HomeMy WebLinkAboutPermit Electrical 1996-3-13
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Thefollowii1Cl project E\ssubmitted" ~~~ the fo~1
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, ZOnlf"k1 ~ ELECTRICAL PERMIT APPLICATION
97477 Date;"">' ,~'t1 {; a1J
726-3769 ~ City Job Number, 9C,,,c;tlJo
, Authorized Signature
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
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LEGAL DESCRIP.!J..9N
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JOB DESCRIPTION
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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. CONTRACTOR INSTALLATION ONLY
Electrical Contractor~()lJ Vet({-ej f/edoJt'c.
Address ~O. Box Qg~ 0 /
Ci ty ~~eV1. e. 'Cj7vo,'J Phone G<{.3' - 8373
Supervisor License Number "'395';). (./ ~
Expiration Date lo/cr5
Constr Contr. Number 959/0
Expira tion Da te 6/0;0
Signatur~ of Supervising Electrician
IA)~ A.~ is?-
tF
Owners Name' ~~() ~~~
Address ~e,24 A ~ T~
City ~:
OVNER INSTALLATION
Phone
.The installation is being made ori
property I own,whi~h is not intended
for sale, lease or rent.
Owners Signature:
~
-----------~~\----~12J--------------
~~~~PT #: l~"/ 1'.-, d~8:3
RECEIVED BY: d~
3. COMPLETE .FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft'or portion
thereof
Each Manuf'd Home or
Modular Dwelling
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
Items Cost
Sum
$ 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 $ 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
Branch Circuits
D.
"
New, Alteration or Extension Per Panel (j)
{ $ 35.00 ~~.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36 iX.)
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Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 960080
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 6824 ASTER ST
Assessors Map #: 17023444
Lot: Block:
Tax Lot #: 00604
Subdivision:
Owner: KEVIN SPANGLER
Address: 6824 ASTER STREET
Phone #:
City/State/Zip: SPRINGFIELD, OREGON 97478
Describe Work: 2ND STORY ADDITION
ADDITION
Contractor
Const.
Contractor #
Expires
Phone
General:
ZARZYCRI
131 McClure
CROW VALLEY
PO Box 22201
0038222
Ln Eugene OR 974040000
0095910
Eugene OR 974020000
10/09/96
688-0243
, Electrical:
01/06/97
729-5108
QUAD AREA: 4RSE
ZONING CODE: LDR
VN
INSUL PATH: P1
OFFICE USE --
LAND USE: 1111
OCCY GROUP: R3
# OF BLDGS: 1
CONSTR. TYPE:
SQ FOOTAGE: 245
To request an inspection, call the 24 hour recording at 726-3769.
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.
REQUIRED INSPECTIONS
FOOTING - After trenches are excavated.
ROUGH ELECTRICAL - Prior to cover.
FRAMING - Prior to cover.
INSULATION - Floori prior to decking Wall/Ceilingi Prior to cover
DRYWALL - Prior to taping.
FINAL ELECTRICAL - When all electrical work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Total Height: 23.5
Lot ,Type: INTERIOR
Setbk From NPL: 69
Solar Approved: Y
Item
Main
Garage
BEDRM. ADD'N.
Total Value
BUILDING PERMIT ---
Square Feet x $/Square Feet
245 56.2
Value
0.00
0.00
13,769.00
13,769.00
Building Permit' Fee
Surcharge/Admin
104.50
8.37
TOTAL FEE
(A)
112.87
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
112.87
--- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ---
This permit is granted on the express condition that the said construction
SPRINGFIELD
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Job Number: 960080
Page 2
Plan Check Fee:
Received By:
Plans Reviewed By: DON
Building Site Reviewed
67.93
Date Paid: 01/19/96
,Receipt Number: 20117
MOORE Date: 02/15/96
By: LISA HOPPER
--- ADDITIONAL COMMENTS
SEPARATE ELECTRICAL PERMIT IS REQUIRED; PATH 1
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
Community Services Division, Building Safety. I further certify that only
contractors and employees who are in compliance with ORS 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 site at all times during construction.
~~~j
Signature
:2 .(6~?G
Date
--- VALIDATION
Date Paid:
2L? t..r/g
2-/?;-~b
//2..& ?
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~~
Receipt Number:
Amount Received:
Received By: