The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 1993-7-27 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 ,he. fO'io',\'inU pr"j~r.t es sU,bmltted hes the followln, , ~, 70r,lng, nnd doas not requlro specific la....'~ICAL PERMIT APPLICATION tl~P(C..'.':t1. '~J.n 97477 \O~ 726-3769 Zonina v .>,,,__1 ;2:1-'1:;;' 1. LOCATION OF INSTALLATION'",o;IZOd Gig"atura , /1.1,0 mhEe:d<::''[R.{%:I LEGAL DESCRIPTION /7D3 7. c;~ 2 /1 t.fOo JOB DESCRIPTION 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 EIJbE;'AlE: Ft.ECT-e1C. Address IZO #1rJJ/;:j{; Ci ty t2.1h~N~ Phone !?4tJ- '3'76/ Supervisor License Number -1.09-::1. S Expiration Date '!,-I1-CjiP r Constr Contr. Number lf6~ Expiration Date '?~ll-1& Signature of Supervising Electrician p J!LrMJ ~ o:Oers NameJJJM~t7U l rwJA-v.{).(J Address I ~\.;j) 1J(j //e-d-3- City ~f.d Phone 77tJ77 v OVNER INSTALLATION The 'installation is being made on property I own which is not intended for sale, lease or rent. Ovners Signature: ~~~~~-:~~;f~~~~----------------- RECEIVED BY: (!Jvv.." Ci ty Job Number cr."3co (5 3. COMPLETE FEE SCHEDULE BELOV /Ii"i'-" A~' New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cos 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 B. Services or Feeders Installation, Alterations or Relocation: 1t%J.~ ~d) , . 200 amps or less ~ 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 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" above D. Branch Ci rcuits New, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or with Service or Feeder Permi t S $ 2.00 latE.. E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 5. $ 40.00 $ 40.00 $ 20.00 $ 36.00 1/0.(';0 !J'sc ~//S,~ SUBTOTAL OF ABOVE 5% State Surcharge TOTAL RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726-3759 LOCATION OF PROPOSED WORK' J '76?,'" ASSESSORS MAP- LOT' OWNER: MlcIAA-'i.-f_ ADORE"'''' Ie., 30 MJ'l-At.l"-~ -r- STATE: ---D,/J..- CITY' <; /) (:/ /), DESCRIBE WORK: CODL NEW REMODEL ..t CONTRACTOR'S NAME o '-'tV 'i..P- GENERA' ' PLUMBING' MECHANICAl' ELECTRICAL' . SPRINGFIELD . JOB NUMBER~?roJ<<!!:: 225 Fifth Street Springfield, Oregon 97477 51. TAX LOT: SUBDIVISION' //<!8V Ie... -z., 30 7'/ M~R.I<''L'T PHON'" 72..'" -S<.n:;; BLOCK: COg rLS ~ <;:;- C.OM~.I( f ADDITION , DEMOLISH ,OTHER L ZIP' _*l..,., - , :l Cj'7'{77 ADDRESS - CONST. CONTRACTOR' PHONE EXPIRES - OFFtCE USE - QUAD AREA' LAND USE: FLOOD PLAIN' . OF BLDGS: . OF UNIT"" ZONING CODE: OCCY GROUP: CONSTR. TYPE: . OF BDRMS' . OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER: RANGE: ' SQUARE FOOTAGE: To request "an Inspection, you must calf 726-3769. Thls~ls a 24 hour recording. Alllnspectlons requested before 7:00 a.m. will be Il]ade the same working day. InspeCtlon~ r~quested after 7:00 a.m. will be made the following work day. , REQUIRED INSPECTIONS D Temporary Electric D Slto Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumblng/Electrical/ Mechanical - Prior to cover. D Footing - After trenches are excavated. D Masonry - Steel location, bond beams, grouting. D Foundation - After forms arc erected but prior to concrete placement. D Underground Plumbing - Prior to filling trench, D Undeflloor Plumbing/Mechanical - Prior to Insulation or decking. D Post and Beam - Prior to floor Insulation or decking. D Floor Insulation - Prior to decking, D Sanitary Sewer - Prior to filling trench. D Storm Sewer - Prior to filling trench. . D Water Line - Prior to f~lIng trench. o Rough Plumbing - Prior to cover. o Rough MechanIcal - Prior to .. cover. 