HomeMy WebLinkAboutPermit Building 1992-12-16SPRING':IELf,
.{ESIDENTIAL
PERMIT APPLICATION
lnspections: 726'3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
Zfi,
JOB NUMBER
225 Fifth Stree
Springfield, Oregon 97477
*n 5ttuf
ASSESSORS MAP:t747'-E 7 TAX LOT:
LOT:
-
BLOCK:SUBDIVISION:---
STAI'E:
+
PHONI-::7L/b-LlqZg
ZIP:6 -7q7K
I
C\JCITY:
ADDRESS:
OWNER SL
S. ,tbil
*=w X REMoDEL ADDtrtoN DEMoLtsH orHER
,*<aDESCRIBE WORK:
CONTRACTOR #
12s, nD{ADDRESS
€d. tfr.i
CONST.
+cL
Cc
EXPIRES
/-q
PHONE
-Eoc6
CONTRACTOR'S NAME
GENEFIAL:
LlLr.*
ELECTRICAL:
PLUMBING:
MECHANICAL:
EU
RANGE:\^/ATER HEATER:
_ OFF
* OF BLDGS:
QUAD AREA:
# OF BDRMS
SECONDARY HEAT:
SOUARF. FOOTAGE:
CONSTR. TYPE:
HEAT SOURCE:
LAND USE:
# OF UNITS
OCCY GROUP:
* OF STORIES:
FLOOD PLAIN:
ZONING CODE
To request an lnspectlon,'you must call 726-3769. This ls a.24 hour recording. Ali inspections requested before 7:00 a.m. will be
made the same working day, lnspections requested after 7:OO a.m. wlll be ntade the following work day.
REOUIRED INSPECTIONS
l--l remporary Electrlc Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumblng work is complete.
Site lnspectlon - To be made Rough Electrical - Prior to Final Electrlcal - When all
electrical work is complete.after excavation
setting forms.
, but pri or to cover.
Unde trical/Electrical Service - Must be
approved to obtain permanent
electrical power.
Final Mechanical - When all
mechanical worl( is complete.o
Footing - Alter trenches are
excavated.Fireplace - Prior to faclng
materials and framing lnsp.
Final Building - When all
required inspections have been
approved and building is
completed.Masonry - Steel location, bond
beams, grouting.
Otherndation - After forms are
erected but prior to concrete
placement.Wall/Ceiling lnsulation - Prior to
cover.
Underground Plurnbing - Prior
to filling trench.Drywall - Prior to taping
MOBILE HOME INSPE TIONS
UnCerilcor P!urnblng J Llcchet:ica!
- Prior to insulation or decking,Wood Stovr: - After in:itallalion
Posl and Beam - Prior to floor
insulation or decl<ing.
locking ancl Set.Up - When all
lnsert - After fireplace approval
and installation of unit.
blocking is complete.
Floor lnsulalion - Prior to
decking.[-' t Curbcut & Approach - Afteru forms are erected but Prior to
placement of concrete.
Plumbing Connections - When
home has been connected to
water and sewer.
ary Sewer - Prior to filling
trench.lIIl Electrical Connection - When
tr--\plocking, set-up, and plumbing
inspectlons have been approved
and the home is connected to
the service panel.
Storm Sewer - Prior to filling
trench.
[--, Sitlewalk & Driveway - AfterL---' excavation is complete, forms
and sub-base material in place.
er Llne - Prior to filling Fence - When completed.
trench Final - After all required
spections are approved and
Streel Trees - When all required
trees are planted.
porches, skirting, decks, and
venting have been installed.
Plumbing
Rough Plumbing - Prior to
cover.
J
4
\
E
E
E
E
E
E
tl
l-_| Framing - Prior to cover.
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Typ(
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Serlla<;IS THE PROPOSED WORK IN THE
HISTOFIICAL DISTRICT, OR ON
THE HISTOBICAL REGISTE
lf yes, this appli cation must be signedand approved by the Historical
Coordinator prior to permit issuance.
APPFIOVED:
PL.G ACC
E
N
H.SE
S
VALLIE
(*w
_Tm
d
(p.)
lue
BUILDING PERMIT
SO. FT. X $/SQ. FT,ITEM
Main
Garage
Buildlng Permit Fee
State Surcharge
Total Fee
BUILDING VALUE, PLAN CHECK
JiND BUILDING PERMIT
This permit is granted on the express condition that the saidconslruction shall, in all respects, conforni to the Ordinance
DatePlans Reviewed By
buildings, arrd may be sus ended or
adopted by the Cit f Springfield, incl ng theDevelopment Code, regul ng the constru and use of
ordinances.
