HomeMy WebLinkAboutPermit Building 1999-03-31OTT OF SPruNGFIEIT',
SPFI]TTGFIELD
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Assessors l,tap #: L7O2L9O0 Tax Lot #: 03200
Lot: 32 Block: Subdivision: AMBLESIDE
Page 1
990315
1 26 -37 59
7 26 -37 69
PH
Owner: GREY LARKIN
Address: 41892 N. RIVER DRIVE
Describe work: s/F RESTDENCE
Phone #: 36'7-a6a\
City/State/zip: SWEETHOME OR, 9'7386
NEW
General-:
Plumbing:
Electrical:
ConEracEor
GREY LARKIN 0072942
PO BOX 33524 SEATTLE WA 981330524
MIDWAY PLUMBING OOO4587
2428 SE THREE LAKES RD ALBANY OR 97
c/r rr,ecrRrc 0054468
PO BOX 1586 ALBANY OR 973210000
Const.
Contractor #Expiree
os/1,0/ee
o7 /2s / eB
oe/Ls/eB
Phone
357-1518
928 -7 927
967 -8627
QUAD AREA: 3RNC
OCCY GROUP: R3
HEAT SOURCE: G
OFFICE USE --
LAND USE: 1111
CONSTR. TYPE: VN
INSUL PATH: P1
# OF BLDGS
# OF BDRMS
SQ FOOTAGE
1
3
246L
To requests an inspection, call- the 24 hour recording at 725-3769
A11 inspectlons requested before 7:00 a.m. wil-l be made the same working day,
inspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
TEMPORARY POWER
FOOTING - After trenches are excavated.
FOT NDATfON - After forms are erected but
ITNDERFLOOR PLUMBING - Prior to insulation or decking
ITNDERFLOOR DP-AfN - Prior to cover or placement of concrete
ITNDERFITOOR MECHANICAL - Prior to insul-ation or decking.
POST AIiID BEAM - Prior to f loor insul-ation or decking.
INSULATION - Floor; prior to decking Wa11/Ceiling; Prior to cover
WATER LINE - Prior to filling trench.
SAIiIfTARY SEWER IINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
ROUGH GAS - after line is instal-l-ed and capped if not attached to an
appliance
ROUGH PLIIMBING - Prior to cover.
ROUGH IIIECIIAIIICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
SHEAR WALL NAITING - Before covering sheathing with finish materials.
FR.AIIING - Prior to cover.
fNSULATION - Fl-oor; prior to decki-ng Wal1/Ceiling; Prior to cover
DRYWALL - Prior to taping.
cAS SERVICE - After line is installed and line has been connected to a
minimum of one appllance. Pressure Lest done at this point..
ELECTRICAIJ SERVICE - Must be approved to obtain permanent power.
CURBCUT - After forms are erected but prior to placement of concreLe.
SIDEWALK - After excavation is complete, forms and sub-base material
in pJ-ace.
it4frF"["
prior ton$baBlBt b ?illBHE;"i'.'
utln Fr 3T
iIONED FOR
.fob Number: 990315
CITY OF SPruNGFIELT',
Page 2
FINAL PLITMBING - When all plumbing work is complete.
FfNAL MECHANICAL - When all mechanicaf work is complete.
FINAL ELECTRICAL - When all- electricaL work j-s complete.
FINAT BUILDING - When all required inspections have been approved and
the buil-ding is complete.
Lot Faces: S
Topography: 2
Lot Type: INTERIOR
N
Lot Sg. Ft.:
Total Helght:
W
11
7280
25 .5
Lot Coverage: 20 Z
Solar Approved: Y
58
Setbacks
s
19
E
7House
Garage
ftem
Main
Garage
Total Value
Building Permit Fee
Surcharge/aamin
TOTAL FEE
--- BUILDING PERMIT ---
Square Feet x
2020
44]-
$/Square Feet
69 .64
18.34
(A)
Value
140,673.00
8, 088 . 0o
L48 ,7 5l . OO
543 .2s
43.45
s85 .71
--- PLIN{BING PERMIT
Item
Residential- Bath (s)
Plumbing Permit
Surcharge/admin
TOTAI, CHARGE
3
Fee
1,92 .50
L92 .50
15.41
207.9L(c)
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Wood Stove/ Insert /Fireplace Unit
Dryer Vent,
GAS PIPE/WATER HEATE
Mechanical Permit
fssuance
surcharge/admin
TOTAI, PERMIT
3
5.00
4.50
9.00
4.50
3.00
5.00
32.00
10.00
2.55
(D)44.55
.-- MISCELLAI{EOUS PERMITS ---
surcharge/admi-n
Sidewalk
Curb Cut
CITY SDC
TEMP, ELECT,
WILLA]VIALANE
TOTAL MISCELLANEOUS PERMITS
0.00
14.05
L4.95
2 ,485 .06
43 .20
1, 000 . 00
3,557 .26(E)
4 ,396 .44(Excluding Electrical )
unless otherwise noted
--- TOTAL AMOI'NT DUE ---
(A, B, C, D, and E combined)
SPRINGFIELD
c o
CITY OF SPilNGFIELD,
.Tob Number: 990315 Page 3
BUILDING VAIJUE, PLA}I CHECK A}.ID BUILDING PERMIT ---
This permit is granted on the express condition that the saj-d constructi-on
shaII, 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 provisi-ons of said ordinances.
Plan Check Fee: 353.11 Date Paid
Received By:
Plans Reviewed By: AL WARD Date
Building Site Reviewed By: BOB BARNHART
Receipt. Number: 03309903/oe/ee
03/3t/ee
AAf- --- ADDrrroNAr, coMMENTS
F-€EPERATE PERMIT IS REQUIRED
DRIVEWAY REQUIRED TO BE PAVED
1 STREET TREES REQUIRED
By eignature, I aEate and agree, that I have carefully examined
t.he completed application and do hereby certify that all information hereon
is true and correct, and I further certify that any and all work performed
shaI1 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 wit.hout. permission of the
Community Services Division, Buildi-ng Safety. I further certify LhaE only
contractors and employees who are in compliance with ORS 701.055 will be
used on this project.
I further agree to ensure that a1l- required inspections are request,ed at the
proper time, that each address is readab1e from the street, that the permit
card j-s located at the front of the property, and the approved set of plans
will remain on the si at alf times dur ing construction.
7- 7/-27
ignat Date
--- VALIDATION ---
03tjj {Receipt Number:
Date Paid:
Amount Received:
Received By:
hlqtTIILw
SPllIT{GFIELD
Willamalane
Park & Recreation District Job. No-
PHoNE: 561-\B
STATE: D,sr ztP TBBG
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:G
ADDRESS:qt?.,q
'C\. R,**..
LOCATION OF PROPOSED BUILDING SITE:
Street Address:*J
1- DEVEL9PMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelting r
A. Single-Family Detachecr
single Family home Manufactured home not in a park
NO. OF UNITS \x $1,000 per unit = S [C t v-r Tt
B. Single-Family Attached
NO. OF UNITS X $924 per unit = $
C. Multi-Family Apartment
NO. OF UNTTS X $692 per unit = $
D. Manufactured Home park
NO. OF UNITS X $699 per unit = $
WILLA,MALANE SDC $
2. sDc cREDlr (if appricabre) sDC-payer must furnish proof of
Wllamatane Credit approvat. See SDC Credit Wotksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit) $
Plat Name:Tax Lot Number: O
C,?2
Services
City of Springfield
Department 1_,
Date
L7r
JOURNAL OR JOB NO.%oz'.
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPIUITNT CHARGE
WORKSHEET
Lurk-**-
ZzXz j3P"v Sr
DEVELOPMENT TYPE 5F
NAME OR COMPANY
LOCATION
BUILDING SIZE OT SiZ Ft.
1. lQ(zi) +
IMPERVIOUS SQ. FT rQ
2. SANITARY SEWER-CITY
Z +
bo^
€r" @)a- t zt(zt) +95+
X $0.227 PER SQ. FI . $M2,b5
s lreNO. OF PFU'S
(See Reverse Side)
3. TRANSPORTATiON
NO OF UNITS X TRIP RATE X COST PER TRIP
I X t.or x$475.32
x $475.32
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO. OF FEU'S I X 211,4+PER FEU
B. IMPROVEMENT COST:
NO. OF FEU'S X 25,2OPER FEU
MI^IMC CREDIT IF APPLICABLE (SEE REVERSE)
MWI'IC ADMINISTRATIVE FEE
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
Vsv
SDC Coordinator
ATTACH'A. t^lPD
TOTAL-MWMC SDC g 3tz .to *
SUBTOTAL (ADD ITEMS 1,2,3 & 4)$ ZZUG1L
X
X $47.14 PER PFU r3t
$.o-7
$
s 2]1 .#
$ 2F.20
$ 10.00
$ u83+
T0TAL SDC $24U.,OG
oate:alEzf 3L
FIXTURE UNIT CALCULATION TABLE: Number of New Fixtur^ X unit Equivalent : Fixture Units.
