HomeMy WebLinkAboutPermit Electrical 1982-6-16
~ I. J .
.. Rt::iIDENTIAL..
APPLICATION/PERMIT
225 North 5th Street
Springfield~ Oregon 97477
Building Division
726-3753
Job
Loc~t~O~: .... '~i 8"l0
(~. ~iJill:f"
T= Lot #
Assessors Map ,#
Subdivision:
Ulu Il/UOCtO
rf~
3'-/
Cl.7ner:
73i
(j) LfAiLJJ1-)
Address:
City:
,v""..;
Additicn
~~
Remodel
;'.fooi le Home
& -/ltJ~, K-2--
Date of Application
Contrac!:ors
Genera l
Plumbinq
Electrical
Nechar:ic~l
Const~~ction Lender
/~
Phone:
Zip:
DescT""~be ({ork:
.~
Value
Add.~ess
No /YYl / f ItnO wr~';'
232 W.s+r- W~
'.1
s9./9'D
~=?cce:pt ,ij
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c;7o
Signed:
Date:
&~ouL
w'< 1-(P~8~
Lisc.#
Eroires
Phone
4- Q!l -44~6
It is the responsibility of the permit hoLder to see that all inspections are made at the proper time, that e~ch ~ess is re~~:e
from the street, and that the permit ca:t'd is located at the front of the property.
~BuiZdi~4 Divicio~ approved F~ shall remain on the Building Sits at all times.
,
PrlOCEDUPE POR INSPECTION REQUEST:CALL 726-3769 (recorcer) state your City desig7'.tlted job nw;;ber,
requested ar4 when you will be ready for inspection, Contractors or Owners ~~e end phone n~~cr.
:..'ill be made the same dcy, requests made aft~ 7: DO an will bs made the nczt :.JOrkinq day.
Re~~iI'ed Tnsoections
O SITE INSPECTION: To be made after
excavation, but PI'"~or to set up of
forms. .
O UNDERSLAB pWI.mI:lC. ELECTRICAL &
I . NECHA.'IICAL: To be made before any
work is Qovered.
o
FOOTING 3 FOUNDATION: To be made
afteX' trenches are e:z:cavated and
forms are erected, but prior to
pourir~ ccncret~.
UNDSRGROUND ?LUI1!3IHG. SEWI?R. W.1TER,
DRAINAGE: To ce made prior to fiZ-
lir4 trenches.
[J
o
UNDERFWOR PLij,'.:BDIG & NEOHANICAL:
To be made prior to installation of
11001' insulation or decking.
POST AND BEAM: To be made orior to
installation of 11001' insui7tion 01'
deckinq .
o
D
ROUGH PLUMBING, 2LECTRICAL d LVEC'Fl-
ANICAL: No ~ol'k is to De coverea
until these insoecticns h~ve be~
made and approv~::.
FIREPLACE: Prior to placir4 J~cing
materiais and before Jramin4 inspec-
tion.
D
o
FRAHING: Must De reqUEsted after
approval of rough plwrJJing, electri-
eal & mech.anical. AZZ roofing
bracing & chimneys, et~. ~~st be
. completed. No work is to be con-
. cealed until this insoecticn has
~been made and approved.
Your City. Desigr.ated Job Number Is:
o
INSULATION/'1..1POR BARRIER INSPECTlOo'!:
To be made after all insul~tion ~4
required vapor baI'!'iers are in place
but before any lath, gypswn ooard or
walt covering is appUed, and before
any insulation is concealed.
jOb address, type of inspecticn
Requests received before 7:00 ~
g-.2-0(o(W
DEMOLITION OR ,',~#OVED BUILDIilCS
~ Sanit~d s~~er capped at p~oper~d line
~ Septio tankp~ed ar4 filled with ;ra,el
~ Final - (/hen above ite~s are cc~leted
~ and when de~cZition is comvZete or st~~-
ture moved ar4 ?rem-~ses cl~aned up.
. ,\!ooi le Homes
~
~
Blocking and Set-up
Plumbir4 connections
s;;u;er and water
D
DRYWALL INSP:::CTION: Tc be made
after d l Crywa II is in place,
but prior to any tapin4.
~ Electrical Connection - Blockir4, set-up
~ and plumbing connections ~~st ce approved
before requesting eZectrical inspectio~
:=J Acces;o~~' 3uildin4
~ Final - Aft~r ?~r~~es, sk~rt~ng, da~k3J
~ etc. are ccmple=~a.
D
[Ji
FnlAl, PLUMBI!IG
All p~oject condi=ions~ suc~ as ~he instalZa~ion of street traes, ~~~~~~~on of the
~equired landscaping, etc., must be satisfied before the BUILDING lINAL ~an be requestec.
o FIlIAL ,'.fE::HAtlICAL
[] FINAL ELECTRICAL
[J
o
FINAL BUILDING: The linal 3uildin4 Inspection ~~st be re~~eGted cf=ep
Elec~rical, and Mecr~r.ical InSpections r~va been made ar4'apprcved.
'.
*ALL MAl/HOLES AND .CLEANOUTS HUST BE ACCESSIBLE, .4D~]UST:.rzi'IT TO BE !~,!}DE -,l~ :'.'0 ~:;Sr:' 7:0 CI'I'Y
o
MASONRY: Steel location, bond
beams, grouting or verticals in
accordance ~th U.B.C. Section
2415.
D
WOODSTO'fE:
completed.
After installation is
D
CURB & Al'P."IO.4CH APRON: Afte-:o forms
are erected but ppior to pGUI'"~ng
;;onorete.
D
SIDEfiALK & DRIVF:fiAY: For aU con-
crete pavin4 ~ithin street right-
ot-wcy~ to be. made after alZ 8Xaa-
vatina comolete & form work & sub-
base ,;ate;'~al in p'tace.
o
PENCE': ~'her: complete -- Pro:Jide,
gates or movable sections through
P.U.E.
o
the FinaZ ?Zu~oi~~
I "~'-e
-
O]"~ 2
I JOB NO. ?520lol to SOLAR ACCE
i 7 .
1 ~or.e. Oc::n<vanc:.J G!'C"'J.V:
Lot Sq. Ftq.
,
~ Qf lot CQVerag~
i # of Stories
ITotal Height
I
I Topography
I
I ITEM I SQ. FTC.
I Main
. ~~ace
i Car::-cy,t
i.
l.-!ccessoY'''..J
I
I
IS.D.c.
!
TOTA[, VALUE:
(VCl.UC)
1.5 =
Building Permit
State Surcharge
Tatar cra.rges
I ITEM
I Pi... --tu:!'e s
'Residential (1 bath)
Semi tar"j SeUle!'
I Wat e1'
I
I
,"'ITEi!
Plumbing Perri t
State Surcr.arge
Tetal Gr:L:.!'oes
I
I Re's. Sa. fta.
jNaw/E--tend Cir~J.its
!TemporaI'Y Service
I ITSii!
Furmce ETU' S
E:::haust Hood
I Vent Pan
I .
r Woodstove
I
Electrical Permit
State Suroh.arae
Total C)!a!'ces
Permi t Issuance
Me::hanic:zl Permit
State Surch.c:rae
Tote.! C"raroes
-- ENCRCAC3NENT --
I Sea"..J..r-'~t?-! DZDO:;it
I Storc.qe
I Naintera.n.::e
, Permit
I
G-.a be'J. t
Sidezvalk
?en::e
Total C'flflrqes
EZectrical Label
Mobile Home
I'OT.4.L M!OUNT DUE:: *
NO.
No.1 ?E:E;"
I
I
II
I
'I NO. t
I
I
I
I
I
LOT TZPE:
Interior
Corner
Pannanale
Cul-de-sac
X Value
I
I
I
I
FEE
CHARCE:
. . C.~jJ~qG.t - f
I
I
/0.00 I
FEE
10.06
.40
lo.L/OI
C.'lARCE I
I
I
I
I
I
I
I
I
,
/0.40
Page 2
REQ,-
L -CO G~
Tyoe/Const:
Bedrooms:
j
I
J
I
U1
I
J
I
j
I Lot Faces -
I
I P. L.
INorth
lEast
ISouth
IWest
I En2T'GU Sources
I .'feat
I I
I I
I I
I
I
T:r:J e
Setba::ks
I.. I r
,"ouse . "araqe
I Access.
I
I
I
Water .'!eat~r-
Flange
?ireDlace
Woodztot:e
Faes
Building Value & Permit
This permit is granted on the express co~~ition that the said,const~J.ction
shall, in aZl respects, conform to the Ordinance .adopted by the City of
Springfield, including the Zoning Ordinance, regulating the ccnst~<cticn
and use of buildings, and m::zy.oe suspended or revoked. at c:r.y tii':?e u.por.. vie-I
lation of any provisions of said Ordi~~nces.
, *
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I *
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Plan Cheak Fee:
Date Paid:
IRec~ipt #:
I Signed:
Plumbing Permit
No person sh~ll construct, install, alter or change'any new cr e=isting
plumbing or drainage systenin whole or in part, unless such person is the
legal possessor of a valid plumber's license, except thAt a person may do
plumbing work to property which is ow~ed, leased or operated by the appli-
oont.
I
I *
Electrical
Permit
Where State ,Law requires thAt the electI'";caZ work be done by an Electrical
Contractor, theelectI'1.~al portion of this permit shall not be valid until
the label has been signed by the Electrical Oontractor.
Mechanical
Permit
P ~CL/l. Exc::miner
uar;e
I HAVE' CA.?EFULLY EXANINED t.'w completed application for permit, and do
hereby certifY that all info~ation hereon is true and correct, ar~ I
f..<rthe1' certify that any ar.d all work performed shall be done in accor-
dance :ftth the Ordinances of the City of Springfield, and th~ Lc:-..:s of the
* State of Oregon pertaining to the work des~;bed herein, ar.d tra.t ~o occu-
P~NCZ will be ~a.ie of any structure without permission of the 3uilding 0-;-
vision. I further certify thAt only contractors ~~ ~lcyees who are in
compliance with CRS 701.055 will be used on this project
....
6/ o/f:z-
,{;ate /
,"'
\ .. \..\- L \ :t" \ APPLICATION FOR ELE~TRICAL
I~ "" . \O'}-.L.. Q<..- Y ,C ~ r. OJ)o/1 <36
(Name or firm - please print) (Mailing address)
DEPARTMENT OF PUBLIC WORKS
. 'BiJILDING DIVISION
CITY OF SPRINGFIELD
INSTALLATIDN LABELS
E,\ ~.e~
(City or town)
P',.J-20
REV. 12-77
346 r'lain Street
Springfield, Oregon
97,',i7
't'110 I
ltJl'\-~
(Zip code)
(Coun~y)
Hor.1E OHNER'S - I hereby certify that I am the 0I1ner of the property described belo\1, at which location I
propose to make an electrical installation for my own use and this pt'opertY1S not being
constructed for sale, lease or rent.
~I
ELECTRICAL CONTRACTOR ~'Enclosed find $
for
electrical installation labels.
(Number)
IS THIS BEING SUBMITTED TO COVER ONE ELECTRICAL JOB?
.~
YES
NO
No.
RESI DENTlAL
Residence wiring less ,than 1000 sq. ft..................@ $ 15.00
Residence \./iring less than 2000 sq. ft..................@ $ 25.00
Residence wiring over 2000 sq. ft..... ..... ........... ..@ $ 35.00
Electric heat installation in existing residence........@ $ 10.00
Label No. Amount Recei ved
$
$
::,
$
$ \O~
$
$
$
$
$
$
S
SERVICES
\ Temporary Construction Service..........................@ $ 10.00
Service change only in an existing residence............@ $ 10.00
Multifamily ~lith Central Service,commercial or Industrial:
Service not over 100 amperes..............................@ $ 15.00
Service over 100 amperes but not more than 200 amperes..@ $ 25.00
Service over 200 amperes but not more than 400 amperes..@ $ 35.00
Service over 400 amperes but not more than 600 amperes..@ $ 50.00
Service over 600 amperes.......,....... ........:........@ $ 65.00
Service over 600 volts..................................@ $150.00
COMMERCIAL AND lNDUSTRIAL FEEDERS
Installation of Alterations or Relocation of Distribution feeders:
Not more tha~ 100 amperes..~..... ............ ...........@ S 10.00
Over 100 amperes but not' more than 200 amperes.. ........@ $ 15.00
Over 200 amperes but not more than 400 amperes.... ......@ $ 25.00
Over 400 amperes........................................@ $ 30.00
Feeder over 600 volts........'............................@ $ 40.00
s
S
$
$
S
MI SCELLArlEOUS
A $10.00 label shall apply for the following installations:
A. Each trailer or mobile home space...................@ $ 10.00
B. Each supply for mobile home.. .~....... .... ..........@ $ 10.00
C. Each farm bui lding other than residence.............@ $ 10.00
D. Each irrigation pump................................@ $ 10.00
E. Each cl~ctric sign or' outline lighting....... ........@ $ 10.00
F. Each residential sl-lilllming pool......................@ $.10.00
S
$
S
$
S
S
. BRANCH CIRCUITS
One neVi circuit; alteration or extension................@ $ 10.00
TVlo or more neVi circuiti; alterations or extension.... ..@ $ 15.00
TOTAL
ADD SURCHARGE:
SUGTOTAL
4;(, of Subtotal)
DTAL
s
s
s \()~
s
S \.C\ ~
HOME OWNER - The actual installation will be made by me
or by
(Name and address)
who is a member of my family. Relationship:
~\J.'iI~
(Home Owner's Authorized Signatur,e)
Electrical Contractor
(Si.\ll,nature ,of SUJ2.ervisor) ,
6LO'- CJ7 c.. . GcP
Electrical License Number
b~(}k-3
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