HomeMy WebLinkAboutPermit Electrical 1992-4-29
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The. following project as submitted has the fAU~T . ~
225 FIFTH STREET zOning. snd does not require specific land us~"nu.CAL PERIlIT APPLICATION
SPRINGFIELD, OREGON 974771pprovsl. M n 1'\/\ 1 -:;zc::...
INSPECTION REQUEST: 726-3769 Zoninp \ V Ci ty Job Number ~1a.L..J ex. }..." )_
OFFICE: 726-3759 Oat. 4- ,pYf,cfl- 3
I-L{. COMPLETE FEE SCHEDULE BELOV
1. Bt3 o~~Rm 'U\:
\ --lfJ~~'ONrl~ Lex)
\ d\1-~~p~~j 01A(llub
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
Electrical contractor~~~~~~
I'
r:e.H~/O?'/
Phone 3Y~-?25?
Supervisor License Number c?...S;2d- S
Address ~;/~;?
City ~.::,
;
Expiration Date /(;7.-- 92-
Constr Contr. Number 1";7~~~
Expiration Date / c:;- 7' 2-
SignO:~u~;/dan
// lJl '?SA -/-
Q)<-r(ers Name -q{ 1 f) -..lY t fl,L/
AddressPD JOiMCfq
Ci ty [4J.. ~tZI70 ) Phone~
OlINER STALLATidJffi
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
--------------.-~---~/1-~--------------
DATE: 4 . 'L--, .qL- .
RECEIPT II: ~4 ~L--..
RECEIVED BY: d'IJ(L)
SI.'IINGFIlZ.LD
New Residen(ial-Single or
Multi-Family per dwelling
Service Included:
uni t.
Items
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
B. Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less $ 50.00
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
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
-1 $ 35.00 (, ~CS
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$
2.00
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. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
<-=I~R
JOB NO. 9?c>~?!Z;-
CITY OF seINGFIELD SYSTEMS DEVELOPM. CHARGE
WORKSHEEf
(COMMERCIAL & RESIOENTIAL)
NAHEOR Cor.1PANY: ~A!:>R <;'~rr;- hv",. P2$A2 /Y_N'V~E /,
LOCATION: '2oq~ L/~o/~;P/C A. /7-G>':f~2~=3/ t"!l"7?~
. . - , r - ,
DEVELOPMENT TYPE: L c:.: ;75e/7?&>z:r:!9::::
BUILDING SIZE: LOT SIZE SQ. Ft_
1. STORM DRAINAGE
IMPERVIOUS SQ. FT. X SO.186 PER SQ_ FT. b
(See Reverse For Runoff Coefficients If Actual Imperv. Area Is Unknown)
2. SANITARY SEWER-CITY
NO. OF PFU'S /t/ X S38.55 PER PFU
(See Reverse To Determine Total PFU'S)
~.., ~T.?~
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
x
X $388.61
Is
\
X
X 5388.61
so
X X $388.61 $
(See Attachment C To Determine Trip Rates)
SUBTOTAL '(ADD IT~S 1,2, & 3) S
4. ADMINISTRATIVE FEES
'BASE. CHARGE. (SUBTOTAl ABOVE) X ~05
Is -:z 6. 9'?'1
TOTAL-CITY SDCS;?6b. 6 ~
5. SANITARY SEWER-MWMC
NO. OF PFU'S
x 513.25 PER PFU .+ S!OMWMC ADMIN. FEE S; !l.A.
(Use PFU Total From Item 2 Above)
MWMC' CREDIT IF APPLICABLE (SEE REVERSE)
Kip Burdick
SOC Coordinator
S
TOTAL -MWMC SOC Is ,-t::/ - 1
TOTAL SDC S;
FIXTURE UNIT CALCULA.J;J.ON TABLE: Number of New Fi'1uresA Unit Equivalent. Fi,1ure Units (I~OTE:
For remodels. calculate only the ~dilion21 fi'1ures) . .
NUMBE~ OF UNIT FIXTURE
,FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS
Bathtub........... ........,.................... .................. ............
Drinking Fountain......;.................'.............................
Roor Draill...:.......::.......::......,:...................................
Interceptors For Grease/Oif/Solids/Etc.................
Interceptors For'Sand/Auto Wash/Etc..........:.......
Laundry Tub/OotheswasheL................................
Ootheswasher - 3 Or More.....................................
Mob~e Home Park Trap (1 Per Tra~er)..................
Receptor For Refrigerator fWater Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc.:
Shower. Single Stall..........:......................-...............
Shower, Gang.................,.............._........................
Sink. Bar. COmme~............_-_............
Urinal. StallfWalL.............,....:.....-.-..---....-,...,......
Wash Basinflavatory.Single._.._......_..........
Water Ooset. Public Installatioll._................-..........
Water Ooset, Private-..........,...-....
Miscellaneous:.
-:2.
?
2
1
2
3
G
2'
G
G
1
3
2
I/Head
2
2
1
G
4
.7
/-:2..
TOTAL AXTURE UNITS
=
/7'
CREDIT CALCULATION TABLE:
calculate croolls separales.
I
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Based on?<"<o<,,<'ld value. If.lmprovements occurred after annexation date in .table.
1979 or before
1980
1981
1982
1983
1984.
Rate per $1.000
Assessed Value
$2.66
2.64
2.53
2.41
2.19
2.04
Year
Annexed
1985
1986
1987
1988
1989
1990
Rate per SI.0oo,
Assessed Value
Year
Annexet:l
S1_69
1.35
1.15
0.92
0.59
0,23
Improvement (If after annexation date) .
x S =
(Rate X Assessed Value)
X S
(Rate X Assessed Value)
CREDIT TOTAL = S
Credit for Parcel or Land Only Ii Applicable
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Residenti2L.......................,.............................. 0.4
COmmerci2I......................,............................... 0.9
IndustriaL...,................................. ........, .......... 0.45
Government2I................................................... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
COMMERCIAL/INDUSTRIAL"
PERMIT APPLICATION
~
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WORK' "'Z~~
ASSESSORS MAP' /7-P"f-25"- ~ /
.
JOB NUMBER '9'2~~~
INSPECTION LINE: 726.3769
OFFICE: 726.3759
0<::. 7' ./J7?,/<
'5-7./ ;$v/~A
TAX LOT' c:!'7?&::>c:>
OWNER:a~."'~/,J~: 2?~&__~~/ PHONF' '"::1'.".......~~~/--:>
ADDRESS' .7? 6_ &k- '7 'f
CITY: EL-~~>;:'=- STATE: .--=>~. ZIP: 97L~
- ,
DESCRIPTION OF WORK: 4v/ 11~~~~ .P E';:Y"~r. ~F.~ S-,;<;",. <-:
NEW REMODEL~ ADDITION DEMOLISH OTHER VALUE:
NAME
ARCHITECT'
CONTRACTOR'S NAME ADDRESS
~ ~ ::::?r=<_ ~W ~
GENERAL: 7.:""- r _;zf~~.-"9"-""""__,,,-,~ ~';ft;Id7
.. i , . , ,.. r"' ).-
PLUMBING:~A~Jfi'/",,-"~
MECHANICA' .
ELECTRICAL: ~~~C;)
I NO.
?
PLUMBING
I
CHARGE I
:5'".0,--1
I
I
I
I
I
I
I
I
I
I I
I .7&l. ...e> I
Single Fixture
Relocated Bldg.
Inew lix. addtll
Water Service
FEE
/b.-
It.
Sanitary Sewer
It.
It.
Storm Sewer
Backflow Device
TOTAL PERMIT
- OFFICE USE -
QUAD AREA:
:zc:.. AI' IA/
LANa US".
. OF BLOGS'
ADDRESS
PHONE
CONST.
CO NT RACTO R .
":::--Q~2'~ -.?:?9~~38
~-;a::;:~ V~7~
. , -
;.C.~'::;.~ .
r
"'n
MECHANICAL
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~I:lARGE-
Furnace/burner & vent
< 100.000 BTUs
Furnace/burner & vent
> 100.000 BTUs
A
Floor furnace and vent
Suspended wall or floor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
Vent Fan/Single
duct
Vent System apart
from AC or hlg.
Mechanical exhaust
hood and duct
.
,ypN
/"'J:""P
Permit Issuance
$10,00
TOTAL PERMIT
HANOICAP ACCESS:
FLOOD PLAIN'
ZONING' /....c
OCCY GROUP:
.f~./
/
. OF UNIT~'
CONSTR. TYPE: .2';...y-, d";?f> ,
r - -
LIGHTING POWER BUDGET:
WATER HEATER:
. OF STORIES:
HEAT SOURCE:
SQ. FT.
$/SQ. FT.
SQ. FTG MAIN
x
SQ, FTG ACCESS __ X
SQ, FTG OTHER 1/1/.7. j'f':;".~.:>~ X
PLAN CHECK FEE ~~. ~
RCPP
I BUILOING PERMIT
5% State
Surcharqe
MECHAJ:llCAV~~
'V~/~
15% State
Surcharae
I PAVING
I PLUMBING
?J:::JA ~
y.~
/0 -.;;.
/~.-
-7S-
5% State
Surcharge
FENCE
VALUE $
I SIDEWALK
I CURB CUT
FT.
FT,
VALUE
TOTAL VALUE OF PROJECT ;..~ ~l!)_ =-0:.
DAT"
BY
67::;J. c:>c> DEMOLITION
7.S'0
~Ll/~I
PERMITS
I SYSTEMS I
OEVELOPMENT
'1'1. .;?~
/? t:'.I&
5'~69
TOTAL PERMIT FEES I
EXCLUDING ELECTRICA'
7~/. tfCJ
.
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.
y
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work is to
be covered until these
inspections have been made
and approved.
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 Ownerl Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work is covered.
ATTIC DRAFT STOPS &
CURTAIN WALLS
x
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)
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.
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 ail
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
d ral nage II nes. To be made
prior to covering or filling
trenches.
SPRAYED ON
FIREPROOFING: U,S,C,
Standards 43-8,
x
SPECIAL GRADING,
EXCAVATION AND FILLING:
Du ri ng earthwork, (306 a.11 &
Chapter 29)
x
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
Certlftcate by an approved
agency, furnished to the City's
Building Division before
beams are placed, (2501 U.S.C.
STDS, 25,10.11),
POST & BEAM: To be made
prior to installation of floor
Insulation, decking or floor
sheathing.
STRUCTURAL MASONRY: (306
a.7)
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.
'.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.
MASONRY: Steel location.
bond beams grouting or
verticals in accordance with
USC 2415.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof coverl ng.
CURB AND APPROACH
APRONS: After forms are
erected but prior to piacing
concrete.
y
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
y
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 MECHANICAL
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS'
~
PLANS REVIEWED By~f~..-
'---..
/ )//
L--1':::--~.-.--? DAT~ ";1-.79- 9:2
- -"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 reqUI~ed in ections are requested at the proper tl~e, that project address Is readable from the
street, that the7Zer t card i,located at front of the property. and the approved set of plans will remain on the site at all
times during con r. ction.
. ~
SlgnaturP ~ --- ~ Datp ~-;?-'7- 7~
C J\ \../ #""
VALlDATI~N: AMOUNT RECEIVEp: n 4)--L{. q l- C-
RECEIPT ': .q.q.q l-
DATE P~D: ~ld ~
RECEIVED B~
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