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Home My WebLink AboutPermit Electrical 1999-12-10RESIDENTIAL PERMIT APPLICATION lnspectlons: 726-3769 Offlce: 726-3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP:Z LOT w 225 Fifth Street Springfleld, Oregon 97477 TAX LOT:(-. BLOCK:SUBDIVISION: PHONE: ZIP:STATE:o 3- CITY: ADDRESS: OWNER: NEW L" REMoDEL ADDITIoN DEMOLISH OTHER DESCRIBE WORK: CONST. CONTRACTOR #ADDBESS Ca3 Aeantr. 7.o*4aL'/W t o CONTRACTOR'S NAME MECHANICAL: ELECTRICAL: PLUMBINGT GENERAL: I--XPIBES 1 PHONE - OFFICE USE - LAND USE: WATER HEATER: ZONING CODE: FLOOD I)LAIN * OF UNITS: OUAD AREA: * OF BLDGS: SECONDARY HEAT: SOUARF. FOOTAGE:BANGE: OCCY GBOUP: * OF STORIES: CONSTR. TYPE: HEAT SOURCE: To request an lnspectlon, you must call 726'3769. Thls ls a24hour recordlng. All lnspecilons requested before 7:00 a.m. wlll bemade the same worklng ctay, lnspections requested after 7:00 a.m. wlll be macje the followlng work day. REOUIRED INSPECTIONS n Temporary Etectrlc l-l Rough Mechanlcat - prlor to|J cover. Flnal Plumbing - When alt umbing worl( ls complete. E Slte Inspectlon - To be made after excavatlon, but prior to settlng forms. Rough Electrical - prior to Flnal Electrlcal - When allcover.lectrical work is complete. Underslab Plumblng/ Electrical/ Mechanlcal - Prlor to cover.ffi Etectricat Servlce - Must be f(approved to obtaln permanent' blectrlcal power. [-l Flreptace - Prlor to facing - materlals and framing lnsp. Final Mechanical - When all ical work is complete. Footlng - After trenches are excavated.al Builldlng - When att nspectlons have been and building is required I Masonry - Steel locatlon, bond beams, groutlng,completed. Framlng - Prior to cover. E Foundatlon - After forms are erected but prlor to concrete placemont. Other Wall/Celling lnsulatlon - prlor to f 1l&.( cover. Underground Plumblng - Priorto fllllng trench.[-_l Drywall - Prtor to taptng E tl Underlloor Plumblng/ Mechanlcal - Prlor to lnsulatlon or decklng. MOBILE HOME INSPE TIONS Wood Stovo - After lnstallation. Post and Beam - Prlor to floor lnsulatlon or decklng.lnserl - After flreplace approval and lnstallatlon of unlt. Blocking and Set.Up - When altblocklng is complete. Floor lnsulalion - Prlor to decklng.Curbcut & AJrproaclr - After forms are erected but prior toplacement of concrete. Plumbing Connections - Whenhome has been connected to water and sewer: Sanltary Sewer - Prior to fllllng trench. Storm Sewer - Prior to fllllng trench. Sidewalk & Drlveway - Atter excavation ls complete, forms and sub-base materlal ln place. Electrical Connection - When blocking, set-up, and plumbing lnspections have been approved and the home is connected to the servlce panel. l--l Water Llne - Prlor to filting 'J trench. l-l Rough Plumblng - Prlor tol-I cover. Fence - When coiilpleted. Street Tree6 - When all roqulred trees are plantod. Final - After all required inspections are approved andporches, sklrting, decks, andventlng have been lnstalled.E JoBNUMBE"ffi r.;/n ,D-lz ,a\) # OF BDRMS: _ E ,; Ji,1 Lot faces Lot sq. ftg. Lot coverage Topography Total holght Lot Type - lnterlor __ Corner -- Panhandle " - Cul.dc.sac P.L.HSE GAR ACC N S W E Setbacks i lS THE PROPOSED WORK lN THE,. HISTORICAL DISTRI T, OR ON THE HISTORICAL REGISTER? - lf yes, thls applloatlon must be slgned and approved by the Historlcal Coordlnator prlor to permit lssuance. APPROVED: Total Value Bullding Permit Fee State Surcharge / P t t, y't Total Fee (A) VALUEITEM Main Garage Carport SQ. FT. X $/SQ. FT. BUILDING fiIde, Fmru CHECK AND BUILDING PERMIT This permit is granted on the ex'press condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, includlng the Development Code, regulating the constructlon and use of buildings, and may be suspended or revoked at any tlme upon violation of any provisions of sald ordlnances. Receipt Number:- Plans Reviewed By Date Plan Check Fee: Date Paid Becelved By SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within tlre City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sgwer Water Storm Sewer Moblle Home FEE / 9 r't ,/'S (c)1b fo FT. FT. PLUMBING PERMIT N. Plumblng Permit State Surcharge Total Charge /f,'%zu,- l,5O - t:T. ADDITIONAL COMMENTS Wood Stove/ lnsert/Flreplace Unit Dryer Vent Mechanical Permit lssuance state surcharse / u )- t' /J- Total Permit (D) oO --,/ ;<)-S {€'rJ- N0Vent Fan ,' 1'-1 , /500 MECHANICAL PERMIT Fu rnace Exhaust lloorj By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby certlfy that all information hereon is true and correct, and I further certlfy that any and all work performed shall be done in accordance wlth the Ordinanccs of the City of Sprlngfield, and the Laws of the State of Oregon pertalnlng to the work descrlbed herein, and that NO OCCUPANCY wlll be made of any structure wlthout perrnission of the Bullcling Safety Divislon. I further certify that only contractors and employees who are in compliance with OBS 701.055 wlll be used on thls proiect. I further agree to ensure that all requlred lnspections are requested at the proper tlme, 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 plans will remaln on the site at a ti Slgnature Date constructlon MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge sidewalk - ft '(ctxJ;t'ox L' Curbcut - ft Demolitlon State Surcharge Total Miscellaneous Pertnits (E)/z -to - r7 7O DATE PAID AMOUNT RECEIVED RECEIVED BY VAI-IDATION: FIECEIPT NUMBER TOTAL AMOUNT DUE (excludlng electrical) (A, B, C, D, and E Combined)c,bfo z/- 1, / 5.ca ,x /2- rO-qqr-'t C: '7O /+t- &*t'i The lollowing proiect as submitted has the tollowing zoning. and does nol require specific land use approval 225 PITTS SIREE'T SPRTNGFTELD, oREGoN 97477 Zoning INSPEGIION REOIIEST; OFFICE: 725-3759 Authorizeci Signature 1. LOCATTON OP INSTALI.ATION6FoS l,//al €o{ /70 \D S/DO JOElr//R ?m (7rx 2 PO /r'*+'l Rt'/ff tDrl-- ELEC',TRICAL PERHTT APPLTCATTON ,o n-v", , ?7/O25 SCEEDT'I.E EELOS A. Nev Residential-Single or Hulti-Family per dtrelling unit- Service Included: I teras Cos t Sum Permita are non-tranafcrable and expireif sork is not started vithin 180 daysof lssuance or if uork is suspended for 180 days. 2. COT{TRACTOR IfiSTALI,ATTON ONLT Electrlcal Contraetor Able Electric Address 5511 MAIN Gi ty SpR;NGF;ELD phone Z2ffiTO1 Supervisor License Number Expi ration Date 1o/o1/99 Constr contr. Number 92506 Expiration Date 7t16tg3 StSnature of Supervising Eilectri .4 -- Orners Name, Address City Phone OIINBR I}ISTALIATION The lnstallation is being uade on property I ovn vhich is not intendedfor sale, lease or rent. 0mers Signature: 1000 sq.tt. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home. or -Hodular Duelling Sertice or Feeder s 40.00 Services or FeedersInstallation, Alterations or Reloeation: Temporary Services or Feeders.Installation, Alteration or Relocarion D. Branch Circuits New, Alteration or Extension Per Panel s 3s. oo ):': b f $ 85.00 B c. 200 amps'"or less $ 40.00 201 amirs to 400 amps - S 55.00 :over 4b1 to 50o .rn." - S 8O.O0 over 600 emps or l0OOT6Tts see "B' aE6iE 200 amps or less 201 amps to 400 amps -4Ol amps to 600 amps _601 anps to 1000 anps_ Over 1000 amps/volts Reconneet Oniy s s0.00 s 60.00 s100.00 s130.00 s300.00s ao.oo One Circuit Each AdditionalCircuit or uith Servi ce2- s z.oo *u.0or Feeder Sernit I Hiscel.Iancous (Sesvice/feeder not included) -Each instellation Pump or irrigetion Sign/out line Lightins- Limi ted Energp/Res Limited Energy/Comm s 40.00 $ 40.00 s 20.00 s 36.00 5 RECBTVED 3r- oo DATE: SUBTOTAL OF AEOVE 7}- State Sureharge 3Z Adninistrative Fce TOtrAI 5 GFIELO 7 s 15.00 /