HomeMy WebLinkAboutPermit Building 1994-01-31d-1--
-
S]>IIINGI:IELE,ftmagRESIDENTIAL
PERMIT APPLICATION
lnspections: 726'3769
Of fice: 726'3759 Zfr,
JOB NUMT]EI]
225 Fif tlt Strtrct
Sprlnglicltl, OrcUon 07'177
rnx Lo'n
suRDrvtsroN, --Lj sQ l'la.f i-e
LOCNTION OF PNOT'OSED WORK -&R3S.A&5- Ll\AOt\ bb
t7023141NSSESSORS MAP:
LOT:\a BLOCK:
owN ER: -S!e-v1Dq
Pa'lna- --plr()Nr:: 344-9270
zw: - 9740L0regonslnrIctrY:
-E-ug-qne - -
ADDRESS:889 Randal I Street
DESCRT BE woRl(: -- construcLlupler-----
NEw - X--- REMoDEL ADDlrloN ot llF_nDEMOLISII
MECHA NICAL: -,. - '--
ELECTRICAL:
--*-
C E.N EI']AL:Steve DeP
t)t-UMBING: -
Pl loNE
344-9270
EXPllll:S
4/ t0/ e4
(loNs;1.
oc)NIllACl()ll /
59757
ADDRT-:SS
qlqq_-889 Rqnda1,1 -St, , - Eugene
CONTRACTOR'S NN ME
ouAD AREA: - -3RNC -
, oF BLJGS,--- l-- - -
oCCY GRoUP:.- R3 & M
# OF STORIES: - 2 -
WATER HEATER: -E-- - -- -
_ OFFICE USE -
LAND USE: - -LU0
// Ot. UNITS: - 2-
CONSTrI. -l'Yl'E: VN
llEAl' SOtlllcr: BE
tIANGE: ------ -E-- -
FLOOI) PLAIN: -. -
ZONING CODI]: _. MDR
ltc)FBt)nMS: 2 + 2
SECONDn HY lll-:A1: I
9 00t:
h uc
SOUANE
[-l TemPorarY lilectriclr
Sitc lnsPecliotr - To lle tnade
alter excavalion, btrt prior to
setlinO fornrs'
Underslab Plunrllirrg/ Elaclrical /
Mechanical - Prior to cover'
Fooling - Alter lrencltes arc
excavaled.
ions rccluestecl lletorc 7:00 a'rn. wlll bc
owinq work daY.
Filral Plunrbirrg - Wlrcn nll
plrrrnbinl; worl< is cotrtlllctt-'.
To request an lnspection, you must call 726-3769. Thls ls a24 hour recording' All inspect
nracJe thc same workinll day, lnspectlons requeslec! after 7:00 a'm' will bc tnacle the fctll
REOUTRED INSPECTIONS
ffi Rough Mechanical - llrior lo I i-ll;.-, (.()vct.
tI Foun<.tation - Aftcr fornts arc
erectcd but Prior to corlcrctc
placcmcnt.
Urrclerg;routr<l Plttnrbirrl; - Prior
to Iilling trcnclt.
| .,-l Urtderlloor Pltrrrrbirrg/Mocltanicalt-'lu Prior to insulation or dccking'
Masonry - St<.'cl lot;:rtlon, b<'rtlt!
bcatns, grotttitrg'
Post and Bcatrl - [)rior to floor
insulation or dccl<ing'
Floor lrrstrlation - Prior lo
decking.
SanitarY Sewer - Prior to fillittg
lrench.
Storm Scwer - Prior to lllllng
trench.
Walcr Line - l'rlor to lilllng
trcncll.
Rouglr Plumbing - Prior to
covcr.
Elcctrical Service - Mtt:;l lrr-'
approvc(l lo obtailr pcrrll;lltr)lll
electrlcal l)owor.
J---l Fireplace - l)rior lo f;rt:itrt;U rnatcrlals :rrr<l ltatttirtl; ltt:;1t.
ITI Frarrrirx, - l)tior lo r;r)vttr''
ll-l WatllCeilitlg ltrstrl:tliott - lirior t()
LAJ cover.
l-X I OrVwntl - lrtior lo l;tltitrtl'
Rough Elccttic:rl - Prior to
cov()r
Wood Stove - Altcr 'll''t rll;lli,rl
lrrserl - AItor firclllirco ;tplrttrv:tl
and installaliorr of tttrit.
Sidewalk & DrivewaY - AItttr
excavali()rl is coln;rlr.ltr-'' [ottrtl;
and sub-base rnatr-:ri:tl in pl;tt:tt'
Fonce - Wltr:lr c()ltll)l(:lr)(l
Slreot Tt'ecs - Wllcrr ;rll rt:tlttitlrl
trees are plarrted.
x-l
lil Firral Btril<lirrg; - Wlttrr all
rec;ui rt-'tJ ins;rc'c Iiotr:; Itave llctltl
a1r;ltttvctl atr<l lrtriltlirrrl is
r:trtrrl rlr:lt:tl.
tl O llrcr
MOIsILE I-IOME INSPE TIONS
Firtal Elcclrical - Wlren all
r:locttical woll< is cotttl-llcle'
Pltrrrrbirrg Cotltrecliorrs - Wlten
hotrtc has becn contrr-'cted to
watcr and scwer.
lxl
LJ
I]j
II
til
ril
Lil
l'- 'l Rlockirlg alrd Stlt'U1r - Wlrr.lrr alll-J bl,-lct.irtg is cr-rtrtlrlctr-'.
m
tl
l' "l Eleclrical Conrrecliolt - Wlten
| - J l.ll<lcltirlg, scl'l',p, arl(, l)lurlllrin{,
insJrections ltavc l'rcctt apptovr:tl
antl tlre horno is conneclcd t<l
Illo :iervic(] Piltlcl.
IJ Firral - Altcr all rerlttired
ln:;;:ccti<>ns arc a1:lrrovecl ittttl
porclres, sl<irli rrrl, tlecl<s, arr<l
ventinl; lt;tvc Llcr.:tt installetl
x
v
1
kr
Firral Mecltatrical - Wlrrlrr all
rrroclr;rnical work is cotrlllloto.
Curbcul & APlrroach - Af tr-'t
fornts arc err.'cted btrt llriot Irt
placement of concrcte.
Lol l:tt;cs
Lot s<1. ftg.
l-ot <:ovct;rgc
Topograplty
Total lreigltt
l-()t lyl)()
-. --- - lntcrior
- --- Conrr-'t.
-.-- Panlrantllc
-..-- Cttl'clt:'sat:
5()ll);rcl(s
- P.L--
N
GAN ncc
rll l-HE l'2l:lot']OSt:D WORK lN Tl-lE
IIISTORICN L DISTRICT, ON ON
I'I.IE HIS'TORICAL REGISTER? --._ -.
lI yes, t]ris zrpl:lication rnust l)e signctl
:rnd approved by thc Historlcal
Coorrlinator prior to permit issuance.
N PPROVED:
2ZL
rJ
W
E
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Tlris perrrrit is grarrted on the cxpress conditiorl that tlte said
con:itruction sltall, in all respects, conlorm to the Ordinance
adopted by tlrc City of Sprlnglield, including the
Developmcnt Co(le, regulating lhe construction ;rncl use o(
l-luil<1ings, an(t nt:ly be susllendcd or revoked at any tilne
upon violartion of any provisions of said ordinanccs.
Plan chcck [:cc: . Pg-f -l1q-t],r
l'lirrrs l lcvlcwcrl l.iy [);rtt:
Date [);ticl
Rc<:t:ipt Nurrtbcr:
llor:t:ivctl By:
-2,0Q0
BUILDING PERMIT
LESS FOUNDATION
(A)
400
N91
SO. FT.
1560
ITEM
Mairr
Garagc
Carport
VALUE
87,67,2_
5,640_
Tolal Valuc
Rull<lirrg l)rlt tttiI ljet.'
