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Home My WebLink AboutPermit Electrical 1991-7-2 , ELECTRICAL PERKIT APPLICATIONr./ City Job Number q I r10 9::. 0 225 FIPTB STREET SPRINGFIELD, OREGON 97477 "INSPECTION REQUEST: 726-3769 OFFICE: ' '726-3759 3. COHPLETE FEE SCUEOULE BELOV 1. ,I,Of-g~ ~ IN~ALLA - - ~ t')~40~ 4- b4~m \' ~ r.f~~l!rc\- s.o Pi) " Permits are non~ansferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 dars. A. New Residential-Single or Hulti-Family per dwelling unit. Service Included:, Items Cos t Sum 1500 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00, Each Hanuf'd Home or Hodular Dwelling 1\ Il/~ Service or Feeder ~ $,35.00 ,-Lt-L ,Services or Feeders (10 Dranch Circuits included). Installation, Alterations or,Relocation: 2. "'/L.u\AClOR INSTALLATION ONLY B. Electrical contractor,#/J/Tr 't,/1it~ Address 51 <sS /.( J / /J;/- ~Ji4.., , , CitY~PPhOne .3dq-/cS7)n , Supervisor License Number C}ijj-: ,C; Expiration Date " . /D/9/ -:!/',_,V':~I3( ) . Coilstr Contr. Number 0(( J ;:.:) '(fl) C !./1JQ/ ,lfJ/)1(q /, 100 amps or less 101 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 35.00 $ 60.00 $ 90.00 $130.00 $300.00 $ 35.00 C. Temporary Services or Feeders Installation, Alteration or Relocation ,Expiration Date 200 amps or less $ 35.00 201 amps to 400 amps, $ 40.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "D" above Signature 'of Supervising,Electrician ,'~ -I - " lit I , Owners Nam .~Jl-/ , AddreSS' "l1.gq .j) T~_ City~fJ. Y'1gJlLPho~el()~.(~11LQ3, , OVNER IN~ALLATION ' D. Branch Circuits New, Alteration or Extension Per Panel One Circuit ,Two ,to ten Circuits Each Addt'l ten or portion thereof $ 35.00 $ 50.00 $ 15.00 The .installation is being, made on property, I own which is ,not,intended fo~ sale; lease or rent. E; Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting , Signal Circui t or - limited energy panel $ 36.00 $ 36.00 $ 36.00 f)T'J.00 i3 .'?"[) ~h.-\ :~ Owners Signature: 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL DATE: 1/ . d....IiJ ~-/}--;- , RECEIPT I: __ (.qLJ;") I RECEIVED BY: \---i>r1 j~ J ~ LOCATION OF PROPOSED WORK: t,qtJ SCi?~ ;;;'./~.Al.f/ ASSESSORS MAP' N/A"\ f\ r\.~~0 .q S~ BLOCi<' cJ- " '" , '. RESIDENTIAL PERMIT APPLICATION Inspections: 726,3769 Office: 726-3759 LOT' OWNER' ADDRESS' CITY: Lochaven Partners 1199 N. Terry St. Eugene DESCRIBE WORK' Mobile Home set un NEW X REMODEL ADDITION CONTRACTOR'S NAME Ernie & Son's GENERAL' . SPRINGFIELD ~t@ STAT~' OR . qJ{)w8~ JOB NUMBER 225 Filth Street . Springfield, Oregon 97477 , TAX LOT: SUBDIVISION: N/A ()4-~ C'O..- Lochaven PHON~' 688-9123 ZIP: 97402 .- Concrete strin~ers - Accessorv Value ~ ~740 DEMOLISH OTHER M. H. Value ~ ,/._7; 7/S:- ADDRESS 87922 LaPorte Dr.. Eu:;!. CONST, , CONTRACTOR' 41497 EXPIRES PHONE 2/2/92 484-6505 689-7762 2/2/92 484-6505 344-1500 Harrison Construction 1441 N. Hwv. 99 Ernie & Son's 87922 LaPorte Dr., 20-236PB Eu:;!. 41/.97 20-280C/63137 PLUMBING' MECHANICAt' ELECTRICAl' HeritaQe Electric QUAD AREA: \ R f\ J( .lJ . OF BLDGS: - _\ -, OCCY GROUP: \-(.~ . OF STORIES: \ WATER HEATER: _7'1 J 855 \1. 24th - OFFICE USE - \\~O l LAND USE: . OF UNITS' CONSTR, TYPE: HEAT SOURCF' RANGF' ~E.. V FLOOD PLAIN: ZONING CODE:--L.DJ2-- . OF BDRMS: (.2,. SECONDARY HEAT: 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 be made the same working day, Inspections requested after 7:00 a,m, will be made the following work day. o Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. ~ Underslab Plumbln91Eleclrlcall L6J Mechanical - Prior to cover. ~ Footing - After trenches are excavated. o Masonry - Steel location, bond beams, grouting. o Foundation - After forms are erected but 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 Insulallon - Prior' to decking, ~Sanltary Sewer - Prior to filling ~rench. 'C'/f Storm Sewer - Prior to filling ~ trench. . .. ., , r:;::;r Water Line - Prior to filling ~ trench.. . . o Rough Plumbing - Prior to cover. ~ 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 Insp. o Framing - Prior to cover. o Wail/Ceiling Insulation - Prior to cover. o Drywall - Prior to laplng, o Wood Stove - After Installation. o Insert - After fireplace approval and Installation of unit. o Curbcul & Approach - After forms are erected but. prior to placement of concrete. . ~ Sidewalk &'Drlveway - After ~excavatlon Is complete. forms and sub-base material In place, o Fence - When completed. rA Slreet Trees - When all required C:::2(I trees are planted. . ' o 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. o Final Building - When all reQuired Inspections have been approved and building Is completed. o Other MOBILE HOME INSPECTIONS f"57( Blocking and Sel.Up - v:,hen all ~ blocking Is complete, IVl Plumbing Connections - When ~ home has been connected to water and sewer. IV1 Electrical Connection - When J.C>.l. blocking, set.up, and plumbing Inspections have been approvod and the home Is connected to the service panel. [)(l Final - Alter all required {.lnspeCtlon_s are approved and porches, skirting, decks, and venting have been Installed. , i' ':-, Lot faces '~ LO~q. fig, Lot cqverage Topography Lot Type. Interior .- Corner Panhandle Total height Cul-de.sac ., J ' ~.... '.S THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. Setbacks I P,L. HSE GAR ACC IN -2-___ W IE APPROVED: BUILDING PERMIT BUILDING VALUE, PLAN CHECK ITEM sa, FT, x $/ sa, FT. = VALUE AND BUILDING PERMIT Main /11/5 This permit Is granted on the express condition thatlhe said construction shall,ln all respects, conform to the Ordinance Garage adopted by the City of Springfield, Including the Development Code. regulating the construction and uso of Carport build. gs, and may be suspended or revoked at any time upon v lion of any provisions 7rUinanccs, J!M1} Plan Check ' '" /" ~tr~ Dale Paid: Total Value Receipt Number.~ Building Permit Fee R7 "", State Surcharge (,45S" Total Fee (A) '- '3(') .'1 <;$ I'1ans Reviewed By ~ OalO SYSTEMS DEVELOPMENT(~HAR~i~~3 PLUMBING PERMIT ITEM Fixtures Residential Balh(s) N' Sanitary Sewer FT. Waler FT, Storm Sewer FT, Mobile Home Plumbing Permit Stale Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaw1t Hood Vent Fan N' Wood StovellnsertlFlreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCE1.LANEOUS PERMITS Mobile Home State Issuance State Surcharge Sldewal'( J..c;{:L It Curbcut -15-- fI Demolition State Surch..ge FEE rJ p;.o~ ~CO ("V.c; , ..Ir ex; ()I, ") . f J ~.()C) -''=)' '}'::) t') R, f)5 (2' ff1.d5 .10,05 ~.~ ELa) Total Mlscellanec'Us Permits (E) TOTAL AMOUNT IDUE (excluding electrical) ,~Q.[) <i< \ (A, B, C, 0, and E Combined) Systems Development Charge Is due on all undeveloped properties within the City limits which Brc being improved. ADDITIONAL COMMENTS By signature. I state and agree, that I have carefully examined the completed application and do hereby certify that 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 the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I further certify 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 are requested at the proper time, that each address Is readable from the street, that the permit card Is located at the front of the property, and the approved set of plans will remain on the 51/1 all times during construction. SlgnaturlLt. ,.0 1)_ k-'.fh o~~~ Datp ,/-,) -'7, ( ,. VALIDATION: ,pjC-') ( RECEIPT NUMBER I () DATE PAID - ~ . c--r AMOUNT RECEIVED7C: r},YP)- Rl n ) RECEIVED BY , -Air! J""- - ./ j ,J-- :, DEVELOPMENT SERVICES PUBUC WORKS METROPOLITAN WASTEWATER MANAGEMENT 225 FIFTH STREET SPRINGFIELD, OR 97477 (503) 726-3753 MANUFACTURED HOME SET-UP AGREEMENT As required by the City of Springfield Development Code, I understand and agree tha t wi th the approval of the attached permi ts "'0e o~ t,he, follo)\ipg ........ manufactured homes will be placed at I,., '"1 ...'J("f""It\";s. D lQ.A\J Springfield, Oregon, City Job Number LI. \['II.oR . D 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 si te built 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 - Vater line connection - Electrical connection - Street tree standards - Minimum requirements for permanent steps D., t!.1L<~ K-~~ Si~~~ ' if 7~C).~9J Date