HomeMy WebLinkAboutPermit Building 1991-01-08.s14-,4iG Receipt I.. RESIDENTIAL..
APPLTC4T-'u/PEnMru
SPHINGFIET n-/?o77
225 North Sth Street
SprLngfi.eld, 2regon 97477
Buildtng Diuision
? 26-3? 53
Gcneral C,tone Homes, Inc. of
Plumbl S-J Plumbin
MarshafLs Heat
Ii),ec c Rose l-ectric 89976 Da Lane .97
I
Dato:
P Bx 22636
Co. 1147* Main St.d 97477 20-l_B4PB 45654 77-90
E. St. Sptld 97478 25790 72-90
10-90 6 89-5557
747-5989
747-7445
6 86-090 520-2 5 3C 54431 10-90
nunben,
morbcr.
It is lhe reaponaibility of the permit hollen to aea that all inapectiona are rade at the Pto?er tine, that acoh address is rea*ai
frotn the atpeeb, atd that the porntt oatd ia Looated at the frcnt of the ,ptoperty.-tguilding D.loision appnoced plan sfu:ll renain on tlp Buildinr.l Sitc at all tines.
PRocgDUEE Fon INSPELaI1il nSQUf,s";CALL 7
eady fot
r,,iLL be tmde the aone dcy, tequeata rad,e
26-3769 (nooordet) atateinapeotion, Contraotot s
aften 7:00 on vill be tsde the ncxt l,nnking dag.
Ianr City Deoigr.ated Job lh/,/,ber fa:,
'youn City deoigrutcd job
on Ol,lmors ttaa and plona
Job aCdrcoo, typa
R.queats neceioed
of incpeclict
before 7:00 r
qba D
Ra m n'.n otl la qn oo ti- nn q
Job location:
Tas lot fla,ttaoeooore l,lap I
LUCERNE MEADOWS,Subdivision:
Ancr: CAPSTONE HOMES, INC. OF OREGON
Eu 2ci
Phorte: 689-5567Address: P.O. Box 22636
Dato of AppL'
xl N"t)
VaLue
Aildition
RenoCel
Deocribe h'ork:
SINGLE FAMILY HESIDENCE
Iilec L rSrrDe 56c tirn phiT Rose
SITE INSPE*I|ON: To be nnde after
Aoat a;i;;;TC prior to aet up of
forns.
ANpEnSLAo PL$|'DINC. ELECI0ICAL d
"vffi76vcred,
lT roornc i F)UNDATT)N: To be rmCe
L) ;fc"r tr,"r1"tro "r.e ercauated atd
forns are etected, but prior to
. pouring ecncrete.
lad uxDgRcROUilD PLU\W,M.&E[,ti)Lir4 trenchee.
d unomrtoon pLuuBntc E MECfiANTcAL:v\l of
floor inaulction or d.ecking. '
POS! AND BEAI'|: ?o be tmde prion to
iffiIffiof floor insulation or
decking.
noucil Pr,u.l\Iilc. Er,EglnlcAL s lt$clt-
GliTthcse inspectiona haue been
nnde arul approved..
I--]a INSULA"IOII,/VAPON BAfiRIEN IHSP9CfiON :t)il4. nequined vapor banriene ua tn pboe,: htt before any lath, Wpam boati ottnll ouering ia apptied, atd befora
ay inaulation ia concealed.
I-) D|YWA|,L INSPEC?ION: To ba rmda
| 7fl@ff@,afto in place,
-
but pnion to any taying,
MASINRI: Steel locatton, bond,
Effilgputing or verticala in
accordanee vith U,B.C, Section
247 S.
Santl.ary oetsen sapped at property Lina
Septic tank ytnpeil and fillad ntth gna:
Final = llhen ahcoe itone are ccnpletcd
and uhen dqpli|ion ie ooqtlete or atrr
tune npved atd premisee cleaneC up.
I,IOODS?OVE:@@A.After inatallation is.
llcmea
Blooking atd. Sat-up
Plutnbing aonnectiona -- aa.ns? atd ua*e'
ln cuna E nppncActt Eltou: After fornslA) *," "G;t"IETV;1"" to pouniis
ananete.
l7l SIDililf,K & DR|VWAY: Fon aLL con-
W I t".;w"W;lm abr.eat n'ight-T of-rtcy, to be nade aften all exca-'vating canpleto & fotn l.lark & aub-
base rmtertal in plase.
Eleotrtcal Ccqneotion - Dlooking, aet-t
and plwtbing conneotiona naat be appro,
beforc requeating ele*rtcal, inapeolio.
Aaseasory BuilClng
Ffl?EPIACE:
naterial'a
tion.
FIIIAL PLUTIBING
FII,AL MECilAtlICiL
FINAL ELECIRICAL
l'rior to plccirg
arul before fr.aning
faotng'lnopeo-
Pinal - Afbon pcrchea, akirting, decks
eto. are oanpleted.
?EllCE: l{hen wnplate -- fuwiCe
gatea on nwable aectiono thtwttgh
P.A.E.
M'Sxuffilpk\oc,
till pnoje'at condtbione, tuch ao bllr i.nata'Llation di atneet tneea, ccaplotion ol the
requined landsecping, cto., rntat be eatieficd bofone the BUIIDIiIC FINAL .can be ncqueoicd
PIILAL DUILDINC: The Firat Building fnepeation,m$t be nequeoted alter tho Final. Plrtnbin,
Elcotnical, and llechanical Inapectiono haoa baen nnda atd approved
FfrAtlINC: lhtat be requeoted aften
appnoval of rough plutrbing, dlectrt-
cal t neclnnical. AtL roofinai
btlaoing I chinncys, etc. mtat be
. corpletod. llo llork is to be eon-
' oecled until tllio inepaotton llo'e
'been nnde anC apptoved.
@w
m
tAt,l, ttAvllct,ti!; AttD ct.tiAN0U't'S tttttlif M AC(:tiSSI\tE, ADJltSTlll:ltT T0 t)li l.lml: A'f ilo CL|ST I'0 CI'ly 2rlta ! ol
JOB NO.
tot Sq. Ftg. ^a 4i of toi, cou"nosi2/ZzA
t of Stortea 2
Total lleight 26'.9:"
ropography O-22-
SOLAR A ESS REQ.-
INT TYPE
Y rnteniot*Conner
PanhandLe
Cul-de-eac
L-CO G+
BeCroona:t:
A
ITEM
TOTAI, VALUE
s.D,c. 1.5 x
Duitding Penmit
State
Total Clnryea
Reeidentia.L (1 bath)
Seuer
Plmbing Pernit
State
fr /,/*
Building Vqlue & Permit
Plumbing Permit
l,lo peraon alull conatruct, inetall, alter or change cnlJ ned cr etiating
pttirrbing or drainage eyetet in uhole or in part, unleas euch petaon io the
iegal p"oonerron o|"o rLlid pl*,bnr'e Lic-ens-b, escept that a !?"89n "ny 40.ptintihg uork to property ihi.h i" otmed, Leased oy operated by the appli-
cant,
(E-zs*=a
Fi.etures
a
{
I ilAVE CAR\FULLr EXA\LINED the completed apptication fo-n permit' and do
i"irty in"TLfg ltot otl infonmti.on hereori ia true and correct, and f
i;;riL, iett'iiy that ang ard aLL uo.nk penforned alall be done in accor'-
'dancie d.th thi Ord,inaie"ee of the City of bpringfield, .atd th-e Lc,;a of tho
State of Opegon pentaining to the uoik Ceecribed henein, cnd tlat NO OCC!.;'
plncy ,ittt b"e mde of- di,!t" ulirl,Lure utthout permiaai-on of the Suitding Di'
oiaion. I further .n*li?lt- l1it otly contraitona and etplcyeea uho are in
iarplianee ittt, ons ?01.'0:5s uiLL be- uaed on thia proiect
I
!leat.
Aceesa
,
t
P. L,llouee
lot Faees -
FTG x Value ,
lrt .b3-l
lz ID b(An
r)Cs6,
Date Paid:
Signed:
Receipt ll:
NO,FTE CHARGE
2 /a.oo
l,later
/b.^-
9--a
Electricol Permi t
vhere state Latt requines th,at the alectrical utotk be done by_an glectt'ical
Contraetor, the etictnicaL portion of this permit ehall not be valiC until
the tabel lue been aigned by the Electrical ContPdctor,
FEE
t
*
Neu/hterd Circuita
Sentica
,
€o
a
Mechonicql PermitCIANCE
-e
Exhanet llood,
vent Fo,r
a>
-2A-aPer,nit fagu@@e
Neclanioal Perorit
Sec,rtty Dewsit
| , n*,2,
Storage
l,bintenance
Pcrmit
:/q.60Cutbeu!
/8./osideoalk S / |
Fenee
Elecbrical Label
Mobile Hqne I
'rA r Auattnqt nlltt, a /aov.?6 Signal Atte
a
t
3q7L
+ ln\
=.qrT/ ?-a
-- ENCnaACIIMENT --
Total Charoos
:;'DTTINGFIELT.,
dtu
225 FITTI STREET
SPRTNGTIBLD, ORBGON 97477
INSPBCf,IOI{ REQIIBST. 726-3769
OFFICB: 726-3759
1
I.EGAL
JOB
Perml ts are ransfera and expireif vork ls not started vithin 1.80 daysof lssuance or lf vork ls s uspended for
180 days.
2. COI{TRACf,OR INSTALI."T\TION ONLY
Electrlcal Contrac
Address
BLBCTRICAL PERI{IT APPLICATION
Cl ty Job Number
3. COHPI.,BTB T'BB SCIIEDULE BELOII
A. Nev Residentlal-Sing1e or
Multi-Family per dvelllng unlt.
Service Included:
Items Cost
I
L500 sq;ft. or less
Each addltional 500
$ 8s.00
sq. ft or portion I I dthereof I $15.00 \\)
Bach Manuf ,d tlome or _-
Modular Dwelling
Serviee or Feeder $ 35.00
Servlees or Feeders (10 Branch Circuits
included). Installation, Alteratlonsor Relocation:
Sum
a5
citv-?l [r0-tr\o -
supurrt"o. rffi'"" Number \R\OKS
Bxplration Date \
Constr Contr. Nuniber
Explratlon Date
Slgnature slng Blectrician
Ovners Name
Address
$ 3s.00
$ 60.00
$ 90.00
$130.00
$300.00
$ 3s.00
c
D. Branch Circults
New, Alteratlon or Bxtension per panel
100 amps or less
101 amps to 400 amps
-401 amps to 600 amps
-601 amps to L000 amps-
0ver 1000 amps/volts
-Reconnect 0n1y
Phone s
Temporary Services or FeedersInsta}latlon, Alteratlon or Relocatlon
200 amps or less $ 35.00
201 amps to 400 amps
-
g 40.00 --
over 401 ro 600 amps
-
g 80.00
Over 600 amps or 1000 vofts see rrgrr uffiG-
ct
OIINER
The lnstallatlon ls belng.made onproperty I own vhich is not lntendedfor sa1e, Iease or rent.
One Circuit $Tvo to ten Clrcults $
Bach Addtrl ten orportion thereof $
Miscellaneous ( Servlce./feeder
-Each installation
Pump or irrigation $Sign/ourline Lighting-_ SSlgnaL Clrcult or
SUBTOTAL OF ABOVB
5Z State Surcharge
TOTAL
Phone \0 B 35.00
15 .00
not lncluded)
36.00
B
limited energy panel $ 36.00
DATE:
RECBTVBD BY:
5 @
!);a
Ovners
_r_
CITY OF OREGO'V
SPRINGFIELO
%
225 TITIE STREET
sPRrNGFrEtD, ORBGON 97 477
INSPECTION REQIIESTT 726-3769
0FFICE: 726-3759
1. LOCATION
ELE TRICAL PERHIT APPLICATION
City Job Nunber ?O/Z
3. .
COilPI..ETB FEE SCffiDUIA BELOS
A Nev Residential-Single or
Hulti-Family per dvelling unit.
Service Included:Items Cost
c.
,/d 7q
IJGAL DESCRIPTION
Sutn
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. COT'ITRACTOR INSTALLATION ONLY
Eleetrical Contractor
Addres
Ci ty
.4kzrpatte/
pnone 6 &6- OQLS-
supervisor License Number /5dgs
Expiration Date /d- /* q.z
Constr Contr. Number
Expiration Date
1500 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular DveIIing
Service or Feeder
$ 8s.00
$ 1s.00
$ 3s.00
Services or Feeders (10 Branch Circuits
included). Installation, Alterations
or Relocation:
100 amps or less
101 amps to 400 amps
-401 amps to 600 amPs _
601 amps to 1000 amps
0ver 1000 amps/volts
Reconnect Oniy
Temporary Services or Feeders
Insta1lation, Alteration or Relocation
200 amps or less $ 35. OO *?5-a9
201 amps to 400 amps
-
$ 40.00
0ver 401 to 600 amps
-
$ 80.00
0ver 600 amps or 1000 volts see rrBrr above
D. Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Tvo to ten Circuits
Each Addt'I ten or
portion thereof
Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation _ $ 36.00
Sign/Outline Lighting $ 36.00
Signal Circuit or
limited energy panel S 36.00
SI'BTOTAL OF ABOVE
5Z State Surcharge
TOTAL
t
B
$
$
$
$
$
$
35.
60.
80.
00
00
00
00
00
130
300
35
Signa Supervising Electrician
OIINER INSTALLATION
Name
Address ZZb,
Ci ty Phone fur-rfi-
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
Ovners Signature:
DATE:
RECEIPT
RECEIVED
$ 3s.00
$ s0.00
$ 1s.00
E
5 oo
OF
7io- q
/8,,