HomeMy WebLinkAboutPermit Electrical 1997-8-20
The, fol!owi~g pn*)d as subrnith;;.d "I.:):; thi) fc.!:owir. ~
zr;>o!rHJ, ano dous not req;.;ire >1pf:..C1 Ie 1:'''11U L::::u <;0
appr"va~Oning ,Pl.n
225 FIFTH STREET .r v}o"Jr... fen
'SPRINGFIELD, OREGON 994'170 (6'V( { f
INSPECIION REQUEST: 'l'\!'<6OlJl:"M!llgnaturo n rVl
OFFICE: 726-3759
Ih 3.
1. LOCATION. OF INSTALLATION . l.: ~~ '
~ 7~oS' Mt;...v, ~""'1."'~; A.
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~G DESCRIPTION ~ 1 ".....'O~~ ;yo~ '91,;-; ,
7-.~ Ul .W" ~k ,~..... 0}
- ~ "d'O '1::'] Vu -.r. ,
JOB DESCRIPTION O~'~a ~ ~~OO sQ.ft. or less
9C"";"',(i ,peS: 16...,..>........ ,)-,o~:S>{s> ~>/> h additional.SOO
'~ .'1..o'1)t.s>s ~ft or portlon
Permi ts are non-transferable, and expirt'O ":~ ~e~f "
if \Jork is not started \Jithin 180 days' ~a~~Jlfld Home. or
of issuance or if \Jork is suspended for' ~ a?'C}6\Jelling
180 days. S'~I ~A., oM: Feeder
~~, ""0;-
,B Services, or Feeders
Installation, Alterations
or Relocation:
....
"
2. CONTRACTOR INSTALLATION ONLY
Electrical contracto;?\2? ~C,
Address po 8 a)( S z...
-
, city -J u ynoL'Y"
Phone ~........
, Supervisor License Number --1.1..-7?i.s
Expiration'Date {oil (c,<;r
Constr Contr. Number:l.; I.{S'G I JL(.I~..I~
. '
Expiration Date~f 'l~ 1'0/,1"'1
- . {
,Signature' of Supervising Electrician
JI!-J// /-e~ "
o~ners Name~t .\X'~ '
Address il1.C; <Sh ~ ~N\~
City\\~ phoner03.\}y'
0\INER INSTALLATION, \ CJ2D
The installation ,is being made on,
,property I ovn vhiCh is not~ntended
for salei lease or rent.
Ovners Signature:
....:.
.,.....'..
,"
ELE~CAL PERHIhf-P.LICATAON
City Job Nwnber qif\\\'Jt\ \
COMPLETE FEE SCHEDUu: BELOIl >>-
Ne\J Residential-Single or
"""i-F..ny po< dv,lli" "". .
Service Included:
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
200 amps or less
201 amps to 400 amps
401 amp's to..'600 amps
601 amps to 1000 amps'
Over 1000 ampslvolts'
Reconnec t ' Only'
.
$ 50.00
$ 60.00
$1.00.00 '
$13'0.00
$300.00
S 40.00
C
Temporary Services or Feeders
Installation, Alteration or Relocation
D.
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600,amps
Over 600 amps or 1000 volts
B'ranchCircui ts
$ 40.00
$ 55.00
$ 80.00
see "Bu above
"
Nev. Alteration or Extension Per Panel
One Circuit ':IL $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit I' $ 2.00
E.
Miscellaneous (Service/feeder
-Each installation '
Pump or' irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
no t included)
$ 40.00
$ 40.00
$20.00
$ 36~OO '
, --t:r.~- '5. SUBTOTAL OF ABOVE S2.o~'
'" (7"1 ,,", 57. State Surcharge' , ' ),:.u.00
I,~" i ' '~y~ ' 37. Administra~ive Fee ..' ,id.cf ' "
'\'i["IJJ..:J.(? 'Q;,' ',' TOTAL ' .,.... ,'.' ',',', ..', 5(". :L<f-
----------- ------------------------------------------------
------------------
", DATE:,
, ,RECEIP'f)I:.
