HomeMy WebLinkAboutPermit Electrical 1997-03-13225 FTYTH STREET
SPRINGFIELD, OREGON 97471
INSPECTION REQI.'EST .. 726-37 6
OFFICE: 726-3759
5r'. ,iFtELO
Ln{ELECTRICAL PERHTT APPLICATION
f'/r Ci ty Job Numbe, ?2A2 I
COHPLETE FEE SCffiDTILE BELOV
Nev Residential-Single or
Multi-Family per dvelling unit.
Service fncluded:Items Cost
1000 sq.ft. or fess
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
$ 40.00
The followir
zoninq, anc
f:!3:Q
1 ION
LEGAL DESCRIPTION b2o
JOB DESCRIPTION
E
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI.,ATION ONIY
Electrical Contractor
LOCATION OF TNSTAILAT
/ /d. 1/ .37,t /-4
Ci ty_ Phone
Supervisor License Number
Expiration Date
Expiration Date
Signature of Supervising Electrician
0vners N
Address i 4,)?A,l. .42
Ci ty Phone ? r'/-r'sz
OSNER TNSTALLATION
The installation is being made on
property f ovn vhich is not intended
for sa1e, lease or rent.
0rrners
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps _
401 amps to 600 amps _
601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect OnIy
Temporary Services or Feeders
Installation, Alteration or Relocation
3
A
Sum
Add ress--
B
C
$ s0.00
s 60.0c
s100. 00
s130.00
s300.00
s 40.00
200 amps''or Ie
201 amps to 40
Over 401 to 60
Over 600 amps
$ 40.00
amps
-
S 55.00
amps
-
$ 80.00
1000-toTTs see "B. above
SS
0
0
or
D. Branch Circui ts
Nev, Alteration or Extension Per Panel
One Circuit L--' $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
SUBTOTAL OT ABOVE
5Z State Surcharge
3% Administrative Fee
TOTAL
35*
E. Miscellaneous (Service/feeder not inctuded)
-Each instal-Iation
Pump or irrigation _Sign/0ut1ine Lighting_
Limited Energy/Res
Limited Energy/Comm
? <0Q,\.)
-7g
/,(2rz v,oo
$ 40.00
$ 40.00
$ 20.00
s 36.00
5
------u---7-RECEIVED
tur
,*
fi'zt 7
Constr Contr. Number
<n/,0
Permit #
Address:
Issued by Date V/>'=:>
Statement: lnformation Notice to Property Owners
About Construction Responsibilities
Note; Oregon Law, ORS 701.055(4), requires residential construction permit appli-
cants who are not registered with the Construction Contractors Board to sign the
following statement before a building permit can be issued. This statement is required
for residential building, electrical, mechanical, and plumbing permits. Licensed
orchitect and engineer applicants, exempt from registration under ORS 701.010(7),
need not submit this statement. This statement will be filed with the permit.
Fill in the appropriate blanks and initial boxes I and2, and either box 3,A. or 3B
l. I own, reside in, or will reside in the completed structure.
2. I understand that I must register as a construction contractor if the structure is sold or offered for sale
before or upon completion.
3,A'. My general contractor is
(Name) Contractor regis. #
I will instruct my general contractor that all subcontractors who work on the structure must be
registered with the Construction Contractors Board.
OR
38. I will be my own general contractor
If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors
Board. If I change my mind and hire a general contractor, I will contract with a contractor who is
registered with the CCB and will immediately notify the office issuing this building permit ofthe
name of the contractor.
I hereby certiff that the above information is correct and that I have read and do understand the Information
Responsibilities on the reverse side of this form.
