HomeMy WebLinkAboutPermit Electrical 1990-11-14
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SPRINGFIELD
225 U.hu STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: " 726-3769
OFFICE: 726-3759
ELECTRICAL PERMIT APPLICATION
City 'JObNumber~
3. . COHPLETE FEE S~UAuU~ BELOV
1.',LOC~~~IN~~
, , 0
LEGAL DESCRIPTION
.'
: ~ DvrTIrJ~
:rm:Ware' n~n-trans:lble and expire
if work is not started within 180 days
of issuance or if work is suspended for
, 180 days.
'2. CONTRACTOR INSTALLATION ONLY
Electri~al Contractor1l10VJ1 hJJ1 &/-er...
Address f/)q c:; &. 3CI-rA .Ave.
Ci ty..if::lifj tJ1 )'/ Phone I//(-& { (p J-f{
Supervisor License Number 30/1 S
Expiration Date J()--I ~q I
Constr Contr. Number r-J-O -~6 I" ,__
Expiration Date /(J --/-- 1j
Signature,of supervi~ectrician
~~~' ,
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Na~u.~ft^U\~o~
Address ~[Qb (0 4~
City
, Phone
The instal~ tion is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE: - \ t :1i\. 0tJ-
RECEIPT I: ~ ~/14
RECEIVED BY: '-../ \1. /00. . ,
A. New Residential-Singl~,or
Multi-Family per dwelling unit.
Service Included: '
, Items
Cost
Suln
1500 sq.ft. or less ~ $ 85.00
Each additional 500
sq; ft or portion,
, thereof l $ 15;00
Each Hanuf'd Home or
Hodular Dwelling
Service or Feeder' $ 35.00
./
B. 'Services or Feeders (1~ Branch Circuits
included). Installation, Alterations
or Relocation:
100' amps or less
101. amps to, 400 amps
'401'amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnec t Only'
$ 35.00
$ 60.00
$ 80.00'
$130.00
$300.00
$ 35.00
"
....
C.' Temporary Services 'or Feeders
Installation, Alteration o.r Relocation
200 amps'or less
201 amps to 400 amps
Over 401 to 600 amps'
Over 600 amps or, 1000 volts
D. Branch Circuits
$ 35.00
$ 40.00
$ 80.00
see "8" above
"
New, Alteration or Extension Per Panel
Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
'Sign/Outline Lighting
SignalCircui t or '
limited 'energy panel
One Circuit ,
Two to ten Circuits
Each Addt'l ten or'
portion thereof
,'.
E.
, 5~
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 50.00
$ 15.00
$ 36.00
$ 36.00
$ 36,00
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.. RESID'T1AL"
. APPLICAT PERMIT
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-3753
19-!eo
Job Location:
t;Zq
4 -f {....:)~y
-=< "7e-CAt.e" -;.-
Ta:r; Lot #
fddress ~isc. I'
~':"1 '2..~
I+-l?t;r,{v-!e- ff...-b E~<; .?, -;16c;?
iAAaL-e;4aI(~ .J <s/# -7'>790
/(.,DV'1/~e-, G7ec, ~O'L ?P-~
Slloerv~ing Electr~cianp...,..A-.L,;?~';Jh~~,~_~1 '
It is ths PflSp0710ibitity of ths permit holder to see that all inopectionB ar'e mads at the proper tim~, that c.cch .::ddrSBB is l'eadab~e
f1"Om tits street, and that the permi t oard is 'Located at the front of the property.
-Buiz.ding lXvi::ion approt.'ed pl.an aha'Ll. remain on tha Building Sits at all times.
PROCEDURE FOR INSPECTION RS:QUEST..CALL 726-3769 (recorder) state YOUI' City designated job nwnbel', job addre8s, type of in3pecticn
l'oqucatcd ar.d IJhen you /Jill be ready for inspection, Contractor8 or O/Jners name and phone number. Requests l'eceit.'ed before 7:00 a':'l
;..~Zl be made the 8ame day, l"6quests made afta' 7:00 am 1.1il1. ba rmde the next :.>orking day.
ASD6SDor3 Map II
-
Subdivision: It r '.....e.L- !-/ r .// C
Q.mer: v1-,~e'-1 ~
Mares.: <"'? - -: -'- J_ //
. .),~,.-:- t:::::..... ~T'-\
City: ~ ~
./
~NmJ
n Addi tion
n Remodel
n .'-fobi le Homo
s-r:
jJee..:;
9'/li/?ZJ
Data of Application
Contractors
General
i Plumbing
I Hechanical
q"ctrica 1
fb"eeaBVI !7!;t.o S
Reauiped In~Dp.ctiGns
O SITE INSPECTION: To be made after
excavation, but pnor to set up of
forms.
O UNDERSLAB PLUMBING. ELECTRICAL &
. MECHANICAL: To be made before any
lI)Ork is a01Jcred.
FOOTING & FOUNOATION: To be mad.
after trencheD are excavated and
forms are erected, but prior to
pouring concreto.
ro:::-A UNDSRGROUND Pl.UMBING. ~EWER~ER';>
i XJ..~_~.LNAr;E,:..J To be nrule p:M.or to 7il.-
... ~enchec.
~
UNDERFWOR PLUlfBING & MECHANICAL:
, To be tnt:U'Ui prior to inota1.l.ation of
[1.001" insulation or decking.
POST AND BEAM: To b6 rmde pl"ior to
insta1.Zat-icn of floor ins14lation or
<leoking.
ROUCH PLUMBING. ELECTRICAL & MECH-
ANICAL: No work is to be COt:er>ed
,until these inspections have beer.
made and approved.
FIREPLACE: Pl>ior to pLacir.g facing
materials and before framing inspec-
tion.
FRAMING: Must be requested after
approval. of rough plwrbing, electri-
cal of m6chanical. All. roofing
bracing 8 chimneys, sta. must be
: completed. No work is to be COtt-
'ceated until this inspection has
'bs~n made and approved.
s
/(~
Phone: 6:80-<::11-3/
Zip: ~.
Hccp.:pt if
I 'r<, , J .-')4-
Describe rl'ork:
. ~/c;p1e<,~
Value 9'0.L-Zq
.
s~w.ecd ID:;U
/1- !4-Q(')
Date:
Bidrs Board Reg.
. Ph"np
Your City Decigr.ated Job Numbsr Is:
~ INSULATION/VAPOR BAHRIER INSPECTION:
To be made afteI' all insu~tum ar.d
.. required vapor bCU'l'iers are in place
. but before any lath, gypsum board or
wall covering is applied, and before
~y innuZation ~s concealed.
t'\I! DRYWALL INSPECTION: To be made
~ after all drytJaZZ is in place,
but prior to any taping.
O MASONRY: Steel location, bona
beams, grouting or verticals in
accOrdanc9 fJi th u. B. C. Section
2415.
O WOOD5TOVE: After installation is
ccmpleted.
'fVI CURB & APPROACH APRON: Afte:- forms
~ al'e ereated but prior to pouring
, aonorete.
'K71' SIDEWALK & DRIVEWAY: For all oon-
~crete paving within str>eet right-
~f-fX.YJ to be made after aU exca-
vating c011plete & form work & sub~
. base material in plaae.
Exoires
11/'3-0
7(1/!<tJ/
iZ(ZY9o
-~/y/ql
~ -9t#5l
~4-r;-Jo~
.747-7d.V:
6~- 1~7.~
9t::'///9
. DEMOLITION OR gOVED BUILDIilCS
~ Sani~ary ee'.Jer> ::!apped at p~op~rt:i lir:.e
~ Septi::! tank p~ed and fille~ with gra~el
I Final - rfhen abcve items are completed
---l ar~ when demolition is complete or 8tru~-
ture moved and premises ol9aned up.
Nobilo Homes
~ Blocking and Set-up
~ Plumbing connections sower and wa~er
---, Electrical Connection - Blocking, eet-up
--.J and plwnbing connections m'..lst ce approved
before requesting elec~rical inspection
~ Acaessory Building
"
--, Final - After p:1rches, sk'~rting, decks~
~ etC. are completed.
D PENCE: Ifhen co:rrplete -- Provide
gates or movable se~tions through 0
P.U.E.
IVl STREET'rREES:;< street
~ trees from approved list shall
be installed - minimum 6' high
_atJDa~ting,- _ _ _ _
All project conditions, such as the installation of street tree8~ co.~lation of the
required landscapir.g~ etc., must be satisfied before the BUILDING FINAL can be r8questad.
FIliAL PLUMBIIIG
~ FINAL MECHANICAL
!:8t. FINAL ELECTRICAL
~
FINAL BUILDING: The Final Building Inspection must be requested after the Final Plwnbing
Electrical, and Mechanical Inspections havo been made and approvad.
o
AAT.L MANHOLES AND CLF.I1NOUTS ~fl/ST 8E ACCES$IlJLF.~ ADJUST!fENT TO BE ftMDE liT "'0 CYST TO CITY , Paf:c 1 of :1
""'If"" ~
I JOB NO. qO///~ SOLAR ACCESS
zone:' Occuvancy cr4t
Lot Sq. Ftg. '9'073 LOT TYPE
S of lot Cavemge /5.1~ 0nteriar
f of Stories 2.. Comer
Total Height Panhandle
Cul-de-saa
REQ,-
, L-cod~
7'dPe;c~r~t: ~'. HBdroom.:
Lot Face. - Wf3ls r' ! EnBl'fIlI Source.
Setbacke I I Heat
P. L. House CaraQe. Access. I I Water> .t{I'..nl;nr
North ,/0 ',-, ,11 I Range
~as t FitteD lace
South '7.J- I I Woodotove
II
TuDe
F'4
~.~
kl~
T",y",~.._ ""'f'hy f.~ )J.~S.
ITEM SQ. FTC X
MIin nil--
I Garane %\
Ir;~ttt
Access01"u
'West
I /'3'
Value
-- Fees --
I
\ Building Value & Permit
This pernrit is gmnted on the erpl'ess condition that the sa"id construction
shall~ in all l'espects~ confo~ to the Ordinance adopted by the City of
Springfield, including the Zoning Ordinance, ttegulating the construction
and UDe of buitdings~ and m::zy be sUDpended art revoked at cny time upon vio-
lation of any proviBions of said OI'dinancBs.
lITEM
Fiztures
I Re.id81ltial (J bath)
I Sanita1'Y SetJer
NO.
FEE
~S"429.40
-i4-3/.# ,.
4:;1../, tJO I
, '2.1, oS
4f&.oS,'
I CHARCE i
/00~
Plan Check Pee: "273. (;,;!;""
Date Paid: 0 _ 7-YO
R.csipt H.~2:<?
Sign.d:"....::;~~_,.
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Plumbing Permit
)
I
Is.D.c.
TOTAL VALUE
(vaLue)
1.5 %
Building Permit
State Surcharge
Total Cha."'!l..
'2-
No pertson ohall constMlct~ instat'!~ alter 01' change any new 01' msting
plumbing 01' drainage system in whole 01' in part~ unless such pe1'son is the
legal possessor of a valid plumber's license~ ~CBpt that a person may do
plwnbing liJOrtk. tt;J property tJhich is OZJned~ leased or operated by the appli-
cant.
Watert
'i ITEM I NO.
~. Fta. ).15~
N8lJ/Ezt~ircuits
Temporary Serv~
I
J (POOO
~60 I
/fo~~ "
I ~;'GEtY.5 f
uU/ ~ Electrical Permi t
./ I Where State Law rtequires that the eleotrical IJOttk be done by an Eleetrioal
/" Contractor~ the eleotrical potttion of this permit shall r.ot be valid until
/' :<: ~ t><' I the Zab.l ha~ b.81I .ign.d by the El.ctrical Cantractor.
":xr 1\ lQiJ \JJJlQ,C) &D0J\.0.b0.. (J(N\ i
El.atrfcari"'ermit ~ lad' IX) '-/ ~ ~ \ ' ' '\ '\
~Surchara. ~ 75" . ..J
/Total Charg.. /4/ 75-.....
I ITEM NO. PEE CI/ARCE
Furnace /!TU'S &, ()D
4~O
'1QO
State Surcr.arge
Plumbing permi t
Tota l ChaNes
FEE
Mechanical
Permit
E:c1zaust Hood
Vent Fan
3
JlOodstove
Total CMraes
-- ENCROACHMENT --
ZIlh1'
/0 (N)
.<-I.S'.:J I
/.~~ I
3g; t) & I.
A
,/.'M; LJo FE:
Permit Issuance
Meehanical Permit
Stato Surcharoe
,
I
I
,
I
I
I I Cllrbcut
, \ sids1.>a lk
I
I
I P""",.
I I
I Elsatrical Label
l i ~~,l. H~.
f TOTAL AMOUNT DUE:-'I
Seau:l'it'll DelXJsit
I Storage
I Maintenance
I Permit
I
p4?M#lN ~
, uat~-(9?j
50'
/3.~O
J'7. G'O
I HAVE CAREPULLY EXAMINED the aompl.t.d application for pernrit, and do
hetteby certify that all information hettBon is tzoue and COttl"cct, and I
further certify that any ar.d all work performed shalt be done in accol"-
danc. >Jith the Ordinanc.. of the City of Springfield, and the La:,J. of tho
* State of Ol"egon pel"taining to the wottk described herein~ and that NO OCCU-
PANCY >JiZZ b. ..,d. of any .truotura >Jithout pornri..ion of the Building Di-
vision. I further certify that tm.ly contractors and e:rrpz"yees who are in
cor.rpliance with ORS 701.055 will b6 used on this project
Total ChaNGS
2-'2+1,42.. .
~~~
sign9i t/
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q/GJfO
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Dat'i