HomeMy WebLinkAboutPermit Electrical 1991-7-18
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
.INSPECTION REQUEST: 726-3769 '
OFFICE: ,726-3759
1. ' LOCATION OF INSTALLATION,
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LEGAL DESCRIPTION
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.' JOB DESCRIPTION ",
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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. CONTRACfOR INSTALLATION ONLY B.
Electrical ContractorL. il? M4'7?##/;-?
, - ,
Address_,.(~ W'~ 25:> 57.
City ~7>;Z::-LV .Phone,'?~7~
Supervisor Licens~ Number / t.f?':S S
Expiration Dilte
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Constr Contr. Number c!'J.8C"77'
Expiration Date
/2 -/-R -"'7/
Signature 'of Supervising,Electrician
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'. Owners '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:._ 0 '7. IPSCfI. '
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RECEIVED BY:~77f}
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ELECTRICAL PERKIT APPLICATION
City Job Number '9/L)q'9C?
COMPLETE FEE SCHEDULE BELOV *
A. New Residential-Single or
Multi-Family per dwelling unit. . ,
"
Service Included: '
Items Cost
3.
Sum
1500 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
$ 35.00
Services or Feeders (10 Branch Circuits
included). Installation, Alterations
or Relocation:
100 amps or less q
101 amps to 400 amps /
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 35.00 /L)~~
$ 60.00 'C-tP.."b
$ 90.00
$130.00
$300.00
$ 35.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less ----1- $ 35.00 -:/2;"".60
201 amps to 400 amps $ 40.00
Over 401 to 600 amps' $ 80.00
Over 600 amps or 1000 volts see "B" above
D. Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
,Two ,to ten Circuits
Each Addt'l ten or
portion thereof
/
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 36.00
Sign/Outline Lightin~ $ 36.00
Signal Circuit or
limited energy panel $ 36.00
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
'2/"'5:. ~t>
/~.7r
~ '2"'. 7k
COMMERCIAL/INDUSTRIAL.
PERMIT APPLICATION
SPRINGFIELD
~
.
JOB NUMBER 9/.oo/<?9'
INSPECTION LINE: 726-3769
OFFICE: 726.3759
225 Fiflh Slreet, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK: 5767 fr...4//Y' --;57'.
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ASSESSORS MAP: J?....?...;z,::i'-<l7 (::1/.a:> _=.-.0 """la?~:;Y~..t"{<""""",, TAX LOT:
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OWNER: _~~n~ /<;,
ADDRE"'" .-;;<0. ~
CITY: ~~$/7
t<'"~?? ,.a/<'P-.~A/
/"';?'252.
PHONE: /~.7 ) S/"Yt,l-373"9
STAT'"
.c2'L .
ZIP' -95S"'~2.
DESCRIPTION OF WORK:
NEW ,X REMODEL
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'b"
ADDITION
DEMOLISH
OTHER
VALUE:
NAME ADDRESS
677$':S .W. I//Dfz-AVC' #~C>
ARCHITECT: .5U_ANN-K'~~ .4<~., jR=:4y-8,o:=>~ -"'~' ~""'''' ,
cONST,
CONTRACTOR'S NAME ADDRESS- I CONTRACTOR #
~. W~<S<' ::sr-
GENERAL:~~1/~ ~~.
PLUMBING: T~~/~''''
MECHANlcAL~;" ~_~~~
ELECTRICAL: ~-? A"'P~~~--
PHONE
/-;q4"-<"~"",
EXPIRES
PHONE
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b.Bg~1
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I PLUMBING I MECHANICAL
I NO, FEE CHARGE I ..n """ "'1-I.o.Rn:~
I I Single Fixture FoP. I Furnacel burner & vent I
ICJ. d<> < 100.000 BTUs
I Relocated Bldg, I Furnacel burner & vent I
lnew fix. addtl) > 100,000 BTUs
159' Water Service ?'~. .61 Floor furnace and vent I
It.
1/26 Sanitary Sewer 7'~~1 Suspended wall or floor I
It. mounted unit heater
I Storm Sewer I Appliance Vent I
It. separate
I / I~.- I Stationary evap. I
Backflow Device cooler
I I Vent Fan/Single I
duct
I I Vent System apart I
from AC or htg.
I I Mechanical exhaust I
hood and duct
I I I
I I Permit Issuance $10,00 I
I TOTAL PERMIT ,/.:P~. 6P I TOTAL PERMIT I
- OFFICE USE -
HANDICAP ACCESS:
QUAD AREA'
# OF BLDGS:
LAND US'"
FLOOD PLAIN'
# OF UNIT~'
ZONING'
OCCY GROUP'
CONSTR. TYPF'
LIGHTING POWER BUDGET:
# OF STORIES'
HEAT SOURC'"
WATER HEATER:
SO, FTG MAIN
SQ, FT,
-75"'7~C>
&.~
X
$/SQ, FT,
'"",,,!,,j~"2/. /f
.82, :1"'-7
Q ~;~(&>~7$'
/-. .~
TOTAL VALUE OF PROJECT /::::7 /NeD
1
~ .2.DHI BY t=1llDa. )
VALUE
//_~. ~"'~c-
"
...~. >'~o-
SQ, FTG AcCES~
SQ, FTG OTHER
X
/'-/. / C>
"
x
,h/?-?T ~ ~.o
. -?=c ,/""z;J #' 9/0'/""B
PLAN CHECK FE" RCPT#
DATE
I BUILDING PERMIT --:J.7 t:? . 'D PLUMBING I /a:::>,~ I DEMOLITION
15% State -;/ .e~O 5% State I 5.......
Surcharqe Surcharoe
I MECHANICAL FENCE I
VALUE $
5% State SIDEWALK I SUBTOTAL '/Q"3.5t!:)
SurcharQe FT, PERMITS
PAVI NG CURBCUT I SYSTEMS /1'7/. 66
FT, DEVELOPMENT
~\
TOTAL PERMIT FEES I
, EXCLUDING ELECTRICA'
/6"77. /6
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It is the responsibility of the permit holder to see that alllnspectlons'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.
.
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UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
\1
REQUIRED INSPECTIONS
.
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FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel In place, but
prior to placing concrete.
y
PAVING: After g'ravel 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 01 the State Specialty Code
a special inspector shalf 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.
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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.
\'
ATTIC DRAFT STOPS &
CURTAIN WALLS
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UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
FIREPLACE: Prior to placing
facing materials and before
framing Inspection.
STRUCTURAL CONCRETE: In
excess of 2500 P,S,1. (306 a,l)
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.
7
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415,
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.
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations, (306
a,6)
x
ROOF SHEATHING AND
NAILING: Prior to installing
any roof covering.
STRUCTURAL WELDS:
Performed on the job, (2722' f)
>I
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, .
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork, (306 a,ll &
Chapter 29)
x
FINAL PLUMBING
SPRAYED ON
FIREPROOFING: U,B,C,
Standards 43.8,
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 UB,C,
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)
x
FINAL ELECTRICAL
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, Ihe Building
Official may make or require
other Inspections of any
construction work to ensure
compliance with Ihe Building,
City or Development Code,
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
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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.
,
)( X FINAL BUILDING: Requested after the final plumbing, electrical,
/' FINAL MECHANICAL mechanical and Fire Department inspections are made and
approved. No occupancy of the premises can be made until a
x:..- Certificate of Occupancy has been issued by the Building Division
/ FINAL FIRE DEPARTMENT and posted on the premises,
ADDITIONAL COMMENTS' AI..o .c::bUL;7'7-rc:>C 7-/e:r~ 73: '-; ~-,>,..z:> /:b~~PA--7;___->-",
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PLANS REVIEWED BY ~~ ~ DATE c.- -=;'r -<j,/
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By signature,l 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 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.
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
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AMOUNT RECEIVED: /h 7/../6
RECEIPT #: -:><P 7z?
VALIDATION:
~n14 t
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li....
DATE PAID'
7-/~.J7/
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RECEIVED BY'