HomeMy WebLinkAboutPermit Electrical 2002-12-6
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.. 225 FIFTH STREET. SPRTNGFIELD, OR 97477 . .PH:(541)726-J753 . FAX: (541)726-3689
ELECTRICAL PER...IY1JT APPLICA110N
City Job Number DZ-6D 'ZZ5J -01 Dale n \ \01 D'2
j:OQiiION of. tvsiill~4T.1.0N(":
1. " ,- 3.
'\~ - ~"~~-1J~() --~~~:ra.~~c\' 'w ~=
LEGAL DESCRIPTION J7031SliO 00/00
JD~ r:i .?~ .:".0n-\-v",\ Ser.ice Included
JOB DESCRIPTION 1000 sq. ft. or less ,
I J r.Wa tollOw1ng
01) V.:J.ir..l.t:. ~cc.",." c.o",+,oI , f,*b,Bddll~ia'!Rnu1utllor
I Toe 10\\Owlng p~~~e~1!IiQ"itli~'6rr...-:'"
Permits an: non-transferable and expire ifwQrK ~n\s'L9' and d Each Man~CJJ-lorn... 8.
started within 180 days of issuance or if work is apPfo\lal. . 9 MnA'II~ Bwell1A.~etvice
zonln - I" u'" A
Suspended for 180 days" der'
2.C('J~7;RA~Q~~Nj,1AH1TfO~ON})Y:,", d SI,a~W~~~'~;.:~';,.' '
-.. .. , .. ' , , ..., , AutliOflze ,... ..
Electrical Conrraclo, ~~-\-c-O{\, \nL- _ 200 Amps or less $ 63.00
201 Amps to 400 Amps ~75.00
Address 1'1. L.S ~W .'1-r-n'A;>_ \U. 401 Amps to 600 Amps . ,e. \K\.l !-25.00
f'.. \\\~ ~,
601 Amps to 1000 Amps \~t.. \\ '~l~ \~ 163.00
Over 1000 Amps/Vo&,\. t..'I-'? ~ '?\"'~_~ ~~"'.s375.00
ReC!\\~.on~ ~~~ &.~ ~~~t.: ~50.QO ,_
c.~~~~~~~~a~~n ," "" """,',
~ Q~~~ \)~ '?
200 ~~ ~~s $ 50.00
201 A\\\ps 10 400 Amps $ 69.00
401 Amps to 600 Amps $100.00
Over 600 Amp. or 1000 Yolts see "B" above.1,) \0
",.. "", "........" ~_e.'1v 'e,\~ ....." ..
D "B;'illj<hCircl1ii~. ,'.c<, :,;;(eQ.'l\ ~:;'\~\i~~'\.;';ti: ~,
. ..... ", ...., .. , -..' !'IIC."" ''Of;;'''''' .....-,t....
~.,()le~O, .,\ne ~lese' r;:{v"l-
New Alteralion@r.'Extension~Pe' ParielS '1?t 9'6~' '0'1
~f-\'" " '000\'-. "nOS\:: . - :n oil' ",,!'IS
Olte C:'irc~ II,)\eS ~\el. \\\fO,}g "'1'\12$ 'I3.0Q,
\0\\0 \iO\,Ce _.00'\0 O~\e':>v' e\a~\\O"'Of\
Each Addiii~nal~GiFc~it O"wilh C .,,' \\\e~ \n"\-;\Ca.\\
."v- '" ~~- . ,)",- I~O\'<" ~",
Servi~,e, '51F.e~~fJ,i~er1nitf:\\.al. " ,\\i\\\~, \l)~'OO . ' ' " , .
... .. t"':nO." ..~~.G~ ..."..~(\'CI',~",...",...I. . ...., .' '.
E. j\1jSCellac~":IHs.:(~~;i.~,tI~""l'~(!,ot.iiicliided.>'~r::.,Ch ] o,5t",111I t,iun :
P ". ~l~~'oel ~U;'~W,\~ \ _u ' , ... . , "
ump or It., gallon $ 50.00
SignlOutline Lighting $ 50.00
Limited Ene'gylResidential.,.._ $ 25.00
Limited Energy/Commercial ,/ $ '15,00 L..\ 'S. bD
City 7Qv'..\.\avv!..
