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HomeMy WebLinkAboutPermit Electrical 1992-5-8 SPIIIN(;.FIELD e fOI/OWln . ~ 7.0ning. ~nd~pr~Jeet,l~ dllllll1ltiild Ii ~ 225 FIITH STREET apP,<>val. 080 not req~liV ~peCmtig~_~AL P'ERHIT APPLICATION SPRINGFIELD, OREGON 97477 lon'ng Lnf2... If I r\I{AIl 'I INSPECTION REQUEST: 726-3~1t ~/"'I - , _ City Job Number '-'\ l .J,' N-J OFFICE: 726-3759 ~ '7::> _ AuUtO<iled Sigmllllre 1. L(3Tgt)'p~rm~(D \ O~ A. \ E{GO~~~ ()8\{yJ t ~B~~~)~ ' Permits are non-transfera~ 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 Heritaae E1 ect Address 855 West 24th Avenue City EUQene Phone 344-1500 SuperYisor License Number 9455 Expiration Date 10/1/ New Resl e 'al-Single or Multi-Family per dwelling Service Included: Items 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 unit. Cost Sum $ 85.00 A $ 15.00 $ 40.00 -Zb $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Constr Contr. Number 63137 C. Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date 12/27/ Signature of. Supervising Electrician /?ddv [(). ~ qrs-5 Owners ~~~etAO~~'~~ D. AddressJ Iq ~lJJ J\ n~ City [JU1.Ul.L Phone (o~(ofrB.q OVNER IN~TALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~~~~: --=-~---~~r~~ :~~~~---- RECEIn If: r ....... RECEIVED BY: r ~ 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Oyer 600 amps or 1000 volts Branch Circuits $ 40.00 $ 55.00 $ 80.00 see liB" above 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 Addi t ional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35.00 $ 2.00 not included) $ $ $ $ (;;[) .CD ~J~~ 40.00 40.00 20.00 36.00 . ",...."'" R~SIDENTIAL PERMIT APPLICATION . Inspections: 726.3769 Oil ice: 726.3759 SPRINGFIELD LOCATION OF PROPOSED WORK: N/A 630 \1 C)~~(.i() \:~ BLOCK' .3_ ASSESSORS MAP' ,-/(0 LOT' OWNER: ADDRESS' CITY' Lochaven Partners 1199 N. Terry St. Eugene DESCRIBE WORK' Mobile Home set UP NEW x REMODEL ADDITION STAT'" OR JOB NUMBER q \ Ol4-l 225 Fifth Street Springfield, Oregon 97477 r::./~IVLJ Ort~f7 ' N/A O~Ci) TAX LOT' SUBDIVISION' Lochaven PHONE: 688~ (n\c}{9 ... ZIP: 97402 Accessorv Value $ 17'tJ--.. Value $ i~!2Ec;, DEMOLISH .- Concrete stringers - 87922 LaPorte Dr.. Eu~. OTHER M.H. 855 I~. 24th 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 lnsp. o Framing - Prior to cover. o Wail/Calling Insulation - Prior to cover. . o Drywall - Prior to taping. o Wood Stove - After Installation. D Insert - After flreplac'e approval and Installation of unit: o Curbcut & Approach - After forms are erected but prior to placement of concrete. ~dewalk &.Orlveway - After excavation Is complete. forms .and sub-base material In place. o Fence - When completed. o Straet Trees""; When all required' trees are planted. ... CON ST. CONTRACTOR'S NAME ADDRESS CONTRACTOR' GENERAl' Ernie & Son I s 87922 LaPorte Dr.. Eug. 41497 PLUMBING: Harrison Construction 1441 N. Hwv. 99 20-236PB 20-280C/63137 41/.97 EXPIRES PHONE 2/2/92 484-6505 -I 689-7762 .I 2/2/92 484-6505 344-1500 \ (? ~)\t ') - OFFICE USE - QUAD AREA: LAND USE: l \ ~(") FLOOD PLAIN' . OF BLDGS' . OF UNITS' r ZONING CODE: '\ 1 ) t:..- OCCY GROUP: ~~ CONSTR. TYP'" . OF BDRMS: '~~ -FE. - . OF STORIES: HEAT SOURC~' SECONDARY HEAr. ~ p../ 7'j WATER HEATER' RANGE: SQUARE FOOTAGE: To request an Inspection, you must call 726.3769. This Is a 24 hour recording. All Inspections requested before 7:00 a.m. will b, made the same working day, Inspections requested after 7:00 a.m. will be made the following work day. o Final Plumbing - When all plumbing work Is complate. D Final Electrical - When all electrical work Is complete.' o Final Mechanical - When all mechanical work Is complete. D Final Building - When all required Inspections have been approved and building Is completed. o Other l MECHANICA" Ernie & Son I s ELECTRICAL' Herita2e Electric o Temporary Electric D SlIe Inspection - To be made aHer excavation, but prior to setting forms. o Underslab Plumblng/Electrlcal/ Mechanical - Prior to cover. v--fJ Footing - After trenches are ~ excavated. D Masonry - Steel locallon, bond beams, groullng. D Foundation - After forms are erected but prior to concrete placement. D Underground Plumbing - Prior to IIl11ng trench. o Underlloor Plumbing/Mechanical - Prior to Insulallon or decking. o Post and Beam - Prior to floor Insulation or decking. . o Floor Insulation - Prior to decking. 'R-Y$'anitary Sewer - Prior to IlIIlng ~rench. . ~Ytorm Sewer - Prl'or to tilling {;.trench. !r-.t)waler LIne - Prior to IIlllng P trench. D Rough Plumbing '- Prior to cover. MOBILE HOME INSPECTIONS . . . I locking and Sel.Up - When all ' blocking Is complete. mblng Connections - When home has been connected to water and sewer. ~ctrlc81 Connection - When blocking, set,uPI and plumbing Inspections have been approved and the home Is connected to the sarvlce panel. ~Inal - Aller all requlrad ,Inspecllons are approved and, . porches, skirting, decks, and venting have been Installed. .J .Lot ,faces' ~Type . Lot sq. Itg. Interior I P.L. IN Lot coverage Corner Is Topography Panhanc.Jle Iw Total height Cul,de.sac .. IE oii ,...t ...'.. I . THE PROPOSED WORK IN'1'HE " 'HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be algned and approved by the Hlslorlcal Coordinator prior to permit Issuance. Selbacks HSE GAR ACC BUILDING PERMIT ITEM SO. FT. X $/SO. FT. a .lU\LUE _ )~,~95 Main Garage Carport I,' I' APPROVED' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the express condill construction shall, In all respects, con for adopted by the' City of Sprlngfl ,Including the Development Code, regulat the c structlon anc.J use of buildings, and may be susp de or revoked at any time upon violation of any provlsl of salc.J orc.Jlnancos. Plan Check Fee: Date Paid: ,~ Tolal Value Recelpl Number'/ Building Permit Fee d Recel7 State Surcharge Total Fee (A) PI..... Reviewed By Dale SYSTEMS DEVELOPMENT CHARGE (Sj)C) (B) ,q rlSj)2-. PLUMBING PERMIT ITEM , FEE Fixtures Residential Bath(s) N' Sanitary Sewer FT. ):):') as 8Q Water FT. FT. Storm Sewer Mobile Home Plumbing Permit ~~ c;u ,~.'lS f)~. 15 State Surcharge Tolal Charge (C) MECHANICAL PERMIT Furnace Exhaur.l Hood Vent Fan N' Wood Stovellnsert/Flreplace Unit Dryer Venl Mechanical Pel'",lt Issuance Stale Surcharge Total Permit o ,~ J~..~~ (D) MISCEl.LANEOUS PERMITS Mobile Home State Issuance State Surcharge Sldewalt ~ It \L{ -IT..) Curbcut It Demolition State Surch;:orge Total Mlscel.anecus Permits (E) TOTAL AMOUNT OUE (excluding electrical) (A, B. C. 0, and E Combined) ~tD Systems Development Charge Is due on all undevelopec.J properties within the City limits which are, being Improved. ADDITIONAL COMMENTS By signature. I state and agree, that I have carefully examined the completed appllcallon and do hereby certify thai all Information hereon Is true and correct, and I further certify that any and all work performed shall be done In accordance wlfh Ihe Ordinances of the City of Springfield. and Ihe Laws of Ihe State of Oregon pertaining 10 Ihe work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safely Division. I further cerllfy that only contractors and employees who are In compliance with OAS 701,055 will be used on this project. I further agree to ensure that all required Inspections Bfe requested at the proper time, that each address Is readable from the sireet, Ihal Ihe permit card Is localed at Ihe Iront of the properly, and the approved set of plans will remain on Ihe slle at all times during construction. Signature ,)J;.A/I~ ~;/.A. d' . dL Dale VALIDATION: Lie:: RECEIPT NUMBER \~~ 0'-0 .... DATE PAin h ID.Y& " .PH.~ ~t; AMOUNT RECEIV RECEIVED BY .....-' . .;.. ... . DEVELOPMENT SERVICES PUBUC WORKS METROPOLrrAN WASTEWATER MANAGEMENT 225 FIFTH STREET SPRINGFIELD, OR 97477 (503) 726,3753 MANUFACTURED HOME SET-UP AGREEMENT As required by the City of Springfield that vith the approval of the attached manufactured homes viII be placed at Springfield, Oregon, City Job Number Ii Development Code, I understand and permit~on~f t e fo~oying ,I::)?> .6 tJ .\ OJ\. ') L\ \ . agree Class A Manufactured Home. A manufactured home of not less than 24 feet in vidth and 16% (not less than 2:12) roof pitch, vith exterior dimensions enclosing a space of at least 960 square feet, vith roofing and siding materials that are commonly used or compatible vi,th si te built homes. / o Class B Manufactured Home. A manufactured home of not less than 12 feet in vidth and 16% roof pitch, vith exterior dimensions enclosing a space of not less than 500 square feet, vith roofing and siding materials that are commonly used or compatible vith site built homes. I further state, by my signature belov, that I have been provided vith the folloving information: - Mobile home blocking - Sanitary sever connection - Vater line connection Electrical connection - Street tree standards - Minimum requirements for permanent steps SiC~(j if fJL!IJY .,s---- to - Q :J... Date