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Home My WebLink AboutPermit Miscellaneous 1991-9-16 225 FIITH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. >- LOJCt~i OO{ IPrytlfrll.C)h ~ _ r-1^b3SMf~ CJlo?dJ ~QB., DESCRIPTION --4 A , I \ N ~'lO.n) ~ Jf .vl. Permits are non-transfe~le and expire if work is not started within 180 days of issuance or if work is suspended for '180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Heritaae Elect Address 855 West 24th Avenue City Euaene Phone 344-1500 Supervisor License Number 9455 Expiration Date 10/1/ Constr Contr. Number 63137 Expiration Date 12/27/ Signature of Supervising Electrician ~ lU, ~~ 'J<f~-5 {.. Owners Name Address City Phone OIINER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Ovners Signature: - --------.~.,-----i~-------.--.----- DATE: 0.... \ C\. \ - r:;. RECEIPT I: -:- i-,....,.~ - - c<J',~ RECEIVED BY: 1..:7_' i-.- ) l...~./ J sp.aINGFIELD 3. ~ ELECTRICAL PERMIT APPLICATION City Job Number ql (Y1J 1) New Residential-Single or ~ :::::.: ::::,::~:.". . Service Included: A. Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular Dvelling A Ed Service or Feeder $ 40.00 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 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see "B" above D. Branch Circuits New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 5. $ $ $ $ 91]. CD s-'A .& 40.00 40.00 20.00 36.00 SUBTOTAL OF ABOVE 5% State Surcharge TOTAL \ DEVELOPMENT SERVICES PUBUC WORKS METROPOUTAN WASTEWATER MANAGEMENT 225 FIFTH STREET SPRINGFIELD. OR 97477 (503) 726.3753 MANUFACTURED HOME SET-UP AGREEMENT As required by the City of Springfield that with the approval of the attached manufactured homes will be placed at Springfield, Oregon, City Job Number Development Code, I understand and agree permits, one of the following' ~ tf1rffJl YYl.{1.J7> 1 )( I)^ G( { }. o Class A Manufactured Home. A manufactured home of not less than 24 feet in width and 16% (not less than 2:12) roof pitch, with exterior dimensions enclosing a space of at least 960 square feet, with roofing and siding materials that are commonly used or compatible with site built homes. o Class B Manufactured Home. A manufactured home of not less than 12 feet in width and 16% roof pitch, with exterior dimensions enclosing a space of not less than 500 square feet, with roofing and siding materials that are commonly used or compatible with site built homes. I further state, by my signature below, that I have been provided with the fol1owing'information: - Mobile home blocking - Sanitary sewer. connection - Yater line connection - Electrical connection - Street tree standards - Minimum requirements for permanent steps , ~L~ ')IJflA. Signature ~ Date Lot face"s Lot Type I tot sa. ltg. Interior Lot coverage Topography Corner Panhandle Total height Cul.de-sac BUILDING PERMIT Setbacks HSE GAR'ACcl I . I P.L. IN Is I.w IE ITEM sa. FT. X S/SO. FT. = VALUE !)O ,Ldq_~ Main Garage Carport Total Value Building Permit Fee Slate Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (~DC) (B) , _ ':~:i3~~27 PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary Sewer Waler FT, FT. FT. Storm Sewer Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaur.1 Hood Vent Fan N' Wood Stove/lnsert/Flreplace Unit DryrJr Vent Mechanical Pel':nlt Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sldewal < -2.L2. It Curbcut It Demolition State Surch~rge Total Mlscel,anecus Permits (E) TOTAL AMOUNT OUE (exclodlng eleclrlcal) (A, B, C, 0, a~d E Combined) FEE rQ3 &5 .~ 'J::),CD ?J.~ -1~,T5 f7) ~~ t5J) &L=1D o7q,~5 " '... ~~... i..'~ .. , IS~ PROPOSED WORK 1/'1 THE" HI~RICAL DISTRICT, OR ON . THE HISTORICAL REGISTER? If yes. this application must be signed and approved by the Hlslorlcal Coordinator prior to permit Issuance. I . ;' I I APPROVEr.. BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on Ihe express condition that the said construction shall, In all respects. conform 10 the Ordinance adopled by Ihe City of Sprlnglleld. Including the Development Code, regulating the construction and usa of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordlnancos. Plan Check Fee: Date Paid: Receipt Number' Received By: Plans Reviewed By Date Syslems Development Charge Is due on all undeveloped properties within the Clly limits which are. being Improved. . ADDITIONAL COMMENTS By signature, I state and agree, thai I hav~ carefully examined the completed appllcallon and do hereby certify that all Information hereon Is true and correct, and I further certHy that any and all work performed shall 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 without permission of the Building Safety Division. I further cerllfy that only contractors and employees who are In compllanc.e with ORS 701.055 will be used on this project. I further agree to ensure that all required Inspections are requested at the proper lime, that each address Is readable from the sireet, that the permit card Is located at the front of the property. and the approved set of plans will remain on the site at all limes during construe lion. / Signature 1!UnrJ.--/)JUll7UUI.1JiY/, A1fI Oat... VALIDATION: ~"hr RECEIPT NUMBER 1"'.\ 'X \C~ l':J,:)~ . DATE PAID r..~p,~'. t) I _ ''X7?Y ,CXJ AMOUNT RECEIVPf _ -~. RECEIVED BY M k f\a. ..~~. '. '~."( -RESIDENTIAL . PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 ASSESSORS MAP: LOT' OWNER' Lochaven Partners ADORE"'''' 1199 N. Terry St. Eugene CITY' DESCRIBE WORK' Mobile Home set UP NEW x REMODEL ADDtTtON CONTRACTOR'S NAME Ernie & Son's GENERAl' PLUMBING' Harrison Construction MECHANICA' . ELECTRICA' . Ernie & Son's Herita2e Electric SPRINGFIELD BLOCK: STATF' OR JOB NUMBER q l en ill 225 Fifth Street Springfield. Oregon 97477 (' /Jt.{t? T TAX LOT: N/A ()lo~rlJ SUBDIVISION' Lochaven PHON~' 688-9123 If. .~ 974or~ 'I ZIP' . OTHER M.H. Accessorv Value $ IW- . Value $~, LfCl'X DEMOLISH' ~ Concrete strin2ers - ADDRESS 87922 LaPorte Dr.. CONST. CONTRACTOR . EU2. 41497 20-236PB EXPIRES 2/2/92 PHONE 484-6505 689-7762 484-6505 344-1500 1441 N. Hwv. 99 87922 LaPorte Dr.. EU2. 855 \~. 24th 20-280C/63137 41/197 2/2/92 \ R~JlO. - OFFICE USE - OUAD AREA: LAND USE: \\~n FLOOD PLAIN' . OF UNITS' tf)~ . OF BLDGS' ZONING CODE: OCCY GROUP: \'~ CONSTR. TYP~' . OF BDRMS: ,~ . OF STORIES' \ HEAT SOURCE: ~'E- SECONDARY HEAT: WATER HEATER: ?../ RANGE: 'fJ SOUARE FOOTAGE: To request an Inspection, you must call 726.3769. This Is a 24 'hour recording. All Inspections requested before 7:00 a.m. will be made the same working day, Inspections requested after 7:00 a.m. will be made the fOllowing work day. REQUIRED INSPECTIONS D Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. K-7l'JFoOUng - After trenches are ~ excavated. D Masonry - Steel location, bond beams, grouting. o Foundation - After forms are erected but prior to concrete placement. D Underground Plumbing - Prior to filling trench. D Underfloor Plumbing/Mechanical - Prior to Insulation or decking. D Post and Boam - Prior to floor Insulation or decking. o Floor InsulaUon - Prior to , deckl ng. r-z${ Sanitary Sewer - Prior to filling Cf-J trench. , ~torm Sewer - Prl'or to filling 4 trench. rp Water Line '~-Prlor to filling trench. ,~ - .- ; . D R6ugh Plumbing - Prior to cover. D Rough Mechanical - ~rlor to cover. D Rough Electrical - Prior to cover. o Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing lnsp. D Framing - Prior to cover. D Wall/Celllng tnsulaUon - Prior to' cover. D Drywall - Prior to taping. D Wood Stove - After Installallon. D Insert - After fireplace approval and Installation of unit. o Curbcut & Approach - Aller forms are erected but prior to placement of concrete. ~Sldewalk &.Drlveway - After l.f-J excavation Is complete. forms .and sub.base material In place. D Fence - When completed. D Street Trees....: When all required' trees are planted. D Final Plumbing - When all plumbing work Is complete. D Final Elactrlca. - When all electrical work Is complete.' o Final Mechanical - When all mechanical work Is complete. o Final BuildIng - When all required Inspections have been approved and building Is completed. DOther MOBILE HOME INSPECTIONS KZzpslocklng and Set.Up - When all T blocking Is complete. fPIUm3Jng Connecllons - When home has been connected to water and sewer. ' ~Iectrlcal Connection - When locking, set.up. and plumbing Inspections have been approved and the home Is connected to the service panel1 ~Inal - After all required 9..lnspecUons are approved and. porches. sklrUng, decks: and venting have been Installed. . . Fi:nure Unit Calculatio:l Tabh: ::cc,~er d r,e'.' Il:-:t'.1reS r.'Jltiplied by \!:lit equivalents. MITS: For re;:-,cd~ls, cclCJl:.te c.nly the ::;:;T cedi tic~al fi:-:t"res. Fixture Type ~ 0f Fi:-:t'JfeS Unit Squbalents Fb~t'Jre l!nits 3a t h t \I b. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Drinking fountain......................... Floor drain............................... Interceptors for grease/oil/solids/etc.... Inteiceptors for sand/auto vash/E:c....... Laundry tub/clothes ~asher..... ........... Clothes ,,'asher (3 or more)................ Kobile home park tiap (1 per ~.3.)........ Receptor for refrig/~ater static~/etc..... Receptor for Coc~er sink/dish~s~::etc..... Shover, single stall......... ............. Sho...er, gang (per head)................... Sink, bar, com~ercial.... ..... ............ Sink, commercial/industrial/etc........... Urnia1, stall/...all........................ Vash.basin/lavatory, single............... Vater closet, public installatic~......... Vater closet, private..................... !'.iscellaneous: .......... 2 1 2 3 6 2 6 6 1 , ~ 2 1 2 3 2 1 6- 4 .......... .......... Total Units: Total fixture units x 513,25 each = Total Charge: $ Credit Calculation Table: 3ased O~ total value of property at time of permit application. Year J..nne::.:sd to t~e city Credit per $1,000 2!:ssessed valt:'e , 1979 1950 1981 1982 19S3 1904 1985 1986 1987 1988 1929 1990 ~ $2.66 $2.64' $2.53 $2.41 $2.19 $2.04 $1. 69 $1.35 $1.15 $0.92 $0.59 $0.23 l~lo4- r:ate .. s IO/3"W r.ssessed Val t:e = S Credit Total Credit J'" - Metropolitan. Wastewater . Managernent Commission . ( .:.'. ~ ',' :.:. ..':::: ~ ~ t:.:~ ~~'.'~::-r~'~:.:, .':'; .~:. ~.:t.t ~_~\-fl;t:t :~! ;:l!:" r",: ~:::::: ;!:-; -:-:-:;. '.;',{.: ~~. t: ':~:' ;: .~ ('.';~ ~,'!: ..-~;.;. ;',t : .~: ~.: :~'::", c.-...! ':i::!:'~-l:': C:'::'.~~ :..:) :,t:"~~~.';'..f .:t~.)' :;;:~!-~&..( Ct,~ -:, c: - -. :! :.~ I t.~,:;. \\'u:::;,; -::~; t-,t ~;, :.~: 'f!:. ~,~::'.:: Fl;:"'jH A!'~D A SiP.EE,S - ::;:R;~<GF:~LD CITY H':".LL - ~;::;:;;:..;Gr:ELD. C;:,EGC!J 97:.77 TELEr':-:C:\~ I:C~} 7':7.':::i J1iiKC COKNECTION CHARGE " Iq&1 Me. Tcwisk &(J./'(X Refere8umber: 110 ~ 2. '1. /3 _ Tax Lot Number: 0& goo O.'ner: ()0.bon P {\ . i_ /\Jr-LtfJ1J? f_",0') Address: \\C\C\ .\\ '\'--~")\'~1 \: Phone Number: lo~<i<;"q\23 City: fAJ(l60 JUL, . State: C~_D~BY\ Zip: q 1\4(YL Building Address: ~ Residential Fee ($222.00) $.r0Q~ ~ ___ Commercial Fee (new non-residential development/ remodel) Total fixture unit charge (see reverse of this form) $ Credit Due (see reverse of this form) SUBTOTAL $ <$ A0 f\~ > TOThL MVMC CHARGE $ \C\4.55 Date Received: ~. \ V{.q,\ . ~\?ll9.~ Received By: U\k\t\.) - Receipt Number: Building Job Number: Q/01z.0