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HomeMy WebLinkAboutPermit Electrical 1998-9-4 \\~tJ . .- ~~r~'el. : . { Zoning Dale NOTICE: 225 n~~uraJlM ~t:HMIT'SHALL EXPIR .ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 AUTHORIZED UN E IF tHE WORK . INSPECTION REQUEST: 726-37690MMENCItD OER THIS PERAfJtP.r~tif> Number t:t f It /2- OFFICE: 726-3759 ORISABANOONt=n - . )f - ANY jail f)Il,y PEAl&; CO!fPI:ETfOREE SCHEDULE BELOIl . 1. LOCJl.TION OF INSTALI4TION' . b ~ (, /J1/.J-/ /....../ S-fL- . A. New Residential-Single or .- Multi-Family per dwelling unit. . LEGAL DESCRIPTION Service Included: /1b'l,?- 2 13 N'J-OiJ Items Cost Sum 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~S... f::'1~t Address --;5'22-3. ~ ~ City ~E71e Phone fMif'tAR5" , Supervisor License Number ,_'\Xb3S Expiration Date /C>Jt:?-1i" Constr Contr. Number ;?Jt7/0Sc(I? Expiration Date /2../98 Owner~signature: " --------------1-1---------------------- DATE: <j I.( 7Y II RECEIPT 1I:, 0.3./ y "[, I..L.- RECEIVED BY: tN~ 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: 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 $ 85.00 $ 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 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL 200 amps' 'OT less 201 amps to 400 amps Signa.tu ./?re.:~uper~i~~~ Electrician Over 401 to 600 amps ~.~~ Over 600 amps or 1000 volts lI/1n 1I;/....JL)rf\otn~ D. Branch Circuits owne~s NameJ:JJ::jf..dJ) ~ Address~ 1-~ ~() New, ~lte~ation or Exten;ion .J - ("' ^'\ ~ One CHCUlt -L $ 35.00 Ci ty ~ '\l1\ ~ 'S~~~~ION:Oregon law requiresant!oAddi tional /..F1eoo I '.?W I.u,"'" <tUUfJl"U uy lJle Oregon<I:iitit;ui t or wi th Service 01lNER iNSTALt..AT~'rcallon Center. Those rules are Slltl~~der Permi t tnvtlAR 952-001-0010 through OAR 952-001- . , The installation isoBg~ngoh\B.'\!W elltain copies <fl4hett~rt.'6waneous (Service! feeder not included) property I own which fs"If/Gih'iliefllatelNote: theieleptfumP installation for sale. lease or rt!1lrll1ber for the Oregon Utility Notifl1!Mllll?or irrigation Center is 1-800-332-2344). Sign Outline Lighting Limited Energy/Res Limited Energy/Comm $ 40.00 $ 55.00 $ 80.00 see "B" above .' Per Panel p"c.. $ 2.00 $ 40.00 $ 40.00 $ 20.00 $ 36,00 )}' f7.~6 . LOT' llk/tUl/ . . I ADDRESS: 2 2 '2. ~/~ k /4 #1 A. -T'..p . .- SPRINGFIELD WiL~ /I1.4/I/hLtJ BLOCK: /./-J ofp bit ^ tvA' EJL/.:t? 1<:, I V t:4/lr . DESCRIBE WORK: b~tI ~Nl-;"( ~ {) """ REMODEL' I ADDITION OWNER' CITY: NEW CONTRACTOR'S NAME IJ IJ N-f' PI-, r I / / / GENERA' . PLUMBING' MECHANICA' ' ELECTRICA' . STATF' . D/L tp JOB NUMBER tfg. / / J 7_ DEMOLISH , ,. OTHER '225 Fifth Street Springfield, Oregon 97477' TAX LOT: ---'-4' LOo SUBDIVISION' ~- ~~ . .~ PHONE: _ ZIP: 4'7;;' 0) , . CONST. ADDRESS ' CONTRACTOR' o Rough Mechanical - Prior to cover. .' D Rough Electrical - PrIor to cover. , " o Electrical Service - Must be approved to obtain permanent electrical power. D Flrepl~ce - Prior to facing materials and framing Insp. Framing - Prior to cover. , .0 waIl/C~lnSUlatlOn' - Prior to ' ' --.:: c~ver. :~ ." . ~t'1I - PrIor to taping. o .wood.Stovo-- After Installation. [j Insert - After fireplace approv~1 and Installation of unit. D Curbcut & Approach - After forms are crectedbllt prior to placement of concrete. o Sidewalk & Driveway - After excavation Is complete, forms and sub.base ,material In place. o Fence.- When COiYlpleted. D Street Trees - When all required i trees are planted. EXPIRES PHONE - OFFICE USE - ':":' QUAD.t'llEA' LAND USE: FL~Jims'~1tt NU.....IC/:: ^JTENTION:Oregon law req r ~.J lt~a.y · OF BLDGS' . OF UNITS' t'\ d bythe<lThlagQ'~DlO , THIS PERMIT SHALL EXPIRE IF TH follow rUlel; auv.....l I re set fortn- OCCY GROUP' E WQ8\(iSTR. TYPE:Net"'M.;nn r,p.nter. Those r.v 881w~c^' AUTHORIZED UNDER THIS PERMIT IS NnT 'n OAR 952-001-0010 through I",,~bv . OF .sro.F.lJE~: I'Ie.AT SOURCE: I , r.iin copi5!tOOllr.€lAi:\'f'l'1EAT: vUMMI:I~0I:U OR IS ABANDONED FOR ' 0090. YOU llIay v~. (Note' ~e telephone WATEFl,HIfATER: - - RANGE: '- :;al\inl:' th.. can ar. S ].!Go.R!ti1f66~bWE:- 'IIH ,~\,) 1,"\ r I"QR'UU, I_..~-.fnrlhp., Ore!lon UtllY NO ... . 1, 80o-~;j"-""""" To request an Inspection, you must call 726.3769. This Is a 24 hour recol<illl1:l!3Al~ih-spec\lonsrequested before 7:00 a.m, will be made the same ~orklng day, I.nspec~ions requested after 7:.00 a.m. wll,1 be made the following work .day. . REQUIRED INSPECTIONS o Tempor8~ Electric D Site Inspection - To be made after excavation, but prior to setting forms. .0' Underslab Plumbing I Electricall Mechanical - Prior to cover. .0 Footing - After trenches are. excavated. o Masonry - Steel, locatIon, bond beams, grouting. D Foundation - After forms are erected but prior to concrete' placement. o Underground Plumbing - Prior to filling trench. o Underlloor 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 flllJng trench. o Water line - Prior to filling trench. D .Rough.Plu":1b1ng - Prior to cover. " . I o Final Plumbing - When all . plumbing w<;>rl< is complet.e. D FI.nal Electrical - When all electrical work is complete.. o Final Mechanical:"" When all mechanical work Is complete. o Final Building - When II ' required Inspections h e. been approved and buil is ...".......:--'Q.t.bc. 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. D Electrical Connection - When . blocking, set.up, and plumbing Jnspectlons have been approved and the home is connected to the servIce panel. o Final - After all required . Inspections are approved and porches, skirtlng, decks, and venting have been Installed. Jf[) :J; !5:dO lfr. /lr -Lb. ]..u SYSTEMS DEVELOPMENT CHARGE (SDC) Lot faces lot ~ype . lot sq. ftg. Interior Lot coverage Corner Panhandle ',' Topography Total height Cul.de.sac. ,I '.'1 BUILDING PERMIT t ITEM sa. FT. X $/SO. FT. "Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fcc (A) (B) PLUMBING PERMIT . ITEM Fixtures Residential Bath(s) N' . Sanitary S~wer Water FT. FT. .... Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (e) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan. N' Wood Stove/lnsert/Flreplace Unit Dryer Vent Mechanical Permit' Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut It Demolition State Surcharge Tolal Miscellaneous Permits (E) " TOTAL AMOUNT DUE (excluding electrical) (A,' B, C, 0, and E Combined) , ;" I PL. IN Is V\,/ ; ---- E VALUE " FEE ',';" i.! ',I ~::i';~~?!~:ir:~i' i' THE PROPOSED WORK IN THE _ '''HISTORICAL DISTRICT, OR ON TH'E HISTORICAL REGISTER? II yes, this application must be signed alld approved by the Historical Coordinator prior to permit issuance. Setbacks I HSE" GAR I Acdl I I I I APPROVED: '. '.... '! 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: Received By: Plans Reviewed By Date Systems Development Charge is due on all undeveloped properties wIthin the' City limits which are being Improved. ADDITIONAL COMMENTS ------~ I iNote: .. -, Building Inspector may reqUire I additional plans information, -\ and/or fees for the completion of I this project. - I I L- I By' slgnatur~, I sta~e and ag'ree, that;' 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 <;ione in accordance with the Ordinances of Ihe City 01 Springfield, and the laws of the State of Oregon pertaining to tho work described' herein, and thaI NO OCCUPANCY will be made 01. any structure without permission of the Building Safety Division, I further certify that only contractors and employees who arc In compliance with OAS 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 15 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 SI~y~S during c,o~ructlon. , Signature. #/_~~~&'.---1J Date l' --,~ ~ ,~ s17 VALIDATION: RECEIPT NUMBER ,~. 5/3 / u DATE PAIr> '1 (y! C; f AMOUNT ~ECEIVED --.i,?, 24J /l . RECEIVED BY (# UJ ~