Loading...
HomeMy WebLinkAboutPermit Electrical 1998-10-15 The/Oil ZOning OlVlng Pro/Bet . eppro.~~d doeS not :'eubmlltBd ". .~ulre 8IJec1iJ;" the (~ Zonl r r land Use ....~ Oata-lQ _/:~"--L . ELECTRICAL PERMIT APPLICATION 97477 _. ~~~ ..(f. .~ 1299- 726-1'll~",- . L, \ City Job Number~ . / -v~ure~ ". 3~MPLETE FEE SCHEDULE BELO\l '7' /di:.Gf b 1. LOCHION OF JNSTALLATION;: -. , / b &,,t> ,,^-A-. oJ ."./Let7~. A. New Residential-Single or . Multi-Family per dvelling uni LEGI.L DESCRIPTION. /lr.17\ Service Included: ~P.( I cu. /763 '-IL3J -vu;J2- Items 100tN~rlft;: or less x:PlR&\f TRE8&0P.~ Ea chTl~<Y\~tfl,!Q ffa9.H~1*l E sq. .ft ,ox. ffl58NoER THIS PERMIT IS NOT the,t.',oI6It\UHI t: "">.JE8 Ftl'fl 00 Each d'l.y,,r;>;\J~:I!a:,El!b'in~ I~ f.;)f.tlc. -. Modular D1J.el1i:q~IOD Serifft"e111J~1JFk~der' . $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders ,~e Installation, Alterations Electrical Contractor...t::< C, f'-r_T72"'_.+KJ c,,~~ocation: OU\D f o.uiles ~ , l\i\i\~ Address .06/j'-P J..q9"l."" 200 amp.s or. less fI\a:."'le ~le<1>fI:ml:r. 201 amps to()~~!lr.l~ ,,\1"'- s\9;el)i5l \- Ci ty 2-v.-r--- Phone t,dG. -(,;J- 3-' 401 ai\1l~\I!6 ~se lJ.C O~~" u'/ .'V 601 all! ':I:'tro\ flIaim \l;I10U9"~. e Supervi.',nr License Number .31{.." '7 ') Over ,'cle.WJllP ;-\cQ.Cl: . ~"oie" o~~ ," Reco~ ~~ 0 ~ ou\e.i~~~IS~\iQ'O\O Expirat:on Date /6-( -Of iflO 'ioul1'a: efl\el.~\\\\\'l' 44). c. TempomQ';I,~\~M~'(,~(9re~'(f-S~'3 Constr Contr. Number 76~6'r Instal1a\;'fo\301'All'fefiSCli%9l or Relocation fI\ll1' cefl\B 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts see "B" above ~I" 225 FIFT3 STREET SPRINGFl ELD, OREGON INSPECTIJN REQUEST: OFFICE: 726-3759 JOB OESCRIPTION G I'l-S f e-Jz"" 1'1-(. > Permits are non-transferable and expire if work is not started within 180 days of issuLnce or if work is suspended for 180 day:'. Expiration Date /-;;"-3& -~.v Signa ture of Supervising Elec trician f~v-.~JL- Owners ~ ame ~ . I-L~ T / l/€'" Address fC,t..p /" A ,,,./ CitY5r7-~.I OWER INSTALLATION s;-- Phonel?" -17hO The installation is being made on propert, I own which is not intended for salE, lease or ren t. O;mers ~; igna ture: . DATE~~'-~-f-t}~I'~~------------- RECEIPT rtftj-1J1I1J. RECEIVEll BY: . 7-'YJ1~ D. Branch Circuits Cost Sum $ 40.00 $ 55.00 $ 80.00 New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or 1Jith Service or Feeder Permit ? E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 s5 ()O 1-00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 .31.Qu /~' 1, '..l,y. ~ . RESIDENTIAL PERMIT APPLICATION Inspections: 726.376U Ollice: 726.3759 -. SPRINCFIELP LOCATION OF PROPOSED WORI(: ASSESSORS MAP: -1-/7 ~-~~ ~?;.7 OWNER: JJara/ -RilLl::h + T ADDRESS' '!lPlo<;? mtUll ~} CITY: ~ [) r, rl (lLt" I A -;~ vLlWfwJ ,11JJf) 8UJ..fJJ1LL REMODEL 1. /' ADDITION LOT' DESCRIBE WORI<: NEW CONTRACTOR'S NAME BLOCI<: ~.