Plan Clreck Fee:
Date Paid
Beceipt l.lum
at any time
onsupon violation of any
Recei
SYSTEMS DEVELOPMENT CHARGE (SDC)(B) fuErrt+-
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
oo
FT.
N0
FT.
oo
FT.
Plumbing Permit
State Surcharge
Total Charge
PLUMBING PERMIT
ITEM
Fixtu res
ADDITIONAL COMMENTS
-t\>'k2
doTe
r*r.c{, lBc-!O rce
MECHANICAL PERMTT
Furnace
Exhaust Hood
Vent Fan No
Wood Stove/ lnsert/Fireplace Unit
Dryer Verrt
tE-{
Mechanical Permit
lssuance
State Surcharge
Total Permit
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
By signature, I state arrd agree, that I have carefully examined
tlre cornpleted application and do hereby certify that all
information here<-rn is true and correct, and I f urther certify
llrat any and all vrork perfornred shall be done in accordance
with the Ordirrances of thc City of Springfield, and the Laws
of the State of Oregorr pertaining to the worl< described
herein, and that NO OCCUPANCy wilt be made of any
structure without permission of the Building Safety Division.
I further cerlify that only contractors ancl employees who
are in compliance with OFIS 7O1.O5S will be usecJ on this
proit--ct.
I filrther agrce to ensure that all required inspections are
ferl;lesicri ,t tlrrr rlr,.tri.r; ii,:r:, that e:C!: adCiCSS lC r.Cad:,ibig
f:,rrn thn strcel, that the |')ermit card is locatecl at the front
of tlre
on the
and the approved set of plans will remain
SI times d n s,l ru6lion
Signature
Date
(D)
oo
5
TOTAL AMOUNT DUE (exctuding etectricat)
(4, B, C, D, and E Combined)
2DATE PAID
AMOUNT RECEIVED
RECEIVED BY
VALIDATION:
RECEIPT NUMBER
-g
SPFlIh.GFIELC)
RESID ENTIAL
PERMIT APPLICATION
lnspections:726'3769
Office: 726'3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP
LOT:
JOB NUMBER ??/%1
225 Fifth Street
Spri ngfield, Oregon 97477
TAX LOT:G:/az>
SUBDIVISIONBLOCK:
PHONE:
ztPSTATE:
2/a'
CITY:
ADDRESS:
OWNER
NEW -=- REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WORK
ELECTRICAL:
PHONEEXPIRESADDRESSCONTRACTOR'S NAME
MECHANICAL:
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
RANGE:
* OF BDRMS:
- OFFICE USE _
LAND USE
WATER HEATER:
FLOOD PLAIN:
ZONING CODE
SECONDARY HEAT:
SQUARE FOOTAGE:
OUAD AREA:
# OF BLDGS
OCCY GROUP:
# OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
# OF UNITS:
-
To request an inspection, you must call 126-316q This is a 24 hour recording. All inspections requested before 7:00 a.m. will be
made the same working day, inspections requested after 7:00 a.m. will be made the following work day.
REQUTRED INSPECTIONS
[_-l Temporary Electric
ll
Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing work is comPlete.
Site lnspection - To be made
after excavation, but Prior to
setting forms.
Rough Electrical - Prior to Final Electrical - When all
electrical work is comPlete.cover
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.
Electrical Service - Must be
approved to obtain Permanent
electrical power.
w Final Mechanical - When all
mechanical work is complete.
Footing - After trenches are
excavated.Fireplace - Prior to facing
materials and framing InsP'
Final Building - When all
required inspections have been
approved and building is
completed.Masonry - Steel location, bond
beams, grouting.Framing - Prior to cover.
Other
Foundation - After forms are
erected but Prior to concrete
placement.
Wall/Ceiling lnsulalion - Prior to
cover.
Underground Plumbing - Prior
to filling trench.[--l Drywall - Prior to taoing
MOBILE HOME INSPE TIONS
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.Wood Stove - After installation
Post and Beam - Prior to floor
insulatlon or decking.lnsert - After f irePlace approval
and installation of unit.
Blocking and Set.UP - When all
blocking is complete.
Floor lnsulation - Prior to
decki ng.Curbcut & ApProach - After
forms are erected but Prior to
placement of concrete.
Plumbing Conneclions - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.Electrical Connection - When
btocking, set-up, and Plumbing
inspections have been approved
and the home is connected to
the service panel.
Storm Sewer - Prior to filling
trench.
Sidewalk & DrivewaY - After
excavation is comPlete, forms
and sub-base material in Place.
Water Line - Prior to filling
trench.
l--l Fence - When comPleted
Final - After all required
inspections are aPProved and
porches, skirtlng, decks, and
venting have been installed.Rough Plumbing - Prior to
cover.
Street Trees - When all required
trees ar(l Planted'
r
E
E
tl
E
tlr
tl
E
E
T E
tl
r
E
r
P.L.HSE GAR ACC
N
S
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
-
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
rb
BUILDING PERMIT
ITEM SQ. FT.X $/SO. FI.VALUE
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee (A)
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express conditior-r that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development Cocle, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Plan Check Fee:
Date Paid
Receipt Number:-
Received By
Plans Reviewed By Date
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
PLUMBING PERMIT
ITEM
Fixtures
Besidential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
N0
FT.
FT.
FT.
Plumbing Permit
State Surcharge
Total Charge (c)
ADDITIONAL COMMENTS
MECHANICAL PERMIT
Fu rnace
Exhaust Hood
Vent Fan N0
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
,nV--Z$'f
Mechanical Permit
lssuance
State Surcharge
Total Permit
aD
(D)
.)*-2(f
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 certify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springf ield, 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 {urther certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on this
project.
I f urther agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from the street, that the permit card is located at the f ront
of the property, and the approved set of plans will remain
on the site at all ti es during construction.
Signature
Date 3- tl-1 3
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)
VALIDATION:
RECEIPT NUMBER
DATE PAID
AMOUNT RECEIVED
BECEIVED BY
-
4 2?za
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
I- I HE PROPOSED WORK IN THE
I]ISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTEFI?
-
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
5t.a ui'a(;l: tI:LtJ
I
0lr,
1. LOCATION
225 I'IFTII STRI.:IiT
SI'IUTIGFIELI), ORt.:G oN 97477
INSPBCTION RBQUIIST z 726*3769
OFPICE: 7?.6-3759
L PIN}IIT APP LICATION
R Ci ty Job Number 9etu
COHPLBTU t'BB SCIIEDULB BBLOV
A. Ner.r Res ent a I-Single or
HuItt-FamiIy per dvelling unit.
Service fncluded:Items Cost
1000 sq.ft. or less
Each additlonal 500
scl. ft or portlon
thereo f
Each Manuf 'd llome or
Mo<lular Dvelling ,
Service or Feeder
$ 8s.00
Services or Feeders
Installation, Alterations or
Reloca t ion:
200 amps or less
2Ol.ranrps to 400 amPs
-
401 amps to 600 amps
-
601 amps to 1000 amps-
Over 1000 amPs/volts
-
Reconnect 0nIY
t-|u Z OI. INSTALI,I\TION"'iI.:;5-4t .@J
ized Signature.
LEGAL DESCRIIIT'ION
1r '2 ?) 42 0bt a
JOB DESCTTI
Pcrnrits are non-transferable and expire
it vork is not started vlthin 180 days
o[ lssuance or lf work ls suspended for
180 days.
2. CO}NTIACf,OR IN:;TALI.ATION ONLY B
rilccrrical conrrac t.orvl'Lln llo €lzcra tc
Add r:ess ?e{h/ 2 st0
ciry E ctfe n e. r'l'tone {tg-3137
Supervisor License Ntinrber oJ
Expiration Date -/-7f,c
Constr Contr. Numbe r g oO
E>:p iration Date
ure o ng Bleetrician
D
crs Name
Ci tY--- I'honrt- -
TemporarY Services or Feeders
intiuftuiton, Alteration or Relocation '
200 amps.or less $ 4q'99
,oi ;;; to /roo amps
- I :t'99
orur abr to 6oo amps -_ $ go:99
0ver 600 amps or fbOO-GTIs see rrBrr above
Branch Circults
New, Alteratlon or Extenslon Per Pane}
-Each installation
Sisn/Outline Lighting.-
l-imi ted EnergY/Res -
One Ci rcui t
Each Addi tional
Circuit or vith service
or Feeder Permi t _-
s 3s.00
s 2.00
l,liscellaneous(Service/fee<lernotincluded)
--l- s 4o.oo Lano
4O o
Sum
$ 15.00
OVNIIN INS'TALLATION
The installation is being made on
Dfoperty I ovn vhich is not intended
ior-sale, Iease or [ent'
0vncrs Signature:
$ s0.00
s 60.00
$100.00
$130.00
$300.00
$ 40.00
s 40.00
s 40.00
s 20.00
s 36.00
S. SIIBTOTAL OP ABOVB
iI stutu surcharge
TOTAI,
,).
o'lrn,
R[C[.I
i,.ll12
\\\{.IiIvIil) I\Y
E
o
The tollowing prc,j,"ct ae
o*"_fu.J_-
L1 -.\
CITY OF OREGO'V
SPRINGFIELD
DEVELOPMENT SERVICES
PUBLIC WORKS
M ET RO PO LITAN WASTEWATE R M AN AG E M ENT
As required by the City of Springfieldthat vith the approval of the attached
manufactured homes vill be placed atSpringfield, Oregon, City Job Number
e I Manufactured Home.
un t an enc osethat has a nominal roof pividth, that has no bare mecertified by the manufactr,r
meeting performance standa
vith an enilosecfTloor ar-eaa nominal roof pitch of 2 fthat has no bare metal sidi:
- Manufactured Home blocking
- Vater line connection
- Street tree standards
MANUFACTURED I]OME SET-UP AGREEMENT
Developme Code, f understand and agree
rm ts f Iovi
225 FIFTH STREET
SPRINGFIELD, OR 97477
(50s) 726-s753
nt
one
t
A multi-sectional (double vide or wider)r area of not l-ess than 1,000 square feet,tch of 3 feet in height for each 12 feet inta1 siding or roofing, and that has beenrer to have an exterior thermal envelope
r:ds vhich reduce heat l_oss to levelsequivalent to the performance standards required of singre familydvellings constructed under the State Specialty Codes.
Type fI Manufactured Home.A unit of not less than 12 feet in vidthof not less than 500 square feet, that haseet in height for each l_2 feet in vidth andng or roofing.
I _further state, by my signature belov, that I have been provided vith thefolloving information :
- Sanitary sever connection
- Electrical connection
- Minimum requirements for permanent steps
I also understand that if I am installing a Type I Manufactured Home, the homeshall be enclosed at the perimeter vith stone, brick or other masonry materials,and vith no more than 12 inches of the enclosing material exposed ablve grade.-'
/b 7 C-'
te
_J_
JoB N0. nzr(@bl
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(G0MMERCTAL & RESTDENTTAL)
NAME OR COMPANY:LD c.a uA Lee Kruco RE
L0CATIoN: 4b *. +brts Sr
DEVELOPMENT TYPE:
ttorr€ ' OAg+ac-r
BUILDING SIZE:1-tol-*o, tZ*z* LoT SIZ F
t STORM D RAINAGE
IMPERVIOUS SQ. FT
c oE(
x $0.192 PER SQ. FT.
X $39.78 PER PFU
sQ. Ft.
2. SANITARY SEWER-CITY
NO. OF PFU'S
(See Reverse)
3 TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
I X \.oo6 X $401.0s
x _ x $401.05
x x $40I.05
ADMINISTRATIVE FEES
BASE CHARGE (SUBT0TAL AB0VE) X .05
$
SUBToTAL (ADD ITEMS 1,2, & 3)$ l?-140!
$
4
5
s l*{ 219
-4--
SANITARY SEWER-MWMC
NO. OF PFU'S Ib
(Use PFU Total From Item 2 Above)
Mt,lMC CREDIT IF APPLICABLE (SEE REVERSE)
,-0-
Ki p Burdi ck
SDC Coordinator
$I3.62 PER PFU + $10 MhIMC ADMIN. FEE $ zrrtyY
TOTAL-MI,JMC SDC
TOTAL SDC
7-5+qb
-T lt"o.-l
o6
b,619
,
lbt-
I
TOTAL-CITY SDC
FXTUREUNITcALcUtA.I.JNTABLE:NumberofNewFixturesX
For remodels, calculate only theNE[ additional fixtures)
NUMBER OF
NEW FI)CTURES
FI)CTURE TYPE
.it Equivalent : Fixture Units (NOTE
UNIT
EOUIVALENT
nexation date in table'
-a-
Bathtub.....-.
Drinking Fountain""'
Floor Drain.
i nl"-t""pioo For G rease/O il /Sol id s/ Etc" " " " " " " "'
i "i"i""p,.* For Sand/Auto Wash/Etc"""""""""
Laundry Tub/Clotheswasher""""""'
Clotheswasher - 3 Or More"""""""""i"""""""""
il;;il;H;re Park Trap (1 Per Trailer)"";:"""""
iiJJ"p,o'ior Ref riserato'4ry{"1^?t3'::1ll'"" " "'
H"""p,.t For Commerciai SinxToishwasher/Etc"
Shower, Single Stall""""""'
Shower, Gang-.--"""'
Sink, Bar, Commercial
\
2
1
2
3
b
2
6
6
1
3
2
1/Head
2
1
6
4
Urinal, StallflVall""
Wash Basin/l-avatory, Single"""""
Water Closet' Public lnstallation"
Credit for Parcel or l-and Only lf Applicable
lmprovement (if after annexation date)
(Rate X Assessed Value)
L
7-
TOTAL FIXTURE UNITS
x$
x$
Water Closet, Private""""'
Miscellaneous
CREDIT CALCUI-ATIoN TABLE: Based on assessed value' lf improvements occurred after an
calculate credits se
(Rate X Assessed Value)
CREDIT TOTAL = $
Year
Annexed
Rate Per $1,000
Assessed ValueYear
Annexed
Rate per $1,000
Assessed Value
1985
1986
1987
19BB
1989
1990
1991
$2.1 6
1.90
1.60
0.25
0.87
0.50
0.16
1979 or before
1980
1981
1982
1983
1984
$2.83
2.76
2.71
2.60
2.46
2.33
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
0.4
0.9
Residential..
Commercial
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
F]KTURE
UNITS
\t
t-
L
2
a
ta
\
i
IN C0NSIDERATI0N of thereferred to as City, andreferred to as Applicant
covenants herein _recited, the city of springfield, hereinafterDona'ld c. and ,Li I a L. K'i l=ggye , herei nirt.,, do covenant and agr
IMPROVEMENT AGREEMENT
sewers; ( )reet trees;
sanitary sewers;(x) street I 'ights ;
cu s;
) sidewal ks.
|,JHEREAS Applicant desires Development Approval from city; and
WHEREAS, EDY future-development wjthjn City or withjn C'ity's Urban Growth Boundary locatedin Lane County will cause' both an immediite and long-ttrm iemana on tr,J-ririou, publ icfacjlitjes of Cjty and Lane County;
Nold THEREFoRE, Appljcant and C'ity agree to the fol'lowing schedule of public facitityimprovements and respective cost alsum-ption policy:
STREET IMPROVEMENTS along the frontage ofjnclude: (x) surface paving; (x) itorm(x) gutters; (x) planter stiipsi 'trl st
to
(x)
(x
TRAFFIC SIGNALS at the intersection of n/a
OTHER IMPROVEMENTS
LEGAL DESCRIPTI0N: (P1ace here or see Attachment A)
Lot 35 of E. H. HINSHAT'I PLAT_jn Springfield, _0regon as recorded and platted in Book 12,Page 20, Lane county Oregon plat Records iir Lane courity, o".gon.
ADDITIONAL INFORMATION :463 and 485 South 45th St t 17 02 32 43 06100
Tax Lot No.Property Address
IT IS UNDERST00D that th'is agreement js enforceable by the State of gregon, Lane County or
Ci ty.
IT IS FURTHER UNDERSTOOD that Appl icant agrees to s'ign any and all wa'ivers, petit.ions,
consents and all other documents necessary to obtain the-above listed improvements under anyimprovement act or proceeding of the State of 0regon, Lane County, or Ci{y as may be proposeior adopted by the State of 0regon, Lane County orCity and to waive all iight t6 remonsirate
against such.improvements, but not the right to protest the amount or manner of spreading the
assessment thereof, 'if the same shall appear to Appficant to bear inequitably or unfairly
upon said property of Applicant;
NOl,l THEREF0RE, City agrees that Applicant's execution and performance of the terms of th'is
Agreement will be deemed to be in compfiance with Cjty's policy pertaining to improvement
requ'irements, and if Appl jcant compf ies in every respect w'ith all other appl'icable laws ofthe State of Oregon, Lane County and City, the said Applicant shall be entitled to
Devel opment Approval ; and
IN ADDITI0N, it is the intent'ion of the part'ies hereto that the covenants herein containedshall run with the land herein described, and shall be bjnding upon the heirs, executors,
assigns, administrators, and successors of the parties hereto, and shall be construed to be
a benefit and a burden upon the property herejn described. This Agreement shall be recordedjn the Lane County Deed Records.
