HomeMy WebLinkAboutPermit Electrical 1992-3-31
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225 FIFTH STREET ELECTRICAL PERMIT APPLICATION
SPRINGFIELD~ OREGON 97477 Thefo'low' Q, Ii\ I 0 I
INSPECfION REQUEST: 726-3lf:69:~. sn~~:~i;:c: as SUOmittod has1h61b".YwIJob Number ~I ~ )<:7
OFFICE: 726-3759 epprwaI. 0 req '0 speclf/c land Use ng
Zoroln . COMPLETE FEE SCHEDULE BELOY
1. LOCATION OF IljSTALLATm~ ~.2~
10 11 plectso.Y\-j- 81-. e '-"' ~ . Nell Residential-Single or
AUlhorized Slgn!llur~ . W Mul t i-Family per dllelling uni to
LEGAL DESCRIPTION ~ Oo~vi ce Included:
i7D~7J/)L/,1 ()70ZJf) ~ Items Cost Sum
JOB DESCRIPTION
Permits are non-transferable and expire
if IIork is not started IIithin 180 days
of issuance or if IIork is suspended for
180 days.
2. CONTRACfOR INSTALLATION ONLY
Electrical Contractor Palmer/Philips
Address 3170 Meadow Lane
City 'Eugene
Phone 688-6121,
Supervisor License Number ;.n47 ~
Expir~tion Date 10/91
Constr Contr. Number 20-179C
Expiration Date 10/91
Signature ~supervi~in
( ..4'./'0
Ollners Name c
Add ress ~<n YV\ e...-
Ci tyFfri~1d Phone
OVNER INSTALLATION
The installation is being made on
property'I olin IIhich is not intended,
for sale, lease or rent.
Ovners Signature:
~~~~~-~-~}~~~---------------------
RECElr! ll::--)-')..! I
RECEIVED BY: r~
1000 sq.ft. or less
Each additional 500
sq. ft or portion )
thereof
Each Manuf'd Home or
Modular Dllelling
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
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D. Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B"
above
Nell, Alteration or Extension Per Panel
One Chcui t
Each Additional
Circuit or IIith Service
or Feeder Permit
$ 35.00 35.m
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
Cf5.C{)
1.75
;2{p.76
OWNER: (J/Pt1l1b ~r~ EIIt"'tA..
ADDRESS' IOY( t(,-{'tfJt:?ur
:5~fh~,
rJ' - - - -, 1
DESCRIBE WORI<" \~~ \'1)\ f\(\OV-..)
NEW REMODEL v<JADDITION DEMOLISH
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726-3769
Office: 726.3759
ASSESSORS MAP:
LOT
CITY'
.
SPRINGFIELD
BLOCI<"
eray
~I-
STAT~'
CJ~
~
".-
.. -
OTHER
.
JOB NUMBER
9..?~/~
225 Filth Street
Springfield, Oregon 97477
TAX LOT'
SUBDIVISION'
PHONF'
'7~/- '$ 771J
ZIP:_C; 7\(77
CONTRACTOR'S NtME. . (1)1 ADDRESS )-
GENERAl' cl!/SOl/(o /ti'l; (l{}?7S;
Co
CONST.
,-CONTRACTOR'
() j '0 3 L(
PHONE
3YSf3V7
--
PLUMBING'
MECHANICAl' /) - /pI /
ELECTRICA" rtt/.n.1r?t/rI1ll/~
. (
QUAD AREA: J.)~ \\)~
./
. OF BLDGS'
OCCY GROUP: _~~
. OF STORIES:
WAfER HEATER:
- OFFICE USE -
LAND USE: ,\ \ \
CONSTR. TYPE: V AJ
. OF UNITS'
HEAT'SOURCE:
RANGE:
EXPIRES
7/2.3-:>2.
FLOOD PLAIN:
IAJ ,2-
ZONING CODE:
. OF BDRMS:
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 tUn. will be
made tho same working day, Inspections reQuested after 7:00 a.m. will be made Ihe following work day.
o Temporary Electric
I
1-
o
Site Inspection - To be made
after excavation. but prior to
setting forms.
o
Underslab Plumbing/Electrical I
Mechanical - Prior to cover.
o Footing - After trenches are
excavated.
o
Masonry - Steel roeatlon, bond
beams, grouting.
o Foundation - Atler forms are
crecte(l but prior to concrete
placement.
o
Underground Plumbing - Prior
to filling trench.
o
Under floor Plumblngl Mechanical
- Prior 10 insula.tlon or decking.
o
Post and Dcam - Prior to floor'
Insulation or decking.
1Vf Floor Insulation - Prior to
~ decking.
o Sanitary Sewer - Prior to filling
!rcnell.
o Storm Sewer - Prior to filling
trench.
o Water Line - PrI6r-t<> filling:
trench. _ " '. .
o Rough Plumbing -. ~rlor to
cover.
.' ,
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
rv1 Rough Electrical - Prior to
~over.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
~ Framing - Prior to cover.
KA'Wall/Ceiling Insulation - Prior to
~ cover.
~ Dr(i~ A~r:;)to taping.
o Wood Slovo - Afler Installation.
o Insert - After fireplace approval
and Installation of unit.
o
Curb"cut & Approach - After
forms are erected but prior to
placement of concrete.
o Sidewalk & Driveway - After
excavation Is complete, forms
and sub-base material In place.
o Fence - When completed.
o Street Trees - When all required
trees are planted. .
o Final Plumbing - When illl
plumbing work is complete.
I'V1 Final Electrical - When nil
~ electrical work Is complete.
o Final Mechanical - Wilen all
mechanical work Is complete.
I9f" Final Building - Wi,en nil
~requlred Inspections have been
approved and building is
completed.
o Other
MOBILE HOME INSPECTIONS
o Dlocking and Set.Up - Wilen all
blocl<lng is complctc.
o Plumbing Connections - WIlen
home has been connected to
water and sewer.
o Eloctrical Connection - WtlOn
blocking, set-up, and plumbing
Inspections have been npprovcd
and the homo is connected to
the service panel.
o Final - After all rcqulred
inspections are approved and
porches, skirting, decks, and
venting have been instC1l1ed.