HomeMy WebLinkAboutPermit Electrical 1994-4-21
he following project as submitted has the followl
zoning, and does not require specific land use .
approval.
225 FIFTH STREET Zoning~~U ELECTRICAL PERHIT APPUCATION
SPRINGFIELD, OREGON 97477 f1t1~~ ~
INSPEctION REQUEST: 726.r3'76Q 4- 2.." 'f4 . City Job Number ,'-n n'ri\T
OFFICE: 726-3759 Autho~iZad Signature JJ .~ . C(lHPlZl'K IlKE SCHEDULE BELOV
16)~~ O~~ALLAT~lf'~
. LEGAL DESCIp:r-t:IOr \
(f\()~~~ n\ \rD
,
~lO~B~~YOQ .0~{Q J
Permits are non-transferable a pire
if work is not started within 80 days
of issuance or if work is suspended for
180 days.
!
2. CONTRACTOR INSTALLATION ONLY B.
Electrical contractor~~A ~#/C.
Address .:l7%'Z /~~~
City 4-,j"Pt'/ Phone ?~-.?2:;;?
Supervisor Licen.se Number .;1.5 :2tJ-5
Expiration Date ~:3 jO,l.gs
" C.
Constr Contr. Number /~;)~~
Expiration Date fi ,-'3 R.59t
Signature of Superv~! Electrician
. rk-A A'-1{_....~~
J ' /' \~ D
Own~ Name14\f\ r.oE: ~o.r\00
Addressrj)()f}~, KJ \ , r' r~ )
City . ~d Phone . '
OVNER ~~TION
The. installation is being made on
property I own which is not intended
for sale,' lease or rent.
Owners Signature:
A.
New Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
Items
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof ,
Each Hanuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
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 amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
.$ 40.00
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 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit I
Each Additional
Circuit or with Service
or Feeder Permit ~
$ 35.00 '3'S
$ 2.00 /&
E. Hiscellaneous (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
,f ~~ -- 5. SUBTOTAL OF ABOVE
DATE: 7'-~o:::t I\~ . .' 5% State Surcharge
RECEIPT I: I ~~~II~'.J~ TOTAL
RECEIVED BY: ~ '-,:'''!,:-- ~7~ 7__
"'i"'c![-
?~~
~S" ..as-
.
.
COMMERCIAL/INDUSTRIAL
PERMIT APPLICATION
~
.
JOB NUMBER ?'~ Y'.:<7"
INSPECTION LINE: 726,3769
OFFICE: 726.3759
225 Fifth Street, Springlield, Oregon 97477
LOCATION OF PROPOSW WORK' 2.07 ~
ASSESSORS MAP' \, ID38~
{')U+Wl Pi (
TAX LOT:
T) t \(Y)
- ~ ~
OWNER.~"'I<:.. C!'="f, A~~LA1i!\ L
ADDRF"".0XJI) ::\ ( 1 tYfl\Di I') a A Q 0 r
CITY: ..... f-{)'J\ -~ l' f'\I /L J J\O r\1 STATE: ~ ~ ~ ^ OJ:\Ol\
~ \ '\ ,~ 1;-'\\ - - '~ '
DESCRIPTION OF WORK' ~A.-..:n: ~ "-"-=i~ l
NEW REMODEL '>G ADDiTiON DEMOLISH
PHONf'
ZIP:
q ~r\' )
OTHER
VALUE: 2 z., <Slt90 .--
NAME
ADDRESS
PHONE
ARCHITECT:
CONST.
CONTRACTOR'S NAME ADDRESS CONTRACTOR'
GENERA" M~"",""( '-t'OC"",, (2 C-,,,",,ol. ~::,,-e;s,<:>PIl'.:l'::C~1Z,M)L ~~(')
PLUMBING' Au:.rz.-r Vi: JM'3I~~ 0-5,)c0Q /./'7.QS '7Z'l-I7't'L
MECHANICAl' '?-r--eJ-F'.p-:V:I ~ ~#G'7 vv. ~'7A-'- 4C\t oq [, 7) ,gl." LJp..,'-f~2.3.~
/I)Af<:J ?O-f5Sc.....~~.qLl 3'-($r7z...C; ')
\ - 1
EXPIRES
(0/91
PHONE
c., 9?-Z.8'l(
ELECTRICA' '
"RE'i"'""'cl.. ~,
PLUMBING
MECHANICAL
NO,
~ S;ngle Fixture
Relocated Bldg,
Inew Ii x, addtll
Water Service
It.
Sanitary Sewer
It.
Storm Sewer
It.
Backflow Device
FEE
CHARGE
"'"
I J:~~
I
r.I:IARGE_
/tC/ ~~.c:::0c5
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
duel
Vent System apart
from AC or hlg.
Mechanical exhaust I
hood and duct
A~~
/~
Permit Issuance
$10,00
TOTAL PERMIT
TOTAL PERMIT
QUAD AREA/J~ JUt U
- OFFICE USE -
LAND USE ~~ty ')
HANDICAP ACCESS:
FLOOD PLAIN:
ZONiNG: U 1((1 ./
. OF BLDGS:
~
6.~
'I'
. OF UNITS'
CONSTR, TYPE:_'7-//,/?P.
HEAT SOURCE:
LIGHTING POWER BUDGET:
WATER HEATER:
OCCY GROUP:
. OF STORiES:
SQ, FT.
$/SQ, FT.
VALUE
SQ, FTG MAIN
X
SQ, FTG ACCESS X
SQ FTG OTHER ~~ ""?~ X
, ~
'7~- t::'
TOTAL VALUE OF PROJECT
PLAN CHECK FEe: ~ /'-=f
RCPP /'2/3'-r-
DATE ?- 3"/- '? 7' BY ~ p.~
I BUILDING PERMIT
15% State
SurcharQe
I MECHA~~
15% State - - .
Surcharae
1 PAVING
/ ~~ I PLUMBING
5% State
?6? SurcharQe
/~_ -.e> FENCE
~..._ -- VALUE $
- --+SIDEWALK
_ 7.5 I
I CURBCUT
~.-,
::? <-e;
, DEMOLITION
I
I
I
'2::2";).88: I
It> B8~ #5
FT.
SUBTOTAL
PERMiTS
I SYSTEMS
DEVELOPMENT
FT,
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
-?/6.:::Z ~
.
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 Y... \ ROUGH PLUMBING, PAVING: Alter gravel is in
made alter excavation, but (ELECTRICAL & place but prior to placing
prior to setup of forms. MECHANICAL: No work is to asphalt or concrete.
be covered until these
inspectlons have been made
and approved.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work Is covered.
ATTIC DRAFT STOPS &
CURTAIN WALLS
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special inspector shall be employed
by the Ownerl Contractor during
construction of the following work, A
copy of the special testing reports shall
be furnished to the Building Division,
STRUCTURAL CONCRETE: In
excess of 2500 P.S,1. (306 a.1)
STRUCTURAL WELDS:
Performed on the job, (2722 f)
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operations, (306
a,6)
SPRAYED ON
FIREPROOFING: U.BC,
Standards 43,8,
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork, (306 a,11 &
Chapter 29)
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).
STRUCTURAL MASONRY: (306
a.7)
'In addition to the Inspec,
tlons specified, the Building
Official may make or require
CURB AND APPROACH other inspections of any
ROOF SHEATHING AND. APRONS: After forms are construction work to ensure
NAILING: Prior to Installing erected but prior to placing compliance with the Building,
,,1~- :~:~:0::~:e~il:9~___________c~ncr:::~ -;LA'N ~EVIEW ~OA~D: Mus;-beC:~::~s~ee::o:~:~: :::~:-
~ of the date you wish inspectron. All project conditions such as
<landscaping, parking lot stnplng, etc. must be completed before
FINAL ELECTRICAL requesting this Inspection,
\ i .FINAL BUILDING: Requested after the final plumbing, electrical,
FINA!:-.MECHANICAL '- 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.
y
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel In place, but
prior to placlng concrete.
FIREPLACE: Prior to placing
facing materials and before
framing Inspection.
-:i
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.
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.
INSULATION & VAPOR
BARRIER: To be made alter 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.
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
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.
''A
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,
POST & BEAM: 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.
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.
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415.
ADDITIONAL COMMENTS'
FINAL FIRE DEPARTMENT
PLANS REVIEWED BY wm Q - Q\ Q ~# DATE 4. \S~
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 compiiance 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.
Slgnatura bJ.J'- e7/,4'+ Date ~ /61/"77
~;,--,t:" ~4 J-
RECEIVED BY: / .
/""11"""'0-- ___.
- V',
VALIDATION:
AMOUNT RECEI'iEp\-=-, ~? 1.90
RECEIPT .' '" t.J..,r, )\ ~ '
/'2~5 '
.
