permit $ 2.00
B. Miscellaneous (Service/feeder not included)
200 amps or less I $ 49.00
201 amps to 400 amps
...-- $ 55.00
over 4b1 to 6oo amps
-
$ 8o.oo
0ver 600 amps or 1000 voTts see rrB'i
_0
-Each installation
Pump or irrigation
-
$
sign/outline Lighting- ELiilited Energy/[es
-
$
The installation is bei6g made on
piop"tty I own which is not intended
for sale, Iease or rent.
0mers Signature:
40.00
40.00
20.00
36.00
5
DATE:
Phone
se Num
of Supervising EIec
r
RBCBIVBD
OD
te
DC'TY OF SPF OREGO'U
SPRI]{GFIELD
i r{rquire sPec
VD?225 FTVTE STREBT
SPRTNGPTBID, OREGON 97477
INSPBCf,ION REQIBSTt 726-3769
0PPICE: 726-3759
Tnq
BLBCTRICAL PER}IIT APPLICATION
City Job Number
COHPLBTE FBB SCEBDULE BELOS
Nev Residential-Single or
MuIti-Family per dvelling unit.
Service Included:Items Cost
'rl'/
__ .i.l
1 LOCATION OF
.2 q-Y o)qd 3.
A.
c
E
0,
Permits are non-transferable and expireif vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRAGTOR INSTALI,ATION ONLI B.
Electrical Contrac ,o, B, ,r,U I E €c dlC
Address Zi O ltl*ctrs
Ci ty Phone (r I3 Z
JOB DBSCRIPTION
.tu gr=D a\qnDy 1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Hodular Dvel}ing
Servlce or Feeder
Services or Feeders
InstaIIation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps _401 amps to 600 amps _
601 amps to 1000 amps-
0ver 1000 amps/volts
Reconnect Only
STIBTOTAL OP ABOVB
5Z State Surcharge
TOTAL
I
_g \,,}D
$ 8s.00
$ 1s.00
s 40.00
Sumffi
$so
$60
$100
$130
$300
$40
.00
.00
.00
.00
.00
.00Supervisor License Number .<CL1.[-&
Expiration Date -ol
Constr Contr. Number 23A GZ.-
Expiration Date c -6 .-q{
Signa ture of Blectrician
Owners Name
Address
Ci ty Phone
OgNBR ALI.ATION
The installation is being made on
property I own which is not intended
for sale, Iease or rent.
0cners Signature:
DATE:
Temporary Services or Feeders
Installatlon, Alteratlon or Reloca 10nt
i
200 amps or Iess $ 40.00
201 amls to 400 amps
-
$ 55.00
over 4b1 to 600 am'ps
-
$ 80.00
Over 600 amps or 1()0O voTts see rtgn "ffi
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
Miscellaneous ( Service/feeder
-Each installation
Pump or irrigation S
sign/outline Lighting- S
l,imi ted Energy/Res
-
$
not
40.
40.
20,
36.
included )
00
00
00
00
c/_)
z5--RBCBIVBD
5
/<o a'> 6r*
1q
-.l.atlll(-5 rt I I I
DEVELOPMENT SENWCES DEPART MENT
July 21, 1993
Lloyd HoltcamP
Lane County TransPortation
3O4O North Delta HighwaY
Eugene, Oregon 974O1
Re
Cordially,
Mel Oberst
Associate Planner
Bob Hassy, Softech
873 Garden Avenue
Eugene, Oregon 974O3
qt,.':'!, I ll lll:;llil I I
sl/'lilN(il ll I l), ()li !)/,1/i
(!,():t) /?t;:)7!,:l
rAx 6():t) /: ;(; :t(ilt!)
Access improvements within the right of way of North 1gth Street
Single Family Residential Building Permit #930879
Dean Helfrich, owner
Dear Lloyd,
As per our conversation yesterday, the city is requesting that a minimum 1 2 foot wide access
road with g inches of crushed rock be constructed from Yolanda Street to the driveway
entrance of Dean Helfrich's building lot. Any sight obscuring vegetation at the intersection
of yolanda street and North 19th street should be removed to create a vision clearance
triangle by measuring 25 feet from the corner along each property line. we understand that
the property owner will be required to maintain the road, including dust suppression,
according the County maintenance standards'
lf you have anY questions Pl ease call me at 726-3783.
c
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