Loading...
HomeMy WebLinkAboutPermit Electrical 1995-01-13sarrilN(:FtELO :rDts +, gl-ogl The lollowing proiect zoning, anO-O6es,noi PBRXIT APPLICATION 0i! 9qt ) 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