HomeMy WebLinkAboutPermit Building 1994-01-31R ESID ENTIAL
PERMIT APPLICATION
lnspections: 726'3769
Of fice: 726'3759
S ITTI INC;': IELI)%Nab
Zfr,
JOB NUMBEFT ,
22!i Fifllr []trttt:t
Sprlngllcltl, Orcgorr {l/477
.IAX LO'N
LocAroN oF pFroposED woRK: .-d/f:f-d-/S t,11 4,D11(1naff-
t7023141ASSESSOFIS MAP:
I
I
LOT:
----L-
r.rLOCl(:
,)r roNr: 344-9270 - -
SrnrE: Oregon
c I rY: -.-E-tlg-q
n e- --- - -
N DDRESS 889 Randal I Street
owN ER: _S-te_Ve_De Pa-l.ma- --
DESCRT BE woRK: -- con struqLDupl ex*
r.rr.w - x--- nEMODEL ADDII'|oN ol llEtlI)EMOLISII
PI IONE
344-9270
I'LUMBING:
MECHANICAL:
ELECTRICAL:
EXPII'lES
4/tols4
ADDRESS
889 Randall St.,-Eugene
()oNsi l.coNlllnclc)ll /
59757
CONTRACTOR'S NNME
GENERAL: - -!!e-ve DePalma--l
ouAD AREA: - -3BNC-- -
, OF BLDGS: . - -I--
OCCY GBOUI':, R3 & M
WATER I{EATER:-E-- - -=-
- OFFICE USE _
LAND USE:
-7L20a OF UNITS: - 2
CONSTTI. TYI't.: VN
llEnT SOtlllCE: -BE
Fl-OOl.) PLAIN: . -
zoNlNG CoDE: -- MDR -
// c)t- Bl.)nMS: 2 + 2
SECOT{DA nY I tEnl: I
19 60itSJOUANERANGE: -E---OTAG
eac
To rcquest an inspection, you must call 726'3769. Thls ls a 24 lrour recorcJinq' All i
rrrade thc same working clay, lnspectlons reqUested after 7:00 a.m. will bc tnacle
REOUIRED INSPECTIONS
TemporarY Electric Rough Mcchanical - ['rior lo
cover.
x_l
Sile lnsPactiolr - T<: be tnadc
alter excav;ttion, btrt prior to
scttin0 fotms.
Undcrslab Plunrbing / Electrical /
Meclrarrical - Prior to covcr'
Fooling - Af ter trcnclres arc
cxcavated.
L+f Rough Elccltic;ll - l'l'iot Itt
COVCT
nspections requested belorc 7:00 a'rn' wlll be
thc tollowing work daY.
Final Plunrbirrg - Wht:n all
grlurnlling wrlrl< is cotrtl>lt:to.
I -. I Firral Eleclrical - Wlren all
I X | ,rl,-lctrical wotk is ccrtrrlrlcle.
I .- l Firral Moclrarlical - Wtrrln alll-XJ rrrcclranical worl< is colrll)loto.
I .,-l Firral Btriltlirrgl - Wlrlrt all
I A- | ,r'nr;11.d inslrcr:liorr:; ltavc lrcr:tt
allgrrovetl atrtl lrttiltlirlrl is
r:otrt lrlrllctl.tJ
LI
[J
r_il
t-xJ
tI
frJ
II
Lxl
tI
MasonrY - Stccl lot::rtlon, bond
bcatns, gro(tlirlU'
Founctaliotr - Aftcr forlrls are
crectcd l)ltt Prior to collcrete
placctncn t.
Urrclcrgroutrcl [)lttnrbirrg; - Prior
to filling trcncll.
Underlloor Plunrbirrg/ Mechatlical
- Prior to insulation or dccking'
Post and Beanl - l)rior to lloor
insulalion or decking.
Floor lrrstrlatiorr - Prior to
decki ng.
SanitarY Sewer - Prior to fillinq
trench.
Storm Sewer - Prior to lilling
trench.
Water Line - Prlor to lilllng
trench.
Rough Plunrbirrg - Prior to
cover.
