HomeMy WebLinkAboutPermit Electrical 1999-11-17
The following project es submitted hes the following
zOning, and does not require specific land use
approval, L D i'Z
9Wpr zon,"~ \ \ -11 -C( q
J)&."i3,]di!l,gnature ~
3.
2. CONTRACTOR INSTALLATION ONLY ,B. Services or Feeders
'~~nstallation, Alterations
Electrical Contractor.)"/; 1Ir.an.,,- /h.()(~or ~ei!!9j~Ho.n:
,.... Oliflro",,11 rU/A ......., I .
. Address poD '(!;,rl-,.<l ~q '2,3 2qQca\'Jpsl/lqr;'<I't~i' " ' $ 50.00
~" 2019<.!lmpsy:to 4QO:Camps _ $ 60.00
. Ci ty !{.,f--- Phone '(PB(",,-f~3 b 40'l!1l~fpS :,Wf<~9' a~(s",;,. "(!"'r. $100.00
o 60~IA'mp,s.~ to" },9,00', ,amps,.' ur~ 0,$)3.0.00
Supervisor License Number '9 uq? S Over~lQ..gq ca,~'p',s1,XOYt~c :"e.~ .::70/$.]0,0<00
Reconnec t){On1y (A.cOOi;' " 0_.:"$ S$,fliC!;. 00 '
-'.., Vr~Vol ',' Of .,.0 ~. (,0
" . ":01)" :e. fA ' fh~ clS.?_ '11,
C. Temporary . SerVlce~llt~r~(&f;,edf},rs?Ol. .
Installatlon, Alterat~on~or~Relocatlon
.:.... .vli/i 'vl} -.Y
. '''q) 7eCi/.' e
200 amps"oT less "/0/$ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
.
'.
'".
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
.?,~~ Iv..'A...... ~c.~o
. A.
~D!{W7iO~ / [) ()
JOB DESCRIPTION
lj04-c ~fl<..-"
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
,-
Expiration Date
/-0 - ( - 1')(
Constr Contr. Number ~oj>d' <i'
Expiration Date I'l--'Ao - 1')0
Signature of Supervising Electrician
7\.e- v ,.---J...iL-,
r
Ovners Name t:~~
C.
J A-...,Ou':, fC.7
Address 0, R ~ ......_t+.^)<;.I=;~//j
Ci ty~,1o/~ {:,:"/J Phone 1V7.7,)"',)-2-
OWNER INSTALLATION
I."
.
The installation is being made on E.
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
~j;;::;::_I\j;I~~~~~----"--. 5.
SP~ttFIELD
ELECTRICAL PERMIT APPLICATION
City Job Number qq /5 &Gf
COMPLETE FEE SCHEDULE BELOY *
Nev Residential-Single or
Multi-Family per dvelling unit. '
Service I~4ged:
/'/.., IlC~ Items
'j/SA 0;;:
1000 sq141'fiy(')flrlDwi.s $ 85.00
Each aa'{IJ,\J:.idliitiJ.::.;2~..q4.
sq. ~,v~o't:11lPpC;"~D. ~..\"Ph
thereo(18.DI:lA 'l:DOI1. ~~:q~~715.00
Each Manuf/'tl-'llt~e Oi'..q~P.s 1'/~111
Modular Dvelnfi~/OD ~I\1Da R4?t/'l<> O,lj>Jr
Service or Feeder' ~~A'tH(l@l/,
O,lj>
Cost
Sum
D.
Branch Circuits
."
Nev, Alteration or Extension Per Panel
One Circuit .,
Each Additional
Circuit or vith Service
or Feeder Permit
?-SfjD
$ 35.00
$ 2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
no t included)
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
25 _ 0_0
~L-f::--'
{J).........
2. . :::> U
L(c;~
RESIDENTIAL
PERMIT APPLICATION
Inspeclions: 726.3769
Office: 726.3759
ASSESSORS MAP:
)783"
LOT:
.
:;PRINGFIELp
BLOC/(:
.
JOB NUMBER
):9/~
225 Firth Slreet
Sprlnglleld, Oregon 97477
TAX LOT:
SUBDIVISION:
(!)(bIOD
PHONE:_ '7Lj-7-r1.J~
OWNER;~ ~ :JM ..qAt.JDllSKY
Lf)
CITY;
STATE,
()R
NEW
REMODEL
onlEn
ZIP, -f1J!:t1]
~
'I
EXPlnES PHONE
DESCRIBE WORI<;
bAS fuY 1\ I ACJ..l=. S-yc,.fern
CONTRACTOR'S NAME
ADDITION
DEMOLISH
ADDRESS
CONST.
CONTRACTOR'
GENERAl'
PLUMBiNG'
MECHANICAL:&mF"DFIT f?LbW /qSI 'OM) Sf., Sun.r:.f)
ELECTRICAl'
4(,0
b:.Z;-D}
'1210-0100
OUAD AREA:
. OF BLDGS;
OCCY GROUP:
. OF STORIES: ___
WATER HEATEn:
- OFFICE USE -
LAND USE: _._---'-___
N OF UNITS:
CONSTR. TYPE;
HEAT SOURCE: _____
RANGE: __
FLOOD PLAIN-
ZONING CODE:_
. OF BDflMS:
SECONDAFlY HEAr: ___..
SOUAnt, FOOTAGE; ....__
To rcquc:H an Inspection, YOu rnu:H call 726.3769. Tills Is f1 24 hour recording. ^"lnzpccllon::; requested before 7:00 .1.m. will be
mode tho some working dny. In:ipccllons requested <lOcr 7:00 a.m. will be mLHlc Ihe following worl{ day.
o Temporary Electric
o Sito In:;;pcclion - To be made
aUcr excavation, but prior to
5CttlnO furm!),
o
Undcrslilb Plumbing I ElectricOll1
Mechanical - Prior 10 Cover.
o Foollno - After trenChes are
excuvated.
o Masonry - Sleel ,location, bond
beams, grou tlng.
o Foundation - After forms arc
'crected but prior to concrete
placement.
o
Underground Plumbing - Prior
10 filling trench.
o
Underlloor PlumblnoJMech,:micnl
- Prior to InsulatIon or decl<inO.
o Post nnd OC'-1m - Prior 10 floor
Insulation or decl<lng.
o Floor Insulnlion - Prior 10
dccl<lng.
o Sanil:lry Sewer - Prior to fllling
trench.
o Slorl11 Sewer - Pfior to fillino
trenel). \ '.'
o Waler Line -: 'Prior 10 tilling
trench. ' _
o ROUg~l, Plumbino - Prior \0
cover., ~ .
REQUIRED INSPECTIONS
"'f5:?'("RoU9h Mcchonicnl - Prior to
~~ovcr. '
'J::7( nough Elcclricnl - 'Prior 10
~covcr.
o Elcclricnl Service - Must be
approvecl 10 oblOlin permanent
eleclrlc,)l power.
o
Fireplace - Prior to fllclng
materials and (mming Insp.
o Framing - Prior to'covcr.: ..
r
o WnllJC'clling Insul.ltio~l ~ Prior 10
cover. ,
o Drywall - Prior to 1.1ping.
o Wood Stovo - Aflcr In51alla:lon.
o Insert - Afler fireplace upproval
and InslallnUon at unit.
o
CurbcUl & Appro,lell - Aller
rorms are ercc;led b~ll prior \0
pl.1ct;r11enl o( COIlCfI.,:({!.
o
SidewlJlk & Drivcw:l\, - AIlcr
exc.nvaliOIl is com pIe Ie, form::>
unci Sul).bi'lSC mn!t:rlil/ in place.
o
Fence - Wilen completed.
o
Stroot Trees - When a.1l required
Irees me planted.
o Fin;:ll" Plumbing - When all
Plumtj"~.no w9r/( is complet.c.
1V1 r-inOlI ElcClhcOII - \oVhen i111
~CICClric:al worJ( is complete.
(
~ Fil\.11 Mechanicnl - When all
~llcclI<Jnlcal worl<"15 complete.
o Final Ouildil1{J - WIlen .nIl
required In::;pecllons have been
approved and bullcllng Is
completed.
~ Other C;1;S L4/r;-
l8J 4~ Ra.?hrEi-
MOBILE HOME INSPECTIONS
o Olocldllg nnd Sel.Up - When all
blocl<lnU is complCle.
o Plllmbinu Conncction:> - When
hOlnf.! 110JS been con'lected 10
waler and sew(:r.
o ElcCllic.11 COllllection - When
bloc:l(inO. ::oct.uP. iJnd plllmbing
11l~;pccllon:.; h:lVC bcen .npprovccJ
i1ncJ IlIe hOllle: is conncctcd 10
the :.;ervlcc panel.
I I Finol - Afler 011 required
Inspections arc ,approved ,and
porches, ~I<lrljng. cJccl<s, and
venilno hnve been Inslnlled.
Lot laces
LOI Type_
Lot SQ. Itg.
Interior'
. Lot coverage
Corner
Topography
Total helglH
Panh"lndlc
Cul.cJe.~ac
BUILDING PER'MIT
ITEM'
X S/SO. FT.
SO. FT.
Main
G~rage
Carport
Tolal Value
OuUding Pcrmi I Fee
Stale Surchar{Je
TOlal Fee
(A)
Setl);lcl<:; ,
P.L. 'HSE' GAR' ACC I
.!L__ - I
.S THE';RO'POS~D WORI< iN THE.
"'HISTORICAL DISTRICT. OR ON
THE HISTORICAL REGISTER?
II yes, Ihis appllcailon must be signed
and approved by Ihe Historical
Coordin<ltor prior to permit issuance.
-L.. ______
.YY._.. __ ____
.L___
VALUE
"
(D)'
SYSTEMS DEVELOPMENT CHARGE (SDC)
PLUMBING PERMIT
ITEM
Fixlures
Residential Dath(")
N'
Sanitary S~wer
Waler
F'J:
----.--
FT.
Slorm Sewer
FT.
MobIle Home
Plurnblno Permi I
Slale Surchar!]e
Tolal Charge
(e),
MECHANICAL PERMIT
Furnace
ExhaU5t Hood
Venl Fan
N'
..
Wood Stove/lnserl/Flreplace 'Unil
Dryer Venl
Mechanical Parmi t
/
IssuJnco
. .
., ,
Stale SurchalOo
/, or+- .13-:
TOlal Permit
(0)
MISCELLANEOUS PERMITS
Mobile HOnlc
Slate Issuance
Slale Surcharge
Sldcwall<
II
Curbcul
fl
Demolition
Slale Sorch'lrge
Total Miscellaneous Permitn (E)
TOTAL AMOUNT DUE (excluding eleclrical).
(A, B. C, 0, and E Cornulned)
FEE
(;J?-o
.J1I;: ~/5,t!f)
jk)L~ __
! ( ~<:-
-?./o,50
~,o
APPROVED'
. < -
BUILDING VALUE, PLAN CHECK
AND 'BUILDING PERMIT
This permll is gr.:ll'lted on the express condition thallhe said
con5truclion shaH, in all respects, conform to the Ordln~ncc
adopled by the Cily 01 Springlield, including the
Development Code, rC~Jul~ling the con:;truclion nnd use of
buildings, and m.lY be 5U!ipcnded or revol(ed al <lny lime
upon violation o( :Jny provjsion~ of said ordlnnnccs.
Plan Checl< Fcc:
O<lte Paid:
Receipt NUlIllJcr:_
ReceivccJ By:
Plnns Rcv'icweci-'Oy-'-'------
Dale
Systems Development Ch,Hgc is due on all undeveloped
properties wllhin the City IirTlit~ which :ire being Improved.
ADDITIONAL COMMENTS
/
,
(
By signature, 15t<lte and ogroo, thaI I h~ve carerully examIned
the completed nppllcntion ::tnd do hereby certHy Ihnt <lll
Information hereon i:.; Irue ;1f'1<1 correct, and I further cerllfy
Ihal any ;:md all worl< performed shall be done. in accordance
with the Ordinancc~ of tllG Cjly of Springlleld, <1nd Ihe L~w:;
of Ihe Sl~tc of Oregon pertaining to the worl< described
herein. nnd that NO OCCUPANCY will be rnaclc of nny
structure wllhout permission of Ihe Bulldln!] Safely Division.
I (urllwr cerll ry ttlnt only contractors and employees who
arc In cornpli::lnce.wiI11 ORS 701.055 wIll be used on this
projecl.
I further n.grcc 10 cn~u,e Ihat all required Inspections arc
reque~led ut the proper time, Ihal each nddre5sls readable
(rom tile slreet, he permIt card 15 locnlcd at thc front
o( tho proper ,;)11 the ~pproved ~cl of plans will remain
on the :;ite .l! oil 05 du In~ coftt,/ctlon.
Slgnalure fj/.h..R IL~
if
O;.te
VALIDATION:
RECEiPT NUM8E'l 'l,/~ / ~ 2.
DATE PAID ,Ill 1~<75'
AMOUNT RECEIVr-.D 2?-._~
~/ --7YJ
RECEIVED BY __..._ t :(,/1~'N/pn Cl