HomeMy WebLinkAboutPermit Electrical 1991-6-24
..........-. .
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
,INSPEClION REQUEST: : 726-3769
'OFFICE: 726-3759
I'
1, LOCATION OF INSTALLAT;r,ON
''7fJl y,rJ17c:. CI../UuhU DJl',
LEGAL DESCRIPTIO~
-rA-'/.. !-v'T'
A. New Residential-Single,or
Multi-Family per dwelling unit.
Service Included:
3400
ELECTRICAL pBlUIlT APPLICATION
q /()lo?D
City Job NUlllber
3. . COMPLETE !,lEE SCBBDtq.B BELOV
,Items 'Cost
Sum
1500 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion,
thereof $ 15.00
Each Manuf'd lIome or
Modular Dwelling
Service or Feeder' ;t '$ 35.00 ~()
B. 'Services or Feeders (10 Branch Circu1.ts
included). Installation, Alterations
or Relocation: '
JOB D~SaqljT!ON..on /l.-' '
fY1,f)M I L J:<:J7)f>IJL. 7 Jl aCIW-<..J
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
, 180 days.
2. CONTRAClOR INSTALLATION ONLY
El~ctrical contractorJ!tr1; /t..~,; (lacA~h
Address ~a-~, W.dlJ.1Y
City h--U"1~
Phone -g <.( <j - />:bD
Supervisor License Number _ ::J;-J-,;).lsD ~
Expiration Date
Jt::> - '3/..5j)-
....
C. Temporary Services or Feeders '
Installation, ,Alteration or R~l,ocation
Constr Contr. Number .:In_;)..ibe) 03/3/
, Expiration Date
/CJ- 3/-Cfd-
Signature of Supervising Electrician
~:/3Mft/
, 'OWER INSTALLATION ' ,
Name~{)(\t\(\ Q ~'_\)~ n S
Address \ \ C\ 0... 'f'\ \:' -...\J \'{"" \ '\
City fA__'XX<LNLPhone t n~R'L\~i~
The 'installa~ion is being made-on E.
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~Al.f /;j;L'~. ~ '
'DATE: J .Q-~~~;~.q.r, ' '
RECEIPT I: . (1<::1 In)(
RECEIVED BY: (_ ,Y \ )"
- _.-
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'
200 amps'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps 'or,1000 volts
D. Branch Circuits
$ 35.00
$ 60.00
$ 80;00
$130'-00
$300.00
$ 35.00
$ 35.00'
$ 40.00
$ 80'.00
see,-B" above
New; Alteration or Extension Per Panel
One Circuit "
Two to ten Circuits
Each A4d t'l ten or',
po~tion thereof '
.
1
$ 35.00 5s;P~
$ 50.09
$ 15.00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or 'irrigation
'Sign/Outline Lighting
,Signal :Circui t or', , , '
limited 'energy panel
, 5~
SUBTOTAL OP ABOVE
5% State Surcharge,
TOTAL
$ 36.,00
$ 36.00
$ 36.00
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r /fj .cO..o.c.::.,
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LOCATION OF PROPOSED WORK: ~ ~<;
ASSESSORS MAP' N/A \ (iD'38.ri8:t -.
I (". BLOCK' S-
1-. . "'\
"
RESIDENTIAL
PERMIT APPLICATION
.
Inspections: 726-3769
Office: 726.3759
LOT'
OWNER'
ADDRESS:
CITY'
Lochaven Partners
1199 N. Terry St.
Eugene
DESCRIBE WORI<"' Mobile Home set UP
NEW
x
REMODEL
ADDITION
SPRINGFIELD
~t@
..I::../ .f/ A/ U
STATF'
OR
.
q\alo~
JOB NUMBER
225 Filth Street
Springfield, Oregon 97477
u/--', J./L
N/A
() ?,AC()
, TAX LOT'
SUBDIVISION:
Lochaven
PHONF'
688-9123
ZIP'
97402
DEMOLISH
.- Concrete strinQers - Accessorv
Value $ 11/.1t)';"
I f, ~9'l~-
OTHER M.H, Value $
CONST,
CONTRACTOR'S NAME ADDRESS CONTRACTOR'
GENERAl' Ernie I'< Son's 87922 LaPorte Dr,. EUQ, 41497
PLUMBING' Harrison Construction 1441 N. H,,". 99 20-236PB
MECHANICAl'
ELECTRICA' '
Ernie & Son's
HeritaQe Electric
QUAD AREA: \ R N Ii)
\
OCCY GROUP: Q ~
\
f../
. OF BLDGS:
. OF STORIES:
WATER HEATER:
87922 LaPorte Dr,. EUQ,
EXPIRES
2/2/92
PHONE
484-6505
689-"/762
484-6505
344-1500
855 W_ 24th
20-280C/63l37
41/,97
2/2/92
- OFFICE USE -
LAND USE: \\ ffi
. OF UNIT"" \
CONSTR. TYPF'
~u
HEAT SOURCE:
p/
RANGE:
FLOOD PLAIN'
ZONING CODE:
. OF BDRMS:
LD\~
,~
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 alter 7:00 a,m, will be made the following work day,
REQUIRED INSPECTIONS
o Temporary Electric
o Slto Inspection - To be made
after excavation, but prior to
setting forms.
o Underslab Plumbing/Electrlcal/
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
10 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.
["/f Sanitary Sewer - Prior to filling
r:;-c trench.
"C"':YStorm Sewer - Prior to filling
~rench.
fVT'Water Line - Prior 10 filling
~ trench.
o Rough Plumbing - Prior to
cover.
o Rough Mechanical - Prior to
cover.
IVl Rough Electrical - Prior to
p.I COVb~~
~ Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Inso.
o Framing - Prior to cover.
o Wail/Ceiling Insulation - Prior to
cover.
o Drywall - Prior to taping,
o Wood Stove - After installation.
o Insert - After fireplace approval
and Installation of unit.
o Curbcul & Approach - Alter
forms are erected but prior to
placemenl of concrete.
[<>zrSldewalk &'Drlveway - After
y....:t excavation Is complete. forms
.and sub.base material in place.
. 0 Fence - When completed.
~ Street Trees - When all required
trees are planted.
o Final Plumbing - When all
plumbing work Is complete.
~ Final Electrical - When all
ele~al work is complete.'
o Final ~~~en all
mechanical work Is complete.
o Final Building - When all
required Inspections have been
approved and building Is
completed.
o Other
MOBILE HOME INSPECTIONS
"R/I Blocking and Set,Up - When all
JC>-.d blocking Is complete,
t':24' Plumbing Connections - When
lL::::::I home has been connected to
water and sewer.
~ Electrical Connection - When
jaW blocking, set,up, and plumbing
inspections have been approvod
and the home Is connected to
the service panel,
\2j- ~jnal - After all required
.Inspectlons are approved and
porches, skirting, decks, and
venting have been Installed.
,
r, -,
. 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.
'Lot faces - Lol Type. Setbacks
Lot sq. fig, Interior I P.L. HSE GAR ACC I
IN I
Lot coverage Corner
Topography Panhandle -L-___
Total height Cul-dc.sac W
IE
BUILDING PERMIT
ITEM SQ, FT,
X $/SQ, FT, = I,~~~hg
Main
Garage
Carport
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 the Ordinance
ado pled by lhe Clly 01 Springfield, Including the
Development Code, regulating the con lructlon and use of
buildings, and may be suspended revoked at any time
upon violation of any provisions said orc.JinnncQS.
~(\{\Q 11. I 'l~( ) Plan Check Fee'
Total Value
Building Perm!t Fee Q9 ,f{)
State Surcharge I. .<17'>
Total Fee (A) ;~n,C\Z:) /'Plans Reviewed By OalO
SYSTEMS DEVELOPMENT CHAR~EJ~DC) a
(B) urn. '7r>
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential 9ath(s)
N'
Sanitary Sewer
FT.
r!) f5 ,00
A~,oO
~ ~.DO
Water
FT,
. Storm Sewer
FT,
Mobile Ho;ne
"-.
\
Plumbing Permll
/ State SUlcharge
,
Total Charge
05 .OJ
3,'75
') 8 ' r;:s
'(C)
MECHANICAL PERMIT
Furnac'~
ExhaU1Jt Hood.
Vent Fan
N'
Woorf Stove/lnsert/Flreplace Unit
Ory(;r Vent
Mochanlcal Permit
If.suanee
~jtate Surcharge
CjJ
;'olal Permit
(D)
MISCEL.LANEOUS PERMITS
Mobile Home
cp,o. ,~c;
\ S. II ')
5.~5
19 ,rf">
State Issuance
State Surcharge
Sldewal'< laC)
It
Curbcut . It
Demolition
State Surch"rge
Total Miscellaneous Permits (E)
TOTAL AMOUNT IOUE (excluding electrical)
(A, B"C, 0, and E Combined)
,--l-')4~.')u )
Systems Development Charge Is due on all undeveloped
properties within the Clly limits which are being improvod.
ADDITIONAL COMMENTS
..~t'hOJ~ ~LCLu.LX1\lXJ)
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 1 further certify
Ihat any and all work performed shall be done In accordance
with the Ordinances of the City of Springfield, and the Laws
of the Slate 01 Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made 01 any
structure without permission 01 the Building Safety Division,
I further certify that only contractors and employees who
are In compliance with ORS 701,055 will be used on Ihls
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 Ihe front
01 the property, and the approved set of plans will remain
on the site at all times during construction.
Signature
Datf"
VALIDATION: ~A / _ ,..,)
RECEIPT NUMBER /J(rT<D 2('
DATE PAIl"< (0 ,6)4 -q /
AMOUNT RECEly~/r p-I\- R ,~(
RECEIVED BY \.../l ~ ./
,..
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..-' ,......
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
that with the approval of the attached
manufactured homes will be placed at
Springfield, Oregon, City Job Number
Development Code, I understand
~ermits, one of thefollowi~
, \0 \ .s~r-.-tt~ G'-" A-.. )
C\ V"ll o?-... .c:::.. .
-
and agree
r
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. /
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
Vater line connection
- Electrical connection
- Street tree standards
- Minimum requirements for permanent steps
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Date
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