HomeMy WebLinkAboutPermit Electrical 1998-08-05225 FTFTE STREET
SPRINGFTELD, OREGON 97477
INSPECTION REQUEST. 726-3
OFPTCE: 726-3759
1
2 INSTALI.^ATTON ONLY
EIec
Add
Ci ty
Supervi
lS,
Expiration Da
Constr Contr. Number
Expi rarion Date lo/1/gB
Signat Supe ng ectrician
Name
Address
Ci ty Phone
SPFItNGFIELO
land use
ELECTRICAL PERHIT
City Job Nunber
COHPLETE T'BE SCEEDTJI^E BELOV
Nev Residential-Single orMulti-Family per dvelling unit.
Service Included:
ftems Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
$ 8s.00
$ 1s.00
Each f'd Home. or
Hod 11ing
eeder $ 40.00
B eeders
t era t ions
o
?p
200 am s s0.00
s 60.00
s100.00
s130.00
201 amp
40L amps 6
601 amps to 100
0ver L000 amps/vo
Reconnect OnIy
.00
s 40.00
C
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Addi tional s 3s.00
Temporary Services or FeedersInstallation, Alteration or Relocation
2oo amps"or less \ S 4o.oo tD201 amps to 400 amps
-
i SS.OO
over 401 to 600 amps
-
$ 90.00
Over 600 amps or 1000 vofts see ''Brr aEF
769ortzcO
ON
3
A
Sum
Permits are non-transferable and expirelf vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
r t
The installation is being made onproperty I ovn vhiih is not intendedfor saIe,, lease or rent.
Ovnersi$igna ture:
Circuit or vith Servicsor Feeder permit I $ 2.00 -fl_
Miscellaneous (Service/feeder not included)
OITNER TNSTALIJTI s1 0
E
-Each installation
Pump or irrigation g
Sign/0utIine Lightirg- SLimited Energy/Res
-
$Limi ted Energy/Comm S
SUBTOTAL OF ABOVE
52 State Surcharge
3Z Administrative Fee
TOTAL
00
00
00
40
40
20
5
DATE:
\)
RECEIVED B
zonln9"
AB
The not
\t t
COM M ERCIAL/ IN DUSTRIAL
PERMIT APPLICATION
225 Fiftn Street, Springf ield, Oregon 97477
LOCATION OF PBOPOSED WORK:
SPEINGFIELE,o1
ASSESSORS MAP:
/0 t4
L7 dEzs37
JOB NUMBER
INSPECTION LINE: 726-3769
TAX LOT:/ i,loo
PHON E:
ADDRESS:
OWNER:
CITY:SEArrtE STATE:UA
- ^126-Tl4{E o(L cofiPe)q
P, o ("5 o:,- 2444'7
=,r, Qgl2l- cd,47
r.TTw X REMoDEL ADDITIoN DEMoLISH oTHER VALUE
Eaatsra'rtoP PRow:rDESCRIPTION OF WORK:
ARCHITECT:
MECHANICALi
NAME ADDRESS PHONE
EXPIRESf\SFz
PLUMBING -teA. -
ADDRESS PHONECONTRACTOR'S NAME
G EN ERA L:
ELECTRICAL:
CONST.
CONTRACTOR #
^ 20',10
PLUMBING
NO.FEE CHARGE
Single Fixture
Relocated Bld
(new fix. addtl s
)
Water Service
ft.
Sanitary Sewer
ft
Storm Sewer
ft
Backflow Device
NO "ICE:
IHIS PERMIT SHALL EXPIRE IF TI {E WOF K
UHIZED UNDEH THIS PEFil IT IS NC T
IFOR
f,Ut r
TOTAL PERMIT
MECHANICAL
NO FFF CHARGE6Furnace/burner & vent
<100,000 BTUs
I
Furnacei burner & vent
>100,000 BTUs c.0D
Floor furnace and vent
Suspended wall or f loor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cool er
Vent Fan/Single
duct
Vent
from
System apart
AC or htg.
Mechanical exhaust
hood and duct
€m Loa
Permit lssuance $10.00
TOTAL PERMIT LL.?-U
QUAD AREA: tTTENTION:Oregon lau,mquiE}9 vou to
rules by
r.
of
occYGRouP: inoARg5r-001-o010th
0090. You may obtain
- OFFICE USE -
ZONING
HANDICAP ACCESS:
Utilityfollow rules adopted bYr OF BLDGS:ffir.Th
# OF STORIES
FLOOD PLAIN:
LIGHTING POWEB BUDGET:
WATER HEATER:-
num
VALUEFT.
