HomeMy WebLinkAboutPermit Electrical 1999-4-5
.-.......
SPAINGt~'Il:!':-O ,..".."......
,he following projecl as submilled has the following
. . zomng, and does not require speclftc land use .
approval. ' Ce-..
225 FIFTH STREET Zoning _
!::( _<:;" ,C; "i
SPRINGFIELD, OREGON DlM7+- ~
INSPECTION REQUEST: "u7Mbfir,;P~qoalUre
OFFICE: 726-3759 .
3.
LOCATION OF INSTALLATION,
1-/'-0:;'" A1A11J St:
il'lfj~7Tr~ 1:&1
- (,.../ -- --
1.
JOB DESCRIPTION
MmIf.. F.Qv..ip. itJ S~ + ('~ bi!.f~
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. CONTRACTOR INSTALLATION ONLY .B.
Electrical Contractor..h.ll:.J ~ +tQ.Jt..
Address :JRm tJJ..J, .3/ ~ At.rl. ..
City ~ Phone(?Q3")~?-'78"?
:81565
IDlcl/OI
Constr Contr. Number . &:>'I.5Ib7
. :~ln/('}(')
Supervisor License Number
Expiration Date
Expiration Date
ELECTRICAL PERMIT APPLICATION
City Job Numberq q OJ ~
COMPLETE FEE SCHEDULE BELOY
A.
New Residential-Single or .'
Mul ti-Family per dwelling uni t.
Service Included:.
Items
Sum
Cost
C.
. II!",...
'1,<\ .
1000,sq.ft, o~~~ss
Each addition~! '500
sq. ft or port1ib~ '
thereof . '-.." 1f4l/~. $ 15.00
Each/Manu f' d Home',j 0'.;., "IPlf:?~
Modu~'artd~~ellingl.t! 1f'7"f.!i::
SerVlce or"Ee~edeL . 'S (:J~ItS 40~OQ,.
. . t:'RIO': ....'VDQ ti1trl,0 ,~"t(
Services or Feeders' WED.::c .1.0.,.
Installation, Alterations ~
or Relocation:
/, .<::!\t
ly,OllOW Ita
/?Q.O~-?.mPSI6~r1\"l:~~,s , $ 50.00
O?Oll/ampS;' c.tO'O'{>)09amp-s $ 60.00
4'(H }i'ilrPSO/O)f.9 j(Joamffs-' rA~ $100.00
I) 'bO,~ flinp-;;~, t'o'd,JOa.:l-~~~ps'1Nlre,~ $130.00
"O.veP- 11000' campSJh;vol.;I!SI" '''OD~ YC$'3pO. 00
Re'~onJ;l~pl},iv'ry 0;0':'011 C:' <IrA.. U1s,:,}0. 00
Cel}fe eOn.,' (!\tOt '/)/&8 01 '119 9S<i1f lol'f,
Temporar:y,.Ser.,\fl\;'~SI&orfl'~EJ:e(l~s, 'I)
Installati~n~~'F~~71~4s~"~r-~elocation
if",;?.]. VOfili Ol}e ~
200 amps' 'or less 44), O<lfiOn $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00 ,
Over 600 amps or 1000 volts see "B" above
$ 85.00
Signature of Supervising Electrician
1WJ &/Z).
~ 0 "A J D' . BranchCircui ts
Owners Name fro .r.(cx/rKt-S . ,,; .
I [ f' ^ .J.- I) ( New, 'Alteration or Extension Per Panel
Address'1 'th erOnJI"'\I. ri L-
IIOf)/iPfY) C/f, r )'. .-r- One Circuit ,-L $35.00 3S-cO
City~(j . Phone _7lcfv h7TJ- ;30()E~~~c~t~i~~0~~~h Service
OI/NER INSTALLATION' or Feeder Permit ~$ 2.00 ~B.CJ:)'
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Si~ature:
,
~~~~:~-:~~~~~~~~--~----------
RECEIVED BY: .' t'\ () -
..'
E. Miscellaneous (Service/feeder not included).
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm I $ 36.00 ~
.5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative 'Fee
TOTAL
..!13. tSD
Jf. <'(S-
-1-.9'7
!{)(,.,.9 :2.
Page 1
COMMERCIAL/INDUSTRIAL PERMIT APPLICATION
CITY OF SPRINGFIELD Job Number: 990343
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
225 North Fifth Street
Springfield, OR 97477
Office:
Inspection Line:
Owner: ARCO PRODUCTS
Address: 4 CENTERPOINTE DRIVE
J-\I 11::.1\lIIVI"'P'h~nell W,n 71":'4....~.6.....7'-'O'-:.....5...3.QO
101m'" nllA~ ~dOD1en!w ihA Urei'lon U1IIllV
Ci1: St;at;.I_Zi: PAL A 90 23
Noli iba!lOn ~emgr, fribse rr;Jt.Js lI,t:! ~ljI1u, lh
in.OAR 952,001,0010 IhrolJnh OAR 952.001.
STOl<J; , REMODEL h Value:
0090. You may obtam COpltl~ 01 I e I U<,,~ uy
..."1 '- t~'_"__"~_I_I__t........_
~;_(;ltllll~ lit:;; '-'Ollll;il. \..:.......... .1...... .......=.f;-..-..-
Adaress U 'I't N I'f' I'
numoer for Ihe Oregon III y 0 Ilca Ion
Center is 1,800,332,2344).
. __ ..1._
726-3759
726-3769
~
~~
Location of Proposed Work: 4202 MAIN ST
Assessors Map #: 17023232
Tax Lot #: 01701
Description Of Work: REMODEL
0,00
Name
Architect: BARGHAUSEN
Phone
Contractor
Canst.
Contractor #
Expires
Phone
General:
MENG HANNAN
5906 SE 122ND AVE
Ail"f'mJ7283
PORTI0ND '0R;G.7236
rttlf;J'1~ 3
PLUMBI~~;---~~~LEXPIR~
, ." '!~'!)~'" THIS~lfTHEWORK
11!i I ,AND E~MI; IS .vO;
It!u /:1#1' i'Cf//OV, ONcD FOR
05/13/99
761-5290
Single Fixture
CAP 1 DEMO SINK
Charge
0.00
10,00
No.
TOTAL PERMIT
15.00
--- MECHANICAL ---
NO,
Fee
Charge
15,00
10,00
MODIFY DUCTWORK
Permit Issuance
TOTAL PERMIT
25,00
QUAD AREA: 3CNC
-- OFFICE USE --
LANO USE: 5300
Item
INTERIOR REMODEL
Square Feet
x
$/Square Feet
Value
19,500,00
TOTAL VALUE OF PROJECT
19.500.00
BUILDING
Surcharge/Admin
MECHANICAL
Surcharge/Admin
PLUMBING
140.50
11,25
25,00
1. 20
15.00
Job Number: 990343
Receipt Number:
Date Paid:
Amount Received:
Received By:
--- VALIDATION
053roo
~/ r/7'/
LJ~' 'f 'i' /l
~CJcJ/
Page 3
SPRINGFIELD
Job Number, 990343
Page 2
Surcharge/Admin
PLAN REVIEW FEE
1. 20
91.33
SUBTOTAL PERMITS
285.48
TOTAL PERMIT FEES EXCLUDING ELECTRICAL
285.48
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*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,
ROUGH PLUMBING - Prior to cover.
ROUGH MECHANICAL - Prior to cover,
ROUGH ELECTRICAL - Prior to cover.
FINAL PLUMBING - When all plumbing work is complete,
FINAL MECHANICAL - When all mechanical work is complete.
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: 03/30/99
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.
7~
t:. _ t& =cJ,~
tj-t"-'1 i
Signature
Date