3-/&?7
permrt applicant)
(lVhite copy to issuing ogency permit file,
pink copy to applicant)
Notice to Pro
(si (Date)
w
4
l, ,nforrnatiod Notice to Property rlwners
'\'-
-\itt:; !ltt'. i:ifi;rtr;Ltliott.\'i;i'i., IL, ?rO/t,t'lt ( )',tttt.ri t-{bOr.i{ {'itrt.tit tti;lit;tt /la,s7;onsihilitie.t
. lr'.'i.{ dt'rtlt;pctl h1,the {lfniyruhttm€.otztructot's l}ourtt ir at;t'<;rr}ttrir:c x'ith ()R,\:il1.055{5).
]{,ltruilfrr.\eulg1art1 1lr,..iblerrrsb1 buiuga\\arcol'thcliillouingrespoil>ibilrtiusxndareasol uguccrn., .-..it .;r ---'. i:' .
.-i EUIPLOYERRESPO]f$iB|LfTIES: , . ",
ct'rnstruction or ir:lpr x e rncnt ola re^sidcrrlial struclure^ 1"ou rvill. in rriost inslances. be rulccl to be an eniplol,er ar':d rhe pcr.ple
you hire u'ill he emp,nveer. As the bnrployer. you ntust comply rvith thc f,rllorvins:
Orego*'tlvithholtli;rgt*lxtralv: Asanemplo.ver.,vornllusrwithholdincon:etaxestj'onrbmpk-rleewa$esatthetirne etnplovees
are paid. You will bt: liable lirr the tax pavments even i{'.vou don't acCIally rvithhold the tax from -vour emplove es. Iror rnore
iltlrrrtttatiort.eal|ihc{)rcgilnI)ept.ofRevel}ueatq45.80ql
Unemploymext insul ance tax: As an empl<)yer. you are requircd to pay a tax for unemplcly*rent insurance purposes on the
\\'agesofallemploy'e es. Formore infonpatiqn-caU.the,Qfg&oB l:rnpioyJpent-Departryrentat3TS=3524". ] iii ,: iti J
Workers'compensrtioninsurance: Asanernploye6ypgaltqybre_qllotheOrpgonW.orflgp'f.o+n9qsatlo|larv,andnrffi
obtain workers' cotnFlensation insurance fbr yr:ur e rnployees. Ifyou fail to r:lrtain .,vorkers'cr:lnpensation insurance, you nia],,
besubjecttopena[tie:,anduillbeliabletbrallc.laimct-rstsifoncof'lourernployeesisiniuredontheiqb. Formoreinformation,.
.oriiri. WurtJis"cnrrrpensari.n ni'tsioir at ih*. Derrirt*i*;r olct,iiiiili"ld,,a'n,i.ii,"sri6r",ifertft q+i:.7r8iil ' j
...ri:.il.,i;:,.j- .i,,,).._., t.,t:.!,
U.$.lnternalRevenrre$en'ice: Asanemployer,yourrrustrvithholdt'ederalincoine taxfromemployees'rvages. Yourvill!g.-
liabieforthetaxpaynrentBven ifvoudidn'tactuallywithholdthetax. Formoreintbrmalion:eilllthe'lhterfralRevenu6S"*1.*
|
trTHfR RESPS}{SIBILITIESAND AREAS OF CONGHRN: .
that nral' be hrought t r \ olr:" :r1k'rrtitirl thrtrrri:h inspecl.ions
Liahili$ antl propel t-v damxgc insur*nce : Cr>ntact y.oul insurancc asenr 10 sec if y.ou have adequate insurance.c,r'*ru*" ,o)a..
accideut$ ancl omiss,ions such as falling toolso paint e-vsrsplay, rvat4r darnage tiom pipe pqnctures" fire. or rvork that rnust be
re-done.
Tintetosupcn'iseerrplorers: l\lakcstrre -r'otr hlrcsLrlficienttirttctosrrp,:rrise -\()Lu'el)rplL'l\ccs.!:
trades: arid to noti$- bLrilding officials at the appropriate timesio thel. can perfrrrm the required inspections. ' I i
. I -:. .(-:
Ifyoulraveadditiona questi()r'rs.uriterrrcall theConstruction(.ontraclorsBoard(P0Box1'+140,Salem.OIt.')7309-5051.
503/.i78-"162i;. 'ftle 3r--rarel is h"ru:atecl at 700 Surll:ier St. NL Suite 300, in Salem. \ __
plop-{)\\ ll.p,n'1
1i94
CITY OF OBEGO'V
SPF.-'GFIELE,
D EV ELOP M E NT S ERVI CES DE PARTMENT 225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-37ss
FAX (s41) 726-368s
March 10,1997
Jim Ragel
l42C 30th Street
Springfield, OP.97478
Subject: Occupancy Inspection at 1420 3Oth Street, Springfield, Oregon.
Proposed Use: Furniture Refurbishing
Dear Mr. Ragel,
At your request, the Community Services Division/Building Safety conducted an
inspection of the building at the above address. The purpose of the inspection was to
determine the suitability of the building for the proposed use as indicated.
Based on the proposed occupancy, the existing conditions which are mentioned below do
not meet the minimum Building Safety Code requirements. Corrective measures must be
taken prior to occupancy to install, repair, replace or modi$ the following items in order
for the building to conform to applicable safety codes:
Building
1. One 2A-10lb fire extinguisher is required for every 3000 square foot of floor area.
Fire extinguishers should be wall mounted 4 feet above the floor. Please coordinate
location with the City Fire Marshal.
2. Residential use of the property is not allowed. A Planning department approval is
required if you wish to have a night watch man on site.
Planning
Anytime a business changes use or expands by less that 50%o or 10,000 square feet,
Minimum Development Standards apply. The proposal to change the use at 1420 30th
Street to a furniture repair/refurbishing business triggers MDS review. The following
improvements are needed in order to meet the MDS standards:
1. Screen any outdoor storage of materials
2. Provide a sight obscuring fence between the Residential property to the north and the
site in question.
3. All parking and circulation areas must be paved. Parking spaces must be striped with
wheel stops installed where parking abuts landscaping, sidewalk or structure. The
required number ofparking spaces for the proposed use is 1 space for each 500 square
feet of gross floor area (manufacture and assembly) and 1 for each 1000 square feet of
gross floor areas (warehousing). A minimum of four (4) parking spaces are required.
If you need further information or have any questions regarding the above requirements,
please contact me between the hours of 8:00-9:00 a.m., 1:00-2:00 p.m. or 4:00-4:30 p.m.
at726-3759.
Sincerely,
*-
7rr"rtth,%lL/
Tom Marx
Building Inspector
cc:Dave Puent, Community Services Manager/Building Official
Lisa Hopper, Building Safety Coordinator
TM:hk
:,1'fiilvcF/Lt- D, ofi 9/4/7
(s4t) 726-37ss
FAX (s41) 726-368e
OCCTIPAITCY TNSPECTTON APPLICATION
CITT OP SPRINGFIELD BTIII.DING DIyIsIoN================================================================================
DATE: 2 -/o- q'7
JOB NUMBER:
ADDRESS OF INSPECTION: / /Jo ,{)\3c //
OIJNER:
t -1C2Zo31 co20 /
PHONE NUMBER: 7r'/- ,/ /33
OIINER' S ADDRESS:,qr27E
\APPLICANT:
APPLICAI,IT,S ADDRESS: " (
FOR ACCESS TO PROPERTY - TELEPHONE NUMBER:
================================================================================
PROPOSED USE:
A S35.OO INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION
THIS APPLICATION FORM MUST BE SIGNED BY THE OUNER OF THE PROPERTY TO BEINSPECTED.
FOR OFFTCE USE ONLI
2-'/d - 77DATE PATD:
DA?E OF INSPECTION:
DATE OF CERTIFICATE OF COMPLIANCE:
COMMENTS:
RECEIPT NUMBER:
DATE OF REPORT:
PROPOSED FLOOR PLAN REQUIRED AT TIME OF ApCfiCATTON
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