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Home My WebLink AboutPermit Electrical 1993-10-07225 FTFTB STREET SPRINGFIELO, OREGoN 97477 INSPECTION REQUEST I 126_ OFPTCE: 726-3759 Cos t s 8s.00 s 1s.00 s 40.00 s s0.00 $ 60.00 s100.00 s130.00 $300. 00 s 40.00 Authorized Signatu1. LOCATTON OP INST ALI.A?ION SCMDULE BELOV I tems 1000 sq.ft. or Less Each additional 500sq. ft or portion t hereo f Each Hanufrd Home or - Modular DweIIing Service or Feeder Services or FeedersInstallation, Alterations orRelocation: 200 amps or less 201 amps to 400 amps - 401 amps to 600 amps -601 amps to 1000 amps- over 1000 amps/volts -Reconneet 0n1y I.EGAL DESCRIPTION JOB ON A. lJev Residential_Single orHulti-Family per avltting unit.Service fncluded: Sum .r\ f't t t )rrl Permits are non-transferable and expire i. f vork is not s tarted vi thin iaO a"y,of issuance or if vork is suspended for180 days. 2. CO}TTRACf,OR INSTALI^ATION ONLY B Electrical Contractor Address p o '/. I )/ Ci ty Phone H ?q @az Supervisor License i.rdmber 2? 7O - S Expiration Date I O constr contr. Number L{)ct (o Expiration Date l>lt g2> Signa ture of sing Electrieian Ovners Name Address Ci ty nnone 7J[- .!33S- OVNER INSTALI,ATION The installation is being made on property I own vhich is not intended for sale, lease or rent. 0vners Signature: Temporary Services or FeedersInstallation, Alteration or Relocation C 200 amps or less 201 amps to 400 amps -over 401 to 600 amps -0ver 600 amps or 10001;f,r One Ci rcui t I S Each Addi tional Circuit or vith Service or Feeder Permi t I S Hiscellaneous ( Serviee/feeder -Each installation Prrmp or irrigation S Sign/outtine Lighting- S Limi ted Energy/Res S Limi ted Energy/Comm S SUBTOTAL OF ABOVE 5X State Surcharge TOTAL .00 .00 ilBr above 3s.00 75 OO 2.00 ) .OO not included) 40.00 40. o0 20. oo 00s40 $5s Ssos see [!N) D. Branch Circui ts Nev, Alteration or Extension Per Panel E il oA DATE: RECEIPT T: t.as I RECEIVED BY: t0 \CB c20-\ 5 2.R RS PERXTT APPLICATION Ci ry Job Nusrber Q Zi t 4b \,,t )"lt ,r^^^ l4,l COMM ERCTAL/I N DUSTRIAL PERMIT APPLICATION 225 Fifth Street, Springfield, Oregon 97477 SPRINCFIELO 200 South Mill Street, SPringfield LOCATION OF PROPOSED WORK: 17 03 35 32 ASSESSORS MAP: 13r//3? h, JCB NUMBER INSPECTION LINE: 726-3769 OFFICE: 726-3759 780 1 TAX LOT: 726-4335PHONE: OresonSnrinpfiel d ztp:9t-4ll-5-49-E-STATE: 15 1 North Fourth Street I^Iillamalane Park and Recreation District CITY: ADDRESS OWNER: Interior wall construcEionrrest room reconstruction and patio stairs NEW -- BEMoDEL x ADDtrtoN DEMoLISH orHER $25,000VALUE DESCRIPTION OF WORK: I P}.IONE EXPI RES PHONE ??- "?/5/Ka,/rve CONTRACTOR'S NAME ARCHITECT: ELECTRICAL: ADDRESS 1551 A Oak Street, Eugene, Oregon 97405 CONST. CONTRACTOR # G ENERAL: PLUM BI NG NAME John Amundson FEE CH,I.RG ENO. /a 7-+Single Fixture ft. n ce Iix. addt er Relocated B Sanitary Sewer ft. Storm Sewer ft. Backtlow Device TOTAL PEBMIT MECHANICAL NO FEE (:I-IA FIGF I Furnace/burner & vent i <'100,000 BTUs Furnace/burner & vent >100,000 BTUs Flooi' f urnace and vent I Suspended wall or f loor mounted un!t l'eater l Aooliance Vent separatelI Stationary evap. cooler t Fan/Single c uct i Vent SysI lrom AC tern apart or htg. i I Mechanical exhaust hood and duct Permit lssuance $10.00 TOTAL PERMITfu.* _ OFFICE USE -53Dc\C,Btr-) * OF UNITS: LAND USE LiGHTING POWER BUDGET: LIANDICAP ACCESS: =LOOD PLAIN ZONING CONSTR. TYPE: HEAT SOURCE: OCCY GROUP: # OF STORIES OUAD ABEA: g OF BLDGS: SO. FT.VALUE 252>a' TOTAL VALUE OF PBOJ SQ. FTG MAIN SO. FTG ACCESS SO. FTG OTHER PLAN cHEcK rer //8 83 RcPr cet= 8-?:-2-Z -Di, %ry BUILDING PERMIT ,?r- *PLUM B I NG 7a,--DEI'viOLlTlON 5% State Surcharqe 2 -s>5% State Surcharge .1.so MECHANICAL FENCE VAi-UE SIDEV/AI..K FT. 5% State Su rcharqe SUBTOTAL PERMITS PAVING CURBCUT rT SYSTEMS DEVELOPMENT +R 2/O.5=TOTAL PENMIT FEES EXCLU D I I'JG E LEC,TRICAI- v AJATER HEATER: $/SQ. FT. - REOUiRED TNSPECT!ONS It is the responsibility of the permit hotder to see that all inspections are rrrade;rt the prc'per time. To request an inspection, call 726-3769 (recorder), state your City designated job number, job address, type of inspcction requested and when you will be ready for inspection. Requests received before 7:0O a.m. will be made the same working day, requests made after 7:00 a.m. will be made the following work daY. slTE INSPECT|ON: To be - x ROUGH PLUMBING, PAVING: After gravel is in made after excavation, but ELECTRICAL & place but prior to placing prior to setup of forms. d4{CHAtrll€I* No work is to asphalt or concrete. be covered until these UNDERSLAB pLUMBING, inspections have been made SPECIAL INSPECTIONS: ln accordance ELECTBICAL & and approved. section 306 0f the state specialty code MECHANICAL: To be made _ a special inspector shall be employed before any work is covered. ATTIC DRAFT STOPS & by the Owner/ Contractor during CURTAIN WALLS construction of the following work. A Y FoorrNGS & FoUNDATToNS: E,DEbr A^E. r copy of the special testing reports shall To be made after trenches are FIREPLACE: Prior to placing be furnished to the Building Division. excavated and forms are facing materials and before erected, all steel in place, but framing inspection' srRUcruRAL CoNCRETE: ln CONCRETE SLAB: To be made after all inslab buildlng service equipment, conduit, piping, accessories and other ancillary equipment items are in place but before any concrete is placed. UN DERGROUND: PIumbing, 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 f loor 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. 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. INSULATION & VAPOR BARRIER: To be made after all insulatlon 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. V LATH AND/OR GYPSUM BOABD: 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 ioints and fasteners are taped and f inished. 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 p.lace. CURB AND APPROACH APRONS: After forms are erected but Prior to Placing concrete. excess of 2500 P.S.l. (306 a.1) STRUCTURAL WELDS: Performed on the job. (2722 f) HIGH STRENGTH BOLTING: During all bolt installation and ti !,hteni ng operations. (306 a6) SPRAYED ON FIREPROOFING: U.B.C. Standards 43-8. SPECIAL GRADING, EXCAVATION AND FILLING: During earlhwork. (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. srDS. 25-10,11). STRUCTURAL MASONRY: (306 a.7) 'ln addition to the inspec- tions specif ied, the Building Official may make or require other inspections of any construction work to ensure compliance with the Building, City or Development Code. orior to olacioo concrete.//ei,Z 47r/,7 -/ By signature, I state and agree, that I have caref ully examined the completed application and do hereby certi fy that all 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 hereln, 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. DateSignature mhatecdadSreSreadJblaro heathermNStionteareUtedpee,proESatthdtredqprotoreeUensrerequpecurthag alm onn he e a areanSdSCoplhandheeprovepthatpertY,procardocatedthhepermi tirnes ring constru VALIDATION EAMOUNT BECE RECEIPT *: DATE PAID RECEIVED "Y F|NAL PLUMBTNG u FINAL ELECTRICAL FINAL MECHANICAL V FINAL FIRE DEPARTMENT SITE PLAN REVIEW BOARD: Must be requested 2 days in advance of the date you wish inspection. All proiect conditions such as landscaping, parking lot stri ping, etc. must be completed before requesti ng this insPection. FINAL BUILDING: RequestecJ 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. V ADDITIONAL COMMENTS: - PLANS FIEVIEWED BY D^rE ?8-% ISstreet,