HomeMy WebLinkAboutPermit Building 1999-8-4
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RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 990952
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 837 MCKENZIE CREST DR.
Assessors Map #: 17032343 Tax Lot #: 05400
Lot: 80 Block: Subdivision: RIVER GLEN
ATTI:I\ITIOIll'Oreoon law le4\.JlIes yvu 1'-
Owner: FUTURE B HOMES f~iiowrulesadoPtedbytheQ5t1B\lI:!41I!1'1744-2660
Address: P,O,BOX 742~otificationC~;r~eel!~r~lR~hOR, 97401
. OAR 952-001-001 0 through OAR 952-001-
Describe Work: S. F. RE6~Cjl!lu may obtain copies of the rules by NEW
Mmn'J thl> r.Anler, (Note: the telephone
number (or the Oregon Utililttlllm'e'!,I1I1UII
Contractor Center is 1-S00,6Sttt'l,'11,'\lor # Expires Phone
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AREA: 5RNW
GROUP: R3
SOURCE, FG
FUTURE B HOMES 0036499
3593 River Pointe Dr Eugene OR 9740
CUSTOM PLUMBING 0081994
324~ DR EUGENE OR 97401000
ROL~~fiI'r 0020240
Po Box'''{~'D'~'kI:~~~Iw=dgObiEWORK
BOB OOl1ROOIBlt./NDER THIS PERMIllbI$"MOT
180 OOMMffiW3~~ 1S:~~~Ee.imAOO
..!:\' i-3t 13,'1: ;--;::<If'.i'l
-- Or?1CE USE --
LAND USE: 1111
CONSTR. TYPE: VN
INSUL PATH: PI
05/18/00
485-3176
General:
Plumbing:
05/06/00
485-1146
Mechanical:
10/04/00
741-0002
Electrical:
01/25/00
689-7973
QUAD
OCCY
HEAT
# OF BLDGS: 1
# OF BDRMS: 3
SQ FOOTAGE: 2751
To request an inspection, call the 24 hour recording at 726-3769.
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 ---
FOOTING - After trenches are excavated.
FOUNDATION - After forms are erected but prior to concrete placement,
UNDERFLOQR PLUMBING - Prior to insulation or decking.
ROUGH GAS - after line is installed and capped if not attached to an
appliance
UNDER FLOOR MECHANICAL - Prior to insulation or decking.
POST AND BEAM - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking wall/ceiling; Prior to cover
WATER LINE - Prior to filling trench,
SANITARY SEWER LINE - Prior to filling trench,
STORM SEWER LINE - Prior to filling trench,
UNDERFLOOR DRAIN - Prior to cover or placement of concrete.
ROUGH PLUMBING - Prior to cover.
ROUGH MECHANICAL - Prior to cover,
ROUGH ELECTRICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power,
SHEAR WALL NAILING - Before covering sheathing with finish materials,
FRAMING - Prior to cover.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
DRYWALL - Prior to taping,
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
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Job Number: 990952
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--- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ---
This permit is granted on the express condition that the said construction
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Development Code, regulating the construction and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
Received By:
Plans Reviewed By: DON MOORE Date, 08/04/99
Building Site Reviewed By: BOB BARNHART
--- ADDITIONAL COMMENTS ---
PATH 1
DRIVEWAY REQUIRED TO BE PAVED
4 STREET TREES REQUIRED
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all information hereon
is true and correct, and I further certify 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
Community Services Division, Building Safety, 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 street, 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 times during construction.
Si
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Date .
-- - VALIDATION
Date Paid:
-;: ~t:)"I9
s/4/,,} 5'
{ /
C:;/9<;, ~2...
/~
Receipt Number:
Amount Received:
Received By:
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Job Number, 990952
Page 2
FINAL PLUMBING - When all plumbing work is complete,
FINAL MECHANICAL - When all mechanical work is complete,
FINAL ELECTRICAL - When all electrical work is complete,
GAS SERVICE - After line is installed and line has been connected to a
minimum of one appliance. Pressure test done at this point.
FINAL BUILDING - When all required inspections have been approved and
the building is complete,
Lot Faces: NE
Topography: 2
Lot
Lot
Setbacks
S W
34 15
Sq. Ft,: 8812
Type: INTERIOR
Lot Coverage: 24,7 %
N
E
11
House
Garage
18
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
2231
520
$/Square Feet
69,64
18,34
Value
155,367,00
9,537,00
164,904,00
Building Permit Fee
Surcharge/Admin
TOTAL FEE
(A)
579.25
46.34
S7.'1~
c.2s.,.S9- c" 3 7. IS
PLUMBING PERMIT ---
Item
Residential Bath(s)
3
Fee
192,50
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
(C)
192,50
~57>I'l .
J't.;L) '.
~0'179cl Z. I f. 7 $"
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
GAS LINE & W/H
GAS F,P,
4
6,00
4,50
12,00
3,00
5,00
4,50
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
(D)
35,00
10,00
~8il
l.fo
M.,.Slt 1~FO
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
PLAN REVIEW FEE
WILLAMALANE SDC
CITY SDC
ELECT PERMIT
0,00
68,10
60.00
100.00
1,000,00
2,866,39
203,50
TOTAL MISCELLANEOUS PERMITS
(E)
4,297.99
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, 0, and E combined)
-5-,.;l-7.9..,J,!j.
$/'15" ;F2..
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,~,... 'Willamalane
'-t,"'1" Park & Recreation District, Job. No. '1'1a'\~
fV' SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: ~\.0-L\.,VO ~ ~~~\) \
ADDRESS: ~~ lL{~S, ~\..l~~
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PHONE: lJ-t.L{-Jlbh()
STATE: fm... ZIP: q 1l.{('\\ .
LOCATION OF PROPOSED BUILDING SITE:
Street Address: _ . ~ ~ l 1}J\ "-I~.A \~ , C ~
Pial Name: \"1.0 ~~ ~ L.\ ~ Tax Lot Number: DS<:..t Ul)
1. DEVEL9PMENT TYPE (Check appropriale dwelling(s). SOO calculaUons and dwelfing t
ype definitions are on the back.)
,
A. ~inolp.-F:'lmilv Dp.t:'l~hp.rl.
"- Single Family home
NO. OF UNITS l
Manufactured home not in a park
$ Irn.-."Q(2
X $1,000 per unit = \. \...IU U
B. SinQI€I-F:Jmilv Att:'l~hp.d.
NO. OF UNITS
X $924 per unit = $
C. Multi-F:'lmilv Aoartment
NO. OF UNITS
X $692 per unit c $
D. ,Ml'lnllf:'l.QfllrArl. Home PArk'
NO. OF UNITS
X $699 per unit c $
WllLAMALANESDC $
2. sec CREDIT (II appficable) SDC-payer must fU~Sh proof of
WiUamalane Credit approval See SOO Oredit Worksheet. $
3. TOTAL WllLAMALANE NET SDC ASSESSED
(If SOO reduced for Credit)
$ /OOO,oP
Q~ "? .,
De~lopment Services Department
City of Springfield
. ~ I~ 99
Date ' .
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SPRINGFIELD
PUBLIC WORKS DEPARTMENT
ADMINISTRATION
ENGINEERING DIVISION
MAINTENANCE
225 FIFTH STREET
SPRINGFIELD, OR 97477
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~ . . AP'plICATION'FOR A ~ECOND DRIVEWAY I OVERWIDTH DRIVEWAY
I: DATE:~/{ ~6L~
::t~1S ~
ADDRESS OF PROPERTY FOR DRIVEWAY PERMIT: ~ ~ 1 ~\<nsvv,. i" ,~ 1lr--
ll.}'-/ - 2. '-c::'D 0
APPUCANT (PROPERTY OWNER):
APPUCANrS TELEPHONE NUMBER' (s: 4-\ \
Please sketch the proposed driv,,';'ay. Include the following appficable items: house or building, proposed
driveway. existing driveway, end street names, Include dimensions and measurements to property fines, road
intersections end bordering driveways, (See attachment for an example,)
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ALL APPUCAnONS OUTSIDE THE CITY UMITS OF SPRINGFIELD THAT ARE WITHIN THE URBAN
GROWTH BOUNDARY REQUIRE A LANE COUNTY PERMIT,
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Note: The City of Springfield will nof grant a second driveway permit on an Arterial.or Collector Street.
ADMINISTRATION/ENGINEERING (503) 726.3753 FAX (503) 726.3689
MAINTENANCE (503) 726.3761 FAX (503) 726.3621
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1, pro~amlly Residence ~x....:...- Other _
2, Thei"_....~ driveway will take access from which street...:I:\1\..r _\.~ u ~ ~ ~ I
' 0 .
3. The distance from the edge of the driveway to the nearest corner (measured to the curb return) is II
'15 fe<<;t , " ','R \j <>-~ _ ~- I
~,..1\'+1'-, ". I -,~
4. The .eeeRd driveway will give access to: .garage~ carl"'rt-.:... side yard_ Other~
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5, The distance from the "property line to the garabe, carport, fence, wall, or other, (where the vehicle Is
J, to be parked) Is 'I r>, feet. ' ,
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6, Will the proposed parklng I storage area create a vision obstruction to adjacent property driveways or
to eny vehicular movement on a public street? (See vision clearance attachment) ...1 n
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Applicant hereby agrees to inslaD the requested driveway to City of Springfield slandards. The applicant further
agrees to have 6" of concrete in the sidewalk area (adjacent to the driveway), and to pave the area behind the
back edge of the sidewalk, or driveway apron, with a minimum depth of 3" asphaltic concrete or 6" of porUand
cement concrete. The area behind the sidewalk shaD be paved a minimum of 18 feeL
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The applicant agrees !hatl helshe does not pave the area behind the sidewalk within 30 days of cutting the
cum opening, the City of Springfleld has the authority to close the driveway access by removal of the cum cut.
AD incurred costs shaD be assumed by the applicant and l unpaid, said cost shaD become a rlen of the property,
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When this application is approved by the City, the appiica'~t must obtain a curbcuUdriveway permit from the
PubUc Works Department, Engineering Division.
~l1r?cut I Drivewav Permit ~~~
a, On an Improved street (existing curb): $10,00 plus $,15 per lineal foot of curb cut.
b. On an unimproved street (no curb): $12,00
c. On currently unimproved streets that are under construction: $12,00
PROPERTY OWNER'S SIGNATURE:
~'B~
M~6
DATE: 1/I-Z./Cff
APPROVED BY:
DATE:
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(TRAFFIC DIVISION
BUILDING PERMIT NO,:
DATE:
TRA 9-1
ATTACHMENT: Vision ,Clearance, Example #1
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('uuLle II'Or.KS DEPARTMENT
/\C)f.~/NIS11;.'\11('lN
[NGIN[[r,u-.J(; O/\lI$I(1N
MAINTENANCE
.025 (-In /I "
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APPLICATION FOR A SECOND f)~IVEWAY 10V'.:RWIOTH DRIVEWAY
DATE:
APPUCANT (PROPERTY OWNER):
ADDRESS OF PROPERTY FOR DRIVEWAY PERI.1IT:
APPLICANT'S TELEPHONE '~UMBER:
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Please sketch the proposed dri\'e\<Jay. Include the following app~cabJe ilems: house or building. Pfoposed
driveway, existing driveway. and street names. Include dimensions and measurements to property lines, road
intersections and bordering driveW3)'s. (See attachment fot an examPle.)
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..... ,......,_..;n.J.:...."!tJ.....~.d~,.....li:':\:JT,"l'!A1~..1.IC{44!.tri.~:ng:~I....~\....
.~ .l"3"lr,.....IraPi.....,_......_~IC".~.,.lL'&:~:JP.::..'\IDOMM
.~~."IIr.'ilSn~Mi1.I.r.J.l,:,..;w~::_~::1\ju,m::!;\t-~"t~~-::... ..,':,~_..._...1Nf
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All. APPUCATlONS OUTSIDE THE CITY UMITS OF SPRINGFIELD THAT ARE WITHIN TH( I:JRBAN
G~WWTlf OOUNDARY REOUIRE A LANE COUNJ'Y PERMIT.
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Note: The Cil)' or SpliflQrield will not granl 3 second dlive.....ay permit on an 1,r:Cli;'J 01 Collector Sllcet.
Iln',~","<::1t?IlJlnt,f/l=,.dr:",'r.j r.'fo"r: I':n-)I 7'-'1. "7<:-] rll\"/',I,-J, 7"r.. ",~'~r:
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1. Property type: Single f amil)' Residence
Duplex: ~
Other
2_ The proposed drivcwar will lake access from ~hich street
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3. The dist"flCC 110111 the edge ollhe dlivcway 10 Ihe ncafest COllIer (mcasUlcd to (he curu (Cl-Ufn) is
feel.
".c. The second driveway will give access to: garage_ carport_ side )'ard__ Other
S. The distance horn the I1ropcr1y line 10 the ga(ag~. carport. (ence. wall. or other, (where tile vehicle"is
to be parked) is feet.
. 6. V\~U the propOsed paf.~ing I slorage area ocate a.vision obstrudiQn to adjacent prope':fy driveways or.
(0 any vehicular movem~nt on a public street? (See vision cleacance attachment)
Approe>nl hereby .grees to install Ule requested driveway to C~y of Springfield stand.rds, Tile .ppficanllurUler
agrees to have G" of concrete in the sidewalk area (ad;acent (0 the drivevay)";and to pave the area behind the
~ck edge of Ule sideW31k., or driveway apron.. with a minim!;Jm depth of 3" asphaltic concrete or ,.. of portbnd
cement con~te. The area behind Ule sidewalk. shaD be paved a minimum of 18 feel
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The appr.c.ant agrees that if he/she does not pave ~ area behind the sidewalk within" 30 days of cutting the
curb opening, \he City of Springf.eld' has Ole authority to close the d!ivey.,-ay access by removal of the curb cut. "
An incurred costs shall be assumed by the apprant and if unpaid, said cost shaU become a fie" of the property.
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When this application is approved by the City. (he app'cant must obtain a curbcuVdrivcway permit from the
PubIic Works Department, Engineering Division.
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APPROVED BV:
DATE:
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DATE:_ ~/u);l
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BUILDING PERI.11T NO,:
DATE:
TRA 9-1
ATIACHMENT: Vision Clearance, E:ramplc 1:1
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. ' JOURNAL. JOB NO. qCkjq"Z-
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY:
F0TLJ1<E f2., /-(oI'-7E",
LOCATION: ~ ~7 10, 1(~"'1Z'JC:- r.I2Fi'5T
DEVELOPMENT TYPE: "S F (~
BUILDING SIZE:
LOT SIZE
SQ.Ft.
I. STORM DRAINAGE
lJvfPERVIOUS SQ. FT, 3,4so X $0.232 PER SQ, FT,
2, 0ANITARY SEWER-CITY
$ R00.40
NO, OF PFU'S ~
(See Reverse Side)
X $48,27 PER PFU
L),' 2.;-":;-. ,.,'Z-
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER PM PEAK HOUR TRIP
X I, () ( X $486.73 PER TRIP
$ 4Q/,r:"o
X X $486.73 PER TRIP
$
4. SANITARY SEWER-MWMC
A, RElJvfBURSEMENT COST:
NO, OF FEU'S
XZ'f2 7b PER FEU
$ Z+z.., 7(..
, B. lJvfPROVEMENT COST:
NO. OF FEU'S
X ..z,z,OS-PER FEU
$ 22.,OS-
MWMC CREDIT IF APPLICABLE (SEE REVERSE) < $ - q I, q 3 >
MWMC ADMINISTRATIVE FEE $ 10,00
TOT AL-MWMC SDC Ll 8 z. ~ 'K
5. ADMINISTRATIVE FEES:
BASE CJtR>> (SUBTOTAL ABOVE) X .05
/ff..;. Date: 7-20-1"1
SDC Coordinator
ATTACH'A,WPD
SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ 2 7Z t:t, <::to
$ 13~.1-f!
TOTALSDC
l.4X' tb~ .3,Q
FIXTURE UNIT CALCUA\. TION TABLE: Number of New Fares x Unit Equivalent = Fixture Units
(NOTE: For remodels, calculate only theW!: additional fixtures) . " '
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub"""""""" """,...."""" "" '." ".""" "" """"" ""
Drinking Fountain""""", "'''',,,', ''''''','''''' ".""", ".""
Floor Drain""", "."""""""""", ,,,.,, "".,,,,,, """" "." '"
Interceptors For Grease/OiUSolids/Etc.""""""""""
Interceptors For Sand/Auto Wash/Etc"""""""""""
Laundry Tub/Clotheswasher/Mop Sink"""."""",:,:,"
Clotheswasher.3 Or More""""""""""""."""".~"..",
Mobile Home Park Trap (1 Per Trailer)""""".""""
Receptor For Refrigerator/Water StationlEtc""".""
Receptor For Commercial Sink/Dishwasher/Etc"""
Shower, Single StalL.",,,,,,,,,,,,,,,,,,.,,,,,,,,,,,...,,,,,,,,,,,
Shower, Gang", '"''''',''''''''''''' '''''', ".", """"'" """""
Sink: Bar, Commercial, Residential Kitchen",,,,,,,,,,
Urinal, Stall/W all."", '"''',''''''' ".,,:, "." "" '" ''''''', '"''''
Wash Basin/Lavatory, Single"""""......""""",.""",
Toilet, Public Installation""""""",,,...,,,,,,,,,,,,,,,,,,,,,
Toilet , Private""""""",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,:,,,,,,
Miscellaneous:
2-
2
1
2
3
6
2
6
6
I
3
2
l/Head
2
2
1
6
4
4-
, ,
'2---
"2.-
"2--
4-
.3
4-
1'2-
TOTAL FIXTURE UNITS =
z..c.
CREDIT CALCULATION TABLE:
credits separately,
11~:~en
Based on assessed value, If improvements occurred after annexation date in table, calculate
Year,
Annexed
Rate per $1,000
Assessed Value
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Rate per $1,000
Assessed Value
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
$4.47
4,38
4.32
4,20
4,03
3,88
3.68
3,38
3,03
2,62
1989
~u
1991
1992
1993
1994
1995
1996
1997
1998
2,18
l.ID
1.35
1.17
1.03
0,86
0,71
0,57
0,39
0,18
Credit for Parcel or Land Only If Applicable I, --;tC X $ S2,<>o
(Rate X Assessed Value)
Improvement (if after annexation date)' X $
(Rate X Assessed Value)
Q/Of'3
CREDIT TOTAL = $ q U'l ~
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
ResidentiaL"".".""""",,,,,,, 0.4
CommericaL.".""..."".""", 0,9
Industrial.,,,,,.,,,,,,,,,,,,,,,,.,,,,,, 0,5
GovernmentaL..""""""""" 0.5
FIXUNtT,WPD
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
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The following project as submitter ~~. m!' f"i!~\"" ,
zoning, and does not require specltH': idht \J6_
225 FIFTH STREET approval. (Z-- ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoning LD
INSPECTION REQUEST: 726oatl,6Q ~ - y -, "\ \ N .~:/ Job Number ,'7? 0 '5' 5"rZ
OFFICE: 726-3759 ~
Authorized Signature, :;. t-Vl"lrLlH'" r'EE SCHEDULE BELOY
1. LOCATION.21 INSJALLATION lJi
_~,~ 7 /'/ ~ '//~e (J(C'11"" .
LEGAL DESCRIPTION
/'703231t:; (!) ~4oo
JOB DESCRIPTION
~P. RC-S,
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for'
180 days.
2. CONTRACTOR INSTALLATION ONLY
Elec tdcal Contrac tor/Jn.h r;"'h....Y't f".t<Tr,'G
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Address J f{!) X '/7'9 <' Lu,~p ..4,/e
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Ci ty r',( floP '7f" Phone,J7"/- r"Py>-797-3
Supervisor License Number ;J:r39'?' ~- - S
Expiration Date /0/1)// t7t:J
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Constr ContI:. Number~O-3S",:2 c..
Expiration Date /o/J9//t/4
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Signature of Supervising Electrician
~t.M P1-~
Owners Name
FL/ TtI~e-1!3
, ,......
,,,
Address
Ci ty Phone.2i4 - 2.~
OYNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~---------83jiiiJl?~----------------
RECEIPT #: . ~ 4S~~9
RECEIVED BY: ./j~~
err;; . ..
Items Cost Sum
1000 sq.ft. or less ......... $ 85.00 ~5"
Each additional 500
sq. ft or portion
thereof $ 15.00 ~
Each Manuf'd Home, or
Modular, 'Dwelling
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
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less ~ $ 40.00 40
201 amps to 400 a~ps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see liB" above
D.
Branch Circuits
.'
New, Alteration or Extension Per Panel
One Chcu it
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5. SUBTOTAL OF ABOVE
1-5'r. State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
~i. 'tj,
, <:. n-
40.00
40.00
20.00
36.00
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PUOLfC WORKS DEPARTMENT
AOI\I,I""Slf~.1.110N
[NGIN[EhING Oi\'IS/(IN
MAINTENANCE
2?5 (oWIU:,
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I~ APPLICATION FOR A SECOND (1R,IVEWAY J OVERWIDTH 'DR'I;E\~AY
I DATE: 7/~ 7/
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APPLICANT (PROPERTY OWNERl:
ADDRESS OF PROPERTY FOR DRIVEWAY PERMIT:
APPLlCANrs TELEPHONE NUI~BER:
Please sketch the proposed drive\oJay. Indude the following apP~c3ule items: house or building, proposed
dri'lcway. existing driveway. and street names. Include dimensions and measurements 10 plopcrty lines, road
intersections and bordering driveW3)'s. (See attachment for an example.)
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AU.. APPUCATlONS OUTSIDE THE CITY UMITS OF SPRINGFIELD TIlAT ARE WITHIN TilE l:1Rl3AN
G:WWlIll30urW/,RY /lEGUlRE A U\'~E COUNTY PEIH.\IT.
l-:ol~: The City of SJ)tingfield v,,'ill nol gfant a second driveWd)' permit on an Arteria) Of Collector Stfecl~
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1. Property type: Single f amil)' Residence
Dupler ~
Other
2. The proposed driveway will take C1ccess hom which street
3. The disl::!;flce flOIl1 the edge of lh~ dlivcway to tho nca.cst COIner (measured to the curb return) is
feet.
'<4. The second driveway will give access to: garagc_ carport_ side )'3rd_ Other
S. The dislance from the rhoper1y line 10 the garage. carport. fence. wall. or other, (where tile vehicle'is
to ~ p~rked) is feet.
. 6. \'f1U the propOsed parking J slorage area crcate 3. vision obstructiQn to adjacent proper:1Y driveways 0(.
10 any vehicular movem~nt on a pubric street? (See vision clearance attadlmCr\n
Appr<c>nl hereby agrees to ins1311 U,e requested driveway 10 City 01 Springfoeld s13ndards, The applicanllurther
agrees to have 6- of concrete in Ule sidewalk a.rea (adjacent to the drivew:ay)";~nd to pave the area behind the
back edge of Ule sideW3tk. or driveW3Y apron, with a minimym depth of 3" asphaltic concrete or ,.. of portland
cement concrete. The area behind the sidewalk shaU be paved a minimum of 18 feel
The appriC3nt agrees Ulat if' he/she does not pave the area behind Ute sidewalk within-30 days of cutting the
curb opening, the City of Springf.eld has the .authority to close the d~e,^'3Y access by removal of the curb cut
An incurred costs shall be assumed by the apprlC3nt and if unpaid, s.aid cost shaU become a r.en of Ule property.
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When this app6cation is approved by the City, the applicant must obtain a curbcuVdnvcway permit from the
Pub6c Works Department, Engineering Division.
APPROVED BY:
DATE:fo/0t "
D/,TE: 7jft ~
BUILDING PER1~IT NO..
DATE:
TRA 9.1
AnACHI~ENT: Vision Clearance. Example 1:1
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~AMPLE .\
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~PPLlC!l TION FOR A SECOND DRIVEWAY '-.q"ERWIQJH DRIV~VVA Y,
DATE:
APPLICANT (PROPERTY OWNER):
ADDRESS OF PROPERTY FOR DRIVEWAY PERMIT:
APPLICANT'S TELEPHONE NUMBER:
Please sketch the proposed driveway. Include the foilowing applicable items: house or building, proposed
driveway, existing driveway, and street names, Include dimensions and measurements to property lines, road
intersections and bordering driveways,. (See attachment for an example,)
STREET NAME
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All APPUCATIONS OUTSIDE THE CITY UMITS OF SPRINGFIELD THAT ARE WITHIN THE URBAN
GROWTH BOUNDARY REQUIRE A LANE COUNTY PERMIT.
Note: The City of Springfield will not grant a second driveway permit on an Arterial or Collector Street.
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THIS DIMENSION:
25' FOR CORNER LOTS
15'-OR' .
r lOTS AT ALLEY INTERSECTIO'~S
10' FOR DRIVEWAYS .
II~ ALL DISTRICTS
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32-15