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Home My WebLink AboutPermit Electrical 1997-06-10RESIDENTIAL PERMIT APPLICATION lnspections: 726.3769 Office: 726.3759 SPRINGFIELO efr, JOB NUMBER 225 Fif th Street Springf leld, Oregon 97477 LOCATION OF PROPOSED WORK:/ 352 l,/ tLc 5r- ASSESSORS MAP:TAX LOT: LOT BLOCK:SUBDIVISION: STATE:ZlPi 7 A4 -r)r*1 F tEt ea<CITY: ADDRESS: OWNER; NEW - REMoDEL I/. ADDITIoN oEMoLISH oTHER ; \z)LU* ot),^l,t /rDESCRIBE WOFIK: He'r,)R)*€.or-- CONTRACTOR'S NAME GENERAL: ADDRESS PLUMBING; MECHANICAL: ELECTRICAL: PHONE 44r-z16 CONST. CONTRACTOR '-Wtq EXPIRES r /ea - OFFICE USE - WATER HEATER: SECONDABY HEAT: _ SOUARE FOOTAGE: LAND USE:OUAD AREA: * OF BLDGS: , OF BDRMS: -- OCCY GROUP: E OF STOBIES: ZONING CODE: FLOOD I]LAIN: CONSTR. TYPE HEAT SOURCE: # OF UNITS: _ FIANGE: To request an inspectlon, you must call 726.3769. Thmade the same worklng day, lnspections requested Temporary Electrlc Slte lnspectlon - To be madeafter excavation, but prlor tosettlng forms.w [--l Understab ptumbtng/ Etectrical/ - Mechanlcal - prior to cover. Footlng - After trenches are excavated. ls ls a 24 hour recordrng. Ail rnspectlons requested before 7:00 a.m. wilr beafter 7:00 a.m. wlll be made the followlng work day. REQUIRED INSPECTIONS Rough Mechanlcal - prlor tocover. Rough Electrlcal - prlor to cover. Eleclrlcat Servlce - Must beapprovecl to obtaln permanent electrlcal power. l-l Finat ptumbing - When ail - plumblng work ls complete. 4 Final Electrlcal - When allelectrlcal worl< is complete. l-l Ftnal Mechanlcal - When ail - mechanical worl( ls complete. w Flnal Buildlng - When allrequlred lnspectlons have beenapproved and bullding lscompleted. Othor MOBILE HOME INSPECTIONS Plumbing Connecllons _ Whenhome lras been connected towater and sewer. D Masonry - Steel locailon, bondbeams, groutlnO. Foundallon - After forms areerecled but prlor to concreteplacement. Floor lnsulalion - prlor todecklng. Sanltary Sewer - prior to fllllngtrench. Slorm Sewer - prior to fllling trench. Rough Plumblng - prlor to cover. f-l Ftreptace - prtor to factng'J materlals and framlng lnspl [Z Framlng - prtor to cover. [l Underground ptumblnq - priort-l to fllllig trench-. - - n Drywall - Prlor to taplng Undertloor Plumblng/ Mechanical - Prlor lo lnsulatlon or decklng, Post and Boam - prlor to floorlnsulatlon or decklng.n lnserl - After flreplace approval - anc, tnstallailon of unlt. [_l Atocking and Ser.Up - When ail - btocking is complete. Wall/Celllng lnsulatlon - prlor tocover. Wood Slovo - After lnstallation. [-] Warer Llne - prtor ro finingu trench. Curbcut & Alrproach - Afterforms are erected brrt prior loplacemcnt of concrete. Sldewalk & Drlveway - Afterexcavation ls complete, formsand sub.base materlal in placc. Fence - When comp,eted. Slreel Troos - When all requiredtrees are planted. Electrical Conneclion - When ,U_t9cXi1g, set-up, anO ptumUinjlnspections have been approvedand the home is connected tothe servlce panel. FInal - After all requiredinspectlons are approved andporches, skirting, decks, andventlng have been lnstalled. /e>v PHONE: Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type v - lnterlor - Corner - Panhandle - Cul'de'sac ks ( - THE PBOPOSED WORK TN THE . HISTORICAL DISTRICT, OR ON THE H ISTORICAL REGISTER? - It yes, thls applicatlon must be slgned arrd approved bY the Hlstorlcal Coordinator prlor to permit issuance.' APPROVED: HSE GAR ACCP.L. N S BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the cxpress condition that the said constructlon shall, in all respects, conform to the Ordlnance adopted by the City of Springfield, includlng the Dovelopment Code, regulating the construction and use of bulldings, and may tre suspended or revokod at any tlme any provisions of said ordinances. Plans Rcviewed LjY Date Receipt Numbe upon violation of Plan Check Fee: Date Paid Received By: VALUE znq (A) X S/SQ. FT. eaTotal Value Building Permit Fee State Surcharge Total Fec BUILDING PERMIT ITEM SO. FT. Main Garage Carport 7r Systems Development Charge ls due on all undeveloped properties within the City linrits which are being improved.SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS ITEM Flxtures Resldential Bath(s) Sanltary Sewer Water Storm Sewer Moblle Home (c) FEE N0 FT. FT. FT. PLUMBING PERMIT Plumblng Permlt State Surcharge Total Charge Wood Stove/ lnsert / Flreplace Utril Dryer Vent (D) NoVent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnacc Exhaust Hood By slgnature, I state and agree, that I have carefully examlned the completed appllcation and do hereby certlfy that all lnlormatlon hereon is lrue and correct, and I lurther certlfy that any and all work performed shall be done in accordance with the Ordinanccs of thc City of Sprlngfield, and the Laws of the State of Oregon pertainlng to tho work descrlbed herein, and that NO OCCUPANCY will be made of any structure wlthout pertnission of the Bulldlrrg Safety Dlvislon' I further certify that only contractors and employees who are ln cotnpliance with ORS 70'1.055 wlll be used on thls proiect. I further agree to ensure that all required inspectlons are requested at the proper tlme, that each address ls readable lrom tlrc street, that the permlt card ls located at the front of the property, and the approved set of plans will remaln on the slte at all times durlng constructlon' Slgnature Date * MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sldewalk -- ft Curbcut - ft Demolitlon State Surcharge Total Mlscellaneous Perlnits (E) ,,,/-'?92 Z DATE PAID AMOUNT RECEIVED RECEIVED BY VALIDATION: RECEIPT NUMBEF TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Comblned) E CITV OF SPR OREGO'V /.352 ?fl INSTALLATIONi/-s"fr SP. GFIELE' ELECTRICAL PER},IIT APPLICATION Ci ty Job Number COHPI,ETE FEE SCHEDULE BELOV Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost One Circuit Each Additional irr KL,, 22s FrFrE srREEr cl /c i'/ SPRTNGFTELD, OREGON 97477 ,h nr INSPEGTION REQI.IEST.. 726_3769'' .''','.:.' OFFICE: 726-3759 3. 1. LOCATION OF LEGAL ON Permits are non-transferable and expire if vork is not started vi thin 1'80 days of issuance or if work is suspended for 180 days. Address 2. COMRACTOR INSTALLATION ONLY B. SETViCCS OT FCCdCTS - Installation, Alterations Electrical con tr^.rc, {il-//E Oil fultrtC- or Relocation: L000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home. or Modular DvelIing Service or Feeder s 8s.00 $ is.00 s 40.00 200 amps or less 201 amps to 400 amps -40L amps to 600 amPS _ 601 amps to 1000 amps- 0ver 1000 amps/volts Reconnect only Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"or less S 40.00 201 amps to 400 amps - S 55.00 over 4b1 to 600 amps - $ 80.00 0ver 600 amps or fbOO voTts see trBrr a55 E- Branch Circui ts Nev, Alteration or Extension Per Panel / s 3s. oo #'00 Circuit or vith Servica or Feeder Permi t /_-zzas 2.00 not included) 40.00 40. oo 20.00 SUBTOTAL OF ABOVE 52 State Surcharge 3Z Admini.strative Fee TOTAL <D A C E Sum DE city Eil4EllE pno"" 3?4- V?8 Supervisor License Number 3373-s Expiration Date constr contr. Number Expiration Date 5-1b- Signa fSu pervising Electrician 0vne Address Ci ty Phone 2 OVNER INST The installation is being made on property I ovn vhich is not intended for sa1e, lease or rent. Ovners Signature: DATE: Miscellaneous (Service/feeder -Each installation Pump or irrigation S sLgn/Outline Lighting- Ili.ili tea Energy/Res - $ s s0.00 s 60.00 s100.00 s130. 00 s300.00 s 40.00 D RECEIVED BY: 5