HomeMy WebLinkAboutPermit Electrical 1994-11-10
The,loHoY/lng project a9 submitted h09 the 10110\
zOning, and does not require specific land usa
approval.
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPEctION REQUEST: 726-mll 1\ -\ D -c,'(
OFFICE: 726-3759 IJ
Authorlrad Signature ~
Zoni:tg
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1. ~ ~~~~N )
, LEGAL DBSCRlI:I,ION '
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Permits are non-transfel~e and expire
if work is not started ~)ihin 180 days
of issuance or if work is suspended for
180 days.
!
2. CONTRACTOR INSTALLATION ONLY B.
Electrical contractor~~A cfd2:-#/C.
Address ,,2 7$'.?.. /'~~e:z-/'
City. &"'VPe/ Phone gf?5-.?2??
/ -'
Supervisor Licen,se Number .,25 -;ld-5
/tJ-7 :3
J 7J<:s- L
/ t)--9.3
Expi'ra don Da te
Constr Contr. Number
Expi'ration Date
Signature of Sup~s~n~ Electrician
, ~~--~
~rs Name ~\r ~ _\~ _ 'Q.~ D.
Addreft_~'\ TrwYY't\~
City~vttL{rt]hOne '
OVNER INSTALLATION
The, installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIrI ,:
RECEIVED BY:
I/LP'_~
/ J, ~ "lc,-'
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'47-
:.r....;:.....
ELECTRICAL PERHIT APPLICATION
~J
'City Job Number
A.
"ONPI RTR VRR SCHEDULE BELOV
New Residential-Single or '~'
Hulti-Family per dwelling unit. ' "
Service Included: , .
Items Cost , m
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
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 Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
'$ 40.00
C.
Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to. 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit ~ $ 35.00
Each Additional
Circuit or with Service
or Feeder Permit 7 Al!!J, $ 2.00
~ ._..!5
.,~.
/Y.~
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40,00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE q",?_ -
5% State Surcharge J'!~ ~. ys -
TOTAL 1'~ I. ':-"''?
5' <- '7'"<-
.
COMMERCIAL/INDUSTRIAL
PERMIT APPLICATION
~
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK' ,~ ;..... '.~
ASSESSORS MAP' \1'\{)L-?_c;=)L~'
.
JOB NUMBER
q#/?!)/
INSPECTION LINE: 726-3769
OFFICE: 726-3759
,~r''-1 /93c; /:J;:?,b,;>-~.-. ,47) ~
TAX LOT: ~
OWNER:~Jl4A-.> ~P~7'-<:'
ADDREr'~ ^C;~ f\, \1lf'(\0fO.' ~ )
CITY: ~LX 1 ~ STATE:
DESCRIPTION OF WORK: "f ~ 'i7' '_\" ~I I ,
NEW
REMODEL
ADDITION
DEMOLISH
NAME
ADDRESS
ARCHITECT'
CONTRACTOR'S NAME
GENERAl' \I\;L:..,;:(....n\.j ~:r_.
\..
PLUMBING'
MECHANICAL' ~
ELECTRIC"" Q-e,-v, ~ ~
v-
JJ~ rr~<;,..t.~<>.
EU:;'c!>>JI~ 9?S0S"
,
PLUMBING
I
I Nn
I
I
I
I
I
I
I
NO,
FEE
CHARGE
Single Fixture
Relocated Bldg,
(new fix, addU)
Waler Service
It,
Sanitary Sewer
It,
It.
Storm Sewer
Backflow Device
TOTAL PERMIT
PHON~'
(V AQI\pD
r:g~'T
-~
~I -
11
ZIP:
OTHER
~~s
VALUE: :5) e<9-C:>
PHONE
CONST,
CONTRACTOR'
'D~o
EXPIRES
10- 9'S'"
PHONE
b.'fS/-~411
'~t"':>~,~c
'R'f'?'72S)
MECHANICAL
.""
("~o.Dr.:1:
Furnace/burner & vent
<100,000 BTUs
Furnace/burner & vent
> 100,000 BTUs
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duct
Vent System apart
Irom AC or htg,
Mechanical exhaust
haod and duct
WJ#c: ;?'E'C;?:7~~
~ -
Permit Issuance
I
I
I
I
I
I
I
I I
I
I
$10,00 I
/~.-I
TOTAL PERMIT
~//Y,
~
QUAD AREA}.0 f\)l.l.. )
- OFFI;; U;':7\
LAND US.' Pi. J...f ..AJ
. OF BLDGF'
. OF UNITe,_
OCCY GROUP:
rr-t/ /
CONSTR. TYp.,
HEAT SOURC.'
. OF STORIEF'
SQ, FT,
$/SQ, FT,
SQ, FTG MAIN
SQ, FTG ACCESF
SQ, FTG OTHER l1~d#Z?EC
X
X
"3.., ~.j6
HANDICAP ACCESS:
FLOOD PLAI(jy' ")
, \
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER'
VALUE
TOTAL VALUE OF ,PROJECT ~ '),-?-oj;)n ,<H'J
PLAN CHECK FEf
3?-.S,;
RepT' /C; 7. 'f..,t'.)
DATE----1-I/:y1f BY p~
I BUILDING PERMIT
15% State :.~- I
Surcharge 7" :3
I MECHA~: I
15% Stal'e -{f: I
Surcharoe ;:.;)
I PAVING I
I PLUMBING
5'~.50
-;.:: -> ~
I 'S":2...
/&>'....6
#"7,-
. 7>'-
. if 5'"
5% Slate
Surcharoe
I FENCE
VAIIlE= $
I SID-EWALK
I CURBCUT
FT,
FT,
. DEMOLITION
I SUBTOTAL
PERMITS-
I SYSTEMS
DEVELOPMENT
$C>. ?'S
#4.
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
,
8 c::>; 75'
.
;,
REQUIRED INSPECTIONS
.
It is tha responsibility of the permit holder to saa that all Inspections are made at the proper lime, 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.
UNDERSLAB PLUMBING,
, ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
FOOTINGS & FOUNDATIONS:
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 Inslab building
service equipment, conduit,
piping, accessories and other
ancillary equipment Items are
In place but before any
concrete Is placed.
UNDERGROUND: Plumbing,
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 floor
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.
x
ROUGH.. .....,.,........:..
ELECTRICAL &
MECHANICAL: No work is to
be covered until thesa
inspections have been made
and approved.
PAVING: After gravel Is In
place but prior to placing
asphalt or concrete.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special Inspector shall be employed
by the Ownerl 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 P.S,1. (306 a,1)
STRUCTURAL WELDS:
Performed on the job, (2722 f)
HIGH STRENGTH BOLTING:
During all bolt Instailatlon and
tlghtanlng operations, (306
a,6)
SPRAYED ON
FIREPROOFING: U,B.G,
Standards 43.8,
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork, (306 a,11 &
Chapter 29)
GLU.LAM BEAMS: Inspection
Certificate by an approved
agency, furnlshad to the City's
Building Division before
beams are placed, (2501 UB,C,
STDS, 25.10,11),
STRUCTURAL MASONRY: (306
a,7)
*In 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,
FINAL PLUMBING
-------------------------------------------------------
)(
FINAL ELECTRICAL
y
FINAL MECHANICAL
y
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to placing
facing materials and before
framing Inspection.
/<
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.
x
LATH AND/OR GYPSUM
BOARD: 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 Joints and
fasteners are taped and
finished,
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.
SITE PLAN REVIEW BOARD: Must be requested 2 days In advance
of the date you wish Inspection, All project conditions such as
landscaping, parking lot striping, etc, must be completed before
requesting this Inspection,
FINAL BUILDING: Requested aftar 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,
y
/2
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PLANS REVIEWED BY
By signature, I state and agree. that I have carefully 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 shalt be done In accordance with the Ordinances
of the City of Springfield, and the Laws of the State of Oregon pertaining to the work descrlbad herein, 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.
t further.agree to ensure that all required Inspections are requested at the proper tIme, that project address Is readable from the
street, that the permit card Is located at the front of the property, and the approved set of plans will remain on the site at all
times during con~tr~lon.
Slgnaturo.!tJ~e:7:f!.- - Date /1-/V-51
1/-;/'0. "T </
/7 ~~-;_-~
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RECEIPT N'
AMOUNT RECEIVED: /"?-::r L"/
/'7'~2C;;;-
VALIDATION:
-~
~~ DATE
7'
/~/d-"5J Y
DATE PAID:
RECEIVED BY: