HomeMy WebLinkAboutPermit Electrical 1999-6-25
, b illad has the tollowing
Tha following prolact at 5 :qU Ui~a spacific land usa
zoning, and does nO r
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225 FIFTH STREET Zoning - . -."."
SPRINGFIELD, O~~ 97477 (,,-;}.~ . . \
INSPECTION REQuEsT: 72(;,..~~~~ ~
OFFICE: 726_375'1'thOrizaOS1g t
ELECTRICAL PERMIT APPLICATION
City Job NWDberqqrxoro 0[
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3. COMPLETE FEE SCHEDULE BELOII
1. LOCATION OF INST[\LLATJ;ON
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JOB DESCRIPTION
Alarm Installatin-
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
E1ee trieal Con trae tor ADT S"~I'J:1.""
Address_ 1501
'Pp.Arl ~..
Ci ty EUI!ene
Phone~42-1,1~____
Supervisor License Number \}" 3 J.LF.
Expiration Date ll/OIlQQ
Constr Contr. Number_ 59944
Expiration Date 4/27/QR
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
,-
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New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq.ft. or less
Each addi tional 500 .
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular'Dwelling
ATTESer,v,ice or Feeder
'''' ''''''1'1 vr
fol/ow rule. Arl "go/llaw requires yo
!'JB~fici?IUiy~~e~~~'t:'r:eede~aaQn I ~!O
In OARln~tarla t 10n9S~l:te!atGo~~tty
0090. i~ 1~~'i1i~la't.iI6'n':>ugh CAR 9~~:00rth
call' Y Obtain copies f 01-
. num~'ro~E'(n1opseo tNl:e_Slih~ t~~e_ ~u'es by $ 50.00
. 20.!Jr a'nlpS1r\t9D.4Q.Ol/il';Plij~ .::"u..'" $ 60.00
. 40 rnlrnips 1'fO'.C6.0.92.~~p~tll.vauun $100.00
601 amps to 1000 amp~ $130.00
Over 1000 amps/volts $300.00
R\la>j1~E': Only $ 40.00
C. f~k~gF~9T~~ or Feeders
~W'iftlm!!~lllNDgRn.,~~fil6if~~wca t ion
COMMIr.~n,..." RTHIS PERMIT IS I>If"IIrn
lllQ9 m ''S-rff-''J,~ANIXX _ ........v.OO
'1'b'11 ~YflfFfl~ amps .Lur-ORS' 55.00
Over 401 t066~'amps. $ 80.00
Over 600 amps or 1000 volts see "B" above
D.
Branch Circuits
Signature of Supervising Electrician
It/ dA ~~. '
..... -" f' ..'
Owners Name ,I) c K:.-i .J N V r S'+
Addrp.ss..2 5C:-rJ O'ot{~~,,.,.:f #~(J-/
.,e::. \ ~) ~ \ One Circui t
Ci ty ICV7"~ 0 /I. Phon /1) 1.,)....7 SOU Each Addi tional
. Circuit or vith Service
O\INER INSTALLATION or Feeder Permit
Items Cost
Sum
$ 85.00
$ 15.00
$ 40.00
T'
New, Alteration or Extension Per Panel
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
"''''''''.,
I
$ 40.00
$ 40.00
$ 20.00 _ .;)
$ 36.00 . <"fUU
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C/TtI ~ tI=- 99//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.
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.
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 pi pes, chimneys
and vents are complete and
the rough electrical, plumbing
and mechanical are approvod.
STRUCTURAL CONCRETE: In
excess of 2500 P.S.1. (306 a.1)
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 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.
HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations. (306
a.6)
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
SPRAYED ON
FIREPROOFING: U.B,C.
Standards 43.8.
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.
ROOF SHEATHING AND
NAILING: Prior to Installing
any roof covering.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
-In addItion to the Inspec.
tlons specified, the Building
Official may make or require
other Inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
FINAL ELECTRICAL
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.
FINAL PLUMBING
,
X
"X
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.
,
ADDITIONAL COMMENTS:
. FINAL FIRE DEPARTMENT
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PLANS REVIEWED BY
DAT~
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By signature, I state and agree, that I have careful!y examined the completed llppllcatlon 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 mage 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
~I~e::'d~~~~h~o;;t'~~~~cated at the front of the property, and the approved set of plans WIlI~rem~n i ~he site at all
Slgnatur~ /L,/f//~ Date J71/9'f7
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VALlDATlot AMOUNT RECEIVED: 2!7.:!:J, 10 DATE PAID'
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RECEIPT N'
RECEIVED BY:
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