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Home My WebLink AboutPermit Electrical 1991-11-5 l ~ 225 FIITH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCAPiqtt OF L ~S'I;t\LLATI~\ FlY. ( ) ,,' X 'f)tr~ b () 1'\ ') \-f~~~~~~ONf\tQ~tO JOB DE~CRIJ.:l'ION ~ ^ 'N\~ !""C~)~ J\/ Permits are non-transfer Ie and expire if work is not started w thin 180 days of issuance or if work is suspended for '180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Heritaae Elect Address 855 West 24th Avenue City Euoene Phone 344-1500 Supervisor License Number 9455 Expiration Date 10/1/ Constr Contr. Number 63137 Expiration Date 12127/ Signature of Supervising Electrician ,~/AJ. ~ 9cf5-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: :~~n i: U ~~~:}~~~if;~--- RECEIVED BY: ('''-fjf.l f( J\. SPIIINCFIELD City Job Number 3. COHPLETE FEE SCHEDULE BELOV A. New Residential-Single or Hulti-Family per dwelling uni t. Service Included: Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular Dwelling ~ ?D 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 S 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above D. Branch Circuits New, Alteration or Extension Per Panel One Circuit Each Addi tional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 40.00 40.00 20.00 36.00 not included) 5. $ $ $ $ M,ca 't.()() 'r)~ nO SUBTOTAL OF ABOVE 5% State Surcharge TOTAL - RESIDEt-..ITIAL . P E'"RM IT' APPLICATION Inspeclions: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK: N/A S-O ASSESSORS MAP' LOl' OWNEP' Lochaven Partners ADORE'"'' 1199 N. Terry St. CITY' Eugene DESCRIBE WORK: Mobile Home set un NEW x REMODEL ADDITION SPRINGFIELD BLOCK' STAn'" OR JOB NUMBER q I ()l04 , --I I 225 Fifth Slreel Springfield. Oregon 97477 ~/ l' IUU , DLwf " N/A -hiz:..,X:'d) TAX LOT: SUBDIVISION' Lochaven , PHONF' 688-9123 ZIP: 97402 .' ~ I .- Concrete strin~ers - Accessory Value $I~O i DEMOLISH' OTHER M.H. Value $ "Ht~\;.qt?mi CON ST. CONTRACTOR'S NAME ADDRESS CONTRACTOR' GENERAl' Ernie & Son I s 87922 LaPorte Dr.. Eu~. 41497 PLUMBING: Harrison Construction 1441 N. Hwv. 99 20-236PB MECHANICA" Ernie & Son I s 87922 LaPorte Dr.. Eu~. 411.97 ELECTRICAl' Herita~e Electric 855 IL 24th 20-280C/63137 QUAD AREA: \Rf\)t ll) ~~ . OF STORIES: \ WATER HEATER: -CC .J . OF BLDGS: OCCY GROUP' - OFFICE USE - \\~() \ LAND USE: . OF UNITS' CONSTR. TYPE: HEAT SOURCE: t=:9 " RANGF' V EXPIRES PHONE 2/2/92 484-6505 689-7762 2/2/92 484-6505 -' 344-1500 FLOOD PLAIN' ZONING CODE: (1 ,)\L. . OF BDRMS: 0 SECONDARY HEAl: SQUARE FOOTAGE: To requesl an Inspecllon, you musl call 726.3769. This Is a 24 hour recording. Alllnspecllons requested before 7:00 a.m. will b made the same working day, Inspecllons requested after 7:00 a.m. will be made Ihe following work day. REQUIRED INSPECTIONS D Temporary Electric D Site Inspection - To be made after excavation, but prior to settIng forms. ~ Underslab Plumbln~ectrlc~ ( Mechanical - prl;PtS'~""";;,, ~ootlng - After trenches are excavated. , Masonry - Steel location, bond beams, grouting. D Foundation - After forms are erected but prior to concrete placement. D Underground Plumbing - Prior 10 filling trench. D Underfloor Plumbing/Mechanical - Prior to Insulation or decking. D Post and Boam - Prior to floor Insulation or decking. " D Floor Insulation - Prior to decking. rtz!}sanltary Sewer - Prior to filling ,_ trench. " ~ Storm Sewer - Prl"or to filling \ trench. . ~Water Line....: Prior to filling r trench. . D Rough Plumbln,g - Prior to cover. D Rough Mechanical - Prior to cover. D Rough Electrical - Prior 10 cover. o Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. D FramIng - Prior to cover. D Wail/Ceiling Insulallon - Prior io cover. D Drywall - Prior to laplng. D Wood Stove - Afler Ins lallation. D Insert - After fl.replace approval and Installation of unit: D Curbcut & Approach - After forms Bre erected but prior to placement of concrete. rt""i?ldewalk & Driveway - After ~ ;xcavatlon Is complete, forms "and sub.base material In place. D Fence - When completed. D Street Trees ~ When all required trees are planted. D Final Plumbing - When all plumbing work Is complete. D Final Electrical - When all electrical work Is complete." o Final Mechanical - When all mechanical work Is complete. D Final Building - When all required Ins'pectlons have been approved and building Is completed. D Other MOBILE HOME INSPECTIONS Jz'I Blocking and 'set.up - When all \ blocking Is complele. ~PIUmblng Connections - When home has been connected to water and sewer. . ~ Electrical Connecllon - When blocking, set.up. and plumbing Inspections have been approved and the home Is connected to the service panel. ~Inal - After all required ,Inspecllons are approved and , porches, skirting, decks; and venllng have been Installed. Lot Type . Setb.cks Interior I P.L. HSE GAR ACC IN Corner Panhandle S -- Cui-de-sac W IE I' Lot faces ." Lol sQ. fig. LOI coverage Topography Tolal height " BUILDING PERMIT ITEM sa. FT. X $/SO. FT. - VALUE ~~{l:=J cQQ13fJ Main Garage Carport . . THE PROPOSED WORK IN THE HISTORICAL DISTRI~, OR'Ofool THE HISTORICAL REGISTER? If yes, Ihls appllcallon must be signed and approved by the Historical Coordinator prior to permit Issuance. APPROVED' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granled on the express condillon Ihat the said conslrucllon shall,ln all respects, conform 10 the Ordinance edopted by the' Clly of Sprlnglleld, Including Ihe Development Code, regulatlng the construction and use of buildings. and may be suspended or revoked at any time upon violation of any provisions of said ordin:mccs. &h;\4(}. Plan Check Fee: Date Paid: \ib1 Tolal Value &-~ Receipt Number:1\ Building Permit Fee Received By: '-- . State Surcharge (.4~ Tolal Fee (A) :;jn ,q Plans Reviewed By OalO SYSTEMS DEVELOPMENT CHAR~~DC) (B) ('~~.lh, PLUMBING PERMIT I ITEM FEE r Flxlures Residential Bath(s) N' Sanitary Sewer FT. FT. &~. AE). J::)S . Waler Storm Sewer FT. Mobile Home Plumbing Permll I) f; .00 3,')5 ~) '6 . '75 State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaur,1 Hood Vent Fan N' Wood Stove/lnserl/Flreplace Unit Dryor Vent Mechanical Per:nll Issuance Stale Surcharge Total Permit f/S (D) MISCEl.LANEOUS P~RMITS Mobile Hume FJ3/Y-> J CS J1S ~ ,~c:; \q,rn Slate Issuance State Surcharge Sldewal ( -.LDtr ft Curbcut Demolition " fI Slate Surcherge Tolal Mlscel,anecus Permlls (E) TOTAL AMOUNT IDUE (excluding electrical) (A, B, C, 0, e~d E Combined) ~5l1\ 1;"'2.: - 12.J. Systems Development Charge Is due on all undeveloped properties within the City limits which are. being Improved. ADDITIONAL COMMENTS " , By slgnalure, I slale and agree, thai I have carefully examined the completed application 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 with the Ordinances of Ihe City of Springfield. and the Laws of the State of Oregon pertaining to Ihe work described herein, and that NO OCCUPANCY will be made of any structure wllhout permission of Ihe Building Safely Division. I further cerllfy that only contraClors and employees who are In compliance with OAS 701.055 will be used on this project. I further agree to ensure that all required Inspecllons Bre requesled al the proper time, that each address Is readable from the sireet, thai Ihe permit card Is located at Ihe front of Ihe properly, and the approved sel of plans will remain on the site at all times during construction. Signature ~~ ;;)f.e.~. ~ :~ J 1- 5-9/ Datp . VALIDATION: -::2 /,1) <::: RECEIPT NUMBER \- }j'd--.-0 DATE PAIP 1/. S . 7 / AMOUNT RE~' - ~_ C:{). \9)' RECEIVED B ,~- - . ~ " . SPR.FIELD 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 l)l.,. oneJ.. 0, f ~'te _ fo1-l<}w.in~ "'\ ,,"'5<-t{')'"Jrf)'[[S (:y,UA L/ Cf':(rYllYt. . agree " ~ 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 wi,th site built homes. / D 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 Q ',LfL/.~ ~ure " ~ - J/- fY-71 Date