HomeMy WebLinkAboutPermit Electrical 1995-01-13sarrilN(:FtELO
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The lollowing proiect
zoning, anO-O6es,noi PBRXIT APPLICATION
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40.00
55. O0
80. o0
ee rrBrr aSoF
$ 35.00 3s,oo
$ 2.00 a8,@
I,]EGALl1n\
225 FIFTE STRBEE
spRrNGFrEID, oRBGoN 97477 approval'
LC)INSPECf,I0N RBOUBSTz 726-3769 zoni City Job Number
BBLOU
eor
MuIti-FamiIy per dr.relling unit.
Service fncluded:Items Cost Sum
1000 sq.ft. or Iess
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
s Bs.oo
$ 1s.oo
s 40.00
Services or Feeders
Installation, Alterations or
Relocat ion :
200 amps or less
201 amps to 400 amps _
401 amps to 600 amps _
601 amps to 1000 amps_
Over 1000 amps/vo1ts
Reconnect oniy
Temporary Services or Feeders
Insta1lation, Alteration or Relocation
Z Otz61>
JOB DESCRIPTION
Re.t,: t A€
Permits are non-transferable and expire
lf vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days
2. CONTRACTOR INSTALT.ATION ONIY
Electrical Contractor $[657"-2-5
B.
Ets.tlo.tc-
Address PO JTUS
ci Eohe>te ?1'{&non. G 8L -8C/.)
Supervisor License Ndmber g,fD S
Exp iration Date
Constr Contr. Number \38ZOl
c
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$
$
$
s
Expiration Date
ture of slng Electrician
200 amps or less
20L amps to 400 amps _
Over 401 to 600 amps _0ver 600 amps or 1000 volts
One Ci.rcui t I
Each Additional
Circuit or vith Service
or Feeder Permi t l+
I
+
er Name
Address E, IS|L t/
Ci ty Etlt.ete. ?'/qo l Phone 687- JU/ G
OVNER INSTALI.ATION
The installation is being made on
property I own vhich is not intended
for sa1e, Iease or rent.
0rners Signature:
DATE:
D. Branch Circuits
Nev, Alteratlon or Extension Per Panel
B. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
sign/outline Lighting-
Limi ted Energy/Res
Limited Energy/Comm
5. ST'BTOTAL OP ABOVB
5f State Surchargets*L G?, Cir{
BRECEIVED
ONEGON
4 a8,of
OFFICE: 726-3759 t-l?-q{
1. I,CATI.N 0F INSTALIATIonurhorized.93? Y{l,t t-?rp.-rr
s 40.00
$ 40.00
$ 20.00
$ 36.00
COMM ERCIAL/ ! N DUSTRIAL
PERMIT APPLICATION
225 Fitth Street, Springfield, Oregon 97477
SPFINGFIELO JoB NUMBE^ a/ ': ^7
INSPECTION LINE: 726-3769
OFFICE: 726-3759
LOCATION OF PROPOSED WORK
ASSESSORS MAP:/?a:Br-3>TAX LOT:Az/^.aa
OWNER:
ADDRESS -/'z
CITY:STATE:1:> -<ztP
DESCBIPTION OF WOFIK:
NEW- REMODEL ADDITION DEMOLISH OTHEFI VALUE
NAME ADDRESS PHONE
ARCHITECT:
CONTRACTOR'S NAME ADD
coNsr.
CONTRACTOR #EXPIRES PHONE
GENERAL:2^
PLUMBING:
MECHANI
ELECTRICAL:
Furnace/burner & vent
BTUs
Furnace/burner & vent
>1
Floor furnace and vent
u or oor
mounted unit heater
ance nt aa>
aty eva p.
coo er
ng e
duct
m apart
from I htg.
ec ca
hood and d
tu
Permit lssuance $10.00
TOTAL PERMIT
NO.FEE CHARGE
7 Single Fixture /4 tu €5
Relocated Bldg
(new fix. addtl)
Water Service
ft.
Sanitary Sewer
ft
Storm Sewer
ft
Backf low Device
TOTAL PEBMIT ?,av
E*J
- OFFICE USE _
WATER HEATER
LIGHTING POWER BUDGET:
Y OF UNITS:
LAND USE:
HANDICAP ACCESS
FLOOD PLAIN
ZONING:
OCCY GROUP:
I OF STORIES:
QUAD AREA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
SQ. FT.$/so. FT.VALUE
X
-
TOTAL VALUE OF PROJ
SQ. FTG MAIN
SQ, FTG ACCESS
SO. FTG OTHER
RCPT#
BUILDING PERMIT PLUMBING DEMOLITION
/?^ o
DATE BY
6ts*
PLAN CHECK FEE 2.9.23
5% State
Su rcharge 7..474 E5% State
Su rc harge
MECHA
VALUE $
FENCE 7
,t5% Statb
Su rcharoe :#SIDEWALK
FT.
SUBTOTAL
PERMITS /8PAVINGCURBCUT
FT.
SYSTEMS
DEVELOPMENT
76? fryTOTAL PEBMIT FEES
EXCLUDING ELECTRICAL
PHoNE: €8>*2q<
\0 f\t(,\
REOUTRED TNSPECTIONS
It is the responsibillty 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 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.
X ROUGH PLUMBING, pAVtNG: After gravet is tn
ELECTRICAL & place but prior to placing
MECHANICAL: No work is to asphalt or concrete.
be covered until these
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANTCAL: To be made
before any work is covered.
FOOTINGS & FOUN DATIONS:
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,
plping, accessories and other
ancillary equipment items are
in place but before any
concrete ls placed.
UNDERGROUN D: Plumbing,
electrlcal, gas, sanitary sewer,
storm sewer, water and
dralnage 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
prlor to lnstallation of floor
insulation, decking or floor
sheathlng.
FLOOR ]NSULATION &
inspections have been made
and approved.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to placing
facing materials and before
framing lnspection.
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
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,
interlor and exterior, ls in
place but before any
plastering is applied or before
gypsum board joints and
fasteners are taped and
f inished.
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: In
excess of 2500 PS.l. (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 f)
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43-8.
SPECIAL GRADING,
EXCAVATION AN D FILLING:
During earthwork. (306 a.11 &
Chapter 29)
cLU.LAM BEAMS: lnspection
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 U.B.C.
STDS. 2s-1011).
STRUCTURAL MASONRY: (306
a.7l
"ln addition to the inspec-
tions specified, the Building
Official may make or require
other inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
/
r
VAPOR BARRIERS: To be
made prior to lnstallatlon of
decking or floor sheathing.
MASONRY: Steel location,
bond beams grouting or
vertlcals in accordance with
UBC 2415.
RooF sHEATHING AND :HX3^HifI"t:'of"":'"
NAILING: Prior to lnstalling erected but prlor to placing
any roof covering. concrete.
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.
By signature, lstate and agree, that I have carefully examined the completed application and do hereby certify that all information
herein ls 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 Spring{ield, 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 Divlsion. I further certify that only contractors and employees
who are in compliance with ORS 70.1.055 will be used on this project.
I further agree to ensure that all required inspectlons are requested at the proper time, that project address ls readable from the
street, that the permit card ls located at the front of the property, and the approved set of plans will remaln on the site at all
times during construction.
DateSlgnature rR t lte
VALIDATION:AMOUNT RECEIVED:
RECEIPT *:RECEIVED BY:
DATE PAID:
/
x
t(
(
ADDITIONAL COMMENTS
FINAL PLUMBING
FINAL ELECTRICAL
FINAL MECHANICAL
FINAL FIRE DEPARTMENT
SITE PLAN REVIEW BOARD: Must be requested 2 days in advance
of the date you wish inspection. All project conditions such as
landscaplng, parking lot stri ping, etc. must be completed before
requesting this inspection.
FINAL BUILDING: Requested after the final plumbing, electrical,
mechanlcal and Fire Department inspectlons 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 DArE 1^4^€-
/r?22
t .JOB
NO.
ATTACHI'IENT 82
CITY OF SPRiflGFIELD SYSTEMS DEVELOPMENT CHARGE
HEET
INDUSTRIAL)
NAI'IE 0R COl'lPAl'lY:
LOCATION:23F 5H
SSIONAL OFFi
DEVELOPHENT TYPE
BUiLDING SiZE:OT SIZ
1 SToRM nRAINAGF
iMPERviOUS SQ. FT. x 0.5 x
2. SANTTARY SEI.IFR-CITY
N0. 0F PFU'S x 0.5 X
(See Reverse) -
TR.AI{SPOP.TITl Oi,I
/3 X 543.25 PiR PFU
x x $436.19 PK'EY/ouS uSE tuAS S d
Doc\o(s/ oFFtcE'
X _ X 5435.19 ptoeosed asE /s
x x s435.19 Dr?4 T/sr Ot f/aE. s
.'. lo ler ztZr456
r.tt R.tP R4fA
S
s d
. Ft.
0.5 x
0.5 x
0.5 x
S
4. SANTTARY SFltrFR-Mi'lMC
N0. OF PFU'S _x S17.i9 PER PFU + SiO Mi,.rl'1c ADI{IN. FLt
(Use PFU Total Fr^om item 2 .trbove)
Mi^lMC CREDIT IF APPLICABLE (SEE REVERSE)
, IOTAL-MWMC SDC
SUBTOTAL (ADD ITEMS 1.2.3 & 4)s ztrL /?
5. ANMTNTSTRATIVF FFES
BASE C}FRGE TOTAL
g.
E/,/7
.d6
82.SDC
Ha
i nator
05
Date: %s z7s^.zr
)( so.zoe PER SQ. FT.s d
NO OF UI'IiTS X TRiP P.A.TE X CCST PER TRIP
t
FIXTUBE UNIT CALCUL ^ TloN TABLE! Number or Nerv Fi:
(NOTE: For remodels, calcutate ont * re NET additional fixturesl
NUMBER OF
FIXTURE TYPE NE\ry FIXTURES
Barlrrub.....
Drinking Founlain.
Floor Drain
lnterceprors For Grease/Oil/Solids/E1c.................
lnterceptors For Sand/Auto Wash/Elc..................
Laundry Tub/Clothesvvasher....
Clotheswasher - 3 Or lr4ore....
Mobile Home Park Trap (1 per Trailer)......
Receptor For Refrige r arcr NJ eler Station/Etc........
Receptor For Commercial Sink/Dishu,asher/Etc..
Shower, Single Stal1..........
Shower, Gang..............
:s X Unit Equivalent = Fixture Uniis
UNIT FIXTURE
EOUIVALENT UhIITS
a
2
1,
3
6
2
6
2....S
Sink: Bar, Commercial, Residentiat Kitchen.. /.€ili.f4lk....
Urinal, SrallA{ail...
Wash Basin,/Lavatory, Sing1e.............
Toilet, Public lnsiallation.
v
TOTAL FIXTURE UI'IITS
a
dlHea
o
'l
3
2
1
2
2
1
6Toilet, Private....
Miscellaneous:
. ./.
/3
CREDlT CALCULATION TABLE:
calculate credits separates.
tsased on assessed value. lf rmprovements occurred after annexetion date in table,
Year
Annexeci
Rate per $1,OOO
Assessed Vatue
Yeer
Annexed
F,ate per S1,O00
A.ssessed Value
i979 or be'fore
1 980
1 981
19e2
i 983
1 984
I OO=
$3.46
J,J6
5.32
3.2i
3.06
)o1
z./3
i 985
1 047
1 989
'r 990
1 991
I OO2
s2.46
2.14
1.77
t.,7 I
0.97
0.61
o.44
o.15
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation datel
x s_
(Rate X Assessed Value)x s_
(Rate X Assessed Value)
/ /U€7
CREDIT TOTAL = g