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Home My WebLink AboutPermit Electrical 2001-3-12 ~. ~",i':;..'!(t,YrJ k rft,v/i.rg 1-tf..-.J.J oJ /,1 r~ ~F-Ihr91\,' N :"-'.\,..t.''t\.!2JU~U't~\~..lrl~ DEVELOPMENTSER~CESDEPARTMENT SpAFIELD ~he fallOW,"; pro@lll-,a4 I b/tl;~ ~ zonln9, ena doo(nal ":~I"" "d ,the following C1PP'Oval. q s e land use 225 FIFTH STREET ZO"I"Jl ,'LDrZ- SPRINGFIELD, O~.l'QN 97477 ,/ ,3 -/,;).-0/ INSPECTION REQUESt: ILO-jt~; OFFICE: 726_37591UrIzeo Signature ~ 1. LOCATION OF INSTALLATIpy 1,->C,t0 \m1",JLf;; ~ LEGAL DESCRIPTION 1\ \ /OB DESCRIPTION .~'t~ ~k \A~ f\;~ t?-.)'hTA-fc'~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. Ci ty Job Number 0/ - ~tJ2...Z/-~ ".---COMPLETE FEE SCHEDULE BELOIl ,~, _ A. New Residential-Single or Multi-Family per dwelling unlt. Service Included: It ems Co~ t Sum 1000 sq,ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder $'85.00 $ 15.00 $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders '\':l _ ,- Installation, Alterations Electrical Contractor;.J\-'JJ-1 f-'cT2lc,;7712or Relocation: Address'^-! NoS J I "). /1"!1 ,.:i=\:::-t ~ 200 amps or less _ " . ,201 amps to 400 amps Ci ty!:::..llCIE'. nc? Phonti:f ,l") 7- 7-0 401 amps to 600 amps , I /]0 ' Q 601 amps to 1000 amps Supervisb1: License Number" ')57/) L) Over 1000 amps/volts Reconnect Only Expiration Date In /1 /01 . , Cons tr Con tr, Number ,~.=t0){7--C: Expiration Date /()// J(JJ Signature ~ :i~gI:ctrician Owners Nam~_O(f)/\A W CUJ';--p-f- Address \:" 5'0 I'-'\BVt..-.= L-e-o P Ci ty Phone l--7_~- (" 1 ")Lj OIlNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent, Owners Signature: --------------------------------------- DATE: RECEIPT 11: RECEIVED BY: ~ -/2-0/ ,(/'~ $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 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 volts $ 40.00 $ 55.00 $ 80.00 see "B" aJJOVe" D. Branch Circuits New, Alteration or Extension Per Panel ~ . I $ 35.00 ~~ One Circuit Each Additional Circuit or with Service or Feeder Permit \ 2.00 i--s:E---- $ E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ ,36.00, ' SUBTOTAL OF ABOVE ~ '7- " ~ 7%, State Surcharge lV'7,\ ';> '<Q 3% Administrative Fee 0/ u' I TOTAL I.fo'lO 5. '. ~SIDENTIAL PERMIT APPLICATION . Ii."" , SPRINGFIELD Inspections: 726.3769 Office: 726-3759 LOCATION OF PROPOSED WORK' /703 ASSESSORS MAP' LOT' BLOCK: OWNER:~YJ rn:..Jpl 1(/ I ADDR~"'" . I ~. <:;"t) l]PA7 In l.t:JryJ s,o-fl-Id. CITY' f?J12 . STATE: . cJ/-0?l22/7J/ JOB NUMBER 225 Fifth Street Sprlnglleld, Oregon 97477 TAX LOT: ,m r,,'W, ..i F ' SUBDIVISION: __ PHONE: '7()fr.,-(~;739 ~ q 7Cf77 ZIP; DESCRIBE WORK: ~j NEW REMODEL VY~n Vf1p....+fr)\ -f7 Jcm~~ Cj--F E/f2-//lJe/l- ADDITION DEMduSH OTHER CONTRACTOR'S NAME ADDRESS CONST. CONTRACTOR' EXPIRES ,;0 PHONE GENERAl' PLUMBING: MECHANICAL: ((}O(;\1v-i J 10 4JJ/J fJLtp!1fJlc' (~,y#ld ;::}\290 ELECTRICA' . - OFFICE USE - QUAD AREA' . OF BLDGS: OCCY GROUP: . OF STORIES: LAND USE: _ . OF UNITS; CONSTR. TYPE; _ HEAT SOURCE: WATER HEATER: RANGE;_ 'JLt7- iY'${r - FLOOD I'LAIN' ZONING CODE:_ . OF BDRMS' SECONIlARY HEAT: SQUARE FOOTAGE; ___ , - To r~ql.l~st an !nspect!on, you n;:.Jst c311 725.3769. ThIs is ;J. 24 hour rc(:ordlng. AlIlnspec.liol"!::i feque:jtedbetore 7:00 <.l.m, ....'111 ce. made the same working day, In"spections roQuested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS D Temporary Electric D Rough Mechanical - Prior to cover. D Site Inspection - To be mado after excavatIon, but prIor to settIng forms. D Rough Electrical - Prior to cover. D Underslab Plumbing/Electrical/ Mechanical - Prior to cover. o Electrical Service - Must be approved to obtain permanent electrical power. o Footing - After trenches are excavated. o Fireplace - Prior to faci'ng materials and framing Insp. l o Mesonry - Steel location, bond beams, grouting. D Framing - ,Prior to cover. D Foundation - After forms are erected but prior to concrete placement. o Wail/Ceiling Insulation - Prior to , cover. D Undorground Plumbing - Prior to filling trench. D Drywall - Prior to taping. D Underfloor Plumbing/Mechanical - Prior to Insulation or decking. D Wood Stovo - After Installation. o Post and Beam - Prior to floor Insulation or decking. o Insert - After fireplace approvel and Installation 01 unit. o Floor Insulation - Prior to decking. o Curbcllt & Approach - After forms are erected but prior to placemont of concrete. o Sanitary Sewer - Prior to filling trench. D Storln Sewer - Prior 10 fIIUng trench. o Sidewall< & Driveway - After excavation Is complete, forms and sub.bast! mllterlal In place. o Water Line - Prior to filling trench. D Fence - When cor,lpletod. D Rough Plumbing - Prior to cover. D Street Trees - When all required treea are planted. o Final Plumbing - When all plumbing w9rl< Is complet.e. '. o Final Electrical - When all electrical work Is complete. o Final Mechanical - When all mechanical work Is complete. D Final Building - When all required Inspections have been approved and building is completed. DOther MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is complete. o Plumbing Connections - When home has been connected to water and sewer: D Electrical Connection - When blocking, set-up, and plumbing Inspections have been approved and the home Is connected to the service panel. o Final - After all required Inspections are approved and porchos. skirting, decks, and venting have been Installed. Lot faces " . Lot Typee \.' . .;': . ~.' ~S THE PROPOSED WORK tN THE _ "'HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? II yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. '. Lot sQ. fig. Interior Setbacks :L. 'HSE' GAR' ACC I ;---- I Lot coverage Corner Topography Total height, Panhandle CuJ.de.sac _1Jt!._ __ ____ E APPROVED: BUILDING PERMIT ITEM SO. FT. X $/SQ. FT. D VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Garage " This permit Is granted on the express condItIon that the saId .constructlon shall, In all respects, conform to the Ordinance adopted by the City of Springfield, Including the Dovelopment Code, regulatIng the construction and use of buildings, and may be suspended or revoked st any time upon violation of any provisions of said ordlnancas. Main C8rpo~t Plan Check Feo; Date Paid: Tolol Value Building Permit Fee Receipt 'Number: Slato Surchargo ,Received By: Total Fee (A) Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE Fixtures Residential Bath(s) N' Sanitary S~wer FT. J r /ft~ U / <:) (!]..J / /IoU Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Vent Fan N' By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all Information hereon Is true and correct. and I further certify that any and all work performed shall be done In accordance with the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to tho 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 arc In compliance with ORS 701.055 will be used on this prolect. Exhaust Hood Wood Stovellnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (0) I further agreo (0 ensure that all required Inspections are requested at the proper time, that each address Is readable Crem tho street, that the permit card Is located at the front of the property. and the approved set of plans will remain on the site at a es during c tructlon. viLlA ,a;1/J ~ MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Signature Sidewalk fI , It Date Curbcut Demolition Slate Surcharge VALIDATION: Total Miscellaneous Permits (E) RECEIPT NUMBER : DATE PAID AMOUNT RECEIVED TOTAL AMOUNT DUE (excluding electrical) fA, 8, C, 0, and E Combined) RECEIVED 8Y '-' - , . I Job# 01-00221-01 I . Page 1 of 2 TRANS#:01-0004650 DATE:MAR 12 2001 AMT RECD:2 $ 26.50 CHANGE: CASHIER: 003 ~aJ~ CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-00221-01 225 North Fifth Street Springfield, OR 97477 , Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 1350 menlo Lp Spr Assessors Map#: 17032733 Lot: Block: Addition: Tax Lot #: 03400 Subdivision: '* Owner: Address: Dan McDevitt 1350 Menlo Loop Phone Number: 541-726-6734 City/State/Zip: Springfield, OR 97477 New Value: $0 Scope Of Work: Mechanical Installing heat pump, gas furnace & gas fireplace Insert Contractor Type Mechanical Contr Contractor Marshalls Heating 4110 Olympic Street, Springfield, OR 97478 Registration # Expiration Date Phone 541-747-7445 Quad Area: # Of Units: Constr. Type: Water Heater: Office Use Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq, Footage: To request an Inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, Inspections requested after 7:00 a.m. will be made the following working day. Required Inspections Mechanical I Rough Gas Rough Machanical Gas Service Final Gas Final Mechanical - Prior to cover. -After line Is Installed and line has been connected to a minimum of one appliance. Pressure te! - When all gas work Is complete. -When all mechanical work Is complete. Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handic"p Access? D rArea (Sq. Feet) Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: ~\ ''" . Fee Job# 01-00221-01 Paid On Receipt# I Mechanical 03/12/2001 4650 03/12/2001 4650 03/12/2001 4650 03/12/2001 4650 03/12/2001 4650 03/12/2001 4650 03/12/2001 4650 . Page 2 of2 Value/Quantity Fee Amount I One to Four Outlets Minimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU Gas Fireplace Mechanical Issuance State Surcharge - Mechanical Total Mechanical Grand Total By signature, I state and agree that I have carefully examined the completed application and do herelJy certify that all Information herein is true and correct, and I further certify that any and all work performed Sl1011 be done in accordance with the Ordinances of the City of Springfield and the Laws of the St~t8 01 Oregon. I further state that only contractors and employees who are In compliance with ORS 701,055 will be used on this project. I further agree to ensure that all required Inspections are requested at the proper time and that the project address is readable from the street. 5ignaJ!fA~7od- Dat~7df 1 $2.00 $2.50 $.45 1 $6.00 1 $4.50 $10.00 $1.05 $26,50 $26,50