HomeMy WebLinkAboutPermit Electrical 2000-09-06CITY OF OREGON
Signature
1 LOCATION OP
/o LJ u.-
IJGAL DESCRTPTION
S,u/P2 *l?7
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COMRACTOR INSTAII.,ATION ONLY
Electrical Contractor
Address
Ci ty one
Supervisor License r
Expiration Date
Constr Contr. Number
Expiration Date
Signature of SuPe ing Electrician
Ovners Name bd,s e,/L
Address t43 3 r?a Jr'-
Ci b Phone ?-3 aa7
OVNER INST ALLATION
INSPECTIoN REQUEST : 7zQofilfi$o
OFFICE; 726-3759
The installation is being made on
piop"tty I ovn vhich is not intended
for-sale, lease or rent'
Orners Signature:
6*d^.
SPFlITTTGFIELt,
SUBTOTAL OF ABOVE
7% State Surcharge
32 Administrative Fee
TOTAL
The lollowing proiect as submitted has the lollowing
.onins,lno",ioei not require specific land use
rLapproval.
Zoning225 TIFTE STREET
SPRINGFfELD' OREGON 974ldte
q - C, -qv
B
C.
PERHIT APPLICATION
Job Nunber SO - c),3so ^ o(
COHPIJTE FEE SCEEDTII.E BELOS
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Manuf'd Home. or
Modular DveIIing
Service or Feeder
s 8s.00
s 1s.00
$ 40.00
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 OnIY
TemporarY Services or Feeders
i;;i;li"iion, Arteration or Relocation
200 amps"or less
201 amps to 400 amPs
-
Over 40L to 600 amPS --------_Over 600 amPs or 1000 volts
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
s 3s.00 f>
Cireuit or vith Service
or Feeder Permit __-s 2.00
Miscellaneous (Service/feeder not included)
3
A
Sum
D
E
-Each installation
Pumo or irrigation _--
SignZOu tline Lighting-_
Limited EnergY/Res
-_Limited EnergY/Comm
s s0.00
s 60.00
s100. 00
s13o.0o
$300.00s 40.00
aEovE-
$ 40.00
s ss.oo
$ 80.00
see tlBlt
0eos
otu
offit=
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40
40
20
IC)OC3L'rtsr.J
LN
3
s
s
$
s
.--*_r=;ifb&-1ZrcFe-'. *+Ltrrn (3-1:lP
OO
RECEIVED
7n,
s
5
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
SPRTNGFIELE,
JOB NUMBER 1&e&ixr<" nnTE:5EF tt ?o
afi,225 Fifth street AHT REIDSprlngfleld, Oregon 97477
:2$26
IASHIER:0t +)3 l4rdoc
ASSESSORS MAP:teoj;}K2+
LOr BLOCK:
TAX LOT ots&
SUBDIVISION
PHONE:
,fuC 7t V7zr"€ZIP:STATE:
OWNER:H?r'<d,"s 8*efh
o
7U6 - V 7a-7"tvt, 4'/oJoo 51 .ADDRESS:
CITY:
NEW- REMODEL ADDITION DEMOLISH OTHER
r/ uc 0,<kUu 2l,+Cc€ft srDESCRIBE WORK:
ADDRESS
5-r 62 (,p/<r?gCo 7 ,-&
EXPIRES ,1 PHONECONTRACTOR'S NAME
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #
GENERAL:
PLUMBlNG
QUAD AREA:
I OF BDRMS:OCCY GBOUP:
- OFFICE USE -
A OF UNITS:
LAND USE:
WATER HEATER:
nurl
CONSTR. TYPE:
HEAT SOURCE:
FLOOD I]LAIN:
ZONING CODE
SECONDARY HEAT:
SOUARF. FOOTAGE:
Al ll-l\ v \ -'
# oF BLoGS: fellew rules aOopte(
'r OAH952-001-UU1{'), oF SToRI ES: ---.t)0g$Ye+lsrA,|-oblalr
rlotificationCente
callinqthecentor. (N
To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspections requested before 7:00 a.m. wlll be
made the same worklng day, lnspections reguested after 7:00 a.m. wlll be made the followlng work day.
REOUIRED INSPECTIONS
Temporary Etectrlc Rough Mechanlcal - Prlor to
cover.
Final Plumbing - When all
plumbing worl< ls complete.
Slte lnspectlon - To be made
after excavatlon, but prlor to
settlng forms.
Rough Electrica3 - Prior to Final Electrical - When all
electrical work is complete.cover
Underslab Plumblngl Electrlcal /
Mechanlcal - Prlor to cover.
Electrical Servlce - Must be
approved to obtaln permanent
electrlcal power.
Final Mechanical - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to faclng
materlals and framing lnsp.
Flnal Buildlng - When all
required lnspectlons have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to cover.
OtherFoundatlon - After forms are
erected but prlor to concrete
placemont.Wall/Celling lnsulation - Prlor to
cover.
Underground Plumblng - Prlor
to fllllng trench.I--] Drvwall - Prlor to taping
MOBILE HOME TNSPECTIONS
Undertloor Plumblng I Mechanlcal
- Prlor to lnsulatlon or decklng.Wood Stovo - Afler lnstallation
Post and Beam - Prlor to floor
lnsulatlon or decklng.lnsert - After flreplace approval
and lnstallatlon of unit.
Blocking and Set-Up - When all
blocklng ls complete.
Floor lnsulallon - Prlor to
decklng.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanltary Sewer - Prlor to fllllng
trench.Electrical Connection - When
blocking, set-up, and plumbing
lnspections have been approved
and the home is connected to
the servlce panel.
Storrn Sewer - Prior to fllllng
trench.
Sidewalk & Drlveway - After
excavation is complete, forms
and sub-base material in place.
Water Llne - Prlor to filling
trench.
Fence - When coiilpleted.
Streot Trees - When all requlred
trees are planted.
Flnal - After all required
lnspectlons are approved and
porchcs, sklrting, decks, and
ventlng have been lnstalled.Rough Plumbing - Prlor to
cover.
E
n
E
E
E
E
E
E
E
E
fl
E
E
tl
E
E
E Curbcut & A3rproach - After
forms are ereoted but prior to
placemont of concrete.
E
Lot Type _
-
lnterlor
-
Corner
-
Panhandle
-
Cul-de-sac
\--,S THE PFIOPOSED WORK TN THE .
HISTORICAL DISTRIGT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this appllcatlon must be slgned
arrd approved by the Historlcal
Coordlnator prlor to permit issuance.
APPROVED:
PL.HSE GAR ACC
N
S
E
BUILDING PERIT/IIT
VALUE
(A)
ITEM
Main
Garage
Carport
Total Value
Building Permit Fee
State Surcharge
Total Fee
SO. FT. X $/SQ. FT.
This permit is granted on the expres3 conditlon that the said
construction shall, ln all respects, conform to the Ordinance
adopted by the City of Springfield, includlng 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 sald ordinances.
Plans Reviewed By Date
Receipt Numbe
Date Paid
Plan Check Fee:
BUTLDING VAIUC
AND BUTLDING P
, FrRu cHEcK
ERMIT
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
PLUMBING PERMIT
FEE
N'
FT.
FT.
FT.
(c)
Plumblng Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/lnsert/Flreplace Unit
Dryer Vent
(D)
MECHANICAL PERM!T
Mechanical Permit
lssuance
State Surcharge
Total Permit
Furnace
Exhaust Hood
Vent Fan
By slgnature, I state and agreq that I have carefully examlned
the completed application and do hereby cerflfy that all
lnformatlon hereon is true and correct, and I f urther cerilfy
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon perlainlng to the work descrlbed
herein, and that NO OCCUPANCy will be made of any
structure without perrnission of the Building Safety Divislon.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 wlll be used on thls
prolect.
I further agree to ensure that all required lnspections are
requested at the proper ilme, that each address ls readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of
7-r(-ooDate
"rP:c
plans will remaln
on the site at times d tlon.
Signature
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Mlscellaneous Perrnits (E)
TOTAL AMOUNT DUE (exctuding electricat)(A,B,qQandECombined)
VALIDATION:
REcErPr NUMBER ____"1C3__
DATE PAIi)?.//.oo
AMOUNT RECEIVED 2d.sa
RECEIVED BY z^/4
Lot faces
Lot sg. ftg.
Lot coverage
Topography
Total height
Fleceived By:
No