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Home My WebLink AboutPermit Electrical 1992-1-6 . . COMMERCIAL/INDUSTRIAL. PERMIT APPLICATION 225 Fifth Street, Springfield, Oregon 97477 ~ .JOB NUMBER q // .3 p., &:, INSPECTION LINE: 726-3769 OFFICE: 726-3759 LOCATION OF PROPOSED WORK' /9sc> ASSESSORS MAP' '7~t:><~:z"5". l'3 MAf2.CO-rl :f'.DAD , ,tlolllli;oY"-. /71H~trfb.icC" , TAX LOT: j~&><>f'/S6'/ OWNER: ---1d1 U-W1fltV ?/2-ci?€il.. 7a".'S ADDRESS' CITY' STATF' PHONF' :,~3- 1"1* : "" . '-...../~- VALUE" :5D~ .~ DESCRIPTION OF WORK: T'CJUf'ltO'7 =rV>121"&)t'~'7 NEW X. REMODEL ADDITION DEMOLISH 5.c.#A';;>P'S n/ OTHER NAME ADDRESS PHONE ARCHITECT: CONTRACTOR'S NAME ADDRESS GENERAl' J\;1C-LN-r'i~~ ('/")~S1R-u'-lc~ PLUMBING' A'i3sDI_l Y1E:: 1::LO/M.'iS,N<:;' MECHANICAL: ~e~t't0 3'~ MP7A( ELECTRICA'" K<-=Y"~ D OS ec. 'Ee:-r 121 <- CONST. CO NT RACTO R . ,'3, 5Sa EXPI RES PHONE (,.,R7-l:..fNt '3 %" - 3C$"' l.f8!:-z >0<) 5q3-7~'77 "2.,0-('$5<- PLUMBING NO. FEE CHARGE 0 f Single Fixture /P h<::j_"- Relocated Bldg, (new fix. addU) Water Service ft.. Sanitary Sewer It. Storm Sewer It. Backflow Device MECHANICAL I ""ARGi I J J I I I I I I $10.00 I I Nn r::'1=1= Furnace/burner & vent < 100,000 BTUs Furnacel burner & vent > 100,000 BTUs Floor furnace and vent' Suspended wall or floor mounted unit heater Appliance Vent separate Stal ionary evap. cooler Vent Fan/Single duct Vent System apart from AC or htg. Mechanical exhaust hood and duct PermIt Issuance TOTAL PERMIT ..- -. <><> I cx;.-:. TOTAL PERMIT - OFFICE USE - HANDICAP ACCESS: FLOOD PLAIN' ZONING: -.L:;.L LIGHTING POWER BUDGET: WATER HEATER: CC=L-r QUAD AREA' LAND USE: . OF SLOGS: OCCY GROUP' '1?-2. ... . OF STORIES:_/ . OF UNIT~' CONSTR. TYPE: p~ "'77"'?? . HEAT SOURCE: ~~ T' ,A..4'. SQ. FT, $/SQ, FT, VALUE SQ. FTG MAIN X SQ, FTG ACCESS X SQ, FTG OTHER ~ '7 ==3-;;:> /#-~~-x = C~)';;& ?P...?"C~ -5'"V'.&OP1":> , TOTAL VALUE OF PROJECT PLANCHECKFEi: I~~.<j~ RCPTH 31&'7 DATE --.L1-2 2 - V BY ~ I BUILDING PERMIT 15% State SurcharQe I MECHANICAL 15% State Surcharae I PAVING 0. g=3f.. -=> ; /0/. /S"" I PLUMBING b'&. -<? I DEMOLITION 5% State SurcharQe FENCE VALUE $ SIDEWALK I CURBCUT "3--- FT. SUBTOTAL I PERM ITS SYSTEMS ""O~I DEVELOPMENT '?~./!;' 7$"e>. ~ FT. TOTAL PERMIT FEES I EXCLUDING ELECTRiCAl 1//t:J,/S- It Is the responsibility 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. . v 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 d rai nage Ii nes. 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 groutlng or verticals in accordance with UBC 2415. ROOF SHEATHING AND NAILING: Prior to Installing any roof covering. REQUIRED INSPECTIONS . ,I, / PAVING: After gravel is in place but prior to placing asphalt or concrete. ROUGH PLUMBING, ELECTRICAL & MECHANICAL: No work is to be covered until these inspections have been made and approved. 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. ATTIC DRAFT STOPS & CURTAIN WALLS FIREPLACE: Prior to placing facing materials and before framing Inspection. X 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. 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 installation and tightening operations. (306 a.6) 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. SPRAYED ON FIREPROOFING: U.B.G, Standards 43-8. SPECIAL GRADING. EXCAVATION AND FILLING: During earthwork. (306 a.11 & Chapter 29) FIRE & SEPARATION WALL: Located and constructed according to plans. x GLU.LAM BEAMS: Inspection Certificate by an approved agency, furnished to the City's Building Division before beams are placed. (2501 U.B.G. STDS. 25.10,11), 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. STRUCTURAL MASONRY: (306 a,7) 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. -In addition to the Inspec. tions specified, the Bulldln9 Official may make or require other inspections of any construction work to ensure compliance with the Building, City or Development Code. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. y FINAL PLUMBING ------------------------------------------------------- A FINAL ELECTRICAL f j FINAL MECHANICAL FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS' x. 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 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. PLANS REVIEWED BY / L~~ ~- ........-'7 . { / /- ' . ' 6- ~~:/ ' DATE/:2. -/7-9/ By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that alllnformatlon 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 Springfield, 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 Division. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I 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 construction. Signature uJ~ /~~ . Date / / c,,/''l/ , ,- DATE PAID:~-?2-. RECEIVED BY:~- ."J - VALIDATION: AMOUNT RECEIVED: / <./ c;-: /.::;- ~ECEIPT ': ~ ~.:;-..:;- - . - . "", ~.." ~Or)'~ll:) u>t$6,.;'n.\~ . 'i!O~\"" ~..\\\. 225 FIITH STREET ....~"or.\l". SPRINGFIELD, OREGON 97477 ""O'f'<~~~'C<J:~' INSPECTION REQUEST: 72~a<3169~" OFFICE: 726-3759 '\'(\~:~~J'~"~Y ".. t:.\t\\. l~' 3 1,:. ",~(:t 'r-C':' . 1. LO~TION 9] INSTALtATldM'''A'::''\Q:.- ) 9 f?// ff/t:J'rC#("q /f:;/ ~oA~,G A. O~'/ ""oj LEGAL DESCRIPTION ~'(\o# 1/1)':7)71:71 ~ 1~'''''v')(')J ~' . y Job Number q 117;B& JOB DESCRIPTION 2m ClW\~ ;- 7-":; c:;.,C>>.f10 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor ~~)?~~ Address rfl7J'Z- L6'n/rJ City 6<fJr'~_ Phone 3t/3-7Z97 Supervisor License Number ~W-:5 Expiration Date /0- 7' 2.- Constr Contr. Number /725;::,_ Expiration Date /d~ 2- Signature of;z:upe ising Electrician fl. / .~ w~ ~.P',,9 ~ ~rs Name - Address City Phone OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: /-'---7? RECEIPT 1I: "3~~ RECEIVED BY: r 4~ 'r New Residential-Single or Multi-Family per dwelling Service Included: uni 1. Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 B. 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 h'!'ct) $ 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 volts $ 40.00 $ 55.00 $ 80.00 see "B" above D. Branch Circuits New, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or with Service - or Feeder Permit ~~ $ 2.00 ~().6D E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lightin~ $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL 100.00 t:;,aD In""" i5D