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Home My WebLink AboutPermit Electrical 1992-8-13 Tho. following prOJOC[jUbmltted he =~~,~~n{~t does no oq iro spa i . ,1lZ~ . _ Ci ty Job Number DatErJ, 0. j. OOMPLETE FEE SCHEDULE BELOV LOCATION OF INSTALLATION Alllhoizod Signatur.J\ 1 s'/ ~ 5'~..TT5 G./c..-v.V A. Nev Residential-single or Multi-Family per dve11ing unit. Service Included: 225 FIITH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LEGAL DESCRIPTION n O~"~/I~ ~(')c:::c;,OO JOB DESCRIPTION H~T f>v-. P Permits are non-transferable and:expire if york is not started vithin 180 days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor j)I'l-Tr-.'0. l<.'S ;;(...,r Address /0 {, ~ '-" "L""j Ci ty C~V-~ Phone bg'7-210K Superyisor License Number ;)..<;-n 5 Expiration Date I()~I - C; ~ Constr Contr. Number 3b377 Expiration Date <(. Signat ? Owners Name Address c:..4, Go ,P Y1lf) City ~- ..J ",;,:"",.,y "u' Phone OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. OlolOers Signature: ~~~~~-------~-\~\~~------------------ RECEIPT #: <?'l.!)(" RECEIVED BY: C()o. Cf;:) UJ ( Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder $ 85.00 $ 15.00 $ 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 $ 40.00 $ 55.00 $ 80.00 see "B" above D. Branch Circuits Nev, Alteration or Extension Per Panel One Ci,rcui t I $ 35.00 ss-~ Each Additional Circuit or vith Service or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lightin~ $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL 3r-- / H 3l. .7S RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Ollice: 726.3759 . SPRINGFIELD LOCATION OF pnOPOSED wonK:_.:;:i':t.'2_-5/'"~,,/..;)-6~/9' ASSESSORS MAP: /??t7f--Z ?-J? LOT: BLocr' OWNER_/dl5??~c 6~L~~ ADDRESS: ~_, 5#/?7";:;- . DESCRIBE WORK: 1~<;;r;;??C #~:r ;z?..-/~;;o NEW REMODEl. ADDITION DEMOLISH CITY: CONTRACTOR'S NAME STATI:' ,,~ / ~/'5" OTHER GENERAL: _'__, ___________ ' -,----,-.-,----- ADDRESS CONST. CONTRACTOR # . JOB NUMBER -=72/// / 225 Fifth Street Springfield. Oregon 97477 TAX LOT' /.? ""~C> SUBDIVISION' PHONF' ZIP' &.5/Z>~CC EXPIRES PHONE I'l.UMI3ING:_. p --.-,-------.- -'7it:'7'2~R~TZ:;S;;' MECHANICAL: :7&/-?m--~~Z/ ~ Fb':~ "-:2'2r-:??:;:> B 7"P~ 60w9~ IOl.ECrRICAl.: . _._._______ --" . QUAD AREA: _. _ tI OF BLOGS: __ ____ i OCCY GROUP: _, __ . OF STORIES:_ WATER HEATER' - OFFICE USE - LAND USE: # OF UNITS: _____,________ CONSTR. TYPE: ____ HEAT SOUIlCE: RANGE: <(~1:-'7S.~7 FLOOD PLAIN: ZONING CODE: _.___,_ . OF BDIlMS: SECONDARY HEAT: SQUARE FOOTAGE: To request an inspection, you must call 726-3769, This is <l 24 hour recording. All Inspections requested before 7:00 a.m. will be made the same workInG day, Inspectlons requested after 7:00 a.m. will be made the following work day. o Temporary ElcClrlc D Site Inspection - To be made after excavation, but pllof to selling forms. o Undcrslab Plumbing/ Electrical/ Mechanical - Prior to covcr. I 1 Footing - Aftcr trenches arc cxcavatcd. . . [J Masonry - Slcel location, bond beams. uroulin{]. o Foundation - After forms arc erected bu t prior to concrete placemcnt. 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 dccl<ing. o Floor Insulation - PrIor to decking. o Sanitary Sewer - Prior 10 filling trench. o Storm Sewer - Prior to filling trench. o Waler Line - Prior to llllinu- trench. o Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS Cl Rough Mechanical - Prior to cover. Cl Rough Electrical - Prior to covel. o Eleclrical Service - Must be approved to obtain permanent electrical power. CI Fireplace - Prior to faclnD materials and framing Insp. CI Frmnin{) - Prior to covcr. o Wail/Ceiling Insulation - Prior to cover. o Drywall - Prior Ie;> taping. . o Wood Stove - After Installation. o Insert - After fireplace approval and Installation of unit. o Curbcut & Approach - After forms are erected but prior 10 placemcnt of concrete. o Sidewalk & Driveway - After excavation Is complete, forms and sub-base materIal In place. D Fenco - Wtlen completed. o Streot Trees - When all fCqulred trces are planted. o Final Plumbing - When all plumbing worl< is complet.e. D Final Electrical - When all electrical work is complete. IdI Final Mechanical - When all mechanIcal work Is complete. o Final Building - When all requIred Inspections have 'been approved and building is completed. DOther MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is complete. o Plumbing Connections - When home has been connected to water and sewer. o Electrical Connection - When blocking, set,up, and plumbing Inspections have been approved and the home Is connected to tho service panel. D Final - After all requIred Inspections are approved and porches, skirting, decks, and venting have been Installed. LOI faces LOI sq. Itg. Lot coverage Topography Total height Lot Type .. Interior Corner Panhandle Cul-dc.sac BUILDING PERMIT ITEM SO. FT. X $/SO. FT. Main Garage Carport Total Value Building Parmi t Foe State Surcharge Total Fee (A) I PL. IN Is VALUE (,.. _HE PROPOSED WORK IN THE ~TORICAL DISTRICT. OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior 10 permit issuance. Setbacks 'HSEIGAR'ACcl I I W --- E ---.-.----., APPROVED: SYSTEMS DEVELOPMENT CHARGE (SDe) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary Sewer FT. Water FT. Storm Sower FT. Mobile Home Plumbing Permit State Surcharge Total Charge MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood StoveJlnsert/F;lreplace Unit Dryer Vent -'f~~ M//77? Mechanical Permit Issuance State Surcharge Total Permit (B) (e) /?//y Mobile Home MISCELLANEOUS PERMITS (D) Stelte Issuance Stale Surchargo Sidewalk It Curbcut It Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D. and E Combined) FS: ...-tt> FEE //7- ~ .75 -2:7' '?'S"" BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is wanted 011 tho express condition that tile saieJ construction sllall, in all respects, conform to tlle Ordinance adopted by lhe City of Springfleld, includinfl the Devclopl1wnt Code, re~Julalinu the construction and w~c of buildings, and lTIay be suspended or revoked tit any time upon violation of any proVisions of said ordinances. Plan Check Fee: Dale Paid: Receipt Nurnbcr:_ Received By: Plans Reviewed By Date Systems Develof-lOlcnt Chalgc is due on all undeveloped properties within tllO City limits which are being improved. ADDITIONAL COMMENTS By signature, I state and agree, that I have carefully ex~mined the completed application and do hereby corti fy t1lat 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 tho State of Oregon pertaining to tile work described herein, and that NO OCCUPANCY will .be made. of any structure without permiSSion of the Building Safety Oivir,ion. I furtller certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. Dale VALIDATION: DATE PAID 4;' .&R-S- ~~/'3'-52 ....... ./-.:>~- ?"::> .---~ ~ ,- /// / RECEIPT NUMBER AMOUNT RECEIVEr> RECEIVED [JY