HomeMy WebLinkAboutPermit Electrical 1996-4-26
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225 ~...~~a .:>u"",a . lr-.. () ELECTRICAL PEBHIT APPLICATION
SPRINGFIELD OREGON 974n Zonlna U l'--- . 9/.
INSPECTION REQUEST: 726-37(6.10 L./ - ~(p -'1 ~ Ci ty Job Number . 'eO 5') ~
OFFICE.: 726-3759 C.
AuthoMzed S1~nature ~ ~ ~. """" m..sCBEDULE BELOll *
1. LOCATION OP ~ON
405 Mansfield Spnngfield, OR A. New Residential-Single or ...
Multi-Family per dwelling unit.
LEGAL, '/ ~~~QN, 0/. c-Of) Service Included:
l "7 \?~I Items Cost Sum
'.'
JOB DESCUPTION
wire for 2 1/1 ton heat pump system
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Modular Dwelling
Service or Feeder
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
$ 85.00
$ 15.00
$ 40.00
'Electrical Contractor Scofield Electric
B. Services or Feeders
Installation, Alterations or
Relocation:
AddressP.o. Box 2765 Eugene, OR 97402
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
City
Phone 686-8612
Supervisor License Number 508 S
Expiration Date 10-01-98
Constr Contr. Number 038702
$ 50.00
S 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date 12-21-96
200 amps or less
201 amps to 400 amps
Over 401 to 600' amps
Over 600 amps or 1000
Signature of Supervising Electrician
~~~
Owners Name Charlie & Margie Vigeland
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
Address405 Mansfield
New, Alteration or Extension Per Panel
35.00
Phone 726-6393
..L $ 35.00
Ci tySpringfield
One Ci.rcui t
Each Additional
Circuit or with Service
or Feeder Pe.rmi t ..3
v...""" INSTALLATION
The installation is being made on
property I own yhich is not intended
for sale, lease or rent. .
$ 2.90
6.00
,....
E. Miscellaneous (Service/feeder not included)
-Each 'installation
Pump or irrigation $,40.00
Sign/Outline Lightin~ $ 40.00
_ Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
Owners Signature:
DATE: ''-I-J /-" - q e",
RECEIPT t-: ,!,ZqCj
RE.............. BX: tV
5. SUBTOTAL OF ABOVE
5~ State Surcharge
3% City
TOTAL
41. 00 .
L..U:>
1.;13
44.28
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726-3759
LOCATION OF PROPOSED WOR\<'
ASSESSO.RS MAP: .I7'-'3-2'3~? Y
LOT'
.
SPRINGFIELD
4-0_'>
BLOCK:
OWNER:
ADORES'"
en AIf Lle '7? fl/l14/U/c 1J."'r_F=(I4Nd
4- '0 r- f'l1 A-tII J' F /'e: / d
<;::'OIZ(~6- 6DEld
, .'
CITY:
.
JOB NUMBER~6-.?~
225 Fifth Street
Springfield, Oregon 97477
TAX LOT:
SUBDIVISION'
~~
. PHONF'
7()"'('-6313
STATF'
OREVtJ/IJ
ZIP:
9'7l/-77.
r
~~.
.~
DESCRIBE WORK'
t/iJ r T A LL4{..,.oON
() F h e-41- n ()MP
<:; ~ .s 'f-E.;l1
NEW
REMODEL
ADDITION
CONTRACTOR'S NAME
GENERAl'
PLUMBIN'"
MECHANICA' .
DEMOLISH
OTHER
ADDRESS
CONST.
CONTRACTOR #
EXPIRES
PHONE
/-I-A:l<.\/EY w. Pte/C6 Co~
,
~~'e::.tYJ
~fll SO N (/()-(J-f; I WK7
E U6-l5\Il!! q7<J,O~
ELECTRICAl'
()o077
'{Or3\.:.~(p
7.r.{.b-/(,'J...!
- OFFICE USE -
QUAD AREA' LAND USE: FLOOD PLAIN'
# OF BLDGS: # OF UNIT'" ZONING CODE:
OCCY GROUP' CONSTR. TYPF' # OF BDRMS'
# OF STORIES: HEAT SOURCE: SECONDARY HEAT:
WATER HEATER' RANGE: SQUARE FOOTAGE:
To request an Inspection, you must call 726.3769. This Is a 24 hour recording. 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.
o Te~porary Electric
D Site Inspection - To be made
after excavation, but prior to
settIng forms.
o Underslab Plumbing/Electrical/
Mechanical - PrIor to cover.
o Footing - After trenches are
excavated.
o Masonry - Steel location, bond
. beams, grout! ng. .
o Foundation - After forms are
erected but prIor to concrete
placement.
o Underground Plumbing - PrIor
to filling trench.
o Underfloor Plumbing/Mechanical
. - Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulation or decking.
,~.
o Floor Insulation - Prior to '
decking. '
o Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to filling
trench. .
o Wate' Line - Prior to' fI-lllng .
trench. .~ .' .:~.
o Rough Plumblng'-= Prior to
cover..
...... ~
REQUIRED INSPECTIONS
IKJ Rough Mechanical - Prior to
cove~ .
o Rough Electrical - Prior to
cover.
.
. .
o Electrical Service - Must be
approved to obtain permanent
" electrical power.
o Fireplace - PrIor to facing
materials and framing Insp.
o Framing - Prior t? cover.
o Wail/Ceiling Insulation -:- Prior to
cover. "
o Drywall - Prior !o taping.
o Wood Stove - After l~stallat'lon. .
o Insert - After fireplace approval
and Installation of unit.
o Cu,bcut & Approach - After
, forms are erected but prior to
placement of concrete.
o Sidewalk & Driveway - Afte,
, excavatlon Is complete, forms
and sub-base material In place.
o Fence - Whe,n completed. .
o Street Trees - When 'all required:
trees are planted. .
o Final Plumbing - When all
plumbing work Is complet.e.
D Final Electrical -, When all
electrical work Is complete,
n7l Final Mechanical - When all
Lf-J mechanical work Is complete,
o Final Building - When all
required InspectIons have been
approved and building Is
completed.
o Other
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blockIng Is complete.
o Plumbing Connections - When
home has been connected to
water and sewer. "
o Electrical Connection - When
blocking, set-up. and plumbing
Inspections have been approved
and the home Is connected to
the service panel.
o Final - After all required
Inspections are "approved and
poiches~ sklrtln'g, decks, and
venting have been. Installed:
Lot faces
Lot sq. oflg~ ." _
Lot coverage
Topography
Total hel ght
~: -~"
BUILDING PERMIT
ITEM SO. FT.
Lot Type .
Interior
Corner
Panhandle
Cul-de.sac,
I P.L.
IN
Is
Iw'
IE'
Setbacks
HSE GAR
X $/SO. FT. = VALUE
,
Main '.
Garage
, ,
Carport.O!
Total Value
Building Permit Fee
State Surcharge
Total Fee
(A)
r, _
.SY$TEMS DEVELQPMENl. CHARGE.:(S~C)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s) N'
Sanitary Sewer FT,
Water FT.
Storm Sewer FT.
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace #'~ ~ ~
Exhaust Hood
Vent Fan
N'
Wood Stovellnserl/Flreplace Unit
Dryer Vent
Mechanical Permit
Issuance
State Surcharge
Total Permit
FEE
~R.-
l'4/1)/. /~ .-:>
/t!? -
7~ o:-~
(D) 2h~
MI$CELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
fl
Demolition
State Surcharge
Total Miscellaneous Permits
(E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C. 0, and E Combined)
ACC I
I
I
I
I'
{'THE PROPOSED WORK IN'THE . 0
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
. Coordinator prior to permit Issuance.
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
,\"
This permit Is granted on the express condition that the said
construction oshall,ln'all respects, conform to the Ordinance
adopted by the City of Springfield, Including the
Dev,,'lo'pment Code, regulating the construction and use of
buildings, and may obe suspended or revoked at any time
.. ..... ,. .
upon violation of any 'provislons 'of said ordinances.
oPlan Check Fe~:
Date Paid:
Receipt Number'
Received By:
Plans Reviewed By
Date
.
