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Home My WebLink AboutPermit Electrical 1992-3-6 . . hafOllOW; ~ ZOll/ng, llIl~PtOJect e. SUbmht ~f 8PPtoVQ) 00. not t"^ I ::'..i'J~~' . 225 FIITH STREET . (},~ttosP-"""""'/I~~ERHIT APPLICATION SPRINGFIELD, OREGON 97477 Mning U:-') q f'lO/C:fJ INSPECTION REQUEST: 726-3769 DatoD' b:c:;la- ~i ty Job Number ex T:Yl OFFICE: 726-3759 A ~ - ~ .~ Slsnt.tur.,1 ~HPLETE FEE SCHEDULE BELOV 1~?JJr-lF. r#-B-; 1-m~~~'0 U I 100 JOB DESCRIPTION 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 INSTAL~ION ONLY :::::~~ ~~~1f ~~u;n City7) 'Y){2J"tJL Phone<.~~~ 7zCf7 Supervisor Qicense Number -L9 ,J>) a (l~ /{J./.Qt;L.J (1 Qs1J-, ~ 'S.q/) ) Expiration Date Constr Contr. Number Expiration Date OVNER INSTALLATION The .installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: !illf~::~~.;~- S.tIIlNCf':IELU New Residenllul Single or Multi-Family per dwelling Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder Items unit. ,Cost Sum $ 85.00 $ 15.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: B. 200 amps or less { $ 50.00 ro 201 amps to 400 amps I $ 60.00 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 D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 volts see "B" above " New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Ci.rcui t Each Addi tional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 //0.00 h.~') -1-1 ':"') . ,Y.,j -' J08 NO. 92.0 \ sop, CITY OF StlkNGFIELD SYSTEMS DEVELO~~~ CHARGE WORKSHEET I , (COMMERCIAL &. RESIDENTIAL) NM1E OR COMPANY: rfl..A'::''''- WOI2..I.-O LOCATION: '"2-090 OI.-YtvI-p\C S.. DEVELOPMENT TYPE: C-C - 'ReMoDeL BUILDING SIZE: 1. STORM DRAINAGE IMPERVIOUS SQ. FT. ...e- x SO.186 PER SQ. FT. ~.A- (See Reverse For Runoff Coefficients If Actual Imperv. Area Is Unknown) I'lD?2??\ - OT10o LOT SIZE SQ. Ft. 2. SANITARY SEWER-CITY NO. OF PFU'S '7 X S38.55 PER PFU (See Reverse To Determine Total PFU'S) 5; "2-r.."'I~~ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP x X $388.61 5; -b",. .~ x X $388.61 ~' ',. ~ ~ . ..._~._... '''.. ," x'-.,~=, X S388.61. " . . $'~ (See. Attachmen~ !: To Determine Trip Rates) . ':. llS . '. . . SUBTOTAL (ADD ITEM.S 1,2, & 3) S:'U:Pl -. 4. ADMINISTRATIVE FEES 'BASE CHARGE (SUBTOTAL ABOVE) X .05 s /3-fj. TOTAL-CITY SDC s-z,f!>? ~+ 5. SANITARY SEWER-MWMC NO. OF PFU'S - x S13.25 PER PFU + S!OMWr~C ADMIN. FEE S- (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) s It-! . ~Lc..k. <- /"2- -1/'1 'L- ~ Kip Burdick SDC Coordinator TOTAL-MWMC SDC S .B- TOTAL SDC s Z-B'? ~~ FIXTURE UNIT CALCULAJil.ON TABLE: Number of New Fi'1ures '.:. 'ni, Equivalent = Fi'1ure Units (NOT~: For remodels. calculate only the ~,dilional fjA1ures) NUMBEfl OF UNIT FIXTURE '" FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub...................................................................... Drinking Fountain.......:.............................................. Floor Drain...........:........:........................................... Interceptors For Grease/Oil/Solids/Etc................. Interceptors For'Sand/Auto Wash/Etc..........:....... Laundry Tub/Ootheswasher................................... Ootheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator jWater Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.: Shower, Single Stall................................................. Shower, Gang...................:....................................... Sink. Bar, Commercial............................................. Urinal. StalljWall....................................................... Wash Basin/Lavatory, Single.................................. Water Ooset. Public Installation...............,............. Water Ooset, Private..................'............................ Miscellaneous:. 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 I I TOTAl AXTURE UNITS ". CREDIT CALCULATION TABLE: calculate credits separates. 'I I i- 7 Based on asses<;ed value. If bnprovements occurred after annexation date in table, Rate per $1,000 A..c...,J Value Year' A...""d Year AnneXEid 1979 or before 1980 1981 1982 1983 1984 S2.66 2.64 2.53 2.41 2.19 2.04 1985 1986 1987 1986 1989 , 1990 Credit for Parcel or land Only If Applicable x $ = (Rate X Assessed Value) X $ = (Rate X Assessed Value) CREDIT TOTAL = s Improvement (If after annexation date) RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential........................................................ 0.4 CommerciaL................................................... 0.9 IndustriaL........................ ............. ................... 0.45 GovernmentaL...............................:................ 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT 11 Rate per $1,000, Assessed Value $1.69 1.35 '~:~U2 0.59 . 0.23 , SI.IIINGr-I~LU ~Ol), 0",,", t;, .~~ liI);"P",o~ ELECTRICAL PERMIT APPUCATION~ "l C'o"" lIttee n (\('-..,\ ~~~~~~ty Job Number \-1~l ) ~ ~l.lhel. - COMPLETf!'lti/t"StiljEDULE BELO.V / 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-376\: OFFICE: 726-3759 I" . -1lt~, . 1. ~r-iJl taJILATION ,Dl ~{}"u,,, ~~ ~S~~ON r \ ~ .Dr )?\.qD-J \ n L/lAJ ~~~~17ol5'/)Q. ~ t'~ , I 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. CONTRf,CTOR INSTALLATION ONLY B. Electrical Contractor 4-'J'1111'.11 !b//I . Address ,;27%2 CO-t'~/ ~tW"~. City 3</3-72-7/ c7 .5;? 0 - .5 Phone Supervisor License Number Expiration Date /bJ~ '72. / /02S2- /c)~72- Constr Contr. Number Expiration Date Sign~re of sup~sing Electrician !0-/~ ~/?//S ~s Name ~J\ti.th~d J Addres~n illA W'^Dlf" :/ City PhonU . , OVNER INSTALLATION The 'installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~~~;~----~-~~~J:L-~~-----~~~-:--- RECEIPT I: , I _ :!Ja...L......... RECEIVED BY: (7) f../)( }} - w Residential-Single or ulti-Family per dwelling ice Included: Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder 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 uni to ,Cost Sum $ 85.00 $ 15.00 $ 40.00 $ 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 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see liB" above " New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circui t__ / c:a-CIlA-d-dTi:-ional ""'" Circ~,vorvn~ Servic~ or-Feeder Permlt J"~ E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL ps"" ../ - $ 35.00 $ 2.00 ~~ not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 < I{~ .ct) ~JI'7~ .F) r; '7 ~ ilItro MM ERCIALlI N DUSTRIAL iii . PERMIT APPLICATION 225 Fifth Street, Springfield, Oregon 97477 ~ .JOB NUMBER 9~/5-8 INSPECTION LINE: 726-3769 OFFICE: 726-3759 LOCATION OF PROP1S~~M:~/:) ASSESSORS MAP: I U)db ~ \ 6L.,....~ P/C. ~.7"'" . -, TAX LOT: Ql'CY~ ") {;~ C::::7YAt-'p;r-~V"?J' LZ:> PHON'" ADDRF<:<:' CITY' STAT'" ZIP' DESCRIPTION OF WORK: NEW REMODEL .t'l,('T 7~L ~~ A/".5~' /.;;:,?' ..~ ADDITION DEMOLISH OTHER / ~~/'S'/"" ~ VALUE: Yt?-tt::>c>Z> NAME ADDRESS PHONE ARCHITECT: CaNST, CONTRACTOR'S NAME ADDRESS CONTRACTOR # """t: / /' ~3lo P/fY..~~.c-- GENERAl' ~/' _~X7~F //_';':.':I.i---=.:"~,:-;..a:-~.r;~?'Y_--:::_r(/?.......".,....o PLUMBINC' N,;V )'?/)/..pPS MECHANICA" a--~~.:...<;..~~. ELEcrRICAL:_~';'.M"~~~ 6.......~~ . I' ~ . , EXPIRES PHONE /6-92 b!5? -:::?g~ NO. Z Single Fixture Relocated Bldg. (new fix. addtl) Water Service FEE CHARGE "'0 """ I ('HAaGi 1 1 1 1 I I I 1 /5 ""'1 1 I $10,00 PLUMBING MECHANICAL I Furnacel burner & vent < 100.000 BTUs Furnacel burner & vent > 100.000 BTUs Floor furnace and vent Suspended wall or floor mounted unit healer Appliance Vent separate Stat ionary evap. cooler Vent Fan/Single duct Vent System apart from AC or htg. 1 Mechanical exhaust hood and duct .wt'~ p~~pq ~ ICJ 20 It. </ Sanitary Sewer 9~1t. 9'c:? Storm Sewer II. BackfJow Device Permit Issuance TOTAL PERMIT I LAND USE~ J\~l~n HANDICAP ACCESS: I b,o TOTAL PERMIT QUAD AREA:~~ lllf~ # OF BLDGS' # OF UNIT~' ZONING' FLOOD PLAIN: - , (11" / # OF STORIE~' CONSTR. TYPF' HEAT SOURCE: LIGHTING POWER BUDGET: WATER HEATER: OCCY GROUP' SO FT. $/SQ. FT. VALUE SQ. FTG MAIN X SQ. FTG ACCESS X SQ, FTG OTHER X TOTAL VALU E OF PROJECT PLAN CHECK FEE I<;v-/. ') I . . RCPT# -;;j'7~ / DATE ~/s/. "7/ BY /~~ -" " I BUILDING PERMIT 15% State Surcharae I MECHANICA~ 15% State Surcharae 1 PAVING --2'"'3~_-' PLUMBING /'1. 4.0 5% State , 4 /' Surcharae /.:?~ FENCE /~c>O VALUE $ _ 7:> 1 SIDEWALK 1 CURBCUT ~. 0_ c:c:> 7. .-.... , DEMOLITION FT. SUBTOTAL PERMITS SYSTEMS DEVELOPMENT 1 I I ~,?g .,--:;-1 I> Ze.? '?-+ ~ FT, TOTAL PERMIT FEES I EXCLUDING ELECTRICA' 0:21. '7'7 . . 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 8.m. will be made the same working day, requests made after 7:00 8.m. will be made the following work day, SITE INSPECTION: To be made after excavation, but prior to setu p of forms. tX'- 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. UNDERSLAB PLUMBING, ELECTRICAL & MECHANICAL: To be made before any work Is covered. 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 reports shall be furnished to the Building Division. ATTIC DRAFT STOPS & CURTAIN WALLS 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. STRUCTURAL CONCRETE: In excess of 2500 P,S.1. (306 a.1) ;( 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. STRUCTURAL WELDS: Performed on the job, (2722 f) HIGH STRENGTH BOLTING: During all bolt installation and tightening operations. (306 a.6) 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, 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.SC. Standards 43-8, SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork. (306 a.11 & Chapter 29) x FIRE & SEPARATION WALL: Located and constructed according to plans. UNDERFLOOR: Plumbing. electrical, mechanical. To be made prior to installation of floor insulation, decking or floor sheathing. / 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), 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. 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. MASONRY: Steel location. bond beams grouting or verticals in accordance with USC 2415. *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. CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete. ROOF SHEATHING AND NAILING: Prior to Installing any roof covering. ------------------------------------------------------- y )<. )( 'f 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. FINAL ELECTRICAL >< 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' /7 ---,...." PLANS REVIEWED SY ,~--- ~~ DATF ?~-?'2 t 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 s ~et, 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 ti es during construction. \ ~ gn turf"> Date AMOUNT RECEIVED: {O~Ci.J . <-t { RECEIPT N: < ~ K ' I$... ~ DATE PAID:-#~_ RECEIVED BY: ~ U , ~L1DATION: