HomeMy WebLinkAboutPermit Electrical 2000-10-18
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COMM ERCIAL/IN DUSTRIAL
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
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JOB NUMBER 41 - 0111.<'-:'- 01..
INSPECTION LINE: 726-3769
OFFICE: 726-3759
'Co'CATION OF PROPOSED WORK' 5111 G?! f-('
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ASSESSORS MAP'
rOWNER~ <:;;:,:/ /l" ,..... I) n,l., IOf~11--
.ADDRESS' ~,,<;' LuIU.4t.JJJY lJ-l\.-<-
CITY: ~1nL\w....i\
,-DESCRIPTION OF WORK' M~J111 (",,, Iv "of:
NEW' Y REMODEL ADDITION
:Jtn. ~ CAk,,-~.kb 1>HON E: -:;'::- h .. /31/ . (;, 73 - 5~" .
esTATE: -.aR.
ZIP:-' q 7!t......7 a
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DEMOLISH
Awn; nc;5:.
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!, '{,ALUE:
OTHER
NAME
ADDRESS
PHONE
ARCHITECT:
CONTRACTOR'S NAME
,..-:GENERAL: S"lIV\ -T<,c
;.-
PLUMBIN(:'
ADDRESS
5' 'C'/ \
'1""' '5p~ll,c.. ?>5519.J2i/1..., t",.
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caNST.
co. NT RACTO R .
8'O'l-z 2.
EXPIRES
7-/6 -01
PHaNE
- 7~6- 7//7
MECHANICAl'
~~ECTRICAI' Srll7A ..
PLUMBING I MECHANICAL
NO FEE CHARGE I Nn ~~~ (":I-IARnl=
Single Fixture I Furnace/burner & vent
<100.000 BTUs
Relocated Bldg. I Furnace/burner & vent
(new fix. addll! > 100.000 BTUs
Water Service I Floor furnace and vent
It.
Sanitary Sewer I Suspended wall or floor
It. mounted unit heater
Storm Sewer I Appliance Vent
It. separate
I Stationary evap.
Backflow DevIce cooler
I Vent Fan/Single
duct
I Vent System apart
Irom AC or htg.
Mechanical exhaust
hood and duct
Permit Issuance
$10.00
TOTAL PERMIT
TOTAL PERMIT
- OFFICE USE -
HANDICAP ACCESS'
FLOOD PLAIN'
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER'
QUAD AREA:
LAND USF'
. OF BLDGS'
. OF UNIT~'
aCCY GRaUp'
. OF STaRIEP'
CaNSTR. TYPF.
HEAT SaURC.'
SQ, FT.
$/SQ. FT.
VALUE
SQ. FTG MAIN
X
SQ. FTG ACCES~
X
SQ. FTG OTH ER
x
TOTAL VALUE OF .PROJECT
PLAN CHECK FEF
RCPTN
DAT.
BY
I BUILDING PERMIT
I ."State
Surcharpe
MECHANICAL
- 7% State
Surcharae
I PAVING
I PLUMBING
1'10, State
t:iurcharoe
FENCE
VALUE $
I SIOEWALK
I CURBCUT.
OEMaLlTlON
FT.
SUBTOTAL
PERMITS
SYSTEMS
DEVELaPMENT
FT.
TaTAL PERMIT FEES I
EXCLUDING ELECTRICAl
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REQUIRED INSPECTIONS
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It Is the responsibility of the permit holder to see that alllnspectJons are made at the proper tIme. To request an inspection, call
726.3769 (recorder), state your City designated job number, job address, type of Inspection requested and when you will be ready
for Inspection. Requests received before 7:00'a.m. will be made the same working day, requests made after 7:00 a.m. will be made
the following work day.
SITE INSPECTION: To be
made after excavation, but
prior to setup of forms.
UNDERSLAB PLUMBING,
. .ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
FOOTINGS' & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel in place, but
prior to placing concrete.
CONCRETE SLAB: To be
made after all Inslab building
service equipment, conduit,
pIping, accessories and other
ancillary equipment Items are
In place but before any
concrete Is placed.
UNDERGROUND: Plumbing,
electrical, gas, sanItary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing.
POST & BEAM: To be made
prior to installation of floor
insulation, decking or floor
sheathing.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathing.
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work Is to
be covered until these
Inspections 'have been made
, and. approved;
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to placing
facing materials and before
framing Inspection.
FRAMING: To be made after
the roof, all framing, fire
blocking and bracing are In
place and all pipes, chimneys
and vents are complete and
the rough electrical, plumbing
and mechanical are approved,
INSULATlaN & VAPOR
BARRIER: To be made after all
insulation and required vapor
barriers are in place but
before any lath or gypsum
board Interior wall covering Is
applied.
FIRE & SEPARATION WALL:
Located and constructed
accordIng to plans,
LATH AND/OR GYPSUM
BOARD: To be made after all
lathing and gypsum board,
Interior and exterior, is In
place but before any
plastering Is applied or before
gypsum board.jolnts and
fasteners are taped and
finished.
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street right of
way, to be made after all
excavating complete and form
work and sub.base material in
place.
CURB AND APPRaACH
APRONS: After forms are
erected but prior to placing
concrete,
PAVING: After gravel Is In
place but prior to placing
asphalt or concrete.
SPECIAL INSPECTIONS: In accordance
Section 306-of the State Specialty Code
a special Inspector shall be employed
by the Own'erl Contractor during
construction of the following work, A
copy of the speclal.testing. reports shall
be furnished to the Building Division.
STRUCTURAL CONCRETE: In
excess of 2509 PS.!. (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
HIGH STRENGTH BaLTING:
During all bolt Installation and
tightening operations. (306
a.6)
SPRAYED aN
FIREPROaFING: U.BG.
Standards 43.8.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
GLU.LAM BEAMS: Inspection
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 U.B.C.
STDS. 25.10,11).
STRUCTURAL MASaNRY: (306
a.7)
"In addition to the inspec.
tlons specified, the Building
Official may make or require
other Inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
SITE PLAN REVIEW BOARD: Must be requested 2 days In advance
of the date you wish Inspection. All project conditions such as
landscaping, parking lot striping, etc, must be completed before
requesting this inspection,
FINAL BUILDING: Requested after the final plumbing, electrical,
mechanical and Fire Department Inspections are made and
approved, No occupancy of the premises can be made until a
Certificate of Occupancy has been Issued by the Building Division
and posted on the premises.
PLANS REVIEWED BY
DAT~
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that ai/Information
herein 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 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 project 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 construc,lon.
Signature
VALIDATION:
AMOUNT RECEIVED'
RECEIPT ":
Date
DATE PAID'
RECEIVED BY'
.........
. bmitted hes the tollowing
The tallowing prOlect ~s S~u;re specific land use
zonmg. and does no ra
approvel.. ^' &
ZOning. / u ~ CJ1>
225 FIPTH STREET If) \ 0
SPRINGFIELD, OREGON '91411. cKt,J
INSPECTION REQUEST: A:)\l!~iZ3'1~nature-
OFFICE: 726-3759
3.
1. LOCATION OF INSTALLATION Il' .
J'/// a;/:k~al~~l -_11T"1rj'rtr/J!...C>R A.
LEGAL DES~rfION .
ELECTRICAL PEIUIIT APPLICATION
Ci ty J ~b NWllber Ill- b ,,<., ~ D ---
COMPLETE FEE SCHEDULE BELOW
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular Dwelling
Service or Feeder $ 40.00
JOB DESCRIPTION
1'11.. ''\\ :_ ;; I _J brJt, ~ ' r.'/Jt
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 B. Services or Feederl>
, . Installation, Alterations
.Electrica1 contract~r5.,il:1.r1':::> 711~t//CF or Relocation:
Address x'~..ri~..d?J//,t,N J.~-u/'/", _ .::i::Kitz- 200 amps or less
/7" . . 'I 201 amps to 400 amps
City (/I.lr~r> !Shone 7./t, -'7//'7 401 amps to. 600 amps
. 601 amps to 1000 amps
Supervlsor License Number ;,i.:t::? ~ IA Over 1000 amps/volts
. Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Expiration Date /n_/)/-/)~
- . -
Constr Contr. Number %I'JI..:?2
C. Temporary Services oi-Feeders
Installation, Alteration or Relocation
7-/h -/f':;/
Expiration Date
200 amps' 'or less
201 amps to 400 amps
Signature of Supervising Electrician Over 401 to 600 amps
-->-- <' ~ . Over 600 amps or 1000 vol ts
r----~/~".... .'X .
./ . _ / D. "')jranch Circui ts
r Owners Na. me_if'" -<J.p l )1"". if ,<>~/?.... H1/"~
~ New, Alteration or Extension Per Panel
Address
$ 40.00
$ 55.00
$ 80.00
see liB" above
"
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
City Phone
$ 2.00
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
E, Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation S 40.00
Sign/Outline Lighting ~:3 $ 40.00
Limited Energy/Res -..-- $ 20.00
Limited Energy/Comm $ 36,00
5, SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
Owners Signature:
DATE:
RECEIPT #:
RECEIVED BY:
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~CONCRETE WALL
2'-2"-
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AWNING CONmlcnON:
'")(1")(.063 ALUMINUM SQUARE TUBE FRAME
800MA DOUBLE lAMP FIllTURE 1 to ~OLT
CO~ER 1$ 16 OZ VINYL
AWNING TO BE SECUREO TO CONCRETE WAll
WITH 3/8")(6" RAWl CONCRETE miD ANCHORS
THRU FRAME AT 10 LOCATIONS 6 ON TOP AND 4 ON BOTTOM
~Vl.t. ""SUN-TEe SIGN SERVICE INC.
~~ 85519 DILLEY LN. EUGENE OR 9740e
I.JI<AWN In DATE
ERIC COWGER 12117/99
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AWNING CONmJCTION:
I' X I' X .063 AWMINUM SQUARE TUBE FRAME
SOOMA DOUBLE lAMP FIXTURE 1 to VOLT
COVER IS 16 OZ VINYL
AWNING TO BE SECURED TO CONCRETE WAll
WITH 3/S" X 6' RAWL CONCRETE STUD ANCHORS
THRU FRAME AT 10 LOCATIONS 6 ON TOP ANI> 4 ON BOTTOM
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~~ 85519 DILLEY LN. EUGENE OR 97405
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ERIC COWGER 8102/00
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