HomeMy WebLinkAboutPermit Electrical 1990-10-11
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SPIFIELO _,,'.... ,
225 FIPTH STREET
,SFRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
1968 Marco1a Road
LEGAL DESCRIPTION
Mr. Fonna1
. JOB DESCRIPTION
Wire tenant space
, .
Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is, suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
E~ectrical Contractor L.R. Brabham, Inc.
Address 10-0 West "Q" Street
Ci tySpri ngfi e1 d
Phone 747-6638
Supervisor License Number 14735
Expiration Da'te
1011 /92
20-87C
Constr Contr. Number
Expiration Date 10/1/91
Si~S/is:g:Zan
O N / Hillman Properties NW
"ners ame
Address900 jl Tomahawk Is1,and Drive
Ci tyPort1 and, OR
Phone 1 - 233-4111
01lNER INSTALLATION
The installation is being made on
property ,I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
~A~E~---11~~\\~tJl( )--------
RECElrl': . 0 I<,-l,~ ,-.
RECEIVED BY: e"fJ n ~ /
ELECTRICAL PERIIIT APPLICATION
Ci ty Job Number' OJ') \ \ '1 \ ,
COMPLETE FEE SCHEDULE BELOV .*"
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
3.
A.
Items
1500 sq.ft. or less
Each add i t i onal 500 '
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service' or Feeder.
B.
Cost'
Sum
$ 85.00
$ 15.00
$ 35.00
Services or Feeders (10 Branch CirCUits
included). Installation, Alterations
or.Relocation:
$ 35.00
$ 60.00 au .lJU
$ 90.00
$130.00
$300.00
$ 35.00
c.
Temporary Services or Feeders
Installation, Alteration or Relocation
$ 35.00
$ 40.00
$ 80.00
see "B" above
Nev, Alteration or Extension Per Panel
$ 35.00
$50.00
$ 15.00
E. Miscellaneous (Service/feeder not included)
-Each installation '
Pump or irrigation $ 36.00
Sign/Outline Lighting $ 36.00
Signal Circuit or
limited energy panel $ 36.00
5. SUBTOTAL OF ABOVE 60.00
5% State Surcharge 3 DD
TOTAL fi1 nn
100 amps or less
101 amps to 400 amps I'
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
200 amps or less
201 amps to 400 amps
Over 401 to' 600 amps
,Over 600 amps or'1000 volts
D. Branch Circuits
One Circuit
Tvo to ten Circuits
Each Addt'l ten or
portion thereof
~ INSPECTION LINE
726-3769
COMBIII~tr6NO~p~r~t~~:6~7~ERMIT ~ ~~~~~;~;ION LINt
EIIERGY SOURCES: Sq. Ftg. 1,Ia i n
Heat ~q. Ftg. Access.
Water Heater Sq. Ftg. Other
Ilew Add A 1ter Pep.
Range --Fence Demo Change/Use
ValuE of Hork, -Other- -
owner&~~# ~ ~W/. ~~-.,' ,
Address ...&:1.........-. ....-.: /. .x-Phone BU'-1G1nQ P~nn1t Info: DeSCflbe Work.{Le.. BUlld Slngle
-~A//~~.A(A~/tIf,~... Famllv nesldence H,th Attached Garaoel
~~...b)Ol1. ?,.iIi"?-"J"A'/ /~-ST" -L &. "-,,~...~...........~~~
Construction Lender ,11:/ ~~~,~_ f.r>~--
.
Job Address
I&}6$ .~.#A.ci:::!io?#~..!:S .
~
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Legal Description
Address
Ut::ilbN Tf.Ar~
(name)
Phone
(address)
(l ics. no.)
(I;'l(o;res)
(ohone no.")
Primary
o-I'T7.
r
laddressl
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(1;(':<;. no.'
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(p)(r'jirpc;l"""- -"" (I)~MP 1'10__'
Structural
Electrical
Mechanical
CONTRACTORS I name I
General ~'~-4'
?::ar- :;::r.;V'~
Plumbina
I Electrical
~1echanical
PLUIIB 1 NG
ELECTRICAL
MECHANICAL
NO.
FFf
CHARGE NO~
Residence of
I I:.E.L'J:IlAB.G.E. NO, I
I ~~~ I rHARG.E...
Each single fixture
furnace/burner to
SQ. F1. BTU's
Relocated building
(new fix. additional)
New circuits alts.
or extensions
Floor furnace
and vent
Sewer
ISERVICES
I
ITempOrary Construction
I'Change in existing
rp<; i qr.nI"P
Imultifamily, COIl1ll. or
Inrlustrial
Recessed wall
~n~I"P "p~tpr ~nrl vpnt
S.F. Residence
(] bath)
Duplex (1 bath) each
Additional bath
Storm Sewer
Of
amps.
Appliance vent
c:poaratp
Stationary evap.
cooler
Vent fan with
sinole duct
Vent system apart from
heatina or A.C.
Mechanical exhaust
hood il;nd rlurt.
Water service
COffiT./INO. FEEOERS
Install/alter/relocate
r1ic:t.rih_ fpprlprc:
Wood stove/heater
Of
amps.
ISSUANCf OF PFR!1IT
TOTAL CHARGES TOTAL CHARGES
WHERE STATE L\H REQUIRES that tile Electrical work be done by an
shall not be vali1 until the label has been signed by an Electrical
TOTAL CHARGES
Electrical Contractor, the electrical portion of this permit
Supervisor and returned to the Building Division
I HAVE CAREFULLY EXM1INED the completed aprlication for permit, and do hereby certify that all information hereon is true
and correct. and I further certify that any and all work oerformed shall be done in accordance with the Ordinances of the City
of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that UO .OCCUPAfKY will be made
of any structure without the permission of the Building Division. I further certify that my registration with the Builder's
Board is in full force and effect as required by ORS 701.055, that if exempt the basis for exemption is noted hereon, and that
only subcontractors and employees who are in compliance with OP.S 701.055 will be used on this project.
IWIE(pleaseprint) Ec/W,'N ~ lIo/lle'-1t:<-<ffslr,IIATURE~ t::-. 7(. ~_~~TE .-IU.>)
V
Zone .c:. <
Fire Zone
Flood Plain
FOR OFFICE USE OIIL Y
Tyoe/const.~ .units, ' Sq. Ftg, t1ain
Bedrooms . Occy Load Sq. Ftg. Access
Stories / Occy Group P~L Sq. Ftg. Other
x
Value
Value
Va 1 ue 2,-",-,0....->
x
x
BUILOING PERfllT
Charges and
Surcharges
__3_':3~~~__ ~~~~B{~~
Plan Ck.
1-~?5 30%lBldo
Fence
Conm/lnd
Ppr Fpf!
Res
Per Fee
TOTAL VALUATION
'1'.... :D_~J:;>::?
t . . Systems Development
":lJ./~ //~S"~ Char~e (J.5~) .
PLU'1BING PERMIT
Charges and
Surcharges
D~mo
'Sldewal k
AIC Paving
Curb Cut
T.9t~l,.Comb. Permit
ELECTRICAL PERI~1T
Cha rges and
Surcha rges .
I1ECHANICAL PERMIT
Charges and
Surcharges
TOTAL
"3o/./?
55". '2~
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.
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COMBINATION APPLICATION/PERMIT (CAP)
PERMIT VALIDATION
-.~ .~
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I. Applicant to furnish
A. Job Address
B. Legal Oescription " .
1. example- Tax Lot 100, Lane County'Map'Reference
11 03 43
2. exam~le- Lot 1. Block 3, 2nd Addition to
~prlngtield Estates
C.. Name;, etc. of Qwner'and' construction lender
O. Energy Sources . _ :. ,
'1. example- heat/electrical ceilinQ/Or forced air Qas
2. eXalllPle- waterheater/electrlCa (lor solar
E. Square footage or valuation, etc. -
1. example- 1250 sq. foot house, 500 sq. foot garage
2. example- if new project, check new - if addition.
check add, etc.
F. Building permit information:
1. examole - construct single family house with an
attached garage
2. example - remodel existing garage into family room
3. exam~le - convert single family residence into
restaurant (change of use)
G. Value of work as defined in Section, 303 (a) of the, '
'. Structural Specialty Code, , " ", ',;,;::?....-.-
" H: DESI6N TEAM AND CONTRACTORS ... . ., " ....., '
To avoid design or construction delays, Building
Division Staff must be able to contact appropriate
persons regarding design information or job site
corrections, etc.
II. Abbreviated Plumbing, Mechanical, & Electrical Schedules
A. Except where blank spaces occur in the description
portion of the Mechanical and Electrical Schedules,
the applicant need fill-in only the No. Boxes adjacent
to the appropriate item(s) to be installed
B. Full Plumbing, Mechanical, and Electrical Schedules
are available at the Building Division
1. To conserve space on the permit form the schedules
have been abbreviated
2. If the item(s) to be installed are not covered on
the abbreviated schedules you should consult the
fu 11 schedu 1 es
C. BUILOING DIVISION STAFF WILL FILL OUT ALL FEES AND
CHARGES ON THE SCHEDULES
D. As noted on the CAP, the label must be delivered to the
electrical contractor for Signature by his electrical
supervisor. The general contractor is.not authorized
to sign the electrical label. ---
Applicant to sign and date
Whenever possible. the initial application will be used as
a worksheet only. Where possible, Building Division Staff
will prepare a type written copy and return it to the
applicant at the time the actual permit is issued for his
signature.
IV. Fees and Charges
Plan check fees are due and payable at the time of the
application, and no plans will be processed until these
fees are paid. All other fees and charges are due and
payable when the permit is issued.
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III.
V. FOR OFFICE USE ONLY
Permit Clerk
PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPANCY:
. ,
Permit applicant exempt Jrom registration with the -Builder's Board because:
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Additional Project Information:
:.~.
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PLANS REVIEWED BY:
ri'ame'~~ i2~e?'t...signatur;~~~.i_._ date /A5'~';;h:;1
.. Required
e,
RESPONSIBILITY OF THE PERMIT HOLDER TO SEE THAT ALL mSPECTIONS ARE HADE
ADDRess IS READABLE FROII TilE STREET, AND THAT TilE PERliIT CARD IS LOCATED
BUILDING DIVISION APPROVED PLANS MUST BE ON JOB SITE AT ALL TIllES,
i~:-':--:=I
,~
IT IS THE
THAT EACH
PROPERTY,
Inspe'i'ns ..
AT THE PROPER TII'IE,
AT THE FRONT OF THE
PROCEDURE FOR REQUESTING INSPECTIONS, Call 726-3769 (recorder) state you CITY DESIGNATED JOB NUlIBER,
job .:1ddress, type of inspection re(}uested and \olhen you will be re.::dy for the inspecticn. Contractors
or owners name and phone n~~ber. Requests received before 7:00 am ~ill be made the same day, requests
received after 7:00 am will be ~de the followin~ work day.
Your City Designated Job, Number Is: 9~ /-=1' ~~ /
Job Address, /9.e:-R '~,Q/rCtt:5l.A /'5'/5
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~1I"TA"-h7 _
Contractor:
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SITE INSPECTION: To be made
after excavation, but prior
to setup of forms.
UNDERSLAB PLU~lBING, ELECTRICAL
& ~IEa-lANICAL: To be made befc're
nny ~ork is covered.
CONCRETE SLAB INSPECTION, To be
m3dc after all inslab building
service equipment, conduit. piping,
accessories and other ancillary
equipment items d~~ in place but
before any concreto is poured.
o
o
o
UNDERFLOOR:, Plumoing, 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 shec:.ting."
o
o
o
o
o
ROOF SHEATHING ~~D NAILING:
to installing any roofing.'
Prior
ROUfJl PI.U~fBING. ELECTRICAL &
HEOMNCIAL: No ""ork is to be co\'ered
until these inspections have been
made and approved.
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,Phone,
'2~Er?-:::>/r.::
, Phone:
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ATTIC ORAFT STOPS & CURTAIN WALL~,
FIREPLACE: Prior to placing facinR
materials and before fra~ing
inspection.
~PF.CIAL INSPECTIONS: In accordance ~ith
Section 306 of the Building Code a special
inspector shall be employed by the ()l-mer/
Contractor during constnlction of the
fcl]o~ing ~ork. A copy of the special
testing reports shall be furnished to the
Building Division.
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STRUCTURAL CONCRETE: In excess of 3000
P.S.I. (306a,l)
STRUCTUR~L WELDS: Preformed on the
job. (2722 f)
HIGH STRENGTH BOLTING,: During all
bolt installation and tighting
operations (306 a.S)
~
FOOTINGS & FOUNDATIONS: To be made
after trenches, are excavated and
forms are erected, all steel in
place, but prior to. pouring concrete.
UNDERGROUND: Plumbing, Electrical,
Gas, Sanitary Sewer, Storm Sewer,
Water and Drainage lines. To be
made prior to covering 'or filling
trenches. '
FLOOR INSULATION & VAPOR BARRIERS,
To ba made prior to installation
of decking or floor sheoting.
MASONRY: Steel location. bond beams
grouting or verticals in accordance 0
with U.B.C. Section 24]5.
o
INSULATION & VAPOR BARRIER: To be
made after all insulation end
, required vapor barriers are in place
but before any lath or gypsum board
interior wall covering is .applied.
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
heating ~ires, pipes and ducts arc
approved.
SPRAYED ON FIREPROOFING: (U,B,C.
Standards 43~8) -
SPECIAL GRADING, EXCAVATION .\ND
FILLING: f}o,Jring earthwork. (306
.& Chapter 29)
a .11
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I.ATIl AND/OR GYPSUM BOARD INSPECTION: I
To be made after all lathing and '--.J
gypsum board, interior and exterior,
is in place but before any p1asteril18,
is applied or before gyPsum board ---l
'joints and fasteners are taped and .
finished.
FIRE & SEPARATION WALL: Located f,
constructed according to plans.
WOODSTOVES: After installation is
completed-:
SIDEWALK & DRIVEWAY: Required for
all concrete paving within street
right-of-way, to be made after all
excavating complete & form work &
sub. base material in place.
CURB AND APPROACH APRON: After forms
.are erected but prior to pouring
concrete.
PARKING LOT: After gravel
place but prior to placing
or concrete.
is in
asphalt
:J
c'LU-LAM BEAHS: Inspection Certificate,
by an approved agency, furnished to
the City's Building Division before
beams are placed. (2S0l-U.B.C. STDS.
25-10, II).
'-
* In addItion to the inspections
specified hereon, the Building
Official ~ay make or require other
inspections of any construction
work to ascertain compliance. with
the Building, City or Zoning Codes.
CITY'S SITE PLAN Rt:VIEW BOARD INSPECTION: Must be requested 2 days in advance of the date you
wish inspectio:1. All project conditions. such as landscaping, parking lot striping etc. must
bo cOnl;:lleted hefore requesting this ir:spection.
FINAL BUlUlING: Must be requested after the final Plumbing, Electrical, Hechanical and Fire
Department inspections are made and approved. No Occupancy of the premises can he made until
a Certificate C"f ',kcupancy has b.een issued bY the Building Division and posted on the premises
~ FINAL FIRE DEPARTMENT
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SICNATUR~ ..' .L: /__.
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DATE