(NOTE: For remodels, calculate only ^ NET additional fixtures)
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS
Bathtub.
Drinking Fountain....
Floor Drain.
lnterceptors For Grease/Oil/Solids/Etc.................
lnterceptors For Sand/Auto Wash/Etc..................
Laundry Tub/Clotheswasher......
-T-
Clotheswasher - 3 Or More............
Mobile Home Park Trap (1 Per Trailer)......
Receptor For Refrigerator/Water Station/Etc
Receptor For Commercial Sink/Dishwasher/Etc..-T-
(-
-T-
--E-
Shower, Single Stall......
Shower, Gan9......,..
Sink: Bar, Commercial, Residential Kitchen
Toilet, Private.......
Miscellaneous:
TOTAL FIXTURE UNITS
2
1
2
J
6
2
6
b
1
3
2
1
2
2
1
6
L
Urinal, Stall/Wall
Wash Basin/Lavatory, Sin91e...........
Toilet, Public lnstallation..
/Head
4
Z4
CREDIT CALCULATION TABLE: Based on assessed value
calculate credits S.
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
x$
(Rate X Assessed Value)x$
(Rate X Assessed Value)
CREDIT TOTAL $
Year
Annexed
Rate per $1,OOO
Assessed Value
Year.
Annexed
Rate per $1,OOO
Assessed Value
$1.98
1.55
1.15
o.96
o.B3
o.67
o.52
o.38
o.21
1
'i', ,1
1
1
1 989
1 990
1 991
1 992
1 993
994
9.95
996
997
1979 or before
1 980
1 981
1982
1 983
1 984
1985"i'-,"'-
1 986
1 987
1 988
$4.27
4.14
4.12
3.99
3.83
:3.68
3.48
3.18
2.82
2.42
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating PurPoses Onlyl
Residential 0.4
Commerica|......................... 0.9
lndustrial:.. ......... o 5
Governmenta1...................... 0.5
FIXUNIT.WPD TMPERVIOUS AREA : TOTAL LOT SIZE X RUNOFF COEFFICIENT
t
, I ll
lll
lf improvements occurred after annexation date in table,
SPFlINGF!ELO
approvel ADLZoning
Dale YN
lT st{Al-l- t:xPlPE rtr?u PERHIT APPLICATION
s300.
$ ao.
.-rn I l\lr\f ' t-Ule nirlrr'-
BI,E TRICAL
)TSPRINGFIELD, OREGON 97477
INSPECf,ION REQUEST: 726-3769
rTNDoNED FORcitY Job Nunb ",7703/5OFFICE: 726-3759
, : r*ti.), 3. COHPLETE FEE SCEEDULE BELOV
ON1
I,EGAL DESCRIPTION
00
JOB
the
Permi ts areif vork i sno
of issuance or
180 days.
or
2. COMRACTOR INSTALT,ATTON ONI,Y
Electrical Contractor
Address
Ci ty e
i trPervisor Li e Number
Expiration te
Cons t r tr. Number
Exp tion Date
ture of Supervising Electrician
0vners Name 4Ray heL..t)
Address furq z f /,,teP fuar/e
Ci ty Ca J Phone*/'3t7'/kt
OVNER INSTALI.,ATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, Iease or rent.
ignat
DATE:
A
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
200 amps"or
201 amps to
Over 401 to
Over 600 amp
s
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
thereo f
Each Hanuf'd Home. or
Hodular Dvelling
Sertice or Feeder
s 8s.00
$ 1s.00
s 40.00
LOCATIONLZ? Z
oF3rjHlALLg#
Sum
o
t
z$ 40.00
s ss.00
$ 80.00
see rrBil aE6TE-
amps
Ies
400
600so
00
00
00
00
00
00
s s0.
$ 60.
s100.
s130.
Temporary Services or Feeders
Installation, Alteration or Relocation
ampsr 1000-liio-ITs
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One (Ci rcui t $ 35. OO
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E. HisCellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/0utIine Lighting_
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
e.o)l, L)
$40
$40
$20
$36
{ct
00
00
00
00
RECEIVED
I
C
5
l3 z-o
This permit is required for any site activity in the flood plain and everywhere site alteration consists of
flfty (60) cublc yards of material or moro and/or if a dralnageway ls affected, wlthin City llmits and
t Thls Slde To Be Fllled Out hV Appllcant ''rl'.'
"-x4al Permit Explratlon
32
N.
Sprlngfleld, OregonSlte
Address:
Date of Appllcatlon
Property Owner Phone: ?b1-lb ag
Clty
JournalnumberappllcabloLandUseApplication
Tax Lot:3 rc12-n-+3tr uGB Tax Map
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€
a,EXCAVATION,
Project Su
GRADING,
Address
tr HLL, ou
!(
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tr ADDITIONAL INFORMATION,
DRAINAGE, POLLUTI ON AND EROSION CONTROL PLAN
SOILS & GEOLOGY PLAN,
REPLANTING PLAN
PROJECT SUPERVISOR:I
PHONECOMPANY NAME:
STATE
STATE
crw
CITY
AD
ADDRESS
PROJECT SUPERVISOR:
COMPANY
STATE: , ZIP:- OFFICE PHONE- FAX-
MOBILE PHONE:-, EMERGENCY PHONE:
Reglstration
NAME
PROJECT
Explratlon Date:
PHON
I undcr.trnd thrt l. or my .ucco$ora may have future planr for my propcrty- whlch may bc antlo-lpatcd. or qnantlc-lpatcd-at .itrliiimi. I undcrctand that such tutura ilans may requlre permlts ahd dcvllopcmcnt approvalq [rgm thc Clty- of 9prlng{ela.
i unOirctanO that notwlthstandlng any a'pproval oi this Larid and Dralnagc.Ahcratlon-Pcrml! lLPAn, dlat Et the time of
6p;liCia19| of iuturc pcrmlu or aiprovali'the CIU may revlew and reconrlder all actlonr-whlch I or.my cucceggorc have
uhEcrtrken ocnuant lo thlc LDAP. I understand that the CiW may ac a conditlon of any ftfirrc approva!, rcqulre Ste
undolnb, chinglng, or modlficatlon of any actions which I hive thdertakcn a! r rcsuh of the Chy'e approval of thit LDAP.
Bri clsnaturc, I rtrto lnd agrec, that I haVe carefully examined the completed applicatlon and do heraby certify that all
lnforfration hereln ls truc and conect, and I further'certify that any and all work performcd thall be donc in accordance
whh the Ordinanceg of the City of Springfield, applicable'City Standard speclflcations and Drhwlngd, and tho laws of the
StEtc of Oregon pertal4lng 1q iho w<irk d-escrlbeil-herein. I fuither certlfy thEt only coqgactor and employees who are ln
compllance wtth ORS 7Ol .066 wlll be used on thls project.
Thc Oty may lnrpcc{ thc work ritc described in thla pormit at any tim6 durlng r onr yrrr pcrlod foilowlng thc rccolpt by
thr Chy of nbtlcd of complctlon of thc doscribod work and epccify, at thc Clty'r rolc darccratlon, lny addltlonal rcctoration
work rdquircd to rcturn thc rite to a standard acceptable to tho City. Thc pcrmlttec wlll bc notlfled ln wrhing of any work
rcqulrcd and wlll havc thlrty (30) daye from tho dltc of thc notlcc to oomplctc thc work. Work not oompleted !t thr ond of
thd ilrlrty deyr wlll bc pcrfiirmed by the Clty and the corts wlll bc blllcd to th. pcrmlttcc.
I furthcr lgrcc to cnlurc that atl rcqulrcd lncpcctlons Ero rcquostod at thc propcr tlmc, that proicct addrcac lc rcadable from
tho ltrcot, End thc approved let of plans will remain on the sita at all tlmea durlng conctruatloh.
Slsnrtnre orc 5441
344q,.
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eullua\-/Arilt l/;.{-%osls
ty of Springfield
"+i "Yr&.ih'
2-a
and
land
of
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wtr Date:FLOODWAY, FEMA Community Panel No.
DSWETI.AN Descrl
FEMA Community Panel No.:FLOOD PLAIN, Zone:
DRAINAGE, El Storm, O Culvert, El Natural
$20.00
030.0o
$40.00
940.00 For thE first 10,000 oublo yardr, plut
$20.00 for each additlonal 10,000 anblc yarde or fraction thereof.
$220.00 For the first 100,001 cubic yards, plus
$20.00 for each addltlonal 1O.OOO cublc yards or fraction ther6of.
$340 For the first 200,001 cublc yarde, plus
96.00 for each additional 1O,OOO crrbld yardc or fraction thereof.
$30.00
$3O.OO For the first 100 cublc yards, plus
$14.00 for each additlonal 100 cubic yards or fr€stion thereof.
$ 1 56.00 For tho first 1 ,000 cublc yards, plus
$12.00 for each additlonal 1,000 crblc yardr or fractlon ther6'cif.
$264.00 For the first 1O,O0O cublc yards, plua
$54.00 for each additional 10,000 cublc yards or fraqtion thereof.
$750.00 For the first 100,001 cublc yards, plus
$30.00 for each additional 1 0,000 cublc yards or frastlon thereof.
Received By: Dato:+4\e Date:
J' )5-'t''
?q/
e-!r
Receipt no,TTiffil Date
PA Yb
100,001 To 200,000
2OO,OO1 CUBIC YARDS OR MORE
Giading Permit fee:
Recoived by:
30:Plan Check Fee:
Estimated
PLAN CHECK FEES:
UP TO 1OO CUBIC YARDS
101 TO I,OOO CUBIC YARDS
1,001 TO 10,000 cuBrc YARDS
10,000 To 100,000 cuBtc YARDS
GRADING PERMTT FEES:
UP TO lOO CUBIC YARDS
101 TO 1,000CUBICYARDS
1,OOl TO lO,OOO CUBTC YARDS
1O,OOO TO 1OO,O0O CUBTC YARDS
10o,ool To 2oo,ooo
Receipt No:
Date:
Dateng
E] Maintenance:
tr Buitding:
Date:
Date:
Date
Permit Number lssued by:Date:
DatePlannlng:
Date:
Dete
Malntenance:
Building:
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nZs land an{ Drainage. activity.as outlined in this permit has boon completed ln accordance with
the provisions ofthis perrhit.
!=end^Efd_D_f-a.[qgge_a-qtiypty a-s-oqtlined in this permit has not beon complet€d in accordancewltn Ine provrslons oI tnrs permlt.
tr Land and Drainage activity was performed prior to application for this permit.
Accepted by: Date:
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1/6/1998
lTOcv
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is Side To Be Fill Out By City.Std.tf"
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Reqrrirarl Flnal lnspeetions.'
Date
trPR-08-1999 1,21t5
Greg Larkin
PO Box 2041
Corvallis, OR 97339
Fax Cover Sheet
K_3,INC.
April 8, 1999
Tom
Springfield Building Dept
Greg
P.@1.
DATE:
TO:
FROM;
TIME: 11:02 AM
PHONE:
FAX:
RE:Compaction testing
Number of pages including cover sheet: 3
Tom,
The following pages ?!.re copies of the compaction testing results for
2282 33rd Street. If you have any questions, please contact me at 740-4370.
RPR-AB-1999 L2t 1,6
MORTIER
ENGINEERING,P.C.
I245 PEARL STREET
EUGENE, OREGON 97401
PHONE (541) 484-9OeQ'FAx (s41) 464'68s9
April 1, 1999
Greg Parlarkin
PO Box 2041
Corvallis, OR 97339
Very trulY Yours,
UC
Emite Mortier, P-E.
K-3' INC.P.A2
STBUCruRAL
BUILOING DESIGN O FIBE PROTECTION
coDE CONSULTANT e PLAN CHECKING
CONSTRUCTION INSPEfiION
RE:?.8^33rrtSt..SPringfreld'o&CompaotiouTest.w'o.#I1710TJM
As you requested, a compaction inspection of the gravel under the proposed foundation has beeu
performed on rhis ,ilfi;;;*1i"1 1"i tlie consfrrction involvirrg foundations for the proposed
residence, Jhs gxsavation invorved th";'i;;u"t or.t 1/2" rninus crushcd rock. The compacted
surface of the cnrshed rock is "d"quati
for a foundation bearing capacity of 1000 psf' The
unclcrlying soil conditions, site drainage arrd foundation were not deiigncd or reviewed by Mofiier
Engineering, p.C. fil;;*pr"tion of1n" gi*a surface is greater than 95% of a standard proctor'
p"r-n sftubegg-qr. (See attached sheet')
I hope you find this report adequate.for your Purpose€ at lhis time' Pleasc contact me if you havc
Iiuther questions' Th";,k you for this opportunity to be of servicc'
1
ECIWmm
N{ORTIER
ENGINEERING, P.C.
RPR-88-1999 12tt7
-+€:€€x4€€z 1245 PEARL STREET
EUGENE, OREGON trru{O
PHONE (s{t) .0tt'9080 r FAx (541) 484-6859
Wet wcight
Dry weight
Notes:
K_3, INC P. 03
STRUCTURAL
BUILDING DESIGN T FIRE PROTICTION
coDE CONSULTANT O PI-A^I CHECKING
CONSTRUSTION INSPECTION
FIELD UNIT WEIGHT. SAND CONE METHOD
Per ASTM D 1556
TEST NUMBER: ,I DATEoFTEST: +/t/11 w'o.# ! il'l 0--Fln
rESr LocArloN: I rESr tt, f) M ,,M^rE;m?r'o%?-i;"fJ ;,Lfu.i*, .
I ," Mina.g Ctu,skel 9p
UNIT WEIGHI.OF S^ND I.JSID FOR TI"IIS SAMPLE
r iyfr'{l Suor ,/
[0'15,5 .7.
p,(:;arrd) '7ZCpp
voLUME oF coNE (V') = o'0389 ft^3
FIELD TEST DATA
lnitial Weight oF Jar I Sand (W,)
Weight of Jar + Sand a{ter test (W)
Volume of hole. W,--VY, - V, = Vz
P,
Weight of soit samPle (WJ =
Moist unit weight of soil P. = Jds =
v2
Motsture contertt of samPle'
tnr6 = (wqioht moist) - (we-!Et!Cry) X 100
(weight drY
P*
Dry Unit Weigh of Soil Po =
1 + Wo,6
100
MotsruRE coNTENr c weight of jar net weight
a 0t5
2o 1,5o..,
'1,'/^
WWW
TOTAL P.A3
13 sr"f
l^ 1f ,f
!a Ia
SI'TIINGFIELD
1. LOCATION OP
D./h./*
4 qqo*S
eirr {t l,o(
wblAao225 ErFTE STREET 0
SPRTNGFTELD, OREGON 97 411
INSPECTION REQUEST: 726-3769
OFPICE: 726-3759
st
o
DESCRIPTION Lo+ 32
JOB DESCN.IFTION
BLE TRICAL ?ERHIT APPLICATION
City Job Number ?4o 3/ f
COHPLBTE FBB SCMDULE BELOV
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost
3
A
tToz $!,!.
I
n eu)srR L000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf,d Home or
Iling
Sum
$ 8s.oo w@
$ ls.oo qS.hO
$ s0.00
$ 60.00
$100.00
$130. 00
s300.00
$ 40.00
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
3_
ffiffttpBi"
THEPERMIT2. COI.ITRACTOR INSTALLATION ONIY B. S
Electrical contractor G{E E te*r icJnc Re
Address g
Phone 51il'qb7-8 bz7
supervisor License Ntimber AqSZS
Expiration Date t0- {-q?
Constr Contr. Number q2Be Ins
Expiration Date
Signature of Supervising Electrieian 201.
ANYl PERIOD
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps
-60L amps to i.000 amps-
over 1000 amps/vorts
-Reconnect 0n1y
C. Temporary Services or Feeders
.AIte:.vreUU fi1
Owners Name L
Address +/ tE 4ua Ozc PE
Ci ty Phone 7/7-/t /r
OIJNER INSTALLATTON
The installation iproperty r own vhiforsale, .Lease or
Ovners Signature: Date
Limj ted Ene rgy/Conn
SIETOTAI.0F ABow5,f State
Nev, Alteration or Extension per panel
One Ci.rcui t
Each Additionar $ 35'oo
Circuit or vith Serviceor Feeder permit $ 2.00
ration
li igiy;1i-,or Relocation
uires yori i.,by the o reUo$i {4CI,,00
aE6F
Utitiry
nstallation
aneous (Service/f eeder not included)
irrigation $ 4o.oo0utI ine tigh
-
rlng $ 40.00ted Ene rgylRe _s
DATE:
$ 20.00
$ 36.00
'0,
RECET
B
Authonzed Signature
5
TOTAL
Surcharge
lilct.(o
-t-qq
ENOT
Rox
.'rv fr(txny
follow rules
0vera00&
D. Branch ts