HomeMy WebLinkAboutPermit Electrical 1998-4-23
..
SPtltCFIELD
The 10 ow ng pr
zoning. and doe. not require epecfilc land use
approval. . NOTICE:
Zoninl' r r .J ~r.
Date A.-r 1-:? ~~ ! ,is PERMIT SHALL EXPIRE IF THE WORK .
,< 225 FI~'Li1 :'J:R,E:~L Y\ rv\ ~~:HOR'ZED UNDER THIS PERMIT Is%JfTRICAL PERMIT APPLICATION
: SPRI~Pr'~m~~""vlC:I~\;t:D OR IS AS
'. INSPECTION REQUEST: 726_1.,]69 ANDONEDFOltity Job Number q?~~
OFFICE: 726-3759 ?IllY 1l;lO DAY PERIOD.
3. COMPLETE FEE SCHEDULE BELOY
1. LOCATION OF INSTALLATION
11'1/ 1-\11:"'" <* Qy"...,\S~~o~~ (')'\L A. Ne" Residential-Single or
Multi-Family per d"elling
~GAL DESCRIPTION Service Included:
. ~,-" \; "^'I '03 J c;:...~",,~~... '<'o~ S:,~~ Ite~
I ?rt?;>. ~ '5'~ <.( / -~?2. OD t/
JOB DESCRIPTIO~ 1000 sq.ft. or less
'V.NV1<"'rloi \~-<;2...~,\,~\C".~ Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular .D"elling
Service or Feeder
:~
..
Permits are non-transferable and expire
if "ork is not started "ithin 180 days
of issuance or if "ork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
B. Services or Feeders
Installation, Alterations
or Relocation:
,
..
Electrical Contractor2~\ ~n.,<:'".c.r~
Address ~ c", ....C'\ ~<~"\ c-l-:-
City Y..~K~M Phone b~-Q~
Supervisor LIcense Number '1~I>~()
200 amps or less
201 amps to 400 amps
401 amps to 600 amps <
601 amps to 1000 amps- v/
Over 1000 amps/volts
Reconnect Only
I
I'
i
.1
:
Expiration Date
I-q~
c. Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number ~~~~("\
Expiration Date
/- qq'
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Electrician
D.
Branch Circuits
O"ners Name...Eel. 'X, ,'~... \-\.-",~~c..-n\
Address 2'llc.... \...c-. ~'"""'\ ".:k-
Ci ty Cf.. "'~^~ _ Phone /-'R.k~<::'
OYNER I)sTALLATION
uni t.
Cost
$ 85.00
$ 15.00
$ 40.00
J
It
Sum
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$ 40.00
$ 55.00
$ 80.00
see "B" above
Ne", Alteration or Extension Per Panel
One Circuit / $ 35.00 ~.,.p
Each Additional
Circuit or "ith Service
or Feeder Permit ~ $ 2.00 ~.~
no t included)
The installation is being made on
property I o"n "hich is not intended
for sale, lease or rent.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting v/
Limited Energy/Res
Limited Energy/Comm
E.
(~:;~:~~;~=--~~~
~~ J{-13-1'b
RECEIPT II: . fL"'I~/'"
RECEIVED BY: <:1(J,A..)
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
7'~'.-?
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4'.~r
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CO M M ERCIALII N DUSTRIAL
PERMIT APPLICATION
~
JOB NUMBER
~~"?'~
~'''--...
L., <,CI
.
225 Fifth Street, Springfield, Oregon 97477
INSPECTION LINE: 726.3769
OFFICE: 726.3759
LOCATION OF PROPOSED WORK: \ \ ~ \ ~'" ~ "^
ASSESSORS MAP: I/. ~3- 3,S"- V/
<::...4,- ~<',.......'1 t., ;",.\ t\'V
. ~".
TAX LOT:
~/.2'.P
ARCHITECT:
OWNER' rHl ~,.\~ Q \\("\\"~s::...c-n \.
ADDRESS:. ~~ t---rl ~ """'\ <:".;':-' .
'2uo.. { ,,>-0
OESCRIPTION OF WORK: ;';~~?f ~~ ~~~~-C-
, ".8ifIt:.p- ~/' 'li}J!"~ P/,-y<':>.
NEW REMODEL' ADDiT~N DEMOL SH OTHER
;
ADDRESS it: PHONE
CaNST.