E Electrical Scrvice - Mr-t:;l l;e
approvccl to oblairr pcrlll;lll(llll
clcctrlcal l)owcr.
[--.l Fironlace - I'rittr lo f;tt:in<;U rlratcrlals :rtltl lratttltll; lrlsp'
JTI Fratning - l)tior l() (:ov(!I'
l--7'l WattrCeilirrg; lrlstrlatiotr - [arior [()
4
"ovcr.
[Tl OrVwntl - l:'tior ttr tittritttl'
[--l Woort Slove - Af lrrr itt:;l;rll;tli"tl'
lnsert - Attor firclllacc itppttrv;tl
ancl lnstallation o{ urlit.
m Curbcut & APProaclr - AItr-'t
lorms are crr:ctcd l.ttlI llrior ttt
placement of concrc'tc.
Siclewalk & DrivewaY - A[lcr
excavatiorl is cotnplr-'tc, (ortttl;
atrrl stlb'base rnalcriarl itr pl;t<;c'
Fctrce - Wllr:tr c()tlll)l(.)l()(l
Slreol Tlccs - Wlltln irll rr:tlttitlrl
trees are pl;rrrtcd.
. I otlrcr
MOIsILE I-IOME INSPE TIONS
I I Olockirrl; atttl Sct'U1r - Wlrr:tr ;rllIJ bl,cl.i1g is cr-rltplclr:.
t_l Plunrtrirrg Corrlreclions - Wltetr
lrorilc has bcen conttr:ctcd to
watcr and sewer.
I-J Electrical Corlrrectiorr - Wlretr
t-rlockin0, sel-up, atrtl plutrlbino
inslrections havc I:cen apptovt-'tl
an(l tllc hotnc is cclnncctcd to
iltc l;crvicc Pattel.
l Firral - Altcr all rerltrirecl
I nl;r>cclir-rns at c aplrroverl ;ttrtl
poticltes, skirtirrrl. rlecl<s, an<l
ventinll ltavr) Lrcr:tr installotl.
x
x
suRDrvtstoN'*-Lisa Ma'r:ie - -
tw: - 97 401
tl
Lttt l;rt:cs
Lot s(t. 1tg.
l-r.rl <;ovcrage
Topograplty
Total helght ^ol*14-
NCC
N
o
l<s
IISE Gnn
l'ir: I t
W
le -
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This pernrit is granted on the express concliliorl that llle sai(l
construction strall, in all respects, confornt to the Ordinance
adopte<J by tlre City ol Springfield, including thc
Development Co(le, regulating the construction and use of
t-luildirrqs, an<l nt;ry be susllended or revoked at arly lirne
uJ;on viol:rtion ol any ltrovisions of saicl ordinanccs.
l:'l:rrrs I lttvlcwccl []y [-)rrle
Datc [);ricl
Rcccilrt Nurnl-lcr:
flcr:t:ivccl By:
HourPlan Clreck t=ee: --l-e-f
LESS FOUNDATION -e,-ooo
(^)
M:rin
C;rrport
Garage
VALUE
87 ,0-7_?
5,640_
Total Valuc
Rtr ild irrg Prtt t t tit l:tlr:
Slirlc 1)ttrcltitrl;ir
'lbtitl ['r:o
9L.312
Affi(r.
&OTs
4aq36
x $/so. F'r.
_56..20
_ 14: 10 _.
BUILDING PERMIT
|.TEM SO. FT.
1160_
100 _
Systcrns Devclopfircnt Chargc is due'on all undevcloped
properties wlthln tlrc City litnits wltich are being intprovccl.
SYSTEMS DEVELOPMENT CI-IARGE (SDC)
(B) 2 , 146.83
ADDITIONAL COMMENTS
Planner - Mel 0berst
FEE
p
FT.
FT.
0bta i ned wi th Foundat'ion
PLUMBING PERMIT
Plunrblrtg Pcrrltit
Statc Surcltar{Jo
-fotal Clrar0e
Perm'it
(c)
ITEM
Fixtures
Sanitary Sewer
Water
'Stornr Sewer
Molrile l'lonte
Resldential Bath(s) N"-
t-_l _
MECHANICAL PERMIT
Furnaco
Exlraust l'loo<l (2)
Vcrrt [:an No 4
Woo<l Stovc/ lrtsert/ Firelrlacr.' Uni t
Dryer Verrt 2 6. 00
(D)
9. 00
12. 00
27.00
10.00
1.35
_3-g_-35
Mechanical Pcrtnit
lssu ance
State Surchargc
Total Permlt
By signature, I st;rte;lt(l a0re(-', that I have carcIully exatnitred
lhc cornpletecl application ancl do hereby certity tllat all
infonnalion hereon is truc artd corrcct,:rnd I f urthcr ccrtily
that any ancl all worl< performecl shall be done in accordance
with tlre Ordinance s ol the City of Springf ield, and the Laws
of tlre State of Orcgon Pertalnlng to the work describetl
lrcrcin, and that NO OCCUPANCY will l.:e nratle of any
structure without perrnission of tltc Building Safety Division.
I furthcr certily that only conlraclors and ctnployees who
are ln compli:rncc willr OnS 701.055 will llc ttsed on tlris
prolcct.
I f urthcr agree to ensure that all rerltrired inspections are
rcquested at thc proper time, that each addrcss is rcadablc
from the street, that tlre permit card ls located at thc front
_ /:]/-trSi0 n.rtu rc
D;rtc
proved sct of lrlans will remainof the property, an(l t
on tlre slte at all ti durlng construclion
MISCELLAN EOUS PERMITS
Mobile Home
State lssuance
State Srtrclr:lr0ea,a
Siclcwalk 'J-4. tt.2 11
Curbcur '.J'dt tt
Dernolitlon
Stato Surcltarllo
Plan Check Fee
Tolal Mlscellaneous Permlts (E)
i!'%
20.00
I{I THE PI:iOt)OSID WORI( IN THE
IIISTORICN L DISTRICT, ON ON
t'l-tE l-ilsToRtcn L REoISTER? __ .- _.
lf yes, llris appllcation rnust l)e slgnecl
and apJrroved by thc l-listorical
Coorrlinator prior to perrnit issuance.
APPROVED:
VALIDAI'ION:
RECEIPT NUMAER
DATE PAID
AMOUNT FI
.(
TOTAL AMOUNT DUE (excluding elcctrical)
(A, B, C, D,;rtttl E Corrtbitlr:rl)(l
5lL-L)
nl:Ct:lVt:D BY
l-ot lylru
,. - lntcrior'
-. --- Cortrr-'t
----- -. Panlt;trttllc
-. .- - Cttl'tlt:'sa<:
,:1 labfu*
JOB NO.
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(C0M$IERCIAL & RESIDENTIAL)
COMPANY:
Mo Nent vbY
%NEU
NAME OR
LOCATION
DEVELOPMENT TYPE:
BUILDING SIZE:SI
1. STORM DRAINAGE
IMPERVI0US SQ. FT.l-t sb x $o.Iez PER SQ. FT
2. SANITARY SEt,lER-CITY
NO. OF PFU'S ?^ X $39.78 PER PFU
(See Reverse)
3 TRANSPO RTAT I ON
NO OF UNITS X TRIP RATE X COST PER TRIP
2 x 0, b19 X $4ol.o5
X x $401.05
X x $401.0s
a. Fr
$
$
4 ADMINISTRATIVE FEES
BASE CHARGE (SUBT0TAL AB0VE) X -05
5. SANITARY SEt^lER-Mt,lMC
NO. OF PFU'S Z
(Use PFU Total From Item 2 A bove)
MhlMC CREDIT IF APPLICABLE (SEE REVERSE)
Kip Burdick
SDC Coordinator
suBToTAL (ADD ITEMS 1,2, & 3) 5 n51q
TOTAL-CITY SDC 5 lg'15 q,
$13.62 PER PFU + $10 MtlMC ADMIN. TEZ SbOTbJ
jg
TOTAL-MWMC SDC
TOTAL SDC
3
Blg'b
ZIL+1.$
FIXTURE UNIT CALCUIATION TABLE: I'IUMUET Of NEW FIXIUTES X U'
For remodels, calculate only theNE additional fixtures)
NUMBER OF
FIXTURE TYPE NEW FIXTURES
:quivalent = Fixture Units (NOTE:
Bathtub.......
