HomeMy WebLinkAboutPermit Miscellaneous 1992-5-28
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225 FIITB STREET D~.! 'r~lJirs~ilt..;Jh ELECTRICAL P'ERHIT APPLICATION
SPRINGFIELD, OREGON 97477 "ts 0';' . ;oecffic'~ti).tc'o (}\ n/}--:l.
INSPECTION REQUEST: 726-371,~2 11~ :Job Number .......\ D I I-~ ")
OFFICE: 726-3759 ~Scts~
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Permits are non-transferabl nd 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
Ci ty
Euoene
Phone 344-1500
Supervisor License Number 9455
Expiration Date
10/1/
Constr Contr. Number 63137
Expiration Date
12/27/
Signature of Supervising Electrician
~ tJ. ~ 9tf.s-$
Owners Name (j)~k~~
Address
City Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Owners Signature:
------- - ~~--~"---
DATE: 5- . (..?
RECEIi't it: r .. '1 I "b
RECEIVED BY: n.
0. '--
COMPLETE FEE SCHEDULE BELOV
Residential-Single or
MultI mily per dwelling unit.
Service Included:
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 Dwelling ;J $ 40.00 ?lJ
Service or Feeder
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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
One Ci rcui t
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2,00
not included)
$
$
$
$
P/'),Cb
_ cq .rr)
h'4J::JU
40.00
40,00
20,00
36,00
'.
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SPR_FIELD,
DEVELOPMENT SERVICES
PUBLIC WORKS
METROPOLITAN 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
per~5 of thC1 fOllo~~
q 2.x~ 0". \0 .
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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 wi.th 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
following information:
- Mobile home blocking
- Sanitary sewer connection
- Yater line connection
- Electrical connection
- Street tree standards
- Minimum requirements for permanent steps
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~~- '\
s:..l '\r 4 L-
Date
Lot faces ! ._
l' " .
I:ot SQ.-Itg. .
Lot Type .
InterIor
Lot coverage
Corner
Topography
Total height
Panhandle
Cul.de-sac
BUILDING PERMIT
ITEM sa. FT.
.. .. ,
;- .
. THE PROPOSED WORK IN THE
. HISTORICAL DISTRICT, OR ON'
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
Setbacks
I P.L. HSE GAR ACC I
IN
-L-___
.W
IE
X $/SO. FT. ~LUE
/.e'?75: f)tYl
. -
20CJ6~ J~~ '
.--!Jq-ED
~
SYSTEMS DEVELOPMENT CHARGE (SDC)
- ~?', ~r -Sf)l (). tee..
PLUMBING PERMIT
Main
Garage
Carport
"
Total Value
Building Permit Fee
Stale Surcharge
Total Fee
(A)
ITEM
Fixtures
Residential Bath(s) N'
Sanitary Sewer FT.
Water FT.
Storm Sewer FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaur.t Hood
Vent Fan
N'
Wood Slove/lnsert/Flreplace Unit
Dryer Vent
"Aechanlcal Per:nlt
Issuance
State Surcharge
Total Permll
(D)
MISCEL.LANEOUS PERMITS
Mobile HIJme
State Issuance
State Surcharge I'
Sldewal< D5 It
Curbcut
It
Demolition
State Surcherge
Total Mlscel,anec"s Permits (E)
TOTAL AMOUNT OUE (excluding eleclrlcal)
(A, B, C, 0, a~d E Combined)
FEE
A~
A'?'S
~A.. S_
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~ APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permllls granted on the express condlllon lhatlhe said
construction shall, In all respects, conform to the Ordinance
adopted by the Clly of Sprlnglleld, Including the
Development Code, regulating the construction and uso of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordln:mcQs.
Plan Check Fee:
Dale Paid:
Receipt Number.
Received By:
Plans Reviewed By
Dato
Systems Development Charge I.s due on all undeveloped
properties within the City limits which are. being Improvod.
. ADDITIONAL COMMENTS
By sIgnature, I state and agree, that I have carefully examlnod
the completed application and do hereby certify fhal all
Informatlon hereo~ Is true and correct, and I further certify
that any and all work performed shall be done In accordance
wllh the Ordinances of the Clly 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 wllhout permission of the Building Safety Division.
I further certify that only contractors and employees WhO
are In compliance with ORS 701.055 will be used on this
project.
I further agree to ensure that all required Inspections are
requested at the proper time, that each address Is readable
from the sireet, that the permit card Is located althe front
of the property, and the approved set of plans will remain
n the site at all times during conslructloo.
VALIDATION: A. ~
RECEIPT NUMBER ~11 n
DATE PAir .S . 29>-,q~ .
<::o~.- .
AMOUNT RECEIVEDtpJ ~_I {,' . ;~n B.20J6
RECEIVED BY rM)
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SPRINGFIELD
JOB NUMBER et I L512 ~
RESIDENTIAL
PERMIT APPLICATION
225 Fiflh Street
Springfield, Oregon 97477
Inspections: 726-3769
Office: 726-3759
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N/A
LOCATION OF PROPOSED WORK:
N/A
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TAX LOT'
ASSESSORS MAP'
t~ l.
Lochaven
SUBDIVISION'
BLOCK'
LOT'
688-9123
Lochaven Partners
PHON'"
OWNER'
1199 N. Terry St.
Eugene
ADDRESS'
CITY'
ZIP' 97402
OR
STATF'
.- Concrete stringers - Accessorv Value $ 17<jo-
OTHER M,H. Value $-' (itb -$.?21J
~ -
DESCRIBE WORK' Mobile Home set UP
x
DEMOLISH
ADDITION
REMODEL
NEW
CONST.
CONTRACTOR .
EXPIRES
2/2/92
PHONE
484-6505
689-7762
484-6505
344-1500
ADDRESS
CONTRACTOR'S NAME
Ernie & Son's
41497
87922 LaPorte Dr" Eug.
GENERAl'
1441 N, Hwv, 99
20-236PB
PLUMBING: Harrison Construction
2/2/92
Ernie & Son's
Heritage Electric
41/197
87922 LaPorte Dr., Eu~.
MECHANICAl'
ELECTRICAl'
20-280ci63137
855 i~. 24th
\ Q \\ )~J-) - OFFICE USE -
QUAD AREA: LAND USE: , \S0 FLOOD PLAIN'
. OF BLDGS' \- . OF UNITS' I ZONING CODE: -.WE-
OCCY GROUP' ~.3 CONSTR. TYP'" . OF BDRMS: .-::z....
. OF STORIES' \ HEAT SOURCF' ~E, SECONDARY HEA'f.
WATER HEATER: p~ RANGE: ?~ SOUARE FOOTAGE:
To requesl an Inspection, you musl call 726-3769. This Is a 24 hour recording. All Inspections requested belore 7:00 a.m. will be
made the same working day, Inspections requested afler 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
D Final Plumbing - When all
plumbIng work Is complete.
D Rough Mechanical - Prior to
cover. .
D Temporary Electric
D Site Inspecllon - To be made
after excavation, but prior to
setting forms.
{-;;rn.,derslab Plumbl4lectrlcal/ "'\;
~echanlcal - Prl~~over. )
~ootlng - After trenches are
{ excavaled.
o Masonry - Steel location, bond
beams, grouting.
o Rough ElectrIcal - Prior 10
cover.
o Final Electrical - When all
electrical work Is complete.'
o Final Mechanical - When all
mechanical work Is complete.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Final Building - When all
requIred Inspections have been
approved and building Is
completed.
D Fireplace - Prior to facing
materials and framing Insp.
D Framing - Prior to cover.
DOther
o Foundation - After forms are
erected but prior 10 concrete
placemen t.
D Wail/Calling Insulation - Prior to'
cover.
D Underground Plumb.lng - Prior
to filling lrench.
D Drywall - Prior to taping.
MOBILE HOME INSPECTIONS
o Underfloor Plumbing/Mechanical
- Prior to Insulation or decking.
o Wood Sto~e - After Installatlo~.
~IOCklng and Sat.Up - When all
~ blocking Is complete.
~Umblng Connections - When
home has been connecled 10
water and sewer. .
D Post and Beam - Prior to floor
Insulation or decking.
D Insert - After fireplace approval
and Installation of unit.
o Floor Insulation - Prior to
decking.
:;anltary Sewer - Prior to filling
trench.
Storm Sewer - Prlor to filling
trench.
~ater Line - Prior to filling
~rench.
o Curbcut & Approach _ After
forms are erected but prior to
placement of concrete.
~fdew8lk &.Orlveway - After
~~xcavatlon Is complete. forms
.and sub.base material In place.
. ~Iectrlcal Connection - When
blocking, set.up, and plumbing
Inspections have been approved
and the home Is connecled to
the service panel.
~nal - Alter all required
p:i~spectlons are approved and.
porches, skirting, decks, and
venting have been Installed.
D Fence - When completed.
o Street Trees"'; When all required
trees are planted.
_ 0 Rough Plumbing':" Prior to
cover.
.
..
Fi:\ture Unit Calculatio:l Table: ::UC,~H d ne',' Il:.:tures r.ultiplied by \!:lit
equivalents, NOTE: For remodels, calc~!2te only the ~ET additional fi~t~res.
Fb:ture Type
of Unit
F ~tures Equivalents
Fi:-: t'Jre
l'ni ts
3a t h t \1 b, , , . , , , , , , , , . , . . , , . . , , . . . . , . . . , . . , .
Drinking fountain"""".,..,.,....,..,.,
Floor drain",.".,.,....................,
Interceptors for grease/oil/solics/etc.."
Interceptors for sand/auto ,ash/e:c.".".
Laundry tub/clothes ,asher.,. .......,.....
Clothes "asher (3 or more)",...,."."...
Mobile home park tiap' (I per ~.~.)...,....
Receptor for refrig/,ater statio~/€tc...,.
Receptor for Co~~er sink/dish~s~=!etc.....
Shover, single stall"",.",. ,...,...,..,
Sho,er, gang (per head),., .,.,. ..,,'.,....
Sink, bar, commercial.. '.,.. ..,...........
Sink, commercial/industrial/etc,.,..,.....
Urnial, stall/,.all"""."""""",.,.,
Vash basin/lavatory, si~gle,.""",."",
Vater closet, public installatic~"""..,
Vater closet, private""""."...""..,
l'Iiscellaneous: ..........
2
1
2
3
6
2
6
6
1
3
2
1
2
3
2
1
6-
4
..........
..........
Total Units:
Total fixture units
x S13,25 each = Total Charge: $
Credit Calculation Table: 3ased on total value of property at time of permit
application,
Year -",nl1e~:Ed
to the C.; tv
Credit per $1,000
assessed va.lue
I ~ Co4-
1979
1950
1981
1982
1983
1924
1985
1926
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
Credit
~ S
10 J "S"l..O
r.ssessed Valt:e
= S
Rate
Total Credit
._ Metropolitan
Wastewater
Managelllent
Commission
1..
.
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Fi~7H A:-~D A S1~EEIS
~~;:.::-~GF:~LD ClTY !-:':-.LL - ~~:=,::\GF:ELD. Cr,EGC!J '::7.:.77 l::LE,':-:C:,;: i':C::) i.:j.':::i
!'.iir,C CO!\NECTION CH.A.RGE
Building Address: \ C1 '6. ~ 'rf\0:-\(\\)'\sh
Refered.,umbe;: \ \ () ~ ~l"\ \ ?-J . Tax Lot Number: (},ocn
O..ner: DnOCU) r {\ . i/~(LI+~.J.if.S .
Address: \\C\~\\ '\~>0f\ ~~ Phone Number: lo~'K-Cn23
City: fA ')r~o JlL . State: CQiW l)~ziP: q fl4('YZ-
~ Residential Fee ($222,00)
$r0QQ ~
___ Commercial Fee (ne. non-residential development/
remodel)
Total fixture unit charge (see reverse of this form) $
Credit Due (see reverse of this form)
SUBTOTAL $
<$-
dY) ,4~ >
TOTAL r,VY,C CHARGE
$ {C4,55
Date Received:
~.~-
~t11~ .
R~ceived BY:~ .
Building Job l-lumber: q I O/~~
Receipt Number: