HomeMy WebLinkAboutPermit Electrical 1996-08-27SPFlIl\lcFIEL(,
The following project
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Date ( '?9.4 b
ON
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require epecific land
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225 FIFTE STREET
1. LOCATION OF INST
LEGAL DESCRIPTION
-2.
JOB DESCRIPTION
SPRTNGFTELD, oREGoN 97477 .r rrr,..i
INSPECTION REQUEST Z 726-3769 *(SdSigN
OFFICE: 726-3759
BLECTRICAI PERHIT APPLICATION
b Nunber ?A//
3. COHPLETE FEE SCMDULE BELOV
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
1-000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereo f
Each Manuf'd Home- or
Modular Dvelling
Service or Feeder
s 8s.00
s 1s.00
s 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or fess
201 amps to 400 amPs
-
401 amps to 600 amPS
-
601 amps to 1000 amps-
Over 1000 amps/volts
-
Reconnect 0n1Y
C Temporary Services or Feeders
Insiallation, Alteration or ReLocation
A
B
D. Branch Circuits
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
200 amps''or less
201 amps to 400 amps
-Over 40L to 600 amps
Over 600 amps or 1000-tofT
Sum
s s0.00
s 60.00
$100.00
$130.00
s300.00
s 40.00
s see nBrr a 60ve
Permits are non-transferable and expire
if vork is not started vithin 1B0 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Elec t r i cal con t rac,". C.iS €jOnlrug,, i.?rftL,
Address I I
c
Ci pnone'l *l - A*3L
Supervisor L cense Number tbsb S
Expiration Date
constr contr. Number 0 8+9
Expiration Date -t-q
Signa ture of- Supervis Electrician
0vners Name
Address
c:,q ?h?aDt Ynone 7/4^V///
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent'
Orners Signature:
DATE:
Nev, Alteration or Extension Per Panel
gne Ci rcui t I $ 35.00 3S', OO
Each Additional
Circuit or vith Service
or Feeder Permit
-
S 2'00
Miscellaneous (Service/feeder not included)
t0 -l-q8
$ 40.00
$ ss.00
$ 80.00
E
-Each installation
Pump or irrigation $
sign/outline Lighting- q
t iilited Energy/Res
-
$
40.00
40.00
20.00
36.00
5 35' oo----lt IE-t, 05tl. 8oRECEIVED
ll tt.Cr r{\r 0
90 M M ERCIAL/ I N DUSTRtT.-
PERMIT APPLICATION
225 Fitlh Street, Springfield, Oregon g7477
SPRINGFIELO
JOB NUMBEB
INSPECTTON LtNE: 726-3769
OFFICE: 226-9759
LOCATION OF PBOPOSED WORK:lt -9o rT( o hn t/<(ud.
ASSESSOBS MAP:bTAX LOI:
OWNEFI:
PHONE:a c{-6 -3 ilIADDRESS:o k /
CITY:
0-.EI STATE:0RE6a)ZIP:?7vz 7
DESCRIPTION OF WORK LL 3-A/CU Alr
NEW .-. BEMODEL ADDITION DEMOLISH OTHEB VALUE
9Z
NAME ADDRESS PHONE
ADDRESS
EXPI RES PHON E
fce 6 '7Y6-rGAlII04077 (o-) F?7
ELECTBICAL:
GENERAL:
PLUM B I NG:
MECHANICAL:
CONTRACTOR'S NAME
AFICHITECT:
CONST.
CONTRACTOR #
Single Fixture
Belocated Bl
fix. ad
ce
ft
eweraty
ft.
er
ft
orm
Backf low Device
TOTAL PERMIT
Us
F U rn ace bu &rner vent
eFurnac bu rn &nVE
Floor furnace and vent
pen wa ormounted unit heater
nt
n evary p.
cool er
duct
e
from or
hood and duct
Permit lssuance $10,00
TOTAL PERMIT
- OFFICE USE -
LAND USE:
ZONING
LIGHTING POWER BUDGEI
/ OF UNITS:
HANDICAP ACCESS
OCCY GROUP:
I OF STORIES:
QUAD AREA:
E OF BLDGS:
WATEB HEATER:
CONSTR. TYPE;
HEAT SOUBCE:
FLOOD PLAIN;
SQ, FT.$/SQ. FT.VALUE
TOTAL VALUE OF PROJ
X
X
X
SQ. FTG MAIN
SQ, FTG ACCESS
SQ. FTG OTHER
PLAN CHECK FEE RCPT,
BYOATE
a UILDING PERMIT PLUMBING-DEMOLITION
5% State
Surch
ECHAN L
5%
u rch
5% State
Su
oo
2_o
FENC
c
SI DEWALK
FT,L
RMIPAVNGCURBCUTSYSTEMS
DEVELOPMENT
.%20TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
- REQUIRED INSPECTIONS
It ls the responsibility of the permit holder to see that all lnspectlons are made at the proper time. To request an inspectlon, call
726.376g(recorder), state your city designated iob number, lob address, type of inspection requested and when you will be ready
for inspection. Requests ieceived-before 7:00 a.m. will be made the same working day, requests made after 7:0o 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 ls 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 bullding
servlce equlPment, conduit,
piPlng, accessories and other
ancillarY equiPment items are
ln place but before anY
concrete ls Placed.
UNDERGROUND: Plumbing,
electrical, gas, sanltary sewer'
storm sewer, water and
drainage llnes. To be made
Prior to covering or f illlng
trenches.
ING,
work is to
until these
inspectlons have been made
and approved.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to Placing
faclng materlals and before
framlng lnsPection,
FRAMING: To be made after
the roof, all framing, fire
blocking and braclng are in
place and all PlPes, chimneys
and vents are comPlete and
the rough electrical, Plumbing
and mechanical are approved.
INSULATION & VAPOR
BARRIER: To be made after all
insulation and required vaPor
barriers are ln Place but
before any lath or gYPsum
board interior wall covering ls
applied.
FIRE & SEPARATION WALL:
Located and constructed
according to Plans.
LATH AND/OR GYPSUM
BOARD: To be made after all
lathing and gYPsum board,
lnterlor and exterlor, is ln
place but before anY
Plasterlng ls aPPlied or before
gYPSum board .iolnts and
fasteners are taPed and
f lnished.
SIOEWALK & DRIVEWAY:
Required for all concrete
Pavlng wlthin street right of
way, to be made after all
excavating complete and form
work and sub'base material in
place.
CURB AND APPROACH
APRONS: After forms are
erected but Prlor to Placing
concrete.
PAVING: After grPvel is ln
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 speclal testing reports shall
be furnished to the Building Division.
STRUCTURAL CONCRETE: IN
excess of 2500 PS.l. (306 a.1)
STRUCTURAL WELDS:
Performed on the iob. \2722 l)
HlGH STRENGTH BOLTING:
During all bolt installation and
tightening oPerations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.BC.
Standards 43'8.
SPECIAL GRADING,
EXCAVATION AN D FILLING:
Durlng earthwork. (306 a.11 &
Chapter 29)
GLU.LAM BEAMS: lnsPectlon
Certificate bY an aPProved
agency, furnlshed to the CitY's
Building Division before
beams are Pfaced. (2501 U.BC.
sTDS. 25-10,11).
STRUCTURAL MASONRY: (306
a.7\
UNDERFLOOR: Plumbing,
electrlcal, mechanical. To be
made Prior to installation of
f loor insulation, decking or
floor sheathing.
POST & BEAM: To be made
Prlor to lnstallatlon of floor
insulatlon, decklng or f loor
sheath i ng.
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prlor to lnstallation of
decking or floor sheathlng.
MASONRY: Steel location,
bond beams grouting or
vertlcals in accordance with
uBc 2415.
ROOF SHEATHING AND
NAILING: Prlor to installlng
any roof covering.
By slgnature, I state and agree, that r have carefuily examlned the completed application and do hereby certify that all informatlon
hereln 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 sprlngfield, and the Laws of thestate of oregon pertainlng to the work described hereln, and that No occuPANCY
will be made of any structure without permisslon of the Bulldlng safety Divislon. I further certify that only contractors and employees
who are in compllance with oRS 701.055 will be used on thls proiect'
Slgnature
r_d--a---3
,?
ctions are requested at the proper time, that proe to ensure that all required insPeI further agre ront of the property, and the approved set of plrmlt card ls located at the fstreet, that the Pe
ctlontimes duri ng
ject address is readable from the
ans will remai n on the slte at all
D^r. g- 2-7-?6
za
VALIDATION 2-2, 7 eRECEIPT T:
AMOUNT RECEIVED
RECEIVED BY:
DATE PAID:
FINAL FlRE DEPARTMENT
SITEPLANREVIEWBOARD:Mustberequested2daysinadvance
of the date you wish inspection. All proiect conditions such as
ianOscapf ng, parking lot stri ping, etc. must be completed before
requesting thls insPection.
FINAL BUILDING: Requested after the final plumbing, electrical,
mechanlcal and Fire Department inspections are made and
ipproveO. No occupancy of the premises can be made untll a
Ci'rttftcate of Occupancy has been issued by the Building Dlvision
and posted on the Premises.
\/ FINAL ELEcTRtcAL
V FINAL MEcHANtcAL-Z-
FINAL PLUMBING
ADDITIONAL COMMENTS:
PLANS REVIEWED BY DATE
'ln addition to the insPec-
tions specifled, the Bulldlng
Official may make or requlre
other lnspections of any
construction work to ensure
compliance with the Building,
_c,ty_.'' D=:l:l1tat crde' _