Drinking Fountain.....-
Floor Drain-.
Interceptors For Grease/Oil/Solids/Etc""""""""'
lnterceptors For Sand/Auto Wash/Etc.""""""""'
Z
Laund ry Tub/Clotheswasher-
Clotheswasher - 3 Or More...
Z.
Mobile Home Park Trap (1 Per Trailer)"""""""""
Receptor For RefrigeratorAVater Station/Etc""""
Receptor For Commercial Sink/Dishwasher/Etc"
Shower, Single Sta!|..........---
Shower, Gang...........L
Z
L
lv4iscellaneous:
TOTAL FIKTURE UNITS
cBEDlr CALCULATIoN TABLE: Based on assessed value. lf improvements occurred after annexation date in table'
calculate credits separates-
B a
UNIT FIXTURE
EQUIVALENT UNITS
Head
2
1
2
3
6
2
6
6
1
3
2
1/
2
2
1
6
4
Credit for Parcel or t-and Only lf Applicable
lmprovement (if after annexation date)
(Rate X Assessed Value)x$
2 .*\x$6
(Rate X Assessed
CREDIT
Value)
TOTAL =$979
RUNOFF COEFFICTENTS FOR STORM DRAINAGE
Residential..
Commercial
0.4
0.9
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
'1979 or before
1980
1981
1982
1983
1984
$2.83
2.76
2.71
2.60
2.46
2.33
1985
1986
1987
1988
1989
1990
1991
$2.1 6
1.90
1.60
0.25
0.87
0.50
0.16
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
=-
-2,
E
,,
Sink, Bar, Commercial
Urinal, StallflVall....
Wash Basin/Lavatory, Single-..------.
Water Closet, Public lnstallation..
Water Closet, Private.....
29
S"tIINGF lf:L1)
-qsYaLlFEi'^?'?-;it[,.o,,o*
lnspections: 720'3769
()tlice:720-3759 ffi,
LOCATION OF PROPOSED WORK:dll=d13..-fJ AD',tn
JOB NUMREtl
225 Flltlr Strcct
Springficlcl, Orcgon 97477
IAX LOl:
ASSESSORS MAP:
-
suBDlvlslor.r, Li'sa-!1a-r'iq--'
Pr{oNti: -- i44=927 0.-_"----
BLOCK:
LOT: -.-.-
Ste ve DePal ma
ADDRESS:' -gg-9-Batdq :l l-ltreqt-
OWNEB:
CITY:
srATE: - . -xregon
rf ]-oor-ptumbing only for- Iupl ex ----'- -
_ F-qu n-d tli-o :L-an d-uttde
DE.SCRIBE WORK
ADDITION DEMOLISH OT}IEN
ruew x REMoDEL
CONTRACTOR'S NNME
GENERAL: -_ -Stq.VE.
I'LUMBING:
MECHANICAL: -" ' "-
ADDI-tt-:SS
889 Randall Street' 'De pa'lma
PI{ONF.
344-9?70
EXPIRES
4/to/e4
ooNl T.
coN I rlnclc)n '
Eugene 59757
- OFFICE USE -
LAND USE: - 1120
a OF UNITS: - 2
CONSTR. TYPI': VN
l-IEAT SOUnCt': - BE
HANGE: - - E
M
[.::1 609
uh0
l;oun IlF. t"
ouAD AREA: - jBryC
, oo o.Jor' - I
oCCY GROUP: -R3 &
/ OF STONIES: - L
WATER HEATER: - -E -
FLOC)L) lrLAlN: '
zONING CODI':--MDR
, OF UDTTMS: 2 + 2_
SECONDAIIY llF:AT: 0
l-o rc(lucst arr insPection'
maclc the same working
[-.l femPorarY Electric
Site lnsPectiotr - To bc made
,ii"t o*i,,rotiotr, I'rtrt prior to
scttirrll Iorttts.