Slirlr-l liltrclt:tr11r:
'folirl l't:r:
x $/so. Fl.
56.20
14. 10
Syste[ns Developrrtcnt Chargc is due'on all undevcloped
properties wlthln tlrc City litrtits wlriclt are being irnJ;rovccl.
SYSTEMS DEVELOPMENT CI{ARGE (SDC)
(B) 2 , 146.83
ADDITIONAL COMMENTS
Planner - Mel Oberst
ITEM
Fixtu res
Resldential Bath(s)
Sanitary Sewer
Water
'Stornt Scwer
Mobile l'lontc
[: l.: t:
I
N0
FT.
FT.
l:T.
PLUMBING PERMIT
Plunrblrtg Pcrrllit
St:rtc Sttrcltitrge
-fotal Cllar0e
Obta'ined wi th Foundati on
Permi t
(c)
MECHANICAL PERMIT
l.u rnacc
Exlraust t'loo<l (2)
Verlt F.rn No 4
Wootl Stove/ lnscrt / Fi re1;lace Urlit
Drycr Vcnt 2 6,00
Mcchanical Pelrnit
(D)
9.00
12. 00
__ __27..04
10.00
. _--1-35
_ __ _xB_-35
lssuance
State Surclrarge
Total Permlt
By signature, I st;rte .rtl(l ;lUre(,, tlrat I ltave carcf ttlly cxatnitrod
tlre cornplctecl altplication ancl do ltereby certify tltat all
inlonrration lrereon ls truc and corrcct, and I lurther ccrtif y
that any and all worl< lterlormetl shall bc done in accordance
with the Ordlnance s of the City of Springf ield, and the Laws
of tlre State of Orcgon pertalning to the worl< describecl
lrercin, ancl that NO OCCUPANCY will l.rc made of any
structure witl'rout pcrmission of tlre Buildlng Satety Division.
I lurther ccrtify llrat only conlractors and crnployees who
arc ln compliernce witl't ORS 701.055 will llc ttsed on tlris
pro jcct.
I f urther agree to etrsure that all recluircd inspcctions are
requestcd at the proper time, that each address is rcadable
from the strcet, that tlle permlt card ls locatcd at tllc fronl
approved set of lrlans will remain
Slgnature
Datc €r
of the property, ar1(l ttl
on thc site at all tit during construclion
MTSCELLANEOUS PERMTTS
Mobile Home
State lssuance
State Surclrar(te
Sicrewark g:4 t,
curbcut ,jr)r - ,,
D() rnolitiorl
stato surcllar0c
Plan Check Fee
Total Mlscellaneous Permlts (E)
20. 00
ffffi
VN LIDN'ION:
NECE,IPT NUMB
q
R.-
TOTAL AMOUNT DUE (excluding eloctric
(4, B, C, D, ;rrttl E Cornbirrt:rl)
DATE PAID
AMOUNT RECEIV
nECf:lVt:D B'
312
JOB NO.Qtg
NAME OR COMPANY:
LOCATION
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(coMt'IERcIAL & RESIDENTIAL)
*- Nelnt DOPDEYDEVELOPMENT TYPE:Mo
BUiLDING SIZE:
I. STORM DRAiNAGE
IMPERVIoUS SQ.FT.
2 NITA -C IT
NO. OF PFU'S
(See Reverse)
3 TRANS PO RTAT I ON
2
NO OF UNITS X TRIP RATE X COST PER TRIP
SIZ
l?gb x $0.1e2 PER sQ- FT.
X $39.78 PER PFU
x $401.05
x $401.05
x $40 I .0s
sQ. Fr.
2
X
X
X
0,3
$
$
4
suBTorAL (ADD ITEMS 1,2, & 3) $ l151ca
ADMINiSTRATiVE FEES
BASE CHARGT (SUBT0TAL AB0VE) X .os
TOTAL-CITY SDC
5. SANITARY SEWER-MhlMC
NO. OF PFU'S ZZ $13.62 PER PFU + $10 MrlMC ADMIN. rw- Sbolb!
