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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: rb/~ 1