Unclerslab Plunrbirrg / Electrical /
Mccharrical - Prior to cover'
E Footing - Attcr trenches arc
excavated'
Masonry - Stccl localion' bond
bcams, groutllrg'
Foundation - Altcr lorttts are
L*"t"a bul Prior lo concrete
placement'
Utrctergrountl Plumbirrg - Prlor
to lilling trench'
Underlloor Plunrblng I Meclralrical
]'i-ti"ii" insulation or deckltrg'
til
l--1 Post and Beam - Prior to {loor
I I lnsulation or dccl<ing'
Floor lrrsulation - Prior to
deckltrg.
L]Sanitary Scwer - f]riol to fillintl
trcnch.
Elcclrical Setvice - Mttst lrr:
oppi.lru.f to obtairr l)cl lll:rrlollt
elcctrical l)ower.
t--.l Fireolacc - ['jrlor lo faclnl;
I I matcrials ;rnd lr:rrnirrg lnsP'
Frarrritrg - l'rit'rr Io tjovct
cover.
Rougl't Eleclrical .- la1i111 111
covcr.
l' I Firral Electlical - Wlren:rll
| -.1 r_.lr:t:f rici.rl w6rk is r:otlrlrlclc.
| '-l Final Mccllat'rical - \A/lren all
l--J ;n;chanical work is coml>letc'
I ---l Firlal Btrildirrgl - Wlrcrr :rll
l_J ;e;;irect lnslrcctions lrave bccn
aPProved antl building is
(;olnPlctc(1.
I --l Otlrcrt,J
l----l Plurrrbit'rg Cotrtreclions - Wlren
I I ttoa,t lras l>cen connecte<l to
watcr alld scwer'
l- -lElectrical Conrtccliott - l^Jlrtrtr
I J ;;;;n,'i1;, set't,1r, :rrrtl lrltttttbin(l
i,rot,,,atti<rn" ltavc l-reetr aJrJrrovotl
,i,'t,i ttro ltotllt: ls cotlrtectctl to
llrc servico parrel'
you ttlust cal I 726'3769. Tlris ls a 24 ltour rocortlit't1;'All inspcctlons retluesled l)efc)ro 7:00 a'rrr' wlll bt:
clay, insPectlo ns requested alter 7:00 a'm' will l>c rn adr: llrc lollowing worl< tlaY'
REQUIRED INSPECTIONS
Rough Mcchanical - Prior to l--J Firral l)lunr5ing - Wltcn :rll
grltrrrrl.ling worl< is ct-rtttplcte'
l-l OrYwatl - Prior to ta1;itrg
MOBILE HOME INSPE TIONS
Wood Stove - AItcr ittslirllrttir'rtr
l--l Blocking and Sct'Up - VJlrr:rr all
l lblocl.lrrg ls corttl.lltlte'
rl
lnsert - Af tcr flrtlplacc aJrptovitl
ind lnstallatlon ol trnit'
Curbcul & APProaclr - Aftct
iui,l," oto ereoted lrut prior lrt
placetncnI of concrclc'
Sictewalk & DrivewaY - AItttt
ixcivati.r,t is ctrtttpltllr)' ltrtltt:i
IiiJ at',rr'r,,,.c lrral("ri:rl itr plat:c'Slornr Sewer - Prior to fillittrl
trench.
Water Llrre - [)rlor to lllllng
trenGh.
Rough Plumbing - Prior to
cover.
l-'l fencc - Wlrerr corrll)l'jt(l(l
[--l Strool Trees - Wltrlrt nll 1r'rlttitrtrl
I I trooa arc Plarrletl'
I I Final - Altcr all rorlttirctl
l.-l i"noo,,tlons are altglroved and
,t.t"fto". sl<lrtirr<1, clrlcl<s' antl
,"ntfnO itavc becn irrstallc<l'
tJ
Lil Wall/Cciling lnsulatiotr - Ptior tcr
covcr.
rl
r_l
Lot ,a(;cs
Lot sq. ftg.
