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Home My WebLink AboutPermit Electrical 1993-8-4 SI'IIINCr-II.;.LO I..... . ~ ,-' , . " . ..-.....u Z' ,. .. nd does not require specific land use sf:.prcv.:l. 225 FIFTH STREET Zonj~? (y&/ SPRINGFIELD, OREGON 97477 0 ~ 4'?:> INSPEcrION REQUEST: 726.!3769'..v --- .- OFFICE: 726-3759 AL...,,,nd Signature ~ 3. COHPLETE PEe SCHEDULE BELOY 1. LOCATION OP INSTALLATION ISlJ\(q 'OLVmPI(.. A.' LEGAL DESCRIPTION 170 "32-i-?:>1 02-700 \<.6tt1/c.'t;.Vc:.-, en o\\~ ( kk ') JOB DESCRIP1;ION r.\.\MeolNa:Ito, ('U<~\u~k.-, t"Pov'f> Permits are non-transferable and expire if york is not started vithin 1BO days of issuance or if york is suspended for 1BO days. 2. CONTRACTOR INSTALLATION ONLY Ele~trical Contractor Palmer/Philips Address 3170 Meadow Lane City 'Eugene Phone 688-6121. Supervisor License Number 771QS . Expiration Date 10/92 Constr Contr. .Number 20-179C Expiration Date 10/92 Signature o~pe:vising Electrician (/l' . ~ ~h~l~pS . Ovners Name k.!'='l"""Cll Address \ 'Is'&"'! OL'f m PIC Ci ty .;5 P.(-UD Phone 1ZC.-77~ OYNER INSTALLATION The installation is being made On property' I OVn vhich is not intended. for sale, lease or rent. Ovners Signature: -----------?r-----------~-- DATE:_ 'is --:{-i-J RECEIPT I: '7 ,,~,.:::. RECEIVED ny: ;;:0~ Nev Residential-Single or Hulti-Family per dvelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less Each addi t'ional 500 sq. ft or portion thereof Each Hanuf'd Home or Modular Dvelling Service or Feeder $ B5.00 $ 15.00 $ 40.00 B. Services or Feeders. Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 am'ps/vol ts 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 1000 $ 40.00 $ 55.00 $ BO,OO volts see "B" above D. Branch Circuits Nev, Alteration or Extension Per Panel One Ci.rcui t Each Addi tional Circuit or vith Service or Feeder Permit q <:,",00 3,) $ 35,00 $ 2: 00 .....IK.OCl 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 $ 36.00 5. 5'200 SUBTOTAL OP ABOVE '-J 5% State Surcharge ;;I.'" TOTAL 65 ,,~ . . COMMERCIAL/lNDUSTRIAL PERMIT APPLICATION ~ JOB NUMBER ~'72/ 225 Fifth Street, Springfield, Oregon 97477 INSPECTION LINE: 726,3769 OFFICE: 726,3759 LOCATION OF PROPOSED WORK' /1?8"7 c::?c( .:;.--~ .P>/C ASSESSORS MAP: ~"Y-~_ _ '2--S---'3" /' 57 - ., TAX LOT:~~ .;...,-. .-. ~ -<,;::t:C:s OWNER' k r c::. ~;;r;z>. ADDRESS' ?;~ ~.? d::::rA'. CITY- _~k--.d ~~ o~. /' STAT~' _ PHON~/'7/7'" )4BR - 2';;;/7 . 5.:::-/ r-c .2.-....... ~. -.. ZIP' ~?e5Y DESCRIPTION OF WORK: ,/~:rr-~rL.. 1{:"C ~G./'.. ~~ -r , NEW REMODEL V ADDITION DEMOLISH OTHER , 7y..~ <.. /;::--.2> VALUE: '?~'--- NAME ADDRESS PHONE ARCHITECT' CONTRACTOR'S NAME GENERAL: t.~~~ 4-n-l/; PLUMBING' ~~e-.A..c...p C<.--~,.. MECHANICAl /~~/~r7' _ - . /' ELECTRICAL~&:<' ~/L(~ , r CONST. ADDRESS ~CONTRACTDR # . EXPIRES PHONE ~~~;;''7 :L.,~A>. ~~.-" ~ _. _....."~.~--"'" , 2 '" - -2::..::,... ~ / ., _?e. o/n//, =- , .. r ,,, r NO_ FEE CHARGE MECHANICAL Nn ~~~ "HARGE-. Furnace/burner & vent < 100,000 BTUs Furnace/burner & vent > 100,000 BTUs Floor furnace and vent Suspended wall or floor mounted unit heater Appliance Vent separate Stationary evap. cooler ./ Vent Fan/Single /fh COD duCI M~ Vent System apart , from AC or hlg, Mechanical exhaust hood and duct Perm It Issuance $10,00 TOTAL PERMIT PLUMBING Single Fixture Relocaled Bldg, Inew lix. addlll Water Service II. Sanitary Sewer It. Storm Sewer fl. Backflow Device TOTAL PERMIT OUAD AREA- - OFFICE USE - LAND USF' HANDICAP ACCESS: FLOOD PLAIN' # OF SLDGS: # OF UNITS' ZONING' OCCY GROUP' # OF STORIEP' CONSTR TYPF' HEAT SOURCE: LIGHTING POWER BUDGET: WATER HEATER: SO. FT. $/SO. FT, VALUE SO. FTG MAl N x SO. FTG ACCESS x SO. FTG OTH ER .t4~ -/' X TOTAL VALUE OF PROJECT -:;;;;::~- - PLAN CHECK FE.E ':1^7~ . RCPTN OAF SY I BUILDING PERMIT 15% State Surcharge I MECH6bUCALI'~.s /~_. 15% Sfate Surcharae 1 PAVING I PLUMBING CURSCUT FT. FT. I DEMOLITION I I I I~~""'F~ 'SUBTOTAL - PERMITS SYSTEMS DEVELOPMENT I I ~/~I :Z~7S- 1 I ~o- L'~.- 5% State SurcharQe FENCE VALUE ~ SIDEWALK - ;;>.s-- TOTAL PERMIT FEES I EXCLUDING ELECTRICAl ""'2 ~;5.:> . 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. SITE INSPECTION: To be made after excavation, but prior to setup of forms. UNDERSLAB PLUMBING, ELECTRICAL & MECHANICAL: To be made before any work Is covered. PAVING: After gravel is In place but prior to placing asphalt or concrete. FOOTINGS & FOUNDATIONS: 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 framing inspection. 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 testi ng reports shall be furnished to the Building Division. ATTIC 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.1. (306 a,1) STRUCTURAL WELDS: Performed on the job. (2722 f) UNDERGROUND: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and d rai nage II nes. To be made prior to covering or filling trenches. 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. HIGH STRENGTH BOLTING: During all bolt Installation and tightening operations. (306 a.6) SPRAYED ON FIREPROOFING: U.B.G. Standards 43,8. UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to installation of floor insulation, decking or floor sheathing. FIRE & SEPARATION WALL: Located and constructed according to plans. 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 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). FLOOR INSULATION & VAPOR BARRIERS: To be made prior to installation of decking or floor sheathing. STRUCTURAL MASONRY: (306 a,7) MASONRY: Steel location, bond beams grouting or verticals In accordance with UBC 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. .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. 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 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. x FINAL ELECTRICAL /' FINAL MECHANICAL 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. FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS' PLANS REVIEWED BY ~-"".. ~ , e-' ,,?7 - DAT~ 7~ --'-7 -:> 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 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 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~an the approved set of plans will remain on the site at all times during /'jtructio!1' 0 \ !J Slgnaturo (J/'::'" J/~NI t:1? Jt2...d'c.O'./~ Date ~/2-~/q", - C /J . /' " 7' 2.. 'J'..FO ')'~/~ RECEIPT ': DATE PAID' 7/.2. 'l(.'7' 3, RECEIVED BY: ~'?:, I l VALIDATION: AMOUNT RECEIVED: