HomeMy WebLinkAboutPermit Electrical 1999-1-11
zOning, and doas not require specific land use
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22~tfIfTII .I.I:I:t.,h .. LL EXPIRE IFTHE ~~LECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477\UTHORIZED UNDE URK CfOJ
INSPECTION REQUEST: 726i'37\6~,~W' RTH/SPERMITI~Gl~Y Job Number ,,000 'f
OFFICE: 726-3759 >V,II/\IC/ e,En OR IS ABANDONl=n 1:" . '" A
M'V 1::" I1IW PI"Rlnn 3. COKP&E FEE SCHEDULE BELOII ~'.'.'_'
1. LOCATION OF IN~ALLATION ..
I~~'-{o n-...A..-I . A. New Residential-Single or-"
Multi-Family per dwelling unit.
Service Included:
.
LEGAL DESCRIPTION
1Pt7,9~"t1 )
It ems
Cost
Sum
JOB DESCRIPTION 1000 sq. ft. or less $ 85.00
A(f..- f-I~tJO~ IIClQ.7! f)'L.j:~,,,,,,,,,, . ,E.ac~additional 500
~-\\, ."N,u. ~"o.I'sq.L'ft"or,'portion
Permi ts are non-transferable JR\lO't!~~Ipr;Eiidopled byiH-efg81l0n Utility $ 15.00
if work is not started wi thiklct~~8li1l9fenter. Th<EilWI%li'lU!f.&Ql fffi!lite. or
of issuance or if work is suYp~1l5:f19@1.0010thrRi:lil'iiUfl.RlJlle-])]JiIng
180 days. 0090. You may obtain ~~L';"il!c\l1fdtlllRe~:der $ 40.00
calling the center. (Note: the telephone
2. CONTRACTOR INSTALLATION ONI\lll1berforthe CBego5eH~1\CllIstifuatReeders
Center is 1tl~Ol$8ltt~,tion, Alterations
Electrical Contractortl.s U(c]72u f#.O{~ Relocation:
Address f. D f., () l' if-<( e; ~ ~
Ci ty (.~ Phone--".Pb-I~A--'), {"
Supervisor License Number "511'17 S
.
Expiration Date /~- / - /')/
Constr Contr. Number 7'O~"J
Expiration Date /~.?,(l_/)a
Signature of Supervising Electrician
,-<-~ AJ-k-
Owners Name ~.~ Ac::L~
Address '~'E'\J '" t.--;A,,..,
City~ Phone 11/)'-'/"101
OIlNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale. lease or rent.
.
Owners Signature:
------------~-------------------------
DATE: lit, /'7?
RECEIPT 11: oArz,Y l...q
RECEIVED 'BY: cJ/ r...v--V
200 amps or less $ 50.00
201'amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
.'
New, Alteration or Extension Per Panel
3s~
---L $ 35.00
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
-I-- $
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
2.00
~
~
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
37 C<>
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I. "
:3 'i.."il.
'.
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Olllce: 726.3759
.
SpnlNGFIELD
LOCATION OF PROPOSED WORK: ~ffio..L.r1
ASSESSORS MAP: / 7 ~ 'J- 3 f'3 z..
OWNER: \:"t\chOJd ~'r\l~J 1__1.
ADDRESS: ~P>L\.O .f'(ln ~() 0trf1::C
CITY: ~')v- \ 'no\-' ie 10 STATE: t )y--p ef-O-- ZIP
DESCRIBE WORK: o (lir, f'\~ "' I D ?
NEW REMODEL QDITI~N
LOT'
BLOCK:
DEMOLISH
OTHEIl
. '!1ooolf
JOB NUMUEIl '___._.
225 Fillh Sllcel
Spllnylleld, OIl!UOIl 97477
~~
~C-
"'J
PHONE:--5L\I''l~1.1Lta..L
TAX LOT:
05'"'3/ Y
SUBDIVISION:
Q\Lll~
CONST 11 <1 ^'
kre ~DDRES~ ~J CONTnACTOR N,..., 1 EXPIIlES ~'.o"U'I'HONE
O+Iro ~ If' \12l..nI0f.p~P .ot':[Efliq' 4LiI:2JDI
- O~
CONTRACTOR'a~ME
GENERAL: .rYIPS
PLUMBING'
MECHANICAl'
ELECTRICAL'
o on law requllt:j;:) YVI.A t3
ATTENTION: reg h OregontltfillflCE USE l\lFl?IIf\~.
f \I rules adopted by t e , rth I~Y I "':S;.
QUAD AREA: 0 OW _, Those rlJll..6lfiltlr€l~t 0 _ fi" f'lnQRl.Pflf)iHE..wDRK
NotltlcaUUl1 "<inter.- hOAR 952-0U1- 1 nlSffRMlT SHAl!L ,,=,..., ,
N OF BLDGS: ,- r\~Q Q<;?Q01-0010 thrO~9,! OftH"'LT""~ h" .' '_I 'C'~I~ED UNDIC"'NIN'G ~dfijE!US....NOT_
...".,...". obtain copies \) I;TUT~-, nu, 'VH ~ _l'"', "..
OCCY GROUP: 0090. You may (Note:(loNs\ElP.l1fVJ%: _ -~'J"-"('ED OR Itl05/Eli5i'iMS:O FOR
cat\lngttlt::t,,;\:"JIHI:OI. 'r Notification \.I\.IIV'........,;;./ .
N OF STORIES:" :11::~"odnrthe Oregon UtI!JIYI.\T. SOURCE: ""';01\ "!IV PFRlsEcONDArIY HEAT:_..
,.. enter is 1-600-332'-'2':;441. "'" ,- d
WATER HEATER: C R^NGE: _ SOUAnL' FOOIACE: ...__
To m'1uest SJ' InsplJo:tlon, you musl call 726.3769. This Is a 24 hour recording. Alllnspcctlons rcuucstcd before 7:00 a.m. will be
made'the same working day. Inspections requested aHer 7:00 a.m. will be made lhe following work day.
D Temporary Electric
D SlIe Inspection - To be mado
after excavation, but prior to
setting forms.
o Underslab Plumbing/Electrical/
Mechanical - Prior to cover.
o Fooling - After trenches are
excavated.
o Masonry - Sleel locallon, bond
beams, grouting.
D Foundation - AHer (orms are
erected but prior to concrete
placement.
o Undorground PlumbIng - Prior
10 filling Irench,
o Underlloor Plumbing/Mechanical
- Prior to Insulation or decking.
D Post and B08m - Prior to 1I00r
Insulation or decking.
o Floor l"sulaUo" - Prior to
decking,
o Sanllary Sewer - Prior 10 IIl1lng
trench,
D Storm Sawer - prior to IIIl1ng
trench.
D Water Line - Prior 10 filling
trench,
D Rough Plumbing - Prior 10
cover.
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
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 - P~lor to cover.
o Wall/e'olllng Insulation - Prlor'to
cover.
D Drywall - Prior to laplng.,
o Wood Stovo - After Installation.
o Insert - After fireplace approvel
and Installation of unit.
D Curbcul & Approach - AHer
forms are erected but prior to
placement 01 concrete.
o Sidewalk & Drlvew"I' - Aller
excavation Is complete, rOllllS
and sub.basc material In place.
o Fence - When cOi"l!pletcd.
o 81rool Treos - Whon all required
trees are planted.
D Final Plumbing - When nil
plumbing warlt Is complete.
~ Final Electrical - WI1cn all
electrical wotl~ Is complete.
~ Final MeclHllllcal - When all
mechanical worl( Is complelo.
o Final Building - When all
required Inspections have been
approved and buildIng Is
completed.
DOlher
MOBILE HOME INSPECfIONS
D nlocking and Sol.Up - When all
blocking Is complele.
o Plumbing Connections - Wilen
home IlilS been connected to
water and sewer.
o Elechical Connection - When
blocking. sel-up, and plumbIng
Inspcclions hnve been npproved
and the home Is connected 10
the servIce panel.
o Final - Alter all required
Inspections are apploved and
porches, sh:.lrling, decks, and
venting have been Installed.
Lot (aces '---
LOI sq fig,
Lol Coverage
li')pography
T(.)lal height.
.
Lot Type
Inler/or
Corner
Panhanclle 1
CUI.de.sac
BUILDING PERMIT
ITEM sa, FT, x $/SO. FT.
Milln
Garage
Cilrport
TOl", Value
Building Permil Fcc
Slale SUrCharge
:rolnl Fcc
(A)
PLUMBING PERMIT
ITEM
Fixtures
Residential Balh(s)
N'
Sanll ary S~wer
Waler
FT,
FT.
Slorm Sewer
FT.
Mobile Home
Plumbing Pormll
Slalo Surchargo
Tolal Charge
(C)
MECHANICAL PERMIT
Furnaco
Exhaust Hoorl
Vent Fan
N'
Wood Stoye/lnsert/Flreplace Unit
D'W-t ~
~---
Mechanical Permit
Issuance
Slato Surcharge
Tolal Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
Slate Surcharge
Sidewalk
II
Curbcul
II
Demolition
Stale Surcharge
Tolal MIscellaneous Permits
OUNT DUE (oxcludlng clcclrleal)
TOTAL AM
A B CD and E Comblncd)
( , , , ,
(E)
.
Sell achs
.--------.
IS THE PflOPOSED WORI\ ,;1 THE
. HISTOfllCAL DISTRICT, on (,N
THE HISTORICAL REGISTErI?
If yes, Ihls apnllcallon rnu:;1 1'0 slgnC:d
find npplQVcd by the I "starlcal
Coorulnat6/ prior 10 permit i:;3uance.
~~-~~
N
------
~_._--
_V:!_ _ ___ ___
L__
VALUE
"----
FEE
/5':otJ
/J, CI.J
'([Y-Zl~.
~W
--"-
APpnOVED:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
BUILDING VALUE, PLAN.CHECI<
AND .BUILDING PERMIT -
ThiS pcrmi! is granted on lho'express condillon Ih,lllhc 5rll,J
conslruction shall, In all rc::;pccIs, conform 10 IIle Old/nance
adopled by the City of Sprinyfjeld, including the
Development Code, rcgul~lIng Ihe construction a/HI use of
bUildings, and may be suspended or rcvokod (II ilny limo
upon Yiolalion of any provblons of said ordinances.
Plan Check Fcc:
Dalc Paid:
-..----
'R'eceipt Number:
neceived Oy:
Plans nCV~CWQd-riy- -"---.--
Dale
Systems Development Chargo Is due on all 1II1tlcvolopCd
properllcs withIn Iho Cily IilTllls Which are beIng Improved.
ADDITIONAL COMMENTS
;::. s
~
~
t:Lec 1'17 1-<:'
By signature, I alalc and Doroo, thot I have carofully oxnllllnOd
Iho comploted application and do horeby certify Ihnl all
Informallon hereon Is Irue and correct, and I further corllfy
that ony and all work pcdormod oholl bo done In BCCOHIf\ncQ
with tho Ordlnancus of Iho Clly of Sprlngflold, and tho Lows
of Iho Stoto 01 Oregon pertnlnlng to tho worl( doar.rlbocJ
horoln, and that NO OCCUPANCY will bo modo of any
8truclure without permission of Ihe Bulldlll(J Snfoty DivIsion.
I further certlfy thai only contractors and employoes who
aro In compliance wllh ORS 701.055 will 1.>0 used 0/1 thIs
prolect.
I further agroo to ensuro that all required lnsr>ocllona. oro
requostod at lhe propor tlmo. that oach oddroen /s rOBunblo
from Iho stroet, that the pormlt cord Is locoted alOlo Ifonl
Ihe roved sot 0' plans will rernsln
of tho properly. on
on th~e all; al ,Imc. d IO~UCtlOn,
Signature. '_.~
IY
Oato I)
VALIDATION:
o ? i if ~7
RECEIPT NUMBER
"" "'" ':j,fu A
AMOUNT RECEIVED ~vv-IJ
RECEIVED BY _____