Lot covcrage
Topo0raplty
Total helght
Lot 'lyl)a
-'- lnterior
-- Cornor
--- Panltattcllc
-
Cul-de-sac
Setl.t;tt;l<s
I-ISE
N
c
ru T]-1E PROPOSED WORK lN THE
IlISTORICAL DISTRICT, OR ON
TIlE I.I ISTORICAL REGISTER?
---lf yes, this applicatlon must be slgned
and approved by the Hlstorlcal
Coordinator prior to permit issuance.
APPROVED:t:
Gnn ACC
BUILDING VALUE, PLAN CH ECK
AND BUILDING PERMIT
Thls permlt ls glrarrtcd on the express condition ttlilt the said
constructlon shall, in all respects, conlorm to the Or(llnancc
arlopted t>y the City of Springfleld, inclucling thc
Dcvaloptnent Cotlc, regtrlating tlte construction ancl ttse of
bulldings, ancl ttt:ty l:e susl>encled or rcvol(ed at any tirnc
upon violation of any provlsiorls of s;rid ordinances'
Receipt Numbcr:--
DatePlarrs Reviewecl Ry
Plan Chcck Fee:
Date Paid
Rcceiverl By:
BUILDING PERMIT
ITEM SO. FT. X $/SQ. I'T.
Main -foundation.0nly -
(^)
VN LUE
2 ,000. 00
Total Value
Building Perrnit Fcc
State Surcharge
Total Fcc
2,000.00
, __32- 50
1.63
34.13
Garagc
Carport
Systcms Developrnent Clrarge is due on all unctevelopecl
propcrties wlthin tlte City lintits which are being improvccl.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTSPLUMBING PERMIT
ITEM
Fix I u res
ilcsi<lcrtti:rl t);rllr(s) Nl" 1 eaCh
Iiatritary St:wr:t [:l'
Watcr l--*l -
I-EE
t82.40
(c)
FT.
_-182 -40
__-.__-9-_12
_ _L91-52
Plumbing Pertnit
State Surcharge
Total Clrarge
Storm Sewcr
Mobile H<.rtr.te
Wood Stovc/ lnsert/ Flrel)lace Unlt
Dryer Vcnt
Mcclranical Pe'ttltlt
(D)
NoVent Fan
I ssuancc
Stale Surcharge
Total Pcrmlt
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agrec, that I havc caref ully exantined
the completed applicatlon and do hereby certify lhat all
lnformatlon hereon is truc and correct, and I further certily
that any and all work performed shall be done in accordance
with the Ordinance s of the City of Sprlngf ield, and the Laws
of tl.re State of Oregon pertaining to the work describcd
Ircrein, and that NO OCCUPANCY will be made of any
structurc without pcrtnission of the Builclltlg Safety Division.
I f urthcr ccrtify tll;tt only conlr8ctors anc.l ctnlrloyecs who
are ln cornpliancc witlr ORS 701.055 will be uscd on this
proicct.
I lurlher agrce to cnsurc that all rcquired inspections are
requcstcd at tlle proper tlme, that each address is readable
permlt card ls locatecl at the lront
approved set of plans wlll renraln
during constructlon.
?^1e-zSignature
Date
rh
lrom tlro street, t
tne
oI tlle property, a
on the site at all
MISCELLANEOUS PERMITS
Moblle Home
State lssuancc
State Surcharge
Slclewalk --=- lt
Curbcut ---.- ft
Demolition
Statc Surchargc
Total Mlscellaneous Permlts (E)
TOTAL AMOUNT DUE (excludlng electrical)
(n, B, C, f), anrl F-- Cotrlbined)
VALIDA'I'ION:
NECEIPT NUMBE
DNTE PAID
AMOUNT NECEI
??5^65
nECEIVET)
D
P.L.
_ADDRESS_
zLL N 4OTH ST 2]-3
DESCR: DUPLEX
-OWNER-
STEVE DEPALMA
BB9 RANDALL STREET
EUGENE, OR 9740L
-INFO-
NEW
RESIDENTIAL
LLzO
OO].-02 g-FOUNDATTONS ONLY
OO2_OO5-PLUMBING
OO3-OO2-BUILDING PERMIT
O O4-OO6-MECHANICAL
O O5-O B7-MECHANICAL I SSUAN
OO6-O]-3-SIDEWALK
007-0r-2-CURBCUT
OOB_061-RES PLAN CHECK
OO9-OO4-ELECTRICAL
0r.0-070-sDc/sToRM
011-071-SDC/SANTTARY
0L2-07 2-SDCITRANSP
01 3-073-SDC/ADMTN
O].4-05s-REGIONAL SEWER
BUILDING DIVISION JOB# 930926
-LEGAL-LOT ]. BLOCK
LISA MARIE
0000000000000
FINAL
-VALUE_933L2
930917 / 940613
-STATS-BLDG ZONE MDR
STORIES FLOODPLAIN
BEDRM OCC GRP R3
UNITS
sQ FEET 1960
CONST TYPE VN
344-9270 -ENERGY-
HEAT]--BE 2-
H2O- E
RANGE-E
INSULATION
PATH-
r_ .63
9.L2
L
2
4
2
-CONTRACTORS-
GENL-STEVE DEPALMA
CONTRACTOR PHONE-3 44-927 O
PLMB-
ELECT-HAUCK HAMMER
MECH-
DESGN-
QUAD AREA 3RNC
sEQ-REQUIRED pERMITS- -------FEE--SURCHARGE--DATE--RECPT--CAT-------VALUE
32
LB2
409
27
t0
t4
L4
20
L70
342
875
539
87
30r.
50
40
00
00
00
80
80
00
00
72
16
81
88
26
51-51
1- 1-11t-1
1l_1l-11
11_11111111Lt-
20 .45
1.35
0.00
0 .00
0 .00
0.00
8 .50
0.00
0.00
0.00
0.00
0.00
93 091
93 091
94 013
940r-3
94 013
94 013
940r-3
94013
94 013
94 013
94 013
94 013
94013
94013
027 8
o278
1498
14 98
L498
1_498
1498
1498
L498
1498
1498
1498
1498
r.4 98
601
510
103
520
613
6L2
500
2,000
91, 31
0
2
0
0
0
0
0
0
0
0
0
0
0
SEQ-MINIMUM TNSPECTIONS + REQUIREMENTS-- --EXP DATE---ACT DATE-
001-002-FoorrNG
OO2-OO3_FOUNDATION
OO3-02 O-UNDERGROUND PLUM
OO4-02 1-UNDERFLOOR PLUMB
OO5-]. 3 1_UNDERFLOOR MECHAN
OO6-OO5-POST & BEAM
OO7-OOg-INSULATION FLOOR
OO8-026-SANITARY SEWER
OO9-027-STORM SEWER
O1.O-024-WATER LINE
O1 1-O 2 3_ROUGH PLUMBING
O1 2-03 I-ROUGH MECHANICAL
O1 3-04 2_ROUGH ELECTRIC
OL4_04A_ELECTRIC SERVICE
015-OO6-FRAMING
O 1 6-O O 9-INSULATION
017-O]-1.-DRYWALL
o 1 I - 0 9 0 -DRTVEWAY/CURBCUT
019-09].-SIDEWALK
O 2O_029-FINAL PLUMBING
O2 1-04g-FINAL ELECTRTCAL
022-03 9-FINAL MECHANICAL
O2 3_O 1.g_FINAL BUILDING
024-0L4-SPECTAL NO OCCY UNTIL SEWER OK/D.BRANCH
940LO7
930924
9405 13
94042L
940404
940304
940309
940303
940 3 09
940309
94 0 315
94042L
94042L
940523
940523
94060 9
94061_ 3
SEQ--INSPECTIONS -COMMENTS------- -----DATE---RSLT--INSP
OO ]._02 ]--UNDERFLOOR PLUMB
OO2_O2O-UNDERGROUND PLUM
OO3-011-DRYWALL
OO4-OO3-FOUNDATION
OO5-02 3-ROUGH PLUMBING
OO6-04 2-ROUGH ELECTRIC
OO7 _023 -ROUGH PLUMBING
OO8_OO6-FRAMING
OO9-031-ROUGH MECHANICAL
O 1.O-OO9-INSULATION
O ].]--OO6-FRAMING
012-011_DRYWALL
013-044-ELECTRIC SERVICE
014-024-WATER LINE
015_027-STORM SEWER
016-091-STDEWALK
O1-7-027-STORM SEWER
0 1 I - 0 9 0 -DRr VEWAY/CURBCUT
O1 9-02 6-SANITARY SEWER
O 2 O _O 29-FINAL PLUMBTNG
O?L-O A9-FINAL ELECTRICAL
022_029-FINAL PLUMBING
023-03g-FINAL MECHANICAL
024-OL9-FINAL BUILDING
025-01g-FINAL BUILDING
2L,131, OR 05 REQUTREDNO INSP.