(Use PFU Total From Item 2 Above)
Mt^lMC CREDIT IF APPLICABLE (SEE REVERSE)
Kip Burdick
SDC Coordinator
TOTAL-MWMC SDC
TOTAL SDC
jg
12
lleBts
$zt+u g,
* l$45 61
FIXTURE UNIT CALCUIATIOT'I TABLE: ruumner of New Fixtures X U'
For remodels, calculate only the NE[ additional fixtures)
NUMBER OF
FIXTURE TYPE NEW FITTURES
Bathtub.......
Drinking Fountain......
Floor Drain..
I nterceptors For Grease/Oil /Solids/Etc""""""""'
I nterceptors For Sand/Auto Wash/Etc"""""" " ""
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More-.,
:quivalent = Fixture Units (N(?TE:
UNIT FIXTURE
EQUIVALENT UNITS
-4-
2
1
2
3
6
2
6
b
1
3
2
1/Head
2
2
1
6
4
Mobile Home Park Trap (1 Per Trailer).""""""""'
Receptor For RefrigeratorAVater Station/Etc""""
Receptor For Commercial Sink/Dishwasher/Etc"
Shower, Single Stall......--....-
Shower, Gang.............
Sink, Bar, Commercial
Urinal, StallflVall..........
L -T-
Wash Basin /Lavatory, Single..L 2
Water Closet, Public lnstallation.-
Water Closet, Private....-E
lVliscellaneous:
TOTAL FIXTURE UNITS 2Z
cREDlr CALCUI-ATIoN TABLE: Based on assessed value. lf improvements occurred after annexation date in table'
calculate credits separates-
2 ,8\X$29 se
1
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
(Rate X Assessed Value)x$
(Rate X Assessed Value)
CREDIT TOTAL = $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
*
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
1979 or before
1980
1 981
1982
1983
1984
$2.83
2.76
2.71
2.60
2.46
2.33
1 985
1986
1 987
1988
1989
1 990
1991
$2.16
1.90
1.60
0.25
0.87
0.50
0.16
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFIC]ENT
au
?-
RESID ENTIAL
PERMIT APPLICATION
lnspections:726'3769
Of tice: 726'3759
sIDt llN(;F tLL[)9Mafl_JOB NUMBER
225 Flftlr Strccl
Sprlngfielcl, Orcgon 97477Zfr,
LocAroN oF pFroposED woRK: {lJh3 q tA.,3S \*x1
TAX LOT:
ASSESSORS
LOT:BLOCK suBDtvlstor.r: l=i5n-Mar..i-e-
lons retlucsled l>clorc 7:00 a.trt. wlll bt.
owing worl< daY.
l_l Firral l'ltrntbirrc; - Wlrcn itll
lrltrrrtbin g; worl( ls ct.rtttplctrr.
1o rcrlucst an insl.rection, you lllust call 726'3769. Thls ls a 24 hour rccortlinl;' All inspcct
madc the same working clay, inspcctlons requested after 7:00 a'ttr' will llc rnndo tlrc toll
REOUIRED INSPECTIONS
l---.] TcmporarY Electric
ll
l'_..l Site lnsPecliorr -
-[o bo made
L-J 2J1sy cxc.valio6, btrt ptior to
setlinll lorttts.
Understab Plunrbirrg / Eleclrical /
Meclrartical - Prior to cover'
Rotrglr Mccl-ranical - l'rior ltt
cover.
Rouglr Elecllical - l-tirrr lr'r
cov()r.
covcr.
Firr:rl Elr:ctrical - Wlrcn ;rll
r:lr:t:tricitl w<rt k is t;otrtlrlott:.ll
MasonrY - Stccl location, bond
beams, groutltrg.
m Foun<Jation - Alter [ortrts are
ereclcd llut Prior to conclete
placement.
tn Urrctcrgrouncl Plumtrirrg - Prior
to lilling trench'
m Underlloor Plunrbing / Mechatrical
- Prior to lnsulatiorr or dcckitrg'
Post and Beam - Prior to floor
insulation or dccl<ing.
Ftoor lrrsulation - Prior to
decklng.
[_-l Frarnitrg - l)rlor Io c()vc'r'
| _] otltcr----
Wall/Ceiling lnsulatiorr - [)tiot t(r
m
t:]
rl
Footing - nftcr trenches arc
excavated.
SanitarY Sewer - Prior to f illing
trench.
Stornr Sewcr - Prior to lillln<;
trench.
Waler Llrre - I)rlor lo fllllng
trench.
Rouglr Plumbing - Prior lo
cover.
Elcclrical Scrvicc - Mttst lrt:
apprclvctl to obtairr l)crttl;ltlollt
elcctrical powcr.
[----l Fireotaco - [)rior to lacltrgU malerlals ancl lrarnirrg lnsJr.
| 'l Firral Mecltrrriical - Wlrcn allI I rrrcclralical w(rrl( is corn;llete.
| .-l Firral Btrildirrrl - Wlrcn alll-J requitecl lnspoctiorts llavc boctr
approved and buildin<; is
<:otnpletccl.
MOBILE HOME INSPE TIONS
tl Blocking and Set'UP - Wltr:rt all
blocklrrg Is colrlPlclc.
l--1 Plurnbitrg Corrtrectiorrs - WltenlJ lrorrrC 5as ltcen COnne6te(l lo
wator and scweI.
[-l OrYwall - Prior to tapitl(J
[--l Wooct Slovo - Af tcr lnstallatit'rtl
lnsert - A(tcr firclrlace altptr-rvitl
and lnstallatlotr o( trrrit'
Curbcul & A1>Proaclt - AIlcr
forms arc creoted lrut ptior ltt
placetncrrI of concrctc.
Siclewalk & Drivew:rY - Af tt:t
cxcavati<ltt it; cotttllltlte, lorttt:i
atrd strb-lr;tsc lttatcri:tl itt pl;tt;rl
Fotrco - Wllerr c()llllll(llr'rl
Streol Tt'oas - Wllr:rl all l'rtrlttilr-'(l
trees arc plarrletl.
l' -l Electrical Cotlllecliott - \AJlrnn
| --l l.llockirl!1, sel'Lll), irtttl lrltltrrbinl;
irrslrcclions ltavc l-leotr al)provc(l
an<l tlre llorrtt-' ls cotlrtectc(J to
llte l;ctvice;lattel.
I - I Final - Altr-'r all rctlrtiretll--l inspcctlons are approve<J and
porchcs, sklrtlntl, clcc[<s, antl
vcrrtln0 ltavc been lttstallctl'
ctrY:
--
Euge]l.e-
Pr'roNti: -- 344=927 0---
srArE: - 0regon zrp: - 9.7-407'
ADDRESS: __q8_9._Ban da l l--!Lre,qt-,-_ _- --
ow N E B : __!-! g_V g _ De P,a-1
D EScR T B E wo Fr K: - Ep un-da tlol--an d-ulderf 'l oQ-r -p-lumbing o n ly f o r Iu p l ex
NEW X HEMODEL ADDITION DEMOLISIJ -o'rflEn
GENERAL: ---Stqvq Depalqrq---- -889-Randa,l-l - Street' '
ADDI-lF:SSCONTRACTOR'S NAME
PHONE
344-9?70-.
EXPIFIES
4lr0l94 -
()oNliT.
coN I rlncroR '
Eugene 59757
1)LUMBING:
MECHANICAL: ------
_ OFFICE USE -
LAND USE: - 1120
, OF UNITS. 2
CONSTN. TYI'I-' . VN
FIEnT SOUnCli: - BE
RANGE: . .-. E
I:LOOD I)LAIN:. -.
zoNlN(; CoDti:.-MDR
r ot= lJDtlMS: 2 + 2-
SECoNDA HY tlEnT: 0 -
3RNC
1
R3&M
L::91
ca h u nWNIER HEAI-E,I]: -
l;oun tl[:, t:
OUAD AREA: --
;I OF BLDGS: -
OCCY GFIOUP:.--
z OF STORIES:.-L
-E
Y
rl
E
tl
r
rl tl
Lot lat;cs
Lot sct. ltg.
