HomeMy WebLinkAboutPermit Electrical 1995-6-16
T"o .ollo..'.,'.g pr''',:ect as submtct?d h;JS the foHowing
II I nil .... ... I rd "s*,
zoning, ar.d dvvG not re-qu\rtJ 5:p~mc ,ad. '" ~~
approval. " J) j
225 FIFTH STREET l V
SPRINGFIELD, OREGON 97477 . Zoning. ..-
INSPEctION REQUEST: 72B-~7~ /t,l.i /if) . I
OFFICE: 726-3759 . I'. /J f0.
AL1h(";rlzod s.~gmul..:ro J _
l.~I..o.ti OF J~~ALLATION
b'r"H.'/_ \\'\"\.Q ~
, ~G~ DES~ION .
II u2:~4~~~\n
JOB DESCRIPTION
tAtZ1?/.~ ~A ZPi. ~1"99'.r~ ~
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. CONTRAcrOR INSTALLATION ONLY
,
Electrical Contractor JB Electric
Address 1786 Balboa Street
Ci ty EClaene
Phone 687 - 5770
Supervisor License Number --1Bl2S
,...
Expfration Date
1n_1_Q<;
..
Constr Contr. Number 84200''::'
Expi"ration Date
Sign~tu~t:P
Ovners ~ame ~Tht\\ ~ Q f\() f)
Address \ 'S. q) (CJ~ L ,.
City f). UOO\O. Phone \_O~~.'] 1')10
01lNER IN~ALLATION
6-22-95
The. installation is being made on
property I ovn which is not intended
for sale, lease or rent.
Ovners Signature:
-------------~-- ----------------
DATE: ~//(., r
RECEIPT I: "(' / '-I"'_.J
RECEIVED BY: . ~~"7't..
A.
ELECTRICAL PERMIT APPLICATION
'City Job Number ~0~
CBIIFLETE FEE SCHEDULE BELOV ~
Nev Residential-Single or
"l"-F"'l, P" ".lli" "i~_ -
Service Included:
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation,
200 amps or less --L--
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 100U volts
$ 40.00
S 55.00
S 80.00
see nB" above
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit S 35.00
Each Add it i onal
Circuit or with Service
or Feeder Permi t ~ $ 2.00 ~.....
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation S 40.00
Sign/Outline Lighting S 40.00
Limited Energy/Res S 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE /5't!/.--
5% State Surcharge 7.50=>
TOTAL ...-~ 4'. ~
1~2.-c::.
~
\-P'! J...i,J S1"'.
COM M ERCIAL/I N DUSTRIAL-
PERMIT APPLICATION
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK' ?~q'2..
ASSESSORS MAP: 1 f) np ?A:~
OWNER: /~.AtJ . W, ~; l \~
ADDRESS: -IS S- 0 O+-'-\L.
CITY: ...t:=l ~ _'~
DESCRIPTION OF WORK:
-t""'":El\J .~,Yr
\u ?l2.oi~
NEW
REMODEL
ADDITION
DEMOLISH
ARCHITECT'
11~~
CONTRACTOR'S NAME ADDRESS ,
GENERA" ?1~sml~ -&J~f'(\C.
PLUMBINr-. QuS<Th~ \?l.u W\ t\\ M::, ,
MECHANICA" UN2.<;AAW\
ELECTRICAL: ..} is ?~ D.l..!-a.i' c...
I
I NO,
117
I
I
I
I
I
PLUMBING
I FEE
Single Fixture9M~~
Relocated Bldg. ' I'
(new Ilx. addtl!
Water Service I
It.
It. I
I
CHARGE I
//&-1
I
I
I
I
I
I
I
I
I
I I
I#~--I
Sanitary Sewer
Storm Sewer
It.
Backflow Device
TOTAL PERMIT
- JOB NUMBER 95~ S-
INSPECTiON LINE: 726.3769
OFFICE: 726.3759
TAX LOT: ~O
~~:Z02.0
PHONF'
STATE: (;) e....
ZIP: q-]~I
~\~.
VALUE: ./~
PHONE ,.~
OTHER
ADDRESS
CONST.
CONTRACTOR' EXPIRES I. PHONE
Slo l4.w~ 0 t:z..340 S<A~ r.sI.fV\)~-(
R\C\C\.t :s 'lo'C\l() , ~'\\4lc
'A)SilqO 'A..~?,-,q~ ,1\1:-AAS
~'\?ffi \0-2.1., ~S :*~.\n~
MECHANICAL
"'"
"""
rUAl:l!n~
6....-,? I
I
I
I
1
I
~.-I
I
1
(;..-- J
S10.00 I
I /15:. - I
/
Furnace/burner A..c.~_ _ ~-=-
<100.000 BTUs ~....
Furnace/burnw& vent'
> 100,000 BTUs
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duel
Vent System apart
from AC or hlg.
1 Mechanical exhaust I
hood and duel
1~2?~~
. .?
Permit Issuance
I
TOTAL PERMIT
..
QUAD AREA: <\~ ~'-Jf ~
- OFFICE USE -
LAND USE: f:I~"f)
'OF BLDGS:_
OCCY GROUP:_ 13-::z.
. OF UNIT~'
CONSTR. TYPF'
, OF STORIES:
~
HEAT SOURCF'
SQ. FT.
S/SQ. FT.
SQ. FTG MAIN
SQ. FTG ACCESS
SQ. FTG OTHER
X
X
X
PLAN CHECK FEE-?r,.,'J#3~
RCPT'
/73iL DATE
-.)"1
r;>1
I
FT. I
FT. I
I BUiLDING PERMIT ::Z60.7"0
15%State "';7 '7.P;p
SurcharQe r"'l 7 .s-z.
IMECH~" 'P.'~
~ / "7 , .---
15% State J. "7.a.. ~
Surcharoe of- . ~~
I PAVING I
I PLUMBING
5% State
Surcharae
FENCE
VALlI~ $
I SIDEWALK--
I CURB CUT
7' "'/V
HANDiCAP ACCESS:
FLOOD PLAIN:
ZONING: ro./
liGHTING POWER BUDGET:
WATER HEATER'
VALUE
TOTAL VALUE OF PROJECT
6s7f_~
..d. c:; tJ15lt? ,(TO
~fipr BY
~~
"
/~-
~.:::>....
"5.~
, DEMOliTION
SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
S1?6. ~5""
1'5 M I
., _ .'$'.. "ffj !f:5
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
5$5:33
~
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 Inspectlon. 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.
)(
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work Is to
be covered until these
inspections have been made
and approved.
PAVING: After gravel Is In
place but prior to placing
asphalt or concrete.
It
FIREPLACE: Prior to placing
facing materials and before
framln'g 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.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special Inspector shall be employed
by the Owner/ Contractor during
construction of fhe following work. A
copy of the special testing reports shall
be furnished to the Building Division.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work is .covered.
ATTIC DRAFT STOPS &
CURTAIN WALLS
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel in place, but
prior to placing concrete.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (306 a.1)
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.
STRUCTURAL WELDS:
Performed on the job. (2722 f)
)
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.
HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations. (306
a.6)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
SPRAYED ON
FIREPROOFING: U.B.c.
Standards 43.8.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor Insulation, decking or
floor sheathing.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
'lI'
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.
GLU.LAM BEAMS: Inspection
Certificate by an approved
agency. furnished to the City's
Building Division before
beams are placed. (2501 U.B.C.
STDS. 25.10,11).
,
POST & BEAM: To be made
prior to Installation of floor
Insulation, decking or floor
sheathing.
STRUCTURAL MASONRY: (306
a.7)
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathing.
SIDEWALK & DRIVEWAY:
Aequlred 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 Building
Official may make or require
other "inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
MASONRY: Steel location,
bond beams grouting or
verticals In accordance with
UBC 2415.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof coverIng.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
/
J
FINAL PLUMBING
FINAL ELECTRICAL
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.
j)( 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.
IY FINAL MECHANICAL
X FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
PLANS REVIEWED BY/" 0~ A&""--?DAT" ~x~~~>-
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that aI/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 OAS 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 t~e ermit card Is located at the front of the property, and the approved set of plans will remain on the site at all
times during c ns )ctlr\ ~ _
Signature c.~_ M' Datp C. -/6 9..5
l. ..~ --
VALIDATION:
AMOUNT RECEIVED: 797. "?-?
RECEIPT': / 7 ~tn ~
DATE PAID:
RECEIVED BY:
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