ADDRESS CONTRACTO . EXPIRES PHONE
( "....,~<:....-'N, ,,-\-,n.,,- '17.. ~~") l::.:LV (..,Q:h-Ytrn.<::"'
CITY:
STATE: ~
PH.QNE:~!\ \:..,~-y'<)0..~
.c~ ~2-t!!IY~2
ZIP: ql(j(]~
".-' -"
.~~..........,t$-
VALUE: ~~-_. ,""-
- ~
NAME
CONTRACTOR'S NAME
GENERAL: ~~ \-\~"", <:.,: n t
PLUMBIN("
"
"
"
"
'I
I,
/, 1'< II
MECHANICAl'
ELECTRICAL: 9d \-\.n ,,';-<:.en \ C~~~'^_
( I
I'
II
"1 <.<?(\
( ;S S R~
"q"-Q:r~
I PLUMBING I MEC':HANIC':Al
t'Jo, I I FEE I r';~~ i Nn Jm I ru.o.ct":!c I
14- I I Furnace/burner v t , h. .-e> 1
Single Fixture /~ <100.000 BTU.J ~A"'. ,,,,,Jt.::..
I Relocated Bldg. I I I Furnace/burner &. 'vent 7 . J
(new fix. addtll > 100,000 BTU.
r Water Service 1 I 1 ~Iltufnace and vent j
It. ,
I Sanitary Sewer I Suspended wall or floor j
fl. mounted unit heater
1 Storm Sewer I Appliance Vent j
fl. separate
1 1 I Stationary evap~~ '::;;.'- I
Backflow Device cooler L? ~
I I I I Vent Fan/Slngl - I ? .-c> I
duct
I 1 I #71 Vent System apa~ 1
from AC or htg. .
I I I I Mechanical exhau.sl . I I I
hood and duct
I I 1 16~;9?'(Ad I=?,,~ 1
1 I I I Permit Issuance I $10.00 1
1 TOTAL PERMIT I~.'-I I TOTAL PERMIT 1/7.-0 1
- OFFICE U.SE -
HANDICAP ACCESS:
FLOOD PLAIN'
ZONINr-.
LIGHTING POWER BUDGET:
WATER HEATER'
OUAO AREA:
. OF BLDG~.
f~':J/ iCE' LAND USE:
. . OF UNIT'"
I n/::; /"ERMIT !;:I-Id/
/rt:liffORIZED C'Of'.lsU-~fWil1= IF Tile hun/\
03MMENC W~IlP&liI:tHER1=~M'T:S w-
En I'l/:l Ie> '31 ~_ VI
so iIti'IY 180 DAY PERIOD.' i'/so':'l!lF.u FOR
X
X
x
VALUE
OCCY GROUP:
. OF STORIES:
so. FTG MAIN
SO. FTG ACCES"
sa. FTG OTHER
TOTAL VALUE OF .PROJECT
PLAN CHECK FiE /'25': Y5
Rcpp269#)2.
...
DATE ~c./. -9 2... BY
~<.:l__~
_7.... .
I BUILOING PERMIT
5% Slate ?i
Surchar~e
MEC~I~ "
~...,~/
15% Sate" ~,
Surcharoe. '" l,L. ~
1 PAVING, 1
/~~
~-,-6'"
-'!h??
~.~
.~5
'~I
I PLUMBING
I 5% State
Surcharoe
I FENCE
VALUE $
I SIDEWALK
I CURBCUT
~
FT.
:rJ
-7'..::::!>.'''' I DEMOLITION
'1:;".::>1
I
I SUBTOTAL
,PERMITS
[SYSTEMS .
,DEVELOPMENT
::?&:::>. -
7t:.:'!~."":- '--:L..-~
t..:i:... -". - -
/2/8.3:s-'
~~"'.~~".
/;/./-""'" ---'
/4r- /G;>6/--
. !
TOTAL PERMIT F.EES I
EXCLUDING ELECTRICAl
REQUIRED INSPECTIONS
It Is the responsibility of the permit holder to see that I
726.3769 (recorder). state your City desl nated 0 a I Inspections are made at the proper time. To request an Ins ectlo
for Inspection. Requests received befor~ 7:00 a1mb ~~;';,~e~J~b ~~dress, type of Inspection requested and when you ~III be ~~~~~
the fOllowing work day. a e e same working day. requests made after 7:00 a.m. will be made
SITE INSPECTION' To be Y
made after excavailon. but ~~~~~I:;LUMBING,
prior to setup of forms. MECHANIACALL& N
: 0 work Is to
be covered until these
Inspections have been made
and approved.
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street right of
MASONRY: Steel location way, to be made after all
bond beams grouting or ' excavating complete and form
verticals In accordance with work and sub.base material In 'In addition to th I
UBC 2 place e nspeo.
415. . tlons specified. the Building
CURB AND Official may make or require
ROOF SHEATHING AND APRONS' APPROACH other Inspections of any
NAILING: Prior to Installing erected bU~f~~ro~O;:SI arf construction work to ensure
any roof covering. concrete. p ae ng compliance with the Building,
--y----------------------_______________ City or Development Code.
FINAL PLUMBING JI' SIT LA ---------------
E P N REVIEW eOARD: Must be requested 2 days In advence
of the date you wish Inspection. All project conditions such as
lan~scaplng. parking lot strIPtp.3~' ~s..l.lte_compJe!ed }Jefore
requesting this Inspection. ~r/ /?~Y7Cy?//~~F
Y FINAL BUILDING: Requested after the final plumbing, electrical,
meclJa"Ic:~I. and Fire Department Inspections are made Bnd
'j, "I ,\ a~pr,oved. No occupancy of..the premises can be made until a
FINAL FIRE DEPARTMEN.T . Certl,flca!~ of Occupancy has been .Issued by the Building Division
- - . . and 'posted on the premises.. ,. .
ADDITIONAL COMMENTS: ~~ ra::-Y~~f"b'.;6<.4F' ~.r~;. P~.-<7A7/F/";;
~#NC/~_ ~7,o?;"~.#-c 9,e~2-z)Y~ I' , '
.
UNDERSLAe PLUMelNG
. ELECTRICAL & '
MECHANICAL: To be made
before any work Is covered.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel In place, but
prior to placing concrete.
CONCRETE SLAe: 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.
UNDERGROUND: Plumbing
electrical, gas, sanitary sew~r,
storm sewer, water and
draInage lines. To be made
prior to covering or filling
trenches.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to Installation of
floor Insulation, decking or
floor sheathing.
POST & eEAM: 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.
)
FINAL ELECTRICAL
-(
)
FINAL MECHANICAL
/
ATTIC DRAFT STOPS &
CURTAIN WALLS
FIREPLACE: Prior to placing
facing materials and before
framing 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 tough electrical. plumbing
and mechanical are approved.
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.
I
~
LATH AND/OR GYPSUM
eOARD: To be made after all
lathing and gypsum boerd
Interior and exterIor, Is In '
place but before any
plastering Is applied or before
gypsum board Joints and
fasteners are taped and
finished.
.
1
...r
*
-'
PAVING: After gravel Is In
place but prior to placing
asphalt or concrete.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special Inspector shall be employed
by the Owner/ Contractor during
construction of the fOllOWing work A
copy of the special testing report; shall
be furnished to the Building Division.
STRUCTURAL CONCRETE: In
excess of 2500 PS.1. (306 a.1)
STRUCTURAL WelDS:
Performed on the Job. (2722 f)
HIGH STRENGTH BOLTING.
During all bolt Installation ~nd
tightening operations. (306
a.6)
SPRAYED ON
FIREPROOFING: U.B.C.
Standards 43.8.
SPECIAL GRADING
EXCAVATION AND FILLING'
During earthwork. (306 a.11 8.
Chapter 29)
GLU.LAM BEAMS: Inspection
Certificate by an approved
agenoy. furnlahad to the Clty's
Building Dlvlelon before
beams ere placed. (2501 U.B.c.
STDS. 25-10,11).
STRUCTURAL MASONRY: (306
a.7)
PLANS REVIEWED BY
~
/jf~~ ~-/-->
/ 1/<'~--',/. -:;0' 'i-c ,
DATE ~..;:t;>~
By signature, I state and egree, thet I have carefully examined the completed apptloatlon and do hereby certify thl" 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.
I further agree to ensure that all reQuired Inap ctlone are reQuested at the proper time, that project address Is readable from the
street. that the permit card '~'ocated t t front of the pr rty. and the approved set of plans will remain on the slto at all
times durlng?!~truc on.
Cbate _<f-E.-Z- <'E'~
$(Slgnatur" ~ '/' '_ ~ ,./_ T
--- '. --..' .1 '
( _______ . , f'~ It?' ,--- , &;r-/
AMetiNrRECEIVEO: ~.e-:::: 'y.. ~ DATE PAID: _~-,;J..3-/1I'
RECEIPT N. d.-&f5ib RECEIVED BY. q('uJ
VALIDATION:
...' ......
AJOB NO.Q)rlJ9&
ATTACHMENT A ., .
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE'
WORKSHEET
.
NAME OR COMPANY: p. ~ -:--1 u /-> d"';, i; ('A j .
LOCATION:. . // 4';d.u'n ~.
DEVELOPMENT TYPE: ~.e-. ~/! ~/nd.J"'I/~hi/b'h/bP)Jh,h- Ad21 ~
BUILDING SIZE: ~2fj .... 9.j..(_LOT S17I'. <;Q. Ft. .
1. STORM ORAINAGF - M.~ .
IMPERVIOUS SQ. FT.
~
'X $0.226 P,ERSQ . FT. $
-.
2. SMlIARY SFWFR-r.TTY
. . 7A
NO. OF PFU' S ~ X $46.86 PER PFU $ 9.:t-
(See Reverse Side)
. . '. ~e~,-e -tl.e'v&:/74/?-'/- ~~J
.3. IBANSPORTATlON Avf~ c.:-~ - p.En. .. .. ,
'NO OF UNITS X TRIP RATE X'COST PER TRIP
d~ ,~$x ~93
. ,.7.5'
!te./J'o ~ _.~-~./ .' X /, & '7
X
X $472.49
X $472.49)
X $472.49
, '1/
i~ ..J12-
/ r ..f1" ~
~ $ ~ .<&8-:-;/
~l
r;;~/ ::: $ 9,1'9'-
4. sAtUIARY SFWFR-MWM( . .
. '., ,. '3;?' . .., , ,. <;0
NeW NO: OF FEU'S I' x--r X ~r- PER FEU + $10 MWMCI ADM FEE $~ .1t)/ ~. .
, "'17>
. MWMC CREDIT IF APPLICABLE f5ff-JHf~3c)z..$ r.s- .,
!t~/(;(.)'7'; .'15"')<' 69.,t'~ . .$.:///./ 9Y
TOTAL-MWMC SOr. /7'
;J
. J'
SUBTOTAL (ADD ITEMS 1.2.3 & 4) . $ fjC,o -
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL. ABOVE) X .05-
o.{.
., .$ . ..;-}}-C
K_.~~ ..
/1 SD&1 Coffdi nator .
(/1-i/1uJ) .
Date:p!/9&
. 35-
IQIAI SOt.:. 1/:.1 /;3-:-:-
,;
"
\
. FIXTURE UNIT CALCULA.llON TABLE: Number of New FixtU. Unit Equivalent: Fixture Units ,
(NOTE: For remodels, calculate only ~ additional fixtures) , ~. 'a-o.
'. NUMBER OF UNIT . FIXTURE
FIXTURE TVPE NEW FIXTURES EQUIVALENT UNITS
Bathtub.........,...,...:...........................;....................... .
Drinking. Fountain,......~................;.........:..................
Floor Drain:.....:........................... .;'.......:....................
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For Sand/Auto Wash/Etc........,.........
Laundry Tub/Clotheswasher............. ....... .... ...........
Clotheswasher - 3 Or More......................................
Mobile Home Park Trap (1 Per Trailer)...............:..
Receptor For Refrigerator/Water Station/Etc...:....
Receptor For Commercial SinklDishwasher/Etc..
Shower, Single Stall..............................,..................
Shower. Gang...........................................................
. Sink: Bar, CommerCial, Residential Kitchen.:.......................
Urinal, Stall/Wall..,:..., ....... ................. ,.... ...................
Wash Basin/Lavatory. Single........:............ .............
Toilet, Public Installation.;....................... ...............
Toilet., Private.....,..... ... .....,.......:.... .....:... ...............
Miscellaneous:
CREDIT CALCULATION TABLE:
calculate credits separates.
r
2
1
2
3
6
2
'6
6
1
3
2
1/Head
I '2
2
1
6
4
TOTAL FIXTURE UNITS =
~
-:<
Based on assessed value. If improvements occurred after annexation date in table,
II
Vear
Annexed
Rate per $1,000
Assessed Value
"
1979 or before
1980
1981
.1982
1983.
1984
1985
1986
$3.97
3.89
3.83
3.70
3.55
3.39
3.20
2.91
I
Credit for Parcel or Land Only If Applicable
.'
Improvement (if after annexation date)
Vear
Annexed
1987
.1988
1989
1990
1991
1992
1993,
1994
1995
1996.
X $
(Rate X Assessed Value)
X $
(Rate X Assessed Value) .
=
=
CREDIT TOTAL. = $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
'Residential...:..;................:...OA
Commerical...,..................... 0.9
Industrial............................ 05
Goverrimental...............,...... 0.5
IMPERVIOUS AREA. = TOTAL LOT SIZE X RUNOFF COEFFICIENT
Rate per $1.000
Assessed Value
$2.56
2.17
1.73
1.31
0.92
0.74
.0.61.
0.45
'0.31
0.17
~.