SLAB
c/N
WALLS
A/H
C/N
FINAL
930924
930924
9 31213
940L07
940302
940303
940304
940307
940309
940309
940309
94 0 315
940303
940404
940404
94042L
94042L
94042L
940513
9405r.6
940523
940523
940609
9406r-0
9406r_ 3
WIR 28oK 28WIR 38oK 25
NOTOK 28oK 56oK 28POK 38oK 38oK 38OK 38oK 38oK 56oK 28POK 28oK 46oK 28oK 46oK 38NR 28oK 50oK 28OK 28
NOTOK 59oK 59
225 FIFTE STRBEf,approval.
SPRINGFIELD, oREGoN
INSPECTION RBQTIEST:
OPPICB: '726-3759
Authorizod
1
IJGAL DESCRIPTION
Permi ts non-transferable and exPire
if work is not started vithin 180 daYs
of issuance or if vork ls susPended for
180 days.
2. CONTRACIOR INSTALI,ATION ONLY
u6e
BIACTRICAL PERHIT
City Job Nunber
SCffiDTILE BBLOV
A. New Residential-Single or
MuIti-FamiIY Per dvelling unit'
Service Included:Items Cost
SPRTNGFIELO
1000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Manuf'd Home or
Hodular Dvelling
Servlce or Feeder
The loltowing proiact as submltted ha9 th9
iliiili,,i.ii Z,5ei r rot roqur re specilic land
97477
726-3769
Zoni
Elsto
llar \q'l
SumAs 8s.00
s 1s.00
$ 40.00
oo
Electrical Contractor
Ci ty (^-\?-(o Phone -/'l'l ItG-\
Supervisor License Number ?>3't "/s
B. Services or Feeders
InstaIIation, Alterations
or Relocation:
C.
D.
E.
-Each install-ation
Pump or irrigation
-
Sign/0utline Lighting-
Limited EnergY/Res
5. SUBTOTAL OF ABOVB
5Z State Surcharge
TOTAL
200 amps or less
201 amps to 400 amPs
-401 amps to 600 amps .-
601 amps to 1000 amps-
0ver 1000 amPs/vo1ts
-
Reconnect OnIY
Temporary Services or Feeders
Insiallation, Alteration or Relocation
200 amps or less $ 40.00
over 4b1 to 600 amps
-
$ 8o.oo
Over 600 amps or fbOO voTts see I'B,. a6m-
Branch Circuits
New, Alteration or Extension Per Panel
one circuit S 35'oo
Each Additional
Circuit or vith Service
or Feeder Permit
-
$ 2.00
Miscellaneous (Service/feeder not included)
f r;.t
Address .ls 00
00
00
00
00
0040
50
60
00
30
$300
$
C
$
$1
$1
$
$
$
$
Exp iration Date
-eYExpiration Date
!
Signature of
Owners
Address
Ci ty.
OITNER
DATE:
ng Electrician
ne
The installatioh is beirig made on
ptop.tty I ovn which is not intended
for sa1e, lease or rent'
Ovners Signature:
40.00
40.00
20.00
36.00
C'TY OF OFEGO'U
RBCEIVED
CD
Constr Contr. numUer r97{Z 3