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Home My WebLink AboutPermit Electrical 1994-04-04SPllINGFIELDRESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: JOB NUMBER 225 Fifth Street Springfield, Oregon 97 477 s>rl 12 -4_J-*sr>z;z,8qq 6D d.6t ASSESSORS MAP:t7-D2tmL TAX LOT ?act LOT BLOCK:SUBDIVISION ,l*7>tz-U 4*t?>r€.vs sfiy P 4;2r/.1 SrArE: PHONE: O,P.ZIP: /f,2- rtt 3 i{, ,/^'-z*ezt.t).t,e./ 3/. '2fADDRESS: OWNER: NEW - REMODEL ADDITION DEMOLISH OTHER DESCRIBE WORK: coco N NADDRESS EXPI RES PHONE ta- ST. TRACTOR #- Itz s{ 33-D 5i CONTRACTOR'S NAME MECHANICAL: ELECTRICAL: GENERAL: PLUMBING SRSO, I RANGE: - OFFICE USE - WATER HEATER: ZONING CODE: FLOOD PLAINLAND USE: SECONDARY HEAT: SQUARE FOOTAGE: CONSTR, TYPE: HEAT SOURCE: QUAD AREA: * OF BLDGST OCCY GROUP: * OF STORIES: .. # OF UNITS: To request an inspection, you must call 726-3769. Thls ls a24hour recording. All inspections requested before 7:00 a.m. will be made the same working day, inspectlons requested after 7:00 a.m. wlll be made the following work day. REQUIRED INSPECTIONS [-,l Temporary Electric t^__l Rough Mechanlcal - Prlor to cover. [-l Final PlumbingtJ plumbing work - When all is complete. Site lnspectlon - To be made after excavation, but prior to setting forms. Rough Electrlcal - Prior to Final Eleclrlcal - When all electrical work is complete.cover. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Electrical Service - Must be approved to obtain permanent electrlcal power. Final Mechanical - When all mechanical work is complete. Footing - After trenches are excavated.Flreplace - Prlor to faclng materlals and framlng lnsp. Final Building - When all required inspections have been approved and buildlng is completed.Masonry - Steel location, bond beams, groutlng.Framlng - Prlor to cover.F Olher tr -6 Foundation - After forms are erected but prior to concrete placement.Wall/Celllng lnsulatlon - Prior to cover,a -L\ -a4 Underground Plumblng - Prlor to filling trench.Drywall - Prlor to taping MOBILE HOME INSPE TIONS Underlloor Plumblng/ Mechanical - Prior to lnsulation or decking.Wood Stove - After installation Post and Beam - Prior to floor insulation or decking. K Blocking and Set-Up - When all blocking is complete.lnsert - After flreplace approval and lnstallatlon of unit. Floor lnsulation - Prlor to deckl ng.Curbcut & Approach - After forms are erected but prior to placement of concrete. Plumbing Connections - When home has been connected to water and sewer. a Sanitary Sewer - Prior to filling trench.B Electrical Connection - When blocking, set-up, and plumblng inspections have been approved and the home is connected to the service panel. Storm Sewer - Prlor to filling trench. Sidewalk & Driveway - After excavation is complete, forms and sub-base materlal in place. Water Line - Prior to filling trench. Fence - When completed. Rough Plumbing - Prior to cover. Streel Trees - When all requlred trees are planted. I )(l Final - After all requiredl.-:l.rnsoectigns are appioved and (porches,' skirting, decks, and ientngf have been i nstal led. -h-,vr,>, L, n>1 Devy'Ez * e5\JiCe - \\t t # OF BDRMS: - E E E E tl E E E E tl Er E E tl tl tl tl E tl Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac rS THE PBOPOSED WORK lN THE. HISTORICAL DISTRICT, OR ON THE HISTOFIICAL REGISTER? - lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: P.L.HSE GAR ACC N S E 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 time upon violation of any provisions gf said ordinances' Plans Reviewed By Date Fleceipt Numbe Date Paid Received By: VALUE (A) BUILDTNG PERMIT .. Total Value Building Permit Fee State Surcharge Total Fee SO. FT. X $/SQ, FT.ITEM Main Garage Carport Systems Development Charge is due on all undeveloped properties withln the City limits which are being improved. SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ADDITIONAL COMMENTS t ITEM Flxtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) FT, FT. PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge N0 Wood Stove/ lnsert/ Fireplace Unit Dryer Vent (D) N0Vent Fan Mechanical Permit lssuance State Surcharge Total Permlt MECHANICAL PERMIT Fu rnace Exhaust Hood By slgnature, I state and agree, that I have carefully examined the completed application and do hereby certify that all lnformation hereon is true and correct, and I f urther certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springf ield, and the Laws of the State of Oregon pertainlng to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employees who are ln compliance with ORS 701.055 will be used on this project. I f urther agree lo ensure that all requlred inspections are requested at the proper time, that each address is readable from the street, that the permit card ls located at the front of the property, and the approved set of plans will re Si gnature' n on the site at all ti during constructio MISCELLANEOUS PERMITS Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) $4.,Hk u) c' Mobile Home State lssuance State Surcharge TOTAL AMOUNT DUE (excluding electrical) (A, B, C, Q and E Combined) d__ * DATE PAID RECEIVED AMOUNT VALIDATION: RECEIPT NUMB Plan Check Fee: - FT. CITY OF OFEGO'V Tho lotlowlng Prolbct es subnifiel has thE zoning, and-does not approval. rer4uire specific land use SPRI]{GFIELD BI,ECTRICAL PERilIT APPLICATIONt225 FITTE STREET SPRTNGFIELD, OREGON INSPECTION REQUEST: OFPICB: 726-3759 1. .LOCATToN oF rNST z6{a62llg_+ citv J AuthorlzedS;Ontlure% 97477 7 ob Nunber ., DESCRIPTION Address I a 5i^) 3rd .\+z Ci ty 1 Phone \rS-ptag Supervisor License Number <. L, ExP irat ion Da te I D- t Constr Contr. Number lt71 Exdiration Dare q- L/ -q{ Signature of SuPervi Electrician 0vners Name Address Ci tv Phone OVNER INSTALLATION The lnstallation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: DATE: SCEEDTIIJ BELOII A. New Residential-Single or MuIti-Family per dvelling trnit. Service Included:Items Cost 1"000 sq.ft. or less nach addltional 500 sq. ft or portion thereof Each Manuf'd Home or -Modular DweIIing Serviee or Feeder $ 8s.00 $ 40.00 Services or Feeders InstaIlation, Alterations or Relocation: Sum $ 1s.00 B 200 amps or less 20L amps to 400 amps -401 amps to 600 amps _ 601 amps to 1000 amps- Over 1000 amps/volts Reconnect 0nly s s0.00 s 60.00 $100.00 $130.00 s300.00 $ 40.00 & -q{c.Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less ,./ 201 amps to 400 amps _Over 401 to 600 amps Over 600 amps or 1000 voTis Branch Circuits oo$ s $ s 40.00 55.00 80.00 ee rrBrr a66E D Nev, Alteration or Extension Per Panel One Circuit S 35.00 Each Additional Circuit or vith Service or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/OutIine Light ing- Limi ted Energy/Res Limi ted Energy/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 5 RECNIVED a JOB DESCRIPTION T ry, f 4"', r,' 'n'" Permits are non-transferable and exy'l're if vork is not started vithin L80 days of issuance or if vork is suspended for 180 days 2. COITTRACTOR INSTALI,ATION ONLY Erectrical contractot N\\f u E[eclf ,'c- loo 225 FIFTE STREEE SPRTNGFIBLD, ORBGoN 97477 INSPBCTION RBQI ESTT 726-3 0PPICB: 726-3759 1. IOCATION OT BLBCIRTCAL PERI{IT APPLICATION city Job Nrmbe, f /2 372 tlpfollowli:cr r''^ir.t as submittod h* the &nlng, r,:ia; :. ii:.. rrcl rsquire specific land SPRINGFIELO 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Servlce or Feeder Services or Feeders Installation, Alterations or Relocation: or Feeder Permi t LDL 7g? 4-K .q q -"1--+--- A. JOB Permits are non-trafisferable and expire if vork is not started within 180 days of issuance or if vork ls suspended for 180 days. 2. CO}IIRAEMR INSTALI,ATION ONLY B Blectrical Contrac ,o, (/.flu f%r7, , t Address ci pnone a/' 7,7^*- t /3 2 Supervisor c e Lber Expiration Date,o INSMLLATION4sf constr contr . nu ae, b ,f 7 ^/ 5 Exp iration Date 7 4,- fr of sing Electrician Owners Name Address Signa DATB: BBLOV Nev Residential-Single or HuIti-FamiIy per dvelling unit. Service Included: I tems Authorizeci Si Cos t $ 8s.00 $ 1s.00 $ 40.00 $300. $ 40. $ 2.00 4D Sum 200 amps or less 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps_ 0ver 1000 amps/volts Reconnect Only 200 amps or less I $ 40.00 201 amfs to 400 amps - $ 55.00 over 401 to 600 amps - $ 8o.oo 0ver 600 amps or 1000-6T[s see I'8" 00 00 00 00 00 00 $s0 $60 $100 $130 Temporary Services or Feeders Installation, Alteration or Relocation affi a D. Branch Circuits Nev, Alteration or Extension Per Panel $ty 4fT ,':a, vnone 72)-4a OVNER INSTALI,ATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. One Circuit $ 35.00 Each Additional Circuit or vith Service t+---T-- 1t z E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/0utIine Lighting_ Limited Energy/Res Limited Energy/Comm SUBTOTAL OP ABOVB 5Z State Surcharge TOTAL 00 00 00 $40 s40 $20 6.q0 cc 3 5 CITY OF SPF"VGFIELD, OREGO'V RBCEIVBD , | \/ S c. aCITY OF The zon 225 FIFTB STRBEf, APP SPRINGFTELD, ORBGoN 97 INSPECTION RBOUBSE: oPFiaB; 726-37sgDeta 1. JOB DESCRIPTION i? l",Y',X? S::' ;r, ffi ?*X*m",# lg*.,rova I. SPF',{GFIELO Nev Residentlal-Single or ttulti-Family per dwelling unit. Service Included:Items Cost 1000 sq.ft. or less Eaeh additional 500 sq. ft or portion thereof Each Hanuf'd Home or Hodular Dvelling Servlce or Feeder $ 8s.00 $ 1s.oo $ 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/vo1ts Reconnect OniY BLBCTRICAL PERHIT City Job Nunber .1,r- 3- COHPIJTB fEB SCEEDUI'E BELog A Sum Permits are if vork is : of lssuance non-trallsferable not started vithln or If vork ls sus and expire 180 days pended for 180 days. 2. CONTRACTOR INSTALI,ATION ONLT Electrical Contracto eddress lJ q'b( . cttvi" ,' ,r'/'lf,+ enone1,7J:Z/ 3 J Supervisor Llcense Number , '/ 6 -{ Expiration Date ,/l *./ - v3* Constr Contr. Number Expiration Date A-/ ture of ing Electrlcian Owners Add Ci ty Phone c One Circult S 35.00 Each AdditionalClrcuit or vith Service or Feeder Permit - $ 2.00 B. Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation - Sign/Outline Lighting- Limited Energy/Res SUBTOTAL OP ABOVB 5Z State Surcharge TOTAL Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less $ 40.00 iirr "rb. to 4oo amps - $ 55.00 over tbr to 600 ambs - $ 80.00 over 600 amps or tbOOTTIs see rrgn "ffifl Branch Circuits New, Alteration or Extension Per Panel B D. $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 t OIINER INSTALI,ATION The installation is beirig made on property I ovn vhich is not intended for sa1e, lease or rent. 0mers Signature: s 40.00 s 40.00 $ 20.00 $ 36.00 DATE: - , RBCBIVBD 5 m