HomeMy WebLinkAboutPermit Electrical 1993-07-26, CITY OF SPR
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The loilcvrinq proiect as submitted hao the following
ot roquire sPecific land use
225 FIFTE SIBEEE
SPRTNGFTELD, oREGoN 97477
INSPBCTION RBQTIBST: 726.3
OFFICE: 726-3759
EI,^BCTRICAL
Ctty Job Number
STIBTOTAL OF ABOVB
5Z State Surcharge
TOTAL
APPLICATION
t6.3
=ZI"*fr
1
Permlts are non-transferable and explrelf vork ls not started vlthln 180 daysof issuance or lf vork ls suspended for
180 days.
2. COIITRACTOR INSTATI.ATION ONLT
Electrlcal Contractor L.R. BRABHA|4, INC.
Address63 l.l. "Q" ST.,
ct SPFLD Phone 747-6638
Supervisor Llcense Ndmber I 473S
Exp lratlon Date 10/1/95
Constr Contr. Number 08699
COHPIATB TEE SCEEDULE BBLOV
A. Nev Resldentlal-Slngle or
HuItl-Famlly per dvelllng unlt.
Servlce fncluded:Items Cost
1000 sq.ft. or less
Each addltlonal 500
sq. ft or portlon
thereof
Each Hanuf'd Home or
. llodular Dvelllng
Servlce or Feeder
$ 85.00
s 1s.00
s 40.00
B Servlces or Feeders
Installatlon, Alteratlons or
Relocatlon r
200 amps or less
201 amps to 400 amps _
401 amps to 600 amps _
601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect On1y
C. Temporary Servlces or Feeders
Installatlon, Alteratlon or Relocation
*tr-
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
s 40.00
Sum
above
Exp
Slgnature of Supervlslng Blectrlcian
Owners Name (p"+*Lfr*vo
Address l0ll wuLak
Ct ty Phone l4l ,6{bt
OIJNER INSTALI,ATION
The lnstallatlon ls belng made on
property I ovn vhlch ls not lntended
for sale, lease or rent.
Omers Slgnature:
DATB:
RECBIPT
ee ilBtr
D. Branch Clrcults
Nev, Alteratlon or Extenslon Per Pane1
200 amps or less $
201 amps to 400 amps
-
$
over 4b1 to 6oo "rp= -
S
Over 600 amps or 1000 volts s
One Ci.rcui t I
Each Additional
Circuit or with Service,l
or Feeder Permi I "T
lratlon Date 10/1Ble3
s
s
$
s
40.00
55.00
80.00
$ 3s.oo 35,N
s 2.00 8,N
B. Hlscellaneous (Servlce/feeder not lncluded)
-Each installatlon
Pump or irrigation
sign/outline Lighting-
Limited Energy/Res
40.00
40.00
20.00
36.00
001
RECEIVED
5
q
r\ JOB DESCRfPTf0N
K6t'ttW lwtxt, K.ovvn
SP}rINGFIELEl
RE;IDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
JOB NUMBER
225 Fi{th Street
Spri ngfield, Oregon 97 477
LOCATION OF PROPOSED WORK:
ASSESSORS MAP:la oVZq Lz-TAX LOT:cl Goc
LOT:BLOCK
c{u) &s€}>OWNER PHONE
,//22 +z QP) 7//e/?-
ADDRESS:
CITY:-)2_STATE:D){-ZIP:9"1aT
'1-
DESCRIBE WOR
NEW-.-- R DEL t-/ ADDITION SH _-- OTHER
CONTRACTOR'S AME ADDRESS
CONST.
CONTRACTOR #EXPIRES PHONE
G EN ERAL:
PLUMBING:ot-L./ a w, t(uru na-MECHANICAL:
ELECTRICAL Z. R. Bztatarnr
- OFFICE USE _
QUAD AREA:
, OF BLDGS
LAND USE:
# OF UNITS
FLOOD PLAIN
ZONING CODE:
OCCY GROUP:
I OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
I OF BDRMS:
WATER HEATER:RANGE:
SECONDAFIY HEAT:
SOUARE FOOTAGE:
To request an inspection, you must call 726-3769. This is a24hour recording. All inspections requested before 7:00 a.m. will be
made the same working day, lnspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
Temporary Electric Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing work is complete.
Sile lnspection - To be made
af ter excavation, but Prior to
setting forms.
Rough Electrical -Prior to Final Electrical - When all
electrical work is complete.cover,
Underslab Plumbing / Electrical /
Mechanical - Prior to cover.
Electrical Service - Must be
approved to obltain Permanent
electrical power.
Final Mechanical - When all
mechanical work is complete.
Footing - After trenches are
excavated.Fireplace - Prior to facing
materials and framing lnsP.
Final Building - When all
required inspections have been
approved and building is
completed.Masonry - Steel location, bond
beams, grou.ting.n
e
Framing - Prior to cover.
Other
Foundation - After forms are
erected but prior lo concrete
placement.Wall/Ceiling lnsulation - Prior to
cover.
Underground Plumbing - Prior
to f illing trench.fA OrVwall - Prior to taping.
MOBILE HOME INSPECTIONS
Underlloor Plumbing / Mechanical
- Prior to insulation or decking.Wood Stove - After installation
Post and Beam - Prior to floor
insulation or decking.lnsert - After fireplace aPProval
and installation of unit.
Blocking and Set-Up - When all
blocking is complete.
Floor lnsulation - Prior to
decki n g.Curbcut & Approach - After
forms are erected but Prior to
placement of concrete.
Plumbing Conneclions - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.Electrical Connection - When
blocking, set-up, and Plumbing
inspections have been approved
and the home is connected to
the service panel.
Storm Sewer - Prior to filling
trench.
Sidewalk & DrivewaY - After
excavation is complete, forms
and sub-base material in Place.
Water Line - Prior to filling
trench.l-_l Fence - When comPleted.
Rough Plumbing - Prior to
cover.
Slreet Trees - When all required
trees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
2aga33'
SUBDIVISION:
E E
r
r
tl
tl
E
tl tl
rr
E
tl E
Lot laces
Lot sg. ftg.
Lot coverage
Topography
Total height
Lot Type -
lnterior
-
Corner
-
Panhandle
-
Cul-de-sac
Set
P.L.HSE GAR ACC
N
S
E
r-lS rHE PROPOSED WORK lN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this application must be signed
and approved bY the Historlcal
Coordinator prior to permit issuance'
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall, in all respects, 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 tlme
upon violation of any provisions of said ordinances.
Beceipt Number:-
Plans Fleviewed By Date
Plan Check Fee:
Date Paid
Received By
BU!LDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
VALUE
2E-32(A)
X $/SO, FT.
Total Value
Building Permit Fee
State Surcharge
Total Fee
#_.^ V,
V.n=
Systems Development Charge is due on all undeveloped
properties within the City limits which are being lmproved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ADDITIONAL COMMENTS
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE,4ta
FT.
FT.
,Zrry
(c)%4
//
No
^/5:*
PLUMBING PERMIT
Plumbing Permlt
State Surcharge
Total Charge
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
2//7
---
N0Vent Fan
/,< *
/2-n
Mechanical Permit
lssuance
Stale Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood
i
By signature, I state and agree, that I have carefully examlned
the completed application and do hereby certify that all
lnformaticln hereon is true and correct, and I f urther certlfy
that any and all work performed shall be done in accordance
wlth the Ordinances of 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 any
structure without permission of the Buildlng Safety Division.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on thls
project.
I further agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from the street, that the permit card ls located at the lront
Signature
Date
of the property, and the
durion the site at all ti
,roved set of plans will remain
ng construction.
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
Stale Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Permits (E)Q-.J'4DATE PAID
AMOUNT BECEIVED
BECEIVED BY
VALIDATION:
RECEIPT NUMBER
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, Q and E Combined)
F7.?3
FT.
/'- 4*/el r" -?-
?"F7'
q-e, / 9
aC'TY OF SPR
225 FIFTB STREEf,
SPRTNGFTBLD, ORBGoN 97477
INSPBCilI0N RBOUBST:. 726-3769
oFPICE: 726-3759 'l i: t
BLECTRICAL PER}IIT APPTICATION
City Job Number
3. COI{PIATE FBE SCEEDUI.IE BBLOV
A. Nev Residentlal-Single or
Hultl-Family per dvelllng unit.
Servlce Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
-Modular DveIllng
Service or Feeder
$ 8s.00
s 1s.00
$ 40.00
B. Servlces or Feeders
Installation, Alteratlons or
Relocat ion:
2oo amps or less t
201 amps to 400 amps
-.401 amps to 600 amps _
601 amps to 1000 amps_
0ver 1000 amps/volts _
Reconnect Only
C. Temporary Services or Feeders
Installatlon, Alteration or Relocation
D. Branch Circuits
Nev, Alteratlon or Extenslon Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit S 2.00
st'r arN{;l'tE.Lf,,
--lr-
SIIBTOTAL OP ABOVB
5Z State Surcharge
TOTAL
0i!
vDU
q>
OB1.. TOCATION OT INSTALI..ATIONfitl l'it r,U Slrrrr
Sum
(,
Permits are non-transferable and explreIt vork is not started vithin 180 daysof issuance or if Hork ls suspenCed fcr
180 days.
2. COlfTRA(f,OR INSTALI,ATION ONIY
Electrical Contractor L.R. BRABHAI4, INC.
Address68 t,J. "Q" ST.,
Cl ty.SP FLD Phone 747-6638
Supervisor License Number I 4735
ExP iration Date 10/1 195
Constr Contr. Number 08699
Exp iratlon Date 1o/18/93
Signa of Supervlslng Blectrlclan
Ovners
Address
Ci ty Phone
OIJNER INSTATLATION
The installatlon is belng made on
property f own which ls not intended
for sale, lease or rent.
Ovners Signature:
DATE:
RECBIPT
200 amps or less $ 40.00
Over 401 to 600 amps -- $ 80.00
Over 600 amps or 1000 volts see rrBtr above
0-o
not lncluded)
40.00
40.00
20. o0
h,$ 50.00
$ 60.00
s100.00
s130.00
$300.00
$ 40.00
K
E Miscellaneous (Service/feeder
-Each installation
Pump or irrigation $
Sign/0utIine Lighting_ $
Limited Energy/Res _ $
Limited Energy/Comm S
I
RECEIVED
5 50,M