The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 1999-7-13 . ' -, I .' 'Iff allowing project as submitted has the following 1..) ling. and does not require specific land use c<,.ljJrovar. Zoninr t..{i i2-- i-'c'e /1/1 7), qq / 225 FIITH STREET " ,," . "" S. ,,. j ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 914ft" 'gnatur. vr:h INSPECTION REQUEST: 726-3769 () City Job Number 710 S 73 OFFICE: 726-3759 1. LOCATION OF INSTALLATION 5335" m+t'v S-I -# /7 LEGAL DESCRIPTION 1761-33&0 0/701 JOB DESCRIPTION I C"t.".., r Permits are non-transferable and expire if york is not started vi thin 180 days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical ContractorJB Electric, Inc. ,I Address 4065 W. 11 th, #18 Ci ty Euqene Phone 687-5770 Supervisor License Number 38728 Expiration Date 1011/01 Constr Contr, Number 104929 3/14/00 Ovner f.o~ t, /YIA7L; Address sn)' ;t1"".J City ~ (;/!J Phone 01lNER INSTALLATION fk./l4dAVt' , ~ '"'/7 '1f9-4/))/ The installation is being made on property I ovn vhi~h is not intended. for sale, lease or rent, Ovners Signature: -------,f--t--------------------------- DATE: 1/19/9'1 RECEIPT *:: /j ~< /() 5/, " RECEIVED BY: bU' VI/~ 3. COMPLETE FEE SCHEDULE BELOV A. Nev Residential-Single or Multi-Family.per dvelling Service Included: Items 1000 sq,ft. or,less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or. Modular'Dvelling 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 Reconnec t ' Only ~~ Cost 'Sum unit. $ 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 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 Nev, Alteration or Extension Per Panel One (Ci rcui tl Each Additional Citcuit or vith Service or Feeder Permit E. ; Mis~ellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 57. State Surcharge 37. Administrative Fee TOTAL $ 35.00 ~ $ 2.00 not included) 40.00 40.00 20.00 $ $ $ $ 36.00 ?.>'" /,7f (. 0 t 37. rl RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 ASSESSORS MAP: LOT' .W , BLOCK' OWNER:~l('~\~Cl\/~J l ~J0'\CUQi ADDRESS: 5 ~?"ld; ,~S->+- *'=1.,'1 I CITY' s.,p{E.t;.,Q STATE: . \i7 DESCRIBE WORK: --- NEW REMODEL CONTRACTOR'S NAME GENERA' ' rJR- ADDITION DEMOLISH OTHER . JOB NUMBER 9 r 05- 73 225 Fifth Street Springfield, Oregon 97477 TAX LOT' O(?:,o! SUBDIVISION' PHONE: _ q gR- 4C5/ ZIP: C'f'JL//} <Y .. l~ ~ iU ADDRESS CONST, CONTRACTOR . EXPIRES '::" PHONE PLUMBING' MECHANICAL: -ffi,A-rshlllf I ~'S LfJf() OWED ELECTRICA! ' ::::J~19/) //41-1 'l!LS ~ - OFFICE USE - QUAD AREA: LAND US=' FLOOD PLAIN: . OF BLDGS' · OF UNITS' ZONING CODE: OCCY GROUP' CONSTR. TYPE: . OF BDRMS' . OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER' RANGF' SQUARE FOOTAGE: To request an Inspection, you must call 726'3(~i1:lllii\lg~~~~hour recording, All Inspections requested before 7:00 a,m, will be made the same working daYdA~eIlll~a&ll}t~~'Gfe<IJGift~~\~8'Pt\~,m, wtll be made the following work day, ~lIE~~\~S adOP\a~:~se 18~Fl~I0(jNSPECTIONS jollOW cel\\er, 1 ~hOA1=\' ,."-" 0\1 o Temporary E efilri'V.\iOI\ <_0010\\1 ,'RRPlf!eMoenanfcal - Prior to No 952-00. . c ~tI-ler p\10l\e il\ O~f\ f1\a,/ oo\all\ No\e: \\1e \e\~'lica\iOI\ o Site Inspectl9'09I1 Y8:f.~Ilf@fS6\er. ~ rlnU\iR'O',l)!Q~~tectrlcal _ Prior to after excavatlonc",\I'I1~r \"'eoreg~3 2<i;!'li4,. setting forms, Ufl\oerlOr 's 1-800- 1\ cel\\ef\ o UndersJab Plumbing/Electrical/ 0 Electrical Service - Must be Mechanical - Prior to cover. approved to obtain permanent electrical power. o Footing - After trenches are excavated. o Masonry - Steel focatlon, bond beams, grouting. o Foundation - After forms are erected. but prior to concrete pi Be emen 1. 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 flltlng trench. D Storm Sewer - Prior to filling trench. o Water Line - Prior to filling trench. o Rough Plumbing - Prior to cover. o Fireplace - Prior to facing materials and framing Insp. o Framing - Prior to cover. o Wail/Ceiling Insulation - Prior to cover. o Drywall - Prior to taping, o Wood Stovo - After Installation. o Insert - After fireplace approval and Installation of unit. o Curbcut & Approach - After forms are €!rected but prior to placemont of concrete, o Sidewalk & Driveway - After excavation Is complete. forms and sub.base materIal In place. o Fence - Whe~ completed. o Street Trees - When all required trees are planted. o Final Plumbing - When all plumbing work Is complete. D Final Electrical - When all electrical work Is complete. o Final Mechanical - When all mechanical work Is complete. o Final Building - When all required Inspections have been approved end 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 porches, skirting, decks, and venting have been Installed. Lot faces Lol Type . Lot sQ, fig, Interior I P.L IN Lot coverage Corner Topography Panhandle ,. Is Iw Total height Cul-de-sac IE 'i BUILDING PERMIT ITEM SQ, FT, "{ " X $/SQ, FT, a VALUE Main' Garage Carport " Total Value Building Permit Fee Slate Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' Sanitary S~wer Water FT, FT. FT. Storm Sewer Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stovellnsert/Flreplace Unit Dr;::l ;J~ I Mechanical Permit /5'..f/:J 10, q7) .Lf)'J 7Y 2f.. 2v Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance Stale Surcharge Sidewalk It Curbcut It Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) ':"1,,::\.;:,-,, ,',I liE PROPOSED WORK IN THE - "HI ORICAL DISTRICT, OR ON THE HISlORICAL REGISTER? II yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. Setbacks HSE GAR ACC APPROVED: , :: . 'f 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 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. Plan Check Fee: Dale Paid: Recel pt Number' Received By: Plans Reviewed By Date Systems Development Charge Is due on all undeveloped properties within tI,e Clly limits which are being Improved. ADDITIONAL COMMENTS \/OlJAJL // iJ5 L{CJ , ():J By signature, I stale 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 Ihe City of Springfield, and the Laws of Ihe Stale of Oregon perlalnlng to Ihe work described herein, and that NO OCCUPANCY will be made of any slruclure wllhout permission of Ihe 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 wltl remain on the site at all times during construction. Slgnature..Go AJ1) 0 Date 5Aa f Cj q I I ' ~(J^f(.(lj+- I - VALIDATION: RECEIPT NUMBER 033 ~b ~ DATE PAl" <:;/tlf~ AMOUNT RECEIVED; 2 t. ~ RECEIVED BY ~ {,vM