HomeMy WebLinkAboutPermit Electrical 1994-04-26225 YIYTE STREET
SPRTNGPIBLD, oREGoN 97477
INSPECTT0N REQUESTz 726_3769
0PPICE: 726-3759
1 I OP INSTALI,.ATION
JOB DESCRIPTION
. Number 599 44
Expiration Date 4-29 94
Sig,rt ature of s1 ng r 1Cl:Ut
Ovne am
Address
The installation is being made onproperty I ovn vhich is not lntendedfor sale, lease or rent.
Omers Signature:
DATE:
sPr---r( .LD
EIJCTRTCAL PERHIT
City Job Nuober
1000 sq.ft. or less
Each additional 500sq. ft or portion
t hereof
Each Hanuf,d Home or
-
Hodular Dvelling
Service or Feeder
B. Services or Feedbrsfnstallation, Aflerationsor Relocation:
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps
-601 amps to 1000 amps-
over 1000 anps/vo1ts
-Reconnect Only
COHPLETE PEB SCEEDI.'LE BELOU
Nev Resldential-Single orHulti-Family per.dvelling uni t.Service fncluded:' ftems Cost
3
A
Sum
Parmits are non-transferable and expireif vork is not started vithin 180 diysof issuance or if vork is suspended for180 days
2. CO}ITRACf,OR TNSIALI.ATION O}ILr
iilectrical ContractorADT SECURITY
$ 8s.00
$ 1s.00
s 40.00
s 50.00
s 60.00
s100. 00
$ 130. 00
s300.00
s 40.00
Address 703 NE HANCOCK
City PDX 972L2 phone 284-3265 x22
Supervisor License Number 893 JLE
Expiration Date 10-1-96
Constr Contr
26-209 cLE
C. Temporary Services or'FeedersInstallatlon, Alteratlon or Relocation
200 amps or less ,
201 amps to 400 amps
-0ver 401 to 600 amps
-Over 600 amps or 1000-El[s
Branch Circuits
SUBTOTAL OP ABO\T85f State Surcharge
TOTAL
ee rrBrr a66IF
E. oo
$
s
$
s
40.!00
5s.00
80.00
citv =$ /p /= Phon.2-4a,'8y'o/
O9NER INSTALIJITION
D
B.
Nev, Alteration or Extension per panel
One Circuit S 35.00
Each AdditionalCircuit or vlth Serviceor Feeder Permlt g .2.00
Hiscellaneous (Service/feeder not included)
-Each installatlon
Pump or lrrigatlon SSign/Outline Lighting- SLimited Energy/Res
-
SLimlted Energy/Comm $
36. 00
-
I.80
-
37.80
00
00
00
00
40.
40.
20.
36.
5
REgEIVED
'7
AT RM
CITY OF OBEGO'Y
SPRINGFIEE5)
D EV ELOPM ENT S ERV ICES D EPART M EN T
28 April 1994
Borden Chemical
470 S. 2nd Street
Springfield OR 97477
me at 726-3735.
SincerelY '
225 FIFTH STREET
SPRINGFIELD, OR 97477
(503) 726 s75s
FAX (503) 726-s689
{tr,,rr,r }Yste'ru
*q,40j1>
Dear Business Ovner:
Recently an electrical -permi!^r1" taken out in your name for the installation of
an alarm system i"""i"a'at 470 s. i"J Street, Sbringfield 0R' The City-of
Springfiela requiiei aII alarm users to obtain in alarur system license'
springfield city code section 8-L5-3 states in part thatrrno person shall be an
alarm user vithoui-oUt"ini,g. fi""n".';. An alarm user is defined as'rany
person or business vho has iontroi-of-"n alarm- installed on premises"' The cost
for this ricense-i"'"-on"-tlo," fle "t s+0. r have enclosed a copy of the alarm
system code for Your reference'
The alarm systems are licensed and regulated by- the city in an effort "to reduce
false afarms to the city of springri"ia poti"" Department caused by human error'
neglect, poor a""ir,"i"git"l al'"igi' improper-instruction or improper
installation.,,
-i-t" ori", intor*i;i";-i;-irtirized by our porice Department in
case the alarm is activated. i;-;; emergency "itr"iion this information can be
"ia.i-ina n"fps reduce response time considerably'
please complete the enclosed application form and return it along vith the $40
Iicense fee to:
CitY of SPringfield
Business Licensing
225 Fifth Street
SPringfield 0R 97477
If I may be of any assistance to you or if you have any questions, please call
il,W** &t:*r-.
