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Home My WebLink AboutPermit Electrical 1992-1-28 S"'IINGt:I~LD .,,...~,If'J\9.'::"" ~ ,.""'" .i ..~-; .......:l:'r,..\'!:i.I....~~.....t. ~ 225 FIITH STREET ..,4~..~::~~,,:<\1:~/ ELECTRICAL PERHIT APPLICATION SPRINGFIELD, OREGON 97477. .~~-:<..~~~~~;:-,:.;".:;\\ _ q I ...., I INSPECTION REQUEST: 726-3)},,9:::<_'~",d"~" .;~ City Job Number n If') OFFICE: 726-3759 ,,:,. .... ('nMPLIn'~ 1. LOC.ATIO OF NT T ~~;,:"" ;:'::;:~~~:, . ~. ._E 'SCHEDULE BELOI/ ,~'\ ~ ,-.!)0 m~ &Lo~t\J'k'_~':'~New Residential-Single or - . ...co",;>' ,"- Multi-Family per dwelling uni t. l-1m~01.~N nf~/)'O'O Service Included: Items JqB\ DESl1!UPTION \ ^' ^ ~m 'N '-.JLn) ~ r.( AJ\... Permits are non-transfela~le and expire if work is not started wf{hin 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 Euaene Phone 344-1500 Supervisor License Number 9455 Expiration Date 10/1/ Cj tL.--- 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 Cost Sum $ 85.00 $ 15.00 $ 40.00 '60 $ 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/q'J./ Signature of Supervising Electrician ~ U). ~ 1<f5--S v.. Owners Name Address City Phone mINER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ------------7j~ ---~-------------- DATE:--1-(.A:-/-1? , ~ RECEIPT t: n :~\.O \\ I RECEIVED BY: ~_, 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 "B" 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 Circui t Each Additional Circuit or with Service or Feeder Permi t E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 ~.~ 'K L.\. CI....J . .. . RESIDEN~IAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 SPRINGFIELD ASSESSORS MAP' LOT: N/A <-L9 TAX LOT: --1!/ A SUBDIVISION' Lochaven OWNER' ADDRESS: CITY: Lochaven Partners 1199 N. Terry St. Eugene DESCRIBE WORK' Mobile Home set un NEW x REMODEL ADDITION BLOCK' JOB NUMBER QI()101 225 Fifth Street Springfield, Oregon 97477 c:./f'lUL/ Qrj~{J D57fX) PHON'" 688-9123 STATE: OR ZIP' 97402 .- Concrete strinl!ers - Accessory Value $l7qo- } DEMOLISH OTHER M.H. Value $ 1ll;J -~ CON ST. CONTRACTOR'S NAME ADDRESS CONTRACTOR' GENERA' . Ernie & Son's 87922 LaPorte Dr.. EUI!. 41497 PLUMBING' Harrison Construction 1441 N. Hwv. 99 20-236PB MECHANICA" Ernie & Son's ELECTRICAl' Herital!e Electric QUAD AREA: \ Q t\')llj ! \L-~ . OF BlDGS' OCCY GROUP: . OF STORIES: \ ./ WATER HEATER: -f, 87922 LaPorte Dr.. EUI!. 41l.97 EXPIRES 'PHONE 2/2/92 484-6505 689-7762 - 2/2/92 484-6505 .I 344-1500 855 \~. 24th 20-280C/6J117 - OFFICE USE - LAND USE: \' Fa ' . OF UNITS' \ ' CONSTR. TYP'" t=C(-'_ 4./' FLOOD PLAIN:-.--r ZONING CODE: \ A. )V-- -?., . OF BDRMS' SECONDARY HEAr. SQUARE FOOTAGE: ~ I HEAT SOURCE: RANGE: To request an Inspection, you must call 726-3769. This Is a 24 hour recording. AlIlnspectlons requested before 7:00 a,m. will bl made the same working day, Inspecllons requested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS D Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. Footing - After trenches are excavated. D Masonry - Steel location, bond beams, grouting. D Foundallon - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. D Underlloor Plumbing/Mechanical - Prior to Insulation or decking. D Post and Beam - Prior to floor Insulation or decking. . D Floor Insulation - Prior to decking. rrII Sanitary Sewer - Prior to filling Lf-1 trench. o trfltorm Sewer _ Prl'or to filling ~trench. ~ Water llna - Prior to filling ~ trench. D Rough Plu'mbll)gr-_ Prior to cover. D 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 Insp. D Framing - Prior to cover. D Wail/Ceiling Insulation - Prior to cover. D Drywall - Prior to taping. o Wood Stove - After Installation. D Insert - After fireplace approval and Installation of unit: D Curbcut & Approach - After forms are erected but prior to placement of concrete. ~Sldewalk &'Drlveway - After excavation Is complete, forms ,and sub.base material In place. , D Fence - When completed. D Street Trees"; When all required' trees Bre planted. D Final Plumbing - When all plumbing work Is complete. D Final Electrical - When all electrical work Is complete.' o Final Mechenlcal - When all mechanical work Is complete. o Flnel Building - When all , required inspections have been approved and building Is completed. DOther -I MOBILE HOME INSPECTIONS 'If1'i)BloCkln9 end 'Set.up - When all ~ blocking is complete. fPIUmblng Connections - When home has been connected to water and sewer. . r(fE18ctr1CBI Connection - When blocking, set.up, and plumbing Inspections have been approved end the home Is connected to the service panel. final - After all required Inspectlona ere approved and 'porches, skirting, decks: and venting heve been Installed. Lot faces '" LOI sq. fig. Lol coverage Topography Tolal helghl BUILDING PERMIT ITEM SO. FT. Main Garage Carporl Tolal Value Building Permll Fea State Surcharge Total Fee Lol Typ" Selbacks Interior I P.L. HSE GAR ACC Corner N Panhandle S Iw Cul.de.sac IE X SISO. FT. a ,\UlLUE.- , c9t")lnJ (A) ] SYSTEMS DEVELOPMENT CHARGE iS~c).. ~ (B) .4L Rlo5 PLUMBING PERMIT ITEM Flxlures Resldenllal Balh(s) Sanitary Sewer Water Storm Sewer Mobile Homa Plumbing Permll State Surcharge Total Charge MECHANICAL PERMIT Furnace Exhaur.t Hood Vent Fan FEE N' FT. FT. Q):S ~t:::) ,Q~S FT. (C) f")C; <:Q ---, - ~f)S f)~.f)S N' Wood StovellnsertlFlreplace Unll Dryor Vent Mechanical Per:nll Issuance State Surcharge Tolal Permit (D) (7) Mobile Home MISCEL.LANEOUS PERMITS . ... Slate Issuance Stale Surcharge Sldewal ( .lcf..) _ fI Curbcut II Demollllon State SurchC'rge ~.8:S 1~.'lS 5~:S \C\.fi) Total Mlscaloanac'us Parmlls (E) llt\lfa3 TOTAL AMOUNT VUE (axcludlng eleclrlcal) (A, B, C. 0, and E Comblnad) ., .S THE PROPOSED 'NORK 'N THE 'HISTORICAL DISTRICT. OR ON THE HISTORICAL REGISTER? If yes, this appllcallon must be signed and approved by the Historical Coordinator prior to permit Issuance. . APPROVE('\' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the express condition thai the said construction shall, In all respects, conform to the Ordinance adopted by the Clly of Springfield, Including Ihe Development Code, regulating the construction and use of buildings, and may ba suspanded or ravoked at any time upon violation of any provisions of said ordln,"lncos. Plan Check Fee' Date Paid: Recelpl Number' Received By: Plans Reviewed By Dale Systems Development Charge Is due on all undeveloped properlles wllhln Iha Clly IImlls which era, being Improvod. ADDITIONAL COMMENTS By signature, I slate and agree, that I have carefully examined the complelad appllcallon and do hereby certify Ihat all Information hereon Is true and correct, and I further certify that any and all work performed shall be done In accordance wllh tha Ordinances of the City of Springfield. and Ihe Laws of Ihe State of Oregon pertaining to the work described herein, and Ihal NO OCCUPANCY will be made of any structure wllhout permission of the Building Safely Division. I further certify th~t only contractors and employees who BrB In compliance with OAS 701.055 will be used on this project. I further agree to ensure that all required Inspections Bre requested at the proper time, that each address Is readable from the sireet, thai the permit card Is located'at Ihe Ironl of the property, and the approved set of plans will remain on the site at all tlf1'les during construction. Signature ~~ 2t~ Date " VALIDATION: 1o\7'\ RECEIPT NUMBER ~ \U I ~~ J Cf e.... J.8 DATE PAIP RECEIVED BY .' ., . . SPRlaELD " DEVELOPMENT SERVICES PUBUC WORKS METROPOUTAN WASTEWATER MANAGEMENT 225 FIFTH STREET SPRINGFIELD, OR 97477 (503) 726-3753 MANUFACTURED. HOME SET-UP AGREEMENT As required by the City of Springfield that with the approval of the attached manufactured homes will be placed at Springfield, Oregon, City Job Number Development Code, I understand and permi t~ ;:Ipe pf tPI! fOI).otng "\ ,I=)I I X ~C{)'tr~ tI () _n J '-1'1 h-;{)! . agree o Class A Manufactured Home. A manufactured home of not less than 24 feet in width and 16% (not less than 2:12) roof pitch, with exterior dimensions enclosing a space of at least 960 square feet, with roofing and siding materials that are commonly used or compatible with site bull t homes. , o Class B Manufactured Home. A manufactured home of not less than 12 feet in width and 16% roof pitch, with exterior dimensions enclosing a space of not less than 500 square feet, with roofing and siding materials that are commonly used or compatible with site built homes. I further state, by my signature below, that I have been provided with the following information: - Mobile home blocking - Sanitary sewer connection - Yater line connection - Electrical connection - Street tree standards - Minimum requirements for permanent steps j-.) t-9 ')...; Date