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