Melanie Davson
Business License SPecialist
Enclosures
COM M ERCIAL/ I N DUSTRIAL
PERMIT APPLICATION
225 Fitlh Street, Spri ngfield, Oregon 97477
SPflINGFIELf'
LOCATION OF PROPOSED WORK:4'-r sr. z4
ASSESSORS MAP:/7e3 3{ 3 7 TAX LOT:
to@
PHONE
STATE:ZIP
c
2^{72CITY:
ADDRESS:
OWNER:
NEW
-
REMODEL ADDITION DEMOLISH OTHER VALUE
DESCRIPTION OF WORK:
ARCHITECT
NAME ADDRESS PHONE
ADDRESS EXPI RES PHONE
V,caai?t,
CONTRACTOR'S NAME
MECHANICAL
ELECTRICAL:
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
PLUMBING
NO.FEE CHARGE
Single Fixture
Relocated Bld
(new fix. addtl
I
)
Water Service
ft
Sanitary Sewer
ft
Storm Sewer
ft
Backf low Device
TOTAL PERMIT
MECTIANICAL
Nn FFF CHARGE
Furnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
>100,000 BTUs
Floor furnace and vent
Suspended wall or f loor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan /Single
duct
Vent Sys
from AC
tem apart
or htg.
Mechanical exhaust
hood and duct
Permit lssuance s10.00
TOTAL PERMIT
- OFFICE USE -
ZONING* OF UNITS:
HANDICAP ACCESS:
FLOOD PLAIN
LIGHTING POWER BUDGEI
WATER HEATER:
LAND USE:
OCCY GBOUP:
* OF STORIES;
QUAD AREA:
* OF BLDGS:
CONSTR. TYPE:
HEAT SOURCE:
SQ. FT,$/SQ. FT.VALUE
X
X
X
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
PLAN CHECK FE^E RCPT#DATE BY
25,7s
BUILDING PERMIT PLUMBI NG DEMOLITION
5% State
Surcharge
5% State
Surcharge
MECHANICAL ruA tE@/./o, e3
FENCE
VALUE $
5% State
Su rcharoe ,?r SIDEWALK
FT.
SUBTOTAL
PE RM ITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTRICAL
JoB NUMBE " ? /g SEC
INSPECTION LIN E: 726-3769
OFFICE: 726-3759
TOTAL VALUE OF PROJECT-
rt is the responsibirity or the permit norol ," ":.=,:,Ylf:""i1:::::'J:]: tn" p,-op.' time ro request an inspection, carr
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 ROUGH PLUMBING, PAVING: After gravel is in
made after excavation, but ELECTRICAL & place but prior to placing
prior to setup of forms. MECHANICAL: No work is to asphalt or concrete.
be covered until these
UNDERSLAB pLUMBING, inspections have been made SPECIAL INSPECTIONS: ln accordance
ELECTRICAL & 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
FoorlNGS & FouNDATIoNS: E,EE., 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, ail steel in ptace, but framing inspection' srRUcruRAL ooNCRETE: ln
prior to placing concrete. FRAMING: To be made after excess of 2500 PS.l. (306 a.1)
coNcRErE sLAB: ro be f[J;:liilJ'3['Jlfut],? ,, srRUcruRAL wELDS:
made after all inslab building place aid all pipes,ihimneys Performed on the iob. (2722t)
service equipment, conduit, and vents are complete and
:H[,';;""",T;H:"; ?i:i:'5J :i:';::li]tTl:,X'iJ;[:::: Bl?Xf],?::*oT*,1"*lHX".