~V.CEIVED'BY:
BPAINCFIELD
Page 1
COMMERCIAL/INDUSTRIAL PERMIT APPLICATION
CITY OF SPRINGFIELD Job Number: 971087
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
225 North Fifth Street
Springfield. OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 7305 MAIN ST
Assessors Map #: 17023500
Tax Lot #: 04100
*
owner: SPRINT PCS
Address: 7770 SW MOHAWK, BLD F
Phone #: 503-612-1028
City/State/Zip: TUALATIN. OR 97062
Description Of Work: COMMUNICATIONS TOWER
NEW
Value:
0.00
Name
Architect: DAVID EVANS
Address
2828 SW CORBETT. PORTLAND
Phone
503-223-6663
HANDICAP ACCESS: N
-- OFFICE USE
QUAD AREA: 4CSE
LAND USE: 5300
Item
CELLULAR TOWER
Square, Feet
x
$/Square Feet
Value
97.000,00
TOTAL VALUE OF PROJECT
97,000.00
Plan Check Fee:
275,60 Rec #: 26752 Date: 07/18/97 Re~~ LISA HOPPER
~<- \": '\v-.~~ \'?J ~O'\
:j..\"" ~,,?-.Jl: O"?-
ct;;;. :?-.~\.\. <<:; '\v-.f;) '? ~~Q ~
~(:J\~ ~f(..~'\ 9 'U~Q~f(.. ~'Q~~QfJ
-<.,v-.\'?J '? ~l,~Q Of(.. \'?J
'I,'j-<.,v-.O ~(.~'i) ~~O'i).
~ ~~~ ~-{ '?
(.0 K \'t,~'i)
~~
421.00
33.68
0.00
0.00
0.00
0.00
BUILDING
surcharge/Admin
MECHANICAL
Surcharge/Admin
PLUMBING
Surcharge/Admin
SUBTOTAL PERMITS
454.68
TOTAL PERMIT FEES EXCLUDING ELECTRICAL
454.68
Job Number: 971087
Receipt Number:
Date Paid:
Amount Received:
Received By:
~ C\ \~DATION ---
-fJ~<s Q.f) ~.' r )
. '" 4tJ\ \J2D
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Page 3
SPRINGFIELD
Job Number: 971087
Page 2
REQUIRED INSPECTIONS
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.
Special Inspections: In accordance with
a special inspector shall be employed by
construction of any following "*11 work.
shall be furnished to Building Safety.
Section 306 of the State Specialty Code
the Owner/Contractor during
A copy of the special testing reports
In addition to the inspections specified, the Building Official may make or
require other inspections of any construction work to ensure compliance with
the Building, City or Development Code.
FOOTING - After trenches are excavated.
SLAB - To be made after all ins lab building service equipment, conduit
piping, and other equipment items are in place but prior to concrete
UNDERGROUND ELECTRICAL - Prior to Cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
BOLTS INSTALLED IN CONCRETE - To be done by State Certified Special
Inspector. Provide inspection/test reports to City Building Inspector
STRUCTURAL CONCRETE in excess of 2500 psi. To be done during constr.
by State Cert, Insp, Results to City Building Inspector
HIGH STRENGTH BOLTING - To be done during constr by State Certified
Special Inspector. Results provided to City Building Division.
STRUCTURAL WELDS - To be done during constr by State Cert Special
Inspector. Results of inspection/test to City Building Inspector.
FINAL ELECTRICAL - When all electrical work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is complete,
- - - ADDITIONAL COMMENTS - - -
Plans Reviewed By: LORNE PLEGER
Building Site Reviewed By: LISA HOPPER
Date: 08/22/97
By signature, I state and agree, that I have carefully examined the completed
application and do hereby certify that all information hereon 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'
Community Services Division, Building Safety. 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
;2a:,
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tl
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[y-2-}'-97
Date