Lot covcrage
Topograplty
Tolal heiglrt
Lot -ly1Ll
-- lrrterior
-__ Corncr
---* l)arrlrandlc
--. Cul-de-sac
Setb;rcks
P.L.
1 ro TllE PIIOPOSED WOFIK lN THE
I.IISTORICN L OISTRICI, OR ON
TFIE HISTORICAL REGISTER? _-
lf yes, this appllcatlon must be slgned
and approvccl by the Historical
Coor(linator prior to permit issuance.
APPROVED:
N
._9
Gnn ACC
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Tlrls permlt ls grarttcd on tlte cxpress condition that the silid
constructlon shall, in all respects, corlforrn to the Oftllnance
aclopted by the City of Springfield, including thc
Dcvr-.loprncnt Co<lc, regtrlating the construclion and trse of
buildings, and tn;ty l.rc suspenclcd or rcvol(ed at any lilno
upon violzrtion of any provlsions of said ordinances.
Rcceipt Nunrber:-.
Plarrs [lcvicwecl []y Datc
Plan Check Fee:
Date Paid
Beceivcrl By
- Foundatjon 0n1y
(A)
X $/SQ. FT.VN LUE
2 ,000. 00
Total Value
Building Perrnit Foe
Statc Surclr;rtge
Total Fee
2,000.00
- J2-.50
1. 63
34.13
BUILDING PERMIT
ITEM SO. FT.
Main
Caragc
Carport
Systerns Developrncnt Charge is due on all uncteveloped
properties wlthin tlrc City lirrrits whiclt are being inrprovecl.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(R)
ADDITIONAL COMMENTSPLU MBING PERMIT
ITEM
Fixtures
llesirlsrrtial tl;rtlr(s) N" 1 eaCh
{i;rrritrrty Scwr:r [:l'
I:EE
182.40
(c)
*IU.A0
__ -_-3-12
_ J9A-52
Plumblng Pennit
State Surcharge
Total Charge
Watcr
Storm Sewer
Mobile Honte
!:f.
Wood Stovc/ lnsert/ Fi reltlacc Unlt
Dryer Vcnt
(D)
NoVent Fan
Mcclranical Portttlt
lssuance
State Surchar0e
Total Permlt
By slgnature, I state and agree, that I have carcf ully examined
the completed alrplicatlon and do herelry certify that all
lnformation hereon is true and correct, and I f urther certily
that any and all work performed shall be done in accordance
with tlre Ordinances of the City of Sprlngfield, and the Laws
of tlre State of Oregon pertalning to lhe work describcd
lrcreln, and that NO OCCUPANCY will bc tnade of any
structurc without perrnission ot tlte Buildlrrg Safety Divislon.
I furthcr ccrtity tllat only contmctors ancl ctnployees who
arc lrr cornpliance wltlr ORS 701.055 wlll bc u:ied on thi:l
project.
I lurtlrcr agrce to cnsurc that all rcquirecl inspections :rro
rcquested at tlre proper time, that each address is rcadable
the permlt card ls locate(l at tl)c f ront
the approved sct of plans wlll rernaln
S ig nalu re
Date
Q-t6^F
lrom tlro street,
ol tlre proper an
on the site at ll r s during construction.
MISCELLANEOUS PERMITS
Moblle l-lonre
State lssuance
State Surcharge
Slrlewalk ---- lt
Curbcut ---,.- lt
Demolltion
Statc Surcharge
Total Mlscellaneous Permlts (E)
VALI DAI'ION:
NECEIPT NUMBEN
D.ATE PAID
AMOUNT R
NECEIVET)
I
TOTAL AMOUNT DUE (exclutling elcctrical)
(A, B, C, D, arrd E Cotrtbincd)
2?5.65
BYr.
IV
I'ISE
E
MECHANICAL PERMIT
Furnace
. Exhaust Hood
-ADDRESS-283 N 40TH ST 285
DESCR: DUPLEX
-OWNER_
STEVE DEPALMA
889 RANDALL STREET
EUGENE, OR 9740L
-INFO-
NEW
RESIDENTIAL
LL2O
OO1-02 g-FOUNDATIONS ONLY
OO2-OO5-PLUMBING
OO3-OO2-BUILDTNG PERMIT
OO4-OO6-MECHANICAL
OO5-087-MECHANICAL ISSUAN
OO6-013-SIDEWALK
O07 -OL?-CURBCUT
OO8-061-RES PLAN CHECK
OO9-OO4-ELECTRICAL
010-070-sDc/sroRM
011-071-SDC/SANTTARY
oL2-07 2-SDCITRANSP
0r-3-073-SDC/ADMTN
O]-4-055-REGTONAL SEWER
BUILDING DIVISION JOB# 930928
-LEGAL-LOT 18 BLOCK
LISA MARIE
0000000000000
344-9277 0
_ENERGY-
HEAT]"-BE 2-
HzO_ E
RANGE_E
INSULATION
PATH-
FINAL
-VALUE-
933L2
93O92O / 940613
-STATS-BLDG ZONE MDR
STORIES FLOODPLAIN
BEDRM OCC GRP R3
UNITS
sQ FEET t-960
CONST TYPE VN
1
2
4
2
QUAD AREA 3RNC
sEQ-REQUIRED pERMITS- -------FEE--SURCHARGE--DATE--RECPT--CAT-------VALUE
-CONTRACTORS-
GENL-STEVE DEPALMA
CONTRACTOR PHONE_344_927 O
PLMB-
ELECT-HAUCK HAMMER
MECH-
DESGN_
r-.63 93091532
t82
409
27
l_0
L4
L4
20
L70
342
875
539
87
301
50
40
00
00
00
80
80
00
00
72
16
81
88
26
9.L2 9
20.45 9
0.00 9
8.50 9
0.00 90.00 9
3 09r.5
40r-31
4013 1
40t-31
401-3r-
4013 1
4 01- 31
4013L
4 0131
4 0131
4013 1
4013 1
4 0131
LO27 6
LO27 6
LL499
LL499
LL499
LL499
LL499
LL499
LL499
LL499
LL499
Lt499
Lt499
LL499
601
510
103
520
613
6L2
500
2, 000
91 , 31_
0
2
0
0
0
0
0
0
0
0
0
0
0
t-.35 90.00 90.00 90.00 9
0.00 90.00 90.00 9
SEQ_MINIMUM INSPECTIONS + REQUIREMENTS-- -_EXP DATE---ACT DATE-
001-002-FoorrNG
OO2-OO3-FOUNDATION
OO3-02 O-UNDERGROUND PLUM
OO4_02 1-UNDERFLOOR PLUMB
OO5-13 1-UNDERFLOOR MECHAN
OO6-OO5-POST & BEAM
OO7-OOg_INSULATION FLOOR
OO8-02 6-SANITARY SEWER
OO9-027-STORM SEWER
O1O_024-WATER LINE
O ].1-02 3-ROUGH PLUMBING
O 1-2-O 3 I_ROUGH MECHANICAL
013-042-ROUGH ELECTRIC
OL4_0 A_ELECTRIC SERVICE
015-OO6-FRAMING
016-OO9-INSULATION
017-011_-DRYWALL
O 1 8 - O 9 O -DRI VEWAY/CURBCUT
019_091-STDEWALK
O2O-02g-FINAL PLUMBING
O2L_O g-FINAL ELECTRICAL
022-03 g-FINAL MECHANICAL
023-01g-FINAL BUILDING
0?4-OLA-SPECTAL NO OCCY UNTIL SEWER OK/D.
940 r_07
930924
940513
94042L
940404
94 0 31_ 1_
9403L4
940309
940309
94 0 314
940 31-8
940406
94042L
94042L
94 052 3
940523
94 0609
94061 3
BRANCH
SEQ--INSPECTTONS -COMMENTS------- -----DATE---RSLT--INSP
OO],_02 ]--UNDERFLOOR PLUMB
OO2-O2O-UNDERGROUND PLUM
OO3-OO3-FOUNDATION
OO4-042-ROUGH ELECTRIC
OO5-044-ELECTRIC SERVICE
O O 6-02 3_ROUGH PLUMBING
OO7-OO6-FRAMING
OO 8-03 I-ROUGH MECHANICAL
OO9-OO9-INSULATION
O]-O-024-WATER LTNE
OLT_027_STORM SEWER
01-2-01_l_-DRWALL
01.3-091-SIDEWALK
OL4-027-STORM SEWER
0 1 5 - 0 9 0 -DRr VEWAY/CURBCUT
0 1 6 - 0 9 0 -DRr VEWAY/CURBCUT
OL7 _O 26_SANITARY SEWER
01.8-02 g-FTNAL PLUMBTNG
O]. 9-04 g-FINAL ELECTRICAL
O2O-02g_FINAL PLUMBING
O2 1-03 g-FINAL MECHANICAL
O22_O1g-FINAL BUILDING
023-01g-FINAL BUILDING
WALLS
A/H
C/N
FINAL
930924
930924
940LO7
9403 09
940309
940311
9403L4
94 0 314
94 0 318
940404
940404
940406
94042]-
94042L
94042L
94042L
940513
94 0 516
940523
940523
940609
94 0 610
940613
WIR 28oK 28oK 25oK 50oK 50oK 28oK 38oK 38oK 38OK 28POK 28
38
46
28
46
46
38
28
50
28
OK
OK
OK
OK
OK
OK
NR
OK
OK
OK 28
59
59
NOTOK
OK
Ci,TY OF SPR OBEGO'U
225 EI,rr,E SlRBEf,
SPRINGPTELD, OREGON 97477
INSPBCTION RE0UEST: 726-3769
OPPICE: '726-3759 r)rro
SPRINGFIELE,
as submttted has the
iequire sPecilic land uoe
ETACTRI CAL PERHIT APPLICATION
City Job Nunber
BEB SCMDUI^E BELOS
A Nev Residential-Single or
MuIti-FamilY Per dvelling unit.
Service Included:
I tems
The lollowing Proiact
zoning, and does ttot
epproval.
Zonin
llar lopt
fa1.OP
IAGAL DESCRIPTION
Permi ts non-transferable and exPire
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Modular Dvelling
Servlce or Feeder
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 0nIY
200 amps or less
201 amps to 400 amPs
-
Over 401 to 600 amps
0ver 600 amps or 1t)O0 voTI
Cost Sum
g Bs.oo l-cc"
$ 1s.00
$ 40.00
$ 40.00
$ ss.0o
$ 80.00
s see rrBrr aE6G-
cog
if work is not started vithin 180 days
of i""u"nce or if vork ls suspended for
180 days.
2. COI.IITACTOR INSTALI,ATION ONLY
Electrical Contracto r f[*.
Address a
,,,,'a i 'i,,
B
c
D.
00
00
00
00
00
00
50.
60.
100.
130
$
$
$
$ci ('\?b
Supervisor License Number $300(')$40
Expiration Date
Constr Contr. Number
Expiration Pate ,-3-9 Y
Slgnature of Electrician
Owners Name
Address
Temporary Services or Feeders
Installation, Alteration or Relocation
, ^.-
a Branch Circuits
Nev, Alteration or Extension Per Panel
one Circuit S 35'00
Each Additional
Circuit or vith Service
or Feeder Permit
-
$ 2.00
Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/OutIine Light ing-
Limited Energy/Res
Limi ted uner[y/comm
-SUBTOTAL OP ABOVB
5Z State Surcharge
TOTAL
27
Phone 2D
The installation is beirig made on
ptop".ty I ovn vhich is not intended
for sale, Iease or rent.
Omers Signature:
Ci ty
OgNER
DATE:
B
5
$ 40.00
$ 40.00
$ 20.00
s 36.00
RECEIVED
phone 7'i'( lttJ
le/ti L/U"i
)
@