HomeMy WebLinkAboutPermit Electrical 1999-9-8
225 FIITH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
-,I,,?, 2... /AAL ia>>12..-C ~
LEGAL DESCRIPTION
/7r77_?&:; 1- / DJ =3 ~
JOB DESCRIPTION
""IF d?C<'
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 S{kc:.-V>/voA <V!eu-.-
Address Zo,c! v-s \4 v(L
City SA--\".......
gl )'37s'L
3S771b
Phone
Supervisor License Number
E' . D /-0 _tJ D
XplratlOn ate
Constr Contr. Number l(b~S-~
ELECTRICAL PERMIT APPLICATION
City Job Number 9'10 5"1~
~
COMPLETE FEE SCHEDULE BELOY
New Residential-Single or ~. ' "
Mul ti-Family per dwelling unit, ' '.,
Service Included:
Items Cos t Sum
'( C-~~
$ 85,00 0
3.
A.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
,B.
Services or Feeders
Installation, Alterations
or Relocation:
r
I~t/
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
$ 15.00
.$ 40,00
$ 50.00
$ 60.00
$100.00
$130.00
$300,00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date -60-
Signature of
~d
Su~~ising Electrician
--;:f( CV1- . -
Owners Name STd/c 1/ h~t:~\
Address 72'l? ~ Jr-
,
Ci ty jff/! Phone 7~ ~/f:.25
OYNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~~::-:~----~~-;t~~7-~-:;::~~-~-----
RECEIVED BY: .~/J4--l
,<.ri.-- -, /
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch circui ts
$ 40.00
$ 55.00
$ 80.00
see "B" above
.'
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
/00,0';)
7ro~
,), --
f IU--
,... .
~, . . .,.
~ "t.
SPRINQFIELD
.
NOTICE:
THIS PERMIT SHALL ~1t$:Eijil'IBW~IT APPLICATION
AUTHORIZED UNDER THIS ~n<l~ ~INGFIELD
Cg~k~p'ERVICES DIVISION
COMMENCED OR IS ABANuvl~Bb':iil1flNG SAFETY
ANY 180 DAY PERIOD.
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: 7632 MCKENZIE HWY
Assessors Map #: 17023541
Lot: 2 Block:
Page 1
Job Number: 990576
Office: 726-3759
Inspection Line: 726-3769
Tax Lot #: 01300
Subdivision:
~
Owner: STEVE WILLIAMS
Address: 7297 HOLLY ST.
Phone #: 726-1525
City/State/Zip: SPLFD OR,97478
Describe Work: S.F.RESIDENCE
Contractor
Cons t .
Contractor #
General: WILLIAMS GEN. 0111846
7297 HOLLY ST SPRINGFIELD OR 974780
Plumbing: CRANE PLUMBING 0122285
5143 E ST SPRINGFIELD OR 974780000
Mechanical: MARSHALLS 0025790
4110 OLYMPIC ST SPRINGFIELD OR 9747
Electrical: ED HAUCK 0041908
23820 HWY 20 PHILOMATH OR 973700000
QUAD AREA: 5RNE
OCCY GROUP: R3
HEAT SOURCE: FE
INSUL PATH: PI
OFFICE USE --
LAND USE: 1111
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 1480
NEW
Expires
Phone
02/27/00
726-1525
03/25/98 744-0300
f~~~NT~~~:oreg~~ law requires you to
N ,~2fl:i13'l'99doPte7A:'?Y-I7I!..~regon Utility
, Dtlflcatlon Center. Those rules are set forth
~ 04nJ;~~fo^oi-001(929Cl~~iI;?JAR 952-001-
090.. ou may obtain copies of the rules b
calling the center. (Note: Ih" I"'''rh{)ne y
IlU"'DerTOrth~ Oregon Utility Notification
Ce#tEbF3 B~GS332--2344).
# OF BDRMS: 3
RANGE: E
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 work day.
REQUIRED INSPECTIONS ---
SITE - To be made after excavation but prior to setting forms.
FOOTING - After trenches are excavated.
FOUNDATION - After forms are erected but prior to concrete placement.
UNDERFLOOR PLUMBING - Prior to insulation or decking.
UNDERFLOOR MECHANICAL - Prior to insulation or decking.
POST AND BEAM - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
WATER LINE - Prior to filling trench.
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
UNDERFLOOR DRAIN - Prior to cover or placement of concrete.
ROUGH PLUMBING - Prior to cover.
ROUGH MECHANICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
FRAMING - Prior to cover.
INSULATION - Floor; prior to decking
DRYWALL - Prior to taping.
FINAL PLUMBING - When all plumbing work is complete.
DRYWELL - Engineered Drywell Required
FINAL MECHANICAL - When all mechanical work is
FINAL ELECTRICAL - When all electrical work is
FINAL BUILDING - When all required inspections
the building is complete.
Wall/Ceiling; Prior to cover
~
complete.
complete.
have been
approved and
.1
t
.
..
SPRINGFIELD
Job Number: 990576
Page 2
Lot Faces: S
Lot Type: INTERIOR
Lot Sq. Ft.: 56062
Topography: 4
House
Garage
N
38
Setbacks
S W
E
114
Item
Main
Garage
Total Value
BUILDING PERMIT ..-
Square Feet x
1140
440
$/Square Feet
69.64
18.34
Building Permit Fee
surcharge/Admin
TOTAL FEE
PLUMBING PERMIT ---
Item
Residential Bath(s)
2
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
3
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
WILLAMALANE SDC
CITY SDC
PLAN REVIEW ADJUST.
TOTAL MISCELLANEOUS PERMITS
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, 0, and E combined)
_.- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ---
(A)
= Value
79,390.00
8,070.00
87,460.00
397.00
31.76
428.76
Fee
160.00
160.00
12.80
172.80
6.00
4.50
9.00
3.00
22.50
10.00
1. 81
34.31
0.00
1,000.00
1,706.75
13 .65
2,720.40
(C)
(D)
(E)
3,356.27
W'f
-----3 3l) ,. 2 7
'11.(
~
This permit is granted on the express condition that the said construction
shall, in all respects, conform to the Ordinance adopted by the City of
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.
.'
.
.~.
,
~,
Job Number: 990576
Page 3
Received By:
Plans Reviewed By: DON MOORE Date: 07/05/99
Building Site Reviewed By: BOB BARNHART
ADDITIONAL COMMENTS - --
PATH 1; SEPARATE ELECTRICAL PERMIT IS REQUIRED
ENGINEERED DRYWELL DES IN W/ OVERFLOW REQUIRED TO BE SUBMITTED
DRIVEWAY REQUIRED TO BE PAVED
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 the work described herein,
and that NO OCCUPANCY will be made of any structure without permission of the
Community Services Division, Building Safety. 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.
~-6
~~re
tJ~&
-
/ -6 - <Vj
Date
VALIDATION ---
Date Paid:
6 }/-I7lfo
7/t1f'1
Yfo/J, ~ 7.1
dcJ~
Receipt Number:
Amount Received:
Received By: