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HomeMy WebLinkAboutPermit Electrical 1981-5-8 -. ....._,. ELECTRICAL PERKlT APPLICATION C1 ty' Job Number ~'t 043lp 3. . COMPLETE ,~E~ SCBEDtq.B BELOV, ~' A. New Residential-Single, or - - , Kulti-hmily per dwelling unit. " , Service Includedl ' , ItelllS Cost Sum 225 FIFTH STREET SPRL"br~ELD, OREGON 97477 ,INSPECtION REQUESTI : 726-3769 'OFFICE: 726-3759 1, LOl;!\TION OF INSTALLATION 'I '15'/ /1Ilc..i'\Mn.L~ LEGAL DESCRIPTION ' ' \N\.~ l? 17 '- IA--r ~.,.. 79tfD JOB DESCRIPTION "l () .(r . ' m,fl~A'1..D. I~ . VD~ Permits are non-transferable and expire if work is not started within 180 days of, issuance or if work is suspended for , 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor ~~ Address S\ S<:)" UJ. :J l.f.rnv 1500 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion, thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder, J.-- '$ 35.00 -r0 B. Services or Feeders (10 Branch CircuiXs included). Installation, Alterations or Relocation: C1 ty Ii '-' C. 2..-, ~ Phone (I Supervisor License Number ~4'-/.-/~ C; 4 S :...s Expiration Date 10- 9/ Constr Contr. Number 2D- z...s<oc. , Expiration Dat~IO'-a, I Signature of Supervising Electrician ~~ 'OVNER INSTALLATION Name Address City ,phone The installation is being made on property I own which is not intended for sale, lease or rent. OwnQ=~~ ' , . DATE: --3:R .C(r--t----~-------- . RECEIPT I: _ / L"M '-11 RECEIVED BY: ~UlA ~' 100 amps or less 101 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts, Reconnect Only' . $ 35.00 $ 60.00 $ 80;00 $130;00 $300.00 $ 35.00 "- C. Temporary Services or Feeders Installation, .Alteration or R,:l!lcation 200 amps 'or less 201 amps to 400 amps Over 401 to 600 amps . Over 600 amps or, 1000 volts D. Branch Circuits $ 35.00 ' $ 40.00 $ 80'.00 see,"B" above New; Alteration or Extension Per Panel ~oJ One Circuit " Two to ten Circuits Each Add t' 1 ten or', po~tion thereof ' . I $ 35.00 $ 50.0~ $ 15.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or 'irrigation 'Sign/Outline Lighting ,Signal :Circui tor', , , . limited 'energy panel , 5~ SUBTOTAL OF ABOVE 5% State Surcharge . TOTAL $ 36.,00 $ 36.00 $ 36.00 (n~d) , 0.;...J...... ,-110,?-5 '. ,"- , R~SI194i'JTIAL P'ERiV.!r- APPLICATION Inspections: 726-3769 Office: 726-3759 e- SPRINGFIELD ASSESSORS MAP' N/A LO-r. _.-!J,i BLOCI" , ,- OWNEP' Lochaven Partners ADDRESS: 1199 N. Terry St. CITY' Eugene DESCRIBE WORK' Mobile Home set UD NEW x REMODEL ADDITION CONTRACTOR'S NAME Ernie & Son's GENERA' ' PLUMBING' Harrison Construction MECHANICAl' Ernie & Son I s ELECTRICAl' Heritage Electric QUAD AREA: I R..N llJ . OF BLDGS: ( OCCY GROUP:)( """) \ WATER HEATER: 'F J . OF STORIES: STAT'" OR . C\ \ D4-3lo JOB NUMBER 225 Filth Street Sprlnglleld. Oregon 97477 ( I<e-esr-e J , TA,X LOT: -1!./ A . () 'lC\('Y) SUBDIVISION: Lochaven PHONF' 688-9123 &\ 97~ ZIP' "" -- Concrete strinllers - Accessorv Value $ /1 ~o,';3! DEMOLISH OTHER ~I.H. Value $ :2'/, C:,:;J.5" ADDRESS 87922 LaPorte Dr.. EUll. CONST, CONTRACTOR' 41497 EXPIRES 212/92 PHONE 484-6505 689-1762 484-6505 344-1500- 1441 N. Hwv. 99 20-236PB 855 \~. 24th 20-280C/6'l1'l7 41/.97 2/2/92 87922 LaPorte Dr.. EUll. - OFF(~E USE - LAND USE: \ CC:> 0 I . OF UNITS' CONSTR. TYP'" HEAT SOURCF' FE-- f..-/ RANGE: FLOOD PLAIN' ZQNING CODE:. ( 1 )(L ~ . OF BORMS' SECONDARY HEAl' SQUARE FOOTAGE: To request an Inspection, you must call 726.3769. This Is a 24 hour recording, All Inspections requested belore 7:00 a.m. will be made the ssme working day. Inspections requested aller 7:00 a.m. will be made the following work day, REQUIRED INSPECTIONS o Temporary Electric O Slto Inspection - To be made after excavation, but prior to setting forms. O Underslab Plumblng/Electrlcall Mechanical - Prior to. cover. rriOFootlng - Aller trenches 6e ~ excavated. o Masonry - Sleel location, bond beams, grouting. o Foundation - Aller forms are erected but prior to concrete placement. O Underground Plumbing - Prior to filling trench, o Underlloor Plumblng/Mechanlcsl _ Prior to Insulation or decking. o Post and Besm - Prior to floor Insulation or decking, O Floor Insulation - Prior to decking, ' ,fC7f Sanltsry Sewer - Prior to IIlIing \ trench. . r;:::;f Storm Sewer - Prior to fifiing ~ trench. ....tl Water Line - Prior to filling LtJ trench. - o Rough Plumbing - Prior to' cover. o Rough Mechanlcsl - Prior 10 cover. r-G::9Rough Eloctrlcal - Prlol to ~ cover, S-t0(QOf-' o Electrical Service - 1.1ust be approved to obtain permanent electrical power. o Flreplsce - Prior 10 lacing materials and framing Insp. o Framing - Prior to cover. o Wail/Ceiling Insulallon - Prior to cover. o Drywall - P.-Ior to taping, o Wood Stove - After Installation, o Inserl - After fireplace approval and Installation of unit. o Curbcut ~ Approach,-:-' After torms ard erected but prior 1(- placemEnt of concrete. dSldewalk &-Orlvewsy - Aft..- "t-' ~xcav.tlon Is complete. forrrs -and sllb-base material In place. o Fence - When compleled. o StreIt Trees"': When all rEquired "trees, are planted. o Final Plumbing - When all , plumbing work Is complete. r.zy Flnsl Eleclrlcsl - When ell ~ electrs wo~a::iV o Flnsl M~~ICSI ~ ~hen all mechanical work Is complete. o Flnsl BuildIng - When all required Inspections have been approved and building Is completed. o Other MOBILE HOME INSPECTIONS I'7l'Blocklng and Sel.UP - v:.hen all T blocking Is complete, ~PIUmblng Connections - When home has been connected to water and sewer. rEleC'rlCSI Connection - When blocking, set.up. and plumbing Inspections haye been spproyed and the home Is connecled to the service panel. rulnsl - Alter all required ~,~nspectlons are approved and porches, skirting, decks, and venting haye been Installed. 1-----' Lot faces Lot sq, ltg, Lot coverage Topography Total height BUILDING PERMIT ITEM SQ, FT, Main Garage Carport Total Value Building Permit Fcc State Surcharge Total Fe~ . . I IS THE PROPOSED WORK 16nE. ! \ HISTORICAL DISTRICT, OR (IN(....... " THE HISTORICAL REGISTER?/" If yes, this application must be signed and approved by the Hlstorlca' Coordinator prior to permit Issuanco. Lot Type Interior Selb-cks I P.L, HSE GAR ACC I I N I Corner Cul,de.sac _?_--- W IE Panhandle X $/ SQ, FT, = VALUE ~ 11)4 c) ;..aq;:o ;J.1c, ~LS- .. (.4~ (A) 30<=1~ SYSTEMS DEVELOPMENT CHARGE ~DC)A (B) 2J-15.-{J PLUMBING PERMIT ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home Plumbing Permit Slate Surcharge Tolal Charge MECHANICAL PERMIT Furnace ExhaU:j.t Hood Vent Fan FEE N' FT, FT, FT, ~ S,oO ,Q 5,00 _~ ~ ~o (C) ry:s .ou ?/)'S .!J <6.1~ Dryer Vent Wood Stovellnsertl Fireplace Unit N' Mechanical Permit Issuance State Surctlarge Total Permit (D) {)f MISCEL.LANEOUS PERMITS Mobile Home, State Issuance State Surcharge .1:2c.. . Slde'Nal'< ::. TJ It Curbcut It Demolition State Surcharge ,fJ,~ .c'5.;1S _I t; ~S Total Miscellaneous Permits (E) 193j,'D TOTAL AMOUNT ailE (excluding electrical) (A, B, C, 0, and E C,mblned) 'I APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit 15 granted on the express condition thaI the said construction shall, In all. respec:;ts, conform to the Ordinance adopled by the City of Sprlnglleld, Including the Dovelopment Code, regulatlng,'he construction and use 01 buildings, and may be suspended or reyoked al any timo ,_ . 't. -" . upon violation of any..provlslon~.of said ordin.:Jnccs. Plan Check Fee: Date Paid: Receipt Number' Received By: Plans Reviewed By DalO Systems Development Char\le Is due on all undeveloped properties within the City limits which are. being improved. ADDITIONAL COMMf;NTS By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify that all Information hereon Is truo and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances ~fthe City 01 Springfield, and the Laws of the State of Oret'~", ;.>ertalnlng to ,the work described herein, and that NO OCCUPANCY will be made of any structure without perml,slon of the Building Safety Division, I further cerlify that only contractors and employees who arc In compliance witt, ORS 701,055 will be used on this project. I further agree to ensure that all required Inspections are requested at the proper time,'thal each eddress Is readable from the street, that thE' permit card Is locale,d at the Iront of the property, and the approyed sel of plans will remain on Ihe site at all times during construction, Slgnat~ J,~J~A-- -' l:ate' .:; 73/"f/ , VI,l.IDATION: I RE<::EIPT NUMBER_ qC?:Lj ~ 0":;10 PAID ,&::), ,R .qj.. ) Arv:)UNT RECEI;Eq" .' ~ !,/ RE,:EIVED BY . ~ Ii) I . " . . DEVELOPMENT SERVICES PUBUC WORKS . METROPOUTAN WASTEWATER MANAGEMENT , 225 FIFTH STREET , SPRINGFIELD, OR 97477 (503) 726,3753 MANUFACTURED HOME SET-UP AGREEMENT As required by the City of Springfield Development Code, I understand and agree that with the approval of the attache~p.e its one gi~h~~oll91~ manufactured homes will be placed at m(l~y1V(~-" lfi5prin field, Oregon, City Job Number :-<..,{,!2.... Class A Manufactured Home. A manufactured home of not less than 24 . feet in width and 16% <not less than 2:12) roof pitch, with exterior , dimensions enclosing a space of at least 960 square feet, with roofing 'and siding materials that are commonly used or compatible wi,th si te built homes. / o Class B Manufactured Home. A manufactured home of not less than 12 feet in width and 16% roof pitch, with exterior 'dimensions enclosing a space of not less than 500 square feet, with roofing and siding materials that are commonly used or compatible with site built homes. I further state, by my signature below, that I have been provided with the following information: . - Mobile home blocking - Sanitary sewer' connection - Vater line connection - Electrical connection - Street tree standards - Minimum requirements for permanent. steps 'i\ ~~)k.;. - , Slt;fna ture " j,~I7/ Date Ii