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Home My WebLink AboutPermit Electrical 1992-6-24 S.t'IINGt:It:.LO , the fOllowIng , . ~ 225 FIITH STREET zoning, 6I1d dg;~J~ as submitted h.. ~~CAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 approval. no requlrespecmcla~du.eowng q \ m f\n INSPECTION REQUEST: 726-3769 Zoning LQR Ci ty Job Number \ K'\ OFFICE: 726-3759 "-to 1-6 '-" v o.p L/ J:p. 3. COMPLETE FEE SCHEDULE BELOV 1. LJSl\0~~IJ!P11tr~~i~19~. LEGAL DE~PTION r-.J \-'()21~'l\~r\C r no JOIl pESoq:PTION ~J1 ~ roM ,...'lQ X1 ) . 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 Heritaqe Elect Address 855 West 24th Avenue City Euqene Phone 344-1500 Supervisor License Number 9455 Expiration Date 10/1/ Constr Contr. Number 63137 Expiration Date 12/27/ Signature of Supervising Electrician ~v u/ ~ 9i~-s Owners Name Address City Phone OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------- DATE: b-~~-'2<.. .., 2. "52!: ~~~- nr.\'r..~rl If: RECEIVED BY: ~~y R~idential-Single or Multi-Family per dwelling uni t. Service Included: Items Cost Sum 1000 sq.ft. or less. $ 85.00 Each additional 500 sq. ft or port ion thereof $ 15.00 Each Manuf'd Home or Modular Dwelling A RO Service or Feeder $ 40.00 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 $ 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 Circuits $ 40.00 $ 55.00 $ 80.00 see "Bu above New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 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 rof:lO 5% State Surcharge 4,QU TOTAL ~ .IT ) RESIDENTIAL PERMIT APPLICATION .. Inspe,tions: 726,3769 Ollice: 726.3759 LOCATION OF PROPOSED WORK: \. ~ ~ ASSESSORS MAP: \"1 D"A-::J '1T~ ~ . LOT: BLOCK: ,tjbl1S '1uJ~' ~.IJ.V J )n pfl.L..- 1\ DESCRIBE Wo~/t,cb'('rrJll U. , CITY: NEW REMODEL ADDITION DEMOLISH OTHER !B NUMBERSJj()70~j 225 Fifth Street Springfield, Oregon 97477 I ~~-tJ~ffiU SUBDIVISION' ( o(.,€- wloq0f ZIP: -.f1J4CYL-- CON ST. CONTRACTOR' CONTRACTorrs NAME () ADDRESS ~~~:::^' -",,\-i):7=- ELECTRICAL' \ EXPIRES PHONE - OFFICE USE - QUAD AREA' LAND USE: FLOOD PLAIN' . OF SLOGS' . OF UNITS' ZONING CODE:_ OCCY GROUP: CONSTR. TYPE: . OF BDRMS' . OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER' RANGE: SQUARE FOOTAGE: To request an inspectlon, you must call 726.3769. This Is a 24 hour recording. All Inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS o Temporary Electric D Silo Inspection - To be made afler excavation, but prior 10 selling forms. o Underslab Plumbing/Electrical! Mechanical - Prior to cover. o Fooling - After trenches are excavated. o Masonry - Steel location, bond beams. grouting. o Foundation - After forms are erected IJut prior to concrete placement. 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 filling trencll. o Storm Sewer - Prior to filling trench. o Water Line - Prior to filling trench. o Rough Plumbing - Prior, to cover. o Rough Mechanical - Prior to cover. o Rough Electrical - Prior 10 cover. o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and lramlng Insp. o Framing - Prior to cover. o Wall/Ceiling Insulation - Prior to cover. ' o Drywall - Prior 10 taping. o Wood Stove - Aft~r Installation. o Insert - After fireplace approval and Installation of unit. o CurbcuI & Approach - After forms are erected but prior to placement of concrete. o Sidewalk & Driveway - After excavation Is complete, forms and sub.base material in place. o Fence - When completed. o Street Trees - Wh~n all required trees are planted. o Final Plumbing - When all plumbing worl( is complete. o Final Electrical - When all electrical worl( is complete. o Final Mechanical - When all mechanical work Is complete. o Final Building - When all required Inspections tlave been approved and building is completed. DOthcr MOBILE HOME INSPECTIONS o Blocking and Sel.Up - When all blocking is complete. o Plumbing Connections - When home has been connected to waler and sewer. o Electrical Connection - Wilen blocking, set-up. and plumbing inspections tmvo been apPl'OvceJ and tile homo is connected to the service panel. o Final - After all required inspections arc approved and porches, skirting, decks, and venting have been installed. Lot faces Lol Type. Interior LOI SQ. fig. Lot coverage Corner Topography Tolal height Panhandle CuI-de-sac BUILDING PERMIT ITEM SO. FT. .X $/50, FT. Main Garage Carport Total Value Bullding Permit Fee State Surcharge Tolal Fee (A) .5 THE PROPOSED WORK IN THE HISTORICAL DISTRICT. OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Hislorlcal Coordinator prior to permit issuance. Setbacks P.L HSE GAR' ACC I S N -~--- YY-___ .E VALUE I ()P<6LP SYSTEMS DEVELOPMENT CHARGi=JSDC) (B) JbJ . 'L~ PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Tolal Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood StoveJlnsertlFireplace Unit Dryer Venl Mecllanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance Stale Surchargo Sidewalk II Curbcut II Demolition Slatu Surcharflc Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B. C. D. and E Combined) FEE ,1f1 /. 2.::1 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 ttle Ordinance adopted by the Clly 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 properties within the City limits whictl are being improved. ADDITIONAL COMMENTS By signature, I state and agree, that I have carefully examined the completed application and do hereby certify Ihat all information hereon is true and correct, and I furlher certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield. and the Lilws of the Stale of Orc~Jon perl:1ining to the WOII{ described herein, and that NO OCCUPANCY will be made of any structure witho~t permission of the Building Safety Division. I furlher 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 localed at the front of the property, and the approved set of plans will remain on the site at all times during construction. Signature Dale VALIDATION: ~) ::;:I::t~UMPf ~(Q'-.9 ~ __ AMOUNT R~EI Dl -I ~ \ .70 RECEIVED '( l)(l) . . ~