~ 'i' . JOB NUMElEIl ~/~~ 225 Filttl Street Sprlnglleld, Or"gon 97477 TAX LOT: ~~~:ilt.... lvP-v I STATE: ---.12(( DEMOLISH OTHEIl SUBDIVISION' PHONE: _ '7J.f1-~ ZIP: -91W ADDRESS CON ST. CONTRACTOR' PHONE EXPIIlES GENERAl' PLUMBING: MECHANICAL~r-l:,J3IDN 1~.Bf:LD__ tJ)%D Q'r'- - OFFICE USE - 1C. 'l'I i\ ~'\'(/ ,\\0 LAND USE: _\QyJ # \'0 FLOOD PLAIN' . OF ~1'S: \!>\..\. ~"1-~\:'C;?€ ...l\ ~O\'- t\'<,\V'" ~ '0" <;;.\'- \. O~",. ZONING CODE:__ ~~ST0:-~VPE: ,\~'i) ~'ll>.,\\\l . OF BDRMS: "'-'A\'O ~,1~\) '" a \'0 r'" HEY\T S(}!\f\C-E:~' ~ ~ \"~ 't\v~'" <;>.\' ,. RAlc,I;"f~~\ .-J?Y_ (jUP ...0." \ ,"" ,,~, ' , To request an Inspection, you must call 726.3769. ThIs Is n 24 hour recording. All Ins peel Ions rcqllCSlcd before 7:00 :un. will be made the same worl<lng day, Inspections requested otter 7:00 a.m. will be made the following worl< day. ELECTRICAL' QUAD AREA: . OF BLDGS: OCCY GROUP: . OF STORIES: ____ WATER HEATER: D Tcmpornry Elcclric o Sito Inspection - To Dc made afler excaviltlon, but prior 10 .5cttlng 10(11\5. D Underslnb Plumbing I Electricnll Mechnnlcnl - Prior to cover. D Footing - After trenches arc excavated. D Masonry - Steel location, bond beams, groullnQ. D Foundotlon - Afler (arms arc erected but prIor to concrete placement. o Underground Plumbing - PrIor to fillIng trench. D Underfloor PlumbInol Mechnnical - Prlor to Insulation or decldnG. o Post nnd Ocnm - PrIor to floor Insulation or decldng. o Floor Insulation - Prior \0 deckIng. o SDnilnry Sewer - Prior to filling troncll. D Storm Sewer - Prior 10 filling trench. D WDter Line - PrIor 10 filling \rench. o Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS IZl Rough Mechanicnl - Prior \0 )' ~~# ~ o Rough Elcclr~cnl -~PJ:ior to cover. . o Electric,lI Service - MllSI be approvecl \0 obtilln penrlanCnl electrical power. o Fireplace - Prlor 10 facIng malerlals and framing Insp. D Frnmlng - Prior 10. cover., o WnII/C'cllinG lnsulntio'l; - PrIor to cover. . , . D Drywall - PrIor 'to laplng., . o Wood Stove - After Install:ltion. D Insert - Aftcr fireplace approvlll and Installation of unit. D Curbcut & Appro:lcll - Aller forms arc erected bul prior 10 placement 01 concrele!. o Sidewalk & Drivew:l\, - After' excaviltion is complete, forl1l~ ancl sut).b.1se m~tC.'riill In pli1CC. D Fence - WIlen completed. D Stroot Trec~ - Wilen all requIred trees arc planted. lo.a7"qQ 07 h-/)J!1J _.1 SECONDArtY HEAr: ___m SQUAIlE FOOTAGE: '''_'...,_. D Fin;ll Plumbing - When all plumbing worle is comp1et.c. o r-innl EICCI~cnl - Vv'hcn all clcclrlcal worle Is complete. r rn Fill..l Mechilllicill - When all y /YJ;C W~;;33"':'C'C' D Final Uuilding - When all rCQuired inspections havc been approved and ,building is cornP.LC1vd. .~ .~ rv1 Other d.A'-"l' ~"""'V/C~ l.,..d...J -/,,,,,. ,.. r - r MOBILE HOME INSPECTIONS {~ Olocldrlg nnd Sel-Up - WIlcn .1l1 blocl<lnu is complete. o PIllmbill9 COllllections - When home lln:; been connected to Willer nntl sewc:r. o Elcctricill Connection - When bloc:1dnU. SOl-Up. and plllrnbing In!.pcclion:.; h.