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