HomeMy WebLinkAboutPermit Electrical 1982-6-16 R!IDENTIAL• •
APPLICATION/PERMIT I
225 North 5th Street
Springfield, Oregon 97477 ''�hs
Building Division
726-3753 i
., d
Job Location: -7 S D -pD &b /�
Assessors Map if / ,' /// 1""" Tax Lot # 3q /0. 60
Subdivision: ( &/.X UhJf Q. /(9'C 3 , 1;119
Owner: /a 0 -k CI:( u ! 0- '.T
Address: Phone:
•
City: Zip:
SCANNED
Describe Work:
N w
•
Addition.
Remodel -
, •
Signed: C(M (%t. •
Mobile Home // (, V
6---6 - Q . Date: (D-7 r�C—O Z
Date of Application �� Value
Contractors Address Lisc.n Expires Phone
General - - - .
•
Plumbing
Electrical 740 4114 c' I f-a-70 F.-60l:J 932- W.S{'r`' 2.0 e 424'n - r4
Mechanical - - (�
Construction Lender
It is the responsibility of the permit holder to see that all inspections are made at the proper time, that each -ddress is readable
from the street, and that the peteit card is located at the front of the property.
*Building Division approved plan shall remain on the Building Sits at all times.
PROCEDURE FOR INSPECTION REOJEST:CALL 726-3769(recorder) state your City designated job number, job address, type of inspection
requested and when you will be ready for inspection, Contractors or OtAners name and phone number. Requests received before 7:00 on
will be made the same day, requests made after 7:00 am Will be made the most working day. ^ /^
Your City. Designated Job Number Is: U Q'. 2-0W i ,
Reoui^ed Inspections
SITE INSPECTION: To be made after INSULATION/VAPOR BARRIER INSPECTION: DEMOLITION OR MOVE; 3U7-LDIGCS
excavation, out prior to set up of To be made after all insulation and
forms. required vapor harriers are in place ' Sanitary sewer capped at property Lire
•I I UNDERSEAS PLUMBING, ELECTRICAL L :.
but before any Lath, gypsum board or II MECHANICAL: To be mode before any wall covering is applied, and before Septic tank pumped and filled with grape
work is covered. • any insulation is concealed.
FOOTING 4 FOUNDATION: To be made DRYWALL INSPECTION: To be .mode ?Intl - When above items are conulefed
! after trenches are excavated and after all drywall is in place, and when demolition is complete or struc-
forms are erected, but prior to but prior to any taping. tune moved and ?remises cleaned rap.
pouring concrete.
__— MASONRY: Steel location, bond
UNDERGROUND PLUMBING, SEWER, WATER, beams, routing or vent�ca Zs in
DRAINAGE: To se made ?nor to fi Z- '
Zing trenches. accordance with U.B.C. Section Mobile Hanes
2415.
UNDrRFrOCR PLUMB^✓C : MECHANICAL: WCODSTO+IE: After installation is I Blocking cad Set-up
To be mace prior to installation of completed.
floor insulation or decking. 1 Pluming connections -- sewer and water
IPOST AND BEAM: To be made prior to CURB 4 APPROACH. APRON: After forms Electrical Connection - Blockira, set-up
instattaticn of floor insulation or are erected but prior to pouring and plumbing connections must be a»roved
decking. concrete. before requesting electrical inspection
•
ROUGH PLW✓PINC, ELECTRICAL 4 MEC,H- SIDEWALK & DRIVEWAY: For all con- Accessar Building
ANICAL: No work is to be covered I ( crete paving within street right- >
until these inspections have been of-way, to be made after all exec-
made and approved. - vating complete & form work & sub- Final - After porches, skirting, decks,
FIREPLACE: Prior to placing facing base material in place.
etc. are cv,mpleted.
materials and before framing inspec-
tion. _
I FRAMING: .-lust be requested after
FENCE: When. complete -- Provide
approval of rough plumbing, electri- gates or movable sections through
P.U.c".
cal & mechanical. All roofing -
bracing 4 chimneys, etc. must be
completed. No work is to be con-
= cealed until this inspection has
'been made and approved. -
• All project conditions, ouch as the installation of street trees, completion of the
FINAL PLUMBING required landscaping, etc., must be satisfied before the BU_ILDI:IC FINAL can to requested.
1 1 FINAL MECHANICAL FINAL BUILDING: The Final Building Inspection must be requested after the Final Plumbing
Electrical, and Mechanical Inspections have been made and approved.
1 FINAL ELECTRICAL
I *ALL MANHOLES AND CLEANOUTS MUST BE ACCESOLPec, ADJUST= TO RE AT NO :CST TO CITY Paoe I of s
Page 2
JOB NO. 20���Y SOLAR AC CID REQ.- -L-COGt
.,
Zone: Occutancv Croup: Sire/Coast: Bedrooms:
Lot Sq. Ftg. LOT TYPE Lot Faces - Enercu Sources Tire
of lot Coverage Interior Setbacks Hear
� , — P.L. .House C.arace Access. water Heater
3 of Stories Corner North I Papas
Total Height Fireplace
East _iretioce
'o
ITopograthy Cul-de-sac South :✓coaspoas
West
-- tees --
IT2'1 I SQ•FTG X Value
tin Building Value & Permit
This permit is granted on the express condition that the said construction
race shall, in all respects, conform to the Ordinance adopted by the City of
�..r_ca Spr ingfield, including the Zoning Crdinance, regulating the constrraticn
!-`
and use of buildings, and may be suspended or revoked at any time upon vic-
lAcaessor, _ lotion of any provisions of said Ordinances.
TOTAL VALUE
I vCeufi
*
•f
4 au-Udine Permit Plan Check Fee:
State Surcharge Date Paid: 1
Receipt y:
Total Charges
Signed:
(ITEM NO. FEE I CHARGE
Fizmuree Plumbing Permit
'Residential 11 bath) No person shall construct, install, alter or change any new or existing
plumbing or drainage system in whole or in part, unless such person is the
I Sanitary Sewer legal possessor of a valid plumber's license, except that a person may do
plumbing work to property which is orured, leased or operated by the appli-
wcter cant.
i
•
Plumbing Permit .---
State Surcharge I • •
Total Charces I * .
'ITEM ;70. FEE C:14 20E -
f Res. Sc. ftg. Electrical Permit
:Yaw/Exterd Circuits Where State Lass requires that the electrical work be done by an Electrical
Contractor, the electrical portion of this permit shall not be valid until
Temporary Service / /0 . 00 the label has been signed by the Electrical Contractor.
Electrical Permit /U . 06
State Surcharge • vU
Total Charges I 10. I/0
I T IM 70. FEE CHARGE
Furnace RTy'E ( Mechanical Permit
Exhaust good
Vent Fan.
eooastove
Permit Issuaee
Mechanical Permit -
State Surchame •
•
Total Charges I
I -- EP.CRCACEL'EHT --
'Security Oerosit
Storage Plan Examiner tare
.'?a in-ercnoo ( 1HAVE' C;.?3?JLi,? 5X1+±*.'iED the completed application for permit, and do
hereby certify that all information hereon is true and correct, and I
Permit Farther certify that any and all work performed_shall be done i accor-
dance with the Ordinances of the City of Ssringf'_eld, ad the Lea of the
Total Charges * State of Oregon pertaining to the work described herein, and that YO OCCU-
FANCY will be made of any structure without permission of the Building Di-
1 ^a'oaut vision. * further certify that only contractors and employees who are
. .
compliance with CR5 701.052 will be used on this project
ISLG2.Ju^ik
I Pence
Electrical Label
Mobile Home
I
C71111 ....t
TOTAL AMOUNT DUE:* 1 ////l/ . ova<ca ::5a to /
1 OV
,- * • .
PW-20
DEPARTMENT OF PUBLIC WORKS REV. 12-77
BUILDING DIVISION 346• M a in Street
• Sprincfield, Oregon
CITY OF SPRINGFIELD 97477
11 11 -�- APPLICATION FOR ELECTRICAL INSTALLATION LABELS
1 ,., l\a y,-Ele��r .c £d-B0;1 i E. 4, ,t `L"1901 Lan.Q__,
(Name or firm - please print) (Mailing address) (City or town) (Zip code) (County)
HOME OWNER'S - I hereby certify that I am the owner of the property described below, at which location I
propose to make an electrical installation for my own use and this property-Ts not being
constructed for sale, lease or rent.
ELECTRICAL CONTRACTOR - Enclosed find S ' for electrical installation labels.
—(dumber) \
IS THIS BEING SUBMITTED TO COVER ONE ELECTRICAL dOB? V YES NO
No. .RESIDENTIAL _ - Label No. Amount Received
Residence wiring less than 1000 sq. ft 2 $ 15.00 ' $
- Residence wiring less than 2000 sq. ft 9 $ 25.00 $
- Residence wiring over 2000 sq. ft 2 $ 35.00 _ S
Electric heat installation in existing residence 9 $ 10.00 S
SERVICES
1 Temporary Construction Service 9 S 10.00 $ 1 O n 00
Service change only in an existing residence Ia $ 10.00 S
Multifamily With Central Service,commercial or Industrial:
Service not over 100 amperes @ S 15.00 _ S
Service over 100 amperes but not more than 200 amperes..9 $ 25.00 S
Service over 200 amperes but not more than 400 amperes..@ $ 35.00 S
Service over 400 amperes but not more than 600 amperes..@ $ 50.00 _ S
Service over 600 amperes @ S 65.00 ' $
- Service over 600 volts 9 $150.00 . S
COMMERCIAL AND -INDUSTRIAL FEEDERS ,
Installation of Alterations or Relocation of Distribution feeders:
Not more than 100 amperes @ $ 10.00 S
Over 100 amperes but not more than 200 amperes 9 $ 15.00 5
Over 200 amperes but not more than 400 amperes 9 $ 25.00 S
Over 400 amperes @ $ 30.00 $
Feeder over 600 volts @ $ 40.00 $
MISCELLANEOUS
A $10.00 Label shall apply for the following installations:
A. Each trailer or mobile home space 9 $ 10.00 $
B. Each supply for mobile home • @ $ 10.00 S .
C. Each farm building other than residence @ $ 10.00 $ .
__ D. Each irrigation pump 9 S 10.00 _ S
E. Each electric sign or outline lighting ' @ $ 10.00 S .
F. Each residential swimming pool @ $ 10.00 $
BRANCH CIRCUITS
One new circuit; alteration or extension @ $ 10.00 _ $
Two or more new circuits; alterations or extension @ $ 15.00 • S
TOTAL SUBTOTAL $ ` 6.29
ADD SURCHARGE: 4V,, of Subtotal , $
TOTAL S 1.6 --
HOME OWNER - The actual installation will be made by me _ or by
(Name and address) -
who is a member of my family. Relationship: .
i2LAk.3
(Home Owner's Authorized Signature) Electrical Contractor
(Signature of Supervisor)
c�— 37 Sep
Electr=ic 1 License Number /
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