Systems Development Charge is due on all undeveloped
properties within th~ Clty'limits whicho~re being Improved.
." '. '
ADDITIONAL COMMENTS
By signature, I state and agree, that I have carefully examined
the completed application and do he,eby 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
structu,e 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 a~lmes,du:Wlng constr tlon......
LA...
Slgnaturo . I ./
./
Dato t.f, J $- ?'
VALIDATION:
RECEIPT NUMBER ? /2/.?:
'/--=<:,< '9~
AMOUNT RECEIVEC" :::<,,c_:?p
DATE PAID
RECEIVED BY
~......~~-#
~ ~
/
~
.
Lane County Authorization
SVG-L?
.-
for:
JjJJ %?
FOR OFFICE USE ONLY
Application/ ~'/)., ~~__ ~7
PermJ. t # (?(' h ~ b' P' ~
SEPTIC INSPECTION FOR LOAN REVIEW
I
I
~~l ~s /' ~REET ~ / . CIT~ ZIP
70S /~~h-ec..c;:J,\/~~y~ J/~~~L? ~~-
ST~S CURRENTLY ON PROPERTY /' . . y-:-/ -- Af"'7/
:-:'{(i;,o~,.,(/ ./ /h -1/:S/ ..JhC6- /-77// //.-/6-/ (~/ ~/./~.// ~
7":-/d~- ~ <:o..~. r~/~/' ./ /Z/c7/?'...~ './"../
~47?~~~C4'? c:>.// /~ " (/.vF~~:;,
OESCRIPTION OF PRO;~~~I~O~N-S~~~;;C~~"CFOR LOAN REVIEW I OECLARED '';:JL.
, OF BEDRDOM:a::. I' OF 4~ I # OF~ I "ATER SUPPLY ~/ /__' ~~~~~~ ~
Z;??~~, ~~ /tfI- . ~(7r/c- 12t2-~;\
<;;=~N~..~_ D O~.'~~~. ~,.A.' _.1/ ~ ".-- ./7 I TELEPHONE NUMBER ~ . -
L.//T"/$iod-;L r//l./,...;;l. ~r {d"r==- A'Y77/7 ,-5'Yr-~t?''y"c;'
/t:-:BEMAIL(7~~hc~ V~h) '77Y//~~??~?'
- / . /
I HAvt CAREFULLY EXAMINED THE COMPLETED APPLICATION FOR PERMIT, and Jo horoL.y certify that all info:l'lllation hereon is true and correct, and that I
have the following legal interest' in the property: Downer- of record; 0 contra,,!:. p'llrchaser;~uthorized agent.
I f:.:rther certify that any and all work performed shall be done in accordancE: wi th tht:' ordi~f Lane County and the Laws' of the State of Oregon
pertaining to the work described herein, and that NO OCCUpANCY will 'be made of anj: strncture'without the permission of the Building Division. I fur-
ther certify that registration with the Builder's Board is in full force amf effect as reSuire by ORS 701.055, that if "exempt the basis for exemption
is noted hereon, and that only subcontractors and employees who ar in compliance with S 70 . 55 wiil be used on'this project": I HAVE READ AND
CHECKED THIS APPLICATION THOROUGHLY.
aLe~MCa:::c~/?)
ro~,SHIP / 7 I AAN/2Y
S~BDIVISI~N/PARTITION (if applicable)
I S.!:8fON Efp,/ /j T~. DT I . jOU;:.J)F
~...:if --->-1 7 ~ <; c:/ 1"'/
" I LOT/PARCE~ I BLOCK
PROpOSED USE OF PROPERTY
MResidential D Industrial
o Commercial .0 Public.
. It A
01~'C?7
SIGNATURE
READ THIS SECTION CAREFULLY. Y~~~Oa:!ATION ~AS
o PLANNING/ZONING: ,Zone ~ ~ parti tion #
/
B~EN BASED ON THE FOLLOWING CONDITIONS~
Parcel #
Parcel Size
A1'~ -
/'
Minimum Setbacks:
C
L, front
CL, side
interior
rear
COMNENTS ~
SEPTIC INSPECTION FOR LOAN REVIEW
NO SPECIAL
PLANNING ACTION REOUIRED
Date, 6- 2.-9.rr;7 i::P(. ~
Gallon
Lineal Feet
Installation Record Issued? DYes D No
Maximum Depth
of Trenches
I SANITATION: S. I. I/:
Installation
7&", ,~. (~ ~~...uI. ate, 747_f'7
o PLANS EXAMINATION: Ty.nP. Group Use
B. P. I/:
~
COMHENTS ~
Date:
n
-/I~) ~RS . 7-7-{7
~rt.,1 JCPPROVE~ B'f-glJILD ITICIAL/DESIGNEE (eer ORS 456.805 (1)) - - , DA ~
LANE COUNTY 0 TMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION, 687-4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
SEE REVERSE FOR INSPECTION INFORMATION
('11/. "c:. QQA
.
.
'.
'SETB,\CKS AND OTHER CO::OITIO::5 OF APPRO'J,\L MUST BE STRICTLY OBSERVED. VIOLATION CA~ RESULT IN REVQ-
C;'7IO~ OF ,!lIS PERNIT, CIT"TIO:l UNDE;R PROVISIONS OF LAKE COU~TY'5 INFRACTION OROI~:;"NCE. AND/OR OTHER
REMEDIES ALLOWED BY LAW.
WHEN READY FOR INSPECTION, CALL 687-4065. A mNH1U~1 OF AT LEAST 24 HOURS ADVAt,CE NOTICE FOR INSPEC-
TIUCl REQt;t:~T:; ~.Li::;T ilL; GIVt,.,.. Have the tollowing information ready: permit number, job address, type
of inspection, when it will be'ready;-your name and phone nU::1ber, and any, special directions to site.
BUILDING DIVISION:
REQUIRED INSPECTIONS;
1.
Foundation Inspection: To be made after trenches are excavatc~~and forms erec~cd and when all
mater~als lor the toundation are delivered on the job. Where concrete from a central mixing
plant (commonly termed "transit mixed") is to be used, materials need not be on the job.
2.
Concrete Slab or Under-?loor Inspection: To be made after all in-slab or under-floor bui-lding
serV1~e equIpment, condult, p1p1ng accessories, and other ancillary equipment items are in
place but beiore any concrete is poured or floor sneathing installed, including the subfloor.
3.
~raminq ~ Insulation Insyections: To be made after the roof, all framing, fire blocking, and
raC1ng are 1n ?1aCe and a11 p1pes, fireplaces, chimneys, and vents are complete and all rough
electrical and plumbing are approved. All wall insulation and vapor barrier are in place.
4.. Lath and/e!. Gv\?sum Board Inspection: .To be made after all lathing and gypsum board, ~.nterior
ana-exter1or, 1S In-prace but before any plastering is applied and beiore gypsum board joints
and fasteners are taped and finished.
....
5. Final Inspection: To be made after the building is complete and before occupancy.
APPROVAL ,REQUIRED. No work. shall be done on any part of the.building or structure beyond the point
indicated in each successive inspection without first obtaining the approval of the building official.
Such a~proval shall be- given only after an inspection shall have been made of each successive step
in the construction as indicated by each of the inspections required.
NOTE: All building ~ermits require inspections for the work authorized, such as b;( not limited to:
A. Block wall; To be made after reinforcing is in place, but before any grout is poured. This
1nspe~t10n is required for each bond.beam pour. There will be no approval until the plumbinq
and electrical inspections have be~n made and approved.' .
B. Wood Stove: To be made after completion of masonry (if applicable) and when installation is
complete. Installation shall be in accordance with an approved, nationaliy recognized testing
agency and the manufacturer's. installation instructions.
C. Mobile~: An inspection is required after the mobile home is connected to an approved
sewer or septic system for setback requirements, blocking, footing connection, tiedowns,
skirting, and plumbing connections.
1. Footings and piers to comply ,with State foundation requirements for mobile homes or as
recommended by the manufacturer. . + ~
2. Mobile home minimum finish floor elevation shall be certified when required by a flood-
plain management letter.
3. Mobile home tiedowns, when required, and. skirting shall be installed and ready for inspec-
tion within at least 30 days after occupancy. Tiedowns and skirtfng shall be installed
per enclosure.
'0. swimmin9 Pool; Below grade when steel is in place and before concrete is poured. Above grade
wnen pool---rs--installed.
,\?PROVEO PLA~S MUST BE ON THE JOB SITE AT ALL TIMES DURING WORKING HOURS. THIS PERMIT WILL EXPIRE
IF WORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR MORE THAN 180 DAYS.
SUSPENSION OR REVOCATION HAY OCCUR IF THIS PERMIT WAS ISSUED ON THE BASIS OF INCOMPLETE OR ERRONEOUS
INFORMATION. .
ANYONE PROCEEDING PAST THE POINT or REQUIRED INSPECTIONS WILL DO SO AT THEIR OWN RISK.
SUBSURFACE AND ALTERNATIVE ~ DISPOSAL SYSTEMS:
1. Permits shall be effective for one year from the date of issuance.
2._ Upon completing the construction for which a permit has been issued, the permit holder shall
notify the Lane County Department of Planning and Community Development by submitting the
installation record form. The Department shall inspect the construction to determine if it
complies with the rules contained in.this division. If the construction does comply with such
rules, the Department shall issue a certificate of satisfactory completion to the permit/holder.
If the construction does not. comply with such rules; the Department shall notify.the'permit
holder and shall require satisfactory completion before issuing the certific<lte. .Failure to
meet the requirements for satisfactory completion within a reasonable time constitutes a vio-
.lation of ORS 454.605 to 454.745 amI this rule; . ~,~ .
Setback~ - Sub~urface S~wage Disposal
Septic ~
Drainfield
F:-om; Interior property lines
Edge ot' road riqilt-of-way
Buildinq foundation
Wells. other water sources
10'
10'
5'
50'
10'
10'
10'
100'
. .
, ..... ane
, t_ounty
-
. .
ACTIVITY INFORMA TION SHEET
EMJ)..,
~ .", .
. -
.....:
'--.............----
~_......__..~
Please complete all lIems above dolled line
. FILLING OUT * LINES WILL GET YOU INFORMATION ONLY'
.;i~DATEOG:" ~ ,C::O 7
.. .~ \ .
.... PERSON L ACTUAL
. *MAKING{"}. . (."'-,. W PROPERTY I - M II
. REQUEST \ ~ ""'()V", \ 'L~AN I t::iL . OWNER Ll.St:;. I e ,<C
, ADDRESS ~L(9-,s. Su\? ~/'-J Cr. ADDRESS YoS \Iv\. \A-.r.J<;) 1-11-)1....'0
.),. CITY ~FL.A STATE~ZIPq7(jT7i:~~ 'S.PR.F-u:::. STAT~ ~,pq,4'77
::1f., , . . . ,
'iJ): TElEPHONE (Bu~L.fS ':"~lf: D (HOM;1;;~~7 -S,2-7 TElEPHONE (BU~ ~lJ ~-lfOh" ',HOME) x\ _.
* PROPERTY ADDRESS '"tl->S" II\A A-jJ~p. t m L']{(,)~RI~/(:;u)1 C!R. q 74"71
OR . __
MAP & PARCEL NUMBER (Found on tax maps in the Assessment & Taxation Depl.)
STAFF WILL DETERMINE_
/7
Township
oY
Range
,,;23.5:~
Secllon
(,5"00
Tax Lot
Zoned
Flood Plain
Township
Range
Secllon
Tax Lot
Zoned
Flood Plain
Township
Range
Secllon
Tax Lot
Zoned
Flood Plain
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
ACRES
*REQUEST(descrlbe what you want to do) ~rl(. ~t< 1,.s~fb~.IW"\
Directions to site '.1., - IOS to Sl.!\ ~-. "-'O-P-Tlrl' I?~ 4D:::;
~"SF(P> ,e--..
....................Staff Use On~....................
Comments:
Land Management Division, Public Works Department 125 E. 8th Ave., Eugene, OR 97401 phone 687-4061
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