Phone ';So...,. 1o.'>..p,-'1~
Supervi.or l.iccu.e Numlxr 'K \ \" 'S'8 L~
Expiration Date 10.10\ ) <:::>5
COltso'. Conrr, Numbe, ld-\~'-\ \
~1)(J~\
Expiration Date
:ASUP:ViSing
Owners Name ~../2L. ..s,l......r~
Address ZSb G-,-~..J..,..j' dIAL. ~
Ciry ~1t:;N"~ Phone b'il6 - IZl{Z
OWNER INST ALLATlON
The installation is being made on property I own
which is nol intended for sale. lenst or rent.
Owners Signalure:
Inspection Req nest: 726-3769
~002
"' .'
C01\1iPLETEF!':i::t.PtED[TLElJIW?"", ,,>q, :,:_~..,
A. ,'..N~w,ilesiden:!t~i.o.~ S!~$I~i;i,'J\1~,iii~r~m(ly~r~ ~';elli~~ ~~ ~ if'. .~~'
$106.00
$ 19.00
$50.00
1nsiafl~ti~n~ Aii~t~t;;;ri~iiiReici~~iiil~; " :
. . :'," ,.. -"": . ..... ON" .. "H.:' :'H" .": :~ ~ ":..': : . ,"
Minimum Electric Pe~~.it Inspection Fee is S45.~~ + SU,rchilrges
.. ... .. .
'I.
,,$UBTOiAiOFAHOVF: ,",'
. . . . . . -. .
'"1'5:",:.,;, ' .. ,:
.. ~..
" '.,,,"
:',1$
'~.(..D
""',\ :-;~
7% State Su,charge
8% ^dminisu"ative fee
TOTAL
Shar~ Drh,'c(T:)JBuilditlgForm!i!Electricfl:1 Pc.nnit Application (O-Ol.doc
.
.
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: 02-00881-01
ISSUED: 11/20/2002
APPLIED: 07/23/2002
EXPIRES: 06/11/2003
VALUE: $ 5,467,000.00
Status: Issued
225 Fifth Slree!, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 110 International Way
ASSESSOR'S PARCEL NO.: 1703154000100
Spr
TYPE OF
Office
TYPE OF USE: New Commercial
PROJECT DESCRIPTION: Professional Office Bldg, ZAlning: CI, Foundalion & sitework for new office bldg.
Building plans submitled for permils 818102 dim
Owner: Pacific Source Health Plans
Address: 250 Country Club Road Eugene OR 97401
Contractor Type
Architect
General
Eleclrical
I\lechanical
Owner
Plumbing
Sewer
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
P'rimary Construction Type
Secondary Construction
# of Bedrooms:
SETBACKS
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Slree t
Storm Sewer Available:
Special Instruction:
Noles:
I CONTRACTOR INFORMATION I
Phone Number: (541) 686-1242
Contractor License Expiration Date
Robertson Sherwood Architect to
C UlfBS IIOU
1996 LL on laW reo. . Utility
Builders Electric Inc !l..iiEN1\ON..oreg dbytheoregon tforttl
Comfort Flow Heating <ic31low rules adopt\tlOse rules are S~'2.001'
Pacific Source Health Plan~iCation center'1 0 ttlfOUgtl OAR 9 \es by
Twin Rivers Plumbing~O~AR 95'2.001.00 ain COpies of tne r~one
Delta Construclion Co.l~nn(\ YoU may o~t _ ,"'nIl'!: ttle teIB~. _~"nn
- - ._~. ....-. '\Ity 'xv.....
BUII:;DING INF.ORMA:rION..' _'2344).
nUl\1IJ'" . - r Ie 1_13UU'''''Z
# f St r:Df\te. - 2
o orles:
Height of
Type of Heal:
Waler Type:
Range Type:
Energy Path:
Lol Size:
Sq FI 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carporl:
Sq Ft Other:
1m pervious Surface Area:
-~
'DEVELOPMENT INFORMA~fl"'l't\t. ~~1
~O~\t.~\1.?'t\t>.\.\.~~~~\S'~t.~~~~\\
\'t\\fi:\l~~~~~S t>.\!lt>.~~ lite
~O~:~~~'l1\10t).
t>.~~K:overage:
B
II-N
!pUBLIC IMPROVEMENTS I
Phone
(541) 342-8077
(541) 687-9445
(541) 485-0922
(541) 726-0100
(541) 686-1242
(541) 688-1444
(541) 688-2233
592,416
60,928
REQUIRED PARKING
Total:
Handicapped:
Compacl:
Sidewalk Type:
DownspoutslDrains
1 of 7
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
Desc r;ption
Bid Amount
Bid Amount
Type of Construction
Use Bid Amount
Use Bid Amounl
Fee Description
Commercial Plan Check
Fire & Life Safety Plan Review
Commercial Plan Check
Fire & Life Safety Plan Review
8% Admin Fee - Electrical
8% Adminislralive Fee - Plumbi
8% Building Administralive Fee
Additional Driveway
Address Assignment
Backflow Prevention Device
Foundalion Only
New Curbcul
Number of Fixlures
Paving
Planning Plan Review
Sanitary Sewer Foolage
Stale Surcharge - Electrical
State Surcharge - Plumbing
Slate Surcharge For Building P
Storm Sewer Footage
Temporary: 20 I to 400 Amps
Waler Service Foolage
-Mechanical Issuance Fee-
+ 7% Stale Surcharge
+ 8% Administrative Fee
Add, Aller, Exlend Circ Ea Add
Air Handling Unil Up to 10,000
Boiler/Comp 3-15 Ii P
Building Pe,mit
Fixture
Furnace - up to 100,000 blu
Gas Outlets 1-4
Heat Pump
Perm Sen-/Fdr 1000 ampslvolls
Perm Serv/Fdr 200 amps or less
Perm Sen-/Fdr 201 to 400 amps
Planning Final Occy Inspection
.
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: 02-00881-01
ISSUED: 11/20/2002
APPLIED: 07/23/2002
EXPIRES: 06/1112003
VALUE: $ 5,467,000.00
I Valuation Descriotion ,
$ Per Sq Ft
$1.00
$1.00
Amount Paid
$1,924.59
$1,184.36
$13,215.90
$8,132.86
$5.52
$54.48
$94.91
$35.00
$8.00
$14.00
$1,186.40
$75.00
$224.00
$2,015.15
$55.00
$73.00
$4.83
$47.67
$83.05
$255.00
$69.00
$115.00
$10.00
$1,334.32
$1,524.94
$1,230.00
$16.00
$44.00
$17,767.75
$1,134.00
$24.00
$4.00
$12.00
$375.00
$504.00
$300.00
$11 0.00
Square Footage
5,467,000.00
837,000.00
Value
$5,467,000.00
$837,000.00
$6,304,000.00
Date Calculaled
11/1412002
11/1412002
Total Value of Project
I Fees PaidJ
Date
Receipt N urn ber
Received By
7/23/02 10019
7123/02 10019
818/02 10241
818/02 10241
9113/02 10598
9113/02 10598
9/13/02 10598
9/13/02 10598
9/13/02 10598
9/13102 10598
9/13102 10598
9/13102 10598
9/13102 10598
9/13/02 10598
9113/02 10598
9/13/02 10598
9/13/02 10598
9/13/02 10598
9113/02 10598
9/13/02 10598
9113/02 10598
9/13/02 10598
11/20/02 1200200000000000275
11120/02 1200200000000000275
11/20/02 1200200000000000275
11/20/02 1200200000000000275
11/20/02 1200200000000000275
11/20/02 1200200000000000275
11/20/02 1200200000000000275
11/20/02 1200200000000000275
11/20/02 1200200000000000275
11/20/02 1200200000000000275
11/20/02 1200200000000000275
11/20/02 1200200000000000275
11/20/02 1200200000000000275
11/20/02 1200200000000000275
11120/02 1200200000000000275
2 of 7
Status:
Issued
225 Fiflh Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Storm Drainage Impervious Area
Vent Fall
+ 7% Slale SUI'cha'ge
+ 80/0 AlIministrative Fee
Low Voltage - Commercial Indus
Total Amount
Enginl'l'rillc-C/III'
Eneinl'l'rint!.~C/I/P
Eneinl't.'rillt!,.C/I/P
Fire Dl'lwrtlllcllt Review
Fire Marshal-CII/P
10/0212002
.
$10,000.00
$60.00
$3.15
$3.60
$45.00
11/20/02
11/20102
12/17/02
12/17102
12/17/02
$63,374.48
I Plan Reviews I
08/29/2002
09111/2002
09/1912002
09/3012002
09/11/2002
.
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: 02-00881-01
ISSUED: 11/20/2002
APPLIED: 07/23/2002
EXPIRES: 06/11/2003
VALUE: $ 5,467,000.00
1200200000000000275
1200200000000000275
1200200000000000420
1200200000000000420
1200200000000000420
Appr PO
Pend PO
Foundation & Site only
Waiting for fonndatlon plan to be
issued
Appr PO
OK AG
1. Fire department connection shall
be mounted between 18 inches and
48 inches above grade.
2. Fire line shall be Installed and
tesled per NFP A 24.
3. Call for piping Inspection prior to
backfilling.
4. Call for pressure testing and
nusing of underground fire line,
minimum 56 seconds at hydranl;
verify minimum fire now
requiremenls with now tesl.
5. Fire hydrant shall be fitted with a
5 inch slorz type seamer porI fitting
compatlable with City of Springfield
Fire Oepartmenl fitting.
6. Combustible construction will not
be permitted until the on site fire
hydranl has been installed, lested,
and approved.
7. Pipe under driveway shall be
buried a minimum of 3 feet per
NFPA 24.
8. Provide sign.ge at FOC.
Foundation & site only
Appr AG
3 of 7
Status: Issued
225 Fifth Slrccl, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fire I\lar,hal-C/III'
.
09/2312002
4 of 7
.
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: 02-00881-01
ISSUED: 11120/2002
APPLIED: 07/23/2002
EXPIRES: 06/1112003
VALUE: $ 5,467,000.00
Appr AG
Plan review - New Conslruction of a
65000 sq ft, 2 slory, office buildiug.
Type II-N(sprinkled ) construction.
1. Provide fire sprinkler plan
submittal for review and approval
by Ihe City of Springfield Fire
Marshal's Office.
2. Provide submittal for review and
approval by the City of Springfield
Fire Marshal's Office of Ihe FM 200
clean agenl suppression system.
3. All Assembly rooms shall be shall
be posted with Ihe maximum
occupancy load permitled in
accordance wilh Arl. 1007.2.6 of the
19980SSC.
4. Provide Special Inspection
certification and testing
documenlation from an Oregon
registered Electrical Engineer
verifying egress Iighling meets all
requirements of Article 1003.2.9 of
Ihe 1998 OSSC.
5. Areas of Rescue Assislance shall
be provided in accordance with
Article 1107 of the 1998 OSSC.
Provide plan submitlals and cuI
sheels specifying equipment,
drawings, locations and other details
specified in Article 1107 of Ihe OSSC
for review and approval.
6. Rooms numbered 220,221,222
show an egress path through more
Ihan one inlervening room. Please
provide verification Ihallhe design
shown meets the requirements of
Article 1004.2.2 of the 1998 OSSC 0'
redesign to meel the requirements of
this article.
7. Exit slgnage shall comply wilh the
requirements sel forlh in Article
1003.2.8 of Ihe 1998 OSSC.
Occupancy will not be granted if the
requirements of this article are not
met. For inslance, page E-2 of Ihis
submittal does not show the required
number of means of egress signs for
the ist Door M uitl Purpose room.
8. Provide a fire alarm plan
submittal for review and approval
. -~r~PI~' ..... -
"""'!l:' .
~"'-.",
, ,..~
Status:
Issued
225 Fifth Street, Springfield, OR
541.726.3753 Phone
541-726-3676 Fax
541-726-37(,9 Inspection Line
Initial Review-C/IIP
Initial Review-C/IIP
Planning-C/I/I'
Planning-CII/I'
Revised Plan Review - SIre
Revisl'd PI:IIIS lleccivedlRo
.
01/01/2005
10/1512002
07/24/2002
08/09/2002
07/24/2002
10/15/2002
10131/2002
. CITY OF SPRINl.NJ<..Lu
Building/Combination Permit
PERMIT NO: 02-00881-01
ISSUED: 11/20/2002
APPLIED: 07/23/2002
EXPIRES: 06/11/2003
VALUE: $ 5,467,000.00
by the City Fire Marshal's Office.
9. All duet deledors within the
building shall be monitored by Ihe
fire alarm panel. Please provide
specifications and cuI sheets for the
duct deleetors including mounting
and manufacturers lesting
inslructions with the fire alarm
submittal.
10. FM 200 system shall be
monitired by Ihe Fire alarm panel.
II. Provide address #'s on Ihe
building clearly visible from Ihe
slreet and eonlrastlng In color with
their background.
12. Provide a Knox Box keyed entry
system above the right fronl door
jamb ( or In a location approved by
the Fire Marshal) Ihe Knox shalll be
supplied with a Masler key for the
building. Conlact the City Fire
Marshal's Office for a Knox box
applicalion.
13. The underground, fire line,
on-site hydranl and olher
appurlenanl equipmenl shall be
Inspected, and approved by the Fire
Marshal's Office In accordance with
NFl' A 24 prior to the
commencemenl of combuslible
construction.
14. The fire lane shall be marked
wilh signage or curb painling in
accordance with article 901.4.5 of
Ihe 1997 Uniform Fire Code.
Appr LH
Appr LH
Appr AD
Plans for struclure submitted
Needs LDAP prior to issuance of
foundation permit.
Corrective LDAP must be resolved
prior 10 building permit Issuance
Response to Tom Rogers letter from
Robertson/Sherwood Architects Fed
Ex'd 10 Tom Rogers. Letter daled
10/15/02 from John Bramwell and
Included structural calculations. See
job file for copy of letter.
Received from architect, engineer's
response to plan review comment
struclural item #4. Faxed 10 Tom
Rogers.
Pend AD
10 LLH
10 DLM
5 of 7
.
~.~~FI~.....
! l.
-
, -
Status:
Isslled
. CITY OF SPRINGFIELD'
Building/Combination Permit
225 Fiflh Street, Springfield, OR
541-726-3753 Pholle
541-726-3676 Fax
541-72(,-:17(,9 IlIsperlion Line
PERMIT NO: 02-00881-01
ISSUED: 11/20/2002
APPLIED: 07/23/2002
EXPIRES: 06/1112003
VALUE: $ 5,467,000.00
Struclurnl Rt'\'il'w
10/01/2002
10 DM
Strurttlr"I-C/111'
Slructtl ral-C/III'
08126/2002
Appr TR
10 TR
SUB - ClIIlI 111/1 lid
08/20/2002
Wait JF
SUB - CfI III 111/1 lid
08/2112002
Appr JF
FedEx'd Exiting Plans for bolh
floors to Tom Rogers 10/01/02 dim
Foundation and site only
Fed Ex'd plans and specs for
building
Building envelope and hvac pass.
Lighting cnrrenlly has failed.
Calculations appear to indicale that
Ihe planned interior Iighling load
exceeds the budgeted allowable
wattage by 2,697 watts. Have placed
a call wilh Builders Eleclrlc to work
out the Iighling situation. Will
nolify building when matter Is
resolved. J. Foster
Lighling issues have been resolved
for now and can pass the lighting
portion of review
To Rl''i uesl all inspection call the 24 hour recording at 726-3769. All inspection 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.
I Reouired Insnections I
I \Jr,'r Electrical Ground: Install ground rod al fooling and call for inspection in conjunction with footing andlor
foulIdation inspection.
2 Fuul ing: Arter trenches are excavated.
3 Fouudalioll: After forms are erected but prior to concrete placement.
4 111:<II'rgroulld Plumbing: Prior to filling Ihe trench and including required tesling.
S SlOrlll Sl'\nr Line: Prior to filling trench.
6 I.'l:(ll'rgrollnd Electric: Prior to cover
7 Waler Line: Prior 10 filling Irench and including required testing.
8 Fiual Building: After all Conditions have been completed as required on Development Agreemenl.
9 Slah: To be made after all inslab building service equipment, conduit piping and other equipmenlllems are in
plal'l' hilt prior to concrete.
10 (';:'C Ikparllllrllt Sprinkler System: Prior 10 cover. Hydro pressure test, fire line flow lest.
II Fil'( Ih'parllllrlll Underground Sprinkler System: Prior 10 cover. Hydro pressure lesl, fire line flow tesl.
12 BoilS Installrd in Concrete: To be done by a Slate Certified Special Inspector. Provide inspecllon tesl reports 10
Cily BlIildill~ Inspector.
13 I' "ugh Cradiug: After gravel is in place but prior to placing concrete.
14 I""all'al'ing: Aftcr paving is complele.
IS TI'llIporal')' E1rrtric: Approval required prior to Utility Company energizing pole.
16 S,"';lal')' Srwer Line: Prior to filling trench and including required testing.
17 Framing Insprction: Prior to cover and after all rough in inspecllons have been approved.
18 \V:llllnsulalinn: Prior to cover.
19 Ctiling Insulation: Prior to cover.
20 Houling: Priur to installing any roof covering.
21 D:'~,'wall: Priur to taping.
22 1';I'(\\'all: tell'atrd and constructed according 10 plans.
23 ]\1...'10111)':
6 of 7
.
.
CITY OF SPRINGFIELD'
Building/Combination Permit
Status:
Issued
PERMIT NO: 02-00881-01
ISSUED: 11120/2002
APPLIED: 0712312002
EXPIRFS: 0611112003
VALUE: $ 5,467,000.00
225 Fiflli Sln'l'l, Sprillgfield, OR
541-72(,-.\75.\ I'hollc
541-72(i-.\(,7(' Fa,
541-72; -37~~ Inspl'l'fion Line
24 :',,;lin~ Grid: Afler drywall approval but prior 10 eover.
25 1',,,-,)' ..I II d", 1''' To be done by Certified Speial Inspector. Provide Inspection results to City Building Inspector.
26 :;, "'llllral Wdds: To be done during construction by Slate Certified Special Inspector. Provide inspection lest
n:sulls In Cil~' Uuilding Inspector.
27 Sperlnl: $"l' Plan Reviewer or Inspectors Notes for specific requirements.
28 ~;pl'l'i,d: Sl'l' Plan Reviewer or Inspectors Notes for specific requirements,
29 ~;p,'l'ial: S"l' Pia" Reviewer or Inspectors Notes for specific requiremenls.
30 I, i'lnIBllildillg: After all required inspections have been requested and approved and Ihe building is complele.
31 SUB Finnl: ,lfll" all required energy inspeclions have been requested and approved.
32 l 'n~kdloor I'lullIhing: Prior to insulation or decking.
33 1"""I~h 1'111 IlIliillg: I'rior to cover and including required testing.
34 1';,1'11 I'llImhing: When all plumbing work is complele.
35 R(llIgh eas: ,....rll'r Ii"e is installed and required lesting and eapped ifnot attached to an appliance,
36 (; ., S,'n'Irl': .-1 fler line is inslalled and line has been connected to a minimum of one applianee including required
1'~Slillg. Pn'slIrc test done at this point.
37 HllllgI11\h'(,:hallil'al: Prior to Cover
38 J-'i:!':i en" lI'hell all gas work is complete.
39 1".llIl :'ll'l'IJallical: \Vhen all mechanical work is complete.
40 ~;: "~I ,\ ",,,Ii a II i"a I: Following City Rough Mechanical inspection approval and prior 10 any cover.
41 I' 1I!,'1l EIl'l'lrk: Prior to Cover
42 1:'l'c.rk Sl'nkl.": Approval required prior to utility company energizing service.
43 Fi'l,'; Ell'l'lrir: \Vhen all electrical work is complete.
44 :,,;l: C,'ilin~ C;l'id: Interior Lighting
45 Cnrht'lIl - Stalldard: After forms are erected but prior to placement of concrete.
46 C ,''':''"1 - Sl'",,,,,I: After forms are erected bul prior to placement of conerele.
47 1"J11~11 Ell'I.'lrk: Prior to Cover
4X F"','ll'il'Sl'n'it'e: Approval required prior to utility eompany energizing serviee.
49 I,' i E1l'l'lrit': When all electrical work is complele.
SO I.l'w Vtlllagl.': I'rior to cover.
By sigl'l"l' "e, I sl a It' a nd agree, that I have earefuDy examined the eompleted application and do hereby eerlit)' that all
infol'lll"';'''' Iien'oll is I rue lllld eorreet, and I further eertify that any and all work performed shall be done in aeeordance
with I:,.: enlin:IIIl'l'S IIi' the Cily of Springfield and the Laws of the Slate of Oregon pertaining to the work deseribed
hen'ill, ,,"d I h:ll NO OCCUPANCY will be made of any strueture without permission of the Community Serviees Division,
Builllil": ~;ali:')'. I ro rlhel' cerlit)' that only conlrac\ors and employees who are in eomplianee with ORS 701.005 wiD be
used O:l U. jo.; projl't'l.
I furth:' ,":r" tOl'IIS0re that all required inspeelioDS are requested al the proper lime, Ihat eaeh address is readable from
Ihe "1'1'( . U",I t h" perm it card is located at the front of the property, and the approved set of plaDS will remain on the site
atallli! Il'\ tluring l'OIl:ilruction.
OWlwr or COlllr:Jl'lorS Signature
Dale
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