.JOB NO. 9'4o'f2L\.
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(PROFESSIONAL OFFICES & INDUSTRIAL)
NAME OR COMPANY: "'6At-.I K. 0 F AMrE:.fl..KA
LOCATION: "Z..o..,~ OL'fMPIc.. \IO~""?'-\-'2..- 0\\06
DEVELOPMENT TYPE: ?~o1". 01='r-1l:.E. -12'E:MoD€:.L h>tz.. i::>!'!-'S c,rF\<:.E:.
BUILDING SIZE:
l. STORM DRAINAGE
IMPERVIOUS SQ. FT. 0.5 x -e-
2. SANITARY SEWER-CITY
NO. OF PFU'S 0.5 X '-f
(See Reverse)
3. TRANSPORTATION
LOT SIZE SQ. Ft,
X $0.203 PER SQ. FT~ - ')
'-- ..-/
X $42.08 PER PFU
~ 8<1- ,~
'--- .-/
NO OF UNITS X TRIP RATE X COST PER TRIP
0.5 X X X $424.31 c(' -)
'-- ,..../
0.5 X X X $424.31 $
0.5 X X X $424.31 $
4. SANITARY SEWER-MWMC
NO. OF PFU'S x $15.125 PER PFU + $10 MWMC ADMIN. FEE $
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
$
TOTAL-MWMC SDC Co)
I{,
SUBTOTAL (ADD ITEMS l,2,3 & 4) $ 95'-1-
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
4" tf~~
'- ---
l~',,~L~ 'i-!+('1.J-
-10 p Burd i ck
SOC Coordinator
TOTAL SDC
$
2?'8 ~
FIXTUREUNIT.CALCU~N TABLE: Number of New Fixture.nit Equivalent = Fixture Units (NOTE'
For remooels. calculate only the NET additional fooures)
NUMBER OF UNIT FIXTURE
FIXTURE TYpE NEW FIXTURES EOUIVALENT UNITS
Bathtub.."...",..,.., ,.......""""""""",',',,",..,""""",..,"
Drinking Fountain,.."...""""",.."".""".."""..""",. ,..
Roor Drain...., ,.. ,.., ,....,...,...""""""',',.".....,,..,"",..,..
Interceptors For GreasejOiIjSolldsjEtc................,
Interceptors For Sand/Auto W~shjEtc..:..........,....
Laundry Tub/Ootheswasher..,.., "':,:..;".. ............"';
Ootheswa~er - 3 Or, Mpre"".......,........"...............
MobUe Home Park Trap (1 Per Trailer),;......,;,;......
Receptor Fgr RefrigeratorjWater StationjEtc....",.
Receptor For Commercial SinkjDishwasherjEtc..
Shower, Single 'Stall...., ............' "'..........,.. ........., ....,
Shower, Gang.............,............,....,.........."........,.....,
Sink, Bar, CommerciaL............................,......"'......
Urinal. StalljWaIL................."........,................"'..,..
Wash BasinjLavatory, Single.................................,
Water Ooset, Public Installation............................,
Water Ooset. Private....,.......,......,......................,...,
Miscellaneous:. '
t.f
2
1
2
3
,6
2
6
6
1
3
2
1 jHead
2
2
1
6
4
'-f
TOTAL FIXTURE UNITS
=
a.f
CREDIT CALCULATION TABLE:
calculate credits separates,
If
Based on assessed value, If improvements occurred after annexation date in table.
S 2,24
1,93
1.57
1,18
0,79
0,44
0,28
II
I
Year
Annexed
Rate per $1.000 Year
Assessed Value Annexed
$3,21 1986
.. 3,13 1987
.... 3.08 1988
2,96 1989
2.82 1990
2.68 1991
2.51 1992
Rate per $1.000'
Assessed Value
1979 or before
1980
1981
1982
1983
1984
'1985
Credit for Parcel or Land Only If Applicable ~. L\ X $
(Rate X Assessed Value)
Improvement [If after annexation date) X $
(Rate X Assessed Value)
CREDIT TOTAL
=
M.A.
=
= $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Aesldential".........,...,..,.:............."......,....,.....,.. 0,4
Commercial".........,........,...........,.................,... 0,9
IndustriaL".......,....".,...............:,:..,....;...",:...... 0.45
GovernmentaL....,.................,...",...,......""...... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT