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Home My WebLink AboutPermit Electrical 1995-3-6 ,...-: . "The following project a9 suqmitted. ~a:; the bll?'Nlng zoning, and does not require specifIc lUrid use approval. 225 FIFTH STREET Zonino SPRINGFIELD, OREGON 97~77 INSPECTION REQUEST: 7~~!)'07 OFFICE: 726-3759 Authorized Signature. 1. LOCATION OF ,AlSTALLATION ij9~ ~5"'?:lP'.4<2'" - ~ I LEGAL DE~PTION /47" ~ .~~~C?/h'/C:-~ ~JOB DESCRIPTION ~ 1~A?7 ;t::-p~ ~~ ELECTRICAL PERMIT APPLICATION Ci ty Job Number 9~ ~ COMPLETE FEE SCHEDULE BELOV 3. 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. It ems Cos t Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq, f t or portion thereof $ 15.00 Each Manuf'd Home, or Modular Dwelling Service or Feeder $ 40,00 ~ CONTRACTOR INSTAL~ON ONL~ ' ,B. Services or Feeders ~.....,..., /?f.VEll'J~/r.--- ~~~nstallation, Alterations Eleet!"is...l-Contractor~ . . or Relocation: Address 200 amps or less 201 amps to 400 amps City Phone 401 amps to 600 amps 601 amps to,1000 amps Supervisor License Number Over 1000 amps/volts Reconnect Only Expiration Date Constr Contr. Number.09 t,.I'3"?-2. Expiration Date . /,d-r,/-9-S- Signature ,of Supervising Electrician Owners Name8/.v.:g' ~~n ~~ ~D. Address ~70 79~-~~ ---.:F:, . 7~'1'~/..?"2- Ci ty<?1~~~t. Phone "7.if7~ OlINER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. ;wn~~ DATE~------~:<f~~~---------------- RECEIPT 11: /tf.7'2/ RECEIVED BY: t'" A6~v_ $ 50,00 $ 60,00 $100,00 $130.00 S300.00 $ 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 Branch Circuits ---- $ 40.00 $ 55.00 $ 80.00 see nB" 4i:::?. ~ r volts above ,. New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 no t included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 40,00 o' $ 40.00 $ 20.00 $ 36,00 Ut? _ .se::> T~ ~..--~ /,:;;;:t:::> _y-:3.2c:::. =_ SPRINGFIELD .- ~~~~I~Nl~~t;CATION ~ JOB NUMBER Inspections: 726.3769 ..~ 225 Filth Street Office: 726.3759 ~JI Springfield, Oregon 97477 LOCATION OF PROPOSep~ORK:. 4C\\ ol () ~~<; c;..' T~/.# ,~: ' ASSESSORS MAP'\~f'f)[Wy} TAX u:i-r. U.JQ Fr) , ~ BLOCK' SUBDIVISION: V"7i'r:~ ~~ ,..-'___ LOT' , ~ OWNER' I?/"? ,/~t'/t::~A/ ADDR~""" '2.'&6 .1/ /7./.~"5z73' CITY' &~~t:E' ' ." STAT~' ' O'?? ]>~0?328 PHONE: 6~'3 ~S 7"'5-7 ZIP' ~?~~< DESCRIBE WORK' /;y:.~<:.. ~;or;'~ -?:'-1"1."/,7"~~.r,,- ~~~-'.Zd> ~;r:s-- NEW REMODEL ADDITION'" DEMOLIsH OTHER ~ ~,c To request an Inspection, you must call 126.3769. This Is 824 hour recording, All Inspections requested before 7:00 a,m, will be made the same working day, tnspectlons requested a,fter 7:00 a.m. will be made Ihe following work day. REQUiRED INSPECTIONS D Rough Mech~nl~al ..: Prior to cover. . D Temporary Elec~~lc D Site Inspection - To be made atler excavatlon, but prior to setllng forms. D Underslab Plumblng/Electrlcall Mechanical - Prior to cover. D Footing - After trenches are excavated. D Masonry - Steel location, bond ,beams, grouting. D Foundation - Alter forms are erected'but prior to 'concrete placement. D Underground Plumbing - Prior to flfllng trench. D Underlloor Plumbing/Mechanical - Prior to Insulation or decking, D Poat,and B~am.- prl~r to floor 'Insulation o~ decking. " D Floor Insulation - Prior to decking, . ri/I Sanitary Sewer - Prior to filling l--6-J trench. r71 Storm, Sewer - Prior to liMing \.4-l trench. ' . r.71 Water Line - Prior to filling , L+-J trench, D Rough Plumbing - Prior to cover. D Roug-ti 'Electrlcal -:- PrIor' to . cover. , , D Electrical Service - Must be approved to obtaln.,permanent electrical power. :,- ....;;:#_ .' D Fireplace - Prior to facing materials and Iramlng Insp. D Framing - Prior to cover. D Wail/Coning Insulation - Prior to cover. D Drywall .,... Prior to taping. D Wood Stove - Alter I,;stallatlon, D Insert - Alter IIreplace approval and Installation of unit. DCurbcut & Approach - After forms are erected but prior to placement of concral.a. D Sldewatk & Driveway - After ,excavation Is completo, forms .and 'sub.base' material In place. D F~n~e - When completed. D .Street Trees - When all required trees are planted. D Final Plumbing - When all ,plumbing W9rk Is complete. D Final Electrical - When all electrical work Is complete. D Final Mechanical - When all ~echanlcal work Is complete. D Final Building - When all required Inspections have been approved and building Is completed, D Olh~r ' MOBILE HOME. INSPECTIONS D BI~ckln'g and Set.Up - When all blocking Is complete, ' , D Plumbing Connections - When home has been connected to water and sewer. D Electrical Connection - When blocking, sel.up. and plumbing Inspections have been approved and the home Is connected to the service panel. 'D Flnat -' Aller all required Inspections are approved and porchos, sklrthig, decks, and venting have been Installed. . .' :t Lot faces Lot Type . Interior Lot sq. Itg. Lot coverage Corner Topography Total height Panhandle Cul.de.sac BUILDING PERMIT ITEM SQ. FT. X $/SQ, FT, a Main , Garage Carport Total Value Building Permit Fee State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanllary Sewer FT. ~"'3 Water FT. ~'3 Storm Sewer FT, ~3 Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/lnserllFlreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State issuance State Surcharge Sidewalk It Curbcut It , '. Demolition ',State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) ?: -' ~ '. . i"~... ':i "I'" Setbacks ' ....J.t~.- " (. THE PROPOSED WORK IN THE. .RISTORICAL DISTRICT, OR ON THE HISroRICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. ., I P.L, HSE GAR ACC I N 's Iw IE VALUE " .....-,~... I APPROVED' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granled on the express condition that the said construction shall, In all respects, conform to the Ordinance adopted by the City ,01 Sprlnglleld, Including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation 01 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 FEE t./tP 7"~ q/7 /'2 O. "'C 6, PI!!> :; €6- /2 9,60 By slgnature,l state and agree, that I have carefully examined the completed appllcallon and do hereby certl Iy 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 01 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 sny structure without 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 Inspectlons 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 sit t all times during co tructlon. SI~r DateV~:5'~ VALIDATION: RECEIPT NUMBER / '1, / ;;'.:1 ,0/'0'?'- I?S C;,0 /~~ DATE PAin, AMOUNT RECEIVED RECEIVED BY