WHEREF0RE, the parties have set thejr hand and seal thjs 16 day of December 19 92
By Bytoi'ic or p c t
STATE OF OREGON By
ca
COU
0n
ved ocument.Donald C. Kilgore and Lila L. Kilgore
l4y Comm ion Expi s01 0194
CITY OF SPRINGFIELD - PUBLIC WORKS DEPT. - 225 FIFTH STREET - SPRINGFIELD, OREGON 97477
t)
)ss
)NTY OF LANE
th'is r e *r
ned the abo
day of December , 1992 , there persona'l1y appeared before me and
i]
/
n/a
5t.tilraL:l:ll:LL,
fhe loll
zoning
approv
0i!
_d
225 I]ITIII STRI|I|T
SPTUNGFIELI), oHI|GON 97477
INSPBCTION REQUIIST z 7?.6-37
oFPICE: 7?.6-3759
1 I
ON
J
Pcrnri ts arc
i f vork is
-transferable and ex e
not started vlt hin 180 days
of issuance or tf vork ls suspen<led for
180 days.
2. CO}n"RA TOR INI;TALI.ATION ONLY D
rilccrrical conrrac tofly'{llnyo €lecrate
A<Jctr:ess ? e {h/ 2 tt0
ciry € cq ft n e . _ t'hone t/t-{ -313 7
Supervisor License Ndnrber ne6oS
Exp iration Date -/a _/ _ 7f
Constr Contr. Number A86ao
E>:piration Da te , ' ?3^7 3
i
69 ,"1-)_:lIl-ft City Job Number
Authorized Sig 59. coHPLBTIi tBB scnEDULB BIlLov
PBIt}'IT CATION
A. Nev Residential-Sing1e or
HuItl-FamiIy per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additlonal 500
sq. ft or portlon
thereo f
Each Hanuf 'd llome or
Hoclular DweIIing
Service or Feeder
$ 8s.00
$ 15.00
Services or Feeders
fnstallation, Alteratlons or
Reloca t lon:
200 amps or less
2Olranrps to 400 amps
-
401 amps to 600 amps
-
601 amps to 1000 amPs-
Over 1000 amps/volts
-
Reconnect 0nly
One Ci.rcui t
Eactr Additional
$ 35.00
-Each installation
Plrmp or irrigation
Sign/0utIine Liglr ting-
Limi ted EnergY/Res
-
Limi ted EnergY/Comm
Sum
$ 40.00
00
00
00
00
00
00
50
60
100
130
300
40
$
$
$
$
$
$
c Temporary Services or Feeders
Installatlon, Alteration or Relocation '
200 amps.or less $ 40.00
201 amps to /r00 amps $ 55.00
Over 600 amps or 1000lo1ts see [0. above
Branch Circui ts
Nev, Alteratlon or Extenslon Per Panel
J ture o
ners Name
A<ld rcss
1S ng ectrician
trr-,'
D
Cl ty ?DAr{-I'honc__T__\_-:
OVNIIII INSTALLATION
The installation is being made on
property I own vhich is not intended
for sale, Iease or rent.
Osners Signature:
Clrctrit or vith Service /) COor Feeder permir / S 2.00 \l/ _.
E. l'tiscellaneous (Service/feeder not included)
$
s
s
s
00
00
00
00
40.
40.
20.
5. SmroTAt or AItovB
5f State Surcharge
TOTAI,
olirs:
RICNI
Ir
t/)I
rili('1.:I vl:t) IIY
36 d-
I
\
Ja4{t&qaUrq
M E M ORAND UM City of springfield Planning Division
llednesday, Decenber 2, L992
T0: Dave Puent, Community Serviees Manager
FROM: Greg Mott, Planning U^n^g,"{#
SUBJECT: Manufactured Dvelling set-up for Dixie Huffman
Dixie Huffman viII be applying for a partition of a lot near the intersection of
Daisy, 46th and union sireets so
-that a murti-sectional manufactured dvelling can
be sited on tt,is'pirp;;;t. -rniti"iiv, Dixie vas considering a hardship permit'
but she could "oi
-"on?ot, to the limitations of that eode provision'
Because speed in processing.is a critical consideration for Dixie (her parents
have novhere to live), I have "gt"LJ*to-al1ow the placement of this unit
contingent upon her simultaneous- tufiriit"f of an applicatlon for minor partition'
I,m not authorizing this action vithout cause or preeedent: the parcel is more
than large enough to partition, "a;U ve iffo*ea a similar arrangement for the
;;;";ry-; the iorthvelt corner of Aspen and llalnut'
Dixie understands that she is obligated to obta.in final- plat approval as quickly
as the process "11or". I have rro ieason to believe this von't occur'
If you have any questi'ons feel free to ask'