-we been npprovcd illld IlIe homc is connectcd 10 tile Gcrvlcc panel. D Finnl - After all required Inspections arc approved nnd porches, slelrllng, decks, ~nd venting have been Installed. Lot races Lot Type . . THE PF10POSED WOF1I< iN HiE, HISTOF1ICAL DISTRICT, OR ON THE HISTORICAL REGISTER? 11 yes, this a.pplication must be signed ol1d opproved by the Hlstorlcol Coordinator prior to pcrmil issuance. Lot sq, ftg, Inlorior' SClt)ilClc; . I P,L. HSE GAR ACC Topogrophy Panhandle S .!:!.._---- Lol coverage Corner W ---... --- ---- Total height Cul.(Jc'~nc ,-.5..... BUILDING PERMIT ITEM SO, FT, X X/SO. FT. VALUE Main Gilragc " Carport Totol Volue Elullding Parmi I Fcc Stale Surcharge To1al Fcc (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM FEE Fixlures Resldentiol Balll(") N' SanItary S~wcr F'l: ----.-- Water. FT, Storm Sewer FT, Mobile Home Plumbing Permit State Surch~Hoe TOlal Charge (C) MECHANICAL PERMIT Furnace /I? Exhaust Hood ,h.- Vent Fan N' Wood Siove/lnsertl FIreplace 'Unit Dryer Vent /~ -;9?7~ ? _ C>'t? , /~~ , - /d?' ~-' ,~ ~,-~ Mechanic.l1 Penni I Issuance Slate SurclHH(Jc Total Permit (D) MISCELLANEOUS PERMITS Mobile Horne Slate Issuance Stale Surchafge Sldewolk It Curbcul It Demolition Slale Surcharge TOlol Mlscelloneous Permits IE) TOTAL AMDUNT DUE (exclu(/Ing electric"l) (A, 8, C, 0, and E Combined) APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is gronlcd on the express condition that the said construction Shall, in all respects, conform to 1110 Ordinance odopled by the City 01 Springlield, Including the Developmcnt Code, regUlating the construction and use o( buildings, and m,1Y be suspended or revoked 0.1 any ttrn~ upon violation of Llny provisions of said ordtnnnces. Plan Check Fcc: _ Date Paid: Receipl Nwnbcr. Rcceived By: Plans Aevi'cwed ..0-;;-.-------- Date Systems Development Chargc Is duc' on all undeveloped propertie3 withIn the City limits Wl1icll arc being Improved. ADDITIONAL COMMENTS , ( By signature, 13talc and agree, that I h~vc carc(ully examined thc completed application 3nd do hereby certHy \h3t .:lll Informat/on hercon i$ true and o:orrcct, and I further certHy thnt any and all work performed sho.lI be done in accordance with the Ordinance:.; of the Cily of Springfield, and the Laws of the Slale or Oregon pcrlainlng to the worl< described herein, and lhat NO OCCUPAbJCY wilt be made of any structure without perrT~issioll of the Building Safety Oivisior:-a. I furlllar certify 1I1al only contractors and employees who are in compliancc'willl ORS 701.055 will be used on this project. t i I furttler agree to ensure thaI all required inspections arc requesled Llt the proper time, 111al each address Is readable (rom t11C street, t 10 perml! Cord Is localed al the fronl of the propert ,o1nd he .1pprovcd sel of plans will remain on tile site all' cs d ring n trucUon. C VAliDATION: I RECEIPT NUMBH1_~_?.:;.c. DATE PAID /P?,,$". qs:l: ::<6, <.- FtECEIVED OY --- r::i.4~ AMOUNT RECEIVED