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Home My WebLink AboutPermit Electrical 1994-7-26 RESIDENTIAL PERMIT APPLICATION Ins pect! ons: 726-3769 Office: 726.3759 LOT: REMODEL ADDITION >. SPRINGFIELD BLOCK: STATE: '\'J\ , DEMOLISH OTHER .'...-. :.,,_.~~.- . C\ 4D r\~D JOB NUMBER 225 Fifth Street Springfield. Oregon 97477 PHONE:<UD ~~.~\'\=5 ZIP: CONTRACT~S NAME. ',ADDRESS' GENERAL: \ \~f\r\tI\ \t1i\\\l'f\. ,- - PLUMBING: ~\_ N\t\ ~ r J:) ) CONST. CONTRACTOR # l nfl-\o~ EXPIRES P.HO~~ \. \l.'\.C\4 g:J1.~\l)1 MECHANICAL: ELECTRICAL:\_ffi\ \ ~'( A~t\_\'\\~~ \U ~'K ~fj - OFFICE USE - QUAD AREA: LAND USE: \ \ \ \ FLOOD PLAIN: # OF BLDGS' \ # OF UNITS: \ ZONING CODE: u')r) OCCY GROUP: \~ ~T N\ CONSTR. TYPE: Vi\J II OF BDRMS: !3 # OF STORIES: \ HEAT SOURCE: ' \0\-1 SECONDARY HEAT: f: V I ~':. WATER HEATER: L7 RANGE; f~ SQUARE FOOTAGE: Y:{J<j5 '.... To request an Inspection, you must call 126-3769. This I,s a24 hour recording. Alllrispectlons requested before 7:00 a.m. will be made the same working day, Inspections requested after 7:00 a.m. will be made the fqllowlng work day. REQUI RED I NSPECTIO NS ~ Temporary Elec~rlc o Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing/ Electrical/ Mechanical - Prior to cover. o Footing - After trenches are excavated. n Masonry - Steellbcatlon, bond ~ams, grouting. o Foundation - After forms are erected but prior to concrete placement. D Underground Plumbing - Prior to tilling trench. D Underlloor Plumbing/Mechanical - Prior to Insulation or decking. ~ Po~t and Beam - Prior to floor Insulation or decking. o Floor Insulation - Prior to decking. o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to fll'llng ,trench. ' D Water Line - Prior to filling trench. D Rough Plumbing - Prior to cover. . ' , o Rough Mechanical "":'Prlor to cover. . D Rough Eh3ctrlcal ~ PrIor to cove~ , , o Electrical Service - Must be approved to obtain .,permanent electrical power. ". "'~,~~ o Fireplace - Prior to facing materials and framing Insp. ,0 Framing - Prior to cover. o Wail/Ceiling Insulation - Prior to cover, D Drywall.,... Prior to taping. o Wood Stove - After Installation. ,tf t o Insert - After fIreplace approvlll and Installation of unit. DCurbcut & Approach - After forms are erected but prior to placement of concrete. o Sidewalk & Driveway - After excavation Is complete. forms and 'sub-base material In place. o Fence- When completed. o Street Trees - When all required trees are planted. o Final Plumbing - When all plumbing W9rk Is complet,e. o Final Electrical .,.... When all electrical work Is completE;!. o Final Mechanical - When all mechanical work Is complete. o Final Building - When all J required Inspections have been , approved and building Is completed. ' OOlher MOBILE HOME INSPECfIONS o Blocking and Set.Up - When all blocking Is complete. " . o Plumbing Connections - When home has been connected to water and sewer. o Electrical Connection - When blocking, set-up. and plumbing Inspections have been approved and the home Is connected to the service panel. o Final - After all required Inspections are approved and porches. skirting, decks, and venting have been Installed. ,I ~"~'-~ Lot faces Lot sq. ftg. Lot coverage Main , Garage Carport ' Total Value Building Permit Fee State Surcharge , Total Fee L~t'~ype . x.. Interior Corner panhandle Cui-de-sac '\ " -.' ::( ',I .~ :':"I\'~ ';I~"~;".\'._{jJf"'~ .i,: t'.' 1 .~ .-;~ 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. l P.L. Setbacks ' ~ I , I HSE GAR ACC 'N S Iw IE X $/SQ, FT. '" VALUE'Q3 ~ t) ({;. QO JD~ ~ \ ~. \() " to/3t;S (A) 0=1, fl~ ) SYSTEMS DEVELOPMENT CHARGE (SOC) , (B) $..2000,,010 Topography Total helght~\C\ S' \ 43 '+-) '-. ..--' BUILDING PERMIT ITEM SQ. FT. \,QB L\;2D PLUMBING PERMIT ITEM Fixtures Residential Bath(s) NO Sanitary Sewer FT. Water . ,.'.....", FT, Storm Sewer Mobile Home Plumbing Permit State Surcharge Total Charge FT. (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood Stove/lnsertlFlreplace Unit Dryer Vent 'Mechanical Permit Issuance State Surcharge Total 'Permit (0) MISCELLANEOUS PERMITS Mobile Home . State issuance State ~urcharge Sidewalk Curbcut Demolition State Surcharge It ft Total Miscellaneous Permits (E) ~;,:"~ :' FEE TOTAL AMOUNT DUE (excluding electrical) (A. B, C, 0, and E Combined) , , APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the express condl.llon that the said construction shall, In all Jespects, 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. Plan Check, Fee: Date Paid: , Receipt Number' Received By: Plans Reviewed By Date Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved:' ADDITIONAL COMMENTS '#Rs- I() -1f~,(~OJjl.u1-(/, \-m()\~ rt #- ~~) (\ \_~0-: 4-,000"';/ ~~\ \_~Nl4- \ )\\(J -5. \q'oQ . ,:~/~<:~...; cJ-S<<O) ~aH~ " /(ceb/T~/:>)2-J-,1 .-~ ~;~'.. --" ByS{---'- -- ,. - -, - , -- '-'-- IA the ~ .d LJ. ' / Infori ~ d ,. /1 ./C./P1J thatJ ~~ with " ',. /lPO~ "of th '/ herel stru9 /' 52f'l a.? I furl U I are I, ~7'"";I. pro!] c,K. rr 5Zf3 I fur! A# req~ r;~.. ...., , fro~ /' ."~ t of tt I on t Xg~ature - -[led , all jUfy nce I 3.WS I bed lany I lion. ~hO I this 0' ;~. , , are able I ' ront haln Date VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY L-(}t0 ~, The followIng project as submlttad has the folio zoning, and does not require specific land use approval., ELECTRICAL PERMIT APPLICATION 97477 Zonina lD (L,., ' 726-3~2 ry"&& /iLl . City Job Number ~ Authorized Signature ~ yY\cOHPLETE FEE SCHEDULE BELOV 1. rt~R O~~1Y~Ni\ ) \f)t)~6~~IOfJ5\(fJ (\ J.Q>> ~SCRIfTION ' ~.\--,. ~(\ ~\(\vI\~o._' 225FIFTB STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: '726-3759 - 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' Electrical Contractor Hf-vc/L... /{-li~ Address :; ~ S S. &.Bf Pc.. Ci ty .s;, P fD Phone ?\'i -(- Il<:'-e.J' Supervisor License Number 35 '"(1 S 'Expiration Date /1-9S- Constr Contr. ,Number' 87'4 z..2 Expiration Date 3-<--~ '--f ~ ' -il Signature of Su~~ising Eiectrician b-f ~~ Owners Na,me~N\ \ ~*? Address~LfJ ~\~ ~~ ' City~(\\\~V'\ ~Phone1\f:r~.~\\5 OWER INSTALLATION The installatiori is beirig made on property I own which is not intended for sale,lease or rent. Owners Signature: DA~E~-----lr\-~~ro-~~~-----~~----~ RECEIPT fi:: ' \ . ~I \47511 RECEIVED BY: ~t..' , A. New Residential-Single or Mul ti-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion, thereof, Each Manuf'd Home or Modular Dwelling Service or Feeder f...../ $ 85.00 ~5;cJO ~ $ 15.00 3ol:rO $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to AOO amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only S 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 \\.')0 $ 55.00 $ 80.00 see liB" 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 not included) -Each installation Pump or irrigation $ 40.00 Sign(Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL ~:~~ 3,~ /:zi~Q ./~~;~..