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Home My WebLink AboutPermit Electrical 1991-7-25 SP,tINGFIELD 225 nun STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 Ci ty Job Number OFFICE: 726-3759 1. ~Ql{ATION OF INST~TION \ \ ~ ("') \d. ~(),~ '(\!\(). 0 A~ ~ \ 7\ LE~ DESCRIJAON 1\~3CC\':t, lJR,(X) \ ~~~~f\..- 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 E1. ,..,,1 Co"..".. ~ City "" Expiration Date ~ ~ 3. COMPLETE FEE SCHEDULE BELOV New Residential-Single or Multi-Family per dwelling unit. Service Included: A. 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 Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over lOOO amps/volts Reconnect Only C. Items Cost Sum $ 85.00 $ 15.00 , .:'* $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less 20l amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 Owners Na~e\ l '\\ 'l\\ l }\ ~ A i1 Q Y ). Address II rot [\6\ U ~ Jt f\ O~ ' 'City B ~one4B4r lCOTf 01lNER I~TALLATION , The installation is being made on property I own which is not intended for sale, lease or rent. ~i1Jli:e:]~ _ (DATE:_ _ I )~' ~.q I RECE.lrL I: I '- i-<J1.lf II RECEIVED BY: ,ll /'.J(\~ Branch Circuits $ 40.00 $ 55.00 $ 80.00 volts see "B" above New, Alteration or Extension Per Panel $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 4f'l,OO 5% State Surcharge 7 ,()[\ TOTAL ~Z .00 , One Circuit Each Additional Circuit or with Service or Feeder Permit \.~ -~. . RESIDENTIAL PERMIT APPLICATION Inspections; 726-3769 Office; 726-3759 LOT: . BLOCK' OWNER:-D-\ \nt r\- ,-~c\.i1~) ADDR''''''~ \\(')s:\ \'{\_~_l )~~ ~+ f A '"fl.Q.1\ 0 'STAT'" DESCRIBE WORK\ ~'h \00 \ Q ,~ CITY' NEW REMODEL CONTRACTO~AME GENERAl' _ :\..tV PLUMBING: _ (t.t?~ MECHANICAL: - ~ ELECTRICA" ~ ~ ~( ) QUAD AREA; r1 ~ ~ \ \u , .- _\ OCCY GROUP: \...z.. ~ '\ # OF BLDGS: # OF STORIES: WATER HEATER' (v..o ADDITION DEMOLISH OTHER -JOB NUMBERi[! (J?:,1!1 225.Fifth Street Springfield, Oregon 97477 PHONF' ZIP: ADDRESS CON ST. CONTRACTOR # PHONE REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. D 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. - OFFICE USE - \\~ r LAND USE: # OF UNITS: CONSTR. TYPE: HEAT SOURO" RANG'" EXPIRES * "', FLOOD PLAIN; ~- ZONING CODE~UK-. # OF BDRMS: SECONDARY HEAT: SQUARE FOOTAGE: To request an Inspection. you must call 726-3769. This Is a 24 hour recording. All Inspections requested before 7:00 B.rn; will be made the same working day, Inspections requested after 7:00 a.m. will be made the following work day. D Temporary Electric o 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 - Steer location, bond beams, grouting. D Foundation - After forms are erected but prior to concrete placement. D 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 deckl ng. o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. D Water Line - Prior to filling trench. D Rough Plumbing - Prior to cover. {tzj Blocking and Set-Up - When all ~ blocking Is complete. ~Iumblng Connections - When orne has been connected to water and sewer. flectrical Connection - When blocking, set.up, and plumbing Inspections have been approved and the home Is connected to the service panel. D Fence - When completed. ~ Final - After all required Inspections are approved and D Street Trees - When all requirea ., porches, skirting, decks, and trees are planted. . venting have been installed.. o r:=raming - Prior to cover. D Wail/Ceiling Insulation - Prior to cover. o Drywall - Prior to taping. o Wo~d.'Stove - After Installation. o Insert - After fireplace approval and Installation of unit. \ o Curbcut & Approach - After forms are erected but prior to placement of concrete. D Sidewalk & Driveway - After excavation Is complete, forms and sub.base material in place. o Final Plumbing - When all plumbing work is complete. D Final ElectrlcalL~ ~~ben all electrical work is 'C3omp.lete. o Final Mechanical - When all mechanical work is complete, o Final Building - When all required inspections have been approved and bu"i1dlng is completed. o Other MOBILE HOME INSPECTIONS ...,0' Lot Type. Setbacks Interior P.L. HSE GAR ACC I Corner N I Panhandle S I Cul-de-sac W I IE I r' Lot faces Lot sq. ftg. Lot coverage Topography Total he; ght BUILDING PERMIT ITEM sa. FT. x $/SO. FT. VALUE Main Garage Carport Total Val ue Building Permit Fee State Surcharge Total Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM FEE Fixtures Residential Bath(s) N' Sanitary Sewer FT Water FT. Storm Sewer FT. Mobile Home lZ'j,UU Plumbing Permit /'6.C:O ( t:S 15.'JS State Surcharge Total Charge (C) MECHANICAL PERMIT Fu rnace Exhaust Hood Vent Fan N' Wood Stovellnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge . \ , Total Permit (D) MISCELLANEOUS PERMITS {$s~~ 1.~.rGC::; Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT OUE (excluding electrical) (A, B, C, D, and E Combined) ..., . ,,- or . THE PROPOSED WORK IN THE' 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 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' Date Paid: Receipt Number' Received By: Plans Reviewed By Date Systems Development Charge Is due on all undeveloped prC?perties within the City limitstwhich are being improved. ADDITIONAL COMMENTS By signature, I state 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 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 structure without permission of the Building Safety Division. I further certify that only contractors and employees who a.re 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 t of plans will remain :;,::iii lfOit; 0' '"""" ~ Date VALIDATION: N \ I RECEIPT NUMBER r\A )<t\ '\ . A~-q lu AMOUNT RECEIVED ::il ~ 'I C3'\~ DATE PAir> RECEIVED BY .............. '....' , .. - . ?~ I q:. ~I . \~ \ '::::1- ----- ~ , 0' ----- ~~ ~ --- - IO( 9 f! 4\RI ~ "(' '0' C? 0J~' ~----------- , , A' ---. :\ '., .~