HomeMy WebLinkAboutPermit Electrical 2001-3-12
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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