in place but before any tlghtening operations. (306
concrete is placed. INSULATION & VApOR a.6)
BARRIER: To be made after all
UNDERGROUND: Plumbing, insulation and required vapor SpRAyED ON
electrical, gas, sanitary sewer, barriers are in place but FIREPROOFING: U.BC.
storm sewer, water and before any lath or gypsum Standards 43-8.
drainage lines. To be made board interior wall covering is
prior to covering or filling applied. SpECIAL GRAD;NG,trenches.
,NDERFL..R: p,umbins ll::,S'"'"'f;m'Jfl[[f "' iX:iUtiii#il:'5Jb'i]'"i.
electrical, mechanical. To be according to plans. Chapter 29)
made prior to installation of
floor insulation, decking or LATH AND/OR GYPSUM GLU'LAM BEAMS: lnspection
floor sheathing. BOARD: To be made after all Certificate by an approved
lathing and gypsum board, agency' furnished to the City's
posr & BEAM: To be made interior and exierior, is in Building Division before
prior to installation of floor place but before any beams are placed' (2501 u'Bc'
insutation, decking or floor plastering is applied or before STDS' 25-10'11)'
sheathing..vvlriltvgypsumboardjointsandfasteners are taped and STRUCTURAL MASONRY: (306
FLooR TNSULATToN & finished' a'7)
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.
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.
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
construction work to ensure
compliance with the Building,
City or Development Code.
By signature, I state and agree, that I have caref ully examined the completed application and do hereby certify 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 Springf ield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY
will be mide 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.
nsure that all required inspections are requested at the propertime, that project address is readable from the
t card is located at the front of the property, and the approved set of plans will remain on the site at all
1l=-<) q 4DateK,"atu re
times during c stru ct i on.
I further agree to
street, that the
---T----T
Z-fr 7f
VALIDATION 2-2
RECEIVED BY:
DATE PAIDAMOUNT RECEIVED
RECEIPT S:
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 proiect conditions such as
landscaping, parking lot stri ping, etc. must be completed before
requesting this i nsPection.
FINAL BUtLDING: Requested 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.
ADDITIONAL COMMENTS:
PLANS REVIEWED BY DATE
, CTTY OF OBEGO'U
sPrtr -rELo
225 PTYTB STREET
SPRTNGPIE[D, oREGoN g
INSPECTION REOUEST:
OPPICE: 726-3759
1
does not require specific land use
Zoni L ttt
ctf
N.
BIJCTRICAL PERXIT
City Job Nunber
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps
-601 amps to 1000 amps-
0ver 1000 amps/volts
-Reconnect Only
zoning, and
aPproval.
'4 '/
,,s,OP TNSTALIATION
-2 ^//
3.SCEEDUIA BBLOV
A. Nev Resldential-Single orHulti-Family per.dvelling unit.
Service fncluded:
ftems Cost
1000 sq.ft. or less
Each additional 500sq. ft or portion
t hereof
Each Hanuf,d Home or
-
Hodular Dvelling
Service or Feeder
s 8s.00
s 1s.00
s 40.00
Services or Feeders
Ins tallation, Aflerations
or Relocation:
Sum
JOB DBSCRIPTION
AT.A SYSTEM
2 CONTRACTOR INSTALI.ATION ONLI
iilectrical ContractorADT SECURITY
Address 703 NE HANCOCK
cir PDX 972L2 phone 284-3265 x22
Supervisor License Number
Expiration Date I0-1-96
893 JLE
Constr Contr. Number 5gg44 :i
Expiration Date 4-29 94
Signatu of rlclan
0vn
Address
Ci ty
permits are non-transferable and exoireii vork is not started vithin 190 daysof lssuance or if vork is suspended ior180 days.
pnone 71(t- 81O/
OUNER INSTALT,ATTON
The installation is being nade onproper,ty I ovn vhich is not lntendedfor sale, lease or rent.
Oyners Signature:
Temporary Services or'FeedersInstallation, Alteratlon or Relocation
200 amps or less
201 amps to 400 amps
-over 401 to 600 amps
-Over 600 amps or 1000-TolEs
D. Branch Circuits
Nev, Alteratlon or Extension per panel
One Circuit S 35.00
Each Additional
Circuit or vlth Serviceor Feeder Permit S .2.00 .
Hiscellaneous (Service/feeder not included)
-Each installatlon
B
s s0.00
s 50.00
s100.00
$130.00
s300.00
s 40.00
C
40
55
$
s
$
s
.'0q
.00
80.00
ee xBx aFvf
B.
5. SUBTOTAL OP AAOVE5f State Surcharge
TOTAL
Pump or lrrigatlon
Sign/0u t Iine Ligh ting-Limited Energy/Res
-
Lirnl ted Energy/Comm
s 40.00
s 40.00
s 20.00
$ 36.00 36.00
DATE:
ll iA
RECEIVED
225 FIFTE STRBET
SPRTNGFIEID, OREGON 97477
SPtltHGrlELO
:. BLECTRICAL PERT{IT APPLICATION
c)INSPBCIION REQITBST: 726-3769 .7
0PPICE: 726-3759
1 LOCATTON OF INST'4 1o 2 ncl
I,EGAL DESCRIPTION
r-)3 as33 0ro oa)
.JOB DESCRIPTION
Permits are non-transferable and expireif vork is not started vithin 180 days
of lssuance or if vork is suspended for
180 days.
2. COI{TRACTOR INSTALI,ATION ONLY
City Job Nunber
,-',' ,..!)2g^P21* 3.COHPI,ETB FEB SCffiDTII,B BBLOV
ALIATIqN ''" Q-:-t\;-afrTEr-singre or
Multi-Family per dvelling unit.
Service Ineluded:
Electrical Contractor C,
Address .0.
thereof
Each Hanuf'd Home or
Hodular DweIIing
Servlce or Feeder
B. Services or Feeders
fnstallation, Alterations
or Relocation:
Items Cost Sum
$ 8s.00
$ 1s.00
s 40.00
s100.
s130.
$300.
$ 40.
1000 sq.ft. or less
A.,cu;b; Each additional 500
sq. ft or portion
c1 Phone 't+i -A3L
Supervisor cense Nunber rbs6s
Exp iration Date i0 - r- 95
Expiration Date t0-
Signature of Supervlsing Blectrician
Ovners Name ,minr. I
Address ttlO sL',. I
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps
-601 amps to 1000 amps-
Over 1000 amps/volts
Reeonnect Only
a
00
00
00
00
00
00
$ s0.
$ oo.
$40
$ss
$80
see0voTTs
c.Temporary Services or Feeders
Installation, Alteration or Relocation
,D.
E.
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100
Branch Circuits
.00
.00
.00uBu a56E
not included)
40.00
40. 00
20.00
cit
OVNER
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
Ovners Signature:
DATB:
Nev, Alteration or Extension Per Panel
one circuit I S 35.00 .75. c,o
Each Additional
Circuit or vith Serviceor Feeder Permi t I $ 2.00 _fup
Miscellaneous ( Serviee/feeder
-Each installation
Pump or irrigation $Sign/outline Lighting- $Limited Energy/Res
-
$Limited Energy/Comm $
SUBTOTAL OT ABOVB
5Z State Surcharge
TOTAL
,{,
Phone l+b -gLut
,l5
CITY OF OREGO'V
RBCEIVED
constr Contr. Number 039t9
I