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Home My WebLink AboutPermit Electrical 1996-7-23 #01%-:03<l . ..-.:... ~. . zoning, and does not require spec c , epprovsl. 2ZS ~"'~4tJ. .h""""L Zoni"l? SPRINGFIELD, OREGON 974n, /1 . IJ ?'. a ( A INSncrION REQUBSr: 12~~ Ij/ OffiCE.: 126-3759 Authorized Signature 1. LOCATION OF INSTAI.LA1'ION dc. OS' /h~/,.v -S TeE€: r 'rn",tn QUJ(!.I::- ~rD/P LEGAL DESCRIPTION I 7()2 32430lSCJO JOB DESCRIPTION SEA!.J./ICE. uI"G/2t:JD€ Permits are non-transferable and expire if vork is not started vi thin 180 days of issuance or if york is suspended for '180 days. .,~~' ELECTRICAL Pmutrr APPLICATION City Job N~ber1f/;OCZf( I , "(V) 3. COHPLETE PEE SCHEDULE BBLOll Nev Residential-Single or Multi-Family per dvelling unit. Service Included: . Items Cost Sum A. 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Hodular Dwelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 2. CONTRAc:rOR INSTAU.ATION ONLY B. Services or Feeders Installation, Alterations or Electrical Contractor 0~FiE'L.o a.EC~,.dielocation: Address fJ.o, t3ox- OJ 7~:5 . Ci ty Gt(6j~,<) 6 Phone 68 b-J'~ r.2- Supervisor License Number .3.:1 <10 .s Expiration Date la-I-9a Constr Contr. Number 03ff' 70;L. Expiration Date p.'c:u.CJfo Signature of Supervising Electrician -4# ~D D. OYllers Name I3e;rcSR-()IS ;I~JJ (JR6qeL 200 amps or less J $ 50.00 -5t? 00 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "S" above Branch Circuits Nev, Alteration or Extension Per Panel Address C:<<7,;z WeST D ST.eEET "l.;J.;l;J.7 One Ci,rcui t City_I3R.t)(U{.eL!, lVt Phone c,,19-.3Hl/.'-I,;<C:,S Each Additional Circuit or vith Service 011NER INSTALLATION or Feeder Permi t The installation is being made on property I own vhich is not intended for sale, lease or rent. Ovuers Signature: DATE: 7-lg -Cl (f """"""'4 t: ~1 "~9:"" ,:.............. BI: Ii, __ $ 35.00 $ 2.. pO E. .Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting , Limited Energy/Res Limited Energy/Comm 5. SIuo4'V4AL OP ABOVE 51: State: Surcharge 3%' City TOTAL S 40.00 $ 40.00 S 20.00 $ 36.00 So;ao ;;7.~ /.50 ,5.1,/..00 \. COMM ERCIAL/IN DUSTRIA~ PERMIT APPLICATION ~ . JOB NUMBER ~a... ':-> ~ ~ , , 225 Fifth Street, Springfield, Oregon 97477 INSPECTION LINE: 726,3769 OFFICE: 726,3759 LOCATION OF PROPOSED WORK: ~~-::;- ~~A/ ?"";-- ASSESSORS MAP' /7'~:<>-~< -Y=? TAX LOT:~ C:> OWNER:F~7',t?;= 6p?.c><,~Y ADDRESS: ij.bd> -S- ~#-~ ~ . ~jP0-~ , r DESCRIPTION OF WORK' ",? e~ PHONE: ? j/~.<C) y~ CITY' STAT'" ~7"". ZIP' 97~ NEW REMODEL ADDITION ~ gA~~c!fi-#~C> OTHER DEMOLISH 7~~/~~ VALUE: <0"7"~..a NAME ADDRESS PHONE ARCHITECT: CONST. CONTRACTOR'S NAME P~~. CONTRACTOR # EXPIRES PHONE GENERALCfi#~Vj"'" . .. ;'~~--~~<;r~g72:>~ ~~~_ '-??6.:y~/ PLUMBING: ~ MECHANICAl' _ _ , ELECTRICA' ' .. ~ I I NO, I I I 1 I 1 I 1 I I I I PLUMBING Single Fixture Relocated Bldg, (new fix, addtl) I Water Service I I 1 I 1 I I I FEE I CHARGE Nn MECHANICAL I """ /""l-lo.a(':!:c It. Furnace/burner & vent < 100,000 BTUs Furnacel burner & vent > 100,000 BTUs Floor furnace and vent Suspended wall or floor mounted unit healer Appliance Vent separate Stationaryevap. cooler Vent Fan/Single duCI Vent System apart from AC or htg. Mechanical exhaust hood and duct Sanitary Sewer ft. Storm Sewer It. Backflow Device Permit Issuance $10.00 TDTAL PERMIT TOTAL PERMIT 1- - OFFICE USE - HANDICAP ACCESS: QUAD AREA' LAND USE: FLOOD PLAIN' # OF BLDG~' # OF UNITF' ZONING: OCCY GROUP' CONSTR TYPE' LIGHTING POWER BUDGET: # OF STORIES' HEAT SOURC'" WATER HEATER' SQ, FT $/50, FT, VALUE SO, FTG MAIN SO, FTG ACCESS SQ, FTG OTHER X X X TOTAL VALUE OF PROJECT PLAN CHECK Ff" RCPT# OAT" BY_ I BUILDtNG PERMIT 5% State 7'2- Surcharge r ~ MECHANICAL I I I 5O.;:x::> .-<:,~~-;, / . :.;-<' I PLUMBING DEMOLITION 15% State Surcharoe I PAVING 5% State Surcharoe I FENCE VALUE $ ,_ SIDEWALK CURBCUT _I FT, I FT, I SUBTOTAL PERMITS I SYSTEMS DEVELOPMENT TOTAL PERMIT FEES I EXCLUDING ELECTRICAL ~y~ r I ,. p REQUIRED INSPECTIONS .' 1 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. SfTE INSPECTION: To be made after excavation, but prior to setup of forms. UNDERSLAB PLUMBING, ELECTRICAL & MECHANICAL: To be made before any work Is .covered. ROUGH PLUMBING, ELECTRICAL & MECHANICAL: No work Is to be covered untll these inspections have been made and approved. PAVING: After gravel is In place but prior to placing asphalt or concrete. FOOTINGS & FOUNDATfONS: To be made after trenches are excavated and forms are erected, all steel In place, but prior to placing concrete. FIREPLACE: Prior to placing facing materials and before framln'g Inspection. SPECIAL INSPECTIONS: In' accordance Section 306 of the State Specialty Code a special Inspector shall be employed by the Ownerl Contractor during construction of fhe following work. A copy of the special lestlng reports shall be'furnlshed to the Building Division, ATTJC DRAFT STOPS & CURTAIN WALLS 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. 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.I, (306 a,1) STRUCTURAL WELDS: Performed on the Job, (2722 f) UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to Installation of floor Insulation, decking or floor sheathing. 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: UB,C, Standards 43,8, SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork, (306 a,11 & Chapter 29) POST & BEAM: To be made prior to Installation of floor Insulation, decking or floor sheathing. LATH ANDIOR 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 UBG. STDS, 25,10,11), FLOOR INSULATION & VAPOR BARRIERS: To be made prior to installation of decking 0' floor sheathing, STRUCTURAL MASONRY: (306 a,7) MASONRY: Steel location, bond beams grouting or verticals In accordance with USC 2415, 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. x %:F~ ~p~ "/q;--~~. addition fo tne Ins~c' 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. ROOF SHEATHING AND NAILING: Prior to installing any roof covering. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. FINAL PLUMBING SITE PLAN REVIEW BOARD: Must be requesled 2 days in advance of the date you wish Inspection, All project conditions such as landscaping, parking lot striping, elc, must be completed before requesting this Inspection. FINAL ELECTRICAL Jr FINAL BUILDING: Requested after Ihe 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. FINAL MECHANICAL FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS' PLANS REVIEWED BY OAT" By signature, I 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 Ihe 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 15 readable from the street, that the permit card Is located at the front of the pr~perty, and the approved set of plans will remain on the site at all times durlng construction. Signature C -f1 (/ #JI4.......-'!. - ~ Date _~ / ? - 'J,~ VALIDATION: AMOUNT RECEIVED:;5?7<-, ~-;;- RECEIPT': /7 SI~"? D",TE PAID: RECEIVED BY: ?".y)-'7'$- ~~~-~ \