1"::71' Rough Electrical - Prior to ~ cover. D Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. D Fram!ng - Prior to, co.ver. D Wail/Ceiling Insulation - Prior to cover. ~ DrYWF;k~;'!t' taping, D Wood Stove'- After Installation. D Insert - AHer fireplace apprOVEd and Installation of unit. I':7f Curbcut & Approach - After ~ forms are erected but prior to placement of concrete. 1V1' Sidewalk & Driveway - After ~ excavation Is complete, forms and sub-base material in place. D Fence - When co~pleted. D Street Trees - When all required trees are plan~ed. D Final Plumbing - When all plumbing w9rk Is complet.o. "fV7f' Final Electrical - When all ~ electrical work Is complete. D Final Mechanical - When all mechanical work Is complete. K7I Final Building - When all ~ required Inspections have been approved and building is completed. DOthcr MOBILE HOME INSPECTIONS D Blocking 8!1d Set-Up - When all blocking Is complete. D Plumbing Connections - When home has been connected to water and sower. , D Electrical Connoclion - When blocking, set-up. and plumbing Inspections have been approved and the home Is connected to the servIce panel. D Final - After all required Inspections are approved and porches, sklrllng, decks, and venting have been Installed. , > Lot faces Lbt Type. Lot sq, fig, Interior Lot coverage Corner Topography Panhandle Total hel ght Cul.de.sac. BUILDING PERMIT ITEM SQ, FT, X $/SQ, FT. Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee (A) l' 'f.., . ""~;'I'~":~''''\ ,.< ~ , ,','{, ,,':,~.; T', ' ' I' It~'" r . _ :-. "..:f ," '~'" ~ Set~acks "",' '. THE PROPOSED WORK IN THE HSE GAR ACC I HISTORICAL DISTRICT, OR ON I THE HISTORICAL REGISTER? I If yes, this application must be signed and approved by the Historical I CoordInator prior to permit Issuance. I I P.L. IN Is Iw IE VALUE '. 5~~# ) 5 ()() 7<;;' /5'.75 SYSTEMS DEVELOPMENT CHARGE (SDC) (B) ~ PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary Sewer FT, FT, Water Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (e) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk q Curbcut --=it Demolition It It State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) FEE -.il. 3S' /5/0 2/0 1S" ..4.0.1- 0 ,. APPROVEr" 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 01 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 of said 'ordinances. Plan Check Fee: ~ Date Paid: Receipt Number' Recelved_~~ Plans Rftfw-:: ~ /-2-/-93 Date Systems Development Charge Is due on all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS IN,~~tl..uJZ F/A~.6"um/Ls L , / ~f;(i)('M1A' ~r//.2Z /~,,(!i1 (:..///1L,c;....."c -- /' r -t- .f6Qt// ..e~ ~b?A.rt?~;.;V~ ~ /1N'BT ,1i:lJ< ~ (/,v-,.7 nl/~ #/.-1- hU~AJ~ /.It) AA:tf).-:::-C IGJ,I~~ 7l:> IXJE UAl'-/T.. i?/...EcT.~~/T ,15 ~/.L/A'.,e})_ , 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 01 the City 01 Springfield, and the Laws of the State of Oregon pertaining 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 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, that each address Is readable from the 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 all times during construction. '~J/~ Signature Date ./, t.. ' 9~ VALIDATION: RECEIPT NUMBER ~ I -2---i~ ~ AMOUNT RECEIVED 42.--.2-0 fJ/vtI.NJ DATE PAlfl RECEiVED BY