TOTAL VALUE OF PROJ
Centeris 1 -800-332-2344
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
x
X
X
PLAN CHECK FEE RCPT#DATE BY
>6. LD
BUILDING PERMIT DEMOLITION
5% State
Surch 5% State
Su
M HANICAL FENCE
5% State
Surcharge SIDEWALK
FT.SUBTOTAL
PAVING CURBCUT
FT.
SYSTEM
DEVELO
S
PMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
AU II
vvtYi
PLUMBING
ade tm.
ROUG
ELE
M
REQUIRED INSPECTIONS
It is the responsibility of the permit holder to see that all inspections are made at the proper time. To request an inspection, call
726-3769 (recorder), state your City designated um ress, type of inspection requested and when you will be ready
same working day, requests made after 7:00 a.m. will be madefor inspectlon. Reguests received before
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 lnslab building
service equiPment, conduit,
piping, accessories and other
ancillarY equiPment items are
in place but before anY
concrete ls placed.
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or f illing
trenches.
UNDERFLOOR: Plumbing,, electrical, mechanical. To be
made Prior to installation of
floor insulatlon, decklng or
floor sheathlng.
POST & BEAM: To be made
on of floor
LUMBING,
CAL &
ICAL: No work is to
red until these
nspections 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 framlng, fire
blocking and braclng are in
place and all piPes, chimneYs
and vents are complete and
the rough electrical, Plumblng
and mechanical are aPProved.
INSULATION & VAPOR
BARRIER: To be made after all
insulation and required vaPor
barriers are in place but
before any lath or SYPSum
board lnterior wall covering is
applied.
FIRE & SEPARATION WALL:
Located and constructed
according to Plans.
LATH AND/OR GYPSUM
BOARD: To be made after all
lathlng and gyPsum board,
interior and exterlor, ls in
PAVING: After gravel is in
place but prior to placing
asphalt or concrete.
SPECIAL INSPECTIONS: ln accordance
Section 306 of the State Specialty Code
a special inspector shall be employed
by the Owner/ Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
STRUCTURAL CONCRETE: ln
excess of 2500 P.S.l. (306 a.1)
STRUCTURAL WELDS:
Performed on the iob. (2722 ll
HIGH STRENGTH BOLTING:
During all bolt installation and
ti ghteni ng operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43-8.
SFECIAL GRADING,
EXCAVATION AN D FILLING:
During earthwork. (306 a.11 &
Chapter 29)
GLU-LAM BEAMS: lnspection
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 U.BC.
srDS. 25-10,11)
STRUCTURAL MASONRY: (306
a.7)
TZ=
prior to installati
lnsulation, decki
place but before anY
plastering ls aPPlied or
gypsum board joints an
fasteners are taPed and
before
Ang or floor
sheathing.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made p rior to installation of
decking or floor sheathing
MASONRY: Steel location,
bond beams grouting or
vertlcals in accordance with
UBC 24'15.
ROOF SHEATHING AND
NAILING: Prlor to installlng
any roof covering.
FINAL PLUMBING
ELECTRlCAL
L MECHANICAL
FINAL FIRE DEPARTMENT
f inished
SIDEWALK & DRIVEWAY:
Required for all concrete
pavi ng within street right of
way, to be made after all
excavati ng complete and form
ub-base material inwork and s
place.
CURB AND APPROACH
APRONS: After forms are
erected but Prior to Placing
concrete.
"ln addition to the inspec
tions specified, the Building
Official may make or require
other inspections of anY
constructlon work to ensure
compliance with the Building,
City or Development Code'
SITEPLANREvIEwBOARD:MUstberequested2daysinadvance
oiinu O.t" you wish inspection. All proJect conditions such as
ii"i!""pirs1 parklng lot striping, etc' must be completed before
requesting thls lnsPection.
FINALBUILDING:Requestedafterthefinalplumbing,electrical'
mi"n"ni".f and Fire Department inspectlons are made and
approveO. No occupancy ot the premises can be made until a
C'"itfti""t" of Occupancy has been issued by the Building Division
and posted on the Premises.
DATE
ADDITIONAL COMMENTS:
PLANS REVIEWED BY
INA
By signature, r state and agree, that r have carefuily examined the completed application and do hereby certify that all information
herein is true and correct, and lfurther certify tnat any and allwork 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 occuPANoY
will be made of any structure without permission of the Building Safety oi-vlsion. I further certify that only contractors and employees
who are in compliance with oRS 701.055 will be used on this proiect'
I further agree to ensure that all required inspections are requested at the proper time, that proiect 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'
Signature Date d- 0,-98
VALIDATION:26.
03 loc:t
ECEIVED:
RECEIVED BY:
DATE PAID:AMOUNT R
RECEIPT *: